PRAIRIE BLUFFS REHABILITATION CENTER LLC (NPI# 1639707177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639707177 |
| Entity Type | Organization |
| Organization Name | PRAIRIE BLUFFS REHABILITATION CENTER LLC |
| Practice Address |
10300 Hennepin Town Rd Eden Prairie MN 55347-5100 |
| Mailing Address |
2361 Nostrand Ave Ste 903 Brooklyn NY 11210-3953 |
| Practice Telephone | 5072031001 |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2020-03-30 |
| Authorized Official Name | JOSHUA LEGUM (CEO) |
| Authorized Official Telephone | 5072031001 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Street Address |
10300 HENNEPIN TOWN RD |
| City | EDEN PRAIRIE |
| State | MN |
| Zip Code | 55347-5100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740887090 | Prairie Bluffs Senior Living Operations LLC | Assisted Living Facility | 10300 Hennepin Town Rd, Eden Prairie, MN 55347-5100 | 2020-10-08 |
| 1770193872 | Prairie Bluffs Tcfu LLC | Skilled Nursing Facility | 10300 Hennepin Town Rd, Eden Prairie, MN 55347-5100 | 2020-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861013765 | Wellspring Women's Counseling Pllc | Counselor | 8688 Shiloh Court, Eden Prairie, MN 55347 | 2020-05-01 |
| 1588156525 | Orthodontic Specialists of Minnesota, P.l.l.c. | Dentist | 18315 Cascade Dr Ste 110, Eden Prairie, MN 55347 | 2018-06-05 |
| 1013436591 | Peter Joseph Dorsen | Counselor | 14377 Chestnut Drive, Eden Prairie, MN 55347 | 2017-09-15 |
| 1144508490 | Jenny Marie Heidt | Chiropractor | 8941 Aztec Drive, Eden Prairie, MN 55347 | 2011-08-03 |
| 1023337946 | Holly Christine Hanson | Dermatology | 18315 Cascade Dr., Suite 150, Eden Prairie, MN 55347 | 2010-05-18 |
| 1083635635 | Michael H Hoxie | Dentist | 7825 Terrey Pine Court, Suite 101, Eden Prairie, MN 55347 | 2006-07-21 |
| 1396290334 | Eve R. Boaheng | Audiologist-Hearing Aid Fitter | 18315 Cascade Dr, 100, Eden Prairie, MN 55347 | 2016-08-19 |
| 1316380934 | Sima Kavand | Internal Medicine | 1925 Woodwinds Dr, Woodbury, MN 55347 | 2013-04-12 |
| 1073534632 | Bruce W Hultgren | Dentist | 7825 Terrey Pine Court, Suite 101, Eden Prairie, MN 55347 | 2006-07-21 |
| 1407258239 | Audrey Butler | Speech-Language Pathologist | 18117 Settlers Way, Eden Prairie, MN 55347-1029 | 2014-09-24 |
| Find all providers in zip 55347 | ||||
| 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 |
|---|---|---|---|---|
| 1699732420 | Colony At Eden Prairie, LLC | Skilled Nursing Facility | 429 Prairie Center Dr, Eden Prairie, MN 55344-5378 | 2006-04-26 |
| 1548257538 | Castle Ridge Care Center | Skilled Nursing Facility | 625 Prairie Center Dr, Eden Prairie, MN 55344-5326 | 2005-10-04 |
| 1770193872 | Prairie Bluffs Tcfu LLC | Skilled Nursing Facility | 10300 Hennepin Town Rd, Eden Prairie, MN 55347-5100 | 2020-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881221869 | Natalie Sears | Skilled Nursing Facility | 1200 Cheri Ln Ne Apt 5, Fridley, MN 55421-1213 | 2020-03-26 |
| 1396210779 | Southview Operations LLC | Skilled Nursing Facility | 2000 Oakdale Avenue, West St. Paul, MN 55118 | 2018-10-11 |
| 1144707811 | Victory Health Operations, LLC | Skilled Nursing Facility | 512 - 49th Avenue North, Minneapolis, MN 55430-3621 | 2018-07-25 |
| 1710473434 | Cg Care Center, LLC. | Skilled Nursing Facility | 6993 80th Street South, Cottage Grove, MN 55016 | 2018-07-05 |
| 1457863466 | Seasons Healthcare of Trimont, Inc | Skilled Nursing Facility | 305 Broadway Avenue South, Trimont, MN 56176 | 2017-10-31 |
| 1760903157 | St. John's Lutheran Home | Skilled Nursing Facility | 1771 Eagle View Cir, Albert Lea, MN 56007-1817 | 2017-07-06 |
| 1114458221 | Lakeland Homecare LLC | Skilled Nursing Facility | 1604 Covington Ln, Eagan, MN 55122-2759 | 2017-03-22 |
| 1952842197 | Nsh Rochester East LLC | Skilled Nursing Facility | 501 8th Ave Se, Rochester, MN 55904-4834 | 2017-03-20 |
| 1750827234 | Walker Operations LLC | Skilled Nursing Facility | 209 Birchwood Avenue West, Walker, MN 56484 | 2017-01-09 |
| 1366987612 | Franklin Operations LLC | Skilled Nursing Facility | 900 3rd St S, Franklin, MN 55333-9799 | 2016-12-22 |
| Find all providers with the same taxonomy | ||||
| City | EDEN PRAIRIE |
| Zip Code | 55347 |
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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.