Organization Active NPI

Owatonna Care Center

  • Skilled Nursing Facility
  • Owatonna, MN
National Provider Identifier
1942503735
Registry record updated Jul 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
OWATONNA CARE CENTER
Practice address
201 18TH St SW
Owatonna, MN 55060-3913
Phone
(507) 451-8600
NPI assigned
Dec 16, 2010
Organization subpart
Yes
Parent organization
DNR THREE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 8, 2013

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

Authorized official

Name
Garett Robertson
Title
Ceo
Phone
(801) 296-5105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

201 18TH St SW
Owatonna, MN 55060-3913

Mailing address

201 18TH St SW
Owatonna, MN 55060-3913
Phone (507) 451-6800

Other identifiers 1

IdentifierTypeStateIssuer
1942503735MedicaidMN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1292457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373241600000",
    "number": "1942503735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 18TH ST SW",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550603913",
            "telephone_number": "507-451-6800",
            "fax_number": "507-451-6087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 18TH ST SW",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550603913",
            "telephone_number": "507-451-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OWATONNA CARE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DNR THREE LLC",
        "enumeration_date": "2010-12-16",
        "last_updated": "2013-07-08",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "GARETT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-296-5105"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942503735",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owatonna, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.