Organization
CARING PROFESSIONALS HOMECARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD ALLEN WACKERFUSS (ADMINISTRATOR)
(651) 789-2299
Entity
Organization
Contact information
Practice address
1543 COMO AVE STE 101, SAINT PAUL, MN 55108
(651) 789-2299
(651) 306-1359
Mailing address
1543 COMO AVE STE 101, SAINT PAUL, MN 55108-2544
(651) 789-2299
(651) 306-1359
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014N0CA
BLUE PLUS
MN
01
—
185876
UCARE
MN
05
—
A609402000
—
MN
Enumeration date
07/28/2008
Last updated
06/11/2018
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