2012 directory · directory of licensed and certified health care facilities and services...

2012 DIRECTORY

LICENSED,

CERTIFIED AND REGISTERED

HEALTH CARE FACILITIES

AND SERVICES Minnesota Department of Health Licensing and Certification Program P.O. Box 64900 St. Paul, Minnesota 55164-0900

TABLE OF CONTENTS

FOREWORD

TABLES: STATISTICAL DATA Page

1. Licensing Classifications and Bed Capacities of Institutions and Units, March 15, 2012 ........ I

2. Certification Classifications, March 15, 2012 ........................................................................... I

3. Increase in number of licensed inpatient facilities during the past 65 years ............................. II

4. Hospitals: Bed Range, Ownership ............................................................................................ II

5. Nursing Homes and Units: Bed Range, Ownership ................................................................. III

6. Nursing Homes and Units: Ownership, Percentage of Change ............................................... III

7. Boarding Care Homes and Units: Bed Range, Ownership ..................................................... IV

8. Boarding Care Homes and Units: Ownership, Percentage of Change .................................... IV

9. Supervised Living Facilities and Units: Bed Range, Ownership .............................................. V

10. Supervised Living Facilities and Units: Ownership, Percentage of Change ............................. V

11. Number of Licensed Facilities and Beds by County, March 15, 2012 ............................ VI - XI

12. Number of Certified Facilities and Beds by County, March 15, 2012 ......................... XII - XVI

13. Number of Certified Services by County, March 15, 2012 ....................................... XVII - XX

14. Number of Licensed Home Care Providers (HCP) by Classifications and County,

March 15, 2012 ....................................................................................................... XXI – XXIII

15. Number of Housing with Services Establishments by County, March 15, 2012 ..... XXIV-XXV

16. Number of Hospices and Residential Hospices by County, March 15, 2012…… XXVI-XXVII

FEDERAL HOSPITALS ...................................................................................................... XXVIII

ABBREVIATIONS .................................................................................................................. XXIX

LICENSING AND CERTIFICATION INFORMATION FOR ALL

HEALTH CARE FACILITIES AND SERVICES........................................................... 1 - 418

LISTING OF HEALTH CARE FACILITIES - Grouped by Type/Location

Boarding Care Homes and Units ...........................................................................................419

Community Mental Health Centers .......................................................................................420

Comprehensive Outpatient Rehabilitation Facilities .............................................................420

End Stage Renal Disease Providers .......................................................................................421

Licensed Home Care Providers ...................................................................................... 422-437

Certified Home Health Agencies .................................................................................. 438-439

Licensed Hospices ..................................................................................................................440

Medicare Certified Hospices ..................................................................................................441

Hospitals ........................................................................................................................ 442-443

Nursing Homes .............................................................................................................. 444-447

Outpatient Occupational Therapy Provider ...........................................................................448

Outpatient Physical Therapy Providers .................................................................................448

Outpatient Speech Therapy Providers ...................................................................................449

Outpatient Surgical Center ............................................................................................. 449-450

Portable X-Ray Suppliers ......................................................................................................451

Rural Health Clinics ...............................................................................................................452

Supervised Living Facilities ........................................................................................... 453-455

ALPHABETICAL LISTING OF LOCATIONS OF HEALTH CARE FACILITIES ......... 456-461

INDEX CONTAINING PAGE NUMBER FOR SPECIFIC FACILITY OR SERVICE -

INDEX PAGES.................................................................................................................. 1 - 45

MINNESOTA DEPARTMENT OF HEALTH

DIVISION OF COMPLIANCE MONITORING

DIRECTORY OF LICENSED AND

CERTIFIED HEALTH CARE

FACILITIES & SERVICES

March 15, 2012

FOREWORD

The directory that follows contains a list of hospitals and related institutions licensed and/or certified as of March 15, 2012.

They are listed alphabetically by county, town, and facility name. Ownership or control is indicated as follows:

Governmental, NonFederal Nongovernmental, Nonprofit Nongovernmental, For Profit

State Church Related (CHURCH) Individual (INDIV.)

County (CNTY) Nonprofit Corporation (NPROF) Partnership (PART.)

City Other Nonprofit Ownership (ONPROF Corporation (CORP.)

City-County (CYCO) Tribal (TRIBAL) Group (GROUP)

Hospital District (DIST) Business Trust (TRUST)

or Authority Limited Liability Co. (LIM-LIAB)

HOSPITAL AND NURSING HOME LICENSING LAW

Hospitals, boarding care homes, outpatient surgical centers and supervised living facilities in Minnesota are licensed under

the provisions of Sections 144.50 to 144.58 inclusive, Minnesota Statutes. Nursing homes are licensed under the provisions

of 144A.01 - .17, inclusive, Minnesota Statutes.

A "HOSPITAL" means an institution primarily engaged in providing, by or under the supervision of physicians, to inpatients

(A) diagnostic services and therapeutic services for medical diagnosis, treatment, and care of injured, disabled or sick

persons, or (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons.

A "PSYCHIATRIC HOSPITAL" means an entire institution which is primarily engaged in providing, by or under the

supervision of a physician, psychiatric services for the diagnosis and treatment of mentally ill persons. A psychiatric wing or

building of a general hospital would not be considered a psychiatric hospital.

An "OUTPATIENT SURGICAL CENTER" means a freestanding facility organized for the specific purpose of providing

elective outpatient surgery for preexamined, prediagnosed, low risk patients.

A "NURSING HOME" means a facility or that part of a facility which provides nursing care to five or more persons.

Nursing care means health evaluation and treatment of patients and residents who are not in need of an acute care facility but

who require nursing supervision on an inpatient basis.

A "BOARDING CARE HOME" provides personal or custodial care only. Examples of personal or custodial care include:

Help with bathing, dressing, or other personal care; supervision of medications which can be safely self-administered; plus a

program of activities and supervision required by persons who are not capable of properly caring for themselves.

A "SUPERVISED LIVING FACILITY" provides a residential, homelike setting for persons who are mentally retarded, adult

mentally ill, chemically dependent, or physically handicapped. Services include provision of meals, lodging, housekeeping

services, health services, and other services provided by either staff or residents under supervision. Class A facilities include

homes for ambulatory and mobile persons who are capable of taking appropriate action for self-preservation under

emergency conditions as determined by program licensure provisions. Class B facilities include homes for ambulatory,

nonambulatory, mobile or nonmobile persons who are not mentally or physically capable of taking appropriate action for

self-preservation under emergency conditions as determined by program licensure provisions.

HOME CARE PROVIDER LICENSING LAW

Home care providers in Minnesota are licensed under the provisions of Sections 144A.43-144A.47 inclusive, Minnesota

Statutes.

A "Home Care Provider" means an individual, organization, association, corporation, unit of government, or other entity that

is regularly engaged in the delivery, indirectly or by contractual arrangement, of home care services for a fee. At least one

home care service must be provided directly, although additional home care services may be provided by contractual

arrangements.

Classes of home care licenses are:

Class A or professional home care agency license. Provider may provide all home care services, but at least one of which is

nursing, physical therapy, speech therapy, occupational therapy, nutritional services, medical social services, home health

aide tasks, or the provision of medical supplies and equipment when accompanied by the provision of a home care services.

These may be provided in a place of residence, including a residential center.

Class B or paraprofessional agency license. Under this license, a provider may perform home care aide tasks and home

management tasks in a place of residence.

Class C, or individual paraprofessional license. Under this license, a provider may perform home health aide, home care

aide, and home management tasks in a place of residence.

Class F home care provider license. Under this license, a provider may provide assisted living home care services solely for

residents of one or more registered housing with services establishments.

HOME MANAGEMENT SERVICES

A provider performing only home management tasks must obtain a certificate of registration from the commissioner of

health. Home management services include at least two of the following services: housekeeping, meal preparation, and

shopping provided to a person who is unable to perform these activities due to illness, disability or physical condition.

HOUSING WITH SERVICES ESTABLISHMENTS

Housing with services establishments are registered under the provisions of Chapter 144D., Minnesota Statutes. A housing

with services establishment provides sleeping accommodations to one or more adult residents, at least 80 percent of which

are 55 years of age or older and offering or providing for a fee, one or more regularly scheduled health related services or

two or more regularly scheduled supportive services.

An establishment that meets all the requirements of this chapter except that fewer than 80 percent of the adult residents are

age 55 or older may, at its option, register as a housing with services establishment.

Housing with services establishments that provide Assisted Living Services must meet the requirements under the provisions

of Chapter 144G., Minnesota Statutes. “Assisted living” means a service or package of services advertised, marketed or

otherwise described, offered or promoted under the phrase “assisted living” and which is available only to individuals

residing in a registered housing with services establishment

HOSPICE PROVIDERS

Hospices are licensed under Minnesota Statutes, Section 144A.75, 144A.751-144A.756 and rules adopted thereunder.

