Kim Home Care

Organization Active NPI Contractor · Saint Paul, MN

NPI 1073665477 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1073665477
Entity type
Organization (NPI type 2)
Primary specialty
Contractor 171W00000X
License
8686639 (MN)
Legal business name
KIM HOME CARE
Practice address
693 Jackson St
Saint Paul, MN 55101-4306
Phone
(651) 497-8445
NPI assigned
Jan 17, 2007
Organization subpart
No

Authorized official

Name
Hoang-Kim Nguyen
Title
Director
Phone
(651) 497-8445

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor
Group: 193400000X SINGLE SPECIALTY GROUP
171W00000X 8686639 MN Yes

Addresses

Primary practice location

693 Jackson St
Saint Paul, MN 55101-4306

Mailing address

693 Jackson St
Saint Paul, MN 55101-4306

Other providers in Saint Paul, MN

All providers in Saint Paul, MN · Contractor in Minnesota

Sources for this page

Verify at the official NPI Registry.