2012 DIRECTORY · directory of licensed and certified health care facilities and services...
Transcript of 2012 DIRECTORY · directory of licensed and certified health care facilities and services...
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2012 DIRECTORY
LICENSED,
CERTIFIED AND REGISTERED
HEALTH CARE FACILITIES
AND SERVICES Minnesota Department of Health Licensing and Certification Program P.O. Box 64900 St. Paul, Minnesota 55164-0900
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TABLE OF CONTENTS
FOREWORD
TABLES: STATISTICAL DATA Page
1. Licensing Classifications and Bed Capacities of Institutions and Units, March 15, 2012 ........ I
2. Certification Classifications, March 15, 2012 ........................................................................... I
3. Increase in number of licensed inpatient facilities during the past 65 years ............................. II
4. Hospitals: Bed Range, Ownership ............................................................................................ II
5. Nursing Homes and Units: Bed Range, Ownership ................................................................. III
6. Nursing Homes and Units: Ownership, Percentage of Change ............................................... III
7. Boarding Care Homes and Units: Bed Range, Ownership ..................................................... IV
8. Boarding Care Homes and Units: Ownership, Percentage of Change .................................... IV
9. Supervised Living Facilities and Units: Bed Range, Ownership .............................................. V
10. Supervised Living Facilities and Units: Ownership, Percentage of Change ............................. V
11. Number of Licensed Facilities and Beds by County, March 15, 2012 ............................ VI - XI
12. Number of Certified Facilities and Beds by County, March 15, 2012 ......................... XII - XVI
13. Number of Certified Services by County, March 15, 2012 ....................................... XVII - XX
14. Number of Licensed Home Care Providers (HCP) by Classifications and County,
March 15, 2012 ....................................................................................................... XXI – XXIII
15. Number of Housing with Services Establishments by County, March 15, 2012 ..... XXIV-XXV
16. Number of Hospices and Residential Hospices by County, March 15, 2012…… XXVI-XXVII
FEDERAL HOSPITALS ...................................................................................................... XXVIII
ABBREVIATIONS .................................................................................................................. XXIX
LICENSING AND CERTIFICATION INFORMATION FOR ALL
HEALTH CARE FACILITIES AND SERVICES........................................................... 1 - 418
LISTING OF HEALTH CARE FACILITIES - Grouped by Type/Location
Boarding Care Homes and Units ...........................................................................................419
Community Mental Health Centers .......................................................................................420
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Comprehensive Outpatient Rehabilitation Facilities .............................................................420
End Stage Renal Disease Providers .......................................................................................421
Licensed Home Care Providers ...................................................................................... 422-437
Certified Home Health Agencies .................................................................................. 438-439
Licensed Hospices ..................................................................................................................440
Medicare Certified Hospices ..................................................................................................441
Hospitals ........................................................................................................................ 442-443
Nursing Homes .............................................................................................................. 444-447
Outpatient Occupational Therapy Provider ...........................................................................448
Outpatient Physical Therapy Providers .................................................................................448
Outpatient Speech Therapy Providers ...................................................................................449
Outpatient Surgical Center ............................................................................................. 449-450
Portable X-Ray Suppliers ......................................................................................................451
Rural Health Clinics ...............................................................................................................452
Supervised Living Facilities ........................................................................................... 453-455
ALPHABETICAL LISTING OF LOCATIONS OF HEALTH CARE FACILITIES ......... 456-461
INDEX CONTAINING PAGE NUMBER FOR SPECIFIC FACILITY OR SERVICE -
INDEX PAGES.................................................................................................................. 1 - 45
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MINNESOTA DEPARTMENT OF HEALTH
DIVISION OF COMPLIANCE MONITORING
DIRECTORY OF LICENSED AND
CERTIFIED HEALTH CARE
FACILITIES & SERVICES
March 15, 2012
FOREWORD
The directory that follows contains a list of hospitals and related institutions licensed and/or certified as of March 15, 2012.
They are listed alphabetically by county, town, and facility name. Ownership or control is indicated as follows:
Governmental, NonFederal Nongovernmental, Nonprofit Nongovernmental, For Profit
State Church Related (CHURCH) Individual (INDIV.)
County (CNTY) Nonprofit Corporation (NPROF) Partnership (PART.)
City Other Nonprofit Ownership (ONPROF Corporation (CORP.)
City-County (CYCO) Tribal (TRIBAL) Group (GROUP)
Hospital District (DIST) Business Trust (TRUST)
or Authority Limited Liability Co. (LIM-LIAB)
HOSPITAL AND NURSING HOME LICENSING LAW
Hospitals, boarding care homes, outpatient surgical centers and supervised living facilities in Minnesota are licensed under
the provisions of Sections 144.50 to 144.58 inclusive, Minnesota Statutes. Nursing homes are licensed under the provisions
of 144A.01 - .17, inclusive, Minnesota Statutes.
A "HOSPITAL" means an institution primarily engaged in providing, by or under the supervision of physicians, to inpatients
(A) diagnostic services and therapeutic services for medical diagnosis, treatment, and care of injured, disabled or sick
persons, or (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons.
A "PSYCHIATRIC HOSPITAL" means an entire institution which is primarily engaged in providing, by or under the
supervision of a physician, psychiatric services for the diagnosis and treatment of mentally ill persons. A psychiatric wing or
building of a general hospital would not be considered a psychiatric hospital.
An "OUTPATIENT SURGICAL CENTER" means a freestanding facility organized for the specific purpose of providing
elective outpatient surgery for preexamined, prediagnosed, low risk patients.
A "NURSING HOME" means a facility or that part of a facility which provides nursing care to five or more persons.
Nursing care means health evaluation and treatment of patients and residents who are not in need of an acute care facility but
who require nursing supervision on an inpatient basis.
A "BOARDING CARE HOME" provides personal or custodial care only. Examples of personal or custodial care include:
Help with bathing, dressing, or other personal care; supervision of medications which can be safely self-administered; plus a
program of activities and supervision required by persons who are not capable of properly caring for themselves.
A "SUPERVISED LIVING FACILITY" provides a residential, homelike setting for persons who are mentally retarded, adult
mentally ill, chemically dependent, or physically handicapped. Services include provision of meals, lodging, housekeeping
services, health services, and other services provided by either staff or residents under supervision. Class A facilities include
homes for ambulatory and mobile persons who are capable of taking appropriate action for self-preservation under
emergency conditions as determined by program licensure provisions. Class B facilities include homes for ambulatory,
nonambulatory, mobile or nonmobile persons who are not mentally or physically capable of taking appropriate action for
self-preservation under emergency conditions as determined by program licensure provisions.
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HOME CARE PROVIDER LICENSING LAW
Home care providers in Minnesota are licensed under the provisions of Sections 144A.43-144A.47 inclusive, Minnesota
Statutes.
A "Home Care Provider" means an individual, organization, association, corporation, unit of government, or other entity that
is regularly engaged in the delivery, indirectly or by contractual arrangement, of home care services for a fee. At least one
home care service must be provided directly, although additional home care services may be provided by contractual
arrangements.
Classes of home care licenses are:
Class A or professional home care agency license. Provider may provide all home care services, but at least one of which is
nursing, physical therapy, speech therapy, occupational therapy, nutritional services, medical social services, home health
aide tasks, or the provision of medical supplies and equipment when accompanied by the provision of a home care services.
These may be provided in a place of residence, including a residential center.
Class B or paraprofessional agency license. Under this license, a provider may perform home care aide tasks and home
management tasks in a place of residence.
Class C, or individual paraprofessional license. Under this license, a provider may perform home health aide, home care
aide, and home management tasks in a place of residence.
Class F home care provider license. Under this license, a provider may provide assisted living home care services solely for
residents of one or more registered housing with services establishments.
HOME MANAGEMENT SERVICES
A provider performing only home management tasks must obtain a certificate of registration from the commissioner of
health. Home management services include at least two of the following services: housekeeping, meal preparation, and
shopping provided to a person who is unable to perform these activities due to illness, disability or physical condition.
HOUSING WITH SERVICES ESTABLISHMENTS
Housing with services establishments are registered under the provisions of Chapter 144D., Minnesota Statutes. A housing
with services establishment provides sleeping accommodations to one or more adult residents, at least 80 percent of which
are 55 years of age or older and offering or providing for a fee, one or more regularly scheduled health related services or
two or more regularly scheduled supportive services.
An establishment that meets all the requirements of this chapter except that fewer than 80 percent of the adult residents are
age 55 or older may, at its option, register as a housing with services establishment.
Housing with services establishments that provide Assisted Living Services must meet the requirements under the provisions
of Chapter 144G., Minnesota Statutes. “Assisted living” means a service or package of services advertised, marketed or
otherwise described, offered or promoted under the phrase “assisted living” and which is available only to individuals
residing in a registered housing with services establishment
HOSPICE PROVIDERS
Hospices are licensed under Minnesota Statutes, Section 144A.75, 144A.751-144A.756 and rules adopted thereunder.
A hospice provider means an individual, organization, association, corporation, unit of government, or other entity that
is regularly engaged in the delivery, directly or by contractual arrangement, of hospice services for a fee to terminally ill
hospice patients.
Residential hospice facility means a facility that resembles a single-family home located in a residential area that directly
provides 24-hour residential and support services in a home-like setting for hospice patients as an integral part of the
continuum of home care provided by a hospice.
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I
DIRECTORY OF LICENSED AND CERTIFIED HEALTH CARE FACILITIES AND SERVICES
Classification and Bed Capacity: As of March 15, 2012 the number of licensed Facilities and Services and the total bed
capacities were as shown in Table 1; their certification classifications were as shown in Table 2.
