Provider Demographics
NPI:1386258499
Name:MORNINGSTAR HOMES S.C.
Entity type:Organization
Organization Name:MORNINGSTAR HOMES S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSING DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:YIHUA
Authorized Official - Middle Name:HUANG
Authorized Official - Last Name:KEHRER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:253-223-4080
Mailing Address - Street 1:5532 W 104TH ST
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55437-2735
Mailing Address - Country:US
Mailing Address - Phone:253-223-4080
Mailing Address - Fax:
Practice Address - Street 1:5532 W 104TH ST
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55437-2735
Practice Address - Country:US
Practice Address - Phone:253-223-4080
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-04
Last Update Date:2020-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty