OrganizationIntercommunity Home Health CareHome HealthAgenciesPractice Address2625 E Franklin Ave Ste Ll2, Minneapolis, MN 55406-1195(612) 435-0283PECOS EnrollmentBased on the most recent information from CMS, provider Intercommunity Home Health Care does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1164723201Provider TypeOrganizationFull NameIntercommunity Home Health CareSubpartNoEnumeration Date11/5/2010Last Updated11/5/2010Contact InformationPractice LocationPractice Address2625 E Franklin Ave Ste Ll2, Minneapolis, MN 55406-1195Phone(612) 435-0283FaxUnlisted FaxMailing LocationMailing Address2625 E Franklin Ave Ste Ll2, Minneapolis, MN 55406-1195Phone(612) 435-0283FaxUnlisted FaxAuthorized OfficialNameMoore, Kristi (Administrator)Phone(612) 435-0283Provider TaxonomiesCodeDescriptionLicenseCode251E00000XPrimaryDescriptionHome HealthAgenciesLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerIDA143132000DescriptionMedicaidIssuerUnlistedMinnesota