BLANCHE EATON (NPI# 1629477633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629477633 |
| Entity Type | Individual |
| Full Name | BLANCHE EATON |
| Practice Address |
1502 W Broadway Ave Minneapolis MN 55411-2408 |
| Practice Telephone | 6125292399 |
| Practice Fax Number | 6125292399 |
| Mailing Telephone | 6125292399 |
| Mailing Fax Number | 6125292399 |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2014-08-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | 3675466 | MN | Managed Care Organizations |
| Street Address |
1502 W BROADWAY AVE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55411-2408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477101483 | Minnesota Mental Health Solutions | Social Worker | 1007 W Broadway Ave Ste 200, Minneapolis, MN 55411 | 2019-09-03 |
| 1154980233 | Access Group Home LLC | Home Health | 1122 Upton Ave N, Minneapolis, MN 55411 | 2019-06-11 |
| 1780036202 | Marcia Karen Powless | Registered Nurse | 2339 River Pointe Lane, Minneapolis, MN 55411 | 2016-07-08 |
| 1104287663 | Abdikarim Abdille | Contractor | 521 Lyn Park Cir N, Minneapolis, MN 55411 | 2016-03-11 |
| 1962801399 | Olu's Center | Clinic/Center | 1315 12th Ave N, Minneapolis, MN 55411 | 2014-08-21 |
| 1689086639 | Claudia Alejandra Patino Gonzalez | Student in an Organized Health Care Education/Training Program | 1020 West Broadway Avenue, Minneapolis, MN 55411 | 2014-05-27 |
| 1306283445 | Advanced Home Care | Home Health | 3000 Logan Ave N, Minneapolis, MN 55411 | 2013-05-30 |
| 1154766525 | Bassim Samadani Birkland | Student in an Organized Health Care Education/Training Program | Broadway Clinic, 1020 West Broadway, Minneapolis, MN 55411 | 2013-04-30 |
| 1720354004 | New Salem Metormorphosis Youth Program | Counselor | 2509 Bryant Ave North, Minneapolis, MN 55411 | 2012-03-30 |
| 1629387469 | Apose | Home Health | 2806 Girard Ave. North, Minneapolis, MN 55411 | 2010-09-28 |
| Find all providers in zip 55411 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "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. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417493990 | Suado Hirsi Dirir | Preferred Provider Organization | 2605 Bloomington Ave, Minneapolis, MN 55407-1137 | 2017-01-09 |
| 1699226829 | Hibaq Warsame | Preferred Provider Organization | 3655 Girard Ave N, Minneapolis, MN 55412-2020 | 2016-10-24 |
| 1912355132 | Lifestyle Living Home Care LLC | Preferred Provider Organization | 1 W Lake St Apt 404, Minneapolis, MN 55408-3153 | 2016-05-27 |
| 1619334281 | Perfection Care Associates LLC | Preferred Provider Organization | 1810 Columbus Ave, Minneapolis, MN 55404-1961 | 2016-01-27 |
| 1699132068 | Best Home Health Care Service LLC | Preferred Provider Organization | 6040 Clinton Ave, Minneapolis, MN 55419-2539 | 2016-01-15 |
| 1649675869 | Isse Mohamed Elmi | Preferred Provider Organization | 3201 2nd Ave S, Minneapolis, MN 55408-3202 | 2014-10-30 |
| 1659665990 | Back On Track, Pllc | Preferred Provider Organization | 3128 Holmes Ave, Upper, Minneapolis, MN 55408-2629 | 2011-06-03 |
| 1437395936 | Face 2 Face Interpreting, Inc. | Preferred Provider Organization | 1421 Park Ave South, Suite 203, Minneapolis, MN 55404-1579 | 2009-01-05 |
| 1841410388 | Merciful Handshome Health Care, Inc | Preferred Provider Organization | 912 E 24th St, Suite B208, Minneapolis, MN 55404-3869 | 2007-04-26 |
| 1508317736 | Shukri Agoole | Preferred Provider Organization | 3655 Girard Ave N, Minneapolis, MN 55412-2020 | 2016-10-24 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55411 |
Please comment or provide details below to improve the information on BLANCHE EATON.
| 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.