LIFESPACE COMMUNITIES INC (NPI# 1588606461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588606461 |
| Entity Type | Organization |
| Organization Name | LIFESPACE COMMUNITIES INC |
| Other Organization Name | FRIENDSHIP VILLAGE OF BLOOMINGTON |
| Practice Address |
8100 Highwood Dr Bloomington MN 55438-1020 |
| Practice Telephone | 9528317500 |
| Practice Fax Number | 9528309893 |
| Mailing Telephone | 9528317500 |
| Mailing Fax Number | 9528309893 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2010-05-04 |
| Authorized Official Name | MR. SCOTT MICHAEL HARRISON (PRESIDENT/CEO) |
| Authorized Official Telephone | 5152885805 |
| Is Organization Subpart | Y |
| Parent Organization Name | LIFESPACE COMMUNITIES INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 332203 | MN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MEDICA | 71-22549 | 01 |
| MN | BLUE CROSS BLUE SHIELD | 8773FR | 01 |
| MN | UCARE | NH0298 | 01 |
| Other Name | Type Code |
|---|---|
| Friendship Village of Bloomington | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538366026 | Lifespace Communities Inc | Clinic/Center | 210 Village Dr, Downers Grove, IL 60516 | 2007-06-28 |
| 1073551412 | Lifespace Communities Inc | Home Health | 1717 Homewood Blvd, Delray Beach, FL 33445-6876 | 2006-06-04 |
| 1033157607 | Lifespace Communities Inc | Home Health | 601 Universe Blvd, Juno Beach, FL 33408-2444 | 2006-06-03 |
| 1578500443 | Lifespace Communities Inc | Home Health | 500 Village Pl, Longwood, FL 32779-6171 | 2006-06-01 |
| 1184679532 | Lifespace Communities Inc | Skilled Nursing Facility | 8101 Mission Rd, Prairie Village, KS 66208-5245 | 2006-05-24 |
| 1881647899 | Lifespace Communities Inc | Durable Medical Equipment & Medical Supplies | 1290 Boyce Rd, Upper St Clair, PA 15241-3921 | 2006-05-19 |
| 1063465516 | Lifespace Communities Inc | Assisted Living Facility | 4400 S 80th St, Lincoln, NE 68516-4456 | 2006-05-18 |
| 1215910872 | Lifespace Communities Inc | Skilled Nursing Facility | 401 E Linton Blvd, Delray Beach, FL 33483-5028 | 2005-11-28 |
| 1023016730 | Lifespace Communities Inc | Skilled Nursing Facility | 250 Village Dr, Downers Grove, IL 60516 | 2005-07-07 |
| 1558839910 | Lifespace Communities Inc | Physical Therapist | 200 Village Dr, Downers Grove, IL 60516-3046 | 2018-11-05 |
| Street Address |
8100 HIGHWOOD DR |
| City | BLOOMINGTON |
| State | MN |
| Zip Code | 55438-1020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881631695 | Life Care Retirement Communities Inc | Home Health | 8100 Highwood Dr, Bloomington, MN 55438-1079 | 2006-06-01 |
| 1861050197 | Dustin James Javers | Physical Therapist | 8100 Highwood Dr, Bloomington, MN 55438-1006 | 2019-06-01 |
| 1285156240 | Dawn Marie Johnson | Occupational Therapy Assistant | 8100 Highwood Dr, Bloomington, MN 55438-1006 | 2017-07-12 |
| 1154777654 | Jennifer Bean | Occupational Therapy Assistant | 8100 Highwood Dr, Bloomington, MN 55438-1006 | 2016-05-13 |
| 1831588250 | Sia Bacas Langum | Occupational Therapist | 8100 Highwood Dr, Bloomington, MN 55438-1006 | 2015-01-22 |
| 1073948576 | Kathleen Ann Linnan Rudgers | Physical Therapy Assistant | 8100 Highwood Dr, Bloomington, MN 55438-1006 | 2013-09-04 |
