MOUNT OLIVET HOME


Address: 5517 Lyndale Ave S, Minneapolis, MN 55419-1719
Phone: 6128275677

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 313M00000X Nursing Facility/Intermediate Care Facility 328408 MN Nursing & Custodial Care Facilities

Office Location

Street Address 5517 LYNDALE AVE S
City MINNEAPOLIS
State MN
Zip Code 55419-1719

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285633537 Mount Olivet Careview Home Skilled Nursing Facility 5517 Lyndale Ave S, Minneapolis, MN 55419-1719 2005-07-19

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NPI Name Taxonomy Address Enumeration
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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
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Taxonomy Information

Taxonomy Code 313M00000X
Grouping Nursing & Custodial Care Facilities
Classification Nursing Facility/Intermediate Care Facility

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City MINNEAPOLIS
Zip Code 55419

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Dataset Information

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.

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