CHAO AND DOUA FAMILY ADULT FOSTER CARE (NPI# 1962712539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962712539 |
Entity Type | Organization |
Organization Name | CHAO AND DOUA FAMILY ADULT FOSTER CARE |
Practice Address |
7106 Newton Ave North Brooklyn Center MN 55430 |
Practice Telephone | 7632457701 |
Practice Fax Number | 7635690127 |
Mailing Telephone | 7632457701 |
Mailing Fax Number | 7635690127 |
Enumeration Date | 2010-10-18 |
Last Update Date | 2010-10-29 |
Authorized Official Name | MRS. CHAO VANG (DIRECTOR) |
Authorized Official Telephone | 7632457701 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
781158600 | MN | Nursing & Custodial Care Facilities |
Street Address |
7106 NEWTON AVE NORTH |
City | BROOKLYN CENTER |
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 |
1912549742 | His Services Home Care, LLC | Home Health | 2108 70th Avenue North, Brooklyn Park, MN 55430 | 2019-10-14 |
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 |
Find all providers in zip 55430 |
Taxonomy Code | 311ZA0620X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Custodial Care Facility |
Specialization | Adult Care Home |
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588031496 | Goodness Ans Mercy Health Services, Incorporated | Custodial Care Facility | 3808 61st Ave N, Brooklyn Center, MN 55429-2402 | 2015-08-26 |
1093367302 | New Life Health Service | Custodial Care Facility | 5701 Shingle Creek Pkwy Ste 250, Brooklyn Center, MN 55430-2467 | 2019-07-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043844384 | First Mercy Homes LLC | Custodial Care Facility | 15723 Fair Hill Way, Apple Valley, MN 55124-5256 | 2020-02-25 |
1386275980 | Krista Maylene Tupker | Custodial Care Facility | 14490 Lynx Rd, Milaca, MN 56353-3019 | 2020-02-01 |
1437700499 | Amanda Sue Moen | Custodial Care Facility | 700 105th St Nw, Rice, MN 56367-8656 | 2019-09-21 |
1467006601 | Michelle M Green | Custodial Care Facility | 13709 Apollo Way, Rosemount, MN 55068-2171 | 2019-07-25 |
1750947743 | Victor G. Makori | Custodial Care Facility | 17017 Georgetown Way, Rosemount, MN 55068-5159 | 2019-05-15 |
1134698814 | Sharry Mae Stensrud | Custodial Care Facility | 25 E Broadway, Plainview, MN 55964-1531 | 2018-11-25 |
1770080442 | Christophe Benzi | Custodial Care Facility | 1403 Nicole Ct, Fergus Falls, MN 56537-3326 | 2018-04-10 |
1225542608 | All Hopes Incorporated | Custodial Care Facility | 9937 Linnet St Nw, Coon Rapids, MN 55433-4721 | 2017-11-21 |
1003368309 | Amazing Love Elderly Care Center LLC | Custodial Care Facility | 7807 Emerald Rd, Randall, MN 56475-2428 | 2016-11-03 |
1902268857 | Gaudencio Fuentes Celeste | Custodial Care Facility | 8674 134th St W, Apple Valley, MN 55124-7234 | 2016-03-21 |
Find all providers with the same taxonomy |
City | BROOKLYN CENTER |
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.