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LOTUS MOON LLC NPI 1295339166


NPI Information

NPI: 1295339166
Provider Name: LOTUS MOON, LLC
Classification: In Home Supportive Care - 253Z00000X
Entity Type: Organization
Address:
14667 LAKE STREET EXT
MINNETONKA, MN
ZIP 55345
Phone: (612) 584-0917
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LOTUS MOON, LLC is an in home supportive care in Minnetonka, MN. The provider is an In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. LOTUS MOON, LLC NPI is 1295339166. The provider is registered as an organization entity type.

The provider's business location address is:

14667 LAKE STREET EXT
MINNETONKA, MN
ZIP 55345-926
Phone: (612) 584-0917

The provider's authorized official is Pesey M Kuoch .
The authorized official title is Owner and has the following contact phone number (612) 535-7292.

The enumeration date for this NPI number is 11/22/2020 and was last updated on 11/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1177F00000XLodgingNo
2251J00000XNursing CareNo
3253Z00000XIn Home Supportive CareYes
4174200000XMealsNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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