JULIE E BLASKOWSKI (NPI# 1386064749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386064749 |
Entity Type | Individual |
Full Name | JULIE E BLASKOWSKI |
Practice Address |
1916 Deer Valley Rd Fergus Falls MN 56537-4437 |
Practice Telephone | 2187367945 |
Practice Fax Number | 2187364250 |
Mailing Telephone | 2187367945 |
Mailing Fax Number | 2187364250 |
Enumeration Date | 2014-04-23 |
Last Update Date | 2014-04-23 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
1006853-8-AFC | MN | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | LICENSE | 1006853-8-AFC | 01 |
Street Address |
1916 DEER VALLEY RD |
City | FERGUS FALLS |
State | MN |
Zip Code | 56537-4437 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073939286 | Linda Reich | Custodial Care Facility | 1916 Deer Valley Rd, Fergus Falls, MN 56537-4437 | 2014-03-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295334217 | Mary Jane Andersen | Pharmacist | 3300 Hwy 210 W, Fergus Falls, MN 56537 | 2020-10-21 |
1609475615 | Blaine Perry Ecker | Pharmacist | 3300 Highway 210 W., 3300 Highway 210 West, Fergus Falls, MN 56537 | 2020-10-21 |
1336771591 | Paul George Wawin | Psychiatry & Neurology | 712 Cascade St. S. Lake Region Healthcare, Fergus Falls, MN 56537 | 2020-02-06 |
1134604127 | Christopher Michael Kjolhaug | Physical Therapist | 1131 South Mabelle Ave, Fergus Falls, MN 56537 | 2018-09-26 |
1619406808 | Aaron John Teigen | Physical Therapist | 1304 Lincoln Ave W, Suite C, Fergus Falls, MN 56537 | 2017-06-09 |
1003272154 | Anthony Gettel Dc LLC | Chiropractor | 755 Wildwood Trail, Fergus Falls, MN 56537 | 2016-01-05 |
1447628912 | Kelsey Shea | Student in an Organized Health Care Education/Training Program | 20743 Red Oak Dr., Fergus Falls, MN 56537 | 2015-09-14 |
1881070217 | Vineet Ganapati | Dentist | 2001 W Lincoln Ave # 33, Fergus Falls, MN 56537 | 2015-08-07 |
1497004832 | Beverly Renae Reiff | Registered Nurse | 22279 River Oaks Drive, Fergus Falls, MN 56537 | 2012-08-30 |
1114221421 | Jane Mary Bjornson | Social Worker | 21081 County Hwy 1, Fergus Falls, MN 56537 | 2010-12-29 |
Find all providers in zip 56537 |
Taxonomy Code | 311ZA0620X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Custodial Care Facility |
Specialization | Adult Care Home |
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770080442 | Christophe Benzi | Custodial Care Facility | 1403 Nicole Ct, Fergus Falls, MN 56537-3326 | 2018-04-10 |
1912366162 | Janet Grulke | Custodial Care Facility | 1117 N Marien St, Fergus Falls, MN 56537-1457 | 2016-02-16 |
1447677380 | Christy Lynn Mark | Custodial Care Facility | 1324 Harmony Pl, Fergus Falls, MN 56537-1533 | 2014-03-27 |
1073939286 | Linda Reich | Custodial Care Facility | 1916 Deer Valley Rd, Fergus Falls, MN 56537-4437 | 2014-03-12 |
1740572312 | Westgate Properties LLC | Custodial Care Facility | 721 Springen Ave, Fergus Falls, MN 56537-1674 | 2011-05-13 |
1477867299 | Haven Manor | Custodial Care Facility | 419 E Saint Charles Ave, Fergus Falls, MN 56537-3616 | 2010-08-04 |
1164614228 | Midwest Home Health Inc | Custodial Care Facility | 2520 Pebble Lake Rd, Fergus Falls, MN 56537-4221 | 2007-08-13 |
1700086394 | Melvin L. Frank | Custodial Care Facility | 19758 Dayton Hollow Ln, Fergus Falls, MN 56537-7621 | 2007-07-20 |
1407303662 | Robert Allen Reisch | Custodial Care Facility | 19758 Dayton Hollow Ln, Fergus Falls, MN 56537-7621 | 2016-09-06 |
1790230936 | Hospitality House of Dayton Lake | Custodial Care Facility | 19758 Dayton Hollow Ln, Fergus Falls, MN 56537-7621 | 2016-08-17 |
Find all providers in FERGUS FALLS |
City | FERGUS FALLS |
Zip Code | 56537 |
Please comment or provide details below to improve the information on JULIE E BLASKOWSKI.
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.