MOUNT OLIVET HOME (NPI# 1619976974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619976974 |
Entity Type | Organization |
Organization Name | MOUNT OLIVET HOME |
Practice Address |
5517 Lyndale Ave S Minneapolis MN 55419-1719 |
Practice Telephone | 6128275677 |
Practice Fax Number | 6128213241 |
Mailing Telephone | 6128275677 |
Mailing Fax Number | 6128213241 |
Enumeration Date | 2005-07-19 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. RICHARD A ANDERSON (CONTROLLER) |
Authorized Official Telephone | 6128213185 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 328408 | MN | Nursing & Custodial Care Facilities |
Street Address |
5517 LYNDALE AVE S |
City | MINNEAPOLIS |
State | MN |
Zip Code | 55419-1719 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285633537 | Mount Olivet Careview Home | Skilled Nursing Facility | 5517 Lyndale Ave S, Minneapolis, MN 55419-1719 | 2005-07-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861032054 | David Gregg | Internal Medicine | 5305 Humboldt Ave S, Minneapolis, MN 55419 | 2020-01-15 |
1972020329 | Michael Daly | Marriage & Family Therapist | 5413 Nicollet Ave # 152, Minneapolis, MN 55419 | 2017-08-26 |
1518343946 | Samantha Ruth Praus | Counselor | Wellness Minneapolis, 4450 Nicollet Ave. S., Minneapolis, MN 55419 | 2015-08-07 |
1679919104 | Morgan Supinski | Occupational Therapist | 5748 Clinton Ave, Minneapolis, MN 55419 | 2013-05-10 |
1720358021 | Jeremy Zellmann | Pharmacist | 6001 Mogan Avenue South, Minneapolis, MN 55419 | 2012-01-04 |
1003108895 | Nicollet Dental | Dentist | 6101 Nicollet Ave. So., Minneapolis, MN 55419 | 2011-05-11 |
1194056812 | Laura J. Johnson | Social Worker | 410 E 48th St Ste 2, Minneapolis, MN 55419 | 2010-01-20 |
1992934392 | Morningsong Therapy Center Inc | Clinic/Center | 25 W. Diamond Lake Road, Minneapolis, MN 55419 | 2009-07-07 |
1619118775 | Dr. David Mckay, Dds LLC | Dentist | 4800 Nicollet Ave. S., Minneapolis, MN 55419 | 2009-03-18 |
1750553343 | Alex B Lanning | Chiropractor | 5415 Nicollet Ave, Minneapolis, MN 55419 | 2008-03-24 |
Find all providers in zip 55419 |
Taxonomy Code | 313M00000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Nursing Facility/Intermediate Care Facility |
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841409836 | Williams, Inc. | Nursing Facility/Intermediate Care Facility | 2500 Pillsbury Ave S, Minneapolis, MN 55404-4201 | 2007-05-22 |
1891821658 | Elliot Care Home, Inc. | Nursing Facility/Intermediate Care Facility | 1500 Elliot Ave, Minneapolis, MN 55404-1618 | 2007-02-26 |
1881681997 | Werner Enterprises Inc. | Nursing Facility/Intermediate Care Facility | 3427 Central Ave Ne, Minneapolis, MN 55418-1221 | 2005-10-04 |
1457355240 | Dynamic Health Concepts, Inc. | Nursing Facility/Intermediate Care Facility | 715 W 31st St, Minneapolis, MN 55408-2915 | 2005-06-09 |
1588717086 | Great Plains of Ottawa Co, Inc. | Nursing Facility/Intermediate Care Facility | 215 E 8th St, Minneapolis, KS 67467-1908 | 2007-01-19 |
1871573220 | L & R Investments Inc | Nursing Facility/Intermediate Care Facility | 3427 Central Ave Ne, Minneapolis, MN 55418-1221 | 2006-01-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548817620 | Affinity Residential Care LLC | Nursing Facility/Intermediate Care Facility | 9213 Elliot Ave S, Bloomington, MN 55420-3851 | 2019-08-22 |
1548703929 | Lynda Duoseke Abagi | Nursing Facility/Intermediate Care Facility | 661 Eagle Ridge Rd, Woodbury, MN 55125-1461 | 2016-12-02 |
1972947851 | Villa At Osseo LLC | Nursing Facility/Intermediate Care Facility | 501 2nd Street Ne, Osseo, MN 55369-1603 | 2013-04-23 |
1790060838 | Stonehaven Assisted Living Inc. | Nursing Facility/Intermediate Care Facility | 8783 2nd Street South, Brookston, MN 55711-0284 | 2011-10-20 |
1770863375 | Walker Thompson Hill, LLC | Nursing Facility/Intermediate Care Facility | One Thompson Avenue West, West St. Paul, MN 55118-3100 | 2011-08-26 |
1497995203 | Kinder Care Homecare Services | Nursing Facility/Intermediate Care Facility | 270 County Road 110 N, Minnetrista, MN 55364-8316 | 2009-03-06 |
1609011170 | St. Francis Health Care System Inc | Nursing Facility/Intermediate Care Facility | 1591 Woodlynn Ave Unit 1, Maplewood, MN 55109-5709 | 2008-12-11 |
1154580793 | Sunrise To Sunset Adult Day Services Inc. | Nursing Facility/Intermediate Care Facility | 3001 W Arrowhead Rd, Duluth, MN 55811-4232 | 2008-06-09 |
1861672198 | Harmony Living Health Care Services | Nursing Facility/Intermediate Care Facility | 7509 Colfax Ave N, Brooklyn Park, MN 55444-2550 | 2007-11-03 |
1013040112 | Presbyterian Homes of North Oaks Inc | Nursing Facility/Intermediate Care Facility | 5919 Centerville Rd, North Oaks, MN 55127-6821 | 2007-03-14 |
Find all providers with the same taxonomy |
City | MINNEAPOLIS |
Zip Code | 55419 |
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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.