LIFECARE HOME CARE (LIFECARE MEDICAL CENTER) NPI 1003802505

Home Health in Roseau, MN

Organization Home Health

About LIFECARE HOME CARE (LIFECARE MEDICAL CENTER)

Lifecare Home Care (lifecare Medical Center) is a provider established in Roseau, Minnesota specializing in home health. The NPI number of Lifecare Home Care (lifecare Medical Center) is 1003802505 and was assigned on September 2005. The practitioner's primary taxonomy code is 251E00000X with license number ========= (MN). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's other name is Lifecare Home Care.
The authorized official of this NPI record is Catherine A. Huss (Cfo)

NPI

1003802505

Provider NameLIFECARE HOME CARE (LIFECARE MEDICAL CENTER)
Provider Location Address715 DELMORE DR ROSEAU, MN 56751
Provider Mailing Address715 DELMORE DR ROSEAU, MN 56751
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameLIFECARE HOME CARE
Other Name TypeOther Name (5)
Enumeration Date09-21-2005
Last Update Date06-10-2013

Primary Taxonomy

Taxonomy Code251E00000X
ClassificationHome Health
TypeAgencies
License No.=========
License StateMN
Taxonomy DescriptionA public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Business Address

LIFECARE HOME CARE (LIFECARE MEDICAL CENTER)
715 DELMORE DR
ROSEAU, MN
ZIP 56751
Phone: (218) 463-2500
Fax: (218) 463-4782

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Mailing Address

LIFECARE HOME CARE (LIFECARE MEDICAL CENTER)
715 DELMORE DR
ROSEAU, MN
ZIP 56751
Phone: (218) 463-2500
Fax: (218) 463-4782

Authorized Official

Authorized Official Name CATHERINE A. HUSS
Authorized Official TitleCFO
Authorized Official Phone(218) 463-4763

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
8G492ROOTHER (01)MN
342547900MEDICAID (05)MN
247094MEDICARE OSCAR/CERTIFICATION (06)MN
9A23AROOTHER (01)MN
167616OTHER (01)MN
877816700MEDICAID (05)MN

Other Providers at the same location


The following 18 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1043445570 PATRICIA J HUNTER PHD
Individual
Psychologist715 DELMORE DR
ROSEAU, MN 56751
(218) 463-2500
1053775304 DANA LANDMAN
Individual
Social Worker (Clinical)715 DELMORE DR
ROSEAU, MN 56751
(218) 463-2500
1073752358 ADAM GUILMNO LICENSED PHYSCOLOGIS
Individual
Psychologist (Counseling)715 DELMORE DR
ROSEAU, MN 56751
(218) 463-2500
1083197024 DESSA MARIE BERGAN
Individual
Social Worker715 DELMORE DR
ROSEAU, MN 56751
(218) 463-2500
1144359266LIFECARE MEDICAL CENTER
Organization
Public Health or Welfare715 DELMORE DR
ROSEAU, MN 56751
(218) 463-2500
1144404260 JENNIFER LYNN GALBRAITH MS, LMFT
Individual
Marriage & Family Therapist715 DELMORE DR
ROSEAU, MN 56751
(218) 463-4732
1235268350LIFECARE MEDICAL CENTER
Organization
Medicare Defined Swing Bed Unit715 DELMORE DR
ROSEAU, MN 56751
(218) 463-2500
1235463712 KIMBERLY N GUILMNO LICSW
Individual
Social Worker715 DELMORE DR
ROSEAU, MN 56751
(218) 463-2500
1326061664DR. BLAKE KALTURNYK M.D.
Individual
Emergency Medicine715 DELMORE DR
ROSEAU, MN 56751
(218) 263-4500
1437311289DR. ANNABI I DJALO MD
Individual
Family Medicine715 DELMORE DR
ROSEAU, MN 56751
(718) 320-1950
1558308429 STEPHEN MICHAEL SPELTZ MD
Individual
Emergency Medicine715 DELMORE DR
ROSEAU, MN 56751
(218) 463-2500
1609861095LIFECARE MEDICAL CENTER
Organization
General Acute Care Hospital (Critical Access)715 DELMORE DR
ROSEAU, MN 56751
(218) 463-2500
1679569834LIFECARE MEDICAL CENTER
Organization
Skilled Nursing Facility715 DELMORE DR
ROSEAU, MN 56751
(218) 463-2500
1699260117 ANDREW J HUMES
Individual
Nurse Anesthetist, Certified Registered715 DELMORE DR
ROSEAU, MN 56751
(218) 463-2500
1760478929LIFECARE MEDICAL CENTER
Organization
Hospice Care, Community Based715 DELMORE DR
ROSEAU, MN 56751
(218) 463-2500
1790222404DR. ANNA STEIN PSY.D., LP
Individual
Psychologist715 DELMORE DR
ROSEAU, MN 56751
(218) 463-4732
1790722635 CRYSTAL DAWN SILAS MD
Individual
Family Medicine715 DELMORE DR
ROSEAU, MN 56751
(218) 463-2500
1881816353 JANICE G CARR-HERSETH LICSW
Individual
Social Worker715 DELMORE DR
ROSEAU, MN 56751
(218) 463-2500

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

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