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

Provenance Homes

Organization Home Health Agency · NPI 1285410746

Provenance Homes is a Home Health Agency in St Louis Park, Minnesota. Works from 3 locations. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
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Practice location Address checks out

1650 W End Blvd Ste 100
St Louis Park, MN 55416-5369
Phone: (612) 261-6988
Fax: (612) 465-1402
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5547 Lyndale Ave N, Brooklyn Center, MN 55430-3237 — (612) 261-6988
  • 5601 Lyndale Ave N, Brooklyn Center, MN 55430-3238 — (612) 261-6988

Specialties & licences

In Home Supportive Care Agency (primary) Taxonomy 253Z00000X
Home Health Agency Taxonomy 251E00000X

Record details

NPI number1285410746
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationProvenance Healthcare Staffing LLC
Authorized official Sabrina Globus — Owner · (612) 741-7311
Other names Provenance Homes; Provenance Homes
NPI enumeratedAugust 31, 2023
Last updated in NPPESOctober 31, 2023
Certification dateOctober 24, 2023
Mailing address1650 W End Blvd Ste 100, St Louis Park, MN 55416-5369

Other providers in St Louis Park