MEDICARE: MAILEI SOARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	R227878-8	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1086733-1-HCBS	OTHER	MN	MINNESOTA DEPARTMENT OF HUMAN SERVICES

General Provider Information

NPI Number	:	1417487232
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAILEI SOARE

Provider Business Mailing Address
First Line	:	9383 127TH ST SE
Second Line	:
City	:	CLEAR LAKE
State	:	MN
Zip	:	55319-9575
Country	:	US
Telephone Number	:	320-224-3200
Fax Number	:

Provider Business Practice Location Address
First Line	:	9383 127TH ST SE
Second Line	:
City	:	CLEAR LAKE
State	:	MN
Zip	:	55319-9575
Country	:	US
Telephone Number	:	320-224-3200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2017
Last Update Date	:	07/21/2022

Similar Medicare Providers

1659088771 — KRISTA DIEHL
Practice Location Address:

9575 PLAYER CT
CRYSTAL LAKE, IL
60014-3352

Practice Phone: 847-436-5916
Practice Fax:

1295734994 — JANET E. CASEY MSW, LICSW
Practice Location Address:

11959 77TH ST
CLEAR LAKE, MN
55319-9420

Practice Phone: 320-743-3639
Practice Fax: 320-743-4119

1639233950 — MARY J. YOOS L.P.
Practice Location Address:

12129-24TH ST.
CLEAR LAKE, MN
55319-9785

Practice Phone: 320-743-3127
Practice Fax:

1093856239 — MRS. JOELYN MARIE KLONCZ
Practice Location Address:

9839 54TH ST
CLEAR LAKE, MN
55319-9556

Practice Phone: 320-743-5495
Practice Fax:

1831313451 — DMT HOME HEALTH SERVICE, LLC
Practice Location Address:

4039 140TH AVE
CLEAR LAKE, MN
55319-9545

Practice Phone: 763-856-3051
Practice Fax: 763-856-3051

1932383684 — DR. RAYMOND T HENDRICKSON D.C.
Practice Location Address:

10196 - 48 STREET
CLEAR LAKE, MN
55319

Practice Phone: 320-743-3462
Practice Fax:

Directions to “ MAILEI SOARE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.