Organization Active NPI

Brandons Assisted Living LLC

Doing business as Home Care by The Care Campus

  • Assisted Living Facility
  • Brandon, MN
National Provider Identifier
1336584606
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
BRANDONS ASSISTED LIVING LLC
Doing business as
Home Care by The Care Campus
Practice address
305 Central Ave S
Brandon, MN 56315-5802
Phone
(320) 524-2208
NPI assigned
May 1, 2013
Last updated
Jun 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Authorized official

Name
Brandon Borgstrom
Title
Owner
Phone
(320) 290-6527

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 381347 MN
Assisted Living Facility 310400000X MN Primary

Addresses

Primary practice location

305 Central Ave S
Brandon, MN 56315-5802

Mailing address

305 Central Ave S
Brandon, MN 56315-5802

Other names 1

  • Home Care by The Care Campus Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180815000005 MN Part A Provider - Home Health Agency 9537450994 Practice locations: Brandon, MN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1336584606. Details of each certification follow.

Home health agency certification: CCN 248148

Legal name
BRANDONS ASSISTED LIVING LLC
Doing business as
HOME CARE BY THE CARE CAMPUS
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 28, 2017
Last certification
Sep 28, 2017
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
305 Central Ave S
Brandon, MN 56315-5802

Care Compare: Home health agency

Medicare Care Compare
Listed as
Home Care by the Care CampusCCN 248148 · All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Sep 28, 2017
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2014290Brandons Assisted Living LLC305 Central Avenue South, Brandon, MN 56315Certificate of waiverOct 4, 2026

National Provider Directory

National Provider Directory

Locations

305 Central Ave S
Brandon, MN 56315
Phone (218) 405-0007

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Brandon J Borgstrom Individual 5% Or Greater Direct Ownership InterestOwner Jun 1, 2013 60%
Vanessa Gilsrud Individual W-2 Managing EmployeeRN Administrator Apr 10, 2023 10%
Lance a Johnson Individual 5% Or Greater Direct Ownership InterestCo-Owner May 20, 2025 20.4%
Heidi Johnson Individual 5% Or Greater Direct Ownership InterestCo-Owner May 20, 2025 19.6%

Practitioners & affiliated clinicians

Practitioners 1

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.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749168000000",
    "number": "1336584606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 CENTRAL AVE S",
            "city": "BRANDON",
            "state": "MN",
            "postal_code": "563155802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 CENTRAL AVE S",
            "city": "BRANDON",
            "state": "MN",
            "postal_code": "563155802",
            "telephone_number": "320-524-2208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDONS ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-01",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A",
        "authorized_official_last_name": "BORGSTROM",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "320-290-6527"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "381347",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Care by The Care Campus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brandon, MN

Sources for this page

Verify at the official NPI Registry.