Adara Home Health, Inc.
Organization Active NPI Home Health Agency · Buffalo, MN
NPI 1063420198 · NPPES record last updated Jan 24, 2019
Key facts
- NPI
- 1063420198
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 330685 (MN)
- Legal business name
- ADARA HOME HEALTH, INC.
- Practice address
- 25 1St Ave NE Ste 200
Buffalo, MN 55313-1597 - Phone
- (763) 682-0665
- Fax
- (763) 682-6543
- NPI assigned
- Aug 4, 2006
- Organization subpart
- No
Authorized official
- Name
- Austin Ronald Figge
- Title
- Cio
- Phone
- (763) 682-0665
Practitioners 122
-
Jamie Becker, R.N
-
Rebecca Lee Blum, RN
-
Kathleen Carpentier, RN-BC
-
Marie Chavez, RN BSN
-
Alyssa Chisholm, RN CASE MANAGER
-
Erin Clark, RN
-
Ingrid Clerge, RN
-
Tracy Culbertson, RN, BSN
-
Patricia Davison, RN
-
Leanna Duncanson, RN
-
Christina Dunn, RN
-
Shane R Fisher, RN
Affiliated clinicians 264
-
Alissa Marie Abraham, DNP, APRN, AGNP-C
-
Shada Ahrar, MD
-
Adam Donald Ailabouni, M.D.
-
Syed Behzad Ali, MD
-
Matthew Gordon Allen, M.D.
-
Bernard Aoun, M.D
-
Steven Atkinson, PA-C, MS
-
David W Bahl, MD
-
Lee Joseph Bakewell, NP-C
-
Gayle Bauer, NP-C
-
Mykenzie Stegeman Bender, DNP, CNP, FNP-C
-
John W Benson, MD
-
Mary Sue Beran, MD
-
Wendy M Bergeron, MD
-
James Patrick Bergstrom, M.D.
-
Bridey Leigh Boese, RN CNP
-
Dawn Marie Bos, PHD, ARNP, FNP,PMHNP
-
Juan M Bowen, M.D.
-
Nathan R Brever, MD
-
Souad N Brobby, PA
-
Mary E Broughton, PA-C
Medicare Care Compare: Home health agency
- Listed as
- Adara Home Health Inc
- Overall star rating
- ★★★☆☆ 3 of 5
- Ownership
- Proprietary
- Certified
- Dec 10, 1996
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D0899826 | Adara Home Health, Inc | Certificate of waiver | Apr 9, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MN
Home health agency certification: CCN 248056
- Legal name
- ADARA HOME HEALTH, INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Dec 10, 1996
- Last certification
- May 10, 2018
- Ownership / control type
- Proprietary
- Organization structure
- Corporation · Proprietary
- Incorporated
- Dec 1, 1993 in MN
- Enrollment address
- 25 1St Ave NE
Buffalo, MN 55313-1568
All disclosed owners & managing parties 5
| Name | Role | Since | Share |
|---|---|---|---|
| Lori K Seemann |
5% Or Greater Direct Ownership Interest |
Feb 14, 2014 | 20% |
| General Partnership Interest |
Feb 14, 2014 | 20% | |
| Corporate Officer |
May 31, 2013 | 20% | |
| Corporate Director |
May 31, 2013 | 20% | |
| W-2 Managing Employee |
Feb 14, 2014 | 20% | |
| Operational/Managerial Control |
May 13, 2013 | 20% | |
| Kenneth J Figge |
5% Or Greater Direct Ownership Interest | Nov 1, 1998 | 30% |
| General Partnership Interest |
Nov 1, 1998 | 30% | |
| Corporate Officer |
Nov 1, 1998 | 30% | |
| Corporate Director |
Nov 1, 1998 | 30% | |
| Operational/Managerial Control |
Nov 1, 1998 | 30% | |
| Judith M Figge |
5% Or Greater Direct Ownership Interest | Nov 1, 1998 | 30% |
| General Partnership Interest |
Nov 1, 1998 | 30% | |
| Corporate Director |
Nov 1, 1998 | 30% | |
| Creekside Companies, Inc |
5% Or Greater Indirect Ownership Interest | Feb 1, 2016 | 100% |
| Austin R Figge |
5% Or Greater Direct Ownership Interest | Feb 14, 2014 | 20% |
| General Partnership Interest |
Feb 14, 2014 | 20% | |
| Corporate Officer |
May 31, 2013 | 20% | |
| Corporate Director |
May 31, 2013 | 20% | |
| W-2 Managing Employee |
Feb 14, 2014 | 20% | |
| Operational/Managerial Control |
May 31, 2013 | 20% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040915000616 | MN | Part a Provider - Home Health Agency | 1355318601 | Practice locations: Rochester, MN; Saint Joseph, MN; Mendota Heights, MN; Mankato, MN; Hutchinson, MN; Buffalo, MN; Blaine, MN |
| O20180329002031 | MN | Part B Supplier - Independent Clinical Laboratory | 1355318601 | Practice locations: Buffalo, MN |
National Provider Directory
Locations
10141 University Ave NE
Ste 300
Blaine, MN 55434
Phone (763) 792-9471
25 1st Ave NE
Buffalo, MN 55313
Phone (763) 682-0665
25 1st Ave NE
Ste 100
Buffalo, MN 55313
Phone (763) 682-3005
117 W Blue Earth Ave
Fairmont, MN 56031
Phone (507) 235-3898
119 W Blue Earth Ave
Fairmont, MN 56031
Phone (507) 235-3898
246 Main St S
Hutchinson, MN 55350
Phone (320) 587-5162
227 E Main St
#200
Mankato, MN 56001
Phone (507) 345-8591
1961 Premier Dr
Ste 340
Mankato, MN 56001
Phone (507) 345-8591
1411 E College Dr
Marshall, MN 56258
Phone (507) 532-2264
1333 Northland Dr
Ste 225
Mendota Heights, MN 55120
Phone (651) 867-6800
10077 Dogwood St NW
Ste 110
Minneapolis, MN 55448
Phone (763) 792-9471
611 Walnut St
Ste 1
Monticello, MN 55362
Phone (320) 291-6077
1907 2nd St SW
Rochester, MN 55902
Phone (507) 252-9844
230 20th Ave SW
Ste 101
Rochester, MN 55902
Phone (507) 252-9844
933 37th Ave NW
Rochester, MN 55901
Phone (507) 252-9844
330 Highway 10 S
Saint Cloud, MN 56304
Phone (320) 255-1882
710 County Road 75 E
Ste 104
Saint Joseph, MN 56374
Phone (320) 255-1882
18 Riverside Ave S
Ste 200
Sartell, MN 56377
Phone (320) 255-1882
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 330685 | MN | Yes |
Addresses
Primary practice location
25 1St Ave NE Ste 200
Buffalo, MN 55313-1597
Mailing address
25 1St Ave NE Ste 200
Buffalo, MN 55313-1597
Phone (763) 682-0665
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 55196 | Other | HEALTH PARTNERS # | |
| 855224000 | Medicaid | MN | |
| 030613007 | Other | PRIME WEST # | |
| 120226 | Other | U-CARE # | |
| 7Z12PR | Other | BLUE CROSS/BLUE SHEILD # | |
| 1026309 | Other | PREFERRED ONE # | |
| 59-00081 | Other | MEDICA PROVIDER # |
Other names
- Prairie River Home Care, Inc.
Other providers in Buffalo, MN
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All providers in Buffalo, MN · Home Health Agency in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.