KRISTA MAYLENE TUPKER (NPI# 1386275980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386275980 |
Entity Type | Individual |
Full Name | KRISTA MAYLENE TUPKER |
Practice Address |
14490 Lynx Rd Milaca MN 56353-3019 |
Practice Telephone | 3204960305 |
Mailing Telephone | 3204960305 |
Enumeration Date | 2020-02-01 |
Last Update Date | 2020-02-01 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
1103649 | MN | Nursing & Custodial Care Facilities |
Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
1103251 | MN | Nursing & Custodial Care Facilities |
Street Address |
14490 LYNX RD |
City | MILACA |
State | MN |
Zip Code | 56353-3019 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265064109 | Country Acres Foster Care | Custodial Care Facility | 14490 Lynx Rd, Milaca, MN 56353-3019 | 2020-02-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033467659 | Nancy Hansmeier | Occupational Therapist | 12101 120th Ave, Milaca, MN 56353 | 2012-08-29 |
1528345493 | Rum River Health Services, Inc. | Counselor | 640 3rd Street Ne, Milaca, MN 56353 | 2011-11-07 |
1720340102 | Morgan Rae Lasalle | Marriage & Family Therapist | 160 3rd Ave Nw, Milaca, MN 56353 | 2012-06-12 |
1811914351 | Kimberly Ann Molacek | Optometrist | 132 2nd Ave Sw, Milaca, MN 56353 | 2006-07-17 |
1124103569 | Country Meadows of Milaca, Inc. | Assisted Living Facility | 740 2nd St. Se, Milaca, MN 56353-0157 | 2006-10-26 |
1740816941 | St Raphaels Chiropractic Care Center Pllc | Physical Therapist | 115 1st St W # 3, Milaca, MN 56353-1101 | 2020-03-19 |
1497854392 | Kip A Smith | Chiropractor | 115 1st St W, # 3, Milaca, MN 56353-1101 | 2006-09-21 |
1215557228 | St Raphaels Chiropractic Care Center Pllc | Physical Therapist | 115 1st St W # 3, Milaca, MN 56353-1101 | 2020-04-20 |
1750472197 | Hobert Drugs Inc | Durable Medical Equipment & Medical Supplies | 127 2nd Ave Sw, Milaca, MN 56353-1105 | 2006-09-28 |
1811929896 | Fairview Pharmacy Services LLC | Durable Medical Equipment & Medical Supplies | 115 2nd Ave Sw, Milaca, MN 56353-1105 | 2006-07-07 |
Find all providers in zip 56353 |
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 |
---|---|---|---|---|
1265064109 | Country Acres Foster Care | Custodial Care Facility | 14490 Lynx Rd, Milaca, MN 56353-3019 | 2020-02-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043844384 | First Mercy Homes LLC | Custodial Care Facility | 15723 Fair Hill Way, Apple Valley, MN 55124-5256 | 2020-02-25 |
1437700499 | Amanda Sue Moen | Custodial Care Facility | 700 105th St Nw, Rice, MN 56367-8656 | 2019-09-21 |
1467006601 | Michelle M Green | Custodial Care Facility | 13709 Apollo Way, Rosemount, MN 55068-2171 | 2019-07-25 |
1750947743 | Victor G. Makori | Custodial Care Facility | 17017 Georgetown Way, Rosemount, MN 55068-5159 | 2019-05-15 |
1134698814 | Sharry Mae Stensrud | Custodial Care Facility | 25 E Broadway, Plainview, MN 55964-1531 | 2018-11-25 |
1770080442 | Christophe Benzi | Custodial Care Facility | 1403 Nicole Ct, Fergus Falls, MN 56537-3326 | 2018-04-10 |
1225542608 | All Hopes Incorporated | Custodial Care Facility | 9937 Linnet St Nw, Coon Rapids, MN 55433-4721 | 2017-11-21 |
1003368309 | Amazing Love Elderly Care Center LLC | Custodial Care Facility | 7807 Emerald Rd, Randall, MN 56475-2428 | 2016-11-03 |
1902268857 | Gaudencio Fuentes Celeste | Custodial Care Facility | 8674 134th St W, Apple Valley, MN 55124-7234 | 2016-03-21 |
1356701379 | Golden Maple Homes, Inc. | Custodial Care Facility | 13104 Girard Ave S, Burnsville, MN 55337-2408 | 2016-03-03 |
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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.