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St. Jude Home Health, Llc
Home Health Agency in Champlin, Minnesota
NPI 1639783178

St. Jude Home Health, Llc is a Home Health Agency based in Minneapolis, MN. St. Jude Home Health, Llc practices in Champlin, MN. The NPI Number for St. Jude Home Health, Llc is 1639783178 and holds a License No. (Minnesota).

The current practice location address for St. Jude Home Health, Llc is 6426 109Th Pl N, Champlin, MN and can be reached out via phone at 612-245-5167.

Location: 6426 109Th Pl N, Champlin, MN, 55430-2181
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639783178
Provider Name
St. Jude Home Health, Llc
Credential
Provider Entity Type
Organization
Address
6426 109Th Pl N, Champlin, MN, 55430-2181
Phone Number
612-245-5167
Fax Number
Provider Enumeration Date
09/02/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5998041 01 MN STATE TAX ID
institution
Provider Business Practice Location Address Details
Address
6426 109Th Pl N
City
Champlin
State
Minnesota
Zip
55316-3497
Phone Number
612-245-5167
Fax Number
person
Provider Business Mailing Address Details
Address
6426 109Th Pl N
City
Champlin
State
Minnesota
Zip
55316-3497
Phone Number
612-245-5167
Fax Number
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.
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