A hospice provider means an individual, organization, association, corporation, unit of government, or other entity that

is regularly engaged in the delivery, directly or by contractual arrangement, of hospice services for a fee to terminally ill

hospice patients.

Residential hospice facility means a facility that resembles a single-family home located in a residential area that directly

provides 24-hour residential and support services in a home-like setting for hospice patients as an integral part of the

continuum of home care provided by a hospice.

I

DIRECTORY OF LICENSED AND CERTIFIED HEALTH CARE FACILITIES AND SERVICES

Classification and Bed Capacity: As of March 15, 2012 the number of licensed Facilities and Services and the total bed

capacities were as shown in Table 1; their certification classifications were as shown in Table 2.

TABLE 1

Licensing Classifications, March 15, 2012

Licensing Classifications Number of Facilities and Services Number of Beds

Hospitals 138 16,509

Bassinets 119 1,831

Psychiatric Hospital 1 20

Nursing Home 376 30,787

Boarding Care Homes 29 1,631

(Includes B.C.H. Units of Other Facilities) (8) (434)

Supervised Living Facilities 307 5,153

Freestanding Outpatient Surgical Centers 59 N/A

Other Specialized Hospitals 10 382

Home Care Providers 1,618 N/A

Hospices 79 N/A

TABLE 2

Certification Classifications, March 15, 2012

Licensing Classifications Number of Facilities and Services Number of Beds

Medicare

Hospitals 62 13,262

Critical Access Hospitals 81 1,793

Psychiatric Hospital 3 286

Skilled Nursing Facilities 369 29,952

Portable X-Ray Facilities 5 -------

Outpatient Occupational Therapy 31 -------

Outpatient Physical Therapy 36 -------

Outpatient Speech Therapy 27

Home Health Agencies 201 -------

Hospices 65 -------

Renal Disease Suppliers 97 ------

Comprehensive Outpatient Rehabilitation Facility 4 -------

Ambulatory Surgical Centers 57 -------

Rural Health Clinics 80 -------

Community Mental Health Centers 14 -------

Medicaid

Nursing Facilities I 362 29,605

Nursing Facilities II 18 947

Intermediate Care Facilities/Mental Retardation 211 1,830

Accreditation by Approved Accrediting Organization

Hospitals (Excluding Psychiatric Facilities) 69 -------

TABLE 2A

Housing with Services Establishments 1,769 -------

II

TABLE 3

The following table shows the change in the total number of licensed inpatient facilities and units during the past 65

years.

January 1, 1943

March 15, 1975

March 15, 2012

Number of

Facilities

Number

of Beds

Number of

Facilities

Number

of Beds

Number of

Facilities

Number

of Beds Hospitals

Nursing Homes and Units

Boarding Care Homes

Supervised Living Facilities

Other *

188

137

72

11,159

3,905

1,161

180

446

201

88

81

19,929

37,260

8,188

3,733

8,152

138

376

29

307

10

16,509

30,787

1,631

5,153

382 TOTALS

397

16,225

996

77,262

860

54,462

*Includes state operated specialized hospital beds.

TABLE 4

Hospitals: Bed Range, Total Numbers of Percentages of Hospitals and Beds; Hospitals and Beds by Ownership --

March 15, 2012

Type of Ownership

Hospital

Total Number

% of Total

Nonprofit

Public

Proprietary

Hosp. Beds

Hosp. Beds

Hosp. Beds

Hosp. Beds

Hosp. Beds

1 – 24

30

532

21.7

3.2

21

382

8

140

1

10

25 – 49

52

1,785

37.7

10.8

29

1,029

23

756

0

0

50 - 99

26

1,931

18.8

11.7

23

1,657

2

182

1

92

100 - 299

16

3,052

11.6

18.5

14

2,789

2

263

0

0

300 +

14

9,209

10.1

55.8

12

8,315

2

894

0

0

TOTALS

138

16,509

100.0

100.0

99

14,172

37

2,235

2

102

III

TABLE 5

Nursing Homes and Units: Bed Range, Total Numbers and Percentages of Home and Beds by Ownership -- March 15,

2012

Type of Ownership

Nursing

Home

Range

Total Number

% of Total

Nonprofit

Public

Proprietary

Homes Beds

Homes

Beds

Homes Beds

Homes Beds

Homes Beds

1 - 24

3

51

.8

.2

2

30

0

0

1

21

25 - 49

83

3,341

22.1

10.9

45

1,821

14

562

24

958

50 - 99

194

13,374

51.6

43.4

114

8,095

25

1,591

55

3,688

100 - 299

92

12,645

24.5

41.1

62

8,557

5

631

25

3,457

300 +

4

1,376

1.1

4.5

3

1,035

1

341

0

0

TOTALS

376

30,787

100.0

100.0

226

19,538

45

3,125

105

8,124

TABLE 6

Nursing Homes and Units: Home and Beds by Ownership and Percentage of Change -- March 15, 2011 and March 15,

2012

March 15, 2011

March 15, 2012

% of Change

Nursing Home Units

Ownership

Homes and

Units

Beds

Homes and

Units

Beds

Homes and

Units

Beds Non Profit

229

20,097

226

19,538

-1.3

-2.9

Public

48

3,280

45

3,125

-6.7

-4.7

Subtotal, Non Profit

And Public

277

23,377

271

22,663

-2.2

-3.2 Proprietary

102

8,190

105

8,124

2.9

-.8

TOTALS

379

31,567

376

30,787

-.79

-2.5

IV

TABLE 7

Boarding Care Homes and Units: Bed Range, Total Numbers and Percentages of Homes and Beds by Ownership --

March 15, 2012

Type of Ownership

BCH

Units

Range

Total Number

% of Total

Nonprofit

Public

Proprietary

Homes Beds

Homes Beds

Homes Beds

Homes Beds

Homes Beds

1 – 24

9

94

31.0

5.8

4

14

0

0

5

80

25 - 49

7

223

24.1

13.7

1

33

0

0

6

190

50 - 99

7

422

24.1

25.9

5

304

0

0

2

118

100 - 299

6

892

20.7

54.7

1

104

2

361

3

427

300 +

0

0

0

0.0

0

0

0

0

0

0

TOTALS

29

1,631

100.0

100.0

11

455

2

361

16

815

TABLE 8

Boarding Care Home Units: Home and Beds by Ownership and Percentage of Change -- March 15, 2011 and March 15,

2012

March 15, 2011

March 15, 2012

% of Change

BCH

Ownership

Homes and

Units

Beds

Homes and

Units

Beds

Homes and

Units

Beds Non Profit

12

489

11

455

-9.0

-7.5

Public

2

361

2

361

0.0

0.0


and Public

14

850

13

816

-7.7

-4.2 Proprietary

16

825

16

815

0.0

-1.2

TOTALS

30

1,675

29

1,631

-3.4

-2.7

V

TABLE 9

Supervised Living Facility and Units: Bed Range, Total Numbers and Percentages of Facility and Beds by Ownership -

March 15, 2012

Type of Ownership SLF

Range

Total Number

% of Total

Nonprofit

Public

Proprietary

Homes Beds

Homes Beds

Homes Beds

Homes Beds

Homes Beds

1 - 15

234

1,697

76.2

32.9

113

791

20

136

101

770

16 - 49

57

1,445

18.6

28.0

30

798

7

164

20

483

50 - 99

13

797

4.2

15.5

5

297

6

399

2

101

100 - 299

1

248

.3

4.8

0

0

1

248

0

0

300 +

2

966

.7

18.7

0

0

2

966

0

0

TOTALS

307

5,153

100.0

100.0

148

1,886

36

1,913

123

1,354

TABLE 10

Supervised Living Facilities and Units: Facilities and Beds by Ownership and Percentage of Change -- March 15, 2011

and March 15, 2012

March 15, 2011

March 15, 2012

% of Change

SLF

Ownership

Homes and

Units

Beds

Homes and

Units

Beds

Homes and

Units

Beds Non Profit

151

1,923

148

1,886

-2.0

-2.0

Public

34

1,905

36

1,913

5.6

.42


185

3,828

184

3,799

-.54

-1.3

Proprietary

124

1,372

123

1,354

-.81

-1.3

TOTALS

309

5,200

307

5,153

-.65

-.91

VITABLE 11: Number of Licensed Facilities and Beds by County, March 15, 2012 Page

1

2

1

1

0

2

1

3

3

1

0

1

1

0

1

1

2

24

546

87

118

0

40

272

111

67

109

0

30

61

0

25

16

43

1

2

1

1

0

2

1

3

2

1

0

1

1

0

1

1

1

6

74

16

12

0

4

26

24

13

20

0

6

12

0

4

2

6

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

2

6

4

3

3

2

5

4

3

4

2

2

3

4

2

1

3

123

521

335

198

416

114

371

322

264

249

102

158

218

362

86

37

173

0

0

0

0

0

0

0

0

0

1

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

58

0

0

0

0

11

14

40

41

0

6

8

0

12

0

12

0

1

0

2

0

0

0

0

0

0

0

0

0

0

0

0

0

0

200

0

16

0

0

0

0

0

0

0

0

0

0

0

0

0

0

4

2

0

0

0

3

0

0

1

0

0

0

0

0

0

0

AITKIN

ANOKA

BECKER

BELTRAMI

BENTON

BIG STONE

BLUE EARTH

BROWN

CARLTON

CARVER

CASS

CHIPPEWA

CHISAGO

CLAY

CLEARWATER

COOK

COTTONWOOD

0

4

0

0

0

0

1

2

1

4

0

1

1

0

1

0

1

0

118

9

0

68

12

43

20

564

40

0

0

17

10

3

0

21

0

4

1

0

1

1

3

2

2

2

0

0

2

1

1

0

1

County

Hosp.

No.

Beds

Psych.

No.

Beds

Bass.

No.

N.H.

No.

B.C.H

No.

S.L.F-A

No.

S.L.F-B

No.

Other

No.

Beds

Outpat.

Surg.

VIITABLE 11: Number of Licensed Facilities and Beds by County, March 15, 2012 Page

2

2

0

1

1

0

1

2

1

11

0

1

1

3

1

1

1

204

207

0

127

43

0

77

71

20

5401

0

50

86

104

20

49

136

2

2

0

1

1

0

1

2

1

8

0

1

1

3

0

1

1

22

60

0

14

4

0

12

11

2

590

0

10

15

20

0

8

20

0

0

0

0

0

0

0

0

0

1

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

20

0

0

0

0

0

0

0

3

8

2

4

3

6

3

7

2

48

4

1

2

4

2

1

5

286

912

106

300

220

321

348

553

69

6316

190

68

256

300

105

77

440

0

1

0

0

0

0

1

0

0

14

0

0

0

0

0

0

0

0

200

0

0

0

0

9

0

0

1039

0

0

0

0

0

0

0

0

78

0

12

24

0

26

0

0

540

0

28

11

0

0

0

6

1

0

0

1

0

0

0

0

0

0

0

0

0

0

0

0

1

16

0

0

16

0

0

0

0

0

0

0

0

0

0

0

0

70

1

2

0

1

0

0

0

0

0

21

0

0

0

1

0

0

2

CROW WING

DAKOTA

DODGE

DOUGLAS

FARIBAULT

FILLMORE

FREEBORN

GOODHUE

GRANT

HENNEPIN

HOUSTON

HUBBARD

ISANTI

ITASCA

JACKSON

KANABEC

KANDIYOHI

1

8

0

2

1

0

1

0

0

37

0

1

1

0

0

0

1

74

104

6

6

0

0

64

42

0

311

21

8

6

24

0

0

128

2

11

1

1

0

0

2

3

0

35

2

1

1

1

0

0

4

County

Hosp.

No.

Beds

Psych.

No.

Beds

Bass.

No.

N.H.

No.

B.C.H

No.

S.L.F-A

No.

S.L.F-B

No.

Other

No.

Beds

Outpat.

Surg.

VIIITABLE 11: Number of Licensed Facilities and Beds by County, March 15, 2012 Page

1

1

2

1

1

1

2

2

1

1

1

2

1

2

1

1

1

15

49

32

25

15

24

44

74

18

20

57

115

35

82

49

82

25

1

1

2

1

1

0

1

1

0

0

1

2

1

2

1

1

1

0

11

6

1

3

0

1

8

0

0

16

14

4

13

10

10

2

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

2

3

2

2

1

3

3

4

1

1

4

3

3

3

3

5

2

116

150

136

128

42

160

121

237

48

60

221

300

204

270

208

262

117

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

8

0

0

0

0

0

46

0

0

0

0

0

0

0

8

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

1

0

0

1

1

0

0

0

0

0

KITTSON

KOOCHICHING

LAC QUI PARLE

LAKE

LAKE OF THE WOODS

LESUEUR

LINCOLN

LYON

MAHNOMEN

MARSHALL

MARTIN

MCLEOD

MEEKER

MILLE LACS

MORRISON

MOWER

MURRAY

0

1

0

0

0

0

0

4

0

0

0

0

0

0

0

1

0

6

2

6

5

0

0

10

6

0

0

32

6

0

0

14

26

18

1

1

1

1

0

0

1

1

0

0

3

1

0

0

1

5

1

County

Hosp.

No.

Beds

Psych.

No.

Beds

Bass.

No.

N.H.

No.

B.C.H

No.

S.L.F-A

No.

S.L.F-B

No.

Other

No.

Beds

Outpat.

Surg.

IXTABLE 11: Number of Licensed Facilities and Beds by County, March 15, 2012 Page

1

1

1

3

3

1

2

1

2

1

7

0

1

1

2

1

1

17

48

14

2120

166

99

40

44

92

34

1914

0

25

35

136

28

25

1

1

0

3

3

1

1

1

2

1

4

0

1

1

2

1

1

0

7

0

97

16

10

5

12

17

4

150

0

6

6

28

5

7

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

3

4

3

7

10

2

2

2

6

3

30

1

6

5

6

3

3

165

189

151

612

736

110

106

150

381

161

3026

30

275

256

413

191

149

0

0

0

0

0

0

0

0

0

0

6

0

1

0

0

1

1

0

0

0

0

0

0

0

0

0

0

242

0

26

0

0

4

0

58

0

0

67

66

10

16

27

0

0

195

0

0

10

36

0

0

1

0

0

1

1

0

0

0

0

0

0

0

0

0

0

0

0

16

0

0

16

16

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

6

0

0

0

1

0

0

NICOLLET

NOBLES

NORMAN

OLMSTED

OTTER TAIL

PENNINGTON

PINE

PIPESTONE

POLK

POPE

RAMSEY

RED LAKE

REDWOOD

RENVILLE

RICE

ROCK

ROSEAU

1

0

0

4

2

1

1

2

0

0

22

0

0

1

2

0

0

655

15

0

45

15

0

8

7

54

0

324

6

18

0

6

6

0

6

1

0

4

2

0

2

1

3

0

32

1

3

0

1

1

0

County

Hosp.

No.

Beds

Psych.

No.

Beds

Bass.

No.

N.H.

No.

B.C.H

No.

S.L.F-A

No.

S.L.F-B

No.

Other

No.

Beds

Outpat.

Surg.

XTABLE 11: Number of Licensed Facilities and Beds by County, March 15, 2012 Page

8

2

0

1

5

1

1

2

2

1

2

1

1

2

2

1

1

1125

142

0

20

592

43

54

46

71

25

49

49

35

183

50

25

99

7

2

0

0

5

1

1

2

2

1

2

1

0

2

2

1

1

95

22

0

0

62

16

5

5

18

4

9

6

0

35

13

8

14

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

17

4

3

3

7

3

1

2

2

2

3

3

3

6

2

1

5

1386

372

394

130

454

219

88

96

141

89

243

240

160

654

126

120

411

1

0

0

0

0

0

0

1

0

0

1

0

0

0

0

0

0

54

0

0

0

0

0

0

19

0

0

38

0

0

0

0

0

0

88

9

0

15

18

21

0

0

0

0

0

20

0

60

0

0

6

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

2

0

0

0

5

0

0

0

0

0

0

0

0

4

0

0

0

SAINT LOUIS

SCOTT

SHERBURNE

SIBLEY

STEARNS

STEELE

STEVENS

SWIFT

TODD

TRAVERSE

WABASHA

WADENA

WASECA

WASHINGTON

WATONWAN

WILKIN

WINONA

7

1

0

1

1

2

0

0

0

0

0

1

0

5

0

0

1

93

52

18

0

43

22

6

0

0

0

0

32

0

15

13

0

0

9

1

3

0

2

2

1

0

0

0

0

2

0

2

1

0

0

County

Hosp.

No.

Beds

Psych.

No.

Beds

Bass.

No.

N.H.

No.

B.C.H

No.

S.L.F-A

No.

S.L.F-B

No.

Other

No.

Beds

Outpat.

Surg.

XITABLE 11: Number of Licensed Facilities and Beds by County, March 15, 2012 Page

2

2

104

55

2

2

30

7

0

0

0

0

7

3

483

184

0

0

0

0

40

66

1

0

16

0

0

0

WRIGHT

YELLOW MEDICINE

1

2

18

15

2

2

County

Hosp.

No.

Beds

Psych.

No.

Beds

Bass.

No.

N.H.

No.

B.C.H

No.

S.L.F-A

No.

S.L.F-B

No.

