2017 directory of licensed, certified and registered …2017 directory licensed, certified and...

2017

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 Facilities and Services,

March 15, 2017 .......................................................................................................................... I

2. Certification Classifications, March 15, 2017 ........................................................................... I

3. Change in number of licensed inpatient facilities and units during the past 70 years .............. II

4. Hospitals: Bed Range, Ownership, March 15, 2017................................................................. II

5. Nursing Homes and Units: Bed Range, Ownership, March 15, 2017 ..................................... III

6. Nursing Homes and Units: Ownership, Percentage of Change, March 15, 2016 and

March 15, 2017 ........................................................................................................................ III

7. Boarding Care Homes and Units: Bed Range, Ownership, March 15, 2017.......................... IV

8. Boarding Care Homes and Units: Ownership, Percentage of Change, March 15, 2016 and

March 15, 2017 ....................................................................................................................... IV

9. Supervised Living Facilities and Units: Bed Range, Ownership, March 15, 2017...................V

10. Supervised Living Facilities and Units: Ownership, Percentage of Change, March 15, 2016

and March 15, 2017 ..................................................................................................................V

11. Number of Licensed Facilities and Beds by County, March 15, 2017 ........................... VI – XI

12. Number of Facilities and Beds by County, March 15, 2017....................................... XII – XVI

13. Number of Certified Services by County, March 15, 2017 .......................................XVII – XX

14. Number of Licensed or Certified Home Care Providers and Registered Home Management

by Classifications and County, March 15, 2017 ..................................................... XXI – XXIII

15. Number of Housing with Services Establishments by County, March 15, 2017..XXIV – XXV

16. Number of Licensed Facilities and Beds by County, March 15, 2017………… XXVI – XXVII

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

ABBREVIATIONS.....................................................................................................XXIX – XXX

LICENSING AND CERTIFICATION INFORMATION FOR ALL

HEALTH CARE FACILITIES AND SERVICES...........................................................1 – 434

LISTING OF HEALTH CARE FACILITIES - Grouped by Type/Location

Boarding Care Homes ...........................................................................................................435

Community Mental Health Centers .......................................................................................436

Comprehensive Outpatient Rehabilitation Facility................................................................436

End Stage Renal Disease Providers .............................................................................437 – 438

Licensed Home Care Providers....................................................................................439 – 452

Registered Home Management Providers..............................................................................453

Certified Home Health Agencies ................................................................................454 – 455

Licensed Hospices..................................................................................................................456

Medicare Certified Hospices..................................................................................................457

Residential Hospices..............................................................................................................458

Hospitals ......................................................................................................................459 – 460

Nursing Homes ............................................................................................................461 – 464

Outpatient Occupational Therapy Providers..........................................................................465

Outpatient Physical Therapy Providers .................................................................................465

Outpatient Speech Therapy Providers ...................................................................................466

Outpatient Surgical Centers .........................................................................................466 – 467

Portable X-Ray Suppliers ......................................................................................................468

Rural Health Clinics...............................................................................................................469

Supervised Living Facilities.........................................................................................470 – 472

Birth Centers ..........................................................................................................................473

Mobile Health Evaluation/Screening ....................................................................................473

ALPHABETICAL LISTING OF LOCATIONS OF HEALTH CARE FACILITIES .......474 – 479

INDEX CONTAINING PAGE NUMBERS FOR SPECIFIC FACILITIES OR SERVICES

INDEX PAGES..................................................................................................................1 – 47

MINNESOTA DEPARTMENT OF HEALTH

HEALTH REGULATION DIVISION

DIRECTORY OF LICENSED, CERTIFIED

AND REGISTERED HEALTH CARE

FACILITIES AND SERVICES

March 15, 2017

FOREWORD

The directory that follows contains a list of hospitals and related institutions licensed and/or certified as of

March 15, 2017. 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)

US Public Health Service (PHS) Housing and Redevelopment Authority

(HRA)

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 144.586 inclusive, Minnesota Statutes. Nursing homes are licensed

under the provisions of 144A.01 – 144A.1888, 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 pre-examined, pre-diagnosed, 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 intellectually

disabled, 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.482 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 of at least one home care service, directly in a client’s home for a fee

and who has a valid current temporary license or license issued under sections 144A.43 to 144A.482. At least one

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

arrangements.

Starting July 1, 2014, and ending June 30, 2015, all home care providers licensed by MDH prior to January 1, 2014,

transitioned to the new set of requirements upon their regular license renewal date and were issued Basic or

Comprehensive Home Care Provider licenses at the time of the renewal. Services that may be provided under the

new license types are:

Temporary Basic Home Care Provider License. This license is given to a new home care provider who is offering

services as listed below for the basic level license and has met all conditions of licensure. It is valid for one year,

during which time the provider will be surveyed by the department to determine if the provider is in compliance

with home care requirements. Upon successful completion of the survey, the provider will be granted a basic home

care license.

Basic Home Care Provider License. Home care services that can be provided with a basic home care license are

assistive tasks provided by licensed or unlicensed personnel that include: (1) assisting with dressing, self-feeding,

oral hygiene, hair care, grooming, toileting, and bathing; (2) providing standby assistance; (3) providing verbal or

visual reminders to the client to take regularly scheduled medication, which includes bringing the client previously

set-up medication, medication in original containers, or liquid or food to accompany the medication; (4) providing

verbal or visual reminders to the client to perform regularly scheduled treatments and exercises; (5) preparing

modified diets ordered by a licensed health professional; and (6) assisting with laundry, housekeeping, meal

preparation, shopping, or other household chores and services if the provider is also providing at least one of the

activities in clauses (1) to (5).

Temporary Comprehensive Home Care Provider License. This license is given to a new home care provider who

is offering services as listed below for the comprehensive level license and has met all conditions of licensure. It is

valid for one year, during which time the provider will be surveyed by the department to determine if the provider

is in compliance with home care requirements. Upon successful completion of the survey, the provider will be

granted a comprehensive home care license.

Comprehensive Home Care Provider License. Home care services that may be provided with a comprehensive

home care license include any of the basic home care services and one or more of the following: (1) services of an

advanced practice nurse, registered nurse, licensed practical nurse, physical therapist, respiratory therapist,

occupational therapist, speech-language pathologist, dietitian or nutritionist, or social worker; (2) tasks delegated

to unlicensed personnel by a registered nurse or assigned by a licensed health professional within the person's scope

of practice; (3) medication management services; (4) hands-on assistance with transfers and mobility; (5) assisting

clients with eating when the clients have complicating eating problems as identified in the client record or through

an assessment such as difficulty swallowing, recurrent lung aspirations, or requiring the use of a tube or parenteral

or intravenous instruments to be fed; or (6) providing other complex or specialty health care services..

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 or, is a facility that meets the requirements of a residential

hospice under 144A.75 Subd. 13.

I

DIRECTORY OF LICENSED AND CERTIFIED HEALTH CARE FACILITIES AND SERVICES

Classification and Bed Capacity: As of March 15, 2017 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, 2017

Licensing Classifications Number of Facilities and Services Number of Beds

Hospitals 131 16,234

Bassinets 110 1,839

Psychiatric Hospitals 2 66

Nursing Homes 372 28,647

Boarding Care Homes 24 1,494

(Includes B.C.H. Units of Other Facilities) (8) (501)

Supervised Living Facilities 282 4,801

Freestanding Outpatient Surgical Centers 74 N/A

Other Specialized Hospitals 11 287

Home Care Providers 1,310 N/A

Hospices 82 N/A

TABLE 2

Certification Classifications, March 15, 2017

Licensing Classifications Number of Facilities and Services Number of Beds

Medicare

Hospitals 52 13,189

Critical Access Hospitals 79 1,687

Psychiatric Hospital 9 303

Skilled Nursing Facilities 370 28,301

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

Outpatient Occupational Therapy 29 ------

Outpatient Physical Therapy 34 ------

Outpatient Speech Therapy 25

Home Health Agencies 194 ------

Hospices 69 ------

Residential Hospices 18 ------

Renal Disease Suppliers 119 -----

Comprehensive Outpatient Rehabilitation Facility 1 ------

Ambulatory Surgical Centers 67 ------

Rural Health Clinics 87 ------

Community Mental Health Centers 1 ------

Medicaid

Nursing Facilities I 361 27,896

Nursing Facilities II 15 885

Intermediate Care Facilities for Individuals with Intellectual Disabilities 192 1,600

Accreditation by Approved Accrediting Organization

Hospitals (Excluding Psychiatric Facilities) 70 ------

TABLE 2A

Housing with Services Establishments 1,559 ------

II

TABLE 3

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

70 years.

