| Organization Name: | COMPASSIONATE CARE HOSPICE OF MINNESOTA, LLC |
| NPI Number: | 1124192414 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JUDITH I GREY (CHIEF OPERATING OFFICER) |
| Mailing Address: | 31361 State Highway 266 Worthington |
| State: | MN US |
| Postal Code: | 561875101 |
| Phone Number: | 5073727003 |
| Fax Number: | 5073764273 |
| NPI Enumeration Date: | 11/20/2006 |
| NPI Last Update Date: | 09/10/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |