MERRICK COMMUNITY SERVICES (NPI# 1548452121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548452121 |
| Entity Type | Organization |
| Organization Name | MERRICK COMMUNITY SERVICES |
| Practice Address |
715 Edgerton St Saint Paul MN 55130-4549 |
| Mailing Address |
1526 6th St E Saint Paul MN 55106-4806 |
| Practice Telephone | 6517719339 |
| Practice Fax Number | 6517718465 |
| Mailing Telephone | 6517718821 |
| Mailing Fax Number | 6517713222 |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2007-08-16 |
| Authorized Official Name | MR. FRANCIS IVORY (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6517718821 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
715 EDGERTON ST |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55130-4549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164904587 | Confident Care LLC | In Home Supportive Care | 1040 Arkwright Street, Saint Paul, MN 55130 | 2018-09-01 |
| 1881015253 | Lucas Bosco Wanga | Psychologist | 715 Edgerton Street, Merrick Community Services, St. Paul, MN 55130 | 2014-01-02 |
| 1174865570 | Sarang Patel | Internal Medicine | 401 Phalen Blvd # 41103d, Saint Paul, MN 55130 | 2013-03-23 |
| 1427394501 | Zongxee Lee | Registered Nurse | 1072 Payne Ave, St. Paul, MN 55130 | 2012-12-18 |
| 1740532753 | One Stop Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 1049 Payne Ave Suite C, St Paul, MN 55130 | 2012-10-15 |
| 1689923997 | Alexis Simmons | Counselor | 402 University Ave East, Suite A-127, Saint Paul, MN 55130 | 2012-08-31 |
| 1689804064 | Group Health Plan, Inc. | Durable Medical Equipment & Medical Supplies | 537 Phalen Blvd, Saint Paul, MN 55130 | 2009-07-21 |
| 1477756534 | Chad Everett Christensen | Chiropractor | 1073 Payne Ave, Saint Paul, MN 55130 | 2007-06-07 |
| 1922219021 | Qwik Urgent Care Clinic | Family Medicine | 1239 Payne Avenue, Saint Paul, MN 55130 | 2007-05-24 |
| 1275743981 | Yia Vang | Technician | 1100 Arkwright St., St. Paul, MN 55130 | 2007-05-23 |
| Find all providers in zip 55130 | ||||
| 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 |
|---|---|---|---|---|
| 1295348381 | Sunshine Group Home LLC | Home Health | 125 Magnolia Ave W, Saint Paul, MN 55117-4916 | 2020-08-28 |
| 1780202895 | Mohamed Ibrahim Hussen | Home Health | 2901 Mounds View Blvd Apt 114, Saint Paul, MN 55112-0009 | 2020-07-07 |
| 1457978355 | Sifu Health LLC | Home Health | 1821 University Ave W Ste 319, Saint Paul, MN 55104-4537 | 2020-06-26 |
| 1124641196 | Kindly Care Resident LLC | Home Health | 605 Whitall St, Saint Paul, MN 55130-4155 | 2020-05-25 |
| 1598388753 | Foursyght LLC | Home Health | 275 4th St E Ste 345, Saint Paul, MN 55101-1864 | 2020-05-22 |
| 1245851583 | Kare Home Health Inc | Home Health | 1881 Mechanic Ave Apt 215, Saint Paul, MN 55119-3328 | 2020-04-28 |
| 1548889348 | Happy Home Health Services, Inc. | Home Health | 393 Dunlap St N Ste 400h, Saint Paul, MN 55104-4235 | 2020-04-11 |
| 1891321485 | Reliacare Home Health Inc | Home Health | 883 Saint Anthony Ave, Saint Paul, MN 55104-4736 | 2020-03-16 |
| 1992337893 | Three Stars Group Homes LLC | Home Health | 630 Virginia St, Saint Paul, MN 55103-1757 | 2020-02-08 |
| 1700427291 | Reign Services LLC | Home Health | 8230 Long Lake Rd, Saint Paul, MN 55112-4622 | 2019-10-05 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55130 |
Please comment or provide details below to improve the information on MERRICK COMMUNITY SERVICES.
| 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.