MEDICARE: CAREPATH

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1942036512
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAREPATH

Provider Business Mailing Address
First Line	:	3446 PENN AVE N
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55412-2324
Country	:	US
Telephone Number	:	763-439-5099
Fax Number	:

Provider Business Practice Location Address
First Line	:	3446 PENN AVE N
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55412-2324
Country	:	US
Telephone Number	:	763-439-5099
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. ANAS N LIBAN
Credential	:
Telephone Number	:	763-439-5099

Provider Enumeration Date	:	09/11/2024
Last Update Date	:	09/11/2024

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Directions to “CAREPATH ” Practice Location

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