NPIMap

Organization Active NPI

Care-Age Country Home

  • Assisted Living Facility
  • Park Rapids, MN
National Provider Identifier
1144493669
Registry record updated Apr 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
CARE-AGE COUNTRY HOME
Practice address
18846 Eagle Bend Rd
Park Rapids, MN 56470-2073
Phone
(218) 732-3721
Fax
(218) 732-1208
NPI assigned
Apr 4, 2008
Last updated
Apr 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2008

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

Authorized official

Name
Lynn A. Niemeyer
Title
Administrator
Phone
(218) 732-3721

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X MN Primary

Addresses

Primary practice location

18846 Eagle Bend Rd
Park Rapids, MN 56470-2073

Mailing address

18846 Eagle Bend Rd
Park Rapids, MN 56470-2073
Phone (218) 732-3721

National Provider Directory

National Provider Directory

Locations

18846 Eagle Bend Rd
Park Rapids, MN 56470
Phone (218) 732-3721

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207267200000",
    "number": "1144493669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18846 EAGLE BEND RD",
            "city": "PARK RAPIDS",
            "state": "MN",
            "postal_code": "564702073",
            "telephone_number": "218-732-3721",
            "fax_number": "218-732-1208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18846 EAGLE BEND RD",
            "city": "PARK RAPIDS",
            "state": "MN",
            "postal_code": "564702073",
            "telephone_number": "218-732-3721",
            "fax_number": "218-732-1208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE-AGE COUNTRY HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-04",
        "last_updated": "2008-04-04",
        "status": "A",
        "authorized_official_last_name": "NIEMEYER",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "218-732-3721"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Rapids, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; 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.