National Provider Identifier Database

CHANGE PLACE LLC
Lodging

A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.


Contact Information

CHANGE PLACE LLC
9020 SHANNON LN
HAMEL, MN55340-9695
Phone: 612-281-3055
Fax:
Website:
Specialty Taxonomy Code
* Lodging 177F00000X

* Indicates primary specialty

NPI Profile & details for CHANGE PLACE LLC

NPI Number 1568165942
Legal business name
LBN
CHANGE PLACE LLC
Authorized official JEREMY HOVER - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 03/23/2023
Last updated 02/02/2024 - About 2 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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