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SOUTHERN MINNESOTA HOME CARE NPI 1306259056


NPI Information

NPI: 1306259056
Provider Name: SOUTHERN MINNESOTA HOME CARE

Doing Business As: SOUTHERN MINNESOTA HOME CARE LLC

Classification: Point of Service - 305S00000X
Entity Type: Organization
Address:
213 PARKWAY AVE
EAGLE LAKE, MN
ZIP 56024
Phone: (507) 257-2252
Get Directions

SOUTHERN MINNESOTA HOME CARE is a point of service in Eagle Lake, MN. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. SOUTHERN MINNESOTA HOME CARE NPI is 1306259056. The provider is registered as an organization entity type.
The provider Is Doing Business As Southern Minnesota Home Care Llc.

The provider's business location address is:

213 PARKWAY AVE
EAGLE LAKE, MN
ZIP 56024-709
Phone: (507) 257-2252

The provider's authorized official is Barbara J Sontag .
The authorized official title is ADMIN OWNEROwner and has the following contact phone number (507) 257-2252.

The enumeration date for this NPI number is 6/10/2014 and was last updated on 7/31/2014.


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
1305S00000XPoint of Service346457MINNESOTAYes

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
11295060077MEDICAIDMINNESOTA
2A864907100MEDICAIDMINNESOTA
3A632620100MEDICAIDMINNESOTA

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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