ELDERCARE OF BEMIDJI INC NPI 1427145762

NPI Information

NPI: 1427145762
Provider Name: ELDERCARE OF BEMIDJI, INC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Doing Business As: CEDAR COTTAGE
CLIA Number: 24D2083564
Address: 1711 DELTON AVE NW
BEMIDJI, MN
ZIP 56601
Phone: (218) 444-3047

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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 1427145762. The provider is registered as an organization entity type.
The provider Is Doing Business As Cedar Cottage.

The provider's business location address is:

1711 DELTON AVE NW
BEMIDJI, MN
ZIP 56601-536
Phone: (218) 444-3047
Fax: (218) 444-9060

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

The CLIA number assigned to this NPI record is 24D2083564 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/6/2006 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
1	310400000X	Assisted Living Facility		333136	MINNESOTA	Yes

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
1	A459824500	MEDICAID	MINNESOTA

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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