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
7900 W 78TH ST STE 215, EDINA, MN 55439-2593
(952) 926-9808
(952) 358-3197
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
—
00007127501
MHP PROVIDER NUMBER
MN
01
—
02478
MN HEALTH FACILITY IDENTIFIER NUMBER
MN
01
—
111186
UCARE PROVIDER NUMBER
MN
01
—
21613
HEALTHPARTNERS PROVIDER #
MN
01
—
59-00086
MEDICA PROVIDER NUMBER
MN
05
—
703756200
—
MN
01
—
8574RE
BCBS MN PROVIDER NUMBER
MN
Enumeration date
06/30/2005
Last updated
01/28/2025
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