HOME HEALTH CARE INCORPORATED NPI 1255440061

NPI Information

  • NPI: 1255440061
  • Provider Name: HOME HEALTH CARE, INCORPORATED
  • Classification: Registered Nurse - 163WH0200X
  • Specialization: Home Health
  • Entity Type: Organization
  • CLIA Number: 24D1042996
  • Address: 800 BOONE AVE N
    SUITE 200
    GOLDEN VALLEY, MN
    ZIP 55427
  • Phone: (176) 341-7888

Map and Directions

Get Directions

NPI Details

HOME HEALTH CARE, INCORPORATED is a home health registered nurse in Golden Valley, MN. HOME HEALTH CARE, INCORPORATED NPI is 1255440061. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

800 BOONE AVE N
SUITE 200
GOLDEN VALLEY, MN
ZIP 55427-468
Phone: (176) 341-7888

The provider's authorized official is Zinaida Komarov .
The authorized official title is Office Manager and has the following contact phone number 17634178888.

The CLIA number assigned to this NPI record is 24D1042996 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/29/2006 and was last updated on 3/23/2012.

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 Health331986MINNESOTAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1278872100MEDICAIDMINNESOTA
2248037MEDICARE ID-TYPE UNSPECIFIEDMINNESOTA

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI