ROSE HAVEN (NPI# 1487995791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487995791 |
| Entity Type | Organization |
| Organization Name | ROSE HAVEN |
| Practice Address |
37 6th St Se Menahga MN 56464-3157 |
| Practice Telephone | 2185644268 |
| Practice Fax Number | 2185645449 |
| Mailing Telephone | 2185644268 |
| Mailing Fax Number | 2185645449 |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2013-03-12 |
| Authorized Official Name | RUSSELL EDWAED HENDRICKSON (OWNER) |
| Authorized Official Telephone | 2185644268 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
Nursing & Custodial Care Facilities | ||
| N | 311500000X | Alzheimer Center (Dementia Center) | Nursing & Custodial Care Facilities | ||
| N | 315D00000X | Hospice, Inpatient | Nursing & Custodial Care Facilities | ||
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245406156 | Rose Haven | Skilled Nursing Facility | 740 Nw Hill Ave, Roseburg, OR 97470-1672 | 2008-05-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | ROSE HAVEN FARM LLC | 34260 Ne Old Parrett Mountain Rd, Newberg, OR 97132 |
| Virginia Business Entities | ROSE HAVEN FLORIST INC. | 335 South Witchduck Road, Virginia Beach, Virginia 23462 |
| North Carolina Corporations | Rose Haven Investments LLC | 4297 pointe norman drive, Sherrills Ford, NC 28673-8356 |
| Oregon Corporations, Companies and Business Names | ROSE HAVEN LLC | 28717 Grumman Dr, Eugene, OR 97402 |
| Oregon Corporations, Companies and Business Names | ROSE HAVEN NURSING CENTER | 1077 Gateway Loop, Springfield, OR 97477 |
| North Carolina Corporations | Rose Haven Property Management LLC | 4297 Pointe Norman Dr, Sherrills Ford, NC 28673 |
| Oregon Corporations, Companies and Business Names | ROSE HAVEN RESIDENT CARE COUNCIL, INC. | 740 Nw Hill Place, Roseburg, OR 97470 |
| Oregon Corporations, Companies and Business Names | ROSE HAVEN, C.I.C | 627 Nw 18th, Portland, OR 97209 |
| Street Address |
37 6TH ST SE |
| City | MENAHGA |
| State | MN |
| Zip Code | 56464-3157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245653112 | Rose Haven Assisted Living Incorporated | Assisted Living Facility | 37 6th St Se, Menahga, MN 56464-3157 | 2014-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144561457 | Colleen Leslie Berttunen | Registered Nurse | 15049 368th Street, Menahga, MN 56464 | 2013-03-12 |
| 1164773289 | Ernest Ray Huhta Jr. | Technician, Other | 19- 3rd St Se, Menahga, MN 56464 | 2012-09-28 |
| 1689739815 | Ind School Dist 821 | Local Education Agency (LEA) | 216 Aspen Ave Se, Menahga, MN 56464 | 2006-12-27 |
| 1639263981 | Snyders Drug | Pharmacy | Hwy 71, Menahga, MN 56464 | 2006-10-03 |
| 1629169297 | Restemayer Family Dentistry, PC | Dentist | 16 Birch Avenue N.e, Menahga, MN 56464 | 2006-09-27 |
| 1245284157 | Dakota Clinic, Ltd. | Family Medicine | 212 Aspen Ave Ne, Menagha, MN 56464 | 2006-05-22 |
| 1932260247 | Dakota Clinic Ltd | Durable Medical Equipment & Medical Supplies | 212 Aspen Ave Ne, Menahga, MN 56464 | 2006-12-12 |
| 1639167760 | Charles R Restemayer | Dentist | 16 Birch Ave Ne, Menahga, MN 56464-0130 | 2005-10-12 |
| 1609108141 | Seip Drug LLC | Pharmacy | 24 Aspen Avenue Ne, Menahga, MN 56464-0272 | 2010-02-09 |
| 1285630491 | David Lee Andress | Chiropractor | 19 3rd Street Se, Menahga, MN 56464-0385 | 2005-06-22 |
| Find all providers in zip 56464 | ||||
| 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 |
|---|---|---|---|---|
| 1245653112 | Rose Haven Assisted Living Incorporated | Assisted Living Facility | 37 6th St Se, Menahga, MN 56464-3157 | 2014-01-29 |
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|---|---|---|---|---|
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| 1750980603 | Estherra Care LLC | Assisted Living Facility | 1120 Morgan Ave N, Minneapolis, MN 55411-3805 | 2020-10-21 |
| 1679189682 | Daniel Care Homes LLC | Assisted Living Facility | 6809 Perry Ave N, Brooklyn Center, MN 55429-1611 | 2020-09-16 |
| 1326651779 | Secured Health and Homecare Inc | Assisted Living Facility | 4519 104th Ave N, Brooklyn Park, MN 55443-1030 | 2020-08-26 |
| 1811509870 | Aurora Assisted Living LLC | Assisted Living Facility | 115 Magnolia Ave W, Saint Paul, MN 55117-4916 | 2020-08-20 |
| 1003427477 | In My Father's House | Assisted Living Facility | 3096 Snelling Ave N, Roseville, MN 55113-1659 | 2020-08-11 |
| 1710595863 | Eden Prairie Senior Living | Assisted Living Facility | 8480 Franlo Rd, Eden Prairie, MN 55344-2938 | 2020-07-15 |
| 1447868468 | Brightstar Services LLC | Assisted Living Facility | 1821 University Ave W Ste 120, Saint Paul, MN 55104-2811 | 2020-07-15 |
| 1235757667 | Roers Senior Living Buffalo LLC | Assisted Living Facility | 150 Division Street East, Buffalo, MN 55313 | 2020-07-13 |
| Find all providers with the same taxonomy | ||||
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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.