WHITE BEAR AREA SENIOR PROGAM ISD 624 (NPI# 1134588031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134588031 |
| Entity Type | Organization |
| Organization Name | WHITE BEAR AREA SENIOR PROGAM ISD 624 |
| Practice Address |
2484 County Road F E White Bear Lake MN 55110-7404 |
| Practice Telephone | 6126233363 |
| Enumeration Date | 2016-02-19 |
| Last Update Date | 2016-02-19 |
| Authorized Official Name | WAYNE KAZMIERCZAK (DIRECTOR) |
| Authorized Official Telephone | 6126233363 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332U00000X | Home Delivered Meals | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | A365023500 | 05 |
| Street Address |
2484 COUNTY ROAD F E |
| City | WHITE BEAR LAKE |
| State | MN |
| Zip Code | 55110-7404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467071084 | St. Catherine University School Based Health Clinic | Nurse Practitioner | 5045 Division Ave, White Bear Lake, MN 55110 | 2020-04-14 |
| 1922450618 | Lisa Marie Thatcher | Podiatrist | 4653 White Bear Pkwy., St. Paul, MN 55110 | 2016-07-06 |
| 1558725598 | White Bear Dentists, PC | Dentist | 1970 Buerkle Road, White Bear Lake, MN 55110 | 2016-04-06 |
| 1124486246 | Julie Blaske | Counselor | 1310 Hwy 96 E, Suite 200, White Bear Lake, MN 55110 | 2016-02-03 |
| 1851761514 | Supervalu Pharmacies Inc | Durable Medical Equipment & Medical Supplies | 1920 Buerkle Rd, White Bear Lake, MN 55110 | 2015-10-06 |
| 1821496969 | Leah Eichmiller | Acupuncturist | 2183 3rd Street, C/o Indulge Salon, White Bear Lake, MN 55110 | 2014-12-05 |
| 1447672084 | Ashley Rath | Chiropractor | 1247 Gun Club Rd., White Bear Lake, MN 55110 | 2014-01-16 |
| 1790121291 | Advanced Medical Home Care, LLC | Home Health | 2555 County Road E East, Suite 101, White Bear Lake, MN 55110 | 2013-05-11 |
| 1134468465 | Emergency Physicians Professional Association | Clinic/Center | 1159 E. County Road E, Vadnais Heights, MN 55110 | 2013-02-06 |
| 1639444284 | Rebecca Lynn Blaede | Counselor | 4858 Banning Avenue, White Bear Lake, MN 55110 | 2012-03-15 |
| Find all providers in zip 55110 | ||||
| Taxonomy Code | 332U00000X |
| Grouping | Suppliers |
| Classification | Home Delivered Meals |
| Home-delivered meals are those services or activities designed to prepare and deliver one or more meals a day to an individual's residence in order to prevent institutionalization, malnutrition, and feelings of isolation. Component services or activities may include the cost of personnel, equipment, and food; assessment of nutritional and dietary needs; nutritional education and counseling; socialization services; and information and referral. |
| Notes: Source: Code of Federal Regulations #45, Part 96, Appendix A, Uniform Definition of Services. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033778121 | Grace Group Home LLC | Home Delivered Meals | 3538 Fremont Ave N, Minneapolis, MN 55412 | 2019-06-11 |
| 1235697459 | Your Home Care Services, LLC | Home Delivered Meals | 1306 67th Ave N Apt 306, Brooklyn Center, MN 55430-1572 | 2019-03-06 |
| 1578082798 | Capitol Cafe LLC | Home Delivered Meals | 2417 E Franklin Ave, Capitol Cafe, Minneapolis, MN 55406 | 2017-09-19 |
| 1386090660 | Divine Redeemer Mobile Meals | Home Delivered Meals | 1530 Oakdale Ave, West St Paul, MN 55118-3502 | 2016-05-05 |
| 1568820355 | Larry and Michele Kroeger, LLC | Home Delivered Meals | 36538 Clear Lake Dr, Box 369, Waseca, MN 56093-4617 | 2016-02-08 |
| 1174997613 | Keystone Community Services | Home Delivered Meals | 2000 Saint Anthony Ave, Saint Paul, MN 55104-5125 | 2015-11-20 |
| 1043682180 | Scheller Investments, LLC | Home Delivered Meals | 117 N Nelson St, Nelson, MN 56355-8219 | 2015-10-28 |
| 1811366388 | Isd 621 | Home Delivered Meals | 2101 14th St Nw, New Brighton, MN 55112-1841 | 2015-09-15 |
| 1326389370 | Metro Meals On Wheels | Home Delivered Meals | 1200 Washington Ave S, Suite 380, Minneapolis, MN 55415-1295 | 2013-03-14 |
| 1336495092 | Senior Meals Services | Home Delivered Meals | 3021 5th Ave S, Minneapolis, MN 55408-2415 | 2012-07-31 |
| Find all providers with the same taxonomy | ||||
| City | WHITE BEAR LAKE |
| Zip Code | 55110 |
Please comment or provide details below to improve the information on WHITE BEAR AREA SENIOR PROGAM ISD 624.
| 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.