EBENEZER LAKES ASSISTED LIVING


Address: 25565 Fairview Ave, Wyoming, MN 55092-8053
Phone: 6519826228

EBENEZER LAKES ASSISTED LIVING (NPI# 1134441827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134441827
Entity Type Organization
Organization Name EBENEZER LAKES ASSISTED LIVING
Other Organization Name MEADOWS ON FAIRVIEW
Practice Address 25565 Fairview Ave
Wyoming
MN 55092-8053
Practice Telephone 6519826228
Practice Fax Number 6514660714
Mailing Telephone 6519826228
Mailing Fax Number 6514660714
Enumeration Date 2010-02-22
Last Update Date 2010-02-22
Authorized Official Name MS. KARI BETH WILSON (CAMPUS MANAGER)
Authorized Official Telephone 6519826228
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 310400000X Assisted Living Facility 345526 MN Nursing & Custodial Care Facilities

Other Provider/Organization Names

Other Name Type Code
Meadows on Fairview Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1679916571 Ebenezer Lakes Assisted Living Skilled Nursing Facility 25565 Fairview Ave, Wyoming, MN 55092-8053 2013-04-10

Office Location

Street Address 25565 FAIRVIEW AVE
City WYOMING
State MN
Zip Code 55092-8053

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477968550 Ebenezer Society, LLC Home Health 25565 Fairview Ave, Wyoming, MN 55092-8053 2014-06-26
1679916571 Ebenezer Lakes Assisted Living Skilled Nursing Facility 25565 Fairview Ave, Wyoming, MN 55092-8053 2013-04-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821696022 Wyoming Family Dental Dentist 5378 East Viking Blvd., Wyoming, MN 55092 2020-10-12
1851909436 Matthew Rohlf Dentist 5378 E Viking Blvd, Wyoming, MN 55092 2020-07-20
1669013280 Christina Marie Orde Technician 4855 261st Street, Wyoming, MN 55092 2019-10-04
1609425966 Faith Bouttell Technician 25423 Heims Lake Circle, Wyoming, MN 55092 2019-09-10
1275875031 Fairview Express Care Clinic/Center 5130 Fairview Blvd, Suite 101, Wyoming, MN 55092 2013-03-20
1023385242 St. Croix Orthopaedics, P.a. Durable Medical Equipment & Medical Supplies 5200 Fairview Blvd., Wyoming, MN 55092 2011-11-17
1902851876 Tamara Piroska Petrac-halatsis Obstetrics & Gynecology 5200 Fairview Boulevard, Ob/gyn Department, Wyoming, MN 55092 2006-05-22
1023502697 Molly Levy Nurse Practitioner 5200 Fairview Blvd, Wyoming, MN 55092 2018-06-18
1588028955 Kevin Anthony Brueske Pediatrics 5200 Fairview Blvd, Wyoming, MN 55092 2016-04-11
1376922070 Carli Lynn Ceder Physical Therapist 5130 Fairview Blvd, Wyoming, MN 55092 2015-05-27
Find all providers in zip 55092

Taxonomy Information

Taxonomy Code 310400000X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306451679 Traditions At Rivertown Park, LLC Assisted Living Facility 3555 Copper River Ave Sw, Wyoming, MI 49418-9791 2020-09-13
1104390566 Naile Boshnjaku Assisted Living Facility 5408 Mills Ridge Dr Sw, Wyoming, MI 49418-8390 2019-01-17

Providers in the same taxonomy and state

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

Competitor

Search similar providers

City WYOMING
Zip Code 55092

Improve Information

Please comment or provide details below to improve the information on EBENEZER LAKES ASSISTED LIVING.

Dataset Information

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.

Trending Searches