ISD 621 (NPI# 1811366388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811366388 |
| Entity Type | Organization |
| Organization Name | ISD 621 |
| Practice Address |
2101 14th St Nw New Brighton MN 55112-1841 |
| Practice Telephone | 6126233363 |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2015-09-15 |
| Authorized Official Name | JOYCE ELLEFSON (COORDINATOR) |
| Authorized Official Telephone | 6126233363 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332U00000X | Home Delivered Meals | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | A506713800 | 05 |
| Street Address |
2101 14TH ST NW |
| City | NEW BRIGHTON |
| State | MN |
| Zip Code | 55112-1841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932729704 | Owegio Wreh | Technician | 1405 Silver Lake Road Suite 15, New Brighton, MN 55112 | 2020-04-22 |
| 1205497435 | Silver Lake Smiles Family Dentistry | Clinic/Center | 2370 Palmer Drive, New Brighton, MN 55112 | 2019-06-27 |
| 1932766169 | Matthew Thomas Hanowski | Dentist | 2442 Mounds View Boulevard, Mounds View, MN 55112 | 2019-05-22 |
| 1437619988 | Marjean Diane Leary | Registered Nurse | 338 New Brighton Road, Apt, Suite, Bldg. (optional), New Brighton, MN 55112 | 2019-03-21 |
| 1558802728 | Krishna Katira | Student in an Organized Health Care Education/Training Program | 2442 County Hwy 10, Mounds View, MN 55112 | 2017-03-20 |
| 1245781608 | Evan Fredrick Lieberman | Counselor | 1900 Silver Lake Rd, Suite 110, New Brighton, MN 55112 | 2016-10-20 |
| 1093262065 | Ryan Zinken | Nurse Practitioner | 1900 Silver Lake Road, Suite 110, New Brighton, MN 55112 | 2016-09-07 |
| 1447703228 | Alison Glodek | Social Worker | 2543 17th St Nw, New Brighton, MN 55112 | 2016-07-28 |
| 1659728194 | Ge Vang Sr. | Driver | 2160 County Road E West #205, 2160 County Road E West #205, New Brighton, MN 55112 | 2016-05-14 |
| 1114373578 | Jessica Gapinski | Specialist/Technologist | 3900 Bethel Drive, Arden Hills, MN 55112 | 2016-05-04 |
| Find all providers in zip 55112 | ||||
| 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 |
| 1326389370 | Metro Meals On Wheels | Home Delivered Meals | 1200 Washington Ave S, Suite 380, Minneapolis, MN 55415-1295 | 2013-03-14 |
| 1336495092 | Senior Meals Services | Home Delivered Meals | 3021 5th Ave S, Minneapolis, MN 55408-2415 | 2012-07-31 |
| Find all providers with the same taxonomy | ||||
| City | NEW BRIGHTON |
| Zip Code | 55112 |
Please comment or provide details below to improve the information on ISD 621.
| 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.