MARY ELLEN VENZKE (NPI# 1760704712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760704712 |
| Entity Type | Individual |
| Full Name | MARY ELLEN VENZKE |
| Practice Address |
19729 183rd Avenue Big Lake MN 55309 |
| Practice Telephone | 7632631119 |
| Mailing Telephone | 7632631119 |
| Enumeration Date | 2010-02-18 |
| Last Update Date | 2010-02-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 372600000X | Adult Companion | 1055394-1-AFC | MN | Nursing Service Related Providers |
| Street Address |
19729 183RD AVENUE |
| City | BIG LAKE |
| State | MN |
| Zip Code | 55309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356986475 | Barbro E Strom Langley | Technician | 16901 River View Cir, Big Lake, MN 55309 | 2019-11-13 |
| 1629589544 | Pdg, Pa | Clinic/Center | 16991 198th Ave Nw, Big Lake, MN 55309 | 2017-10-18 |
| 1669821765 | Laura Ann Dill | Dentist | 290 Eagle Lake Rd N, Big Lake, MN 55309 | 2016-06-09 |
| 1295008068 | Cherrywood Advanced Living, LLC | Assisted Living Facility | 171 Henry Road, Big Lake, MN 55309 | 2012-02-09 |
| 1013280882 | Cherrywood Advanced Living, LLC | Assisted Living Facility | 177 Henry Road, Big Lake, MN 55309 | 2012-02-09 |
| 1174700611 | Country Services Inc | Case Management | 641 Park Ave E, Big Lake, MN 55309 | 2008-01-28 |
| 1942481593 | Monticello Dental Group | Dentist | 20460 Co. Rd.11 Nw, Big Lake, MN 55309 | 2007-11-23 |
| 1336367242 | Family Prospective Resources, Inc | Marriage & Family Therapist | 35 Lake St So, Big Lake, MN 55309 | 2007-04-23 |
| 1598983470 | Jennifer Ann Lawrence | Marriage & Family Therapist | 35 Lake Street South #200, Big Lake, MN 55309 | 2007-04-23 |
| 1760548085 | Nathan E. Davidson | Chiropractor | 670 Humboldt Drive, Big Lake, MN 55309 | 2006-12-29 |
| Find all providers in zip 55309 | ||||
| Taxonomy Code | 372600000X |
| Grouping | Nursing Service Related Providers |
| Classification | Adult Companion |
| An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881292944 | Reliable Quality Care LLC | Adult Companion | 1121 Hamline Ave N Unit 201, Saint Paul, MN 55108-2756 | 2020-10-12 |
| 1922605666 | Toujours Care Corp | Adult Companion | 16336 Jamison Path, Lakeville, MN 55044-6613 | 2020-10-06 |
| 1245855816 | Eric John Peltz | Adult Companion | 898 322nd Ave Ne, Cambridge, MN 55008-5810 | 2020-06-10 |
| 1497383392 | Jennifer Clement | Adult Companion | 1426 Oliver Ave N Apt 2, Minneapolis, MN 55411-3033 | 2020-03-28 |
| 1902430879 | Golden Years Home | Adult Companion | 506 4th St Sw, Montgomery, MN 56069-1222 | 2020-02-28 |
| 1154965721 | Lansa Dawano | Adult Companion | 3707 104th Trl N, Minneapolis, MN 55443-1012 | 2019-11-06 |
| 1134786130 | Mohamed Shido Hassan | Adult Companion | 1312 7th St Nw Ste 203, Rochester, MN 55901-1704 | 2019-05-24 |
| 1457917262 | Pang Yang | Adult Companion | 12844 Raven St Nw, Coon Rapids, MN 55448-2578 | 2019-05-16 |
| 1629546072 | Andre Roberson | Adult Companion | 1110 Evergreen Ln N, Plymouth, MN 55441-4834 | 2018-11-04 |
| 1407349566 | Twins Care LLC | Adult Companion | 393 Dunlap St N Ste Ll44, Saint Paul, MN 55104-4237 | 2018-06-12 |
| 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.