The Lodge On Summit Oaks

LBN: Minnesota Community Hospice Inc
The Lodge On Summit Oaks is an health care organization with primary practice located at 1412 Summit Oaks Dr , Burnsville MN 55337-4744. 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. Minnesota Community Hospice Inc can be contacted via phone (952) 431-9120, or through Mcgowan, Gerald John via phone (651) 319-1295.

Contact Information

Primary practice address
1412 Summit Oaks Dr Burnsville MN 55337-4744
Phone: (952) 431-9120
Fax: (952) 431-9123
Website:
Map and Directions
Authorized official contact:
Name: Mcgowan, Gerald John
Phone: (651) 319-1295

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X CLASS F HOME CARE PR Minnesota

Profile Details

NPI number 1275717936
LBN Legal business name Minnesota Community Hospice Inc
DBA Doing business as The Lodge On Summit Oaks
Authorized official Mcgowan, Gerald John
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 18th, 2007
Last updated Jan 26th, 2015 - about 9 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 1275717936 NPPES
Minnesota MEDICAID 789488000

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