SHERIFFS YOUTH PROGRAMS OF MINNESOTA (NPI# 1821124447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821124447 |
| Entity Type | Organization |
| Organization Name | SHERIFFS YOUTH PROGRAMS OF MINNESOTA |
| Practice Address |
2925 Buckley Way Inver Grove Heights MN 55076-2018 |
| Practice Telephone | 6515525742 |
| Practice Fax Number | 6515525741 |
| Mailing Telephone | 6515525742 |
| Mailing Fax Number | 6515525741 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. STEVEN RICHARD HUBBARD (CEO) |
| Authorized Official Telephone | 6515525742 |
| Authorized Official Credential | MSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 177F00000X | Lodging | 806195-3-CRF | MN | Other Service Providers |
| N | 177F00000X | Lodging | 1042569-1-CRF | MN | Other Service Providers |
| N | 177F00000X | Lodging | DOC LIC FOR VOC | MN | Other Service Providers |
| Y | 177F00000X | Lodging | 1036867-1-CRF | MN | Other Service Providers |
| Street Address |
2925 BUCKLEY WAY |
| City | INVER GROVE HEIGHTS |
| State | MN |
| Zip Code | 55076-2018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972119857 | Jenna Lynn Noonan | Occupational Therapist | 2925 Buckley Way, Inver Grove Heights, MN 55076-2018 | 2020-09-16 |
| 1083227573 | Megan Stumpf | Speech-Language Pathologist | 2925 Buckley Way, Inver Grove Heights, MN 55076 | 2020-08-25 |
| 1952938268 | Mallory Jane Waytashek | Occupational Therapist | 2925 Buckley Way, Inver Grove Heights, MN 55076-2018 | 2020-03-25 |
| 1225684012 | Jennifer Lynn Veenendall | Occupational Therapist | 2925 Buckley Way, Inver Grove Heights, MN 55076-2018 | 2019-08-16 |
| 1194383661 | Lynn Marie Quam | Occupational Therapist | 2925 Buckley Way, Inver Grove Heights, MN 55076-2018 | 2019-05-30 |
| 1861059057 | Rachel Rebecca Rivard | Occupational Therapist | 2925 Buckley Way, Inver Grove Heights, MN 55076-2018 | 2019-05-22 |
| 1114490315 | Juliana Malone White | Physical Therapist | 2925 Buckley Way, Inver Grove Heights, MN 55076-2018 | 2019-01-10 |
| 1811427479 | Rachelle Joyce Hoover | Occupational Therapy Assistant | 2925 Buckley Way, Inver Grove Heights, MN 55076-2018 | 2017-06-15 |
| 1336679372 | Lindsey June Sheehan | Physical Therapist | 2925 Buckley Way, Inver Grove Heights, MN 55076-2018 | 2017-06-13 |
| 1669845228 | Kortney Benzie | Speech-Language Pathologist | 2925 Buckley Way, Inver Grove Heights, MN 55076-2018 | 2015-11-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023582855 | Pediatric Therapy Options, LLC | Occupational Therapist | 2865 Upper 62nd St E, Inver Grove Heights, MN 55076 | 2019-01-15 |
| 1104316942 | Connie Ann Stoltz | Health Educator | 3837 73rd St E, Inver Grove Heights, MN 55076 | 2018-05-17 |
| 1457888638 | Andrew Eccles | Physical Therapist | 5836 Blaine Ave, Inver Grove Heights, MN 55076 | 2017-05-18 |
| 1760805261 | Melissa Schmidt Heinonen | Nurse Practitioner | 5975 Carmen Ave E, Dakota Pediatrics, Inver Grove Heights, MN 55076 | 2014-02-04 |
| 1346382017 | Karen Marcus Sames | Occupational Therapist | 5695 Blaine Ave., Inver Grove Heights, MN 55076 | 2007-02-12 |
| 1386785525 | Robert Stephen Roloff | Chiropractor | 2940 65th Street East, Inver Grove Heights, MN 55076 | 2007-02-09 |
| 1013002583 | Michael Ward | Psychologist | 6775 Cahill Ave, Inver Grove Heights, MN 55076 | 2006-10-03 |
| 1336638097 | Lynsey R Miron | Psychologist | 5838 Blackshire Path, Inver Grove Heights, MN 55076 | 2018-05-08 |
| 1346474509 | Kathleen Grennan Hopkins | Family Medicine | 5565 Blaine Avenue, Allina Health Inver Grove Heights Clinic, Inver Grove Heights, MN 55076 | 2009-05-04 |
| 1992912042 | Geza Simon | Internal Medicine | 5565 Blaine Ave, Inver Grove Heights, MN 55076 | 2007-05-17 |
| Find all providers in zip 55076 | ||||
| Taxonomy Code | 177F00000X |
| Grouping | Other Service Providers |
| Classification | Lodging |
| A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174122758 | Kmjv Operation LLC | Lodging | 19351 Indiana Ave, Lakeville, MN 55044-4849 | 2020-10-23 |
| 1396395349 | Jerald Mitchell | Lodging | 120 3rd Ave N, Biwabik, MN 55708-3032 | 2019-09-11 |
| 1124687322 | Thibodeaux Real Estate Conglomerate | Lodging | 4245 Golden Valley Rd, Golden Valley, MN 55422-4215 | 2019-06-11 |
| 1417416504 | The Chestnut Burrow | Lodging | 423 Chestnut St, Virginia, MN 55792-2525 | 2019-03-18 |
| 1194213280 | Amherst H. Wilder Foundation | Lodging | Lincoln Place, 1997 Gold Trail, Eagan, MN 55122 | 2018-04-25 |
| 1558874743 | Kelly-norton Programs, Inc. | Lodging | 1928 Stevens Ave, Minneapolis, MN 55403-3835 | 2017-11-09 |
| 1114441987 | Darlene Benson | Lodging | 22383 Nebish Rd Ne, Blackduck, MN 56630-5138 | 2017-08-02 |
| 1972816155 | Erie Beehler | Lodging | 12407 Parkwood Ln Nw, Bemidji, MN 56601-6178 | 2010-07-16 |
| 1487966115 | Michele Astrup | Lodging | 21251 Co 35, Underwood, MN 56586 | 2010-07-10 |
| 1336466614 | Kristin Zachman | Lodging | 5080 Naber Ave Ne, Saint Michael, MN 55376-9424 | 2010-04-27 |
| Find all providers with the same taxonomy | ||||
| City | INVER GROVE HEIGHTS |
| Zip Code | 55076 |
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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.