LYNGBLOMSTEN CARE CENTER, INC. (NPI# 1578578134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578578134 |
| Entity Type | Organization |
| Organization Name | LYNGBLOMSTEN CARE CENTER, INC. |
| Other Organization Name | LYNGBLOMSTEN CARE CENTER |
| Practice Address |
1415 Almond Ave Saint Paul MN 55108-2507 |
| Practice Telephone | 6516325310 |
| Practice Fax Number | 6516468390 |
| Mailing Telephone | 6516325310 |
| Mailing Fax Number | 6516468390 |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2010-02-08 |
| Authorized Official Name | BRADLEY J. JACOBSON (CFO) |
| Authorized Official Telephone | 6516325310 |
| Is Organization Subpart | Y |
| Parent Organization Name | LYNGBLOMSTEN |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 332291 | MN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 009342400 | 05 |
| Other Name | Type Code |
|---|---|
| Lyngblomsten Care Center | Doing Business As Name - Organization |
| Street Address |
1415 ALMOND AVE |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55108-2507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346863354 | Rebecca Joy Gibson | Registered Nurse | 1415 Almond Ave, Saint Paul, MN 55108-2595 | 2020-05-26 |
| 1386980126 | Michelle Lillicrap | Occupational Therapist | 1415 Almond Ave, Saint Paul, MN 55108-2507 | 2012-12-26 |
| 1821189275 | Lyngblomsten Services, Inc | Home Health | 1415 Almond Ave, Saint Paul, MN 55108-2507 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306490677 | Kyle Leonard Bernier | Student in an Organized Health Care Education/Training Program | 1295 Bandana Blvd W, Suite 210, St. Paul, MN 55108 | 2019-07-25 |
| 1356870778 | Kathleen Louise Kocon | Marriage & Family Therapist | 2230 Como Ave., Saint Paul, MN 55108 | 2017-06-08 |
| 1871965830 | Jill Hansen | Specialist | 1449 Clevland Ave N, The Emily Program, Saint Paul, MN 55108 | 2015-10-29 |
| 1871821140 | Angela Joyce Anderson | Speech-Language Pathologist | 2266 Hillside Avenue, Saint Paul, MN 55108 | 2009-11-25 |
| 1265769418 | Dakota Baker | Counselor | 1360 Energy Park Drive Suite 340, St. Paul, MN 55108 | 2009-11-09 |
| 1255583449 | Suzanne Elizabeth Trunnell | Nurse Practitioner | 1020 Bandana Blvd. W, Aspen Medical Group--bandana Square, St. Paul, MN 55108 | 2008-10-21 |
| 1982851358 | Kimberly Joy Bahma | Pharmacist | 1295 Bandana Blvd, Suite 335, Saint Paul, MN 55108 | 2008-08-27 |
| 1952566093 | Caring Professionals Homecare, LLC | Home Health | 1543 Como Ave Ste 101, Saint Paul, MN 55108 | 2008-07-28 |
| 1700077344 | Archana Mani | Dentist | 1021 Bandana Blvd E Ste 121, Saint Paul, MN 55108 | 2007-08-08 |
| 1457554735 | Catherine Lawrence Scharlau | Psychologist | 1295 Bandana Blvd. North, Aspen Medical Group-behavioral Health, St. Paul, MN 55108 | 2007-06-06 |
| Find all providers in zip 55108 | ||||
| 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 |
|---|---|---|---|---|
| 1104236512 | Episcopal Homes On University Avenue, LLC | Skilled Nursing Facility | 1860 University Ave W, Saint Paul, MN 55104-3402 | 2014-05-07 |
| 1427183961 | Senior Care Woodbury, LLC | Skilled Nursing Facility | 7012 Lake Rd, Saint Paul, MN 55125-2433 | 2007-02-23 |
| 1992866032 | Voa Care Centers, Minnesota | Skilled Nursing Facility | 1900 Sherren Ave E, Saint Paul, MN 55109-2803 | 2006-12-13 |
| 1295806990 | Extendicare Homes, Inc. | Skilled Nursing Facility | 445 Galtier St, Saint Paul, MN 55103-2358 | 2006-11-13 |
| 1457460230 | Heritage of St Paul, Inc | Skilled Nursing Facility | 1405 Heritage Dr, Saint Paul, NE 68873-3618 | 2006-08-29 |
| 1871511790 | Highland Chateau Suites, LLC | Skilled Nursing Facility | 2319 7th St W, Saint Paul, MN 55116-2813 | 2006-07-18 |
| 1134159452 | Prairie Mission Retirement Village | Skilled Nursing Facility | 242 Carroll St, Saint Paul, KS 66771-4044 | 2006-07-03 |
| 1699726901 | Ggnsc St. Paul Lynnhurst LLC | Skilled Nursing Facility | 471 Lynnhurst Ave W, Saint Paul, MN 55104-3408 | 2006-05-12 |
| 1013979319 | Franciscan Health Community | Skilled Nursing Facility | 1925 Norfolk Ave, Saint Paul, MN 55116-2667 | 2006-04-04 |
| 1194705830 | Little Sisters of The Poor of St Paul | Skilled Nursing Facility | 330 Exchange St S, Saint Paul, MN 55102-2311 | 2006-01-19 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55108 |
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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.