MEDICARE: TASKS UNLIMITED TRAINING CENTER

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	251S00000X	Community/Behavioral Health Agency	802463-1-RMI	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	802463-1-RMI	OTHER	MN	DHS LICENSE #
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679612337
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TASKS UNLIMITED TRAINING CENTER

Provider Business Mailing Address
First Line	:	2419 NICOLLET AVE
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55404-3450
Country	:	US
Telephone Number	:	612-871-3320
Fax Number	:	612-871-0432

Provider Business Practice Location Address
First Line	:	4029 UTICA AVE S
Second Line	:
City	:	ST LOUIS PARK
State	:	MN
Zip	:	55416-2904
Country	:	US
Telephone Number	:	952-928-9390
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	TREVOR B JOHNSON
Credential	:
Telephone Number	:	612-871-3320

Provider Enumeration Date	:	02/06/2007
Last Update Date	:	10/07/2024

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