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Lotus Moon, Llc
In Home Supportive Care Agency in Minnetonka, Minnesota
NPI 1295339166

Lotus Moon, Llc is a In Home Supportive Care Agency based in Minnetonka, MN. Lotus Moon, Llc practices in Minnetonka, MN. The NPI Number for Lotus Moon, Llc is 1295339166 and holds a License No. (Minnesota).

The current practice location address for Lotus Moon, Llc is 14667 Lake Street Ext, Minnetonka, MN and can be reached out via phone at 612-584-0917.

Location: 14667 Lake Street Ext, Minnetonka, MN, 55345-1914
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1295339166
Provider Name
Lotus Moon, Llc
Credential
Provider Entity Type
Organization
Address
14667 Lake Street Ext, Minnetonka, MN, 55345-1914
Phone Number
612-584-0917
Fax Number
Provider Enumeration Date
11/22/2020
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
14667 Lake Street Ext
City
Minnetonka
State
Minnesota
Zip
55345-2926
Phone Number
612-584-0917
Fax Number
person
Provider Business Mailing Address Details
Address
14667 Lake Street Ext
City
Minnetonka
State
Minnesota
Zip
55345-2926
Phone Number
612-584-0917
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Meals
Speciality
-
Taxonomy
174200000X
License No.
()
Definition
A public or privately owned facility providing meals to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Lodging
Speciality
-
Taxonomy
177F00000X
License No.
()
Definition
A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
person
Provider's Taxonomy Details 3
Type
Agencies
Classification
Nursing Care
Speciality
-
Taxonomy
251J00000X
License No.
()
Definition
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.
person
Provider's Taxonomy Details 4
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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