4 ABC HOME CARE SERVICES (NPI# 1982226262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982226262 |
| Entity Type | Organization |
| Organization Name | 4 ABC HOME CARE SERVICES |
| Practice Address |
3300 County Road 10 Ste 320d Brooklyn Center MN 55429-3072 |
| Practice Telephone | 7632275990 |
| Mailing Telephone | 7632275990 |
| Enumeration Date | 2020-05-10 |
| Last Update Date | 2020-05-10 |
| Authorized Official Name | ANGELINE NELLIE WALKERE (ADMINSTRATOR) |
| Authorized Official Telephone | 7632275990 |
| Authorized Official Credential | OWNER |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | Agencies | ||
| N | 251G00000X | Hospice Care, Community Based | Agencies | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 372600000X | Adult Companion | Nursing Service Related Providers | ||
| N | 376J00000X | Homemaker | Nursing Service Related Providers | ||
| N | 385H00000X | Respite Care | Respite Care Facility | ||
| N | 385HR2065X |
Respite Care Specialization: Respite Care, Physical Disabilities, Child |
Respite Care Facility | ||
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | DHS | 1103899 | 01 |
| Street Address |
3300 COUNTY ROAD 10 STE 320D |
| City | BROOKLYN CENTER |
| State | MN |
| Zip Code | 55429-3072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245852979 | Comfort Home Care | Home Health | 5950 Beard Ave N, Brooklyn Center, MN 55429 | 2020-05-15 |
| 1205300969 | Rescare Minnesota, Inc. | Community Based Residential Treatment Facility, Mental Illness | 4835-4901 West Boradway Avenue, Crystal, MN 55429 | 2019-01-16 |
| 1780156208 | Crescent Cove | Pediatrics | 4201 58th Avd N., Brooklyn Center, MN 55429 | 2018-12-21 |
| 1184106254 | Rescare Minnesota, Inc. | Community Based Residential Treatment Facility, Mental Illness | 4835-4901 W. Broadway Ave, Crystal, MN 55429 | 2018-09-05 |
| 1952889073 | Kelly Mcgregory Pediatrics LLC | Pediatrics | 6000 Bass Lake Rd Ste 102, Crystal, MN 55429 | 2018-07-31 |
| 1023510526 | Family Trust Home Health, LLC | Home Health | 5901 Brooklyn Blvd Ste 201, Brooklyn Center, MN 55429 | 2018-03-01 |
| 1962910588 | Yer Yang | Massage Therapist | 5531 Orchard Ave N, Crystal, MN 55429 | 2018-01-17 |
| 1790203347 | Akeya Bolden | Counselor | 3212 64th Ave N, Brooklyn Center, MN 55429 | 2017-09-05 |
| 1386169316 | Sadia Pauletta Kruah | Transportation Broker | 6756 Grimes Pl North, Brooklyn Center, MN 55429 | 2017-08-10 |
| 1982134904 | Chad Geyen | Marriage & Family Therapist | 3300 County Rd. 10, Brooklyn Center, MN 55429 | 2017-06-13 |
| Find all providers in zip 55429 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942848171 | Jeteb Consultants Group, LLC | In Home Supportive Care | 5701 Shingle Creek Pkwy Ste 415, Brooklyn Center, MN 55430-2491 | 2019-12-18 |
| 1518456755 | Home Care Minnesota, Inc. | In Home Supportive Care | 2800 Freeway Blvd Ste 201, Brooklyn Center, MN 55430-1751 | 2018-05-03 |
| 1477082295 | Loving Healthcare Services LLC | In Home Supportive Care | 6500 Brooklyn Blvd Ste 208, Brooklyn Center, MN 55429-1756 | 2017-06-06 |
| 1861893299 | Rigobert Nzimi Sr. | In Home Supportive Care | 6816 Fremont Pl N, Brooklyn Center, MN 55430-1590 | 2014-09-04 |
| 1104233790 | Lillie's Helping Hands | In Home Supportive Care | 6407 Camden Ave N, #303, Brooklyn Center, MN 55430 | 2014-07-16 |
| 1306130687 | Veracity Health Systems LLC | In Home Supportive Care | 3300 County Road 10 Ste 405, Brooklyn Center, MN 55429-3067 | 2011-06-04 |
| 1154649226 | Hope Group Inc. | In Home Supportive Care | 6500 Brooklyn Blvd Ste 206, Brooklyn Center, MN 55429-1756 | 2010-05-13 |
| 1134454796 | Veracity Health Systems LLC | In Home Supportive Care | 3300 County Road 10 Ste 112, Brooklyn Center, MN 55429 | 2009-10-14 |
| 1114574464 | Plateau Healthcare June LLC | In Home Supportive Care | 6424 June Ave N, Brooklyn Center, MN 55429-2127 | 2019-08-21 |
| 1215394655 | Success Home Care LLC | In Home Supportive Care | 5701 Shingle Creek Pkwy Ste 350a, Brooklyn Center, MN 55430-2485 | 2016-01-15 |
| Find all providers in BROOKLYN CENTER | ||||
| City | BROOKLYN CENTER |
| Zip Code | 55429 |
Please comment or provide details below to improve the information on 4 ABC HOME CARE SERVICES.
| 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.