| Provider type description | Practice name | Effective date of exclusion | Address line1 | Address line2 | City | State | Zip code | Exclusion status |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | 1 BEST CARE INC | 6/10/2020 | 2161 UNIVERSITY AVE W | STE 203 | ST PAUL | MN | 55114 | MEDICAID AUTHORITY |
| HOME AND COMMUNITY-BASED SERVICES | 1 BEST CARE INC | 6/10/2020 | 2161 UNIVERSITY AVE STE 203 | | ST PAUL | MN | 55114 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | 1 NETWORK CARE INC | 6/10/2020 | 2161 UNIVERSITY AVE W | STE 203 | ST PAUL | MN | 55114 | MEDICARE MEDICAID EXCLUSION |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | 1PCA SERVICES LLC | 2/9/2018 | 7954 BROOKLYN BLVD | | BROOKLYN PARK | MN | 55445 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | 3KS HOMECARE LLC | 11/2/2021 | 7600 BASS LAKE RD | | NEW HOPE | MN | 55428 | MEDICAID AUTHORITY |
| HOME CARE NURSING AGENCY (HCN) GROUP | 3KS HOMECARE LLC | 11/2/2021 | 7600 BASS LAKE RD | | NEW HOPE | MN | 55428 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | A KIND HEART HOMECARE INC | 7/13/2015 | 1710 DOUGLAS DR N 277 | | GOLDEN VALLEY | MN | 55422 | MEDICAID AUTHORITY |
| MEDICAL TRANSPORTATION | A TRANSPORTATION INC | 8/9/2015 | 10445 99TH PL N | | MAPLE GROVE | MN | 55369 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | A-Z HOME HEALTH CARE SERVICES INC | 8/20/2015 | 1856 DESOTO ST | | MAPLEWOOD | MN | 55117 | MEDICAID AUTHORITY |
| HOME AND COMMUNITY-BASED SERVICES | AA FOSTER CARE LLC | 3/10/2016 | 12676 AVOCET ST NW | | COON RAPIDS | MN | 55448 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | AAA PLUS HOME HEALTH CARE LLC | 10/22/2015 | 425 CEDAR AVE S | | MINNEAPOLIS | MN | 55454 | MEDICARE MEDICAID EXCLUSION |
| EARLY INTENSIVE DEVELOPMENTAL AND BEHAVIORAL INTERVENTIONS (EIDBI) - ORGANIZATION | ABC THERAPY INC | 10/14/2024 | 3960 MINNEHAHA AVE | | MINNEAPOLIS | MN | 55406 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | ABIDJAN HEALTHCARE INC | 1/30/2025 | 3300 COUNTY ROAD 10 STE 320L | | BROOKLYN CENTER | MN | 55429 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | ABUNDANT HANDS PCA LLC | 1/30/2019 | 5637 BROOKLYN BLVD | STE 201 | BROOKLYN CENTER | MN | 55429 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | ADVANCE HOME HEALTH CARE LLC | 8/3/2021 | 1500 1ST AVE NE STE 112 | | ROCHESTER | MN | 55901 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | ADVANCE HOME HEALTH LLC | 2/9/2011 | 6800 78TH AVE N STE 110 | | BROOKLYN PARK | MN | 55445 | MEDICAID AUTHORITY |
| HOME AND COMMUNITY-BASED SERVICES | ADVANCE HOME HEALTH LLC | 2/9/2011 | 6800 78TH AVE N STE 110 | | BROOKLYN PARK | MN | 55445 | MEDICAID AUTHORITY |
| HOME CARE NURSING AGENCY (HCN) GROUP | ADVANCE HOME HEALTH LLC | 2/9/2011 | 6800 78TH AVE N STE 110 | | BROOKLYN PARK | MN | 55445 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | ADVANCE HOME PCA SERVICES LLC | 9/26/2018 | 2025 NICOLLET AVE | STE 201 | MINNEAPOLIS | MN | 55404 | MEDICAID AUTHORITY |
| HOME AND COMMUNITY-BASED SERVICES | ADVANCE HOME PCA SERVICES LLC | 7/16/2018 | 2025 NICOLLET AVE S #201 | | MINNEAPOLIS | MN | 55404 | MEDICAID AUTHORITY |
| REHABILITATION GROUP | ADVANCE MOTION PHYSICAL THERAPY | 2/9/2011 | 6800 78TH AVE N STE 110 | | BROOKLYN PARK | MN | 55445 | MEDICAID AUTHORITY |
| HOME HEALTH | ADVANTAGE HOME CARE SERVICES INC | 2/22/2014 | 780 UNIVERSITY AVE | | ST PAUL | MN | 55104 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | ADVOCATES OF CARE HEALTH CARE AGENCY LLC | 3/7/2022 | 3300 COUNTY RD 10 STE 200C | | BROOKLYN CENTER | MN | 55429 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | AFRICAN FAMILIES DEVELOPMENT | 11/6/2017 | 310 E 38TH ST STE LL4 | | MINNEAPOLIS | MN | 55409 | MEDICAID AUTHORITY |
| HOME AND COMMUNITY-BASED SERVICES | AFRICAN FAMILIES DEVELOPMENT | 11/6/2017 | 310 E 38TH STREET STE LL4 | | MINNEAPOLIS | MN | 55409 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | AGAPE HOME HEALTH CARE SERVICES INC | 5/5/2014 | 2301 WOODBRIDGE ST STE 16 | | ROSEVILLE | MN | 55113 | MEDICAID AUTHORITY |
| PODIATRY CLINIC | AGGEUS HEALTHCARE | 8/15/2017 | 1121 EMERSON CT | | BURNSVILLE | MN | 55337 | MEDICAID AUTHORITY |
| PODIATRY CLINIC | AGGEUS HEALTHCARE | 8/15/2017 | 4350 N BROADWAY 2ND FL | | CHICAGO | IL | 60613 | MEDICAID AUTHORITY |
| HOME AND COMMUNITY-BASED SERVICES | ALAAFIA HOMECARE LLC | 2/14/2022 | 7420 UNITY AVE N | | BROOKLYN PARK | MN | 55443 | MEDICAID AUTHORITY |
| HOME CARE NURSING AGENCY (HCN) GROUP | ALAAFIA HOMECARE LLC | 2/14/2022 | 7420 UNITY AVE N STE 312 | | BROOKLYN PARK | MN | 55443 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | ALL ABOUT HOME CARE | 6/25/2019 | 5637 BROOKLYN BLVD STE 301 | | BROOKLYN CENTER | MN | 55429 | MEDICAID AUTHORITY |
| HOME AND COMMUNITY-BASED SERVICES | ALL ABOUT HOME CARE | 6/25/2019 | 7000 57TH AVE N | | CRYSTAL | MN | 55428 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | ALL LOVE INC | 9/1/2012 | 5701 SHINGLE CREEK PKWY | | BROOKLYN CENTER | MN | 55430 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | ALL NATIONS HOME HEALTH CARE LLC | 10/8/2018 | 3702 E LAKE ST STE 201 | | MINNEAPOLIS | MN | 55406 | MEDICAID AUTHORITY |
| HOME AND COMMUNITY-BASED SERVICES | ALL NATIONS HOME HEALTH CARE LLC | 9/21/2018 | 2630 UNIVERSITY AVE SE | STE 197 | MINNEAPOLIS | MN | 55414 | MEDICAID AUTHORITY |
| HCBS SUPPORT SERVICES | ALL WELLNESS HOMECARE LLC | 10/6/2023 | 2855 ANTHONY LN S STE B30 | | ST ANTHONY | MN | 55418 | MEDICARE MEDICAID EXCLUSION |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | ALWAYS CARING HOME HEALTHCARE LLC | 3/31/2021 | 1401 SILVER LAKE RD | STE 7 | NEW BRIGHTON | MN | 55112 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | AMBITIOUS CARE SERVICES INC | 8/16/2015 | 5913 PLEASANT AVE S STE 103 | | MINNEAPOLIS | MN | 55419 | MEDICAID AUTHORITY |
| HOME AND COMMUNITY-BASED SERVICES | AMERICAS CHOICE ADULT FOSTER CARE | 7/3/2014 | 10150 REDWOOD ST NW | | COON RAPIDS | MN | 55433 | MEDICAID AUTHORITY |
| HOME AND COMMUNITY-BASED SERVICES | AMERICAS CHOICE NURSING SRVCS | 8/27/2014 | 7074 BROOKLYN BLVD | | BROOKLYN CENTER | MN | 55429 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | AMERICAS CHOICE NURSING SVCS INC | 8/27/2014 | 7074 BROOKLYN BLVD | | BROOKLYN CENTER | MN | 55429 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | ANGELS OF LIGHT HOME CARE INC | 2/21/2011 | 3617 80TH AVE N | | BROOKLYN PARK | MN | 55443 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | ANGIES HOME HEALTH CARE LLC | 11/29/2023 | 1533 UNIVERSITY AVE | STE 100 | ST PAUL | MN | 55104 | MEDICAID AUTHORITY |
| PHYSICIAN CLINIC | ANOKA PROFESSIONAL HOME CARE INC | 12/31/2018 | 4111 CENTRAL AVE NE STE 221 | | COLUMBIA HEIGHTS | MN | 55421 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | APPLEONE HOME CARE SERVICES INC | 1/1/2015 | 4167 LYNDALE AVE N STE 313 | | MINNEAPOLIS | MN | 55412 | MEDICAID AUTHORITY |
| PODIATRY CLINIC | ASG ONSITE PODIATRY OF MN 1 PC | 8/15/2017 | 603 LOUISIANA AVE | | ADRIAN | MN | 56110 | MEDICAID AUTHORITY |
| HOME AND COMMUNITY-BASED SERVICES | ASPEN ADULT DAYCARE CENTER LLC | 3/8/2023 | 1821 UNIVERSITY AV W N196 | | ST PAUL | MN | 55104 | MEDICAID AUTHORITY |
