Provider Demographics
NPI:1093690083
Name:LEOPHANE CARE SERVICE CORPORATION
Entity type:Organization
Organization Name:LEOPHANE CARE SERVICE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:LEONID
Authorized Official - Middle Name:STEPHANE
Authorized Official - Last Name:TCHUISSI SEPPO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-461-9036
Mailing Address - Street 1:946 EMMY LN
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:MN
Mailing Address - Zip Code:55341-3106
Mailing Address - Country:US
Mailing Address - Phone:612-461-9036
Mailing Address - Fax:
Practice Address - Street 1:946 EMMY LN
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:MN
Practice Address - Zip Code:55341-3106
Practice Address - Country:US
Practice Address - Phone:612-461-9036
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-08
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health