NPIMap

Organization Active NPI

Winona Senior Services, Inc.

  • Alzheimer Center (Dementia Center)
  • Winona, MN
National Provider Identifier
1396950705
Registry record updated Jan 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Alzheimer Center (Dementia Center)Taxonomy code 311500000X
License
333578 Issued in MN
Legal business name
WINONA SENIOR SERVICES, INC.
Practice address
875 Mankato Ave
Winona, MN 55987-5362
Phone
(507) 454-0179
NPI assigned
May 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2020

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

Authorized official

Name
Rachelle Heising-Schultz
Title
Ceo
Phone
(507) 454-3650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Alzheimer Center (Dementia Center) 311500000X 333578 MN Primary

Addresses

Primary practice location

875 Mankato Ave
Winona, MN 55987-5362

Mailing address

875 Mankato Ave
Winona, MN 55987-5362
Phone (507) 454-0179

Other identifiers 1

IdentifierTypeStateIssuer
333578OtherMNSTATE LICENSE - CLASS F

Other names 1

  • Roger Metz Manor Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Adith Miller Manor5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

875 Mankato Ave
Winona, MN 55987
Phone (507) 454-0179

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579824000000",
    "number": "1396950705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 MANKATO AVE",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559875362",
            "telephone_number": "507-454-0179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 MANKATO AVE",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559875362",
            "telephone_number": "507-454-0179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINONA SENIOR SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A",
        "authorized_official_last_name": "HEISING-SCHULTZ",
        "authorized_official_first_name": "RACHELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "507-454-3650"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "MN",
            "license": "333578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE - CLASS F",
            "identifier": "333578",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roger Metz Manor",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Roger Metz Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winona, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; 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.