Centennial House Of Apple Valley

LBN: Ecumen
Centennial House Of Apple Valley is an health care organization with primary practice located at 14625 Pennock Ave , Apple Valley MN 55124-3502. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Ecumen can be contacted via phone (952) 891-2711, or through Roberts, Kathryn R via phone (651) 766-4300.

Contact Information

Primary practice address
14625 Pennock Ave Apple Valley MN 55124-3502
Phone: (952) 891-2711
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Roberts, Kathryn R
Phone: (651) 766-4300

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 335383 Minnesota

Profile Details

NPI number 1538373048
LBN Legal business name Ecumen
DBA Doing business as Centennial House Of Apple Valley
Authorized official Roberts, Kathryn R
Entity Organization
Organization subpart 1 No
Enumeration date May 10th, 2007
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 1538373048 NPPES
Other 171671 UCARE
MEDICAID 897917100 UCARE

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