Organization
FAIRVIEW HOME CARE AND HOSPICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA HALVORSON (PRESIDENT)
(612) 728-2340
Entity
Organization
Contact information
Practice address
2450 26TH AVE S, MINNEAPOLIS, MN 55406-1245
(612) 728-2350
(612) 728-2400
Mailing address
2450 26TH AVE S, MINNEAPOLIS, MN 55406-1245
(612) 728-2350
(612) 728-2400
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
328944
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102058
UCARE
MN
01
—
112648
KVI CHOICE PLUS
MN
05
—
473555200
—
MN
01
—
5900124
HOMECARE WITH MEDICA
MN
01
—
650
PREFERRED ONE
MN
01
—
680
HEALTHPARTNERS
MN
01
—
8284HO
HOMECARE WITH BLUE CROSS
MN
01
—
HHC1201
ARAZ (AMERICA'S PPO)
MN
Enumeration date
01/11/2006
Last updated
09/26/2018
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