SENIOR CARE WOODBURY, LLC (NPI# 1427183961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427183961 |
Entity Type | Organization |
Organization Name | SENIOR CARE WOODBURY, LLC |
Other Organization Name | WOODBURY HEALTHCARE CENTER |
Practice Address |
7012 Lake Rd Saint Paul MN 55125-2433 |
Practice Telephone | 6517356000 |
Enumeration Date | 2007-02-23 |
Last Update Date | 2019-05-09 |
Authorized Official Name | NANCY SUE RICHTER (ACCOUNTANT) |
Authorized Official Telephone | 9528863268 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | 332432 | MN | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | UCARE | NH0133 | 01 |
MN | BCBS | 8764WO | 01 |
MN | MEDICA | 7122682 | 01 |
MN | 696740000 | 05 |
Other Name | Type Code |
---|---|
Woodbury Healthcare Center | Doing Business As Name - Organization |
Street Address |
7012 LAKE RD |
City | SAINT PAUL |
State | MN |
Zip Code | 55125-2433 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487268728 | Haley Kirkpatrick | Behavior Technician | 721 Commerce Dr., Woodbury, MN 55125 | 2020-09-03 |
1689218091 | Jordan Schmidt | Student in an Organized Health Care Education/Training Program | 1740 Welr Dr. #24, Woodbury, MN 55125 | 2019-10-30 |
1629619580 | Mackenzie Ann Funke | Occupational Therapist | 721 Commerce Drivve, Woodbury, MN 55125 | 2019-10-02 |
1700342029 | Darcy Stivland | Counselor | 1811 Weir Drive #270, Woodbury, MN 55125 | 2019-02-11 |
1235609884 | Elizabeth Kennedy Ward | Psychologist | 7582 Currell Blvd Suite 208, Woodbury, MN 55125 | 2018-11-27 |
1528573664 | Cory Lee Baumeister | Counselor | 652 Bielenberg Dr, Woodbury, MN 55125 | 2017-12-12 |
1760918239 | David James Knight | Dentist | 9950 Valley Creek Rd Ste 150, Woodbury, MN 55125 | 2017-05-03 |
1366988826 | Mark Your Home Health Care LLC | Home Health | 6053 Hudson Road, Suite 200, Woodbury, MN 55125 | 2017-01-09 |
1518415736 | Kubei Holdings Group LLC | Case Management | 6043 Hudson Rd Ste 340, Saint Paul, MN 55125 | 2016-09-16 |
1285087072 | Adrian Jung | Occupational Therapist | 155 Radio Drive, Woodbury, MN 55125 | 2016-07-18 |
Find all providers in zip 55125 |
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 |
---|---|---|---|---|
1104236512 | Episcopal Homes On University Avenue, LLC | Skilled Nursing Facility | 1860 University Ave W, Saint Paul, MN 55104-3402 | 2014-05-07 |
1992866032 | Voa Care Centers, Minnesota | Skilled Nursing Facility | 1900 Sherren Ave E, Saint Paul, MN 55109-2803 | 2006-12-13 |
1295806990 | Extendicare Homes, Inc. | Skilled Nursing Facility | 445 Galtier St, Saint Paul, MN 55103-2358 | 2006-11-13 |
1457460230 | Heritage of St Paul, Inc | Skilled Nursing Facility | 1405 Heritage Dr, Saint Paul, NE 68873-3618 | 2006-08-29 |
1578578134 | Lyngblomsten Care Center, Inc. | Skilled Nursing Facility | 1415 Almond Ave, Saint Paul, MN 55108-2507 | 2006-07-30 |
1871511790 | Highland Chateau Suites, LLC | Skilled Nursing Facility | 2319 7th St W, Saint Paul, MN 55116-2813 | 2006-07-18 |
1134159452 | Prairie Mission Retirement Village | Skilled Nursing Facility | 242 Carroll St, Saint Paul, KS 66771-4044 | 2006-07-03 |
1699726901 | Ggnsc St. Paul Lynnhurst LLC | Skilled Nursing Facility | 471 Lynnhurst Ave W, Saint Paul, MN 55104-3408 | 2006-05-12 |
1013979319 | Franciscan Health Community | Skilled Nursing Facility | 1925 Norfolk Ave, Saint Paul, MN 55116-2667 | 2006-04-04 |
1194705830 | Little Sisters of The Poor of St Paul | Skilled Nursing Facility | 330 Exchange St S, Saint Paul, MN 55102-2311 | 2006-01-19 |
Find all providers in SAINT PAUL |
City | SAINT PAUL |
Zip Code | 55125 |
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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.