PROFESSIONAL SERVICE GROUP (NPI# 1740891605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740891605 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL SERVICE GROUP |
| Practice Address |
2520 Larpenteur Ave W Ste 100 Lauderdale MN 55113-5278 |
| Practice Telephone | 6122509590 |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2020-08-13 |
| Authorized Official Name | MR. MOHAMED ALI YAROW (CEO) |
| Authorized Official Telephone | 6122509590 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | professional service group | 110 Snyder Street Ste 210, Nederland, CO 80466 |
| Colorado Business Entities | Professional Service Group LLC | 6470 S Dayton St, Unit K4, Englewood, CO 80111 |
| North Carolina Corporations | Professional Service Group LLC | 631 South Elm Street Suite B, Greensboro, NC 27406 |
| Street Address |
2520 LARPENTEUR AVE W STE 100 |
| City | LAUDERDALE |
| State | MN |
| Zip Code | 55113-5278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396384376 | Zachary Mattson | Physician Assistant | Regus Coworking Space 2355 Highway 36 West, Suite 400, Office #427, Roseville, MN 55113 | 2019-12-23 |
| 1467010330 | Ahmed Issa | Student in an Organized Health Care Education/Training Program | 1550 Larpenteur Ave W, Apt 235, St Paul, MN 55113 | 2019-06-05 |
| 1821653833 | Suite Living Senior Care of Little Canada | Assisted Living Facility | 2740 Rice Street, Little Canada, MN 55113 | 2019-05-06 |
| 1902370505 | Diverse Assessments and Treatment, LLC | Psychologist | 1935 Cty Rd B2 W Ste 270, Roseville, MN 55113 | 2019-01-16 |
| 1588138473 | Applewood Home Health Care, LLC | Home Health | 2021 E Hennepin Avenue # 402-1, Minneapolis, MN 55113 | 2019-01-14 |
| 1699251520 | Optum Infusion Services 500, Inc. | Durable Medical Equipment & Medical Supplies | 2685 Patton Rd, Roseville, MN 55113 | 2018-07-13 |
| 1083104145 | Suite Living Senior Care of Roseville | Assisted Living Facility | 197 County Road B2 W, Roseville, MN 55113 | 2018-05-15 |
| 1477055796 | Sunrise Residential Services LLC | Home Health | 216 Maple Ln, Roseville, MN 55113 | 2018-03-02 |
| 1194223024 | Alissa Hoff | Specialist | 1595 Mn 36 - 584 10 Rosedale Center, Roseville, MN 55113 | 2018-01-25 |
| 1841705118 | Kingsland Care Services Incorporated | Case Management | 2301 Rice Street, Suite 101, Roseville, MN 55113 | 2017-12-08 |
| Find all providers in zip 55113 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619576295 | Serene Housing LLC | Case Management | 8725 Columbine Rd Unit 46205, Eden Prairie, MN 55344-5855 | 2020-10-23 |
| 1730798398 | County of Stearns | Case Management | 705 Courthouse Square, St Cloud, MN 56303 | 2020-07-29 |
| 1063030419 | Red Lake Homeless Shelter Inc. | Case Management | 15855 Main Ave, Red Lake, MN 56671 | 2020-07-13 |
| 1558988899 | Serene Center LLC | Case Management | 4940 W 77th St Ste 76, Edina, MN 55435-4805 | 2020-07-02 |
| 1952927964 | His House Foundation | Case Management | 1866 Woodstone Dr, Victoria, MN 55386-9634 | 2020-06-25 |
| 1134742497 | Rovo Care Inc | Case Management | 419 Cedar Ave S Ste 285, Minneapolis, MN 55454-1032 | 2020-05-21 |
| 1477186427 | Hani Abdikarim Ahmed | Case Management | 740 Portland Ave S Apt 904, Minneapolis, MN 55415-3605 | 2020-02-18 |
| 1144852732 | Independent Lifestyles, Inc. | Case Management | 215 N Benton Dr, Sauk Rapids, MN 56379-1530 | 2020-02-11 |
| 1891327847 | Joshua Harrod | Case Management | 1853 Orchard Hl, Mendota Heights, MN 55118-4168 | 2020-02-07 |
| 1851938005 | Taaj Care Inc | Case Management | 1650 W End Blvd Ste 100, St Louis Park, MN 55416-5369 | 2019-12-06 |
| Find all providers with the same taxonomy | ||||
| City | LAUDERDALE |
| Zip Code | 55113 |
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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.