BLAINE WP, LLC (NPI# 1164757464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164757464 |
| Entity Type | Organization |
| Organization Name | BLAINE WP, LLC |
| Other Organization Name | BLAINE WHITE PINE |
| Practice Address |
12446 Jamestown Street Ne Blaine MN 55559 |
| Mailing Address |
720 Main St 205 Mendota Heights MN 55118-3757 |
| Practice Telephone | 7637541930 |
| Mailing Telephone | 6512870265 |
| Enumeration Date | 2009-10-05 |
| Last Update Date | 2009-10-05 |
| Authorized Official Name | MISS RHONDA K SCHILLINGER (BUSINESS MANAGER) |
| Authorized Official Telephone | 6512870265 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | MN | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Blaine White Pine | Other Name - Individual/Organization |
| Street Address |
12446 JAMESTOWN STREET NE |
| City | BLAINE |
| State | MN |
| Zip Code | 55559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750841 | Andrews Physical Therapy - Blaine, LLC | Physical Therapist | 1240 Rutledge Pike, Blaine, TN 37709 | 2020-11-03 |
| 1730788498 | Modern Dental Professionals | Dentist | 676 County Road 10 Ne, Blaine, MN 55434-2329 | 2020-10-22 |
| 1417556796 | Nicole Frogner Koshiol | Chiropractor | 11901 Highway 65 Ne, Blaine, MN 55434-3911 | 2020-10-19 |
| 1811595028 | Sound Couples Counseling Pllc | Counselor | 364 H St, Blaine, WA 98230-4109 | 2020-10-12 |
| 1841803624 | Leah Anna Marie Miskowiec | Dietitian, Registered | 2896 88th Ave Ne, Blaine, MN 55449-6761 | 2020-08-31 |
| 1922611318 | Valetta Johnson Massaquoi | Student in an Organized Health Care Education/Training Program | 9557 Monroe St Ne, Blaine, MN 55434-2540 | 2020-08-26 |
| 1023628591 | Rahul Farmah | Optometrist | 680 Hwy 10 Ne, Blaine, MN 55434 | 2020-08-08 |
| 1699385138 | Stephanie Rose Carlson | Physical Therapist | 1733 H St Ste 400, Blaine, WA 98230-5107 | 2020-08-07 |
| 1770100877 | Halabrin Marty and Associates | Clinic/Center | 12760 Aberdeen St Ne Ste 2122760, Blaine, MN 55449-5845 | 2020-07-06 |
| 1033736368 | Landon Thomas Case | Dentist | 10729 Town Square Drive Ne, Ste 100, Blaine, MN 55449 | 2020-07-02 |
| Find all providers in BLAINE | ||||
| 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 |
|---|---|---|---|---|
| 1962921924 | Mw Minnetonka Operating LLC | Assisted Living Facility | 1005 Paul Parkway Ne, Blaine, MN 55434 | 2017-09-11 |
| 1205386091 | Crest View Corporation | Assisted Living Facility | 12016 Ulysses St Ne, Blaine, MN 55434 | 2016-10-05 |
| 1871989806 | Blaine Wp II, LLC | Assisted Living Facility | 12402 Jamestown Street Ne, Blaine, MN 55449 | 2015-04-07 |
| 1023241825 | Brookdale Senior Living Communities Inc | Assisted Living Facility | 1005 Paul Pkwy Ne, Blaine, MN 55434-3926 | 2009-08-26 |
| 1396993036 | Christine Professional Health Care Inc | Assisted Living Facility | 9970 Madison St Ne, Blaine, MN 55434-4207 | 2008-09-07 |
| 1619529542 | Mff Blaine LLC | Assisted Living Facility | 1005 Paul Pkwy Ne, Blaine, MN 55434-3926 | 2019-07-11 |
| 1396167953 | Edgewood Blaine LLC | Assisted Living Facility | 12450 Cloud Dr Ne, Blaine, MN 55449-6226 | 2014-01-15 |
| 1073737284 | The Evangelical Lutheran Good Samaritan Society | Assisted Living Facility | 456 C St, Blaine, WA 98230-4238 | 2007-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871193417 | Midwest Group Home | Assisted Living Facility | 4232 5th St Ne, Columbia Heights, MN 55421-2860 | 2020-10-30 |
| 1710587696 | Friesen & Friesen, Inc | Assisted Living Facility | 1971 Ne 1st Avenue, Grand Rapids, MN 55744 | 2020-10-29 |
| 1750980603 | Estherra Care LLC | Assisted Living Facility | 1120 Morgan Ave N, Minneapolis, MN 55411-3805 | 2020-10-21 |
| 1679189682 | Daniel Care Homes LLC | Assisted Living Facility | 6809 Perry Ave N, Brooklyn Center, MN 55429-1611 | 2020-09-16 |
| 1326651779 | Secured Health and Homecare Inc | Assisted Living Facility | 4519 104th Ave N, Brooklyn Park, MN 55443-1030 | 2020-08-26 |
| 1811509870 | Aurora Assisted Living LLC | Assisted Living Facility | 115 Magnolia Ave W, Saint Paul, MN 55117-4916 | 2020-08-20 |
| 1003427477 | In My Father's House | Assisted Living Facility | 3096 Snelling Ave N, Roseville, MN 55113-1659 | 2020-08-11 |
| 1710595863 | Eden Prairie Senior Living | Assisted Living Facility | 8480 Franlo Rd, Eden Prairie, MN 55344-2938 | 2020-07-15 |
| 1447868468 | Brightstar Services LLC | Assisted Living Facility | 1821 University Ave W Ste 120, Saint Paul, MN 55104-2811 | 2020-07-15 |
| 1235757667 | Roers Senior Living Buffalo LLC | Assisted Living Facility | 150 Division Street East, Buffalo, MN 55313 | 2020-07-13 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BLAINE WP, LLC.
| 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.