The Prairie Lodge At Earle Brown

LBN: Ecumen Home Care
The Prairie Lodge At Earle Brown is an health care organization with primary practice located at 6001 Earle Brown Dr , Brooklyn Center MN 55430-2522. 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 Home Care can be contacted via phone (763) 566-1495, or through Roberts, Kathryn R via phone (651) 766-4300.

Contact Information

Primary practice address
6001 Earle Brown Dr Brooklyn Center MN 55430-2522
Phone: (763) 566-1495
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 332750 Minnesota

Profile Details

NPI number 1497969455
LBN Legal business name Ecumen Home Care
DBA Doing business as The Prairie Lodge At Earle Brown
Authorized official Roberts, Kathryn R
Entity Organization
Organization subpart 1 No
Enumeration date May 9th, 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 1497969455 NPPES
Other 4980500 MEDICA
Other V202864571122603 MEDICA

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