HEAVENLY HILLS ADULT DAY CARE (NPI# 1124253497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124253497 |
Entity Type | Organization |
Organization Name | HEAVENLY HILLS ADULT DAY CARE |
Practice Address |
13811 114th Ave N Dayton MN 55369 |
Practice Telephone | 6122985518 |
Practice Fax Number | 7634257671 |
Mailing Telephone | 6122985518 |
Mailing Fax Number | 7634257671 |
Enumeration Date | 2009-05-15 |
Last Update Date | 2009-05-15 |
Authorized Official Name | LARISA KHARCHENKO (OWNER) |
Authorized Official Telephone | 6122985518 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
Street Address |
13811 114TH AVE N |
City | DAYTON |
State | MN |
Zip Code | 55369 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518191097 | Heartland Medical Supplies | Durable Medical Equipment & Medical Supplies | 13811 114th Ave N, Dayton, MN 55369 | 2009-05-12 |
1871728139 | American Eagle Transportation | Non-emergency Medical Transport (VAN) | 13811 114th Ave N, Dayton, MN 55369 | 2009-05-15 |
1598990855 | Heartland Assisted Living | Assisted Living Facility | 13811 114th Ave N, Dayton, MN 55369 | 2009-05-15 |
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 | 251C00000X |
Grouping | Agencies |
Classification | Day Training, Developmentally Disabled Services |
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497352561 | Cheryl Haerer | Day Training, Developmentally Disabled Services | 6935 Sylmar Ct, Dayton, OH 45424-3351 | 2020-10-02 |
1477016681 | Parr Enterprises LLC | Day Training, Developmentally Disabled Services | 12 Stults Rd Ste 125, Dayton, NJ 08810-2514 | 2019-04-14 |
1710333273 | Guardian Angels Home Services | Day Training, Developmentally Disabled Services | 50 Brenner Ave, Dayton, OH 45403-1122 | 2016-05-13 |
1912366303 | Graceworks Enhanced Living | Day Training, Developmentally Disabled Services | 224 N Saint Clair St, Dayton, OH 45402-1230 | 2016-02-15 |
1184093155 | A Loving Heart Youth Services Inc | Day Training, Developmentally Disabled Services | 3559 Stanford Pl, Dayton, OH 45406-3641 | 2015-09-21 |
1558496893 | Northridge Local School District | Day Training, Developmentally Disabled Services | 2011 Timber Ln, Dayton, OH 45414-4528 | 2007-02-23 |
1831237809 | Rhea of Sunshine, Inc. | Day Training, Developmentally Disabled Services | 400 Greenway Blvd, Dayton, TN 37321-7900 | 2007-02-02 |
1780055830 | Technology Resouce Center, Inc | Day Training, Developmentally Disabled Services | 660 S Main St, Dayton, OH 45402-2708 | 2015-10-15 |
1619291838 | Goodwill Easter Seals Miami Valley | Day Training, Developmentally Disabled Services | 660 S Main St, Dayton, OH 45402-2708 | 2010-03-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528672243 | Elite Child Development Center Inc | Day Training, Developmentally Disabled Services | 3860 Molina St, Shakopee, MN 55379-5449 | 2020-09-01 |
1750990750 | Dhoore Health Services, LLC | Day Training, Developmentally Disabled Services | 2625 E Franklin Ave # Ll8, Minneapolis, MN 55406-1185 | 2020-07-24 |
1053933895 | Artan Health Services LLC | Day Training, Developmentally Disabled Services | 2817 Anthony Ln S Ste 105, Minneapolis, MN 55418-2489 | 2020-05-14 |
1295357556 | Cascade Health Services Inc | Day Training, Developmentally Disabled Services | 1730 New Brighton Blvd Ste 104-180, Minneapolis, MN 55413-1248 | 2020-05-09 |
1013543867 | Empower: Inclusive Employment and Education Consultants | Day Training, Developmentally Disabled Services | 108 Angel Ave Nw, Watertown, MN 55388-8255 | 2020-03-12 |
1437784162 | Kaleidoscope Professional Services | Day Training, Developmentally Disabled Services | 5251 James Ave N, Minneapolis, MN 55430-3445 | 2020-03-03 |
1396385647 | Twincity Autism | Day Training, Developmentally Disabled Services | 3055 Old Highway 8 Ste 243, Saint Anthony, MN 55418-2500 | 2020-01-14 |
1093358376 | J & P Integrity Support Services LLC | Day Training, Developmentally Disabled Services | 1915 Highway 36 W Ste 11, Roseville, MN 55113-2709 | 2019-10-19 |
1033764428 | Able Solutions LLC | Day Training, Developmentally Disabled Services | 260 E Wentworth Ave Suite 112, St Paul, MN 55118 | 2019-08-03 |
1396204590 | Twin City Adult Day Services LLC | Day Training, Developmentally Disabled Services | 2231 11th Ave E, North St Paul, MN 55109-5158 | 2019-03-18 |
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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.