WHITE EARTH BAND OF CHIPPEWA (NPI# 1710996566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710996566 |
| Entity Type | Organization |
| Organization Name | WHITE EARTH BAND OF CHIPPEWA |
| Other Organization Name | WHITE EARTH ELDERLY NUTRITION |
| Practice Address |
26246 Crane Rd White Earth MN 56591-9998 |
| Mailing Address |
Po Box 418 26246 Crane Road White Earth MN 56591-0418 |
| Practice Telephone | 2189833285 |
| Practice Fax Number | 2189834299 |
| Mailing Telephone | 2189833285 |
| Mailing Fax Number | 2189834299 |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. CAROL FABRE (EDLERLY NURITION COORDINATOR) |
| Authorized Official Telephone | 2189833285 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332U00000X | Home Delivered Meals | MN | Suppliers |
| Other Name | Type Code |
|---|---|
| White Earth Elderly Nutrition | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447353883 | White Earth Band of Chippewa | Clinic/Center | 35708 Cty Hwy 21, White Earth, MN 56591 | 2006-09-07 |
| 1780787978 | White Earth Band of Chippewa | Case Management | 2531 310th Ave, Naytahwaush, MN 56566-9998 | 2006-09-06 |
| 1558463877 | White Earth Band of Chippewa | Substance Abuse Rehabilitation Facility | 2388 State Hwy 200, Mahnomen, MN 56557 | 2006-09-05 |
| 1174944110 | White Earth Band of Chippewa | Clinic/Center | 26246 Crane Rd, White Earth, MN 56591-9998 | 2013-12-18 |
| 1093898660 | White Earth Band of Chippewa | Case Management | 26246 Crane Rd, White Earth, MN 56591-9998 | 2006-10-24 |
| 1396848560 | White Earth Band of Chippewa | Clinic/Center | 25519 State Highway 224, Ogema, MN 56569-9506 | 2006-09-06 |
| 1033129556 | White Earth Band of Chippewa | Ambulance | 26246 Crane Rd, White Earth, MN 56591-9998 | 2006-08-08 |
| 1851301378 | White Earth Band of Chippewa | Clinic/Center | 26246 Crane Rd, White Earth, MN 56591-9998 | 2006-08-08 |
| 1649295502 | White Earth Band of Chippewa | Home Health | 26246 Crane Rd, White Earth, MN 56591-9998 | 2006-07-13 |
| Street Address |
26246 CRANE RD |
| City | WHITE EARTH |
| State | MN |
| Zip Code | 56591-9998 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326005653 | Carson T Gardner | Family Medicine | 26246 Crane Rd, White Earth, MN 56591-9998 | 2006-04-28 |
| 1750999488 | Katie Lynn Hoban | Dietitian, Registered | 26246 Crane Rd, White Earth, MN 56591-9998 | 2020-07-20 |
| 1487161972 | Shannon Mary Jaakola Smith | Marriage & Family Therapist | 26246 Crane Rd, White Earth, MN 56591-9998 | 2018-01-05 |
| 1144752056 | Grant Justin Atwood | Counselor | 26246 Crane Rd, White Earth, MN 56591-9998 | 2017-03-30 |
| 1710422779 | Kristin Petersen | Social Worker | 26246 Crane Rd, White Earth, MN 56591-9998 | 2016-12-30 |
| 1215382320 | Sean Simpson | Social Worker | 26246 Crane Rd, White Earth, MN 56591-9998 | 2016-04-26 |
| 1073972048 | White Earth Band of Ojibwe | Community/Behavioral Health | 26246 Crane Rd, White Earth, MN 56591-9998 | 2016-02-18 |
| 1366832628 | Diane Mcarthur | Dietitian, Registered | 26246 Crane Rd, White Earth, MN 56591-9998 | 2015-01-26 |
| 1174944110 | White Earth Band of Chippewa | Clinic/Center | 26246 Crane Rd, White Earth, MN 56591-9998 | 2013-12-18 |
| 1255617684 | Sarah Jane Jasken | Social Worker | 26246 Crane Rd, White Earth, MN 56591-9998 | 2011-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033597216 | White Earth Band of Chippewa Indians | Counselor | 35233 Mission Lake Road, White Earth, MN 56591 | 2015-05-08 |
