SHAKOPEE MOBILE MEALS (NPI# 1104140169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104140169 |
| Entity Type | Organization |
| Organization Name | SHAKOPEE MOBILE MEALS |
| Practice Address |
1963 Boulder Pt Shakopee MN 55379-3618 |
| Practice Telephone | 9524453058 |
| Mailing Telephone | 9524453058 |
| Enumeration Date | 2010-03-19 |
| Last Update Date | 2010-03-19 |
| Authorized Official Name | MR. RONALD LEE HARCEY (BOOKKEEPER) |
| Authorized Official Telephone | 9524453058 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332U00000X | Home Delivered Meals | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | HEALTH PARTNERS | A470159300 | 01 |
| Street Address |
1963 BOULDER PT |
| City | SHAKOPEE |
| State | MN |
| Zip Code | 55379-3618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073123030 | True North Community Dental Clinic, LLC | Dentist | 415 East First Avenue, Shakopee, MN 55379 | 2020-08-05 |
| 1154988236 | Benedictine Living Community of Shakopee LLC | Assisted Living Facility | 1705 Windermere Way, Shakopee, MN 55379 | 2019-05-23 |
| 1346741394 | Expressions In Motion LLC | Speech-Language Pathologist | 1221 East 4th Ave., Shakopee, MN 55379 | 2018-02-26 |
| 1124529334 | A.m Dental Professionals P.a | Clinic/Center | 1036 1st Ave E, Shakopee, MN 55379 | 2018-02-22 |
| 1538522024 | Jesse Sylvester | Chiropractor | 1275 Ramsey Street South, #600, Shakopee, MN 55379 | 2016-04-01 |
| 1376903963 | Dakota Best Transportation LLC | Non-emergency Medical Transport (VAN) | 449 Dakota Street Apt 2, Shakopee, MN 55379 | 2016-02-25 |
| 1568856631 | Tatyana Mishkin Gleyzer | Nurse Practitioner | 1010 West Sixth Avenue, Shakopee, MN 55379 | 2015-03-26 |
| 1245634039 | Kalli Ledel | Pharmacist | 1198 Vierling Dr, Cub Pharmacy, Shakopee, MN 55379 | 2014-10-22 |
| 1487992913 | Jennifer Elizabeth Boyd | Nurse Practitioner | Pediatrics 1415 St Francis Ave, Park Nicollet Clinic-shakopee, Shakopee, MN 55379 | 2013-01-17 |
| 1013253798 | Acts Therapy LLC | Counselor | 8170 Old Carriage Court North, 215, Shakopee, MN 55379 | 2012-12-27 |
| Find all providers in zip 55379 | ||||
| Taxonomy Code | 332U00000X |
| Grouping | Suppliers |
| Classification | Home Delivered Meals |
| Home-delivered meals are those services or activities designed to prepare and deliver one or more meals a day to an individual's residence in order to prevent institutionalization, malnutrition, and feelings of isolation. Component services or activities may include the cost of personnel, equipment, and food; assessment of nutritional and dietary needs; nutritional education and counseling; socialization services; and information and referral. |
| Notes: Source: Code of Federal Regulations #45, Part 96, Appendix A, Uniform Definition of Services. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033778121 | Grace Group Home LLC | Home Delivered Meals | 3538 Fremont Ave N, Minneapolis, MN 55412 | 2019-06-11 |
| 1235697459 | Your Home Care Services, LLC | Home Delivered Meals | 1306 67th Ave N Apt 306, Brooklyn Center, MN 55430-1572 | 2019-03-06 |
| 1578082798 | Capitol Cafe LLC | Home Delivered Meals | 2417 E Franklin Ave, Capitol Cafe, Minneapolis, MN 55406 | 2017-09-19 |
| 1386090660 | Divine Redeemer Mobile Meals | Home Delivered Meals | 1530 Oakdale Ave, West St Paul, MN 55118-3502 | 2016-05-05 |
| 1134588031 | White Bear Area Senior Progam Isd 624 | Home Delivered Meals | 2484 County Road F E, White Bear Lake, MN 55110-7404 | 2016-02-19 |
| 1568820355 | Larry and Michele Kroeger, LLC | Home Delivered Meals | 36538 Clear Lake Dr, Box 369, Waseca, MN 56093-4617 | 2016-02-08 |
| 1174997613 | Keystone Community Services | Home Delivered Meals | 2000 Saint Anthony Ave, Saint Paul, MN 55104-5125 | 2015-11-20 |
| 1043682180 | Scheller Investments, LLC | Home Delivered Meals | 117 N Nelson St, Nelson, MN 56355-8219 | 2015-10-28 |
| 1811366388 | Isd 621 | Home Delivered Meals | 2101 14th St Nw, New Brighton, MN 55112-1841 | 2015-09-15 |
| 1326389370 | Metro Meals On Wheels | Home Delivered Meals | 1200 Washington Ave S, Suite 380, Minneapolis, MN 55415-1295 | 2013-03-14 |
| 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.