EVER-CARE ORTHOTICS & PROSTHETICS LLC (NPI# 1447893664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447893664 |
| Entity Type | Organization |
| Organization Name | EVER-CARE ORTHOTICS & PROSTHETICS LLC |
| Practice Address |
1686 Village Trl E Unit 2 Maplewood MN 55109-5830 |
| Practice Telephone | 6127020107 |
| Mailing Telephone | 6127020107 |
| Enumeration Date | 2019-10-21 |
| Last Update Date | 2019-10-21 |
| Authorized Official Name | ISAAC MUHAMMAD (OPERATION MANAGER) |
| Authorized Official Telephone | 6127020107 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 222Z00000X | Orthotist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 224P00000X | Prosthetist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1686 VILLAGE TRL E UNIT 2 |
| City | MAPLEWOOD |
| State | MN |
| Zip Code | 55109-5830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063828 | Jodi May Begordis | Registered Nurse | 2586 7th Ave East, Suite 302, North St Paul, MN 55109 | 2020-05-06 |
| 1467917146 | Alejandro Diez Freire | Social Worker | 2468 Germain St, Maplewood, MN 55109 | 2019-02-06 |
| 1679099667 | Rochelle Marie Clarke | Registered Nurse | 2586 7th Ave East Suite 302, North Saint Paul, MN 55109 | 2017-08-21 |
| 1497298210 | Salams Care Residential, LLC | Home Health | 2240 Ide Ct, Maplewood, MN 55109 | 2016-11-28 |
| 1093199630 | Garry Allen | Psychologist | 2345 Ariel St North Mail Stop 13601a, Maplewood, MN 55109 | 2015-07-14 |
| 1700264751 | Matthew Seng Thao | Student in an Organized Health Care Education/Training Program | 1470 Gervais Ave, Maplewood, MN 55109 | 2015-05-11 |
| 1326458340 | Chong Chang | Counselor | 1705 Cope Ave E Ste I, Maplewood, MN 55109 | 2014-04-29 |
| 1619396488 | Leah Anne Downey | Occupational Therapist | 2399 Ariel St. N., Children's Theraplay, LLC, Maplewood, MN 55109 | 2014-04-09 |
| 1356765440 | Group Health Plan, Inc | Clinic/Center | 2520 12th Ave E, North St Paul, MN 55109 | 2014-02-10 |
| 1336560275 | Veneman Dental Care, Pa | Dentist | 1774 Cope Ave, Suite 110, Maplewood, MN 55109 | 2013-12-19 |
| Find all providers in zip 55109 | ||||
| Taxonomy Code | 224P00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Prosthetist |
| A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720318876 | Richard Clark Niessen Sr. | Prosthetist | 2025 East River Park Way, Shriners Hospitals for Children Twin Cities, Mpls, MN 55414-3604 | 2010-01-12 |
| 1386900272 | Kyle Robert Hamre | Prosthetist | 6600 France Ave S, Suite 162, Edina, MN 55435-1805 | 2012-04-05 |
| 1043538531 | Jill Prinsen | Prosthetist | 360 Sherman St, Suite 299, Saint Paul, MN 55102-2564 | 2010-05-10 |
| 1558691600 | Rebecca Lynn Born | Prosthetist | 2025 East River Parkway, Minneapolis, MN 55414-3604 | 2010-01-12 |
| 1699908483 | Steven Jahn | Prosthetist | 6600 France Ave S, Suite 162, Edina, MN 55435-1805 | 2009-08-27 |
| 1760637052 | Sarah Mahowald | Prosthetist | 1 Veterans Dr, Prosthetic Dept. (121), Minneapolis, MN 55417-2309 | 2008-12-01 |
| 1063629368 | Peter Stasica | Prosthetist | 2200 University Ave W, #114, Saint Paul, MN 55114-1839 | 2007-05-17 |
| 1902013402 | Joseph Andrew Medvec | Prosthetist | 1 Veterans Dr, Prosthetics 121, Minneapolis, MN 55417-2309 | 2007-05-16 |
| 1013017813 | Chris Peter Boosalis | Prosthetist | 6600 France Ave S, Suite 162, Edina, MN 55435-1805 | 2006-09-22 |
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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.