| 1225359722 | Barbara J. Chromy | Counselor | 26246 Crane Road, White Earth Tribal Mental Health, White Earth, MN 56591 | 2010-06-18 |
| 1467600452 | Justin Douglas Mcdonald | Psychologist | White Earth Mental Health, 26246 Crane Rd, White Earth, MN 56591 | 2008-09-03 |
| 1447353883 | White Earth Band of Chippewa | Clinic/Center | 35708 Cty Hwy 21, White Earth, MN 56591 | 2006-09-07 |
| 1578571410 | Willy Ann Heisler | Student in an Organized Health Care Education/Training Program | 36510 County Rd 21, White Earth, MN 56591 | 2006-08-04 |
| 1275908709 | Kandi Burr-fisher | Psychologist | 26246 Crane Road, White Earth, MN 56591 | 2015-12-09 |
| 1003052192 | White Earth Band of Chippewa Indians | Clinic/Center | 36510 County Rd 21, White Earth, MN 56591 | 2008-12-19 |
| 1811169337 | White Earth Tribal Mental Health | Community/Behavioral Health | 35686 County Hwy 21, White Earth, MN 56591-0300 | 2008-03-25 |
| 1881883890 | Angela Marie Bellanger | Social Worker | 35686 County Highway 21, White Earth, MN 56591-0300 | 2007-10-16 |
| 1578715736 | James M. Schmitt | Social Worker | 35686 County Highway 21, White Earth, MN 56591-0300 | 2008-10-21 |
| Find all providers in zip 56591 | ||||
| Taxonomy Code | 332U00000X |
| Grouping | Suppliers |
| Classification | Home Delivered Meals |
| Home-delivered meals are those services or activities designed to prepare and deliver one or more meals a day to an individual's residence in order to prevent institutionalization, malnutrition, and feelings of isolation. Component services or activities may include the cost of personnel, equipment, and food; assessment of nutritional and dietary needs; nutritional education and counseling; socialization services; and information and referral. |
| Notes: Source: Code of Federal Regulations #45, Part 96, Appendix A, Uniform Definition of Services. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033778121 | Grace Group Home LLC | Home Delivered Meals | 3538 Fremont Ave N, Minneapolis, MN 55412 | 2019-06-11 |
| 1235697459 | Your Home Care Services, LLC | Home Delivered Meals | 1306 67th Ave N Apt 306, Brooklyn Center, MN 55430-1572 | 2019-03-06 |
| 1578082798 | Capitol Cafe LLC | Home Delivered Meals | 2417 E Franklin Ave, Capitol Cafe, Minneapolis, MN 55406 | 2017-09-19 |
| 1386090660 | Divine Redeemer Mobile Meals | Home Delivered Meals | 1530 Oakdale Ave, West St Paul, MN 55118-3502 | 2016-05-05 |
| 1134588031 | White Bear Area Senior Progam Isd 624 | Home Delivered Meals | 2484 County Road F E, White Bear Lake, MN 55110-7404 | 2016-02-19 |
| 1568820355 | Larry and Michele Kroeger, LLC | Home Delivered Meals | 36538 Clear Lake Dr, Box 369, Waseca, MN 56093-4617 | 2016-02-08 |
| 1174997613 | Keystone Community Services | Home Delivered Meals | 2000 Saint Anthony Ave, Saint Paul, MN 55104-5125 | 2015-11-20 |
| 1043682180 | Scheller Investments, LLC | Home Delivered Meals | 117 N Nelson St, Nelson, MN 56355-8219 | 2015-10-28 |
| 1811366388 | Isd 621 | Home Delivered Meals | 2101 14th St Nw, New Brighton, MN 55112-1841 | 2015-09-15 |
| 1326389370 | Metro Meals On Wheels | Home Delivered Meals | 1200 Washington Ave S, Suite 380, Minneapolis, MN 55415-1295 | 2013-03-14 |
| Find all providers with the same taxonomy | ||||
| City | WHITE EARTH |
| Zip Code | 56591 |
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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.