Provider Demographics
NPI:1609630672
Name:SPRING HEAL CARE LLC
Entity type:Organization
Organization Name:SPRING HEAL CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMIN ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:SLIM HARDY
Authorized Official - Middle Name:
Authorized Official - Last Name:TITANJI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-836-9075
Mailing Address - Street 1:1406 W LAKE ST STE 201
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55408-2653
Mailing Address - Country:US
Mailing Address - Phone:949-836-9075
Mailing Address - Fax:
Practice Address - Street 1:1406 W LAKE ST STE 201
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55408-2653
Practice Address - Country:US
Practice Address - Phone:507-403-8207
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-09
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)