CENTRACARE HEALTH-PAYNESVILLE LLC


Address: 200 W 1st St, Paynesville, MN 56362-1445
Phone: 3202433767

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities

Other Provider/Organization Names

Other Name Type Code
CentraCare Health Paynesville - Nursing Home Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 200 W 1ST ST
City PAYNESVILLE
State MN
Zip Code 56362-1445

Providers in the same location

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
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Providers in the same zip code

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 Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912965260 Paynesville Area Hospital District Skilled Nursing Facility 200 W 1st St, Paynesville, MN 56362-1445 2006-05-03

Providers in the same taxonomy and state

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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Competitor

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City PAYNESVILLE
Zip Code 56362

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Dataset Information

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.

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