AUTUMN WOODS III, LLC


Address: 910 Western St, Anoka, MN 55303-2002
Phone: 7634214011

AUTUMN WOODS III, LLC (NPI# 1497249320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497249320
Entity Type Organization
Organization Name AUTUMN WOODS III, LLC
Other Organization Name RIVER OAKS HOME CARE
Practice Address 910 Western St
Anoka
MN 55303-2002
Mailing Address 4601 Excelsior Blvd Ste 650
St Louis Park
MN 55416-4977
Practice Telephone 7634214011
Mailing Telephone 9526974642
Enumeration Date 2018-06-14
Last Update Date 2018-06-14
Authorized Official Name LESLIE RICHARD LEITH (CONTROLLER)
Authorized Official Telephone 9529200400
Authorized Official Credential DO
Is Organization Subpart Y
Parent Organization Name AUTUMN WOODS III, LLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 310400000X Assisted Living Facility Nursing & Custodial Care Facilities

Other Provider/Organization Names

Other Name Type Code
River Oaks Home CAre Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1437507332 Autumn Woods IIi, LLC Assisted Living Facility 2540 Kenzie Ter, St Anthony, MN 55418-4165 2016-06-01

Office Location

Street Address 910 WESTERN ST
City ANOKA
State MN
Zip Code 55303-2002

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962009548 Emily Ongaga Nurse Practitioner 43 10 Parkview Circle, Anoka, MN 55303 2020-10-06
1568083111 Suite Living Senior Care of Ramsey Assisted Living Facility 7007 139th Lane Nw, Ramsey, MN 55303 2020-05-05
1154942258 Naomi Nystrom Clinical Neuropsychologist Psychology-building A, 3301 7th Ave. N, Anoka, MN 55303 2020-04-29
1104452135 Vnv Transportation Services, LLC Non-emergency Medical Transport (VAN) 15200 Helium Street Nw, Ramsey, MN 55303 2020-03-22
1043851165 Mary Rahn Technician 20650 Poppy St. Nw, Oak Grove, MN 55303 2019-09-30
1417509100 Deka Ahmed Abdulle Advanced Practice Midwife 601 Jacob Lane, Mail Stop 39300a, Anoka, MN 55303 2019-07-12
1952818981 Golden Hearts Home Care Services Home Health 609 Parkview Ct, Anoka, MN 55303 2017-12-29
1144740143 Margret Kallstrom Occupational Therapist 929 Adams St., Anoka, MN 55303 2017-06-21
1376095471 Sabra Ramsey Trs, LLC Assisted Living Facility 14401 Nowthen Blvd Nw, Ramsey, MN 55303 2016-10-25
1356794135 Katlyn Marie Bass Chiropractor 1902 5th Ave S Suite 5, Anoka, MN 55303 2016-07-18
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Taxonomy Information

Taxonomy Code 310400000X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114023686 Walker Senior Housing Corporation IIi Assisted Living Facility 131 Monroe St, Anoka, MN 55303-2484 2006-09-15
1841652732 Walker Methodist Plaza Gardens Assisted Living Facility 100 Monroe St, Anoka, MN 55303-2405 2016-03-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1871193417 Midwest Group Home Assisted Living Facility 4232 5th St Ne, Columbia Heights, MN 55421-2860 2020-10-30
1710587696 Friesen & Friesen, Inc Assisted Living Facility 1971 Ne 1st Avenue, Grand Rapids, MN 55744 2020-10-29
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
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Competitor

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City ANOKA
Zip Code 55303

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Dataset Information

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.

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