ACR HEALTHCARE SERVICES, LLC (NPI# 1417038126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417038126 |
Entity Type | Organization |
Organization Name | ACR HEALTHCARE SERVICES, LLC |
Other Organization Name | ACR MEDICAL SERVICES, LLC |
Practice Address |
2437 Rice St Roseville MN 55113-3706 |
Practice Telephone | 6514845897 |
Practice Fax Number | 6512030693 |
Mailing Telephone | 6514845897 |
Mailing Fax Number | 6512030693 |
Enumeration Date | 2006-10-18 |
Last Update Date | 2013-04-19 |
Authorized Official Name | MR. GENE KYLE LEISTICO (COO) |
Authorized Official Telephone | 6512944707 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 311Z00000X | Custodial Care Facility | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | 203638000 | 05 |
Other Name | Type Code |
---|---|
ACR Medical Services, LLC | Former Legal Business Name - Organization |
Street Address |
2437 RICE ST |
City | ROSEVILLE |
State | MN |
Zip Code | 55113-3706 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477638930 | Acr Homes, Inc. | Intermediate Care Facility, Mentally Retarded | 2437 Rice St, Roseville, MN 55113-3706 | 2006-10-25 |
1336224807 | Acr Homes, Inc. | Intermediate Care Facility, Mentally Retarded | 2437 Rice St, Roseville, MN 55113-3706 | 2006-10-25 |
1104901669 | Acr Homes, Inc. | Intermediate Care Facility, Mentally Retarded | 2437 Rice St, Roseville, MN 55113-3706 | 2006-10-25 |
1710062278 | Acr Homes, Inc. | Intermediate Care Facility, Mentally Retarded | 2437 Rice St, Roseville, MN 55113-3706 | 2006-10-25 |
1538244090 | Acr Homes, Inc. | Intermediate Care Facility, Mentally Retarded | 2437 Rice St, Roseville, MN 55113-3706 | 2006-10-25 |
1114002672 | Acr Homes, Inc. | Intermediate Care Facility, Mentally Retarded | 2437 Rice St, Roseville, MN 55113-3706 | 2006-10-25 |
1023193588 | Acr Homes, Inc. | Intermediate Care Facility, Mentally Retarded | 2437 Rice St, Roseville, MN 55113-3706 | 2006-10-25 |
1134200942 | Acr Homes, Inc. | Custodial Care Facility | 2437 Rice St, Roseville, MN 55113-3706 | 2006-10-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396384376 | Zachary Mattson | Physician Assistant | Regus Coworking Space 2355 Highway 36 West, Suite 400, Office #427, Roseville, MN 55113 | 2019-12-23 |
1467010330 | Ahmed Issa | Student in an Organized Health Care Education/Training Program | 1550 Larpenteur Ave W, Apt 235, St Paul, MN 55113 | 2019-06-05 |
1821653833 | Suite Living Senior Care of Little Canada | Assisted Living Facility | 2740 Rice Street, Little Canada, MN 55113 | 2019-05-06 |
1902370505 | Diverse Assessments and Treatment, LLC | Psychologist | 1935 Cty Rd B2 W Ste 270, Roseville, MN 55113 | 2019-01-16 |
1588138473 | Applewood Home Health Care, LLC | Home Health | 2021 E Hennepin Avenue # 402-1, Minneapolis, MN 55113 | 2019-01-14 |
1699251520 | Optum Infusion Services 500, Inc. | Durable Medical Equipment & Medical Supplies | 2685 Patton Rd, Roseville, MN 55113 | 2018-07-13 |
1083104145 | Suite Living Senior Care of Roseville | Assisted Living Facility | 197 County Road B2 W, Roseville, MN 55113 | 2018-05-15 |
1477055796 | Sunrise Residential Services LLC | Home Health | 216 Maple Ln, Roseville, MN 55113 | 2018-03-02 |
1194223024 | Alissa Hoff | Specialist | 1595 Mn 36 - 584 10 Rosedale Center, Roseville, MN 55113 | 2018-01-25 |
1841705118 | Kingsland Care Services Incorporated | Case Management | 2301 Rice Street, Suite 101, Roseville, MN 55113 | 2017-12-08 |
Find all providers in zip 55113 |
Taxonomy Code | 311Z00000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Custodial Care Facility |
A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. |
Notes: Source: Paraphrased from Section 3159 A3 of the Medicare Intermediary Manual. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235754383 | Standard Home Healthcare, Inc. | Custodial Care Facility | 3055 Old Highway 8 Ste 303, Saint Anthony, MN 55418-2500 | 2020-06-15 |
1770932774 | Murphy's Board and Care Home | Custodial Care Facility | 1101 3rd St N, Saint Cloud, MN 56303-3904 | 2016-06-09 |
1629498035 | Community Boarding Care | Custodial Care Facility | 2219 Oakland Ave # 110, Minneapolis, MN 55404-3749 | 2014-04-24 |
1003241373 | Morning Glory Homes Incorporated | Custodial Care Facility | 18626 Clear View Dr, Minnetonka, MN 55345-6078 | 2013-09-05 |
1669730651 | Community Healthcare Service | Custodial Care Facility | 14249 Hayes Rd, Apple Valley, MN 55124-6738 | 2012-04-26 |
1528228111 | Allison P. Stoklasa | Custodial Care Facility | 29288 Old Towne Rd, Chisago City, MN 55013-8408 | 2008-06-17 |
1700079936 | Sato Home and Health Care Services, Inc | Custodial Care Facility | 1133 Lakewood Dr S, Maplewood, MN 55119-5967 | 2007-08-21 |
1598862708 | Mils Home Health Care Agency Inc | Custodial Care Facility | 2520 Broadway St Ne, Suite 205, Minneapolis, MN 55413-1962 | 2006-09-20 |
1982637617 | Midway Care Center Inc. | Custodial Care Facility | 114 2nd St Ne, Fosston, MN 56542-1302 | 2006-07-08 |
1346786035 | First Nations, LLC | Custodial Care Facility | 2586 7th Ave E, Suite 302, North St Paul, MN 55109-3083 | 2017-01-18 |
Find all providers with the same taxonomy |
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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.