PSA HOUSING & ASSISTED LIVING (NPI# 1811316326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811316326 |
| Entity Type | Organization |
| Organization Name | PSA HOUSING & ASSISTED LIVING |
| Other Organization Name | ST ANDREWS VILLAGE |
| Practice Address |
240 East Ave Mahtomedi MN 55115-2279 |
| Practice Telephone | 6512643200 |
| Mailing Telephone | 6512643200 |
| Enumeration Date | 2014-04-11 |
| Last Update Date | 2014-04-11 |
| Authorized Official Name | MR. MARK MYER (CFO) |
| Authorized Official Telephone | 6516316120 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | MN | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| ST ANDREWS VILLAGE | Other Name - Individual/Organization |
| Street Address |
240 EAST AVE |
| City | MAHTOMEDI |
| State | MN |
| Zip Code | 55115-2279 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235742115 | Berger Built Construction Co. Inc. | Contractor | 217 Maple Street, Mahtomedi, MN 55115 | 2020-08-28 |
| 1730471517 | Erin Jeanine Schmidt | Family Medicine | 700 Wildwood Rd, Mahtomedi, MN 55115 | 2011-05-11 |
| 1770710972 | Perri Lynn Kauls | Dentist | 12 Long Lake Road, Number 12, Mahtomedi, MN 55115 | 2009-06-15 |
| 1538218284 | Mahtomedi Natural Care Center | Chiropractor | 1526 Mahtomedi Ave, Mahtomedi, MN 55115 | 2007-01-10 |
| 1619025855 | Gina Christine Nelson | Chiropractor | 1526 Mahtomedi Avenue, Mahtomedi, MN 55115 | 2007-01-06 |
| 1295824126 | City of Mahtomedi | Ambulance | 800 Stillwater Rd, Mahtomedi, MN 55115 | 2006-10-11 |
| 1730125063 | Richard Winfield Copeland Jr. | Dentist | 130 Hickory St, Mahtomedi, MN 55115 | 2006-06-22 |
| 1922475920 | Group Health Plan, Inc. | Family Medicine | 700 Wildwood Rd, Mahtomedi, MN 55115 | 2015-08-25 |
| 1871132308 | Tyler Jordan Depaulis | Chiropractor | 12 Long Lake Rd Ste 19, Mahtomedi, MN 55115-1200 | 2020-01-01 |
| 1205214525 | Brittany Greeder | Specialist/Technologist | 9960 Justen Trl N, Mahtomedi, MN 55115-1328 | 2015-05-07 |
| Find all providers in zip 55115 | ||||
| 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 |
|---|---|---|---|---|
| 1518171511 | New Perspective Mahtomedi | Assisted Living Facility | 113 East Ave, Mahtomedi, MN 55115-2225 | 2007-05-09 |
| 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.