MEDICARE: CAREMAXX HEALTH CARE SYSTEMS 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		MN

General Provider Information

NPI Number	:	1750444709
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAREMAXX HEALTH CARE SYSTEMS INC

Provider Business Mailing Address
First Line	:	6001 78TH AVE N
Second Line	:	SUITE 200
City	:	BROOKLYN PARK
State	:	MN
Zip	:	55443-2902
Country	:	US
Telephone Number	:	763-566-4559
Fax Number	:	763-566-2147

Provider Business Practice Location Address
First Line	:	6001 78TH AVE N
Second Line	:	SUITE 200
City	:	BROOKLYN PARK
State	:	MN
Zip	:	55443-2902
Country	:	US
Telephone Number	:	763-566-4559
Fax Number	:	763-566-2147

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ADASSA CLEMENT OPUSUNJU
Credential	:
Telephone Number	:	763-566-4559

Provider Enumeration Date	:	12/19/2006
Last Update Date	:	08/22/2020

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