Provider Demographics
NPI:1366320848
Name:CONNIE CARES LLC
Entity type:Organization
Organization Name:CONNIE CARES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CORNELIA
Authorized Official - Middle Name:
Authorized Official - Last Name:GONSER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:952-200-3255
Mailing Address - Street 1:5196 LEXINGTON CT SE
Mailing Address - Street 2:
Mailing Address - City:PRIOR LAKE
Mailing Address - State:MN
Mailing Address - Zip Code:55372-3363
Mailing Address - Country:US
Mailing Address - Phone:952-200-3255
Mailing Address - Fax:
Practice Address - Street 1:5196 LEXINGTON CT SE
Practice Address - Street 2:
Practice Address - City:PRIOR LAKE
Practice Address - State:MN
Practice Address - Zip Code:55372-3363
Practice Address - Country:US
Practice Address - Phone:952-200-3255
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-23
Last Update Date:2025-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care