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ZACHARY HOME HEALTH CORPORATION NPI 1912199647


NPI Information

NPI: 1912199647
Provider Name: ZACHARY HOME HEALTH CORPORATION
Classification: Skilled Nursing Facility - 3140N1450X
Entity Type: Organization

Specialization: Nursing Care, Pediatric

CLIA Number: 24D1069937

Address:
680 SUMMER LN
EAGAN, MN
ZIP 55123
Phone: (651) 452-1834
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ZACHARY HOME HEALTH CORPORATION is a nursing care and pediatric skilled nursing facility in Eagan, MN. The provider is a nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. ZACHARY HOME HEALTH CORPORATION NPI is 1912199647. The provider is registered as an organization entity type.

The provider's business location address is:

680 SUMMER LN
EAGAN, MN
ZIP 55123-014
Phone: (651) 452-1834

The provider's authorized official is Victor A Bangura .
The authorized official title is President and has the following contact phone number (651) 452-8174.

The CLIA number assigned to this NPI record is 24D1069937 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/16/2007 and was last updated on 8/16/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13140N1450XSkilled Nursing FacilityNursing Care, Pediatric1034780-3-CFCMINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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