Spring Park Center Limited Partnership

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SPRING PARK CENTER LIMITED PARTNERSHIP

Doing business as

Old Main Village

Practice address

301 S 5TH St
Mankato, MN 56001-7507

Phone

(507) 388-4200

Fax

(507) 388-5991

NPI assigned

Jan 15, 2007

Organization subpart

No

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

Authorized official

Name

Mr. John B. Goodman

Title

President of General Partner

Phone

(952) 361-8000

Specialties & licenses 1

Addresses

Other names 1

• Old Main Village Doing business as

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

CLIA laboratory certificates

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225189624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 HAZELTINE BLVD",
            "address_2": "SUITE 200",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553181009",
            "telephone_number": "952-361-8000",
            "fax_number": "952-361-8058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S 5TH ST",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560017507",
            "telephone_number": "507-388-4200",
            "fax_number": "507-388-5991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING PARK CENTER LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT OF GENERAL PARTNER",
        "authorized_official_telephone_number": "952-361-8000",
        "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": "Old Main Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sreelatha S Spieker, MD
• Aubriana Jeannette Spielman
• Susan Elvira Splinter, RN, IBCLC
• Benjamin Spores
• Eric Sprankle, PSY.D., L.P.
• John Adolph Springer, M.D.
• Jeyanthan Ramesh Srikanthan, MD
• Joni Lynn Stadtherr, L.I.C.S.W
• Kimberly Mary Staebell, NP-C
• Carole A Staelgraeve, MS, LP

• Assisted Living Facility in Mankato, MN
• Providers in Mankato, 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 Aug 22, 2020; 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.