AUGUSTANA SENIOR DEVELOPMENT II (NPI# 1154639128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154639128 |
| Entity Type | Organization |
| Organization Name | AUGUSTANA SENIOR DEVELOPMENT II |
| Other Organization Name | EASTWOOD SENIOR LIVING |
| Practice Address |
170 Valhalla Circle Mora MN 55051 |
| Practice Telephone | 3206794789 |
| Mailing Telephone | 3206794789 |
| Enumeration Date | 2010-09-23 |
| Last Update Date | 2018-04-02 |
| Authorized Official Name | CRAIG KITTELSON (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 6122385205 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 349304 | MN | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Eastwood Senior Living | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154943199 | Augustana Senior Development II | Assisted Living Facility | 4350 Chippewa Ct, Medina, MN 55340-4013 | 2020-05-13 |
| 1992279533 | Augustana Senior Development II | Assisted Living Facility | 1100 1st St Se, New Prague, MN 56071-2604 | 2019-01-16 |
| 1801392873 | Augustana Senior Development II | Assisted Living Facility | 30 Silver Lake Pl Nw, Rochester, MN 55901-3257 | 2018-03-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | AUGUSTANA SENIOR DEVELOPMENT II, LLC | 1425 10th Ave S Suite 100, Minneapolis, MN 55404 |
| Street Address |
170 VALHALLA CIRCLE |
| City | MORA |
| State | MN |
| Zip Code | 55051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801407085 | Anna Insley | Pharmacist | 301 Mn-65, Inpatient Pharmacy, Mora, MN 55051 | 2020-08-12 |
| 1609286368 | Love The Journey Inc | Clinic/Center | 23 Pine St N, Mora, MN 55051 | 2014-05-04 |
| 1386981637 | Urology Associates, Ltd. | Urology | 244 7th Street North, Mora, MN 55051 | 2013-01-07 |
| 1710236138 | Rebecca Suzanne Autio | Nurse Practitioner | 301 Highway 65 South, Mora, MN 55051 | 2012-08-30 |
| 1306064423 | Matthew Gordon Allen | Family Medicine | 331 South Highway 65, Mora, MN 55051 | 2007-04-23 |
| 1942359278 | Ralph Dale Swenson | Dentist | 620 S Union, Mora, MN 55051 | 2007-01-09 |
| 1376620013 | Mora Chiropractic Clinic P.C. | Chiropractor | 114 W Maple Ave, Mora, MN 55051 | 2006-11-01 |
| 1629181094 | Janice Lea Fleming | Internal Medicine | 301 S Hwy 65, Kanabee Hospital, Mora, MN 55051 | 2006-08-17 |
| 1467407502 | James Matthew Williams | Dentist | 620 S Union St, Mora, MN 55051 | 2006-05-24 |
| 1235129743 | Matthew D Schultz | Family Medicine | 301 S. Hwy 65, Mora, MN 55051 | 2005-10-26 |
| Find all providers in zip 55051 | ||||
| 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 |
|---|---|---|---|---|
| 1891179271 | Benedictine Living Community of Mora | Assisted Living Facility | 170 Valhalla Cir, Mora, MN 55051-4905 | 2015-07-15 |
| 1629612536 | Mora Housing and Redevelopment Authority | Assisted Living Facility | 170 Valhalla Cir, Mora, MN 55051-4905 | 2019-11-04 |
| 1811293590 | Benedictine Living Community of Mora | Assisted Living Facility | 110 7th St N, Mora, MN 55051-1110 | 2011-01-28 |
| 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 | ||||
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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.