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Contact Information

PRIDE N LIVING HOME CARE INC .
7691 CENTRAL AVE NE
SUITE 102
FRIDLEY, MN55432-3560
 Phone: 763-572-2390
 Fax: 763-574-2459
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
 

Home Health

251E00000X A4[11] Home Health Agency
Indicates primary specialty

NPI Profile & details for PRIDE N LIVING HOME CARE INC .

NPI Number 1144370610
LBN Legal business name PRIDE N LIVING HOME CARE INC .
Authorized official KAREN WAINDIM - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 01/10/2007
Last updated 05/22/2025 - More than a year ago
Identifiers
MN License # R 138395-9
MN Medicaid A313669800
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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