Enriching Home Care Services, Llc

LBN: Enriching Home Care Services, Llc
Enriching Home Care Services, Llc is an health care organization with primary practice located at 6045 Vicksburg Ln N , Plymouth MN 55446-1140. The organization recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Behavioral Analyst, Agencies / Case Management, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Agencies / Community/Behavioral Health is the primary health care specialty. Enriching Home Care Services, Llc can be contacted via phone (763) 232-4946, or through Clark, Kejyana via phone (763) 232-4946.

Contact Information

Primary practice address
6045 Vicksburg Ln N Plymouth MN 55446-1140
Phone: (763) 232-4946
Fax: (763) 325-9602
Website:
Map and Directions
Authorized official contact:
Name: Clark, Kejyana
Phone: (763) 232-4946

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Agencies / Case Management 251B00000X
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X

Profile Details

NPI number 1154161131
LBN Legal business name Enriching Home Care Services, Llc
DBA Doing business as
Authorized official Clark, Kejyana
Entity Organization
Organization subpart 1 No
Enumeration date May 28th, 2024
Last updated Jun 4th, 2024 - 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 1154161131 NPPES
Minnesota MEDICAID 1437872413

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