TABLE 1
Licensing Classifications, March 15, 2012
Licensing Classifications Number of Facilities and Services Number of Beds
Hospitals 138 16,509
Bassinets 119 1,831
Psychiatric Hospital 1 20
Nursing Home 376 30,787
Boarding Care Homes 29 1,631
(Includes B.C.H. Units of Other Facilities) (8) (434)
Supervised Living Facilities 307 5,153
Freestanding Outpatient Surgical Centers 59 N/A
Other Specialized Hospitals 10 382
Home Care Providers 1,618 N/A
Hospices 79 N/A
TABLE 2
Certification Classifications, March 15, 2012
Licensing Classifications Number of Facilities and Services Number of Beds
Medicare
Hospitals 62 13,262
Critical Access Hospitals 81 1,793
Psychiatric Hospital 3 286
Skilled Nursing Facilities 369 29,952
Portable X-Ray Facilities 5 -------
Outpatient Occupational Therapy 31 -------
Outpatient Physical Therapy 36 -------
Outpatient Speech Therapy 27
Home Health Agencies 201 -------
Hospices 65 -------
Renal Disease Suppliers 97 ------
Comprehensive Outpatient Rehabilitation Facility 4 -------
Ambulatory Surgical Centers 57 -------
Rural Health Clinics 80 -------
Community Mental Health Centers 14 -------
Medicaid
Nursing Facilities I 362 29,605
Nursing Facilities II 18 947
Intermediate Care Facilities/Mental Retardation 211 1,830
Accreditation by Approved Accrediting Organization
Hospitals (Excluding Psychiatric Facilities) 69 -------
TABLE 2A
Housing with Services Establishments 1,769 -------
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II
TABLE 3
The following table shows the change in the total number of licensed inpatient facilities and units during the past 65
years.
January 1, 1943
March 15, 1975
March 15, 2012
Number of
Facilities
Number
of Beds
Number of
Facilities
Number
of Beds
Number of
Facilities
Number
of Beds Hospitals
Nursing Homes and Units
Boarding Care Homes
Supervised Living Facilities
Other *
188
137
72
11,159
3,905
1,161
180
446
201
88
81
19,929
37,260
8,188
3,733
8,152
138
376
29
307
10
16,509
30,787
1,631
5,153
382 TOTALS
397
16,225
996
77,262
860
54,462
*Includes state operated specialized hospital beds.
TABLE 4
Hospitals: Bed Range, Total Numbers of Percentages of Hospitals and Beds; Hospitals and Beds by Ownership --
March 15, 2012
Type of Ownership
Hospital
Total Number
% of Total
Nonprofit
Public
Proprietary
Hosp. Beds
Hosp. Beds
Hosp. Beds
Hosp. Beds
Hosp. Beds
1 – 24
30
532
21.7
3.2
21
382
8
140
1
10
25 – 49
52
1,785
37.7
10.8
29
1,029
23
756
0
0
50 - 99
26
1,931
18.8
11.7
23
1,657
2
182
1
92
100 - 299
16
3,052
11.6
18.5
14
2,789
2
263
0
0
300 +
14
9,209
10.1
55.8
12
8,315
2
894
0
0
TOTALS
138
16,509
100.0
100.0
99
14,172
37
2,235
2
102
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III
TABLE 5
Nursing Homes and Units: Bed Range, Total Numbers and Percentages of Home and Beds by Ownership -- March 15,
2012
Type of Ownership
Nursing
Home
Range
Total Number
% of Total
Nonprofit
Public
Proprietary
Homes Beds
Homes
Beds
Homes Beds
Homes Beds
Homes Beds
1 - 24
3
51
.8
.2
2
30
0
0
1
21
25 - 49
83
3,341
22.1
10.9
45
1,821
14
562
24
958
50 - 99
194
13,374
51.6
43.4
114
8,095
25
1,591
55
3,688
100 - 299
92
12,645
24.5
41.1
62
8,557
5
631
25
3,457
300 +
4
1,376
1.1
4.5
3
1,035
1
341
0
0
TOTALS
376
30,787
100.0
100.0
226
19,538
45
3,125
105
8,124
TABLE 6
Nursing Homes and Units: Home and Beds by Ownership and Percentage of Change -- March 15, 2011 and March 15,
2012
March 15, 2011
March 15, 2012
% of Change
Nursing Home Units
Ownership
Homes and
Units
Beds
Homes and
Units
Beds
Homes and
Units
Beds Non Profit
229
20,097
226
19,538
-1.3
-2.9
Public
48
3,280
45
3,125
-6.7
-4.7
Subtotal, Non Profit
And Public
277
23,377
271
22,663
-2.2
-3.2 Proprietary
102
8,190
105
8,124
2.9
-.8
TOTALS
379
31,567
376
30,787
-.79
-2.5
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IV
TABLE 7
Boarding Care Homes and Units: Bed Range, Total Numbers and Percentages of Homes and Beds by Ownership --
March 15, 2012
Type of Ownership
BCH
Units
Range
Total Number
% of Total
Nonprofit
Public
Proprietary
Homes Beds
Homes Beds
Homes Beds
Homes Beds
Homes Beds
1 – 24
9
94
31.0
5.8
4
14
0
0
5
80
25 - 49
7
223
24.1
13.7
1
33
0
0
6
190
50 - 99
7
422
24.1
25.9
5
304
0
0
2
118
100 - 299
6
892
20.7
54.7
1
104
2
361
3
427
300 +
0
0
0
0.0
0
0
0
0
0
0
TOTALS
29
1,631
100.0
100.0
11
455
2
361
16
815
TABLE 8
Boarding Care Home Units: Home and Beds by Ownership and Percentage of Change -- March 15, 2011 and March 15,
2012
March 15, 2011
March 15, 2012
% of Change
BCH
Ownership
Homes and
Units
Beds
Homes and
Units
Beds
Homes and
Units
Beds Non Profit
12
489
11
455
-9.0
-7.5
Public
2
361
2
361
0.0
0.0
Subtotal, Non Profit
and Public
14
850
13
816
-7.7
-4.2 Proprietary
16
825
16
815
0.0
-1.2
TOTALS
30
1,675
29
1,631
-3.4
-2.7
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V
TABLE 9
Supervised Living Facility and Units: Bed Range, Total Numbers and Percentages of Facility and Beds by Ownership -
March 15, 2012
Type of Ownership SLF
Range
Total Number
% of Total
Nonprofit
Public
Proprietary
Homes Beds
Homes Beds
Homes Beds
Homes Beds
Homes Beds
1 - 15
234
1,697
76.2
32.9
113
791
20
136
101
770
16 - 49
57
1,445
18.6
28.0
30
798
7
164
20
483
50 - 99
13
797
4.2
15.5
5
297
6
399
2
101
100 - 299
1
248
.3
4.8
0
0
1
248
0
0
300 +
2
966
.7
18.7
0
0
2
966
0
0
TOTALS
307
5,153
100.0
100.0
148
1,886
36
1,913
123
1,354
TABLE 10
Supervised Living Facilities and Units: Facilities and Beds by Ownership and Percentage of Change -- March 15, 2011
and March 15, 2012
March 15, 2011
March 15, 2012
% of Change
SLF
Ownership
Homes and
Units
Beds
Homes and
Units
Beds
Homes and
Units
Beds Non Profit
151
1,923
148
1,886
-2.0
-2.0
Public
34
1,905
36
1,913
5.6
.42
Subtotal, Non Profit
185
3,828
184
3,799
-.54
-1.3
Proprietary
124
1,372
123
1,354
-.81
-1.3
TOTALS
309
5,200
307
5,153
-.65
-.91
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VITABLE 11: Number of Licensed Facilities and Beds by County, March 15, 2012 Page
1
2
1
1
0
2
1
3
3
1
0
1
1
0
1
1
2
24
546
87
118
0
40
272
111
67
109
0
30
61
0
25
16
43
1
2
1
1
0
2
1
3
2
1
0
1
1
0
1
1
1
6
74
16
12
0
4
26
24
13
20
0
6
12
0
4
2
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
6
4
3
3
2
5
4
3
4
2
2
3
4
2
1
3
123
521
335
198
416
114
371
322
264
249
102
158
218
362
86
37
173
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
58
0
0
0
0
11
14
40
41
0
6
8
0
12
0
12
0
1
0
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
200
0
16
0
0
0
0
0
0
0
0
0
0
0
0
0
0
4
2
0
0
0
3
0
0
1
0
0
0
0
0
0
0
AITKIN
ANOKA
BECKER
BELTRAMI
BENTON
BIG STONE
BLUE EARTH
BROWN
CARLTON
CARVER
CASS
CHIPPEWA
CHISAGO
CLAY
CLEARWATER
COOK
COTTONWOOD
0
4
0
0
0
0
1
2
1
4
0
1
1
0
1
0
1
0
118
9
0
68
12
43
20
564
40
0
0
17
10
3
0
21
0
4
1
0
1
1
3
2
2
2
0
0
2
1
1
0
1
County
Hosp.
No.
Beds
Psych.
No.
Beds
Bass.
No.
N.H.
No.
B.C.H
No.
S.L.F-A
No.
S.L.F-B
No.
Other
No.
Beds
Outpat.
Surg.
