MILLE LACS BAND FAMILY SERVICES (NPI# 1154587129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154587129 |
| Entity Type | Organization |
| Organization Name | MILLE LACS BAND FAMILY SERVICES |
| Practice Address |
17230 Noopiming Dr Onamia MN 56359-4522 |
| Practice Telephone | 3205327764 |
| Practice Fax Number | 3205327803 |
| Mailing Telephone | 3205327764 |
| Mailing Fax Number | 3205327803 |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2008-07-30 |
| Authorized Official Name | KRISTY MARIE LEBLANC (INTAKE, REFERRAL, AND OFFICE COORD.) |
| Authorized Official Telephone | 3205327764 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| Street Address |
17230 NOOPIMING DR |
| City | ONAMIA |
| State | MN |
| Zip Code | 56359-4522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861567513 | Kate Theisz | Psychologist | 17230 Noopiming Dr, Onamia, MN 56359-4522 | 2006-11-21 |
| 1134762446 | Cindi L Cooley | Counselor | 17230 Noopiming Dr, Onamia, MN 56359-4522 | 2019-10-21 |
| 1962043323 | Shane Potter | Counselor | 17230 Noopiming Dr, Onamia, MN 56359-4522 | 2019-10-07 |
| 1861965071 | Claudia Maria Muntifering | Registered Nurse | 17230 Noopiming Dr, Onamia, MN 56359-4522 | 2019-01-10 |
| 1427568708 | Crystal Ann Roeschlein | Registered Nurse | 17230 Noopiming Dr, Onamia, MN 56359-4522 | 2017-10-02 |
| 1104202928 | Kristen Kathleen Reiter | Licensed Practical Nurse | 17230 Noopiming Dr, Onamia, MN 56359-4522 | 2015-08-04 |
| 1831512243 | Denise Kulhanek | Licensed Practical Nurse | 17230 Noopiming Dr, Onamia, MN 56359-4522 | 2014-01-22 |
| 1720410681 | Kim Jo Leschak | Licensed Practical Nurse | 17230 Noopiming Dr, Onamia, MN 56359-4522 | 2013-08-02 |
| 1104123306 | Mary Kay Mercado | Registered Nurse | 17230 Noopiming Dr, Onamia, MN 56359-4522 | 2011-02-24 |
| 1740583517 | Donna Lynn Hormillosa | Registered Nurse | 17230 Noopiming Dr, Onamia, MN 56359-4522 | 2010-12-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588185417 | Stephanie Lynn Conzet | Registered Nurse | 200 North Elm Street North, Mille Lacs Family Clinic, Onamia, MN 56359 | 2017-06-30 |
| 1760759880 | Joseph Nayquonabe | Counselor | 42273 Twilight Road, Onamia, MN 56359 | 2011-11-17 |
| 1548496060 | Mille Lacs Band of Ojibwe Indians | Substance Abuse Rehabilitation Facility | 17222 Ataage Dr, Onamia, MN 56359 | 2009-06-10 |
| 1831388909 | Mille Lacs Band of Ojibwe Indians | Community/Behavioral Health | 42293 Twilight Rd, Onamia, MN 56359 | 2007-10-15 |
| 1982729364 | Mille Lacs Band of Ojibwe Indians | Pharmacy | 43500 Migizi Drive, Onamia, MN 56359 | 2007-03-21 |
| 1639205370 | Jennifer Lee Hewitt | Registered Nurse | 17230 Noopiming Drive, Onamia, MN 56359 | 2007-02-26 |
| 1164569760 | Betty Nichols | Registered Nurse | 17230 Noopiming Dr., Onaima, MN 56359 | 2007-01-31 |
| 1639224975 | Deanna M Duret | Dietitian, Registered | 200 Elm Street North, Onamia, MN 56359 | 2007-01-25 |
| 1700958881 | Nexus | Community Based Residential Treatment Facility, Mental Illness | 407 130th Avenue South, Onamia, MN 56359 | 2006-11-14 |
| 1780777615 | Diana Ochoa Chu | Psychiatry & Neurology | 407 130th Ave S, Onamia, MN 56359 | 2006-10-02 |
| Find all providers in zip 56359 | ||||
| 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 |
|---|---|---|---|---|
| 1124278510 | Mille Lacs Band of Ojibwe Indians | Case Management | 18562 Minobimaadizi Loop, Onamia, MN 56359 | 2008-09-23 |
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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.