Senior Care Providence, Llc
LBN: Senior Care Providence, Llc
Senior Care Providence, Llc is an health care organization with primary practice located at 3720 23Rd Ave S , Minneapolis MN 55407-3010. 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.
Senior Care Providence, Llc can be contacted via phone (612) 724-5495, or through Richter, Nancy Sue via phone (612) 431-7932.
Contact Information
Primary practice address
3720 23Rd Ave S
Minneapolis MN 55407-3010
Phone: (612) 724-5495
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 328868 | Minnesota |
Profile Details
| NPI number | 1851599021 |
|---|---|
| LBN Legal business name | Senior Care Providence, Llc |
| DBA Doing business as | |
| Authorized official | Richter, Nancy Sue |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 10th, 2007 |
| Last updated | Dec 27th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851599021 | NPPES |
| Minnesota | Other | 428093639 | MHP |
| Minnesota | Other | 8810NI | MHP |
| Minnesota | Other | NH0131 | MHP |
| Minnesota | Other | 62845 | MHP |
| Minnesota | MEDICAID | 608719100 | MHP |
| Minnesota | Other | 7100377 | MHP |
| Minnesota | Other | 7122705 | MHP |
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