LIFE MADE EASY HEALTHCARE L.L.C (NPI# 1891294203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891294203 |
| Entity Type | Organization |
| Organization Name | LIFE MADE EASY HEALTHCARE L.L.C |
| Practice Address |
13355 George Weber Dr Ste B Rogers MN 55374-4864 |
| Mailing Address |
7346 Hames Way Eden Prairie MN 55346-4215 |
| Practice Telephone | 6125540740 |
| Practice Fax Number | 6122782022 |
| Mailing Telephone | 6125540740 |
| Mailing Fax Number | 6122782022 |
| Enumeration Date | 2018-02-12 |
| Last Update Date | 2018-02-12 |
| Authorized Official Name | JUSTIN ROBERT MOE (OWNER) |
| Authorized Official Telephone | 6125540740 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
R-2096708 | MN | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI | 1063911469 | 01 |
| Street Address |
13355 GEORGE WEBER DR STE B |
| City | ROGERS |
| State | MN |
| Zip Code | 55374-4864 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063911469 | Justin Robert Moe | Registered Nurse | 13355 George Weber Dr Ste B, Rogers, MN 55374-4864 | 2018-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609335835 | Rebecca Loehrer | Nurse Practitioner | 21370 Ste 210 John Milless Dr., Rogers, MN 55374 | 2019-03-18 |
| 1255722328 | Samantha Colai | Marriage & Family Therapist | 21307 John Milless Drive, Suite 106, Rogers, MN 55374 | 2015-02-11 |
| 1437559648 | Jamie Mosley | Counselor | 2100 Rogers Drive, Suite 200, Rogers, MN 55374 | 2014-08-26 |
| 1295145886 | Marisa Kolasa | Massage Therapist | 22290 Oakdale Drive, Rogers, MN 55374 | 2014-05-05 |
| 1871878165 | Derek P Doty Dc Inc | Chiropractor | 21410 136th Ave N, Suite 105a, Rogers, MN 55374 | 2011-10-18 |
| 1912205865 | Michelle Cheryl Finnegan-larson | Registered Nurse | 21308 John Milless Drive, Rogers, MN 55374 | 2011-03-02 |
| 1639402571 | Ascend Family Institute | Community/Behavioral Health | 20980 Rogers Drive, #400, Rogers, MN 55374 | 2009-09-10 |
| 1275738403 | Nicole M Clements | Physician Assistant | 1355 Rogers Drive, Rogers, MN 55374 | 2007-06-18 |
| 1558566166 | Grand St Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 21455 John Milless Drive, Rogers, MN 55374 | 2007-06-15 |
| 1811062854 | Randall Alvin Hohbein | Pharmacist | 21351 John Milless Drive, Rogers Drug, Rogers, MN 55374 | 2006-11-22 |
| Find all providers in zip 55374 | ||||
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063911469 | Justin Robert Moe | Registered Nurse | 13355 George Weber Dr Ste B, Rogers, MN 55374-4864 | 2018-02-12 |
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|---|---|---|---|---|
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| 1366063828 | Jodi May Begordis | Registered Nurse | 2586 7th Ave East, Suite 302, North St Paul, MN 55109 | 2020-05-06 |
| 1629607361 | Chelsea Elizabeth Jessen | Registered Nurse | 1414 Laurel Ave Apt L334, Minneapolis, MN 55403-1263 | 2020-04-05 |
| 1467088781 | Angel Hearts Health Care Services LLC | Registered Nurse | 6509 76th Ave N, Brooklyn Park, MN 55428-1433 | 2020-03-18 |
| 1578198677 | Home Care Nurse Solutions | Registered Nurse | 1902 Fairmount Ave, Saint Paul, MN 55105-1538 | 2020-03-09 |
| 1285267484 | Joanna Shady | Registered Nurse | 60 Himango Rd, Esko, MN 55733-9523 | 2020-02-15 |
| Find all providers with the same taxonomy | ||||
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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.