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SENIOR HOME LIVING INC NPI 1093903502


NPI Information

NPI: 1093903502
Provider Name: SENIOR HOME LIVING INC

Doing Business As: MAPLEWOOD HOME CARE

Classification: Technician - 3747P1801X
Entity Type: Organization

Specialization: Personal Care Attendant

Address:
1736 COPE AVE E STE 2
MAPLEWOOD, MN
ZIP 55109
Phone: (952) 456-6561
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SENIOR HOME LIVING INC is a personal care attendant technician in Maplewood, MN. The provider is an individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards SENIOR HOME LIVING INC NPI is 1093903502. The provider is registered as an organization entity type.
The provider Is Doing Business As Maplewood Home Care.

The provider's business location address is:

1736 COPE AVE E STE 2
MAPLEWOOD, MN
ZIP 55109-661
Phone: (952) 456-6561
Fax: (952) 456-6563

The provider's authorized official is Gaolee Crystie Yang .
The authorized official title is Owner and has the following contact phone number (952) 456-6561.

The enumeration date for this NPI number is 10/9/2007 and was last updated on 5/8/2023.


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
1251E00000XHome Health337545MINNESOTANo
23747P1801XTechnicianPersonal Care AttendantYes

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
1A721135000MEDICAIDMINNESOTA

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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