MOTHER OF MERCY (NPI# 1104899939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104899939 |
| Entity Type | Organization |
| Organization Name | MOTHER OF MERCY |
| Other Organization Name | MOTHER OF MERCY SENIOR LIVING |
| Practice Address |
230 Church Avenue Albany MN 56307-0676 |
| Mailing Address |
Po Box 676 Albany MN 56307-0676 |
| Practice Telephone | 3208452195 |
| Practice Fax Number | 3208457092 |
| Mailing Telephone | 3208452195 |
| Mailing Fax Number | 3208457092 |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2017-05-30 |
| Authorized Official Name | MR. DEAN MCDEVITT (ADMINISTRATOR/CEO) |
| Authorized Official Telephone | 3208452195 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 222043100 | MN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 222043100 | 05 | |
| MN | BLUE CROSS / BLUE SHIELD | 9699MO | 01 |
| MN | MN SALES TAX EXEMPT NUMBE | 23788 | 01 |
| Other Name | Type Code |
|---|---|
| Mother of Mercy Senior Living | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MOTHER OF MERCY NURSING HOME | 230 Church Ave, Albany, MN 56307-9489 |
| Street Address |
230 CHURCH AVENUE |
| City | ALBANY |
| State | MN |
| Zip Code | 56307-0676 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669023156 | Mary Jane Zeimetz | Technician | 355 Countryside Ln #6, Albany, MN 56307 | 2019-09-25 |
| 1003965047 | Harry J Larson | Dentist | 150 4th Street, Albany, MN 56307 | 2007-01-09 |
| 1952498214 | Katrina Coppicus | Occupational Therapist | 230 Church Street, Albany, MN 56307 | 2006-10-06 |
| 1457726549 | Centracare Clinic | Clinic/Center | 30 Railroad Ave, Albany, MN 56307 | 2015-12-01 |
| 1922302843 | Chi Health Connect At Home - Fargo | Hospice Care, Community Based | 131 8th Street South, Suite 1, Albany, MN 56307-0776 | 2011-01-06 |
| 1093019754 | Chi Health Connect At Home - Fargo | Home Health | 131 8th Street South, Suite 1, Albany, MN 56307-0776 | 2011-01-10 |
| 1427108273 | Robert C. Schwegler, Dds Pa | Clinic/Center | 421 Railroad Ave, Albany, MN 56307-0808 | 2007-01-12 |
| 1700408796 | Jessica Michael Lindquist | Counselor | 1185 Cranberry St, Albany, MN 56307-4518 | 2020-05-12 |
| 1417440223 | Megan Raiber | Dentist | 360 Railroad Ave, Albany, MN 56307-6201 | 2018-06-07 |
| 1730526419 | Leslie Marie Young | Counselor | 161 4th St Ste B, Albany, MN 56307-8356 | 2013-06-04 |
| Find all providers in zip 56307 | ||||
| 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. |
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|---|---|---|---|---|
| 1356403190 | Deamc | Skilled Nursing Facility | 5176 Washington Rd, Albany, OH 45710-9400 | 2006-12-15 |
| 1225139678 | Ahnh LLC | Skilled Nursing Facility | 325 Northern Blvd, Albany, NY 12204-1001 | 2006-09-26 |
| 1366558967 | Riverview Hospital | Skilled Nursing Facility | 910 W Walnut St, Albany, IN 47320-1530 | 2006-08-23 |
| 1326071507 | Albany Health Care, Inc | Skilled Nursing Facility | 223 W 3rd Ave, Albany, GA 31701-2002 | 2006-07-09 |
| 1609809896 | Palmyra Nursing Home, Inc | Skilled Nursing Facility | 1904 Palmyra Rd, Albany, GA 31701-1575 | 2006-07-09 |
| 1861443335 | Ggnsc Albany LLC | Skilled Nursing Facility | 1405 E Us Highway 136, Albany, MO 64402-8222 | 2006-05-12 |
| 1518946029 | Hqm of Clinton County, Inc | Skilled Nursing Facility | 404 N Washington St, Clinton County, Albany, KY 42602-1312 | 2006-01-12 |
| 1578550653 | Teresian House Nursing Home Co Inc | Skilled Nursing Facility | 200 Washington Avenue Ext, Albany, NY 12203-5335 | 2005-10-04 |
| 1427044619 | Pci Care Venture I, Inc | Skilled Nursing Facility | 1023 6th Ave Sw, Albany, OR 97321-1917 | 2005-09-22 |
| 1144215625 | Villa Mary Immaculate | Skilled Nursing Facility | 301 Hackett Blvd, Albany, NY 12208-1963 | 2005-09-12 |
| Find all providers in ALBANY | ||||
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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.