EVANSVILLE CARE CAMPUS LLC (NPI# 1992038905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992038905 |
| Entity Type | Organization |
| Organization Name | EVANSVILLE CARE CAMPUS LLC |
| Other Organization Name | EVANSVILLE SENIOR LIVING |
| Practice Address |
649 State St Nw Evansville MN 56326-8124 |
| Practice Telephone | 2189482219 |
| Mailing Telephone | 2189482219 |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2009-09-09 |
| Authorized Official Name | MR. ARLYNN E JOHNSON (PRESIDENT/OWNER) |
| Authorized Official Telephone | 2189482454 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| EVANSVILLE SENIOR LIVING | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134352917 | Evansville Care Campus LLC | Skilled Nursing Facility | 649 State St Nw, Evansville, MN 56326-8124 | 2009-08-27 |
| Street Address |
649 STATE ST NW |
| City | EVANSVILLE |
| State | MN |
| Zip Code | 56326-8124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487640132 | Foundation for Rural Health Care | Skilled Nursing Facility | 649 State St Nw, Evansville, MN 56326-8124 | 2005-09-27 |
| 1134352917 | Evansville Care Campus LLC | Skilled Nursing Facility | 649 State St Nw, Evansville, MN 56326-8124 | 2009-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952592552 | Kramer Chiropractic P.a. | Clinic/Center | 105 Main St Nw, Box 206, Evansville, MN 56326-4548 | 2007-08-07 |
| 1023110350 | Foundation for Rural Health Care | Assisted Living Facility | 651 State St Nw, Evansville, MN 56326-8183 | 2006-09-05 |
| 1982133880 | Kathereine Marie Vanderweyst | Foster Care Agency | 17515 Wolf Creek Rd Nw, Evansville, MN 56326-8269 | 2017-06-06 |
| 1861531154 | Donna K Meissner | Homemaker | 16866 County Road 16 Nw, Evansville, MN 56326-8313 | 2007-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992306294 | Angela Mamat | Registered Nurse | 2830 Woodside Ct, Evansville, IN 47711-6731 | 2020-11-03 |
| 1114528585 | Shannon Allcron | Pharmacist | 6770 E. Virginia St., Evansville, IN 47715 | 2020-11-03 |
| 1083213607 | Medihealth Primary Care LLC | Nurse Practitioner | 2345 W Franklin St Ste 102, Evansville, IN 47712-5100 | 2020-10-23 |
| 1659970036 | Sarah Buedel | Dentist | 900 Tutor Ln Ste 103, Evansville, IN 47715-7295 | 2020-10-18 |
| 1346848132 | Katelyn Wendt | Registered Nurse | 105 S Madison St, Evansville, WI 53536-1365 | 2020-10-13 |
| 1285240390 | Amy D Perry | Nurse Practitioner | 728 N Cross Pointe Blvd # 102, Evansville, IN 47715-9163 | 2020-09-23 |
| 1669087144 | Babb Dentistry LLC | Clinic/Center | 2229 W Virginia St, Evansville, IN 47712-5214 | 2020-09-11 |
| 1902410095 | Crystal Blair | Physical Therapist | 5050 Lincoln Ave Apt Suite, Evansville, IN 47715-7390 | 2020-09-04 |
| 1831702828 | Oleg Borisyuk | Dental Hygienist | 804 S Green River Rd, Evansville, IN 47715-4106 | 2020-08-28 |
| 1790398451 | Bryant P. Burkett Dds, LLC | Clinic/Center | 5310 Pearl Dr Ste C, Evansville, IN 47712-8105 | 2020-08-24 |
| Find all providers in EVANSVILLE | ||||
| 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 |
|---|---|---|---|---|
| 1316430465 | Evansville Rcf Lp | Assisted Living Facility | 475 S Governor St, Evansville, IN 47713-1949 | 2018-06-13 |
| 1679720536 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 6521 Greendale Dr, Evansville, IN 47711-1741 | 2008-08-22 |
| 1023110350 | Foundation for Rural Health Care | Assisted Living Facility | 651 State St Nw, Evansville, MN 56326-8183 | 2006-09-05 |
| 1356996862 | The Wyndmoor of Evansville, LLC | Assisted Living Facility | 6521 Greendale Dr, Evansville, IN 47711-1741 | 2019-08-02 |
| 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 | EVANSVILLE |
| Zip Code | 56326 |
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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.