MINNEOTA MANOR HEALTH CARE CENTER – NPI #1174754147
Skilled Nursing Facility

(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.

MINNEOTA MANOR HEALTH CARE CENTER is a skilled nursing facility (SNF) located in MINNEOTA, MN. NPPES has assigned the NPI number 1174754147 to MINNEOTA MANOR HEALTH CARE CENTER on August 07, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MINNEOTA MANOR HEALTH CARE CENTER” is a dba name, the actual legal business name for this organization is LIVING SERVICES FOUNDATION/MINNEOTA, LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 314000000X from the Health Care Provider Taxonomy code set, which is classified as Skilled Nursing Facility.

The NPI profile was previously updated about 11 years ago on Apr 23, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MINNEOTA MANOR HEALTH CARE CENTER below.

NPI Profile for
LIVING SERVICES FOUNDATION/MINNEOTA, LLC

NPI Number
1174754147
Enumeration Date

(about 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LIVING SERVICES FOUNDATION/MINNEOTA, LLC
Doing Business As (dba): MINNEOTA MANOR HEALTH CARE CENTER
Primary location
700 NORTH MONROE STREET
MINNEOTA, MN 56264-9237
Phone: (507) 872-5300 Fax:
Mailing address
700 N MONROE ST
MINNEOTA, MN 56264-9237
Phone: (763) 231-0410 Fax:
Organization Subpart
No
Authorized Official
JENNIFER KAMSTRA
CHIEF OPERATING OFFICER
Phone: (763) 231-0410
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
314000000X
- Skilled Nursing Facility (Primary)
MN 341587
310400000X
- Assisted Living Facility
MN 342420
261QP2000X
- Clinic/Center / Physical Therapy
MN 341587
251E00000X
- Home Health
MN 342939

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.