SERVANT RESIDENTIAL CARE INCORPORATED (NPI# 1902042138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902042138 |
| Entity Type | Organization |
| Organization Name | SERVANT RESIDENTIAL CARE INCORPORATED |
| Practice Address |
19758 Dayton Hollow Ln Fergus Falls MN 56537-7621 |
| Practice Telephone | 2187391046 |
| Mailing Telephone | 2187391046 |
| Enumeration Date | 2008-12-17 |
| Last Update Date | 2008-12-17 |
| Authorized Official Name | DR. MELVIN L FRANK (PRESIDENT) |
| Authorized Official Telephone | 2187391046 |
| Authorized Official Credential | D.MIN. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | APPLIED | MN | Nursing & Custodial Care Facilities |
| Street Address |
19758 DAYTON HOLLOW LN |
| City | FERGUS FALLS |
| State | MN |
| Zip Code | 56537-7621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700086394 | Melvin L. Frank | Custodial Care Facility | 19758 Dayton Hollow Ln, Fergus Falls, MN 56537-7621 | 2007-07-20 |
| 1407303662 | Robert Allen Reisch | Custodial Care Facility | 19758 Dayton Hollow Ln, Fergus Falls, MN 56537-7621 | 2016-09-06 |
| 1790230936 | Hospitality House of Dayton Lake | Custodial Care Facility | 19758 Dayton Hollow Ln, Fergus Falls, MN 56537-7621 | 2016-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295334217 | Mary Jane Andersen | Pharmacist | 3300 Hwy 210 W, Fergus Falls, MN 56537 | 2020-10-21 |
| 1609475615 | Blaine Perry Ecker | Pharmacist | 3300 Highway 210 W., 3300 Highway 210 West, Fergus Falls, MN 56537 | 2020-10-21 |
| 1336771591 | Paul George Wawin | Psychiatry & Neurology | 712 Cascade St. S. Lake Region Healthcare, Fergus Falls, MN 56537 | 2020-02-06 |
| 1134604127 | Christopher Michael Kjolhaug | Physical Therapist | 1131 South Mabelle Ave, Fergus Falls, MN 56537 | 2018-09-26 |
| 1619406808 | Aaron John Teigen | Physical Therapist | 1304 Lincoln Ave W, Suite C, Fergus Falls, MN 56537 | 2017-06-09 |
| 1003272154 | Anthony Gettel Dc LLC | Chiropractor | 755 Wildwood Trail, Fergus Falls, MN 56537 | 2016-01-05 |
| 1447628912 | Kelsey Shea | Student in an Organized Health Care Education/Training Program | 20743 Red Oak Dr., Fergus Falls, MN 56537 | 2015-09-14 |
| 1881070217 | Vineet Ganapati | Dentist | 2001 W Lincoln Ave # 33, Fergus Falls, MN 56537 | 2015-08-07 |
| 1497004832 | Beverly Renae Reiff | Registered Nurse | 22279 River Oaks Drive, Fergus Falls, MN 56537 | 2012-08-30 |
| 1114221421 | Jane Mary Bjornson | Social Worker | 21081 County Hwy 1, Fergus Falls, MN 56537 | 2010-12-29 |
| Find all providers in zip 56537 | ||||
| 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 |
|---|---|---|---|---|
| 1598000465 | Lutheran Brethren Woodland Lodge, Inc. | Assisted Living Facility | 394 Woodland Dr, Fergus Falls, MN 56537-4644 | 2012-12-04 |
| 1528336005 | Park Gardens of Fergus Falls, LLC | Assisted Living Facility | 215 Skogmo Blvd, Fergus Falls, MN 56537-1289 | 2011-12-12 |
| 1679783997 | Lrhc Long Term Care Facilities, Inc. | Assisted Living Facility | 802 S Mill St, Fergus Falls, MN 56537-2750 | 2007-05-23 |
| 1356306245 | Lutheran Brethren Retirement Services, Inc. | Assisted Living Facility | 418 E Alcott Ave, Fergus Falls, MN 56537-2957 | 2006-04-20 |
| 1447553284 | Ck Home Health | Assisted Living Facility | 106 N 4th Ave, Fergus Falls, MN 56537-1034 | 2010-12-17 |
| 1124083027 | Lutheran Brethren Retirement Services, Inc. | Assisted Living Facility | 418 E Alcott Ave, Fergus Falls, MN 56537-2957 | 2006-04-20 |
| 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 | ||||
| City | FERGUS FALLS |
| Zip Code | 56537 |
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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.