COMMUNITY HEALTHCARE SERVICE


Address: 14249 Hayes Rd, Apple Valley, MN 55124-6738
Phone: 9528918038

COMMUNITY HEALTHCARE SERVICE (NPI# 1669730651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669730651
Entity Type Organization
Organization Name COMMUNITY HEALTHCARE SERVICE
Practice Address 14249 Hayes Rd
Apple Valley
MN 55124-6738
Practice Telephone 9528918038
Practice Fax Number 9528918038
Mailing Telephone 9528918038
Mailing Fax Number 9528918038
Enumeration Date 2012-04-26
Last Update Date 2012-04-26
Authorized Official Name GLORIA IGWILOHI AGBATOR (MANAGER)
Authorized Official Telephone 6126363286
Authorized Official Credential CO-OWNER
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 311Z00000X Custodial Care Facility 356758 MN Nursing & Custodial Care Facilities

Office Location

Street Address 14249 HAYES RD
City APPLE VALLEY
State MN
Zip Code 55124-6738

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1356831515 Dustin W Seabolt Hearing Instrument Specialist 15071 Dunwood Trl, Apple Valley, MN 55124 2018-05-14
1639687189 Dentalign P.a. Clinic/Center 15875 Emperor Avenue, Apple Valley, MN 55124 2018-01-18
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1821523028 Robin Marie Parker Nurse Practitioner 14135 Cedar Avenue South, Suite 100, Apple Valley, MN 55124 2017-04-25
1134578826 Ellen Denise Jacobson Dentist 14682 Pennock Avenue South, Apple Valley, MN 55124 2016-06-03
1831568708 Clearriver Inc. Home Health 13790 Elkhart Rd, Apple Valley, MN 55124 2015-09-21
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1568872216 Jon Butala Marriage & Family Therapist 4300 W 147th St., Suite 204, Apple Valley, MN 55124 2014-05-04
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Taxonomy Information

Taxonomy Code 311Z00000X
Grouping Nursing & Custodial Care Facilities
Classification Custodial Care Facility

Taxonomy Definition

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.

Providers in the same taxonomy and state

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
1629498035 Community Boarding Care Custodial Care Facility 2219 Oakland Ave # 110, Minneapolis, MN 55404-3749 2014-04-24
1003241373 Morning Glory Homes Incorporated Custodial Care Facility 18626 Clear View Dr, Minnetonka, MN 55345-6078 2013-09-05
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
1598862708 Mils Home Health Care Agency Inc Custodial Care Facility 2520 Broadway St Ne, Suite 205, Minneapolis, MN 55413-1962 2006-09-20
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
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Competitor

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City APPLE VALLEY
Zip Code 55124

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Dataset Information

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.

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