Organization
BASIC HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRINA YAVELA (CEO/PRESIDENT)
(612) 803-2021
Entity
Organization
Contact information
Practice address
1001 TWELVE OAKS CENTER DRIVE, SUITE 1018, WAYZATA, MN 55391
(512) 803-2021
(651) 925-0423
Mailing address
1001 TWELVE OAKS CENTER DRIVE, SUITE 1018, WAYZATA, MN 55391
(512) 803-2021
(651) 925-0423
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
11/16/2021
Last updated
11/16/2021
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