January 1, 1943 March 15, 1975 March 15, 2017

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

131

372

24

282

11

16,234

28,647

1,494

4,801

287

TOTALS 397 16,225 996 77,262 820 51,463

*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, 2017

Type of Ownership

Hospital Total Number % of Total Nonprofit Public Proprietary

Hosp. Beds Hosp. Beds Hosp. Beds Hosp. Beds Hosp. Beds

1 – 24 30 504 22.9 3.1 20 334 10 170 0 0

25 – 49 50 1,696 38.2 10.4 36 1,251 13 415 1 30

50 - 99 21 1,484 16.0 9.1 20 1,392 0 0 1 92

100 - 299 16 2,795 12.2 17.2 14 2,532 2 263 0 0

300 + 14 9,755 10.7 60.1 12 8,861 2 894 0 0

TOTALS 131 16,234 100.0 100.0 102 14,370 27 1,742 2 122

III

TABLE 5

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

March 15, 2017

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 8 153 2.2 .5 5 88 0 0 3 65

25 - 49 96 3,878 25.8 13.5 52 2,100 18 713 26 1,065

50 - 99 190 13,126 51.1 45.8 115 8,076 13 834 62 4,216

100 - 299 75 10,499 20.2 36.6 48 6,826 3 389 24 3,284

300 + 3 991 .8 3.5 1 330 1 341 1 320

TOTALS 372 28,647 100.0 100.0 221 17,420 35 2,277 116 8,950

TABLE 6

Nursing Homes and Units: Home and Beds by Ownership and Percentage of Change -- March 15, 2016 and

March 15, 2017

March 15, 2016 March 15, 2017 % of Change

Nursing Home Units

Ownership

Homes and

Units Beds

Homes and

Units Beds

Homes and

Units Beds

Non Profit 222 17,727 221 17,420 -.45 -1.8

Public 37 2,477 35 2,277 -5.7 -8.8

Subtotal, Non Profit

And Public 259 20,204 256 19,697 -1.2 -2.6

Proprietary 111 8,733 116 8,950 +4.3 +2.4

TOTALS 370 28,937 372 28,647 +.54 -1.0

IV

TABLE 7

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

March 15, 2017

Type of Ownership

BCH

Units



1 – 24 6 89 25.0 6.0 0 0 0 0 6 89

25 - 49 6 191 25.0 12.8 2 75 0 0 4 116

50 - 99 9 641 37.5 42.9 5 343 0 0 4 298

100 - 299 3 573 12.5 38.4 0 0 2 361 1 212

300 + 0 0 .0 .0 0 0 0 0 0 0

TOTALS 24 1,494 100.0 100.0 7 418 2 361 15 715

TABLE 8

Boarding Care Homes and Units: Home and Beds by Ownership and Percentage of Change -- March 15, 2016 and

March 15, 2017


BCH

Ownership

Homes and

Units Beds

Homes and

Units Beds

Homes and

Units Beds

Non Profit 8 482 7 418 -14.3 -15.3

Public 2 361 2 361 0 0

Subtotal, Non Profit

and Public 10 843 9 779 -11.1 -8.2

Proprietary 16 754 15 715 -6.7 -5.5

TOTALS 26 1,597 24 1,494 -8.3 -6.9

V

TABLE 9

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

Ownership -- March 15, 2017

Type of Ownership

SLF



1 - 15 210 1,493 74.5 31.1 111 785 15 94 84 614

16 - 49 58 1,393 20.6 29.0 26 685 12 237 19 455

50 - 99 10 583 3.5 12.1 4 246 3 173 3 164

100 - 299 2 362 .7 7.5 1 102 1 260 0 0

300 + 2 970 .7 20.2 0 0 2 970 0 0

TOTALS 282 4,801 100.0 100.0 142 1,818 33 1,734 106 1,233

TABLE 10

Supervised Living Facilities and Units: Facilities and Beds by Ownership and Percentage of Change -- March 15, 2016

and March 15, 2017


SLF

Ownership

Homes and

Units Beds

Homes and

Units Beds

Homes and

Units Beds

Non Profit 147 1,851 142 1,818 -3.5 -1.8

Public 34 1,785 33 1,734 -3.0 -2.9

Subtotal, Non Profit 181 3,636 175 3,552 -3.4 -2.4

Proprietary 113 1,276 106 1,233 -6.6 -3.5

TOTALS 294 4,912 281 4,785 -4.6 -2.7

FEDERAL HOSPITALS *

County - Institution City

BELTRAMI - Red Lake Indian Hospital Red Lake

CASS - Cass Lake Indian Hospital Cass Lake

HENNEPIN - Veterans Administration Hospital Minneapolis

PINE - Federal Correctional Institution Sandstone

STEARNS - Veterans Administration Hospital St. Cloud

OLMSTED – Federal Medical Center Rochester

* Not covered by state licensing law.

Page XXVIII

Ownership

Federal

Federal

Federal

Federal

Federal

Federal

ABBREVIATIONS Page XXIX

Amb Surg – Ambulatory Surgical Center

BASS – Bassinets

BASIC – Basic Home Care

B/C – Birth Center

BCH – Boarding Care Home

CAH – Critical Access Hospital

CMHC – Community Mental Health Center

COMP – Comprehensive Home Care

CORF – Comprehensive Outpatient Rehabilitation Facility

ESRD – End Stage Renal Disease Provider

Home Mgmt – 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/IID – Intermediate Care Facility for Individuals with Intellectual Disabilities

MOBHES – Mobile Health Evaluation/Screening Provider

NF – Nursing Facility (Medicaid Certified)

NH – Nursing Home

OTHER – Other Specialized Hospitals

Out Ot – Outpatient Occupational Therapy Provider

Out Pt – Outpatient Physical Therapy Provider

Out St – Outpatient Speech Therapy Provider

Outpt Surg – Outpatient Surgical Center

XRAY – Portable X-Ray Supplier

PSY – Psychiatric Hospital

Page XXX

RESHPC – Residential Hospice

RHC– Rural Health Clinic

SLF – Supervised Living Facility

SNF – Medicare Skilled Nursing Facility

SNF-NF – Medicare/Medicaid Facility

TBASIC – Temporary Basic Home Care

TCOMP – Temporary Comprehensive Home Care


Health Regulation Division 1Page

Directory of Facilities and Services

Facility/Service Owner Licensure Certification Registration

---------------------------********** AITKIN ******** -------------------------

AICOTA HEALTH CARE CENTER

850 2ND STREET NW

AITKIN, MN 56431

PHONE: 218/927-2164

AICOTA HEALTH CARE CENTER INC

850 2ND STREET NW

AITKIN, MN 56431

PHONE: 218/927-2164

AICOTA HEALTH CARE CENTER INC

850 2ND STREET NW

AITKIN, MN 56431

PHONE: 218/927-2164

AITKIN HEALTH SERVICES

301 MINNESOTA AVENUE SOUTH

AITKIN, MN 56431

PHONE: 218/927-5526

GOLDEN HORIZONS

518 SEVENTH AVE NE

AITKIN, MN 56431

PHONE: 218/927-9996

GOLDEN HORIZONS

518 7TH AVENUE NE

AITKIN, MN 56431

PHONE: 218/927-9996

MARYHILL MANOR

215 3RD STREET SE

AITKIN, MN 56431

PHONE: 218/927-2151

RIVERS EDGE ASSISTED LIVING


AITKIN, MN 56431

PHONE: 218/927-2983

RIVERS EDGE ASSISTED LIVING


AITKIN, MN 56431

PHONE: 218/927-2983

RIVERWOOD CLINIC AITKIN

200 BUNKER HILL DRIVE

AITKIN, MN 56431

PHONE: 218/927-2157

Corp NH-75 SNF-NF-75

FAX:

(00848)

218/927-6436 MS. ALISON MATALAMAKI

Corp COMP

FAX:

(24776)

218/927-6436 MS. ALISON MATALAMAKI

Corp

FAX:

(30585)

218/927-6436 MR. BARRY FOSS

NProf NH-44 SNF-NF-44

FAX:

(00002)

218/927-8210 MS. MICHELLE HANNEKEN

Corp COMP

FAX:

(23660)

218/927-7005 MS. BRENDA PETERSON

Corp

FAX:

(30395)

218/927-7005 MR. CHUCK LANE

HRA

FAX:

(23662)

218/927-4159 MS. NANCY JOHNSON HOUG

Corp

FAX:

(32649)

218/927-4677 MS. SHARON TROVINGER

Corp TCOMP

FAX:

(32522)

218/927-4677 MS. MONICA DUFFNEY

Corp RHC

FAX:

(03734)

218/927-4130 MR. MICHAEL HAGEN

HWSAL

HWSAL

HWS

HWSAL





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

NProf HOSP-25 BASS-6 CAH-25 RIVERWOOD HEALTHCARE CENTER

200 BUNKER HILL DRIVE

AITKIN, MN 56431 (21927)

PHONE: 218/927-5501 FAX: 218/927-5575 MR. CHAD COOPER

Ind HWSAL CHAPPY'S GOLDEN SHORES

540 PARK AVENUE

HILL CITY, MN 55748 (21823)

PHONE: 218/697-2705 FAX: 218/697-8145 MS. THERESA OLSON

Ind COMP CHAPPY'S GOLDEN SHORES

540 PARK AVENUE

HILL CITY, MN 55748 (21006)

PHONE: 218/244-8006 FAX: 218/697-2573 MS. THERESA OLSON

NORTHLAND VILLAGE MCGREGOR Lim-Liab HWSAL

22027 420TH STREET

MCGREGOR, MN 55760 (27287)

PHONE: 218/768-3356 FAX: 218/768-3379 MR. ANTHONY SERTICH

RIVERWOOD MCGREGOR CLINIC Corp RHC

2 E CENTER AVENUE PO BOX 340

MCGREGOR, MN 55760 (03736)

PHONE: 218/768-4011 FAX: 218/768-4818 MR. MICHAEL HAGEN

ANOKA ---------------------------********** ******** -------------------------

Ind COMP ALL STAR HOME HEALTH CARE

4954 170TH LANE NW

ANDOVER, MN 55304 (25672)

PHONE: 763/286-3862 FAX: /- MR. COREY COONS

Lim-Liab HWSAL

1640 155TH LANE NW

ANDOVER, MN 55304

ARBOR OAKS SENIOR LIVING LLC

(29443)

PHONE: 763/205-2248 FAX: 763/757-1583 MS. KELSEY SCHULTZ

Lim-Liab COMP

1640 155TH LANE NW

ANDOVER, MN 55304

ARBOR OAKS SENIOR LIVING LLC

(29442)

PHONE: 763/205-2348 FAX: 763/757-1583 MS. KELSEY SCHULTZ

CHERRYWOOD OF ANDOVER 1889 Lim-Liab HWSAL

1889 139TH AVENUE NW

ANDOVER, MN 55304 (29743)

PHONE: 320/257-7445 FAX: 320/257-7447 MS. WENDY HULSEBUS


Health Regulation Division Page 3



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

Lim-Liab HWSAL


ANDOVER, MN 55304

CHERRYWOOD OF ANDOVER 1899

(29744)


