PRELUDE HOMES & SERVICES (NPI# 1437630910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437630910 |
| Entity Type | Organization |
| Organization Name | PRELUDE HOMES & SERVICES |
| Practice Address |
10020 Raleigh Rd Woodbury MN 55129-5004 |
| Mailing Address |
355 Commerce Ct Vadnais Heights MN 55127-8506 |
| Practice Telephone | 6515016513 |
| Mailing Telephone | 6515016517 |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2018-08-23 |
| Authorized Official Name | DEBORAH L ROSE (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 6515016513 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 385790 | MN | Nursing & Custodial Care Facilities |
| Street Address |
10020 RALEIGH RD |
| City | WOODBURY |
| State | MN |
| Zip Code | 55129-5004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770006983 | Logan Thompson | Chiropractor | 10631 Pond Curve, Woodbury, MN 55129 | 2017-07-19 |
| 1942650619 | The Hendricks Group Inc. | Assisted Living Facility | 10025 Antrim Court, Woodbury, MN 55129 | 2016-06-14 |
| 1235588468 | Nathan Robert Mayernik | Physical Therapist | 4123 Radio Dr, Suite 100, Woodbury, MN 55129 | 2016-06-08 |
| 1699146035 | St. Therese of Woodbury, LLC | Skilled Nursing Facility | 7555 Bailey Road, Woodbury, MN 55129 | 2015-10-12 |
| 1548602865 | Monica Bajracharya | Internal Medicine | 9373 Compass Pointe Rd, Woodbury, MN 55129 | 2013-07-28 |
| 1730454752 | Amanda E Feeney | Physical Therapist | 4123 Radio Drive, Ste 100, Woodbury, MN 55129 | 2012-03-09 |
| 1104193762 | Minneapolis-st.paul Endodontics | Dentist | 10150 City Walk Dr Ste C, Woodbury, MN 55129 | 2011-11-28 |
| 1659502417 | Charles Goff Jr. | Marriage & Family Therapist | 1919 University Ave W Suite 200, St. Paul, MN 55129 | 2009-07-28 |
| 1497821391 | Kyle Riley Edlund | Dentist | 3060 Woodbury Drive, #b, Woodbury, MN 55129 | 2006-11-24 |
| 1902979206 | Robert Edgar Eng | Dentist | 3100 Woodbury Drive, Woodbury, MN 55129 | 2006-11-16 |
| Find all providers in zip 55129 | ||||
| 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 |
|---|---|---|---|---|
| 1821570219 | Woodbury Ops, LLC | Assisted Living Facility | 2195 Century Ave S, Woodbury, MN 55125-2943 | 2018-08-31 |
| 1942650619 | The Hendricks Group Inc. | Assisted Living Facility | 10025 Antrim Court, Woodbury, MN 55129 | 2016-06-14 |
| 1437578283 | The Hendricks Group Inc. | Assisted Living Facility | 3610 Mount Vernon Ln, Woodbury, MN 55129-9382 | 2014-04-09 |
| 1588088322 | Phs Woodbury, Inc | Assisted Living Facility | 8725 Promenade Ln, Woodbury, MN 55125-9622 | 2014-02-14 |
| 1760751440 | Sagewood LLC | Assisted Living Facility | 6281 Oakwood Rd, Woodbury, MN 55125-2020 | 2011-12-23 |
| 1568773455 | Premier Care of Woodbury | Assisted Living Facility | 280 Middle Road Tpke, Woodbury, CT 06798-3002 | 2010-06-25 |
| 1598907131 | The Hendricks Group Inc. | Assisted Living Facility | 1265 Belmont Dr, Woodbury, MN 55125-2381 | 2009-03-27 |
| 1184880361 | Senior Care Woodland Elders, LLC | Assisted Living Facility | 2825 Woodlane Dr, Woodbury, MN 55125-2906 | 2008-08-06 |
| 1902089923 | E& E Home Care, Inc | Assisted Living Facility | 11482 Balsam Way, Woodbury, MN 55129-6213 | 2007-12-13 |
| 1518156520 | Generations Health Assoc. Inc., Dba Generations of Woodbury | Assisted Living Facility | 667 Auburntown Rd, Woodbury, TN 37190-5224 | 2007-10-16 |
| Find all providers in WOODBURY | ||||
Please comment or provide details below to improve the information on PRELUDE HOMES & SERVICES.
| 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.