Benedictine Living Community of Mora

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

371951 Issued in MN

Legal business name

BENEDICTINE LIVING COMMUNITY OF MORA

Practice address

170 Valhalla Cir
Mora, MN 55051-4905

Phone

(320) 679-4789

NPI assigned

Jul 15, 2015

Organization subpart

No

Name

Mr. Jack L'Heureux

Title

Administrator/Ceo

Phone

(320) 679-8312

Tax ID family

Benedictine Living Community of Mora4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Benedictine Living Community of Mora

  • Home Health Agency
  • Mora, MN
  • NPI 1003425075
  NPD tax ID
• Benedictine Living Community of Mora

  • Skilled Nursing Facility
  • Mora, MN
  • NPI 1811293590
  NPD tax ID
• Living Services Foundation/Mora, LLC

  • Skilled Nursing Facility
  • Mora, MN
  • NPI 1801034426
  NPD tax ID

• EASTWOOD SENIOR LIVING Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 15, 2015.

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436918400000",
    "number": "1891179271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 VALHALLA CIR",
            "city": "MORA",
            "state": "MN",
            "postal_code": "550514905",
            "telephone_number": "320-679-4789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 VALHALLA CIR",
            "city": "MORA",
            "state": "MN",
            "postal_code": "550514905",
            "telephone_number": "320-679-4789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENEDICTINE LIVING COMMUNITY OF MORA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-15",
        "last_updated": "2015-07-15",
        "status": "A",
        "authorized_official_last_name": "L'HEUREUX",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "ADMINISTRATOR/CEO",
        "authorized_official_telephone_number": "320-679-8312",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "371951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EASTWOOD SENIOR LIVING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jamie Rose Bankers
• Samantha Lynn Bednar, ATC
• Glen Thomas Bellefeuille
• Benedictine Living Community of Mora
• Benedictine Living Community of Mora
• Chelsea Benson, PHARM.D.
• Renae Ann Berg, LADC
• Marie E Bergloff, LADC
• Danielle Marie Bergman, M.D.
• David Bidle, MD

• All providers in Mora, MN
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; 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.