OAK TERRACE ASSISTED LIVING OF NORTH MANKATO (NPI# 1710432869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710432869 |
| Entity Type | Organization |
| Organization Name | OAK TERRACE ASSISTED LIVING OF NORTH MANKATO |
| Practice Address |
1575 Hoover Dr North Mankato MN 56003-2667 |
| Practice Telephone | 5073872037 |
| Practice Fax Number | 5073872061 |
| Mailing Telephone | 5073872037 |
| Mailing Fax Number | 5073872061 |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2016-08-18 |
| Authorized Official Name | DREW MICHAEL HOOD (ADMINISTRATOR) |
| Authorized Official Telephone | 5073872037 |
| Authorized Official Credential | LNHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Street Address |
1575 HOOVER DR |
| City | NORTH MANKATO |
| State | MN |
| Zip Code | 56003-2667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952640385 | Belva Prins | Registered Nurse | 1575 Hoover Dr, North Mankato, MN 56003-2667 | 2013-02-05 |
| 1427532662 | Tara Lynn Quast | Physical Therapy Assistant | 1575 Hoover Dr, North Mankato, MN 56003-2667 | 2018-09-24 |
| 1013429307 | Kelli Johnson | Occupational Therapist | 1575 Hoover Dr, North Mankato, MN 56003-2667 | 2017-10-26 |
| 1942679972 | Markeita Tiegs | Physical Therapist | 1575 Hoover Dr, North Mankato, MN 56003-2667 | 2015-09-21 |
| 1962882092 | Nicole Guentzel | Occupational Therapist | 1575 Hoover Dr, North Mankato, MN 56003-2667 | 2015-06-03 |
| 1447665229 | Amy Lundberg | Occupational Therapist | 1575 Hoover Dr, North Mankato, MN 56003-2667 | 2014-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609391796 | Chelsea Lynn Homan | Registered Nurse | 1961 Premier Dr #340, Mankato, MN 56003 | 2017-08-09 |
| 1700115649 | Oscar Donald Anderson | Ophthalmology | 2000 Roe Crest Dr, No Mankato, MN 56003 | 2009-12-23 |
| 1942434121 | Leah Rose Breit | Family Medicine | 1575 Lookout Drive, North Mankato, MN 56003 | 2009-05-04 |
| 1144792664 | Alexis Lise Cote-sands | Social Worker | 342 Belgrade Ave, North Mankato, MN 56003 | 2018-12-21 |
| 1164949863 | Ashlee Harriman | Physical Therapist | 1681 Commerce Dr, North Mankato, MN 56003 | 2017-08-24 |
| 1235685439 | Sagan Dobie | Physician Assistant | 1575 Lookout Dr, North Mankato, MN 56003 | 2016-08-28 |
| 1457687477 | Bridget Danielle Pollack-naber | Counselor | 360 Pierce Ave, Suite 209 Sioux Trails Mental Health Center, North Mankato, MN 56003 | 2009-10-27 |
| 1194884478 | Angela M Schuck | Dentist | 1400 Lookout Drive, North Mankato, MN 56003 | 2006-12-06 |
| 1881769198 | North Mankato Family Dentistry Pa | Dentist | 1400 Lookout Drive, North Mankato, MN 56003 | 2006-11-21 |
| 1740355064 | Keith P Flack | Dentist | 1400 Lookout Drive, North Mankato, MN 56003 | 2006-11-21 |
| Find all providers in zip 56003 | ||||
| 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 |
|---|---|---|---|---|
| 1871193417 | Midwest Group Home | Assisted Living Facility | 4232 5th St Ne, Columbia Heights, MN 55421-2860 | 2020-10-30 |
| 1710587696 | Friesen & Friesen, Inc | Assisted Living Facility | 1971 Ne 1st Avenue, Grand Rapids, MN 55744 | 2020-10-29 |
| 1750980603 | Estherra Care LLC | Assisted Living Facility | 1120 Morgan Ave N, Minneapolis, MN 55411-3805 | 2020-10-21 |
| 1679189682 | Daniel Care Homes LLC | Assisted Living Facility | 6809 Perry Ave N, Brooklyn Center, MN 55429-1611 | 2020-09-16 |
| 1326651779 | Secured Health and Homecare Inc | Assisted Living Facility | 4519 104th Ave N, Brooklyn Park, MN 55443-1030 | 2020-08-26 |
| 1811509870 | Aurora Assisted Living LLC | Assisted Living Facility | 115 Magnolia Ave W, Saint Paul, MN 55117-4916 | 2020-08-20 |
| 1003427477 | In My Father's House | Assisted Living Facility | 3096 Snelling Ave N, Roseville, MN 55113-1659 | 2020-08-11 |
| 1710595863 | Eden Prairie Senior Living | Assisted Living Facility | 8480 Franlo Rd, Eden Prairie, MN 55344-2938 | 2020-07-15 |
| 1447868468 | Brightstar Services LLC | Assisted Living Facility | 1821 University Ave W Ste 120, Saint Paul, MN 55104-2811 | 2020-07-15 |
| 1235757667 | Roers Senior Living Buffalo LLC | Assisted Living Facility | 150 Division Street East, Buffalo, MN 55313 | 2020-07-13 |
| Find all providers with the same taxonomy | ||||
| City | NORTH MANKATO |
| Zip Code | 56003 |
Please comment or provide details below to improve the information on OAK TERRACE ASSISTED LIVING OF NORTH MANKATO.
| 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.