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Diversified Home Care Inc
Home Health Agency in Minneapolis, Minnesota
NPI 1811168875

Diversified Home Care Inc is a Home Health Agency based in Minneapolis, MN. Diversified Home Care Inc practices in Minneapolis, MN. The NPI Number for Diversified Home Care Inc is 1811168875 and holds a License No. 0622443000 (Minnesota).

The current practice location address for Diversified Home Care Inc is 1304 E Lake St Ste 204, Minneapolis, MN and can be reached out via phone at 612-721-1115 and via fax at 612-721-1131.

Location: 1304 E Lake St Ste 204, Minneapolis, MN, 55407-1777
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1811168875
Provider Name
Diversified Home Care Inc
Credential
Provider Entity Type
Organization
Address
1304 E Lake St Ste 204, Minneapolis, MN, 55407-1777
Phone Number
612-721-1115
Fax Number
612-721-1131
Provider Enumeration Date
03/18/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0622443000 01 MN MHCP PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
1304 E Lake St Ste 204
City
Minneapolis
State
Minnesota
Zip
55407-1777
Phone Number
612-721-1115
Fax Number
612-721-1131
person
Provider Business Mailing Address Details
Address
1304 E Lake St Ste 204
City
Minneapolis
State
Minnesota
Zip
55407-1777
Phone Number
612-721-1115
Fax Number
612-721-1131
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
0622443000 (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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