| HCBS INTEGRATED COMMUNITY SUPPORTS | ASPEN HEALTHCARE SERVICES LLC | 1/29/2024 | 3850 W BROADWAY | | ROBBINSDALE | MN | 55422 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | AT HOME CARE | 8/9/2012 | 8525 EDINBROOK CROSSING | STE 7A | BROOKLYN PARK | MN | 55443 | MEDICAID AUTHORITY |
| MENTAL HEALTH GROUP | ATHENA COUNSELING SERVICES | 10/12/2023 | 902 E 2ND ST STE 224 | | WINONA | MN | 55987 | MEDICAID AUTHORITY |
| HOME AND COMMUNITY-BASED SERVICES | BANAADIRI HOME HEALTH CARE LLC | 6/11/2016 | 2109 NICOLLET AVE STE 104 | | MINNEAPOLIS | MN | 55404 | MEDICARE MEDICAID EXCLUSION |
| HCBS ADULT DAY | BASHI ADULT DAYCARE INC | 8/9/2023 | 1501 RIVERWOOD DR STE 160 | | BURNSVILLE | MN | 55337 | MEDICAID AUTHORITY |
| HOME AND COMMUNITY-BASED SERVICES | BERNICE PITSCHKA | 12/15/2012 | 7021 UPPER 164TH ST W | | ROSEMONT | MN | 55068 | MEDICAID AUTHORITY |
| PHARMACY | BEST AID PHARMACY | 6/6/2016 | 4335 EXCELSIOR BLVD | | ST LOUIS PARK | MN | 55416 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | BEST OF CARE INC | 11/26/2012 | 15710 ROCKFORD RD STE 324 | | PLYMOUTH | MN | 55446 | MEDICAID AUTHORITY |
| DURABLE MEDICAL EQUIPMENT (DME) | BEYOND MEDICAL USA | 5/3/2017 | 5180 W ATLANTIC AVE STE 107 | | DELRAY BEACH | FL | 33484 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | BLESSING HOME HEALTH SERVICES INC | 12/27/2019 | 6500 BROOKLYN BLVD STE 200 | | BROOKLYN CENTER | MN | 55429 | MEDICAID AUTHORITY |
| HOME AND COMMUNITY-BASED SERVICES | BLESSING HOME HEALTH SERVICES INC | 12/27/2019 | 6500 BROOKLYN BLVD STE 200 | | BROOKLYN CENTER | MN | 55429 | MEDICAID AUTHORITY |
| HOME CARE NURSING AGENCY (HCN) GROUP | BLESSING HOME HEALTH SERVICES INC | 12/27/2019 | 6500 BROOKLYN BLVD STE 200 | | BROOKLYN CENTER | MN | 55429 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | BREAK-THRU HOME CARE INC | 11/29/2019 | 6574 UNIVERSITY AVE NE | | FRIDLEY | MN | 55432 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | BRIDGING TOGETHER LLC | 6/25/2019 | 5701 SHINGLE CREEK PKWY | STE 410 | BROOKLYN CENTER | MN | 55430 | MEDICAID AUTHORITY |
| DENTIST -DENTAL CLINIC | BRIGHT SMILES DENTAL CENTER | 8/11/2020 | 28 NATHAN LANE | | PLYMOUTH | MN | 55441 | MEDICAID AUTHORITY |
| PHYSICIAN CLINIC | BRITTON CENTER FOR SPINE SPORT & | 11/9/2020 | 590 PARK ST STE 7 | | ST PAUL | MN | 55103 | MEDICAID AUTHORITY |
| MENTAL HEALTH GROUP | CANA HEALTH CARE CLINIC | 5/10/2024 | 900 W 128TH ST | STE 104 | BURNSVILLE | MN | 55337 | MEDICAID AUTHORITY |
| HOME CARE NURSING AGENCY (HCN) GROUP | CAPITAL CARE SERVICES LLC | 7/10/2014 | 697 EUCLID ST | | ST PAUL | MN | 55106 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | CARE FOR ME NURSING SERVICES INC | 6/9/2014 | 2147 UNIVERSITY AVE W | STE 209 | ST PAUL | MN | 55114 | MEDICAID AUTHORITY |
| HOME CARE NURSING AGENCY (HCN) GROUP | CARE FOR ME NURSING SERVICES INC | 6/9/2014 | 2147 UNIVERSITY AVE W | STE 211 | ST PAUL | MN | 55114 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | CARE HOME HEALTH INC | 1/14/2021 | 207 E LAKE ST STE 201 | | MINNEAPOLIS | MN | 55408 | MEDICAID AUTHORITY |
| HOME AND COMMUNITY-BASED SERVICES | CARE HOME HEALTH INC | 1/14/2021 | 207 E LAKE ST STE 201 | | MINNEAPOLIS | MN | 55408 | MEDICAID AUTHORITY |
| HOME HEALTH | CARE HOME HEALTH INC | 1/14/2021 | 207 E LAKE ST STE 201 | | MINNEAPOLIS | MN | 55408 | MEDICAID AUTHORITY |
| MENTAL HEALTH GROUP | CARE HOME HEALTH INC | 1/14/2021 | 207 E LAKE ST STE 201 | | MINNEAPOLIS | MN | 55408 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | CARE PLUS HEALTH SYSTEMS LLC | 5/25/2023 | 3300 COUNTY RD 10 | STE 307 | BROOKLYN CENTER | MN | 55429 | MEDICAID AUTHORITY |
| HOME AND COMMUNITY-BASED SERVICES | CARE PLUS HEALTH SYSTEMS LLC | 5/25/2023 | 3300 COUNTY RD 10 STE 307 | | BROOKLYN CENTER | MN | 55429 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | CARELINKS HOME CARE INC | 8/22/2014 | 1955 UNIVERSITY AVE W | STE 204 | ST PAUL | MN | 55104 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | CARING FOR ANGELS LLC | 3/20/2019 | 3300 COUNTY RD 10 STE 310 | | BROOKLYN CENTER | MN | 55429 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | CARING HOME HEALTH CARE SERVICES INC | 5/15/2024 | 7030 BROOKLYN BLVD | | BROOKLYN CENTER | MN | 55429 | MEDICAID AUTHORITY |
| HCBS SUPPORT SERVICES | CATALINA HOMES | 10/30/2024 | 1312 1ST ST N | | ST CLOUD | MN | 56303 | MEDICAID AUTHORITY |
| HCBS SUPPORT SERVICES | CATALINA HOMES | 10/30/2024 | 129 WILSON AVE SE | | ST CLOUD | MN | 56304 | MEDICAID AUTHORITY |
| HCBS SUPPORT SERVICES | CATALINA HOMES | 10/30/2024 | 305 2ND AVE S | | SAUK RAPIDS | MN | 56379 | MEDICAID AUTHORITY |
| HCBS SUPPORT SERVICES | CATALINA HOMES | 10/30/2024 | 920 3RD ST N | | WAITE PARK | MN | 56387 | MEDICAID AUTHORITY |
| HOME AND COMMUNITY-BASED SERVICES | CBM HOME HEALTH SERVICES | 10/1/2018 | 7362 UNIVERISTY AVE STE 304 | | FRIDLEY | MN | 55432 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | CBM HOME HEALTH SERVICES INC | 10/1/2018 | 7362 UNIVERSITY AVE NE | STE 304 | FRIDLEY | MN | 55432 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | CEDAR HOME CARE INC | 1/11/2013 | 425 CEDAR AVE S | | MINNEAPOLIS | MN | 55454 | MEDICARE MEDICAID EXCLUSION |
| MENTAL HEALTH GROUP | CENTER FOR HEALING AND RESILIENCE | 1/29/2020 | 220 DIVISION ST S | | NORTHFIELD | MN | 55057 | MEDICAID AUTHORITY |
| PHYSICIAN CLINIC | CENTER FOR PRIMARY CARE & REHAB PA | 12/28/2016 | 880 BLUE GENTIAN RD STE 165 | | EAGAN | MN | 55121 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | CHARM HOME CARE LLC | 2/13/2023 | 3249 HENNEPIN AVE S | STE 75 | MINNEAPOLIS | MN | 55408 | MEDICAID AUTHORITY |
| HCBS SUPPORT SERVICES | CHARM HOME CARE LLC | 2/13/2023 | 3249 HENNEPIN AVE S | STE 75 | MINNEAPOLIS | MN | 55408 | MEDICAID AUTHORITY |
| MENTAL HEALTH GROUP | CHILDRENS BEHAVIORAL HEALTH SERVICE | 1/20/2020 | 1415 E US HWY 169 | | GRAND RAPIDS | MN | 55744 | MEDICAID AUTHORITY |
| REHABILITATION GROUP | CHINESE ACUPUNCTURE & HERB CENTER | 9/18/2024 | 7550 FRANCE AV S STE 240 | | EDINA | MN | 55435 | MEDICAID AUTHORITY |
| REHABILITATION GROUP | CHINESE ACUPUNCTURE & HERB CENTER | 9/18/2024 | 14031 BURNHAVEN DR STE 106 | | BURNSVILLE | MN | 55337 | MEDICAID AUTHORITY |
| REHABILITATION GROUP | CHINESE ACUPUNCTURE & HERB CENTER | 9/18/2024 | 2545 CHICAGO AVE S STE G10 | | MINNEAPOLIS | MN | 55404 | MEDICAID AUTHORITY |
| REHABILITATION GROUP | CHINESE ACUPUNCTURE & HERB CENTER | 9/18/2024 | 393 N DUNLAP ST STE 730 | | ST PAUL | MN | 55104 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | CITIES HEALTH CARE | 5/2/2019 | 6000 BASS LAKE RD | STE 117 | CRYSTAL | MN | 55429 | MEDICAID AUTHORITY |
| HOME AND COMMUNITY-BASED SERVICES | COMFORT ADULT CARE INC | 12/4/2020 | 3015 CEDAR AVE S | | MINNEAPOLIS | MN | 55407 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | COMFORT HOME HEALTH CARES LLC | 6/2/2015 | 1501 LOWRY AVE N | | MINNEAPOLIS | MN | 55411 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | COMFORT KEEPERS | 8/27/2012 | 8362 TAMARACK VILLAGE | STE 119-230 | WOODBURY | MN | 55125 | MEDICAID AUTHORITY |
| HOME AND COMMUNITY-BASED SERVICES | COMFORT KEEPERS | 8/27/2012 | 8362 TAMARACK VILLAGE | STE 119-230 | WOODBURY | MN | 55125 | MEDICAID AUTHORITY |
