PARK GARDENS (NPI# 1679561153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679561153 |
| Entity Type | Organization |
| Organization Name | PARK GARDENS |
| Practice Address |
1009 10th Ave Ne Sauk Rapids MN 56379-9448 |
| Practice Telephone | 3202515228 |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | HOWIE GROFF (PRESIDENT) |
| Authorized Official Telephone | 9528882923 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 310400000X | Assisted Living Facility | 328951 | MN | Nursing & Custodial Care Facilities |
| Y | 310400000X | Assisted Living Facility | 329127 | MN | Nursing & Custodial Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | PARK GARDENS 18 LLC | Po Box 981, Monsey, Ny 10952 |
| Massachusetts Corporations | PARK GARDENS ASSOCIATES | 10 Burnham Rd., Methuen, MA 01844 |
| New York State Corporations | PARK GARDENS B, LLC | 27 Eldorado Drive, Chestnut Ridge, Ny 10977 |
| New York State Corporations | PARK GARDENS BW, LLC | 1840 58th Street, Brooklyn, Ny 11204 |
| New York State Corporations | PARK GARDENS CSW, LLC | 1840 58th Street, Brooklyn, Ny 11204 |
| New York State Corporations | PARK GARDENS SZ, LLC | 1840 58th Street, Brooklyn, Ny 11204 |
| Street Address |
1009 10TH AVE NE |
| City | SAUK RAPIDS |
| State | MN |
| Zip Code | 56379-9448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255851655 | Patricia Regnier | Physical Therapist | 1009 10th Ave Ne, Sauk Rapids, MN 56379-9448 | 2017-06-27 |
| 1881134955 | Aegis Group Practice, LLC | Physical Therapist | 1009 10th Ave Ne, Sauk Rapids, MN 56379-9448 | 2017-03-08 |
| 1174823710 | Ridgeview | Assisted Living Facility | 1009 10th Ave Ne, Sauk Rapids, MN 56379-9448 | 2010-10-29 |
| 1063648996 | Ridgeview Place Assisted Living | Assisted Living Facility | 1009 10th Ave Ne, Sauk Rapids, MN 56379-9448 | 2009-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366902116 | Tamara Jean Christopherson | Massage Therapist | 1000 South Benton Drive Suite 415, Sauk Rapids, MN 56379 | 2019-03-20 |
| 1144718594 | Jeanne Twohy Sopcinski | Registered Nurse | Independent Lifestyles, 215 North Benton Dr, Sauk Rapids, MN 56379 | 2018-05-01 |
| 1447748728 | Mamusu Lamin | Social Worker | Independent Life Styles, Inc, 215 N. Benton Drive, Sauk Rapids, MN 56379 | 2018-04-23 |
| 1518486570 | Mw Sauk Rapids Operating, LLC | Assisted Living Facility | 1325 Summit Avenue North, Sauk Rapids, MN 56379 | 2017-09-11 |
| 1942724505 | Ashley Ann Borth | Registered Nurse | 215 N Benton Drive, Independent Lifestyles, Inc, Sauk Rapids, MN 56379 | 2017-07-26 |
| 1568905115 | April May Richardson | Registered Nurse | 215 North Benton Drive, Independent Lifestyles, Inc, Sauk Rapids, MN 56379 | 2016-11-30 |
| 1841616877 | St. Cloud Hospital | Substance Abuse Rehabilitation Facility | 1495 10th Ave Ne, Sauk Rapids, MN 56379 | 2014-03-14 |
| 1811264575 | Pamela Berglund | Physical Therapist | 115 18th St Sw 209, Sauk Rapids, MN 56379 | 2011-11-23 |
| 1407141419 | Becky Ann Canon | Registered Nurse | 215 North Benton Dr, Independent Lifestyles Inc., Sauk Rapids, MN 56379 | 2011-06-17 |
| 1811100860 | Chris Matthew Mcgrew | Dentist | 22 2nd Av S, Sauk Rapids, MN 56379 | 2007-05-07 |
| Find all providers in zip 56379 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518486570 | Mw Sauk Rapids Operating, LLC | Assisted Living Facility | 1325 Summit Avenue North, Sauk Rapids, MN 56379 | 2017-09-11 |
| 1255720074 | Legacy Place | Assisted Living Facility | 902 15th St Ne, Sauk Rapids, MN 56379-9605 | 2015-01-16 |
| 1821378183 | Cherrywood Advanced Living, LLC | Assisted Living Facility | 1637 4th Ave N, Sauk Rapids, MN 56379-4596 | 2011-08-18 |
| 1316114606 | Shepherd Oak Apartments, Inc. | Assisted Living Facility | 310 13th St N, Sauk Rapids, MN 56379-2176 | 2008-05-15 |
| 1518134899 | Shepherd Court Apartments | Assisted Living Facility | 330 13th St N, Sauk Rapids, MN 56379-2174 | 2008-05-15 |
| 1336316611 | Good Shepherd Homes, Inc. | Assisted Living Facility | 1211 4th Ave N, Sauk Rapids, MN 56379-2230 | 2008-05-15 |
| 1861558231 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 1325 Summit Ave N, Sauk Rapids, MN 56379-2545 | 2006-12-29 |
| 1740898519 | Summit Health Partners, LLC | Assisted Living Facility | 1420 2nd St N, Sauk Rapids, MN 56379-2533 | 2020-07-17 |
| 1154973089 | Mff Sauk Rapids LLC | Assisted Living Facility | 1325 Summit Ave N, Sauk Rapids, MN 56379-2545 | 2019-07-11 |
| 1053823203 | Mw Minnetonka Operating LLC | Assisted Living Facility | 1325 Summit Avenue North, Sauk Rapids, MN 56379 | 2017-10-27 |
| Find all providers in SAUK RAPIDS | ||||
| City | SAUK RAPIDS |
| Zip Code | 56379 |
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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.