Provider Demographics
NPI:1720609621
Name:HOME JOY HOME CARE, INC.
Entity type:Organization
Organization Name:HOME JOY HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MOUELLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-360-5991
Mailing Address - Street 1:9229 TRINITY GDNS
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55443-1656
Mailing Address - Country:US
Mailing Address - Phone:763-360-5991
Mailing Address - Fax:763-374-5076
Practice Address - Street 1:7632 83RD AVE N
Practice Address - Street 2:
Practice Address - City:BROOKLYN PARK
Practice Address - State:MN
Practice Address - Zip Code:55445-2247
Practice Address - Country:US
Practice Address - Phone:763-360-5991
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-01
Last Update Date:2020-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness