NPIMap

Organization Active NPI

Minnesota Community Hospice

Doing business as the lodge on highview

  • Assisted Living Facility
  • Lakeville, MN
National Provider Identifier
1184923286
Registry record updated Mar 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
349876 Issued in MN
Legal business name
MINNESOTA COMMUNITY HOSPICE
Doing business as
the lodge on highview
Practice address
20150 Highview Ave
Lakeville, MN 55044-6874
Phone
(952) 469-7700
NPI assigned
Mar 15, 2011
Last updated
Mar 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2011

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

Authorized official

Name
Jacquelynne Sue McGowan
Title
President
Phone
(952) 435-6828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 349876 MN Primary

Addresses

Primary practice location

20150 Highview Ave
Lakeville, MN 55044-6874

Mailing address

18472 Kenyon Ave
Lakeville, MN 55044-6911
Phone (952) 435-6828

Other names 1

  • the lodge on highview Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Minnesota Community Hospice2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1300147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300147200000",
    "number": "1184923286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18472 KENYON AVE",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550446911",
            "telephone_number": "952-435-6828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20150 HIGHVIEW AVE",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550446874",
            "telephone_number": "952-469-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA COMMUNITY HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-15",
        "last_updated": "2011-03-15",
        "status": "A",
        "authorized_official_last_name": "MCGOWAN",
        "authorized_official_first_name": "JACQUELYNNE",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-435-6828"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "349876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "the lodge on highview",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakeville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; 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.