COMMUNITY BOARDING CARE (NPI# 1629498035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629498035 |
| Entity Type | Organization |
| Organization Name | COMMUNITY BOARDING CARE |
| Practice Address |
2219 Oakland Ave # 110 Minneapolis MN 55404-3749 |
| Practice Telephone | 6122963708 |
| Mailing Telephone | 6122963708 |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2014-04-24 |
| Authorized Official Name | MOHAMED BIDARE (OWNER) |
| Authorized Official Telephone | 6122963708 |
| Authorized Official Credential | DIRECTOR |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311Z00000X | Custodial Care Facility | MN | Nursing & Custodial Care Facilities |
| Street Address |
2219 OAKLAND AVE # 110 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55404-3749 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062461 | Andrew Moe | Counselor | 2118 Blaisdell Ave S., Minneapolis, MN 55404 | 2020-10-29 |
| 1194368191 | Luz Angelica Fehn Salinas | Psychologist | 1315 E24th St, Minneapolis, MN 55404 | 2019-10-22 |
| 1760969125 | Bethany Karen Kenny | Registered Nurse | 910 E 26th St Ste 200, Minneapolis, MN 55404 | 2018-07-27 |
| 1225535701 | Karissa Dougherty | Nurse Practitioner | 2200 E Franklin Ave # 199, Minneapolis, MN 55404 | 2018-04-10 |
| 1891299491 | Guidance Home Health Care LLC | Home Health | 2529 Nicollet Avenue 202b, Minneapolis, MN 55404 | 2018-03-20 |
| 1770085490 | Bright Future Counseling Service, LLC | Counselor | 912 E. 24th St., Suite B215, Minneapolis, MN 55404 | 2018-03-08 |
| 1346754298 | Juba Pharmacy Inc | Pharmacy | 1926 Chicago Ave S, Minneapolis, MN 55404 | 2017-11-29 |
| 1629597323 | Kira Larson Fieldstrom | Social Worker | 2400 Blaisdell Ave., Minneapolis, MN 55404 | 2017-09-13 |
| 1770008930 | Nicole Lynn Sparks | Social Worker | 2445 Park Avenue, Minneapolis, MN 55404 | 2017-08-09 |
| 1639612765 | Cosmo Home Healthcare Services, L.L.C. | Home Health | 2219 Oakland Ave S, Suite 104, Minneapolis, MN 55404 | 2016-11-21 |
| Find all providers in zip 55404 | ||||
| Taxonomy Code | 311Z00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. |
| Notes: Source: Paraphrased from Section 3159 A3 of the Medicare Intermediary Manual. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598862708 | Mils Home Health Care Agency Inc | Custodial Care Facility | 2520 Broadway St Ne, Suite 205, Minneapolis, MN 55413-1962 | 2006-09-20 |
| 1235219247 | Walker Methodist Health Center, Inc. | Custodial Care Facility | 3737 Bryant Ave S, Minneapolis, MN 55409-1019 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235754383 | Standard Home Healthcare, Inc. | Custodial Care Facility | 3055 Old Highway 8 Ste 303, Saint Anthony, MN 55418-2500 | 2020-06-15 |
| 1770932774 | Murphy's Board and Care Home | Custodial Care Facility | 1101 3rd St N, Saint Cloud, MN 56303-3904 | 2016-06-09 |
| 1003241373 | Morning Glory Homes Incorporated | Custodial Care Facility | 18626 Clear View Dr, Minnetonka, MN 55345-6078 | 2013-09-05 |
| 1669730651 | Community Healthcare Service | Custodial Care Facility | 14249 Hayes Rd, Apple Valley, MN 55124-6738 | 2012-04-26 |
| 1528228111 | Allison P. Stoklasa | Custodial Care Facility | 29288 Old Towne Rd, Chisago City, MN 55013-8408 | 2008-06-17 |
| 1700079936 | Sato Home and Health Care Services, Inc | Custodial Care Facility | 1133 Lakewood Dr S, Maplewood, MN 55119-5967 | 2007-08-21 |
| 1417038126 | Acr Healthcare Services, LLC | Custodial Care Facility | 2437 Rice St, Roseville, MN 55113-3706 | 2006-10-18 |
| 1982637617 | Midway Care Center Inc. | Custodial Care Facility | 114 2nd St Ne, Fosston, MN 56542-1302 | 2006-07-08 |
| 1346786035 | First Nations, LLC | Custodial Care Facility | 2586 7th Ave E, Suite 302, North St Paul, MN 55109-3083 | 2017-01-18 |
| 1336505296 | Mw Minnetonka Operating LLC | Custodial Care Facility | 14505 Minnetonka Dr, Minnetonka, MN 55345-2210 | 2016-01-07 |
| Find all providers with the same taxonomy | ||||
| City | MINNEAPOLIS |
| Zip Code | 55404 |
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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.