KC COMPANIES OF SANDSTONE INC/SANDSTONE GOLDEN HORIZONS (NPI# 1972034189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972034189 |
| Entity Type | Organization |
| Organization Name | KC COMPANIES OF SANDSTONE INC/SANDSTONE GOLDEN HORIZONS |
| Practice Address |
1109 Lundorff Sandstone MN 55072 |
| Mailing Address |
Po Box 379 30184 Old Hwy 371 Pequot Lakes MN 56472 |
| Practice Telephone | 3202167300 |
| Practice Fax Number | 3202167022 |
| Mailing Telephone | 2185686610 |
| Mailing Fax Number | 2185686642 |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2017-03-21 |
| Authorized Official Name | MR. CHARLES JOSEPH LANE (PRINCIPAL) |
| Authorized Official Telephone | 2185686610 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | MN | Nursing & Custodial Care Facilities |
| Street Address |
1109 LUNDORFF |
| City | SANDSTONE |
| State | MN |
| Zip Code | 55072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124414032 | Sherri Lynn Anderson | Licensed Practical Nurse | 29916 Anderson Dr., Sandstone, MN 55072 | 2015-04-08 |
| 1346676541 | Sheila Ann Carr | Custodial Care Facility | 27295 Groningen Road, Sandstone, MN 55072 | 2013-09-19 |
| 1043497662 | Lori J Dougherty | Technician | 119 Fouth St., Sandstone, MN 55072 | 2008-01-25 |
| 1215114830 | Cindy Kuhlman | Technician | 119 Fourth St., Sandstone, FM 55072 | 2008-01-25 |
| 1699951590 | Reta Joyce Diedrich | Registered Nurse | 119 4th St., Sandstone, MN 55072 | 2008-01-10 |
| 1134303381 | Deedree Ann Ludwig | Community Health Worker | 119 4th. St., Sandstone, MN 55072 | 2007-12-24 |
| 1043494297 | Minnie Mae Delaney | Community Health Worker | 119 4th Street, Sandstone, MN 55072 | 2007-12-24 |
| 1710068838 | Chris A Ketchmark | Chiropractor | 301 N Commercial Ave, Sandstone, MN 55072 | 2006-10-17 |
| 1326041633 | Pine Medical Center | General Acute Care Hospital | 705 Lundorff Drive South, Sandstone, MN 55072 | 2005-05-31 |
| 1982830493 | Mille Lacs Band of Ojibwe Indians | Community/Behavioral Health | 45741 Grace Lake Rd, Sandstone, MN 55072 | 2009-06-10 |
| Find all providers in zip 55072 | ||||
| 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 | ||||
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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.