Organization · Type 2 NPI

Dominion Healthcare Services LLC

Home Health Agency · Brooklyn Center, MN

NPI number 1639710460 Active

Practice location

6918 Grimes Ave N
Brooklyn Center, MN 55429-1450

Specialties and licenses

Taxonomy	Code	License
Home Health Agency Primary	251E00000X	None listed

Home Health Agency: 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 organ…

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NPI record

NPI: 1639710460
Entity type: Organization (Type 2)
Issued: Oct 2, 2019
Last updated: Jun 24, 2022
Status: Active

Other names

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Dominion Healthcare Services LLC · doing business as
Dominion Healthcare Services LLC · doing business as

Authorized official

Yaria Isabella Bangura
Administrator
(612) 812-4744

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1639710460

Dominion Healthcare Services LLC's National Provider Identifier is 1639710460, issued on Oct 2, 2019. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Brooklyn Center, MN. The record was last updated on Jun 24, 2022.