THE HENDRICKS GROUP INC. (NPI# 1942650619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942650619 |
| Entity Type | Organization |
| Organization Name | THE HENDRICKS GROUP INC. |
| Other Organization Name | HOMETOWN SENIOR LIVING |
| Practice Address |
10025 Antrim Court Woodbury MN 55129 |
| Mailing Address |
401 Finvold St Woodville WI 54028-9719 |
| Practice Telephone | 6517147075 |
| Practice Fax Number | 6513444401 |
| Mailing Telephone | 6517147075 |
| Mailing Fax Number | 6513444401 |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2016-06-14 |
| Authorized Official Name | MS. MARY CAROL HENDRICKS (OWNER/PRESIDENT) |
| Authorized Official Telephone | 6517147075 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 375000 | MN | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 1437578283 | 05 | |
| MN | 1598907131 | 05 | |
| MN | 1700205556 | 05 | |
| MN | 1528487378 | 05 | |
| WI | 1720416357 | 05 |
| Other Name | Type Code |
|---|---|
| Hometown Senior Living | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528487378 | The Hendricks Group Inc. | Assisted Living Facility | 12591 Shannon Pkwy, Rosemount, MN 55068-3696 | 2014-04-09 |
| 1437578283 | The Hendricks Group Inc. | Assisted Living Facility | 3610 Mount Vernon Ln, Woodbury, MN 55129-9382 | 2014-04-09 |
| 1700205556 | The Hendricks Group Inc. | Assisted Living Facility | 3808 Blackhawk Ridge Pl, Eagan, MN 55122-1263 | 2014-04-09 |
| 1720416357 | The Hendricks Group Inc. | Assisted Living Facility | 1015 Crest View Dr, Hudson, WI 54016-9442 | 2013-10-16 |
| 1598907131 | The Hendricks Group Inc. | Assisted Living Facility | 1265 Belmont Dr, Woodbury, MN 55125-2381 | 2009-03-27 |
| Street Address |
10025 ANTRIM COURT |
| City | WOODBURY |
| State | MN |
| Zip Code | 55129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770006983 | Logan Thompson | Chiropractor | 10631 Pond Curve, Woodbury, MN 55129 | 2017-07-19 |
| 1235588468 | Nathan Robert Mayernik | Physical Therapist | 4123 Radio Dr, Suite 100, Woodbury, MN 55129 | 2016-06-08 |
| 1699146035 | St. Therese of Woodbury, LLC | Skilled Nursing Facility | 7555 Bailey Road, Woodbury, MN 55129 | 2015-10-12 |
| 1548602865 | Monica Bajracharya | Internal Medicine | 9373 Compass Pointe Rd, Woodbury, MN 55129 | 2013-07-28 |
| 1730454752 | Amanda E Feeney | Physical Therapist | 4123 Radio Drive, Ste 100, Woodbury, MN 55129 | 2012-03-09 |
| 1104193762 | Minneapolis-st.paul Endodontics | Dentist | 10150 City Walk Dr Ste C, Woodbury, MN 55129 | 2011-11-28 |
| 1659502417 | Charles Goff Jr. | Marriage & Family Therapist | 1919 University Ave W Suite 200, St. Paul, MN 55129 | 2009-07-28 |
| 1497821391 | Kyle Riley Edlund | Dentist | 3060 Woodbury Drive, #b, Woodbury, MN 55129 | 2006-11-24 |
| 1902979206 | Robert Edgar Eng | Dentist | 3100 Woodbury Drive, Woodbury, MN 55129 | 2006-11-16 |
| 1629004692 | Therex Rehab Specialists, LLC | Physical Therapist | 1125 Woodbury Drive, Suite 100, Woodbury, MN 55129 | 2006-06-23 |
| Find all providers in zip 55129 | ||||
| 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 |
|---|---|---|---|---|
| 1821570219 | Woodbury Ops, LLC | Assisted Living Facility | 2195 Century Ave S, Woodbury, MN 55125-2943 | 2018-08-31 |
| 1437630910 | Prelude Homes & Services | Assisted Living Facility | 10020 Raleigh Rd, Woodbury, MN 55129-5004 | 2018-08-23 |
| 1437578283 | The Hendricks Group Inc. | Assisted Living Facility | 3610 Mount Vernon Ln, Woodbury, MN 55129-9382 | 2014-04-09 |
| 1588088322 | Phs Woodbury, Inc | Assisted Living Facility | 8725 Promenade Ln, Woodbury, MN 55125-9622 | 2014-02-14 |
| 1760751440 | Sagewood LLC | Assisted Living Facility | 6281 Oakwood Rd, Woodbury, MN 55125-2020 | 2011-12-23 |
| 1568773455 | Premier Care of Woodbury | Assisted Living Facility | 280 Middle Road Tpke, Woodbury, CT 06798-3002 | 2010-06-25 |
| 1598907131 | The Hendricks Group Inc. | Assisted Living Facility | 1265 Belmont Dr, Woodbury, MN 55125-2381 | 2009-03-27 |
| 1184880361 | Senior Care Woodland Elders, LLC | Assisted Living Facility | 2825 Woodlane Dr, Woodbury, MN 55125-2906 | 2008-08-06 |
| 1902089923 | E& E Home Care, Inc | Assisted Living Facility | 11482 Balsam Way, Woodbury, MN 55129-6213 | 2007-12-13 |
| 1518156520 | Generations Health Assoc. Inc., Dba Generations of Woodbury | Assisted Living Facility | 667 Auburntown Rd, Woodbury, TN 37190-5224 | 2007-10-16 |
| Find all providers in WOODBURY | ||||
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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.