BRIDGEWELL (NPI# 1205099231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205099231 |
| Entity Type | Organization |
| Organization Name | BRIDGEWELL |
| Other Organization Name | GALEON |
| Practice Address |
410 W Main St Osakis MN 56360-8243 |
| Practice Telephone | 3208592142 |
| Practice Fax Number | 3208596292 |
| Mailing Telephone | 3208592142 |
| Mailing Fax Number | 3208596292 |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2011-11-28 |
| Authorized Official Name | DAVE BRUCE CARLSON (ADMINISTRATOR) |
| Authorized Official Telephone | 3208592142 |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMUNITY MEMORIAL HOME AT OSAKIS MINNESOTA INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 339876 | MN | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Galeon | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285087254 | Bridgewell | Clinic/Center | 66 Silsbee St, Lynn, MA 01901-1414 | 2016-07-14 |
| 1497088546 | Bridgewell | Registered Nurse | 471 Broadway, Lynnfield, MA 01940-1401 | 2009-09-08 |
| 1336292887 | Bridgewell | Day Training, Developmentally Disabled Services | 162 Boston St, Lynn, MA 01904-3133 | 2007-01-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | BRIDGEWELL AGRIBUSINESS LLC | 12420 Se Carpenter Dr, Clackamas, OR 97015 |
| Iowa Business Entities | BRIDGEWELL AGRIBUSINESS LLC | 12420 Se Carpenter Dr, Clackamas, OR 97015 |
| Washington State Corporations | BRIDGEWELL AGRIBUSINESS LLC | 12420 Se Carpenter Dr, Clackamas, OR 97015-9077 |
| Colorado Business Entities | Bridgewell Agribusiness LLC | 12420 Se Carpenter Dr, Clackamas, OR 97015 |
| Colorado Business Entities | BridgeWell Assist, Inc. | 6073 W. 44th Ave. #310, Wheat Ridge, CO 80033 |
| Oregon Corporations, Companies and Business Names | BRIDGEWELL BARRIERS LLC | 10200 Sw Greenburg Rd Ste 400, Tigard, OR 97223 |
| Colorado Business Entities | Bridgewell Capital LLC | 496 Delaney Ave, Ste 408, Orlando, FL 32801 |
| Iowa Business Entities | BRIDGEWELL CAPITAL LLC | 710 Vassar St, Orlando, FL 32804 |
| Connecticut Business Registrations | BRIDGEWELL CAPITAL LLC | 496 Delaney Ave, Ste 408, Orlando, FL 32801 |
| Massachusetts Corporations | BRIDGEWELL CAPITAL LLC | 710 Vassar St., Orlando, FL 32804 |
| Street Address |
410 W MAIN ST |
| City | OSAKIS |
| State | MN |
| Zip Code | 56360-8243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699217505 | Eric Nefstead | Physical Therapist | 410 W Main St, Osakis, MN 56360-8243 | 2016-11-09 |
| 1073633202 | Terrace Heights Assisted Living Apartments | Assisted Living Facility | 410 W Main St, Osakis, MN 56360-8243 | 2007-03-30 |
| 1659420685 | West View Assisted Living Apartments | Assisted Living Facility | 410 W Main St, Osakis, MN 56360-8243 | 2007-01-09 |
| 1326196890 | Community Memorial Home At Osakis Minn Incorporated | Skilled Nursing Facility | 410 W Main St, Osakis, MN 56360-8243 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124169446 | Michael Lloyd Buffington | Chiropractor | 52 West Main St, Osakis, MN 56360 | 2007-02-09 |
| 1962561522 | Ind School Dist 213 Douglas & Todd Cos | Local Education Agency (LEA) | 500 First Ave E, Osakis, MN 56360 | 2006-12-08 |
| 1780774612 | Thrifty Drug Stores Inc | Durable Medical Equipment & Medical Supplies | 200 Central Avenue, Osakis, MN 56360 | 2006-10-13 |
| 1134607195 | Chelsie Jo Rust | Counselor | 410 West Main Street, Osakis, MN 56360 | 2018-08-01 |
| 1891133922 | Raymond Steven Glaser | Pharmacist | Po Box V, Osakis, MN 56360-0622 | 2013-06-11 |
| 1962708503 | Bruce Michael Samson | General Practice | 13234 Fawn Dr, Osakis, MN 56360-4858 | 2011-01-30 |
| 1417920190 | Susan Krista Rutten Wasson | Clinic/Center | 200 Nokomis St., Osakis, MN 56360-4920 | 2006-02-10 |
| 1316437650 | Lori Jean Rasmusen | Behavior Technician | 121 County Road 3 Ne, Osakis, MN 56360-8007 | 2018-05-11 |
| 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 |
|---|---|---|---|---|
| 1073633202 | Terrace Heights Assisted Living Apartments | Assisted Living Facility | 410 W Main St, Osakis, MN 56360-8243 | 2007-03-30 |
| 1659420685 | West View Assisted Living Apartments | Assisted Living Facility | 410 W Main St, Osakis, MN 56360-8243 | 2007-01-09 |
| 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 |
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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.