VILLA VISTA, INC. (NPI# 1760469878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760469878 |
| Entity Type | Organization |
| Organization Name | VILLA VISTA, INC. |
| Practice Address |
1197 Villa Vista Circle Cromwell MN 55726-0098 |
| Practice Telephone | 2186443331 |
| Practice Fax Number | 2186443505 |
| Mailing Telephone | 2186443331 |
| Mailing Fax Number | 2186443505 |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. JULIE R PETERSON (ADMINISTRATOR) |
| Authorized Official Telephone | 2186443331 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 330912 | MN | Nursing & Custodial Care Facilities |
| Street Address |
1197 VILLA VISTA CIRCLE |
| City | CROMWELL |
| State | MN |
| Zip Code | 55726-0098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982889127 | Villa Court LLC | Nursing Facility/Intermediate Care Facility | 1197 Villa Vista Circle, Cromwell, MN 55726-0098 | 2008-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154414910 | Cromwell Volunteer Fire Department | Ambulance | 5592 Highway 210, Cromwell, MN 55726 | 2006-10-02 |
| 1891748042 | Gateway Family Health Clinic, Ltd. | Clinic/Center | 5565 Hwy. 210, Cromwell, MN 55726 | 2006-05-18 |
| 1003056706 | Villa Court LLC | Assisted Living Facility | 1220 Villa Court Drive, Cromwell, MN 55726-0000 | 2009-02-20 |
| 1144223629 | Susan W. Benzie | Family Medicine | 5565 Hwy. 210, Cromwell, MN 55726-0116 | 2005-05-27 |
| 1154324820 | Shawn F Bode | Family Medicine | 5565 Hwy 210, Cromwell Medical Clinic, Cromwell, MN 55726-0116 | 2005-05-24 |
| 1821250549 | Cromwell Medical Clinic Pllc | Clinic/Center | 5565 Hwy 210, Cromwell, MN 55726-0116 | 2008-06-25 |
| 1659524932 | Marcia Lillian Pocernich | Physical Therapist | 1220 Villa Court Dr, Cromwell, MN 55726-4503 | 2008-10-30 |
| 1154601003 | Villa Home Care LLC | Home Health | 1220 Villa Court Dr, Cromwell, MN 55726-4503 | 2011-08-24 |
| 1992708564 | Kelly J. Goeb | Family Medicine | 5565 Highway 210, Cromwell, MN 55726-8171 | 2005-05-27 |
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982889127 | Villa Court LLC | Nursing Facility/Intermediate Care Facility | 1197 Villa Vista Circle, Cromwell, MN 55726-0098 | 2008-01-07 |
| 1619013208 | Haven Health Center of Cromwell | Nursing Facility/Intermediate Care Facility | 385 Main St, Cromwell, CT 06416-2308 | 2007-01-30 |
| 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 |
| 1841409836 | Williams, Inc. | Nursing Facility/Intermediate Care Facility | 2500 Pillsbury Ave S, Minneapolis, MN 55404-4201 | 2007-05-22 |
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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.