Midwest Care Facilities LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MIDWEST CARE FACILITIES LLC

Doing business as

Autumn Hills

Practice address

2528 Park Ave NW
Bemidji, MN 56601-2432

Phone

(218) 333-3854

Fax

(218) 333-3855

NPI assigned

Dec 23, 2021

Last updated

Dec 23, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Douglas A Meyers

Title

General Manager

Phone

(763) 443-1175

Specialties & licenses 1

Addresses

Other names 1

• Autumn Hills Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1640217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640217600000",
    "number": "1003576661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1870 50TH ST E STE 7",
            "city": "INVER GROVE HEIGHTS",
            "state": "MN",
            "postal_code": "550771270",
            "telephone_number": "651-330-3071",
            "fax_number": "651-330-3721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2528 PARK AVE NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566012432",
            "telephone_number": "218-333-3854",
            "fax_number": "218-333-3855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST CARE FACILITIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-23",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A",
        "authorized_official_last_name": "MEYERS",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "763-443-1175",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Autumn Hills",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Sue Meyer, PA-C
• Sarah Michalicek
• Pamela Jean Michaud, MH PRACITIONER
• Larellyn Micheau
• Landis J. Midboe, C.R.N.A.
• Brady Miller
• Krista Miller, APRN, CNP
• Layne Miller Jr., FNP-C
• Mark A Miller, LMFT
• Thomas E Miller, M.D.

• Assisted Living Facility in Bemidji, MN
• Providers in Bemidji, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.