MSOCS-BLOOMINGTON


Address: 8634 Oakland Ave S, Bloomington, MN 55420-3030
Phone: 9528815214

MSOCS-BLOOMINGTON (NPI# 1992878714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992878714
Entity Type Organization
Organization Name MSOCS-BLOOMINGTON
Practice Address 8634 Oakland Ave S
Bloomington
MN 55420-3030
Mailing Address Po Box 64979
Saint Paul
MN 55164-0979
Practice Telephone 9528815214
Enumeration Date 2006-11-17
Last Update Date 2008-06-18
Authorized Official Name ROGER DENEEN (RESIDENTIAL PROG SVCS DIRECTOR)
Authorized Official Telephone 6515821857
Is Organization Subpart Y
Parent Organization Name EASTERN MINNESOTA STATE OPERATED COMMUNITY SERVICES

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 315P00000X Intermediate Care Facility, Mentally Retarded Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MN 794045900 05

Office Location

Street Address 8634 OAKLAND AVE S
City BLOOMINGTON
State MN
Zip Code 55420-3030

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Taxonomy Information

Taxonomy Code 315P00000X
Grouping Nursing & Custodial Care Facilities
Classification Intermediate Care Facility, Mentally Retarded

Taxonomy Definition

(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326194747 Options for Better Living, Inc Intermediate Care Facility, Mentally Retarded 2709 W Ida Ln, Bloomington, IN 47403-9784 2007-01-26
1639231897 Stone Belt Arc, Inc. Intermediate Care Facility, Mentally Retarded 4417 E Blackstone Ct, Bloomington, IN 47408-3181 2006-12-14
1205997350 Stone Belt Arc, Inc. Intermediate Care Facility, Mentally Retarded 214 E Southern Dr, Bloomington, IN 47401-6508 2006-12-13
1093876195 Stone Belt Arc, Inc. Intermediate Care Facility, Mentally Retarded 4700 N Hite Dr, Bloomington, IN 47408-9526 2006-12-12
1376604470 Stone Belt Arc, Inc. Intermediate Care Facility, Mentally Retarded 1835 S Maxwell St, Bloomington, IN 47401-6706 2006-12-12
1427118843 Stone Belt Arc, Inc. Intermediate Care Facility, Mentally Retarded 713 E Miller Dr, Bloomington, IN 47401-6541 2006-12-08
1770642233 Stone Belt Arc, Inc. Intermediate Care Facility, Mentally Retarded 3502 W Festive Dr, Bloomington, IN 47403-3904 2006-12-08
1134297591 Stone Belt Arc, Inc. Intermediate Care Facility, Mentally Retarded 1006 W 11th St, Bloomington, IN 47404-3237 2006-12-01
1447328810 Stone Belt Arc, Inc Intermediate Care Facility, Mentally Retarded 4100 E Deckard Dr, Bloomington, IN 47408-2806 2006-12-01
1366527939 Rem Hennepin Inc Intermediate Care Facility, Mentally Retarded 9201 Cedar Avenue South, Bloomington, MN 55425 2006-10-25
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City BLOOMINGTON
Zip Code 55420

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Dataset Information

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.

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