Mental Health Nursing LLC

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

Legal business name

MENTAL HEALTH NURSING LLC

Practice address

888 County Road D W Ste 104
New Brighton, MN 55112-8519

Phone

(952) 270-1409

NPI assigned

May 29, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Eric L Fossen, RN

Title

Owner

Phone

(952) 270-1409

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Home health agency certification: CCN 248158

Legal name

MENTAL HEALTH NURSING LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jul 21, 2022

Last certification

Jul 21, 2022

Organization structure

PartnershipProprietary

Incorporated

May 22, 2018 in MN

Enrollment address

888 County Rd D West Ste #104
New Brighton, MN 55112-8519
HHA Branch

Listed as

Mental Health Nursing LLCCCN 248158 · All quality measures

Ownership

-

Certified

Jul 21, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540166400000",
    "number": "1750872552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 COUNTY ROAD D W STE 104",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551128519",
            "telephone_number": "952-270-1409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 COUNTY ROAD D W STE 104",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551128519",
            "telephone_number": "952-270-1409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH NURSING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-29",
        "last_updated": "2018-10-22",
        "status": "A",
        "authorized_official_last_name": "FOSSEN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-270-1409",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Medin
• Crystal Nicole Mehren, LPN
• Andrew Memelink
• Terra Michele Menkosky, PA
• Mental Health Associates, P.a.
• Meridian Behavioral Health
• Kelsey Marie Metz, D.C.
• Isabel Sloan Meyer-Mueller
• Cynthia White Meyer, LICSW
• Juli Christine Meyer, MSSW,LICSW

• Home Health Registered Nurse in New Brighton, MN
• Providers in New Brighton, MN by specialty
• Home Health Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.