Alf Employer Minnesota, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

371210 Issued in MN

Legal business name

ALF EMPLOYER MINNESOTA, LLC

Practice address

1870 E Shore Dr
Maplewood, MN 55109-4248

Phone

(651) 777-7787

NPI assigned

Jul 23, 2015

Last updated

Jul 23, 2015By 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

Faye Gordon

Title

Paralegal

Phone

(509) 965-4240

Specialties & licenses 1

Addresses

Other names 1

• The Shores of Lake Phalen Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Alf Employer Minnesota LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Alf Employer Minnesota, LLC

  dba River Bend Assisted Living & Memory Care

  • Assisted Living Facility
  • Rochester, MN
  • NPI 1568137040
  NPD tax ID
• Augustana Senior Development II

  dba River Bend Assisted Living

  • Assisted Living Facility
  • Rochester, MN
  • NPI 1801392873
  NPD tax ID

Locations

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

{
    "created_epoch": "1437609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437609600000",
    "number": "1043695729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 CENTENNIAL LOOP",
            "address_2": "SUITE E",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974017909",
            "telephone_number": "547-373-7747",
            "fax_number": "541-746-5781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1870 E SHORE DR",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551094248",
            "telephone_number": "651-777-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALF EMPLOYER MINNESOTA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-23",
        "last_updated": "2015-07-23",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "FAYE",
        "authorized_official_title_or_position": "PARALEGAL",
        "authorized_official_telephone_number": "509-965-4240"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "371210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Shores of Lake Phalen",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• John Ahorsu-Walker
• Ejovwokeoghene Akpovwa
• Javid Akram, MD
• Mitchell H Albers, O.D.
• Ruben A Alexanian, M.D.
• April Alhuniti
• Maryyam Ali, M.D.
• Garry Allen, PSYD, LP
• Allergy and Asthma Center of Minnesota PLLC
• Alliance Senior Living

• Home Health Agency in Maplewood, MN
• Providers in Maplewood, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.