Other

No.

Beds

Outpat.

Surg.

138

16509

119

1831

1

20

376

30787

29

1631 1817

10

382

59133

3336

186Minnesota

Page XXVIII

FEDERAL HOSPITALS *

County - Institution Address Ownership

BELTRAMI - Red Lake Indian Hospital Red Lake Federal

CASS - Cass Lake Indian Hospital Cass Lake Federal

HENNEPIN - Veterans Administration Hospital 54th Street & Federal

48th Avenue

Minneapolis

PINE - Federal Correctional Institution Sandstone Federal

STEARNS - Veterans Administration Hospital St. Cloud Federal

OLMSTED – Federal Medical Center Rochester Federal

* Not covered by state licensing law.

ABBREVIATIONS Page XXIX

Amb. Surg. -- Ambulatory Surgical Center SNF/NF -- Medicare/Medicaid Facility

Bass. -- Bassinets

BCH -- Boarding Care Home

CAH – Critical Access Hospital

CMHC -- Community Mental Health Center

CORF -- Comprehensive Outpatient Rehabilitation Facility

ESRD -- End Stage Renal Disease Provider

HCP-A -- Professional Home Care Agency License

HCP-B -- Paraprofessional Agency License

HCP-C -- Individual Paraprofessional License

HCP-F -- Class F Home Care Provider License

HCP-M -- Home Management Registration

HHA -- Home Health Agency

Hosp. -- Hospital

HSPICE -- Hospice

HWS – Housing with Services Establishment

HWSAL – Housing with Services Establishment – Assisted Living

HWS-O – Housing with Services Establishment – Optional Registration

ICF/MR -- Intermediate Care Facility/Mental Retardation

NF -- Nursing Facility (Medicaid Certified)

NH -- Nursing Home

Other -- Other Specialized Hospitals

Output OT -- Outpatient Occupational Therapy Provider

Outpt. PT -- Outpatient Physical Therapy Provider

Outpt. ST. -- Outpatient Speech Therapy Provider

Outpt. Surg. -- Outpatient Surgical Center

Port. X-Ray -- Portable X-Ray Supplier

Psy. Hosp. -- Psychiatric Hospital

RESHPC – Residential Hospice

Rural Hlth. -- Rural Health Clinic

SLF -- Supervised Living Facility

SNF -- Medicare Skilled Nursing Facility

1

Facility/Service Owner Licensure Certification

Minnesota Department of HealthDivision of Compliance Monitoring

Directory of Facilities and Services

Page

Registration

AITKIN

AICOTA HEALTH CARE CENTER

AICOTA HEALTH CARE CENTER INC

AITKIN COUNTY CARE

AITKIN HEALTH SERVICES

GOLDEN HORIZONS

MARYHILL MANOR

RIVERWOOD CLINIC AITKIN

RIVERWOOD HEALTHCARE CENTER

CHAPPYS GOLDEN SHORES

CHAPPYS GOLDEN SHORES

850 SECOND STREET NORTHWEST

850 2ND STREET NORTHWEST

503 NORTH MINNESOTA AVENUE

301 MINNESOTA AVENUE SOUTH

518 SEVENTH AVE NE

215 3RD ST SE

200 BUNKER HILL DRIVE

200 BUNKER HILL DRIVE

530 PARK AVENUE

530 PARK AVENUE

AITKIN, MN 56431

AITKIN, MN 56431

AITKIN, MN 56431

AITKIN, MN 56431

AITKIN, MN 56431

AITKIN, MN 56431

AITKIN, MN 56431

AITKIN, MN 56431

HILL CITY, MN 55748

HILL CITY, MN 55748

218/927-2164

218/927-2182

218/927-1383

218/927-5545

218/927-9996

218/927-2151

218/927-2157

218/927-5501

218/697-0145

218/697-2705

Corp

Corp

NProf

NProf

Corp

HRA

Corp

NProf

Ind

Ind

NH-75

HCP-F

HCP-A

NH-48

HCP-F

BASS-6 HOSP-24

HCP-F

SNF-NF-75

SNF-NF-48

RHC

CAH-24

(00848)

(24776)

(28463)

(00002)

(23660)

(23662)

(03734)

(21927)

(21006)

(21823)

218/927-6436

218/927-2801

218/927-1382

218/927-5564

218/927-7005

218/927-4159

/-

218/927-5575

218/697-2573

218/697-8145

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

MS. ALISON MATALAMAKI

MR. BARRY FOSS

MS. BETH LEAF

MR. JAMES INGERSOLL

MR. CHUCK LANE

MS. NANCY JOHNSON HOUG

MR. MICHAEL HAGEN

MR. MICHAEL HAGEN

MR. KEITH OLSON

MR. KEITH OLSON

---------------------------********** --------------------------********

HWSAL

HWSAL

HWS

HWSAL

2




Page

Registration

AITKIN

ANOKA

NORTHLAND ASSISTED LIVING D/B/

RIVERWOOD CLINIC MCGREGOR

AT YOUR SERVICE HH SERVICE LLC

CYPRESS MANOR

DONA CARING HEARTS INC

JUST FOR RACHEL HOME CARE

THE FARMSTEAD

THE FARMSTEAD

AMERICAN BEST HOME CARE

22027 420TH STREET

2 EAST CENTER AVE PO BOX 340

458 139TH LANE

16770 WREN STREET NW

1092 142ND LANE NW

4954 170TH LANE NORTHWEST

13733 QUAY STREET

13733 QUAY STREET

1820 FOURTH AVENUE

MCGREGOR, MN 55760

MCGREGOR, MN 55760

ANDOVER, MN 55304

ANDOVER, MN 55304

ANDOVER, MN 55304

ANDOVER, MN 55304

ANDOVER, MN 55304

ANDOVER, MN 55304

ANOKA, MN 55303

218/723-4040

218/768-4011

612/532-2121

763/712-8363

763/238-4722

763/286-3862

763/712-7000

763/172-7000

612/919-9523

Lim-Liab

Corp

Lim-Liab

Corp

Corp

Ind

NProf

NProf

Corp

HCP-A

HCP-A

HCP-A

HCP-F

HCP-A

RHC

(27287)

(03736)

(28068)

(25460)

(25818)

(25672)

(20547)

(27961)

(27873)

218/723-4048

/-

/-

763/323-4811

763/432-2661

763/753-1964

763/712-7001

763/712-7001

/-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

MS. KARIE SIMPSON

MR. MICHAEL HAGEN

MS. LYNDA ROBERTS

MR. JACOB NELSON

MS. WEATTA JACKSON

MS. ANGELA ELLIOTT

MS. SUSAN MINAR

MS. NATALIE MORLAND

MR. SEGUN OLATAYO

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

HWSAL

HWSAL-O

HWSAL

3




Page

Registration

ANOKA

ANOKA CARE CENTER

ANOKA METRO REG TREATMENT CTR

GOLDEN LIVINGCENTER TWIN RIVER

RIVER OAKS OF ANOKA

THE CEDARS

THE ELMS

THE OAKS

THE PINES

THE WILLOWS

WALKER PLAZA

1040 MADISON STREET

3301 - 7TH AVE N

305 FREMONT ST

910 WESTERN STREET

701 POLK STREET

2171 7TH AVENUE NORTH




131 MONROE STREET

ANOKA, MN 55303

ANOKA, MN 55303

ANOKA, MN 55303

ANOKA, MN 55303

ANOKA, MN 55303

ANOKA, MN 55303

ANOKA, MN 55303

ANOKA, MN 55303

ANOKA, MN 55303

ANOKA, MN 55303

763/421-2311

763/712-5000

763/421-5660

763/421-4011

763/712-8363

763/712-8363

763/712-8363

763/712-8363

763/712-8363

763/422-4037

NProf

State

Lim-Liab

Lim-Liab

Corp

Corp

Corp

Corp

Corp

NProf

NH-96

OTHER-200 SLFB-77

NH-56

HCP-F

SNF-NF-96

PSY-200

SNF-NF-56

(00893)

(00004)

(00866)

(24353)

(24253)

(20535)

(20534)

(20536)

(24668)

(20443)

