Provider Demographics
NPI:1104341643
Name:CAPABLE HANDS CARE
Entity type:Organization
Organization Name:CAPABLE HANDS CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NAMBOOZE
Authorized Official - Middle Name:IDA
Authorized Official - Last Name:MUYINZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-323-6716
Mailing Address - Street 1:15513 SODIUM ST NW
Mailing Address - Street 2:
Mailing Address - City:RAMSEY
Mailing Address - State:MN
Mailing Address - Zip Code:55303-5506
Mailing Address - Country:US
Mailing Address - Phone:763-323-6716
Mailing Address - Fax:
Practice Address - Street 1:15513 SODIUM ST NW
Practice Address - Street 2:
Practice Address - City:RAMSEY
Practice Address - State:MN
Practice Address - Zip Code:55303-5506
Practice Address - Country:US
Practice Address - Phone:763-323-6716
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care