INDEPENDENT LIFESTYLES, INC. (NPI# 1144852732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144852732 |
| Entity Type | Organization |
| Organization Name | INDEPENDENT LIFESTYLES, INC. |
| Practice Address |
215 N Benton Dr Sauk Rapids MN 56379-1530 |
| Practice Telephone | 3205299000 |
| Practice Fax Number | 3205290747 |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2020-02-11 |
| Authorized Official Name | DANELLE L ST. MARIE (CONTRACTS & HR DIRECTOR) |
| Authorized Official Telephone | 3202812015 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MN DEPT. OF HUMAN SERVICES (DHS)- 245D LICENSE | 1068099 | 01 |
| MN | MN DEPT. OF HUMAN SERVICES (DHS) UMPI # FOR PCA CHOICE | A558653000 | 01 |
| MN | MN DEPT. OF HUMAN SERVICES (DHS) UMPI # FOR WAIVER SERVICES | A114035300 | 01 |
| MN | MN DEPT. OF HUMAN SERVICES (DHS) UMPI # FOR CASE MGMT. | A768487000 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124273479 | Independent Lifestyles, Inc. | Residential Treatment Facility, Physical Disabilities | 4405 S Deerwood Dr, New Berlin, WI 53151-9240 | 2008-11-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporation | INDEPENDENT LIFESTYLES, INC. | , , |
| Virginia Business Entity | Independent Lifestyles, Inc. | 4880 S AMHERST HWY , MADISON HGTS, VA 24572 |
| Street Address |
215 N BENTON DR |
| City | SAUK RAPIDS |
| State | MN |
| Zip Code | 56379-1530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124638978 | Kelly Brown Butkowski | Social Worker | 215 N Benton Dr, Sauk Rapids, MN 56379 | 2020-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366902116 | Tamara Jean Christopherson | Massage Therapist | 1000 South Benton Drive Suite 415, Sauk Rapids, MN 56379 | 2019-03-20 |
| 1144718594 | Jeanne Twohy Sopcinski | Registered Nurse | Independent Lifestyles, 215 North Benton Dr, Sauk Rapids, MN 56379 | 2018-05-01 |
| 1447748728 | Mamusu Lamin | Social Worker | Independent Life Styles, Inc, 215 N. Benton Drive, Sauk Rapids, MN 56379 | 2018-04-23 |
| 1518486570 | Mw Sauk Rapids Operating, LLC | Assisted Living Facility | 1325 Summit Avenue North, Sauk Rapids, MN 56379 | 2017-09-11 |
| 1942724505 | Ashley Ann Borth | Registered Nurse | 215 N Benton Drive, Independent Lifestyles, Inc, Sauk Rapids, MN 56379 | 2017-07-26 |
| 1568905115 | April May Richardson | Registered Nurse | 215 North Benton Drive, Independent Lifestyles, Inc, Sauk Rapids, MN 56379 | 2016-11-30 |
| 1841616877 | St. Cloud Hospital | Substance Abuse Rehabilitation Facility | 1495 10th Ave Ne, Sauk Rapids, MN 56379 | 2014-03-14 |
| 1811264575 | Pamela Berglund | Physical Therapist | 115 18th St Sw 209, Sauk Rapids, MN 56379 | 2011-11-23 |
| 1407141419 | Becky Ann Canon | Registered Nurse | 215 North Benton Dr, Independent Lifestyles Inc., Sauk Rapids, MN 56379 | 2011-06-17 |
| 1811100860 | Chris Matthew Mcgrew | Dentist | 22 2nd Av S, Sauk Rapids, MN 56379 | 2007-05-07 |
| Find all providers in zip 56379 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1619576295 | Serene Housing LLC | Case Management | 8725 Columbine Rd Unit 46205, Eden Prairie, MN 55344-5855 | 2020-10-23 |
| 1740891605 | Professional Service Group | Case Management | 2520 Larpenteur Ave W Ste 100, Lauderdale, MN 55113-5278 | 2020-08-13 |
| 1730798398 | County of Stearns | Case Management | 705 Courthouse Square, St Cloud, MN 56303 | 2020-07-29 |
| 1063030419 | Red Lake Homeless Shelter Inc. | Case Management | 15855 Main Ave, Red Lake, MN 56671 | 2020-07-13 |
| 1558988899 | Serene Center LLC | Case Management | 4940 W 77th St Ste 76, Edina, MN 55435-4805 | 2020-07-02 |
| 1952927964 | His House Foundation | Case Management | 1866 Woodstone Dr, Victoria, MN 55386-9634 | 2020-06-25 |
| 1134742497 | Rovo Care Inc | Case Management | 419 Cedar Ave S Ste 285, Minneapolis, MN 55454-1032 | 2020-05-21 |
| 1477186427 | Hani Abdikarim Ahmed | Case Management | 740 Portland Ave S Apt 904, Minneapolis, MN 55415-3605 | 2020-02-18 |
| 1891327847 | Joshua Harrod | Case Management | 1853 Orchard Hl, Mendota Heights, MN 55118-4168 | 2020-02-07 |
| 1851938005 | Taaj Care Inc | Case Management | 1650 W End Blvd Ste 100, St Louis Park, MN 55416-5369 | 2019-12-06 |
| Find all providers with the same taxonomy | ||||
| City | SAUK RAPIDS |
| Zip Code | 56379 |
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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.