LIFE CARE RETIREMENT COMMUNITIES INC (NPI# 1881631695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881631695 |
| Entity Type | Organization |
| Organization Name | LIFE CARE RETIREMENT COMMUNITIES INC |
| Other Organization Name | FRIENDSHIP VILLAGE OF BLOOMINGTON |
| Practice Address |
8100 Highwood Dr Bloomington MN 55438-1079 |
| Practice Telephone | 9528317500 |
| Practice Fax Number | 9528309893 |
| Mailing Telephone | 9528317500 |
| Mailing Fax Number | 9528309893 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | RICHARD MEYER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9528309590 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 330680 | MN | Agencies |
| Other Name | Type Code |
|---|---|
| Friendship Village of Bloomington | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013959998 | Life Care Retirement Communities Inc | Custodial Care Facility | 8100 Highwood Dr, Bloomington, MN 55438-1079 | 2006-06-12 |
| Street Address |
8100 HIGHWOOD DR |
| City | BLOOMINGTON |
| State | MN |
| Zip Code | 55438-1079 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861050197 | Dustin James Javers | Physical Therapist | 8100 Highwood Dr, Bloomington, MN 55438-1006 | 2019-06-01 |
| 1285156240 | Dawn Marie Johnson | Occupational Therapy Assistant | 8100 Highwood Dr, Bloomington, MN 55438-1006 | 2017-07-12 |
| 1154777654 | Jennifer Bean | Occupational Therapy Assistant | 8100 Highwood Dr, Bloomington, MN 55438-1006 | 2016-05-13 |
| 1831588250 | Sia Bacas Langum | Occupational Therapist | 8100 Highwood Dr, Bloomington, MN 55438-1006 | 2015-01-22 |
| 1073948576 | Kathleen Ann Linnan Rudgers | Physical Therapy Assistant | 8100 Highwood Dr, Bloomington, MN 55438-1006 | 2013-09-04 |
| 1508201211 | Barbara Ann Spleiss | Occupational Therapy Assistant | 8100 Highwood Dr, Bloomington, MN 55438-1006 | 2013-05-08 |
| 1194160895 | Patty Norby | Physical Therapist | 8100 Highwood Dr, Bloomington, MN 55438-1006 | 2013-05-08 |
| 1609211408 | Katheryn M Humphrey | Physical Therapy Assistant | 8100 Highwood Dr, Bloomington, MN 55438-1006 | 2013-05-07 |
| 1740625599 | Kristi Louise Lindquist | Occupational Therapist | 8100 Highwood Dr, Bloomington, MN 55438-1006 | 2013-05-07 |
| 1962611954 | Carletta Joan Dukart | Speech-Language Pathologist | 8100 Highwood Dr, Bloomington, MN 55438-1006 | 2007-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912425570 | Angela Marie Gilbert | Registered Nurse | 10700 Brunswick Rd Unit 316, Bloomington, MN 55438 | 2017-09-05 |
| 1609905686 | Marypat Habermas | Pharmacist | 7349 Bush Lake Dr, Bloomington, MN 55438 | 2007-03-05 |
| 1629564620 | Andrea Jean Hegland | Pharmacist | One Veterans Drive, Pharmacy Service (119), Minneapolis, MN 55438 | 2018-07-03 |
| 1922402395 | Robert Ross Neal Jr. | Obstetrics & Gynecology | 7917 Wyoming Ct, Bloomington, MN 55438-1092 | 2014-10-14 |
| 1891983557 | Suzanne Alarcon Moher | Physical Therapist | 8585 W 78th St Ste 230, Bloomington, MN 55438-1095 | 2007-10-09 |
| 1366597841 | Anthony Joseph Zappa | Pharmacist | 7110 W 83rd St, Bloomington, MN 55438-1104 | 2007-01-24 |
| 1780916403 | Joseph Ignatius Hamel Sr. | Obstetrics & Gynecology | 8006 Pennsylvania Rd, Bloomington, MN 55438-1135 | 2010-02-04 |
| 1528302635 | Kenneth James Johnson | Pharmacist | 8145 Rhode Island Cir, 1, Bloomington, MN 55438-1152 | 2012-11-15 |
| 1881046258 | Healing Waters Recovery Counseling | Community/Behavioral Health | 6954 W 84th St, Bloomington, MN 55438-1159 | 2016-07-08 |
| 1467892141 | Nadia Sandozi | Dentist | 8017 Telegraph Rd, Bloomington, MN 55438-1179 | 2013-06-27 |
| Find all providers in zip 55438 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194326942 | Shakur Abdisalam | Home Health | 1440 E Old Shakopee Rd, Bloomington, MN 55425-2438 | 2020-11-06 |
| 1740801323 | Suburban Home Health Care Agency, LLC | Home Health | 9400 Old Cedar Ave S Apt 135, Bloomington, MN 55425-2424 | 2020-05-05 |
| 1417583873 | Kelly Collier | Home Health | 1905 N Monroe St, Bloomington, IN 47404-2141 | 2020-03-18 |
| 1942848296 | Unlimited Home Health Care | Home Health | 8112 Wentworth Ave S, Bloomington, MN 55420-1109 | 2019-12-17 |
| 1720624810 | Sunshine Assisted Living Services LLC | Home Health | 9540 Columbus Ave S, Bloomington, MN 55420 | 2019-11-23 |
| 1952857005 | Polaris Home Health Care Inc | Home Health | 8609 Lyndale Ave S Ste 213c, Bloomington, MN 55420-2769 | 2016-08-29 |
| 1831596345 | Priority Homes LLC | Home Health | 1713 W 85th St, Bloomington, MN 55431-1751 | 2014-11-26 |
| 1255736583 | Estherra Care LLC | Home Health | 7437 Bristol Village Curv, Bloomington, MN 55438-2565 | 2014-10-29 |
| 1578902250 | Promise Care, Inc | Home Health | 7900 International Drive, Suite 300, Bloomington, MN 55425 | 2013-06-17 |
| 1164769790 | Hands At Home, LLC | Home Health | 7110 S Leisure Ln, Bloomington, IN 47401-9090 | 2013-01-16 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 55438 |
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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.