JASPER SUNRISE VILLAGE (NPI# 1942643135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942643135 |
| Entity Type | Organization |
| Organization Name | JASPER SUNRISE VILLAGE |
| Other Organization Name | JASPER EDA |
| Practice Address |
100 Robert Ave N Jasper MN 56144-1219 |
| Practice Telephone | 5073488620 |
| Practice Fax Number | 5073486100 |
| Mailing Telephone | 5073488620 |
| Mailing Fax Number | 5073486100 |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2013-04-08 |
| Authorized Official Name | LAUREL YKEMA (DIRECTOR) |
| Authorized Official Telephone | 5073488620 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 20083 | MN | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Jasper EDA | Other Name - Individual/Organization |
| Street Address |
100 ROBERT AVE N |
| City | JASPER |
| State | MN |
| Zip Code | 56144-1219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407804263 | City of Jasper | Ambulance | 101 Wall St E, Jasper, MN 56144-1102 | 2006-05-04 |
| 1457448094 | Pipestone Family Clinic | Family Medicine | 120 Sherman Ave N, Jasper, MN 56144-1114 | 2006-10-06 |
| 1093271991 | Eric J Duwenhoegger | Non-emergency Medical Transport (VAN) | 100 Greenwood Ave N, Jasper, MN 56144-1226 | 2019-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700487212 | Kelley M Vonderheide | Physical Therapist | 255 W 36th St Ste 100, Jasper, IN 47546-7850 | 2020-11-03 |
| 1437758851 | Marquita Arnell King | Licensed Vocational Nurse | 2402 Donna Dr, Jasper, TX 75951-5915 | 2020-10-19 |
| 1073111845 | George Mackel, Pmhnp-bc, LLC | Nurse Practitioner | 12034 Big Canoe, 400 Shetland Trace, Jasper, GA 30143 | 2020-10-14 |
| 1598363434 | Amanda J Griggs | Massage Therapist | 54 Wolfscratch Village, Jasper, GA 30143 | 2020-10-13 |
| 1609483114 | Marion County Board of Education | Local Education Agency (LEA) | 204 Betsy Pack Dr, Jasper, TN 37347-3324 | 2020-09-29 |
| 1720692965 | Brian Enver Alli | Massage Therapist | 27 Laurel Ridge Lane, Jasper, GA 30143-5104 | 2020-09-04 |
| 1528670452 | The Capstone Rural Health Center | Clinic/Center | 1400 19th St W, Jasper, AL 35501-5171 | 2020-08-21 |
| 1497365498 | Krina Patel | Dentist | 101 6th Ave Nw, Jasper, AL 35504-7486 | 2020-08-04 |
| 1053920314 | Little Company of Mary Hospital of Indiana Inc | Surgery | 1025 1st Ave W Ste B, Jasper, IN 47546-3217 | 2020-07-23 |
| 1235755190 | Mackenzie Rose Mendel | Physician Assistant | 721 W 13th St Ste 321, Jasper, IN 47546-1857 | 2020-06-17 |
| Find all providers in JASPER | ||||
| 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 |
|---|---|---|---|---|
| 1235622820 | Sunrise Village Care LLC | Assisted Living Facility | 573 Pioneer Rd, Jasper, GA 30143-1225 | 2018-06-08 |
| 1912409137 | Victory Village | Assisted Living Facility | 3650 Salem Church Rd, Jasper, GA 30143-5288 | 2018-03-03 |
| 1417139221 | Rosewood Assisted Living Center, Inc | Assisted Living Facility | 41 Chestnut Cir, Jasper, TX 75951-4817 | 2007-12-04 |
| 1164758330 | Greene County General Hospital | Assisted Living Facility | 2515 Newton St, Jasper, IN 47547-1047 | 2009-10-23 |
| 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.