Rose Haven

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ROSE HAVEN

Practice address

37 6TH St SE
Menahga, MN 56464-3157

Phone

(218) 564-4268

Fax

(218) 564-5449

NPI assigned

Mar 12, 2013

Last updated

Mar 12, 2013By 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

Russell Edwaed Hendrickson

Title

Owner

Phone

(218) 564-4268

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1363046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363046400000",
    "number": "1487995791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 6TH ST SE",
            "city": "MENAHGA",
            "state": "MN",
            "postal_code": "564643157",
            "telephone_number": "218-564-4268",
            "fax_number": "218-564-5449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 6TH ST SE",
            "city": "MENAHGA",
            "state": "MN",
            "postal_code": "564643157",
            "telephone_number": "218-564-4268",
            "fax_number": "218-564-5449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE HAVEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-12",
        "last_updated": "2013-03-12",
        "status": "A",
        "authorized_official_last_name": "HENDRICKSON",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "EDWAED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-564-4268"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Joy Koebernick
• Julia Livingston
• Restemayer Family Dentistry, PC
• Charles R Restemayer, DDS
• Rock Solid, LLC
• Rose Haven Assisted Living Incorporated
• Seip Drug LLC (Seip Drug)
• Jared Skoog
• Snyders Drug (Snyder Drug Emporium)
• St Mary's Regional Health Center (Essentia Health Menahga Clinic)

• Assisted Living Facility in Menahga, MN
• Providers in Menahga, 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 Mar 12, 2013; 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.