Organization
NORTHWEST HOME HEALTH CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYLVESTER KOKU AMELETSE (ADMINISTRATOR)
(651) 493-3834
Entity
Organization
Contact information
Practice address
1821 UNIVERSITY AVE W STE S348, SAINT PAUL, MN 55104-2876
(651) 493-3834
(651) 493-3835
Mailing address
1487 GOODWIN AVE. N., OAKDALE, MN 55128-5701
(651) 493-3834
(651) 493-3835
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
376J00000X
Homemaker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
343G2NO
BLUECROSS/BLUESHIELD OF MN
MN
Enumeration date
08/31/2016
Last updated
12/05/2025
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