LA COSTA HEALTH SERVICES LLC (NPI# 1710338462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710338462 |
| Entity Type | Organization |
| Organization Name | LA COSTA HEALTH SERVICES LLC |
| Practice Address |
2817 Anthony Ln S Ste 106 St Anthony MN 55418-2489 |
| Practice Telephone | 6127884290 |
| Practice Fax Number | 6127884290 |
| Mailing Telephone | 6127884290 |
| Mailing Fax Number | 6127884290 |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2016-06-23 |
| Authorized Official Name | MAHAMUD MAHAD ABDI (DIRECTOR) |
| Authorized Official Telephone | 6198653475 |
| Authorized Official Credential | MASTER'S DEGREE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
2817 ANTHONY LN S STE 106 |
| City | ST ANTHONY |
| State | MN |
| Zip Code | 55418-2489 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437758042 | Dawn Therapy Inc | Early Intervention Provider Agency | 2817 Anthony Ln S Ste 106, St Anthony, MN 55418-2489 | 2020-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347854 | Shining Light Skill Building LLC | Psychologist | 3055 Old Highway 8 Ste 106b, St. Anthony, MN 55418 | 2020-08-17 |
| 1033744008 | Star Health Services | Clinic/Center | 3055 Old High 8, Saint Anthony, MN 55418 | 2020-03-10 |
| 1154974913 | Magnolia Home Healthcare LLC | Durable Medical Equipment & Medical Supplies | 951 Ne Lowry Ave #314, Minneapolis, MN 55418 | 2019-07-22 |
| 1255825345 | Senzilla Health Services, LLC | Clinic/Center | 3035 Old Highway 8, Suite 101f, St. Anthony, MN 55418 | 2018-06-21 |
| 1932642113 | Allyson Plumberg | Speech-Language Pathologist | 2568 Kenzie Terrace, Apt 211, St Anthony, MN 55418 | 2016-11-21 |
| 1053782961 | Exel Mobility Inc | Non-emergency Medical Transport (VAN) | 2302 Central Avenue, Minneapolis, MN 55418 | 2015-10-19 |
| 1447620893 | Bille Bus Transportation, Inc | Non-emergency Medical Transport (VAN) | 2500 Hwy 88, Suite 218, Minneapolis, MN 55418 | 2015-09-29 |
| 1508242108 | Caring Companions Home Health Care | Home Health | 3055 Old High Way 8 Suite 109, St Anthony, MN 55418 | 2015-08-05 |
| 1477934438 | Hybrid Behavioral Health | Community/Behavioral Health | 2221 Polk St Ne, Minneapolis, MN 55418 | 2015-06-16 |
| 1316343551 | Hennepin Healthcare Systems, Inc | Pharmacy | 2714 County Rd 88, Minneapolis, MN 55418 | 2014-11-17 |
| Find all providers in zip 55418 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508470956 | Our Future Inc. | Community/Behavioral Health | 3055 Old Highway 8 Ste 230, St Anthony, MN 55418-2500 | 2020-09-02 |
| 1336750769 | Community Care Partners | Community/Behavioral Health | 2817 Anthony Ln S Ste 312, St Anthony, MN 55418-2886 | 2020-08-10 |
| 1841828191 | Astute Autism and Related Neurodevelopment Care Center | Community/Behavioral Health | 3055 Old Highway 8 Ste 348, St Anthony, MN 55418-2500 | 2020-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922102 | Alliance Development Center LLC | Community/Behavioral Health | 1545 E Lake St Ste 210, Minneapolis, MN 55407-1742 | 2020-11-05 |
| 1083212419 | Stepping Stone Counseling, LLC | Community/Behavioral Health | 339 9th St Ste C, Windom, MN 56101-1694 | 2020-10-16 |
| 1114526548 | Essential Grace Therapy, Pllc | Community/Behavioral Health | 12390 Sherburne Ave Ste 210, Becker, MN 55308-9147 | 2020-10-16 |
| 1770180606 | Anishinaabe Endaad LLC | Community/Behavioral Health | 3027 Queen Ave N, Minneapolis, MN 55411-1060 | 2020-10-05 |
| 1427662543 | Autism Center for Education LLC | Community/Behavioral Health | 2021 E Hennepin Ave Ste 187, Minneapolis, MN 55413-2187 | 2020-09-04 |
| 1235743634 | Amolo House | Community/Behavioral Health | 3730 Fremont Ave N, Minneapolis, MN 55412-2014 | 2020-09-02 |
| 1114539434 | Northway Academy, Inc. | Community/Behavioral Health | 19437 Evans Street Nw, Elk River, MN 55330-1074 | 2020-08-18 |
| 1356951255 | Great Lake Care LLC | Community/Behavioral Health | 1710 Douglas Dr N Ste 224e, Golden Valley, MN 55422-4350 | 2020-08-05 |
| 1689283772 | Raji Inc | Community/Behavioral Health | 2639 Nicollet Ave # 130, Minneapolis, MN 55408-1629 | 2020-07-24 |
| 1578188504 | Sound Connections Counseling | Community/Behavioral Health | 3747 Minnehaha Ave, Minneapolis, MN 55406-2857 | 2020-06-16 |
| Find all providers with the same taxonomy | ||||
| City | ST ANTHONY |
| Zip Code | 55418 |
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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.