Grand Village

LBN: Itasca Nursing Home
Grand Village is an health care organization with primary practice located at 923 Hale Lake Pointe , Grand Rapids MN 55744-9615. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Itasca Nursing Home can be contacted via phone (218) 326-0543, or through Goering, Jacob via phone (218) 322-4777.

Contact Information

Primary practice address
923 Hale Lake Pointe Grand Rapids MN 55744-9615
Phone: (218) 326-0543
Fax: (218) 327-2405
Website:
Map and Directions
Authorized official contact:
Name: Goering, Jacob BA, MPH
Phone: (218) 322-4777

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 331920 Minnesota

Profile Details

NPI number 1184662793
LBN Legal business name Itasca Nursing Home
DBA Doing business as Grand Village
Authorized official Goering, Jacob BA, MPH
Entity Organization
Organization subpart 1 No
Enumeration date Jun 4th, 2006
Last updated Aug 22nd, 2020 - about 4 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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