CONNIE LOBERGS ADULT FOSTER CARE HOME (NPI# 1649603432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649603432 |
| Entity Type | Organization |
| Organization Name | CONNIE LOBERGS ADULT FOSTER CARE HOME |
| Practice Address |
13038 Executive Acres Rd Brainerd MN 56401-5264 |
| Practice Telephone | 2188258502 |
| Mailing Telephone | 2188258502 |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2013-08-15 |
| Authorized Official Name | MRS. CONNIE J LOBERG (LICENSED ADULT FOSTER CARE HOME) |
| Authorized Official Telephone | 2188258502 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253J00000X | Foster Care Agency | 8086862AFC | MN | Agencies |
| Street Address |
13038 EXECUTIVE ACRES RD |
| City | BRAINERD |
| State | MN |
| Zip Code | 56401-5264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396222832 | Nicholas James Manning | Physical Therapist | 7350 Clearwater Rd N, Baxter, MN 56401 | 2018-07-27 |
| 1952819757 | Hannah Marie Darabi | Physical Therapist | Essentia Health Rehabilitation Services, 2016 South Sixth Street, Brainer, MN 56401 | 2018-01-15 |
| 1154867406 | Nancy Ann Schauer | Social Worker | 823 Maple Street, Northern Pine Mental Health Center, Brainerd, MN 56401 | 2017-01-10 |
| 1336530310 | Audrey Jean Twit | Pharmacist | 523 North Third Street, Essentia Health St Joseph's Medical Center, Brainerd, MN 56401 | 2015-02-11 |
| 1245638584 | The Renneke Chiropractic Clinic | Physical Therapist | 623 Madison St., Brainerd, MN 56401 | 2014-12-19 |
| 1124420179 | Jenna Niggeler | Acupuncturist | 1001 Kingwood St Ste 119a, Brainerd, MN 56401 | 2014-09-22 |
| 1073933719 | Nicholas Adam Lesmeister | Orthopaedic Surgery | 2014 South 6th Street, Brainerd, MN 56401 | 2014-04-21 |
| 1073864666 | Jennifer L. Owens | Marriage & Family Therapist | 4706 Wilderness Ct Ste 101, Brainerd, MN 56401 | 2012-09-24 |
| 1619297447 | Christine Elaine Smalling | Licensed Practical Nurse | 6317 Estate Circle Drive, Brainerd, MN 56401 | 2010-06-03 |
| 1528241577 | Dannia Lor Vang | Pharmacist | 2024 South 6th St, Clinic Pharmacy, Brainerd, MN 56401 | 2007-12-13 |
| Find all providers in zip 56401 | ||||
| Taxonomy Code | 253J00000X |
| Grouping | Agencies |
| Classification | Foster Care Agency |
| A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. |
| Notes: Source: Code Of Federal Regulations, Title 45, Volume 4, Part 1355, Section 57 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659979979 | South Star Care | Foster Care Agency | 3973 Willow Ridge Dr Sw, Rochester, MN 55902-2801 | 2020-10-09 |
| 1174138218 | Angelique Elizabeth Finifrock | Foster Care Agency | 10701 Becks Rd, Duluth, MN 55808 | 2020-09-15 |
| 1881211951 | Nordell Family Services LLC | Foster Care Agency | 4626 20th St Sw, Waverly, MN 55390-5004 | 2020-07-06 |
| 1285260497 | Yasmin Ahmed Sulayman | Foster Care Agency | 3433 Kenosha Dr Nw, Rochester, MN 55901-5707 | 2020-03-19 |
| 1023657285 | Julia Marie Bolte | Foster Care Agency | 3629 152nd Ln Nw, Andover, MN 55304-3008 | 2020-01-04 |
| 1730722745 | Grace Jepchirchir Fidalgo | Foster Care Agency | 6222 Hedgecroft Ave S, Cottage Grove, MN 55016-6002 | 2019-10-22 |
| 1467094102 | Lake Country Living Services LLC | Foster Care Agency | 181 Little Rock Rd Nw, Rice, MN 56367-8685 | 2019-10-15 |
| 1518508712 | Amanda Hesse | Foster Care Agency | 775 Lee Cir Se, Cokato, MN 55321-4697 | 2019-09-30 |
| 1275181661 | Alliance Homes Corporation | Foster Care Agency | 4946 Jackson St Ne, Columbia Heights, MN 55421-1709 | 2019-08-28 |
| 1760048078 | Kevin Carlyle Lunde X | Foster Care Agency | 1321 Merrywood Ct, Faribault, MN 55021-6529 | 2019-05-13 |
| Find all providers with the same taxonomy | ||||
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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.