MINNETONKA CARE RESIDENCE (NPI# 1700156163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700156163 |
| Entity Type | Organization |
| Organization Name | MINNETONKA CARE RESIDENCE |
| Other Organization Name | PARKINSONS SPECIALTY CARE |
| Practice Address |
4328 Williston Rd Minnetonka MN 55345-2947 |
| Practice Telephone | 7635501774 |
| Mailing Telephone | 7635501774 |
| Enumeration Date | 2012-01-03 |
| Last Update Date | 2012-01-03 |
| Authorized Official Name | MARCIA HAMILTON COTTER (CEO) |
| Authorized Official Telephone | 7635501774 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 546736 | MN | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| parkinsons specialty care | Doing Business As Name - Organization |
| Street Address |
4328 WILLISTON RD |
| City | MINNETONKA |
| State | MN |
| Zip Code | 55345-2947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417587205 | Pain Partners LLC | Pharmacist | 15225 Wild Wings Court, Minnetonka, MN 55345 | 2020-01-21 |
| 1356811608 | Caitlin Marie Peterson | Specialist/Technologist | 15708 Wood Knoll Lane, Minnetonka, MN 55345 | 2018-11-29 |
| 1649747007 | West Side Counseling LLC | Community/Behavioral Health | 10520 Wayzata Blvd., Suite 100, Minnetonka, MN 55345 | 2018-10-24 |
| 1689173247 | Theresa Tsuchiya | Psychologist | Relate, Inc., 5125 County Road 101, Suite 300, Minnetonka, MN 55345 | 2018-02-08 |
| 1497264147 | Minnetonka Assisted Living and Hospice | Community Health Worker | 14667 Lake Street Extension, Minnetonka, MN 55345 | 2017-09-26 |
| 1619494671 | Shree Revenue Management | Durable Medical Equipment & Medical Supplies | 6117, Creek Ridge Ct, Minnetonka, MN 55345 | 2017-08-29 |
| 1538606876 | Stefani Yanizeski | Speech-Language Pathologist | Minnesota Autism Center, 5710 Baker Road, Minnetonka, MN 55345 | 2017-01-25 |
| 1790157469 | Greg Anderson | Psychologist | 5125 County Road 101, #300, Relate, Inc., Minnetonka, MN 55345 | 2015-10-21 |
| 1861896375 | Kristine L Smith | Marriage & Family Therapist | 5125 County Road 101 Suite 300, Minnetonka, MN 55345 | 2014-10-13 |
| 1982014460 | Miranda Jean Johnson | Speech-Language Pathologist | 15265 Minnetonka Blvd., Minnetonka, MN 55345 | 2014-05-06 |
| Find all providers in zip 55345 | ||||
| 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 |
|---|---|---|---|---|
| 1134773047 | Stonecrest Living Inc | Assisted Living Facility | 4108 Merriam Rd, Minnetonka, MN 55305-5049 | 2019-07-29 |
| 1235691874 | Guardian Homes Inc. | Assisted Living Facility | 11301 Minnetonka Blvd, Minnetonka, MN 55305-4367 | 2019-04-02 |
| 1902361280 | Mercy Care Home | Assisted Living Facility | 5005 Woodland Rd, Minnetonka, MN 55345-4520 | 2019-01-31 |
| 1922583178 | Crest Ridge Residences LLC | Assisted Living Facility | 10955 Wayzata Blvd, Minnetonka, MN 55305-1535 | 2018-10-03 |
| 1699273474 | Cherrywood Pointe of Minnetonka LLC | Assisted Living Facility | 2004 Plymouth Rd, Minnetonka, MN 55305-2336 | 2018-01-26 |
| 1649694472 | Phs Beacon Hill, Inc | Assisted Living Facility | 5300 Beacon Hill Rd, Minnetonka, MN 55345-5859 | 2014-02-14 |
| 1659717692 | Legacy Care Home | Assisted Living Facility | 14900 Crown Dr, Minnetonka, MN 55345-3603 | 2013-05-17 |
| 1578892410 | Augustana Emerald Care LLC | Assisted Living Facility | 13401 Lake Street Ext, Minnetonka, MN 55305-4905 | 2009-12-23 |
| 1417126202 | Sunrise Senior Living Management, Inc. | Assisted Living Facility | 18605 Old Excelsior Blvd, Minnetonka, MN 55345-3120 | 2008-02-26 |
| 1710009253 | Volunteers of America Assisted Living Communities | Assisted Living Facility | 11400 4th St N, Minnetonka, MN 55343-3603 | 2007-04-04 |
| Find all providers in MINNETONKA | ||||
| City | MINNETONKA |
| Zip Code | 55345 |
Please comment or provide details below to improve the information on MINNETONKA CARE RESIDENCE.
| 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.