KC Companies of Crosslake, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

KC COMPANIES OF CROSSLAKE, INC.

Doing business as

Golden Horizons of Crosslake

Practice address

13631 E Shore Rd
Crosslake, MN 56442

Phone

(218) 692-6650

Fax

(218) 692-6652

NPI assigned

Oct 17, 2008

Last updated

Oct 17, 2008By 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

Bernice R Phelps

Title

Accounting Department

Phone

(320) 217-2640

Specialties & licenses 1

Addresses

Other names 1

• Golden Horizons of Crosslake Doing business as

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

{
    "created_epoch": "1224201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224201600000",
    "number": "1184876443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13631 E SHORE RD",
            "city": "CROSSLAKE",
            "state": "MN",
            "postal_code": "564422767",
            "telephone_number": "218-692-6650",
            "fax_number": "218-629-6652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13631 E SHORE RD",
            "city": "CROSSLAKE",
            "state": "MN",
            "postal_code": "56442",
            "telephone_number": "218-692-6650",
            "fax_number": "218-692-6652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KC COMPANIES OF CROSSLAKE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-17",
        "last_updated": "2008-10-17",
        "status": "A",
        "authorized_official_last_name": "PHELPS",
        "authorized_official_first_name": "BERNICE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ACCOUNTING DEPARTMENT",
        "authorized_official_telephone_number": "320-217-2640"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Horizons of Crosslake",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Crosslake Community School
• Rachel Granfors, DPT
• Healthy Kids Consulting LLC
• Arika Lee Howard, DT
• Kappes Pharmaceutical LLC (Crosslake Drug)
• Key Wellness PLLC
• Kiersten Masello DDS PLLC (Crosslake Dental Center, PA)
• Linda Lewis, DDS
• Sannah Lohmiller
• Sara Marie Lokstad, M.D.

• Assisted Living Facility in Crosslake, MN
• Providers in Crosslake, 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 Oct 17, 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.