ROBERT LENNARTSON (NPI# 1396839148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396839148 |
| Entity Type | Organization |
| Organization Name | ROBERT LENNARTSON |
| Other Organization Name | NEW BEGINNINGS |
| Practice Address |
8251 Ingleside Ave South Cottage Grove MN 55016 |
| Practice Telephone | 6514580813 |
| Practice Fax Number | 6517692620 |
| Mailing Telephone | 6514580813 |
| Mailing Fax Number | 6517692620 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2008-09-08 |
| Authorized Official Name | MR. ROBERT BLAKE LENNARTSON (OWNER) |
| Authorized Official Telephone | 6514580813 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
235363-4-AFC | MN | Nursing & Custodial Care Facilities |
| Y | 320700000X | Residential Treatment Facility, Physical Disabilities | 235363-2-AFC | MN | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| New Beginnings | Doing Business As Name - Organization |
| Street Address |
8251 INGLESIDE AVE SOUTH |
| City | COTTAGE GROVE |
| State | MN |
| Zip Code | 55016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073161519 | Kathleen Johnson | Technician | 7436 Hinton Park Ave South, Cottage Grove, MN 55016 | 2019-08-28 |
| 1710473434 | Cg Care Center, LLC. | Skilled Nursing Facility | 6993 80th Street South, Cottage Grove, MN 55016 | 2018-07-05 |
| 1235532771 | Lydia Sirucek | Nurse Practitioner | 8611 E Point Douglas Rd, Cottage Grove, MN 55016 | 2014-09-29 |
| 1366859746 | Home Care Service Providers Inc. | Home Health | 9635 Hamlet Ave, Cottage Grove, MN 55016 | 2014-07-17 |
| 1942622089 | Wal-mart Stores, Inc. | Technician/Technologist | 9300 East Point Douglas Rd S, Cottage Grove, MN 55016 | 2014-01-08 |
| 1255770962 | Southside At The Cottage Grove Site | Family Medicine | 8454 East Point Douglas Road, Cottage Grove, MN 55016 | 2013-06-17 |
| 1710222088 | Santori Chiropractic Center, LLC | Chiropractor | 7155 80th Street So, Cottage Grove, MN 55016 | 2012-11-28 |
| 1609151414 | Kenneth Nworah Okafor | Pharmacist | 7015 East Point Douglas Road, Cottage Grove, MN 55016 | 2011-10-13 |
| 1134432925 | Elizabeth Frances Rezek | Social Worker | 8813 Hale Ave S, Cottage Grove, MN 55016 | 2010-07-21 |
| 1841420882 | Mark Joseph Mangine | Physical Therapist | 6936 Pine Arbor Dr S Ste 150, Cottage Grove, MN 55016 | 2009-07-24 |
| Find all providers in zip 55016 | ||||
| Taxonomy Code | 320700000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Physical Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871711507 | Triple Angels Healthcare Incorporation | Residential Treatment Facility, Physical Disabilities | 9724 84th Street Cir S, Cottage Grove, MN 55016-4931 | 2007-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750732202 | Miriam Home Health Corporation | Residential Treatment Facility, Physical Disabilities | 7030 Humboldt Avenue North, Brooklyn Center, MN 55430 | 2016-06-27 |
| 1841676459 | Bolat Incorporated | Residential Treatment Facility, Physical Disabilities | 1150 4th Street West, Hastings, MN 55033-1607 | 2015-08-05 |
| 1598165359 | Sunflake | Residential Treatment Facility, Physical Disabilities | 6525 Central Ave Ne Unit 2, Fridley, MN 55432-4653 | 2014-08-29 |
| 1982816062 | Ginger Care Home, Inc. | Residential Treatment Facility, Physical Disabilities | 42756 Ginger Ave, Harris, MN 55032-3682 | 2007-05-03 |
| 1073975488 | Lakeview Massage LLC | Residential Treatment Facility, Physical Disabilities | 13465 Pilot Knob Rd, Apple Valley, MN 55124-8693 | 2016-03-24 |
| 1275955270 | Thrive Behavioral Network II, LLC | Residential Treatment Facility, Physical Disabilities | 4720 Burning Tree Rd, Duluth, MN 55811-3801 | 2014-01-09 |
| 1578733697 | Peggy Paul | Residential Treatment Facility, Physical Disabilities | 22 27th Ave Se, Minneapolis, MN 55414-3102 | 2008-03-04 |
| City | COTTAGE GROVE |
| Zip Code | 55016 |
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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.