GOOD SHEPHERD LUTHERAN HOME OF SAUK RAPIDS, MN, INC. (NPI# 1396807962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396807962 |
| Entity Type | Organization |
| Organization Name | GOOD SHEPHERD LUTHERAN HOME OF SAUK RAPIDS, MN, INC. |
| Other Organization Name | GOOD SHEPHERD MEMORY LOSS COTTAGES |
| Practice Address |
1115 4th Ave N Sauk Rapids MN 56379-2201 |
| Practice Telephone | 3202526525 |
| Practice Fax Number | 3202593463 |
| Mailing Telephone | 3202526525 |
| Mailing Fax Number | 3202593463 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. BRUCE GLANZER (ADMINISTRATOR CEO) |
| Authorized Official Telephone | 3202526525 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 311500000X | Alzheimer Center (Dementia Center) | 333736 | MN | Nursing & Custodial Care Facilities |
| X | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Good Shepherd Memory Loss Cottages | Doing Business As Name - Organization |
| Street Address |
1115 4TH AVE N |
| City | SAUK RAPIDS |
| State | MN |
| Zip Code | 56379-2201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952332975 | Good Shepherd Lutheran Home of Sauk Rapids, Minnesota | Skilled Nursing Facility | 1115 4th Ave N, Sauk Rapids, MN 56379-2201 | 2006-07-06 |
| 1598132904 | Brenda Diane Breitbach | Occupational Therapist | 1115 4th Ave N, Sauk Rapids, MN 56379-2201 | 2015-09-01 |
| 1659747806 | David Miller | Speech-Language Pathologist | 1115 4th Ave N, Sauk Rapids, MN 56379-2201 | 2015-08-11 |
| 1720255995 | Shepherd Oak West Apartments Inc | Assisted Living Facility | 1115 4th Ave N, Sauk Rapids, MN 56379-2201 | 2008-05-15 |
| 1245306737 | Good Shepherd Lutheran Home of Sauk Rapids Minnesota | Home Health | 1115 4th Ave N, Sauk Rapids, MN 56379-2201 | 2006-11-27 |
| 1013008069 | Rose Hansen | Occupational Therapist | 1115 4th Ave N, Sauk Rapids, MN 56379-2201 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366902116 | Tamara Jean Christopherson | Massage Therapist | 1000 South Benton Drive Suite 415, Sauk Rapids, MN 56379 | 2019-03-20 |
| 1144718594 | Jeanne Twohy Sopcinski | Registered Nurse | Independent Lifestyles, 215 North Benton Dr, Sauk Rapids, MN 56379 | 2018-05-01 |
| 1447748728 | Mamusu Lamin | Social Worker | Independent Life Styles, Inc, 215 N. Benton Drive, Sauk Rapids, MN 56379 | 2018-04-23 |
| 1518486570 | Mw Sauk Rapids Operating, LLC | Assisted Living Facility | 1325 Summit Avenue North, Sauk Rapids, MN 56379 | 2017-09-11 |
| 1942724505 | Ashley Ann Borth | Registered Nurse | 215 N Benton Drive, Independent Lifestyles, Inc, Sauk Rapids, MN 56379 | 2017-07-26 |
| 1568905115 | April May Richardson | Registered Nurse | 215 North Benton Drive, Independent Lifestyles, Inc, Sauk Rapids, MN 56379 | 2016-11-30 |
| 1841616877 | St. Cloud Hospital | Substance Abuse Rehabilitation Facility | 1495 10th Ave Ne, Sauk Rapids, MN 56379 | 2014-03-14 |
| 1811264575 | Pamela Berglund | Physical Therapist | 115 18th St Sw 209, Sauk Rapids, MN 56379 | 2011-11-23 |
| 1407141419 | Becky Ann Canon | Registered Nurse | 215 North Benton Dr, Independent Lifestyles Inc., Sauk Rapids, MN 56379 | 2011-06-17 |
| 1811100860 | Chris Matthew Mcgrew | Dentist | 22 2nd Av S, Sauk Rapids, MN 56379 | 2007-05-07 |
| Find all providers in zip 56379 | ||||
| Taxonomy Code | 311500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Alzheimer Center (Dementia Center) |
| A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer’s Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326657156 | Twin Cities Senior Care, LLC | Alzheimer Center (Dementia Center) | 14901 Weaver Lake Rd N, Maple Grove, MN 55311-7538 | 2020-07-28 |
| 1215476148 | Heartfelt Care LLC | Alzheimer Center (Dementia Center) | 10344 Boundary Creek Ter, Maple Grove, MN 55369-2841 | 2017-02-12 |
| 1851842611 | Peace Villa Inc. | Alzheimer Center (Dementia Center) | 600 Railroad Dr, Norwood Young America, MN 55368-2601 | 2016-10-17 |
| 1013373117 | Heart To Home Incorporated | Alzheimer Center (Dementia Center) | 2351 Pagel Rd, Mendota Heights, MN 55120-1638 | 2016-01-06 |
| 1144693136 | Heart To Home Incorporated | Alzheimer Center (Dementia Center) | 659 Freeway Rd S, Mendota Heights, MN 55118-4314 | 2015-11-12 |
| 1972988509 | Edgewood May Creek LLC | Alzheimer Center (Dementia Center) | 301 10th St South, Walker, MN 56484-4754 | 2015-07-24 |
| 1427432996 | Edgewood May Creek LLC | Alzheimer Center (Dementia Center) | 299 10th St South, Walker, MN 56484-4754 | 2015-07-15 |
| 1881992329 | The Jennings Group, Inc. | Alzheimer Center (Dementia Center) | 850 Goldfinch St, Fairmont, MN 56031-3042 | 2011-03-08 |
| 1760794580 | Inver Grove Heights Wp II, LLC | Alzheimer Center (Dementia Center) | 9058 Buchanan Trail, Inver Grove Heights, MN 55077 | 2010-07-09 |
| 1083942221 | Lakeview Ranch Inc. | Alzheimer Center (Dementia Center) | 22851 Mn Highway 15, Dassel, MN 55325-3568 | 2009-11-30 |
| Find all providers with the same taxonomy | ||||
| City | SAUK RAPIDS |
| Zip Code | 56379 |
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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.