NINA PHILICIA BANGU (NPI# 1164043683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164043683 |
| Entity Type | Individual |
| Full Name | NINA PHILICIA BANGU |
| Credential | RN, BSN |
| Practice Address |
18837 Smith Dr Nw Elk River MN 55330-7510 |
| Practice Telephone | 7632911069 |
| Mailing Telephone | 7632911069 |
| Enumeration Date | 2020-05-06 |
| Last Update Date | 2020-05-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251J00000X | Nursing Care | 1103992 | MN | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | WAIVERS | 0001057364 | 01 |
| Street Address |
18837 SMITH DR NW |
| City | ELK RIVER |
| State | MN |
| Zip Code | 55330-7510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710504139 | Jacob Stevens | Pharmacist | 19216 Freeport Ave, Cub Pharmacy, Elk River, MN 55330 | 2020-07-01 |
| 1578187456 | Coborns Inc | Pharmacy | 15700 88th St Ne, Otsego, MN 55330 | 2020-06-05 |
| 1346888609 | Katie Eberley | Counselor | 9425 Quantrelle Ave, Otsego, MN 55330 | 2019-12-18 |
| 1649839986 | Jodi Marie Pikula | Massage Therapist | 710 Dodge Ave, Suite C, Elk River, MN 55330 | 2019-06-11 |
| 1144793878 | Northern Cities Therapy, Inc. | Counselor | 19230 Evans St Nw Ste 100, Elk River, MN 55330 | 2019-01-04 |
| 1144715236 | Jennifer Kay Dahlseid | Chiropractor | 200 5th St Nw Ste J, Elk River, MN 55330 | 2018-06-29 |
| 1124542089 | Megan Majsterski Lazere | Counselor | 9245 Quantrelle Avenue, Otsego, MN 55330 | 2017-08-01 |
| 1134674237 | Rescare Minnesota | Community Based Residential Treatment Facility, Mental Illness | 633 Upland Ave Nw, Elk River, MN 55330 | 2016-08-18 |
| 1356894927 | Allison Benz | Counselor | 9245 Quantrelle Ave, Otsego, MN 55330 | 2016-07-29 |
| 1447615141 | Laura Stevenson | Speech-Language Pathologist | 15990 90th St., Otsego, MN 55330 | 2015-12-22 |
| Find all providers in zip 55330 | ||||
| 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 |
|---|---|---|---|---|
| 1477702983 | Pendo Health Services Inc | Nursing Care | 19205 Yale St Nw, Elk River, MN 55330-2840 | 2008-09-09 |
| 1619001278 | Opportunity Partners Inc. | Nursing Care | 11754 191st Avenue Northwest, Elk River, MN 55330-2633 | 2007-03-15 |
| 1154445732 | Opportunity Partners Inc. | Nursing Care | 11754 191st Avenue Northwest, Elk River, MN 55330 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780283044 | Tc Healthcare | Nursing Care | 505 Highway 169 N Ste 255, Plymouth, MN 55441-6463 | 2020-10-19 |
| 1215546858 | B&l Anesthesia | Nursing Care | 5006 Woodlawn St, Duluth, MN 55804-1180 | 2020-07-29 |
| 1114535473 | Premium Health Care Inc. | Nursing Care | 1 W Lake St Apt 221, Minneapolis, MN 55408-3151 | 2020-07-22 |
| 1477170231 | Midwest Group Homes LLC | Nursing Care | 1411 W Saint Germain St Ste 6, Saint Cloud, MN 56301-4179 | 2020-06-28 |
| 1427672021 | Caring Rose Homes LLC | Nursing Care | 1043 Hague Ave, Saint Paul, MN 55104-6520 | 2020-05-31 |
| 1861012700 | Open Arms Group Home LLC | Nursing Care | 1 W Lake St Suite 165 Unit 7, Minneapolis, MN 55408 | 2020-04-21 |
| 1154941128 | Gentle Haven | Nursing Care | 8045 159th St W, Apple Valley, MN 55124-7054 | 2020-04-20 |
| 1659991545 | Belong Health Care | Nursing Care | 4809 Oxborough Gdns, Brooklyn Park, MN 55443-3993 | 2020-04-20 |
| 1316574007 | Hope Wellness Center Inc. | Nursing Care | 3119 4th Ave S, Minneapolis, MN 55408-3231 | 2020-03-24 |
| 1407481385 | Golden Bright Homes LLC | Nursing Care | 2842 Raleigh Ave, Saint Louis Park, MN 55416-1967 | 2020-03-11 |
| Find all providers with the same taxonomy | ||||
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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.