DOREEN JOY HANSON (NPI# 1841665528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841665528 |
Entity Type | Individual |
Full Name | DOREEN JOY HANSON |
Other Name | DOREEN JOY BENCK |
Practice Address |
19190 N Ridge Rd Detroit Lakes MN 56501-7650 |
Practice Telephone | 3203051524 |
Mailing Telephone | 3203051524 |
Enumeration Date | 2015-12-07 |
Last Update Date | 2015-12-07 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 385H00000X | Respite Care | 1078862-1-AFC | MN | Respite Care Facility |
N | 385H00000X | Respite Care | 1078276-1-HCBS | MN | Respite Care Facility |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285860395 | Doreen Kay Hanson | Registered Nurse | 725 Elm St, Suite 1200, Alexandria, MN 56308-1760 | 2009-06-03 |
Street Address |
19190 N RIDGE RD |
City | DETROIT LAKES |
State | MN |
Zip Code | 56501-7650 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588265649 | Candace Louise Haugtvedt | Pharmacist | 321 Us-10 West, Detroit Lakes, MN 56501 | 2020-11-05 |
1679068407 | Strive Chiropractic Detroit Lakes LLC | Chiropractor | 1852 Nodaway Drive, Detroit Lakes, MN 56501 | 2018-06-25 |
1194215830 | Jordan James Reese | Registered Nurse | 1295 Bay Ridge Dr, Detroit Lakes, MN 56501 | 2018-05-17 |
1992179386 | Compassion House | Substance Abuse Rehabilitation Facility | 811 8th St. Se, Detroit Lakes, MN 56501 | 2015-11-23 |
1720344286 | Lakes Crisis & Resource Center | Clinic/Center | 1339 Pelican Lane, Detroit Lakes, MN 56501 | 2012-04-09 |
1063657120 | Diane Jean Mccormack | Occupational Therapist | 15840 Long Lake Road, Detroit Lakes, MN 56501 | 2008-12-03 |
1588817928 | Darcy Caleb Olson | Counselor | 925 Lake Ave, Detroit Lakes, MN 56501 | 2008-10-29 |
1760651079 | Rapidcare Urgent Care Pllc | Family Medicine | 1361 Wenner Road, Detroit Lakes, MN 56501 | 2008-02-21 |
1427274729 | Jeffrey C Gregory | Psychologist | 910 Lincoln Ave, Detroit Lakes, MN 56501 | 2007-04-17 |
1144364894 | Midwest Vision Centers Inc | Eyewear Supplier (Equipment, not the service) | 830 Washington Avenue, Detroit Lakes, MN 56501 | 2007-02-16 |
Find all providers in zip 56501 |
Taxonomy Code | 385H00000X |
Grouping | Respite Care Facility |
Classification | Respite Care |
Definition to come. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699977223 | Todd Byron Knopf | Respite Care | 215 Oak Grove Ave, Detroit Lakes, MN 56501-2322 | 2007-06-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245846385 | Qoraxey Home Health Care Inc | Respite Care | 3617 E Lake St Ste B, Minneapolis, MN 55406-2148 | 2020-09-22 |
1548886476 | Diane Mary Skramstad | Respite Care | 539 123rd Ave Nw, Coon Rapids, MN 55448-2617 | 2020-06-16 |
1881218725 | Sarah E Moss | Respite Care | 12537 60th St, Princeton, MN 55371-6626 | 2020-06-06 |
1104464668 | A To Z Care LLC | Respite Care | 2999 County Road 42 W Ste 200, Burnsville, MN 55306-6995 | 2019-12-16 |
1891330627 | Pal Enterprises L.L.C. | Respite Care | 2501 Serenity Dr, Saint Cloud, MN 56301-9177 | 2019-11-15 |
1457994410 | Richard John Budde | Respite Care | 409 5th St Nw, Saint Michael, MN 55376-1041 | 2019-10-22 |
1720637549 | Charm Home Care LLC | Respite Care | 3249 Hennepin Ave Ste 75, Minneapolis, MN 55408-3410 | 2019-09-04 |
1346800687 | Betty Karen Voss Haberle | Respite Care | 1971 Pine Cone Rd, Saint Cloud, MN 56303-4618 | 2019-06-18 |
1619410412 | Van Dyke Kofi Noah | Respite Care | 4836 Safari Pass, Eagan, MN 55122-2663 | 2016-11-28 |
1679023113 | Jayne Halpaus | Respite Care | 3605 Upper 149th St W, Rosemount, MN 55068-4249 | 2016-10-07 |
Find all providers with the same taxonomy |
City | DETROIT LAKES |
Zip Code | 56501 |
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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.