MEDICARE HOME CARE (NPI# 1508035973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508035973 |
| Entity Type | Organization |
| Organization Name | MEDICARE HOME CARE |
| Practice Address |
8441 Wayzata Blvd Suite 130 Golden Valley MN 55426-1344 |
| Practice Telephone | 7635461000 |
| Practice Fax Number | 7635461018 |
| Mailing Telephone | 7635461000 |
| Mailing Fax Number | 7635461018 |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2008-02-29 |
| Authorized Official Name | KEVIN L SULLIVAN (PRESIDENT) |
| Authorized Official Telephone | 7635461000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | MN | Agencies |
| Street Address |
8441 WAYZATA BLVD SUITE 130 |
| City | GOLDEN VALLEY |
| State | MN |
| Zip Code | 55426-1344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184675670 | Cardiac Evaluation Services Inc | Clinic/Center | 8441 Wayzata Blvd, Golden Valley, MN 55426 | 2006-05-12 |
| 1336633601 | Kendra Jean Babcock | Pharmacist | 8441 Wayzata Blvd, Golden Valley, MN 55426 | 2018-06-19 |
| 1184157612 | Andrew Lenander | Pharmacist | 8441 Wayzata Blvd, #340, Golden Valley, MN 55426-1344 | 2017-04-11 |
| 1942732813 | Terri Flansburg | Social Worker | 8441 Wayzata Blvd, Golden Valley, MN 55426-1344 | 2017-03-30 |
| 1588110704 | Britney Lynn Klocke | Pharmacist | 8441 Wayzata Blvd, Suite 340, Golden Valley, MN 55426-1372 | 2016-08-28 |
| 1538514708 | Lynn Lukoskie | Pharmacist | 8441 Wayzata Blvd, Suite 340, Golden Valley, MN 55426-1344 | 2016-04-26 |
| 1477920056 | Brooke Skinner-drawz | Social Worker | 8441 Wayzata Blvd, #140, Golden Valley, MN 55426-1344 | 2015-08-30 |
| 1134523566 | Jody Goldie | Marriage & Family Therapist | 8441 Wayzata Blvd, Golden Valley, MN 55426-1344 | 2014-10-14 |
| 1750781696 | Lindsey Hall | Pharmacist | 8441 Wayzata Blvd, Suite 340, Golden Valley, MN 55426-1344 | 2014-08-28 |
| 1225451412 | Diane Halverson | Counselor | 8441 Wayzata Blvd, Suite #160, Golden Valley, MN 55426-1344 | 2014-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821657545 | Big Brain Concussion Recovery & Chiropractic Pa | Chiropractor | 3313 Republic Ave., St. Louis Park, MN 55426 | 2019-06-06 |
| 1912485095 | Daniel Raies | Optometrist | 8900 Minnesota 7, St Louis Park, MN 55426 | 2018-08-01 |
| 1649756040 | Wayside House, Inc. | Clinic/Center | 1349 Jersey Ave S, St. Louis Park, MN 55426 | 2018-07-18 |
| 1104302884 | Superior Caregivers, LLC | In Home Supportive Care | 1319 Lancaster Ave., St. Louis Park, MN 55426 | 2018-07-16 |
| 1396234266 | Caitlin Kwiatkowski | Behavior Technician | 7010 Mn-7, St.louis Park, MN 55426 | 2018-05-07 |
| 1497244313 | Kelly Ann Clancey | Behavior Technician | 7010 Highway 2, Saint Louis Park, MN 55426 | 2018-05-07 |
| 1770072696 | Ashleigh Hakala | Behavior Technician | 7010 Highway 7 St. Louis Park Mn 55426, St. Louis Park, MN 55426 | 2018-05-07 |
| 1689181521 | Glenda Miles | Registered Nurse | 7316 Cedar Lake Road, Apt 8, St Louis Park, MN 55426 | 2017-12-31 |
| 1174041875 | Kristen Webb | Physician Assistant | 3931 Louisiana Ave S, Suite E-500, St. Louis Park, MN 55426 | 2017-09-01 |
| 1447775549 | Belinda Sue Bliss | Marriage & Family Therapist | 3301 Decatur Lane, Saint Louis Park, MN 55426 | 2017-08-09 |
| Find all providers in zip 55426 | ||||
| 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 |
|---|---|---|---|---|
| 1548735426 | Bayside Homecare Inc | Home Health | 1710 Douglas Dr N Suite 225m, Golden Valley, MN 55422-5542 | 2018-10-08 |
| 1750894002 | Unihealth Home Care, LLC | Home Health | 1710 Douglas Dr N Ste 226j, Golden Valley, MN 55422 | 2017-11-08 |
| 1194172296 | Crosscultural Health Care Inc | Home Health | 5801 Duluth Street Suite 310, Golden Valley, MN 55422 | 2016-05-18 |
| 1265832588 | S&b Home Health Care | Home Health | 1710 Douglas Dr N Ste 204, Golden Valley, MN 55422-4387 | 2014-08-25 |
| 1710304985 | Healing Hands Home Care LLC | Home Health | 220 Jersey Ave North, Golden Valley, MN 55427 | 2014-03-25 |
| 1194168740 | All Star Home Care L.l.c | Home Health | 6960 Madison Ave W, Suite 105, Golden Valley, MN 55427-3627 | 2013-04-14 |
| 1427328780 | Supreme Home Care Provider, LLC | Home Health | 1710 Douglas Dr N Ste 277, Golden Valley, MN 55422-4344 | 2012-01-04 |
| 1184928475 | Marias Home Inc | Home Health | 8000 Winnetka Heights Dr, Golden Valley, MN 55427-3458 | 2010-12-31 |
| 1063665826 | S.e.a. Senior Day Care, LLC | Home Health | 2365 Louisiana Ave N, Golden Valley, MN 55427-3632 | 2008-10-24 |
| 1558542464 | Alliance Hhc & Nursing Services, LLC | Home Health | 4725 Olson Memorial Hwy, Suite # 200, Golden Valley, MN 55422-5140 | 2007-11-19 |
| Find all providers in GOLDEN VALLEY | ||||
| City | GOLDEN VALLEY |
| Zip Code | 55426 |
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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.