KIMBERLY MARIE DOLL (NPI# 1912558974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912558974 |
| Entity Type | Individual |
| Full Name | KIMBERLY MARIE DOLL |
| Practice Address |
604 Douglas Ave Henning MN 56551-4108 |
| Practice Telephone | 2185487501 |
| Mailing Telephone | 2185487501 |
| Enumeration Date | 2019-09-21 |
| Last Update Date | 2019-09-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 253J00000X | Foster Care Agency | 1100666 | MN | Agencies |
| Y | 253Z00000X | In Home Supportive Care | 1100666 | MN | Agencies |
| Street Address |
604 DOUGLAS AVE |
| City | HENNING |
| State | MN |
| Zip Code | 56551-4108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528315017 | Susan Kay Devries | Contractor | 604 Douglas Ave, Henning, MN 56551-4108 | 2012-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871012104 | Patrick Dilly | Student in an Organized Health Care Education/Training Program | 209 Inman St., Henning, MN 56551 | 2017-09-19 |
| 1518289958 | Henning Chiropractic Clinic, P.a. | Chiropractor | 801 Inman St., Henning, MN 56551 | 2010-02-26 |
| 1821158643 | City of Henning | Ambulance | 607 2nd Street, Henning, MN 56551 | 2006-12-11 |
| 1174692032 | Jody Katharina Lohse | Assisted Living Facility | 609 Front Street, Henning, MN 56551 | 2006-11-07 |
| 1700981230 | Michael David Mortenson | Chiropractor | 801 Inman Street, Henning, MN 56551 | 2006-09-13 |
| 1972597144 | Amy L Severson | Nurse Practitioner | 401 Douglas Ave, Tri-county Health Care - Henning Clinic, Henning, MN 56551 | 2005-09-02 |
| 1285868901 | Dylan G Folkestad | Family Medicine | 401 Douglas Ave, Tri-county Health Care Henning Clinic, Henning, MN 56551 | 2009-05-09 |
| 1891836409 | Jon Peter Wigert | Family Medicine | 401 Douglas Ave, Henning, MN 56551 | 2007-02-08 |
| 1841401197 | Michael R Berglund | Dentist | 404 Douglas Avenue, Henning, MN 56551-0337 | 2007-05-25 |
| 1992833198 | Seip Drug LLC | Pharmacy | 519 Douglas Ave, Henning, MN 56551-4000 | 2007-03-01 |
| Find all providers in zip 56551 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255930137 | Allhealth Home Care LLC | In Home Supportive Care | 23136 Birchwood Estates Rd, Fergus Falls, MN 56537-4516 | 2020-10-21 |
| 1477152593 | Canny, LLC | In Home Supportive Care | 4205 Lancaster Ln N Ste 104, Plymouth, MN 55441-1702 | 2020-10-20 |
| 1164020665 | Seh Morris Brown | In Home Supportive Care | 7655 Woodlawn Dr Apt 305, Saint Paul, MN 55112-4065 | 2020-10-15 |
| 1831797588 | Zarr Blejay Yarpah | In Home Supportive Care | 2508 County Road I Apt 105, Saint Paul, MN 55112-6242 | 2020-10-14 |
| 1538776794 | Dependable Angels Home Care | In Home Supportive Care | 949 Schaller Dr S Ste 2, Maplewood, MN 55119-5843 | 2020-09-30 |
| 1922611011 | Providence Home Care Inc | In Home Supportive Care | 3040 4th Ave S Ste 102, Minneapolis, MN 55408-2409 | 2020-08-28 |
| 1043823545 | Autism Bright Start | In Home Supportive Care | 2644 13th Ave S, Minneapolis, MN 55407-1121 | 2020-08-25 |
| 1174135909 | Amana Care LLC | In Home Supportive Care | 7700 36th Ave N Apt 318, Crystal, MN 55427-2038 | 2020-08-21 |
| 1578175105 | Tracy Denise Winters | In Home Supportive Care | 4404 83rd Cir N, Brooklyn Park, MN 55443-2534 | 2020-08-17 |
| 1811513674 | Lake Country Home Care LLC | In Home Supportive Care | 95 Miller St Ste E, New York Mills, MN 56567-4332 | 2020-06-17 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KIMBERLY MARIE DOLL.
| 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.