| HOME HEALTH | COMFORT KEEPERS | 8/27/2012 | 8362 TAMARACK VILLAGE | STE 119-230 | WOODBURY | MN | 55125 | MEDICAID AUTHORITY |
| DURABLE MEDICAL EQUIPMENT (DME) | CONSUMERS MEDICAL SUPPLY | 3/2/2011 | 619 LAFAYETTE RD N APT 311 | | ST PAUL | MN | 55130 | MEDICAID AUTHORITY |
| SUBSTANCE USE DISORDER (SUD) TREATMENT PROGRAM | COUNSELING CLINIC LACRESCENT | 1/16/2019 | 33 S WALNUT ST STE 100 | | LA CRESCENT | MN | 55947 | MEDICAID AUTHORITY |
| MEDICAL SERVICES GROUP | CPC PA | 12/13/2019 | 3100 W LAKE ST STE 300 | | MINNEAPOLIS | MN | 55416 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | CREATIVE CARE SERVICES LLC | 10/25/2022 | 4167 LYNDALE AVE N STE 301 | | MINNEAPOLIS | MN | 55412 | MEDICAID AUTHORITY |
| HOME AND COMMUNITY-BASED SERVICES | CREATIVE CARE SERVICES LLC | 10/25/2022 | 4167 LYNDALE AVE N STE 301 | | MINNEAPOLIS | MN | 55412 | MEDICAID AUTHORITY |
| MEDICAL TRANSPORTATION | CROWN TRANSPORTATION LLC | 8/5/2019 | 1312 1/2 7TH ST NW STE 201 | | ROCHESTER | MN | 55901 | MEDICAID AUTHORITY |
| HOME AND COMMUNITY-BASED SERVICES | CRYSTAL CARE HOME HEALTH SRVC INC | 3/25/2014 | 6461 LYNDALE AVE S | | RICHFIELD | MN | 55423 | MEDICAID AUTHORITY |
| HOME HEALTH | CRYSTAL CARE HOME HEALTH SRVC INC | 3/25/2014 | 6461 LYNDALE AVE S | | RICHFIELD | MN | 55423 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | CRYSTAL CARE PCA INC | 3/25/2014 | 6461 LYNDALE AVE S | | RICHFIELD | MN | 55423 | MEDICAID AUTHORITY |
| HOME CARE NURSING AGENCY (HCN) GROUP | CRYSTAL CARE SUPPORT SERVICES INC | 3/25/2014 | 6461 LYNDALE AVE S | | RICHFIELD | MN | 55423 | MEDICAID AUTHORITY |
| MENTAL HEALTH GROUP | DAKOTA THERAPY LLC | 2/6/2023 | 1405 SILVER LAKE RD STE 17 | | NEW BRIGHTON | MN | 55112 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | DAYSPRING SUPPORTIVE LIVING | 4/13/2015 | 42650 290TH ST | | AITKIN | MN | 56431 | MEDICAID AUTHORITY |
| HOME AND COMMUNITY-BASED SERVICES | DAYSPRING SUPPORTIVE LIVING SERVICE | 5/18/2015 | 42650 290TH ST | | AITKIN | MN | 56431 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | DECENT HOME CARE INC | 5/18/2015 | 1518 E LAKE ST STE 208 | | MINNEAPOLIS | MN | 55407 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | DEPENDABLE HOMECARE LLC | 7/24/2017 | 9298 CENTRAL AVE NE STE 404 | | BLAINE | MN | 55434 | MEDICAID AUTHORITY |
| HOME AND COMMUNITY-BASED SERVICES | DEPENDABLE HOMECARE LLC | 9/15/2017 | 9579 BUCHANAN ST NE | | BLAINE | MN | 55434 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | DEVOTED PCA HOME HEALTH CARE INC | 7/16/2018 | 2025 NICOLLET AVE STE 201 | | MINNEAPOLIS | MN | 55404 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | DIAMOND CARE LLC | 8/10/2020 | 12800 WHITEWATER DR | STE 100 | MINNETONKA | MN | 55343 | MEDICAID AUTHORITY |
| HOME AND COMMUNITY-BASED SERVICES | DIAMOND CARE LLC | 8/10/2020 | 18291 CATTAIL CT | | EDEN PRAIRIE | MN | 55346 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | DIVERSE HOME HEALTH CARE LLC | 12/16/2015 | 1305 E 24TH ST STE 3 | | MINNEAPOLIS | MN | 55404 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | DIVERSIFIED HOME CARE INC | 3/12/2020 | 1317 E LAKE ST STE 6 | | MINNEAPOLIS | MN | 55407 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | DIVERSITY HOME HEALTHCARE INC | 9/17/2020 | 2400 BLAISDELL AVE STE 204 | | MINNEAPOLIS | MN | 55404 | MEDICAID AUTHORITY |
| HOME AND COMMUNITY-BASED SERVICES | DIVERSITY HOME HEALTHCARE INC | 9/17/2020 | 2400 BLAISDELL AVE STE 204 | | MINNEAPOLIS | MN | 55404 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | DOTS HOME HEALTH CARE LLC | 12/17/2018 | 2800 FREEWAY BLVD STE 200 | | BROOKLYN CENTER | MN | 55430 | MEDICAID AUTHORITY |
| DENTIST -DENTAL CLINIC | DRS JONES & HAUGE DENTAL | 11/13/2014 | 111 E KELLOGG BLVD STE 205 | | ST PAUL | MN | 55101 | MEDICAID AUTHORITY |
| MENTAL HEALTH GROUP | DULUTH HEALTH CENTER | 1/21/2021 | 307 W SUPERIOR ST STE A | | DULUTH | MN | 55802 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | E & T HOME HEALTH CARE LLC | 8/11/2022 | 6000 BASS LAKE RD STE 105 | | CRYSTAL | MN | 55429 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | E & T HOME HEALTH CARE LLC | 8/11/2022 | 6000 BASS LAKE RD STE 105 | | CRYSTAL | MN | 55429 | MEDICAID AUTHORITY |
| HOME AND COMMUNITY-BASED SERVICES | E & T HOME HEALTH CARE LLC | 8/11/2022 | 6000 BASS LAKE RD | | CRYSTAL | MN | 55429 | MEDICAID AUTHORITY |
| HOME HEALTH | E & T HOME HEALTH CARE LLC | 8/11/2022 | 6000 BASS LAKE RD | | CRYSTAL | MN | 55446 | MEDICAID AUTHORITY |
| MEDICAL TRANSPORTATION | EAGLE SPECIAL TRANSPORTATION INC | 5/22/2020 | 1527 E LAKE ST STE A200 | | MINNEAPOLIS | MN | 55407 | MEDICAID AUTHORITY |
| HCBS ADULT DAY | EBYAN ADULT DAY CARE LLC | 3/13/2023 | 1810 RIVERSIDE AVE | | MINNEAPOLIS | MN | 55454 | MEDICAID AUTHORITY |
| MENTAL HEALTH GROUP | ECLIPSE MENTAL HEALTH CLINIC LLC | 7/26/2019 | 608 2ND ST SW | | ROCHESTER | MN | 55902 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | ELMI HOME HEALTH LLC | 6/13/2020 | 4300 SCHOOL BLVD | STE 203 | MONTICELLO | MN | 55362 | MEDICAID AUTHORITY |
| HCBS FAMILY RESIDENTIAL SERVICES | ELSA WODESSO | 7/3/2024 | 2520 SOUTHCREST AVE E | | MAPLEWOOD | MN | 55119 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | ENDLESS CARE LLC | 6/4/2018 | 989 S SMITH AVE | | WEST ST PAUL | MN | 55118 | MEDICAID AUTHORITY |
| HOME HEALTH | ENDLESS CARE LLC | 6/4/2018 | 989 S SMITH AVE | | WEST ST PAUL | MN | 55118 | MEDICAID AUTHORITY |
| EARLY INTENSIVE DEVELOPMENTAL AND BEHAVIORAL INTERVENTIONS (EIDBI) - ORGANIZATION | EPIC THERAPY | 2/21/2023 | 2430 UNIVERSITY AVE W | | ST PAUL | MN | 55114 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | EXCEL HOME HEALTH CARE INC | 10/5/2017 | 419 CEDAR AVE S STE G34 | | MINNEAPOLIS | MN | 55454 | MEDICAID AUTHORITY |
| HOME AND COMMUNITY-BASED SERVICES | EXCEL HOME HEALTH CARE INC | 10/5/2017 | 419 CEDAR AVE S STE G34 | | MINNEAPOLIS | MN | 55454 | MEDICAID AUTHORITY |
| MEDICAL TRANSPORTATION | FACE 2 FACE TRANSPORTATION NETWORK | 9/20/2019 | 3425 77TH AVE N | | BROOKLYN PARK | MN | 55443 | MEDICAID AUTHORITY |
| MEDICAL TRANSPORTATION | FAHAN TRANSPORTATION LLC | 10/14/2024 | 1065 SW 24TH AVE | | OWATONNA | MN | 55060 | MEDICARE MEDICAID EXCLUSION |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | FAITH HEALTH CARE SERVICES INC | 6/12/2013 | 316 4TH AVE SE | | MINNEAPOLIS | MN | 55414 | MEDICAID AUTHORITY |
| HOME AND COMMUNITY-BASED SERVICES | FAITH HEALTH CARE SERVICES INC | 6/12/2013 | 9300 75TH AVE N | | BROOKLYN PARK | MN | 55428 | MEDICAID AUTHORITY |
| HOME CARE NURSING AGENCY (HCN) GROUP | FAITH HEALTH CARE SERVICES INC | 6/12/2013 | 316 4TH AVE SE | | MINNEAPOLIS | MN | 55414 | MEDICAID AUTHORITY |
| SUBSTANCE USE DISORDER (SUD) TREATMENT PROGRAM | FAMILY FOCUSED RECOVERY SERVICES | 9/20/2019 | 4180 W BROADWAY | | ROBBINSDALE | MN | 55422 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | FAMILY UNITY FISCAL AGENCY | 5/15/2013 | 7420 UNITY AVE N #313 | | BROOKLYN PARK | MN | 55443 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | FAMILY UNITY SUPPORT INC | 5/15/2013 | 7420 UNITY AVE N STE 313 | | BROOKLYN PARK | MN | 55443 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | FIRST CLASS HOME HEALTH CARE LLC | 4/18/2019 | 2614 NICOLLET AVE S STE 203 | | MINNEAPOLIS | MN | 55408 | MEDICAID AUTHORITY |
