Brookdale Champlin

LBN: Emeritus Corporation
Brookdale Champlin is an health care organization with primary practice located at 119 Hayden Lake Rd E , Champlin MN 55316-1547. 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. Emeritus Corporation can be contacted via phone (763) 712-0118, or through Richardson, Bryan via phone (615) 564-8131.

Contact Information

Primary practice address
119 Hayden Lake Rd E Champlin MN 55316-1547
Phone: (763) 712-0118
Fax: (763) 712-0278
Website:
Map and Directions
Authorized official contact:
Name: Richardson, Bryan
Phone: (615) 564-8131

Health care specialties

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

Profile Details

NPI number 1992019244
LBN Legal business name Emeritus Corporation
DBA Doing business as Brookdale Champlin
Authorized official Richardson, Bryan
Entity Organization
Organization subpart 1 No
Enumeration date Jul 28th, 2010
Last updated May 16th, 2016 - about 8 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 1992019244 NPPES
Minnesota MEDICAID 368149
Minnesota MEDICAID 369591

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