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Contact Information

IN HOME HEALTH, LLC
3580 LINDEN AVE STE A-1
WHITE BEAR LAKE, MN55110-4625
 Phone: 651-633-6522
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice and Palliative Medicine

207RH0002X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for IN HOME HEALTH LLC · (Female)

NPI # 1558072017
Status Active
Credentials
Entity Individual
Enumeration date 12/06/2022
Last updated 12/06/2022 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers
  • MN Medicaid 091318900
  • WI Medicaid 1134173446
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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