CAREGIVERS MAKING A DIFFERENCE NPI 1184046963

NPI Information

  • NPI: 1184046963
  • Provider Name: CAREGIVERS MAKING A DIFFERENCE
  • Classification: Home Health - 251E00000X
  • Entity Type: Organization
  • :
  • CLIA Number: 24D2234354
  • Address: 1879 STATION PKWY NW
    ANDOVER, MN
    ZIP 55304
  • Phone: (763) 205-4440

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NPI Details

CAREGIVERS MAKING A DIFFERENCE is a home health in Andover, MN. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. CAREGIVERS MAKING A DIFFERENCE NPI is 1184046963. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

1879 STATION PKWY NW
ANDOVER, MN
ZIP 55304-880
Phone: (763) 205-4440
Fax: (763) 205-4403

The provider's authorized official is Brian Michael Mcdonald .
The authorized official title is President and has the following contact phone number (763) 205-4440.

The CLIA number assigned to this NPI record is 24D2234354 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/13/2014 and was last updated on 4/7/2025.

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
1163WH0200XRegistered NurseHome HealthNo
2251E00000XHome HealthYes
3253Z00000XIn Home Supportive Care363457MINNESOTANo
43747P1801XTechnicianPersonal Care AttendantNo
5374U00000XHome Health AideNo
6376J00000XHomemakerNo
7376K00000XNurse's AideNo
8385H00000XRespite CareNo

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: 11/21/2025

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