Organization · NPI-2
Acute Home Health Care Of Mn
Custodial Care Facility, Adult Care Home · Eden Prairie, MN
NPI number1689797102
StatusActive
Last updated in NPPESNov 11, 2018
Details
- NPI
- 1689797102
- Entity type
- Organization (NPI-2)
- Legal business name
- Acute Home Health Care Of Mn
- Organization subpart
- No
- Enumeration date
- Apr 9, 2007
- Last updated
- Nov 11, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 311ZA0620X | Custodial Care Facility, Adult Care Home | 1039688-2-AFC | MN | Yes |
| 251E00000X | Home Health | – | – | |
| 311ZA0620X | Custodial Care Facility, Adult Care Home | 1039690-2-AFC | MN | |
| 311ZA0620X | Custodial Care Facility, Adult Care Home | 34050 | MN |
Other names
- Tranquil Living (Doing Business As)
Practice location
6385 Old Shady Oak Rd Ste 250Eden Prairie, MN 55344-7705
Phone 952-361-0080
Mailing address
6385 Old Shady Oak RdSte 250
Eden Prairie, MN 55344-3299
Phone 952-361-0080 · Fax 952-448-1996
Other practice locations
1415 Ravoux Ln
Chaska, MN 55318-2526
Chaska, MN 55318-2526
Phone 952-361-0080 · Fax 952-448-1996
2521 Wilshire Blvd
Mound, MN 55364-1916
Mound, MN 55364-1916
Phone 952-361-0080
Authorized official
Kimloan Sloss
Director Of Nursing
9523610080
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