763/421-2683

763/431-7733

763/421-6581

763/422-8946

763/323-4811

763/323-4811

763/323-4811

763/323-4811

763/323-4811

763/422-8115

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

MR. DEAN MCDEVITT

MR. BRIAN TEUBER

MR. ERNEST GERSHONE

MR. FRANCIS LANG

MR. JACOB NELSON

MR. JACOB NELSON

MR. JACOB NELSON

MR. JACOB NELSON

MR. JACOB NELSON

MR. LEE ENGLER

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL-O

HWSAL-O

HWSAL

HWSAL-O

HWSAL

HWSAL

4




Page

Registration

ANOKA

WHISPERING PINES ASSTD LIVING

WHISPERING PINES ASSTD LIVING

ANTHONY LOUIS CENTER

BLAINE SUITE LIVING CARE LLC

BLAINE WHITE PINE

COMFORT KEEPERS

COMFORT KEEPERS

HIGH LAND CARE INC

HOME INSTEAD SENIOR CARE

MINNESOTA EYE LASER AND SURGER

2823 7TH AVE NORTH

707 POLK STREET

1000 PAUL PARKWAY

10669 ULYSSES ST NE

12446 JAMESTOWN STREET NE

9298 CENTRAL AVE NE

9298 CENTRAL AVE NE STE 404

10307 UNIVERSITY AVE NE

10155 UNIVERSITY AVE NW # 100

11091 ULYSSES STREET

ANOKA, MN 55303

ANOKA, MN 55303

BLAINE, MN 55434

BLAINE, MN 55449

BLAINE, MN 55449

BLAINE, MN 55434

BLAINE, MN 55434

BLAINE, MN 55434

BLAINE, MN 55343

BLAINE, MN 55434

763/712-8363

763/712-8363

763/757-2906

763/754-7300

763/754-1930

763/786-1000

763/786-1000

763/786-3439

763/792-0041

952/888-5800

Corp

Corp

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Corp

Lim-Liab

HCP-F

SLFA-22

HCP-F

HCP-F

HCP-A

HCP-A

HCP-A

Outpt Surg Amb Surg

(23690)

(20533)

(01400)

(23914)

(26857)

(26035)

(28074)

(03139)

(23591)

(27713)

763/323-4811

763/323-7822

763/757-2059

763/754-2422

763/754-1933

763/786-9440

763/786-9440

763/783-3528

320/656-5229

952/884-2656

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

MR. JACOB NELSON

MR. JACOB NELSON

MS. MELISSA BROGGER

MS. AUDREY MCELWAIN

MS. RHONDA SCHILLINGER

MR. TOM BERARD

MS. BEV BERARD

MS. MARILYN LOM

MR. DANIEL ARNOLD

MS. CANDACE SIMERSON

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWSAL

HWSAL

Home Mgmt

5




Page

Registration

ANOKA

MSOCS BLAINE HOME

NORTH METRO SURGERY CENTER

STERLING HOUSE OF BLAINE

TRANSAMERICA CARE INC

TRANSAMERICA CARE INC

HAM LAKE PHYSICAL THERAPY

ANGELS OF MERCY

ANGELS OF MERCY ASSISTED LIVIN

COLUMBIA VILLAGE

COMPASSIONATE HOME HEALTH INC

12949 KENYON STREET NORTHEAST

11855 ULYSSES STREET SUITE 270

1005 PAUL PARKWAY

11536 YANCY COURT NE

11536 YANCY COURT NORTHEAST

18415 NE HWY 65

4427 MONROE STREET NE

4427 MONROE STREET NE

1675 44TH AVENUE NE

4148 5TH STREET NE

BLAINE, MN 55449

BLAINE, MN 554344182

BLAINE, MN 55434

BLAINE, MN 55449

BLAINE, MN 55449

CEDAR, MN 55011

COLUMBIA HEIGHTS, MN 55421




763/755-0233

763/755-6540

763/755-2800

763/742-2225

763/742-2225

763/413-0880

763/432-9706

763/432-9706

763/782-1606

763/782-8740

State

Lim-Liab

Corp

Corp

Corp

Corp

Corp

Corp

NProf

Corp

SLFB-6

Outpt Surg

HCP-F

HCP-A

HCP-A

HCP-F

HCP-A

ICFMR-6

Amb Surg

Out Pt Out Ot

(01644)

(26537)

(20412)

(28519)

(28520)

(03772)

(25116)

(28129)

(20787)

(26735)

763/755-0281

763/755-6516

763/755-6400

763/245-7276

763/245-7276

763/413-0850

763/432-9708

763/432-9708

763/782-0857

763/782-8740

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

MS. GEORGENE ANDRIST

MS. JEANNIE FERNSTROM

MS. LORI HANSON

MR. GEBI TUFAA

MR. GEBI TUFAA

MR. MARK NETZINGER

MR. FOLUSO ALLISON

MR. FOLUSO ALLISON

MS. SHIRLEY BARNES

MR. MARK ONYENEMEZU

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWS

6




Page

Registration

ANOKA

CREST VIEW HOME CARE

CREST VIEW HOME HEALTH CARE

CREST VIEW LUTHERAN HOME

CREST VIEW ON 42ND

LIGHTHOUSE OF COLUMBIA HEIGHTS

PRO-HEALTH HOME CARE AGENCY LL

ROYCE PLACE

THE BOULEVARD

ALLIANCE HOMECARE SERVICES LLC

AT HOME HEALTH CARE INC

4444 RESERVOIR BOULEVARD NE

4444 RESERVOIR BOULEVARD NE

4444 RESERVOIR BLVD NE

900 - 42ND AVENUE NE

3801 HART BOULEVARD NORTHEAST

3989 CENTRAL AVE NE SUITE 510

1515 - 44TH AVENUE NE

4458 RESERVOIR BLVD NORTHEAST

9749 ILEX STREET NORTHWEST

1601 128TH LANE NW









COON RAPIDS, MN 55433


763/782-1605

763/782-1611

763/782-1611

763/781-5873

763/210-6600

763/746-8155

763/788-2020

763/782-1606

763/208-6295

763/381-4448

NProf

NProf

NProf

NProf

Lim-Liab

Lim-Liab

NProf

NProf

Lim-Liab

Corp

HCP-F

HCP-A

NH-122

HCP-F

HCP-A

HCP-A

HCP-A

HHA

SNF-NF-122

(20750)

(03080)

(00005)

(21871)

(26853)

(25163)

(20079)

(20078)

(28029)

(27749)

763/788-0012

763/788-0012

763/782-0857

763/781-5874

763/210-6695

763/746-8154

763/788-0012

763/782-0857

763/355-5459

/-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

MS. KATHLEEN MIKKELSON

MS. KATHLEEN MIKKELSON

MR. TALIA ARAMALAY

MS. KAREN FANTLE

MS. TAMMY KUCERA

DR. ABDULWAHAB ASAMARAI

MS. KAREN FANTLE

MS. SHIRLEY BARNES

MS. BAO CHA

MS. JESSICA EASTER

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWS

7




Page

Registration

ANOKA

CAMILIA ROSE CARE CENTER LLC

CAMILIA ROSE GROUP HOME

COMMUNITY LIVING INC COTTAGE 5

COMMUNITY LIVING INC COTTAGE 6

COON RAPIDS DIALYSIS UNIT

COVENANT HOME HEALTH CARE LLC

CREEKSIDE COTTAGE CATERED LIVI

DEMAR ASSOCIATES INC

EAGLE STREET CATERED LIVING

ELITE NURSING SERVICE

11800 XEON BOULEVARD


2483 109TH AVENUE NORTHWEST

2493 109TH AVENUE NORTHWEST

3960 COON RAPIDS BLVD # 309

199 COON RAPIDS BLVD STE 111

1190 117TH AVENUE NW


12009 EAGLE STREET

2393 COON RAPIDS BOULEVARD











763/755-8400

763/755-8480

952/443-2048

952/443-2048

763/421-8717

763/755-9009

763/754-6902

763/755-8174

763/862-1627

763/421-3613

Lim-Liab

Lim-Liab

Corp

Corp

Corp

Ind

Corp

Corp

Corp

Corp

NH-94

SLFB-29

SLFA-12

SLFA-12

HCP-A

HCP-A

SNF-NF-94

ICFMR-29

ICFMR-12

ICFMR-12

ESRD

HHA

(00757)

(01141)

(01538)

(01253)

(02316)

(02135)

(24666)

(20134)

(20835)

(26977)

763/755-8578

763/755-3130

952/443-2371

952/443-2371

/-

763/862-8030

763/754-6903

763/862-3846

763/862-1900

763/374-5451

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

MS. SHARON FALKNOR

MS. MARY TJOSVOLD

MS. MONICA SCHMIDT

MS. MONICA SCHMIDT

MS. JENNIFER ELLEFSON

MS. GLORIA KLINEFELTER

MS. MARY TJOSVOLD

MS. MARY TJOSVOLD

MS. MARY TJOSVOLD

MR. BANBAH DENNIS GARSINII

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

8




Page

Registration

ANOKA

EPIPHANY ASSISTED LIVING LLC

EPIPHANY PINES SENIOR HOUSING

FMC DIALYSIS SERVCES NO SUBURB

FRESENIUS MED CARE COON RAPIDS

GRACIOUS COMPANIONS LLC

HOMESTEAD COON RAPIDS MEMORY

MARGARET PLACE LTD PARTNERSHI

MARY T HOME HEALTH

MARY T HOSPICE

MERCY HOSPITAL

10955 HANSON BOULEVARD NW

1800 - 111TH AVE NW

9144 SPRINGBROOK DRIVE

3465 NORTHDALE BOULEVARD

12564 GROUSE STREET NORTHWEST

1770 113TH LANE



1555 - 118TH LANE NW

4050 COON RAPIDS BLVD











763/755-0320

763/755-9299

763/783-0103

763/421-1032

763/233-1023

763/754-3500

763/754-2505

763/862-5479

763/772-9963

763/236-8119

NProf

NProf

Corp

Corp

Lim-Liab

NProf

Part

Corp

Corp

NProf

HCP-F

HCP-F

HCP-A

Hospice

BASS-38 HOSP-271

ESRD

ESRD

HHA

HSPICE

HOSP-271

(21113)

