2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv...

736
2021 DIRECTORY REGISTERED, LICENSED, AND/OR CERTIFIED HEALTH CARE FACILITIES AND SERVICES Minnesota Department of Health Licensing and Certification Program P.O. Box 64900 St. Paul, Minnesota 55164-0900

Transcript of 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv...

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2021DIRECTORY

REGISTERED,LICENSED,

AND/OR CERTIFIED

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 Capacity, March 15, 2021......................................................... I

2. Certification Classifications, March 15, 2021 .............................................................................. I

3. Change in number of licensed inpatient facilities and units during the past 78 years .......................II

4. Hospitals: Bed Range, Ownership, March 15, 2021 ......................................................................II

5. Nursing Homes and Units: Bed Range, Ownership, March 15, 2021 ......................................... III

6. Nursing Homes and Units: Ownership, Percentage of Change, March 15, 2020 andMarch 15, 2021 ................................................................................................................................ III

7. Boarding Care Homes and Units: Bed Range, Ownership, March 15, 2021 ............................... IV

8. Boarding Care Homes and Units: Ownership, Percentage of Change, March 15, 2020 andMarch 15, 2021 ................................................................................................................................ IV

9. Supervised Living Facilities and Units: Bed Range, Ownership, March 15, 2021 .................... V

10. Supervised Living Facilities and Units: Ownership, Percentage of Change, March 15, 2020and March 15, 2021........................................................................................................................... V

11. Number of Licensed Facilities and Beds by County, March 15, 2021 .................................VI – XI

12. Number of Facilities and Beds by County, March 15, 2021............................................. XII – XVI

13. Number of Certified Services by County, March 15, 2021................................................ XVII – XX

14. Number of Licensed or Certified Home Care Providers and Registered Home Managementby Classifications and County, March 15, 2021 ............................................................. XXI – XXIV

15. Number of Housing with Services Establishments by County, March 15, 2021.. ......XXV – XXVI

16. Number of Licensed Facilities and Beds by County, March 15, 2021 .................... XXVII – XXVIII

FEDERAL HOSPITALS.................................................................................................................. XXIX

ABBREVIATIONS ............................................................................................................. XXX – XXXI

DIRECTORY OF FACILITIES AND SERVICES ..................................................................... 1 – 591

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LISTING OF HEALTH CARE FACILITIES - Grouped by Type/Location

Boarding Care Homes .................................................................................................................592

Community Mental Health Centers ............................................................................................593

Comprehensive Outpatient Rehabilitation Facility ..................................................................593

End Stage Renal Disease Supplier.................................................................................. 594 – 595

Licensed Home Care Providers ..................................................................................... 596 – 612

Registered Home Management Providers ..................................................................................613

Certified Home Health Agencies ..................................................................................... 614 – 615

Licensed Hospices ........................................................................................................................616

Medicare Certified Hospices........................................................................................................617

Residential Hospices ....................................................................................................................618

Hospitals............................................................................................................................. 619 – 620

Nursing Homes .................................................................................................................. 621 – 624

Outpatient Occupational Therapy Providers ...............................................................................625

Outpatient Physical Therapy Providers .....................................................................................625

Outpatient Speech Therapy Providers .........................................................................................626

Outpatient Surgical Centers ............................................................................................... 626 – 627

Portable X-Ray Suppliers ............................................................................................................628

Rural Health Clinics .....................................................................................................................629

Supervised Living Facilities .............................................................................................630 – 632

Birth Centers .................................................................................................................................633

Mobile Health Evaluation/Screening ...........................................................................................633

INDEX FOR DIRECTORY OF FACILITIES AND SERVICES ............................................. 1 – 60

ALPHABETICAL LISTING OF LOCATIONS OF HEALTH CARE FACILITIES........634 – 639

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MINNESOTA DEPARTMENT OF HEALTH HEALTH REGULATION DIVISION

DIRECTORY OF LICENSED, CERTIFIED AND REGISTERED HEALTH CARE

FACILITIES AND SERVICES

March 15, 2021

FOREWORD

The directory that follows contains a list of hospitals and related institutions licensed and/or certified as of March 15, 2021 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) US Public Health Service (PHS) Housing and Redevelopment Authority

(HRA)

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 144.586 inclusive, Minnesota Statutes. Nursing homes are licensed under the provisions of 144A.01 – 144A.1888, 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 pre-examined, pre-diagnosed, 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.

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A "SUPERVISED LIVING FACILITY" provides a residential, homelike setting for persons who are intellectually disabled, 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. HOME CARE PROVIDER LICENSING LAW Home care providers in Minnesota are licensed under the provisions of Sections 144A.43-144A.482 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 of at least one home care service, directly in a client’s home for a fee and who has a valid current temporary license or license issued under sections 144A.43 to 144A.482. At least one home care service must be provided directly, although additional home care services may be provided by contractual arrangements. Temporary Basic Home Care Provider License. This license is given to a new home care provider who is offering services as listed below for the basic level license and has met all conditions of licensure. It is valid for one year, during which time the provider will be surveyed by the department to determine if the provider is in compliance with home care requirements. Upon successful completion of the survey, the provider will be granted a basic home care license. Basic Home Care Provider License. Home care services that can be provided with a basic home care license are assistive tasks provided by licensed or unlicensed personnel that include: (1) assisting with dressing, self-feeding, oral hygiene, hair care, grooming, toileting, and bathing; (2) providing standby assistance; (3) providing verbal or visual reminders to the client to take regularly scheduled medication, which includes bringing the client previously set-up medication, medication in original containers, or liquid or food to accompany the medication; (4) providing verbal or visual reminders to the client to perform regularly scheduled treatments and exercises; (5) preparing modified diets ordered by a licensed health professional; and (6) assisting with laundry, housekeeping, meal preparation, shopping, or other household chores and services if the provider is also providing at least one of the activities in clauses (1) to (5). Temporary Comprehensive Home Care Provider License. This license is given to a new home care provider who is offering services as listed below for the comprehensive level license and has met all conditions of licensure. It is valid for one year, during which time the provider will be surveyed by the department to determine if the provider is in compliance with home care requirements. Upon successful completion of the survey, the provider will be granted a comprehensive home care license. Comprehensive Home Care Provider License. Home care services that may be provided with a comprehensive home care license include any of the basic home care services and one or more of the following: (1) services of an advanced practice nurse, registered nurse, licensed practical nurse, physical therapist, respiratory therapist, occupational therapist, speech-language pathologist, dietitian or nutritionist, or social worker; (2) tasks delegated to unlicensed personnel by a registered nurse or assigned by a licensed health professional within the person's scope of practice; (3) medication management services; (4) hands-on assistance with transfers and mobility; (5) assisting

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clients with eating when the clients have complicating eating problems as identified in the client record or through an assessment such as difficulty swallowing, recurrent lung aspirations, or requiring the use of a tube or parenteral or intravenous instruments to be fed; or (6) providing other complex or specialty health care services.. 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 or, is a facility that meets the requirements of a residential hospice under 144A.75 Subd. 13.

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I

DIRECTORY OF LICENSED AND CERTIFIED HEALTH CARE FACILITIES AND SERVICES Classification and Bed Capacity: As of March 15, 2021 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, 2021 Licensing Classifications Number of Facilities and Services Number of Beds Hospitals 128 16,139 Bassinets 109 1,767 Psychiatric Hospitals 2 87 Nursing Homes 358 26,371 Boarding Care Homes 22 1,347 (Includes B.C.H. Units of Other Facilities) (7) (370) Supervised Living Facilities 219 4,518 Freestanding Outpatient Surgical Centers 81 N/A Other Specialized Hospitals 10 287 Home Care Providers 1,670 N/A Hospices 92 N/A TABLE 2 Certification Classifications, March 15, 2021 Licensing Classifications Number of Facilities and Services Number of Beds Medicare Hospitals 51 13,119 Critical Access Hospitals 78 1,663 Psychiatric Hospital 9 303 Skilled Nursing Facilities 356 26,269 Portable X-Ray Facilities 4 ------- Outpatient Occupational Therapy 29 ------- Outpatient Physical Therapy 34 ------- Outpatient Speech Therapy 24 Home Health Agencies 164 ------- Hospices 76 ------- Residential Hospices 19 ------- Renal Disease Suppliers 120 ------ Comprehensive Outpatient Rehabilitation Facility 2 ------- Ambulatory Surgical Centers 76 ------- Rural Health Clinics 98 ------- Community Mental Health Centers 1 ------- Medicaid Nursing Facilities I 350 26,018 Nursing Facilities II 14 857 Intermediate Care Facilities for Individuals with Intellectual Disabilities 125 1,059 Accreditation by Approved Accrediting Organization Hospitals (Excluding Psychiatric Facilities) 70 -------

TABLE 2A

Housing with Services Establishments 2,495 -------

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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 78 years.

January 1, 1943

March 15, 1975

March 15, 2021

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

128 358

22 219

10

16,139

26,371 1,347 4,518

287 TOTALS

397

16,225

996

77,262

737

48,662

*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, 2021

Type of Ownership

Hospital

Total Number

% of Total

Nonprofit

Public

Proprietary

Hosp. Beds

Hosp. Beds

Hosp. Beds

Hosp. Beds

Hosp. Beds

1 – 24

28

464

21.9

2.9

19

306

9

158/

0

0

25 – 49

51

1,748

39.8

10.8

40

1,389

10

329

1

30

50 - 99

19

1,331

14.8

8.2

18

1,239

0

0

1

92

100 - 299

16

2,795

12.5

17.3

15

2,668

1

127

0

0

300 +

14

9,801

10.9

60.7

13

8,907

1

894

0

0

TOTALS

128

16,139

100.0

100.0

105

14,509

21

1,508

2

122

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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, 2021

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

8

147

2.2

0.6

5

90

0

0

3

57

25 - 49

102

4,038

28.5

15.3

52

2,060

17

651

33

1,327

50 - 99

179

12,458

50.0

47.2

108

7,493

11

705

60

4,260

100 - 299

67

9,067

18.7

34.4

43

5,922

3

362

21

2,783

300 +

2

661

0.6

2.5

0

0

1

341

1

320

TOTALS

358

26,371

100.0

100.0

208

15,565

32

2,059

118

8,747

TABLE 6 Nursing Homes and Units: Home and Beds by Ownership and Percentage of Change -- March 15, 2020 and March 15, 2021

March 15, 2020

March 15, 2021

% of Change

Nursing Home Units Ownership

Homes and

Units

Beds

Homes and

Units

Beds

Homes and

Units

Beds Non Profit

210

16,022 208 15,565

-0.9

-2.9

Public

33

2,116 32 2,059

-3.1

-2.8

Subtotal, Non Profit And Public

243

18,138 240 17,624

-1.2

-2.9 Proprietary

118

8,797 118 8,747

0

-6.0

TOTALS

361

26,935 358 26,371

-0.83

-2.1

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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, 2021

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

4

56

18.2

4.2

0

0

0

0

4

56

25 - 49

5

149

22.7

11.1

1

33

0

0

4

116

50 - 99

11

730

50.0

54.2

6

387

1

50

4

293

100 - 299

2

412

9.1

30.6

0

0

1

200

1

212

300 +

0

0

.0

.0

0

0

0

0

0

0

TOTALS

22

1,347

100.0

100.0

7

420

2

250

13

677

TABLE 8 Boarding Care Homes and Units: Home and Beds by Ownership and Percentage of Change -- March 15, 2020 and March 15, 2021

March 15, 2020

March 15, 2021

% of Change

BCH Ownership

Homes and

Units

Beds

Homes and

Units

Beds

Homes and

Units

Beds Non Profit 7 420 7 420 0 0 Public 2 250 2 250 0 0 Subtotal, Non Profit and Public 9 670 9 670 0 0 Proprietary 13 694 13 677 0 -2.5 TOTALS 22 1,364 22 1,347 0 -1.3

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V

TABLE 9 Supervised Living Facilities and Units: Bed Range, Total Numbers and Percentages of Facility and Beds by Ownership -- March 15, 2021

Type of Ownership

SLF Range

Total Number

% of Total

Nonprofit

Public

Proprietary

Homes Beds

Homes Beds

Homes Beds

Homes Beds

Homes Beds

1 - 15

143

984

65.3

21.8

76

524

0

0

67

460

16 - 49

58

1,337

26.5

29.6

24

620

13

253

20

440

50 - 99

13

780

5.9

17.3

4

233

3

173

6

374

100 - 299

2

371

0.9

8.2

1

111

1

260

0

0

300 +

3

1,046

1.4

23.2

1

0

2

1,046

0

0

TOTALS

219

4,518

100.0

100.0

106

1,488

19

1,732

93

1,274

TABLE 10 Supervised Living Facilities and Units: Facilities and Beds by Ownership and Percentage of Change -- March 15, 2020 and March 15, 2021

March 15, 2020

March 15, 2021

% of Change

SLF Ownership

Homes and

Units

Beds

Homes and

Units

Beds

Homes and

Units

Beds Non Profit 114 1,638 106 1,488 -7.5 -10.0 Public 19 1,709 19 1,732 0 -1.3 Subtotal, Non Profit 133 3,347 125 3,220 -6.4 -3.9 Proprietary 94 1,092 93 1,274 -1.1 -4.3 TOTALS 227 4,439 218 4,494 -4.6 -1.2

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VITABLE 11: Number of Licensed Facilities and Beds by County, March 15, 2021 Page

1

1

1

1

0

2

1

2

3

1

0

1

1

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1

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2

25

546

87

118

0

40

272

78

61

109

0

30

61

0

25

16

26

1

1

1

1

0

2

1

2

2

1

0

1

1

0

1

0

1

6

27

16

12

0

4

26

14

10

20

0

6

12

0

4

0

6

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

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0

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0

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0

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0

0

0

0

0

0

2

7

4

3

3

2

5

4

3

3

1

3

4

4

1

1

3

119

571

276

198

405

91

349

277

212

188

33

186

217

303

47

37

156

0

0

0

0

0

0

0

0

0

0

0

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45

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96

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14

16

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6

0

0

0

0

0

0

1

0

3

0

0

0

0

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0

0

0

0

0

0

0

0

0

175

0

16

0

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0

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0

0

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0

0

0

0

4

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0

0

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3

0

0

3

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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

3

0

0

1

0

1

2

1

0

0

1

0

0

0

0

0

0

118

0

0

0

12

48

20

558

27

0

0

5

16

0

0

18

0

3

0

0

0

1

4

2

1

3

0

0

1

1

0

0

1

County

Hosp.

No.

Psych.

No. Bass.

No.

N.H.

No.

B.C.H

No.

S.L.F-A

No. S.L.F-B

No.

Other

No. Outpat.

Surg.

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VIITABLE 11: Number of Licensed Facilities and Beds by County, March 15, 2021 Page

2

3

0

1

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9

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1

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204

244

0

127

43

0

159

83

10

5401

0

50

86

104

20

49

136

2

3

0

1

1

0

1

3

1

8

0

1

1

3

0

1

1

22

72

0

14

4

0

22

7

2

660

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

71

0

0

0

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0

0

0

3

10

2

4

2

6

4

5

1

52

4

1

1

4

2

1

3

211

946

100

243

119

307

300

371

45

5380

186

64

141

279

83

65

378

0

1

0

0

0

0

0

0

0

13

0

0

0

0

0

0

0

0

200

0

0

0

0

0

0

0

842

0

0

0

0

0

0

0

24

63

0

0

0

0

26

54

0

383

0

28

0

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

16

1

7

0

3

0

0

0

0

0

28

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

7

0

0

0

0

1

1

0

26

0

1

0

0

0

0

1

16

95

0

0

0

0

32

0

0

295

21

8

6

34

0

0

48

1

10

0

0

0

0

1

0

0

31

2

1

1

1

0

0

3

County

Hosp.

No.

Psych.

No. Bass.

No.

N.H.

No.

B.C.H

No.

S.L.F-A

No. S.L.F-B

No.

Other

No. Outpat.

Surg.

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VIIITABLE 11: Number of Licensed Facilities and Beds by County, March 15, 2021 Page

1

1

2

1

1

1

2

2

1

1

1

2

1

1

1

0

1

15

25

32

25

15

15

44

74

18

12

57

115

35

28

49

0

25

1

1

2

1

0

0

1

1

0

0

1

2

1

1

1

0

1

0

5

4

1

0

0

1

8

0

0

16

14

4

3

10

0

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

2

2

2

1

2

3

3

1

1

3

3

3

3

3

4

1

106

103

112

127

32

90

103

176

32

45

150

293

183

232

205

187

54

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

40

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

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

0

0

0

0

0

0

3

0

0

0

0

0

0

0

0

0

0

0

6

0

0

0

0

6

0

0

24

6

0

0

0

0

14

0

0

1

0

0

0

0

1

0

0

3

1

0

0

0

0

1

County

Hosp.

No.

Psych.

No. Bass.

No.

N.H.

No.

B.C.H

No.

S.L.F-A

No. S.L.F-B

No.

Other

No. Outpat.

Surg.

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IXTABLE 11: Number of Licensed Facilities and Beds by County, March 15, 2021 Page

1

1

1

2

2

1

1

1

2

1

6

0

1

1

1

1

1

25

48

14

2120

133

26

30

44

92

34

1925

0

25

16

49

28

25

0

1

0

2

2

1

1

1

2

1

4

0

1

1

1

1

1

0

7

0

117

14

10

5

7

17

4

110

0

6

3

10

5

7

0

0

0

0

0

1

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

16

0

0

0

0

0

0

0

0

0

0

0

2

3

2

8

7

2

2

2

6

2

29

0

5

5

4

3

3

127

141

93

603

536

105

96

134

323

103

2673

0

202

218

289

186

139

0

0

0

0

0

0

0

0

0

0

5

0

1

0

0

0

0

0

0

0

0

0

0

0

0

0

0

206

0

26

0

0

0

0

71

0

0

58

16

0

50

21

0

0

232

0

0

6

46

0

0

0

0

0

1

1

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

16

16

0

0

0

0

0

0

0

0

0

0

0

0

0

1

0

0

0

0

0

0

0

0

5

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

2

0

0

3

1

0

1

1

0

0

15

0

0

1

2

0

0

824

6

0

34

5

0

0

7

0

0

255

0

0

0

0

6

0

7

1

0

3

1

0

0

1

0

0

30

0

0

0

0

1

0

County

Hosp.

No.

Psych.

No. Bass.

No.

N.H.

No.

B.C.H

No.

S.L.F-A

No. S.L.F-B

No.

Other

No. Outpat.

Surg.

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XTABLE 11: Number of Licensed Facilities and Beds by County, March 15, 2021 Page

8

2

1

1

4

1

1

2

2

1

1

1

1

2

2

1

1

1121

142

54

20

575

43

49

36

71

25

25

49

35

183

50

25

49

6

2

1

0

4

1

1

2

2

1

1

1

0

2

2

1

1

90

24

10

0

70

16

5

1

18

4

0

6

0

43

8

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

16

4

3

3

8

2

1

2

2

2

3

3

3

8

2

1

4

1211

366

371

101

429

119

72

87

105

82

240

240

127

680

102

80

335

1

0

0

0

0

0

0

1

0

0

0

0

0

0

0

0

0

54

0

0

0

0

0

0

19

0

0

0

0

0

0

0

0

0

84

9

0

13

24

0

0

0

0

0

0

20

0

86

0

0

26

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

4

0

0

0

4

0

0

0

0

0

0

0

0

9

0

0

1

SAINT LOUIS

SCOTT

SHERBURNE

SIBLEY

STEARNS

STEELE

STEVENS

SWIFT

TODD

TRAVERSE

WABASHA

WADENA

WASECA

WASHINGTON

WATONWAN

WILKIN

WINONA

5

1

0

1

2

0

0

0

0

0

0

1

0

5

0

0

2

125

52

0

0

20

16

0

0

0

0

0

16

0

15

13

0

0

7

1

1

0

1

1

0

0

0

0

0

1

0

2

1

0

0

County

Hosp.

No.

Psych.

No. Bass.

No.

N.H.

No.

B.C.H

No.

S.L.F-A

No. S.L.F-B

No.

Other

No. Outpat.

Surg.

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XITABLE 11: Number of Licensed Facilities and Beds by County, March 15, 2021 Page

2

2

104

55

2

2

30

5

0

0

0

0

7

2

454

89

0

0

0

0

0

96

1

0

16

0

0

0

WRIGHT

YELLOW MEDICINE

0

1

6

15

1

1

County

Hosp.

No.

Psych.

No. Bass.

No.

N.H.

No.

B.C.H

No.

S.L.F-A

No. S.L.F-B

No.

Other

No. Outpat.

Surg.

128

16139

109

1767

2

87

358

26371

22

1347 1670

10

287

8194

2848

136Minnesota

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TABLE 12: Number of Facilities and Beds by County, March 15, 2021 XIIPage

0

1

1

1

0

0

1

0

0

1

0

0

1

0

0

0

0

1

3

0

531

87

106

0

0

272

0

0

109

0

0

61

0

0

0

0

140

224

0

1

0

1

0

0

0

0

0

0

0

0

0

0

0

0

0

1

0

0

175

0

16

0

0

0

0

0

0

0

0

0

0

0

0

0

16

0

0

0

0

0

0

0

0

0

0

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

37

0

3

0

0

0

1

5

2

0

3

0

1

0

0

0

0

1

0

6

0

52

0

0

0

12

59

8

0

27

0

6

0

0

0

0

18

0

51

2

7

4

4

3

2

5

4

3

3

1

3

4

4

1

1

3

3

9

119

571

276

245

405

91

349

277

212

188

33

186

217

303

47

37

156

211

909

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

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

AITKIN

ANOKA

BECKER

BELTRAMI

BENTON

BIG STONE

BLUE EARTH

BROWN

CARLTON

CARVER

CASS

CHIPPEWA

CHISAGO

CLAY

CLEARWATER

COOK

COTTONWOOD

CROW WING

DAKOTA

Hosp.

No.

Beds

Psych.

No.

Beds

SNF

No.

Beds

SNF/NF

No.

Beds

NF 1

No.

Beds

NF 2

No.

Beds

ICF/IID

No.

BedsCounty

1

0

0

0

0

2

0

2

3

0

1

1

0

0

1

1

2

1

0

25

0

0

0

0

40

0

41

50

0

13

25

0

0

25

16

26

25

0

CAH

No.

Beds

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TABLE 12: Number of Facilities and Beds by County, March 15, 2021 XIIIPage

0

1

0

0

1

1

0

9

0

0

1

1

0

0

1

0

0

0

0

0

127

0

0

143

50

0

4978

0

0

86

64

0

0

128

0

0

0

0

0

1

0

0

0

0

0

0

0

0

0

0

0

0

1

0

0

0

0

0

16

0

0

0

0

0

0

0

0

0

0

0

0

16

0

0

0

0

0

0

0

0

0

0

0

3

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

166

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

37

2

0

1

0

0

0

1

0

0

1

0

0

0

0

0

0

0

0

269

21

0

6

0

0

0

6

0

0

6

0

2

4

2

6

4

5

1

48

4

1

1

4

2

1

3

2

2

2

2

100

243

119

307

300

371

45

5139

186

64

141

279

83

65

378

106

103

112

127

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

0

0

0

0

0

0

0

0

0

0

0

0

9

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

661

0

0

0

0

0

0

0

0

0

0

0

DODGE

DOUGLAS

FARIBAULT

FILLMORE

FREEBORN

GOODHUE

GRANT

HENNEPIN

HOUSTON

HUBBARD

ISANTI

ITASCA

JACKSON

KANABEC

KANDIYOHI

KITTSON

KOOCHICHING

LAC QUI PARLE

LAKE

Hosp.

No.

Beds

Psych.

No.

Beds

SNF

No.

Beds

SNF/NF

No.

Beds

NF 1

No.

Beds

NF 2

No.

Beds

ICF/IID

No.

BedsCounty

0

0

1

0

0

2

1

0

0

1

0

2

1

1

0

1

1

2

1

0

0

25

0

0

33

10

0

0

25

0

40

20

25

0

15

25

32

25

CAH

No.

Beds

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TABLE 12: Number of Facilities and Beds by County, March 15, 2021 XIVPage

0

0

0

0

0

0

1

1

0

0

0

0

0

0

1

0

2

1

0

0

0

0

0

0

0

57

54

0

0

0

0

0

0

48

0

1976

80

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

1

1

1

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

16

16

16

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

2

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

34

0

0

0

0

0

2

0

0

3

1

0

0

0

0

1

1

1

0

3

1

0

0

0

0

12

0

0

24

6

0

0

0

0

14

8

6

0

24

5

0

1

2

3

3

1

1

3

3

3

3

3

4

1

1

3

2

7

7

2

32

90

103

176

32

45

150

293

183

232

205

187

54

79

141

93

569

536

105

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

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

LAKE OF THE WOODS

LESUEUR

LINCOLN

LYON

MAHNOMEN

MARSHALL

MARTIN

MCLEOD

MEEKER

MILLE LACS

MORRISON

MOWER

MURRAY

NICOLLET

NOBLES

NORMAN

OLMSTED

OTTER TAIL

PENNINGTON

Hosp.

No.

Beds

Psych.

No.

Beds

SNF

No.

Beds

SNF/NF

No.

Beds

NF 1

No.

Beds

NF 2

No.

Beds

ICF/IID

No.

BedsCounty

1

1

2

2

1

1

0

1

1

1

1

0

1

1

0

1

0

1

1

15

15

44

50

15

12

0

25

25

18

25

0

25

25

0

14

0

25

25

CAH

No.

Beds

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TABLE 12: Number of Facilities and Beds by County, March 15, 2021 XVPage

0

0

0

0

6

0

0

0

1

0

0

5

1

1

0

1

1

0

0

0

0

0

0

1796

0

0

0

49

0

0

1007

93

54

0

469

33

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

0

0

1

0

0

0

0

0

0

0

0

1

0

0

0

0

0

0

0

0

0

32

0

0

0

0

0

0

0

0

2

0

0

0

0

0

0

0

0

0

33

0

0

1

1

1

0

4

2

1

1

0

1

0

0

0

0

0

0

233

0

0

6

30

6

0

23

61

6

13

0

16

0

0

2

2

6

2

27

0

5

5

4

3

3

16

4

3

3

8

2

1

2

96

134

323

103

2635

0

202

218

289

186

119

1211

366

369

101

429

119

72

87

0

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

20

0

0

0

0

0

0

0

0

0

0

0

0

3

0

0

0

0

0

0

1

0

0

0

0

0

0

1

0

0

0

0

123

0

0

0

0

0

0

54

0

0

0

0

0

0

19

PINE

PIPESTONE

POLK

POPE

RAMSEY

RED LAKE

REDWOOD

RENVILLE

RICE

ROCK

ROSEAU

SAINT LOUIS

SCOTT

SHERBURNE

SIBLEY

STEARNS

STEELE

STEVENS

SWIFT

Hosp.

No.

Beds

Psych.

No.

Beds

SNF

No.

Beds

SNF/NF

No.

Beds

NF 1

No.

Beds

NF 2

No.

Beds

ICF/IID

No.

BedsCounty

1

1

2

1

0

0

1

1

0

1

1

3

1

0

1

3

0

1

2

25

25

46

25

0

0

25

16

0

25

25

51

25

0

20

75

0

25

36

CAH

No.

Beds

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TABLE 12: Number of Facilities and Beds by County, March 15, 2021 XVIPage

0

0

0

0

0

2

0

0

1

1

0

0

0

0

0

0

183

0

0

49

65

0

0

0

0

0

0

0

0

0

0

1

0

0

0

0

0

0

0

0

0

0

16

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

1

0

0

1

0

0

0

0

0

0

6

13

0

0

6

0

2

2

3

3

3

8

2

1

4

7

2

105

82

240

240

127

680

102

80

335

454

89

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

0

0

TODD

TRAVERSE

WABASHA

WADENA

WASECA

WASHINGTON

WATONWAN

WILKIN

WINONA

WRIGHT

YELLOW MEDICINE

Hosp.

No.

Beds

Psych.

No.

Beds

SNF

No.

Beds

SNF/NF

No.

Beds

NF 1

No.

Beds

NF 2

No.

Beds

ICF/IID

No.

BedsCounty

51

13119

9

303

8

271

125

1059

350

25998

2

20

14

857

Minnesota

2

1

1

1

1

0

2

1

0

1

2

50

25

25

25

25

0

50

25

0

25

50

CAH

No.

Beds

78

1663

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TABLE 13: Number of Certified Services by County, March 15, 2021 XVIIPage

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

0

0

1

0

1

0

0

0

5

0

0

1

3

0

0

3

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

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

1

7

0

3

2

0

1

2

1

0

1

2

1

1

1

1

0

0

0

0

1

9

0

0

1

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

1

0

0

0

0

0

0

0

0

0

0

4

0

1

0

0

0

3

0

0

0

3

0

0

0

0

0

0

0

0

1

7

0

0

3

0

0

0

0

0

0

0

4

0

2

1

2

2

1

0

0

1

1

1

1

0

0

1

0

1

1

4

3

0

0

2

1

2

0

0

2

0

0

2

0

0

1

1

0

1

0

0

0

1

0

0

0

0

1

0

0

0

2

2

0

0

2

1

0

0

1

1

0

0

2

0

0

0

1

0

2

0

0

0

1

0

0

0

0

0

0

0

0

0

1

0

0

0

0

1

0

0

0

0

AITKIN

ANOKA

ARIZONA

BECKER

BELTRAMI

BENTON

BIG STONE

BLUE EARTH

BROWN

CALIFORNIA

CARLTON

CARVER

CASS

CHIPPEWA

CHISAGO

CLAY

CLEARWATER

COLORADO

COOK

COTTONWOOD

CROW WING

DAKOTA

DELAWARE

DODGE

DOUGLAS

FARIBAULT

FILLMORE

FLORIDA

FREEBORN

GOODHUE

GRANT

CountyRenal

Outpt

PT/ST/OT CMHC XRay HHA CORFAmb

Surg

Hos-

Pice

Rural

Clinic

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TABLE 13: Number of Certified Services by County, March 15, 2021 XVIIIPage

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

0

0

2

0

0

0

2

3

3

0

1

0

4

2

2

0

1

0

0

0

3

0

2

4

0

2

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

0

0

0

0

0

23

0

0

0

0

1

1

0

1

1

0

0

0

0

0

0

0

0

1

0

0

0

1

0

2

1

0

1

1

0

0

2

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

24

0

0

0

0

0

1

0

0

2

0

0

0

0

0

0

0

0

1

0

0

0

1

0

1

0

0

0

0

0

0

35

0

0

0

0

0

4

0

1

3

0

1

1

1

0

0

1

1

3

0

0

0

0

0

0

1

0

1

2

1

0

11

0

1

0

0

0

1

0

0

2

0

0

0

0

0

0

0

1

2

0

0

0

0

0

0

0

0

1

2

1

1

15

0

1

0

0

1

1

1

0

1

0

0

0

0

0

0

0

0

1

0

0

0

0

0

0

0

0

0

0

0

0

HENNEPIN

HOUSTON

HUBBARD

ILLINOIS

IOWA

ISANTI

ITASCA

JACKSON

KANABEC

KANDIYOHI

KANSAS

KITTSON

KOOCHICHING

LAC QUI PARLE

LAKE

LAKE OF THE WOODS

LESUEUR

LINCOLN

LYON

MAHNOMEN

MAINE

MARSHALL

MARTIN

MASSACHUSETTS

MCLEOD

MEEKER

MICHIGAN

MILLE LACS

MORRISON

MOWER

MURRAY

CountyRenal

Outpt

PT/ST/OT CMHC XRay HHA CORFAmb

Surg

Hos-

Pice

Rural

Clinic

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TABLE 13: Number of Certified Services by County, March 15, 2021 XIXPage

0

0

0

0

0

0

0

0

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

3

0

0

0

0

4

0

0

4

0

2

3

0

2

2

3

0

0

0

2

0

0

4

0

5

0

0

0

0

0

0

0

0

0

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

1

0

0

0

0

4

1

1

0

0

1

1

0

15

0

1

1

3

0

1

4

2

2

0

0

1

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

0

0

0

0

0

0

0

0

0

0

1

0

0

0

0

0

0

0

0

0

0

0

0

5

0

0

0

1

0

0

4

0

0

0

0

4

0

0

0

0

1

1

0

0

0

0

5

4

1

0

0

1

1

1

21

0

1

1

3

0

1

12

1

1

0

0

5

1

0

0

0

0

0

0

0

0

0

5

1

0

0

0

1

1

1

9

0

1

1

0

1

1

5

0

1

0

0

2

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

2

0

0

0

0

0

0

2

0

0

0

0

2

0

NEBRASKA

NEW JERSEY

NEW YORK

NICOLLET

NOBLES

NORMAN

NORTH CAROLINA

NORTH DAKOTA

OHIO

OLMSTED

OTTER TAIL

PENNINGTON

PENNSYLVANIA

PINE

PIPESTONE

POLK

POPE

RAMSEY

RED LAKE

REDWOOD

RENVILLE

RICE

ROCK

ROSEAU

SAINT LOUIS

SCOTT

SHERBURNE

SIBLEY

SOUTH DAKOTA

STEARNS

STEELE

CountyRenal

Outpt

PT/ST/OT CMHC XRay HHA CORFAmb

Surg

Hos-

Pice

Rural

Clinic

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TABLE 13: Number of Certified Services by County, March 15, 2021 XXPage

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

2

0

0

4

2

0

1

5

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

1

0

0

0

0

0

0

1

1

0

4

0

0

1

0

1

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

0

0

9

0

0

0

0

0

0

0

1

0

0

1

0

0

1

2

0

1

1

1

0

0

3

2

0

0

0

0

0

0

0

0

1

0

4

0

1

1

0

0

0

1

0

0

0

0

0

0

0

0

0

1

0

0

0

0

0

0

STEVENS

SWIFT

TENNESSEE

TEXAS

TODD

TRAVERSE

VIRGINIA

WABASHA

WADENA

WASECA

WASHINGTON

WATONWAN

WILKIN

WINONA

WISCONSIN

WRIGHT

YELLOW MEDICINE

CountyRenal

Outpt

PT/ST/OT CMHC XRay HHA CORFAmb

Surg

Hos-

Pice

Rural

Clinic

1 982120 4 76164 7637Minnesota

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TABLE 14: Number of Licensed or Certified Home Care Providers

XXIPage

and Registered Home Management Providers by Classification and County, March 15, 2021

0

24

0

0

0

0

0

0

0

1

1

0

0

2

0

0

0

1

27

0

0

0

0

0

1

0

190

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

1

0

0

0

0

0

0

0

1

0

0

6

1

1

0

0

0

0

0

1

0

1

3

0

1

0

0

1

7

0

0

0

0

1

1

0

30

0

AITKIN

ANOKA

BECKER

BELTRAMI

BENTON

BIG STONE

BLUE EARTH

BROWN

CARLTON

CARVER

CASS

CHIPPEWA

CHISAGO

CLAY

CLEARWATER

COOK

COTTONWOOD

CROW WING

DAKOTA

DODGE

DOUGLAS

FARIBAULT

FILLMORE

FREEBORN

GOODHUE

GRANT

HENNEPIN

HOUSTON

County TComp TBasic Home Mgmt

Home Mgmt = Home Management Registration

3

58

6

13

11

2

18

11

11

12

7

2

7

11

3

0

3

14

80

4

12

5

8

8

11

3

354

5

0

1

0

0

0

0

0

1

0

1

0

0

0

2

0

0

1

1

3

0

0

0

0

0

0

0

11

0

COMP = Comprehensive Home Care BASIC = Basic Home Care

Comp Basic

TCOMP = Temporary Comprehensive Home Care TBASIC = Temporary Basic Home Care

HHA = Federally Certified Home Health Agency

HHA

0

4

2

1

2

2

1

0

1

1

1

1

0

0

1

1

1

4

3

0

2

1

2

0

2

0

35

0

Page 28: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

TABLE 14: Number of Licensed or Certified Home Care Providers

XXIIPage

and Registered Home Management Providers by Classification and County, March 15, 2021

0

0

0

0

0

1

0

0

0

0

0

0

1

0

0

0

0

0

0

0

0

0

1

0

0

0

1

0

3

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

5

0

0

0

0

0

1

0

0

0

0

0

0

0

1

0

1

0

0

1

0

2

2

0

0

0

HUBBARD

IOWA

ISANTI

ITASCA

JACKSON

KANABEC

KANDIYOHI

KITTSON

KOOCHICHING

LAC QUI PARLE

LAKE

LAKE OF THE WOODS

LESUEUR

LINCOLN

LYON

MAHNOMEN

MARSHALL

MARTIN

MCLEOD

MEEKER

MILLE LACS

MORRISON

MOWER

MURRAY

NICOLLET

NOBLES

NORMAN

NORTH DAKOTA

OLMSTED

OTTER TAIL

PENNINGTON

PINE

County TComp TBasic Home Mgmt

2

0

7

14

3

3

10

2

4

3

4

1

5

1

7

1

1

5

9

4

7

7

11

2

7

4

2

4

23

18

2

5

0

0

0

0

0

0

2

0

0

0

0

0

0

0

1

0

0

0

1

0

0

0

0

0

0

0

0

1

1

0

0

0

Comp Basic HHA

0

0

0

4

0

1

3

1

1

1

0

0

1

1

3

0

0

0

0

1

1

2

1

0

1

1

0

0

5

4

1

0

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TABLE 14: Number of Licensed or Certified Home Care Providers

XXIIIPage

and Registered Home Management Providers by Classification and County, March 15, 2021

0

0

0

37

0

0

0

0

0

0

0

4

0

0

0

2

1

0

0

0

0

0

0

0

12

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

1

0

0

0

0

0

0

0

1

0

7

0

0

0

1

0

0

7

1

0

0

0

4

1

0

0

0

0

0

0

0

1

0

1

0

1

0

0

PIPESTONE

POLK

POPE

RAMSEY

RED LAKE

REDWOOD

RENVILLE

RICE

ROCK

ROSEAU

SAINT LOUIS

SCOTT

SHERBURNE

SIBLEY

SOUTH DAKOTA

STEARNS

STEELE

STEVENS

SWIFT

TEXAS

TODD

WABASHA

WADENA

WASECA

WASHINGTON

WATONWAN

WILKIN

WINONA

WISCONSIN

WRIGHT

YELLOW MEDICINE

County

311 3 92

TComp TBasic Home Mgmt

3

9

3

126

1

4

5

19

4

4

37

19

11

5

3

24

12

3

2

8

4

2

7

3

42

1

2

8

0

17

1

0

0

0

4

0

0

0

0

0

0

0

1

0

0

0

0

0

0

0

0

0

0

0

0

1

0

0

0

0

1

0

1249 34

Comp Basic HHA

1

1

1

21

0

1

1

3

0

1

12

1

1

0

0

5

1

0

1

0

1

1

2

0

1

1

1

0

0

3

2

164

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TABLE 14: Number of Licensed or Certified Home Care Providers

XXIVPage

and Registered Home Management Providers by Classification and County, March 15, 2021

County

Minnesota

TComp TBasic Home MgmtComp Basic HHA

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TABLE 15: Number of HWS by County, March 15, 2021 XXVPage

5

128

13

15

15

3

19

12

23

22

15

7

11

24

3

5

30

194

5

16

6

10

10

18

4

936

6

7

6

30

3

5

23

2

6

3

5

1

8

3

8

1

3

6

12

13

8

16

14

4

9

4

4

51

32

2

7

5

14

6

214

1

6

8

32

4

5

76

26

24

6

45

14

4

5

9

1

4

AITKIN

ANOKA

BECKER

BELTRAMI

BENTON

BIG STONE

BLUE EARTH

BROWN

CARLTON

CARVER

CASS

CHIPPEWA

CHISAGO

CLAY

CLEARWATER

COTTONWOOD

CROW WING

DAKOTA

DODGE

DOUGLAS

FARIBAULT

FILLMORE

FREEBORN

GOODHUE

GRANT

HENNEPIN

HOUSTON

HUBBARD

ISANTI

ITASCA

JACKSON

KANABEC

KANDIYOHI

KITTSON

KOOCHICHING

LAC QUI PARLE

LAKE

LAKE OF THE WOODS

LESUEUR

LINCOLN

LYON

MAHNOMEN

MARSHALL

MARTIN

MCLEOD

MEEKER

MILLE LACS

MORRISON

MOWER

MURRAY

NICOLLET

NOBLES

NORMAN

OLMSTED

OTTER TAIL

PENNINGTON

PINE

PIPESTONE

POLK

POPE

RAMSEY

RED LAKE

REDWOOD

RENVILLE

RICE

ROCK

ROSEAU

SAINT LOUIS

SCOTT

SHERBURNE

SIBLEY

STEARNS

STEELE

STEVENS

SWIFT

TODD

TRAVERSE

WABASHA

CountyHWS

CountyHWS

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TABLE 15: Number of HWS by County, March 15, 2021 XXVIPage

7

5

84

2

3

10

21

3

WADENA

WASECA

WASHINGTON

WATONWAN

WILKIN

WINONA

WRIGHT

YELLOW MEDICINE

County

2495Minnesota

HWSCounty

HWS

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XXVIITABLE 16: Number of Licensed Facilities and Beds by County, March 15, 2021 Page

County

Residential

Hospices

No.Hospice

No. County

Residential

Hospices

No.Hospice

No.========================================= =========================================

0

0

0

0

0

0

0

0

0

0

0

0

4

0

0

0

0

0

2

0

0

0

1

1

1

0

1

0

0

1

0

0

1

0

0

0

0

0

0

0

0

0

0

0

0

0

26

0

0

0

0

0

9

0

0

0

4

4

8

0

4

0

0

21

0

0

4

0

2

1

1

1

1

1

2

2

2

1

1

1

16

1

1

2

1

1

2

1

2

1

1

0

5

1

1

1

1

9

1

1

1

1

ANOKA

BELTRAMI

BENTON

BLUE EARTH

CARVER

CLEARWATER

CROW WING

DAKOTA

DOUGLAS

FARIBAULT

FREEBORN

GOODHUE

HENNEPIN

HUBBARD

ITASCA

KANDIYOHI

KITTSON

LINCOLN

LYON

MILLE LACS

MORRISON

MOWER

MURRAY

NOBLES

OLMSTED

OTTER TAIL

PIPESTONE

POLK

POPE

RAMSEY

REDWOOD

RENVILLE

ROCK

ROSEAU

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XXVIIITABLE 16: Number of Licensed Facilities and Beds by County, March 15, 2021 Page

County

Residential

Hospices

No.Hospice

No. County

Residential

Hospices

No.Hospice

No.========================================= =========================================

2

0

1

2

0

2

0

0

12

0

8

8

0

8

0

0

6

1

3

0

1

4

1

1

SAINT LOUIS

SHERBURNE

STEARNS

STEELE

WADENA

WASHINGTON

WILKIN

WINONA

19

116

84Minnesota

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Page XXIX

FEDERAL HOSPITALS *

County - Institution City Ownership

BELTRAMI - Red Lake Indian Hospital Red Lake Federal

CASS - Cass Lake Indian Hospital Cass Lake Federal

HENNEPIN - Veterans Administration Hospital Minneapolis Federal

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.

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ABBREVIATIONS Page XXX

Amb Surg – Ambulatory Surgical Center

BASS – Bassinets

BASIC – Basic Home Care

B/C – Birth Center

BCH – Boarding Care Home

CAH – Critical Access Hospital

CMHC – Community Mental Health Center

COMP – Comprehensive Home Care

CORF – Comprehensive Outpatient Rehabilitation Facility

ESRD – End Stage Renal Disease Provider

Home Mgmt – 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/IID – Intermediate Care Facility for Individuals with Intellectual Disabilities

MOBHES – Mobile Health Evaluation/Screening Provider

NF – Nursing Facility (Medicaid Certified)

NH – Nursing Home

OTHER – Other Specialized Hospitals

Out Ot – Outpatient Occupational Therapy Provider

Out Pt – Outpatient Physical Therapy Provider

Out St – Outpatient Speech Therapy Provider

Outpt Surg – Outpatient Surgical Center

XRAY – Portable X-Ray Supplier

PRTF – Psychiatric Residential Treatment Facility

PSY – Psychiatric Hospital

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RESHPC – Residential Hospice

RHC– Rural Health Clinic

SLF – Supervised Living Facility

SNF – Medicare Skilled Nursing Facility

SNF-NF – Medicare/Medicaid Facility

TBASIC – Temporary Basic Home Care

TCOMP – Temporary Comprehensive Home Care

Page XXXI

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1

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

AITKIN

AICOTA HEALTH CARE CENTER

AICOTA HEALTH CARE CENTER, INC.

AICOTA HEALTH CARE CENTER, INC.

AITKIN HEALTH SERVICES

CENTRACARE KIDNEY AITKIN

GOLDEN HORIZONS

GOLDEN HORIZONS

RIVERS EDGE ASSISTED LIVING

RIVERS EDGE ASSISTED LIVING INC.

RIVERWOOD CLINIC AITKIN

850 2ND STREET NW

850 2ND STREET NW

850 2ND STREET NW

301 MINNESOTA AVENUE SOUTH

200 BUNKER HILL DRIVE

518 7TH AVENUE NE

518 7TH AVENUE NE

11 MINNESOTA AVENUE SOUTH

11 MINNESOTA AVENUE SOUTH

200 BUNKER HILL DRIVE

AITKIN, MN 56431

AITKIN, MN 56431

AITKIN, MN 56431

AITKIN, MN 56431

AITKIN, MN 56431

AITKIN, MN 56431

AITKIN, MN 56431

AITKIN, MN 56431

AITKIN, MN 56431

AITKIN, MN 56431

218/927-2164

218/927-2164

218/927-2164

218/927-5526

320/202-7199

218/927-9996

218/927-9996

218/429-5782

218/429-5785

218/927-2157

Corp

Corp

Corp

NProf

NProf

Corp

Corp

Corp

Corp

Corp

NH-75

COMP

NH-44

COMP

COMP

SNF-NF-75

SNF-NF-44

ESRD

RHC

(30585)

(00848)

(24776)

(00002)

(35599)

(23660)

(30395)

(32649)

(33460)

(03734)

FAX: 218/927-6436

FAX: 218/927-6436

FAX: 218/927-6436

FAX: 218/927-8210

FAX: /-

FAX: 218/927-7005

FAX: 218/927-7005

FAX: 218/927-4677

FAX: 218/927-4677

FAX: 218/927-4130

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

TYLER HOEMBERG

TYLER HOEMBERG

ALISON MATALAMAKI

ALISON MEYER

MN JENA ANDERBERG

KENT MARTHALER

KENT MARTHALER

SCOTT DUFFNEY

SCOTT DUFFNEY

MICHAEL HAGEN

---------------------------********** --------------------------********

HWSAL

HWSAL

HWSAL

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2

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

AITKIN

ANOKA

RIVERWOOD HEALTHCARE CENTER

RIVERWOOD HEALTHCARE CENTER

CHAPPY'S GOLDEN SHORES

MCGREGOR CAREFREE LIVING LLC

RIVERWOOD MCGREGOR CLINIC

ARBOR OAKS SENIOR LIVING, LLC

ARBOR OAKS SENIOR LIVING, LLC

CHERRYWOOD OF ANDOVER 1889

CHERRYWOOD OF ANDOVER 1899

200 BUNKER HILL DRIVE

301 MINNESOTA AVENUE SOUTH

540 PARK AVENUE

22027 420TH STREET

2 EAST CENTER AVENUE

1640 155TH LANE NW

1640 155TH LANE NW

1889 139TH AVENUE NW

1899 139TH AVENUE NW

AITKIN, MN 56431

AITKIN, MN 56431

HILL CITY, MN 55748

MCGREGOR, MN 55760

MCGREGOR, MN 55760

ANDOVER, MN 55304

ANDOVER, MN 55304

ANDOVER, MN 55304

ANDOVER, MN 55304

218/927-5501

218/927-5526

218/697-2705

218/768-3356

218/768-4011

763/205-2248

763/205-2248

763/862-1006

763/862-1006

NProf

NProf

Ind

Lim-Liab

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

HOSP-25 BASS-6

NH-44

COMP

CAH-25

SNF-NF-44

RHC

(21927)

(00002)

(21823)

(27287)

(03736)

(29442)

(29443)

(29743)

(29744)

FAX: 218/927-5575

FAX: 218/927-8210

FAX: 218/697-8145

FAX: 218/768-3379

FAX: 218/768-4818

FAX: 763/757-1583

FAX: 763/757-1583

FAX: 763/862-1005

FAX: 763/862-1005

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

CHAD COOPER

ALISON MEYER

THERESA OLSON

MARILYN HANSON

MICHAEL HAGEN

KIMBERLY KING

KIM KING

WENDY HULSEBUS

WENDY HULSEBUS

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL

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3

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

ANOKA

CYPRESS MANOR

HOME INSTEAD SENIOR CARE

JUST FOR RACHEL HOME CARE

MIRACLES 1ST LLC

THE FARMSTEAD

THE FARMSTEAD

UNIVERSAL HEALTH SERVICES LLC

ANOKA - METRO REGIONAL TREATMENT CENTER

ANOKA REHABILITATION AND LIVING CENTER

AVALON HOME CARE INC

16770 WREN STREET NW

1883 STATION PARKWAY NW STE B

5014 170TH LANE NW

14011 JUNIPER CIRCLE NW

13733 QUAY STREET

13733 QUAY STREET

3352 139TH AVENUE NW

3301 7TH AVENUE NORTH

3000 4TH AVENUE

500 WEST MAIN STREET #11

ANDOVER, MN 55304

ANDOVER, MN 55304

ANDOVER, MN 55304

ANDOVER, MN 55304

ANDOVER, MN 55304

ANDOVER, MN 55304

ANDOVER, MN 55304

ANOKA, MN 55303

ANOKA, MN 55303

ANOKA, MN 55303

763/712-8363

763/792-0041

763/286-3862

612/227-7065

763/172-7000

763/712-7000

763/843-1255

651/431-5252

763/528-6400

763/753-8658

Corp

Corp

Ind

Lim-Liab

NProf

NProf

Lim-Liab

State

NProf

Corp

COMP

COMP

COMP

OTHER-175 SLFB-29

NH-120

PSY-175

SNF-NF-120

(25460)

(23591)

(25672)

(35606)

(27961)

(20547)

(35229)

(00004)

(00893)

(28053)

FAX: 763/323-4811

FAX: /-

FAX: /-

FAX: 763/754-1798

FAX: 763/712-7001

FAX: 763/712-7040

FAX: 651/571-0018

FAX: 651/431-7733

FAX: 763/528-6402

FAX: 763/753-4314

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JACOB NELSON

JASON CRANE

DANIEL ELLIOTT

TEMEKA THEDFORD

JAN KOOMEN

CASSANDRA PETERSON

MELLEN SUTTON

ANGELA BRAYDEN

RYAN KELLER

REBEKAH JUDISCH

---------------------------********** --------------------------(Cont.)*

HWSAL

HWS

HWSAL

HWSAL-O

Home Mgmt

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4

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

ANOKA

BAIKAH HOMES LLC

BAIKAH HOMES LLC

COMFORT KEEPERS

COMFORT KEEPERS

COMMUNITY ADDICTION RECOVERY ENTERPRISE - ANOKA

DIGNITY HEALTHCARE SERVICES

DIGNITY HEALTHCARE SERVICES

GOLDEN HEARTS HOME CARE LLC

GOLDEN HEARTS HOME CARE SERVICES LLC

GOLDEN HEARTS HOME CARE SERVICES LLC

814 CHARLOTTE DRIVE

814 CHARLOTTE DRIVE

2006 1ST AVENUE NORTH #205

2006 1ST AVENUE NORTH #205

3301 7TH AVENUE NORTH

3132 SIXTH AVENUE

3132 SIXTH AVENUE

3940 NINTH LANE

3659 TOWER POND DRIVE

609 PARKVIEW COURT

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

612/280-2301

612/280-2301

763/786-1000

763/786-1000

651/431-5252

651/283-9043

763/703-4633

763/528-3891

763/528-3891

763/528-3891

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

State

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

COMP

COMP

OTHER-175 SLFB-29

COMP

COMP HCBS

PSY-175

(33867)

(34336)

(26035)

(28074)

(00004)

(29956)

(35304)

(34747)

(36085)

(33463)

FAX: 763/657-1917

FAX: 763/657-1917

FAX: 763/786-9440

FAX: 763/786-9440

FAX: 651/431-7733

FAX: 763/600-6736

FAX: 763/600-6736

FAX: 763/392-0800

FAX: 763/392-0800

FAX: 763/444-1492

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

LANSANA HINDOLO

LANSANA HINDOLO

TOM BERARD

JEANNE ANDERSON

ANGELA BRAYDEN

FLORENCE BASSA

PRESID FLORENCE BASSA

JOSEPHINE BALL

JOSEPHINE BALL

MISS JOSEPHINE BALL

---------------------------********** --------------------------(Cont.)*

HWSAL-O

Home Mgmt

HWSAL-O

HWSAL-O

HWSAL-O

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5

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

ANOKA

LIBERTY MATHAN LLC

LIBERTY MATHAN LLC

LIBERTY MATHAN LLC

NOBLE CARES LLC

NOBLE CARES, LLC

PERSONAL CARE MANAGEMENT, LLC

RIVER OAKS OF ANOKA

SABAINAH HEALTHCARE INC

THE CEDARS

THE ELMS

4346 PARKVIEW CIRCLE

3920 NINTH LANE

3248 SPRAGUE AVENUE

3240 SPRAGUE AVENUE

3240 SPRAGUE AVENUE

525 CUTTER STREET

910 WESTERN STREET

914 38TH STREET

701 POLK STREET

2171 SEVENTH AVENUE NORTH

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

763/227-9368

763/227-9368

763/227-9368

612/978-0574

612/978-0574

763/204-2618

952/697-4642

763/221-4214

763/712-8363

763/712-8363

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Corp

Corp

COMP

TCOMP

(34458)

(34665)

(35638)

(35329)

(36148)

(36849)

(24353)

(34158)

(24253)

(20535)

FAX: /-

FAX: /-

FAX: 763/951-3450

FAX: /-

FAX: /-

FAX: /-

FAX: 920/925-0255

FAX: /-

FAX: 763/323-4811

FAX: 763/323-4811

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

YINKA ADETUNJI

YINKA ADETUNJI

OLUFEMI ADETUNJI

EBENEZER AKINBAMIJO

EBENEZER AKINBAMIJO

JENNIFER THORSON

LESLIE LEITH

PRESID JOHN IBE

JACOB NELSON

JACOB NELSON

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWS-O

HWSAL

HWSAL

HWSAL-O

HWSAL-O

HWSAL-O

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6

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

ANOKA

THE ESTATES AT TWIN RIVERS LLC

THE HOMESTEAD AT ANOKA

THE HOMESTEAD AT ANOKA

THE HOMESTEAD AT ANOKA

THE MAPLES

THE OAKS

THE PINES

THE WILLOWS

ULTIIMATE HOME CARE RIVERDALE HOME

VOA HOME HEALTH AT ANOKA

305 FREMONT STREET

3002 4TH AVENUE NORTH

3002 4TH AVENUE NORTH

3111 5TH AVENUE

2823 7TH AVENUE NORTH

2201 7TH AVENUE NORTH

2153 7TH AVENUE NORTH

2918 7TH AVENUE NORTH

1022 ADAMS STREET NW

3002 4TH AVENUE NORTH

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

763/421-5660

763/528-6491

763/528-6500

763/528-6500

763/712-8363

763/712-8363

763/712-8363

763/712-8363

763/560-9890

763/528-6491

Lim-Liab

NProf

NProf

NProf

Corp

Corp

Corp

Corp

Corp

NProf

NH-50

COMP

COMP

SNF-NF-50

(00866)

(29031)

(29856)

(32263)

(23690)

(20534)

(20536)

(24668)

(35568)

(29031)

FAX: 763/421-6581

FAX: 763/528-6501

FAX: 763/528-6501

FAX: 763/528-6501

FAX: 763/323-4811

FAX: 763/323-4811

FAX: 763/323-4811

FAX: 763/323-4811

FAX: 763/560-9891

FAX: 763/528-6501

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JESSICA MISKA

ANGIE ZIMMERMAN

JARED KEENEY

JARED KEENEY

JACOB NELSON

JACOB NELSON

JACOB NELSON

JACOB NELSON

ALFRED APATA

ANGIE ZIMMERMAN

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL-O

Page 44: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

7

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

ANOKA

WALKER METHODIST PLAZA

WALKER METHODIST PLAZA

WALKER METHODIST PLAZA GARDENS, LLC

WALKER METHODIST PLAZA HOME CARE

WHISPERING PINES ASSISTED LIVING, INC.

A BEAUTIFUL CHOICE LLC

AMADA SENIOR CARE TWIN CITIES SE

ANTHONY LOUIS CENTER

ASSURANT CARE HOMES LLC

BLAINE ORTHOPEDIC SURGERY CENTER

131 MONROE STREET

131 MONROE STREET

100 MONROE STREET

131 MONROE STREET

830 WEST MAIN STREET

11966 WOODLAND PARKWAY NE

3034 ASPEN LAKE DRIVE NE

1000 PAUL PARKWAY

1755 113TH LANE NE

11225 ULYSSES STREET NE

ANOKA, MN 55303

ANOKA, MN 55303

ANOKA, MN 55303

ANOKA, MN 55303

ANOKA, MN 55303

BLAINE, MN 55449

BLAINE, MN 55449

BLAINE, MN 55434

BLAINE, MN 55449

BLAINE, MN 55434

763/453-7125

763/453-7125

763/453-7125

763/453-7125

763/712-8363

651/263-7921

763/486-9720

763/757-2906

612/987-6609

763/302-2200

NProf

NProf

Lim-Liab

NProf

Corp

Lim-Liab

Lim-Liab

Corp

Lim-Liab

Lim-Liab

COMP

COMP

COMP

COMP

COMP

SLFA-22

COMP

Outpt Surg Amb Surg

(20443)

(30628)

(32216)

(20443)

(20533)

(34836)

(33352)

(01400)

(32897)

(33471)

FAX: 763/453-7040

FAX: 763/453-7040

FAX: 763/453-7040

FAX: 763/453-7040

FAX: 763/323-4811

FAX: /-

FAX: 612/299-1425

FAX: 763/757-2059

FAX: /-

FAX: 763/302-2201

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

COREY TREMBATH

ANNELIESE PETERSON

ANNELIESE PETERSON

COREY TREMBATH

JACOB NELSON

BEE MOUA

LAURA JACOBSEN

JON BENSON

ZABLON OBWAYA

JAKE HALSTENSON

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

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8

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

ANOKA

BLAINE WHITE PINE

BLAINE WHITE PINE

BLAINE WHITE PINE II

BLAINE WPII LLC

CARE HOMES LLC

CENTRAL AVENUE DIALYSIS

COMFORT RESIDENCE BLAINE

CREST VIEW SENIOR COMMUNITY AT BLAINE

CUSTOMIZE LIVING LLC

EDGEMONT PLACE ALZHEIMER'S

12446 JAMESTOWN STREET NE

12446 JAMESTOWN STREET NE

12402 JAMESTOWN STREET NE

12402 JAMESTOWN STREET NE

652 109TH AVENUE NE

10994 BALTIMORE STREET NE

10669 ULYSSES STREET NE

12016 ULYSSES STREET NE

2842 85TH COURT NE

11748 ULYSSES LANE NE

BLAINE, MN 55449

BLAINE, MN 55449

BLAINE, MN 55449

BLAINE, MN 55449

BLAINE, MN 55434

BLAINE, MN 55449

BLAINE, MN 55449

BLAINE, MN 55434

BLAINE, MN 55449

BLAINE, MN 55434

763/754-1930

763/754-1930

651/287-0265

651/287-0265

612/432-9791

763/786-5026

763/754-7300

763/762-8420

612/987-2629

763/862-7000

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

NProf

Lim-Liab

Lim-Liab

COMP

COMP

TCOMP

ESRD

(26857)

(30650)

(31675)

(31648)

(35665)

(29879)

(30479)

(32676)

(35628)

(32457)

FAX: 763/754-1933

FAX: 763/754-1933

FAX: 651/287-0266

FAX: 651/287-0266

FAX: /-

FAX: 763/786-4138

FAX: 763/754-2561

FAX: 763/762-8421

FAX: 612/886-1943

FAX: 763/862-7001

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

RHONDA SCHILLINGER

RHONDA SCHILLINGER

RHONDA SCHILLINGER

RHONDA SCHILLINGER

EMMANUEL KOLLIE

DEB WICKHAM

LORI MCGUIRE

JULIA BIEHN

SULEBAN HUSSEIN

TROY MEAD

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL

HWS

Page 46: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

9

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

ANOKA

EDGEMONT PLACE ALZHEIMER'S SPECIAL CARE CENTER

EDGEWOOD BLAINE LLC

EDGEWOOD BLAINE LLC

ELITE CAREGIVER GROUP-HOME LLC

FRESENIUS MEDICAL CARE BLAINE

GRACE ASSISTED LIVING LLC

HEALTH POINT HOUSING WITH SERVICES LLC

HEALTHPOINT HOUSING WITH SERVICES @ 119TH

KINGFISHER HEALTH LLC

LANDINGS OF BLAINE

11748 ULYSSES LANE NE

12450 CLOUD DRIVE NE

12450 CLOUD DRIVE NE

12216 3RD STREET NE

12555 CENTRAL AVENUE NE

12457 MIDWAY CIRCLE

351 93RD AVENUE NE

2226 119TH AVENUE NE

4549 124TH COURT NE

1005 PAUL PARKWAY NE

BLAINE, MN 55434

BLAINE, MN 55449

BLAINE, MN 55449

BLAINE, MN 55434

BLAINE, MN 55434

BLAINE, MN 55449

BLAINE, MN 55434

BLAINE, MN 55449

BLAINE, MN 55449

BLAINE, MN 55434

763/862-7000

763/754-7123

763/754-1723

612/735-4181

763/754-6774

612/888-1277

612/272-8118

612/272-8118

952/388-7495

612/444-6845

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

COMP

COMP

TCOMP

TCOMP

ESRD

(32456)

(29791)

(29941)

(35965)

(28635)

(36722)

(34173)

(34330)

(35951)

(30625)

FAX: 763/862-7001

FAX: 763/754-1723

FAX: 763/754-1728

FAX: /-

FAX: 763/754-6334

FAX: 612/486-9426

FAX: 763/312-2004

FAX: 763/312-2004

FAX: /-

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ASHLEY KLIPSTEIN

BAMBI TOBIN

MORGAN HODGSON

IBSA SUFIYAN

JENA ANDERBERG

KEFYALEW AMONTE

YOSSEPH ISAAK

YOSSEPH ISAAK

DEGA MOHAMUD

JILL CURRY

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL-O

HWSAL-O

HWSAL-O

HWSAL

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10

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

ANOKA

LANDINGS OF BLAINE

MINNESOTA EYE LASER & SURGERY CENTERS, LLC

NEW BRIDGE CARE LLC

NEW BRIDGE CARE LLC

NORTH METRO SURGERY CENTER

OLIVE GROVE HOSPICE LLC

R LACARTE & COMPANY

SERENE HANDS HOME HEALTH CARE

SERENEHANDS HOME HEALTH CARE INC

SKYLINE HEALTH SERVICES INC

1005 PAUL PARKWAY NE

11091 ULYSSES STREET

10 92ND AVENUE NE

10 92ND AVENUE NE

11855 ULYSSES STREET #270

12402 JAMESTOWN STREET NE

716 COUNTY ROAD 10 NE #139

9564 MONROE STREET NE

9564 MONROE STREET NE

11755 MONROE STREET NE

BLAINE, MN 55434

BLAINE, MN 55434

BLAINE, MN 55434

BLAINE, MN 55434

BLAINE, MN 55434

BLAINE, MN 55449

BLAINE, MN 55434

BLAINE, MN 55434

BLAINE, MN 55434

BLAINE, MN 55434

763/755-2800

952/888-5800

651/285-1647

651/398-5825

763/755-6540

763/219-4939

763/232-7276

763/762-9142

763/732-9142

612/703-2857

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Corp

Corp

COMP

Outpt Surg

TCOMP

Outpt Surg

Hospice

COMP HCBS

TCOMP

Amb Surg

Amb Surg

HSPICE

(34371)

(27713)

(35866)

(35210)

(26537)

(33451)

(36481)

(34523)

(33885)

(35761)

FAX: /-

FAX: 952/567-6156

FAX: /-

FAX: 763/786-1688

FAX: 763/755-6516

FAX: 763/219-4940

FAX: /-

FAX: 763/600-6102

FAX: 763/354-6045

FAX: 952/484-4227

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JILL CURRY

DOMINIKA FORSYTH

BENEDICTA MENSAH

DANIEL MENSAH

CELESTE MOORE

ELIZABETH CALLAHAN WALCH

RHONDA JOHNSON

PRINCESS SMITH

PRINCESS SMITH

SAID MOHAMED

---------------------------********** --------------------------(Cont.)*

HWSAL

Home Mgmt

HWSAL-O

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11

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

ANOKA

SYNERGY HOME CARE NORTHEAST METRO

SABAINAH HEALTHCARE INC

T & R HOMES, INC.

LEGACY COMMUNITY CARE INC

ADVANCE GROUP HOMES INC

ALL HOMECARING

ALLIANCE HOMES CORPORATION

ALLIANCE HOMES CORPORATION

CHINESE SOCIAL SERVICE CENTER

COLUMBIA VILLAGE

9298 CENTRAL AVENUE NE #202

3613 104TH TRAIL NORTH

3301 84TH AVENUE NORTH

1022 42 1/2 AVENUE NE

4111 CENTRAL AVENUE NE #208E

4200 CENTRAL AVENUE NE

4946 JACKSON STREET NE

4946 JACKSON STREET NE

4111 CENTRAL AVENUE NE #200A

1675 44TH AVENUE NE

BLAINE, MN 55434

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55443

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

763/205-4440

763/221-4214

763/208-1028

612/806-6357

615/710-3715

612/378-1474

763/227-8280

763/227-8280

612/529-2602

763/782-1601

Corp

Corp

Corp

Corp

Corp

Corp

Corp

Corp

NProf

NProf

COMP HCBS

COMP

COMP

TCOMP

COMP

COMP

BASIC

HHA

(29621)

(33611)

(36883)

(33911)

(35781)

(02166)

(35585)

(34752)

(29538)

(20787)

FAX: 763/205-4403

FAX: /-

FAX: /-

FAX: /-

FAX: 800/896-9440

FAX: 612/378-1570

FAX: 612/206-8025

FAX: 763/762-6938

FAX: 612/465-2733

FAX: 763/782-0857

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

BRIAN MCDONALD

CHRISTIANAH TENIOLA

TIFFANY JOHNSON

AHMED YUSUF

SHAFEE AHMED

DONNA LIVERINGHOUSE

ABDIRIZAK HASSAN

ABDIRIZAK HASSAN

YI YOU

MATTHEW TOBALSKY

---------------------------********** --------------------------(Cont.)*

HWSAL

HWS-O

HWS

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12

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

ANOKA

COMFORT GROUP HOME INC

COMFORT GROUP HOMES INC

CREST VIEW HOME CARE

CREST VIEW HOME HEALTH CARE

CREST VIEW LUTHERAN HOME

CREST VIEW ON 42ND

DERMAN SENIOR CARE INC.

DIVERSITY UNION GROUP HOME LLC

DIVERSITY UNION GROUP HOME LLC

FIRST CARE OF MINNESOTA INC

3955 HAYES AVENUE NE

3955 HAYES AVENUE NE

1515 44TH AVENUE NE

1515 44TH AVENUE NE

4444 RESERVOIR BOULEVARD NE

900 42ND AVENUE NE

1041 43 1/2 AVENUE NE

5033 6TH STREET NE

5033 6TH STREET NE

522 HUSET PARKWAY

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

COLUMBIA HEIGHTS, MN 55421

COLUMBIA HEIGHTS, MN 55421

612/237-1310

612/237-1310

763/782-1605

763/782-1605

763/782-1611

763/782-1606

612/517-4611

952/201-5354

952/201-5354

763/286-8124

NProf

Corp

NProf

NProf

NProf

NProf

Corp

Lim-Liab

Lim-Liab

Corp

COMP

COMP

COMP

NH-122

TCOMP HCBS

TCOMP

HHA

SNF-NF-122

(34843)

(34944)

(20750)

(03080)

(00005)

(21871)

(37268)

(35771)

(35772)

(35290)

FAX: /-

FAX: 612/237-1310

FAX: 763/788-0012

FAX: 763/788-0012

FAX: 763/782-0857

FAX: 763/782-0857

FAX: 612/435-9735

FAX: /-

FAX: /-

FAX: 612/746-3735

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ALI GOODIR

MOHAMED GOODIR

JULIA GRAUPNER (FORMERLY B

JULIA BIEHN

MICHAEL SYLTIE

MATT TOBALSKY

DAHIR NUR

SAGAL ALI

SAGAL ALI

BASHIR WARSAME

---------------------------********** --------------------------(Cont.)*

HWS

HWSAL

HWSAL-O

Home Mgmt

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13

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

ANOKA

GOODQUALITY HOME HEALTH SERVICES INC

GOODQUALITY HOME HEALTH SERVICES, INC.

HEALING RESIDENCES INC

HEALING RESIDENCES INC

HEART GROUP HOME LLC

HEART GROUP HOME LLC

INDIGO HEALTHCARE SERVICES LLC

LEGACY COMMUNITY CARE INC

LIGHTHOUSE OF COLUMBIA HEIGHTS

MIDWEST GROUP HOME LLC

3701 RESERVOIR BOULEVARD

3701 RESERVOIR BOULEVARD

4800 5TH STREET NE

4800 5TH STREET NE

4643 7TH STREET NE

4643 7TH STREET NE

1161 CHERRY LANE NE

1022 42 1/2ND AVENUE NE

3801 HART BOULEVARD NE

4232 5TH STREET NE

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

COLUMBIA HEIGHTS, MN 55421

COLUMBIA HEIGHTS, MN 55421

612/701-5965

612/701-5965

612/806-3863

612/806-3863

612/206-8025

612/442-4330

781/250-9059

763/444-1893

763/210-6600

612/205-4918

Corp

Corp

Corp

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Lim-Liab

Lim-Liab

COMP

COMP

TCOMP

COMP

(32873)

(33370)

(35538)

(34724)

(34755)

(35608)

(35843)

(34278)

(26853)

(36754)

FAX: 763/710-7612

FAX: 612/353-6508

FAX: /-

FAX: 612/314-8822

FAX: /-

FAX: 612/206-8025

FAX: 888/279-6916

FAX: /-

FAX: 763/210-6695

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

MUSTAFA SAID

MUSTAFA SAID

SHUKRI MAHOMOOD

SHUKRI MAHMOOD

ALMED ABDULLAHI

AHMED ABDULLAHI

EMMANUEL WILLIAMS

ABDALA ADEN

BRITTNEY BURNSIDE

ABDIKADIR HASSEN

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWSAL

HWSAL-O

HWSAL

HWSAL-O

HWS-O

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14

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

ANOKA

NEW PERSPECTIVE - COLUMBIA HEIGHTS

NEW PERSPECTIVE - COLUMBIA HEIGHTS

PRO-HEALTH HOME CARE AGENCY LLC

REVIVE CARE SERVICES

ROYCE PLACE

THE BOULEVARD

2016 HOME

ALIYA CARE

ALIYA CARE INC

ALL HOPES AT LINNET

3801 HART BOULEVARD NE

3801 HART BOULEVARD NE

4710 CENTRAL AVENUE NE

1115 45TH AVENUE NE

1515 44TH AVENUE NE

4458 RESERVOIR BOULEVARD NE

2016 123RD AVENUE NW

12460 SYCAMORE STREET NW

12460 SYCAMORE STREET NW

9937 LINNET STREET 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

COON RAPIDS, MN 55448

COON RAPIDS, MN 55448

COON RAPIDS, MN 55448

COON RAPIDS, MN 55433

763/210-6600

763/210-6600

763/746-8155

763/310-4079

763/782-1601

763/782-1601

612/203-4758

763/710-9619

763/710-9619

763/482-1487

Lim-Liab

Lim-Liab

Lim-Liab

Corp

NProf

NProf

Lim-Liab

Corp

Corp

Corp

COMP

COMP HCBS

COMP

(26853)

(30649)

(25163)

(35190)

(20079)

(20078)

(35690)

(33873)

(34412)

(33640)

FAX: 763/210-6695

FAX: 763/210-6695

FAX: 763/746-8154

FAX: /-

FAX: 763/788-0012

FAX: 763/782-0857

FAX: 763/757-1187

FAX: 612/246-4034

FAX: 612/246-4034

FAX: 763/951-2775

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

BRITTNEY BURNSIDE

BETH LANDERS

ABDULWAHAB ASAMARAI

WARSAME ALI WARSAME

MATTHEW TOBALSKY

MATT TOBALSKY

MATILDA AGYAPONG

KHADRA ISMAIL

MUSTAF ISMAIL

VICTOR AWOSIKA

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWS

HWSAL-O

HWS

HWSAL-O

Page 52: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

15

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

ANOKA

ALLINA HOME HEALTH INFUSION THERAPY SERVICES

ASSURANT CARE HOMES LLC

ASSURANT CARE HOMES LLC

AUTUMN GLEN SENIOR LIVING

AUTUMN GLEN SENIOR LIVING

BETHESDA LUTHERAN COMMUNITIES COTTAGE 5

BETHESDA LUTHERAN COMMUNITIES COTTAGE 6

CALM HOME HEALTH CARE LLC

CAMILIA ROSE CARE CENTER LLC

CAMILIA ROSE GROUP HOME

4050 COON RAPIDS BOULEVARD

2750 112TH LANE NW

11430 CROOKED LAKE BLVD NW

3715 COON RAPIDS BOULEVARD NW

3715 COON RAPIDS BOULEVARD NW

2483 109TH AVENUE NW

2493 109TH AVENUE NW

10415 EAGLE STREET NW

11800 XEON BOULEVARD NW

11820 XEON BOULEVARD

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 55433

COON RAPIDS, MN 55433

COON RAPIDS, MN 55448

COON RAPIDS, MN 55448

763/236-6000

612/987-6609

612/987-6609

763/772-4492

763/772-4492

952/443-2048

952/443-2756

763/772-7710

763/755-8400

763/755-8480

NProf

Lim-Liab

Lim-Liab

Part

Part

NProf

NProf

Lim-Liab

Lim-Liab

Lim-Liab

COMP

COMP

SLFA-12

SLFA-11

TCOMP

NH-80

SLFB-29

ICFIID-12

ICFIID-11

SNF-NF-80

ICFIID-29

(34565)

(33302)

(34494)

(31129)

(31554)

(01538)

(01253)

(35762)

(00757)

(01141)

FAX: /-

FAX: 763/316-0493

FAX: 763/316-0493

FAX: 763/746-4080

FAX: 763/746-4080

FAX: 952/443-2371

FAX: 952/443-2371

FAX: /-

FAX: 763/755-8578

FAX: 763/755-3130

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

DANIEL NIZNICK

ZABLON OBWAYA

ZABLON OBWAYA

RANDALL BENSON

BENSON RANDALL

MONICA SCHMIDT

MONICA SCHMIDT

AHMED BURHAN

DAVID MCCRAY

BRENT KROCAK

---------------------------********** --------------------------(Cont.)*

HWS

HWSAL

HWSAL

Page 53: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

16

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

ANOKA

CARE PLUS HOME CARE LLC

COMFORT CARE GROUP LLC

COMFORT CARE GROUP LLC

COON RAPIDS DIALYSIS UNIT

CREEKSIDE COTTAGE ASSISTED LIVING

CREEKSIDE VILLA

EAGLE STREET CATERED LIVING

EPIPHANY ASSISTED LIVING, LLC

EPIPHANY ASSISTED LIVING, LLC

FMC DIALYSIS SERVICES NORTH SUBURBAN

2860 132ND AVENUE NW

219 106TH AVENUE NW

219 106TH AVENUE NW

3960 COON RAPIDS BLVD #309

1190 117TH AVENUE NW

1177 117TH AVENUE

12009 EAGLE STREET

10955 HANSON BOULEVARD NW

10955 HANSON BOULEVARD NW

9144 SPRINGBROOK DRIVE

COON RAPIDS, MN 55448

COON RAPIDS, MN 55448

COON RAPIDS, MN 55448

COON RAPIDS, MN 55103

COON RAPIDS, MN 55448

COON RAPIDS, MN 55448

COON RAPIDS, MN 55448

COON RAPIDS, MN 55433

COON RAPIDS, MN 55433

COON RAPIDS, MN 55355

612/221-5382

612/229-3858

612/229-3858

763/421-8717

763/862-5428

763/754-2505

763/862-5438

763/755-0320

763/772-1044

763/783-0103

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Corp

Corp

Corp

Lim-Liab

Lim-Liab

Corp

TCOMP

COMP

ESRD

ESRD

(36802)

(35363)

(35980)

(02316)

(24666)

(34994)

(20835)

(21113)

(30688)

(02816)

FAX: /-

FAX: /-

FAX: /-

FAX: /-

FAX: 763/754-6903

FAX: 763/254-0332

FAX: 763/755-3631

FAX: 763/772-1070

FAX: 763/772-1070

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

FRANK NGAFUA

BASHE YUSUF

BASHE YUSUF

ANNETTE GRUNDMEIER

MARY TJOSVOLD

BRENT KROCAK

MARY TJOSVOLD

JEANETTE DELICH

JEANETTE DELICH

JOHN MARIETTI

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWSAL

HWSAL

HWS

HWSAL

HWSAL

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17

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

ANOKA

FRESENIUS MEDICAL CARE COON RAPIDS

FRESENIUS MEDICAL CARE ROUND LAKE DIALYSIS

GEORGIA HOME HEALTH CARE LLC

GLOBAL ALLIANCE HOME HEALTH CARE

GOLEN HEARTS HOME CARE SERVICES, LLC

GRACE ASSISTED LIVING LLC

GRACE ASSISTED LIVING LLC

HCMC #1 HOME CARE MORE CARE

HCMC #4 HOME CARE MORE CARE

HCMC HOME CARE MORE CARE #3, LLC

3465 NORTHDALE BOULEVARD

3777 COON RAPIDS BLVD NW #120

10385 LINNET CIRCLE NW #110

10861 FOLEY BOULEVARD NW

11874 JONQUIL STREET NW

2566 112TH AVENUE NW

2566 112TH AVENUE NW

1020 95TH LANE

1052 95TH LANE NW

1057 95TH LANE NW

COON RAPIDS, MN 55448

COON RAPIDS, MN 55433

COON RAPIDS, MN 55433

COON RAPIDS, MN 55448

COON RAPIDS, MN 55433

COON RAPIDS, MN 55433

COON RAPIDS, MN 55433

COON RAPIDS, MN 55433

COON RAPIDS, MN 55433

COON RAPIDS, MN 55433

763/421-1032

763/323-1234

763/898-9162

763/710-5722

763/528-3891

612/227-4036

612/227-4036

612/599-2595

612/599-2595

612/899-2595

Corp

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

TCOMP

COMP

ESRD

ESRD

(25769)

(30283)

(35826)

(36017)

(36855)

(35234)

(35793)

(33980)

(34275)

(34072)

FAX: 763/421-1054

FAX: 763/323-6695

FAX: /-

FAX: 763/710-5876

FAX: 763/392-0800

FAX: /-

FAX: /-

FAX: /-

FAX: /-

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JOHN MARIETTI

JOHN MARIETTI

SAM TOTIMEH

MICHAEL HUNTER

JOSEPHINE BALL

KEFYALEW AMANTE

KAFYALEW AMANTE

ALLAN BUTLER

ALLAN BUTLER

ALLAN BUTLER

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWSAL-O

HWSAL-O

HWS

HWSAL

HWSAL

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18

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

ANOKA

HOPE PLACE

INTEGRITY HOME HEALTH CARE ,LLC

J & K COMFORT HOME

LIVING GRACE HOME CARE

MARGARET PLACE LIMITED PARTNERSHIP

MARGARET PLACE LIMITED PARTNERSHIP

MARY T HOSPICE

MARY T. HOME HEALTH

MERCY HOSPITAL

MIAKARSEH HOUSE

80 COON RAPIDS BOULEVARD

2261 COON RAPIDS BOULEVARD NW

432 106TH AVENUE NW

10253 MISSISSIPPI BOULEVARD

1555 118TH LANE NW

1555 118TH LANE NW

1555 118TH LANE NW

299 COON RAPIDS BOULEVARD #105

4050 COON RAPIDS BOULEVARD

10608 ARROWHEAD STREET NW

COON RAPIDS, MN 55448

COON RAPIDS, MN 55433

COON RAPIDS, MN 55448

COON RAPIDS, MN 55433

COON RAPIDS, MN 55448

COON RAPIDS, MN 55448

COON RAPIDS, MN 55448

COON RAPIDS, MN 55433

COON RAPIDS, MN 55433

COON RAPIDS, MN 55433

763/323-2066

612/807-4484

763/452-5559

763/365-0015

763/754-2505

763/754-2505

763/516-1027

763/862-5438

763/236-8100

763/744-6192

NProf

Lim-Liab

Part

Corp

Part

Part

Corp

Corp

NProf

Lim-Liab

COMP

Hospice

COMP

HOSP-546 BASS-27

HSPICE

HHA

HOSP-531 PPS-P-15

(33381)

(36803)

(35317)

(35605)

(20886)

(30826)

(26345)

(03136)

(00009)

(33621)

FAX: /-

FAX: 612/928-2816

FAX: /-

FAX: /-

FAX: /-

FAX: 763/754-0332

FAX: 763/772-9962

FAX: 763/755-3631

FAX: 763/236-8124

FAX: 763/433-2987

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

LINDA BRYANT

LATEEF ADELEKE

KEVIN NYABICHA

GBADE OLOWU

KIM NEAL

MARY TJOSVOLD

LESLEE CURTIS

RANDALL LEJA

SARA CRIGER

ROMANDA GAYE

---------------------------********** --------------------------(Cont.)*

HWS-O

HWSAL

HWS-O

HWS-O

HWS

HWSAL

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19

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

ANOKA

MNGI ENDOSCOPY COON RAPIDS

MY LEGAL NURSE CONSULTANTS LLC

NEW LIFE CARE

NEW LIFE CARE LLC

NURA, PA

PARK RIVER ESTATES CARE CENTER

PARTRIDGE HOME

PURE HEART HEALTH SERVICES, INC

QUALICARE HOMES CORPORATION

QUALICARE HOMES CORPORATION

9145 SPRING BROOK DRIVE

10608 ARROWHEAD STREET NW

10115 GROUSE STREET NW

10115 GROUSE STREET NW

2104 NORTHDALE BOULEVARD #220

9899 AVOCET STREET NW

12423 PARTRIDGE STREET NW

9884 ILEX STREET NW

950 121ST LANE NW

950 121ST LANE NW

COON RAPIDS, MN 55433

COON RAPIDS, MN 55433

COON RAPIDS, MN 55433

COON RAPIDS, MN 55433

COON RAPIDS, MN 55432

COON RAPIDS, MN 55433

COON RAPIDS, MN 55448

COON RAPIDS, MN 55433

COON RAPIDS, MN 55448

COON RAPIDS, MN 55448

612/871-1145

763/744-6192

763/257-7118

763/257-7118

763/537-6000

763/757-2320

612/203-4758

763/283-5152

763/324-8250

763/324-8220

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Corp

Lim-Liab

Corp

Corp

Corp

Outpt Surg

COMP

TCOMP

COMP

NH-99

TCOMP

Amb Surg

SNF-NF-99

(21075)

(33590)

(35418)

(37142)

(33751)

(00010)

(34925)

(35895)

(35102)

(36256)

FAX: 612/870-5491

FAX: 763/433-2987

FAX: /-

FAX: /-

FAX: 763/537-6666

FAX: 763/757-6946

FAX: 763/757-1187

FAX: 763/432-3643

FAX: /-

FAX: 763/324-8250

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

SCOTT KETOVER

ROMANDA GAYE

MOHAMED ABDELLBASIT

ABDULSALAM HASSEN

RUTH VERCHEK

KIM PEDERSON

MATILDA AGYAPONG

KAIBEH BENSON

AFOLABI OSIBERU

AFOLABI OSIBERU

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWS

HWSAL

HWS

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20

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

ANOKA

REVIVE CARE SERVICES INC.

ROUND LAKE HOME

ROYAL HOME CARE INC

SECURED HEALTH AND HOME CARE INC.

SELECT SENIOR LIVING OF COON RAPIDS LLC

SELECT SENIOR LIVING OF COON RAPIDS, LLC

T & R HOMES, INC.

THE HOMESTEAD AT COON RAPIDS

THE HOMESTEAD AT COON RAPIDS

THE HOMESTEAD AT COON RAPIDS

2048 123RD LANE NW

11901 ROUND LAKE BOULEVARD NW

9951 QUINCE STREET NW

10410 CROCUS STREET NW

11350 MARTIN STREET

11350 MARTIN STREET NW

11409 SWALLOW STREET NW

1770 113TH LANE

11372 ROBINSON DRIVE NW

11372 ROBINSON DRIVE NW

COON RAPIDS, MN 55448

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 55433

COON RAPIDS, MN 55433

COON RAPIDS, MN 55433

763/310-4079

612/203-4758

763/270-8919

763/438-8869

763/710-0270

763/767-1127

763/208-1028

763/233-5100

763/233-5100

763/233-5100

Corp

Lim-Liab

Corp

Corp

Lim-Liab

Lim-Liab

Corp

NProf

NProf

NProf

COMP

COMP

COMP

(34703)

(33761)

(33286)

(36746)

(25728)

(25729)

(36875)

(20478)

(20532)

(30689)

FAX: 612/465-5989

FAX: 763/757-1187

FAX: 763/226-2484

FAX: /-

FAX: 763/432-9654

FAX: 763/862-6852

FAX: 763/951-3788

FAX: 763/754-3700

FAX: 763/754-3700

FAX: 763/754-3700

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

WARSAME WARSAME

MATILDA AGYAPONG

OLALEYE OLAGBAJU

ABIOLA IJADIMBOLA

JENNIFER SULAWSKE

CARYL NORDLAND

TIFFANY JOHNSON

HEATHER WALKER

HEATHER WALKER

HEATHER WALKER

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL-O

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL

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21

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

ANOKA

THE HOMESTEAD AT COON RAPIDS MEMORY CARE

TR HOMES

WE CARE HOME HEALTH SERVICES

CAMBIA HILLS OF EAST BETHEL, LLC

CEDAR CREEK SENIOR LIVING

BRIGHT PATH HOMES LLC

BRIGHT PATH HOMES LLC

BRIGHT PATH LLC

CARESTAY HOMES LLC

CHAMPIONS VILLAGE, LLC

1770 113TH LANE

11409 SWALLOW STREET NW

2016 123RD AVENUE NW

900 189TH AVENUE NE

19131 TAYLOR STREET

125 HARTMAN CIRCLE NE

6600 CENTRAL AVENUE NE

6604 CENTRAL AVENUE NE

7381 MEMORY LANE NE

7899 ALDEN WAY NE

COON RAPIDS, MN 55433

COON RAPIDS, MN 55433

COON RAPIDS, MN 55448

EAST BETHEL, MN 55011

EAST BETHEL, MN 55011

FRIDLEY, MN 55432

FRIDLEY, MN 55432

FRIDLEY, MN 55432

FRIDLEY, MN 55432

FRIDLEY, MN 55432

763/233-5100

763/208-1028

612/203-4758

218/728-7500

763/392-5443

952/658-6176

952/658-6176

952/658-6176

612/230-1238

612/817-5100

NProf

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

COMP HCBS

COMP

SLFB-60

(20478)

(34986)

(32613)

(34169)

(36636)

(36963)

(37322)

(37326)

(36423)

(36231)

FAX: 763/754-3700

FAX: 763/951-3788

FAX: 763/757-1187

FAX: 218/728-7501

FAX: /-

FAX: 952/487-0332

FAX: 952/487-0332

FAX: 952/487-0332

FAX: 612/435-0298

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

HEATHER WALKER

TIFFANY JOHNSON

MATILDA AGYAPONG

MISSY HEROLD

AMY KORZENOWSKI

MOSES GIBSON

MOSES GIBSON

MOSES GIBSON

ABDULRAZAQ JIBAR

LALI GALAN

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL-O

HWSAL-O

HWSAL-O

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22

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

ANOKA

CITY OF LAKES HOME CARE LLC

DERMAN SENIOR CARE, INC

FRIDLEY ASSISTED LIVING LLC

FRIDLEY ASSISTED LIVING LLC

FRIDLEY DIALYSIS UNIT

GLOBAL CASE MANAGEMENT LLC

GLOBAL CASE MANAGMENT

GLOBAL HEATHER HOME

GRACE ASSISTED LIVING LLC

HEALTHMAX HOME HEALTH SERVICES, LLC

1634 69TH AVENUE NE

6852 7TH STREET

6352 CENTRAL AVENUE

6352 CENTRAL AVENUE

5301 EAST RIVER ROAD NE #117

5231 BUCHANAN STREET NE

5231 BUCHANAN STREET NE

6187 HEATHER CIRCLE

7388 SYMPHONY STREET NE

7362 UNIVERSITY AVENUE NE

FRIDLEY, MN 55432

FRIDLEY, MN 55432

FRIDLEY, MN 55432

FRIDLEY, MN 55432

FRIDLEY, MN 55421

FRIDLEY, MN 55421

FRIDLEY, MN 55421

FRIDLEY, MN 55432

FRIDLEY, MN 55432

FRIDLEY, MN 55434

612/532-4314

612/517-4611

763/574-7366

763/574-7366

763/571-5556

763/999-6914

763/999-6914

763/999-6914

612/888-1277

612/272-8118

Lim-Liab

Corp

Lim-Liab

Lim-Liab

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

TCOMP

COMP

COMP

COMP

ESRD

HHA

(35805)

(36692)

(27980)

(27981)

(25501)

(33231)

(33614)

(37242)

(37133)

(25988)

FAX: 763/574-8065

FAX: 612/435-9735

FAX: 763/574-7362

FAX: 763/574-7362

FAX: 763/571-7882

FAX: 763/255-1482

FAX: /-

FAX: 763/255-1482

FAX: 612/486-9426

FAX: 612/435-6655

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

MOHAMMED MOHAMMED

DAHIR NUR

RHONDA SCHILLINGER

RHONDA SCHILLNGER

VALERIE ROMANOSKI

YASIN ABSHIR

YASIN ABSHIR

YASIN ABSHIR

KEFYALEW AMANTE

YOSSEPH ISAAK

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWSAL

HWSAL-O

HWSAL-O

HWSAL-O

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23

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

ANOKA

HOPE REST HOMES INC

IN HOUSE HOME HEALTH LLC

INFINITY HEALTH HOME CARE LLC

INTERLUDE RESTORATIVE SUITES UNITY

JMKAY HEALTH CARE SERVICES INC

JOYFUL HOME HEALTH CARE LLC

METRO ASSISTED LIVING

METRO ASSISTED LIVING AND REHABILITATION CENTER LLC

METRO THERAPY - SPECIAL CHILDREN'S CLINIC, INC.

MILL CITY HOME HEALTH CARE INC

7553 UNIVERSITY AVENUE NE

7336 SYMPHONY STREET NE

5951 UNIVERSITY AVENUE #410

520 OSBORNE ROAD NE

5600 5TH STREET NE

6568 CENTRAL AVENUE NE

7663 JACKSON STREET NE

7663 JACKSON STREET NE

5155 EAST RIVER ROAD #403

384 66TH AVENUE NE

FRIDLEY, MN 55432

FRIDLEY, MN 55432

FRIDLEY, MN 55432

FRIDLEY, MN 55432

FRIDLEY, MN 55432

FRIDLEY, MN 55432

FRIDLEY, MN 55432

FRIDLEY, MN 55432

FRIDLEY, MN 55421

FRIDLEY, MN 55432

612/978-7023

612/483-6326

408/637-0001

763/230-3131

763/245-0668

612/481-4636

612/998-2728

612/839-2458

763/572-2519

612/281-2732

Corp

Lim-Liab

Lim-Liab

ONProf

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Corp

TCOMP

NH-50

TCOMP

COMP

SNF-NF-50

Out St Out Ot

(34882)

(36346)

(35554)

(29890)

(33269)

(34572)

(35903)

(35553)

(02799)

(35085)

FAX: 612/314-8811

FAX: 612/314-8980

FAX: /-

FAX: 763/230-3345

FAX: 763/657-0026

FAX: 612/395-5223

FAX: 612/998-2758

FAX: 612/998-2758

FAX: 763/572-2616

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

MANAGE GAMI NASIR

ABDIBASID OSMAN

SAMIRA SAID

JANAE BEAUDOT

OLAJUMOKE OLADEJI

ADETOMI OMOTAYO

NASRO ISSAK

ZAKARIYA ADEED

AUDREY CHAPUT

MAHID HIRSI

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL-O

HWSAL

HWSAL

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24

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

ANOKA

MILL CITY HOME HEALTH CARE INC.

OPEN ARMS HOUSING INC

OPEN ARMS HOUSING INC

OPTIMUM HEALTHCARE SERVICES LLC

OPTIMUM HEALTHCARE SERVICES, LLC

PARK POINT INC

PRIDE N'LIVING HOME CARE, INC.

RIGHTWAY HOME CARE SERVICES INC - OVERTON HOUSE

SAMS HOUSE

THE ESTATES OF FRIDLEY LLC

384 66TH AVENUE NE

6250 RAINBOW DRIVE NE

6250 RAINBOW DRIVE NE

5060 HUGHES AVENUE NE

5060 HUGHES AVENUE NE

7362 UNIVERSITY AVENUE NE #211

7691 CENTRAL AVENUE STE 102

940 OVERTON DRIVE NE

5401 4TH STREET NE

5700 EAST RIVER ROAD

FRIDLEY, MN 55432

FRIDLEY, MN 55432

FRIDLEY, MN 55432

FRIDLEY, MN 55432

FRIDLEY, MN 55421

FRIDLEY, MN 55432

FRIDLEY, MN 55432

FRIDLEY, MN 55432

FRIDLEY, MN 55421

FRIDLEY, MN 554326149

612/281-2732

763/568-4057

763/568-4057

612/636-0482

612/598-2405

763/205-3891

763/572-2390

763/432-9738

763/566-0831

763/571-3150

Corp

Corp

Corp

Lim-Liab

Lim-Liab

Corp

Corp

Corp

Corp

Lim-Liab

TCOMP

TCOMP

TCOMP HCBS

COMP HCBS

NH-50 SNF-NF-50

(36730)

(36028)

(36590)

(35984)

(37263)

(34962)

(23218)

(35958)

(32534)

(00935)

FAX: /-

FAX: /-

FAX: /-

FAX: 612/808-1710

FAX: /-

FAX: 612/206-8284

FAX: 763/574-2459

FAX: 763/208-5725

FAX: 763/208-7071

FAX: 763/571-2805

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

MAHID HIRSI

YASMIN MA'ALIN

YASMIN MA'ALIN

FARDOZA YUSUF

FARDOZA YUSUF

ELVIS OSAGIE

KAREN WAINDIM

NICOLE CHOSA

ROGER BONNY

SARAH COIL

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWSAL-O

HWSAL-O

HWS-O

HWSAL-O

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25

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

ANOKA

THE HARBORS SENIOR LIVING OF FRIDLEY

THE LANDMARK OF FRIDLEY

THE LANDMARK OF FRIDLEY

UPEND HOME HEALTH CARE INC

FOUNTAIN GATE HEALTH LLC

HAM LAKE PHYSICAL THERAPY

COMPASSIONATE LUCYS SENIOR HOME CARE

LINO LAKES ASSISTED LIVING LLC

LINO LAKES ASSISTED LIVING LLC

LINO LAKES GRACEWOOD

5300 4TH STREET NE

6490 CENTRAL AVENUE NE

6490 CENTRAL AVENUE NE

357 66TH AVENUE NE

17045 CHISHOLM STREET NE

16210 ABERDEEN STREET NE STE B

695 OAK LANE

725 TOWN CENTER PARKWAY

725 TOWN CENTER PARKWAY

675 MARKET PLACE DRIVE

FRIDLEY, MN 55432

FRIDLEY, MN 55432

FRIDLEY, MN 55432

FRIDLEY, MN 55432

HAM LAKE, MN 55304

HAM LAKE, MN 55304

LINO LAKES, MN 55014

LINO LAKES, MN 55014

LINO LAKES, MN 55014

LINO LAKES, MN 55014

763/762-8990

763/571-7355

763/571-7355

612/961-8570

763/516-8304

763/413-0880

651/242-3690

763/267-6183

763/267-6183

651/287-0265

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Lim-Liab

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

COMP

COMP

COMP

COMP

Out Pt Out Ot

(33169)

(28887)

(28954)

(32360)

(35668)

(03772)

(29183)

(27529)

(30745)

(31761)

FAX: 763/208-2976

FAX: 763/571-7299

FAX: 763/571-7299

FAX: /-

FAX: /-

FAX: 763/413-0850

FAX: /-

FAX: 763/398-2294

FAX: 763/398-2294

FAX: 651/287-0266

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JENNIFER THORSON

BRITTNEY SNEGOSKY

BRITTNEY SNEGOSKY

SUAD ISSE

EVELYN MCCARTHY

MARK NETZINGER

ELIZABETH TAMFU

DEIDRA BURKE

DEIDRA BURKE

RHONDA SCHILLINGER

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL

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26

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

ANOKA

LINO LAKES GW LLC

CC GROUP HOME CARE INC

GUARDIAN ANGELS LLC

ADEQUATE HOME CARE LLC

CAREFREE HOME SERVICES INC

IHEART HOUSING WITH SERVICES

SENIOR ONE LLC

STONEY RIVER RAMSEY

STONEY RIVER RAMSEY

SUITE LIVING SENIOR CARE OF RAMSEY

675 MARKET PLACE DRIVE

3633 COLUMBUS AVENUE

2101 198TH AVENUE NW

5680 HADLEY AVENUE NORTH #132

7830 149TH LANE NW

15236 GERMANIUM CIRCLE

5711 164TH LANE NW

14401 NOWTHEN BOULEVARD NW

14401 NOWTHEN BOULEVARD NW

7007 139TH LANE NW

LINO LAKES, MN 55014

MINNEAPOLIS, MN 55404

OAK GROVE, MN 55011

OAKDALE, MN 55128

RAMSEY, MN 55303

RAMSEY, MN 55303

RAMSEY, MN 55303

RAMSEY, MN 55303

RAMSEY, MN 55303

RAMSEY, MN 55303

651/287-0265

612/387-3039

763/245-0755

651/367-9906

763/422-9713

612/316-5351

612/599-2528

612/615-9936

612/615-9936

651/770-2273

Lim-Liab

Corp

Lim-Liab

Lim-Liab

Corp

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

COMP

TCOMP

COMP

COMP

(31673)

(35632)

(35371)

(35259)

(27857)

(36918)

(34639)

(31334)

(31331)

(36601)

FAX: 651/287-0266

FAX: /-

FAX: 763/390-0032

FAX: 651/383-4585

FAX: 763/421-3098

FAX: 763/533-5962

FAX: /-

FAX: 763/898-3975

FAX: 763/999-3475

FAX: 651/666-1975

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

RHONDA SCHILLINGER

FOWSIYA HASSAN

KATHLEEN FREITAG

MOUNIR AYOUB

MICHAEL BEACH

ELEANA GBADAMASSI

HEATHER LEOPOLD

KELSEY NYLINE

KELSEY NYLINE

JOEL LARSON

---------------------------********** --------------------------(Cont.)*

HWSAL

Home Mgmt

HWS-O

Home Mgmt

HWSAL

HWSAL

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27

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

ANOKA

JABEZ CUSTOMIZED LIVING SERVICES

MAYA'S HOUSE

MERCY CAREGIVERS OF MINNESOTA

MERCY CAREGIVERS OF MINNESOTA

OROMIA HEALTH CARE

RISE HOME HEALTH CARE LLC

ULTIMATE CARE - SPRING LAKE HOUSE

ULTIMATE HOME CARE - NORTHTOWN HOUSE

UNITED CHAPTERS LIVING

MAPLE HOUSE LLC

8350 PIERCE STREET NE

924 VICEROY DRIVE NE

556 84TH AVENUE NE

556 84TH AVENUE NE

1620 81ST AVENUE NE #3

8030 MCKINLEY STREET NE

7931 6TH STREET NE

7936 5TH STREET NE

525 79TH AVENUE NE

5900 AMBASSADOR BOULEVARD NW

SPRING LAKE PARK, MN 55432

SPRING LAKE PARK, MN 55432

SPRING LAKE PARK, MN 55432

SPRING LAKE PARK, MN 55432

SPRING LAKE PARK, MN 55432

SPRING LAKE PARK, MN 55432

SPRING LAKE PARK, MN 55432

SPRING LAKE PARK, MN 55432

SPRING LAKE PARK, MN 55432

ST FRANCIS, MN 55070

763/710-4084

763/566-0831

612/222-1829

612/222-1829

612/345-2101

612/207-5920

763/560-9890

763/560-9890

763/486-3709

763/607-6874

NProf

Corp

Ind

Corp

Lim-Liab

Lim-Liab

Corp

Corp

Corp

Lim-Liab

COMP

COMP

TCOMP

COMP

(35705)

(31788)

(34584)

(35733)

(32345)

(35515)

(33163)

(36303)

(34846)

(34178)

FAX: 763/710-5493

FAX: 763/208-7071

FAX: /-

FAX: /-

FAX: /-

FAX: /-

FAX: 763/560-9891

FAX: 763/560-9891

FAX: /-

FAX: 267/350-9164

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PANDORA WHITE

ROGER BONNY

LEKE IJIYODE

LEKE IJIYODE

AISHA ALI

ISMAIL AHMED

ALFRED APATA

LYDIA NALWOGA

ALYSSA JEDICKA

GREGORY PETERSEN

---------------------------********** --------------------------(Cont.)*

HWS-O

HWSAL

HWSAL-O

HWSAL

HWSAL-O

HWSAL-O

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28

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

ANOKA

BECKER

ALCORDIA CARE LLC

DIAMOND WILLOW OF DETROIT LAKES 1

DIAMOND WILLOW OF DETROIT LAKES 2

ECUMEN DETROIT LAKES THE COTTAGE

ECUMEN DETROIT LAKES THE MADISON

ECUMEN HOME CARE - DETROIT LAKES

EMMANUEL NURSING HOME

ESSENTIA HEALTH HOME CARE WEST

ESSENTIA HEALTH OAK CROSSING

1356 SEARLE STREET

1558 RANDOLPH ROAD

1564 RANDOLPH ROAD

1435 MADISON AVENUE

1405 MADISON AVENUE

1415 MADISON AVENUE

1415 MADISON AVENUE

114 FRAZEE STREET EAST

1040 LINCOLN AVENUE

ST. PAUL, MN 55130

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

612/772-4141

218/846-0825

218/846-0147

218/844-9437

218/844-9431

218/844-9455

218/847-4486

218/847-0808

218/844-0700

Lim-Liab

Lim-Liab

Lim-Liab

NProf

NProf

NProf

NProf

NProf

NProf

TCOMP HCBS

COMP HCBS

NH-102

COMP

NH-94

SNF-NF-102

HHA

SNF-NF-94

(35686)

(25380)

(25400)

(25997)

(23721)

(22058)

(00013)

(03707)

(00907)

FAX: 612/772-9670

FAX: 218/846-0828

FAX: 218/846-0149

FAX: 218/844-9446

FAX: 218/847-4488

FAX: 218/847-4488

FAX: 218/847-4488

FAX: 218/847-0850

FAX: 218/844-0780

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

SAHARA ABDI

SARA KLEINSCHMIDT

SARA KLEINSCHMIDT

KYLIE JOHNSON

JENNIFER BRISTLIN

MARY O'BRIEN

DANIELLE OLSON

LINDA HESPE

CHRISTY BRINKMAN

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

HWSAL

HWSAL

HWSAL

HWS

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29

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

BECKER

ESSENTIA HEALTH ST. MARYS DETROIT LAKES

GOLDEN MANOR CORPORATION

GOLDEN MANOR MEMORY CARE

GOLDEN MANOR OF DETROIT LAKES

LAMPLIGHTER MANOR

LINCOLN PARK ASSISTED LIVING

LINCOLN PARK SENIOR APARTMENT

MAHUBE-OTWA COM ACTION PTNRSHP

MERITCARE HOSPITAL DIALYSIS

PARK MANOR ESTATES

1027 WASHINGTON AVENUE

1159 GARNET BOULEVARD

1159 GARNET BOULEVARD

1165 GARNET BOULEVARD

1425 MADISON AVENUE

208 OAK STREET

207 PARK STREET

1125 WEST RIVER ROAD

1234 WASHINGTON AVENUE STE B

1035 ROOSEVELT 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 56502

DETROIT LAKES, MN 56501

DETROIT LAKES, MN 56501

218/847-0888

218/844-6028

218/844-6028

218/844-3300

218/844-7139

218/844-0701

218/844-0701

218/847-1385

218/846-2200

218/847-2636

NProf

Corp

Corp

Corp

NProf

NProf

NProf

NProf

NProf

Part

HOSP-87 BASS-16

COMP

HOSP-87

ESRD

(00888)

(21056)

(24138)

(23040)

(20313)

(21201)

(21248)

(29250)

(20925)

(24593)

FAX: 218/847-7674

FAX: 218/844-8618

FAX: 218/844-8618

FAX: 218/844-8618

FAX: 218/847-5384

FAX: 218/847-0895

FAX: 218/847-0895

FAX: 218/847-1388

FAX: 218/846-2201

FAX: 218/844-2637

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

RYAN HILL

JENNIFER BERG

JENNIFER BERG

JENNIFER BERG

AMBER MEAD

TONYA CLEM

TONYA CLEM

LIZ KUOPPALA

BECKY BERG

BRANDON EISENBEIS

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL-O

HWS

HWSAL

HWS

Home Mgmt

HWS

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30

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

BECKER

PELICAN LANDING

PELICAN LANDING

SANFORD DETROIT LAKES HOME DIALYSIS

SANFORD HEALTH DETROIT LAKES CLINIC SAME DAY SURGERY CENTER

ST. MARY'S SENIOR LIVING SUPPORTIVE SERVICES

WINCHESTER ON WASHINGTON

FRAZEE ASSISTED LIVING

FRAZEE ASSISTED LIVING

FRAZEE ASSISTED LIVING HOME CARE

FRAZEE CARE CENTER

1325 PELICAN LANE

1325 PELICAN LANE

1245 WASHINGTON AVENUE

1245 WASHINGTON AVENUE

1027 WASHINGTON AVENUE

1051 WASHINGTON AVENUE

219 WEST MAPLE AVENUE

219 WEST MAPLE AVENUE

219 WEST MAPLE AVENUE

219 WEST MAPLE AVENUE

DETROIT LAKES, MN 55601

DETROIT LAKES, MN 56501

DETROIT LAKES, MN 56501

DETROIT LAKES, MN 56501

DETROIT LAKES, MN 56501

DETROIT LAKES, MN 56501

FRAZEE, MN 56544

FRAZEE, MN 56544

FRAZEE, MN 56544

FRAZEE, MN 56544

218/847-7777

218/847-7777

218/846-7085

218/846-2000

218/844-0701

218/844-0701

218/334-4501

218/334-4501

218/334-4501

218/334-4501

Lim-Liab

Corp

NProf

NProf

NProf

NProf

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

COMP

Outpt Surg

COMP

COMP

COMP

NH-50

ESRD

Amb Surg

SNF-NF-50

(34738)

(35052)

(28638)

(27351)

(23436)

(20241)

(20154)

(30423)

(20154)

(00730)

FAX: 218/847-1764

FAX: 218/999-0612

FAX: 218/846-2005

FAX: 218/846-7001

FAX: 218/874-0895

FAX: 218/847-0895

FAX: 218/334-4500

FAX: 218/334-4500

FAX: 218/334-4500

FAX: 218/334-4500

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

LAURA BOREEN

ROCHELLE LANGLOIS

MARIA REGNIER

BREANNA ADAMS

TONYA CLEM

TONYA CLEM

PATRICK KREJIC

BARBARA AXNESS

PATRICK KREJIC

---------------------------********** --------------------------(Cont.)*

HWSAL

HWS

HWSAL

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31

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

BECKER

BELTRAMI

SUNNYSIDE CARE CENTER

NORTH STAR NURSING TEMPORARY ASSOCIATES, INC.

WHITE EARTH DIALYSIS

WHITE EARTH HOME HEALTH AGENCY

A TOUCH OF HOME NORTH

AUTUMN HILLS OF BEMIDJI, INC.

AUTUMN HILLS OF BEMIDJI, INC.

BAKER PARK, INC.

CEDAR COTTAGE

16561 US HIGHWAY 10

22119 480TH AVENUE

26246 CRANE ROAD

26246 CRANE ROAD

915 21ST STREET NW

2528 PARK AVENUE NW

2528 PARK AVENUE NW

803 DEWEY AVENUE

1711 DELTON AVENUE NW

LAKE PARK, MN 56554

OSAGE, MN 56570

WHITE EARTH, MN 56591

WHITE EARTH, MN 56591

BEMIDJI, MN 56601

BEMIDJI, MN 56601

BEMIDJI, MN 56601

BEMIDJI, MN 56601

BEMIDJI, MN 56601

218/238-5944

218/573-2238

218/983-4699

218/983-3286

218/444-5878

218/333-3854

218/333-3854

218/751-7249

218/444-3047

Cnty

Corp

Corp

Tribal

Corp

Corp

Corp

NProf

Corp

NH-30

COMP

COMP

COMP

COMP

SNF-NF-30

ESRD

HHA

(00016)

(21664)

(30499)

(02147)

(30713)

(23983)

(30484)

(20518)

(20923)

FAX: 218/238-6854

FAX: 218/573-3778

FAX: 218/983-4241

FAX: 218/983-2734

FAX: 218/444-5114

FAX: 218/333-3855

FAX: 218/333-3855

FAX: 218/333-2717

FAX: 218/444-7668

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ASHLEY MCNALLY

HEIDI CLEMENTS

TIFFANEY HOLM

LINDSI MCARTHUR

MELANIE BURNS

SHELLEY CLOOSE

SHELLEY CLOOSE

ADAM COE

JOHN FICK

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

HWSAL

HWSAL

HWSAL

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32

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

BELTRAMI

CEDAR COTTAGE

COLLEEN'S CARING HANDS

COLLEEN'S CARING HANDS

COMMUNITY BEHAVIORAL HEALTH HOSPITAL - BEMIDJI

D & D'S CARING HEARTS

D & D'S CARING HEARTS

GOLDPINE HOME

GOLDPINE HOME

HAVENWOOD CARE CENTER

LONG LAKE LOON LODGE

1711 DELTON AVENUE NW

2525 BEMIDJI AVENUE NORTH

2525 BEMIDJI AVENUE NORTH

800 BEMIDJI AVENUE NORTH

1426 PAMELA COURT NW

1426 PAMELA COURT NW

1700 30TH STREET NW

1700 30TH STREET NW

1633 DELTON AVENUE

7747 LOON LODGE LANE NE

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

218/444-3047

218/333-8852

218/333-8852

218/308-2400

218/444-5602

218/444-5602

218/444-4346

218/444-4346

218/444-1745

218/586-2945

Corp

Corp

Corp

State

Corp

Corp

Corp

Corp

Corp

Ind

COMP

OTHER-16

COMP

COMP

NH-90

PSY-16

SNF-NF-90

(30829)

(26834)

(30648)

(25049)

(33406)

(33601)

(20075)

(30332)

(00017)

(20285)

FAX: 218/444-7668

FAX: 218/444-9183

FAX: 218/444-9183

FAX: 218/431-7530

FAX: 218/444-7417

FAX: 218/444-7417

FAX: 218/444-4083

FAX: 218/444-4083

FAX: 218/759-1744

FAX: 218/586-4094

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

KATHLEEN BIRCHEM

COLLEEN HILL KJOS

COLLEEN HILL- KJOS

LARRY LAUDON

DARLENE BENSON

DARLENE BENSON

DUSTIN HOLLOWAY

DUSTIN HOLLOWAY

BRANDON BJERKE

AMY DELAP

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

HWS-O

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33

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

BELTRAMI

LONG LAKE LOON LODGE

NEILSON PLACE

NORTHWOODS CAREGIVERS

SANFORD BEMIDJI - HOME CARE AND HOSPICE

SANFORD BEMIDJI HOSPICE

SANFORD BEMIDJI MEDICAL CENTER

SANFORD DIALYSIS BEMIDJI

SANFORD HEALTH NEILSON PLACE

TAMARACK COURT

TAMARACK COURT

7747 LOON LODGE LANE NE

1000 ANNE STREET NW

616 AMERICA AVENUE NW #170

3201 PINE RIDGE AVE NW STE A

3201 PINE RIDGE AVE NW STE A

1300 ANNE STREET NW

1300 ANNE STREET NW

1010 ANNE STREET

1511 DELTON AVENUE NW

1511 DELTON AVENUE NW

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

218/586-2945

218/751-0220

218/333-8264

218/333-5665

218/333-5665

218/751-5430

218/751-5430

218/333-6211

218/444-4999

218/444-4999

Ind

NProf

NProf

NProf

NProf

NProf

NProf

NProf

Corp

Corp

COMP

NH-78

COMP

COMP

Hospice

HOSP-118 BASS-12 OTHER-

COMP

COMP

SNF-NF-78

HHA

HSPICE

HOSP-106 PPS-P-0 PPS-R-12 PPS-R-

ESRD

(22011)

(00823)

(32560)

(02372)

(02417)

(00821)

(03376)

(26843)

(26081)

(30668)

FAX: 218/586-4094

FAX: 218/333-6514

FAX: 218/333-8263

FAX: 218/333-5642

FAX: 218/333-5642

FAX: 218/333-5880

FAX: /-

FAX: 218/333-5639

FAX: 218/444-5603

FAX: 218/444-5603

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

AMY DELAP

ADAM COE

DENISE SMID

CARRIE KRUMP

ASHLEY GAGOLA

SUSAN JARVIS

BECKY BERG

JEANNE THOMPSON

SHIRLEY HERDING

JOHN FICK

---------------------------********** --------------------------(Cont.)*

HWSAL

Page 71: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

34

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

BELTRAMI

TOUCH OF HOME

TOUCH OF HOME

TOUCHING HEARTS AT HOME

TRILLIUM

WINDSONG

GOOD SAMARITAN SOCIETY - BLACKDUCK

GOOD SAMARITAN SOCIETY BLACKDUCK SENIOR LIVING

GOOD SAMARITAN SOCIETY BLACKDUCK SENIOR LIVING

SERENITY LIVING SOLUTIONS OF BLACKDUCK

SERENITY LIVNG SOLUTIONS OF BLACKDUCK

711 17TH STREET NW

711 17TH STREET

615 ANNE STREET STE B

930 ANNE STREET NW

1010 ANNE STREET NW

172 SUMMIT AVENUE WEST

152 MARGARET AVENUE NW

152 MARGARET AVENUE NW

441 4TH STREET NE

441 4TH STREET NE

BEMIDJI, MN 56601

BEMIDJI, MN 56601

BEMIDJI, MN 56601

BEMIDJI, MN 56601

BEMIDJI, MN 56601

BLACKDUCK, MN 56630

BLACKDUCK, MN 56630

BLACKDUCK, MN 56630

BLACKDUCK, MN 56630

BLACKDUCK, MN 56630

218/444-2775

218/444-2775

218/333-8509

218/333-6211

218/333-6211

218/835-4218

218/835-5482

218/835-5482

218/835-4564

218/835-4564

Corp

Corp

Lim-Liab

NProf

NProf

NProf

NProf

NProf

Corp

Corp

COMP

NH-30

COMP

COMP

SNF-NF-30

(21397)

(30749)

(31674)

(26844)

(27160)

(00021)

(26635)

(30737)

(21164)

(31836)

FAX: 218/444-5114

FAX: 218/444-5114

FAX: 218/333-8509

FAX: 218/333-5639

FAX: 218/333-5639

FAX: 218/835-6737

FAX: 218/834-5484

FAX: 218/835-5484

FAX: 218/835-5809

FAX: 218/835-5809

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

MELANIE BURNS

MELANIE BURNS

DAVID THONVOLD

ADAM COE

ADAM COE

JONATHAN STONE

JONATHAN STONE

JONATHAN STONE

TIM MATROS

TIM MATROS

---------------------------********** --------------------------(Cont.)*

HWSAL

Home Mgmt

HWSAL

HWSAL

HWSAL

HWSAL

Page 72: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

35

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

BELTRAMI

BENTON

CORNERSTONE RESIDENCE OF KELLIHER

CORNERSTONE RESIDENCE OF KELLIHER

JOURDAIN/PERPICH EXTENDED CARE FACILITY

SANFORD DIALYSIS RED LAKE

HERITAGE POINTE

THE GARDENS AT FOLEY ASSISTED LIVING LLC

THE GARDENS AT FOLEY ASSSISTED LIVING LLC

THE GARDENS AT FOLEY LLC

ALL GOOD HOME CARE, INC.

280 MAIN STREET WEST

280 MAIN STREET WEST

24856 HOSPITAL DRIVE

24760 HOSPITAL DRIVE

104 NORMAN AVENUE SOUTH

120 NORMAN AVENUE SOUTH

120 NORMAN AVENUE SOUTH

253 PINE STREET

9250 LAKEWOOD SHORE ROAD NW

KELLIHER, MN 56650

KELLIHER, MN 56650

RED LAKE, MN 56671

RED LAKE, MN 56671

FOLEY, MN 56329

FOLEY, MN 56329

FOLEY, MN 56329

FOLEY, MN 56329

RICE, MN 56367

218/647-8258

218/647-8258

218/679-3400

218/679-3117

320/968-6425

320/968-6425

320/968-6425

320/968-6201

320/393-2406

Corp

Corp

Tribal

NProf

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Corp

COMP

OTHER-

COMP

NH-78

COMP HCBS

SNF-NF-47

ESRD

SNF-NF-78

(25374)

(30575)

(00355)

(23621)

(26321)

(26407)

(34338)

(00629)

(25865)

FAX: 218/647-8483

FAX: 218/647-8483

FAX: /-

FAX: 218/679-4306

FAX: 320/968-9916

FAX: 320/968-9916

FAX: 320/968-9916

FAX: 320/968-7051

FAX: 320/393-2455

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JUDY POTVIN

KARI SWANSON

NICK BERG

MARIA REGNIER

ANDREW HUHTA

LEESA GILMAN

LEESA GILMAN

MARK HALPERT

MIKE ALLGOOD

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

HWSAL

HWSAL

HWSAL

Page 73: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

36

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

BENTON

COUNTRY MANOR EXTENDED SERVICES

COUNTRY MANOR EXTENDED SERVICES

COUNTRY MANOR HEALTHCARE AND REHAB CENTER

COUNTRY MANOR SENIOR APARTMENTS

COUNTRY MANOR SENIOR APARTMENTS

THE COUNTRY VILLA

ACCESS INFUSION HEALTHCARE, INC

BRIDGE RECOVERY LLC

BRIDGES MN

BRIDGES MN

520 1ST STREET NE

520 1ST STREET NE

520 1ST STREET NE

520 1ST STREET NE

520 1ST STREET NE

520 1ST STREET NE

16 12TH STREET SOUTH

1485 10TH AVENUE NE

817 5TH AVENUE NORTH

817 5TH AVENUE NORTH

SARTELL, MN 56377

SARTELL, MN 56377

SARTELL, MN 56377

SARTELL, MN 56377

SARTELL, MN 56377

SARTELL, MN 56377

SAUK RAPIDS, MN 56379

SAUK RAPIDS, MN 56379

SAUK RAPIDS, MN 56379

SAUK RAPIDS, MN 56379

320/253-3343

320/253-3343

320/253-1920

320/253-3343

320/253-8450

320/253-8450

320/492-5951

320/406-1850

651/772-4957

651/772-4957

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Lim-Liab

Lim-Liab

Lim-Liab

COMP

COMP

NH-165

COMP

COMP

SLFA-96

COMP

HHA

SNF-NF-165

(02226)

(20206)

(00627)

(20206)

(30448)

(20559)

(25059)

(25468)

(32799)

(26134)

FAX: 320/240-0244

FAX: 320/345-4681

FAX: 320/656-5922

FAX: 320/345-4681

FAX: 320/656-5922

FAX: 320/656-5922

FAX: 320/259-0440

FAX: 320/240-0903

FAX: 651/528-8427

FAX: 651/772-2746

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ROBIN THEIS

ROBIN THEIS

BRIAN KELM

ROBIN THEIS

BRIAN KELM

BRIAN KELM

JANE YAGER

KRISTY IMHOLTE

BLAKE ELLIOTT

BLAKE ELLIOTT

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL-O

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37

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

BENTON

CHERRYWOOD ADVANCED LIVING

GOOD SHEPHERD ASSISTED LIVING

GOOD SHEPHERD COTTAGES

GOOD SHEPHERD HOME HEALTH CARE

GOOD SHEPHERD HOMES INC

GOOD SHEPHERD LUTHERAN HOME

HEARTLAND HOME HEALTH CARE AND HOSPICE

LANDINGS AT SAUK RAPIDS

LANDINGS OF SAUK RAPIDS

LEGACY PLACE LLC

1637 4TH AVENUE NORTH STE 110

1115 4TH AVENUE NORTH

307 11TH STREET NORTH

1115 4TH AVENUE NORTH

1211 4TH AVENUE NORTH

1115 4TH AVENUE NORTH

1257 2ND STREET NORTH

1325 SUMMIT AVENUE NORTH

1325 SUMMIT AVENUE NORTH

902 15TH STREET NE

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

SAUK RAPIDS, MN 56379

320/257-7445

320/252-6525

320/252-6525

320/259-3487

320/252-6525

320/252-6525

320/654-1136

320/203-8142

320/203-8142

320/267-7789

Lim-Liab

NProf

NProf

NProf

NProf

ONProf

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

COMP

COMP

COMP

NH-162

Hospice

COMP

HHA

SNF-NF-162

HSPICE

(27306)

(24855)

(23241)

(02397)

(25644)

(00023)

(23078)

(30601)

(34372)

(31437)

FAX: 320/257-7447

FAX: 320/259-3463

FAX: 320/258-8675

FAX: 320/259-3473

FAX: 320/259-3463

FAX: 320/259-3463

FAX: 320/654-6803

FAX: 320/203-8207

FAX: /-

FAX: 320/421-0559

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

WENDY HULSEBUS

ALLISON BUERSKEN

MICHAEL STORDAHL

MICHELLE VASEK

MICHAEL STORDAHL

MICHAEL STORDAHL

CYNTHIA COBBS

JILL CURRY

QUENTIN BERZINS

SUSAN NORMAN

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

Page 75: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

38

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

BENTON

LEGACY PLACE, LLC

RIDGEVIEW PLACE

RIDGEVIEW PLACE

RIDGEVIEW SENIOR LIVING

SHEPHERD COURT APARTMENTS

SHEPHERD OAK APARTMENTS INC

SHEPHERD OAK WEST APARTMENTS

SPINAL REHAB CLINIC

WALGREENS #13880

WILDWOOD ASSISTED LIVING

902 15TH STREET NE

1009 10TH AVENUE NE

1009 10TH AVENUE NE

1009 10TH AVENUE NE

330 13TH STREET NORTH

310 13TH STREET NORTH

220 13TH STREET NORTH

225 NORTH BENTON DRIVE

115 2ND AVENUE NORTH

1420 2ND STREET NORTH

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

SAUK RAPIDS, MN 56379

320/267-7789

320/251-5228

320/251-5228

320/251-5228

320/252-6525

320/252-6525

320/252-6525

320/252-1884

320/253-6601

320/774-1546

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

NProf

NProf

NProf

Corp

test

Lim-Liab

COMP

COMP

COMP

Out Pt

(31210)

(20619)

(29660)

(20619)

(20282)

(25645)

(25646)

(03770)

(37137)

(32711)

FAX: 320/421-0559

FAX: 320/259-8964

FAX: 320/259-8964

FAX: 320/259-8964

FAX: 320/259-3479

FAX: 320/259-3463

FAX: 320/259-3463

FAX: /-

FAX: /-

FAX: 320/200-7483

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

SUSAN NORMAN

PATTI CAMPBELL

AMY COMSTOCK

PATTI CAMPBELL

MICHAEL STORDAHL

MICHAEL STORDAHL

MICHAEL STORDAHL

LYNETTE MCGRATH

JEFF SHOBERG

LINDA CORRIGAN

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL

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39

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

BENTON

BIG STONE

WILDWOOD ASSISTED LIVING

ST. CLOUD CAREFREE LIVING LLC

CLINTON CARE CENTER

CLINTON CARE CENTER

ESSENTIA HEALTH GRACE HOME

ESSENTIA HEALTH GRACEVILLE

ESSENTIA HEALTH GRACEVILLE HOME HEALTH

ESSENTIA HEALTH HOLY TRINITY HOSPITAL

GRACE VILLAGE

1420 2ND STREET NORTH

1225 DIVISION STREET EAST

322 COUNTY HIGHWAY 6

322 COUNTY HIGHWAY 6

116 WEST 2ND STREET

115 WEST 2ND STREET

115 WEST 2ND STREET

115 WEST 2ND STREET

114 WEST 2ND STREET

SAUK RAPIDS, MN 56379

ST. CLOUD, MN 56304

CLINTON, MN 56225

CLINTON, MN 56225

GRACEVILLE, MN 56240

GRACEVILLE, MN 56240

GRACEVILLE, MN 56240

GRACEVILLE, MN 56240

GRACEVILLE, MN 56240

320/774-1546

320/251-6483

320/325-5414

320/325-5414

320/748-7223

320/324-7500

320/748-8211

320/748-8200

320/748-7220

Lim-Liab

Lim-Liab

NProf

NProf

NProf

NProf

NProf

NProf

ONProf

COMP

NH-40

COMP

HOSP-15 BASS-0

SNF-NF-40

RHC

HHA SE

CAH-15

(33426)

(20383)

(23174)

(30340)

(00762)

(03819)

(03589)

(00027)

(24236)

FAX: 320/200-7483

FAX: 320/251-2714

FAX: 320/325-5416

FAX: 320/343-9069

FAX: 320/748-8238

FAX: /-

FAX: 320/784-8247

FAX: 320/748-7240

FAX: 320/748-8258

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

THOMAS LEWELLYN

NATALIE WILKENS

MELANIE SIGLER

KIMBERLY MUENCHOW

JULIE ROSENBERG

TODD HOWELL

LINDA HESPE

JULIE ROSENBERG

JULIE ROSENBERG

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

Page 77: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

40

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

BIG STONE

BLUE EARTH

FAIRWAY VIEW

FAIRWAY VIEW NEIGHBORHOODS

FAIRWAY VIEW SENIOR COMMUNITY

HOME HEALTH AGENCY

MONARCH HEIGHTS

ORTONVILLE AREA HEALTH SERVICES

SATELLITE DIALYSIS ORTONVILLE

CRYSTAL SEASONS ALF, LLC

CRYSTAL SEASONS LIVING CENTER

215 LUNDELL AVENUE

201 MARK DRIVE

215 LUNDELL AVENUE

201 MARK DRIVE

501 BURDICK AVENUE

450 EASTVOLD AVENUE

814 ROY STREET

222 SOUTH MURPHY STREET

222 SOUTH MURPHY STREET

ORTONVILLE, MN 56278

ORTONVILLE, MN 56278

ORTONVILLE, MN 56278

ORTONVILLE, MN 56278

ORTONVILLE, MN 56278

ORTONVILLE, MN 56278

ORTONVILLE, MN 56278

LAKE CRYSTAL, MN 56055

LAKE CRYSTAL, MN 56055

320/839-2397

320/839-6113

320/839-2397

320/839-4020

320/839-6139

320/839-2502

320/839-4070

507/726-2266

507/726-2266

City

City

City

City

NProf

City

NProf

Lim-Liab

Lim-Liab

NH-51

COMP

COMP

SLFB-12

HOSP-25 BASS-4

COMP

SNF-NF-51

HHA

ICFIID-12

CAH-25

ESRD

(30337)

(00771)

(23148)

(02345)

(01440)

(00029)

(23114)

(26192)

(30699)

FAX: 320/839-2398

FAX: 320/839-2985

FAX: 320/839-2398

FAX: 320/839-4095

FAX: 320/839-2060

FAX: 320/839-4277

FAX: 320/839-4071

FAX: 507/726-2276

FAX: 507/726-2276

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

DAVID ROGERS

DAVID ROGERS

DAVID ROGERS

DAVID ROGERS

STACEY KARELS

DAVID ROGERS

TIMOTHY JACKAN

LEESA GILMAN

LEESA GILMAN

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

HWSAL

HWSAL

Page 78: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

41

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

BLUE EARTH

CRYSTAL SEASONS LIVING COMMUNITY

ECUMEN LAKE CRYSTAL

THE BEACON AT LAKE CRYSTAL

THE BEACON AT LAKE CRYSTAL

AUTUMN GRACE I

AUTUMN GRACE II

AUTUMN GRACE III

BRIDGEWATER AT MANKATO

BRIDGEWATER AT MANKATO II

BROOKDALE MANKATO

222 SOUTH MURPHY STREET

511 WEST BLUE EARTH STREET

511 WEST BLUE EARTH STREET

511 WEST BLUE EARTH STREET

118 RAVEN COURT

110 RAVEN COURT

108 RAVEN COURT

630 REED STREET

640 REED STREET

100 TETON LANE

LAKE CRYSTAL, MN 56055

LAKE CRYSTAL, MN 56055

LAKE CRYSTAL, MN 56055

LAKE CRYSTAL, MN 56055

MANKATO, MN 56001

MANKATO, MN 56001

MANKATO, MN 56001

MANKATO, MN 56001

MANKATO, MN 56001

MANKATO, MN 56001

507/726-2266

507/726-6537

507/726-6537

507/726-6537

507/388-0640

507/388-0640

507/388-0640

507/388-0881

507/388-0881

507/386-1779

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

COMP

COMP

COMP

COMP

(26192)

(20375)

(30602)

(20375)

(30302)

(23858)

(25966)

(34568)

(34567)

(20336)

FAX: 507/726-2276

FAX: 507/726-2402

FAX: /-

FAX: 507/726-2402

FAX: 507/388-5412

FAX: 507/388-5412

FAX: 507/388-5412

FAX: 507/388-5162

FAX: 507/388-5162

FAX: 507/386-1174

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

LEESA GILMAN

LEESA GILMAN

LEESA GILMAN

LEESA GILMAN

LANA STEUCK

LANA STEUCK

LANA STEUCK

BROOKE OLSON

BROOKE OLSON

GERI SVALESON

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWS

HWSAL

HWSAL

Page 79: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

42

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

BLUE EARTH

BROOKDALE MANKATO

COTTAGEWOOD SENIOR COMMUNITIES OF MANKATO

DIALYSIS AT MANKATO CLINIC

ECUMEN HOME CARE PATHSTONE

ECUMEN LE CENTER

FREEDOM HOME CARE LLC

GENTLE TOUCH HEALTH INITITATIVES

HARRY MEYERING CENTER, INC.

HILLCREST CARE & REHABILITATION CENTER

INTERIM HEALTHCARE

100 TETON LANE

300 BUNTING LANE

1400 MADISON AVENUE #400

718 MOUND AVENUE

638 SOUTHBEND AVENUE

1635 NORTH RIVERFRONT DRIVE

300 BUNTING LANE

109 HOMESTEAD ROAD

714 SOUTHBEND AVENUE

709 SOUTH FRONT STREET #3

MANKATO, MN 56001

MANKATO, MN 56001

MANKATO, MN 56001

MANKATO, MN 56001

MANKATO, MN 56001

MANKATO, MN 56001

MANKATO, MN 56001

MANKATO, MN 56001

MANKATO, MN 56001

MANKATO, MN 56001

507/386-1779

507/345-8787

615/320-4458

507/385-4210

612/239-6856

507/387-4663

507/345-8787

507/387-8281

507/387-3491

507/720-5951

Corp

Lim-Liab

Lim-Liab

NProf

Lim-Liab

Lim-Liab

Lim-Liab

NProf

Lim-Liab

Lim-Liab

COMP

COMP

COMP

COMP

SLFB-25

NH-85

COMP

ESRD

HHA

ICFIID-25

SNF-NF-85

(30560)

(20394)

(28837)

(02389)

(20376)

(31872)

(29350)

(01008)

(00031)

(32451)

FAX: 507/386-1174

FAX: 507/345-8870

FAX: 877/259-3316

FAX: 507/385-4213

FAX: /-

FAX: 507/387-6246

FAX: 507/345-8870

FAX: 507/625-9948

FAX: 507/387-7557

FAX: 866/728-1120

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

GERI SVALESON

EMILY TOLL

BRITTANY WINTERS

KIM HOLIEN

LEESA GILMAN

CHRISTOPHER MIHM

LORI MCGUIRE

LINDA LEIDING

LORNA CRAIG-PAULSON

AMY LAGO

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

Page 80: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

43

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

BLUE EARTH

KARRINGTON COTTAGES OF MANKATO

KEYSTONE COMMUNITIES OF MANKATO

LAURELS EDGE ASSISTED LIVING

LAURELS EDGE ASSISTED LIVING

LAURELS PEAK CARE & REHABILITATION CENTER

MANKATO CLINIC ENDOSCOPY CENTER

MANKATO SURGERY CENTER

MAYO CLINIC HEALTH SYSTEM - MANKATO

MAYO CLINIC HEALTH SYSTEM - MANKATO

MS-AC MANKATO AG SENIOR LIVING LLC

300 BUNTING LANE

100 DUBLIN ROAD

77 STADIUM ROAD

77 STADIUM ROAD

700 JAMES AVENUE

1230 EAST MAIN STREET

1411 PREMIER DRIVE

1025 MARSH STREET

1400 MADISON AVENUE #324A

118 RAVEN COURT

MANKATO, MN 56001

MANKATO, MN 56001

MANKATO, MN 56001

MANKATO, MN 56001

MANKATO, MN 56001

MANKATO, MN 56001

MANKATO, MN 56001

MANKATO, MN 56001

MANKATO, MN 56001

MANKATO, MN 56001

507/345-8787

507/385-7080

507/387-2133

507/387-2133

507/345-4631

507/389-8504

507/386-5543

507/594-2646

507/594-2618

507/388-0640

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Lim-Liab

NProf

NProf

Lim-Liab

COMP

NH-65

Outpt Surg

Outpt Surg

HOSP-272 BASS-26

Hospice

COMP

SNF-NF-65

Amb Surg

Amb Surg

HOSP-272

HSPICE

(20394)

(24718)

(20485)

(30675)

(00035)

(23204)

(21469)

(00033)

(00219)

(25816)

FAX: 507/345-8870

FAX: 507/385-7081

FAX: 507/387-1135

FAX: 507/387-1135

FAX: 507/344-4835

FAX: 507/388-3401

FAX: 507/388-6913

FAX: 507/594-2908

FAX: 507/594-5649

FAX: 507/388-5412

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

EMILY TOLL

VINCE BECKEL

LEESA GILMAN

LEESA GILMAN

LORNA CRAIG-PAULSON

RANDY FARROW

JOLEEN HARRISON

TERRY BRANDT

BRIAN KOTTKE

EMILY TOLL

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

Page 81: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

44

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

BLUE EARTH

MS-AC MANKATO WE SENIOR LIVING LLC

NEW PERSPECTIVE - MANKATO

NEW PERSPECTIVE - MANKATO

OAKLAWN CARE & REHABILITATION CENTER

OLD MAIN VILLAGE

OLD MAIN VILLAGE

PAIN CENTERS OF MINNESOTA - MANKATO

PATHSTONE CROSSING

PATHSTONE CROSSING

PATHSTONE LIVING

800 AGENCY TRAIL

100 DUBLIN ROAD

100 DUBLIN ROAD

201 OAKLAWN AVENUE

301 SOUTH 5TH STREET

301 SOUTH 5TH STREET

1400 MADISON AVENUE STE 402

718 MOUND AVENUE

718 MOUND AVENUE

718 MOUND AVENUE

MANKATO, MN 56001

MANKATO, MN 56001

MANKATO, MN 56001

MANKATO, MN 56001

MANKATO, MN 56001

MANKATO, MN 56001

MANKATO, MN 56001

MANKATO, MN 56001

MANKATO, MN 56001

MANKATO, MN 56001

507/388-5582

507/385-7080

507/305-7080

507/388-2913

507/388-4200

507/388-4200

507/389-8504

507/345-4576

507/345-4576

507/345-4576

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Part

Part

Lim-Liab

NProf

NProf

NProf

COMP

COMP

NH-70

COMP

Outpt Surg

COMP

NH-69

SNF-NF-70

Amb Surg

SNF-NF-69

(30109)

(24718)

(29566)

(00038)

(26043)

(30663)

(27290)

(20164)

(30425)

(00036)

FAX: 507/388-5584

FAX: 507/385-7081

FAX: 507/385-7081

FAX: 507/388-1235

FAX: 507/388-5991

FAX: 507/388-5991

FAX: 507/388-3401

FAX: 507/385-4225

FAX: 507/385-4225

FAX: 507/385-4212

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

EMILY TOLL

VINCE BECKEL

AMY LIFFRIG

JENNA LOPEZ

RANDALL BENSON

CRAIG EDINGER

RANDY FARROW

AMANDA BEAVENS

AMANDA BEAVENS

RACHAEL EVERS

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

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45

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

BLUE EARTH

PEDIATRIC THERAPY SERVICES

PHYSICAL THERAPY SPORTS MEDICINE CENTER

PILLARS OF MANKATO SENIOR LVG

PRAIRIE'S EDGE

PRIMROSE RETIREMENT COMMUNITY OF MANKATO

PRIMROSE RETIREMENT COMMUNITY OF MANKATO

REM HEARTLAND, INC. (BIRCH)

REM HEARTLAND, INC. (CYPRESS)

SCHOOL SISTERS OF NOTRE DAME CENTRAL PACIFIC PROVINCE INC

150 ST. ANDREWS COURT #310

1431 PREMIER DRIVE

3125 PRAIRIE ROSE DRIVE

152 COUGAR DRIVE

1360 ADAMS STREET

1360 ADAMS STREET

206 THOMAS DRIVE

204 THOMAS DRIVE

170 GOOD COUNSEL DRIVE

MANKATO, MN 56001

MANKATO, MN 56001

MANKATO, MN 56001

MANKATO, MN 56001

MANKATO, MN 56001

MANKATO, MN 56001

MANKATO, MN 56001

MANKATO, MN 56001

MANKATO, MN 56001

507/388-5437

507/386-6700

507/344-6777

507/387-8281

507/388-9292

507/388-9292

952/922-6776

507/387-3181

507/389-4200

Ind

Corp

Lim-Liab

NProf

Lim-Liab

Lim-Liab

Corp

Corp

NProf

SLFB-6

COMP

SLFB-12

SLFA-11

COMP

Out Pt Out St Out Ot

Out Pt

ICFIID-6

ICFIID-12

ICFIID-11

(03809)

(03813)

(34399)

(23697)

(30723)

(21208)

(01537)

(01536)

(23742)

FAX: /-

FAX: /-

FAX: /-

FAX: 507/625-9948

FAX: 507/388-2153

FAX: 507/388-9292

FAX: 952/922-6885

FAX: 507/387-3182

FAX: 507/389-4108

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

NANCY DOBSON

BRIAN JON ELLINGWORTH

ERIN HILLIGAN

LINDA LEIDING

MARK MCNEARY

LORI PIETSCH

DEVIN NELSON

DEVIN NELSON

WILLIAM WARD

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

Page 83: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

46

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

BLUE EARTH

SCHOOL SISTERS OF NOTRE DAME CENTRAL PACIFIC PROVINCE, INC

SCHOOL SISTERS OF NOTRE DAME CENTRAL PACIFIC PROVINCE, INC

SOUTHERN MINNESOTA HOMECARE LLC

STERLING HOUSE OF MANKATO

THE BEACON AT LE CENTER

WATER'S EDGE

ECUMEN MAPLETON

HERITAGE PLACE

MAPLETON COMMUNITY HOME

170 GOOD COUNSEL DRIVE

170 GOOD COUNSEL DRIVE

1215 CALEDONIA STREET

100 TETON LANE

638 SOUTHBEND AVENUE

800 AGENCY TRAIL

206 3RD AVENUE NE

303 TROENDLE STREET SW

301 TROENDLE STREET

MANKATO, MN 56001

MANKATO, MN 56001

MANKATO, MN 56001

MANKATO, MN 56001

MANKATO, MN 56001

MANKATO, MN 56001

MAPLETON, MN 56065

MAPLETON, MN 56065

MAPLETON, MN 56065

507/389-4200

507/389-4283

507/388-2252

507/386-1779

612/239-6856

507/388-0647

507/524-4990

507/524-3315

507/524-3315

NProf

NProf

Lim-Liab

Corp

Lim-Liab

Lim-Liab

Lim-Liab

NProf

NProf

COMP

COMP

COMP

COMP

COMP

NH-60 SNF-NF-60

(23742)

(30402)

(26881)

(20336)

(20376)

(30108)

(20377)

(28389)

(00037)

FAX: 507/389-4108

FAX: 507/389-4108

FAX: 507/388-2280

FAX: 507/386-1174

FAX: /-

FAX: 507/388-5584

FAX: 507/524-3239

FAX: 507/524-3463

FAX: 507/524-4410

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

WILLIAM WARD

WILLIAM WARD

DAVID SONTAG

GERI SVALESON

LEESA GILMAN

EMILY TOLL

LEESA GILMAN

ROXANNE GOSSON

ROXANNE GOSSON

---------------------------********** --------------------------(Cont.)*

HWS

HWSAL

HWSAL

Page 84: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

47

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

BLUE EARTH

BROWN

MAPLETON COMMUNITY HOME

THE BEACON AT MAPLETON

THE BEACON AT MAPLETON

MANKATO UPTOWN DIALYSIS

ROLLINGWOOD HOME

BRICKSTONE MANOR

BRICKSTONE MANOR

BROWN COUNTY EVALUATION CENTER, INC.

EON, INC.

301 TROENDLE STREET SW

206 3RD AVENUE NE

206 3RD AVENUE NE

1802 COMMERCE DRIVE

2203 ROLLING GREEN LANE

104 BROWN STREET WEST

104 BROWN STREET WEST

510 NORTH FRONT STREET

1200 SOUTH BROADWAY STREET

MAPLETON, MN 56065

MAPLETON, MN 56065

MAPLETON, MN 56065

NORTH MANKATO, MN 56003

NORTH MANKATO, MN 56003

COMFREY, MN 56019

COMFREY, MN 56019

NEW ULM, MN 56073

NEW ULM, MN 56073

507/524-3315

507/524-4990

507/524-4990

507/387-9095

507/779-7187

507/877-4600

507/877-4600

507/359-9111

507/233-3030

NProf

Lim-Liab

Lim-Liab

NProf

NProf

NProf

NProf

NProf

Corp

COMP

COMP

SLFB-5

COMP

SLFB-16

COMP

ESRD

ICFIID-5

(28390)

(30605)

(20377)

(02158)

(29812)

(23856)

(30470)

(01641)

(03081)

FAX: 507/524-4410

FAX: /-

FAX: 507/524-3239

FAX: 507/387-1470

FAX: 507/779-7186

FAX: 507/877-6001

FAX: 507/877-6001

FAX: 507/354-7706

FAX: 507/354-2168

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ROXANNE GOSSON

LEESA GILMAN

LEESA GILMAN

BRITTANY WINTERS

EMILY EBRANSKY

LINDA WALLIN

LINDA WALLIN

AMANDA SCHUKNECHT

RIC NELSON

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

HWSAL

HWSAL

Page 85: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

48

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

BROWN

GOLDEN HOME CARE PLUS INC

MBW COMPANY

MBW COMPANY

MINNESOTA VALLEY MANAGEMENT LLC

NEW ULM DIALYSIS

NEW ULM MEDICAL CENTER

NEW ULM MEDICAL CENTER

OAK HILLS ASSISTED LIVING

OAK HILLS LIVING CENTER

OAK HILLS LIVING CENTER ASSISTED LIVING

6 1/2 N MINNESOTA STREET #924

1131 RAYMOND DRIVE

1407 10TH STREET NORTH

1223 KARL DRIVE

701 NORTH BROADWAY STREET

1324 5TH STREET NORTH

1324 5TH STREET NORTH

1314 8TH STREET NORTH

1314 8TH STREET NORTH

1314 8TH STREET NORTH

NEW ULM, MN 56073

NEW ULM, MN 56073

NEW ULM, MN 56073

NEW ULM, MN 56073

NEW ULM, MN 56073

NEW ULM, MN 56073

NEW ULM, MN 56073

NEW ULM, MN 56073

NEW ULM, MN 56073

NEW ULM, MN 56073

507/359-2756

507/233-3030

507/233-3030

507/354-2159

507/359-5255

507/217-5000

507/217-5000

507/233-0804

507/233-0804

507/233-0804

Corp

BusTrust

BusTrust

Lim-Liab

NProf

NProf

NProf

NProf

NProf

NProf

COMP

SLFA-4

SLFB-4

COMP

HOSP-62 BASS-10

SLFA-10

NH-94

COMP

ICFIID-4

ICFIID-4

ESRD

CAH-25 PPS-P-10

SNF-NF-94

(03015)

(01210)

(01598)

(34692)

(02576)

(00839)

(24059)

(30843)

(00434)

(21025)

FAX: 507/354-1260

FAX: 507/354-2168

FAX: 507/354-2168

FAX: 507/295-4852

FAX: 507/354-0416

FAX: 507/217-5575

FAX: 507/217-5575

FAX: 507/354-2751

FAX: 507/354-2751

FAX: 507/354-2751

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

MARCY GULDEN

RICHARD NELSON

RICHARD NELSON

YVONNE SCHELL

BRITTANY WINTERS

TOBY FREIER

TOBY FREIER

CANDAS SCHOUVIELLER

CANDAS SCHOUVIELLER

CANDAS SCHOUVIELLER

---------------------------********** --------------------------(Cont.)*

HWSAL

Page 86: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

49

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

BROWN

OAK VIEW APARTMENTS, INC.

ORCHARD HILLS SENIOR LIVING

PRAIRIE SENIOR COTTAGES OF NEW ULM

PRAIRIE SENIOR COTTAGES OF NEW ULM, LLC

PSC OF NEW ULM, LLC

PSC OF NEW ULM, LLC

RIDGEWAY ON 23RD

RIDGEWAY ON GERMAN

RIDGEWAY SENIOR LIVING

WELCOME HOME HEALTH CARE INC

1316 8TH STREET NORTH

1223 KARL DRIVE

1304 BIRCHWOOD DRIVE

1304 BIRCHWOOD DRIVE

1308 BIRCHWOOD DRIVE

1304 BIRCHWOOD DRIVE

720 23RD STREET NORTH

715 SOUTH GERMAN STREET

715 SOUTH GERMAN STREET #100

2020 MEYER DRIVE

NEW ULM, MN 56073

NEW ULM, MN 56073

NEW ULM, MN 56073

NEW ULM, MN 56073

NEW ULM, MN 56073

NEW ULM, MN 56073

NEW ULM, MN 56073

NEW ULM, MN 56073

NEW ULM, MN 56073

NEW ULM, MN 56023

507/359-2026

507/354-2159

507/359-3420

507/359-3420

507/359-3420

507/359-3420

507/354-7000

507/354-7400

507/354-7400

507/359-3355

NProf

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

NProf

NProf

NProf

Corp

COMP

COMP

COMP

COMP

(23298)

(23169)

(21584)

(21584)

(21586)

(30771)

(23249)

(20555)

(21355)

(29912)

FAX: 507/354-2751

FAX: 507/295-4852

FAX: 507/359-3421

FAX: 507/359-3421

FAX: 507/359-3421

FAX: 507/359-3421

FAX: 507/233-7410

FAX: 507/359-5711

FAX: 507/359-5711

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

CANDAS SCHOUVIELLER

PHYLLIS BESCHNETT

DUSTIN LEE

DUSTIN LEE

BRYAN CHRISTIANSON

BRYAN CHRISTIANSON

LORA GUTKNECHT

KYLA FRANTA

PAUL ABZUG

JACOB WORK

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL

Page 87: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

50

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

BROWN

WOODSTONE SENIOR LIVING

COUNTRYSIDE RETIREMENT COMM

DIVINE PROVIDENCE COMMUNITY HOME

LEADING CHOICE HOME HELPERS

MN COMFORT CARE, LLC

SLEEPY EYE AREA HOME HEALTH, INC.

SLEEPY EYE CARE CENTER

SLEEPY EYE HOUSING AUTHORITY

SLEEPY EYE MEDICAL CENTER

SLEEPY EYE MEDICAL CENTER

2020 MEYER DRIVE

1100 1ST AVENUE SOUTH

700 3RD AVENUE NW

657 3RD AVENUE NW

119 MAIN STREET EAST

1100 1ST AVENUE SOUTH

1105 3RD AVENUE SW

313 4TH AVENUE SE

400 4TH AVENUE NW

400 4TH AVENUE NW

NEW ULM, MN 56073

SLEEPY EYE, MN 56085

SLEEPY EYE, MN 56085

SLEEPY EYE, MN 56085

SLEEPY EYE, MN 56085

SLEEPY EYE, MN 56085

SLEEPY EYE, MN 56085

SLEEPY EYE, MN 56085

SLEEPY EYE, MN 56085

SLEEPY EYE, MN 56085

507/359-3355

507/300-1300

507/794-3011

507/766-5150

507/766-9783

507/794-3594

507/300-1300

507/794-5101

507/794-3571

507/794-3571

Corp

NProf

NProf

Lim-Liab

Lim-Liab

NProf

Church

HRA

City

City

NH-53

BASIC

COMP

COMP

NH-65

HOSP-16 BASS-4

SNF-NF-53

SNF-NF-65

RHC

CAH-16

(29913)

(20030)

(00040)

(29680)

(34643)

(20718)

(00776)

(21072)

(22176)

(00043)

FAX: 507/359-3340

FAX: 507/300-1301

FAX: 507/794-3020

FAX: /-

FAX: 507/794-3003

FAX: 507/794-5914

FAX: 507/300-1193

FAX: 507/794-5108

FAX: /-

FAX: 507/794-5462

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JACOB WORK

NANCY WINDSCHITL

JAYNA GROEBNER

JASON TAUER

JEREMY DOMEIER

MICHAEL PYAN

KARI SCHMIDT

KEVIN SELLHEIM

KEVIN SELLHEIM

---------------------------********** --------------------------(Cont.)*

HWS

HWSAL

HWS

Page 88: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

51

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

BROWN

CARLTON

SLEEPY EYE MUNICIPAL HOSPITAL

HOME CARE SERVICES

ST. JOHN LUTHERAN HOME

THE MAPLES AT ST. JOHN

NEW PERSPECTIVE - CLOQUET & BARNUM

NEW PERSPECTIVE - CLOQUET & BARNUM

NEW PERSPECTIVE - CLOQUET & BARNUM

CARLTON PLACE

CARLTON PLACE

400 4TH AVENUE NW

301 SOUTH COUNTY ROAD 5

201 SOUTH COUNTY ROAD 5

301 SOUTH COUNTY ROAD 5

3722 HORIZON DRIVE BLDG 3

3725 HORIZON DRIVE BLDG 2

3730 HORIZON DRIVE

813 3RD STREET

813 3RD STREET

SLEEPY EYE, MN 56085

SPRINGFIELD, MN 56087

SPRINGFIELD, MN 56087

SPRINGFIELD, MN 56087

BARNUM, MN 55707

BARNUM, MN 55707

BARNUM, MN 55707

CARLTON, MN 55718

CARLTON, MN 55718

507/794-3571

507/723-3250

507/723-3200

507/723-3250

218/522-0056

218/878-7950

218/522-0056

218/384-8441

218/384-8441

City

NProf

NProf

NProf

Lim-Liab

Lim-Liab

Lim-Liab

NProf

NProf

HOSP-16 BASS-4

COMP

NH-65

COMP

CAH-16

SNF-NF-65

(00043)

(23595)

(00045)

(25454)

(21398)

(22197)

(23718)

(21142)

(30694)

FAX: 507/794-5462

FAX: 507/203-8892

FAX: 507/723-6429

FAX: 507/723-3264

FAX: 218/260-2004

FAX: 218/260-2004

FAX: 218/260-2004

FAX: 218/384-8442

FAX: 218/384-8442

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

KEVIN SELLHEIM

CHRISSY BOERBOOM

THOMAS GOERITZ

THOMAS GOERITZ

VINCE BECKEL

VINCE BECKEL

VINCE BECKEL

TIM ZWICKEY

TIM ZWICKEY

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

HWS

HWSAL

HWSAL

HWSAL

HWS

Page 89: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

52

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

CARLTON

COMMUNITY ADDICTION RECOVERY ENTERPRISE CARLTON

INTERFAITH CARE CENTER

COMMUNITY MEMORIAL HOSPITAL

DIAMOND WILLOW OF CLOQUET 1

DIAMOND WILLOW OF CLOQUET 2

EVERGREEN KNOLL

EVERGREEN KNOLL

EVERGREEN SENIOR LIVING

FOND DU LAC ASSISTED LIVING RESIDENCE

FOND DU LAC HOME CARE PROGRAM

810 3RD STREET #102

811 3RD STREET

512 SKYLINE BOULEVARD

130 WEST NORTH ROAD

132 WEST NORTH ROAD

1309 14TH STREET

1309 14TH STREET

1309 14TH STREET

1571 AIRPORT ROAD

1571 AIRPORT ROAD

CARLTON, MN 55718

CARLTON, MN 55718

CLOQUET, MN 55720

CLOQUET, MN 55720

CLOQUET, MN 55720

CLOQUET, MN 55720

CLOQUET, MN 55720

CLOQUET, MN 55720

CLOQUET, MN 55720

CLOQUET, MN 55720

218/384-7003

218/384-4258

218/879-4641

218/878-1972

218/878-1974

218/878-3302

218/878-3302

218/878-3302

218/878-3848

218/878-3848

State

Church

NProf

Lim-Liab

Lim-Liab

ONProf

Lim-Liab

ONProf

Tribal

Tribal

SLFA-16

NH-96

NH-44 HOSP-36 BASS-6

COMP

COMP

COMP

SNF-NF-96

SNF-NF-44 CAH-25

(21547)

(21170)

(00048)

(24425)

(24426)

(21246)

(24494)

(21246)

(27607)

(27376)

FAX: 651/431-7705

FAX: 218/384-9820

FAX: 218/879-9167

FAX: 218/878-1586

FAX: 218/878-1588

FAX: 218/878-3304

FAX: 218/878-3304

FAX: 218/878-3304

FAX: 218/878-3843

FAX: 218/878-3843

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JENNIFER RENNQUIST

TIM ZWICKEY

RICHARD BREUER

SARA KLEINSCHMIDT

SARA KLEINSCHMIDT

PAUL ABZUG

TERRI LANGEVIN

PAUL ABZUG

NATHAN SANDMAN

NATHAN SANDMAN

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

Page 90: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

53

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

CARLTON

FRESENIUS MEDICAL CARE CLOQUET

LARSON COMMONS

LIGHTHOUSE OF CLOQUET AND BARNUM

NEW PERSPECTIVE - CLOQUET & BARNUM

NEW PERSPECTIVE - CLOQUET & BARNUM

NEW PERSPECTIVE - CLOQUET & BARNUM

NEW PERSPECTIVE - CLOQUET & BARNUM

NEW PERSPECTIVE - CLOQUET & BARNUM

NEW PERSPECTIVE - CLOQUET & BARNUM

PLAINVIEW ESTATES

512 SKYLINE BOULEVARD

810 CLOQUET AVENUE

702 HORIZON CIRCLE

702 HORIZON CIRCLE

701 HORIZON CIRCLE

705 HORIZON CIRCLE

1909 TALL PINE LANE

706 HORIZON CIRCLE

702 HORIZON CIRCLE

2507 FAIRVIEW AVENUE

CLOQUET, MN 55720

CLOQUET, MN 55720

CLOQUET, MN 55720

CLOQUET, MN 55720

CLOQUET, MN 55720

CLOQUET, MN 55720

CLOQUET, MN 55720

CLOQUET, MN 55720

CLOQUET, MN 55720

CLOQUET, MN 55720

218/879-3051

218/879-3759

218/522-0056

218/522-0056

218/522-0056

218/522-0056

218/878-0000

218/522-0056

218/522-0056

218/879-8230

Corp

Part

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

COMP

COMP

ESRD

(32383)

(21832)

(21672)

(21672)

(24315)

(24899)

(25969)

(25970)

(30817)

(30619)

FAX: 218/879-4101

FAX: 218/879-8847

FAX: 218/260-2004

FAX: 218/260-2004

FAX: 218/260-2004

FAX: 218/260-2004

FAX: 218/260-2004

FAX: 218/260-2004

FAX: 218/260-2004

FAX: 218/879-8223

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

AMY ALLEN

MISSY BORST

ROSS JAEGER

ROSS JAEGER

VINCE BECKEL

VINCE BECKEL

VINCE BECKEL

VINCE BECKEL

VINCE BECKEL

COLETA PARENTEAU

---------------------------********** --------------------------(Cont.)*

HWS-O

HWS

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL

Page 91: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

54

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

CARLTON

SUNNYSIDE HEALTH CARE CENTER

VILLA COURT

VILLA COURT

BARNES CARE

BARNES CARE INC

BARNES CARE, INC.

BARNES CARE, INC.

PLAINVIEW ESTATES, INC.

PLAINVIEW ESTATES, INC.

