National Provider Identifier Database

PENNINGTON RED LAKE COUNTY PUBLIC HEALTH HOME CARE
Home Health

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.


Contact Information

PENNINGTON & RED LAKE COUNTY PUBLIC HEALTH & HOME CARE
101 MAIN AVE N
THIEF RIVER FALLS, MN56701-1901
Phone: 218-681-0876
Fax: 218-683-7099
Website:
Specialty Taxonomy Code
* Home Health 251E00000X
Public Health or Welfare 251K00000X
Public Health, State or Local 261QP0905X

* Indicates primary specialty

NPI Profile & details for PENNINGTON & RED LAKE COUNTY PUBLIC HEALTH & HOME CARE

NPI Number 1942203864
Legal business name
LBN
PENNINGTON & RED LAKE COUNTY PUBLIC HEALTH & HOME CARE
Authorized official KAYLA JORE - (DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 05/24/2005
Last updated 12/30/2025 - About 5 months ago
Sole proprietor1 Not specified
Identifiers
  • MN License #: 326512
  • MN Medicaid: 458554200
  • MN Other: 8227IN BCBS OF MN/BLUE PLUS
  • MN Other: 8G493IN BCBS OF MN/BLUE PLUS
  • MN Other: 1045280 PREFERRED ONE
  • MN Other: 167895 UCARE WITH ALTRU
  • MN Other: 167897 UCARE WITH ALTRU

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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