Organization
FIRST NATIONS, LLC
Active
Other names
First Nations Home Health, Circle of Life Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
TIM LIVELY (PRESIDENT)
(651) 633-7300
Entity
Organization
Contact information
Practice address
2586 7TH AVE E, SUITE 302, NORTH ST PAUL, MN 55109-3083
(651) 633-7300
(651) 633-7301
Mailing address
2586 7TH AVE E, SUITE 302, NORTH ST PAUL, MN 55109-3083
(651) 633-7300
(651) 633-7301
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
311Z00000X
Custodial Care Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
378177
—
AZ
05
—
45471746
—
NM
05
—
A430029700
—
MN
Enumeration date
01/18/2017
Last updated
05/12/2023
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