MAIN STREET FAMILY SERVICES (NPI# 1124534359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124534359 |
| Entity Type | Organization |
| Organization Name | MAIN STREET FAMILY SERVICES |
| Practice Address |
400 Jackson Ave Nw Ste 101 Elk River MN 55330-1363 |
| Practice Telephone | 7632332195 |
| Mailing Telephone | 7632332195 |
| Enumeration Date | 2017-12-26 |
| Last Update Date | 2017-12-26 |
| Authorized Official Name | JULIE ALLYN SCHULTZ (DIRECTOR) |
| Authorized Official Telephone | 7632332195 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MAIN STREET FAMILY SERVICES | 400 Jackson Ave Nw Ste 101, Elk River, MN 55330-1363 |
| Street Address |
400 JACKSON AVE NW STE 101 |
| City | ELK RIVER |
| State | MN |
| Zip Code | 55330-1363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710504139 | Jacob Stevens | Pharmacist | 19216 Freeport Ave, Cub Pharmacy, Elk River, MN 55330 | 2020-07-01 |
| 1578187456 | Coborns Inc | Pharmacy | 15700 88th St Ne, Otsego, MN 55330 | 2020-06-05 |
| 1346888609 | Katie Eberley | Counselor | 9425 Quantrelle Ave, Otsego, MN 55330 | 2019-12-18 |
| 1649839986 | Jodi Marie Pikula | Massage Therapist | 710 Dodge Ave, Suite C, Elk River, MN 55330 | 2019-06-11 |
| 1144793878 | Northern Cities Therapy, Inc. | Counselor | 19230 Evans St Nw Ste 100, Elk River, MN 55330 | 2019-01-04 |
| 1144715236 | Jennifer Kay Dahlseid | Chiropractor | 200 5th St Nw Ste J, Elk River, MN 55330 | 2018-06-29 |
| 1124542089 | Megan Majsterski Lazere | Counselor | 9245 Quantrelle Avenue, Otsego, MN 55330 | 2017-08-01 |
| 1134674237 | Rescare Minnesota | Community Based Residential Treatment Facility, Mental Illness | 633 Upland Ave Nw, Elk River, MN 55330 | 2016-08-18 |
| 1356894927 | Allison Benz | Counselor | 9245 Quantrelle Ave, Otsego, MN 55330 | 2016-07-29 |
| 1447615141 | Laura Stevenson | Speech-Language Pathologist | 15990 90th St., Otsego, MN 55330 | 2015-12-22 |
| Find all providers in zip 55330 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275841181 | Avalon Home Care | In Home Supportive Care | 20132 Ulysses St Nw, Elk River, MN 55330-2254 | 2010-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255930137 | Allhealth Home Care LLC | In Home Supportive Care | 23136 Birchwood Estates Rd, Fergus Falls, MN 56537-4516 | 2020-10-21 |
| 1477152593 | Canny, LLC | In Home Supportive Care | 4205 Lancaster Ln N Ste 104, Plymouth, MN 55441-1702 | 2020-10-20 |
| 1164020665 | Seh Morris Brown | In Home Supportive Care | 7655 Woodlawn Dr Apt 305, Saint Paul, MN 55112-4065 | 2020-10-15 |
| 1831797588 | Zarr Blejay Yarpah | In Home Supportive Care | 2508 County Road I Apt 105, Saint Paul, MN 55112-6242 | 2020-10-14 |
| 1538776794 | Dependable Angels Home Care | In Home Supportive Care | 949 Schaller Dr S Ste 2, Maplewood, MN 55119-5843 | 2020-09-30 |
| 1922611011 | Providence Home Care Inc | In Home Supportive Care | 3040 4th Ave S Ste 102, Minneapolis, MN 55408-2409 | 2020-08-28 |
| 1043823545 | Autism Bright Start | In Home Supportive Care | 2644 13th Ave S, Minneapolis, MN 55407-1121 | 2020-08-25 |
| 1174135909 | Amana Care LLC | In Home Supportive Care | 7700 36th Ave N Apt 318, Crystal, MN 55427-2038 | 2020-08-21 |
| 1578175105 | Tracy Denise Winters | In Home Supportive Care | 4404 83rd Cir N, Brooklyn Park, MN 55443-2534 | 2020-08-17 |
| 1811513674 | Lake Country Home Care LLC | In Home Supportive Care | 95 Miller St Ste E, New York Mills, MN 56567-4332 | 2020-06-17 |
| 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.