SEASONS ADULT FOSTER CARE (NPI# 1316121858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316121858 |
| Entity Type | Organization |
| Organization Name | SEASONS ADULT FOSTER CARE |
| Practice Address |
310 Wisconson Ave Se Staples MN 56479 |
| Mailing Address |
40195 Paradise Dr Browerville MN 56438-5016 |
| Practice Telephone | 2188941188 |
| Practice Fax Number | 2188940012 |
| Mailing Telephone | 2188941188 |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2007-12-19 |
| Authorized Official Name | CHRISTOPHER LOYAL CRAFT (HUMAN RESOURCES) |
| Authorized Official Telephone | 2188386757 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310500000X | Intermediate Care Facility, Mental Illness | 1049478-1-AFC | MN | Nursing & Custodial Care Facilities |
| Street Address |
310 WISCONSON AVE SE |
| City | STAPLES |
| State | MN |
| Zip Code | 56479 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437758471 | Hpm of Minnesota Pllc | Clinic/Center | 49725 Co Rd 83, Staples, MN 56479 | 2020-10-21 |
| 1639596505 | Barbara Kaneski I | Nurse Practitioner | 49725 Cty 83, Staples, MN 56479 | 2014-03-27 |
| 1932468683 | Lakewood Health System | General Acute Care Hospital | 401 Prairie Ave. N., 49725 Co. Hwy 83, Staples, MN 56479 | 2012-05-15 |
| 1821366683 | Staples Eye Clinic Psc | Optometrist | 922 Us 10 East, Staples, MN 56479 | 2011-12-08 |
| 1831364009 | Lani Longbellaroberts | Pharmacist | 49725 Cty Rd #83, Suite 100, Staples, MN 56479 | 2008-04-28 |
| 1881757169 | Peter Joseph Brenny | Dentist | 212 4th St Ne, Staples, MN 56479 | 2006-12-18 |
| 1063571446 | Longbella Drug Inc | Pharmacy | 49725 County Rd 83, Suite 100, Staples, MN 56479 | 2006-12-08 |
| 1932140837 | Lakewood Health System | Pharmacy | 49725 County Road 83, Staples, MN 56479 | 2006-06-10 |
| 1922057421 | St. Cloud Hospital | Clinic/Center | 403 East Prairie Ave, Staples, MN 56479 | 2006-05-10 |
| 1801844691 | Zachary Bailey | Dentist | 515 6th St Ne, Staples, MN 56479 | 2006-05-04 |
| Find all providers in zip 56479 | ||||
| Taxonomy Code | 310500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mental Illness |
| A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528665056 | Divine House II Inc. | Intermediate Care Facility, Mental Illness | 1508 15th St Sw, Willmar, MN 56201-3968 | 2020-10-07 |
| 1316155237 | Opportunity Manor Inc | Intermediate Care Facility, Mental Illness | 1311 13th Ave Se, Saint Cloud, MN 56304-1913 | 2007-05-21 |
| 1962528075 | A.b.l.e., Inc. | Intermediate Care Facility, Mental Illness | 105 W Elm St, Houston, MN 55943-8678 | 2007-03-21 |
| 1174649297 | A.b.l.e., Inc. | Intermediate Care Facility, Mental Illness | 1700 Lancer Blvd, La Crescent, MN 55947-1624 | 2007-03-21 |
| 1063565398 | Southside Care Center | Intermediate Care Facility, Mental Illness | 2644 Aldrich Ave S, Minneapolis, MN 55408-1307 | 2007-01-19 |
| 1952466195 | Residential Advantages, Inc | Intermediate Care Facility, Mental Illness | 1708 N Garden St, New Ulm, MN 56073-1556 | 2006-12-27 |
| 1104980366 | Dakota Communities Inc | Intermediate Care Facility, Mental Illness | 3807 W Broadway Ave, Robbinsdale, MN 55422-2207 | 2006-12-21 |
| 1922162759 | Dakota Communities Inc | Intermediate Care Facility, Mental Illness | 3801 W Broadway Ave, Robbinsdale, MN 55422-2207 | 2006-12-19 |
| 1770646366 | Dakota Communities Inc | Intermediate Care Facility, Mental Illness | 14850 75th Ave N, Maple Grove, MN 55311-2624 | 2006-12-18 |
| 1942363528 | Dakota Communities Inc | Intermediate Care Facility, Mental Illness | 150 Powell Cir W, Big Lake, MN 55309-9006 | 2006-12-18 |
| 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.