MEDICARE: MIGANA HOME HEALTHCARE, 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1932901493
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIGANA HOME HEALTHCARE, LLC

Provider Business Mailing Address
First Line	:	1330 LAGOON AVE STE 409
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55408-2885
Country	:	US
Telephone Number	:	612-416-2777
Fax Number	:	612-404-2946

Provider Business Practice Location Address
First Line	:	1330 LAGOON AVE STE 409
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55408-2885
Country	:	US
Telephone Number	:	612-416-2777
Fax Number	:	612-404-2946

Authorized Official
Title or Position	:	OWNER/ADMINISTRATOR
Name	:	HORACIO RODRIGUEZ
Credential	:
Telephone Number	:	612-416-2777

Provider Enumeration Date	:	03/26/2025
Last Update Date	:	03/19/2026

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