BRIDGEWAY ESTATES (NPI# 1043235716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043235716 |
| Entity Type | Organization |
| Organization Name | BRIDGEWAY ESTATES |
| Practice Address |
103 12th St. Ne Little Falls MN 56345 |
| Practice Telephone | 3206322089 |
| Practice Fax Number | 3206322097 |
| Mailing Telephone | 3206322089 |
| Mailing Fax Number | 3206322097 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MERLIN ARTHUR KOESTER (BOARD OF DIRECTORS, PRESIDENT) |
| Authorized Official Telephone | 3206329211 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 330186 | MN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MEDICA | 4980473 | 01 |
| Street Address |
103 12TH ST. NE |
| City | LITTLE FALLS |
| State | MN |
| Zip Code | 56345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255823910 | Apple Tree Dental | Dentist | 808 3rd St Se Ste 330, Little Falls, MN 56345 | 2018-05-30 |
| 1326548454 | Julie Bonham | Dental Therapist | 803 3rd St. Se, Suite 330, Little Falls, MN 56345 | 2018-02-15 |
| 1386079846 | Paul Carpenter | Physical Therapist | 104 2nd St Se, Little Falls, MN 56345 | 2013-09-03 |
| 1114282670 | Annalee Michelle Vandenheuvel | Social Worker | 1905 5th Ave Se, Little Falls, MN 56345 | 2012-07-11 |
| 1962761601 | Heather Van Stone | Audiologist | 109 5th St Ne Ste 2, Little Falls, MN 56345 | 2012-05-15 |
| 1003055989 | Brett Wayne Speer | Chiropractor | 114 1st Street Ne, Little Falls, MN 56345 | 2009-02-17 |
| 1104007988 | Sharon Anne Bell | Physical Therapist | 309 First St. Ne, Suite 101, Little Falls, MN 56345 | 2007-11-20 |
| 1215072996 | Robert Willhite | Pharmacist | 101 1st St Ne, Little Falls, MN 56345 | 2007-02-21 |
| 1568526275 | Jeffrey Hoffman | Physical Therapist | 815 Se 2nd Street, Unity Family Healthcare, Little Falls, MN 56345 | 2006-12-20 |
| 1700978020 | Jennifer Mary Hagen | Pharmacist | 101 1st St Se, Little Falls, MN 56345 | 2006-09-28 |
| Find all providers in zip 56345 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376094847 | Tina Kalis | Assisted Living Facility | 1102 4th St Se, Little Falls, MN 56345-3545 | 2016-10-20 |
| 1174920227 | Fcsl Little Falls, LLC | Assisted Living Facility | 1401 5th Ave Ne, Little Falls, MN 56345-2555 | 2014-12-04 |
| 1033421052 | Highland Senior Living of Little Falls, LLC | Assisted Living Facility | 1012 3rd Ave Ne, Little Falls, MN 56345-2919 | 2010-07-07 |
| 1063670891 | Five Star Living of Little Falls, LLC | Assisted Living Facility | 1405 5th Ave Ne, Little Falls, MN 56345-2555 | 2008-05-29 |
| 1821452194 | Franciscan Sisters of Little Falls, Minnesota | Assisted Living Facility | 116 8th Ave Se, Little Falls, MN 56345-3539 | 2016-04-12 |
| 1245638337 | Fcsl Little Falls, LLC | Assisted Living Facility | 1405 5th Ave Ne, Little Falls, MN 56345-2555 | 2014-12-05 |
| 1285063388 | Little Falls Health Services | Assisted Living Facility | 1200 1st Ave Ne, Little Falls, MN 56345-3309 | 2013-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871193417 | Midwest Group Home | Assisted Living Facility | 4232 5th St Ne, Columbia Heights, MN 55421-2860 | 2020-10-30 |
| 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 | ||||
| City | LITTLE FALLS |
| Zip Code | 56345 |
Please comment or provide details below to improve the information on BRIDGEWAY ESTATES.
| 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.