OPTIONS RESIDENTIAL, INC (NPI# 1427382340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427382340 |
| Entity Type | Organization |
| Organization Name | OPTIONS RESIDENTIAL, INC |
| Other Organization Name | QUEBEC HOUSE |
| Practice Address |
10040 Quebec Ave S Bloomington MN 55438-2126 |
| Mailing Address |
2105 W Burnsville Pkwy Burnsville MN 55337-4237 |
| Practice Telephone | 9525643030 |
| Practice Fax Number | 9525643038 |
| Mailing Telephone | 9525643030 |
| Mailing Fax Number | 9525643038 |
| Enumeration Date | 2009-09-24 |
| Last Update Date | 2009-09-24 |
| Authorized Official Name | MR. BRIAN P SAMMON (PRESIDENT) |
| Authorized Official Telephone | 6122267120 |
| Authorized Official Credential | LADC, LMFT |
| Is Organization Subpart | Y |
| Parent Organization Name | OPTIONS RESIDENTIAL, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253J00000X | Foster Care Agency | 1055027-1-AFC | MN | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | A630173813 | 05 | |
| MN | UCARE | 138003 | 01 |
| Other Name | Type Code |
|---|---|
| Quebec house | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821322793 | Options Residential, Inc | Foster Care Agency | 14986 Chorley Ave W Apt 4, Rosemount, MN 55068-4287 | 2009-09-25 |
| 1285968107 | Options Residential, Inc | Foster Care Agency | 2709 Highland Dr, Burnsville, MN 55337-2117 | 2009-09-24 |
| 1083948905 | Options Residential, Inc | Foster Care Agency | 13710 Washburn Ave S, Burnsville, MN 55337-2138 | 2009-09-24 |
| 1063746980 | Options Residential, Inc | Foster Care Agency | 14986 Chorley Ave W Apt 1, Rosemount, MN 55068-4287 | 2009-09-24 |
| 1346574266 | Options Residential, Inc | Foster Care Agency | 14986 Chorley Ave W Apt 2, Rosemount, MN 55068-4287 | 2009-09-24 |
| 1518291434 | Options Residential, Inc | Foster Care Agency | 14986 Chorley Ave W Apt 3, Rosemount, MN 55068-4287 | 2009-09-24 |
| 1063746386 | Options Residential, Inc | Foster Care Agency | 3958 Beryl Rd, Eagan, MN 55122-1615 | 2009-09-21 |
| 1336473560 | Options Residential, Inc | Foster Care Agency | 10101 Dupont Ave S, Bloomington, MN 55431-3139 | 2009-09-21 |
| 1457685679 | Options Residential, Inc | Foster Care Agency | 14990 Chorley Ave W, Apt#2, Rosemount, MN 55068-4245 | 2009-09-21 |
| 1871827022 | Options Residential, Inc | Foster Care Agency | 8717 Virginia Ave S, Bloomington, MN 55438-1344 | 2009-09-21 |
| Street Address |
10040 QUEBEC AVE S |
| City | BLOOMINGTON |
| State | MN |
| Zip Code | 55438-2126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912425570 | Angela Marie Gilbert | Registered Nurse | 10700 Brunswick Rd Unit 316, Bloomington, MN 55438 | 2017-09-05 |
| 1609905686 | Marypat Habermas | Pharmacist | 7349 Bush Lake Dr, Bloomington, MN 55438 | 2007-03-05 |
| 1629564620 | Andrea Jean Hegland | Pharmacist | One Veterans Drive, Pharmacy Service (119), Minneapolis, MN 55438 | 2018-07-03 |
| 1861050197 | Dustin James Javers | Physical Therapist | 8100 Highwood Dr, Bloomington, MN 55438-1006 | 2019-06-01 |
| 1285156240 | Dawn Marie Johnson | Occupational Therapy Assistant | 8100 Highwood Dr, Bloomington, MN 55438-1006 | 2017-07-12 |
| 1154777654 | Jennifer Bean | Occupational Therapy Assistant | 8100 Highwood Dr, Bloomington, MN 55438-1006 | 2016-05-13 |
| 1831588250 | Sia Bacas Langum | Occupational Therapist | 8100 Highwood Dr, Bloomington, MN 55438-1006 | 2015-01-22 |
| 1073948576 | Kathleen Ann Linnan Rudgers | Physical Therapy Assistant | 8100 Highwood Dr, Bloomington, MN 55438-1006 | 2013-09-04 |
| 1508201211 | Barbara Ann Spleiss | Occupational Therapy Assistant | 8100 Highwood Dr, Bloomington, MN 55438-1006 | 2013-05-08 |
| 1194160895 | Patty Norby | Physical Therapist | 8100 Highwood Dr, Bloomington, MN 55438-1006 | 2013-05-08 |
| Find all providers in zip 55438 | ||||
| Taxonomy Code | 253J00000X |
| Grouping | Agencies |
| Classification | Foster Care Agency |
| A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. |
| Notes: Source: Code Of Federal Regulations, Title 45, Volume 4, Part 1355, Section 57 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336473560 | Options Residential, Inc | Foster Care Agency | 10101 Dupont Ave S, Bloomington, MN 55431-3139 | 2009-09-21 |
| 1871827022 | Options Residential, Inc | Foster Care Agency | 8717 Virginia Ave S, Bloomington, MN 55438-1344 | 2009-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659979979 | South Star Care | Foster Care Agency | 3973 Willow Ridge Dr Sw, Rochester, MN 55902-2801 | 2020-10-09 |
| 1174138218 | Angelique Elizabeth Finifrock | Foster Care Agency | 10701 Becks Rd, Duluth, MN 55808 | 2020-09-15 |
| 1881211951 | Nordell Family Services LLC | Foster Care Agency | 4626 20th St Sw, Waverly, MN 55390-5004 | 2020-07-06 |
| 1285260497 | Yasmin Ahmed Sulayman | Foster Care Agency | 3433 Kenosha Dr Nw, Rochester, MN 55901-5707 | 2020-03-19 |
| 1023657285 | Julia Marie Bolte | Foster Care Agency | 3629 152nd Ln Nw, Andover, MN 55304-3008 | 2020-01-04 |
| 1730722745 | Grace Jepchirchir Fidalgo | Foster Care Agency | 6222 Hedgecroft Ave S, Cottage Grove, MN 55016-6002 | 2019-10-22 |
| 1467094102 | Lake Country Living Services LLC | Foster Care Agency | 181 Little Rock Rd Nw, Rice, MN 56367-8685 | 2019-10-15 |
| 1518508712 | Amanda Hesse | Foster Care Agency | 775 Lee Cir Se, Cokato, MN 55321-4697 | 2019-09-30 |
| 1275181661 | Alliance Homes Corporation | Foster Care Agency | 4946 Jackson St Ne, Columbia Heights, MN 55421-1709 | 2019-08-28 |
| 1760048078 | Kevin Carlyle Lunde X | Foster Care Agency | 1321 Merrywood Ct, Faribault, MN 55021-6529 | 2019-05-13 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMINGTON |
| Zip Code | 55438 |
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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.