Ggnsc St. Paul Lake Ridge Llc in Roseville - Skilled Nursing Facility
Ggnsc St. Paul Lake Ridge Llc - NPI 1912958000
Ggnsc St. Paul Lake Ridge Llc is a Skilled Nursing Facility in Roseville, Minnesota. Ggnsc St. Paul Lake Ridge Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Ggnsc St. Paul Lake Ridge Llc is 1912958000. The last update date is 2014-07-16.
Ggnsc St. Paul Lake Ridge Llc's current location address is 2727 Victoria St N, Roseville, Minnesota. You can contact this provider via phone number 6514835431 and fax number 6514862451. The mailing address for Ggnsc St. Paul Lake Ridge Llc is 2727 Victoria St N, Roseville, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ggnsc St. Paul Lake Ridge Llc |
|---|---|
| Address | 2727 Victoria St N, Roseville, Minnesota |
| Phone Number | 6514835431 |
| Fax Number | 6514862451 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SECRETARY |
|---|---|
| Authorized Official Name | Rasmussen-Jones A. Holly |
| Telephone Number | 4792014835 |
NPI Number Detail
| NPI Number | 1912958000 |
|---|---|
| Provider Enumeration Date | 2006-05-13 |
| Last Updated Date | 2014-07-16 |
Provider Mailing Address Detail
| Address | 2727 Victoria St N |
|---|---|
| City | Roseville |
| State | Minnesota (MN) |
| Post Code | 551132040 |
| Phone Number | 6514835431 |
| Fax Number | 6514862451 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 332012 |
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Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7122514 | MN | MEDICA CHOICE | |
| NH0075 | MN | UCARE MN | |
| 545105 | MN | SECURITY HEALTH PLAN | |
| 115255 | MN | HEALTH PARTNERS MN | |
| 7100287 | MN | MEDICA SELECTCARE | |
| 264638200 | MN | -- | |
| 8R13LA | MN | BLUE CROSS MINNESOTA |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Ggnsc St. Paul Lake Ridge Llc by the Centers for Medicare & Medicaid Services?
The Ggnsc St. Paul Lake Ridge Llc has been assigned the NPI (National Provider Identifier) 1912958000 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Ggnsc St. Paul Lake Ridge Llc is geographically located?
The Ggnsc St. Paul Lake Ridge Llc is physically situated at the following location: 2727 Victoria St N, Roseville, MN, 551132040.
What is Ggnsc St. Paul Lake Ridge Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Ggnsc St. Paul Lake Ridge Llc is Skilled Nursing Facility, and the taxonomy code that classifies this field of practice is 314000000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1912958000 to Ggnsc St. Paul Lake Ridge Llc?
The Centers for Medicare & Medicaid Services originally issued the 1912958000 to Ggnsc St. Paul Lake Ridge Llc on 2006-05-13.
When was the information pertaining to Ggnsc St. Paul Lake Ridge Llc most recently updated or revised?
The details related to Ggnsc St. Paul Lake Ridge Llc, including its address, specialty, and other relevant information, were last updated or revised on 2014-07-16.