ERIC JOHN PELTZ (NPI# 1245855816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245855816 |
Entity Type | Individual |
Full Name | ERIC JOHN PELTZ |
Practice Address |
898 322nd Ave Ne Cambridge MN 55008-5810 |
Practice Telephone | 7632343308 |
Mailing Telephone | 7632343308 |
Enumeration Date | 2020-06-10 |
Last Update Date | 2020-06-10 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 372600000X | Adult Companion | 1103722 | MN | Nursing Service Related Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | MN DHS 245D LICENSE - ADULT FOSTER CARE LICENSE | 1104550 | 01 |
MN | MN ADULT FOSTER CARE LICENSE | 1103722 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407051550 | Eric Stephen Peltz | Pediatrics | 4 Okatie Center Blvd. S., Suite 201, Okatie, SC 29909-7507 | 2007-06-19 |
Street Address |
898 322ND AVE NE |
City | CAMBRIDGE |
State | MN |
Zip Code | 55008-5810 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912475716 | B's Adult Day Center Inc | Clinic/Center | 626 Main Street North, Cambridge, MN 55008 | 2018-11-09 |
1538607494 | Katy Karas | Counselor | 3171 309 Ave Nw, Cambridge, MN 55008 | 2017-02-10 |
1295273944 | Amy Roell | Occupational Therapist | 701 S Dellwood Street, Mail Route 71000, Cambridge, MN 55008 | 2017-02-02 |
1689957888 | Minnesota Sedation Dental | Clinic/Center | 1596 2nd Ave Ne, Suite B, Cambridge, MN 55008 | 2011-09-23 |
1235424870 | Melanie Andree Furtney Christofferson | Obstetrics & Gynecology | 701 S. Dellwood St., Cambridge, MN 55008 | 2011-06-11 |
1962712638 | Joy Marie Morlock | Counselor | 32393 Rendova Circle Ne, Cambridge, MN 55008 | 2010-10-15 |
1386966166 | Stacie Mix | Massage Therapist | 807 Main St North, Cambridge, MN 55008 | 2010-02-22 |
1538491261 | Kristin Peltz | Massage Therapist | 807 Main St N, Cambridge, MN 55008 | 2010-02-05 |
1831324979 | Michelle Lynn Preuss Varsoke | Dietitian, Registered | 701 S Dellwood St, Cambridge, MN 55008 | 2009-05-19 |
1659590024 | Jennifer Ellen Norberg | Physical Therapist | 701 South Dellwood Street, Cambridge, MN 55008 | 2007-04-24 |
Find all providers in zip 55008 |
Taxonomy Code | 372600000X |
Grouping | Nursing Service Related Providers |
Classification | Adult Companion |
An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881292944 | Reliable Quality Care LLC | Adult Companion | 1121 Hamline Ave N Unit 201, Saint Paul, MN 55108-2756 | 2020-10-12 |
1922605666 | Toujours Care Corp | Adult Companion | 16336 Jamison Path, Lakeville, MN 55044-6613 | 2020-10-06 |
1497383392 | Jennifer Clement | Adult Companion | 1426 Oliver Ave N Apt 2, Minneapolis, MN 55411-3033 | 2020-03-28 |
1902430879 | Golden Years Home | Adult Companion | 506 4th St Sw, Montgomery, MN 56069-1222 | 2020-02-28 |
1154965721 | Lansa Dawano | Adult Companion | 3707 104th Trl N, Minneapolis, MN 55443-1012 | 2019-11-06 |
1134786130 | Mohamed Shido Hassan | Adult Companion | 1312 7th St Nw Ste 203, Rochester, MN 55901-1704 | 2019-05-24 |
1457917262 | Pang Yang | Adult Companion | 12844 Raven St Nw, Coon Rapids, MN 55448-2578 | 2019-05-16 |
1629546072 | Andre Roberson | Adult Companion | 1110 Evergreen Ln N, Plymouth, MN 55441-4834 | 2018-11-04 |
1407349566 | Twins Care LLC | Adult Companion | 393 Dunlap St N Ste Ll44, Saint Paul, MN 55104-4237 | 2018-06-12 |
1578067344 | Taylor Lee Andrews | Adult Companion | 777 Dague Ave Ne, Buffalo, MN 55313-4214 | 2018-03-19 |
Find all providers with the same taxonomy |
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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.