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Great Lakes Home Care Inc.
In Home Supportive Care Agency in Crystal, Minnesota
NPI 1316217219

Great Lakes Home Care Inc. is a In Home Supportive Care Agency based in Crystal, MN. Great Lakes Home Care Inc. practices in Crystal, MN. The NPI Number for Great Lakes Home Care Inc. is 1316217219 and holds a License No. 353271 (Minnesota).

The current practice location address for Great Lakes Home Care Inc. is 6000 Bass Lake Rd Ste 104, Crystal, MN and can be reached out via phone at 763-537-6651 and via fax at 763-535-4288.

Location: 6000 Bass Lake Rd Ste 104, Crystal, MN, 55429-2753
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1316217219
Provider Name
Great Lakes Home Care Inc.
Credential
Provider Entity Type
Organization
Address
6000 Bass Lake Rd Ste 104, Crystal, MN, 55429-2753
Phone Number
763-537-6651
Fax Number
763-535-4288
Provider Enumeration Date
01/09/2012
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A838495100 01 MN PCPO
A697120000 05 MN
353271 01 MN CLASS A
institution
Provider Business Practice Location Address Details
Address
6000 Bass Lake Rd Ste 104
City
Crystal
State
Minnesota
Zip
55429-2753
Phone Number
763-537-6651
Fax Number
763-535-4288
person
Provider Business Mailing Address Details
Address
6000 Bass Lake Rd Ste 104
City
Crystal
State
Minnesota
Zip
55429-2753
Phone Number
763-537-6651
Fax Number
763-535-4288
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Nursing Care
Speciality
-
Taxonomy
251J00000X
License No.
353271 (Minnesota)
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 2
Type
Agencies
Classification
In Home Supportive Care
Speciality
-
Taxonomy
253Z00000X
License No.
353271 (Minnesota)
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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