OrganizationFairview Home Care And HospiceHome HealthAgenciesPractice Address2450 26th Ave S, Minneapolis, MN 55406-1245(612) 728-2350PECOS EnrollmentBased on the most recent information from CMS, provider Fairview Home Care And Hospice 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 3 days ago.Profile DetailsProvider ID1215916903Provider TypeOrganizationFull NameFairview Home Care And HospiceSubpartNoEnumeration Date1/11/2006Last Updated9/26/2018Contact InformationPractice LocationPractice Address2450 26th Ave S, Minneapolis, MN 55406-1245Phone(612) 728-2350Fax(612) 728-2400Mailing LocationMailing Address2450 26th Ave S, Minneapolis, MN 55406-1245Phone(612) 728-2350Fax(612) 728-2400Authorized OfficialNameHalvorson, Pamela (President)Phone(612) 728-2340Provider TaxonomiesCodeDescriptionLicenseCode251E00000XPrimaryDescriptionHome HealthAgenciesLicense328944MinnesotaProvider IdentifiersIDDescriptionIssuerID102058DescriptionOtherIssuerUCAREMinnesotaID5900124DescriptionOtherIssuerHOMECARE WITH MEDICAMinnesotaID650DescriptionOtherIssuerPREFERRED ONEMinnesotaID112648DescriptionOtherIssuerKVI CHOICE PLUSMinnesotaID680DescriptionOtherIssuerHEALTHPARTNERSMinnesotaIDHHC1201DescriptionOtherIssuerARAZ (AMERICA'S PPO)MinnesotaID473555200DescriptionMedicaidIssuerUnlistedMinnesotaID8284HODescriptionOtherIssuerHOMECARE WITH BLUE CROSSMinnesota