Provider Demographics
NPI:1861729873
Name:GARGAAR HOME CARE SERVICE INC.
Entity type:Organization
Organization Name:GARGAAR HOME CARE SERVICE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:HALIMA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAGI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-721-4723
Mailing Address - Street 1:2700 E LAKE ST STE 2100
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55406-3252
Mailing Address - Country:US
Mailing Address - Phone:612-721-4723
Mailing Address - Fax:612-721-4726
Practice Address - Street 1:2700 E LAKE ST STE 2100
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55406-3252
Practice Address - Country:US
Practice Address - Phone:612-721-4723
Practice Address - Fax:612-721-4726
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-11
Last Update Date:2009-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNA227292000251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNA227292000Medicaid