VICTOR G. MAKORI (NPI# 1750947743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750947743 |
Entity Type | Individual |
Full Name | VICTOR G. MAKORI |
Practice Address |
17017 Georgetown Way Rosemount MN 55068-5159 |
Practice Telephone | 6122909608 |
Mailing Telephone | 6122909608 |
Enumeration Date | 2019-05-15 |
Last Update Date | 2019-05-15 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | 2300 | 05 |
Street Address |
17017 GEORGETOWN WAY |
City | ROSEMOUNT |
State | MN |
Zip Code | 55068-5159 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740744911 | Scott Hogan | Chiropractor | 2930 146th St. W #110, Rosemount, MN 55068 | 2019-01-22 |
1184133357 | Green Medical Solutions | Durable Medical Equipment & Medical Supplies | 15170 Chippendale Ave W., Suite 101, Rosemount, MN 55068 | 2017-09-20 |
1215382767 | Jessica Warren | Chiropractor | 15170 Chippendale Ave S, Suite 200, Rosemount, MN 55068 | 2016-05-03 |
1033596275 | Leslie Wight | Marriage & Family Therapist | 2930 146th St. W, #114, Rosemount, MN 55068 | 2015-04-27 |
1871914044 | Jeanine Martin | Occupational Therapy Assistant | 2930 146th St W Apt 239, Rosemount, MN 55068 | 2013-12-13 |
1699097394 | Colleen Renee Mens | Social Worker | 15170 Chippendale Ave W Ste 300, Rosemount, MN 55068 | 2010-02-22 |
1306005111 | Jaclyn J Bohm | Podiatrist | 15705 Cimarron Ave, Rosemount, MN 55068 | 2008-06-06 |
1619185196 | John J Benson | Marriage & Family Therapist | 14555 South Robert Trl, Rosemount, MN 55068 | 2007-05-18 |
1316062557 | Orthodontic Care Group | Dentist | 14455 South Robert Trail, Inver Grove Heights, MN 55068 | 2007-03-20 |
1063400901 | Mark John Nelson | Dentist | 14450 S Rober Tr, Dakota Dental and Implant Center, Rosemount, MN 55068 | 2005-10-13 |
Find all providers in zip 55068 |
Taxonomy Code | 311ZA0620X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Custodial Care Facility |
Specialization | Adult Care Home |
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467006601 | Michelle M Green | Custodial Care Facility | 13709 Apollo Way, Rosemount, MN 55068-2171 | 2019-07-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043844384 | First Mercy Homes LLC | Custodial Care Facility | 15723 Fair Hill Way, Apple Valley, MN 55124-5256 | 2020-02-25 |
1386275980 | Krista Maylene Tupker | Custodial Care Facility | 14490 Lynx Rd, Milaca, MN 56353-3019 | 2020-02-01 |
1437700499 | Amanda Sue Moen | Custodial Care Facility | 700 105th St Nw, Rice, MN 56367-8656 | 2019-09-21 |
1134698814 | Sharry Mae Stensrud | Custodial Care Facility | 25 E Broadway, Plainview, MN 55964-1531 | 2018-11-25 |
1770080442 | Christophe Benzi | Custodial Care Facility | 1403 Nicole Ct, Fergus Falls, MN 56537-3326 | 2018-04-10 |
1225542608 | All Hopes Incorporated | Custodial Care Facility | 9937 Linnet St Nw, Coon Rapids, MN 55433-4721 | 2017-11-21 |
1003368309 | Amazing Love Elderly Care Center LLC | Custodial Care Facility | 7807 Emerald Rd, Randall, MN 56475-2428 | 2016-11-03 |
1902268857 | Gaudencio Fuentes Celeste | Custodial Care Facility | 8674 134th St W, Apple Valley, MN 55124-7234 | 2016-03-21 |
1356701379 | Golden Maple Homes, Inc. | Custodial Care Facility | 13104 Girard Ave S, Burnsville, MN 55337-2408 | 2016-03-03 |
1912366162 | Janet Grulke | Custodial Care Facility | 1117 N Marien St, Fergus Falls, MN 56537-1457 | 2016-02-16 |
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.