AUGUSTANA SENIOR DEVELOPMENT II (NPI# 1154943199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154943199 |
| Entity Type | Organization |
| Organization Name | AUGUSTANA SENIOR DEVELOPMENT II |
| Practice Address |
4350 Chippewa Ct Medina MN 55340-4013 |
| Practice Telephone | 9528555041 |
| Enumeration Date | 2020-05-13 |
| Last Update Date | 2020-05-13 |
| Authorized Official Name | SEELOCHANI STADTHERR (DIRECTOR OF REIMBURSEMENT) |
| Authorized Official Telephone | 9528555041 |
| 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 |
|---|---|
| Okalee of Medica | Doing Business As Name - Organization |
| Okalee of Medina | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992279533 | Augustana Senior Development II | Assisted Living Facility | 1100 1st St Se, New Prague, MN 56071-2604 | 2019-01-16 |
| 1154639128 | Augustana Senior Development II | Assisted Living Facility | 170 Valhalla Circle, Mora, MN 55051 | 2010-09-23 |
| 1801392873 | Augustana Senior Development II | Assisted Living Facility | 30 Silver Lake Pl Nw, Rochester, MN 55901-3257 | 2018-03-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | AUGUSTANA SENIOR DEVELOPMENT II, LLC | 1425 10th Ave S Suite 100, Minneapolis, MN 55404 |
| Street Address |
4350 CHIPPEWA CT |
| City | MEDINA |
| State | MN |
| Zip Code | 55340-4013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093840431 | Richard Leif Johnson | Chiropractor | 20010 75th Avenue North, Corcoran, MN 55340 | 2007-02-23 |
| 1285786293 | Hassan Ismail | Dentist | 1090 Shingle Creek Crossing, Aspen Dental, Brooklyn Center, MN 55340 | 2007-01-18 |
| 1396850558 | Fortin Health & Wellness Clinic, Pa | Chiropractor | 149 Hamel Road, Hamel, MN 55340 | 2006-08-20 |
| 1851777239 | Shelly Jean Blanchard | Marriage & Family Therapist | 6552 Carriage Way, Corcoran, MN 55340-4443 | 2015-08-07 |
| 1841766904 | Amy B Johnson | Social Worker | 6552 Carriage Way, Corcoran, MN 55340-4443 | 2018-10-16 |
| 1669005948 | Kevin Charles Carlson | Nurse Practitioner | 19303 Sorrel Ct, Corcoran, MN 55340-4447 | 2020-02-14 |
| 1841641933 | Kari Anna Hultgren | Physician Assistant | 170 Prairie Creek Rd, Medina, MN 55340-4505 | 2016-06-29 |
| 1922526334 | All Smiles Dental Pa | Dentist | 212 Clydesdale Trl, Medina, MN 55340-4513 | 2017-09-06 |
| 1093768475 | Jeffrey A Ristau | Pharmacist | 300 Clydesdale Trl, T-2223, Medina, MN 55340-4538 | 2006-05-18 |
| 1649616103 | Daniel Peter Drontle | Pharmacist | 300 Clydesdale Trl, Medina, MN 55340-4538 | 2013-05-10 |
| Find all providers in zip 55340 | ||||
| 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 |
|---|---|---|---|---|
| 1124354360 | Summerville At Camelot Place LLC | Assisted Living Facility | 49 Leisure Ln, Medina, OH 44256-1285 | 2009-10-22 |
| 1144241324 | The Ohio Masonic Home | Assisted Living Facility | 4931 Nettleton Rd, Medina, OH 44256-3232 | 2006-07-22 |
| 1841799012 | Ec Opco Medina, LLC | Assisted Living Facility | 1046 N Jefferson St, Medina, OH 44256-1102 | 2018-02-02 |
| 1508228602 | Ahf Ohio, Inc. | Assisted Living Facility | 806 E Washington St, Medina, OH 44256-2128 | 2016-03-28 |
| 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.