PRIDE HOME CARE CORP (NPI# 1255986170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255986170 |
| Entity Type | Organization |
| Organization Name | PRIDE HOME CARE CORP |
| Practice Address |
1500 1st Ave Ne Ste 100 Rochester MN 55906-4170 |
| Practice Telephone | 6514194555 |
| Practice Fax Number | 6515046713 |
| Mailing Telephone | 6514194555 |
| Mailing Fax Number | 6515046713 |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2019-08-07 |
| Authorized Official Name | MR. SAMUEL ADEMOLA ADEBAJO (OWNER) |
| Authorized Official Telephone | 6514194555 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
1500 1ST AVE NE STE 100 |
| City | ROCHESTER |
| State | MN |
| Zip Code | 55906-4170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912472440 | Carole Ellen Jenson | Nurse Practitioner | Rochester Clinic, 3070 Wellner Drive Ne, Rochester, MN 55906 | 2018-10-11 |
| 1760853980 | Sebandy Home Care Services, LLC | Health Maintenance Organization | 2548 Lisa Ln Ne, Rochester, MN 55906 | 2015-10-14 |
| 1538550611 | Rachel Eldersveld | Nurse Practitioner | 716 12th Ave Ne, Rochester, MN 55906 | 2015-02-11 |
| 1639590045 | Riverstone Psychological Services | Community/Behavioral Health | 511 Northern Hills Dr Ne, Suite 2, Rochester, MN 55906 | 2014-01-02 |
| 1396177457 | Marjorie Evelyn Murray | Custodial Care Facility | 4501-22nd Ave N.e., Rochester, MN 55906 | 2013-07-31 |
| 1447532411 | Peter M Holm | Dentist | 120 North Broadway Ne, Suite B, Good Samaritan Dental Clinic, Rochester, MN 55906 | 2011-09-15 |
| 1154615193 | Amy Johnson Tremain | Psychologist | 3228 6th Ave Ne Unit B, Rochester, MN 55906 | 2011-06-07 |
| 1235451816 | Connie Krueger | Dental Hygienist | 120 North Broadway, Ne, Suite B, Rochester, MN 55906 | 2010-02-23 |
| 1700115508 | Smn Home Care, LLC | Home Health | 1700 N. Broadway, Suite 114, Rochester, MN 55906 | 2009-12-08 |
| 1528395068 | Ryley D Layden | Chiropractor | 3169 Wellner Dr. Ne, Suite C, Rochester, MN 55906 | 2009-11-04 |
| Find all providers in zip 55906 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730787524 | Michele L Spinnichia | Home Health | 34 Blakeslee St, Rochester, NY 14609-2212 | 2020-10-13 |
| 1558978312 | 3c Home Health Services, LLC | Home Health | 2474 Boulder Ridge Dr Nw, Rochester, MN 55901-2221 | 2020-09-25 |
| 1215568209 | Fatima Seila Omar | Home Health | 721 46th Ave Nw, Rochester, MN 55901-6567 | 2020-01-29 |
| 1346880846 | Sewaa Ll.c | Home Health | 39 Rainier St, Rochester, NY 14613-2309 | 2020-01-13 |
| 1912548793 | Thrive Home Healthcare, LLC | Home Health | 5515 51st St Nw, Rochester, MN 55901-8357 | 2019-10-03 |
| 1538623970 | Ayan Home Health Care LLC | Home Health | 1500 1st Ave Ne Ste 212, Rochester, MN 55906-4170 | 2019-01-30 |
| 1083117550 | David Wegman | Home Health | 1495 Lake Ave, Rochester, NY 14615-3007 | 2018-03-12 |
| 1497263651 | Ha Enterprise, LLC | Home Health | 742 Clinton Ave S, Rochester, NY 14620-1402 | 2018-01-22 |
| 1386165546 | Icare Homecare Services, LLC | Home Health | 9 6th Street Ext Apt E, Rochester, PA 15074-1464 | 2017-06-28 |
| 1477080307 | Community First Home Care LLC | Home Health | 4387 Lake Ave, Rochester, NY 14612-4864 | 2017-05-23 |
| Find all providers in ROCHESTER | ||||
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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.