Organization
BRISTOL PLACE HOME HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELDON SCHNEIDER (PRESIDENT)
(612) 871-0805
Entity
Organization
Contact information
Practice address
412 RIDGEWOOD AVE S, MINNEAPOLIS, MN 55403-3585
(612) 871-0805
(612) 813-0158
Mailing address
412 RIDGEWOOD AVE S, MINNEAPOLIS, MN 55403-3585
(612) 871-0805
(612) 813-0158
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
330943
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111835
UCARE
MN
01
—
4111BR
BLUE CROSS BLUE SHIELD
MN
01
—
4880060
MEDICA
MN
01
—
92618
HEALTH PARTNERS
MN
Enumeration date
10/02/2006
Last updated
08/22/2020
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