Aftenro Society Home for the Aged

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

327386 Issued in MN

Legal business name

AFTENRO SOCIETY HOME FOR THE AGED

Practice address

510 W College St
Duluth, MN 55811-4902

Phone

(218) 728-6600

Fax

(218) 728-5452

NPI assigned

Nov 17, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Virginia Johnson

Title

Board President

Phone

(218) 728-6600

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Aftenro Home Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bruce Robert Smith, MD

  • Internal Medicine Physician
  • Duluth, MN
  • NPI 1255467841
  NPD (past)
• Peter Alan Wodrich, M.D.

  • Family Medicine Physician
  • Duluth, MN
  • NPI 1093794794
  NPD (past)
• Rachel Zaudtke Gordon, M.D.

  • Hospitalist Physician
  • Sioux Falls, SD
  • NPI 1386904092
  NPD (past)

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932181765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 W COLLEGE ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558114902",
            "telephone_number": "218-728-6600",
            "fax_number": "218-728-5452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 W COLLEGE ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558114902",
            "telephone_number": "218-728-6600",
            "fax_number": "218-728-5452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFTENRO SOCIETY HOME FOR THE AGED",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_title_or_position": "BOARD PRESIDENT",
        "authorized_official_telephone_number": "218-728-6600",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "MN",
            "license": "327386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PLAN OF MINNESOTA",
            "identifier": "140027",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U-CARE OF MINNESOTA",
            "identifier": "NH0477",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "71-80491",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aftenro Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leslie Adrian, M.D.
• Brian Joseph Aebly, D.O.
• Aeriel Recovery Services
• Affordable Dentures - Duluth, P.C.
• Affordable Dentures & Implants - Duluth, P.C.
• Age Well Arrowhead Inc.
• Rahul Aggarwal, M.D.
• Kathleen Muree Ahlberg
• Abdulqadir Ahmed
• Holly Lynn Ahnen, PHARMD

• All providers in Duluth, MN
• Nursing Facility/Intermediate Care Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.