ALLENDALE HOUSE (NPI# 1508033580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508033580 |
| Entity Type | Organization |
| Organization Name | ALLENDALE HOUSE |
| Practice Address |
3108 Highway 52 N Rochester MN 55901-1916 |
| Practice Telephone | 5072887195 |
| Mailing Telephone | 5072887195 |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2008-05-09 |
| Authorized Official Name | MRS. DEBBIE A OMEARA (CFO) |
| Authorized Official Telephone | 5072887195 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 808655-2-RS | MN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 287543800 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ALLENDALE HOUSE | 2847 19th Ave Nw, Rochester, MN 55901-0532 |
| Street Address |
3108 HIGHWAY 52 N |
| City | ROCHESTER |
| State | MN |
| Zip Code | 55901-1916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417554627 | Austin Montgomery Gray | Chiropractor | 4229 West Frontage Rd Nw, Suite 4, Rochester, MN 55901 | 2020-10-01 |
| 1497303150 | Tatenda Valentine Rudziva | Nurse Practitioner | 2989 315 Elton Hills Drive Nw, Suite 201, Rochester, MN 55901 | 2019-08-27 |
| 1629566872 | Juan Simon Rico Mesa | Student in an Organized Health Care Education/Training Program | 4502 Medical Drive, San Antonio, 78229, San Antonio, TX 55901 | 2018-04-24 |
| 1336658277 | Minnesota Teen Challenge | Exclusive Provider Organization | 1542 Assisi Drive Nw, Rochester, MN 55901 | 2017-09-22 |
| 1235648270 | Mariah Adanene | Registered Nurse | 915 41st Street Nw, Rochester, MN 55901 | 2017-09-21 |
| 1912420639 | Anna Maria Schuman | Speech-Language Pathologist | 2746 Superior Drive Nw, Suite Number 150, Rochester, MN 55901 | 2017-07-25 |
| 1871013870 | Rhonda Keith | Counselor | 602 11th Avenue Nw #300, Rochester, MN 55901 | 2017-06-21 |
| 1548794316 | Trevor Kindle | Ophthalmology | 200 1st Ave Nw, Rochester, MN 55901 | 2017-04-18 |
| 1659810844 | Rx Team Home Health Care LLC | Home Health | 1027 7th St Nw Unit #204, Rochester, MN 55901 | 2017-02-21 |
| 1457713109 | Joshua Carter | Chiropractor | 3270 19th St Nw Ste 203, Rochester, MN 55901 | 2016-03-22 |
| Find all providers in zip 55901 | ||||
| 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 |
|---|---|---|---|---|
| 1801228937 | Rem River Bluffs, Inc. Pinewood | Intermediate Care Facility, Mentally Retarded | 2631 Pinewood Ridge Dr Se, Rochester, MN 55904-6227 | 2013-07-31 |
| 1083880488 | Bear Creek Services | Intermediate Care Facility, Mentally Retarded | 3108 Hwy 52 N, Rochester, MN 55901-1916 | 2008-05-06 |
| 1205955440 | Lifetime Assistance, Inc. | Intermediate Care Facility, Mentally Retarded | 425 Paul Rd, Rochester, NY 14624-4721 | 2007-03-28 |
| 1588737381 | Msocs-rochester | Intermediate Care Facility, Mentally Retarded | 448 17th St Sw, Rochester, MN 55902-2158 | 2006-11-17 |
| 1306918420 | Mary Cariola Children's Center, Inc. | Intermediate Care Facility, Mentally Retarded | 2245 English Rd, Rochester, NY 14616-1651 | 2006-11-14 |
| 1093887101 | Mary Cariola Children's Center, Inc. | Intermediate Care Facility, Mentally Retarded | 2575 Browncroft Blvd, Rochester, NY 14625-1528 | 2006-11-14 |
| 1871662650 | Rem River Bluffs Inc | Intermediate Care Facility, Mentally Retarded | 1631 19th Avenue Se, Rochester, MN 55904 | 2006-11-07 |
| 1720163322 | Rem River Bluffs Inc | Intermediate Care Facility, Mentally Retarded | 2509 55th Street Nw, Rochester, MN 55901 | 2006-10-25 |
| 1588749154 | Rem River Bluffs Inc | Intermediate Care Facility, Mentally Retarded | 3003 Stone Park Dr Ne, Rochester, MN 55906-7721 | 2006-10-25 |
| 1356554406 | Lifetime Assistance, Inc | Intermediate Care Facility, Mentally Retarded | 425 Paul Rd, Rochester, NY 14624 | 2007-05-07 |
| Find all providers in ROCHESTER | ||||
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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.