MARTIN LM LLC (NPI# 1629148929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629148929 |
| Entity Type | Organization |
| Organization Name | MARTIN LM LLC |
| Other Organization Name | MARTIN LUTHER CARE CENTER |
| Practice Address |
1401 E 100th St Bloomington MN 55425 |
| Practice Telephone | 9528887751 |
| Practice Fax Number | 9526983626 |
| Mailing Telephone | 9528887751 |
| Mailing Fax Number | 9526983626 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2009-08-03 |
| Authorized Official Name | DENVER KAUFMAN (PRESIDENT) |
| Authorized Official Telephone | 6123710053 |
| Is Organization Subpart | Y |
| Parent Organization Name | MARTIN LM LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 343053 | MN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BLUE CROSS BLUE SHIELD | 8606MA | 01 |
| MN | UCARE | NH0033 | 01 |
| MN | MEDICA | 71-22647 | 01 |
| MN | 180482000 | 05 |
| Other Name | Type Code |
|---|---|
| Martin Luther Care Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770776890 | Martin Lm LLC | Clinic/Center | 7132 Portland Ave, Richfield, MN 55423-3264 | 2007-08-22 |
| 1255523858 | Martin Lm LLC | Custodial Care Facility | 4616 W 102nd St, Bloomington, MN 55437-2612 | 2007-08-16 |
| 1073705661 | Martin Lm LLC | Clinic/Center | 9801 Penn Ave S, Bloomington, MN 55431-2912 | 2007-08-16 |
| 1689867707 | Martin Lm LLC | Clinic/Center | 1401 E 100th St, Bloomington, MN 55425-2615 | 2007-08-22 |
| Street Address |
1401 E 100TH ST |
| City | BLOOMINGTON |
| State | MN |
| Zip Code | 55425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548288517 | Laureen Marie Akervik | Occupational Therapy Assistant | 1401 E 100th St, Bloomington, MN 55425-2615 | 2006-07-18 |
| 1285234922 | Lucy Joan Tompson Daldorph | Physical Therapist | 1401 E 100th St, Bloomington, MN 55425-2615 | 2020-10-30 |
| 1053879130 | Melissa Lynne Greene | Occupational Therapist | 1401 E 100th St, Bloomington, MN 55425-2615 | 2019-03-07 |
| 1689867707 | Martin Lm LLC | Clinic/Center | 1401 E 100th St, Bloomington, MN 55425-2615 | 2007-08-22 |
| 1750301578 | Martin Luther Manor | Skilled Nursing Facility | 1401 E 100th St, Bloomington, MN 55425-2615 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275132003 | Faizo A Hersi | Student in an Organized Health Care Education/Training Program | 9700 International Dr Suite 300, Bloomington, MN 55425 | 2020-10-22 |
| 1134773419 | Fairview Clinics | Clinic/Center | 322 E. Broadway Suite E322, Bloomington, MN 55425 | 2019-07-25 |
| 1548730328 | Che Doua Thao | Pharmacy Technician | Leafline Labs, Eagan, MN 55425 | 2018-12-05 |
| 1235645763 | Caringhands Adult Day Center | Chore Provider | 8040 Old Cedar Ave South Suite # 1, Bloomington, MN 55425 | 2017-12-20 |
| 1174044119 | Abs Holdings, Inc. | In Home Supportive Care | 2626 East 82nd St., Suite 145, Bloomington, MN 55425 | 2017-06-29 |
| 1598144891 | Matthew Runde | Family Medicine | Riverway Clinic Anoka 601 Jacob Lane, Anoka, MN 55425 | 2015-05-20 |
| 1336578145 | Rebecca Ann Lund | Counselor | 8011 34th Avenue South, Suite 206, Bloomington, MN 55425 | 2013-11-02 |
| 1578902250 | Promise Care, Inc | Home Health | 7900 International Drive, Suite 300, Bloomington, MN 55425 | 2013-06-17 |
| 1336292911 | Gane Marie Boothroyd | Optometrist | 304 N. Garden, Mall of America, Bloomington, MN 55425 | 2007-01-18 |
| 1841341898 | Visual Edge, Inc | Technician/Technologist | W 385 West Market, Mall of America, Bloomington, MN 55425 | 2007-01-16 |
| Find all providers in zip 55425 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
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| 1639520034 | Luther Oaks Inc | Skilled Nursing Facility | 601 Lutz Rd, Bloomington, IL 61704-8608 | 2016-06-27 |
| 1447641683 | Daviess County Hospital | Skilled Nursing Facility | 363 S Fieldstone Blvd, Bloomington, IN 47403-9806 | 2015-02-10 |
| 1023425915 | Tanja Lutman | Skilled Nursing Facility | 1207 Dover Rd, Bloomington, IL 61704-7608 | 2014-07-13 |
| 1881009660 | Arba Care Center of Bloomington LLC | Skilled Nursing Facility | 1509 Calhoun St, Bloomington, IL 61701-1514 | 2014-06-30 |
| 1316375686 | Daviess County Hospital | Skilled Nursing Facility | 3043 N Lintel Dr, Bloomington, IN 47404-8945 | 2013-10-24 |
| 1346315165 | Westminster Village Inc | Skilled Nursing Facility | 2025 E. Lincoln, Bloomington, IL 61701-5995 | 2006-11-21 |
| 1598789240 | Presbyterian Homes Bloomington Care Center, Inc | Skilled Nursing Facility | 9889 Penn Ave S, Bloomington, MN 55431-2912 | 2006-07-26 |
| 1821040031 | Hendricks County Hospital | Skilled Nursing Facility | 155 E Burks Dr, Bloomington, IN 47401-8459 | 2006-05-16 |
| 1386695476 | Ggnsc Minneapolis Bloomington LLC | Skilled Nursing Facility | 9200 Nicollet Ave S, Bloomington, MN 55420-3714 | 2006-05-13 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 55425 |
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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.