INTER-FAITH CARE CENTER (NPI# 1629055231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629055231 |
| Entity Type | Organization |
| Organization Name | INTER-FAITH CARE CENTER |
| Other Organization Name | CARLTON PLACE |
| Practice Address |
813 3rd St Carlton MN 55718-9201 |
| Practice Telephone | 2183848440 |
| Practice Fax Number | 2183848442 |
| Mailing Telephone | 2183848440 |
| Mailing Fax Number | 2183848442 |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2008-07-09 |
| Authorized Official Name | MR. LARRY C PENK (ADMIN) |
| Authorized Official Telephone | 2183848411 |
| Authorized Official Credential | ADMINISTRATOR |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 328357 | MN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 090963700 | 05 |
| Other Name | Type Code |
|---|---|
| Carlton Place | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134125644 | Inter-faith Care Center | Skilled Nursing Facility | 811 3rd St, Carlton, MN 55718-9228 | 2005-06-21 |
| Street Address |
813 3RD ST |
| City | CARLTON |
| State | MN |
| Zip Code | 55718-9201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093989543 | Robert Thomas Johnson | Dentist | 210 Third Street, Carlton, MN 55718 | 2008-04-16 |
| 1750494910 | City of Carlton | Ambulance | 100 4th St. North, Carlton, MN 55718 | 2006-08-15 |
| 1972677532 | C.a.r.e.-carlton | Substance Abuse Rehabilitation Facility | 810 3rd St, Suite 102, Carlton, MN 55718-3700 | 2006-11-17 |
| 1285245233 | Kirsten K Komarek | Dental Hygienist | 210 3rd St, Carlton, MN 55718-7703 | 2020-08-13 |
| 1760013700 | Lake Superior Community Health Center | Clinic/Center | 210 3rd St, Carlton, MN 55718-7703 | 2020-01-29 |
| 1982765319 | Richard D Devorak | Dentist | 210 3rd St, Carlton, MN 55718-7703 | 2006-12-12 |
| 1427123751 | Jeffrey John Bertani | Dentist | 210 3rd St, Carlton, MN 55718-7703 | 2006-11-21 |
| 1023190642 | James A Adamczak | Dentist | 210 3rd St, Carlton, MN 55718-7703 | 2006-10-20 |
| 1659598084 | Laura Lee Bodin | Licensed Practical Nurse | 1570 Olsonville Rd, Carlton, MN 55718-8112 | 2007-04-19 |
| 1215405063 | Heather Lea Sanvig | Social Worker | 1721 County Road 4, Carlton, MN 55718-8220 | 2018-11-09 |
| Find all providers in zip 55718 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871193417 | Midwest Group Home | Assisted Living Facility | 4232 5th St Ne, Columbia Heights, MN 55421-2860 | 2020-10-30 |
| 1710587696 | Friesen & Friesen, Inc | Assisted Living Facility | 1971 Ne 1st Avenue, Grand Rapids, MN 55744 | 2020-10-29 |
| 1750980603 | Estherra Care LLC | Assisted Living Facility | 1120 Morgan Ave N, Minneapolis, MN 55411-3805 | 2020-10-21 |
| 1679189682 | Daniel Care Homes LLC | Assisted Living Facility | 6809 Perry Ave N, Brooklyn Center, MN 55429-1611 | 2020-09-16 |
| 1326651779 | Secured Health and Homecare Inc | Assisted Living Facility | 4519 104th Ave N, Brooklyn Park, MN 55443-1030 | 2020-08-26 |
| 1811509870 | Aurora Assisted Living LLC | Assisted Living Facility | 115 Magnolia Ave W, Saint Paul, MN 55117-4916 | 2020-08-20 |
| 1003427477 | In My Father's House | Assisted Living Facility | 3096 Snelling Ave N, Roseville, MN 55113-1659 | 2020-08-11 |
| 1710595863 | Eden Prairie Senior Living | Assisted Living Facility | 8480 Franlo Rd, Eden Prairie, MN 55344-2938 | 2020-07-15 |
| 1447868468 | Brightstar Services LLC | Assisted Living Facility | 1821 University Ave W Ste 120, Saint Paul, MN 55104-2811 | 2020-07-15 |
| 1235757667 | Roers Senior Living Buffalo LLC | Assisted Living Facility | 150 Division Street East, Buffalo, MN 55313 | 2020-07-13 |
| Find all providers with the same taxonomy | ||||
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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.