| HOME AND COMMUNITY-BASED SERVICES | FIRST CLASS HOME HEALTH CARE LLC | 4/18/2019 | 2614 NICOLLET AVE STE 203 | | MINNEAPOLIS | MN | 55408 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | FIVE STAR HOME CARE INC | 10/14/2015 | 1 W LAKE ST STE 165 | | MINNEAPOLIS | MN | 55407 | MEDICARE MEDICAID EXCLUSION |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | FIVE STAR HOME HEALTH CARE SVC LLC | 5/6/2022 | 310 EAST 38TH ST | STE 304 | MINNEAPOLIS | MN | 55409 | MEDICAID AUTHORITY |
| MEDICAL TRANSPORTATION | FIVE STAR TRANSPORTATION INC | 3/10/2016 | 207 E LAKE ST STE 108 | | MINNEAPOLIS | MN | 55408 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | FOREST LAKE HOME CARE INC | 5/8/2017 | 631 S LAKE ST | | FOREST LAKE | MN | 55025 | MEDICARE MEDICAID EXCLUSION |
| HOME AND COMMUNITY-BASED SERVICES | FOREST LAKE HOME CARE INC | 5/8/2017 | 631 LAKE ST S | | FOREST LAKE | MN | 55025 | MEDICARE MEDICAID EXCLUSION |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | FOREVER CARES INC | 8/2/2017 | 21859 OLDFIELD AVE | | SCANDIA | MN | 55073 | MEDICARE MEDICAID EXCLUSION |
| HOME AND COMMUNITY-BASED SERVICES | FOREVER CARES INC | 8/2/2017 | 21859 OLDFIELD AVE N | | SCANDIA | MN | 55073 | MEDICARE MEDICAID EXCLUSION |
| HCBS ADULT DAY | FOREVER FRIENDSHIP ADULT DAY CENTER INC | 4/3/2025 | 734 SNELLING AVE N | | ST PAUL | MN | 55104 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | FRANKLIN HOME & HEALTH CARE SERVICE | 9/10/2021 | 1515 E FRANKLIN AVE | | MINNEAPOLIS | MN | 55404 | MEDICAID AUTHORITY |
| HOME AND COMMUNITY-BASED SERVICES | G & M ADULT DAY CARE INC | 5/6/2019 | 2607 BLOOMINGTON AVE S | | MINNEAPOLIS | MN | 55407 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | G & M HOME CARE INC | 5/6/2019 | 2607 BLOOMINGTON AVE S | | MINNEAPOLIS | MN | 55407 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | GARGAAR HOME CARE SERVICES INC | 7/1/2013 | 3460 MINNEHAHA AVE S | | MINNEAPOLIS | MN | 55406 | MEDICAID AUTHORITY |
| MEDICAL TRANSPORTATION | GED CONTRACT ENTERPRISING INC | 9/18/2017 | 2414 7TH AVE E | | NORTH ST PAUL | MN | 55109 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | GENESIS IN HOME CARE SERVICES | 3/24/2017 | 3300 CO RD 10 STE 400-0 | | BROOKLYN CENTER | MN | 55429 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | GENTLE CARE INC | 4/17/2015 | 325 CEDAR ST STE 305 | | ST PAUL | MN | 55101 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | GLOBAL HEALTH LLC | 4/28/2022 | 1821 UNIVERSITY AV W S223 | | ST PAUL | MN | 55104 | MEDICAID AUTHORITY |
| HOME CARE NURSING AGENCY (HCN) GROUP | GOLDEN TOUCH HOME HEALTH LLC | 3/2/2019 | 2738 WINNETKA AVE N STE 200F | | NEW HOPE | MN | 55427 | MEDICAID AUTHORITY |
| HOME AND COMMUNITY-BASED SERVICES | GOLDEN U OSAGIEDE | 1/20/2012 | 7701 SCOTT AVE N | | BROOKLYN PARK | MN | 55443 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | GOOD FAITH INC | 3/9/2022 | 6040 EARLE BROWN DR STE 260 | | BROOKLYN CENTER | MN | 55430 | MEDICAID AUTHORITY |
| HOME AND COMMUNITY-BASED SERVICES | GOOD FAITH INC | 3/9/2022 | 7931 6TH ST | | SPRING LAKE PARK | MN | 55432 | MEDICAID AUTHORITY |
| HOME AND COMMUNITY-BASED SERVICES | GOOD FAITH INC | 3/9/2022 | 6040 EARLE BROWN DR STE 260 | | BROOKLYN CENTER | MN | 55429 | MEDICAID AUTHORITY |
| HOME CARE NURSING AGENCY (HCN) GROUP | GOOD FAITH INC | 3/9/2022 | 6040 EARLE BROWN DR STE 260 | | BROOKLYN CENTER | MN | 55430 | MEDICAID AUTHORITY |
| HOME AND COMMUNITY-BASED SERVICES | GREAT LAKE HOME CARE INC | 4/21/2023 | 10150 REDWOOD ST NW | | COON RAPIDS | MN | 55433 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | GREAT LAKES HOME CARE INC | 4/21/2023 | 6000 BASS LAKE RD | STE 104 | CRYSTAL | MN | 55429 | MEDICAID AUTHORITY |
| HOME AND COMMUNITY-BASED SERVICES | GREAT LAKES HOME CARE INC | 4/21/2023 | 6000 BASS LAKE RD STE 104 | | CRYSTAL | MN | 55429 | MEDICAID AUTHORITY |
| HOME CARE NURSING AGENCY (HCN) GROUP | GREAT LAKES HOME CARE INC | 4/21/2023 | 6000 BASS LAKE RD | | CRYSTAL | MN | 55429 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | GUARDIAN HOME HEALTH CARE LLC | 10/13/2016 | 7000 57TH AVE N | | CRYSTAL | MN | 55428 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | HANA PROFESSIONAL HOME HEALTH CARE | 5/24/2024 | 505 E GRANT ST, STE 2B | | MINNEAPOLIS | MN | 55404 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | HANNAYA HEALTH CARE INC | 7/29/2016 | 2219 OAKLAND AVE S STE 212 | | MINNEAPOLIS | MN | 55404 | MEDICARE MEDICAID EXCLUSION |
| HOME AND COMMUNITY-BASED SERVICES | HANNAYA HEALTH CARE INC | 7/29/2016 | 2110 NICOLLET AVE S STE 206 | | MINNEAPOLIS | MN | 55404 | MEDICARE MEDICAID EXCLUSION |
| HOME CARE NURSING AGENCY (HCN) GROUP | HANNAYA HOME HEALTH CARE INC | 7/29/2016 | 2219 OAKLAND AVE S STE 212 | | MINNEAPOLIS | MN | 55404 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | HEALING HANDS HOME CARE LLC | 1/16/2019 | 2120 WILLIAM STREET | | ROSEVILLE | MN | 55113 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | HEART FELT HOME HEALTH CARE INC | 11/4/2019 | 4618 85TH AVE N | | BROOKLYN PARK | MN | 55443 | MEDICAID AUTHORITY |
| HOME AND COMMUNITY-BASED SERVICES | HEART FELT HOME HEALTH CARE INC | 12/23/2019 | 4618 85TH AVE N | | BROOKLYN PARK | MN | 55443 | MEDICAID AUTHORITY |
| OTHER-NON PHYSICIAN-ORGANIZATION | HEATHER M CAINE | 3/16/2015 | 308 12TH AVE S | | BUFFALO | MN | 55313 | MEDICARE MEDICAID EXCLUSION |
| EARLY INTENSIVE DEVELOPMENTAL AND BEHAVIORAL INTERVENTIONS (EIDBI) - ORGANIZATION | HERO AUTISM CENTER LLC | 12/18/2024 | 3040 4TH AVE S | STE 106 | MINNEAPOLIS | MN | 55408 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | HMONG AND LAOTIAN HEALTH CARE INC | 11/10/2013 | 6043 HUDSON RD STE 300F | | WOODBURY | MN | 55125 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | HMONG MINNESOTA HOME CARE INC | 4/27/2018 | 1059 ROBERT ST S STE 200 | | WEST ST PAUL | MN | 55118 | MEDICAID AUTHORITY |
| HOME AND COMMUNITY-BASED SERVICES | HMONG MINNESOTA HOME CARE INC | 4/25/2019 | 1111 WATERLOO AVE | | WEST ST PAUL | MN | 55118 | MEDICAID AUTHORITY |
| MENTAL HEALTH GROUP | HOPE ALLIANCE HEALTH INC | 7/20/2020 | 2610 UNIVERSITY AVE STE 350 | | ST PAUL | MN | 55114 | MEDICAID AUTHORITY |
| HCBS ADULT DAY | HOPE CENTER LLC | 3/17/2025 | 2200 FREMONT AVE N | | MINNEAPOLIS | MN | 55411 | MEDICAID AUTHORITY |
| MEDICAL TRANSPORTATION | HOPE HEALTH CARE INC | 1/15/2021 | 15278 DUPONT PATH | | APPLE VALLEY | MN | 55124 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | HOPE HOME CARE INC | 3/12/2018 | 619 S 10TH ST STE B1 | | MINNEAPOLIS | MN | 55404 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | HOPE INTERNATIONAL HEALTH AND | 2/12/2014 | 220 SOUTH ROBERT ST | | ST PAUL | MN | 55107 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | HOPECARE SERVICES INC | 7/6/2012 | 9749 GREENSPRUCE CT | | BROOKLYN PARK | MN | 55443 | MEDICAID AUTHORITY |
