LIFE FOUNTAIN HOME HEALTH CARE INC (NPI# 1073759510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073759510 |
| Entity Type | Organization |
| Organization Name | LIFE FOUNTAIN HOME HEALTH CARE INC |
| Practice Address |
1380 Currie St N Maplewood MN 55119 |
| Mailing Address |
1380 Currie St N Maplewood MN 55119-3058 |
| Practice Telephone | 6512714092 |
| Practice Fax Number | 6513407958 |
| Mailing Telephone | 6512714092 |
| Mailing Fax Number | 6513407958 |
| Enumeration Date | 2009-01-06 |
| Last Update Date | 2009-01-06 |
| Authorized Official Name | WILMAR DELGADO (PRESIDENT) |
| Authorized Official Telephone | 6512714092 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
1380 CURRIE ST N |
| City | MAPLEWOOD |
| State | MN |
| Zip Code | 55119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811520307 | Restorative Healing & Counseling, LLC | Social Worker | 385 Londin Place, St. Paul, MN 55119 | 2020-02-13 |
| 1891282059 | Tyller Robert | Specialist/Technologist | 2594 Montana Ave E, Maplewood, MN 55119 | 2018-04-13 |
| 1477081032 | Katarzyna Zelichowski | Dentist | 1790 7th St. E, St.paul, MN 55119 | 2017-05-26 |
| 1952769333 | Rufus Zarzar | Non-emergency Medical Transport (VAN) | 230 Kipling St S # C6, St Paul, MN 55119 | 2016-02-01 |
| 1144611427 | Eric Michael Weisnicht | Chiropractor | 165 Mcknight Road N, Apt 105, Saint Paul, MN 55119 | 2015-02-09 |
| 1295147981 | Lauri Elizabeth Goetz | Licensed Practical Nurse | 2092 Case Ave E, Saint Paul, MN 55119 | 2014-05-29 |
| 1205111770 | Rem Ramsey, Inc. | Intermediate Care Facility, Mentally Retarded | 975 Lakewood Drive, Maplewood, MN 55119 | 2011-10-17 |
| 1528391976 | Kc Healthcare Services | Home Health | 295 Mcnight Road South, St Paul, MN 55119 | 2009-09-16 |
| 1295858991 | Dental Delivery Systems St Paul, Pa | Dentist | 1790 7th Street E., St. Paul, MN 55119 | 2007-04-09 |
| 1962574376 | Lori Peiffer | Psychologist | 245 Ruth St N Ste 201, Saint Paul, MN 55119 | 2006-11-14 |
| Find all providers in zip 55119 | ||||
| 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 |
|---|---|---|---|---|
| 1184230948 | Accentcare Fairview Home Health - East, LLC | Home Health | 1655 Beam Ave # 100, Maplewood, MN 55109-1163 | 2020-09-17 |
| 1528673720 | Zooz Wellness L.L.C. | Home Health | 12 Briarcliff Ct, Maplewood, NJ 07040-1401 | 2020-09-14 |
| 1780212357 | New Life Home Health Services, Inc | Home Health | 2611 S Big Bend Blvd, Maplewood, MO 63143-2103 | 2020-03-30 |
| 1831723170 | Unicare Home Health Solutions Inc | Home Health | 2496 Bittersweet Ln, Maplewood, MN 55109-2129 | 2020-02-25 |
| 1194356865 | Hussen Wako Butta | Home Health | 2245 Ide Ct, Maplewood, MN 55109-2635 | 2020-01-30 |
| 1366093650 | Hands Care LLP | Home Health | 1065 Dennis St S, Maplewood, MN 55119-3573 | 2019-09-27 |
| 1467018630 | Laury Anthenor | Home Health | 2130 Millburn Ave Ste D3, Maplewood, NJ 07040-3725 | 2019-05-14 |
| 1003322504 | Central Minnesota Home Health Care LLC | Home Health | 1750 Village Trl E Unit 2, Maplewood, MN 55109-6012 | 2017-12-19 |
| 1790295939 | United Home Health Care LLC | Home Health | 1809 Springfield Ave Ste 201, Maplewood, NJ 07040-2901 | 2017-10-02 |
| 1669994141 | Karing Hent Inc. | Home Health | 2785 White Bear Ave N Ste 415, Maplewood, MN 55109-1307 | 2017-07-17 |
| Find all providers in MAPLEWOOD | ||||
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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.