PHS WESTHEALTH, INC (NPI# 1346645538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346645538 |
| Entity Type | Organization |
| Organization Name | PHS WESTHEALTH, INC |
| Other Organization Name | INTERLUDE |
| Practice Address |
2775 Campus Drive North Plymouth MN 55441 |
| Mailing Address |
2845 Hamline Ave N Roseville MN 55113-7127 |
| Practice Telephone | 6516316100 |
| Mailing Telephone | 6516316100 |
| Mailing Fax Number | 6516316122 |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2017-01-24 |
| Authorized Official Name | MARK MEYER (CFO) |
| Authorized Official Telephone | 6516316120 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | UCARE | NH2165 | 01 |
| MN | 969408200 | 05 |
| Other Name | Type Code |
|---|---|
| Interlude | Doing Business As Name - Organization |
| Street Address |
2775 CAMPUS DRIVE NORTH |
| City | PLYMOUTH |
| State | MN |
| Zip Code | 55441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689190019 | The Recovery Clinic LLC | Clinic/Center | 9800 Shelard Pkwy Ste 215, Plymouth, MN 55441 | 2017-08-17 |
| 1356887186 | Katherine Marlow Bell | Dentist | 2805 Campus Dr Ste 245, Plymouth, MN 55441 | 2017-01-18 |
| 1083069538 | Mercade Waldon | Home Health Aide | 3501 Xenium Lane, Plymouth, MN 55441 | 2016-05-03 |
| 1427453125 | Samuel David Fine | Pharmacist | 4070 Goldenrod Ln, Plymouth, MN 55441 | 2014-10-24 |
| 1548672538 | Scott Aaron Schmidt | Dentist | 2720 Annapolis Circle N, Suite A, Plymouth, MN 55441 | 2014-05-23 |
| 1831498633 | Comforide Transportation Services LLC | Non-emergency Medical Transport (VAN) | 9730 37th Pl N Suite 201, Plymouth, MN 55441 | 2011-03-18 |
| 1255669271 | Tammy Kae Mehlhaus | Physician Assistant | 2855 Campus Drive, Suite 570, Plymouth, MN 55441 | 2009-12-02 |
| 1164758199 | Stephen P. Boger, Dds, Pa | Dentist | 2720 Annapolis Circle, Suite A, Plymouth, MN 55441 | 2009-10-27 |
| 1093908360 | Endodontic Professionals Pa Plymouth Endodontics | Dentist | 3401 Hwy 169 N, Plymouth, MN 55441 | 2007-08-21 |
| 1679787279 | Vinay Ravi | Radiology | 2955 Xenium Ln N Ste 40, Plymouth, MN 55441 | 2007-05-10 |
| Find all providers in zip 55441 | ||||
| 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 |
|---|---|---|---|---|
| 1396127213 | Lcs-westminster Partnership V LLP | Skilled Nursing Facility | 14585 59th Ave N, Plymouth, MN 55446-3872 | 2015-06-27 |
| 1750712345 | Rj's Home Health Care, LLC | Skilled Nursing Facility | 5875 Teakwood Ln N, Unit B, Plymouth, MN 55442-1487 | 2013-12-06 |
| 1497185748 | Laurine Margaret Ringer | Skilled Nursing Facility | 10560 Nutmeg Trl, Plymouth, IN 46563-7515 | 2013-11-24 |
| 1396990370 | New Living LLC | Skilled Nursing Facility | 1020 W Medicine Lake Dr, Plymouth, MN 55441-4513 | 2008-11-18 |
| 1205979457 | Cook Willow Convalescent Hospital, Inc. | Skilled Nursing Facility | 81 Hillside Ave, Plymouth, CT 06782-2305 | 2007-02-15 |
| 1003988049 | County of Sheboygan | Skilled Nursing Facility | N7135 Rocky Knoll Pkwy, Plymouth, WI 53073-3103 | 2006-11-14 |
| 1942213954 | Mission Farm Nursing Home, Inc | Skilled Nursing Facility | 3401 E Medicine Lake Blvd, Plymouth, MN 55441-2307 | 2006-08-14 |
| 1700828357 | Heartland-plymouth Court Mi LLC | Skilled Nursing Facility | 105 N Haggerty Rd, Plymouth, MI 48170-1801 | 2006-06-11 |
| 1699727560 | Ggnsc Plymouth LLC | Skilled Nursing Facility | 19 Obery St, Plymouth, MA 02360-2129 | 2006-05-17 |
| 1568422087 | Plymouth Medical Investors, LLC | Skilled Nursing Facility | 94 Obery St, Plymouth, MA 02360-2130 | 2006-03-27 |
| Find all providers in PLYMOUTH | ||||
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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.