GREAT LAKE CARE LLC (NPI# 1356951255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356951255 |
| Entity Type | Organization |
| Organization Name | GREAT LAKE CARE LLC |
| Practice Address |
1710 Douglas Dr N Ste 224e Golden Valley MN 55422-4350 |
| Mailing Address |
7549 Emerson Ave N Brooklyn Park MN 55444-2539 |
| Practice Telephone | 7632212102 |
| Mailing Telephone | 7632212102 |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2020-08-05 |
| Authorized Official Name | IFRAH ELMI (CEO) |
| Authorized Official Telephone | 7632212102 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 6931842 | 05 |
| Street Address |
1710 DOUGLAS DR N STE 224E |
| City | GOLDEN VALLEY |
| State | MN |
| Zip Code | 55422-4350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966794 | Trevor Velin | Chiropractor | Robin Center Chiropractic, Pa, 4080 W Broadway Ave, 310, Robbinsdale, MN 55422 | 2019-11-07 |
| 1780165134 | American Current Care of Minnesota PC | Clinic/Center | 4080 W Broadway Ave Ste 200, Robbinsdale, MN 55422 | 2018-08-23 |
| 1366928426 | Creekside Family Dental Pllc | Dentist | Giebenhain Dental Associates, P.a., 5851 Duluth Street # 103, Golden Valley, MN 55422 | 2018-07-12 |
| 1497249536 | Luke Utecht | Psychologist | 4150 Olson Memorial Hwy, Suite 420, Golden Valley, MN 55422 | 2018-06-21 |
| 1821582115 | Ajaa Oliver | Registered Nurse | 3606 Zenith Ave N, Robbinsdale, MN 55422 | 2018-06-19 |
| 1306348024 | Leila Jean Erlandson | Marriage & Family Therapist | Golden Valley Executive Center, 4284 Dahlberg Drive, Golden Valley, MN 55422 | 2018-03-08 |
| 1467969907 | Minneapolis Health Clinic Pllc | Internal Medicine | 4825 Olson Memorial Hwy., Suite 101, Golden Valley, MN 55422 | 2018-01-05 |
| 1275049116 | Lake Town Homecare, LLC | In Home Supportive Care | 4119 Scott Ave N, Robbinsdale, MN 55422 | 2017-12-14 |
| 1750894002 | Unihealth Home Care, LLC | Home Health | 1710 Douglas Dr N Ste 226j, Golden Valley, MN 55422 | 2017-11-08 |
| 1194172296 | Crosscultural Health Care Inc | Home Health | 5801 Duluth Street Suite 310, Golden Valley, MN 55422 | 2016-05-18 |
| Find all providers in zip 55422 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053800862 | Nexus Health Innovations LLC | Community/Behavioral Health | 1405 Lilac Dr N Ste 129, Golden Valley, MN 55422-4535 | 2018-05-07 |
| 1144672460 | Sequence Health LLC | Community/Behavioral Health | 1710 Douglas Dr N Ste 226s, Golden Valley, MN 55422-4370 | 2016-07-11 |
| 1679951669 | Minnesota Behavioral Resources LLC | Community/Behavioral Health | 8441 Wayzata Blvd Ste 118, Golden Valley, MN 55426-1349 | 2015-05-11 |
| 1427308360 | Greater Minneapolis Crisis Nursery | Community/Behavioral Health | 5400 Glenwood Ave, Golden Valley, MN 55422-5120 | 2012-09-19 |
| 1932261377 | Power of Relationships | Community/Behavioral Health | 820 Lilac Dr N, Suite 130, Golden Valley, MN 55422-4700 | 2006-12-14 |
| 1467813139 | Kaire LLC | Community/Behavioral Health | 8441 Wayzata Blvd Ste 118, Golden Valley, MN 55426-1349 | 2016-03-09 |
| 1659627347 | Christian Recovery Counseling | Community/Behavioral Health | 8441 Wayzata Blvd, Ste #160, Golden Valley, MN 55426-1344 | 2012-07-31 |
| 1548436090 | Volunteers of America of Minnesota | Community/Behavioral Health | 5905 Golden Valley Rd, Suite 100, Golden Valley, MN 55422-4463 | 2008-05-05 |
| 1831239003 | Hoy & Associates Inc. | Community/Behavioral Health | 8401 Wayzata Blvd, Suite 370, Golden Valley, MN 55426-1343 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922102 | Alliance Development Center LLC | Community/Behavioral Health | 1545 E Lake St Ste 210, Minneapolis, MN 55407-1742 | 2020-11-05 |
| 1083212419 | Stepping Stone Counseling, LLC | Community/Behavioral Health | 339 9th St Ste C, Windom, MN 56101-1694 | 2020-10-16 |
| 1114526548 | Essential Grace Therapy, Pllc | Community/Behavioral Health | 12390 Sherburne Ave Ste 210, Becker, MN 55308-9147 | 2020-10-16 |
| 1770180606 | Anishinaabe Endaad LLC | Community/Behavioral Health | 3027 Queen Ave N, Minneapolis, MN 55411-1060 | 2020-10-05 |
| 1427662543 | Autism Center for Education LLC | Community/Behavioral Health | 2021 E Hennepin Ave Ste 187, Minneapolis, MN 55413-2187 | 2020-09-04 |
| 1235743634 | Amolo House | Community/Behavioral Health | 3730 Fremont Ave N, Minneapolis, MN 55412-2014 | 2020-09-02 |
| 1508470956 | Our Future Inc. | Community/Behavioral Health | 3055 Old Highway 8 Ste 230, St Anthony, MN 55418-2500 | 2020-09-02 |
| 1114539434 | Northway Academy, Inc. | Community/Behavioral Health | 19437 Evans Street Nw, Elk River, MN 55330-1074 | 2020-08-18 |
| 1336750769 | Community Care Partners | Community/Behavioral Health | 2817 Anthony Ln S Ste 312, St Anthony, MN 55418-2886 | 2020-08-10 |
| 1689283772 | Raji Inc | Community/Behavioral Health | 2639 Nicollet Ave # 130, Minneapolis, MN 55408-1629 | 2020-07-24 |
| Find all providers with the same taxonomy | ||||
| City | GOLDEN VALLEY |
| Zip Code | 55422 |
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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.