AUGUSTANA MOUNT OLIVET HOSPICE CARE LLC (NPI# 1881012045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881012045 |
| Entity Type | Organization |
| Organization Name | AUGUSTANA MOUNT OLIVET HOSPICE CARE LLC |
| Practice Address |
1015 4th Ave N Ste 206 Minneapolis MN 55405-1178 |
| Mailing Address |
7171 Ohms Ln Edina MN 55439-2142 |
| Practice Telephone | 6122385284 |
| Mailing Telephone | 9528555041 |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2020-03-10 |
| Authorized Official Name | SEELOCHANI STADTHERR (DIRECTOR OF REIMBURSEMENT) |
| Authorized Official Telephone | 9528555041 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | 367053 | MN | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | HFID | 30185 | 01 |
| MN | MN HOSPICE PROGRAM | 367053 | 01 |
| Street Address |
1015 4TH AVE N STE 206 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55405-1178 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003373689 | Minneapolis Health & Wellness Ne, LLC | Physical Therapist | 2125 E Hennepin Ave, Suite 300, Minneapolis, MN 55405 | 2019-03-01 |
| 1033673967 | Amy Fitzgerald | Counselor | 2915 South Wayzata Boulevard, Minneapolis, MN 55405 | 2019-01-24 |
| 1861975245 | Sara Tejani | Dentist | 2232 Hennepin Ave. S., Minneapolis, MN 55405 | 2018-09-11 |
| 1477903995 | James Albert Zeese Jr. | Psychiatry & Neurology | 2401 Laurel Avenue, Minneapolis, MN 55405 | 2016-06-15 |
| 1154786523 | Sophia Bouwens | Acupuncturist | 275 Market St Ste 409, Minneapolis, MN 55405 | 2015-12-29 |
| 1912362732 | Anna Needham | Acupuncturist | 2200 Hennepin Ave S, Minneapolis, MN 55405 | 2015-12-21 |
| 1821423740 | Aja Dionna King | Counselor | 227 Colfax Ave N Ste 15, Minneapolis, MN 55405 | 2013-09-10 |
| 1013280403 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 2100 Lyndale Ave S Ste A, Minneapolis, MN 55405 | 2012-02-15 |
| 1396022117 | Sharri Peterson Rogers | Marriage & Family Therapist | 2809 South Wayzata Blvd, Minneapolis, MN 55405 | 2011-11-08 |
| 1447577143 | Kareem Shareef Braxton | Counselor | 227 Colfax Avenue North, Suite 130, Minneapolis, MN 55405 | 2010-04-21 |
| Find all providers in zip 55405 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336702000 | Elite Quality Services, LLC | Hospice Care, Community Based | 3555 Main St Ne, Minneapolis, MN 55418-1144 | 2019-04-18 |
| 1780928010 | Lao Senior Healthy Life Center | Hospice Care, Community Based | 1501 W Broadway Ave, Minneapolis, MN 55411-2473 | 2012-11-27 |
| 1760734354 | Arc Therapy Services LLC | Hospice Care, Community Based | 7801 E Bush Lake Rd Ste 230, Minneapolis, MN 55439-3142 | 2012-10-08 |
| 1811901192 | County of Ottawa | Hospice Care, Community Based | 817a Argyle Ave, Minneapolis, KS 67467-1621 | 2006-07-29 |
| 1891789079 | Hospice of The Twin Cities, Inc. | Hospice Care, Community Based | 2000 Summer St Ne # 100, Minneapolis, MN 55413-2648 | 2005-09-02 |
| 1174139935 | Accentcare Fairview Hospice - West, LLC | Hospice Care, Community Based | 2450 26th Ave S, Minneapolis, MN 55406-1245 | 2020-09-17 |
| 1386250173 | Accentcare Fairview Hospice - East, LLC | Hospice Care, Community Based | 2450 26th Ave S, Minneapolis, MN 55406-1245 | 2020-09-17 |
| 1568946663 | Optuma Inc | Hospice Care, Community Based | 2021 E Hennepin Ave Ste 193, Minneapolis, MN 55413-1773 | 2018-09-24 |
| 1871035204 | Mn Healthcare Inc | Hospice Care, Community Based | 5775 Wayzata Blvd, Minneapolis, MN 55416-1222 | 2016-11-16 |
| 1639543036 | Hennepin Healthcare System, Inc | Hospice Care, Community Based | 2000 Summer St Ne, Suite 100, Minneapolis, MN 55413-2648 | 2015-11-23 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55405 |
Please comment or provide details below to improve the information on AUGUSTANA MOUNT OLIVET HOSPICE CARE LLC.
| 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.