MEDICARE: TWIN CITIES COMPASSIONATE CARE LLC

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	251J00000X	Nursing Care Agency

General Provider Information

NPI Number	:	1700643046
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TWIN CITIES COMPASSIONATE CARE LLC

Provider Business Mailing Address
First Line	:	445 WYOMING ST E
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55107-3171
Country	:	US
Telephone Number	:	608-960-6685
Fax Number	:

Provider Business Practice Location Address
First Line	:	445 WYOMING ST E
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55107-3171
Country	:	US
Telephone Number	:	608-960-6685
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NOURA YOUSEF
Credential	:
Telephone Number	:	608-960-6685

Provider Enumeration Date	:	03/04/2024
Last Update Date	:	03/04/2024

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Directions to “TWIN CITIES COMPASSIONATE CARE LLC ” Practice Location

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