MINNESOTA SENIOR CARE, INC. (NPI# 1124269808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124269808 |
| Entity Type | Organization |
| Organization Name | MINNESOTA SENIOR CARE, INC. |
| Practice Address |
361 8th St Apt 102 Walnut Grove MN 56180-9372 |
| Practice Telephone | 6514938837 |
| Practice Fax Number | 6514938910 |
| Mailing Telephone | 6514938837 |
| Mailing Fax Number | 6514938910 |
| Enumeration Date | 2009-03-10 |
| Last Update Date | 2009-03-10 |
| Authorized Official Name | MS. KAO LOR (OWNER) |
| Authorized Official Telephone | 6514938837 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | 343020 | MN | Managed Care Organizations |
| Street Address |
361 8TH ST APT 102 |
| City | WALNUT GROVE |
| State | MN |
| Zip Code | 56180-9372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073675716 | City of Walnut Grove | Ambulance | 311 6th St, Walnut Grove, MN 56180-1107 | 2006-12-15 |
| 1033306931 | Sanford Health Network | Clinic/Center | 830 8th St, Walnut Grove, MN 56180-1117 | 2007-09-25 |
| 1033176854 | City of Walnut Grove | Assisted Living Facility | 810 8th St, Walnut Grove, MN 56180-1147 | 2006-04-26 |
| 1184929952 | Lois E Boerboom | Registered Nurse | 15402 140th St, Walnut Grove, MN 56180-5311 | 2011-01-25 |
| 1750993317 | Jill Marie Stoks | Registered Nurse | 13526 Camp Ave, Walnut Grove, MN 56180-5343 | 2020-08-17 |
| 1811596984 | Proconcierge Nursing Service, LLC | Nursing Care | 13526 Camp Ave, Walnut Grove, MN 56180-5343 | 2020-10-20 |
| 1366405722 | Bruce James Mathiason | Dentist | 400 7th St, Walnut Grove, MN 56180-9203 | 2006-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750993317 | Jill Marie Stoks | Registered Nurse | 13526 Camp Ave, Walnut Grove, MN 56180-5343 | 2020-08-17 |
| 1376188086 | Marshall Devolopmental Therapy Services Inc | Behavioral Analyst | 308 Estes Mill Rd, Walnut Grove, MS 39189-5043 | 2019-11-18 |
| 1164073714 | Amanda Sue Allen | Technician | 5530 S 47th Rd, Walnut Grove, MO 65770-7503 | 2019-09-25 |
| 1700437308 | Walnut Grove School Dist R5 | Local Education Agency (LEA) | 300 W College St, Walnut Grove, MO 65770-8304 | 2019-09-25 |
| 1144745589 | Diane Teresa Thomas | Registered Nurse | 13927 Main St., Walnut Grove, CA 95690 | 2017-08-07 |
| 1295259521 | Stephanie Joy Salinas Cachero | Behavior Technician | 1304 Mealer Lane, Walnut Grove, CA 95690 | 2017-07-28 |
| 1578009155 | First-line LLC | Ambulance | 2354 Union Rd, Walnut Grove, MS 39189-5189 | 2017-01-06 |
| 1184929952 | Lois E Boerboom | Registered Nurse | 15402 140th St, Walnut Grove, MN 56180-5311 | 2011-01-25 |
| 1497901797 | Steven Richard Caplan | Psychologist | 14286 State Hwy160 #282, Walnut Grove, CA 95690-0282 | 2008-08-18 |
| 1467625830 | Vernetta P. Barton | Speech-Language Pathologist | 154 Truelight Rd, Walnut Grove, MS 39189-5028 | 2008-04-08 |
| Find all providers in WALNUT GROVE | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124544895 | Msp Dentistry Inc | Preferred Provider Organization | 13650 Hanson Blvd., Suite #110, Andover, MN 55304 | 2017-08-15 |
| 1548708225 | Valley Ridge Dental Arts | Preferred Provider Organization | 12425 55th St N Ste B, Lake Elmo, MN 55042-7404 | 2017-02-02 |
| 1063958247 | Always Best Care | Preferred Provider Organization | 331 Maple Street, Suite 2, Saint Paul, MN 55106 | 2017-01-12 |
| 1417493990 | Suado Hirsi Dirir | Preferred Provider Organization | 2605 Bloomington Ave, Minneapolis, MN 55407-1137 | 2017-01-09 |
| 1699226829 | Hibaq Warsame | Preferred Provider Organization | 3655 Girard Ave N, Minneapolis, MN 55412-2020 | 2016-10-24 |
| 1174077572 | Homecare Options Inc | Preferred Provider Organization | 610 Mcknight Rd S, Maplewood, MN 55119-5672 | 2016-08-15 |
| 1912355132 | Lifestyle Living Home Care LLC | Preferred Provider Organization | 1 W Lake St Apt 404, Minneapolis, MN 55408-3153 | 2016-05-27 |
| 1306207113 | Paul Perpich, Dds | Preferred Provider Organization | 5461 City Hall St, Nisswa, MN 56468-2478 | 2016-03-08 |
| 1619334281 | Perfection Care Associates LLC | Preferred Provider Organization | 1810 Columbus Ave, Minneapolis, MN 55404-1961 | 2016-01-27 |
| 1699132068 | Best Home Health Care Service LLC | Preferred Provider Organization | 6040 Clinton Ave, Minneapolis, MN 55419-2539 | 2016-01-15 |
| Find all providers with the same taxonomy | ||||
| City | WALNUT GROVE |
| Zip Code | 56180 |
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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.