AUGUSTANA MERCY CARE CENTER

512 SKYLINE BOULEVARD

1220 VILLA COURT DRIVE

1220 VILLA COURT DRIVE

154 EAST HIGHWAY 61

56 WEST HIGHWAY 61

58 WEST HIGHWAY 61

58 WEST HIGHWAY 61

46 THOMSON ROAD

46 THOMSON ROAD

710 SOUTH KENWOOD AVENUE

CLOQUET, MN 55720

CROMWELL, MN 55726

CROMWELL, MN 55726

ESKO, MN 55733

ESKO, MN 55733

ESKO, MN 55733

ESKO, MN 55733

ESKO, MN 55733

ESKO, MN 55733

MOOSE LAKE, MN 55767

218/879-4641

218/644-3331

218/644-3331

218/879-2155

218/879-2635

218/879-2635

218/879-2635

218/879-8230

218/879-8230

218/351-9400

NProf

Lim-Liab

Lim-Liab

Corp

Corp

Corp

Corp

Corp

Corp

Lim-Liab

NH-44 HOSP-36 BASS-6

COMP

COMP

COMP

NH-72

SNF-NF-44 CAH-25

SNF-NF-72

(00048)

(26451)

(30721)

(29535)

(26579)

(23529)

(30389)

(22142)

(30286)

(00049)

FAX: 218/879-9167

FAX: 218/644-3505

FAX: 218/644-3505

FAX: 218/879-2703

FAX: 218/879-2939

FAX: 218/879-2939

FAX: 218/879-2939

FAX: 218/879-8223

FAX: 218/879-8223

FAX: 218/351-9435

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

RICHARD BREUER

JULIE PETERSON

JULIE PETERSON

JUSTIN BARNES

JUSTIN BARNES

SHARLANE BARNES

JUSTIN BARNES

. COLETA PARENTEAU

COLETA PARENTEAU

SHAWNA SMITH

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL

Page 92: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

55

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

CARLTON

AUGUSTANA OAKVIEW CARE LLC

AUGUSTANA OAKVIEW CARE, LLC

AUGUSTANA OAKVIEW CARE, LLC

ESSENTIA HEALTH MOOSE LAKE

ESSENTIA HEALTH MOOSE LAKE HOME CARE

KENWOOD PLACE

MERCY HOSPITAL AND HEALTH CARE CENTER

MINNESOTA SEX OFFENDER PROGRAM

OAKVIEW RESIDENTIAL CARE, INC.

SUNCREST ASSISTED LIVING

300 TALBOT DRIVE

500 TALBOT DRIVE

300 TALBOT DRIVE

4572 COUNTY ROAD 61

30 ARROWHEAD LANE

710 SOUTH KENWOOD AVENUE

710 SOUTH KENWOOD AVENUE

1111 HIGHWAY 73

300 TALBOT DRIVE

2400 WASHINGTON AVENUE

MOOSE LAKE, MN 55767

MOOSE LAKE, MN 55767

MOOSE LAKE, MN 55767

MOOSE LAKE, MN 55767

MOOSE LAKE, MN 55767

MOOSE LAKE, MN 55767

MOOSE LAKE, MN 55767

MOOSE LAKE, MN 55767

MOOSE LAKE, MN 55767

SCANLON, MN 55720

218/485-8779

218/485-8779

218/485-8779

218/485-4481

218/485-5506

218/351-9415

218/351-9400

651/431-5874

218/485-8779

218/878-1180

Lim-Liab

Lim-Liab

Lim-Liab

NProf

Dist

NProf

Lim-Liab

State

Lim-Liab

NProf

COMP

HOSP-25 BASS-4 HOSP-

COMP

COMP

NH-72

SLFB-558

COMP

COMP

CAH-25 CAH-

HHA

SNF-NF-72

(23530)

(23531)

(30390)

(27650)

(03714)

(27537)

(00049)

(01674)

(23530)

(23227)

FAX: 612/800-5387

FAX: 612/800-5387

FAX: 612/800-5387

FAX: 218/485-5654

FAX: 218/485-5908

FAX: 218/351-9401

FAX: 218/351-9435

FAX: 651/431-7404

FAX: 612/800-5387

FAX: 218/878-1201

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

BARBARA MARLOW

MARY JO THORNE

MARY JO THORNE

MICHAEL YOUSO

MICHAEL YOUSO

BARBARA MARLOW

SHAWNA SMITH

DAVID BORNUS

BARBARA MARLOW

TARA ADKINS

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

Page 93: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

56

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

CARLTON

CARVER

SUNCREST ASSISTED LIVING

GARDEN TERRACE ASSISTED LIVING

GARDEN TERRACE ASSISTED LIVING, LTD.

CARVER RIDGE SENIOR LIVING

CARVER RIDGE SENIOR LIVING

CHANHASSEN PARTNERS MN, LLC DBA: ELYSIAN SENIOR HOMES OF CHANHASSEN

OLIVE BRANCH ESTATES

RILEY CROSSING SENIOR LIVING

SUMMERWOOD OF CHANHASSEN

2400 WASHINGTON AVENUE

426 MASON DRIVE

426 MASON DRIVE

920 6TH STREET WEST

920 6TH STREET WEST

1850 PIONEER TRAIL

1850 PIONEER TRAIL

620 ALDRICH DRIVE

525 LAKE DRIVE

SCANLON, MN 55720

WRENSHALL, MN 55797

WRENSHALL, MN 55797

CARVER, MN 55315

CARVER, MN 55315

CHANHASSEN, MN 55317

CHANHASSEN, MN 55317

CHANHASSEN, MN 55317

CHANHASSEN, MN 55317

218/878-1180

218/384-4623

218/384-4623

952/214-0400

952/214-0400

952/448-4800

952/448-4800

952/934-7777

952/294-5500

NProf

Corp

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

NProf

COMP

COMP

COMP

COMP

(33414)

(24256)

(24256)

(35322)

(35660)

(30188)

(30187)

(35195)

(24077)

FAX: 218/878-1201

FAX: 218/384-4508

FAX: 218/384-4508

FAX: /-

FAX: /-

FAX: 952/448-4803

FAX: 952/448-4803

FAX: 952/945-7777

FAX: 952/294-5501

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

TARA ADKINS

MARIA RUNYAN

MARIA RUNYAN

NICOLE DWYER

ANDREA OLMSCHEID

LUCY BOXRUD

MELISSA TREBIATOWSKI

ERIN HILLIGAN

AMY STOCK

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL

Page 94: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

57

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

CARVER

SUMMERWOOD OF CHANHASSEN

AUBURN COURTS

AUBURN COURTS

AUBURN MANOR

BHATTI GI SURGERY CENTER

BRIDGEWOOD

CHASKA HEIGHTS

CHASKA HEIGHTS SENIOR LIVING

CRESTWOOD

FRESENIUS KIDNEY CARE CHASKA

525 LAKE DRIVE

501 OAK STREET NORTH

501 OAK STREET NORTH

501 OAK STREET NORTH

1447 WHITE OAK DRIVE

112003 HIDDEN CREEK PLACE

3120 CHESTNUT STREET NORTH

3120 NORTH CHESTNUT STREET

112001 HIDDEN CREEK PLACE

3000 HUNDERTMARK ROAD

CHANHASSEN, MN 55317

CHASKA, MN 55318

CHASKA, MN 55318

CHASKA, MN 55318

CHASKA, MN 55318

CHASKA, MN 55318

CHASKA, MN 55318

CHASKA, MN 55318

CHASKA, MN 55318

CHASKA, MN 55318

952/294-5500

952/361-0307

952/448-9303

952/448-9303

952/368-3800

952/361-9338

952/361-6100

952/361-6100

952/361-9338

952/443-3191

NProf

NProf

NProf

NProf

Lim-Liab

Corp

Lim-Liab

Lim-Liab

Corp

Corp

COMP

COMP

NH-61

Outpt Surg

COMP

SNF-NF-61

Amb Surg

ESRD

(28192)

(20425)

(24271)

(00335)

(33303)

(20528)

(32539)

(32529)

(20397)

(33787)

FAX: 952/294-5501

FAX: 952/361-0411

FAX: 952/361-0411

FAX: 952/361-0305

FAX: 952/361-9499

FAX: /-

FAX: 952/448-1671

FAX: 952/448-1671

FAX: /-

FAX: 952/443-3192

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JAN KOOMEN

ALICIA HILK

ALICIA HILK

RICK KRANT

SARA BHATTI

ROGER BONNY

AMI FULLER

BONNIE HOUGH

ROGER BONNY

CLARISSA SCHWARTZ

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

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58

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

CARVER

LAKEWOOD

MARTHA HOUSE LLC

PAIN CENTERS OF MINNESOTA - CHASKA

RIDGEVIEW CARE SUITES

ROSEWOOD

TWO TWELVE SURGERY CENTER

MS. V'S CARING HANDS LLC

HARBOR AT PEACE VILLAGE

HARBOR AT PEACE VILLAGE

HARBOR OF PEACE VILLAGE

112005 HIDDEN CREEK PLACE

2349 KELM STREET

3000 HUNDERTMARK ROAD #200

111 HUNDERTMARK ROAD 307N

112007 HIDDEN CREEK PLACE

111 HUNDERTMARK ROAD #340

1309 DRAKE COVE

300 FAXON ROAD NORTH

300 FAXON ROAD NORTH

300 FAXON ROAD NORTH

CHASKA, MN 55318

CHASKA, MN 55318

CHASKA, MN 55318

CHASKA, MN 55318

CHASKA, MN 55318

CHASKA, MN 55318

MAYER, MN 55360

NORWOOD YOUNGAMERICA, MN 55368

NORWOOD YOUNGAMERICA, MN 55368

NORWOOD YOUNGAMERICA, MN 55368

952/361-9338

612/444-1376

763/201-8191

952/442-7830

952/361-9338

952/456-7900

651/235-0926

952/467-9683

952/467-9683

952/467-9683

Corp

Lim-Liab

Lim-Liab

NProf

Corp

Lim-Liab

Lim-Liab

Corp

City

Corp

TCOMP

Outpt Surg

Outpt Surg

COMP

COMP

Amb Surg

Amb Surg

(20957)

(35710)

(32254)

(30873)

(20396)

(28004)

(34165)

(24555)

(28522)

(24555)

FAX: /-

FAX: /-

FAX: 763/201-8192

FAX: 952/442-7831

FAX: /-

FAX: 952/456-7901

FAX: 651/203-3596

FAX: 952/467-9684

FAX: 952/467-9684

FAX: 952/467-9684

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ROGER BONNY

AISHA HASSAN

SARAH KLAPHAKE

KRIS LINGLE

ROGER BONNY

TOM STEVENS

MELISSA KRIESEL

LAURIE HILGERS

LAURIE HILGERS

LAURIE HILGERS

---------------------------********** --------------------------(Cont.)*

HWSAL

HWS-O

HWSAL

Home Mgmt

HWSAL

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59

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

CARVER

MOUNT OLIVET ROLLING ACRES

THE HAVEN AT PEACE VILLAGE

AUGUSTANA EMERALD CREST OF VICTORIA

AUGUSTANA EMERALD CREST OF VICTORIA

EPIPHANY CARE HOMES

MOUNT OLIVET ROLLING ACRES

ALWAYS BEST CARE SW METRO

AUBURN HOME IN WACONIA

AUBURN MEADOWS

FMCNA WACONIA DIALYSIS

129 MACKENTHUN LANE

600 RAILROAD DRIVE

8150 BAVARIA ROAD

8150 BAVARIA ROAD

7600 VICTORIA DRIVE

7200 ROLLING ACRES ROAD #220

712 VISTA BOULEVARD #149

594 CHERRY DRIVE

591 CHERRY DRIVE

560 SOUTH MAPLE STREET #6

NORWOOD YOUNGAMERICA, MN 55368

NORWOOD YOUNGAMERICA, MN 55368

VICTORIA, MN 55386

VICTORIA, MN 55386

VICTORIA, MN 55386

VICTORIA, MN 55386

WACONIA, MN 55387

WACONIA, MN 55387

WACONIA, MN 55387

WACONIA, MN 55387

952/467-6484

952/467-9683

952/856-7530

952/856-7522

651/900-0111

952/474-5974

952/283-1654

952/442-2546

952/442-6629

952/442-4605

NProf

NProf

NProf

NProf

Lim-Liab

NProf

Lim-Liab

NProf

NProf

Corp

SLFB-6

COMP

SLFB-15

BASIC

NH-37

ICFIID-6

ICFIID-15

SNF-NF-37

ESRD

(21000)

(32269)

(20815)

(24028)

(36396)

(01022)

(31207)

(00053)

(28788)

(26856)

FAX: 866/380-3092

FAX: 952/467-9684

FAX: 952/856-7527

FAX: 952/856-7527

FAX: 952/930-9184

FAX: 952/474-3652

FAX: /-

FAX: 952/442-5504

FAX: 952/442-6474

FAX: 952/442-5902

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

TRACY MURPHY

LAURIE HILGERS

JULIANNE FRIES

JULIANNE FRIES

AIMEE SLAUGHTER

TRACY MURPHY

RICHARD SELVEY

RICK KRANT

MARY KRANT

KRISTEN HOEN

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

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60

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

CARVER

GOOD SAMARITAN SOCIETY - WACONIA AND WESTVIEW ACRES

GOOD SAMARITAN SOCIETY WESTVIEW ACRES

GOOD SAMARITAN WESTVIEW ACRES

LIGHTHOUSE AT WACONIA

MOUNT OLIVET ROLLING ACRES

NAGEL ASSISTED LIVING

NAGEL ASSISTED LIVING

NEW PERSPECTIVE WACONIA

NEW PERSPECTIVE WACONIA

RIDGEVIEW HOME CARE SERVICES

333 5TH STREET WEST

433 5TH STREET WEST

433 5TH STREET WEST

500 CHERRY STREET

9375 JAN VIEW LANE

232 ELM STREET SOUTH

232 ELM STREET SOUTH

500 CHERRY STREET

500 CHERRY STREET

501 SOUTH MAPLE STREET #1

WACONIA, MN 55387

WACONIA, MN 55387

WACONIA, MN 55387

WACONIA, MN 55387

WACONIA, MN 55387

WACONIA, MN 55387

WACONIA, MN 55387

WACONIA, MN 55387

WACONIA, MN 55387

WACONIA, MN 55387

952/442-5111

952/442-5459

952/442-5459

952/856-4700

952/442-3226

763/267-6658

763/267-6658

952/856-4700

952/856-4701

952/442-6030

NProf

NProf

NProf

Lim-Liab

NProf

Corp

Corp

Lim-Liab

Lim-Liab

NProf

NH-90

COMP

COMP

SLFB-6

COMP

COMP

COMP

SNF-NF-90

ICFIID-6

HHA

(00924)

(20109)

(30417)

(23848)

(31654)

(31214)

(32695)

(23848)

(30415)

(02252)

FAX: 952/442-6170

FAX: 952/442-1125

FAX: 952/442-1125

FAX: 952/392-3644

FAX: 866/879-6938

FAX: 763/231-9327

FAX: 763/231-9327

FAX: 952/392-3644

FAX: 952/392-3644

FAX: 952/442-6542

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

EMILY HENDERSON

JENNIFER HISSAM

EMILY HENDERSON

MELODY MAKER

TRACY MURPHY

MICHAEL LECY

MICHAEL LECY

MELODY MAKER

VINCE BECKEL

KRIS LINGLE

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

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61

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

CARVER

CASS

RIDGEVIEW HOME SUPPORT SERVICES

RIDGEVIEW HOSPICE

RIDGEVIEW MEDICAL CENTER

SOJOURN SUITES LLC

PRO REHAB

RIVER OAKS AT WATERTOWN

WESTWOOD PLACE INC

WESTWOOD PLACE, INC.

DIGNITY AND GRACE

501 SOUTH MAPLE STREET #1

501 SOUTH MAPLE STREET STE #1

500 SOUTH MAPLE STREET

1241 SPARROW ROAD

200 LEWIS AVENUE SOUTH #210

409 JEFFERSON AVENUE SW

209 JEFFERSON AVENUE SW

209 JEFFERSON AVENUE SW

823 STATE HIGHWAY 371 NW

WACONIA, MN 55387

WACONIA, MN 55387

WACONIA, MN 55387

WACONIA, MN 55387

WATERTOWN, MN 55388

WATERTOWN, MN 55388

WATERTOWN, MN 55388

WATERTOWN, MN 55388

BACKUS, MN 56435

952/442-6030

952/442-6030

952/442-2191

952/856-5611

952/955-2242

952/955-2054

952/955-1399

952/955-1399

218/838-6565

NProf

NProf

NProf

Lim-Liab

Church

Lim-Liab

Corp

Corp

Corp

COMP

Hospice

HOSP-109 BASS-20

COMP

COMP

HSPICE

HOSP-109

Out Pt Out St Out Ot

(21112)

(03780)

(00055)

(31764)

(02532)

(34299)

(30328)

(20063)

(27107)

FAX: 952/442-6542

FAX: 952/442-6542

FAX: 952/442-6543

FAX: 952/856-6085

FAX: 952/955-2010

FAX: 950/955-1114

FAX: 952/955-1398

FAX: 952/955-1398

FAX: 320/323-4455

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

KRIS LINGLE

KRISTINE LINGLE

MICHAEL PHELPS

THOMAS PENN

JEFFREY DAGEN

ROBB FLAHERTY-WILCOX

JOY GORRA

CINDY CLEARENCE

MELANIE BURNS

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

HWSAL

HWSAL

HWSAL

Page 99: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

62

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

CASS

DIGNITY AND GRACE

CASS LAKE DIALYSIS FACILITY

CASS LAKE INDIAN HEALTH SERVICE HOSPITAL

RED CEDAR ASSISTED LIVING CENTER

RED CEDAR ASSISTED LIVING CENTER

BIRCHVIEW GARDENS ASSISTED LIV

BIRCHVIEW GARDENS ASSISTED LIVING

CRMC LONGVILLE

UP NORTH ANGELS

LAKEWOOD CLINIC PILLAGER

823 STATE HIGHWAY 371 NW

602 3RD STREET NW

425 7TH STREET NW

533 7TH STREET NW

533 7TH STREET NW

108 3RD STREET NORTH

108 3RD STREET NORTH

180 JORDAN LANE

7659 MEADOW LAKE ROAD SW

653 PILLSBURY STREET NORTH #1

BACKUS, MN 56435

CASS LAKE, MN 56633

CASS LAKE, MN 56633

CASS LAKE, MN 56633

CASS LAKE, MN 56633

HACKENSACK, MN 56452

HACKENSACK, MN 56452

LONGVILLE, MN 56655

MOTLEY, MN 56466

PILLAGER, MN 56473

218/947-4445

218/335-6671

218/335-3200

218/407-2233

212/335-4545

320/293-1472

218/675-5424

218/363-3300

320/905-3662

218/746-4550

Corp

Corp

PHS

Tribal

Tribal

Corp

Corp

NProf

Lim-Liab

NProf

COMP

COMP HCBS

TCOMP HCBS

ESRD

CAH-13

RHC

RHC

(30674)

(03600)

(22140)

(33840)

(34720)

(28209)

(28208)

(27046)

(34686)

(23695)

FAX: 320/323-4455

FAX: /-

FAX: 218/335-3300

FAX: 218/335-8219

FAX: 218/335-8219

FAX: 218/764-3500

FAX: 218/764-3500

FAX: 218/363-2233

FAX: /-

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

MELANIE BURNS

JANELLE BRIGGS

MATTHEW IRELAND, INTERIM

VINCENT ROCK

JESSICA MALTERUD

JOHN MCELFRESH

JOHN MCELFRESH

AMY HART

TRACY OEVERMENN

TIM RICE

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

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63

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

CASS

RIVERSIDE ASSISTED LIVING OF PILLAGER

RIVERSIDE ASSISTED LIVING OF PILLAGER

BROOKSIDE COMFORT CARE

GOOD SAMARITAN SOCIETY - PINE RIVER

RIVERSIDE ASSISTED LIVING

RIVERSIDE ASSISTED LIVING

RIVERSIDE SENIOR LIVING APARTMENTS

RIVERSIDE SENIOR LIVING APTS

AMERICARE LODGES INC

AMERICARE LODGES, INC.

885 MEADOW VIEW CIRCLE NORTH

885 MEADOWVIEW CIRCLE NORTH

2729 STATE 371 SW

518 JEFFERSON AVENUE

2175 WHITE PINE POINT ROAD SW

2175 WHITE PINE POINT ROAD SW

2175 WHITE PINE POINT ROAD SW

2189 WHITE PINE POINT ROAD SW

6870 SCHULTZ DRIVE NE

6870 SCHULTZ DRIVE NE

PILLAGER, MN 56473

PILLAGER, MN 56473

PINE RIVER, MN 56474

PINE RIVER, MN 56474

PINE RIVER, MN 56474

PINE RIVER, MN 56474

PINE RIVER, MN 56474

PINE RIVER, MN 56474

REMER, MN 56672

REMER, MN 56672

218/746-4400

218/746-4400

218/587-3304

218/587-4423

218/587-4333

218/587-4433

218/587-4433

218/587-4433

218/566-4722

218/566-4722

Corp

Corp

Corp

NProf

NProf

NProf

NProf

NProf

Corp

Corp

COMP

NH-33

COMP

COMP

COMP

SNF-NF-33

(27488)

(27489)

(30300)

(00058)

(25419)

(22165)

(22165)

(30287)

(21144)

(30705)

FAX: 218/746-4444

FAX: 218/746-4444

FAX: 218/587-3314

FAX: 218/587-2671

FAX: 218/587-2155

FAX: 218/587-3650

FAX: 218/587-3650

FAX: 218/587-3650

FAX: 218/566-4723

FAX: 218/566-4723

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PAULA ROCHELEAU

SHAUNA KAPSNER

MELANIE BURNS

JENNIFER GRAMS

JUDY BERNAT

TONYA VANVICKLE

TONYA VANVICKLE

JUDY BERNAT

KRISTINA WATSON

NANCY STEFAN

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL

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64

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

CASS

ESSENTIA HEALTH - REMER CLINIC

PINE HAVEN

PLEASANT PINES

SERENITY LIVING SOLUTIONS OF REMER

CASS COUNTY PUBLIC HEALTH

EDGEWOOD MAY CREEK LLC

EDGEWOOD MAY CREEK, LLC

EDGEWOOD MAY CREEK, LLC

EDGEWOOD MAY CREEK, LLC

ESSENTIA HEALTH WALKER CLINIC

9 BIRCH STREET

507 PINE STREET SE

107 SUMMIT AVENUE SE

105 SPRUCE STREET NW

400 MICHIGAN AVENUE

303 10TH STREET SOUTH

299 10TH STREET SOUTH

303 10TH STREET SOUTH

301 10TH STREET SOUTH

110 D MICHIGAN AVENUE NW

REMER, MN 56672

REMER, MN 56672

REMER, MN 56672

REMER, MN 56672

WALKER, MN 56484

WALKER, MN 56484

WALKER, MN 56484

WALKER, MN 56484

WALKER, MN 56484

WALKER, MN 56484

218/566-1441

218/566-5110

218/566-3250

218/566-7100

218/547-1340

218/547-4515

218/547-4515

218/547-4515

218/547-4515

218/547-6900

NProf

Ind

Ind

Corp

Cnty

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

NProf

COMP

COMP

RHC

HHA

RHC

(33134)

(35914)

(35913)

(32495)

(02062)

(31988)

(26255)

(30760)

(26256)

(31237)

FAX: /-

FAX: 218/566-4723

FAX: 218/566-4723

FAX: 218/566-7200

FAX: 218/547-7232

FAX: 218/547-7553

FAX: 218/547-4515

FAX: 218/547-4515

FAX: 218/547-7553

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

NANCY BUESCHER

KRISTINA WATSON

KRISTINA WATSON

TIM MATROS

MICHELE PIPRUDE

ZACHARY DOWNS

ZACHARY DOWNS

ZACH DOWNS

ZACHARY DOWNS

KIM MAY

---------------------------********** --------------------------(Cont.)*

HWS-O

HWS-O

HWSAL

HWSAL

HWSAL

HWSAL

Page 102: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

65

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

CASS

CHIPPEWA

HILLCREST

SANFORD HEALTH WALKER CLINIC

CLARA CITY ASSISTED LIVING

CLARA CITY ASSISTED LIVING

CLARA CITY CARE CENTER

PRAIRIE PARK PLACE

AVERA GRANITE FALLS CARE CENTER

AVENUES FOR CARE INC

BROOKSIDE SENIOR LIVING

607 2ND STREET SOUTH

614 MICHIGAN AVENUE

200 EAST WACHTLER AVENUE

200 EAST WACHTLER AVENUE

1012 DIVISION STREET NORTH

1100 WARRINGS AVENUE

250 JORDAN DRIVE

1505 HIGHWAY 7 EAST #100

804 BENSON ROAD

WALKER, MN 56484

WALKER, MN 56484

CLARA CITY, MN 56222

CLARA CITY, MN 56222

CLARA CITY, MN 56222

CLARA CITY, MN 56222

GRANITE FALLS, MN 56241

MONTEVIDEO, MN 56265

MONTEVIDEO, MN 56265

218/838-6565

218/547-3938

320/847-7208

320/847-2221

320/847-2221

320/847-3785

320/564-3111

320/269-2929

320/269-6506

Corp

NProf

City

City

City

City

NProf

Corp

NProf

COMP

NH-48

NH-48

RHC

SNF-NF-48

SNF-NF-48

(31735)

(20651)

(31473)

(31555)

(00061)

(32233)

(32111)

(27647)

(21803)

FAX: 320/323-4455

FAX: /-

FAX: 320/847-3816

FAX: 320/847-3816

FAX: 320/847-3553

FAX: 320/847-3553

FAX: 320/313-3396

FAX: 320/269-2278

FAX: 612/800-5416

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

MELANIE BURNS

BRYAN NERMOE

MATTHEW BLUM

JESSICA HIRMAN

MATTHEW BLUM

MINDIE NURMI

THOMAS KOOIMAN

SHELLY ELKINGTON

KARI HUNTLEY

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

HWSAL

HWSAL

HWS

Home Mgmt

HWS

Page 103: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

66

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

CHIPPEWA

CCM HEALTH

CHIPPEWA COUNTY MONTEVIDEO HOSPITAL HOME CARE

COPPER GLEN

COPPER GLEN

HEALTH PROVIDER INC ROSEWOOD B

HOME FRONT FIRST

HOMEFRONT HEALTH CARE, INC.

LUTHER HAVEN

MEADOW CREEK HOSPITALITY LLC

MONTEVIDEO DIALYSIS

824 NORTH 11TH STREET

824 NORTH 11TH STREET

801 13TH STREET NORTH

801 13TH STREET NORTH

1806 LINCOLN AVENUE

224 NORTH 19TH STREET

224 NORTH 19TH STREET

1109 HIGHWAY 7 EAST

4000 COUNTY ROAD 15 SW

824 NORTH 11TH STREET

MONTEVIDEO, MN 56265

MONTEVIDEO, MN 56265

MONTEVIDEO, MN 56265

MONTEVIDEO, MN 56265

MONTEVIDEO, MN 56265

MONTEVIDEO, MN 56265

MONTEVIDEO, MN 56265

MONTEVIDEO, MN 56265

MONTEVIDEO, MN 56265

MONTEVIDEO, MN 56265

320/269-8877

320/321-8485

320/321-8312

320/269-9668

320/269-2930

320/269-2930

320/269-2930

320/269-6517

320/269-9000

320/269-7451

Cy-Co

Cy-Co

Church

Church

Corp

Corp

Corp

Church

Lim-Liab

Corp

HOSP-30 BASS-6

COMP

COMP

NH-90

CAH-25

HHA

SNF-NF-90

ESRD

(00060)

(02374)

(30465)

(20309)

(21524)

(21051)

(21051)

(00062)

(28185)

(02817)

FAX: 320/269-8186

FAX: 320/321-8493

FAX: 320/269-6510

FAX: 320/269-8246

FAX: 320/269-4700

FAX: /-

FAX: /-

FAX: 320/269-6510

FAX: 320/269-8008

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

BRIAN LOVDAHL

LEAH BRUSTUEN

JUSTIN HUGHES

JUSTIN HUGHES

PAULA ROCHELEAU

PAULA ROCHELEAU

PAULA ROCHELEAU

JUSTIN HUGHES

LUANNE GIBSON

TAMMY HORNER

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWSAL

HWSAL

HWSAL

HWSAL

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67

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

CHIPPEWA

CHISAGO

REM SOUTHWEST SERVICES INC MONTEVIDEO

ROSEWOOD

HAZELDEN FOUNDATION

ECUMEN CHISAGO CITY VINDAUGA VIEW

JUST LIKE HOME SENIOR CARE

JUST LIKE HOME SENIOR CARE

PARMLY ON THE LAKE ASSISTED LIVING

PARMLY ON THE LAKE ASSISTED LIVING ISABELLE HOUSE

PARMLY ON THE LAKE ASSISTED LIVING MARGARET'S HOUSE

585 GRAVEL ROAD

1806 LINCOLN AVENUE

15251 PLEASANT VALLEY

10910 282ND STREET

29288 OLD TOWN ROAD

29288 OLD TOWN ROAD

10910 282ND STREET

10720 282ND STREET

28210 OLD TOWNE ROAD

MONTEVIDEO, MN 56265

MONTEVIDEO, MN 56265

CENTER CITY, MN 55012

CHISAGO CITY, MN 55013

CHISAGO CITY, MN 55013

CHISAGO CITY, MN 55013

CHISAGO CITY, MN 55013

CHISAGO CITY, MN 55013

CHISAGO CITY, MN 55013

952/922-6776

320/269-2930

651/213-4217

651/257-7333

763/742-0373

651/257-3684

651/257-7333

651/257-7955

651/257-7955

Corp

Corp

NProf

Lim-Liab

Corp

Corp

Lim-Liab

Lim-Liab

Lim-Liab

SLFA-6

SLFB-5

COMP

COMP

COMP

ICFIID-6

(01266)

(21524)

(00067)

(21587)

(28154)

(28155)

(21587)

(25276)

(20872)

FAX: 952/922-6885

FAX: 320/269-4700

FAX: 651/213-4551

FAX: /-

FAX: 251/257-3685

FAX: 651/257-3685

FAX: /-

FAX: 651/257-7330

FAX: 651/257-7330

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

LISA THELEN

PAULA ROCHELEAU

CHUCK RICE

LEESA GILMAN

MARIEYVONNE AKINROLUYO

DEBBIE MENDOZA

LEESA GILMAN

LEESA GILMAN

LEESA GILMAN

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

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68

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

CHISAGO

PARMLY ON THE LAKE ASSISTED LIVING-VINDAUGA VIEW

PARMLY ON THE LAKE LLC

POINT PLEASANT HEIGHTS

POINT PLEASANT HEIGHTS

WINDY ACRES ASSISTED LIVING, INC.

WINDY ACRES LONG TERM INC

ECUMEN NORTH BRANCH

ECUMEN NORTH BRANCH

ECUMEN NORTH BRANCH

GOOD COMPANY SERVICES LLC

10910 282ND STREET

28210 OLD TOWNE ROAD

28600 FAIRWAY LANE

28600 FAIRWAY LANE

7040 LAKE BOULEVARD

7040 LAKE BOULEVARD

5379 383RD STREET

5379 383RD STREET

5379 383RD STREET

6178 GLACIER DRIVE

CHISAGO CITY, MN 55013

CHISAGO CITY, MN 55013

CHISAGO CITY, MN 55013

CHISAGO CITY, MN 55013

FOREST LAKE, MN 55025

FOREST LAKE, MN 55025

NORTH BRANCH, MN 55056

NORTH BRANCH, MN 55056

NORTH BRANCH, MN 55056

NORTH BRANCH, MN 55056

651/257-7955

651/257-0575

651/257-4035

651/257-4035

651/464-8337

651/464-8337

651/237-3000

651/237-3000

651/237-3000

651/277-9464

Lim-Liab

Lim-Liab

NProf

Corp

Corp

Corp

NProf

NProf

Church

Lim-Liab

NH-91

COMP

COMP

COMP

NH-67

SNF-NF-91

SNF-NF-67

(30772)

(00065)

(20132)

(33589)

(20401)

(20401)

(25212)

(30638)

(00066)

(34156)

FAX: 651/257-7330

FAX: 651/257-0579

FAX: 651/257-4080

FAX: 651/257-4080

FAX: 651/464-8340

FAX: 651/464-8340

FAX: 651/237-3037

FAX: 651/237-3073

FAX: 651/674-5746

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

LEESA GILMAN

RYAN ONSTAD

MARA KRINKE

MARA KRINKE

SHEANA MILLER

SHEANA MILLER

BRENDA DAHL

MONICA NELSON

JEFFREY RICHARDSON

JODY VANLINGEN

---------------------------********** --------------------------(Cont.)*

HWSAL

HWS

Home Mgmt

HWSAL

Home Mgmt

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69

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

CHISAGO

THE ENCORE AT NORTH BRANCH

ALL ABOUT CARING HOME CARE, INC.

RUSHSEBA STATION

THE ESTATES AT RUSH CITY LLC

CARDENAS FRIENDSHIP HOME

THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

THE LODGE OF TAYLORS FALLS

CHECK ON MY FAMILY

EBENEZER LAKES SENIOR HOUSING

FAIRVIEW LAKES MEDICAL CENTER

38610 14TH AVENUE

460 SOUTH ELIOT AVENUE #370

700 WEST 14TH STREET

650 BREMER AVENUE SOUTH

17595 260TH STREET

1051 MULBERRY STREET

1051 MULBERRY STREET

26723 HALITE COURT

5430 MEADOW LANE

5200 FAIRVIEW BOULEVARD

NORTH BRANCH, MN 55056

RUSH CITY, MN 55069

RUSH CITY, MN 55069

RUSH CITY, MN 55069

SHAFER, MN 55074

TAYLORS FALLS, MN 55084

TAYLORS FALLS, MN 55084

WYOMING, MN 55092

WYOMING, MN 55092

WYOMING, MN 55092

651/674-0068

320/358-0987

320/318-2720

320/358-4765

651/257-8146

651/240-0140

651/240-0140

651/303-1124

651/982-6228

763/389-6481

Lim-Liab

Corp

Lim-Liab

Lim-Liab

Corp

NProf

ONProf

Lim-Liab

NProf

NProf

COMP HCBS

NH-45

COMP

COMP

HOSP-61 BASS-12

SNF-NF-45

HOSP-61

(30608)

(24069)

(36306)

(00994)

(20968)

(31890)

(31891)

(34985)

(26797)

(00006)

FAX: 651/317-2020

FAX: 320/358-3422

FAX: 320/318-2736

FAX: 320/358-4317

FAX: 651/257-9246

FAX: 651/240-0141

FAX: 651/240-0141

FAX: /-

FAX: 651/466-0714

FAX: 651/982-7110

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

THOMAS OSTROM

ELIZABETH JOHNSTON

MARLENE YOCHIM

KATELYN PAGET

ROBERT CARDENAS

EMILY CARLSON

EMILY CARLSON

BRYAN MURDOCK

AMY KOEHNEN

LIA CHRISTIANSEN

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

Home Mgmt

HWS

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70

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

CHISAGO

CLAY

MEADOWS ON FAIRVIEW

MEADOWS ON FAIRVIEW

WYOMING DIALYSIS

GOLDEN MANOR OF BARNESVILLE

VALLEY CARE AND REHAB LLC

LILAC HOME ENH AS LIV MEM CARE

MOORHEAD DIALYSIS

SERENITY ASSISTED LIVING

SERENITY ASSISTED LIVING

25565 FAIRVIEW AVENUE

25565 FAIRVIEW AVENUE

5657 257TH STREET

1102 4TH AVENUE NE

600 5TH STREET SE

1500 SOUTHWOOD DRIVE

1710 CENTER AVENUE WEST

1125 OAKVIEW DRIVE

1251 3RD AVENUE NW

WYOMING, MN 55092

WYOMING, MN 55092

WYOMING, MN 55092

BARNESVILLE, MN 56514

BARNESVILLE, MN 56514

DILWORTH, MN 56529

DILWORTH, MN 56529

DILWORTH, MN 56529

DILWORTH, MN 56529

651/982-6228

651/982-6228

651/462-0000

218/354-7200

218/354-2254

218/443-2426

218/223-3354

218/477-7254

218/477-7254

NProf

NProf

Corp

Corp

Lim-Liab

Corp

Lim-Liab

Corp

Corp

NH-14

NH-35

COMP

SNF-NF-14

ESRD

SNF-NF-35

ESRD

(29463)

(30338)

(03759)

(21407)

(00968)

(34812)

(28926)

(24327)

(34017)

FAX: 651/466-0714

FAX: 651/466-0714

FAX: 651/462-0004

FAX: 218/354-6079

FAX: 218/354-2153

FAX: 218/512-0607

FAX: 218/233-3482

FAX: 218/477-7255

FAX: 218/477-7255

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

AMY KOEHNEN

AMY KOEHNEN

ASHLEY BERGLUND

JENNIFER BERG

MARK RUSTAD

WILLIAM NELSON

KRISTOPHER VORWERK

ELAINE ANDERSON

ELAINE ANDERSON

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

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71

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

CLAY

SERENITY LIVING CENTER

SERENITY LIVING CENTER INC

SERENITY LIVING CENTER, INC.

COMFORTING ANGELS

HAWLEY RETIREMENT INC

PALLANSCH PROPERTIES, LLC

14TH STREET HOUSE

ACTIVE AT HOME HELPERS

ARBOR PARK LIVING CENTER

ARBOR PARK LIVING CENTER

1204 OAKVIEW DRIVE

1125 OAKVIEW DRIVE

1125 OAKVIEW DRIVE

202 HIGHWAY 10

923 5TH STREET

923 5TH STREET

2710 14TH STREET SOUTH

801 44TH AVENUE SOUTH #320

2921 6TH AVENUE NORTH

520 28TH STREET NORTH

DILWORTH, MN 56529

DILWORTH, MN 56529

DILWORTH, MN 56529

HAWLEY, MN 56549

HAWLEY, MN 56549

HAWLEY, MN 56549

MOORHEAD, MN 56560

MOORHEAD, ND 56560

MOORHEAD, MN 56560

MOORHEAD, MN 56560

218/477-7254

218/477-7254

218/477-7254

218/486-3440

218/483-3337

218/483-3337

701/866-9835

701/540-3483

218/359-9999

218/359-9999

Corp

Corp

Corp

Lim-Liab

Corp

Lim-Liab

Corp

Lim-Liab

Lim-Liab

Lim-Liab

COMP

TCOMP HCBS

COMP

BASIC

COMP

(29276)

(30526)

(24327)

(35833)

(28491)

(30455)

(36921)

(33322)

(23403)

(26942)

FAX: 218/477-7255

FAX: 218/477-7255

FAX: 218/477-7255

FAX: 218/486-2500

FAX: 218/483-3386

FAX: 218/483-3338

FAX: 612/249-8749

FAX: 701/239-6706

FAX: 218/359-0890

FAX: 218/359-0890

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ELAINE ANDERSON

ELAINE ANDERSON

ELAINE ANDERSON

DEBBIE HELM

AMBER LUDWIG

AMBER LUDWIG

SAM KRAI

JERRET THISETH

JESSE DOSCHADIS

SUSAN BALA

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL

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72

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

CLAY

ARBOR PARK LIVING CENTER LLC

ARBOR PARK LIVING CENTER LLC

ARBOR PARK LIVING CENTER LLC

ARBOR PARK LIVING CENTER LLC

BEEHIVE HOMES OF MOORHEAD

BEEHIVE HOMES OF MOORHEAD

CLAY COUNTY RECEIVING CENTER

COMFORT CARE ANGELS LLC

EVENTIDE

EVENTIDE FAIRMONT

2921 6TH AVENUE NORTH

2901 6TH AVENUE NORTH

2921 6TH AVENUE NORTH

2941 6TH AVENUE NORTH

1001 CADDY AVENUE

1001 CADDY AVENUE

715 11TH STREET NORTH #203

403 8TH STREET SOUTH #195

801 2ND AVENUE NORTH

801 2ND AVENUE NORTH

MOORHEAD, MN 56560

MOORHEAD, MN 56560

MOORHEAD, MN 56560

MOORHEAD, MN 56560

MOORHEAD, MN 56560

MOORHEAD, MN 56560

MOORHEAD, MN 56560

MOORHEAD, MN 56560

MOORHEAD, MN 56560

MOORHEAD, MN 56560

218/359-9999

218/359-9999

218/359-9999

218/359-9999

218/512-3033

218/512-3033

218/299-5220

612/735-6950

218/291-2310

218/291-2310

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Corp

Cnty

Lim-Liab

NProf

NProf

COMP

COMP

SLFB-16

BASIC HCBS

COMP

COMP

(23403)

(23767)

(30361)

(34427)

(34419)

(34745)

(01666)

(32895)

(20101)

(20101)

FAX: 218/359-0890

FAX: 218/359-0890

FAX: 218/359-0890

FAX: 218/359-0890

FAX: 218/512-3034

FAX: 218/512-3034

FAX: 218/299-7205

FAX: 877/535-7908

FAX: 218/233-9544

FAX: 218/233-9544

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JESSE DOSCHADIS

SUSAN BALA

SUSAN BALA

SUSAN BALA

MARK GOLDTHORPE

MARK GOLDTHORPE

KATHY MCKAY

OLGUINE ORIENTAL

EMILY KOLLAR

EMILY KOLLAR

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

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73

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

CLAY

EVENTIDE FAIRMONT

EVENTIDE LUTHERAN HOME

EVENTIDE THE LINDEN

FARMSTEAD CARE OF MOORHEAD

FARMSTEAD CARE OF MOORHEAD LP

GREEN LIVING GROUP HOME LLC

HUMANE NURSING SERVICES INC

LILAC HOMES CORPORATION

LILAC HOMES CORPORATION

MOORHEAD MANOR

801 2ND AVENUE NORTH

1405 7TH STREET SOUTH

1400 7TH STREET SOUTH

3200 28TH STREET SOUTH

3200 28TH STREET SOUTH

2715 14TH STREET SOUTH

2710 14TH STREET SOUTH

2615 PARKVIEW DRIVE

2725 PARKVIEW DRIVE

1710 13TH AVENUE NORTH

MOORHEAD, MN 56560

MOORHEAD, MN 56560

MOORHEAD, MN 56560

MOORHEAD, MN 56560

MOORHEAD, MN 56560

MOORHEAD, MN 56560

MOORHEAD, MN 56560

MOORHEAD, MN 56560

MOORHEAD, MN 56560

MOORHEAD, MN 56560

218/477-3202

218/233-7508

218/233-7508

218/512-2020

218/512-2020

920/664-9288

701/866-9835

701/866-1728

701/866-1728

218/236-6286

NProf

Church

NProf

Part

Part

Lim-Liab

Corp

Corp

Corp

Corp

NH-145

COMP

TCOMP

COMP

SNF-NF-145

(30410)

(00072)

(21014)

(31557)

(32322)

(35406)

(35923)

(28989)

(32357)

(20192)

FAX: 218/233-9544

FAX: 218/291-2276

FAX: 218/291-2228

FAX: 218/512-0122

FAX: 218/512-3132

FAX: /-

FAX: 612/249-8749

FAX: 218/512-2018

FAX: 218/512-2018

FAX: 218/477-0442

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JOYCELIN STEIDL

EMILY FRIEDRICH

AUSTIN RUND

LISA MARTIN

ROGER ERICKSON

ABDINASIR MOHAMED

SAM KRAI

WILLIAM NELSON

WILLIAM NELSON

SUSAN CHRISTIANSON

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL-O

HWSAL

HWSAL

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74

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

CLAY

MOORHEAD MANOR

MOORHEAD RESTORATIVE CARE CENTER

PARK VIEW TERRACE APARTMENTS

RIVER POINTE OF MOORHEAD

RIVER POINTE OF MOORHEAD

THE EVERGREENS OF MOORHEAD

THE EVERGREENS OF MOORHEAD

THE EVERGREENS OF MOORHEAD

LILAC HOMES CORPORATION

SANFORD HEALTH ULEN CLINIC

1710 13TH AVENUE NORTH

2810 2ND AVENUE NORTH

100 3RD STREET NORTH

2401 11TH STREET SOUTH

2401 11TH STREET SOUTH

512 3RD AVENUE SOUTH

502 3RD AVENUE SOUTH

512 3RD AVENUE SOUTH

24806 LABRADOR BEACH ROAD

108 VIKING AVENUE WEST

MOORHEAD, MN 56560

MOORHEAD, MN 56560

MOORHEAD, MN 56560

MOORHEAD, MN 56560

MOORHEAD, MN 56560

MOORHEAD, MN 56560

MOORHEAD, MN 56560

MOORHEAD, MN 56560

PELICAN RAPIDS, MN 56572

ULEN, MN 56585

701/238-6974

218/233-7578

218/233-8548

218/287-6900

218/287-6900

218/233-1535

218/233-1535

218/233-1535

218/512-2008

218/596-8867

Corp

Lim-Liab

Part

Lim-Liab

Lim-Liab

NProf

NProf

NProf

Corp

NProf

NH-78

COMP

COMP

COMP

SNF-NF-78

RHC

(30439)

(00938)

(36435)

(26685)

(30646)

(20314)

(25500)

(30466)

(28988)

(03937)

FAX: 701/477-0441

FAX: 218/233-8307

FAX: 218/233-2759

FAX: 218/233-3234

FAX: 218/233-3234

FAX: 218/291-1162

FAX: 218/291-1162

FAX: 218/291-1162

FAX: 218/512-0607

FAX: 218/596-8112

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

SUSAN CHRISTIANSON

MICHELLE ANTOINE

ALICIA WITHERSPOON

JACOB WORK

JACOB WORK

LORI O'DONNELL

LORI O'DONNELL

LORI O'DONNELL

WILLIAM NELSON

BETH ULSCHMID

---------------------------********** --------------------------(Cont.)*

HWS

HWS

HWSAL

HWSAL

HWSAL

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75

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

CLAY

CLEARWATER

VIKING MANOR NURSING HOME

VIKING MANOR NURSING HOME

VIKING MANOR NURSING HOME

CLEARWATER COUNTY NURSING SERVICE

CLEARWATER HOSPICE

CORNERSTONE NURSING & REHAB CENTER

CORNERSTONE RESIDENCE OF BAGLEY INC

CORNERSTONE RESIDENCE OF BAGLEY INC

CORNERSTONE RESIDENCE SENIOR CARE

317 1ST STREET NW

317 1ST STREET NW

317 1ST STREET NW

212 MAIN AVENUE NORTH

212 MAIN AVENUE NORTH

416 7TH STREET NE

30 SUNSET AVENUE SW

30 SUNSET AVENUE SW

421 6TH STREET NE

ULEN, MN 56585

ULEN, MN 56585

ULEN, MN 56585

BAGLEY, MN 56621

BAGLEY, MN 56621

BAGLEY, MN 56621

BAGLEY, MN 56621

BAGLEY, MN 56621

BAGLEY, MN 56621

218/596-8847

218/596-8847

218/596-8847

218/694-6581

218/694-6581

218/694-6552

218/694-2701

218/694-2701

218/694-2378

City

City

City

Cnty

Cnty

Corp

Corp

Corp

Lim-Liab

NH-45

COMP

COMP

Hospice

NH-47

COMP

COMP

SNF-NF-45

HHA

HSPICE

SNF-NF-47

(00075)

(20249)

(30460)

(02006)

(03174)

(00974)

(26540)

(30725)

(21640)

FAX: 218/596-8894

FAX: 218/596-8894

FAX: 218/596-8894

FAX: 218/694-6594

FAX: 218/694-6594

FAX: 218/694-6987

FAX: 218/694-2718

FAX: 218/694-2718

FAX: 218/694-2348

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

TODD KJOS

JESSIE LUNDE-BURNSIDE

TODD KJOS

MARISSA HETLAND

MARISSA HETLAND

KARI SWANSON

JUDY POTVIN

JUDY POTVIN

JUDY POTVIN

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

HWSAL

HWSAL

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76

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

CLEARWATER

COOK

CORNERSTONE RESIDENCE SENIOR CARE

ESSENTIA HEALTH BAGLEY CLINIC

SANFORD BAGLEY CLINIC

SANFORD BAGLEY MEDICAL CENTER

THE GARDEN PLACE ASSISTED LIVING PLUS

HOME AT HEART CARE, INC.

SANFORD BAGLEY CLEARBROOK CLINIC

SERENITY ASSISTED LIVING

SERENITY ASSISTED LIVING

421 6TH STREET NE

121 CENTRAL STREET WEST

1656 CENTRAL STREET WEST

203 4TH STREET NW

421 6TH STREET NE

221 3RD AVENUE SW

22 ELM STREET

35501 231ST AVENUE

35501 231ST AVENUE

BAGLEY, MN 56621

BAGLEY, MN 56621

BAGLEY, MN 56621

BAGLEY, MN 56621

BAGLEY, MN 56621

CLEARBROOK, MN 56634

CLEARBROOK, MN 56634

SHEVLIN, MN 56676

SHEVLIN, MN 56676

218/694-2378

218/694-6281

218/694-2384

218/694-6501

218/694-2378

218/776-3508

218/776-3124

218/785-2175

218/785-2175

Lim-Liab

NProf

NProf

NProf

Lim-Liab

Corp

NProf

Ind

Ind

HOSP-25 BASS-4

COMP

COMP

RHC

RHC

CAH-25

RHC

(30775)

(22060)

(21437)

(00076)

(21640)

(25734)

(21436)

(29936)

(29937)

FAX: 218/694-2348

FAX: /-

FAX: 218/694-6687

FAX: 218/694-3528

FAX: 218/694-2348

FAX: 218/776-3507

FAX: /-

FAX: 218/785-2175

FAX: 218/785-2175

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ALLEN POTVIN

CHERYL WHITE MD

STEPHANIE MCKNIGHT

ROBERT BELANGER

JUDY POTVIN

TROY MCQUOWN

BRYAN NERMOE

SUSAN GILBERTSON

SUSAN GILBERTSON

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

HWSAL

Home Mgmt

HWSAL

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77

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

COOK

COTTONWOOD

NORTH SHORE HEALTH

NORTH SHORE HEALTH

GOOD SAMARITAN SOCIETY - MOUNTAIN LAKE

SANFORD CLINIC MOUNTAIN LAKE

THE LODGE OF MOUNTAIN LAKE

THE LODGE OF MOUNTAIN LAKE

GOOD SAMARITAN SOCIETY - WESTBROOK

PETERSON ESTATES

SANFORD CLINIC WESTBROOK

515 5TH AVENUE WEST

515 5TH AVENUE WEST

745 BASINGER MEMORIAL DRIVE

308 8TH STREET

603 7TH AVENUE

603 7TH AVENUE

149 1ST AVENUE

1012 9TH STREET

920 BELL AVENUE

GRAND MARAIS, MN 55604

GRAND MARAIS, MN 55604

MOUNTAIN LAKE, MN 56159

MOUNTAIN LAKE, MN 56159

MOUNTAIN LAKE, MN 56159

MOUNTAIN LAKE, MN 56159

WESTBROOK, MN 56183

WESTBROOK, MN 56183

WESTBROOK, MN 56183

218/387-3040

218/387-3280

507/427-2464

507/427-3332

507/427-2465

507/427-2464

507/274-6155

507/274-1120

507/274-6121

Dist

Dist

NProf

NProf

NProf

NProf

NProf

NProf

NProf

NH-37 HOSP-16

COMP

NH-50

COMP

NH-34

SNF-NF-37 CAH-16

HHA

SNF-NF-50

RHC

SNF-NF-34

RHC

(00080)

(03138)

(00755)

(03551)

(29275)

(21929)

(00082)

(23558)

(20976)

FAX: 218/387-3289

FAX: 218/387-3297

FAX: 507/427-3036

FAX: /-

FAX: 507/427-2465

FAX: 507/427-3036

FAX: 507/274-6207

FAX: 507/274-1041

FAX: 507/274-5630

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

KIMBER WRAALSTAD

KIMBER WRAALSTAD

ANNE REESE

LAURIE JENSEN

ANNE REESE

ANNE REESE

JESSIE JORGENSON

STACY BARSTAD

DANIEL REINER

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

HWSAL

HWS

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78

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

COTTONWOOD

SANFORD WESTBROOK MEDICAL CENTER

ENGAGED HOME CARE

GOOD SAM SOCIETY HOME CARE OF SW MN

GOOD SAMARITAN SOCIETY - WINDOM

HOME FOR CREATIVE LIVING

MIKKELSEN MANOR

MIKKELSEN MANOR ASSISTED LIVING

PINE VIEW ASSISTED LIVING

PINE VIEW ASSISTED LIVING

REMICK RIDGE ESTATES

920 BELL AVENUE

629 16TH STREET

866 1ST AVENUE NORTH

705 6TH STREET

108 9TH STREET

725 FULLER DRIVE

725 FULLER DRIVE

750 4TH AVENUE

750 4TH AVENUE

350 6TH AVENUE SOUTH

WESTBROOK, MN 56183

WINDOM, MN 56101

WINDOM, MN 56101

WINDOM, MN 56101

WINDOM, MN 56101

WINDOM, MN 56101

WINDOM, MN 56101

WINDOM, MN 56101

WINDOM, MN 56101

WINDOM, MN 56101

507/274-1119

507/822-0764

507/831-0734

507/831-1788

507/831-5033

507/831-0745

507/831-0745

507/831-5277

507/831-5277

507/831-0745

NProf

Lim-Liab

NProf

NProf

Corp

NProf

NProf

Corp

Corp

NProf

HOSP-8

BASIC

COMP

NH-72

SLFB-18

COMP

COMP

CAH-8

HHA

SNF-NF-72

ICFIID-18

(00083)

(32625)

(03754)

(00085)

(01194)

(20697)

(20710)

(20175)

(26908)

(20010)

FAX: 507/274-1111

FAX: 507/831-1639

FAX: 507/831-0736

FAX: 507/831-0844

FAX: 507/831-2612

FAX: 507/831-0737

FAX: 507/831-0846

FAX: 507/831-5124

FAX: 507/831-5124

FAX: 507/831-0737

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

STACY BARSTAD

ASHLEY JOHNSON

KIMBERLY PILLATZKI

NANCY WEPPLO

DEVIN NELSON

KAREN HIEBERT

NANCY WEPPLO

PAULA ROCHELEAU

PAULA ROCHELEAU

KAREN HIEBERT

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWS

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79

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

COTTONWOOD

CROW WING

SANFORD CLINIC WINDOM

WINDOM AREA HEALTH

BRAINERD LAKES SURGERY CENTER

COMMUNITY BEHAVIORAL HEALTH HOSPITAL-BAXTER

DIAMOND WILLOW OF BAXTER 1

DIAMOND WILLOW OF BAXTER 2

EDGEWOOD BAXTER LLC

EDGEWOOD BAXTER LLC

GOOD NEIGHBOR HOME HEALTH CARE

591 2ND AVENUE NORTH

2150 HOSPITAL DRIVE

13114 ISLE DRIVE

14241 GRAND OAKS DRIVE

14396 GRAND OAKS DRIVE

14398 GRAND OAKS DRIVE

14211 FIREWOOD DRIVE

14211 FIREWOOD DRIVE

7111 FORTHUN ROAD STE 100

WINDOM, MN 56101

WINDOM, MN 56101

BAXTER, MN 56425

BAXTER, MN 56425

BAXTER, MN 56425

BAXTER, MN 56425

BAXTER, MN 56425

BAXTER, MN 56425

BAXTER, MN 56425

507/831-2223

507/831-2400

218/822-2415

218/316-3101

218/825-7034

218/825-7162

218/828-4770

218/828-4770

218/829-9238

NProf

City

Lim-Liab

State

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

HOSP-18 BASS-6

Outpt Surg

OTHER-16

COMP

COMP

RHC

CAH-18

Amb Surg

PSY-16

HHA

(21432)

(00796)

(23092)

(24037)

(24427)

(24428)

(32624)

(30293)

(02759)

FAX: /-

FAX: 507/831-5749

FAX: 218/822-2401

FAX: 218/829-9141

FAX: 218/825-7165

FAX: 218/825-7166

FAX: /-

FAX: 218/828-4771

FAX: 218/829-2144

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

LAURIE JENSEN

SHELBY MEDINA

PAMELA CARTER

RYAN CERNEY

SARA KLEINSCHMIDT

SARA KLEINSCHMIDT

BARB ALBRIGHT

MICHELLE BODE

SHERRIE CHRISTENSEN

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

HWSAL

HWSAL

HWSAL

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80

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

CROW WING

HOME INSTEAD SENIOR CARE

MN HOME CARE

NORTHERN LAKES SENIOR LIVING

ALMOND HOUSE

ALMOND HOUSE

ALMOND HOUSE UNIT 2

ALMOND HOUSE UNIT 3

ALMOND HOUSE UNIT 4

ALMOST HOME

BARNABAS HEALTH CARE SERVICES

13432 ELMWOOD DRIVE #24

14775 EDGEWOOD DRIVE

8186 EXCELSIOR ROAD

802 28TH STREET SE

802 28TH STREET SE

804 28TH STREET SE

814 28TH STREET SE

816 28TH STREET SE

710 28TH STREET SE

223 WASHINGTON STREET

BAXTER, MN 56425

BAXTER, MN 56425

BAXTER, MN 56425

BRAINERD, MN 56401

BRAINERD, MN 56401

BRAINERD, MN 56401

BRAINERD, MN 56401

BRAINERD, MN 56401

BRAINERD, MN 56401

BRAINERD, MN 56401

218/824-0077

218/963-8899

218/454-2121

218/822-3067

218/822-3067

218/822-3067

218/822-3067

218/822-3067

218/822-3067

218/829-0901

Lim-Liab

Corp

Lim-Liab

Corp

Corp

Corp

Corp

Corp

Corp

Corp

COMP HCBS

COMP

COMP HHA

(23696)

(20912)

(31987)

(20574)

(30711)

(20575)

(20581)

(20582)

(21680)

(02992)

FAX: 218/824-0079

FAX: 218/963-9573

FAX: 218/454-1495

FAX: 218/822-3068

FAX: 218/822-3068

FAX: 218/822-3068

FAX: 218/822-3068

FAX: 218/822-3068

FAX: 218/822-3068

FAX: 218/829-4470

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

DEBORAH CRANNY

TERRIE GETTY

ERIN HILLIGAN

CHARITY BITZER

CHARITY BITZER

CHARITY BITZER

CHARITY BITZER

CHARITY BITZER

CHARITY BITZER

RUE LECHNER

---------------------------********** --------------------------(Cont.)*

Home Mgmt

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL-O

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81

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

CROW WING

BETHANY SENIOR LIVING APTS

BRAINERD CAREFREE LIVING, LLC

BRAINERD REGIONAL HUMAN SERVICE CENTER

CAREFREE LIVING OF AMERICA (BRAINERD)

CENTRACARE KIDNEY PROGRAM - BRAINERD DIALYSIS

CENTRAL MINNESOTA SENIOR CARE

DD GATES HOUSE

EDGEWOOD BRAINERD SENIOR LIVING

EDGEWOOD BRAINERD SENIOR LIVING LLC

EDGEWOOD VISTA BRAINERD

1953 7TH STREET SOUTH

2723 OAK STREET

11615 STATE AVENUE

2723 OAK STREET

2024 SOUTH 6TH STREET

1008 10TH STREET SOUTH

514 SOUTH 9TH STREET

14890 BEAVER DAM ROAD

14890 BEAVER DAM ROAD

14890 BEAVER DAM ROAD

BRAINERD, MN 56401

BRAINERD, MN 56401

BRAINERD, MN 56401

BRAINERD, MN 56401

BRAINERD, MN 56401

BRAINERD, MN 56401

BRAINERD, MN 56401

BRAINERD, MN 56401

BRAINERD, MN 56401

BRAINERD, MN 56401

218/829-4366

218/829-8622

218/855-8757

218/829-8622

218/825-8964

320/441-7001

612/730-4334

218/828-3691

218/828-3691

218/828-3691

NProf

Lim-Liab

State

Lim-Liab

NProf

Corp

Ind

Lim-Liab

Lim-Liab

Lim-Liab

SLFB-16

COMP

COMP

ESRD

(30420)

(20187)

(00089)

(20187)

(02818)

(20683)

(36743)

(30411)

(23750)

(23750)

FAX: 218/829-0516

FAX: 218/829-4463

FAX: 651/431-7437

FAX: 218/829-4463

FAX: /-

FAX: 320/235-8069

FAX: /-

FAX: 218/829-5482

FAX: 218/829-5482

FAX: 218/829-5482

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

MICHELLE SOLWOLD

RENEE GRAVES

LORRAINE SELLNER

RENEE GRAVES

CHRISTA WAGNER

JACKLYN FRERICKS

JANELLE GATES

MICHELLE BODE

BARB ALBRIGHT

BARB ALBRIGHT

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

HWS-O

HWSAL

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82

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

CROW WING

ESSENTIA HEALTH ST. JOSEPH'S MEDICAL CENTER

FOUR WINDS TREATMENT PROGRAM

GOOD SAMARITAN SOCIETY - BETHANY

GOOD SAMARITAN SOCIETY - WOODLAND

GOOD SAMARITAN SOCIETY, BETHANY SENIOR LIVING APARTMENTS

GRATTAN PRIVATE DUTY NURSING INC

HARMONY HOUSE OF BRAINERD I

HOME INSTEAD SENIOR CARE

LUNA WOMEN'S WELLNESS AND BIRTH CENTER, PC

LUTHERAN SOCIAL SERVICE - TRILLIUM

523 NORTH 3RD STREET

11600 STATE AVENUE

804 WRIGHT STREET

100 BUFFALO HILLS LANE

1953 7TH STREET SOUTH

8382 50TH AVENUE

218 9TH STREET SW

108 SOUTH 6TH STREET STE 3

117 GILLIS AVENUE NE

1008 10TH STREET SOUTH

BRAINERD, MN 56401

BRAINERD, MN 56401

BRAINERD, MN 56401

BRAINERD, MN 56401

BRAINERD, MN 56401

BRAINERD, MN 56401

BRAINERD, MN 56401

BRAINERD, MN 56401

BRAINERD, MN 56401

BRAINERD, MN 56401

218/829-2861

218/454-8900

218/829-1407

218/829-1429

218/829-1407

218/820-1326

218/828-4142

218/824-0077

218/828-7773

320/441-7001

NProf

Tribal

NProf

NProf

NProf

Corp

NProf

Lim-Liab

Corp

Corp

HOSP-162 BASS-15

SLFA-24

NH-106

NH-36

COMP

COMP

BASIC

B/C

HOSP-140 PPS-P-22

SNF-NF-106

SNF-NF-36

(00093)

(01681)

(00087)

(00956)

(20129)

(28253)

(20415)

(27309)

(32831)

(20683)

FAX: 218/828-3103

FAX: 218/454-8901

FAX: 218/829-0516

FAX: 218/829-4729

FAX: 218/829-0516

FAX: 801/925-0345

FAX: 218/828-4580

FAX: 218/824-0079

FAX: 218/828-2976

FAX: 320/235-8069

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JON PRYOR, MD

LINDSAY MISQUADACE-BERG

MICHELLE SOWOLD

JENNIFER GRAMS

MICHELLE SOLWOLD

STACI GRATTAN

LANISHA POJANOWSKI

DEB CRANNY

SHARI OLSON

JACKLYN FRERICKS

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

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83

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

CROW WING

MINNESOTA SPECIALTY HEALTH SYSTEM BRAINERD

MN NEUROREHABILITATION HOSPITAL

SAMARITAN HOUSE BIRCHWOOD

SAMARITAN HOUSE ELMWOOD

SAMARITAN HOUSE OAKWOOD

THE BURLINGTON HOUSE

THE BURLINGTON HOUSE 470

THE BURLINGTON HOUSE-460

WOODHAVEN SENIOR COMMUNITY

WOODLAND GOOD SAMARITAN ASSISTED LIVING

11615 STATE AVENUE

11615 STATE AVENUE

2509 GREENWOOD STREET

2517 GREENWOOD STREET

2501 GREENWOOD STREET

215 NORTH 10TH STREET

470 TYROL DRIVE

460 TYROL DRIVE

11615 STATE AVENUE

200 BUFFALO HILLS LANE

BRAINERD, MN 56401

BRAINERD, MN 56401

BRAINERD, MN 56401

BRAINERD, MN 56401

BRAINERD, MN 56401

BRAINERD, MN 56401

BRAINERD, MN 56401

BRAINERD, MN 56401

BRAINERD, MN 56401

BRAINERD, MN 56401

218/855-8757

218/855-8757

218/855-6636

218/855-6638

218/855-6637

218/330-0249

218/330-0249

218/330-0249

218/855-8757

218/829-1429

State

State

NProf

NProf

NProf

Lim-Liab

Lim-Liab

Lim-Liab

State

NProf

SLFB-16

SLFB-16

SLFB-16

COMP

(00089)

(00089)

(24683)

(24681)

(23489)

(34764)

(37389)

(35297)

(00089)

(20012)

FAX: 651/431-7437

FAX: 651/431-7437

FAX: 218/855-6649

FAX: 218/855-6647

FAX: 218/855-6648

FAX: /-

FAX: /-

FAX: /-

FAX: 651/431-7437

FAX: 218/829-4815

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

LORRAINE SELLNER

LORRAINE SELLNER

JENNIFER GRAMS

JENNIFER GRAMS

JENNIFER GRAMS

OWNER SHEILA HAVERKAMP

SHEILA HAVERKAMP

OWNER SHEILA HAVERKAMP

LORRAINE SELLNER

JENNIFER GRAMS

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWS-O

HWS-O

HWS-O

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84

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

CROW WING

WOODLAND GOOD SAMARITAN VILLAGE APARTMENTS

WOODLAND GOOD SAMARITAN VILLAGE APARTMENTS

CUYUNA REG MEDICAL CENTER HOMEHEALTH, PALLIATIVE & HOSPICE CARE

CUYUNA REGIONAL MEDICAL CENTER

HALLETT COTTAGES

HALLETT COTTAGES

HEARTWOOD

HEARTWOOD

HOMEHEALTH PARTNERSHIP

GOLDEN HORIZONS OF CROSSLAKE

200 BUFFALO HILLS LANE

200 BUFFALO HILLS LANE

500 HEARTWOOD DRIVE

320 EAST MAIN STREET

500 HEARTWOOD DRIVE

350 4TH STREET NE

500 HEARTWOOD DRIVE

500 HEARTWOOD DRIVE

500 HEARTWOOD DRIVE

13631 EAST SHORE ROAD

BRAINERD, MN 56401

BRAINERD, MN 56401

CROSBY, MN 56441

CROSBY, MN 56441

CROSBY, MN 56441

CROSBY, MN 56441

CROSBY, MN 56441

CROSBY, MN 56441

CROSBY, MN 56441

CROSSLAKE, MN 56442

218/829-1429

218/829-1429

218/546-2311

218/546-2300

218/545-8500

218/546-2306

218/545-8500

218/545-8500

218/546-2311

218/692-6650

NProf

NProf

NProf

NProf

NProf

NProf

NProf

NProf

NProf

Corp

COMP

COMP

NH-69 HOSP-42 BASS-7

COMP

COMP

Hospice

COMP

HHA

SNF-NF-69 CAH-25

HSPICE

(30309)

(20012)

(02256)

(00091)

(20479)

(25525)

(20479)

(26228)

(02994)

(26009)

FAX: 218/829-4729

FAX: 218/829-4815

FAX: 218/546-4313

FAX: 218/546-7268

FAX: 218/545-8501

FAX: 218/546-7269

FAX: 218/545-8501

FAX: 218/545-8501

FAX: 218/546-4313

FAX: 218/692-6652

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JENNIFER GRAMS

JENNIFER GRAMS

JENNIFER WIEDELL

KYLE BAUER

JOHANNES KOOMEN

NANCY STRATMAN

JOHANNES KOOMEN

DAREN RIFE

KYLE BAUER

KENT MARTHALER

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

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85

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

CROW WING

GOLDEN HORIZONS OF CROSSLAKE

KC COMPANIES OF CROSSLAKE, INC DBA GOLDEN HORIZONS

WHITEFISH AT THE LAKES SENIOR LIVING

WHITEFISH AT THE LAKES SENIOR LIVING LLC

RIVERWOOD HEALTH CARE CENTER

AIDE HOME HEALTH CARE

GOOD SAMARITAN SOCIETY - HOSPICE

GOOD SAMARITAN SOCIETY HOMECARE AND HOSPICE

HILLS CROSSING SENIOR LIVING

TEMPERANCE LAKE RIDGE

13631 EAST SHORE ROAD

13631 EAST SHORE ROAD

35625 OSTLUND AVENUE

35625 OSTLUND AVENUE

27278 STATE HIGHWAY 18

312 4TH STREET

24090 SMILEY ROAD #200

24090 SMILEY ROAD #200

5307 HILLS CROSSING

5307 HILLS CROSSING

CROSSLAKE, MN 56442

CROSSLAKE, MN 56442

CROSSLAKE, MN 56442

CROSSLAKE, MN 56442

GARRISON, MN 56450

IRONTON, MN 56455

NISSWA, MN 56468

NISSWA, MN 56468

NISSWA, MN 56468

NISSWA, MN 56468

218/692-6650

218/692-6650

218/210-0770

218/210-0770

320/525-3400

218/772-0325

218/963-9452

218/963-9452

218/961-5605

218/961-5605

Corp

Corp

Lim-Liab

Lim-Liab

NProf

Lim-Liab

NProf

NProf

Corp

Corp

COMP

COMP

COMP HCBS

Hospice

COMP

COMP

RHC

HSPICE

HHA

(30621)

(26009)

(35750)

(35423)

(25293)

(29558)

(24551)

(23213)

(27831)

(21944)

FAX: 218/692-6652

FAX: 218/692-6652

FAX: /-

FAX: /-

FAX: 320/525-3439

FAX: 218/772-0326

FAX: 218/963-9746

FAX: 218/963-9746

FAX: /-

FAX: 218/203-2190

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

KC COM KENT MARTHALER

KENT MARTHALER

JEFFERY UDY

HEATHER POTTER

MICHAEL HAGEN

DEBBIE EGAN

TRAVIS WEBER

ANGELA KANGAS

JACOB WORK

JACOB WORK

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL-O

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86

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

CROW WING

DAKOTA

WELCOME HOME HEALTH CARE, INC.

PALLANSCH PROPERTIES LLC

SENIOR CLASS CARE

SENIOR CLASS CARE

SENIOR CLASS CARE OF PEQUOT LAKES, INC.

SENIOR CLASS COMMUNITY LLC

SENIOR CLASS COMMUNITY LLC

SAKINAH HOMES @ FROST

APPLE VALLEY VILLA

5307 HILLS CROSSING

5384 COUNTRY CARE LANE

30849 1ST STREET

30849 1ST STREET PO BOX 852

8898 SCHALLER ROAD

4451 EAST WOODMAN STREET

4451 EAST WOODMAN STREET

120 EAST FROST STREET

14610 GARRETT AVENUE

NISSWA, MN 56468

PEQUOT LAKES, MN 56472

PEQUOT LAKES, MN 56472

PEQUOT LAKES, MN 56472

PEQUOT LAKES, MN 56472

PEQUOT LAKES, MN 56472

PEQUOT LAKES, MN 56472

SOUTH ST. PAUL, MN 55075

APPLE VALLEY, MN 55124

218/961-5605

218/568-4673

218/568-1098

218/568-1098

218/232-1036

218/316-2542

218/568-5605

651/460-9188

952/236-2600

Corp

Lim-Liab

Lim-Liab

Corp

Corp

Lim-Liab

Lim-Liab

Lim-Liab

NProf

COMP

COMP

COMP

TCOMP

COMP

(21944)

(34980)

(25179)

(35778)

(31943)

(35001)

(26533)

(37193)

(25804)

FAX: 218/203-2190

FAX: 320/266-6420

FAX: 218/568-1097

FAX: 218/568-1097

FAX: /-

FAX: /-

FAX: 218/568-4272

FAX: 651/413-3001

FAX: 952/236-2670

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JACOB WORK

MICHAELE NELSON

ANGELA SANDELIN

ANGELA SANDELIN

PAMELA FEHN

MINDY HOWARD

MINDY HOWARD

KERIA ABBADULLA

LISA MURPHY

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL-O

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87

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

DAKOTA

APPLE VALLEY VILLA

AUGUSTANA HEALTH CARE CENTER OF APPLE VALLEY

BAYVIEW CASE MANAGEMENT

BAYVIEW CASE MANAGEMENT

CARELINK SKILLED NURSING AND HOME CARE

CARELINK SKILLED NURSING AND HOME CARE

CENTENNIAL HOUSE

CENTENNIAL HOUSE OF APPLE VALLEY

COMMUNITY ASSISTED LIVING INC

COMMUNITY ASSISTED LIVING INC

14610 GARRETT AVENUE

14650 GARRETT AVENUE

14199 GARRETT AVENUE

14199 GARRETT AVENUE

15804 EVERGLADE COURT

15804 EVERGLADE COURT

14625 PENNOCK AVENUE

14625 PENNOCK AVENUE

13628 PILOT KNOB ROAD

13644 PILOT KNOB ROAD

APPLE VALLEY, MN 55124

APPLE VALLEY, MN 55124

APPLE VALLEY, MN 55124

APPLE VALLEY, MN 55124

APPLE VALLEY, MN 55124

APPLE VALLEY, MN 55214

APPLE VALLEY, MN 55124

APPLE VALLEY, MN 55124

APPLE VALLEY, MN 55124

APPLE VALLEY, MN 55124

952/236-2600

952/236-2000

952/491-9732

952/491-9732

507/271-4262

507/271-4262

952/891-2711

952/891-2711

952/440-3955

952/423-9778

NProf

NProf

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

NProf

NProf

Corp

Corp

NH-178

TCOMP

COMP

COMP

SNF-NF-178

(30611)

(00979)

(35687)

(36038)

(35463)

(36297)

(20316)

(24139)

(28479)

(26838)

FAX: 952/236-2670

FAX: 952/236-2510

FAX: 952/491-9751

FAX: 952/491-9751

FAX: /-

FAX: 952/426-0785

FAX: 952/891-4780

FAX: 952/891-4780

FAX: /-

FAX: 952/423-5280

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

LISA MURPHY

DAVID SHAW

FARAH HERSI

FARAH HERSI

UBAH HASSAN

UBAH HASSAN

LAUREN PAHNKE

LAUREN PAHNKE

DONNA NOVAK

DONNA NOVAK

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL-O

HWSAL

HWSAL

HWSAL

HWSAL

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88

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

DAKOTA

DIVINE CARE LLC

EAST VALLEY DIALYSIS

ECUMEN SEASONS AT APPLE VALLEY

ECUMEN SEASONS AT APPLE VALLEY

FIRST MERCY HOMES LLC

FRIENDSHIP HOUSE LLC

FRIENDSHIP HOUSE LLC

GENTLE HAVEN LLC

GRACE ASSISTED LIVING INC

HOPE AND NEW LIFE HEALTH CARE

14135 GARRETT AVENUE

14050 PILOT KNOB ROAD

15359 FOUNDERS LANE

15359 FOUNDERS LANE

15723 FAIR HILL WAY

15872 EAST CHESTER ROAD

15872 EASTCHESTER ROAD

8045 159TH STREET WEST

15300 DUNDEE COURT

13550 EVEREST AVENUE

APPLE VALLEY, MN 55124

APPLE VALLEY, MN 55124

APPLE VALLEY, MN 55124

APPLE VALLEY, MN 55124

APPLE VALLEY, MN 55124

APPLE VALLEY, MN 55124

APPLE VALLEY, MN 55124

APPLE VALLEY, MN 55124

APPLE VALLEY, MN 55124

APPLE VALLEY, MN 55124

612/423-9765

952/423-4062

952/698-5300

952/698-5300

206/915-3615

619/804-4812

619/804-4812

612/913-9934

612/227-4036

612/275-5132

Lim-Liab

Lim-Liab

NProf

NProf

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

NProf

COMP

TCOMP

ESRD

(33148)

(29664)

(27794)

(30758)

(35927)

(35971)

(36993)

(36562)

(37004)

(31991)

FAX: 952/953-3461

FAX: 952/423-6974

FAX: 952/698-5302

FAX: 952/698-5302

FAX: /-

FAX: /-

FAX: /-

FAX: 612/446-5500

FAX: 612/486-9426

FAX: 612/366-0056

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

FENTEZIA ZEWDIE

COURTNEY BRUNES

KATIE BAUER

KATIE BAUER

MOHAMED YUSUF

NURA DHINBIL

NURA MAHAMED DHINBIL

JARED OMBOI

KEFYALEW AMANTE

MILLICENT SAWYERR

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWSAL

HWS-O

HWSAL-O

HWSAL-O

HWSAL-O

HWSAL

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89

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

DAKOTA

HOPE AND NEW LIFE HEALTHCARE

HORIZON CARE LLC

HORIZON CARE LLC

JOSHUA'S MANOR

LAKEVIEW HOME HEALTH CARE

LAKEVIEW HOME HEALTH CARE INC

LIVING WELL HOSPITALITY, LLC

MERCY LINK LLC

NAGOMI INC

NAGOMI YA SENIOR LIVING

13421 CEDAR AVENUE

1075 ROME DRIVE

1075 ROME DRIVE

4939 140TH STREET WEST

15891 GALVESTON AVENUE

15891 GALVESTON AVENUE

13364 FERRIS AVENUE

15687 HARMONY WAY

14424 LOWER GUTHRIE COURT

14424 LOWER GUTHRIE COURT

APPLE VALLEY, MN 55124

APPLE VALLEY, MN 55124

APPLE VALLEY, MN 55124

APPLE VALLEY, MN 55124

APPLE VALLEY, MN 55124

APPLE VALLEY, MN 55124

APPLE VALLEY, MN 55124

APPLE VALLEY, MN 55124

APPLE VALLEY, MN 55124

APPLE VALLEY, MN 55124

612/275-5132

617/832-5590

763/501-5314

651/592-2550

763/291-6188

763/291-6188

651/285-1651

612/501-8333

763/607-8373

952/431-3037

NProf

Lim-Liab

Lim-Liab

Ind

Corp

Corp

Lim-Liab

Lim-Liab

Corp

Corp

COMP

TCOMP

TCOMP

BASIC

COMP

(20602)

(35990)

(35425)

(35392)

(36677)

(35576)

(34382)

(37088)

(25215)

(30641)

FAX: 952/953-3301

FAX: /-

FAX: 612/260-2282

FAX: /-

FAX: /-

FAX: /-

FAX: /-

FAX: /-

FAX: /-

FAX: 651/925-0261

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

MILLICENT WARRINGTON

MOHAMED NOOR

ABDIRIZAK JAMA

PAUL RAMCHARIT

ZEWDNESH SINKE

ZEWDNESH SINKE

ANDREW ROWLAND

ABDURAHMAN JAMA

AYO AWOLEYE

GRACE AWOLEYE

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWSAL

HWSAL-O

HWSAL

HWSAL

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90

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

DAKOTA

ORCHARD PATH

SERENDIPITOUS LIVING

SERENDIPITOUS LIVING

SOUTHSIDE ASSISTED LIVING CORP

SOUTHSIDE ASSISTED LIVING CORP.

THE CENTENNIAL HOUSE OF APPLE VALLEY

UNITED HOMES SERVICES LCC

GENTLE HAVEN LLC

KHADRA H. MOHAMED

PEOPLE INCORPORATED DAKOTA APARTMENT PROGRAM

5400 157TH STREET WEST

7735 UPPER 139 COURT WEST

7935 UPPER 139TH COURT WEST

14251 GUTHRIE AVENUE

14251 GUTHRIE AVENUE

14625 PENNOCK AVENUE

15245 EMBRY PATH

8045 159TH STREET WEST

4824 WEST 102ND STREET

1000 WEST BURNSVILLE PARKWAY

APPLE VALLEY, MN 55124

APPLE VALLEY, MN 55044

APPLE VALLEY, MN 55044

APPLE VALLEY, MN 55124

APPLE VALLEY, MN 55124

APPLE VALLEY, MN 55124

APPLE VALLEY, MN 55124

APPLEVALLEY, MN 55124

BLOOMINGTON, MN 55437

BUNRSVILLE, MN 55337

952/595-6600

651/340-8950

651/340-8858

507/351-4212

507/351-4212

952/891-2711

763/273-1168

612/913-9934

612/735-4509

651/288-3518

NProf

Lim-Liab

Lim-Liab

Corp

Corp

NProf

Lim-Liab

Lim-Liab

Corp

NProf

COMP

TCOMP HCBS

TCOMP

(33804)

(33766)

(37368)

(36844)

(36894)

(20316)

(37373)

(36103)

(35167)

(34885)

FAX: 952/595-6601

FAX: 651/340-8898

FAX: 651/340-8950

FAX: /-

FAX: /-

FAX: 952/891-4780

FAX: 612/314-8716

FAX: 612/446-5500

FAX: /-

FAX: 651/454-5000

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

SANDRA VALENTINE

MAYSA SAYAVONGCHANH

MAYSA SAYAVONGCHANH

ASHA BUSIRI

ASHA BUSURI

LAUREN PAHNKE

MOHAMED MOHAMED

JARED OMBOI

NAIMA MOHAMED

JILL WIEDEMANN-WEST

---------------------------********** --------------------------(Cont.)*

HWSAL

HWS-O

HWSAL-O

HWSAL-O

HWSAL

HWSAL-O

HWS-O

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91

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

DAKOTA

2 CARING HANDS

A CARING HOME LLC

ACCESS RECOVERY CENTER INC.

ACCURATE HOMES LLC

ACCURATE HOMES LLC

ALLIANCE HOME CARE

ALLIANCE HOME CARE

ALWAYS HERE HOME CARE LLC

ANGELS HOMES LLC

ANGELS HOMES LLC

13220 HUMBOLDT AVENUE SOUTH

712 EAST 152ND STREET

13705 JAMES AVENUE SOUTH

13605 GRAND AVENUE

13605 GRAND AVENUE

13804 THOMAS AVENUE SOUTH

13804 THOMAS AVENUE SOUTH

13101 PARKWOOD DRIVE

2304 WEST 150TH STREET

2800 SELKIRK DRIVE #310C

BURNSVILLE, MN 55337

BURNSVILLE, MN 55306

BURNSVILLE, MN 55337

BURNSVILLE, MN 55337

BURNSVILLE, MN 55337

BURNSVILLE, MN 55337

BURNSVILLE, MN 55337

BURNSVILLE, MN 55337

BURNSVILLE, MN 55306

BURNSVILLE, MN 55337

952/736-5464

612/750-5968

763/400-1366

612/703-9332

612/703-9332

952/594-1062

952/594-1062

952/213-2777

952/212-1688

952/212-1688

Corp

Lim-Liab

Corp

Lim-Liab

Lim-Liab

State

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

TCOMP

TCOMP

BASIC

COMP

(33962)

(37271)

(36108)

(35516)

(35744)

(35782)

(36228)

(34096)

(35485)

(34310)

FAX: 952/344-8628

FAX: 612/500-4887

FAX: 952/516-5865

FAX: /-

FAX: /-

FAX: 952/405-9723

FAX: 952/405-9723

FAX: /-

FAX: 952/595-5140

FAX: 952/595-5140

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ANN MURGASEN

FARDOWSA MOHAMED

ABDIFATAH ALI

ZAKARIE WEHLIE

ZAKARIE WEHLIE

IFRAH SHAFIE

IFRAH SHAFIE

BRIANNE HEMPHILL

ASAD ABDALLE

ASAD ABDALLA

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL-O

HWS-O

HWSAL-O

HWSAL

HWSAL

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92

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

DAKOTA

ANGELS HOMES LLC

ARBOR LANE

ARBORS AT RIDGES

ASSURED CARE

AUGUSTANA EMERALD CREST BURNSV

AUGUSTANA EMERALD CREST OF BURNSVILLE

AUGUSTANA EMERALD CREST OF BURNSVILLE

AUGUSTANA EMERALD CREST OF BURNSVILLE

AUGUSTANA EMERALD CREST OF BURNSVILLE

AUGUSTANA REGENT AT BURNSVILLE

13200 WEST MANOR BOULEVARD

13810 COMMUNITY DRIVE

13897 COMMUNITY DRIVE

13404 KNOB HILL ROAD

451 EAST TRAVELERS TRAIL

451 EAST TRAVELERS TRAIL

453 EAST TRAVELERS TRAIL

455 EAST TRAVELERS TRAIL

457 EAST TRAVELERS TRAIL

14500 REGENT LANE

BURNSVILLE, MN 55337

BURNSVILLE, MN 55337

BURNSVILLE, MN 55337

BURNSVILLE, MN 55337

BURNSVILLE, MN 55337

BURNSVILLE, MN 55337

BURNSVILLE, MN 55337

BURNSVILLE, MN 55337

BURNSVILLE, MN 55337

BURNSVILLE, MN 55306

952/212-1688

952/898-3288

952/898-4005

952/290-3003

952/890-2652

952/856-7522

952/856-7522

952/856-7522

952/856-7522

952/898-1910

Lim-Liab

NProf

Lim-Liab

Corp

NProf

NProf

NProf

NProf

NProf

Lim-Liab

COMP

(34624)

(30765)

(29362)

(33372)

(29326)

(20860)

(20861)

(20952)

(21141)

(23217)

FAX: 952/595-5140

FAX: 952/898-2511

FAX: 952/435-6686

FAX: 952/314-1527

FAX: 952/882-7901

FAX: 952/856-7527

FAX: 952/856-7527

FAX: 952/856-7527

FAX: 952/856-7527

FAX: 952/898-7257

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ASAD ABDALLE

ERIN HILLIGAN

ERIN HILLIGAN

CAREESE COLEMAN

JULIANNE FRIES

JULIANNE FRIES

JULIANNE FRIES

JULIANNE FRIES

JULIANNE FRIES

VICKI TOBROXEN

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL-O

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL

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93

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

DAKOTA

AUGUSTANA REGENT AT BURNSVILLE

BARAKA HOME CARE LLC

BROOKVIEW COTTAGE INC

BROOKVIEW COTTAGE INC

BURNSVILLE CAREFREE LIVING

BURNSVILLE DIALYSIS UNIT

BURNSVILLE SURGERY CENTER PA

CARDENAS FRIENDSHIP HOUSE

CARDENAS FRIENDSHIP HOUSE

CARE4LIFE HOME LLC

14500 REGENT LANE

1700 JAMES PLACE

2808 BROOKVIEW DRIVE

2808 BROOKVIEW DRIVE

600 EAST NICOLLET BOULEVARD

501 EAST NICOLLET BLVD #150

14551 COUNTY ROAD 11 #110

912 KNOB HILL

13808 COUNTY ROAD 5

1540 CIRCLE DRIVE

BURNSVILLE, MN 55306

BURNSVILLE, MN 55337

BURNSVILLE, MN 55337

BURNSVILLE, MN 55337

BURNSVILLE, MN 55337

BURNSVILLE, MN 55337

BURNSVILLE, MN 55337

BURNSVILLE, MN 55337

BURNSVILLE, MN 55337

BURNSVILLE, MN 55337

952/898-1910

952/484-3429

651/308-2528

651/308-2528

952/892-5559

952/892-1117

952/222-1818

612/670-1380

612/670-1380

952/215-5251

Lim-Liab

Lim-Liab

Corp

Corp

Lim-Liab

Corp

Corp

Corp

Corp

Lim-Liab

COMP

COMP HCBS

COMP

ESRD

Amb Surg

(23238)

(33542)

(31307)

(31392)

(20191)

(02427)

(34350)

(20979)

(20980)

(35646)

FAX: 952/898-7257

FAX: /-

FAX: 952/777-2256

FAX: 952/777-2256

FAX: 952/892-1585

FAX: 952/892-6644

FAX: 952/222-1817

FAX: 651/257-9245

FAX: 651/257-9245

FAX: 952/479-9128

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

VICKI TOBROXEN

MILKAH TERER

TARA TRUAX NEWHOUSE

TARA TRUAX NEWHOUSE

RENEE GRAVES

KATHY WOLFE

SHEILA THOMPSON

ROBERT CARDENAS

ROBERT CARDENAS

NASRA AHMED

---------------------------********** --------------------------(Cont.)*

HWS

HWSAL

HWS

HWS

HWSAL

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94

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

DAKOTA

CARE4LIFE HOME LLC

CAREFREE LIVING OF AMERICA (BURNSVILLE), INC.

CARING FRIENDS LLC

DERMAN SENIOR CARE, INC

DIGNIFIED CHOICE CARE

DIVINE CARE, LLC

EAGAN CARE BEHAVIORAL HEALTH SERVICES

EBENEZER RIDGES GERIATRIC CARE CENTER

FAIRVIEW RIDGES HOSPITAL

GOLDEN MAPLE HOMES INC

1540 CIRCLE DRIVE

600 EAST NICOLLET BOULEVARD

2000 RAYMAR COURT

2401 WILLIAMS DRIVE

2004 RIVER HILLS DRIVE

2606 RIVER HILLS DRIVE

1901 TAMARACK LANE

13820 COMMUNITY DRIVE

201 EAST NICOLLET BOULEVARD

13104 GIRARD AVENUE SOUTH

BURNSVILLE, MN 55337

BURNSVILLE, MN 55337

BURNSVILLE, MN 55337

BURNSVILLE, MN 55337

BURNSVILLE, MN 55337

BURNSVILLE, MN 55337

BURNSVILLE, MN 55337

BURNSVILLE, MN 55337

BURNSVILLE, MN 55337

BURNSVILLE, MN 55337

952/215-5251

952/892-5559

612/723-2281

612/517-4611

952/392-8868

612/423-9765

763/639-3356

952/898-8400

952/892-2101

952/393-3690

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Lim-Liab

Lim-Liab

Part

NProf

NProf

Corp

TCOMP

COMP

NH-114

HOSP-150 BASS-48

SNF-NF-114

HOSP-150

(35974)

(20191)

(36255)

(36147)

(32399)

(32164)

(37267)

(00756)

(00107)

(32179)

FAX: 952/479-9128

FAX: 952/892-1585

FAX: /-

FAX: 612/435-9735

FAX: 952/856-2515

FAX: 952/426-3745

FAX: 651/444-8124

FAX: 952/898-8450

FAX: 952/892-2107

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

NASRA AHMED

RENEE GRAVES

MUNA HUSSEIN

DAHIR NUR

ANDREW SWANSON

FENTEZIA ZEWDIE

JOHN MESA

ASHLEY JACKSON

JEOFF WILL

CAROL FILLMORE

---------------------------********** --------------------------(Cont.)*

HWSAL

HWS-O

HWSAL-O

HWSAL-O

HWSAL-O

HWSAL

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95

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

DAKOTA

GOLDEN MAPLE HOMES INC

GOLDEN MAPLE HOMES INC

GRACE HOMES - WALNUT LODGE

HAVENWOOD OF BURNSVILLE

HOME INSTEAD SENIOR CARE

HOME INSTEAD SENIOR CARE

HOME SWEET HOME OF MINNESOTA

HOME SWEET HOME OF MINNESOTA

HOME TO HOME HEALTHCARE LLC

HOME TO HOME HEALTHCARE LLC

13104 GIRARD AVENUE SOUTH

12100 ALLEN DRIVE

13708 PORTLAND AVENUE

14401 GRAND AVENUE

1601 HIGHWAY 13 EAST STE 108

1601 HIGHWAY 13 EAST #108

13705 IRVING AVENUE SOUTH

9 ARBOR LANE

13413 PARK WOOD DRIVE

13413 PARK WOOD DRIVE

BURNSVILLE, MN 55337

BURNSVILLE, MN 55337

BURNSVILLE, MN 55337

BURNSVILLE, MN 55306

BURNSVILLE, MN 55337

BURNSVILLE, MN 55337

BURNSVILLE, MN 55337

BURNSVILLE, MN 55337

BURNSVILLE, MN 55337

BURNSVILLE, MN 55337

952/393-3690

952/393-3690

952/525-0505

952/206-5700

952/882-9300

952/882-9300

651/348-6211

651/348-6211

651/428-1831

651/233-4490

Corp

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

COMP

COMP

TCOMP

(32150)

(33671)

(31144)

(35795)

(23616)

(26156)

(34895)

(35378)

(35426)

(35812)

FAX: 952/892-7806

FAX: 952/892-7806

FAX: 952/525-0506

FAX: 612/824-8458

FAX: 952/882-9301

FAX: 952/882-9301

FAX: 651/528-7897

FAX: 651/528-7897

FAX: /-

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

CAROL FILLMORE

CAROL FILLMORE

DARLA THAO

LOLA AMENDT

VITALY SALO

VITALY SALO

PRESID ARNOLD KUBEI

PRESID ARNOLD KUBEI

MESFIN MEKONNEN

MESFIN MEKONNEN

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL-O

HWSAL

Home Mgmt

HWSAL-O

HWSAL

HWSAL

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96

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

DAKOTA

HOME TO HOME HEALTHCARE SERVICES LLC

LIVING WELL - KENNELLY

MED-NURSE LLC

MERCY LINK LLC

MERCY LINK LLC

MERCY LINK, LLC

METROPOLITAN LIVING LLC

MIDWEST HOMES, INC.

MINNESOTA VALLEY SURGERY CENTER

MORNINGSTAR CARE SERVICES, LLC

13708 WELLINGTON CREST

12000 KENNELLY ROAD

2701 WOODS TRAIL NORTH

505 SUMMIT LANE

13005 SALEM PLACE

3104 WEST 135TH STREET

14750 LAC LAVON DRIVE

1628 KELLER DRIVE

1000 140TH STREET WEST

2717 CEDAR LANE

BURNSVILLE, MN 55337

BURNSVILLE, MN 55337

BURNSVILLE, MN 55306

BURNSVILLE, MN 55337

BURNSVILLE, MN 55337

BURNSVILLE, MN 55337

BURNSVILLE, MN 55306

BURNSVILLE, MN 55306

BURNSVILLE, MN 55337

BURNSVILLE, MN 55337

651/428-1831

952/894-3044

651/208-1988

612/501-8333

952/856-2206

952/405-6729

952/562-5011

612/865-1874

952/232-1110

602/679-0020

Lim-Liab

NProf

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Lim-Liab

Lim-Liab

SLFA-7

TCOMP

COMP

Outpt Surg

ICFIID-7

Amb Surg

(37206)

(01466)

(34677)

(36792)

(32543)

(34231)

(26106)

(35647)

(24147)

(36203)

FAX: /-

FAX: 952/894-1926

FAX: 952/417-6297

FAX: /-

FAX: 612/260-2282

FAX: 952/288-1135

FAX: 651/925-0364

FAX: 612/201-8101

FAX: 952/232-1151

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

BEZA MCKONENE

AARON ODEN

HEATHER MENDOZA

ABDURAHMAN JAMA

ABDURAHMAN JAMA

ADMINI ABDRAHMAN JAMA

JAMES HAMMILL

REGINA STEPNEY

YADESSA TOLA

BASHEIR ELMI

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWSAL-O

HWS-O

HWSAL-O

HWS-O

HWS-O

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97

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

DAKOTA

NERVANA'S CARING HANDS INC

NOAH HOME CARE INC

OPEN ARMS LLC

OPEN ARMS LLC

OPTIONS 29 BRIAR COURT

OPTIONS RESIDENTIAL INC - 37 BRIAR COURT

OPTIONS RESIDENTIAL INC - 1200

OPTIONS RESIDENTIAL INC - 45 BRIAR COURT

PARK NICOLLET SAME DAY SURGERY CENTER

PEOPLE INCORPORATED DAKOTA APARTMENT PROGRAM

2508 RIVER HILLS DRIVE

13521 NICOLLET LANE

14737 INNSBROOK LANE

14737 INNSBROOK LANE

12829 BRIAR COURT

12837 BRIAR COURT

1200 WEST BURNSVILLE PARKWAY

12845 BRIAR COURT

14050 FAIRVIEW DRIVE

1004 WEST BURNSVILLE PARKWAY

BURNSVILLE, MN 55337

BURNSVILLE, MN 55337

BURNSVILLE, MN 55306

BURNSVILLE, MN 55306

BURNSVILLE, MN 55337

BURNSVILLE, MN 55337

BURNSVILLE, MN 55337

BURNSVILLE, MN 55337

BURNSVILLE, MN 55337

BURNSVILLE, MN 55337

612/220-7511

612/366-4932

952/242-5411

952/242-5411

952/999-1899

952/999-1899

952/895-6970

952/999-1899

952/993-9210

651/288-3518

Corp

Corp

Lim-Liab

Lim-Liab

Corp

Corp

Corp

Corp

NProf

NProf

COMP

Amb Surg

(33457)

(35988)

(34510)

(35020)

(27153)

(27394)

(27971)

(27393)

(35036)

(34886)

FAX: 952/854-4633

FAX: /-

FAX: /-

FAX: /-

FAX: 952/217-5677

FAX: 952/217-5677

FAX: 952/521-7567

FAX: 952/217-5677

FAX: 952/993-5936

FAX: 651/454-5000

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

NERVANA RAMDYAL

BARKUNI MOHAMED ABU

FATHIYA HASSAN

FATHIYA HASSAN

JAMES HAMMILL

JAMES HAMMILL

JAMES HAMMILL

JAMES HAMMILL

LAURA LOBERG

JILL WIEDEMANN-WEST

---------------------------********** --------------------------(Cont.)*

HWS

HWSAL-O

HWS-O

HWS-O

HWS-O

HWS-O

HWS-O

HWS-O

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98

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

DAKOTA

PEOPLE INCORPORATED DAKOTA APARTMENT PROGRAM

PEOPLE INCORPORATED DAKOTA APARTMENT PROGRAM

PEOPLE INCORPORATED DAKOTA APARTMENT PROGRAM

PEOPLE INCORPORATED DAKOTA APARTMENT PROGRAM

PROF PORTABLE X RAY INC

RECOVERY HOME HEALTH CARE LLC

RELIEF HOME CARE LLC

RELIEF HOMECARE LLC

RIDGES SURGERY CENTER, LLC

ROYAL CROWN HOMES LLC

1008 WEST BURNSVILLE PARKWAY

1012 WEST BURNSVILLE PARKWAY

1016 WEST BURNSVILLE PARKWAY

1020 WEST BURNSVILLE PARKWAY

755 CLIFF ROAD EAST

754 EAST NICOLLET BOULEVARD

14420 HOLLOW PARK LANE

14420 HOLLOW PARK LANE

14101 FAIRVIEW DRIVE #400

900 WEST 128TH STREET #115

BURNSVILLE, MN 55337

BURNSVILLE, MN 55337

BURNSVILLE, MN 55337

BURNSVILLE, MN 55337

BURNSVILLE, MN 55337

BURNSVILLE, MN 55337

BURNSVILLE, MN 55306

BURNSVILLE, MN 55306

BURNSVILLE, MN 55337

BURNSVILLE, MN 55337

651/288-3518

651/288-3518

651/288-3518

651/288-3518

952/915-9779

612/298-5176

507/202-6082

507/202-6082

952/658-8000

952/800-4733

NProf

NProf

NProf

NProf

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

TCOMP

COMP

Outpt Surg

COMP

XRAY

Amb Surg

(34887)

(34889)

(34890)

(34891)

(22086)

(35110)

(36912)

(34740)

(29969)

(34235)

FAX: 651/454-5000

FAX: 651/454-5000

FAX: 651/454-5000

FAX: 651/454-5000

FAX: 952/915-9597

FAX: /-

FAX: /-

FAX: 612/421-8885

FAX: 952/898-3482

FAX: 612/216-4442

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JILL WIEDEMANN-WEST

JILL WIEDEMANN-WEST

JILL WIEDEMANN-WEST

JILL WIEDEMANN-WEST

SUE MCNAMEE

HALIMA ABDULLAHI

FIDELIS AKONU

FIDELIS AKONY

PATRICK JUSTIN

ROBBY NGANYWA

---------------------------********** --------------------------(Cont.)*

HWS-O

HWS-O

HWS-O

HWS-O

HWS-O

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99

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

DAKOTA

ROYAL CROWN HOMES LLC

ROYAL CROWN HOMES LLC

SENIOR HELPERS

SENIOR RIDE PLUS LLC

SILVER LIGHT SENIOR LIVING

SYNERGY HOMECARE SOUTHERN TWIN CITIES

SYRIAUNA MANOR

THE GENEVA SUITES

THE GENEVA SUITES

THE LODGE ON SUMMIT OAKS

3228 SUNSET LAKE DRIVE

12209 PARKWOOD PLACE

1501 SOUTHCROSS DRIVE WEST

1309 EAST 141ST STREET

1209 EAST 131ST STREET

2999 COUNTY ROAD 42 WEST #200

401 HAROLD DRIVE

2309 WILDWOOD COURT

13909 FRONTIER LANE

1412 SUMMIT OAKS DRIVE

BURNSVILLE, MN 55337

BURNSVILLE, MN 55337

BURNSVILLE, MN 55306

BURNSVILLE, MN 55337

BURNSVILLE, MN 55337

BURNSVILLE, MN 55306

BURNSVILLE, MN 55337

BURNSVILLE, MN 55306

BURNSVILLE, MN 55337

BURNSVILLE, MN 55337

952/800-4733

952/800-4733

952/892-8403

651/829-0049

763/607-8373

952/808-6919

651/414-9982

612/208-8888

612/208-8888

612/200-0901

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Lim-Liab

Corp

Lim-Liab

Lim-Liab

Corp

COMP

COMP

(34345)

(36105)

(25457)

(35766)

(33376)

(34545)

(35218)

(33680)

(32138)

(30445)

FAX: 612/216-4442

FAX: 612/216-4442

FAX: 952/892-8405

FAX: /-

FAX: 952/431-3037

FAX: 952/808-6813

FAX: /-

FAX: 612/358-2222

FAX: 612/358-2222

FAX: 612/487-3607

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ROBINSON NGANYWA

ROBINSON NGANYWA

ALICIA SAYKAO

COREY BIXBY

AYODELE AWOLEYE

ERIC LARSON

NERVANA RAMDYAL

MATT HANLEY

MATT HANLEY

HEATHER HEIJERMAN

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWSAL-O

Home Mgmt

HWSAL

HWS

HWSAL

HWSAL

HWSAL

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100

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

DAKOTA

THE LODGE ON SUMMIT OAKS

THE RIVERS

THE RIVERS

TRINITY HOME HEALTH CARE SERVICES

VALLEY RIDGE

VALLEY RIDGE

ACCREDO HEALTH GROUP, INC.

ALLIANCE ASSISTED LIVING INC

ALLIANCE HEALTH SERVICES, INC.

BROOKDALE EAGAN

1412 SUMMIT OAKS DRIVE

11111 RIVER HILLS DRIVE

11111 RIVER HILLS DRIVE

1713 SOUTH CROSS DRIVE STE B

1921 BURNSVILLE PARKWAY WEST

1921 BURNSVILLE PARKWAY WEST

2915 WATERS ROAD #109

2029 PIN OAK DRIVE

2260 CLIFF ROAD

1365 CRESTRIDGE LANE

BURNSVILLE, MN 55337

BURNSVILLE, MN 55337

BURNSVILLE, MN 55337

BURNSVILLE, MN 55036

BURNSVILLE, MN 55337

BURNSVILLE, MN 55337

EAGAN, MN 55121

EAGAN, MN 55122

EAGAN, MN 55122

EAGAN, MN 55123

612/200-0901

952/890-8553

952/890-8553

952/465-1959

952/882-4000

952/882-4000

877/315-6140

763/742-7284

651/895-8030

651/686-5557

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

NProf

Corp

Corp

Corp

Corp

COMP

COMP

COMP

COMP

COMP

COMP

COMP

HHA

(24877)

(21779)

(29079)

(25834)

(28955)

(29086)

(03256)

(36956)

(02838)

(20508)

FAX: 952/487-3607

FAX: 952/890-9320

FAX: 952/890-9320

FAX: 952/236-0138

FAX: 952/882-4001

FAX: 952/882-4001

FAX: 651/681-0977

FAX: /-

FAX: 651/895-8070

FAX: 651/686-7778

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

HEATHER HEIJERMAN

LAURIE SYKES

LAURIE SYKES

ETYANE AYANA

AMY FEILEN

JAN KOOMEN

JESSICA PERREIRA

ABDIRAHAM SHARIFF

ALANA FIALA

MICHELLE RYAN

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL-O

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101

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

DAKOTA

BROOKDALE EAGAN

BROOKVIEW COTTAGE

BROOKVIEW COTTAGE

CARDENAS FRIENDSHIP HOUSE

CARE MINNESOTA LLC

CLARE BRIDGE OF EAGAN

COMPASSIONATE HEARTS LLC

COMPASSIONATE HEARTS, LLC

EAGAN DIALYSIS UNIT

EAGAN ORTHOPEDIC SURGERY CENTER

1365 CRESTRIDGE LANE

4359 BENT TREE LANE

4359 BENT TREE LANE

1226 WILDERNESS RUN ROAD

4274 DANIEL DRIVE

1365 CRESTRIDGE LANE

1284 BERRY RIDGE ROAD

1284 BERRY RIDGE ROAD

2750 BLUEWATER ROAD #300

2700 VIKINGS CIRCLE #300

EAGAN, MN 55123

EAGAN, MN 55123

EAGAN, MN 55123

EAGAN, MN 55123

EAGAN, MN 55123

EAGAN, MN 55123

EAGAN, MN 55123

EAGAN, MN 55123

EAGAN, MN 55121

EAGAN, MN 55121

651/686-5557

651/340-6540

651/340-6540

651/257-8146

763/415-6596

651/686-5557

952/855-2098

952/855-2098

651/688-0132

952/456-7323

Corp

Corp

Lim-Liab

Corp

Lim-Liab

Corp

Lim-Liab

Lim-Liab

Corp

Lim-Liab

TCOMP

COMP

COMP HCBS

Outpt Surg

ESRD

Amb Surg

(30683)

(35800)

(35992)

(21118)

(37398)

(20508)

(33517)

(35466)

(22530)

(33511)

FAX: 651/686-7778

FAX: 651/788-9663

FAX: 651/788-9663

FAX: 651/257-9245

FAX: 651/369-8031

FAX: 651/686-7778

FAX: 952/686-6025

FAX: 952/686-6025

FAX: /-

FAX: 952/456-7101

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

MICHELLE RYAN

TARA TRUAX-NEWHOUSE

TARA TRUAX-NEWHOUSE

ROBERT CARDENAS

KAMRUL ISLAM

MICHELLE RYAN

FAID ALI

FAID ALI

DEDE BLOOMQUIST

JAKE HALSTENSON

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWS

HWSAL

HWSAL-O

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102

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

DAKOTA

EAGAN POINTE SENIOR LIVING

EAGAN POINTE SENIOR LIVING LLC

EAGAN SURGERY CENTER

EAGANCARE BEHAVIORAL HEALTH SERVICES

EVERBLOOM HOME HEALTH CARE

EVERBLOOM HOME HEALTH CARE

GREEN LIVING GROUP HOME LLC

HAPPY FEET FOOTCARE

HERITAGE HOME HEALTH CARE LLC

HOMETOWN SR LIVING OF EAGAN

4232 BLACK HAWK ROAD

4232 BLACK HAWK ROAD

2620 EAGAN WOODS DRIVE #300

1766 GABBRO TRAIL

3132 B FARNUM DRIVE

1864 BEAR PATH TRAIL

3299 VALLEY RIDGE DRIVE

2121 CLIFF DRIVE

860 BLUE GENTIAN ROAD STE 200

3808 BLACKHAWK RIDGE PLACE

EAGAN, MN 55122

EAGAN, MN 55122

EAGAN, MN 55121

EAGAN, MN 55122

EAGAN, MN 55121

EAGAN, MN 55122

EAGAN, MN 55121

EAGAN, MN 55122

EAGAN, MN 55121

EAGAN, MN 55122

651/724-2312

651/724-2312

651/968-5240

763/639-3356

651/235-7828

651/235-7828

920/664-9288

763/560-5136

651/757-0422

651/688-7045

Lim-Liab

Lim-Liab

Corp

Part

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Lim-Liab

Corp

COMP

Outpt Surg

TCOMP

TCOMP

COMP

COMP HCBS

Amb Surg

(31765)

(31786)

(32385)

(36221)

(34835)

(35547)

(34689)

(02914)

(33164)

(25900)

FAX: 651/330-2423

FAX: 651/330-2423

FAX: 651/730-3532

FAX: /-

FAX: 218/251-7156

FAX: 651/369-2908

FAX: /-

FAX: 763/560-5092

FAX: 651/846-5760

FAX: 651/344-4401

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

KELLY MYERS

KELLY MYERS

BECKIE HINES

JOHN MESA

SALAMAUIT ABRAHAM

SELAM ABRAHAM

ABDINASIR HASSAN

AMY LUZAICH

LENSA ERENNA

MARY HENDRICKS

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL-O

HWS

HWSAL

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103

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

DAKOTA

KEYSTONE COMMUNITIES OF EAGAN, LLC

LAKELAND HOMECARE LLC

LAKELAND HOMECARE LLC

LEXINGTON POINTE SENIOR LIVING

LIVING WELL POPPLER

MCCLISH MANOR

MILLENNIUM HOME SENIOR CARE

MILLENNIUM HOMES LLC

MINNESOTA HOME OF CARE AND COMPASSION LLC

MNGI ENDOSCOPY EAGAN

3810 ALDER LANE

1604 COVINGTON LANE

1604 COVINGTON LANE

3385 DISCOVERY ROAD

3020 POPPLER LANE

4670 SLATER ROAD

1708 MEADOW VIEW ROAD

1708 MEADOW VIEW ROAD

3577 WOODLAND COURTH

1185 TOWN CENTER DRIVE #200

EAGAN, MN 55122

EAGAN, MN 55122

EAGAN, MN 55122

EAGAN, MN 55121

EAGAN, MN 55122

EAGAN, MN 55122

EAGAN, MN 55121

EAGAN, MN 55121

EAGAN, MN 55123

EAGAN, MN 55123

651/379-2410

763/280-6652

763/280-6652

651/364-1400

651/688-8035

651/454-0161

651/230-7732

763/432-5116

614/557-2268

612/871-1145

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

NProf

Corp

Corp

Lim-Liab

Lim-Liab

Corp

COMP

SLFB-6

COMP

TCOMP

COMP

TCOMP

Outpt Surg Amb Surg

(23505)

(33657)

(32934)

(36651)

(20857)

(25523)

(35709)

(34172)

(35759)

(23392)

FAX: 651/379-2431

FAX: /-

FAX: 763/600-8559

FAX: 651/454-4783

FAX: 651/688-8250

FAX: 651/379-4575

FAX: 651/330-4784

FAX: 763/432-5720

FAX: /-

FAX: 612/870-5491

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

BETH LANDERS

ALTAF KHONDAKAR

EUSTUS NGONA

LANCE LEMIEUX

ALEX BUSLEE

LEEANN METZMAKER

VINCENT THAO

SERGEI SELYUKOV

MUJAHIDIN BULLE

SCOTT KETOVER

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL-O

HWSAL

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104

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

DAKOTA

NEW CHALLENGES, INC.

NEW PERSPECTIVE - EAGAN

NEW PERSPECTIVE - EAGAN

PEACEFUL MIND HOMES LLC

PRIORITY CARE HOMES LLC

PRIORITY CARE HOMES LLC

SERENDIPITOUS LIVING

STONEHAVEN SENIOR LIVING

SUMMIT RECOVERY SUITES

THE COMMONS ON MARICE

4670 SLATER ROAD

3810 ALDER LANE

3810 ALDER LANE

3808 BLACKHAWK RIDGE PLACE

1931 BERKSHIRE DRIVE

1931 BERKSHIRE DRIVE

2861 HIGHRIDGE TERRACE

1000 STATION TRAIL

2620 EAGAN WOODS DRIVE STE 200

1380 MARICE DRIVE

EAGAN, MN 55122

EAGAN, MN 55122

EAGAN, MN 55122

EAGAN, MN 55122

EAGAN, MN 55122

EAGAN, MN 55122

EAGAN, MN 55121

EAGAN, MN 55123

EAGAN, MN 55121

EAGAN, MN 55121

651/454-0161

651/379-2410

651/379-2410

651/688-7045

651/666-5060

651/666-5060

651/340-8950

651/686-5366

651/968-5245

651/688-9999

Corp

Lim-Liab

Lim-Liab

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Lim-Liab

COMP

COMP

COMP HCBS

COMP

(25523)

(23505)

(29559)

(25900)

(34339)

(35644)

(34044)

(33967)

(33052)

(20662)

FAX: 651/379-4575

FAX: 651/379-2431

FAX: 651/379-2431

FAX: 651/344-4401

FAX: 612/435-9875

FAX: 612/435-9875

FAX: 651/340-8898

FAX: /-

FAX: 651/730-3538

FAX: 651/688-7888

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

LEEANN METZMAKER

BETH LANDERS

DANIKA ANASTASI

MARY HENDRICKS

ABDI HAJI

ABDI FATAH HAJI

MAYSA SAYAVONGCHANH

ERIN HILLIGAN

ADAM BERRY

DAVID SALMON

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL-O

HWSAL-O

HWSAL

HWS

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105

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

DAKOTA

THE COMMONS ON MARICE

THE GENEVA SUITES

TRUE CARE LIVING LLC

UNVEILING HEALTH LLC

UNVEILING HEALTH LLC

ZACHARY HOME HEALTH CORPORATION

2 CARING HANDS INC

ACCESS RECOVERY CENTER INC

ACCESS RECOVERY CENTER INC.

COMMUNITY ASSISTED LIVING INC

1380 MARICE DRIVE

1599 BLACKHAWK LAKE DRIVE

1145 MAPLE STREET

4660 SLATER ROAD #230

4660 SLATER ROAD #230

680 SUMMER LANE

18712 EUCLID PATH

17365 FONTANA PATH

17365 FONTANA PATH

911 HONEYSUCKLE LANE

EAGAN, MN 55121

EAGAN, MN 55122

EAGAN, MN 55121

EAGAN, MN 55122

EAGAN, MN 55122

EAGAN, MN 55123

FARMINGTON, MN 55024

FARMINGTON, MN 55024

FARMINGTON, MN 55024

FARMINGTON, MN 55024

651/688-9999

612/208-8888

612/701-6716

651/340-9387

651/460-9387

651/583-4953

651/344-8627

763/400-1366

763/400-1366

651/460-2902

ONProf

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Corp

Corp

Corp

Corp

TCOMP

BASIC

TCOMP HCBS

COMP

TCOMP

(30751)

(32699)

(35211)

(31618)

(35400)

(23615)

(31747)

(35836)

(36916)

(26001)

FAX: 651/688-7888

FAX: 612/358-2222

FAX: /-

FAX: /-

FAX: /-

FAX: 651/797-3529

FAX: 651/344-8628

FAX: /-

FAX: /-

FAX: 651/460-2217

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ELAINE BURTON

MATT HANLEY

MOHAMED JAMA

AARON OSGOOD

AARON OSGOOD

VICTOR BANGURA

ANN RAMNARAIN

ABDIFATAH ALI

ABDIFATAH ALI

DONNA NOVAK

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL-O

HWSAL

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106

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

DAKOTA

FARMINGTON HEALTH SERVICES

GOLDEN GRAND HOME CARE LLC

GOLDEN GRAND HOMECARE LLC

PAUL'S PLACE

RELIEF HOMECARE LLC

RIVER VALLEY HOME CARE, INC.

RIVER VALLEY HOME CARE, INC.

SENIOR FRIEND HOME CARE

THE LEGACY OF FARMINGTON

THE LEGACY OF FARMINGTON

905 ELM STREET

5356 184TH STREET WEST

18036 DUNCAN CIRCLE

22355 ALBATROSS CIRCLE

700 14TH STREET

916 8TH STREET

916 8TH STREET

18556 PILOT KNOB ROAD STE 204

22300 DENMARK AVENUE

22300 DENMARK AVENUE

FARMINGTON, MN 55024

FARMINGTON, MN 55024

FARMINGTON, MN 55024

FARMINGTON, MN 55024

FARMINGTON, MN 55024

FARMINGTON, MN 55024

FARMINGTON, MN 55024

FARMINGTON, MN 55024

FARMINGTON, MN 55024

FARMINGTON, MN 55024

651/460-1138

651/442-0622

651/333-9504

651/734-9633

507/202-6082

651/460-4201

651/460-4201

612/804-2349

651/463-2933

651/463-2933

NProf

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Corp

Lim-Liab

Lim-Liab

Lim-Liab

COMP

COMP

SLFA-6

COMP

COMP

COMP

HHA

(21782)

(36305)

(32336)

(25956)

(35409)

(03533)

(20797)

(32100)

(33063)

(33271)

FAX: 651/252-2009

FAX: 651/344-8392

FAX: 651/344-8392

FAX: 651/734-9533

FAX: /-

FAX: 651/460-4208

FAX: 651/460-4208

FAX: 651/454-2736

FAX: 612/263-6991

FAX: 612/263-6992

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ELIZABETH LETICH

SHEWIT GHEBREZGHI

SHEWIT GHEBREZGHI

JENNIFER FRAZER JOHN

FIDELIS AKONU

RACHELLE PARISEAU

RACHELLE PARISEAU

LISA FLYNN

ERIKA JOHNSON

ERICKA JOHNSON

---------------------------********** --------------------------(Cont.)*

HWSAL

HWS-O

Home Mgmt

HWSAL

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107

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

DAKOTA

TRINITY CARE CENTER

TRINITY HOSPITAL AND CARE CENTER

TRINITY SUITES

TRINTY TERRACE

ZACHARY HOME HEALTH CORP

AUGUSTANA CARE HASTINGS HEALTH AND REHABILITATION

BETHEL CARE SERVICES

BETHEL CARE SERVICES, INC

BETHEL CARE SERVICES, INC

COCHRAN RECOVERY SERVICES INC

905 ELM STREET

905 ELM STREET

205 11TH STREET

3330 213TH STREET WEST

3285 197TH STREET WEST

930 WEST 16TH STREET

1150 4TH STREET WEST

1150 4TH STREET WEST

1180 TEAL WAY

1294 EAST 18TH STREET BLDG 1

FARMINGTON, MN 55024

FARMINGTON, MN 55024

FARMINGTON, MN 55024

FARMINGTON, MN 55024

FARMINGTON, MN 55024

HASTINGS, MN 55033

HASTINGS, MN 55033

HASTINGS, MN 55033

HASTINGS, MN 55033

HASTINGS, MN 55033

651/463-7818

651/463-7818

651/252-2073

651/460-1104

763/742-0979

651/437-6176

651/706-2860

651/706-2860

651/706-2860

651/437-4209

NProf

NProf

NProf

NProf

Corp

NProf

Corp

Corp

Corp

NProf

NH-84

NH-84

NH-80

TCOMP

SLFB-27

SNF-NF-84

SNF-NF-84

SNF-NF-80

(00101)

(00101)

(28776)

(20413)

(33725)

(00877)

(36024)

(36156)

(36650)

(01406)

FAX: 651/460-1165

FAX: 651/460-1165

FAX: 651/252-2077

FAX: 651/252-2060

FAX: 651/797-3523

FAX: 651/480-2120

FAX: 651/319-0940

FAX: 651/319-0940

FAX: 651/319-0940

FAX: 651/438-4144

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ELIZABETH LETICH

ELIZABETH LETICH

ELIZABETH LETICH

ELIZABETH LETICH

VICTOR BANGURA

PAUL LUITJENS

NELSON ABATAN

NELSON FEMI ABATAN

NELSON FEMI ABATAN

RICK TERZICK

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWS

HWS-O

HWS-O

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108

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

DAKOTA

FRAZIER RECOVERY HOMES LLC

FRAZIER RECOVERY HOMES LLC

FRAZIER RECOVERY HOMES LLC

FRESENIUS MEDICAL CARE TWO RIVERS

HENRY HAGEN RESIDENCE

HISTORICAL HASTINGS DIALYSIS

INDEPENDENT ENDEAVORS LLC

MINNESOTA VETERANS HOME - HASTINGS

OAK RIDGE ASSISTED LIVING OF HASTINGS

PARK RIDGE APARTMENTS HASTINGS

2117 PINE STREET

543 MCNAMARA STREET

574 KENDALL DRIVE

1355 SOUTH FRONTAGE ROAD #380

19845 LILLEHEI AVENUE

1828 MARKET BOULEVARD

1120 SIBLEY STREET APT #3

1200 EAST 18TH STREET

1128 BAHLS DRIVE

901 WEST 16TH STREET

HASTINGS, MN 55033

HASTINGS, MN 55033

HASTINGS, MN 55033

HASTINGS, MN 55033

HASTINGS, MN 55033

HASTINGS, MN 55033

HASTINGS, MN 55033

HASTINGS, MN 55033

HASTINGS, MN 55033

HASTINGS, MN 55033

651/895-4440

651/895-4440

651/895-4440

651/437-0256

612/770-0304

651/438-2155

651/600-7805

651/539-2401

651/438-0418

651/480-6300

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Ind

Corp

Lim-Liab

State

Lim-Liab

NProf

SLFA-6

BCH-200

ESRD

ICFIID-6

ESRD

(33561)

(34025)

(32184)

(30288)

(01091)

(30790)

(35015)

(00788)

(30750)

(30651)

FAX: 651/528-7030

FAX: 651/528-7030

FAX: 651/895-4440

FAX: 651/437-0268

FAX: 651/224-0624

FAX: 651/438-2177

FAX: /-

FAX: 651/437-2203

FAX: /-

FAX: 651/480-6348

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ELIZABETH REZEK

ELIZABETH REZEK

ELIZABETH REZEK

SCOTT SCHAUB

LAURA FAULKNER

ALICIA VALVICK

MCKENZIE EURIGA

MICHAEL RH ANDERSON

CHARLES PETRICH

TAMMY HASE

---------------------------********** --------------------------(Cont.)*

HWS-O

HWS-O

HWS-O

HWS-O

HWSAL

HWSAL

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109

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

DAKOTA

PARK RIDGE APARTMENTS OF HASTINGS

PEACEFUL LIVING, LLC

REGINA ASSISTED LIVING

REGINA ASSISTED LIVING

REGINA HOSPITAL

REGINA MEDICAL CENTER

BROOKDALE INVER GROVE HEIGHTS

BROOKDALE INVER GROVE HEIGHTS

CARECO APARTMENTS, INC.

COMFORT KEEPERS

901 WEST 16TH STREET

1687 FALLBROOKE DRIVE

1175 NININGER ROAD

1175 NININGER ROAD

1175 NININGER ROAD

1175 NININGER ROAD

5891 CARMEN AVENUE

5891 CARMEN AVENUE

6115 CARMEN AVENUE EAST

1870 50TH STREET EAST STE 7

HASTINGS, MN 55033

HASTINGS, MN 55033

HASTINGS, MN 55033

HASTINGS, MN 55033

HASTINGS, MN 55033

HASTINGS, MN 55033

INVER GROVE HEIGHTS, MN 55076

INVER GROVE HEIGHTS, MN 55076

INVER GROVE HEIGHTS, MN 55076

INVER GROVE HEIGHTS, MN 55077

651/480-6300

651/437-4402

651/404-7923

651/480-4333

651/404-1000

651/404-7951

651/306-0919

651/306-0919

651/451-1756

651/330-3071

NProf

Lim-Liab

NProf

NProf

NProf

NProf

Corp

Corp

Corp

Lim-Liab

COMP

COMP

HOSP-57 BASS-12

NH-57

COMP

SLFA-14

COMP

HOSP-37 PPS-P-20

SNF-NF-57

ICFIID-14

(26858)

(31220)

(20006)

(30246)

(30086)

(00100)

(20419)

(30627)

(01503)

(27804)

FAX: 651/480-6348

FAX: 715/386-0873

FAX: 651/404-7980

FAX: 651/404-7980

FAX: 651/404-1460

FAX: 651/404-7980

FAX: 651/306-1020

FAX: 651/306-1020

FAX: 651/451-1803

FAX: 651/330-3721

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ANNA AMY

IRENE PREGL

CHERYL HIGH

ELLEN GROSS

HELEN STRIKE

CHERYL HIGH

LINDSEY MARUSICH

LINDSEY MARUSICH

REDHEART REDHEART

DOUGLAS MEYERS

---------------------------********** --------------------------(Cont.)*

HWS-O

HWSAL

HWSAL

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110

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

DAKOTA

COSMO HOME HEALTHCARE LLC

FRAZIER RECOVERY HOMES LLCS

GATEWAY RECOVERY CENTER LLC

GONDOLA GROUP INC

GONDOLA GROUP INC

GOOD SAMARITAN SOCIETY - INVER GROVE HEIGHTS

GREAT HOME ALISON MN LLC

GREAT HOME MINNESOTA LLC

GREAT HOME MN AVIARY

GREAT HOME MN LLC

6425 DAWN WAY

7741 BANKS COURT

6775 CAHILL AVENUE

2700 62ND STREET EAST

8615 BIRCH BOULEVARD

1301 50TH STREET EAST

10652 ALISON WAY

8668 ALVARADO COURT

8811 AVIARY PATH

8811 AVIARY PATH

INVER GROVE HEIGHTS, MN 55076

INVER GROVE HEIGHTS, MN 55077

INVER GROVE HEIGHTS, MN 55076

INVER GROVE HEIGHTS, MN 55076

INVER GROVE HEIGHTS, MN 55076

INVER GROVE HEIGHTS, MN 55077

INVER GROVE HEIGHTS, MN 55077

INVER GROVE HEIGHTS, MN 55077

INVER GROVE HEIGHTS, MN 55077

INVER GROVE HEIGHTS, MN 55077

612/314-2045

651/895-4440

651/999-3537

952/270-6586

952/270-6586

651/451-1853

651/983-2005

651/983-2005

651/983-2005

651/983-2005

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Corp

NProf

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

SLFA-4 SLFB-14

NH-46

COMP

SNF-NF-46

(37294)

(33921)

(36046)

(25528)

(30555)

(00022)

(35473)

(35520)

(33375)

(33124)

FAX: 612/314-8022

FAX: 651/528-7030

FAX: 651/305-0193

FAX: 651/322-4807

FAX: 651/322-4807

FAX: 651/451-7515

FAX: 651/305-1111

FAX: 651/305-1111

FAX: 651/305-1111

FAX: 651/305-1111

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ABDIRASHID AHMID

ELIZABETH REZEK

STEPHANIE GOODE

DARLENE DAVIS

DARLENE DAVIS

PAMELA SCHULTZ

RONNIE LINSANGAN AVILES

GRACIELA AVILES

GRACIELA AVILES

RONIE AVILES

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWS-O

HWS

HWS

HWSAL

HWSAL

HWSAL

Page 148: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

111

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

DAKOTA

INVER GROVE HEIGHTS WHITE PINE

INVER GROVE HEIGHTS WHITE PINE

INVER GROVE HEIGHTS WP II LLC

INVER GROVE HEIGHTS WP II, LLC

INVER GROVE HEIGHTS WP, LLC

INVERWOOD SENIOR LIVING

INVERWOOD SENIOR LIVING

LIVING HOPE HOMES - INVER GROVE HEIGHTS

LIVING HOPE HOMES-INVER GROVE HEIGHTS SOUTH

LIVING WELL UPPER 55TH

9056 BUCHANAN TRAIL

9056 BUCHANAN TRAIL

9058 BUCHANAN TRAIL

9058 BUCHANAN TRAIL

9056 BUCHANAN TRAIL

7260 SOUTH ROBERT TRAIL

7260 SOUTH ROBERT TRAIL

5039 BRENT AVENUE

5641 BABCOCK TRAIL

1885 UPPER 55TH STREET EAST

INVER GROVE HEIGHTS, MN 55077

INVER GROVE HEIGHTS, MN 55077

INVER GROVE HEIGHTS, MN 55077

INVER GROVE HEIGHTS, MN 55077

INVER GROVE HEIGHTS, MN 55077

INVER GROVE HEIGHTS, MN 55077

INVER GROVE HEIGHTS, MN 55077

INVER GROVE HEIGHTS, MN 55076

INVER GROVE HEIGHTS, MN 55077

INVER GROVE HEIGHTS, MN 55077

651/306-9886

651/306-9886

651/455-6549

651/455-6549

651/306-9886

651/492-6535

651/312-5800

651/340-9387

651/340-9387

651/552-8748

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Group

NProf

COMP

COMP

COMP

COMP

SLFB-6

(26132)

(30696)

(27377)

(27378)

(26132)

(30647)

(26833)

(36673)

(37155)

(20938)

FAX: 651/306-9888

FAX: 651/306-9888

FAX: 651/455-6559

FAX: 651/455-6559

FAX: 651/306-9888

FAX: 651/330-2423

FAX: 651/450-0159

FAX: 651/493-9380

FAX: 651/493-9380

FAX: 651/552-8794

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

RHONDA SCHILLINGER

RHONDA SCHILLINGER

RHONDA SCHILLINGER

RHONDA SCHILLINGER

RHONDA SCHILLINGER

KELLY MYERS

KELLY MYERS

AARON OSGOOD

AARON OSGOOD

KIT PILTINGSRUD

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL

Page 149: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

112

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

DAKOTA

METRO CARE HUMAN SERVICES

METRO CARE HUMAN SERVICES

PRESBYTERIAN HOMES OF INVER GROVE

SPECTRUM COMMUNITY HEALTH, INC.

SPECTRUM COMMUNITY HEALTH, INC.

STERLING HOUSE OF INVER GROVE HEIGHTS

SUITE LIVING SENIOR CARE OF INVER GROVE HEIGHTS

TIMBER HILLS

WOODLYN HEIGHTS HEALTHCARE CENTER

2 CARING HANDS

2545 70TH STREET EAST UNIT A

2545 70TH STREET EAST UNIT B

6307 BURNHAM CIRCLE

6205 CROSSMAN LANE

6205 CROSSMAN LANE

5891 CARMEN AVENUE

7900 AUSTIN WAY

6305 BURNHAM CIRCLE

2060 UPPER 55TH STREET EAST

20752 GEMINI TRAIL

INVER GROVE HEIGHTS, MN 55076

INVER GROVE HEIGHTS, MN 55076

INVER GROVE HEIGHTS, MN 55076

INVER GROVE HEIGHTS, MN 55076

INVER GROVE HEIGHTS, MN 55076

INVER GROVE HEIGHTS, MN 55076

INVER GROVE HEIGHTS, MN 55077

INVER GROVE HEIGHTS, MN 55076

INVER GROVE HEIGHTS, MN 55077

LAKEVILLE, MN 55044

651/348-6211

651/348-6211

651/552-2800

651/451-0569

651/451-0569

651/306-0919

651/770-2273

651/552-2800

651/451-1881

952/486-9292

Corp

Corp

NProf

Corp

Corp

Corp

Lim-Liab

NProf

Corp

Corp

COMP

COMP

COMP

COMP

NH-79

COMP

HHA

SNF-NF-79

(36159)

(36160)

(27965)

(02168)

(21030)

(20419)

(36603)

(21981)

(00829)

(23850)

FAX: 651/528-7897

FAX: 651/528-7897

FAX: 651/552-2801

FAX: 651/455-1179

FAX: 651/455-1179

FAX: 651/306-1020

FAX: 651/666-1975

FAX: 651/552-2801

FAX: 651/451-3378

FAX: 651/344-8628

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ARNOLD KUBEI

ARNOLD KUBEI

JAN KOOMEN

DIANE VON RUDEN

NATALIE WILKENS

LINDSEY MARUSICH

JOEL LARSON

STACY CARLSRUD

GEOFFREY MINARIK

ANN MURGASEN

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

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113

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

DAKOTA

BEEHIVE HOME OF LAKEVILLE

BEEHIVE HOMES OF LAKEVILLE

BILLIE'S CHOICE LLC

DIVINE CARE LLC

FRESENIUS MED CARE LAKEVILLE

GEMINI MANOR

GEMINI MANOR

GOLDEN MAPLE HOMES INC

GONDOLA GROUP INC

ICELAND MANOR

20159 IBERIA AVENUE

20159 IBERIA AVENUE

20311 HAMPTON AVENUE

16125 HYLAND AVENUE

17592 DODD BOULEVARD

20752 GEMINI TRAIL

20752 GEMINI TRAIL

21338 DODD BOULEVARD

19113 INMAN COURT

20541 ICELAND AVENUE

LAKEVILLE, MN 55044

LAKEVILLE, MN 55044

LAKEVILLE, MN 55044

LAKEVILLE, MN 55044

LAKEVILLE, MN 55044

LAKEVILLE, MN 55044

LAKEVILLE, MN 55044

LAKEVILLE, MN 55044

LAKEVILLE, MN 55044

LAKEVILLE, MN 55044

952/683-1299

952/683-1299

952/653-1899

612/423-9765

952/431-1148

952/486-9292

952/985-6495

952/393-3690

952/457-3619

952/236-8192

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

NProf

Corp

Corp

Corp

Corp

Corp

COMP

TCOMP

COMP

COMP

COMP

ESRD

(35127)

(34864)

(35255)

(25125)

(32225)

(23850)

(30432)

(35569)

(24603)

(25395)

FAX: 952/683-1438

FAX: 952/683-1438

FAX: 952/236-6402

FAX: 952/426-3745

FAX: 952/431-7360

FAX: 651/344-8628

FAX: 952/233-8871

FAX: 952/892-7806

FAX: 651/322-4807

FAX: 651/344-8998

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JIN FANG

JIN FANG

MARISARAH LARVICK

FENTEZIA ZEWDIE

KATHRYN KING

ANN MURGASEN

ANN MURGASEN

CAROL FILLMORE

DARLENE DAVIS

MOOTOO MURGASEN

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

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114

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

DAKOTA

INTEGRA HOME CARE

JAN CAN LLC

JBS HOMES LLC

JBS HOMES LLC

KINGSLEY PLACE

KINGSLEY SHORES SENIOR LIVING

LAKEVILLE DIALYSIS

MINNESOTA HOSPICE LLC

NOAH HOME CARE INC

RIVER RIDGE, LLC-GLEN CREEK LODGE

20730 HOLYOKE AVENUE #125

17715 LANDMARK COURT

16560 JACKDAW PATH

16560 JACKDAW PATH

16890 KLAMATH TRAIL

16880 KLAMATH TRAIL

20184 HERITAGE DRIVE

17645 JUNIPER PATH #155

20310 DODD BOULEVARD #2

16005 JOPLIN AVENUE

LAKEVILLE, MN 55044

LAKEVILLE, MN 55044

LAKEVILLE, MN 55044

LAKEVILLE, MN 55044

LAKEVILLE, MN 55044

LAKEVILLE, MN 55044

LAKEVILLE, MN 55044

LAKEVILLE, MN 55044

LAKEVILLE, MN 55044

LAKEVILLE, MN 55044

952/985-0672

612/719-8072

952/237-9138

952/237-9138

952/435-8002

952/435-8002

952/985-5438

952/898-1022

612/366-4932

952/894-7722

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Lim-Liab

Corp

Lim-Liab

COMP

COMP

Hospice

TCOMP

SLFA-16

ESRD

HSPICE

(25579)

(33284)

(34888)

(35471)

(37094)

(29470)

(32599)

(25486)

(35393)

(32962)

FAX: 952/985-0675

FAX: /-

FAX: /-

FAX: /-

FAX: 952/435-4070

FAX: 952/435-4070

FAX: 952/469-9742

FAX: 952/898-4006

FAX: /-

FAX: 952/288-2174

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

DIMITRIY PAPKOV

JAN INGHAM

SUCDI AHMED

REV. JOHN BRECOUNT

DANISA BARNATT

DENISE BARNETT

DANI KASPER

KENNETH HAGLIND

BARKUNI ABU

BRIAN SAMMON

---------------------------********** --------------------------(Cont.)*

Home Mgmt

HWSAL

HWS

HWSAL

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115

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

DAKOTA

ROY MANOR

SENIORS AT HOME INC

SENIORS CARING FOR SENIORS

SPYGLASS MANOR

SUPERIOR HOME CARE NURSING LLC

THE FOUNTAINS AT HOSANNA!

THE MOMENTS OF LAKEVILLE

TWIN CITY WOUND & OSTOMY ASSOCIATES

UNITED HOMES SERVICES

WALKER METHODIST HIGHVIEW HILLS

9220 207TH STREET WEST

19950 DODD BOULEVARD

16255 GROVE TRAIL

7166 205TH STREET WEST

10603 165TH STREET WEST

9850 163RD STREET WEST

16258 KENYON AVENUE

9483 208TH STREET WEST

20711 HOLT AVENUE #654

20150 HIGHVIEW AVENUE

LAKEVILLE, MN 55044

LAKEVILLE, MN 55044

LAKEVILLE, MN 55044

LAKEVILLE, MN 55044

LAKEVILLE, MN 55044

LAKEVILLE, MN 55044

LAKEVILLE, MN 55044

LAKEVILLE, MN 55044

LAKEVILLE, MN 55044

LAKEVILLE, MN 55044

952/486-9292

952/520-3211

952/381-7691

952/985-6495

952/898-5400

952/435-7199

952/873-1700

952/985-0747

612/562-0561

952/985-9000

Corp

Corp

Lim-Liab

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Lim-Liab

NProf

TBASIC

COMP

COMP

TCOMP HCBS

COMP

(34952)

(35953)

(36069)

(27193)

(32178)

(29049)

(33524)

(26657)

(35724)

(26626)

FAX: 651/344-8998

FAX: /-

FAX: /-

FAX: 952/469-9751

FAX: 952/898-5454

FAX: 952/236-4687

FAX: 952/595-6351

FAX: 952/985-0749

FAX: /-

FAX: 952/985-7271

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ANN MURGASEN

JILL BUFFIE

JANE KOENIG

ANN RAMNARAIN

HOWARD JONES

ERIN HILLIGAN, VP OF OPER

ELIZABETH WRIGHT

JULIE ROSKAMP

MOHAMED MOHAMED

CANDACE MCCARTY

---------------------------********** --------------------------(Cont.)*

HWSAL

Home Mgmt

HWSAL

HWSAL

HWSAL

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116

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

DAKOTA

WALKER METHODIST HIGHVIEW HILLS

LILYDALE SENIOR LIVING

LILYDALE SENIOR LIVING

EVERYDAY LIVING LLC

CORAM CVS/SPECIALTY INFUSION SERVICES

FAMILY CHOICE HOMECARE

HEART TO HOME

HEART TO HOME INC

HEART TO HOME INCORPORATED

HEART TO HOME INCORPORATED

20150 HIGHVIEW AVENUE

949 SIBLEY MEMORIAL HIGHWAY

949 SIBLEY MEMORIAL HIGHWAY

320 EAST STREET

2345 WATERS DRIVE

2486 POND CIRCLE WEST

2370 ROGERS AVENUE

2351 PAGEL ROAD

659 MULBERRY LANE

595 MENDOTA ROAD

LAKEVILLE, MN 55044

LILYDALE, MN 55118

LILYDALE, MN 55118

MENDOTA, MN 55150

MENDOTA HEIGHTS, MN 55120

MENDOTA HEIGHTS, MN 55120

MENDOTA HEIGHTS, MN 55120

MENDOTA HEIGHTS, MN 55120

MENDOTA HEIGHTS, MN 55118

MENDOTA HEIGHTS, MN 55118

952/985-9000

651/454-6853

651/767-9545

651/688-7173

651/452-5600

612/354-5747

651/454-5250

651/454-5250

651/454-5250

651/454-5250

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Corp

Corp

Corp

Corp

Corp

COMP

COMP

COMP

COMP

(30735)

(29017)

(29018)

(32566)

(02446)

(21807)

(33531)

(26147)

(25755)

(31990)

FAX: 952/985-7271

FAX: 651/454-4783

FAX: 651/457-2844

FAX: 651/688-0525

FAX: 651/452-6273

FAX: 844/254-1239

FAX: 651/686-5295

FAX: 651/686-5295

FAX: 651/686-5295

FAX: 651/686-5295

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

CANDACE ROVANG

KELLY MYERS

KELLY MYERS

JEFF JOHNSON

JEREMY TREVINO

CASSANDRA JOHNSON

JOSHUA CESARO-MOXLEY

JOSHUA CESARO-MOXLEY

JOSHUA CESARO-MOXLEY

JOSHUA CESARO-MOXLEY

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWS-O

HWSAL

HWSAL

HWSAL

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117

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

DAKOTA

HEART TO HOME, INC.

KALEB, INC.

LIVING WELL - CARMEN

LIVING WELL - DIANE

LIVING WELL - MARY ADELE

LIVING WELL - VICTORIA

MARGARET'S HOUSE

MENDOTA HEIGHTS WHITE PINE

MENDOTA HEIGHTS WP, LLC

THE LODGE OF MENDOTA

659 MULBERRY LANE

869 MENDAKOTA COURT

915 CARMEN LANE

1668 DIANE ROAD

1055 MARY ADELE AVENUE

2031 VICTORIA ROAD SOUTH

2535 CONDON COURT

745 SOUTH PLAZA DRIVE

745 SOUTH PLAZA DRIVE

664 FREEWAY ROAD NORTH

MENDOTA HEIGHTS, MN 55118

MENDOTA HEIGHTS, MN 55120

MENDOTA HEIGHTS, MN 55118

MENDOTA HEIGHTS, MN 55118

MENDOTA HEIGHTS, MN 55120

MENDOTA HEIGHTS, MN 55118

MENDOTA HEIGHTS, MN 55120

MENDOTA HEIGHTS, MN 55120

MENDOTA HEIGHTS, MN 55120

MENDOTA HEIGHTS, MN 55118

651/454-5250

612/337-6124

651/405-0569

651/686-7872

651/365-8707

651/452-4295

651/686-0518

651/788-7010

651/788-7010

612/200-0901

Corp

Corp

NProf

NProf

NProf

NProf

Lim-Liab

Lim-Liab

Lim-Liab

Corp

COMP

SLFB-6

SLFB-6

SLFB-6

SLFB-12

SLFA-10

COMP

ICFIID-6

ICFIID-12

(25756)

(21957)

(21108)

(01646)

(20941)

(01359)

(21238)

(29408)

(29407)

(32458)

FAX: 651/686-5295

FAX: 651/905-9908

FAX: 651/405-0559

FAX: 651/686-6572

FAX: 651/365-8708

FAX: 651/452-4296

FAX: 651/686-0526

FAX: 651/788-7129

FAX: 651/788-7129

FAX: 952/487-3607

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JOSHUA CESARO

STEVEN WEINTRAUT

JENNI ZEIS

JORDAN PEARSON

ZACH EMMONS

DEVONA VERDEJA

JENNIFER FRAZER JOHN

RHONDA SCHILLINGER

RHONDA SCHILLINGER

HEATHER HEIJERMAN

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

Page 155: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

118

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

DAKOTA

CARING HEARTS RESIDENTIAL

BENEDICTINE LIVING COMMUNITY OF NORTHFIELD, LLC

BENEDICTINE LIVING COMMUNITY OF NORTHFIELD, LLC

NORTHFIELD CITY HOSPITAL

NORTHFIELD HOSPICE

NORTHFIELD HOSPITAL LONG TERM CARE CENTER

LIGHTCARE GROUP HOMES LLC

OPTIONS WASHINGTON

ALMOST FAMILY HOME CARE LLC

CIMARRON

5812 46TH AVENUE SOUTH

2030 NORTH AVENUE

2030 NORTH AVENUE

2000 NORTH AVENUE

1604 RIVERVIEW DRIVE

2000 NORTH AVENUE

7539 16TH AVENUE SOUTH

7601 18TH AVENUE SOUTH

13946 ADDISON AVENUE

14673 CIMARRON AVENUE WEST

MINNEAPOLIS, MN 55411

NORTHFIELD, MN 55057

NORTHFIELD, MN 55057

NORTHFIELD, MN 55057

NORTHFIELD, MN 55057

NORTHFIELD, MN 55057

RICHFIELD, MN 55423

RICHFIELD, MN 55423

ROSEMOUNT, MN 55068

ROSEMOUNT, MN 55068

952/855-2098

507/216-4468

507/650-5022

507/646-1001

507/646-1457

507/646-1001

952/288-9420

952/564-3030

651/746-9679

651/334-8580

Lim-Liab

NProf

NProf

City

City

City

Lim-Liab

Corp

Lim-Liab

Lim-Liab

COMP

NH-40 HOSP-37 BASS-12

Hospice

NH-40 HOSP-37 BASS-12

COMP

COMP

SNF-NF-40 HOSP-37

HSPICE

SNF-NF-40 HOSP-37

(36890)

(35421)

(35253)

(00566)

(02880)

(00566)

(34860)

(35924)

(34561)

(27280)

FAX: 952/686-6025

FAX: 507/216-4468

FAX: 507/403-0993

FAX: 507/646-1392

FAX: 507/646-1395

FAX: 507/646-1392

FAX: 612/866-3014

FAX: 952/217-5677

FAX: /-

FAX: 952/920-6929

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

SAEED BARRE

PENELOPE VIGGIANO

KENNETH KIRKMAN

STEVE UNDERDAHL

TAMMY HAYES

STEVE UNDERDAHL

MARYAM MOHAMED

JAMES HAMMILL

ASHLEY SCHULKERS

LUIS OROZCO

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWS-O

HWS

Page 156: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

119

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

DAKOTA

EASTWOOD SENIOR LIVING HOME CARE

GONDOLA GROUP, INC.

HSL OF ROSEMOUNT

ROSEMOUNT COURT

ROSEMOUNT HOME CARE

ROSEVIEW

THE ROSEMOUNT

RECOVERY HOME HEALTH CARE LLC

SISTERS ASSISTANT LIVING CARE LLC

TENDER CARE PROVIDERS

14344 CAMEO AVENUE

4307 159TH COURT WEST

12591 SHANNON PARKWAY

3710 145TH STREET WEST

14344 CAMEO AVENUE

14665 CHILI AVENUE WEST

14344 CAMEO AVENUE WEST

717 TERRACE DRIVE

2120 WILLIAM STREET

1794 SWITCHGRASS CIRCLE

ROSEMOUNT, MN 55068

ROSEMOUNT, MN 55068

ROSEMOUNT, MN 55068

ROSEMOUNT, MN 55068

ROSEMOUNT, MN 55068

ROSEMOUNT, MN 55068

ROSEMOUNT, MN 55068

ROSEVILLE, MN 55113

ROSEVILLE, MN 55113

SHAKOPEE, MN 55379

952/855-5088

952/270-6586

651/423-7012

651/423-2016

952/855-5088

651/344-8660

651/322-4222

952/212-6802

651/358-3188

612/203-5847

NProf

Corp

Corp

Corp

NProf

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

COMP

COMP

(27518)

(25861)

(27389)

(26024)

(27518)

(26047)

(32151)

(35916)

(37037)

(36678)

FAX: 952/855-5001

FAX: 651/322-4807

FAX: 651/344-4401

FAX: 651/379-4575

FAX: 952/855-5001

FAX: 952/920-6929

FAX: /-

FAX: 651/797-3598

FAX: 651/331-4387

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

MARY JO THORNE

DARLENE DAVIS

MARY HENDRICKS

SUE FRIES

MARY JO THORNE

LUIS OROZCO

MARY JO THORNE

HALIMA ABDULLAHI

ASLI WARSAME

AHMED MOHAMED

---------------------------********** --------------------------(Cont.)*

HWS

HWSAL

HWSAL-O

HWS

HWSAL

HWSAL

HWSAL

HWS-O

Page 157: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

120

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

DAKOTA

TENDER CARE PROVIDERS LLC

HEALTHEAST RESIDENCE SOUTH ST. PAUL

VISTA PRAIRIE AT RIVER HEIGHTS, LLC

1-0 GRANNY'S HELPFUL HANDS LLC

EVERYDAY LIVING LLC

FRAZIER RECOVERY HOME

FRAZIER RECOVERY HOMES

FRAZIER RECOVERY HOMES LLC

FRAZIER RECOVERY HOMES LLC

HOME WITH YOU COMPANION CARE LLC

1794 SWITCHGRASS CIRCLE

744 19TH AVENUE NORTH

744 19TH AVENUE NORTH

516 STEWART AVENUE

355 15TH AVENUE NORTH

1457 8TH AVENUE SOUTH

211 POPLAR STREET EAST

1457 7TH AVENUE SOUTH

633 5TH AVENUE SOUTH

3 APFELRIDGE COURT

SHAKOPEE, MN 55379

SOUTH ST PAUL, MN 55075

SOUTH ST PAUL, MN 55075

SOUTH ST. PAUL, MN 55075

SOUTH ST. PAUL, MN 55075

SOUTH ST. PAUL, MN 55075

SOUTH ST. PAUL, MN 55075

SOUTH ST. PAUL, MN 55075

SOUTH ST. PAUL, MN 55075

SOUTH ST. PAUL, MN 55075

612/203-5847

651/326-6500

651/326-6500

612/824-1177

651/688-7173

651/895-4440

651/895-4440

651/895-4440

651/895-4440

651/262-3916

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

TCOMP

COMP HCBS

COMP HCBS

COMP

(36088)

(21008)

(21008)

(32951)

(29863)

(37093)

(36666)

(33560)

(34083)

(28816)

FAX: /-

FAX: 651/326-6506

FAX: 651/326-6506

FAX: 612/824-1177

FAX: 651/688-0525

FAX: 651/528-7030

FAX: 651/528-7030

FAX: 651/528-7030

FAX: 651/528-7030

FAX: 612/643-5172

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

AHMED MOHAMED

JAMES BETTENDORF

JAMES BETTENDORF

ROBIN STEPNEY

JEFF JOHNSON

ELIZABETH REZEK

ELIZABETH REZEK

ELIZABETH REZEK

ELIZABETH REZEK

TONI WAKEM

---------------------------********** --------------------------(Cont.)*

HWS-O

HWS-O

HWS-O

HWS-O

HWS-O

Home Mgmt

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121

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

DAKOTA

LIVING WELL - CONGRESS

VP AT RIVER HEIGHTS, LLC

CARE MINNESOTA LLC

PHOENIX SERVICE CORPORATION

SAKINAH HOMES LLC

SAKINAH HOMES LLC

SOUTHVIEW SENIOR LIVING

THE SANCTUARY AT WEST ST PAUL

WALKER METHODIST WESTWOOD RIDGE HOME CARE

WALKER METHODIST WESTWOOD RIDGE I

2207 CONGRESS STREET

744 19TH AVENUE NORTH

3055 OLD HIGHWAY 8 #234

330 MARIE AVENUE EAST

240 HURLEY STREET EAST

240 HURLEY STREET EAST

1984 OAKDALE AVENUE

1746 OAKDALE AVENUE

1 THOMPSON AVENUE WEST

1 THOMPSON AVENUE WEST

SOUTH ST. PAUL, MN 55075

SOUTH ST. PAUL, MN 55075

ST. ANTHONY, MN 55418

WEST ST PAUL, MN 55118

WEST ST PAUL, MN 55118

WEST ST PAUL, MN 55118

WEST ST PAUL, MN 55118

WEST ST PAUL, MN 55118

WEST ST PAUL, MN 55118

WEST ST PAUL, MN 55118

651/450-2304

651/326-6500

763/415-6596

651/227-7655

651/460-9188

651/460-9188

651/554-4838

651/455-6322

651/259-2474

651/259-2474

NProf

Lim-Liab

Lim-Liab

NProf

Lim-Liab

Lim-Liab

Lim-Liab

Part

NProf

NProf

SLFB-6

TCOMP

COMP

TCOMP HCBS

COMP

COMP

COMP

(20874)

(21583)

(35401)

(21451)

(35101)

(35899)

(24035)

(32587)

(20448)

(20448)

FAX: 651/450-2341

FAX: 651/326-6506

FAX: /-

FAX: 651/227-6847

FAX: /-

FAX: 651/413-3001

FAX: 651/455-0267

FAX: 651/455-6302

FAX: 651/552-9963

FAX: 651/552-9963

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ANGELA PRICE

KIM WEBSTER

KAMRUL ISLAM

DARLENE SCOTT

SAMRIYA ABBADULLA

SAMRIYA ABBADULLA

KELLY MYERS

ERIN HILLIGAN VP OF OPERA

BRENDA SCHRUPP

BRENDA SCHRUPP

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL-O

HWSAL

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122

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Directory of Facilities and Services

Page

Registration

DAKOTA

BIDWELL RESIDENCE

BIDWELL RESIDENCE

BROOKDALE WEST ST PAUL AL

BROOKDALE WEST ST. PAUL - AL

BROOKDALE WEST ST. PAUL - MC

BROOKDALE WEST ST. PAUL MC

CLARE BRIDGE OF WEST ST. PAUL

DARTS

FMC WEST ST PAUL DIALYSIS

HODAN HOME HEALTH CARE LLC

1425 BIDWELL AVENUE

1435 BIDWELL AVENUE

305 THOMPSON AVENUE EAST

305 THOMPSON AVENUE EAST

315 THOMPSON AVENUE EAST

315 THOMPSON AVENUE EAST

315 THOMPSON AVENUE EAST

1645 MARTHALER LANE

1590 ROBERT STREET SOUTH #103

1700 LIVINGSTON AVENUE STE 215

WEST ST. PAUL, MN 55118

WEST ST. PAUL, MN 55118

WEST ST. PAUL, MN 55118

WEST ST. PAUL, MN 55118

WEST ST. PAUL, MN 55118

WEST ST. PAUL, MN 55118

WEST ST. PAUL, MN 55118

WEST ST. PAUL, MN 55118

WEST ST. PAUL, MN 55118

WEST ST. PAUL, MN 55118

651/209-8490

651/209-8490

651/453-1803

651/453-1803

612/453-1805

612/453-1805

612/453-1805

651/455-1560

651/457-2232

612/607-3967

Lim-Liab

Lim-Liab

Corp

Corp

Corp

Corp

Corp

NProf

Corp

Lim-Liab

COMP

COMP

COMP

COMP

ESRD

(32271)

(32272)

(20472)

(30634)

(20511)

(30684)

(20511)

(03086)

(26074)

(32113)

FAX: /-

FAX: /-

FAX: 651/453-1804

FAX: 651/453-1804

FAX: 612/453-1806

FAX: 612/453-1806

FAX: 612/453-1806

FAX: 651/234-2280

FAX: 651/457-2450

FAX: 651/528-8871

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JOE CUOCO

JOE CUOCO

CHELSEA KALAL

CHELSEA KALAL

CHELSEA KALAL

CHELSEA KALAL

CHELSEA KALAL

JANET HIX

FEDERICO SERRANO

ABDULKADIR BEDE

---------------------------********** --------------------------(Cont.)*

HWS-O

HWS-O

HWSAL

HWS

Home Mgmt

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123

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

DAKOTA

LIVING WELL - EAST EMERSON

LOVINGCARE NURSING & HOME CARE SERVICES INC

MCCLISH MANOR

METRO CARE HUMAN SERVICES

METRO CARE HUMAN SERVICES

NOVACARE REHABILITATION

OPTIONS RESIDENTIAL INC - 851 DODD

OPTIONS RESIDENTIAL, INC./GABRIEL HEIGHTS

RESIDENTIAL TRANSITIONS, INC

RESIDENTIAL TRANSITIONS, INC

41 EMERSON AVENUE EAST

1152 ROBERT STREET SOUTH

213 ANNAPOLIS STREET WEST

1494 DELAWARE AVENUE UNIT A

1494 DELAWARE AVENUE UNIT B

60 MARIE AVENUE EAST #203

851 DODD ROAD

1167 SOUTH ROBERT STREET

785 DODD ROAD

958 ROBERT STREET SOUTH

WEST ST. PAUL, MN 55118

WEST ST. PAUL, MN 55118

WEST ST. PAUL, MN 55118

WEST ST. PAUL, MN 55117

WEST ST. PAUL, MN 55118

WEST ST. PAUL, MN 55118

WEST ST. PAUL, MN 55118

WEST ST. PAUL, MN 55118

WEST ST. PAUL, MN 55118

WEST ST. PAUL, MN 55118

651/450-1880

651/848-0061

651/454-0161

651/348-6211

651/348-6211

651/451-6156

651/292-3005

651/457-1446

612/227-9014

612/227-9014

NProf

Corp

Corp

Corp

Corp

Corp

Corp

Corp

Corp

Corp

SLFB-6

COMP

ICFIID-6

Out Pt Out Ot

(01633)

(34826)

(28207)

(36917)

(36919)

(03745)

(29797)

(28505)

(31349)

(30509)

FAX: 651/450-2070

FAX: /-

FAX: 651/379-4575

FAX: 651/258-7897

FAX: 651/528-7897

FAX: /-

FAX: 952/217-5677

FAX: 952/217-5677

FAX: /-

FAX: 651/451-8722

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ROD CARLSON

EDILEOLA ADEWOLA

SUE FRIES

ARNOLD KUBEI

ARNOLD KUBEI

KELLY CASEY

JAMES HAMMILL

JAMES HAMMILL

JUSTIN SWANSON

JUSTIN SWANSON

---------------------------********** --------------------------(Cont.)*

HWS-O

HWSAL

HWSAL

HWS-O

HWS-O

HWS-O

HWS-O

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124

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

DAKOTA

DODGE

SOUTHVIEW ACRES HEALTHCARE CENTER

SOUTHVIEW SENIOR LIVING

STERLING HOUSE OF WEST ST PAUL

SUPPORTIVE LIVING SOLUTIONS

WALKER METHODIST WESTWOOD RIDGE I

WALKER METHODIST WESTWOOD RIDGE II

WALKER METHODIST WESTWOOD RIDGE II

WEST ST. PAUL DIALYSIS UNIT

FAIRVIEW CARE CENTER

2000 OAKDALE AVENUE

1984 OAKDALE AVENUE

305 THOMPSON AVENUE EAST

1445 BIDWELL STREET

1 THOMPSON AVENUE WEST

61 THOMPSON AVENUE WEST

61 THOMPSON AVENUE WEST

1555 LIVINGSTON AVENUE

702 10TH AVENUE NW PO BOX 10

WEST ST. PAUL, MN 55118

WEST ST. PAUL, MN 55118

WEST ST. PAUL, MN 55118

WEST ST. PAUL, MN 55118

WEST ST. PAUL, MN 55118

WEST ST. PAUL, MN 55118

WEST ST. PAUL, MN 55118

WEST ST. PAUL, MN 55118

DODGE CENTER, MN 55927

651/554-9500

651/554-4838

651/453-1803

651/209-8490

651/259-2474

651/259-2701

651/259-2701

651/455-2995

507/374-2578

Lim-Liab

Lim-Liab

Corp

Lim-Liab

NProf

Lim-Liab

Lim-Liab

Corp

Cnty

NH-231

COMP

NH-37

NH-55

SNF-NF-231

SNF-37

ESRD

SNF-NF-55

(00102)

(30488)

(20472)

(31464)

(30629)

(27996)

(28949)

(02728)

(00103)

FAX: 651/451-9538

FAX: 651/455-0267

FAX: 651/453-1804

FAX: /-

FAX: 651/552-9963

FAX: 651/259-2724

FAX: 651/259-2724

FAX: /-

FAX: 507/374-2907

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

CHRISTINA CAUBLE

KELLY MYERS

CHELSEA KALAL

JOE CUOCO

ANNELIESE PETERSON

BRENDA SCHRUPP

ANNELIESE PETERSON

BECKY SKWIRA

JANE SHEERAN

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

HWSAL

HWS-O

HWSAL

HWSAL

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125

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

DODGE

CREST VIEW VILLA

FIELD CREST ASSISTED LIVING

FIELD CREST ASSISTED LIVING

FIELD CREST CARE CENTER

FIELD CREST HOME CARE

ABILIT HOLDINGS PRAIRIE MEADOW

PRAIRIE MEADOWS

CHICOS BOARD & LODGE, LLC

CHICOS BOARD & LODGE LLC

CHICOS BOARD AND LODGE, LLC

305 4TH STREET NE

318 2ND STREET NE

318 2ND STREET NE

318 2ND STREET NE

318 2ND STREET NE

800 5TH AVE NW

800 5TH AVENUE

520 STATE STREET

520 STATE STREET

520 STATE STREET

HAYFIELD, MN 55940

HAYFIELD, MN 55940

HAYFIELD, MN 55940

HAYFIELD, MN 55940

HAYFIELD, MN 55940

KASSON, MN 55944

KASSON, MN 55944

WEST CONCORD, MN 55985

WEST CONCORD, MN 55985

WEST CONCORD, MN 55985

507/477-3266

507/477-3266

507/477-3266

507/477-3266

507/477-3266

507/634-9500

507/634-9500

507/527-2842

507/527-2842

507/527-2842

City

City

City

City

City

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

COMP

NH-45

COMP

COMP

COMP

COMP

SNF-NF-45

(20885)

(23661)

(30396)

(00104)

(23661)

(24053)

(34404)

(30440)

(20193)

(20193)

FAX: 507/477-3268

FAX: 507/477-3268

FAX: 507/477-3268

FAX: 507/477-3268

FAX: 507/477-3268

FAX: 507/634-6854

FAX: 507/634-6854

FAX: 507/527-2842

FAX: 507/527-2842

FAX: 507/527-2842

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

CHERYL GUSTASON

CHERYL GUSTASON

CHERYL GUSTASON

CHERYL GUSTASON

CHERYL GUSTASON

LAURA BUCKINGHAM

LAURA BUCKINGHAM

STEPHANIE CHICOS

STEPHANIE CHICOS

STEPHANIE CHICOS

---------------------------********** --------------------------(Cont.)*

HWS

HWSAL

HWSAL

HWSAL

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126

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

DODGE

DOUGLAS

CIRCLE DRIVE MANOR

CIRCLE DRIVE MANOR ASSISTED LIVING, LLC

ALEX ASSISTED LIVING LLC

ALEX ASSISTED LIVING LLC

ALOMERE HEALTH

BETHANY ON THE LAKE

BETHANY ON THE LAKE ASSISTED LIVING LLC

BETHANY ON THE LAKE LLC

BONNIE'S SENIOR HAVEN

56733 STATE HIGHWAY 56 SOUTH

56733 STATE HIGHWAY 56 SOUTH

90 EAST LAKE COWDRY ROAD NW

90 EAST LAKE COWDRY ROAD NW

111 17TH AVENUE EAST

1020 LARK STREET

1020 LARK STREET

1020 LARK STREET

1201 RIDGEVIEW TERRACE NE

WEST CONCORD, MN 55985

WEST CONCORD, MN 55985

ALEXANDRIA, MN 56308

ALEXANDRIA, MN 56308

ALEXANDRIA, MN 56308

ALEXANDRIA, MN 56308

ALEXANDRIA, MN 56308

ALEXANDRIA, MN 56308

ALEXANDRIA, MN 56308

507/527-2424

507/527-2424

320/762-8345

320/762-8345

320/762-1511

320/762-1567

320/763-2180

320/762-1567

320/766-2451

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Cnty

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

COMP

COMP

HOSP-127 BASS-14

COMP

NH-83

COMP

HOSP-127

SNF-NF-83

(30326)

(20055)

(26439)

(30718)

(00111)

(28777)

(22032)

(00108)

(26278)

FAX: 507/527-2866

FAX: 507/527-2866

FAX: 320/762-8334

FAX: 320/762-8341

FAX: 320/762-6120

FAX: 320/759-6264

FAX: /-

FAX: 320/762-6327

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

MELISSA CHRISTIANSON

MELISSA CHRISTIANSON

MAGGIE HORNING

BRANDON BORGSTROM

CARL VAAGENES

LEESA GILMAN

LEESA GILMAN

MATTHEW FISCHER

KAYLA THOENNES

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

HWSAL

HWSAL

HWSAL

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127

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

DOUGLAS

CENTER FOR PAIN MANAGEMENT

CENTRACARE KIDNEY PROGRAM - ALEXANDRIA DIALYSIS

COMMUNITY BEHAVIORAL HEALTH HOSPITAL - ALEXANDRIA

DIAMOND WILLOW OF ALEXANDRIA 1

DIAMOND WILLOW OF ALEXANDRIA 2

EDGEWOOD ALEXANDRIA SENIOR LIVING LLC

EDGEWOOD ALEXANDRIA SENIOR LIVING LLC

EDGEWOOD VISTA ALEXANDRIA

GOLDENRIDGE SENIOR CARE LLC

GRAND ARBOR

519 22ND AVENUE EAST

111 17TH AVENUE EAST

1610 8TH AVENUE EAST

803 VICTOR STREET

803 B VICTOR STREET

1902 7TH AVENUE EAST

1902 7TH AVENUE EAST

1902 7TH AVENUE EAST

1203 STEGER ROAD NW

4403 PIONEER ROAD SE

ALEXANDRIA, MN 56308

ALEXANDRIA, MN 56308

ALEXANDRIA, MN 56308

ALEXANDRIA, MN 56308

ALEXANDRIA, MN 56308

ALEXANDRIA, MN 56308

ALEXANDRIA, MN 56308

ALEXANDRIA, MN 56308

ALEXANDRIA, MN 56308

ALEXANDRIA, MN 56308

320/219-7611

320/240-7808

320/335-6201

320/762-1448

320/762-2067

320/759-2121

320/759-2121

320/759-2121

320/763-9776

320/763-1600

Corp

NProf

State

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

NProf

Outpt Surg

OTHER-16

COMP

COMP

COMP

COMP

Amb Surg

ESRD

PSY-16

(28171)

(03875)

(23908)

(26046)

(26045)

(21247)

(30729)

(21247)

(26644)

(28201)

FAX: 320/219-7612

FAX: /-

FAX: 320/759-1002

FAX: 320/762-2608

FAX: 320/762-2649

FAX: 320/759-2120

FAX: 320/759-2120

FAX: 320/759-2120

FAX: /-

FAX: 320/763-1603

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JENNIFER ZAYAS

KERI WIMMER

KIMBERLY JUTZ

SARA KLEINSCHMIDT

SARA KLEINSCHMIDT

MICHELLE LARSON

COLLEEN SCHNEIDER

MICHELLE LARSON

KAYLA THOENNES

BRITTNEY THORESON

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

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128

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

DOUGLAS

GRAND ARBOR

HORIZON PUBLIC HEALTH

KNUTE NELSON

KNUTE NELSON

KNUTE NELSON HOME CARE

MINNESOTA EYE INSTITUTE SURGERY CENTER

NELSON GABLES

NELSON GABLES SENIOR CARE APARTMENTS

NELSON GABLES SENIOR CARE APARTMENTS

NEXTSTEP HOMECARE, INC.

