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Supreme Home Care Provider, Llc
Home Health Agency in Golden Valley, Minnesota
NPI 1427328780

Supreme Home Care Provider, Llc is a Home Health Agency based in Golden Valley, MN. Supreme Home Care Provider, Llc practices in Golden Valley, MN. The NPI Number for Supreme Home Care Provider, Llc is 1427328780 and holds a License No. (Minnesota).

The current practice location address for Supreme Home Care Provider, Llc is 1710 Douglas Dr N Ste 277, Golden Valley, MN and can be reached out via phone at 763-710-9907 and via fax at 763-710-9976.

Location: 1710 Douglas Dr N Ste 277, Golden Valley, MN, 55422-4344
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1427328780
Provider Name
Supreme Home Care Provider, Llc
Credential
Provider Entity Type
Organization
Address
1710 Douglas Dr N Ste 277, Golden Valley, MN, 55422-4344
Phone Number
763-710-9907
Fax Number
763-710-9976
Provider Enumeration Date
01/04/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1710 Douglas Dr N Ste 277
City
Golden Valley
State
Minnesota
Zip
55422-4344
Phone Number
763-710-9907
Fax Number
763-710-9976
person
Provider Business Mailing Address Details
Address
1710 Douglas Dr N Ste 277
City
Golden Valley
State
Minnesota
Zip
55422-4344
Phone Number
763-710-9907
Fax Number
763-710-9976
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
(Minnesota)
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.
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