ANGELS OF INDEPENDENCE (NPI# 1477783082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477783082 |
| Entity Type | Organization |
| Organization Name | ANGELS OF INDEPENDENCE |
| Practice Address |
26992 Lake Jefferson Road Cleveland MN 56017-4440 |
| Mailing Address |
26992 Lake Jefferson Rd. Cleveland MN 56017-4448 |
| Practice Telephone | 5072131486 |
| Practice Fax Number | 5075504108 |
| Mailing Telephone | 5075504108 |
| Mailing Fax Number | 5075504108 |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2009-07-16 |
| Authorized Official Name | MRS. MARY KAY GOETTI (PRESIDENT C.E.O.) |
| Authorized Official Telephone | 5072131486 |
| Authorized Official Credential | CNA, HHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | Nursing Service Providers | ||
| N | 376J00000X | Homemaker | Nursing Service Related Providers | ||
| Y | 374U00000X | Home Health Aide | Nursing Service Related Providers |
| Street Address |
26992 LAKE JEFFERSON ROAD |
| City | CLEVELAND |
| State | MN |
| Zip Code | 56017-4440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871655175 | Ind School Dist 391 | Local Education Agency (LEA) | 400 6th St, Box 310, Cleveland, MN 56017 | 2006-12-14 |
| 1811374648 | Grant Denherder | Specialist/Technologist | 606 3rd St, Cleveland, MN 56017-2060 | 2015-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780404 | Lyuba Vitkin | Home Health Aide | 6608 Kingswood Dr, Cleveland, OH 44124-4229 | 2020-11-08 |
| 1659972305 | Rosemary Jean Snow | Pharmacist | 5841 W 130th St, Cleveland, OH 44130-9308 | 2020-11-07 |
| 1962003848 | Jessica John | Home Health Aide | 4065 W 143rd St, Cleveland, OH 44135-1471 | 2020-11-05 |
| 1760083794 | Susan Carol Flatt | Behavior Technician | 415 Heritage Hills Cir Ne, Cleveland, TN 37323-5156 | 2020-11-05 |
| 1326649427 | Brooke Iames | Prosthetist | 2182 W 38th St Uppr, Cleveland, OH 44113-3833 | 2020-11-04 |
| 1285235697 | Tennie E Millhouse | Home Health | 12808 Summerland Ave, Cleveland, OH 44111-5167 | 2020-11-03 |
| 1619578275 | Steps To Wellness, Inc. | Counselor | 3577 East 144h Street, Cleveland, OH 44120 | 2020-11-02 |
| 1295335800 | Blake Stuckey | Social Worker | 1750 Ansel Rd Apt 511, Cleveland, OH 44106-4103 | 2020-11-01 |
| 1396345989 | Kyle Johnston | Peer Specialist | 10525 Clifton Blvd Apt 3, Cleveland, OH 44102-1586 | 2020-11-01 |
| 1083214886 | Prestige Providers LLC | Home Health | 4500 Lee Rd Ste 232, Cleveland, OH 44128-2961 | 2020-10-30 |
| Find all providers in CLEVELAND | ||||
| Taxonomy Code | 374U00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Home Health Aide |
| A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780404 | Lyuba Vitkin | Home Health Aide | 6608 Kingswood Dr, Cleveland, OH 44124-4229 | 2020-11-08 |
| 1962003848 | Jessica John | Home Health Aide | 4065 W 143rd St, Cleveland, OH 44135-1471 | 2020-11-05 |
| 1871192690 | Tiffanie Baker | Home Health Aide | 714 E 93rd St, Cleveland, OH 44108-1243 | 2020-10-22 |
| 1225637044 | Demaetree Emma Pratt | Home Health Aide | 10719 Hampden Ave, Cleveland, OH 44108-3632 | 2020-10-22 |
| 1518566207 | Tanisha Saffo-holly | Home Health Aide | 13210 Lorenzo Ave, Cleveland, OH 44120-3216 | 2020-10-22 |
| 1093314981 | Raelene Zdanowicz | Home Health Aide | 3355 W 129th St, Cleveland, OH 44111-2504 | 2020-10-21 |
| 1376142356 | Tyronda Spencer | Home Health Aide | 1012 Prospect Ave E Apt 824, Cleveland, OH 44115-1236 | 2020-10-21 |
| 1104424613 | Tina Jo Ullman | Home Health Aide | 2821 Portman Ave, Cleveland, OH 44109-4946 | 2020-10-16 |
| 1558969345 | Latoya Smith | Home Health Aide | 738 Northfield Rd, Cleveland, OH 44146-3862 | 2020-10-13 |
| 1154928125 | Nadra Denise Oldwine | Home Health Aide | 590 E 109th St, Cleveland, OH 44108-1458 | 2020-10-02 |
| Find all providers in CLEVELAND | ||||
Please comment or provide details below to improve the information on ANGELS OF INDEPENDENCE.
| 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.