Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Home Care Minnesota LLC

Organization Registered Nurse · NPI 1881373223

Home Care Minnesota LLC is a Registered Nurse in Otsego, Minnesota. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
5
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6126 Radford Ave NE
Otsego, MN 55330-2976
Phone: (612) 709-3880
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X
Home Health Agency Taxonomy 251E00000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility Taxonomy 320600000X
Mental Illness Community Based Residential Treatment Facility Taxonomy 320800000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Taxonomy 320900000X

Record details

NPI number1881373223
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Angelle Kanneh — Vice-President · (612) 709-3880
NPI enumeratedJuly 13, 2023
Last updated in NPPESDecember 15, 2025
Certification dateDecember 15, 2025
Mailing address6126 Radford Ave Ne, Otsego, MN 55330-2976

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