RESIDENTIAL CARE AT NINE MILE CREEK (NPI# 1154794089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154794089 |
| Entity Type | Organization |
| Organization Name | RESIDENTIAL CARE AT NINE MILE CREEK |
| Practice Address |
10641 James Rd Bloomington MN 55431-4130 |
| Practice Telephone | 9522294213 |
| Mailing Telephone | 9522294213 |
| Enumeration Date | 2015-10-30 |
| Last Update Date | 2015-10-30 |
| Authorized Official Name | MR. SADIK ALI ABDI (OWNER) |
| Authorized Official Telephone | 6129782238 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 374950 | MN | Nursing & Custodial Care Facilities |
| Street Address |
10641 JAMES RD |
| City | BLOOMINGTON |
| State | MN |
| Zip Code | 55431-4130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162509 | Mckenzie Mcadaragh | Nurse Practitioner | 10924 Girard Curve, Bloomington, MN 55431 | 2020-10-21 |
| 1760042253 | Adams Health Care Services, LLC | Registered Nurse | 10036 Washburn Ave S, Bloomington, MN 55431 | 2019-06-17 |
| 1851864755 | Hope Autism Center | Day Training, Developmentally Disabled Services | 9333 Penn Ave S, Bloomington, MN 55431 | 2019-01-03 |
| 1275006215 | Cameron Lee Small | Counselor | 9156 Vincent Ave S, Bloomington, MN 55431 | 2019-01-02 |
| 1497240469 | Mikayla Slegh | Behavior Technician | 8200 Humboldt Ave S Suite 100, Bloomington, MN 55431 | 2018-06-22 |
| 1073061552 | David Wells | Nurse Practitioner | 8100 Northland Dr., Bloomington, MN 55431 | 2016-09-14 |
| 1780033076 | Yasin Jama | Contractor | 9810 Drew Avenue South, Apartment 106, Bloomington, MN 55431 | 2016-06-07 |
| 1972961001 | Kadar Hadis | Social Worker | 8200 Humboldt Ave S Ste 217, Bloomington, MN 55431 | 2016-02-03 |
| 1063878908 | Amazing Transportation Services, LLC | Non-emergency Medical Transport (VAN) | 9031 Penn Ave South Suite 100, Bloomington, MN 55431 | 2016-01-07 |
| 1093170136 | Kelsey Margaret Perreault | Chiropractor | 8120 Penn Ave. S., Suite 525, Bloomington, MN 55431 | 2015-12-16 |
| Find all providers in zip 55431 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881216430 | Prosper Home Health and Transportation | Assisted Living Facility | 10025 Colfax Ave S, Bloomington, MN 55431-3133 | 2020-05-16 |
| 1881104289 | Ev Bloomington Limited Partnership | Assisted Living Facility | 3607 South Heirloom Drive, Bloomington, IN 47401 | 2017-10-11 |
| 1053737213 | Bloomington Bethany Senior Housing,inc | Assisted Living Facility | 6600 Auto Club Rd, Bloomington, MN 55438-2425 | 2014-03-12 |
| 1235470907 | Tealwood Management, LLC | Assisted Living Facility | 7400 W 109th St, Bloomington, MN 55438-2374 | 2013-03-06 |
| 1295008787 | Nine Mile Catered Living | Assisted Living Facility | 2301 Village Ln, Bloomington, MN 55431-5810 | 2012-02-15 |
| 1992004071 | Breck Home Residential Care Center, LLC | Assisted Living Facility | 312 W 95th St, Bloomington, MN 55420-4311 | 2011-03-15 |
| 1154628915 | The James Inc Assited Living | Assisted Living Facility | 4533 Normandale Highlands Dr, Bloomington, MN 55437-2310 | 2011-02-14 |
| 1861721169 | Metropolitan Living, LLC | Assisted Living Facility | 1400 W 100th St, Bloomington, MN 55431-3125 | 2009-12-15 |
| 1760618607 | Metropolitan Living, LLC | Assisted Living Facility | 9230 5th Ave S, Bloomington, MN 55420-3812 | 2009-06-05 |
| 1568613594 | Nervana's Caring Hands Inc. | Assisted Living Facility | 8719 Bloomington Ave, Bloomington, MN 55425-1923 | 2008-10-08 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 55431 |
Please comment or provide details below to improve the information on RESIDENTIAL CARE AT NINE MILE CREEK.
| 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.