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VIITABLE 11: Number of Licensed Facilities and Beds by County, March 15, 2012 Page
2
2
0
1
1
0
1
2
1
11
0
1
1
3
1
1
1
204
207
0
127
43
0
77
71
20
5401
0
50
86
104
20
49
136
2
2
0
1
1
0
1
2
1
8
0
1
1
3
0
1
1
22
60
0
14
4
0
12
11
2
590
0
10
15
20
0
8
20
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
20
0
0
0
0
0
0
0
3
8
2
4
3
6
3
7
2
48
4
1
2
4
2
1
5
286
912
106
300
220
321
348
553
69
6316
190
68
256
300
105
77
440
0
1
0
0
0
0
1
0
0
14
0
0
0
0
0
0
0
0
200
0
0
0
0
9
0
0
1039
0
0
0
0
0
0
0
0
78
0
12
24
0
26
0
0
540
0
28
11
0
0
0
6
1
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
1
16
0
0
16
0
0
0
0
0
0
0
0
0
0
0
0
70
1
2
0
1
0
0
0
0
0
21
0
0
0
1
0
0
2
CROW WING
DAKOTA
DODGE
DOUGLAS
FARIBAULT
FILLMORE
FREEBORN
GOODHUE
GRANT
HENNEPIN
HOUSTON
HUBBARD
ISANTI
ITASCA
JACKSON
KANABEC
KANDIYOHI
1
8
0
2
1
0
1
0
0
37
0
1
1
0
0
0
1
74
104
6
6
0
0
64
42
0
311
21
8
6
24
0
0
128
2
11
1
1
0
0
2
3
0
35
2
1
1
1
0
0
4
County
Hosp.
No.
Beds
Psych.
No.
Beds
Bass.
No.
N.H.
No.
B.C.H
No.
S.L.F-A
No.
S.L.F-B
No.
Other
No.
Beds
Outpat.
Surg.
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VIIITABLE 11: Number of Licensed Facilities and Beds by County, March 15, 2012 Page
1
1
2
1
1
1
2
2
1
1
1
2
1
2
1
1
1
15
49
32
25
15
24
44
74
18
20
57
115
35
82
49
82
25
1
1
2
1
1
0
1
1
0
0
1
2
1
2
1
1
1
0
11
6
1
3
0
1
8
0
0
16
14
4
13
10
10
2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
3
2
2
1
3
3
4
1
1
4
3
3
3
3
5
2
116
150
136
128
42
160
121
237
48
60
221
300
204
270
208
262
117
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
8
0
0
0
0
0
46
0
0
0
0
0
0
0
8
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
1
1
0
0
0
0
0
KITTSON
KOOCHICHING
LAC QUI PARLE
LAKE
LAKE OF THE WOODS
LESUEUR
LINCOLN
LYON
MAHNOMEN
MARSHALL
MARTIN
MCLEOD
MEEKER
MILLE LACS
MORRISON
MOWER
MURRAY
0
1
0
0
0
0
0
4
0
0
0
0
0
0
0
1
0
6
2
6
5
0
0
10
6
0
0
32
6
0
0
14
26
18
1
1
1
1
0
0
1
1
0
0
3
1
0
0
1
5
1
County
Hosp.
No.
Beds
Psych.
No.
Beds
Bass.
No.
N.H.
No.
B.C.H
No.
S.L.F-A
No.
S.L.F-B
No.
Other
No.
Beds
Outpat.
Surg.
-
IXTABLE 11: Number of Licensed Facilities and Beds by County, March 15, 2012 Page
1
1
1
3
3
1
2
1
2
1
7
0
1
1
2
1
1
17
48
14
2120
166
99
40
44
92
34
1914
0
25
35
136
28
25
1
1
0
3
3
1
1
1
2
1
4
0
1
1
2
1
1
0
7
0
97
16
10
5
12
17
4
150
0
6
6
28
5
7
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3
4
3
7
10
2
2
2
6
3
30
1
6
5
6
3
3
165
189
151
612
736
110
106
150
381
161
3026
30
275
256
413
191
149
0
0
0
0
0
0
0
0
0
0
6
0
1
0
0
1
1
0
0
0
0
0
0
0
0
0
0
242
0
26
0
0
4
0
58
0
0
67
66
10
16
27
0
0
195
0
0
10
36
0
0
1
0
0
1
1
0
0
0
0
0
0
0
0
0
0
0
0
16
0
0
16
16
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0
0
0
1
0
0
NICOLLET
NOBLES
NORMAN
OLMSTED
OTTER TAIL
PENNINGTON
PINE
PIPESTONE
POLK
POPE
RAMSEY
RED LAKE
REDWOOD
RENVILLE
RICE
ROCK
ROSEAU
1
0
0
4
2
1
1
2
0
0
22
0
0
1
2
0
0
655
15
0
45
15
0
8
7
54
0
324
6
18
0
6
6
0
6
1
0
4
2
0
2
1
3
0
32
1
3
0
1
1
0
County
Hosp.
No.
Beds
Psych.
No.
Beds
Bass.
No.
N.H.
No.
B.C.H
No.
S.L.F-A
No.
S.L.F-B
No.
Other
No.
Beds
Outpat.
Surg.
-
XTABLE 11: Number of Licensed Facilities and Beds by County, March 15, 2012 Page
8
2
0
1
5
1
1
2
2
1
2
1
1
2
2
1
1
1125
142
0
20
592
43
54
46
71
25
49
49
35
183
50
25
99
7
2
0
0
5
1
1
2
2
1
2
1
0
2
2
1
1
95
22
0
0
62
16
5
5
18
4
9
6
0
35
13
8
14
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
17
4
3
3
7
3
1
2
2
2
3
3
3
6
2
1
5
1386
372
394
130
454
219
88
96
141
89
243
240
160
654
126
120
411
1
0
0
0
0
0
0
1
0
0
1
0
0
0
0
0
0
54
0
0
0
0
0
0
19
0
0
38
0
0
0
0
0
0
88
9
0
15
18
21
0
0
0
0
0
20
0
60
0
0
6
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2
0
0
0
5
0
0
0
0
0
0
0
0
4
0
0
0
SAINT LOUIS
SCOTT
SHERBURNE
SIBLEY
STEARNS
STEELE
STEVENS
SWIFT
TODD
TRAVERSE
WABASHA
WADENA
WASECA
WASHINGTON
WATONWAN
WILKIN
WINONA
7
1
0
1
1
2
0
0
0
0
0
1
0
5
0
0
1
93
52
18
0
43
22
6
0
0
0
0
32
0
15
13
0
0
9
1
3
0
2
2
1
0
0
0
0
2
0
2
1
0
0
County
Hosp.
No.
Beds
Psych.
No.
Beds
Bass.
No.
N.H.
No.
B.C.H
No.
S.L.F-A
No.
S.L.F-B
No.
Other
No.
Beds
Outpat.
Surg.
-
XITABLE 11: Number of Licensed Facilities and Beds by County, March 15, 2012 Page
2
2
104
55
2
2
30
7
0
0
0
0
7
3
483
184
0
0
0
0
40
66
1
0
16
0
0
0
WRIGHT
YELLOW MEDICINE
1
2
18
15
2
2
County
Hosp.
No.
Beds
Psych.
No.
Beds
Bass.
No.
N.H.
No.
B.C.H
No.
S.L.F-A
No.
S.L.F-B
No.
Other
No.
Beds
Outpat.
Surg.
138
16509
119
1831
1
20
376
30787
29
1631 1817
10
382
59133
3336
186Minnesota
-
Page XXVIII
FEDERAL HOSPITALS *
County - Institution Address Ownership
BELTRAMI - Red Lake Indian Hospital Red Lake Federal
CASS - Cass Lake Indian Hospital Cass Lake Federal
HENNEPIN - Veterans Administration Hospital 54th Street & Federal
48th Avenue
Minneapolis
PINE - Federal Correctional Institution Sandstone Federal
STEARNS - Veterans Administration Hospital St. Cloud Federal
OLMSTED – Federal Medical Center Rochester Federal
* Not covered by state licensing law.
