REM SOUTHWEST SERVICES, INC. (NPI# 1316240518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316240518 |
| Entity Type | Organization |
| Organization Name | REM SOUTHWEST SERVICES, INC. |
| Other Organization Name | REM SOUTHWEST SERVICES, INC. SUNSET |
| Practice Address |
909 Ring Ave N Canby MN 56220-1071 |
| Mailing Address |
6600 France Ave S Suite 500 Edina MN 55435-1805 |
| Practice Telephone | 9529226776 |
| Practice Fax Number | 9529226885 |
| Mailing Telephone | 9525632207 |
| Mailing Fax Number | 9529226885 |
| Enumeration Date | 2010-12-09 |
| Last Update Date | 2010-12-09 |
| Authorized Official Name | MR. PAT MASYGA (STATE DIRECTOR) |
| Authorized Official Telephone | 9529226776 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 348367 | MN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | HOUSING WITH SERVICES CERTIFICATE OF REGISTRATION | 345580 | 01 |
| MN | CLASS F LICENSE | 348367 | 01 |
| MN | HOUSING WITH SERVICES CERTIFICATE OF REGISTRATION | 345581 | 01 |
| Other Name | Type Code |
|---|---|
| REM Southwest Services, Inc. Sunset | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972678829 | Rem Southwest Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 110 Saint Olaf Ave N, Canby, MN 56220-1372 | 2006-11-22 |
| 1538341649 | Rem Southwest Services, Inc. | Home Health | 110 Saint Olaf Ave N, Canby, MN 56220-1372 | 2007-11-30 |
| Street Address |
909 RING AVE N |
| City | CANBY |
| State | MN |
| Zip Code | 56220-1071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407230824 | Melissa Konold | Physical Therapist | 112 St. Olaf Avenue S, Canby, MN 56220 | 2015-07-15 |
| 1922197714 | Jorzach Incorporated | Optometrist | 107 1st St East, Canby, MN 56220 | 2006-10-12 |
| 1942216353 | Renae Lynn Ries | Optometrist | 107 1st Street East, Canby, MN 56220 | 2006-07-31 |
| 1588606016 | Canby Drug & Gifts Inc | Durable Medical Equipment & Medical Supplies | 130 St. Olaf Ave N, Canby, MN 56220 | 2006-06-11 |
| 1356844385 | Kahley Elizabeth Meyer | Physician Assistant | 112 Saint Olaf Ave S, Canby, MN 56220 | 2018-03-15 |
| 1427064757 | James Darin Ries | Optometrist | 107 1st Street East, Canby, MN 56220 | 2006-07-31 |
| 1932288545 | Jennifer Jackson | Physical Therapist | 1001 Ring Ave N, Canby, MN 56220-1010 | 2006-11-03 |
| 1992990956 | Crystal Lindquist | Speech-Language Pathologist | 1001 Ring Ave N, Canby, MN 56220-1010 | 2007-09-12 |
| 1326248493 | Sarah N Krump | Physical Therapist | 1001 Ring Ave N, Canby, MN 56220-1010 | 2007-07-18 |
| 1003883034 | Craig Roy Kaddatz | Chiropractor | 130 1st Street W #108, Canby, MN 56220-1145 | 2006-03-08 |
| Find all providers in zip 56220 | ||||
| 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 |
|---|---|---|---|---|
| 1649895921 | Canby Alf, LLC | Assisted Living Facility | 655 Sw 13th Ave, Canby, OR 97013-4051 | 2020-06-11 |
| 1972790251 | Assisted Living Concepts Inc | Assisted Living Facility | 655 Sw 13th, Canby, OR 97013 | 2007-10-01 |
| 1447362405 | Marquis Companies I, Inc | Assisted Living Facility | 1577 S Ivy St, Canby, OR 97013-4334 | 2006-08-31 |
| 1902958374 | Sanford Health Network | Assisted Living Facility | 112 Saint Olaf Ave S, Canby, MN 56220-1433 | 2007-01-17 |
| 1326198268 | Sanford Health Network | Assisted Living Facility | 112 Saint Olaf Ave S, Canby, MN 56220-1433 | 2007-01-11 |
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| 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.