HUMBLE HOME CHORE SERVICE LLC (NPI# 1174130777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174130777 |
| Entity Type | Organization |
| Organization Name | HUMBLE HOME CHORE SERVICE LLC |
| Practice Address |
6120 Earle Brown Dr Ste 230 Brooklyn Center MN 55430-4107 |
| Mailing Address |
940 E Brooke Pl Avondale AZ 85323-2439 |
| Practice Telephone | 7634011792 |
| Practice Fax Number | 7633122037 |
| Mailing Telephone | 7633127409 |
| Mailing Fax Number | 7633122037 |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2020-10-15 |
| Authorized Official Name | KELAVOIRE HOLLOWAY (OWNER) |
| Authorized Official Telephone | 7633127409 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 372500000X | Chore Provider | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | UNPI | A127960000 | 01 |
| Street Address |
6120 EARLE BROWN DR STE 230 |
| City | BROOKLYN CENTER |
| State | MN |
| Zip Code | 55430-4107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396362182 | Graceland Homes | Home Health | 6843 Colfax Ave N, Brooklyn Center, MN 55430 | 2020-06-29 |
| 1912549742 | His Services Home Care, LLC | Home Health | 2108 70th Avenue North, Brooklyn Park, MN 55430 | 2019-10-14 |
| 1336612969 | Jeremiah Sk Pojah Sr. | Registered Nurse | 5201 Bryant Avenue North, Suite 108, Minneapolis, MN 55430 | 2019-01-07 |
| 1891219697 | Tamika Yvette Spicer | Home Health Aide | 6640 Humboldt Ave N, 101, Brooklyn Center, MN 55430 | 2017-08-02 |
| 1265973358 | James Contois | Community Based Residential Treatment Facility, Mental Illness | 6120 Earle Brown Drive, Suite 100, Brooklyn Center, MN 55430 | 2017-03-09 |
| 1336693746 | Sara Jean Cooper | Dentist | 1090 Shingle Creek Pkwy, Brooklyn Center, MN 55430 | 2016-08-15 |
| 1750732202 | Miriam Home Health Corporation | Residential Treatment Facility, Physical Disabilities | 7030 Humboldt Avenue North, Brooklyn Center, MN 55430 | 2016-06-27 |
| 1649628561 | Tranquility Health LLC | Community/Behavioral Health | 6040 Earle Brown Dr Ste 250, Brooklyn Center, MN 55430 | 2016-06-01 |
| 1104233790 | Lillie's Helping Hands | In Home Supportive Care | 6407 Camden Ave N, #303, Brooklyn Center, MN 55430 | 2014-07-16 |
| 1063760817 | Wal-mart Stores Inc | Technician/Technologist | 1200 Shingle Creek Crossing, Brooklyn Center, MN 55430 | 2012-08-28 |
| Find all providers in zip 55430 | ||||
| Taxonomy Code | 372500000X |
| Grouping | Nursing Service Related Providers |
| Classification | Chore Provider |
| An individual who provides home maintenance services required to sustain a safe, sanitary living environment for individuals who because of age or disabilities is unable to perform the activities. These services include heavy household chores such as washing floors, windows, and walls; tacking down loose rugs and tiles; and moving heavy items of furniture in order to provide safe access and egress. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528973 | Davis Jackson Medical Assist Tean Lee | Chore Provider | 6449 Ipth Dr., Saint Paul, MN 55725-1130 | 2020-11-06 |
| 1205447505 | Abdullahi Maxamed | Chore Provider | 661 Hiawatha Ave, Vadnais Heights, MN 55127-5116 | 2020-08-11 |
| 1093325862 | Anab Daar | Chore Provider | 8080 Eden Rd Apt 250, Eden Prairie, MN 55344-7604 | 2020-08-05 |
| 1184243495 | Dylan Mackey | Chore Provider | 5251 Supalla Ct Nw, Rochester, MN 55901-1778 | 2020-04-16 |
| 1588202253 | Michael Teska Sr. | Chore Provider | 102 1st St S, Kinney, MN 55758-3000 | 2019-12-12 |
| 1396399333 | Michael Reimann | Chore Provider | 4514 Nokomis Ave, Minneapolis, MN 55406-3748 | 2019-07-29 |
| 1669958559 | Camille Jean Edosa | Chore Provider | 191 Larpenteur Ave E Apt F, Maplewood, MN 55117-2382 | 2018-07-14 |
| 1235645763 | Caringhands Adult Day Center | Chore Provider | 8040 Old Cedar Ave South Suite # 1, Bloomington, MN 55425 | 2017-12-20 |
| 1396139267 | Lousie Hoffman | Chore Provider | 1420 Minnehaha Ave W, Saint Paul, MN 55104-3689 | 2015-03-27 |
| 1699168385 | Phu Cao | Chore Provider | 1596 Gary Pl, Saint Paul, MN 55119-4238 | 2015-03-05 |
| Find all providers with the same taxonomy | ||||
| City | BROOKLYN CENTER |
| Zip Code | 55430 |
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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.