PRAIRIE HOME HOSPICE, INC. (NPI# 1255424818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255424818 |
| Entity Type | Organization |
| Organization Name | PRAIRIE HOME HOSPICE, INC. |
| Practice Address |
408 E Main St Suite 8 Marshall MN 56258 |
| Practice Telephone | 5073370080 |
| Practice Fax Number | 5073370081 |
| Mailing Telephone | 5073370080 |
| Mailing Fax Number | 5073370081 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2014-03-06 |
| Authorized Official Name | MRS. PATRICIA MELLENTHIN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5073370080 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | MN | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 652691800 | 05 | |
| MN | 434555000 | 05 | |
| MN | INSURANCE HOSPICE | 3Z13PR | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003241175 | Prairie Home Hospice, Inc. | Home Health | 408 E Main St, Suite 8, Marshall, MN 56258-2665 | 2013-09-09 |
| Street Address |
408 E MAIN ST SUITE 8 |
| City | MARSHALL |
| State | MN |
| Zip Code | 56258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942727540 | Kelsey L Tollefson | Social Worker | 408 E Main St, Marshall, MN 56258-2664 | 2017-08-24 |
| 1003241175 | Prairie Home Hospice, Inc. | Home Health | 408 E Main St, Suite 8, Marshall, MN 56258-2665 | 2013-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285140012 | Action Manufacturing Inc | Durable Medical Equipment & Medical Supplies | 1105 Lake Road, Marshall, MN 56258 | 2017-12-15 |
| 1124579123 | Themarshrx | Durable Medical Equipment & Medical Supplies | 600 Sherman Ave, Marshall, MN 56258 | 2016-10-14 |
| 1780020370 | Heritage Pointe Senio | Assisted Living Facility | 207 N 4th Street, Marshall, MI 56258 | 2013-05-22 |
| 1528351178 | Lori Anne Lynner | Family Medicine | 3160 Us Hwy 59, Marshall, MN 56258 | 2011-05-16 |
| 1912148545 | Tami J Behnke | Counselor | 1418 State Street, Campus Religious Center, Marshall, MN 56258 | 2009-03-11 |
| 1073768396 | Sharyce Marie Audiology Inc | Audiologist | 1424 East College Drive, Suite 200, Marshall, MN 56258 | 2008-12-01 |
| 1497976625 | Erica Anne Jost | Specialist/Technologist | 1501 State Street, Marshall, MN 56258 | 2007-05-02 |
| 1265597470 | Nancy Louise Hemmingson | Optometrist | 300 S Bruce Street, Avera Marshall Southwest Ophthalmology, Marshall, MN 56258 | 2006-12-27 |
| 1407928187 | Midwest Vision Centers Inc | Technician/Technologist | 1113 E College Drive, Marshall, MN 56258 | 2006-11-15 |
| 1306918354 | Paul Joseph Puetz | Chiropractor | 111 Jewett St, Marshall, MN 56258 | 2006-11-14 |
| Find all providers in zip 56258 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114056249 | Marshall Manor Homecare, LLC | Hospice Care, Community Based | 111 E Burleson St, Marshall, TX 75670-3312 | 2007-03-05 |
| 1508869249 | Hot Springs Health Program, Inc. | Hospice Care, Community Based | 590 Medical Park Dr, Marshall, NC 28753-6807 | 2005-05-25 |
| 1952727463 | Avera Marshall | Hospice Care, Community Based | 1104 E College Dr, Marshall, MN 56258-4270 | 2014-03-07 |
| 1407015019 | Ella E M Brown Charitable Circle | Hospice Care, Community Based | 13444 Preston Dr, Marshall, MI 49068-8536 | 2008-06-09 |
| 1942220751 | John Fitzgibbon Memorial Hospital, Inc. | Hospice Care, Community Based | 2305 South 65 Highway, Marshall, MO 65340-3702 | 2006-07-21 |
| 1578565818 | Hot Springs Health Program, Inc. | Hospice Care, Community Based | 590 Medical Park Dr., Marshall, NC 28753 | 2005-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295350379 | Minnesota Care Services LLC | Hospice Care, Community Based | 2447 County Road B W Apt 1, Roseville, MN 55113-3867 | 2020-06-14 |
| 1922628700 | Brian Phillip St John | Hospice Care, Community Based | 100 Rev Dr Matin Luther Kingjr Blvd Suite 180, Saint Paul, MN 55155-0001 | 2020-04-21 |
| 1114576279 | Moments Hospice of Duluth LLC | Hospice Care, Community Based | 4897 Miller Trunk Hwy Ste 220, Hermantown, MN 55811-1936 | 2019-09-10 |
| 1770142762 | St Croix Hospice LLC | Hospice Care, Community Based | 1001 S Pokegama Ave Ste D, Grand Rapids, MN 55744-3919 | 2019-06-12 |
| 1619536620 | St Croix Hospice LLC | Hospice Care, Community Based | 17645 Juniper Path Ste 155, Lakeville, MN 55044-7577 | 2019-06-12 |
| 1073177986 | Hospice of Minnesota, LLC | Hospice Care, Community Based | 404 W Superior St Ste 290, Duluth, MN 55802-1504 | 2019-04-25 |
| 1336702000 | Elite Quality Services, LLC | Hospice Care, Community Based | 3555 Main St Ne, Minneapolis, MN 55418-1144 | 2019-04-18 |
| 1376008441 | Moments Hospice of Rochester LLC | Hospice Care, Community Based | 1816 2nd St Sw Ste B, Rochester, MN 55902-0819 | 2019-02-04 |
| 1366907446 | Moments Hospice of St Cloud LLC | Hospice Care, Community Based | 1030 4th St Se Ste 108, Saint Cloud, MN 56304-1217 | 2019-02-04 |
| 1174005953 | Carris Health - Redwood LLC | Hospice Care, Community Based | 1110 E Bridge St, Redwood Falls, MN 56283-1808 | 2018-08-29 |
| 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.