HWSAL CYPRESS MANOR Corp

16770 WREN STREET NW

ANDOVER, MN 55304 (25460)

PHONE: 763/712-8363 FAX: 763/323-4811 MR. JACOB NELSON

COMP HOME INSTEAD SENIOR CARE Corp

1883 STATION PARKWAY NW STE B

ANDOVER, MN 55304 (23591)

PHONE: 763/792-0041 FAX: 763/792-0043 MR. DANIEL ARNOLD

NProf HWSAL

13733 QUAY STREET

ANDOVER, MN 55304

THE FARMSTEAD

(20547)

PHONE: 763/712-7000 FAX: 763/712-7040 MR. BEN VAN VOOREN

THE FARMSTEAD NProf COMP

13733 QUAY STREET

ANDOVER, MN 55304 (27961)

PHONE: 763/172-7000 FAX: 763/712-7001 MS. NATALIE MORLAND

State OTHER-175 SLFB-29 PSY-175 ANOKA METRO REG TREATMENT CTR

3301 7TH AVENUE NORTH

ANOKA, MN 55303 (00004)

PHONE: 651/431-5003 FAX: 651/431-7701 MR. BRIAN TEUBER

NProf NH-120 SNF-NF-120 ANOKA REHAB & LIVING CENTER

3000 4TH AVENUE

ANOKA, MN 55303 (00893)

PHONE: 763/528-6400 FAX: 763/528-6402 MR. DOUGLAS DOLINSKY

Corp Home Mgmt AVALON HOME CARE INC

500 WEST MAIN STREET STE 11

ANOKA, MN 55303 (28053)

PHONE: 763/753-8658 FAX: 763/753-4314 MS. REBEKAH JUDISCH

Lim-Liab Home Mgmt COMFORT KEEPERS

2006 1ST AVENUE NORTH STE 205

ANOKA, MN 55303 (28074)

PHONE: 763/786-1000 FAX: 763/786-9440 MS. BEV BERARD

Lim-Liab COMP

2006 1ST AVENUE NORTH STE 205

ANOKA, MN 55303

COMFORT KEEPERS

(26035)

PHONE: 763/786-1000 FAX: 763/786-9440 MR. TOM BERARD


Health Regulation Division


Certification

ANOKA (Cont.)*

MR. FRANCIS LANG

MR. JACOB NELSON

MR. JACOB NELSON

SNF-NF-56

MS. BECKY WILLETT

MR. JARED KEENEY

MR. JARED KEENEY

MR. JACOB NELSON

MR. JACOB NELSON

MR. JACOB NELSON

MR. JACOB NELSON

Page 4

Registration

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

HWSAL

HWSAL-O

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL

Facility/Service Owner Licensure

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

RIVER OAKS OF ANOKA

910 WESTERN STREET

ANOKA, MN 55303

PHONE: 763/421-4011

THE CEDARS

701 POLK STREET

ANOKA, MN 55303

PHONE: 763/712-8363

THE ELMS


ANOKA, MN 55303

PHONE: 763/712-8363

THE ESTATES AT TWIN RIVERS LLC

305 FREMONT STREET

ANOKA, MN 55303

PHONE: 763/421-5660

THE HOMESTEAD AT ANOKA


ANOKA, MN 55303

PHONE: 763/528-6500

THE HOMESTEAD AT ANOKA

3111 5TH AVENUE

ANOKA, MN 55303

PHONE: 763/528-6500

THE MAPLES


ANOKA, MN 55303

PHONE: 763/712-8363

THE OAKS


ANOKA, MN 55303

PHONE: 763/712-8363

THE PINES


ANOKA, MN 55303

PHONE: 763/712-8363

THE WILLOWS


ANOKA, MN 55303

PHONE: 763/712-8363

Lim-Liab

(24353)

FAX: 763/422-8946

Corp

(24253)

FAX: 763/323-4811

Corp

(20535)

FAX: 763/323-4811

Lim-Liab NH-56

(00866)

FAX: 763/421-6581

NProf

(29856)

FAX: 763/528-6501

NProf

(32263)

FAX: 763/528-6501

Corp

(23690)

FAX: 763/323-4811

Corp

(20534)

FAX: 763/323-4811

Corp

(20536)

FAX: 763/323-4811

Corp

(24668)

FAX: 763/323-4811





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

NProf COMP


ANOKA, MN 55303

VOA HOME HEALTH AT ANOKA

(29031)

PHONE: 763/528-6491 FAX: 763/528-6501 MS. ANGIE ZIMMERMAN

NProf HWSAL

131 MONROE STREET

ANOKA, MN 55303 (30628)

PHONE: 763/422-1226 FAX: 763/422-8115 MR. COREY TREMBATH

WALKER METHODIST PLAZA

Lim-Liab HWSAL

100 MONROE STREET

ANOKA, MN 55303

WALKER METHODIST PLAZA GARDENS

(32216)


NProf COMP

131 MONROE STREET

ANOKA, MN 55303

WALKER METHODIST PLAZA HOME CA

(20443)


WHISPERING PINES ASSISTED LVG Corp COMP

830 W MAIN STREET

ANOKA, MN 55303 (20533)

PHONE: 763/712-8363 FAX: 763/323-4811 MR. JACOB NELSON

Corp SLFA-22 ANTHONY LOUIS CENTER

1000 PAUL PARKWAY

BLAINE, MN 55434 (01400)

PHONE: 763/757-2906 FAX: 763/757-2059 MS. MELISSA BROGGER

ASSURANT CARE HOMES LLC Lim-Liab TCOMP

1755 113TH LANE NE

BLAINE, MN 55449 (32897)

PHONE: 612/987-6609 FAX: /- MR. ZABLON OBWAYA

BLAINE ASSISTED LIVING & MEMOR Lim-Liab COMP

10669 ULYSSES STREET NE

BLAINE, MN 55449 (23914)

PHONE: 763/754-7300 FAX: 763/754-2561 MR. JASON GESCHWIND

Lim-Liab COMP

12446 JAMESTOWN STREET NE

BLAINE, MN 55449 (26857)

PHONE: 763/754-1930 FAX: 763/754-1933 MS. RHONDA SCHILLINGER

BLAINE WHITE PINE

Lim-Liab HWSAL


BLAINE, MN 55449

BLAINE WHITE PINE

(30650)






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

BLAINE WHITE PINE SENIOR LIVIN


BLAINE, MN 55449

PHONE: 651/287-0265

BLAINE WPII LLC


BLAINE, MN 55449

PHONE: 651/287-0265

BRAINZ

10299 UNIVERSITY AVE NE # 102

BLAINE, MN 55434

PHONE: 763/205-9730

BROOKDALE BLAINE

1005 PAUL PARKWAY

BLAINE, MN 55434

PHONE: 763/755-2800

BROOKDALE BLAINE

1005 PAUL PARKWAY

BLAINE, MN 55434

PHONE: 763/755-2800

CENTRAL AVENUE DIALYSIS

10994 BALTIMORE STREET NE

BLAINE, MN 55449

PHONE: 763/786-5026

COMFORT RESIDENCE BLAINE


BLAINE, MN 55449

PHONE: 763/754-7300

CREST VIEW SENIOR COMM BLAINE


BLAINE, MN 55434

PHONE: 763/762-8420

EDGEMONT PLACE

11748 ULYSSES LANE EAST

BLAINE, MN 55434

PHONE: 763/862-7000

EDGEMONT PLACE ALZHEIMER'S SPE

11748 ULYSSES LANE NE

BLAINE, MN 55434

PHONE: 763/862-7000

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

Lim-Liab

(31675)

651/287-0266

Lim-Liab COMP

(31648)

651/287-0266

Corp BASIC

(31874)

763/205-9735

Corp

(30625)

763/755-6400

Corp COMP

(20412)

763/755-6400

Lim-Liab

(29879)

763/786-4138

Lim-Liab

(30479)

763/754-2561

NProf

(32676)

763/762-8421

Lim-Liab TCOMP

(32456)

763/862-7001

Lim-Liab

(32457)

763/862-7001

Certification Registration

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

HWSAL

MS. RHONDA SCHILLINGER

MS. RHONDA SCHILLINGER

MR. PAULINUS FULTANG

HWSAL

MS. COLLEEN ROLOFF

MS. COLLEEN ROLOFF

ESRD

MR. NICK KIEFFER

HWSAL

MS. LORI MCGUIRE

HWSAL

MS. CINDY GLYNN

MS. JULIE MARUSKA

HWS

MS. JULIE MARUSKA





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

EDGEWOOD BLAINE LLC

12450 CLOUD DRIVE NE

BLAINE, MN 55449

PHONE: 763/754-7123

EDGEWOOD BLAINE LLC

12450 CLOUD DRIVE NE

BLAINE, MN 55449

PHONE: 763/754-1723

FRESENIUS MEDICAL CARE BLAINE

12555 CENTRAL AVENUE NE

BLAINE, MN 55434

PHONE: 763/754-6774

HEALTHMAX HOME HEALTH SERVICES

9298 CENTRAL AVE NE STE 204

BLAINE, MN 55434

PHONE: 651/665-0000

HIGH LAND CARE INC

10307 UNIVERSITY AVENUE NE

BLAINE, MN 55434

PHONE: 763/786-3439

MINNESOTA EYE LASER & SURGERY

11091 ULYSSES STREET

BLAINE, MN 55434

PHONE: 763/421-9410

MSOCS BLAINE HOME

12949 KENYON STREET NE

BLAINE, MN 55449

PHONE: 763/755-0233

NORTH METRO SURGERY CENTER

11855 ULYSSES STREET STE 270

BLAINE, MN 554344182

PHONE: 763/755-6540

SYNERGY HOME CARE NORTHEAST

9380 CENTRAL AVENUE NE STE 310

BLAINE, MN 55434

PHONE: 763/205-4440

COLUMBIA VILLAGE

1675 44TH AVENUE NE

COLUMBIA HEIGHTS, MN 55421

PHONE: 763/782-1606

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

Lim-Liab

(29791)

