Provider Demographics
NPI:1053401307
Name:CARING HOME HELTH CARE SERVICES INC
Entity type:Organization
Organization Name:CARING HOME HELTH CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GODFREY
Authorized Official - Middle Name:NERO
Authorized Official - Last Name:EDAFERIERHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-504-2400
Mailing Address - Street 1:6000 BASS LAKE RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CRYSTAL
Mailing Address - State:MN
Mailing Address - Zip Code:55429-2700
Mailing Address - Country:US
Mailing Address - Phone:763-504-2400
Mailing Address - Fax:763-226-2535
Practice Address - Street 1:6000 BASS LAKE RD
Practice Address - Street 2:SUITE 101
Practice Address - City:CRYSTAL
Practice Address - State:MN
Practice Address - Zip Code:55429-2700
Practice Address - Country:US
Practice Address - Phone:763-504-2400
Practice Address - Fax:763-226-2535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health