Provider Demographics
NPI:1134917081
Name:LINWOOD HOME CARE LLC
Entity type:Organization
Organization Name:LINWOOD HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PA
Authorized Official - Middle Name:KOU
Authorized Official - Last Name:MOUA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-297-0397
Mailing Address - Street 1:38868 12TH AVE # 1149
Mailing Address - Street 2:
Mailing Address - City:NORTH BRANCH
Mailing Address - State:MN
Mailing Address - Zip Code:55056-6658
Mailing Address - Country:US
Mailing Address - Phone:763-297-0397
Mailing Address - Fax:763-402-7692
Practice Address - Street 1:24030 TYPO CREEK DR NE
Practice Address - Street 2:
Practice Address - City:STACY
Practice Address - State:MN
Practice Address - Zip Code:55079-6716
Practice Address - Country:US
Practice Address - Phone:320-455-2871
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-29
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No385H00000XRespite Care FacilityRespite Care