Provider Demographics
NPI:1205808086
Name:VIKINGLAND HOME HEALTH INC
Entity type:Organization
Organization Name:VIKINGLAND HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:J
Authorized Official - Last Name:SCHOLL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:320-763-9276
Mailing Address - Street 1:1411 HAWTHORNE ST
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:MN
Mailing Address - Zip Code:56308-2557
Mailing Address - Country:US
Mailing Address - Phone:320-763-9276
Mailing Address - Fax:320-763-9726
Practice Address - Street 1:1411 HAWTHORNE ST
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:MN
Practice Address - Zip Code:56308-2557
Practice Address - Country:US
Practice Address - Phone:320-763-9276
Practice Address - Fax:320-763-9726
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN328351251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN247284Medicare ID - Type Unspecified