VILLA COURT LLC (NPI# 1003056706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003056706 |
Entity Type | Organization |
Organization Name | VILLA COURT LLC |
Other Organization Name | CARDINAL COURT AND VILLA VISTA |
Practice Address |
1220 Villa Court Drive Cromwell MN 55726-0000 |
Practice Telephone | 2186443331 |
Practice Fax Number | 2186443505 |
Mailing Telephone | 2186443331 |
Mailing Fax Number | 2186443505 |
Enumeration Date | 2009-02-20 |
Last Update Date | 2009-02-20 |
Authorized Official Name | JULIE R PETERSON (ADMINISTRATOR) |
Authorized Official Telephone | 2186443331 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 310400000X | Assisted Living Facility | 343408 | MN | Nursing & Custodial Care Facilities |
Other Name | Type Code |
---|---|
Cardinal Court and Villa Vista | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528301405 | Villa Court LLC | Assisted Living Facility | 1992 Queen St, North Fort Myers, FL 33917-3942 | 2013-03-29 |
1982889127 | Villa Court LLC | Nursing Facility/Intermediate Care Facility | 1197 Villa Vista Circle, Cromwell, MN 55726-0098 | 2008-01-07 |
Street Address |
1220 VILLA COURT DRIVE |
City | CROMWELL |
State | MN |
Zip Code | 55726-0000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154414910 | Cromwell Volunteer Fire Department | Ambulance | 5592 Highway 210, Cromwell, MN 55726 | 2006-10-02 |
1891748042 | Gateway Family Health Clinic, Ltd. | Clinic/Center | 5565 Hwy. 210, Cromwell, MN 55726 | 2006-05-18 |
1760469878 | Villa Vista, Inc. | Nursing Facility/Intermediate Care Facility | 1197 Villa Vista Circle, Cromwell, MN 55726-0098 | 2005-12-29 |
1982889127 | Villa Court LLC | Nursing Facility/Intermediate Care Facility | 1197 Villa Vista Circle, Cromwell, MN 55726-0098 | 2008-01-07 |
1144223629 | Susan W. Benzie | Family Medicine | 5565 Hwy. 210, Cromwell, MN 55726-0116 | 2005-05-27 |
1154324820 | Shawn F Bode | Family Medicine | 5565 Hwy 210, Cromwell Medical Clinic, Cromwell, MN 55726-0116 | 2005-05-24 |
1821250549 | Cromwell Medical Clinic Pllc | Clinic/Center | 5565 Hwy 210, Cromwell, MN 55726-0116 | 2008-06-25 |
1659524932 | Marcia Lillian Pocernich | Physical Therapist | 1220 Villa Court Dr, Cromwell, MN 55726-4503 | 2008-10-30 |
1154601003 | Villa Home Care LLC | Home Health | 1220 Villa Court Dr, Cromwell, MN 55726-4503 | 2011-08-24 |
1992708564 | Kelly J. Goeb | Family Medicine | 5565 Highway 210, Cromwell, MN 55726-8171 | 2005-05-27 |
Find all providers in zip 55726 |
Taxonomy Code | 310400000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Assisted Living Facility |
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
Notes: [7/1/2003: new] |
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1710587696 | Friesen & Friesen, Inc | Assisted Living Facility | 1971 Ne 1st Avenue, Grand Rapids, MN 55744 | 2020-10-29 |
1750980603 | Estherra Care LLC | Assisted Living Facility | 1120 Morgan Ave N, Minneapolis, MN 55411-3805 | 2020-10-21 |
1679189682 | Daniel Care Homes LLC | Assisted Living Facility | 6809 Perry Ave N, Brooklyn Center, MN 55429-1611 | 2020-09-16 |
1326651779 | Secured Health and Homecare Inc | Assisted Living Facility | 4519 104th Ave N, Brooklyn Park, MN 55443-1030 | 2020-08-26 |
1811509870 | Aurora Assisted Living LLC | Assisted Living Facility | 115 Magnolia Ave W, Saint Paul, MN 55117-4916 | 2020-08-20 |
1003427477 | In My Father's House | Assisted Living Facility | 3096 Snelling Ave N, Roseville, MN 55113-1659 | 2020-08-11 |
1710595863 | Eden Prairie Senior Living | Assisted Living Facility | 8480 Franlo Rd, Eden Prairie, MN 55344-2938 | 2020-07-15 |
1447868468 | Brightstar Services LLC | Assisted Living Facility | 1821 University Ave W Ste 120, Saint Paul, MN 55104-2811 | 2020-07-15 |
1235757667 | Roers Senior Living Buffalo LLC | Assisted Living Facility | 150 Division Street East, Buffalo, MN 55313 | 2020-07-13 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.