Barrett Assisted Living Community, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

3267636 Issued in MN

Legal business name

BARRETT ASSISTED LIVING COMMUNITY, INC.

Practice address

800 Spruce Ave
Barrett, MN 56311-4505

Phone

(320) 528-2527

Fax

(320) 528-2642

NPI assigned

Jun 13, 2005

Organization subpart

No

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

Authorized official

Name

Vernon Junker

Title

Adminsitrator

Phone

(320) 528-2527

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790789113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 SPRUCE AVE",
            "city": "BARRETT",
            "state": "MN",
            "postal_code": "563114505",
            "telephone_number": "320-528-2527",
            "fax_number": "320-528-2642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SPRUCE AVE",
            "city": "BARRETT",
            "state": "MN",
            "postal_code": "563114505",
            "telephone_number": "320-528-2527",
            "fax_number": "320-528-2642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRETT ASSISTED LIVING COMMUNITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JUNKER",
        "authorized_official_first_name": "VERNON",
        "authorized_official_title_or_position": "ADMINSITRATOR",
        "authorized_official_telephone_number": "320-528-2527"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "3267636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "72847",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barrett Care Center. Inc
• Chad Roger Fedje, R.N.
• June Franzen, NP
• Garyt Haagenson-Buck
• Ruth Ann Johnson

• Assisted Living Facility in Barrett, MN
• Providers in Barrett, 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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.