Highland Chateau Suites, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

331933 Issued in MN

Legal business name

HIGHLAND CHATEAU SUITES, LLC

Doing business as

Highland Chateau Health and Rehabilitation

Practice address

2319 7TH St W
Saint Paul, MN 55116-2813

Phone

(651) 690-8233

Fax

(651) 690-8232

NPI assigned

Jul 18, 2006

Organization subpart

No

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

Authorized official

Name

Amber Rogotzke

Title

President

Phone

(763) 537-5700

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Highland Chateau Health and Rehabilitation Doing business as

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586390400000",
    "number": "1871511790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12900 WHITEWATER DR STE 201",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553439407",
            "telephone_number": "763-537-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2319 7TH ST W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551162813",
            "telephone_number": "651-690-8233",
            "fax_number": "651-690-8232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND CHATEAU SUITES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A",
        "authorized_official_last_name": "ROGOTZKE",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-537-5700"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "331933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5J10HI",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110115300",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "NH0073",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highland Chateau Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Saint Paul, MN
• Providers in Saint Paul, 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 Apr 9, 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.