PARK TERRACE ASSISTED LIVING, INC. (NPI# 1154506368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154506368 |
| Entity Type | Organization |
| Organization Name | PARK TERRACE ASSISTED LIVING, INC. |
| Practice Address |
613 Montrose Blvd Buffalo MN 55313-1384 |
| Practice Telephone | 7636844866 |
| Practice Fax Number | 7636826855 |
| Mailing Telephone | 7636844866 |
| Mailing Fax Number | 7636826855 |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2008-01-07 |
| Authorized Official Name | PAUL MICKELSON (CORPORATE AR MANAGER) |
| Authorized Official Telephone | 9522594485 |
| Is Organization Subpart | Y |
| Parent Organization Name | ELIM CARE, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 337997 | MN | Nursing & Custodial Care Facilities |
| Street Address |
613 MONTROSE BLVD |
| City | BUFFALO |
| State | MN |
| Zip Code | 55313-1384 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235757667 | Roers Senior Living Buffalo LLC | Assisted Living Facility | 150 Division Street East, Buffalo, MN 55313 | 2020-07-13 |
| 1386279610 | Julie Lee | Pharmacist | 1300 Hwy 55, Buffalo, MN 55313 | 2020-03-06 |
| 1023510591 | Brenda Renee Bakken | Licensed Practical Nurse | 25 1st Ave Ne Suite 100, Buffalo, MN 55313 | 2018-03-01 |
| 1760938716 | Karen Kahler | Counselor | 1772 Donnelly Dr Nw, Buffalo, MN 55313 | 2016-08-30 |
| 1235514118 | Minnesota Teen Challenge, Inc. | Exclusive Provider Organization | 100 Garrison Ave Ne, Buffalo, MN 55313 | 2015-07-21 |
| 1912391723 | Cassandra Loeffler | Chiropractor | 1200 Mn 25, Buffalo, MN 55313 | 2015-03-19 |
| 1134531395 | Total Health and Wellness, Inc. | Chiropractor | 639 Ryan's Way, Buffalo, MN 55313 | 2014-05-22 |
| 1366797946 | Brenda Kay Lenz | Nurse Practitioner | 755 Crossroads Campus Dr Ne, Buffalo, MN 55313 | 2012-07-19 |
| 1801190327 | Professional Counseling Center | Community/Behavioral Health | 7 Highway 55 West, Unit 3, Wright One Plaza, Buffalo, MN 55313 | 2010-12-23 |
| 1619140456 | Lisa Marlene Marty | Speech-Language Pathologist | 2144 County Rd 12 South, Buffalo, MN 55313 | 2008-04-11 |
| Find all providers in zip 55313 | ||||
| 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 |
|---|---|---|---|---|
| 1235757667 | Roers Senior Living Buffalo LLC | Assisted Living Facility | 150 Division Street East, Buffalo, MN 55313 | 2020-07-13 |
| 1730570128 | Elder Care Inc | Assisted Living Facility | 682 N Main St, Buffalo, WY 82834-1736 | 2015-02-07 |
| 1043550783 | Independent Enrollment Nursing | Assisted Living Facility | 338 Grant St, Buffalo, NY 14213-1422 | 2013-02-16 |
| 1639445570 | Central Minnesota Senior Housing, LLC | Assisted Living Facility | 201 First Street Ne, Buffalo, MN 55313-1550 | 2012-03-26 |
| 1124275482 | Premier Residential Care LLC | Assisted Living Facility | 967 North Maple, Buffalo, MO 65622 | 2008-08-19 |
| 1548422173 | Sunrise Senior Living Management Inc | Assisted Living Facility | 201 1st St Ne, Buffalo, MN 55313-1550 | 2008-06-25 |
| 1801057328 | Sunrise Senior Living Management, Inc. | Assisted Living Facility | 407 8th St Nw, Buffalo, MN 55313-1003 | 2008-06-18 |
| 1053526665 | Bristol Care,inc. | Assisted Living Facility | 1002 Birch St, Buffalo, MO 65622-9455 | 2007-05-14 |
| 1649752619 | Gentle Touch Health Initiatives, LLC | Assisted Living Facility | 201 1st St Ne, Buffalo, MN 55313-1550 | 2018-09-05 |
| 1467819771 | Kenwell Gardens | Assisted Living Facility | 3456 Delaware Ave, Buffalo, NY 14217-1214 | 2016-01-19 |
| Find all providers in BUFFALO | ||||
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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.