Minnesota Masonic Home Care Center

LBN: Minnesota Masonic Home Care Center
Minnesota Masonic Home Care Center is an health care organization with primary practice located at 11501 Masonic Home Dr , Bloomington MN 55437-3661. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Minnesota Masonic Home Care Center can be contacted via phone (952) 948-7000, or through Mozk, Sue via phone (952) 948-7000.

Contact Information

Primary practice address
11501 Masonic Home Dr Bloomington MN 55437-3661
Phone: (952) 948-7000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mozk, Sue
Phone: (952) 948-7000

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 328757 Minnesota

Profile Details

NPI number 1346235181
LBN Legal business name Minnesota Masonic Home Care Center
DBA Doing business as
Authorized official Mozk, Sue
Entity Organization
Organization subpart 1 No
Enumeration date Sep 19th, 2005
Last updated Dec 15th, 2015 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1346235181 NPPES
Minnesota MEDICAID 511542600

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