-
ABBREVIATIONS Page XXIX
Amb. Surg. -- Ambulatory Surgical Center SNF/NF -- Medicare/Medicaid Facility
Bass. -- Bassinets
BCH -- Boarding Care Home
CAH – Critical Access Hospital
CMHC -- Community Mental Health Center
CORF -- Comprehensive Outpatient Rehabilitation Facility
ESRD -- End Stage Renal Disease Provider
HCP-A -- Professional Home Care Agency License
HCP-B -- Paraprofessional Agency License
HCP-C -- Individual Paraprofessional License
HCP-F -- Class F Home Care Provider License
HCP-M -- Home Management Registration
HHA -- Home Health Agency
Hosp. -- Hospital
HSPICE -- Hospice
HWS – Housing with Services Establishment
HWSAL – Housing with Services Establishment – Assisted Living
HWS-O – Housing with Services Establishment – Optional Registration
ICF/MR -- Intermediate Care Facility/Mental Retardation
NF -- Nursing Facility (Medicaid Certified)
NH -- Nursing Home
Other -- Other Specialized Hospitals
Output OT -- Outpatient Occupational Therapy Provider
Outpt. PT -- Outpatient Physical Therapy Provider
Outpt. ST. -- Outpatient Speech Therapy Provider
Outpt. Surg. -- Outpatient Surgical Center
Port. X-Ray -- Portable X-Ray Supplier
Psy. Hosp. -- Psychiatric Hospital
RESHPC – Residential Hospice
Rural Hlth. -- Rural Health Clinic
SLF -- Supervised Living Facility
SNF -- Medicare Skilled Nursing Facility
-
1
Facility/Service Owner Licensure Certification
Minnesota Department of HealthDivision of Compliance Monitoring
Directory of Facilities and Services
Page
Registration
AITKIN
AICOTA HEALTH CARE CENTER
AICOTA HEALTH CARE CENTER INC
AITKIN COUNTY CARE
AITKIN HEALTH SERVICES
GOLDEN HORIZONS
MARYHILL MANOR
RIVERWOOD CLINIC AITKIN
RIVERWOOD HEALTHCARE CENTER
CHAPPYS GOLDEN SHORES
CHAPPYS GOLDEN SHORES
850 SECOND STREET NORTHWEST
850 2ND STREET NORTHWEST
503 NORTH MINNESOTA AVENUE
301 MINNESOTA AVENUE SOUTH
518 SEVENTH AVE NE
215 3RD ST SE
200 BUNKER HILL DRIVE
200 BUNKER HILL DRIVE
530 PARK AVENUE
530 PARK AVENUE
AITKIN, MN 56431
AITKIN, MN 56431
AITKIN, MN 56431
AITKIN, MN 56431
AITKIN, MN 56431
AITKIN, MN 56431
AITKIN, MN 56431
AITKIN, MN 56431
HILL CITY, MN 55748
HILL CITY, MN 55748
218/927-2164
218/927-2182
218/927-1383
218/927-5545
218/927-9996
218/927-2151
218/927-2157
218/927-5501
218/697-0145
218/697-2705
Corp
Corp
NProf
NProf
Corp
HRA
Corp
NProf
Ind
Ind
NH-75
HCP-F
HCP-A
NH-48
HCP-F
BASS-6 HOSP-24
HCP-F
SNF-NF-75
SNF-NF-48
RHC
CAH-24
(00848)
(24776)
(28463)
(00002)
(23660)
(23662)
(03734)
(21927)
(21006)
(21823)
218/927-6436
218/927-2801
218/927-1382
218/927-5564
218/927-7005
218/927-4159
/-
218/927-5575
218/697-2573
218/697-8145
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
MS. ALISON MATALAMAKI
MR. BARRY FOSS
MS. BETH LEAF
MR. JAMES INGERSOLL
MR. CHUCK LANE
MS. NANCY JOHNSON HOUG
MR. MICHAEL HAGEN
MR. MICHAEL HAGEN
MR. KEITH OLSON
MR. KEITH OLSON
---------------------------********** --------------------------********
HWSAL
HWSAL
HWS
HWSAL
-
2
Facility/Service Owner Licensure Certification
Minnesota Department of HealthDivision of Compliance Monitoring
Directory of Facilities and Services
Page
Registration
AITKIN
ANOKA
NORTHLAND ASSISTED LIVING D/B/
RIVERWOOD CLINIC MCGREGOR
AT YOUR SERVICE HH SERVICE LLC
CYPRESS MANOR
DONA CARING HEARTS INC
JUST FOR RACHEL HOME CARE
THE FARMSTEAD
THE FARMSTEAD
AMERICAN BEST HOME CARE
22027 420TH STREET
2 EAST CENTER AVE PO BOX 340
458 139TH LANE
16770 WREN STREET NW
1092 142ND LANE NW
4954 170TH LANE NORTHWEST
13733 QUAY STREET
13733 QUAY STREET
1820 FOURTH AVENUE
MCGREGOR, MN 55760
MCGREGOR, MN 55760
ANDOVER, MN 55304
ANDOVER, MN 55304
ANDOVER, MN 55304
ANDOVER, MN 55304
ANDOVER, MN 55304
ANDOVER, MN 55304
ANOKA, MN 55303
218/723-4040
218/768-4011
612/532-2121
763/712-8363
763/238-4722
763/286-3862
763/712-7000
763/172-7000
612/919-9523
Lim-Liab
Corp
Lim-Liab
Corp
Corp
Ind
NProf
NProf
Corp
HCP-A
HCP-A
HCP-A
HCP-F
HCP-A
RHC
(27287)
(03736)
(28068)
(25460)
(25818)
(25672)
(20547)
(27961)
(27873)
218/723-4048
/-
/-
763/323-4811
763/432-2661
763/753-1964
763/712-7001
763/712-7001
/-
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
MS. KARIE SIMPSON
MR. MICHAEL HAGEN
MS. LYNDA ROBERTS
MR. JACOB NELSON
MS. WEATTA JACKSON
MS. ANGELA ELLIOTT
MS. SUSAN MINAR
MS. NATALIE MORLAND
MR. SEGUN OLATAYO
---------------------------**********
---------------------------**********
--------------------------
--------------------------********
(Cont.)*
HWSAL
HWSAL-O
HWSAL
-
3
Facility/Service Owner Licensure Certification
Minnesota Department of HealthDivision of Compliance Monitoring
Directory of Facilities and Services
Page
Registration
ANOKA
ANOKA CARE CENTER
ANOKA METRO REG TREATMENT CTR
GOLDEN LIVINGCENTER TWIN RIVER
RIVER OAKS OF ANOKA
THE CEDARS
THE ELMS
THE OAKS
THE PINES
THE WILLOWS
WALKER PLAZA
1040 MADISON STREET
3301 - 7TH AVE N
305 FREMONT ST
910 WESTERN STREET
701 POLK STREET
2171 7TH AVENUE NORTH
2201 7TH AVENUE NORTH
2153 7TH AVENUE NORTH
2918 7TH AVENUE NORTH
131 MONROE STREET
ANOKA, MN 55303
ANOKA, MN 55303
ANOKA, MN 55303
ANOKA, MN 55303
ANOKA, MN 55303
ANOKA, MN 55303
ANOKA, MN 55303
ANOKA, MN 55303
ANOKA, MN 55303
ANOKA, MN 55303
763/421-2311
763/712-5000
763/421-5660
763/421-4011
763/712-8363
763/712-8363
763/712-8363
763/712-8363
763/712-8363
763/422-4037
NProf
State
Lim-Liab
Lim-Liab
Corp
Corp
Corp
Corp
Corp
NProf
NH-96
OTHER-200 SLFB-77
NH-56
HCP-F
SNF-NF-96
PSY-200
SNF-NF-56
(00893)
(00004)
(00866)
(24353)
(24253)
(20535)
(20534)
(20536)
(24668)
(20443)
763/421-2683
763/431-7733
763/421-6581
763/422-8946
763/323-4811
763/323-4811
763/323-4811
763/323-4811
763/323-4811
763/422-8115
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
MR. DEAN MCDEVITT
MR. BRIAN TEUBER
MR. ERNEST GERSHONE
MR. FRANCIS LANG
MR. JACOB NELSON
MR. JACOB NELSON
MR. JACOB NELSON
MR. JACOB NELSON
MR. JACOB NELSON
MR. LEE ENGLER
---------------------------********** --------------------------(Cont.)*
HWSAL
HWSAL-O
HWSAL-O
HWSAL
HWSAL-O
HWSAL
HWSAL
-
4
Facility/Service Owner Licensure Certification
Minnesota Department of HealthDivision of Compliance Monitoring
Directory of Facilities and Services
Page
Registration
ANOKA
WHISPERING PINES ASSTD LIVING
WHISPERING PINES ASSTD LIVING
ANTHONY LOUIS CENTER
BLAINE SUITE LIVING CARE LLC
BLAINE WHITE PINE
COMFORT KEEPERS
COMFORT KEEPERS
HIGH LAND CARE INC
HOME INSTEAD SENIOR CARE
MINNESOTA EYE LASER AND SURGER
2823 7TH AVE NORTH
707 POLK STREET
1000 PAUL PARKWAY
10669 ULYSSES ST NE
12446 JAMESTOWN STREET NE
9298 CENTRAL AVE NE
9298 CENTRAL AVE NE STE 404
10307 UNIVERSITY AVE NE
10155 UNIVERSITY AVE NW # 100
11091 ULYSSES STREET
ANOKA, MN 55303
ANOKA, MN 55303
BLAINE, MN 55434
BLAINE, MN 55449
BLAINE, MN 55449
BLAINE, MN 55434
BLAINE, MN 55434
BLAINE, MN 55434
BLAINE, MN 55343
BLAINE, MN 55434
