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Contact Information

ACTIVCARE SUPPORT SERVICES LLC
7047 GOODVIEW AVE S
COTTAGE GROVE, MN55016-2696
 Phone: 651-983-3703
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

In Home Supportive Care

253Z00000X
Indicates primary specialty

NPI Profile & details for ACTIVCARE SUPPORT SERVICES LLC

NPI Number 1366047813
LBN Legal business name ACTIVCARE SUPPORT SERVICES LLC
Authorized official THANDIWE DEWA - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/02/2020
Last updated 12/07/2020 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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