STATE WIDE HOME HEALTH LLC (NPI# 1053749440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053749440 |
| Entity Type | Organization |
| Organization Name | STATE WIDE HOME HEALTH LLC |
| Practice Address |
8617 Edinbrook Xing Suite 131 Brooklyn Park MN 55443-4016 |
| Practice Telephone | 7632023923 |
| Practice Fax Number | 9522174513 |
| Mailing Telephone | 7632023923 |
| Mailing Fax Number | 9522174513 |
| Enumeration Date | 2013-10-22 |
| Last Update Date | 2013-10-22 |
| Authorized Official Name | MICHAEL WAYNE FOSTER (OWNER) |
| Authorized Official Telephone | 7632023923 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251J00000X | Nursing Care | Agencies |
| Street Address |
8617 EDINBROOK XING SUITE 131 |
| City | BROOKLYN PARK |
| State | MN |
| Zip Code | 55443-4016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033341037 | Ann Regenscheid | Occupational Therapist | 8617 Edinbrook Xing, #445, Brooklyn Park, MN 55443-4016 | 2009-08-10 |
| 1437540242 | Callina Healthcare Services, LLC | Skilled Nursing Facility | 8617 Edinbrook Xing, Apt 443, Brooklyn Park, MN 55443 | 2015-02-16 |
| 1831518166 | Mel Melchizedek | Technician | 8617 Edinbrook Xing, Suite 443, Brooklyn Park, MN 55443-4016 | 2014-04-15 |
| 1649699976 | Option One Health Care, LLC | Nursing Care | 8617 Edinbrook Xing, Suite 443, Brooklyn Park, MN 55443-4016 | 2014-04-15 |
| 1932530516 | Oasis Home Health, LLC | Skilled Nursing Facility | 8617 Edinbrook Xing, Apt 401, Brooklyn Park, MN 55443-4016 | 2013-12-06 |
| 1558792234 | State Wwide Home Health, LLC | Skilled Nursing Facility | 8617 Edinbrook Xing, Apt 347, Brooklyn Park, MN 55443-4016 | 2013-12-06 |
| 1770914756 | Regal Health Care | Skilled Nursing Facility | 8617 Edinbrook Xing, Apt 409, Brooklyn Park, MN 55443-4016 | 2013-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1386279719 | Andrew Sirlley Dogbe | Nursing Care | 8505 Xerxes Ln N, Brooklyn Park, MN 55443 | 2020-03-05 |
| 1952873630 | Melkezedek Care LLC | Home Health | 8525 N Edinbrook Crossing Suite 204, Brooklyn Park, MN 55443 | 2018-12-19 |
| 1487131330 | Grand St Paul Cvs L L C | Durable Medical Equipment & Medical Supplies | 4400 Oak Grove Parkway, Brooklyn Park, MN 55443 | 2018-07-24 |
| 1063901809 | Patient Centered Home Care Services, LLC. | Registered Nurse | 4127 Sunset Ter N, Brooklyn Park, MN 55443 | 2018-05-08 |
| 1093233942 | Ginni Ali | Registered Nurse | 7527 Yates Lane North, Brooklyn Park, MN 55443 | 2017-08-30 |
| 1437676335 | Uplifted Care Services LLC | Case Management | 3301 84th Ave, Brooklyn Park, MN 55443 | 2017-08-23 |
| 1912447780 | Zillah Mulubisha | Nurse Practitioner | Brooklyn Park Clinic, 7650 Zane Ave N, Minneapolis, MN 55443 | 2017-02-27 |
| 1356898985 | Abdul Kabba | Driver | 79oo Lad Parkway, Brooklyn Park, MN 55443 | 2016-09-01 |
| Find all providers in zip 55443 | ||||
| Taxonomy Code | 251J00000X |
| Grouping | Agencies |
| Classification | Nursing Care |
| A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659991545 | Belong Health Care | Nursing Care | 4809 Oxborough Gdns, Brooklyn Park, MN 55443-3993 | 2020-04-20 |
| 1386279719 | Andrew Sirlley Dogbe | Nursing Care | 8505 Xerxes Ln N, Brooklyn Park, MN 55443 | 2020-03-05 |
| 1467916205 | 24 - Seven Home Care Inc | Nursing Care | 7111 W Broadway Ave Ste 202d, Brooklyn Park, MN 55428-1692 | 2019-01-25 |
| 1215425616 | Rapha Healthcare Services Inc | Nursing Care | 7816 Humboldt Ave N, Brooklyn Park, MN 55444-2140 | 2018-05-01 |
| 1225379126 | Empire Care Systems, Inc. | Nursing Care | 6248 Lakeland Ave N Ste 208, Brooklyn Park, MN 55428-2989 | 2013-03-04 |
| 1316223787 | Angel Health Services LLC | Nursing Care | 2609 87th Trl N, Brooklyn Park, MN 55443-3742 | 2011-10-28 |
| 1952680118 | On Time Health Services | Nursing Care | 7936 Lad Pkwy, Brooklyn Park, MN 55443-2860 | 2011-08-05 |
| 1912136508 | Metro Nursing Care Inc | Nursing Care | 8629 S Maplebrook Cir, Brooklyn Park, MN 55445-1945 | 2009-07-06 |
| 1023298379 | Precious Home Service Inc. | Nursing Care | 5511 102nd Ave N, Brooklyn Park, MN 55443-2074 | 2007-11-04 |
| 1689132490 | Fairhavens Home Care LLC | Nursing Care | 2608 87th Trl N, Brooklyn Park, MN 55443-3742 | 2019-03-11 |
| Find all providers in BROOKLYN PARK | ||||
| City | BROOKLYN PARK |
| Zip Code | 55443 |
Please comment or provide details below to improve the information on STATE WIDE HOME HEALTH LLC.
| 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.