Provider Demographics
NPI:1790478329
Name:HONESTY HOME CARE LLC
Entity type:Organization
Organization Name:HONESTY HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OPHELIA
Authorized Official - Middle Name:
Authorized Official - Last Name:KPEWOAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-516-8545
Mailing Address - Street 1:3564 235TH LN NW
Mailing Address - Street 2:
Mailing Address - City:SAINT FRANCIS
Mailing Address - State:MN
Mailing Address - Zip Code:55070-5400
Mailing Address - Country:US
Mailing Address - Phone:763-516-8545
Mailing Address - Fax:
Practice Address - Street 1:3564 235TH LN NW
Practice Address - Street 2:
Practice Address - City:SAINT FRANCIS
Practice Address - State:MN
Practice Address - Zip Code:55070-5400
Practice Address - Country:US
Practice Address - Phone:763-516-8545
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-30
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness