SOJOURN ADULT DAY SERVICES LLC (NPI# 1255736930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255736930 |
| Entity Type | Organization |
| Organization Name | SOJOURN ADULT DAY SERVICES LLC |
| Practice Address |
5200 Maywood Rd Mound MN 55364-1775 |
| Practice Telephone | 9524716080 |
| Mailing Telephone | 9524716080 |
| Enumeration Date | 2014-10-24 |
| Last Update Date | 2014-10-24 |
| Authorized Official Name | MR. THOMAS HANCE PENN (OWNER/PARTNER) |
| Authorized Official Telephone | 6125909250 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
802258-5-ADC | MN | Ambulatory Health Care Facilities |
| Street Address |
5200 MAYWOOD RD |
| City | MOUND |
| State | MN |
| Zip Code | 55364-1775 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689681298 | Audrey Mae Frederickson | Psychologist | 5200 Maywood Rd, Suite 202, Mound, MN 55364-1775 | 2006-08-03 |
| 1730520172 | J M Baldus, Inc | Clinic/Center | 5200 Maywood Rd, Mound, MN 55364-1775 | 2013-07-15 |
| 1699942623 | Wendy Wright Mattera | Counselor | 5200 Maywood Rd, Suite 202, Mound, MN 55364-1775 | 2008-05-08 |
| 1972688448 | Juli Diane Teien | Marriage & Family Therapist | 5200 Maywood Rd, Suite 202, Mound, MN 55364-1775 | 2006-10-25 |
| 1356424055 | Daniel Paul Doshan | Psychologist | 5200 Maywood Rd, Mound, MN 55364-1775 | 2006-10-24 |
| 1700973773 | James Michael Baldus | Psychologist | 5200 Maywood Rd, Mound, MN 55364-1775 | 2006-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962992594 | Mary Kaye Guenther | Physical Therapy Assistant | 6670 Game Farm Rd, Mound, MN 55364 | 2018-05-18 |
| 1558893008 | Kirsten Eaton | Student in an Organized Health Care Education/Training Program | 945 Forest Arms Lanes, Mound, MN 55364 | 2017-04-03 |
| 1619322450 | Heidi Durant | Counselor | 2973 Hazelwood Lane, Mound, MN 55364 | 2016-04-29 |
| 1255720603 | Amanda S Myers | Speech-Language Pathologist | 940 Bayside Ln, Minnetrista, MN 55364 | 2015-01-22 |
| 1538447644 | Mary Bernadette Philp | Dentist | 5205 Shoreline Drive, Mound, MN 55364 | 2011-07-25 |
| 1659600088 | Thomas David Mazer | Anesthesiology | 560 North Arm Drive, Orono, MN 55364 | 2009-12-14 |
| 1205913282 | Robert A Lauer | Dentist | 5585 Shoreline Blvd, Mound, MN 55364 | 2006-11-01 |
| 1750470068 | Stephanie Lynn Miner | Dentist | West Lakes Dentistry, 5205 Shoreline Drive, Mound, MN 55364 | 2006-10-12 |
| 1194120519 | Stable Living LLC | Counselor | 6344 Rambler Ln, Mound, MN 55364-1043 | 2014-10-28 |
| 1386800977 | Debra Karen Kullberg | Marriage & Family Therapist | 1567 Bluebird Ln, Mound, MN 55364-1109 | 2008-08-02 |
| Find all providers in zip 55364 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962013847 | Wild River Services Inc | Clinic/Center | 1394 Jackson St Ste 220, Saint Paul, MN 55117-4631 | 2020-08-13 |
| 1649894957 | Minnesota Lotus LLC | Clinic/Center | 1983 Sloan Pl Ste 13-14, Saint Paul, MN 55117-2087 | 2020-06-02 |
| 1093347833 | Health Care Plus Inc. | Clinic/Center | 4949 Olson Memorial Hwy, Golden Valley, MN 55422-5130 | 2020-02-10 |
| 1932739570 | Care for You Inc | Clinic/Center | 2109 Nicollet Ave Ste 105, Minneapolis, MN 55404-3279 | 2020-01-23 |
| 1992342513 | The Salvation Army | Clinic/Center | 2080 Woodlynn Ave, Maplewood, MN 55109-1418 | 2019-12-02 |
| 1942844139 | Riverside Adult Care Inc | Clinic/Center | 924 19th Ave S Ste B, Minneapolis, MN 55404-2202 | 2019-10-31 |
| 1497397491 | Forever Friendship Adult Day Center | Clinic/Center | 734 Snelling Ave N, Saint Paul, MN 55104-2384 | 2019-10-10 |
| 1568013191 | Sip Brothers Inc. | Clinic/Center | 4618 85th Ave N, Brooklyn Park, MN 55443-1957 | 2019-09-25 |
| 1730730508 | Guardian Angels Health Services, Inc. | Clinic/Center | 9200 Quantrelle Ave Ne, Otsego, MN 55330-1048 | 2019-09-24 |
| 1346709268 | State of Minnesota-minnesota Management and Budget | Clinic/Center | 5101 Minnehaha Ave Bldg 4, Minneapolis, MN 55417-1647 | 2019-03-19 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SOJOURN ADULT DAY SERVICES 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.