MCCORNELL COURT (NPI# 1700115003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700115003 |
| Entity Type | Organization |
| Organization Name | MCCORNELL COURT |
| Practice Address |
122 No. Mccornell Avenue Parkers Prairie MN 56361 |
| Mailing Address |
P.o. Box 30 Parkers Prairie MN 56361 |
| Practice Telephone | 2183384671 |
| Practice Fax Number | 2183385917 |
| Mailing Telephone | 2183384671 |
| Mailing Fax Number | 2183385917 |
| Enumeration Date | 2009-12-15 |
| Last Update Date | 2009-12-22 |
| Authorized Official Name | MR. PAUL C. BAER (ADMINISTRATOR) |
| Authorized Official Telephone | 2183384671 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST. WILLIAMS LIVING CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 346068 | MN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 887342900 | 05 |
| Street Address |
122 NO. MCCORNELL AVENUE |
| City | PARKERS PRAIRIE |
| State | MN |
| Zip Code | 56361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083055370 | Donna M Krull | Custodial Care Facility | 13281 Cty. Hwy. 42, Parkers Prairie, MN 56361 | 2013-07-15 |
| 1760642029 | Dianne Verant | Social Worker | 515 North Clayborn Ave, Parkers Prairie, MN 56361 | 2008-06-11 |
| 1881810190 | Casey Larae Ruckheim | Specialist | 219 West Soo St, Suite 3, Parkers Prairie, MN 56361 | 2007-04-17 |
| 1053471888 | Parkers Prairie Community Ambulance | Ambulance | 102 North Otter Avenue, Parkers Prairie, MN 56361 | 2006-12-11 |
| 1063804326 | Jonna Rose Beyer | Physician Assistant | 115 E Soo St, Parkers Prairie, MN 56361 | 2015-02-24 |
| 1609328251 | Jillian Klemek | Chiropractor | 115 W Soo St, Parkers Prairie, MN 56361-4400 | 2016-10-31 |
| 1871035451 | Klemek Chiropractic | Chiropractor | 115 W Soo St, Parkers Prairie, MN 56361-4400 | 2016-11-14 |
| 1538292156 | St. William's Living Center | Skilled Nursing Facility | 212 W Soo St, Parkers Prairie, MN 56361-4404 | 2007-03-13 |
| 1285298349 | Grant Phillip Haugen | Physical Therapist | 212 W Soo St, Parkers Prairie, MN 56361-4404 | 2019-04-24 |
| 1528422532 | Tracey Dawn Danielson | Occupational Therapy Assistant | 212 W Soo St, Parkers Prairie, MN 56361-4404 | 2016-04-06 |
| Find all providers in zip 56361 | ||||
| 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 | ||||
| City | PARKERS PRAIRIE |
| Zip Code | 56361 |
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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.