(23423)

(02816)

(25769)

(27401)

(20478)

(20886)

(03136)

(26345)

(00009)

763/772-1070

763/862-4641

/-

763/421-1054

763/862-8420

763/754-3700

763/754-0332

763/755-3631

763/772-9962

763/236-8124

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

MS. LAURIE ANDERSON

MS. MARY MCCARTY

MR. RICHARD PHIDD

MR. JOHN MARIETTI

MS. REGINA KENNEY

MS. JENNIFER FRAZER-JOHN

MS. MARY TJOSVOLD

MR. RANDY LEJA

MS. BARBARA QUELLETTE

MR. JEFF PETERSON

---------------------------********** --------------------------(Cont.)*

HWSAL

HWS

Home Mgmt

HWSAL

HWS

9




Page

Registration

ANOKA

MNGI ENDOSCOPY COON RAPIDS

NEW LIVING LLC

PARK RIVER ESTATES CARE CENTER

REHABCARE

REHABCARE AGENCY MN

REHOBOTH HOME

REM MN COMM SRVS INC ANOKA

SELECT SENIOR LIV/COON RAPIDS

SELECT SENIOR LIVING OF COON R

THE HOMESTEAD AT COON RAPIDS

9145 SPRING BROOK DRIVE

9900 BLUE BIRD ST NW STE 307

9899 AVOCET ST NW

300 COON RAPIDS BLVD STE 200

300 COON RAPIDS BLVD SUITE 200


12011 KUMQUAT STREET NORTHWEST

11350 MARTIN STREET

11350 MARTIN STREET NW

11372 ROBINSON DRIVE NORTHWEST











612/871-1145

651/347-0737

763/757-2320

763/767-0854

763/767-0854

763/205-3352

651/644-7680

763/767-1127

651/439-2414

763/754-3500

Corp

Lim-Liab

Corp

Corp

Corp

Corp

Corp

Lim-Liab

Lim-Liab

NProf

Outpt Surg

HCP-A

NH-99

HCP-A

SLFB-6

HCP-F

HCP-F

Amb Surg

SNF-NF-99

Out Pt Out St Out Ot

ICFMR-6

(21075)

(27649)

(00010)

(27066)

(02199)

(27665)

(01591)

(25728)

(25729)

(20532)

/-

763/208-3989

763/757-6946

763/862-6533

763/862-6533

763/205-3357

651/644-6777

763/862-6852

651/439-3254

763/754-3700

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

DR. SCOTT KETOVER

MR. LENDER FOSTER

MR. THOMAS POLLOCK

MS. SARA SHEPPARD (AGENCY ADM

MS. KELLY HUNGASKI

MS. DORIS PARKER

MS. CONNIE MENNE

MR. LANCE LEMLEUX

MR. LANCE LEMIEUX

MS. JENNIFER FRAZER-JOHN

---------------------------********** --------------------------(Cont.)*

HWS-O

HWSAL

HWSAL

10




Page

Registration

ANOKA

ZION HOME HEALTH CARE

HUE HOME HEALTH CARE LLC

COMMUNITY OPTIONS

FRIDLEY ASSISTED LIVING LLC

FRIDLEY DIALYSIS UNIT

GOLDEN LIVINGCENTER LYNWOOD

METRO THERAPY SPECIAL CHILDREN

MN ORTHOPAEDIC SURG CTR LLC

NOVACARE REHABILITATION

PRIDE N'LIVING HOME CARE INC

10308 XAVIS STREET NW

3305 199TH AVENUE NE

5384 NORTHEAST FIFTH STREET

6352 CENTRAL AVENUE

5301 EAST RIVER RD NE STE 117

5700 EAST RIVER ROAD

5155 EAST RIVER ROAD STE 403

8290 UNIVERSITY AVE NE STE 100

8290 UNIVERSITY AVE NE #300

7691 CENTRAL AVENUE


EAST BETHEL, MN 55011

FRIDLEY, MN 55421

FRIDLEY, MN 55432

FRIDLEY, MN 55421

FRIDLEY, MN 55432

FRIDLEY, MN 55421

FRIDLEY, MN 55432

FRIDLEY, MN 55432

FRIDLEY, MN 55432

763/432-6323

763/843-8797

763/572-0009

763/574-7366

763/571-5556

763/571-3150

763/572-2519

763/786-9543

763/784-2340

763/572-2390

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Lim-Liab

Corp

Lim-Liab

Corp

Corp

HCP-A

HCP-A

SLFA-12

NH-54

Outpt Surg

ESRD

SNF-NF-54

Out St Out Ot

Amb Surg

Out Pt Out St Out Ot

(25735)

(28165)

(01533)

(27981)

(25501)

(00935)

(02799)

(04305)

(03769)

(26208)

612/242-1935

763/843-8797

763/572-1295

763/574-7362

763/571-7882

763/571-2805

763/572-2616

763/786-3320

/-

763/574-2459

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

MS. JOSEPHINE SAYE

MR. HUE XIONG

MR. THOMAS ALF

MS. RHONDA SCHILLNGER

MR. LAWRENCE BLAIR

MS. SHANNA SWANSON

MS. AUDREY CHAPUT

MS. REBECCA ANDERSON

MS. MARY SMITH

MS CELESTINA WAINDIM

---------------------------********** --------------------------(Cont.)*

HWSAL

HWS

11




Page

Registration

ANOKA

PRIDE N'LIVING HOME CARE INC

SERENITY HOME CARE INC

UNITY HOSPITAL

VILLAGE IN PINE RETIRMNT HOUSE

A TIME FOR HELP INC

A TO Z SOCIAL SERVICES INC

AGABI HEALTH CARE SERVICES

LINO LAKES ASSISTED LIVING LLC

CAREFREE HOME SERVICES INC

NEW MILLENNIUM HEALTH CARE

7691 CENTRAL AVENUE

7572 MCKINLEY STREET NORTHEAST

550 OSBORNE RD

824 142ND AVENUE NE

481 LINDEN LANE

693 HIGHLAND TRAIL

7259 SAVANNA COURT

725 TOWN CENTER PARKWAY

7830 149TH LANE NW

7931 6TH STREET NORTHEAST

FRIDLEY, MN 55432

FRIDLEY, MN 55432

FRIDLEY, MN 55432

HAM LAKE, MN 55304

LINO LAKES, MN 55014




RAMSEY, MN 55303

SPRING LAKE PARK, MN 55432

763/572-2390

763/234-9174

763/236-5000

763/862-4900

651/481-1991

651/248-6120

952/381-7697

763/267-6183

763/422-9713

763/780-9933

Corp

Corp

NProf

Lim-Liab

Corp

Corp

Corp

Lim-Liab

Corp

Corp

HCP-A

HCP-A

BASS-36 HOSP-275

HCP-F

HCP-A

HCP-A

HCP-A

HCP-F

HOSP-260 PPS-P-15

(23218)

(28069)

(00011)

(28200)

(24985)

(27347)

(27854)

(27529)

(27857)

(26489)

763/574-2459

/-

763/236-3774

763/792-3839

651/482-9008

651/784-5000

/-

763/398-2294

763/421-3098

763/795-8878

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

MRS. DEBRA RIMPSON

MS. JANE YANG

MS. LORI WIGHTMAN

MR. AKWEN MORCHO

MS. SHIRLYN NICKELSON

MR. AUGUSTINE AKPAN

MS. VICTORINE AMBE

MS. AMY KOEHNEN

MR. MICHAEL BEACH

MR. JOHN ARNDT

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

Home Mgmt

HWS-O

12




Page

Registration

ANOKA

BECKER

NURSING EXCELLENCE CORP

OAK CREST SENIOR LIVING

RELIEVE CARE INC

DIAMOND WILLOW ASSISTED LIVING

DIAMOND WILLOW ASSISTED LIVING

DL SURGERY CENTER

EMMANUEL COMMUNITY

EMMANUEL COMMUNITY

EMMANUEL NURSING HOME

8145 TYLER STREET NE

1639 COUNTY HWY 10 NORTHEAST

1310 81ST AVENUE NE

1558 RANDOLPH ROAD

1564 RANDOLPH ROAD

125 FRAZEE STREET EAST

1415 MADISON AVENUE

1415 MADISON AVENUE

1415 MADISON AVE




DETROIT LAKES, MN 56502






612/310-0655

763/783-0150

763/757-3207

218/846-0825

218/846-0147

218/844-2372

218/847-4486

218/847-4486

218/847-4486

Lim-Liab

ONProf

Corp

Lim-Liab

Lim-Liab

NProf

NProf

NProf

Church

HCP-A

HCP-A

Outpt Surg

HCP-F

HCP-A

NH-120

Amb Surg

SNF-NF-120

(25294)

