TWEETEN LUTHERAN HEALTHCARE CENTER, INC (NPI# 1891876181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891876181 |
| Entity Type | Organization |
| Organization Name | TWEETEN LUTHERAN HEALTHCARE CENTER, INC |
| Other Organization Name | GUNDERSEN TWEETEN CARE CENTER |
| Practice Address |
125 5th Ave Se Spring Grove MN 55974-1318 |
| Practice Telephone | 5074983211 |
| Practice Fax Number | 5074983228 |
| Mailing Telephone | 5074983211 |
| Mailing Fax Number | 5074983228 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2013-05-01 |
| Authorized Official Name | TIM SAMUELSON (CEO) |
| Authorized Official Telephone | 5074983211 |
| Is Organization Subpart | Y |
| Parent Organization Name | GUNDERSEN LUTHERAN HEALTH SYSTEMS, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 332995 | MN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 068252700 | 05 | |
| MN | BLUE CROSS BLUE SHIELD MN | 1D30TW | 01 |
| Other Name | Type Code |
|---|---|
| Gundersen Tweeten Care Center | Doing Business As Name - Organization |
| Street Address |
125 5TH AVE SE |
| City | SPRING GROVE |
| State | MN |
| Zip Code | 55974-1318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548263122 | Glenn P Mccarty | Family Medicine | 125 5th Ave Se, Spring Grove, MN 55974-1318 | 2005-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336272392 | John David Booman | Chiropractor | 102 1st St Se, Spring Grove, MN 55974 | 2007-03-13 |
| 1881764041 | Spring Grove Ambulance Service | Ambulance | 192 West Main St, Spring Grove, MN 55974 | 2006-11-08 |
| 1649366485 | Booman Chiropractic Corporation | Chiropractor | 102 1st Street Se, Spring Grove, MN 55974 | 2006-10-05 |
| 1306084314 | Spring Grove Family Chiropractic, Pa | Chiropractor | 102 1st St Se, Spring Grove, MN 55974 | 2009-01-29 |
| 1700940921 | Independent School District #297 | Local Education Agency (LEA) | 113 2nd Ave Nw, Spring Grove, MN 55974-1204 | 2006-12-21 |
| 1306920491 | Rushford Drug Company | Pharmacy | 137 W Main St, Spring Grove, MN 55974-1225 | 2006-10-25 |
| 1962019364 | Astrup Drug Inc | Pharmacy | 137 W Main St, Spring Grove, MN 55974-1225 | 2020-09-29 |
| 1801431549 | Amanda Rae Schuttemeier | Pharmacist | 137 W Main St, Spring Grove, MN 55974-1225 | 2019-11-15 |
| 1316206709 | Astrup Drug Inc | Pharmacy | 137 W Main St, Spring Grove, MN 55974-1225 | 2012-05-07 |
| 1053355016 | Shawn Ken Bloyer | Specialist/Technologist | 161 1st St Sw, Spring Grove, MN 55974-1270 | 2006-06-16 |
| Find all providers in zip 55974 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639707177 | Prairie Bluffs Rehabilitation Center LLC | Skilled Nursing Facility | 10300 Hennepin Town Rd, Eden Prairie, MN 55347-5100 | 2020-03-30 |
| 1881221869 | Natalie Sears | Skilled Nursing Facility | 1200 Cheri Ln Ne Apt 5, Fridley, MN 55421-1213 | 2020-03-26 |
| 1396210779 | Southview Operations LLC | Skilled Nursing Facility | 2000 Oakdale Avenue, West St. Paul, MN 55118 | 2018-10-11 |
| 1144707811 | Victory Health Operations, LLC | Skilled Nursing Facility | 512 - 49th Avenue North, Minneapolis, MN 55430-3621 | 2018-07-25 |
| 1710473434 | Cg Care Center, LLC. | Skilled Nursing Facility | 6993 80th Street South, Cottage Grove, MN 55016 | 2018-07-05 |
| 1457863466 | Seasons Healthcare of Trimont, Inc | Skilled Nursing Facility | 305 Broadway Avenue South, Trimont, MN 56176 | 2017-10-31 |
| 1760903157 | St. John's Lutheran Home | Skilled Nursing Facility | 1771 Eagle View Cir, Albert Lea, MN 56007-1817 | 2017-07-06 |
| 1114458221 | Lakeland Homecare LLC | Skilled Nursing Facility | 1604 Covington Ln, Eagan, MN 55122-2759 | 2017-03-22 |
| 1952842197 | Nsh Rochester East LLC | Skilled Nursing Facility | 501 8th Ave Se, Rochester, MN 55904-4834 | 2017-03-20 |
| 1750827234 | Walker Operations LLC | Skilled Nursing Facility | 209 Birchwood Avenue West, Walker, MN 56484 | 2017-01-09 |
| Find all providers with the same taxonomy | ||||
| City | SPRING GROVE |
| Zip Code | 55974 |
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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.