Provider Demographics
NPI:1093530826
Name:MINNETA CARE LTD
Entity type:Organization
Organization Name:MINNETA CARE LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:W
Authorized Official - Last Name:BLIDI
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:215-578-0853
Mailing Address - Street 1:11149 IDAHO CT N
Mailing Address - Street 2:
Mailing Address - City:CHAMPLIN
Mailing Address - State:MN
Mailing Address - Zip Code:55316-3324
Mailing Address - Country:US
Mailing Address - Phone:215-578-0853
Mailing Address - Fax:
Practice Address - Street 1:11149 IDAHO CT N
Practice Address - Street 2:
Practice Address - City:CHAMPLIN
Practice Address - State:MN
Practice Address - Zip Code:55316-3324
Practice Address - Country:US
Practice Address - Phone:215-578-0853
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-18
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty
No251J00000XAgenciesNursing CareGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health