RIDGEVIEW MEDICAL CENTER (NPI# 1104954445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104954445 |
| Entity Type | Organization |
| Organization Name | RIDGEVIEW MEDICAL CENTER |
| Other Organization Name | RIDGEVIEW HOME CARE |
| Practice Address |
501 South Maple St Suite 1 Waconia MN 55387-0096 |
| Practice Telephone | 9524426030 |
| Practice Fax Number | 9524426542 |
| Mailing Telephone | 9524426030 |
| Mailing Fax Number | 9524426542 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2019-08-02 |
| Authorized Official Name | MICHAEL J PHELPS (PRESIDENT/CEO) |
| Authorized Official Telephone | 9524422191 |
| Is Organization Subpart | Y |
| Parent Organization Name | RIDGEVIEW MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 334660 | MN | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 783590600 | 05 |
| Other Name | Type Code |
|---|---|
| Ridgeview Home Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821096348 | Ridgeview Medical Center | Durable Medical Equipment & Medical Supplies | 501 S Maple St, Suite 2, Waconia, MN 55387-0096 | 2005-07-08 |
| 1407461072 | Ridgeview Medical Center | Family Medicine | 111 Hundertmark Rd, Chaska, MN 55318-4551 | 2020-09-10 |
| 1811545379 | Ridgeview Medical Center | General Acute Care Hospital | 500 S Maple St, Waconia, MN 55387-1752 | 2019-08-28 |
| 1295276483 | Ridgeview Medical Center | Clinic/Center | 551 4th St N, Winsted, MN 55395-4523 | 2017-03-20 |
| 1528311636 | Ridgeview Medical Center | Psychiatric Unit | 500 S Maple St, Waconia, MN 55387-1752 | 2012-10-26 |
| 1528364429 | Ridgeview Medical Center | Nurse Anesthetist, Certified Registered | 500 S Maple St, Waconia, MN 55387-1752 | 2011-02-10 |
| 1811174923 | Ridgeview Medical Center | Radiology | 500 S Maple St, Waconia, MN 55387-1752 | 2008-01-31 |
| 1013045350 | Ridgeview Medical Center | Hospice Care, Community Based | 501 South Maple St, Suite 1, Waconia, MN 55387-0096 | 2007-02-28 |
| 1033262902 | Ridgeview Medical Center | Non-Pharmacy Dispensing Site | 500 S Maple St, Waconia, MN 55387-1752 | 2007-01-22 |
| 1275608457 | Ridgeview Medical Center | Ambulance | 500 S Maple St, Waconia, MN 55387-1752 | 2006-11-22 |
| Street Address |
501 SOUTH MAPLE ST SUITE 1 |
| City | WACONIA |
| State | MN |
| Zip Code | 55387-0096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013045350 | Ridgeview Medical Center | Hospice Care, Community Based | 501 South Maple St, Suite 1, Waconia, MN 55387-0096 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023626256 | Katelyn Neufeld | Midwife | Western Obgyn 560 S Maple St, Suite 130, Waconia, MN 55387 | 2020-07-14 |
| 1871074674 | Ashley Bea Johnson | Registered Nurse | 1866 Sandbar Cir, Waconia, MN 55387 | 2018-08-28 |
| 1740642529 | Ryan Christenson | Chiropractor | 32 E Main St., Waconia, MN 55387 | 2016-03-22 |
| 1942638481 | Katie Elizabeth Leuning-pavek | Marriage & Family Therapist | 1657 Interlaken Ct, Waconia, MN 55387 | 2013-10-18 |
| 1083964837 | Auburn Meadows, LLC | Assisted Living Facility | 591 S. Cherry Dr, Waconia, MN 55387 | 2012-09-19 |
| 1114238821 | Jalissa Joy Kruckman | Dentist | 576 Cherry Dr, Waconia, MN 55387 | 2010-06-28 |
| 1194990143 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 121 Depot Dr, Waconia, MN 55387 | 2008-04-29 |
| 1417156662 | Heather Anne Noel Tuttle | Optometrist | 753 Marketplace Drive, Waconia, MN 55387 | 2007-07-17 |
| 1366507436 | Waconia School District | Local Education Agency (LEA) | 512 Industrial Blvd, Waconia, MN 55387 | 2006-12-27 |
| 1295898872 | Haven Chemical Health Systems | Counselor | 233 1st St W, Waconia, MN 55387 | 2006-12-18 |
| Find all providers in zip 55387 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538207378 | Ace Resource Center, Inc. | Home Health | 1624 Island Pass, Waconia, MN 55387-9455 | 2007-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770399 | Tender Care Providers LLC | Home Health | 1794 Switchgrass Cir, Shakopee, MN 55379-8533 | 2020-11-07 |
| 1194326942 | Shakur Abdisalam | Home Health | 1440 E Old Shakopee Rd, Bloomington, MN 55425-2438 | 2020-11-06 |
| 1821699182 | Immediate Home Health Care LLC | Home Health | 2817 Anthony Ln S Ste 210, St Anthony, MN 55418-2488 | 2020-11-03 |
| 1093315780 | Eco Green Corporation | Home Health | 3274 98th Cir N, Brooklyn Park, MN 55443-1846 | 2020-10-30 |
| 1841899846 | Hands On Care | Home Health | 1550 Larpenteur Ave W Apt 423, Falcon Heights, MN 55113-6364 | 2020-10-21 |
| 1326646191 | Rose Pratt | Home Health | 121 83rd Ave Ne Apt 310, Fridley, MN 55432-1893 | 2020-10-14 |
| 1255939369 | Mn Health LLC | Home Health | 784 Cougar Dr, Eagan, MN 55123-2069 | 2020-10-12 |
| 1942807672 | Twin Cities Group Homes LLC | Home Health | 711 22nd Ave Ne, Minneapolis, MN 55418-3601 | 2020-10-06 |
| 1801493721 | Shifaa Care Inc | Home Health | 7038 Brooklyn Blvd Unit D, Brooklyn Center, MN 55429-1370 | 2020-10-04 |
| 1841807450 | Shire Homecare Agency | Home Health | 618 9th Ave S Apt 307, Minneapolis, MN 55415-4608 | 2020-09-28 |
| 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.