Active NPI
Senior Management Inc.
Doing business as Caledonia Care & Rehab
- Skilled Nursing Facility
- Caledonia, MN
National Provider Identifier
1891880936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 357654
- Legal business name
- SENIOR MANAGEMENT INC.
- Doing business as
- Caledonia Care & Rehab
- Practice address
- 425 N Badger St
Caledonia, MN 55921-0112 - Phone
- (507) 725-3351
- Fax
- (507) 725-5142
- NPI assigned
- Oct 4, 2006
- Last updated
- Apr 1, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Grant D Thayer
- Title
- President
- Phone
- (507) 269-6815
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | 1033406-1-ADC | MN | |
| Assisted Living Facility | 310400000X | 359436 | MN | |
| Assisted Living Facility | 310400000X | 359435 | MN | |
| Skilled Nursing Facility | 314000000X | 357654 | MN | Primary |
Addresses
Primary practice location
425 N Badger St
Caledonia, MN 55921-0112
Mailing address
425 N Badger St
P.O. Box 112
Caledonia, MN 55921-0112
Phone (507) 725-3351
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NH0246 | Other | MN | U-CARE |
| 1042964 | Other | MN | PREFERRED ONE-INPATIENT |
| 190176100 | Medicaid | MN | |
| 2R12CA | Other | MN | BCBS OF MN |
| 1040058 | Other | MN | PREFERRED ONE-OUTPATIENT |
Other names 1
- Caledonia Care & Rehab
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Barron Care and Rehabilitation
- Skilled Nursing Facility
- Barron, WI
- NPI 1003000514
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1364774400000",
"number": "1891880936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 N BADGER ST",
"address_2": "P.O. BOX 112",
"city": "CALEDONIA",
"state": "MN",
"postal_code": "559210112",
"telephone_number": "507-725-3351",
"fax_number": "507-725-5142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 N BADGER ST",
"city": "CALEDONIA",
"state": "MN",
"postal_code": "559210112",
"telephone_number": "507-725-3351",
"fax_number": "507-725-5142"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SENIOR MANAGEMENT INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-04",
"last_updated": "2013-04-01",
"status": "A",
"authorized_official_last_name": "THAYER",
"authorized_official_first_name": "GRANT",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "507-269-6815",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": "MN",
"license": "1033406-1-ADC",
"primary": false
},
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "MN",
"license": "359436",
"primary": false
},
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "MN",
"license": "359435",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MN",
"license": "357654",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "U-CARE",
"identifier": "NH0246",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE-INPATIENT",
"identifier": "1042964",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "190176100",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MN",
"identifier": "2R12CA",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE-OUTPATIENT",
"identifier": "1040058",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Caledonia Care & Rehab",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Caledonia, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.