Mount Olivet Rolling Acres, Inc

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

MOUNT OLIVET ROLLING ACRES, INC

Practice address

18986 Lake Dr E
Chanhassen, MN 55317-9348

Phone

(952) 474-5974

NPI assigned

Jun 7, 2016

Organization subpart

No

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

Authorized official

Name

Bruce Torgerson

Title

Chief Operating Officer

Phone

(952) 401-4847

Specialties & licenses 1

Addresses

Tax ID family

Mount Olivet Rolling Acres2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Mount Olivet Rolling Acres

  • Intellectual Disabilities Intermediate Care Facility
  • Chanhassen, MN
  • NPI 1801951934
  NPD tax ID

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465862400000",
    "number": "1659720951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9375 JAN VIEW LN",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553879551",
            "telephone_number": "952-474-5974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18986 LAKE DR E",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553179348",
            "telephone_number": "952-474-5974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT OLIVET ROLLING ACRES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-07",
        "last_updated": "2016-06-14",
        "status": "A",
        "authorized_official_last_name": "TORGERSON",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "952-401-4847"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Idil Mohamed
• Rachel M Moran, LMFT
• Michael Thomas Moritz, R.PH.
• Motive Motion LLC
• Mount Olivet Rolling Acres
• Julie Muggli, MA, LPCC
• Karin L. Mulrooney, M.D.
• Melanie Clare Murn, MD
• Melissa A Naidyhorski, DDS
• David B Neubauer, D.C.

• Intellectual Disabilities Intermediate Care Facility in Chanhassen, MN
• Providers in Chanhassen, MN by specialty
• Intellectual Disabilities Intermediate Care Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; 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.