King David Home Health Care Services Llc

LBN: King David Home Health Care Services Llc
King David Home Health Care Services Llc is an health care organization with primary practice located at 7758 Janero Court South , Cottage Grove MN 55016. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. King David Home Health Care Services Llc can be contacted via phone (651) 459-5023, or through Adams, Bonita L. via phone (651) 459-5023.

Contact Information

Primary practice address
7758 Janero Court South Cottage Grove MN 55016
Phone: (651) 459-5023
Fax: (651) 769-0788
Website:
Map and Directions
Authorized official contact:
Name: Adams, Bonita L. CEO
Phone: (651) 459-5023

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 323248 Minnesota

Profile Details

NPI number 1104026988
LBN Legal business name King David Home Health Care Services Llc
DBA Doing business as
Authorized official Adams, Bonita L. CEO
Entity Organization
Organization subpart 1 No
Enumeration date Jul 20th, 2007
Last updated Jul 29th, 2008 - about 17 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 1104026988 NPPES
Minnesota MEDICAID 323923000 MINNESOTA HEALTH CARE

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