KRUSE VILLAGE, LLC (NPI# 1205387917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205387917 |
| Entity Type | Organization |
| Organization Name | KRUSE VILLAGE, LLC |
| Other Organization Name | KRUSE VILLAGE SENIOR LIVING COMMUNITY |
| Practice Address |
1700 E Stone St Brenham TX 77833-5150 |
| Mailing Address |
12900 Whitewater Dr Ste 201 Hopkins MN 55343-9407 |
| Practice Telephone | 9798301996 |
| Practice Fax Number | 9798364926 |
| Mailing Telephone | 7635375700 |
| Mailing Fax Number | 7635379200 |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2020-04-09 |
| Authorized Official Name | AMBER ROGOTZKE (PRESIDENT) |
| Authorized Official Telephone | 7635375700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities | ||
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Kruse Village | Doing Business As Name - Organization |
| Kruse Village Senior Living Community | Doing Business As Name - Organization |
| Street Address |
1700 E STONE ST |
| City | BRENHAM |
| State | TX |
| Zip Code | 77833-5150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376657742 | Lutheran Social Services of The South, Inc. | Skilled Nursing Facility | 1700 E Stone St, Brenham, TX 77833-5150 | 2006-08-19 |
| 1093327751 | Jessica Richard | Occupational Therapist | 1700 E Stone St, Brenham, TX 77833-5150 | 2020-08-23 |
| 1194342204 | Medha Raghavendra | Speech-Language Pathologist | 1700 E Stone St, Brenham, TX 77833-5150 | 2020-07-06 |
| 1902439953 | Tammy Goebel | Physical Therapist | 1700 E Stone St, Brenham, TX 77833-5150 | 2020-02-18 |
| 1912547001 | Laporsha Taylor | Occupational Therapist | 1700 E Stone St, Brenham, TX 77833-5150 | 2020-01-07 |
| 1538716915 | Kimberly Kay Thompson | Physical Therapy Assistant | 1700 E Stone St, Brenham, TX 77833-5150 | 2019-08-21 |
| 1437613486 | Jennifer Goforth | Occupational Therapy Assistant | 1700 E Stone St, Brenham, TX 77833-5150 | 2019-01-24 |
| 1104380203 | Scott Woodbury | Physical Therapy Assistant | 1700 E Stone St, Brenham, TX 77833-5150 | 2019-01-23 |
| 1821523507 | Nupoor Umarji | Physical Therapist | 1700 E Stone St, Brenham, TX 77833-5150 | 2017-05-01 |
| 1467730424 | Joshua Sulik | Physical Therapist | 1700 E Stone St, Brenham, TX 77833-5150 | 2011-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860372 | Moataz T Abdelrazek | Pharmacist | 203 Us Loop 290 W, Brenham, TX 77833 | 2020-10-30 |
| 1033719869 | Francis Izuchukwu Okegbu | Pharmacist | 203 Us Loop, Hwy 290 E, Brenham, TX 77833 | 2020-10-30 |
| 1619580073 | Doris Forka | Psychologist | 4001 Tx-36, Brenham, TX 77833 | 2020-08-26 |
| 1679969075 | First Bethel Place LLC | Day Training, Developmentally Disabled Services | 406 W. Fifth St Apt16, Brenham, TX 77833 | 2015-04-13 |
| 1457750192 | Smile Keepers Pllc | Dentist | 218 Us Hwy 290 West, Brenham, TX 77833 | 2014-08-19 |
| 1518390954 | Bright Family Dentistry, Pllc | Dentist | 639 Medical Parkway, Brenham, TX 77833 | 2013-08-20 |
| 1255648630 | Janet Ann Kitowski | Dietitian, Registered | 3377 Tamy Lane, Brenham, TX 77833 | 2010-09-08 |
| 1841505047 | Sumeet Sharma | Dentist | 224 Us Hwy 290 W, Brenham, TX 77833 | 2010-08-11 |
| 1669633145 | Aesthetic & Acupuncture Clinic of Texas Pllc | Acupuncturist | 354 Stone Hill Drive, Brenham, TX 77833 | 2008-06-18 |
| 1295954402 | Minnie Lou Burrell | Licensed Practical Nurse | 202 Barbee, Brenham, TX 77833 | 2007-04-25 |
| Find all providers in zip 77833 | ||||
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336229798 | Brenham Health Care Ltd | Skilled Nursing Facility | 406 Cottonwood St, Brenham, TX 77833-3237 | 2006-10-17 |
| 1376657742 | Lutheran Social Services of The South, Inc. | Skilled Nursing Facility | 1700 E Stone St, Brenham, TX 77833-5150 | 2006-08-19 |
| 1669994018 | Hamilton County Hospital District | Skilled Nursing Facility | 1303 Highway 290 E, Brenham, TX 77833-5928 | 2017-07-07 |
| 1528458924 | South Limestone Hospital District | Skilled Nursing Facility | 401 E Blue Bell Rd, Brenham, TX 77833-2407 | 2015-01-23 |
| 1790190676 | Liberty County Hospital District No.1 | Skilled Nursing Facility | 406 Cottonwood St, Brenham, TX 77833-3237 | 2014-06-30 |
| 1194163030 | Gazebo Terrace Skilled Care and Rehabilitation, LLC | Skilled Nursing Facility | 1303 Highway 290 E, Brenham, TX 77833-5928 | 2013-06-13 |
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| 1609473362 | Touchstone Strategies - Penitas, LLC | Skilled Nursing Facility | 414 Liberty Blvd., Penitas, TX 78576 | 2020-10-06 |
| 1649884313 | Springtown Ventures Lp | Skilled Nursing Facility | 201 Williams Ward Rd., Springtown, TX 76082 | 2020-09-01 |
| 1821601691 | Altamira Healthcare LLC | Skilled Nursing Facility | 200 Carla St, Zapata, TX 78076-3114 | 2020-08-31 |
| 1538770839 | Go Operations 3 LLC | Skilled Nursing Facility | 4366 Lockhill Selma, Shavano, TX 78249 | 2020-08-11 |
| 1912516329 | Patriot Skilled Nursing and Rehabilitation LLC | Skilled Nursing Facility | 11490 Gateway N Blvd., El Paso, TX 79934 | 2020-07-31 |
| 1972112464 | The Brixton At Horseshoe Bay | Skilled Nursing Facility | 15101 West Fm 2147, Horseshoe Bay, TX 78657 | 2020-07-30 |
| 1558984278 | Slp Johnson City LLC | Skilled Nursing Facility | 206 Haley Rd, Johnson City, TX 78636-4617 | 2020-05-28 |
| 1073136149 | Continuum Rehab Group | Skilled Nursing Facility | 3326 Burgoyne St # 1432, Dallas, TX 75233-1304 | 2020-05-24 |
| 1750904264 | Frank Villanueva | Skilled Nursing Facility | 711 W Broadway St, Denver City, TX 79323-3000 | 2020-05-19 |
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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.