STEVE & BARB JENSEN (NPI# 1669847075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669847075 |
| Entity Type | Organization |
| Organization Name | STEVE & BARB JENSEN |
| Other Organization Name | YOUR HOME AT THE LAKE |
| Practice Address |
36309 Augustana Dr Battle Lake MN 56515-9361 |
| Practice Telephone | 2184952625 |
| Practice Fax Number | 2187364250 |
| Mailing Telephone | 2184952625 |
| Mailing Fax Number | 2187364250 |
| Enumeration Date | 2015-12-10 |
| Last Update Date | 2015-12-10 |
| Authorized Official Name | BARBARA JENSEN (OWNER) |
| Authorized Official Telephone | 2184952625 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MN UMIP | A356977000 | 01 |
| Other Name | Type Code |
|---|---|
| Your Home at the Lake | Doing Business As Name - Organization |
| Street Address |
36309 AUGUSTANA DR |
| City | BATTLE LAKE |
| State | MN |
| Zip Code | 56515-9361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619281177 | Ruth Peterka | Dentist | 412 Lake Avenue North, Battle Lake, MN 56515 | 2010-07-27 |
| 1346435542 | Area Lakes Dental, LLC | Dentist | 412 Lake Avenue South, Battle Lake, MN 56515 | 2007-09-11 |
| 1114125333 | The Evangelical Lutheran Good Samaritan Society | Assisted Living Facility | 605 Lake Ave North, Battle Lake, MN 56515 | 2007-07-10 |
| 1336223577 | Traill Alan Vosberg | Physical Therapist | 105 Glenhaven Drive, Battle Lake, MN 56515 | 2006-10-24 |
| 1326055468 | Chase Chiropractic | Chiropractor | 104 Memory Lane, Battle Lake, MN 56515 | 2006-08-02 |
| 1376587972 | Fergus Falls Medical Group, P.a. | Clinic/Center | 410 Lake Ave S, Battle Lake, MN 56515 | 2006-06-15 |
| 1720081359 | Todd S Smith | Dentist | 412 Lake Ave. S., Battle Lake, MN 56515 | 2005-05-27 |
| 1235501180 | Chase Family Health | Nurse Practitioner | 104 Memory Lane, Battle Lake, MN 56515 | 2015-10-30 |
| 1487661203 | John Gerald Chase | Chiropractor | 104 Memory Lane, Battle Lake, MN 56515 | 2006-08-02 |
| 1366657033 | Village Apothecary Inc | Pharmacist | 113 Lake Ave North, Battle Lake, MN 56515-0538 | 2007-05-14 |
| Find all providers in zip 56515 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043844384 | First Mercy Homes LLC | Custodial Care Facility | 15723 Fair Hill Way, Apple Valley, MN 55124-5256 | 2020-02-25 |
| 1386275980 | Krista Maylene Tupker | Custodial Care Facility | 14490 Lynx Rd, Milaca, MN 56353-3019 | 2020-02-01 |
| 1437700499 | Amanda Sue Moen | Custodial Care Facility | 700 105th St Nw, Rice, MN 56367-8656 | 2019-09-21 |
| 1467006601 | Michelle M Green | Custodial Care Facility | 13709 Apollo Way, Rosemount, MN 55068-2171 | 2019-07-25 |
| 1750947743 | Victor G. Makori | Custodial Care Facility | 17017 Georgetown Way, Rosemount, MN 55068-5159 | 2019-05-15 |
| 1134698814 | Sharry Mae Stensrud | Custodial Care Facility | 25 E Broadway, Plainview, MN 55964-1531 | 2018-11-25 |
| 1770080442 | Christophe Benzi | Custodial Care Facility | 1403 Nicole Ct, Fergus Falls, MN 56537-3326 | 2018-04-10 |
| 1225542608 | All Hopes Incorporated | Custodial Care Facility | 9937 Linnet St Nw, Coon Rapids, MN 55433-4721 | 2017-11-21 |
| 1003368309 | Amazing Love Elderly Care Center LLC | Custodial Care Facility | 7807 Emerald Rd, Randall, MN 56475-2428 | 2016-11-03 |
| 1902268857 | Gaudencio Fuentes Celeste | Custodial Care Facility | 8674 134th St W, Apple Valley, MN 55124-7234 | 2016-03-21 |
| Find all providers with the same taxonomy | ||||
| City | BATTLE LAKE |
| Zip Code | 56515 |
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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.