BENEDICTINE CARE CENTERS (NPI# 1730264607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730264607 |
| Entity Type | Organization |
| Organization Name | BENEDICTINE CARE CENTERS |
| Other Organization Name | ST. CRISPIN LIVING COMMUNITY - THE VILLA |
| Practice Address |
213 Pioneer Rd Red Wing MN 55066-3921 |
| Mailing Address |
135 Pioneer Rd Red Wing MN 55066-4217 |
| Practice Telephone | 6513881234 |
| Practice Fax Number | 6513855444 |
| Mailing Telephone | 6513881234 |
| Mailing Fax Number | 6513880347 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2019-06-14 |
| Authorized Official Name | JAKE GOERING (ADMINISTRATOR/CEO) |
| Authorized Official Telephone | 6513853435 |
| Is Organization Subpart | Y |
| Parent Organization Name | BENEDICTINE CARE CENTERS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 331733 | MN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 377175000 | 05 |
| Other Name | Type Code |
|---|---|
| St. Crispin Living Community - The Villa | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093775991 | Benedictine Care Centers | Skilled Nursing Facility | 7700 Grand Ave, Duluth, MN 55807-2154 | 2006-03-24 |
| 1336135524 | Benedictine Care Centers | Skilled Nursing Facility | 1101 Black Oak Dr, New Brighton, MN 55112-8400 | 2005-09-22 |
| 1316932254 | Benedictine Care Centers | Skilled Nursing Facility | 213 Pioneer Rd, Red Wing, MN 55066-3921 | 2005-09-16 |
| 1679568505 | Benedictine Care Centers | Skilled Nursing Facility | 800 2nd Avenue Nw, Plainview, MN 55964-1097 | 2005-09-16 |
| 1609135003 | Benedictine Care Centers | Skilled Nursing Facility | 213 Pioneer Rd, Red Wing, MN 55066 | 2012-05-07 |
| Street Address |
213 PIONEER RD |
| City | RED WING |
| State | MN |
| Zip Code | 55066-3921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316932254 | Benedictine Care Centers | Skilled Nursing Facility | 213 Pioneer Rd, Red Wing, MN 55066-3921 | 2005-09-16 |
| 1609135003 | Benedictine Care Centers | Skilled Nursing Facility | 213 Pioneer Rd, Red Wing, MN 55066 | 2012-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750850376 | Midwest Transit | Transportation Broker | 217 Plum Street, Suite #220, Red Wing, MN 55066 | 2018-11-14 |
| 1407343221 | Ethos Physical Therapy LLC | Physical Therapist | 2030 Neal St, Redwing, MN 55066 | 2018-04-17 |
| 1255759205 | Brittney Joy Amdahl | Acupuncturist | 201 East Ave., Suite D, Red Wing, MN 55066 | 2014-04-06 |
| 1689807000 | Sarah Jean Haar | Massage Therapist | 416 W. 3rd St., Red Wing, MN 55066 | 2009-09-02 |
| 1437395241 | George Edward Jackish | Internal Medicine | 28089 Bayview Drive, Red Wing, MN 55066 | 2008-12-29 |
| 1750554754 | Jess Brehmer | Orthopaedic Surgery | 701 Hewitt Bvld, Red Wing, MN 55066 | 2008-04-10 |
| 1992825517 | Joseph H. Sevlie | Chiropractor | 1626 W. 3rd St., Red Wing, MN 55066 | 2007-03-29 |
| 1134269392 | City of Red Wing | Ambulance | 315 W 4th St, Red Wing, MN 55066 | 2007-02-07 |
| 1225196512 | Kathryn Zoff Seivert Phd Lp Pa | Psychologist | 1751 Reichert Ave, Red Wing, MN 55066 | 2006-12-05 |
| 1417024217 | Kevin Curtis Smith | Chiropractor | 212 Fulton, Red Wing, MN 55066 | 2006-11-29 |
| Find all providers in zip 55066 | ||||
| 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.