Provider Demographics
NPI:1063537363
Name:TWIN CITIES HOME HEALTH SERVICES, LLC
Entity type:Organization
Organization Name:TWIN CITIES HOME HEALTH SERVICES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:POLICY & REGULATORY COMPLIANCE
Authorized Official - Prefix:MR
Authorized Official - First Name:NKAJLO
Authorized Official - Middle Name:V
Authorized Official - Last Name:VANGH
Authorized Official - Suffix:
Authorized Official - Credentials:MBA, JD
Authorized Official - Phone:651-335-5381
Mailing Address - Street 1:13193 CROLLY CT
Mailing Address - Street 2:
Mailing Address - City:ROSEMOUNT
Mailing Address - State:MN
Mailing Address - Zip Code:55068-4397
Mailing Address - Country:US
Mailing Address - Phone:651-292-1284
Mailing Address - Fax:651-292-1310
Practice Address - Street 1:13193 CROLLY CT
Practice Address - Street 2:
Practice Address - City:ROSEMOUNT
Practice Address - State:MN
Practice Address - Zip Code:55068-4397
Practice Address - Country:US
Practice Address - Phone:651-292-1284
Practice Address - Fax:651-292-1310
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN7533011251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN335228OtherCLASS A PROF. HOME CARE A