FARIBAULT SENIOR LIVING LLC (NPI# 1770873937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770873937 |
Entity Type | Organization |
Organization Name | FARIBAULT SENIOR LIVING LLC |
Practice Address |
843 Faribault Road Faribault MN 55021 |
Practice Telephone | 5073345009 |
Practice Fax Number | 6514544783 |
Mailing Telephone | 5073345009 |
Mailing Fax Number | 6514544783 |
Enumeration Date | 2011-04-08 |
Last Update Date | 2011-04-08 |
Authorized Official Name | KELLY MYERS (VP OF OPERATIONS) |
Authorized Official Telephone | 6514544801 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
Street Address |
843 FARIBAULT ROAD |
City | FARIBAULT |
State | MN |
Zip Code | 55021 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548872831 | Kent William Lundstrom | Pharmacist | 612 4th Street Nw, Faribault, MN 55021 | 2020-08-19 |
1053957357 | M&t Sisters of Serendipity Pllc | Counselor | 212a Centralave, Faribault, MN 55021 | 2019-11-21 |
1639720485 | Reliable Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 200 8th Avenue Nw, Faribault, MN 55021 | 2019-09-24 |
1235663428 | Tanya Borchert | Social Worker | 100 State Avenue, Faribault, MN 55021 | 2017-04-14 |
1235589854 | Bashir Omar I | Interpreter | 2426 Park Ave # 309, Faribault, MN 55021 | 2016-06-14 |
1790150381 | Rainbow United Care Transportation LLC | Non-emergency Medical Transport (VAN) | 1738 Patrick Bay, Faribault, MN 55021 | 2015-12-08 |
1740625938 | Steven James Klapmeier | Family Medicine | 1101 Linden Lane, Mcfffrb Health Service, Faribault, MN 55021 | 2013-05-02 |
1528306040 | Discovery Public School of Faribault | Local Education Agency (LEA) | 126 8th St. Nw, Faribault, MN 55021 | 2013-01-17 |
1164790374 | Emmanuel Douah | Pharmacist | 612 4th Avenue Nw, Faribault, MN 55021 | 2011-12-02 |
1275793945 | R&r Apartment Living | Preferred Provider Organization | 116 3rd Street Sw, Faribault, MN 55021 | 2008-06-16 |
Find all providers in zip 55021 |
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 |
---|---|---|---|---|
1295295954 | The Emeralds At Faribault Assisted Living LLC | Assisted Living Facility | 503 Division St E, Faribault, MN 55021-6353 | 2019-03-20 |
1811415672 | Julie A Bongers | Assisted Living Facility | 17810 Ames Ct, Faribault, MN 55021-7933 | 2017-08-31 |
1962945154 | Deco, LLC | Assisted Living Facility | 1415 7th St Nw, Faribault, MN 55021-4728 | 2016-11-21 |
1962629113 | Pleasant View Estates | Assisted Living Facility | 41 Brand Ave, Faribault, MN 55021-6458 | 2007-04-19 |
1619091774 | Pleasant Manor, Inc. | Assisted Living Facility | 41 Brand Avenue, Faribault, MN 55021-6411 | 2007-03-16 |
1932265402 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 935 Spring Rd, Faribault, MN 55021-6975 | 2006-12-29 |
1710970942 | Faribault Health Care LLC | Assisted Living Facility | 500 1st St Se, Faribault, MN 55021-6346 | 2005-08-23 |
1902282866 | Faribault Ops LLC | Assisted Living Facility | 828 1st St Ne, Faribault, MN 55021-5438 | 2015-08-03 |
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 |
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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.