SPRING PARK CENTER LIMITED PARTNERSHIP NPI 1225189624

NPI Information

  • NPI: 1225189624
  • Provider Name: SPRING PARK CENTER LIMITED PARTNERSHIP
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: OLD MAIN VILLAGE
  • CLIA Number: 24D1102321
  • Address: 301 S 5TH ST
    MANKATO, MN
    ZIP 56001
  • Phone: (507) 388-4200

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NPI Details

SPRING PARK CENTER LIMITED PARTNERSHIP is an assisted living facility in Mankato, 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. SPRING PARK CENTER LIMITED PARTNERSHIP NPI is 1225189624. The provider is registered as an organization entity type.
The provider Is Doing Business As Old Main Village.

The provider's business location address is:

301 S 5TH ST
MANKATO, MN
ZIP 56001-507
Phone: (507) 388-4200
Fax: (507) 388-5991

The provider's authorized official is John B. Goodman .
The authorized official title is President Of General Partner and has the following contact phone number (952) 361-8000.

The CLIA number assigned to this NPI record is 24D1102321 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/15/2007 and was last updated on 8/22/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityYes

What is NPI?

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This page was last updated on: 3/30/2025

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