Colony At Eden Prairie, Llc, NPI 1699732420
Skilled Nursing Facility in Eden Prairie, MN, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1699732420
NPI Entity Type Organization
Provider Name Colony At Eden Prairie, Llc
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 429 Prairie Center Dr, Eden Prairie, MN, US
Provider Mailing Address 429 Prairie Center Dr, Eden Prairie, MN, US, 553445378
Is Sole Proprietor? No
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Organization Official

Official Name Kyle Didier
Official Position PRESIDENT
Phone 952-358-5100

Primary Taxonomy

Taxonomy Code

314000000X

Taxonomy Name Skilled Nursing Facility
Classification

Skilled Nursing Facility

Group

Nursing & Custodial Care Facilities

License No. 328765
License State MN
Description (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

Other Organization Name

The Colony at Eden Prairie TCU
Doing Business As

Business Address

Colony At Eden Prairie, Llc
429 Prairie Center Dr

Eden Prairie, MN, US

Phone: 952-888-2923

Mailing Address

Colony At Eden Prairie, Llc
429 Prairie Center Dr
Eden Prairie, MN, US
ZIP 553445378

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
24-5611 MN MEDICARE ID-TYPE UNSPECIFIED 01
245611 MEDICARE PROVIDER NUMBER 01
577468300 MN MEDICAID 05
7100424 MN MEDICA 01
OR97CO MN BCBS 01

Other Providers in MN, US

NPI Name Taxonomy Address

1508589474

LPCC Renee A. M. Louck

Individual

Mental Health Counselor

4408 Bloomington Ave

Minneapolis, MN

1053066902

Advanced Psychological Services Llc

Organization

Mental Health Clinic/Center (Including Community Mental Health Center)

304 Belle Ave

Mankato, MN

1881130573

Biogray, Llc

Organization

Clinical Medical Laboratory

5201 Eden Ave Ste 300

Edina, MN

1770154064

M.D Omair Ul Haq Lodhi

Individual

Student in an Organized Health Care Education/Training Program

420 Delaware St Se Mmc 295

Minneapolis, MN

1871176537

Health Associates Professional Llc

Organization

In Home Supportive Care Agency

5747 W Broadway Ave Ste 212d

Crystal, MN

1699053231

MD Rebecca Hibbert

Individual

Diagnostic Radiology Physician

200 1st St Sw

Rochester, MN

1053036426

PHARMD Maria Mohar

Individual

Pharmacist

2199 Highway 36 E

North Saint Paul, MN

1174248546

Salima Health Service Inc

Organization

Home Health Agency

1020 E 146th St Ste 117

Burnsville, MN

1811553894

DR. DDS Amy Jo Full

Individual

General Practice Dentistry

1027 2nd Ave

Worthington, MN

1629793088

Desiree Williams

Individual

Behavior Technician

3333 University Ave Se

Minneapolis, MN

1699437145

PA-C Eliza Anderson Abraham

Individual

Medical Physician Assistant

4480 Centerville Rd

White Bear Lake, MN

1649995093

DNP, CRNA Alex Ringhand

Individual

Certified Registered Nurse Anesthetist

500 Harvard St Se

Minneapolis, MN

1992174007

PA-C Lisa Elizabeth Worthington

Individual

Physician Assistant

2450 Riverside Ave

Minneapolis, MN

1740905199

Peyton William Lavigne

Individual

Behavior Technician

223 Center St

Winona, MN

1750006102

Alison Ann Newton Knapp

Individual

Women's Health Nurse Practitioner

1052 Ridge Crest Ln Nw

Rochester, MN

1811406945

Jennifer Rose Elmberg

Individual

Clinical Social Worker

225 1st St N Ste 3100b

Virginia, MN

1164147583

DPT Linda Chai

Individual

Physical Therapist

4801 W 81st St Ste 112

Bloomington, MN

1528547650

Renaissance Adult Day Care Inc.

Organization

Adult Day Care Clinic/Center

3045 Coon Rapids Blvd Nw

Coon Rapids, MN

1184349508

RD Olivia Jacobs

Individual

Registered Dietitian

2450 Riverside Ave

Minneapolis, MN

1912367368

Twin Cities Anaplastology

Organization

Customized Equipment (DME)

1880 Livingston Ave Ste 103

West Saint Paul, MN

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