PEACE VILLA INC. (NPI# 1851842611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851842611 |
| Entity Type | Organization |
| Organization Name | PEACE VILLA INC. |
| Other Organization Name | THE HAVEN AT PEACE VILLAGE |
| Practice Address |
600 Railroad Dr Norwood Young America MN 55368-2601 |
| Practice Telephone | 9524673692 |
| Practice Fax Number | 9524673156 |
| Mailing Telephone | 9524673692 |
| Mailing Fax Number | 9524673156 |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2016-10-17 |
| Authorized Official Name | LAURIE HILGERS (HOUSING DIRECTOR) |
| Authorized Official Telephone | 9524679683 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 311500000X | Alzheimer Center (Dementia Center) | 378632 | MN | Nursing & Custodial Care Facilities |
| Y | 310400000X | Assisted Living Facility | 378221 | MN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MHCP - MINNESOTA DEPT. OF HUMAN SERVICES | A080412300 | 01 |
| Other Name | Type Code |
|---|---|
| The Haven at Peace Village | Doing Business As Name - Organization |
| Street Address |
600 RAILROAD DR |
| City | NORWOOD YOUNG AMERICA |
| State | MN |
| Zip Code | 55368-2601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427612688 | Erin Rose Jensen | Chiropractor | 320 Hill St E, Norwood Young America, MN 55368 | 2019-04-23 |
| 1477757490 | Schmidt Chiropractic Center P. A. | Chiropractor | 320 Hill Street, Norwood Young America, MN 55368 | 2007-06-13 |
| 1285665984 | Julie Ann Schmidt | Chiropractor | 320 Hill St, Norwood Young America, MN 55368 | 2006-07-05 |
| 1891833596 | Richard C Axel, Dds, Pa | Dentist | 522 Faxon Rd, Norwood Young America, MN 55368 | 2007-02-02 |
| 1780694281 | Metropolitan Eye Care Specialits, Pa | Optometrist | 522 Faxon Rd, Norwood, MN 55368-0359 | 2006-08-08 |
| 1780722678 | Richard Carlyle Axel | Dentist | 522 Faxon Rd, Norwood Young America, MN 55368-0429 | 2007-02-02 |
| 1700939055 | Daniel J Ross | Dentist | 222 E. Wilson Street, Norwood, MN 55368-0717 | 2007-01-19 |
| 1609090711 | Norwood Dental | Dentist | 222 E. Wilson Street, Norwood, MN 55368-0717 | 2007-04-12 |
| 1144373499 | Brandon E Bussler | Dentist | 222 E. Wilson Street, Norwood, MN 55368-0717 | 2007-01-19 |
| 1770934580 | Emily Koloc | Registered Nurse | 124 Railroad St E, Norwood Young America, MN 55368-4500 | 2016-06-23 |
| Find all providers in zip 55368 | ||||
| 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 |
|---|---|---|---|---|
| 1043458334 | City of Norwood Young America | Assisted Living Facility | 300 Faxon Rd N, Norwood Young America, MN 55368-4549 | 2009-01-26 |
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|---|---|---|---|---|
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| 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 | NORWOOD YOUNG AMERICA |
| Zip Code | 55368 |
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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.