LIFESTYLE LIVING HOME CARE LLC


Address: 1 W Lake St Apt 404, Minneapolis, MN 55408-3153
Phone: 6129782936

LIFESTYLE LIVING HOME CARE LLC (NPI# 1912355132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912355132
Entity Type Organization
Organization Name LIFESTYLE LIVING HOME CARE LLC
Practice Address 1 W Lake St Apt 404
Minneapolis
MN 55408-3153
Practice Telephone 6129782936
Mailing Telephone 6129782936
Enumeration Date 2016-05-27
Last Update Date 2016-05-27
Authorized Official Name MS. BEVERLY SUE BROWN (ADMINISTRATER)
Authorized Official Telephone 6129782936
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 305R00000X Preferred Provider Organization 17067782 MN Managed Care Organizations

Other Provider Identifier

State Issuer Identifier Type Code
MN STATE ID NUMBER 9440215 01

Office Location

Street Address 1 W LAKE ST APT 404
City MINNEAPOLIS
State MN
Zip Code 55408-3153

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1346735875 Nicole S Ehrenberg Social Worker 324 E 35th Street, Minneapolis, MN 55408 2018-06-27
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Taxonomy Information

Taxonomy Code 305R00000X
Grouping Managed Care Organizations
Classification Preferred Provider Organization

Taxonomy Definition

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417493990 Suado Hirsi Dirir Preferred Provider Organization 2605 Bloomington Ave, Minneapolis, MN 55407-1137 2017-01-09
1699226829 Hibaq Warsame Preferred Provider Organization 3655 Girard Ave N, Minneapolis, MN 55412-2020 2016-10-24
1619334281 Perfection Care Associates LLC Preferred Provider Organization 1810 Columbus Ave, Minneapolis, MN 55404-1961 2016-01-27
1699132068 Best Home Health Care Service LLC Preferred Provider Organization 6040 Clinton Ave, Minneapolis, MN 55419-2539 2016-01-15
1649675869 Isse Mohamed Elmi Preferred Provider Organization 3201 2nd Ave S, Minneapolis, MN 55408-3202 2014-10-30
1629477633 Blanche Eaton Preferred Provider Organization 1502 W Broadway Ave, Minneapolis, MN 55411-2408 2014-08-14
1659665990 Back On Track, Pllc Preferred Provider Organization 3128 Holmes Ave, Upper, Minneapolis, MN 55408-2629 2011-06-03
1437395936 Face 2 Face Interpreting, Inc. Preferred Provider Organization 1421 Park Ave South, Suite 203, Minneapolis, MN 55404-1579 2009-01-05
1841410388 Merciful Handshome Health Care, Inc Preferred Provider Organization 912 E 24th St, Suite B208, Minneapolis, MN 55404-3869 2007-04-26
1508317736 Shukri Agoole Preferred Provider Organization 3655 Girard Ave N, Minneapolis, MN 55412-2020 2016-10-24
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Competitor

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City MINNEAPOLIS
Zip Code 55408

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Dataset Information

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.

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