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PLATEAU HEALTHCARE MAPLE GROVE LLC NPI 1811544166


NPI Information

NPI: 1811544166
Provider Name: PLATEAU HEALTHCARE MAPLE GROVE LLC
Classification: Nursing Care - 251J00000X
Entity Type: Organization
Address:
9962 104TH AVE N
MAPLE GROVE, MN
ZIP 55369
Phone: (763) 444-1361
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PLATEAU HEALTHCARE MAPLE GROVE LLC is a nursing care in Maple Grove, MN. The provider is a Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. PLATEAU HEALTHCARE MAPLE GROVE LLC NPI is 1811544166. The provider is registered as an organization entity type.

The provider's business location address is:

9962 104TH AVE N
MAPLE GROVE, MN
ZIP 55369-941
Phone: (763) 444-1361
Fax: (763) 444-1358

The provider's authorized official is Faisale Boukari .
The authorized official title is President and has the following contact phone number (763) 444-1361.

The enumeration date for this NPI number is 8/21/2019 and was last updated on 8/21/2019.


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 HealthNo
2253Z00000XIn Home Supportive CareNo
3251J00000XNursing CareYes

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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