NPI 1104918143 · live from the CMS NPI Registry
A Chance To Grow, INC.
Home Health in Minneapolis, MN. National Provider Identifier 1104918143, active.
NPI record
| NPI | 1104918143 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Home Health 251E00000X |
| Practice location | 1800 2nd St Ne, Minneapolis, MN 55418 |
| Practice phone | 612-789-1236 |
| Enumerated | September 28, 2006 |
| Last updated | August 26, 2009 |
| Authorized official | Erica Dickerson, Director Of Clinical & Home Based |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist | 152W00000X | 2605 (MN) |
| Optometrist, Vision Therapy | 152WV0400X | 2605 (MN) |
| Home Health primary | 251E00000X | HFID-02476 A (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.