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.
Location: 1313 Logan Ave N, Minneapolis, MN, 55411-3169
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
Provider Business Practice Location Address Details
Address
1313 Logan Ave N
City
State
Zip
55411-3169
Phone Number
612-999-0908
Fax Number
Provider Business Mailing Address Details
Address
1313 Logan Ave N
City
State
Zip
55411-3169
Phone Number
612-999-0908
Fax Number
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
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.
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
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.
Provider's Taxonomy Details 3
Type
Nursing Service Related Providers
Classification
Nursing Home Administrator
Speciality
-
Taxonomy
License No.
()
Definition
An individual, often licensed by the state, who is responsible for the management of a nursing home.
Provider's Taxonomy Details 4
Type
Respite Care Facility
Classification
Respite Care
Speciality
-
Taxonomy
License No.
()
Definition
Definition to come.
Provider's Taxonomy Details 5
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Intellectual and/or Developmental Disabilities, Child
Taxonomy
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.
Provider's Taxonomy Details 6
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Physical Disabilities, Child
Taxonomy
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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