Lotus Moon, Llc

LBN: Lotus Moon, Llc
Lotus Moon, Llc is an health care organization with primary practice located at 14667 Lake Street Ext , Minnetonka MN 55345-2926. The organization recently has 4 registered licenses in different health care specialties including Other Service Providers / Meals, Other Service Providers / Lodging, Agencies / Nursing Care, Agencies / In Home Supportive Care. Agencies / In Home Supportive Care is the primary health care specialty. Lotus Moon, Llc can be contacted via phone (612) 584-0917, or through Kuoch, Pesey M via phone (612) 535-7292.

Contact Information

Primary practice address
14667 Lake Street Ext Minnetonka MN 55345-2926
Phone: (612) 584-0917
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kuoch, Pesey M
Phone: (612) 535-7292

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Meals 174200000X
Other Service Providers / Lodging 177F00000X
Agencies / Nursing Care 251J00000X
Agencies / In Home Supportive Care 253Z00000X

Profile Details

NPI number 1295339166
LBN Legal business name Lotus Moon, Llc
DBA Doing business as
Authorized official Kuoch, Pesey M
Entity Organization
Organization subpart 1 No
Enumeration date Nov 22nd, 2020
Last updated Nov 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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