OAK TERRACE SENIOR HOUSING OF JORDAN (NPI# 1811442965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811442965 |
| Entity Type | Organization |
| Organization Name | OAK TERRACE SENIOR HOUSING OF JORDAN |
| Practice Address |
622 Aberdeen Ave Jordan MN 55352-9516 |
| Practice Telephone | 9524925559 |
| Mailing Telephone | 9524925559 |
| 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 |
622 ABERDEEN AVE |
| City | JORDAN |
| State | MN |
| Zip Code | 55352-9516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184093999 | Nicole Halvorson | Occupational Therapist | 622 Aberdeen Ave, Jordan, MN 55352-9516 | 2015-09-22 |
| 1477152676 | Angela Scott | Speech-Language Pathologist | 622 Aberdeen Ave, Jordan, MN 55352-9516 | 2020-10-20 |
| 1326410341 | Michelle Linae Jung | Physical Therapist | 622 Aberdeen Ave, Jordan, MN 55352-9516 | 2015-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508221425 | Patrick Hardy | Physical Therapy Assistant | 206 9th St, Jordan, MN 55352-1006 | 2015-12-18 |
| 1427113307 | Margaret M Knutson | Specialist/Technologist | 608 Hooper Ct, Jordan, MN 55352-1070 | 2006-12-22 |
| 1114266673 | Jenny Flynn | Physical Therapy Assistant | 610 Lodge Dr, Jordan, MN 55352-1098 | 2013-02-04 |
| 1134189202 | Charles R Cook | Chiropractor | 108 Creek Ln S, Jordan, MN 55352-1202 | 2006-03-24 |
| 1255861985 | Michael Thomas Douglass-white | Chiropractor | 108 Creek Ln S, Jordan, MN 55352-1202 | 2017-06-15 |
| 1154689834 | Lydia Schmidt | Chiropractor | 108 Creek Ln S, Jordan, MN 55352-1202 | 2012-05-01 |
| 1245573286 | First Choice Pharmacy of Jordan PC | Pharmacy | 255 Creek Ln S, Jordan, MN 55352-1214 | 2013-03-28 |
| 1972857597 | St Francis Regional Medical Center | Clinic/Center | 265 Creek Ln S, Jordan, MN 55352-1214 | 2012-11-05 |
| 1043764764 | Amanda Ungs | Counselor | 105 2nd St W, Jordan, MN 55352-1409 | 2016-08-10 |
| 1417001702 | Chiropractic Specialists, Inc. | Chiropractor | 212 2nd St E, Suite 100, Jordan, MN 55352-1449 | 2007-01-23 |
| Find all providers in zip 55352 | ||||
| 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 |
|---|---|---|---|---|
| 1477011807 | Valleyview of Jordan, LLC | Assisted Living Facility | 4061 W 173rd St, Jordan, MN 55352-8318 | 2019-03-05 |
| 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 | ||||
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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.