PRESBYTERIAN HOMES OF NORTH OAKS INC, (NPI# 1013040112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013040112 |
| Entity Type | Organization |
| Organization Name | PRESBYTERIAN HOMES OF NORTH OAKS INC, |
| Practice Address |
5919 Centerville Rd North Oaks MN 55127-6821 |
| Mailing Address |
2845 Hamline Ave N Roseville MN 55113-7127 |
| Practice Telephone | 6517654000 |
| Practice Fax Number | 6517654001 |
| Mailing Telephone | 6516316119 |
| Mailing Fax Number | 6516316119 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2017-01-24 |
| Authorized Official Name | MARK MEYER (CFO) |
| Authorized Official Telephone | 6516316119 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 836967000 | 05 | |
| MN | UCARE | NH0581 | 01 |
| Street Address |
5919 CENTERVILLE RD |
| City | NORTH OAKS |
| State | MN |
| Zip Code | 55127-6821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629495478 | Presbyterian Homes of North Oaks, Inc. | Assisted Living Facility | 5919 Centerville Rd, North Oaks, MN 55127-6821 | 2014-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514058 | Taylor Nessa Draves | Behavior Technician | 1011 Meadowlamds Dr, White Bear Lake, MN 55127 | 2020-10-02 |
| 1578104196 | Patricia Lynn Bina | Technician | 3677 Centerville Rd, Vadnais Heights, MN 55127 | 2019-10-04 |
| 1023538469 | Dignicare Senior Management of Vadnais | Assisted Living Facility | 580 Liberty Way, Vadnais Heights, MN 55127 | 2017-06-27 |
| 1548610207 | Golden Elderly Care Suites LLC | Assisted Living Facility | 4624 Stoddart Circle, White Bear Lake, MN 55127 | 2016-06-14 |
| 1811018203 | Adam F Curtis | Dentist | 925 East County Road E, Suite 185, Vadnais Heights, MN 55127 | 2007-04-03 |
| 1134215700 | Phoenix Residence, Inc. | Intermediate Care Facility, Mentally Retarded | 785 E County Road E, Vadnais Heights, NE 55127 | 2006-10-04 |
| 1861404790 | Gerald James Pease | Optometrist | 850 East Co Rd E, Walmart Vision Center, Vadnais Heights, MN 55127 | 2006-08-12 |
| 1235629395 | Suite Living Senior Management | Assisted Living Facility | 197 County Road B2 W, Roseville, MN 55127 | 2018-05-15 |
| 1760986624 | Diandra Shakira Williams | Physician Assistant | 3580 Arcade St, Vadnais Heights, MN 55127 | 2018-03-23 |
| 1811370729 | Sonya L Knudson | Psychologist | 4444 Centerville Rd Ste 235, White Bear Lake, MN 55127 | 2015-07-09 |
| Find all providers in zip 55127 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548817620 | Affinity Residential Care LLC | Nursing Facility/Intermediate Care Facility | 9213 Elliot Ave S, Bloomington, MN 55420-3851 | 2019-08-22 |
| 1548703929 | Lynda Duoseke Abagi | Nursing Facility/Intermediate Care Facility | 661 Eagle Ridge Rd, Woodbury, MN 55125-1461 | 2016-12-02 |
| 1972947851 | Villa At Osseo LLC | Nursing Facility/Intermediate Care Facility | 501 2nd Street Ne, Osseo, MN 55369-1603 | 2013-04-23 |
| 1790060838 | Stonehaven Assisted Living Inc. | Nursing Facility/Intermediate Care Facility | 8783 2nd Street South, Brookston, MN 55711-0284 | 2011-10-20 |
| 1770863375 | Walker Thompson Hill, LLC | Nursing Facility/Intermediate Care Facility | One Thompson Avenue West, West St. Paul, MN 55118-3100 | 2011-08-26 |
| 1497995203 | Kinder Care Homecare Services | Nursing Facility/Intermediate Care Facility | 270 County Road 110 N, Minnetrista, MN 55364-8316 | 2009-03-06 |
| 1609011170 | St. Francis Health Care System Inc | Nursing Facility/Intermediate Care Facility | 1591 Woodlynn Ave Unit 1, Maplewood, MN 55109-5709 | 2008-12-11 |
| 1154580793 | Sunrise To Sunset Adult Day Services Inc. | Nursing Facility/Intermediate Care Facility | 3001 W Arrowhead Rd, Duluth, MN 55811-4232 | 2008-06-09 |
| 1861672198 | Harmony Living Health Care Services | Nursing Facility/Intermediate Care Facility | 7509 Colfax Ave N, Brooklyn Park, MN 55444-2550 | 2007-11-03 |
| 1841409836 | Williams, Inc. | Nursing Facility/Intermediate Care Facility | 2500 Pillsbury Ave S, Minneapolis, MN 55404-4201 | 2007-05-22 |
| Find all providers with the same taxonomy | ||||
| City | NORTH OAKS |
| Zip Code | 55127 |
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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.