Deer River Healthcare Center Inc
Organization Active NPI Home Health Agency · Deer River, MN
NPI 1255445581 · NPPES record last updated Oct 2, 2025
Key facts
- NPI
- 1255445581
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 333483 (MN)
- Legal business name
- DEER RIVER HEALTHCARE CENTER INC
- Practice address
- 115 10TH Ave NE
Deer River, MN 56636-8795 - Phone
- (218) 246-3012
- Fax
- (218) 246-3054
- NPI assigned
- Aug 17, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- ST. MARY'S DULUTH CLINIC HEALTH SYSTEM
Authorized official
- Name
- Kevin Boren
- Title
- Cfo
- Phone
- (218) 786-1009
Member of 1
Medicare Care Compare: Home health agency
- Listed as
- Essentia Health Deer River Home Care
- Ownership
- Non-Profit
- Certified
- Apr 29, 1986
- Medicare certification status
- Active
- Services
- Nursing
National Provider Directory
- Part of
- St Marys Duluth Clinic Health System
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 333483 | MN | Yes |
Addresses
Primary practice location
115 10TH Ave NE
Deer River, MN 56636-8795
Mailing address
115 10TH Ave NE
Deer River, MN 56636-8795
Phone (218) 246-3012
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 983055300 | Medicaid | MN | |
| 59-00020 | Other | MN | MEDICA |
| 1604ACO | Other | MN | BLUE CROSS |
Other names
- Deer River Home Care
- Essentia Health Deer River Home Care
Other providers in Deer River, MN
- Susan Catherine Carol
- Jeffrey Lee Carter
- Carol Marie Church
- Kristina Lee Conner
- Deer River Dental Clinic
- Deer River Healthcare Center Inc
- Deer River Healthcare Center Inc
- Deer River Healthcare Center Inc
- Deer River Healthcare Center Inc.
- Deer River Healthcare Center, Inc
All providers in Deer River, 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 Oct 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.