YAMACO HOME HEALTH MEDICAL SUPPLIES INC (NPI# 1043729452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043729452 |
| Entity Type | Organization |
| Organization Name | YAMACO HOME HEALTH MEDICAL SUPPLIES INC |
| Practice Address |
8903 Pineview Ln N Maple Grove MN 55369-6557 |
| Mailing Address |
6040 Earle Brown Dr Ste 270 Brooklyn Center MN 55430-4527 |
| Practice Telephone | 7638435987 |
| Practice Fax Number | 7636006102 |
| Mailing Telephone | 7637035986 |
| Mailing Fax Number | 7636006102 |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2017-09-28 |
| Authorized Official Name | MR. ALFRED ZACCHEUS PAYNE SR. (AUTHORIZED AGENT) |
| Authorized Official Telephone | 7632346433 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
8903 PINEVIEW LN N |
| City | MAPLE GROVE |
| State | MN |
| Zip Code | 55369-6557 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144188 | Bonnie Rose Theis | Counselor | 24 3rd Ave Ne, Unit B, Osseo, MN 55369 | 2020-11-06 |
| 1356976328 | Kirollos Samir Hanna | Pharmacist | 14500 99th Ave N, Suite 0a030, Maple Grove, MN 55369 | 2020-03-10 |
| 1396395463 | Susan Osborne | Technician | 9240 Orchid Lane, Maple Grove, MN 55369 | 2019-09-19 |
| 1710537196 | Janis Langsdale | Technician | 11070 108 Avenue North, Maple Grove, MN 55369 | 2019-09-17 |
| 1043724552 | Tracey Wahlquist | Speech-Language Pathologist | 11100 86th Ave N, Maple Grove, MN 55369 | 2017-11-20 |
| 1154860005 | Kayla Uptagrafft | Specialist/Technologist | 9555 Upland Lane Norh, Maple Grove, MN 55369 | 2017-02-13 |
| 1750823324 | Jennifer Ranallo | Social Worker | 9600 Upland Ln N Ste 110, Maple Grove, MN 55369 | 2016-11-13 |
| 1558723999 | Debra Grace Boersma | Advanced Practice Midwife | 9825 Hospital Dr#205, Maple Grove, MN 55369 | 2016-03-24 |
| 1396129433 | Maple Grove Smiles Dentistry, PC | Dentist | 12775 Elm Creek Blvd N, Maple Grove, MN 55369 | 2015-07-18 |
| 1558755900 | Krista Newman | Counselor | 24 3rd St Nw, Unit B, Osseo, MN 55369 | 2015-03-24 |
| Find all providers in zip 55369 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740799055 | Lifehouse Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 7437 Narcissus Ln N, Maple Grove, MN 55311-1726 | 2017-09-29 |
| 1780814467 | Oakdale Health Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 13800 83rd Way N Ste 102b, Maple Grove, MN 55369-7016 | 2009-07-16 |
| 1619145943 | Liberty Oxygen and Home Care, Inc | Durable Medical Equipment & Medical Supplies | 16322 County Road 30, Maple Grove, MN 55311-1207 | 2008-02-20 |
| 1730363698 | Gillette Children's Specialty Healthcare | Durable Medical Equipment & Medical Supplies | 9550 Upland Lane North, Suite 220, Maple Grove, MN 55369 | 2007-12-27 |
| 1780721886 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 16750 County Road 30, Maple Grove, MN 55311-4523 | 2007-01-30 |
| 1225109093 | Twin Cities Medical Supply | Durable Medical Equipment & Medical Supplies | 16720 73rd Pl N, Maple Grove, MN 55311-2130 | 2006-11-13 |
| 1679688717 | Supervalu Pharmacies Inc | Durable Medical Equipment & Medical Supplies | 8150 Wedgewood Ln N, Maple Grove, MN 55369 | 2006-08-20 |
| 1124033436 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 13611 Grove Dr, Maple Grove, MN 55311-4405 | 2006-07-29 |
| 1184641581 | Sams West Inc | Durable Medical Equipment & Medical Supplies | 16701 94th Ave N, Maple Grove, MN 55311-5448 | 2006-07-16 |
| 1891712287 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 9451 Dunkirk Ln N, Maple Grove, MN 55311-5447 | 2006-07-16 |
| Find all providers in MAPLE GROVE | ||||
| City | MAPLE GROVE |
| Zip Code | 55369 |
Please comment or provide details below to improve the information on YAMACO HOME HEALTH MEDICAL SUPPLIES INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.