Organization

Heartland Personal Home Care Llc

In Home Supportive Care Agency in Minneapolis, MN(View on Map)

Legal Business Name

Heartland Personal Home Care Llc

NPI Number

1699144782

NPI Type

Organization

Enumeration Date

09/18/2015

Specialties

(Taxonomies)

Code

253Z00000X

Primary Taxonomy

Yes

Licenses

State

Minnesota

License Number

PCA48198920150915

Contact
Information

Purpose

Mailing
Location

Address

2219 CHICAGO AVE
2219 CHICAGO AVE

City

Minneapolis
Minneapolis

State

MN
MN

Postal Code

55404-3842
55404-3842

Country

US
US

Telephone Number

(612) 239-9968
(612) 239-9968

Authorized Official

Name

Mr. Jason Rodgers

Title or Position

PRESIDENT

Telephone Number

(612) 239-9968

Identifiers

Identifier

PCA48198920150915

Identifier State

MN

Identifier Issuer

MINNESOTA DEPARTMENT OF HUMAN SERVICES

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/18/2015

Provider Address

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