KC Companies of Sandstone Inc/Sandstone Golden Horizons

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

KC COMPANIES OF SANDSTONE INC/SANDSTONE GOLDEN HORIZONS

Practice address

1109 Lundorff
Sandstone, MN 55072

Phone

(320) 216-7300

Fax

(320) 216-7022

NPI assigned

Mar 21, 2017

Last updated

Mar 21, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Charles Joseph Lane

Title

Principal

Phone

(218) 568-6610

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490054400000",
    "number": "1972034189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 379",
            "address_2": "30184 OLD HWY 371",
            "city": "PEQUOT LAKES",
            "state": "MN",
            "postal_code": "56472",
            "telephone_number": "218-568-6610",
            "fax_number": "218-568-6642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 LUNDORFF",
            "city": "SANDSTONE",
            "state": "MN",
            "postal_code": "55072",
            "telephone_number": "320-216-7300",
            "fax_number": "320-216-7022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KC COMPANIES OF SANDSTONE INC/SANDSTONE GOLDEN HORIZONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-21",
        "last_updated": "2017-03-21",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "218-568-6610",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brent Merrill Jahnz
• Brianne Camilla Johnsen
• Kevin Mark Johnson
• Lowell Johnson
• Luann Johnson
• Chris A Ketchmark
• Naomi Koenig, APRN,FNP-C, PMHNP-BC
• Kerry Joy Kroschel
• Shelly Anne Kuhlmann, NP
• Patrice R Laursen

• Assisted Living Facility in Sandstone, MN
• Providers in Sandstone, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; 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.