CENTRACARE HEALTH - PAYNESVILLE WASHBURNE COURT
NPI 1457788994
Assisted Living Facility in Paynesville, MN

Active since September 30, 2013
311 WASHBURNE AVE, PAYNESVILLE, MN 56362(320) 243-7451 Get Directions Write a Review

NPPES record last updated: October 10, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 10, 2019, Jun 15, 2017 (2 updates tracked since 2017).

  • Organization
  • Assisted Living Facility

About CENTRACARE HEALTH - PAYNESVILLE WASHBURNE COURT

This page provides the complete NPI Profile along with additional information for Centracare Health - Paynesville Washburne Court, a provider established in Paynesville, Minnesota operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1457788994 assigned on September 2013. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as Centracare Health - Paynesville Washburne Court. The authorized official of this NPI record is Mr. Michael A. Blair (Sr. Vice President And Cfo)

NPI
1457788994 Verify this NPI
Provider Legal Name
CENTRACARE HEALTH-PAYNESVILLE LLC
Other Organization Name
CENTRACARE HEALTH - PAYNESVILLE WASHBURNE COURT
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
311 WASHBURNE AVE PAYNESVILLE, MN 56362
Location Phone
(320) 243-7451
Mailing Address
200 W 1ST ST PAYNESVILLE, MN 56362
Mailing Phone
(320) 243-3767
Mailing Fax
(320) 243-7955
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-30-2013
Last Update Date
10-10-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. MICHAEL A. BLAIR

Authorized Official Title
SR. VICE PRESIDENT AND CFO
Authorized Official Phone
(320) 255-5665

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Assisted Living Facility
311 WASHBURNE AVE
PAYNESVILLE, MN 56362

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457788994, enumerated as an "organization" on September 30, 2013.

The provider is located at 311 WASHBURNE AVE PAYNESVILLE, MN 56362 and the phone number is (320) 243-7451.

Assisted Living Facility with taxonomy code 310400000X.