AUGUSTANA MERCY CARE CENTER LLC (NPI# 1528384310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528384310 |
| Entity Type | Organization |
| Organization Name | AUGUSTANA MERCY CARE CENTER LLC |
| Practice Address |
710 S Kenwood Ave Moose Lake MN 55767-9405 |
| Practice Telephone | 2184854481 |
| Mailing Telephone | 2184854481 |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2019-10-21 |
| Authorized Official Name | SEELOCHANI STADTHERR (DIRECTOR OF REIMBURSEMENT) |
| Authorized Official Telephone | 9528555041 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 349655 | MN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 857637200 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104143791 | Augustana Mercy Care Center LLC | Assisted Living Facility | 710 S Kenwood Ave, Moose Lake, MN 55767-9405 | 2010-04-23 |
| Street Address |
710 S KENWOOD AVE |
| City | MOOSE LAKE |
| State | MN |
| Zip Code | 55767-9405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164471108 | Arun J Shankar | Emergency Medicine | 710 S Kenwood Ave, Moose Lake, MN 55767-9405 | 2006-05-08 |
| 1962749358 | Urology Associates, Ltd | Urology | 710 S Kenwood Ave, Moose Lake, MN 55767-9405 | 2013-01-07 |
| 1104143791 | Augustana Mercy Care Center LLC | Assisted Living Facility | 710 S Kenwood Ave, Moose Lake, MN 55767-9405 | 2010-04-23 |
| 1023257789 | Lori Ann Ziehl | Occupational Therapist | 710 S Kenwood Ave, Moose Lake, MN 55767-9405 | 2009-02-19 |
| 1528212586 | Luann Joyce Charboneau | Physical Therapist | 710 S Kenwood Ave, Moose Lake, MN 55767-9405 | 2008-11-04 |
| 1851544290 | Richard Dean Jacobs | Physical Therapist | 710 S Kenwood Ave, Moose Lake, MN 55767-9405 | 2008-10-29 |
| 1063665503 | Ronald William Neva | Physical Therapist | 710 S Kenwood Ave, Moose Lake, MN 55767-9405 | 2008-10-28 |
| 1932352473 | Amy Michelle Oakes | Physical Therapist | 710 S Kenwood Ave, Moose Lake, MN 55767-9405 | 2008-10-28 |
| 1558514091 | Debra Kay Schuerman | Physical Therapist | 710 S Kenwood Ave, Moose Lake, MN 55767-9405 | 2008-10-28 |
| 1538346077 | Jeffrey Allen Schneider | Nurse Anesthetist, Certified Registered | 710 S Kenwood Ave, Moose Lake, MN 55767-9405 | 2008-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437778529 | Essentia Health Moose Lake | Home Health | 30 Arrowhead Ln, Moose Lake, MN 55767 | 2020-04-09 |
| 1841775475 | Katherine Mcdowell | Social Worker | 451 Arrowhead Lane, Moose Lake, MN 55767 | 2018-09-28 |
| 1316191786 | Vision Pro | Optometrist | 125 W Arrowhead Rd, Moose Lake, MN 55767 | 2008-11-11 |
| 1265627327 | Dr. Joseph J. Jamros Optometry, Ltd. | Optometrist | 312 Elm Ave., Moose Lake, MN 55767 | 2007-09-12 |
| 1013108075 | Diane Louise Stellrecht | Psychologist | 505 3rd Street, Suite A, Moose Lake, MN 55767 | 2007-08-06 |
| 1073674529 | Downtown Dental Care Pa | Dentist | 304 Elm Ave, Moose Lake, MN 55767 | 2006-12-12 |
| 1760558399 | Joseph John Jamros | Optometrist | 312 Elm Ave, Moose Lake, MN 55767 | 2006-11-27 |
| 1205909991 | Msocs-moose Lake | Intermediate Care Facility, Mentally Retarded | 305 4th St, Moose Lake, MN 55767 | 2006-11-17 |
| 1295804482 | Moose Lake Community Hospital District | Home Health | 30 Arrowhead Lane, Moose Lake, MN 55767 | 2006-11-06 |
| 1396770772 | Sonja M. Roach | Nurse Practitioner | 4570 County Highway 61, Moose Lake, MN 55767 | 2006-07-12 |
| Find all providers in zip 55767 | ||||
| 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 |
|---|---|---|---|---|
| 1023187218 | Moose Lake Community Hospital District | Skilled Nursing Facility | 710 S Kenwood Ave, Moose Lake, MN 55767-9405 | 2006-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639707177 | Prairie Bluffs Rehabilitation Center LLC | Skilled Nursing Facility | 10300 Hennepin Town Rd, Eden Prairie, MN 55347-5100 | 2020-03-30 |
| 1881221869 | Natalie Sears | Skilled Nursing Facility | 1200 Cheri Ln Ne Apt 5, Fridley, MN 55421-1213 | 2020-03-26 |
| 1396210779 | Southview Operations LLC | Skilled Nursing Facility | 2000 Oakdale Avenue, West St. Paul, MN 55118 | 2018-10-11 |
| 1144707811 | Victory Health Operations, LLC | Skilled Nursing Facility | 512 - 49th Avenue North, Minneapolis, MN 55430-3621 | 2018-07-25 |
| 1710473434 | Cg Care Center, LLC. | Skilled Nursing Facility | 6993 80th Street South, Cottage Grove, MN 55016 | 2018-07-05 |
| 1457863466 | Seasons Healthcare of Trimont, Inc | Skilled Nursing Facility | 305 Broadway Avenue South, Trimont, MN 56176 | 2017-10-31 |
| 1760903157 | St. John's Lutheran Home | Skilled Nursing Facility | 1771 Eagle View Cir, Albert Lea, MN 56007-1817 | 2017-07-06 |
| 1114458221 | Lakeland Homecare LLC | Skilled Nursing Facility | 1604 Covington Ln, Eagan, MN 55122-2759 | 2017-03-22 |
| 1952842197 | Nsh Rochester East LLC | Skilled Nursing Facility | 501 8th Ave Se, Rochester, MN 55904-4834 | 2017-03-20 |
| 1750827234 | Walker Operations LLC | Skilled Nursing Facility | 209 Birchwood Avenue West, Walker, MN 56484 | 2017-01-09 |
| Find all providers with the same taxonomy | ||||
| City | MOOSE LAKE |
| Zip Code | 55767 |
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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.