(27156)

(21806)

(25380)

(25400)

(00372)

(22058)

(21130)

(00013)

763/208-0535

763/783-0154

763/780-5700

218/846-0828

218/846-0149

218/847-7674

218/847-4488

218/847-4488

218/847-4488

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

MS. SANDRA SOMMERS

MS. ELIZABETH MEYER

MS. LARA FATUNBI

MS. BRENDA MARSHALL

MS. BRENDA MARSHALL

DR. BRUCE CONMY

MS. JANET GREEN

MS. JANET GREEN

MS. JANET GREEN

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

HWSAL

HWSAL

HWSAL

13




Page

Registration

BECKER

ESSENTIA HEALTH OAK CROSSING

ESSENTIA HEALTH ST MARYS

GOLDEN MANOR CORPORATION

GOLDEN MANOR MEMORY CARE

GOLDEN MANOR OF BARNESVILLE

GOLDEN MANOR OF DETROIT LAKES

LAMPLIGHTER MANOR

LINCOLN PARK ASSISTED LIVING

LINCOLN PARK SENIOR APARTMENT

MURPHS HOME MAINTENANCE

1040 LINCOLN AVENUE

1027 WASHINGTON AVENUE

1159 GARNET BOULEVARD




1425 MADISON AVENUE

208 OAK STREET

207 PARK STREET

10302 COUNTY ROAD 147











218/847-5611

218/847-0852

218/847-3195

218/844-6028

218/354-7200

218/844-3300

218/847-4486

218/844-0701

218/844-0701

218/841-8682

NProf

NProf

Corp

Corp

Corp

Corp

NProf

NProf

NProf

Lim-Liab

NH-96

BASS-16 HOSP-87

HCP-F

HCP-B

SNF-NF-96

HOSP-87

(00907)

(00888)

(21056)

(24138)

(21407)

(23040)

(20313)

(21201)

(21248)

(27825)

218/844-0780

218/847-7674

218/847-2770

218/844-6029

218/844-3701

218/844-3301

218/847-5384

218/847-0895

218/847-0895

218/844-6500

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

MS. CHRISTY BRINKMAN

MR. RYAN HILL

MR. TODD SPIES

MR. TODD SPIES

MR. TODD SPIES

MR. TODD SPIES

MS. JANET GREEN

MS. TONYA CLEM

MR. RYAN HILL

MS. COLLETTE MURPHY

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL

HWS

14




Page

Registration

BECKER

PARK MANOR ESTATES

SANFORD DIALYSIS DETROIT LAKES

SANFORD HTH DL CLNC SAME DAY

ST MARY'S CONTINUED CARE

ST MARYS HOME HEALTH

ST MARYS SR LVG SUPPORTIVE SER

THE COTTAGE

THE MADISON

WEST HOME

WINCHESTER ON WASHINGTON

1035 ROOSEVELT AVENUE

114 EAST FRAZEE STREET


114 FRAZEE STREET EAST

114 FRAZEE STREET E

1027 WASHINGTON AVE

1435 MADISON AVENUE

1405 MADISON AVENUE

1118 WEST AVENUE












218/847-2636

218/847-0825

218/846-2000

218/847-0808

218/847-0808

218/844-0701

218/844-8354

218/844-9420

218/847-5642

218/844-0701

Part

NProf

Corp

Church

Church

Church

NProf

NProf

NProf

NProf

Outpt Surg

HCP-A

HCP-A

HCP-F

SLFB-9

ESRD

Amb Surg

HHA

ICFMR-9

(24593)

(20925)

(27351)

(21202)

(03707)

(23436)

(25997)

(23721)

(01311)

(20241)

218/844-2637

/-

218/846-2197

218/847-0850

218/847-0850

218/874-0895

218/844-9446

218/847-4488

218/847-7176

218/847-0895

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

MS. CHRISTY ALTHOFF

MR. ROGER GILBERTSON

MS. BREANNA ADAMS

MS. LINDA HESPE

MS. LINDA HESPE

MS. TONYA CLEM

MS. JANET GREEN

MS. JANET GREEN

MR. THOMAS REIFFENBERGER

MS. TONYA CLEM

---------------------------********** --------------------------(Cont.)*

HWS

HWSAL

HWSAL

HWS

15




Page

Registration

BECKER

BELTRAMI

FRAZEE ASSISTED LIVING H C

FRAZEE CARE CENTER

SUNNYSIDE CARE CENTER

SUNNYSIDE CARE CENTER

NORTH STAR NURSING TEMPORARY A

WHITE EARTH HOME HEALTH

A TOUCH OF HOME NORTH

AUTUMN HILLS OF BEMIDJI INC

BAKER PARK INC

219 WEST MAPLE AVE

219 WEST MAPLE AVE PO BOX 96

16561 US HWY 10

16561 US HIGHWAY 10

22119 480TH AVENUE PO BOX 306

BOX 496 26246 CRANE ROAD

915 21ST STREET NORTHWEST

2528 PARK AVENUE NORTHWEST

803 DEWEY AVENUE

FRAZEE, MN 56544

FRAZEE, MN 56544

LAKE PARK, MN 56554

LAKE PARK, MN 56554

OSAGE, MN 56570

WHITE EARTH, MN 56591

BEMIDJI, MN 56601

BEMIDJI, MN 56601

BEMIDJI, MN 56601

218/334-4501

218/334-4501

218/238-5944

218/238-5944

218/573-2238

218/983-3286

218/444-5878

218/333-3854

218/751-7249

Lim-Liab

Lim-Liab

Cnty

Cnty

Corp

Tribal

Lim-Liab

Corp

NProf

HCP-F

NH-74

NH-45

HCP-A

HCP-A

HCP-A

HCP-F

HCP-F

SNF-NF-74

SNF-NF-45

HHA

(20154)

(00730)

(00016)

(27036)

(21664)

(02147)

(26426)

(23983)

(20518)

218/334-4500

218/334-4500

218/238-6854

218/238-6854

218/573-3778

218/983-3724

218/444-5114

218/333-3855

218/333-6514

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

MR. AUSTIN BLILIE

MR. AUSTIN BLILIE

MR. BLAINE GAMST

MR. BLAINE GAMST

MS. HEIDI DREWES

MS. PATRICIA BUTLER

MS. SHAWN VANANTWERPEN

MS. SHELLEY CLOOSE

MS. SANDRA BENSEN

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

16




Page

Registration

BELTRAMI

BELTRAMI COUNTY HEALTH & HUMAN

CEDAR COTTAGE

COLLEENS CARING HANDS

COMM BEHAV HLTH HOSP BEMIDJI

GPH BEMIDJI INC

HAVENWOOD CARE CENTER

LONG LAKE LOON LODGE

LONG LAKE LOON LODGE

NEILSON PLACE

PROGRESSIVE HEALTH CARE OF BEM

616 AMERICA AVE NW SUITE 340

1711 DELTON AVENUE NORTHWEST

2525 BEMIDJI AVENUE NORTH

800 BEMIDJI AVE NORTH

1700 30TH STREET NORTHWEST

1633 DELTON AVE

7747 LOON LODGE LANE NORTHEAST

7747 LOON LODGE LANE NE

1000 ANNE STREET NW

405 BELTRAMI AVENUE

BEMIDJI, MN 56601

BEMIDJI, MN 56601

BEMIDJI, MN 56601

BEMIDJI, MN 56601

BEMIDJI, MN 56601

BEMIDJI, MN 56601

BEMIDJI, MN 56601

BEMIDJI, MN 56601

BEMIDJI, MN 56601

BEMIDJI, MN 56601

218/333-8100

218/444-3047

218/333-8852

218/308-2400

218/444-4346

218/444-1745

218/586-2945

218/586-2945

218/751-0220

218/444-6876

Cnty

Corp

Corp

State

Corp

Corp

Ind

Ind

NProf

Corp

HCP-A

HCP-F

HCP-F

OTHER-16

HCP-F

NH-90

HCP-F

NH-78

HCP-A

HHA

PSY-16

SNF-NF-90

SNF-NF-78

(02007)

