Provider Demographics
NPI:1679724629
Name:HEALTH SERVICE CONSULTANTS
Entity type:Organization
Organization Name:HEALTH SERVICE CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:PATIENCE
Authorized Official - Middle Name:FRANCES
Authorized Official - Last Name:KANKEH
Authorized Official - Suffix:
Authorized Official - Credentials:RNC-NIC, BSN
Authorized Official - Phone:952-224-7055
Mailing Address - Street 1:7104 OHMS LN STE 202
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55439-2129
Mailing Address - Country:US
Mailing Address - Phone:952-224-7055
Mailing Address - Fax:
Practice Address - Street 1:7104 OHMS LN STE 202
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55439-2129
Practice Address - Country:US
Practice Address - Phone:952-224-7055
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEALTH SERVICE CONSULTANTS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-10-08
Last Update Date:2008-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN26187251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN26187OtherMINNESOTA DEPARTMENT OF HUMAN SERVICES