<unavail> in Arden Hills, MN - Medicare In Home Supportive Care

is a medicare enrolled mental health clinic (In Home Supportive Care) in Arden Hills, Minnesota. The current practice location for is 3900 Northwoods Dr Ste 240, Arden Hills, Minnesota. For appointments, you can reach them via phone at (651) 285-0135. The mailing address for is 3900 Northwoods Dr Ste 240, Arden Hills, Minnesota and phone number is (651) 285-0135.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1982702932. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (651) 285-0135.

Contact Information


	3900 Northwoods Dr Ste 240 Arden Hills MN 55112-6991
	(651) 285-0135
	(651) 633-7301

Map and Direction

Mental Health Clinic Profile

Full Name
Speciality	In Home Supportive Care
Location	3900 Northwoods Dr Ste 240, Arden Hills, Minnesota
Authorized Official Name and Position	Tim Lively (PRESIDENT)
Authorized Official Contact	6517898769
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
3900 Northwoods Dr Ste 240 Arden Hills MN 55112-6991 Ph: (651) 285-0135	3900 Northwoods Dr Ste 240 Arden Hills MN 55112-6991 Ph: (651) 285-0135

NPI Details:

NPI Number	1982702932
Provider Enumeration Date	09/20/2006
Last Update Date	09/13/2024
Certification Date	09/13/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	0941324958
Medicare Enrollment ID	O20100827000373

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982702932	NPI	-	NPPES
45471746	Medicaid	NM
378177	Medicaid	AZ
430029700	Medicaid	MN
43115100	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103G00000X	Clinical Neuropsychologist	(* (Not Available))	Secondary
106H00000X	Marriage & Family Therapist	(* (Not Available))	Secondary
251E00000X	Home Health	430029700 (Minnesota)	Secondary
253Z00000X	In Home Supportive Care	(* (Not Available))	Primary
261QM1300X	Clinic/center - Multi-specialty	(* (Not Available))	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	(* (Not Available))	Secondary

Reviews and Comments

In Home Supportive Care in Arden Hills, MN

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- Medicare Mental Health Clinic in Arden Hills, MN