| HOME CARE NURSING AGENCY (HCN) GROUP | HOPECARE SERVICES INC | 7/6/2012 | 7710 BROOKLYN BLVD | STE 109 | BROOKLYN PARK | MN | 55443 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | HORIZON HOMECARE SERVICES INC | 10/18/2021 | 1 W LAKE ST STE 165 | | MINNEAPOLIS | MN | 55408 | MEDICAID AUTHORITY |
| HOME HEALTH | HORIZON HOMECARE SERVICES INC | 10/18/2021 | 1007 E 24TH ST STE 01 | | MINNEAPOLIS | MN | 55404 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | HUMAN SERVICES ASSOCIATES INC | 10/26/2022 | 2722 HWY 694 SVC RD STE 200 | | NEW BRIGHTON | MN | 55112 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | I-CARE HOME HEALTH CARE LLC | 5/28/2024 | 2854 COLUMBUS AVE S | | MINNEAPOLIS | MN | 55407 | MEDICAID AUTHORITY |
| MENTAL HEALTH GROUP | INSTITUTE FOR MINORITY DEVELOPMENT | 11/7/2019 | 1710 DOUGLAS DR STE 145 | | GOLDEN VALLEY | MN | 55442 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | INTEGRATED NURSING & HEALTH | 10/1/2018 | 11318 86TH AVE N | | MAPLE GROVE | MN | 55369 | MEDICAID AUTHORITY |
| HOME HEALTH | INTEGRATED NURSING & HEALTH | 10/1/2018 | 5637 BROOKLYN BLVD STE 300 | | BROOKLYN CENTER | MN | 55429 | MEDICAID AUTHORITY |
| HOME CARE NURSING AGENCY (HCN) GROUP | INTEGRATED NURSING & HEALTH SVCS | 10/1/2018 | 11318 86TH AVE N | | MAPLE GROVE | MN | 55369 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | IT'S ABOUT U HOME CARE INC | 1/13/2013 | 626 ARMSTRONG AVE STE 107 | | ST PAUL | MN | 55102 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | JIRANI CARE | 11/17/2017 | 7714 BROOKLYN BLVD STE 200C | | BROOKLYN PARK | MN | 55443 | MEDICAID AUTHORITY |
| HOME CARE NURSING AGENCY (HCN) GROUP | JIRANI CARE LLC | 5/3/2017 | 7714 BROOKLYN BLVD STE 200C | | BROOKLYN PARK | MN | 55443 | MEDICAID AUTHORITY |
| HCBS FAMILY RESIDENTIAL SERVICES | JOSEPHINE GEYER | 8/26/2024 | 3034 38TH AVE S | | MOORHEAD | MN | 56560 | MEDICAID AUTHORITY |
| MENTAL HEALTH GROUP | JOSHUAS JOURNEY LLC | 11/14/2022 | 1700 HWY 36 W | STE 630 | ROSEVILLE | MN | 55113 | MEDICAID AUTHORITY |
| HOME CARE NURSING AGENCY (HCN) GROUP | JUANITAS HOME HEALTH LLC | 11/14/2017 | 2738 WINNETKA AVE N | STE 150M2 | NEW HOPE | MN | 55427 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | JUBA HOME CARE INC | 12/5/2014 | 419 CEDAR AVE STE 418 | | MINNEAPOLIS | MN | 55454 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | KAAH HOME HEALTH CARE INC | 10/5/2013 | 1304 E LAKE ST STE 102 | | MINNEAPOLIS | MN | 55407 | MEDICAID AUTHORITY |
| HOME AND COMMUNITY-BASED SERVICES | KAMALUDIIN MUSTAFA MOHAMED | 1/15/2024 | 1308 18TH ST S | | MOORHEAD | MN | 56560 | MEDICAID AUTHORITY |
| MEDICAL TRANSPORTATION | KASTONE MOBILTY SERVICES LLC | 2/8/2017 | 7240 BROOKLYN BLVD STE 200 | | BROOKLYN PARK | MN | 55429 | MEDICAID AUTHORITY |
| MEDICAL TRANSPORTATION | KERRI LOM | 1/18/2012 | 5724 BEMIDJI AVE N UNIT B | | BEMIDJI | MN | 56601 | MEDICARE MEDICAID EXCLUSION |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | KING DAVID HOME HEALTH CARE SVCS | 10/19/2011 | 5629 TWIN LAKE TERRACE N | | CRYSTAL | MN | 55429 | MEDICAID AUTHORITY |
| SUBSTANCE USE DISORDER (SUD) TREATMENT PROGRAM | KINGDOM IN ACTION | 1/20/2020 | 9500 MINNETONKA BLVD | | ST LOUIS PARK | MN | 55426 | MEDICAID AUTHORITY |
| MEDICAL TRANSPORTATION | KMS LLC | 9/18/2017 | 3309 83RD AVE N | | BROOKLYN PARK | MN | 55443 | MEDICAID AUTHORITY |
| MENTAL HEALTH GROUP | KRISMA COUNSELING | 2/3/2020 | 117 DOWNTOWN PLAZA | | FAIRMONT | MN | 56031 | MEDICAID AUTHORITY |
| PHYSICIAN CLINIC | LAKE STREET PAIN RELIEF CENTER | 1/29/2018 | 732 E LAKE ST | | MINNEAPOLIS | MN | 55407 | MEDICAID AUTHORITY |
| HCBS ADULT DAY | LAKES ADULT DAY CARE INC | 2/27/2023 | 1516 E LAKE ST STE 200 | | MINNEAPOLIS | MN | 55407 | MEDICAID AUTHORITY |
| CHIROPRACTIC GROUP | LAKES HOLISTIC CARE | 8/16/2023 | 5601 CHICAGO AVE | | MINNEAPOLIS | MN | 55417 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | LAKES HOME CARE HEALTH SERVICES INC | 8/31/2018 | 15 E 22ND ST | | MINNEAPOLIS | MN | 55404 | MEDICAID AUTHORITY |
| HOME AND COMMUNITY-BASED SERVICES | LAKES HOME CARE HEALTH SERVICES INC | 10/13/2018 | 15 E 22ND ST | | MINNEAPOLIS | MN | 55404 | MEDICAID AUTHORITY |
| MENTAL HEALTH GROUP | LAKES PSYCHOLOGICAL PRACTICE LLC | 3/13/2023 | 7108 CHICAGO AVE S STE 9 | | RICHFIELD | MN | 55423 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | LAND O'LAKES HOME CARE INC | 8/12/2019 | 408 LITCHFIELD AVE SW | | WILLMAR | MN | 56201 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | LIBERTY HEALTH CARE INC | 10/23/2014 | 6418 BASS LAKE RD STE 4 | | CRYSTAL | MN | 55428 | MEDICAID AUTHORITY |
| HOME CARE NURSING AGENCY (HCN) GROUP | LIBERTY HEALTH CARE INC | 10/23/2014 | 6814 BASS LAKE RD STE 4 | | CRYSTAL | MN | 55428 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | LIFE HEALTH CARE INC | 10/9/2017 | 2738 WINNETKA AVE N STE 280 | | NEW HOPE | MN | 55427 | MEDICARE MEDICAID EXCLUSION |
| HOME AND COMMUNITY-BASED SERVICES | LIFE HEALTH CARE INC | 10/9/2017 | 2738 WINNETKA AVE N STE 280 | | NEW HOPE | MN | 55427 | MEDICARE MEDICAID EXCLUSION |
| MENTAL HEALTH GROUP | LIFE REFINE COMPANY INC | 1/22/2024 | 6200 EXCELSIOR BLVD | STE 101 | ST LOUIS PARK | MN | 55416 | MEDICAID AUTHORITY |
| SUBSTANCE USE DISORDER (SUD) TREATMENT PROGRAM | LIFEHOUSE LLC MN | 10/3/2016 | 31065 FOREST BLVD | | STACY | MN | 55079 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | LIFESPAN HOME CARE SERVICES INC | 8/27/2021 | 93 W LITTLE CANADA RD #103 | | LITTLE CANADA | MN | 55117 | MEDICAID AUTHORITY |
| HCBS SUPPORT SERVICES | LIFESPAN HOME CARE SERVICES INC | 8/27/2021 | 93 W LITTLE CANADA RD | | LITTLE CANADA | MN | 55117 | MEDICAID AUTHORITY |
| HOME CARE NURSING AGENCY (HCN) GROUP | LIFESPAN HOME CARE SERVICES INC | 8/27/2021 | 93 W LITTLE CANADA RD #103 | | LITTLE CANADA | MN | 55117 | MEDICAID AUTHORITY |
| HOME AND COMMUNITY-BASED SERVICES | LILLIANC RICHARDSON | 11/26/2012 | 4331 GIRARD AVE N | | MINNEAPOLIS | MN | 55412 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | LIMAY HOME CARE INC | 9/26/2018 | 7648 ZANE AVE N STE 214 | | BROOKLYN PARK | MN | 55443 | MEDICAID AUTHORITY |
| HOME AND COMMUNITY-BASED SERVICES | LIMAY HOME CARE INC | 9/26/2018 | 1807 E LAKE ST | | MINNEAPOLIS | MN | 55407 | MEDICAID AUTHORITY |
| HOME CARE NURSING AGENCY (HCN) GROUP | LINKEDIN LLC | 10/13/2016 | 7954 BROOKLYN BLVD STE 1 | | BROOKLYN PARK | MN | 55445 | MEDICAID AUTHORITY |
| HOME CARE NURSING AGENCY (HCN) GROUP | LOVING CARE BY MARTHA | 11/12/2015 | 6251 WESTEDGE BLVD | | MOUND | MN | 55364 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | LOYALTY FIRST HOME CARE LLC | 3/2/2019 | 2800 FREEWAY BLVD STE 206 | | BROOKLYN CENTER | MN | 55430 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | LOYALTY HOME CARE | 10/5/2012 | 7365 HOWARD LN STE 328 | | EDEN PRAIRIE | MN | 55346 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | LUCKY HOME HEALTH CARE INC | 10/3/2013 | 234 BROADWAY ST NE | | MINNEAPOLIS | MN | 55413 | MEDICARE MEDICAID EXCLUSION |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | MAGIC HEALTHCARE PARTNERS LLC | 8/6/2018 | 6000 BASS LAKE RD STE 207 | | CRYSTAL | MN | 55429 | MEDICAID AUTHORITY |
