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COMMUNITY ASSET FOUNDATION LLC NPI 1073949657


NPI Information

NPI: 1073949657
Provider Name: COMMUNITY ASSET FOUNDATION, LLC

Doing Business As: THE LODGE OF WINTHROP

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 24D2066008

Address:
204 SOUTH COUNTY ROAD 33
WINTHROP, MN
ZIP 55396
Phone: (507) 647-5391
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COMMUNITY ASSET FOUNDATION, LLC is an assisted living facility in Winthrop, MN. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. COMMUNITY ASSET FOUNDATION, LLC NPI is 1073949657. The provider is registered as an organization entity type.
The provider Is Doing Business As The Lodge Of Winthrop.

The provider's business location address is:

204 SOUTH COUNTY ROAD 33
WINTHROP, MN
ZIP 55396
Phone: (507) 647-5391
Fax: (507) 647-2035

The provider's authorized official is Rick Ford .
The authorized official title is Board Chair and has the following contact phone number (507) 647-5391.

The CLIA number assigned to this NPI record is 24D2066008 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/16/2013 and was last updated on 1/3/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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