Active NPI
Eldercare of Bemidji, Inc
- Assisted Living Facility
- Bemidji, MN
National Provider Identifier
1356969869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- ELDERCARE OF BEMIDJI, INC
- Practice address
- 1511 Delton Ave NW
Bemidji, MN 56601-2586 - Phone
- (218) 444-4999
- Fax
- (218) 444-5603
- NPI assigned
- Jul 10, 2020
- Organization subpart
- Yes
- Parent organization
- ELDERCARE OF BEMIDJI, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Barbara Ann Caspers
- Title
- Finance Director
- Phone
- (218) 766-1154
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
1511 Delton Ave NW
Bemidji, MN 56601-2586
Mailing address
1511 Delton Ave NW
Bemidji, MN 56601-2586
Phone (218) 444-4999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A667908200 | Medicaid | MN |
Other names 1
- Tamarack Court
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D2098929 | Tamarack Court | Certificate of waiver | Jul 16, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Eldercare of Bemidji Inc
- Part of
- Eldercare of Bemidji Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Bemidji, MN
- NPI 1295836237
-
- Assisted Living Facility
- Bemidji, MN
- NPI 1427145762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686009600000",
"number": "1356969869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1511 DELTON AVE NW",
"city": "BEMIDJI",
"state": "MN",
"postal_code": "566012586",
"telephone_number": "218-444-4999",
"fax_number": "218-444-5603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1511 DELTON AVE NW",
"city": "BEMIDJI",
"state": "MN",
"postal_code": "566012586",
"telephone_number": "218-444-4999",
"fax_number": "218-444-5603"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELDERCARE OF BEMIDJI, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ELDERCARE OF BEMIDJI, INC",
"enumeration_date": "2020-07-10",
"last_updated": "2023-06-06",
"certification_date": "2023-06-06",
"status": "A",
"authorized_official_last_name": "CASPERS",
"authorized_official_first_name": "BARBARA",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "FINANCE DIRECTOR",
"authorized_official_telephone_number": "218-766-1154"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "A667908200",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Tamarack Court",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Tamarack Court",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bemidji, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; 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.