LAKE TOWN HOMECARE, LLC (NPI# 1275049116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275049116 |
| Entity Type | Organization |
| Organization Name | LAKE TOWN HOMECARE, LLC |
| Other Organization Name | LAKE TOWN HOMECARE, LLC |
| Practice Address |
4119 Scott Ave N Robbinsdale MN 55422 |
| Mailing Address |
2121 Nicollet Ave S Suite 6 Minneapolis MN 55404 |
| Practice Telephone | 6198921613 |
| Mailing Telephone | 6192460239 |
| Enumeration Date | 2017-12-14 |
| Last Update Date | 2018-05-15 |
| Authorized Official Name | YASMIN YUSUF (CEO/ PRESIDENT) |
| Authorized Official Telephone | 6198921613 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Other Name | Type Code |
|---|---|
| Lake Town HomeCare, LLC | Doing Business As Name - Organization |
| Street Address |
4119 SCOTT AVE N |
| City | ROBBINSDALE |
| State | MN |
| Zip Code | 55422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966794 | Trevor Velin | Chiropractor | Robin Center Chiropractic, Pa, 4080 W Broadway Ave, 310, Robbinsdale, MN 55422 | 2019-11-07 |
| 1780165134 | American Current Care of Minnesota PC | Clinic/Center | 4080 W Broadway Ave Ste 200, Robbinsdale, MN 55422 | 2018-08-23 |
| 1366928426 | Creekside Family Dental Pllc | Dentist | Giebenhain Dental Associates, P.a., 5851 Duluth Street # 103, Golden Valley, MN 55422 | 2018-07-12 |
| 1497249536 | Luke Utecht | Psychologist | 4150 Olson Memorial Hwy, Suite 420, Golden Valley, MN 55422 | 2018-06-21 |
| 1821582115 | Ajaa Oliver | Registered Nurse | 3606 Zenith Ave N, Robbinsdale, MN 55422 | 2018-06-19 |
| 1306348024 | Leila Jean Erlandson | Marriage & Family Therapist | Golden Valley Executive Center, 4284 Dahlberg Drive, Golden Valley, MN 55422 | 2018-03-08 |
| 1467969907 | Minneapolis Health Clinic Pllc | Internal Medicine | 4825 Olson Memorial Hwy., Suite 101, Golden Valley, MN 55422 | 2018-01-05 |
| 1750894002 | Unihealth Home Care, LLC | Home Health | 1710 Douglas Dr N Ste 226j, Golden Valley, MN 55422 | 2017-11-08 |
| 1194172296 | Crosscultural Health Care Inc | Home Health | 5801 Duluth Street Suite 310, Golden Valley, MN 55422 | 2016-05-18 |
| 1467837922 | Anna Tierney Ph.d. L.p. LLC | Psychologist | 5101 Olson Memorial Highway, #400, Golden Valley, MN 55422 | 2015-07-27 |
| Find all providers in zip 55422 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306101886 | Covenant Human Services | In Home Supportive Care | 4080 W. Broadway Ave, Suite #125, Robbinsdale, MN 55429 | 2012-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255930137 | Allhealth Home Care LLC | In Home Supportive Care | 23136 Birchwood Estates Rd, Fergus Falls, MN 56537-4516 | 2020-10-21 |
| 1477152593 | Canny, LLC | In Home Supportive Care | 4205 Lancaster Ln N Ste 104, Plymouth, MN 55441-1702 | 2020-10-20 |
| 1164020665 | Seh Morris Brown | In Home Supportive Care | 7655 Woodlawn Dr Apt 305, Saint Paul, MN 55112-4065 | 2020-10-15 |
| 1831797588 | Zarr Blejay Yarpah | In Home Supportive Care | 2508 County Road I Apt 105, Saint Paul, MN 55112-6242 | 2020-10-14 |
| 1538776794 | Dependable Angels Home Care | In Home Supportive Care | 949 Schaller Dr S Ste 2, Maplewood, MN 55119-5843 | 2020-09-30 |
| 1922611011 | Providence Home Care Inc | In Home Supportive Care | 3040 4th Ave S Ste 102, Minneapolis, MN 55408-2409 | 2020-08-28 |
| 1043823545 | Autism Bright Start | In Home Supportive Care | 2644 13th Ave S, Minneapolis, MN 55407-1121 | 2020-08-25 |
| 1174135909 | Amana Care LLC | In Home Supportive Care | 7700 36th Ave N Apt 318, Crystal, MN 55427-2038 | 2020-08-21 |
| 1578175105 | Tracy Denise Winters | In Home Supportive Care | 4404 83rd Cir N, Brooklyn Park, MN 55443-2534 | 2020-08-17 |
| 1811513674 | Lake Country Home Care LLC | In Home Supportive Care | 95 Miller St Ste E, New York Mills, MN 56567-4332 | 2020-06-17 |
| Find all providers with the same taxonomy | ||||
| City | ROBBINSDALE |
| Zip Code | 55422 |
Please comment or provide details below to improve the information on LAKE TOWN HOMECARE, LLC.
| 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.