The Lutheran Home Cedar Haven

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

333375 Issued in MN

Legal business name

THE LUTHERAN HOME CEDAR HAVEN

Practice address

630-640 Reed Street
Mankato, MN 56001

Phone

(507) 625-1512

Fax

(507) 388-6428

NPI assigned

Mar 14, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kay Inglett

Title

Corporate Controller

Phone

(952) 873-6000

Specialties & licenses 1

Addresses

Tax ID family

The Lutheran Home Cedar Haven3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• The Lutheran Home: Cedar Haven

  • Assisted Living Facility
  • Mankato, MN
  • NPI 1518398890
  NPD tax ID
• The Lutheran Home Cochrane

  • Assisted Living Facility
  • Cochrane, WI
  • NPI 1811019870
  NPD tax ID

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407989817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630-640 REED STREET",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "56001",
            "telephone_number": "507-625-1512",
            "fax_number": "507-388-6428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630-640 REED STREET",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "56001",
            "telephone_number": "507-625-1512",
            "fax_number": "507-388-6428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LUTHERAN HOME CEDAR HAVEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "INGLETT",
        "authorized_official_first_name": "KAY",
        "authorized_official_title_or_position": "CORPORATE CONTROLLER",
        "authorized_official_telephone_number": "952-873-6000"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "333375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanne Marie Ternes, PHARMD
• Mary Alyssa Terra, D.O.
• Jacob A Tester
• Lylah Thao
• The Blue Couch
• The Lutheran Home: Cedar Haven
• The Mount Everest Care LLC
• Darla R Theobald, NP
• Therapy Is Cool LLC
• Kaci Theurer

• Assisted Living Facility in Mankato, MN
• Providers in Mankato, 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 Aug 22, 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.