Organization
HEALTHNORTH HOME CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAY ADAM JOHNSON (CEO)
(320) 260-5280
Entity
Organization
Contact information
Practice address
1320 32ND AVE N, SUITE 170, SAINT CLOUD, MN 56303-1612
(320) 260-5280
(320) 281-5317
Mailing address
1320 32ND AVE N, SUITE 170, SAINT CLOUD, MN 56303-1612
(320) 260-5280
(320) 281-5317
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HFID-32042
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HFID-32042
MN DEPARTMENT OF HEALTH-CLASS A NURSING LICENSE
MN
Enumeration date
11/01/2010
Last updated
01/22/2016
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