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LIFE CARE HEALTH SERVICES LLC NPI 1962000646


NPI Information

NPI: 1962000646
Provider Name: LIFE CARE HEALTH SERVICES LLC

Doing Business As: LIFE CARE HEALTH SERVICE

Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
2445 PARK AVE # 300
MINNEAPOLIS, MN
ZIP 55404
Phone: (612) 458-1962
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LIFE CARE HEALTH SERVICES LLC is an adult mental health clinic center in Minneapolis, MN. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. LIFE CARE HEALTH SERVICES LLC NPI is 1962000646. The provider is registered as an organization entity type.
The provider Is Doing Business As Life Care Health Service.

The provider's business location address is:

2445 PARK AVE # 300
MINNEAPOLIS, MN
ZIP 55404-714
Phone: (612) 458-1962
Fax: (612) 605-1939

The provider's authorized official is Rachid Mohamad .
The authorized official title is Ceo and has the following contact phone number (612) 458-1962.

The enumeration date for this NPI number is 10/14/2020 and was last updated on 9/8/2023.


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
1261QM0850XClinic/CenterAdult Mental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11962000646MEDICAIDMINNESOTA

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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