ELDERS HOME INC (NPI# 1356321624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356321624 |
| Entity Type | Organization |
| Organization Name | ELDERS HOME INC |
| Practice Address |
215 S Tousley Ave New York Mills MN 56567 |
| Mailing Address |
Po Box 188 New York Mills MN 56567 |
| Practice Telephone | 2183852005 |
| Practice Fax Number | 2183854170 |
| Mailing Telephone | 2183852005 |
| Mailing Fax Number | 2183854170 |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. CALVIN BRUCE ANDERSON (ADMINISTRATOR) |
| Authorized Official Telephone | 2183852005 |
| Authorized Official Credential | LNHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 329990 | MN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS | 8774EL | 01 | |
| MEDICA | 7100439 | 01 |
| Street Address |
215 S TOUSLEY AVE |
| City | NEW YORK MILLS |
| State | MN |
| Zip Code | 56567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164730362 | Otter Tail County Public Health | Public Health or Welfare | 118 North Main Avenue, New York Mills, MN 56567 | 2010-09-22 |
| 1740419696 | Josephine Annette Wigert | Community Health Worker | 118 North Main St., New York Mills, MN 56567 | 2009-07-13 |
| 1629204425 | Paula Rae Martenson | Registered Nurse | 118 N Main Ave, Box 99, New York Mills, MN 56567 | 2009-06-08 |
| 1689703365 | Ksteinbach, Inc | Home Health | 42690 Cty Hwy 67, New York Mills, MN 56567 | 2007-03-05 |
| 1316002488 | Independent School District 553 | Local Education Agency (LEA) | 209 Hayes St, New York Mills, MN 56567 | 2006-12-27 |
| 1750302972 | Thomas M Seaworth | Family Medicine | 20 Centennial 84 Dr W, New York Mills, MN 56567 | 2006-07-22 |
| 1285655407 | Timothy J Studer | Family Medicine | 20 Centennial 84 Dr W, New York Mills, MN 56567 | 2006-07-22 |
| 1811123573 | Jodi Lynn Misegades | Registered Nurse | 118 Main Avenue North, New York Mills, MN 56567-0099 | 2009-06-08 |
| 1013143924 | Joann Winjum | Registered Nurse | 118 No. Main St., New York Mills, MN 56567-0099 | 2009-06-05 |
| 1396817995 | Timothy Dayle Johnson | Chiropractor | 18 Main Street North, New York Mills, MN 56567-0149 | 2006-11-15 |
| Find all providers in zip 56567 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639707177 | Prairie Bluffs Rehabilitation Center LLC | Skilled Nursing Facility | 10300 Hennepin Town Rd, Eden Prairie, MN 55347-5100 | 2020-03-30 |
| 1881221869 | Natalie Sears | Skilled Nursing Facility | 1200 Cheri Ln Ne Apt 5, Fridley, MN 55421-1213 | 2020-03-26 |
| 1396210779 | Southview Operations LLC | Skilled Nursing Facility | 2000 Oakdale Avenue, West St. Paul, MN 55118 | 2018-10-11 |
| 1144707811 | Victory Health Operations, LLC | Skilled Nursing Facility | 512 - 49th Avenue North, Minneapolis, MN 55430-3621 | 2018-07-25 |
| 1710473434 | Cg Care Center, LLC. | Skilled Nursing Facility | 6993 80th Street South, Cottage Grove, MN 55016 | 2018-07-05 |
| 1457863466 | Seasons Healthcare of Trimont, Inc | Skilled Nursing Facility | 305 Broadway Avenue South, Trimont, MN 56176 | 2017-10-31 |
| 1760903157 | St. John's Lutheran Home | Skilled Nursing Facility | 1771 Eagle View Cir, Albert Lea, MN 56007-1817 | 2017-07-06 |
| 1114458221 | Lakeland Homecare LLC | Skilled Nursing Facility | 1604 Covington Ln, Eagan, MN 55122-2759 | 2017-03-22 |
| 1952842197 | Nsh Rochester East LLC | Skilled Nursing Facility | 501 8th Ave Se, Rochester, MN 55904-4834 | 2017-03-20 |
| 1750827234 | Walker Operations LLC | Skilled Nursing Facility | 209 Birchwood Avenue West, Walker, MN 56484 | 2017-01-09 |
| Find all providers with the same taxonomy | ||||
| City | NEW YORK MILLS |
| Zip Code | 56567 |
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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.