| HOME AND COMMUNITY-BASED SERVICES | MAGIC HEALTHCARE PARTNERS LLC | 8/6/2018 | 6000 BASS LAKE RD STE 207 | | CRYSTAL | MN | 55429 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | MARIYA HOME CARE INC | 5/16/2013 | 2940 PILLSBURY AVE STE 203 | | MINNEAPOLIS | MN | 55408 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | MATENY CARE SERVICES | 11/18/2021 | 2219 OAKLAND AVE S STE 102 | | MINNEAPOLIS | MN | 55404 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | MATENY CARE SERVICES | 11/18/2021 | 2110 NICOLLET AVE S | | MINNEAPOLIS | MN | 55404 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | MAXICARE MINNESOTA INC | 12/29/2014 | 7525 MITCHELL RD STE 315 | | EDEN PRAIRIE | MN | 55344 | MEDICAID AUTHORITY |
| HOME CARE NURSING AGENCY (HCN) GROUP | MAXICARE MINNESOTA INC | 12/29/2014 | 10700 HWY 55 PH 2 | | PLYMOUTH | MN | 55411 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | MED STAT ALLIANCE HOME CARE INC | 6/6/2014 | 7074 BROOKLYN BLVD | | BROOKLYN CENTER | MN | 55429 | MEDICAID AUTHORITY |
| HOME AND COMMUNITY-BASED SERVICES | MED-STAT ALLIANCE INC | 3/12/2014 | 309 COTTONWOOD AVE NE | | ST MICHAEL | MN | 55376 | MEDICAID AUTHORITY |
| MENTAL HEALTH GROUP | MERCY WELLNESS SERVICES | 1/9/2023 | 2647 BLOOMINGTON AV S U2 | | MINNEAPOLIS | MN | 55407 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | METRO AREA CARE PROVIDERS INC | 6/18/2016 | 3016 E LAKE ST | | MINNEAPOLIS | MN | 55406 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | METRO HOME HEALTH CARE LLC | 8/9/2018 | 419 CEDAR AVE S STE 284 | | MINNEAPOLIS | MN | 55454 | MEDICAID AUTHORITY |
| MEDICAL TRANSPORTATION | METRO-HEALTH MOBILITY INC | 12/19/2015 | 715 FLORIDA AVE S STE 410 | | GOLDEN VALLEY | MN | 55426 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | METROPOLITAN HOME HEALTH SERVICES | 12/19/2015 | 715 FLORIDA AVE S STE 410 | | GOLDEN VALLEY | MN | 55426 | MEDICAID AUTHORITY |
| PHYSICIAN CLINIC | MINNESOTA ARTHRITIS CENTER PA | 4/21/2022 | 2785 WHITE BEAR AVE N #108B | | MAPLEWOOD | MN | 55109 | MEDICAID AUTHORITY |
| HOME AND COMMUNITY-BASED SERVICES | MINNESOTA CARE SVCS LLC | 1/23/2023 | 2914 MEADOW BROOK BAY | | WOODBURY | MN | 55125 | MEDICAID AUTHORITY |
| MEDICAL TRANSPORTATION | MKL TRANSPORTERS LLC | 9/4/2018 | 1475 UPPER 55TH ST E | APT 211 | INVER GROVE HGTS | MN | 55077 | MEDICAID AUTHORITY |
| HCBS SUPPORT SERVICES | MN ADULT DAY CENTER LLC | 2/25/2023 | 330 ELTON HILLS DR NW | | ROCHESTER | MN | 55901 | MEDICAID AUTHORITY |
| DURABLE MEDICAL EQUIPMENT (DME) | MOBILITY MATTERS AND MEDICAL SUPPLY | 6/15/2015 | 115 LAKE ST N | | FOREST LAKE | MN | 55025 | MEDICAID AUTHORITY |
| HOME AND COMMUNITY-BASED SERVICES | MODEL HEALTH CARE | 10/1/2018 | 7100 NORTHLAND CR # 119A | | BROOKLYN PARK | MN | 55428 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | MODEL HEALTH CARE INC | 10/1/2018 | 7100 NORTHLAND CIR STE 119A | | BROOKLYN PARK | MN | 55428 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | MODERNCARE INC | 9/9/2019 | 784 UNIVERSITY AVE W STE 200 | | ST PAUL | MN | 55104 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | MORNING STAR HOME HEALTH CARE | 5/14/2018 | 1514 W FRONT ST | | ALBERT LEA | MN | 56007 | MEDICAID AUTHORITY |
| HOME AND COMMUNITY-BASED SERVICES | MORNING STAR HOME HEALTH CARE | 8/6/2018 | 1008 DUNHAM ST | | ALBERT LEA | MN | 56007 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | MOWNUR PROVIDER SERVICE LLC | 5/8/2015 | 3341 GESELLE LN NW | | ROCHESTER | MN | 55901 | MEDICAID AUTHORITY |
| HCBS ADULT DAY | MULTIPLE CHOICE ADULT DAY CARE INC | 11/1/2022 | 310 E 38TH ST STE 117 | | MINNEAPOLIS | MN | 55409 | MEDICAID AUTHORITY |
| HCBS SUPPORT SERVICES | MULTIPLE CHOICE ADULT DAY CARE INC | 11/4/2022 | 310 E 38TH ST STE 117 | | MINNEAPOLIS | MN | 55409 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | MYBECK INC | 7/4/2015 | 108 E LIBERTY ST | | MANKATO | MN | 56001 | MEDICAID AUTHORITY |
| HOME AND COMMUNITY-BASED SERVICES | MYBECK INC | 6/5/2017 | 108 E LIBERTY ST | | MANKATO | MN | 56001 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | MZW INC | 11/16/2018 | 2914 MEADOW BROOK BAY | | WOODBURY | MN | 55125 | MEDICAID AUTHORITY |
| HOME AND COMMUNITY-BASED SERVICES | MZW INC | 11/16/2018 | 2914 MEADOW BROOK BAY | | WOODBURY | MN | 55125 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | N A HEALTHCARE COMPANION INC | 6/22/2018 | 7420 UNITY AVE N STE 212 | | BROOKLYN PARK | MN | 55443 | MEDICARE MEDICAID EXCLUSION |
| SUBSTANCE USE DISORDER (SUD) TREATMENT PROGRAM | NEW DIRECTIONS FOR CHANGE | 11/2/2020 | 3300 CTY RD 10 STE 100 | | BROOKLYN CENTER | MN | 55429 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | NEW LIVING LLC | 8/5/2016 | 2380 WYCLIFF ST STE 200 | | ST PAUL | MN | 55114 | MEDICAID AUTHORITY |
| HOME AND COMMUNITY-BASED SERVICES | NEW LIVING LLC | 8/5/2016 | 9900 BLUEBIRD ST STE 307 | | COON RAPIDS | MN | 55433 | MEDICAID AUTHORITY |
| HOME CARE NURSING AGENCY (HCN) GROUP | NEW LIVING LLC | 8/5/2016 | 2380 WYCLIFF ST STE 200 | | ST PAUL | MN | 55114 | MEDICARE MEDICAID EXCLUSION |
| HOME HEALTH | NEW LIVING LLC | 8/5/2016 | 9900 BLUEBIRD ST STE 307 | | COON RAPIDS | MN | 55443 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | NEW MILLENNIUM PCA SERVICES INC | 11/10/2014 | 7900 W RIVER RD | | BROOKLYN PARK | MN | 55444 | MEDICAID AUTHORITY |
| SUBSTANCE USE DISORDER (SUD) TREATMENT PROGRAM | NEW PERSPECTIVES BEHAVORIAL HEALTH | 10/11/2021 | 6427 PENN AVE S | | RICHFIELD | MN | 55423 | MEDICAID AUTHORITY |
| HOME AND COMMUNITY-BASED SERVICES | NGUFOR | 4/8/2024 | 6500 BROOKLYN BLVD STE 108 | | BROOKLYN CENTER | MN | 55429 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | NGUFOR HOME CARE AND ENTERPRISES | 4/8/2024 | 5901 BROOKLYN BLVD STE 101 | | BROOKLYN CENTER | MN | 55429 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | NGUFOR HOME HEALTH SERVICES LLC | 4/8/2024 | 5901 BROOKLYN BLVD STE 101 | | BROOKLYN CENTER | MN | 55429 | MEDICAID AUTHORITY |
| MEDICAL TRANSPORTATION | NORTH LINK MOBILITY LLC | 8/12/2015 | 7175 15TH AVE NE | | RICE | MN | 56367 | MEDICAID AUTHORITY |
| HOME AND COMMUNITY-BASED SERVICES | NORTH STAR CLUB LLC | 12/28/2016 | 8040 OLD CEDAR AVE S | | BLOOMINGTON | MN | 55425 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | OUTREACH HOME HEALTH CARE LLC | 1/24/2023 | 1444 GRANADA AVE N | | OAKDALE | MN | 55128 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | OUTREACH HOMEHEALTH CARE LLC | 1/24/2023 | 1533 UNIVERSITY AVE STE 110 | | ST PAUL | MN | 55104 | MEDICARE MEDICAID EXCLUSION |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | OWSEY HOMECARE LLC | 3/4/2024 | 2121 NICOLLET AVE STE 6 | | MINNEAPOLIS | MN | 55404 | MEDICARE MEDICAID EXCLUSION |
| HCBS SUPPORT SERVICES | OWSEY HOMECARE LLC | 3/4/2024 | 2121 NICOLLET AVE STE 6 | | MINNEAPOLIS | MN | 55404 | MEDICARE MEDICAID EXCLUSION |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | PALM HEALTHCARE SERVICES INC | 4/18/2012 | 112 E LAKE ST | | MINNEAPOLIS | MN | 55408 | MEDICAID AUTHORITY |
| HOME CARE NURSING AGENCY (HCN) GROUP | PALM HEALTHCARE SERVICES INC | 4/18/2012 | 112 EAST LAKE STREET | | MINNEAPOLIS | MN | 55408 | MEDICAID AUTHORITY |
