THE EXPERIENCE OF NESHAMA (NPI# 1780295964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780295964 |
| Entity Type | Organization |
| Organization Name | THE EXPERIENCE OF NESHAMA |
| Practice Address |
1 Water St W Ste 220 Saint Paul MN 55107-2002 |
| Practice Telephone | 6124189429 |
| Practice Fax Number | 6513183637 |
| Mailing Telephone | 6124189429 |
| Mailing Fax Number | 6513183637 |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2020-08-12 |
| Authorized Official Name | RYAN ECKDAHL (PRESIDENT) |
| Authorized Official Telephone | 6124189429 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
1 WATER ST W STE 220 |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55107-2002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477944809 | Marina Castillo | Counselor | 143 Isabel St. W, Saint Paul, MN 55107 | 2015-02-06 |
| 1134540123 | Michelle M Lee | Social Worker | 106 Water Street/3rd Floor, Umbrella Tree Studios, St. Paul, MN 55107 | 2013-12-18 |
| 1376748574 | Mary E. A. Horoshak | Physical Therapist | 155 S Wabasha St, Suite 130, St. Paul, MN 55107 | 2007-06-18 |
| 1821156050 | Amherst H. Wilder Foundation | Assisted Living Facility | 469 Ada St, Saint Paul, MN 55107 | 2006-12-04 |
| 1407914674 | Amherst H. Wilder Foundation | Clinic/Center | 516 Humboldt Ave, Saint Paul, MN 55107 | 2006-12-04 |
| 1780753681 | Chad Randal Vickers | Nurse Practitioner | 135 Colorado Street East, Saint Paul, MN 55107 | 2006-11-06 |
| 1225122872 | Elizabeth E Frost | Family Medicine | 153 Cesar Chavez Street, St Paul, MN 55107 | 2006-10-03 |
| 1215457890 | Elizabeth Smith Zaremba | Dietitian, Registered | 205 Wabasha St S, Mail Stop 31300a, St Paul, MN 55107 | 2017-06-23 |
| 1619413606 | Elizabeth Burgos | Social Worker | 153 Cesar Chavez St, Saint Paul, MN 55107 | 2017-01-13 |
| 1033561915 | Isetta Pierre | Marriage & Family Therapist | 153 Cesar Chavez St, Saint Paul, MN 55107 | 2016-07-05 |
| Find all providers in zip 55107 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295352698 | Tong Vang | Case Manager/Care Coordinator | 1164 White Bear Ave N, Saint Paul, MN 55106-3004 | 2020-07-01 |
| 1730715772 | Xavier Munoz | Case Manager/Care Coordinator | 1557 Mcafee St, Saint Paul, MN 55106-1436 | 2020-03-22 |
| 1376008474 | Richard Lee Lloyd | Case Manager/Care Coordinator | 418 County Road D E, Saint Paul, MN 55117-1218 | 2019-02-04 |
| 1205203858 | Sheila Fowler | Case Manager/Care Coordinator | 1863 Mechanic Ave, Saint Paul, MN 55119-4820 | 2015-08-31 |
| 1528463015 | Ultimate Health Inc | Case Manager/Care Coordinator | 393 Dunlap St N Ste 450d, Saint Paul, MN 55104-4206 | 2014-10-27 |
| 1346662236 | High School for Recording Arts | Case Manager/Care Coordinator | 1166 University Ave W, Saint Paul, MN 55104-4123 | 2014-01-10 |
| 1225317761 | Chritensia Neng Larkey | Case Manager/Care Coordinator | 1670 English St, Saint Paul, MN 55106-1129 | 2011-08-16 |
| 1184957854 | Geoffrey Gordon Meyer | Case Manager/Care Coordinator | 2350 Wycliff St Ste 22, Saint Paul, MN 55114-1331 | 2009-09-14 |
| 1437352242 | Model Cities of St. Paul, Inc. | Case Manager/Care Coordinator | 839 University Ave W, Saint Paul, MN 55104-4808 | 2007-06-08 |
| 1154922011 | Jennifer Owens | Case Manager/Care Coordinator | 635 Phalen Blvd Apt 401, Saint Paul, MN 55130-5308 | 2020-11-05 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55107 |
Please comment or provide details below to improve the information on THE EXPERIENCE OF NESHAMA.
| 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.