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Latasha Kilgore
Assisted Living Facility in Minneapolis, Minnesota
NPI 1720842677

Latasha Kilgore is an Assisted Living Facility based in Minneapolis, MN. Latasha Kilgore practices in Minneapolis, MN. The NPI Number for Latasha Kilgore is 1720842677 and holds a License No. (Minnesota).

The current practice location address for Latasha Kilgore is 1313 Logan Ave N, Minneapolis, MN and can be reached out via phone at 612-999-0908. You can also correspond with Latasha Kilgore through the mailing address at 1313 LOGAN AVE N, MINNEAPOLIS, MN - 55411-3169 (mailing address contact number: 612-999-0908).

Location: 1313 Logan Ave N, Minneapolis, MN, 55411-3169
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720842677
Provider Name
Latasha Kilgore
Credential
Provider Entity Type
Individual
Gender
Female
Address
1313 Logan Ave N, Minneapolis, MN, 55411-3169
Phone Number
612-999-0908
Fax Number
Provider Enumeration Date
02/12/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1313 Logan Ave N
City
Minneapolis
State
Minnesota
Zip
55411-3169
Phone Number
612-999-0908
Fax Number
person
Provider Business Mailing Address Details
Address
1313 Logan Ave N
City
Minneapolis
State
Minnesota
Zip
55411-3169
Phone Number
612-999-0908
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.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
()
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
person
Provider's Taxonomy Details 3
Type
Nursing Service Related Providers
Classification
Nursing Home Administrator
Speciality
-
Taxonomy
376G00000X
License No.
()
Definition
An individual, often licensed by the state, who is responsible for the management of a nursing home.
person
Provider's Taxonomy Details 4
Type
Respite Care Facility
Classification
Respite Care
Speciality
-
Taxonomy
385H00000X
License No.
()
Definition
Definition to come.
person
Provider's Taxonomy Details 5
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Intellectual and/or Developmental Disabilities, Child
Taxonomy
385HR2060X
License No.
()
Definition
A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
person
Provider's Taxonomy Details 6
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Physical Disabilities, Child
Taxonomy
385HR2065X
License No.
()
Definition
A facility or distinct part of a facility that providers short term, residential care to children, diagnosed with complex or profound disabilities as respite for the regular caregivers.
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