4403 PIONEER ROAD SE

809 ELM STREET #1200

2715 HIGHWAY 29 SOUTH #103

420 12TH AVENUE EAST

2715 HIGHWAY 29 SOUTH #103

3401 SOUTH BROADWAY

1220 NOKOMIS STREET

1220 NOKOMIS STREET

1220 NOKOMIS STREET

507 NORTH NOKOMIS STREET STE F

ALEXANDRIA, MN 56308

ALEXANDRIA, MN 56308

ALEXANDRIA, MN 56308

ALEXANDRIA, MN 56308

ALEXANDRIA, MN 56308

ALEXANDRIA, MN 56308

ALEXANDRIA, MN 56308

ALEXANDRIA, MN 56308

ALEXANDRIA, MN 56308

ALEXANDRIA, MN 56308

320/763-1600

320/763-6018

320/759-1270

320/763-1157

320/759-1273

320/759-2020

320/762-1113

320/762-1113

320/762-4310

320/219-6425

NProf

Cnty

NProf

NProf

NProf

Lim-Liab

NProf

NProf

NProf

Corp

Hospice

Hospice

NH-83

COMP

Outpt Surg

COMP

COMP

COMP

HSPICE

HSPICE

SNF-NF-83

HHA

Amb Surg

(30805)

(02916)

(28923)

(00113)

(24066)

(21815)

(20056)

(20056)

(30327)

(32180)

FAX: 320/763-1603

FAX: 320/763-4127

FAX: 320/759-1271

FAX: 320/763-7548

FAX: 320/759-1275

FAX: 320/759-2424

FAX: 320/763-5738

FAX: 320/763-5738

FAX: 320/763-5738

FAX: 320/219-6428

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ANGIE URMAN

ANN STEHN

KONNIE EVANS

LEVI WOLD

KONNIE EVANS

PAMELA CARLSON

MARNIE GUGISBERG

MARNIE GUGISBERG

ANGIE URMAN

TONI DIEDE

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

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129

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

DOUGLAS

PEACEFUL BLISS ASSISTED LIVING LLC

PRAIRIE SENIOR COTTAGES OF ALEXANDRIA

PRAIRIE SENIOR COTTAGES OF ALEXANDRIA LLC

PRAIRIE SENIOR COTTAGES OF ALEXANDRIA, LLC

PSC OF ALEXANDRIA LLC

VANCE THOMPSON VISION

VISTA PRAIRIE AT WINDMILL POND

VP AT WINDMILL PONDS, LLC

WOODCREST ASSISTED LIVING

THOENNES PROPERTY MGMT, LLC

90 EAST LAKE COWDRY ROAD NW

812 MCKAY AVENUE SOUTH

814 MCKAY AVENUE SOUTH

812 MCKAY AVENUE SOUTH

812 MCKAY AVENUE SOUTH

2600 JEFFERSON STREET

715 VICTOR STREET

715 VICTOR STREET

1201 RIDGEVIEW TERRACE NE

1201 RIDGEVIEW TERRACE NE

ALEXANDRIA, MN 56308

ALEXANDRIA, MN 56308

ALEXANDRIA, MN 56308

ALEXANDRIA, MN 56308

ALEXANDRIA, MN 56308

ALEXANDRIA, MN 56308

ALEXANDRIA, MN 56308

ALEXANDRIA, MN 56308

ALEXANDRIA, MN 56308

ALEXANDRIA MN 56308, MN 56308

320/762-8345

320/763-8244

320/763-8244

320/763-8244

320/763-8244

320/762-2166

320/759-2132

320/759-2132

320/766-2451

320/219-6633

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

COMP

COMP

COMP

COMP

COMP

Amb Surg

(26439)

(21280)

(21281)

(21280)

(30736)

(34898)

(21855)

(21642)

(26278)

(30701)

FAX: 320/762-8334

FAX: 320/763-8255

FAX: 320/763-8255

FAX: 320/763-8255

FAX: 320/763-8255

FAX: 320/762-8898

FAX: 320/759-3192

FAX: 320/759-3192

FAX: /-

FAX: 320/219-6634

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

MAGGIE HORNING

DUSTIN LEE

BRYAN CHRISTIANSON

DUSTIN LEE

BRYAN CHRISTIANSON

ERIC RISTVEDT

JAMES BETTENDORF

JAMES BETTENDORF

KAYLA THOENNES

KAYLA THOENNES

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

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130

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

DOUGLAS

BRANDON'S ASSISTED LIVING

BRANDON'S ASSISTED LIVING

BRANDONS ASSISTED LIVING

EVANSVILLE CARE CENTER

EVANSVILLE SENIOR LIVING

EVANSVILLE SENIOR LIVING

BRIDGEWELL ASSISTED LIVING

GALEON

TERRACE HEIGHTS IND. LIVING

WEST VIEW ASSISTED LIVING APARTMENTS

305 CENTRAL AVENUE SOUTH

305 CENTRAL AVENUE SOUTH

305 CENTRAL AVENUE SOUTH

649 STATE STREET NW

651 STATE STREET NW

651 STATE STREET NW

410 WEST MAIN STREET

410 WEST MAIN STREET

410 WEST MAIN STREET

240 6TH AVENUE NORTH

BRANDON, MN 56315

BRANDON, MN 56315

BRANDON, MN 56315

EVANSVILLE, MN 56326

EVANSVILLE, MN 56326

EVANSVILLE, MN 56326

OSAKIS, MN 56360

OSAKIS, MN 56360

OSAKIS, MN 56360

OSAKIS, MN 56360

320/524-2207

320/524-2207

320/524-2207

218/948-2219

218/948-2346

218/948-2346

320/859-2142

320/859-2142

320/859-2142

320/859-2142

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

NProf

NProf

NProf

NProf

COMP

COMP

NH-37

COMP

NH-40

COMP

HHA

HHA

SNF-NF-37

SNF-NF-40

(27453)

(30742)

(27453)

(00110)

(24481)

(30540)

(25904)

(00109)

(20267)

(21663)

FAX: 320/524-2245

FAX: 320/524-2245

FAX: 320/524-2245

FAX: 218/948-2004

FAX: 218/948-2004

FAX: 218/948-7277

FAX: 320/859-3288

FAX: 320/859-3288

FAX: 320/859-3288

FAX: 320/859-6293

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

MISSY ENGLUND

BRANDON BORGSTROM

MISSY ENGLUND

BRANDON BORGSTROM

BRANDON BORGSTROM

BRANDON BORGSTROM

ANGIE REINKE

ANGIE REINKE

ANGIE REINKE

ANGELA REINKE

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWS

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131

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

DOUGLAS

FARIBAULT

WEST VIEW ASSISTED LIVING APT

WEST VIEW/BRIDGEWELL AL APTS

FRIENDSHIP COURT

FRIENDSHIP COURT

NICOLLET PLACE

SISTERCARE

SISTERCARE LLC

ST. LUKE'S LUTHERAN CARE CENTER

UNITED HOSPITAL DISTRICT

240 6TH AVENUE NORTH

240 6TH AVENUE NORTH

1228 SOUTH RICE STREET

1228 SOUTH RICE STREET

311 SOUTH NICOLLET STREET

311 SOUTH NICOLLET STREET

311 SOUTH NICOLLET STREET

1219 SOUTH RAMSEY STREET

515 SOUTH MOORE STREET

OSAKIS, MN 56360

OSAKIS, MN 56360

BLUE EARTH, MN 56013

BLUE EARTH, MN 56013

BLUE EARTH, MN 56013

BLUE EARTH, MN 56013

BLUE EARTH, MN 56013

BLUE EARTH, MN 56013

BLUE EARTH, MN 56013

320/859-2142

320/859-2142

507/526-6351

507/526-6351

651/332-0497

651/332-0497

651/332-0497

507/526-2184

507/526-3273

NProf

NProf

NProf

NProf

Lim-Liab

Lim-Liab

Lim-Liab

NProf

NProf

COMP

COMP

COMP

COMP

NH-79

HOSP-43 BASS-4

SNF-NF-79

CAH-25

(30815)

(21663)

(20457)

(30633)

(20008)

(20008)

(30290)

(00116)

(00117)

FAX: 320/859-6293

FAX: 320/859-6293

FAX: 507/526-3563

FAX: 507/526-7427

FAX: 507/526-3902

FAX: 507/526-3902

FAX: 507/526-3902

FAX: 507/526-7427

FAX: 507/526-3621

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ANGIE REINKE

ANGELA REINKE

MARGARET BRANDT

MARGARET BRANDT

KAYLA XIONG

KAYLA XIONG

KAYLA XIONG

MARGARET BRANDT

RICHARD ASH

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

HWSAL

HWSAL

HWSAL

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132

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

FARIBAULT

UNITED HOSPITAL DISTRICT INC

UNITED HOSPITAL DISTRICT, INC.

ELMORE ASSISTED LIVING

ELMORE ASSISTED LIVING

CLARK CROSSINGS OF WELLS

PARKVIEW CARE CENTER - WELLS

THE SHEPHERD'S INN

THE SHEPHERDS INN

THE SHEPHERDS INN

HEARTLAND SENIOR LIVING HOME CARE

125 SOUTH MAIN STREET

125 SOUTH MAIN STREET

202 EAST NORTH STREET

202 EAST NORTH STREET

351 2ND AVENUE NW

55 10TH STREET SE

46 1ST AVENUE SW

46 1ST AVENUE SW

46 1ST AVENUE SW

211 6TH STREET NW

BLUE EARTH, MN 56013

BLUE EARTH, MN 56013

ELMORE, MN 56027

ELMORE, MN 56027

WELLS, MN 56097

WELLS, MN 56097

WELLS, MN 56097

WELLS, MN 56097

WELLS, MN 56097

WINNEBAGO, MN 56098

507/526-7970

507/526-3273

507/943-3333

612/986-2084

507/553-5004

507/553-3115

507/553-6271

507/553-6271

507/553-6271

507/893-3171

NProf

NProf

Corp

Corp

NProf

NProf

Church

Church

Church

NProf

COMP

Hospice

COMP

NH-40

COMP

COMP

COMP

HHA

HSPICE

SNF-NF-40

(02804)

(02964)

(31417)

(32084)

(35684)

(00784)

(20042)

(20042)

(30320)

(20270)

FAX: 507/526-3285

FAX: 507/526-3285

FAX: 507/943-3311

FAX: 763/417-9999

FAX: /-

FAX: 507/553-6060

FAX: 507/553-6830

FAX: 507/553-6830

FAX: 507/553-6830

FAX: 507/893-3174

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

RICHARD ASH

RICHARD ASH

MICHAEL LECY

MICHAEL LECY

KACEY KASEL

MURRAY FINGER

PATRICIA SCHUSTER

PATRICIA SCHUSTER

WILLIAM SCHUSTER

KACEY KASEL

---------------------------********** --------------------------(Cont.)*

HWS

HWSAL

HWSAL

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133

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

FARIBAULT

FILLMORE

PARKER OAKS COMMUNITIES, INC.

PARKER OAKS SENIOR LIVING

CHOSEN VALLEY APARTMENTS

CHOSEN VALLEY ASSISTED LIVING

CHOSEN VALLEY ASSISTED LIVING

CHOSEN VALLEY CARE CENTER

CLARA HOUSE LLC

GUNDERSEN HARMONY CARE CENTER

HARMONY COMMUNITY HOSPITAL

211 6TH STREET NW

211 6TH STREET NW

428 JENSEN LANE SE

1260 WINONA STREET SE

1260 WINONA STREET SE

1102 LIBERTY STREET SE

455 MAIN AVENUE NORTH

815 MAIN AVENUE SOUTH

815 MAIN AVENUE SOUTH

WINNEBAGO, MN 56098

WINNEBAGO, MN 56098

CHATFIELD, MN 55923

CHATFIELD, MN 55923

CHATFIELD, MN 55923

CHATFIELD, MN 55923

HARMONY, MN 55939

HARMONY, MN 55939

HARMONY, MN 55939

507/893-3171

507/893-3171

507/867-3416

507/867-3416

507/867-3416

507/867-4220

507/886-6515

507/886-6544

507/886-6544

NProf

NProf

NProf

NProf

NProf

NProf

Lim-Liab

NProf

NProf

COMP

COMP

NH-78

NH-43

NH-43

SNF-NF-78

SNF-NF-43

SNF-NF-43

(20270)

(30463)

(29309)

(24105)

(30494)

(00750)

(21518)

(00125)

(00125)

FAX: 507/893-3174

FAX: 507/893-3174

FAX: 507/867-3426

FAX: 507/867-3426

FAX: 507/867-3426

FAX: 507/867-0080

FAX: 507/886-6620

FAX: 507/886-6584

FAX: 507/886-6584

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

KACEY KASEL

KACEY KASEL

CRAIG BACKEN

CRAIG BACKEN

CRAIG BACKEN

CRAIG BACKEN

AMY OLSON

MICHELLE BORRESON

MICHELLE BORRESON

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

HWSAL

HWS

HWSAL

HWSAL

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134

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

FILLMORE

HARMONY PLACE

MNRC I LLC

GREEN LEA SENIOR LIVING

THE MEADOWS OF MABEL

THE MEADOWS OF MABEL

OSTRANDER ASSISTED LIVING

OSTRANDER ASSISTED LIVING

OSTRANDER CARE AND REHAB

PARK LANE ESTATES

PARK LANE ESTATES

455 MAIN AVENUE NORTH

455 MAIN AVENUE NORTH

115 LYNDALE STREET NORTH

610 EAST NEWBURG STREET

610 NEWBURG STREET EAST

309 MINNESOTA STREET

309 MINNESOTA STREET

305 MINNESOTA STREET

410 PARKLANE SE

111 FILLMORE PLACE SE

HARMONY, MN 55939

HARMONY, MN 55939

MABEL, MN 55954

MABEL, MN 55954

MABEL, MN 55954

OSTRANDER, MN 55961

OSTRANDER, MN 55961

OSTRANDER, MN 55961

PRESTON, MN 55965

PRESTON, MN 55965

507/886-6515

507/886-6515

507/493-5436

507/493-5995

507/493-5995

507/657-2231

507/657-2231

507/657-2231

507/765-9986

507/765-9986

Lim-Liab

Lim-Liab

Corp

Corp

Corp

Corp

Corp

Corp

Lim-Liab

Lim-Liab

COMP

NH-41

COMP

COMP

NH-25

COMP

SNF-NF-41

SNF-NF-25

(21518)

(34446)

(00124)

(23862)

(30471)

(23139)

(30336)

(00922)

(21250)

(30731)

FAX: 507/886-6620

FAX: /-

FAX: 507/493-5461

FAX: /-

FAX: 507/493-5995

FAX: 507/657-2403

FAX: 507/657-2403

FAX: 507/657-2403

FAX: 507/765-9987

FAX: 507/765-9987

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

AMY OLSON

GINA ;INDELAND

PETER MOMANYI

PETER MOMANYI

PETER MOMANYI

BEV LUBAHN

GRANT THAYER

JANICE HOWE

CHUCK LANE

CATHY NATION

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

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135

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

FILLMORE

PRESTON GOOD SAMARITAN SOCIETY HOME CARE

TRADITIONS OF PRESTON

TRADITIONS OF PRESTON

TRADITIONS OF PRESTON LLC

BREMMER SUITES

BREMMER SUITES

GOOD SHEPHERD LUTHERAN HOME

THERAPY NETWORK

SPRING VALLEY CARE CENTER

SPRING VALLEY ESTATES

200 ST PAUL STREET

515 WASHINGTON STREET NW

515 WASHINGTON STREET NW

515 WASHINGTON STREET NW

803 HOME STREET

803 HOME STREET

800 HOME STREET BOX 747

800 HOME STREET PO BOX 747

800 MEMORIAL DRIVE

815 MEMORIAL DRIVE

PRESTON, MN 55965

PRESTON, MN 55965

PRESTON, MN 55965

PRESTON, MN 55965

RUSHFORD, MN 55971

RUSHFORD, MN 55971

RUSHFORD, MN 55971

RUSHFORD, MN 55971

SPRING VALLEY, MN 55975

SPRING VALLEY, MN 55975

507/765-2700

507/765-3875

507/765-3837

507/765-3837

507/864-7714

507/864-7714

507/864-7714

507/454-3621

507/346-7381

507/346-1267

NProf

Lim-Liab

Lim-Liab

Lim-Liab

NProf

NProf

Church

Part

NProf

NProf

COMP

COMP

COMP

NH-70

NH-50

COMP

HHA

SNF-NF-70

Out Pt Out Ot

SNF-NF-50

(03380)

(34402)

(26354)

(26354)

(20418)

(30626)

(00123)

(02447)

(00121)

(21082)

FAX: 507/765-3339

FAX: /-

FAX: 507/765-3838

FAX: 507/765-3838

FAX: 507/864-2842

FAX: 507/864-2842

FAX: 507/864-2842

FAX: /-

FAX: 507/346-1191

FAX: 507/346-7619

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

DONNA MCLAUGHLIN

AMY OLSON

MARK DICKSON

MARK DICKSON

SAMANTHA COLBENSON

SAMANTHA COLBENSON

TOM LINDH

ROBERT SCHRUPP

HEATHER SELLERS

PAMELA POPPENHAGEN

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

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136

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

FILLMORE

FREEBORN

SPRING VALLEY ESTATES

SPRING VALLEY HOME HEALTH AGENCY

THE EVERGREENS

BANCROFT CREEK ESTATES

BROADWAY ASSISTED LIVING

BROADWAY ASSISTED LIVING

EMBRACE HOME CARE LLC

FOUNTAIN CENTERS

GOOD SAMARITAN SOCIETY - ALBERT LEA

815 MEMORIAL DRIVE

800 MEMORIAL DRIVE

820 MEMORIAL DRIVE

75405 240TH STREET

512 SOUTH BROADWAY AVENUE

512 SOUTH BROADWAY AVENUE

204 S WASHINGTON AVENUE #100

404 WEST FOUNTAIN STREET

75507 240TH STREET

SPRING VALLEY, MN 55975

SPRING VALLEY, MN 55975

SPRING VALLEY, MN 55975

ALBERT LEA, MN 56007

ALBERT LEA, MN 56007

ALBERT LEA, MN 56007

ALBERT LEA, MN 56007

ALBERT LEA, MN 56007

ALBERT LEA, MN 56007

507/346-1246

507/346-1267

507/346-1246

507/379-2739

507/373-2909

507/373-2909

507/369-5701

507/377-6411

507/373-0683

NProf

NProf

NProf

NProf

Ind

Ind

Lim-Liab

NProf

NProf

COMP

COMP

COMP

SLFA-26 SLFB-32

NH-85

HHA

SNF-NF-85

(30563)

(02406)

(25275)

(29650)

(00132)

(30222)

(27834)

(01390)

(00131)

FAX: 507/346-7619

FAX: 507/346-7619

FAX: 507/346-7619

FAX: 507/379-5964

FAX: 507/373-2239

FAX: 507/373-2239

FAX: 507/369-5702

FAX: 507/377-6443

FAX: 507/373-3229

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PENNY SOLBERG

PAM POPPENHAGEN

PENNY SOLBERG

KATIE DAVIS

LINDA WAALKENS

LINDA WAALKENS

PATTY MADRIGAL

MELISSA BARR

KATIE DAVIS

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

HWSAL

HWS

HWS

HWSAL

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137

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

FREEBORN

GOOD SAMARITAN SOCIETY - HIDDEN CREEK

GOOD SAMARITAN SOCIETY HIDDEN CREEK

GRACE HOME HEALTHCARE INC.

JOANN JENSEN

KNUTSON PLACE APARTMENTS

KNUTSON PLACE APARTMENTS

MAYO CLINIC DIALYSIS

MAYO CLINIC HEALTH SYSTEM - ALBERT LEA

MAYO CLINIC HEALTH SYSTEM - ALBERT LEA

MAYO CLINIC HEALTH SYSTEM ALBERT LEA AND AUSTIN

75303 240TH STREET

75303 240TH STREET

216 EAST MAIN STREET #5

811 NORTH SHORE AVENUE

901 LUTHER PLACE

801 LUTHER PLACE

1705 SE BROADWAY AVENUE

404 WEST FOUNTAIN STREET

1705 SE BROADWAY AVENUE

404 WEST FOUNTAIN STREET

ALBERT LEA, MN 56007

ALBERT LEA, MN 56007

ALBERT LEA, MN 56007

ALBERT LEA, MN 56007

ALBERT LEA, MN 56007

ALBERT LEA, MN 56007

ALBERT LEA, MN 56007

ALBERT LEA, MN 56007

ALBERT LEA, MN 56007

ALBERT LEA, MN 56007

507/379-2737

507/379-2737

507/369-5370

507/448-0122

507/373-8226

507/373-8226

507/377-5920

507/377-6490

507/377-6393

507/377-6490

NProf

NProf

Corp

Ind

NProf

NProf

NProf

NProf

NProf

NProf

COMP

COMP

COMP

HOSP-159 BASS-22

Hospice

HOSP-159 BASS-22

ESRD

HOSP-143 PPS-P-16

HSPICE

HOSP-143 PPS-P-16

(24246)

(30517)

(35172)

(24939)

(20016)

(30310)

(02118)

(00920)

(03179)

(00920)

FAX: 507/379-5964

FAX: 507/379-5964

FAX: 507/369-5983

FAX: /-

FAX: 507/379-9506

FAX: 507/379-9506

FAX: 507/377-5921

FAX: 507/377-6383

FAX: 507/377-6451

FAX: 507/377-6383

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JILL MCGARY

KATIE DAVIS

TODD COUGHLIN

JOANN JENSEN

SCOT SPATES

SCOT SPATES

SUSAN MYAYA

KRISTIN JOHNSON

LESA ANDERSON

KRISTIN JOHNSON

---------------------------********** --------------------------(Cont.)*

HWSAL

Home Mgmt

HWS

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138

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

FREEBORN

MAYO HEALTH SYSTEM ALBERT LEA AND AUSTIN

OAK PARK

OAK PARK PLACE

OAK PARK PLACE OF ALBERT LEA LLC

PRAIRIE SENIOR COTTAGES OF ALBERT LEA, LLC

PRAIRIE SENIOR COTTAGES OF ALBERT LEA, LLC

PRAIRIE SENIOR COTTAGES OF ALBERT LEA, LLC

ST JOHN'S COMMUNITY CARE

ST. JOHN'S LUTHERAN HOME

ST. JOHN'S ON FOUNTAIN LAKE

404 WEST FOUNTAIN STREET

1615 BRIDGE AVENUE

1615 BRIDGE AVENUE

1615 BRIDGE AVENUE

1602 FOUNTAIN STREET

1602 FOUNTAIN STREET

1604 FOUNTAIN STREET

901 LUTHER PLACE

901 LUTHER PLACE

1771 EAGLE VIEW CIRCLE

ALBERT LEA, MN 56007

ALBERT LEA, MN 56007

ALBERT LEA, MN 56007

ALBERT LEA, MN 56007

ALBERT LEA, MN 56007

ALBERT LEA, MN 56007

ALBERT LEA, MN 56007

ALBERT LEA, MN 56007

ALBERT LEA, MN 56007

ALBERT LEA, MN 56007

507/377-6490

507/373-5600

507/373-5600

507/373-5600

507/379-9000

507/379-9000

507/379-9000

507/373-8226

507/373-8226

507/373-8226

NProf

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

NProf

Church

Church

HOSP-159 BASS-22

COMP

COMP

COMP

COMP

NH-79

NH-84

HOSP-143 PPS-P-16

SNF-NF-79

SNF-NF-84

(00920)

(21154)

(30707)

(21154)

(29689)

(29690)

(29691)

(20016)

(00138)

(31639)

FAX: 507/377-6383

FAX: 507/373-1121

FAX: /-

FAX: 507/373-1121

FAX: 507/373-1880

FAX: 507/373-1880

FAX: 507/373-1880

FAX: 507/379-9506

FAX: 507/379-9506

FAX: 507/379-9506

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

KRISTIN JOHNSON

SHELLY MEHUS

SCOTT FRANK

SHELLY MEHUS

KRYSTAL BRAUND

BRYAN CHRISTIANSON

BRYAN CHRISTIANSON

SCOT SPATES

SCOT SPATES

SCOT SPATES

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

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139

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

FREEBORN

GOODHUE

THE MEADOWS

THORNE CREST RETIREMENT CENTER

THORNE CREST RETIREMENT CENTER

THORNE CREST RETIREMENT CENTER

WATERS EDGE

CANNON RIVERS SENIOR LIVING

GLAZON CARE THE VIEW HOUSE 2

GLAZON CARE THE VIEW HOUSE 3

MAYO CLINIC HEALTH SYSTEM - CANNON FALLS

1761 EAGLE VIEW CIRCLE

1201 GARFIELD AVENUE

1201 GARFIELD AVENUE

1201 GARFIELD AVENUE

1841 EAGLE VIEW CIRCLE

900 MAIN STREET WEST

315 LARKSPUR LANE

319 LARKSPUR LANE

32021 COUNTY 24 BOULEVARD

ALBERT LEA, MN 56007

ALBERT LEA, MN 56007

ALBERT LEA, MN 56007

ALBERT LEA, MN 56007

ALBERT LEA, MN 56007

CANNON FALLS, MN 55009

CANNON FALLS, MN 55009

CANNON FALLS, MN 55009

CANNON FALLS, MN 55009

507/373-8226

507/373-2311

507/373-2311

507/373-2311

507/373-8226

507/263-3600

507/322-0020

507/322-0020

507/263-6000

NProf

NProf

NProf

NProf

NProf

Lim-Liab

Corp

Corp

NProf

NH-52

COMP

HOSP-15 BASS-0

SNF-NF-52

CAH-15

(32452)

(00833)

(20111)

(30418)

(32524)

(26730)

(35920)

(35921)

(00140)

FAX: 507/379-9506

FAX: 507/377-1216

FAX: 507/377-1216

FAX: 507/377-1216

FAX: 507/379-9506

FAX: 507/263-6085

FAX: 507/353-2760

FAX: 507/353-2760

FAX: 507/263-9640

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

SCOT SPATES

SHARI MCNAMARA

SHARI MCNAMARA

SHARI MCNAMARA

SCOT SPATES

ERIN HILLIGAN

OTIS ZEON, MD

OTIS ZEON, MD

CHRISTOPHER GULDEN

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

HWSAL

HWSAL

HWS

HWSAL

HWSAL

HWSAL

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140

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

GOODHUE

MAYO CLINIC HEALTH SYSTEM-CANNON FALLS

THE GARDENS AT CANNON FALLS

THE VIEW HOUSE HOUSE 1

VALLEY VIEW RECOVERY CENTER

GUNDERSON GARDENS

GUNDERSON GARDENS

GUNDERSON GARDENS ROSE WING

NORTH RIDGE VIEW LLC

NORTH RIDGE VIEW LLC

MAYO CLINIC HEALTH SYSTEM - LAKE CITY

32021 COUNTY 24 BOULEVARD

300 DOW STREET NORTH

308 LARKSPUR LANE

31591 64TH AVENUE

215 HUSETH STREET

215 HUSETH STREET

127 GUNDERSON BOULEVARD

101 NORTH RIDGE DRIVE

101 NORTH RIDGE DRIVE

500 WEST GRANT STREET

CANNON FALLS, MN 55009

CANNON FALLS, MN 55009

CANNON FALLS, MN 55009

CANNON FALLS, MN 55009

KENYON, MN 55946

KENYON, MN 55946

KENYON, MN 55946

KENYON, MN 55946

KENYON, MN 55946

LAKE CITY, MN 55041

507/263-6000

507/263-4658

507/322-0020

507/951-8056

507/789-7138

507/789-7138

507/789-7101

507/789-6184

507/789-6184

651/345-5955

NProf

Lim-Liab

Corp

Corp

Church

Church

NProf

Lim-Liab

Lim-Liab

NProf

HOSP-15 BASS-0

NH-89

SLFA-54

COMP

COMP

HOSP-18 BASS-0

CAH-15

SNF-NF-89

CAH-18

(00140)

(00758)

(30097)

(36336)

(23397)

(30359)

(31082)

(27617)

(30752)

(20693)

FAX: 507/263-9640

FAX: 507/263-4127

FAX: 507/263-2760

FAX: 807/206-4599

FAX: 507/789-5679

FAX: 507/789-5679

FAX: 507/789-8843

FAX: 507/789-6184

FAX: 507/789-6184

FAX: 651/345-1182

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

CHRISTOPHER GULDEN

ALEXA LANZ-SATHER

OTIS ZEON

JACOB MCGUIRE

CHELSEA KALAL

CHELSEA KALAL

CHELSEA KALAL

PAULA GERMUNDSON

PAULA GERMUNDSON

CHRISTOPHER GULDEN

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

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141

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

GOODHUE

THE BLUFFS OF LAKE CITY

EVERGREEN PLACE

EVERGREEN PLACE

PINE HAVEN CARE CENTER, INC.

BAY VIEW NURSING & REHABILITATION CENTER

DEER CREST

ELYSIAN HOME CARE

ELYSIAN HOME CARE

HIAWATHA HOMECARE

JORDAN TOWER I

480 WEST GRANT STREET

220 3RD STREET NW

220 3RD STREET NW

210 3RD STREET NW

1412 WEST 4TH STREET

470 HEWITT BOULEVARD

434 WEST 4TH STREET

434 WEST 4TH STREET

4920 MOUNDVIEW DRIVE STE B

433 WEST 4TH STREET

LAKE CITY, MN 55041

PINE ISLAND, MN 55963

PINE ISLAND, MN 55963

PINE ISLAND, MN 55963

RED WING, MN 55066

RED WING, MN 55066

RED WING, MN 55066

RED WING, MN 55066

RED WING, MN 55066

RED WING, MN 55066

651/448-8333

507/356-8585

507/356-8585

507/356-8304

651/385-4800

651/267-5444

651/327-2729

651/327-2729

651/388-2223

651/301-7018

Lim-Liab

ONProf

ONProf

NProf

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

HRA

COMP

NH-68

NH-110

TCOMP

COMP

COMP

SNF-NF-68

SNF-NF-110

HHA

(31876)

(20321)

(30468)

(00148)

(00149)

(30636)

(35650)

(34511)

(02923)

(21039)

FAX: /-

FAX: 507/356-8563

FAX: 507/356-8563

FAX: 507/356-4400

FAX: 651/385-0967

FAX: 651/267-5429

FAX: /-

FAX: 651/327-2729

FAX: 651/388-2227

FAX: 651/385-0551

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

LUCY BOXRUD

ALEXANDRA MILLER

MARCUS PARENCE

MARCUS PARENCE

SHELLY SOLBERG

ERIN HILLIGAN

LUCY BOXRUD

LUCY BOXRUD

KARI KUHLMAN

JESSICA KITZMANN

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWS-O

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142

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

GOODHUE

JORDAN TOWER II

LOVING RESIDENCE

LOVING RESIDENCE

MA'S ROOM AND BOARD

MAYO CLINIC HEALTH SYSTEM-RED WING

MCHS RED WING HOSPICE- SPB

OMEGA HOME HEALTHCARE LLC

POTTER RIDGE

POTTER RIDGE

ROYALTY HOMES

440 WEST 5TH STREET

1760 PERLICH AVENUE

1760 PERLICH AVENUE

605 EAST AVENUE

701 HEWITT BOULEVARD

906 COLLEGE AVENUE

129 HEDIN AVENUE #101

1971 NEAL STREET

1971 NEAL STREET

605 EAST AVENUE

RED WING, MN 55066

RED WING, MN 55066

RED WING, MN 55066

RED WING, MN 55066

RED WING, MN 55066

RED WING, MN 55066

RED WING, MN 55066

RED WING, MN 55066

RED WING, MN 55066

RED WING, MN 55066

651/301-7018

651/388-1650

651/388-1650

651/398-9709

651/267-5000

651/385-3410

651/388-1010

651/388-1546

651/388-1546

651/398-9709

HRA

Lim-Liab

Lim-Liab

Corp

NProf

NProf

Lim-Liab

Corp

Corp

Corp

COMP

HOSP-50 BASS-7

Hospice

COMP HCBS

COMP

COMP

HOSP-50

HSPICE

HHA

(21040)

(20142)

(30421)

(32641)

(21423)

(03130)

(02048)

(24048)

(30489)

(32515)

FAX: 651/385-0551

FAX: 651/388-1684

FAX: 651/388-1684

FAX: 651/212-6671

FAX: 651/267-5935

FAX: 651/385-3414

FAX: 651/388-1178

FAX: 651/388-1438

FAX: 651/388-1438

FAX: 651/212-6671

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JESSICA KITZMANN

SANDRA MCDONALD

SANDRA MCDONALD

JOHN ROYALTY

CHRISTOPHER GULDEN

LESA ANDERSON

ADERONKE O MORDI

JACOB WORK

JACOB WORK

JOHN ROYALTY

---------------------------********** --------------------------(Cont.)*

HWS-O

HWSAL

HWSAL

HWSAL

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143

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

GOODHUE

ST CRISPIN LIVING COMMUNITY

ST. CRISPIN LIVING COMMUNITY-THE VILLA

ST. CRISPIN LIVING COMMUNITY-THE VILLA

VALENTINES ASSISTED LIVING LLC

VALENTINES ASSISTED LIVING LLC

VINTAGE HOMECARE

VISITING ANGELS

THE BRIDGES OF ZUMBROTA

ZUMBROTA CARE CENTER

ZUMBROTA CARE CENTER HOME CARE

213 PIONEER ROAD

135 PIONEER ROAD

135 PIONEER ROAD

2557 EAGLE RIDGE DRIVE

2557 EAGLE RIDGE DRIVE

2000 OLD WEST MAIN STREET #328

2000 OLD WEST MAIN STREET #328

295 WEST 4TH STREET

433 MILL STREET

433 MILL STREET

RED WING, MN 55066

RED WING, MN 55066

RED WING, MN 55066

RED WING, MN 55066

RED WING, MN 55066

RED WING, MN 55066

RED WING, MN 55066

ZUMBROTA, MN 55992

ZUMBROTA, MN 55992

ZUMBROTA, MN 55992

651/388-1234

651/388-1234

651/388-1234

651/388-1650

651/388-1650

651/212-6601

651/212-6600

507/732-8455

507/732-8400

507/732-8455

NProf

Church

Church

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

NProf

NProf

NProf

NH-64

COMP

COMP

COMP

NH-40

COMP

SNF-NF-64

SNF-NF-40

(00150)

(03227)

(20291)

(25435)

(30583)

(26539)

(26490)

(20583)

(00917)

(22850)

FAX: 651/388-0347

FAX: 651/385-5481

FAX: 651/385-5481

FAX: 651/388-1684

FAX: 651/388-1684

FAX: 651/385-2225

FAX: 651/385-2225

FAX: 507/732-8433

FAX: 507/732-8430

FAX: 507/732-8433

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JACOB GOERING

JACOB GOERING

JAKE GOERING

SANDRA MCDONALD

SANDRA MCDONALD

BRANDI SOTO

JAY ROESNER

LAURA ERICKSON

LAURA ERICKSON

LAURA ERICKSON

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWSAL

Home Mgmt

HWSAL

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144

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

GRANT

ASHBY HOLDINGS, LLC DBA ASHBY LIVING CENTER

ASHBY LIVING CENTER

PURPOSE HOME HEALTHCARE INC

BARRETT ASSISTED LIVING INC

BARRETT ASSISTED LIVING COMMUNITY, INC.

BARRETT CARE CENTER, INC.

ROLLING HILLS HOME CARE

MAPLEWOOD MANOR LLC

PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES

HOFFMAN SENIOR LIVING

112 IVERSON AVENUE

112 IVERSON AVENUE

31154 COUNTY ROAD 10

800 SPRUCE AVENUE

800 SPRUCE AVENUE

800 SPRUCE AVENUE

800 SPRUCE AVENUE

1010 1ST STREET NE

1411 HIGHWAY 79 EAST

601 CAROLINA AVENUE

ASHBY, MN 56309

ASHBY, MN 56309

ASHBY, MN 56309

BARRETT, MN 56311

BARRETT, MN 56311

BARRETT, MN 56311

BARRETT, MN 56311

ELBOW LAKE, MN 56531

ELBOW LAKE, MN 56531

HOFFMAN, MN 56339

218/747-2995

218/747-2995

218/371-1943

320/528-2371

320/528-2371

320/528-2527

320/528-2527

701/793-7880

218/685-7300

320/986-4775

Lim-Liab

Lim-Liab

Corp

Corp

Corp

Corp

Corp

Lim-Liab

NProf

NProf

COMP

COMP

NH-45

COMP

HOSP-10 BASS-2

SNF-NF-45

CAH-10

(29371)

(33447)

(32920)

(20428)

(20428)

(00153)

(28985)

(36368)

(00154)

(34009)

FAX: 218/747-2996

FAX: 218/747-2996

FAX: 218/747-2233

FAX: 320/528-2374

FAX: 320/528-2374

FAX: 320/528-2642

FAX: 320/528-2642

FAX: 701/552-7023

FAX: 320/685-7296

FAX: 320/986-4777

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JANET NOVAK

LORI RISBRUDT

ANA KNIGHT

JEANINE JUNKER

JEANINE JUNKER

JEANINE JUNKER

JEANINE JUNKER

AMY DEACON

DANIELLE LESMEISTER

CHRISTOPHER KNOLL

---------------------------********** --------------------------********

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL

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145

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

LEGACY CARE HOME

SOUTHSIDE ASSISTED LIVING CORP

CUSTOMIZE LIVING LLC

1ST CARE INC

1ST CHOICE HOME LLC

1ST CHOICE HOME LLC

A+ HOME HEALTH CARE, INC.

ACE VENT HOME

ADAMS HEALTH CARE SERVICES

ADAMS HEALTH CARE SERVICES

2293 151ST LANE NW

14251 GUTHRIE AVENUE

2842 85TH COURT NE

8801 10TH AVENUE SOUTH

1440 EAST OLD SHAKOPEE ROAD

1440 EAST OLD SHAKOPEE ROAD

8400 NORMANDALE LAKE BLVD #920

9224 ELLIOT AVENUE

10036 WASHBURN AVENUE SOUTH

10036 WASHBURN AVENUE SOUTH

ANDOVER, MN 55304

APPLE VALLEY, MN 55124

BLAINE, MN 55449

BLOOMINGTON, MN 55420

BLOOMINGTON, MN 55425

BLOOMINGTON, MN 55425

BLOOMINGTON, MN 55437

BLOOMINGTON, MN 55420

BLOOMINGTON, MN 55431

BLOOMINGTON, MN 55431

763/229-1993

507/351-4212

612/999-5829

651/246-7209

952/201-4493

952/201-4493

952/854-7760

612/999-5977

952/215-7701

952/215-7701

Corp

Corp

Lim-Liab

Corp

Lim-Liab

Lim-Liab

NProf

Lim-Liab

Lim-Liab

Lim-Liab

COMP

TCOMP

COMP

TCOMP

BASIC

COMP

(25364)

(35685)

(34722)

(36301)

(36924)

(35985)

(03413)

(35477)

(35359)

(33871)

FAX: 320/217-8834

FAX: /-

FAX: /-

FAX: /-

FAX: 612/314-8711

FAX: 612/345-5214

FAX: 952/854-7842

FAX: 612/268-0878

FAX: /-

FAX: 952/405-8803

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

CATALINA HEMP

ASHA BUSURI

SULEBAN HUSSEIN

ABDIKARIM KALID

SHAKUR ABDISALAM

SHAKUR ABDIBALAM

DONNA ROBB

TENZIN PALDON

UBAH DHIBLAWE

UBAH DHIBLAWE

---------------------------********** --------------------------********

HWSAL-O

HWSAL-O

HWSAL

HWS-O

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146

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Page

Registration

HENNEPIN

ADVACARE CLINICS LTD

AFFINITY RESIDENTIAL CARE LLC

AFFINITY RESIDENTIAL CARE LLC

AFFINITY RESIDENTIAL CARE LLC

AMELIE HOUSE

ASSISTED LIVING IN HERITAGE HALL

ASSISTED LIVING IN HERITAGE HALL

ASSURED CARE

ASSURED CARE

BANI HOMES

5001 AMERICAN BLVD WEST #945

140 WEST 98TH STE 215

9213 ELLIOT AVENUE SOUTH

9230 13TH STREET

1400 WEST 100TH STREET

11501 MASONIC HOME DRIVE

11501 MASONIC HOME DRIVE

9630 UPTON ROAD

9630 UPTON ROAD

8454 KELL AVENUE SOUTH

BLOOMINGTON, MN 554371162

BLOOMINGTON, MN 55420

BLOOMINGTON, MN 55420

BLOOMINGTON, MN 55420

BLOOMINGTON, MN 55431

BLOOMINGTON, MN 55437

BLOOMINGTON, MN 55437

BLOOMINGTON, MN 55431

BLOOMINGTON, MN 55431

BLOOMINGTON, MN 55437

952/835-6653

952/217-4750

612/386-0942

612/386-0942

952/881-6424

952/948-7513

952/948-6901

952/444-3170

952/444-3170

612/442-4084

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

NProf

NProf

Corp

Corp

Lim-Liab

COMP

COMP

COMP

Out Pt

(30155)

(35461)

(35648)

(36407)

(26939)

(20126)

(30419)

(29064)

(32366)

(35376)

FAX: 952/835-3895

FAX: 612/930-0108

FAX: 612/930-0108

FAX: 612/930-0108

FAX: 952/217-5677

FAX: 952/948-7516

FAX: 952/948-7970

FAX: 952/314-1527

FAX: 952/314-1527

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

DENNIS LENSELINK

ZAHNIA HARUT

ZAHNUA HARUT

ZAHNIA HARUT

JAMES HAMMILL

BETH SCHROEDER

BETH SCHROEDER

CAREESE COLEMAN

CAREESE COLEMAN

BALGISA HASSAN

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWSAL

HWS-O

HWSAL

HWSAL-O

HWSAL-O

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147

Facility/Service Owner Licensure Certification

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Page

Registration

HENNEPIN

BANI SERVICES LLC

BEAUTIFUL HEARTS LLC

BLOOMINGTON DIALYSIS UNIT OF TRC

BRECK HOME RESIDENTIAL CARE

BRECK HOME RESIDENTIAL CARE

BRECK HOME RESIDENTIAL CARE

BRECK HOME RESIDENTIAL CARE CENTER, LLC

BROOKDALE HOSPICE MINNESOTA

CARDENAS FRIENDSHIP HOUSE

CAREMINDERS HOME CARE

8454 KELL AVENUE SOUTH

8617 PORTLAND AVENUE SOUTH

8591 LYNDALE AVENUE SOUTH

312 WEST 95TH STREET

318 WEST 95TH STREET

312 WEST 95TH STREET

312 WEST 95TH STREET

7801 EAST BUSH LAKE ROAD #230

3608 WEST 84TH STREET

8120 PENN AVENUE SOUTH STE 1

BLOOMINGTON, MN 55437

BLOOMINGTON, MN 55420

BLOOMINGTON, MN 55420

BLOOMINGTON, MN 55420

BLOOMINGTON, MN 55420

BLOOMINGTON, MN 55420

BLOOMINGTON, MN 55420

BLOOMINGTON, MN 55438

BLOOMINGTON, MN 55431

BLOOMINGTON, MN 55431

612/423-5044

612/353-4335

952/703-5888

612/702-8801

612/702-8801

612/702-8801

612/702-8801

952/831-0193

612/670-1380

952/500-8750

Lim-Liab

Lim-Liab

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Lim-Liab

TCOMP

COMP

COMP

Hospice

COMP

ESRD

HSPICE

(34650)

(34396)

(20863)

(23111)

(24594)

(30305)

(23111)

(29308)

(20981)

(32380)

FAX: 952/548-6616

FAX: 612/345-7639

FAX: 952/703-5889

FAX: 952/881-2100

FAX: 952/881-2100

FAX: 952/881-2100

FAX: 952/881-2100

FAX: 952/831-0191

FAX: /-

FAX: 612/353-6052

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

HANI HASSAN

NAJIB ISSE

JENNIFER WILLIMAS

JENNIFER MORGAN

JENNIFER MORGAN

JENNIFER MORGAN

JENNIFER MORGAN

TAMMY MORAN

ROBERT CARDENAS

BARBARA DWYER

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWSAL

HWSAL

HWS

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148

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Page

Registration

HENNEPIN

CARESTAY HOMES LLC

CARING FRIENDS

CARINGHANDS LLC

CARLSON DRAKE HOUSE

CHERRYWOOD POINTE BLOOMINGTON

CHU SURGERY CENTER, LLC

COMFORT CARE GROUP, LLC

DESTINY HOME CARE SERVICES

DESTINY HOME CARE SERVICES

DESTINY HOME CARE SERVICES

7900 INT'L DRIVE #300-7005

8309 GARFIELD AVENUE SOUTH

2901 WEST 90TH STREET

5414 WEST OLD SHAKOPEE CIRCLE

5501 AMERICAN BOULEVARD WEST

9117 LYNDALE AVENUE SOUTH

9008 VINCENT AVENUE SOUTH

8709 BRYANT AVENUE SOUTH

9907 WENTWORTH AVENUE SOUTH

9725 OAKLAND AVENUE SOUTH

BLOOMINGTON, MN 55425

BLOOMINGTON, MN 55420

BLOOMINGTON, MN 55431

BLOOMINGTON, MN 55437

BLOOMINGTON, MN 55437

BLOOMINGTON, MN 55420

BLOOMINGTON, MN 55431

BLOOMINGTON, MN 55420

BLOOMINGTON, MN 55420

BLOOMINGTON, MN 55420

612/230-1238

612/723-2281

612/205-7792

952/888-5611

952/835-1014

952/835-1235

612/229-3858

952/888-1405

952/888-7172

952/888-7172

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Corp

Corp

TCOMP

TCOMP

SLFA-12

Outpt Surg Amb Surg

(35768)

(35338)

(36779)

(01508)

(36899)

(25881)

(36787)

(27248)

(27249)

(31508)

FAX: 852/854-8437

FAX: /-

FAX: 612/460-6222

FAX: 952/888-3741

FAX: /-

FAX: 952/835-1092

FAX: /-

FAX: 952/888-7724

FAX: 952/888-7724

FAX: 952/888-7724

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ABDULRAZAQ JIBAR

HALIMO ADAN

MARIAM FARAH

SUSAN OPPERMAN

SARAH ETHRIDGE

CARRIE JACOBS

BASHE YUSUF

FAITH UDEH

FAITH UDEH

FAITH UDEH

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWSAL

HWSAL-O

HWS-O

HWS-O

HWS-O

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149

Facility/Service Owner Licensure Certification

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Directory of Facilities and Services

Page

Registration

HENNEPIN

DESTINY HOME CARE SERVICES

DESTINY HOME CARE SERVICES INC

DESTINY HOME CARE SERVICES INC

DESTINY HOME CARE SERVICES, INC.

DIGNITY HOME CARE LLC

DIGNITY HOME CARE LLC

FIRST CHOICE ASSISTED LIVING

FIRST CHOICE ASSISTED LIVING

FIRST CHOICE RESIDENTIAL CARE INC.

FIRST MERCY HOMES LLC

8036 UPTON AVENUE SOUTH

9318 CHICAGO AVENUE SOUTH

8007 UPTON AVENUE SOUTH

9907 WENTWORTH AVENUE SOUTH

8613 ZENITH ROAD

8613 ZENITH ROAD

2301 WEST 96TH STREET

2301 WEST 96TH STREET

2301 WEST 108TH STREET

7800 METRO PARKWAY #110

BLOOMINGTON, MN 55431

BLOOMINGTON, MN 55420

BLOOMINGTON, MN 55431

BLOOMINGTON, MN 55420

BLOOMINGTON, MN 55431

BLOOMINGTON, MN 55431

BLOOMINGTON, MN 55431

BLOOMINGTON, MN 55431

BLOOMINGTON, MN 55431

BLOOMINGTON, MN 55425

952/888-7172

952/888-7172

952/888-7172

952/888-7172

612/402-9116

612/402-9116

952/955-9110

612/598-6981

763/227-1571

206/915-3015

Corp

Corp

Corp

Corp

Lim-Liab

Lim-Liab

Corp

Corp

Corp

Lim-Liab

COMP

COMP

TCOMP

TCOMP

(28028)

(32136)

(33140)

(24149)

(35886)

(35470)

(34964)

(35462)

(35573)

(34911)

FAX: 952/888-7724

FAX: 952/888-7724

FAX: 952/888-7724

FAX: 952/888-7724

FAX: /-

FAX: 612/545-3200

FAX: /-

FAX: /-

FAX: /-

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

FAITH UDEH

FAITH UDEH

FAITH UDEH

FAITH UDEH

MUNA HASSAN

MUNA HASSAN

NAWAL HIRSI

NAWAL HIRSI

ABDISATAR AHMED

MOHAMED YUSUR

---------------------------********** --------------------------(Cont.)*

HWS-O

HWS-O

HWSAL-O

HWSAL

HWSAL

HWSAL-O

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150

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Page

Registration

HENNEPIN

FIRSTLIGHT HOME CARE OF MINNEAPOLIS WEST METRO

FMC SOUTHTOWN DIALYSIS

FOUNDERS RIDGE

FOUNDERS RIDGE

FRIENDSHIP VILLAGE BLOOMINGTON

FRIENDSHIP VILLAGE OF BLOOMINGTON

FRIENDSHIP VILLAGE OF BLOOMINGTON

GARFIELD COMMONS

GOLDEN HEART HOME 2

GREAT OAK SENIOR CARE, INC.

8400 NORMANDALE LK BLVD #920

7901 XERXES AVENUE SOUTH #103

6600 AUTO CLUB ROAD

6600 AUTO CLUB ROAD

8100 HIGHWOOD DRIVE

8130 HIGHWOOD DRIVE

8100 HIGHWOOD DRIVE

9450 GARFIELD AVENUE SOUTH

9524 ELLIOT AVENUE SOUTH

7800 METRO PARKWAY #300

BLOOMINGTON, MN 55437

BLOOMINGTON, MN 55431

BLOOMINGTON, MN 55438

BLOOMINGTON, MN 55438

BLOOMINGTON, MN 55438

BLOOMINGTON, MN 55438

BLOOMINGTON, MN 55438

BLOOMINGTON, MN 55420

BLOOMINGTON, MN 55420

BLOOMINGTON, MN 55425

651/955-5217

952/881-6986

952/946-2000

952/946-2000

952/831-7500

952/830-7500

952/831-7500

651/639-9799

612/735-4065

952/767-4925

Corp

Corp

NProf

NProf

NProf

NProf

NProf

NProf

Lim-Liab

Corp

COMP

NH-66 BCH-53

BASIC HCBS

ESRD

SNF-66

(37149)

(25770)

(28701)

(29092)

(20194)

(37122)

(00806)

(24489)

(36814)

(31526)

FAX: /-

FAX: 952/881-0621

FAX: 952/946-2001

FAX: 952/946-2001

FAX: 952/830-9893

FAX: 952/830-9404

FAX: 952/830-9405

FAX: 651/639-3699

FAX: 763/324-8493

FAX: 952/851-9618

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

CHRISTINE SCHUMANN

DANIELLE MEULENERS

JEN BRODAHL

JAN KOOMEN

DAVID MILLER

JENNIFER BEVER

JENNIFER BEVER

CHRIS WINTER

DEQA WARSAME

KEITH DAHLEN

---------------------------********** --------------------------(Cont.)*

Home Mgmt

HWSAL

HWS

HWSAL-O

HWSAL-O

HWSAL

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151

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

HAYDEN GROVE SENIOR LIVING

HEALTHPARTNERS HOSPICE AND PALLIATIVE CARE

HELIOPOLIS HOME HEALTHCARE LLC

HOPE HOMES LLC

HOPE RESIDENTIAL HOMES LLC

HOPE'S RESIDENCE

LIFESPACE PERSONAL SERVICES

MANZMED START CORPORATIONS

MANZMED START CORPORATIONS

MARTIN LUTHER CARE CENTER

8715 PORTLAND AVENUE SOUTH

8101 34TH AVENUE SOUTH

9642 PARK AVENUE SOUTH

8035 STEVENS AVENUE SOUTH

9800 MORGAN AVENUE SOUTH

9800 MORGAN AVENUE

8100 HIGHWOOD DRIVE

10417 ZENITH AVENUE SOUTH

10417 ZENITH AVENUE SOUTH

1401 EAST 100TH STREET

BLOOMINGTON, MN 55420

BLOOMINGTON, MN 55425

BLOOMINGTON, MN 55420

BLOOMINGTON, MN 55420

BLOOMINGTON, MN 55431

BLOOMINGTON, MN 55431

BLOOMINGTON, MN 55438

BLOOMINGTON, MN 55431

BLOOMINGTON, MN 55431

BLOOMINGTON, MN 55425

952/847-3150

952/883-6877

612/644-8696

612/407-0471

612/598-8681

612/598-8681

952/830-9485

612/701-4896

612/701-4896

952/888-7751

Lim-Liab

NProf

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

NProf

Corp

Corp

Lim-Liab

Hospice

COMP

COMP

COMP

NH-137

HSPICE

SNF-NF-137

(36913)

(02533)

(37228)

(34663)

(34606)

(34037)

(03093)

(34857)

(36083)

(00227)

FAX: /-

FAX: 952/883-6883

FAX: 612/465-5598

FAX: /-

FAX: /-

FAX: 952/208-1888

FAX: 952/830-9891

FAX: /-

FAX: /-

FAX: 952/888-5465

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

CARTER LINDNER

BETH WERNER

AMAL ABDALLE

SALEBAN DUALE

ASHA WARFA

ZAMZAM FARAH

PAULA DEJONG-JACKSON

NIMO SALIM

NIMO AHMED SALIM

MACKENZIE CHRISTOPHER

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWSAL-O

HWSAL-O

HWS

HWSAL-O

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152

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

MEADOW WOODS

METROPOLITAN LIVING LLC - MATILDE SITE

MIDWEST RESIDENTIAL

MIDWEST RESIDENTIAL INC

MIDWEST RESIDENTIAL INC

MIDWEST RESIDENTIAL INC

MIDWEST RESIDENTIAL INC

MIDWEST RESIDENTIAL INC

MINNESOTA EYE LASER & SURGERY CENTERS, LLC

MINNESOTA GROUP HOMES LLC

1301 EAST 100TH STREET

9230 5TH AVENUE SOUTH

10325 ZINRAN AVENUE SOUTH

10917 HUMBOLDT AVENUE SOUTH

10917 HUMBOLDT AVENUE SOUTH

10449 JOHNSON AVENUE SOUTH

7800 WEST 101ST STREET

5620 WEST 99TH STREET

9801 DUPONT AVENUE SOUTH #100

9131 11TH AVENUE SOUTH

BLOOMINGTON, MN 55425

BLOOMINGTON, MN 55420

BLOOMINGTON, MN 55438

BLOOMINGTON, MN 55431

BLOOMINGTON, MN 55431

BLOOMINGTON, MN 55437

BLOOMINGTON, MN 55438

BLOOMINGTON, MN 55437

BLOOMINGTON, MN 55431

BLOOMINGTON, MN 55420

952/888-1010

952/888-1090

651/315-2649

651/315-2649

651/315-2649

651/315-2649

651/315-2649

612/315-2649

952/888-5800

651/999-9616

Lim-Liab

Lim-Liab

Corp

Corp

Corp

Corp

Corp

Corp

Lim-Liab

Lim-Liab

COMP

Outpt Surg

TCOMP

Amb Surg

(20264)

(30669)

(34483)

(33248)

(33081)

(36984)

(37007)

(36953)

(00301)

(35073)

FAX: 952/881-4323

FAX: 952/217-5677

FAX: 612/979-2604

FAX: /-

FAX: 612/979-2604

FAX: 612/979-2604

FAX: 612/979-2604

FAX: 651/979-2604

FAX: 952/567-6156

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ERIN HILLIGAN

JAMES HAMMILL

FAIZA HASSAN

FAIZA HASSAN

FAIZA HASSAN

FAIZA HASSAN

FAIZA HASSAN

FAIZA HASSAN

DOMINIKA FORSYTH

BASHIR GEELLE

---------------------------********** --------------------------(Cont.)*

HWSAL

HWS-O

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL

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153

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Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

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HENNEPIN

MINNESOTA GROUP HOMES LLC

MINNESOTA MASONIC HOME CARE CENTER

MINNETONKA CARE RESIDENCE

MNGI ENDOSCOPY BLOOMINGTON

MOBILEX USA

MORNINGSTAR HOMES S.C.

MTAI ALBERT PLACE

MTAI BLOOMINGTON

NERVANAS CARING HANDS INC

NERVANAS CARING HANDS INC

10355 GRAND AVENUE SOUTH

11501 MASONIC HOME DRIVE

421 SPRING VALLEY DRIVE

5705 W OLD SHAKOPEE ROAD #150

8030 OLD CEDAR AVENUE S #226

5532 WEST 104TH STREET

9911 13TH AVENUE SOUTH

10633 KELL AVENUE SOUTH

8719 BLOOMINGTON AVENUE SOUTH

8719 BLOOMINGTON AVENUE SOUTH

BLOOMINGTON, MN 55420

BLOOMINGTON, MN 55437

BLOOMINGTON, MN 55420

BLOOMINGTON, MN 55437

BLOOMINGTON, MN 55425

BLOOMINGTON, MN 55437

BLOOMINGTON, MN 55425

BLOOMINGTON, MN 55437

BLOOMINGTON, MN 55425

BLOOMINGTON, MN 55425

651/999-9616

952/948-6901

763/550-1774

612/871-1145

952/854-4984

253/223-4080

763/442-7830

952/881-2848

612/220-7511

612/220-7511

Lim-Liab

NProf

Lim-Liab

Corp

Corp

Ind

Corp

Corp

Corp

Corp

NH-214

Outpt Surg

SLFA-6

SLFA-6

COMP

SNF-NF-214

Amb Surg

XRAY

ICFIID-6

ICFIID-6

(35663)

(00232)

(31856)

(25898)

(27065)

(36237)

(01565)

(01098)

(26052)

(30664)

FAX: /-

FAX: 952/948-7968

FAX: 612/437-4768

FAX: 612/870-5491

FAX: /-

FAX: /-

FAX: 763/754-0332

FAX: 952/884-0179

FAX: 952/854-4633

FAX: 952/854-4633

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

BASHIR GEELLE

BETH SCHROEDER

MARCI COTTER

SCOTT KETOVER

RENEE NATZKE

YIHUA "EVA" KEHRER

CATHY HANSON

BRENT KROCAK

NERVANA RAMDYAL

NERVANA RAMDYAL

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWS

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Page

Registration

HENNEPIN

NEWTON MANOR

NINE MILE CREEK SENIOR LIVING

OPTIMUM CARE SERVICES LLC

PARADISE ASSISTED LIVING INC

POINT-ONE HOME HEALTH LLC

PRES HOMES BLOOMINGTON COMMONS

PRES HOMES BLOOMINGTON-ARBOR

PRESBYTERIAN HOMES OF BLOOMINGTON

PRESBYTERIAN HOMES OF BLOOMINGTON AND NEWTON MANOR

PRIME CARE SERVICES INC

10000 NEWTON AVENUE SOUTH

2301 VILLAGE LANE

7800 METRO PARKWAY #300

10829 VINCENT AVENUE SOUTH

7800 METRO PARKWAY #300

10030 NEWTON AVENUE SOUTH

9889 PENN AVENUE SOUTH

9889 PENN AVENUE SOUTH

9889 PENN AVENUE SOUTH

7800 METRO PARKWAY #220

BLOOMINGTON, MN 55431

BLOOMINGTON, MN 55431

BLOOMINGTON, MN 55425

BLOOMINGTON, MN 55431

BLOOMINGTON, MN 55425

BLOOMINGTON, MN 55431

BLOOMINGTON, MN 55431

BLOOMINGTON, MN 55431

BLOOMINGTON, MN 55431

BLOOMINGTON, MN 55425

952/948-3000

952/888-0731

507/202-4272

612/417-2373

612/366-9300

952/948-3000

952/948-3000

952/948-3000

952/948-3000

651/279-8081

NProf

Lim-Liab

Lim-Liab

Corp

Lim-Liab

NProf

NProf

NProf

NProf

Corp

COMP

TCOMP

NH-98

COMP

TCOMP

SNF-NF-98

(21010)

(30677)

(33914)

(34760)

(35507)

(20127)

(24062)

(00189)

(27958)

(36128)

FAX: 952/948-3017

FAX: 952/884-2191

FAX: 651/358-2890

FAX: 612/465-4477

FAX: 612/465-4880

FAX: 952/948-3017

FAX: 952/948-3017

FAX: 952/948-3002

FAX: 952/948-3017

FAX: 651/358-2890

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

MICHELLE SULLIVAN

ERIN HILLIGAN

DHIMBLE ALI

ABDISALAM AHMED

MOHAMED HASSAN

MICHELLE SULLIVAN

MICHELLE SULLIVAN

LUKE JACKSON

JAN KOOMEN

DHIMBLE ALI

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL-O

HWSAL

HWSAL

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155

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

PROMISE CARE, INC

PROSPER HOME HEALTH& TRANSPO

QUALITY CARE SERVICES

REMMY'S TENDER CARE LLC

RES CARE AT NINE MILE CREEK

RESIDENTIAL CARE AT NINE MILE CREEK

REST CARE HOME SERVICES

REST CARE HOME SERVICES, LLC

REST CARE HOME SERVICES, LLC

RIGHT AT HOME

7900 INTERNATIONAL DRIVE #300

10025 COLFAX AVENUE SOUTH

10824 NORD AVENUE SOUTH

9024 VINCENT AVENUE SOUTH

10641 JAMES ROAD

10641 JAMES ROAD

2421 WEST 98TH STREET

10300 DEVONSHIRE CIRCLE #D127

2421 WEST 98TH STREET

2626 EAST 82ND STREET #150

BLOOMINGTON, MN 55425

BLOOMINGTON, MN 55431

BLOOMINGTON, MN 55437

BLOOMINGTON, MN 55431

BLOOMINGTON, MN 55431

BLOOMINGTON, MN 55431

BLOOMINGTON, MN 55431

BLOOMINGTON, MN 55431

BLOOMINGTON, MN 55431

BLOOMINGTON, MN 55425

952/999-7974

612/876-1187

612/913-1129

612/385-6469

612/978-2238

612/978-2238

612/327-0670

952/212-2656

612/327-0670

952/854-6122

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Corp

COMP

TBASIC

COMP

COMP

(24821)

(36295)

(36752)

(34578)

(31979)

(32061)

(33214)

(36869)

(37035)

(21258)

FAX: 952/674-4527

FAX: 612/677-3282

FAX: /-

FAX: /-

FAX: /-

FAX: 952/229-4213

FAX: 952/681-2455

FAX: 952/681-2455

FAX: 952/681-2455

FAX: 952/854-6162

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

CAROLINE LINDEMAN

IFRAH ALI

ABDULLAHI BARRE

BRENDA KIBERO-KALEMA

SADIK ABDI

SADIK ABDI

FREDERICK VARNEY

FREDERICK VARNEY

FREDRICK VARNEY

PAUL BLOM

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL-O

HWSAL

HWS-O

HWS-O

Home Mgmt

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156

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Page

Registration

HENNEPIN

RIGHT AT HOME

SALEXAH HOMES SERVICE CORPORATION

SEED HOME HEALTHCARE LLC

SEED HOME HEALTHCARE LLC

SENIOR HOME HEALTH CARE LLC

SHIRE HOMES INC

SHIRE HOMES INC

SINCERE CARE INC

SKYLINE HOUSING WITH SERVICES

SUNSHINE ASSISTED LIVING SERVICES LLC

2626 EAST 82ND STREET STE 150

10541 ABBOTT AVENUE SOUTH

7311 WEST OLD SHAKOPEE ROAD

7311 OLD SHAKOPEE ROAD

7800 METRO PARKWAY #100

9724 NICOLETT AVENUE

9724 NICOLLET AVENUE SOUTH

4824 WEST 102ND STREET

665 EAST 82ND STREET

9540 COLUMBUS AVENUE SOUTH

BLOOMINGTON, MN 55425

BLOOMINGTON, MN 55431

BLOOMINGTON, MN 55438

BLOOMINGTON, MN 55348

BLOOMINGTON, MN 55425

BLOOMINGTON, MN 55420

BLOOMINGTON, MN 55420

BLOOMINGTON, MN 55437

BLOOMINGTON, MN 55420

BLOOMINGTON, MN 55420

952/854-6122

651/999-9723

952/426-1629

952/426-1629

952/855-7786

952/228-1000

952/228-1000

612/598-2556

612/703-2857

952/457-7992

Corp

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Corp

Corp

Corp

Lim-Liab

BASIC HCBS

TCOMP

COMP

TCOMP

TCOMP

HHA

(32367)

(36057)

(34975)

(35732)

(28931)

(34225)

(34620)

(36439)

(36345)

(35103)

FAX: 952/854-6162

FAX: /-

FAX: /-

FAX: 952/241-1325

FAX: 952/855-7784

FAX: /-

FAX: /-

FAX: 952/900-7829

FAX: 952/484-4227

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PAUL BLOM

SARAH TOUY

ABDULAHI MOHAMED

ABDULAHI MOHAMED

DEANNA HAMMOND

RAQIA ABDILLAHI

SHIRE RIYAQ ABDILLAHI

KHADRA MOHAMED

SAID MOHAMED

ABDULAHI ABDIRAHAMN

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL-O

HWSAL-O

HWSAL-O

HWSAL

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Page

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HENNEPIN

SUNSHINE ASSISTED LIVING SERVICES LLC

THE ESTATES AT BLOOMINGTON LLC

THE GENEVA SUITES

THE GENEVA SUITES

THE JAMES INC

THE JAMES, INC.

THE JAMES, INC.

THE JAMES, INC.

THE THERAPY PLACE

THE WEALSHIRE LLC

9540 COLUMBUS AVENUE SOUTH

9200 NICOLLET AVENUE SOUTH

9145 MEADOWVIEW ROAD

8100 OLD CEDAR AVENUE S STE 10

10040 NORD ROAD

10549 BEARD AVENUE SOUTH

4533 NORMANDALE HIGHLANDS DR

4533 NORMANDALE HIGHLANDS DR

900 WEST 94TH STREET

10601 LYNDALE AVENUE SOUTH

BLOOMINGTON, MN 55420

BLOOMINGTON, MN 55420

BLOOMINGTON, MN 55425

BLOOMINGTON, MN 55425

BLOOMINGTON, MN 55437

BLOOMINGTON, MN 55431

BLOOMINGTON, MN 55437

BLOOMINGTON, MN 55437

BLOOMINGTON, MN 55420

BLOOMINGTON, MN 55420

952/457-7992

952/881-8676

612/208-8888

612/208-8888

612/481-7126

952/831-4591

952/831-4591

952/831-4591

952/885-0418

952/345-1900

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Corp

Corp

Corp

Corp

Lim-Liab

NH-68

COMP

COMP

COMP

SNF-NF-68

Out Pt Out St Out Ot

(35372)

(00169)

(32258)

(32475)

(33681)

(28558)

(23991)

(30485)

(03828)

(28128)

FAX: /-

FAX: 952/881-1050

FAX: 612/358-2222

FAX: 612/358-2222

FAX: 952/831-3275

FAX: 952/831-3275

FAX: 952/831-3275

FAX: 952/831-3275

FAX: /-

FAX: 952/345-1906

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ABDULAHI AHMED ABDIRAHMAN

MN TORI KLIMEK

MATT HANLEY

CATHERINE DECKER

JAMES IMASUEN

JAMES IMASUEN

JAMES IMASUEN

JAMES IMASUEN

LYNN KOPFMAN

ELIZABETH JOHNSON

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWSAL

HWSAL

HWSAL

HWSAL

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158

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

THE WEALSHIRE OF BLOOMINGTON

THE WEALSHIRE OF BLOOMINGTON

TRIA ORTHOPAEDIC CENTER, LLC

TWINS CARE NURSING SERVICE INC

UNITED HEALTHCARE LLC

UNIVERSAL HEALTH SERVICES LLC

UNIVERSAL HEALTH SERVICES LLC

WEST BLOOMINGTON RESIDENCE

ALL HOPES AT ORCHARD

AMERICAN FAMILY HOME CARE

10601 LYNDALE AVENUE SOUTH

10601 LYNDALE AVENUE SOUTH

8100 NORTHLAND DRIVE

9934 MAPLE AVENUE SOUTH

8325 OAKLAND AVENUE SOUTH

10324 PORTLAND AVENUE SOUTH

2200 88TH STREET

10441 JOHNSON AVENUE SOUTH

7932 ORCHARD AVENUE NORTH

3325 84TH AVENUE NORTH

BLOOMINGTON, MN 55420

BLOOMINGTON, MN 55420

BLOOMINGTON, MN 55431

BLOOMINGTON, MN 55431

BLOOMINGTON, MN 55420

BLOOMINGTON, MN 55423

BLOOMINGTON, MN 55425

BLOOMINGTON, MN 55437

BROOKLY PARK, MN 55443

BROOKLY PARK, MN 55443

952/345-1900

952/345-1900

952/967-6884

952/423-1204

651/347-5334

612/751-0854

612/751-0854

763/550-1774

763/482-1487

763/971-8888

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Corp

Corp

COMP

Outpt Surg

COMP

Amb Surg

(28128)

(30803)

(23244)

(25451)

(35514)

(36711)

(37124)

(24675)

(35715)

(35676)

FAX: 952/345-1906

FAX: 952/345-1906

FAX: 952/806-5765

FAX: 952/423-4113

FAX: 612/465-5598

FAX: 612/213-2311

FAX: 612/213-2311

FAX: 763/559-9155

FAX: 763/951-2775

FAX: 763/971-8892

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ELIZABETH JOHNSON

ELIZABETH JOHNSON

STEVE HOUSH

SHERRI JONES

AMAL ABDALLE

MELLEN SUTTON

MELLEN SUTTON

MARCIA COTTER

VICTOR AWOSIKA

LOVETH AMAYANVBO

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL-O

HWSAL-O

HWSAL-O

HWSAL

HWSAL-O

HWSAL-O

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159

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

ASHTON HOMES LLC

DELIGHT HOME HEALTHCARE LLC

HIS SERVICES HOME CARE LLC

ABUNDANT LIFE HOME HEALTH CARE, LLC

ACACIA CARE LLC

AGAPE HEALTHCARE SERVICES INC

AGAPECARE SERVICES LLC

ALPHA ASSISTED LIVING INC

AMAZING HOME LLC

AMECARE SERVICES LLC

7523 HUMBOLDT CIRCLE NORTH

8017 NORTH COLLEGE PARK DRIVE

2108 70TH AVENUE NORTH

5901 BROOKLYN BOULEVARD #110

5701 SHINGLE CREEK PKWY #530

6040 EARLE BROWN DRIVE N #260

2701 OHENRY ROAD

6400 NOBLE AVENUE NORTH

3220 COUNTY ROAD 10 #117

3300 COUNTY ROAD 10 #320-I

BROOKLY PARK, MN 55444

BROOKLY PARK, MN 55445

BROOKLYN CENTER, MN 55430

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55430

BROOKLYN CENTER, MN 55430

BROOKLYN CENTER, MN 55430

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55429

763/777-1059

612/414-1804

763/566-4661

763/732-8391

763/432-6773

763/703-5986

952/994-5356

612/354-3024

678/789-4629

612/226-7255

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Lim-Liab

Corp

Lim-Liab

Lim-Liab

COMP

COMP

COMP

COMP

TCOMP

TCOMP

(33527)

(35853)

(35313)

(26471)

(33768)

(32964)

(35672)

(36304)

(34834)

(35258)

FAX: 763/219-4401

FAX: 763/444-1967

FAX: 763/566-4130

FAX: 763/444-1517

FAX: 888/229-8312

FAX: 763/600-6102

FAX: 952/516-5152

FAX: 612/208-0902

FAX: /-

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

SEKOU DUKULY

NKEIMIKA OKONKNO

SYLVESTER ONAIWU

GEORGE MARSHALL

NELLY MOGENI

ALFRED PAYNE

PENNONAH OBWAYA

MUSE MOHAMUD

RHODA PAPPOE

DANIEL AMENYA

---------------------------********** --------------------------(Cont.)*

HWS-O

HWSAL

HWSAL

HWSAL-O

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160

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

AMERICAN BEST HOME CARE INC

AMERICAN BEST HOME CARE INC

AMERICAN BEST HOME CARE INC

AMERICAN BEST HOME CARE INC

AMERICAN BEST HOME CARE INC

AMERICAN BEST HOME CARE, INC.

AMERICAN BEST HOME CARE, INC.

AMERICAN FAMILY HOME CARE

ANCHOR ON 54

ANGEL HOME CARE

3501 63RD AVENUE NORTH

5218 PAUL DRIVE

3816 FRANCE PLACE

3501 63RD AVENUE NORTH

7124 WEST RIVER ROAD

5012 65TH AVENUE NORTH

6731 BRYANT AVENUE NORTH

5901 BROOKLYN BOULEVARD #208

3606 54TH AVENUE NORTH

5701 SHINGLE CREEK PKWY #610

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55430

BROOKLYN CENTER, MN 55430

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55430

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55430

763/432-7356

763/432-7356

763/462-7356

763/432-7356

763/432-7356

763/432-7356

763/432-7356

763/971-8888

763/999-4600

952/222-9690

Corp

Corp

Corp

Corp

Corp

Corp

Corp

Corp

Lim-Liab

Lim-Liab

COMP

COMP

TCOMP

(27873)

(33587)

(35870)

(34413)

(36570)

(36710)

(36712)

(24442)

(36358)

(34741)

FAX: 763/432-6856

FAX: 763/432-6856

FAX: 763/432-6856

FAX: 763/432-6856

FAX: 763/432-6856

FAX: 763/432-6856

FAX: 763/432-6856

FAX: 763/971-8892

FAX: 763/315-0385

FAX: 952/222-9693

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

SEGUN OLATAYO

SEGUN OLATAYO

SEGUN OLATAYO

SEGUN OLATAYO

SEGUN OLATAYO

SEGUN OLATAYO

SEGUN OLATAYO

LOVETH AMAYANVBO

BENJAMIN EDISON-EDEBOR

SIMGBA SESAY

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWSAL

HWSAL

HWSAL-O

HWSAL

HWSAL

HWS-O

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161

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

ANGEL'S HEALTH & HOME CARE SERVICES INC

ANGEL'S HEALTH & HOME CARE SERVICES INC

ANGELS HEALTH & HOME CARE SERVICES

ANGELS OF MERCY ASSISTED LIVING

ANGELS OF MERCY HOME

ASHTON HOMES LLC

ASIAN AMERICAN ELDERLY ASSISTED LIVING LLC

ASIAN AMERICAN ELDERLY ASSISTED LIVING, LLC

ASSOCIATED TENDER CARE LLC

ASTRAL HOME CARE LLC

4213 63RD AVENUE NORTH

5833 PEARSON DRIVE

3300 COUNTY ROAD 10 STE 522

6018 HALIFAX PLACE

6018 HALIFAX PLACE

6642 DUPONT AVENUE

5313 62ND AVENUE NORTH

5313 62ND AVENUE NORTH

6325 XERXES AVENUE NORTH

3300 COUNTY ROAD 10

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55430

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55430

BROOKLYN CENTER, MN 55429

763/270-5771

763/270-5771

763/270-5771

763/432-9706

763/432-9706

763/354-0850

763/248-4627

763/248-4627

763/439-7495

763/283-9973

Corp

Corp

Corp

Corp

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

COMP HCBS

COMP

COMP

TCOMP

(35639)

(36870)

(32874)

(28129)

(30483)

(35079)

(30486)

(24014)

(34909)

(34970)

FAX: 763/657-0252

FAX: 763/657-0252

FAX: 763/657-0252

FAX: 763/432-9708

FAX: 763/432-9708

FAX: 763/219-4401

FAX: /-

FAX: /-

FAX: 763/439-9440

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

SOLOMON AKWAKA

SOLOMON AKWAKA

SOLOMON AKWAKA

FOLUSO ALLISON

FOLUSO ALLISON

SEKOU DUKULY

CHAO VANG

CHAO VANG

LINUS AMAJUOYI

RUTH DOMBRET

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL

HWS

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162

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

AURORA'S HOUSE

BEST CARE GROUP

BETHEL

BLISSFUL HOME CARE INC.

BLISSFUL HOMECARE INC

BRIGHT PATH HOMES

BRIGHT PATH HOMES LLC

BRIGHT PATH HOMES LLC

BRIGHT PATH HOMES LLC

BUTTERFLY BOUND CARE

4522 KATHRENE DRIVE

6213 CHOWEN AVENUE NORTH

5101 63RD AVENUE NORTH

5661 NORTHPORT DRIVE

5661 NORTHPORT DRIVE

7001 EMERSON AVENUE NORTH

6800 QUAIL AVENUE NORTH

7001 EMERSON AVENUE NORTH

1001 65TH AVENUE NORTH

3207 67TH AVENUE NORTH

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55430

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55430

BROOKLYN CENTER, MN 55430

BROOKLYN CENTER, MN 55429

952/848-0935

612/378-1040

651/631-2535

651/283-4764

651/283-4764

952/658-6176

952/658-6176

952/658-6176

952/658-6176

763/670-3715

Lim-Liab

Corp

Corp

Corp

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Ind

TCOMP

COMP

(36720)

(22356)

(32692)

(36839)

(36096)

(34407)

(37090)

(36107)

(36541)

(35716)

FAX: 952/920-6929

FAX: 612/378-2850

FAX: 651/631-2538

FAX: /-

FAX: /-

FAX: /-

FAX: 952/487-0332

FAX: 952/487-0332

FAX: 952/487-0332

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

LOUIS OROZCO

NAZNEEN KHATOON

ADEGBOLA OGUNDIPE

ENITE OGHNEKARO

ENITE OGHENEKARO

MOSES GIBSON

MOSES GIBSON

MOSES GIBSON

MOSES GIBSON

DOREEN KALEMA

---------------------------********** --------------------------(Cont.)*

HWS-O

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL

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163

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

BUTTERFLY BOUND CARE

BUTTERFLY BOUND CARE

BUTTERFLY BOUND CARE

BUTTERFLY BOUND CARE

BUTTERFLY BOUND CARE

CARE PARTNERS HOMECARE LLC

CARE PLUS HOME CARE, LLC

CAREVIEW HOME HEALTH LLC

CAREVIEW WINCHESTER HOME

CRESCENT COVE

3501 62ND AVENUE NORTH

6212 CHOWEN AVENUE NORTH

6207 CHOWEN AVENUE NORTH

6943 WEST PALMER LAKE DRIVE

6212 CHOWEN AVENUE NORTH

5701 SHINGLE CREEK PKWY #210I

6019 COLFAX AVENUE NORTH

3300 COUNTY ROAD 10 #300B

4207 WINCHESTER LANE

4201 58TH AVENUE NORTH

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55430

BROOKLYN CENTER, MN 55430

BROOKLYN CENTER, MN 55430

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55429

763/670-3715

763/670-3715

763/670-3715

763/306-9645

763/670-3715

763/458-2727

612/221-5382

612/910-5473

715/559-5557

952/426-4711

Ind

Ind

Ind

Ind

Ind

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

NProf

COMP

COMP

COMP

RES-HSPICE-6

(35717)

(32424)

(32914)

(37241)

(37324)

(32853)

(36155)

(33171)

(33522)

(33005)

FAX: /-

FAX: 763/560-1170

FAX: 763/560-1170

FAX: 763/560-1170

FAX: 763/560-1170

FAX: 763/207-0076

FAX: 763/592-8103

FAX: 800/653-6211

FAX: 800/653-6211

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

DOREEN KALEMA

DOREEN KALEMA

DOREEN KALEMA

DOREEN KALEMA

DOREEN KALEMA

ISHMAEL KOMARA

FRANK NGAFUA

DARLA VANG

DARLA VANG

KATIE LINDENFELSER

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWS-O

HWSAL

HWSAL

HWSAL

HWS

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164

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

DANIEL CARE HOMES LLC

DESNOL HEALTHCARE SERVICES LLC

DIVINE HEALING HOME CARE LLC

DIVINE HOME CARE SERVICES LLC

DIVINE HOME CARE SERVICES LLC

DOMINION HEALTHCARE SERVICES

ELITE NURSING SERVICE, INC.

ELITE NURSING SERVICES INC

ELIZJOSEPH HEALTHCARE LLC

ELIZJOSEPH HEALTHCARE LLC

6809 PERRY AVENUE NORTH

3306 62ND AVENUE NORTH

7030 BROOKLYN BOULEVARD

3307 O'HENRY ROAD

3307 O'HENRY ROAD

5421 PENN AVENUE NORTH

6160 SUMMIT DRIVE NORTH #560-A

3100 THURBER ROAD

6500 BROOKLYN BOULEVARD #100

4225 66TH AVENUE NORTH

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55443

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55430

BROOKLYN CENTER, MN 55430

BROOKLYN CENTER, MN 55430

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55429

763/321-9729

763/951-2805

763/566-1378

612/703-2986

612/703-2986

612/812-4744

763/421-3613

763/421-3613

612/886-9404

612/886-9404

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Corp

Corp

Lim-Liab

COMP

TCOMP

COMP

COMP

COMP

(36660)

(37060)

(33484)

(35786)

(36163)

(34837)

(26977)

(36036)

(31880)

(33055)

FAX: /-

FAX: 763/208-1163

FAX: 763/566-1379

FAX: /-

FAX: /-

FAX: /-

FAX: 763/374-5451

FAX: 763/374-5451

FAX: 612/246-3198

FAX: 612/246-3198

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

EMELIE NGOY

OLUWATOSIN ADEJUWON

JOYCE MOGENI

ASSATA SHERRIFF

ASSATA SHERIFF

YARIA BANGURD

BANBAH GARSINII

BANBAH GARSINII

DAMILOLA AGUNBIADE

DAMILOLA AGUNBIADE

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWSAL

HWSAL-O

HWSAL

HWSAL-O

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165

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

ELIZJOSEPH HEALTHCARE LLC

ELIZJOSEPH HEALTHCARE LLC

ELIZJOSEPH HEALTHCARE LLC

EMPATHY HOME CARE INC

EMPATHY HOME CARE INC

EMPIRE SYSTEMS HOME CARE

EMPIRE SYSTEMS HOME CARE

EMPIRE SYSTEMS HOME CARE

ESTEEM NURSING CARE, INC.

EVERLEAD HOME HEALTH CARE LLC

1706 AMY LANE

7130 FREMONT AVENUE NORTH

7101 GIRARD AVENUE NORTH

6501 BROOKLYN DRIVE

7025 LOGAN AVENUE NORTH

6324 SCOTT AVENUE NORTH

3301 LAWRENCE ROAD

6012 YORK AVENUE NORTH

3300 BASS LAKE ROAD STE 108

6430 INDIANA AVENUE NORTH

BROOKLYN CENTER, MN 55430

BROOKLYN CENTER, MN 55430

BROOKLYN CENTER, MN 55430

BROOKLYN CENTER, MN 55430

BROOKLYN CENTER, MN 55430

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55430

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55429

612/886-9404

612/886-9404

612/886-9404

612/245-1561

612/425-1561

763/237-2402

763/225-7396

763/237-2402

763/503-2400

612/735-4776

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Corp

Corp

Corp

Corp

Corp

Lim-Liab

COMP HCBS

TCOMP

(33418)

(33729)

(34249)

(33955)

(34496)

(34525)

(35562)

(34526)

(21960)

(35214)

FAX: 612/246-3198

FAX: 612/246-3198

FAX: 612/246-3198

FAX: 612/888-9690

FAX: 612/888-9690

FAX: 763/592-7932

FAX: 763/592-7932

FAX: 763/592-7932

FAX: 763/503-2401

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

DAMILOLA AGUNBIADE

DAMILOLA AGUNBIADE

DAMILOLA AGUNBIADE

FATOU JALLOW

FATOU JALLOW

SAYNDEE SANDOO

SAYNDEE SANDO

SAYNDEE SANDOO

EMMANUEL OKIDEGBE

ADEWALE AKINSOJI

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWSAL-O

HWSAL-O

HWSAL-O

HWSAL-O

HWSAL

HWSAL

HWSAL

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166

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

EVERLEAD HOME HEALTH CARE LLC

FAMILY TRUST HOME HEALTH LLC

FIRST CHOICE NURSING & HOMECARE, INC.

FORTUNATE HOMES LLC

FORTUNATE HOMES LLC

FREEMONT HOUSE

FREMONT HOME

GOLDEN TOUCH HEALTH CARE LLC

GOLDEN TOUCH HEALTH CARE LLC

GOODNESS AND MERCY HEALTH SERVICES

6430 INDIANA AVENUE NORTH

5901 BROOKLYN BLVD STE 201

5701 SHINGLE CREEK PKWY #112

6937 FRANCE AVENUE NORTH

6325 XERXES AVENUE NORTH

5303 FREMONT AVENUE NORTH

6424 FREMONT AVENUE NORTH

6800 SCOTT AVENUE NORTH

6800 SCOTT AVENUE NORTH

3220 BASS LAKE ROAD STE 124

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55430

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55430

BROOKLYN CENTER, MN 55430

BROOKLYN CENTER, MN 55430

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55429

612/735-4776

763/205-6624

763/566-4025

952/994-5356

952/994-5356

763/432-6413

763/568-8828

763/354-0850

763/354-0850

651/631-2535

Lim-Liab

Lim-Liab

Corp

Lim-Liab

Lim-Liab

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Corp

COMP

COMP

COMP

COMP

(35543)

(33784)

(26335)

(37185)

(36988)

(35623)

(35683)

(32583)

(34600)

(27939)

FAX: /-

FAX: 763/205-6790

FAX: 763/566-4052

FAX: 952/674-7774

FAX: 952/674-7774

FAX: 763/432-6652

FAX: 612/430-8785

FAX: 763/219-4401

FAX: 888/279-6919

FAX: 651/631-2538

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ADEWALE AKINSOJI

DAWOLYN BRYANT-JERBO

JERRY HAVON

SUSAN OBWAYA

SUSAN OBWAYA

RUFINA DALMEIDA

J CHUKWUDI OSAKWE

SEKOU DUKULY

SEKOU DUKULY

ADESOLA OGUNDIPE

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL-O

HWSAL

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167

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

GOODNESS AND MERCY HEALTH SERVICES INC

GRACEFUL LODGE HOME CARE

GRACEFUL LODGE HOME CARE

GREATER MINNESOTA HOME HEALTH CARE INC

HARMONY

HARMONY CARE PROVIDERS LLC

HARMONY HOMES LLC

HARMONY HOMES LLC

HEALTHPOINT HOUSING WITH SERVICS LLC

HEART OF A STAR HOMECARE

3200 63RD AVENUE NORTH

3300 COUNTY ROAD 10 #320F

6430 JUNE AVENUE NORTH

5901 BROOKLYN BOULEVARD #204

6319 SCOTT AVENUE NORTH

3101 68TH AVENUE NORTH

7006 MORGAN AVENUE NORTH

7006 MORGAN AVENUE NORTH

5419 MORGAN AVENUE NORTH

6430 TOLEDO AVENUE NORTH

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55430

BROOKLYN CENTER, MN 55430

BROOKLYN CENTER, MN 55430

BROOKLYN CENTER, MN 55429

651/631-2535

763/496-9056

763/496-9056

763/777-5075

651/631-2535

612/868-3883

952/288-9475

952/288-9475

612/272-8118

763/283-0671

Corp

Lim-Liab

Lim-Liab

Corp

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

TCOMP HCBS

TCOMP

TCOMP

TCOMP

(29902)

(34913)

(35698)

(35522)

(35497)

(35854)

(35791)

(36862)

(35694)

(36654)

FAX: 651/631-2538

FAX: /-

FAX: 763/374-3882

FAX: 763/777-5080

FAX: 651/631-2538

FAX: /-

FAX: /-

FAX: /-

FAX: 612/435-6655

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ADEGBOLA OGUNDIPE

DANIEL BREWER

DANIEL BREWER

MOHAMED AHMED

ADESOLA OGUNDIPE

MAGGIE HARMON

FATUMA TOBE

FATUMA TOBE

YOSSEPH ISAAK

GERALD GRAY

---------------------------********** --------------------------(Cont.)*

HWS

HWSAL

HWSAL

HWSAL-O

HWSAL-O

HWSAL

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168

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

HELPFUL HANDS HOME CARE LLC

HELPFUL HANDS HOME CARE LLC

HIS SERVICES HOME CARE LLC

HMONG SENIOR HEALTH CARE, INC.

INDEPENDENT HAVEN, INC

INDEPENDENT HOME CARE AGENCY

INTEGRITY HOME HEALTH CARE INC

JMKAY HEALTH CARE SERVICES INC

JMKAY HEALTH CARE SERVICES INC

JMKAY HEALTH CARE SERVICES INC

6712 DREW AVENUE NORTH

6712 DREW AVENUE NORTH

2108 70TH AVENUE NORTH

6206 BROOKLYN BOULEVARD

7022 BROOKLYN BOULEVARD

3300 COUNTY ROAD 10 STE 300E

3300 COUNTY ROAD 10 #3200

5807 BRYANT AVENUE NORTH

4200 WINCHESTER LANE

4200 WINCHESTER LANE

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55430

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55430

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55429

612/636-2647

612/636-2647

763/321-0541

763/566-2889

763/999-7799

763/205-5763

612/807-4484

/-

763/245-0668

763/245-0668

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Corp

Lim-Liab

Lim-Liab

Corp

Corp

Corp

TCOMP

COMP

COMP

COMP

TCOMP

COMP

(36724)

(35289)

(34154)

(28455)

(31789)

(28566)

(34828)

(36928)

(32812)

(34267)

FAX: /-

FAX: 651/369-2908

FAX: 763/566-4130

FAX: 763/526-2947

FAX: 763/999-7790

FAX: 763/560-1014

FAX: /-

FAX: /-

FAX: 763/657-0026

FAX: 763/657-0026

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

SULEMAN AHMED MOHAMUD

SULEMAN MOHAMUD

SYLVESTER ONAIWU

HOUA YANG

KHRISTINA OESTMANN LUND

OLIVER WALKER

LATEEF ADELEKE

OBAFEMI OLADEJI

OLAJUMOKE OLADEJI

OLAJUMOKE OLADEJI

---------------------------********** --------------------------(Cont.)*

HWSAL-O

Home Mgmt

HWSAL-O

HWSAL-O

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169

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

JMKAY HEALTH CARE SERVICES INC

JMKAY HEALTH CARE SERVICES INC

JMKAY HEALTHCARE SERVICES INC

JOURNEYS HOME CARE LLC

JUBILEE HOME CARE INC

KIND CARE LLC

KIND CARE LLC

KINGDOM PLACE

KYLE RESIDENCE

LIVEWELL HOME CARE LLC

4506 71ST AVENUE NORTH

2318 55TH AVENUE NORTH

6325 BROOKLYN BOULEVARD

5312 QUEEN AVENUE NORTH

1601 68TH LANE NORTH

6418 GIRARD AVENUE

6418 GIRARD AVENUE

6319 INDIANA AVENUE NORTH

7225 KYLE AVENUE NORTH

6424 GIRARD AVENUE NORTH

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55430

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55430

BROOKLYN CENTER, MN 55430

BROOKLYN CENTER, MN 55430

BROOKLYN CENTER, MN 55430

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55430

763/238-2270

763/245-0668

763/245-0668

612/202-4007

612/272-8000

612/298-5160

612/298-5160

651/631-2535

763/566-4325

651/410-0456

Corp

Corp

Corp

Lim-Liab

Corp

Lim-Liab

Lim-Liab

Corp

Lim-Liab

Lim-Liab

TCOMP

(35011)

(33608)

(37042)

(34435)

(35405)

(35935)

(36665)

(33600)

(35488)

(36817)

FAX: 763/657-0026

FAX: 763/657-0026

FAX: 763/657-0026

FAX: 763/292-5805

FAX: /-

FAX: /-

FAX: /-

FAX: 651/631-2538

FAX: 763/566-4341

FAX: 763/205-2308

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

OLAJUMOKE OLADEJI

OLAJUMOKE OLADEJI

OLAYUMOKE OLADEJI

NWAEMELE NDUBISI

FLORENCE NCHOTU

SHUKRI ALI

SHUKRI ALI

ADEGBOLA OGUNDIPE

JOSEPHINE GURLEY

OLUFEMI SOWEMIMO

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWSAL-O

HWSAL

HWSAL

HWS-O

HWSAL-O

HWSAL

HWS

HWSAL

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170

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Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

LIVING GRACE HOME CARE

LIVING WELL - LYNDALE

LIVING WELL HOME CARE LLC

LIVING WELL HOME CARE LLC

LOVE & CARE LLC

LOVE & CARE LLC

LOVING TOUCH INC

LOVING TOUCH INC

MARANATHA CARE CENTER

MARANATHA COMMONS

5701 SHINGLE CREEK PKWY #500N

5449 LYNDALE AVENUE NORTH

5019 61ST AVENUE NORTH

5019 61ST AVENUE NORTH

5324 BOULDER LANE

5324 BOULDER LANE

3818 BURQUEST LANE

3818 BURQUEST LANE

5409 69TH AVENUE NORTH

5415 69TH AVENUE NORTH

BROOKLYN CENTER, MN 55430

BROOKLYN CENTER, MN 55430

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55429

952/300-6600

763/560-2220

763/300-1577

763/300-1577

866/885-4928

763/744-6280

763/205-0965

763/205-0965

763/549-9600

763/569-4500

Corp

NProf

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Corp

NProf

NProf

COMP HCBS

SLFB-8

TCOMP

COMP HCBS

TCOMP

NH-97

ICFIID-8

SNF-NF-97

(34645)

(01243)

(34471)

(35342)

(35276)

(36064)

(35324)

(36170)

(00226)

(20024)

FAX: /-

FAX: 763/560-7596

FAX: /-

FAX: /-

FAX: 866/345-9679

FAX: 866/345-9679

FAX: 763/205-1862

FAX: 763/205-1862

FAX: 763/549-9636

FAX: 763/569-4576

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

GBADE OLOWU

CLARISSA CUEVAS

SELEKIE KAMARA

SAYLEE SUWORGO

TANVEER GULZAR

FAKHRA GULZAR

FADUMO ALI

AYAN YUSUF

AMY FLOY

AMY FLOY

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL-O

HWSAL

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171

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

MARANATHA PLACE

MILES VENTS INC

MILES VENTS INC

MILES VENTS INCORPORATED

MINN CARE HOME HEALTH LLC

MINN CARE HOME HEALTH LLC

MISSION GROUP HOME L.L.C.

MISSION GROUP HOME LLC

MN BEST HOME CARE LLC

MTAI BROOKLYN CENTER

5401 69TH AVENUE NORTH

5336 SAILOR LANE

7124 FREMONT AVENUE NORTH

5701 SHINGLE CREEK PKWY #115

7215 FREMONT AVENUE NORTH

7055 PERRY AVENUE NORTH

6730 EWING AVENUE NORTH

6730 EWING AVENUE NORTH

3300 COUNTY ROAD 10 STE 512L

507 69TH AVENUE NORTH

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55430

BROOKLYN CENTER, MN 55430

BROOKLYN CENTER, MN 55430

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55430

763/549-9600

763/205-5880

763/205-5880

763/670-7825

763/200-6270

763/200-6270

507/210-5357

507/210-5357

612/806-5003

763/561-9030

NProf

Corp

Corp

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

COMP

COMP HCBS

TCOMP

COMP

SLFA-6 ICFIID-6

(27951)

(36925)

(37143)

(26443)

(37270)

(37065)

(37055)

(35555)

(32875)

(01021)

FAX: 763/549-9636

FAX: 763/205-5878

FAX: 763/205-5878

FAX: 763/205-5878

FAX: 763/201-7908

FAX: 763/210-7908

FAX: /-

FAX: /-

FAX: 612/806-0587

FAX: 763/561-0263

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JAN KOOMEN

ANNE NESS

ANNE NESS

ANNE NESS

IKENNA DIJEH

CELESTINE OKONKWO

MOHAMED HASSAN

MOHAMED HASSAN

PETER GACHUKIA

BRENT KROCAK

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWS-O

HWS

HWSAL-O

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172

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

N & V HELPFUL HEART CARE INC

N & V HELPFUL HEART CARE INC

N & V HELPFUL HEART CARE INC

NEW HOPE HEALTH CARE LLC

NEW LIFE CARE LLC

NOVA 65TH AVE HOME

NOVA EWING HOME

NOVA HOME CARE LLC

OLIVE HEALTHCARE LLC

OLIVE HEALTHCARE LLC

8159 MOUNT CURVE BOULEVARD

7037 PERRY AVENUE NORTH

6620 BRYANT AVENUE NORTH

3812 BASS LAKE ROAD NORTH

4913 WINCHESTER LANE NORTH

4518 65TH AVENUE NORTH

5152 EWING AVENUE NORTH

3300 COUNTY ROAD 10 #300B

5836 JAMES AVENUE NORTH

5801 GIRARD AVENUE NORTH

BROOKLYN CENTER, MN 55445

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55430

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55430

BROOKLYN CENTER, MN 55430

BROOKLYN CENTER, MN 55430

763/442-0460

763/442-0460

763/442-0460

763/400-6350

763/257-7118

612/601-5843

612/601-5843

612/601-5843

612/886-6206

612/886-6206

Corp

Corp

Ind

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

TCOMP

COMP

(31111)

(32413)

(34008)

(36404)

(37013)

(37118)

(36225)

(35412)

(33409)

(34950)

FAX: 206/666-2482

FAX: 763/226-2397

FAX: 763/226-2397

FAX: 763/592-8077

FAX: /-

FAX: 612/435-9718

FAX: 612/435-9718

FAX: /-

FAX: 612/324-7402

FAX: 612/324-7402

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

VERA DIXON

VERA DIXON

VERA DIXON

MUNTAHA ISSA

ABDULSALAM HASSEN

DHEERAJ KARKI

DHEERAJ KARKI

DHEERAJ KARKI

OLUSOLA AGUNBIADE

OLUSOLA AGUNBIADE

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWS-O

HWSAL-O

HWSAL

HWSAL

HWSAL-O

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173

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

OLIVE HEALTHCARE LLC

OLYDIA HOME CARE INC.

OMOCARE LLC

OPEN ARMS GROUP HOME LLC

OPEN ARMS NURSING SERVICES, INC.

PARAMOUNT CARE

PILGRIM HOME CARE LLC

PLATEAU HEALTHCARE LLC

POSSIBLE HEALTHCARE INC

PRAIRIE LODGE AT EARLE BROWN FARM

5836 JAMES AVENUE NORTH

7243 MORGAN AVENUE NORTH

7708 67TH AVENUE NORTH

3701 66TH AVENUE NORTH

3300 COUNTY ROAD 10 #320J

6807 DREW AVENUE NORTH

3300 COUNTY ROAD 10 #320M

6424 JUNE AVENUE NORTH

3300 COUNTY ROAD 10 #304C

6001 EARLE BROWN DRIVE

BROOKLYN CENTER, MN 55430

BROOKLYN CENTER, MN 55430

BROOKLYN CENTER, MN 55428

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55430

612/886-6206

612/567-7780

763/607-4300

763/291-4880

763/244-1406

612/636-3800

763/269-7934

763/444-1361

763/227-1460

763/566-1495

Lim-Liab

Corp

Lim-Liab

Lim-Liab

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Corp

NProf

COMP

COMP

COMP HCBS

TCOMP

(37232)

(34307)

(32623)

(36675)

(28787)

(37121)

(32048)

(29267)

(35399)

(20315)

FAX: 612/324-7402

FAX: 763/634-5997

FAX: 612/351-4259

FAX: /-

FAX: 763/390-0407

FAX: 763/777-9044

FAX: 763/307-5942

FAX: 763/444-1358

FAX: /-

FAX: 763/566-1625

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

OLUSOLA AGUNBIADE

LYDIA NKWONKAM

RAPHAEL OMODUNMIJU

BILAL JAMA

MARBUE WATKINS

JOHN UUFANYI

MARK NYEMAH III

ALICIA THIELEN BOUKARI

WINSTON STUBBLEFIELD

JENNIFER TUREK

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL-O

HWSAL-O

HWS-O

HWSAL

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174

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

PREMIER ASSISTED LIVING

PREMIER ASSISTED LIVING

PRESTIGE HOME HEALTH CARE LLC

PRESTIGE HOME HEALTH CARE LLC

RAPHA HEALTH CARE SERVICES INC

RCS

RCS

RELIABLE HUMAN SERVICES, INC.

RHODIUM HEALTHCARE SERVICES INC

RIGHTWAY HOME CARE SERVICES INC

3813 JANET LANE

3813 JANET LANE

2800 FREEWAY BOULEVARD #101

6029 BRYANT AVENUE NORTH

3300 COUNTY ROAD 10 STE 525

5352 EMERSON AVENUE NORTH

5352 EMERSON AVENUE NORTH

5701 SHINGLE CREEK PKWY #470

3300 COUNTY ROAD 10 #300I

7082 BROOKLYN BOULEVARD

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55430

BROOKLYN CENTER, MN 55430

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55430

BROOKLYN CENTER, MN 55430

BROOKLYN CENTER, MN 55430

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55429

612/501-4331

612/517-4331

763/496-9359

763/496-9359

612/701-3760

763/647-8602

763/647-8602

763/390-7695

763/432-6413

763/432-9738

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Lim-Liab

Lim-Liab

Corp

Corp

Corp

TCOMP

COMP

COMP

TCOMP

COMP

COMP HCBS

COMP

(35394)

(35564)

(33181)

(34597)

(33643)

(36129)

(36432)

(29112)

(33872)

(26948)

FAX: /-

FAX: 612/460-6000

FAX: 763/207-0203

FAX: 763/207-0203

FAX: 763/208-7924

FAX: /-

FAX: 612/465-3051

FAX: 763/219-8482

FAX: 763/432-6652

FAX: 763/208-5725

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

SHARMAKE DUGOW

SHARMAKE DUQOW

OYETOLA BROWN

OYETOLA BROWN

ATINUKE LADIPO

JOY LARMOUTH

JOY LARMOUTH

CHRISTIAN KOLLEH

EDWIN JAMES

ABIOLA MUSTAPHA

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

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175

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

RISEN HOME CARE LLC

RISEN HOME CARE LLC

ROYAL CARE LLC

ROYAL CARING HANDS HOME HEALTHCARE SERVICES LLC

ROYAL CARINGHANDS HHC SERVICES

ROYAL HOME CARE INC

ROYAL HOME CARE INC

ROYAL HOME CARE INC

SAFE HARBOR RESIDENTIAL CARE HOME, LLC

SERENEHANDS HOME HEALTH CARE

3012 THURBER ROAD

5333 JAMES AVENUE

6500 BROOKLYN BOULEVARD #208

5548 LOGAN AVENUE NORTH

5548 LOGAN AVENUE NORTH

6701 SCOTT AVENUE NORTH

5901 BROOKLYN BLVD STE 202

5949 VINCENT AVENUE NORTH

6101 XERXES AVENUE NORTH

5913 YORK AVENUE NORTH

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55430

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55430

BROOKLYN CENTER, MN 55430

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55430

BROOKLYN CENTER, MN 55430

BROOKLYN CENTER, MN 55430

BROOKLYN CENTER, MN 55429

763/227-8846

763/227-8846

763/450-4262

763/283-0646

763/283-0646

763/270-8974

763/228-9585

763/228-9585

952/451-9469

763/732-9142

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Corp

Corp

Lim-Liab

Corp

TCOMP

COMP

COMP

(35306)

(36999)

(35285)

(34251)

(34817)

(33285)

(32908)

(34335)

(36914)

(36280)

FAX: 763/445-2501

FAX: 763/592-8085

FAX: 763/710-9768

FAX: 612/435-0196

FAX: 612/435-0196

FAX: 763/226-2484

FAX: 763/226-2484

FAX: 763/226-2484

FAX: 952/303-5324

FAX: 763/354-6045

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ANGELIQUE KAPILA

ANGELIQUE KAPILLA

EUGENE ROQUES

LATEEF OLARINDE

LATEEF OLARINDE

OLALEYE OLAGBAJU

OLALEYE OLAGBAJU

OLALEYE OLAGBAJU

MEEKA SINGH

PRINCESS SMITH

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL-O

HWSAL-O

HWSAL-O

HWSAL-O

HWSAL-O

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176

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

SUBURBAN RESIDENTIAL CARE LLC

SUBURBAN RESIDENTIAL CARE LLC

SUPREME LIVING HOMES LLC

THE BEATITUDES HOMES, LLC

THE CARING SISTERS HOME CARE SERVICES, INC

THE PRAIRIE LODGE AT EARLE BROWN

THE PRAIRIE LODGE AT EARLE BROWN

THE PRAIRIE LODGE AT EARLE BROWN

THE PRAIRIE LODGE AT EARLE BROWN

THE ROYALS

7019 MORGAN AVENUE NORTH

7019 MORGAN AVENUE NORTH

6051 HALIFAX AVENUE NORTH

3812 COMMODORE DRIVE

5339 QUEEN AVENUE NORTH

6021 EARLE BROWN DRIVE

6001 EARLE BROWN DRIVE

6001 EARLE BROWN DRIVE

6011 EARLE BROWN DRIVE

4000 61ST AVENUE NORTH

BROOKLYN CENTER, MN 55430

BROOKLYN CENTER, MN 55430

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55430

BROOKLYN CENTER, MN 55430

BROOKLYN CENTER, MN 55430

BROOKLYN CENTER, MN 55430

BROOKLYN CENTER, MN 55430

BROOKLYN CENTER, MN 55429

612/380-9048

612/380-9048

612/229-6949

612/868-3721

763/561-1294

763/566-1495

763/566-1495

763/566-1495

763/566-1495

651/631-2535

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

NProf

NProf

NProf

NProf

Corp

TCOMP

COMP

(35274)

(36426)

(35950)

(36744)

(29360)

(32351)

(20315)

(21399)

(32350)

(34000)

FAX: /-

FAX: /-

FAX: /-

FAX: 888/349-5754

FAX: 952/285-2844

FAX: 763/503-7431

FAX: 763/566-1625

FAX: 763/566-1625

FAX: 763/566-9927

FAX: 651/631-2538

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

AMAL MOHAMED

ABDIHAMID IGAL

OYEWALE ILESANMI

SONIE KPANAKU

OLALEYE BECKLEY

JENNIFER TUREK

JENNIFER TUREK

JENNIFER TUREK

JENNIFER TUREK

ADEGBOLA OGUNDIPE

---------------------------********** --------------------------(Cont.)*

HWSAL

HWS-O

HWSAL

HWSAL-O

HWSAL

HWSAL

HWSAL

HWSAL

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177

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

THE SANCTUARY AT BROOKLYN CENTER

ULTIMATE HOME CARE-LOGAN HOUSE

UNISON GROUP HOME

UNISON GROUP HOME LLC

UNITED PROVIDERS L.L.C.

UNITED PROVIDERS LLC

VICTORY HOUSE

WATCHEN HOMES INC

WATCHFUL CAREGIVERS, INC.

WE CARE HEALTH SYSTEM LLC

6121 BROOKLYN BOULEVARD

5443 LOGAN AVENUE NORTH

6924 SCOTT AVENUE NORTH

6924 SCOTT AVENUE NORTH

6925 SCOTT AVENUE NORTH

6925 SCOTT AVENUE NORTH

3808 61ST AVENUE NORTH

3300 COUNTY ROAD 10 #303

3806 57TH AVENUE NORTH

7644 HUMBOLDT AVENUE NORTH

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55430

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55429

BROOKLYN CENTER, MN 55444

763/504-6700

763/560-9890

952/261-3381

952/261-3381

763/313-5674

763/313-5674

651/631-2535

763/444-1220

763/535-4326

763/221-8274

Part

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Corp

Lim-Liab

Lim-Liab

TCOMP

TCOMP

COMP

(33772)

(29624)

(36719)

(35804)

(36606)

(34649)

(30784)

(32609)

(35021)

(33851)

FAX: 763/537-1500

FAX: 763/560-9891

FAX: 952/444-5300

FAX: 651/846-6866

FAX: 763/313-5674

FAX: /-

FAX: 651/631-2538

FAX: 763/270-5938

FAX: 763/537-9352

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ERIN HILLIGAN

ALFRED APATA

MOHAMMED MOHAMMED

MOHAMMED MOHAMMED

HAMDI OMAR

HAMDI OMAR

ADEGBOLA OGUNDIPE

VICTOR ZELEE

WOKIE HARMON-BELLA

VIVIENNE GIDDINGS

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL-O

HWSAL-O

HWSAL

HWS-O

Home Mgmt

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178

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

WELLNESS GROUP HOME CORP

WELLNESS GROUP HOME CORPORATIO

YOU MATTER HOME HEALTH CARE SERVICES LLC

YOU MATTER HOME HEALTH CARE SERVICES LLC

ZACHARY HOME HEALTH CORPORATION

ELIZJOSEPH HEALTHCARE LLC

1ST ATTENTIVE SERVICES LLC

1ST ATTENTIVE SERVICES LLC

24 - SEVEN HOME CARE INC

24 SEVEN HOME CARE INC

2606 64TH AVENUE NORTH

2606 64TH AVENUE NORTH

5103 XERXES AVENUE NORTH

5103 XERXES AVENUE NORTH

5636 FREMONT AVENUE NORTH

5325 NEWTON AVENUE NORTH

8101 VINCENT AVENUE NORTH

8101 VINCENT AVENUE NORTH

7111 WEST BROADWAY AVENUE,

9120 CAMBRIDGE AVENUE

BROOKLYN CENTER, MN 55430

BROOKLYN CENTER, MN 55430

BROOKLYN CENTER, MN 55430

BROOKLYN CENTER, MN 55430

BROOKLYN CENTER, MN 55430

BROOKLYN CENTR, MN 55430

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55444

BROOKLYN PARK, MN 55428

BROOKLYN PARK, MN 55443

612/205-6554

612/205-6554

763/744-6453

763/744-6453

763/458-4750

612/886-9404

612/532-6423

612/532-6423

612/886-2828

612/886-2828

Corp

Corp

Lim-Liab

Lim-Liab

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Corp

TCOMP

TCOMP

TCOMP

COMP

(36257)

(35002)

(35197)

(35634)

(33724)

(35016)

(36023)

(36559)

(34250)

(34709)

FAX: /-

FAX: /-

FAX: /-

FAX: /-

FAX: 651/797-3523

FAX: 612/246-3198

FAX: 612/871-2161

FAX: 612/871-2161

FAX: 612/886-2861

FAX: 612/886-2861

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ABDIRASHID JAMA ARAB

ABDIRASHID ARAB

DION RAMSEY

DION RAMSEY

ALICE MANSARAY

DAMILOLA AGUNBIADE

SAMSAM MOHAMED

SAMSAM MOHAMED

OVIE AVWENAGHAGHA

OVIE AVWENAGHAGHA

---------------------------********** --------------------------(Cont.)*

HWS-O

HWSAL-O

HWS

HWSAL-O

HWSAL-O

HWSAL-O

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179

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

24-SEVEN HOME CARE, INC.

24-SEVEN HOME CARE, INC.

ACE HOMES INC

ACE HOMES INC

ACR HOME ON FALLGOLD

ADNA HOMES LLC

ADNA HOMES LLC

AGILITY ADVANTAGE HHC LLC

AGILITY ADVANTAGE HOME HEALTHCARE LLC

ALAAFIA HOMECARE LLC

10774 REGENT AVENUE NORTH

5629 80TH AVENUE NORTH

3425 77TH AVENUE NORTH

3425 77TH AVENUE NORTH

9719 FALLGOLD PARKWAY

7733 ABBOTT AVENUE NORTH

7733 ABBOTT AVENUE NORTH

10339 QUAIL CIRCLE NORTH

10339 QUAIL CIRCLE NORTH

7420 UNITY AVENUE NORTH #312

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55443

612/886-2828

612/886-2828

612/323-0315

612/323-0315

763/424-0352

763/208-6626

763/208-6626

612/212-9212

612/212-9212

612/229-0753

Corp

Corp

Corp

Corp

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

COMP

SLFB-6

TCOMP

COMP

COMP HCBS

ICFIID-6

(36987)

(37213)

(35074)

(35375)

(20743)

(35300)

(35731)

(34704)

(34581)

(32097)

FAX: 612/886-2861

FAX: 612/886-2861

FAX: /-

FAX: 612/568-5936

FAX: 763/424-6544

FAX: 612/445-7013

FAX: 612/445-7013

FAX: /-

FAX: /-

FAX: 763/432-3130

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

OVIE AVWENAGHAGHA

OVIE AVWENAGHAGHA

KALEB HAILLU

KALEB HAILU

GENE LEISTICO

HAJI ALI

HAJI ALI

DIMITRA KAULU

DIMITRA KAULU

OLAIDE GBADAMOSI

---------------------------********** --------------------------(Cont.)*

HWS-O

HWS-O

HWS

HWSAL-O

HWSAL-O

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180

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

ALEXA'S HOUSE

ALL HOPES AT PEARSON

ALL SEASONS HOME HEALTH

ALL WULLANCARE INC

ALL WULLANCARE INC

AMAL HOME HEALTH CARE INC.

AMAL HOME HEALTH CARE INC.

AMC CARE INC

AMC CARE, INC

AMERICAN BEST HOME CARE, INC.

9235 ZANE AVENUE NORTH UNIT 1

2509 PEARSON PARKWAY

10601 SUNSET ROAD NORTH

7433 LEE AVENUE NORTH

7949 FLORIDA AVENUE NORTH

1300 77TH WAY

2440 PEARSON PARKWAY

6601 75 1/2 AVENUE NORTH

6601 75TH 1/2 AVENUE NORTH

6565 DOUGLAS DRIVE NORTH

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55444

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55445

BROOKLYN PARK, MN 55444

BROOKLYN PARK, MN 55444

BROOKLYN PARK, MN 55428

BROOKLYN PARK, MN 55428

BROOKLYN PARK, MN 55429

952/848-0935

763/482-1487

763/569-4147

612/636-5478

612/636-5478

612/221-1986

612/221-1986

963/283-0296

763/208-2973

763/432-7356

Lim-Liab

Corp

Lim-Liab

Corp

Corp

Corp

Corp

Corp

Corp

Corp

COMP

TCOMP

TCOMP

(36441)

(34287)

(32830)

(36667)

(35769)

(36749)

(32645)

(35365)

(36751)

(36393)

FAX: 952/920-6929

FAX: 763/951-2775

FAX: 763/210-5089

FAX: 763/561-5360

FAX: 763/561-5360

FAX: 763/270-5934

FAX: 763/270-6954

FAX: /-

FAX: 763/208-2933

FAX: 763/432-6856

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

LUIS OROZCO

VICTOR AWOSIKA

IRENE NJOROGE

AGNES AGUNBIADE

AGNES AGUNBIADE

IIHAM HUSSEIN

ILHAM HUSSEIN

HODAN MOHAMUD

AYAAN MOHAMUD

SEGUN OLATAYO

---------------------------********** --------------------------(Cont.)*

HWS-O

HWSAL-O

HWSAL-O

HWSAL-O

HWSAL

HWSAL-O

HWSAL

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181

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

AMERICAN BEST HOME CARE, INC.

ANCHOR HOUSE

ANCHOR ON CENTURY

ANGEL CARE HOMES

ANGEL CARE HOMES LLC

ANGEL HEARTS HEALTH CARE SERV

ANGEL HEARTS HEALTH CARE SERVICES LLC

ANGELS HEALTH AND HOME CARE SERVICES INC

ARISE HOMECARE SERVICES PLLC

ARISE HOMECARE SERVICES PLLC

7817 UNITY AVENUE NORTH

3556 BROOKDALE DRIVE

6292 CENTURY BOULEVARD

7829 HAMPSHIRE CIRCLE NORTH

7829 HAMPSHIRE CIRCLE NORTH

6509 76TH AVENUE NORTH

6509 76TH AVENUE NORTH

3525 99TH AVENUE NORTH

10358 OCHARD TRAIL NORTH

8017 IDAHO CIRCLE NORTH

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55429

BROOKLYN PARK, MN 55445

BROOKLYN PARK, MN 55445

BROOKLYN PARK, MN 55428

BROOKLYN PARK, MN 55428

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55445

763/432-7356

763/999-4600

763/999-4600

612/423-6690

612/423-6690

612/229-0000

612/229-0000

763/270-5771

763/227-3482

763/227-3482

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Lim-Liab

Lim-Liab

COMP

TCOMP

COMP

(36614)

(35748)

(36788)

(35222)

(34503)

(36366)

(35858)

(35135)

(35165)

(35545)

FAX: 763/432-6856

FAX: 763/315-0385

FAX: 763/315-0385

FAX: 612/423-9192

FAX: 763/312-2266

FAX: 763/402-7832

FAX: 763/402-7832

FAX: 763/657-0252

FAX: 763/951-2515

FAX: 763/951-2515

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

SEGUN OLATAYO

OSAGIE EDISON-EDEBOR

BENJAMEN EDISON-EDEBOR

SADIA HASHI

SADIA HASHI

FAYSAL SAID

FAYSAL SAID

BUSTER FALLAH

JACKLINE ONGWENYI

JACKLINE ONGWENTYI

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWS-O

HWSAL

HWS-O

HWSAL

HWSAL

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182

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

ARMSTRONG HOMES INC.

ASHTON HOMES LLC

ASHTON HOMES LLC

ASPEN HOME HEALTH CARE INC

ASPEN HOMES

ASTRAL HOME CARE LLC BARRINGTON

AUTUMN RIDGE

AUTUMN RIDGE 2

B. A COMFORT LIFE HOMECARE LLC

BEKA HOME

7908 OREGON AVENUE NORTH

7523 HUMBOLDT CIRCLE NORTH

7435 78TH COURT NORTH

9508 UPTON AVENUE NORTH

9508 UPTON AVENUE NORTH

9121 BARRINGTON TERRACE

8516 63RD AVENUE NORTH

6328 BOONE AVENUE

4325 83RD CIRCLE NORTH

9101 NEVADA COURT

BROOKLYN PARK, MN 55445

BROOKLYN PARK, MN 55444

BROOKLYN PARK, MN 55445

BROOKLYN PARK, MN 55444

BROOKLYN PARK, MN 55444

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55428

BROOKLYN PARK, MN 55428

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55445

651/354-3080

763/354-0850

763/777-1059

612/876-1913

612/876-1913

763/999-4791

612/874-6409

612/874-6409

612/226-5905

763/898-8319

Corp

Lim-Liab

Lim-Liab

Corp

Corp

Lim-Liab

NProf

NProf

Lim-Liab

Corp

COMP

(36204)

(35078)

(34562)

(34457)

(35930)

(36058)

(35357)

(36622)

(36450)

(36945)

FAX: /-

FAX: 763/219-4401

FAX: 763/219-4401

FAX: /-

FAX: /-

FAX: 763/284-1050

FAX: 612/874-0157

FAX: 612/874-0157

FAX: /-

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

AHMED DIRIR

SEKOU DUKULY

JOSLYN DAYRELL

FATHIA MOUSSA

FATHIA MOUSSA

RUTH DOMBRET

MICHELLE WINCELL-O'LEARY

MICHELLE WINCELL-O'LEARY

JOSHUA ABUKI

NAS NURE

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL-O

HWS-O

HWSAL-O

HWSAL

HWSAL

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183

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

BELL MEDICAL SERVICES INC

BELONG HEALTH CARE LLC

BELONG HEALTH CARE LLC

BERKELEY HEIGHS HOMES LLC

BERKELEY HEIGHTS HOMES LLC

BERKELEY HEIGHTS HOMES LLC

BETHAL PAVILION HOMECARE LLC

BETHEL PAVILION HOMECARE LLC

BOBBY'S HOUSE

BRIGHT LIVING LLC

6901 78TH AVENUE NORTH STE 104

4809 OXBOROUGH GARDENS NORTH

4809 OXBOROUGH GARDENS NORTH

1509 SUGARLOAF TRAIL

1808 MEADOWWOOD COURT

7523 HUMBOLDT CIRCLE NORTH

7535 DOUGLAS DRIVE NORTH

3816 83RD AVENUE NORTH

9200 JAMES AVENUE NORTH

7309 ZANE AVENUE

BROOKLYN PARK, MN 55445

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55444

BROOKLYN PARK, MN 55444

BROOKLYN PARK, MN 55444

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55444

BROOKLYN PARK, MN 55443

763/208-0975

267/980-6520

267/980-6520

763/354-0850

612/433-9949

612/281-7059

763/227-7572

763/227-7572

763/222-9503

612/886-5744

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

COMP HCBS

TCOMP

TCOMP

COMP

COMP

(33212)

(36405)

(35940)

(36852)

(36469)

(35860)

(33792)

(34064)

(34949)

(34319)

FAX: 763/208-7024

FAX: /-

FAX: 651/424-1213

FAX: 763/219-4401

FAX: 612/604-4079

FAX: 763/219-4401

FAX: 763/999-4556

FAX: 763/999-4556

FAX: 763/315-0689

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ERICA MAYS

FRANCES THIAM

FRANCES THIAM

SEKOU DUKULY

SHEIKH DUKULY II

SEKOU DUKULY

ROSEBELLA OGORO

ROSEBELLA OGORO

NATALIE CAMPBELL

ZAYNAB ISSE

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWSAL

HWSAL

HWSAL

HWSAL-O

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184

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

BRIGHT LIVING LLC

BROOKLYN PARK ASSISTED LIVING

BROOKLYN PARK ASSISTED LIVING, LLC.

BURNSWICK HOUSE

CALM HOME HEALTH CARE LLC

CAPITAL HOME HEALTH CARE LLC

CARE HOMES LLC

CARE PARTNERS HOME CARE LLC

CARE PARTNERS HOMECARE LLC

CARE PLUS HOME CARE LLC

7309 ZANE AVENUE NORTH

7715 HUMBOLDT AVENUE NORTH

7711 HUMBOLDT AVENUE NORTH

7949 BURNSWICK AVENUE NORTH

6901 BETHIA LANE

3516 73RD AVENUE

3241 73RD LANE NORTH

5908 79TH AVENUE

3508 83RD AVENUE NORTH

6248 LAKELAND AVENUE N #208

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55444

BROOKLYN PARK, MN 55444

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55428

BROOKLYN PARK, MN 55429

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55428

612/886-5744

612/200-0901

651/200-0901

763/400-1819

763/772-7710

612/886-7411

612/432-9791

763/656-8813

763/458-2727

612/221-5382

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab TCOMP HCBS

(34608)

(37296)

(37362)

(36569)

(37068)

(34360)

(36490)

(35625)

(37378)

(35403)

FAX: /-

FAX: 612/524-5494

FAX: 612/524-5494

FAX: /-

FAX: /-

FAX: 612/315-5918

FAX: 763/219-4401

FAX: 763/207-0076

FAX: 763/207-0076

FAX: 763/592-8103

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ZAYNAB ISSE

DEVIN KRAUTKREMER

DEVIN KRAUTKREMER

ANKUR CHOPRA

AHMED BURHAN

SADIK BASHIR

EMMANUEL KOLLIE

VICKIE BRIGGS

ISHMAEL KOMARA

GAIL NGAFUA

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWSAL-O

HWSAL-O

HWSAL

HWSAL-O

HWSAL

HWSAL

HWSAL

HWSAL

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185

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

CAREVIEW IDAHO HOME

CARING MEADOWS

CARING MEADOWS II

CARING NURSES LLC

CARING NURSES LLC

CARING NURSES, LLC

CARING NURSES, LLC

CHARITY CARE INC

CHARITY CARE INC

CHASE COURAGEOUS HEALTH SERVICES

7124 IDAHO AVENUE NORTH

7723 BROOKLYN BOULEVARD

7715 BROOKLYN BOULEVARD

7714 BROOKLYN BOULEVARD #204

7601 REGENT AVENUE NORTH

4426 LADYSLIPPER AVENUE NORTH

7700 SHINGLE CREEK DRIVE

2816 92ND CRESCENT NORTH

2816 92ND CRESCENT NORTH

7708 REGENT AVENUE NORTH

BROOKLYN PARK, MN 55428

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55443

612/910-5473

763/208-9971

762/205-3780

763/566-4325

763/566-4325

763/566-4325

763/566-4325

612/232-6648

763/273-6110

612/707-9072

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Corp

Lim-Liab

COMP

COMP

COMP

(33970)

(29536)

(33553)

(25432)

(33551)

(27459)

(31336)

(34750)

(35217)

(34166)

FAX: 800/653-6211

FAX: 763/270-0294

FAX: 763/566-4341

FAX: 763/566-4341

FAX: 763/566-4341

FAX: 763/566-4341

FAX: 763/566-4341

FAX: 763/312-2278

FAX: 763/312-2278

FAX: 763/432-3503

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

DARLA VANG

BRANDI STAMPER

BRANDI STAMPER

BRANDI STAMPER

BRANDI STAMPER

BRANDI STAMPER

BRANDI STAMPER

CHARITY ONGERI

CHARITY ONGERI

CHASE MULBAH

---------------------------********** --------------------------(Cont.)*

HWS

HWSAL

HWSAL

HWSAL

HWS

HWSAL

HWS-O

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186

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

CHEPSTON HOME HEALTHCARE LLC

CHOICES BY DESIGN LLC 83RD PLACE

CLINIQUE HEALTH CARE SERVICES

COLORADO HOUSE

COMPASSIONATE HOME

COMPASSIONATE HOMECARE NURSING SERVICES INC

DELIGHT HOME HEALTHCARE, LLC

DELIGHT HOME HEALTHCARE LLC

DELIGHT HOME HEALTHCARE LLC

DELIGHT HOME HEALTHCARE LLC

8201 SIERRA PARKWAY

7808 83RD AVENUE NORTH

7924 JUNE AVENUE NORTH

7509 COLORADO AVENUE NORTH

2502 93RD TRAIL

7040 LAKELAND AVENUE N #202

4909 KINGS CROSSING

6401 NEDDERSEN PARKWAY

8117 HAMPSHIRE COURT NORTH

8239 HAMPSHIRE COURT NORTH

BROOKLYN PARK, MN 55444

BROOKLYN PARK, MN 55445

BROOKLYN PARK, MN 55444

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55444

BROOKLYN PARK, MN 55428

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55445

BROOKLYN PARK, MN 55445

BROOKLYN PARK, MN 55445

612/644-7047

763/493-5067

763/503-4757

763/493-5067

763/377-0836

763/600-6295

612/414-1804

612/414-1804

612/414-1804

612/414-1804

Lim-Liab

Lim-Liab

Corp

Lim-Liab

Lim-Liab

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

TCOMP

COMP

(34880)

(35874)

(35377)

(25822)

(36422)

(35402)

(37150)

(36623)

(33584)

(34775)

FAX: /-

FAX: 763/493-5138

FAX: 763/549-9952

FAX: 763/493-5138

FAX: 763/205-4227

FAX: /-

FAX: 763/208-9983

FAX: 763/208-9983

FAX: 763/444-1967

FAX: 763/444-1967

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

WASHINGTON TOE

RITA WILLIAMS

ANTHONY ORJINTA

FREDIE OGIUGO

GINIKA OSAKWE

OLUSOLA ROTIMI

NKEIRUKA OKONKWO

NKEINIKA OKONKWO

NKEIRUKA OKONKWO

NKEIRUKA OKONKWO

---------------------------********** --------------------------(Cont.)*

HWSAL

HWS

HWSAL

HWS-O

HWSAL-O

HWSAL-O

HWS-O

HWS

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187

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

DELIGHT HOME HEALTHCARE LLC

DESNOL HEALTHCARE SERVICES

DESNOL HEALTHCARE SERVICES LLC

DESTINY HOME

DIS-GENERATION GROUP INC

DIS-GENERATION GROUP INC

DIVINE HLEATH HOME CARE LLC

DOMINION HEALTH CARE SERVICES

DOUGLAS HOME

EDGEWOOD PLACE

8117 HAMPSHIRE COURT NORTH

5901 BROOKLYN BOULEVARD #109

9241 WEST RIVER ROAD

7416 COLORADO AVENUE NORTH

6617 QUEBEC AVENUE NORTH

6617 QUEBEC AVENUE

8229 JUNE AVENUE NORTH

5421 PENN AVENUE NORTH

8936 DOUGLAS DRIVE NORTH

6517 EDGEWOOD AVENUE NORTH

BROOKLYN PARK, MN 55445

BROOKLYN PARK, MN 55429

BROOKLYN PARK, MN 55444

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55428

BROOKLYN PARK, MN 55428

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55430

BROOKLYN PARK, MN 55445

BROOKLYN PARK, MN 55428

612/414-1804

763/210-8684

763/634-5891

763/600-6295

763/232-1747

763/443-7434

/-

612/812-4744

763/377-0836

763/493-5067

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Corp

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

COMP

COMP

(35386)

(32153)

(34155)

(35729)

(32747)

(33047)

(35228)

(35311)

(35134)

(33562)

FAX: 763/444-1967

FAX: 763/208-1163

FAX: 763/208-1163

FAX: 763/208-7903

FAX: 763/951-2306

FAX: 763/951-2306

FAX: /-

FAX: /-

FAX: 763/205-4227

FAX: 763/493-5138

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

NKEIRUKA OKONKWO

OLUWATOSIN ADEJUWON

OLUWATOSIN ADEJUWON

OLUSOLA ROTIMI

STELLA IWUCHUKWU

STELLA IWUCHUKWU

JOYCE MOGENI

YARIA BANGURA

GENIKA OSAKWE

RITA WILLIAMS

---------------------------********** --------------------------(Cont.)*

HWS-O

HWSAL

HWSAL

HWS

HWSAL-O

HWSAL-O

HWSAL-O

HWS

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188

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

EDINBROOK HOME

EL-LYON LLC

EMPATHY HOME CARE INC

EMPATHY HOME CARE INC

EMPATHY HOME CARE INC

EMPATHY HOME CARE INC

EMPIRE SYSTEMS HOME CARE

EMPOWERMENT HEALTHCARE

EPIC HOMES LLC

EPIC HOMES LLC

2000 EDINBROOK COURT

5501 88TH CRESENT NORTH

7333 KENTUCKY AVENUE NORTH

7325 KENTUCKY AVENUE NORTH

7556 SCOTT AVENUE NORTH

3309 80TH AVENUE NORTH

6248 LAKELAND AVENUE N #208

7100 NORTHLAND CIRCLE #207

8216 IRVING AVENUE NORTH

1800 LARAMIE TRAIL

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55428

BROOKLYN PARK, MN 55428

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55428

BROOKLYN PARK, MN 55428

BROOKLYN PARK, MN 55444

BROOKLYN PARK, MN 55444

612/203-4758

763/568-6204

612/245-1561

612/245-1561

612/245-1561

612/245-1561

763/600-8661

763/566-0831

612/404-4456

612/404-4456

Lim-Liab

Lim-Liab

Corp

Corp

Corp

Corp

Lim-Liab

Corp

Lim-Liab

Lim-Liab

TCOMP

COMP HCBS

COMP

(36554)

(35952)

(34730)

(34731)

(33670)

(35600)

(32957)

(29431)

(35727)

(35728)

FAX: 763/757-1187

FAX: /-

FAX: 312/888-9690

FAX: 312/888-9690

FAX: 612/888-9690

FAX: 612/888-9690

FAX: 763/592-7932

FAX: 763/208-7071

FAX: 763/205-3917

FAX: 763/205-3917

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

MATILDA AGYOPONG

ADENIKE OGUNBANWO

FATOU JALLOW

FATOU JALLOW

FATOU JALLOW

FATOU JALLOW

SAYNDEE SANDO

ROGER BONNY

FLORENCE SIMMS

FLOREN MS. SIMMS

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWSAL-O

HWSAL-O

HWSAL-O

HWSAL-O

HWSAL

HWSAL

Page 226: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

189

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

ESTHERRA CARE LLC

ESTHERRA CARE LLC

ESTHERRA CARE LLC

ESTHERRA CARE LLC

ESTHERRA CARE LLC

EVENSONG MANOR

EVENSONG MANOR

EVERGREEN APARTMENTS

FANTUM HOME HEALTH CARE LLC

FIRST CHOICE NURSING & HOMECARE INC

3808 73RD AVENUE NORTH

3808 73RD AVENUE NORTH

7357 CHOWEN AVENUE NORTH

3257 98TH CIRCLE NORTH

7937 KYLE AVENUE NORTH

6264 YUKON AVENUE NORTH

6264 YUKON AVENUE NORTH

7108 WEST BROADWAY AVENUE

3417 98TH CIRCLE NORTH

5231 91ST CRESCENT NORTH

BROOKLYN PARK, MN 55429

BROOKLYN PARK, MN 55429

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55428

BROOKLYN PARK, MN 55428

BROOKLYN PARK, MN 55428

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55443

952/688-7164

952/688-7164

952/688-7164

952/688-7164

952/688-7166

763/537-4374

763/537-4374

651/639-9799

612/251-4521

763/390-6360

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Corp

NProf

Lim-Liab

Corp

COMP

COMP

TCOMP HCBS

(31245)

(31409)

(34157)

(34948)

(36958)

(24202)

(30500)

(24488)

(35855)

(28880)

FAX: /-

FAX: 763/210-5394

FAX: 763/210-5394

FAX: 763/210-5394

FAX: 763/210-5394

FAX: 763/537-4374

FAX: 763/537-4374

FAX: 651/639-3699

FAX: /-

FAX: 763/566-4052

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ESTHER WAKO

ESTHER WAKO

ESTHER WAKO

ESTHER WAKO

ESTHER WAKO

MARY JANE CHAIGNOT

MARY JANE CHAIGNOT

CHRIS WINTER

OLUFEMI ISAWUMI

JERRY HAVON

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWSAL-O

HWSAL-O

HWSAL-O

HWS

HWSAL-O

HWSAL

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190

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

FIRST CHOICE NURSING & HOMECARE INC

FIRST CHOICE NURSING & HOMECARE INC

FIRST CHOICE ON 81ST AVE

FORTUNATE HOMES LLC

FORTUNATE HOMES LLC

FOXGLOVE

FRANCE AVENUE

FRANCE HOUSE

GOLDEN OAKS HOME CARE LLC

GOLDEN OAKS HOME CARE LLC

5211 92ND CRESCENT

2108 PEARSON PARKWAY

5500 81ST AVENUE NORTH

7409 LOUISIANA AVENUE NORTH

7332 FRANCE AVENUE NORTH

4137 FOXGLOVE AVENUE NORTH

10510 FRANCE AVENUE NORTH

8222 FRANCE AVENUE NORTH

7100 MARYLAND AVENUE NORTH

7100 MARYLAND AVENUE NORTH

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55444

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55428

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55428

BROOKLYN PARK, MN 55455

763/566-4025

612/272-3880

612/272-3880

952/994-5356

952/994-5356

763/566-4325

763/323-3092

763/203-9608

952/649-8657

952/649-8657

Corp

Corp

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Corp

Lim-Liab

Lim-Liab COMP

(33145)

(26265)

(35250)

(33575)

(34398)

(34179)

(33987)

(36965)

(35868)

(34825)

FAX: 763/566-4052

FAX: 763/566-4052

FAX: 763/566-4052

FAX: /-

FAX: 952/674-7774

FAX: 763/566-4341

FAX: 763/566-4052

FAX: 612/249-8749

FAX: /-

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JERRY HAVON

JERRY HAVON

JERRY HAVON

SUSAN OBWAYA

SUSAN OBWAYA

BRANDI STAMPER

JERRY HAVON

WINSTON STUBBLEFIELD

VIJAY PALKAR

VIJAY PALKAR

---------------------------********** --------------------------(Cont.)*

HWSAL

HWS

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL

HWS-O

Page 228: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

191

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

GOLDEN POND BP

GOLDEN TOUCH HEALTH CARE LLC

GOLDEN TOUCH HEALTH CARE LLC

GRANDMA'S PLACE, INC.

GRANDMAS PLACE, INC.

GRATEFUL HEARTS RESIDENTIAL SERVICES LLC

GREATER HEIGHTS CARE

GREATER HEIGHTS CARE LLC

GUARANTEED HOME HEALTH CARE LLC

GUARANTEED HOME HEALTH CARE LLC

10251 YATES DRIVE

6433 GEORGIA AVENUE NORTH

8216 HAMPSHIRE COURT NORTH

7040 LAKELAND AVENUE N #110

7040 LAKELAND AVENUE N #110

7801 SUGARLOAF TRAIL NORTH

8041 NOBLE AVENUE NORTH

8041 NOBLE AVENUE NORTH

9118 WOODHALL CROSSING NORTH

8525 EDINBROOK CROSSING #109

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55428

BROOKLYN PARK, MN 55445

BROOKLYN PARK, MN 55428

BROOKLYN PARK, MN 55428

BROOKLYN PARK, MN 55444

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55443

763/447-7717

763/354-0850

763/354-0850

763/560-2500

763/560-2500

763/639-2063

612/978-8197

612/978-8197

763/710-5722

763/710-5722

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

COMP

COMP

TCOMP

COMP

(36447)

(33255)

(35842)

(24787)

(24787)

(35312)

(37069)

(35757)

(33925)

(31818)

FAX: 651/484-5130

FAX: 866/279-6916

FAX: 888/279-6916

FAX: 763/331-9953

FAX: 763/331-9953

FAX: 763/566-4793

FAX: 612/286-1222

FAX: 612/286-1222

FAX: 763/710-5876

FAX: 763/710-5878

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

NANCY STRANDLUND

SEKOU DUKULY

EMMANUEL WILLIAMS

BRYAN HENDRICKSON

BRYAN HENDRICKSON

ADEBOLA GBADAMOSI

WARSAN EFARAH

WARSAN EFARAH

ADMINI MICHAEL HUNTER

MICHAEL HUNTER

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWS-O

HWSAL-O

HWSAL-O

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192

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

H AND S RESIDENCE LLC

H AND S RESIDENCE LLC

HEART OF A STAR HOME CARE

HEARTFELT CARE LLC

HENNEPIN HOME HEALTH CARE, INC.

HOME JOY HOME CARE INC

HOME JOY HOME CARE OF 83

HOMEWARD BOUND BROOKLYN PARK

HOPE'S RESIDENCE

HOPE'S RESIDENCE

532 79TH AVENUE NORTH

532 79TH AVENUE NORTH

6251 104TH CIRCLE NORTH

7717 GEORGIA AVENUE NORTH

8590 EDINBURGH CENTER DRIVE

9229 TRINITY GARDENS

7632 83RD AVENUE NORTH

7839 BROOKLYN BOULEVARD

6449 EDGEMONT BOULEVARD NORTH

6449 EDGEMONT BOULEVARD NORTH

BROOKLYN PARK, MN 55444

BROOKLYN PARK, MN 55444

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55445

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55445

BROOKLYN PARK, MN 55445

BROOKLYN PARK, MN 55428

BROOKLYN PARK, MN 55428

202/640-0806

763/306-2336

763/283-0671

612/226-5157

763/425-5959

763/360-5991

763/360-5991

763/746-4850

763/205-0519

763/205-0519

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Corp

Corp

NProf

Lim-Liab

Lim-Liab

TCOMP

TCOMP

COMP

COMP

SLFB-32

COMP

HHA

ICFIID-32

(35170)

(36081)

(35185)

(35941)

(03188)

(33794)

(34049)

(01273)

(26435)

(30715)

FAX: /-

FAX: /-

FAX: /-

FAX: 763/205-4855

FAX: 763/425-5929

FAX: 763/374-5076

FAX: 763/374-5076

FAX: 763/525-4084

FAX: 763/205-0519

FAX: 763/205-0519

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

SAHRA MUHUMED

YASMIN ABDI

GERALD GRAY

AYEHU MENGESHA

AMELIA MATA

JEAN MOUELLE

JEAN MOUELLE

GERRI DUKART GBOR

ESTHER HAMMER

ESTHER HAMMER

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWS-O

HWSAL

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193

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

HOPEVILLE HOME HEALTHCARE SERVICES L.L.C.

HORIZON HOME CARE SERVICES INC

HORIZON HOME CARE SERVICES INC

HORIZON HOME CARE SERVICES INC

IAN'S HOUSE

IHI ZANE

INDIGO HEALTHCARE SERVICES INC

IYKE'S HOUSE

J. A. WEDUM HOSPICE RESIDENCE

JABEZ CUSTOMIZED LIVING SERVI

4925 78TH LANE NORTH

9703 GREENSPRUCE AVENUE NORTH

4609 BIRCH GROVE CIRCLE

7424 NOBLE AVENUE NORTH

7825 MODERN ROAD

7901 ZANE AVENUE NORTH

8501 BROOKLYN BLVD.

4400 82ND AVENUE NORTH

9350 NOBLE PARKWAY

1417 BROOKDALE DRIVE

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55428

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55428

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55444

763/843-8850

763/639-8092

763/300-0271

763/300-0271

763/566-0831

763/999-7799

763/390-0771

763/566-0831

763/236-2950

612/272-8009

Lim-Liab

Corp

Corp

Corp

Corp

Corp

Lim-Liab

Corp

NProf

NProf

COMP

RES-HSPICE-12 18-HOSPICE-

(36709)

(34678)

(35417)

(37070)

(28485)

(30588)

(37372)

(25157)

(26907)

(34432)

FAX: 763/312-2299

FAX: 763/592-7913

FAX: 763/592-7913

FAX: 763/592-7913

FAX: 763/208-7071

FAX: 763/999-7790

FAX: 888/977-3012

FAX: 763/208-7071

FAX: 763/236-2975

FAX: 763/324-7780

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

CARLOS WALLACE SMITH JR.

SHERIFAT OTUNUGA

SHERIFAT OTUNUGA

SHERIFAT OTUNUGA

ROGER BONNY

KHRISTINA LUND

EMMANUEL WILLIAMS

ROGER BONNY

LISA ABICHT SWENSON

PANDORA LEE WHITE

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL-O

HWS-O

HWSAL

HWSAL-O

HWSAL-O

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194

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

JABEZ CUSTOMIZED LIVING SERVICES

JAMES RESIDENCES

JERSEY HOUSE

JMKAY HEALTH CARE SERVICES INC

JOURNEYS HOME CARE LLC

JOY CARE HOMES LLC

JOY CARE HOMES LLC

JOYOUS CARE & FAMILY PRESERVA

JOYOUS CARE & FAMILY PRESERVATION SERVICES, INC

JOYOUS CARE SERVICES

1417 BROOKDALE DRIVE

9400 JAMES AVENUE NORTH

6932 JERSEY AVENUE NORTH

7748 DALEVIEW DRIVE

10157 GEORGIA AVENUE NORTH

6825 71ST AVENUE NORTH

4301 78TH AVENUE NORTH

4004 82ND AVENUE NORTH

8525 EDINBROOK CROSSING #107

4000 82ND AVENUE NORTH

BROOKLYN PARK, MN 55444

BROOKLYN PARK, MN 55444

BROOKLYN PARK, MN 55428

BROOKLYN PARK, MN 55442

BROOKLYN PARK, MN 55445

BROOKLYN PARK, MN 55428

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55443

612/272-8009

763/222-9503

763/432-6413

763/245-0668

612/202-4007

651/354-3127

763/657-7923

763/315-5912

763/315-5912

763/315-5912

Corp

Lim-Liab

Corp

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Corp

Corp

COMP

COMP

COMP

(34355)

(32622)

(35893)

(34966)

(34254)

(35708)

(35701)

(34069)

(29365)

(34068)

FAX: 763/324-7780

FAX: 763/315-0689

FAX: 763/432-6652

FAX: 763/657-0026

FAX: 763/292-5805

FAX: 763/657-7927

FAX: 763/657-7927

FAX: 763/315-5916

FAX: 763/315-5916

FAX: 763/315-5916

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PANDORA WHITE

NATALIE CAMPBELL

DALIER NEWTON

OLAJUMOKE OLADEJI

NWAEMELE JOSEPH NDUBISI

JOY MORABU

JOY MORABU

TEMI DANIEL

MISS TEMI DANIEL

TEMI DANIEL

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWSAL

HWS-O

HWSAL

HWSAL

HWSAL

HWSAL

Page 232: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

195

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

KINDHEART HOMES INC

KINDHEART HOMES INC

KINGSWAY HEALTHCARE SVCS LLC

KINGSWAY HELTHCARE SERVICES LLC

KRISTEN'S HOUSE

LAKELAND HOMECARE LLC

LANG NELSON HOME CARE LLC

LILY'S HOUSE

LIVING WELL - EDGEWOOD

LOYAL HEALTH CARE SERVICES LLC

2417 87TH TRAIL NORTH

2308 87TH TRAIL NORTH

9248 QUEENS GARDEN N

9428 QUEENS GARDEN NORTH

8125 FRANCE AVENUE NORTH

9244 LOCH LOMOND COURT

8500 TESSMAN FARM ROAD NORTH

9235 ZANE AVENUE NORTH UNIT 2

6525 EDGEWOOD AVENUE NORTH

7714 BROOKLYN BLVD STE 202C

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55445

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55428

BROOKLYN PARK, MN 55443

612/412-6639

612/412-6639

763/221-5248

763/221-5248

763/566-0831

763/280-6652

763/416-7740

952/848-0935

763/533-5104

763/432-0224

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Lim-Liab

Lim-Liab

Lim-Liab

NProf

Lim-Liab

COMP

TCOMP

SLFB-6

COMP

ICFIID-6

(34031)

(34773)

(35664)

(34974)

(26577)

(35415)

(25879)

(36442)

(01258)

(33574)

FAX: 952/516-5493

FAX: 952/516-5493

FAX: 763/201-4433

FAX: 763/201-4433

FAX: 763/208-7071

FAX: 763/600-8559

FAX: 763/416-7745

FAX: 952/920-6929

FAX: 763/533-2630

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ABDIRAHMAN UGAS

ABDIRAHMAN UGAS

KINGDOM KANU

KINGDOM KANU

ROGER BONNY

EUSTUS NGONA

BARBARA KUHLMAN

LUIS OROZCO

STACY ROBERTS

DICKSON ATEKA

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWS-O

HWSAL-O

HWSAL-O

HWSAL

HWS-O

Page 233: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

196

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

LOYALTY HOME HEALTH CARE

LOYALTY HOME HEALTHCARE

LUCAS' HOUSE

MELKEZEDEK CARE LLC

MELKEZEDEK CARE LLC

MELKEZEDEK CARE LLC

MILES VENTS INC.

