Menage Home Care Services LLC

Primary specialty

Meals ProviderTaxonomy code 174200000X

Legal business name

MENAGE HOME CARE SERVICES LLC

Practice address

11221 Zion St NW
Coon Rapids, MN 55433-3526

Phone

(651) 600-1161

NPI assigned

Jun 16, 2026

Organization subpart

No

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

Authorized official

Name

Travis Anthony Dollerson

Title

Director

Phone

(651) 600-1161

Specialties & licenses 5

Addresses

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

{
    "created_epoch": "1781568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783382400000",
    "number": "1811822455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 28TH AVE N",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563032328",
            "telephone_number": "651-600-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11221 ZION ST NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554333526",
            "telephone_number": "651-600-1161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENAGE HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-16",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A",
        "authorized_official_last_name": "DOLLERSON",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "651-600-1161"
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle L Meiser, DDS
• Ashley S Melbostad, OT
• Michelle Sharice Meldaus
• Nicole Marie Melich
• Nina Mary Melin
• Savannah Jane Bernardo Mendoza, BCBA, LBA
• Tyler Christopher Merrill
• Melissa J. Merriman-Flory, PT
• Merry Heart Home Care Inc
• Kathryn Lee Meryhew, DPT

• Meals Provider in Coon Rapids, MN
• Providers in Coon Rapids, MN by specialty
• Meals Provider in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.