OAK TERRACE SENIOR HOUSING OF GAYLORD,LLC (NPI# 1760667489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760667489 |
| Entity Type | Organization |
| Organization Name | OAK TERRACE SENIOR HOUSING OF GAYLORD,LLC |
| Practice Address |
716 Sibley Ave Gaylord MN 55334-2386 |
| Mailing Address |
1570 Tower Blvd North Mankato MN 56003-2520 |
| Practice Telephone | 5072372911 |
| Practice Fax Number | 5072375744 |
| Mailing Telephone | 5073872037 |
| Mailing Fax Number | 5073876011 |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2007-12-31 |
| Authorized Official Name | MR. MICHAEL DAVID MONTAG (PRESIDENT) |
| Authorized Official Telephone | 5073811312 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311500000X | Alzheimer Center (Dementia Center) | 338323 | MN | Nursing & Custodial Care Facilities |
| Street Address |
716 SIBLEY AVE |
| City | GAYLORD |
| State | MN |
| Zip Code | 55334-2386 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346436466 | Jill Elizabeth Hewitt | Marriage & Family Therapist | 716 Sibley Ave, Gaylord, MN 55334-2386 | 2007-09-21 |
| 1871128819 | Tom P Baumgartner | Marriage & Family Therapist | 716 Sibley Ave, Gaylord, MN 55334-2386 | 2020-03-10 |
| 1730565144 | Kelli Nowak | Counselor | 716 Sibley Ave, Gaylord, MN 55334-2386 | 2015-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396030615 | Cassandra Dee Mcguire | Chiropractor | 215 3rd St, Gaylord, MN 55334 | 2011-06-15 |
| 1346389111 | Ronald Allen Reinmuth | Dentist | 112 3rd St, Gaylord, MN 55334 | 2007-02-06 |
| 1396818175 | County of Sibley | Clinic/Center | 111 8th Street, Gaylord, MN 55334 | 2006-11-17 |
| 1376633743 | Addiction Counseling Treatment Services | Counselor | 112 5th St., Gaylord, MN 55334 | 2006-10-13 |
| 1871553289 | Sibley Medical Center | Clinic/Center | 660 3rd Street, Gaylord, MN 55334 | 2006-03-28 |
| 1659873420 | Restore Chiropractic and Wellness LLC | Chiropractor | 215 3rd St, Gaylord, MN 55334 | 2018-03-07 |
| 1760763007 | Mcguire Family Chiropractic Pa | Chiropractor | 215 3rd St, Gaylord, MN 55334 | 2011-08-31 |
| 1629109632 | Todd Mcgillick | Chiropractor | 311 5th St, Gaylord, MN 55334 | 2007-03-08 |
| 1811162829 | Gaylord Dental Inc | Dentist | Fourth Street, 312, Gaylord, MN 55334-0093 | 2008-04-30 |
| 1710212055 | County of Sibley | Public Health or Welfare | 111 8th St, Gaylord, MN 55334-0237 | 2009-10-05 |
| Find all providers in zip 55334 | ||||
| Taxonomy Code | 311500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Alzheimer Center (Dementia Center) |
| A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer’s Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326657156 | Twin Cities Senior Care, LLC | Alzheimer Center (Dementia Center) | 14901 Weaver Lake Rd N, Maple Grove, MN 55311-7538 | 2020-07-28 |
| 1215476148 | Heartfelt Care LLC | Alzheimer Center (Dementia Center) | 10344 Boundary Creek Ter, Maple Grove, MN 55369-2841 | 2017-02-12 |
| 1851842611 | Peace Villa Inc. | Alzheimer Center (Dementia Center) | 600 Railroad Dr, Norwood Young America, MN 55368-2601 | 2016-10-17 |
| 1013373117 | Heart To Home Incorporated | Alzheimer Center (Dementia Center) | 2351 Pagel Rd, Mendota Heights, MN 55120-1638 | 2016-01-06 |
| 1144693136 | Heart To Home Incorporated | Alzheimer Center (Dementia Center) | 659 Freeway Rd S, Mendota Heights, MN 55118-4314 | 2015-11-12 |
| 1972988509 | Edgewood May Creek LLC | Alzheimer Center (Dementia Center) | 301 10th St South, Walker, MN 56484-4754 | 2015-07-24 |
| 1427432996 | Edgewood May Creek LLC | Alzheimer Center (Dementia Center) | 299 10th St South, Walker, MN 56484-4754 | 2015-07-15 |
| 1881992329 | The Jennings Group, Inc. | Alzheimer Center (Dementia Center) | 850 Goldfinch St, Fairmont, MN 56031-3042 | 2011-03-08 |
| 1760794580 | Inver Grove Heights Wp II, LLC | Alzheimer Center (Dementia Center) | 9058 Buchanan Trail, Inver Grove Heights, MN 55077 | 2010-07-09 |
| 1083942221 | Lakeview Ranch Inc. | Alzheimer Center (Dementia Center) | 22851 Mn Highway 15, Dassel, MN 55325-3568 | 2009-11-30 |
| Find all providers with the same taxonomy | ||||
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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.