MN BEST HOME CARE, LLC

NEW DIRECTIONS RESIDENTIAL SERVICES INC

NEW HOPE CARE LLC

1712 84TH COURT NORTH

1712 84TH COURT NORTH

9235 ZANE AVENUE NORTH UNIT 3

8525 N EDINBROOK CROSSING #204

2217 BROOKDALE DRIVE

8501 77TH AVENUE NORTH

7316 COLORADO AVENUE NORTH

6264 SUNRISE TERRACE

8228 JUNE AVENUE NORTH

7949 ORCHARD AVENUE NORTH

BROOKLYN PARK, MN 55444

BROOKLYN PARK, MN 55444

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55444

BROOKLYN PARK, MN 55445

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55428

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55443

763/537-9199

763/537-9199

952/848-0935

763/269-9313

763/269-9313

763/269-9313

763/205-4019

612/806-5003

763/313-6607

763/221-5404

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Lim-Liab

Corp

Lim-Liab

COMP

COMP

(36735)

(32651)

(36443)

(34152)

(36816)

(36004)

(34252)

(35019)

(35882)

(36973)

FAX: 763/703-3150

FAX: 763/703-3150

FAX: 952/920-6929

FAX: 763/432-3049

FAX: 763/432-3049

FAX: 763/432-3049

FAX: 763/205-5878

FAX: 612/806-0587

FAX: 763/717-8294

FAX: 763/276-7427

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

CHARLES AGU

CHARLES AGU

LUIS OROZCO

MEL MELCHIZEDEK

MEL MELCHIZEDEK

MEL MELCHIZEDEK

OSETOHAMEN AGENE

PETER GACHUKIA

TRENA ALLBRITTON

CHUKWUEMEKA JOE AGBAGBUO

---------------------------********** --------------------------(Cont.)*

HWS

HWS-O

HWSAL-O

HWSAL

HWSAL

HWSAL-O

HWSAL-O

HWS-O

Page 234: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

197

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

NEW HOPE HEALTH CARE LLC

NEW HORIZON ASSISTED LIVING LLC

NEW HORIZON ASSISTED LIVING LLC

NEW LIFE HEALTH SERVICE

NUVISION HOMECARE SERVICES LLC

OLIDIA CARE INC

OMOCARE LLC

OMOCARE LLC

OPEN ARMS NURSING SERVICES INC

PARADISE CARE HOMES LLC

3721 104TH AVENUE NORTH

6825 71ST AVENUE NORTH

5916 71ST AVENUE NORTH

9642 PENN AVENUE NORTH

6248 LAKELAND AVENUE N #208

4105 85TH AVENUE NORTH # 101

7708 67TH AVENUE NORTH

7657 REGENT AVENUE NORTH

7709 IRVING COURT NORTH

7709 UNITY AVENUE NORTH

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55428

BROOKLYN PARK, MN 55429

BROOKLYN PARK, MN 55444

BROOKLYN PARK, MN 55428

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55428

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55444

BROOKLYN PARK, MN 55443

763/400-6350

952/393-1576

952/393-1596

612/200-0112

763/301-0655

612/567-7780

763/607-4300

763/607-4300

763/244-1406

612/859-6065

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Lim-Liab

Lim-Liab

Corp

Lim-Liab

TCOMP

TCOMP HCBS

COMP

COMP

HHA

(37379)

(35688)

(36417)

(35643)

(35552)

(25418)

(33638)

(34810)

(35726)

(34304)

FAX: 763/201-3797

FAX: /-

FAX: /-

FAX: 763/515-4196

FAX: /-

FAX: 763/634-5997

FAX: 612/351-4259

FAX: 612/351-4259

FAX: 763/390-0407

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

MUTAHA ISSA

SARAH MORABU

ELIUD AMAYA

AREE THOMPSON

BENJAMIN FLEMISTER

OLIVIER NKWONKAM

RAPHAEL OMODUNMIJU

RAPHAEL OMODUNMIJU

MARBUE WATKINS

XUAN LY

---------------------------********** --------------------------(Cont.)*

HWS-O

HWSAL

HWSAL

HWS-O

HWSAL-O

HWSAL

Page 235: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

198

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

PARADISE CARE HOMES LLC

PATIENT CENTERED HOME CARE SERVICES LLC

PEACE HOMECARE SERVICES LLC

PENN HOME LLC

PENN HOME LLC

PENNY'S HOUSE

PLATEAU HEALTHCARE LLC

PLATEAU HEALTHCARE, LLC

PLATEAU HEALTHCARE, LLC

PRAIRIECARE

7709 UNITY AVENUE NORTH

4127 SUNSET TERRACE NORTH

3257 98TH CIRCLE NORTH

7345 74TH WAY NORTH

7345 74TH WAY NORTH

9235 ZANE AVENUE NORTH UNIT 4

7900 MOUNT CURVE BOULEVARD

1817 LARAMIE TRAIL

8848 ZEALAND AVENUE N STE B

9400 ZANE AVENUE NORTH

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55428

BROOKLYN PARK, MN 55428

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55445

BROOKLYN PARK, MN 55444

BROOKLYN PARK, MN 55445

BROOKLYN PARK, MN 55443

952/201-1352

763/843-1014

908/414-1849

952/564-1792

952/217-6862

952/848-0935

763/444-1361

763/444-1361

763/444-1361

763/762-6805

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

TCOMP

COMP

TCOMP

COMP

PSY-HOSP-71

(34668)

(35738)

(35023)

(35118)

(35612)

(36444)

(33879)

(27797)

(27310)

(31033)

FAX: /-

FAX: /-

FAX: /-

FAX: /-

FAX: /-

FAX: 952/920-6929

FAX: 763/444-1358

FAX: 763/444-1358

FAX: 763/444-1358

FAX: 763/315-4669

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

FADUMA HASHI

PRINCE DARJUE

PEACE KIBAARA

FOWZIA ABDI

FAWZIA ABDI

LUIS OROZCO

ALICIA THIELEN-BOUKARI

ALICIA THEILEN BOUKARI

ALICIA THIELEN-BOUKARI

TODD ARCHBOLD

---------------------------********** --------------------------(Cont.)*

HWS-O

HWS-O

HWS-O

HWS-O

HWS-O

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199

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

PREMIUM HOME HEALTHCARE LLC

PRESTIGE HOME HEALTH CARE LLC

PRESTIGE HOME HEALTH CARE LLC

PRIMUS INCORPORATED

PRIMUS INCORPORATED

PRIMUS INCORPORATED

PRIMUS INCORPORATED

RAPHA HEALTH CARE SERVICES INC

RAPHA HEALTH CARE SERVICES INC

RAPHA HEALTH CARE SERVICES INC

3808 94TH AVENUE NORTH

8140 XENIA AVENUE NORTH

6124 81ST AVENUE NORTH

7309 KENTUCKY AVENUE NORTH

7309 KENTUCKY AVENUE NORTH

7317 KENTUCKY AVENUE NORTH

7756 DUPONT AVENUE NORTH

3233 98TH CIRCLE NORTH

7816 HUMBOLDT AVENUE NORTH

8101 JAMES AVENUE NORTH

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55428

BROOKLYN PARK, MN 55444

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55444

BROOKLYN PARK, MN 55444

763/568-8828

763/496-9359

763/496-9359

763/732-3729

763/732-3729

763/732-3729

763/732-3729

612/701-3760

612/701-3760

612/701-3760

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Corp

Corp

Corp

Corp

Corp

Corp

COMP

COMP

(34522)

(35472)

(36099)

(32478)

(32915)

(35077)

(34274)

(37168)

(34356)

(34815)

FAX: 612/430-8785

FAX: 763/207-0203

FAX: 763/207-0203

FAX: 651/358-2970

FAX: 651/358-2970

FAX: 763/270-9507

FAX: 763/270-9507

FAX: 763/208-7924

FAX: 763/208-7924

FAX: 763/208-7924

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

IFEYINWA OSAKWE

OYETOLA BROWN

OYETOLA BROWN

TAIWO REMILEKUN OBAZELUWA

TAIWO OBAZELUWA AFOLAYAN

TAIWO OBAZELUWA-AFOLAYAN

TAIWO OBAZELUWA-AFOLAYAN

ATINUKE LAPIPO

RAPHA ATINUKE LADIPO

RAPHA ATINUKE LADIPO

---------------------------********** --------------------------(Cont.)*

HWS

HWSAL

HWSAL-O

HWSAL-O

HWSAL-O

HWSAL-O

HWSAL-O

HWSAL-O

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200

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

REIGN SERVICES LLC

REM HENNEPIN, INC. (LAKELAND)

ROYAL HOME CARE INC

RYLEE'S HOUSE

SABAINAH HEALTHCARE INC

SAINT THERESE AT OXBOW LAKE

SAINT THERESE AT OXBOW LAKE

SANCTUARY HEALTHCARE SERVICES

SECURED HEALTH AND HOME CARE INC

SEFERTT HEALTH CARE LLC

10800 MISSISSIPPI DRIVE NORTH

6816 65TH AVENUE NORTH

7832 PENN AVENUE NORTH

7517 69TH AVENUE NORTH

1816 YELLOWSTONE TRAIL

5200 OAK GROVE PARKWAY

5200 OAK GROVE PARKWAY

4211 78TH COURT NORTH

4519 104TH AVENUE NORTH

3621 85TH AVENUE NORTH #103

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55428

BROOKLYN PARK, MN 55444

BROOKLYN PARK, MN 55428

BROOKLYN PARK, MN 55444

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55443

651/675-8551

952/922-6776

763/228-9585

763/566-0831

763/221-4214

763/493-7000

763/493-7007

763/439-8390

763/438-8869

763/432-5410

Lim-Liab

Corp

Corp

Corp

Corp

Lim-Liab

NProf

Lim-Liab

Corp

Lim-Liab

SLFB-6

NH-64

TCOMP

COMP

ICFIID-6

SNF-NF-64

HHA

(36007)

(01026)

(35044)

(26323)

(34953)

(27752)

(30544)

(34849)

(35364)

(28096)

FAX: /-

FAX: 952/922-6885

FAX: 763/226-2484

FAX: 763/208-7071

FAX: 763/432-6766

FAX: 763/493-7001

FAX: 763/493-7001

FAX: 612/607-7820

FAX: /-

FAX: 763/657-7537

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

MILDA AYINDE

DEVIN NELSON

OLALEYE OLAUBAJU

ROGER BONNY

JANET TENIOLA

PAUL METZLER

PAUL METZLER

OLUWAKEMI AJAYI

ABIOLA IJADIMBOLA

MATHEW AMUSAN

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWSAL

HWSAL-O

HWSAL

HWSAL

HWS

Page 238: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

201

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

SENIOR LIVING LLC

SHINGLE CREEK OPTION

SOLUTION HOME CARE LLC

SOURIYATHAY HOUSING WITH SERVICES

SOURIYATHAY HOUSING WITH SERVICES

SOURIYATHAY HOUSING WITH SERVICES

ST THERESE AT OXBOW LAKE

STANLEY'S HOUSE

SUITE LIVING SENIOR CARE OF BROOKLYN PARK

SUPREME LIVING HOMES LLC

7949 BRUNSWICK AVENUE NORTH

5624 73RD AVENUE NORTH

9037 MOORLAND CHASE

6231 SUNNY LANE

9300 PENN AVENUE SOUTH

9300 PENN AVENUE NORTH

5200 OAK GROVE PARKWAY

7549 HAMPSHIRE AVENUE NORTH

8500 REGENT AVENUE NORTH

6201 83RD PLACE NORTH

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55429

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55428

BROOKLYN PARK, MN 55444

BROOKLYN PARK, MN 55444

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55428

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55443

763/400-1819

763/560-5330

612/403-0722

612/368-1236

612/368-1236

612/368-1236

763/493-7000

763/566-0831

651/770-0779

612/229-6949

Lim-Liab

NProf

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Lim-Liab

Lim-Liab

TCOMP

SLFB-15

COMP

COMP

TCOMP

ICFIID-15

(35215)

(01430)

(36791)

(35294)

(35162)

(35556)

(24510)

(29209)

(36600)

(35105)

FAX: 763/343-8618

FAX: 763/566-8426

FAX: /-

FAX: 763/269-7516

FAX: 763/269-7516

FAX: 763/269-7516

FAX: 763/493-7001

FAX: 763/208-7071

FAX: 651/666-1975

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ANKUR CHOPRA

MICHAEL AMON

AMUN ABDI ADAN

PHINHSAYKEO SOURIYATHAY

PHINHSAYKEO SOURIYATHAY

PHINHSAYKEO SOURIYATHAY

PAUL METZLER

ROGER BONNY

JOEL LARSON

ILESANMI OYEWALE

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL-O

HWSAL

HWSAL

HWSAL

Page 239: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

202

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

TEAM HOME HEALTHCARE LLC

THE 92ND TRAIL

THE BEATITUDES HOMES LLC

THE BEATITUDES HOMES LLC

THE CARING CREW LLC

THE CARING SISTERS HOME CARE SERVICES, INC

THE GRACE HOME HEALTH SERVICES LLC

THE GRACE HOME HEALTH SERVICES LLC

THE GUARDIAN HOME CARE

THE GUARDIAN HOME CARE LLC

9141 BARRINGTON COURT

6018 92ND TRAIL

8116 66TH AVENUE NORTH

1609 84TH AVENUE NORTH

9400 JAMES AVENUE NORTH

3901 BURQUEST LANE NORTH

7710 BROOKLYN BOULEVARD #206A

9707 PENN AVENUE NORTH

7814 UNITY AVENUE WEST

7814 UNITY AVENUE NORTH

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55428

BROOKLYN PARK, MN 55428

BROOKLYN PARK, MN 55444

BROOKLYN PARK, MN 55429

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55444

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55443

612/402-0806

763/566-4025

763/501-9192

612/868-3721

763/222-9503

763/537-7963

763/300-1902

763/300-1902

651/214-3016

651/214-3016

Lim-Liab

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

TCOMP HCBS

COMP

TCOMP HCBS

TCOMP

(35956)

(31439)

(36553)

(37087)

(32559)

(24802)

(34646)

(36437)

(35465)

(36296)

FAX: /-

FAX: 763/566-4052

FAX: 888/349-5754

FAX: 888/349-5754

FAX: 763/315-0689

FAX: 952/285-2844

FAX: /-

FAX: 763/999-5970

FAX: /-

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

MUSTAFE MOHAMOUD

JERRY HAVON

SONIE KPANAKU

SONIE KAPANAKU

NATALIE CAMPBELL

OLALEYE BECKLEY

ROSELYN NKWODIA

ROSELYN NKWOCHA

ADESHOLA WILSON

ADESHOLA WILSON

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL-O

HWSAL-O

HWS-O

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203

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

THOMAS HOME

TOLAD, INC.

TOLAD, INCORPORATED

TOPCARE HEALTH SERVICES

TOPCARE HOME

TOTAL HOME HEALTH SERVICES LLC

TOTAL HOME HEALTH SERVICES LLC

TRADITION

TRADITION

TRISTAR HOME CARE LLC

9665 THOMAS AVENUE NORTH

516 BROOKDALE DRIVE NORTH

516 BROOKDALE DRIVE

4110 FOXGLOVE AVENUE NORTH

2514 93RD TRAIL

6949 IDAHO AVENUE NORTH

6949 IDAHO AVENUE NORTH

8500 TESSMAN FARM ROAD NORTH

8500 TESSMAN FARM ROAD NORTH

3000 80TH AVENUE NORTH

BROOKLYN PARK, MN 55444

BROOKLYN PARK, MN 55444

BROOKLYN PARK, MN 55444

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55444

BROOKLYN PARK, MN 55428

BROOKLYN PARK, MN 55428

BROOKLYN PARK, MN 55445

BROOKLYN PARK, MN 55445

BROOKLYN PARK, MN 55444

763/377-0836

763/566-1744

763/566-1744

763/377-0836

763/377-0836

612/442-0930

612/442-0930

763/416-7740

763/416-7740

763/415-5471

Lim-Liab

Corp

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

COMP

COMP

COMP

COMP

(36725)

(26275)

(26250)

(32507)

(33080)

(34369)

(36648)

(25879)

(29077)

(35697)

FAX: 763/205-4227

FAX: 763/566-1755

FAX: 763/566-1755

FAX: 763/205-4227

FAX: 763/205-4227

FAX: /-

FAX: 763/208-8072

FAX: 763/416-7745

FAX: 763/416-7745

FAX: 763/204-8141

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

GINIKA OSAKWE

EMMANUEL COKER

EMMANUEL COKER

ONYINYECHUKWU OSAKWE

GINIKA OSAKWE

GINNI ALI

GINNI ALI

BARBARA KUHLMAN

BARBARA KUHLMAN

RAPHAEL OZURUMBA

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWS-O

HWSAL-O

HWSAL-O

HWSAL

HWSAL-O

Page 241: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

204

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

ULTIMATE HOME CARE

ULTIMATE HOME CARE - BROOKDALE HOUSE

ULTIMATE HOME CARE REGENT HOUSE

UNITY TRUST HOME CARE LLC

UNITY TRUST HOME CARE LLC

UPLIFTED CARE SERVICES ,LLC

UPLIFTED CARE SERVICES LLC

UPLIFTED CARE SERVICES LLC

UPLIFTED CARE SERVICES, LLC

UPLIFTED CARE SERVICES, LLC

7040 LAKELAND AVENUE N #208

3609 78TH AVENUE NORTH

7508 SCOTT AVENUE NORTH

5701 SHINGLE CREEK PKWY #600F

7333 DUPONT AVENUE NORTH

3100 80TH AVENUE NORTH

3340 BROOKDALE DRIVE NORTH

7724 ABBOTT AVENUE NORTH

3324 74TH CIRCLE NORTH

6228 WEST BROADWAY AVENUE

BROOKLYN PARK, MN 55428

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55430

BROOKLYN PARK, MN 55444

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55443

763/560-9890

763/560-9890

763/560-9890

612/719-9993

612/719-9993

763/280-3236

763/280-3236

763/280-3236

763/280-3236

763/280-3236

Corp

Corp

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

COMP HCBS

TCOMP

COMP HCBS

(26575)

(34357)

(30064)

(35838)

(37041)

(34481)

(32621)

(33877)

(36325)

(36878)

FAX: 763/560-9891

FAX: 763/560-9891

FAX: 763/560-9891

FAX: /-

FAX: /-

FAX: 888/588-3166

FAX: 888/588-3166

FAX: 888/588-3166

FAX: 888/588-3166

FAX: 888/588-3166

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ALFRED APATA

ALFRED APATA

ALFRED APATA

CATHERINE ABBAA

CATHERINE ABBA

WILLIAM AKUMA

WILLIAM AKUMA

COLLINS MARANGA

BILL AKUMA

BILL AKUMA

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL-O

HWSAL-O

HWSAL-O

HWSAL-O

Page 242: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

205

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

UPLIFTED CARE SERVICES, LLC

URBANA PLACE SENIOR LIVING

URBANA PLACE SENIOR LIVING LLC

VAIMAR SUITES LLC

VAIMAR SUITES LLC

VAIMAR SUITES LLC

VAIMAR SUITS, LLC

VISITING ANGELS

WARM TOUCH HOME CARE INC

WATCHFUL CAREGIVERS

2717 77TH BOULEVARD

5601 94TH AVENUE NORTH

5601 94TH AVENUE NORTH

6050 68TH AVENUE NORTH

7900 DOUGLAS DRIVE NORTH

2116 73RD COURT NORTH

6050 68TH AVENUE NORTH

8525 EDINBROOK CROSSING #100

7548 FREMONT AVENUE NORTH

7710 BROOKLYN BOULEVARD #204

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55429

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55444

BROOKLYN PARK, MN 55429

BROOKLYN PARK, MN 55443

BROOKLYN PARK, MN 55444

BROOKLYN PARK, MN 55443

763/280-3236

763/402-9190

763/402-9190

952/221-7318

952/221-7318

952/221-7318

952/221-7318

612/395-4504

612/314-5182

763/535-4326

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

COMP

TCOMP

COMP HCBS

COMP

(37311)

(34833)

(35230)

(35968)

(36335)

(37325)

(36789)

(32979)

(36282)

(25398)

FAX: 888/588-3166

FAX: /-

FAX: /-

FAX: 763/521-4223

FAX: 763/521-4223

FAX: 763/521-4223

FAX: /-

FAX: 612/444-3628

FAX: /-

FAX: 763/537-9352

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

WILLIAM AKUMA

NICOLE DONAHUE

NICOLE DONAHUE

MARTIN MUMBUWA

MARTIN MUMBUWA

MARTIN MUMBUWA

MARTIN MUMBUWA

WILMA KING

IBRAHIM DEMMAJ

WOKIE HAMON-BELLA

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL-O

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206

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

WATERFORD MANOR

WATERFORD MANOR

WELLBEING HOMES, LLC

PARTNERS IN CARE INC

ARISE HOMECARE LLC

BLUE LAKE HOMES LLC

BLUE LAKE HOMES LLC

CHAMPLIN SHORES

CHARITY CARE INC

CHIKA'S HOUSE

6288 LOUISIANA COURT NORTH

6288 LOUISIANA COURT NORTH

5525 81ST AVENUE NORTH

6400 TOLEDO AVENUE NORTH

11022 QUEBEC AVENUE NORTH

1013 WEST RIVER ROAD

1013 WEST RIVER ROAD

119 EAST HAYDEN LAKE ROAD

10909 BRITTANY DRIVE NORTH

844 WEST RIVER ROAD

BROOKLYN PARK, MN 55428

BROOKLYN PARK, MN 55428

BROOKLYN PARK, MN 55443

BROOKYN CENTER, MN 55429

CHAMPLIN, MN 55316

CHAMPLIN, MN 55316

CHAMPLIN, MN 55316

CHAMPLIN, MN 55316

CHAMPLIN, MN 55316

CHAMPLIN, MN 55316

763/316-4800

763/316-4800

612/986-3354

612/408-0461

763/227-3482

763/777-1059

612/229-2761

763/712-0118

763/273-6110

952/848-0935

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Lim-Liab

COMP

TCOMP

TCOMP

(29078)

(21662)

(34038)

(35458)

(37010)

(36314)

(36030)

(30284)

(36638)

(33875)

FAX: 763/316-4800

FAX: 763/536-7679

FAX: 612/460-6019

FAX: /-

FAX: 763/951-2515

FAX: /-

FAX: 763/201-7948

FAX: 763/712-0278

FAX: /-

FAX: 952/920-6929

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

TROY BARRICK

TROY BARRICK

ABDI MAHAMED

SAID FARAH

JACKLINE ONGEWENYI

SEKOU DUKULY

JOSLYN DAYRELL

CONNIE CANNON

CHARITY ONGERI

LUIS OROZCO

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL

HWS-O

HWS-O

Page 244: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

207

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

DELIGHT HOME HEALTHCARE, LLC

EMERITUS AT CHAMPLIN SHORES

EMPATHY HOME CARE INC

FRESENIUS MEDICAL CARE OF CHAMPLIN

GABBY CARE HOMES LLC

GABBY CARE HOMES LLC - FAITH'S HOUSE

GABBY CARE HOMES LLC - HANNAH

GABBY CARE HOMES LLC - SAM'S HOUSE

GABBY CARE HOMES LLC CILLA HOUSE

GABBY CARE HOMES LLC FORT LEE HOUSE

7005 110TH AVENUE NORTH

119 EAST HAYDEN LAKE ROAD

11108 ZEALAND AVENUE N STE 204

12339 CHAMPLIN DRIVE

1512 PENNSYLVANIA AVENUE NORTH

1513 PENNSYLVANIA AVENUE NORTH

1510 PENNSYLVANIA AVENUE NORTH

1306 WEST RIVER ROAD

1500 PENNSYLVANIA AVENUE NORTH

1502 PENNSYLVANIA AVENUE NORTH

CHAMPLIN, MN 55316

CHAMPLIN, MN 55316

CHAMPLIN, MN 55316

CHAMPLIN, MN 55316

CHAMPLIN, MN 55316

CHAMPLIN, MN 55316

CHAMPLIN, MN 55316

CHAMPLIN, MN 55316

CHAMPLIN, MN 55316

CHAMPLIN, MN 55316

612/414-1804

763/712-0118

612/245-1561

763/421-1032

612/481-3138

612/481-3138

612/481-3138

612/481-3138

612/481-3138

612/481-3138

Lim-Liab

Lim-Liab

Corp

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

COMP

COMP

ESRD

(36621)

(22095)

(32326)

(23606)

(34026)

(36011)

(34349)

(36012)

(35601)

(35603)

FAX: 763/208-9983

FAX: 763/712-0278

FAX: 612/888-9690

FAX: 763/421-1054

FAX: 763/267-7849

FAX: 763/267-7849

FAX: 763/267-7849

FAX: 763/267-7849

FAX: 763/267-7849

FAX: 763/267-7849

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

NKEINIKA OKONKWO

CONNIE CANNON

DAVID HABIMANA

JOHN MARIETTI

FAITH OMURWA

FAITH OMURWA

FAITH OMURWA

FAITH OMURWA

FAITH OMURWA

FAITH OMURWA

---------------------------********** --------------------------(Cont.)*

HWS-O

HWSAL-O

HWSAL

HWSAL-O

HWSAL

HWSAL-O

HWSAL-O

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208

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

GABBY CARE HOMES LLC-OREGON HOUSE

GOLDEN POND CHAMPLIN

HEALTHPOINT HOUSING @ UTAH

HOPEVILLE HOMES

JOY CARE HOMES LLC

JOY CARE HOMES LLC

LCS CHAMPLIN LLC

QUALITY FOOTCARE

SENATIVE SERVICES LLC

SOLACE HEALTH SERVICES LLC

11917 OREGON AVENUE NORTH

6708 119TH PLACE NORTH

11881 UTAH AVENUE NORTH

11330 FLORIDA AVENUE NORTH

11900 QUEBEC CIRCLE

11900 QUEBEC CIRCLE

119 EAST HAYDEN LAKE ROAD

13008 REVERE LANE NORTH

11406 QUEBEC AVENUE NORTH

11041 134TH CIRCLE NORTH

CHAMPLIN, MN 55316

CHAMPLIN, MN 55316

CHAMPLIN, MN 55316

CHAMPLIN, MN 55316

CHAMPLIN, MN 55316

CHAMPLIN, MN 55316

CHAMPLIN, MN 55316

CHAMPLIN, MN 55316

CHAMPLIN, MN 55316

CHAMPLIN, MN 55316

612/481-3138

763/447-7717

612/272-8118

763/843-8850

651/354-3127

763/657-7923

763/712-0118

612/805-6931

763/400-4315

763/489-8422

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Part

Lim-Liab

Lim-Liab

TCOMP HCBS

COMP

COMP

COMP

(37309)

(31077)

(37184)

(35474)

(34076)

(34397)

(22095)

(24711)

(37251)

(36557)

FAX: 763/267-7849

FAX: 651/484-5130

FAX: 612/435-6655

FAX: /-

FAX: 763/657-7927

FAX: 763/657-7927

FAX: 763/712-0278

FAX: /-

FAX: 763/201-3811

FAX: 763/400-7933

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

FAITH OMURWA

DAVID METZ

YOSSEPH ISAAK

CARLOS SMITH

JOY MORABU

JOY MORABU

CONNIE CANNON

AMY KEMMETMUELLER

AJIBOLA AJAYI

GLADYS NYABWARI

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

HWS

HWSAL

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209

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

SOURIYATHAY HOUSING WITH SERVICES

ST. JUDE RESIDENCE

THE ENCORE AT CHAMPLIN

TRANSITIONS HOME CARE

VIKINGS HOME HEALTH CARE LLC

VIKINGS HOME HEALTH CARE LLC

WIGGINS APARTMENTS

SHAMAANI HOME HEALTH INC

1-0 GRANNY'S HELPFUL HANDS LLC

AMAZING LOVE ASSISTED LIVING

10932 GETTYSBURG AVENUE NORTH

6426 109TH PLACE NORTH

11469 JEFFERSON COURT NORTH

6266 DOUGLAS COURT NORTH

11551 GEORGIA AVENUE NORTH

11551 GEORGIA AVENUE NORTH

206 EAST HAYDEN LAKE ROAD

1617 106TH LANE NW

4301 WELCOME AVENUE NORTH

5724 BASS LAKE ROAD

CHAMPLIN, MN 55316

CHAMPLIN, MN 55316

CHAMPLIN, MN 55316

CHAMPLIN, MN 55316

CHAMPLIN, MN 55316

CHAMPLIN, MN 55316

CHAMPLIN, MN 55316

COON RAPIDS, MN 55433

CRYSTAL, MN 55422

CRYSTAL, MN 55429

612/368-1236

612/245-5167

763/235-3600

763/200-5406

612/806-2219

612/229-3455

651/639-9799

571/265-1218

612/824-1177

763/561-3434

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Lim-Liab

Lim-Liab

NProf

Corp

Lim-Liab

Lim-Liab

COMP

COMP

(36560)

(36618)

(30609)

(23102)

(34211)

(34710)

(24485)

(34092)

(34395)

(24780)

FAX: 763/762-6154

FAX: 952/314-9282

FAX: 763/235-3620

FAX: 763/657-0253

FAX: /-

FAX: 612/430-8921

FAX: 651/639-3699

FAX: 612/780-9152

FAX: 612/824-1177

FAX: 763/561-3636

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHINSAYKEO SOURIYATHAY

DOROTHY MING'ATE

THOMAS OSTROM

CHOUA YANG

SAFIA DUAD

MISS YASMIN FARAH

CHRIS WINTER

SAIDO HUSSEIN

ROBIN STEPNEY

YEMMY OSONOWO

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL-O

HWSAL

HWSAL-O

HWSAL-O

Home Mgmt

HWS-O

HWSAL

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210

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

AMAZING LOVE LLC

AMAZING LOVE, LLC

AMERICAN BEST HOME CARE INC

AMERICAN VOLUNTEERS HOMES

ANCHOR HOUSE LLC

ATTENTIVE CARE

ATTENTIVE CARE

CAREVIEW YATES HOME

CLINIQUE HEALTH CARE SERVICES, INC.

COMFORT CARE NURSING SERVICES, INC.

5724 BASS LAKE ROAD

5724 BASS LAKE ROAD

5825 WEST BROADWAY AVENUE

5202 QUAIL AVENUE NORTH

5501 LAKELAND AVENUE STE 101C

3524 KYLE AVENUE NORTH

3524 KYLE AVENUE NORTH

4843 YATES AVENUE NORTH

6000 BASS LAKE ROAD #204

7000 57TH AVENUE NORTH STE 108

CRYSTAL, MN 55429

CRYSTAL, MN 55429

CRYSTAL, MN 55428

CRYSTAL, MN 55429

CRYSTAL, MN 55429

CRYSTAL, MN 55422

CRYSTAL, MN 55422

CRYSTAL, MN 55429

CRYSTAL, MN 55429

CRYSTAL, MN 55428

763/561-3434

763/561-3434

763/432-7356

763/210-8532

763/999-4600

952/769-9221

952/765-9221

612/910-5473

763/503-4757

763/536-3050

Lim-Liab

Lim-Liab

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Corp

COMP

COMP

COMP

COMP

COMP HCBS

COMP

(24012)

(24012)

(32187)

(36714)

(32194)

(35546)

(34872)

(34967)

(28365)

(23068)

FAX: 763/561-3636

FAX: 763/561-3636

FAX: 763/432-6856

FAX: /-

FAX: 763/999-4600

FAX: /-

FAX: 763/273-2103

FAX: 800/653-6211

FAX: 763/549-9952

FAX: 763/536-7919

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

YEMMY OSONOWO

YEMMY OSONOWO

SEGUN OLATAYO

FLOYD GEORGE

OSAGIE EDISON-EDEBOR

MARRIAM ABDI

MARRIAM ABDI

DARLA VANG

CLINIQ ANTHONY ORJINTA

SAYBA NGAIMA PHILIPS

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL-O

HWS

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211

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

DIS-GENERATION GROUP INC

EMPATHY HOME CARE INC

EMPATHY HOME CARE INC

EMPATHY HOME CARE INC

ESTEEM HOME HEALTH SERVICES LLC

FANTUM HOME HEALTH CARE LLC

GLOBAL ALLIANCE HOME HEALTH CARE

GOLDEN POND CRYSTAL

GRACE HOME

GRANDMA'S PLACE INC

6825 46TH AVENUE NORTH

3703 COLORADO AVENUE NORTH

6727 46TH AVENUE NORTH

6428 46TH PLACE NE

4024 IDAHO AVENUE

6600 CLOVERDALE AVENUE

4833 WINNETKA AVENUE NORTH

3648 COLORADO AVENUE NORTH

5802 56TH AVENUE NORTH

5900 WEST BROADWAY AVENUE

CRYSTAL, MN 55428

CRYSTAL, MN 55428

CRYSTAL, MN 55428

CRYSTAL, MN 55428

CRYSTAL, MN 55427

CRYSTAL, MN 55428

CRYSTAL, MN 55428

CRYSTAL, MN 55422

CRYSTAL, MN 55429

CRYSTAL, MN 55428

763/205-0467

612/245-1561

612/245-1561

612/245-1561

848/230-1286

612/251-4521

763/710-5722

763/447-7717

612/702-7412

763/560-2500

Corp

Corp

Corp

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Corp

(34602)

(33496)

(32428)

(35501)

(37006)

(36547)

(35670)

(33571)

(32945)

(26760)

FAX: 763/951-2306

FAX: /-

FAX: 612/888-9690

FAX: 612/888-9690

FAX: 763/592-8213

FAX: /-

FAX: 763/710-5876

FAX: 651/484-5130

FAX: 763/425-4683

FAX: 763/331-9953

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

STELLA IWUCHUKWU

FATOU JALLOW

FATOU JALLOW

FATOU JALLOW

EMMANUEL WHEAGAR

OLUFEMI ISAWUMI

MICHAEL HUNTER

DAVID METZ

HELEN OSONOWO

BRYAN HENDRICKSON

---------------------------********** --------------------------(Cont.)*

HWS

HWSAL

HWSAL

HWSAL-O

HWSAL

HWSAL-O

HWSAL-O

HWSAL

HWSAL-O

HWS-O

Page 249: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

212

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

GRANDMA'S PLACE INC

GRANDMAS PLACE INC

HEALTHPOINT HOUSING AT QUAIL

HEATHERS MANOR

HEATHERS MANOR

JOYFUL HOME HEALTH CARE LLC

JOYFUL HOME HEALTHCARE LLC

LOVING HOMES INC

LOVING HOMES INC

MIDWEST GROUP LIVING INC.

5920 WEST BROADWAY AVENUE

5910 WEST BROADWAY AVENUE

5909 QUAIL AVENUE NORTH

3000 NORTH DOUGLAS DRIVE

3000 NORTH DOUGLAS DRIVE NORTH

5737 REGENT AVENUE NORTH

5737 REGENT AVENUE NORTH

3428 LEE AVENUE NORTH

3428 LEE AVENUE NORTH

5517 WELCOME AVENUE NORTH

CRYSTAL, MN 55428

CRYSTAL, MN 55428

CRYSTAL, MN 55429

CRYSTAL, MN 55422

CRYSTAL, MN 55422

CRYSTAL, MN 55429

CRYSTAL, MN 55429

CRYSTAL, MN 55422

CRYSTAL, MN 55422

CRYSTAL, MN 55429

763/560-2500

763/560-2500

612/272-8118

763/544-6777

763/544-6777

612/481-4636

612/481-4636

612/229-0332

612/299-0332

952/457-8882

Corp

Corp

Lim-Liab

NProf

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Corp

Corp

COMP

COMP

TCOMP

(26761)

(26763)

(36718)

(21623)

(29082)

(33179)

(35518)

(35092)

(36446)

(37227)

FAX: 763/561-0159

FAX: 763/561-0159

FAX: 612/435-6655

FAX: 763/513-5859

FAX: 763/513-5859

FAX: /-

FAX: 612/395-5223

FAX: /-

FAX: /-

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

BRYAN HENDRICKSON

BRYAN HEDRICKSON

YOSSEPH ISAAK

KRISTEL LASTINE

KRISTEL LASTINE

ADETOMI OMOTAYO

ADETOMI OMOTAYO

YASIN ABDI

YASIN ABDI

HESEN SHIRE

---------------------------********** --------------------------(Cont.)*

HWS-O

HWS-O

HWSAL-O

HWSAL

HWSAL

HWSAL-O

HWS-O

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213

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

MTAI RICE CREEK

N & V HELPFUL HEART CARE INC

OLIVIA HOME

PARTNERS IN CARE INC.

PEACE HOMECARE SERVICES LLC

PUSH SERVICES INC

PUSH SERVICES INC.

REM HENNEPIN, INC. CRYSTAL

RESTART ADAIR

RESTART COLORADO

5402 FAIRVIEW AVENUE NORTH

6000 BASS LAKE ROAD #106

5708 BASS LAKE ROAD

2817 HAMPSHIRE AVENUE NORTH

5127 53RD AVENUE NORTH

4757 LOUISIANA AVENUE NORTH

7201 36TH AVENUE NORTH #111

3400 QUAIL AVENUE NORTH

3306 ADAIR AVENUE NORTH

4367 COLORADO AVENUE NORTH

CRYSTAL, MN 55428

CRYSTAL, MN 55429

CRYSTAL, MN 55429

CRYSTAL, MN 55427

CRYSTAL, MN 55429

CRYSTAL, MN 55428

CRYSTAL, MN 55427

CRYSTAL, MN 55422

CRYSTAL, MN 55422

CRYSTAL, MN 55422

763/442-7830

763/442-0460

763/561-3434

612/517-8312

908/414-1849

952/297-4327

952/297-4327

952/922-6776

763/205-1273

763/205-5037

Corp

Corp

Lim-Liab

Corp

Lim-Liab

Corp

Corp

Corp

NProf

NProf

SLFB-4

COMP

SLFB-6

ICFIID-4

ICFIID-6

(01562)

(29409)

(34394)

(36449)

(35898)

(37222)

(35696)

(26137)

(32732)

(32726)

FAX: 763/754-0332

FAX: 763/226-2397

FAX: 763/561-3636

FAX: /-

FAX: /-

FAX: 763/497-0005

FAX: 763/497-0005

FAX: 952/922-6885

FAX: 763/205-6226

FAX: 763/205-5592

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

BRENT KROCAK

VERA DIXON

YEMMY OSONOWO

SAID FARAH

PEACE KIBAARA

PRINCESS NIMELY

PRINCESS NIMELY

DEVIN NELSON

STEVE PIEKARSKI

STEVE PIEKARSKI

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL-O

HWSAL-O

HWSAL

HWSAL

HWS-O

HWS-O

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214

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

ROYAL STAR RESIDENCE INC

SENATIVE SERVICES LLC

TERRACE AT CRYSTAL LLC

TONDA YAH IN HOME CARE LLC

Y M CARE INC

YM CARE INC

AGAPECARE SERVICES LLC

EAGANCARE BEHAVIORAL HEALTH SERVICES

FORTUNATE HOMES LLC

SANCTUARY HEALTHCARE SERVICES LLC

3100 YUKON AVENUE NORTH

3513 KYLE AVENUE NORTH

3245 VERA CRUZ AVENUE NORTH

3060 SUMTER AVENUE NORTH #14

5825 WEST BROADWAY AVENUE

5825 WEST BROADWAY

12331 PINERIDGE WAY NORTH

11931 BLUE SPRUCE COURT NORTH

12331 PINERIDGE WAY NORTH

11541 PINERIDGE WAY NORTH

CRYSTAL, MN 55422

CRYSTAL, MN 55422

CRYSTAL, MN 55422

CRYSTAL, MN 55427

CRYSTAL, MN 55428

CRYSTAL, MN 55428

DAYTON, MN 55327

DAYTON, MN 55327

DAYTON, MN 55327

DAYTON, MN 55327

763/442-5136

763/400-4315

763/971-6300

612/328-6643

612/208-7711

612/208-7711

610/202-6770

763/639-3356

952/994-5356

763/268-9552

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

NH-130

TCOMP

COMP

TCOMP

COMP

COMP

SNF-NF-130

(35669)

(35699)

(00255)

(32946)

(35619)

(36860)

(35164)

(35451)

(33174)

(33043)

FAX: 763/275-1642

FAX: /-

FAX: 763/971-6328

FAX: /-

FAX: /-

FAX: /-

FAX: 952/516-5152

FAX: /-

FAX: 952/674-7774

FAX: 612/607-7820

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

CHRISTIAN KOLLEH

AJIBOLA AJAYI

ZENA MERCHANT

SERGE ITUNIME

MOHAMED ABDI

MOHAMED ABDIWAHAB ABDI

PENNINAH OBWAYA

RONALD OMARI

SUSAN OBWAYA

BUSAYO OKUSANYA

---------------------------********** --------------------------(Cont.)*

HWS

HWS

Home Mgmt

HWSAL-O

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215

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

SENATIVE SERVICES LLC

THREE RIVERS HOUSE

DEEPHAVEN WOODS

LAKE MINNETONKA CARE CENTER

SOJOURN SUITES JAMES

IN-HOME LAB CONNECTION INC DBA IHLC-HOMECARE

OMEGA HOME HEALTHCARE LLC

ACUTE HOME HEALTH CARE OF MINNESOTA

AEGIS THERAPIES

AMAZING HOMECARE AND NURSING SERVICES, LLC

11541 PINERIDGE WAY NORTH

16321 DAYTON RIVER ROAD

18025 MINNETONKA BOULEVARD

20395 SUMMERVILLE ROAD

18900 JAMES AVENUE

4064 OLIVINE DRIVE

1335 CORPORATE CENTER CURV

6385 OLD SHADY OAK ROAD #2

431 PRAIRIE CENTER DRIVE

6440 FLYING CLOUD DRIVE #114

DAYTON, MN 55327

DAYTON, MN 55327

DEEPHAVEN, MN 55391

DEEPHAVEN, MN 55331

DEEPHAVEN, MN 55391

EAGAN, MN 55122

EAGEN, MN 55121

EDEN PRAIRIE, MN 55344

EDEN PRAIRIE, MN 55344

EDEN PRAIRIE, MN 55344

763/222-9450

651/431-5886

952/288-2187

952/474-4474

952/473-1810

952/842-9000

866/442-3001

952/361-0080

952/240-3285

952/884-1800

Lim-Liab

State

Lim-Liab

Corp

Lim-Liab

Corp

Lim-Liab

Corp

Lim-Liab

Lim-Liab

COMP

NH-21

COMP

COMP HCBS

COMP

COMP

SNF-NF-21

HHA

HHA

Out Pt Out St Out Ot

(35084)

(33705)

(30474)

(00234)

(26002)

(21893)

(25533)

(21554)

(29920)

(29963)

FAX: /-

FAX: 651/431-7404

FAX: 952/746-8578

FAX: 952/474-4272

FAX: 952/400-3542

FAX: 952/842-9001

FAX: 651/528-7603

FAX: 952/314-9613

FAX: 479/709-7710

FAX: 844/829-7747

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

AJIBOLA AJAYI

DAVID BORNUS

ERIN HILLIGAN

JEFFREY SPRINKEL

THOMAS PENN

JOHN (SKIP) VALUSEK

VICTORIA AFOLAYAN

KIMLOAN SLOSS

ANDREA GUGGENBUEHL

REGINE NDIFOR AJAGA

---------------------------********** --------------------------(Cont.)*

HWS-O

HWSAL

HWSAL

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216

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

APPARENT PLAN

BECKY'S PLACE INC

BECKY'S PLACE, INC.

BROOKDALE EDEN PRAIRIE

BROOKDALE EDEN PRAIRIE

CAREBUILDERS AT HOME

CARING ARMS CORP

CARING ARMS CORP

CASTLE RIDGE CARE CENTER

CASTLE RIDGE MANOR HOUSE

6995 MARIANN DRIVE

6391 DUCK LAKE ROAD

6391 DUCK LAKE ROAD

7513 MITCHELL ROAD

7513 MITCHELL ROAD

250 PRAIRIE CENTER DRIVE #317

6720 DUCK LAKE ROAD

6720 DUCK LAKE ROAD

625 PRAIRIE CENTER DRIVE

615 PRAIRIE CENTER DRIVE

EDEN PRAIRIE, MN 55346

EDEN PRAIRIE, MN 55346

EDEN PRAIRIE, MN 55346

EDEN PRAIRIE, MN 55344

EDEN PRAIRIE, MN 55344

EDEN PRAIRIE, MN 55344

EDEN PRAIRIE, MN 55346

EDEN PRAIRIE, MN 55346

EDEN PRAIRIE, MN 55344

EDEN PRAIRIE, MN 55344

952/215-7052

612/719-2915

612/719-2915

952/906-3800

952/906-3800

612/260-2273

612/987-0981

612/987-0981

952/942-2100

952/942-2100

NProf

Corp

Corp

Corp

Corp

Corp

Corp

Corp

NProf

NProf

COMP

COMP

COMP

TCOMP

NH-60 SNF-NF-60

(33789)

(28368)

(28367)

(20538)

(30691)

(34418)

(35427)

(36226)

(00973)

(21183)

FAX: /-

FAX: /-

FAX: 952/906-9181

FAX: 952/906-3888

FAX: 952/906-3888

FAX: 612/276-6907

FAX: /-

FAX: 612/353-5158

FAX: 952/942-2101

FAX: 952/942-2101

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

TRACY KEIBLER

BECKY DORR

1962 REBECCA DORR

BRAD JOHNSON

BRAD JOHNSON

JOEL DENNEY

EDMAN MOHAMED

EDMAN MOHAMED

MOLLY PAHL

MOLLY PAHL

---------------------------********** --------------------------(Cont.)*

Home Mgmt

HWSAL

HWSAL

HWSAL

HWSAL

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217

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

CLARE BRIDGE OF EDEN PRAIRIE

COMFORT HOSPICE LLC

EDEN PRAIRIE DIALYSIS

EDEN PRAIRIE SENIOR LIVING LLC

EDEN PRAIRIE SENIOR LIVING LLC

ELIM SHORES

ELIM SHORES

EZEKIEL'S HOUSE

GRANDVIEW RELIABLE CARE LLC

HOMECARE RESOURCE, LLC

7513 MITCHELL ROAD

10259 ENGLEWOOD DRIVE

14852 SCENIC HEIGHTS ROAD B255

8480 FRANLO ROAD

8480 FRANLO ROAD

7900 TIMBER LAKE DRIVE

7900 TIMBER LAKE DRIVE

13050 PIONEER TRAIL

12100 SINGLETREE LANE #169

9531 WEST 78TH STREET STE 2

EDEN PRAIRIE, MN 55344

EDEN PRAIRIE, MN 55347

EDEN PRAIRIE, MN 55344

EDEN PRAIRIE, MN 55344

EDEN PRAIRIE, MN 55344

EDEN PRAIRIE, MN 55347

EDEN PRAIRIE, MN 55347

EDEN PRAIRIE, MN 55347

EDEN PRAIRIE, MN 55344

EDEN PRAIRIE, MN 55344

952/906-3800

952/492-9039

952/934-2411

651/600-1821

651/600-1821

952/934-3005

952/934-3005

952/848-0935

612/806-4750

952/854-6104

Corp

Lim-Liab

Corp

Lim-Liab

Lim-Liab

NProf

NProf

Lim-Liab

Lim-Liab

Lim-Liab

COMP

Hospice

COMP

COMP

COMP HCBS

COMP HCBS

ESRD

HHA

(20538)

(35046)

(22098)

(35049)

(35071)

(24915)

(30597)

(33726)

(34751)

(21226)

FAX: 952/906-3888

FAX: 844/829-7747

FAX: 952/934-3851

FAX: /-

FAX: /-

FAX: 952/934-0730

FAX: 952/934-0730

FAX: 952/920-6929

FAX: /-

FAX: 952/854-6134

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

BRAD JOHNSON

REGINE NDIFOR

TAMARA WOODHAM

KELLY MEYERS

KELLY MYERS

CHRIS ORR

CHRIS ORR

LUIS OROZCO

KHALID ABDI

JENNIFER DEVILLE

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWS

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218

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

LEVEL MOUNTAIN HOME CARE LLC

LUANN'S PLACE, LLC

LUANN'S PLACE, LLC

MANOR HOUSE

MATRIX HOME HEALTH CARE SPECIALISTS

MERRY LAKE LLC

PIONEER ESTATES

PIONEER ESTATES

PIONEER ESTATES

PIONEER ESTATES

6385 OLD SHADY OAK RD STE 250

6660 WEST 175TH AVENUE

6660 WEST 175TH AVENUE

625 PRAIRIE CENTER DRIVE

6900 SHADY OAK ROAD #216

8502 CARDIFF LANE

8771 PRESERVE BOULEVARD

8751 PRESERVE BOULEVARD

8761 PRESERVE BOULEVARD

8751 PRESERVE BOULEVARD

EDEN PRAIRIE, MN 55344

EDEN PRAIRIE, MN 55346

EDEN PRAIRIE, MN 55346

EDEN PRAIRIE, MN 55344

EDEN PRAIRIE, MN 55344

EDEN PRAIRIE, MN 55344

EDEN PRAIRIE, MN 55344

EDEN PRAIRIE, MN 55344

EDEN PRAIRIE, MN 55344

EDEN PRAIRIE, MN 55433

612/638-2790

952/334-9272

952/334-9272

952/942-2100

952/525-0505

963/600-3920

612/741-7241

612/200-0901

612/200-0901

612/200-0901

Lim-Liab

Lim-Liab

Lim-Liab

NProf

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

COMP

COMP

COMP

COMP

TCOMP

(32954)

(25323)

(26470)

(27962)

(24015)

(35907)

(29888)

(30632)

(32608)

(35966)

FAX: /-

FAX: 952/949-4914

FAX: 952/949-4914

FAX: 952/942-2101

FAX: 952/525-0506

FAX: /-

FAX: 612/524-5494

FAX: 952/487-3607

FAX: 952/487-3607

FAX: 952/487-3607

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ANNETTA PIERSON

LUANN FEHN

LUANN FEHN

JAN KOOMEN

DARLA THAO XIONG

FOWSIYO MUKHTAR

JONATHON SONDERGAARD

HEATHER HEIJERMAN

HEATHER HEIJERMAN

HEATHER HEIJERMAN

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL

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219

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

PRAIRIE BLUFFS SENIOR LIVING

PRAIRIE BLUFFS SENIOR LIVING

PRAIRIE BLUFFS TCU, LLC

PRAIRIE RESIDENCE CARE LLC

PRAIRIE RESIDENCE CARE LLC

PRIDE INSTITUTE

PROFESSIONAL RESOURCE NETWORK HOME HEALTH CARE

QUALITY CARE COMPANIONS

RIVER RIDGE LLC A WOMAN'S WAY

SUMMIT PLACE ASSISTED LIVING

10300 HENNEPIN TOWN ROAD

10300 HENNEPIN TOWN ROAD

10300 HENNEPIN TOWN ROAD

12570 CROWFOOT COURT

12570 CROWFOOT COURT

14400 MARTIN DRIVE

9531 WEST 78TH STREET STE 2

6385 OLD SHADY OAK ROAD #250

7170 BRYANT LAKE DRIVE

8501 FLYING CLOUD DRIVE

EDEN PRAIRIE, MN 55347

EDEN PRAIRIE, MN 55347

EDEN PRAIRIE, MN 55347

EDEN PRAIRIE, MN 55344

EDEN PRAIRIE, MN 55344

EDEN PRAIRIE, MN 55344

EDEN PRAIRIE, MN 55344

EDEN PRAIRIE, MN 55344

EDEN PRAIRIE, MN 55344

EDEN PRAIRIE, MN 55344

763/432-3418

763/432-7622

952/444-5000

952/290-6029

952/290-6029

952/345-1881

952/858-8807

612/638-2715

952/894-7722

952/995-1000

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Corp

Lim-Liab

Lim-Liab

Lim-Liab

COMP

NH-16

TCOMP

SLFA-42

COMP HCBS

BASIC HCBS

SLFA-16

HHA

(34840)

(35561)

(34018)

(35633)

(36761)

(01405)

(03633)

(33831)

(25914)

(21963)

FAX: 763/432-9654

FAX: 763/432-9654

FAX: /-

FAX: /-

FAX: /-

FAX: 952/934-8764

FAX: 952/858-8835

FAX: 651/358-2968

FAX: 952/894-0882

FAX: 952/995-1288

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ANGIE BANTLE

STEPHANIE FREDERICK

JOSH LEGUM

MOHAMED GEIRE

MOHAMED GEIRE

TERRI HAYDEN

JENNIFER DEVILLE

KRISHNA SHARMA

BRIAN SAMMON

KRIS DAGGETT

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL-O

HWSAL

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220

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

SUMMIT PLACE SENIOR LIVING

THE COLONY AT EDEN PRAIRIE

THE GENEVA SUITES

TRANQUIL LIVING

VOLUNTEERS OF AMERICA HOME HEALTH SERVICES

ALLIED PROFESSIONALS INC

ASERACARE HOSPICE

AURORA ON FRANCE

AURORA ON FRANCE

BROOKDALE EDINA

8505 FLYING CLOUD DRIVE

431 PRAIRIE CENTER DRIVE

11416 WILD HERON POINT

6385 OLD SHADY OAK ROAD #2

7485 OFFICE RIDGE CIRCLE

3209 WEST 76TH STREET #201

4420 VALLEY VIEW ROAD STE 201

6500 FRANCE AVENUE SOUTH

6500 FRANCE AVENUE SOUTH

3330 EDINBOROUGH WAY

EDEN PRAIRIE, MN 55344

EDEN PRAIRIE, MN 55344

EDEN PRAIRIE, MN 55347

EDEN PRAIRIE, MN 55344

EDEN PRAIRIE, MN 55344

EDINA, MN 55435

EDINA, MN 55424

EDINA, MN 55435

EDINA, MN 55435

EDINA, MN 55435

952/995-1000

952/828-9500

612/208-8888

952/361-0080

952/941-0305

952/832-5101

952/943-0009

952/848-8800

952/848-8888

952/831-4084

Lim-Liab

Lim-Liab

Lim-Liab

Corp

NProf

Corp

Corp

Lim-Liab

Lim-Liab

Lim-Liab

COMP

COMP

COMP

Hospice

NH-63

HSPICE

SNF-NF-63

(21962)

(30812)

(34321)

(21554)

(03712)

(02925)

(23584)

(31815)

(32728)

(20381)

FAX: 952/995-1288

FAX: 952/828-8195

FAX: 612/358-2222

FAX: 952/314-9613

FAX: 952/941-0428

FAX: 952/832-0656

FAX: 952/943-1187

FAX: 952/848-8888

FAX: 952/848-8899

FAX: 952/831-7171

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

KRIS DAGGETT

KATHERINE TODD

MATT HANLEY

KIMLOAN SLOSS

ANN ROBINSON

SUZI SHUMAN

SHERRIE WILLIS

GARRETT BOTHUN

ERIN HILLIGAN

AIMEE MALLETTE

---------------------------********** --------------------------(Cont.)*

HWS

HWSAL

HWSAL

HWSAL

HWSAL

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221

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Directory of Facilities and Services

Page

Registration

HENNEPIN

BROOKDALE EDINA

BROOKDALE HOME HEALTH MINNESOTA

CAPERNAUM PEDIATRIC THERAPY

CAREXTRA HOME HEALTH LLC

CCRM MINNEAPOLIS

CENTENNIAL LAKES SURGERY CENTER

CROSSTOWN SURGERY CENTER LLC

CUSTOMCARE HOME HEALTH CARE LLC

EBENEZER HOME CARE

EBENEZER HOME CARE

3330 EDINBOROUGH WAY

7505 METRO BOULEVARD STE 325

7250 FRANCE AVENUE SOUTH #305

544 ARTHUR STREET

6565 FRANCE AVENUE SOUTH

7373 FRANCE AVENUE SOUTH #404

4010 WEST 65TH STREET

5265 EDINA INDUSTRIAL BLVD

7505 METRO BOULEVARD #100

7505 METRO BOULEVARD #100

EDINA, MN 55435

EDINA, MN 554392710

EDINA, MN 55435

EDINA, MN 55343

EDINA, MN 55435

EDINA, MN 55435

EDINA, MN 55435

EDINA, MN 55439

EDINA, MN 55439

EDINA, MN 55439

952/831-4084

615/564-8181

952/285-2840

612/987-3927

952/225-1630

952/832-9360

952/456-7300

952/914-0269

612/874-3477

612/874-3460

Lim-Liab

Lim-Liab

Corp

Lim-Liab

Lim-Liab

Part

Lim-Liab

Lim-Liab

Corp

Corp

COMP

COMP

Outpt Surg

Outpt Surg

COMP

COMP

COMP

HHA

Out Pt Out St Out Ot

Amb Surg

Amb Surg

(26486)

(25254)

(03719)

(35979)

(31410)

(00379)

(27380)

(23437)

(28789)

(27108)

FAX: 952/831-7171

FAX: /-

FAX: 952/285-2830

FAX: 612/200-8945

FAX: 952/225-1609

FAX: 952/832-5079

FAX: 952/456-7399

FAX: 952/960-0239

FAX: /-

FAX: 612/874-3465

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

AIMEE MALLETTE

TAMMY MINAR

BONNA OLSON

IDIL MOHAMED

DERRIK MAIDL

TERRY VOIGHT

LINDSAY RAFFERTY

CALVIN MILLER

ERIN HILLIGAN

ERIN HILLIGAN

---------------------------********** --------------------------(Cont.)*

HWSAL

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222

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

EBENEZER HOME CARE

EBENEZER HOME CARE

EBENEZER MANAGEMENT SERVICES

EBENEZER MANAGEMENT SERVICES INC

EBENEZER MANAGEMENT SERVICES INC

EDENBROOK OF EDINA

EDINA DIALYSIS CENTER

EDINA PARK PLAZA

EDINA SPECIALTY SURGERY CENTER

EDINA SURGERY CENTER

7505 METRO BOULEVARD #100

7505 METRO BOULEVARD #100

7505 METRO BOULEVARD #100

7505 METRO BOULEVARD #100

7505 METRO BOULEVARD #100

6200 XERXES AVENUE SOUTH

6565 FRANCE AVENUE SOUTH #109

3330 EDINBOROUGH WAY

4100 MINNESOTA DRIVE #200

6525 FRANCE AVENUE SOUTH #300A

EDINA, MN 55439

EDINA, MN 55439

EDINA, MN 55439

EDINA, MN 55439

EDINA, MN 55439

EDINA, MN 55423

EDINA, MN 55435

EDINA, MN 55435

EDINA, MN 55435

EDINA, MN 55435

612/874-3460

612/874-3460

612/874-3460

612/874-3420

612/874-3460

952/925-8500

952/920-8371

952/831-4084

952/996-9600

952/925-1765

NProf

Corp

Corp

Corp

Corp

Lim-Liab

Corp

Lim-Liab

Lim-Liab

Corp

COMP

COMP

COMP

COMP

COMP

NH-85 SNF-NF-85

ESRD

Amb Surg

(27773)

(33015)

(34593)

(28352)

(33356)

(00740)

(02534)

(20381)

(33646)

(22138)

FAX: 612/874-3465

FAX: 612/874-3465

FAX: /-

FAX: 612/874-3465

FAX: 612/874-3465

FAX: 952/925-8502

FAX: 952/929-0539

FAX: 952/831-7171

FAX: 952/996-9601

FAX: 952/925-1579

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ERIN HILLIGAN

ERIN HILLIGAN

ERIN HILLIGAN

ERIN HILLIGAN

ERIN HILLIGAN

DIANE WILLETTE

MANDY BORGESON

AIMEE MALLETTE

JAKE HALSTENSON

ALYSSA DEERING

---------------------------********** --------------------------(Cont.)*

HWSAL

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223

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Page

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HENNEPIN

ENGLISH ROSE SUITES

ENGLISH ROSE SUITES

ENGLISH ROSE SUITES - BRAEMAR HILLS

ENGLISH ROSE SUITES AND B HOME HOME CARE

ENGLISH ROSE SUITES GLEASON KNOLL

ENGLISH ROSE SUITES INDIAN HILLS

ENGLISH ROSE SUITES INTERLACHEN

ENGLISH ROSE SUITES LOCH WOOD

FAIRVIEW SOUTHDALE HOSPITAL

GOLDEN HEART HOME

609 BLAKE ROAD SOUTH

6400 TIMBER RIDGE

6941 VALLEY VIEW ROAD

6400 TIMBER RIDGE

6200 LOCH MOOR DRIVE

6400 TIMBER RIDGE

609 BLAKE ROAD SOUTH

6201 LOCH MOOR DRIVE

6401 FRANCE AVENUE SOUTH

5808 WEST 70TH STREET

EDINA, MN 55343

EDINA, MN 55439

EDINA, MN 55439

EDINA, MN 55439

EDINA, MN 55439

EDINA, MN 55439

EDINA, MN 55343

EDINA, MN 55439

EDINA, MN 55435

EDINA, MN 55439

952/983-0412

952/983-0412

952/983-0412

952/983-0412

952/983-0412

952/983-0412

952/983-0412

952/983-0412

952/892-2101

612/735-4065

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

NProf

Lim-Liab

COMP

COMP

HOSP-390 BASS-45 HOSP-390 PPS-P-0

(20426)

(20905)

(21145)

(20905)

(34598)

(33249)

(20426)

(25762)

(00201)

(35751)

FAX: 952/253-2548

FAX: 952/253-2548

FAX: 952/253-2548

FAX: 952/253-2548

FAX: 952/253-2548

FAX: 952/253-2548

FAX: 952/253-2548

FAX: 952/253-2548

FAX: 952/924-5382

FAX: 763/324-8493

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

TIFFANY GOMEZ

TIFFANY GOMEZ

TIFFANY GOMEX

TIFFANY GOMEZ

TIFFANY GOMEZ

TIFFANY GOMEZ

TIFFANY GOMEZ

TIFFANY GOMEZ

JEOFF WILL

DEQA WARSAME

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL

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224

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Page

Registration

HENNEPIN

HERITAGE OF EDINA INC

HERITAGE OF EDINA INC

HERITAGE OF EDINA INC

HERITAGE OF EDINA INC

HOME INSTEAD SENIOR CARE

HOME INSTEAD SENIOR CARE

HOMEWATCH CAREGIVERS

INSPIRED SPINE SURGCENTER LLC

INTREPID USA HEALTHCARE SERVICES

KINDRED HOSPICE

3450 HERITAGE DRIVE

3456 HERITAGE DRIVE

3434 HERITAGE DRIVE

3434 HERITAGE DRIVE

4445 WEST 77TH STREET #121

4445 WEST 77TH STREET #121

7242 METRO BOULEVARD #500

7400 FRANCE AVENUE S STE 102

7300 METRO BOULEVARD #625

8000 WEST 78TH STREET #210

EDINA, MN 55435

EDINA, MN 55435

EDINA, MN 55435

EDINA, MN 55435

EDINA, MN 55435

EDINA, MN 55435

EDINA, MN 55439

EDINA, MN 55435

EDINA, MN 55439

EDINA, MN 55439

952/920-9145

952/920-9145

952/920-9145

952/920-9145

952/929-5695

952/929-5695

952/657-5210

952/405-9760

952/513-5400

952/314-9738

Corp

Corp

Corp

Corp

Corp

Corp

Corp

Lim-Liab

Corp

Lim-Liab

COMP

COMP

COMP

Outpt Surg

COMP

Hospice

HHA

HSPICE

(35017)

(35018)

(20233)

(30456)

(03782)

(23590)

(28357)

(37109)

(02233)

(32514)

FAX: 952/285-7805

FAX: 952/285-7805

FAX: 952/915-5411

FAX: 952/915-5411

FAX: 952/929-2032

FAX: 952/929-2032

FAX: 952/500-8791

FAX: 855/430-6952

FAX: 651/628-1800

FAX: 952/941-4016

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

MARIA FIELD

MARIA FIELD

MARIA FIELD

MARIA FIELD

CHER KUECHLE

CHER KUECHLE

DEBORAH NELSON

DEB STEVENS

SONJA JACOBSON

ROCHELLE FOX

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

Home Mgmt

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225

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Page

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HENNEPIN

MCCANNEL EYE SURGERY

MERCY LINK LLC

N C LITTLE MEMORIAL HOSPICE

NINE MILE CREEK SENIOR LIVING

NOVACARE OUTPATIENT REHAB

NURA SURGICAL CENTER

ORTHOPAEDIC INSTITUTE SURGERY CENTER

PARKINSON'S SPECIALTY CARE II

REM HENNEPIN INC WILLIAM

RESTART INC

3124 WEST 70TH STREET

7400 METRO BLVD #150

7019 LYNMAR LANE

7505 METRO BOULEVARD #100

6515 BARRIE ROAD #100

7400 FRANCE AVENUE SOUTH #102

8100 WEST 78TH STREET #220

6804 DOVRE DRIVE

5100 WILLIAM AVENUE SOUTH

5275 EDINA INDUSTRIAL BLVD 240

EDINA, MN 55435

EDINA, MN 55439

EDINA, MN 55435

EDINA, MN 55439

EDINA, MN 55435

EDINA, MN 55435

EDINA, MN 55439

EDINA, MN 55436

EDINA, MN 55436

EDINA, MN 55439

952/848-8302

952/222-5477

952/928-9394

612/874-3460

952/922-5019

763/537-6000

952/914-8418

952/988-9900

952/922-6776

952/767-3350

Lim-Liab

Lim-Liab

NProf

Corp

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Corp

NProf

Outpt Surg

COMP

RES-HSPICE-8 Hospice

COMP

Outpt Surg

Outpt Surg

SLFB-6

COMP

Amb Surg

Out Pt Out St Out Ot

Amb Surg

Amb Surg

ICFIID-6

(20911)

(32518)

(03721)

(27108)

(02793)

(23072)

(22057)

(32015)

(01149)

(25379)

FAX: 952/848-8302

FAX: 952/222-5418

FAX: 952/925-3578

FAX: 612/874-3465

FAX: /-

FAX: 763/767-6666

FAX: 952/914-8401

FAX: 863/569-9155

FAX: 952/922-6885

FAX: 952/767-3351

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

DEBORAH SHEA

FAISAL JAMA

ROBERT SOLHEIM

ERIN HILLIGAN

LESLIE HOVDA

LAURIE CURTIS

TAMI STEICHEN

MARCIA COTTER

DEVIN NELSON

STEVE PIEKARSKI

---------------------------********** --------------------------(Cont.)*

HWSAL

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226

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Directory of Facilities and Services

Page

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HENNEPIN

SENIOR SUPPORT AND CARE

SISTERS HOME HEALTH CARE LLC

SUNRISE OF EDINA

SUNRISE OF EDINA

SUNRISE SENIOR LIVING MANAGEMENT INC

THE GENEVA SUITES

THE GENEVA SUITES

THE WATERS OF EDINA

TWIN CITIES PAIN CLINIC

UNTIED CHAPTERS LIVING

5112 BEDFORD AVENUE

6005 EWING AVENUE SOUTH

7128 FRANCE AVENUE SOUTH

7128 FRANCE AVENUE SOUTH

7128 FRANCE AVENUE SOUTH

6200 PARKWOOD ROAD

6222 BRAEBURN CIRCLE

6300 COLONIAL WAY

7211 OHMS LANE

6421 NORDIC CIRCLE

EDINA, MN 55436

EDINA, MN 55410

EDINA, MN 55435

EDINA, MN 55435

EDINA, MN 55435

EDINA, MN 55436

EDINA, MN 55439

EDINA, MN 55436

EDINA, MN 55439

EDINA, MN 55439

612/669-7999

612/242-7436

952/927-8000

952/927-8000

952/927-8000

612/208-8888

612/208-8888

952/322-7500

952/204-3500

763/486-3709

Ind

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Corp

COMP

COMP

Outpt Surg Amb Surg

(27382)

(37081)

(20814)

(21787)

(20814)

(33870)

(33436)

(29647)

(29915)

(35407)

FAX: 612/669-7999

FAX: /-

FAX: 952/927-6400

FAX: 952/927-6400

FAX: 952/927-6400

FAX: 612/358-2222

FAX: 612/358-2222

FAX: 952/926-2809

FAX: 952/856-2644

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

COLLEEN SARAT

KAMILA AHMED

OMAR RICHMOND

OMAR RICHMOND

OMAR RICHMOND

MATT HANLEY

MATT HANLEY

KATHERINE TODD

SHEILA THOMPSON

YASSIN JAMA

---------------------------********** --------------------------(Cont.)*

Home Mgmt

HWSAL-O

HWSAL

HWSAL

HWSAL

HWS

HWSAL

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227

Facility/Service Owner Licensure Certification

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Directory of Facilities and Services

Page

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HENNEPIN

VERNON TERRACE

VISITING ANGELS MINNEAPOLIS

WALKER METHODIST CARE SUITES

WALKER METHODIST CARE SUITES

YORK GARDENS

YORKSHIRE OF EDINA SENIOR LIVING

YORKSHIRE OF EDINA SENIOR LIVING

THE ESTATES AT EXCELSIOR LLC

THE WATERS OF EXCELSIOR

TROUVAILLE LLC

5250 VERNON AVENUE SOUTH

7550 FRANCE AVENUE SOUTH #135

7400 YORK AVENUE SOUTH

7400 YORK AVENUE SOUTH

3451 PARKLAWN AVENUE

7141 YORK AVENUE SOUTH

7141 YORK AVENUE SOUTH

515 DIVISION STREET

723 WATER STREET

6330 HAZELTINE BOULEVARD

EDINA, MN 55436

EDINA, MN 55435

EDINA, MN 55435

EDINA, MN 55435

EDINA, MN 55435

EDINA, MN 55435

EDINA, MN 55435

EXCELSIOR, MN 55331

EXCELSIOR, MN 55331

EXCELSIOR, MN 55331

952/925-5615

952/891-8100

952/835-8351

952/835-8351

952/898-6700

612/866-0259

612/866-0259

952/474-5488

952/207-7220

952/474-4811

Lim-Liab

Lim-Liab

NProf

NProf

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

COMP

COMP

COMP

NH-56 SNF-NF-56

(28216)

(21703)

(20444)

(23693)

(30779)

(32530)

(32541)

(00988)

(34114)

(29623)

FAX: 952/925-1702

FAX: 952/891-8000

FAX: 952/835-7453

FAX: 952/835-7453

FAX: 952/898-6701

FAX: 952/835-6353

FAX: 952/835-6353

FAX: 952/474-3864

FAX: /-

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

CHERYL LEVY SHILKROT

MARK ASPENSON

ANNELIESE PETERSON

AMANDA PITSENBARGER

ERIN HILLIGAN

CASTEELE THAUWALD

CASTEELE MILLER

ALYSSA SCHWALLER

KATHERINE TODD

TYLER STEVENS

---------------------------********** --------------------------(Cont.)*

HWS

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL

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228

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

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Page

Registration

HENNEPIN

TROUVAILLE MEMORY CARE SUITES

STEP FORWARD, INC

ADAGIO MANOR ASSISTED LIVING

ALLIANCE HHC & NURSING SERVICES, LLC

AMADA SENIOR CARE TWIN CITIES

ARMS HOME HEALTH CARE LLC

ASHTON HOMES LLC

BROOKVIEW A VILLA CENTER

CARINGHANDS LLC

CHEZ VOUS HOME CARE, LLC

6330 HAZELTINE BOULEVARD

158 71ST WAY NE

5230 CIRCLE DOWN

4725 OLSON MEMORIAL HWY #200

1405 LILAC DRIVE NORTH #121

1710 DOUGLAS DRIVE NORTH #226P

2001 FLAG AVENUE NORTH

7505 COUNTRY CLUB DRIVE

1710 DOUGLAS DRIVE NORTH #226C

2925 REGENT AVENUE NORTH

EXCELSIOR, MN 55331

FRIDLEY, MN 55432

GOLDEN VALLEY, MN 55416

GOLDEN VALLEY, MN 55422

GOLDEN VALLEY, MN 55422

GOLDEN VALLEY, MN 55422

GOLDEN VALLEY, MN 55427

GOLDEN VALLEY, MN 55427

GOLDEN VALLEY, MN 55422

GOLDEN VALLEY, MN 55422

952/474-4811

612/250-4165

952/374-4710

763/208-6295

763/307-9138

763/528-1706

763/777-1059

763/450-6900

612/229-4999

612/220-8052

Lim-Liab

Corp

Lim-Liab

Lim-Liab

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

COMP

COMP

COMP

TCOMP

NH-104

TCOMP

HHA

SNF-NF-104

(29622)

(36174)

(28372)

(25403)

(32101)

(35794)

(37289)

(00112)

(35770)

(29038)

FAX: /-

FAX: 612/979-2613

FAX: 763/588-7026

FAX: 763/355-5459

FAX: 763/307-3365

FAX: 651/900-7787

FAX: 763/219-4407

FAX: 763/540-0015

FAX: 612/460-6222

FAX: 763/205-0924

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

NATALIE MORLAND

ROBIN STEPNEY

LYNN DEICHERT

MICHAEL FLOM

GREGORY GETCHELL

ABDULLAHI ABDI

SEKOU DUKULY

ASHLEY REDFERN

AMAL SAID

SEETA ARRELL

---------------------------********** --------------------------(Cont.)*

HWS-O

HWSAL

HWSAL-O

HWS-O

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229

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Page

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HENNEPIN

COMPASSIONCARE

COURAGE KENNY REHABILITATION INSTITUTE'S TRP

COVENANT LIVING OF GOLDEN VALLEY ASSISTED LIVING

COVENANT LIVING OF GOLDEN VALLEY ASSISTED LIVING MEMORY CARE

COVENANT LIVING OF GOLDEN VALLEY CARE & REHABILITATION CENTER

FLOURISH

GLOBAL POINTE SENIOR LIVING

GOLDEN CARE SERVICES

GOLDEN VALLEY DIALYSIS CENTER

9000 GOLDEN VALLEY ROAD

3915 GOLDEN VALLEY ROAD

5800 ST CROIX AVENUE NORTH

5825 ST. CROIX AVENUE NORTH

5825 ST. CROIX AVENUE

9000 GOLDEN VALLEY ROAD

5200 WAYZATA BOULEVARD

1710 DOUGLAS DRIVE NORTH #2245

6155 DULUTH STREET

GOLDEN VALLEY, MN 55427

GOLDEN VALLEY, MN 55422

GOLDEN VALLEY, MN 55422

GOLDEN VALLEY, MN 55422

GOLDEN VALLEY, MN 55422

GOLDEN VALLEY, MN 55427

GOLDEN VALLEY, MN 55416

GOLDEN VALLEY, MN 55422

GOLDEN VALLEY, MN 55422

763/512-2844

612/775-2455

763/732-1434

763/732-1434

763/544-1555

763/543-9000

763/235-3468

763/370-8319

763/544-0298

Lim-Liab

NProf

Church

Church

NProf

Lim-Liab

Lim-Liab

Lim-Liab

Corp

COMP

NH-56

NH-88

SNF-NF-56

SNF-70

ESRD

(29177)

(00751)

(21715)

(30433)

(00183)

(36093)

(35621)

(03542)

(02790)

FAX: 763/541-4711

FAX: 612/262-6712

FAX: 763/513-6644

FAX: 763/513-6644

FAX: 763/544-8032

FAX: 763/541-4711

FAX: 952/922-9520

FAX: 763/546-2271

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ALICIA WITHERSPOON

MARCIA LINDIG

JIM ANGELL

JIM ANGELL

CHRISTINE DELANDER

ALICIA WITHERSPOON

DENISE BARNETT

HUE MAI

FEDERICO SERRANO

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

Home Mgmt

Page 267: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

230

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

GOLDEN VALLEY RESIDENCE

HAMMER - LEE

HAWTHORNE HOUSE

HAWTHORNE HOUSE INC

HAWTHORNE HOUSE INC

HAWTHORNE HOUSE INC

HAWTHORNE HOUSE INC

HAWTHORNE HOUSE INC

HERITAGE HOUSE ASSISTED LIVING

HOME HEALTH CARE, INC.

1940 MAJOR LANE

2825 LEE AVENUE NORTH

6931 COUNTRY CLUB DRIVE

541 KELLY DRIVE

1100 IDAHO AVENUE

6909 COUNTRY CLUB DRIVE

501 KELLY DRIVE

6931 COUNTRY CLUB DRIVE

5825 ST. CROIX AVENUE

800 BOONE AVENUE NORTH STE 200

GOLDEN VALLEY, MN 55422

GOLDEN VALLEY, MN 55422

GOLDEN VALLEY, MN 55427

GOLDEN VALLEY, MN 55427

GOLDEN VALLEY, MN 55427

GOLDEN VALLEY, MN 55427

GOLDEN VALLEY, MN 55427

GOLDEN VALLEY, MN 55427

GOLDEN VALLEY, MN 55422

GOLDEN VALLEY, MN 55427

763/521-4839

952/473-1261

612/385-9200

612/385-9200

612/385-9200

612/385-9200

612/385-9200

612/385-9200

763/732-1434

763/417-8888

Corp

NProf

Corp

Corp

Corp

Corp

Corp

Corp

Church

Corp

SLFB-6

COMP

COMP

COMP

ICFIID-6

HHA

(24264)

(01607)

(23104)

(24326)

(23395)

(23667)

(24099)

(30304)

(20177)

(03337)

FAX: 763/559-9155

FAX: 952/473-8629

FAX: 763/205-1950

FAX: /-

FAX: 763/205-1950

FAX: 763/205-1950

FAX: 763/205-1950

FAX: 763/205-1950

FAX: 763/513-6644

FAX: 763/417-9999

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

MARCIA COTTER

JOHN ESTREM

SUSANTHI FERNANDO

SUSANTHI FERNANDO

SUSANTHI FERNANDO

SUSANTHI FERNANDO

SUSANTHI FERNANDO

SUSANTHI FERNANDO

JIM ANGELL

MARK OLSHANSKY

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL-O

HWSAL-O

HWSAL-O

HWSAL-O

HWSAL-O

Page 268: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

231

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

HONESTY CARE HOME LLC

HONESTY CARE HOME LLC

LA BONNE VIE INC

LA BONNE VIE, INC.

LA BONNE VIE, INC.

LEGACY HOME HEALTH CARE, INC

M.T.A.I. GLADSON

M.T.A.I. SAND CREEK

MEADOW RIDGE SENIOR LIVING

MOMENTS HOSPICE

5540 LINDSEY STREET

5540 LINDSAY ST

6443 WESTCHESTER CIRCLE

6443 WESTCHESTER CIRCLE

6443 WESTCHESTER CIRCLE

800 BOONE AVENUE NORTH #195

7350 RIDGEWAY ROAD

5555 WESTBROOK ROAD

7475 COUNTRY CLUB DRIVE

820 LILAC DRIVE NORTH #210

GOLDEN VALLEY, MN 55422

GOLDEN VALLEY, MN 55422

GOLDEN VALLEY, MN 55427

GOLDEN VALLEY, MN 55427

GOLDEN VALLEY, MN 55427

GOLDEN VALLEY, MN 55427

GOLDEN VALLEY, MN 55427

GOLDEN VALLEY, MN 55422

GOLDEN VALLEY, MN 55427

GOLDEN VALLEY, MN 55422

612/442-4395

612/442-4395

612/735-8480

612/735-8480

612/735-8480

763/593-1000

763/542-8340

763/545-7086

763/762-7300

763/205-3600

Lim-Liab

Lim-Liab

Corp

Corp

Corp

Corp

Corp

Corp

Lim-Liab

Lim-Liab

TCOMP

COMP

COMP

COMP

SLFA-6

SLFA-5

Hospice

ICFIID-6

ICFIID-5

HSPICE

(35503)

(36349)

(21395)

(21395)

(30748)

(26206)

(01564)

(01561)

(31962)

(32588)

FAX: 952/225-0512

FAX: 952/225-0512

FAX: /-

FAX: /-

FAX: /-

FAX: 763/593-1001

FAX: 763/542-3285

FAX: 763/545-4251

FAX: 763/208-4641

FAX: 763/205-9350

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

KHALID GABEYRE

KHALID GABEYRE

TAMARA JUNTILLA

TAMARA JUNTILLA

TAMARA JUNTILLA

SHAWN FRANKLIN

MARY KROCAK

BRENT KROCAK

CARYL NORDLAND

ELIYAHU JAFFA

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWSAL

HWSAL

Page 269: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

232

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

NEW DIRECTIONS RESIDENTIAL SERVICES

NEW LIFE HEALTH SERVICE

OASIS

PARKINSON SPECIALTY CARE HOME CARE

PINNACLE SERVICES - BRAIRWOOD TRAIL

PRIMARY LIVING INC

PUSH SERVICES INC

RAKHMA HARMONY HOUSE

REGENCY HOSPITAL OF MINNEAPOLIS, LLC

REHABILITATION SERVICES OF GOLDEN VALLEY INC

4740 GOLDEN VALLEY ROAD

1545 WINNETKA AVENUE NORTH

6739 GOLDEN VALLEY ROAD

8085 WAYZATA BLVD STE 105

2580 QUAIL AVENUE NORTH

1710 DOUGLAS DRIVE NORTH #225T

600 NORTH LILAC DRIVE 212

5403 MINNAQUA DRIVE

1300 HIDDEN LAKES PARKWAY

800 BOONE AVENUE NORTH

GOLDEN VALLEY, MN 55422

GOLDEN VALLEY, MN 55427

GOLDEN VALLEY, MN 55427

GOLDEN VALLEY, MN 55426

GOLDEN VALLEY, MN 55442

GOLDEN VALLEY, MN 55422

GOLDEN VALLEY, MN 55422

GOLDEN VALLEY, MN 55422

GOLDEN VALLEY, MN 55422

GOLDEN VALLEY, MN 55427

763/313-6607

612/200-0112

763/544-1447

763/550-1774

612/269-6159

612/532-4198

952/297-4327

651/331-9569

763/302-0301

612/986-2084

Corp

Lim-Liab

Corp

Lim-Liab

Corp

Corp

Corp

NProf

Lim-Liab

Corp

SLFA-16

COMP

TCOMP

HOSP-92 HOSP-92

Out Pt Out St Out Ot

(35325)

(37312)

(01516)

(03650)

(26847)

(35000)

(34816)

(32496)

(00158)

(31619)

FAX: /-

FAX: 763/515-4196

FAX: 763/544-0833

FAX: 763/559-9155

FAX: 612/977-3960

FAX: /-

FAX: 763/497-0005

FAX: 612/824-3165

FAX: 763/521-3805

FAX: 763/417-9999

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

TRENA ALLBRITTON

AREE THOMPOSN

HUGH AYLWARD

MARCIA COTTER

JILL CIHLAR

IFRAH AHMED

PRINCESS NIMELY

BRANDON SPEARS

SEAN STRICKER

MATT WEFFENSMITH

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWSAL

HWS-O

HWS

HWSAL

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233

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

REM HENNEPIN, INC. (REGENT)

REVO HOME HEALTH

RISEN HOME CARE LLC

S & H HEALTH CAREM LLC

SORELL HOUSE

SUMMIT HOME HEALTH CARE, INC.

SUNRISE OF GOLDEN VALLEY

SUNRISE OF GOLDEN VALLEY

SYNERGY HOMECARE MINNEAPOLIS

THE CARING SISTERS HOME CARE SERVICES, INC

3239 REGENT AVENUE NORTH

4200 DAHLBERG DRIVE STE 300

1710 DOUGLAS DR N #2243 BX D-9

4925 SORELL AVENUE

4935 SORRELL AVENUE

800 BOONE AVENUE NORTH #175

4950 OLSON MEMORIAL HIGHWAY

4950 OLSON MEMORIAL HIGHWAY

7575 GOLDEN VALLEY RD STE 378

1375 OAK GROVE CIRCLE

GOLDEN VALLEY, MN 55422

GOLDEN VALLEY, MN 55422

GOLDEN VALLEY, MN 55422

GOLDEN VALLEY, MN 55422

GOLDEN VALLEY, MN 55422

GOLDEN VALLEY, MN 55427

GOLDEN VALLEY, MN 55422

GOLDEN VALLEY, MN 55422

GOLDEN VALLEY, MN 55427

GOLDEN VALLEY, MN 55422

952/922-6776

612/702-6324

763/227-8846

612/644-5558

507/363-3805

763/334-7990

763/522-4000

763/522-4000

763/746-2899

763/208-1508

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Corp

Part

Lim-Liab

Corp

SLFA-6

COMP

COMP HCBS

COMP

COMP

COMP

ICFIID-6

HHA

(01274)

(33709)

(34693)

(36848)

(37011)

(23370)

(23981)

(23982)

(26505)

(21932)

FAX: 952/922-6885

FAX: 952/456-7234

FAX: 763/592-8085

FAX: /-

FAX: /-

FAX: 763/417-9999

FAX: 763/522-6170

FAX: 763/522-6170

FAX: 763/746-2898

FAX: 952/426-4691

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

DEVIN NELSON

NICOLE SARAUER

ANGELIQUE KAPILA

SHAKIR HUSSEIN

ABDIRAHMAN HAJI JAMA

MICHAEL LECY

KIMELYN KNIGHT

KIMELYN KNIGHT

MITCH BLOOM

OLALEYE BECKLEY

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWSAL-O

HWSAL

HWSAL-O

Page 271: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

234

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

THE MINNEAPOLIS CLINIC OF NEUROLOGY, LTD.

TOTALCARE ASSISTED LIVING

UNITED CHAPTERS LIVING

VITAL HOME CARE LLC

WOODSIDE TERRACE

BRIDGEWATER AT HANOVER LLC

BRIDGEWATER AT HANOVER LLC

ACCRA CARE INC

AUGUSTANA CHAPEL VIEW APTS

AUGUSTANA CHAPEL VIEW CARE CENTER

4225 GOLDEN VALLEY ROAD

2365 COLORADO AVENUE NORTH

145 MEADOW LANE

6480 WAYZATA BOULEVARD #206

5800 ST CROIX AVENUE NORTH

10875 SETTLERS LANE

10875 SETTLERS LANE

1011 1ST STREET SOUTH #315

605 MINNETONKA MILLS ROAD

615 MINNETONKA MILLS ROAD

GOLDEN VALLEY, MN 55422

GOLDEN VALLEY, MN 55422

GOLDEN VALLEY, MN 55422

GOLDEN VALLEY, MN 55426

GOLDEN VALLEY, MN 55422

HANOVER, MN 55341

HANOVER, MN 55341

HOPKINS, MN 55343

HOPKINS, MN 55343

HOPKINS, MN 55343

763/588-0661

612/710-7904

763/486-3709

612/886-6080

763/732-1434

507/381-4600

507/381-4600

952/935-3515

952/697-3877

952/938-2761

NProf

Lim-Liab

Part

Lim-Liab

Church

Lim-Liab

Lim-Liab

Corp

NProf

NProf

COMP

COMP

NH-108

Out Pt

SNF-NF-108

(02163)

(34951)

(36781)

(33764)

(21715)

(32774)

(32913)

(34452)

(20026)

(00727)

FAX: /-

FAX: 952/997-6109

FAX: 612/825-6148

FAX: 612/886-7030

FAX: 763/513-6644

FAX: 507/388-5162

FAX: 507/388-5162

FAX: /-

FAX: 952/697-3876

FAX: 952/938-4092

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

KURT NEIL

NNENNA ANYAOGU

ALYSSA JEDLICKA

ALEXANDRA LIEN

JIM ANGELL

BROOKE OLSON

BROOKE OLSON

PAULA SPARLING

PAULA SPARLING

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

Home Mgmt

HWSAL

Page 272: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

235

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

CARING GROUP HOME LLC

CENTREX REHAB

CHAPEL VIEW APARTMENTS

COMFORT CARE CENTER LLC

GENTLE TOUCH HEALTH INITIATIVES, LLC

GRACE HOMES - OAK RIDGE

GRACE HOMES - WILSHIRE WALK

HOPKINS HEALTH SERVICES

LIVEWELL MANAGEMENT

METROPOLITAN COMMUNITY SERVICES

1010 LAKE STREET NE #201

34 10TH AVENUE SOUTH

605 MINNETONKA MILLS ROAD

1030 FELTL COURT

901 FELTL COURT

601 OAK RIDGE ROAD

414 WILSHIRE WALK

725 2ND AVENUE SOUTH

7900 EXCELSIOR BOULEVARD #2000

7900 EXCELSIOR BOULEVARD #200

HOPKINS, MN 55343

HOPKINS, MN 55343

HOPKINS, MN 55343

HOPKINS, MN 55343

HOPKINS, MN 55343

HOPKINS, MN 55305

HOPKINS, MN 55305

HOPKINS, MN 55343

HOPKINS, MN 55343

HOPKINS, MN 55343

952/649-8836

612/333-1551

952/697-3877

612/703-4183

952/960-5555

952/525-0505

952/525-0505

952/935-3338

952/920-1513

952/658-8995

Lim-Liab

NProf

NProf

Lim-Liab

Lim-Liab

Corp

Corp

Lim-Liab

Lim-Liab

NProf

TCOMP

COMP

NH-118

COMP

Out Pt Out St Out Ot

SNF-NF-118

(35803)

(21755)

(20026)

(35420)

(24214)

(28023)

(31889)

(00872)

(33360)

(29521)

FAX: /-

FAX: 612/338-5326

FAX: 952/697-3876

FAX: 952/255-6103

FAX: 952/933-8776

FAX: 952/525-0506

FAX: 952/525-0506

FAX: 952/935-0032

FAX: /-

FAX: 952/658-8995

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

NASRA ZUBEIR

KRISTIN BROWN

PAULA SPARLING

MOHAMED MOHAMUD

MICHAEL PAGH

DARLA THAO

DARLA THAO

MARY BOYDE

ELIZABETH WRIGHT

LANA BARSKIY

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWS-O

HWSAL-O

Home Mgmt

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236

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

MINNESOTA WELLNESS CENTER LLC

MIRAGE HOMES LLC

PARK NICOLLET METHODIST HOSPITAL HOME CARE SERVICES

THE TERRACES

THE TOWERS

LONG LAKE ASSISTED LIVING, LLC

LONG LAKE ASSISTED LIVING, LLC

ORONO WOODLANDS

AMADA SENIOR CARE MINNEAPOLIS- ST. PAUL

ARBOR LAKES SENIOR LIVING

724 ROBINWOOD LANE

107 BLAKE ROAD #312

700 5TH STREET SOUTH

901 FELTL COURT

1011 FELTL COURT

345 NORTH BROWN ROAD

345 NORTH BROWN ROAD

2100 6TH AVENUE NORTH BOX 507

11204 86TH AVENUE NORTH

12001 80TH AVENUE NORTH

HOPKINS, MN 55305

HOPKINS, MN 55343

HOPKINS, MN 55343

HOPKINS, MN 55343

HOPKINS, MN 55343

LONG LAKE, MN 55356

LONG LAKE, MN 55356

LONG LAKE, MN 55356

MAPLE GROVE, MN 55369

MAPLE GROVE, MN 55369

612/618-5841

651/815-2094

952/993-6087

952/933-3333

952/933-3333

952/473-2527

952/473-2527

952/473-0852

612/670-2058

763/575-7021

Lim-Liab

Lim-Liab

NProf

ONProf

NProf

Lim-Liab

Lim-Liab

NProf

Lim-Liab

Lim-Liab

TCOMP

COMP

COMP

SLFB-6

COMP

COMP

HHA

ICFIID-6

(34346)

(35682)

(02229)

(22139)

(20217)

(23172)

(30339)

(01366)

(32802)

(27690)

FAX: 651/646-0950

FAX: /-

FAX: 952/977-0622

FAX: 952/933-8776

FAX: 952/933-8776

FAX: 952/404-9701

FAX: 952/404-9701

FAX: 952/473-8428

FAX: 612/299-1425

FAX: 651/575-7034

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

UBAH SHIRWA

UBAH ADEN

NOEL MOONEYHAM

JEN ZINNEL

JEN ZINNEL

KEITH UNGER

KEITH UNGER

JULIE MANWORREN

CRYSTAL LARSON

KELLY MYERS

---------------------------********** --------------------------(Cont.)*

HWS

HWSAL

HWS

HWSAL

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237

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

ARBOR LAKES SENIOR LIVING LLC

ASHTON HOMES, LLC

BEE HIVE HOMES OF MAPLE GROVE

BEEHIVE HOMES OF MAPLE GROVE

BEYOND EXPECTATIONS HOME HEALTH CARE

BOUNDARY CREEK TERRACE

CENTER FOR RESTORATIVE SURGERY AT MAPLE GROVE

CHEZ VOUS HOME CARE LLC

CHOICES BY DESIGN LLC

CSL ROSE ARBOR

12001 80TH AVENUE NORTH

6242 LARCH LANE NORTH

14901 WEAVER LAKE ROAD

14901 WEAVER LAKE ROAD

8061 EVERGREEN LANE NORTH

10798 BOUNDARY CREEK TERRACE

13601 80TH CIRCLE NORTH #100

8647 GLACIER LANE NORTH

10650 COUNTY ROAD 81 STE 222A

9251 BLACK OAKS LANE NORTH

MAPLE GROVE, MN 55369

MAPLE GROVE, MN 55369

MAPLE GROVE, MN 55311

MAPLE GROVE, MN 55311

MAPLE GROVE, MN 55369

MAPLE GROVE, MN 55369

MAPLE GROVE, MN 55369

MAPLE GROVE, MN 55369

MAPLE GROVE, MN 55369

MAPLE GROVE, MN 55311

763/575-7021

763/354-0850

763/415-3900

763/415-3900

715/377-2617

763/377-0836

763/432-7655

612/220-8052

763/493-5067

763/493-5910

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

COMP

COMP

Outpt Surg

COMP

COMP HCBS

COMP

Amb Surg

(30754)

(34920)

(34912)

(35125)

(32531)

(33923)

(30010)

(26654)

(29338)

(21386)

FAX: 651/575-7034

FAX: 763/219-4401

FAX: 763/415-3909

FAX: 763/415-3909

FAX: /-

FAX: 763/205-4227

FAX: 763/432-7501

FAX: 612/259-7440

FAX: 763/493-5138

FAX: 763/420-5728

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

KELLY MYERS

SEKOU DUKULY

IOANA CHILDS

IOANA CHILDS

BRETT SCHREINER

ONYINYECHUKWU OSAKWE

AMISTYENE BRINCEFIELD

SEETA ARRELL

RITA WILLIAMS

JILL WIPPLER

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL-O

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238

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

DIVINE HEALING HOME CARE LLC

DIVINE NURTURING HOMECARE SERVICES, INC.

DUNGARVIN - YOUGAL

FAIRVIEW MAPLE GROVE SURGERY CENTER

FRESENIUS MEDICAL CARE MAPLE GROVE

GBALEAH HOME CARE LLC

GLOBAL ALLIANCE HOME HEALTH CARE LLC

GOLDEN POND

GOLDEN POND HOME

HAMMER - LAWNDALE

9823 102ND AVENUE NORTH

14697 80TH PL NORTH STE # ML

10203 94TH AVENUE

14500 99TH AVENUE NORTH

7365 KIRKWOOD COURT #135

7865 POLARIS LANE NORTH

8941 VANDEGRIFF WAY

12270 87TH AVENUE NORTH

12270 87TH AVENUE NORTH

6688 LAWNDALE LANE NORTH

MAPLE GROVE, MN 55369

MAPLE GROVE, MN 55311

MAPLE GROVE, MN 55369

MAPLE GROVE, MN 55369

MAPLE GROVE, MN 55369

MAPLE GROVE, MN 55311

MAPLE GROVE, MN 55311

MAPLE GROVE, MN 55369

MAPLE GROVE, MN 55369

MAPLE GROVE, MN 55311

763/566-1378

763/390-2590

651/699-6050

763/898-1880

763/494-0316

763/477-1135

480/223-8646

763/447-7717

612/248-4746

952/473-1261

Lim-Liab

Corp

Lim-Liab

Lim-Liab

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

NProf

COMP

SLFA-6

Outpt Surg

TCOMP

COMP

COMP HCBS

SLFB-6

Amb Surg

ESRD

ICFIID-6

(33648)

(28018)

(00245)

(24347)

(26279)

(34972)

(35075)

(27329)

(27328)

(01686)

FAX: 763/566-1379

FAX: 763/494-3782

FAX: 651/699-7265

FAX: 763/898-1009

FAX: 763/494-4201

FAX: /-

FAX: /-

FAX: 651/484-5130

FAX: 651/484-5130

FAX: 952/473-8629

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JOYCE MOGENI

NOELA SUHFOR

ANNA HEGLAND

HEATHER SHERIDAN

JESSICA DAVIS

HAWA KAMARA

JOYCE MOGENI

NANCY STRANDLUND

NANCY STRANDLUND

JOHN ESTREM

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWSAL

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239

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

HAVENWOOD OF MAPLE GROVE

HEARTFELT CARE LLC

HEARTFELT CARE LLC

HOME CARE ASSISTANCE OF MINNESOTA LLC

HOME INSTEAD SENIOR CARE OF MINNEAPOLIS

HOMEWARD BOUND - MAPLE GROVE

INDIGO HEALTH CARE SERVICES LLC

INTUIT HOME CARE

LIVING WELL - 75TH

MAPLE GROVE DIALYSIS UNIT

18695 73RD AVENUE NORTH

10344 BOUNDARY CREEK TERRACE

10344 BOUNDARY CREEK TERRACE

7878 MAIN STREET B

9684 63RD AVENUE N STE #106

6769 EAST FISH LAKE ROAD

8578 ROSEWOOD LANE NORTH

11662 99TH PLACE NORTH

14850 75TH AVENUE NORTH

15655 GROVE CIRCLE NORTH

MAPLE GROVE, MN 55311

MAPLE GROVE, MN 55369

MAPLE GROVE, MN 55369

MAPLE GROVE, MN 55369

MAPLE GROVE, MN 55369

MAPLE GROVE, MN 55369

MAPLE GROVE, MN 55369

MAPLE GROVE, MN 55369

MAPLE GROVE, MN 55369

MAPLE GROVE, MN 55369

612/346-2914

763/204-8125

763/204-8125

952/236-7527

763/544-5988

763/746-4850

781/250-9059

866/890-2310

763/420-5848

763/420-2804

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

NProf

Lim-Liab

Corp

NProf

Corp

COMP

COMP

COMP

SLFB-6

TCOMP

SLFB-6

ICFIID-6

ICFIID-6

ESRD

(37128)

(32723)

(33112)

(27714)

(23593)

(01585)

(35277)

(34463)

(01401)

(25897)

FAX: /-

FAX: 763/205-4855

FAX: 763/205-4855

FAX: 952/679-6012

FAX: 763/544-6012

FAX: 763/525-4084

FAX: /-

FAX: 800/971-8022

FAX: 763/420-6121

FAX: 763/420-7162

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JOELLA BROWN

AYEHU MENGESHA

AYEHU MENGESHA

PEGGY ANDERSON

JOHN STUCK

GERRI DUKART GBOR

SEKOU DUKULY

TANVEER GULZAR

STACY QUACKENBUSH

JENNIFER WHIPPLE

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

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240

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

MAPLE GROVE HOSPITAL

MAPLE SENIOR LIVING

METROPOLITAN SURGICAL CENTER, LLC

NEW HOPE CARE LLC

NORTH MEMORIAL AMBULATORY SURGERY CENTER AT MAPLE GROVE, LLC

PARADISE ASSISTED LIVING INC

PARADISE ASSITED LIVING INC

PARK POINT INC

PENTEC HEALTH, INC.

PLATEAU HEALTHCARE LLC

9875 HOSPITAL DRIVE

8421 UPLAND LANE NORTH

9645 GROVE CIRCLE NORTH #250

11021 FAIR MEADOWS COURT

9855 HOSPITAL DRIVE #175

13619 74TH AVENUE NORTH

13697 74TH PLACE NORTH

9442 TRENTON LANE NORTH

11670 FOUNTAINS DRIVE #200

9962 104TH AVENUE NORTH

MAPLE GROVE, MN 55369

MAPLE GROVE, MN 55311

MAPLE GROVE, MN 55369

MAPLE GROVE, MN 55369

MAPLE GROVE, MN 55369

MAPLE GROVE, MN 55311

MAPLE GROVE, MN 55311

MAPLE GROVE, MN 55369

MAPLE GROVE, MN 55369

MAPLE GROVE, MN 55369

763/581-1000

763/307-2791

763/201-8191

763/221-5401

763/581-9000

612/465-2373

612/417-2373

763/285-7689

800/223-4376

763/444-1361

NProf

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Corp

Corp

Corp

Lim-Liab

HOSP-130 BASS-50

COMP

Outpt Surg

COMP

HOSP-130

Amb Surg

Amb Surg

(25593)

(33109)

(33238)

(34723)

(25447)

(36455)

(35542)

(36220)

(29528)

(32285)

FAX: 763/581-1555

FAX: 651/925-0261

FAX: 763/201-8192

FAX: /-

FAX: 763/581-9001

FAX: 612/465-4477

FAX: /-

FAX: 612/206-8284

FAX: 800/355-1029

FAX: 763/444-1358

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ANDY COCHRANE

AYODELE AWOLEYE

SARAH KLAPHAKE

CHUKNUEMEKA AGBAGBUO

TRACEY EAKMAN

ABDISALAM AHMED

ABDISALAM AHMED

ELVIS OSAGIE

CHAD TUCKER

ALICIA THIELEN BOUKARI

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL-O

HWSAL-O

HWS

HWS-O

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241

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

REGENCY HOME HEALTHCARE SERVICES, LLC

ROSE ARBOR

SILVERCREEK ON MAIN

SOLACE HEALTH SERVICES LLC

SOLBAKKEN

SOLBAKKEN, INC.

THE BEATITUDES HOMES LLC

THE BEATITUDES HOMES LLC

WILDFLOWER LODGE

WILDFLOWER LODGE

10467 93RD AVENUE NORTH

16500 92ND AVENUE NORTH

8200 MAIN STREET

9317 MINNESOTA LANE NORTH

18255 83RD AVENUE NORTH

18255 83RD AVENUE NORTH

13818 78TH AVENUE NORTH

9159 HARBOR LANE NORTH

9251 BLACK OAKS LANE NORTH

9251 BLACK OAKS LANE NORTH

MAPLE GROVE, MN 55369

MAPLE GROVE, MN 55311

MAPLE GROVE, MN 55369

MAPLE GROVE, MN 55369

MAPLE GROVE, MN 55311

MAPLE GROVE, MN 55311

MAPLE GROVE, MN 55311

MAPLE GROVE, MN 55369

MAPLE GROVE, MN 55311

MAPLE GROVE, MN 55311

651/488-4655

763/493-5910

763/955-1750

963/489-8422

209/600-5292

763/273-4527

763/501-9192

763/501-9192

763/493-5910

763/493-5910

Lim-Liab

Corp

Lim-Liab

Lim-Liab

Corp

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Corp

COMP

TCOMP HCBS

COMP

COMP

HHA

(22064)

(21387)

(31620)

(35292)

(20990)

(27896)

(36005)

(36337)

(21386)

(30747)

FAX: 651/488-4656

FAX: 763/420-5728

FAX: 763/955-1999

FAX: /-

FAX: /-

FAX: 763/273-4528

FAX: 888/349-5754

FAX: 888/349-5754

FAX: 763/420-5728

FAX: 763/420-5728

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

STEPHANIE JOHNSON

LIZ BARTELS

DENISE BARNETT

GLADYS NYABWARI

DARLA THAO

DARLA THAO

SONIE KPANAKU

SONIE KPANAKU

JILL WIPPLER

JILL WIPPLER

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWS

HWSAL

HWSAL

HWSAL

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242

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

WILLOWS OF ARBOR LAKES

BRYANT HOUSE

BRYANT HOUSE

HAVEN HOMES

HAVEN HOMES ASSISTED LIVING

HAVEN HOMES OF MAPLE PLAIN

HELP HOME CARE LLC

OKALEE OF MEDINA

WEALSHIRE OF MEDINA

1-0 GRANNY'S HELPFUL HANDS LLC

11955 80TH AVENUE NORTH

4848 GATEWAY BOULEVARD

5515 BRYANT STREET

4848 GATEWAY BOULEVARD

4848 GATEWAY BOULEVARD

4848 GATEWAY BOULEVARD

2245 IDE COURT

4350 CHIPPEWA COURT

4555 MOHAWK DRIVE

3057 14TH AVENUE SOUTH

MAPLE GROVE, MN 55369

MAPLE PLAIN, MN 55359

MAPLE PLAIN, MN 55359

MAPLE PLAIN, MN 55359

MAPLE PLAIN, MN 55359

MAPLE PLAIN, MN 55359

MAPLEWOOD, MN 55109

MEDINA, MN 55340

MEDINA, MN 55340

MINNEAPOLIS, MN 55407

763/575-7021

763/479-3655

763/479-3655

763/292-2300

763/479-3655

763/479-1993

612/578-7723

763/296-2020

763/475-1900

612/824-1177

Lim-Liab

NProf

NProf

NProf

NProf

NProf

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

COMP

COMP

NH-64 SNF-NF-64

(33449)

(20106)

(30416)

(37302)

(20106)

(00950)

(35987)

(35700)

(33609)

(34431)

FAX: 763/575-7034

FAX: 763/479-3656

FAX: 763/479-3656

FAX: 763/479-3656

FAX: 763/479-3656

FAX: 763/479-1996

FAX: /-

FAX: /-

FAX: 763/284-1800

FAX: 612/824-1177

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

KELLY MYERS

KATIE NOVOTNY

KATIE NOVOTNY

KATIE NOVOTNY

KATIE NOVOTNY

KATIE NOVOTNY

MOHAMED WAKO

ELIZABETH JOHNSON

ROBIN STEPNEY

---------------------------********** --------------------------(Cont.)*

HWS

HWS

HWSAL

HWSAL

HWSAL

HWSAL

HWS-O

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243

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

1-0 GRANNY'S HELPFUL HANDS LLC

1-0 GRANNY'S HELPFUL HANDS, LLC

1ST ATTENTIVE SERVICES LLC

1ST CHOICE PEDIATRIC HOME CARE

611 FLATS, LLC

A CARING HOME LLC

A CHANCE TO GROW, INC.

A HELPING HAND SENIOR CARE SERVICES LLC

A HELPING HAND SENIOR CARE SERVICES LLC

A HELPING HAND SENIOR CARE SERVICES LLC

5915 CHICAGO AVENUE

705 EAST LAKE STREET

1717 THOMAS AVENUE NORTH

226 COLFAX AVENUE NORTH #102

611 MONROE STREET NE

2609 15TH AVENUE SOUTH

1800 2ND STREET NE

2527 14TH AVENUE SOUTH

2527 14TH AVENUE SOUTH

2446 15TH AVENUE SOUTH

MINNEAPOLIS, MN 55417

MINNEAPOLIS, MN 55407

MINNEAPOLIS, MN 55411

MINNEAPOLIS, MN 55405

MINNEAPOLIS, MN 55113

MINNEAPOLIS, MN 55407

MINNEAPOLIS, MN 55418

MINNEAPOLIS, MN 55404

MINNEAPOLIS, MN 55404

MINNEAPOLIS, MN 55404

612/824-1177

612/824-1177

612/688-7600

612/770-4177

612/584-4163

612/750-5968

612/789-1236

612/255-3110

612/255-3110

612/255-3110

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Lim-Liab

Lim-Liab

NProf

Lim-Liab

Lim-Liab

Lim-Liab

COMP

COMP

TCOMP

COMP

Out St Out Ot

(34328)

(29190)

(37101)

(29156)

(37301)

(35822)

(02476)

(32956)

(33206)

(33208)

FAX: 612/824-1177

FAX: 612/824-1177

FAX: 612/429-5742

FAX: 612/454-2664

FAX: 952/303-4664

FAX: 612/871-2161

FAX: 612/706-5555

FAX: 612/255-3115

FAX: 612/255-3115

FAX: 612/255-3115

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ROBIN STEPNEY

ROBIN STEPNEY

SAMSAM MOHAMED

TERRI LYNAS

DARSHAE UNDERWOOD

FARDOWSA MOHAMED

ERICKA DICKERSON

FATIMA MOHAMUD

FATIMA MOHAMUD

JAMA MOHAMOD

---------------------------********** --------------------------(Cont.)*

HWS-O

HWSAL-O

HWS-O

HWSAL

HWSAL

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244

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

ABBOTT NORTHWESTERN HOSPITAL

ABIITAN MILL CITY

ABIITAN MILL CITY

ABSOLUTE HOMES INC

ABSOLUTE HOMES INC

ACCENTCARE FAIRVIEW HOME HEALTH - WEST, LLC

ACCENTCARE FAIRVIEW HOSPICE - WEST, LLC

ACCORD

ADEG GROUP HOME LLC

ADEG GROUP HOME LLC

800 EAST 28TH STREET

428 SOUTH 2ND STREET

428 SOUTH 2ND STREET

3045 CENTRAL AVENUE NE

3045 CENTRAL AVENUE NORTH EAST

2450 26TH AVENUE SOUTH

2450 26TH AVENUE SOUTH

1600 BROADWAY STREET NE STE 1

3229 2ND AVENUE SOUTH

3229 2ND AVENUE SOUTH

MINNEAPOLIS, MN 55407

MINNEAPOLIS, MN 55401

MINNEAPOLIS, MN 55401

MINNEAPOLIS, MN 55418

MINNEAPOLIS, MN 55418

MINNEAPOLIS, MN 55406

MINNEAPOLIS, MN 55406

MINNEAPOLIS, MN 55413

MINNEAPOLIS, MN 55408

MINNEAPOLIS, MN 55408

612/863-4000

612/378-0020

612/378-0020

612/229-9512

612/229-9512

612/721-2491

612/721-2491

612/362-4434

612/644-4444

612/756-5533

NProf

NProf

NProf

Corp

Corp

NProf

Lim-Liab

NProf

Lim-Liab

Lim-Liab

HOSP-972 BASS-44

COMP

TCOMP

COMP

Hospice

COMP

TCOMP

HOSP-933 PPS-R-39

HHA

HSPICE

HHA

(00242)

(32656)

(32750)

(35666)

(36793)

(02187)

(02466)

(02783)

(34873)

(36944)

FAX: 612/863-5667

FAX: 612/378-0021

FAX: 612/378-0021

FAX: /-

FAX: /-

FAX: 612/728-2400

FAX: 612/728-2400

FAX: 612/547-0556

FAX: /-

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ANN MADDEN RICE

MEGAN LEITH

MEGAN LEITH

MOHAMUD HAILLE

MOHAMUD HAILLE

MECCA TRUEBLOOD

MECCA TRUEBLOOD

AUBREY MARTINEZ

AHMED BILE

AHMED BILE

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL-O

HWS-O

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245

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

ADNA K HOME HEALTH INC

ADVANCE GROUP HOME INC

ADVANCED ONE CARE CENTER

AEON

AGAPE HOME CARE PROVIDER

AHRAN CARE

AHRAN CARE LLC

ALL HOME CARE LLC

ALLIANCE GROUP HOME LLC

ALLIANCE GROUP HOME LLC

1601 SOUTH 4TH STREET #F406

9118 BLAISDELL AVENUE SOUTH

4618 CLINTON AVENUE SOUTH

1822 PARK AVENUE

2327 EAST FRANKLIN AVENUE #3

724 20TH AVENUE SOUTH

724 20TH AVENUE SOUTH

2525 EAST FRANKLIN AVENUE #280

20 2ND STREET NE

2205 MARSHALL STREET NE

MINNEAPOLIS, MN 55454

MINNEAPOLIS, MN 55420

MINNEAPOLIS, MN 55419

MINNEAPOLIS, MN 55404

MINNEAPOLIS, MN 55406

MINNEAPOLIS, MN 55454

MINNEAPOLIS, MN 55454

MINNEAPOLIS, MN 55406

MINNEAPOLIS, MN 55413

MINNEAPOLIS, MN 55418

612/442-2549

615/710-3715

612/703-0264

612/871-5800

612/384-6513

612/636-9728

612/636-7928

763/291-4056

612/281-0077

612/281-0077

Corp

Corp

Corp

NProf

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

TCOMP

TCOMP

TCOMP

TCOMP

(35615)

(36624)

(35674)

(25520)

(31374)

(35887)

(35616)

(35765)

(35301)

(36470)

FAX: /-

FAX: /-

FAX: 952/426-0491

FAX: 612/872-6815

FAX: /-

FAX: 612/605-0048

FAX: 612/605-0048

FAX: /-

FAX: /-

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

SAFIYA ALI

SHAFEE AHMED

ZAINAB MOHAMED ABDI

ALAN ARTHUR

KIDIST GEMTA

DEQA ADAN

DEQA ADAN

ABDIRISAK HASSAN

AYAN PIERRE CHARLES

AYAN PIERRECHARLES

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWSAL

HWS-O

Home Mgmt

HWSAL

HWSAL-O

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246

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

ALPHA ASSISTED LIVING INC

AMA GROUP HOME

AMA GROUP HOME INC

AMAL HOME HEALTH CARE INC

AMERICAN HOME HEALTH SERVICES INC

AMERICAN INDIAN COMMUNITY DEVELOPMENT CORPORATION

AMERICAN INDIAN COMMUNITY DEVELOPMENT CORPORATION-DETOX

AMRAN HOME HEALTH CARE LLC

AMRAN HOME HEALTH CARE LLC

2653 14TH AVENUE SOUTH

2607 LONG FELLOW AVENUE SOUTH

2607 LONGFELLOW AVENUE SOUTH

1808 RIVERSIDE AVENUE #205

2923 OAKLAND AVENUE SOUTH #3

1506 EAST 23RD STREET

1800 CHICAGO AVENUE SOUTH

3228 COLUMBUS AVENUE SOUTH

3228 COLUMBUS AVENUE SOUTH

MINNEAPOLIS, MN 55407

MINNEAPOLIS, MN 55407

MINNEAPOLIS, MN 55407

MINNEAPOLIS, MN 55454

MINNEAPOLIS, MN 55407

MINNEAPOLIS, MN 55404

MINNEAPOLIS, MN 55404

MINNEAPOLIS, MN 55401

MINNEAPOLIS, MN 55407

612/354-3024

612/886-1837

612/599-9161

612/221-1986

763/300-4586

612/813-1610

612/879-3646

612/296-7125

612/296-7125

Corp

Corp

Corp

Corp

Corp

NProf

NProf

Lim-Liab

Lim-Liab

COMP

COMP

TCOMP

SLFB-64

TCOMP

(35131)

(34868)

(35373)

(31934)

(35834)

(33995)

(01668)

(34673)

(36732)

FAX: 612/208-0902

FAX: 612/886-1846

FAX: /-

FAX: 612/332-2347

FAX: 612/249-6469

FAX: 612/813-1612

FAX: 612/879-3604

FAX: /-

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

MUSE MOHOMUD

SAMSAM MOHAMED

SAMSAM MOHAMED

AMAL H ILHAM HUSSEIN

SAFIYA GULED

ARLENE RAYMOND

TODD JOHNSTON

NIMO YUSUF

NIMO YUSUF

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWS-O

HWS-O

HWSAL-O

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247

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Directory of Facilities and Services

Page

Registration

HENNEPIN

ANDREW RESIDENCE

ANGELS ASSISTED LIVING INC

ANGELS ASSISTED LIVING INC

ARMS HOME HEALTHCARE

ASI 28TH STREET

ASI CAMDEN HOUSE

AUGUSTANA APARTMENTS OF MINNEAPOLIS

AUGUSTANA APARTMENTS OF MINNEAPOLIS

AUGUSTANA APARTMENTS OF MPLS

AUGUSTANA APARTMENTS OFMPLS

1215 SOUTH 9TH STREET

1802 EAST 26TH STREET

1802 EAST 26TH STREET

1904 EAST 26TH STREET

2749 11TH AVENUE SOUTH

500 49TH AVENUE NORTH

1510 11TH AVENUE SOUTH

1020 EAST 17TH STREET

1509 10TH AVENUE SOUTH

1425 10TH AVENUE SOUTH

MINNEAPOLIS, MN 55404

MINNEAPOLIS, MN 55404

MINNEAPOLIS, MN 55404

MINNEAPOLIS, MN 55404

MINNEAPOLIS, MN 55407

MINNEAPOLIS, MN 55430

MINNEAPOLIS, MN 55404

MINNEAPOLIS, MN 55404

MINNEAPOLIS, MN 55404

MINNEAPOLIS, MN 55404

612/333-0111

612/886-3455

612/886-3455

763/528-1706

651/645-7271

651/645-7271

612/238-5260

612/238-5260

612/238-5260

612/238-5260

Corp

Corp

Corp

Lim-Liab

NProf

NProf

NProf

NProf

NProf

NProf

BCH-212

COMP

NF2-212

(00993)

(33745)

(35319)

(36756)

(25492)

(25491)

(20027)

(30131)

(30133)

(30132)

FAX: 612/338-1734

FAX: 612/979-2665

FAX: 612/979-2665

FAX: 651/900-7787

FAX: 651/645-0541

FAX: 651/645-0541

FAX: 612/343-8974

FAX: 612/343-8974

FAX: 612/343-8974

FAX: 612/343-8974

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

KAREN FOY

AHMED GEDI

AHMED GEDI

ABDULLAHI ABDI

STEPHEN VANDER SCHAAF

STEPHEN VANDER SCHAAF

KELLY RICE

KELLY RICE

KELLY RICE

KELLY RICE

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWSAL-O

HWSAL-O

HWSAL-O

HWSAL

HWSAL

HWSAL

HWSAL

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248

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

AUGUSTANA HOME HEALTH SERVICES

AUGUSTANA RESIDENTIAL CARE

BATALO HOME HEALTH CARE, LLC

BAYDA GROUP HOME INC

BAYDA GROUP HOME INC

BAYWOOD HOME CARE

BEAUTIFUL HEARTS LLC

BEAUTIFUL HEARTS LLC

BENEDICTINE HEALTH CENTER OF MINNEAPOLIS

BEST CARE HOME HEALTH, INC.

901 4TH AVENUE NORTH

1007 EAST 14TH STREET

8 EAST 27TH STREET

1218 EAST 26TH STREET

1218 EAST 26TH STREET

6465 WAYZATA BLVD STE 150

3537 3RD AVENUE SOUTH

3537 3RD AVENUE SOUTH

618 EAST 17TH STREET

3008 UNIVERSITY AVENUE SE

MINNEAPOLIS, MN 55405

MINNEAPOLIS, MN 55404

MINNEAPOLIS, MN 55408

MINNEAPOLIS, MN 55404

MINNEAPOLIS, MN 55404

MINNEAPOLIS, MN 55426

MINNEAPOLIS, MN 55408

MINNEAPOLIS, MN 55408

MINNEAPOLIS, MN 55404

MINNEAPOLIS, MN 55414

612/843-0090

612/238-5126

612/345-4369

612/644-3444

612/644-3444

763/546-8899

612/245-0436

612/245-0436

612/879-2800

612/378-1040

NProf

Lim-Liab

Lim-Liab

Corp

Corp

Corp

Lim-Liab

Lim-Liab

NProf

Corp

COMP

COMP

COMP

TCOMP

COMP

COMP

NH-95

COMP

SNF-NF-95

HHA

(03383)

(25859)

(29648)

(35944)

(36424)

(20973)

(33001)

(33535)

(00960)

(02802)

FAX: 612/377-3098

FAX: 612/238-5991

FAX: 612/345-4393

FAX: /-

FAX: /-

FAX: 763/595-0465

FAX: 612/345-7639

FAX: 612/345-7639

FAX: 612/879-2864

FAX: 612/378-2850

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

MARY JO THORNE

MARY JO THORNE

MOHAMED MOHAMED

ZAMZAM SAID

ZAMZAM SAID

DOROTHY MUFFETT CARE

NAJIB ISSE

JAMA ALI

STEPHEN JOBE

NAZNEEN KHATOON

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWS-O

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249

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Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

BEST CHOICE HOME CARE LLC

BEST CHOICE HOME CARE LLC

BEST HOME HEALTH CARE SERVICE

BEST HOME HEALTH CARE SERVICES

BETTER CARE SERVICES LLC

BETTER CARE SERVICES, LLC

BIG HEARTS HOME CARE INC

BILL KELLY HOUSE

BIRCHWOOD CARE HOME

BRIDGES MN

821 20TH AVENUE NE

821 20TH AVENUE NE

6044 CLINTON AVENUE SOUTH

6044 CLINTON AVENUE SOUTH

3720 28TH AVENUE SOUTH

3720 28TH AVENUE SOUTH

1130 14TH AVENUE SE

3104 EAST 58TH STREET

715 WEST 31ST STREET

3101 ALDRICH AVENUE SOUTH

MINNEAPOLIS, MN 55418

MINNEAPOLIS, MN 55418

MINNEAPOLIS, MN 55419

MINNEAPOLIS, MN 55419

MINNEAPOLIS, MN 55406

MINNEAPOLIS, MN 55406

MINNEAPOLIS, MN 55414

MINNEAPOLIS, MN 55417

MINNEAPOLIS, MN 55408

MINNEAPOLIS, MN 55408

612/701-5965

612/404-1005

612/990-9616

612/990-9616

612/701-3294

612/701-3294

651/494-7653

612/726-1502

612/823-7286

612/825-4488

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Corp

Corp

Lim-Liab

COMP

TCOMP

COMP

SLFA-16

BCH-60

BCH-25

NF2-60

(34713)

(33530)

(35177)

(35749)

(34257)

(34354)

(35604)

(01507)

(00168)

(00159)

FAX: 612/315-3254

FAX: 612/353-5186

FAX: /-

FAX: 612/465-6154

FAX: 612/208-0916

FAX: 612/208-0916

FAX: /-

FAX: 612/726-1009

FAX: 612/823-0518

FAX: 612/825-4489

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ALIA NAMUS

ALIA NAMUS

AYNABABA ABEBE

AYNABABA ABEBE

ESSA HASSAN

ESSA HASSAN

AHMED FARAH

HUGH AYLWARD

RANDAL HAGEMEYER

PAUL GANS

---------------------------********** --------------------------(Cont.)*

HWS-O

HWS-O

HWS-O

HWSAL-O

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250

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Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

BROOKLYN PARK ASSISTED LIVING

BROOKLYN PARK ASSISTED LIVING

BROOKLYN PARK ASSISTED LIVING

BROOKLYN PARK ASSISTED LIVING

BRYANT SQUARE HOME HEALTH CARE

BYWOOD EAST HEALTH CARE

CA LIVING LLC

CAPITAL HOME HEALTH CARE, LLC

CARE SERVICES LLC

CAREGIVER SUPPORT PROGRAM AT KOREAN SERVICE CENTER

7719 HUMBOLDT AVENUE NORTH

7731 HUMBOLST AVENUE NORTH

7723 HUMBOLDT AVENUE NORTH

7727 HUMBOLDT AVENUE NORTH

3115 ALDRICH AVENUE SOUTH

3427 CENTRAL AVENUE NE

5655 RHODE ISLAND AVENUE

34 13TH AVENUE NE #B004

5841 PLEASANT AVENUE

630 CEDAR AVENUE SOUTH #B1

MINNEAPOLIS, MN 55444

MINNEAPOLIS, MN 55444

MINNEAPOLIS, MN 55444

MINNEAPOLIS, MN 55444

MINNEAPOLIS, MN 55408

MINNEAPOLIS, MN 55418

MINNEAPOLIS, MN 55428

MINNEAPOLIS, MN 55413

MINNEAPOLIS, MN 55419

MINNEAPOLIS, MN 55454

763/208-9747

763/208-9747

763/208-9747

763/208-9777

612/823-7286

612/788-9757

/-

612/886-7411

612/703-9358

612/342-1345

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Corp

Lim-Liab

Lim-Liab

Lim-Liab

NProf

COMP

BCH-95

COMP

NF2-95

(35142)

(35140)

(35141)

(35139)

(26429)

(00176)

(35227)

(28840)

(35652)

(23329)

FAX: 651/432-9856

FAX: 763/432-9856

FAX: 763/432-9856

FAX: 763/452-9856

FAX: 612/823-0518

FAX: 612/789-6564

FAX: /-

FAX: 612/315-5918

FAX: 612/930-0162

FAX: 612/342-1341

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JAMES FAGER

MIKE FAGER

JAMES FAGER

JAMES FAGER

JENNY STINAR

JASON HAGEMEYER

NET SENG

SADIK BASHIR

NAIMO ABDISALAM

KWANGJA KWON

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWSAL-O

HWSAL-O

HWSAL-O

HWSAL-O

HWSAL-O

Home Mgmt

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251

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Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

CAREMARK HOME HEALTH CARE LLC

CARESERVICES LLC

CAREXTRA HOME HEALTH

CARING GROUP HOME LLC

CARING HEART HOME HEALTHCARE LLC

CARING HEARTS HOME CARE INC

CARING HEARTS HOME CARE INC

CARING HOME HEALTH INC

CARING HOME HEALTH INC

CATHOLIC ELDERCARE AT HOME

2400 BLAISDELL AVENUE S #201

5841 PLEASANT AVENUE SOUTH

310 EAST 38TH STREET #215

1318 EMERSON AVENUE NORTH

1200 WEST BROADWAY AVENUE #130

2916 BLOOMINGTON AVENUE

2916 BLOOMINGTON AVENUE

2536 28TH AVENUE SOUTH

2536 28TH AVENUE SOUTH

817 NE MAIN STREET

MINNEAPOLIS, MN 55404

MINNEAPOLIS, MN 55419

MINNEAPOLIS, MN 55409

MINNEAPOLIS, MN 55411

MINNEAPOLIS, MN 55411

MINNEAPOLIS, MN 55407

MINNEAPOLIS, MN 55407

MINNEAPOLIS, MN 55406

MINNEAPOLIS, MN 55406

MINNEAPOLIS, MN 55413

612/399-9987

612/703-9358

612/987-3927

952/649-8836

612/298-8037

612/404-1005

612/404-1005

612/254-4949

612/254-4949

612/605-2513

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Corp

Lim-Liab

Corp

NProf

TCOMP HCBS

COMP HCBS

TCOMP

COMP

TCOMP

TCOMP

COMP

(36027)

(34743)

(35082)

(37107)

(33707)

(35295)

(36157)

(34869)

(35607)

(21005)

FAX: 952/487-4284

FAX: /-

FAX: 612/200-8945

FAX: /-

FAX: 952/303-4664

FAX: /-

FAX: /-

FAX: /-

FAX: 612/293-8592

FAX: 612/605-2504

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

IDRIS ABDI

NAIMO ABDISALAM

IDIL MOHAMED

NASARA ZUBEIR

DARSHAE UNDERWOOD

ABDIRIZAK MOHAMED

ALLA NAMUS

AYUB SHARIF

CARING AYUB SHARIF

OKSANA KARPENKO

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWSAL-O

HWSAL-O

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Minnesota Department of HealthHealth Regulation Division

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Page

Registration

HENNEPIN

CATHOLIC ELDERCARE ON MAIN

CATHOLIC ELDERCARE-MAIN STREET LODGE

CC GROUP HOME CARE INC.

CENTER CARE INC

CENTER CARE INC

CENTER LIGHT CARE LLC

CENTER LIGHT CARE LLC

CHERIE AUGSPURGER LLC

CHILDREN'S HOME CARE AND HOSPICE

CHILDREN'S HOME CARE AND HOSPICE

817 MAIN STREET NE

909 MAIN ST NE

3633 COLUMBUS AVENUE

3601 PORTLAND AVENUE

3601 PORTLAND AVENUE

2511 4TH STREET NORTH

2511 4TH STREET NORTH

404 LUVERNE AVENUE SOUTH

2525 CHICAGO AVENUE SOUTH

2525 CHICAGO AVENUE SOUTH

MINNEAPOLIS, MN 55413

MINNEAPOLIS, MN 55413

MINNEAPOLIS, MN 55407

MINNEAPOLIS, MN 55407

MINNEAPOLIS, MN 55407

MINNEAPOLIS, MN 55411

MINNEAPOLIS, MN 55411

MINNEAPOLIS, MN 55419

MINNEAPOLIS, MN 55404

MINNEAPOLIS, MN 55404

612/379-1370

612/362-2450

612/387-3039

612/986-3354

612/986-3354

612/708-1090

612/423-0012

612/203-5518

612/813-6246

612/813-6000

NProf

NProf

Corp

Corp

Corp

Lim-Liab

Lim-Liab

Lim-Liab

NProf

NProf

NH-174

TCOMP

TCOMP

BASIC

Hospice

COMP

SNF-NF-174

HHA

(00984)

(20105)

(37076)

(35736)

(35962)

(34842)

(35081)

(31032)

(03189)

(02142)

FAX: 612/362-2486

FAX: 612/362-2449

FAX: /-

FAX: 320/217-2285

FAX: 320/217-2285

FAX: /-

FAX: /-

FAX: /-

FAX: 612/813-6358

FAX: 612/813-6807

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

MARIE BARTA

STEPHANIE CAPELLE

FOWSIYA HASSAN

ABDI MAHAMED

PRESID ABDI MAHAMED

NASRA AMIN

NASRA AMIN

CHERIE AUGSPURGER

MARC GORELICK

MARIA CHRISTU

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL-O

HWSAL

HWS-O

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253

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Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

CHILDREN'S HOSPITAL & CLINICS OF MINNESOTA

CHILDRENS HOSPITAL OF MINNESOTA ORGAN TRANSPLANT

CIRCLE OF LIFE HOME CARE ANISHINAABE

CLARE APARTMENTS

CLARE HOUSING

CLARE MIDTOWN

COMFORT CARE ASSISTED LIVING

COMFORT CARE ASSISTED LVNG LLC

COMFORT CARE CENTER LLC

COMFORT CARE HOMES

2525 CHICAGO AVENUE SOUTH

2525 CHICAGO AVENUE SOUTH

1433 FRANKLIN AVENUE EAST #16

929 CENTRAL AVENUE NE

929 CENTRAL AVENUE NE

3105 23RD AVENUE SOUTH #318

414 EAST 26TH STREET

414 EAST 26TH STREET

2215 BLAISDELL AVENUE S #207

2521 12TH AVENUE SOUTH

MINNEAPOLIS, MN 55404

MINNEAPOLIS, MN 55404

MINNEAPOLIS, MN 55404

MINNEAPOLIS, MN 55413

MINNEAPOLIS, MN 55413

MINNEAPOLIS, MN 55407

MINNEAPOLIS, MN 55404

MINNEAPOLIS, MN 55404

MINNEAPOLIS, MN 55404

MINNEAPOLIS, MN 55404

612/813-6112

612/813-6112

612/871-2474

612/236-9521

612/236-9514

612/236-9515

952/652-7424

952/652-7424

612/703-4183

612/644-6640

NProf

NProf

Lim-Liab

Part

NProf

Part

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

HOSP-279 BASS-196

HOSP-279 BASS-196

COMP

TCOMP

TCOMP

HOSP-279

HOSP-279

(00741)

(00741)

(27760)

(23957)

(23905)

(27720)

(35884)

(34997)

(35114)

(33632)

FAX: 612/813-6807

FAX: 612/813-6807

FAX: 612/870-3874

FAX: 612/236-9520

FAX: 612/236-9520

FAX: 612/236-9515

FAX: 763/201-7902

FAX: /-

FAX: /-

FAX: 612/208-1911

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

MARK GORELICK

MARK GORELICK

ROBERT YAGER

CHUCK PETERSON

MEGAN WILLIAMS

CHUCK PETERSON

BISHARO AHMED ABDI

BISHARO AHMED ABDI

MEOLODY CLINE

FATUMO ABDI

---------------------------********** --------------------------(Cont.)*

Home Mgmt

HWSAL-O

HWSAL-O

HWSAL-O

HWSAL-O

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254

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Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

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HENNEPIN

COMFORT CARE HOMES

COMFORT CARE HOMES LLC

COMFORT LIVING

COMFORT LIVING INC

COMMUNITY BOARDING CARE LLC

COMPASSIONATE NURSES NETWORK

COMPASSIONATE NURSES NETWORK LLC

COSMO HOME HEALTHCARE SERVICES

COSMO HOME HEALTHCARE SERVICES LLC

CURE HOME HEALTH INC

2018 UPTON AVENUE NORTH

2722 PARK AVENUE #210

2504 16TH AVENUE SOUTH

2504 16TH AVENUE SOUTH

2708 CHICAGO AVENUE SOUTH

1419 PENN AVENUE NORTH

1419 PENN AVENUE NORTH

2219 OAKLAND AVENUE SOUTH

3935 5TH AVENUE SOUTH

1509 EAST 22ND STREET

MINNEAPOLIS, MN 55411

MINNEAPOLIS, MN 55407

MINNEAPOLIS, MN 55404

MINNEAPOLIS, MN 55404

MINNEAPOLIS, MN 55407

MINNEAPOLIS, MN 55411

MINNEAPOLIS, MN 55411

MINNEAPOLIS, MN 55404

MINNEAPOLIS, MN 55407

MINNEAPOLIS, MN 55404

612/545-7934

612/978-2108

612/245-0495

612/245-0495

612/245-1507

612/388-7382

612/388-7382

612/314-2045

612/314-2045

612/229-5007

Lim-Liab

Lim-Liab

Corp

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

COMP

TCOMP

COMP

COMP HCBS

(34809)

(32851)

(36298)

(35457)

(31894)

(32949)

(29857)

(32655)

(36196)

(34362)

FAX: 612/486-9109

FAX: 612/486-9109

FAX: 612/930-0422

FAX: 612/930-0422

FAX: 612/605-3278

FAX: 612/465-6495

FAX: 612/465-6495

FAX: 612/314-8022

FAX: 612/314-8022

FAX: 612/353-4341

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

DEKA ABDULLE

DEKA ABDULLE

ABDIRIZAK ADAN

ADIRZAK ADAN

MANAGE MOHAMED BIDARE

SAUNDRA MCKISSIC

SAUNDRA MCKISSIC

ABDIRASHID AHMED

ABDULKADIR SHIRE

FARHIYO HASSAN

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL-O

HWSAL

HWSAL

HWSAL-O

HWSAL-O

Page 292: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

255

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

CURE HOME HEALTH INC

DIAMONDS HOME HEALTH CARE INC

DIAMONDS HOME HEALTHCARE INC

DIVERSITY UNION GROUP HOME LIMITED LIABILITY COMPANY

DOODI'S BEST CARE

DOODI'S BEST CARE INC

DR THOMAS H JOHNSON HWS

DR THOMAS H JOHNSON HWS

DR THOMAS H JOHNSON HWS

DR THOMAS H JOHNSON HWS

2021 EAST HENNEPIN AVENUE #200

2740 MINNEHAHA AVENUE #146

2740 MINNEHAHA AVENUE STE 146

2810 JAMES AVENUE NORTH

5624 36TH AVENUE SOUTH

5624 36TH AVENUE SOUTH

4218 PORTLAND AVENUE SOUTH

5515 PENN AVENUE SOUTH

5543 PENN AVENUE SOUTH

5518 OLIVER AVENUE SOUTH

MINNEAPOLIS, MN 55413

MINNEAPOLIS, MN 55406

MINNEAPOLIS, MN 55406

MINNEAPOLIS, MN 55411

MINNEAPOLIS, MN 55417

MINNEAPOLIS, MN 55417

MINNEAPOLIS, MN 55407

MINNEAPOLIS, MN 55419

MINNEAPOLIS, MN 55419

MINNEAPOLIS, MN 55419

612/236-4577

612/724-4254

612/724-4254

952/201-5354

612/227-0810

612/227-0810

612/285-8743

612/285-8743

612/285-8743

612/285-8743

Corp

Corp

Corp

Lim-Liab

Corp

Corp

Corp

Corp

Corp

Corp

COMP

TCOMP

COMP

(33210)

(27646)

(34563)

(37167)

(35100)

(34839)

(35493)

(21508)

(24377)

(26116)

FAX: 612/605-7131

FAX: 612/722-2186

FAX: /-

FAX: /-

FAX: /-

FAX: /-

FAX: 612/922-9276

FAX: 612/922-9276

FAX: 612/922-9276

FAX: 612/922-9276

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ABDIRASMID SAID

SHUKRI YUSUF

AMINA OSMAN

SAGAL ALI

ABDULKADIR AHMED ELMI

ABDULKADIR ELMI

CHAZ GOYETTE

CHAZ GOYETTE

CHAZ GOYETTE

CHAZ GOYETTE

---------------------------********** --------------------------(Cont.)*

Home Mgmt

HWSAL-O

HWSAL

HWS

HWS

HWS

HWS

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256

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

DR. THOMAS H. JOHNSON HWS

DUALE INC

EAGLE GROUP HOME INC

EAGLE GROUP HOME LLC

EBENEZER CARE CENTER

EDEN HOMES, INC.

EDEN HOMES, INC.

EDEN HOMES, INC.

EDEN RESIDENTIAL PROGRAM

ELEGED HOME CARE INC

2221 WEST 55TH STREET

1518 EAST FRANKLIN AVENUE #312

3414 OAKLAND AVENUE SOUTH

2104 PARK AVENUE STE 102B

2545 PORTLAND AVENUE SOUTH

3714 BRYANT AVENUE NORTH

3714 BRYANT AVENUE NORTH

4201 33RD AVENUE SOUTH

1025 PORTLAND AVENUE SOUTH

2824 OAKLAND AVENUE SOUTH

MINNEAPOLIS, MN 55419

MINNEAPOLIS, MN 55404

MINNEAPOLIS, MN 55407

MINNEAPOLIS, MN 55404

MINNEAPOLIS, MN 55404

MINNEAPOLIS, MN 55412

MINNEAPOLIS, MN 55412

MINNEAPOLIS, MN 55406

MINNEAPOLIS, MN 55404

MINNEAPOLIS, MN 55407

612/285-8743

612/644-8831

612/354-3024

612/644-6127

612/879-2262

612/245-4140

612/245-4140

612/987-7676

612/338-0723

612/800-3105

Corp

Corp

Lim-Liab

Lim-Liab

NProf

Corp

Corp

Corp

NProf

Corp

TCOMP

COMP

NH-34 BCH-85

COMP

SLFA-59

COMP

SNF-NF-34 NF2-85

(23749)

(36113)

(35094)

(33612)

(00191)

(29432)

(29433)

(35557)

(01584)

(34670)

FAX: 612/922-9276

FAX: /-

FAX: 612/208-0902

FAX: 651/333-4897

FAX: 612/879-2316

FAX: /-

FAX: /-

FAX: 612/861-8098

FAX: 612/338-3653

FAX: 612/358-2261

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

CHAZ GOYETTE

ISTAHIL ABDI

KHADIJA ABDIKARIM

KHADIJA ABDIKARIM

ROBERT BRITAIN

RAMON VILLANUEVA

RAMON VILLANUEVA

FIDELA VILLANUEVA

JAMES WYNNE

ABDI ALI

---------------------------********** --------------------------(Cont.)*

HWS

HWSAL-O

HWSAL

HWSAL-O

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257

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

ELEGED HOME CARE INC

ELEGED HOME CARE INC

ELITE CARE GIVER GROUP-HOME

ELITE QUALITY SERVICES LLC

ELITE QUALITY SERVICES LLC

ELITE QUALITY SERVICES LLC

EMPOWERING HOMECARE CORP

EPIC HOMES LLC

ESSENTIAL HEALTH SERVICES LLC

ESTEEM HOME HEALTH SERVICES LLC

2824 OAKLAND AVENUE

2640 POLK STREET NE

1067 12TH AVENUE SE

3555 MAIN STREET NE

3555 MAIN STREET NE

3614 2 1/2 STREET NE

2003 10TH AVENUE SOUTH STE 3

1106 IRVING AVENUE NORTH

2021 EAST HENNEPIN AVE #402-8

6248 LAKELAND AVENUE SUITE 208

MINNEAPOLIS, MN 55407

MINNEAPOLIS, MN 55418

MINNEAPOLIS, MN 55414

MINNEAPOLIS, MN 55418

MINNEAPOLIS, MN 55418

MINNEAPOLIS, MN 55418

MINNEAPOLIS, MN 55404

MINNEAPOLIS, MN 55411

MINNEAPOLIS, MN 55413

MINNEAPOLIS, MN 55428

612/800-3105

612/315-4497

612/735-4181

952/465-1522

952/465-1522

952/465-1522

612/345-7723

612/730-9043

612/385-3625

848/230-1286

Corp

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Lim-Liab

Lim-Liab

Lim-Liab

COMP

COMP

TCOMP

COMP HCBS

TCOMP HCBS

(36008)

(36010)

(37029)

(34823)

(34652)

(36080)

(32343)

(35337)

(32896)

(35241)

FAX: 612/358-2261

FAX: 612/435-2770

FAX: /-

FAX: /-

FAX: 612/345-7720

FAX: 612/345-7720

FAX: 612/886-2955

FAX: /-

FAX: /-

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

DIRECT ABDI ALI

ABDI ALI

IBSA SUFIYAN

MUNA MOHAMED JAMA

MUNA JAMA

MUNA JAMA

FARHIYA JAMA

FLORENCE SIMMS

ANISA ESSE

EMMANUEL WHEAGAR

---------------------------********** --------------------------(Cont.)*

HWS

HWS-O

HWSAL-O

HWSAL

HWSAL

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258

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

ESTHERRA CARE LLC

ESTHERRA CARE LLC

EVERYDAY LIVING LLC

EVERYDAY LIVING LLC

EXCELSIOR PLACE

FAIRVIEW - UNIVERSITY MEDICAL CENTER

FAIRVIEW HOME INFUSION

FAIRVIEW UNIVERSITY TRANSITIONAL SERVICES

FALCON HOME HEALTH CARE LLC

FAMILY CARE SERVICES, INC.

1120 MORGAN AVENUE NORTH

5018 NORTH 4TH ST.

2905 35TH AVENUE SOUTH

2907 35TH AVENUE SOUTH

4140 DIGHT AVENUE

2450 RIVERSIDE AVENUE SOUTH

711 B KASOTA AVENUE

2450 RIVERSIDE AVENUE SOUTH

1031 27TH AVENUE SE

2500 MINNEHAHA AVENUE SOUTH

MINNEAPOLIS, MN 55411

MINNEAPOLIS, MN 55430

MINNEAPOLIS, MN 55406

MINNEAPOLIS, MN 55406

MINNEAPOLIS, MN 55406

MINNEAPOLIS, MN 55454

MINNEAPOLIS, MN 55414

MINNEAPOLIS, MN 55454

MINNEAPOLIS, MN 55414

MINNEAPOLIS, MN 55404

952/688-7164

952/688-7164

651/688-7173

651/688-7173

320/247-6051

612/624-1765

612/672-2233

612/273-4197

651/500-4752

612/340-0733

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

NProf

Lim-Liab

NProf

Lim-Liab

Corp

COMP

HOSP-1700 BASS-168

COMP

NH-22

COMP

HOSP-1489 PPS-P-181 PPS-R-30

SNF-NF-22

HHA

(36717)

(36951)

(31762)

(31763)

(22195)

(00200)

(21388)

(00259)

(37080)

(21182)

FAX: 763/210-5394

FAX: 763/210-5394

FAX: 651/688-0525

FAX: 651/688-0525

FAX: 320/587-0053

FAX: 612/273-4054

FAX: 612/672-2234

FAX: 612/273-4415

FAX: /-

FAX: 612/340-0032

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ESTHER WAKO

ESTHER DAKO

JEFF JOHNSON

JEFF JOHNSON

JACOB WORK

MANDY SEYMOUR

SARAH BROWN

JOSEPH GILMORE

ABDIRAZAQ ABDULLE

SALLY KNUTSON

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWSAL-O

HWS-O

HWS-O

HWSAL-O

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259

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

FIRST CHOICE HOME CARE INC

FIRST CHOICE RESIDENTIAL CARE INC

FMCNA SOUTH MINNEAPOLIS DIALYSIS CENTER

FRIENDSHIP HOUSE

GATEWAY HOMECARE SERVICES

GIIR HOME LLC

GLORY HOME HEALTH INC

GOLDEN CARE LLC

GOLDEN CARE LLC

GOLDEN NEST, LLC

2104 PARK AVENUE SOUTH

419 CEDAR AVENUE SOUTH #33

4310 NICOLLET AVENUE SOUTH

2401 1ST AVENUE SOUTH

912 EAST 24TH STREET #B207

2203 JAMES AVENUE NORTH

1913 BROADWAY STREET NE #100

1127 HUMBOLDT AVENUE NORTH #1

1127 HUMBOLDT AVENUE NORTH #1

1918 19TH AVENUE NE

MINNEAPOLIS, MN 55404

MINNEAPOLIS, MN 55454

MINNEAPOLIS, MN 55409

MINNEAPOLIS, MN 55404

MINNEAPOLIS, MN 55404

MINNEAPOLIS, MN 55411

MINNEAPOLIS, MN 55413

MINNEAPOLIS, MN 55411

MINNEAPOLIS, MN 55411

MINNEAPOLIS, MN 55418

612/353-4905

763/227-1575

612/822-4411

651/209-8490

612/871-1109

952/220-9258

612/354-7791

612/806-5824

612/806-5824

651/755-2836

Corp

Corp

Corp

Lim-Liab

Corp

Lim-Liab

Corp

Lim-Liab

Lim-Liab

Lim-Liab

COMP HCBS

COMP

BASIC HCBS

COMP

COMP

COMP

ESRD

(03253)

(34612)

(03801)

(23129)

(26807)

(36645)

(33176)

(34697)

(35500)

(23665)

FAX: 612/315-5869

FAX: /-

FAX: 612/872-7770

FAX: 651/209-8499

FAX: 612/874-3206

FAX: /-

FAX: 612/886-2567

FAX: 612/256-4330

FAX: 612/824-1836

FAX: 612/254-6346

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

NAJAH BARKHADLE

ABDISATAR AHMED

FEDERICO SERRANO

JOE CUOCO

AHMED ALI

MUSTAFA AHMED

NASRO MOHAMED

MOHAMED ABU

ABDIWAHAB AFTIN

HONGJOO LEE

---------------------------********** --------------------------(Cont.)*

HWS-O

HWSAL-O

HWS

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260

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

GOLDEN NEST, LLC

GRACE GROUP HOME LLC

GRACE GROUP HOME LLC

GRACE HAND GROUP HOME LLC

GRACE HAND GROUP HOME LLC

GRACE HOSPICE

GRACE MANOR

GRACE PLACE

GRACE PLACE ASSISTED LIVING

GRAND AVENUE REST HOME

1918 19TH AVENUE NE

3538 FREMONT AVENUE NORTH

3538 FREMONT AVENUE NORTH

1523 GIRARD AVENUE NORTH

1523 GIRARD AVENUE NORTH

1015 4TH AVENUE NORTH #206

1507 LOWRY AVENUE NE

630 CEDAR AVENUE SOUTH #B-1

630 CEDAR AVENUE SOUTH #B-1

3956 GRAND AVENUE SOUTH

MINNEAPOLIS, MN 55418

MINNEAPOLIS, MN 55412

MINNEAPOLIS, MN 55412

MINNEAPOLIS, MN 55411

MINNEAPOLIS, MN 55411

MINNEAPOLIS, MN 55405

MINNEAPOLIS, MN 55418

MINNEAPOLIS, MN 55454

MINNEAPOLIS, MN 55454

MINNEAPOLIS, MN 55409

651/755-2836

612/598-9923

612/598-9923

612/986-3923

612/203-7301

612/238-0034

612/373-3366

612/342-1345

612/342-1358

612/750-4033

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

NProf

NProf

NProf

HRA

Corp

COMP

TCOMP

Hospice

BCH-53

COMP

BCH-20

HSPICE

NF2-20

(27473)

(34790)

(35191)

(35112)

(35307)

(30185)

(00272)

(03860)

(24891)

(00208)

FAX: 612/254-6346

FAX: /-

FAX: /-

FAX: /-

FAX: 612/203-7301

FAX: 612/800-5499

FAX: 612/333-4111

FAX: 612/342-1341

FAX: 612/342-1337

FAX: 612/824-2219

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

HONGJOO LEE

ASIA ALI

ASIA AHMED ALI

HASSAN HAYDAR

OWNER/ HASSAN HAYDAR

SARAH VANWINKLE

ERIC VAGLE

KWANGJA KWON

MARY BOLER

ALLEN SODERBECK

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL-O

HWSAL-O

HWSAL

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261

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

GRANDMA'S HELPER LLC

GRANDMA'S HELPER LLC

GRANDMA'S PLACE INC

GREENWAY SURGICAL SUITES

HAPPY END HOMES, INC

HARMONY HEALTH SERVICES LLC

HARMONY HEALTH SERVICES, LLC

HARMONY HEALTH SERVICES, LLC

HARMONY HOUSE

HAWTHORNE ECOVILLAGE APARTMENTS

5616 43RD AVENUE SOUTH

5616 43RD AVENUE SOUTH

1900 VINCENT AVENUE NORTH

2020 EAST 28TH STREET #100

2701 13TH AVENUE

317 26TH AVENUE NORTH

317 26TH AVENUE NORTH

2627 NORTH 3RD STREET

109 EAST 24TH STREET

617 LOWRY AVENUE NORTH

MINNEAPOLIS, MN 55417

MINNEAPOLIS, MN 55417

MINNEAPOLIS, MN 55411

MINNEAPOLIS, MN 55407

MINNEAPOLIS, MN 55407

MINNEAPOLIS, MN 55411

MINNEAPOLIS, MN 55411

MINNEAPOLIS, MN 55411

MINNEAPOLIS, MN 55404

MINNEAPOLIS, MN 55411

763/339-8493

763/339-8493

763/560-2500

612/728-7000

612/707-7715

214/436-1801

612/200-8070

612/200-8070

651/209-8490

612/843-3340

Lim-Liab

Lim-Liab

Corp

Lim-Liab

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

NProf

BASIC

Outpt Surg

COMP

Amb Surg

(32931)

(32932)

(33434)

(28356)

(37226)

(34368)

(35009)

(36542)

(23128)

(33565)

FAX: /-

FAX: /-

FAX: 763/331-9951

FAX: 612/728-2660

FAX: 507/206-6658

FAX: 612/521-4445

FAX: /-

FAX: 612/521-4445

FAX: 651/209-8499

FAX: 763/208-7885

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

LEAH ROBERTS

LEAH ROBERTS

BRYAN HENDRICKSON

AMISTYENE BRINCEFIELD

ALI SALAH

OMIDIRAN OMISAKIN

OMIDIRAN OMISAKIN

OMIDIRAN OMISAKIN

JOE CUOCO

MICHELLE WINCELL O'LEARY

---------------------------********** --------------------------(Cont.)*

Home Mgmt

HWS-O

HWS-O

HWSAL

HWSAL-O

HWS-O

HWS-O

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262

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

HCMC CRISIS RESIDENCE

HEALING HOME SERVICES LLC

HEALING HOME SERVICES, LLC

HEALTHGUARD PARTNERS INC

HEALTHGUARD PARTNERS, INC.

HEAVEN HOMES INC

HELIOPOLIS HOME HEALTHCARE LLC

HENNEPIN COUNTY MEDICAL CENTER

HENNEPIN HEALTHCARE HOSPICE

HERITAGE COMMONS

3633 CHICAGO AVENUE SOUTH

1073 26TH AVENUE SE

1073 26TH AVENUE SOUTH EAST

1113 25TH AVENUE NORTH

1113 EAST FRANKLIN AVENUE #205

1139 15TH AVENUE SE

1610 EAST 26TH STREET

701 PARK AVENUE

2000 SUMMER STREET NE #100

350 VAN WHITE MEMORIAL BLVD

MINNEAPOLIS, MN 55407

MINNEAPOLIS, MN 55414

MINNEAPOLIS, MN 55414

MINNEAPOLIS, MN 55411

MINNEAPOLIS, MN 55404

MINNEAPOLIS, MN 55414

MINNEAPOLIS, MN 55404

MINNEAPOLIS, MN 55415

MINNEAPOLIS, MN 55413

MINNEAPOLIS, MN 55405

612/873-6537

651/703-1401

651/703-1401

612/666-4010

612/666-4010

612/404-1005

651/347-5334

612/873-6422

763/531-2424

612/344-2297

Cnty

Lim-Liab

Lim-Liab

Corp

Corp

Corp

Lim-Liab

Cnty

NProf

HRA

SLFB-2 SLFA-14

TCOMP

COMP

HOSP-894 BASS-65

Hospice

HOSP-765 PPS-P-102 PPS-R-27

HSPICE

(32885)

(34863)

(36747)

(35158)

(34694)

(36736)

(34768)

(00211)

(03001)

(24321)

FAX: 612/904-4477

FAX: /-

FAX: /-

FAX: /-

FAX: /-

FAX: /-

FAX: 612/465-5598

FAX: 612/873-1985

FAX: 763/531-2422

FAX: 612/377-6309

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

MEGEN BOYSEN

MAGRAD HUSSEIN

MARGRAD HUSSEIN

MOHAMED OMAR

MOHAMED OMAR

ALIA NAMUS

NURULDIN NUR

JENNIFER DECUBELLIS

JEAN LUKASZEWSKI

MARY BOLER

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWS-O

HWSAL-O

HWSAL-O

HWSAL-O

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263

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

HERITAGE HOME HEALTH CARE LLC

HIAWATHA SUITES SENIOR LIVING

HOLISTIC HOME LLC

HOLISTIC HOME, LLC

HOME DIALYSIS UNIT OF TRC INC

HOPE ASSISTED LIVING LLC

HOPE ASSISTED LIVING LLC

HOPE ASSISTED LIVING LLC

HOPE REST HOMES

HOPE REST HOMES INC

7760 FRANCE AVENUE SOUTH #1100

4140 DIGHT AVENUE SOUTH

4659 BRYANT AVENUE NORTH

4659 BRYANT AVENUE NORTH

825 SOUTH 8TH STREET #1202

1942 WASHBURN AVENUE NORTH

1942 WASHBURN AVENUE NORTH

3410 HUMBOLDT AVENUE NORTH

333 EAST 22ND STREET

333 EAST 22ND STREET

MINNEAPOLIS, MN 55435

MINNEAPOLIS, MN 55406

MINNEAPOLIS, MN 55412

MINNEAPOLIS, MN 55412

MINNEAPOLIS, MN 55404

MINNEAPOLIS, MN 55411

MINNEAPOLIS, MN 55411

MINNEAPOLIS, MN 55412

MINNEAPOLIS, MN 55404

MINNEAPOLIS, MN 55404

651/757-0422

320/247-6051

612/701-0913

612/701-0913

612/347-4458

651/283-9621

651/283-9621

763/208-0901

612/978-7023

612/545-8458

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Corp

BASIC HCBS

TCOMP

COMP

COMP

ESRD

(31828)

(34479)

(35414)

(35174)

(21098)

(34559)

(34708)

(37319)

(33956)

(33412)

FAX: 651/846-5760

FAX: 320/403-1186

FAX: /-

FAX: /-

FAX: 612/341-7944

FAX: /-

FAX: 763/208-1285

FAX: 763/208-1285

FAX: /-

FAX: 612/314-8811

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

LENSA ERENNA

JACOB WORK

UBAH MOHAMED

SAID SALAH

REGINA COPELAND

SAED DALMAR

PRESID SAED DALMAR

SAED DALMER

GAMI NASIR

IBRAHIM MOALIM

---------------------------********** --------------------------(Cont.)*

HWSAL

HWS-O

HWSAL

HWSAL

HWSAL

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264

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

HOPE WELLNESS CENTER INC

HOPE WELLNESS CENTER INC.

IHI THOMAS COURT

IMRAN HEALTHCARE SERVICES LLC

IMRAN HEALTHCARE SERVICES LLC

IMRAN HEALTHCARE SERVICES, LLC

INFINITY HEALTH HOME CARE LLC

INVITING HOMES LLC

INVITING HOMES LLC

JONES - HARRISON RESIDENCE

3119 4TH AVENUE SOUTH

3119 4TH AVENUE SOUTH

4100 THOMAS AVENUE NORTH

3105 BLOOMINGTON AVE S STE C

726 30TH AVENUE NORTH

2010 NORTH 4TH STREET

3313 29TH AVENUE SOUTH

3100 17TH AVENUE SOUTH

3100 17TH AVENUE

3700 CEDAR LAKE AVENUE

MINNEAPOLIS, MN 55408

MINNEAPOLIS, MN 55408

MINNEAPOLIS, MN 55412

MINNEAPOLIS, MN 55407

MINNEAPOLIS, MN 55411

MINNEAPOLIS, MN 55411

MINNEAPOLIS, MN 55406

MINNEAPOLIS, MN 55407

MINNEAPOLIS, MN 55407

MINNEAPOLIS, MN 55416

206/779-7540

206/779-7540

763/999-7799

612/295-1104

612/295-1104

612/295-1104

408/637-0001

612/703-3237

612/703-3237

612/920-2030

Corp

Corp

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

NProf

TCOMP

COMP

TCOMP

NH-130 SNF-NF-130

(34995)

(36235)

(24788)

(34316)

(35946)

(37008)

(36253)

(35967)

(37194)

(00216)

FAX: /-

FAX: /-

FAX: 763/999-7790

FAX: 612/460-9319

FAX: 612/460-9319

FAX: 612/460-9319

FAX: /-

FAX: /-

FAX: /-

FAX: 612/225-1131

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

SAMIA MAHMUD

SAMIA MAHMUD

KHRISTINA LUND

SOPHIA ALI

SOPHIA ALI

SOPHIA ALI

SAMIRA SAID

NAJMA MOHAMED

NAJMA MOHAMED

CHANTAL PETERSON

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWS-O

HWSAL-O

HWSAL-O

HWS

HWSAL-O

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265

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

JONES HARRISON ASSISTED LIVING

JONES HARRISON ASSISTED LIVING

JONES HARRISON RESIDENCE ASSISTED LIVING

JORGENSEN HOUSE

JOY LIVING INC

KIND HEART HOMES INC.

KINDHEART HOMES INC

KINDHEART HOMES INC

KUBRA HOME CARE INC

KUBRA HOME CARE INC

3700 CEDAR LAKE AVENUE

3700 CEDAR LAKE AVENUE

3700 CEDAR LAKE AVENUE

3444 GIRARD AVENUE SOUTH

2530 WASHINGTON STREET NE

2400 CHICAGO AVENUE UNIT #1

4401 NEWTON AVENUE NORTH

2400 CHICAGO AVENUE UNIT #2

2435 15TH AVENUE SOUTH

2435 15TH AVENUE SOUTH

MINNEAPOLIS, MN 55416

MINNEAPOLIS, MN 55416

MINNEAPOLIS, MN 55416

MINNEAPOLIS, MN 55408

MINNEAPOLIS, MN 55418

MINNEAPOLIS, MN 55404

MINNEAPOLIS, MN 55412

MINNEAPOLIS, MN 55404

MINNEAPOLIS, MN 55404

MINNEAPOLIS, MN 55404

612/925-7200

612/925-7170

612/925-7200

612/353-5580

612/607-9109

612/412-6639

612/412-6639

612/412-6639

612/224-4343

612/224-4343

NProf

NProf

NProf

NProf

Corp

Corp

Corp

Corp

Corp

Corp

COMP

COMP

SLFA-6

TCOMP

COMP HCBS

(20654)

(30734)

(20654)

(01535)

(35278)

(36885)

(35597)

(36888)

(32703)

(33122)

FAX: 612/225-1190

FAX: 612/225-1190

FAX: 612/225-1190

FAX: 612/353-5481

FAX: 888/919-4923

FAX: 952/516-5493

FAX: 952/510-5493

FAX: 952/516-5493

FAX: 612/345-4512

FAX: 612/345-4512

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ANGELA WOEHLER

CHANTAL PETERSON

ANGELA WOEHLER

JESSE MILLARD-DERRELL

ABDIRIZAK ISSE

ABDIRAHMAN UGAS

ABDIRAHMAN UGAS

ABDIRAHMAN UGAS

KUBRA KAWSAR JAMA

KAWSAR JAMA

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL-O

HWSAL-O

HWSAL-O

HWSAL-O

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266

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

KUBRA HOME CARE INC

LIBERTY FOSTER HOME CARE LLC

LIFE INSPIRED

LIFE INSPIRED LLC

LINK UP HOME HEALTHCARE

LINK UP HOME HEALTHCARE

LIVING CHALLENGE

LOREN ON PARK

LOWRY TOWERS

LYNDALE MANOR

2437 15TH AVENUE SOUTH

3408 SNELLING AVENUE SOUTH

2727 13TH AVENUE SOUTH

2727 13TH AVENUE SOUTH

5045 WASHBURN AVENUE NORTH

5045 WASHBURN AVENUE NORTH

701 EAST 57TH STREET

2625 PARK AVENUE

315 LOWRY AVENUE NORTH

600 18TH AVENUE NORTH

MINNEAPOLIS, MN 55404

MINNEAPOLIS, MN 55406

MINNEAPOLIS, MN 55407

MINNEAPOLIS, MN 55407

MINNEAPOLIS, MN 55430

MINNEAPOLIS, MN 55430

MINNEAPOLIS, MN 55417

MINNEAPOLIS, MN 55407

MINNEAPOLIS, MN 55411

MINNEAPOLIS, MN 55411

612/224-4343

612/562-3040

612/607-3685

612/990-8210

612/568-5880

612/568-5880

952/922-8466

612/871-4574

612/843-3340

612/344-2292

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

NProf

NProf

HRA

TCOMP

COMP HCBS

SLFA-6

(33123)

(35929)

(35122)

(35032)

(32375)

(34814)

(01527)

(28125)

(31975)

(21515)

FAX: 612/345-4512

FAX: /-

FAX: /-

FAX: /-

FAX: 763/308-3077

FAX: 763/308-3077

FAX: 952/922-8463

FAX: 612/767-2927

FAX: 763/208-7885

FAX: 612/302-7090

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

KAWSAR JAMA

SAID FARAH

DEEKO HASSAN

JAMA ABDULLE

KIWANA ALLBRITTON

VP OF KIWANA ALLBRITTON

MIDE DEMEHIN

JOSEPH GILMORE

MICHELLE WINCELL O'LEARY

MARY BOLER

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWS-O

HWS

HWS

HWSAL

HWS-O

HWSAL-O

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267

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

M I L S HOME HEALTH CARE AGENCY INC

MERCY CAREGIVERS OF MINNESOTA

MERCY LINK, LLC

METRO CARE HUMAN SERVICES

METROPOLITAN SINCERITY HOMECARE CORPORATION

METROPOLITAN SINCERITY HOMECARE LLC

MIDTOWN HOUSING SERVICES LLC

MIDTOWN HOUSING SERVICES, LLC

MIDWEST GROUP HOME LLC

MIDWEST GROUP LIVING INC

2520 BROADWAY STREET NE #205

2942 OLIVER AVENUE NORTH

3149 COLUMBUS AVENUE SOUTH

1214 3RD ST NE

2748 CHICAGO AVENUE SOUTH

2748 CHICAGO AVENUE SOUTH

2830 12TH AVENUE SOUTH

2830 12TH AVENUE SOUTH

1132 SOUTH 8TH STREET #211

3552 1ST AVENUE SOUTH

MINNEAPOLIS, MN 55413

MINNEAPOLIS, MN 55411

MINNEAPOLIS, MN 55407

MINNEAPOLIS, MN 55413

MINNEAPOLIS, MN 55407

MINNEAPOLIS, MN 55407

MINNEAPOLIS, MN 55407

MINNEAPOLIS, MN 55407

MINNEAPOLIS, MN 55404

MINNEAPOLIS, MN 55408

612/379-4027

612/222-1829

952/222-5477

651/348-6211

612/407-0378

612/407-0378

612/226-2949

612/226-2949

612/532-3780

952/457-8882

Corp

Ind

Lim-Liab

Corp

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

COMP

COMP

TCOMP

TCOMP

COMP

HHA

(02993)

(37390)

(34232)

(37036)

(34189)

(34883)

(36134)

(36236)

(35578)

(34672)

FAX: 612/379-3489

FAX: 612/233-0059

FAX: 612/260-2282

FAX: 651/528-7897

FAX: /-

FAX: 612/465-5636

FAX: /-

FAX: /-

FAX: /-

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

NICOLE HANSEN

LEKE IJIYODE

OWNER ABDURAHMAN JAMA

ARNOLD KUBEI

ABDIWELI SHURIYE

ABDIWELI SHURIYE

ALI SULEIMAN

ALI SULEIMAN

ABDI HASSEN

HESEN SHIRE

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWSAL-O

HWSAL

HWSAL-O

HWSAL-O

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268

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

MIDWEST GROUP LIVING INC

MIDWEST HOMES, INC

MIDWEST HOMES, INC.

