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GREAT LAKES HOME CARE INC.
NPI 1316217219
Nursing Care in Crystal, MN

Active since January 09, 2012
6000 BASS LAKE RD STE 104, CRYSTAL, MN 55429(763) 537-6651(763) 535-4288 Get Directions Write a Review

NPPES record last updated: January 9, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Great Lakes Home Care Inc. NPPES

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

GREAT LAKES HOME CARE INC. (NPI 1316217219) is a healthcare organization registered as a nursing care in Crystal, Minnesota and active in the NPI registry since January 2012. The organization lists Mary-kim Egere, Administrator, as its authorized official.

NPPES Registry Identity

NPI1316217219
Entity TypeOrganization
Primary Taxonomy251J00000X
Legal Business NameGREAT LAKES HOME CARE INC.
Location Address6000 BASS LAKE RD STE 104Crystal, MN 55429-2753
Mailing Address6000 Bass Lake Rd Ste 104Crystal, MN 55429-2753 · (763) 537-6651 · Fax (763) 535-4288
Phone(763) 537-6651
Fax(763) 535-4288
Organization SubpartNo
Authorized OfficialMary-kim EgereAdministrator · (763) 537-6651
Enumeration DateJanuary 9, 2012
✔ NPI 1316217219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNursing CareAgencies
Taxonomy Code251J00000X
License✔ Licensed in MN · 353271
Definition
A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
Also ListedIn Home Supportive CareTaxonomy 253Z00000X · License 353271 (MN)
6000 BASS LAKE RD STE 104, Crystal, MN 55429
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Other Identifiers 3

OtherA838495100MN · Pcpo
Other353271MN · Class A
MedicaidA697120000MN

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 Great Lakes Home Care Inc.'s NPI number?

The NPI number for Great Lakes Home Care Inc. is 1316217219. It was assigned to this organization in the NPPES registry on January 9, 2012.

Where is Great Lakes Home Care Inc. located?

Great Lakes Home Care Inc. is located at 6000 Bass Lake Rd Ste 104, Crystal, MN 55429. The listed phone number is (763) 537-6651.

What is Great Lakes Home Care Inc.'s specialty?

The primary specialty registered for this NPI is Nursing Care with taxonomy code 251J00000X.

When was this NPI record last updated?

The NPPES record for Great Lakes Home Care Inc. was last updated on January 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.