Decker'S Family Care, Inc.
Organization Active NPI Assisted Living Facility · Ranier, MN
NPI 1497912224 · NPPES record last updated Aug 1, 2008
Key facts
- NPI
- 1497912224
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- 690956600 (MN)
- Legal business name
- DECKER'S FAMILY CARE, INC.
- Practice address
- 3443 Pine St.
Ranier, MN 56668 - Phone
- (218) 286-5635
- Fax
- (218) 286-5312
- NPI assigned
- May 20, 2008
- Organization subpart
- No
Authorized official
- Name
- John Arthur Decker, RN
- Title
- Operations Manager
- Phone
- (218) 286-5635
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D1061747 | Decker'S Family Care Inc Ranier Roost | Certificate of waiver | Nov 27, 2026 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 690956600 | MN | Yes |
Addresses
Primary practice location
3443 Pine St.
Ranier, MN 56668
Mailing address
3443 Pine Street
Ranier, MN 56668
Phone (218) 286-5635
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 690956600 | Other | MN | MN-ITS |
Other names
- Ranier Roost
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.