HIAWATHA CLINIC CENTER LLC (NPI# 1164766010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164766010 |
| Entity Type | Organization |
| Organization Name | HIAWATHA CLINIC CENTER LLC |
| Practice Address |
2275 Snelling Ave N Apt 309 Roseville MN 55113-4285 |
| Practice Telephone | 6513088842 |
| Practice Fax Number | 6122256758 |
| Mailing Telephone | 6513088842 |
| Mailing Fax Number | 6122256758 |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |
| Authorized Official Name | MISS HUDO O MIRE (MANAGER) |
| Authorized Official Telephone | 6513088842 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273Y00000X | Rehabilitation Unit | Hospital Units |
| Street Address |
2275 SNELLING AVE N APT 309 |
| City | ROSEVILLE |
| State | MN |
| Zip Code | 55113-4285 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396384376 | Zachary Mattson | Physician Assistant | Regus Coworking Space 2355 Highway 36 West, Suite 400, Office #427, Roseville, MN 55113 | 2019-12-23 |
| 1467010330 | Ahmed Issa | Student in an Organized Health Care Education/Training Program | 1550 Larpenteur Ave W, Apt 235, St Paul, MN 55113 | 2019-06-05 |
| 1821653833 | Suite Living Senior Care of Little Canada | Assisted Living Facility | 2740 Rice Street, Little Canada, MN 55113 | 2019-05-06 |
| 1902370505 | Diverse Assessments and Treatment, LLC | Psychologist | 1935 Cty Rd B2 W Ste 270, Roseville, MN 55113 | 2019-01-16 |
| 1588138473 | Applewood Home Health Care, LLC | Home Health | 2021 E Hennepin Avenue # 402-1, Minneapolis, MN 55113 | 2019-01-14 |
| 1699251520 | Optum Infusion Services 500, Inc. | Durable Medical Equipment & Medical Supplies | 2685 Patton Rd, Roseville, MN 55113 | 2018-07-13 |
| 1083104145 | Suite Living Senior Care of Roseville | Assisted Living Facility | 197 County Road B2 W, Roseville, MN 55113 | 2018-05-15 |
| 1477055796 | Sunrise Residential Services LLC | Home Health | 216 Maple Ln, Roseville, MN 55113 | 2018-03-02 |
| 1194223024 | Alissa Hoff | Specialist | 1595 Mn 36 - 584 10 Rosedale Center, Roseville, MN 55113 | 2018-01-25 |
| 1841705118 | Kingsland Care Services Incorporated | Case Management | 2301 Rice Street, Suite 101, Roseville, MN 55113 | 2017-12-08 |
| Find all providers in zip 55113 | ||||
| Taxonomy Code | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093961682 | Sutter Valley Hospitals | Rehabilitation Unit | 1 Medical Plaza Dr, Roseville, CA 95661-3037 | 2008-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649721895 | Grant Davis Mitchell | Rehabilitation Unit | 1412 Iowa Ave W, Falcon Heights, MN 55108-2124 | 2016-10-21 |
| 1376835108 | In Motion Chiropractic and Fitness Center | Rehabilitation Unit | 1161 Wayzata Blvd E # 170, Wayzata, MN 55391-1935 | 2011-05-12 |
| 1639492853 | Teri Kristina Schueller | Rehabilitation Unit | 29157 250th St, Wabasso, MN 56293-1271 | 2010-03-02 |
| 1821337148 | Centracare Health System-nr LLC | Rehabilitation Unit | 1013 Hart Blvd, Monticello, MN 55362-8575 | 2013-02-06 |
| 1780923185 | Park Nicollet Clinic-st Louis Park | Rehabilitation Unit | 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | 2013-02-05 |
| 1184969313 | River's Edge Therap, LLC | Rehabilitation Unit | 10557 W River Rd, Brooklyn Park, MN 55443-1231 | 2012-11-28 |
| 1063793503 | Anthony Abeln | Rehabilitation Unit | 800 E 28th St, Minneapolis, MN 55407-3723 | 2011-08-29 |
| 1457650327 | Empower Physical Therapy | Rehabilitation Unit | 8160 Coller Way, Suite #c, Woodbury, MN 55125-3600 | 2011-03-18 |
| 1598902470 | Monticello-big Lake Hospital | Rehabilitation Unit | 1013 Hart Blvd, Monticello, MN 55362-8575 | 2009-01-14 |
| 1952406324 | Sanford Health of Northern Minnesota | Rehabilitation Unit | 1300 Anne St Nw, Bemidji, MN 56601-5103 | 2006-09-13 |
| 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.