763/754-1723

Lim-Liab COMP

(29941)

763/754-1728

Corp

(28635)

763/754-6334

Lim-Liab COMP

(25988)

612/677-3947

Corp COMP

(03139)

763/783-3528

Lim-Liab Outpt Surg

(27713)

952/567-6188

State SLFB-6

(01644)

763/755-0281

Lim-Liab Outpt Surg

(26537)

763/755-6516

Corp COMP

(29621)

763/205-4403

NProf

(20787)

763/782-0857


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

HWSAL

MS. LORI HANSON

MS. LORI HANSON

ESRD

MS. JENA ANDERBERG

HHA

MR. YOSSEPH ISAAK

MS. MARILYN LOM

Amb Surg

MR. BRENT WILDE

ICFIID-6

MR. RON RASMUSSON

Amb Surg

MS. CELESTE MOORE

MR. BRIAN MCDONALD

HWS

MR. MATT TOBALSKY





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

NProf COMP

1515 44TH AVENUE NE


CREST VIEW HOME CARE

(20750)

PHONE: 763/782-1605 FAX: 763/788-0012 MS. KRISTINE BACKMAN

NProf COMP HHA CREST VIEW HOME HEALTH CARE

1515 44TH AVENUE NE

COLUMBIA HEIGHTS, MN 55421 (03080)

PHONE: 763/782-1605 FAX: 763/788-0012 MS. KRISITNE BACKMAN

NProf NH-122 SNF-NF-122 CREST VIEW LUTHERAN HOME

4444 RESERVOIR BOULEVARD NE


PHONE: 763/782-1620 FAX: 763/782-0857 MR. MATTHEW TOBALSKY

NProf HWSAL

900 42ND AVENUE NE


CREST VIEW ON 42ND

(21871)

PHONE: 763/781-5873 FAX: 763/782-0857 MS. JULIA BIEHN

CSSC NProf COMP

4111 CENTRAL AVENUE NE STE208C


PHONE: 952/200-8972 FAX: 612/465-2733 MS. YI LI YOU

NEW PERSPECTIVE - CH Lim-Liab COMP

3801 HART BOULEVARD NORTHEAST


PHONE: 763/210-6600 FAX: 763/210-6695 MS. KRIS BURSEY

NEW PERSPECTIVES Lim-Liab HWSAL-O

3801 HART BOULEVARD NE


PHONE: 763/210-6600 FAX: 763/210-6695 MS. KRIS BURSEY

PRIORITY LIFE HOME CARE LLC Lim-Liab COMP

4232 STINSON BOULEVARD NE


PHONE: 763/257-2227 FAX: /- MS. JOY HOPPERSTAD

Lim-Liab COMP



PHONE: 763/746-8155 FAX: 763/746-8154 DR. ABDULWAHAB ASAMARAI

PRO-HEALTH HOME CARE AGENCY

NProf HWSAL

1515 44TH AVENUE NE


ROYCE PLACE

(20079)

PHONE: 763/706-2563 FAX: 763/788-0012 MS. JULIA BIEHN





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

THE BOULEVARD

4458 RESERVOIR BOULEVARD NE


PHONE: 763/782-1606

THE DWELLING PLACE ST PAUL

940 44TH AVENUE NE UNIT 21307


PHONE: 651/221-0405

AUTUMN GLEN SENIOR LIVING

3715 COON RAPIDS BOULEVARD

COON RAPIDS, MN 55433

PHONE: 763/772-4492

AUTUMN GLEN SENIOR LIVING LLC

3715 COON RAPIDS BLVD


PHONE: 763/772-4492

BETHESDA LUTHERAN COMM COT 5



PHONE: 763/757-1574

BETHESDA LUTHERAN COMM COT 6



PHONE: 952/443-2048

CAMILIA ROSE CARE CENTER LLC

11800 XEON BOULEVARD


PHONE: 763/755-8400

CAMILIA ROSE GROUP HOME



PHONE: 763/755-8480

COON RAPIDS DIALYSIS UNIT

3960 COON RAPIDS BLVD STE 309


PHONE: 763/421-8717

CREEKSIDE COTTAGE CATERED LIVI



PHONE: 763/862-5428

NProf

(20078)

FAX: 763/782-0857

Church

(31257)

FAX: /-

Lim-Liab COMP

(31554)

FAX: 763/746-4080

Lim-Liab

(31129)

FAX: 763/746-4080

NProf SLFA-12

(01538)

FAX: 763/757-3473

NProf SLFA-12

(01253)

FAX: 952/443-2371

Lim-Liab NH-80

(00757)

FAX: 763/755-8578

Lim-Liab SLFB-29

(01141)

FAX: 763/755-3130

Corp

(02316)

FAX: /-

Corp

(24666)

FAX: 763/754-6903


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

HWS

MR. MATT TOBALSKY

HWS

MS. LINDA WIZA

MS. SUE BRENDEFUR

HWSAL-O

MS. SUE BRENDEFUR

ICFIID-12

MS. MONICA SCHMIDT

ICFIID-12

MS. MONICA SCHMIDT

SNF-NF-80

MR. MARK BROMAN

ICFIID-29

MS. MARY TJOSVOLD

ESRD

MS. ANNETTE GRUNDMEIER

HWSAL

MS. MARY TJOSVOLD





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

DEMAR ASSOCIATES INC



PHONE: 763/754-2505

EAGLE STREET CATERED LIVING

12009 EAGLE STREET


PHONE: 763/862-5438

ECUMEN AT HOME

199 COON RAPIDS BOULEVARD #111


PHONE: 763/755-9009

ECUMEN HOME CARE TWIN CITIES



PHONE: 763/755-9009

ELIZJOSEPH HEALTHCARE

12032 TULIP STREET NW


PHONE: 612/501-4029

EPIPHANY ASSISTED LIVING LLC

10955 HANSON BOULEVARD NW


PHONE: 763/755-0320

EPIPHANY ASSISTED LIVING LLC

10955 HANSON BOULEVARD NW


PHONE: 763/755-9299

FMC DIALYSIS SERVCES NO SUBURB

9144 SPRINGBROOK DRIVE


PHONE: 763/783-0103

FRESENIUS MED CA RND LK DIALYS

3777 COON RAPIDS BLVD NW #200


PHONE: 763/323-1234

FRESENIUS MED CARE COON RAPIDS

3465 NORTHDALE BOULEVARD


PHONE: 763/421-1032

Corp

(20134)

FAX: 763/754-0332

Corp

(20835)

FAX: 763/755-3631

NProf COMP

(26983)

FAX: 763/862-8030

NProf COMP

(02135)

FAX: 763/862-8030

Lim-Liab COMP

(31880)

FAX: 651/666-5738

Lim-Liab

(30688)

FAX: 763/772-1044

Lim-Liab COMP

(21113)

FAX: 763/772-1070

Corp

(02816)

FAX: /-

Corp

(30283)

FAX: 763/323-6695

Corp

(25769)

FAX: 763/421-1054


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

HWSAL

MS. MARY TJOSVOLD

HWSAL

MS. MARY TJOSVOLD

MS. SHARON JOHNSON

HHA

MS. MARGARET HEATON

MS. DAMILOLA AGUNBIADE

HWSAL

MS. MARY MCCARTY

MS. MARY MCCARTY

ESRD

MR. JOHN MARIETTI

ESRD

MR. JOHN MARIETTI

ESRD

MR. JOHN MARIETTI





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

GRACIOUS COMPANIONS LLC

12564 GROUSE STREET NW


PHONE: 763/757-5708 FAX:

GRACIOUS COMPANIONS LLC

12564 GROUSE STREET NW


PHONE: 763/757-5708 FAX:

HAPPY HEARTS HOME HEALTH AGENC

2615 115TH LANE NW


PHONE: 763/706-7300 FAX:

HAPPY HEARTS HOME HLTH AGENCY

2615 115TH LANE NW


PHONE: 763/706-7300 FAX:

HOMESTEAD COON RAPIDS MEMORY

1770 113TH LANE


PHONE: 763/754-3500 FAX:

HOPE PLACE



PHONE: 763/323-2066 FAX:

MARGARET PLACE LIMITED PARTNER

1555 118TH LANE NW


PHONE: 763/754-2505 FAX:

MARGARET PLACE LIMITED PARTNER

1555 118TH LANE NW


PHONE: 763/754-2505 FAX:

MARY T HOME HEALTH

1555 118TH LANE NW


PHONE: 763/862-5426 FAX:

MARY T HOSPICE

1555 118TH LANE NW


PHONE: 763/772-9963 FAX:

Lim-Liab

(27401)

763/757-1753

Lim-Liab BASIC

(28834)

763/757-1753

Lim-Liab COMP

(26510)

763/241-9185

Lim-Liab

(31553)

763/208-1463

NProf

(20478)

763/754-3700

NProf

(32768)

/-

Part COMP

(20886)

/-

Part

(30826)

763/754-0332

Corp COMP

(03136)

763/755-3631

Corp Hospice

(26345)

