MARTIN LM LLC (NPI# 1689867707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689867707 |
| Entity Type | Organization |
| Organization Name | MARTIN LM LLC |
| Other Organization Name | MARTIN LUTHER ADULT DAY PROGRAM |
| Practice Address |
1401 E 100th St Bloomington MN 55425-2615 |
| Practice Telephone | 9529485154 |
| Mailing Telephone | 9529485154 |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2008-12-17 |
| Authorized Official Name | DENVER KAUFMAN (PRESIDENT) |
| Authorized Official Telephone | 6123710053 |
| Is Organization Subpart | Y |
| Parent Organization Name | MARTIN LM LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
MN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 640027100 | 05 |
| Other Name | Type Code |
|---|---|
| Martin Luther Adult Day Program | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770776890 | Martin Lm LLC | Clinic/Center | 7132 Portland Ave, Richfield, MN 55423-3264 | 2007-08-22 |
| 1255523858 | Martin Lm LLC | Custodial Care Facility | 4616 W 102nd St, Bloomington, MN 55437-2612 | 2007-08-16 |
| 1073705661 | Martin Lm LLC | Clinic/Center | 9801 Penn Ave S, Bloomington, MN 55431-2912 | 2007-08-16 |
| 1629148929 | Martin Lm LLC | Skilled Nursing Facility | 1401 E 100th St, Bloomington, MN 55425 | 2006-11-08 |
| Street Address |
1401 E 100TH ST |
| City | BLOOMINGTON |
| State | MN |
| Zip Code | 55425-2615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548288517 | Laureen Marie Akervik | Occupational Therapy Assistant | 1401 E 100th St, Bloomington, MN 55425-2615 | 2006-07-18 |
| 1285234922 | Lucy Joan Tompson Daldorph | Physical Therapist | 1401 E 100th St, Bloomington, MN 55425-2615 | 2020-10-30 |
| 1053879130 | Melissa Lynne Greene | Occupational Therapist | 1401 E 100th St, Bloomington, MN 55425-2615 | 2019-03-07 |
| 1629148929 | Martin Lm LLC | Skilled Nursing Facility | 1401 E 100th St, Bloomington, MN 55425 | 2006-11-08 |
| 1750301578 | Martin Luther Manor | Skilled Nursing Facility | 1401 E 100th St, Bloomington, MN 55425-2615 | 2006-07-21 |
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|---|---|---|---|---|
| 1275132003 | Faizo A Hersi | Student in an Organized Health Care Education/Training Program | 9700 International Dr Suite 300, Bloomington, MN 55425 | 2020-10-22 |
| 1134773419 | Fairview Clinics | Clinic/Center | 322 E. Broadway Suite E322, Bloomington, MN 55425 | 2019-07-25 |
| 1548730328 | Che Doua Thao | Pharmacy Technician | Leafline Labs, Eagan, MN 55425 | 2018-12-05 |
| 1235645763 | Caringhands Adult Day Center | Chore Provider | 8040 Old Cedar Ave South Suite # 1, Bloomington, MN 55425 | 2017-12-20 |
| 1174044119 | Abs Holdings, Inc. | In Home Supportive Care | 2626 East 82nd St., Suite 145, Bloomington, MN 55425 | 2017-06-29 |
| 1598144891 | Matthew Runde | Family Medicine | Riverway Clinic Anoka 601 Jacob Lane, Anoka, MN 55425 | 2015-05-20 |
| 1336578145 | Rebecca Ann Lund | Counselor | 8011 34th Avenue South, Suite 206, Bloomington, MN 55425 | 2013-11-02 |
| 1578902250 | Promise Care, Inc | Home Health | 7900 International Drive, Suite 300, Bloomington, MN 55425 | 2013-06-17 |
| 1336292911 | Gane Marie Boothroyd | Optometrist | 304 N. Garden, Mall of America, Bloomington, MN 55425 | 2007-01-18 |
| 1841341898 | Visual Edge, Inc | Technician/Technologist | W 385 West Market, Mall of America, Bloomington, MN 55425 | 2007-01-16 |
| Find all providers in zip 55425 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013228972 | Global Adult Day Care | Clinic/Center | 9110 Old Cedar Ave S Apt 106, Bloomington, MN 55425-2351 | 2010-06-25 |
| 1073705661 | Martin Lm LLC | Clinic/Center | 9801 Penn Ave S, Bloomington, MN 55431-2912 | 2007-08-16 |
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| 1093347833 | Health Care Plus Inc. | Clinic/Center | 4949 Olson Memorial Hwy, Golden Valley, MN 55422-5130 | 2020-02-10 |
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| 1992342513 | The Salvation Army | Clinic/Center | 2080 Woodlynn Ave, Maplewood, MN 55109-1418 | 2019-12-02 |
| 1942844139 | Riverside Adult Care Inc | Clinic/Center | 924 19th Ave S Ste B, Minneapolis, MN 55404-2202 | 2019-10-31 |
| 1497397491 | Forever Friendship Adult Day Center | Clinic/Center | 734 Snelling Ave N, Saint Paul, MN 55104-2384 | 2019-10-10 |
| 1568013191 | Sip Brothers Inc. | Clinic/Center | 4618 85th Ave N, Brooklyn Park, MN 55443-1957 | 2019-09-25 |
| 1730730508 | Guardian Angels Health Services, Inc. | Clinic/Center | 9200 Quantrelle Ave Ne, Otsego, MN 55330-1048 | 2019-09-24 |
| 1346709268 | State of Minnesota-minnesota Management and Budget | Clinic/Center | 5101 Minnehaha Ave Bldg 4, Minneapolis, MN 55417-1647 | 2019-03-19 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMINGTON |
| Zip Code | 55425 |
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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.