HIS SERVICES HOME CARE, LLC (NPI# 1912549742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912549742 |
Entity Type | Organization |
Organization Name | HIS SERVICES HOME CARE, LLC |
Practice Address |
2108 70th Avenue North Brooklyn Park MN 55430 |
Mailing Address |
2108 70th Ave N Brooklyn Center MN 55430-1003 |
Practice Telephone | 7633210541 |
Practice Fax Number | 7635664130 |
Mailing Telephone | 7633210541 |
Mailing Fax Number | 7635664130 |
Enumeration Date | 2019-10-14 |
Last Update Date | 2019-10-14 |
Authorized Official Name | MR. SYLVESTER ALETOR ONAIWU (CHIEF EXECUTIVE OFFICER) |
Authorized Official Telephone | 7633210541 |
Authorized Official Credential | RN |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251E00000X | Home Health | Agencies |
Street Address |
2108 70TH AVENUE NORTH |
City | BROOKLYN PARK |
State | MN |
Zip Code | 55430 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396362182 | Graceland Homes | Home Health | 6843 Colfax Ave N, Brooklyn Center, MN 55430 | 2020-06-29 |
1336612969 | Jeremiah Sk Pojah Sr. | Registered Nurse | 5201 Bryant Avenue North, Suite 108, Minneapolis, MN 55430 | 2019-01-07 |
1891219697 | Tamika Yvette Spicer | Home Health Aide | 6640 Humboldt Ave N, 101, Brooklyn Center, MN 55430 | 2017-08-02 |
1265973358 | James Contois | Community Based Residential Treatment Facility, Mental Illness | 6120 Earle Brown Drive, Suite 100, Brooklyn Center, MN 55430 | 2017-03-09 |
1336693746 | Sara Jean Cooper | Dentist | 1090 Shingle Creek Pkwy, Brooklyn Center, MN 55430 | 2016-08-15 |
1750732202 | Miriam Home Health Corporation | Residential Treatment Facility, Physical Disabilities | 7030 Humboldt Avenue North, Brooklyn Center, MN 55430 | 2016-06-27 |
1649628561 | Tranquility Health LLC | Community/Behavioral Health | 6040 Earle Brown Dr Ste 250, Brooklyn Center, MN 55430 | 2016-06-01 |
1104233790 | Lillie's Helping Hands | In Home Supportive Care | 6407 Camden Ave N, #303, Brooklyn Center, MN 55430 | 2014-07-16 |
1063760817 | Wal-mart Stores Inc | Technician/Technologist | 1200 Shingle Creek Crossing, Brooklyn Center, MN 55430 | 2012-08-28 |
1962712539 | Chao and Doua Family Adult Foster Care | Custodial Care Facility | 7106 Newton Ave North, Brooklyn Center, MN 55430 | 2010-10-18 |
Find all providers in zip 55430 |
Taxonomy Code | 251E00000X |
Grouping | Agencies |
Classification | Home Health |
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093315780 | Eco Green Corporation | Home Health | 3274 98th Cir N, Brooklyn Park, MN 55443-1846 | 2020-10-30 |
1336752294 | Assurance Health Care Systems of Minnesota Limited | Home Health | 7418 75th Cir N, Brooklyn Park, MN 55428-1261 | 2020-08-28 |
1013534122 | Sequence Health LLC | Home Health | 7420 Unity Ave N Ste 100d, Brooklyn Park, MN 55443-3136 | 2020-07-06 |
1770100521 | El-lyon LLC | Home Health | 5501 88th Crescent North, Brooklyn Park, MN 55443 | 2020-06-28 |
1003431628 | Mercy Tasiame Quentin | Home Health | 7310 Unity Lane North, Brooklyn Park, MN 55443 | 2020-06-09 |
1912527052 | Primestone Healthcare LLC | Home Health | 4116 82nd Ave N, Brooklyn Park, MN 55443-2509 | 2020-04-18 |
1740816107 | New Age Health Group LLC | Home Health | 8525 Edinbrook Xing Ste 100, Brooklyn Park, MN 55443-1967 | 2020-03-18 |
1750914735 | All Wullancare Inc | Home Health | 7949 Florida Ave N, Brooklyn Park, MN 55445-2627 | 2020-02-18 |
1558993071 | Golden Oaks Home Care LLC | Home Health | 7100 Maryland Ave N, Brooklyn Park, MN 55428-1667 | 2020-02-12 |
1710517313 | Lydia's Best Home Health Care | Home Health | 7601 Morgan Ave N, Brooklyn Park, MN 55444-2427 | 2020-01-22 |
Find all providers in BROOKLYN PARK |
City | BROOKLYN PARK |
Zip Code | 55430 |
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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.