RAPHA HEALTHCARE SERVICES INC (NPI# 1215425616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215425616 |
| Entity Type | Organization |
| Organization Name | RAPHA HEALTHCARE SERVICES INC |
| Practice Address |
7816 Humboldt Ave N Brooklyn Park MN 55444-2140 |
| Mailing Address |
3300 County Road 10 Ste 525 Brooklyn Center MN 55429-3072 |
| Practice Telephone | 7632086772 |
| Practice Fax Number | 7632087924 |
| Mailing Telephone | 6127013760 |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2019-01-22 |
| Authorized Official Name | MRS. ATINUKE LADIPO (DIRECTOR) |
| Authorized Official Telephone | 6127013760 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251J00000X | Nursing Care | Agencies | ||
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| N | 3104A0630X |
Assisted Living Facility Specialization: Assisted Living, Behavioral Disturbances |
Nursing & Custodial Care Facilities | ||
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities | ||
| N | 251E00000X | Home Health | 385786 | MN | Agencies |
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | COMPREHENSIVE HOME CARE | 385786 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3300 County Road 10 Ste 525, Brooklyn Center, MN 554293072 | 6127013760 |
| Street Address |
7816 HUMBOLDT AVE N |
| City | BROOKLYN PARK |
| State | MN |
| Zip Code | 55444-2140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124541404 | Sharon Novell | Private Vehicle | 8411 Sheridan Av N, Minneapolis, MN 55444 | 2017-07-19 |
| 1053692491 | Akwen Joan Morcho | Registered Nurse | 9733 Thomas Ave N, Brooklyn Park, MN 55444-1011 | 2011-08-30 |
| 1497811244 | B D Edwards and Co.,llc | Home Health | 2716 98th Ave N, Brooklyn Park, MN 55444-1020 | 2006-12-28 |
| 1346870201 | The Grace Home Health Services LLC | Home Health | 9707 Penn Ave N, Brooklyn Park, MN 55444-1031 | 2020-01-20 |
| 1003118787 | Jessica Marie Coleman | Doula | 2401 96th Ave N, Brooklyn Park, MN 55444-1148 | 2010-12-01 |
| 1386101129 | Aspen Home Health Care Inc. | In Home Supportive Care | 9508 Upton Ave N, Brooklyn Park, MN 55444-1157 | 2019-02-28 |
| 1265079404 | Phinsaykeo Souriyathay | Assisted Living Facility | 9300 Penn Ave N, Brooklyn Park, MN 55444-1166 | 2019-12-06 |
| 1326258336 | Pang Tang Her | Technician | 9217 W River Rd, Brooklyn Park, MN 55444-1219 | 2007-05-22 |
| 1508341157 | Todd David Hanson | Registered Nurse | 1601 89th Ave N, Brooklyn Park, MN 55444-1233 | 2018-09-29 |
| 1134750789 | Lamonica Barthelemy | Technician | 9232 James Ave N, Brooklyn Park, MN 55444-1234 | 2020-02-03 |
| Find all providers in zip 55444 | ||||
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578171518 | New Horizon Assisted Living LLC | Assisted Living Facility | 5916 71st Ave N, Brooklyn Park, MN 55429-1005 | 2020-07-15 |
| 1720609621 | Home Joy Home Care, Inc. | Assisted Living Facility | 7632 83rd Ave N, Brooklyn Park, MN 55445-2247 | 2020-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699380683 | Gabby Care Homes LLC | Assisted Living Facility | 1513 Pennsylvania Ave N, Champlin, MN 55316-2016 | 2020-09-15 |
| 1982214607 | Parkview Manor Inc | Assisted Living Facility | 5802 Bass Lake Rd, Crystal, MN 55429-2749 | 2020-08-06 |
| 1689211666 | Gabby Care Homes LLC | Assisted Living Facility | 1500 Pennsylvania Ave N, Champlin, MN 55316-2017 | 2019-12-09 |
| 1659871507 | Progressive Home Health Care, Inc. | Assisted Living Facility | 2933 11th Ave S, Minneapolis, MN 55407-1314 | 2018-02-16 |
| 1841651916 | Wellness Homes Inc. | Assisted Living Facility | 214 E 19th St, Apt 301, Minneapolis, MN 55403-3963 | 2016-03-16 |
| 1487995791 | Rose Haven | Assisted Living Facility | 37 6th St Se, Menahga, MN 56464-3157 | 2013-03-12 |
| 1881954964 | Rem Arrowhead, Inc. | Assisted Living Facility | 214 7th St, Cloquet, MN 55720-1805 | 2012-05-22 |
| 1477854289 | Rem Heartland, Inc. | Assisted Living Facility | 1205 Victoria St, Fairmont, MN 56031-4453 | 2010-11-10 |
| 1689974693 | Rem Central Lakes, Inc. | Assisted Living Facility | 200 8th St Se, Little Falls, MN 56345-3252 | 2010-10-25 |
| 1245540541 | Rem Minnesota Community Services, Inc. | Assisted Living Facility | 7752 Hemingway Ave S, Cottage Grove, MN 55016-1834 | 2010-10-20 |
| Find all providers with the same taxonomy | ||||
| City | BROOKLYN PARK |
| Zip Code | 55444 |
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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.