Provider Demographics
NPI:1053620401
Name:QUALITY ASSURANCE HOME HEALTH OF MINNESOTA
Entity type:Organization
Organization Name:QUALITY ASSURANCE HOME HEALTH OF MINNESOTA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:ARYEETEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-500-9113
Mailing Address - Street 1:5353 WAYZATA BLVD
Mailing Address - Street 2:STE 204
Mailing Address - City:ST LOUIS PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55416-1340
Mailing Address - Country:US
Mailing Address - Phone:952-500-9113
Mailing Address - Fax:952-303-3361
Practice Address - Street 1:5353 WAYZATA BLVD
Practice Address - Street 2:STE 204
Practice Address - City:ST LOUIS PARK
Practice Address - State:MN
Practice Address - Zip Code:55416-1340
Practice Address - Country:US
Practice Address - Phone:952-500-9113
Practice Address - Fax:952-303-3361
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-04
Last Update Date:2010-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health