MR. TIMOTHY ANTON KELLY (NPI# 1942525928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942525928 |
| Entity Type | Individual |
| Full Name | MR. TIMOTHY ANTON KELLY |
| Practice Address |
7954 Brooklyn Boulavard 7954 Brooklyn Park MN 55445 |
| Practice Telephone | 9522102131 |
| Mailing Telephone | 9522102131 |
| Enumeration Date | 2010-04-01 |
| Last Update Date | 2010-04-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | 1536744 | MN | Agencies |
| Y | 251E00000X | Home Health | MN | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | HOMECARE | 27-2211896 | 01 |
| MN | HOMECARE | 621610 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720561608 | Timothy Kelly | Social Worker | 25a Vreeland Rd, Florham Park, NJ 07932-1910 | 2018-09-07 |
| 1003026261 | Timothy Richard Kelly | Psychiatry & Neurology | 510 Azalea Dr Ste 200, Oxford, MS 38655-6903 | 2007-05-23 |
| 1700953163 | Timothy James Kelly | Chiropractor | 1038 Washington Street, Fairfield, CA 94533-5545 | 2006-11-29 |
| 1063592558 | Timothy P Kelly | Chiropractor | 3098 Piedmont Rd Ne Ste 430, Atlanta, GA 30305-2600 | 2006-10-17 |
| 1588653281 | Timothy Lynn Kelly | Dentist | 1600 Mountain View Rd, Suite 104, Rapid City, SD 57702-4381 | 2005-10-17 |
| 1992798169 | Timothy L Kelly | Anesthesiology | 831 Nw Council Dr, Suite 300, Gresham, OR 97030-3721 | 2005-08-23 |
| 1497758825 | Timothy G Kelly | Ophthalmology | 1915 Tradd Ct, Wilmington, NC 28401-6638 | 2005-05-31 |
| 1073140497 | Timothy Stephen Kelly | Student in an Organized Health Care Education/Training Program | 1 Gustave L Levy Pl # 1149, New York, NY 10029-6504 | 2020-03-25 |
| 1649805888 | Timothy Dwyer Kelly | Student in an Organized Health Care Education/Training Program | 13001 E 17th Pl, Aurora, CO 80045-2570 | 2020-03-09 |
| 1518590629 | Timothy Kelly | Peer Specialist | 14600 Nw Cornell Rd, Portland, OR 97229-5442 | 2020-02-17 |
| Street Address |
7954 BROOKLYN BOULAVARD 7954 |
| City | BROOKLYN PARK |
| State | MN |
| Zip Code | 55445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992305973 | Telepsychus | Counselor | 8518 South Maplebrook Circle, Brooklyn Park, MN 55445 | 2020-10-28 |
| 1548813447 | Camille Krashawn Eubanks | Driver | 6444 84thcourt, Brooklyn Park, MN 55445 | 2019-07-19 |
| 1881173276 | Altenin C Nguyen | Registered Nurse | 8706 Oregon Ave N, Brooklyn Park, MN 55445 | 2018-08-07 |
| 1760905475 | Patient Centered Care | Clinic/Center | 8240 Hampshire Ct N, Brooklyn Park, MN 55445 | 2017-07-25 |
| 1578001178 | Peaceful Living Professionals, LLC | Community/Behavioral Health | 6901 78th Ave No, Suite 102, Brooklyn Park, MN 55445 | 2017-02-03 |
| 1336594498 | Jaimi Weber | Family Medicine | Mmc 381, 420 Delaware St. Se, Minneapolis, MN 55445 | 2016-04-26 |
| 1174876171 | Rebecca Parkin | Occupational Therapist | 6732 83rd Place North, Brooklyn Park, MN 55445 | 2012-10-16 |
| 1326270778 | Grand St Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 7996 Brooklyn Blvd., Brooklyn Park, MN 55445 | 2009-08-19 |
| 1194947101 | Ambereen F Suhrwardy | Dentist | 6612 98th Ln N, Brooklyn Park, MN 55445 | 2007-05-02 |
| 1629290762 | New Guidance Counseling Clinic | Counselor | 8557 Wyoming Ave North, Brooklyn Center, MN 55445 | 2007-05-02 |
| Find all providers in zip 55445 | ||||
| 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 | 55445 |
Please comment or provide details below to improve the information on MR. TIMOTHY ANTON KELLY.
| 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.