Provider Demographics
NPI:1194145367
Name:TRUST HOME HEALTH CARE, INC.
Entity type:Organization
Organization Name:TRUST HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DOOL
Authorized Official - Middle Name:MAHAT
Authorized Official - Last Name:SALAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-757-5008
Mailing Address - Street 1:1411 W SAINT GERMAIN ST STE 4
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56301-4179
Mailing Address - Country:US
Mailing Address - Phone:320-980-3740
Mailing Address - Fax:320-281-5781
Practice Address - Street 1:1411 W SAINT GERMAIN ST STE 4
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56301-4179
Practice Address - Country:US
Practice Address - Phone:320-980-3740
Practice Address - Fax:320-281-5781
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-25
Last Update Date:2023-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNA998103100251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1194145367Medicaid
MNA998103100OtherUNIQUE MINNESOTA PROVIDER IDENTIFIER