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NPI Code Detail

MEDICARE: MORNINGSTAR HEALTHCARE SERVICES,LLC

MEDICARE: MORNINGSTAR HEALTHCARE 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
1251E00000XHome Health Agency01084-04MN

General Provider Information

NPI Number : 1811135726
Entity Type Code : Organization
Provider Name (Legal Business Name) : MORNINGSTAR HEALTHCARE SERVICES,LLC
Provider Business Mailing Address
First Line : 2147 UNIVERSITY AVE.WEST SUITE 206
Second Line :
City : ST PAUL
State : MN
Zip : 55114
Country : US
Telephone Number : 651-209-2950
Fax Number : 651-917-2013
Provider Business Practice Location Address
First Line : 2147 UNIVERSITY AVE W STE 206
Second Line :
City : SAINT PAUL
State : MN
Zip : 55114-1327
Country : US
Telephone Number : 651-209-2950
Fax Number : 651-917-2013
Authorized Official
Title or Position : ADMNISTRATION
Name : MRS. PRECIOUS OJIKA
Credential :
Telephone Number : 651-209-2950
Provider Enumeration Date : 01/30/2009
Last Update Date : 01/30/2009

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Directions to “MORNINGSTAR HEALTHCARE SERVICES,LLC ” Practice Location

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