LIFE SENIOR CARE INC. (NPI# 1073796322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073796322 |
| Entity Type | Organization |
| Organization Name | LIFE SENIOR CARE INC. |
| Other Organization Name | LIFE SENIOR CARE PCPO |
| Practice Address |
28347 112th St Nw Zimmerman MN 55398-4307 |
| Mailing Address |
8503 178th Ln Ne Forest Lake MN 55025-8351 |
| Practice Telephone | 7633506369 |
| Mailing Telephone | 6514646167 |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2007-12-10 |
| Authorized Official Name | MARGERY ANN VETSCH-PETERSON (RN CARE MANAGER) |
| Authorized Official Telephone | 7633506369 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | MN | Agencies |
| Other Name | Type Code |
|---|---|
| Life Senior Care PCPO | Other Name - Individual/Organization |
| Street Address |
28347 112TH ST NW |
| City | ZIMMERMAN |
| State | MN |
| Zip Code | 55398-4307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346425543 | Open Harbors Inc. | Respite Care | 28347 112th St Nw, Zimmerman, MN 55398-4307 | 2008-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033206750 | Pine Ridge Dental Pa | Dentist | 26273 2nd St E, Suite A, Zimmerman, MN 55398 | 2006-10-06 |
| 1699850826 | Steven R Luginbill | Chiropractor | 26273 2nd St E, Zimmerman, MN 55398 | 2006-10-26 |
| 1346605425 | Kim I Evenson | Technician | 27911 Lake Diann Rd, Zimmerman, MN 55398-4268 | 2015-12-16 |
| 1962525626 | Margery Ann Vetsch-peterson | Registered Nurse | 28347 112th St, Zimmerman, MN 55398-4307 | 2007-04-09 |
| 1619367018 | Christy Jeanette White | Specialist/Technologist | 26479 Fremont Dr, Zimmerman, MN 55398-4566 | 2015-01-23 |
| 1306165618 | P&p Investors, Inc. | Psychologist | 25660 3rd St W, Suite 304, Zimmerman, MN 55398-4584 | 2010-05-26 |
| 1386709541 | Brian L Hoffmann | Chiropractor | 26250 2nd St W Ste 100, Zimmerman, MN 55398-4603 | 2006-12-27 |
| 1093125973 | Tyler Paul Roehl | Chiropractor | 15225 295th Ave Nw, Zimmerman, MN 55398-4657 | 2014-05-01 |
| 1427290303 | Pine Ridge Chiropractic | Clinic/Center | 26273 2nd St E, Zimmerman, MN 55398-4672 | 2009-03-24 |
| 1699122549 | Adam Charles Erickson | Dentist | 26273 2nd St E, Zimmerman, MN 55398-4743 | 2016-05-20 |
| Find all providers in zip 55398 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952585069 | Select Homecare Srvices, Inc. | Home Health | 14250 257th Ave Nw, Zimmerman, MN 55398-8742 | 2007-12-26 |
| 1174723746 | North Country Home Care II, Inc | Home Health | 12567 5th Ave N # 100, Zimmerman, MN 55398-8451 | 2007-07-23 |
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| Find all providers with the same taxonomy | ||||
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| 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.