Adam Anderson
Individual provider Active NPI Personal Care Attendant · Glencoe, MN
NPI 1144595075 · NPPES record last updated Mar 10, 2012
Key facts
- NPI
- 1144595075
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 14907 125TH St
Glencoe, MN 55336-4613 - Phone
- (320) 864-6544
- NPI assigned
- Mar 10, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guardian in Home Health & Security, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
14907 125TH St
Glencoe, MN 55336-4613
Mailing address
14907 125TH St
Glencoe, MN 55336-4613
Phone (320) 864-6544
Other providers in Glencoe, MN
- Advanced Orthopaedic Surgery, P.a.
- Jodi Louise Anderson
- Nina Kristine Appleby
- Kelly Ann Arnold
- Sheryl Marie Bartholow
- Logan Becker
All providers in Glencoe, MN · Personal Care Attendant in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.