CROIXDALE (NPI# 1295151413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295151413 |
| Entity Type | Organization |
| Organization Name | CROIXDALE |
| Practice Address |
750 Highway 95 N Bayport MN 55003-1085 |
| Practice Telephone | 6512754800 |
| Mailing Telephone | 6512754800 |
| Enumeration Date | 2014-03-12 |
| Last Update Date | 2014-03-12 |
| Authorized Official Name | MARK MEYER (CFO) |
| Authorized Official Telephone | 6516316120 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 358748 | MN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | UMPI | A708973000 | 01 |
| Street Address |
750 HIGHWAY 95 N |
| City | BAYPORT |
| State | MN |
| Zip Code | 55003-1085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730393737 | Odyssey Juvenile Services | Counselor | 1600 Cty Rd 55, Hastings, MN 55003 | 2007-05-09 |
| 1619091659 | Odyssey Programs, LLC | Counselor | 1600 Highway 55, Hastings, MN 55003 | 2007-03-16 |
| 1861521544 | Scott Howard Edlin | Chiropractor | 210 3rd St N, Bayport, MN 55003-1027 | 2007-03-05 |
| 1447430228 | Inspired Chiropractic | Chiropractor | 210 3rd St N, Bayport, MN 55003-1027 | 2007-11-08 |
| 1487843819 | Clemmens Chiropractic, P.a. | Chiropractor | 210 3rd St N, Bayport, MN 55003-1027 | 2007-10-22 |
| 1124094289 | William B Shea | Dentist | 277 3rd St N, Bayport, MN 55003-1028 | 2006-02-27 |
| 1821650482 | Evgeny Bashirov | Dentist | 277 3rd St N, Bayport, MN 55003-1028 | 2019-07-03 |
| 1376063818 | Jay Feuillerat | Dentist | 277 3rd St N, Bayport, MN 55003-1028 | 2017-06-26 |
| 1134298839 | Deborah Diekmann | Dentist | 277 3rd St N, Bayport, MN 55003-1028 | 2006-11-07 |
| 1225107998 | Bruce F Filson Dds Pa | Dentist | 277 3rd St N, Bayport, MN 55003-1028 | 2006-11-07 |
| Find all providers in zip 55003 | ||||
| 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 |
|---|---|---|---|---|
| 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.