MYATU ABRAHAM (NPI# 1912376526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912376526 |
| Entity Type | Individual |
| Full Name | MYATU ABRAHAM |
| Practice Address |
277 Coon Rapids Blvd Nw Suite 410 Coon Rapids MN 55433-5843 |
| Practice Telephone | 6514321406 |
| Mailing Telephone | 6514321406 |
| Enumeration Date | 2015-09-24 |
| Last Update Date | 2015-09-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| Street Address |
277 COON RAPIDS BLVD NW SUITE 410 |
| City | COON RAPIDS |
| State | MN |
| Zip Code | 55433-5843 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871674978 | Robert Cornell Van Siclen | Psychologist | 277 Coon Rapids Blvd Nw, Suite 308, Coon Rapids, MN 55433-5843 | 2006-10-17 |
| 1427239847 | Janet Carol Stam I | Psychologist | 277 Coon Rapids Blvd Nw, Suite 115, Coon Rapids, MN 55433-5843 | 2007-11-15 |
| 1225187941 | Jodi Lee Helseth | Counselor | 277 Coon Rapids Blvd Nw, Suite 402, Coon Rapids, MN 55433-5843 | 2007-01-10 |
| 1740348283 | Bonnie Inez Norsted | Counselor | 277 Coon Rapids Blvd Nw, Suite 308, Coon Rapids, MN 55433-5843 | 2006-12-05 |
| 1992876064 | Teresa Josephine Connelly | Counselor | 277 Coon Rapids Blvd Nw, Suite 308, Coon Rapids, MN 55433-5843 | 2006-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770134793 | Shelley Karee Peterson | Technician | 10311 Bittersweet St Nw, Coon Rapids, MN 55433 | 2019-09-20 |
| 1578122057 | Courtney Gau | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Dr. Nw, Coon Rapids, MN 55433 | 2019-06-10 |
| 1992275606 | Maliki Fofee Kamara | Licensed Practical Nurse | 2451 109th Ave Nw Apt. 1, Coon Rapids, MN 55433 | 2018-11-26 |
| 1992284541 | Sarah Vennes | Massage Therapist | 6400 Flying Cloud Dr, Suite 240, Eden Prairie, MN 55433 | 2018-08-13 |
| 1538646609 | Paige Prince | Behavior Technician | Fraser Coon Rapids, 9120 Springbrook Drive Nw, Coon Rapids, MN 55433 | 2018-07-23 |
| 1154828242 | Karin Lea Englund | Dentist | 9145 Springbrook Dr Nw Ste 100, Coon Rapids, MN 55433 | 2018-04-06 |
| 1235642513 | Vista Family Eye Care LLC | Optometrist | 9920 Foley Blvd Nw Ste 120, Coon Rapids, MN 55433 | 2017-11-09 |
| 1538697818 | Mohammed Nmn Ahmed | Internal Medicine | 9055 Spring Brook Drive, Allina Coon Rapids Clinic 9055, Coon Rapids, MN 55433 | 2017-05-31 |
| 1639531353 | Journi LLC | Nurse Practitioner | 277 Coon Rapids Blvd Suite 308, Coon Rapids, MN 55433 | 2016-03-22 |
| 1821457722 | Honorine Boyce | Licensed Practical Nurse | 2743 111th Ave. Nw, Coon Rapids, MN 55433 | 2016-02-19 |
| Find all providers in zip 55433 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811537780 | Badraa Al-jasim | Technician | 12543 Flintwood St Nw, Coon Rapids, MN 55448-1557 | 2020-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245830835 | Dorothy Gomez | Technician | 622 1st Ave Ne, East Grand Forks, MN 56721-1905 | 2020-10-31 |
| 1972102457 | A1 Care Shriners At Home Services Inc. | Technician | 4665 Victor Path Unit 2, Hugo, MN 55038-6037 | 2020-10-25 |
| 1770196065 | Amina Webi | Technician | 2930 Blaisdell Ave Apt 333, Minneapolis, MN 55408-2326 | 2020-08-26 |
| 1194343269 | Khadro Abdirahman Yusuf | Technician | 1500 Nicollet Ave Apt 609, Minneapolis, MN 55403-2740 | 2020-07-06 |
| 1811511215 | Royalty Care, Inc | Technician | 46 28th Ave N Ste 46u, Saint Cloud, MN 56303-4241 | 2020-06-01 |
| 1245853506 | Julie Ann Milnler | Technician | 17520 93rd Pl N, Maple Grove, MN 55311-4434 | 2020-05-21 |
| 1932729704 | Owegio Wreh | Technician | 1405 Silver Lake Road Suite 15, New Brighton, MN 55112 | 2020-04-22 |
| 1053946632 | Lovingcare Nursing & Home Care Services, Inc. | Technician | 1152 Robert St S, West St Paul, MN 55118-2315 | 2020-03-04 |
| 1982238085 | Jerald Haley | Technician | 924 6th Ave. S., Stillwater, MN 55082 | 2020-02-27 |
| 1336773522 | Hiedi Philstrom | Technician | 56656 Stephanie Ln, Pine City, MN 55063-9095 | 2020-02-26 |
| Find all providers with the same taxonomy | ||||
| City | COON RAPIDS |
| Zip Code | 55433 |
Please comment or provide details below to improve the information on MYATU ABRAHAM.
| 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.