ELDERCARE OF BEMIDJI INC NPI 1356969869

NPI Information

  • NPI: 1356969869
  • Provider Name: ELDERCARE OF BEMIDJI, INC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: TAMARACK COURT
  • CLIA Number: 24D2098929
  • Address: 1511 DELTON AVE NW
    BEMIDJI, MN
    ZIP 56601
  • Phone: (218) 444-4999

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NPI Details

ELDERCARE OF BEMIDJI, INC is an assisted living facility in Bemidji, 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. ELDERCARE OF BEMIDJI, INC NPI is 1356969869. The provider is registered as an organization entity type.
The provider Is Doing Business As Tamarack Court.

The provider's business location address is:

1511 DELTON AVE NW
BEMIDJI, MN
ZIP 56601-586
Phone: (218) 444-4999
Fax: (218) 444-5603

The provider's authorized official is Barbara Ann Caspers .
The authorized official title is Finance Director and has the following contact phone number (218) 766-1154.

The CLIA number assigned to this NPI record is 24D2098929 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/10/2020 and was last updated on 6/6/2023.

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

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A667908200MEDICAIDMINNESOTA

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: 11/21/2025

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