MR. PATRICK LEE RUDOLPH (NPI# 1831492925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831492925 |
| Entity Type | Individual |
| Full Name | MR. PATRICK LEE RUDOLPH |
| Practice Address |
1112 14th Ave Se Saint Cloud MN 56304-1742 |
| Practice Telephone | 3202374291 |
| Mailing Telephone | 3202374291 |
| Enumeration Date | 2010-12-10 |
| Last Update Date | 2010-12-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253J00000X | Foster Care Agency | Agencies |
| Street Address |
1112 14TH AVE SE |
| City | SAINT CLOUD |
| State | MN |
| Zip Code | 56304-1742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154551141 | Wanda Housen | Custodial Care Facility | 1112 14th Ave Se, Saint Cloud, MN 56304-1742 | 2009-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316597701 | Liza Aberle | Naturopath | 22 Wilson Ave Ne # 205, Saint Cloud, MN 56304 | 2019-09-17 |
| 1902386089 | Jd Home Health Care | Clinic/Center | 4896 52nd St, St. Cloud, MN 56304 | 2018-08-17 |
| 1861490690 | Julia Anna Blonigen | Speech-Language Pathologist | 1882 Kilian Blvd, St Cloud, MN 56304 | 2005-07-14 |
| 1700111705 | St. Cloud Metropolitan Transit Commission | Non-emergency Medical Transport (VAN) | 665 Franklin Ave Ne, Saint Cloud, MN 56304-0225 | 2009-10-08 |
| 1053364976 | In Home Health LLC | Home Health | 605 Franklin Ave Ne, Saint Cloud, MN 56304-0225 | 2006-05-19 |
| 1376946806 | Charity Anne Hans | Social Worker | 511 3rd St Ne, Saint Cloud, MN 56304-0311 | 2014-09-29 |
| 1568082428 | Cloud Home Health Care Services LLC | Clinic/Center | 22 Wilson Ave Ne Ste 208, Saint Cloud, MN 56304-0440 | 2020-04-21 |
| 1326688417 | Sunshine Care Services Inc | In Home Supportive Care | 22 Wilson Ave Ne Ste 15, Saint Cloud, MN 56304-0440 | 2020-01-07 |
| 1295039204 | Rose Melinda Stark-rose | Psychologist | 22 Wilson Ave Ne # 110, Saint Cloud, MN 56304-0440 | 2011-01-05 |
| 1750448478 | Robin Stacey Colburn | Advanced Practice Midwife | 22 Wilson Ave Ne Ste 205, Saint Cloud, MN 56304-0440 | 2007-01-02 |
| Find all providers in zip 56304 | ||||
| Taxonomy Code | 253J00000X |
| Grouping | Agencies |
| Classification | Foster Care Agency |
| A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. |
| Notes: Source: Code Of Federal Regulations, Title 45, Volume 4, Part 1355, Section 57 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659979979 | South Star Care | Foster Care Agency | 3973 Willow Ridge Dr Sw, Rochester, MN 55902-2801 | 2020-10-09 |
| 1174138218 | Angelique Elizabeth Finifrock | Foster Care Agency | 10701 Becks Rd, Duluth, MN 55808 | 2020-09-15 |
| 1881211951 | Nordell Family Services LLC | Foster Care Agency | 4626 20th St Sw, Waverly, MN 55390-5004 | 2020-07-06 |
| 1285260497 | Yasmin Ahmed Sulayman | Foster Care Agency | 3433 Kenosha Dr Nw, Rochester, MN 55901-5707 | 2020-03-19 |
| 1023657285 | Julia Marie Bolte | Foster Care Agency | 3629 152nd Ln Nw, Andover, MN 55304-3008 | 2020-01-04 |
| 1730722745 | Grace Jepchirchir Fidalgo | Foster Care Agency | 6222 Hedgecroft Ave S, Cottage Grove, MN 55016-6002 | 2019-10-22 |
| 1467094102 | Lake Country Living Services LLC | Foster Care Agency | 181 Little Rock Rd Nw, Rice, MN 56367-8685 | 2019-10-15 |
| 1518508712 | Amanda Hesse | Foster Care Agency | 775 Lee Cir Se, Cokato, MN 55321-4697 | 2019-09-30 |
| 1275181661 | Alliance Homes Corporation | Foster Care Agency | 4946 Jackson St Ne, Columbia Heights, MN 55421-1709 | 2019-08-28 |
| 1760048078 | Kevin Carlyle Lunde X | Foster Care Agency | 1321 Merrywood Ct, Faribault, MN 55021-6529 | 2019-05-13 |
| Find all providers with the same taxonomy | ||||
| City | SAINT CLOUD |
| Zip Code | 56304 |
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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.