Berkshire Residence

LBN: Aviv Health Care, Inc.
Berkshire Residence is an health care organization with primary practice located at 501 2Nd St Se , Osseo MN 55369-1603. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. Aviv Health Care, Inc. can be contacted via phone (763) 425-3939, or through Pasell, Tony via phone (952) 259-5222.

Contact Information

Primary practice address
501 2Nd St Se Osseo MN 55369-1603
Fax: (763) 424-2777
Website:
Authorized official contact:
Name: Pasell, Tony

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 328130 Minnesota

Profile Details

NPI number 1891789434
LBN Legal business name Aviv Health Care, Inc.
DBA Doing business as Berkshire Residence
Authorized official Pasell, Tony
Entity Organization
Organization subpart 1 No
Enumeration date Sep 9th, 2005
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891789434 NPPES
Minnesota Other 7122708 MEDICA
Minnesota Other 9456BE MEDICA
Minnesota Other NH0003 MEDICA

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