King David Home Health Care Services Llc in Cottage Grove - Home Health

King David Home Health Care Services Llc - NPI 1104026988

King David Home Health Care Services Llc is a Home Health in Cottage Grove, Minnesota. King David Home Health Care Services Llc practices all healthcare services and medical treatments related to Home Health. The NPI Number for King David Home Health Care Services Llc is 1104026988. The last update date is 2008-07-29.

King David Home Health Care Services Llc's current location address is 7758 Janero Court South, Cottage Grove, Minnesota. You can contact this provider via phone number 6514595023 and fax number 6517690788. The mailing address for King David Home Health Care Services Llc is 7758 Janero Court South, Cottage Grove, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Organization King David Home Health Care Services Llc
Address 7758 Janero Court South, Cottage Grove, Minnesota
Phone Number 6514595023
Fax Number 6517690788
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CEO
Authorized Official Name Adams L. Bonita
Credentials CEO
Telephone Number 6514595023

NPI Number Detail

NPI Number 1104026988
Provider Enumeration Date 2007-07-20
Last Updated Date 2008-07-29

Provider Mailing Address Detail

Address 7758 Janero Court South
City Cottage Grove
State Minnesota (MN)
Post Code 55016
Phone Number 6514595023
Fax Number 6517690788

Provider's Primary Taxonomy Detail

Speciality Home Health
Taxonomy 251E00000X
Licence No 323248
Definition:
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services,

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
323923000 MN MINNESOTA HEALTH CARE

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FAQs about King David Home Health Care Services Llc

What is the unique identifier code issued to King David Home Health Care Services Llc by the Centers for Medicare & Medicaid Services (CMS)?

The King David Home Health Care Services Llc has been assigned the NPI (National Provider Identifier) 1104026988. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Where is the King David Home Health Care Services Llc located?

The King David Home Health Care Services Llc is located at 7758 Janero Court South, Cottage Grove, MN 55016.

What is King David Home Health Care Services Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The King David Home Health Care Services Llc's specialized field of practice is Home Health, and the corresponding taxonomy code that categorizes this area of specialization is 251E00000X.

When did King David Home Health Care Services Llc receive its 1104026988 assignment?

The King David Home Health Care Services Llc was assigned its 1104026988 on 2007-07-20, which is the date when this unique identifier was issued to the organization.

When was the information regarding King David Home Health Care Services Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to King David Home Health Care Services Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-07-29.

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