SUNFLAKE (NPI# 1598165359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598165359 |
| Entity Type | Organization |
| Organization Name | SUNFLAKE |
| Practice Address |
6525 Central Ave Ne Unit 2 Fridley MN 55432-4653 |
| Practice Telephone | 6127307955 |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2014-08-29 |
| Authorized Official Name | JACOB DEVNEY (OWNER) |
| Authorized Official Telephone | 6127307955 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320700000X | Residential Treatment Facility, Physical Disabilities | EA657799 | MN | Residential Treatment Facilities |
| Street Address |
6525 CENTRAL AVE NE UNIT 2 |
| City | FRIDLEY |
| State | MN |
| Zip Code | 55432-4653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336791177 | Adelyn Ruth Kopp | Occupational Therapist | 500 Osborne Rd Ne Suite 365, Fridley, MN 55432 | 2019-07-11 |
| 1831665603 | White Smiles Family Dentistry Pllc | Dentist | 1611 County Hwy 10, Minneapolis, MN 55432 | 2018-10-19 |
| 1518402213 | Peaceful Adult Day Center LLC. | Home Health | 6267 University Ave Ne, Fridley, MN 55432 | 2017-01-04 |
| 1205383742 | Farhiya Mahamud Gelle I | Durable Medical Equipment & Medical Supplies | 6329 5th Street Ne Apt 8, Fridley, MN 55432 | 2016-09-01 |
| 1093163164 | Christiane Schwecke | Specialist/Technologist | 8290 University Ave N, Fridley, MN 55432 | 2016-05-31 |
| 1336551563 | Amy White Mountain | Massage Therapist | 1611 County Hwy 10 Ne, Spring Lake Park, MN 55432 | 2014-05-22 |
| 1942629795 | Shane O'neil | Dermatology | 500 Osborne Rd Ne Ste 330, Fridley, MN 55432 | 2014-04-09 |
| 1952648180 | John Franklyn Marshall | Family Medicine | 480 Osborne Road Ne, Suite 100, Fridley, MN 55432 | 2013-01-08 |
| 1558610519 | Novacare Outpatient Rehabilitation East Inc | Clinic/Center | 480 Osborne Road, Number 280, Fridley, MN 55432 | 2012-09-06 |
| 1336423391 | Christian Restoration Services | Counselor | 7157 Commerce Circle W, Fridley, MN 55432 | 2011-10-07 |
| Find all providers in zip 55432 | ||||
| Taxonomy Code | 320700000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Physical Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750732202 | Miriam Home Health Corporation | Residential Treatment Facility, Physical Disabilities | 7030 Humboldt Avenue North, Brooklyn Center, MN 55430 | 2016-06-27 |
| 1841676459 | Bolat Incorporated | Residential Treatment Facility, Physical Disabilities | 1150 4th Street West, Hastings, MN 55033-1607 | 2015-08-05 |
| 1982816062 | Ginger Care Home, Inc. | Residential Treatment Facility, Physical Disabilities | 42756 Ginger Ave, Harris, MN 55032-3682 | 2007-05-03 |
| 1871711507 | Triple Angels Healthcare Incorporation | Residential Treatment Facility, Physical Disabilities | 9724 84th Street Cir S, Cottage Grove, MN 55016-4931 | 2007-04-20 |
| 1073975488 | Lakeview Massage LLC | Residential Treatment Facility, Physical Disabilities | 13465 Pilot Knob Rd, Apple Valley, MN 55124-8693 | 2016-03-24 |
| 1275955270 | Thrive Behavioral Network II, LLC | Residential Treatment Facility, Physical Disabilities | 4720 Burning Tree Rd, Duluth, MN 55811-3801 | 2014-01-09 |
| 1578733697 | Peggy Paul | Residential Treatment Facility, Physical Disabilities | 22 27th Ave Se, Minneapolis, MN 55414-3102 | 2008-03-04 |
Please comment or provide details below to improve the information on SUNFLAKE.
| 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.