Provider Demographics
NPI:1992238190
Name:CERTIFIED CARE PLANNER LLC
Entity type:Organization
Organization Name:CERTIFIED CARE PLANNER LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RIWA
Authorized Official - Middle Name:OBEL
Authorized Official - Last Name:NSANGALUFU
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:612-478-2778
Mailing Address - Street 1:1515 E 66TH STREET SUITE 105
Mailing Address - Street 2:
Mailing Address - City:RICHFIELD
Mailing Address - State:MN
Mailing Address - Zip Code:55423
Mailing Address - Country:US
Mailing Address - Phone:612-478-2778
Mailing Address - Fax:651-309-1964
Practice Address - Street 1:1515 E 66TH STREET SUITE 105
Practice Address - Street 2:
Practice Address - City:RICHFIELD
Practice Address - State:MN
Practice Address - Zip Code:55423
Practice Address - Country:US
Practice Address - Phone:612-478-2778
Practice Address - Fax:651-309-1964
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CERTIFIED CARE PLANNER LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-04-05
Last Update Date:2019-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health