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Provenance Homes
In Home Supportive Care Agency in St Louis Park, Minnesota
NPI 1285410746

Provenance Homes is a In Home Supportive Care Agency based in St Louis Park, MN. Provenance Homes practices in St Louis Park, MN. The NPI Number for Provenance Homes is 1285410746 and holds a License No. (Minnesota).

The current practice location address for Provenance Homes is 1650 W End Blvd Ste 100, St Louis Park, MN and can be reached out via phone at 612-261-6988 and via fax at 612-465-1402.

Location: 1650 W End Blvd Ste 100, St Louis Park, MN, 55416-5369
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1285410746
Provider Name
Provenance Homes
Credential
Provider Entity Type
Organization
Address
1650 W End Blvd Ste 100, St Louis Park, MN, 55416-5369
Phone Number
612-261-6988
Fax Number
612-465-1402
Provider Enumeration Date
08/31/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1650 W End Blvd Ste 100
City
St Louis Park
State
Minnesota
Zip
55416-5369
Phone Number
612-261-6988
Fax Number
612-465-1402
person
Provider Business Mailing Address Details
Address
1650 W End Blvd Ste 100
City
St Louis Park
State
Minnesota
Zip
55416-5369
Phone Number
612-261-6988
Fax Number
612-465-1402
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
()
Definition
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.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
In Home Supportive Care
Speciality
-
Taxonomy
253Z00000X
License No.
()
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
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