REDESIGN LIFESTYLE CARE LLC
Assisted Living, Behavioral Disturbances
Minneapolis, Minnesota
Provider NPI: 1922628874
Organization Information:Organization Name: REDESIGN LIFESTYLE CARE LLC
Practice Location:
1527 MORGAN AVE N MINNEAPOLIS, MN 55411 US
Tel: 612-963-2576 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1527 MORGAN AVE N MINNEAPOLIS, MN 55411 US
Tel: 612-963-2576 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 3104A0630X | Nursing & Custodial Care Facilities Assisted Living Facility Assisted Living, Behavioral Disturbances | ||
N | 3104A0625X | Nursing & Custodial Care Facilities Assisted Living Facility | ||
Y | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
TEMPORARY COMPREHENSIVE HOME CARE LICENSE NUMBER | 394113 | MN | 01 |
HFID # | 35034 | MN | 01 |
HFID # | 36065 | MN | 01 |
HOUSING WITH SERVICES | 395890 | MN | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin