Organization
BS HOMECARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATT BRUNNETTE (PRESIDENT)
(763) 689-8984
Entity
Organization
Contact information
Practice address
20 LAKE ST N STE 308, FOREST LAKE, MN 55025-2512
(763) 689-8984
(763) 689-1170
Mailing address
20 LAKE ST N STE 308, FOREST LAKE, MN 55025-2512
(763) 689-8984
(763) 689-1170
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
04/23/2020
Last updated
10/13/2023
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