MIDWEST PROFESSIONAL SERVICES, INC.

MILLENNIUM HEALTH CARE LLC

MILLENNIUM HEALTH CARE LLC

MILLER'S LANDING

MILLERS LANDING SENIOR LIVING

MINNEAPOLIS DIALYSIS UNIT

MINNEAPOLIS NE DIALYSIS

3552 1ST AVENUE SOUTH

2445 10TH AVENUE SOUTH

2445 10TH AVENUE SOUTH

1300 GODWARD STREET NE #6650

3109 OAKLAND AVENUE

3109 OAKLAND AVENUE

155 5TH AVENUE SOUTH

155 5TH AVENUE SOUTH

825 SOUTH 8TH STREET STE SL42

1049 10TH AVENUE SE

MINNEAPOLIS, MN 55408

MINNEAPOLIS, MN 55404

MINNEAPOLIS, MN 55404

MINNEAPOLIS, MN 55413

MINNEAPOLIS, MN 55407

MINNEAPOLIS, MN 55107

MINNEAPOLIS, MN 55401

MINNEAPOLIS, MN 55401

MINNEAPOLIS, MN 55404

MINNEAPOLIS, MN 55414

952/457-3802

612/865-1874

612/701-5965

612/353-4669

612/458-8070

612/458-8070

952/214-4255

952/214-4255

612/347-5972

253/272-1916

Corp

Corp

Corp

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Corp

COMP

COMP

TCOMP

COMP

HHA

ESRD

ESRD

(33843)

(33266)

(35007)

(24359)

(36473)

(36022)

(34712)

(34475)

(02100)

(21690)

FAX: 612/454-2629

FAX: 612/353-6508

FAX: 612/206-8101

FAX: 612/354-2403

FAX: /-

FAX: 612/605-0058

FAX: /-

FAX: 612/339-1397

FAX: 612/347-5876

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

HESEN SHIRE

MUSTAFA SAID

REGINA STEPNEY

PAMELA ROCKLAGE

AHMED HIRSI

AHMED HERSI

LYLA ERWIN

CHERYL LOCKE

ROBIN THOMAS

TENISHA NEUMAN

---------------------------********** --------------------------(Cont.)*

HWS-O

HWS-O

HWSAL-O

HWSAL

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269

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

MINNEAPOLIS UPTOWN DIALYSIS

MINNEHAHA COMMONS

MINNEHAHA SENIOR LIVING

MINNEHAHA SENIOR LIVING

MINNESOTA BIRTH CENTER

MINNESOTA HOME OF CARE AND COMPASSION, LLC

MINNESOTA TEEN CHALLENGE

MINNESOTA VETERANS HOME - MINNEAPOLIS

MIRAGE HOMES LLC

MISSION HILL GROUP HOME SERVICES LLC

3601 LYNDALE AVENUE SOUTH

3001 EAST LAKE STREET

3733 23RD AVENUE SOUTH

3733 23RD AVENUE SOUTH

2606 CHICAGO AVENUE SOUTH

3414 NORTH 6TH STREET

1507 LOWRY AVENUE NE

5101 MINNEHAHA AVENUE SOUTH

1031 15TH AVENUE SE

2722 NORTH 4TH STREET

MINNEAPOLIS, MN 55409

MINNEAPOLIS, MN 55406

MINNEAPOLIS, MN 55407

MINNEAPOLIS, MN 55407

MINNEAPOLIS, MN 55407

MINNEAPOLIS, MN 55412

MINNEAPOLIS, MN 55418

MINNEAPOLIS, MN 55417

MINNEAPOLIS, MN 55414

MINNEAPOLIS, MN 55411

612/825-4583

612/874-6409

612/238-0010

612/238-0010

612/545-5311

614/557-2268

612/373-3366

651/539-2401

651/815-2094

612/517-4570

Corp

NProf

Lim-Liab

Lim-Liab

Corp

Lim-Liab

NProf

State

Lim-Liab

Lim-Liab

COMP

B/C

BCH-53

NH-341 BCH-50

ESRD

SNF-NF-300

(25314)

(35225)

(27808)

(30780)

(28380)

(37156)

(00272)

(00233)

(37082)

(34758)

FAX: 612/825-4651

FAX: 612/874-0157

FAX: 612/238-2797

FAX: 612/238-2797

FAX: 612/224-9622

FAX: /-

FAX: 612/333-4111

FAX: 651/437-2203

FAX: /-

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

GREGORY CHATMAN

ELLIE SKELTON

TROY REHKAMP

TROY REHKAMP

CLAUDIA JENNINGS

MUJAHIDIN ABUBEKER BULLE

ERIC VAGLE

MICHAEL RH ANDERSON

UBAH ADEN

HIBA HASHI

---------------------------********** --------------------------(Cont.)*

HWS

HWSAL

HWSAL

HWSAL-O

HWSAL-O

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270

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

MISSION HILL GROUP HOME SRVCS LLC

MN CARE ACCESS LLC

MN CARE ACCESS LLC

MN GROUP HOME LLC

MN GROUP HOME LLC

MOONLIGHT HOME HEALTH CARE LLC

MOORE BOARD AND CARE LLC

MOORE BOARD AND CARE LLC

MOORE BOARD AND CARE, INC.

MORINGSTAR CARE SERVICES, LLC

2722 NORTH 4TH STREET

2513 POLK STREET NE

2513 POLK STREET NE

409 CEDAR AVENUE SOUTH

1113 EAST 28TH STREET

1808 UNIVERSITY AVENUE NE #313

3552 CLINTON AVENUE SOUTH

3552 CLINTON AVENUE SOUTH

3552 CLINTON AVENUE SOUTH

1518 EAST LAKE STREET #210

MINNEAPOLIS, MN 55411

MINNEAPOLIS, MN 55404

MINNEAPOLIS, MN 55413

MINNEAPOLIS, MN 55454

MINNEAPOLIS, MN 55407

MINNEAPOLIS, MN 55413

MINNEAPOLIS, MN 55408

MINNEAPOLIS, MN 55408

MINNEAPOLIS, MN 55408

MINNEAPOLIS, MN 55407

612/517-4570

612/636-8986

612/636-8986

612/998-1285

612/998-1285

614/779-2751

612/827-4383

952/417-4750

612/827-4383

602/679-0020

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

COMP HCBS

TCOMP HCBS

TCOMP

TCOMP

COMP

COMP

TCOMP

(33318)

(35847)

(36997)

(34961)

(36726)

(35355)

(21618)

(30773)

(21618)

(35175)

FAX: /-

FAX: /-

FAX: /-

FAX: /-

FAX: 612/435-4935

FAX: /-

FAX: 612/822-1758

FAX: 612/930-0108

FAX: 612/822-1758

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

HIBA HASHI

KASSIM ABDILLE

KASSIM ABDILLE

IDIL MOHOMED

IDIL MOHAMED

ZUHUR MUALIN

ZAHNIA HARUT

TARIN RUSSELL

ZAHNIA HARUT

BASHEIR ELMI

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWS-O

HWS

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271

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

MORNING STAR HEALTH CARE SER

MORNING STAR HEALTH CARE SERVICES LLC

MOUNT OLIVET CAREVIEW HOME

MOUNT OLIVET HOME

MULTICULTURAL CARE CENTER

MULTICULTURAL CARE CENTER LLC

MVNA

N & V HELPFUL HEART CARE

NASIYE GROUP HOME CORP

NASIYE GROUP HOME CORP

6400 GEORGIA AVENUE NORTH

6400 GEORGIA AVENUE NORTH

5517 LYNDALE AVENUE SOUTH

5517 LYNDALE AVENUE SOUTH

3647 NORTH 6TH ST.

3654 2 1/2 STREET NE

2000 SUMMER STREET NE

3342 LYNDALE AVENUE NORTH

3913 4TH AVENUE SOUTH

3913 4TH AVENUE SOUTH

MINNEAPOLIS, MN 55428

MINNEAPOLIS, MN 55428

MINNEAPOLIS, MN 55419

MINNEAPOLIS, MN 55419

MINNEAPOLIS, MN 55412

MINNEAPOLIS, MN 55418

MINNEAPOLIS, MN 55413

MINNEAPOLIS, MN 55412

MINNEAPOLIS, MN 55409

MINNEAPOLIS, MN 55409

763/710-7025

651/209-2950

612/827-5677

612/827-5677

651/439-1271

651/493-1271

612/617-4600

763/442-0460

612/205-9142

612/205-9142

Lim-Liab

Lim-Liab

NProf

Church

Lim-Liab

Lim-Liab

Cnty

Corp

Corp

Corp

TCOMP

NH-155

BCH-92

COMP

TCOMP

SNF-NF-155

NF2-92

HHA

(35875)

(35452)

(00178)

(00236)

(36794)

(37001)

(02037)

(32171)

(35199)

(35662)

FAX: 763/208-4060

FAX: /-

FAX: 612/821-3241

FAX: 612/821-3241

FAX: 651/493-1289

FAX: 651/493-1280

FAX: 612/617-4782

FAX: 206/666-2482

FAX: /-

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

LAWRENCE UBANI

CHERYL JOHNSON

TIMOTHY HOKANSON

TIMOTHY HOKANSON

ABDIKARIM MOHAMED

ABDIKARIM MOHAMED

JULIA ENDRES SPRAY

VERA DIXON

ASHA AHMED

MARIYAN JAMA

---------------------------********** --------------------------(Cont.)*

HWSAL

HWS-O

HWS-O

HWSAL

HWSAL-O

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272

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

NEW DIRECTION RESIDENTIAL SERVICES

NEW HOPE HOME CARE LLC

NOAH ASSISTING LIVING INC

NOAH ASSISTING LIVING INC

NOBLE HOME CARE SERVICES, LLC

NTINGALE IN-HOUSE SKILLED NURSE LLC

OAK GROVE CARE CENTER INC

OLIVE HEALTHCARE LLC

OPEN ARMS GROUP HOME LLC

OPEN HEART LLC

3457 FREMONT AVENUE NORTH

2918 LYNDALE AVENUE NORTH

5100 XERXES AVENUE NORTH

5100 XERXES AVENUE NORTH

8100 WAYZATA BOULEVARD

416 31ST AVENUE NORTH

1822 PARK AVENUE OFFICE LOWER

5238 FREEMONT AVENUE NORTH

1 WEST LAKE STREET #165-7

4441 PARK AVENUE SOUTH

MINNEAPOLIS, MN 55412

MINNEAPOLIS, MN 55411

MINNEAPOLIS, MN 55430

MINNEAPOLIS, MN 55430

MINNEAPOLIS, MN 55426

MINNEAPOLIS, MN 55411

MINNEAPOLIS, MN 55404

MINNEAPOLIS, MN 55430

MINNEAPOLIS, MN 55408

MINNEAPOLIS, MN 55407

763/313-6607

651/399-1805

952/649-0662

612/367-4028

612/245-9687

651/734-8905

612/871-5800

612/886-6206

763/291-4880

612/978-1757

Corp

Lim-Liab

Corp

Corp

Lim-Liab

Lim-Liab

Corp

Lim-Liab

Lim-Liab

Lim-Liab

COMP

TCOMP

COMP

COMP

COMP

TCOMP

TCOMP

(34543)

(36434)

(35867)

(35280)

(31948)

(32811)

(25518)

(33937)

(35775)

(35704)

FAX: /-

FAX: 612/353-4544

FAX: /-

FAX: 952/214-4739

FAX: 763/710-5505

FAX: 736/333-1577

FAX: 612/872-6815

FAX: 612/324-7402

FAX: /-

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

TRENA ALLBRITTON

ALEWYA IBRAHIM

DAHRAN HASHI

DAHRAN HASHI

TRUPHENA MOGAKA

OMAR SULTHAN

SARA WILLIAMS

OLUSOLA AGUNBIADE

BILAL JAMA

ABDIRIZAK OSMAN

---------------------------********** --------------------------(Cont.)*

HWS

HWSAL-O

HWSAL

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273

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

OPEN HEART LLC

OPEN HEART LLC

PAC VILLAGE LLC

PAC VILLAGE LLC

PARADISE ASSISTED LIVING INC

PARADISE CARE HOMES LLC

PARADISE CARE HOMES LLC

PARK AVENUE APARTMENTS

PARK AVENUE DIALYSIS CENTER

PARKER SKYVIEW

1024 34TH AVENUE NORTH

4441 PARK AVENUE SOUTH

2700 EMERSON AVENUE NORTH

4050 UPTON AVENUE NORTH

2910 PILLSBURY AVENUE SOUTH ST

2501 EAST 24TH STREET

4031 2ND AVENUE SOUTH

2418 PARK AVENUE

2637 PARK AVENUE

1815 CENTRAL AVENUE NE

MINNEAPOLIS, MN 55412

MINNEAPOLIS, MN 55407

MINNEAPOLIS, MN 55411

MINNEAPOLIS, MN 55412

MINNEAPOLIS, MN 55408

MINNEAPOLIS, MN 55406

MINNEAPOLIS, MN 55409

MINNEAPOLIS, MN 55404

MINNEAPOLIS, MN 55407

MINNEAPOLIS, MN 55418

612/978-1757

612/987-1757

612/367-4973

612/367-4973

612/417-2373

612/859-6065

612/859-6055

612/879-5358

612/872-1946

612/342-2266

Lim-Liab

Lim-Liab

NProf

NProf

Corp

Lim-Liab

Lim-Liab

ONProf

Corp

HRA

COMP

ESRD

(36300)

(37134)

(37110)

(37125)

(34647)

(35484)

(35483)

(26531)

(02409)

(21761)

FAX: /-

FAX: 612/886-1446

FAX: 612/208-0795

FAX: 612/208-0795

FAX: 612/465-4477

FAX: 612/465-5574

FAX: 952/479-9540

FAX: 612/871-0354

FAX: 612/872-4373

FAX: 612/781-3495

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ABDIRIZAK OSMAN

ABDIRIZAK OSMAN

BREISHA CARPENTER

BREISHA CARPENTER

ABDISALAM AHMED

FADUMA HASHI

FADUMA HASHI

JAIME STAMPLEY

DANIELLE MEULENERS

MARY BOLER

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWSAL-O

HWS

HWS

HWSAL-O

HWSAL-O

HWS-O

HWSAL-O

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274

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

PARKVIEW MANOR

PARKVIEW MANOR INC

PEOPLE II

PEOPLE INCORPORATED DSL

PEOPLE INCORPORATED GIRARD

PILLARS OF PROSPECT PARK

PINEVIEW HOME HEALTH LLC

PINNACLE HOME CARE

PINNACLE SERVICES - JACKSON SQUARE

PINNACLE SERVICES INC

2200 PARK AVENUE SOUTH

2200 PARK AVENUE SOUTH

1380 WEST MINNEHAHA PARKWAY

726 NE 2ND STREET

1315 GIRARD AVENUE NORTH

22 MALCOLM AVENUE SE

2700 EAST 28TH STREET #160

724 CENTRAL AVENUE NE

2902 POLK STREET NE

724 CENTRAL AVENUE NE

MINNEAPOLIS, MN 55404

MINNEAPOLIS, MN 55404

MINNEAPOLIS, MN 55419

MINNEAPOLIS, MN 55413

MINNEAPOLIS, MN 55411

MINNEAPOLIS, MN 55414

MINNEAPOLIS, MN 55406

MINNEAPOLIS, MN 55414

MINNEAPOLIS, MN 55418

MINNEAPOLIS, MN 55414

612/702-7412

612/702-7412

651/774-0011

612/260-6391

612/230-6990

612/623-7000

612/345-7769

612/977-3111

612/208-1369

612/977-3100

Corp

Corp

NProf

NProf

NProf

Lim-Liab

Lim-Liab

Corp

Corp

Corp

COMP

SLFA-6

TCOMP HCBS

COMP

COMP

ICFIID-6

HHA

(32369)

(32344)

(01556)

(30393)

(33160)

(36252)

(35740)

(32340)

(26848)

(24508)

FAX: 763/432-6694

FAX: 763/432-6694

FAX: 651/454-5000

FAX: 612/331-3587

FAX: 651/229-5402

FAX: /-

FAX: 612/367-4285

FAX: 612/977-3960

FAX: 612/977-3960

FAX: 612/977-3960

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

HELEN OSONOWO

HELEN OSONOWO

JILL WIEDEMANN WEST

JILL WIEDEMANN WEST

JILL WIEDEMANN WEST

ERIN HILLIGAN

STEPHEN NGUYAGWA

JILL CIHLAR

JILL CIHLAR

JILL CIHLAR

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWS-O

HWS-O

HWSAL

HWS-O

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275

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

PPL GREENLEAF, LLC

PPL IRVING COMMONS, LLC

PREMIUM HEALTH CARE INC

PREMIUM HEALTH CARE INC

PREVENTIVE DIAGNOSTICS INC

PROSPER HOME HEALTH AND TRANSPORTATION SERVICES LLC

PROVIDENCE PLACE

PRUDENT CARE LLC

PRUDENT CARE LLC

QUALITY HOME CARE INC

3546 FREMONT AVENUE NORTH #1

3601 FREMONT AVENUE NORTH

1 WEST LAKE STREET #221

7532 13TH AVENUE SOUTH

6300 SHINGLE CREEK PARKWAY

911 22ND AVENUE SOUTH #259

3720 23RD AVENUE SOUTH

5522 GARFIELD AVENUE

5234 6TH STREET NORTH

2704 14TH AVENUE SOUTH

MINNEAPOLIS, MN 55411

MINNEAPOLIS, MN 55412

MINNEAPOLIS, MN 55408

MINNEAPOLIS, MN 55423

MINNEAPOLIS, MN 554302124

MINNEAPOLIS, MN 55404

MINNEAPOLIS, MN 55407

MINNEAPOLIS, MN 55419

MINNEAPOLIS, MN 55430

MINNEAPOLIS, MN 55407

612/843-3340

612/843-3340

612/408-7881

762/201-7979

718/388-3300

858/877-0066

612/238-2545

612/889-1987

612/889-1987

612/426-9982

NProf

NProf

Corp

Lim-Liab

Corp

Lim-Liab

NProf

Lim-Liab

Lim-Liab

Corp

TCOMP

TCOMP

NH-190

TCOMP

XRAY

SNF-NF-190

(34184)

(29486)

(35536)

(36893)

(34284)

(34566)

(00096)

(36681)

(36680)

(35332)

FAX: 763/208-7885

FAX: 763/208-7885

FAX: /-

FAX: /-

FAX: /-

FAX: /-

FAX: 612/724-9884

FAX: 651/352-2117

FAX: 651/352-2117

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

MICHELLE WINCELL O'LEARY

MICHELLE WINCELL O'LEARY

ABDIRAHIM MOHAMED

ABDIRAHIM MOHAMED

MARK TAUBER

IFRAH ALI

TYLER DONAHUE

YASIN MOHAMED

YASIN MOHAMED

AYUB ALI

---------------------------********** --------------------------(Cont.)*

HWS-O

HWS-O

HWSAL-O

HWSAL-O

HWSAL-O

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276

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

QUALITY HOME CARE INC

QUALITY HOME CARE, INC.

RAKHMA INC.

RAKHMA PEACE HOME

RAKHMA PEACE HOME

REDEEMER RESIDENCE, INC.

REDESIGN LIFESTYLE CARE LLC

REDESIGN LIFESTYLE CARE LLC

REENTRY HOUSE

REENTRY HOUSE CRISIS STABILIZATION PROGRAM

2704 14TH AVENUE SOUTH

2704 14TH AVENUE SOUTH

4953 ALDRICH AVENUE SOUTH

4953 ALDRICH AVENUE SOUTH

4953 ALDRICH AVENUE SOUTH

625 WEST 31ST STREET

1527 MORGAN AVENUE NORTH

1527 MORGAN AVENUE NORTH

5812 LYNDALE AVENUE SOUTH

1800 CHICAGO AVENUE SOUTH

MINNEAPOLIS, MN 55407

MINNEAPOLIS, MN 55407

MINNEAPOLIS, MN 55419

MINNEAPOLIS, MN 55419

MINNEAPOLIS, MN 55419

MINNEAPOLIS, MN 55408

MINNEAPOLIS, MN 55411

MINNEAPOLIS, MN 55411

MINNEAPOLIS, MN 55419

MINNEAPOLIS, MN 55404

612/426-9982

612/426-9982

612/824-2345

612/824-2345

612/824-2345

612/827-2555

612/238-8055

612/963-2576

612/869-2411

612/540-5703

Corp

Corp

NProf

NProf

NProf

Church

Lim-Liab

Lim-Liab

Corp

Corp

COMP

COMP

NH-125

TCOMP

SLFA-16

SLFA-16

SNF-NF-125

(35333)

(35961)

(20103)

(20103)

(30414)

(00160)

(35034)

(36065)

(01470)

(33693)

FAX: 612/354-3684

FAX: 612/354-3684

FAX: 612/824-3165

FAX: 612/824-3165

FAX: 612/824-3165

FAX: 612/827-0450

FAX: /-

FAX: /-

FAX: 612/869-0313

FAX: 612/540-5701

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

AYUB ALI

AYUB ALI

RAKHMA BRANDON SPEARS

RAKHMA BRANDON SPEARS

BRANDON SPEARS

DAN COLGAN

HAMDI MOHAMED

HAMDI ALI MOHAMED

TERRY SCHNEIDER

LISA COOPER

---------------------------********** --------------------------(Cont.)*

Home Mgmt

HWSAL

HWSAL

HWSAL-O

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277

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

REM HENNEPIN (PILLSBURY)

REM HENNEPIN, INC. (QUEEN)

RESIDENT SERVICES INC

RESIDENT SERVICES INC

RESTART INC 8TH

RESTART INC ELLIOT

RESTART INC KATHY'S PLACE

RESTART INC MINNEHAHA

REVIVE CARE SERVICES INC

RISING CEDAR APARTMENTS

2311 PILLSBURY AVENUE SOUTH

614 QUEEN AVENUE SOUTH

1400 EAST 24TH STREET

1400 EAST 24TH STREET

614 8TH STREET SE

4317 ELLIOT AVENUE SOUTH

4525 ALDRICH AVENUE SOUTH

4654 MINNEHAHA AVENUE SOUTH

5111 IRVING AVENUE NORTH

2308 SNELLING AVENUE

MINNEAPOLIS, MN 55404

MINNEAPOLIS, MN 55405

MINNEAPOLIS, MN 55404

MINNEAPOLIS, MN 55404

MINNEAPOLIS, MN 55414

MINNEAPOLIS, MN 55407

MINNEAPOLIS, MN 55419

MINNEAPOLIS, MN 55406

MINNEAPOLIS, MN 55430

MINNEAPOLIS, MN 55404

952/922-6776

952/922-6776

612/501-6165

612/501-6165

612/379-9409

612/822-3506

612/822-5372

612/729-1460

763/310-4079

612/314-1000

Corp

Corp

Corp

Corp

NProf

NProf

NProf

NProf

Corp

NProf

SLFA-9

SLFB-6

TCOMP

ICFIID-9

ICFIID-6

(01029)

(01130)

(35505)

(37304)

(25373)

(25370)

(25372)

(25371)

(35991)

(29434)

FAX: 952/922-6885

FAX: 952/922-6885

FAX: /-

FAX: /-

FAX: 612/331-9175

FAX: 612/824-2719

FAX: 612/827-4967

FAX: 612/729-5059

FAX: 612/465-5989

FAX: 612/870-6136

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

DEVIN NELSON

DEVIN NELSON

ABDIHAKEEM ADAM

ABDIHAKEEM ADAM

STEVE PIEKARSKI

STEVE PIEKARSKI

STEVE PIEKARSKI

STEVE PIEKARSKI

WARSAME ALI WARSAME

MICHELLE WINCELL O'LEARY

---------------------------********** --------------------------(Cont.)*

HWS

HWS-O

HWS-O

HWS-O

HWS-O

HWSAL-O

HWSAL-O

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278

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

RIVERVILLAGE EAST

RIVERVILLAGE NORTH

ROOTS COMMUNITY BIRTH CENTER

ROYAL HOME CARE INC

ROYAL HOME CARE INC

S & H HEALTH CARE SERVICES LLC

SADIS RESIDENTIAL CARE CENTER

SAFA GROUP HOME LLC

SAFA GROUP HOME, LLC

SAFE & COMPASSIONATE HOME CARE SERVICES INC

2919 RANDOLPH ST NE

2921 RANDOLPH STREET NE

1901 44TH AVENUE NORTH

3553 CLINTON AVENUE SOUTH

4329 WEBBER PARKWAY

912 EAST 24TH STREET #A143

2900 PARK AVENUE SOUTH #3

3350 STEVENS AVENUE SOUTH

3350 STEVENS AVENUE SOUTH

1819 SOUTH 6TH STREET

MINNEAPOLIS, MN 55418

MINNEAPOLIS, MN 55418

MINNEAPOLIS, MN 55412

MINNEAPOLIS, MN 55408

MINNEAPOLIS, MN 55412

MINNEAPOLIS, MN 55404

MINNEAPOLIS, MN 55407

MINNEAPOLIS, MN 55408

MINNEAPOLIS, MN 55408

MINNEAPOLIS, MN 55454

612/605-2500

612/605-2501

612/338-2784

763/228-9585

763/228-9585

612/227-9178

612/239-0059

763/318-0389

763/318-0389

612/242-7344

NProf

NProf

Lim-Liab

Corp

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Ind

B/C

TCOMP

TCOMP

TCOMP

(23147)

(23036)

(32087)

(37100)

(37099)

(35667)

(35620)

(35707)

(35182)

(35220)

FAX: 612/605-2504

FAX: 612/605-2502

FAX: 651/383-4135

FAX: 763/226-2484

FAX: 763/226-2484

FAX: /-

FAX: 651/634-1429

FAX: /-

FAX: /-

FAX: 651/917-0691

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

STEPHANIE CAPELLE

STEPHANIE CAPPELLE

REBECCA POLSTON

OLALEYE OLAGBAJU

OLALEYE OLAGBAJU

HABON UGAAS

SABIRINA DAUID

MUBARIK HASSAN

MUBARIK HASSAN

KHADIJA ALI

---------------------------********** --------------------------(Cont.)*

HWSAL

HWS

HWSAL-O

HWSAL-O

HWSAL-O

HWSAL

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279

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

SAFE CARE HOMES INC

SENITE HEALTH

SERENITY GROUP HOMES LLC

SERENITY GROUP HOMES LLC

SERENITY HEALTH CARE SERVICES

SERENITY PLACE

SHAMAANI HOME HEALTH CARE INC

SHIRE'S GROUP HOME INC SERVICE CORPORATION

SHIRES GROUP HOME INC

SHIRES GROUP HOME INC SERVICE CORP

2910 PILLSBURY AVENUE S #352

2929 CHICAGO AVENUE SOUTH #811

3234 DUPONT AVENUE NORTH

3234 DUPONT AVENUE NORTH

1201 37TH AVENUE NORTH

2409 1ST AVENUE SOUTH

2531 MARSHALL STREET NE UNIT C

3909 4TH AVENUE SOUTH

3909 4TH AVENUE SOUTH

3909 4TH AVENUE SOUTH

MINNEAPOLIS, MN 55408

MINNEAPOLIS, MN 55404

MINNEAPOLIS, MN 55412

MINNEAPOLIS, MN 55412

MINNEAPOLIS, MN 55412

MINNEAPOLIS, MN 55404

MINNEAPOLIS, MN 55418

MINNEAPOLIS, MN 55409

MINNEAPOLIS, MN 55409

MINNEAPOLIS, MN 55409

612/991-4004

612/849-6750

612/345-4667

612/345-4667

612/224-9992

651/209-8490

571/265-1218

612/298-4954

612/236-4531

612/298-4954

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Lim-Liab

Corp

Corp

Corp

Corp

TCOMP

COMP HCBS

TCOMP

COMP

BASIC HCBS

TCOMP

TCOMP

HHA

(35617)

(34554)

(34611)

(35193)

(26946)

(24075)

(34094)

(34999)

(35130)

(34999)

FAX: /-

FAX: 800/207-9670

FAX: 612/259-8003

FAX: 612/259-8003

FAX: 612/224-9984

FAX: 651/209-8490

FAX: /-

FAX: /-

FAX: 612/500-4447

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

SOLEIMAN DUQOW

` TAMARA RICHARD

MUSTAFA FARAH

MUSTAFA FARAH

TAHA ABDUREHMAN

JOE CUOCO

SAIDO HUSSEIN

MOHAMED EGAL

MANAGE MOHAMED EGAL

MOHAMED EGAL

---------------------------********** --------------------------(Cont.)*

HWS-O

HWS-O

HWS-O

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280

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

SIDE BY SIDE HOME CARE SERVICE INC

SIGNE BURCKHARDT MANOR

SOLUTION HOME CARE LLC

SOUTHSIDE ASSISTED LIVING CORP.

SOUTHSIDE CARE CENTER

ST JUDE HOME HEALTH LLC

STANTON HOUSE WITH SERVICES

STANTON HOUSE WITH SERVICES INC

STANTON HOUSE WITH SERVICES INC

STANTON HOUSE WITH SERVICES INC

2708 CHICAGO AVENUE SOUTH

2533 1ST AVENUE SOUTH

501 EAST 19TH STREET #205

2907 15TH AVENUE SOUTH

2644 ALDRICH AVENUE SOUTH

6160 SUMMIT DRIVE NORTH #320

3354 JAMES AVENUE NORTH

3354 JAMES AVENUE NORTH

4847 BRYANT AVENUE NORTH

5124 BRYANT AVENUE NORTH

MINNEAPOLIS, MN 55407

MINNEAPOLIS, MN 55404

MINNEAPOLIS, MN 55404

MINNEAPOLIS, MN 55407

MINNEAPOLIS, MN 55408

MINNEAPOLIS, MN 55430

MINNEAPOLIS, MN 55412

MINNEAPOLIS, MN 55412

MINNEAPOLIS, MN 55430

MINNEAPOLIS, MN 55430

612/772-7213

612/821-2191

612/403-0722

507/351-4212

612/872-4233

612/245-5167

612/521-9543

612/521-9543

612/521-9543

612/521-9543

Corp

HRA

Lim-Liab

Corp

Lim-Liab

Lim-Liab

Corp

Corp

Corp

Corp

TCOMP

TCOMP

BCH-17

TCOMP

COMP

NF2-17

(35163)

(20278)

(36031)

(36843)

(00780)

(35767)

(26409)

(25977)

(32730)

(34610)

FAX: 612/351-3963

FAX: 612/872-4472

FAX: /-

FAX: /-

FAX: 612/872-0005

FAX: 952/314-9282

FAX: 612/886-1310

FAX: 612/886-1310

FAX: 612/886-1310

FAX: 612/886-1310

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

NASIR NUR

MARY BOLER

AMUN ADAN

ASHA BUSURI

DONALD FLACK

DOROTHY MING'ATE

TERRA ROSS

TERRA ROSS

TERRA ROSS

TERRA ROSS

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL-O

HWSAL-O

HWSAL-O

HWSAL

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281

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Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

STANTON HOUSE WITH SERVICES INCORPORATED

STAR CARE HEALTH SERVICES LLC

STAR GROUP HOME INC

STAR GROUP HOME, INC

STARCARE HEALTH SERVICES LLC

SU CASA HOME CARE

SUMMIT HEALTHCARE INC

SUNLIGHT INC

SUNLIGHT INC.

SUNSHINE RESIDENTIAL LLC

3350 JAMES AVENUE NORTH

1729 15TH AVENUE SOUTH #1

6143 3RD AVENUE SOUTH

6143 3RD AVENUE SOUTH

3966 MINNEHAHA AVENUE S STE C

3427 CENTRAL AVENUE NE

3018 EAST LAKE STREET

3341 EMERSON AVENUE NORTH

913 LOWRY AVENUE NORTH EAST

3548 CLINTON AVENUE SOUTH

MINNEAPOLIS, MN 55412

MINNEAPOLIS, MN 55404

MINNEAPOLIS, MN 55419

MINNEAPOLIS, MN 55419

MINNEAPOLIS, MN 55406

MINNEAPOLIS, MN 55418

MINNEAPOLIS, MN 55406

MINNEAPOLIS, MN 55412

MINNEAPOLIS, MN 55418

MINNEAPOLIS, MN 55408

612/521-9543

612/298-9120

612/402-9211

612/644-7390

612/298-9120

612/788-9757

612/721-7776

404/618-8472

404/618-8472

612/986-7440

Corp

Lim-Liab

Corp

Corp

Lim-Liab

Corp

Corp

Corp

Corp

Lim-Liab

TCOMP

TCOMP

COMP

BASIC

COMP

(36467)

(35382)

(35871)

(36343)

(35204)

(26288)

(31170)

(36049)

(36731)

(34808)

FAX: 612/886-1310

FAX: /-

FAX: 612/661-1434

FAX: 612/661-1434

FAX: /-

FAX: 612/789-6564

FAX: 612/722-3578

FAX: /-

FAX: /-

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

TERRA ROSS

ABDISALAN ABDIRAHMAN

JASMIN OSMAN

AFRAH ISMAIEL ABDULLAHI

ABDISALAN ABDIRAHMAR

ANNETTE THORSON

MAXWELL AFORO

RASIYA MUMIN

RASIYA MUMIN

SAHRA ADAN

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL-O

HWSAL-O

HWS-O

HWS-O

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Directory of Facilities and Services

Page

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HENNEPIN

SUNSHINE WELLNESS CENTER INC

TAILORED CARE RESIDENCE INC.

TAILORED CARE RESIDENCE INC.

TAILORED CARE RESIDENCE INC.

TENDER CARE GROUP HOME INC

TENDER CARE GROUP HOMES LLC

TENDER CARE GROUP HOMES LLC

THE ESTATES AT CHATEAU LLC

THE FAMILY PARTNERSHIP

THE KENWOOD

317 5TH AVENUE SE

2311 10TH AVENUE SOUTH

2311 10TH AVENUE SOUTH

2311 10TH AVENUE SOUTH

2500 MINNEHAHA AVENUE #400

2640 POLK STREET NE

2640 POLK STREET NE

2106 2ND AVENUE SOUTH

1501 XERXES AVENUE NORTH

825 SUMMIT AVENUE

MINNEAPOLIS, MN 55414

MINNEAPOLIS, MN 55404

MINNEAPOLIS, MN 55404

MINNEAPOLIS, MN 55404

MINNEAPOLIS, MN 55404

MINNEAPOLIS, MN 55418

MINNEAPOLIS, MN 55418

MINNEAPOLIS, MN 55404

MINNEAPOLIS, MN 55411

MINNEAPOLIS, MN 55403

612/404-1005

612/283-6370

651/447-8965

651/447-8965

651/410-8516

612/407-1723

612/407-1723

612/874-1603

612/341-1622

612/374-8100

Corp

Corp

Corp

Corp

Corp

Lim-Liab

Lim-Liab

Lim-Liab

ONProf

Lim-Liab

TCOMP HCBS

TCOMP

TCOMP

NH-70 SNF-NF-70

Out Pt Out St Out Ot

(37089)

(35171)

(35613)

(35189)

(35764)

(35237)

(35977)

(00937)

(28437)

(30594)

FAX: /-

FAX: 612/283-6372

FAX: 651/237-4352

FAX: 651/237-8965

FAX: /-

FAX: 612/314-8363

FAX: 612/520-5585

FAX: 612/874-0213

FAX: 612/339-9150

FAX: 612/377-3600

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ALIA NAMUS

ADAN DIRIE

ADAN YUSUF DIRIE

ADAN DIRIE

JAMA BULHAN

SUMAYA AHMED

SUMAYA AHMED

KATHRYN TRUCCO

MOLLY GREENMAN

JENNIFER VOLKENANT

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWSAL-O

Home Mgmt

HWSAL

HWSAL

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283

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Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

THE KENWOOD RETIREMENT COMMUNITY

THE VILLA AT BRYN MAWR

THE WATERS OF MINNEHAHA

THE WATERS ON 50TH

THIRD AVENUE TOWERS

THOMAS RESIDENCE

THOMAS T. FEENEY MANOR

THREE STARS GROUP HOMES, LLC

TOUCHSTONE MENTAL HEALTH

TRUE CARE HOMES

825 SUMMIT AVENUE

275 PENN AVENUE NORTH

3733 23RD AVENUE SOUTH

3500 50TH STREET WEST

1707 3RD AVENUE SOUTH

1324 THOMAS AVENUE NORTH

901 4TH AVENUE NORTH

2529 17TH AVENUE SOUTH

2312 SNELLING AVENUE

3428 OAKLAND AVENUE

MINNEAPOLIS, MN 55403

MINNEAPOLIS, MN 55405

MINNEAPOLIS, MN 55407

MINNEAPOLIS, MN 55410

MINNEAPOLIS, MN 55404

MINNEAPOLIS, MN 55411

MINNEAPOLIS, MN 55405

MINNEAPOLIS, MN 55404

MINNEAPOLIS, MN 55404

MINNEAPOLIS, MN 55407

612/374-8100

612/377-4723

612/238-0010

612/200-9552

612/342-1453

952/426-1629

612/843-4923

651/468-4729

612/874-6409

612/425-7388

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

HRA

Lim-Liab

HRA

Lim-Liab

NProf

Corp

COMP

NH-120

COMP

COMP

TCOMP

SNF-NF-120

(20341)

(00175)

(27808)

(30282)

(24487)

(36740)

(28487)

(37401)

(23337)

(35173)

FAX: 612/377-3600

FAX: 612/377-0294

FAX: 612/238-2797

FAX: 612/922-9160

FAX: 612/342-1407

FAX: 952/241-1325

FAX: 612/377-3098

FAX: 651/797-2237

FAX: 612/874-0157

FAX: 612/444-8973

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JENNIFER VOLKENANT

MADELINE KURVERS

TROY REHKAMP

KATHERINE TODD

MARY BOLER

ABDULAHI MOHAMED

MARY BOLER

DEBESAY GIRMALUL

MICHELLE L OLEARY

MARIA QANYARE

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL-O

HWSAL-O

HWSAL

HWSAL-O

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284

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Page

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HENNEPIN

TRUE CARE HOMES

TRUE CARE LIVING

TURNING POINT, INC

TURNING POINT, INC.

TURNING POINT, INC.

TWIN CITIES ASSISTED LIVING

TWIN CITIES ASSISTED LIVING

TWIN CITIES ASSISTED LIVING INC

TWIN CITIES ASSISTED LIVING INC

TWIN CITIES GROUP HOMES LLC

3428 OAKLAND AVENUE

3948 BLOOMINGTON AVENUE

2105 GLENWOOD AVENUE NORTH

2021 GLENWOOD AVENUE NORTH

1500 GOLDEN VALLEY ROAD

2814 COLFAX AVENUE NORTH

3123 JAMES AVENUE NORTH

2814 COLFAX AVENUE NORTH

2818 FREMONT AVENUE NORTH

2740 MINNEHAHA AVENUE S #37

MINNEAPOLIS, MN 55407

MINNEAPOLIS, MN 55407

MINNEAPOLIS, MN 55408

MINNEAPOLIS, MN 55409

MINNEAPOLIS, MN 55411

MINNEAPOLIS, MN 55411

MINNEAPOLIS, MN 55411

MINNEAPOLIS, MN 55411

MINNEAPOLIS, MN 55411

MINNEAPOLIS, MN 55406

612/735-8082

612/701-6716

612/520-4004

612/520-4004

612/520-9161

612/440-8001

612/440-8001

612/440-8001

612/440-8001

612/702-0331

Corp

Lim-Liab

NProf

NProf

NProf

Corp

Corp

Corp

Corp

Lim-Liab

SLFA-24

COMP

TCOMP

(35133)

(36310)

(34010)

(34007)

(01678)

(32070)

(32188)

(32014)

(35235)

(35583)

FAX: 612/735-8082

FAX: /-

FAX: 612/302-4106

FAX: 612/520-0047

FAX: 612/520-0047

FAX: 541/960-3817

FAX: 541/960-3817

FAX: 541/960-3817

FAX: 541/960-3817

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

MARIA QANYARE

MOHAMED JAMA

ELIZABETH REED

ELIZABETH REED

ELIZABETH REED

AMBER KARG

AMBER KARG

AMBER KARG

AMBER KARG

ROBIE AHMED

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWS

HWS

HWSAL

HWSAL

HWS

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285

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Directory of Facilities and Services

Page

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HENNEPIN

TWIN CITIES GROUP HOMES LLC

TWIN CITY GARDENS

TWINS HOME HEALTH CARE, INC.

U OF M HEALTH CLINICS AND SURGERY CENTER, INC

UMMC, FAIRVIEW RENAL DIALYSIS CENTER

UNIQUE HOMES

UNIQUE HOMES LLC

UNIQUE HOMES LLC

UNITED HEALTHCARE LLC

UNITED SOCIAL SERVICE OF MN LLC

711 22ND AVENUE NE

2309 HAYES STREET NE

2533 24TH AVENUE SOUTH

909 FULTON STREET SE

2450 RIVERSIDE AVENUE #2300

4922 NEWTON AVENUE NORTH

3438 ALDRICH AVENUE NORTH

4922 NEWTON AVENUE NORTH

2522 CENTRAL AVENUE NE STE 204

3055 OLD HIGHWAY 8 ROOM 101G

MINNEAPOLIS, MN 55418

MINNEAPOLIS, MN 55418

MINNEAPOLIS, MN 55406

MINNEAPOLIS, MN 55455

MINNEAPOLIS, MN 55455

MINNEAPOLIS, MN 55430

MINNEAPOLIS, MN 55412

MINNEAPOLIS, MN 55430

MINNEAPOLIS, MN 55418

MINNEAPOLIS, MN 55418

612/382-5249

612/781-2691

612/465-0408

763/898-1880

612/365-2300

763/222-4909

763/222-4909

763/222-4909

651/347-5334

952/381-5927

Lim-Liab

Lim-Liab

Corp

NProf

NProf

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

NH-50 BCH-0

Outpt Surg

COMP

COMP

TCOMP HCBS

SNF-NF-50 NF2-0

Amb Surg

ESRD

(36339)

(00167)

(27759)

(31197)

(02098)

(35310)

(36486)

(34874)

(32884)

(34896)

FAX: /-

FAX: 612/781-8835

FAX: /-

FAX: 612/884-0980

FAX: 612/365-2101

FAX: /-

FAX: 612/605-6372

FAX: 612/605-6372

FAX: /-

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ROBLE AHMED

BRAD MOLGARD

ABDIRAHMAN DHUNKAL

HEATHER SHERIDAN

CAPRICE VANDERKOLK

STEPHEN ZEKPA

STEPHEN ZEKPA

STEPHEN ZEKPA

AMAL ABDALLE

ABDUKADIR NOR

---------------------------********** --------------------------(Cont.)*

HWSAL

Home Mgmt

HWSAL

HWSAL-O

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286

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

UNITED SOCIAL SERVICES OF MN LLC

UNITY PLACE

UNIVERSAL CARE HOMES LLC

UNIVERSAL CARE HOMES LLC

UNIVERSAL CARE HOMES LLC

UPLIFTED CARE SERVICES LLC

VETERANS HOME MINNEAPOLIS

VICTORY HEALTH & REHABILITATION CENTER

VISION2020 GROUP HOME LLC

VISION2020 GROUP HOMES LLC

581 VAN BUREN AVENUE

2611 CENTRAL AVENUE NE

2301 16TH AVENUE SOUTH

2301 16TH AVENUE SOUTH

3045 CEDAR AVENUE SOUTH

5032 GIRARD AVENUE NORTH

5101 MINNEHAHA AVENUE SOUTH

512 49TH AVENUE NORTH

1805 15TH AVENUE SOUTH

1805 15TH AVENUE SOUTH

MINNEAPOLIS, MN 55103

MINNEAPOLIS, MN 55418

MINNEAPOLIS, MN 55404

MINNEAPOLIS, MN 55404

MINNEAPOLIS, MN 55407

MINNEAPOLIS, MN 55430

MINNEAPOLIS, MN 55417

MINNEAPOLIS, MN 55430

MINNEAPOLIS, MN 55404

MINNEAPOLIS, MN 55404

952/381-5927

651/209-8490

612/701-7093

612/701-7093

612/701-7093

763/280-3236

651/539-2401

612/529-7747

612/998-0361

612/998-0361

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

State

Lim-Liab

Lim-Liab

Lim-Liab

TCOMP

NH-341 BCH-50

NH-87

TCOMP

SNF-NF-300

SNF-NF-87

(36798)

(25496)

(35176)

(36721)

(35797)

(35410)

(00233)

(00166)

(37183)

(35910)

FAX: /-

FAX: 651/209-8499

FAX: /-

FAX: /-

FAX: /-

FAX: 888/588-3166

FAX: 651/437-2203

FAX: 612/607-5821

FAX: /-

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ADDUKARDIR NOR

JOE CUOCO

BILLE HASHI

BILE HASHI

BILLE HASHI

WILLIAM AKUMA

MICHAEL RH ANDERSON

DENNIS DECOSTA

FAUD AHMED

FUAD AHMED

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWS-O

HWSAL-O

HWSAL-O

HWSAL-O

HWSAL-O

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287

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

WALKER HOME SERVICES

WALKER METHODIST HEALTH CENTER

WALKER METHODIST PLACE

WARM TOUCH HOME CARE INC

WELCOME HOME HEALTH CARE

WELLNESS HOMES INC

WELLNESS HOMES INC.

WELLNESS HOMES, INC.

WELLSPRING COMFORT LIVING LLC

WESTVIEW CARE INC

3737 BRYANT AVENUE SOUTH

3737 BRYANT AVENUE SOUTH

3701 BRYANT AVENUE SOUTH

929 PORTLAND AVENUE SOUTH #907

4140 DIGHT AVENUE

1824 15TH AVENUE

4137 CHICAGO AVENUE

4137 CHICAGO AVENUE SOUTH

2400 BLAISDELL AVENUE

3201 2ND AVENUE SOUTH

MINNEAPOLIS, MN 55409

MINNEAPOLIS, MN 55409

MINNEAPOLIS, MN 55409

MINNEAPOLIS, MN 55404

MINNEAPOLIS, MN 55406

MINNEAPOLIS, MN 55404

MINNEAPOLIS, MN 55407

MINNEAPOLIS, MN 55407

MINNEAPOLIS, MN 55404

MINNEAPOLIS, MN 55408

612/827-8501

612/827-5931

612/827-8500

612/386-5778

320/247-6051

612/701-5965

612/701-5965

612/701-5965

952/686-4637

619/414-8900

NProf

NProf

NProf

Corp

Corp

Corp

Corp

Corp

Lim-Liab

Corp

COMP

NH-260

TCOMP

COMP

COMP

TCOMP

TCOMP

SNF-NF-260 NF1-0

(02260)

(00276)

(20447)

(35721)

(22195)

(33368)

(32758)

(32390)

(36190)

(35161)

FAX: 612/827-8458

FAX: 612/827-8458

FAX: 612/827-8535

FAX: /-

FAX: 320/587-0053

FAX: 612/353-6508

FAX: 612/353-6508

FAX: 612/353-6508

FAX: /-

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ANNELIESE PETERSON

SCOTT KALLSTROM

ANNELIESE PETERSON

IBRAHIM DEMMAJ

JACOB WORK

MUSTAFA SAID

MUSTAFA SAID

MUSTAFA SAID

AMINA ISMAIL

ABAS MOHAMED

---------------------------********** --------------------------(Cont.)*

HWSAL

HWS-O

HWS-O

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288

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

WHITTIER PLACE

WILLOW MIDWIVES LTD

ZUMBRO HOUSE BOSSEN

ZUMBRO HOUSE SANDER

ZUMBRO HOUSE SANDER 2

ACCRA HOME HEALTH, INC

AFFINITY RESIDENTIAL CARE LLC

ASSISTING HANDS OF MINNEAPOLIS

2405 1ST AVENUE SOUTH

3033 EXCELSIOR BOULEVARD #585

5753 BOSSEN TERRACE

5740 SANDER DRIVE

5753 SANDER DRIVE

2531 MARSHALL STREET NE UNIT C

1800 2ND STREET NE

12600 WHITEWATER DRIVE STE 10

11021 OAK KNOLL TERRACE NORTH

15612 HIGHWAY 7 #210

MINNEAPOLIS, MN 55404

MINNEAPOLIS, MN 55416

MINNEAPOLIS, MN 55417

MINNEAPOLIS, MN 55417

MINNEAPOLIS, MN 55417

MINNEAPOLIS, MN 55418

MINNEAPOLIS, MN 55418

MINNETONKA, MN 55343

MINNETONKA, MN 55305

MINNETONKA, MN 55345

612/872-1926

612/345-5920

651/264-1000

651/264-1000

651/264-1000

571/265-1218

612/789-1236

952/935-3515

612/386-0942

952/955-9880

Lim-Liab

Corp

Corp

Corp

Corp

Corp

NProf

NProf

Lim-Liab

Lim-Liab

B/C

BASIC HCBS

COMP HCBS

COMP

Out St Out Ot

(30820)

(31316)

(29571)

(28732)

(28819)

(34094)

(02476)

(32348)

(36233)

(29882)

FAX: 651/209-8499

FAX: 844/562-6828

FAX: 651/264-1002

FAX: 651/264-1002

FAX: 651/264-1002

FAX: /-

FAX: 612/706-5555

FAX: 952/935-7112

FAX: 612/930-0108

FAX: 888/483-7250

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JOE CUOCO

LAUREN HIGMAN

CHRISTOPHER ONKEN

CHRISTOPHER ONKEN

CHRISTOPHER ONKEN

SAIDO HUSSEIN

ERICKA DICKERSON

JOHN DAHM

ZAHNIA HARUT

KALEB VOLD

---------------------------********** --------------------------(Cont.)*

HWS-O

HWS-O

HWS-O

HWS-O

HWSAL

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289

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Minnesota Department of HealthHealth Regulation Division

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Page

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HENNEPIN

AUGUSTANA EMERALD CREST MNTONK

AUGUSTANA EMERALD CREST OF MINNETONKA

AUGUSTANA EMERALD CREST OF MINNETONKA

AUGUSTANA EMERALD CREST OF MINNETONKA

AVALON MEMORY CARE

AVALON MEMORY CARE

BEACON HILL

BRIGHTCARE SERVICES INC

BRIGHTCARE SERVICES INC

CAREFREE LIVING OF AMERICA (MINNETONKA), INC.

13401 LAKE STREET EXTENSION

13401 LAKE STREET EXTENSION

13409 LAKE STREET EXTENSION

13417 LAKE STREET EXTENSION

910 HORN DRIVE

910 HORN DRIVE

5300 BEACON HILL ROAD

5435 WOODLAND ROAD

5435 WOODLAND ROAD

14505 MINNETONKA DRIVE

MINNETONKA, MN 55305

MINNETONKA, MN 55305

MINNETONKA, MN 55305

MINNETONKA, MN 55305

MINNETONKA, MN 55305

MINNETONKA, MN 55305

MINNETONKA, MN 55345

MINNETONKA, MN 55345

MINNETONKA, MN 55345

MINNETONKA, MN 55345

952/698-7530

952/856-7522

952/856-7522

952/856-7522

952/800-9909

612/578-6695

952/988-8800

612/636-6671

612/702-3701

952/988-0011

NProf

NProf

NProf

NProf

Lim-Liab

Lim-Liab

NProf

Corp

Corp

Lim-Liab

COMP

COMP

COMP

TCOMP

(29328)

(20563)

(20564)

(20705)

(34746)

(34118)

(27950)

(36483)

(35891)

(20107)

FAX: 952/933-1157

FAX: 952/933-1157

FAX: 952/933-1157

FAX: 952/933-1157

FAX: /-

FAX: 952/444-3411

FAX: 952/988-8815

FAX: /-

FAX: 612/435-9746

FAX: 952/912-0051

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JULIANNE FRIES

JULIANNE FRIES

JULIANNE FRIES

JULIANNE FRIES

AVALON MICHAEL MCCUE

MIKE MCCUE

JAN KOOMEN

BURHAN ELMI

BURHAN ELMI

MARK RADMACHER

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL-O

HWSAL

Page 327: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

290

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

CHERRYWOOD POINTE OF MINNETONKA

CHILDREN'S HEALTH CARE SERVICES, INC.

ELDER HOMESTEAD

EPIPHANY CARE HOMES

EPIPHANY CARE HOMES LLC

GENERATION CARE INC

GENTLE TOUCH HEALTH INITIATIVES, LLC

GIANNA HOMES - SURSUM CORDA

GIANNA HOMES SURSUM CORDA

GIANNA HOMES SURSUM CORDA

2004 PLYMOUTH ROAD

6050 CLEARWATER DRIVE

11400 4TH STREET NORTH

3704 CARDINAL ROAD

3704 CARDINAL ROAD

14451 HIGHWAY 7, STE 213

5300 WOODHILL ROAD

4605 FAIRHILLS ROAD EAST

4605 FAIRHILLS ROAD EAST

4605 FAIRHILLS ROAD EAST

MINNETONKA, MN 55305

MINNETONKA, MN 55343

MINNETONKA, MN 55343

MINNETONKA, MN 55345

MINNETONKA, MN 55345

MINNETONKA, MN 55345

MINNETONKA, MN 55345

MINNETONKA, MN 55345

MINNETONKA, MN 55345

MINNETONKA, MN 55345

952/525-4555

612/813-6263

952/283-2600

651/900-0111

952/681-2755

612/656-9162

952/345-4403

952/988-0953

952/988-0953

952/988-0953

Lim-Liab

NProf

NProf

Lim-Liab

Lim-Liab

Corp

Lim-Liab

NProf

NProf

NProf

Outpt Surg

COMP

COMP HCBS

COMP

COMP

COMP

Amb Surg

(33358)

(01665)

(20104)

(28083)

(20517)

(33752)

(28262)

(20897)

(20897)

(30827)

FAX: 952/525-4540

FAX: 612/813-6673

FAX: 952/283-2606

FAX: 952/930-9184

FAX: 952/930-9184

FAX: 612/460-9486

FAX: 952/345-4402

FAX: 952/988-6935

FAX: 952/988-6935

FAX: 952/988-6935

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ERIN HILLIGAN

GLORIA DRAKE

CLAUDIA MOTL

AIMEE SLAUGHTER

AIMEE SLAUGHTER

NATASHA KUSHNER

SHANNA SWANSON

CARI DOUCETTE

CARI DOUCETTE

ANNE MARIE HANSEN

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

Page 328: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

291

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

GUARDIAN HOMES INC

GUARDIAN HOMES, INC.

HAMMER - LAKESIDE

HARBOR HEALTH MANAGEMENT LLC

HAVENWOOD OF MINNETONKA

HERITAGE HOUSE

KAREN HOME

LANDINGS OF MINNETONKA

LEGACY CARE HOME

LEGACY CARE HOME

11301 MINNETONKA BOULEVARD

11301 MINNETOKA BOULEVARD

5209 MICHAELE LANE

16192 HIGHWAY 7

17710 OLD EXCELSIOR BOULEVARD

5458 SMETANA DRIVE

11711 KAREN LANE

14505 MINNETONKA DRIVE

14814 CROWN DRIVE

14900 CROWN DRIVE

MINNETONKA, MN 55305

MINNETONKA, MN 55305

MINNETONKA, MN 55345

MINNETONKA, MN 55345

MINNETONKA, MN 55345

MINNETONKA, MN 55343

MINNETONKA, MN 55343

MINNETONKA, MN 55345

MINNETONKA, MN 55345

MINNETONKA, MN 55345

612/702-0090

612/702-0090

952/473-1261

763/762-8990

952/209-1440

612/865-0532

612/242-9164

952/988-0011

612/597-3153

612/597-3153

Corp

Corp

NProf

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Corp

COMP

SLFB-6

COMP

TCOMP

ICFIID-6

(34644)

(34908)

(01594)

(33942)

(34662)

(35799)

(35737)

(20107)

(27968)

(30574)

FAX: 952/516-5966

FAX: 952/516-5966

FAX: 952/473-8629

FAX: 763/208-2976

FAX: 952/209-1416

FAX: /-

FAX: /-

FAX: 952/912-0051

FAX: 952/938-5401

FAX: 952/938-5401

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

NAIMA AHMED

NAIMA AHMED

JOHN ESTREM

JENNIFER THORSON

JACOB SCHNEIDER

AMAL MOHAMED

BATULLO MOALIN

MARK RADMACHER

CATALINA HEMP

CATALINA HEMP

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWSAL

HWSAL-O

HWSAL

HWSAL

HWSAL

Page 329: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

292

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

LEGACY CARE HOME

MERCY CARE HOME LLC

MERCY CARE HOME LLC

MERRY LAKE LLC

MINNESOTA EYE LASER & SURGERY CENTERS, LLC

MINNESOTA WELLNESS CENTER LLC

MINNESOTA WELLNESS CENTER LLC

MINNETONKA AMBULATORY SURGERY CENTER, LLC

MINNETONKA ASSISTED LIVING LLC

MINNETONKA DIALYSIS UNIT

5531 EDEN PRAIRIE ROAD

5005 WOODLAND ROAD

5005 WOODLAND ROAD

14803 BELVOIR DRIVE

10709 WAYZATA BOULEVARD #100

11103 OAK KNOLL TERRACE NORTH

11103 OAK KNOLL TERRACE NORTH

15450 HIGHWAY 7 #200

14667 LAKE ST EXT

17809 HUTCHINS DRIVE

MINNETONKA, MN 55345

MINNETONKA, MN 55345

MINNETONKA, MN 55345

MINNETONKA, MN 55345

MINNETONKA, MN 55305

MINNETONKA, MN 55305

MINNETONKA, MN 55305

MINNETONKA, MN 55345

MINNETONKA, MN 55345

MINNETONKA, MN 55345

612/597-3153

612/226-0533

612/226-0533

206/466-9097

952/888-5800

612/618-5841

612/618-5841

763/581-8950

952/405-6960

952/470-9944

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

test

Lim-Liab

Lim-Liab

Lim-Liab

Corp

TCOMP

Outpt Surg

Outpt Surg

Amb Surg

Amb Surg

ESRD

(33588)

(35802)

(34933)

(36981)

(29777)

(36097)

(36098)

(31266)

(30700)

(03583)

FAX: 952/938-5401

FAX: /-

FAX: 612/568-9902

FAX: /-

FAX: 952/567-6156

FAX: 651/646-0950

FAX: 651/646-0950

FAX: 763/581-8951

FAX: 952/456-6466

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

CATALINA HEMP

MUSA JIMAALE

MUSA JIMAALE

NASH OMAR

DOMINIKA FORSYTH

UBAH SHIRWA

UBAH SHIRWA

DAKOTA NEISEN

SOMCHANARY KUOCH

BARBARA LAWRENZ

---------------------------********** --------------------------(Cont.)*

HWSAL

HWS

HWSAL-O

HWSAL-O

HWSAL-O

HWSAL

Page 330: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

293

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

MORNING GLORY HOMES INC

MORNING GLORY HOMES INC

MORNING GLORY HOMES INC

NEW PERSPECTIVE - CARLSON PARKWAY

NEW PERSPECTIVE SENIOR LIVING

NIGHTINGALE HOME HEALTHCARE

NURTURING CARE RESIDENCE

NURTURING CARE RESIDENCE

ORCHARDS OF MINNETONKA SENIOR LIVING

PAMELA J COLEMAN-OLSON

18626 CLEARVIEW DRIVE

18626 CLEARVIEW DRIVE

4328 WILLISTON ROAD

500 CARLSON PARKWAY

5900 CLEARWATER DRIVE STE 500

10550 WAYZATA BOULEVARD #1

4441 HUNTERS RIDGE ROAD

4441 HUNTERS RIDGE ROAD

10955 WAYZATA BOULEVARD

10501 CEDAR LAKE ROAD APT 319

MINNETONKA, MN 55345

MINNETONKA, MN 55345

MINNETONKA, MN 55345

MINNETONKA, MN 55305

MINNETONKA, MN 55343

MINNETONKA, MN 55305

MINNETONKA, MN 55345

MINNETONKA, MN 55345

MINNETONKA, MN 55305

MINNETONKA, MN 55305

952/607-0725

952/846-8606

952/607-0725

952/473-3330

952/746-3630

763/545-3131

267/721-9838

267/721-9838

763/417-1077

612/816-8818

Corp

Corp

Corp

Lim-Liab

Lim-Liab

Corp

Corp

Corp

Lim-Liab

Ind

COMP

COMP

COMP

COMP

(29503)

(29504)

(31881)

(30757)

(33197)

(23521)

(24964)

(24965)

(34716)

(29471)

FAX: 952/294-8121

FAX: 952/294-8121

FAX: 952/294-8121

FAX: 952/473-7555

FAX: /-

FAX: 866/878-0094

FAX: 763/201-7821

FAX: 763/201-7821

FAX: /-

FAX: 763/541-1774

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ANDREW KOHN

KENNETH KOHN

KENNETH KOHN

VINCE BECKEL

RYAN NOVACZYK

DEV BRAR

BHARTI NAKRANI

BHARTI NAKRANI

ERIN HILLIGAN

PAMELA COLEMAN OLSON

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL

Home Mgmt

Page 331: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

294

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

PEDIATECH NURSING

PHS/BEACON HILL INC.

RAKHMA GRACE HOME

RAKHMA HOME CARE

RECOVER CARE

RECOVER HEALTH

REM HENNEPIN (MINNETONKA)

ST. DAVID'S CHILD DEVELOPMENT AND FAMILY SERVICES

ST. JOHN HOME CARE

ST. JOHN HOME CARE LLC

15612 HIGHWAY 7 #160

5300 BEACON HILL ROAD

5126 MAYVIEW ROAD

5126 MAYVIEW ROAD

5900 GREEN OAK DRIVE STE 200

5900 GREEN OAK DRIVE #200

21 WESTWOOD ROAD

3395 PLYMOUTH ROAD

1502 ARCHWOOD ROAD

1502 ARCHWOOD ROAD

MINNETONKA, MN 55345

MINNETONKA, MN 55345

MINNETONKA, MN 55345

MINNETONKA, MN 55345

MINNETONKA, MN 55343

MINNETONKA, MN 55343

MINNETONKA, MN 55305

MINNETONKA, MN 55305

MINNETONKA, MN 55305

MINNETONKA, MN 55305

952/500-8050

952/988-8800

612/824-2345

612/824-2345

952/358-3168

952/926-9808

952/922-6776

952/939-0396

612/245-3474

612/245-3474

Lim-Liab

NProf

NProf

NProf

Corp

Corp

Corp

NProf

Lim-Liab

Lim-Liab

COMP

COMP

COMP

SLFA-12

COMP

COMP

HHA

ICFIID-12

Out Pt Out St Out Ot

(27859)

(20025)

(20102)

(20102)

(21882)

(02478)

(01403)

(03487)

(27997)

(27697)

FAX: 952/500-8693

FAX: 952/988-8815

FAX: 612/351-8061

FAX: 612/351-8061

FAX: 866/216-3953

FAX: 952/926-4002

FAX: 952/922-6885

FAX: /-

FAX: 612/357-1060

FAX: 612/357-1060

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

MARIA DEWEY

MAUREEN HOMA

BRANDON SPEARS

BRANDON SPEARS

EMILY TIMM

JACQUELINE IRWIN

DEVIN NELSON

BETH FAGIN

MOPELOLA AKINLOYE

MOPELOLA AKINLOYE

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

Page 332: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

295

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

ST. JOHN HOME CARE, LLC

ST. JOHN HOME CARE, LLC

STEVENS RESIDENCE

STONECREST LIVING

STONECREST LIVING

STONECREST LIVING

STONECREST LIVING

STONECREST LIVING INC

SUNRISE OF MINNETONKA

SYNCARE INC

1502 ARCHWOOD ROAD

1502 ARCHWOOD ROAD

3704 CARDINAL ROAD

4108 MERRIAM ROAD

5014 BAKER ROAD

5022 BAKER ROAD

4620 GAYWOOD DRIVE

4108 MERRIAM ROAD

18605 OLD EXCELSIOR BOULEVARD

11100 JOY LANE

MINNETONKA, MN 55305

MINNETONKA, MN 55305

MINNETONKA, MN 55345

MINNETONKA, MN 55305

MINNETONKA, MN 55343

MINNETONKA, MN 55343

MINNETONKA, MN 55345

MINNETONKA, MN 55305

MINNETONKA, MN 55345

MINNETONKA, MN 55305

612/245-3474

612/245-3474

952/681-2755

612/991-2140

612/422-1251

612/422-1251

612/442-1251

612/442-1251

952/474-9155

612/747-3263

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Corp

Corp

Corp

Corp

Corp

Corp

COMP

COMP

COMP

TCOMP

(27697)

(30756)

(20517)

(35481)

(36737)

(36738)

(37074)

(34971)

(24011)

(35602)

FAX: 612/357-1060

FAX: 952/545-6411

FAX: 952/930-9184

FAX: 612/392-7928

FAX: 612/392-7928

FAX: 612/392-7928

FAX: 612/392-7928

FAX: 612/392-7928

FAX: 952/474-9171

FAX: 612/435-1231

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

MOPELOLA AKINLOYE

MOPELOLA AKINLOYE

AIMEE SLAUGHTER

GABRIELLE LEE

GABRIELLE LEE

GABRIELLE LEE

GABRIELLE LEE

GABRIELLE LEE

BREANNA BRUCE

ANN HORTILLOSA

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL-O

HWSAL-O

HWSAL-O

Page 333: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

296

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

SYNCARE, INC JOY HOME

THE GLENN MINNETONKA

THE WATERS SENIOR LIVING MANAGEMENT LLC

VOA HOME HEALTH AT ELDER HOMESTEAD

SOJOURN SUITES ST BONIFACIUS

CHASE COURAGEOUS HEALTH SERVICES

HARRISON BAY SENIOR LIVING

SOJOURN SUITES LYNWOOD

SOJOURN SUITES WESTEDGE

TRANQUIL LIVING

11100 JOY LANE

5300 WOODHILL ROAD

1600 HOPKINS CROSSROAD

11400 4TH STREET NORTH

4720 COUNTY ROAD 92

7708 REGENT AVENUE NORTH

1861 COMMERCE BOULEVARD

5724 LYNWOOD BOULEVARD

2895 WESTEDGE BOULEVARD

2521 WILSHIRE BOULEVARD

MINNETONKA, MN 55305

MINNETONKA, MN 55345

MINNETONKA, MN 55305

MINNETONKA, MN 55343

MINNETRISTA, MN 55387

MMINEAPOLIS, MN 55443

MOUND, MN 55364

MOUND, MN 55364

MOUND, MN 55364

MOUND, MN 55364

952/513-7075

952/352-1000

952/358-5100

952/283-2600

612/790-9292

612/707-9072

612/430-8150

952/473-1810

952/472-6642

952/361-0080

Corp

NProf

Lim-Liab

NProf

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

COMP HCBS

COMP

(37279)

(28261)

(30281)

(23500)

(32650)

(35083)

(34150)

(27232)

(24342)

(34050)

FAX: 612/435-1231

FAX: 952/345-4402

FAX: 952/358-5151

FAX: 952/283-2606

FAX: 952/400-3542

FAX: /-

FAX: 612/389-7301

FAX: 952/400-3542

FAX: 952/400-3542

FAX: 952/314-9613

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ANN HORTILLOSA

LORI MCGUIRE

TAMI KOZIKOWSKI

CLAUDIA MOTL

THOMAS PENN

KRUBO MULBAH

SUSAN BEAM

THOMAS PENN

THOMAS PENN

KIMLOAN SLOSS

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWSAL

HWSAL-O

HWSAL-O

HWSAL

HWSAL

HWSAL

HWSAL-O

Page 334: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

297

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

ASHTON HOMES LLC

ASHTON HOMES, LLC

ASSISTED LIVING AT NORTH RIDGE

BASS LAKE COURT TOWNHOMES

BASS LAKE TOWNHOMES

BASS TOWNHOMES

BEN'S HOUSE

BERKELEY HEIGHTS HOMES LLC

DECATUR HOUSE

GENTLE CARE HOMES INC

9300 NORTHWOOD PARKWAY

3840 BOONE AVENUE NORTH

5500 BOONE AVENUE NORTH

7360 BASS LAKE ROAD

7302 BASS LAKE ROAD

7378 BASS LAKE ROAD

5337 OREGON AVENUE NORTH

3957 WISCONSON AVENUE NORTH

5817 DECATUR AVENUE NORTH

8308 49TH AVENUE NORTH

NEW HOPE, MN 55427

NEW HOPE, MN 55427

NEW HOPE, MN 55428

NEW HOPE, MN 55428

NEW HOPE, MN 55428

NEW HOPE, MN 55428

NEW HOPE, MN 55428

NEW HOPE, MN 55427

NEW HOPE, MN 55428

NEW HOPE, MN 55428

763/777-1059

763/777-1059

763/592-3000

763/536-8134

763/536-8134

763/536-8134

763/566-0831

763/354-0850

763/205-5880

612/388-8667

Lim-Liab

Lim-Liab

Lim-Liab

NProf

NProf

NProf

Corp

Lim-Liab

Corp

Corp TCOMP

(34331)

(36009)

(20257)

(24492)

(23642)

(26524)

(28278)

(37274)

(37091)

(35865)

FAX: 763/219-4401

FAX: 763/219-4401

FAX: 763/592-4099

FAX: 763/536-8893

FAX: 763/536-8893

FAX: 763/536-8893

FAX: 763/208-7071

FAX: 763/219-4401

FAX: 763/205-5878

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JOSLYN DAYRELL

NATALIE SEARS

AMY MEINECKE

MICHELLE WINCELL O'LEARY

MICHELLE WINCELL O'LEARY

MICHELLE WINCELL O'LEARY

ROGER BONNY

SEKU DUKULY

ANNE NESS

NUMAN SHAIKH

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL-O

HWSAL-O

HWSAL-O

HWSAL

HWSAL

HWSAL

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298

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Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

GENTLE CARE HOMES, INC

GOOD SAMARITAN SOCIETY - AMBASSADOR

HAYDEN'S HOUSE

HOME HEALTH AT NORTH RIDGE

I HEART HOMES INC

IHEART HOUSING WITH SERVICES INC

INTEGRA HOME HEALTH PROF. LLC

INTEGRA HOME HEALTH PROFESSIONALS LLC

JOHNSON PARK PLACE

LIVING LIFE HOME CARE

8308 49TH AVENUE NORTH

8100 MEDICINE LAKE ROAD

6057 SUMTER PLACE NORTH

5500 BOONE AVENUE NORTH

6032 YUKON AVENUE NORTH

6032 YUKON AVENUE NORTH

4532 BOONE AVENUE NORTH

4532 BOONE AVENUE NORTH

2765 VIRGINA AVENUE NORTH

9220 BASS LAKE ROAD #215

NEW HOPE, MN 55428

NEW HOPE, MN 55427

NEW HOPE, MN 55428

NEW HOPE, MN 55428

NEW HOPE, MN 55428

NEW HOPE, MN 55428

NEW HOPE, MN 55428

NEW HOPE, MN 55428

NEW HOPE, MN 55427

NEW HOPE, MN 55428

612/388-8667

763/544-4171

952/848-0935

763/592-3000

963/533-5062

763/533-5062

763/537-9530

763/210-5170

763/417-4625

612/435-7140

Corp

NProf

Lim-Liab

Lim-Liab

Corp

Corp

Lim-Liab

Lim-Liab

NProf

Corp

NH-77

COMP

COMP HCBS

COMP

COMP

COMP

SNF-NF-77

(36229)

(00898)

(34851)

(02852)

(35912)

(36313)

(34776)

(34406)

(20009)

(26152)

FAX: 612/429-4564

FAX: 763/591-7191

FAX: 952/920-6929

FAX: 763/592-4099

FAX: 963/537-6159

FAX: 763/316-5351

FAX: 763/392-0435

FAX: 763/392-0435

FAX: 763/417-4626

FAX: 612/435-7141

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

NUMAN SHAIKH

MALLORIE HABISCH

LUIS OROZCO

AMY MEINECKE

ELEANA GBADAMASSI

ELEANA GBADAMASSI

ABDIRIZAK HASSAN

ABDIRIZAK HASSAN

ANNA MINSKE

KATHY HINTZ

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWS-O

HWS-O

HWSAL-O

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299

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

M.T.A.I. MINNEHAHA CREEK

MILLENNIUM HOMES LLC

MINN CARE HOME HEALTH LLC

NEW HOPE APARTMENTS

NEW HOPE DIALYSIS CENTER

NEW HOPE HEALTH CARE LLC

NEW LIFE HEALTH SERVICE

NORTH PARK PLAZA

NORTH RIDGE HEALTH AND REHAB

OTTAWA HOME HEALTH SERVICES LLC

8949 48TH AVENUE NORTH

9307 59TH AVENUE NORTH

3541 FLAG AVENUE NORTH

7376 BASS LAKE ROAD

5640 INTERNATIONAL PARKWAY

9220 BASS LAKE ROAD #395

4756 DECATUR AVENUE NORTH

8201 45TH AVENUE NORTH

5430 BOONE AVENUE NORTH

9317 NORTHWOOD PARKWAY

NEW HOPE, MN 55428

NEW HOPE, MN 55428

NEW HOPE, MN 55427

NEW HOPE, MN 55428

NEW HOPE, MN 55428

NEW HOPE, MN 55428

NEW HOPE, MN 55428

NEW HOPE, MN 55428

NEW HOPE, MN 55428

NEW HOPE, MN 55427

763/537-9220

612/865-9080

763/200-6270

763/536-8134

763/537-0300

763/400-6350

612/200-0112

763/259-5221

763/592-3000

612/242-9073

Corp

Lim-Liab

Lim-Liab

NProf

Corp

Lim-Liab

Lim-Liab

NProf

Lim-Liab

Part

SLFA-5

TCOMP HCBS

NH-320

ICFIID-5

ESRD

SNF-NF-320

(01563)

(36084)

(35572)

(23487)

(24101)

(36025)

(35815)

(34721)

(00238)

(37402)

FAX: 763/537-6416

FAX: 763/432-5720

FAX: 763/201-7908

FAX: 763/536-8893

FAX: 763/537-0340

FAX: 763/592-8077

FAX: 763/515-4196

FAX: 888/974-5934

FAX: 763/592-2999

FAX: 612/314-8606

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

BRENT KROCAK

ELLA SELYNKOV

IKENNA DIJEH

MICHELLE WINCELL O'LEARY

BROOKE EGULA

MUNTAHA ISSA

AREE THOMPSON

JENNIFER PERSONS

JULIE SPIERS

LENNY FROLOV

---------------------------********** --------------------------(Cont.)*

HWSAL

HWS

HWSAL-O

HWSAL

HWSAL

HWSAL

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300

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

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Page

Registration

HENNEPIN

OTTAWA HOME HEALTH SERVICES, LLC

PUSH SERVICES INC

PUSH SERVICES INC

RESTART ZEALAND

ST. THERESE HOME

ST. THERESE RESIDENCE

ST. THERESE RESIDENCE NURSING

THE APPOINTED HOME LLC

THE CARING SISTERS HOME CARE SERVICES, INC

THE LODGE OF NEW HOPE

3554 BOONE AVENUE NORTH

8015 36TH AVENUE NORTH

8015 36TH AVENUE NORTH #119

2717 ZEALAND AVENUE NORTH

8000 BASS LAKE ROAD

8008 BASS LAKE ROAD

8008 BASS LAKE ROAD

6032 YUKON AVENUE NORTH

2916 WINNETKA AVENUE NORTH

2765 VIRGINA AVENUE NORTH

NEW HOPE, MN 55427

NEW HOPE, MN 55427

NEW HOPE, MN 55427

NEW HOPE, MN 55427

NEW HOPE, MN 55428

NEW HOPE, MN 55428

NEW HOPE, MN 55428

NEW HOPE, MN 55428

NEW HOPE, MN 55427

NEW HOPE, MN 55427

612/242-9073

952/229-7432

952/297-4327

763/951-2541

763/531-5000

763/531-5400

763/531-5400

612/407-2182

763/533-6822

763/417-4625

Part

Corp

Corp

NProf

NProf

NProf

NProf

Lim-Liab

Corp

NProf

NH-168

COMP

COMP

SNF-NF-168

(36907)

(33702)

(34276)

(32727)

(00261)

(20141)

(03020)

(35152)

(29359)

(20009)

FAX: 612/314-8606

FAX: /-

FAX: 763/497-0005

FAX: 763/951-2794

FAX: 763/531-5004

FAX: 763/531-5468

FAX: 763/531-5468

FAX: /-

FAX: 952/285-2844

FAX: 763/417-4626

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

LENNY FROLOV

PRINCESS NIMELY

PRINCESS NIMELY

STEVE PIEKARSKI

BROOKE PEOPLES

DINAH MARTIN KMETZ

BROOKE PEOPLES

ELEANA GBADAMASSI

OLALEYE BECKLEY

ANNA MINSKE

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWSAL

HWSAL

HWS-O

HWSAL

HWSAL

HWSAL-O

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301

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Page

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HENNEPIN

THE LODGE OF NEW HOPE

TOTALCARE ASSISTED LIVIN

TOTALCARE ASSISTED LIVING SERVICES

ALL FAMILY HOME CARE WITH SERVICES

TRAILS OF ORONO

BENEDICTINE SENIOR LIVING AT STEEPLE POINTE

BENEDICTINE SENIOR LIVING AT STEEPLE POINTE

COMFORT KEEPERS

COMFORT KEEPERS

OSSEO GARDENS ASSISTED LIVING

2765 VIRGINIA AVENUE NORTH

2730 WINNETKA AVENUE NORTH

2730 WINNETKA AVENUE NORTH

6090 46TH ST. NORTH

875 WAYZATA BOULEVARD

625 CENTRAL AVENUE

625 CENTRAL AVENUE

524 CENTRAL AVENUE

524 CENTRAL AVENUE

525 2ND STREET SE

NEW HOPE, MN 55427

NEW HOPE, MN 55428

NEW HOPE, MN 55428

OAKDALE, MN 55128

ORONO, MN 55391

OSSEO, MN 55369

OSSEO, MN 55369

OSSEO, MN 55369

OSSEO, MN 55369

OSSEO, MN 55369

763/417-4625

763/205-7102

763/205-1702

763/218-4102

952/473-6655

763/391-0749

763/391-0749

763/273-4207

763/273-4207

763/315-4869

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

NProf

NProf

Lim-Liab

Lim-Liab

Lim-Liab

COMP

COMP

COMP

(34108)

(25459)

(24859)

(37016)

(28637)

(20531)

(30687)

(33183)

(34421)

(21206)

FAX: 763/417-4626

FAX: 763/205-1703

FAX: 763/205-1703

FAX: 763/392-0033

FAX: 952/473-6677

FAX: 763/391-0747

FAX: 763/391-0747

FAX: 763/273-4934

FAX: 763/273-4934

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

DAVE POKORNEY

NNENNA ANYAOGU

NNENNA ANYAOGU

PETER AKWICHEK

CHELSEA ADNEY

KENDRA O'BRIEN

RENEE SKOGLUND

JENNIFER BAUERNFEIND

JENNIFER BAUERNFEIND

CHARLES PETRICH

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL

Home Mgmt

HWSAL

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302

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

THE VILLA AT OSSEO

ALL HOPES INCORPORATED

AMERICAN BEST HOME CARE, INC

BAYADA HOME HEALTH CARE, INC.

BRIGHTSTAR CARE OF PLYMOUTH

BROOKDALE PLYMOUTH

BROOKDALE PLYMOUTH

CHAMPIONS VILLAGE LLC

CHERRYWOOD POINTE OF PLYMOUTH

CLARE BRIDGE OF PLYMOUTH

501 2ND STREET SE

5549 VINEWOOD LANE NORTH

10230 28TH AVENUE NORTH

2905 NW BOULEVARD #100

3131 FERNBROOK LANE #105

15855 22ND AVENUE NORTH

15855 22ND AVENUE NORTH

15570 59TH AVENUE NORTH

18405 OLD ROCKFORD ROAD

15855 22ND AVENUE NORTH

OSSEO, MN 55369

PLYMOUTH, MN 55442

PLYMOUTH, MN 55441

PLYMOUTH, MN 55441

PLYMOUTH, MN 55447

PLYMOUTH, MN 55447

PLYMOUTH, MN 55447

PLYMOUTH, MN 55446

PLYMOUTH, MN 55446

PLYMOUTH, MN 55447

763/762-1800

763/482-1487

763/432-7323

952/935-5581

763/432-5095

763/476-8200

763/476-8200

612/817-5100

763/478-4244

763/476-8200

Lim-Liab

Corp

Corp

NProf

Lim-Liab

Corp

Corp

Lim-Liab

Lim-Liab

Corp

NH-20 BCH-80

COMP

COMP

COMP

COMP

TCOMP

COMP

SNF-NF-20 NF2-80

HHA

(00733)

(32999)

(37361)

(02349)

(34424)

(20537)

(30690)

(35618)

(33599)

(20537)

FAX: 763/424-2777

FAX: 763/577-4160

FAX: 763/432-6856

FAX: 763/550-5281

FAX: /-

FAX: 763/476-5900

FAX: 763/476-5900

FAX: /-

FAX: 763/478-4240

FAX: 763/476-5900

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

KRISTINA UMBERGER

VICTOR AWOSIKA

SEGUN OLATAYO

AMBER KIM

JUSTIN PRISENDORF

LISA URSINI

LISA URSINI

LALI GALAN

ERIN HILLIGAN

LISA URSINI

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

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303

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

CORNERSTONE ASSISTED LIVING

CORNERSTONE ASSISTED LIVING

CORNERSTONE ASSISTED LIVING OF PLYMOUTH, INC.

DUNGARVIN - CHAI

FRESENIUS MEDICAL CARE PLYMOUTH CREEK

GENEROUS HOME CARE SERVICES, INC

GIANNA HOMES - GLADYS' PLACE, LLC

GIANNA HOMES GLADYS' PLACE LLC

HAMMER - KENTUCKY

HAMMER - MCGLINCH

3750 LAWNDALE LANE NORTH

3750 LAWNDALE LANE NORTH

3750 LAWNDALE LANE NORTH

1210 OAKVIEW LANE NORTH

3007 HARBOR LANE

3835 SARATOGA LANE NORTH

10210 28TH AVENUE NORTH

10210 28TH AVENUE NORTH

18115 30TH AVENUE NORTH

18300 26TH AVENUE NORTH

PLYMOUTH, MN 55446

PLYMOUTH, MN 55446

PLYMOUTH, MN 55446

PLYMOUTH, MN 55441

PLYMOUTH, MN 55446

PLYMOUTH, MN 55441

PLYMOUTH, MN 55441

PLYMOUTH, MN 55441

PLYMOUTH, MN 55447

PLYMOUTH, MN 55447

763/550-0333

763/550-0333

763/550-0333

651/699-6050

763/494-0316

612/235-1680

952/988-0953

952/988-0953

952/473-1261

952/473-1261

NProf

NProf

NProf

Lim-Liab

Corp

Lim-Liab

Lim-Liab

Lim-Liab

NProf

NProf

COMP

COMP

SLFA-6

COMP

SLFB-6

SLFB-6

ESRD

ICFIID-6

ICFIID-6

(23083)

(30301)

(23083)

(01211)

(31977)

(36234)

(30017)

(30018)

(01581)

(01669)

FAX: 763/390-1888

FAX: 763/390-1888

FAX: 763/390-1888

FAX: 651/699-7265

FAX: 763/494-4201

FAX: /-

FAX: 952/988-6935

FAX: 952/988-6935

FAX: 952/473-8629

FAX: 952/473-8629

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

AUBREY FOSS

AUBREY FOSS

AUBREY FOSS

ANNA HEGLAND

JENA ANDERBERG

SUCDI AHMED

CARI DOUCETTE

CARI DOUCETTE

JOHN ESTREM

JOHN ESTREM

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL-O

HWSAL

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304

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

HAZELDEN CENTER FOR YOUTH AND FAMILY

HOME CARE SOLUTIONS

HOMEWARD BOUND - PLYMOUTH

ILBNC SPECIAL PROCEDURES

INFINITY CARE CORP

INFINITY CARE CORP

INTERLUDE

INTERLUDE RESTORATIVE SUITES

JOY LIVING INC

JOYFUL COMPANIONS HOME CARE

11505 36TH AVENUE NORTH

3390 ANNAPOLIS LANE #A

13522 SUNSET TRAIL

15700 37TH AVENUE NORTH #210

14015 COUNTY ROAD 9

14015 COUNTY ROAD 9

2775 CAMPUS DRIVE NORTH

2775 CAMPUS DRIVE NORTH

430 NIAGARA LANE NORTH

10700 OLD COUNTY ROAD 15 #290

PLYMOUTH, MN 55441

PLYMOUTH, MN 55447

PLYMOUTH, MN 55441

PLYMOUTH, MN 55446

PLYMOUTH, MN 55447

PLYMOUTH, MN 55447

PLYMOUTH, MN 55441

PLYMOUTH, MN 55441

PLYMOUTH, MN 55447

PLYMOUTH, MN 55441

763/509-3843

763/231-9000

763/746-4850

952/814-6610

612/814-1255

612/814-1255

763/577-3400

763/577-3400

612/607-9109

763/544-0401

NProf

Corp

NProf

Corp

Corp

Corp

NProf

NProf

Corp

Corp

SLFB-6

COMP

SLFB-6

Outpt Surg

TCOMP

NH-50

ICFIID-6

Amb Surg

SNF-NF-50

(01367)

(03628)

(01583)

(23976)

(36896)

(35788)

(29763)

(32051)

(35819)

(25429)

FAX: 651/213-4551

FAX: 763/231-9004

FAX: 763/525-4084

FAX: 763/557-6775

FAX: /-

FAX: 763/374-8205

FAX: 763/577-3401

FAX: 763/577-3401

FAX: /-

FAX: 763/746-8156

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

MARK SHEETS

STEVE WARNER

GERRI DUKART GBOR

BECKIE HINES

AYAAN MOHAMED

AYAAN MOHAMED

KAYLA WAGNER

KAYLA WAGNER

ABDIRIZAK ISSE

JERI GORT

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWS

HWSAL

Home Mgmt

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305

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

JUDY RATTERATH WITHDRAWAL MANANGEMENT CENTER

MINNESOTAWEST H HEALTHCARE

MISSION NURSING HOME

MNGI ENDOSCOPY PLYMOUTH

MTAI PLYMOUTH EAST

NOBLE HOME CARE SERVICE LLC

ON-BELAY HOUSE

PAMELA FILLHOUER

PARK'S PLACE

PARKS' PLACE

3409 E MEDICINE LAKE BOULEVARD

3403 KILMER LANE NORTH

3401 E MEDICINE LAKE BOULEVARD

15700 37TH AVENUE NORTH #300

11550 52ND AVENUE NORTH

14215 55TH PLACE NORTH

115 FORESTVIEW LANE NORTH

2650 NORWOOD LANE NORTH

18040 MEDINA ROAD

18040 MEDINA ROAD

PLYMOUTH, MN 55441

PLYMOUTH, MN 55441

PLYMOUTH, MN 55441

PLYMOUTH, MN 55446

PLYMOUTH, MN 55413

PLYMOUTH, MN 55446

PLYMOUTH, MN 55441

PLYMOUTH, MN 55441

PLYMOUTH, MN 55446

PLYMOUTH, MN 55446

763/559-1402

763/432-9172

763/559-3123

612/871-1145

763/208-4889

612/205-1408

763/546-8008

763/370-8617

763/710-8484

763/292-2706

NProf

Corp

NProf

Corp

Corp

Lim-Liab

Corp

Ind

Lim-Liab

Lim-Liab

SLFB-21

COMP

NH-90

Outpt Surg

SLFB-6

SLFA-20

COMP

SNF-NF-90

Amb Surg

ICFIID-6

(01384)

(32182)

(00235)

(21575)

(01471)

(36111)

(01293)

(31855)

(35275)

(35447)

FAX: 763/559-2559

FAX: 763/276-9930

FAX: 763/559-0604

FAX: 612/870-5491

FAX: 763/208-4890

FAX: /-

FAX: 763/546-7674

FAX: /-

FAX: /-

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JESSICA SPRENGER

KENNEDY MOGERE

RICHARD FEENEY

SCOTT KETOVER

BRENT KROCAK

BETH WOLDE

JON BENSON

PAMELA FILLHOUER

JULIANNE FRIES

JULIANNE FRIES

---------------------------********** --------------------------(Cont.)*

Home Mgmt

Home Mgmt

HWSAL

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306

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

PIONEER ESTATES

PIONEER ESTATES OF MINNESOTA

PLEASANT LIGHT LLC

RAJO CARE HOME INC

REHABCARE

REHABCARE AGENCY MN

RIGHT AT HOME

SENIORS HELPING SENIORS

SOJOURN SUITES PLYMOUTH

SOLBAKKEN INC.

8751 PRESERVE BOULEVARD

8751 PRESERVE BOULEVARD

6150 QUINWOOD LANE NORTH

14015 ROCKFORD ROAD

3390 ANNAPOLIS LANE NORTH #B

3390 ANNAPOLIS LANE NORTH #B

3720 EVERGREEN LANE NORTH

14565 41ST AVENUE NORTH

1210 VAGABOND LANE

16200 37TH AVENUE NORTH

PLYMOUTH, MN 55344

PLYMOUTH, MN 55344

PLYMOUTH, MN 55442

PLYMOUTH, MN 55447

PLYMOUTH, MN 55433

PLYMOUTH, MN 55447

PLYMOUTH, MN 55441

PLYMOUTH, MN 55446

PLYMOUTH, MN 55447

PLYMOUTH, MN 55446

612/200-0901

612/200-0901

651/500-8335

612/859-6065

763/767-0854

763/767-0854

763/337-2691

763/694-0165

612/790-9292

209/600-5292

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Lim-Liab

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Corp

COMP

COMP

TCOMP

COMP

Out Pt Out St Out Ot

(20455)

(20455)

(35336)

(33878)

(27066)

(02199)

(36857)

(28740)

(34954)

(36006)

FAX: 612/677-3172

FAX: 612/677-3172

FAX: 763/205-4580

FAX: 952/479-9540

FAX: 763/862-6533

FAX: 763/862-6533

FAX: /-

FAX: 763/694-0165

FAX: 612/590-9250

FAX: 763/273-4527

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

HEATHER HEIJERMAN

HEATHER HEIJERMAN

JOSPHAT OMARI

SAID BARRE

TRAVIS KIERSTEAD

TRAVIS KIERSTEAD

KRISTIN CANNY

CHERI NISPEL

THOMAS PENN

DARLA THAO

---------------------------********** --------------------------(Cont.)*

HWSAL

Home Mgmt

Home Mgmt

HWSAL

HWSAL

Page 344: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

307

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

ST. JOHN HOME CARE

ST. JOHN HOME CARE LLC

ST. JOHN HOME CARE LLC

ST. JOHN HOME CARE LLC

ST. JOHN HOME CARE LLC

SUMMERWOOD OF PLYMOUTH

SUMMERWOOD OF PLYMOUTH

SUNLIGHT INC

SYNCARE INC

SYNCARE INC

2464 HEMLOCK LANE NORTH

10805 SOUTH SHORE DRIVE

14312 ROCKFORD ROAD

17515 30TH AVENUE NORTH

3220 NATHAN LANE NORTH

16205 36TH AVENUE NORTH

16205 36TH AVENUE NORTH

350 NATHAN LANE NORTH #239

13245 45TH AVENUE NORTH

13245 45TH AVENUE NORTH

PLYMOUTH, MN 55441

PLYMOUTH, MN 55441

PLYMOUTH, MN 55446

PLYMOUTH, MN 55447

PLYMOUTH, MN 55441

PLYMOUTH, MN 55446

PLYMOUTH, MN 55446

PLYMOUTH, MN 55441

PLYMOUTH, MN 55442

PLYMOUTH, MN 55442

612/245-3474

612/245-3474

612/245-3474

612/245-3474

612/245-3474

763/383-8888

763/383-8888

404/618-8472

612/747-3263

612/747-3263

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

NProf

Corp

Corp

Corp

COMP

TCOMP

COMP

(36867)

(37126)

(36598)

(36029)

(34786)

(27963)

(30236)

(35115)

(33059)

(33880)

FAX: 612/357-1060

FAX: 612/357-1060

FAX: 612/357-1060

FAX: 612/357-1060

FAX: 952/545-6411

FAX: 763/383-0032

FAX: 763/383-0032

FAX: /-

FAX: 612/435-1231

FAX: 612/435-1231

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

MOPELOLA AKINLOYE

MOPELOLA AKINLOYE

MOPELOLA AKINLOYE

JOY AKINLOYE

MOPELOLA AKINLOYE

JAN KOOMEN

CRYSTAL KUROWSKI

RASIYA MUMIN

ANN HORTILLOSA

ANN HORTILLOSA

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL

HWS

Page 345: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

308

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

THE BIRCHES AT TRILLIUM WOODS

THE WATERS OF PLYMOUTH

TOUCHING HEARTS AT HOME

TOUCHING HEARTS AT HOME

TRILLIUM WOODS

WESTHEALTH SURGERY CENTER, LLC

WELCOME HOME LLC

A CARING HOME LLC

AFFINITY RESIDENTIAL CARE LLC

AMANA HOME CARE LLC

14585 59TH AVENUE NORTH

11305 HIGHWAY 55

2415 ANNAPOLIS LANE NORTH #110

3340 ANNAPOLIS LANE NORTH

5855 CHESHIRE PARKWAY

2855 CAMPUS DRIVE #200

6808 3RD AVENUE SOUTH

6231 BLOOMINGTON AVENUE

6604 4TH AVENUE SOUTH

7010 BLOOMINGTON AVENUE SOUTH

PLYMOUTH, MN 55446

PLYMOUTH, MN 55441

PLYMOUTH, MN 55441

PLYMOUTH, MN 55447

PLYMOUTH, MN 55446

PLYMOUTH, MN 55441

RICHFIED, MN 55423

RICHFIELD, MN 55423

RICHFIELD, MN 55423

RICHFIELD, MN 55423

763/744-9400

763/270-5220

612/888-2378

952/888-0321

763/744-9400

763/302-2800

651/235-3162

612/750-5968

612/386-0942

612/816-1890

Part

Lim-Liab

Lim-Liab

Corp

Part

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

NH-44

COMP

Outpt Surg

COMP

TCOMP

SNF-NF-44

Amb Surg

(26105)

(29556)

(30504)

(27204)

(34443)

(00417)

(31282)

(36178)

(37017)

(35106)

FAX: 763/559-1799

FAX: 763/546-8289

FAX: 763/567-5445

FAX: 952/854-1111

FAX: 763/744-9401

FAX: 763/302-2801

FAX: 612/866-9303

FAX: 612/500-4887

FAX: 612/930-0108

FAX: 612/852-5101

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

MORGAN HOLIEN

KATHERINE TODD

DIANTHA CAVIN

AARON STROMLEY

MATHEW PHIPPS

MELISSA JONES

OBSITU BEYAN

DIRECO FARDOWSA MOHAMED

ZAHNIA HARUT

ROWDA ASAD

---------------------------********** --------------------------(Cont.)*

HWSAL

Home Mgmt

HWS

HWSAL-O

HWSAL

Page 346: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

309

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

ANIKA HOME CARE LLC

APPLEWOOD HOME HEALTH CARE LLC

APPLEWOOD HOME HEALTH CARE LLC

AVINITY HOME CARE

BRIDGES HEALTH LLC

BRIDGES HEALTH LLC

BRIDGES HEALTH LLC

CAPERNAUM PEDIATRIC THERAPY, INC.

CHEZ VOUS HOME CARE LLC

EASE COMFORT LLC

6603 QUEEN AVENUE SOUTH STE F

6511 IRVING AVENUE SOUTH

6511 IRVING AVENUE SOUTH

7645 LYNDALE AVENUE SOUTH #110

7515 12TH AVENUE SOUTH

7515 12TH AVENUE SOUTH

7515 12TH AVENUE SOUTH

6625 LYNDALE AVENUE SOUTH #430

7620 NICOLLET AVE S

7620 HARRIET AVENUE SOUTH

RICHFIELD, MN 55423

RICHFIELD, MN 55423

RICHFIELD, MN 55423

RICHFIELD, MN 55423

RICHFIELD, MN 55423

RICHFIELD, MN 55423

RICHFIELD, MN 55423

RICHFIELD, MN 55423

RICHFIELD, MN 55423

RICHFIELD, MN 55423

612/328-9068

612/203-1439

612/203-1439

612/243-4585

612/636-4562

612/636-4562

612/636-4562

952/285-2840

612/220-8052

612/644-8005

Lim-Liab

Lim-Liab

Lim-Liab

NProf

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Lim-Liab

Lim-Liab

COMP

COMP

COMP

TCOMP

TCOMP

COMP

TCOMP

(27014)

(33654)

(35976)

(20226)

(35784)

(35785)

(37078)

(02847)

(26655)

(35212)

FAX: 612/328-9085

FAX: 507/261-9439

FAX: 612/886-2656

FAX: 612/861-2149

FAX: /-

FAX: /-

FAX: /-

FAX: 952/285-2830

FAX: 612/259-7440

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JUMA ARTEMA

ABDULLAHI OSOBOW

SAIDA ABDI

DENYSE ETHRIDGE

FATIMA MUSSE

FATIMA MUSSE

FATIMA MUSSE

BONNA OLSON

SEETA ARRELL

FOWSIYA ALI

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWSAL-O

HWS-O

Page 347: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

310

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

EASE COMFORT LLC

EASE COMFORT LLC

EDEN HOMES INC

FIRAT MERCY HOMES LLC.

FRASER RICHFIELD

GOLDEN NEST, LLC

GOLDSTAR RESIDENTIAL SERVICES INC

GOLDSTAR RESIDENTIAL SERVICES INC

GREEN LIVING GROUP HOME LLC

HAVENWOOD OF RICHFIELD

7620 HARRIET AVENUE SOUTH

6909 RUSSELL AVENUE SOUTH

7411 QUEEN AVENUE SOUTH

7420 17TH AVENUE SOUTH

2400 WEST 64TH STREET

6733 EMERSON AVENUE SOUTH

7239 3RD AVENUE SOUTH

7239 3RD AVENUE SOUTH

6306 MORGAN AVENUE SOUTH

245 WEST 76TH STREET

RICHFIELD, MN 55423

RICHFIELD, MN 55423

RICHFIELD, MN 55423

RICHFIELD, MN 55423

RICHFIELD, MN 55423

RICHFIELD, MN 55423

RICHFIELD, MN 55423

RICHFIELD, MN 55423

RICHFIELD, MN 55423

RICHFIELD, MN 55423

612/644-8005

612/644-8005

612/987-7676

206/915-3015

612/861-1688

612/866-3106

612/296-5604

612/296-5604

920/664-9288

612/286-8762

Lim-Liab

Lim-Liab

Corp

Lim-Liab

NProf

Lim-Liab

Corp

Corp

Lim-Liab

Lim-Liab

TCOMP

Out Pt Out St Out Ot

(35846)

(35848)

(33757)

(36983)

(33894)

(23666)

(35774)

(36232)

(35303)

(33959)

FAX: /-

FAX: /-

FAX: /-

FAX: 612/324-7426

FAX: 612/861-6050

FAX: 612/866-3106

FAX: 952/487-4310

FAX: 952/487-4310

FAX: /-

FAX: 612/767-5047

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

FOWSIYA ALI

SAHRA HASSAN

AILEEN VILLANUEVA

MOHAMED YUSUF

LETTY FALLER

HONGJOO LEE

ABSHIRA MURSAL

ABSHIRA ADEN MURSAL

ABDINASIR MOHAMED

ERIN HILLIGAN

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWSAL-O

HWSAL

HWS-O

HWSAL

HWSAL-O

HWSAL

HWSAL

Page 348: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

311

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

HOPE REST HOMES INC.

LIGHTCARE GROUP HOMES LLC

MAIN STREET VILLAGE

MAINSTREET VILLAGE

MERCY HOUSING

MINNESOTA GROUP HOMES LLC

MOONLIGHT HOME HEALTH CARE LLC

OPTIONS CEDAR

PHOENIX COVE ADULT DAY CENTER LLC

PREMIER HOME CARE LLC

7515 15TH AVENUE SOUTH

7539 16TH AVENUE SOUTH

7645 LYNDALE AVENUE SOUTH #110

7601 LYNDALE AVENUE SOUTH

7601 10TH AVENUE SOUTH

6322 PLEASANT AVENUE SOUTH

7144 LAKE SHORE DRIVE SOUTH

7600 CEDAR AVENUE SOUTH

7132 PORTLAND AVENUE

7120 13TH AVENUE SOUTH

RICHFIELD, MN 55423

RICHFIELD, MN 55423

RICHFIELD, MN 55423

RICHFIELD, MN 55423

RICHFIELD, MN 55423

RICHFIELD, MN 55423

RICHFIELD, MN 55423

RICHFIELD, MN 55423

RICHFIELD, MN 55423

RICHFIELD, MN 55423

612/978-7023

952/288-9420

612/243-4585

612/869-6584

612/703-6932

651/999-9616

614/779-2751

952/564-3030

952/649-8155

612/501-8333

Corp

Lim-Liab

NProf

NProf

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Lim-Liab

Lim-Liab

COMP

TCOMP

TCOMP

(37147)

(36020)

(20226)

(21184)

(34047)

(36733)

(36847)

(36019)

(35586)

(34956)

FAX: 612/314-8811

FAX: /-

FAX: 612/861-2149

FAX: 612/869-6843

FAX: 612/532-1738

FAX: /-

FAX: /-

FAX: 952/217-5677

FAX: 952/479-7946

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

GAMI NASIR

MARYAM MOHAMED

DENYSE ETHRIDGE

DON SABLE

YOONIS HASSAN

BASHIR GEELLE

ZUHUR MUALIN

JAMES HAMMILL

KRISTINA KWAN

SHUKRI ISA

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL-O

HWSAL

HWSAL

HWSAL

HWSAL-O

HWS-O

Page 349: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

312

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

PREMIER HOME CARE LLC

PRIMARY LIVING INC

PRIME CARE SERVICES, INC.

PROCARE HEALTH CORP

PROCARE HEALTH CORP.

RC-NMC

RESIDENTIAL CARE AT NINE MILE CREEK

RICHFIELD A VILLA CENTER

RICHFIELD DIALYSIS

RICHFIELD SENIOR SUITES

7120 13TH AVENUE SOUTH

7636 3RD AVENUE SOUTH

7420 10TH AVENUE SOUTH

7426 10TH AVENUE SOUTH

7426 10TH AVENUE SOUTH

6520 PORTLAND AVENUE

7421 13TH AVENUE SOUTH

7727 PORTLAND AVENUE SOUTH

6601 LYNDALE AVENUE SOUTH #150

6808 3RD AVENUE SOUTH

RICHFIELD, MN 55423

RICHFIELD, MN 55423

RICHFIELD, MN 55423

RICHFIELD, MN 55423

RICHFIELD, MN 55423

RICHFIELD, MN 55423

RICHFIELD, MN 55423

RICHFIELD, MN 55423

RICHFIELD, MN 55423

RICHFIELD, MN 55423

612/501-8333

612/532-4198

651/279-8081

612/860-0883

612/860-0883

612/978-2238

612/978-2238

612/861-1691

612/869-2118

651/235-3162

Lim-Liab

Corp

Corp

Corp

Corp

Corp

Corp

Lim-Liab

Corp

Lim-Liab

TCOMP HCBS

NH-112

COMP

SNF-NF-112

ESRD

(35138)

(35419)

(36853)

(35839)

(36082)

(33756)

(37272)

(00253)

(24100)

(20052)

FAX: 952/222-5418

FAX: 612/486-9373

FAX: /-

FAX: /-

FAX: /-

FAX: 612/808-1559

FAX: 612/808-1559

FAX: 612/861-0186

FAX: 612/869-2219

FAX: 612/866-9303

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

SHUKRI ISSA

IFRAH AHMED

DHIMBLE MOHAMED ALI

FRIDA MOHAMED

FRIDA MOHAMED

SADIK ABDI

SADIK ABDI

JOANN BUYTENDORP

KATHRYN KALLAS

OBSITU BEYAN

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWSAL

HWS

HWSAL-O

HWSAL

HWSAL

Page 350: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

313

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

RICHFIELD SENIOR SUITES LLC

RICHFIELD SENIOR SUITES LLC

SISTERS HOME HEALTH CARE LLC

SISTERS HOME HEALTH CARE LLC

TEAM HOME HEALTH CARE LLC

THE PINES

UNIVERSAL HEALTH SERVICES LLC

VILLAGE SHORES

AMANA HOME CARE

A-1 RELIABLE HOME CARE INC.

6808 3RD AVENUE SOUTH

6808 3RD AVENUE SOUTH

7438 VINCENT AVENUE

7438 VINCENT AVENUE

7421 18TH AVENUE SOUTH

400 WEST 67TH STREET

7300 RUSSELL AVENUE SOUTH

6501 WOODLAKE DRIVE

7010 BLOOMINGTON AVENUE SOUTH

5716 42ND AVENUE NORTH

RICHFIELD, MN 55423

RICHFIELD, MN 55423

RICHFIELD, MN 55423

RICHFIELD, MN 55423

RICHFIELD, MN 55423

RICHFIELD, MN 55423

RICHFIELD, MN 55423

RICHFIELD, MN 55423

RICHFIELD MN, MN 55423

ROBBINSDALE, MN 55422

651/235-3162

612/866-3961

612/242-7436

612/242-7436

612/402-0806

612/861-3331

612/751-0854

612/861-1186

612/816-1890

952/393-7857

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

COMP

TCOMP

(20052)

(30323)

(35111)

(35863)

(36171)

(21780)

(36679)

(20869)

(36341)

(32825)

FAX: 612/866-9303

FAX: 612/866-9303

FAX: /-

FAX: /-

FAX: /-

FAX: 612/259-2889

FAX: 612/213-2311

FAX: 612/861-1779

FAX: 612/852-5101

FAX: 651/766-5275

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

OBSITU BEYAN

OBSITU BEYAN

KAMILA AHMED

KAMILA AHMED

MUSTAFE MOHAMOUD

MARY JO THORNE

DENISE BARNETT

ROWDA FARAH

DEBORAH OJOGWU

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL-O

HWSAL-O

HWSAL

HWSAL-O

HWSAL

HWSAL-O

HWS

Page 351: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

314

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

A-1 RELIABLE HOME CARE INC.

A-A-H MERCY HOME HEALTH

A-A-H MERCY HOME HEALTH LLC

ACR HOME ON ROBIN

COPPERFIELD HILL - THE LODGE

COPPERFIELD HILL - THE MANOR

COPPERFIELD HILL THE LODGE

EMPIRE SYSTEMS HOME CARE

FRESENIUS MEDICAL CARE ROBBINSDALE

GOOD SAMARITAN SOCIETY - SPECIALTY CARE COMMUNITY

5824 42ND AVENUE NORTH

3554 JUNE AVENUE NORTH

3554 JUNE AVENUE NORTH

4404 ROBIN AVENUE

4200 40TH AVENUE NORTH

4200 40TH AVENUE NORTH

4020 LAKELAND AVENUE NORTH

4034 LAKE ROAD AVENUE

4094 LAKELAND AVENUE NORTH

3815 WEST BROADWAY AVENUE

ROBBINSDALE, MN 55422

ROBBINSDALE, MN 55422

ROBBINSDALE, MN 55422

ROBBINSDALE, MN 55422

ROBBINSDALE, MN 55422

ROBBINSDALE, MN 55422

ROBBINSDALE, MN 55422

ROBBINSDALE, MN 55422

ROBBINSDALE, MN 55422

ROBBINSDALE, MN 55422

952/393-7857

952/201-9645

952/201-9645

763/535-1022

763/231-3500

763/277-1001

763/277-1001

763/225-7396

763/533-3759

612/332-4262

Corp

Lim-Liab

Lim-Liab

Corp

Lim-Liab

Part

Part

Corp

Corp

NProf

COMP

SLFB-5

COMP

NH-96

ICFIID-5

ESRD

SNF-NF-96

(33963)

(33981)

(34500)

(01628)

(20297)

(21574)

(29966)

(35563)

(27801)

(00890)

FAX: 651/766-5275

FAX: /-

FAX: /-

FAX: 763/535-2107

FAX: 763/231-3519

FAX: 763/277-1015

FAX: 763/277-1015

FAX: 763/592-7932

FAX: 763/533-1025

FAX: 612/673-6270

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

MANAGE DEBORAH OJOGWU

ABDI ABDI

NASTEHO YASSIN

GENE LEISTICO

LUCINDA GARDNER

LUCINDA GARDNER

LUCINDA GARDNER

SAYNDEE SANDO

PATRICK HOWARD

JULIE ORGAN

---------------------------********** --------------------------(Cont.)*

HWS

HWS

HWSAL

HWSAL

HWSAL

Page 352: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

315

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

GOOD SAMARITAN SOCIETY HOME CARE

LIVING WELL - 3801

LIVING WELL - 3807

LIVING WELL - FRANCE

NEST CARE INC

NEST CARE INC.

NORTH MEMORIAL HEALTH

NORTH MEMORIAL HOSPICE CARE

NUVISION HOMECARE SERVICES LLC

ROBBINSDALE A VILLA CENTER

4080 WEST BROADWAY AVE STE 132

3801 WEST BROADWAY AVENUE

3807 WEST BROADWAY AVENUE

2759 FRANCE AVENUE NORTH

3930 ZANE AVENUE NORTH

3930 ZANE AVENUE NORTH

3300 OAKDALE AVENUE NORTH

3500 FRANCE AVENUE NORTH #101

4568 ZENITH AVENUE NORTH

3130 GRIMES AVENUE NORTH

ROBBINSDALE, MN 55422

ROBBINSDALE, MN 55422

ROBBINSDALE, MN 55422

ROBBINSDALE, MN 55422

ROBBINSDALE, MN 55442

ROBBINSDALE, MN 55422

ROBBINSDALE, MN 55422

ROBBINSDALE, MN 55422

ROBBINSDALE, MN 55422

ROBBINSDALE, MN 55422

763/546-9020

763/522-7556

763/521-1076

763/521-0387

612/232-7526

612/232-7526

763/520-5200

763/581-9340

763/301-0655

763/588-0771

NProf

NProf

NProf

NProf

Corp

Corp

NProf

NProf

Lim-Liab

Lim-Liab

COMP

SLFB-9

SLFB-9

SLFB-6

TCOMP

HOSP-518 BASS-42

Hospice

NH-75

HHA SE

ICFIID-9

ICFIID-9

ICFIID-6

HOSP-474 PPS-P-26 PPS-R-18

HSPICE

SNF-NF-75

(23131)

(01379)

(01475)

(01290)

(35582)

(36998)

(00240)

(02386)

(37102)

(00122)

FAX: 763/546-9023

FAX: 763/522-4573

FAX: 763/521-0785

FAX: 763/521-2294

FAX: /-

FAX: 612/667-3003

FAX: 763/581-4665

FAX: 763/581-9341

FAX: 763/312-2299

FAX: 763/588-8252

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JAIME BERGREN-HANISH

CINDI SHARP

TEEWON DOLOPEI

ALI GOEPFERT

ABDULLAHI OMAR

ABDULLAHI OMAR

ANDY COCHRANE

BEN MUSBURGER

BENJAMIN FLEMISTER

KATHLEEN PANKRATZ

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWSAL

Page 353: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

316

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

ROBBINSDALE DIALYSIS

SENATIVE SERVICES LLC

ST. THERESE TCU NORTH, LLC

TFF CARE, LLC

TOTALCARE ASSISTED LIVING SERVICES

UNIQUE HOMES LLC

CHEV'S PLACE LLC

DIAMONDCREST SENIOR LIVING

ELSELIA HOME HEALTHCARE SERVICES INC

FAMILY TREE HOMES LLC

3461 WEST BROADWAY AVENUE

3612 PERRY AVENUE NORTH

3300 OAKDALE AVENUE NORTH #4

4200 40TH AVENUE NORTH

4301 FRANCE AVENUE NORTH

3940 46TH AVENUE NORTH

13902 JASMINE WAY

20500 SOUTH DIAMOND LAKE ROAD

14096 GADWALL LANE

13902 JASMINE WAY

ROBBINSDALE, MN 55422

ROBBINSDALE, MN 55422

ROBBINSDALE, MN 55422

ROBBINSDALE, MN 55422

ROBBINSDALE, MN 55422

ROBBINSDALE, MN 55422

ROGERS, MN 55374

ROGERS, MN 55374

ROGERS, MN 55374

ROGERS, MN 55374

763/521-4865

763/400-4315

763/581-8460

763/231-3500

763/208-1572

763/222-4909

763/444-1881

763/428-8181

763/957-2560

763/444-1881

NProf

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Lim-Liab

NH-32

COMP

TCOMP

COMP

ESRD

SNF-NF-32

(27847)

(36674)

(31760)

(20297)

(32046)

(37197)

(33610)

(23988)

(35734)

(32771)

FAX: 763/522-6754

FAX: 763/201-3811

FAX: 763/581-8461

FAX: 763/231-3519

FAX: 763/205-1703

FAX: /-

FAX: 763/400-4979

FAX: 763/428-3252

FAX: 612/249-8749

FAX: 763/400-4979

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ARRO MOHAMUD

AGIBOLA AJAYI

SARA STERLING

LUCINDA GARDNER

NNENNA ANYAOGU

STEPHEN ZEKPA

CAMMIE WARBURTO

LISA NEWCOMB

ELIJAH YARPAH

JILL SMITH

---------------------------********** --------------------------(Cont.)*

HWS

HWSAL

HWSAL

HWSAL

HWSAL

Page 354: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

317

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

FIRST CHOICE RESIDENTIAL

FIVE STAR REHABILITATION AND WELLNESS SERVICES AT ROGERS

NEW LIFE HEALTH SERVICE

NOVACARE REHABILITATION EAST, INC.

THE WELLSTEAD OF ROGERS

THE WELLSTEAD OF ROGERS

SHARMARKE CARE HOME INC

SUNRISE RESIDENTIAL SERVICES LLC

SOJOURN SUITES, LLC

THE PILLARS OF SHOREWOOD LANDING

19375 HARMONY AVENUE

20600 SOUTH DIAMOND LAKE ROAD

20907 123RD AVENUE NORTH

21395 JOHN MILLESS DRIVE

20600 SOUTH DIAMOND LAKE ROAD

20600 SOUTH DIAMOND LAKE ROAD

2514 BRENNER STREET

216 MAPLE LANE

5845 COUNTRY CLUB ROAD

6000 CHASKA ROAD

ROGERS, MN 55374

ROGERS, MN 55374

ROGERS, MN 55374

ROGERS, MN 55374

ROGERS, MN 55374

ROGERS, MN 55374

ROSEVILLE, MN 55113

ROSEVILLE, MN 55113

SHOREWOOD, MN 55331

SHOREWOOD, MN 55331

763/232-3558

763/428-1981

612/200-0112

763/428-2589

763/428-1981

763/428-1981

651/998-4445

651/528-6363

952/470-2216

952/401-7444

Lim-Liab

Lim-Liab

Corp

Corp

Lim-Liab

Lim-Liab

Corp

Lim-Liab

Lim-Liab

Lim-Liab

COMP

TCOMP HCBS

COMP

TCOMP

COMP

Out Pt Out St Out Ot

Out Pt Out St Out Ot

(34507)

(27747)

(34973)

(03769)

(20700)

(30762)

(35560)

(33644)

(22590)

(33359)

FAX: /-

FAX: 763/428-3792

FAX: 763/515-4196

FAX: 763/428-4672

FAX: 763/428-3792

FAX: 763/428-3792

FAX: 763/592-7961

FAX: 612/314-8590

FAX: 952/400-3542

FAX: 952/401-7430

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

MOMODOU FOFANA

DENISE KELLY

AREE THOMPSON

DONN BERKELAND

LISA NEWCOMB

LISA NEWCOMB

KAMALUDIN OSMAN

SAGAL MOALLIN

THOMAS PENN

ERIN HILLIGAN

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

Page 355: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

318

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

LAKE MINNETONKA SHORES

LAKE MINNETONKA SHORES

LAKE MINNETONKA SHORES

ABC HOME HEALTH CARE PLUS, LLC

APLUS HEALTH CARE LLC

MERCY HOME HEALTH

PROVIDENT HOME HEALTHCARE

THE LEGACY OF ST ANTHONY

THE LEGACY OF ST. ANTHONY

ADF CARE SERVICES

4527 SHORELINE DRIVE

4559 SHORELINE DRIVE

4527 SHORELINE DRIVE

3055 OLD HIGHWAY 8 STE 111

3055 OLD HIGHWAY 8 STE 302

3055 OLD HIGHWAY 8 STE 101H

2817 ANTHONY LANE SOUTH #301

2540 KENZIE TERRACE

2540 KENZIE TERRACE

7201 WALKER STREET #306

SPRING PARK, MN 55384

SPRING PARK, MN 55384

SPRING PARK, MN 55384

ST ANTHONY, MN 55418

ST ANTHONY, MN 55418

ST ANTHONY, MN 55418

ST ANTHONY, MN 55418

ST ANTHONY, MN 55418

ST ANTHONY, MN 55418

ST LOUIS PARK, MN 55426

952/471-4000

952/471-4001

952/471-4001

612/326-9377

612/276-3300

612/353-5464

612/238-4688

612/843-3700

612/843-3700

612/735-4065

NProf

NProf

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Lim-Liab

Lim-Liab

Lim-Liab

NH-104

COMP

COMP

COMP

COMP

COMP

COMP

COMP

SNF-NF-104

HHA

HHA

HHA

(00271)

(20219)

(27953)

(30100)

(30139)

(32193)

(26906)

(29719)

(29718)

(35476)

FAX: 952/471-4200

FAX: 952/471-4309

FAX: 952/471-6084

FAX: 612/326-9377

FAX: 612/276-3300

FAX: 612/354-3460

FAX: 612/238-4689

FAX: 920/925-0255

FAX: 612/843-3705

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

LYDIA BUETOW

ISAAC RUE

JAN KOOMEN

ADAN DIRIE

ISSA MAHAMUD

ABDIRAHMAN ABDI`

RAMONA ERICKSON

LES LEITH

LESLIE LEITH

DEQA WARSAME

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

Page 356: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

319

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

ADVANCED ONE CARE CENTER INC

ALLY GROUP HOMES LLC

APPLE GROUP HOME INC

AVA'S HOUSE

COMFORT RESIDENCE ST LOUIS PARK

FIRST LIGHT RESIDENTIAL CARE LLC

GOLDEN BRIGHT HOMES LLC

H & H GROUP HOME LLC

H & H GROUP HOME LLC

LIFESPRK HOSPICE LLC

4800 EXCELSIOR BOULEVARD #434

2944 PRINCETON AVENUE SOUTH

1404 KENTUCKY AVENUE SOUTH

8500 WEST 28TH STREET

7115 WAYZATA BOULEVARD

2935 AQUILA AVENUE SOUTH

2842 RALEIGH AVENUE

3541 AQUILA AVENUE SOUTH

3541 AQUILA AVENUE SOUTH

5320 23RD STREET WEST STE 130

ST LOUIS PARK, MN 55416

ST LOUIS PARK, MN 55416

ST LOUIS PARK, MN 55426

ST LOUIS PARK, MN 55426

ST LOUIS PARK, MN 55426

ST LOUIS PARK, MN 55426

ST LOUIS PARK, MN 55416

ST LOUIS PARK, MN 55426

ST LOUIS PARK, MN 55426

ST LOUIS PARK, MN 554161670

952/426-0491

612/598-4311

612/242-6245

952/848-0935

952/641-0100

612/404-7552

763/732-2269

952/688-7713

952/688-7713

952/737-4350

Corp

Lim-Liab

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

COMP

TCOMP

TCOMP

TCOMP

TCOMP

Hospice

(34454)

(34870)

(35254)

(36445)

(31139)

(34858)

(36089)

(35200)

(35922)

(35835)

FAX: /-

FAX: /-

FAX: /-

FAX: 952/920-6929

FAX: 952/452-9444

FAX: /-

FAX: /-

FAX: /-

FAX: 952/400-8950

FAX: 952/737-4351

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ZAINAB ABDI

AMAL AHMED

NUH AHMED

LUIS OROZCO

LORI MCGUIRE

SOFIA MOHAMED

FARHIA SIAD

NAJMA ALI

NAJMA ALI

JENNIFER BLAZEK

---------------------------********** --------------------------(Cont.)*

HWS

HWSAL

HWSAL-O

HWSAL-O

Page 357: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

320

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

LIFESPRK LLC

MENORAH PLAZA APARTMENTS

MOTIVATE HOME SERVICES LLC

PARK HEALTH A VILLA CENTER

PARKSHORE SENIOR CAMPUS, LLC

PARKSHORE SENIOR CAMPUS, LLC

ROSECOURT ASSISTED LIVING

SAFE HARBOR RESIDENTIAL CARE HOME LLC

SAFE HARBOR RESIDENTIAL CARE HOME LLC

SILVERCARE LLC

5320 WEST 23RD STREET #1

4925 MINNETONKA BOULEVARD

2257 LOUISIANA AVENUE SOUTH

4415 WEST 36 1/2 STREET

3633 PARK CENTER BOULEVARD

3663 PARK CENTER BOULEVARD

2257 LOUISIANA AVENUE SOUTH

9812 FORD CIRCLE

9812 FORD CIRCLE

5402 PARKDALE STE 301

ST LOUIS PARK, MN 55416

ST LOUIS PARK, MN 55416

ST LOUIS PARK, MN 55426

ST LOUIS PARK, MN 55416

ST LOUIS PARK, MN 55416

ST LOUIS PARK, MN 55416

ST LOUIS PARK, MN 55426

ST LOUIS PARK, MN 55426

ST LOUIS PARK, MN 55426

ST LOUIS PARK, MN 55416

952/345-8770

952/653-3681

952/848-0935

952/927-9717

952/925-6231

952/925-6231

952/848-0935

952/451-9469

952/451-9469

952/922-9540

Lim-Liab

NProf

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

COMP

COMP

NH-70

COMP

COMP

COMP

COMP

SNF-NF-70

(30082)

(20195)

(25498)

(00129)

(20427)

(20868)

(25498)

(34674)

(34674)

(29469)

FAX: 952/345-8771

FAX: 952/746-0677

FAX: 952/920-6929

FAX: 952/516-5903

FAX: 952/926-6823

FAX: 952/926-6823

FAX: 952/920-6929

FAX: /-

FAX: /-

FAX: 952/922-9520

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

SHANNON PODEWILS

BETSY LAMARRE

LUIS OROZCO

CINDY THAO

MICHAEL GOULD

MICHAEL GOULD

LUIS OROZCO

MEEKA SINGH

MEEKA SINGH

DENISE JUDAY BARNETT

---------------------------********** --------------------------(Cont.)*

HWS

HWSAL

HWS

HWSAL-O

HWSAL-O

Page 358: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

321

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

THE CARING SISTERS HOME CARE SERVICES, INC.

THE ESTATES AT ST LOUIS PARK LLC

MAMAE CARE INC

SUNSHINE GROUP HOME LLC

ABLE CARE CONNECT HOME HEALTH

ALIYA CARE INC

ALIYA CARE INC

OLYMPIC GROUP HOME LLC

ALLY GROUP HOMES LLC

APPLE GROUP HOME INC

2833 YOSEMITE AVENUE SOUTH

3201 VIRGINIA AVENUE SOUTH

1191 ALBEMARLE STREET

125 MAGNOLIA AVENUE WEST

3701 CHANDLER DRIVE #526

2702 37TH AVENUE NE

2700 37TH AVENUE NE

3055 OLD HIGHWAY 8 #202

2944 PRINCETON AVENUE SOUTH

1404 KENTUCKY AVENUE SOUTH

ST LOUIS PARK, MN 55416

ST LOUIS PARK, MN 55426

ST PAUL, MN 55117

ST PAUL, MN 55117

ST. ANTHONY, MN 55421

ST. ANTHONY, MN 55421

ST. ANTHONY, MN 55421

ST. ANTHONY, MN 55418

ST. LOUIS PARK, MN 55416

ST. LOUIS PARK, MN 55426

952/426-4690

952/935-0333

651/313-6963

612/227-5643

612/788-4557

651/334-7979

763/710-9619

952/393-2051

612/598-4311

612/242-6245

Corp

Lim-Liab

Corp

Lim-Liab

Lim-Liab

Corp

Corp

Lim-Liab

Lim-Liab

Corp

COMP

NH-175

TCOMP

TCOMP

COMP

TCOMP

SNF-NF-175

HHA

(20820)

(00943)

(35614)

(35856)

(27693)

(35309)

(35486)

(35787)

(36106)

(36035)

FAX: 952/426-4691

FAX: 952/935-6747

FAX: /-

FAX: /-

FAX: 651/202-4422

FAX: /-

FAX: /-

FAX: /-

FAX: /-

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

OLALEYE BECKLEY

TALIA PLETCHER

AYAN AHMED

MARWAN SALEM

JENNIFER BALLATINE

KHADRA ISMAIL

KHADRA ISMAIL

IBRAHIM MAHAMUD

AMAL AHMED

NUH ABDULLAHI AHMED

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL-O

HWSAL-O

Page 359: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

322

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

AT YOUR SERVICE SENIOR ASSISTANCE LLC

BRIGHTON HOSPICE

CENTER FOR DIAGNOSTIC IMAGING

CRESCENT COVE

EMILY J RUGUT

EVERYTIME HOME CARE

FIRST LIGHT RESIDENTIAL CARE LLC

FRESENIUS MEDICAL CARE ST. LOUIS PARK

GOLDEN BRIGHT HOMES LLC

KNOLLWOOD PLACE APARTMENTS

2801 VERNON AVENUE SOUTH

4500 PARK GLEN ROAD #475

5775 WAYZATA BOULEVARD #190

3440 BELTLINE BOULEVARD #207

8308 WEST 30 1/2 STREET

2257 LOUISIANA AVENUE SOUTH

2935 AQUILA AVENUE SOUTH

5680 36TH STREET WEST

2842 RALEIGH AVENUE

3630 PHILLIPS PARKWAY

ST. LOUIS PARK, MN 55416

ST. LOUIS PARK, MN 55416

ST. LOUIS PARK, MN 55416

ST. LOUIS PARK, MN 55416

ST. LOUIS PARK, MN 55426

ST. LOUIS PARK, MN 55426

ST. LOUIS PARK, MN 55426

ST. LOUIS PARK, MN 55416

ST. LOUIS PARK, MN 55416

ST. LOUIS PARK, MN 55426

612/998-5883

952/856-2212

952/738-4810

952/426-4711

952/200-8609

952/848-0935

612/404-7552

952/926-0959

763/732-2269

952/939-1601

Lim-Liab

Lim-Liab

Lim-Liab

NProf

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Lim-Liab

NProf

Hospice

Outpt Surg

Hospice

COMP

COMP

TCOMP

HSPICE

Amb Surg

HHA

ESRD

(34444)

(29960)

(21792)

(32770)

(34085)

(21115)

(35226)

(27143)

(35627)

(20232)

FAX: /-

FAX: 952/856-2219

FAX: 952/738-4409

FAX: /-

FAX: /-

FAX: 952/920-6929

FAX: /-

FAX: 952/926-3694

FAX: /-

FAX: 952/933-1485

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

BARBARA HEINZ

TRAVIS EASTON

TIFFANY SPARTZ

KATIE LINDENFELSER

EMILY RUGUT

LUIS OROZCO

SOFIA MOHAMED

DANIELLE MEULENERS

FARHIA SIAD

RONALD DONACIK

---------------------------********** --------------------------(Cont.)*

Home Mgmt

HWSAL-O

HWS

Page 360: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

323

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

LIFESPRK

LIFESPRK HOME HEALTH

MERRCY CARE HOME LLC

MERRCY CARE HOME LLC

METHODIST HOSPITAL

MINNESOTA MEDICAL AND REHABILITATIVE SERVICES, LLC

PARK NICOLLET METHODIST HOSPITAL

PARK NICOLLET METHODIST HOSPITAL HOSPICE

ROITENBERG FAMILY ASSISTED LIVING

SECOND HORIZON LIVING LLC

5320 WEST 23RD STREET #130

5320 WEST 23RD STREET STE 130

1609 EDGEWOOD AVENUE SOUTH

1609 EDGEWOOD AVENUE SOUTH

6500 EXCELSIOR BLVD PO BOX 650

4201 EXCELSIOR BOULEVARD

6500 EXCELSIOR BLVD PO BOX 650

6500 EXCELSIOR BOULEVARD

3610 PHILLIPS PARKWAY SOUTH

3550 FRANCE AVENUE SOUTH

ST. LOUIS PARK, MN 55416

ST. LOUIS PARK, MN 55416

ST. LOUIS PARK, MN 55426

ST. LOUIS PARK, MN 55426

ST. LOUIS PARK, MN 554264702

ST. LOUIS PARK, MN 55416

ST. LOUIS PARK, MN 554264702

ST. LOUIS PARK, MN 55426

ST. LOUIS PARK, MN 55426

ST. LOUIS PARK, MN 55416

952/345-8770

952/345-3310

408/752-6535

952/564-0682

952/993-5000

952/933-8900

952/993-5000

952/993-6087

952/908-1700

612/245-6153

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

NProf

Lim-Liab

NProf

NProf

Lim-Liab

Lim-Liab

COMP

COMP

TCOMP

HOSP-426 BASS-50

HOSP-426 BASS-50

Hospice

HHA

HOSP-426 PPS-R-0

CORF

HOSP-426 PPS-R-0

HSPICE

(23501)

(25570)

(35809)

(36116)

(00230)

(21768)

(00230)

(02422)

(21691)

(34012)

FAX: 952/345-8771

FAX: 952/345-1101

FAX: /-

FAX: /-

FAX: 952/993-5936

FAX: /-

FAX: 952/993-5936

FAX: 952/993-7727

FAX: 952/908-1777

FAX: 612/216-0070

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PAULETTE DUNCAN

SHANNON PODEWILS

BURHAN DAYNAB

BURHAN DAYNAB

JENNIFER MYSTER

OLGA SHEVELEVA

JENNIFER MYSTER

NANCY GELLE

RONALD DONACIK

YVONNE FERGUSON

---------------------------********** --------------------------(Cont.)*

HWS-O

HWSAL

HWSAL

Page 361: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

324

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

SECOND HORIZON LIVING LLC

SHOLOM COMMUNITY ALLIANCE HOME HEALTH CARE

SHOLOM HOME WEST, INC.

ST. LOUIS PARK DIALYSIS CENTER

STONECREST LIVING

TEXAS TERRACE A VILLA CENTER

THE CARING SISTERS HOME CARE SERVICES, INC

THE CARING SISTERS HOME CARE SERVICES, INC

THE VILLA AT ST. LOUIS PARK

THE WAYSIDE HOUSE, INC.

3550 FRANCE AVENUE SOUTH

3620 PHILLIPS PARKWAY

3620 PHILLIPS PARKWAY

3505 LOUISIANA AVENUE SOUTH

9020 WEST 31ST STREET

7900 WEST 28TH STREET

2852 YOSEMITE AVENUE SOUTH

2833 YOSEMITE AVENUE SOUTH

7500 WEST 22ND STREET

3705 PARK CENTER BOULEVARD

ST. LOUIS PARK, MN 55416

ST. LOUIS PARK, MN 55426

ST. LOUIS PARK, MN 55426

ST. LOUIS PARK, MN 55426

ST. LOUIS PARK, MN 55426

ST. LOUIS PARK, MN 55426

ST. LOUIS PARK, MN 55416

ST. LOUIS PARK, MN 55416

ST. LOUIS PARK, MN 55426

ST. LOUIS PARK, MN 55416

612/245-6153

651/328-2320

952/935-6311

952/285-1400

612/991-2140

952/920-8380

952/924-0575

952/924-0575

952/641-9202

952/926-5626

Lim-Liab

NProf

NProf

Corp

Lim-Liab

Lim-Liab

Corp

Corp

Lim-Liab

NProf

COMP

COMP

NH-139

NH-112

NH-100

SLFA-41

SNF-NF-139

ESRD

SNF-NF-112

SNF-NF-100

(33473)

(21400)

(00380)

(02112)

(35487)

(00144)

(23620)

(24801)

(00278)

(01647)

FAX: 612/314-8720

FAX: 651/328-2070

FAX: 952/908-1771

FAX: 952/285-1406

FAX: 612/392-7928

FAX: 952/920-7866

FAX: 952/285-2844

FAX: 952/426-4691

FAX: 952/546-7164

FAX: 952/926-9713

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

YVONNE FERGUSON

LEANNE WOLLERMAN

ANN THOLE

JENNIFER WHIPPLE

GABRIELLE LEE

PAT VOELKER

OLALEYE BECKLEY

OLALEYE BECKLEY

LYNN HICKEY

CARRIE SALSNESS

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWSAL

HWSAL

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325

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

TOWER LIGHT

NURTURING HOMES LLC

SUNSHINE GROUP HOME LLC

SOJOURN AT HOME, LLC

SOJOURN SUITES, LLC

BB HOME HEALTHCARE

EDEN PATHWAYS

EXCELLENCE LIVING CONNECTIONS

FOLKESTONE

FOLKESTONE NORTH

3601 WOODDALE AVENUE SOUTH

469 CHARLES AVENUE

125 MAGNOLIA AVENUE WEST

4270 CIRCLE ROAD

4270 CIRCLE ROAD

908 TWELVE OAKS CTR DR #908H

1001 TWELVE OAKS CENTER DRIVE

700 TWELVE OAKS CENTER DR #221

100 PROMENADE AVENUE

100 PROMENADE AVENUE

ST. LOUIS PARK, MN 55416

ST. PAUL, MN 55103

ST. PAUL, MN 55117

TONKA BAY, MN 55331

TONKA BAY, MN 55331

WAYZATA, MN 55391

WAYZATA, MN 55391

WAYZATA, MN 55391

WAYZATA, MN 55391

WAYZATA, MN 55391

763/252-9283

612/387-6969

612/227-5643

612/790-9292

612/790-9292

239/288-3735

952/658-8140

612/735-2125

952/249-2400

952/249-2400

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

NProf

NProf

BASIC

COMP

TCOMP

COMP HCBS

NH-30 SNF-30

(28790)

(36293)

(36922)

(28267)

(26695)

(35675)

(34756)

(34965)

(28617)

(29889)

FAX: 952/922-2644

FAX: 952/212-0582

FAX: /-

FAX: 952/400-3542

FAX: 952/400-3542

FAX: /-

FAX: 952/446-7283

FAX: /-

FAX: 952/249-2501

FAX: 952/249-2401

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ERIN HILLIGAN

HANA SALAD

MARWAN SALEM

THOMAS PENN

THOMAS PENN

BARBARA BURNS

ROXANEE PIERRE

DANIEL POLLEN

MARK SPECHT

BETH FRIES

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL-O

HWSAL-O

Home Mgmt

HWSAL

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326

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HENNEPIN

HOUSTON

HAMMER - CARLSON

HAMMER - RIDGEVIEW

HAMMER - SHERIDAN

I CARE HOMES LLC

ICARE HOMES L.L.C.

ICARE HOMES LLC

MERIDIAN MANOR

VISITING ANGELS

WAYZATA SURGERY CENTER

16325 COUNTY ROAD 15

401 RIDGEVIEW DRIVE

2412 SHERIDAN HILLS CURVE

3599 LIVINGSTON AVENUE

1921 SMITH CIRCLE

3599 LIVINGSTON AVENUE

163 WAYZATA BOULEVARD WEST

901 TWELVE OAKS CENTER #919

935 WAYZATA BLVD EAST #200

WAYZATA, MN 55391

WAYZATA, MN 55391

WAYZATA, MN 55391

WAYZATA, MN 55391

WAYZATA, MN 55391

WAYZATA, MN 55391

WAYZATA, MN 55391

WAYZATA, MN 55391

WAYZATA, MN 55391

952/473-1261

952/473-1261

952/473-1261

612/545-8188

612/545-8188

614/900-4698

952/473-3200

952/935-0789

763/559-4500

NProf

NProf

NProf

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Part

SLFB-6

SLFB-6

SLFB-6

TCOMP

COMP

ICFIID-6

ICFIID-6

ICFIID-6

(20875)

(04306)

(21172)

(37039)

(37371)

(35579)

(21781)

(21675)

(30271)

FAX: 952/473-8629

FAX: 952/473-8629

FAX: 952/473-8629

FAX: /-

FAX: /-

FAX: /-

FAX: 952/404-1540

FAX: 952/935-0778

FAX: 763/559-1733

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JOHN ESTREM

JOHN ESTREM

JOHN ESTREM

SAID ISSE

SAID ISSE

SAID ISSE

AMY FLOY

TERRI DEVEAU

JUDY KOZLICKI

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

HWSAL-O

HWSAL-O

HWSAL

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327

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HOUSTON

CALEDONIA CARE AGENCY

CALEDONIA REHABILITATION & RETIREMENT CENTER

CALEDONIA REHABILITATION AND RETIREMENT CENTER

CLADDAGH SENIOR LIVING

CLADDAGH SENIOR LIVING CALEDONIA

ROSEVIEW COURT CARE AGENCY

ABLE INC HOUSTON

HERITAGE COURT

VALLEY VIEW HEALTHCARE & REHAB

VALLEY VIEW HEALTHCARE & REHAB

425 NORTH BADGER STREET

425 NORTH BADGER STREET

425 NORTH BADGER STREET

508 KRUCKOW AVENUE NORTH

508 KRUCKOW AVENUE NORTH

425 NORTH BADGER STREET

105 WEST ELM STREET BOX 245

110 HENDERSON STREET

510 EAST CEDAR STREET

510 EAST CEDAR STREET

CALEDONIA, MN 55921

CALEDONIA, MN 55921

CALEDONIA, MN 55921

CALEDONIA, MN 55921

CALEDONIA, MN 55921

CALEDONIA, MN 55921

HOUSTON, MN 55943

HOUSTON, MN 55943

HOUSTON, MN 55943

HOUSTON, MN 55943

507/725-3351

507/725-3351

507/725-3351

507/725-5200

507/725-5200

507/725-3351

507/896-3040

507/896-5135

507/896-3125

507/896-3125

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

NProf

NProf

NProf

NProf

COMP

NH-49

COMP

COMP

SLFB-6

NH-45

COMP

SNF-NF-49

ICFIID-6

SNF-NF-45

(20196)

(00073)

(30441)

(33092)

(33458)

(20196)

(01611)

(20339)

(00286)

(32112)

FAX: 507/725-5142

FAX: 507/725-5142

FAX: 507/725-5142

FAX: /-

FAX: 507/725-5115

FAX: 507/725-5142

FAX: 507/895-4505

FAX: 507/896-3289

FAX: 507/896-3289

FAX: 507/896-3289

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ELKY HOWITT

DEBORAH JOHNSON

SHEILA SNYDER

CARMEL LEDEBUHR

LARRY LEDEBUHR

ELKY HOWITT

GAIL MEYER

MICHAEL CORCHRAN

CONNIE EDWARDS

CONNIE EDWARDS

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWS

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328

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HOUSTON

HUBBARD

ABLE INC LACRESCENT

LA CRESCENT HEALTH SERVICES

SPRINGBROOK VILLAGE LACRESCENT

SPRINGBROOK VILLAGE OF LA CRESCENT LLC

TRADITIONS OF LA CRESCENT

SPRING GROVE ASSISTED LIVING LLC

SPRING GROVE ASSISTED LIVING, LLC

TWEETEN/LUTHERAN HEALTH CARE CENTER

KNUTE NELSON

1700 LANCER BOULEVARD

101 SOUTH HILL STREET

1384 COUNTY ROAD 25

1384 COUNTY ROAD 25

333 2ND STREET SOUTH

130 5TH AVENUE SE

130 5TH AVENUE SE

125 5TH AVENUE SE

420 12TH AVENUE EAST

LA CRESCENT, MN 55947

LA CRESCENT, MN 55947

LA CRESCENT, MN 55947

LA CRESCENT, MN 55947

LA CRESCENT, MN 55947

SPRING GROVE, MN 55974

SPRING GROVE, MN 55974

SPRING GROVE, MN 55974

ALEXANDRIA, MN 56308

507/895-8111

507/895-4445

715/598-7040

715/598-7040

507/895-6447

507/498-4000

507/498-4000

507/498-3211

320/763-6653

NProf

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

NProf

NProf

SLFB-15

NH-42

COMP HCBS

COMP

NH-50

COMP

ICFIID-15

SNF-NF-42

SNF-NF-50

(01419)

(00936)

(33651)

(33432)

(29352)

(30478)

(23911)

(00285)

(34095)

FAX: 507/895-4505

FAX: 507/895-7195

FAX: 715/598-7042

FAX: 715/598-7042

FAX: 507/895-6065

FAX: 507/498-4001

FAX: 507/498-4001

FAX: 507/498-3228

FAX: 320/763-7548

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

GAIL MEYER

JASON LEE

ROBERT SIMONSON

ROBERT SIMONSON

MARK DICKSON

NICOLE KIMMERLE

BRENT KIMMERLE

MICHELLE BORRESON

ANGIE URMAN

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

HWSAL

HWSAL

HWSAL

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329

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

HUBBARD

PINE MANORS, INC.

CARE AGE COUNTRY HOME

CRYSTAL BROOK SENIOR LIVING

DIAMOND WILLOW OF PARK RAPIDS 1

DIAMOND WILLOW OF PARK RAPIDS 2

ESSENTIA HEALTH PARK RAPIDS CLINIC

HERITAGE COTTAGE ON 5TH

HERITAGE COTTAGE ON 6TH

HERITAGE LIVING CENTER

HERITAGE MANOR

22195 STATE 34

18846 EAGLE BEND ROAD

1006 CROCUS HILL STREET

909 CROCUS HILL STREET

911 CROCUS HILL STREET

705 PLEASANT AVENUE

615 WEST 6TH STREET

611 WEST 6TH STREET

619 WEST 6TH STREET

602 FAIR AVENUE

NEVIS, MN 56467

PARK RAPIDS, MN 56470

PARK RAPIDS, MN 56470

PARK RAPIDS, MN 56470

PARK RAPIDS, MN 56470

PARK RAPIDS, MN 56470

PARK RAPIDS, MN 56470

PARK RAPIDS, MN 56470

PARK RAPIDS, MN 56470

PARK RAPIDS, MN 56470

218/732-4337

218/732-3721

218/699-3605

218/732-1671

218/732-1674

218/732-2800

218/237-8345

218/237-8345

218/732-3329

218/237-8345

Corp

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Cnty

Cnty

Cnty

Cnty

SLFA-28 SLFB-8

NH-64

COMP

RHC

SNF-NF-64

(01578)

(30408)

(34332)

(25123)

(25122)

(30998)

(26535)

(26536)

(00288)

(21235)

FAX: 218/732-0399

FAX: 218/237-2501

FAX: 218/699-3604

FAX: 218/732-2666

FAX: 218/732-2665

FAX: 218/732-2874

FAX: 218/237-8348

FAX: 218/237-8348

FAX: 218/732-9125

FAX: 218/237-8348

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

RACHEL MUELLER

TIM MATROS

MARNIE GUGISBERG

SARA KLEINSCHMIDT

SARA KLEINSCHMIDT

KIM MAY

KURT HANSEN

KURT HANSEN

KURT HANSEN

CLEO HARTUNG

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL

Page 367: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

330

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Minnesota Department of HealthHealth Regulation Division

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Page

Registration

HUBBARD

ISANTI

HERITAGE MANOR

PARK RAPIDS PHYSICAL THERAPY AND REHABILITATION

ST. JOSEPH'S AREA HEALTH SERVICES

ST. JOSEPH'S AREA HEALTH SERVICES

ELMHURST COMMONS

B'S HOMECARE INC

CAMBRIDGE INDUSTRIAL REHAB CLINIC, HEALTH DIMENSION REHAB, INC.

CAMBRIDGE MEDICAL CENTER

CENTRACARE KIDNEY PROGRAM - CAMBRIDGE DIALYSIS

602 FAIR AVENUE

200 SOUTH MAIN STREET

323 MAIN AVENUE SOUTH

600 PLEASANT AVENUE

400 3RD STREET SW

626 MAIN STREET NORTH

1994 EAST RUM RIVER DRIVE S

701 SOUTH DELLWOOD STREET

520 11TH AVENUE SW SOUTH BLDG

PARK RAPIDS, MN 56470

PARK RAPIDS, MN 56470

PARK RAPIDS, MN 56470

PARK RAPIDS, MN 56470

BRAHAM, MN 55006

CAMBRIDGE, MN 55008

CAMBRIDGE, MN 55008

CAMBRIDGE, MN 55008

CAMBRIDGE, MN 55008

218/237-8345

218/732-0868

218/732-4552

218/732-3311

320/396-0440

763/689-8984

763/689-5385

763/689-0000

763/691-1333

Cnty

Corp

Church

Church

Lim-Liab

Corp

Corp

NProf

NProf

Hospice

HOSP-50 BASS-10

COMP

HOSP-86 BASS-15

Out Pt Out St Out Ot

HSPICE

CAH-25

Out Pt Out St Out Ot

HOSP-86

ESRD

(30727)

(03572)

(03458)

(00287)

(30591)

(30354)

(02443)

(00295)

(25908)

FAX: 218/237-8348

FAX: /-

FAX: 218/732-1273

FAX: 218/732-1368

FAX: 320/396-0038

FAX: 763/689-1170

FAX: 763/689-5558

FAX: 763/688-7941

FAX: 763/691-0999

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

KURT HANSEN

SHARON ERICKSON

BEN KOPPELMAN

BEN KOPPELMAN

CHUCK PETRICH

BRANDY HERBST

MARK ESSLING

KELLY SPRATT

SHERRY WENTWORTH

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

HWSAL

HWSAL

Page 368: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

331

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

ISANTI

GENTLE HANDS OF TIME, LLC

GPC COMMONS

GRACEPOINTE CROSSING

GRACEPOINTE CROSSING - THE COMMONS

GRACEPOINTE CROSSING GABLES

LIVING WELL - CENTRAL

ROSEWOOD SENIOR LIVING

ROSEWOOD SENIOR LIVING LLC

WALKER METHODIST LEVANDE HOME CARE SERVICES

WALKER METHODIST LEVANDE LLC

133 2ND AVENUE SW STE C & D

1545 RIVERHILLS PARKWAY NW

1545 RIVERHILLS PARKWAY NW

1545 RIVERHILLS PARKWAY NW

1601 RIVERHILLS PARKWAY NW

1555 CENTRAL AVENUE SW

801 MAIN STREET NORTH

801 MAIN STREET NORTH

2011 6TH LANE SOUTH

2011 6TH LANE SE

CAMBRIDGE, MN 55008

CAMBRIDGE, MN 55008

CAMBRIDGE, MN 55008

CAMBRIDGE, MN 55008

CAMBRIDGE, MN 55008

CAMBRIDGE, MN 55008

CAMBRIDGE, MN 55008

CAMBRIDGE, MN 55008

CAMBRIDGE, MN 55008

CAMBRIDGE, MN 55008

763/552-4043

763/689-1474

763/689-1474

763/689-1474

763/689-1474

763/689-3794

763/552-1340

763/552-1340

763/325-0100

763/325-0100

Lim-Liab

NProf

NProf

NProf

NProf

NProf

Lim-Liab

Lim-Liab

NProf

Lim-Liab

COMP

COMP

COMP

NH-141

SLFB-6

COMP

COMP

SNF-NF-141

ICFIID-6

(26546)

(20709)

(30763)

(20709)

(00294)

(01371)

(32421)

(27286)

(26375)

(33435)

FAX: 763/689-6681

FAX: 763/689-6629

FAX: 763/689-6629

FAX: 763/689-6629

FAX: 763/691-2200

FAX: 763/444-7011

FAX: 866/265-7173

FAX: 866/265-7173

FAX: 763/325-0130

FAX: 763/325-0130

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

KAREN CARLSON

JAN KOOMEN

BRITTANY JOHANSON

JAN KOOMEN

BRENDA STACHOWSKI

JARRETT PUNG

NIKKITA OSTROM

NIKKITA OSTROM

JACLYN DUREN

JACLYN DUREN

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

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332

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

ISANTI

ITASCA

PRAIRIE SENIOR COTTAGES OF ISANTI LLC

PSC OF ISANTI LLC

BRASK HAVEN INC

BRASK HAVEN, INC.

BRASK HAVEN, INC.

BIGFORK VALLEY COMMUNITIES

BIGFORK VALLEY HOME CARE

BIGFORK VALLEY HOSPITAL

BIGFORK VALLEY VILLA

706 6TH AVENUE NE

706 6TH AVENUE NE

31274 JULLIARD STREET NE

31274 JULLIARD STREET NE

31274 JULLIARD ST NE

258 PINE TREE DRIVE PO BOX 258

258 PINE TREE DRIVE

258 PINE TREE DRIVE

258 PINE TREE DRIVE

ISANTI, MN 55040

ISANTI, MN 55040

NORTH BRANCH, MN 55056

NORTH BRANCH, MN 55056

NORTH BRANCH, MN 55056

BIGFORK, MN 56628

BIGFORK, MN 56628

BIGFORK, MN 56628

BIGFORK, MN 56628

763/444-4626

763/444-4626

651/674-7433

651/674-7433

651/674-7433

218/743-1772

218/743-1004

218/743-3177

218/743-1000

Lim-Liab

Lim-Liab

Corp

Corp

Corp

Dist

Dist

Dist

Dist

COMP

COMP

COMP

NH-40

COMP

HOSP-20 BASS-4

SNF-NF-40

HHA

CAH-20

(28490)

(30809)

(20809)

(20809)

(30796)

(00834)

(03846)

(00300)

(20243)

FAX: 763/444-0177

FAX: 763/444-0177

FAX: 651/237-0563

FAX: 651/237-0563

FAX: 651/237-0563

FAX: 218/743-4327

FAX: 218/743-3559

FAX: 218/743-3559

FAX: 218/743-3559

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JAMIE USHER

BRYAN CHRISTIANSON

JODI BRASK

JODI BRASK

JODI BRASK

AARON SAUDE

AARON SAUDE

AARON SAUDE

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

HWSAL

HWSAL

HWSAL

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333

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

ITASCA

BIGFORK VALLEY VILLA ASSISTED LIVING

EDGEWOOD CARE INC

EDGEWOOD CARE, INC

EDGEWOOD CARE, INC.

HOME AND COMFORT INC 2

AUTUMN LANE

AUTUMN LANE, INC.

MAPLE WOODS ASSISTED LIVING AND HOME CARE

MAPLE WOODS ASSISTED LIVING AND HOME CARE

SUGAR BROOK VILLA

258 PINE TREE DRIVE

102 10TH AVENUE PO BOX 39

102 10TH AVENUE PO BOX 39

102 10TH AVENUE PO BOX 39

908 TRAILVIEW STREET

36858 PINCHERRY ROAD

36858 PINCHERRY ROAD

40170 COUNTY ROAD 257

40170 COUNTY ROAD 257

20868 SUGAR HILLS ROAD

BIGFORK, MN 56628

BOVEY, MN 55709

BOVEY, MN 55709

BOVEY, MN 55709

BOVEY, MN 55709

COHASSET, MN 55721

COHASSET, MN 55721

COHASSET, MN 55721

COHASSET, MN 55721

COHASSET, MN 55721

218/743-1004

218/245-3550

218/245-3550

218/245-3550

218/256-0463

218/328-0225

218/328-0225

218/244-9458

218/999-9072

218/326-5730

Dist

Corp

Corp

Corp

Corp

Corp

Corp

Corp

Corp

Corp

COMP

COMP

COMP

COMP

COMP

COMP

(23171)

(24649)

(30573)

(24649)

(35689)

(26859)

(23725)

(26072)

(30666)

(23715)

FAX: 218/743-4160

FAX: 218/245-3551

FAX: 218/245-3551

FAX: 218/245-3551

FAX: 218/245-0293

FAX: 218/328-6105

FAX: 218/328-6105

FAX: 218/999-5657

FAX: 218/999-5657

FAX: 218/326-5713

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

AARON SAUDE

PETER GIVING

PETER GIVING

PETER GIVING

REBECCA BURT

LEANNE BRENDEN

LEANNE BRENDEN

DEAN DICKSON

DEAN DICKSON

MELISSA INGVALDSON

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

Page 371: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

334

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

ITASCA

SUGAR BROOK VILLA

SUGAR BROOK VILLA, INC.

HOME AND COMFORT INC

HOME AND COMFORT, INC.

HOME AND COMFORT, INC.

DEER RIVER HEALTH CARE CENTER

ESSENTIA HEALTH - HOMESTEAD

ESSENTIA HEALTH DEER RIVER HOME CARE

MAPLE WOODS ASSISTED LIVING

2CARE4U LLC

20868 SUGAR HILLS ROAD

20868 SUGAR HILLS ROAD

500 POWELL AVENUE

500 POWELL AVENUE

500 POWELL AVENUE

115 10TH AVENUE NE

115 10TH AVENUE NE

115 10TH AVENUE NE

33310 STATE HIGHWAY 6

1107 4TH STREET NW

COHASSET, MN 55721

COHASSET, MN 55721

COLERAINE, MN 55722

COLERAINE, MN 55722

COLERAINE, MN 55722

DEER RIVER, MN 56636

DEER RIVER, MN 56636

DEER RIVER, MN 56636

DEER RIVER, MN 56636

GRAND RAPIDS, MN 55744

218/326-5730

218/326-5730

218/245-0012

218/245-0012

218/245-0012

218/246-4510

218/246-4510

218/246-4352

218/999-9072

218/326-0095

Corp

Corp

Corp

Corp

Corp

NProf

NProf

NProf

Corp

Lim-Liab

COMP

COMP

COMP

NH-32 HOSP-20 BASS-6

NH-32 HOSP-20 BASS-6

COMP

COMP

SNF-NF-32 CAH-20

SNF-NF-32 CAH-20

HHA

(30400)

(23715)

(21439)

(21439)

(30761)

(00296)

(00296)

(02403)

(33975)

(27332)

FAX: 218/326-5713

FAX: 218/326-5713

FAX: 218/245-0293

FAX: 218/245-0293

FAX: 218/245-0293

FAX: 218/246-4502

FAX: 218/246-4502

FAX: 218/246-4354

FAX: 218/999-9068

FAX: 218/999-0214

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

MELISSA INGVALDSON

MELISSA INGVALDSON

REBECCA BURT

REBECCA BURT

BETHEL WILCOWSKI

MONIQUE FOX

MONIQUE FOX

MONIQUE FOX

DEAN DICKSON

CARLA HENNING

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

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335

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

ITASCA

AMERICARE LODGES

AMERICARE LODGES INC.

AMERICARE LODGES INC.

