Johanna Shores

LBN: Presbyterian Homes Of Arden Hills,Inc.
Johanna Shores is an health care organization with primary practice located at 3220 Lake Johanna Blvd , Arden Hills MN 55112-7944. 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. Presbyterian Homes Of Arden Hills,Inc. can be contacted via phone (651) 631-6000, or through Meyer, Mark via phone (651) 631-6120.

Contact Information

Primary practice address
3220 Lake Johanna Blvd Arden Hills MN 55112-7944
Fax:
Website:
Authorized official contact:
Name: Meyer, Mark

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 357339 Minnesota

Profile Details

NPI number 1750708509
LBN Legal business name Presbyterian Homes Of Arden Hills,Inc.
DBA Doing business as Johanna Shores
Authorized official Meyer, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Mar 18th, 2014
Last updated Mar 18th, 2014 - about 10 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 1750708509 NPPES
Minnesota Other A305495000 UMPI

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