Mount Olivet Rolling Acres

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

801603-3-RS Issued in MN

Legal business name

MOUNT OLIVET ROLLING ACRES

Practice address

18986 Lake Dr E
Chanhassen, MN 55317-9348

Phone

(952) 401-4843

Fax

(952) 474-1148

NPI assigned

Dec 27, 2006

Organization subpart

No

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

Authorized official

Name

Kari Dose

Title

Office Manager

Phone

(952) 474-5974

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, Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Chanhassen, MN
  • NPI 1659720951
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Benjamin Michael Scherschligt, MD

  • Family Medicine Physician
  • Waconia, MN
  • NPI 1578875795
  NPD (past)

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333929600000",
    "number": "1801951934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18986 LAKE DR E",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553179348",
            "telephone_number": "952-401-4843",
            "fax_number": "952-474-1148"
        },
        {
            "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": "952-401-4843",
            "fax_number": "952-474-1148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT OLIVET ROLLING ACRES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2012-04-09",
        "status": "A",
        "authorized_official_last_name": "DOSE",
        "authorized_official_first_name": "KARI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "952-474-5974"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "MN",
            "license": "801603-3-RS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• 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 Apr 9, 2012; 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.