PREMIUM CHOICE CARE LLC (NPI# 1609201235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609201235 |
| Entity Type | Organization |
| Organization Name | PREMIUM CHOICE CARE LLC |
| Practice Address |
1983 Geneva Ave N Ste 1983 Oakdale MN 55128-4108 |
| Mailing Address |
1949 Geneva Ave N Ste 1983 Oakdale MN 55128-4108 |
| Practice Telephone | 6512396149 |
| Practice Fax Number | 6517723357 |
| Mailing Telephone | 6512396149 |
| Mailing Fax Number | 6517723357 |
| Enumeration Date | 2013-09-13 |
| Last Update Date | 2019-11-12 |
| Authorized Official Name | MR. FERDINAND MBAANIK FONDO (MANAGER) |
| Authorized Official Telephone | 6512396149 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 698669300020 | MN | Agencies |
| Street Address |
1983 GENEVA AVE N STE 1983 |
| City | OAKDALE |
| State | MN |
| Zip Code | 55128-4108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578174181 | James Albert Nguyen | Pharmacist | 985 Geneva Ave, Oakdale, MN 55128 | 2020-08-17 |
| 1154895977 | Northstar Behavioral Health | Substance Abuse Rehabilitation Facility | 5713 Geneva Ave N, Oakdale, MN 55128 | 2019-01-15 |
| 1780131391 | Beth Reitzel | Social Worker | 7066 Stillwater Boulevard North, Oakdale, MN 55128 | 2016-09-01 |
| 1740645407 | Caring Hand LLC | Non-emergency Medical Transport (VAN) | 6703 13th St. Ct N Oakdale, Oakdale, MN 55128 | 2015-12-23 |
| 1689040453 | Hy Vee Inc | Pharmacy | 7180 10th Street N, Oakdale, MN 55128 | 2015-08-17 |
| 1902169550 | Susan Kay Milner | Pharmacist | 300 Clydesdale Trail, Target 2223, Medina, MN 55128 | 2012-06-19 |
| 1144581125 | Christine Vanjaeckel | Specialist | 434 Hayward Ave N, Oakdale, MN 55128 | 2012-06-06 |
| 1811122757 | Amy Ha Truong | Dentist | 6230 10th St N Ste 520, Oakdale, MN 55128 | 2009-05-21 |
| 1538329263 | Victoria Louise Brown-nyseth | Psychiatry & Neurology | 7755 3rd St N Ste 300, Oakdale, MN 55128 | 2008-06-16 |
| 1639292147 | Robert C. Dinga | Optometrist | 8344 3rd Street North, Oakdale, MN 55128 | 2007-04-09 |
| Find all providers in zip 55128 | ||||
| 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 |
|---|---|---|---|---|
| 1245856038 | Prime Choice Home Care Solutions LLC | Home Health | 7200 Hudson Blvd N Ste 107a, Oakdale, MN 55128-7098 | 2020-06-17 |
| 1134742208 | Adequate Home Care LLC | Home Health | 5680 Hadley Ave N Apt 202, Oakdale, MN 55128-1029 | 2020-05-25 |
| 1568000719 | Fatush Abdikafi Noor | Home Health | 2622 Gershwin Ave N, Oakdale, MN 55128-3542 | 2019-12-18 |
| 1871148544 | Resolute Care Inc. | Home Health | 3904 Gershwin Ave N, Oakdale, MN 55128-3009 | 2019-08-08 |
| 1407417173 | Bestvalue Healthcare Inc | Home Health | 7124 16th St N, Oakdale, MN 55128-5437 | 2019-06-24 |
| 1780131433 | A & R Enterprises Inc | Home Health | 680 Hale Ave N Ste 260, Oakdale, MN 55128-7566 | 2016-09-09 |
| 1831459429 | Sierra View Home Health Services, Inc | Home Health | 210 S Sierra Ave, Oakdale, CA 95361-4093 | 2012-05-17 |
| 1427233550 | Lake Area Home Health Agency, Inc. | Home Health | 144 E 6th Ave, Oakdale, LA 71463-2616 | 2008-01-08 |
| 1336273622 | Home Instead Home Care Services | Home Health | 117 N. 13th Street, Oakdale, LA 71463 | 2007-03-16 |
| 1932248382 | Comfort Plus Health Care | Home Health | 1397 Geneva Ave N, Suite 202, Oakdale, MN 55128-5708 | 2007-02-05 |
| Find all providers in OAKDALE | ||||
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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.