ADVACARE CLINICS,LTD (NPI# 1265614242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265614242 |
| Entity Type | Organization |
| Organization Name | ADVACARE CLINICS,LTD |
| Practice Address |
5001 American Blvd W Ste.945 Bloomington MN 55437-1108 |
| Practice Telephone | 9528356653 |
| Practice Fax Number | 9528353895 |
| Mailing Telephone | 9528356653 |
| Mailing Fax Number | 9528353895 |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2014-10-31 |
| Authorized Official Name | MR. DENNIS JOHN LENSELINK (CLINIC ADMINISTRATOR) |
| Authorized Official Telephone | 9528356653 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 171100000X | Acupuncturist | Other Service Providers | ||
| N | 171100000X | Acupuncturist | 401 | MN | Other Service Providers |
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | CMS CERTIFICATION NUMBER PART A (CCN) | 24-6608 | 01 |
| Street Address |
5001 AMERICAN BLVD W STE.945 |
| City | BLOOMINGTON |
| State | MN |
| Zip Code | 55437-1108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104864552 | Aedon Homecare - Minnesota, LLC | Home Health | 5001 American Blvd W, Suite 640, Bloomington, MN 55437-1108 | 2006-06-04 |
| 1932519535 | Medtherapy | Clinic/Center | 5001 American Blvd W, Suite 601, Bloomington, MN 55437-1108 | 2014-05-05 |
| 1316382245 | Lhcg Xlviii, LLC | Home Health | 5001 American Blvd W, Suite 640, Bloomington, MN 55437-1108 | 2013-05-06 |
| 1679821151 | Ana Katherine D Anderson | Massage Therapist | 5001 American Blvd W, Ste 945, Bloomington, MN 55437-1108 | 2012-08-15 |
| 1962768689 | Hospice Preferred Choice, Inc. | Emergency Medicine | 5001 American Blvd W, Suite 655, Bloomington, MN 55437-1108 | 2012-04-06 |
| 1194098996 | Shelonda M Reed | Massage Therapist | 5001 American Blvd W, Suite 945, Bloomington, MN 55437-1108 | 2012-02-10 |
| 1629366299 | Michael J Miller | Massage Therapist | 5001 American Blvd W, Bloomington, MN 55437-1108 | 2011-07-18 |
| 1538468087 | Allison Pridgen | Massage Therapist | 5001 American Blvd W, Suite 945, Bloomington, MN 55437-1108 | 2011-03-23 |
| 1750685640 | Keith Fischer | Massage Therapist | 5001 American Blvd W, Suite 945, Bloomington, MN 55437-1108 | 2011-01-06 |
| 1346540333 | Sonja A Wagner | Massage Therapist | 5001 American Blvd W, Suite 945, Bloomington, MN 55437-1108 | 2010-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710344494 | Bloomington Smiles Dentistry, PC | Dentist | 10700 France Avenue, Suite 102, Bloomington, MN 55437 | 2016-01-26 |
| 1851788988 | Rachael Anne Wilson | Dentist | 4200 West Old Shakopee Rd, Suite 100, Bloomington, MN 55437 | 2015-04-15 |
| 1518166891 | Ronald Lawrence Shapiro | Internal Medicine | 5270 W 84th St, #500, Minneapolis, MN 55437 | 2007-07-16 |
| 1275742900 | Riverview Spine, P.a. | Chiropractor | 5402 W. Old Shakopee Road, Bloomington, MN 55437 | 2007-05-21 |
| 1184846149 | Michael Robert Wiles | Chiropractor | 5017 West 106th Street, Bloomington, MN 55437 | 2007-05-02 |
| 1821181421 | Tms Treatment Center Inc | Community Based Residential Treatment Facility, Mental Illness | 5414 West Old Shakopee Circle, Bloomington, MN 55437 | 2006-10-02 |
| 1952493736 | The James Inc | Home Health | 4533 Normandale Highlands Drive, Bloomington, MN 55437 | 2006-09-29 |
| 1093747354 | Kris J Kalenda | Dentist | 4200 W Old Shakopee Rd, Suite 221, Bloomington, MN 55437 | 2006-07-07 |
| 1871560078 | Gregory Borg Hanson | Dentist | 5270 W 84 St, Bloomington, MN 55437 | 2006-03-07 |
| 1770076184 | Cal Leonard Johnson | Physical Therapist | 5001 American Blvd W Ste 945, Bloomington, MN 55437 | 2018-06-11 |
| Find all providers in zip 55437 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760724827 | Ahmednur Abdirahman | General Practice | 10750 Brunswick Rd Apt 111, Bloomington, MN 55438-1860 | 2013-03-26 |
| 1437372067 | Michael Francis Kenrick | General Practice | 1421 Cedar Bluff Road, Bloomington, IN 47403-9687 | 2007-04-11 |
| 1376614008 | David Rudolf Fletcher | General Practice | 126 S. Hampton Ct, Bloomington, IN 47408 | 2006-11-13 |
| 1083747992 | James M Sullivan | General Practice | 1000 W 1st St, Bloomington, IN 47403-2208 | 2007-03-13 |
| 1083652556 | Wound Care Center, LLC | General Practice | 2920 Mcintyre Dr, Suite 103, Bloomington, IN 47403-4221 | 2006-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447857230 | Minneapolis Integrative Medicine Center, LLC | General Practice | 575 9th St Se Ste 52, Minneapolis, MN 55414-1399 | 2020-10-05 |
| 1811518137 | Falls Medical Group, Pllc | General Practice | 1580 Highway 11-71, International Falls, MN 56649 | 2020-04-27 |
| 1013561893 | Medexpress Primary Care Minnesota, P.C. | General Practice | 4316 Rice Lake Rd, Duluth, MN 55811-4012 | 2019-07-30 |
| 1245790211 | Fairview Clinics | General Practice | 303 E Nicollet Blvd Ste 260, Burnsville, MN 55337-4522 | 2019-03-25 |
| 1316422397 | Fairview Health Services | General Practice | 7411 85th Ave N, Brooklyn Park, MN 55445-2231 | 2018-09-26 |
| 1841716883 | Medexpress Primary Care Minnesota, P.C. | General Practice | 11030 Optum Cir, Eden Prairie, MN 55344-2503 | 2017-08-22 |
| 1447654678 | Chs Tennessee Medical, P.C. | General Practice | 610 Opperman Dr, Thomson Reuters Campus, Eagan, MN 55123-1340 | 2014-10-17 |
| 1922422989 | Roger J. Day | General Practice | 9701 Xebec St Ne, Circle Pines, MN 55014-2508 | 2014-02-12 |
| 1225385891 | Felix Cristobal Blanco | General Practice | 10 Fourth Ave Se, Glenwood, MN 56334-1820 | 2012-08-13 |
| 1689930554 | Linda Gail Olson | General Practice | 17935 24th Ave N, Minneapolis, MN 55447 | 2012-04-05 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMINGTON |
| Zip Code | 55437 |
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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.