SARA I HUSBY (NPI# 1295965846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295965846 |
| Entity Type | Individual |
| Full Name | SARA I HUSBY |
| Credential | COTA/L |
| Practice Address |
815 Forest Ave Northfield MN 55057-1643 |
| Mailing Address |
1920 Roosevelt Dr Apt 54 Northfield MN 55057-3512 |
| Practice Telephone | 5076648800 |
| Mailing Telephone | 2183960351 |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2009-07-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 201299 | MN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 201299 | 05 |
| Street Address |
815 FOREST AVE |
| City | NORTHFIELD |
| State | MN |
| Zip Code | 55057-1643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275611162 | Minnesota Odd Fellows Home | Skilled Nursing Facility | 815 Forest Ave, Northfield, MN 55057-1643 | 2006-11-01 |
| 1437762994 | Lauren Alexandra Brandeen | Speech-Language Pathologist | 815 Forest Ave, Northfield, MN 55057-1643 | 2020-08-25 |
| 1447801303 | Minnesota Odd Fellows Home | Clinic/Center | 815 Forest Ave, Northfield, MN 55057-1643 | 2019-09-23 |
| 1386292449 | Nicole M Johnson | Occupational Therapist | 815 Forest Ave, Northfield, MN 55057-1643 | 2019-08-30 |
| 1023425717 | Andrew Whitehead | Speech-Language Pathologist | 815 Forest Ave, Northfield, MN 55057-1643 | 2014-07-15 |
| 1598998395 | Carolyn Jean Poblocki | Physical Therapist | 815 Forest Ave, Northfield, MN 55057-1643 | 2009-08-26 |
| 1205066552 | Angela Marie Reiter | Physical Therapy Assistant | 815 Forest Ave, Northfield, MN 55057-1643 | 2009-07-21 |
| 1033349204 | Lynn Marie Melhouse | Physical Therapy Assistant | 815 Forest Ave, Northfield, MN 55057-1643 | 2009-07-21 |
| 1740350792 | Minnesota Odd Fellows Home | Home Health | 815 Forest Ave, Northfield, MN 55057-1643 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831750322 | Rebecca Brooks Amundson | Marriage & Family Therapist | 570 Professional Drive, Northfield, MN 55057 | 2019-06-25 |
| 1639734635 | Benedictine Living Community of Northfield, LLC | Assisted Living Facility | 2030 North Avenue, Northfield, MN 55057 | 2019-05-06 |
| 1053798637 | Kevin Cassin | Optometrist | 2019 Jefferson Rd Ste A, Northfield, MN 55057 | 2015-05-02 |
| 1538446059 | Salwa Bakkali Derksen | Hospitalist | 2000 N Avenue, Northfield, MN 55057 | 2011-11-11 |
| 1689804783 | Angela Lynn Burt | Occupational Therapist | 815 Forest Ave., Three Links Care Center, Northfield, MN 55057 | 2009-07-23 |
| 1659519106 | Heidi Lee Auge | Physical Therapist | 805 Forest Avenue, Three Links Care Center-therapy, Northfield, MN 55057 | 2009-01-21 |
| 1639326689 | Tina Swenson | Speech-Language Pathologist | 1 Northfield, Northfield, MN 55057 | 2008-08-21 |
| 1356567739 | Eric Allen Cram | Chiropractor | 158 Water St. N, Suite 2, Northfield, MN 55057 | 2007-04-17 |
| 1407072689 | Justine Faye Politz | Nurse Practitioner | Northfield Hopital, 2000 N. Ave., Northfield, MN 55057 | 2007-04-17 |
| 1518080399 | John Jacques Hilo | Chiropractor | 158 Water St. N., Suite 2, Northfield, MN 55057 | 2007-04-09 |
| Find all providers in zip 55057 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548817620 | Affinity Residential Care LLC | Nursing Facility/Intermediate Care Facility | 9213 Elliot Ave S, Bloomington, MN 55420-3851 | 2019-08-22 |
| 1548703929 | Lynda Duoseke Abagi | Nursing Facility/Intermediate Care Facility | 661 Eagle Ridge Rd, Woodbury, MN 55125-1461 | 2016-12-02 |
| 1972947851 | Villa At Osseo LLC | Nursing Facility/Intermediate Care Facility | 501 2nd Street Ne, Osseo, MN 55369-1603 | 2013-04-23 |
| 1790060838 | Stonehaven Assisted Living Inc. | Nursing Facility/Intermediate Care Facility | 8783 2nd Street South, Brookston, MN 55711-0284 | 2011-10-20 |
| 1770863375 | Walker Thompson Hill, LLC | Nursing Facility/Intermediate Care Facility | One Thompson Avenue West, West St. Paul, MN 55118-3100 | 2011-08-26 |
| 1497995203 | Kinder Care Homecare Services | Nursing Facility/Intermediate Care Facility | 270 County Road 110 N, Minnetrista, MN 55364-8316 | 2009-03-06 |
| 1609011170 | St. Francis Health Care System Inc | Nursing Facility/Intermediate Care Facility | 1591 Woodlynn Ave Unit 1, Maplewood, MN 55109-5709 | 2008-12-11 |
| 1154580793 | Sunrise To Sunset Adult Day Services Inc. | Nursing Facility/Intermediate Care Facility | 3001 W Arrowhead Rd, Duluth, MN 55811-4232 | 2008-06-09 |
| 1861672198 | Harmony Living Health Care Services | Nursing Facility/Intermediate Care Facility | 7509 Colfax Ave N, Brooklyn Park, MN 55444-2550 | 2007-11-03 |
| 1841409836 | Williams, Inc. | Nursing Facility/Intermediate Care Facility | 2500 Pillsbury Ave S, Minneapolis, MN 55404-4201 | 2007-05-22 |
| Find all providers with the same taxonomy | ||||
| City | NORTHFIELD |
| Zip Code | 55057 |
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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.