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ST THERESE HOME INC NPI 1790817187


NPI Information

NPI: 1790817187
Provider Name: ST THERESE HOME, INC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 24D0900141

Address:
8000 BASS LAKE RD
NEW HOPE, MN
ZIP 55428
Phone: (763) 531-5093
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ST THERESE HOME, INC is a durable medical equipment medical supplies in New Hope, MN. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. ST THERESE HOME, INC NPI is 1790817187. The provider is registered as an organization entity type.

The provider's business location address is:

8000 BASS LAKE RD
NEW HOPE, MN
ZIP 55428-118
Phone: (763) 531-5093
Fax: (763) 531-5411

The provider's authorized official is Mike Warden .
The authorized official title is Cfo and has the following contact phone number (763) 531-5093.

The CLIA number assigned to this NPI record is 24D0900141 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/12/2007 and was last updated on 8/22/2020.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical Supplies2005113MINNESOTAYes

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: 5/5/2024

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