BROOKSTONE MANOR INC

BROOKSTONE MANOR INC

BROOKSTONE MANOR INC

CRYSTAL LAKE HOME

DIAMOND WILLOW OF GRAND RAPIDS 1

DIAMOND WILLOW OF GRAND RAPIDS 2

FMC DIALYSIS SERVICES GRAND RAPIDS

20371 WENDIGO PARK ROAD BLDG 3

20371 WENDIGO PARK RD BLDG#4

20371 WENDICO PARK ROAD BLDG1

722 NORTH POKEGAMA AVENUE

722 NORTH POKEGAMA AVENUE

650 SE 13TH STREET

1971 NE 1ST AVENUE

949 SW 11TH AVENUE

949 B SW 11TH AVENUE

155 SE 13TH STREET

GRAND RAPIDS, MN 55744

GRAND RAPIDS, MN 55744

GRAND RAPIDS, MN 55744

GRAND RAPIDS, MN 55744

GRAND RAPIDS, MN 55744

GRAND RAPIDS, MN 55744

GRAND RAPIDS, MN 55744

GRAND RAPIDS, MN 55744

GRAND RAPIDS, MN 55744

GRAND RAPIDS, MN 55744

218/910-5205

218/326-0536

218/326-0536

218/326-3469

218/326-3469

218/999-7672

218/999-9057

218/327-9463

218/327-9460

218/327-1930

Part

Corp

Corp

Corp

Corp

Corp

Corp

Lim-Liab

Lim-Liab

Corp

COMP

COMP

ESRD

(36294)

(36804)

(36807)

(20077)

(26123)

(33597)

(23124)

(24815)

(24816)

(03802)

FAX: 218/566-4723

FAX: 218/301-0033

FAX: 218/301-0033

FAX: 218/326-5339

FAX: 218/326-5339

FAX: 218/327-0027

FAX: 218/999-5694

FAX: 218/327-9408

FAX: 218/327-9407

FAX: 218/327-1912

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

KRISTINA WATSON

KRISTINA WATSON

KRISTINA WATSON

PAULA ROCHELEAU

PAULA ROCHELEAU

PAULA ROCHELEAU

KYLE HEDLUND

SARA KLEINSCHMIDT

SARA KLEINSCHMIDT

AMY ALLEN

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWS-O

HWSAL

HWSAL

HWSAL

HWSAL

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336

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

ITASCA

GARDEN COURT CHATEAU

GARDEN COURT CHATEAU

GRAND ITASCA CLINIC & HOSPITAL

GRAND ITASCA CLINIC & HOSPITAL HC

GRAND MANOR II

GRAND MANOR III

GRAND VILLAGE

KOOTASCA CA MENS PEER HOUSE

LAKEWOOD SURGERY CENTER

MAJESTIC PINES

2495 SW 8TH STREET

2495 SW 8TH STREET

1601 GOLF COURSE ROAD

111 SE 3RD STREET

227 13TH ST SW

1115 2ND AVENUE SW

923 HALE LAKE POINTE

1116 SE 7TH STREET

1542 GOLF COURSE ROAD #105

1614 GOLF COURSE ROAD

GRAND RAPIDS, MN 55744

GRAND RAPIDS, MN 55744

GRAND RAPIDS, MN 55744

GRAND RAPIDS, MN 55744

GRAND RAPIDS, MN 55744

GRAND RAPIDS, MN 55744

GRAND RAPIDS, MN 55744

GRAND RAPIDS, MN 55744

GRAND RAPIDS, MN 55744

GRAND RAPIDS, MN 55744

218/999-5998

218/999-5999

218/326-3401

218/999-4663

218/326-5314

218/326-5314

218/326-0543

218/999-0830

218/322-6745

218/999-7776

Lim-Liab

Lim-Liab

NProf

NProf

Part

Part

Cnty

NProf

Lim-Liab

Corp

COMP

HOSP-64 BASS-10

COMP

NH-114

Outpt Surg

HOSP-64 PPS-R-0

HHA

SNF-NF-114

Amb Surg

(24912)

(30596)

(00297)

(02975)

(21147)

(21148)

(00298)

(32191)

(23863)

(30986)

FAX: 218/999-5996

FAX: 218/999-5996

FAX: 218/999-1461

FAX: 218/999-1052

FAX: 218/326-9811

FAX: 218/326-9811

FAX: 218/327-2405

FAX: /-

FAX: 218/326-3955

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

MICHELLE SCHERF

MICHELLE SCHERF

JEAN MAC DONELL

KATIE TROUMBLY

AMY EFTA

AMY EFTA

KYLE HEDLUND

ROZANNE CASEY

KELLY SKELLY

ROCHELLE LANGLOIS

---------------------------********** --------------------------(Cont.)*

HWSAL

HWS

HWS

HWS-O

HWSAL

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337

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

ITASCA

MAJESTIC PINES

MANOR HOUSE

MOSES RESIDENCE

NORTH COUNTRY CARE

NORTHERN LIGHTS OF ITASCA GRAND MANOR I

NORTHLAND RECOVERY CENTER

NORTHWOODS VILLA

NORTHWOODS VILLA

NORTHWOODS VILLA INC.

NORTHWOODS VILLA INC

1614 GOLF COURSE ROAD

722 NORTH POKEGAMA AVENUE

220 17TH STREET NW

1200 GUNN ROAD

215 13TH ST SW

1215 7TH AVENUE SE

1200 GUNN ROAD

1905 HIGHWAY 2 WEST

1212 GUNN ROAD

1200 GUNN ROAD

GRAND RAPIDS, MN 55744

GRAND RAPIDS, MN 55744

GRAND RAPIDS, MN 55744

GRAND RAPIDS, MN 55744

GRAND RAPIDS, MN 55744

GRAND RAPIDS, MN 55744

GRAND RAPIDS, MN 55744

GRAND RAPIDS, MN 55744

GRAND RAPIDS, MN 55744

GRAND RAPIDS, MN 55744

218/999-7776

218/326-3469

651/645-7271

218/327-1919

218/326-5314

218/313-1315

218/327-1919

218/999-4644

218/999-5513

218/327-1919

Lim-Liab

Corp

NProf

Corp

Part

NProf

Corp

Corp

Corp

Corp

COMP

COMP

SLFB-34

COMP

(29046)

(20077)

(24458)

(21748)

(21146)

(01608)

(21748)

(35523)

(37388)

(34570)

FAX: 218/999-0615

FAX: 218/326-5339

FAX: 651/645-0541

FAX: 218/999-0100

FAX: 218/326-9811

FAX: 218/327-1932

FAX: 218/999-0100

FAX: 218/999-0100

FAX: 218/999-0100

FAX: 218/999-0100

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

NICHOLE HOUG

PAULA ROCHELEAU

STEPHEN VANDER SCHAAF

HILLARY ALTENHOFEN

AMY EFTA

COLLEEN MACKEY

HILLARY ALTENHOFEN

HILLARY JOHNSON

JAYSON ALTENHOFEN

HILLARY ALTENHOFEN

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL-O

HWS

HWSAL-O

HWSAL-O

HWSAL

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338

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

ITASCA

OAK HILL ASSISTED LIVING

OAK HILL ASSISTED LIVING

PINE RIDGE APARTMENTS

PLEASANT SEASONS

RADTKE PHYSICAL THERAPY

RECOVER HEALTH

RIVER GRAND INC

RIVER GRAND SENIOR LIVING

ST. CROIX HOSPICE

THE EMERALDS AT GRAND RAPIDS

1971 1ST AVENUE NE

1971 NE 1ST AVENUE

620 RIVER ROAD

2815 HIGHWAY 169 SOUTH

1542 GOLF COURSE ROAD #4

19 NE 3RD STREET

355 RIVER ROAD

355 RIVER ROAD

1001 SOUTH POKEGAMA STE D

2815 HIGHWAY 169 SOUTH

GRAND RAPIDS, MN 55744

GRAND RAPIDS, MN 55744

GRAND RAPIDS, MN 55744

GRAND RAPIDS, MN 55744

GRAND RAPIDS, MN 55744

GRAND RAPIDS, MN 55744

GRAND RAPIDS, MN 55744

GRAND RAPIDS, MN 55744

GRAND RAPIDS, MN 55744

GRAND RAPIDS, MN 55744

218/398-5279

218/999-9057

218/326-2455

218/999-5861

218/326-3300

218/326-0004

218/999-5333

218/999-5333

218/212-7915

218/999-5861

Corp

Corp

Part

Lim-Liab

Part

Corp

Corp

Lim-Liab

Lim-Liab

Lim-Liab

COMP

COMP

COMP

COMP

Hospice

COMP

Out Pt

HHA

HSPICE

(30081)

(23124)

(31128)

(21909)

(20672)

(03932)

(28963)

(32062)

(34892)

(21909)

FAX: 218/999-5279

FAX: 218/999-5694

FAX: 218/327-0246

FAX: 218/327-2734

FAX: 218/326-3400

FAX: 218/326-4770

FAX: 218/999-5833

FAX: 218/999-5833

FAX: 218/301-0725

FAX: 218/327-2734

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

KYLE HEDLUND

KYLE HEDLUND

STACY GROSSE

LEESA GILMAN

MICHAEL RADTKE

LISA OLSON

ROCHELLE LANGLOIS

ROCHELLE LANGLOIS

JARED ANDERSON

LEESA GILMAN

---------------------------********** --------------------------(Cont.)*

HWSAL

HWS

HWSAL

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339

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

ITASCA

JACKSON

THE EMERALDS AT GRAND RAPIDS ASSISTED LIVING LLC

THE EMERALDS AT GRAND RAPIDS LLC

HILLCREST NASHWAUK

LAKEVIEW ASSISTED LIVING

LAKEVIEW ASSISTED LIVING

FIREFLY IMAGING SERVICES LLC

GOOD SAMARITAN SOCIETY - JACKSON

GOOD SAMARITAN SOCIETY - THE PINES

GOOD SAMARITAN SOCIETY THE PINES

2815 HIGHWAY 169 SOUTH

2801 SOUTH HIGHWAY 169

570 PLATT AVENUE EAST

941 COUNTY ROAD 9

941 COUNTY ROAD 9

606 2ND STREET

601 WEST STREET

1508 NORTH HIGHWAY

1508 NORTH HIGHWAY

GRAND RAPIDS, MN 55744

GRAND RAPIDS, MN 55744

NASHWAUK, MN 55769

HERON LAKE, MN 56137

HERON LAKE, MN 56137

JACKSON, MN 56143

JACKSON, MN 56143

JACKSON, MN 56143

JACKSON, MN 56143

218/326-8567

218/326-3431

218/263-4157

507/793-2349

507/793-2349

507/841-0411

507/847-3100

507/847-5762

507/847-5762

Lim-Liab

Lim-Liab

Corp

Corp

Corp

Lim-Liab

NProf

NProf

NProf

NH-93

COMP

NH-46

COMP

SNF-NF-93

XRAY

SNF-NF-46

(30227)

(00299)

(26487)

(25317)

(30568)

(29323)

(00303)

(20041)

(30319)

FAX: 218/327-2734

FAX: 218/327-3217

FAX: 218/263-4468

FAX: 507/793-2355

FAX: 507/793-2355

FAX: /-

FAX: 507/847-2119

FAX: 507/847-5763

FAX: 507/847-5763

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

LEESA GILMAN

BLAKE DEHNKE

JIM FENA

BILLIE BROCKSHUS

PAULA ROCHELEAU

TROY RASMUSSEN

DAREN RIFE

NIKKI COPLEY

DAREN RIFE

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

Page 377: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

340

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

JACKSON

KANABEC

JACKSON MEDICAL CENTER

PRAIRIE REHABILITATION SERVICES

SANFORD CLINIC JACKSON

SANFORD JACKSON MEDICAL CENTER

THE PINES

COLONIAL MANOR NURSING HOME

SANFORD CLINIC LAKEFIELD

VALLEY VIEW ASSISTED LIVING

VALLEY VIEW ASSISTED LIVING

1430 NORTH HIGHWAY

816 3RD STREET

1430 NORTH HIGHWAY

1430 NORTH HIGHWAY

1508 NORTH HIGHWAY

403 COLONIAL AVENUE

209 MAIN STREET PO BOX 546

1005 MILWAUKEE STREET

1005 MILWAUKEE STREET

JACKSON, MN 56143

JACKSON, MN 56143

JACKSON, MN 56143

JACKSON, MN 56143

JACKSON, MN 56143

LAKEFIELD, MN 56150

LAKEFIELD, MN 56150

LAKEFIELD, MN 56150

LAKEFIELD, MN 56150

507/847-2420

507/372-2232

507/847-2200

507/847-2420

507/847-5762

507/662-6646

507/662-6611

507/662-5330

507/662-5330

NProf

Ind

NProf

NProf

NProf

Corp

NProf

Corp

Corp

HOSP-20

HOSP-20

COMP

NH-37

COMP

CAH-20

Out Pt Out Ot

RHC

CAH-20

SNF-NF-37

RHC

(00305)

(23594)

(03494)

(00305)

(20041)

(00302)

(03730)

(23656)

(23658)

FAX: 507/847-3728

FAX: /-

FAX: /-

FAX: 507/847-3728

FAX: 507/847-5763

FAX: 507/662-5531

FAX: /-

FAX: 507/662-5679

FAX: 507/662-5679

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

DAWN SCHNELL

TROY VANORMAN

DAVID HOVE

DAWN SCHNELL

NIKKI COPLEY

PAULA ROCHELEAU

DAVID HOVE

PAULA ROCHELEAU

PAULA ROCHELEAU

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

HWSAL

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341

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Directory of Facilities and Services

Page

Registration

KANABEC

BLC OF MORA

EASTWOOD SENIOR LIVING

EASTWOOD SENIOR LIVING HOME CARE

FIRSTLIGHT HEALTH SYSTEM

FRESENIUS KIDNEY CARE MORA DIALYSIS

KANABEC COUNTY COMMUNITY HEALTH

MYSA HOUSE

SCANDIA HOUSE OF MORA

ST. CLARE LIVING COMMUNITY OF MORA

ST. LIVING COMMUNITY OF MORA

101 9TH STREET

170 VALHALLA CIRCLE

170 VALHALLA CIRCLE

301 HIGHWAY 65 SOUTH

900 FOREST AVENUE EAST

905 FOREST AVENUE EAST #127

141 VALHALLA CIRCLE

973 MAPLE AVENUE EAST

110 NORTH 7TH STREET

101 9TH STREET

MORA, MN 55051

MORA, MN 55051

MORA, MN 55051

MORA, MN 55051

MORA, MN 55051

MORA, MN 55051

MORA, MN 55051

MORA, MN 55051

MORA, MN 55051

MORA, MN 55051

320/679-2576

320/679-2916

320/679-2916

320/225-3315

320/679-1250

320/679-6330

320/679-4789

320/679-3260

320/679-1411

320/679-2576

NProf

HRA

Corp

Cnty

Corp

Cnty

HRA

Lim-Liab

NProf

NProf

COMP

HOSP-49 BASS-8

COMP

NH-65

COMP

CAH-25

ESRD

HHA

SNF-NF-65

(20246)

(30743)

(35469)

(00308)

(03556)

(02216)

(33991)

(26502)

(00814)

(03022)

FAX: 320/679-8358

FAX: 320/679-4336

FAX: 320/679-4336

FAX: 320/225-3320

FAX: 320/670-1154

FAX: 320/679-6333

FAX: 320/679-5638

FAX: 877/309-7680

FAX: 320/679-8350

FAX: 320/679-8358

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

AMANDA FIX

SHEILA SWENSON

LAUNA HOLLEN

RANDY ULSETH

JULIE VICKERMAN

KATHY BURSKI

ROSE DUNN

KENNETH BERGSTROM

JENNIFER PETERSON

AMANDA FIX

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWS

HWSAL

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342

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Directory of Facilities and Services

Page

Registration

KANABEC

KANDIYOHI

WELIA HEALTH

SIGNE AND OLIVIAS

SIGNE AND OLIVIAS LLC

SIGNE AND OLIVIAS LLC

S & O'S ASSISTED LIVING LLC

ATWATER ICF-IID

SUNNYVIEW

SUNNYVIEW II

CENTRAL MINNESOTA SENIOR CARE

301 HIGHWAY 65 SOUTH

1545 HARBOR STREET

1545 HARBOR STREET

1545 HARBOR STREET

14856 EDGEWATER ROAD NE

110 5TH STREET NORTH

316 SUNRISE LANE

314 SUNRISE LANE

270 WEST MILKY WAY AVENUE

MORA, MN 55051

OGILVIE, MN 56358

OGILVIE, MN 56358

OGILVIE, MN 56358

PINE CITY, MN 55063

ATWATER, MN 56209

ATWATER, MN 56209

ATWATER, MN 56209

LAKE LILLIAN, MN 56253

320/225-3315

320/272-0115

320/272-0115

320/272-0115

320/364-0164

320/974-8070

320/441-7001

320/441-7001

320/441-7001

Cnty

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Corp

Corp

Corp

HOSP-49 BASS-8

COMP

COMP

TCOMP

SLFA-6

CAH-25

ICFIID-6

(00308)

(26359)

(26359)

(30706)

(35449)

(01110)

(20569)

(21369)

(23210)

FAX: 320/225-3320

FAX: 320/272-4100

FAX: 320/272-4100

FAX: 320/272-4100

FAX: 320/629-2018

FAX: 320/974-3494

FAX: 320/235-8069

FAX: 320/235-8069

FAX: 320/235-8069

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

RANDY ULSETH

VICTORIA FORE

VICTORIA FORE

VICTORIA FORE

ASHLEY THOMPSON

ELIZABETH HILLSTROM

JACKLYN FRERICKS

JACKLYN FRERICKS

BARBARA NOVOTNY

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

Page 380: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

343

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Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

KANDIYOHI

GLENOAKS SENIOR LIVING CAMPUS

GLENOAKS SENIOR LIVING CAMPUS

GLENOAKS SENIOR LIVING CAMPUS

GLENOAKS SENIOR LIVING CAMPUS

LAKE REGION HOME HEALTH

CENTRAL MINNESOTA SENIOR CARE

COUNTRY LIVING MANAGEMENT COMPANY

TOUCHING HEARTS AT HOME WC MN

TOUCHING HEARTS AT HOME WC MN

MIRIAM MANOR

100 GLENOAKS DRIVE

102 GLENOAKS DRIVE

104 GLENOAKS DRIVE

102 GLENOAKS DRIVE

22 CENTRAL AVENUE EAST

403 CARDINAL DRIVE

12335 13TH STREET NW

301 HIGHWAY 23 SOUTH #1

301 HIGHWAY 23 SOUTH

403 CENTRAL AVENUE PO BOX 141

NEW LONDON, MN 56273

NEW LONDON, MN 56273

NEW LONDON, MN 56273

NEW LONDON, MN 56273

NEW LONDON, MN 56273

PRINSBURG, MN 56281

SPICER, MN 56288

SPICER, MN 56288

SPICER, MN 56288, MN 55113

SUNBURG, MN 56289

320/354-6057

320/354-2121

320/354-6054

320/354-6054

320/354-5858

320/441-7001

320/269-9000

320/409-1444

320/409-1444

320/366-3934

NProf

BusTrust

Lim-Liab

Lim-Liab

Corp

Corp

Corp

Corp

Corp

Corp

NH-52

COMP

COMP

COMP

BASIC

SNF-NF-52

HHA

(00314)

(20303)

(29292)

(21021)

(02204)

(23208)

(28183)

(29742)

(32441)

(23209)

FAX: 320/354-2060

FAX: 320/354-2060

FAX: 320/354-2060

FAX: 320/354-2107

FAX: 888/501-7631

FAX: 320/235-8069

FAX: 320/269-8008

FAX: 320/409-1446

FAX: 320/409-1446

FAX: 320/235-8069

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

SAMUEL QUAM

SAMUEL QUAM

SAMUEL QUAM

SAMUEL QUAM

KIMBERLY OLSON

BARBARA NOVOTNY

LUANNE GIBSON

JARROD PETERSON

JARROD PETERSON

ELIZABETH HILSTROM

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

Home Mgmt

HWSAL

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344

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Directory of Facilities and Services

Page

Registration

KANDIYOHI

SUNBURG APARTMENTS

BETHESDA

BETHESDA ASSISTED LIVING

BETHESDA HOME HEALTH

BROOKDALE WILLMAR

BROOKDALE WILLMAR

CARRIS HEALTH CARE CENTER & THERAPY SUITES

CARRIS HEALTH LLC

CARRIS HEALTH LLC

CARRIS HEALTH LLC

403 CENTRAL AVENUE

901 SE WILLMAR AVENUE

1125 9TH STREET SE

901 WILLMAR AVENUE #2

1501 19TH AVENUE SW

1501 19TH AVENUE SW

1801 WILLMAR AVENUE SW

301 BECKER AVENUE SW

301 BECKER AVENUE SW

301 BECKER AVENUE SW

SUNBURG, MN 56289

WILLMAR, MN 56201

WILLMAR, MN 56201

WILLMAR, MN 56201

WILLMAR, MN 56201

WILLMAR, MN 56201

WILLMAR, MN 56201

WILLMAR, MN 56201

WILLMAR, MN 56201

WILLMAR, MN 56201

320/441-7001

320/235-9532

320/235-1602

320/235-8364

320/235-1024

320/235-1024

320/214-2700

320/235-4543

320/231-4235

320/231-4450

Corp

NProf

NProf

Church

Corp

Corp

ONProf

ONProf

Lim-Liab

ONProf

NH-248

COMP

COMP

COMP

NH-78

HOSP-136 BASS-20

Hospice

SNF-NF-248

HHA

SNF-NF-78

HOSP-128 PPS-P-8

ESRD

HSPICE

(24351)

(00792)

(20208)

(02926)

(20351)

(30600)

(00313)

(00316)

(02116)

(02407)

FAX: 320/235-8069

FAX: 320/235-7909

FAX: 320/235-4517

FAX: 320/235-6968

FAX: 320/235-1108

FAX: 320/235-1108

FAX: 320/214-2765

FAX: 320/231-4869

FAX: 320/231-4873

FAX: 320/231-4875

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ELIZABETH HILSTROM

ASHLEY BORMANN

CARLI STENSRUD

SHANNON LANZRATH

ABIGAIL NELSON

ABIGAIL NELSON

PAMELA ADAM

MICHAEL SCHRAMM

MARY BETH POTTER

MARY BETH POTTER

---------------------------********** --------------------------(Cont.)*

HWS

HWSAL

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345

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Directory of Facilities and Services

Page

Registration

KANDIYOHI

CARRIS HEALTH SURGERY CENTER - WILLMAR

CENTRAL MINNESOTA CARE

CENTRAL MINNESOTA SENIOR CARE INC A

CENTRAL MINNESOTA SENIOR CARE INC B

CENTRAL MINNESOTA SENIOR CARE, INC.

CENTRAL MINNESOTA SENIOR CARE, INC.

CHILD & ADOLESCENT BEHAVIORAL HEALTH SERVICES

COMMUNITY ADDITION RECOVERY ENTERPRISE WILLMAR

COMMUNITY BEHAVIORAL HEALTH HOSPITAL WILLMAR

COMPASSIONATE CARE INC

1310 1ST STREET S PO BOX 773

1409 BECKER AVENUE SE

2323 GORTON AVENUE SW

2323 GORTON AVENUE SW

619 BENSON AVENUE SW

619 BENSON AVENUE SW

2301 TRANSPORTATION DRIVE

1801 TECHNOLOGY DRIVE NE

1208 OLENA AVENUE SE

601 4TH STREET SW

WILLMAR, MN 56201

WILLMAR, MN 56201

WILLMAR, MN 56201

WILLMAR, MN 56201

WILLMAR, MN 56201

WILLMAR, MN 56201

WILLMAR, MN 56201

WILLMAR, MN 56201

WILLMAR, MN 56201

WILLMAR, MN 56201

320/235-6506

320/441-7001

320/441-7001

320/441-7001

320/441-7001

320/441-7041

320/231-5404

320/979-5104

320/235-0341

320/231-9868

ONProf

Corp

Corp

Corp

Corp

Corp

State

State

State

Corp

Outpt Surg

COMP

OTHER-16

SLFB-16

SLFB-16

BASIC

Amb Surg

PSY-16

(00289)

(24178)

(20166)

(20430)

(20855)

(21061)

(00318)

(26528)

(25363)

(27923)

FAX: 320/235-7069

FAX: 320/235-8069

FAX: 320/235-8069

FAX: 320/235-8069

FAX: 320/235-8069

FAX: 320/235-8069

FAX: 218/231-5901

FAX: 651/431-7408

FAX: 320/214-3335

FAX: 320/231-9871

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

KATHY DILLON

JACKLYN FRERICKS

ELIZABETH HILSTROM

ELIZABETH HILSTROM

ELIZABETH HILLSTROM

DAWN FRERICKS

MICHAEL GALLAGHER

LISA LUCKHARDT

HEIDI JAMMA

SARA HANKEL

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

Home Mgmt

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Directory of Facilities and Services

Page

Registration

KANDIYOHI

COMPASSIONATE COTTAGE II

COMPASSIONATE COTTAGE II

COMPASSIONATE COTTAGE LLC

COMPASSIONATE COTTAGE LLC

COPPERLEAF SENIOR LIVING

DIVINE HOME CARE, INC.

DIVINE HOME CARE, INC.

DIVINE HOSPICE CARE

DIVINE HOUSE, INC.

DIVINE HOUSE, INC.

1506 UPPER TRENTWOOD CIRCLE NE

1506 UPPER TRENTWOOD CIRCLE NE

1000 COTTONWOOD DRIVE NE

1000 COTTONWOOD DRIVE NE

1550 1ST STREET NORTH

322 2ND STREET SW

322 2ND STREET SW

322 2ND STREET SW

328 5TH STREET SW

328 5TH STREET SW

WILLMAR, MN 56201

WILLMAR, MN 56201

WILLMAR, MN 56201

WILLMAR, MN 56201

WILLMAR, MN 56201

WILLMAR, MN 56201

WILLMAR, MN 56201

WILLMAR, MN 56201

WILLMAR, MN 56201

WILLMAR, MN 56201

320/235-2775

320/235-2775

320/905-3593

320/235-2775

320/222-5000

320/231-9757

320/231-9757

320/231-9757

320/231-2738

320/231-2738

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Corp

Corp

Corp

Corp

COMP

COMP

COMP

COMP HCBS

Hospice

COMP

HHA

HSPICE

(32618)

(32777)

(25626)

(25627)

(26122)

(22025)

(23168)

(29550)

(20854)

(21062)

FAX: 320/441-2010

FAX: 320/441-2010

FAX: 320/441-2010

FAX: 320/441-2010

FAX: 320/344-1504

FAX: 320/231-9795

FAX: 320/231-9795

FAX: 320/231-9795

FAX: 320/231-3276

FAX: 320/441-2106

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

NANCY PATOCK

BEVERLY WERDER

BEVERLY WERDER

NANCY PATOCK

JAMES BETTENDORF

PAM BREDE

PAMELA BREDE

PAMELA BREDE

ELIZABETH (HILLSTROM) BOR

DEBRA SHRIVER

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

Home Mgmt

Home Mgmt

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347

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

KANDIYOHI

DIVINE HOUSE, INC.VALLEY

FAMILY SURGERY CENTER, LLC

FOURTH AVENUE HOMES INC

HIGHLAND APARTMENTS

ISLAND VIEW MANOR, INC.

LAKE PLACE I APARTMENTS

LAKE PLACE II APARTMENTS

MINNESOTA SPECIALTY HEALTH SYSTEM WILLMAR

NELSON CLINIC AND REHABILITATION CARE, P.A.

PRAIRIE SENIOR COTTAGES OF WILLMAR

505 33RD ST NW

1801 19TH AVENUE SW

312 4TH STREET SW

115 EAST BECKER AVENUE

700 HIGHWAY 71 NORTH

1420 LAKE AVENUE NW

1421 LAKE AVENUE NW

1208 OLENA AVENUE SE

515 19TH AVENUE SW

1705 19TH AVENUE SW

WILLMAR, MN 56201

WILLMAR, MN 56201

WILLMAR, MN 56201

WILLMAR, MN 56201

WILLMAR, MN 56201

WILLMAR, MN 56201

WILLMAR, MN 56201

WILLMAR, MN 56201

WILLMAR, MN 56201

WILLMAR, MN 56201

320/441-7001

320/235-7700

320/231-2738

320/231-0887

320/441-7001

320/235-0742

320/235-0742

320/235-0341

320/235-2720

320/235-6022

Corp

Lim-Liab

Corp

Part

Corp

BusTrust

Lim-Liab

State

Corp

Lim-Liab

Outpt Surg

SLFB-16

COMP

Amb Surg

Out Pt

(21124)

(23189)

(29361)

(21839)

(20333)

(21193)

(21194)

(25363)

(34116)

(20579)

FAX: 320/235-8069

FAX: 320/235-7701

FAX: 320/441-2106

FAX: 320/235-8260

FAX: 320/235-8069

FAX: 320/235-0759

FAX: 320/235-0759

FAX: 320/214-3335

FAX: 320/235-2220

FAX: 320/235-6029

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JACKLYN FRERICKS

CARRIE STORLIEN

BRENDA STREICH

JILL BENGTSON

JACKLYN FRERICKS

SHANNON ERICKSON

SHANNON ERICKSON

HEIDI JAMMA

JAMES NELSON

DUSTIN LEE

---------------------------********** --------------------------(Cont.)*

HWSAL

Home Mgmt

HWSAL-O

HWSAL

HWS

HWS

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348

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

KANDIYOHI

KITTSON

PRAIRIE SENIOR COTTAGES OF WILLMAR LLC

PRAIRIE SENIOR COTTAGES OF WILLMAR, LLC

PSC OF WILLMAR LLC

RICE MEMORIAL HOSPITAL

STERLING HOUSE OF WILLMAR

SUNRISE VILLAGE

SUNRISE VILLAGE

VISTA PRAIRIE AT COPPERLEAF

WOODLAND CENTERS

1705 19TH AVENUE SW

1705 19TH AVENUE SW

1701 19TH AVENUE SW

301 BECKER AVENUE SW

1501 19TH AVENUE SW

1125 9TH STREET SE

1125 9TH STREET SE

1550 1ST STREET NORTH

1125 6TH STREET S PO BOX 787

WILLMAR, MN 56201

WILLMAR, MN 56201

WILLMAR, MN 56201

WILLMAR, MN 56201

WILLMAR, MN 56201

WILLMAR, MN 56201

WILLMAR, MN 56201

WILLMAR, MN 56201

WILLMAR, MN 56201

320/235-6022

320/235-6022

320/235-6022

320/235-4543

320/235-1024

320/235-1602

320/235-1602

320/222-5000

320/235-4613

Lim-Liab

Lim-Liab

Lim-Liab

ONProf

Corp

NProf

NProf

Lim-Liab

NProf

COMP

HOSP-136 BASS-20

COMP

COMP

SLFB-16

HOSP-128 PPS-P-8

(30714)

(20579)

(20738)

(00316)

(20351)

(20208)

(30451)

(26121)

(01502)

FAX: 320/235-6029

FAX: 320/235-6029

FAX: 320/235-6029

FAX: 320/231-4869

FAX: 320/235-1108

FAX: 320/235-4517

FAX: 320/235-4517

FAX: 320/222-0799

FAX: 855/625-7406

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

BRYAN CHRISTIANSON

DUSTIN LEE

BRYAN CHRISTIANSON

MICHAEL SCHRAMM

ABIGAIL NELSON

CARLI STENSRUD

CARLI STENSRUD

JAMES BETTENDORF

ASHLEY KJOS

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

Page 386: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

349

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

KITTSON

KITTSON COUNTY HOSPICE, INC.

KITTSON MEMORIAL CLINIC

KITTSON MEMORIAL HEALTHCARE CENTER

KITTSON MEMORIAL HOME HEALTHCARE

KITTSON MEMORIAL HOSPITAL

RIVERS EDGE

RIVERS EDGE

KARLSTAD HEALTHCARE CENTER, INC.

KITTSON MEMORIAL CLINIC OF KARLSTAD

THE MEADOWS

1010 SOUTH BIRCH AVENUE

1010 SOUTH BIRCH AVENUE #700

1010 SOUTH BIRCH AVENUE

1010 SOUTH BIRCH AVENUE #430

1010 SOUTH BIRCH AVENUE

513 10TH STREET SE

513 10TH STREET SE

304 WASHINGTON AVENUE WEST

205 ROOSEVELT AVENUE WEST #199

306 WASHINGTON AVENUE WEST

HALLOCK, MN 56728

HALLOCK, MN 56728

HALLOCK, MN 56728

HALLOCK, MN 56728

HALLOCK, MN 56728

HALLOCK, MN 56728

HALLOCK, MN 56728

KARLSTAD, MN 56732

KARLSTAD, MN 56732

KARLSTAD, MN 56732

218/843-3804

218/843-3612

218/843-3612

218/843-3662

218/843-3612

218/843-8812

218/843-8812

218/436-2161

218/843-3612

218/436-3561

NProf

NProf

NProf

NProf

NProf

NProf

NProf

Corp

NProf

Corp

Hospice

NH-60 HOSP-15 BASS-0

COMP

NH-60 HOSP-15 BASS-0

COMP

NH-46

COMP

RHC

SNF-NF-60 CAH-15

HHA

SNF-NF-60 CAH-15

SNF-NF-46

RHC

(02878)

(03134)

(00321)

(02155)

(00321)

(25470)

(30589)

(00830)

(22061)

(23877)

FAX: 218/843-2487

FAX: /-

FAX: 218/843-2311

FAX: 218/843-2487

FAX: 218/843-2311

FAX: 218/843-2487

FAX: 218/843-2487

FAX: 218/436-4161

FAX: /-

FAX: 218/436-3564

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PATRICIA SWANSON

CINDY URBANIAK

GABRIEL MOONEY

JODEE SUGDEN

GABRIEL MOONEY

JODEE SUGDEN

JODEE SUGDEN

MEGAN KLEINSASSER

CINDY URBANIAK

PENNY BLACK

---------------------------********** --------------------------(Cont.)*

HWSAL

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350

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

KITTSON

KOOCHICHING

THE MEADOWS

DFC - PAPERMAKER'S PLACE

ESSENTIA HEALTH INTERNATIONAL FALLS CLINIC

GOOD SAMARITAN HOME CARE OF INTERNATIONAL FALLS

GOOD SAMARITAN SOCIETY - INTERNATIONAL FALLS

GOOD SAMARITAN SOCIETY - NORTHWINDS ASSISTED LIVING

GOOD SAMARITAN SOCIETY - RIVER'S EDGE VILLA

GOOD SAMARITAN SOCIETY NORTHWINDS ASSISTED LIVING

RAINY LAKE MEDICAL CENTER

306 WASHINGTON AVENUE WEST

4143 HIGHWAY 11

2501 KEENAN DRIVE

2221 KEENAN DRIVE

2201 KEENAN DRIVE

2101 KEENAN DRIVE

1406 HIGHWAY 71

2101 KEENAN DRIVE

1400 HIGHWAY 71

KARLSTAD, MN 56732

INTERNATIONAL FALLS, MN 56649

INTERNATIONAL FALLS, MN 56649

INTERNATIONAL FALLS, MN 56649

INTERNATIONAL FALLS, MN 56649

INTERNATIONAL FALLS, MN 56649

INTERNATIONAL FALLS, MN 56649

INTERNATIONAL FALLS, MN 56649

INTERNATIONAL FALLS, MN 56649

218/436-3561

218/373-0272

218/285-6232

218/283-4319

218/283-8313

218/283-1300

218/285-9563

218/283-1300

218/283-4481

Corp

Corp

NProf

NProf

NProf

NProf

NProf

NProf

NProf

COMP

NH-54

COMP

HOSP-25 BASS-5

RHC

HHA

SNF-NF-54

CAH-25

(30476)

(22352)

(33411)

(24363)

(00322)

(29498)

(20466)

(29497)

(00323)

FAX: 218/436-4161

FAX: 218/286-5312

FAX: /-

FAX: 218/283-3219

FAX: 218/283-9497

FAX: 218/283-1327

FAX: 218/283-8361

FAX: 218/283-1327

FAX: 218/283-2281

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

HOWIE GROFF

JOHN DECKER

ROBYN PELOWSKI

SANDRA SUNDIN

CARRIE CLAYBUNDY

DEANNA KITTELSON

DEANNA KITTELSON

DEANNA KITTELSON

ROBERT PASTOR II

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

HWSAL

HWSAL

HWSAL

HWS

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351

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

KOOCHICHING

RAINY LAKE MEDICAL CENTER RURAL HEALTH CLINIC

RIDGEVIEW ASSISTED LIVING LLC

RIDGEVIEW ASSISTED LIVING LLC

RIDGEVIEW, LLC

RIVERS EDGE VILLA

JACK PINE CHATEAU

JACK PINE CHATEAU HOME CARE

LITTLEFORK MEDICAL CENTER

LITTLEFORK MEDICAL CENTER

RAINY LAKE CLINIC LITTLEFORK

1400 HIGHWAY 71

2020 RIDGEVIEW DRIVE

2020 RIDGEVIEW DRIVE

2020 RIDGEVIEW DRIVE

1406 HIGHWAY 71

912 MAIN ST

912 MAIN STREET

912 MAIN STREET

912 MAIN STREET

912 MAIN STREET UNIT C

INTERNATIONAL FALLS, MN 56649

INTERNATIONAL FALLS, MN 56649

INTERNATIONAL FALLS, MN 56649

INTERNATIONAL FALLS, MN 56649

INTERNATIONAL FALLS, MN 56649

LITTLEFORK, MN 56653

LITTLEFORK, MN 56653

LITTLEFORK, MN 56653

LITTLEFORK, MN 56653

LITTLEFORK, MN 56653

218/283-4481

218/283-2806

218/283-2806

218/283-2806

218/285-9563

218/278-4834

218/278-6634

218/278-6653

218/278-6634

218/278-2000

Corp

Lim-Liab

Lim-Liab

Lim-Liab

NProf

NProf

NProf

NProf

NProf

Corp

COMP

COMP

COMP

NH-49

COMP

RHC

SNF-NF-49

RHC

(29921)

(23979)

(30482)

(23979)

(20466)

(30220)

(21857)

(00324)

(21857)

(03502)

FAX: 218/283-2281

FAX: 218/283-2177

FAX: 218/283-2177

FAX: 218/283-2177

FAX: 218/283-8361

FAX: 218/278-6637

FAX: 218/278-6637

FAX: 218/278-4696

FAX: 218/278-6637

FAX: 218/278-2020

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

BOB HALEY

JUSTIN TAYLOR

JUSTIN TAYLOR

JUSTIN TAYLOR

DEANNA KITTELSON

STEPHANIE FAIRCHILD

CAROLYN CLAYBUNDY

.MR GEOFFREY RYAN

CAROLYN CLAYBUNDY

ROBERT PASTOR

---------------------------********** --------------------------(Cont.)*

HWSAL

HWS

HWSAL

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352

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

KOOCHICHING

LAC QUI PARLE

DECKER'S FAMILY CARE INC

DECKER'S FAMILY CARE, INC.

JOHNSON MEMORIAL BOYD CLINIC

DAWSON CLINIC

DAWSON ICF-MR

JOHNSON MEMORIAL ASSISTED LIVING

JOHNSON MEMORIAL ASSISTED LIVING

JOHNSON MEMORIAL HOSPITAL & HOME

JOHNSON MEMORIAL HOSPITAL AND HOME

3443 PINE STREET

3443 PINE STREET

115 3RD STREET

1272 WALNUT STREET

2974 192ND STREET

1288 LOCUST STREET

1288 LOCUST STREET

1290 LOCUST STREET

1282 WALNUT STREET

RANIER, MN 56668

RANIER, MN 56668

BOYD, MN 56218

DAWSON, MN 56232

DAWSON, MN 56232

DAWSON, MN 56232

DAWSON, MN 56232

DAWSON, MN 56232

DAWSON, MN 56232

218/286-5633

218/286-5633

320/769-4323

320/769-4393

320/769-4444

320/312-2123

320/769-2144

320/769-4323

320/769-4323

Corp

Corp

Dist

Dist

Corp

Dist

Dist

Dist

Dist

COMP

SLFB-6

COMP

NH-56

HOSP-20 BASS-2

RHC

RHC

ICFIID-6

SNF-NF-56

CAH-20

(30242)

(20001)

(21827)

(02999)

(01590)

(22054)

(30241)

(33927)

(00326)

FAX: 218/286-5312

FAX: 218/286-5312

FAX: /-

FAX: /-

FAX: 320/312-2211

FAX: 320/769-4670

FAX: 320/769-4670

FAX: 320/769-2972

FAX: 320/769-2972

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JOHN DECKER

JOHN DECKER

MELISSA STRUXNESS

CORI BOTHUN

ELIZABETH HILLSTROM

STACEY LEE

STACEY LEE

STACY LEE

STACEY LEE

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

HWSAL

HWSAL

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353

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

LAC QUI PARLE

LAKE

SONSHINE HOME HEALTH CARE LLC

GRACE HAVEN ASSISTED LIVING

GRACE HAVEN ASSISTED LIVING

GRACE HAVEN ASSISTED LIVING LLC

HILLTOP RESIDENCE, INC.

LAC QUI PARLE CLINIC MADISON

MADISON HEALTHCARE SERVICES

MADISON HOME HEALTH AGENCY

MADISON HOSPITAL

1313 SPRUCE STREET

301 3RD STREET EAST

301 3RD STREET EAST

301 3RD STREET EAST

915 1ST AVENUE

900 2ND AVENUE

900 2ND AVENUE

900 2ND AVENUE

820 3RD AVENUE

DAWSON, MN 56232

MADISON, MN 56256

MADISON, MN 56256

MADISON, MN 56256

MADISON, MN 56256

MADISON, MN 56256

MADISON, MN 56256

MADISON, MN 56256

MADISON, MN 56256

320/769-2669

320/598-7557

320/598-7557

320/598-7557

320/598-7551

320/598-7551

320/598-7536

320/698-7198

320/598-7536

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

NProf

NProf

NProf

NProf

NProf

COMP

COMP

COMP

NH-56

COMP

HOSP-12 BASS-2

RHC

SNF-NF-56

HHA

CAH-12

(26729)

(28354)

(30808)

(28354)

(21699)

(03513)

(00329)

(02173)

(00328)

FAX: 320/769-2989

FAX: 320/598-7558

FAX: 320/598-7558

FAX: 320/598-7558

FAX: 320/598-7387

FAX: /-

FAX: 320/598-3470

FAX: 320/598-7387

FAX: 320/598-3470

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

CARMEN KELLEN

JENNIFER GILYARD

JENNIFER GILYARD

JENNIFER GILYARD

MARISSA STAHL

DALLAS REESE

ERIK BJERKE

MARISSA STAHL

ERIK BJERKE

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

HWSAL

HWS

Page 391: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

354

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

LAKE

MINNESOTA VETERANS HOME - SILVER BAY

SILVER BAY CAREFREE LIVING

AGATE BAY ASSISTED LIVING LLC

AGATE BAY ASSISTED LIVING, LLC

BARROSS COTTAGE

BARROSS COTTAGE

BARROSS COTTAGE II LLC

BARROSS COTTAGE II LLC

BARROSS MANOR

ECUMEN TWO HARBORS SCENIC SHORES

56 OUTER DRIVE

36 BELL CIRCLE

414 1ST AVENUE

414 1ST AVENUE

401 SOUTH AVENUE

401 SOUTH AVENUE

806 13TH AVENUE

806 13TH AVENUE

414 1ST AVENUE

409 13TH AVENUE

SILVER BAY, MN 55614

SILVER BAY, MN 55614

TWO HARBORS, MN 55616

TWO HARBORS, MN 55616

TWO HARBORS, MN 55616

TWO HARBORS, MN 55616

TWO HARBORS, MN 55616

TWO HARBORS, MN 55616

TWO HARBORS, MN 55616

TWO HARBORS, MN 55616

218/353-8700

218/226-3524

218/834-6174

218/834-6174

218/834-8018

218/834-8018

218/834-8098

218/834-8098

218/834-6174

218/834-0849

State

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

NH-83

COMP

COMP

COMP

COMP

COMP

SNF-NF-83

(00381)

(27604)

(20053)

(30324)

(20987)

(27999)

(29942)

(30215)

(20053)

(21265)

FAX: 218/226-6336

FAX: 218/226-3212

FAX: 218/834-4015

FAX: 218/834-4015

FAX: 218/834-8019

FAX: 218/834-8019

FAX: 218/834-8089

FAX: 218/834-8089

FAX: 218/834-4015

FAX: 218/834-0850

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

DANI DONNER

MARILYN HANSON

FELISHA JOHNSON

FELISHA JOHNSON

CYNTHIA STORY

CINDY STORY FABBRI

CYNTHIA STORY-FABBRI

CYNTHIA STORY FABBRI

FELISHA JOHNSON

LEESA GILMAN

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWS

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355

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

LAKE

LAKE OF THE WOODS

LESUEUR

LAKEVIEW MEMORIAL HOSPITAL

THE WATERVIEW SHORES ASSISTED LIVING

THE WATERVIEW SHORES ASSISTED LIVING LLC

THE WATERVIEW SHORES LLC

LAKEWOOD CARE CENTER

LAKEWOOD HEALTH CENTER

LAKEWOOD HEALTH CENTER

LAKEWOOD HEALTH CENTER CLINIC

PARKERS ARC

325 11TH AVENUE

409 13TH AVENUE

409 13TH AVENUE

402 13TH AVENUE

600 MAIN AVENUE SOUTH

600 MAIN AVENUE SOUTH

600 MAIN AVENUE SOUTH

600 MAIN AVENUE SOUTH

600 MAIN AVENUE SOUTH

TWO HARBORS, MN 55616

TWO HARBORS, MN 55616

TWO HARBORS, MN 55616

TWO HARBORS, MN 55616

BAUDETTE, MN 56623

BAUDETTE, MN 56623

BAUDETTE, MN 56623

BAUDETTE, MN 56623

BAUDETTE, MN 56623

218/834-7300

218/834-0849

218/834-0849

218/834-8374

218/634-3401

218/634-2120

218/634-1795

218/634-2120

218/634-3407

NProf

Lim-Liab

Lim-Liab

Lim-Liab

Church

NProf

NProf

NProf

Church

HOSP-25 BASS-1

COMP

NH-44

NH-32

HOSP-15

COMP

CAH-25

SNF-NF-44

SNF-NF-32

CAH-15

RHC

(00331)

(30733)

(21265)

(00844)

(21104)

(00333)

(02138)

(27146)

(20421)

FAX: 218/834-7388

FAX: 218/834-0850

FAX: 218/834-0850

FAX: 218/834-8439

FAX: 218/634-3416

FAX: 218/634-3416

FAX: 218/634-3431

FAX: 218/634-1094

FAX: 218/634-3416

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

GREG RUBERG

LEESA GILMAN

LEESA GILMAN

JOE ZEUTENHORST

JEFFRY STAMPOHAR

JEFFRY STAMPOHAR

JEFFRY STAMPOHAR

JANELLE WESTERLUND

JEFFRY STAMPOHAR

---------------------------**********

---------------------------**********

---------------------------**********

--------------------------

--------------------------

--------------------------

********

********

(Cont.)*

HWSAL

HWSAL

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356

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

LESUEUR

CARRIAGE HOUSE SENIOR LIVING

CARRIAGE HOUSE SENIOR LIVING

CENTRAL HEALTH CARE

HORIZON PLACE

HORIZON PLACE

LE SUEUR COUNTY PUBLIC HEALTH

COMFORT RESIDENCE LESUEUR

MINNESOTA VALLEY HEALTH CENTER INC

OAK TERRACE OF LE SUEUR LLC

OAK TERRACE SENIOR HOUSING OF LE SUEUR

175 EAST DERRYNANE STREET

175 EAST DERRYNENE STREET

444 NORTH CORDOVA AVENUE

510 COMMERCE DRIVE

510 COMMERCE DRIVE

88 SOUTH PARK AVENUE

105 PLUM RUN ROAD

621 SOUTH 4TH STREET

811 SOUTH 4TH STREET

811 SOUTH 4TH STREET

LE CENTER, MN 56057

LE CENTER, MN 56057

LE CENTER, MN 56057

LE CENTER, MN 56057

LE CENTER, MN 56057

LE CENTER, MN 56057

LE SUEUR, MN 56058

LE SUEUR, MN 56058

LE SUEUR, MN 56058

LE SUEUR, MN 56058

507/227-7968

507/227-7968

507/357-2275

507/357-2262

507/357-2262

507/357-8246

507/665-2499

507/665-3375

507/593-8500

507/593-8500

Lim-Liab

Lim-Liab

Corp

Corp

Corp

Cnty

Lim-Liab

NProf

Lim-Liab

Lim-Liab

TCOMP

NH-40

COMP

COMP

NH-50 HOSP-15

COMP

SNF-NF-40

HHA

SNF-NF-50 CAH-15

(35567)

(35876)

(00800)

(27214)

(30682)

(02029)

(30477)

(00336)

(32437)

(32406)

FAX: /-

FAX: /-

FAX: 507/357-4346

FAX: 507/357-6299

FAX: 507/357-6299

FAX: 507/357-4223

FAX: 507/540-1062

FAX: 507/665-2191

FAX: 507/665-4303

FAX: 507/665-4303

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

DELWYN SPRONK

DEL SPRONK

DORI MUTCH

JANE PAULSEN

JAYNE PAULSEN

CINDY SHAUGHNESSY

LORI MCGUIRE

LUANN LINN

DREW HOOD

DANIEL JACOBSEN

---------------------------********** --------------------------(Cont.)*

HWSAL

HWS

HWSAL

HWSAL

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357

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

LESUEUR

RIDGEVIEW LESUEUR LONG TERM CARE AND REHAB CENTER

RIDGEVIEW LESUEUR MEDICAL CENTER

AGING SERVICES FOR COMMUNITIES

INSPIRE SERVICES LLC

SUNRISE FARM

TRADITIONS OF MONTGOMERY LLC

TRADITIONS OF MONTGOMERY LLC

TRADITIONS OF MONTGOMERY, LLC

PRAHA VILLAGE

TRADITIONS OF WATERVILLE

621 SOUTH 4TH STREET

621 SOUTH 4TH STREET

212 1ST STREET SOUTH PO BOX 7

1317 9TH STREET NE

1317 9TH STREET NE

399 LEXINGTON AVENUE NW

399 LEXINGTON AVENUE NW

399 LEXINGTON AVENUE NW

1100 1ST STREET SE

117 PAQUIN STREET EAST

LE SUEUR, MN 56058

LE SUEUR, MN 56058

MONTGOMERY, MN 56069

MONTGOMERY, MN 56069

MONTGOMERY, MN 56069

MONTGOMERY, MN 56069

MONTGOMERY, MN 56069

MONTGOMERY, MN 56069

NEW PRAGUE, MN 56071

WATERVILLE, MN 56096

507/665-3375

507/665-3375

507/364-5663

507/364-5312

507/364-5312

507/364-5585

507/364-5585

507/364-5585

952/855-8855

507/362-4155

NProf

NProf

NProf

Lim-Liab

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

NH-50 HOSP-15

NH-50 HOSP-15

COMP

COMP

COMP

SNF-NF-50 CAH-15

SNF-NF-50 CAH-15

(00336)

(00336)

(23985)

(33413)

(33642)

(26604)

(30730)

(26604)

(34459)

(30618)

FAX: 507/665-2191

FAX: 507/665-2191

FAX: 507/364-5454

FAX: 507/364-5908

FAX: 507/364-5908

FAX: 507/364-5244

FAX: 507/364-5244

FAX: 507/364-5244

FAX: /-

FAX: 507/362-4151

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

LUANN LINN

LUANN LINN

KAREN HISCOX

JOSHUA BEULKE

JOSHUA BEULKE

DEIDRA BURKE

DEIDRA BURKE

DEIDRA BURKE

MARY JO THORNE

DEIDRA BURKE

---------------------------********** --------------------------(Cont.)*

Home Mgmt

HWSAL-O

HWSAL

HWSAL

HWSAL

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358

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

LESUEUR

LINCOLN

TRADITIONS OF WATERVILLE LLC

WATERVILLE ASSISTED LIVING LLC

GOOD SHEPHERD HOSPICE

HENDRICKS CLINIC

HENDRICKS COMMUNITY HOSPITAL

HENDRICKS COMMUNITY HOSPITAL ASSN & RETIREMENT HOME

LINCOLN LANE VILLA

CARING4U PLLC

DIVINE PROVIDENCE HEALTH CENTER

117 PAQUIN STREET EAST

117 PAQUIN STREET EAST

503 EAST LINCOLN STREET

501 EAST LINCOLN STREET

503 EAST LINCOLN STREET

503 EAST LINCOLN STREET

503 EAST LINCOLN STREET PO 106

2617 STATE HIGHWAY 19

312 EAST GEORGE STREET

WATERVILLE, MN 56096

WATERVILLE, MN 56096

HENDRICKS, MN 56136

HENDRICKS, MN 56136

HENDRICKS, MN 56136

HENDRICKS, MN 56136

HENDRICKS, MN 56136

IVANHOE, MN 56142

IVANHOE, MN 56142

507/362-4155

507/362-4155

507/275-3134

507/275-3134

507/275-3134

507/275-3134

507/275-3134

507/530-4813

507/694-2010

Lim-Liab

Lim-Liab

NProf

NProf

NProf

NProf

NProf

Lim-Liab

NProf

COMP

COMP

Hospice

NH-48 HOSP-24

COMP

COMP

NH-25

HSPICE

RHC

SNF-NF-48 CAH-24

HHA

SNF-NF-25

(25965)

(25965)

(03298)

(03493)

(00340)

(02241)

(21339)

(32929)

(00339)

FAX: 507/583-0011

FAX: 507/583-0011

FAX: 507/275-2520

FAX: /-

FAX: 507/275-2242

FAX: 507/275-3104

FAX: 507/275-3134

FAX: 866/570-7502

FAX: 507/694-2037

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

DEIDRA BURKE

DEIDRA BURKE

JEFFREY GOLLAHER

JEFFREY GOLLAHER

JEFFREY GOLLAHER

JEFFREY GOLLAHER

JEFFREY GOLLAHER

DANA DAVIS

ALLEN ANDERSON

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

HWS

Page 396: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

359

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

LINCOLN

LYON

IVANHOE MEDICAL CENTER

AVERA MEDICAL GROUP LAKE BENTON

HOMESTEAD PLACE

HOMESTEAD PLACE

AVERA MEDICAL GROUP TYLER

AVERA SUNRISE MANOR

AVERA TYLER HOSPITAL

KINGDOM HOME HEALTH CARE LLC

LAKEVIEW SENIOR HOUSING

315 NORTH NORMAN STREET

109 EAST BENTON STREET

501 MORK STREET

503 MORK ST

240 WILLOW STREET

240 WILLOW STREET

240 WILLOW STREET

401 SUMMIT AVENUE

651 US HIGHWAY 14 EAST

IVANHOE, MN 56142

LAKE BENTON, MN 56149

LAKE BENTON, MN 56149

LAKE BENTON, MN 56149

TYLER, MN 56178

TYLER, MN 56178

TYLER, MN 56178

BALATON, MN 56115

BALATON, MN 56115

507/694-1100

507/368-4323

320/441-7001

320/441-7001

507/247-5921

507/247-5521

507/247-5521

507/829-2024

507/734-6828

NProf

Corp

Corp

Corp

NProf

NProf

NProf

Lim-Liab

NProf

NH-30 HOSP-20 BASS-1

NH-30 HOSP-20 BASS-1

BASIC

RHC

RHC

RHC

SNF-NF-30 CAH-20

SNF-NF-30 CAH-20

(28186)

(30566)

(20824)

(20825)

(02722)

(00338)

(00338)

(32510)

(35521)

FAX: 507/694-1440

FAX: /-

FAX: 320/235-8069

FAX: 320/235-8069

FAX: /-

FAX: 507/247-2287

FAX: 507/247-2287

FAX: /-

FAX: 507/734-6830

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JEFFREY GOLLAHER

ALLEN ANDERSON

BARBARA NOVOTNY

JACKLYN FRERICKS

ALLEN ANDERSON

ALLEN ANDERSEN

ALLEN ANDERSEN

JARYN FRICKE

CHRISTOPHER KNOLL

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

HWSAL

HWSAL

HWSAL

Page 397: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

360

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

LYON

MINNEWASKA COMMUNITY HOME

SANFORD CLINIC BALATON

FIELDCREST ASSISTED LIVING

AVERA AT HOME SOUTHWEST MINNESOTA

AVERA DIALYSIS - MARSHALL

AVERA MARSHALL REGIONAL MEDICAL CENTER

AVERA MORNINGSIDE HEIGHTS CARE CENTER

AVERA@HOME SOUTHWEST MN

BOULDER CREEK

BOULDER ESTATES

651 HIGHWAY 14 EAST

551 HIGHWAY 14 EAST

80 VERMILLION STREET EAST

300 SOUTH BRUCE STREET

300 SOUTH BRUCE STREET STE D

300 SOUTH BRUCE STREET

300 SOUTH BRUCE STREET

300 SOUTH BRUCE STREET

604 VILLAGE DRIVE

601 VILLAGE DRIVE

BALATON, MN 56115

BALATON, MN 56115

COTTONWOOD, MN 56229

MARSHALL, MN 56258

MARSHALL, MN 56258

MARSHALL, MN 56258

MARSHALL, MN 56258

MARSHALL, MN 56258

MARSHALL, MN 56258

MARSHALL, MN 56258

507/734-6828

507/629-3200

507/423-6691

507/537-7070

507/537-9200

507/532-9661

507/532-9661

507/537-7070

507/929-1234

507/532-3834

NProf

NProf

NProf

NProf

Corp

NProf

NProf

NProf

Lim-Liab

Lim-Liab

COMP

Hospice

NH-76 HOSP-49 BASS-8

NH-76 HOSP-49 BASS-8

COMP

RHC

HSPICE

ESRD

SNF-NF-76 CAH-25 PPS-P-10

SNF-NF-76 CAH-25 PPS-P-10

HHA

(23188)

(21356)

(36858)

(31216)

(33936)

(00343)

(00343)

(31130)

(30908)

(20507)

FAX: 507/734-6830

FAX: 507/629-3202

FAX: 507/423-6470

FAX: 507/537-9948

FAX: 507/537-9201

FAX: 507/532-9259

FAX: 507/532-9259

FAX: 507/537-9948

FAX: 507/401-3607

FAX: 507/537-2488

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

NANCY PETERSON

DANIEL REINER

PAT MELLENTHIN

DODIE DERYNCK

MARY MAERTENS

DEBBIE STREIER

DEBBIE STREIER

DORIS DERYNCK

JAMES CARR

JAMES CARR

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

Page 398: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

361

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

LYON

BRENTWOOD HOME

CENTRAL MINNESOTA SENIOR CARE

HERITAGE POINTE SENIOR LIVING

HERITAGE POINTE SENIOR LIVING

INTERNATIONAL QUALITY HOMECARE CORPORATION

PRAIRIE HOME COMMUNITY CARE

PRAIRIE HOME HOSPICE

PRAIRIE HOME HOSPICE-LOCKWOOD HOUSE

PRAIRIE HOME HOSPICE-MCLAUGHLIN HOUSE

PROJECT TURNABOUT HALFWAY HOUSE AND OUTPATIENT CENTER

1012 ESTHER LANE

1232 PATRICA COURT EAST

207 NORTH 4TH STREET

207 NORTH 4TH STREET

227 WEST MAIN STREET

408 EAST MAIN STREET #8

408 EAST MAIN STREET #8

1107 SKYLINE CIRCLE

1120 CLIFTON CIRCLE

1220 BIRCH STREET

MARSHALL, MN 56285

MARSHALL, MN 56258

MARSHALL, MN 56258

MARSHALL, MN 56258

MARSHALL, MN 56258

MARSHALL, MN 56258

MARSHALL, MN 56258

MARSHALL, MN 56258

MARSHALL, MN 56258

MARSHALL, MN 56258

507/532-4380

320/441-7001

507/337-4330

507/337-4330

833/808-4742

507/337-0080

507/337-0080

507/337-0080

507/337-0080

507/532-3008

NProf

Corp

Lim-Liab

Lim-Liab

Corp

NProf

NProf

NProf

NProf

NProf

SLFA-10

COMP

COMP

COMP

Hospice

RES-HSPICE-5

RES-HSPICE-4

SLFA-24

HSPICE

(27145)

(20570)

(29444)

(29446)

(34030)

(29940)

(02384)

(22089)

(32533)

(01617)

FAX: 507/929-3106

FAX: 320/235-8069

FAX: 507/337-4334

FAX: 507/337-4334

FAX: 507/401-3838

FAX: 507/337-0081

FAX: 507/337-0081

FAX: 507/337-0081

FAX: 507/337-0081

FAX: 507/532-3056

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

CLAUDIA CRAVENS

BARB NOVOTNY

SARA DOLAN

SARA DOLAN

ADERONKE MORDI

PAT MELLENTHIN

PAT MELLENTHIN

PAT MELLENTHIN

PAT MELLENTHIN

MICHAEL SCHIKS

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

Page 399: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

362

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

LYON

REM SOUTHWEST SERVICES (MARSHALL A)

REM SOUTHWEST SERVICES (MARSHALL C)

SOUTHWEST MINNESOTA SURGICAL CENTER, INC.

STEPPING STONE HOME HEALTH CARE

THE HEALTH ENHANCEMENT CENTERS, P.A.

TOUCHING HEARTS HOME CARE

MADISON AVENUE APARTMENTS

MADISON AVENUE APARTMENTS

MINNEOTA MANOR HEALTH CARE CENTER

TOWN AND COUNTRY HOME HEALTH CARE

1003 NORTH 4TH STREET

1007 NORTH 4TH STREET

1401 NWAKAMA STREET

601 VILLAGE DRIVE

104 WEST REDWOOD STREET

1210 EAST COLLEGE DRIVE #800

700 NORTH MADISON STREET

700 NORTH MADISON STREET

700 NORTH MONROE STREET

700 NORTH MADISON STREET

MARSHALL, MN 56258

MARSHALL, MN 56258

MARSHALL, MN 56258

MARSHALL, MN 56258

MARSHALL, MN 56258

MARSHALL, MN 56258

MINNEOTA, MN 56264

MINNEOTA, MN 56264

MINNEOTA, MN 56264

MINNEOTA, MN 56264

507/922-6776

952/922-6776

507/929-7696

507/537-2412

507/532-2655

507/337-1101

507/872-5300

507/872-5307

507/872-5300

507/872-5300

Corp

Corp

Corp

Lim-Liab

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

SLFA-6

SLFB-6

Outpt Surg

COMP

COMP

COMP

NH-55

COMP

ICFIID-6

ICFIID-6

Amb Surg

Out Pt

SNF-NF-55

HHA

(01042)

(01616)

(25540)

(26940)

(33270)

(24577)

(20238)

(30459)

(00887)

(02412)

FAX: 952/922-6885

FAX: 952/922-6885

FAX: 507/337-1979

FAX: 507/537-2430

FAX: /-

FAX: 507/337-1102

FAX: 507/872-5359

FAX: 507/872-5359

FAX: 507/872-5359

FAX: 507/872-5359

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

DEVIN NELSON

DEVIN NELSON

KELSEY POPOWSKI

JIM KNUDSON

QUENTIN FIXEN

DEB BLOMME

KATHY JOHNSON

JENNIFER GLEASON

KATHY JOHNSON

KATHY JOHNSON

---------------------------********** --------------------------(Cont.)*

HWSAL

Page 400: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

363

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

LYON

MAHNOMEN

O'BRIEN COURT

PRAIRIE VIEW SENIOR LIVING

SANFORD CLINIC TRACY

SANFORD TRACY MEDICAL CENTER

SHETEK HOME CARE

ESSENTIA ST. MARY'S MAHNOMEN

MAHNOMEN AREA ASSISTED LIVING CENTER, INC

MAHNOMEN HEALTH CENTER

MAHNOMEN HEALTH CENTER

410 STATE STREET

250 5TH STREET EAST

251 5TH STREET EAST

251 5TH STREET EAST

251 5TH STREET EAST

117 NORTH MAIN STREET

314 WEST JEFFERSON AVENUE

414 WEST JEFFERSON AVENUE

414 WEST JEFFERSON AVENUE

TRACY, MN 56175

TRACY, MN 56175

TRACY, MN 56175

TRACY, MN 56175

TRACY, MN 56175

MAHNOMEN, MN 56557

MAHNOMEN, MN 56557

MAHNOMEN, MN 56557

MAHNOMEN, MN 56557

507/629-8450

507/629-3331

507/629-3520

507/629-8400

507/629-8454

218/936-5616

218/935-9401

218/935-2511

218/935-9402

NProf

Corp

NProf

NProf

Lim-Liab

NProf

NProf

Cy-Co

Cy-Co

NH-45

HOSP-25

COMP

NH-32 HOSP-18

COMP

SNF-NF-45

RHC

CAH-25

HHA

RHC

SNF-NF-32 CAH-15

(20304)

(00342)

(03335)

(00344)

(02748)

(29394)

(31182)

(00353)

(30960)

FAX: /-

FAX: 507/629-3086

FAX: /-

FAX: 507/629-8486

FAX: 507/629-8451

FAX: /-

FAX: 218/935-5409

FAX: 218/935-2370

FAX: 218/935-5409

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

CINDY SWENHAUGEN

BRIAN HINRICHS

DANIEL REINER

STACY BARSTAD

RENAE DEVEREAUX

PETER JACOBSON

DALE KRUGER

DALE KRUGER

DALE KRUGER

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

HWS

HWSAL

Page 401: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

364

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

MAHNOMEN

MARSHALL

MARTIN

SANFORD HEALTH MAHNOMEN CLINIC

TAMARAC SENIOR LIVING COMMUNITY

NORTH STAR ASSISTED LIVING

NORTH STAR INDEPENDENT SENIOR LIVING

NORTH STAR MANOR

NORTH STAR MANOR ASSISTED LIVING

NORTH VALLEY HEALTH CENTER

NORTH VALLEY HEALTH CENTER CLINIC

GOLDFINCH ESTATES

414 WEST JEFFERSON PO BOX 396

900 LINCOLN AVENUE

400 SOUTH MCKINLEY STREET

434 SOUTH MCKINLEY STREET

410 SOUTH MCKINLEY STREET

400 SOUTH MCKINLEY STREET

300 WEST GOOD SAMARITAN DRIVE

300 WEST GOOD SAMARITAN DRIVE

850 GOLDFINCH STREET

MAHNOMEN, MN 56557

STEPHEN, MN 56757

WARREN, MN 56762

WARREN, MN 56762

WARREN, MN 56762

WARREN, MN 56762

WARREN, MN 56762

WARREN, MN 56762

FAIRMONT, MN 56031

218/935-2514

218/478-2850

218/745-4125

218/745-5282

218/745-5282

218/745-4125

218/745-4211

218/745-4211

507/235-9405

NProf

NProf

City

City

City

City

NProf

NProf

Lim-Liab

NH-45

COMP

HOSP-12

COMP

RHC

SNF-NF-45

CAH-12

RHC

(03424)

(30480)

(29839)

(23993)

(00356)

(29838)

(00871)

(03790)

(23692)

FAX: /-

FAX: 218/478-2852

FAX: 218/745-9225

FAX: /-

FAX: 218/745-6434

FAX: 218/745-9225

FAX: 218/745-4215

FAX: /-

FAX: 507/238-4163

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JUSTIN STROMME

AMY DEACON

SHANNON MORTENSEN

SHANNON MORTENSON

KALIE CRAYTON

KALIE CRAYTON

JON LINNELL

SARA KAZMIERCZAK

JAMES BETTENDORF

---------------------------**********

---------------------------**********

---------------------------**********

--------------------------

--------------------------

--------------------------

********

********

(Cont.)*

HWSAL

HWSAL

HWS

Page 402: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

365

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

MARTIN

INGLESIDE

INGLESIDE

LAKEVIEW METHODIST HEALTH CARE CENTER

MAPLEWOOD RESIDENCE, INC.

MAYO CLINIC DIALYSIS FAIRMONT

MAYO CLINIC HEALTH SYSTEM - FAIRMONT

REM HEARTLAND INC BUDD

REM HEARTLAND, INC. (AMBER)

SOUTH CENTRAL SURGICAL CENTER, LLC

VISTA PRAIRIE AT GOLDFINCH ESTATES, LLC

2811 ROLAND AVENUE

2811 ROLAND AVENUE

610 SUMMIT DRIVE

620 SUMMIT DRIVE

835 JOHNSON STREET

800 MEDICAL CENTER DRIVE

111 DOROTHY STREET

107 DOROTHY STREET

717 SOUTH STATE STREET #1000

850 GOLDFINCH STREET

FAIRMONT, MN 56031

FAIRMONT, MN 56031

FAIRMONT, MN 56031

FAIRMONT, MN 56031

FAIRMONT, MN 56031

FAIRMONT, MN 56031

FAIRMONT, MN 56031

FAIRMONT, MN 56031

FAIRMONT, MN 56031

FAIRMONT, MN 56031

507/238-9654

507/238-9654

507/235-6606

507/235-3443

507/235-5060

507/238-5070

952/922-6776

952/922-6776

507/238-4949

507/235-9405

Corp

Corp

NProf

NProf

NProf

NProf

Corp

Corp

Lim-Liab

Lim-Liab

COMP

NH-82

HOSP-57 BASS-16

SLFB-12

SLFB-6

Outpt Surg

COMP

SNF-NF-82

ESRD

HOSP-57

ICFIID-12

ICFIID-6

Amb Surg

(20004)

(30245)

(00360)

(23768)

(23115)

(00359)

(01427)

(01205)

(20623)

(23692)

FAX: 507/238-1442

FAX: 507/238-1442

FAX: 507/235-3995

FAX: 507/235-3995

FAX: 507/238-5190

FAX: 507/238-8686

FAX: 952/922-6885

FAX: 952/922-6885

FAX: 507/238-3377

FAX: 507/238-4163

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ERIC WORKE

ERIC WORKE

DEBORAH BARNES

DEBORAH BARNES

SUSAN MYAYA

AMY LONG

DEVIN NELSON

DEVIN NELSON

DAVE KLABUNDE

JAMES BETTENDORF

---------------------------********** --------------------------(Cont.)*

HWSAL

HWS

Page 403: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

366

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

MARTIN

VP AT GOLDFINCH ESTATES, LLC

WOODLAND MANOR

WOODLAND MANOR

COMMUNITY OPTIONS AND RESOURCES I

TEALWOOD MANAGEMENT LLC

TEMPERANCE LAKE RIDGE

SEASONS HEALTHCARE

HEARTLAND SENIOR LIVING HOME CARE

TRUMAN MANOR APARTMENTS

TRUMAN SENIOR LIVING

850 GOLDFINCH STREET

610 SUMMIT DRIVE

610 SUMMIT DRIVE

332 FOX LAKE AVENUE

410 FOX LAKE AVENUE

410 FOX LAKE AVENUE

303 BROADWAY AVENUE SOUTH

400 NORTH 4TH AVENUE EAST

402 NORTH 4TH AVENUE EAST

400 NORTH 4TH AVENUE EAST

FAIRMONT, MN 56031

FAIRMONT, MN 56031

FAIRMONT, MN 56031

SHERBURN, MN 56171

SHERBURN, MN 56171

SHERBURN, MN 56171

TRIMONT, MN 56176

TRUMAN, MN 56088

TRUMAN, MN 56088

TRUMAN, MN 56088

507/235-9405

507/235-6606

507/235-6606

507/764-4612

507/764-4977

507/764-4977

507/639-2381

507/776-2031

507/776-2031

507/776-2031

Lim-Liab

NProf

NProf

NProf

Lim-Liab

City

Corp

NProf

NProf

NProf

COMP

SLFB-6

COMP

NH-33

COMP

NH-35

ICFIID-6

SNF-NF-33

SNF-NF-35

(30399)

(20996)

(30841)

(01045)

(32067)

(30233)

(00365)

(22125)

(30285)

(00361)

FAX: 507/238-4163

FAX: 507/235-3995

FAX: 507/235-3995

FAX: 507/764-4422

FAX: 507/764-2592

FAX: 507/764-2592

FAX: 507/639-3775

FAX: 507/776-2335

FAX: 507/776-2032

FAX: 507/776-2032

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JAMES BETTENDORF

DEBORAH BARNES

DEBORAH BARNES

KIM WILKINSON

LISA LANGE

LISA LANGE

PATRICE GOETTE

PATRICK RAFFERTY

KACEY KASEL

HEATHER PETERSON-KUEHL

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

Page 404: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

367

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

MARTIN

MCLEOD

TRUMAN SENIOR LIVING, INC.

SHADE TREE RETIREMENT CENTER

DOMINION CARES HOME HEALTH

GLENCOE DIALYSIS

GLENCOE REGIONAL HEALTH SERVICES

GRAND MEADOWS

GRAND MEADOWS INC

GUARDIAN IN HOME HEALTH & SECURITY, LLC

ORCHARD ESTATES

400 NORTH 4TH AVENUE EAST

115 4TH AVENUE SOUTH

9204 170TH STREET

1123 HENNEPIN AVENUE NORTH

1805 HENNEPIN AVENUE NORTH

1420 PRAIRIE AVENUE

1420 PRAIRIE AVENUE

2025 10TH STREET EAST

1900 FORD AVENUE NORTH

TRUMAN, MN 56088

BROWNTON, MN 55312

GLENCOE, MN 55336

GLENCOE, MN 55336

GLENCOE, MN 55336

GLENCOE, MN 55336

GLENCOE, MN 55336

GLENCOE, MN 55336

GLENCOE, MN 55336

507/776-2031

320/441-7001

320/864-9926

320/864-1901

320/864-3121

320/864-5577

320/864-5577

320/864-6544

320/864-7798

NProf

Corp

Corp

Corp

NProf

Lim-Liab

Corp

Lim-Liab

NProf

COMP

COMP

NH-108 HOSP-49 BASS-8

COMP

COMP

ESRD

SNF-NF-108 CAH-25

(22125)

(20268)

(28070)

(30907)

(00351)

(29045)

(28964)

(26619)

(20002)

FAX: 507/776-2335

FAX: 320/235-8069

FAX: 888/206-4549

FAX: 320/864-3361

FAX: 320/864-7887

FAX: 320/864-5350

FAX: 320/864-5350

FAX: 320/864-6541

FAX: 320/864-7887

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PATRICK RAFFERTY

JACKLYN FRERICKS

MARIAM AJAYI

TAMARA WOODHAM

PATRICIA HENDERSON

MICHELE MACKENTHUN

ROCHELLE LANGLOIS

SONYA BORG

NANCY ELLEFSON

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

HWSAL

HWSAL

HWS

Page 405: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

368

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

MCLEOD

ECUMEN HUTCHINSON THE OAKS

ECUMEN HUTCHINSON THE OAKS

ECUMEN HUTCHINSON THE PINES

HARMONY RIVER LIVING CENTER

HARMONY RIVER LIVING CENTER

HARMONY RIVER LIVING CENTER

HUTCHINSON DIALYSIS CENTER

HUTCHINSON HEALTH

PRAIRIE SENIOR COTTAGES OF HUTCHINSON

PRAIRIE SENIOR COTTAGES OF HUTCHINSON LLC

945 CENTURY AVENUE SW

945 CENTURY AVENUE SW

1015 CENTURY AVENUE SW

1555 SHERWOOD STREET SE

1555 SHERWOOD STREET SE

1555 SHERWOOD STREET SE

1069 HIGHWAY 15 SOUTH #6

1095 HIGHWAY 15 SOUTH

1320 BRADFORD STREET

1320 BRADFORD STREET

HUTCHINSON, MN 55350

HUTCHINSON, MN 55350

HUTCHINSON, MN 55350

HUTCHINSON, MN 55350

HUTCHINSON, MN 55350

HUTCHINSON, MN 55350

HUTCHINSON, MN 55350

HUTCHINSON, MN 55350

HUTCHINSON, MN 55350

HUTCHINSON, MN 55350

320/484-9150

320/484-9150

320/484-9153

320/484-6000

320/484-6000

320/484-6000

320/234-4940

320/234-5000

320/587-5508

320/587-5508

NProf

NProf

NProf

NProf

NProf

NProf

Corp

NProf

Lim-Liab

Lim-Liab

COMP

COMP

NH-120

HOSP-66 BASS-6

COMP

COMP

SNF-NF-120

ESRD

HOSP-54 PPS-P-12

(20784)

(30795)

(23788)

(28986)

(00348)

(30810)

(03327)

(00350)

(20745)

(20745)

FAX: 320/484-9158

FAX: 320/484-9158

FAX: 320/484-9186

FAX: 320/234-5002

FAX: 320/484-6001

FAX: 320/484-6001

FAX: /-

FAX: 320/484-4688

FAX: 320/587-7491

FAX: 320/587-7491

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PATRICIA ISAACSON

PATRICIA ISAACSON

PATRICIA ISAACSON

JAN KOOMEN

LUKE KRUEGER

LUKE KRUEGER

JOHN MARIETTI

JIM LYONS

DUSTIN LEE

DUSTIN LEE

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

Page 406: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

369

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

MCLEOD

PSC OF HUTCHINSON LLC

PSC OF HUTCHINSON LLC

REGIONAL EYE SURGERY CENTER, INC.

RIVER OAKS AT SHADY RIDGE LLC

WELCOME HOME HEALTH CARE INC

WOODSTONE SENIOR LIVING HUTCH

CEDAR CREST OF HUTCHINSON

CEDAR CREST OF SILVER LAKE

CEDAR CREST OF SILVER LAKE

BENEDICTINE LIVING COMMUNITY OF WINSTED

1320 BRADFORD STREET

1310 BRADFORD STREET SE

1455 MONTREAL STREET SE

225 SHADY RIDGE ROAD NW

1025 DALE STREET SW

1025 DALE STREET SW

1401 MAIN STREET WEST

1401 MAIN STREET WEST

1401 MAIN STREET WEST

300 FAIRLAWN AVENUE

HUTCHINSON, MN 55350

HUTCHINSON, MN 55350

HUTCHINSON, MN 55350

HUTCHINSON, MN 55350

HUTCHINSON, MN 55350

HUTCHINSON, MN 55350

SILVER LAKE, MN 55381

SILVER LAKE, MN 55381

SILVER LAKE, MN 55381

WINSTED, MN 55395

320/587-5508

320/587-5508

320/234-6660

320/587-8715

320/234-8917

320/234-8917

320/327-6577

320/327-6577

320/327-6577

320/485-3159

Lim-Liab

Lim-Liab

Corp

Lim-Liab

Corp

Corp

Corp

Corp

Corp

Lim-Liab

Outpt Surg

COMP

COMP

COMP

COMP

Amb Surg

(20737)

(30792)

(24516)

(32681)

(29910)

(29911)

(20040)

(20040)

(26903)

(24030)

FAX: 320/587-7491

FAX: 320/587-7491

FAX: 320/234-3570

FAX: 320/587-8758

FAX: /-

FAX: /-

FAX: 320/327-0147

FAX: 320/327-0147

FAX: 320/327-0147

FAX: 320/485-2476

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

BRYAN CHRISTIANSON

BRYAN CHRISTIANSON

KIMBERLY MACKERETH

JONATHAN FENTON

JACOB WORK

JACOB WORK

DAMON EWALD

DAMON EWALD

TARA EWALD

LEESA GILLMAN

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL

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370

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

MCLEOD

MEEKER

INDEPENDENCE HOME CARE LLC

MTAI TRILLIUM

THE GARDENS AT WINSTED ASSISTED LIVING LLC

THE GARDENS AT WINSTED ASSISTED LIVING LLC

THE GARDENS AT WINSTED LLC

LAKEVIEW RANCH

DASSEL MEDICAL CENTER

LAKESIDE APARTMENTS

LAKESIDE ASSISTED LIVING

161 8TH STREET SOUTH

306 WESTGATE DRIVE

300 FAIRLAWN AVENUE WEST

300 FAIRLAWN AVENUE

551 4TH STREET NORTH

69531 213TH STREET

460 5TH STREET NORTH

441 WILLIAM AVENUE EAST

441 WILLIAM AVENUE EAST

WINSTED, MN 55395

WINSTED, MN 55395

WINSTED, MN 55395

WINSTED, MN 55395

WINSTED, MN 55395

DARWIN, MN 55324

DASSEL, MN 55325

DASSEL, MN 55325

DASSEL, MN 55325

320/979-2978

320/485-3759

320/364-9103

320/485-3159

320/485-2151

320/275-4611

320/275-3358

320/275-1080

320/275-1080

Lim-Liab

Corp

Lim-Liab

Lim-Liab

Lim-Liab

NProf

NProf

NProf

Corp

BASIC

SLFB-6

COMP

NH-65

COMP

ICFIID-6

SNF-NF-65

RHC

(32753)

(01614)

(28112)

(24030)

(00352)

(30798)

(02801)

(20568)

(26188)

FAX: /-

FAX: 320/485-4738

FAX: /-

FAX: 320/485-2476

FAX: 320/485-4241

FAX: 320/275-4029

FAX: /-

FAX: 320/275-2983

FAX: 320/275-2983

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

KYLE THOMPSON

BRENT KROCAK

JOSH LEGUM

LEESA GILLMAN

MORGAN SANDMEYER

MICHELLE DEMCHO

STEVEN MULDER

BRIANNE WOLTERS

BRIANNE WOLTERS

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

HWSAL

HWSAL

HWSAL

Page 408: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

371

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

MEEKER

LAKESIDE HEALTH CARE CENTER

LAKEVIEW RANCH

MEEKER MEMORIAL HOSPITAL & CLINICS

BETHANY ASSISTED LIVING

CENTRACARE KIDNEY PROGRAM - LITCHFIELD DIALYSIS

CORNERSTONE CARE

CORNERSTONE CARE LLC

ECUMEN HOME CARE - LITCHFIELD

ECUMEN OF LITCHFIELD SENIOR HOUSING SERVICES

EMMAUS PLACE

439 WILLIAM AVENUE EAST

22851 MN HIGHWAY 15

740 PARKER AVENUE WEST

203 NORTH ARMSTRONG AVENUE

520 US HIGHWAY 12 EAST

23766 570TH AVENUE

23766 570TH AVENUE

218 NORTH HOLCOMBE AVENUE

200 NORTH HOLCOMBE AVENUE

200 NORTH HOLCOMBE AVENUE

DASSEL, MN 55325

DASSEL, MN 55325

DASSEL, MN 55325

LITCHFIELD, MN 55355

LITCHFIELD, MN 55355

LITCHFIELD, MN 55355

LITCHFIELD, MN 55355

LITCHFIELD, MN 55355

LITCHFIELD, MN 55355

LITCHFIELD, MN 55355

320/275-3308

320/275-4611

320/275-4330

320/693-2430

320/693-7777

612/310-0655

612/310-0655

320/693-7367

320/693-2430

320/693-2430

Church

NProf

Cnty

NProf

NProf

Lim-Liab

Lim-Liab

NProf

NProf

NProf

NH-58

COMP

COMP

COMP

SNF-NF-58

RHC

ESRD

HHA

(00773)

(22067)

(37231)

(23748)

(25910)

(33267)

(33450)

(02364)

(21203)

(20586)

FAX: 320/275-3433

FAX: 320/275-5516

FAX: 320/275-4390

FAX: 320/373-6610

FAX: 320/693-1555

FAX: /-

FAX: 320/693-4293

FAX: 320/693-0433

FAX: 320/373-6610

FAX: 320/373-6610

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

BRIANNE WOLTERS

MICHELLE DEMCHO

KURT WALDBILLIG

HOLLY ZWILLING

DAVID WALZ

SANDRA LAHTINEN

SANDRA LAHTINEN

STACY ANDERSON

HOLLY WILLING

HOLLY ZWILLING

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWS

HWS

Page 409: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

372

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

MEEKER

GLORIA DEI MANOR

LITCHFIELD HRA

MEEKER MANOR REHABILITATION CENTER, LLC

MEEKER MEMORIAL HOSPITAL

MEEKER MEMORIAL HOSPITAL & CLINICS

GARDEN VIEW AT HILLTOP

GARDEN VIEW AT HILLTOP

HILLTOP HEALTH CARE CENTER

WATKINS AREA HOMES

WATKINS AREA HOMES

218 NORTH HOLCOMBE AVENUE

122 WEST 4TH STREET

600 SOUTH DAVIS AVENUE

612 SOUTH SIBLEY AVENUE

612 SOUTH SIBLEY AVENUE

404 LUELLA STREET

404 LUELLA STREET

410 LUELLA STREET

150 3RD STREET SOUTH

161 3RD STREET SOUTH

LITCHFIELD, MN 55355

LITCHFIELD, MN 55355

LITCHFIELD, MN 55355

LITCHFIELD, MN 55355

LITCHFIELD, MN 55355

WATKINS, MN 55389

WATKINS, MN 55389

WATKINS, MN 55389

WATKINS, MN 55389

WATKINS, MN 55389

320/693-2430

320/693-2104

320/693-2472

320/693-4507

320/693-4500

320/764-2300

320/764-1527

320/764-2300

320/764-5600

320/764-5600

NProf

HRA

Lim-Liab

Cnty

Cnty

Lim-Liab

Lim-Liab

Lim-Liab

NProf

NProf

NH-75

HOSP-35 BASS-4

COMP

NH-50

SNF-NF-75

CAH-25

RHC

SNF-NF-50

(20108)

(20584)

(00775)

(00370)

(37233)

(31442)

(31471)

(00798)

(21229)

(21230)

FAX: 320/373-6610

FAX: 320/593-8199

FAX: 320/693-2242

FAX: 320/693-4567

FAX: 320/693-4567

FAX: 320/764-2665

FAX: 320/764-2665

FAX: 320/764-2665

FAX: 320/764-5601

FAX: 320/764-5601

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JENNY KLIMA

, JENNY KLIMS

ANDREA ROSS

KURT WALDBILLIG

KURT WALDBILLIG

FRED STRUZYK

FRED STRUZYK

COLE JIRIK

JOLEEN PFAU

JOLEEN PFAU

---------------------------********** --------------------------(Cont.)*

HWS

HWS

HWSAL

HWS-O

HWS-O

Page 410: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

373

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

MEEKER

MILLE LACS

WATKINS AREA HOMES

WATKINS AREA HOMES II ST. ANTHONY MANOR

MILLE LACS FAMILY CLINIC ISLE

SCANDIA HOUSE OF ISLE

A NEW STORY BIRTH CENTER

ADULT CARE SERVICES OF MN INC

COUNTRY MEADOWS

COUNTRY MEADOWS OF MILACA

COUNTRY MEADOWS OF MILACA, INC.

181 3RD STREET SOUTH

131 CHURCH ST

375 WEST ISLE STREET

540 EAST ISLE STREET

16802 145TH AVENUE

115 9TH STREET NW STE 120

740 2ND STREET SE

740 2ND STREET SE

740 2ND STREET SE

WATKINS, MN 55389

WATKINS, MN 55389

ISLE, MN 56342

ISLE, MN 56342

MILACA, MN 56353

MILACA, MN 56353

MILACA, MN 56353

MILACA, MN 56353

MILACA, MN 56353

320/764-5600

320/764-5600

320/676-3661

320/360-1223

320/362-0476

320/982-7000

320/983-6386

320/983-6386

320/983-6386

NProf

NProf

NProf

Lim-Liab

Lim-Liab

Corp

NProf

NProf

NProf

B/C

COMP

COMP

COMP

RHC

(21231)

(21232)

(02461)

(28438)

(31536)

(23743)

(24336)

(30529)

(24336)

FAX: 320/764-5601

FAX: 320/764-5601

FAX: 320/676-3672

FAX: 877/309-7680

FAX: 320/983-2998

FAX: 320/982-7001

FAX: 320/983-6824

FAX: 320/983-6824

FAX: 320/983-6824

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JOLEEN PFAU

JOLEEN PFAU

WILLIAM NELSON

KENNETH BERGSTROM

DEBBIE SAHLSTROM

SANDY WERSTLEIN

KATHYANN LANGLIE

ADMINI LAURA BROBERG

KATHYANN LANGLIE

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

HWS-O

HWS-O

HWSAL

HWSAL

Page 411: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

374

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

MILLE LACS

ELIM HOME

HERITAGE HOUSE OF MILACA

HERITAGE HOUSE OF MILACA

LYNN ANDERSON

SCANDIA CAPITAL PARTNERS

LAKE SONG ASSISTED LIVING

LAKE SONG ASSISTED LIVING

MILLE LACS BAND OF OJIBWE, PUBLIC HEALTH DEPARTMENT

MILLE LACS FAMILY CLINIC ONAMIA

MILLE LACS HEALTH SYSTEM

730 2ND STREET SE

115 9TH STREET NW STE 120

115 9TH STREET NW #120

9981 90TH AVENUE

1300 GODWARD ST NE #1300

206 NORTH ELM STREET

206 NORTH ELM STREET

43475 OODENA DRIVE

200 NORTH ELM STREET

200 NORTH ELM ST

MILACA, MN 56353

MILACA, MN 56353

MILACA, MN 56353

MILACA, MN 56353

MINNEAPOLIS, MN 55413

ONAMIA, MN 56359

ONAMIA, MN 56359

ONAMIA, MN 56359

ONAMIA, MN 56364

ONAMIA, MN 56359

320/983-2185

320/982-7000

320/982-7000

320/267-0897

651/335-1586

320/532-2000

320/532-2000

320/532-7459

320/532-3154

320/532-3154

Church

Corp

Ind

Ind

Lim-Liab

NProf

NProf

Tribal

NProf

NProf

NH-70

COMP

COMP

COMP

COMP

NH-57 HOSP-28 BASS-3

SNF-NF-70

RHC

SNF-NF-57 CAH-18 PPS-P-10

(00376)

(23743)

(30406)

(33150)

(25867)

(24552)

(30547)

(25702)

(02459)

(00374)

FAX: 320/983-2190

FAX: 320/982-7001

FAX: 320/982-7001

FAX: /-

FAX: /-

FAX: 320/532-2071

FAX: 320/532-2071

FAX: 320/532-7711

FAX: 320/532-3111

FAX: 320/532-3111

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

LAURA BROBERG

SANDY WERSTLEIN

LORI CARLSON

LYNN ANDERSON

CHRISTINA ARRELL

CATHY HUGHES

KERMIT HOLL

LISA BLAHOSKY-OLIVAREZ

WILLIAM NELSON

WILLIAM NELSON

---------------------------********** --------------------------(Cont.)*

HWSAL-O

Home Mgmt

HWSAL

Page 412: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

375

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

MILLE LACS

MILLE LACS HEALTH SYSTEM HOME CARE/HOSPICE

MILLE LACS HOME CARE

ONAMIA AREA ASSISTED LIVING

CALEY HOUSE

CALEY HOUSE ASSISTED LIVING

CALEY HOUSE ASSISTED LIVING

CENTRACARE KIDNEY PROGRAM - PRINCETON DIALYSIS

ELIM HOME

NEW FREEDOM INC

NEW FREEDOM, INC.

200 ELM STREET NORTH

200 ELM STREET NORTH

206 NORTH ELM STREET

104 SOUTH 8TH AVENUE

104 SOUTH 8TH AVENUE

104 SOUTH 8TH AVENUE

112 SOUTH RUM RIVER DRIVE #10

701 1ST STREET

1213 11TH AVENUE NORTH

3116 90TH AVENUE

ONAMIA, MN 56359

ONAMIA, MN 56359

ONAMIA, MN 56359

PRINCETON, MN 55371

PRINCETON, MN 55371

PRINCETON, MN 55371

PRINCETON, MN 55371

PRINCETON, MN 55371

PRINCETON, MN 55371

PRINCETON, MN 55371

320/532-2800

320/532-2800

320/532-2000

763/389-0424

763/389-0424

763/389-0424

763/389-2048

763/389-1171

763/220-5483

763/220-5483

NProf

NProf

NProf

NProf

NProf

NProf

NProf

Church

Corp

Corp

Hospice

COMP

COMP

COMP

COMP

NH-105

HSPICE

HHA

ESRD

SNF-NF-105

(03598)

(02323)

(24552)

(21649)

(30813)

(21649)

(21067)

(00375)

(33849)

(34182)

FAX: 320/532-4325

FAX: 320/532-4325

FAX: 320/532-2071

FAX: 763/389-0436

FAX: 763/389-0409

FAX: 763/389-0436

FAX: 763/389-2325

FAX: 763/389-0432

FAX: /-

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

BILL NELSON

WILLIAM NELSON

CATHY HUGHES

AMANDA VANDERMAY

TODD LUNDEEN

AMANDA VANDERMAY

AMANDA NOAEILL

TODD LUNDEEN

MINX MINX

CHERYL MINX

---------------------------********** --------------------------(Cont.)*

HWSAL

HWS-O

HWS-O

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376

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

MILLE LACS

MORRISON

STERLING POINTE SENIOR LIVING

STERLING POINTE SENIOR LIVING

STERLING POINTE SENIOR LIVING LLC

MILLE LACS FAMILY CLINIC

BRIDGEWAY ESTATES

BRIDGEWAY ESTATES

CENTRACARE KIDNEY PROGRAM - LITTLE FALLS DIALYSIS

CENTRAL MN SENIOR CARE

CHI HEALTH AT HOME

1250 NORTHLAND DRIVE

1250 NORTHLAND DRIVE

1250 NORTHLAND DRIVE

26362 370TH AVENUE

103 12TH STREET NE

103 12TH STREET NE

808 3RD STREET SE #160

315 6TH ST SW

815 SE 2ND STREET

PRINCETON, MN 55371

PRINCETON, MN 55371

PRINCETON, MN 55371

HILLMAN, MN 56338

LITTLE FALLS, MN 56345

LITTLE FALLS, MN 56345

LITTLE FALLS, MN 56345

LITTLE FALLS, MN 56345

LITTLE FALLS, MN 56345

763/389-8655

763/389-8655

763/389-8655

320/277-3682

320/632-2089

320/632-2061

320/631-5656

320/441-7001

320/631-5575

Lim-Liab

Lim-Liab

Lim-Liab

NProf

NProf

NProf

NProf

Corp

ONProf

COMP

COMP

COMP

COMP

RHC

ESRD

HHA

(28071)

(30802)

(28071)

(23611)

(21656)

(30385)

(02119)

(20317)

(02813)

FAX: /-

FAX: /-

FAX: /-

FAX: /-

FAX: 320/632-2097

FAX: 320/632-2097

FAX: 320/632-0479

FAX: 320/235-8069

FAX: 320/631-1650

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ANNA SAYLER

ANNA SHERIDAN

ANNA SAYLER

DANIEL REINER

MICHELE HALVORSON

MADELYN BLAHA

DAVID WALZ

JACKLYN FRERICKS

LISA HANOWSKI

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

HWSAL

HWS

HWSAL

Page 414: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

377

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

MORRISON

CHI HEALTH AT HOME

DIAMOND WILLOW OF LITTLE FALLS

DIAMOND WILLOW OF LITTLE FALLS 2

FRANCISCAN SISTERS OF LITTLE FALLS, MN

FSLF CLARE RESIDENCE

FSLF MARY HALL

HIGHLAND SENIOR LIVING

HIGHLAND SENIOR LIVING COMMUNITY

HIGHLAND SENIOR LIVING OF LITTLE FALLS

LITTLE FALLS CARE CENTER

815 SE 2ND STREET

1401 5TH AVENUE NE

1405 5TH AVENUE NE

116 8TH AVENUE SE

116 8TH AVENUE SE

116 8TH AVENUE SE

1012 3RD AVENUE NE

1012 3RD AVENUE NE

1012 3RD AVENUE NE

1200 1ST AVENUE NE

LITTLE FALLS, MN 56345

LITTLE FALLS, MN 56345

LITTLE FALLS, MN 56345

LITTLE FALLS, MN 56345

LITTLE FALLS, MN 56345

LITTLE FALLS, MN 56345

LITTLE FALLS, MN 56345

LITTLE FALLS, MN 56345

LITTLE FALLS, MN 56345

LITTLE FALLS, MN 56345

320/631-5575

320/616-2845

320/616-2848

320/632-0678

320/632-2981

320/632-2981

320/632-1880

320/632-1880

320/632-1880

320/632-9211

NProf

Lim-Liab

Lim-Liab

NProf

NProf

NProf

Lim-Liab

Lim-Liab

Lim-Liab

NProf

Hospice

COMP

COMP

COMP

NH-64

HSPICE

SNF-NF-64

(03097)

(25706)

(25705)

(32333)

(32346)

(32347)

(30739)

(27367)

(27367)

(00382)

FAX: 320/631-1650

FAX: 320/616-2908

FAX: 320/616-2910

FAX: 320/632-6313

FAX: 320/632-1714

FAX: 320/632-1714

FAX: 320/414-0353

FAX: 320/414-0353

FAX: 320/414-0353

FAX: 320/632-2097

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

LISA HANOWSKI

SARA KLEINSCHMIDT

SARA KLEINSCHMIDT

SR. CAROLINE STOLTZ

JEANNE LEMIEUR

JEANNE LEMIEUR

JILL NIEHAUS

JILL NIEHAUS

JILL NIEHAUS

MADELYN BLAHA

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWS

HWSAL

Page 415: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

378

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

MORRISON

LUTHERAN SOCIAL SERVICE - WESTWIND

NOUIS HOME CARE INC

NOUIS HOME CARE INC

ST OTTO'S CARE CENTER

ST. GABRIEL'S HOSPITAL

THE BURLINGTON HOUSE - 509

HARMONY HOUSE OF MOTLEY I

HARMONY HOUSE OF MOTLEY III

LAKEWOOD CLINIC MOTLEY

FAMILY MEDICAL CENTER

315 6TH ST SW

308 1ST STREET SE

308 1ST STREET SE

920 4TH STREET SE

815 SE 2ND STREET

509 5TH STREET SE

900 EASTWOOD LANE SOUTH

908 EASTWOOD LANE SOUTH #1

1233 HIGHWAY 10

200 SOUTH 1ST AVENUE

LITTLE FALLS, MN 56345

LITTLE FALLS, MN 56345

LITTLE FALLS, MN 56345

LITTLE FALLS, MN 56345

LITTLE FALLS, MN 56345

LITTLE FALLS, MN 56345

MOTLEY, MN 56466

MOTLEY, MN 56466

MOTLEY, MN 56466

PIERZ, MN 56364

320/441-7001

320/632-3868

320/632-3868

320/632-9281

320/632-5441

218/330-0249

218/352-6941

218/352-6941

218/352-6922

320/468-2536

Corp

Corp

Corp

Corp

Church

Lim-Liab

NProf

NProf

NProf

NProf

COMP

NH-91

HOSP-49 BASS-10

SNF-NF-91

CAH-25

RHC

RHC

(20317)

(28378)

(28501)

(00817)

(00383)

(37097)

(20572)

(20971)

(22117)

(27043)

FAX: 320/235-8069

FAX: 888/470-8177

FAX: 888/470-8177

FAX: 320/631-4106

FAX: 320/631-5680

FAX: /-

FAX: 218/352-6942

FAX: 218/352-6942

FAX: 218/898-7594

FAX: 320/468-2728

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JACKLYN FRERICKS

LEROY NOUIS

LEROY NOUIS

BRIAN BERNANDER

STEVEN SMITH

SHEILA HAVERKAMP

LANISHA POJANOWSKI

LANISHA POJANOWSKI

CRAIG WOLHOWE

DENNIS DVORAK

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL-O

HWS-O

HWSAL

HWSAL

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379

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

MORRISON

HARDING PLACE

HARMONY HOUSE

HARMONY HOUSE

HORIZON HEALTH HOMECARE

HORIZON HEALTH HOSPICE

PIERZ MEADOW PONDS, INC.

PIERZ MEADOW PONDS, INC.

PIERZ VILLA, INC.

AMAZING LOVE ELDERLY CARE CENTER, LLC

RANDALL LAKES AREA CLINIC

24448 296TH AVENUE

26814 143RD STREET

26886 143RD STREET

26814 143RD STREET PO BOX 220

26814 143RD STREET

305 RONALD AVENUE

305 RONALD AVENUE

119 FAUST STREET SE

7807 EMERALD ROAD

250 WHITE OAK DRIVE

PIERZ, MN 56364

PIERZ, MN 56364

PIERZ, MN 56364

PIERZ, MN 56364

PIERZ, MN 56364

PIERZ, MN 56364

PIERZ, MN 56364

PIERZ, MN 56364

RANDALL, MN 56475

RANDALL, MN 56475

320/277-3424

320/468-6451

320/468-2811

320/468-2788

320/468-2788

320/468-2949

320/468-2951

320/468-6405

320/749-2485

320/749-2877

NProf

NProf

NProf

NProf

NProf

Corp

Corp

Corp

Lim-Liab

NProf

COMP

COMP

Hospice

COMP

NH-50

HHA

HSPICE

SNF-NF-50

RHC

(34822)

(20767)

(20172)

(03347)

(28959)

(23849)

(30431)

(00384)

(29391)

(27045)

FAX: 320/277-3751

FAX: 320/468-6463

FAX: 320/468-6863

FAX: 320/468-6452

FAX: 320/468-6452

FAX: 320/468-2955

FAX: 320/468-2955

FAX: 320/468-0088

FAX: /-

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PAULA ROCHELEAU

LANISHA POJANOWSKI

LANISHA POJANOWSKI

NANCY MATLOCK

NANCY MATLOCK

SAMANTHA ADAMS

SAMANTHA ADAMS

KIM ROCHELEAU

PENNY POLING

DENNIS DVORAK

---------------------------********** --------------------------(Cont.)*

HWS-O

HWSAL

HWSAL

HWS

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380

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

MORRISON

MOWER

RIVERSIDE ASSISTED LIVING

RIVERSIDE ASSISTED LIVING

CEDAR COURT

CEDAR COURT

CEDARS OF AUSTIN

CEDARS OF AUSTIN

GOOD SAMARITAN SOCIETY - COMFORCARE

KSMS OUR HOUSE LLC

MAYO CLINIC HEALTH SYSTEM - AUSTIN

812 CENTRE STREET EAST

812 CENTRE STREET EAST

810 WEST MAIN STREET

810 WEST MAIN STREET

700 1ST DRIVE NW

700 1ST DRIVE NW

1201 17TH STREET NE

204 14TH STREET NW

101 14TH STREET NW

ROYALTON, MN 56373

ROYALTON, MN 56373

ADAMS, MN 55909

ADAMS, MN 55909

AUSTIN, MN 55912

AUSTIN, MN 55912

AUSTIN, MN 55912

AUSTIN, MN 55912

AUSTIN, MN 55912

320/584-6484

320/584-6484

507/582-3263

507/582-3263

507/437-3246

507/437-3246

507/437-4526

507/437-2179

507/434-1415

Corp

Corp

Corp

Corp

Part

Part

NProf

Lim-Liab

NProf

COMP

COMP

COMP

NH-45

COMP

Hospice

SNF-NF-45

HSPICE

(24459)

(30537)

(26961)

(30231)

(20189)

(30438)

(00967)

(20449)

(03409)

FAX: 320/584-5003

FAX: 320/584-5003

FAX: 507/582-7793

FAX: 507/582-7793

FAX: 507/437-3248

FAX: 507/437-3248

FAX: 507/437-9024

FAX: 507/437-2310

FAX: 507/434-1276

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

SANDRA STUCKEY

PAULA ROCHELEAU

ADAM WORKE

ADAM WORKE

LUCINDA GARDNER

LUCINDA GARDNER

KATIE DAVIS

SHANNON ELKIN

LESA ANDERSON

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

HWSAL

HWSAL

HWSAL

Page 418: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

381

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

MOWER

OUR HOUSE SENIOR LIVING

OUR HOUSE SENIOR LIVING

OUR HOUSE SENIOR LIVING

OUR HOUSE SENIOR LIVING

PRIMROSE LEASE MANAGEMENT, LLC

PRIMROSE LEASE MANAGEMENT, LLC

PRIMROSE OF AUSTIN

REFLECTIONS ASSISTED LIVING

REFLECTIONS ASSISTED LIVING

SACRED HEART ASSISTED LIVING APARTMENTS

1401 15TH AVENUE NW

204 14TH STREET NW

204 14TH ST NW

1313 15TH AVENUE NW

1701 22ND AVENUE SW

1701 22ND AVENUE SW

1701 22ND AVENUE SW

300 2ND STREET SW

300 2ND STREET SW

1202 12TH ST SW

AUSTIN, MN 55912

AUSTIN, MN 55912

AUSTIN, MN 55912

AUSTIN, MN 55912

AUSTIN, MN 55912

AUSTIN, MN 55912

AUSTIN, MN 55912

AUSTIN, MN 55912

AUSTIN, MN 55912

AUSTIN, MN 55912

507/396-0085

507/437-2179

507/437-2179

507/437-3373

507/434-0600

507/434-0600

507/434-0600

507/440-6564

507/440-6564

507/433-1808

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Corp

NProf

COMP

COMP

COMP

COMP

(21746)

(20449)

(30630)

(24097)

(21689)

(30819)

(21689)

(25944)

(30615)

(20386)

FAX: 507/396-0087

FAX: 507/437-2310

FAX: 507/437-2310

FAX: 507/437-3383

FAX: 507/434-0041

FAX: 507/434-0041

FAX: 507/434-0041

FAX: 507/437-2393

FAX: 507/437-2393

FAX: 507/434-9572

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

SHANNON ELKIN

SHANNON ELKIN

SHANNON ELKIN

SHANNON ELKIN

ANNETTE ROSS

MARK MCNEARY

ANNETTE ROSS

GARY CORCORAN

GARY CORCORAN

CHRIS SCHULZ

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL

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382

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

MOWER

SACRED HEART CARE CENTER INC

SACRED HEART CARE CENTER, INC.

SACRED HEART HOME HEALTH CARE

SENIORS HELPING SENIORS

ST MARKS HERITAGE COMMUNITY

ST. MARK'S HERITAGE COMMUNITY

ST. MARK'S HERITAGE COMMUNITY

ST. MARK'S LIVING

THE CARLSON HOME OF AUSTIN, INC.

THE CARLSON HOME, INC.

1200 12TH STREET SW

1200 12TH STREET SW

1200 12TH STREET SW

1604 2ND AVENUE NW

400 SW 15TH AVENUE

400 15TH AVENUE SW

400 SW 15TH AVENUE

400 15TH AVENUE SW

300 1ST AVENUE NW

300 1ST AVENUE NW

AUSTIN, MN 55912

AUSTIN, MN 55912

AUSTIN, MN 55912

AUSTIN, MN 55912

AUSTIN, MN 55912

AUSTIN, MN 55912

AUSTIN, MN 55912

AUSTIN, MN 55912

AUSTIN, MN 55912

AUSTIN, MN 55912

507/433-1808

507/433-1808

507/433-1905

507/396-8080

507/437-4594

507/434-7237

507/437-4594

507/437-4594

507/433-8357

507/433-8357

NProf

NProf

NProf

Corp

Church

Church

Church

Church

Corp

Corp

TCOMP

NH-59

COMP

COMP

COMP

NH-57

COMP

SNF-NF-59

HHA

SNF-NF-57

(35712)

(00393)

(02231)

(31852)

(20978)

(30839)

(20978)

(00394)

(20073)

(33999)

FAX: 507/434-9572

FAX: 507/434-9572

FAX: 507/433-8012

FAX: /-

FAX: 507/434-7201

FAX: /-

FAX: 507/434-7201

FAX: 507/434-7201

FAX: 507/433-9368

FAX: 507/433-9368

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

CHRIS SCHULZ

CHRIS SCHULZ

CHRIS SCHULZ

RICHARD MCINTOSH

SUNDEEP GIL

BRIANA STURM

SUNDEEP GIL

BRIANA STURM

RICHARD CARLSON

AMY KLEIN

---------------------------********** --------------------------(Cont.)*

Home Mgmt

HWSAL

HWSAL

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383

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

MOWER

MURRAY

WHISPERING PINES RANCH

WHISPERING PINES RANCH

LEGACY OF BROWNSDALE

LEGACY OF BROWNSDALE

MEADOW MANOR

THE MEADOWS

THE MEADOWS

WILDWOOD GROVE

WILDWOOD GROVE

1916 4TH STREET SE

1916 4TH STREET SE

105 LATHAM STREET NE

105 LATHAM ST NE

210 EAST GRAND AVENUE

117 2ND STREET SE

117 2ND STREET SE

410 EAST MAIN STREET

410 EAST MAIN STREET

AUSTIN, MN 55912

AUSTIN, MN 55912

BROWNSDALE, MN 55918

BROWNSDALE, MN 55918

GRAND MEADOW, MN 55936

GRAND MEADOW, MN 55936

GRAND MEADOW, MN 55936

LEROY, MN 55951

LEROY, MN 55951

507/433-1117

507/433-1117

507/203-1818

507/203-1818

507/754-5212

507/754-4000

507/754-4000

507/324-9515

507/324-9515

Corp

Corp

Lim-Liab

Lim-Liab

Corp

Corp

Corp

City

City

COMP

COMP

NH-26

COMP

COMP

SNF-NF-26

(25430)

(30582)

(33945)

(33988)

(00390)

(21007)

(30842)

(21165)

(30710)

FAX: 507/434-4129

FAX: 507/434-4129

FAX: 507/203-1855

FAX: 800/305-3405

FAX: 507/754-5222

FAX: 507/754-5227

FAX: 507/754-5227

FAX: 507/324-5355

FAX: 507/324-5355

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

REBECCA STUNDAHL

REBECCA STUNDAHL

DEIDRA BURKE

DEIDRA BURKE

NATALIE FEUERHELM

NATALIE FEUERHELM

NATALIE FEUERHELM

AUDREY MCCARTHY

AUDREY MCCARTHY

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

Page 421: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

384

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

MURRAY

MAPLE LAWN SENIOR CARE

MAPLEVIEW ESTATES

MAPLEWOOD COURT ASSISTED LIVING

MAPLEWOOD COURT ASSISTED LIVING

MURRAY COUNTY CLINIC FULDA

HOSPICE OF MURRAY COUNTY, INC.

HUB CITY DEVELOPMENT, INC.

HUB CITY DEVELOPMENT, INC.

LINDENWOOD ASSISTED LIVING

MURRAY COUNTY MEMORIAL HOSPITAL

400 7TH STREET NE

700 MAPLE LANE

310 7TH STREET NE

310 7TH STREET NE

119 NORTH ST. PAUL AVENUE

36 PARK DRIVE PO BOX 86

2409 LINDEN AVENUE

2409 LINDEN AVENUE

2409 LINDEN AVENUE

2042 JUNIPER AVENUE

FULDA, MN 56131

FULDA, MN 56131

FULDA, MN 56131

FULDA, MN 56131

FULDA, MN 56131

SLAYTON, MN 56172

SLAYTON, MN 56172

SLAYTON, MN 56172

SLAYTON, MN 56172

SLAYTON, MN 56172

507/425-2571

507/425-2572

507/425-9900

507/425-9900

507/425-2300

507/836-8114

507/836-1055

507/836-1055

507/836-1055

507/836-6111

NProf

NProf

NProf

NProf

Cnty

NProf

Corp

Corp

Corp

Cnty

NH-54

COMP

Hospice

COMP

COMP

HOSP-25 BASS-2

SNF-NF-54

RHC

HSPICE

CAH-25

(00396)

(20997)

(30343)

(23225)

(26186)

(02669)

(20735)

(30791)

(20735)

(00397)

FAX: 507/748-1057

FAX: 507/748-1057

FAX: /-

FAX: 507/748-1058

FAX: 507/836-6700

FAX: 507/836-6462

FAX: 507/836-1075

FAX: 507/836-1075

FAX: 507/836-1075

FAX: 507/836-6700

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ARLAN SWANSON

ARLAN SWANSON

ARLAN SWANSON

ARLAN SWANSON

RENEE LOGAN

SANNA WENDT

SUE STREFF

SUE STREFF

SUE STREFF

MICHAEL LADEVICH

---------------------------********** --------------------------(Cont.)*

HWS

HWSAL

HWSAL

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385

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

MURRAY

NICOLLET

OUR HOUSE OF MURRAY COUNTY

PRAIRIE VIEW

SLAYTON CLINIC

SUNRISE TERRACE

BIRCHWOOD COTTAGES

BIRCHWOOD COTTAGES

MONARCH MEADOWS

OAK TERRACE ASSISTED LIVING OF NORTH MANKATO, LLC

OAK TERRACE NORTH MANKATO

36 PARK DRIVE PO BOX 86

2220 27TH STREET

2042 JUNIPER AVENUE

2121 IRONWOOD AVENUE

1630 LOR RAY DRIVE

1630 LOR RAY DRIVE

2135 LOR RAY DRIVE

1575 HOOVER DRIVE

1575 HOOVER DRIVE

SLAYTON, MN 56172

SLAYTON, MN 56172

SLAYTON, MN 56172

SLAYTON, MN 56172

NORTH MANKATO, MN 56003

NORTH MANKATO, MN 56003

NORTH MANKATO, MN 56003

NORTH MANKATO, MN 56003

NORTH MANKATO, MN 56003

507/836-8114

218/310-4322

507/836-6153

507/836-8980

507/613-0006

507/594-8386

507/344-0059

507/387-2037

507/387-2037

NProf

Corp

Cnty

Cnty

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

RES-HSPICE-4

SLFB-14

COMP

COMP

COMP

ICFIID-14

RHC

(20283)

(01520)

(03733)

(20669)

(33719)

(33918)

(20554)

(20970)

(30836)

FAX: 507/836-6462

FAX: 952/226-5806

FAX: /-

FAX: /-

FAX: 507/387-2320

FAX: 507/387-2320

FAX: 507/344-1504

FAX: 507/387-6011

FAX: 507/387-6011

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

SANNA WENDT

CHAD BAUMGARTNER

JOHN OSSE

CAROL VELDHUISEN

KIM ALINDER

KIM ALINDER

JAMES BETTENDORF

DENNIS HOOD

DREW HOOD

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

HWS

HWSAL

HWSAL

Page 423: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

386

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

NICOLLET

OAK TERRACE WEST

THERESE K. SEXTON HOME - SOUTH

VISTA PRAIRIE AT MONARCH MEADOWS, LLC

VISTA PRAIRIE AT MONARCH MEADOWS, LLC

BENEDICTINE SENIOR LIVING COMMUNITY OF ST. PETER

ECUMEN PRAIRIE HILL

LINDA GRACK CARES

PHEASANTS RIDGE

PHEASANTS RIDGE ASSISTED LIVING

BENEDICTINE LIVING COMMUNITY OF ST. PETER

1570 TOWER BOULEVARD

2050 HAUGHTON AVENUE

2135 LOR RAY DRIVE

2135 LOR RAY DRIVE

1906 NORTH SUNRISE DRIVE

1305 MARSHALL STREET

1804 MACINTOSH COURT

1807 SUNRISE DRIVE

1807 SUNRISE DRIVE

1907 KLEIN STREET

NORTH MANKATO, MN 56003

NORTH MANKATO, MN 56003

NORTH MANKATO, MN 56003

NORTH MANKATO, MN 56003

ST PETER, MN 56082

ST PETER, MN 56082

ST PETER, MN 56082

ST PETER, MN 56082

ST PETER, MN 56082

ST. PETER, MN 56082

507/387-2037

507/387-8281

507/344-0059

507/344-0059

507/934-8817

507/934-2200

320/510-1545

507/931-0966

507/931-0966

507/934-2203

Lim-Liab

NProf

Lim-Liab

Lim-Liab

NProf

NProf

Ind

Lim-Liab

Lim-Liab

NProf

SLFB-8

COMP

COMP

COMP

COMP

COMP

NH-79

ICFIID-8

SNF-NF-79

(22081)

(01454)

(20554)

(30703)

(28206)

(27944)

(34420)

(30532)

(24372)

(00399)

FAX: 507/387-6011

FAX: 507/625-9948

FAX: 507/344-1504

FAX: 507/344-1504

FAX: 507/934-0214

FAX: 507/934-2201

FAX: /-

FAX: 507/931-1008

FAX: 507/931-1008

FAX: 507/934-8392

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

DENNIS HOOD

LINDA LEIDING

JAMES BETTENDORF

JAMES BETTENDORF

JANE ANDERSON

LISA HOFFERBERT

EUGENE GRACK

NATE WENNER

NATE WENNER

TERESA HILDEBRANDT

---------------------------********** --------------------------(Cont.)*

HWS

HWSAL

HWSAL

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387

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

NICOLLET

BENEDICTINE SENIOR LIVING

COMMUNITY ADDICTION RECOVERY ENTERPRISE ST. PETER

ECUMEN PRAIRIE HILL

ECUMEN SAND PRAIRIE

FORENSIC MENTAL HEALTH PROGRAM

FORENSIC MENTAL HEALTH PROGRAM

GOOD SAMARITAN SOCIETY HOME CARE ST. PETER

HERITAGE MEADOWS

MINNESOTA SECURITY HOSPITAL

MSOP - GREEN ACRES

1906 NORTH SUNRISE DRIVE

2000 KLEIN STREET

1305 MARSHALL STREET

700 KNIGHT STREET

100 FREEMAN DRIVE

1703 COUNTY STATE AID HWY 15

600 SOUTH 5TH STREET #211

1302 TRAVERSE ROAD

100 FREEMAN DRIVE

100 FREEMAN DRIVE

ST. PETER, MN 56082

ST. PETER, MN 56082

ST. PETER, MN 56082

ST. PETER, MN 56082

ST. PETER, MN 56082

ST. PETER, MN 56082

ST. PETER, MN 56082

ST. PETER, MN 56082

ST. PETER, MN 56082

ST. PETER, MN 56082

507/934-8817

507/933-5191

507/484-2203

507/484-2203

507/985-3128

507/985-3128

507/931-0949

507/931-8545

507/985-3128

651/431-5874

NProf

State

NProf

NProf

State

State

NProf

NProf

State

State

SLFB-16

SLFB-488

SLFB-34

COMP

SLFB-488

SLFB-15 SLFA-44

HHA

(30806)

(24618)

(30785)

(30768)

(01418)

(32670)

(23185)

(20916)

(01418)

(27850)

FAX: 507/934-0214

FAX: 651/431-7705

FAX: 507/934-2201

FAX: 507/934-5346

FAX: 651/431-7438

FAX: 651/431-7438

FAX: 507/931-0110

FAX: 507/931-2123

FAX: 651/431-7438

FAX: 651/431-7404

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JANE ANDERSON

CHRISTINA ANDERLEY

LISA HOFFERBERT

LISA HOFFERBERT

CAROL OLSON

CAROL OLSON

CASSANDRA HRDLICKA

TERESA HILDEBRANDT

CAROL OLSON

DAVID BORNUS

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWS

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388

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

NICOLLET

NOBLES

MSOP - PEXTON SHANTZ

MSOP - SUNRISE

RIVER VALLEY BIRTH CENTER

RIVER'S EDGE HOSPITAL & CLINIC

ST. PETER COMMUNITY HEALTH CARE CENTER

STATE OPERATED PSYCHIATRIC NURSING FACILITY - ST. PETER

ADRIAN COUNTRY LIVING COTTAGES

ADRIAN COUNTRY LIVING COTTAGES

PALLANSCH PROPERTIES, LLC

100 FREEMAN DRIVE

100 FREEMAN DRIVE

526 WEST PARK ROW

1900 NORTH SUNRISE DRIVE

1907 KLEIN STREET

100 FREEMAN DRIVE

200 WEST 7TH STREET

200 WEST 7TH STREET

603 LOUISIANA AVENUE

ST. PETER, MN 56082

ST. PETER, MN 56082

ST. PETER, MN 56082

ST. PETER, MN 56082

ST. PETER, MN 56082

ST. PETER, MN 56082

ADRIAN, MN 56110

ADRIAN, MN 56110

ADRIAN, MN 56110

651/431-5874

651/431-5874

507/934-1565

507/934-7602

507/934-2203

507/985-2365

507/483-2511

507/483-2511

507/483-2580

State

State

Lim-Liab

City

NProf

State

HRA

City

Lim-Liab

SLFB-260

SLFA-27 SLFB-3

B/C

HOSP-25

NH-79

NH-48

COMP

CAH-25

SNF-NF-79

(27851)

(30872)

(30963)

(23299)

(00399)

(25494)

(27386)

(30740)

(32183)

FAX: 651/431-7404

FAX: 651/431-7404

FAX: 507/934-2327

FAX: 507/934-7651

FAX: 507/934-8392

FAX: 507/985-3351

FAX: 507/483-2445

FAX: 507/483-2445

FAX: 507/483-2610

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

DAVID BORNUS

DAVID BORNUS

ERIKA URBAN

JOSEPH STRATTON

TERESA HILDEBRANDT

MICHELLE CHALIN

HEATHER LAUTT

JILL WOLF

KELA KERNS

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

HWSAL

HWSAL

Page 426: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

389

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

NOBLES

SUNRISE VIEW ASSISTED LIVING LLC

PARKVIEW MANOR NURSING HOME

AVERA MEDICAL GROUP WORTHINGTON

C C S INC RIDGEWOOD

CROSSROADS CARE CENTER

ECUMEN WORTHINGTON THE MEADOWS

ECUMEN WORTHINGTON THE MEADOWS

GOLDEN HORIZONS

GOLDEN HORIZONS

KC COMPANIES OF WORTHINGTON

603 LOUISIANA AVENUE

308 SHERMAN AVENUE

1216 RYANS ROAD

1381 KNOLLWOOD DRIVE

965 MCMILLAN STREET

1801 COLLEGEWAY

1801 COLLEGEWAY

1790 COLLEGEWAY

1790 COLLEGEWAY

1790 COLLEGEWAY

ADRIAN, MN 56110

ELLSWORTH, MN 56129

WORTHINGTON, MN 56187

WORTHINGTON, MN 56187

WORTHINGTON, MN 56187

WORTHINGTON, MN 56187

WORTHINGTON, MN 56187

WORTHINGTON, MN 56187

WORTHINGTON, MN 56187

WORTHINGTON, MN 56187

218/568-4673

507/967-2482

507/372-6522

507/376-6095

507/376-5312

507/372-7838

507/372-7838

507/376-3111

507/376-3111

507/376-3111

Lim-Liab

City

NProf

NProf

Lim-Liab

NProf

NProf

Corp

Corp

Corp

COMP

NH-37

Outpt Surg

SLFB-6

NH-50

COMP

COMP

COMP

SNF-NF-37

Amb Surg

ICFIID-6

SNF-NF-50

(33827)

(00406)

(28628)

(01278)

(00407)

(20011)

(03709)

(23234)

(30345)

(23234)

FAX: 218/568-4673

FAX: 507/967-2141

FAX: 507/372-6523

FAX: 507/376-5117

FAX: 507/376-9536

FAX: 507/343-7150

FAX: 507/372-7804

FAX: 507/376-3311

FAX: 507/376-3311

FAX: 507/376-3311

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

MICHAELE NELSON

CALVIN ANDERSON

KELLI VAN GROUW

PATRICIA COWDIN

DENNIS DEJAGER

NANCY GARVIN

NANCY GARVIN

CHUCK LANE

CHUCK LANE

CHUCK LANE

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

Page 427: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

390

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

NOBLES

NORMAN

SANFORD WORTHINGTON HOME CARE AGENCY

SANFORD WORTHINGTON MED CENTER

SANFORD WORTHINGTON MEDICAL CENTER

SOUTH SHORE CARE CENTER

SOUTHWESTERN MINNESOTA OPPORTUNITY COUNCIL, INC.

SUNSET COTTAGE

WORTHINGTON REGIONAL HOSPITAL

BENEDICTINE CARE COMMUNITY

BENEDICTINE SUPPORTIVE SERVICES

1018 6TH AVENUE

1018 6TH AVENUE

1018 6TH AVENUE

1307 SOUTH SHORE DRIVE

1106 3RD AVENUE

1935 WOODLAND COURT

1018 6TH AVENUE

201 9TH STREET WEST

201 9TH STREET WEST #2

WORTHINGTON, MN 56187

WORTHINGTON, MN 56187

WORTHINGTON, MN 56187

WORTHINGTON, MN 56187

WORTHINGTON, MN 56187

WORTHINGTON, MN 56187

WORTHINGTON, MN 56187

ADA, MN 56510

ADA, MN 56510

507/372-3139

507/372-2941

507/372-3110

507/376-3175

507/376-4195

507/372-7770

507/372-3110

218/784-5500

218/784-5500

NProf

City

NProf

Corp

NProf

NProf

NProf

NProf

NProf

COMP

HOSP-48 BASS-7

NH-54

RES-HSPICE-4

HOSP-48 BASS-7

NH-49

COMP

HHA

ESRD

HOSP-48

SNF-NF-54

HOSP-48

SNF-NF-49

(02314)

(02243)

(00412)

(00885)

(03689)

(21952)

(00412)

(00413)

(26532)

FAX: 507/372-3177

FAX: 507/372-3379

FAX: 507/372-3240

FAX: 507/376-9042

FAX: 507/376-3636

FAX: 507/372-7778

FAX: 507/372-3240

FAX: 218/784-5245

FAX: 218/784-5245

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JENNIFER WEG

JENNIFER WEG

JENNIFER WEG

DENNIS DEJAGER

CHERI BAUER

LORA NELSON

JENNIFER WEG

JEAN ANN BIENEK

JEAN BIENEK

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

Home Mgmt

Page 428: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

391

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

NORMAN

BRIDGES MEDICAL CENTER

ESSENTIA HEALTH ADA

ESSENTIA HEALTH ADA CLINIC

MISSION COURT

HALSTAD LIVING CENTER

HALSTAD LIVING CENTER

HERITAGE HOUSE

SANFORD HEALTH HALSTAD CLINIC

NORMANDY APARTMENTS

PALLANSCH PROPERTIES, LLC

201 9TH STREET WEST

201 9TH STREET WEST

201 9TH STREET WEST

201 9TH STREET WEST STE 3

133 4TH AVENUE EAST

133 4TH AVENUE EAST

201 4TH AVENUE EAST

445 1ST STREET EAST

201 3RD STREET NW #18

208 OPPEGARD AVENUE NW

ADA, MN 56510

ADA, MN 56510

ADA, MN 56510

ADA, MN 56510

HALSTAD, MN 56548

HALSTAD, MN 56548

HALSTAD, MN 56548

HALSTAD, MN 56548

TWIN VALLEY, MN 56584

TWIN VALLEY, MN 56584

218/784-5500

218/784-5000

218/784-2727

218/784-5250

218/456-2105

218/456-2105

218/456-2105

218/456-2158

218/584-5183

218/584-5181

NProf

NProf

NProf

Church

Church

Church

NProf

NProf

NProf

Lim-Liab

NH-49

HOSP-14

NH-44

COMP

SNF-NF-49

CAH-14

RHC

SNF-NF-44

RHC

(00413)

(26485)

(02794)

(29451)

(00764)

(20733)

(20732)

(02747)

(20725)

(35519)

FAX: 218/784-5245

FAX: 218/784-3855

FAX: /-

FAX: 218/784-5245

FAX: 218/456-2290

FAX: 218/456-2290

FAX: 218/456-2290

FAX: /-

FAX: 218/584-5304

FAX: 320/639-1058

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JEAN ANN BIENEK

ERIN STOLTMAN

RYAN HILL

JEAN ANN BIENEK

ANGELA NELSON

ANGELA NELSON

ANGIE NELSON

WALLACE RADTKE

ANGELA NELSON

MIGUEL CAMPA

---------------------------********** --------------------------(Cont.)*

HWSAL

HWS

HWS

HWSAL

Page 429: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

392

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

NORMAN

OLMSTED

SANFORD HEALTH TWIN VALLEY CLINIC

TWIN VALLEY ASSISTED LIVING LLC

1050 PLUMMER PLACE LLC

MADONNA SUMMIT OF BYRON

THE PLUMMER HOME LLC

ARBOR GARDEN PLACE

ARBOR GARDENS

ARBOR GARDENS PLACE

STONEBAY SENIOR LIVING, LLC

501 2ND STREET NW

208 OPPEGARD AVENUE NW

510 6TH PLACE NE

551 BYRON MAIN CT NE

510 6TH PLACE NE

535 CANYON DRIVE NW

535 CANYON DRIVE NW

535 CANYON DRIVE NW

2635 KELLY PARKWAY

TWIN VALLEY, MN 56584

TWIN VALLEY, MN 56584

BYRON, MN 55920

BYRON, MN 55920

BYRON, MN 55920

EYOTA, MN 55934

EYOTA, MN 55934

EYOTA, MN 55934

ORONO, MN 55356

218/584-5142

218/584-5181

507/951-7887

507/315-3600

507/951-7887

507/545-3999

507/545-3999

507/545-3999

320/247-6051

NProf

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

TCOMP

COMP

COMP

COMP

COMP

RHC

(03938)

(35343)

(24850)

(32270)

(24850)

(30217)

(21810)

(21810)

(36734)

FAX: /-

FAX: 320/639-1058

FAX: 651/286-3108

FAX: /-

FAX: 651/286-3108

FAX: 507/545-3948

FAX: 507/545-3948

FAX: 507/545-3948

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

MARK DUNCAN

MIGUEL CAMPA

JACKELYN SEIFERT

HEATHER CONNELLY

JACKELYN SEIFERT

AMY OLSON

AMY OLSON

AMY OLSON

JACOB WORK

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

HWSAL

HWSAL

HWSAL

Page 430: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

393

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

OLMSTED

SUNSET HOMES ASSISTED LIVING III

SUNSET HOMES ASSISTED LIVING, INC.

ABILIT HOLDINGS MEADOW LAKES LLC

ADAPTA

ADAPTA

ADAPTA

ADVANCED ONE CARE CENTER INC

ALLENDALE HOUSE

ARBOR TERRACE

ARBOR TERRACE

9938 18TH AVENUE NW

11237 11TH AVENUE NW

22 45TH AVENUE NW

2509 55TH STREET NW

2020 5TH STREET SW

2020 5TH STREET SW

4552 MANOR BROOK NW

2847 19TH AVENUE NW

700 NW 2ND AVENUE

700 NW 2ND AVENUE

ORONOCO, MN 55960

ORONOCO, MN 55960

ROCHESTER, MN 55901

ROCHESTER, MN 55901

ROCHESTER, MN 55902

ROCHESTER, MN 55902

ROCHESTER, MN 55901

ROCHESTER, MN 55901

ROCHESTER, MN 55901

ROCHESTER, MN 55901

507/322-8055

507/367-4438

507/252-5069

507/282-0868

507/282-0868

507/282-0868

507/208-4863

507/288-7195

507/288-4883

507/288-4883

Corp

Corp

Lim-Liab

NProf

NProf

NProf

Corp

NProf

NProf

NProf

COMP

SLFB-6

COMP

ICFIID-6

(36995)

(27053)

(21129)

(36552)

(33762)

(33438)

(36100)

(01667)

(20146)

(20864)

FAX: 507/206-4856

FAX: 507/206-4858

FAX: 507/536-4539

FAX: 507/282-1345

FAX: 507/282-1345

FAX: 507/403-6881

FAX: 507/208-4948

FAX: 507/288-4522

FAX: 507/424-5455

FAX: 507/424-5455

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JOSEPH ATUTI MABURURU

JOSEPH MABURURU

ALLISON LAW

KASI HAGLUND

KASI HAGLUND

KASI HAGLUND

ZAINAB MOHAMED ABDI

LINDA DRIESSEN

RACHAEL PADDOCK

RACHAEL PADDOCK

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL-O

HWSAL

HWSAL

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394

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

OLMSTED

BENEDICT HOUSE

BOSTROM TERRACE

CARELINK SKILLED NURSING & HC

CCHC GAGE EAST

CENTRIC HEALTHCARE LLC

CHARTER HOUSE

CHARTER HOUSE

CHARTER HOUSE, INC.

CHARTERHOUSE, INC

COMFORT HEALTH

3883 19TH AVENUE NW

1680 EASTWOOD ROAD SE

1331 4TH AVENUE SW

920 40TH ST NW

3261 19TH STREET NW

211 2ND STREET NW

211 2ND STREET NW

211 2ND STREET NW

211 2ND STREET NW

2746 SUPERIOR DRIVE NW #200

ROCHESTER, MN 55901

ROCHESTER, MN 55904

ROCHESTER, MN 55902

ROCHESTER, MN 55901

ROCHESTER, MN 55901

ROCHESTER, MN 55901

ROCHESTER, MN 55901

ROCHESTER, MN 55901

ROCHESTER, MN 55901

ROCHESTER, MN 55901

507/288-3911

651/645-7271

507/271-4262

218/722-7161

507/721-2001

507/266-7849

507/266-8572

507/266-7849

507/266-8572

507/281-2332

NProf

NProf

Lim-Liab

NProf

Lim-Liab

NProf

NProf

NProf

NProf

Corp

COMP

COMP

NH-32

COMP

COMP

SNF-32

HHA

(32176)

(24486)

(36563)

(32499)

(32659)

(20068)

(00193)

(20068)

(30329)

(02238)

FAX: /-

FAX: 651/645-0541

FAX: 952/426-0785

FAX: 218/720-3483

FAX: /-

FAX: 507/266-2101

FAX: 507/266-6827

FAX: 507/266-2101

FAX: 507/266-6827

FAX: 507/281-2632

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

DANIELLE PODEIN

STEPHEN VANDER SCHAAF

UBAH HASSAN

RICK KLUN

PLOENA HOANG

LAURA L. SWENSON

LAURA SWENSON

LAURA L. SWENSON

MARK A. (TONY) ENQUIST

LYNETTE OEHLKE

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL-O

HWSAL

HWS-O

HWSAL

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395

Facility/Service Owner Licensure Certification

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Directory of Facilities and Services

Page

Registration

OLMSTED

COMFORT HEALTH

COMMUNITY BEHAVIORAL HEALTH HOSPITAL-ROCHESTER

COTTAGEWOOD SENIOR COMM. V

COTTAGEWOOD SENIOR COMMUNITIES I

COTTAGEWOOD SENIOR COMMUNITIES II

COTTAGEWOOD SENIOR COMMUNITIES III

COTTAGEWOOD SENIOR COMMUNITIES IV

COTTAGEWOOD SENIOR COMMUNITIES IX

COTTAGEWOOD SENIOR COMMUNITIES VI

COTTAGEWOOD SENIOR COMMUNITIES VII

2746 SUPERIOR DRIVE NW #200

251 WOOD LAKE DRIVE SE

4230 55TH STREET NW

4310 55TH STREET NW

4320 55TH STREET NW

4330 55TH STREET NW

4210 55TH STREET NW

4130 55TH STREET NW COTTAGE 9

4240 55TH STREET NW

4140 55TH STREET NW

ROCHESTER, MN 55901

ROCHESTER, MN 55904

ROCHESTER, MN 55901

ROCHESTER, MN 55901

ROCHESTER, MN 55901

ROCHESTER, MN 55901

ROCHESTER, MN 55901

ROCHESTER, MN 55901

ROCHESTER, MN 55901

ROCHESTER, MN 55901

507/281-2332

507/206-2561

507/286-8528

507/286-8528

507/286-8528

507/286-8528

507/286-8528

507/286-8528

507/286-8528

507/286-8528

Corp

State

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

COMP

OTHER-16 PSY-16

(21496)

(24231)

(20496)

(20391)

(20392)

(20393)

(20120)

(20498)

(21242)

(20504)

FAX: 507/281-2632

FAX: 651/431-7758

FAX: 507/286-8527

FAX: 507/286-8527

FAX: 507/286-8527

FAX: 507/286-8527

FAX: 507/286-8527

FAX: 507/286-8527

FAX: 507/286-8527

FAX: 507/286-8527

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

LYNETTE OEHLKE

JAMES PIERCE

MICHAEL PAGH

MICHAEL PAGH

MICHAEL PAGH

MICHAEL PAGH

MICHAEL PAGH

MICHAEL PAGH

MICHAEL PAGH

MICHAEL PAGH

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL

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Page

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OLMSTED

COTTAGEWOOD SENIOR COMMUNITIES VIII

COTTAGEWOOD SR COM ROCHESTER

EDENBROOK OF ROCHESTER

EXCELLENT CARE SERVICES INC

GLAZON CARE MAPLE CAMPUS

GLAZON CARE SERVICES

GLAZON CARE VIOLA CAMPUS

GLOBAL HOME HEALTH CARE, INC.

HAPPY END HOMES INC

HAPPY END HOMES INC

4150 55TH STREET NW

4220 55TH STREET NW

1875 19TH STREET NW

3003 43RD STREET NW #106

1815 4TH AVENUE SW

5 9TH STREET NE

2040 VIOLA ROAD NE

1032 15TH AVENUE SE

1412 MARIAN ROAD SE

808 17TH AVENUE NE

ROCHESTER, MN 55901

ROCHESTER, MN 55901

ROCHESTER, MN 55901

ROCHESTER, MN 55901

ROCHESTER, MN 55902

ROCHESTER, MN 55906

ROCHESTER, MN 55906

ROCHESTER, MN 55904

ROCHESTER, MN 55904

ROCHESTER, MN 55906

507/286-8528

507/286-8528

507/282-9449

507/289-0338

507/322-0020

763/670-3452

507/322-0020

507/282-6466

612/707-7715

612/707-7715

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Corp

Corp

Corp

Corp

Corp

Corp

COMP

NH-81

COMP

COMP

TCOMP

SNF-NF-81

(21241)

(29354)

(00916)

(24797)

(35919)

(34785)

(35918)

(21537)

(36716)

(34960)

FAX: 507/286-8527

FAX: 507/286-8527

FAX: 507/292-5760

FAX: 507/289-7484

FAX: 507/353-2760

FAX: /-

FAX: 507/353-2760

FAX: 507/292-6694

FAX: /-

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

MICHAEL PAGH

KELLY TALAMANTES

ANGELA LAKO-QUINN

ABIODUN AKINBOLU

OTIS ZEON, MD

OTIS ZEON

OTIS ZEON, MD

MARK ADAFIN

ALI SALAH

ALI SALAH

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

Home Mgmt

HWSAL

HWSAL-O

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397

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

OLMSTED

HAPPY END HOMES INC

HEARTLAND HOME HEALTH CARE AND HOSPICE

HIGH POINTE I APARTMENTS

HIGH POINTE II APARTMENTS

HOME INSTEAD SENIOR CARE

HOME INSTEAD SENIOR CARE

HOME INSTEAD SENIOR CARE

INTERIM HEALTHCARE OF ROCHESTER

INTERIM HEALTHCARE OF ROCHESTER

INTERNATIONAL QUALITY HOMECARE CORPORATION

808 17TH AVENUE NE

821 3RD AVENUE SE #15

1800 HIGH POINTE LANE NW

1830 HIGH POINTE LANE NW

304 6TH STREET SW

304 6TH STREET SW

304 6TH STREET SW

2222 18TH AVENUE NW STE 210

2222 18TH AVENUE NW STE 210

3900 FAIRWAY PLACE NW

ROCHESTER, MN 55906

ROCHESTER, MN 55904

ROCHESTER, MN 55901

ROCHESTER, MN 55901

ROCHESTER, MN 55902

ROCHESTER, MN 55902

ROCHESTER, MN 55902

ROCHESTER, MN 55901

ROCHESTER, MN 55901

ROCHESTER, MN 55901

612/707-7715

507/292-1170

507/282-8385

507/282-8385

507/285-1700

507/285-1700

507/285-1700

507/200-1111

507/200-1111

888/995-4742

Corp

Lim-Liab

NProf

NProf

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Hospice

COMP

BASIC

COMP

Hospice

COMP

HSPICE

HHA

HSPICE

HHA

(35513)

(23773)

(29810)

(29762)

(22018)

(24370)

(26860)

(32722)

(34216)

(20865)

FAX: /-

FAX: 507/292-1169

FAX: 507/282-8473

FAX: 507/282-8473

FAX: 507/536-4056

FAX: 507/536-4056

FAX: 507/536-4056

FAX: 507/208-7598

FAX: 507/208-7958

FAX: 507/252-1985

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ALI SALAH

DARLENE FELTES

JESUS ESQUIVEL

JESUS ESQUIVEL

JOHN PACCHETTI

JOHN PACCHETTI

JOHN PACCHETTI

JEFFREY DANIELSON

APRIL JOHNSON

ADERONKE MORDI

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWS

HWS

Home Mgmt

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398

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

OLMSTED

JOHN E HERMAN HOME AND TREATMENT FACILITY LLC

KAMIN HOME HEALTH SERVICES

MADONNA MEADOWS

MADONNA MEADOWS

MADONNA TOWERS OF ROCHESTER

MADONNA TOWERS OF ROCHESTER, INC.

MADONNA TOWERS OF ROCHESTER, INC. HOME HEALTH

MARCELLA MANOR LLC

MARCELLA MANOR LLC

MAYO CLINIC - ST. MARY'S HOSPITAL

351 14TH AVENUE SW

400 1ST AVENUE NW

3035 SALEM MEADOWS DRIVE SW

3035 SALEM MEADOWS DRIVE SW

4001 19TH AVENUE NW

4001 19TH AVENUE NW

4001 19TH AVENUE NW

228 19TH STREET SW

228 19TH STREET SW

1216 2ND STREET SW

ROCHESTER, MN 55902

ROCHESTER, MN 55901

ROCHESTER, MN 55902

ROCHESTER, MN 55902

ROCHESTER, MN 55901

ROCHESTER, MN 55901

ROCHESTER, MN 55901

ROCHESTER, MN 55902

ROCHESTER, MN 55902

ROCHESTER, MN 55902

507/422-0480

507/363-3805

507/252-5400

507/252-5400

507/288-3911

507/288-3911

507/288-3911

507/272-5148

507/272-5148

507/255-1991

Lim-Liab

Lim-Liab

NProf

NProf

NProf

Church

NProf

Lim-Liab

Lim-Liab

NProf

SLFA-16

TCOMP

COMP

NH-62

COMP

COMP

HOSP-2059 BASS-89

SNF-2 SNF-NF-60

HOSP-1915 PPS-R-36 PPS-P-108

(33823)

(35779)

(20566)

(30704)

(20211)

(00419)

(03299)

(34422)

(34666)

(00428)

FAX: 507/422-0481

FAX: /-

FAX: 507/252-5500

FAX: 507/252-5500

FAX: 507/288-0393

FAX: 507/288-0393

FAX: 507/288-0393

FAX: 507/616-7619

FAX: 507/616-7619

FAX: 507/255-3125

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JODIE BOONE

ABDIRAHMAN JAMA

REBEKAH RIIHILUOMA

MARIE PETERSON

HEATHER CONNELLY

GEORGE KRATEE

REBEKAH RIIHILUOMA

SHANNON WILSON

SHANNON WILSON

FRANKLIN ACKERMAN

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWS

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399

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Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

OLMSTED

MAYO CLINIC DIALYSIS ST. MARYS

MAYO CLINIC HOSPICE

MAYO CLINIC HOSPITAL - ROCHESTER

MAYO CLINIC NORTHEAST CLINIC

MAYO DIALYSIS ROCHESTER - METHODIST HOSPITAL

MEADOW LAKES

MOMENTS HOSPICE

OLMSTED MEDICAL CENTER

PRIME CARE SERVICES, INC.

PRIMETIME LIVING

1216 2ND STREET SW

200 1ST STREET SW

1216 2ND STREET SW

3041 STONEHEDGE DRIVE NE

201 CENTER STREET WEST

22 45TH AVENUE NW

1816 2ND STREET SW STE B

1650 4TH STREET SE

2864 KNOLLWOOD DRIVE SE

105 NORTH BROADWAY AVENUE

ROCHESTER, MN 55902

ROCHESTER, MN 55905

ROCHESTER, MN 55902

ROCHESTER, MN 55906

ROCHESTER, MN 55901

ROCHESTER, MN 55901

ROCHESTER, MN 55902

ROCHESTER, MN 55904

ROCHESTER, MN 55904

ROCHESTER, MN 55901

507/255-4095

507/284-4002

507/255-1991

507/538-8580

507/266-8733

507/252-5069

507/888-9700

507/287-2761

651/279-8081

507/258-5071

NProf

NProf

NProf

NProf

NProf

Lim-Liab

Lim-Liab

NProf

Corp

Lim-Liab

Hospice

HOSP-2059 BASS-89

COMP

Hospice

HOSP-61 BASS-28

COMP

ESRD

HSPICE

HOSP-1915 PPS-R-36 PPS-P-108

ESRD

ESRD

HSPICE

HOSP-61

(35533)

(02504)

(00428)

(23151)

(02106)

(34403)

(34536)

(00422)

(36454)

(35236)

FAX: 507/255-7427

FAX: 507/284-0220

FAX: 507/255-3125

FAX: 507/538-8508

FAX: 507/266-1343

FAX: 507/536-4539

FAX: 763/205-9350

FAX: 507/287-2779

FAX: 651/358-2890

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

SUSAN MYAYA

KELLY NOWICKI

FRANKLIN ACKERMAN

SUSAN MYAYA

SUSAN MYAYA

SUSAN SIEGLE

KEVIN STOCK

TIM WEIR

DHIMBLE ALI

AISHA KASSIM

---------------------------********** --------------------------(Cont.)*

HWS

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400

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

OLMSTED

PRIMETIME LIVING

PRIMETIME LIVING

RECOVER HEALTH

REM RIVER BLUFFS (STONE PARK)

REM RIVER BLUFFS ROCHESTER SOUTHEAST

RIVER BEND ASSISTED LIVING & MEMORY CARE

ROBLAND HOME HEALTH CARE CORPORATION

ROBLAND HOME HEALTHCARE

ROCHESTER DIALYSIS

ROCHESTER EAST HEALTH SERVICES

105 NORTH BROADWAY

211 1ST STREET NE

4131 26TH STREET NW #3

3003 STONE PARK DRIVE

1631 19TH AVENUE SE

30 SILVER LAKE PLACE NW

1500 1ST AVENUE NE #210

963 21ST STREET SE

2660 BROADWAY AVENUE S STE A

501 8TH AVENUE SE

ROCHESTER, MN 55906

ROCHESTER, MN 55906

ROCHESTER, MN 55901

ROCHESTER, MN 55904

ROCHESTER, MN 55904

ROCHESTER, MN 55901

ROCHESTER, MN 55906

ROCHESTER, MN 55904

ROCHESTER, MN 55904

ROCHESTER, MN 55904

507/258-5071

507/258-5071

507/282-2246

952/922-6776

952/922-6776

507/282-1550

507/252-4619

507/252-4619

507/288-1617

507/288-6514

Lim-Liab

Lim-Liab

Corp

Corp

Corp

Lim-Liab

Corp

Corp

Corp

Lim-Liab

COMP

SLFB-6

SLFA-12

COMP

NH-111

HHA

ICFIID-6

ICFIID-12

ESRD

SNF-NF-111

(28289)

(36350)

(21066)

(01464)

(01320)

(31368)

(26391)

(34623)

(31734)

(00953)

FAX: 507/258-5072

FAX: 507/258-5072

FAX: 507/288-1437

FAX: 952/922-6885

FAX: 952/922-6885

FAX: 507/361-1213

FAX: 866/597-0950

FAX: 866/597-0950

FAX: 507/289-0672

FAX: 507/288-6686

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

AISHA KASSIM

AISHA KASSIM

MARY GRONSKI

STEPHANIE KALBACH

STEPHANIE KALBACH

JON STENE

ROBLAN OMAR HASSAN

ROBLAN OMAR HASSAN

DANETTE KASPER

DAVE DUNN

---------------------------********** --------------------------(Cont.)*

HWS

HWSAL-O

HWSAL

HWSAL

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401

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

OLMSTED

ROCHESTER HOME INFUSION

ROCHESTER REHABILITATION AND LIVING CENTER

ROCHESTER WEST HEALTH SERVICES

SAMARITAN BETHANY HOME ON EIGHTH

SAMARITAN BETHANY TERRACE

SEASONS HOSPICE

SEASONS HOSPICE

SHALOM ESTATE LLC

SHOREWOOD COMMONS

SHOREWOOD PLACE

221 1ST AVENUE SW #105

1900 BALLINGTON BOULEVARD NW

2215 HIGHWAY 52 NORTH

24 8TH STREET NW

700 NW 2ND AVENUE

1696 GREENVIEW DRIVE SW

5650 WEATHERHILL ROAD SW

2070 CENTURY HILLS DRIVE NE

2115 2ND STREET SW

2205 2ND STREET SW

ROCHESTER, MN 55902

ROCHESTER, MN 55901

ROCHESTER, MN 55901

ROCHESTER, MN 55901

ROCHESTER, MN 55901

ROCHESTER, MN 55902

ROCHESTER, MN 55902

ROCHESTER, MN 55906

ROCHESTER, MN 55902

ROCHESTER, MN 55902

507/316-0001

507/535-2000

507/288-1818

507/289-4031

507/288-4883

507/285-1930

507/285-1930

507/951-7887

507/252-9110

507/252-0964

Corp

NProf

Lim-Liab

NProf

NProf

NProf

NProf

Lim-Liab

Lim-Liab

Lim-Liab

COMP

NH-56

NH-48

NH-155

COMP

RES-HSPICE-8

COMP

SNF-NF-56

SNF-NF-48

SNF-NF-155

(30941)

(29822)

(00941)

(00427)

(20864)

(03427)

(23506)

(22020)

(20686)

(21645)

FAX: 507/258-5522

FAX: 507/535-2001

FAX: 507/288-5502

FAX: 507/289-6001

FAX: 507/424-5455

FAX: 507/282-2737

FAX: 507/282-2737

FAX: 651/286-3108

FAX: 507/286-9237

FAX: 507/529-3886

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

KRISTINE GILLARD

LEXI CARL

REMICK CLARK

KYLA BERG

RACHAEL PADDOCK

BEVERLY HAYNES

BEVERLY HAYNES

JACKELYN SEIFERT

JAY PORTZ

JAY PORTZ

---------------------------********** --------------------------(Cont.)*

HWSAL

HWS

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402

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

OLMSTED

SMART CHOICE HOME CARE CORPORATION

STANLEY JONES & ASSOCIATES INC

SUNSET HOMES ASSISTED LIVING INC

SUNSET HOMES ASSISTED LIVING INC

THE GABLES

THE HOMESTEAD AT ROCHESTER

THE HOMESTEAD AT ROCHESTER

THE PLUMMER HOME, LLC

THE SHALOM HOME LLC

THE SHALOM HOME, LLC

4 12TH STREET NW

1800 HIGH POINTE LANE NW 250

3686 KENOSHA DRIVE NW

3686 KENOSHA DRIVE NW

604 5TH STREET SW

1900 BALLINGTON BOULEVARD NW

5530 BALLINGTON ROAD NW

1050 PLUMMER CIRCLE SW

2070 CENTURY HILLS DRIVE NE

2070 CENTURY HILLS DRIVE NE

ROCHESTER, MN 55901

ROCHESTER, MN 55901

ROCHESTER, MN 55901

ROCHESTER, MN 55902

ROCHESTER, MN 55902

ROCHESTER, MN 55901

ROCHESTER, MN 55901

ROCHESTER, MN 55902

ROCHESTER, MN 55906

ROCHESTER, MN 55906

507/529-2883

507/322-5740

507/206-4856

507/206-4856

507/282-2500

507/535-2000

507/322-5870

507/951-7887

507/951-7887

507/281-9700

Corp

Corp

Corp

Corp

Corp

NProf

NProf

Lim-Liab

Lim-Liab

Lim-Liab

TCOMP

COMP

COMP

SLFA-30

COMP

HHA

(36072)

(02308)

(26018)

(30659)

(01449)

(24676)

(32647)

(30593)

(22020)

(30238)

FAX: 507/258-5051

FAX: 507/322-5716

FAX: 507/206-4858

FAX: 507/206-4858

FAX: 507/282-6036

FAX: 507/535-2001

FAX: 507/535-2001

FAX: 651/286-3108

FAX: 651/286-3108

FAX: 651/286-3108

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

FARAH MOHAMED

CORI HANNA

JOSEPH MABURURU

JOSEPH MABURURU

NANCY STOFFERAHN

REBEKAH RIIHILUOMA

REBEKAH RIIHILUOMA

BRIAN SEIFERT

JACKELYN SEIFERT

JACKELYN SEIFERT

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL

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403

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

OLMSTED

THE WATERS ON MAYOWOOD

VISITING ANGELS

VOA HOME HEALTH AT ROCHESTER

VOA HOME HEALTH AT ROCHESTER

WEATHERSTONE SENIOR LIVING LLC

WILLOWS & WATERS SENIOR LIVING

WILLOWS & WATERS SENIOR LIVING INC

WILLOWS & WATERS SENIOR LIVING LLC

ZUMBRO VALLEY CONNECTIONS AND REFERRAL UNIT

ROOT RIVER ESTATES

827 MAYOWOOD ROAD SW

302 ELTON HILLS DRIVE NW #200

1900 BALLINGTON BOULEVARD NW

1900 BALLINGTON BOULEVARD

5452 WEATHERSTONE DRIVE NW

707 UPPER MEADOW LANE NW

707 UPPER MEADOW LANE NW

707 UPPER MEADOW LANE NW

343 WOOD LAKE DRIVE SE

110 4TH STREET NE

ROCHESTER, MN 55902

ROCHESTER, MN 55901

ROCHESTER, MN 55901

ROCHESTER, MN 55901

ROCHESTER, MN 55901

ROCHESTER, MN 55901

ROCHESTER, MN 55901

ROCHESTER, MN 55901

ROCHESTER, MN 55904

STEWARTVILLE, MN 55976

507/252-2910

507/289-1147

507/535-2000

507/535-2000

507/951-7887

507/288-0593

507/288-0593

507/288-0593

507/535-5776

507/533-4288

Lim-Liab

Lim-Liab

NProf

NProf

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

NProf

NProf

COMP

COMP

COMP

COMP

SLFB-22

(31474)

(26975)

(24676)

(25044)

(33578)

(30801)

(28043)

(28043)

(25343)

(30724)

FAX: 507/288-6982

FAX: 507/289-7247

FAX: 507/535-2001

FAX: 507/535-2001

FAX: 651/286-3108

FAX: 651/286-3108

FAX: 651/286-3108

FAX: 651/286-3108

FAX: 507/535-5792

FAX: 507/533-1384

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

KATHERINE TODD

JOSEPH SEDELMEYER

REBEKAH RIIHILUOMA

MICHEAL DOLINSKY

JACKELYN SEIFERT

JACKELYN SEIFERT

JACKELYN SEIFERT

JACKELYN SEIFERT

COREY KANZ

EUGENE GUSTASON

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL

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404

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

OLMSTED

OTTER TAIL

STEWARTVILLA APARTMENTS

STEWARTVILLE CARE CENTER

STEWARTVILLE SEN CAMPUS COTT

GOOD SAMARITAN SOCIETY - BATTLE LAKE

LAKEVIEW SENIOR LIVING APARTMENTS

LAKEVIEW SENIOR LIVING APTS

ACCRA HOME CARE INC

ARLINGTON HOME

CK HOME HEALTH CARE, INC.

125 2ND AVENUE NE

120 4TH STREET NE

119 2ND AVENUE NE

105 GLENHAVEN DRIVE

605 NORTH LAKE AVENUE

605 NORTH LAKE AVENUE

225 WEST CAVOUR AVENUE STE D

1505 ARLINGTON STREET SOUTH

106 4TH AVENUE NORTH

STEWARTVILLE, MN 55976

STEWARTVILLE, MN 55976

STEWARTVILLE, MN 55976

BATTLE LAKE, MN 56515

BATTLE LAKE, MN 56515

BATTLE LAKE, MN 56515

FERGUS FALLS, MN 56537

FERGUS FALLS, MN 56537

FERGUS FALLS, MN 56537

507/533-1372

507/533-4288

507/533-1372

218/864-5231

218/862-5230

218/862-5230

218/736-0246

218/739-2045

218/998-3778

NProf

NProf

NProf

NProf

NProf

NProf

NProf

NProf

Corp

NH-58

NH-55

COMP

COMP

SLFB-5

COMP

SNF-NF-58

SNF-NF-55

HHA

ICFIID-5

(21424)

(00429)

(25127)

(00146)

(25117)

(30610)

(03084)

(01222)

(21606)

FAX: 507/533-1384

FAX: 507/533-1384

FAX: 507/533-1384

FAX: 218/864-5498

FAX: 218/862-5240

FAX: 218/862-5240

FAX: 218/736-0265

FAX: 218/736-0089

FAX: 218/998-3187

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

EUGENE GUSTASON

EUGENE GUSTASON

EUGENE GUSTASON

CASEY WARD

CASEY WARD

CASEY WARD

JOHN DAHM

SAMUEL ESARY

MICHELLE SALWEI

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

HWSAL

HWSAL

HWSAL

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405

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

OTTER TAIL

COMMUNITY ADDICTION RECOVERY ENTERPRISE-FERGUSFALLS

COMMUNITY BEHAVIORAL HEALTH HOSPITAL-FERGUS FALLS

FERGUS FALLS DIALYSIS CENTER

HARMONY HOME HEALTH CARE

LAKE REGION HEALTHCARE CORP

LAKE REGION HEALTHCARE CORPORATION

LAKE REGION HOSPITAL - SNF

LAKE REGION HOSPITAL AND SNF

LB ALCOTT MANOR

1010 MARYLAND LANE

1801 WEST ALCOTT AVENUE

907 SOUTH MILL STREET

25483 COUNTY HIGHWAY 27

712 CASCADE STREET SOUTH

712 CASCADE STREET SOUTH

712 CASCADE STREET SOUTH

712 CASCADE STREET SOUTH

418 EAST ALCOTT AVENUE

FERGUS FALLS, MN 56537

FERGUS FALLS, MN 56537

FERGUS FALLS, MN 56537

FERGUS FALLS, MN 56537

FERGUS FALLS, MN 56537

FERGUS FALLS, MN 56537

FERGUS FALLS, MN 56537

FERGUS FALLS, MN 56537

FERGUS FALLS, MN 56537

218/736-1821

218/332-5005

218/739-6197

218/998-3750

218/736-8191

218/736-8191

218/736-8191

218/736-8191

218/998-7400

State

State

Corp

Lim-Liab

NProf

NProf

NProf

NProf

NProf

SLFA-16

OTHER-16

COMP

HOSP-108 BASS-10

HOSP-108 BASS-10

HOSP-108 BASS-10

HOSP-108 BASS-10

PSY-16

ESRD

HOSP-80 PPS-P-14 PPS-R-14

HOSP-80 PPS-P-14 PPS-R-14

HOSP-80 PPS-P-14 PPS-R-14

HOSP-80 PPS-P-14 PPS-R-14

(34188)

(24073)

(02117)

(23813)

(00437)

(00437)

(00437)

(00437)

(21425)

FAX: 218/736-1852

FAX: 218/739-1329

FAX: /-

FAX: 218/739-6357

FAX: 218/736-8765

FAX: 218/736-8765

FAX: 218/736-8765

FAX: 218/736-8765

FAX: 218/998-7362

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

BROOKE THORSON

BRENDA SCHLESKE

JOHN MARIETTI

DANIELLE SCHUETZLE

KENT MATTSON

KENT MATTSON

KENT MATTSON

KENT MATTSON

ANDREA ZETAH

---------------------------********** --------------------------(Cont.)*

HWSAL

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406

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

OTTER TAIL

LB BROEN HOME

LB HOME CARE

LB HOSPICE

LB SHERIDAN HOUSE

LB WOODLAND LODGE

LUTHERAN BRETHREN HOME CARE

MINNESOTA VETERANS HOME - FERGUS FALLS

NEW DIMENSIONS HOME HEALTH CARE, INC.

