Organization Active NPI

Senior Management Inc.

Doing business as Caledonia Care & Rehab

  • Skilled Nursing Facility
  • Caledonia, MN
National Provider Identifier
1891880936
Registry record updated Apr 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
357654 Issued in MN
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
NH0246OtherMNU-CARE
1042964OtherMNPREFERRED ONE-INPATIENT
190176100MedicaidMN
2R12CAOtherMNBCBS OF MN
1040058OtherMNPREFERRED ONE-OUTPATIENT

Other names 1

  • Caledonia Care & Rehab Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

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.

Verify at the official NPI Registry.