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Organization

RECOVER HEALTH OF MINNESOTA, INC.

Active
Other names
Aveanna Home Health
Organization subpart
No

Provider details

NPI number
Authorized official
MATTHEW BUCKHALTER (CFO)
(470) 464-8000
Entity
Organization

Contact information

Practice address
60 10TH AVE S STE 60, WAITE PARK, MN 56387-1055
(320) 774-0777
(320) 774-0779
Mailing address
400 INTERSTATE NORTH PKWY SE STE 1600, ATLANTA, GA 30339-5047
(470) 464-8000

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00007127502
PRIMEWEST PROVIDER NUMBER
MN
01
02312
MN HEALTH FACILITY IDENTIFIER NUMBER
MN
01
1027525
PREFERRED ONE PROVIDER #
MN
01
111186
UCARE PROVIDER NUMBER
MN
01
21613
HEALTHPARTNERS PROVIDER #
MN
05
528816900
MN
01
59-00085
MEDICA PROVIDER NUMBER
MN
01
7Z40RE
BCBS MN PROVIDER #
MN
Enumeration date
06/30/2005
Last updated
04/01/2025
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