SISTERS OF MARY OF THE PRESENTATION LONG TERM CARE (NPI# 1053316497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053316497 |
| Entity Type | Organization |
| Organization Name | SISTERS OF MARY OF THE PRESENTATION LONG TERM CARE |
| Other Organization Name | VILLA MARIA |
| Practice Address |
3102 S University Drive Fargo ND 58103 |
| Practice Telephone | 7012937750 |
| Practice Fax Number | 7012935845 |
| Mailing Telephone | 7012937750 |
| Mailing Fax Number | 7012935845 |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2008-07-28 |
| Authorized Official Name | MR. MICHAEL PFEIFER (PRESIDENT CEO) |
| Authorized Official Telephone | 7012937750 |
| Is Organization Subpart | Y |
| Parent Organization Name | SISTERS OF MARY OF THE PRESENTATION LONG TERM CARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 1023B | ND | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 030419 | 05 |
| Other Name | Type Code |
|---|---|
| Villa Maria | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295730653 | Sisters of Mary of The Presentation Long Term Care | Skilled Nursing Facility | 110 Hillcrest Dr, Enderlin, ND 58027-1129 | 2005-06-14 |
| 1295738193 | Sisters of Mary of The Presentation Long Term Care | Skilled Nursing Facility | 501 19th St Ne, Jamestown, ND 58401-2541 | 2005-05-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SISTERS OF MARY OF THE PRESENTATION LONG TERM CARE | 1202 Page Drive Sw, Fargo, ND 58106-2340 |
| Street Address |
3102 S UNIVERSITY DRIVE |
| City | FARGO |
| State | ND |
| Zip Code | 58103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659924843 | Amanda Hericks | Dentist | 1338 Gateway Drive S, Fargo, ND 58103 | 2019-07-17 |
| 1285298240 | Ann Louise Breen | Optometrist | Sanford Southpointe Eye Center & Optical, 2400 32nd Ave. S., Fargo, ND 58103 | 2019-04-25 |
| 1245706597 | Lisa Elaine Livingston | Counselor | 1337 14 and Half St. S., Fargo, ND 58103 | 2018-10-15 |
| 1528569662 | Misty Lynn Hagen | Counselor | 901 28th St. South, Suite B, Fargo, ND 58103 | 2018-02-23 |
| 1083133011 | Faith Homecare Professionals LLC | Home Health | 304 25th St S, Suite B, Fargo, ND 58103 | 2017-09-11 |
| 1982138749 | Matthew Troyer | Pharmacist | 2425 13th Ave, Fargo, ND 58103 | 2017-04-18 |
| 1801338504 | Amy Nguyen Christianson | Chiropractor | 1650 45th St S Ste 113, Fargo, ND 58103 | 2016-11-11 |
| 1245772359 | Andrea Marie Hanson | Nurse Practitioner | 2400 32nd Ave South, Fargo, ND 58103 | 2016-11-07 |
| 1831647940 | Abigail Carmen Burkett Vetter | Nurse Practitioner | 2928 University Dr S Suite 101, Fargo, ND 58103 | 2016-09-18 |
| 1013361302 | Nancy Knowlton | Speech-Language Pathologist | 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103 | 2016-04-22 |
| Find all providers in zip 58103 | ||||
| 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 |
|---|---|---|---|---|
| 1164809562 | Eventide Fargo LLC | Skilled Nursing Facility | 3225 51st St S, Fargo, ND 58104-7180 | 2015-05-05 |
| 1144485608 | Villa Maria | Skilled Nursing Facility | 3102 University Dr S, Fargo, ND 58103-6004 | 2008-07-24 |
| 1972545572 | Manor Care of Fargo Nd LLC | Skilled Nursing Facility | 1315 University Dr S, Fargo, ND 58103-4144 | 2006-06-11 |
| 1720076482 | Elim Homes, Inc. | Skilled Nursing Facility | 3534 University Dr S, Fargo, ND 58104-6228 | 2005-10-07 |
| 1578567996 | Sisters of Mary of The Presentation Long-term Care | Skilled Nursing Facility | 1351 Broadway N, Fargo, ND 58102-2638 | 2005-06-13 |
| 1093210510 | Fargo Nursing and Rehab Center, LLC | Skilled Nursing Facility | 1315 University Dr S, Fargo, ND 58103-4144 | 2018-03-27 |
| 1821340712 | Elim Homes | Skilled Nursing Facility | 3534 University Dr S, Fargo, ND 58104-6228 | 2012-10-03 |
| 1043451123 | Bethany On 42nd | Skilled Nursing Facility | 201 University Dr S, Fargo, ND 58103-1775 | 2009-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760033997 | Oluwakemi Isokpan | Skilled Nursing Facility | 1323 Legion Ln W, West Fargo, ND 58078-8523 | 2019-09-29 |
| 1841691789 | Tufte Manor | Skilled Nursing Facility | 3300 Cherry St, Grand Forks, ND 58201-7634 | 2014-09-10 |
| 1861745838 | Benedictine Living Community of Wahpeton | Skilled Nursing Facility | 711 14th Avenue North, Wahpeton, ND 58075 | 2012-10-16 |
| 1215256078 | Eventide Jamestown LLC | Skilled Nursing Facility | 1300 2nd Pl Ne, Jamestown, ND 58401-3709 | 2010-05-19 |
| 1427371889 | Benedictine Living Communities-bismarck, Inc. | Skilled Nursing Facility | 4580 Coleman Street, Bismarck, ND 58503-0347 | 2010-03-12 |
| 1508197013 | The Evangelical Lutheran Good Samaritan Society | Skilled Nursing Facility | 301 Lorrain Dr, Bismarck, ND 58503-0311 | 2010-01-22 |
| 1477737625 | Pat Sitzer | Skilled Nursing Facility | 751 1st St., Pat Sizer, Minto, ND 58261 | 2007-12-24 |
| 1205041985 | Benedictine Living Center of Garrison | Skilled Nursing Facility | 609 Fourth Ave Ne, Garrison, ND 58540-0219 | 2007-05-14 |
| 1811039316 | Dunseith Community Nursing Home | Skilled Nursing Facility | 15 First St Ne, Dunseith, ND 58329 | 2007-02-12 |
| 1356487565 | Pembina County Memorial Hospital Association | Skilled Nursing Facility | 804 Main St W, Cavalier, ND 58220-4646 | 2007-01-29 |
| 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.