Organization · NPI-2

Select Home Care, LLC

In Home Supportive Care · Brooklyn Park, MN

NPI number1972073096

StatusActive

Last updated in NPPESFeb 15, 2019

Details

NPI: 1972073096
Entity type: Organization (NPI-2)
Legal business name: Select Home Care, LLC
Organization subpart: No
Enumeration date: Dec 1, 2018
Last updated: Feb 15, 2019

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
253Z00000X	In Home Supportive Care	–	–	Yes
163WH0200X	Registered Nurse, Home Health	–	–
251E00000X	Home Health	–	–
251J00000X	Nursing Care	–	–
261QA0600X	Clinic/Center, Adult Day Care	–	–
310400000X	Assisted Living Facility	–	–
314000000X	Skilled Nursing Facility	–	–

Practice location

7714 Brooklyn Blvd Ste 200-D
Brooklyn Park, MN 55443-2936

Phone 763-777-8293 · Fax 763-777-8296

Mailing address

7714 Brooklyn Blvd Ste 200-D
Brooklyn Park, MN 55443-2936

Phone 763-777-8293 · Fax 763-777-8296

Other practice locations

1425 109th Ln Nw
Coon Rapids, MN 55433-4214

Phone 763-777-8293

Authorized official

Lashay Mckenzie
Manager
6122378034

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