MEDICARE: HOWARD OPS, 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	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1730733536
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOWARD OPS, LLC

Provider Business Mailing Address
First Line	:	5900 CLEARWATER DR STE 500
Second Line	:
City	:	MINNETONKA
State	:	MN
Zip	:	55343-8961
Country	:	US
Telephone Number	:	952-241-8211
Fax Number	:	952-241-8232

Provider Business Practice Location Address
First Line	:	2790 ELM TREE HL
Second Line	:
City	:	HOWARD
State	:	WI
Zip	:	54313-3004
Country	:	US
Telephone Number	:	920-489-8600
Fax Number	:	920-268-4087

Authorized Official
Title or Position	:	VP OF FINANCE & ACCOUNTING
Name	:	ALEX MASSOPUST
Credential	:	CPA
Telephone Number	:	952-241-8211

Provider Enumeration Date	:	07/30/2019
Last Update Date	:	07/30/2019

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