MIRIAM HOME HEALTH CORPORATION (NPI# 1750732202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750732202 |
| Entity Type | Organization |
| Organization Name | MIRIAM HOME HEALTH CORPORATION |
| Practice Address |
7030 Humboldt Avenue North Brooklyn Center MN 55430 |
| Mailing Address |
7030 Humboldt Ave N Brooklyn Center MN 55430-1153 |
| Practice Telephone | 7634584750 |
| Practice Fax Number | 7635610738 |
| Mailing Telephone | 7634584750 |
| Mailing Fax Number | 7635610738 |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2016-06-27 |
| Authorized Official Name | MRS. ALICE ISATU MANSARAY (PRESIDENT) |
| Authorized Official Telephone | 7634584750 |
| Authorized Official Credential | REGISTERED NURSE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320700000X | Residential Treatment Facility, Physical Disabilities | Residential Treatment Facilities |
| Street Address |
7030 HUMBOLDT AVENUE NORTH |
| City | BROOKLYN CENTER |
| State | MN |
| Zip Code | 55430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396362182 | Graceland Homes | Home Health | 6843 Colfax Ave N, Brooklyn Center, MN 55430 | 2020-06-29 |
| 1912549742 | His Services Home Care, LLC | Home Health | 2108 70th Avenue North, Brooklyn Park, MN 55430 | 2019-10-14 |
| 1336612969 | Jeremiah Sk Pojah Sr. | Registered Nurse | 5201 Bryant Avenue North, Suite 108, Minneapolis, MN 55430 | 2019-01-07 |
| 1891219697 | Tamika Yvette Spicer | Home Health Aide | 6640 Humboldt Ave N, 101, Brooklyn Center, MN 55430 | 2017-08-02 |
| 1265973358 | James Contois | Community Based Residential Treatment Facility, Mental Illness | 6120 Earle Brown Drive, Suite 100, Brooklyn Center, MN 55430 | 2017-03-09 |
| 1336693746 | Sara Jean Cooper | Dentist | 1090 Shingle Creek Pkwy, Brooklyn Center, MN 55430 | 2016-08-15 |
| 1649628561 | Tranquility Health LLC | Community/Behavioral Health | 6040 Earle Brown Dr Ste 250, Brooklyn Center, MN 55430 | 2016-06-01 |
| 1104233790 | Lillie's Helping Hands | In Home Supportive Care | 6407 Camden Ave N, #303, Brooklyn Center, MN 55430 | 2014-07-16 |
| 1063760817 | Wal-mart Stores Inc | Technician/Technologist | 1200 Shingle Creek Crossing, Brooklyn Center, MN 55430 | 2012-08-28 |
| 1962712539 | Chao and Doua Family Adult Foster Care | Custodial Care Facility | 7106 Newton Ave North, Brooklyn Center, MN 55430 | 2010-10-18 |
| Find all providers in zip 55430 | ||||
| Taxonomy Code | 320700000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Physical Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841676459 | Bolat Incorporated | Residential Treatment Facility, Physical Disabilities | 1150 4th Street West, Hastings, MN 55033-1607 | 2015-08-05 |
| 1598165359 | Sunflake | Residential Treatment Facility, Physical Disabilities | 6525 Central Ave Ne Unit 2, Fridley, MN 55432-4653 | 2014-08-29 |
| 1982816062 | Ginger Care Home, Inc. | Residential Treatment Facility, Physical Disabilities | 42756 Ginger Ave, Harris, MN 55032-3682 | 2007-05-03 |
| 1871711507 | Triple Angels Healthcare Incorporation | Residential Treatment Facility, Physical Disabilities | 9724 84th Street Cir S, Cottage Grove, MN 55016-4931 | 2007-04-20 |
| 1073975488 | Lakeview Massage LLC | Residential Treatment Facility, Physical Disabilities | 13465 Pilot Knob Rd, Apple Valley, MN 55124-8693 | 2016-03-24 |
| 1275955270 | Thrive Behavioral Network II, LLC | Residential Treatment Facility, Physical Disabilities | 4720 Burning Tree Rd, Duluth, MN 55811-3801 | 2014-01-09 |
| 1578733697 | Peggy Paul | Residential Treatment Facility, Physical Disabilities | 22 27th Ave Se, Minneapolis, MN 55414-3102 | 2008-03-04 |
| City | BROOKLYN CENTER |
| Zip Code | 55430 |
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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.