SELECT HOME CARE, LLC (NPI# 1972073096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972073096 |
| Entity Type | Organization |
| Organization Name | SELECT HOME CARE, LLC |
| Practice Address |
7714 Brooklyn Blvd Ste 200-d Brooklyn Park MN 55443-2936 |
| Practice Telephone | 7637778293 |
| Practice Fax Number | 7637778296 |
| Mailing Telephone | 7637778293 |
| Mailing Fax Number | 7637778296 |
| Enumeration Date | 2018-12-01 |
| Last Update Date | 2019-02-15 |
| Authorized Official Name | LASHAY MCKENZIE (MANAGER) |
| Authorized Official Telephone | 6122378034 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WH0200X |
Registered Nurse Specialization: Home Health |
Nursing Service Providers | ||
| N | 251E00000X | Home Health | Agencies | ||
| N | 251J00000X | Nursing Care | Agencies | ||
| N | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities | ||
| N | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities | ||
| N | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities | ||
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1425 109th Ln Nw, Coon Rapids, MN 554334214 | 7637778293 |
| Street Address |
7714 BROOKLYN BLVD STE 200-D |
| City | BROOKLYN PARK |
| State | MN |
| Zip Code | 55443-2936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043598048 | Albert Goethe Tarpeh | Non-emergency Medical Transport (VAN) | 7714 Brooklyn Blvd Ste 200-d, Brooklyn Park, MN 55443-2936 | 2011-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770100521 | El-lyon LLC | Home Health | 5501 88th Crescent North, Brooklyn Park, MN 55443 | 2020-06-28 |
| 1003431628 | Mercy Tasiame Quentin | Home Health | 7310 Unity Lane North, Brooklyn Park, MN 55443 | 2020-06-09 |
| 1386279719 | Andrew Sirlley Dogbe | Nursing Care | 8505 Xerxes Ln N, Brooklyn Park, MN 55443 | 2020-03-05 |
| 1952873630 | Melkezedek Care LLC | Home Health | 8525 N Edinbrook Crossing Suite 204, Brooklyn Park, MN 55443 | 2018-12-19 |
| 1487131330 | Grand St Paul Cvs L L C | Durable Medical Equipment & Medical Supplies | 4400 Oak Grove Parkway, Brooklyn Park, MN 55443 | 2018-07-24 |
| 1063901809 | Patient Centered Home Care Services, LLC. | Registered Nurse | 4127 Sunset Ter N, Brooklyn Park, MN 55443 | 2018-05-08 |
| 1093233942 | Ginni Ali | Registered Nurse | 7527 Yates Lane North, Brooklyn Park, MN 55443 | 2017-08-30 |
| 1437676335 | Uplifted Care Services LLC | Case Management | 3301 84th Ave, Brooklyn Park, MN 55443 | 2017-08-23 |
| 1912447780 | Zillah Mulubisha | Nurse Practitioner | Brooklyn Park Clinic, 7650 Zane Ave N, Minneapolis, MN 55443 | 2017-02-27 |
| 1356898985 | Abdul Kabba | Driver | 79oo Lad Parkway, Brooklyn Park, MN 55443 | 2016-09-01 |
| Find all providers in zip 55443 | ||||
| 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 |
|---|---|---|---|---|
| 1578175105 | Tracy Denise Winters | In Home Supportive Care | 4404 83rd Cir N, Brooklyn Park, MN 55443-2534 | 2020-08-17 |
| 1053936476 | Unity Care Services, LLC | In Home Supportive Care | 7420 Unity Ave N Ste 112e, Brooklyn Park, MN 55443-3136 | 2020-06-11 |
| 1881217370 | Am Homes LLC | In Home Supportive Care | 7617 Scott Ave N, Brooklyn Park, MN 55443-3221 | 2020-05-19 |
| 1386101129 | Aspen Home Health Care Inc. | In Home Supportive Care | 9508 Upton Ave N, Brooklyn Park, MN 55444-1157 | 2019-02-28 |
| 1306375431 | Jmkay Health Care Services Inc | In Home Supportive Care | 5956 Garwood Rd N, Brooklyn Park, MN 55443-3100 | 2017-06-12 |
| 1386003655 | S & L PCa Services LLC | In Home Supportive Care | 9904 Linden Ave N, Brooklyn Park, MN 55443-1851 | 2016-02-16 |
| 1164851648 | Shaurntae Thomas | In Home Supportive Care | 8462 Sumter Cir N, Brooklyn Park, MN 55445-2144 | 2013-11-05 |
| 1952555963 | Mn Preffered Home Care Services | In Home Supportive Care | 7901 Quail Ave N, Brooklyn Park, MN 55443-2422 | 2008-11-05 |
| 1578180709 | Bluebird Homecare Agency, LLC | In Home Supportive Care | 8317 Xerxes Ave N, Brooklyn Park, MN 55444-1543 | 2020-07-04 |
| 1780171280 | Mains'l Financial Management Services, Inc. | In Home Supportive Care | 7000 78th Ave N, Brooklyn Park, MN 55445-2744 | 2018-04-19 |
| Find all providers in BROOKLYN PARK | ||||
| City | BROOKLYN PARK |
| Zip Code | 55443 |
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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.