MEDICARE: CAREMATE HOME HEALTH CARE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	331580	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	181585	OTHER	MN	UCARE MN PCA
2	106502	OTHER	MN	UCARE MN
3	4J19CA	OTHER	MN	BCBS
4	5900010	OTHER	MN	MEDICA
5	37865	OTHER	MN	HEALTH PARTNERS

General Provider Information

NPI Number	:	1588734966
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAREMATE HOME HEALTH CARE, INC.

Provider Business Mailing Address
First Line	:	2236 MARSHALL AVENUE
Second Line	:
City	:	ST PAUL
State	:	MN
Zip	:	55104-5799
Country	:	US
Telephone Number	:	651-659-0208
Fax Number	:	651-659-0161

Provider Business Practice Location Address
First Line	:	2236 MARSHALL AVENUE
Second Line	:
City	:	ST PAUL
State	:	MN
Zip	:	55104-5799
Country	:	US
Telephone Number	:	651-659-0208
Fax Number	:	651-659-0161

Authorized Official
Title or Position	:	PRESIDENT AND CEO
Name	:	MICHAEL ADERINKOMI
Credential	:
Telephone Number	:	651-659-0208

Provider Enumeration Date	:	11/09/2006
Last Update Date	:	04/20/2008

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Directions to “CAREMATE HOME HEALTH CARE, INC. ” Practice Location

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