Provider Demographics
NPI:1588921100
Name:PERFECT CARE ASSIOCIATES
Entity type:Organization
Organization Name:PERFECT CARE ASSIOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JIMMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BOWNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-222-0728
Mailing Address - Street 1:9080 EXCELSIOR BLVD
Mailing Address - Street 2:
Mailing Address - City:HOPKINS
Mailing Address - State:MN
Mailing Address - Zip Code:55343-3413
Mailing Address - Country:US
Mailing Address - Phone:612-222-0728
Mailing Address - Fax:
Practice Address - Street 1:9080 EXCELSIOR BLVD
Practice Address - Street 2:
Practice Address - City:HOPKINS
Practice Address - State:MN
Practice Address - Zip Code:55343-3413
Practice Address - Country:US
Practice Address - Phone:612-222-0728
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-19
Last Update Date:2012-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN261QH0100X, 251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service