REM HENNEPIN, INC. (NPI# 1427172766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427172766 |
| Entity Type | Organization |
| Organization Name | REM HENNEPIN, INC. |
| Practice Address |
6040 Earle Brown Dr Suite 305 Brooklyn Center MN 55430-2514 |
| Mailing Address |
6600 France Ave S Suite 500 Edina MN 55435-1805 |
| Practice Telephone | 9529226776 |
| Practice Fax Number | 9529226885 |
| Mailing Telephone | 9529226776 |
| Mailing Fax Number | 9529226885 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2012-02-08 |
| Authorized Official Name | MS. CONNIE MENNE (STATE DIRECTOR) |
| Authorized Official Telephone | 9529226776 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | CERTIFICATION ON | MN | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 426990000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194980037 | Rem Hennepin, Inc. | Intermediate Care Facility, Mentally Retarded | 6600 France Ave S, Suite 500, Edina, MN 55435-1805 | 2008-07-21 |
| 1306912282 | Rem Hennepin, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6040 Earle Brown Dr, Suite 305, Brooklyn Center, MN 55430-2514 | 2006-11-24 |
| Street Address |
6040 EARLE BROWN DR SUITE 305 |
| City | BROOKLYN CENTER |
| State | MN |
| Zip Code | 55430-2514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528155140 | Randy Judd Swanson | Social Worker | 6040 Earle Brown Dr, Brooklyn Center, MN 55430-2514 | 2006-10-06 |
| 1366085086 | Antoinette Krynski | Counselor | 6040 Earle Brown Dr, Brooklyn Center, MN 55430-2514 | 2019-10-25 |
| 1164945200 | Contessa Johnson | Counselor | 6040 Earle Brown Dr, Brooklyn Center, MN 55430-2514 | 2017-07-20 |
| 1588186035 | Katherine Lea Starr | Marriage & Family Therapist | 6040 Earle Brown Dr, Brooklyn Center, MN 55430-2514 | 2017-07-15 |
| 1316471550 | Steps for Change | Community/Behavioral Health | 6040 Earle Brown Dr, Brooklyn Center, MN 55430-2514 | 2017-04-14 |
| 1508214123 | Emily Osiecki | Marriage & Family Therapist | 6040 Earle Brown Dr, 101, Brooklyn Center, MN 55430-2514 | 2016-05-25 |
| 1073928628 | You Therapy | Clinic/Center | 6040 Earle Brown Dr, , Suite 101, Brooklyn Center, MN 55430-2514 | 2014-06-23 |
| 1073851101 | African Assistance Program, Inc | Case Management | 6040 Earle Brown Dr, Suite 200, Brooklyn Center, MN 55430-2514 | 2013-01-24 |
| 1306912282 | Rem Hennepin, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6040 Earle Brown Dr, Suite 305, Brooklyn Center, MN 55430-2514 | 2006-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396362182 | Graceland Homes | Home Health | 6843 Colfax Ave N, Brooklyn Center, MN 55430 | 2020-06-29 |
| 1912549742 | His Services Home Care, LLC | Home Health | 2108 70th Avenue North, Brooklyn Park, MN 55430 | 2019-10-14 |
| 1336612969 | Jeremiah Sk Pojah Sr. | Registered Nurse | 5201 Bryant Avenue North, Suite 108, Minneapolis, MN 55430 | 2019-01-07 |
| 1891219697 | Tamika Yvette Spicer | Home Health Aide | 6640 Humboldt Ave N, 101, Brooklyn Center, MN 55430 | 2017-08-02 |
| 1265973358 | James Contois | Community Based Residential Treatment Facility, Mental Illness | 6120 Earle Brown Drive, Suite 100, Brooklyn Center, MN 55430 | 2017-03-09 |
| 1336693746 | Sara Jean Cooper | Dentist | 1090 Shingle Creek Pkwy, Brooklyn Center, MN 55430 | 2016-08-15 |
| 1750732202 | Miriam Home Health Corporation | Residential Treatment Facility, Physical Disabilities | 7030 Humboldt Avenue North, Brooklyn Center, MN 55430 | 2016-06-27 |
| 1649628561 | Tranquility Health LLC | Community/Behavioral Health | 6040 Earle Brown Dr Ste 250, Brooklyn Center, MN 55430 | 2016-06-01 |
| 1104233790 | Lillie's Helping Hands | In Home Supportive Care | 6407 Camden Ave N, #303, Brooklyn Center, MN 55430 | 2014-07-16 |
| 1063760817 | Wal-mart Stores Inc | Technician/Technologist | 1200 Shingle Creek Crossing, Brooklyn Center, MN 55430 | 2012-08-28 |
| Find all providers in zip 55430 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033775879 | Skyblu Residential Services | Community/Behavioral Health | 3300 County Road 10 Ste 104, Brooklyn Center, MN 55429-3064 | 2019-05-17 |
| 1275094526 | Affinity Community Health Services, Inc | Community/Behavioral Health | 5701 Shingle Creek Pkwy Ste 240, Brooklyn Center, MN 55430-2332 | 2019-03-28 |
| 1093297368 | Strive Home Care LLC | Community/Behavioral Health | 3300 County Road 10 Ste 512d, Brooklyn Center, MN 55429-3068 | 2018-09-04 |
| 1326556143 | Comfort Therapeutic Services LLC | Community/Behavioral Health | 5701 Shingle Creek Pkwy Ste 661, Brooklyn Center, MN 55430-2486 | 2018-01-15 |
| 1508309162 | Universal Support Agency, LLC. | Community/Behavioral Health | 4513 Winchester Ln, Brooklyn Center, MN 55429-1725 | 2016-11-29 |
| 1457807026 | Livingwell Support Services | Community/Behavioral Health | 3300 County Road D, Brooklyn Center, MN 55429 | 2016-09-01 |
| 1649628561 | Tranquility Health LLC | Community/Behavioral Health | 6040 Earle Brown Dr Ste 250, Brooklyn Center, MN 55430 | 2016-06-01 |
| 1629198965 | Northwest Residence, Inc. | Community/Behavioral Health | 4408 69th Ave N, Brooklyn Center, MN 55429-1739 | 2007-03-30 |
| 1346374063 | Supportive Living Services, Inc. | Community/Behavioral Health | 5615 Brooklyn Blvd Ste 200, Brooklyn Center, MN 55429-3086 | 2007-03-15 |
| 1780143909 | Rescare Minnesota, Inc. | Community/Behavioral Health | 6120 Earle Brown Dr Ste 100, Brooklyn Center, MN 55430-4100 | 2019-03-18 |
| Find all providers in BROOKLYN CENTER | ||||
| City | BROOKLYN CENTER |
| Zip Code | 55430 |
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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.