KINDERCARE PCA SERVICES LLC (NPI# 1134357031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134357031 |
| Entity Type | Organization |
| Organization Name | KINDERCARE PCA SERVICES LLC |
| Practice Address |
270 County Road 110 N Minnetrista MN 55364-8316 |
| Practice Telephone | 9522508624 |
| Mailing Telephone | 9522508624 |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2009-06-30 |
| Authorized Official Name | MRS. BEATRICE MOGUSERO MORANDE (DIRECTOR) |
| Authorized Official Telephone | 9522508624 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385HR2065X |
Respite Care Specialization: Respite Care, Physical Disabilities, Child |
3326341-2 | MN | Respite Care Facility |
| Street Address |
270 COUNTY ROAD 110 N |
| City | MINNETRISTA |
| State | MN |
| Zip Code | 55364-8316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497995203 | Kinder Care Homecare Services | Nursing Facility/Intermediate Care Facility | 270 County Road 110 N, Minnetrista, MN 55364-8316 | 2009-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962992594 | Mary Kaye Guenther | Physical Therapy Assistant | 6670 Game Farm Rd, Mound, MN 55364 | 2018-05-18 |
| 1558893008 | Kirsten Eaton | Student in an Organized Health Care Education/Training Program | 945 Forest Arms Lanes, Mound, MN 55364 | 2017-04-03 |
| 1619322450 | Heidi Durant | Counselor | 2973 Hazelwood Lane, Mound, MN 55364 | 2016-04-29 |
| 1255720603 | Amanda S Myers | Speech-Language Pathologist | 940 Bayside Ln, Minnetrista, MN 55364 | 2015-01-22 |
| 1538447644 | Mary Bernadette Philp | Dentist | 5205 Shoreline Drive, Mound, MN 55364 | 2011-07-25 |
| 1659600088 | Thomas David Mazer | Anesthesiology | 560 North Arm Drive, Orono, MN 55364 | 2009-12-14 |
| 1205913282 | Robert A Lauer | Dentist | 5585 Shoreline Blvd, Mound, MN 55364 | 2006-11-01 |
| 1750470068 | Stephanie Lynn Miner | Dentist | West Lakes Dentistry, 5205 Shoreline Drive, Mound, MN 55364 | 2006-10-12 |
| 1194120519 | Stable Living LLC | Counselor | 6344 Rambler Ln, Mound, MN 55364-1043 | 2014-10-28 |
| 1386800977 | Debra Karen Kullberg | Marriage & Family Therapist | 1567 Bluebird Ln, Mound, MN 55364-1109 | 2008-08-02 |
| Find all providers in zip 55364 | ||||
| Taxonomy Code | 385HR2065X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Specialization | Respite Care, Physical Disabilities, Child |
| A facility or distinct part of a facility that providers short term, residential care to children, diagnosed with complex or profound disabilities as respite for the regular caregivers. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326351107 | Holly Jo Buescher | Respite Care | 309 4 Avenue, Bovey, MN 55709-0370 | 2010-07-21 |
| 1598224107 | Feel The Water Inc | Respite Care | 4330 Cedar Lake Rd S, St Louis Park, MN 55416-3700 | 2019-03-14 |
| City | MINNETRISTA |
| Zip Code | 55364 |
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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.