NORTHERN LIGHTS ATHLETE VILLAGE (NPI# 1376727735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376727735 |
| Entity Type | Organization |
| Organization Name | NORTHERN LIGHTS ATHLETE VILLAGE |
| Practice Address |
8109 Bryant Ave S Bloomington MN 55420-5711 |
| Practice Telephone | 9528884311 |
| Mailing Telephone | 9528884311 |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2007-12-20 |
| Authorized Official Name | MRS. STEPHANIE SMITH (CEO) |
| Authorized Official Telephone | 9528884311 |
| Authorized Official Credential | ATC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | 1411 | MN | Agencies |
| Street Address |
8109 BRYANT AVE S |
| City | BLOOMINGTON |
| State | MN |
| Zip Code | 55420-5711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457986556 | Jon Brookson Engfer | Counselor | 8609 Lyndale Avenue South, Bloomington, MN 55420 | 2020-03-09 |
| 1720624810 | Sunshine Assisted Living Services LLC | Home Health | 9540 Columbus Ave S, Bloomington, MN 55420 | 2019-11-23 |
| 1417205246 | Jrb Holdings, LLC | Home Health | 9897 Lyndale Ave S, Bloomington, MN 55420 | 2012-08-28 |
| 1629223722 | Jennifer Jean Bormann | Audiologist | 8714 Lyndale Avenue South, Minneapolis, MN 55420 | 2008-11-18 |
| 1801055959 | Sarah J. Marsden | Speech-Language Pathologist | 900 W 94th St., Bloomington, MN 55420 | 2008-06-04 |
| 1699949784 | 1st Choice Care, Inc. | Home Health | 9035 Blaisdell Ave S, Bloomington, MN 55420 | 2008-04-18 |
| 1922295203 | Cornerstone Advocacy Service | Community/Behavioral Health | 1000 East 80th St, Bloomington, MN 55420 | 2007-10-01 |
| 1184769457 | Fairview Oxboro Pharmacy Mtm | Non-Pharmacy Dispensing Site | 600 W 98th Street, Bloomington, MN 55420 | 2007-02-21 |
| 1891831723 | A Caring Company, Inc. | In Home Supportive Care | 9001 East Bloomington Freeway, Sutie 145, Bloomington, MN 55420 | 2007-01-29 |
| 1134279318 | Jennifer Mary Connelly | Speech-Language Pathologist | 9001 E Bloomington Fwy Ste 141, Bloomington, MN 55420 | 2007-01-11 |
| Find all providers in zip 55420 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255993580 | Pillar Services Inc. | Case Management | 5240 W 102nd St Apt 117, Bloomington, MN 55437-2543 | 2019-07-08 |
| 1528538923 | East Central Illinois Area Agency On Aging, Inc. | Case Management | 1003 Maple Hill Rd, Bloomington, IL 61705-9327 | 2018-11-28 |
| 1548599319 | Catasys Health Minnesota, Inc. | Case Management | 7825 Washington Avenue South, Suite 500, Pmb# 600-005, Bloomington, MN 55439 | 2009-12-08 |
| 1538304936 | Individualized Services, Inc. | Case Management | 1322 N Linden St, Bloomington, IL 61701-1939 | 2008-12-14 |
| 1124197298 | Family & Children's Service | Case Management | 9201 E Bloomington Fwy, Suite Q, Bloomington, MN 55420-3437 | 2006-11-06 |
| 1194227827 | Chestnut Health Systems, Inc | Case Management | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 | 2018-03-08 |
| 1164821419 | Creative Care Solutions, LLC | Case Management | 455 E Wylie Farm Rd, Bloomington, IN 47401-4591 | 2014-08-21 |
| 1679897250 | Acn Group, Inc. | Case Management | 4300 Market Pointe Dr, Bloomington, MN 55435-5423 | 2010-03-25 |
| 1972745164 | Positive Link | Case Management | 333 E Miller Dr, Bloomington, IN 47401-6557 | 2009-04-02 |
| 1710196969 | Indiana University Health Bloomington Inc | Case Management | 333 E Miller Dr, Bloomington, IN 47401-6557 | 2007-05-22 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 55420 |
Please comment or provide details below to improve the information on NORTHERN LIGHTS ATHLETE VILLAGE.
| 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.