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LIFE SENIOR CARE PCPO
NPI 1073796322
Home Health in Zimmerman, MN

Active since December 10, 2007
28347 112TH ST NW, ZIMMERMAN, MN 55398(763) 350-6369 Get Directions Write a Review

NPPES record last updated: December 10, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Life Senior Care Pcpo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFE SENIOR CARE PCPO (NPI 1073796322) is a healthcare organization registered as a home health in Zimmerman, Minnesota and active in the NPI registry since December 2007. The organization lists Margery Ann Vetsch-peterson, Rn Care Manager, as its authorized official.

NPPES Registry Identity

NPI1073796322
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameLIFE SENIOR CARE INC.
Location Address28347 112TH ST NWZimmerman, MN 55398-4307
Mailing Address8503 178th Ln NeForest Lake, MN 55025-8351 · (651) 464-6167
Phone(763) 350-6369
Organization SubpartNo
Authorized OfficialMargery Ann Vetsch-petersonRn Care Manager · (763) 350-6369
Enumeration DateDecember 10, 2007
✔ NPI 1073796322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
28347 112TH ST NW, Zimmerman, MN 55398
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Other Names 1

Other NameLife Senior Care Pcpo

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OPEN HARBORS INC.
Respite Care
28347 112TH ST NW
ZIMMERMAN, MN 55398
Sherburne County (763) 389-5412

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Life Senior Care Inc.'s NPI number?

The NPI number for Life Senior Care Inc. is 1073796322. It was assigned to this organization in the NPPES registry on December 10, 2007. The provider is also known as Life Senior Care Pcpo.

Where is Life Senior Care Inc. located?

Life Senior Care Inc. is located at 28347 112th St NW, Zimmerman, MN 55398. The listed phone number is (763) 350-6369.

What is Life Senior Care Inc.'s specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Life Senior Care Inc. was last updated on December 10, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.