Augustana Oakview Care, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

AUGUSTANA OAKVIEW CARE, LLC

Practice address

300 Talbot Dr
Moose Lake, MN 55767-5028

Phone

(218) 485-8779

NPI assigned

Feb 2, 2015

Last updated

Feb 2, 2015By 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

Craig Kittelson

Title

Cfo

Phone

(612) 238-5205

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1422835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422835200000",
    "number": "1720478407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 TALBOT DR",
            "city": "MOOSE LAKE",
            "state": "MN",
            "postal_code": "557675028",
            "telephone_number": "218-485-8779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 TALBOT DR",
            "city": "MOOSE LAKE",
            "state": "MN",
            "postal_code": "557675028",
            "telephone_number": "218-485-8779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTANA OAKVIEW CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-02",
        "last_updated": "2015-02-02",
        "status": "A",
        "authorized_official_last_name": "KITTELSON",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "612-238-5205"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas T Allard, PT
• Andrew Ames, M.D.
• Melissa Jean Anderson, MA
• Augustana Mercy Care Center LLC (Augustana Kenwood Place)
• Augustana Mercy Care Center LLC (Moose Lake Village)
• Kristina Bailey
• Sharyn Barney, M.D.
• John Sutherland Barry, M.D.
• Bruce A. Beaman, LMFT
• Brianna D Bentley, DPT

• Assisted Living Facility in Moose Lake, MN
• Providers in Moose Lake, 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 Feb 2, 2015; 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.