MR. EMMANUEL RANDOLPH WHEAGAR (NPI# 1235762667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235762667 |
| Entity Type | Individual |
| Full Name | MR. EMMANUEL RANDOLPH WHEAGAR |
| Practice Address |
6248 Lakeland Ave N Brooklyn Park MN 55428-2986 |
| Mailing Address |
6248 Lakeland Ave N Ste 208 Brooklyn Park MN 55428-2989 |
| Practice Telephone | 8482301286 |
| Mailing Telephone | 8482301286 |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2020-02-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 374U00000X | Home Health Aide | Nursing Service Related Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | DRIVER'S LICENSE | W32792257902702 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6248 Lakeland Ave N Suite 208 Minneapolis, Mn Suite 208, Brooklyn Park, MN 55428 | 8482031286 |
| Street Address |
6248 LAKELAND AVE N |
| City | BROOKLYN PARK |
| State | MN |
| Zip Code | 55428-2986 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740522655 | King David Dickson | Registered Nurse | 6248 Lakeland Ave N, Suite 211, Brooklyn Park, MN 55428-2986 | 2013-03-19 |
| 1942542832 | Sayndee Marwonlee Sando | Home Health Aide | 6248 Lakeland Ave N, Suite 211, Brooklyn Park, MN 55428-2986 | 2013-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952940025 | Gerard Idrissa Omari | Registered Nurse | 5844 Jersey Avenue North, Crystal, MN 55428 | 2020-01-06 |
| 1538706726 | Mary Sue Wester | Preventive Medicine | 6101 Virginia Ave. N, New Hope, MN 55428 | 2019-12-06 |
| 1194237479 | Stacy Shrestha | Nurse Practitioner | 7100 Northland Circle N, Ste 119, Brooklyn Park, MN 55428 | 2017-10-26 |
| 1023537115 | Cynthia Mcquade-brinkman | Massage Therapist | 6617 Jersey Ave N, Brooklyn Park, MN 55428 | 2017-09-11 |
| 1255792818 | Sadiya Ali | Non-emergency Medical Transport (VAN) | 7164 72nd Lane N Apt 244, Brooklyn Park, MN 55428 | 2016-03-10 |
| 1962867606 | Heart Felt Home Health Care Inc. | Home Health | 36 Fremont St., Lowell, MA 55428 | 2015-12-23 |
| 1992126155 | North Memorial Health Care | Clinic/Center | 8100 42nd Avenue North, New Hope, MN 55428 | 2013-12-13 |
| 1508105370 | Guardian Home Health Care LLC | Home Health | 6708 Dutton Ave N, Brooklyn Park, MN 55428 | 2013-02-13 |
| 1265709182 | Mark David Wermers | Pharmacist | 4200 Winnetka Ave, New Hope, MN 55428 | 2011-11-21 |
| 1841424868 | Cozy Clalm LLC | Durable Medical Equipment & Medical Supplies | 6616 Hillsboro Ave N, Brooklyn Park, MN 55428 | 2009-05-05 |
| Find all providers in zip 55428 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932673340 | Danielle Lee Maas | Case Manager/Care Coordinator | 6705 Oak Grove Pkwy Unit 1138, Brooklyn Park, MN 55445-2552 | 2019-01-18 |
| 1518314392 | Randy Almsted | Case Manager/Care Coordinator | 3224 80th Ave N, Brooklyn Park, MN 55443-2833 | 2016-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780295964 | The Experience of Neshama | Case Manager/Care Coordinator | 1 Water St W Ste 220, Saint Paul, MN 55107-2002 | 2020-08-12 |
| 1295352698 | Tong Vang | Case Manager/Care Coordinator | 1164 White Bear Ave N, Saint Paul, MN 55106-3004 | 2020-07-01 |
| 1770100638 | Access Homehealth LLC | Case Manager/Care Coordinator | 335 37th Ave N, Saint Cloud, MN 56303-3046 | 2020-06-26 |
| 1730715772 | Xavier Munoz | Case Manager/Care Coordinator | 1557 Mcafee St, Saint Paul, MN 55106-1436 | 2020-03-22 |
| 1609407295 | Tim Mcnelis | Case Manager/Care Coordinator | 505 7th Ave Sw, Faribault, MN 55021-5914 | 2020-02-01 |
| 1689211955 | A Beautiful Choice LLC | Case Manager/Care Coordinator | 11966 Woodland Pkwy Ne, Blaine, MN 55449-1501 | 2019-12-05 |
| 1376008474 | Richard Lee Lloyd | Case Manager/Care Coordinator | 418 County Road D E, Saint Paul, MN 55117-1218 | 2019-02-04 |
| 1942708508 | Teammd Physicians of Texas Inc | Case Manager/Care Coordinator | 9900 Bren Rd E # 8-b217, Minnetonka, MN 55343 | 2018-01-30 |
| 1508305509 | Melanie Stelzen | Case Manager/Care Coordinator | 309 Labree Ave N, Suite 10, Thief River Falls, MN 56701-2020 | 2017-02-23 |
| 1003360439 | Jennifer Lynn Thompson | Case Manager/Care Coordinator | 606 25th Ave S Ste 103, Saint Cloud, MN 56301-4810 | 2016-08-15 |
| Find all providers with the same taxonomy | ||||
| City | BROOKLYN PARK |
| Zip Code | 55428 |
Please comment or provide details below to improve the information on MR. EMMANUEL RANDOLPH WHEAGAR.
| 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.