Evansville Care Campus LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

EVANSVILLE CARE CAMPUS LLC

Doing business as

Evansville Senior Living

Practice address

649 State St NW
Evansville, MN 56326-8124

Phone

(218) 948-2219

NPI assigned

Sep 9, 2009

Last updated

Jun 6, 2025By 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. Shawn B Johnson

Title

President/Owner

Phone

(320) 760-3236

Specialties & licenses 1

Addresses

Other names 1

• EVANSVILLE SENIOR LIVING Doing business as

Tax ID family

Evansville Care Campus LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Evansville Care Campus LLC

  dba Evansville Care Center

  • Skilled Nursing Facility
  • Evansville, MN
  • NPI 1134352917
  NPD tax ID

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

{
    "created_epoch": "1252454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749168000000",
    "number": "1992038905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649 STATE ST NW",
            "city": "EVANSVILLE",
            "state": "MN",
            "postal_code": "563268124",
            "telephone_number": "218-948-2219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649 STATE ST NW",
            "city": "EVANSVILLE",
            "state": "MN",
            "postal_code": "563268124",
            "telephone_number": "218-948-2219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANSVILLE CARE CAMPUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-09",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "320-760-3236",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EVANSVILLE SENIOR LIVING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dee Ann Baune
• Evansville Care Campus LLC (Evansville Care Center)
• Foundation for Rural Health Care (Evansville Residence)
• Foundation for Rural Health Care (Crestview Manor)
• Kramer Chiropractic P.a.
• Donna K Meissner
• Philicity Kae Messman, LICSW

• Assisted Living Facility in Evansville, MN
• Providers in Evansville, 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 Jun 6, 2025; 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.