Good Shepherd Memory Loss Cottages

LBN: Good Shepherd Lutheran Home Of Sauk Rapids, Mn, Inc.
Good Shepherd Memory Loss Cottages is an health care organization with primary practice located at 307 11Th St N , Sauk Rapids MN 56379-2184. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center). Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center) is the primary health care specialty. Good Shepherd Lutheran Home Of Sauk Rapids, Mn, Inc. can be contacted via phone (320) 252-6525, or through Stordahl, Michael via phone (320) 252-6525.

Contact Information

Primary practice address
307 11Th St N Sauk Rapids MN 56379-2184
Phone: (320) 252-6525
Fax: (320) 259-3463
Website:
Map and Directions
Authorized official contact:
Name: Stordahl, Michael
Phone: (320) 252-6525

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X
Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center) 311500000X 333736 Minnesota

Profile Details

NPI number 1396807962
LBN Legal business name Good Shepherd Lutheran Home Of Sauk Rapids, Mn, Inc.
DBA Doing business as Good Shepherd Memory Loss Cottages
Authorized official Stordahl, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2006
Last updated Aug 13th, 2021 - about 3 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 1396807962 NPPES
Minnesota MEDICAID 1396807962

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