763/712-8363
763/712-8363
763/757-2906
763/754-7300
763/754-1930
763/786-1000
763/786-1000
763/786-3439
763/792-0041
952/888-5800
Corp
Corp
Corp
Lim-Liab
Lim-Liab
Lim-Liab
Lim-Liab
Corp
Corp
Lim-Liab
HCP-F
SLFA-22
HCP-F
HCP-F
HCP-A
HCP-A
HCP-A
Outpt Surg Amb Surg
(23690)
(20533)
(01400)
(23914)
(26857)
(26035)
(28074)
(03139)
(23591)
(27713)
763/323-4811
763/323-7822
763/757-2059
763/754-2422
763/754-1933
763/786-9440
763/786-9440
763/783-3528
320/656-5229
952/884-2656
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
MR. JACOB NELSON
MR. JACOB NELSON
MS. MELISSA BROGGER
MS. AUDREY MCELWAIN
MS. RHONDA SCHILLINGER
MR. TOM BERARD
MS. BEV BERARD
MS. MARILYN LOM
MR. DANIEL ARNOLD
MS. CANDACE SIMERSON
---------------------------********** --------------------------(Cont.)*
HWSAL-O
HWSAL
HWSAL
Home Mgmt
-
5
Facility/Service Owner Licensure Certification
Minnesota Department of HealthDivision of Compliance Monitoring
Directory of Facilities and Services
Page
Registration
ANOKA
MSOCS BLAINE HOME
NORTH METRO SURGERY CENTER
STERLING HOUSE OF BLAINE
TRANSAMERICA CARE INC
TRANSAMERICA CARE INC
HAM LAKE PHYSICAL THERAPY
ANGELS OF MERCY
ANGELS OF MERCY ASSISTED LIVIN
COLUMBIA VILLAGE
COMPASSIONATE HOME HEALTH INC
12949 KENYON STREET NORTHEAST
11855 ULYSSES STREET SUITE 270
1005 PAUL PARKWAY
11536 YANCY COURT NE
11536 YANCY COURT NORTHEAST
18415 NE HWY 65
4427 MONROE STREET NE
4427 MONROE STREET NE
1675 44TH AVENUE NE
4148 5TH STREET NE
BLAINE, MN 55449
BLAINE, MN 554344182
BLAINE, MN 55434
BLAINE, MN 55449
BLAINE, MN 55449
CEDAR, MN 55011
COLUMBIA HEIGHTS, MN 55421
COLUMBIA HEIGHTS, MN 55421
COLUMBIA HEIGHTS, MN 55421
COLUMBIA HEIGHTS, MN 55421
763/755-0233
763/755-6540
763/755-2800
763/742-2225
763/742-2225
763/413-0880
763/432-9706
763/432-9706
763/782-1606
763/782-8740
State
Lim-Liab
Corp
Corp
Corp
Corp
Corp
Corp
NProf
Corp
SLFB-6
Outpt Surg
HCP-F
HCP-A
HCP-A
HCP-F
HCP-A
ICFMR-6
Amb Surg
Out Pt Out Ot
(01644)
(26537)
(20412)
(28519)
(28520)
(03772)
(25116)
(28129)
(20787)
(26735)
763/755-0281
763/755-6516
763/755-6400
763/245-7276
763/245-7276
763/413-0850
763/432-9708
763/432-9708
763/782-0857
763/782-8740
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
MS. GEORGENE ANDRIST
MS. JEANNIE FERNSTROM
MS. LORI HANSON
MR. GEBI TUFAA
MR. GEBI TUFAA
MR. MARK NETZINGER
MR. FOLUSO ALLISON
MR. FOLUSO ALLISON
MS. SHIRLEY BARNES
MR. MARK ONYENEMEZU
---------------------------********** --------------------------(Cont.)*
HWSAL
HWSAL
HWSAL
HWS
-
6
Facility/Service Owner Licensure Certification
Minnesota Department of HealthDivision of Compliance Monitoring
Directory of Facilities and Services
Page
Registration
ANOKA
CREST VIEW HOME CARE
CREST VIEW HOME HEALTH CARE
CREST VIEW LUTHERAN HOME
CREST VIEW ON 42ND
LIGHTHOUSE OF COLUMBIA HEIGHTS
PRO-HEALTH HOME CARE AGENCY LL
ROYCE PLACE
THE BOULEVARD
ALLIANCE HOMECARE SERVICES LLC
AT HOME HEALTH CARE INC
4444 RESERVOIR BOULEVARD NE
4444 RESERVOIR BOULEVARD NE
4444 RESERVOIR BLVD NE
900 - 42ND AVENUE NE
3801 HART BOULEVARD NORTHEAST
3989 CENTRAL AVE NE SUITE 510
1515 - 44TH AVENUE NE
4458 RESERVOIR BLVD NORTHEAST
9749 ILEX STREET NORTHWEST
1601 128TH LANE NW
COLUMBIA HEIGHTS, MN 55421
COLUMBIA HEIGHTS, MN 55421
COLUMBIA HEIGHTS, MN 55421
COLUMBIA HEIGHTS, MN 55421
COLUMBIA HEIGHTS, MN 55421
COLUMBIA HEIGHTS, MN 55421
COLUMBIA HEIGHTS, MN 55421
COLUMBIA HEIGHTS, MN 55421
COON RAPIDS, MN 55433
COON RAPIDS, MN 55448
763/782-1605
763/782-1611
763/782-1611
763/781-5873
763/210-6600
763/746-8155
763/788-2020
763/782-1606
763/208-6295
763/381-4448
NProf
NProf
NProf
NProf
Lim-Liab
Lim-Liab
NProf
NProf
Lim-Liab
Corp
HCP-F
HCP-A
NH-122
HCP-F
HCP-A
HCP-A
HCP-A
HHA
SNF-NF-122
(20750)
(03080)
(00005)
(21871)
(26853)
(25163)
(20079)
(20078)
(28029)
(27749)
763/788-0012
763/788-0012
763/782-0857
763/781-5874
763/210-6695
763/746-8154
763/788-0012
763/782-0857
763/355-5459
/-
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
MS. KATHLEEN MIKKELSON
MS. KATHLEEN MIKKELSON
MR. TALIA ARAMALAY
MS. KAREN FANTLE
MS. TAMMY KUCERA
DR. ABDULWAHAB ASAMARAI
MS. KAREN FANTLE
MS. SHIRLEY BARNES
MS. BAO CHA
MS. JESSICA EASTER
---------------------------********** --------------------------(Cont.)*
HWSAL
HWSAL
HWSAL
HWS
-
7
Facility/Service Owner Licensure Certification
Minnesota Department of HealthDivision of Compliance Monitoring
Directory of Facilities and Services
Page
Registration
ANOKA
CAMILIA ROSE CARE CENTER LLC
CAMILIA ROSE GROUP HOME
COMMUNITY LIVING INC COTTAGE 5
COMMUNITY LIVING INC COTTAGE 6
COON RAPIDS DIALYSIS UNIT
COVENANT HOME HEALTH CARE LLC
CREEKSIDE COTTAGE CATERED LIVI
DEMAR ASSOCIATES INC
EAGLE STREET CATERED LIVING
ELITE NURSING SERVICE
11800 XEON BOULEVARD
11820 XEON BOULEVARD
2483 109TH AVENUE NORTHWEST
2493 109TH AVENUE NORTHWEST
3960 COON RAPIDS BLVD # 309
199 COON RAPIDS BLVD STE 111
1190 117TH AVENUE NW
11777 XEON BOULEVARD
12009 EAGLE STREET
2393 COON RAPIDS BOULEVARD
COON RAPIDS, MN 55448
COON RAPIDS, MN 55448
COON RAPIDS, MN 55433
COON RAPIDS, MN 55433
COON RAPIDS, MN 55103
COON RAPIDS, MN 55433
COON RAPIDS, MN 55448
COON RAPIDS, MN 55448
COON RAPIDS, MN 55448
COON RAPIDS, MN 55433
763/755-8400
763/755-8480
952/443-2048
952/443-2048
763/421-8717
763/755-9009
763/754-6902
763/755-8174
763/862-1627
763/421-3613
Lim-Liab
Lim-Liab
Corp
Corp
Corp
Ind
Corp
Corp
Corp
Corp
NH-94
SLFB-29
SLFA-12
SLFA-12
HCP-A
HCP-A
SNF-NF-94
ICFMR-29
ICFMR-12
ICFMR-12
ESRD
HHA
(00757)
(01141)
(01538)
(01253)
(02316)
(02135)
(24666)
(20134)
(20835)
(26977)
763/755-8578
763/755-3130
952/443-2371
952/443-2371
/-
763/862-8030
763/754-6903
763/862-3846
763/862-1900
763/374-5451
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
MS. SHARON FALKNOR
MS. MARY TJOSVOLD
MS. MONICA SCHMIDT
MS. MONICA SCHMIDT
MS. JENNIFER ELLEFSON
MS. GLORIA KLINEFELTER
MS. MARY TJOSVOLD
MS. MARY TJOSVOLD
MS. MARY TJOSVOLD
MR. BANBAH DENNIS GARSINII
---------------------------********** --------------------------(Cont.)*
HWSAL
HWSAL
HWSAL
-
8
Facility/Service Owner Licensure Certification
Minnesota Department of HealthDivision of Compliance Monitoring
Directory of Facilities and Services
Page
Registration
ANOKA
EPIPHANY ASSISTED LIVING LLC
EPIPHANY PINES SENIOR HOUSING
FMC DIALYSIS SERVCES NO SUBURB
FRESENIUS MED CARE COON RAPIDS
GRACIOUS COMPANIONS LLC
HOMESTEAD COON RAPIDS MEMORY
MARGARET PLACE LTD PARTNERSHI
MARY T HOME HEALTH
MARY T HOSPICE
MERCY HOSPITAL
10955 HANSON BOULEVARD NW
1800 - 111TH AVE NW
9144 SPRINGBROOK DRIVE
3465 NORTHDALE BOULEVARD
12564 GROUSE STREET NORTHWEST
1770 113TH LANE
1555 118TH LANE NORTHWEST
1555 118TH LANE NORTHWEST
1555 - 118TH LANE NW
4050 COON RAPIDS BLVD
COON RAPIDS, MN 55433
COON RAPIDS, MN 55433
COON RAPIDS, MN 55355
COON RAPIDS, MN 55448
COON RAPIDS, MN 55448