763/754-0332


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

Home Mgmt

MS. REGINA KENNEY

MS. REGINA KENNEY

MS. CYNTHIA ANDERSON

HWSAL

MS. CYNTHIA ANDERSON

HWSAL

MS. JENNIFER FRAZER- JOHN

HWS-O

MS. LISA JACOBSON

MS. KIM NEAL

HWS

MS. MARY TJOSVOLD

HHA

MR. RANDALL LEJA

HSPICE

MR. RANDALL LEJA





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

MERCY HOSPITAL



PHONE: 762/236-8100

MNGI ENDOSCOPY COON RAPIDS

9145 SPRING BROOK DRIVE


PHONE: 612/871-1145

PARK RIVER ESTATES CARE CENTER

9899 AVOCET STREET NW


PHONE: 763/757-2320

REHABCARE

300 COON RAPIDS BOULEVARD #200


PHONE: 763/767-0854

REHABCARE AGENCY MN



PHONE: 763/767-0854

REM MN COMM SRVS INC KUMQUAT

12011 KUMQUAT STREET NW


PHONE: 651/644-7680

SELECT SENIOR LIVING OF COON R

11350 MARTIN STREET


PHONE: 763/710-0270

SELECT SENIOR LIVING OF COON R

11350 MARTIN STREET NW


PHONE: 763/767-1127

THE HOMESTEAD AT COON RAPIDS

11372 ROBINSON DRIVE NW


PHONE: 763/754-3500

THE HOMESTEAD AT COON RAPIDS

11372 ROBINSON DRIVE NW


PHONE: 763/754-3500

NProf HOSP-546

(00009)

FAX: 763/236-8124

Corp Outpt Surg

(21075)

FAX: /-

Corp NH-99

(00010)

FAX: 763/757-6946

Corp COMP

(27066)

FAX: 763/862-6533

Corp

(02199)

FAX: 763/862-6533

Corp SLFB-6

(01591)

FAX: 651/644-6777

Lim-Liab COMP

(25728)

FAX: 763/432-9654

Lim-Liab

(25729)

FAX: 763/862-6852

NProf

(30689)

FAX: 763/754-3700

NProf COMP

(20532)

FAX: 763/754-3700


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

BASS-27 HOSP-531 PPS-P-15

MS. SARA CRIGER

Amb Surg

DR. SCOTT KETOVER

SNF-NF-99

MR. THOMAS POLLOCK

MR. TRAVIS KIERSTEAD

Out Pt Out St Out Ot

MR. TRAVIS KIERSTEAD

ICFIID-6

MS. CONNIE MENNE

MS. DIANA DELGADO

HWSAL

MS. DIANA DELGADO

HWSAL

MS. JENNIFER FRAZER- JOHN

MS. JENNIFER FRAZER-JOHN





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

WE CARE HOME HEALTH SERVICES Lim-Liab TCOMP

2016 123RD AVENUE NW

COON RAPIDS, MN 55448 (32613)

PHONE: 612/203-4758 FAX: 763/757-1187 MS. MATILDA AGYAPONG

NProf NH-50 SNF-NF-50 BENEDICTINE LIVING CTR FRIDLEY

520 OSBORNE ROAD NE

FRIDLEY, MN 55432 (29890)

PHONE: 763/230-3131 FAX: 763/689-7197 MS. NICOLE DONAHUE

DIAMEND HEALTH CARE LLC Lim-Liab COMP

4100 MAIN STREET NE

FRIDLEY, MN 55421 (30186)

PHONE: 763/587-5978 FAX: 763/762-6188 MS. ADHEL DAU

EAST RIVER ROAD DIALYSIS Corp ESRD

5301 EAST RIVER RD NE STE 117

FRIDLEY, MN 55421 (25501)

PHONE: 763/571-5556 FAX: 763/571-7882 MR. LAWRENCE BLAIR

Corp HWSAL EMPOWERMENT HC SAMS HOUSE

5401 4TH STREET NE

FRIDLEY, MN 55421 (32534)

PHONE: 860/967-9340 FAX: /- MR. ROGER BONNY

FRIDLEY ASSISTED LIVING LLC Lim-Liab HWSAL

6352 CENTRAL AVENUE

FRIDLEY, MN 55432 (27981)

PHONE: 763/574-7366 FAX: 763/574-7362 MS. RHONDA SCHILLNGER

Lim-Liab COMP

6352 CENTRAL AVENUE

FRIDLEY, MN 55432

FRIDLEY ASSISTED LIVING LLC

(27980)


Corp TBASIC HEAVENS HOME HEALTH CARE

5830 2ND STREET NE STE 1

FRIDLEY, MN 55432 (32377)

PHONE: 612/868-0223 FAX: /- MS. RENISHA GRAY

Out St Out Ot METRO THERAPY SPECIAL CHILDREN Corp

5155 EAST RIVER ROAD STE 403

FRIDLEY, MN 55421 (02799)

PHONE: 763/572-2519 FAX: 763/572-2616 MS. AUDREY CHAPUT

Lim-Liab Outpt Surg Amb Surg MN ORTHOPAEDIC SURG CTR LLC

8290 UNIVERSITY AVE NE STE 100

FRIDLEY, MN 55432 (04305)

PHONE: 763/786-0461 FAX: 763/786-0471 MS. REBECCA ANDERSON





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

PRIDE N' LIVING HOME CARE INC Corp COMP

7691 CENTRAL AVENUE STE 102

FRIDLEY, MN 55432 (23218)

PHONE: 763/572-2390 FAX: 763/574-2459 MS. INGRID ADAMS

TEALWOOD MANAGEMENT LLC Lim-Liab COMP


FRIDLEY, MN 55432 (28954)

PHONE: 763/571-7355 FAX: 763/571-7299 MS. JONI OBERG

Lim-Liab NH-54 SNF-NF-54 THE ESTATES AT FRIDLEY LLC

5700 EAST RIVER ROAD

FRIDLEY, MN 55432 (00935)

PHONE: 763/571-3150 FAX: 763/571-2805 MS. LYNN HOGENDORN

THE LANDMARK OF FRIDLEY Lim-Liab HWSAL


FRIDLEY, MN 55432 (28887)

PHONE: 763/571-7355 FAX: 763/571-7299 MS. JONI OBERG

UPEND HOME HEALTH CARE, INC Corp COMP

357 66TH AVENUE NE

FRIDLEY, MN 55432 (32360)

PHONE: 612/961-8570 FAX: /- MR. SUAD ISSE

WELCOME HOME HEALTH CARE Corp COMP

5300 4TH STREET NE

FRIDLEY, MN 55432 (22195)

PHONE: 320/587-0005 FAX: 320/587-0053 MR. ROMAN BLOEMKE

Out Pt Out Ot HAM LAKE PHYSICAL THERAPY Corp

16210 ABERDEEN STREET NE STE B

HAM LAKE, MN 55304 (03772)

PHONE: 763/413-0880 FAX: 763/413-0850 MR. MARK NETZINGER

Corp Home Mgmt A TIME FOR HELP INC

481 LINDEN LANE

LINO LAKES, MN 55014 (29137)

PHONE: 651/481-1991 FAX: 651/348-7186 MS. SHIRLYN NICKELSON

Lim-Liab COMP

695 OAK LANE

LINO LAKES, MN 55014 (29183)

PHONE: 651/242-3690 FAX: /- MS. ELIZABETH TAMFU

COMPASSIONATE LUCYS SENIOR HOM

LINO LAKES ASSISTED LIVING LLC Lim-Liab HWSAL

725 TOWN CENTER PARKWAY

LINO LAKES, MN 55014 (30745)

PHONE: 763/267-6183 FAX: 763/398-2294 MS. DEIDRA BURKE





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

LINO LAKES ASSISTED LIVING LLC Lim-Liab COMP

725 TOWN CENTER PARKWAY

LINO LAKES, MN 55014 (27529)

PHONE: 763/267-6183 FAX: 763/398-2294 MR. DAVID JONES

LINO LAKES GRACEWOOD SR LIVING Lim-Liab HWSAL

675 MARKET PLACE DRIVE

LINO LAKES, MN 55014 (31761)


LINO LAKES GW LLC Lim-Liab COMP

675 MARKET PLACE DRIVE

LINO LAKES, MN 55014 (31673)


FUNDAMENTAL KIDS THERAPY LLC Lim-Liab COMP

145 221ST AVENUE NW

OAK GROVE, MN 55011 (29241)

PHONE: 952/297-2460 FAX: /- MS. JULIE JOHNSON

Corp Home Mgmt CAREFREE HOME SERVICES INC

7830 149TH LANE NW

RAMSEY, MN 55303 (27857)

PHONE: 763/422-9713 FAX: 763/421-3098 MR. MICHAEL BEACH

DIGNITY HEALTHCARE SERVICES Lim-Liab COMP


RAMSEY, MN 55303 (29956)

PHONE: 651/283-9043 FAX: 763/600-6736 MS. FLORENCE BASSA

Lim-Liab COMP

14401 NOWTHEN BLVD NW

RAMSEY, MN 55303

STONEY RIVER OF RAMSEY ASSISTE

(31331)

PHONE: 612/615-9936 FAX: 763/999-3475 MS. MARY DEPIETRO

STONEY RIVER RAMSEY Lim-Liab HWSAL

14401 NOWTHEN BOULEVARD NW

RAMSEY, MN 55303 (31334)

PHONE: 612/615-9936 FAX: 763/898-3975 MR. LEE TUCHFARBER

HWSAL MAYA'S HOUSE Corp

924 VICEROY DRIVE NE

SPRING LAKE PARK, MN 55432 (31788)

PHONE: 763/432-0410 FAX: /- MR. ROGER BONNY

OAK CREST SENIOR LIVING ONProf HWSAL

1639 COUNTY HIGHWAY 10


PHONE: 763/783-0150 FAX: 763/783-0154 MS. CHERYL GRAMS





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

OROMIA HEALTH CARE Ind TCOMP

1620 81ST AVENUE NE APT 3


PHONE: 612/345-2101 FAX: /- MS. AISHA ALI

TBASIC RELIEVE CARE INC Corp

1310 81ST AVENUE EAST


PHONE: 763/757-3207 FAX: 763/780-5700 MS. LARA FATUNBI

BECKER ---------------------------********** ******** -------------------------

Lim-Liab HWSAL

1564 RANDOLPH ROAD

DETROIT LAKES, MN 56501 (25400)

