SENIOR CLASS CARE OF PEQUOT LAKES, INC. (NPI# 1477930006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477930006 |
| Entity Type | Organization |
| Organization Name | SENIOR CLASS CARE OF PEQUOT LAKES, INC. |
| Practice Address |
8898 Schaller Road Pequot Lakes MN 56472 |
| Mailing Address |
8898 Schaller Road, Po Box 410 Pequot Lakes MN 56472 |
| Practice Telephone | 2185431035 |
| Practice Fax Number | 2185431035 |
| Mailing Telephone | 2182321036 |
| Mailing Fax Number | 2185431035 |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2019-03-04 |
| Authorized Official Name | PAMELA S FEHN (PRESIDENT) |
| Authorized Official Telephone | 2182321036 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 310400000X | Assisted Living Facility | MN | Nursing & Custodial Care Facilities | |
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
8898 SCHALLER ROAD |
| City | PEQUOT LAKES |
| State | MN |
| Zip Code | 56472 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659837698 | Bpoint Pharmacy Services Ltd | Pharmacy | 30833 North Star Dr, Suite 2, Breezy Point, MN 56472 | 2019-02-14 |
| 1831440312 | Jeevan Singh Dhouni | Pharmacist | 30103 Osceola Circle, Breezy Point, MN 56472 | 2012-09-25 |
| 1396918884 | John Kloster | Optometrist | 4461 Main St, Pequot Lakes, MN 56472 | 2008-04-07 |
| 1326222811 | Senior Class Home Health Care LLC | Home Health | 30849 1st Street, Pequot Lakes, MN 56472 | 2007-12-20 |
| 1598979940 | Loy Pfeiffer Inc | Pharmacy | 30984 Government Drive, Pequot Lakes, MN 56472 | 2007-05-09 |
| 1972656411 | Access Home Care, LLC | Home Health | 30392 Suffolk Circle, Pequot Lakes, MN 56472 | 2007-01-19 |
| 1427134428 | Joyce E. Neuman & Dean S. Brandt Ptrs. | Durable Medical Equipment & Medical Supplies | 4450 Main St, Pequot Lakes, MN 56472 | 2006-10-31 |
| 1326133786 | Ryan Dennis Buell | Chiropractor | 31095 Bergquist Drive, Pequot Lakes, MN 56472-0008 | 2006-10-03 |
| 1376602656 | Pequot Lakes Chiropractic and Sports Injury Center P.a | Chiropractor | 31095 Bergquist Drive, Pequot Lakes, MN 56472-0008 | 2006-12-06 |
| 1649360470 | Mark Thomas Sherman | Dentist | 30957 Old Hwy 371, Pequot Lakes, MN 56472-0128 | 2006-10-13 |
| Find all providers in zip 56472 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326222811 | Senior Class Home Health Care LLC | Home Health | 30849 1st Street, Pequot Lakes, MN 56472 | 2007-12-20 |
| 1972656411 | Access Home Care, LLC | Home Health | 30392 Suffolk Circle, Pequot Lakes, MN 56472 | 2007-01-19 |
| 1437791845 | Senior Class Community, LLC | Home Health | 4451 E Woodman St, Pequot Lakes, MN 56472-2894 | 2019-10-17 |
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|---|---|---|---|---|
| 1639770399 | Tender Care Providers LLC | Home Health | 1794 Switchgrass Cir, Shakopee, MN 55379-8533 | 2020-11-07 |
| 1194326942 | Shakur Abdisalam | Home Health | 1440 E Old Shakopee Rd, Bloomington, MN 55425-2438 | 2020-11-06 |
| 1821699182 | Immediate Home Health Care LLC | Home Health | 2817 Anthony Ln S Ste 210, St Anthony, MN 55418-2488 | 2020-11-03 |
| 1093315780 | Eco Green Corporation | Home Health | 3274 98th Cir N, Brooklyn Park, MN 55443-1846 | 2020-10-30 |
| 1841899846 | Hands On Care | Home Health | 1550 Larpenteur Ave W Apt 423, Falcon Heights, MN 55113-6364 | 2020-10-21 |
| 1326646191 | Rose Pratt | Home Health | 121 83rd Ave Ne Apt 310, Fridley, MN 55432-1893 | 2020-10-14 |
| 1255939369 | Mn Health LLC | Home Health | 784 Cougar Dr, Eagan, MN 55123-2069 | 2020-10-12 |
| 1942807672 | Twin Cities Group Homes LLC | Home Health | 711 22nd Ave Ne, Minneapolis, MN 55418-3601 | 2020-10-06 |
| 1801493721 | Shifaa Care Inc | Home Health | 7038 Brooklyn Blvd Unit D, Brooklyn Center, MN 55429-1370 | 2020-10-04 |
| 1841807450 | Shire Homecare Agency | Home Health | 618 9th Ave S Apt 307, Minneapolis, MN 55415-4608 | 2020-09-28 |
| Find all providers with the same taxonomy | ||||
| City | PEQUOT LAKES |
| Zip Code | 56472 |
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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.