MRS. JANELL DAWN MISSLER (NPI# 1154823755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154823755 |
Entity Type | Individual |
Full Name | MRS. JANELL DAWN MISSLER |
Practice Address |
1348 County Road 44 South Haven MN 55382-9112 |
Practice Telephone | 7634646701 |
Practice Fax Number | 3202742419 |
Mailing Telephone | 7634646701 |
Mailing Fax Number | 3202742419 |
Enumeration Date | 2018-02-28 |
Last Update Date | 2018-02-28 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 253J00000X | Foster Care Agency | 1092678-1-HCBS | MN | Agencies |
Street Address |
1348 COUNTY ROAD 44 |
City | SOUTH HAVEN |
State | MN |
Zip Code | 55382-9112 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750691903 | Serenity Choice Homecare | Home Health | 33459 Csah 19, South Haven, MN 55382-2821 | 2010-10-20 |
1922292846 | Mary Cecilia Maier | Nurse Practitioner | 17372 County Road 37 Nw, South Haven, MN 55382-4003 | 2007-09-04 |
1942502133 | Lynette Carol Imdieke-struzyk | Counselor | 6069 Hidden Ln, South Haven, MN 55382-4505 | 2010-11-22 |
1174963748 | Brenda J Arnold | Counselor | 6331 Hidden Ln, South Haven, MN 55382-4555 | 2013-06-27 |
1497051676 | Ashley Blasczyk | Registered Nurse | 14416 Beaverwood Rd, South Haven, MN 55382-9296 | 2011-02-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477154458 | Spectrum Health Primary Care Partners | Internal Medicine | 749 Phillips St, South Haven, MI 49090-1842 | 2020-11-05 |
1043833643 | Ralph Cunningham | Counselor | 16057 Blue Star M Hwy, South Haven, MI 49090-9470 | 2020-05-19 |
1245850957 | Black River Anesthesia Staffing LLC | Nurse Anesthetist, Certified Registered | 7245 Baseline Rd, South Haven, MI 49090-9176 | 2020-04-22 |
1235789553 | Dorthie Bolden | Foster Care Agency | 7027 Baseline Rd, South Haven, MI 49090-8338 | 2019-09-18 |
1033776919 | South Coast Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 72633 M 43, South Haven, MI 49090-8734 | 2019-05-25 |
1275001828 | Ripple Effects Autism Learning Center, LLC | Behavioral Analyst | 06321 Blue Star Memorial Hwy, South Haven, MI 49090-7775 | 2018-11-12 |
1821564311 | Carly Anastacia Greenhoe | Pharmacist | 08337 M 140 Ste 2, South Haven, MI 49090-1990 | 2018-10-23 |
1649777657 | Lisa Marie Letts | Massage Therapist | 410 Erie St, South Haven, MI 49090-1324 | 2018-04-07 |
1689174310 | Stephanie Bycroft | Nurse Practitioner | 965 S Bailey Ave Ste 2-5, South Haven, MI 49090-6743 | 2018-02-19 |
1295234490 | Katara Therapy, LLC | Social Worker | 13560 76th Street, Suite 3, South Haven, MI 49090 | 2018-02-03 |
Find all providers in SOUTH HAVEN |
Taxonomy Code | 253J00000X |
Grouping | Agencies |
Classification | Foster Care Agency |
A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. |
Notes: Source: Code Of Federal Regulations, Title 45, Volume 4, Part 1355, Section 57 [1/1/2008: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235789553 | Dorthie Bolden | Foster Care Agency | 7027 Baseline Rd, South Haven, MI 49090-8338 | 2019-09-18 |
1285180604 | Joyfulliving Adult Foster Care Home | Foster Care Agency | 328 Edgell St, South Haven, MI 49090-1716 | 2016-08-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659979979 | South Star Care | Foster Care Agency | 3973 Willow Ridge Dr Sw, Rochester, MN 55902-2801 | 2020-10-09 |
1174138218 | Angelique Elizabeth Finifrock | Foster Care Agency | 10701 Becks Rd, Duluth, MN 55808 | 2020-09-15 |
1881211951 | Nordell Family Services LLC | Foster Care Agency | 4626 20th St Sw, Waverly, MN 55390-5004 | 2020-07-06 |
1285260497 | Yasmin Ahmed Sulayman | Foster Care Agency | 3433 Kenosha Dr Nw, Rochester, MN 55901-5707 | 2020-03-19 |
1023657285 | Julia Marie Bolte | Foster Care Agency | 3629 152nd Ln Nw, Andover, MN 55304-3008 | 2020-01-04 |
1730722745 | Grace Jepchirchir Fidalgo | Foster Care Agency | 6222 Hedgecroft Ave S, Cottage Grove, MN 55016-6002 | 2019-10-22 |
1467094102 | Lake Country Living Services LLC | Foster Care Agency | 181 Little Rock Rd Nw, Rice, MN 56367-8685 | 2019-10-15 |
1518508712 | Amanda Hesse | Foster Care Agency | 775 Lee Cir Se, Cokato, MN 55321-4697 | 2019-09-30 |
1275181661 | Alliance Homes Corporation | Foster Care Agency | 4946 Jackson St Ne, Columbia Heights, MN 55421-1709 | 2019-08-28 |
1760048078 | Kevin Carlyle Lunde X | Foster Care Agency | 1321 Merrywood Ct, Faribault, MN 55021-6529 | 2019-05-13 |
Find all providers with the same taxonomy |
City | SOUTH HAVEN |
Zip Code | 55382 |
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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.