PHONE: 218/846-0147 FAX: 218/846-0149 MS. SARA KLEINSCHMIDT

DIAMOND WILLOW ASSISTED LIVING

DIAMOND WILLOW ASSISTED LIVING Lim-Liab HWSAL

1558 RANDOLPH ROAD


PHONE: 218/846-0825 FAX: 218/846-0828 MS. SARA KLEINSCHMIDT

NProf COMP HCBS EMMANUEL COMMUNITY

1415 MADISON AVENUE


PHONE: 218/847-4486 FAX: 218/847-4488 MS. ASHLEY MCNALLY

Church NH-102 SNF-NF-102 EMMANUEL NURSING HOME

1415 MADISON AVENUE


PHONE: 218/847-4486 FAX: 218/847-4488 MS. KATIE LUNDMARK

Church COMP HHA ESSENTIA HEALTH HOME CARE WEST

114 FRAZEE STREET EAST


PHONE: 218/847-0808 FAX: 218/847-0850 MS. LINDA HESPE

NProf NH-96 SNF-NF-96 ESSENTIA HEALTH OAK CROSSING

1040 LINCOLN AVENUE


PHONE: 218/844-0700 FAX: 218/844-0780 MS. CHRISTY BRINKMAN

NProf HOSP-87 BASS-16 HOSP-87 ESSENTIA HLTH ST MARYS DETROIT

1027 WASHINGTON AVENUE


PHONE: 218/847-0888 FAX: 218/847-7674 MR. PETER JACOBSON





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

GOLDEN MANOR CORPORATION

1159 GARNET BOULEVARD

DETROIT LAKES, MN 56501

PHONE: 218/844-3300

GOLDEN MANOR MEMORY CARE



PHONE: 218/844-6028

GOLDEN MANOR OF DETROIT LAKES



PHONE: 218/844-3300

LAMPLIGHTER MANOR

1425 MADISON AVENUE


PHONE: 218/847-7768

LINCOLN PARK ASSISTED LIVING

208 OAK STREET


PHONE: 218/844-0701

LINCOLN PARK SENIOR APARTMENT

207 PARK STREET


PHONE: 218/844-0701

MAHUBE OTWA COMMUNITY ACTION

1125 WEST RIVER ROAD PO BOX747


PHONE: 218/847-1385

PARK MANOR ESTATES

1035 ROOSEVELT AVENUE


PHONE: 218/847-2636

SANFORD DETROIT LAKES HOME DIA



PHONE: 218/846-2000

SANFORD DIALYSIS DETROIT LAKES

114 EAST FRAZEE STREET


PHONE: 218/847-0825

Corp COMP

(21056)

FAX: 218/844-3301

Corp

(24138)

FAX: 218/844-6029

Corp

(23040)

FAX: 218/844-3301

ONProf

(20313)

FAX: 218/847-5384

NProf

(21201)

FAX: 218/847-0895

NProf

(21248)

FAX: 218/847-0895

NProf

(29250)

FAX: 218/847-1388

Part

(24593)

FAX: 218/844-2637

NProf

(28638)

FAX: 218/846-2005

NProf

(20925)

FAX: /-

BECKER

MS. JENNIFER BERG

MS. JENNIFER BERG

MS. JENNIFER BERG

MS. ROSE LENZNER

MS. TONYA CLEM


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

HWSAL

HWSAL

HWS

HWSAL

HWS

MS. TONYA CLEM

Home Mgmt

DR. PIGATTI LEAH

HWS

MR. BRANDON EISENBEIS

ESRD

MS. MARIA REGNIER

ESRD

MS. MARIA REGNIER





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

NProf Outpt Surg Amb Surg SANFORD HTH DL CLNC SAME DAY



PHONE: 218/846-2269 FAX: 218/846-7001 MS. BREANNA ADAMS

ST MARYS SENIOR LIVING SUPPORT NProf COMP



PHONE: 218/844-0701 FAX: 218/874-0895 MS. TONYA CLEM

THE COTTAGE AND DAY SPA NProf HWSAL

1435 MADISON AVENUE


PHONE: 218/844-9437 FAX: 218/844-9446 MS. ASHLEY MCNALLY

THE MADISON AT EMMANUEL COMMUN NProf HWS

1405 MADISON AVENUE


PHONE: 218/844-9431 FAX: 218/847-4488 MS. JENNIFER BRISTLIN

NProf SLFB-9 ICFIID-9 WEST HOME

1118 WEST AVENUE


PHONE: 218/847-5642 FAX: 218/847-7176 MR. THOMAS REIFFENBERGER

WINCHESTER ON WASHINGTON NProf HWS



PHONE: 218/844-0701 FAX: 218/847-0895 MS. TONYA CLEM

Lim-Liab HWSAL

311 WEST MAPLE AVENUE

FRAZEE, MN 56544

FRAZEE ASSISTED LIVING

(30423)

PHONE: 218/334-4501 FAX: 218/334-4500 MR. JONATHAN STONE

FRAZEE ASSISTED LIVING HC Lim-Liab COMP

311 WEST MAPLE AVENUE

FRAZEE, MN 56544 (20154)

PHONE: 218/334-4501 FAX: 218/334-4500 MR. MIKE ANDERSON

Lim-Liab NH-60 SNF-NF-60 FRAZEE CARE CENTER

219 W MAPLE AVENUE PO BOX 96

FRAZEE, MN 56544 (00730)

PHONE: 218/334-4501 FAX: 218/334-4500 MR. MIKE ANDERSON

Cnty NH-34 SNF-NF-34 SUNNYSIDE CARE CENTER

16561 US HIGHWAY 10

LAKE PARK, MN 56554 (00016)

PHONE: 218/238-5944 FAX: 218/238-6854 MS. DANIELLE OLSON





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

NORTH STAR NURSING TEMPORARY A Corp COMP

22119 480TH AVENUE PO BOX 306

OSAGE, MN 56570 (21664)

PHONE: 218/573-2238 FAX: 218/573-3778 MS. HEIDI CLEMENTS

ESRD WHITE EARTH DIALYSIS Corp

26246 CRANE ROAD

WHITE EARTH, MN 56591 (30499)

PHONE: 218/983-4699 FAX: 218/983-4241 MS. MARIA REGNIER

Tribal COMP HHA WHITE EARTH HOME HEALTH

26246 CRANE ROAD PO BOX 496

WHITE EARTH, MN 56591 (02147)

PHONE: 218/983-3286 FAX: 218/983-2734 MS. LINDSI MCARTHUR

BELTRAMI ---------------------------********** ******** -------------------------

A TOUCH OF HOME NORTH Lim-Liab HWSAL-O

915 21ST STREET NW

BEMIDJI, MN 56601 (30713)

PHONE: 218/444-5878 FAX: 218/444-5114 MS. SHAWN VANANTWERPEN

Corp HWSAL AUTUMN HILLS OF BEMIDJI INC

2528 PARK AVENUE NW

BEMIDJI, MN 56601 (30484)

PHONE: 218/333-3854 FAX: 218/333-3855 MS. SHELLEY CLOOSE

COMP AUTUMN HILLS OF BEMIDJI INC Corp

2528 PARK AVENUE NW

BEMIDJI, MN 56601 (23983)

PHONE: 218/333-3854 FAX: 218/333-3855 MS. SHELLEY CLOOSE

BAKER PARK INC NProf HWSAL

803 DEWEY AVENUE

BEMIDJI, MN 56601 (20518)

PHONE: 218/751-7249 FAX: 218/333-2717 MR. BRYAN NERMOE

COMP HHA BELTRAMI COUNTY HEALTH & HUMAN Cnty

616 AMERICA AVENUE NW STE 340

BEMIDJI, MN 56601 (02007)

PHONE: 218/333-8100 FAX: 218/333-8360 MS. CYNTHIA BORGEN

BIRCHHAVEN VILLAGE Corp HWS

1700 NORTON AVENUE NW

BEMIDJI, MN 56601 (28606)

PHONE: 218/444-1700 FAX: 218/444-1760 MR. NICK BERG





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

Corp HWSAL CEDAR COTTAGE

1711 DELTON AVENUE NW

BEMIDJI, MN 56601 (30829)

PHONE: 218/444-3047 FAX: 218/444-7668 MS. KATHLEEN BIRCHEM

CEDAR COTTAGE Corp COMP


BEMIDJI, MN 56601 (20923)

PHONE: 218/444-3047 FAX: 218/444-7668 MS. SHERRY DENAULT

Corp HWSAL COLLEEN'S CARING HANDS

2525 BEMIDJI AVENUE NORTH

BEMIDJI, MN 56601 (30648)

PHONE: 218/333-8852 FAX: 218/444-9183 MS. COLLEEN HILL-KJOS

COLLEEN'S CARING HANDS Corp COMP


BEMIDJI, MN 56601 (26834)

PHONE: 218/333-8852 FAX: 218/444-9183 MS. COLLEEN HILL-KJOS

State OTHER-16 PSY-16 COMM BEHAV HLTH HOSP BEMIDJI


BEMIDJI, MN 56601 (25049)

PHONE: 218/308-2401 FAX: 218/333-6800 MR. LARRY LAUDON

GOLDPINE HOME Corp COMP

1700 30TH STREET NW

BEMIDJI, MN 56601 (20075)

PHONE: 218/444-4346 FAX: 218/444-4083 MR. DUSTIN HOLLOWAY

HWSAL GOLDPINE HOME Corp

1700 30TH STREET NW

BEMIDJI, MN 56601 (30332)

PHONE: 218/444-4346 FAX: 218/444-4083 MR. DUSTIN HOLLOWAY

Corp NH-90 SNF-NF-90 HAVENWOOD CARE CENTER

1633 DELTON AVENUE

BEMIDJI, MN 56601 (00017)