COON RAPIDS, MN 55433
COON RAPIDS, MN 55448
COON RAPIDS, MN 55448
COON RAPIDS, MN 55448
COON RAPIDS, MN 55433
763/755-0320
763/755-9299
763/783-0103
763/421-1032
763/233-1023
763/754-3500
763/754-2505
763/862-5479
763/772-9963
763/236-8119
NProf
NProf
Corp
Corp
Lim-Liab
NProf
Part
Corp
Corp
NProf
HCP-F
HCP-F
HCP-A
Hospice
BASS-38 HOSP-271
ESRD
ESRD
HHA
HSPICE
HOSP-271
(21113)
(23423)
(02816)
(25769)
(27401)
(20478)
(20886)
(03136)
(26345)
(00009)
763/772-1070
763/862-4641
/-
763/421-1054
763/862-8420
763/754-3700
763/754-0332
763/755-3631
763/772-9962
763/236-8124
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
MS. LAURIE ANDERSON
MS. MARY MCCARTY
MR. RICHARD PHIDD
MR. JOHN MARIETTI
MS. REGINA KENNEY
MS. JENNIFER FRAZER-JOHN
MS. MARY TJOSVOLD
MR. RANDY LEJA
MS. BARBARA QUELLETTE
MR. JEFF PETERSON
---------------------------********** --------------------------(Cont.)*
HWSAL
HWS
Home Mgmt
HWSAL
HWS
-
9
Facility/Service Owner Licensure Certification
Minnesota Department of HealthDivision of Compliance Monitoring
Directory of Facilities and Services
Page
Registration
ANOKA
MNGI ENDOSCOPY COON RAPIDS
NEW LIVING LLC
PARK RIVER ESTATES CARE CENTER
REHABCARE
REHABCARE AGENCY MN
REHOBOTH HOME
REM MN COMM SRVS INC ANOKA
SELECT SENIOR LIV/COON RAPIDS
SELECT SENIOR LIVING OF COON R
THE HOMESTEAD AT COON RAPIDS
9145 SPRING BROOK DRIVE
9900 BLUE BIRD ST NW STE 307
9899 AVOCET ST NW
300 COON RAPIDS BLVD STE 200
300 COON RAPIDS BLVD SUITE 200
1036 95TH LANE NORTHWEST
12011 KUMQUAT STREET NORTHWEST
11350 MARTIN STREET
11350 MARTIN STREET NW
11372 ROBINSON DRIVE NORTHWEST
COON RAPIDS, MN 55433
COON RAPIDS, MN 55433
COON RAPIDS, MN 55433
COON RAPIDS, MN 55433
COON RAPIDS, MN 55433
COON RAPIDS, MN 55433
COON RAPIDS, MN 55448
COON RAPIDS, MN 55433
COON RAPIDS, MN 55433
COON RAPIDS, MN 55433
612/871-1145
651/347-0737
763/757-2320
763/767-0854
763/767-0854
763/205-3352
651/644-7680
763/767-1127
651/439-2414
763/754-3500
Corp
Lim-Liab
Corp
Corp
Corp
Corp
Corp
Lim-Liab
Lim-Liab
NProf
Outpt Surg
HCP-A
NH-99
HCP-A
SLFB-6
HCP-F
HCP-F
Amb Surg
SNF-NF-99
Out Pt Out St Out Ot
ICFMR-6
(21075)
(27649)
(00010)
(27066)
(02199)
(27665)
(01591)
(25728)
(25729)
(20532)
/-
763/208-3989
763/757-6946
763/862-6533
763/862-6533
763/205-3357
651/644-6777
763/862-6852
651/439-3254
763/754-3700
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
DR. SCOTT KETOVER
MR. LENDER FOSTER
MR. THOMAS POLLOCK
MS. SARA SHEPPARD (AGENCY ADM
MS. KELLY HUNGASKI
MS. DORIS PARKER
MS. CONNIE MENNE
MR. LANCE LEMLEUX
MR. LANCE LEMIEUX
MS. JENNIFER FRAZER-JOHN
---------------------------********** --------------------------(Cont.)*
HWS-O
HWSAL
HWSAL
-
10
Facility/Service Owner Licensure Certification
Minnesota Department of HealthDivision of Compliance Monitoring
Directory of Facilities and Services
Page
Registration
ANOKA
ZION HOME HEALTH CARE
HUE HOME HEALTH CARE LLC
COMMUNITY OPTIONS
FRIDLEY ASSISTED LIVING LLC
FRIDLEY DIALYSIS UNIT
GOLDEN LIVINGCENTER LYNWOOD
METRO THERAPY SPECIAL CHILDREN
MN ORTHOPAEDIC SURG CTR LLC
NOVACARE REHABILITATION
PRIDE N'LIVING HOME CARE INC
10308 XAVIS STREET NW
3305 199TH AVENUE NE
5384 NORTHEAST FIFTH STREET
6352 CENTRAL AVENUE
5301 EAST RIVER RD NE STE 117
5700 EAST RIVER ROAD
5155 EAST RIVER ROAD STE 403
8290 UNIVERSITY AVE NE STE 100
8290 UNIVERSITY AVE NE #300
7691 CENTRAL AVENUE
COON RAPIDS, MN 55433
EAST BETHEL, MN 55011
FRIDLEY, MN 55421
FRIDLEY, MN 55432
FRIDLEY, MN 55421
FRIDLEY, MN 55432
FRIDLEY, MN 55421
FRIDLEY, MN 55432
FRIDLEY, MN 55432
FRIDLEY, MN 55432
763/432-6323
763/843-8797
763/572-0009
763/574-7366
763/571-5556
763/571-3150
763/572-2519
763/786-9543
763/784-2340
763/572-2390
Corp
Lim-Liab
Lim-Liab
Lim-Liab
Corp
Lim-Liab
Corp
Lim-Liab
Corp
Corp
HCP-A
HCP-A
SLFA-12
NH-54
Outpt Surg
ESRD
SNF-NF-54
Out St Out Ot
Amb Surg
Out Pt Out St Out Ot
(25735)
(28165)
(01533)
(27981)
(25501)
(00935)
(02799)
(04305)
(03769)
(26208)
612/242-1935
763/843-8797
763/572-1295
763/574-7362
763/571-7882
763/571-2805
763/572-2616
763/786-3320
/-
763/574-2459
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
MS. JOSEPHINE SAYE
MR. HUE XIONG
MR. THOMAS ALF
MS. RHONDA SCHILLNGER
MR. LAWRENCE BLAIR
MS. SHANNA SWANSON
MS. AUDREY CHAPUT
MS. REBECCA ANDERSON
MS. MARY SMITH
MS CELESTINA WAINDIM
---------------------------********** --------------------------(Cont.)*
HWSAL
HWS
-
11
Facility/Service Owner Licensure Certification
Minnesota Department of HealthDivision of Compliance Monitoring
Directory of Facilities and Services
Page
Registration
ANOKA
PRIDE N'LIVING HOME CARE INC
SERENITY HOME CARE INC
UNITY HOSPITAL
VILLAGE IN PINE RETIRMNT HOUSE
A TIME FOR HELP INC
A TO Z SOCIAL SERVICES INC
AGABI HEALTH CARE SERVICES
LINO LAKES ASSISTED LIVING LLC
CAREFREE HOME SERVICES INC
NEW MILLENNIUM HEALTH CARE
7691 CENTRAL AVENUE
7572 MCKINLEY STREET NORTHEAST
550 OSBORNE RD
824 142ND AVENUE NE
481 LINDEN LANE
693 HIGHLAND TRAIL
7259 SAVANNA COURT
725 TOWN CENTER PARKWAY
7830 149TH LANE NW
7931 6TH STREET NORTHEAST
FRIDLEY, MN 55432
FRIDLEY, MN 55432
FRIDLEY, MN 55432
HAM LAKE, MN 55304
LINO LAKES, MN 55014
LINO LAKES, MN 55014
LINO LAKES, MN 55014
LINO LAKES, MN 55014
RAMSEY, MN 55303
SPRING LAKE PARK, MN 55432
763/572-2390
763/234-9174
763/236-5000
763/862-4900
651/481-1991
651/248-6120
952/381-7697
763/267-6183
763/422-9713
763/780-9933
Corp
Corp
NProf
Lim-Liab
Corp
Corp
Corp
Lim-Liab
Corp
Corp
HCP-A
HCP-A
BASS-36 HOSP-275
HCP-F
HCP-A
HCP-A
HCP-A
HCP-F
HOSP-260 PPS-P-15
(23218)
(28069)
(00011)
(28200)
(24985)
(27347)
(27854)
(27529)
(27857)
(26489)
763/574-2459
/-
763/236-3774
763/792-3839
651/482-9008
651/784-5000
/-
763/398-2294
763/421-3098
763/795-8878
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
MRS. DEBRA RIMPSON
MS. JANE YANG
MS. LORI WIGHTMAN
MR. AKWEN MORCHO
MS. SHIRLYN NICKELSON
MR. AUGUSTINE AKPAN
MS. VICTORINE AMBE
MS. AMY KOEHNEN
MR. MICHAEL BEACH
MR. JOHN ARNDT
---------------------------********** --------------------------(Cont.)*
HWSAL
HWSAL
Home Mgmt
HWS-O
-
12
Facility/Service Owner Licensure Certification
Minnesota Department of HealthDivision of Compliance Monitoring
Directory of Facilities and Services
Page
Registration
ANOKA
BECKER
NURSING EXCELLENCE CORP
OAK CREST SENIOR LIVING
RELIEVE CARE INC
DIAMOND WILLOW ASSISTED LIVING
DIAMOND WILLOW ASSISTED LIVING
DL SURGERY CENTER
EMMANUEL COMMUNITY
EMMANUEL COMMUNITY
EMMANUEL NURSING HOME
8145 TYLER STREET NE
1639 COUNTY HWY 10 NORTHEAST
1310 81ST AVENUE NE
1558 RANDOLPH ROAD
1564 RANDOLPH ROAD
125 FRAZEE STREET EAST
1415 MADISON AVENUE
1415 MADISON AVENUE
1415 MADISON AVE
SPRING LAKE PARK, MN 55432
SPRING LAKE PARK, MN 55432
SPRING LAKE PARK, MN 55432
DETROIT LAKES, MN 56502
DETROIT LAKES, MN 56502
DETROIT LAKES, MN 56501
