Menage Llc

LBN: The Menage
Menage Llc is an health care organization with primary practice located at 11221 Zion St Nw , Coon Rapids MN 55433-3526. The organization recently has 4 registered licenses in different health care specialties including Other Service Providers / Meals, Agencies / Home Health, Agencies / Program of All-Inclusive Care for the Elderly (PACE) Provider Organization, Agencies / In Home Supportive Care. Agencies / Home Health is the primary health care specialty. The Menage can be contacted via phone (651) 600-1161, or through Dollerson, Travis Anthony via phone (651) 600-1161.

Contact Information

Primary practice address
11221 Zion St Nw Coon Rapids MN 55433-3526
Phone: (651) 600-1161
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dollerson, Travis Anthony
Phone: (651) 600-1161

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Meals 174200000X
Agencies / Home Health 251E00000X
Agencies / Program of All-Inclusive Care for the Elderly (PACE) Provider Organization 251T00000X
Agencies / In Home Supportive Care 253Z00000X

Profile Details

NPI number 1861139560
LBN Legal business name The Menage
DBA Doing business as Menage Llc
Authorized official Dollerson, Travis Anthony
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2022
Last updated Aug 25th, 2022 - about 2 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 1861139560 NPPES
Minnesota Other 1861139560 NPI

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