North Country Home Care II, Inc
Organization Active NPI Home Health Agency · Zimmerman, MN
NPI 1174723746 · NPPES record last updated Jan 10, 2023
Key facts
- NPI
- 1174723746
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 203178700 (MN)
- Legal business name
- NORTH COUNTRY HOME CARE II, INC
- Practice address
- 12567 5TH Ave N # 100
Zimmerman, MN 55398-8451 - Phone
- (763) 856-9955
- Fax
- (763) 856-9956
- NPI assigned
- Jul 23, 2007
- Organization subpart
- No
Authorized official
- Name
- Jenna Totten
- Title
- President
- Phone
- (763) 856-9955
Practitioners 6
-
Valerie Ann Anderson, R.N.
-
Brenda Kay Marketon, R.N.
-
Molly Ann McLain, RN
-
Shannon Leslie Snyder, R.N.
National Provider Directory
Locations
12567 5th Ave N
Ste 100
Zimmerman, MN 55398
Phone (763) 856-9955
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 203178700 | MN | Yes |
Addresses
Primary practice location
12567 5TH Ave N # 100
Zimmerman, MN 55398-8451
Mailing address
12567 5TH Ave N # 100
Zimmerman, MN 55398-8451
Phone (763) 856-9955
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A203178700 | Medicaid | MN | |
| A652486900 | Medicaid | MN |
Other providers in Zimmerman, MN
- Michael McNulty
- Taavan Li Mielke
- Jennifer Andresen Narr
- Gregory Rueben Nelson
- Jan Marie Nicodemus
- Northern Engineering & Manufacturing Inc
- Northwoods Home Care LLC
- Alicia Marie Olson
- Matt Onstad
- Open Harbors Inc.
All providers in Zimmerman, MN · Home Health Agency in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2023. 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.