KING DAVID HOME HEALTH CARE SERVICES LLC - NPI 1104026988

Q: What is King David Home Health Care Services LLC's specialty?

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

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About King David Home Health Care Services Llc NPPES

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

KING DAVID HOME HEALTH CARE SERVICES LLC (NPI 1104026988) is a healthcare organization registered as a home health in Cottage Grove, Minnesota and active in the NPI registry since July 2007. The organization lists Bonita L. Adams, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104026988

Entity TypeOrganization

Primary Taxonomy251E00000X

Legal Business NameKING DAVID HOME HEALTH CARE SERVICES LLC

Location Address7758 JANERO COURT SOUTHCottage Grove, MN 55016

Mailing Address7758 Janero Court SouthCottage Grove, MN 55016 · (651) 459-5023 · Fax (651) 769-0788

Phone(651) 459-5023

Fax(651) 769-0788

Organization SubpartNo

Authorized OfficialBonita L. AdamsCeo · (651) 459-5023

Enumeration DateJuly 20, 2007

Last NPPES UpdateJuly 29, 2008

✔ NPI 1104026988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies

Taxonomy Code251E00000X

License✔ Licensed in MN · 323248

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.

7758 JANERO COURT SOUTH, Cottage Grove, MN 55016

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Other Identifiers 1

Medicaid323923000MN · Minnesota Health Care

Other Providers at the Same Location NPPES 2

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

MS. LISA HAUCK

Community Health Worker

7758 JANERO COURT SOUTH
COTTAGE GROVE, MN 55016

Washington County (651) 549-5023

MR. MYRON B GREEN

Community Health Worker

7758 JANERO COURT SOUTH
COTTAGE GROVE, MN 55016

Washington County (651) 459-5023

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 King David Home Health Care Services LLC's NPI number?

The NPI number for King David Home Health Care Services LLC is 1104026988. It was assigned to this organization in the NPPES registry on July 20, 2007.

Where is King David Home Health Care Services LLC located?

King David Home Health Care Services LLC is located at 7758 Janero Court South, Cottage Grove, MN 55016. The listed phone number is (651) 459-5023.

What is King David Home Health Care Services LLC'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 King David Home Health Care Services LLC was last updated on July 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.