MILLE LACS HEALTH SYSTEM NPI 1578726311

NPI Information

NPI: 1578726311
Provider Name: MILLE LACS HEALTH SYSTEM
Classification: Home Health - 251E00000X
Entity Type: Organization
Doing Business As: MILLE LACS HOME CARE
Address: 200 ELM ST N
ONAMIA, MN
ZIP 56359
Phone: (320) 888-4127

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NPI Details

MILLE LACS HEALTH SYSTEM is a home health in Onamia, 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. MILLE LACS HEALTH SYSTEM NPI is 1578726311. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mille Lacs Home Care.

The provider's business location address is:

200 ELM ST N
ONAMIA, MN
ZIP 56359-901
Phone: (320) 888-4127
Fax: (320) 532-4325

The provider's authorized official is John W Unzen .
The authorized official title is Cfo and has the following contact phone number (320) 532-2581.

The enumeration date for this NPI number is 7/2/2008 and was last updated on 3/21/2016.

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	License Number	License State	Primary
1	104100000X	Social Worker			No
2	163W00000X	Registered Nurse			No
3	164W00000X	Licensed Practical Nurse			No
4	225100000X	Physical Therapist			No
5	225X00000X	Occupational Therapist			No
6	374U00000X	Home Health Aide			No
7	376J00000X	Homemaker			No
8	251E00000X	Home Health	339184	MINNESOTA	Yes

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
1	190247400	MEDICAID	MINNESOTA
2	123281	OTHER	MINNESOTA	UCARE MINNESOTA
3	247194	MEDICARE OSCAR/CERTIFICATION	MINNESOTA
4	1787ACO	OTHER	MINNESOTA	BLUE CROSS BLUE SHIELD MINNESOTA
5	5900066	OTHER	MINNESOTA	MEDICA

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: 3/30/2025

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