CAMILLE JEAN EDOSA (NPI# 1669958559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669958559 |
| Entity Type | Individual |
| Full Name | CAMILLE JEAN EDOSA |
| Practice Address |
191 Larpenteur Ave E Apt F Maplewood MN 55117-2382 |
| Practice Telephone | 7634647487 |
| Mailing Telephone | 7634647487 |
| Enumeration Date | 2018-07-14 |
| Last Update Date | 2018-07-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 372500000X | Chore Provider | Nursing Service Related Providers | ||
| N | 372600000X | Adult Companion | Nursing Service Related Providers | ||
| N | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers | ||
| N | 374U00000X | Home Health Aide | Nursing Service Related Providers | ||
| N | 376J00000X | Homemaker | Nursing Service Related Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
191 LARPENTEUR AVE E APT F |
| City | MAPLEWOOD |
| State | MN |
| Zip Code | 55117-2382 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306309992 | Katrina Gregor | Social Worker | Po Box 17370 Lot 537, St. Paul, MN 55117 | 2019-04-10 |
| 1083160352 | Miracle Home Health Care, Inc. | Home Health | 55 Lyton Place, Saint Paul, MN 55117 | 2016-08-28 |
| 1871958827 | Roxanne Marie Cruciani | Physical Therapy Assistant | 41 East County Road C, #211, Little Canada, MN 55117 | 2015-12-17 |
| 1386064111 | Laura Giegler | Family Medicine | 1983 Sloan Pl Ste 1, Saint Paul, MN 55117 | 2014-04-19 |
| 1235564352 | Jennifer Ann Bertolatus | Counselor | 1585 Rice Street, St. Paul, MN 55117 | 2013-09-09 |
| 1851670400 | Healthy Community Services Agency, Inc | Home Health | 1096 Rice St., St. Paul, MN 55117 | 2011-08-15 |
| 1609184639 | Ondrea Perlman | Advanced Practice Midwife | 91 Viking Drive West, Little Canada, MN 55117 | 2010-09-24 |
| 1710126107 | Have A Heart Home Health Group, LLC | Home Health | 1973 Sloan Place, Suite 70, Maplewood, MN 55117 | 2009-02-09 |
| 1508052424 | Integratiavecare Vadnais Heights LLC | Pharmacy | 5 East County Road B, Suite #2, Little Canada, MN 55117 | 2007-09-25 |
| 1174728257 | Step Therapies, Inc. | Specialist | 75 W Viking Drive, Suite 101, Little Canada, MN 55117 | 2007-06-18 |
| Find all providers in zip 55117 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336707207 | Meolinol Healthcare Benefits LLC | Case Manager/Care Coordinator | 1980 Springfield Ave Ste 9d, Maplewood, NJ 07040-3438 | 2019-06-05 |
| 1013442409 | Superior Health and Human Services of Mn | Case Manager/Care Coordinator | 1973 Sloan Pl, Suite 210, Maplewood, MN 55117-2084 | 2017-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780295964 | The Experience of Neshama | Case Manager/Care Coordinator | 1 Water St W Ste 220, Saint Paul, MN 55107-2002 | 2020-08-12 |
| 1295352698 | Tong Vang | Case Manager/Care Coordinator | 1164 White Bear Ave N, Saint Paul, MN 55106-3004 | 2020-07-01 |
| 1770100638 | Access Homehealth LLC | Case Manager/Care Coordinator | 335 37th Ave N, Saint Cloud, MN 56303-3046 | 2020-06-26 |
| 1730715772 | Xavier Munoz | Case Manager/Care Coordinator | 1557 Mcafee St, Saint Paul, MN 55106-1436 | 2020-03-22 |
| 1609407295 | Tim Mcnelis | Case Manager/Care Coordinator | 505 7th Ave Sw, Faribault, MN 55021-5914 | 2020-02-01 |
| 1689211955 | A Beautiful Choice LLC | Case Manager/Care Coordinator | 11966 Woodland Pkwy Ne, Blaine, MN 55449-1501 | 2019-12-05 |
| 1376008474 | Richard Lee Lloyd | Case Manager/Care Coordinator | 418 County Road D E, Saint Paul, MN 55117-1218 | 2019-02-04 |
| 1932673340 | Danielle Lee Maas | Case Manager/Care Coordinator | 6705 Oak Grove Pkwy Unit 1138, Brooklyn Park, MN 55445-2552 | 2019-01-18 |
| 1942708508 | Teammd Physicians of Texas Inc | Case Manager/Care Coordinator | 9900 Bren Rd E # 8-b217, Minnetonka, MN 55343 | 2018-01-30 |
| 1508305509 | Melanie Stelzen | Case Manager/Care Coordinator | 309 Labree Ave N, Suite 10, Thief River Falls, MN 56701-2020 | 2017-02-23 |
| 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.