MICHELLE M GREEN


Address: 13709 Apollo Way, Rosemount, MN 55068-2171
Phone: 6127435590

MICHELLE M GREEN (NPI# 1467006601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467006601
Entity Type Individual
Full Name MICHELLE M GREEN
Practice Address 13709 Apollo Way
Rosemount
MN 55068-2171
Practice Telephone 6127435590
Mailing Telephone 6127435590
Enumeration Date 2019-07-25
Last Update Date 2019-07-25
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 311ZA0620X Custodial Care Facility
Specialization: Adult Care Home
1099384 MN Nursing & Custodial Care Facilities
N 253J00000X Foster Care Agency 1099384 MN Agencies

Other Providers MICHELLE GREEN

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1205434057 Michelle Lee Green Nurse Practitioner 2264 An County Road 420, Palestine, TX 75803-6517 2020-10-14
1043754641 Michelle Green Physician Assistant 1919 S Wheeling Ave Ste 402, Bernsen Medical Plaza, Tulsa, OK 74104-5633 2016-12-15
1477003168 Michelle Green Reflexologist 7851 E Lee St, Tucson, AZ 85715-5022 2016-10-06
1316315898 Michelle Lindsay Green Massage Therapist 49 W Dravus St, Apt 101, Seattle, WA 98119-1992 2015-09-14
1326485699 Michelle Lynn Green Case Manager/Care Coordinator 705 S Knik Goose Bay Rd, Wasilla, AK 99654-8085 2013-05-28
1366659492 Michelle L Green Psychologist 18-b Lenox Pointe, N.e., Atlanta, GA 30324-3168 2007-05-17
1225654999 Michelle Green Pharmacist 2710 Salem Ave, Dayton, OH 45406-2730 2020-06-18
1659900140 Michelle Lear Green Student in an Organized Health Care Education/Training Program 1920 W 1st St, Winston Salem, NC 27104-4220 2020-04-06
1841834728 Michelle Kho Green Pharmacist 2855 Jordan Ct, Alpharetta, GA 30004-3869 2019-11-04
1962965236 Michelle Tiwalde Green Student in an Organized Health Care Education/Training Program 4801 Alberta Ave, El Paso, TX 79905-2707 2019-04-12

Office Location

Street Address 13709 APOLLO WAY
City ROSEMOUNT
State MN
Zip Code 55068-2171

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740744911 Scott Hogan Chiropractor 2930 146th St. W #110, Rosemount, MN 55068 2019-01-22
1184133357 Green Medical Solutions Durable Medical Equipment & Medical Supplies 15170 Chippendale Ave W., Suite 101, Rosemount, MN 55068 2017-09-20
1215382767 Jessica Warren Chiropractor 15170 Chippendale Ave S, Suite 200, Rosemount, MN 55068 2016-05-03
1033596275 Leslie Wight Marriage & Family Therapist 2930 146th St. W, #114, Rosemount, MN 55068 2015-04-27
1871914044 Jeanine Martin Occupational Therapy Assistant 2930 146th St W Apt 239, Rosemount, MN 55068 2013-12-13
1699097394 Colleen Renee Mens Social Worker 15170 Chippendale Ave W Ste 300, Rosemount, MN 55068 2010-02-22
1306005111 Jaclyn J Bohm Podiatrist 15705 Cimarron Ave, Rosemount, MN 55068 2008-06-06
1619185196 John J Benson Marriage & Family Therapist 14555 South Robert Trl, Rosemount, MN 55068 2007-05-18
1316062557 Orthodontic Care Group Dentist 14455 South Robert Trail, Inver Grove Heights, MN 55068 2007-03-20
1063400901 Mark John Nelson Dentist 14450 S Rober Tr, Dakota Dental and Implant Center, Rosemount, MN 55068 2005-10-13
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Taxonomy Information

Taxonomy Code 311ZA0620X
Grouping Nursing & Custodial Care Facilities
Classification Custodial Care Facility
Specialization Adult Care Home

Taxonomy Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750947743 Victor G. Makori Custodial Care Facility 17017 Georgetown Way, Rosemount, MN 55068-5159 2019-05-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1043844384 First Mercy Homes LLC Custodial Care Facility 15723 Fair Hill Way, Apple Valley, MN 55124-5256 2020-02-25
1386275980 Krista Maylene Tupker Custodial Care Facility 14490 Lynx Rd, Milaca, MN 56353-3019 2020-02-01
1437700499 Amanda Sue Moen Custodial Care Facility 700 105th St Nw, Rice, MN 56367-8656 2019-09-21
1134698814 Sharry Mae Stensrud Custodial Care Facility 25 E Broadway, Plainview, MN 55964-1531 2018-11-25
1770080442 Christophe Benzi Custodial Care Facility 1403 Nicole Ct, Fergus Falls, MN 56537-3326 2018-04-10
1225542608 All Hopes Incorporated Custodial Care Facility 9937 Linnet St Nw, Coon Rapids, MN 55433-4721 2017-11-21
1003368309 Amazing Love Elderly Care Center LLC Custodial Care Facility 7807 Emerald Rd, Randall, MN 56475-2428 2016-11-03
1902268857 Gaudencio Fuentes Celeste Custodial Care Facility 8674 134th St W, Apple Valley, MN 55124-7234 2016-03-21
1356701379 Golden Maple Homes, Inc. Custodial Care Facility 13104 Girard Ave S, Burnsville, MN 55337-2408 2016-03-03
1912366162 Janet Grulke Custodial Care Facility 1117 N Marien St, Fergus Falls, MN 56537-1457 2016-02-16
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Competitor

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City ROSEMOUNT
Zip Code 55068

Improve Information

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Dataset Information

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.

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