NPIMap

Organization Active NPI

The Foundation for Health Care Continuums

Doing business as Country Manor Health and Rehab Center

  • Skilled Nursing Facility
  • Sartell, MN
National Provider Identifier
1740270875
Registry record updated Feb 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
330056 Issued in MN
Legal business name
THE FOUNDATION FOR HEALTH CARE CONTINUUMS
Doing business as
Country Manor Health and Rehab Center
Practice address
520 1St St NE
Sartell, MN 56377-1274
Phone
(320) 253-1920
Fax
(320) 656-5922
NPI assigned
Oct 28, 2005
Last updated
Feb 25, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2013

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

Authorized official

Name
Mr. Brian Kelm
Title
Administrator
Phone
(320) 253-1920

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 330056 MN Primary

Addresses

Primary practice location

520 1St St NE
Sartell, MN 56377-1274

Mailing address

520 1St St NE
Sartell, MN 56377-1274
Phone (320) 253-1920

Other identifiers 2

IdentifierTypeStateIssuer
24-5330OtherMNOSCAR
943188800MedicaidMN

Other names 1

  • Country Manor Health and Rehab Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Country Manor Campus LLC9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

NPI Registry JSON

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361750400000",
    "number": "1740270875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 1ST ST NE",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563771274",
            "telephone_number": "320-253-1920",
            "fax_number": "320-656-5922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 1ST ST NE",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563771274",
            "telephone_number": "320-253-1920",
            "fax_number": "320-656-5922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FOUNDATION FOR HEALTH CARE CONTINUUMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-28",
        "last_updated": "2013-02-25",
        "status": "A",
        "authorized_official_last_name": "KELM",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "320-253-1920",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "330056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OSCAR",
            "identifier": "24-5330",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "943188800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Country Manor Health and Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sartell, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; 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.