National Provider Identifier Database

IN HOME HEALTH LLC
Hospice Care, Community Based


Contact Information

IN HOME HEALTH LLC
3580 LINDEN AVE STE A-1
WHITE BEAR LAKE, MN55110-4625
Phone: 651-633-6522
Fax: 651-633-5733
Website:
Specialty Taxonomy Code
* Hospice Care, Community Based 251G00000X
Hospice and Palliative Medicine 207RH0002X

* Indicates primary specialty

NPI Profile & details for IN HOME HEALTH LLC

NPI Number 1134173446
Legal business name
LBN
IN HOME HEALTH LLC
Authorized official MARTIN ALLEN - (DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 05/20/2006
Last updated 04/15/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • MN License #: 333520
  • MN Medicaid: 091318900
  • WI Medicaid: 1134173446

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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