Presbyterian Homes of North Oaks, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

358747 Issued in MN

Legal business name

PRESBYTERIAN HOMES OF NORTH OAKS, INC.

Practice address

5919 Centerville Rd
North Oaks, MN 55127-6821

Phone

(651) 765-4000

NPI assigned

Mar 18, 2014

Last updated

Mar 18, 2014By 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

Mark Meyer

Title

Cfo

Phone

(651) 631-6120

Specialties & licenses 1

Addresses

Other names 1

• WAVERLY GARDENS Other name

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

{
    "created_epoch": "1395100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395100800000",
    "number": "1629495478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5919 CENTERVILLE RD",
            "city": "NORTH OAKS",
            "state": "MN",
            "postal_code": "551276821",
            "telephone_number": "651-765-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5919 CENTERVILLE RD",
            "city": "NORTH OAKS",
            "state": "MN",
            "postal_code": "551276821",
            "telephone_number": "651-765-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESBYTERIAN HOMES OF NORTH OAKS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-18",
        "last_updated": "2014-03-18",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "651-631-6120"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "358747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WAVERLY GARDENS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Thomas Erik Neafus, D.D.S.
• North Metro Dermatology PLLC
• Jacqueline Sue Pal, C-NP
• Marilynn Poss
• Presbyterian Homes of North Oaks Inc,
• Prime Chiropractic & Rehab Center
• Prime Family Medical Clinic
• Anudeep K Rahil, MD
• Brittany Raymond, PHARM.D.
• Roger Lee Rengel, O.D.

• Assisted Living Facility in North Oaks, MN
• Providers in North Oaks, 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 18, 2014; 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.