Springbrook Village of la Crescent LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SPRINGBROOK VILLAGE OF LA CRESCENT LLC

Practice address

1384 County Road 25
La Crescent, MN 55947

Phone

(507) 551-2034

NPI assigned

Apr 6, 2018

Organization subpart

No

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

Authorized official

Name

Ann Simonson

Title

Property Manager

Phone

(715) 598-7040

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522972800000",
    "number": "1225535396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 MONARCH CT",
            "city": "ALTOONA",
            "state": "WI",
            "postal_code": "547202642",
            "telephone_number": "715-598-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1384 COUNTY ROAD 25",
            "city": "LA CRESCENT",
            "state": "MN",
            "postal_code": "55947",
            "telephone_number": "507-551-2034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGBROOK VILLAGE OF LA CRESCENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-06",
        "last_updated": "2018-04-06",
        "status": "A",
        "authorized_official_last_name": "SIMONSON",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "PROPERTY MANAGER",
        "authorized_official_telephone_number": "715-598-7040"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rushford Drug Co
• Jared Steven Sanness, PTA
• Steven K Schams, D.C. D.A.B.C.O.
• Carter William Schmitz
• Devin Kay Skaar, OTR
• Alyssa Nicole Stecker
• Carisa Dee Tacke
• Theodore J. Pierzina
• Traditions of la Crescent LLC
• Traveling Angel PC

• All providers in La Crescent, MN
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2018; 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.