(20923)

(26834)

(25049)

(20075)

(00017)

(22011)

(20285)

(00823)

(21856)

218/333-8360

218/444-9060

218/444-9183

218/333-6800

218/444-4346

218/759-1744

/-

/-

218/333-6514

218/444-2747

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

MS. LINDA YOURCZEK

MR. JAMES BIRCHEM

MS. COLLEEN HILL-KJOS

MR. RICHARD SLIETER

MRS. JUDY KILLIAN

MR. BRANDON BJERKE

MS. AMY DELAP

MS. AMY DELAP

MS. LINDA BARKLEY

MR. PAUL IVERSON

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWS

17




Page

Registration

BELTRAMI

SANFORD BEMIDJI HOME CARE

SANFORD BEMIDJI HOSPICE

SANFORD BEMIDJI MEDICAL CENTER

SANFORD DIALYSIS BEMIDJI

SANFORD HEALTH NEILSON PLACE

TAMARACK COURT

TOUCH OF HOME

TRILLIUM

WINDSONG

GOOD SAM SOC BLACKDUCK SR LIV

3525 PINE RIDGE AVENUE NW

3525 PINE RIDGE AVENUE NW

1300 ANNE STREET NORTHWEST

1233 - 34TH STREET NORTHWEST

803 DEWEY AVENUE

1511 DELTON AVENUE NW

711 17TH STREET

930 ANNE STREET NW

1010 ANNE STREET NW

152 MARGARET AVENUE NORTHWEST

BEMIDJI, MN 56601

BEMIDJI, MN 56601

BEMIDJI, MN 56601

BEMIDJI, MN 56601

BEMIDJI, MN 56601

BEMIDJI, MN 56601

BEMIDJI, MN 56601

BEMIDJI, MN 56601

BEMIDJI, MN 56601

BLACKDUCK, MN 56630

218/333-5665

218/333-5665

218/751-5430

218/751-5430

218/333-5665

218/444-4999

218/444-2775

218/333-5943

218/333-5943

218/835-5483

NProf

NProf

NProf

NProf

NProf

Corp

Lim-Liab

NProf

NProf

NProf

HCP-A

Hospice

BASS-12 HOSP-118

HCP-F

HCP-F

HCP-F

HCP-F

HHA

HSPICE

HOSP-89 PPS-P-12 PPS-R-17 PPS-R-PPS-P-

ESRD

(02372)

(02417)

(00821)

(03376)

(26843)

(26081)

(21397)

(26844)

(27160)

(26635)

218/333-5642

218/333-5642

218/333-5880

/-

218/333-5642

218/444-5603

218/444-5114

218/333-5639

218/333-5639

218/835-5484

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

MS. LORI SUNDBOM

MS. LORI SUNDBOM

MR. PAUL HANSON

MS. LISA CARLSON

MS. LINDA BARKLEY

MR. JAMES BIRCHEM

MS. JODI LINDSEY

MS. LINDA BARKLEY

MS. LINDA BARKLEY

MS. ANGEL NORMANDIN

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWS

HWSAL

18




Page

Registration

BELTRAMI

BENTON

GOOD SAM SOCIETY BLACKDUCK

HERITAGE HOUSE OF BLACKDUCK

SANFORD HLTH BLACKDUCK CLINIC

CORNERSTONE RESID OF KELLIHER

JOURDAIN PERPICH EXT CARE FAC

SANFORD DIALYSIS RED LAKE

MEADOWLAND ELDER CARE HOMES

MEADOWLAND ELDER CARE HOMES II

FOLEY NURSING CENTER

172 SUMMIT AVE W

441 4TH STREET NE

81 1ST STREET NW PO BOX 188

280 MAIN STREET WEST

P O BOX 399

24760 HOSPITAL DRIVE BOX 249

21368 GULL LAKE LOOP ROAD NE

21368 GULL LAKE LOOP ROAD NE

253 PINE STREET

BLACKDUCK, MN 56630

BLACKDUCK, MN 56630

BLACKDUCK, MN 56630

KELLIHER, MN 56650

RED LAKE, MN 56671

RED LAKE, MN 56671

TENSTRIKE, MN 56683

TENSTRIKE, MN 56683

FOLEY, MN 56329

218/835-3419

218/835-4564

218/367-6111

218/647-8258

218/679-3400

218/679-3117

218/586-3740

218/586-3740

320/968-6201

NProf

Corp

NProf

Corp

Tribal

NProf

Corp

Corp

Corp

NH-30

HCP-F

OTHER-

HCP-F

NH-89

SNF-NF-30

RHC

SNF-NF-47

ESRD

SNF-NF-89

(00021)

(21164)

(24590)

(25374)

(00355)

(23621)

(21190)

(21191)

(00629)

218/835-6737

218/835-5809

/-

218/647-8483

/-

218/679-4306

218/586-3746

218/586-3746

320/968-7051

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

MS. ANGEL NORMANDIN

MR. JAMES BIRCHEM

MS. MARY MILLER

MS. KARI SWANSON

MS. DEBRA VINCENT

MS. MARIA BEGNIER

MS. LYNN BEDELL

MS. DONNA STEPHENS

MR. STEVEN OELRICH

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

HWSAL

HWSAL

HWS

HWSAL

19




Page

Registration

BENTON

HERITAGE HOME HEALTH

HERITAGE HOME HEALTH & HOSPICE

HERITAGE PLACE

HERITAGE POINTE

ALL GOOD HOME CARE INC

COUNTRY MANOR EXTENDED SERV

COUNTRY MANOR EXTENDED SVCS

COUNTRY MANOR HLTH & REHAB CTR

GENERATIONS HOME CARE INC

THE COUNTRY VILLA

152 NORMAN AVENUE SOUTH




9250 LAKEWOOD SHORE RD NW

520 FIRST STREET NE

520 1ST STREET NE

520 FIRST STREET NORTHEAST

PO BOX 298

520 FIRST ST NE

FOLEY, MN 56329

FOLEY, MN 56329

FOLEY, MN 56329

FOLEY, MN 56329

RICE, MN 56367

SARTELL, MN 56377

SARTELL, MN 56377

SARTELL, MN 56377

SARTELL, MN 56377

SARTELL, MN 56377

320/968-7117

320/968-7117

320/968-6425

320/968-6425

320/393-2406

320/253-3343

320/253-3343

320/253-1920

320/230-3422

320/253-8450

Corp

Corp

Lim-Liab

Corp

Corp

NProf

Lim-Liab

Lim-Liab

Corp

Lim-Liab

HCP-F

HCP-A

HCP-A

HCP-A

HCP-F

NH-165

HCP-F

HHA

HHA

SNF-NF-165

(26407)

(02339)

(20153)

(26321)

(25865)

(02226)

(20206)

(00627)

(26135)

(20559)

320/968-7316

320/968-7316

320/968-7051

320/968-7316

320/393-2455

320/240-0244

320/240-0244

320/656-5922

320/453-8074

320/656-5922

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

MS. CHARLOTTE MONROE

MS. CHARLOTTE MONROE, RN

MS. KATHRYN OELRICH

MS. KATHY OELRICH

MR. MIKE ALLGOOD

MS. JENNY MINETTE

MR. ANTHONY FENSTAD

MR. BRIAN KELM

MS. LORRIE WAITE

MR. ANTHONY FENSTAD

---------------------------********** --------------------------(Cont.)*

HWS

HWSAL

HWSAL

HWSAL

20




Page

Registration

BENTON

WAITE PROPERTIES LLC

ACCESS INFUSION HEALTHCARE LLC

CHERRYWOOD ADVANCED LIVING

GOOD SHEPHERD ASSISTED LIVING

GOOD SHEPHERD COTTAGES

GOOD SHEPHERD HOME HEALTH CARE

GOOD SHEPHERD HOMES INC

GOOD SHEPHERD LUTHERAN HOME

JOURNEY HOME

SHEPHERD COURT APARTMENTS

PO BOX 298

16 12TH STREET SOUTH



307 11TH STREET NORTH

1115 FOURTH AVENUE NORTH


1115 - 4TH AVE N

1485 10TH AVENUE NE

330 13TH STREET NORTH

SARTELL, MN 56377

SAUK RAPIDS, MN 56379









320/230-3422

320/492-5951

320/257-7445

320/252-6525

320/252-6525

320/252-6525

320/252-6525

320/252-6525

320/229-3762

320/252-6525

Lim-Liab

Lim-Liab

Lim-Liab

NProf

NProf

NProf

NProf

ONProf

NProf

NProf

HCP-A

HCP-F

HCP-F

HCP-A

NH-162

SLFB-68

HHA

SNF-NF-162

(26134)

(25059)

(27306)

(24855)

(23241)

(02397)

2012 directory · directory of licensed and certified health care facilities and services...

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