MR. JERALD HALEY (NPI# 1982238085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982238085 |
| Entity Type | Individual |
| Full Name | MR. JERALD HALEY |
| Practice Address |
924 6th Ave. S. Stillwater MN 55082 |
| Practice Telephone | 6514309317 |
| Mailing Telephone | 6514309317 |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2020-02-27 |
| Gender Code | M |
| 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 |
924 6TH AVE. S. |
| City | STILLWATER |
| State | MN |
| Zip Code | 55082 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154947455 | Lucas William Schmidt | Optometrist | 2950 Curve Crest Blvd, Stillwater, Stillwater, MN 55082 | 2020-06-23 |
| 1801457387 | Sun Trad Chin Acu Mn LLC | Acupuncturist | Compass Center for Healing, 116 Chestnut St. E., Stillwater, MN 55082 | 2019-06-25 |
| 1598243990 | Carlson Distinctive Dentistry, Pllc | Dentist | 1701 Curve Crest Blvd W Ste 100, Stillwater, MN 55082 | 2018-07-30 |
| 1073001624 | Lindsay Beth Briggs | Chiropractor | 200 Chestnut St E, Ste 202, Stillwater, MN 55082 | 2018-04-30 |
| 1578932943 | Group Health Plan, Inc | Family Medicine | 921 Greeley Street, Stillwater, MN 55082 | 2015-09-16 |
| 1184001919 | Grant Rohrig | Specialist/Technologist | 8727 Jeffrey Ave North, Stillwater, MN 55082 | 2015-04-30 |
| 1346688991 | Kellie Ann Seth | Chiropractor | 200 Chestnut St E Ste 202, Stillwater, MN 55082 | 2013-06-05 |
| 1770928426 | Rivertown Animal Hospital | Veterinarian | 135 New England Place, Stillwater, MN 55082 | 2013-05-08 |
| 1285929265 | Healtheast Medical Research Institute | Dietitian, Registered | 2900 Curve Crest Blvd, Stillwater, MN 55082 | 2011-06-17 |
| 1538453519 | Katherine Marie Corbett | Music Therapist | 105 New England Place, #150, Stillwater, MN 55082 | 2011-06-07 |
| Find all providers in zip 55082 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1336773522 | Hiedi Philstrom | Technician | 56656 Stephanie Ln, Pine City, MN 55063-9095 | 2020-02-26 |
| 1134750789 | Lamonica Barthelemy | Technician | 9232 James Ave N, Brooklyn Park, MN 55444-1234 | 2020-02-03 |
| Find all providers with the same taxonomy | ||||
| City | STILLWATER |
| Zip Code | 55082 |
Please comment or provide details below to improve the information on MR. JERALD HALEY.
| 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.