KIMBERLY HOFSTAD (NPI# 1093315640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093315640 |
| Entity Type | Individual |
| Full Name | KIMBERLY HOFSTAD |
| Practice Address |
2403 Foxtail Ln N Apt Suite Mandan ND 58554-8206 |
| Mailing Address |
2403 Foxtail Ln N Mandan ND 58554-8206 |
| Practice Telephone | 7012024783 |
| Mailing Telephone | 7012027483 |
| Enumeration Date | 2020-10-31 |
| Last Update Date | 2020-10-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
1452330 | SD | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 1452330 | 05 |
| Street Address |
2403 FOXTAIL LN N APT SUITE |
| City | MANDAN |
| State | ND |
| Zip Code | 58554-8206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548782790 | 1150 Group Home | Intermediate Care Facility, Mentally Retarded | 1150 N. Collins Aveue, Mandan, ND 58554 | 2017-07-10 |
| 1871029033 | Anthony Kozojed | Case Manager/Care Coordinator | 701 16th Ave Se, Mandan, ND 58554 | 2017-05-10 |
| 1437690609 | 1140 Grouphome | Intermediate Care Facility, Mentally Retarded | 1140 Collins Ave, Mandan, ND 58554 | 2017-03-20 |
| 1497157895 | West River Head Start | Public Health or Welfare | 1004 7th St Nw, Mandan, ND 58554 | 2014-09-17 |
| 1093134017 | St. Alexius Mandan Pharmacy, LLC | Pharmacy | 2500 Sunset Drive Nw, Suite 2, Mandan, ND 58554 | 2014-04-08 |
| 1639501141 | Lakewood Landing, Inc. | Assisted Living Facility | 4401 21st St Se, Mandan, ND 58554 | 2013-08-07 |
| 1578835641 | Hit Inc. 1301 Grouphome | Intermediate Care Facility, Mentally Retarded | 1301 7th Ave Se, Mandan, ND 58554 | 2012-02-03 |
| 1689953036 | Timothy Lee Ulledahl | Physical Therapy Assistant | 1833 East Bismarck Expressway, Bismarck, ND 58554 | 2011-08-16 |
| 1316232887 | Nagel Family Chiropractic and Wellness LLC | Chiropractor | 2008 Twin City Drive, Mandan, ND 58554 | 2011-06-13 |
| 1598062143 | 1201 Grouphome | Intermediate Care Facility, Mentally Retarded | 1201 7th Ave Se, Mandan, ND 58554 | 2011-02-17 |
| Find all providers in zip 58554 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779374 | Tanya Michelle Thomas | Technician | 3260 River Place Dr N, Mandan, ND 58554-8225 | 2020-10-30 |
| 1457950982 | Elaine Marie Hatzenbuhler | Technician | 1413 9th Ave Nw, Mandan, ND 58554-1602 | 2020-10-26 |
| 1104425735 | Patricia Anne Bennett X | Technician | 2945 Highway 25, Mandan, ND 58554-8002 | 2020-10-24 |
| 1255930954 | Robin Ely | Technician | 714 Elm St, Mandan, ND 58554-4415 | 2020-10-22 |
| 1275132342 | Stacey Ann Berthiaume | Technician | 406 8th St Nw, Mandan, ND 58554-2708 | 2020-10-20 |
| 1134727241 | Michelle Bohn | Technician | 1308 11th Ave Se, Mandan, ND 58554-4541 | 2020-10-12 |
| 1750989935 | Ndaiziweyi Hybsha | Technician | 300 6th Ave Sw, Mandan, ND 58554-4013 | 2020-10-11 |
| 1639777881 | Kelly Faye Glasser | Technician | 4250 Mckenzie Dr Se Apt 203, Mandan, ND 58554-6241 | 2020-10-10 |
| 1104424431 | Caroline Trehus | Technician | 1511 1st Ave Nw Apt 4, Mandan, ND 58554-2041 | 2020-10-09 |
| 1366042913 | Twila Dawn Lindquist | Technician | 300 6th Ave Sw, Mandan, ND 58554-4013 | 2020-10-31 |
| Find all providers in MANDAN | ||||
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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.