PARK GARDENS OF FERGUS FALLS

PARK GARDENS OF FERGUS FALLS

824 SOUTH SHERIDAN STREET

805 EAST CHANNING AVENUE

805 EAST CHANNING AVENUE

808 SOUTH SHERIDAN AVENUE

394 WOODLAND DRIVE

418 EAST ALCOTT AVENUE

1821 NORTH PARK

312 NORTH TOWER ROAD

215 EAST SKOGMO BOULEVARD

215 EAST SKOGMO BOULEVARD

FERGUS FALLS, MN 56537

FERGUS FALLS, MN 56537

FERGUS FALLS, MN 56537

FERGUS FALLS, MN 56537

FERGUS FALLS, MN 56537

FERGUS FALLS, MN 56537

FERGUS FALLS, MN 56537

FERGUS FALLS, MN 56537

FERGUS FALLS, MN 56537

FERGUS FALLS, MN 56537

218/998-7300

218/998-1400

218/998-1400

218/998-7400

218/737-6100

218/998-7400

218/736-0400

218/739-5856

218/998-4444

218/998-4444

NProf

NProf

NProf

NProf

NProf

NProf

State

Corp

Lim-Liab

Lim-Liab

NH-88

COMP

Hospice

COMP

NH-106

COMP HCBS

COMP

SNF-NF-88

HHA

HSPICE

SNF-NF-106

HHA

(00862)

(02334)

(03077)

(22541)

(29358)

(21591)

(00531)

(03314)

(24507)

(30541)

FAX: 218/998-7350

FAX: 218/998-7350

FAX: 218/998-7350

FAX: 218/998-7362

FAX: 218/998-7362

FAX: 218/998-7362

FAX: 218/739-7686

FAX: 218/736-6330

FAX: 218/998-4476

FAX: 218/998-4476

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JOHN ZWIERS

RACHEL ROLLIE

RACHEL ROLLIE

ANDREA ZETAH

ANDREA ZETAH

JOHN ZWIERS

JONATHAN STONE

WENDY ERLANDSON

NICHOLAS CROSS

JILL NIEHAUS

---------------------------********** --------------------------(Cont.)*

HWS

HWSAL

HWSAL

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407

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

OTTER TAIL

PATRIOT ASSISTED LIVING

PIONEER CARE CENTER

PIONEER HOME INC

PIONEER HOME INC - CARE SUITES

PIONEER POINTE

PIONEER SENIOR COTTAGES

PIONEER SENIOR COTTAGES

PIONEER SENIOR COTTAGES II

PIONEER SENIOR COTTAGES II

PIONEER SENIOR COTTAGES III

124 WEST ORIOLE DRIVE

1131 SOUTH MABELLE AVENUE

1131 SOUTH MABELLE AVENUE

1131 SOUTH MABELLE AVENUE

411 EVERETT AVENUE EAST

1325 SOUTH MABELLE AVENUE

1327 SOUTH MABELLE AVENUE

1315 SOUTH MABELLE AVENUE

1317 SOUTH MABELLE AVENUE

1305 SOUTH MABELLE AVENUE

FERGUS FALLS, MN 56537

FERGUS FALLS, MN 56537

FERGUS FALLS, MN 56537

FERGUS FALLS, MN 56537

FERGUS FALLS, MN 56537

FERGUS FALLS, MN 56537

FERGUS FALLS, MN 56537

FERGUS FALLS, MN 56537

FERGUS FALLS, MN 56537

FERGUS FALLS, MN 56537

218/739-1119

218/998-1500

218/998-1500

218/998-1500

218/739-7772

218/998-1518

218/998-1518

218/998-9677

218/998-9677

218/998-9677

Corp

Church

NProf

NProf

NProf

NProf

NProf

NProf

NProf

NProf

NH-105

COMP

COMP

SNF-NF-105

(21055)

(00443)

(20076)

(20076)

(20450)

(21214)

(21213)

(21567)

(21568)

(23152)

FAX: 218/531-1553

FAX: 218/998-1580

FAX: 218/998-1580

FAX: 218/998-1580

FAX: 218/739-7703

FAX: 218/998-1500

FAX: 218/998-9972

FAX: 218/998-9976

FAX: 218/998-9976

FAX: 218/998-9972

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JENNIFER BERG

SARA WATKINS

NATHAN JOHNSON

NATHAN JOHNSON

NATHAN JOHNSON

NATHAN JOHNSON

NATHAN JOHNSON

NATHAN JOHNSON

NATHAN JOHNSON

NATHAN JOHNSON

---------------------------********** --------------------------(Cont.)*

HWSAL

HWS

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL

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408

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

OTTER TAIL

PIONEER SENIOR COTTAGES III

RIVER BEND APARTMENTS

RIVERVIEW HEIGHTS HIGHRISE

THE MILL STREET RESIDENCE

THE MILL STREET RESIDENCE

OUR HOME YOUR HOME

OUR HOME YOUR HOME

TRI COUNTY HC HENNING CLINIC

WILLOW CREEK SENIOR COMMUNITY

WILLOW CREEK SENIOR COMMUNITY

1307 SOUTH MABELLE AVENUE

222 NORTH WHITFORD STREET

205 NORTH SHERIDAN AVENUE

802 SOUTH MILL STREET

802 SOUTH MILL STREET

609 FRONT STREET

609 FRONT STREET

401 DOUGLAS AVENUE

500 WILLOW CREEK DRIVE

500 WILLOW CREEK DRIVE

FERGUS FALLS, MN 56537

FERGUS FALLS, MN 56537

FERGUS FALLS, MN 56537

FERGUS FALLS, MN 56537

FERGUS FALLS, MN 56537

HENNING, MN 56551

HENNING, MN 56551

HENNING, MN 56551

HENNING, MN 56551

HENNING, MN 56551

218/998-9677

218/736-2557

218/739-3249

218/739-2900

218/739-2900

218/583-4428

218/583-4428

218/583-2953

218/548-6683

218/548-6683

NProf

Part

HRA

NProf

NProf

Ind

Ind

NProf

City

City

COMP

COMP

COMP

RHC

(23153)

(21758)

(33380)

(20037)

(30317)

(21050)

(30844)

(03504)

(23334)

(30350)

FAX: 218/998-9976

FAX: 218/998-3665

FAX: 218/736-4706

FAX: 218/739-2192

FAX: 218/739-2192

FAX: 218/583-2504

FAX: 218/583-2504

FAX: /-

FAX: 218/548-6684

FAX: 218/548-6684

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

NATHAN JOHNSON

BRANDON EISENBEIS

MIKEL OLSON

MICHAEL SIEMS

MICHAEL SIEMS

JODY LOHSE

JODY LOHSE

JOSE ALBA

KIM SCHROEDER

KIM SCHROEDER

---------------------------********** --------------------------(Cont.)*

HWSAL

HWS

HWSAL

HWSAL

HWSAL

HWSAL

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409

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

OTTER TAIL

LAKE COUNTRY HOME CARE

MILLS MANOR

MILLS MANOR

TENDER HEARTS HOME CARE

TRI COUNTY HC OTTERTAIL CLINIC

MCCORNELL COURT

MCCORNELL COURT

ST. WILLIAM'S LIVING CENTER

ST. WILLIAMS FOSTER CARE MCCORNELL COURT

609 FRONT STREET

95 MILLER STREET EAST

215 TOUSLEY AVENUE SOUTH

215 TOUSLEY AVENUE SOUTH

407 CARLUND PARKWAY

232 HIGHWAY 78 NORTH

122 NORTH MCCORNELL

122 MCCORNELL AVENUE NORTH

212 WEST SOO STREET BOX 30

122 NORTH MCCORNELL

HENNING, MN 56551

NEW YORK MILLS, MN 56567

NEW YORK MILLS, MN 56567

NEW YORK MILLS, MN 56567

NEW YORK MILLS, MN 56567

OTTERTAIL, MN 56571

PARKERS PRAIRIE, MN 56361

PARKERS PRAIRIE, MN 56361

PARKERS PRAIRIE, MN 56361

PARKERS PRAIRIE, MN 56361

218/583-4428

218/385-3422

218/385-4700

320/414-0408

218/385-3466

218/367-6262

218/338-4671

218/338-4671

218/338-4671

218/338-4671

Ind

Lim-Liab

Corp

Corp

Corp

NProf

NProf

NProf

NProf

NProf

COMP

COMP HCBS

COMP

COMP

COMP

NH-53

COMP

RHC

SNF-NF-53

(21050)

(26683)

(34596)

(34513)

(21941)

(27821)

(20188)

(30437)

(00444)

(20188)

FAX: 218/583-2504

FAX: 218/385-3506

FAX: 218/385-4702

FAX: 320/414-0408

FAX: 218/385-3583

FAX: /-

FAX: 218/260-4984

FAX: 218/338-5917

FAX: 218/260-4398

FAX: 218/260-4984

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JODY LOHSE

ADELE LAUSTEN

TIM MATROS

TIM MATROS

KERRIE STEINBACH

JUDY WHITE

TIM KELLY

TIMOTHY KELLY

TIMOTHY KELLY

TIM KELLY

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

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410

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

OTTER TAIL

ESSENTIA HEALTH ST MARYS PELICAN RAPIDS CLINIC

MILL POND VIEW APARTMENTS

PELICAN VALLEY HEALTH CENTER

RIVERFRONT MANOR

RIVERFRONT MANOR

RIVERFRONT ON MAIN

SANFORD HEALTH PELICAN RAPIDS CL

BRIARWOOD

ELK RIDGE ASSISTED LIVING SC

ELK RIDGE ASSISTED LIVING SC

301 NORTH BROADWAY

101 EAST MILL AVENUE

211 EAST MILL AVENUE

215 EAST MILL AVENUE

215 EAST MILL AVENUE

119 NORTH BROADWAY

211 EAST MILL STREET

630 5TH STREET SW

825 7TH AVENUE SW

821 7TH AVENUE SW

PELICAN RAPIDS, MN 56572

PELICAN RAPIDS, MN 56572

PELICAN RAPIDS, MN 56572

PELICAN RAPIDS, MN 56572

PELICAN RAPIDS, MN 56572

PELICAN RAPIDS, MN 56572

PELICAN RAPIDS, MN 56572

PERHAM, MN 56573

PERHAM, MN 56573

PERHAM, MN 56573

218/863-2000

218/863-5085

218/863-2991

218/863-1133

218/863-1133

218/863-2401

701/234-6207

218/347-1865

218/346-3167

218/346-3080

NProf

Part

Dist

Dist

Dist

Dist

NProf

Dist

Corp

Corp

NH-33

COMP

RHC

SNF-NF-33

RHC

(31453)

(21757)

(00442)

(21612)

(21613)

(28601)

(23220)

(20557)

(27188)

(30546)

FAX: /-

FAX: 218/863-5086

FAX: 218/863-5255

FAX: 218/863-4860

FAX: 218/863-4860

FAX: 218/863-4437

FAX: /-

FAX: 218/347-1866

FAX: 218/346-2700

FAX: 218/346-2700

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

RYAN HILL

BRANDON EISENBEIS

TYLER AHLF

TYLER AHLF

TYLER AHLF

TYLER AHLF

LISA CARLSON

LINDA HENDRICKX

SHELLY JOY

SHELLY JOY

---------------------------********** --------------------------(Cont.)*

HWS

HWSAL

HWSAL

HWS

HWSAL

HWSAL

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411

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

OTTER TAIL

ELK RIDGE ASSISTED LIVING SC

HADLEY HOUSE

PERHAM

PERHAM HEALTH

PERHAM HEALTH

PERHAM LIVING

PERHAM LIVING

PERHAM LIVING HOME CARE

PERHAM LIVING NORTHWINDS

PRAIRIE VIEW ASSISTED LIVING INC

826 7TH AVENUE SW

908 CONEY STREET WEST

1000 CONEY STREET WEST

1000 CONEY STREET WEST

735 3RD STREET SW

735 3RD STREET SW

735 3RD STREET SW

735 3RD STREET SW

324 6TH AVE SW

821 7TH AVENUE SW

PERHAM, MN 56573

PERHAM, MN 56573

PERHAM, MN 56573

PERHAM, MN 56573

PERHAM, MN 56573

PERHAM, MN 56573

PERHAM, MN 56573

PERHAM, MN 56573

PERHAM, MN 56573

PERHAM, MN 56573

218/346-2770

218/346-4475

218/347-4500

218/347-4500

218/347-1307

218/347-1307

218/347-1880

218/347-1880

218/347-1945

218/760-1197

Corp

Lim-Liab

Dist

Dist

Dist

Dist

Dist

Dist

Dist

Corp

HOSP-25 BASS-4

HOSP-25 BASS-4

NH-96

NH-96

COMP

COMP

COMP

CAH-25

CAH-25

SNF-NF-96

SNF-NF-96

HHA

(31250)

(31560)

(28377)

(28377)

(00438)

(00438)

(28907)

(03870)

(32603)

(24511)

FAX: 218/346-2700

FAX: 218/346-4553

FAX: 218/347-1650

FAX: 218/347-1650

FAX: 218/347-1862

FAX: 218/347-1862

FAX: 218/347-1885

FAX: 218/347-1885

FAX: 218/347-1946

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

SHELLY JOY

MATTHEW JOHNSON

CHARLES HOFIUS

CHARLES HOFIUS

TRACY HENDRICKX

TRACY HENDRICKX

JENNIFER DOLL

JENNIFER DOLL

JENNIFER DOLL

SHELLY JOY

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

Page 449: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

412

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

OTTER TAIL

PENNINGTON

PRAIRIE VIEW ASSISTED LIVING, INC

SOME PLACE SPECIAL

ST. JAMES MANOR

THE THOMAS HOUSE, INC.

THE THOMAS HOUSE, INC.

VERGAS ASSISTED LIVING

INTER-COUNTY NURSING SERVICE

MINNESOTA GREENLEAF

MINNESOTA GREENLEAF

821 7TH AVENUE SW

908 CONEY STREET WEST

415 8TH AVENUE SW

701 3RD AVENUE SW

701 3RD AVENUE SW

405 EAST FRAZEE AVENUE

101 MAIN AVENUE NORTH

1006 GREENWOOD STREET EAST

1006 GREENWOOD STREET EAST

PERHAM, MN 56573

PERHAM, MN 56573

PERHAM, MN 56573

PERHAM, MN 56573

PERHAM, MN 56573

VERGAS, MN 56587

THIEF RIVER FALLS, MN 56701

THIEF RIVER FALLS, MN 56701

THIEF RIVER FALLS, MN 56701

218/760-1197

218/346-4475

218/347-1854

218/346-3064

218/346-3064

218/342-2741

218/681-0876

701/936-9680

701/741-4057

Corp

Lim-Liab

NProf

Corp

Corp

Lim-Liab

Cnty

Lim-Liab

Lim-Liab

COMP

COMP

COMP

COMP

COMP

HHA

(24511)

(24471)

(22350)

(21578)

(30767)

(20135)

(02124)

(30342)

(23224)

FAX: /-

FAX: 218/346-4553

FAX: 218/347-1864

FAX: 218/346-3084

FAX: 218/346-3084

FAX: 218/342-2779

FAX: 218/683-7099

FAX: 701/532-2708

FAX: 701/552-7023

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

SHELLY JOY

JESSICA JOHNSON

LINDA HENDRICKX

LISA NELSON

LISA NELSON

BARBARA AXNESS

KAYLA JORE

KRISTIN HAMIRE

KRISTIN HAMRE

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

HWSAL

HWS

HWSAL

HWSAL

Page 450: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

413

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

PENNINGTON

NORTHWEST MEDICAL CENTER

OAKLAND PARK NURSING HOME

SANFORD BEHAVIORAL HEALTH CENTER

SANFORD DIALYSIS THIEF RIVER FALLS

SANFORD MED CTR THIEF RIVER FALLS

SANFORD MEDICAL CENTER THIEF RIVER FALLS

THIEF RIVER CARE CENTER

VALLEY ASSISTED LIVING

VALLEY ASSISTED LIVING

VALLEY HOME

2001 EASTWOOD DRIVE

123 BAKEN STREET

120 LABREE AVENUE SOUTH

120 LABREE AVENUE SOUTH

3001 SANFORD PARKWAY

3001 SANFORD PARKWAY

2001 EASTWOOD DRIVE

523 ARNOLD AVENUE SOUTH

523 ARNOLD AVENUE SOUTH

523 ARNOLD AVENUE SOUTH

THIEF RIVER FALLS, MN 56701

THIEF RIVER FALLS, MN 56701

THIEF RIVER FALLS, MN 56701

THIEF RIVER FALLS, MN 56701

THIEF RIVER FALLS, MN 56701

THIEF RIVER FALLS, MN 56701

THIEF RIVER FALLS, MN 56701

THIEF RIVER FALLS, MN 56701

THIEF RIVER FALLS, MN 56701

THIEF RIVER FALLS, MN 56701

218/683-8101

218/681-1675

218/681-4240

218/683-4246

218/681-4240

218/681-4240

218/683-8101

218/681-3286

218/681-3286

218/681-3286

NProf

Corp

NProf

NProf

NProf

NProf

NProf

Lim-Liab

NProf

Lim-Liab

NH-70

NH-35

PSY-HOSP-16

HOSP-26 BASS-10

HOSP-26 BASS-10

NH-70

COMP

COMP

SNF-NF-70

SNF-NF-35

PSY-16

ESRD

CAH-25

CAH-25

SNF-NF-70

(00448)

(00449)

(31208)

(26854)

(24712)

(24712)

(00448)

(00450)

(30224)

(00450)

FAX: 218/683-8133

FAX: 218/681-1037

FAX: 218/683-4507

FAX: /-

FAX: 218/683-4507

FAX: 218/683-4507

FAX: 218/683-8133

FAX: 218/681-3287

FAX: 218/681-3287

FAX: 218/681-3287

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

MORGAN BOWERS

BRIAN CARLSON

BECKY BERG

BRIAN CARLSON

BRIAN CARLSON

CHELSEY SAWATZKE

ANGELA MALONE

CHELSEY SAWATZKE

---------------------------********** --------------------------(Cont.)*

HWSAL

Page 451: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

414

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

PINE

ELDERWOOD OF HINCKLEY

ELDERWOOD OF HINCKLEY

GATEWAY FAMILY HEALTH CLINIC

RESTORATION SERVICES OF MN INC

WELIA HEALTH HINCKLEY

FIRSTLIGHT PINE CITY

GOLDEN HORIZONS, INC.

LAKESIDE MEDICAL CENTER

MEADOW CREEK

NORTHERN PINES ASSISTED LIVING

710 SPRING LANE

710 SPRING LANE

45 LADY LUCK DRIVE PO BOX 309

402 3RD STREET SW

620 SANDY LANE ROAD

1425 MAIN STREET NORTH

1305 8TH STREET SW

129 6TH AVENUE SE

17305 MEADOW CREEK LANE

1305 8TH STREET SW

HINCKLEY, MN 55037

HINCKLEY, MN 55037

HINCKLEY, MN 55037

HINCKLEY, MN 55037

HINCKLEY, MN 55037

PINE CITY, MN 55063

PINE CITY, MN 55063

PINE CITY, MN 55063

PINE CITY, MN 55063

PINE CITY, MN 55063

320/384-7373

320/384-7373

320/384-6618

218/485-4094

320/629-7505

320/629-7505

320/629-7272

320/629-2542

763/444-4838

320/629-7272

Lim-Liab

Lim-Liab

Corp

Corp

Cnty

Cnty

Corp

Corp

Lim-Liab

Corp

COMP

COMP

NH-46

SLFA-50

COMP

RHC

RHC

RHC

SNF-NF-46

(23986)

(27972)

(23052)

(32620)

(28051)

(28050)

(22193)

(00451)

(01637)

(22193)

FAX: 320/384-0700

FAX: 320/384-0700

FAX: /-

FAX: 320/207-6707

FAX: 320/629-2202

FAX: 320/629-2202

FAX: 320/629-5388

FAX: 320/629-1093

FAX: 763/444-6007

FAX: 320/629-5388

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

RONALD AUSMUS

RONALD AUSMUS

WILLIAM PALMER

JAMES MILLER

RANDY ULSETH

RANDY ULSETH

SUE CARLSON

MAX BLAUFUSS

CONNIE BOMBENGER

SUE CARLSON

---------------------------********** --------------------------********

HWSAL

HWS-O

Page 452: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

415

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

PINE

NORTHERN PINES ASSISTED LIVING

S & O'S ASSISTED LIVING LLC

SOPHIE'S MANOR ASSISTED LIVING

SOPHIE'S MANOR ASSISTED LIVING, INC.

ESSENTIA HEALTH SANDSTONE

GATEWAY FAMILY CLINIC

KC COMPANIES OF SANDSTONE INC DBA GOLDEN HORIZONS

RESTORATION SERVICES OF MINNESOTA INC

RESTORATION SERVICES OF MN INC

SANDSTONE GOLDEN HORIZONS

1305 8TH STREET SW

14856 EDGEWATER ROAD NE

17500 RANCH DRIVE

17500 RANCH DRIVE

705 LUNDORFF DRIVE

204 LUNDORFF DRIVE

1109 LUNDORFF DRIVE

417 MINNESOTA STREET

417 MINNESOTA STREET

1109 LUNDORFF DRIVE

PINE CITY, MN 55063

PINE CITY, MN 55063

PINE CITY, MN 55063

PINE CITY, MN 55063

SANDSTONE, MN 55072

SANDSTONE, MN 55072

SANDSTONE, MN 55072

SANDSTONE, MN 55072

SANDSTONE, MN 55072

SANDSTONE, MN 55072

320/629-7272

320/364-0164

320/629-2064

320/629-2064

320/245-5605

320/245-2250

218/568-6610

320/838-8825

218/485-4094

320/216-7300

Corp

Lim-Liab

Corp

Corp

NProf

Corp

Corp

Corp

Corp

Corp

COMP

HOSP-30 BASS-5

COMP

COMP

CAH-25

RHC

(30292)

(36440)

(30576)

(24653)

(00453)

(21128)

(32935)

(32523)

(32242)

(33254)

FAX: 320/629-5388

FAX: /-

FAX: 320/629-4918

FAX: 320/629-4918

FAX: 320/245-5243

FAX: /-

FAX: 218/568-6642

FAX: 320/207-6707

FAX: 320/207-6707

FAX: 320/216-7022

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

SUE CARLSON

ASHLEY THOMPSON

RHODA SUNDHEIM

LISA HOADLEY

MICHAEL YOUSO

WILLIAM PALMER

CHUCK LANE

CARMEN MILLER

JAMES MILLER

KENT MARTHALER

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWS-O

HWSAL

Page 453: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

416

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

PINE

PIPESTONE

SANDSTONE HEALTH CARE CENTER

EDGEBROOK CARE CENTER

EDGEBROOK ESTATES

EDGEBROOK ESTATES ASSISTED LIVING

EDGEBROOK ESTATES ASSISTED LIVING

JASPER SUNRISE VILLAGE

FALLS LANDING ASSISTED LIVING

FALLS LANDING ASSISTED LIVING

GOOD SAMARITAN SOCIETY - PIPESTONE

109 COURT AVENUE SOUTH

505 TROSKY ROAD WEST

505 TROSKY ROAD WEST

301 5TH AVENUE NORTH

301 5TH AVENUE NORTH

100 ROBERT AVENUE NORTH STE100

1101 NORTH HIAWATHA AVENUE

1101 NORTH HIAWATHA AVENUE

903 2ND AVENUE SE

SANDSTONE, MN 55072

EDGERTON, MN 56128

EDGERTON, MN 56128

EDGERTON, MN 56128

EDGERTON, MN 56128

JASPER, MN 56144

PIPESTONE, MN 56164

PIPESTONE, MN 56164

PIPESTONE, MN 56164

320/245-3150

507/442-7121

507/442-7121

507/442-5080

507/442-5080

507/348-8620

507/562-6648

507/562-6648

507/825-4885

Lim-Liab

NProf

NProf

NProf

NProf

City

Corp

Corp

NProf

NH-50

NH-52

COMP

COMP

COMP

SNF-NF-50

SNF-NF-52

(00452)

(00454)

(20552)

(23870)

(30472)

(30407)

(23333)

(30347)

(31194)

FAX: 320/245-3177

FAX: 507/442-3952

FAX: 507/442-3952

FAX: 507/442-5101

FAX: 507/442-5101

FAX: 507/348-6100

FAX: 507/562-6650

FAX: 507/562-6650

FAX: 507/562-1355

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JULIE VETTLESON

SYDNEY ROBERTS

SYDNEY ROBERTS

SYDNEY ROBERTS

MICHAEL REDINGER

RUTH RUPP

JENNIFER CURRIER

MIKE LUDOLPH

MELISSA MCCORQUODALE

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

HWS

HWSAL

HWSAL

HWSAL

Page 454: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

417

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

PIPESTONE

POLK

GOOD SAMARITAN SOCIETY - PIPESTONE

PIPESTONE COUNTY HOME HEALTH AGENCY

PIPESTONE COUNTY HOSPICE

PIPESTONE COUNTY HOSPICE

PIPESTONE COUNTY MEDICAL CENTER

PIPESTONE COUNTY MEDICAL CENTER AND ASHTON CARE CENTER

PIPESTONE DIALYSIS FACILITY

RIDGE VIEW ESTATES

NEW LIFE TREATMENT CENTER

1311 NORTH HIAWATHA AVENUE

916 4TH AVENUE SW

309 10TH STREET SW

916 4TH AVENUE SW

916 4TH AVENUE SW

916 4TH AVENUE SW

916 4TH AVENUE SW

903 2ND AVENUE SE

130 DAKOTA STREET

PIPESTONE, MN 56164

PIPESTONE, MN 56164

PIPESTONE, MN 56164

PIPESTONE, MN 56164

PIPESTONE, MN 56164

PIPESTONE, MN 56164

PIPESTONE, MN 56164

PIPESTONE, MN 56164

WOODSTOCK, MN 56186

507/825-5428

507/825-6024

507/825-6024

507/825-6024

507/825-5811

507/825-5811

507/825-6623

507/825-4885

507/777-4321

NProf

Cnty

Cnty

Cnty

Cnty

Cnty

Corp

NProf

NProf

NH-82

COMP

RES-HSPICE-4

Hospice

HOSP-44 BASS-7

HOSP-44 BASS-7

SLFA-21 SLFB-7

SNF-NF-82

HHA

HSPICE

CAH-25

CAH-25

ESRD

(00455)

(02046)

(24029)

(24107)

(00456)

(00456)

(03936)

(20656)

(01241)

FAX: 507/825-5117

FAX: 507/825-6145

FAX: 507/825-6145

FAX: 507/825-6145

FAX: 507/825-5733

FAX: 507/825-5733

FAX: 507/825-6627

FAX: 507/562-1355

FAX: 507/777-4284

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

THERESA PRIDAL

BRADLEY BURRIS

BRADLEY BURRIS

BRADLEY BURRIS

BRADLEY BURRIS

BRADLEY BURRIS

KERI PRINS

CRYSTAL ELLEFSON

CHERYL THACKER

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

HWSAL

Page 455: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

418

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

POLK

ALTRU RENAL DIALYSIS AT CROOKSTON

CROOKSTON HOUSING & ECONOMIC DEVELOPMENT AUTHORITY

INDEPENDENCE PLUS, INC.

MOUNT ST BENEDICT LIVING FACILITY

RIVERVIEW CLINIC

RIVERVIEW HOME CARE

RIVERVIEW HOSPITAL

RIVERVIEW NURSING HOME

VILLA ST VINCENT INC

VILLA ST. VINCENT

400 SOUTH MINNESOTA STREET

110 SARGENT STREET

27885 170TH AVENUE SW

620 SUMMIT AVENUE

323 SOUTH MINNESOTA STREET

721 SOUTH MINNESOTA STREET

323 SOUTH MINNESOTA STREET

323 SOUTH MINNESOTA STREET

516 WALSH STREET

516 WALSH STREET

CROOKSTON, MN 56716

CROOKSTON, MN 56716

CROOKSTON, MN 56716

CROOKSTON, MN 56716

CROOKSTON, MN 56716

CROOKSTON, MN 56716

CROOKSTON, MN 56716

CROOKSTON, MN 56716

CROOKSTON, MN 56716

CROOKSTON, MN 56716

701/780-5877

218/470-2000

218/281-3506

218/281-3441

218/281-9200

218/281-9478

218/281-9200

218/281-9200

218/281-9700

218/281-3424

NProf

HRA

Corp

NProf

NProf

NProf

NProf

NProf

Church

Church

COMP

NH-24 HOSP-49 BASS-10

NH-24 HOSP-49 BASS-10

NH-104

ESRD

RHC

HHA

SNF-NF-24 CAH-21

SNF-NF-24 CAH-21

SNF-NF-104

(28507)

(20389)

(20730)

(31621)

(28147)

(02497)

(00470)

(00470)

(30289)

(00815)

FAX: 701/780-5852

FAX: 218/470-2005

FAX: 218/281-9929

FAX: 218/281-6966

FAX: 218/281-9509

FAX: 218/585-7303

FAX: 218/585-7322

FAX: 218/585-7322

FAX: 218/281-4755

FAX: 218/281-4755

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JULIE NELSON

TIFFANY JONES

MICHELE KYLER

SR. MYRA SCHMIEG

WILLIAM BENNETT

CARRIE MICHALSKI

CARRIE MICHALSKI

CARRIE MICHALSKI

JUDITH HULST

JUDITH HULST

---------------------------********** --------------------------(Cont.)*

HWSAL-O

Home Mgmt

HWS

HWSAL

Page 456: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

419

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

POLK

VILLA ST. VINCENT, INC.

EDGEWOOD EAST GRAND FORKS SENIOR LIVING LLC

EDGEWOOD EAST GRAND FORKS SENIOR LIVING LLC

EDGEWOOD VISTA SENIOR LIVING

GOOD SAMARITAN SOCIETY HERITAGE GROVE

GOOD SAMARITAN SOCIETY HERITAGE GROVE

CROSSROADS APARTMENTS

PIONEER MEMORIAL CARE CENTER

THE COUNTRY PLACE

THE COUNTRY PLACE APARTMENTS

516 WALSH STREET

608 5TH AVENUE NW

608 5TH AVENUE NW

608 5TH AVENUE NW

2122 RIVER ROAD NW

2122 RIVER ROAD NW

22842 347TH STREET SE

23028 347TH STREET SE

23110 347TH STREET SE

23110 347TH STREET SE

CROOKSTON, MN 56716

EAST GRAND FORKS, MN 56721

EAST GRAND FORKS, MN 56721

EAST GRAND FORKS, MN 56721

EAST GRAND FORKS, MN 56721

EAST GRAND FORKS, MN 56721

ERSKINE, MN 56535

ERSKINE, MN 56535

ERSKINE, MN 56535

ERSKINE, MN 56535

218/281-3424

218/773-6648

218/773-6648

218/773-6648

218/773-7484

218/773-7484

218/687-4702

218/687-2365

218/687-2288

218/687-2288

Church

Lim-Liab

Lim-Liab

Lim-Liab

NProf

NProf

NProf

NProf

NProf

NProf

COMP

COMP

COMP

COMP

NH-58

COMP

COMP

SNF-NF-58

(20007)

(20454)

(30631)

(20454)

(20627)

(24554)

(23371)

(00469)

(20593)

(20593)

FAX: 218/281-4755

FAX: 218/773-1543

FAX: 218/773-1543

FAX: 218/773-1543

FAX: 218/773-6041

FAX: 218/773-6041

FAX: 218/687-4703

FAX: 218/687-2047

FAX: 218/687-3278

FAX: 218/687-3278

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JUDITH HULST

ERIC HOFFMANN

ERIC HOFFMANN

ERIC HOFFMANN

MICHAUN SHETLER

MICHAUN SHETLER

LISA FREY

LISA FREY

LISA FREY

LISA FREY

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

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420

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

POLK

THE COUNTRY PLACE APARTMENTS

FAIR MEADOW ASSISTED LIVING

FAIR MEADOW ASSISTED LIVING

FAIR MEADOW NURSING HOME

RIVERVIEW CLINIC

BETHANY ASSISTED LIVING

BETHANY ASSISTED LIVING

CORNERSTONE RESIDENCE

CORNERSTONE RESIDENCE

ESSENTIA HEALTH FOSSTON

23110 347TH STREET SE

300 GARFIELD AVENUE SE

300 GARFIELD AVENUE SE

300 GARFIELD AVENUE SE

306 NORTH MILL STREET

117 2ND ST NE

117 2ND STREET NE

115 1ST STREET EAST

115 1ST STREET EAST

900 HILLIGOSS BOULEVARD SE

ERSKINE, MN 56535

FERTILE, MN 56540

FERTILE, MN 56540

FERTILE, MN 56540

FERTILE, MN 56540

FOSSTON, MN 56542

FOSSTON, MN 56542

FOSSTON, MN 56542

FOSSTON, MN 56542

FOSSTON, MN 56542

218/687-2288

218/945-6197

218/945-6197

218/945-6194

218/945-6695

218/435-1044

218/435-1044

218/435-6333

218/435-6333

218/435-1133

NProf

City

City

City

NProf

Corp

Corp

Corp

Corp

NProf

COMP

NH-42

COMP

COMP

NH-50 HOSP-43 BASS-7

SNF-NF-42

RHC

SNF-NF-50 CAH-25

(30716)

(29651)

(29652)

(00460)

(28148)

(32010)

(32029)

(23400)

(30360)

(00461)

FAX: 218/687-3278

FAX: 218/945-6196

FAX: 218/945-6196

FAX: 218/945-6459

FAX: 218/945-6693

FAX: 218/435-1143

FAX: 218/435-1143

FAX: 218/435-6336

FAX: 218/435-6336

FAX: 218/435-1134

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

LISA FREY

TAMMIE RADERMACHER

TAMMIE RADERMACHER

ANGELA LEITING

WILLIAM BENNETT

TYLER MCGLYNN

TYLER MCGLYNN

JUDY POTVIN

JUDY POTVIN

KEVIN GISH

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

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421

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

POLK

POPE

ESSENTIA HEALTH HOSPICE WEST

FIRST CARE LIVING CENTER

MIDWAY CARE CENTER INC.

PRAIRIE PINES COMMUNITY

PRAIRIE PINES COMMUNITY

MCINTOSH SENIOR LIVING

OSTENAA BOARD & LODGING INC

POPLAR MEADOWS OF MCINTOSH

POPLAR MEADOWS OF MCINTOSH

900 HILLIGOSS BOULEVARD SE

900 HILLIGOSS BOULEVARD SE

114 2ND STREET NE

903 PRAIRIE PINES DRIVE

903 PRAIRIE PINES DRIVE

600 RIVERSIDE AVENUE NE

240 1ST STREET NE

325 SCOTS AVENUE SE

325 SCOTS AVENUE SE

FOSSTON, MN 56542

FOSSTON, MN 56542

FOSSTON, MN 56542

FOSSTON, MN 56542

FOSSTON, MN 56542

MCINTOSH, MN 56556

MCINTOSH, MN 56556

MCINTOSH, MN 56556

MCINTOSH, MN 56556

218/435-1133

218/435-1133

218/435-1272

218/435-1337

218/435-7663

218/563-2715

218/563-4451

218/563-2436

218/563-2436

NProf

NProf

Corp

NProf

NProf

NProf

Corp

City

City

Hospice

NH-50 HOSP-43 BASS-7

COMP

NH-45

COMP

HSPICE

SNF-NF-50 CAH-25

SNF-NF-45

(03716)

(00461)

(27388)

(23659)

(30394)

(00467)

(34255)

(22355)

(30294)

FAX: 218/435-2175

FAX: 218/435-1134

FAX: 218/435-6336

FAX: 218/435-1336

FAX: 218/435-1336

FAX: 218/563-2395

FAX: 218/563-2306

FAX: 218/563-6100

FAX: 218/563-6100

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

LINDA HESPE

KEVIN GISH

JUDY POTVIN

KEVIN GISH

KEVIN GISH

SHARLENE KNUTSON

CINDY OSTENAA

REBECCA BOEHRNSEN

REBECCA BOEHRNSEN

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

HWSAL

HWSAL

HWS

HWSAL

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422

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

POPE

GLACIAL RIDGE HOME CARE

GLACIAL RIDGE HOSPICE

GLACIAL RIDGE HOSPITAL

GLENWOOD ESTATES

GLENWOOD ESTATES

GLENWOOD MEDICAL CENTER

GLENWOOD VILLAGE CARE CENTER

PARKVIEW COURT

PARKVIEW COURT

RIDGEWOOD VILLA

219 1ST STREET SE

219 1ST STREET SE

10 4TH AVENUE SE

500 FRANKLIN STREET NORTH

500 FRANKLIN STREET NORTH

417 FRANKLIN STREET SOUTH

719 2ND STREET SE

300 8TH AVENUE SE

300 8TH AVENUE SE

7 4TH AVENUE SE

GLENWOOD, MN 56334

GLENWOOD, MN 56334

GLENWOOD, MN 56334

GLENWOOD, MN 56334

GLENWOOD, MN 56334

GLENWOOD, MN 56334

GLENWOOD, MN 56334

GLENWOOD, MN 56334

GLENWOOD, MN 56334

GLENWOOD, MN 56334

320/634-2221

320/634-4521

320/634-4521

320/634-0022

320/634-0022

320/634-5157

320/634-5131

320/634-5802

320/634-5802

320/634-2261

Dist

Dist

Dist

Corp

Corp

Dist

Church

Church

Church

NProf

COMP

Hospice

HOSP-34 BASS-4

COMP

NH-64

COMP

HHA

HSPICE

CAH-25

RHC

SNF-NF-64

(02369)

(02298)

(00473)

(22168)

(22169)

(24009)

(00474)

(20017)

(23780)

(31989)

FAX: 320/634-2006

FAX: 320/634-2269

FAX: 320/634-2269

FAX: 320/634-0052

FAX: 320/634-0052

FAX: /-

FAX: 320/634-5777

FAX: 320/634-5818

FAX: 320/634-5818

FAX: 320/634-2269

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

KIRK STENSRUD

KIRK STENSRUD

KIRK STENSRUD

PAULA ROCHELLA

PAULA ROCHELEAU

KIRK STENSRUD

MARY KRUEGER

MARY KRUEGER

SHELLY HYLAND

DARYL KLOUS

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWS

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423

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

POPE

RAMSEY

CENTRAL MINNESOTA SENIOR CARE

GLACIAL TRAILS MEMORY CARE

HOLLY RIDGE MANOR

HOLLY RIDGE MANOR

MINNEWASKA COMMUNITY HEALTH SERVICES

STARBUCK MEDICAL CENTER

STEVENS COMMUNITY MEDICAL CENTER STARBUCK

ACR HOME ON CUMMINGS

ARDEN HILLS DIALYSIS UNIT

300 JOHN ST

109 EAST 7TH STREET

500 HOLLY RIDGE DRIVE

500 HOLLY RIDGE DRIVE

605 MAIN STREET

707 EAST 7TH STREET

501 POLER STREET

1385 CUMMINGS LANE

3900 NORTHWOOD DRIVE STE 110

STARBUCK, MN 56381

STARBUCK, MN 56381

STARBUCK, MN 56381

STARBUCK, MN 56381

STARBUCK, MN 56381

STARBUCK, MN 56381

STARBUCK, MN 56381

ARDEN HILLS, MN 55112

ARDEN HILLS, MN 55112

320/441-7001

320/239-7125

320/239-4775

320/239-4775

320/239-2217

320/239-2200

320/239-3939

651/636-7537

651/483-3159

Corp

NProf

NProf

NProf

NProf

NProf

NProf

Corp

Corp

COMP

NH-39

SLFB-4

SNF-NF-39

RHC

RHC

ICFIID-4

ESRD

(25021)

(32278)

(21570)

(30766)

(00477)

(33944)

(33305)

(01378)

(02442)

FAX: 320/235-8069

FAX: 320/239-7143

FAX: 320/239-2339

FAX: 320/239-2339

FAX: 320/239-7144

FAX: 320/239-4505

FAX: /-

FAX: 651/697-1724

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JACKLYN FRERICKS

CHRISTOPHER KNOLL

DAWN ROEN

CHRISTOPHER KNOLL

MICHELLE EHRENBERG

RACHEL WAGNER

JASON BREUER

GENE LEISTICO

HEATHER SWANSON

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

HWSAL

HWSAL

HWSAL

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424

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

RAMSEY

JOHANNA SHORES

JOHANNA SHORES COMMONS AND ARBOR

PHOENIX AT JANET COURT

PRESBYTERIAN HOMES OF ARDEN HILLS

MN BEST CARE, LLC

REIGN SERVICES LLC

THE PLUMMER HOME LLC

PEOPLE INC., MONTREAL COURTS APARTMENTS

PEOPLE INCORPORATED

FALCON HOME HEALTH CARE LLC

3220 LAKE JOHANNA BOULEVARD

3200 LAKE JOHANNA BOULEVARD

1769 JANET COURT

3220 LAKE JOHANNA BOULEVARD

9737 3RD STREET NE

10800 MISSISSIPPI

510 6TH PLACE NE

3000 AMES CROSSING ROAD,

3000 AMES CROSSING ROAD,

1550 WEST LARPENTEUR AVE #201

ARDEN HILLS, MN 55112

ARDEN HILLS, MN 55112

ARDEN HILLS, MN 55112

ARDEN HILLS, MN 55112

BLAINE, MN 55434

BROOKLYN PARK, MN 55443

BYRON, MN 55920

EAGAN, MN 55121

EAGAN, MN 55121

FALCON HEIGHTS, MN 55113

651/631-6027

651/631-6070

651/227-7655

651/631-6000

612/986-8097

651/675-8551

507/951-7887

651/774-0011

651/774-0011

651/500-4752

NProf

NProf

NProf

NProf

Part

Lim-Liab

Lim-Liab

NProf

NProf

Lim-Liab

COMP

SLFB-6

NH-152

TCOMP HCBS

COMP

COMP

TCOMP

ICFIID-6

SNF-NF-152

(27964)

(20113)

(23588)

(00975)

(36617)

(35413)

(36037)

(26039)

(26039)

(35186)

FAX: 651/631-6057

FAX: 651/631-6048

FAX: 651/227-6847

FAX: 651/631-6036

FAX: 612/806-0857

FAX: 651/705-8195

FAX: 651/286-3108

FAX: /-

FAX: /-

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JAN KOOMEN

JAMIE JASPER

DARLENE SCOTT

CHANDLER HULKE

PETER BACKUKIA

MILDA AYINDE

JACKELYN SEIFERT

JILL WEST

JILL WEST

ABDIRAZAQ ABDULLE

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL-O

HWSAL

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425

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

RAMSEY

LIVEWELL HOME CARE LLC

HEALTHSTAR HOME HEALTH

CARDIGAN RIDGE

GOOD SAMARITAN HOME CARE

PEOPLE INC MONTREAL COURTS 445

PEOPLE INC MONTREAL COURTS APARTMENTS

PEOPLE INCORPORATED MONTREAL COURTS 401

SUITE LIVING SENIOR CARE OF LITTLE CANADA

VISITING ANGELS

PRO MEDICAL SERVICES, INC.

7362 UNIVERSITY AVE NE #310-1

5810 BLACKSHIRE PATH

3300 RICE STREET

2885 COUNTRY DRIVE STE 165

445 LABORE ROAD

425 LABORE ROAD

401 LABORE ROAD

2740 RICE STREET

70 COUNTY ROAD C WEST STE 706

14697 80TH PL. NORTH. STE #M

FRIDLEY, MN 55432

INVER GROVE HEIGHTS, MN 55076

LITTLE CANADA, MN 55126

LITTLE CANADA, MN 55117

LITTLE CANADA, MN 55117

LITTLE CANADA, MN 55117

LITTLE CANADA, MN 55117

LITTLE CANADA, MN 55113

LITTLE CANADA, MN 55117

MAPLE GROVE, MN 55311

651/592-7404

651/633-7300

651/484-8484

651/488-7680

651/490-3130

651/490-3130

651/490-3130

651/424-0131

651/633-4487

763/390-2561

Lim-Liab

Corp

Lim-Liab

NProf

NProf

NProf

NProf

Lim-Liab

Corp

Corp

TCOMP

COMP HCBS

COMP

COMP

COMP

HHA

HHA

(35388)

(21714)

(33082)

(03140)

(32678)

(30662)

(32888)

(34744)

(26712)

(27879)

FAX: /-

FAX: 651/633-7301

FAX: 651/765-2700

FAX: 651/488-7687

FAX: 651/490-3148

FAX: 651/490-3148

FAX: 651/490-3148

FAX: 651/424-0133

FAX: 651/633-6225

FAX: 763/494-6664

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

OLUFEMI SOWEMIMO

BARBARA JEZORSKI

ERIN HILLIGAN

MARY JO ACKERMAN

JILL WIEDEMANN WEST

JILL WIEDEMANN WEST

JILL WIEDEMANN WEST

AUDREY MCELWAIN

CAROLYN THOMPSON

NOELA SUHFOR

---------------------------********** --------------------------(Cont.)*

HWSAL

HWS-O

HWS-O

HWS-O

HWSAL

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426

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

RAMSEY

ACCENTCARE FAIRVIEW HOME HEALTH EAST, LLC

AFTON PLACE

AT HOME WITH US LLC

AT HOME WITH US-LLC

BRIGHTSTAR CARE OF ST. PAUL

CAREFREE COTT OF MPLD CHATEAU

CARESERVICES, LLC

COMMUNITY FOUNDATIONS

ECUMEN LAKEVIEW COMMONS

ECUMEN LAKEVIEW COMMONS

1655 BEAM AVENUE # 100

2715 UPPER AFTON ROAD

2174 STANICH STREET

2174 STANICH STREET

2785 WHITE BEAR AVENUE N #415

1801 GERVAIS AVENUE

3005 MARY COURT

1096 GERVAIS AVENUE

1200 NORTH LAKEWOOD DRIVE

1200 NORTH LAKEWOOD DRIVE

MAPLEWOOD, MN 55109

MAPLEWOOD, MN 55119

MAPLEWOOD, MN 55109

MAPLEWOOD, MN 55109

MAPLEWOOD, MN 55109

MAPLEWOOD, MN 55109

MAPLEWOOD, MN 55109

MAPLEWOOD, MN 55109

MAPLEWOOD, MN 55119

MAPLEWOOD, MN 55119

651/232-2800

651/254-0500

651/431-8006

651/431-8006

651/770-8427

651/770-7687

612/703-9358

651/256-1260

651/770-1111

651/770-1111

Lim-Liab

NProf

Lim-Liab

Lim-Liab

Corp

Lim-Liab

Lim-Liab

ONProf

NProf

NProf

COMP

SLFA-16

COMP

COMP

SLFA-16

COMP

HHA

(02250)

(33236)

(34811)

(34648)

(26209)

(31221)

(36920)

(01549)

(20114)

(21972)

FAX: 651/232-2898

FAX: 651/731-5847

FAX: /-

FAX: /-

FAX: 651/770-4845

FAX: /-

FAX: 612/930-0162

FAX: 651/291-7578

FAX: 651/773-7399

FAX: 651/773-7399

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

MECCA TRUEBLOOD

JAYNE QUINLAN

MARIA CARINA DEROSIER

MARIA DEROSIER

ASHLEY EISERMAN

CHUCK PETRICH

NAIOMO ABDISALAM

TERRY SCHNEIDER

BERIT SPORS

BRIELLE KHALAR

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL-O

HWSAL

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427

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

RAMSEY

ECUMEN SEASONS AT MAPLEWOOD

ECUMEN SEASONS AT MAPLEWOOD

ELK RIDGE ALZHEIMER'S SPECIAL

ELK RIDGE ALZHEIMERS SPECIAL CARE CENTER

EQUITABLE HEALTHCARE SERVICES LLC

ESSLING'S HOMES PLUS, INC.

ESSLING'S HOMES PLUS, INC.

FIRSTAT NURSING SERVICES

FMC MAPLEWOOD HEIGHTS

FURNESS HOUSE

1670 LEGACY PARKWAY EAST

1670 LEGACY PARKWAY EAST

1700 BEAM AVENUE

1700 BEAM AVENUE

1247 TERRACE AVENUE

1729 GERVAIS AVENUE

1747 GERVAIS AVENUE

2395 ARIEL STREET NORTH

1725 LEGACY PARKWAY

1866 FURNESS STREET

MAPLEWOOD, MN 55109

MAPLEWOOD, MN 55109

MAPLEWOOD, MN 55109

MAPLEWOOD, MN 55109

MAPLEWOOD, MN 55109

MAPLEWOOD, MN 55109

MAPLEWOOD, MN 55109

MAPLEWOOD, MN 55109

MAPLEWOOD, MN 55109

MAPLEWOOD, MN 55109

651/756-1859

651/756-1859

651/779-0500

651/779-0500

651/233-9624

651/735-7259

651/735-7259

651/288-0222

651/748-5774

651/227-7655

NProf

NProf

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Corp

Lim-Liab

Corp

NProf

COMP

COMP

TCOMP HCBS

COMP

SLFB-6

HHA

ESRD

ICFIID-6

(27397)

(27398)

(34426)

(34433)

(35448)

(24754)

(25241)

(22015)

(25765)

(01604)

FAX: 651/756-1754

FAX: 651/756-1754

FAX: 651/779-0505

FAX: 651/779-0505

FAX: 651/330-6579

FAX: 651/730-1667

FAX: 651/730-1667

FAX: 651/288-0214

FAX: /-

FAX: 651/227-6847

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

TERI DRAKE

BERIT SPORS

VINCE DALEIDEN-FOLEY

VINCE DALEIDEN-FOLEY

RAZAQ ADEDAYO

ROBIN RENO

ROBIN RENO

LAURA KOESTER

PATRICK HOWARD

DARLENE SCOTT

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

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428

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

RAMSEY

GOLDEN POND MAPLEWOOD

GOOD SAMARITAN SOCIETY MAPLEWOOD

HANDS CARE LLC

HANDS CARE LLP

HEALTHEAST ST. JOHN'S HOSPITAL

HEALTHEAST SURGERY CENTER MAPLEWOOD

HELP HOME CARE

HELP HOME CARE LLC

HOME HELPERS OF THE TWIN CITIES

HOME INSTEAD #161

3029 MARY COURT

550 EAST ROSELAWN AVENUE

1065 DENNIS STREET SOUTH

1065 DENNIS STREET SOUTH

1575 BEAM AVENUE

2945 HAZELWOOD STREET # 300

2245 IDE CT

1830 BIRMINGHAM STREET

2515 WHITE BEAR AVENUE A8-129

2480 WHITE BEAR AVENUE STE 101

MAPLEWOOD, MN 55109

MAPLEWOOD, MN 55117

MAPLEWOOD, MN 55119

MAPLEWOOD, MN 55119

MAPLEWOOD, MN 55109

MAPLEWOOD, MN 55109

MAPLEWOOD, MN 55109

MAPLEWOOD, MN 55109

MAPLEWOOD, MN 55109

MAPLEWOOD, MN 55109

763/447-7717

651/774-9765

612/306-6157

612/306-6157

651/232-7000

651/471-9701

612/227-7192

612/227-7192

612/518-5741

651/747-8722

Lim-Liab

NProf

Part

Part

NProf

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Lim-Liab

NH-71

TCOMP

HOSP-184 BASS-44

Outpt Surg

TCOMP

BASIC HCBS

COMP

SNF-NF-71

HOSP-184

Amb Surg

(36647)

(00900)

(34641)

(35315)

(00224)

(00980)

(35281)

(37295)

(28757)

(23592)

FAX: 651/484-5130

FAX: 651/793-3353

FAX: /-

FAX: /-

FAX: 651/232-7240

FAX: 651/471-9766

FAX: /-

FAX: 612/314-8408

FAX: 651/204-0058

FAX: 651/747-8726

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

NANCY STRANDLUND

SUSAN JENSEN

GLORIA MACRAE

GLORIA MACRAE

JEOFF WILL

STACIA BIRKLAND

MOHAMED WAKO

MUHAMMED WKO

MARY SEMLAK

SMITABEN GIESEN

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

Page 466: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

429

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

RAMSEY

HOME INSTEAD SENIOR CARE #161

HOWARD HOUSE

LAKE PHALEN OPCO LLC

LEGEND HEALTH CARE RESOURCES LLC

LIVING WELL BROOKVIEW

LIVING WELL COPE

LIVING WELL LARPENTEUR

LIVING WELL MARYLAND

MAPLE HILL SENIOR LIVING LLC

MAPLE HILL SENIOR LIVING LLC

2480 WHITE BEAR AVENUE # 101

1685 HOWARD STREET NORTH

1870 EAST SHORE DRIVE

2240 IDLE COURT

2675 BROOKVIEW DRIVE EAST

1362 EAST COPE AVENUE

1951 LARPENTEUR AVENUE EAST

2355 MARYLAND AVENUE EAST

3030 SOUTH LAWN DRIVE

3030 SOUTHLAWN DRIVE

MAPLEWOOD, MN 55109

MAPLEWOOD, MN 55109

MAPLEWOOD, MN 55109

MAPLEWOOD, MN 55109

MAPLEWOOD, MN 55119

MAPLEWOOD, MN 55109

MAPLEWOOD, MN 55109

MAPLEWOOD, MN 55119

MAPLEWOOD, MN 55109

MAPLEWOOD, MN 55109

651/747-8722

651/227-7655

651/777-7784

651/330-9267

651/731-1602

651/483-9596

651/770-7120

651/773-4074

651/363-3687

651/363-3687

Lim-Liab

NProf

Lim-Liab

Lim-Liab

NProf

NProf

NProf

NProf

Lim-Liab

Lim-Liab

SLFB-6

COMP

SLFB-6

SLFB-6

SLFB-6

SLFB-6

COMP

ICFIID-6

ICFIID-6

ICFIID-6

ICFIID-6

(03744)

(01603)

(29005)

(37108)

(01600)

(01599)

(01595)

(20783)

(31955)

(31968)

FAX: 651/747-8726

FAX: 651/227-6847

FAX: 844/898-6136

FAX: 651/348-8369

FAX: 651/731-9120

FAX: 651/483-4139

FAX: 651/770-7130

FAX: 651/773-3314

FAX: 651/528-8249

FAX: 651/528-8249

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

SMITABEN GIESEN

DARLENE SCOTT

JOHN FOSTER

AHMED ANSHUR

LYNDSEY THOMAS

ALYSSA GAUS

ANNETTE RIPLEY

JULIE CONRAD

BRANDON MABB

CARYL NORDLAND

---------------------------********** --------------------------(Cont.)*

Home Mgmt

HWSAL-O

HWSAL

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430

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

RAMSEY

MAPLEWOOD CARE CENTER

MAPLEWOOD CARE RESIDENCE

MAPLEWOOD DIALYSIS CENTER

MAPLEWOOD GWLLC

METRO HEALTH CARE SERVICES LLC

METRO HEALTH CARE SERVICES LLC

METRO NURSING SERVICES LLC

METRO NURSING SERVICES, LLC

MILLENNIUM HOME SENIOR CARE

MNGI ENDOSCOPY MAPLEWOOD

1900 SHERREN AVENUE

2338 OVERLOOK CIRCLE

2785 WHITE BEAR AVENUE # 201

2300 HAZELWOOD STREET

1322 BURKE CIRCLE EAST

1312 BURKE CIRCLE EAST

1322 BURKE CIRCLE EAST

1322 BURKE CIRCLE EAST

1830 SUMMER AVENUE EAST

1997 SLOAN PLACE

MAPLEWOOD, MN 55109

MAPLEWOOD, MN 55119

MAPLEWOOD, MN 55109

MAPLEWOOD, MN 55109

MAPLEWOOD, MN 55109

MAPLEWOOD, MN 55109

MAPLEWOOD, MN 55109

MAPLEWOOD, MN 55109

MAPLEWOOD, MN 55109

MAPLEWOOD, MN 55117

651/770-1365

763/550-1774

651/779-2222

651/777-3316

651/348-7247

651/348-7247

651/400-8009

651/348-7247

651/605-5541

612/871-1145

NProf

Corp

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Lim-Liab

NH-115

COMP

COMP

COMP

COMP

Outpt Surg

SNF-NF-115

ESRD

Amb Surg

(00520)

(25791)

(02844)

(25824)

(27039)

(29837)

(27530)

(27039)

(36351)

(04308)

FAX: 651/770-1646

FAX: /-

FAX: /-

FAX: /-

FAX: 651/756-1696

FAX: 651/756-1696

FAX: 651/964-4630

FAX: 651/756-1696

FAX: 651/330-4784

FAX: 612/870-5491

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JIM SELVY

MARCIA COTTER

SAMUEL CARLSON

THOMAS OSTROM

ABDI GONJOBE

ABDI GONJOBE

AISHA ALI

ABDI GONJOBE

VINCENT THAO

SCOTT KETOVER

---------------------------********** --------------------------(Cont.)*

HWSAL

HWS-O

HWSAL

Page 468: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

431

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

RAMSEY

PHOENIX AT CARVER

PREMIUM CHOICE CARE LLC

RAJWOOD

RAMSEY COUNTY CARE CENTER

REM RAMSEY INC LAKEWOOD

REM RAMSEY INC MAYHILL

RENEWED SPIRIT INC

ROSEWOOD ESTATE - MAPLEWOOD

SALAMS CARE RESIDENTIAL LLC

SERENITY LIVING CARE INC

2465 CARVER AVENUE

1187 LEALAND ROAD EAST

2951 BARTELMY LANE

2000 WHITE BEAR AVENUE

975 LAKEWOOD DRIVE SOUTH

797 MAYHILL ROAD NORTH

319 BELLWOOD AVENUE SOUTH

1200 NORTH LAKEWOOD DRIVE

730 CRESTVIEW DRIVE NORTH

2300 CARVER AVENUE EAST

MAPLEWOOD, MN 55119

MAPLEWOOD, MN 55109

MAPLEWOOD, MN 55109

MAPLEWOOD, MN 55109

MAPLEWOOD, MN 55119

MAPLEWOOD, MN 55119

MAPLEWOOD, MN 55117

MAPLEWOOD, MN 55119

MAPLEWOOD, MN 55119

MAPLEWOOD, MN 55119

651/227-7655

651/239-6149

651/483-9500

651/777-7486

952/922-6776

952/922-6776

651/226-7123

651/770-1111

651/528-6051

651/208-4933

NProf

Lim-Liab

NProf

Cnty

Corp

Corp

Corp

NProf

Lim-Liab

Corp

SLFB-6

SLFA-4

NH-142

SLFA-5

SLFA-5

TCOMP

ICFIID-6

ICFIID-4

SNF-NF-142

ICFIID-5

ICFIID-5

(23589)

(34352)

(01572)

(00846)

(28182)

(26750)

(36992)

(20114)

(35095)

(35925)

FAX: 651/227-6847

FAX: 651/772-3357

FAX: 651/483-0775

FAX: 651/777-1426

FAX: 952/922-6885

FAX: 952/922-6885

FAX: 651/348-2754

FAX: 651/773-7399

FAX: 651/528-6214

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

DARLENE SCOTT

FERDINAND FONDO

JIM MARTIN

MICHAEL SCHULTZ

STEPHANIE KALBACH

STEPHANIE KALBACH

JONI LENZEN

BERIT SPORS

ABRAHIM SHEIKU

MADINA HUSSEIN

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

Page 469: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

432

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

RAMSEY

SERENITY LIVING CARE INC.

SUNLIGHT SERVICES

SUNLIGHT SERVICES LLC

THE ENCORE AT MAPLEWOOD

THE ENCORE AT THE TWIN CITIES LLC

THE HOMESTEAD AT MAPLEWOOD

THE SHORES OF LAKE PHALEN

VISITING ANGELS

VISITING ANGELS

VOA HOME HEALTH AT MAPLEWOOD

2300 CARVER AVENUE EAST

1243 SKILLMAN AVENUE

1740 ATLANTIC STREET

2300 HAZELWOOD STREET

2300 HAZELWOOD STREET

1890 SHERREN AVENUE EAST

1870 EAST SHORE DRIVE

2721 UPPER AFTON ROAD EAST

2721 UPPER AFTON ROAD EAST

1890 SHERREN AVENUE EAST

MAPLEWOOD, MN 55119

MAPLEWOOD, MN 55109

MAPLEWOOD, MN 55109

MAPLEWOOD, MN 55109

MAPLEWOOD, MN 55109

MAPLEWOOD, MN 55109

MAPLEWOOD, MN 55109

MAPLEWOOD, MN 55119

MAPLEWOOD, MN 55119

MAPLEWOOD, MN 55109

651/208-4933

651/600-4403

651/600-4403

651/777-6522

651/777-3316

651/770-3959

651/777-7784

651/653-0110

651/653-0110

651/770-3959

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

NProf

Corp

Corp

Corp

NProf

COMP

COMP

(37112)

(26492)

(35327)

(30614)

(25824)

(20712)

(29004)

(23261)

(23353)

(20712)

FAX: /-

FAX: 651/528-8015

FAX: 651/528-8015

FAX: 651/773-7580

FAX: /-

FAX: 651/621-2410

FAX: 844/898-6136

FAX: 651/653-0115

FAX: 651/653-0115

FAX: 651/621-2410

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

MADINA HUSSEIN

TONG VANG

TONG VANG

THOMAS OSTROM

THOMAS OSTROM

ANNALISHA PEREZ

AMY PATTERSON

JENNIFER FLORES

JENNIFER FLORES

ANNALISHA PEREZ

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWSAL-O

HWSAL

HWSAL

HWSAL

HWSAL

Home Mgmt

HWSAL

Page 470: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

433

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

RAMSEY

VOA HOME HEALTH AT MAPLEWOOD

1-BELEVO HEALTH SERVICES LLC

ALLINA HEALTH HOME HEALTH

ALLINA HEALTH HOSPICE & PALLIATIVE CARE

BIG HEARTS HOME CARE INC

PEARL GARDEN

AXIS ON ST MICHAEL

BEL RAE SENIOR LIVING

GOLDEN POND MOUNDS VIEW

MIDWEST MEDICAL HOLDINGS, INC

1890 SHERREN AVENUE EAST

121 WASHINGTON AVENUE N #400

2925 CHICAGO AVENUE SOUTH

2925 CHICAGO AVENUE SOUTH

1130 14TH AVENUE SE

3700 FOSS ROAD NE

5533 ST. MICHAEL STREET

2330 MOUNDS VIEW BOULEVARD

7245 HIDDEN HOLLOW COURT

8400 CORAL SEA STREET # 100

MAPLEWOOD, MN 55109

MINNEAPOLIS, MN 55401

MINNEAPOLIS, MN 55407

MINNEAPOLIS, MN 55407

MINNEAPOLIS, MN 55414

MINNEAPOLIS, MN 55421

MOUNDS VIEW, MN 55112

MOUNDS VIEW, MN 55112

MOUNDS VIEW, MN 55112

MOUNDS VIEW, MN 55112

651/770-3959

651/448-4221

651/635-9173

651/635-9173

651/494-7653

612/788-9673

763/717-4967

763/784-7633

763/447-7717

763/780-1500

NProf

Lim-Liab

NProf

NProf

Corp

Part

Corp

Lim-Liab

Lim-Liab

Lim-Liab

COMP

TCOMP

COMP

Hospice

COMP

SLFB-6

COMP

HHA

HSPICE

ICFIID-6

(21091)

(35166)

(23627)

(02441)

(34832)

(20451)

(23393)

(31586)

(33572)

(02851)

FAX: 651/770-5779

FAX: 651/448-4221

FAX: 651/628-2999

FAX: 651/628-2999

FAX: 952/516-5599

FAX: 612/788-0104

FAX: 763/783-0193

FAX: /-

FAX: 651/484-5130

FAX: 763/780-1515

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ADELINE MORRELL

BRITTANY MCMILLEN

JULIA CRIST

TAMMY HAYES

AHMED FARAH

CRAIG EDINGER

DOROTHY WROBEL

HEATHER HARSTAD

DAVID METZ

LAUREN EIYNCK

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

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434

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

RAMSEY

MOUNDS VIEW GABLES

PHOENIX AT LUDDEN

SCENIC HILLS ALTERNATIVE CARE

SCENIC HILLS ALTERNATIVE CARE

ACR HOME ON REDWOOD

APRIA HEALTHCARE LLC

BAYADA HOME HEALTH CARE, INC.

BEACON HAVEN

BENEDICTINE HEALTH CENTER AT INNSBRUCK

CRESCENT GROUP HOME LLC

2670 COUNTY ROUND I

7717 LONG LAKE ROAD

2517 COUNTY ROAD I

2519 COUNTY ROAD I

862 REDWOOD LANE

601 CAMPUS DRIVE # 10

550 COUNTY ROAD D WEST # 7

1200 LONG LAKE ROAD

1101 BLACK OAK DRIVE

2566 SUNBOW AVENUE

MOUNDS VIEW, MN 55112

MOUNDS VIEW, MN 55112

MOUNDS VIEW, MN 55112

MOUNDS VIEW, MN 55112

NEW BRIGHTON, MN 55112

NEW BRIGHTON, MN 55112

NEW BRIGHTON, MN 55112

NEW BRIGHTON, MN 55112

NEW BRIGHTON, MN 55112

NEW BRIGHTON, MN 55112

651/639-9799

651/227-7655

651/735-7259

651/735-7259

651/635-9060

651/523-8888

651/482-8400

651/379-0100

651/633-1686

651/605-1372

NProf

NProf

Corp

Corp

Corp

Lim-Liab

NProf

NProf

Church

Lim-Liab

SLFB-6

SLFB-4

COMP

COMP

NH-6

NH-105

TCOMP

ICFIID-6

ICFIID-4

HHA

SNF-NF-105

(24474)

(23427)

(27183)

(27182)

(01573)

(03501)

(27763)

(23554)

(00940)

(35938)

FAX: 651/639-3699

FAX: 651/227-6847

FAX: 651/730-1167

FAX: 651/730-1667

FAX: 651/635-4392

FAX: 651/523-8850

FAX: 651/482-8300

FAX: 651/379-0601

FAX: 651/633-5267

FAX: 612/584-3969

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

CHRIS WINTER

DARLENE SCOTT

ROBIN RENO

ROBIN RENO

GENE LEISTICO

MICHAEL BORNEKE

ERICA KJENSTAD

SUZANNE GIVENS

REID HEWITT

HAMDI HUSSEIN

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWSAL

HWSAL

Page 472: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

435

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

RAMSEY

CRESCENT GROUP HOME LLC

FAMILY TREE CARE HOMES

FAMILY TRUST HOME HEALTH LLC

HERITAGE HOUSE

IN HOUSE HOME HEALTH LLC

INSPIRE CARE INC

LIGHTHOUSE RESIDENTIAL SERVICES LLC

MEADOWOOD SHORES SENIOR HOUSING LP

MENTAL HEALTH NURSING LLC

MINN CARE HOME HEALTH LLC

2566 SUNBOW AVENUE

2029 PALMER DRIVE

2230 TIOGA BOULEVARD

870 9TH AVENUE NW

888 COUNTY ROAD D WEST #201

610 SILVER LAKE ROAD NW

1403 SILVER LAKE ROAD NW #5

2100 SILVER LAKE ROAD

888 COUNTY ROAD D WEST # 104

151 SILVER LAKE ROAD NW #201

NEW BRIGHTON, MN 55122

NEW BRIGHTON, MN 55112

NEW BRIGHTON, MN 55112

NEW BRIGHTON, MN 55112

NEW BRIGHTON, MN 55112

NEW BRIGHTON, MN 55112

NEW BRIGHTON, MN 55112

NEW BRIGHTON, MN 55112

NEW BRIGHTON, MN 55112

NEW BRIGHTON, MN 55112

763/913-7100

651/340-5583

763/205-6624

612/865-0532

612/483-6326

651/621-0722

763/742-8957

651/604-2900

952/270-1409

763/200-6270

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Lim-Liab

Part

Lim-Liab

Lim-Liab

TCOMP

TCOMP

COMP

COMP HCBS

(36931)

(33728)

(35334)

(36942)

(35982)

(37310)

(35821)

(21728)

(33961)

(34706)

FAX: 612/866-1621

FAX: 651/340-5348

FAX: 763/205-6790

FAX: /-

FAX: 612/314-8980

FAX: /-

FAX: /-

FAX: 651/582-0499

FAX: /-

FAX: 763/201-7908

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

HAMDI HUSSEIN

LEE PANZER JR

DAWOLYN BRYANT-JERBO

AMAL MOHAMED

ABDIBASID OSMAN

MUNIRA ADAM

ABDIRAHMAN ALI

MICHAEL GOULD

ERIC FOSSEN

CELESTINE OKONKWO

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWSAL

HWSAL

HWSAL

HWS-O

HWS

Page 473: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

436

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

RAMSEY

MINNESOTA VASCULAR SURGERY CENTER, LLC

NEW BRIGHTON ASSISTED LIVING

NEW BRIGHTON A VILLA CENTER

NEW BRIGHTON CARE CENTER

PANZER HOME CARE

RISE HOME HEALTH CARE

SANCTUARY HEALTHCARE SERVICES

SENIOR SUITES OF NEW BRIGHTON

SENIOR SUITES OF NEW BRIGHTON

SILVER OAKS

600 COUNTY ROAD D # 2

2700 RICE CREEK ROAD

825 1ST AVENUE NW

805 6TH AVENUE NW

2029 PALMER DRIVE

547 CONTINENTAL DRIVE

1623 SILVER LANE

805 6TH AVENUE NW

805 6TH AVENUE NW

3277 RICE CREEK ROAD

NEW BRIGHTON, MN 55112

NEW BRIGHTON, MN 55112

NEW BRIGHTON, MN 55112

NEW BRIGHTON, MN 55112

NEW BRIGHTON, MN 55112

NEW BRIGHTON, MN 55112

NEW BRIGHTON, MN 55112

NEW BRIGHTON, MN 55112

NEW BRIGHTON, MN 55112

NEW BRIGHTON, MN 55112

763/432-4300

651/633-6484

651/633-7875

651/633-7200

651/340-5583

612/207-5920

763/400-4430

651/403-5241

651/403-5261

651/636-0546

Lim-Liab

Part

Lim-Liab

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Corp

Corp

Outpt Surg

NH-99

NH-57

COMP

COMP

SLFA-4

Amb Surg

SNF-NF-99

SNF-NF-57

ICFIID-4

(24767)

(20231)

(00114)

(00507)

(33586)

(36117)

(33417)

(21383)

(30746)

(01586)

FAX: 763/432-4301

FAX: 651/633-8702

FAX: 651/628-9335

FAX: 651/287-7883

FAX: 651/340-5348

FAX: /-

FAX: 612/607-7820

FAX: 651/287-7883

FAX: 651/633-0353

FAX: 651/636-4530

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

TROY ROOVERS

MICHAEL GOULD

KATHERINE HOLLAND

LACEY JOHNSON

BREANNA PANZER

NAEEMA SALEH

OLUWAKEMI AJAYI

LACEY JOHNSON

LACEY JOHNSON

SANDRA QUINN

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL-O

HWSAL

HWSAL

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437

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

RAMSEY

THORNDALE APARTMENTS

POLAR RIDGE SENIOR LIVING

BROOKDALE NORTH OAKS

BROOKDALE NORTH OAKS

CLARE BRIDGE OF NORTH OAKS

NORTHERN STARS HOME CARE, LLC

PRESBYTERIAN HOMES OF NORTH OAKS

WAVERLY GARDENS

WAVERLY GARDENS

POLAR RIDGE SR LIVING

1050 THORNDALE AVENUE

2345 HELEN STREET NORTH

300 VILLAGE CENTER DRIVE

300 VILLAGE CENTER DRIVE

300 VILLAGE CENTER DRIVE

63 EAST PLEASANT LAKE ROAD

5919 CENTERVILLE ROAD

5919 CENTERVILLE ROAD

5919 CENTERVILLE ROAD

2365 HELEN STREET NORTH

NEW BRIGHTON, MN 55112

NORTH ST. PAUL, MN 55109

NORTH OAKS, MN 55127

NORTH OAKS, MN 55127

NORTH OAKS, MN 55127

NORTH OAKS, MN 55127

NORTH OAKS, MN 55127

NORTH OAKS, MN 55127

NORTH OAKS, MN 55127

NORTH ST PAUL, MN 55109

651/639-9799

651/770-4028

651/482-8111

651/482-8111

651/482-8111

651/528-6649

651/765-4063

651/765-4000

651/765-4000

651/770-4028

NProf

Lim-Liab

Corp

Corp

Corp

Lim-Liab

Church

NProf

NProf

Lim-Liab

COMP

COMP

COMP

NH-60

COMP

COMP

SNF-NF-60

(24473)

(34977)

(20539)

(30692)

(20539)

(32090)

(23579)

(24195)

(28191)

(31484)

FAX: 651/639-3699

FAX: 651/777-2602

FAX: 651/482-8333

FAX: 651/482-8333

FAX: 651/482-8333

FAX: 651/528-6649

FAX: 651/762-7111

FAX: 651/765-4001

FAX: 651/765-4001

FAX: 651/777-6465

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

CHRIS WINTER

JERRIS MILLER

DENISE OLSON

DENISE OLSON

DENISE OLSON

CHRISTINE ALLEN

EMILEE SIMONSON

DANIEL ERICKSON

JAN KOOMEN

M KELSEY SCHULTZ

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWS

HWSAL

HWSAL

Page 475: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

438

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

RAMSEY

SUITE LIVING SENIOR CARE NORTH ST PAUL

ALL FAMILY HOME CARE LLC

ATTENTIVE CARE

HOME SWEET HOME OF MINNESOTA

OPTIONS RESIDENTIAL GATEWAY

OPTIONS RESIDENTIAL INC GALAXY

OPTIONS RESIDENTIAL INC GOLFVIEW

POLAR RIDGE SENIOR LIVING

REM RAMSEY INC NORTH OAKS

FOOTWORKS

2710 13TH AVENUE EAST

2312 7TH STREET NORTH

2091 MN-36

2393 11TH AVENUE EAST

2633 DIVISION STREET NORTH

2720 17TH AVENUE EAST

2726 17TH AVENUE EAST

2365 HELEN STREET NORTH

2570 HOLLOWAY AVENUE EAST

2082 PARK ROW

NORTH ST PAUL, MN 55109

NORTH ST. PAUL, MN 55109

NORTH ST. PAUL, MN 55109

NORTH ST. PAUL, MN 55109

NORTH ST. PAUL, MN 55109

NORTH ST. PAUL, MN 55109

NORTH ST. PAUL, MN 55109

NORTH ST. PAUL, MN 55109

NORTH ST. PAUL, MN 55109

NSTPAUL, MN 55109

651/770-2273

763/634-7915

952/769-9221

651/348-6211

952/564-3030

952/564-3030

952/564-3030

651/770-4028

952/922-6776

651/501-0624

Lim-Liab

Lim-Liab

Corp

Lim-Liab

Corp

Corp

Corp

Lim-Liab

Corp

Ind

COMP

SLFB-5

COMP

ICFIID-5

(35489)

(33459)

(37248)

(35851)

(34386)

(34430)

(34195)

(31249)

(01344)

(03096)

FAX: 651/424-0083

FAX: 763/392-0033

FAX: /-

FAX: 651/528-7897

FAX: 952/217-5677

FAX: 952/217-5677

FAX: 952/217-5677

FAX: 651/777-6465

FAX: 952/922-6885

FAX: 651/330-9666

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

AUDREY MCELWAIN

AUGUSTINE AMBE

MARRIAM ABDI

ARNOLD KUBEI

JAMES HAMMILL

JAMES HAMMILL

JAMES HAMMILL

JERRIS MILLER

STEPHANIE KALBACH

MICHELLE O'HEARN

---------------------------********** --------------------------(Cont.)*

HWS

HWS-O

HWSAL

HWS-O

HWS-O

HWS-O

HWSAL

Page 476: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

439

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

RAMSEY

ACR HOME ON LYDIA WEST

ACR ON DALE COURT

ARKHAVEN HOME CARE, LLC.

ARTHUR'S RESIDENTIAL CARE - ALTA VISTA

ARTHUR'S SENIOR CARE - ALTA VISTA

ARTHURS SENIOR CARE

ARTHURS SENIOR CARE ON EMMERT

AXIS ON BELMONT

AXIS ON ELDRIDGE

CAREPOINT HOME INC

2528 LYDIA AVENUE WEST

1822 DALE COURT

2315 WESTERN AVENUE NORTH

2437 RICE STREET

1854 ALTA VISTA DRIVE

2437 RICE STREET

3310 EMMERT STREET

692 BELMONT LANE WEST

651 ELDRIDGE AVENUE WEST

2275 SNELLING AVENUE N #102

ROSEVILLE, MN 55113

ROSEVILLE, MN 55113

ROSEVILLE, MN 55113

ROSEVILLE, MN 55113

ROSEVILLE, MN 55113

ROSEVILLE, MN 55113

ROSEVILLE, MN 55126

ROSEVILLE, MN 55113

ROSEVILLE, MN 55113

ROSEVILLE, MN 55113

651/636-7172

651/488-1088

651/478-6080

651/294-4798

651/294-4798

651/294-4798

651/294-4798

651/489-4630

651/488-2237

651/387-4134

Corp

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Corp

Corp

SLFB-4

SLFB-4

COMP

COMP

SLFB-4

SLFB-6

TCOMP

ICFIID-4

ICFIID-4

ICFIID-4

ICFIID-6

(01576)

(24142)

(36748)

(24818)

(30590)

(24818)

(27856)

(23246)

(22846)

(35517)

FAX: 651/636-7205

FAX: 651/488-1544

FAX: 651/478-6083

FAX: 651/484-5863

FAX: 651/484-5863

FAX: 651/484-5863

FAX: 651/484-5863

FAX: 651/489-4678

FAX: 651/489-9520

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

GENE LEISTICO

GENE LEISTICO

YAHYA ALI

GENE LEISTICO

JAMES NELSON

GENE LEISTICO

JAMES NELSON

DOROTHY WROBEL

DOROTHY WROBEL

SADIIQ MCCALIN

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWSAL

HWSAL

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440

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

RAMSEY

CHERRYWOOD POINTE AT LEXINGTON

CHERRYWOOD POINTE OF ROSEVILLE LLC

COMMUNITIES OF CARE

DYNAMIC HEALTHCARE LLC

DYNAMIC HEALTHCARE LLC

EAGLE CREST ARBOR

EAGLE CREST COMMONS

EAGLECREST SENIOR HOUSING LLC

FMC DIALYSIS SERVCES ROSEVILLE

GOLDEN LIVING COMMUNITY LAKE RIDGE

2680 LEXINGTON AVENUE NORTH

2996 CLEVELAND AVENUE NORTH

2355 FULHAM STREET #400

2680 WESTERN AVENUE NORTH

2680 WESTERN AVENUE NORTH

2955 LINCOLN DRIVE

2945 LINCOLN DRIVE

2945 LINCOLN DRIVE

2045 RICE STREET

2727 VICTORIA STREET NORTH

ROSEVILLE, MN 55113

ROSEVILLE, MN 55113

ROSEVILLE, MN 55113

ROSEVILLE, MN 55113

ROSEVILLE, MN 55113

ROSEVILLE, MN 55113

ROSEVILLE, MN 55113

ROSEVILLE, MN 55113

ROSEVILLE, MN 55113

ROSEVILLE, MN 55113

651/766-2266

651/633-0044

651/482-0549

651/756-8372

651/756-8372

651/628-3000

651/628-3001

651/628-3000

651/489-3312

651/483-5431

Lim-Liab

Lim-Liab

Corp

Lim-Liab

Lim-Liab

NProf

NProf

Lim-Liab

Corp

Lim-Liab

COMP

COMP

COMP

COMP

ESRD

(33262)

(28965)

(20862)

(33890)

(34807)

(24032)

(20065)

(27952)

(03522)

(25214)

FAX: 651/766-2260

FAX: 651/633-4038

FAX: 651/482-0280

FAX: 424/253-2199

FAX: 651/493-9462

FAX: 651/628-3014

FAX: 651/628-3014

FAX: 651/628-3014

FAX: /-

FAX: 651/486-2461

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ERIN HILLIGAN

ERIN HILLIGAN

JOAN VAUGHN

NGOZI OKEKE

KEHINDE ABUDU

DANIELLE SALISBURY

DANIELLE SALISBURY

JAN KOOMEN

WENDEY VALENTO

DIANE WILLETTE

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL

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441

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

RAMSEY

GOOD SAMARITAN SOCIETY - HERITAGE PLACE OF ROSEVILLE

HEARTLAND HOME HEALTH CARE AND HOSPICE

HOME HEALTHCARE AGENCY

IN MY FATHER'S HOUSE LLC

IN MY FATHER'S HOUSE LLC

INTERIM HEALTHCARE

INTERIM HEALTHCARE OF THE TWIN CITIES, INC.

INTREPID USA HEALTHCARE SERVICES

INTREPID USA HOSPICE

JASE'S HOUSE

563 COUNTY ROAD B WEST

2685 LONG LAKE ROAD # 105

2489 RICE STREET # 295

3096 SNELLING AVENUE NORTH

3096 SNELLING AVENUE NORTH

2680 ARTHUR STREET

2680 ARTHUR STREET

2277 HIGHWAY 36 WEST # 316A

2277 HIGHWAY 36 WEST STE 316A

3092 CLEVELAND AVENUE NORTH

ROSEVILLE, MN 55113

ROSEVILLE, MN 55113

ROSEVILLE, MN 55113

ROSEVILLE, MN 55113

ROSEVILLE, MN 55113

ROSEVILLE, MN 55113

ROSEVILLE, MN 55113

ROSEVILLE, MN 551133804

ROSEVILLE, MN 55113

ROSEVILLE, MN 55113

651/489-3293

651/633-6522

651/493-6877

651/636-6149

651/636-3149

651/917-3634

651/917-3634

651/638-7800

651/633-6404

952/848-0935

NProf

Lim-Liab

Corp

Lim-Liab

Lim-Liab

Corp

Corp

Corp

Corp

Lim-Liab

Hospice

COMP

TCOMP

Hospice

COMP

COMP

Hospice

HSPICE

HSPICE

HHA

HHA

HSPICE

(23462)

(02970)

(28878)

(35879)

(36485)

(28285)

(21158)

(02232)

(29833)

(35367)

FAX: 651/489-0603

FAX: 651/633-5733

FAX: 800/532-1684

FAX: /-

FAX: /-

FAX: 651/259-4248

FAX: 651/917-3620

FAX: 651/638-7801

FAX: 651/633-6729

FAX: 952/920-6929

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

LAUREN PAHNKE

SCOTT RICE

TUBTSHWM YANG

SONIA SOTTO

SONIA DEBORAH SOTTO

RAECHEL THOMPSON

BROOKE BECK

JOAN BERGER

LISA MILLER

LUIS OROZCO

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL-O

HWS-O

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442

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

RAMSEY

KAYTON RESIDENTIAL LLC

KINDRED AT HOME

LANGTON SHORES

LARPENTEUR AVE DIALYSIS

NEW PERSPECTIVE - ROSEVILLE

NEW PERSPECTIVE - ROSEVILLE

OLYMPIC GROUP HOME LLC

OPTION CARE

OPTUM INFUSION SERVICES 500 INC

PEDIATRIC HOME SERVICE

1796 CENTENNIAL DRIVE

1970 OAKCREST AVENUE # 107

1900 WEST COUNTY ROAD D

1739 LEXINGTON AVENUE NORTH

2750 NORTH VICTORIA STREET

2750 NORTH VICTORIA STREET

483 TERRACE DRIVE

2750 ARTHUR STREET

2685 PATTON ROAD

2800 CLEVELAND AVENUE NORTH

ROSEVILLE, MN 55113

ROSEVILLE, MN 55113

ROSEVILLE, MN 55112

ROSEVILLE, MN 55113

ROSEVILLE, MN 55113

ROSEVILLE, MN 55113

ROSEVILLE, MN 55113

ROSEVILLE, MN 55113

ROSEVILLE, MN 55113

ROSEVILLE, MN 55113

651/442-3124

651/636-6330

651/635-5300

651/489-9260

651/482-1611

651/482-1611

952/393-2051

651/635-9272

651/435-8142

651/642-1825

Lim-Liab

Corp

NProf

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Corp

Lim-Liab

COMP

NH-50

COMP

COMP

COMP

COMP

SNF-NF-50

ESRD

HHA

(35559)

(02215)

(00284)

(32137)

(20022)

(29562)

(36465)

(20892)

(33779)

(03693)

FAX: /-

FAX: 651/636-6229

FAX: 651/635-5350

FAX: 651/489-9119

FAX: 651/482-0429

FAX: 651/482-0429

FAX: /-

FAX: 651/305-0242

FAX: 844/890-9906

FAX: 651/638-0680

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

FARHIYA EINTE

AIMEE HAGER

ALANA HOHERTZ

KORE NIELSEN

BETH LANDERS

REBECCA BROWN

IBRAHIM MAHAMUD

BRIAN BELONGIA

KIMBERLEY WILLIAMS

THERESA MEINHOLZ-GRAY

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWSAL

HWSAL-O

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443

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

RAMSEY

PRESBYTERIAN ASSISTED LIVING HOMECARE

PRESBYTERIAN HOMES HOME CARE

PRESBYTERIAN HOMES HOSPICE INC

RECOVERY HOME HEALTH CARE

ROSE OF SHARON A VILLA CENTER

ROSELAWN VILLAGE APARTMENTS

ROSEWOOD ESTATE OF ROSEVILLE

SAFECARE HOMES INC

SHARMARKE CARE HOME INC

SIFU HEATH LLC

2845 HAMLINE AVENUE NORTH

2845 HAMLINE AVENUE NORTH

2845 HAMLINE AVENUE NORTH

717 TERRACE DRIVE

1000 LOVELL AVENUE

1074 ROSELAWN AVENUE WEST

2750 NORTH VICTORIA STREET

763 COUNTY ROAD B2 WEST

2514 BRENNER STREET

1446 COUNTY ROAD BW

ROSEVILLE, MN 55113

ROSEVILLE, MN 55113

ROSEVILLE, MN 55113

ROSEVILLE, MN 55113

ROSEVILLE, MN 55113

ROSEVILLE, MN 55113

ROSEVILLE, MN 55113

ROSEVILLE, MN 55113

ROSEVILLE, MN 55113

ROSEVILLE, MN 55113

651/631-6197

651/746-8200

651/631-6406

952/212-6802

651/484-3378

651/645-7271

651/482-1611

612/991-4004

763/516-5914

763/445-1409

NProf

NProf

NProf

Corp

Lim-Liab

NProf

Lim-Liab

Corp

Corp

Lim-Liab

COMP

COMP

Hospice

NH-63

TCOMP

HHA

HSPICE

SNF-NF-63

(20898)

(02133)

(25425)

(36727)

(00126)

(24470)

(20022)

(36604)

(36254)

(35108)

FAX: 651/631-6108

FAX: 651/746-2787

FAX: 651/631-6343

FAX: /-

FAX: 651/484-8982

FAX: 651/645-0541

FAX: 651/482-0429

FAX: /-

FAX: 763/592-7961

FAX: 651/286-3300

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JAN KOOMEN

KRISTIN STEWART

JILL NANCE

HALIMA ABDILLAHI

KATRINA KASTNER

STEPHEN VANDER SCHAAF

BETH LANDERS

SOLEIMAN DUQOW

KAMALUDIN OSMAN

HAYAU ABDULLE

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL-O

HWSAL

HWSAL-O

HWS

Page 481: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

444

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

RAMSEY

SISTERS ASSISTANT LIVING CARE LLC

SUITE LIVING SENIOR CARE OF ROSEVILLE LLC

SUNRISE ASSISTED LIVING OF ROSEVILLE

SUNRISE ASSISTED LIVING OF ROSEVILLE

SUNRISE OF ROSEVILLE

SUNRISE RESIDENTIAL SERVICES LLC

SYNERGY HOME CARE MSP METRO

TCHIDI'S HOUSE

THE ESTATES AT ROSEVILLE LLC

THE FRIENDSHIP HOME COMMUNITY

1129 COUNTY ROAD B2 WEST

197 COUNTY ROAD B2 WEST

2555 SNELLING AVENUE NORTH

2555 SNELLING AVENUE NORTH

2555 SNELLING AVENUE NORTH

216 MAPLE LANE WEST

2336 LEXINGTON AVENUE N STE L

3094 CLEVELAND AVENUE NORTH

2727 VICTORIA STREET NORTH

947 LYDIA DRIVE WEST

ROSEVILLE, MN 55113

ROSEVILLE, MN 55113

ROSEVILLE, MN 55113

ROSEVILLE, MN 55113

ROSEVILLE, MN 55113

ROSEVILLE, MN 55113

ROSEVILLE, MN 55113

ROSEVILLE, MN 55113

ROSEVILLE, MN 55113

ROSEVILLE, MN 55113

651/358-3188

651/770-2273

651/636-4800

651/636-4800

651/636-4800

206/458-3553

612/455-2585

952/848-0935

651/483-5431

651/398-2294

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

COMP

COMP

NH-150

COMP

SNF-NF-150

(34622)

(33954)

(21410)

(22361)

(21410)

(34247)

(26669)

(35366)

(00497)

(24337)

FAX: 651/331-4387

FAX: 651/964-1690

FAX: 651/636-4809

FAX: 651/646-4809

FAX: 651/636-4809

FAX: 612/314-8590

FAX: 855/319-9875

FAX: 952/920-6929

FAX: 651/486-2461

FAX: 651/528-6216

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

MOHAMED GARDAD

AUDREY MCELWAIN

CARLA SELLNER

CARLA SELLNER

CARLA SELLNER

TUFAH MOALLIN

JAMES ZENK

LUIS OROZCO

JILL LUBBESMEYER

VICTORIA JOHANSSON

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL-O

HWS-O

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445

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Directory of Facilities and Services

Page

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RAMSEY

THE FRIENDSHIP HOME COMMUNITY

THE FRIENDSHIP HOME COMMUNITY - ROSELAWN

THE FRIENDSHIP HOME COMMUNITY LLC - OWASSO

THE FRIENDSHIP HOME COMMUNITY, LLC

THE GOOD SAMARITAN NURSE

THE PRESERVE OF ROSEVILLE

THE PRESERVE OF ROSEVILLE

TOUCHING HEARTS AT HOME ST. PAUL

ACR HOME ON DAWN

AXIS ON GLENHILL

947 LYDIA DRIVE WEST

500 ROSELAWN AVENUE WEST

567 OWASSO HILLS DRIVE

947 LYDIA DRIVE WEST

656 SHRYER AVENUE WEST

2600 DALE STREET NORTH

2600 DALE STREET NORTH

2233 HAMLINE AVENUE NORTH #209

191 DAWN AVENUE

1083 GLENHILL ROAD

ROSEVILLE, MN 55113

ROSEVILLE, MN 55113

ROSEVILLE, MN 55113

ROSEVILLE, MN 55113

ROSEVILLE, MN 55113

ROSEVILLE, MN 55113

ROSEVILLE, MN 55113

ROSEVILLE, MN 55113

SHOREVIEW, MN 55126

SHOREVIEW, MN 55126

651/398-2294

651/398-2294

651/398-2294

651/398-2294

612/772-4020

800/385-2527

800/385-2527

651/452-6825

651/486-0380

651/482-0562

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Corp

COMP

TCOMP

SLFB-4

SLFB-4

ICFIID-4

ICFIID-4

(30530)

(26201)

(32887)

(24337)

(35223)

(35677)

(36021)

(27544)

(01620)

(22370)

FAX: 651/528-6216

FAX: 651/528-6216

FAX: 651/398-2294

FAX: 651/528-6216

FAX: 612/206-8282

FAX: /-

FAX: 319/362-3067

FAX: 651/236-8279

FAX: 651/486-7767

FAX: 651/482-0482

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

VICTORIA JOHANSSON

VICTORIA JOHANSSON

VICTORIA JOHANSSON

VICTORIA JOHANSSON

SYED HUSSAIN

ANNALISHA PEREZ

ANNALISHA PEREZ

JARROD PETERSON

GENE LEISTICO

DOROTHY WROBEL

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL

Home Mgmt

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Page

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RAMSEY

DUNGARVIN CAMARA

KIND HEART CARE HOME

KIND HEART CARE HOME INC

LAKE OWASSO RESIDENCE

SANCTUARY HEALTHCARE SERVICES

SHOREVIEW SENIOR LIVING

SHOREVIEW SENIOR LIVING

SPEAK RIGHT NOW, LLC

ST THERESE AT ST. ODILIA

ST THERESE HOME, INC

3989 VIRGINIA CIRCLE

1049 GLEN PAUL COURT

1049 GLEN PAUL COURT

210 OWASSO BOULEVARD NORTH

224 NORTH OWASSO BOULEVARD

4710 CUMBERLAND STREET

4710 CUMBERLAND STREET

439 CAROL LANE

3500 VIVIAN AVENUE

3500 VIVIAN AVENUE

SHOREVIEW, MN 55126

SHOREVIEW, MN 55126

SHOREVIEW, MN 55126

SHOREVIEW, MN 55126

SHOREVIEW, MN 55126

SHOREVIEW, MN 55126

SHOREVIEW, MN 55126

SHOREVIEW, MN 55126

SHOREVIEW, MN 55126

SHOREVIEW, MN 55126

651/699-6050

763/269-9830

763/269-9830

651/765-7703

763/400-4430

651/484-9822

651/484-9822

612/308-6132

651/842-6781

651/842-6780

Lim-Liab

Corp

Corp

Cnty

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

NProf

NProf

SLFA-5

COMP

SLFB-64

COMP

COMP

COMP

ICFIID-64

(24104)

(35192)

(34859)

(00831)

(34805)

(28875)

(28874)

(28275)

(28348)

(27661)

FAX: 651/699-7265

FAX: 651/286-3111

FAX: /-

FAX: 651/765-7722

FAX: 612/607-7820

FAX: 651/454-4783

FAX: 651/486-6270

FAX: 651/414-9339

FAX: 651/842-6653

FAX: 651/842-6653

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

KAREN HAMMOND

MOHAMED SUBANE

MOHAMED SUBANE

KEVIN THOMPSON

OLUWAKEMI AJAYI

KELLY MYERS

KELLY MYERS

JENNIFER ELTON

NOLAY FREEMAN

BARB RODE

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWS

HWS

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447

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RAMSEY

WINGSPAN LIFE RESOURCES

ZUBEER GROUP HOME LLC

ZUBEER GROUP HOME LLC

ENHANCE LIVING INC

SISTERS ASSISTANT LIVING CARE LLC

CHANDLER PLACE

CHANDLER PLACE HOME HEALTH CARE

PREMIER HEALTH HOMES INC

ACCESS MINNESOTA LLC

1 BEST CARE INC

707 HARRIET AVENUE EAST

1567 COUNTY ROAD I

1567 COUNTY ROAD I

1377 SEARLE STREET

2233 HAMLINE AVENUE NORTH

3701 CHANDLER DRIVE

3701 CHANDLER DRIVE

2817 ANTHONY LANE SOUTH # 205

334 37TH AVENUE

2161 UNIVERSITY AVENUE W #202

SHOREVIEW, MN 55126

SHOREVIEW, MN 55126

SHOREVIEW, MN 55126

ST PAUL, MN 55130

ST PAUL, MN 55113

ST ANTHONY, MN 55421

ST ANTHONY, MN 55421

ST ANTHONY VILLAGE, MN 55418

ST CLOUD, MN 56303

ST PAUL, MN 55114

651/646-3846

619/763-0751

619/763-0751

651/447-8430

619/846-8860

612/788-7321

612/788-7321

651/307-9898

612/501-0484

651/294-3047

NProf

Lim-Liab

Lim-Liab

Corp

Lim-Liab

Part

Part

Corp

Lim-Liab

Corp

SLFA-6

TCOMP

COMP

COMP

COMP

COMP

COMP

TCOMP

COMP

ICFIID-6

(01287)

(35424)

(35989)

(34579)

(34580)

(20047)

(20047)

(29924)

(35387)

(29464)

FAX: 651/646-2347

FAX: /-

FAX: /-

FAX: 651/447-8430

FAX: /-

FAX: 612/913-5370

FAX: 612/913-5370

FAX: /-

FAX: 651/927-0085

FAX: 651/647-4352

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

THERESE DAVIS

HAMDA FARAH

HAMDA SALEBAN FARAH

NATOSHA STONE

MOHAMED GARDAD

JEAN COLE

JEAN COLE

LIIBAAN FARAH

GARAT IBRAHIM

JESSICA BORCHARDT

---------------------------********** --------------------------(Cont.)*

HWSAL-O

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Page

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RAMSEY

ABBEYCARE, INC.

ABRAHAM'S BOSOM CARE LLC

ABRAHAM'S BOSOM CARE LLC

ACCESSIBLE SPACE INC 1

ACCESSIBLE SPACE INC 3

ACCESSIBLE SPACE INC 4

ACCESSIBLE SPACE INC NO

ACCESSIBLE SPACE INC SO

ALPINE HOME HEALTH LLC

AMY JOHNSON RESIDENCE

1148 GRAND AVENUE

437 TOWER STREET

437 TOWER STREET

2550 UNIVERSITY AVE W STE 330N

2550 UNIVERSITY AVE W STE 330N

2550 UNIVERSITY AVE W STE 330N

2550 UNIVERSITY AVE W STE 330N

2550 UNIVERSITY AVENUE W #330N

1543 COMO AVENUE #101B

89 VIRGINIA STREET

ST PAUL, MN 55105

ST PAUL, MN 55119

ST PAUL, MN 55119

ST PAUL, MN 55114

ST PAUL, MN 55114

ST PAUL, MN 55114

ST PAUL, MN 55114

ST PAUL, MN 55114

ST PAUL, MN 551082562

ST PAUL, MN 55102

651/690-5352

651/428-9170

651/428-9170

651/645-7271

651/645-7271

651/645-7271

651/645-7271

651/645-7271

651/444-5999

651/224-3363

Corp

Lim-Liab

Lim-Liab

NProf

NProf

NProf

NProf

NProf

Lim-Liab

Corp

COMP

TCOMP

COMP

COMP

COMP

COMP

COMP

TCOMP HCBS

BCH-25 COMP

(03799)

(35340)

(35624)

(24380)

(24382)

(25489)

(24379)

(27312)

(35735)

(00777)

FAX: 651/209-8065

FAX: /-

FAX: 651/447-2098

FAX: 651/645-0541

FAX: 651/645-0541

FAX: 651/645-0541

FAX: 651/645-0541

FAX: 651/645-0541

FAX: 651/444-5279

FAX: 651/290-2600

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

LILIYA GOKHBERG

ABRAHAM WOLFE

ABRAHAM WOLFE

STEPHEN VANDER SCHAAF

STEPHEN VANDER SCHAAF

STEPHEN VANDER SCHAAF

STEPHEN VANDER SCHAAF

STEPHEN VANDER SCHAAF

TODD WACKERFUSS

DONETTA JOHNSON

---------------------------********** --------------------------(Cont.)*

HWSAL-O

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449

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Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

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RAMSEY

AMY JOHNSON RESIDENCE

ASSURED WELLNESS LLC

ASSURED WELLNESS LLC

ATHANOR HOUSING AND RESIDENTIAL SERVICES INC

AURORA ASSISTED LIVING LLC

AVALON HOSPICE MINNESOTA, LLC

BEST CHOICE HOME HEALTHCARE LLC

CAPITOL VIEW TRANSITIONAL CARE

CARE HOME CARE

CARE PLANNERS HOME HEALTH CARE LLC

89 VIRGINIA STREET

468 TOWER STREET

468 TOWER STREET

266 WINIFRED STREET EAST

115 MAGNOLIA AVENUE WEST

555 PARK ST STE 320

1261 PAYNE AVENUE STE # 102

640 JACKSON STREET

1955 UNIVERSITY AVE STE #208

346 LARPENTEUR AVENUE WEST

ST PAUL, MN 55102

ST PAUL, MN 55119

ST PAUL, MN 55119

ST PAUL, MN 55107

ST PAUL, MN 55117

ST PAUL, MN 55117

ST PAUL, MN 55130

ST PAUL, MN 55101

ST PAUL, MN 55104

ST PAUL, MN 55113

651/224-3363

651/336-9099

651/336-9099

651/600-0701

651/233-8188

612/361-0022

651/340-0825

651/254-0400

651/644-6000

651/645-9887

Corp

Lim-Liab

Lim-Liab

Corp

Lim-Liab

Lim-Liab

Lim-Liab

NProf

Corp

Lim-Liab

COMP

COMP

TCOMP

Hospice

BASIC

NH-32

COMP

BASIC

HSPICE

SNF-32

(30229)

(34495)

(34272)

(33085)

(35825)

(34256)

(34508)

(00498)

(32422)

(27330)

FAX: 651/290-2600

FAX: /-

FAX: 651/493-9147

FAX: 651/705-7060

FAX: /-

FAX: 844/587-4798

FAX: /-

FAX: 651/254-0422

FAX: 651/645-1976

FAX: 651/645-9884

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

DONETTA JOHNSON

LINDA RUSHING

LINDA RUSHING

PHINEAS VANG

PANG VANG

BRYCE BEHRENS

JAMES YANG

MICHELLE MANGAN

ASAD MUSSE

CHRISTOPHER HANSON

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

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Page

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RAMSEY

CAREFOCUS CORPORATION

CAREFOCUS HEALTH INC

CARING HEART HOME HEALTHCARE

CARING HEART HOME HEALTHCARE,

CARING ROSE HOMES LLC

CARONDELET VILLAGE CARE CENTER

CENTRAL TOWERS

CENTRAL TOWERS LIMITED PARTNERSHIP

CERENITY - MARIAN OF ST. PAUL, LLC

CERENITY CARE CENTER ON HUMBOLDT

2429 UNIVERSITY AVE WEST #200

2429 UNIVERSITY AVENUE W #200A

1706 MARYLAND AVENUE EAST

1826 MARYLAND AVENUE EAST

1043 HAGUE AVENUE

525 FAIRVIEW AVENUE SOUTH

20 EAST EXCHANGE STREET

20 EAST EXCHANGE STREET

200 EARL STREET

512 HUMBOLDT AVENUE

ST PAUL, MN 55114

ST PAUL, MN 55114

ST PAUL, MN 55106

ST PAUL, MN 55119

ST PAUL, MN 55104

ST PAUL, MN 55116

ST PAUL, MN 55101

ST PAUL, MN 55101

ST PAUL, MN 55106

ST PAUL, MN 55107

651/925-5598

651/756-7932

612/584-4163

612/584-4163

440/832-1937

651/695-5000

651/215-4600

651/215-4600

651/793-2100

651/220-1700

Corp

Corp

Lim-Liab

Lim-Liab

Lim-Liab

NProf

Part

Part

ONProf

NProf

COMP

COMP HCBS

TCOMP

NH-45

COMP

NH-90

NH-117

HHA

SNF-NF-45

SNF-NF-90

SNF-NF-117

(02837)

(30581)

(34779)

(33972)

(35693)

(27189)

(27959)

(20319)

(00354)

(00538)

FAX: 651/925-5599

FAX: 651/200-4853

FAX: 952/303-4664

FAX: 612/298-8037

FAX: /-

FAX: 651/695-5001

FAX: 651/298-9317

FAX: 651/298-9317

FAX: 651/771-4509

FAX: 651/220-1755

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ADEWALE KOLEOSHO

ADEWALE KOLEOSHO

DARSHAE UNDERWOOD

DARSHAE UNDERWOOD

HODAN MAHAMUD

AMBER SALGUERO-MULLENBACH

JAN KOOMEN

KIRSTEN CARSON

KAY EMERSON

KRISTA SIDDIQUI

---------------------------********** --------------------------(Cont.)*

HWS-O

HWS-O

HWSAL

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RAMSEY

CERENITY CC MARIAN OF ST PAUL

CERENITY RESIDENCE ON HUMBOLDT

CERENITY RESIDENCE ON HUMBOLDT

CERENITY SENIOR CARE MARIAN

COMFORCARE HOME CARE ST PAUL

COMFORT KEEPERS - TWIN CITIES

COMPASSION HOME HEALTH CARE LLC

CRAWFORD SENIOR CARE

DELLWOOD GARDENS

DERMAN SENIOR CARE

225 FRANK STREET

514 HUMBOLDT AVENUE

514 HUMBOLDT AVENUE

225 FRANK STREET

420 SUMMIT AVENUE

275 EAST 4TH STREET, STE 345

1815 SUBURBAN AVENUE # 103

733 7TH STREET EAST

753 EAST 7TH STREET

2218 DOSWELL AVENUE

ST PAUL, MN 55106

ST PAUL, MN 55107

ST PAUL, MN 55107

ST PAUL, MN 55106

ST PAUL, MN 55102

ST PAUL, MN 55101

ST PAUL, MN 55119

ST PAUL, MN 55106

ST PAUL, MN 55106

ST PAUL, MN 55108

651/793-2100

651/220-1700

651/220-1718

651/793-2100

651/237-7727

651/796-2540

612/424-2446

651/774-9979

651/776-9511

612/517-4611

NProf

NProf

NProf

NProf

Corp

Lim-Liab

Lim-Liab

Corp

Lim-Liab

Corp

COMP

COMP

COMP

COMP

COMP HCBS

COMP

BASIC

COMP

COMP

(20167)

(20269)

(30462)

(20167)

(32339)

(35508)

(32619)

(28142)

(29952)

(29612)

FAX: 651/495-1815

FAX: 651/220-1724

FAX: 651/220-1724

FAX: 651/495-1815

FAX: 651/383-4145

FAX: 651/796-2545

FAX: 651/256-2998

FAX: 651/348-2897

FAX: /-

FAX: 612/435-9735

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

NOELLE KLUND

WILLIAM WELLNER

WILLIAM WELLNER

NOELLE KLUND

KIM KIRMEIER

LARVEL BUNKER

SYLVESTER MUTISYA

JUDY GUSTAFSON

COURTNEY BLOMQUIST

DAHIR NUR

---------------------------********** --------------------------(Cont.)*

HWSAL

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452

Facility/Service Owner Licensure Certification

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Page

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RAMSEY

DUNGARVIN - TIKVAH

ENHANCE LIVING INC

EPISCOPAL CHURCH HOME - THE GARDENS

EPISCOPAL CHURCH HOME OF MINNESOTA

EQUITY SERVICES OF SAINT PAUL, INC.

ESSLING'S HOME PLUS INC

ESSLINGS HOMES PLUS INC

EXPRESS HOME HEALTH CARE

GALTIER A VILLA CENTER

GENEROUS HOME CARE SERVICES INC

1778 ROME AVENUE

1377 SEARLE STREET

1860 UNIVERSITY AVENUE WEST

1879 FERONIA AVENUE

1169 RICE STREET

2197 BONNIE LANE

2187 BONNIE LANE

1148 ARCADE STREET

445 GALTIER STREET

755 SELBY AVENUE #110

ST PAUL, MN 55116

ST PAUL, MN 55130

ST PAUL, MN 55104

ST PAUL, MN 55104

ST PAUL, MN 55117

ST PAUL, MN 55119

ST PAUL, MN 55119

ST PAUL, MN 55106

ST PAUL, MN 55103

ST PAUL, MN 55104

651/699-6050

651/447-8430

651/632-8801

651/209-8519

651/489-4656

651/735-7259

651/735-7259

651/776-9910

651/224-1848

612/235-1680

Lim-Liab

Corp

Lim-Liab

NProf

NProf

Corp

Corp

Corp

Lim-Liab

Corp

SLFA-6

NH-60

NH-81 BCH-50

COMP

COMP

NH-107

TCOMP

SNF-NF-60

SNF-NF-81 NF2-50

HHA

SNF-NF-107

(01368)

(35136)

(30004)

(00486)

(02531)

(32166)

(20271)

(21956)

(00480)

(34867)

FAX: 651/699-7265

FAX: 651/447-8430

FAX: 651/272-4950

FAX: 651/646-2079

FAX: 651/489-4811

FAX: 651/730-1667

FAX: 651/730-1667

FAX: 651/776-9181

FAX: 651/224-9613

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

KAREN HAMMOND

NATOSHA STONE

KEANAN FRANCO

MELISSA SCHNEIDER

ALISHA JASINSKI

ROBIN RENO

ROBIN RENO

MAIYER VANG

STEPHANIE QUAM

SUCDI AHMED

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWSAL

HWSAL

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Page

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RAMSEY

HAMLINE HI RISE

HEALING HOMES LIVING SERVICES

HEARTS HOME CARE LLC

HIGHLAND GW LLC

HIGHLAND GW LLC

HUMAN CARE, INC

IMMACULATE HOME CARE LLC

IN HOME PERSONAL CARE HOME HEALTH

INSPIRE CARE INC

LYNGBLOMSTEN SERVICES, INC.

777 HAMLINE AVENUE NORTH

83 COOK AVENUE

625 SNELLING AVE UNIT A #1

1925 GRAHAM AVENUE

1925 GRAHAM AVENUE

450 SYNDICATE STREET N #380

1390 BEECH STREET

275 EAST 4TH STREET #781

1520 CONCORDIA AVENUE

1415 ALMOND AVENUE

ST PAUL, MN 55104

ST PAUL, MN 55117

ST PAUL, MN 55104

ST PAUL, MN 55116

ST PAUL, MN 55116

ST PAUL, MN 55104

ST PAUL, MN 55106

ST PAUL, MN 55101

ST PAUL, MN 55104

ST PAUL, MN 55108

651/292-6072

651/583-5153

763/316-6141

651/287-0265

651/287-0265

651/999-5733

651/666-2135

763/546-1000

651/621-0722

651/646-2941

HRA

Lim-Liab

Part

Lim-Liab

Lim-Liab

Corp

Lim-Liab

Corp

Corp

Church

TCOMP HCBS

COMP

COMP

COMP HCBS

COMP HCBS

COMP

COMP

COMP

(20541)

(35741)

(29909)

(31288)

(31337)

(32725)

(33672)

(03278)

(35181)

(03381)

FAX: 651/298-5666

FAX: /-

FAX: 866/807-7293

FAX: 651/287-0266

FAX: 651/287-0266

FAX: 651/999-5735

FAX: 651/666-2137

FAX: /-

FAX: /-

FAX: 651/646-8360

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

TARA JOHNSON

CHIKIO RICHMOND

OGBITSE ATAKE

RHONDA SCHILLINGER

RHONDA SCHILLINGER

SIRAD OSMAN

KAYODE TAIWO

ERIN GOVRIK

MUNIRA ADAM

JANET BYRNES

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

Page 491: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

454

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

RAMSEY

MAMAE CARE INC

MAXIMUM HOME CARE SERVICES LLC

MINNESOTA WELLNESS CENTER LLC

MULTICULTURAL CARE CENTER LLC

NAJMA GROUP HOME LLC

NATIONAL HOME HEALTHCARE, INC.

NEW PERSPECTIVE - HIGHLAND PARK

NEW PERSPECTIVE - HIGHLAND PARK

OLU'S HOME INC

OLUS HOME INC

1191 ABEMARLE ST

1577 NEVADA AVENUE

808 BERRY STREET # 208

1821 W UNIVERSITY AVENUE #S292

494 AURORA AVENUE

1731 SELBY AVENUE

750 MISSISSIPPI RIVER BLVD

750 MISSISSIPPI RIVER BLVD

1850 7TH STREET EAST

1850 7TH STREET EAST

ST PAUL, MN 55117

ST PAUL, MN 55106

ST PAUL, MN 55114

ST PAUL, MN 55104

ST PAUL, MN 55103

ST PAUL, MN 55104

ST PAUL, MN 55116

ST PAUL, MN 55116

ST PAUL, MN 55119

ST PAUL, MN 55119

507/357-8287

651/353-8964

612/618-5841

651/493-1271

651/797-2849

651/644-7037

651/698-1111

651/698-1111

612/824-1142

612/824-1142

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Lim-Liab

Lim-Liab

Corp

Corp

COMP

COMP

TCOMP

TCOMP

COMP HCBS

COMP

COMP

(37131)

(26758)

(33909)

(35777)

(35284)

(29113)

(20168)

(29564)

(28291)

(35381)

FAX: /-

FAX: 651/330-2045

FAX: 651/646-0950

FAX: 651/493-1280

FAX: 651/347-1187

FAX: 657/644-7041

FAX: 651/698-8688

FAX: 651/698-8688

FAX: 612/824-1456

FAX: 612/824-1456

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

AYAN AHMED

MERCY AJAYI

UBAH SHIRWA

ABDIKARIM MOHAMED

KHADIJA SAID

YASSIN IBRAHIM

BETH LANDERS

LEXI CARL

ELIZABETH HIATT

ELIZABETH HIATT

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWSAL

HWSAL

Page 492: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

455

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

RAMSEY

OLYDIA HOME CARE INC

OTTAWA HOME HEALTH SERVICES

OTTAWA HOME HEALTH SERVICES LLC

OUR LADY OF PEACE HOME CARE

OVERCOMER HEALTHCARE SERVICE C

OVERCOMER HEALTHCARE SERVICE C

OVERCOMER HEALTHCARE SERVICE C

OVERCOMER HEALTHCARE SERVICE C

PEACEFUL LIVING

PEACEFUL LIVING SERVICES

476 WEST MINNEHAHA AVENUE

745 OTTAWA AVENUE

745 OTTAWA AVENUE

2076 ST ANTHONY AVENUE

1238 BIRMINGHAM STREET

1146 BREEN STREET

691 COTTAGE AVENUE EAST

1238 BIRMINGHAM STREET

1000 REANEY AVENUE

1000 REANEY AVENUE

ST PAUL, MN 55103

ST PAUL, MN 55107

ST PAUL, MN 55107

ST PAUL, MN 55104

ST PAUL, MN 55106

ST PAUL, MN 55106

ST PAUL, MN 55106

ST PAUL, MN 55126

ST PAUL, MN 55106

ST PAUL, MN 55106

612/703-6144

651/447-2162

612/242-9073

651/789-5030

651/500-6975

651/500-6975

651/500-6975

651/500-6975

651/207-5769

651/207-5769

Corp

Lim-Liab

Lim-Liab

NProf

Corp

Corp

Corp

Corp

Corp

Corp

COMP

COMP

COMP

COMP

COMP

COMP

HHA

(33618)

(34327)

(33861)

(23112)

(33635)

(34460)

(35411)

(33177)

(24993)

(24993)

FAX: /-

FAX: 612/314-8606

FAX: 612/314-8606

FAX: 651/789-0078

FAX: 651/460-9116

FAX: 651/460-9116

FAX: 651/460-9116

FAX: 651/460-9116

FAX: 612/435-9881

FAX: 612/435-9881

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

LYDIA NKWONKAM

LEONID FROLOV

LENNY FROLOV

NANCY LARSON

OLANIYI ODEKU

OLANIYI ODEKU

OLANIYI ODEKU

OLANIYI ODEKU

KALIA VANG

KALIA VANG

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWSAL-O

HWSAL-O

HWSAL-O

Page 493: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

456

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

RAMSEY

PEOPLE INCORPORATED LONDIN PLACE

PEOPLE INCORPORATED RUTH HOUSE

PERFECTION HEALTH CARE SVS,INC

QUALITY CARE SERVICES LLC

RAKHMA JOY HOME

RAMSEY HILL SENIOR LIVING, LLC

RAVOUX HI RISE

RESTFUL LIVING LLC

RESTFUL LIVING LLC

RICHANGEL CARE INC

384 LONDIN PLACE

246 RUTH STREET

1225 COOK AVENUE EAST

1247 ST ANTHONY AVENUE # 1306

123 SOUTH WHEELER

80 NORTH MACKUBIN STREET

280 RAVOUX STREET

399 RUTH STREET

399 RUTH STREET NORTH

66 KIPLING STREET

ST PAUL, MN 55119

ST PAUL, MN 55119

ST PAUL, MN 55106

ST PAUL, MN 55104

ST PAUL, MN 55105

ST PAUL, MN 55102

ST PAUL, MN 55103

ST PAUL, MN 55119

ST PAUL, MN 55119

ST PAUL, MN 55119

651/731-0821

651/207-5742

651/493-8585

612/913-1129

612/824-2345

651/492-6535

651/292-6072

651/478-7998

651/478-7998

651/414-9102

NProf

NProf

Corp

Lim-Liab

NProf

Lim-Liab

HRA

Lim-Liab

Lim-Liab

Corp

TCOMP

COMP

COMP

COMP

(21902)

(21908)

(34881)

(35506)

(20115)

(31559)

(20540)

(33263)

(33573)

(29149)

FAX: 651/209-6376

FAX: 651/330-4258

FAX: 651/493-8585

FAX: /-

FAX: 612/824-3165

FAX: /-

FAX: 651/298-5666

FAX: 651/478-7996

FAX: 651/478-7996

FAX: 651/340-9099

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JILL WIEDEMANN WEST

JILL WIEDEMANN WEST

ABDULKADIR M. OSMAN

ABDULLAHI BARRE

BRANDON SPEARS

KELLY MYERS

TARA JOHNSON

HLEE MOUA

HLEE MOUA

RICHARD IKERI

---------------------------********** --------------------------(Cont.)*

HWS-O

HWS-O

HWSAL-O

HWSAL

HWSAL-O

HWSAL

Page 494: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

457

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

RAMSEY

RICHANGEL CARE INC

RICHANGEL CARE INCORPORATED

RIVER OF LIFE RESIDENTIAL LIVING LLC

ROSEWOOD ESTATE - HIGHLAND

SAFE & COMPASSIONATE HOME CARE SERVICES INC

SCENIC HILLS ALTERNATIVE CARE

SCENIC HILLS ALTERNATIVE CARE

SERENITY HOME HEALTH CARE SYSTEM, INC

SEVEN HILLS SENIOR LIVING

SHEPARD PARK HOME CARE

66 KIPLING STREET

66 KIPLING STREET

45 BATTLE CREEK ROAD

750 MISSISSIPPI RIVER BLVD

2147 UNIVERSITY AVE W STE #205

2187 BONNIE LANE

2170 SNOWSHOE LANE

400 SELBY AVENUE STE M

733 SELBY AVENUE

1306 ALTON STREET

ST PAUL, MN 55119

ST PAUL, MN 55119

ST PAUL, MN 55119

ST PAUL, MN 55116

ST PAUL, MN 55114

ST PAUL, MN 55119

ST PAUL, MN 55119

ST PAUL, MN 55102

ST PAUL, MN 55104

ST PAUL, MN 55116

651/414-9102

651/414-9102

651/494-8101

651/698-1111

612/242-7344

651/735-7259

651/735-7259

651/493-4536

651/207-1881

651/695-2388

Corp

Corp

Lim-Liab

Lim-Liab

Corp

Corp

Corp

Corp

Lim-Liab

Corp

COMP

COMP

COMP

COMP HCBS

COMP

(34993)

(29149)

(30128)

(20168)

(34392)

(20271)

(23158)

(26753)

(34963)

(20169)

FAX: 651/340-9099

FAX: 651/340-9099

FAX: 651/714-8261

FAX: 651/698-8688

FAX: 651/917-0691

FAX: 651/730-1667

FAX: 651/730-1667

FAX: 651/493-4868

FAX: 651/207-1880

FAX: 651/695-2907

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ANGELA IKERI

RICHARD IKERI

GAILANN NEHOTTE

BETH LANDERS

LIBAN ELMI

ROBIN RENO

ROBIN RENO

MOHAMED ALBERT

ALEES GLEASON

LISA MOE

---------------------------********** --------------------------(Cont.)*

HWS

HWSAL

HWSAL

HWSAL

HWSAL

Page 495: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

458

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

RAMSEY

SHIRLEY CHAPMAN SHOLOM HOME EAST

SHOLOM HOSPICE

SPECIALIZED HOME HEALTH CARE INC

SUMMIT HILL SENIOR LIVING

SUMMIT HILL SENIOR LIVING

SUNLIGHT SENIOR LIVING

SUNLIGHT SENIOR LIVING

SUNLIGHT SERVICES, LLC

SUNSHINE CORPORATION

SUPPORTIVE LIVING SOLUTIONS WHITTIER PLACE

740 KAY AVENUE

740 KAY AVENUE

350 STEVENS STREET

1824 OLD HUDSON ROAD

1824 OLD HUDSON ROAD

400 WESTERN AVENUE

400 WESTERN AVENUE

440 VIRGINIA STREET

660 THOMAS AVENUE

2515 WABASH AVENUE # 300

ST PAUL, MN 55102

ST PAUL, MN 55102

ST PAUL, MN 55107

ST PAUL, MN 55119

ST PAUL, MN 55119

ST PAUL, MN 55103

ST PAUL, MN 55103

ST PAUL, MN 55103

ST PAUL, MN 55104

ST PAUL, MN 55114

651/328-2000

651/328-2091

651/398-1728

651/767-9572

651/767-9572

651/714-5056

651/714-5056

651/343-0080

720/499-9028

651/209-8490

NProf

NProf

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Lim-Liab

NH-118

Hospice

COMP

COMP

COMP

TCOMP

COMP

SNF-NF-118

HSPICE

(00496)

(25996)

(35861)

(28604)

(28605)

(27035)

(30672)

(23761)

(35658)

(21707)

FAX: 651/328-2070

FAX: 952/328-2077

FAX: 651/788-7994

FAX: 651/578-2186

FAX: 651/578-2186

FAX: 651/714-5059

FAX: 651/714-5059

FAX: 651/571-4894

FAX: /-

FAX: 651/209-8499

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ANDREA KREBS

ANN THOLE

PAY SOUNG

BRANDON MABB

CARYL NORDLAND

RAQUEL EDERY

RAQUEL EDERY

MAI VANG

MOTAS ISSE

JOE CUOCO

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

Page 496: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

459

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

RAMSEY

TAYLOR & MENSAH IN-HOME CARE INC

THE BLESSED HOME CARE

THE BLESSED HOME CARE

THE EMERALDS AT ST PAUL LLC

THE ENCORE AT MAHTOMEDI LLC

THE FRIENDSHIP PLACE LLC

THE FRIENDSHIP PLACE LLC

THE WELLINGTON/SHEPARD PARK HOME CARE

THREE STARS GROUP HOMES LLC

TWIN CITIES NURSING CARE, INC

23 EMPIRE DRIVE #101

2441 LINWOOD COURT EAST

2441 LINWOOD COURT EAST

420 MARSHALL AVENUE

720 MAHTOMEDI AVENUE

152 KING STREET WEST

152 KING STREET WEST

1306 ALTON STREET

630 VIRGINIA ST

1635 HAZEL STREET NORTH

ST PAUL, MN 55103

ST PAUL, MN 55119

ST PAUL, MN 55119

ST PAUL, MN 55102

ST PAUL, MN 55115

ST PAUL, MN 55107

ST PAUL, MN 55107

ST PAUL, MN 55116

ST PAUL, MN 55103

ST PAUL, MN 55119

651/724-2400

651/210-7190

651/210-7190

651/224-2368

651/528-8442

651/369-1401

651/369-1401

651/695-2388

651/788-7979

651/354-8081

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Lim-Liab

Corp

TCOMP HCBS

COMP

NH-116

COMP

COMP

COMP

COMP

SNF-NF-116

(34707)

(33793)

(34027)

(00913)

(35239)

(34171)

(34771)

(20169)

(35949)

(31252)

FAX: 651/600-3142

FAX: /-

FAX: 651/210-7190

FAX: 651/224-0140

FAX: /-

FAX: /-

FAX: 651/369-1402

FAX: 651/695-2907

FAX: /-

FAX: 651/797-4172

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

EKUA TAYLOR-KREGEGL

JANETTE LEE

JANETTE LEE

MICHAELA HAGENOW

THOMAS OSTROM

KOSHIN HASSAN

KOSHIN HASSAN

LISA MOE

DIRECT DEBESAY GIRMALUL

MAIXIA VANG

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL-O

HWSAL-O

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460

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

RAMSEY

TWINCITIES LOYAL HOLISTIC CARE LLC

V-CARE HOME HEALTH, INC.

VIETNAMESE MINNESOTANS ASSOCIATION

WHITTIER PLACE

WILDER HOME CARE

HOPE HOME CARE LLC

CHANDLER PLACE

ST. ANTHONY HEALTH & REHABILITATION

1-BELEVO HEALTH SERVICES

A HELPING HAND SENIOR CARE SER

1821 UNIVERSITY AVENUE W #107

1049 PAYNE AVENUE

1030 UNIVERSITY AVE # 1304

2515 WABASH AVENUE # 300

451 LEXINGTON PARKWAY NORTH

1821 UNIVERSITY AVENUE SE # 15

3701 CHANDLER DRIVE NE

3700 FOSS ROAD NE

1064 DALE STREET

778 BLAIR AVENUE

ST PAUL, MN 55104

ST PAUL, MN 55130

ST PAUL, MN 55104

ST PAUL, MN 55114

ST PAUL, MN 55104

ST. PAUL, MN 55104

ST. ANTHONY, MN 55421

ST. ANTHONY, MN 55421

ST. PAUL, MN 55107

ST. PAUL, MN 55104

612/227-6423

651/793-7635

651/290-4791

651/209-8490

651/280-2500

612/806-5705

612/788-7321

612/788-9673

651/448-4221

612/255-3110

Lim-Liab

Corp

NProf

Lim-Liab

NProf

Lim-Liab

Part

Part

Lim-Liab

Lim-Liab

COMP

COMP

COMP

COMP

COMP

COMP

NH-140 SNF-NF-140

(33803)

(28359)

(27589)

(21707)

(20812)

(33518)

(30321)

(00522)

(36177)

(33209)

FAX: 651/389-9390

FAX: 651/793-7659

FAX: 651/290-4785

FAX: 651/209-8499

FAX: 651/224-6906

FAX: 651/340-9827

FAX: 612/913-5370

FAX: 612/788-0104

FAX: 651/448-4221

FAX: 612/255-3115

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

SAID GURE

SUE XIONG

STEPHANIE WAITE-TRANBERG

JOE CUOCO

MAUREEN KENNEY

HIBO ABDI

CRAIG EDINGER

SCOTT WILHELM

BRITTANY MCMILLEN

JAMA MOHAMOD

---------------------------********** --------------------------(Cont.)*

HWSAL

HWS-O

HWSAL

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461

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

RAMSEY

A&A RELICABLE HOME HEALTH CARE

A-1 RELIABLE HOME CARE INC

A-1 RELIABLE HOME CARE INC

AARAN CARE INC

ACCESSIBLE SPACE INC 2

ALCORDIA CARE LLC

AMERIGRACE HOME CARE LLC

AMERIGRACE HOME CARE LLC

AMRTC - COMO COMMUNITY UNIT

ARKHAVEN HOME CARE LLC

1821 UNIVERSITY AVE W STE #295

1608 CARROLL AVENUE

2353 RICE STREET STE 107

660 JESSAMINE AVENUE EAST

2550 UNIVERSITY AVE W STE 330N

1356 SEARLE ST.

890 CLARENCE STREET

1852 AMES AVENUE

690 COMO AVENUE

1821 UNIVERSITY AVENUE W #120

ST. PAUL, MN 55104

ST. PAUL, MN 55104

ST. PAUL, MN 55113

ST. PAUL, MN 55106

ST. PAUL, MN 55114

ST. PAUL, MN 55130

ST. PAUL, MN 55106

ST. PAUL, MN 55119

ST. PAUL, MN 55103

ST. PAUL, MN 55104

651/470-9549

952/393-7857

952/393-7857

612/250-3371

651/645-7271

612/772-4141

651/734-3183

651/734-3183

651/558-2187

651/478-6080

Lim-Liab

Corp

Corp

Corp

NProf

Lim-Liab

Lim-Liab

Lim-Liab

State

Lim-Liab

COMP

COMP

COMP

SLFA-16

TCOMP

(29141)

(33415)

(28659)

(36039)

(24381)

(36955)

(37051)

(36548)

(04307)

(35763)

FAX: 651/493-2930

FAX: 651/766-5275

FAX: 952/881-2868

FAX: /-

FAX: 651/645-0541

FAX: /-

FAX: 651/459-0138

FAX: 651/459-0138

FAX: 651/558-2230

FAX: 651/478-6083

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ABRAHAM DALU

DEBORAH OJOGWU

DEBORAH OJOGWU

SAHRA MOHMOUD

STEPHEN VANDER SCHAAF

SAHARA ABDI

GRACE OYEFESOBI

GRACE OYEFESOBI

DAMIR UTRZAN

YAHYA ALI

---------------------------********** --------------------------(Cont.)*

HWS

HWS-O

HWSAL-O

HWSAL

HWSAL

Page 499: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

462

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

RAMSEY

ASSURED WELLNESS LLC

ATHANOR ST PAUL

AURORA ASSISTED LIVING LLC

BATTLE CREEK CARE HOME

BENTSON FAMILY ASSISTED LIVING RESIDENCE

BETTER LIVING RESIDENTIAL CARE

BLUE MOON CENTER LLC

BLUE MOON CENTER LLC

CAPITAL HOME HEALTH CARE LLC

CARE PLUS H.H.A., INC.

464 TOWER STREET

266 WINIFRED STREET EAST

115 MAGNOLIA AVENUE WEST

45 BATTLE CREEK ROAD

730 KAY AVENUE

801 SELBY AVENUE

1656 ROSS AVENUE

985 5TH STREET EAST

263 BURGESS ST.

1299 ARCADE STREET STE # 100

ST. PAUL, MN 55119

ST. PAUL, MN 55107

ST. PAUL, MN 55117

ST. PAUL, MN 55119

ST. PAUL, MN 55102

ST. PAUL, MN 55104

ST. PAUL, MN 55106

ST. PAUL, MN 55106

ST. PAUL, MN 55117

ST. PAUL, MN 55106

651/336-9099

651/600-0701

651/233-8188

651/494-8101

651/328-2000

952/885-2098

612/483-0961

612/483-0961

612/886-7411

763/529-5520

Lim-Liab

Corp

Lim-Liab

Lim-Liab

NProf

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

TCOMP

COMP HHA

(37044)

(33679)

(36910)

(30129)

(26406)

(36891)

(35713)

(37052)

(36835)

(02387)

FAX: /-

FAX: 651/705-7060

FAX: /-

FAX: 651/714-8261

FAX: 651/328-2174

FAX: 952/686-6025

FAX: /-

FAX: /-

FAX: 612/315-5918

FAX: 763/529-5521

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

LINDA RUSHING

PHINEAS VANG

PANG VANT

GAILANN NEHOTTE

ANDREA KREBS

SAEED BARRE

AHMED HASSAN

AHMED HASSAN

SADIK BASHIR

MAINHIA VANG

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL

HWS

HWSAL-O

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463

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

RAMSEY

CARE PLUS HOME CARE

CAREMATE HOME HEALTH CARE, INC.

CAREPOINT HOME INC

CARING ROSE HOMES INC.

CARONDELET VILLAGE

CARONDELET VILLAGE BETHANY COMMONS AND PINE ARBOR

CERENITY RESIDENCE MARIAN OF SAINT PAUL

CERENITY SENIOR CARE MARIAN OF ST. PAUL

CONGREGATE HOUSING SERVICES PROGRAM

CORNELIA HOUSE

393 NORTH DUNLAP STREET #400A

2236 MARSHALL AVENUE

957 PROSPERITY AVENUE

1043 HAGUE AVENUE

525 FAIRVIEW AVENUE SOUTH

525 FAIRVIEW AVENUE SOUTH

225 FRANK STREET

200 EARL STREET

555 WABASHA STREET NORTH # 400

1840 UNIVERSITY AVENUE WEST

ST. PAUL, MN 55104

ST. PAUL, MN 55104

ST. PAUL, MN 55106

ST. PAUL, MN 55104

ST. PAUL, MN 55116

ST. PAUL, MN 55116

ST. PAUL, MN 55106

ST. PAUL, MN 55106

ST. PAUL, MN 55102

ST. PAUL, MN 55104

651/739-6933

651/659-0208

651/387-4134

440/832-1937

651/695-5000

651/695-5000

651/793-2100

651/793-2100

651/292-6035

651/288-3931

Corp

Corp

Corp

Lim-Liab

Lim-Liab

Lim-Liab

NProf

ONProf

ONProf

NProf

TCOMP HCBS

COMP

COMP

HHA

(35725)

(03323)

(35745)

(36815)

(29085)

(28388)

(21947)

(35970)

(03538)

(26979)

FAX: 651/714-9213

FAX: 651/659-0161

FAX: /-

FAX: /-

FAX: 651/695-5001

FAX: 651/695-5001

FAX: 651/771-4509

FAX: 651/495-1915

FAX: 651/695-3723

FAX: 651/288-5084

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

REH-REH USMANU

TIM KORAN

SADIIQ MACALIN

HODAN MAHAMUD

JAN KOOMEN

ANNE O'CONNOR

NOELLE KLUND

KEY SCHUMACHER

MELONIE HAGMAN

MARVIN PLAKUT

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL-O

HWSAL

HWSAL

HWSAL

Home Mgmt

HWS

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464

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

RAMSEY

DELLWOOD GARDENS

DIVINE HEALTHCARE NETWORK

DOSWELL HOME

DUNGARVIN - BALBRIGGEN

ENHANCED CARE ASSISTED LIING, LLC

ENHANCED CARE ASSISTED LIVING, LLC

ENHANCED CARE ASSISTED LIVING, LLC

ENHANCED CARE ASSISTED LIVING, LLC

ENHANCED CARE ASSISTED LIVING, LLC

EPISCOPAL HOME CARE AND SERVICES

753 EAST 7TH STREET

856 UNIVERSITY AVENUE WEST

2218 DOSWELL AVENUE

1270 EAST LARPENTEUR AVENUE

1976 MINNEHAHA AVENUE EAST

1304 REANEY AVENUE

1586 BEECH STREET

1806 7TH STREET EAST

1340 DESOTO STREET

490 EAST LYNNHURST AVENUE

ST. PAUL, MN 55106

ST. PAUL, MN 55104

ST. PAUL, MN 55108

ST. PAUL, MN 55109

ST. PAUL, MN 55119

ST. PAUL, MN 55106

ST. PAUL, MN 55107

ST. PAUL, MN 55119

ST. PAUL, MN 55130

ST. PAUL, MN 55104

651/776-9511

651/665-9795

651/207-5887

651/699-6050

/-

651/302-2717

651/320-2717

651/302-2717

651/302-2717

651/632-8808

Lim-Liab

Corp

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

NProf

COMP

SLFA-5

COMP HCBS

HHA

(29953)

(03484)

(34515)

(01182)

(37164)

(37162)

(37166)

(37165)

(37160)

(27670)

FAX: 651/776-9518

FAX: 651/665-9796

FAX: 612/435-9735

FAX: 651/699-7265

FAX: /-

FAX: /-

FAX: /-

FAX: /-

FAX: /-

FAX: 651/632-8531

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

COURTNEY BLOMQUIST

ISAAC OBI

DAHIR NUR

KAREN HAMMOND

AMANDA MORRISON

AMANDA MORRISON

AMANDA MORRISON

AMANDA MORRISON

AMANDA MORRISON

STEVE MORK

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL-O

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL

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465

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

RAMSEY

FMCNA NEW BRIGHTON DIALYSIS CENTER

FRESENIUS MEDICAL CARE MIDWAY

FRESENIUS MEDICAL OF ST. PAUL

GILLETTE CHILDREN'S SPECIALTY HOSPITAL

GLOBAL CASE MGMT-EAST ST. PAUL

GRANNY'S HELPFUL HANDS LLC

HARRY & JEANETTE WEINBERG APARTMENTS

HAYES RESIDENCE

HAZEL SENIOR LIVING LLC

HEALING HOMES LIVING SERVICES LLC

2910 CENTRE POINT DRIVE

1690 UNIVERSITY AVE W STE B100

445 ETNA STREET STE 60

200 UNIVERSITY AVENUE EAST

217 WINIFRED STREET EAST

565 SMITH AVENUE

760 PERLMAN STREET

1620 RANDOLPH AVENUE

1109 HAZEL STREET NORTH

83 COOK AVENUE WEST

ST. PAUL, MN 55113

ST. PAUL, MN 55104

ST. PAUL, MN 55106

ST. PAUL, MN 55101

ST. PAUL, MN 55107

ST. PAUL, MN 55107

ST. PAUL, MN 55102

ST. PAUL, MN 55105

ST. PAUL, MN 55119

ST. PAUL, MN 55117

651/631-0885

651/917-0081

651/251-3847

651/578-5611

763/999-6914

612/824-1177

651/328-2000

651/690-4458

651/600-4403

651/583-5153

Corp

Corp

Corp

NProf

Lim-Liab

Lim-Liab

NProf

Corp

Lim-Liab

Lim-Liab

HOSP-60

BCH-40

ESRD

ESRD

ESRD

HOSP-60

NF2-40

(04296)

(23762)

(23523)

(00488)

(34919)

(32803)

(33662)

(00928)

(36308)

(36561)

FAX: 651/631-1878

FAX: 651/917-0091

FAX: /-

FAX: 651/229-3844

FAX: 763/255-1482

FAX: 612/824-1177

FAX: 651/925-8067

FAX: 651/690-2787

FAX: 651/207-6774

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JENA ANDERBERG

TRACY MORGAN

FEDERICO SERRANO

BARBARA JOERS

YASIN ABSHIR

ROBIN STEPNEY

ANDREA KREBS

LAURA FAULKNER

KER VUE

CHIKIO RICHMOND

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWS-O

HWS

HWSAL

HWS-O

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466

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

RAMSEY

HEALTH FOUNDATIONS, LLC

HEALTHEAST BETHESDA HOSPITAL

HEALTHEAST HOSPICE

HEAVEN HOME CARE LLC

HELP HOME CARE, LLC

HERITAGE APARTMENTS, INC.

HIGHER GROUND ST PAUL RESIDENC

HIGHLAND CHATEAU HEALTH CARE CENTER

HIGHLAND PARK DIALYSIS

HOME SWEET HOME OF MINNESOTA

968 GRAND AVENUE

559 CAPITOL BOULEVARD

1700 UNIVERSITY AVENUE

1821 UNIVERSITY AVE W STE 149

99 LYON STREET

1440 MIDWAY PARKWAY

235 5TH STREET

2319 WEST 7TH STREET

1559 WEST 7TH STREET

519 HUMBOLDT AVENUE

ST. PAUL, MN 55105

ST. PAUL, MN 55103

ST. PAUL, MN 55104

ST. PAUL, MN 55104

ST. PAUL, MN 55106

ST. PAUL, MN 55108

ST. PAUL, MN 55102

ST. PAUL, MN 55116

ST. PAUL, MN 55102

ST. PAUL, MN 55107

651/895-2520

651/232-3000

651/232-3312

651/340-6456

612/227-7192

651/632-5428

651/647-2587

651/698-0793

651/222-7139

651/348-6211

Lim-Liab

NProf

NProf

Lim-Liab

Lim-Liab

NProf

NProf

Lim-Liab

Corp

Lim-Liab

B/C

HOSP-254

Hospice

COMP

NH-64

HOSP-254

HSPICE

SNF-NF-64

ESRD

(27753)

(00976)

(02353)

(31431)

(37077)

(20280)

(32850)

(00494)

(25766)

(34893)

FAX: 651/330-3768

FAX: 651/232-3518

FAX: 651/326-8105

FAX: 651/340-9827

FAX: 612/314-8404

FAX: 651/632-5451

FAX: /-

FAX: 651/698-0378

FAX: 651/224-3655

FAX: 651/528-7897

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

AMY JOHNSON-GRASS

JEOFF WILL

MICKI SCHAEFER

HIBO ABDI

MUHAMMED WAKO

MARY SIMON

TIFFANY MALONEY

CHAD KETCHAM

HEATHER SWANSON

PRESID ARNOLD KUBEI

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWS-O

HWSAL

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467

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

RAMSEY

HOME SWEET HOME OF MINNESOTA

IDAHO HOME

INDEPENDENT LIVING PLACEMENT

INSPIRE CARE INC

IRIS PARK COMMONS

LATITUDES TREATMENT CENTER, LLC

LEGEND HLTH CARE RESOURCES LLC

LEXINGTON LANDING

LIFETRACK RESOURCES

LITTLE SISTERS OF THE POOR

521 HUMBOLDT AVENUE

1731 IDAHO AVENUE EAST

327 FRONT AVENUE

1520 CONCORDIA AVENUE

1850 UNIVERSITY AVENUE WEST

1609 JACKSON STREET

393 NORTH DUNLAP STREET

900 OLD LEXINGTON PKWY SOUTH

709 UNIVERSITY AVENUE WEST

330 SOUTH EXCHANGE STREET

ST. PAUL, MN 55107

ST. PAUL, MN 55106

ST. PAUL, MN 55117

ST. PAUL, MN 55104

ST. PAUL, MN 55104

ST. PAUL, MN 55117

ST. PAUL, MN 55104

ST. PAUL, MN 55116

ST. PAUL, MN 55104

ST. PAUL, MN 55102

651/348-6211

651/666-2135

651/714-8674

773/627-1215

651/646-1026

651/454-2016

651/706-9933

651/432-4940

651/227-8471

651/227-0336

Lim-Liab

Lim-Liab

Corp

Corp

NProf

Lim-Liab

Lim-Liab

Lim-Liab

NProf

NProf

SLFA-20

COMP

BCH-33 NH-40

Out Pt Out St Out Ot

SNF-NF-40 NF2-33

(34894)

(34759)

(35395)

(35845)

(23247)

(29465)

(32387)

(36884)

(02090)

(00763)

FAX: 651/528-7897

FAX: 651/666-2137

FAX: 855/299-0858

FAX: /-

FAX: 651/632-8807

FAX: 651/488-5658

FAX: 651/348-8369

FAX: /-

FAX: /-

FAX: 651/227-5484

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PRESID ARNOLD KUBEI

KAYODE TAIWO

DAYANA VALMYR

MUNIRA ADAM

STEVE MORK

JANET JOHNSON

AHMED ANSHUR

DEBRA WAEDT

JOHN MOHR

SR. MARY ELIZABETH ANDERSON

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWSAL-O

HWSAL-O

HWS-O

HWSAL

HWSAL

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468

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

RAMSEY

LYNGBLOMSTEN APARTMENTS

LYNGBLOMSTEN CARE CENTER

MINNESOTA BIRTH CENTER

MINNESOTA ENDOSCOPY CENTER, LLC

NAJMA GROUP HOME LLC

NEW HARMONY CARE AND REHAB CENTER

NEW HOPE HOME CARE LLC

OUR LADY OF PEACE HOME

OUR LADY OF PEACE HOSPICE

OVERCOMER HEALTHCARE SERVICE CORPORATION

1455 ALMOND AVENUE

1415 ALMOND AVENUE

624 SMITH AVENUE

2635 UNIVERSITY AVENUE W #100

494 AURORA AVENUE

135 GERANIUM AVENUE EAST

1641 CONWAY STREET

2076 ST ANTHONY AVENUE

2076 ST ANTHONY AVENUE

1680 CALIFORNIA AVENUE EAST

ST. PAUL, MN 55108

ST. PAUL, MN 55108

ST. PAUL, MN 55107

ST. PAUL, MN 55114

ST. PAUL, MN 55103

ST. PAUL, MN 55117

ST. PAUL, MN 55106

ST. PAUL, MN 55104

ST. PAUL, MN 55104

ST. PAUL, MN 55106

651/632-5422

651/646-2941

651/689-3988

612/871-1145

651/808-3983

651/488-6658

651/399-1805

651/789-5049

651/789-5049

651/500-6975

NProf

Church

Corp

Lim-Liab

Lim-Liab

Church

Lim-Liab

NProf

NProf

Corp

NH-225

B/C

Outpt Surg

NH-76

TCOMP

RES-HSPICE-21

RES-HSPICE-21

SNF-NF-225

Amb Surg

SNF-NF-76

(20250)

(00501)

(31435)

(31169)

(35611)

(00492)

(35335)

(21131)

(21131)

(36702)

FAX: 651/632-5440

FAX: 651/646-8360

FAX: 612/224-9622

FAX: 612/870-5491

FAX: /-

FAX: 651/488-7587

FAX: /-

FAX: 651/789-0690

FAX: 651/789-0690

FAX: 651/460-9116

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JILL HULT

BRENDA JOHNSON

CLAUDIA JENNINGS

SCOTT KETOVER

NAJMO MOHAMED

BECKY HOLMGREN

ALEWYA IBRAHIM

JOE STANISLAV

JOE STANISLAV

OLANIYI ODEKU

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL-O

HWSAL

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469

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

RAMSEY

PEACEFUL HOME ASSISTED LIVING

PEACEFUL HOME ASSISTED LIVING INC

PEACEFUL LIVING

PEOPLE INCORPORATED EDGEBROOK HOUSE

PERFECTION HEALTH CARE SERVICES INC

PHALEN DIALYSIS

PHOENIX AT CHARLES

PHOENIX AT DOUGLAS

PHOENIX AT FOSS

PHOENIX AT VIKING

1186 ST. PAUL AVENUE

1186 ST. PAUL AVENUE

1000 REANEY AVENUE

2250 EDGEBROOK AVENUE

1225 COOK AVENUE EAST

862 ARCADE STREET

725 CHARLES AVENUE

1538 POINT DOUGLAS ROAD SOUTH

1500 AMES AVENUE

645 VIKING DRIVE EAST

ST. PAUL, MN 55116

ST. PAUL, MN 55116

ST. PAUL, MN 55106

ST. PAUL, MN 55119

ST. PAUL, MN 55106

ST. PAUL, MN 55160

ST. PAUL, MN 55104

ST. PAUL, MN 55119

ST. PAUL, MN 55106

ST. PAUL, MN 55117

612/501-3251

651/528-8396

651/207-5769

651/348-7472

651/347-8037

651/776-0466

651/227-7655

651/227-7655

651/227-7655

651/227-7655

Corp

Corp

Corp

NProf

Corp

Lim-Liab

NProf

NProf

NProf

NProf

COMP

SLFB-6

SLFB-6

SLFB-6

ESRD

ICFIID-6

ICFIID-6

ICFIID-6

(34609)

(34117)

(33425)

(21907)

(33992)

(34497)

(34090)

(23482)

(23483)

(01195)

FAX: 651/644-7041

FAX: 651/644-7041

FAX: 612/435-9881

FAX: 651/348-7643

FAX: 651/493-8585

FAX: 651/776-7838

FAX: 651/227-6847

FAX: 651/227-6847

FAX: 651/227-6847

FAX: 651/227-6847

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

DIRECT YASSIN IBRAHIM

YASSIN IBRAHIM

KALIA VANG

JILL WIEDEMANN-WEST

ABDULKADIR OSMAN

AMANDA MEYERS

DARLENE SCOTT

DARLENE SCOTT

DARLENE SCOTT

DARLENE SCOTT

---------------------------********** --------------------------(Cont.)*

HWSAL

Home Mgmt

HWSAL-O

HWS-O

HWS-O

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470

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

RAMSEY

PRIME CARE SERVICES INC

PRIME CARE SERVICES, INC.

PRIME CARE SERVICES, INC.

PROFESSIONAL REHABILITATION CONSULTANTS

RAMSEY COUNTY DETOX CENTER

RAMSEY COUNTY MENTAL HEALTH CTR

RAMSEY HILL SENIOR LIVING LLC

RAPHA HEALTH CARE SERVICES INC

REGIONS HOSPITAL

RELIACARE HOME HEALTH

984 VICTORIA STREET NORTH

484 PAGE STREET EAST UNIT A

484 PAGE STREET EAST UNIT B

1394 JACKSON STREET # 201

402 UNIVERSITY AVENUE EAST

1919 UNIVERSITY AVENUE # 200

80 NORTH MACKUBIN STREET

281 CESAR CHAVEZ STREET

640 JACKSON STREET

680 THOMAS AVENUE

ST. PAUL, MN 55103

ST. PAUL, MN 55107

ST. PAUL, MN 55107

ST. PAUL, MN 55117

ST. PAUL, MN 55130

ST. PAUL, MN 55104

ST. PAUL, MN 55102

ST. PAUL, MN 55107

ST. PAUL, MN 55101

ST. PAUL, MN 55104

651/279-8081

651/279-8081

651/279-8081

651/603-8774

651/266-4009

651/266-7920

651/492-6535

612/701-3760

651/254-1616

612/366-1381

Lim-Liab

Corp

Corp

Corp

Cnty

Cnty

Lim-Liab

Corp

NProf

Lim-Liab

SLFA-10 SLFB-40

HOSP-480 BASS-26

Out St Out Ot

CMHC

HOSP-419 PPS-R-21 PPS-P-40

(36453)

(36452)

(36887)

(02584)

(01571)

(23090)

(31573)

(36871)

(00527)

(33532)

FAX: 651/358-2890

FAX: 651/358-2890

FAX: 651/358-2890

FAX: 651/603-9009

FAX: 651/266-4439

FAX: /-

FAX: /-

FAX: 763/208-7924

FAX: 651/254-2194

FAX: 651/298-0972

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

DHIMBLE ALI

DHIMBLE ALI

DHIMBLE MOHAMED ALI

THERESA BOWLIN

BILL CALMBACHER

JULIE DUNCAN

KELLY MYERS

ATINUKE LADIPO

MEGAN REMARK

LORI YOUMANS

---------------------------********** --------------------------(Cont.)*

HWS

HWS

HWS

HWS

HWSAL-O

HWS

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471

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

RAMSEY

RELIACARE HOME HEALTH

RELIACARE HOME HEALTH

RELIACARE HOME HEALTH INC

ROSE HOME CARE HOME MANAGEMENT SERVICES

RRECOVERY SERVICES

SAFETY CARE INC.

SAKINAH HOMES LLC@WINIFRED

SEABURY

SERENDIPITOUS LIVING

SERENITY HOME HEALTH CARE INC

749 SHERBURNE AVENUE

751 SHERBURNE AVENUE

883 ST ANTHONY AVENUE

1374 WESTMINSTER STREET # A205

867 PIERCE BUTLER RTE

933-A UNIVERSITY AVENUE

223 WINIFRED STREET EAST

1830 UNIVERSITY AVENUE WEST

103 ROBIE STREET WEST

393 NORTH DUNLAP STREET #880

ST. PAUL, MN 55104

ST. PAUL, MN 55104

ST. PAUL, MN 55104

ST. PAUL, MN 55130

ST. PAUL, MN 55104

ST. PAUL, MN 55104

ST. PAUL, MN 55107

ST. PAUL, MN 55104

ST. PAUL, MN 55107

ST. PAUL, MN 55104

612/366-1381

651/366-1381

612/366-1381

651/795-8362

763/607-8544

651/645-4537

651/278-5231

651/379-5102

612/987-4145

651/350-7100

Lim-Liab

Lim-Liab

Corp

Ind

NProf

Corp

Lim-Liab

NProf

Lim-Liab

Corp

TCOMP

COMP

TCOMP

HHA

(33533)

(33534)

(35972)

(28596)

(37098)

(03351)

(37269)

(26982)

(34879)

(35535)

FAX: 651/298-0972

FAX: 651/298-0972

FAX: 651/298-0972

FAX: 651/771-1533

FAX: /-

FAX: 651/645-4358

FAX: 651/413-3001

FAX: 651/209-8080

FAX: 612/331-5858

FAX: 651/330-8728

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

LORI YOUMANS

LORI YOUMANS

LORI YOUMANS

VALERIE CAGER

MARCUS CAGE

STELLA NWAIWU

SAMRIYA ABBADULLA

KIRE MEYER QUIST

MAYSA SAYAVONGCHANH

MOHAMED AHMED

---------------------------********** --------------------------(Cont.)*

HWS-O

HWS-O

Home Mgmt

HWSAL-O

HWS

HWSAL-O

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472

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

RAMSEY

SHOLOM HOME CARE

SPECIALIZED HOME HEALTH CARE INC

SPECIALIZED HOME HEALTH CARE, INC

ST. ANTHONY PARK HOME

ST. JOSEPH'S HOSPITAL

ST. LUKE MOBILE MEDICAL CLINIC

ST. PAUL CAPITOL DIALYS AT HOME

ST. PAUL CAPITOL DIALYSIS

ST. PAUL DIALYSIS

ST. PAUL RESIDENCE

740 KAY AVENUE

350 STEVENS STREET WEST

352 STEVENS STREET WEST

2237 COMMONWEALTH AVENUE

45 10TH STREET WEST

550 RICE STREET

555 PARK STREET STE 110

555 PARK STREET # 230

555 PARK STREET # 180

902 HERSEY STREET

ST. PAUL, MN 55102

ST. PAUL, MN 55107

ST. PAUL, MN 55107

ST. PAUL, MN 55108

ST. PAUL, MN 55102

ST. PAUL, MN 55103

ST. PAUL, MN 55103

ST. PAUL, MN 55103

ST. PAUL, MN 55103

ST. PAUL, MN 55114

952/939-1649

651/398-1728

651/398-1728

651/632-3503

651/232-3000

651/222-0712

651/221-3437

651/221-3318

651/291-8855

651/647-2325

NProf

Corp

Corp

Corp

NProf

NProf

Corp

Corp

Corp

NProf

COMP

COMP

NH-84

HOSP-401 BASS-0

HHA

SNF-NF-84

HOSP-364 PPS-P-37

ESRD

ESRD

ESRD

(27031)

(35321)

(36713)

(00997)

(00524)

(36109)

(24071)

(02105)

(02183)

(25394)

FAX: 952/939-1662

FAX: 651/788-7994

FAX: 651/788-7994

FAX: 651/644-0792

FAX: 651/232-3518

FAX: /-

FAX: /-

FAX: /-

FAX: /-

FAX: 612/623-2004

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ANN THOLE

PAY SOUNG

PAY SOUNG

JOHN BARKER

JEOFF WILL

SHERIEF MIKHAIL

JASMINE ANDERSON

JILL MEYERSON COCHLIN

TAMMY FOLDEN

SAMANTHA STOLTZ

---------------------------********** --------------------------(Cont.)*

HWSAL

MOBHES

HWS-O

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473

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

RAMSEY

SUN RAY DIALYSIS UNIT

SUNLIGHT SERVICES, LLC

SUNLIGHT SERVICES, LLC

TAPESTRY

THE ALTON MEMORY CARE

THE ESTATES AT LYNNHURST LLC

THE PILLARS OF HIGHLAND PARK

THE QUINLAN HOME

THE TERRACE AT IRIS PARK

THE WATERS OF HIGHLAND PARK

1744 OLD HUDSON ROAD

440 VIRGINIA STREET

1105 HAZEL STREET

135 EAST COLORADO STREET

1306 ALTON STREET

471 LYNNHURST AVENUE WEST

1925 NORFOLK AVENUE

391 PLEASANT AVENUE

502 EAST LYNNHURST AVENUE

678 SNELLING AVENUE SOUTH

ST. PAUL, MN 55106

ST. PAUL, MN 55103

ST. PAUL, MN 55119

ST. PAUL, MN 55107

ST. PAUL, MN 55116

ST. PAUL, MN 55104

ST. PAUL, MN 55116

ST. PAUL, MN 55102

ST. PAUL, MN 55104

ST. PAUL, MN 55116

651/793-5191

651/600-4403

651/600-4403

612/454-2342

651/699-2480

651/645-6453

651/699-4038

651/222-7200

651/272-4960

651/363-3040

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Lim-Liab

Lim-Liab

Corp

Lim-Liab

Lim-Liab

SLFA-64

NH-70

BCH-58

ESRD

SNF-NF-70

(25767)

(30412)

(24717)

(25565)

(25829)

(00945)

(32400)

(00363)

(31883)

(31949)

FAX: /-

FAX: 651/207-6774

FAX: 651/528-8015

FAX: 651/489-6458

FAX: 651/699-2386

FAX: 651/659-0681

FAX: 651/788-9085

FAX: 651/224-0624

FAX: 651/272-4920

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

SAMUEL CARLSON

TONG VANG

TONG VANG

ANDREA KOFOED

LISA MOE

BRENNA HOFFMAN

ERIN HILLIGAN

LAURA REYNOLDS

JENNA KILAWEE

KATHERINE TODD

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL-O

HWSAL

HWSAL

HWS

HWSAL

Page 511: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

474

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

RAMSEY

THE WELLINGTON SENIOR LIVING

THREE STARS GROUP HOMES LLC

TLC HOME CARE OF THE TWIN CITIES INC

TWIN CITIES NURSING CARE

TWIN TOWN TREATMENT CENTER, LLC

UNITED HOME HEALTH CARE LLC

UNITED HOMES HEALTH CARE LLC

UNITED HOSPITAL

UNITED HOSPITAL AND NURSING HOME

UNIVERSITY DIALYSIS UNIT RIVERSIDE

2235 ROCKWOOD AVENUE

630 VIRGINIA STREET

1919 UNIVERSITY AVENUE # 130

1635 HAZEL STREET NORTH

1706 UNIVERSITY AVENUE

1540 CONWAY STREET

1540 CONWAY STREET

333 NORTH SMITH AVENUE

333 NORTH SMITH AVENUE

1045 WESTGATE DRIVE # 90

ST. PAUL, MN 55116

ST. PAUL, MN 55103

ST. PAUL, MN 55104

ST. PAUL, MN 55119

ST. PAUL, MN 55104

ST. PAUL, MN 55106

ST. PAUL, MN 55106

ST. PAUL, MN 55102

ST. PAUL, MN 55102

ST. PAUL, MN 55114

651/699-2664

651/468-4729

651/647-0017

651/354-8081

651/645-3661

323/327-7906

323/327-7906

651/241-8810

651/241-8810

651/645-1847

Corp

Lim-Liab

Corp

Corp

Lim-Liab

Lim-Liab

Lim-Liab

NProf

NProf

Corp

TCOMP

COMP

SLFA-50

TCOMP

HOSP-546 BASS-40

HOSP-546 BASS-40

HHA

HOSP-515 PPS-P-15 PPS-R-16

HOSP-515 PPS-P-15 PPS-R-16

ESRD

(30427)

(35233)

(03235)

(31262)

(01200)

(35509)

(36279)

(00525)

(00525)

(03881)

FAX: 651/699-9726

FAX: /-

FAX: 651/647-3423

FAX: 651/797-4172

FAX: 651/645-0959

FAX: /-

FAX: /-

FAX: 651/241-5189

FAX: 651/241-5189

FAX: 651/645-1890

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JOSH BERG

DEBESAY GIRMAUL

BETHLEHEM MULUGETA

MAIXIA VANG

ALEXANDER DAVIS

ADAN SHALMAD

ADAN SHALMAD

SARA CRIGER

SARA CRIGER

DANIELLE SAMUEL

---------------------------********** --------------------------(Cont.)*

HWSAL

HWS

HWSAL-O

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475

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

RAMSEY

UPEND HOME HEALTH CARE INC

VALLEY HI RISE

WATCHEN HOMES, INC

GABLE PINES AT VADNAIS HEIGHTS

GABLE PINES AT VADNAIS HTS

PHOENIX AT CENTERVILLE

PHOENIX AT ENGLISH

PINNACLE HOME HEALTH CARE LLC

PRECIOUS LIVES HOME LLC

PRECIOUS LIVES HOME VADNAIS H

1698 BEECH STREET

261 UNIVERSITY AVENUE

2194 REANEY AVENUE EAST

1260 EAST COUNTY ROAD EAST

1260 COUNTY ROAD E EAST

785 COUNTY ROAD EAST

1336 COUNTY ROAD EAST

3580 ARCADE STREET # 200

60 SUZANNE AVENUE

60 SUZANNE AVENUE

ST. PAUL, MN 55106

ST. PAUL, MN 55101

ST. PAUL, MN 55119

VADNAIS HEIGHTS, MN 55110

VADNAIS HEIGHTS, MN 55110

VADNAIS HEIGHTS, MN 55127

VADNAIS HEIGHTS, MN 55110

VADNAIS HEIGHTS, MN 55127

VADNAIS HEIGHTS, MN 55127

VADNAIS HEIGHTS, MN 55127

612/961-8570

651/228-3174

763/444-1220

651/829-3171

651/829-3171

651/227-7655

651/227-7655

651/261-1717

651/490-3068

651/468-8438

Corp

HRA

Corp

Part

Part

NProf

NProf

Lim-Liab

Lim-Liab

Lim-Liab

COMP

SLFB-6

SLFB-6

COMP

COMP

ICFIID-6

ICFIID-6

(35706)

(24472)

(34484)

(32419)

(32416)

(01649)

(01648)

(29676)

(33838)

(34177)

FAX: 612/326-9377

FAX: 651/298-5666

FAX: 763/270-5938

FAX: 651/340-4357

FAX: 651/340-4357

FAX: 651/227-6847

FAX: 651/227-6847

FAX: 651/968-5795

FAX: 651/490-3068

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

SUAD ISSE

CHARISSE BROWN

VICTOR ZELEE

REBECCA WILLETT

REBECCA WILLETT

DARLENE SCOTT

DARLENE SCOTT

BECKIE HINES

RENEELLEN DE LOS SANTOS

RENEELLEN DE LOS SANTOS

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWSAL-O

HWSAL

HWSAL

HWSAL-O

Page 513: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

476

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

RAMSEY

PRUDENT CARE LLC

SPRINGHILL

SUITE LIVING MEMORY CARE & ASST LVG OF VADNAIS HTS

SUITE LIVING SENIOR CARE

SUMMIT RECOVERY SUITES

VADNAIS HEIGHTS SURGERY CENTER

ADVANCED MEDICAL HOME CARE LLC

AXIS ON WHITE BEAR AVENUE

CERENITY CARE CENTER - WHITE BEAR LAKE

CERENITY RESIDENCE OF WHITE BEAR LAKE

3603 CENTERVILLE ROAD

531 SPRINGHILL ROAD

580 LIBERTY WAY

580 LIBERTY WAY

3580 ARCADE ST STE 250

3580 ARCADE STREET # 200

2555 EAST COUNTY ROAD E #101

3516 WHITE BEAR AVENUE NORTH

1900 WEBBER STREET

4615 2ND AVENUE

VADNAIS HEIGHTS, MN 55127

VADNAIS HEIGHTS, MN 55127

VADNAIS HEIGHTS, MN 55127

VADNAIS HEIGHTS, MN 55127

VADNAIS HEIGHTS, MN 55127

VADNAIS HEIGHTS, MN 55127

WHITE BEAR LAKE, MN 55110

WHITE BEAR LAKE, MN 55110

WHITE BEAR LAKE, MN 55110

WHITE BEAR LAKE, MN 55110

612/889-1987

651/483-9500

651/424-0046

651/424-0046

651/261-1717

651/968-5771

612/267-6154

651/779-4301

651/232-1818

651/232-1868

Lim-Liab

NProf

Lim-Liab

Lim-Liab

Corp

Lim-Liab

Lim-Liab

Corp

Corp

NProf

TCOMP

SLFB-4

COMP

Outpt Surg

COMP

SLFB-6

NH-138

COMP

ICFIID-4

Amb Surg

HHA

ICFIID-6

SNF-NF-138

(35720)

(01636)

(33260)

(33084)

(29939)

(29320)

(29186)

(22847)

(00923)

(20170)

FAX: 612/353-5537

FAX: 651/483-0775

FAX: /-

FAX: 651/424-0048

FAX: 651/261-1717

FAX: 651/968-5794

FAX: 651/762-2454

FAX: 651/777-0415

FAX: 651/232-1801

FAX: 651/288-7960

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

YASIN MOHAMED

JIM MARTIN

JOEL LARSON

AUDREY MCELWAIN

ADAM BERRY

BECKIE HINES

MICHAEL AUGE

DOROTHY WROBEL

PATRICK MCDONALD

ASHLEY SOKUP

---------------------------********** --------------------------(Cont.)*

HWSAL

HWS

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477

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

RAMSEY

CERENITY RESIDENCE OF WHITE BEAR LAKE

COMMUNITY LIVING OPTIONS - HALPER WAY

GOLDEN POND WBL

HELPING HEART LLC

PHOENIX AT CASWELL

PRELUDE HOMES & SERVICES LLC

SUITE LIVING SENIOR MANAGEMENT LLC

SYMPHONY SENIOR SERVICES, INC.