| 1508201211 | Barbara Ann Spleiss | Occupational Therapy Assistant | 8100 Highwood Dr, Bloomington, MN 55438-1006 | 2013-05-08 |
| 1194160895 | Patty Norby | Physical Therapist | 8100 Highwood Dr, Bloomington, MN 55438-1006 | 2013-05-08 |
| 1609211408 | Katheryn M Humphrey | Physical Therapy Assistant | 8100 Highwood Dr, Bloomington, MN 55438-1006 | 2013-05-07 |
| 1740625599 | Kristi Louise Lindquist | Occupational Therapist | 8100 Highwood Dr, Bloomington, MN 55438-1006 | 2013-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912425570 | Angela Marie Gilbert | Registered Nurse | 10700 Brunswick Rd Unit 316, Bloomington, MN 55438 | 2017-09-05 |
| 1609905686 | Marypat Habermas | Pharmacist | 7349 Bush Lake Dr, Bloomington, MN 55438 | 2007-03-05 |
| 1629564620 | Andrea Jean Hegland | Pharmacist | One Veterans Drive, Pharmacy Service (119), Minneapolis, MN 55438 | 2018-07-03 |
| 1922402395 | Robert Ross Neal Jr. | Obstetrics & Gynecology | 7917 Wyoming Ct, Bloomington, MN 55438-1092 | 2014-10-14 |
| 1891983557 | Suzanne Alarcon Moher | Physical Therapist | 8585 W 78th St Ste 230, Bloomington, MN 55438-1095 | 2007-10-09 |
| 1366597841 | Anthony Joseph Zappa | Pharmacist | 7110 W 83rd St, Bloomington, MN 55438-1104 | 2007-01-24 |
| 1780916403 | Joseph Ignatius Hamel Sr. | Obstetrics & Gynecology | 8006 Pennsylvania Rd, Bloomington, MN 55438-1135 | 2010-02-04 |
| 1528302635 | Kenneth James Johnson | Pharmacist | 8145 Rhode Island Cir, 1, Bloomington, MN 55438-1152 | 2012-11-15 |
| 1881046258 | Healing Waters Recovery Counseling | Community/Behavioral Health | 6954 W 84th St, Bloomington, MN 55438-1159 | 2016-07-08 |
| 1467892141 | Nadia Sandozi | Dentist | 8017 Telegraph Rd, Bloomington, MN 55438-1179 | 2013-06-27 |
| Find all providers in zip 55438 | ||||
| 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 |
|---|---|---|---|---|
| 1023618956 | Empowerme Rehabilitation Illinois, LLC | Skilled Nursing Facility | 3203 E Moores Pike, Bloomington, IN 47401-7122 | 2020-10-29 |
| 1639520034 | Luther Oaks Inc | Skilled Nursing Facility | 601 Lutz Rd, Bloomington, IL 61704-8608 | 2016-06-27 |
| 1447641683 | Daviess County Hospital | Skilled Nursing Facility | 363 S Fieldstone Blvd, Bloomington, IN 47403-9806 | 2015-02-10 |
| 1023425915 | Tanja Lutman | Skilled Nursing Facility | 1207 Dover Rd, Bloomington, IL 61704-7608 | 2014-07-13 |
| 1881009660 | Arba Care Center of Bloomington LLC | Skilled Nursing Facility | 1509 Calhoun St, Bloomington, IL 61701-1514 | 2014-06-30 |
| 1316375686 | Daviess County Hospital | Skilled Nursing Facility | 3043 N Lintel Dr, Bloomington, IN 47404-8945 | 2013-10-24 |
| 1346315165 | Westminster Village Inc | Skilled Nursing Facility | 2025 E. Lincoln, Bloomington, IL 61701-5995 | 2006-11-21 |
| 1598789240 | Presbyterian Homes Bloomington Care Center, Inc | Skilled Nursing Facility | 9889 Penn Ave S, Bloomington, MN 55431-2912 | 2006-07-26 |
| 1821040031 | Hendricks County Hospital | Skilled Nursing Facility | 155 E Burks Dr, Bloomington, IN 47401-8459 | 2006-05-16 |
| 1386695476 | Ggnsc Minneapolis Bloomington LLC | Skilled Nursing Facility | 9200 Nicollet Ave S, Bloomington, MN 55420-3714 | 2006-05-13 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 55438 |
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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.