LIFESPRK HOME HEALTH LLC (NPI# 1407223282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407223282 |
| Entity Type | Organization |
| Organization Name | LIFESPRK HOME HEALTH LLC |
| Practice Address |
5320 W 23rd St Ste 130 St Louis Park MN 55416-1670 |
| Practice Telephone | 9523458770 |
| Mailing Telephone | 9523458770 |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2019-04-11 |
| Authorized Official Name | BETH NEMEC (DIRECTOR) |
| Authorized Official Telephone | 9523458770 |
| Is Organization Subpart | Y |
| Parent Organization Name | LIFESPRK LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 370535 | MN | Agencies |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4570 W 77th St, Suite 350, Edina, MN 554355008 | 9523458770 |
| Street Address |
5320 W 23RD ST STE 130 |
| City | ST LOUIS PARK |
| State | MN |
| Zip Code | 55416-1670 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467440784 | Leann Clarksean | Nurse Practitioner | 5320 W 23rd St Ste 130, St Louis Park, MN 55416-1670 | 2005-10-11 |
| 1295379154 | Lifesprk Hospice, LLC | Hospice Care, Community Based | 5320 W 23rd St Ste 130, St Louis Park, MN 55416-1670 | 2019-11-04 |
| 1225684616 | Joanna Weinand | Dietitian, Registered | 5320 W 23rd St Ste 130, St Louis Park, MN 55416-1670 | 2019-08-13 |
| 1427551746 | Lifesprk Medical Group, Pa | Internal Medicine | 5320 W 23rd St Ste 130, St Louis Park, MN 55416-1670 | 2018-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639711492 | Ismahan Abdirahman Mohamed | Psychologist | 4236 Parkglen Rd, St Louis Park, MN 55416 | 2019-10-14 |
| 1598307860 | Ayman Abulaziz Mohamed | Counselor | 4326 Park Glen Rd, St Louis Park, MN 55416 | 2019-10-08 |
| 1831758929 | Ally Group Homes LLC | Assisted Living Facility | 2944 Princeton Ave South, Saint Louis Park, MN 55416 | 2019-06-11 |
| 1609371525 | Heather Margaret Flatgard | Chiropractor | 5407 Excelsior Blvd Ste D, St Louis Park, MN 55416 | 2018-03-25 |
| 1942702394 | Polaris Pharmacy Services of Minnesota, LLC | Pharmacy | 4220 Park Glen Road, St. Louis Park, MN 55416 | 2018-03-01 |
| 1316469760 | Evert Ray Boyd | Psychologist | 3200 Highway 100 S., Groves Academy, St Louis Park, MN 55416 | 2017-07-07 |
| 1861941684 | Amanda Marie Tapper | Marriage & Family Therapist | 5407 Excelsior Blvd, Suite B, St Louis Park, MN 55416 | 2016-09-22 |
| 1326410416 | Clear Health Chiropractic LLC | Chiropractor | 5614 W 36th St, St. Louis Park, MN 55416 | 2015-10-28 |
| 1568897833 | Kay Elizabeth Lichtenberger | Physical Therapist | 4415 W 36.5 St, St. Louis Park, MN 55416 | 2013-09-05 |
| 1710221510 | Aaron Christopher Oppelt | Counselor | 1665 Utica Ave South - Suite 100, Saint Louis Park, MN 55416 | 2012-11-16 |
| Find all providers in zip 55416 | ||||
| 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 |
|---|---|---|---|---|
| 1093355216 | Burhan Adam Daynab | Home Health | 1609 Edgewood Ave S, St Louis Park, MN 55426-2101 | 2020-01-15 |
| 1356809461 | Bright Path Homes | Home Health | 7216 W 18th St, St Louis Park, MN 55426-2011 | 2019-03-07 |
| 1114468642 | Brighton Home Health Mn LLC | Home Health | 4500 Park Glen Rd Ste 475, St Louis Park, MN 55416-5484 | 2017-03-16 |
| 1881049740 | Gentle Touch Health Initiatives, LLC | Home Health | 7115 Wayzata Blvd, St Louis Park, MN 55426-1615 | 2016-04-28 |
| 1023414281 | Intrepid Usa | Home Health | 5775 Wayzata Blvd Ste 540, St Louis Park, MN 55416-1230 | 2014-11-14 |
| 1013252907 | Stability Home Healthcare LLC | Home Health | 9021 Stanlen Rd, St Louis Park, MN 55426-2349 | 2012-12-03 |
| 1093966491 | Gentle Care, Inc. | Home Health | 4517 Minnetonka Blvd, St Louis Park, MN 55416-4073 | 2008-10-02 |
| 1447409362 | Home Care of Minnesota Inc. | Home Health | 4501 Minnetonka Blvd, Suite 100, St Louis Park, MN 55416-4091 | 2008-09-16 |
| 1780718353 | Pinnacle Services, Inc | Home Health | 6009 Wayzata Blvd, Suite 1a, St Louis Park, MN 55416-1223 | 2007-03-15 |
| 1053414193 | Maxim Healthcare Services, Inc. | Home Health | 5353 Wayzata Blvd, Suite 402, St Louis Park, MN 55416-1340 | 2006-09-06 |
| Find all providers in ST LOUIS PARK | ||||
| City | ST LOUIS PARK |
| Zip Code | 55416 |
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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.