PHONE: 218/444-1745 FAX: 218/759-1744 MR. BRANDON BJERKE

Ind COMP LONG LAKE LOON LODGE

7747 LOON LODGE LANE NE

BEMIDJI, MN 56601 (22011)

PHONE: 218/586-2945 FAX: 218/586-4094 MS. AMY DELAP

LONG LAKE LOON LODGE Ind HWS

7747 LOON LODGE LANE NE

BEMIDJI, MN 56601 (20285)

PHONE: 218/586-2945 FAX: 218/586-4094 MS. AMY DELAP




Facility/Service

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

NEILSON PLACE

1000 ANNE STREET NW

BEMIDJI, MN 56601

PHONE: 218/751-0220

NORTHWOODS CAREGIVERS

616 AMERICA AVENUE NW STE 170

BEMIDJI, MN 56601

PHONE: 218/333-8264

NORTHWOODS CAREGIVERS

616 AMERICA AVENUE STE 170

BEMIDJI, MN 56601

PHONE: 218/333-8264

PROGRESSIVE HEALTH CARE OF BEM

405 BELTRAMI AVENUE

BEMIDJI, MN 56601

PHONE: 218/444-6876

SANFORD BEMIDJI HOME CARE

3201 PINE RIDGE AVENUE NW A

BEMIDJI, MN 56601

PHONE: 218/333-5665

SANFORD BEMIDJI HOSPICE

3201 PINE RIDGE AVENUE NW A

BEMIDJI, MN 56601

PHONE: 218/333-5665

SANFORD BEMIDJI MEDICAL CENTER

1300 ANNE STREET NW

BEMIDJI, MN 56601

PHONE: 218/751-5430

SANFORD DIALYSIS BEMIDJI

1300 ANNE STREET NW

BEMIDJI, MN 56601

PHONE: 218/751-5430

SANFORD HEALTH NEILSON PLACE

803 DEWEY AVENUE

BEMIDJI, MN 56601

PHONE: 218/751-0220

TAMARACK COURT


BEMIDJI, MN 56601

PHONE: 218/444-4999

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

Owner Licensure Certification Registration

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

NProf NH-78 SNF-NF-78

(0082

218/333-6514

3)

MS. LINDA BARKLEY

NProf Home Mgmt

(2973

218/333-8263

NProf

0)

TCOMP

MS. CINDI JERNIGAN

(3256

218/333-8263

Corp

0)

COMP

MS. CINDI JERNIGAN

(2185

218/444-2747

6)

MR. PAUL IVERSON

NProf COMP HHA

(0237

218/333-5642

2)

MR. BRYAN NERMOE

NProf Hospice HSPICE

(0241

218/333-5642

7)

MR. BRYAN NERMOE

NProf HOSP-118

OTHER-

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

R- PPS-P-

(0082218/333-5880

1) MR. BRYAN NERMOE

NProf ESRD

(0337

/-

NProf

6)

COMP

MS. MARIA REGNIER

(2684

218/333-6514

3)

MR. BRYAN NERMOE

Corp COMP

(26081)

218/444-5603 MS. SHIRLEY DANIELSON





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

TAMARACK COURT


BEMIDJI, MN 56601

PHONE: 218/444-4999 FAX:

TOUCH OF HOME

711 17TH STREET

BEMIDJI, MN 56601

PHONE: 218/444-2775 FAX:

TOUCH OF HOME

711 17TH STREET

BEMIDJI, MN 56601

PHONE: 218/444-2775 FAX:

TOUCHING HEARTS AT HOME BEMIDJ

615 ANNE STREET STE B

BEMIDJI, MN 56601

PHONE: 218/333-8509 FAX:

TRILLIUM

930 ANNE STREET NW

BEMIDJI, MN 56601

PHONE: 218/333-6289 FAX:

WINDSONG

1010 ANNE STREET NW

BEMIDJI, MN 56601

PHONE: 218/751-0220 FAX:

GOOD SAM SOCIETY BLACKDUCK

172 SUMMIT AVENUE WEST

BLACKDUCK, MN 56630

PHONE: 218/835-4218 FAX:

GOOD SAMARITAN SOCIETY BLACKDU

152 MARGARET AVENUE NW

BLACKDUCK, MN 56630

PHONE: 218/835-5482 FAX:

GOOD SAMARITAN SOCIETY BLACKDU

152 MARGARET AVENUE NW

BLACKDUCK, MN 56630

PHONE: 218/835-5482 FAX:

SERENITY LIVING SOLUTIONS OF B

441 4TH STREET NE

BLACKDUCK, MN 56630

PHONE: 218/835-4564 FAX:

Corp

(30668)

218/444-5603

Lim-Liab COMP

(21397)

218/444-5114

Lim-Liab

(30749)

218/444-5114

Ind

(31674)

218/333-8509

NProf

(26844)

218/333-5639

NProf

(27160)

218/333-5639

NProf NH-30

(00021)

218/835-3424

NProf COMP

(26635)

218/834-5484

NProf

(30737)

218/835-5484

Corp

(21164)

218/835-5809


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

HWSAL

MS. SHIRLEY DANIELSON

MS. SHAWN VANANTWEPEN

HWSAL

MS. SHAWN VANANTWERPEN

Home Mgmt

MR. DAVID THONVOLD

HWSAL

MR. BRYAN NERMOE

HWSAL

MR. BRYAN NERMOE

SNF-NF-30

MS. ANDREA MAJOR

MR. GORDON HORMANN

HWSAL

MS. ANDREA MAJOR

HWSAL

MS. KRISTINE ALBRECHT





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

SERENITY LIVING SOLUTIONS OF B Corp COMP

441 4TH STREET NE

BLACKDUCK, MN 56630 (31836)

PHONE: 218/835-4564 FAX: 218/835-5809 MR. TIM MATROS

HWSAL CORNERSTONE RESIDENCE OF KELLI Corp

280 MAIN STREET WEST

KELLIHER, MN 56650 (30575)

PHONE: 218/647-8258 FAX: 218/647-8483 MS. KARI SWANSON

CORNERSTONE RESIDENCE OF KELLI Corp COMP

280 MAIN STREET WEST

KELLIHER, MN 56650 (25374)

PHONE: 218/647-8258 FAX: 218/647-8483 MS. KARI SWANSON

Tribal OTHER- SNF-NF-47 JOURDAIN PERPICH EXT CARE FAC

24856 HOSPITAL DRIVE

RED LAKE, MN 56671 (00355)

PHONE: 218/679-3400 FAX: /- MR. LARRY PASSEL

SANFORD DIALYSIS RED LAKE NProf ESRD

24760 HOSPITAL DRIVE BOX 249

RED LAKE, MN 56671 (23621)

PHONE: 218/679-3117 FAX: 218/679-4306 MS. MARIA REGNIER

MEADOWLAND ELDER CARE HOMES Corp HWS

21368 GULL LAKE LOOP ROAD NE

TENSTRIKE, MN 56683 (30717)

PHONE: 218/586-3740 FAX: 218/586-3746 MS. DONNA STEPHENS

HWSAL MEADOWLAND ELDER CARE HOMES II Corp

21368 GULL LAKE LOOP ROAD NE

TENSTRIKE, MN 56683 (21191)

PHONE: 218/586-3740 FAX: 218/586-3746 MS. DONNA STEPHENS

BENTON ---------------------------********** ******** -------------------------

NH-89 SNF-NF-89 FOLEY NURSING CENTER Corp

253 PINE STREET

FOLEY, MN 56329 (00629)

PHONE: 320/968-6201 FAX: 320/968-7051 MR. ANDY HUHTA

Corp COMP HHA HERITAGE HOME HEALTH & HOSPICE

152 NORMAN AVENUE SOUTH

FOLEY, MN 56329 (02339)

PHONE: 320/968-7117 FAX: 320/968-7316 MS. CHELSEY NESS





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

HERITAGE PLACE Lim-Liab HWSAL


FOLEY, MN 56329 (20153)


HWSAL HERITAGE POINTE Corp


FOLEY, MN 56329 (26321)


HERITAGE POINTE Corp COMP


FOLEY, MN 56329 (26407)


COMP ALL GOOD HOME CARE INC Corp

9250 LAKEWOOD SHORE ROAD NW

RICE, MN 56367 (25865)

PHONE: 320/393-2406 FAX: 320/393-2455 MR. MIKE ALLGOOD

COUNTRY MANOR EXTENDED SERVICE Lim-Liab COMP HHA

520 1ST STREET NE

SARTELL, MN 56377 (02226)

PHONE: 320/253-3343 FAX: 320/240-0244 MS. TRACY MASTELLER

COUNTRY MANOR EXTENDED SERVICE Lim-Liab COMP

520 1ST STREET NE

SARTELL, MN 56377 (20206)

PHONE: 320/253-3343 FAX: 320/240-0244 MS. TRACY MASTELLER

Lim-Liab NH-165 SNF-NF-165 COUNTRY MANOR HLTH & REHAB CTR

520 1ST STREET NE

SARTELL, MN 56377 (00627)

PHONE: 320/253-1920 FAX: 320/656-5922 MR. BRIAN KELM

COUNTRY MANOR SENIOR APARTMENT Lim-Liab HWSAL

520 1ST STREET NE

SARTELL, MN 56377 (30448)

PHONE: 320/253-8450 FAX: 320/656-5922 MR. ANTHONY FENSTAD

Lim-Liab TCOMP

677 BRIANNA DRIVE

SARTELL, MN 56377 (32876)

PHONE: 320/281-3343 FAX: /- MS. COLLEEN SCHNEIDER

EDGEWOOD SARTELL LLC

THE COUNTRY VILLA Lim-Liab HWSAL

520 1ST STREET NE

SARTELL, MN 56377 (20559)

PHONE: 320/253-8450 FAX: 320/656-5922 MR. ANTHONY FENSTAD





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

ACCESS INFUSION HEALTHCARE INC Corp COMP

16 12TH ST SOUTH

SAUK RAPIDS, MN 56379 (25059)

