MEDICARE: LIFE CARE RETIREMENT COMMUNITIES 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	330680	MN

General Provider Information

NPI Number	:	1881631695
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIFE CARE RETIREMENT COMMUNITIES INC

Provider Business Mailing Address
First Line	:	8100 HIGHWOOD DR
Second Line	:
City	:	BLOOMINGTON
State	:	MN
Zip	:	55438-1079
Country	:	US
Telephone Number	:	952-831-7500
Fax Number	:	952-830-9893

Provider Business Practice Location Address
First Line	:	8100 HIGHWOOD DR
Second Line	:
City	:	BLOOMINGTON
State	:	MN
Zip	:	55438-1079
Country	:	US
Telephone Number	:	952-831-7500
Fax Number	:	952-830-9893

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	RICHARD MEYER
Credential	:
Telephone Number	:	952-830-9590

Provider Enumeration Date	:	06/01/2006
Last Update Date	:	08/22/2020

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