LIGHTCARE GROUP HOMES LLC (NPI# 1447883475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447883475 |
| Entity Type | Organization |
| Organization Name | LIGHTCARE GROUP HOMES LLC |
| Practice Address |
7539 16th Ave S Richfield MN 55423-4620 |
| Mailing Address |
12310 Singletree Ln Apt 2143 Eden Prairie MN 55344-7967 |
| Practice Telephone | 6128663014 |
| Practice Fax Number | 6128663014 |
| Mailing Telephone | 9522889420 |
| Mailing Fax Number | 6128663014 |
| Enumeration Date | 2020-02-18 |
| Last Update Date | 2020-02-18 |
| Authorized Official Name | MARYAM ABDULKADIR MOHAMED (OWNER) |
| Authorized Official Telephone | 9522889420 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
7539 16TH AVE S |
| City | RICHFIELD |
| State | MN |
| Zip Code | 55423-4620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841844081 | Ann Niebuhr | Counselor | 6417 Penn Ave S Ste 8 #2, Minneapolis, MN 55423 | 2019-07-25 |
| 1073021077 | Alton John Olson | Surgery | 7008 - Morgan Avenue South, Richfield, MN 55423 | 2018-01-12 |
| 1992238190 | Certified Care Planner LLC | Home Health | 1515 E 66th Street Suite 105, Richfield, MN 55423 | 2017-04-05 |
| 1245780121 | Rachel Lauren Marston | Audiologist | 7745 2nd Ave S., Suite 1, Richfield, MN 55423 | 2016-10-04 |
| 1023564093 | Justine Welch Mastin | Counselor | 6640 Lyndale Ave S Ste 110, Minneapolis, MN 55423 | 2016-08-30 |
| 1215480942 | Smart Choice Mri, LLC | Clinic/Center | 1704 E 66th St, Minneapolis, MN 55423 | 2016-07-29 |
| 1225425531 | Maria Lourdes Nolasco De Leon | Registered Nurse | 6511 12th Ave. S, Richfield, MN 55423 | 2015-04-24 |
| 1508261926 | Ally Medical Supply | Durable Medical Equipment & Medical Supplies | 6238 Lyndale Ave South, Suite # 2, Richfield, MN 55423 | 2014-10-28 |
| 1811230097 | Barb Rose Olson | Registered Nurse | 6461 Lyndale Ave. So, Richfield, MN 55423 | 2013-04-05 |
| 1902149404 | Nina Kae Hanevik | Registered Nurse | 6461 Lyndale Ave So, Richfield, MN 55423 | 2013-04-03 |
| Find all providers in zip 55423 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144855016 | Procare Health Corp | Home Health | 7426 10th Ave S, Richfield, MN 55423-4567 | 2020-03-11 |
| 1043873078 | Fayyaa Home Health Care Services, LLC. | Home Health | 7108 Chicago Ave #1, Richfield, MN 55423-3478 | 2019-04-16 |
| 1841777349 | Applewood Home Health Care, LLC | Home Health | 6511 Irving Ave S, Richfield, MN 55423-1225 | 2018-07-26 |
| 1992238190 | Certified Care Planner LLC | Home Health | 1515 E 66th Street Suite 105, Richfield, MN 55423 | 2017-04-05 |
| 1922471051 | Open Hand Home Health LLC | Home Health | 6526 Oliver Ave S, 10, Richfield, MN 55423-1133 | 2015-11-11 |
| 1669861084 | Grace Home Health Care | Home Health | 1520 E 66th St Ste 1, Richfield, MN 55423-2675 | 2015-01-22 |
| 1508260431 | Welcome Home LLC | Home Health | 6808 3rd Ave S, Richfield, MN 55423-2418 | 2014-10-21 |
| 1760753727 | Kangle LLC | Home Health | 6632 Penn Ave S Ste 102, Richfield, MN 55423-2026 | 2012-01-24 |
| 1861792640 | Richfield Churches United | Home Health | 6345 Xerxes Ave S, Richfield, MN 55423-1038 | 2010-10-27 |
| 1780993808 | Good Sense Home Healthcare LLC | Home Health | 5220 Dakota Rd, Richfield, OH 44286-9614 | 2010-10-07 |
| Find all providers in RICHFIELD | ||||
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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.