RESIDENTIAL ADVANTAGES, INC. (NPI# 1043375272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043375272 |
| Entity Type | Organization |
| Organization Name | RESIDENTIAL ADVANTAGES, INC. |
| Practice Address |
107 S Blue Mound Ave Luverne MN 56156-1924 |
| Mailing Address |
220 Milwaukee St Ste 2 Lakefield MN 56150-9495 |
| Practice Telephone | 5072834088 |
| Practice Fax Number | 5072839448 |
| Mailing Telephone | 5076625236 |
| Mailing Fax Number | 5076625235 |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DEVIN NELSON (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 5072334400 |
| Authorized Official Credential | COO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 801449-1RS | MN | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457416695 | Residential Advantages, Inc. | Intermediate Care Facility, Mentally Retarded | 945 Prospect Ave # 947, Windom, MN 56101-1753 | 2006-12-27 |
| Street Address |
107 S BLUE MOUND AVE |
| City | LUVERNE |
| State | MN |
| Zip Code | 56156-1924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487119889 | Healing Path Counseling & Wellness, P.l.l.c. | Counselor | 215 N. Cedar St., Luverne, MN 56156 | 2019-02-10 |
| 1790971604 | Lori J. Mulder | Occupational Therapist | 1600 N Kniss, Luverne, MN 56156 | 2007-09-25 |
| 1780743088 | David L Knips | Nurse Anesthetist, Certified Registered | 1600 N. Kniss Ave., Luverne, MN 56156 | 2006-12-06 |
| 1497703045 | Sanford Health Network | General Acute Care Hospital | 1600 N Kniss Ave, Luverne, MN 56156 | 2006-05-05 |
| 1780676189 | Judy Sternberg Chesley | Family Medicine | 1601 Sioux Valley Dr, Luverne, MN 56156 | 2005-08-22 |
| 1518959915 | Timothy P Ceynowa | Family Medicine | 1601 Sioux Valley Drive, Luverne, MN 56156 | 2005-08-22 |
| 1487167763 | Ashley Jean Wilcox | Social Worker | 117 S Spring St, Luverne, MN 56156 | 2017-11-09 |
| 1205279320 | Erica Sue Hough | Counselor | 118 W Main St, Luverne, MN 56156 | 2013-04-08 |
| 1225397763 | Codie Lee Zeutenhorst | Chiropractor | 109 S Freeman Ave, Luverne, MN 56156 | 2012-05-03 |
| 1053507350 | Kathleen Marie Loosbrock | Physical Therapy Assistant | 1600 N Kniss Ave, Luverne, MN 56156 | 2007-09-20 |
| Find all providers in zip 56156 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922502418 | Harry Meyering Center, Inc. | Intermediate Care Facility, Mentally Retarded | 2050 Haughton Ave, North Mankato, MN 56003-1416 | 2018-03-20 |
| 1114385085 | Lutheran Social Service of Minnesota | Intermediate Care Facility, Mentally Retarded | 11754 191 1/2 Ave Nw, Elk River, MN 55330-1367 | 2016-02-05 |
| 1255797718 | Lutheran Social Service of Minnesota | Intermediate Care Facility, Mentally Retarded | 497 Gates Ave Nw, Elk River, MN 55330-2633 | 2016-01-13 |
| 1891195608 | Prairie Community Services | Intermediate Care Facility, Mentally Retarded | 2203 Rolling Green Ln, North Mankato, MN 56003-4459 | 2014-08-28 |
| 1336560333 | Rem Woodvale, Inc. Cottonwood | Intermediate Care Facility, Mentally Retarded | 2311 9th Avenue Sw, Austin, MN 55912 | 2013-12-18 |
| 1801228937 | Rem River Bluffs, Inc. Pinewood | Intermediate Care Facility, Mentally Retarded | 2631 Pinewood Ridge Dr Se, Rochester, MN 55904-6227 | 2013-07-31 |
| 1205111770 | Rem Ramsey, Inc. | Intermediate Care Facility, Mentally Retarded | 975 Lakewood Drive, Maplewood, MN 55119 | 2011-10-17 |
| 1306171939 | Rem Ramsey, Inc. | Intermediate Care Facility, Mentally Retarded | 797 Mayhill Rd N, Maplewood, MN 55119-3828 | 2009-10-15 |
| 1003073487 | Harmony Homes of Minnesota LLC | Intermediate Care Facility, Mentally Retarded | 7935 Drake Rd, Woodbury, MN 55125-1446 | 2008-05-22 |
| 1508033580 | Allendale House | Intermediate Care Facility, Mentally Retarded | 3108 Highway 52 N, Rochester, MN 55901-1916 | 2008-05-09 |
| 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.