Homestead at Rochester, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

HOMESTEAD AT ROCHESTER, INC.

Doing business as

The Homestead at Rochester

Practice address

1900 Ballington Blvd NW
Rochester, MN 55901-5202

Phone

(507) 535-2000

NPI assigned

Jul 7, 2021

Last updated

Jul 7, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nancy Gavin

Title

Assistant Secretary

Phone

(612) 428-7840

Specialties & licenses 1

Addresses

Other names 1

• The Homestead at Rochester Doing business as

Tax ID family

Homestead at Rochester Inc2 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.

• Homestead at Rochester, Inc.

  dba Rochester Rehabilitation and Living Center

  • Skilled Nursing Facility
  • Rochester, MN
  • NPI 1013347780
  NPD tax ID

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

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625616000000",
    "number": "1881265189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 BALLINGTON BLVD NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559015202",
            "telephone_number": "507-535-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 BALLINGTON BLVD NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559015202",
            "telephone_number": "507-535-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMESTEAD AT ROCHESTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-07",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A",
        "authorized_official_last_name": "GAVIN",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "612-428-7840"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Homestead at Rochester",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jodie Rae Holzman, LICSW
• Nicole R Holzworth, OT
• Andrew Christian Homb, M.D.
• Homeplus Healthcare, Inc.
• Homestead at Rochester, Inc. (Rochester Rehabilitation and Living Center)
• James L Homme, M.D.
• Jason H Homme, M.D.
• Philip Hommerding, PHARMD
• Zachary Bruce Homontowski, DNAP
• Matthew E Homstad, LPCC

• Assisted Living Facility in Rochester, MN
• Providers in Rochester, 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 Jul 7, 2021; 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.