BLUEBIRD HOMECARE AGENCY, LLC (NPI# 1578180709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578180709 |
| Entity Type | Organization |
| Organization Name | BLUEBIRD HOMECARE AGENCY, LLC |
| Practice Address |
8317 Xerxes Ave N Brooklyn Park MN 55444-1543 |
| Practice Telephone | 6122616988 |
| Mailing Telephone | 6122616988 |
| Enumeration Date | 2020-07-04 |
| Last Update Date | 2020-07-04 |
| Authorized Official Name | SABRINA LUKALU (DIRECTOR) |
| Authorized Official Telephone | 6122616988 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Street Address |
8317 XERXES AVE N |
| City | BROOKLYN PARK |
| State | MN |
| Zip Code | 55444-1543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548714199 | Gloria Lukalu | Registered Nurse | 8317 Xerxes Ave N, Brooklyn Park, MN 55444-1543 | 2016-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124541404 | Sharon Novell | Private Vehicle | 8411 Sheridan Av N, Minneapolis, MN 55444 | 2017-07-19 |
| 1053692491 | Akwen Joan Morcho | Registered Nurse | 9733 Thomas Ave N, Brooklyn Park, MN 55444-1011 | 2011-08-30 |
| 1497811244 | B D Edwards and Co.,llc | Home Health | 2716 98th Ave N, Brooklyn Park, MN 55444-1020 | 2006-12-28 |
| 1346870201 | The Grace Home Health Services LLC | Home Health | 9707 Penn Ave N, Brooklyn Park, MN 55444-1031 | 2020-01-20 |
| 1003118787 | Jessica Marie Coleman | Doula | 2401 96th Ave N, Brooklyn Park, MN 55444-1148 | 2010-12-01 |
| 1386101129 | Aspen Home Health Care Inc. | In Home Supportive Care | 9508 Upton Ave N, Brooklyn Park, MN 55444-1157 | 2019-02-28 |
| 1265079404 | Phinsaykeo Souriyathay | Assisted Living Facility | 9300 Penn Ave N, Brooklyn Park, MN 55444-1166 | 2019-12-06 |
| 1326258336 | Pang Tang Her | Technician | 9217 W River Rd, Brooklyn Park, MN 55444-1219 | 2007-05-22 |
| 1508341157 | Todd David Hanson | Registered Nurse | 1601 89th Ave N, Brooklyn Park, MN 55444-1233 | 2018-09-29 |
| 1134750789 | Lamonica Barthelemy | Technician | 9232 James Ave N, Brooklyn Park, MN 55444-1234 | 2020-02-03 |
| Find all providers in zip 55444 | ||||
| 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 |
|---|---|---|---|---|
| 1578175105 | Tracy Denise Winters | In Home Supportive Care | 4404 83rd Cir N, Brooklyn Park, MN 55443-2534 | 2020-08-17 |
| 1053936476 | Unity Care Services, LLC | In Home Supportive Care | 7420 Unity Ave N Ste 112e, Brooklyn Park, MN 55443-3136 | 2020-06-11 |
| 1881217370 | Am Homes LLC | In Home Supportive Care | 7617 Scott Ave N, Brooklyn Park, MN 55443-3221 | 2020-05-19 |
| 1386101129 | Aspen Home Health Care Inc. | In Home Supportive Care | 9508 Upton Ave N, Brooklyn Park, MN 55444-1157 | 2019-02-28 |
| 1306375431 | Jmkay Health Care Services Inc | In Home Supportive Care | 5956 Garwood Rd N, Brooklyn Park, MN 55443-3100 | 2017-06-12 |
| 1386003655 | S & L PCa Services LLC | In Home Supportive Care | 9904 Linden Ave N, Brooklyn Park, MN 55443-1851 | 2016-02-16 |
| 1164851648 | Shaurntae Thomas | In Home Supportive Care | 8462 Sumter Cir N, Brooklyn Park, MN 55445-2144 | 2013-11-05 |
| 1952555963 | Mn Preffered Home Care Services | In Home Supportive Care | 7901 Quail Ave N, Brooklyn Park, MN 55443-2422 | 2008-11-05 |
| 1780171280 | Mains'l Financial Management Services, Inc. | In Home Supportive Care | 7000 78th Ave N, Brooklyn Park, MN 55445-2744 | 2018-04-19 |
| 1295286748 | Certified Care Inc | In Home Supportive Care | 7340 Noble Ct N, Brooklyn Park, MN 55443-3465 | 2016-10-19 |
| Find all providers in BROOKLYN PARK | ||||
| City | BROOKLYN PARK |
| Zip Code | 55444 |
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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.