Home Care Minnesota LLC

NPI #1881373223 in Otsego, Minnesota

Provider Information

NPI Number
1881373223
Entity Type
Organization
Organization Name
Home Care Minnesota LLC
Primary Specialty
Registered Nurse
Enumeration Date
Jul 13, 2023
Last Updated
Dec 15, 2025

Practice Location

Address
6126 RADFORD AVE NE
City
Otsego
ZIP Code
55330-2976
Phone
(612) 709-3880

Authorized Official

Name
ANGELLE CLERMONT KANNEH
Title
VICE-PRESIDENT
Phone
(612) 709-3880

Specialties & Taxonomy Codes

Specialty
Home Health
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Community Based Residential Treatment Facility, Mental Illness
Registered Nurse

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