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Mr. Timothy Anton Kelly
Home Health Agency in Brooklyn Park, Minnesota
NPI 1942525928

Timothy Anton Kelly is a Home Health Agency based in Brooklyn Park, MN. Timothy Anton Kelly practices in Brooklyn Park, MN. The NPI Number for Timothy Anton Kelly is 1942525928 and holds a License No. (Minnesota).

The current practice location address for Timothy Anton Kelly is 7954 Brooklyn Boulavard, Brooklyn Park, MN and can be reached out via phone at 952-210-2131.

Location: 7954 Brooklyn Boulavard, Brooklyn Park, MN, 55445
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942525928
Provider Name
Timothy Anton Kelly
Credential
Provider Entity Type
Individual
Gender
Male
Address
7954 Brooklyn Boulavard, Brooklyn Park, MN, 55445
Phone Number
952-210-2131
Fax Number
Provider Enumeration Date
04/01/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
27-2211896 01 MN HOMECARE
621610 01 MN HOMECARE
institution
Provider Business Practice Location Address Details
Address
7954 Brooklyn Boulavard
City
Brooklyn Park
State
Minnesota
Zip
55445
Phone Number
952-210-2131
Fax Number
person
Provider Business Mailing Address Details
Address
7954 Brooklyn Boulavard
City
Brooklyn Park
State
Minnesota
Zip
55445
Phone Number
952-210-2131
Fax Number
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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