Provider Demographics
NPI:1437992856
Name:ALLIANZE HEALTHCARE LLC
Entity type:Organization
Organization Name:ALLIANZE HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SIMON
Authorized Official - Middle Name:
Authorized Official - Last Name:PAYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-423-8624
Mailing Address - Street 1:14035 45TH CT NE
Mailing Address - Street 2:
Mailing Address - City:SAINT MICHAEL
Mailing Address - State:MN
Mailing Address - Zip Code:55376-8489
Mailing Address - Country:US
Mailing Address - Phone:612-423-8624
Mailing Address - Fax:
Practice Address - Street 1:7013 GRIMES AVE N
Practice Address - Street 2:
Practice Address - City:BROOKLYN CENTER
Practice Address - State:MN
Practice Address - Zip Code:55429-1451
Practice Address - Country:US
Practice Address - Phone:612-423-8624
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALLIANZE HEALTHCARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-06-13
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility