TABITHA VACHUSKA (NPI# 1447645544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447645544 |
| Entity Type | Individual |
| Full Name | TABITHA VACHUSKA |
| Practice Address |
1200 W Broadway Ave Suite # 160 Minneapolis MN 55411-2572 |
| Practice Telephone | 6123536308 |
| Practice Fax Number | 6128862708 |
| Mailing Telephone | 6123536308 |
| Mailing Fax Number | 6128862708 |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2015-04-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
47-2951436 | MN | Nursing Service Related Providers |
| Street Address |
1200 W BROADWAY AVE SUITE # 160 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55411-2572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801212592 | Nobility Home Health Care Inc | Health Maintenance Organization | 1200 W Broadway Ave, Suite 130, Minneapolis, MN 55411-2572 | 2014-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477101483 | Minnesota Mental Health Solutions | Social Worker | 1007 W Broadway Ave Ste 200, Minneapolis, MN 55411 | 2019-09-03 |
| 1154980233 | Access Group Home LLC | Home Health | 1122 Upton Ave N, Minneapolis, MN 55411 | 2019-06-11 |
| 1780036202 | Marcia Karen Powless | Registered Nurse | 2339 River Pointe Lane, Minneapolis, MN 55411 | 2016-07-08 |
| 1104287663 | Abdikarim Abdille | Contractor | 521 Lyn Park Cir N, Minneapolis, MN 55411 | 2016-03-11 |
| 1962801399 | Olu's Center | Clinic/Center | 1315 12th Ave N, Minneapolis, MN 55411 | 2014-08-21 |
| 1689086639 | Claudia Alejandra Patino Gonzalez | Student in an Organized Health Care Education/Training Program | 1020 West Broadway Avenue, Minneapolis, MN 55411 | 2014-05-27 |
| 1306283445 | Advanced Home Care | Home Health | 3000 Logan Ave N, Minneapolis, MN 55411 | 2013-05-30 |
| 1154766525 | Bassim Samadani Birkland | Student in an Organized Health Care Education/Training Program | Broadway Clinic, 1020 West Broadway, Minneapolis, MN 55411 | 2013-04-30 |
| 1720354004 | New Salem Metormorphosis Youth Program | Counselor | 2509 Bryant Ave North, Minneapolis, MN 55411 | 2012-03-30 |
| 1629387469 | Apose | Home Health | 2806 Girard Ave. North, Minneapolis, MN 55411 | 2010-09-28 |
| Find all providers in zip 55411 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770196065 | Amina Webi | Technician | 2930 Blaisdell Ave Apt 333, Minneapolis, MN 55408-2326 | 2020-08-26 |
| 1194343269 | Khadro Abdirahman Yusuf | Technician | 1500 Nicollet Ave Apt 609, Minneapolis, MN 55403-2740 | 2020-07-06 |
| 1225668999 | Ancinetta Frances Caldwell | Technician | 1730 Penn Ave N, Minneapolis, MN 55411-3054 | 2020-01-22 |
| 1578074928 | Waheed Unissa Hussain | Technician | 3650 Central Ave Ne, Minneapolis, MN 55418-1343 | 2017-10-12 |
| 1619492162 | Khadar Mohamed Yassin | Technician | 1518 E Lake Street, 202, Minneapolis, MN 55407 | 2017-08-06 |
| 1518315530 | Vongretchen Dixon | Technician | 3018 Russell Ave N, Minneapolis, MN 55411-1017 | 2016-05-31 |
| 1598149031 | Rhonda Rademacher | Technician | 5835 Oakland Ave, Minneapolis, MN 55417-3113 | 2015-07-15 |
| 1902205859 | Rahimah Ben-asad Ray-el | Technician | 5109 Vincent Ave N, Minneapolis, MN 55430-3316 | 2014-08-16 |
| 1306183355 | Sheen Shonjai Yang | Technician | 4736 Girard Ave N, Minneapolis, MN 55430-3523 | 2013-01-10 |
| 1881876639 | Lia V Xiong | Technician | 2630 Knox Ave N, Minneapolis, MN 55411-1946 | 2007-12-04 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55411 |
Please comment or provide details below to improve the information on TABITHA VACHUSKA.
| 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.