MEDICARE: ACCRETIVE CARE SERVICES 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	:	1790584514
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACCRETIVE CARE SERVICES LLC

Provider Business Mailing Address
First Line	:	22 18TH AVE NE
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55418-4202
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	22 18TH AVE NE
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55418-4202
Country	:	US
Telephone Number	:	612-517-9002
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	HASHI SAID
Credential	:
Telephone Number	:	612-517-9002

Provider Enumeration Date	:	03/12/2025
Last Update Date	:	03/12/2025

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Directions to “ACCRETIVE CARE SERVICES LLC ” Practice Location

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