PHONE: 320/492-5951 FAX: 320/259-0440 MS. JANE YAGER

BRIDGES MN Lim-Liab TCOMP



PHONE: 651/772-4957 FAX: 651/772-2746 MR. BLAKE ELLIOTT

Corp HWSAL BROOKDALE SAUK RAPIDS

1325 SUMMIT AVENUE NORTH


PHONE: 320/203-8142 FAX: 320/203-8207 MS. RENEE SYMANIETZ

BROOKDALE SAUK RAPIDS Corp COMP

1325 SUMMIT AVENUE NORTH


PHONE: 320/203-8142 FAX: 320/203-8207 MS. AMANDA VANDERMAY

Lim-Liab COMP

1637 4TH AVE NORTH STE 110



CHERRYWOOD ADVANCED LIVING

GENERATIONS HOME CARE INC Corp COMP



PHONE: 320/282-8047 FAX: 320/230-8811 MS. TINA THEISEN

NProf COMP


SAUK RAPIDS, MN 56379

GOOD SHEPHERD ASSISTED LIVING

(24855)

PHONE: 320/252-6525 FAX: 320/259-3463 MS. BARB REBISCHKE

GOOD SHEPHERD COTTAGES NProf HWSAL

307 11TH STREET NORTH


PHONE: 320/252-6525 FAX: 320/258-8675 MR. BRUCE GLANZER

NProf COMP HHA GOOD SHEPHERD HOME HEALTH CARE




GOOD SHEPHERD HOMES INC NProf HWSAL








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

NProf NH-162 SNF-NF-162 GOOD SHEPHERD LUTHERAN HOME




Lim-Liab Hospice HSPICE HEARTLAND HOME HLTH C& HOSPICE

1257 2ND STREET NORTH

SAUK RAPIDS, MN 563794595 (23078)

PHONE: 320/654-1136 FAX: 320/654-6803 MS. CYNTHIA FELDHEGE

NProf SLFB-86 JOURNEY HOME

1485 10TH AVENUE NE


PHONE: 320/255-5949 FAX: 320/259-4563 MS. CAROL MERRIMAN

LEGACY PLACE LLC Lim-Liab COMP

902 15TH STREET NE


PHONE: 320/267-7789 FAX: 320/251-0062 MR. TODD NORMAN

LEGACY PLACE LLC Lim-Liab HWSAL

902 15TH STREET NE


PHONE: 320/267-7789 FAX: 320/267-7789 MS. SUSAN MOHS

OPTION CARE Corp COMP

1000 SOUTH BENTON DRIVE STE405


PHONE: 320/252-5666 FAX: 320/252-5073 MR. WILLIAM CRAWFORD

Lim-Liab COMP

1009 10TH AVENUE NE


RIDGEVIEW PLACE

(29660)

PHONE: 320/251-5228 FAX: 320/259-8964 MS. LAURA KOSKI

RIDGEVIEW SENIOR LIVING Lim-Liab HWSAL

1009 10TH AVENUE NE


PHONE: 320/251-5228 FAX: 320/259-8964 MS. LAURA KOSKI

NProf HWSAL




SHEPHERD COURT APARTMENTS

SHEPHERD OAK APARTMENTS INC NProf HWSAL








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

SHEPHERD OAK WEST APARTMENTS I NProf HWSAL




Out Pt SPINAL REHAB CLINIC Corp

225 NORTH BENTON DRIVE


PHONE: 320/252-1884 FAX: /- MS. LYNETTE MCGRATH

WAITE PROPERTIES LLC Lim-Liab HWSAL



PHONE: 320/253-3079 FAX: 320/230-8811 MS. LORRIE WAITE

Lim-Liab HWSAL



WILDWOOD ASSISTED LIVING

(32779)

PHONE: 320/260-6097 FAX: 320/631-4106 MR. MATTHEW PALLANSCH

WILDWOOD ASSISTED LIVING Lim-Liab TCOMP



PHONE: 320/774-1546 FAX: 320/200-7483 MR. MIGUEL CAMPA

Lim-Liab HWSAL

1225 DIVISION STREET EAST

ST CLOUD, MN 56304

ST CLOUD CAREFREE LIVING LLC

(20383)

PHONE: 320/251-6483 FAX: 320/251-2714 MS. MARILYN HANSON

BIG STONE ---------------------------********** ******** -------------------------

CLINTON CARE CENTER NProf COMP

322 CO HIGHWAY 6 PO BOX 379

CLINTON, MN 56225 (23174)

PHONE: 320/325-5414 FAX: 320/325-5416 MS. KIMBERLY MUENCHOW

NProf HWSAL

322 CO HIGHWAY 6 PO BOX 379

CLINTON, MN 56225

CLINTON CARE CENTER

(30340)

PHONE: 320/325-5414 FAX: 320/325-5416 MS. KIM MUENCHOW

NProf NH-45 SNF-NF-45 ESSENTIA HEALTH GRACE HOME

116 WEST 2ND STREET

GRACEVILLE, MN 56240 (00762)

PHONE: 320/748-7261 FAX: 320/748-8238 MS. JULIE ROSENBERG





BIG STONE ---------------------------********** (Cont.)* -------------------------

ESSENTIA HLTH GRACEVILLE CLINI

115 WEST 2ND STREET

GRACEVILLE, MN 56240

PHONE: 320/324-7500

ESSENTIA HLTH GRACEVILLE HH

115 W 2ND STREET


PHONE: 320/748-8211

ESSENTIA HLTH HOLY TRINITY HOS

115 W 2ND STREET BOX 157


PHONE: 320/748-8200

GRACE VILLAGE

114 WEST 2ND STREET


PHONE: 320/748-7220

FAIRWAY VIEW

215 LUNDELL AVENUE

ORTONVILLE, MN 56278

PHONE: 320/839-2397

FAIRWAY VIEW NEIGHBORHOODS

201 MARK DRIVE


PHONE: 320/839-6113

FAIRWAY VIEW SENIOR COMMUNITY

215 LUNDELL AVENUE


PHONE: 320/839-2397

HOME HEALTH AGENCY

201 MARK DRIVE


PHONE: 320/839-4020

MONARCH HEIGHTS

501 BURDICK AVENUE


PHONE: 320/839-6139

ORTONVILLE AREA HEALTH SERVICE

450 EASTVOLD AVENUE


PHONE: 320/839-2502

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

FAX:

NProf RHC

/-

(03819)

MR. TODD HOWELL

NProf COMP HHA SE

(03589)

320/748-8247 MS. JULIE ROSENBERG

NProf HOSP-15 BASS-0 CAH-15

(00027)


ONProf HWSAL

(24236)


City HWSAL

(30337)

320/839-2398 MR. DAVID ROGERS

City NH-51 SNF-NF-51

(00771)


City COMP

(23148)

320/839-2398 MS. CINDY JORGENSON

City COMP HHA

(02345)


NProf SLFB-12 ICFIID-12

(01440)

320/839-2060 MS. KRISTEN UNRUH

City HOSP-25 BASS-4 CAH-25

(00029)






BIG STONE ---------------------------********** (Cont.)* -------------------------

SATELLITE DIALYSIS ORTONVILLE NProf ESRD

814 ROY STREET

ORTONVILLE, MN 56278 (23114)

PHONE: 320/839-4070 FAX: 320/839-4071 MR. TIMOTHY JACKAN

---------------------------********** BLUE EARTH ******** -------------------------

CRYSTAL SEASONS ASSISTED LIVI Lim-Liab COMP

222 SOUTH MURPHY STREET

LAKE CRYSTAL, MN 56055 (26192)

PHONE: 507/726-2266 FAX: 507/726-2276 MS. LEESA GILMAN

Part HWSAL CRYSTAL SEASONS LIVING CENTER

222 SOUTH MURPHY STREET


PHONE: 507/726-2266 FAX: 507/726-2276 MS. AMANDA FILTER

ECUMEN LAKE CRYSTAL NProf HWSAL

511 WEST BLUE EARTH STREET


PHONE: 507/726-6537 FAX: 507/726-2402 MS. LAURA TEMPLIN

Lim-Liab COMP

511 W BLUE EARTH STREET

LAKE CRYSTAL, MN 56055

THE BEACON AT LAKE CRYSTAL

(20375)

PHONE: 507/726-6537 FAX: 507/726-2402 MR JOSH LEGUM

Home Mgmt ELDER CARE SERVICES INC Corp

1110 PARK ROAD

MADISON LAKE, MN 56063 (20962)

PHONE: 507/243-3603 FAX: 507/243-3375 MS. SHARON CHADER

Corp TCOMP ELDER CARE SERVICES INC

1110 PARK ROAD

MADISON LAKE, MN 56063 (32843)

PHONE: 507/243-3603 FAX: 507/243-3375 MS. SHARON CHADER

COMP HHA ALLIANCE HEALTH SERVICES Corp

600 RIVERFRONT DRIVE STE 100

MANKATO, MN 56001 (03635)

PHONE: 507/386-1666 FAX: /- MS. ALANA FIALA

AUTUMN GRACE Corp COMP

118 RAVEN COURT

MANKATO, MN 56001 (25816)

PHONE: 507/388-0647 FAX: 507/388-5412 MS. LANA STEUCK


Health Regulation Division



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

AUTUMN GRACE I

118 RAVEN COURT

MANKATO, MN 56001

PHONE: 507/388-3660

AUTUMN GRACE II

110 RAVEN COURT

MANKATO, MN 56001

PHONE: 507/388-3660

AUTUMN GRACE III

108 RAVEN COURT

MANKATO, MN 56001

PHONE: 507/388-0640

BROOKDALE MANKATO

100 TETON LANE

MANKATO, MN 56001

PHONE: 507

2017 directory of licensed, certified and registered …2017 directory licensed, certified and...

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