MSOCS-BLOOMINGTON (NPI# 1992878714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992878714 |
Entity Type | Organization |
Organization Name | MSOCS-BLOOMINGTON |
Practice Address |
8634 Oakland Ave S Bloomington MN 55420-3030 |
Mailing Address |
Po Box 64979 Saint Paul MN 55164-0979 |
Practice Telephone | 9528815214 |
Enumeration Date | 2006-11-17 |
Last Update Date | 2008-06-18 |
Authorized Official Name | ROGER DENEEN (RESIDENTIAL PROG SVCS DIRECTOR) |
Authorized Official Telephone | 6515821857 |
Is Organization Subpart | Y |
Parent Organization Name | EASTERN MINNESOTA STATE OPERATED COMMUNITY SERVICES |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | 794045900 | 05 |
Street Address |
8634 OAKLAND AVE S |
City | BLOOMINGTON |
State | MN |
Zip Code | 55420-3030 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457986556 | Jon Brookson Engfer | Counselor | 8609 Lyndale Avenue South, Bloomington, MN 55420 | 2020-03-09 |
1720624810 | Sunshine Assisted Living Services LLC | Home Health | 9540 Columbus Ave S, Bloomington, MN 55420 | 2019-11-23 |
1417205246 | Jrb Holdings, LLC | Home Health | 9897 Lyndale Ave S, Bloomington, MN 55420 | 2012-08-28 |
1629223722 | Jennifer Jean Bormann | Audiologist | 8714 Lyndale Avenue South, Minneapolis, MN 55420 | 2008-11-18 |
1801055959 | Sarah J. Marsden | Speech-Language Pathologist | 900 W 94th St., Bloomington, MN 55420 | 2008-06-04 |
1699949784 | 1st Choice Care, Inc. | Home Health | 9035 Blaisdell Ave S, Bloomington, MN 55420 | 2008-04-18 |
1922295203 | Cornerstone Advocacy Service | Community/Behavioral Health | 1000 East 80th St, Bloomington, MN 55420 | 2007-10-01 |
1184769457 | Fairview Oxboro Pharmacy Mtm | Non-Pharmacy Dispensing Site | 600 W 98th Street, Bloomington, MN 55420 | 2007-02-21 |
1891831723 | A Caring Company, Inc. | In Home Supportive Care | 9001 East Bloomington Freeway, Sutie 145, Bloomington, MN 55420 | 2007-01-29 |
1134279318 | Jennifer Mary Connelly | Speech-Language Pathologist | 9001 E Bloomington Fwy Ste 141, Bloomington, MN 55420 | 2007-01-11 |
Find all providers in zip 55420 |
Taxonomy Code | 315P00000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Intermediate Care Facility, Mentally Retarded |
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326194747 | Options for Better Living, Inc | Intermediate Care Facility, Mentally Retarded | 2709 W Ida Ln, Bloomington, IN 47403-9784 | 2007-01-26 |
1639231897 | Stone Belt Arc, Inc. | Intermediate Care Facility, Mentally Retarded | 4417 E Blackstone Ct, Bloomington, IN 47408-3181 | 2006-12-14 |
1205997350 | Stone Belt Arc, Inc. | Intermediate Care Facility, Mentally Retarded | 214 E Southern Dr, Bloomington, IN 47401-6508 | 2006-12-13 |
1093876195 | Stone Belt Arc, Inc. | Intermediate Care Facility, Mentally Retarded | 4700 N Hite Dr, Bloomington, IN 47408-9526 | 2006-12-12 |
1376604470 | Stone Belt Arc, Inc. | Intermediate Care Facility, Mentally Retarded | 1835 S Maxwell St, Bloomington, IN 47401-6706 | 2006-12-12 |
1427118843 | Stone Belt Arc, Inc. | Intermediate Care Facility, Mentally Retarded | 713 E Miller Dr, Bloomington, IN 47401-6541 | 2006-12-08 |
1770642233 | Stone Belt Arc, Inc. | Intermediate Care Facility, Mentally Retarded | 3502 W Festive Dr, Bloomington, IN 47403-3904 | 2006-12-08 |
1134297591 | Stone Belt Arc, Inc. | Intermediate Care Facility, Mentally Retarded | 1006 W 11th St, Bloomington, IN 47404-3237 | 2006-12-01 |
1447328810 | Stone Belt Arc, Inc | Intermediate Care Facility, Mentally Retarded | 4100 E Deckard Dr, Bloomington, IN 47408-2806 | 2006-12-01 |
1366527939 | Rem Hennepin Inc | Intermediate Care Facility, Mentally Retarded | 9201 Cedar Avenue South, Bloomington, MN 55425 | 2006-10-25 |
Find all providers in BLOOMINGTON |
City | BLOOMINGTON |
Zip Code | 55420 |
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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.