MINNESOTA HOSPICE LLC NPI 1891066239

NPI Information

  • NPI: 1891066239
  • Provider Name: MINNESOTA HOSPICE LLC
  • Classification: Hospice Care, Community Based - 251G00000X
  • Entity Type: Organization
  • Former Legal Business Name: HOSPICE ADVANTAGE, INC.
  • CLIA Number: 24D1074756
  • Address: 17645 JUNIPER PATH
    SUITE 155
    LAKEVILLE, MN
    ZIP 55044
  • Phone: (952) 898-1022

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NPI Details

MINNESOTA HOSPICE LLC is a hospice care community based in Lakeville, MN. MINNESOTA HOSPICE LLC NPI is 1891066239. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Hospice Advantage, Inc..

The provider's business location address is:

17645 JUNIPER PATH
SUITE 155
LAKEVILLE, MN
ZIP 55044-490
Phone: (952) 898-1022
Fax: (952) 898-4006

The provider's authorized official is Kenneth Haglind .
The authorized official title is President and has the following contact phone number (952) 898-1022.

The CLIA number assigned to this NPI record is 24D1074756 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/17/2012 and was last updated on 8/23/2017.

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
1251G00000XHospice Care, Community Based355830MINNESOTANo
2251G00000XHospice Care, Community Based379554MINNESOTAYes

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
1241582MEDICARE OSCAR/CERTIFICATIONMINNESOTA
2131614MEDICAIDMINNESOTA

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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