DETROIT LAKES, MN 56501
DETROIT LAKES, MN 56501
DETROIT LAKES, MN 56501
612/310-0655
763/783-0150
763/757-3207
218/846-0825
218/846-0147
218/844-2372
218/847-4486
218/847-4486
218/847-4486
Lim-Liab
ONProf
Corp
Lim-Liab
Lim-Liab
NProf
NProf
NProf
Church
HCP-A
HCP-A
Outpt Surg
HCP-F
HCP-A
NH-120
Amb Surg
SNF-NF-120
(25294)
(27156)
(21806)
(25380)
(25400)
(00372)
(22058)
(21130)
(00013)
763/208-0535
763/783-0154
763/780-5700
218/846-0828
218/846-0149
218/847-7674
218/847-4488
218/847-4488
218/847-4488
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
MS. SANDRA SOMMERS
MS. ELIZABETH MEYER
MS. LARA FATUNBI
MS. BRENDA MARSHALL
MS. BRENDA MARSHALL
DR. BRUCE CONMY
MS. JANET GREEN
MS. JANET GREEN
MS. JANET GREEN
---------------------------**********
---------------------------**********
--------------------------
--------------------------********
(Cont.)*
HWSAL
HWSAL
HWSAL
-
13
Facility/Service Owner Licensure Certification
Minnesota Department of HealthDivision of Compliance Monitoring
Directory of Facilities and Services
Page
Registration
BECKER
ESSENTIA HEALTH OAK CROSSING
ESSENTIA HEALTH ST MARYS
GOLDEN MANOR CORPORATION
GOLDEN MANOR MEMORY CARE
GOLDEN MANOR OF BARNESVILLE
GOLDEN MANOR OF DETROIT LAKES
LAMPLIGHTER MANOR
LINCOLN PARK ASSISTED LIVING
LINCOLN PARK SENIOR APARTMENT
MURPHS HOME MAINTENANCE
1040 LINCOLN AVENUE
1027 WASHINGTON AVENUE
1159 GARNET BOULEVARD
1159 GARNET BOULEVARD
1159 GARNET BOULEVARD
1165 GARNET BOULEVARD
1425 MADISON AVENUE
208 OAK STREET
207 PARK STREET
10302 COUNTY ROAD 147
DETROIT LAKES, MN 56501
DETROIT LAKES, MN 56501
DETROIT LAKES, MN 56501
DETROIT LAKES, MN 56501
DETROIT LAKES, MN 56501
DETROIT LAKES, MN 56501
DETROIT LAKES, MN 56501
DETROIT LAKES, MN 56501
DETROIT LAKES, MN 56501
DETROIT LAKES, MN 56501
218/847-5611
218/847-0852
218/847-3195
218/844-6028
218/354-7200
218/844-3300
218/847-4486
218/844-0701
218/844-0701
218/841-8682
NProf
NProf
Corp
Corp
Corp
Corp
NProf
NProf
NProf
Lim-Liab
NH-96
BASS-16 HOSP-87
HCP-F
HCP-B
SNF-NF-96
HOSP-87
(00907)
(00888)
(21056)
(24138)
(21407)
(23040)
(20313)
(21201)
(21248)
(27825)
218/844-0780
218/847-7674
218/847-2770
218/844-6029
218/844-3701
218/844-3301
218/847-5384
218/847-0895
218/847-0895
218/844-6500
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
MS. CHRISTY BRINKMAN
MR. RYAN HILL
MR. TODD SPIES
MR. TODD SPIES
MR. TODD SPIES
MR. TODD SPIES
MS. JANET GREEN
MS. TONYA CLEM
MR. RYAN HILL
MS. COLLETTE MURPHY
---------------------------********** --------------------------(Cont.)*
HWSAL
HWSAL
HWSAL
HWSAL
HWSAL
HWS
-
14
Facility/Service Owner Licensure Certification
Minnesota Department of HealthDivision of Compliance Monitoring
Directory of Facilities and Services
Page
Registration
BECKER
PARK MANOR ESTATES
SANFORD DIALYSIS DETROIT LAKES
SANFORD HTH DL CLNC SAME DAY
ST MARY'S CONTINUED CARE
ST MARYS HOME HEALTH
ST MARYS SR LVG SUPPORTIVE SER
THE COTTAGE
THE MADISON
WEST HOME
WINCHESTER ON WASHINGTON
1035 ROOSEVELT AVENUE
114 EAST FRAZEE STREET
1245 WASHINGTON AVENUE
114 FRAZEE STREET EAST
114 FRAZEE STREET E
1027 WASHINGTON AVE
1435 MADISON AVENUE
1405 MADISON AVENUE
1118 WEST AVENUE
1051 WASHINGTON AVENUE
DETROIT LAKES, MN 56501
DETROIT LAKES, MN 56501
DETROIT LAKES, MN 56501
DETROIT LAKES, MN 56501
DETROIT LAKES, MN 56501
DETROIT LAKES, MN 56501
DETROIT LAKES, MN 56501
DETROIT LAKES, MN 56501
DETROIT LAKES, MN 56502
DETROIT LAKES, MN 56501
218/847-2636
218/847-0825
218/846-2000
218/847-0808
218/847-0808
218/844-0701
218/844-8354
218/844-9420
218/847-5642
218/844-0701
Part
NProf
Corp
Church
Church
Church
NProf
NProf
NProf
NProf
Outpt Surg
HCP-A
HCP-A
HCP-F
SLFB-9
ESRD
Amb Surg
HHA
ICFMR-9
(24593)
(20925)
(27351)
(21202)
(03707)
(23436)
(25997)
(23721)
(01311)
(20241)
218/844-2637
/-
218/846-2197
218/847-0850
218/847-0850
218/874-0895
218/844-9446
218/847-4488
218/847-7176
218/847-0895
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
MS. CHRISTY ALTHOFF
MR. ROGER GILBERTSON
MS. BREANNA ADAMS
MS. LINDA HESPE
MS. LINDA HESPE
MS. TONYA CLEM
MS. JANET GREEN
MS. JANET GREEN
MR. THOMAS REIFFENBERGER
MS. TONYA CLEM
---------------------------********** --------------------------(Cont.)*
HWS
HWSAL
HWSAL
HWS
-
15
Facility/Service Owner Licensure Certification
Minnesota Department of HealthDivision of Compliance Monitoring
Directory of Facilities and Services
Page
Registration
BECKER
BELTRAMI
FRAZEE ASSISTED LIVING H C
FRAZEE CARE CENTER
SUNNYSIDE CARE CENTER
SUNNYSIDE CARE CENTER
NORTH STAR NURSING TEMPORARY A
WHITE EARTH HOME HEALTH
A TOUCH OF HOME NORTH
AUTUMN HILLS OF BEMIDJI INC
BAKER PARK INC
219 WEST MAPLE AVE
219 WEST MAPLE AVE PO BOX 96
16561 US HWY 10
16561 US HIGHWAY 10
22119 480TH AVENUE PO BOX 306
BOX 496 26246 CRANE ROAD
915 21ST STREET NORTHWEST
2528 PARK AVENUE NORTHWEST
803 DEWEY AVENUE
FRAZEE, MN 56544
FRAZEE, MN 56544
LAKE PARK, MN 56554
LAKE PARK, MN 56554
OSAGE, MN 56570
WHITE EARTH, MN 56591
BEMIDJI, MN 56601
BEMIDJI, MN 56601
BEMIDJI, MN 56601
218/334-4501
218/334-4501
218/238-5944
218/238-5944
218/573-2238
218/983-3286
218/444-5878
218/333-3854
218/751-7249
Lim-Liab
Lim-Liab
Cnty
Cnty
Corp
Tribal
Lim-Liab
Corp
NProf
HCP-F
NH-74
NH-45
HCP-A
HCP-A
HCP-A
HCP-F
HCP-F
SNF-NF-74
SNF-NF-45
HHA
(20154)
(00730)
(00016)
(27036)
(21664)
(02147)
(26426)
(23983)
(20518)
218/334-4500
218/334-4500
218/238-6854
218/238-6854
218/573-3778
218/983-3724
218/444-5114
218/333-3855
218/333-6514
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
MR. AUSTIN BLILIE
MR. AUSTIN BLILIE
MR. BLAINE GAMST
MR. BLAINE GAMST
MS. HEIDI DREWES
MS. PATRICIA BUTLER
MS. SHAWN VANANTWERPEN
MS. SHELLEY CLOOSE
MS. SANDRA BENSEN
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(Cont.)*
HWSAL
HWSAL
HWSAL
HWSAL
-
16
Facility/Service Owner Licensure Certification
Minnesota Department of HealthDivision of Compliance Monitoring
Directory of Facilities and Services
Page
Registration
BELTRAMI
BELTRAMI COUNTY HEALTH & HUMAN
CEDAR COTTAGE
COLLEENS CARING HANDS
COMM BEHAV HLTH HOSP BEMIDJI
GPH BEMIDJI INC
HAVENWOOD CARE CENTER
LONG LAKE LOON LODGE
LONG LAKE LOON LODGE
NEILSON PLACE
PROGRESSIVE HEALTH CARE OF BEM
616 AMERICA AVE NW SUITE 340
1711 DELTON AVENUE NORTHWEST
2525 BEMIDJI AVENUE NORTH
800 BEMIDJI AVE NORTH
1700 30TH STREET NORTHWEST
1633 DELTON AVE
7747 LOON LODGE LANE NORTHEAST
7747 LOON LODGE LANE NE
1000 ANNE STREET NW
405 BELTRAMI AVENUE
BEMIDJI, MN 56601
BEMIDJI, MN 56601
BEMIDJI, MN 56601
BEMIDJI, MN 56601
BEMIDJI, MN 56601
BEMIDJI, MN 56601
BEMIDJI, MN 56601
BEMIDJI, MN 56601
BEMIDJI, MN 56601
BEMIDJI, MN 56601
218/333-8100
218/444-3047
218/333-8852
218/308-2400
218/444-4346
218/444-1745
218/586-2945
218/586-2945
218/751-0220
218/444-6876
Cnty
Corp
Corp
State
Corp
Corp
Ind
Ind
NProf
Corp
HCP-A
HCP-F
HCP-F
OTHER-16
