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

Provisional Home Health LLC

Organization Home Health Agency · NPI 1659659811

Provisional Home Health LLC is a Home Health Agency in Rockford, Minnesota. Licensed in Minnesota. Registered with an NPI since 2011.

Licensed in
MN
In the registry since
2011
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

4110 Maple Hurst Dr S
Rockford, MN 55373-4565
Phone: (763) 575-7281
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Agency (primary) Taxonomy 251E00000X · Licence 353499 (MN)

Record details

NPI number1659659811
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kristine Carr — Director Of Nursing · (763) 575-7281
NPI enumeratedJuly 21, 2011
Last updated in NPPESJuly 21, 2011
Mailing address4110 Maple Hurst Dr S, Rockford, MN 55373-4565

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