Kenwood Heritage Living
LBN: St. Marks Lutheran Home
Kenwood Heritage Living is an health care organization with primary practice located at 400 15Th Ave Sw , Austin MN 55912-3232. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty.
St. Marks Lutheran Home can be contacted via phone (507) 437-4594, or through Boldt, Justin via phone (507) 434-7216.
Contact Information
Primary practice address
400 15Th Ave Sw
Austin MN 55912-3232
Phone: (507) 437-4594
Fax: (507) 434-7201
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Assisted Living Facility | 310400000X | 329304 | Minnesota |
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 328526 | Minnesota |
Profile Details
| NPI number | 1093776395 |
|---|---|
| LBN Legal business name | St. Marks Lutheran Home |
| DBA Doing business as | Kenwood Heritage Living |
| Authorized official | Boldt, Justin LNHA, LALD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 28th, 2006 |
| Last updated | Jan 24th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093776395 | NPPES |
| Minnesota | MEDICAID | 055842700 |
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