BLOOMINGTON BETHANY SENIOR HOUSING,INC (NPI# 1053737213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053737213 |
| Entity Type | Organization |
| Organization Name | BLOOMINGTON BETHANY SENIOR HOUSING,INC |
| Other Organization Name | FOUNDERS RIDGE |
| Practice Address |
6600 Auto Club Rd Bloomington MN 55438-2425 |
| Practice Telephone | 9529415047 |
| Mailing Telephone | 9529415047 |
| Enumeration Date | 2014-03-12 |
| Last Update Date | 2014-03-12 |
| Authorized Official Name | MARK MEYER (CFO) |
| Authorized Official Telephone | 6516316120 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 365261 | MN | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| FOUNDERS RIDGE | Other Name - Individual/Organization |
| Street Address |
6600 AUTO CLUB RD |
| City | BLOOMINGTON |
| State | MN |
| Zip Code | 55438-2425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912425570 | Angela Marie Gilbert | Registered Nurse | 10700 Brunswick Rd Unit 316, Bloomington, MN 55438 | 2017-09-05 |
| 1609905686 | Marypat Habermas | Pharmacist | 7349 Bush Lake Dr, Bloomington, MN 55438 | 2007-03-05 |
| 1629564620 | Andrea Jean Hegland | Pharmacist | One Veterans Drive, Pharmacy Service (119), Minneapolis, MN 55438 | 2018-07-03 |
| 1861050197 | Dustin James Javers | Physical Therapist | 8100 Highwood Dr, Bloomington, MN 55438-1006 | 2019-06-01 |
| 1285156240 | Dawn Marie Johnson | Occupational Therapy Assistant | 8100 Highwood Dr, Bloomington, MN 55438-1006 | 2017-07-12 |
| 1154777654 | Jennifer Bean | Occupational Therapy Assistant | 8100 Highwood Dr, Bloomington, MN 55438-1006 | 2016-05-13 |
| 1831588250 | Sia Bacas Langum | Occupational Therapist | 8100 Highwood Dr, Bloomington, MN 55438-1006 | 2015-01-22 |
| 1073948576 | Kathleen Ann Linnan Rudgers | Physical Therapy Assistant | 8100 Highwood Dr, Bloomington, MN 55438-1006 | 2013-09-04 |
| 1508201211 | Barbara Ann Spleiss | Occupational Therapy Assistant | 8100 Highwood Dr, Bloomington, MN 55438-1006 | 2013-05-08 |
| 1194160895 | Patty Norby | Physical Therapist | 8100 Highwood Dr, Bloomington, MN 55438-1006 | 2013-05-08 |
| Find all providers in zip 55438 | ||||
| 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 |
|---|---|---|---|---|
| 1881216430 | Prosper Home Health and Transportation | Assisted Living Facility | 10025 Colfax Ave S, Bloomington, MN 55431-3133 | 2020-05-16 |
| 1881104289 | Ev Bloomington Limited Partnership | Assisted Living Facility | 3607 South Heirloom Drive, Bloomington, IN 47401 | 2017-10-11 |
| 1154794089 | Residential Care At Nine Mile Creek | Assisted Living Facility | 10641 James Rd, Bloomington, MN 55431-4130 | 2015-10-30 |
| 1235470907 | Tealwood Management, LLC | Assisted Living Facility | 7400 W 109th St, Bloomington, MN 55438-2374 | 2013-03-06 |
| 1295008787 | Nine Mile Catered Living | Assisted Living Facility | 2301 Village Ln, Bloomington, MN 55431-5810 | 2012-02-15 |
| 1992004071 | Breck Home Residential Care Center, LLC | Assisted Living Facility | 312 W 95th St, Bloomington, MN 55420-4311 | 2011-03-15 |
| 1154628915 | The James Inc Assited Living | Assisted Living Facility | 4533 Normandale Highlands Dr, Bloomington, MN 55437-2310 | 2011-02-14 |
| 1861721169 | Metropolitan Living, LLC | Assisted Living Facility | 1400 W 100th St, Bloomington, MN 55431-3125 | 2009-12-15 |
| 1760618607 | Metropolitan Living, LLC | Assisted Living Facility | 9230 5th Ave S, Bloomington, MN 55420-3812 | 2009-06-05 |
| 1568613594 | Nervana's Caring Hands Inc. | Assisted Living Facility | 8719 Bloomington Ave, Bloomington, MN 55425-1923 | 2008-10-08 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 55438 |
Please comment or provide details below to improve the information on BLOOMINGTON BETHANY SENIOR HOUSING,INC.
| 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.