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1689797102

NPI Code Detail

MEDICARE: ACUTE HOME HEALTH CARE OF MN

MEDICARE: ACUTE HOME HEALTH CARE OF MN

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
2	311ZA0620X	Adult Care Home Facility	1039690-2-AFC	MN
3	311ZA0620X	Adult Care Home Facility	34050	MN
4	311ZA0620X	Adult Care Home Facility	1039688-2-AFC	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	34050	OTHER	MN	MN- CODE 18 FOR HOME AND COMMUNITY BASED SERVICES
2	242275100	OTHER	MN	MN-CODE 18 FOR HOME AND COMMUNITY BASED SERVICES
3	387817	OTHER	MN	COMPREHENSIVE HOME CARE

General Provider Information

NPI Number	:	1689797102
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACUTE HOME HEALTH CARE OF MN

Provider Business Mailing Address
First Line	:	6385 OLD SHADY OAK RD
Second Line	:	STE 250
City	:	EDEN PRAIRIE
State	:	MN
Zip	:	55344-3299
Country	:	US
Telephone Number	:	952-361-0080
Fax Number	:	952-448-1996

Provider Business Practice Location Address
First Line	:	6385 OLD SHADY OAK RD STE 250
Second Line	:
City	:	EDEN PRAIRIE
State	:	MN
Zip	:	55344-7705
Country	:	US
Telephone Number	:	952-361-0080
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF NURSING
Name	:	MS. KIMLOAN SLOSS
Credential	:	RN, PHN
Telephone Number	:	952-361-0080

Provider Enumeration Date	:	04/09/2007
Last Update Date	:	11/11/2018

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Directions to “ACUTE HOME HEALTH CARE OF MN ” Practice Location

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