COLONIAL MANOR NURSING HOME (NPI# 1578501235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578501235 |
| Entity Type | Organization |
| Organization Name | COLONIAL MANOR NURSING HOME |
| Practice Address |
403 Colonial Ave Lakefield MN 56150-9573 |
| Practice Telephone | 5076626646 |
| Practice Fax Number | 5076625531 |
| Mailing Telephone | 5076626646 |
| Mailing Fax Number | 5076625531 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2007-09-19 |
| Authorized Official Name | BILL O'CONNOR (BOARD PRESIDENT) |
| Authorized Official Telephone | 5076626646 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 331921 | MN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BCBS PROVIDER NUMBER | 9471CO | 01 |
| MN | UCARE PROVIDER NUMBER | NH0230 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | COLONIAL MANOR NURSING HOME, INC. | Main Street, Glover, VT 05839 |
| Street Address |
403 COLONIAL AVE |
| City | LAKEFIELD |
| State | MN |
| Zip Code | 56150-9573 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366612251 | Lakes Communities Inc | Skilled Nursing Facility | 403 Colonial Ave, Lakefield, MN 56150-9573 | 2008-03-06 |
| 1801974191 | Prairie Rehabilitation Services, Inc. | Durable Medical Equipment & Medical Supplies | 403 Colonial Ave, Lakefield, MN 56150-9573 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629114566 | City of Lakefield | Emergency Medical Technician, Basic | 206 Broadway Ave, Lakefield, MN 56150 | 2007-01-29 |
| 1114086311 | Sanford Health Network | Clinic/Center | 209 Main Street, Lakefield, MN 56150 | 2006-12-06 |
| 1114089877 | Swoboda Chiropractic of Lakefield | Chiropractor | 221 Third Ave N, Lakefield, MN 56150-0758 | 2006-12-15 |
| 1851492854 | Barbara J Swoboda | Chiropractor | 221 3rd Ave N, Lakefield, MN 56150-0758 | 2006-09-25 |
| 1538144183 | John Philip Beardsley | Dentist | 213 3rd Ave N, Lakefield, MN 56150-1123 | 2005-12-07 |
| 1033272695 | Sanford Health | Clinic/Center | 209 Main St, Lakefield, MN 56150-1199 | 2006-12-18 |
| 1316315419 | Laura Larsen | Pharmacist | 326 Main St, Lakefield, MN 56150-1200 | 2015-09-04 |
| 1194142901 | Lewis Family Drug, LLC | Pharmacy | 326 Main St, Lakefield, MN 56150-1200 | 2014-03-19 |
| 1346355377 | Throndset Pharmacy Inc | Pharmacy | 326 Main St, Lakefield, MN 56150-1200 | 2006-08-20 |
| 1619482577 | Habilitative Services, Inc. | Assisted Living Facility | 220 Milwaukee St, Lakefield, MN 56150-9494 | 2017-12-13 |
| Find all providers in zip 56150 | ||||
| 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 |
|---|---|---|---|---|
| 1366612251 | Lakes Communities Inc | Skilled Nursing Facility | 403 Colonial Ave, Lakefield, MN 56150-9573 | 2008-03-06 |
| 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 | ||||
Please comment or provide details below to improve the information on COLONIAL MANOR NURSING HOME.
| 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.