CENTRACARE HEALTH-PAYNESVILLE LLC (NPI# 1033543921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033543921 |
Entity Type | Organization |
Organization Name | CENTRACARE HEALTH-PAYNESVILLE LLC |
Other Organization Name | CENTRACARE HEALTH PAYNESVILLE - NURSING HOME |
Practice Address |
200 W 1st St Paynesville MN 56362-1445 |
Practice Telephone | 3202433767 |
Practice Fax Number | 3202437955 |
Mailing Telephone | 3202433767 |
Mailing Fax Number | 3202437955 |
Enumeration Date | 2013-08-27 |
Last Update Date | 2019-10-10 |
Authorized Official Name | MR. MICHAEL A. BLAIR (SR. VICE PRESIDENT AND CFO) |
Authorized Official Telephone | 3202555665 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
Other Name | Type Code |
---|---|
CentraCare Health Paynesville - Nursing Home | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457788994 | Centracare Health-paynesville LLC | Assisted Living Facility | 311 Washburne Ave, Paynesville, MN 56362-1658 | 2013-09-30 |
1457786972 | Centracare Health-paynesville LLC | Medicare Defined Swing Bed Unit | 200 W 1st St, Paynesville, MN 56362-1445 | 2013-09-04 |
1629402516 | Centracare Health-paynesville LLC | Clinic/Center | 200 W 1st St, Paynesville, MN 56362-1445 | 2013-08-27 |
1700219383 | Centracare Health-paynesville LLC | Clinic/Center | 405 Meeker Ave E, Eden Valley, MN 55329-1629 | 2013-08-19 |
1144653734 | Centracare Health-paynesville LLC | Clinic/Center | 130 1st St Ne, Richmond, MN 56368-8183 | 2013-08-19 |
1386077022 | Centracare Health-paynesville LLC | Clinic/Center | 505 Nelson Ave, Belgrade, MN 56312-2601 | 2013-08-16 |
1205269941 | Centracare Health-paynesville LLC | General Acute Care Hospital | 200 W 1st St, Paynesville, MN 56362-1445 | 2013-08-16 |
1912330663 | Centracare Health-paynesville LLC | Clinic/Center | 308 5th Ave S, Suite 100, Cold Spring, MN 56320-2341 | 2013-08-16 |
Street Address |
200 W 1ST ST |
City | PAYNESVILLE |
State | MN |
Zip Code | 56362-1445 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942291539 | Kristine M Cervin | Pharmacist | 200 W 1st St, Paynesville, MN 56362-1445 | 2005-11-02 |
1356942478 | Atuobi Nana Yiadom | Pharmacist | 200 W 1st St, Paynesville, MN 56362-1445 | 2020-11-04 |
1427568500 | Sarah Jane Revermann | Nurse Practitioner | 200 W 1st St, Paynesville, MN 56362-1445 | 2017-10-03 |
1225550858 | Thakul None Rattanasuwan | Pharmacist | 200 W 1st St, Paynesville, MN 56362-1445 | 2017-07-14 |
1982152161 | Erin Warner | Pharmacist | 200 W 1st St, Paynesville, MN 56362-1445 | 2016-09-15 |
1356795108 | John Kenneth Tronnes | Family Medicine | 200 W 1st St, Paynesville, MN 56362-1445 | 2016-04-18 |
1194100164 | Wendy Michelle Miller | Registered Nurse | 200 W 1st St, Paynesville, MN 56362-1445 | 2015-07-20 |
1447679188 | Christopher Anderson | Family Medicine | 200 W 1st St, Paynesville, MN 56362-1445 | 2014-04-09 |
1457786972 | Centracare Health-paynesville LLC | Medicare Defined Swing Bed Unit | 200 W 1st St, Paynesville, MN 56362-1445 | 2013-09-04 |
1629402516 | Centracare Health-paynesville LLC | Clinic/Center | 200 W 1st St, Paynesville, MN 56362-1445 | 2013-08-27 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174055321 | Ginelle Rae Zimmerman | Family Medicine | 200 W 1st Street, Paynesville, MN 56362 | 2017-03-28 |
1710173877 | Jennifer Ann Klocker | Pharmacist | 200 West First Street, Paynesville, MN 56362 | 2007-09-21 |
1033322599 | Teresa Marie Winter | Massage Therapist | 750 State Hwy 55, Paynesville, MN 56362 | 2007-05-08 |
1336225838 | Donald Arther Millner | Dentist | 204 West James Street, Paynesville, MN 56362 | 2006-10-27 |
1760485908 | Todd D Lemke | Pharmacist | 200 First St W, Paynesville, MN 56362 | 2005-05-23 |
1275846487 | Paynesville Area Living At Home Block Nurse Program | Voluntary or Charitable | 1105 W Main St, Paynesville, MN 56362-1000 | 2010-07-16 |
1801420039 | Recovery Center LLC | Substance Abuse Rehabilitation Facility | 109 W James St, Paynesville, MN 56362-1216 | 2020-02-26 |
1932404688 | Serenity Path Inc. | Clinic/Center | 117 W James St, Box 3, Paynesville, MN 56362-1216 | 2011-01-11 |
1730709007 | Lisa Joy Klein-conrad | Counselor | 117 W James St, Paynesville, MN 56362-1216 | 2020-04-16 |
1083256002 | Lauren A Foster | Peer Specialist | 117 W James St, Paynesville, MN 56362-1216 | 2019-10-10 |
Find all providers in zip 56362 |
Taxonomy Code | 314000000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Skilled Nursing Facility |
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912965260 | Paynesville Area Hospital District | Skilled Nursing Facility | 200 W 1st St, Paynesville, MN 56362-1445 | 2006-05-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639707177 | Prairie Bluffs Rehabilitation Center LLC | Skilled Nursing Facility | 10300 Hennepin Town Rd, Eden Prairie, MN 55347-5100 | 2020-03-30 |
1881221869 | Natalie Sears | Skilled Nursing Facility | 1200 Cheri Ln Ne Apt 5, Fridley, MN 55421-1213 | 2020-03-26 |
1396210779 | Southview Operations LLC | Skilled Nursing Facility | 2000 Oakdale Avenue, West St. Paul, MN 55118 | 2018-10-11 |
1144707811 | Victory Health Operations, LLC | Skilled Nursing Facility | 512 - 49th Avenue North, Minneapolis, MN 55430-3621 | 2018-07-25 |
1710473434 | Cg Care Center, LLC. | Skilled Nursing Facility | 6993 80th Street South, Cottage Grove, MN 55016 | 2018-07-05 |
1457863466 | Seasons Healthcare of Trimont, Inc | Skilled Nursing Facility | 305 Broadway Avenue South, Trimont, MN 56176 | 2017-10-31 |
1760903157 | St. John's Lutheran Home | Skilled Nursing Facility | 1771 Eagle View Cir, Albert Lea, MN 56007-1817 | 2017-07-06 |
1114458221 | Lakeland Homecare LLC | Skilled Nursing Facility | 1604 Covington Ln, Eagan, MN 55122-2759 | 2017-03-22 |
1952842197 | Nsh Rochester East LLC | Skilled Nursing Facility | 501 8th Ave Se, Rochester, MN 55904-4834 | 2017-03-20 |
1750827234 | Walker Operations LLC | Skilled Nursing Facility | 209 Birchwood Avenue West, Walker, MN 56484 | 2017-01-09 |
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City | PAYNESVILLE |
Zip Code | 56362 |
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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.