| EARLY INTENSIVE DEVELOPMENTAL AND BEHAVIORAL INTERVENTIONS (EIDBI) - ORGANIZATION | PARADISE AUTISM CENTER LLC | 12/19/2024 | 13698 54TH PL | | PLYMOUTH | MN | 55446 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | PASSIONATE CARE LLC | 3/23/2020 | 11011 JEFFERSON ST | | BLAINE | MN | 55434 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | PCA SERVICES NORTH | 4/22/2015 | 314 W SUPERIOR ST STE 10 | | DULUTH | MN | 55802 | MEDICAID AUTHORITY |
| HOME AND COMMUNITY-BASED SERVICES | PCA SERVICES NORTH | 4/22/2015 | 314 W SUPERIOR ST STE 506 | | DULUTH | MN | 55802 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | PEACE OF MIND HEALTH SERVICES INC | 4/22/2015 | 5610 1/2 GRAND AVE | | DULUTH | MN | 55807 | MEDICAID AUTHORITY |
| HOME AND COMMUNITY-BASED SERVICES | PEACE OF MIND HEALTH SERVICES INC | 4/22/2015 | 4609 W 8TH ST | | DULUTH | MN | 55807 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | PEGGY ANN PARKS PCPO | 10/24/2012 | 19094 CO RD 12 | | PENGILLY | MN | 55775 | MEDICAID AUTHORITY |
| MEDICAL TRANSPORTATION | PEOPLES TRANSPORTATION INC | 3/30/2020 | 2910 PILLSBURY AVE STE 434 | | MINNEAPOLIS | MN | 55408 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | PLEASANT HOME HEALTH CARE LLC | 6/1/2011 | 2200 MINNEHAHA AVE | | MINNEAPOLIS | MN | 55404 | MEDICAID AUTHORITY |
| EARLY INTENSIVE DEVELOPMENTAL AND BEHAVIORAL INTERVENTIONS (EIDBI) - ORGANIZATION | PRIME GROWTH BEHAVIOR SERVICES INC | 11/21/2024 | 3401 HIAWATHA AVE | | MINNEAPOLIS | MN | 55406 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | PRIME HOME CARE LLC | 9/4/2019 | 2 E FRANKLIN AVE STE 4 | | MINNEAPOLIS | MN | 55404 | MEDICAID AUTHORITY |
| HOME CARE NURSING AGENCY (HCN) GROUP | PRIORITY HOMES LLC | 8/10/2018 | 2931 E LAKE ST STE 202 | | MINNEAPOLIS | MN | 55406 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | PROFESSIONAL PCA SERVICES LLC | 5/13/2024 | 2610 E 32ND ST | STE 1 | MINNEAPOLIS | MN | 55406 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | QUALITY PLUS HOME HEALTH CARE | 3/6/2015 | 736 ROBERT ST S | | ST PAUL | MN | 55103 | MEDICAID AUTHORITY |
| HOME AND COMMUNITY-BASED SERVICES | QUALITY PLUS HOME HEALTHCARE SVCS | 3/6/2015 | 736 ROBERT ST S | | ST PAUL | MN | 55103 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | R & R HEALTH MANAGEMENT | 9/28/2018 | 11318 86TH AVE N | | MAPLE GROVE | MN | 55369 | MEDICAID AUTHORITY |
| MEDICAL TRANSPORTATION | RANGE TRANSPORTATION SERVICES | 8/5/2019 | 44 28TH AVE N L STE 46 | | ST CLOUD | MN | 56303 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | READY FOR YOU HOME HEALTH CARE | 3/31/2021 | 3300 BASS LAKE RD | STE 211 | BROOKLYN CENTER | MN | 55429 | MEDICAID AUTHORITY |
| REHABILITATION GROUP | REBOUND PHYSICAL THERAPY | 5/15/2017 | 2700 E LAKE ST STE 2450 | | MINNEAPOLIS | MN | 55406 | MEDICAID AUTHORITY |
| HOME CARE NURSING AGENCY (HCN) GROUP | REGAL HEALTH CARE LLC | 8/5/2016 | 8617 EDINBROOK CROSSING | STE 409 | BROOKLYN PARK | MN | 55443 | MEDICAID AUTHORITY |
| PHYSICIAN CLINIC | REHABILITATION CONSULTANTS PA | 12/28/2016 | 8040 OLD CEDAR AVE S | | BLOOMINGTON | MN | 55425 | MEDICAID AUTHORITY |
| SUBSTANCE USE DISORDER (SUD) TREATMENT PROGRAM | REHABILITATION CONSULTANTS RECOVERY | 12/28/2016 | 8040 OLD CEDAR AVE S | | BLOOMINGTON | MN | 55425 | MEDICAID AUTHORITY |
| MENTAL HEALTH GROUP | REIHAN COMPANY | 10/10/2019 | 3209 W 76TH ST STE 207 | | EDINA | MN | 55435 | MEDICAID AUTHORITY |
| DURABLE MEDICAL EQUIPMENT (DME) | RELIABLE EQUIP AND MEDICAL SUPPLIES | 3/4/2024 | 5701 SHINGLE CREEK PKWY | STE 470 | BROOKLYN CENTER | MN | 55430 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | RELIABLE HUMAN SERVICES INC | 3/4/2024 | 5701 SHINGLE CREEK PKY N 470 | | BROOKLYN CENTER | MN | 55430 | MEDICAID AUTHORITY |
| HOME AND COMMUNITY-BASED SERVICES | RELIABLE HUMAN SERVICES INC | 3/4/2024 | 5701 SHINGLE CREEK PKY N 470 | | BROOKLYN CENTER | MN | 55430 | MEDICAID AUTHORITY |
| HOME CARE NURSING AGENCY (HCN) GROUP | RELIABLE HUMAN SERVICES INC | 3/4/2024 | 5701 SHINGLE CREEK PKY N 470 | | BROOKLYN CENTER | MN | 55430 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | RELIANCE HEALTH CARE INC | 3/4/2021 | 3300 COUNTY RD 10 STE 518C | | BROOKLYN CENTER | MN | 55429 | MEDICAID AUTHORITY |
| MEDICAL TRANSPORTATION | RELIANCE TRANSPORT SERVICE | 3/4/2021 | 3300 CO RD 10 STE 320E | | BROOKLYN CENTER | MN | 55429 | MEDICAID AUTHORITY |
| MEDICAL TRANSPORTATION | RIDE A LONG TRANSPORTATION INC | 10/24/2015 | 5701 SHINGLE CREEK PKWY | | BROOKLYN CENTER | MN | 55430 | MEDICAID AUTHORITY |
| HOME AND COMMUNITY-BASED SERVICES | RIGHT AT HOME CORPORATION | 4/8/2016 | 1415 ARCADE ST | | ST PAUL | MN | 55106 | MEDICARE MEDICAID EXCLUSION |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | RIVER SIDE HOME CARE PROVIDERS INC | 2/1/2016 | 1929 S 5TH ST STE 201 | | MINNEAPOLIS | MN | 55454 | MEDICAID AUTHORITY |
| MEDICAL TRANSPORTATION | RIVERSIDE TRANSPORTATION SERVICES | 8/30/2019 | 1421 PARK AVE STE 202 | | MINNEAPOLIS | MN | 55404 | MEDICAID AUTHORITY |
| MEDICAL TRANSPORTATION | ROYAL HEALTH CARE - TRANSPORTATION | 10/1/2018 | 5637 BROOKLYN BOULEVARD | STE 300 | MINNEAPOLIS | MN | 55429 | MEDICAID AUTHORITY |
| HOME CARE NURSING AGENCY (HCN) GROUP | ROYAL HEALTH CARE INC | 10/1/2018 | 5637 BROOKLYN BLVD #201 | | BROOKLYN CENTER | MN | 55429 | MEDICAID AUTHORITY |
| HOME HEALTH | ROYAL HEALTH CARE INC | 10/1/2018 | 11318 86TH AVE N | | MAPLE GROVE | MN | 55369 | MEDICAID AUTHORITY |
| HOME CARE NURSING AGENCY (HCN) GROUP | ROYAL STAR RESIDENCE INC | 3/4/2024 | 5701 SHINGLE CREEK PKWY | APT 500Q | BROOKLYN CENTER | MN | 55430 | MEDICAID AUTHORITY |
| MEDICAL TRANSPORTATION | S AND A TRANSPORTATION LLC | 8/29/2017 | 2800 CLIFF RD E STE 230 | | BURNSVILLE | MN | 55337 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | SALAAM HOME HEALTH CARE LLC | 8/31/2018 | 2931 E LAKE ST STE 202 | | MINNEAPOLIS | MN | 55406 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | SALAMA HEALTH HOME CARE LLC | 10/10/2024 | 310 E 38TH ST | STE 303 | MINNEAPOLIS | MN | 55409 | MEDICAID AUTHORITY |
| HOME AND COMMUNITY-BASED SERVICES | SAMAD HOME HEALTH CARE LLC | 1/28/2020 | 393 N DUNLAP ST | STE 400C | ST PAUL | MN | 55104 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | SAMAD HOME HEALTHCARE LLC | 1/28/2020 | 393 N DUNLAP ST | STE 400C | ST PAUL | MN | 55104 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | SELECT HOME CARE LLC | 8/10/2020 | 7714 BROOKLYN BLVD | STE 200D | BROOKLYN PARK | MN | 55443 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | SHIFFO HOME HEALTH CARE CORP | 8/23/2021 | 821 3RD AVE SE STE 90 | | ROCHESTER | MN | 55904 | MEDICAID AUTHORITY |
| HOME AND COMMUNITY-BASED SERVICES | SHIFFO HOME HEALTH CARE CORP | 8/23/2021 | 12 ELTON HILLS DR NW | STE 207 | ROCHESTER | MN | 55901 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | SKILLS | 11/12/2019 | 306 CENTER AVE W | | DILWORTH | MN | 56562 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | SKY HOME CARE INC | 8/9/2018 | 2931 E LAKE STREET | STE 201 | MINNEAPOLIS | MN | 55406 | MEDICAID AUTHORITY |
| HOME AND COMMUNITY-BASED SERVICES | SKY HOME CARE INC | 8/9/2018 | 2931 E LAKE ST STE 201 | | MINNEAPOLIS | MN | 55406 | MEDICAID AUTHORITY |
| HCBS ADULT DAY | SM ADULT DAY SERVICES INC | 2/11/2023 | 2500 MINNEHAHA AVE S #300 | | MINNEAPOLIS | MN | 55404 | MEDICAID AUTHORITY |
