Minnesota Odd Fellows Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MINNESOTA ODD FELLOWS HOME

Practice address

815 Forest Ave
Northfield, MN 55057-1643

Phone

(507) 664-8800

Fax

(507) 645-0942

NPI assigned

Nov 8, 2006

Organization subpart

No

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

Authorized official

Name

Curtis Bach

Title

Cfo

Phone

(320) 589-4910

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 4

• Campus A/L Doing business as
• Home Care Link Doing business as
• Three Links Care Center Doing business as
• Minnesota Odd Fellows Home Former legal business name

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Minnesota Odd Fellows Home

  • Adult Day Care Clinic/Center
  • Northfield, MN
  • NPI 1447801303
  NPPES parent name

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1740350792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 FOREST AVE",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550571643",
            "telephone_number": "507-664-8800",
            "fax_number": "507-645-0942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 FOREST AVE",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550571643",
            "telephone_number": "507-664-8800",
            "fax_number": "507-645-0942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA ODD FELLOWS HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "BACH",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "320-589-4910"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "770343100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Campus A/L",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Campus A/L",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Home Care Link",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Three Links Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Minnesota Odd Fellows Home",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Carrie H Menk, LICSW
• Anne Elizabeth Meyer-Ruppel, NP
• Garet Chayce Miliner, OD
• Mind Body Psychotherapy LLC
• Minnesota Odd Fellows Home
• Minnesota Orthodontics and Dentofacial Orthopedics PA
• Modern Therapeutics PLLC
• Pamela Jo Moening, OTR/L
• Seth Kenton Mogler, DNAP
• Mood and Sleep Clinic

• Assisted Living Facility in Northfield, MN
• Providers in Northfield, 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 5, 2025; 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.