MRS. ALBERTA WINNIFRED DESOUZA ADDO


Address: 6220 W 132nd St, Savage, MN 55378-2484
Phone: 9522159206

MRS. ALBERTA WINNIFRED DESOUZA ADDO (NPI# 1902314164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902314164
Entity Type Individual
Full Name MRS. ALBERTA WINNIFRED DESOUZA ADDO
Practice Address 6220 W 132nd St
Savage
MN 55378-2484
Practice Telephone 9522159206
Mailing Telephone 9522159206
Enumeration Date 2018-01-22
Last Update Date 2018-01-22
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 253J00000X Foster Care Agency Agencies

Other Provider Identifier

State Issuer Identifier Type Code
MN DHS-245D 1088299-1-HCBS 01

Office Location

Street Address 6220 W 132ND ST
City SAVAGE
State MN
Zip Code 55378-2484

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NPI Name Taxonomy Address Enumeration
1083271662 Nlm Investment Group LLC Home Health 7460 South Park Drive, Savage, MN 55378 2019-05-20
1558835942 Jennifer Iacobelli Dental Therapist 13899 Highway 13 South Frontage Road, Savage, MN 55378 2019-01-18
1992288781 Katie Ask Dental Therapist 13889 Highway 13 S, Frontage Rd, Savage, MN 55378 2018-09-08
1619456084 Abdifatah Yusuf Warsame Driver 14023 Virginia Ave, Savage, MN 55378 2018-08-07
1023502580 Cathleen J. Gempeler Music Therapist 4011 West Highway 13, This Address Is My Music Therapy Center, Savage, MN 55378 2018-06-19
1750870515 Jamie C. Lang Registered Nurse 14362 Utica Ave., Savage, MN 55378 2018-05-08
1932643756 Touching Lives Communities, LLC Assisted Living Facility 14280 Allen Drive, Savage, MN 55378 2016-12-13
1194267344 Dentists of Savage, PC Dentist 14012 Hwy 13, Savage, MN 55378 2016-11-04
1518350719 Corey Thompson Counselor 7675 Mn Hwy 13, Savage, MN 55378 2015-03-12
1679963235 Melissa Jaeger Dietitian, Registered 6150 Egan Drive, Savage, MN 55378 2015-02-03
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Taxonomy Information

Taxonomy Code 253J00000X
Grouping Agencies
Classification Foster Care Agency

Taxonomy Definition

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]

Providers in the same taxonomy and state

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
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Competitor

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City SAVAGE
Zip Code 55378

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Dataset Information

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.

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