Provider Demographics
NPI:1902615321
Name:CENTERPOINT CARE INC
Entity type:Organization
Organization Name:CENTERPOINT CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:LIBAN
Authorized Official - Middle Name:S
Authorized Official - Last Name:MOHAMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-426-5892
Mailing Address - Street 1:4520 124TH CT NE
Mailing Address - Street 2:
Mailing Address - City:BLAINE
Mailing Address - State:MN
Mailing Address - Zip Code:55449-2603
Mailing Address - Country:US
Mailing Address - Phone:702-426-5892
Mailing Address - Fax:
Practice Address - Street 1:393 DUNLAP ST N STE 870
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55104-4204
Practice Address - Country:US
Practice Address - Phone:612-500-4451
Practice Address - Fax:612-349-2231
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-31
Last Update Date:2024-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health