MSOCS-REDWOOD FALLS (NPI# 1366515017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366515017 |
| Entity Type | Organization |
| Organization Name | MSOCS-REDWOOD FALLS |
| Practice Address |
205 Baker Dr Redwood Falls MN 56283-1057 |
| Mailing Address |
Po Box 64979 Saint Paul MN 55164-0979 |
| Practice Telephone | 5076375317 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ROGER DENEEN (RESIDENTIAL PROG SVCS DIRECTOR) |
| Authorized Official Telephone | 6515821857 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
| Street Address |
205 BAKER DR |
| City | REDWOOD FALLS |
| State | MN |
| Zip Code | 56283-1057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073128153 | Michael W Flinn Dds, Pa | Dentist | 200 Firewood Drive, Redwood, MN 56283 | 2020-09-15 |
| 1851763932 | Thomas A Bruns | Nurse Anesthetist, Certified Registered | 30057 700th Avenue, Redwood Falls, MN 56283 | 2015-10-28 |
| 1073905881 | Cindy Moldan | Registered Nurse | 100 Fallwood Road, Redwood Area Hospital, Redwood Falls, MN 56283 | 2015-03-03 |
| 1922329903 | Amanda J Kittelson | Physician Assistant | Carris Health-redwood, 100 Fallwood Road, Redwood Falls, MN 56283 | 2010-06-14 |
| 1356474183 | Timothy Shane Brown | Dentist | 105 E Bridge St, Redwood Falls, MN 56283 | 2007-03-13 |
| 1356484513 | Sward-kemp Drug Co Inc | Pharmacy | 207 South Washington Street, Redwood Falls, MN 56283 | 2007-02-15 |
| 1699782169 | Janet L Marti | Nurse Practitioner | 1100 E. Broadway, Affiliated Community Medical Centers, Redwood Falls, MN 56283 | 2006-08-01 |
| 1124094842 | Cynthia K Gronau | Family Medicine | 1100 E Broadway, Redwood Falls, MN 56283 | 2006-02-23 |
| 1063493781 | Thomas C. Gross | Emergency Medicine | 1100 East Broadway, Affiliated Community Medical Centers, Redwood Falls, MN 56283 | 2005-11-09 |
| 1457872434 | Susan Buckley | Physical Therapist | 100 Fallwood Road, Redwood Area Hospital, Redwood Falls, MN 56283 | 2017-06-29 |
| Find all providers in zip 56283 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922502418 | Harry Meyering Center, Inc. | Intermediate Care Facility, Mentally Retarded | 2050 Haughton Ave, North Mankato, MN 56003-1416 | 2018-03-20 |
| 1114385085 | Lutheran Social Service of Minnesota | Intermediate Care Facility, Mentally Retarded | 11754 191 1/2 Ave Nw, Elk River, MN 55330-1367 | 2016-02-05 |
| 1255797718 | Lutheran Social Service of Minnesota | Intermediate Care Facility, Mentally Retarded | 497 Gates Ave Nw, Elk River, MN 55330-2633 | 2016-01-13 |
| 1891195608 | Prairie Community Services | Intermediate Care Facility, Mentally Retarded | 2203 Rolling Green Ln, North Mankato, MN 56003-4459 | 2014-08-28 |
| 1336560333 | Rem Woodvale, Inc. Cottonwood | Intermediate Care Facility, Mentally Retarded | 2311 9th Avenue Sw, Austin, MN 55912 | 2013-12-18 |
| 1801228937 | Rem River Bluffs, Inc. Pinewood | Intermediate Care Facility, Mentally Retarded | 2631 Pinewood Ridge Dr Se, Rochester, MN 55904-6227 | 2013-07-31 |
| 1205111770 | Rem Ramsey, Inc. | Intermediate Care Facility, Mentally Retarded | 975 Lakewood Drive, Maplewood, MN 55119 | 2011-10-17 |
| 1306171939 | Rem Ramsey, Inc. | Intermediate Care Facility, Mentally Retarded | 797 Mayhill Rd N, Maplewood, MN 55119-3828 | 2009-10-15 |
| 1003073487 | Harmony Homes of Minnesota LLC | Intermediate Care Facility, Mentally Retarded | 7935 Drake Rd, Woodbury, MN 55125-1446 | 2008-05-22 |
| 1508033580 | Allendale House | Intermediate Care Facility, Mentally Retarded | 3108 Highway 52 N, Rochester, MN 55901-1916 | 2008-05-09 |
| Find all providers with the same taxonomy | ||||
| City | REDWOOD FALLS |
| Zip Code | 56283 |
Please comment or provide details below to improve the information on MSOCS-REDWOOD FALLS.
| 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.