Kingsway Minsitries, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

341708 Issued in MN

Legal business name

KINGSWAY MINSITRIES, LLC

Doing business as

Kingsway Retirement Living

Practice address

815 W Main St
Belle Plaine, MN 56011-1266

Phone

(952) 873-5900

NPI assigned

Feb 3, 2009

Organization subpart

Yes

Parent organization

THE LUTHERAN HOME ASSOCIATIONAs reported in NPPES

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

Authorized official

Name

Mr. Steve Wilson

Title

Administrator

Phone

(952) 873-5900

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Kingsway Retirement Living 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

Part of

The Lutheran Home Cochrane

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

{
    "created_epoch": "1233619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233619200000",
    "number": "1356589097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 W MAIN ST",
            "city": "BELLE PLAINE",
            "state": "MN",
            "postal_code": "560111266",
            "telephone_number": "952-873-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 W MAIN ST",
            "city": "BELLE PLAINE",
            "state": "MN",
            "postal_code": "560111266",
            "telephone_number": "952-873-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSWAY MINSITRIES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE LUTHERAN HOME ASSOCIATION",
        "enumeration_date": "2009-02-03",
        "last_updated": "2009-02-03",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "952-873-5900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "341708",
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "341550",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A537908000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kingsway Retirement Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven Larry Jabs, DDS
• Amber Jaeger
• Eleanor Kalgren
• Mackensie Kappers, OTR/L
• Rachelle Kerkow, RN, PHN, LSN
• Margaret Klaustermeier, CNP
• Rebekah Kreger, RN
• Taylor Angeline Kruger, DC
• Meghan Kuznia, M.A., CCC-SLP
• Meng F Lim, M.D.

• Assisted Living Facility in Belle Plaine, MN
• Providers in Belle Plaine, 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 Feb 3, 2009; 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.