CAMILIA ROSE GROUP HOME (NPI# 1447390570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447390570 |
Entity Type | Organization |
Organization Name | CAMILIA ROSE GROUP HOME |
Other Organization Name | MARY T ASSOCIATES |
Practice Address |
1555 118th Ln Nw Coon Rapids MN 55448-7579 |
Practice Telephone | 7638625436 |
Practice Fax Number | 7637540332 |
Mailing Telephone | 7638625436 |
Mailing Fax Number | 7637540332 |
Enumeration Date | 2007-02-07 |
Last Update Date | 2020-08-22 |
Authorized Official Name | CONNIE WINBAUER (CONTROLLER) |
Authorized Official Telephone | 7638625436 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 1075259 | MN | Nursing & Custodial Care Facilities |
Other Name | Type Code |
---|---|
MARY T ASSOCIATES | Other Name - Individual/Organization |
Street Address |
1555 118TH LN NW |
City | COON RAPIDS |
State | MN |
Zip Code | 55448-7579 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710262399 | Margaret Place Limited Partnership | Assisted Living Facility | 1555 118th Ln Nw, Coon Rapids, MN 55448-7579 | 2011-10-14 |
1346487238 | Mary T Home Health Inc | Hospice Care, Community Based | 1555 118th Ln Nw, Coon Rapids, MN 55448-7579 | 2009-01-14 |
1629214515 | Mary T Hospice | Hospice Care, Community Based | 1555 118th Ln Nw, Coon Rapids, MN 55448-7579 | 2008-12-23 |
1770643694 | Mary T Associates Inc | Intermediate Care Facility, Mentally Retarded | 1555 118th Ln Nw, Coon Rapids, MN 55448-7579 | 2006-12-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447741152 | Modern Sisters Home Healthcare | Home Health | 1852 131st Ln Nw, Coon Rapids, MN 55448 | 2018-05-29 |
1003345463 | Sarah Benepe | Occupational Therapy Assistant | 764 107th Ln Nw, Coon Rapids, MN 55448 | 2017-06-08 |
1700310299 | Orthodontics Specialist of Minnesota P.l.l.c. | Dentist | 3360 Northdale Blvd Nw, Coon Rapids, MN 55448 | 2017-04-12 |
1528459906 | Shane R Fisher | Registered Nurse | 10077 Dogwood St. Nw, Suite 110, Minneapolis, MN 55448 | 2015-02-06 |
1912395419 | Mn Dentistry, PC | Dentist | 3570 River Rapids Drive Nw, Ste 110, Coor Rapids, MN 55448 | 2015-01-06 |
1215297536 | Daniel Beau Ryan Ellis | Chiropractor | 9 125 Lane Nw, Coon Rapids, MN 55448 | 2012-05-21 |
1306142344 | At Home Health Care Inc. | Home Health | 1601 128th Lane Nw, Coon Rapids, MN 55448 | 2011-02-09 |
1245428317 | Cassandra Joice Carney | Massage Therapist | 8770 Springbrook Dr Nw, Coon Rapids, MN 55448 | 2007-10-14 |
1982826434 | Merry Heart Home Care Inc | Home Health | 3248 131st Avenue Nw, Coon Rapids, MN 55448 | 2007-05-03 |
1659416196 | James T Sturm | Emergency Medicine | 10160 Foley Blvd Nw Ste 120, Coon Rapids, MN 55448 | 2007-02-21 |
Find all providers in zip 55448 |
Taxonomy Code | 315P00000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Intermediate Care Facility, Mentally Retarded |
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457412090 | Community Living | Intermediate Care Facility, Mentally Retarded | 2483 109th Ave Nw, Coon Rapids, MN 55433-3942 | 2006-12-13 |
1669533212 | Community Living Inc. | Intermediate Care Facility, Mentally Retarded | 2493 109th Ave Nw, Coon Rapids, MN 55433-3942 | 2006-12-13 |
1770643694 | Mary T Associates Inc | Intermediate Care Facility, Mentally Retarded | 1555 118th Ln Nw, Coon Rapids, MN 55448-7579 | 2006-12-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922502418 | Harry Meyering Center, Inc. | Intermediate Care Facility, Mentally Retarded | 2050 Haughton Ave, North Mankato, MN 56003-1416 | 2018-03-20 |
1114385085 | Lutheran Social Service of Minnesota | Intermediate Care Facility, Mentally Retarded | 11754 191 1/2 Ave Nw, Elk River, MN 55330-1367 | 2016-02-05 |
1255797718 | Lutheran Social Service of Minnesota | Intermediate Care Facility, Mentally Retarded | 497 Gates Ave Nw, Elk River, MN 55330-2633 | 2016-01-13 |
1891195608 | Prairie Community Services | Intermediate Care Facility, Mentally Retarded | 2203 Rolling Green Ln, North Mankato, MN 56003-4459 | 2014-08-28 |
1336560333 | Rem Woodvale, Inc. Cottonwood | Intermediate Care Facility, Mentally Retarded | 2311 9th Avenue Sw, Austin, MN 55912 | 2013-12-18 |
1801228937 | Rem River Bluffs, Inc. Pinewood | Intermediate Care Facility, Mentally Retarded | 2631 Pinewood Ridge Dr Se, Rochester, MN 55904-6227 | 2013-07-31 |
1205111770 | Rem Ramsey, Inc. | Intermediate Care Facility, Mentally Retarded | 975 Lakewood Drive, Maplewood, MN 55119 | 2011-10-17 |
1306171939 | Rem Ramsey, Inc. | Intermediate Care Facility, Mentally Retarded | 797 Mayhill Rd N, Maplewood, MN 55119-3828 | 2009-10-15 |
1003073487 | Harmony Homes of Minnesota LLC | Intermediate Care Facility, Mentally Retarded | 7935 Drake Rd, Woodbury, MN 55125-1446 | 2008-05-22 |
1508033580 | Allendale House | Intermediate Care Facility, Mentally Retarded | 3108 Highway 52 N, Rochester, MN 55901-1916 | 2008-05-09 |
Find all providers with the same taxonomy |
City | COON RAPIDS |
Zip Code | 55448 |
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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.