HCP-F
NH-90
HCP-F
NH-78
HCP-A
HHA
PSY-16
SNF-NF-90
SNF-NF-78
(02007)
(20923)
(26834)
(25049)
(20075)
(00017)
(22011)
(20285)
(00823)
(21856)
218/333-8360
218/444-9060
218/444-9183
218/333-6800
218/444-4346
218/759-1744
/-
/-
218/333-6514
218/444-2747
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
MS. LINDA YOURCZEK
MR. JAMES BIRCHEM
MS. COLLEEN HILL-KJOS
MR. RICHARD SLIETER
MRS. JUDY KILLIAN
MR. BRANDON BJERKE
MS. AMY DELAP
MS. AMY DELAP
MS. LINDA BARKLEY
MR. PAUL IVERSON
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HWSAL
HWSAL
HWSAL
HWS
-
17
Facility/Service Owner Licensure Certification
Minnesota Department of HealthDivision of Compliance Monitoring
Directory of Facilities and Services
Page
Registration
BELTRAMI
SANFORD BEMIDJI HOME CARE
SANFORD BEMIDJI HOSPICE
SANFORD BEMIDJI MEDICAL CENTER
SANFORD DIALYSIS BEMIDJI
SANFORD HEALTH NEILSON PLACE
TAMARACK COURT
TOUCH OF HOME
TRILLIUM
WINDSONG
GOOD SAM SOC BLACKDUCK SR LIV
3525 PINE RIDGE AVENUE NW
3525 PINE RIDGE AVENUE NW
1300 ANNE STREET NORTHWEST
1233 - 34TH STREET NORTHWEST
803 DEWEY AVENUE
1511 DELTON AVENUE NW
711 17TH STREET
930 ANNE STREET NW
1010 ANNE STREET NW
152 MARGARET AVENUE NORTHWEST
BEMIDJI, MN 56601
BEMIDJI, MN 56601
BEMIDJI, MN 56601
BEMIDJI, MN 56601
BEMIDJI, MN 56601
BEMIDJI, MN 56601
BEMIDJI, MN 56601
BEMIDJI, MN 56601
BEMIDJI, MN 56601
BLACKDUCK, MN 56630
218/333-5665
218/333-5665
218/751-5430
218/751-5430
218/333-5665
218/444-4999
218/444-2775
218/333-5943
218/333-5943
218/835-5483
NProf
NProf
NProf
NProf
NProf
Corp
Lim-Liab
NProf
NProf
NProf
HCP-A
Hospice
BASS-12 HOSP-118
HCP-F
HCP-F
HCP-F
HCP-F
HHA
HSPICE
HOSP-89 PPS-P-12 PPS-R-17 PPS-R-PPS-P-
ESRD
(02372)
(02417)
(00821)
(03376)
(26843)
(26081)
(21397)
(26844)
(27160)
(26635)
218/333-5642
218/333-5642
218/333-5880
/-
218/333-5642
218/444-5603
218/444-5114
218/333-5639
218/333-5639
218/835-5484
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
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FAX:
FAX:
FAX:
MS. LORI SUNDBOM
MS. LORI SUNDBOM
MR. PAUL HANSON
MS. LISA CARLSON
MS. LINDA BARKLEY
MR. JAMES BIRCHEM
MS. JODI LINDSEY
MS. LINDA BARKLEY
MS. LINDA BARKLEY
MS. ANGEL NORMANDIN
---------------------------********** --------------------------(Cont.)*
HWSAL
HWSAL
HWSAL
HWS
HWSAL
-
18
Facility/Service Owner Licensure Certification
Minnesota Department of HealthDivision of Compliance Monitoring
Directory of Facilities and Services
Page
Registration
BELTRAMI
BENTON
GOOD SAM SOCIETY BLACKDUCK
HERITAGE HOUSE OF BLACKDUCK
SANFORD HLTH BLACKDUCK CLINIC
CORNERSTONE RESID OF KELLIHER
JOURDAIN PERPICH EXT CARE FAC
SANFORD DIALYSIS RED LAKE
MEADOWLAND ELDER CARE HOMES
MEADOWLAND ELDER CARE HOMES II
FOLEY NURSING CENTER
172 SUMMIT AVE W
441 4TH STREET NE
81 1ST STREET NW PO BOX 188
280 MAIN STREET WEST
P O BOX 399
24760 HOSPITAL DRIVE BOX 249
21368 GULL LAKE LOOP ROAD NE
21368 GULL LAKE LOOP ROAD NE
253 PINE STREET
BLACKDUCK, MN 56630
BLACKDUCK, MN 56630
BLACKDUCK, MN 56630
KELLIHER, MN 56650
RED LAKE, MN 56671
RED LAKE, MN 56671
TENSTRIKE, MN 56683
TENSTRIKE, MN 56683
FOLEY, MN 56329
218/835-3419
218/835-4564
218/367-6111
218/647-8258
218/679-3400
218/679-3117
218/586-3740
218/586-3740
320/968-6201
NProf
Corp
NProf
Corp
Tribal
NProf
Corp
Corp
Corp
NH-30
HCP-F
OTHER-
HCP-F
NH-89
SNF-NF-30
RHC
SNF-NF-47
ESRD
SNF-NF-89
(00021)
(21164)
(24590)
(25374)
(00355)
(23621)
(21190)
(21191)
(00629)
218/835-6737
218/835-5809
/-
218/647-8483
/-
218/679-4306
218/586-3746
218/586-3746
320/968-7051
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
MS. ANGEL NORMANDIN
MR. JAMES BIRCHEM
MS. MARY MILLER
MS. KARI SWANSON
MS. DEBRA VINCENT
MS. MARIA BEGNIER
MS. LYNN BEDELL
MS. DONNA STEPHENS
MR. STEVEN OELRICH
---------------------------**********
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--------------------------
--------------------------********
(Cont.)*
HWSAL
HWSAL
HWS
HWSAL
-
19
Facility/Service Owner Licensure Certification
Minnesota Department of HealthDivision of Compliance Monitoring
Directory of Facilities and Services
Page
Registration
BENTON
HERITAGE HOME HEALTH
HERITAGE HOME HEALTH & HOSPICE
HERITAGE PLACE
HERITAGE POINTE
ALL GOOD HOME CARE INC
COUNTRY MANOR EXTENDED SERV
COUNTRY MANOR EXTENDED SVCS
COUNTRY MANOR HLTH & REHAB CTR
GENERATIONS HOME CARE INC
THE COUNTRY VILLA
152 NORMAN AVENUE SOUTH
152 NORMAN AVENUE SOUTH
120 NORMAN AVENUE SOUTH
104 NORMAN AVENUE SOUTH
9250 LAKEWOOD SHORE RD NW
520 FIRST STREET NE
520 1ST STREET NE
520 FIRST STREET NORTHEAST
PO BOX 298
520 FIRST ST NE
FOLEY, MN 56329
FOLEY, MN 56329
FOLEY, MN 56329
FOLEY, MN 56329
RICE, MN 56367
SARTELL, MN 56377
SARTELL, MN 56377
SARTELL, MN 56377
SARTELL, MN 56377
SARTELL, MN 56377
320/968-7117
320/968-7117
320/968-6425
320/968-6425
320/393-2406
320/253-3343
320/253-3343
320/253-1920
320/230-3422
320/253-8450
Corp
Corp
Lim-Liab
Corp
Corp
NProf
Lim-Liab
Lim-Liab
Corp
Lim-Liab
HCP-F
HCP-A
HCP-A
HCP-A
HCP-F
NH-165
HCP-F
HHA
HHA
SNF-NF-165
(26407)
(02339)
(20153)
(26321)
(25865)
(02226)
(20206)
(00627)
(26135)
(20559)
320/968-7316
320/968-7316
320/968-7051
320/968-7316
320/393-2455
320/240-0244
320/240-0244
320/656-5922
320/453-8074
320/656-5922
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
PHONE:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
MS. CHARLOTTE MONROE
MS. CHARLOTTE MONROE, RN
MS. KATHRYN OELRICH
MS. KATHY OELRICH
MR. MIKE ALLGOOD
MS. JENNY MINETTE
MR. ANTHONY FENSTAD
MR. BRIAN KELM
MS. LORRIE WAITE
MR. ANTHONY FENSTAD
---------------------------********** --------------------------(Cont.)*
HWS
HWSAL
HWSAL
HWSAL
-
20
Facility/Service Owner Licensure Certification
Minnesota Department of HealthDivision of Compliance Monitoring
Directory of Facilities and Services
Page
Registration
BENTON
WAITE PROPERTIES LLC
ACCESS INFUSION HEALTHCARE LLC
CHERRYWOOD ADVANCED LIVING
GOOD SHEPHERD ASSISTED LIVING
GOOD SHEPHERD COTTAGES
GOOD SHEPHERD HOME HEALTH CARE
GOOD SHEPHERD HOMES INC
GOOD SHEPHERD LUTHERAN HOME
JOURNEY HOME
SHEPHERD COURT APARTMENTS
PO BOX 298
16 12TH STREET SOUTH
1685 4TH AVENUE NORTH
1115 4TH AVENUE NORTH
307 11TH STREET NORTH
1115 FOURTH AVENUE NORTH
1211 4TH AVENUE NORTH
1115 - 4TH AVE N
1485 10TH AVENUE NE
330 13TH STREET NORTH
SARTELL, MN 56377
SAUK RAPIDS, MN 56379
SAUK RAPIDS, MN 56379
SAUK RAPIDS, MN 56379
SAUK RAPIDS, MN 56379
SAUK RAPIDS, MN 56379
SAUK RAPIDS, MN 56379
SAUK RAPIDS, MN 56379
SAUK RAPIDS, MN 56379
SAUK RAPIDS, MN 56379
320/230-3422
320/492-5951
320/257-7445
320/252-6525
320/252-6525
320/252-6525
320/252-6525
320/252-6525
320/229-3762
320/252-6525
Lim-Liab
Lim-Liab
Lim-Liab
NProf
NProf
NProf
NProf
ONProf
NProf
NProf
HCP-A
HCP-F
HCP-F
HCP-A
NH-162
SLFB-68
HHA
SNF-NF-162
(26134)
(25059)
(27306)
(24855)
(23241)
(02397)