Provider Demographics
NPI:1306322318
Name:TAYLOR & MENSAH IN-HOME CARE INC
Entity type:Organization
Organization Name:TAYLOR & MENSAH IN-HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN OWNER / ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:EKUA
Authorized Official - Middle Name:G
Authorized Official - Last Name:TAYLOR KREGEL
Authorized Official - Suffix:
Authorized Official - Credentials:RN MA CNM
Authorized Official - Phone:612-201-1290
Mailing Address - Street 1:1315 N. 7TH STREET
Mailing Address - Street 2:
Mailing Address - City:LAKE CITY
Mailing Address - State:MN
Mailing Address - Zip Code:55041
Mailing Address - Country:US
Mailing Address - Phone:651-724-2400
Mailing Address - Fax:651-600-3142
Practice Address - Street 1:1315 N. 7TH STREET
Practice Address - Street 2:
Practice Address - City:LAKE CITY
Practice Address - State:MN
Practice Address - Zip Code:55041
Practice Address - Country:US
Practice Address - Phone:651-724-2400
Practice Address - Fax:651-600-3142
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-12
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN385108251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN392745Medicaid
MN401894Medicaid