Minnetonka Health Care Center, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

330780 Issued in MN

Legal business name

MINNETONKA HEALTH CARE CENTER, INC.

Doing business as

Lake Minnetonka Care Center

Practice address

20395 Summerville Rd
Excelsior, MN 55331-9226

Phone

(952) 474-4474

Fax

(952) 474-4272

NPI assigned

Dec 8, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey Robert Sprinkel, J.D., M.DIV

Title

Administrator

Phone

(952) 474-4474

Specialties & licenses 1

Addresses

Other names 1

• Lake Minnetonka Care Center Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Darin Ray Brink, MD

  • Family Medicine Physician
  • Little Falls, MN
  • NPI 1376655050
  NPD (past)

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659430338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20395 SUMMERVILLE RD",
            "city": "EXCELSIOR",
            "state": "MN",
            "postal_code": "553319226",
            "telephone_number": "952-474-4474",
            "fax_number": "952-474-4272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20395 SUMMERVILLE RD",
            "city": "EXCELSIOR",
            "state": "MN",
            "postal_code": "553319226",
            "telephone_number": "952-474-4474",
            "fax_number": "952-474-4272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNETONKA HEALTH CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SPRINKEL",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "952-474-4474",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "J.D., M.DIV"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "330780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Minnetonka Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Candia Meyer, LMT
• Clare Meyer
• Shari Lynn Michels
• Minnesota Micro Medicine
• Minnesota Otolaryngology, P.a.
• Momentum Health & Wellness, PLLC
• Melissa Ann Morency, MT
• Miranda Moser, RN
• Brittany Mulder, D.C.
• Sandra Ryan Myhre, MSW, LICSW

• Skilled Nursing Facility in Excelsior, MN
• Providers in Excelsior, MN by specialty
• Skilled Nursing 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.