Provider Demographics
NPI:1104464668
Name:A TO Z CARE LLC
Entity type:Organization
Organization Name:A TO Z CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:ROLF
Authorized Official - Last Name:LARSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-808-6919
Mailing Address - Street 1:2999 COUNTY ROAD 42 W STE 200
Mailing Address - Street 2:
Mailing Address - City:BURNSVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55306-6995
Mailing Address - Country:US
Mailing Address - Phone:925-808-6961
Mailing Address - Fax:952-808-6813
Practice Address - Street 1:2999 COUNTY ROAD 42 W STE 200
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55306-6995
Practice Address - Country:US
Practice Address - Phone:925-808-6961
Practice Address - Fax:952-808-6813
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-16
Last Update Date:2019-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care