| HCBS SUPPORT SERVICES | SM ADULT DAY SERVICES INC | 2/11/2023 | 2500 MINNEHAHA AVE S | STE 300 | MINNEAPOLIS | MN | 55404 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | SMART CHOICE HEALTH CARE CORP | 5/28/2024 | 4 12TH ST NW | | ROCHESTER | MN | 55901 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | SOUTHEAST ASIAN HEALTH SERVICES INC | 3/2/2016 | 421 DALE ST STE B | | ST PAUL | MN | 55103 | MEDICAID AUTHORITY |
| HOME CARE NURSING AGENCY (HCN) GROUP | SOUTHERN CARE SERVICES LLC | 8/4/2016 | 2738 WINNETKA AVE N STE 150Q | | NEW HOPE | MN | 55427 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | STABILITY HOME HEALTH CARE LLC | 2/10/2015 | 4741 UTAH AVE | | NEW HOPE | MN | 55428 | MEDICAID AUTHORITY |
| HOME AND COMMUNITY-BASED SERVICES | STACY G KNESE | 3/18/2012 | 1169 50TH ST NE | | BUFFALO | MN | 55313 | MEDICARE MEDICAID EXCLUSION |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | STARLIGHT HOME CARE INC | 6/7/2012 | 3805 4TH AVE S | | MINNEAPOLIS | MN | 55409 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | SUNRISE HOME HEALTH CARE INC | 4/7/2025 | 1011 W BROADWAY AVE | STE 218 | MINNEAPOLIS | MN | 55411 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | SUPREME HEALTH CARE INC | 7/28/2021 | 5701 KENTUCKY AVE N | STE 198 | CRYSTAL | MN | 55428 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | SWEET HOME HOME CARE LLC | 5/24/2024 | 124 3RD ST | STE 2 | TRACY | MN | 56175 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | TAYO HOME HEALTH CARE INC | 7/16/2013 | 2 E FRANKLIN STE 9 | | MINNEAPOLIS | MN | 55404 | MEDICAID AUTHORITY |
| REHABILITATION GROUP | THE AMAZING JOURNEY | 6/22/2015 | 7658 DESIGN RD STE 300 | | BAXTER | MN | 56425 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | THE ROCK HHC INC | 3/26/2025 | 1415 US HWY 169 E | | GRAND RAPIDS | MN | 55744 | MEDICAID AUTHORITY |
| HOME CARE NURSING AGENCY (HCN) GROUP | TOTAL FREEDOM HEALTH CARE SVCS INC | 4/6/2015 | 10700 HWY 55 W STE 1 | | PLYMOUTH | MN | 55441 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | TOTAL FREEDOM HEALTH CARE SVS INC | 4/6/2015 | 10700 HWY 55 STE PH 1 | | PLYMOUTH | MN | 55441 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | TOTAL MEDICAL SERVICES INC | 9/2/2013 | 2499 RICE ST STE 150 | | ROSEVILLE | MN | 55113 | MEDICAID AUTHORITY |
| MEDICAL TRANSPORTATION | TRANS AMBULATORY TRANSP SERVICE INC | 3/9/2022 | 6040 EARLE BROWN DR STE 260 | | BROOKLYN CENTER | MN | 55430 | MEDICAID AUTHORITY |
| MEDICAL TRANSPORTATION | TRANSEXPRESS TRANSPORTATION SVC INC | 4/10/2017 | 6040 EARLE BROWN DR | | BROOKLYN CENTER | MN | 55430 | MEDICAID AUTHORITY |
| MEDICAL SERVICES GROUP | TWIN CITY PAIN CENTERS | 5/21/2018 | 1099 ROBERT ST S | | WEST ST PAUL | MN | 55118 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | ULTIMATE HEALTHCARE LLC | 1/12/2022 | 2522 CENTRAL AVE NE | STE 4 | MINNEAPOLIS | MN | 55454 | MEDICAID AUTHORITY |
| HCBS SUPPORT SERVICES | ULTIMATE HEALTHCARE LLC | 1/12/2022 | 2522 CENTRAL AVE NE STE 4 | | MINNEAPOLIS | MN | 55418 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | ULTRA CARE HOME HEALTH LLC | 6/13/2022 | 7714 BROOKLYN BLVD | STE 108 | BROOKLYN PARK | MN | 55443 | MEDICAID AUTHORITY |
| HOME AND COMMUNITY-BASED SERVICES | UNICARE HOME HEALTH CARE SERVICES | 10/4/2022 | 2003 10TH AVE S # 3 | | MINNEAPOLIS | MN | 55404 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | UNICARE HOME HEALTH SERVICES INC | 10/4/2022 | 1113 E FRANKLIN AVE | STE 211 | MINNEAPOLIS | MN | 55404 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | UNICARE HOME HEALTH SERVICES INC | 10/4/2022 | 1113 E FRANKLIN AVE STE 211 | | MINNEAPOLIS | MN | 55404 | MEDICAID AUTHORITY |
| HOME AND COMMUNITY-BASED SERVICES | UNICARE HOME HEALTH SERVICES INC | 10/4/2022 | 1113 E FRANKLIN AVE STE 211 | | MINNEAPOLIS | MN | 55404 | MEDICAID AUTHORITY |
| PHYSICIAN CLINIC | UNICARE HOME HEALTH SERVICES INC | 10/4/2022 | 1113 E FRANKLIN AVE STE 211 | | MINNEAPOLIS | MN | 55404 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | UNION HOMECARE INC | 2/4/2022 | 1500 CHICAGO AVE | STE 32 | MINNEAPOLIS | MN | 55404 | MEDICAID AUTHORITY |
| HOME AND COMMUNITY-BASED SERVICES | UNION HOMECARE INC | 2/4/2022 | 1500 CHICAGO AVE APT 32 | | MINNEAPOLIS | MN | 55404 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | UNIQUE CARE SERVICES INC | 3/9/2023 | 3393 NORTHDALE BLVD NW #223 | | COON RAPIDS | MN | 55448 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | UNITY HEALTH CARE INC | 6/29/2020 | 2221 W 55TH ST | | MINNEAPOLIS | MN | 55419 | MEDICAID AUTHORITY |
| HOME AND COMMUNITY-BASED SERVICES | UNIVERSAL ADULT DAY CARE LLC | 3/8/2018 | 465 MACKUBIN ST | | ST PAUL | MN | 55103 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | UNIVERSAL HOME CARE LLC | 2/1/2019 | 3523 45TH ST S | STE 192 | FARGO | ND | 58104 | MEDICAID AUTHORITY |
| HCBS ADULT DAY | UNIVERSITY ADULT DAY CARE CENTER | 2/17/2023 | 2434 UNIVERSITY AVE W | | ST PAUL | MN | 55114 | MEDICAID AUTHORITY |
| HCBS SUPPORT SERVICES | UNIVERSITY ADULT DAYCARE CENTER | 2/17/2023 | 2434 UNIVERSITY AVE W | | ST PAUL | MN | 55114 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | VERACITY HEALTH SYSTEMS LLC | 11/20/2020 | 3300 COUNTY RD 10 STE 112 | | BROOKLYN CENTER | MN | 55429 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | WALLINGBURG HOME CARE SERVICES | 12/9/2019 | 2630 UNIVERSITY AVE | STE A158 | MINNEAPOLIS | MN | 55414 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | WAMO HOME CARE CENTER INC | 2/26/2015 | 2025 NICOLLET AVE S STE 209 | | MINNEAPOLIS | MN | 55404 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | WELLNESS RX HOMECARE LLC | 12/6/2023 | 1710 N DOUGLAS DR | STE 224X | GOLDEN VALLEY | MN | 55422 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | WICARE HOME CARE LLC | 12/9/2019 | 22 WILSON AVE NE STE 106 | | ST CLOUD | MN | 56304 | MEDICAID AUTHORITY |
| HOME AND COMMUNITY-BASED SERVICES | WICARE HOMECARE SERVICES | 2/28/2020 | 2602 COPPER CLIFF TR | | WOODBURY | MN | 55125 | MEDICAID AUTHORITY |
| HOME CARE NURSING AGENCY (HCN) GROUP | WICARE HOMECARE SERVICES | 2/28/2020 | 1885 UNIVERSITY AVE W | | ST PAUL | MN | 55104 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | WICARE HOMECARE SERVICES LLC | 2/28/2020 | 1885 UNIVERSITY AVE W | STE 300B | ST PAUL | MN | 55104 | MEDICAID AUTHORITY |
| MEDICAL TRANSPORTATION | WISE TRANSPORTATION LLC | 8/12/2019 | 2219 S OAKLAND AVE STE 104 | | MINNEAPOLIS | MN | 55404 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | YOUR WAY HOME CARE INC | 3/13/2019 | 3260 BASS LAKE RD STE C | | BROOKLYN CENTER | MN | 55429 | MEDICAID AUTHORITY |
| DURABLE MEDICAL EQUIPMENT (DME) | YOUR WAY HOME CARE INC | 3/13/2019 | 7000 57TH AVE N STE 102 | | CRYSTAL | MN | 55428 | MEDICAID AUTHORITY |
| HOME AND COMMUNITY-BASED SERVICES | YOUR WAY HOME CARE INC | 3/13/2019 | 3260 BASS LK RD STE C | | BROOKLYN CENTER | MN | 55429 | MEDICAID AUTHORITY |
| COMMUNITY FIRST SERVICES AND SUPPORTS (CFSS) AGENCY | ZION HOME HEALTH CARE INC | 1/13/2013 | 3260 COUNTY RD 10 STE D7 | | BROOKLYN CENTER | MN | 55429 | MEDICAID AUTHORITY |
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