Red Wing Healthcare LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

4339620 Issued in MN

Legal business name

RED WING HEALTHCARE LLC

Doing business as

Red Wing Health Center

Practice address

1412 W 4TH St
Red Wing, MN 55066-2107

Phone

(651) 388-2843

Fax

(651) 388-9502

NPI assigned

Jan 9, 2007

Organization subpart

No

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

Authorized official

Name

Dallas Reese, LNHA

Title

Administrator

Phone

(651) 388-2843

Specialties & licenses 1

Addresses

Other names 1

• RED WING HEALTH CENTER Doing business as

Tax ID family

Red Wing Health Center2 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.

• Red Wing Health Center

  • Psychologist
  • Red Wing, MN
  • NPI 1841617172
  NPD tax ID

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841349925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 W 4TH ST",
            "city": "RED WING",
            "state": "MN",
            "postal_code": "550662107",
            "telephone_number": "651-388-2843",
            "fax_number": "651-388-9502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 W 4TH ST",
            "city": "RED WING",
            "state": "MN",
            "postal_code": "550662107",
            "telephone_number": "651-388-2843",
            "fax_number": "651-388-9502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED WING HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REESE",
        "authorized_official_first_name": "DALLAS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "651-388-2843",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "4339620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RED WING HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Red Wing Healing Arts PLLC
• Red Wing Health Center
• Red Wing Health Center LLC (Bay View Nursing & Rehabilitation Center (R-80))
• Red Wing Health Center LLC (Bay View Nursing & Rehabilitation Center)
• Red Wing Health Center, LLC (Red Wing Health Center)
• Red Wing Optometric Clinic, P.a. (eye care associates)
• Red Wing Public Schools
• Red Wing Vision Care LLC (Pearle Vision)
• Sarah Reichert, MS, LICSW
• Stormie Ann Reiman

• Skilled Nursing Facility in Red Wing, MN
• Providers in Red Wing, MN by specialty
• Skilled Nursing 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.