THE ENCORE AT MAHTOMEDI (NPI# 1255971685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255971685 |
| Entity Type | Organization |
| Organization Name | THE ENCORE AT MAHTOMEDI |
| Practice Address |
720 Mahtomedi Ave Saint Paul MN 55115-1671 |
| Mailing Address |
101 N Wacker Dr Ste 608 Chicago IL 60606-1726 |
| Practice Telephone | 6515288442 |
| Mailing Telephone | 3126230884 |
| Mailing Fax Number | 3124624462 |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2020-03-03 |
| Authorized Official Name | MR. THOMAS MILLARD OSTROM (PRESIDENT) |
| Authorized Official Telephone | 3126230884 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Street Address |
720 MAHTOMEDI AVE |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55115-1671 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235742115 | Berger Built Construction Co. Inc. | Contractor | 217 Maple Street, Mahtomedi, MN 55115 | 2020-08-28 |
| 1730471517 | Erin Jeanine Schmidt | Family Medicine | 700 Wildwood Rd, Mahtomedi, MN 55115 | 2011-05-11 |
| 1770710972 | Perri Lynn Kauls | Dentist | 12 Long Lake Road, Number 12, Mahtomedi, MN 55115 | 2009-06-15 |
| 1538218284 | Mahtomedi Natural Care Center | Chiropractor | 1526 Mahtomedi Ave, Mahtomedi, MN 55115 | 2007-01-10 |
| 1619025855 | Gina Christine Nelson | Chiropractor | 1526 Mahtomedi Avenue, Mahtomedi, MN 55115 | 2007-01-06 |
| 1295824126 | City of Mahtomedi | Ambulance | 800 Stillwater Rd, Mahtomedi, MN 55115 | 2006-10-11 |
| 1730125063 | Richard Winfield Copeland Jr. | Dentist | 130 Hickory St, Mahtomedi, MN 55115 | 2006-06-22 |
| 1922475920 | Group Health Plan, Inc. | Family Medicine | 700 Wildwood Rd, Mahtomedi, MN 55115 | 2015-08-25 |
| 1871132308 | Tyler Jordan Depaulis | Chiropractor | 12 Long Lake Rd Ste 19, Mahtomedi, MN 55115-1200 | 2020-01-01 |
| 1205214525 | Brittany Greeder | Specialist/Technologist | 9960 Justen Trl N, Mahtomedi, MN 55115-1328 | 2015-05-07 |
| Find all providers in zip 55115 | ||||
| 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 |
|---|---|---|---|---|
| 1811509870 | Aurora Assisted Living LLC | Assisted Living Facility | 115 Magnolia Ave W, Saint Paul, MN 55117-4916 | 2020-08-20 |
| 1447868468 | Brightstar Services LLC | Assisted Living Facility | 1821 University Ave W Ste 120, Saint Paul, MN 55104-2811 | 2020-07-15 |
| 1770106205 | Hazel Senior Living | Assisted Living Facility | 1109 Hazel St N, Saint Paul, MN 55119-4806 | 2020-05-19 |
| 1013564236 | Sunlight Senior Living I LLC | Assisted Living Facility | 400 Western Ave N, Saint Paul, MN 55103-2277 | 2019-08-22 |
| 1619441979 | Friendship Place | Assisted Living Facility | 152 King St W, Saint Paul, MN 55107-2723 | 2019-01-18 |
| 1619400199 | Ktj 270 LLC | Assisted Living Facility | 4650 Centerville Rd, Saint Paul, MN 55127-2301 | 2017-04-11 |
| 1265821961 | Ramsey Hill Senior Living LLC | Assisted Living Facility | 945 Sibley Memorial Hwy, Saint Paul, MN 55118-2737 | 2015-01-19 |
| 1699191890 | Central Towers Limited Partnership | Assisted Living Facility | 20 Exchange St E, Saint Paul, MN 55101-5200 | 2014-03-12 |
| 1548510126 | Lilydale Senior Living LLC | Assisted Living Facility | 949 Sibley Memorial Hwy, Saint Paul, MN 55118-3601 | 2012-09-11 |
| 1093061483 | Care for Less Inc | Assisted Living Facility | 970 Burr St, Saint Paul, MN 55130-3906 | 2012-08-03 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55115 |
Please comment or provide details below to improve the information on THE ENCORE AT MAHTOMEDI.
| 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.