FIVE STAR ALTERNATIVE CARE NURSING CO (NPI# 1982991279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982991279 |
| Entity Type | Organization |
| Organization Name | FIVE STAR ALTERNATIVE CARE NURSING CO |
| Practice Address |
6617 Stratford Road Woodbury MN 55125 |
| Mailing Address |
725 Wildwood Lane Palo CA 94303 |
| Practice Telephone | 6508140056 |
| Mailing Telephone | 6508140056 |
| Mailing Fax Number | 6507390659 |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2011-07-07 |
| Authorized Official Name | SANDRA R GAVNEY (OWNER) |
| Authorized Official Telephone | 6508140056 |
| Is Organization Subpart | Y |
| Parent Organization Name | FIVE STAR ALTERNATIVE CARE NURSING CO |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302F00000X | Exclusive Provider Organization | 1040251-6-AFC | MN | Managed Care Organizations |
| Street Address |
6617 STRATFORD ROAD |
| City | WOODBURY |
| State | MN |
| Zip Code | 55125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487268728 | Haley Kirkpatrick | Behavior Technician | 721 Commerce Dr., Woodbury, MN 55125 | 2020-09-03 |
| 1689218091 | Jordan Schmidt | Student in an Organized Health Care Education/Training Program | 1740 Welr Dr. #24, Woodbury, MN 55125 | 2019-10-30 |
| 1629619580 | Mackenzie Ann Funke | Occupational Therapist | 721 Commerce Drivve, Woodbury, MN 55125 | 2019-10-02 |
| 1700342029 | Darcy Stivland | Counselor | 1811 Weir Drive #270, Woodbury, MN 55125 | 2019-02-11 |
| 1235609884 | Elizabeth Kennedy Ward | Psychologist | 7582 Currell Blvd Suite 208, Woodbury, MN 55125 | 2018-11-27 |
| 1528573664 | Cory Lee Baumeister | Counselor | 652 Bielenberg Dr, Woodbury, MN 55125 | 2017-12-12 |
| 1760918239 | David James Knight | Dentist | 9950 Valley Creek Rd Ste 150, Woodbury, MN 55125 | 2017-05-03 |
| 1366988826 | Mark Your Home Health Care LLC | Home Health | 6053 Hudson Road, Suite 200, Woodbury, MN 55125 | 2017-01-09 |
| 1518415736 | Kubei Holdings Group LLC | Case Management | 6043 Hudson Rd Ste 340, Saint Paul, MN 55125 | 2016-09-16 |
| 1285087072 | Adrian Jung | Occupational Therapist | 155 Radio Drive, Woodbury, MN 55125 | 2016-07-18 |
| Find all providers in zip 55125 | ||||
| Taxonomy Code | 302F00000X |
| Grouping | Managed Care Organizations |
| Classification | Exclusive Provider Organization |
| (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427135045 | Genesis Disc Institute | Exclusive Provider Organization | 8425 Seasons Pkwy Ste 104b, Woodbury, MN 55125-5403 | 2006-11-01 |
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|---|---|---|---|---|
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| 1912440256 | Halbur/witham, LLC | Exclusive Provider Organization | 2623 125th St Ne, Rice, MN 56367-9746 | 2016-11-18 |
| 1962958611 | Centracare Clinic | Exclusive Provider Organization | 166 19th Street S, Suite 202, Sartell, MN 56377 | 2016-08-31 |
| 1760837082 | Kathryn Pearson-brevik | Exclusive Provider Organization | 6483 Heritage Trl, Gilbert, MN 55741-8029 | 2016-04-25 |
| 1427415249 | Waano Foundation | Exclusive Provider Organization | 393 Dunlap St N Ste 400k, Saint Paul, MN 55104-4235 | 2016-01-25 |
| 1538534037 | Community Care Services LLC | Exclusive Provider Organization | 1070 Henslow Ave N, Oakdale, MN 55128-5858 | 2015-12-09 |
| 1235514118 | Minnesota Teen Challenge, Inc. | Exclusive Provider Organization | 100 Garrison Ave Ne, Buffalo, MN 55313 | 2015-07-21 |
| 1407249477 | Infinite Health Collaborative, Pa | Exclusive Provider Organization | 6754 Valley View Rd, Edina, MN 55439-1761 | 2015-03-14 |
| 1841698339 | Kingdom In Action | Exclusive Provider Organization | 9500 Minnetonka Blvd, St Louis Park, MN 55426-2944 | 2014-12-15 |
| Find all providers with the same taxonomy | ||||
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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.