MEDICARE: HOME DRYWALL & PAINTING 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	171WH0202X	Home Modifications Contractor

General Provider Information

NPI Number	:	1831980002
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME DRYWALL & PAINTING LLC

Provider Business Mailing Address
First Line	:	2817 ANTHONY LN S STE 201
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55418-2490
Country	:	US
Telephone Number	:	612-816-5333
Fax Number	:

Provider Business Practice Location Address
First Line	:	2817 ANTHONY LN S STE 201
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55418-2490
Country	:	US
Telephone Number	:	612-816-5333
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. BRANDEN M BERCHEM
Credential	:
Telephone Number	:	612-497-6194

Provider Enumeration Date	:	05/15/2025
Last Update Date	:	05/15/2025

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Directions to “HOME DRYWALL & PAINTING LLC ” Practice Location

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