THE PILLARS OF WHITE BEAR LAKE

THE WATERS OF WHITE BEAR LAKE

4615 2ND AVENUE

1289 HALPER WAY

4624 STODDART CIRCLE

4159 PARKRIDGE DRIVE

2168 12TH STREET

4650 WHITE BEAR PARKWAY

1824 BUERKLE ROAD

4711 CLARK AVENUE

4650 CENTERVILLE ROAD

3820 HOFFMAN ROAD

WHITE BEAR LAKE, MN 55110

WHITE BEAR LAKE, MN 55110

WHITE BEAR LAKE, MN 55127

WHITE BEAR LAKE, MN 55110

WHITE BEAR LAKE, MN 55110

WHITE BEAR LAKE, MN 55110

WHITE BEAR LAKE, MN 55110

WHITE BEAR LAKE, MN 55110

WHITE BEAR LAKE, MN 55127

WHITE BEAR LAKE, MN 55110

651/232-1868

763/856-4866

763/447-7717

651/338-4109

651/227-7655

651/358-3651

651/770-2273

651/330-3841

651/653-3288

651/313-6440

NProf

Corp

Lim-Liab

Lim-Liab

NProf

Lim-Liab

Lim-Liab

Corp

Lim-Liab

Lim-Liab

SLFB-6

COMP

COMP

ICFIID-6

(30429)

(31834)

(32589)

(33790)

(23428)

(32276)

(33801)

(29781)

(32991)

(32917)

FAX: 651/288-7960

FAX: 763/856-5732

FAX: 651/484-5130

FAX: /-

FAX: 651/227-6847

FAX: 651/501-6600

FAX: 651/424-0048

FAX: 651/330-3892

FAX: 651/762-6100

FAX: 651/426-1311

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ASHLEY SOKUP

JEFF FELTZ

DAVID METZ

VALERIE LARSON

DARLENE SCOTT

DEBORAH ROSE

AUDREY MCELWAIN

JAMES MILEY

ERIN HILLIGAN

KATHERINE TODD

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

Home Mgmt

HWSAL

HWSAL

HWS

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478

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

RAMSEY

RED LAKE

REDWOOD

VISION QUEST PROPERTY MANAGEMENT

WHITE BEAR LAKE COH CARE, LLC

WHITE BEAR LAKE COH LLC

WHITE BEAR LAKE WHITE PINE

AXIS ON SENECA

ESSENTIA HEALTH OKLEE CLINIC

HILLCREST SENIOR LIVING INC

HILLCREST SENIOR LIVING INC

RIVERVIEW CLINIC

5771 MEADOWVIEW DRIVE

1235 GUN CLUB ROAD

1235 GUN CLUB ROAD

1235 GUN CLUB ROAD

1586 SENECA TRAIL

GOVERNOR STREET & 3RD AVENUE

311 BROADWAY AVENUE NE

311 BROADWAY AVENUE NE

105 INTERNATIONAL DRIVE # 25

WHITE BEAR LAKE, MN 55110

WHITE BEAR LAKE, MN 55110

WHITE BEAR LAKE, MN 55110

WHITE BEAR LAKE, MN 55110

WHITE BEAR TOWNSHIP, MN 55110

OKLEE, MN 56742

RED LAKE FALLS, MN 56750

RED LAKE FALLS, MN 56750

RED LAKE FALLS, MN 56750

651/428-0646

651/757-3800

651/757-3800

651/757-3800

651/426-3546

218/796-4525

218/253-2157

218/253-2157

218/253-4606

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Corp

NProf

Corp

Corp

NProf

COMP

COMP

COMP

SLFB-6

COMP

ICFIID-6

RHC

RHC

(28288)

(24613)

(24613)

(30557)

(01325)

(28618)

(31622)

(31767)

(28149)

FAX: /-

FAX: 651/757-3820

FAX: 651/757-3820

FAX: 651/757-3820

FAX: 651/426-8456

FAX: /-

FAX: 218/253-4676

FAX: 218/253-4676

FAX: 218/253-4681

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

CHARLES PETRICH

RHONDA SCHILLINGER

RHONDA SCHILLINGER

RHONDA SHILLINGER

DOROTHY WROBEL

CHERYL WHITE MD

CHRISTINE NELSON

CHRISTINE NELSON

WILLIAM BENNETT

---------------------------**********

---------------------------**********

---------------------------**********

--------------------------

--------------------------

--------------------------

********

********

(Cont.)*

HWSAL

HWSAL

Page 516: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

479

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

REDWOOD

PARKVIEW HOME

PARKWOOD APARTMENTS

PARKWOOD APARTMENTS

VALLEY VIEW MANOR HEALTHCARE CENTER

GIL-MOR HAVEN

GIL-MOR HAVEN

GIL-MOR MANOR

CARRIS HEALTH

CARRIS HEALTH - REDWOOD

CARRIS HEALTH - REDWOOD LLC

102 COUNTY STATE AID HIGHWAY 9

505 SOUTH 2ND STREET

505 SOUTH 2ND STREET

200 EAST 9TH AVENUE

90 3RD STREET EAST

90 3RD STREET EAST

96 3RD STREET EAST

1110 EAST BRIDGE STREET

1100 EAST BROADWAY STREET

400 VEDA DRIVE

BELVIEW, MN 56214

BELVIEW, MN 56214

BELVIEW, MN 56214

LAMBERTON, MN 56152

MORGAN, MN 56266

MORGAN, MN 56266

MORGAN, MN 56266

REDWOOD FALLS, MN 56283

REDWOOD FALLS, MN 56283

REDWOOD FALLS, MN 56283

507/938-4151

507/938-3020

507/938-3020

507/752-7346

507/249-3143

507/249-3143

507/249-3143

507/637-4579

507/637-2985

507/627-2224

City

City

City

City

NProf

NProf

NProf

Lim-Liab

Lim-Liab

ONProf

NH-30

COMP

NH-50

COMP

NH-35

COMP

SNF-NF-30

SNF-NF-50

SNF-NF-35

HHA

RHC

(00543)

(20318)

(30467)

(00731)

(27387)

(30741)

(00542)

(02405)

(35096)

(27101)

FAX: 507/938-4038

FAX: 507/938-3019

FAX: 507/938-3019

FAX: 507/752-7348

FAX: 507/249-2310

FAX: 507/249-2310

FAX: 507/249-2310

FAX: 507/637-2005

FAX: 507/697-6678

FAX: 507/627-2233

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PAULA POHLEN

PAULA POHLEN

DAWN GIESE

TERRIE ROTHMEIER

TERRIE ROTHMEIER

TERRIE ROTHMEIER

CARNIE ALLEX

CARNIE ALLEX

CARNIE ALLEX

---------------------------********** --------------------------(Cont.)*

HWSAL

HWS

HWS

Page 517: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

480

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

REDWOOD

CARRIS HEALTH - REDWOOD LLC

CARRIS HEALTH - REDWOOD, LLC

GARNETTE GARDENS SENIOR LIVING

REDWOOD AREA HOSPITAL

REDWOOD FALLS DIALYSIS

RIVER VALLEY HEALTH AND REHABILITATION CENTER LLC

VISTA PRAIRIE AT GARNETTE GARDENS, LLC

VP AT GARNETTE GARDENS

REVERE HOME

SERENITY SUITES SENIOR LIVING AT WABASSO

1110 EAST BRIDGE STREET

101 CARING WAY

511 SOUTH DEKALB STREET

101 CARING WAY

1104 EAST BRIDGE STREET

200 DEKALB STREET SOUTH

511 SOUTH DEKALB STREET

511 DEKALB STREET

300 SOUTH MAIN STREET

1381 MAY STREET

REDWOOD FALLS, MN 56283

REDWOOD FALLS, MN 56283

REDWOOD FALLS, MN 56283

REDWOOD FALLS, MN 56283

REDWOOD FALLS, MN 56283

REDWOOD FALLS, MN 56283

REDWOOD FALLS, MN 56283

REDWOOD FALLS, MN 56283

REVERE, MN 56166

WABASSO, MN 56293

507/637-4579

507/637-4500

507/644-8500

507/637-4500

507/637-2076

507/637-5711

507/644-8500

507/644-8500

507/752-7182

507/380-2360

ONProf

ONProf

Lim-Liab

ONProf

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Corp

NProf

Hospice

HOSP-25 BASS-6

COMP

HOSP-25 BASS-6

NH-43

COMP

BCH-26

COMP

HSPICE

CAH-25

CAH-25

ESRD

SNF-NF-43

(02499)

(00545)

(23560)

(00545)

(03377)

(00063)

(23560)

(30391)

(00824)

(33821)

FAX: 507/637-2005

FAX: 507/637-6000

FAX: 507/644-8521

FAX: 507/637-6000

FAX: /-

FAX: 507/637-2132

FAX: 507/644-8521

FAX: 507/644-8521

FAX: 651/257-9245

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

CARNIE ALLEX

CARNIE ALLEX

JAMES BETTENDORF

CARNIE ALLEX

DEAN WILSON

BECKY JENNIGES

JAMES BETTENDORF

JAMES BETTENDORF

ROBERT CARDENAS

MARNA WAHL

---------------------------********** --------------------------(Cont.)*

HWSAL

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481

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

REDWOOD

RENVILLE

SERENITY SUITES SENIOR LIVING AT WABASSO

WABASSO RESTORATIVE CARE CENTER

COUNTRY VIEW SENIOR LIVING

SANFORD TRACY WALNUT GROVE CLINCC

GLESENER'S ASSISTED LIVING SERVICE

RENVILLE COUNTY COMMUNITY RESIDENCE

BUFFALO LAKE HEALTHCARE CENTER, INC.

HOMETOWN HOME CARE II

JULIES HOME HEALTH CARE INC

1381 MAY STREET

660 MAPLE STREET

810 8TH STREET

830 8TH STREET

150 MAIN STREET

831 GROVE AVENUE

703 WEST YELLOWSTONE TRAIL

135 WEST YELLOWSTONE TRAIL

114 CHURCH AVENUE WEST

WABASSO, MN 56293

WABASSO, MN 56293

WALNUT GROVE, MN 56180

WALNUT GROVE, MN 56180

BIRD ISLAND, MN 55310

BIRD ISLAND, MN 55310

BUFFALO LAKE, MN 55314

BUFFALO LAKE, MN 55314

BUFFALO LAKE, MN 55314

507/342-2300

507/342-5166

507/859-2133

507/859-2157

320/365-3823

320/365-3748

320/833-5364

320/389-0220

320/833-6082

NProf

Lim-Liab

NProf

NProf

BusTrust

NProf

NProf

Lim-Liab

Corp

NH-44

SLFA-6

NH-49

COMP HCBS

COMP

SNF-NF-44

RHC

ICFIID-6

SNF-NF-49

(33940)

(00949)

(35904)

(21357)

(30586)

(01312)

(00550)

(35299)

(25054)

FAX: /-

FAX: 507/342-2592

FAX: 507/859-2143

FAX: /-

FAX: 320/365-3361

FAX: 320/365-4533

FAX: 320/833-5526

FAX: 320/389-0215

FAX: 320/833-5943

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

MARNA WAHL

DAWN GIESE

KAYO ASLAGSON

STACY BARSTAD

RICHARD NELSON

HEATHER SANDER

MARK RUST

DEANNA BAUMGARDT

1974 JULIE UFKES

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

HWSAL

HWSAL

HWSAL-O

Page 519: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

482

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

RENVILLE

WESTVIEW ESTATES

WESTVIEW ESTATES

WESTVIEW ESTATES ASSISTED LIVING

FAIRFAX COMMUNITY HOME HEALTH

FAIRFAX COMMUNITY HOME, INC.

FAIRFAX COMMUNITY HOME, INC.

FRANKLIN RESTORATIVE CARE CENTER

HECTOR CLINIC

PRAIRIE VIEW

CENTRACARE KIDNEY PROGRAM - OLIVIA

703 WEST YELLOWSTONE TRAIL

703 WEST YELLOWSTONE TRAIL

703 WEST YELLOWSTONE TRAIL

1000 1ST STREET SE

300 10TH AVENUE SE

1000 1ST STREET SE

900 3RD STREET SOUTH

131 BIRCH AVENUE WEST

1010 EAST ELM AVENUE

600 EAST PARK AVENUE

BUFFALO LAKE, MN 55314

BUFFALO LAKE, MN 55314

BUFFALO LAKE, MN 55314

FAIRFAX, MN 55332

FAIRFAX, MN 55332

FAIRFAX, MN 55332

FRANKLIN, MN 55333

HECTOR, MN 55342

HECTOR, MN 55342

OLIVIA, MN 56277

320/833-5364

320/833-5364

320/833-5364

507/426-8241

507/426-8241

507/426-8241

507/557-2211

320/848-6294

320/848-2093

320/493-5648

NProf

NProf

NProf

Corp

Corp

Corp

Lim-Liab

NProf

Corp

NProf

COMP

COMP

COMP

NH-29

NH-40

SNF-NF-29

SNF-NF-40

RHC

ESRD

(20031)

(30311)

(20031)

(03554)

(00847)

(21143)

(00934)

(03575)

(30230)

(32701)

FAX: 320/833-5526

FAX: 320/833-5526

FAX: 320/833-5526

FAX: 507/426-7340

FAX: 507/426-7340

FAX: 507/426-7340

FAX: 507/557-2214

FAX: /-

FAX: 320/848-2093

FAX: 320/202-7199

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

MARK RUST

MARK RUST

MARK RUST

JUDITH SANDMANN

JUDITH SANDMANN

JUDITH SANDMANN

.MR JOSHUA DOMEIER

NATHAN BLAD

CASIE KNOSHAL

ABBY LOVELAND

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

Page 520: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

483

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

RENVILLE

FAIRVIEW PLACE

OLIVIA HOSPITAL & CLINIC

OLIVIA HOSPITAL & CLINIC

OLIVIA HOSPITAL & CLINIC - HOSPICE

OLIVIA RESTORATIVE CARE CENTER

PARK VIEW VILLAGE

RENVILLE COUNTY PUBLIC HEALTH SERVICES

CROSSROADS ASSISTED LIVING

EAST RIDGE COURT

MEADOWS ON MAIN

603 EAST FAIRVIEW AVENUE

100 HEALTHY WAY

100 HEALTHY WAY

100 HEALTHY WAY

1003 WEST MAPLE AVENUE

1204 WEST PARK AVENUE

105 SOUTH 5TH STREET STE 119H

611 SOUTH MAIN STREET

219 SE ELM AVENUE

611 SOUTH MAIN STREET

OLIVIA, MN 56277

OLIVIA, MN 56277

OLIVIA, MN 56277

OLIVIA, MN 56277

OLIVIA, MN 56277

OLIVIA, MN 56277

OLIVIA, MN 56277

RENVILLE, MN 56284

RENVILLE, MN 56284

RENVILLE, MN 56284

320/523-1836

320/523-1460

320/523-1261

320/523-3432

320/523-1652

320/523-1743

320/523-2570

320/329-4377

320/329-3901

320/329-3788

City

NProf

NProf

NProf

Lim-Liab

NProf

Cnty

NProf

NProf

NProf

HOSP-16 BASS-3

Hospice

NH-55

COMP

COMP

RHC

CAH-16

HSPICE

SNF-NF-55

HHA

(36451)

(03573)

(00558)

(03271)

(00939)

(30774)

(02120)

(20933)

(22007)

(20044)

FAX: 320/523-1416

FAX: /-

FAX: 320/523-3458

FAX: 320/523-3571

FAX: 320/523-5734

FAX: 320/523-1925

FAX: 320/523-3749

FAX: 320/329-3678

FAX: 320/329-3901

FAX: 320/329-3678

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

MEGAN PANKOW

NATHAN BLAD

NATHAN BLAD

RENAE SLAGTER

JENNIFER SUNDSTROM

CARLI STENSRUD

JILL BRUNS

CASIE KNOSHAL

CASIE KNOSHAL

CASIE KNOSHAL

---------------------------********** --------------------------(Cont.)*

HWS

HWSAL

HWS

HWS

Page 521: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

484

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

RENVILLE

RICE

REN-VILLA HEALTH CENTER

RENVILLE CLINIC

RENVILLE HEALTH SERVICES HOMECARE

FRESENIUS MEDICAL CARE CANNON VALLEY

BEACON LANDING LLC

BROOKDALE FARIBAULT

BROOKDALE FARIBAULT

COUNTRY COURT

CROSSROADS SURGERY CENTER

205 SE ELM AVENUE

420 NORTH MAIN STREET

611 SOUTH MAIN STREET

396 SCHILLING DRIVE

1575 NW 20TH STREET STE 204

935 SPRING ROAD

935 SPRING ROAD

1663 GLYNVIEW TRAIL

1575 20TH STREET NW # 203

RENVILLE, MN 56284

RENVILLE, MN 56284

RENVILLE, MN 56284

DUNDAS, MN 55019

FARIBAULT, MN 55021

FARIBAULT, MN 55021

FARIBAULT, MN 55021

FARIBAULT, MN 55021

FARIBAULT, MN 55021

320/329-8381

320/329-8395

320/329-4377

507/645-6817

507/209-6216

507/333-2559

507/333-2559

507/334-3722

507/209-6227

NProf

NProf

NProf

Corp

Lim-Liab

Corp

Corp

Corp

Corp

NH-45

COMP

COMP

COMP

Outpt Surg

SNF-NF-45

RHC

ESRD

Amb Surg

(00557)

(03574)

(20933)

(29917)

(34653)

(20398)

(30612)

(30679)

(24483)

FAX: 320/329-3678

FAX: /-

FAX: 320/329-3678

FAX: /-

FAX: 507/299-9307

FAX: 507/333-2557

FAX: 507/333-2557

FAX: 507/334-9795

FAX: 507/209-6228

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

CASIE KNOSHAL

NATHAN BLAD

CASIE KNOSHAL

FEDERICO SERRANO

JENNIE NISS

MICAH STALOCH

MICAH STALOCH

CHERYL GLENDE

KATE TONJUM

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

HWSAL

HWS-O

Page 522: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

485

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

RICE

DAWN'S ELDER CARE

DISTRICT ONE HOSPITAL

FARIBAULT DIALYSIS UNIT

FARIBAULT SENIOR LIVING

FARIBAULT SENIOR LIVING

FRAZIER RECOVERY HOMES LLC

GUEST HOUSE OF FARIBAULT LLC

GUEST HOUSE OF FARIBAULT LLC

HERITAGE HOUSE ELDER CARE

HERITAGE HOUSE ELDER CARE

2424 WOODLAND DRIVE

200 STATE AVENUE

201 SOUTH LYNDALE AVENUE STE F

843 FARIBAULT ROAD

843 FARIBAULT ROAD

834 CARLTON AVENUE

118 6TH STREET NW

118 6TH STREET NW

1415 7TH STREET NW

1415 7TH STREET NW

FARIBAULT, MN 55021

FARIBAULT, MN 55021

FARIBAULT, MN 55021

FARIBAULT, MN 55021

FARIBAULT, MN 55021

FARIBAULT, MN 55021

FARIBAULT, MN 55021

FARIBAULT, MN 55021

FARIBAULT, MN 55021

FARIBAULT, MN 55021

507/210-0892

507/334-6451

507/334-0306

507/331-6510

507/331-6510

651/895-4440

507/334-8269

507/334-8269

507/334-5111

507/334-5111

Ind

NProf

Corp

Corp

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

COMP

HOSP-49 BASS-10

COMP

COMP

COMP

HOSP-49

ESRD

(23327)

(00569)

(02810)

(27967)

(30786)

(33675)

(22372)

(30296)

(21721)

(30821)

FAX: /-

FAX: 507/332-4848

FAX: /-

FAX: 507/331-7252

FAX: 507/331-7252

FAX: 651/528-7030

FAX: 507/331-7345

FAX: 507/331-7345

FAX: 507/323-8424

FAX: 507/323-8424

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

DAWN CABALLERO

DAVID ALBRECHT

CARI DOCK

SARAH VALENTYN

DAVID HESLEY

ELIZABETH REZEK

KATHRYN SHERWOOD

LEON SHERWOOD

JODI FERRIS

JODI FERRIS

---------------------------********** --------------------------(Cont.)*

HWSAL

HWS-O

HWS

HWSAL

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486

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

RICE

HERITAGE HOUSE ELDER CARE

HILLTOP HOME

IVY HILL SENIOR CARE INC

IVY HILL SENIOR CARE, INC

MAPLEWOOD HOMES

MAPLEWOOD HOMES

MAPLEWOOD HOMES OF FARIBAULT

MILESTONE SENIOR LIVING

MILESTONE SENIOR LIVING FARIBAULT

MILL CITY SENIOR LIVING

1409 7TH STREET NW

4 3RD AVENUE SW

607 2ND AVENUE NW

607 NW 2ND AVENUE

519 1ST STREET SW

326 7TH STREET NW

519 1ST STREET SW

2500 14TH STREET NE

2500 14TH ST NE

1520 17TH STREET NW

FARIBAULT, MN 55021

FARIBAULT, MN 55021

FARIBAULT, MN 55021

FARIBAULT, MN 55021

FARIBAULT, MN 55021

FARIBAULT, MN 55021

FARIBAULT, MN 55021

FARIBAULT, MN 55021

FARIBAULT, MN 55021

FARIBAULT, MN 55021

507/334-5111

507/332-0547

507/332-8966

507/332-8966

507/334-4712

507/334-4712

507/334-4712

507/331-2748

507/331-2748

507/497-2011

Lim-Liab

Corp

Corp

Corp

Corp

Corp

Corp

Lim-Liab

Lim-Liab

Lim-Liab

COMP

COMP

COMP

COMP

(32071)

(25128)

(03884)

(34045)

(22003)

(30237)

(22003)

(34401)

(30613)

(34320)

FAX: 507/323-8424

FAX: 507/332-2335

FAX: 507/384-3464

FAX: 507/384-3464

FAX: 507/334-0083

FAX: 507/334-0083

FAX: 507/334-0083

FAX: /-

FAX: 507/323-8201

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JODI FERRIS

DEBORAH SONNEK

MACKENZIE RAMSEY

MACKENZIE RAMSEY

LISA QUERNEMOEN

LISA QUERNEMOEN

LISA QUERNEMOEN

STEVE THORNTON

STEPHEN THORNTON

LISA SAMMON

---------------------------********** --------------------------(Cont.)*

HWSAL

HWS-O

HWSAL

HWS-O

HWSAL

HWSAL

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487

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

RICE

NEW PERSPECTIVE - FARIBAULT

NEW PERSPECTIVE FARIBUALT

OUR CIRCLE OF FRIENDS

OUR CIRCLE OF FRIENDS COUNTRY COURT

OUR CIRCLE OF FRIENDS MAIN COURT

OUR HOUSE

OUR HOUSE BOARD AND LODGE

PLEASANT MANOR LLC

PLEASANT VIEW ESTATES

PLEASANT VIEW ESTATES LLC

828 1ST STREET NE

828 1ST STREET NE

1663 GLYNVIEW TRAIL

1663 GLYNVIEW TRAIL

1150 3RD STREET SW

1017 7TH STREET NW

1017 7TH STREET NW

27 BRAND AVENUE

41 BRAND AVENUE

41 BRAND AVENUE

FARIBAULT, MN 55021

FARIBAULT, MN 55021

FARIBAULT, MN 55021

FARIBAULT, MN 55021

FARIBAULT, MN 55021

FARIBAULT, MN 55021

FARIBAULT, MN 55021

FARIBAULT, MN 55021

FARIBAULT, MN 55021

FARIBAULT, MN 55021

507/332-2555

507/332-2555

507/334-3722

507/334-3722

507/332-9731

507/332-0547

507/332-0547

507/334-2036

507/333-5960

507/333-5960

Lim-Liab

Lim-Liab

Corp

Corp

Corp

Corp

Corp

Lim-Liab

Lim-Liab

Lim-Liab

COMP

COMP

COMP

NH-65

COMP

SNF-NF-65

(30225)

(29560)

(27158)

(27158)

(30622)

(20095)

(20095)

(00568)

(24584)

(30553)

FAX: 507/332-9010

FAX: 507/332-9010

FAX: 507/334-9795

FAX: 507/334-9795

FAX: 507/334-9795

FAX: 507/332-0547

FAX: 507/332-0547

FAX: 507/331-9218

FAX: 507/333-5974

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

VINCE BECKEL

ANDREA OLSON

CHERYL GLENDE

CHERYL GLENDE

CHERYL GLENDE

DEBORAH SONNEK

DEBORAH SONNEK

MIKAELA THOMSON

LEESA GILMAN

JOSH LEGUM

---------------------------********** --------------------------(Cont.)*

HWSAL

HWS

HWS-O

HWS-O

HWSAL

Page 525: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

488

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

RICE

PLEASANT VIEW ESTATES LLC

RICE COUNTY PUBLIC HEALTH NURSING SERVICE

RISON HOMES INC

RISON HOMES, INC.

STERLING HOUSE OF FARIBAULT

THE EMERALDS AT FARIBAULT ASSISTED LIVING LLC

THE EMERALDS AT FARIBAULT LLC

THE VILLAGES OF LONSDALE

THREE LINKS MANAGEMENT SERVICES LLC

MORRISTOWN

41 BRAND AVENUE

320 NW 3RD STREET # 1

314 CENTRAL AVENUE

314 CENTRAL AVENUE

935 SPRING ROAD

503 EAST DIVISION STREET

500 SE 1ST STREET

1000 BIRCH STREET NE

1000 BIRCH STREET NE

104 4TH STREET SW

FARIBAULT, MN 55021

FARIBAULT, MN 55021

FARIBAULT, MN 55021

FARIBAULT, MN 55021

FARIBAULT, MN 55021

FARIBAULT, MN 55021

FARIBAULT, MN 55021

LONSDALE, MN 55046

LONSDALE, MN 55046

MORRISTOWN, MN 55052

507/333-5960

507/332-6111

507/332-0547

507/332-0547

507/333-2559

507/332-5158

507/332-5100

507/744-3453

507/744-3453

507/332-0547

Lim-Liab

Cnty

Corp

Corp

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

COMP

COMP

COMP

COMP

COMP

NH-90

COMP

HHA

SNF-NF-90

(24584)

(02022)

(20152)

(20152)

(20398)

(20049)

(00571)

(26754)

(26772)

(20028)

FAX: 507/333-5974

FAX: 507/332-5932

FAX: 507/332-2335

FAX: 507/332-2335

FAX: 507/333-2557

FAX: 507/332-5199

FAX: 507/332-5188

FAX: 507/744-3951

FAX: 507/744-3951

FAX: 507/332-2335

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

LEESA GILMAN

DEBRA PURFEERST

DEBBIE SONNEK

DEBBIE SONNEK

MICAH STALOCH

LEESA GILMAN

TIANNA BAGLEY

MARK ANDERSON

MARK ANDERSON

DEBORAH SONNEK

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWS-O

Page 526: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

489

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

RICE

AZULE OPPORTUNITIES LLC

CANNON VALLEY SUITES

COTTAGE ON FOREST

EVERGREEN LODGE

HOME CARE LINK

LAURA BAKER SERVICES ASSOCIATION

MILLSTREAM COMMONS

MILLSTREAM COMMONS

MILLSTREAM COMMONS HOME CARE

NORTHFIELD CARE CENTER, INC.

529 WEST WOODLEY STREET

900 CANNON VALLEY DRIVE

811 FOREST AVENUE

912 CANNON VALLEY DRIVE WEST

815 FOREST AVENUE

211 OAK STREET

210 WEST 8TH STREET

210 WEST 8TH STREET

210 WEST 8TH STREET

900 CANNON VALLEY DRIVE

NORTHFIELD, MN 55057

NORTHFIELD, MN 55057

NORTHFIELD, MN 55057

NORTHFIELD, MN 55057

NORTHFIELD, MN 55057

NORTHFIELD, MN 55057

NORTHFIELD, MN 55057

NORTHFIELD, MN 55057

NORTHFIELD, MN 55057

NORTHFIELD, MN 55057

507/645-6226

507/645-6007

507/664-8805

507/645-6007

507/664-8863

507/645-8866

507/650-0141

507/650-0141

507/650-0141

507/645-9511

NProf

Church

NProf

NProf

NProf

ONProf

NProf

NProf

NProf

Church

SLFA-16

COMP

SLFA-30

COMP

COMP

NH-42

HHA

ICFIID-30

SNF-NF-42

(27689)

(23183)

(26073)

(25764)

(03105)

(01163)

(24063)

(30490)

(24063)

(00567)

FAX: 507/645-7473

FAX: 507/664-3490

FAX: 507/645-0942

FAX: 507/664-3490

FAX: 507/645-0942

FAX: 507/645-8869

FAX: 507/650-9170

FAX: 507/650-9170

FAX: 507/650-9170

FAX: 507/645-0117

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JODY YOUNGER

SHELLEY HOLDEN

MARK ANDERSON

SHELLEY HOLDEN

MARK ANDERSON

SANDRA GERDES

MARK ANDERSON

KATHY OLSON

MARK ANDERSON

THOMAS NIELSEN

---------------------------********** --------------------------(Cont.)*

HWSAL

HWS

HWSAL

HWSAL

Page 527: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

490

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

RICE

NORTHFIELD DIALYSIS

NORTHFIELD HOME CARE

NORTHFIELD MANOR INC

NORTHFIELD PARKVIEW, INC

NORTHFIELD PARKVIEW, INC.

NORTHWOOD PINES

REFLECTIONS

REFLECTIONS

REFLECTIONS HOME CARE

THE COTTAGE EAST

2004 JEFFERSON ROAD

1604 RIVERVIEW DRIVE

901 CANNON VALLEY DRIVE

910 CANNON VALLEY DRIVE

910 CANNON VALLEY DRIVE

931 CANNON VALLEY DRIVE WEST

809 FOREST AVENUE

809 FOREST AVENUE

809 FOREST AVENUE

800 5TH STREET WEST

NORTHFIELD, MN 55057

NORTHFIELD, MN 55057

NORTHFIELD, MN 55057

NORTHFIELD, MN 55057

NORTHFIELD, MN 55057

NORTHFIELD, MN 55057

NORTHFIELD, MN 55057

NORTHFIELD, MN 55057

NORTHFIELD, MN 55057

NORTHFIELD, MN 55057

507/645-6762

507/646-1457

507/645-9090

507/645-6007

507/645-6007

507/645-6007

507/664-8809

507/664-8815

507/664-8809

507/664-8866

Corp

City

Church

NProf

Church

Church

NProf

NProf

NProf

NProf

COMP

COMP

COMP

COMP

ESRD

HHA

(29575)

(02208)

(20097)

(25315)

(20096)

(27563)

(26343)

(30702)

(26343)

(20137)

FAX: 507/645-2372

FAX: 507/646-1395

FAX: 507/664-3490

FAX: 507/664-3490

FAX: 507/664-3490

FAX: 507/664-3490

FAX: 507/650-7989

FAX: 507/650-7989

FAX: 507/650-7989

FAX: 507/645-0942

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

AMANDA BRUDER

STEVE UNDERDAHL

SHELLEY HOLDEN

EMILY KERLING

SHELLEY HOLDEN

SHELLEY HOLDEN

MARK ANDERSON

MARK ANDERSON

MARK ANDERSON

MARK ANDERSON

---------------------------********** --------------------------(Cont.)*

HWS

HWSAL

HWSAL

HWS

HWS

Page 528: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

491

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

RICE

ROCK

THE COTTAGE WEST

THE FAMILY RESIDENCE

THE FAMILY RESIDENCE

THE NEIGHBOR LADY INC

THREE LINKS APARTMENTS

THREE LINKS CARE CENTER

VALLEY VIEW OF NORTHFIELD

VALLEYVIEW OF NORTHFIELD

THE TUFF VILLAGE

804 5TH STREET WEST

2501 JEFFERSON ROAD

2501 JEFFERSON ROAD

1803 ASPEN COURT

805 FOREST AVENUE

815 FOREST AVENUE

812 NORTH LINDEN STREET

812 LINDEN STREET NORTH

301 COUNTY ROAD 6

NORTHFIELD, MN 55057

NORTHFIELD, MN 55057

NORTHFIELD, MN 55057

NORTHFIELD, MN 55057

NORTHFIELD, MN 55057

NORTHFIELD, MN 55057

NORTHFIELD, MN 55057

NORTHFIELD, MN 55057

HILLS, MN 56138

507/664-8815

507/581-2444

507/581-2444

612/839-2286

507/664-8815

507/664-8800

507/645-4126

507/645-4126

507/962-3500

NProf

Lim-Liab

Lim-Liab

Corp

NProf

NProf

Lim-Liab

Lim-Liab

Church

COMP

NH-92

COMP

COMP

SNF-NF-92

(20342)

(34667)

(34174)

(34742)

(20139)

(00564)

(20071)

(30330)

(21200)

FAX: 507/645-0942

FAX: /-

FAX: 507/301-3635

FAX: /-

FAX: 507/645-0942

FAX: 507/645-0942

FAX: 507/645-5948

FAX: 507/645-5948

FAX: 507/962-3590

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

MARK ANDERSON

KARI ELLIASON

KARI ELLIASON

STACEY GREER

MARK ANDERSON

MARK ANDERSON

RACHEL PORTER

JOHN BONNER

ELI RIPLEY

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

HWS

HWSAL

Home Mgmt

HWS

HWSAL

Page 529: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

492

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

ROCK

THE TUFF VILLAGE

TUFF MEMORIAL HOME

TUFF MEMORIAL HOME VISTE MANOR

ALPHA SIGMA HEALTH GROUP INC

GOOD SAMARITAN SOCIETY MARY JANE BROWN

HOSPICE OF LUVERNE COMMUNITY HOSPITAL

MINNESOTA VETERANS HOME LUVERNE

OASIS CARE HOME LLC

OASIS CARE HOME LLC

POPLAR CREEK ESTATES

301 COUNTY ROAD 6

505 EAST 4TH STREET

500 EAST 4TH STREET

211 EAST MAIN STREET #106

110 SOUTH WALNUT AVENUE

304 NORTH MCKENZIE STREET

1300 NORTH KNISS

514 BRITZ DRIVE

514 BRITZ DRIVE

201 OAK DRIVE

HILLS, MN 56138

HILLS, MN 56138

HILLS, MN 56138

LUVERNE, MN 56156

LUVERNE, MN 56156

LUVERNE, MN 56156

LUVERNE, MN 56156

LUVERNE, MN 56156

LUVERNE, MN 56156

LUVERNE, MN 56156

507/962-3275

507/962-3275

507/962-3275

507/449-6131

507/283-2375

507/283-1805

507/283-6200

507/920-7071

507/449-6156

507/283-1996

Church

Church

Church

Corp

NProf

NProf

State

Lim-Liab

Lim-Liab

NProf

NH-50

COMP HCBS

NH-51

NH-85

COMP

COMP

SNF-NF-50

SNF-NF-51

SNF-NF-85

(30720)

(00576)

(23857)

(33791)

(00575)

(02825)

(00411)

(33288)

(33173)

(23223)

FAX: 507/962-3590

FAX: 507/962-3277

FAX: 507/962-3275

FAX: 507/449-6136

FAX: 507/283-2377

FAX: 507/449-2011

FAX: 507/283-1127

FAX: /-

FAX: 507/369-2743

FAX: 507/283-1773

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ELI RIPLEY

ELI RIPLEY

ELI RIPLEY

TAMMY RUNNING

ELIZABETH CALLAHAN

TAMMY LOOSBROCK

BRITTNEY VOLL

JASON BRECHER

JASON BRECHER

BETH CALLAHAN

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWS

Page 530: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

493

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

ROCK

ROSEAU

RESIDENTIAL ADVANTAGES LLC

SANFORD LUVERNE HOSPICE

SANFORD LUVERNE HOSPICE

SANFORD LUVERNE MEDICAL CENTER

THE OAKS & POPLAR CREEK ESTATES

LIFECARE GREENBUSH MANOR

LIFECARE GREENBUSH MANOR

LIFECARE GREENBUSH MANOR

AGELESS CARE INCORPORATED

107 SOUTH BLUE MOUND AVENUE

304 NORTH MCKENZIE STREET

217 NORTH OAKLEY STREET

1600 NORTH KNISS AVENUE

201 OAK DRIVE

19120 200TH STREET

19120 200TH STREET

19120 200TH STREET

702 7TH STREET SW

LUVERNE, MN 56156

LUVERNE, MN 56156

LUVERNE, MN 56156

LUVERNE, MN 56156

LUVERNE, MN 56156

GREENBUSH, MN 56726

GREENBUSH, MN 56726

GREENBUSH, MN 56726

ROSEAU, MN 56751

952/922-6776

507/283-1805

507/283-1805

507/283-2321

507/283-1996

218/782-6106

218/782-2131

218/782-6138

218/463-3695

Corp

NProf

NProf

NProf

NProf

NProf

NProf

NProf

Corp

SLFB-6

RES-HSPICE-4

HOSP-28 BASS-5

NH-40

COMP

COMP

ICFIID-6

CAH-25

SNF-NF-20 NF1-20

(01345)

(02825)

(23479)

(00574)

(20465)

(00578)

(27671)

(27672)

(24558)

FAX: 952/922-6885

FAX: 507/449-2011

FAX: 507/449-2011

FAX: 507/283-2091

FAX: 507/283-1773

FAX: 218/782-4005

FAX: 218/782-4005

FAX: 218/782-4010

FAX: 218/464-3708

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

DEVIN NELSON

TAMMY LOOSBROCK

TAMMY LOOSBROCK

TAMMY LOOSBROCK

ELIZABETH CALLAHAN

SHANNON CARLSON

EMILY STRAW

KEITH OKESON

KARIN LOVEN

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

HWSAL

HWSAL

Page 531: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

494

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

ROSEAU

AGELESS CARE INCORPORATED

ALTRU RENAL DIALYSIS

LIFE CARE MEDICAL CENTER

LIFECARE HOME CARE

LIFECARE HOSPICE

LIFECARE MEDICAL CENTER

LIFECARE ROSEAU MANOR

NORTH STAR APARTMENTS

OAK CREST SENIOR HOUSING

OAK CREST SENIOR HOUSING

702 7TH STREET SW

711 DELMORE DRIVE

715 DELMORE DRIVE

715 DELMORE DRIVE

715 DELMORE DRIVE

715 DELMORE DRIVE

715 DELMORE DRIVE

706 MAIN AVENUE SOUTH

201 10TH STREET SE

201 10TH STREET SE

ROSEAU, MN 56751

ROSEAU, MN 56751

ROSEAU, MN 56751

ROSEAU, MN 56751

ROSEAU, MN 56751

ROSEAU, MN 56751

ROSEAU, MN 56751

ROSEAU, MN 56751

ROSEAU, MN 56751

ROSEAU, MN 56751

218/463-3695

701/780-5877

218/463-2500

218/463-3211

218/463-2500

218/463-2500

218/463-2500

218/463-3086

218/463-2006

218/463-2006

Corp

NProf

NProf

NProf

NProf

NProf

NProf

Part

NProf

NProf

NH-50 HOSP-25 BASS-7

COMP

Hospice

NH-50 HOSP-25 BASS-7

NH-50 HOSP-25 BASS-7

COMP

ESRD

SNF-NF-50 CAH-25

HHA

HSPICE

SNF-NF-50 CAH-25

SNF-NF-50 CAH-25

(30550)

(28247)

(00579)

(02143)

(03637)

(00579)

(00579)

(20956)

(24166)

(30496)

FAX: 218/464-3708

FAX: 701/780-5852

FAX: 218/463-1266

FAX: 218/463-4755

FAX: 218/463-4755

FAX: 218/463-1266

FAX: 218/463-1266

FAX: 218/463-2774

FAX: 218/463-2031

FAX: 218/463-2031

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

KARIN LOVEN

JULIE NELSON

KEITH OKESON

NATHAN BROVOLD

KEITH OKESON

KEITH OKESON

KEITH OKESON

BRANDON EISENBEIS

SHANA LANCTOT

SHANA LANCTOT

---------------------------********** --------------------------(Cont.)*

HWS

HWS

HWSAL

Page 532: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

495

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

ROSEAU

SAINT LOUIS

LAKEVIEW RETIREMENT RESIDENCE

LAKEVIEW RETIREMENT RESIDENCE

WARROAD CARE CENTER

AURORA CAREFREE LIVING INC

DRCC AURORA

ESSENTIA HEALTH - NORTHERN PINES

ESSENTIA HEALTH NORTHERN PINES MEDICAL CENTER

BABBITT CAREFREE LIVING

NEW JOURNEY RESIDENCE

1401 LAKE STREET NW

1401 LAKE STREET NW

1401 LAKE STREET NW

304 EAST 3RD AVENUE SOUTH

417 SOUTH MAIN STREET

5211 HIGHWAY 110

5211 HIGHWAY 110

1 CENTRAL BOULEVARD

100 VERMILION TRAIL

WARROAD, MN 56763

WARROAD, MN 56763

WARROAD, MN 56763

AURORA, MN 55705

AURORA, MN 55705

AURORA, MN 55705

AURORA, MN 55705

BABBITT, MN 55706

BIWABIK, MN 55708

218/386-1235

218/386-1235

218/386-1235

218/306-6028

218/229-3369

218/229-3311

218/229-4222

218/827-2273

218/865-4588

NProf

NProf

NProf

Corp

NProf

NProf

NProf

Corp

Lim-Liab

COMP

NH-49

SLFB-5

NH-33 HOSP-16 BASS-4

SNF-NF-49

ICFIID-5

RHC

SNF-NF-33 CAH-16

(20747)

(30793)

(26877)

(31407)

(01610)

(33127)

(00604)

(29103)

(21987)

FAX: 218/386-3548

FAX: 218/386-3548

FAX: 218/386-1235

FAX: 218/306-6035

FAX: 218/727-9555

FAX: /-

FAX: 218/229-4269

FAX: 218/827-3447

FAX: 218/777-2490

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

MARK BERTILRUD

MARK BERTILRUD

MARK BERTILRUD

MARILYN HANSON

THOMAS GILLESPIE

LAURA ACKMAN

LAURA ACKMAN

MARILYN HANSON

DANIEL HOWELL

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

Page 533: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

496

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

SAINT LOUIS

BROOKE MANOR INC

BROOKE MANOR INC

BROOKE MANOR, INC.

PETERSON COLONIAL HOMES HOUSE 1

PETERSON COLONIAL HOMES HOUSE 2

PETERSON COLONIAL HOMES INC

WINTER HOMES, INCORPORATED

BUHL CAREFREE LIVING LLC

CORNERSTONA VILLA

CORNERSTONE VILLA

4878 HIGHWAY 31

4878 HIGHWAY 31

4878 HIGHWAY 31

4866 HIGHWAY 31 NORTH

4723 NYGAARD ROAD

4723 NYGAARD ROAD

4982 PAUPORES ROAD

500 EAST MONROE DRIVE

1000 FOREST STREET

1000 FOREST STREET

BROOKSTON, MN 55711

BROOKSTON, MN 55711

BROOKSTON, MN 55711

BROOKSTON, MN 55711

BROOKSTON, MN 55711

BROOKSTON, MN 55711

BROOKSTON, MN 55711

BUHL, MN 55713

BUHL, MN 55713

BUHL, MN 55713

218/453-5262

218/453-5262

218/453-5262

218/453-5646

218/878-0642

218/878-0642

218/879-2275

218/741-3013

218/258-3253

218/258-3253

Corp

Corp

Corp

Corp

Corp

Corp

Corp

Lim-Liab

NProf

NProf

COMP

COMP

COMP

SLFA-6

NH-44

COMP

SNF-NF-44

(21969)

(30235)

(21969)

(33367)

(33366)

(33096)

(01651)

(26432)

(23242)

(33655)

FAX: 218/453-1023

FAX: 218/453-1023

FAX: 218/453-1023

FAX: 218/453-1122

FAX: 218/878-2978

FAX: /-

FAX: 218/878-3365

FAX: 218/258-8682

FAX: 218/489-1053

FAX: 218/489-1053

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

VIRGINIA TUOMINEN

VIRGINIA TUOMINEN

VIRGINIA TUOMINEN

KIMI ECKEL

KIMI ECKEL

KIMI ECKEL

DIETRICH WINTER

SHAWN FRANKLIN

DEBRA DOUGHTY

DEBRA DOUGHTY

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

Page 534: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

497

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

SAINT LOUIS

CORNERSTONE VILLA

ASPEN GROVE ASSISTED LIVING

ASPEN GROVE ASSISTED LIVING

HERITAGE MANOR

RANGE CENTER LEGACY

SERVING HART INC

SERVING HART INC

COOK HOSPITAL

COOK CAREFREE LIVING INC

COOK COMMUNITY HOSPITAL

1000 FOREST STREET

504 IRON DRIVE

504 IRON DRIVE

321 NE 6TH STREET

112 9TH STREET NW

601 EAST LAKE STREET

601 EAST LAKE STREET

10 5TH STREET SE

151 4TH STREET SE

10 5TH STREET SE

BUHL, MN 55713

CHISHOLM, MN 55719

CHISHOLM, MN 55719

CHISHOLM, MN 55719

CHISHOLM, MN 55719

CHISHOLM, MN 55719

CHISHOLM, MN 55719

COOK, MN 55723

COOK, MN 55723

COOK, MN 55723

218/258-3253

218/254-2750

218/254-2750

218/254-5765

218/254-4875

218/254-7300

218/254-7300

218/666-5945

218/666-0200

218/666-5945

NProf

Corp

Corp

NProf

NProf

Corp

Corp

Dist

Corp

Dist

COMP

NH-70

SLFB-6

COMP

NH-28 HOSP-14 BASS-0

NH-28 HOSP-14 BASS-0

SNF-NF-70

ICFIID-6

SNF-NF-28 CAH-14

SNF-NF-28 CAH-14

(36627)

(27162)

(30680)

(00904)

(01062)

(25526)

(25527)

(00586)

(27092)

(00586)

FAX: 218/489-1053

FAX: 218/254-0164

FAX: 218/254-0164

FAX: 218/354-5767

FAX: 218/254-7343

FAX: 218/254-2839

FAX: 218/254-2839

FAX: 218/666-6238

FAX: 218/666-0203

FAX: 218/666-6238

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

DEBRA DOUGHTY

BRENDA GARGANO

CHARLES GARGANO

CHESTER FISHEL II

NICOLE STEEL

LISA NELSON

LISA NELSON

TERESA DEBEVEC

MERLE SAMPSON

TERESA DEBEVEC

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

Page 535: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

498

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

SAINT LOUIS

COOK HOSPITAL

ACCENTUCARE INC

AFTENRO HOME

ANNE'S PLACE LLC

BAYSHORE RESIDENCE AND REHABILITATION CENTER

BEE HIVE HOMES OF DULUTH

BENEDICTINE HEALTH CENTER

BENET HALL

BENET HALL

CHRIS JENSEN HEALTH AND REHABILITATION CENTER

10 5TH STREET SE

2308 SPRINGVALE COURT

510 WEST COLLEGE STREET

1137 BRAINERD AVENUE

1601 ST. LOUIS AVENUE

4014 TRINITY ROAD

935 KENWOOD AVENUE

1001 KENWOOD AVENUE

1001 KENWOOD AVENUE

2501 RICE LAKE ROAD

COOK, MN 55723

DULUTH, MN 55811

DULUTH, MN 55811

DULUTH, MN 55811

DULUTH, MN 55802

DULUTH, MN 55811

DULUTH, MN 55811

DULUTH, MN 55811

DULUTH, MN 55811

DULUTH, MN 55811

218/666-5945

218/348-6888

218/728-6600

218/348-7700

218/727-8651

218/722-4014

218/522-8900

218/723-6564

218/723-7080

218/625-6400

Dist

Corp

NProf

Lim-Liab

Lim-Liab

Corp

NProf

NProf

ONProf

Lim-Liab

NH-28 HOSP-14 BASS-0

COMP

BCH-54

NH-139

NH-96

COMP

NH-160

SNF-NF-28 CAH-14

NF2-54

SNF-NF-139

SNF-NF-96

SNF-NF-160

(00586)

(28220)

(00581)

(34248)

(00589)

(31350)

(00861)

(28241)

(28244)

(00598)

FAX: 218/666-6238

FAX: 866/546-7311

FAX: 218/728-5452

FAX: 218/464-1285

FAX: 218/727-1761

FAX: 218/522-4475

FAX: 218/529-5794

FAX: 218/723-6548

FAX: 218/733-2201

FAX: 218/625-6452

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

TERESA DEBEVEC

PATRICIA LUOMA

DENNIS GOEBEL

TERRI BJORKLUND

DAVID USELMAN

NANCY SAARI

BRIAN PATTOCK

SETH JENKINS

SR. DANILE LYNCH

FRANK ROBINSON

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWSAL

HWSAL

Page 536: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

499

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

SAINT LOUIS

DIAMOND WILLOW OF LESTER PARK 1

DIAMOND WILLOW OF LESTER PARK 2

DULUTH SURGICAL SUITES LLC

E B I INCORPORATED

ECUMEN DULUTH THE SHORES

ECUMEN DULUTH THE SHORES

ECUMEN HOME CARE LAKESHORE

ECUMEN LAKESHORE

ECUMEN LAKESORE THE SHORES

ELYSIAN SENIOR HOMES OF DULUTH

6353 EAST SUPERIOR STREET

6355 EAST SUPERIOR STREET

2118 LONDON ROAD

625 NORTH 56 AVENUE WEST

4000 LONDON ROAD

4000 LONDON ROAD

4000 LONDON ROAD

4002 LONDON ROAD

4000 LONDON ROAD

110 COFFEE CREEK BOULEVARD

DULUTH, MN 55804

DULUTH, MN 55804

DULUTH, MN 55812

DULUTH, MN 55807

DULUTH, MN 55804

DULUTH, MN 55804

DULUTH, MN 558042241

DULUTH, MN 55804

DULUTH, MN 55804

DULUTH, MN 55811

218/525-8093

218/525-8177

218/481-7812

218/624-3122

218/625-8280

218/625-8280

218/625-7848

218/625-7100

218/625-8280

218/464-9400

Lim-Liab

Lim-Liab

Lim-Liab

Corp

NProf

NProf

NProf

NProf

NProf

Lim-Liab

Outpt Surg

SLFA-6

COMP

COMP

NH-60

COMP

Amb Surg

HHA

SNF-NF-60

(28545)

(28546)

(33083)

(01544)

(24064)

(30492)

(02059)

(00594)

(24064)

(36629)

FAX: 218/525-8176

FAX: 218/525-8364

FAX: 218/481-7820

FAX: 218/628-1699

FAX: 218/625-8256

FAX: 218/625-8256

FAX: 218/625-8274

FAX: 218/625-7808

FAX: 218/625-8256

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

SARA KLEINSCHMIDT

SARA KLEINSCHMIDT

LAURA RIBICH

SARAH HAMILTON

RITA WALKER

RITA WALKER

LISA PARROTT

BLAINE GAMST

RITA WALKER

LUCY BOXRUD

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

Page 537: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

500

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

SAINT LOUIS

ESSENTIA HEALTH DULUTH

ESSENTIA HEALTH ST. MARY'S HOSPICE & PALLIATIVE CARE SVC

ESSENTIA HEALTH ST. MARY'S MEDICAL CENTER

FMC DIALYSIS SERVICES DULUTH

FMC DIALYSIS SERVICES OF SPIRIT VALLEY

FRANCISCAN HEALTH CENTER

GARDEN HOUSE ESTATES

GARDEN HOUSE ESTATES LTD

GARDEN HOUSE ESTATES LTD

HEARTHSTONE HOME CARE

502 EAST 2ND STREET

330 EAST 2ND STREET

407 EAST 3RD STREET

502 EAST 2ND STREET

4700 MIKE COLALLILO DRIVE

3910 MINNESOTA AVENUE

1 RIVERSIDE DRIVE

1 RIVERSIDE DRIVE

1 RIVERSIDE DRIVE

24 N 21ST AVENUE WEST STE B

DULUTH, MN 55805

DULUTH, MN 55805

DULUTH, MN 55805

DULUTH, MN 55805

DULUTH, MN 55807

DULUTH, MN 55802

DULUTH, MN 55808

DULUTH, MN 55808

DULUTH, MN 55808

DULUTH, MN 55806

218/786-2652

218/786-4020

218/786-4000

218/720-1164

218/624-7787

218/727-8933

218/628-0271

218/628-0271

218/628-0271

218/740-4290

NProf

NProf

NProf

Corp

Corp

NProf

Corp

Corp

Corp

Lim-Liab

HOSP-165

Hospice

HOSP-380 BASS-46

NH-47

COMP

COMP

COMP

HOSP-121 PPS-R-44

HSPICE

HOSP-380

ESRD

ESRD

SNF-NF-47

HHA

(00596)

(02562)

(00600)

(02113)

(21989)

(00865)

(20837)

(20837)

(30814)

(26728)

FAX: 218/786-5922

FAX: 218/786-4223

FAX: 218/786-4888

FAX: 218/720-1463

FAX: 218/624-7752

FAX: 218/727-6610

FAX: 218/628-3981

FAX: 218/628-3981

FAX: 218/628-3981

FAX: 218/279-4412

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

BRADLEY BEARD

SETH JENKINS

JANICE SCHADE

AMY ALLEN

TIANNA SEELEY

BRITTANY LOOSBROCK

DALE BREILAND

DALE BREILAND

DALE BREILAND

BRENDA MARSHALL

---------------------------********** --------------------------(Cont.)*

HWSAL

Page 538: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

501

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

SAINT LOUIS

HEARTLAND PCA, LLC

HERITAGE HAVEN INC

HERITAGE HAVEN INC

HERITAGE HAVEN INC III

HERITAGE HAVEN, INC.

HILLSIDE HOMES I

HILLSIDE HOMES II

HILLSIDE HOMES OF DULUTH, INC.

INTERIM HEALTHCARE OF LAKE SUPERIOR, INC

INTERIM HEALTHCARE VENT CARE RESIDENCE

1700 MALL DRIVE

3044 MORRIS THOMAS ROAD

3040 MORRIS THOMAS ROAD

3042 MORRIS THOMAS ROAD

3044 MORRIS THOMAS ROAD

408 NORTH 8TH AVENUE EAST

412 NORTH 8TH AVENUE EAST

414 NORTH 8TH AVENUE EAST

332 WEST SUPERIOR STREET #204

4730 MATTERHORN CIRCLE

DULUTH, MN 55811

DULUTH, MN 55811

DULUTH, MN 55811

DULUTH, MN 55811

DULUTH, MN 55811

DULUTH, MN 55805

DULUTH, MN 55805

DULUTH, MN 55805

DULUTH, MN 55802

DULUTH, MN 55811

218/727-0990

218/722-2415

218/722-2088

218/722-2118

218/590-5037

218/727-1999

218/733-9268

218/720-5890

218/722-0053

218/722-0053

Lim-Liab

Corp

Corp

Corp

Corp

Corp

Corp

Corp

Corp

Corp

COMP

COMP

COMP HHA SE

(25708)

(24250)

(25918)

(25455)

(20035)

(20888)

(20889)

(20350)

(02828)

(22354)

FAX: 218/727-1179

FAX: 218/727-8850

FAX: 218/727-8850

FAX: 218/727-8850

FAX: 218/722-4828

FAX: 218/720-6022

FAX: 218/720-6022

FAX: 218/720-6022

FAX: 218/722-0318

FAX: 218/722-0318

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ANNA BUCHANAN

SUZANNE TAYLOR

SUZANNE TAYLOR

SUZANNE TAYLOR

SUZANNE TAYLOR

DIANE LINDSEY

DIANE LINDSEY

DIANE LINDSEY

DIANE SMITH

KARI JARVI

---------------------------********** --------------------------(Cont.)*

Home Mgmt

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL

HWS

Page 539: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

502

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

SAINT LOUIS

KEYSTONE BLUFFS

KINDRED AT HOME

KINDRED HOSPICE

LAKE SUPERIOR CONCIERGE, INC.

LAKESIDE MANOR

LAKESIDE MANOR

LAKESIDE MANOR BOARDING HOME, INC.

LAKEWALK SURGERY CENTER, INC.

MARYWOOD

MCCARTHY MANOR INC

2528 TRINITY ROAD

925 EAST SUPERIOR STREET #104

404 WEST SUPERIOR ST STE 290

5652 NORTH CLOQUET ROAD

4831 LONDON ROAD

4831 LONDON ROAD

4831 LONDON ROAD

1420 LONDON ROAD #100

915 KENWOOD AVENUE

2221 NORTH ARLINGTON AVENUE

DULUTH, MN 55811

DULUTH, MN 55802

DULUTH, MN 55802

DULUTH, MN 55810

DULUTH, MN 55804

DULUTH, MN 55804

DULUTH, MN 55804

DULUTH, MN 55805

DULUTH, MN 55811

DULUTH, MN 55811

218/727-2800

218/723-8999

218/729-2517

218/310-6779

218/525-2784

218/525-2784

218/525-2784

218/728-0650

218/522-8904

218/722-1501

Lim-Liab

Corp

Lim-Liab

Corp

Corp

Corp

Corp

Corp

NProf

Corp

COMP

Hospice

COMP

COMP

Outpt Surg Amb Surg

(29456)

(02426)

(36287)

(25246)

(20087)

(30409)

(20087)

(20618)

(31068)

(30315)

FAX: 218/727-2850

FAX: 218/723-8237

FAX: 218/520-0484

FAX: 218/624-8727

FAX: 218/525-3411

FAX: 218/525-3411

FAX: 218/525-3411

FAX: 218/728-0657

FAX: /-

FAX: 218/722-5882

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

SARA KLEINSCHMIDT

RACHAEL RHODES

DEBORAH SCHILLINGER

KIMBERLY SORENSEN

THOMAS KOLAR

THOMAS KOLAR

THOMAS KOLAR

ANN FOSNESS

EXECUT BARBARA WESSBERG

JOHN HANSEN

---------------------------********** --------------------------(Cont.)*

HWSAL

Home Mgmt

HWSAL

HWSAL

HWSAL

Page 540: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

503

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

SAINT LOUIS

MCCARTHY MANOR, INC.

NORTH COUNTRY HOUSEKEEPING HCS

NORTHERN LIVES INC

NORTHWOOD CHILDREN'S SERVICES INC

PATHWAYS TO ACHIEVEMENT

PAVILION SURGERY CENTER, LLC

PINE GROVE APARTMENTS

PINES HOMECARE SERVICES LLC

PINES III ASSISTED LIVING

POLINSKY MEDICAL REHABILITATION CENTER

2221 NORTH ARLINGTON AVENUE

5282 LAKEWOOD ROAD

4014 TRINITY ROAD

4000 WEST 9TH STREET

114 S 20TH AVENUE WEST STE A

920 EAST 1ST STREET #101

4082 HAINES ROAD

50 EAST ST. MARIE STREET

50 EAST ST. MARIE STREET

1600 MILLER TRUNK HWY BLDG C

DULUTH, MN 55811

DULUTH, MN 55804

DULUTH, MN 55811

DULUTH, MN 55807

DULUTH, MN 55806

DULUTH, MN 55805

DULUTH, MN 55811

DULUTH, MN 55803

DULUTH, MN 55803

DULUTH, MN 55811

218/722-1501

218/349-2213

218/722-4014

218/625-2660

218/721-4732

218/279-6222

651/645-7271

218/724-5500

218/724-5500

218/786-5360

Corp

Lim-Liab

Corp

NProf

Corp

Lim-Liab

NProf

Lim-Liab

Part

NProf

COMP

COMP

SLFB-48

COMP

Outpt Surg

COMP

HHA

Amb Surg

Out Pt Out St Out Ot

(20034)

(30989)

(31339)

(33695)

(23205)

(21063)

(24466)

(20643)

(20866)

(26267)

FAX: 218/722-5882

FAX: /-

FAX: 218/228-7759

FAX: 218/724-0215

FAX: 218/491-7185

FAX: 218/279-6205

FAX: 651/645-0541

FAX: 218/724-5535

FAX: 218/724-5535

FAX: 218/786-5340

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JOHN HANSEN

ANITA SCHENDEL

NANCY SAARI

RICHARD WOLLEAT

MISS BRENDA EHNES

VICTORIA FRIEND

STEPHEN VANDER SCHAAF

KATHY ANDERSON

KATHY ANDERSON

JOAN JEANETTA

---------------------------********** --------------------------(Cont.)*

Home Mgmt

HWSAL-O

HWSAL

Page 541: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

504

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

SAINT LOUIS

PRIMROSE OF DULUTH

PRIMROSE OF DULUTH

RECOVER HEALTH

RESIDENTIAL TREATMENT AND DETOXIFICATION CENTER

RIVER HILL ASSISTED LIVING INC

RIVER HILL ASSISTED LIVING INC

SENIOR FRIEND HOME CARE

SEPTEMBER HOUSE

SMDC MEDICAL CENTER

SOLVAY HOUSE

724 MAPLE GROVE ROAD

724 MAPLE GROVE ROAD

4609 GRAND AVENUE

1402 EAST SUPERIOR STREET

126 98TH AVENUE WEST

126 98TH AVENUE WEST

204 3RD AVENUE

2140 WOODLAND AVENUE

502 EAST 2ND STREET

801 BAYLIS STREET

DULUTH, MN 55811

DULUTH, MN 55811

DULUTH, MN 55807

DULUTH, MN 55805

DULUTH, MN 55808

DULUTH, MN 55808

DULUTH, MN 55810

DULUTH, MN 55803

DULUTH, MN 55805

DULUTH, MN 55811

218/724-4900

218/724-4900

218/733-3485

218/723-8444

218/626-3322

218/626-3322

218/727-1111

218/728-9065

218/786-2652

218/529-3400

Lim-Liab

Lim-Liab

Corp

NProf

Corp

Corp

Lim-Liab

Ind

NProf

NProf

COMP

COMP

SLFB-40

COMP

COMP

COMP

HOSP-165

RES-HSPICE-12

HHA

HHA

HOSP-121 PPS-R-44

18-HOSPICE-12

(21916)

(30228)

(02856)

(21125)

(25393)

(30577)

(02390)

(03775)

(00596)

(25300)

FAX: 218/722-3760

FAX: 218/722-3760

FAX: 218/722-1567

FAX: 218/336-4653

FAX: 218/626-1089

FAX: 218/626-1089

FAX: 218/720-6819

FAX: 218/728-4815

FAX: 218/786-5922

FAX: 218/529-3419

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

HEATHER OPSAHL

JIM THARES

HANNAH HOLMES

TINA SILVERNESS

PATRICE STENHAMMER

PATRICE STENHAMMER

MICHAEL LOWDEN

SUZANNE VEDDER

BRADLEY BEARD

SETH JENKINS

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

Page 542: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

505

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

SAINT LOUIS

SPIRIT VALLEY ASSISTED LIVING

SPIRIT VALLEY ASSISTED LIVING

SPIRIT VALLEY ASSISTED LIVING

ST. ANN'S RESIDENCE

ST. ANN'S RESIDENCE

ST. LUKE'S HOME CARE

ST. LUKE'S HOSPICE DULUTH

ST. LUKES HOSPITAL

ST. MARY'S MEDICAL CENTER

SUPERIOR VIEW APARTMENTS

102 NORTH 58TH AVENUE WEST

101 NORTH 58TH AVENUE WEST

102 NORTH 58TH AVENUE WEST

330 EAST 3RD STREET

330 EAST 3RD STREET

220 NORTH 6TH AVENUE EAST

220 NORTH 6TH AVENUE EAST

915 EAST 1ST STREET

407 EAST 3RD STREET

1022 JUNCTION AVENUE

DULUTH, MN 55807

DULUTH, MN 55807

DULUTH, MN 55807

DULUTH, MN 55805

DULUTH, MN 55805

DULUTH, MN 55805

DULUTH, MN 55805

DULUTH, MN 55805

DULUTH, MN 55805

DULUTH, MN 55812

218/628-2705

218/628-2705

218/628-2705

218/727-8831

218/727-8831

218/249-6111

218/249-6100

218/249-3003

218/786-4000

651/645-7271

Lim-Liab

Lim-Liab

Lim-Liab

NProf

NProf

NProf

NProf

NProf

NProf

NProf

COMP

COMP

COMP

Hospice

HOSP-267 BASS-18

HOSP-380 BASS-46

HHA

HSPICE

HOSP-248 PPS-R-19

HOSP-380

(24120)

(24431)

(30495)

(20183)

(30434)

(02150)

(02753)

(00599)

(00600)

(24465)

FAX: 218/628-7225

FAX: 218/628-7225

FAX: 218/628-7225

FAX: 218/727-8833

FAX: 218/727-8833

FAX: 218/249-6166

FAX: 218/249-6166

FAX: 218/249-2472

FAX: 218/786-4888

FAX: 651/645-0541

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

LINDSAY MERRITT

FRANK BELL

FRANK BELL

SCOTT JOHNSON

SCOTT JOHNSON

ROBERTA LYNN NELSON

LYNN NELSON

KEVIN NOKELS

JANICE SCHADE

STEPHEN VANDER SCHAAF

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL-O

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506

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

SAINT LOUIS

TBI RESIDENTIAL AND COMMUNITY

TBI RESIDENTIAL AND COMMUNITY SERVICES INC

TENDER CARES LLC

THE NORTH SHORE ESTATES, LLC

THUNDERBIRD/WREN HOUSE

TOUCHING HEARTS AT HOME

TWIN DIAMOND OPERATOR LLC

VICTOR'S PLACE

VIEWCREST HEALTH CENTER

WESLEY RESIDENCE OF DULUTH

5799 LAVAQUE ROAD

114 S 20TH AVENUE WEST STE B

1137 BRAINERD AVENUE

7700 GRAND AVENUE

9302 IDAHO STREET

4812 JAY STREET

1411 LONDON ROAD

103 EAST NIAGARA STREET

3111 CHURCH STREET

5601 GRAND AVENUE

DULUTH, MN 55803

DULUTH, MN 55806

DULUTH, MN 55811

DULUTH, MN 55807

DULUTH, MN 55808

DULUTH, MN 55804

DULUTH, MN 55805

DULUTH, MN 55811

DULUTH, MN 55811

DULUTH, MN 55807

218/721-3298

218/733-1331

218/348-7700

218/628-2341

218/879-6731

218/724-4743

218/625-8488

218/248-7700

218/727-8801

218/628-2307

Corp

Corp

Lim-Liab

Lim-Liab

NProf

Lim-Liab

Lim-Liab

Lim-Liab

NProf

Corp

COMP

COMP

NH-70

SLFA-40

COMP

NH-92

COMP

SNF-NF-70

SNF-NF-92

(33758)

(33493)

(34048)

(00593)

(01358)

(25226)

(24424)

(35548)

(00602)

(20151)

FAX: 218/727-3535

FAX: 218/733-0499

FAX: 218/464-4055

FAX: 218/628-0395

FAX: 218/879-6734

FAX: 218/722-0227

FAX: 218/625-2338

FAX: 218/464-1285

FAX: 218/727-6460

FAX: 218/628-6301

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

BRENDA EHNES

MISS BRENDA EHNES

TERRI BJORKLUND

JULIANA LUNDBERG

JAMES MALLERY II

CYNTHIA HUSEBY

SARA KLEINSCHMIDT

TERRI BJORKLUND

TARA ADKINS

MARIA RUNYAN

---------------------------********** --------------------------(Cont.)*

HWS-O

Home Mgmt

HWSAL-O

Page 544: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

507

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

SAINT LOUIS

WESLEY RESIDENCE OF DULUTH

WESTWOOD OF DULUTH

WESTWOOD OF DULUTH

BOUNDARY WATERS CARE CENTER

ELY - BLOOMENSON COMMUNITY HOSPITAL

ELY - BLOOMENSON COMMUNITY HOSPITAL

ELY CAREFREE LIVING

ELY CAREFREE LIVING

ELY CAREFREE LIVING

ESSENTIA HEALTH ELY CLINIC

5601 GRAND AVENUE

925 KENWOOD AVENUE

925 KENWOOD AVENUE

200 WEST CONAN STREET

200 WEST CONAN STREET

328 WEST CONAN STREET

100 SOUTH 2ND AVENUE WEST

200 SOUTH 2ND AVENUE WEST

140 SOUTH 2ND AVENUE WEST

300 WEST CONAN STREET

DULUTH, MN 55807

DULUTH, MN 55811

DULUTH, MN 55811

ELY, MN 55731

ELY, MN 55731

ELY, MN 55731

ELY, MN 55731

ELY, MN 55731

ELY, MN 55731

ELY, MN 55731

218/628-2307

218/522-8904

218/733-2238

218/365-8045

218/365-8045

218/365-8765

218/365-2261

218/365-2261

218/365-2261

218/365-7900

Corp

NProf

NProf

NProf

NProf

NProf

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

COMP

NH-42

NH-42

HOSP-21

SNF-NF-42

SNF-NF-42

CAH-21

RHC

(30422)

(30831)

(20935)

(00587)

(00587)

(28259)

(25889)

(25890)

(25891)

(33765)

FAX: 218/628-6301

FAX: 218/279-7630

FAX: 218/723-6411

FAX: 218/365-8734

FAX: 218/365-8734

FAX: 833/490-1316

FAX: 218/365-2214

FAX: 218/365-2214

FAX: 218/365-2214

FAX: 218/365-7975

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

MARIA RUNYAN

EXECUT BARBARA WESSBERG

BARBARA WESSBERG

ADAM MASLOSKI

ADAM MASLOSKI

JOHN FOSSUM

MARILYN HANSON

SHAWN FRANKLIN

MARILYN HANSON

LAURIE HALL

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWSAL

HWSAL

HWSAL

HWSAL

Page 545: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

508

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

SAINT LOUIS

FMC DIALYSIS SERVICES EVELETH

NEW JOURNEY RESIDENCE

ST. RAPHAEL'S HEALTH & REHAB

THE WATERVIEW WOODS ASSISTED LIVING

THE WATERVIEW WOODS ASSISTED LIVING LLC

THE WATERVIEW WOODS LLC

RIVERVIEW MANOR

CARINGEDGE HEALTHCARE OF HERMANTOWN LLC

CARINGEDGE HOSPICE OF HERMANTOWN, LLC

EDDIES PLACE

233 MCKINLEY AVENUE

303 HAT TRICK AVENUE

601 GRANT AVENUE

601 GRANT AVENUE

601 GRANT AVENUE

601 GRANT AVENUE

328 11TH AVENUE EAST

4195 WESTBERG ROAD

4125 WESTBERG ROAD

5233 MAPLE GROVE ROAD

EVELETH, MN 55734

EVELETH, MN 55734

EVELETH, MN 55734

EVELETH, MN 55734

EVELETH, MN 55734

EVELETH, MN 55734

FLOODWOOD, MN 55736

HERMANTOWN, MN 55811

HERMANTOWN, MN 55811

HERMANTOWN, MN 55811

218/744-3226

218/744-5907

218/744-9800

218/744-9800

218/744-9800

218/744-9800

218/476-2738

218/216-7243

218/216-7243

218/348-7700

Corp

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Part

Lim-Liab

Lim-Liab

Lim-Liab

COMP

COMP

COMP

NH-80

COMP

Hospice

ESRD

SNF-NF-80

HHA

HSPICE

(02473)

(03739)

(20198)

(20198)

(30443)

(00583)

(23094)

(34442)

(34210)

(37396)

FAX: 218/744-3072

FAX: /-

FAX: 218/744-9829

FAX: 218/744-9829

FAX: 218/744-9829

FAX: 218/744-9829

FAX: 218/721-2377

FAX: /-

FAX: 218/740-4336

FAX: 218/464-4055

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

AMY ALLEN

JESSICA RAAD

LEESA GILMAN

LEESA GILMAN

MCHAEL SCHULTZ

STACY GROSSE

BELINDA SAYLOR

BELINDA SAYLOR

TERRI BJORKLUND

---------------------------********** --------------------------(Cont.)*

HWSAL

HWS

HWS-O

Page 546: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

509

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

SAINT LOUIS

EDGEWOOD HERMANTOWN I SENIOR LIVING LLC

EDGEWOOD HERMANTOWN I SENIOR LIVING LLC

EDGEWOOD HERMANTOWN I SENIOR LIVING, LLC

EDGEWOOD HERMANTOWN II SENIOR LIVING LLC

EDGEWOOD VISTA HERMANTOWN - ALF

MOMENTS HOSPICE

ACCESS NORTH CENTER FOR INDEPENDENT LIVING

ASPEN GROVE ALTERNATIVE SENIOR LIVING

ASPEN GROVE ALTERNATIVE SENIOR LIVING

CHERISHED - HOME MANAGEMENT

4195 WESTBERG ROAD

4195 WESTBERG ROAD

4175 WESTBERG ROAD

4125 WESTBERG ROAD

4195 WESTBERG ROAD

4897 MILLER TRUNK HIGHWAY #220

1309 EAST 40TH STREET

522 ASPEN GROVE

522 ASPEN GROVE

2506 EAST BELTLINE

HERMANTOWN, MN 55811

HERMANTOWN, MN 55811

HERMANTOWN, MN 55811

HERMANTOWN, MN 55811

HERMANTOWN, MN 55811

HERMANTOWN, MN 55811

HIBBING, MN 55746

HIBBING, MN 55746

HIBBING, MN 55746

HIBBING, MN 55746

218/723-8905

218/723-8905

218/723-8905

218/723-8905

218/723-8905

218/520-0870

218/262-6675

218/263-7330

218/263-7330

218/263-9000

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

NProf

Ind

Ind

Lim-Liab

COMP

COMP

Hospice

COMP

HSPICE

(20852)

(30824)

(20853)

(23990)

(20852)

(35159)

(29272)

(27486)

(27487)

(27166)

FAX: 218/723-4051

FAX: 218/723-4051

FAX: 218/723-4051

FAX: 218/723-4051

FAX: 218/723-4051

FAX: 763/205-3600

FAX: 218/262-6677

FAX: /-

FAX: /-

FAX: 218/263-8336

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

BRIAN HASELMAN

LORI HANSON

LORI HANSON

LORI HANSON

BRIAN HASELMAN

SHLOMO MILLER

DONALD BRUNNETTE

BRENDA GARGANO

BRENDA GARGANO

KIMBERLY TYLER

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

Home Mgmt

HWSAL

Home Mgmt

Page 547: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

510

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

SAINT LOUIS

FRESENIUS MEDICAL CARE OF HIBBING

GUARDIAN ANGELS HEALTH & REHABILITATION CENTER

HEALTHLINE HOMECARE

HILLCREST ADAMS

HILLCREST ALICE - NORTH

HILLCREST ALICE - SOUTH

HILLCREST PARKSIDE NORTH

HILLCREST PARKSIDE SOUTH

HILLCREST SUITES

HILLCREST TERRACE OF CHISHOLM

3899 HIGHWAY 73

1500 3RD AVENUE EAST

1101 EAST 37TH STREET #27

2229 3RD AVENUE EAST

2314 2ND AVENUE EAST

2314 2ND AVENUE EAST

2313 3RD AVENUE EAST

2313 3RD AVENUE EAST

1520 EAST HIGHWAY 37

2229 3RD AVENUE EAST

HIBBING, MN 55746

HIBBING, MN 55746

HIBBING, MN 55746

HIBBING, MN 55746

HIBBING, MN 55746

HIBBING, MN 55746

HIBBING, MN 55746

HIBBING, MN 55746

HIBBING, MN 55746

HIBBING, MN 55746

218/263-7300

218/263-7583

218/262-6982

218/263-4157

218/263-4157

218/263-9220

218/263-9220

218/263-8402

218/263-3643

218/263-4157

Corp

NProf

Lim-Liab

Corp

Corp

Corp

Corp

Corp

Corp

Corp

NH-90

COMP

COMP

ESRD

SNF-NF-90

HHA

(02115)

(00858)

(02309)

(20529)

(22146)

(23553)

(25376)

(25375)

(24447)

(20199)

FAX: /-

FAX: 218/263-3422

FAX: 218/262-1723

FAX: 218/263-9032

FAX: 218/263-9032

FAX: 218/263-9580

FAX: 218/263-5750

FAX: 218/263-5750

FAX: 218/263-5516

FAX: 218/263-9032

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ANGIE HULBURT

SHANE ROCHE

SHERRY BURG

JIM FENA

JIM FENA

JIM FENA

JIM FENA

JIM FENA

CHRISTINE LESEMANN

MELISSA BUTLER

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL

Page 548: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

511

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

SAINT LOUIS

HILLCREST TERRACE OF HIBBING

NORTH STAR HOSPICE

RANGE CENTER - ASPENWOOD HOME

RANGE CENTER - MAPLEVIEW HOME

RECOVER HEALTH

UNIVERSITY MEDICAL CENTER - MESABI

UNIVERSITY MEDICAL CENTER MESABI / MESABA CLINICS

HOYT LAKES CAREFREE LIVING LLC

THE HUMMINGBIRD

THE HUMMINGBIRD

1507 EAST 41ST STREET

1101 EAST 37TH STREET #27

1820 EAST 39TH STREET

506 WEST 47TH STREET

2900 EAST BELTLINE #1

750 EAST 34TH STREET

750 EAST 34TH STREET

421 KENNEDY MEMORIAL DRIVE

7704 COLE AVENUE

7704 COLE AVENUE

HIBBING, MN 55746

HIBBING, MN 55746

HIBBING, MN 55746

HIBBING, MN 55746

HIBBING, MN 55746

HIBBING, MN 55746

HIBBING, MN 55746

HOYT LAKES, MN 55750

MEADOWLANDS, MN 55765

MEADOWLANDS, MN 55765

218/263-3641

218/262-6982

218/263-9079

218/263-4573

218/262-5887

218/362-6730

218/362-6730

218/306-6028

218/427-2294

218/427-2294

Corp

ONProf

NProf

NProf

Corp

NProf

NProf

Lim-Liab

Corp

Corp

Hospice

SLFB-6

SLFB-6

COMP

HOSP-175 BASS-16

HOSP-175 BASS-16

COMP

HSPICE

ICFIID-6

ICFIID-6

HHA

HOSP-175

HOSP-175

(20200)

(03270)

(01629)

(01315)

(02376)

(00859)

(00859)

(27970)

(26569)

(30728)

FAX: 218/263-7556

FAX: 218/262-1723

FAX: 218/254-7343

FAX: 218/254-7343

FAX: 218/262-6228

FAX: 218/362-6619

FAX: 218/362-6619

FAX: 218/306-6035

FAX: 218/427-1015

FAX: 218/427-1015

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JIM FENA

SHERRY BURG

NICOLE STEEL

NICOLE STEEL

STEPHANIE GRAFF

PATRICK SHARP

PATRICK SHARP

SHAWN FRANKLIN

MICHAEL LINDGREN

JULIE LINDGREN

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

Page 549: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

512

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

SAINT LOUIS

ACCRA HOME HEALTH-DULUTH

DIAMOND WILLOW OF MOUNTAIN IRON

DIAMOND WILLOW OF MOUNTAIN IRON 1

ORR CAREFREE LIVING INC

DIAMOND WILLOW OF PROCTOR 1

DIAMOND WILLOW OF PROCTOR 2

DIAMOND WILLOW OF PROCTOR 3

DIAMOND WILLOW OF PROCTOR 4

DIAMOND WILLOW OF PROCTOR 5

GOLDEN OAKS OF PROCTOR

12600 WHITEWATER DRIVE STE 100

8585 UNITY DRIVE

8583 UNITY DRIVE

4576 LAKE STREET

913 OLD HIGHWAY 2

915 OLD HIGHWAY 2

919 OLD HIGHWAY 2

921 OLD HIGHWAY 2

923 OLD HIGHWAY 2

23 WATERVIEW DRIVE

MINNETONKA, MN 55305

MOUNTAIN IRON, MN 55768

MOUNTAIN IRON, MN 55768

ORR, MN 55771

PROCTOR, MN 55810

PROCTOR, MN 55810

PROCTOR, MN 55810

PROCTOR, MN 55810

PROCTOR, MN 55810

PROCTOR, MN 55810

218/724-2800

218/741-1450

218/741-1413

218/757-3200

218/624-9771

218/628-3535

218/624-5102

218/624-5034

218/624-0363

218/740-0404

NProf

Lim-Liab

Lim-Liab

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

COMP HHA

(03338)

(24665)

(24664)

(30120)

(23609)

(30334)

(24121)

(24122)

(24123)

(30617)

FAX: 218/724-8200

FAX: 218/741-1453

FAX: 218/741-1454

FAX: 218/757-0060

FAX: 218/624-9772

FAX: 218/628-7072

FAX: 218/624-6028

FAX: 218/624-5375

FAX: 218/624-0295

FAX: 844/886-9550

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JOHN DAHM

SARA KLEINSCHMIDT

SARA KLEINSCHMIDT

SHAWN FRANKLIN

SARA KLEINSCHMIDT

SARA KLEINSCHMIDT

SARA KLEINSCHMIDT

SARA KLEINSCHMIDT

SARA KLEINSCHMIDT

JENNIFER DESLAURIERS-KNOP

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL

Page 550: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

513

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

SAINT LOUIS

HOME INSTEAD

LIFESTONE HEALTH CARE INC

LIFESTONE HEALTH CARE, INC.

GOLDEN HORIZONS

VERMILION SENIOR LIVING

CHESTNUT GROVE EAST

CHESTNUT GROVE NORTH

DONOVAN FRANK DETOXIFICATION CENTER

EDGEWOOD VIRGINIA I SENIOR LIVING LLC

EDGEWOOD VIRGINIA I SENIOR LIVING LLC

318 3RD AVENUE

319 7TH STREET

319 7TH STREET

1232 BIRCH STREET NORTH

1232 BIRCH STREET NORTH

1204 WEST CHESTNUT STREET

1204 WEST CHESTNUT STREET

626 13TH STREET SOUTH

605 17TH STREET NORTH

705 17TH STREET NORTH

PROCTOR, MN 55810

PROCTOR, MN 55810

PROCTOR, MN 55810

TOWER, MN 55790

TOWER, MN 55790

VIRGINIA, MN 55792

VIRGINIA, MN 55792

VIRGINIA, MN 55792

VIRGINIA, MN 55792

VIRGINIA, MN 55792

218/727-8810

218/481-7306

218/481-7306

218/753-7788

218/753-7788

218/749-6846

218/749-6846

218/749-2881

218/741-7106

218/741-7106

Lim-Liab

Corp

Corp

Lim-Liab

Lim-Liab

Corp

Corp

NProf

Lim-Liab

Lim-Liab

COMP

COMP

COMP

COMP

SLFA-16 SLFB-14

(23296)

(29862)

(32149)

(24173)

(24173)

(21899)

(20288)

(20624)

(21354)

(30738)

FAX: 218/727-3522

FAX: 218/481-7309

FAX: 218/481-7309

FAX: 218/753-7792

FAX: 218/753-7792

FAX: 218/749-6846

FAX: 218/749-6846

FAX: 218/749-3806

FAX: 218/749-3390

FAX: 218/749-3390

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

MARY ANDREWS

CHIAMAKA ENEMUOH

CHIAMAKA ENEMUOH

MATTHEW PALLANSCH

MATTHEW PALLANSCH

CHRISTINE LESEMANN

JIM FENA

JANIS ALLEN

LINDSEY CHRISTENSON

LINDSEY CHRISTENSON

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL

Page 551: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

514

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

SAINT LOUIS

EDGEWOOD VIRGINIA I SENIOR LIVING, LLC

EDGEWOOD VISTA VIRGINIA - ALF

ESSENTIA HEALTH VIRGINIA

ESSENTIA HEALTH VIRGINIA CARE CENTER

IRON RANGE REHAB CENTER

LAKEVIEW RESIDENCE

LAKEVIEW RESIDENCE

MERRITT HOUSE

NORTHWOODS SURGERY CENTER, LLC

SPECTRUM HEALTH COMPANIES

705 17TH STREET NORTH

705 17TH STREET NORTH

901 9TH STREET NORTH

901 9TH STREET NORTH

901 NORTH 9TH STREET #100

201 NORTH 6TH AVENUE

201 NORTH 6TH AVENUE

731 3RD STREET SOUTH

502 NORTH 6TH AVENUE WEST

418 9TH STREET SOUTH

VIRGINIA, MN 55792

VIRGINIA, MN 55792

VIRGINIA, MN 55792

VIRGINIA, MN 55792

VIRGINIA, MN 55792

VIRGINIA, MN 55792

VIRGINIA, MN 55792

VIRGINIA, MN 55792

VIRGINIA, MN 55792

VIRGINIA, MN 55792

218/741-7106

218/741-7106

218/741-3340

218/741-3340

218/749-9405

218/741-8996

218/741-8996

218/749-2881

218/471-1651

218/741-3013

Lim-Liab

Lim-Liab

ONProf

ONProf

NProf

Corp

Corp

NProf

Lim-Liab

Corp

COMP

COMP

HOSP-83 BASS-6 NH-77

HOSP-83 BASS-6 NH-77

COMP

SLFA-16

Outpt Surg

COMP

HOSP-83 PPS-R- SNF-NF-77

HOSP-83 PPS-R- SNF-NF-77

Out Pt Out St Out Ot

Amb Surg

(21353)

(21353)

(00603)

(00603)

(02091)

(33802)

(33960)

(20793)

(29820)

(31391)

FAX: 218/749-3390

FAX: 218/749-3390

FAX: 218/749-9427

FAX: 218/749-9427

FAX: 218/749-9407

FAX: 218/742-3231

FAX: 218/742-3231

FAX: 218/749-3806

FAX: 218/471-1230

FAX: 218/741-1448

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

LINDSEY CHRISTENSON

LINDSEY CHRISTENSON

SAMUEL STONE

SAMUEL STONE

JOAN JEANETTA

KRISTEN WOLF

KRISTEN WOLF

JANIS ALLEN

KATE GRIBBLE

NATALIE WILKENS

---------------------------********** --------------------------(Cont.)*

HWSAL

Page 552: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

515

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

SAINT LOUIS

SCOTT

ST. LOUIS COUNTY BOARD OF COMMISSIONERS

ST. LOUIS COUNTY PUBLIC HEALTH & HUMAN SERVICES

THE WATERVIEW PINES LLC

VIRGINIA CAREFREE LIVING

VIRGINIA REGIONAL MEDICAL CENTER

KINGSWAY HOME CARE

KINGSWAY RETIREMENT LIVING

KINGSWAY RETIREMENT LIVING

THE LUTHERAN HOME - HOPE RESIDENCE

307 1ST STREET SOUTH

307 1ST STREET SOUTH

1201 8TH STREET SOUTH

421 10TH STREET SOUTH

901 9TH STREET NORTH

815 WEST MAIN STREET

815 WEST MAIN STREET

815 WEST MAIN STREET

611 WEST MAIN STREET

VIRGINIA, MN 55792

VIRGINIA, MN 55792

VIRGINIA, MN 55792

VIRGINIA, MN 55792

VIRGINIA, MN 55792

BELLE PLAINE, MN 56011

BELLE PLAINE, MN 56011

BELLE PLAINE, MN 56011

BELLE PLAINE, MN 56011

218/726-2000

218/726-2000

218/748-7800

218/248-8626

218/741-3340

952/873-5900

952/873-5900

952/873-5900

952/873-2143

Cnty

Cnty

Lim-Liab

Lim-Liab

ONProf

Lim-Liab

Lim-Liab

Lim-Liab

Church

NH-83

HOSP-83 BASS-6 NH-77

COMP

COMP

SLFB-52

SNF-NF-83

HOSP-83 PPS-R- SNF-NF-77

ICFIID-52

(02019)

(02019)

(00582)

(33023)

(00603)

(26037)

(26037)

(30661)

(01682)

FAX: 218/726-5186

FAX: 218/726-5186

FAX: 218/748-7890

FAX: 218/248-8632

FAX: 218/749-9427

FAX: 952/873-5901

FAX: 952/873-5901

FAX: 952/873-5901

FAX: 952/873-2184

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

HOLLY CHURCH

HOLLY CHURCH

KATIE COLLINS

SHAWN FRANKLIN

SAMUEL STONE

JACQUELINE GRIMM

JACQUELINE GRIMM

JACQUELINE GRIMM

DEBRA WILBRIGHT

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

Home Mgmt

Home Mgmt

HWSAL

HWSAL

Page 553: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

516

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

SCOTT

THE LUTHERAN HOME: BELLE PLAINE

ALLIANCE ASSISTED LIVING INC

HOSPICE HOMES AND SUITES

THE LODGE ON NATCHEZ

THE LODGE ON NATCHEZ

OAK TERR SR HOUSING OF JORDAN

OAK TERRACE SENIOR HOUSING OF JORDAN

VALLEYVIEW OF JORDAN, LLC

VALLEYVIEW OF JORDAN, LLC

MALA STRANA ASSISTED LIVING

611 WEST MAIN STREET

2029 PIN OAK DRIVE

27890 NATCHEZ AVENUE

27890 NATCHEZ AVENUE

27890 NATCHEZ AVE

622 ABERDEEN AVENUE

622 ABERDEEN AVENUE

4061 WEST 173RD STREET

4061 WEST 173RD STREET

999 COLUMBUS AVENUE NORTH

BELLE PLAINE, MN 56011

EAGAN, MN 55122

ELKO, MN 55020

ELKO, MN 55020

ELKO NEW MARKET, MN 55020

JORDAN, MN 55352

JORDAN, MN 55352

JORDAN, MN 55352

JORDAN, MN 55352

NEW PRAGUE, MN 56071

952/873-2100

763/742-7284

952/222-3395

952/222-3395

612/200-0901

952/492-5559

952/492-5559

952/492-6160

952/492-6160

952/758-2511

Lim-Liab

Corp

Corp

Corp

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

NH-97

TCOMP

COMP

COMP

COMP

COMP

SNF-NF-97

(00605)

(35801)

(21486)

(21486)

(30764)

(28511)

(28513)

(20964)

(30835)

(30219)

FAX: 952/873-6111

FAX: /-

FAX: 612/524-5494

FAX: 612/524-5494

FAX: 952/487-3607

FAX: 952/492-4621

FAX: 952/492-4621

FAX: 952/492-6860

FAX: 952/492-6860

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JACQUELINE GRIMM

ABDIRAHMAN SHARIFF

MICHAEL CROW

MICHAEL CROW

HEATHER HEIJERMAN

DENNIS HOOD

DREW HOOD

ALAINA GAST

ALAINA GAST

LEESA GILMAN

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

Page 554: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

517

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

SCOTT

MALA STRANA ASSISTED LIVING

MALA STRANA CARE & REHABILITATION CENTER

MAYO CLINIC HEALTH SYSTEM - NEW PRAGUE

CREEKRIDGE CONCIERGE

COMMUNITY ASSISTED LIVING, INC.

COMMUNITY HOME HEALTH, INC.

FLAGSHIP FRANCHISES OF MINNESOTA LLC

GOLDEN HEART SENIOR CARE SCOTT COUNTY

KEYSTONE COMMUNITIES OF PRIOR LAKE

MCKENNA CROSSING

999 COLUMBUS AVENUE NORTH

1001 COLUMBUS AVENUE NORTH

301 2ND STREET NE

1705 HURON CT

16670 FRANKLIN TRAIL SE #120A

16670 FRANKLIN TRAIL SE #120A

15815 FRANKLIN TRAIL

7125 LONGVIEW LANE

4685 PARK NICOLLET AVENUE

13810 SHEPHERDS PATH NW

NEW PRAGUE, MN 56071

NEW PRAGUE, MN 56071

NEW PRAGUE, MN 56071

NORTHFIELD, MN 55075

PRIOR LAKE, MN 55372

PRIOR LAKE, MN 55372

PRIOR LAKE, MN 55372

PRIOR LAKE, MN 55372

PRIOR LAKE, MN 55372

PRIOR LAKE, MN 55379

952/758-2511

952/758-2511

952/758-4431

651/260-6024

952/440-3955

952/440-3955

612/810-9796

952/447-1160

952/226-9200

952/230-3300

Lim-Liab

Corp

NProf

Corp

Corp

Corp

Lim-Liab

Lim-Liab

Lim-Liab

NProf

COMP

NH-84

HOSP-49 BASS-6

COMP

COMP

COMP

COMP

SNF-NF-84

CAH-25

HHA

(21822)

(00811)

(00607)

(27010)

(20823)

(03422)

(25260)

(32363)

(22094)

(25285)

FAX: 952/758-0171

FAX: 952/758-2514

FAX: 952/758-2166

FAX: 952/403-6377

FAX: 952/440-3956

FAX: 952/440-3956

FAX: 952/226-9287

FAX: 952/484-8693

FAX: 952/226-9201

FAX: 952/230-3301

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

LEESA GILMAN

LYDIA RASMUSSEN

MACKENZIE MILLER

HOLLY FELLOWS

DONNA NOVAK

BARBARA CEBALLOS

DEBORAH DELANEY

JODI MUELKEN

BETH LANDERS

MELISSA KIRCHHOFF

---------------------------********** --------------------------(Cont.)*

Home Mgmt

HWSAL

HWSAL

Page 555: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

518

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

SCOTT

MCKENNA CROSSING

NEW PERSPECTIVE - PRIOR LAKE

NEW PERSPECTIVE - PRIOR LAKE

NORBELLA SENIOR LIVING

TOUCHING LIVES COMMUNITIES

2CARE4U SOUTH LLC

3CARE HEALTH LLC

3CARE HEALTH LLC

BRIGHTSTAR CARE OF SCOTT/CARVER COUNTIES

GOLDEN HEART SENIOR CARE

13810 SHEPHERDS PATH NW

4685 PARK NICOLLET AVENUE

4685 PARK NICOLLET AVENUE

4285 FOUTAIN HILL DRIVE NE

5554 WOODSIDE ROAD SE

6001 EGAN DRIVE #150

6243 WEST 144TH STREET

6273 WEST 144TH STREET

7460 SOUTH PARK DRIVE

6001 EGAN DRIVE #160

PRIOR LAKE, MN 55379

PRIOR LAKE, MN 55372

PRIOR LAKE, MN 55372

PRIOR LAKE, MN 55372

PRIOR LAKE, MN 55372

SAVAGE, MN 55278

SAVAGE, MN 55378

SAVAGE, MN 55378

SAVAGE, MN 55378

SAVAGE, MN 55378

952/230-3300

952/226-9200

952/226-9200

952/215-3205

612/810-9796

952/693-0545

952/297-1393

952/297-1393

612/978-7828

952/226-4653

NProf

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

COMP

COMP

COMP

TCOMP

COMP

COMP

(29091)

(22094)

(29561)

(37315)

(35849)

(34451)

(35584)

(36299)

(34669)

(31318)

FAX: 952/230-3301

FAX: 952/226-9201

FAX: 952/226-9201

FAX: /-

FAX: 952/465-0556

FAX: /-

FAX: 844/644-1200

FAX: 844/644-1200

FAX: /-

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JAN KOOMEN

BETH LANDERS

BRIDGET BITTNER

DONNA FLAATA

DEBORAH DELANEY

AMY MCALISTER

EDWIN MIGIRO

MERCY KIAI

LORI RANNEY

BRYAN PETERSON

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWS

HWSAL-O

Page 556: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

519

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

SCOTT

HOPE RESIDENTIAL HOMES LLC

LIVING HOPE COTTAGES SAVAGE

NORBELLA SENIOR LIVING SAVAGE

RIVERS OF LIFE

RIVERS OF LIFE

SAVAGE SENIOR LIVING

SCOTT COUNTY DIALYSIS

THE SENIORS' FRIEND, LLC

TOUCHING LIVES COMMUNITIES LLC

UNITED HOMES SERVICES

4008 129TH STREET

5781 MCCOLL DRIVE

14275 JOPPA AVENUE

6700 EGAN DRIVE

6700 EGAN DRIVE

5950 WEST 130TH LANE

7456 SOUTH PARK DRIVE

15205 SPRING BROOK TERRACE

14280 ALLEN DRIVE

14570 JOPPA AVENUE SOUTH

SAVAGE, MN 55378

SAVAGE, MN 55378

SAVAGE, MN 55378

SAVAGE, MN 55378

SAVAGE, MN 55378

SAVAGE, MN 55378

SAVAGE, MN 55378

SAVAGE, MN 55378

SAVAGE, MN 55378

SAVAGE, MN 55378

612/598-8681

651/340-9387

952/215-3206

952/380-8698

952/380-8698

952/808-8725

952/226-4766

952/388-9240

952/855-4341

612/562-0561

Lim-Liab

Lim-Liab

Lim-Liab

Part

Part

Lim-Liab

Corp

Lim-Liab

Lim-Liab

Lim-Liab

TCOMP

BASIC

ESRD

(36880)

(35850)

(37313)

(35482)

(35978)

(31696)

(24585)

(27353)

(32626)

(36378)

FAX: /-

FAX: 651/793-9380

FAX: /-

FAX: /-

FAX: 866/458-5911

FAX: 952/808-5164

FAX: /-

FAX: /-

FAX: 952/297-1163

FAX: 612/314-8716

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ASHA WARFA

AARON OSGOOD

DONNA FLAATA

ANNE REYNOLDS

ANNE REYNOLDS

ERIN HILLIGAN

KATHY WOLFE

BRENDA RODGERS

DEBORAH DELANEY

MOHAMED MOHAMED

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL-O

Page 557: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

520

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

SCOTT

ALL SAINTS SENIOR LIVING

ALL SAINTS SENIOR LIVING OF SHAKOPEE, LLC

AUGUSTANA EMERALD CREST OF SHAKOPEE

AUGUSTANA EMERALD CREST SHAKOP

BENEDICTINE LIVING COMMUNITY OF SHAKOPEE, LLC

COMMUNITY ASSISTED LIVING, INC

COMMUNITY ASSISTED LIVING, INC

DAMACARE HEALTH SERVICES LLC

DELPHI

FMCNA SHAKOPEE DIALYSIS CENTER

1880 INDEPENDENCE DRIVE

1880 INDEPENDENCE DRIVE

1855 10TH AVENUE WEST

1855 10TH AVENUE WEST

1705 WINDERMERE WAY

1205 6TH AVENUE WEST

915 FULLER STREET

1359 KNOLL DRIVE

1411 EAST SHAKOPEE AVENUE

1515 ST. FRANCIS AVENUE #150

SHAKOPEE, MN 55379

SHAKOPEE, MN 55379

SHAKOPEE, MN 55379

SHAKOPEE, MN 55379

SHAKOPEE, MN 55379

SHAKOPEE, MN 55379

SHAKOPEE, MN 55379

SHAKOPEE, MN 55379

SHAKOPEE, MN 55379

SHAKOPEE, MN 55374

952/233-7351

952/233-7351

952/856-7522

952/233-8811

952/314-4579

952/403-5163

952/445-8708

651/354-6602

651/772-4957

952/403-1038

Lim-Liab

Lim-Liab

NProf

NProf

NProf

Corp

Corp

Lim-Liab

Corp

Corp

COMP

COMP

COMP

SLFA-9 ICFIID-9

ESRD

(29508)

(29576)

(21389)

(29327)

(36413)

(21887)

(22164)

(31329)

(01228)

(03935)

FAX: 952/233-8150

FAX: 952/233-8150

FAX: 952/856-7527

FAX: 952/233-8855

FAX: 952/641-2700

FAX: 952/403-0261

FAX: 952/403-0261

FAX: 651/571-0018

FAX: 651/772-2746

FAX: 952/403-1054

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

MEGHAN EAKINS

MEGHAN EAKINS

JULIANNE FRIES

JULIANNE FRIES

JOHN PADJEN

DONNA NOVAK

DONNA NOVAK

DAVID OGATO

BLAKE ELLIOTT

DANIELLE MEULENERS

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL

Page 558: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

521

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

SCOTT

MARTHA HOUSE LLC

SCOTT COUNTY

SHAKOPEE FRIENDSHIP MANOR

ST. FRANCIS REGIONAL MEDICAL CENTER

ST. GERTRUDES HEALTH & REHABILITATION CENTER

SYNERGYCARE LLC

SYNERGYCARE LLC

THE GARDENS AT ST. GERTRUDES

THE GARDENS AT ST. GERTRUDES

TRUSTED HOME CARE LLC

1861 PRESERVE COURT

1615 WESTON COURT

1340 3RD AVENUE WEST

1455 ST. FRANCIS AVENUE

1850 SARAZIN STREET

1486 ROUNDHOUSE CIRCLE

1486 ROUNDS HOUSE CIRCLE

1850 SARAZIN STREET

1850 SARAZIN STREET

911 1ST AVENUE EAST

SHAKOPEE, MN 55379

SHAKOPEE, MN 55379

SHAKOPEE, MN 55379

SHAKOPEE, MN 55379

SHAKOPEE, MN 55379

SHAKOPEE, MN 55379

SHAKOPEE, MN 55379

SHAKOPEE, MN 55379

SHAKOPEE, MN 55379

SHAKOPEE, MN 55379

612/414-4180

952/496-8555

952/445-4155

952/428-3000

952/233-4400

612/805-1118

612/224-2018

952/233-4400

952/233-4400

952/378-1592

Lim-Liab

Cnty

Corp

NProf

Church

Lim-Liab

Lim-Liab

NProf

NProf

Lim-Liab

NH-80

HOSP-93 BASS-18

NH-105

TCOMP

COMP

COMP

SNF-NF-80

HOSP-93

SNF-NF-105

(36591)

(31790)

(00820)

(00458)

(00459)

(34957)

(35539)

(30475)

(23871)

(27121)

FAX: /-

FAX: 952/496-8072

FAX: 952/746-5331

FAX: 952/428-3820

FAX: 952/233-4476

FAX: 612/224-2017

FAX: 612/224-2017

FAX: /-

FAX: 952/233-4476

FAX: 952/378-2878

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

AISHA HASSAN

LISA BRODSKY

BRUCE SALMELA

AMY JERDEE

MEGAN DIAMOND

OKECHUK NNAJI

OKECHUKWU NNAJI

MEGAN DIAMOND

JOHN PADJEN

CHARLES WELTER

---------------------------********** --------------------------(Cont.)*

HWSAL-O

MOBHES

HWS-O

HWSAL

Page 559: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

522

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

SCOTT

SHERBURNE

UNIVERSAL HEALTH SERVICES LLC

UNIVERSAL HEALTH SERVICES LLC

SHEPHERD OF GRACE LLC

CENTRACARE KIDNEY PROGRAM - BIG LAKE DIALYSIS

CHERRYWOOD OF BIG LAKE 171

CHERRYWOOD OF BIG LAKE 177

KELLER LAKE COMMONS

LIVING WELL - POWELL

SOURIYATHAY HOUSING WITH SERVICES

1359 KNOLL DRIVE

1359 KNOLL DRIVE

11175 27TH AVENUE SE

16830 198TH AVENUE NW

171 HENRY ROAD

177 HENRY ROAD

655 NORWOOD LANE

150 POWELL CIRCLE WEST

18693 TRAVERSE LANE

SHAKOPEE, MN 55379

SHAKOPEE, MN 55379

BECKER, MN 55308

BIG LAKE, MN 55309

BIG LAKE, MN 55309

BIG LAKE, MN 55309

BIG LAKE, MN 55309

BIG LAKE, MN 55309

BIG LAKE, MN 55309

612/751-0854

763/843-1255

763/262-8000

763/263-7300

763/202-0308

763/262-0308

763/263-2363

763/263-6503

612/368-1236

Lim-Liab

Lim-Liab

Lim-Liab

NProf

Lim-Liab

Lim-Liab

Lim-Liab

NProf

Lim-Liab

COMP

SLFB-

ESRD

ICFIID-6

(34308)

(35207)

(24881)

(03880)

(28114)

(28113)

(34175)

(01411)

(35549)

FAX: 612/213-2311

FAX: 651/571-0018

FAX: 763/262-8001

FAX: 763/263-7334

FAX: 763/262-0381

FAX: 763/262-0381

FAX: /-

FAX: 763/263-7052

FAX: 763/269-7516

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

MELLEN SUTTON

MELLEN SUTTON

MICHAEL STORDAHL

MARSHA KWALLEK

WENDY HULSEBUS

WENDY HULSEBUS

TYLER PETRICH

JULIE OACHS

PHINHSAYKEO SOURIYATHAY

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

HWSAL-O

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL

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523

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

SHERBURNE

LANGE BOARD AND ROOM INC

LANGE BOARD AND ROOM INC

LANGE BOARD AND ROOM INC

BEE HIVE HOMES

BEE HIVE HOMES

CENTRAL MINNESOTA REGIONAL DIALYSIS

CINDY'S PLACE LLC

DIANE'S PLACE LLC

ELK RIVER SENIOR CARE LLC

ELK RIVER SENIOR LIVING

13892 37TH STREET

13892 37TH STREET

13896 37TH STREET

14282 BUSINESS CENTER DRIVE NW

14282 BUSINESS CENTER DR NW

17315 ZANE STREET

13060 180TH COURT NW

10300 180TH LANE NW

11124 183RD CIRCLE NW

11124 183RD CIRCLE NW

CLEAR LAKE, MN 55319

CLEAR LAKE, MN 55319

CLEAR LAKE, MN 55319

ELK RIVER, MN 55330

ELK RIVER, MN 55330

ELK RIVER, MN 55330

ELK RIVER, MN 55330

ELK RIVER, MN 55330

ELK RIVER, MN 55330

ELK RIVER, MN 55330

763/662-2836

763/662-2836

763/662-2836

763/595-1251

763/595-1251

763/241-6832

763/267-7427

763/444-1881

763/202-5037

763/276-7076

Corp

Corp

Corp

Lim-Liab

Lim-Liab

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

COMP

COMP

COMP

ESRD

(33454)

(33606)

(33607)

(33245)

(33602)

(21096)

(33051)

(36845)

(34233)

(34079)

FAX: 763/662-2317

FAX: 763/662-2317

FAX: 763/662-2317

FAX: 763/241-0630

FAX: 763/241-0630

FAX: 763/441-3905

FAX: 763/267-7655

FAX: 763/400-4979

FAX: /-

FAX: 763/441-7551

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

SUSAN PETERSON

SUSAN PETERSON

SUSAN PETERSON

MARILYN VAN PATTEN

REBECCA O'BRIEN

SUSAN STIENE

CYNTHIA KERRICK

JILL SMITH

ANGELA BANTLE

KYLIE LARSON

---------------------------********** --------------------------(Cont.)*

HWS

HWS

HWSAL

HWSAL

HWSAL

HWSAL

Page 561: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

524

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

SHERBURNE

GABBY CARE HOMES LLC

GEORGIA HOME HEALTH CARE LLC

GUARDIAN ANGELS - ELIM HOME CARE, INC.

GUARDIAN ANGELS BY THE LAKE

GUARDIAN ANGELS BY THE LAKE

GUARDIAN ANGELS CARE CENTER

GUARDIAN ANGELS ELIM HOSPICE

KINDRED CARES

MIKES PLACE LLC

OAK HOUSE LLC

18594 TYLER STREET NW

19449 RUSH STREET NW

403 MAIN STREET

13439 185TH LANE NW

13439 185TH LANE NW

400 EVANS AVENUE

403 MAIN STREET

11143 190 1/2 AVENUE NW

11143 190 1/2 AVENUE NW

10038 215TH AVENUE NW

ELK RIVER, MN 55330

ELK RIVER, MN 55330

ELK RIVER, MN 55330

ELK RIVER, MN 55330

ELK RIVER, MN 55330

ELK RIVER, MN 55330

ELK RIVER, MN 55330

ELK RIVER, MN 55330

ELK RIVER, MN 55330

ELK RIVER, MN 55330

612/481-3138

763/898-9162

763/241-0654

763/241-7682

763/241-7682

763/441-1213

763/241-0654

763/441-1866

763/441-1866

763/355-9204

Lim-Liab

Lim-Liab

NProf

NProf

NProf

Church

NProf

Lim-Liab

Lim-Liab

Lim-Liab

COMP

COMP

COMP

NH-120

Hospice

COMP

HHA

SNF-NF-120

HSPICE

(33783)

(37330)

(02670)

(21673)

(30818)

(00611)

(23764)

(32866)

(33996)

(32155)

FAX: /-

FAX: 763/587-5905

FAX: 763/241-0274

FAX: 763/274-1349

FAX: 763/274-1349

FAX: 763/241-4444

FAX: 763/241-0274

FAX: 888/526-1811

FAX: 763/267-7655

FAX: 267/350-9164

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

FAITH OMURWA

SAM TOTIMEH

ANDREA JUNG

RICK HUNTINGTON

RICK HUNTINGTON

DEAN MCDEVITT

ANDREA JUNG

CINDY KERRICK

CYNTHIA KERRICK

GREGORY PETERSEN

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL-O

HWSAL-O

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525

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

SHERBURNE

RIDGEWOOD MANOR LLC

THE LAKE COTTAGE

FAIRVIEW NORTHLAND REGIONAL HOSPITAL

BENEDICT COURT

BENEDICT HOMES

MIA'S HOUSE

NATURE'S POINT ASSISTED LIVING

NATURE'S POINT ASSISTED LIVING

ST. BENEDICT'S SENIOR COMMUNITY

ST. BENEDICTS SENIOR COMMUNITY

10038 215TH AVENUE NW

18660 SIMONET DRIVE

911 NORTHLAND DRIVE

1980 15TH AVENUE SE

1340 MINNESOTA BOULEVARD SE

2607 15TH AVENUE SE

1717 UNIVERSITY DRIVE SE

1717 UNIVERSITY DRIVE SE

1810 MINNESOTA BOULEVARD SE

1810 MINNESOTA BOULEVARD SE

ELK RIVER, MN 55330

ELK RIVER, MN 55330

PRINCETON, MN 55371

ST. CLOUD, MN 56304

ST. CLOUD, MN 56304

ST. CLOUD, MN 55304

ST. CLOUD, MN 56304

ST. CLOUD, MN 56304

ST. CLOUD, MN 56304

ST. CLOUD, MN 56304

763/355-9204

763/712-8363

763/389-6481

320/252-0010

320/252-0010

763/744-6192

320/258-7027

320/251-9120

320/252-0010

320/252-0010

Lim-Liab

Lim-Liab

NProf

Church

Church

Lim-Liab

Lim-Liab

Lim-Liab

Church

Church

COMP

HOSP-54 BASS-10

COMP

NH-174

COMP

HOSP-54

SNF-2 SNF-NF-172

(31892)

(33926)

(00408)

(20145)

(20286)

(37161)

(21937)

(20550)

(00774)

(20711)

FAX: 267/350-9164

FAX: 763/323-4811

FAX: 763/389-6306

FAX: 320/200-3261

FAX: 320/229-8309

FAX: 763/433-2987

FAX: 320/251-1122

FAX: 320/251-4336

FAX: 320/654-2351

FAX: 320/654-2351

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

GREGORY PETERSEN

JACOB NELSON

LIA CHRISTIANSEN

SUSAN KRATZKE

SUSAN KRATZKE

ROMANDA GAYE

MICHELE HALVORSON

QUEEN HARRISON

SUSAN KRATZKE

SUSAN KRATZKE

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL

Page 563: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

526

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

SHERBURNE

SIBLEY

ST. SCHOLASTICA CONVENT

ST. SCHOLASTICA CONVENT

TALAHI NURSING & REHAB CENTER

TALAHI RESIDENTIAL SERVICES

THE SANCTUARY AT ST. CLOUD

CJ'S PLACE

COMPASSIONATE HOME CARE LTD

WILLOW HOUSE LLC

GOLDEN HEARTS, INC.

1845 20TH AVENUE SE

1845 20TH AVENUE SE

1717 UNIVERSITY DRIVE SE

1717 UNIVERSITY DRIVE SE

2410 20TH AVENUE SE

12714 FREEMONT AVENUE

12950 FREMONT AVENUE #102

25611 110TH STREET NW

602 MARION DRIVE

ST. CLOUD, MN 56304

ST. CLOUD, MN 56304

ST. CLOUD, MN 56304

ST. CLOUD, MN 56304

ST. CLOUD, MN 56304

ZIMMERMAN, MN 55398

ZIMMERMAN, MN 55398

ZIMMERMAN, MN 55398

ARLINGTON, MN 55307

320/251-2225

320/251-2225

320/251-9120

320/251-9120

320/252-6325

763/441-1866

763/238-5215

763/607-6874

507/964-2111

Church

Church

Lim-Liab

Lim-Liab

Part

Lim-Liab

Corp

Lim-Liab

Corp

COMP

NH-77

COMP

COMP

COMP

SNF-NF-77

(23095)

(30303)

(00614)

(20550)

(33613)

(36448)

(32519)

(34968)

(20902)

FAX: 320/251-1455

FAX: 320/251-1455

FAX: 320/251-4336

FAX: 320/251-4336

FAX: 320/252-2276

FAX: 888/526-1811

FAX: /-

FAX: 267/350-9164

FAX: 507/964-5165

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

SR. ARDELLA KVAMME

SR. ARDELLA KVAMME

MICHELE HALVORSON

QUEEN HARRISON

ERIN HILLIGAN

CYNTHIA KERRICK

JAN NICODEMUS

GREG PETERSEN

MOLLY KICKER

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

HWSAL

HWSAL

HWSAL

HWS-O

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527

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

SIBLEY

GOLDEN HEARTS, INC.

GOOD SAMARITAN SOCIETY - ARLINGTON

GOOD SAMARITAN SOCIETY - FAIRVIEW

GOOD SAMARITAN SOCIETY - FAIRVIEW

HIGH ISLAND CREEK RESIDENCE

RIDGEVIEW ARLINGTON CLINIC

RIDGEVIEW SIBLEY MEDICAL CENTER

SOUTH HOUSE

GAYLORD LAKEVIEW HOME

OAK TERRACE GAYLORD, LLC

602 MARION DRIVE

411 7TH AVENUE NW

409 7TH AVENUE NW

409 7TH AVENUE NW

708 CHESTNUT DRIVE

607 WEST CHANDLER

601 WEST CHANDLER

22646 383RD AVENUE

640 3RD STREET

638 3RD STREET

ARLINGTON, MN 55307

ARLINGTON, MN 55307

ARLINGTON, MN 55307

ARLINGTON, MN 55307

ARLINGTON, MN 55307

ARLINGTON, MN 55307

ARLINGTON, MN 55307

ARLINGTON, MN 55307

GAYLORD, MN 55334

GAYLORD, MN 55334

507/964-2111

507/964-2251

507/964-5156

507/964-5156

507/964-5984

507/964-2285

507/964-8415

651/431-5886

507/237-2911

507/237-2911

Corp

NProf

NProf

NProf

NProf

NProf

NProf

State

Lim-Liab

Lim-Liab

NH-27

COMP

SLFA-13

HOSP-20

NH-42

SNF-NF-27

ICFIID-13

RHC

CAH-20

SNF-NF-42

(30828)

(00617)

(25120)

(30635)

(01313)

(22177)

(00618)

(33422)

(00619)

(22115)

FAX: 507/964-5165

FAX: 507/964-2255

FAX: 507/964-2255

FAX: 507/964-2255

FAX: 507/964-5661

FAX: /-

FAX: 952/442-6543

FAX: 651/431-7404

FAX: 507/237-5744

FAX: 507/237-5744

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

LAURA KICKER

GRANT NERISON

GRANT NERISON

SANDRA CHAPLIN

SUSAN BIENFANG

JOHN VENER

MIKE PHELPS

DAVID BORNUS

DEBORAH BARNES

CINDY GERHOLZ

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWS-O

HWSAL

Page 565: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

528

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

SIBLEY

OAK TERRACE HEALTH CARE CENTER

OAK TERRACE SENIOR HOUSING OF GAYLORD, LLC

RIDGEVIEW GAYLORD CLINIC

SOUTH VIEW LIVING CENTER

SOUTH VIEW LIVING CENTER

SOUTHVIEW LIVING CENTER, LLC

RIDGEVIEW HENDERSON CLINIC

GOOD SAMARITAN SOCIETY - WINTHROP

RIDGEVIEW WINTHROP CLINIC

THE LODGE OF WINTHROP

640 3RD STREET

638 3RD STREET

315 4TH STREET

555 EAST 12TH STREET

555 EAST 12TH STREET

555 EAST 12TH STREET

505 MAIN STREET

506 HIGH STREET

223 NORTH CARVER

204 SOUTH COUNTY ROAD 33

GAYLORD, MN 55334

GAYLORD, MN 55334

GAYLORD, MN 55334

GIBBON, MN 55335

GIBBON, MN 55335

GIBBON, MN 55335

HENDERSON, MN 56044

WINTHROP, MN 55396

WINTHROP, MN 55396

WINTHROP, MN 55396

507/237-2911

507/387-2037

507/237-5523

507/834-6510

507/834-6510

507/834-6510

507/248-3433

507/647-5391

507/647-5318

507/647-3980

Lim-Liab

Lim-Liab

NProf

Corp

Corp

Corp

Cnty

NProf

NProf

NProf

NH-42

COMP

COMP

COMP

NH-32

COMP

SNF-NF-42

RHC

RHC

SNF-NF-32

RHC

(00619)

(20214)

(22178)

(22547)

(30299)

(22547)

(23978)

(00961)

(22179)

(29860)

FAX: 507/237-5744

FAX: 507/387-6011

FAX: /-

FAX: 507/834-6511

FAX: 507/834-6511

FAX: 507/834-6511

FAX: /-

FAX: 507/647-2035

FAX: /-

FAX: 507/647-3982

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

DEBORAH BARNES

DENNIS HOOD

JOHN VENER

AMBER MELBY

AMBER MELBY

AMBER MELBY

JASON DOUGLAS

GRANT NERISON

JOHN VENER

PAMELA MORSON

---------------------------********** --------------------------(Cont.)*

HWSAL

Page 566: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

529

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

SIBLEY

STEARNS

THE LODGE OF WINTHROP

MOTHER OF MERCY

MOTHER OF MERCY CAMPUS OF CARE

MOTHER OF MERCY SENIOR LIVING

MOTHER OF MERCY SENIOR LIVING

MOTHER OF MERCY SENIOR LIVING

PONDVIEW ESTATES

PONDVIEW ESTATES

SERENITY VILLAGE

204 SOUTH COUNTY ROAD 33

220 CHURCH AVENUE

230 CHURCH AVENUE

230 CHURCH AVENUE

230 CHURCH AVENUE

230 CHURCH STREET BOX 676

334 GOLF VIEW DRIVE

332 GOLF VIEW DRIVE

113 SERENITY COURT

WINTHROP, MN 55396

ALBANY, MN 56307

ALBANY, MN 56307

ALBANY, MN 56307

ALBANY, MN 56307

ALBANY, MN 56307

ALBANY, MN 56307

ALBANY, MN 56307

AVON, MN 56310

507/647-3980

320/845-2195

320/845-5551

320/845-5551

320/845-2195

320/845-2195

320/845-2969

320/845-2969

320/844-8880

NProf

NProf

NProf

NProf

NProf

NProf

NProf

NProf

Corp

COMP

COMP

NH-70 SNF-NF-70

(29861)

(32680)

(20265)

(20265)

(30461)

(00634)

(21556)

(24638)

(33129)

FAX: 507/647-3982

FAX: 320/272-7889

FAX: 320/845-2672

FAX: 320/845-2672

FAX: 320/845-2672

FAX: 320/845-7092

FAX: 320/845-7006

FAX: 320/845-7006

FAX: 320/845-4147

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

GRANT NERISON

PAUL GAEBE

PAUL GAEBE

PAUL GAEBE

PAUL GAEBE

PAUL GAEBE

PAUL GAEBE

PAUL GAEBE

PAULA ROCHELEAU

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

HWSAL

HWSAL

HWSAL

HWS

HWS

HWSAL

Page 567: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

530

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

STEARNS

SERENITY VILLAGE AT AVON, INC.

BELGRADE NURSING HOME

BROOTEN MEDICAL CENTER

ASHER HAUS

ASSUMPTION COURT

ASSUMPTION COURT

ASSUMPTION HEALTH SERVICES

ASSUMPTION HOME

ASSUMPTION HOME CARE

JOHN PAUL APARTMENTS

113 SERENITY COURT

103 SCHOOL STREET

111 PLEASANT AVENUE PO BOX 69

717 1ST STREET NORTH

615 1ST STREET NORTH

615 1ST STREET NORTH

615 1ST STREET NORTH

715 1ST STREET NORTH

615 1ST STREET NORTH

200 8TH AVENUE NORTH

AVON, MN 56310

BELGRADE, MN 56312

BROOTEN, MN 56316

COLD SPRING, MN 56320

COLD SPRING, MN 56320

COLD SPRING, MN 56320

COLD SPRING, MN 56320

COLD SPRING, MN 56320

COLD SPRING, MN 56320

COLD SPRING, MN 56320

320/302-0192

320/254-8215

320/346-2272

320/685-4110

320/348-2320

320/685-4110

320/348-2320

320/685-3693

320/685-4110

320/685-4429

Corp

NProf

NProf

NProf

NProf

NProf

NProf

Church

NProf

NProf

COMP

NH-44

COMP

COMP

NH-76

COMP

SNF-NF-44

RHC

SNF-NF-76

HHA

(32795)

(00626)

(28052)

(35636)

(20324)

(30552)

(20324)

(00624)

(26118)

(21670)

FAX: 320/302-0194

FAX: 320/254-8238

FAX: 320/346-2273

FAX: 320/685-3401

FAX: 320/685-3401

FAX: 320/685-3401

FAX: 320/685-3401

FAX: 320/685-7044

FAX: 320/685-3401

FAX: 320/685-7300

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PAULA ROCHELEAU

STEPHANIE FISCHER

RACHEL WAGNER

LINDSEY SAND

JAN LUTHENS

LINDSEY SAND

JAN LUTHENS

NADINE RIELAND

JANNETTE LUTHENS

LINDSEY SAND

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWS

Page 568: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

531

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

STEARNS

HYATT HOUSE LLC

HYATT HOUSE LLC

SAVANNA PRAIRIE

CENTRACARE - MELROSE PARK VIEW

CENTRACARE - MELROSE PARK VIEW

CENTRACARE HEALTH - MELROSE CLINIC

CENTRACARE HEALTH SYSTEM - MELROSE HOSPITAL

CENTRACARE HEALTH SYSTEM -MELROSE PINE VILLA CARE CENTER

CENTRACARE MELROSE PARK VIEW

LUTHERAN SOCIAL SERVICE

231 WASHINGTON STREET

231 WASHINGTON STREET

260 MAGNUS JOHNSON STREET NE

125 5TH AVENUE NW

125 5TH AVENUE NW

525 WEST MAIN STREET

525 MAIN STREET WEST

525 MAIN STREET WEST

125 5TH AVENUE NW

16 1ST STREET SE

HOLDINGFORD, MN 56340

HOLDINGFORD, MN 56340

KIMBALL, MN 55353

MELROSE, MN 56352

MELROSE, MN 56352

MELROSE, MN 56352

MELROSE, MN 56352

MELROSE, MN 56352

MELROSE, MN 56352

MELROSE, MN 56352

320/746-9902

320/746-9902

320/398-8646

320/256-1769

320/256-1769

320/256-4228

320/256-1761

320/256-1761

320/256-1769

320/759-1670

Lim-Liab

Lim-Liab

Corp

NProf

NProf

NProf

NProf

NProf

NProf

NProf

COMP

COMP

NH-75 HOSP-28 BASS-6

NH-75 HOSP-28 BASS-6

COMP

RHC

SNF-NF-75 CAH-25

SNF-NF-75 CAH-25

(24162)

(28686)

(35045)

(23480)

(30388)

(27995)

(00633)

(00633)

(23480)

(23440)

FAX: 320/746-9912

FAX: 320/746-9912

FAX: 320/398-8645

FAX: 320/256-4949

FAX: 320/256-4949

FAX: 320/256-7106

FAX: 320/256-1814

FAX: 320/256-1814

FAX: 320/256-4949

FAX: 320/759-1671

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JENNIFER PAGE

ANNETTE JUNES

TIM MATROS

BERTHA HARTUNG

JENNIFER OLMSCHEID

JULIA DRAXTEN

BERTHA HARTUNG

HEIDI REISDORF

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

Home Mgmt

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STEARNS

LUTHERAN SOCIAL SERVICE OF MINNESOTA

OAK RIDGE MANOR

ROSE VIEW MANOR

TREE OF LIFE ASSISTED LIVING

TREE OF LIFE ASSISTED LIVING

CENTRACARE HEALTH - PAYNESVILLE

CENTRACARE HEALTH - PAYNESVILLE CLINIC

CENTRACARE HEALTH - PAYNESVILLE KORONIS MANOR CARE CENTER

PAYNESVILLE GOOD SAMARITAN CENTER

STEARNS PLACE

16 1ST STREET SE

20 NORTH 9TH AVENUE EAST

16 1ST STREET SE

632 MAIN STREET

632 MAIN STREET

200 WEST 1ST STREET

200 WEST 1ST STREET

200 WEST 1ST STREET

311 WASHBURNE AVENUE

701 STEARNS AVENUE

MELROSE, MN 56352

MELROSE, MN 56352

MELROSE, MN 56352

NEW MUNICH, MN 56356

NEW MUNICH, MN 56356

PAYNESVILLE, MN 56362

PAYNESVILLE, MN 563621445

PAYNESVILLE, MN 56362

PAYNESVILLE, MN 56362

PAYNESVILLE, MN 56362

320/759-1670

320/255-9910

320/256-4600

320/837-5100

320/837-5100

320/243-3767

320/243-3767

320/243-3767

320/243-7451

320/243-7100

NProf

Lim-Liab

HRA

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

COMP

COMP

NH-40 HOSP-30 BASS-6

NH-40 HOSP-30 BASS-6

COMP

SNF-NF-40 CAH-25

SNF-NF-40 CAH-25

(23561)

(21996)

(21988)

(30306)

(30392)

(00636)

(35035)

(00636)

(00631)

(24204)

FAX: 320/759-1671

FAX: 320/255-5128

FAX: /-

FAX: 320/238-7199

FAX: 320/837-5050

FAX: 320/243-6707

FAX: 320/243-3174

FAX: 320/243-6707

FAX: 320/243-3764

FAX: 320/243-7930

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ANN TERLIZZI

LISA MARVIN

ERNEST KOCIEMBA

TINA VALERIUS

TINA VALERIUS

BRANDON PIETSCH

BRANDON PIETSCH

BRANDON PIETSCH

BRANDON PIETSCH

BRANDON PIETSCH

---------------------------********** --------------------------(Cont.)*

HWS

HWS

HWSAL

HWS

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WASHBURNE COURT

WASHBURNE COURT

CENTRACARE HEALTH PAYNESVILLE - RICHMOND CLINIC

CHERRYWOOD OF RICHMOND

CHERRYWOOD OF RICHMOND

CHATEAU WATERS

EDGEWOOD SARTELL LLC

EDGEWOOD SARTELL LLC

EDGEWOOD SARTELL LLC

GENERATIONS HOME CARE, INC.

311 WASHBURNE AVENUE

311 WASHBURNE AVENUE

130 1ST STREET NE

150 BARRY AVENUE NW

140 BARRY AVENUE NW

960 19TH STREET SOUTH

677 BRIANNA DRIVE

677 BRIANNA DRIVE

673 BRIANNA DRIVE

841 PINECONE ROAD

PAYNESVILLE, MN 56362

PAYNESVILLE, MN 56362

RICHMOND, MN 563688183

RICHMOND, MN 56368

RICHMOND, MN 56368

SARTELL, MN 56377

SARTELL, MN 56377

SARTELL, MN 56377

SARTELL, MN 56377

SARTELL, MN 56377

320/243-7451

320/243-7927

320/597-2122

320/597-6143

320/597-6143

320/534-3015

320/281-3343

320/281-3343

320/281-3343

320/282-8074

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Church

Lim-Liab

Lim-Liab

Lim-Liab

Corp

COMP

COMP

(00631)

(30226)

(35037)

(27307)

(27308)

(34765)

(32876)

(26585)

(30709)

(36691)

FAX: 320/243-3764

FAX: 320/243-3764

FAX: 320/597-2102

FAX: 320/597-6141

FAX: 320/597-6141

FAX: 320/200-3204

FAX: 320/281-3511

FAX: 320/281-3512

FAX: 320/281-3512

FAX: 320/253-8136

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

BRANDON PIETSCH

BRANDON PIETSCH

BRANDON PIETSCH

WENDY HULSEBUS

WENDY HULSEBUS

JOHN LINN

COLLEEN SCHNEIDER

JASON HOYT

COLLEEN SCHNEIDER

LORRIE WAITE

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL-O

Page 571: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

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STEARNS

NOVACARE REHABILITATION

ST. BENEDICT SENIOR COMMUNITY THERAPY SUITES-SARTELL

ALTERNATIVE SENIOR CARE

ALTERNATIVE SENIOR CARE, INC.

CEDAR COVE ASSISTED LIVING

CEDAR COVE ASSISTED LIVING

CENTRACARE CLINIC SAUK CENTRE

CENTRACARE HEALTH SYSTEM - SAUK CENTRE

CENTRACARE HEALTH SYSTEM - SAUK CENTRE NURSING HOME

2251 CONNECTICUT AVENUE

990 19TH STREET SOUTH

418 10TH STREET SOUTH

418 10TH STREET SOUTH

21596 CEDAR LAKE ROAD

21596 CEDAR LAKE ROAD

433 ELM STREET NORTH

425 NORTH ELM STREET

425 NORTH ELM STREET

SARTELL, MN 55377

SARTELL, MN 56377

SAUK CENTRE, MN 56378

SAUK CENTRE, MN 56378

SAUK CENTRE, MN 56378

SAUK CENTRE, MN 56378

SAUK CENTRE, MN 56378

SAUK CENTRE, MN 56378

SAUK CENTRE, MN 56378

763/295-6878

320/534-3000

320/352-3350

320/492-5854

320/732-1939

320/732-1939

320/352-6591

320/352-2221

320/352-2221

Corp

NProf

Corp

Corp

Lim-Liab

Lim-Liab

Corp

NProf

NProf

NH-24

COMP HCBS

COMP

NH-60 HOSP-28 BASS-8

NH-60 HOSP-28 BASS-8

Out Pt Out Ot

SNF-NF-24

RHC

SNF-NF-60 CAH-25

SNF-NF-60 CAH-25

(03724)

(31401)

(30189)

(23973)

(28802)

(28803)

(27960)

(00640)

(00640)

FAX: /-

FAX: 320/200-3204

FAX: 320/323-4398

FAX: 320/323-4398

FAX: 320/732-1087

FAX: 320/732-1087

FAX: 320/352-5164

FAX: 320/352-5150

FAX: 320/352-5150

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

DANIEL BASTIN

JOHN LINN

CINDY KARASCH

CYNTHIA KARASCH

TAMMY BRUDER

TAMMY BRUDER

MICHELE FISCHER

DELANO CHRISTIANSON

DELANO CHRISTIANSON

---------------------------********** --------------------------(Cont.)*

Home Mgmt

HWSAL

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FAIRWAY PINES SENIOR LIVING COMMUNITIES

FAIRWAY PINES SENIOR LIVING COMMUNITIES

FAIRWAY PINES SENIOR LIVING COMMUNITIES LLC

GETTY STREET ASSISTED LIVING

GETTY STREET ASSISTED LIVING

SAUK CENTRE HRA

QUIET OAKS HOSPICE HOUSE

REFRACTIONS LLC

ACCESS MINNESOTA LLC

ARISE CARES

606 MAIN STREET NORTH

606 MAIN STREET NORTH

606 MAIN STREET NORTH

1214 GETTY STREET SOUTH

1214 GETTY STREET SOUTH

407 NORTH 1ST STREET

5537 GALAXY ROAD

22575 43RD AVENUE

335 37TH AVENUE NORTH

2907 CLEARWATER ROAD

SAUK CENTRE, MN 56378

SAUK CENTRE, MN 56378

SAUK CENTRE, MN 56378

SAUK CENTRE, MN 56378

SAUK CENTRE, MN 56378

SAUK CENTRE, MN 56378

ST. AUGUSTA, MN 56301

ST. AUGUSTA, MN 56301

ST. CLOUD, MN 56303

ST. CLOUD, MN 56301

320/351-4900

320/351-4900

320/351-4900

320/351-4333

320/351-4333

320/352-2311

320/255-5433

320/252-6017

612/501-0484

320/230-6348

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Corp

HRA

NProf

Lim-Liab

Lim-Liab

Lim-Liab

COMP

COMP

COMP

RES-HSPICE-8 Hospice

SLFA-6

COMP

(26205)

(29188)

(26205)

(24072)

(30493)

(21153)

(26154)

(34437)

(35571)

(24350)

FAX: 320/351-4903

FAX: 320/351-4903

FAX: 320/351-4903

FAX: 320/351-4335

FAX: 320/351-4335

FAX: 320/352-2726

FAX: 320/240-7962

FAX: 320/252-6278

FAX: 651/927-0085

FAX: 320/281-2310

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

MAGGIE PARIS

JILL NIEHAUS

MAGGIE PARIS

MARY MARTHALER

MARY JO MARTHALER

JULIE SIEBEN

LINDA ALLEN

MOLLY PENA

MANAGE GARAT IBRAHIM

JAY VACHAL

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWS

HWSAL

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STEARNS

ARISE CARES

CENTRACARE KIDNEY PROGRAM - ST. CLOUD DIALYSIS

CENTRACARE SURGERY CENTER, LLC

CENTRAL MINNESOTA RECEIVING AND REFERRAL CENTER

CHERRYWOOD 3315

CHERRYWOOD 3325

CHERRYWOOD OF ST. CLOUD 1030

CHERRYWOOD OF ST. CLOUD1036

CHRISTINE METCALF

CURE HOME HEALTH INC

2907 CLEARWATER ROAD

2035 15TH STREET NORTH #210

1900 CENTRACARE CIRCLE

1321 NORTH 13TH STREET

3315 COOPER AVENUE SOUTH

3325 COOPER AVENUE SOUTH

1030 VOYAGEUR STREET

1036 VOYAGEUR STREET

1268 12TH AVENUE NORTH

1502 7TH AVENUE SOUTH

ST. CLOUD, MN 56301

ST. CLOUD, MN 56303

ST. CLOUD, MN 56303

ST. CLOUD, MN 56303

ST. CLOUD, MN 56301

ST. CLOUD, MN 56301

ST. CLOUD, MN 56301

ST. CLOUD, MN 56303

ST. CLOUD, MN 56303

ST. CLOUD, MN 56301

320/281-2301

320/240-7808

320/229-4997

320/252-6654

320/774-3780

320/774-3780

320/774-1404

320/774-1404

320/203-0455

612/229-5007

Corp

NProf

Lim-Liab

NProf

Lim-Liab

Lim-Liab

Part

Part

Ind

Corp

Outpt Surg

SLFB-20

ESRD

Amb Surg

(25428)

(02410)

(24819)

(01638)

(32764)

(32765)

(28983)

(28982)

(31848)

(36568)

FAX: 320/281-2310

FAX: 320/240-7840

FAX: 320/229-5198

FAX: 320/281-3554

FAX: 320/774-3781

FAX: 320/774-3781

FAX: 320/774-1405

FAX: 320/774-1405

FAX: 320/266-4789

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

MELODY VACHAL

ANGELA JORDAHL

PHILLIP LUITJENS

RICHARD LEE

WENDY HULSEBUS

WENDY HULSEBUS

WENDY HULSEBUS

WENDY HULSEBUS

CHRISTINE METCALF

AHMED SALAH

---------------------------********** --------------------------(Cont.)*

Home Mgmt

HWSAL

HWSAL

HWSAL

HWSAL

Home Mgmt

HWSAL-O

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STEARNS

FOCUS XII HALFWAY HOUSE

GENERATIONS HOME CARE, INC.

HOMEWATCH CAREGIVERS OF ST. CLOUD MN

HYATT HOUSE LLC

INSPIRED BY YOU HOME CARE LLC

LAKESIDE HEALTH SERVICES INC

LINDEN GROVE VETERAN APARTMENTS - MACV

MARY CLARE OLSON AGENCY

MIDSOTA SURGICAL SUITES

MIDWEST GROUP HOMES LLC

3220 8TH STREET NORTH

25424 LAKE ROAD

2701 CLEARWATER ROAD

1604 CLEARWATER ROAD

2700 1ST STREET NORTH #202

2617 REGAL ROAD

4105 12TH STREET NORTH

5417 GARDEN HILLS LANE

3701 12TH STREET #101

2109 13TH STREET SOUTH

ST. CLOUD, MN 56303

ST. CLOUD, MN 56301

ST. CLOUD, MN 56301

ST. CLOUD, MN 56301

ST. CLOUD, MN 56303

ST. CLOUD, MN 56301

ST. CLOUD, MN 56303

ST. CLOUD, MN 56301

ST. CLOUD, MN 56303

ST. CLOUD, MN 56301

320/252-2425

320/282-8074

320/238-1101

320/746-9902

320/224-0269

320/406-4040

320/258-3400

320/259-8957

320/257-5638

320/224-3650

NProf

Corp

Corp

Lim-Liab

Lim-Liab

Corp

NProf

Ind

Lim-Liab

Lim-Liab

SLFA-18

COMP

COMP

COMP

TCOMP

COMP

Outpt Surg Amb Surg

(01178)

(26135)

(35208)

(36484)

(33222)

(35629)

(32772)

(21207)

(00008)

(35969)

FAX: 320/529-1976

FAX: 855/300-5392

FAX: 320/238-1103

FAX: 320/746-9912

FAX: 320/774-1162

FAX: 320/259-8567

FAX: 320/774-3587

FAX: 320/245-8589

FAX: 320/257-5639

FAX: 320/217-5302

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

RICHARD LEE

LORRIE WAITE

THOMAS TRAVAGLIO

ANNETTE JUNES

ERIC OWUSU

JAMES NEWMAN

NATHANIEL SALTZ

MARY OLSON

PHILLIP LUITJENS

V.P. TOHOW SIYAD

---------------------------********** --------------------------(Cont.)*

HWSAL

HWS-O

HWSAL

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MIDWEST GROUP HOMES. LLC

MOMENTS HOSPICE

SKYLIGHT GARDENS

SPOT REHABILITATION INC

SPOT REHABILITATION, INC.

ST. CLOUD CENTER FOR OPHTHALMIC SURGERY

ST. CLOUD HOSPITAL

ST. CLOUD SURGICAL CENTER

TALAMORE SENIOR LIVING

VISITING ANGELS

1411 WEST ST.GERMAIN STE 06

2229 ROOSEVELT ROAD STE #1

501 1ST STREET NORTH

2835 W ST. GERMAIN STREET #300

2835 W ST. GERMAIN STREET #300

2055 15TH STREET NORTH STE B

1406 6TH AVENUE NORTH

1526 NORTHWAY DRIVE

215 37H AVENUE NORTH

1705 WEST ST. GERMAIN STREET

ST. CLOUD, MN 56301

ST. CLOUD, MN 56301

ST. CLOUD, MN 56303

ST. CLOUD, MN 56301

ST. CLOUD, MN 56301

ST. CLOUD, MN 56303

ST. CLOUD, MN 56301

ST. CLOUD, MN 56303

ST. CLOUD, MN 56303

ST. CLOUD, MN 56301

320/224-3650

320/372-4300

320/259-4584

320/259-4151

320/259-4151

320/258-6620

320/255-5661

320/251-8385

320/230-0234

320/230-1141

Lim-Liab

Lim-Liab

Corp

Corp

Corp

Lim-Liab

NProf

Part

Lim-Liab

Corp

TCOMP HCBS

Hospice

COMP

Outpt Surg

HOSP-489 BASS-50

Outpt Surg

COMP HCBS

HSPICE

Out Pt Out St Out Ot

HHA

Amb Surg

HOSP-469 PPS-R-20

Amb Surg

(35179)

(34535)

(20347)

(02786)

(03058)

(21628)

(00639)

(00837)

(34875)

(28912)

FAX: 320/217-5302

FAX: 763/205-9350

FAX: 320/259-6159

FAX: 320/259-5707

FAX: 320/259-5707

FAX: 320/258-6622

FAX: 320/650-1777

FAX: 320/229-3202

FAX: /-

FAX: 320/230-1142

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

MAHAD ADAM

KEVIN STOCK

CHARLES PETRICH

ELIZABETH STIENESSEN

ROBBIE HOLEN

MARY ACKERMAN

JOY PLAMANN

DARCI NAGORSKI

MICHAELA WALZ

ANDREW TRELSTAD

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

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STEARNS

ARLINGTON PLACE

ARLINGTON PLACE

GENERATIONS HOME CARE, INC.

PREMIER HEALTHCARE MANAGEMENT OF ST. JOSEPH LLC

SERENITY PLACE ON 7TH

WOODCREST OF COUNTRY MANOR

BAYADA PEDIATRICS

CENTRACARE HEALTH HOME CARE

CENTRACARE HOME HEALTH AND HOSPICE

COMFORT KEEPERS

21 16TH AVENUE SE

21 16TH AVENUE SE

119 3RD AVENUE SE

329 7TH AVENUE SE

329 7TH AVENUE SE

1200 LANIGAN WAY SW

742 1ST STREET SOUTH, STE 10

110 2ND STREET SOUTH STE 104

110 2ND STREET SOUTH

50 10TH AVENUE SOUTH

ST. JOSEPH, MN 56374

ST. JOSEPH, MN 56374

ST. JOSEPH, MN 56374

ST. JOSEPH, MN 56374

ST. JOSEPH, MN 56374

ST. JOSEPH, MN 56374

WAITE PARK, MN 56387

WAITE PARK, MN 56387

WAITE PARK, MN 56387

WAITE PARK, MN 56387

320/363-1313

320/363-1313

320/282-8074

320/271-3400

320/271-3400

320/271-1200

320/251-0668

320/259-9375

320/259-9375

320/230-9939

Corp

Corp

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Corp

NProf

NProf

Corp

COMP

COMP

COMP

COMP

Hospice

COMP

HHA

HHA

HSPICE

(20617)

(30726)

(35678)

(32904)

(33167)

(33423)

(27706)

(02185)

(02255)

(23629)

FAX: 320/363-1021

FAX: 320/363-1021

FAX: 320/253-8136

FAX: 320/271-3407

FAX: 320/764-2665

FAX: 320/271-3118

FAX: 320/251-0680

FAX: 320/240-3266

FAX: 320/240-3266

FAX: 320/230-9941

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

SARAH SOLTIS

PAULA ROCHELEAU

ALLISON CONRAD

MATT IMDIEKE

FRED STRUZYK

GAIL RUCKS

HARRY MARON

KRISTEN HUSEN

KRISTEN HUSEN

SUE THORSON

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL-O

HWSAL

HWSAL

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STEARNS

STEELE

GENERATIONS HOME CARE INC

GENERATIONS HOME CARE INC

HOME INSTEAD SENIOR CARE

PARK GARDENS APARTMENTS

RECOVER HEALTH

STERLING PARK COMMONS

STERLING PARK COMMONS

STERLING PARK HEALTHCARE CENTER

HEATHER HAUS

2616 1ST STREET NORTH

705 2ND AVENUE SOUTH

406 GREAT OAK DRIVE

114 NORTH 1ST STREET

60 10TH AVENUE SOUTH #60

35 1ST AVENUE NORTH

35 1ST AVENUE NORTH

142 NORTH 1ST STREET

223 4TH STREET NW

WAITE PARK, MN 56387

WAITE PARK, MN 56387

WAITE PARK, MN 56387

WAITE PARK, MN 56387

WAITE PARK, MN 56387

WAITE PARK, MN 56387

WAITE PARK, MN 56387

WAITE PARK, MN 56387

BLOOMING PRAIRIE, MN 55917

320/282-8074

320/282-8074

763/792-0041

320/252-7224

320/774-0777

320/252-7224

320/257-4920

320/252-9595

507/583-7399

Corp

Corp

Corp

Lim-Liab

Corp

Lim-Liab

Lim-Liab

Corp

NProf

COMP

COMP

COMP

NH-40

COMP

HHA

SNF-NF-40

(33364)

(32944)

(28492)

(24102)

(02312)

(20596)

(30719)

(00643)

(27084)

FAX: 320/453-8074

FAX: 320/453-8136

FAX: 320/656-5229

FAX: 320/252-5629

FAX: 320/774-0779

FAX: 320/252-5629

FAX: 320/252-5629

FAX: 320/252-5940

FAX: 507/583-2401

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

LORRIE WAITE

LORRIE WAITE

JASON CRANE

CAROLYN HERVIN

HANNAH HOLLENKAMP

CAROLYN HERVIN

CAROLYN HERVIN

CAROLYN HERVIN

JOSEPH MASON

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

HWSAL-O

HWSAL-O

HWSAL

HWSAL

Page 578: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

541

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

STEELE

HEATHER HAUS

PRAIRIE MANOR CARE CENTER

WHISPERING OAK PLACE

WHISPERING OAK PLACE

MEDFORD SENIOR CARE LLC

ALL GENERATIONS HOME CARE INC

ALLINA HEALTH HOSPICE & PALLIATIVE CARE

AMERICAN EAGLE OWATONNA

AMERICN EAGLE OWATONNA

BIRCHWOOD COTTAGE

223 4TH STREET NW

220 3RD STREET NW

903 CALVERLY COURT

903 CALVERY COURT

108 3RD STREET NE

135 WEST MAIN STREET STE G

2350 26TH STREET NW

334 CEDARDALE DRIVE SE

364 CEDARDALE DRIVE SE

1845 AUSTIN ROAD

BLOOMING PRAIRIE, MN 55917

BLOOMING PRAIRIE, MN 55917

ELLENDALE, MN 56026

ELLENDALE, MN 56026

MEDFORD, MN 55049

OWATONNA, MN 55060

OWATONNA, MN 55060

OWATONNA, MN 55060

OWATONNA, MN 55060

OWATONNA, MN 55060

507/583-7399

507/583-5180

507/684-3026

507/684-3026

507/214-3344

507/214-8007

651/635-9173

507/451-6914

507/446-8600

507/594-8013

NProf

NProf

Lim-Liab

Lim-Liab

Lim-Liab

Corp

NProf

Lim-Liab

Lim-Liab

Lim-Liab

NH-40

COMP

RES-HSPICE-8

COMP

SNF-NF-40

18-HOSPICE-

(30673)

(00650)

(30599)

(34364)

(29746)

(25452)

(02836)

(30559)

(30823)

(34521)

FAX: 507/583-2401

FAX: 507/583-2401

FAX: 505/684-3194

FAX: 507/684-3194

FAX: 507/214-3345

FAX: 507/214-8010

FAX: 651/628-2999

FAX: 507/451-7083

FAX: 507/446-8601

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JOSEPH MASON

JOSEPH MASON

ALLISON LAW

RACHEL BALDWIN

NICOLE MILLER

LORI MORTENSEN

LISA ABICHT SWENSON

SARAH MCCAULEY

REHANA MAJEED

ELISA FULLER

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

Home Mgmt

HWSAL

HWSAL

Page 579: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

542

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

STEELE

BIRCHWOOD COTTAGES

BIRCHWOOD COTTAGES

BIRCHWOOD COTTAGES

BRIDGEWATER AT OWATONNA

BRIDGEWATER AT OWATONNA LLC

BROOKDALE OWATONNA

CLARE BRIDGE OF OWATONNA

COUNTRYSIDE CATERED SENIOR LIVING

COUNTRYSIDE CATERED SENIOR LIVING

HOSPICE OF OWATONNA HOSPITAL

1905 AUSTIN ROAD

1905 AUSTIN ROAD

1845 AUSTIN ROAD

125 PARK STREET EAST

125 EAST PARK STREET

334 CEDARDALE DRIVE

364 CEDARDALE DRIVE SE

650 EL DORADO STREET

650 EL DORADO STREET

2350 26TH STREET NW

OWATONNA, MN 55060

OWATONNA, MN 55060

OWATONNA, MN 55060

OWATONNA, MN 55060

OWATONNA, MN 55060

OWATONNA, MN 55060

OWATONNA, MN 55060

OWATONNA, MN 55060

OWATONNA, MN 55060

OWATONNA, MN 55060

507/413-6800

507/413-6800

507/413-6800

507/381-4600

507/831-4600

507/456-6551

507/446-8600

507/446-8334

507/446-8334

651/635-9173

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

State

Lim-Liab

Lim-Liab

NProf

NProf

NProf

COMP

TCOMP

COMP

COMP

COMP

RES-HSPICE-8 18-HOSPICE-

(31944)

(32047)

(33374)

(34946)

(35832)

(20332)

(20851)

(24682)

(30584)

(02836)

FAX: 507/413-6452

FAX: 507/413-6452

FAX: 507/413-6737

FAX: 507/388-5162

FAX: 507/388-5162

FAX: /-

FAX: 507/446-8601

FAX: 507/446-4059

FAX: 507/446-4059

FAX: 651/628-2999

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ELISIA FULLER

RYAN WEMPEN

RYAN WEMPEN

BROOKE OLSON

BROOKE OLSON

DEVIN ANDERSON

DEVIN ANDERSON

J VAN ESCH

KELLY MAAS

LISA ABICHT SWENSON

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWS

HWSAL

Page 580: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

543

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

STEELE

KAPLAN WOODS CARE HOME

KODA LIVING COMMUNITY

MAYO CLINIC DIALYSIS OWATONNA

OWATONNA HOSPITAL

PARK PLACE SENIOR LIVING

PARK PLACE SENIOR LIVING

STEELE COUNTY PUBLIC HEALTH NURSING SERVICE

THE BROOKS ON ST. PAUL

THE BROOKS ON ST. PAUL

TIMBERDALE TRACE

285 CEDARDALE DRIVE SE

2255 30TH STREET NW

2200 NW 26TH STREET

2250 26TH STREET NW

125 EAST PARK STREET

125 EAST PARK STREET

635 FLORENCE AVENUE BOX 890

2480 ST. PAUL ROAD

2480 ST. PAUL ROAD

334 CEDARDALE DRIVE

OWATONNA, MN 55060

OWATONNA, MN 55060

OWATONNA, MN 55060

OWATONNA, MN 55060

OWATONNA, MN 55060

OWATONNA, MN 55060

OWATONNA, MN 55060

OWATONNA, MN 55060

OWATONNA, MN 55060

OWATONNA, MN 55060

507/451-5327

507/444-4200

507/446-5112

507/977-2323

507/446-3130

507/446-3130

507/444-7650

507/446-5855

507/446-5855

507/456-6551

Lim-Liab

NProf

NProf

NProf

NProf

NProf

Cnty

NProf

NProf

Lim-Liab

SLFB-16

NH-79

HOSP-43 BASS-16

COMP

COMP

COMP

COMP

ICFIID-16

SNF-NF-79

ESRD

HOSP-33 PPS-P-10

HHA

(01408)

(00644)

(02827)

(00986)

(21085)

(30686)

(02043)

(20975)

(30837)

(20332)

FAX: 507/451-5354

FAX: 507/446-4944

FAX: 507/446-5130

FAX: 507/977-2335

FAX: 507/446-8116

FAX: 507/446-8116

FAX: 507/444-7668

FAX: 507/446-5858

FAX: 507/446-5858

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

SANJIV MODI

LISA KERN

SUSAN MYAYA

DAVID ALBRECHT

SUSAN DOTY

SUSAN DOTY

AMBER AASETH

KELLY MAAS

KELLY MAAS

DEVIN ANDERSON

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

Page 581: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

544

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

STEELE

STEVENS

TIMBERDALE TRACE

TRADITIONS OF OWATONNA

TRADITIONS OF OWATONNA

TRADITIONS OF OWATONNA II

TRADITIONS OF OWATONNA II LLC

TRADITIONS OF OWATONNA II LLC

VALLEYVIEW ASSISTED LIVING

VISITING ANGELS

HOME CARE SERVICE OPTIONS

364 CEDARDALE DRIVE SE

195 24TH PLACE NW

195 24TH PLACE NW

150 24TH STREET NE

150 24TH STREET NE

150 24TH STREET NE

1212 WEST FRONTAGE ROAD

577 STATE AVENUE #3

1100 COURT DRIVE

OWATONNA, MN 55060

OWATONNA, MN 55060

OWATONNA, MN 55060

OWATONNA, MN 55060

OWATONNA, MN 55060

OWATONNA, MN 55060

OWATONNA, MN 55060

OWATONNA, MN 55060

MORRIS, MN 56267

507/446-8600

507/455-0700

507/455-0700

507/451-0433

507/451-0433

507/451-0433

507/451-0722

507/451-1124

320/589-4582

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

NProf

COMP

COMP

COMP

COMP

COMP

COMP

(20851)

(24247)

(30519)

(25424)

(25424)

(30580)

(25302)

(27787)

(26184)

FAX: 507/446-8601

FAX: 507/451-5414

FAX: 507/583-0011

FAX: 507/451-3453

FAX: 507/451-3453

FAX: 507/583-0011

FAX: /-

FAX: 507/451-1930

FAX: 320/585-6162

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

DEVIN ANDERSON

TIFFANY SCHIPRETT

TIFFANY SCHIPRETT

TIFFANY SCHIPRETT

TIFFANY SCHIPRETT

TIFFANY SCHIPRETT

CHARLES PETRICH

SHELLEY HAUSCHILD

CRYSTAL HOLLOWAY

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

HWSAL

HWSAL

HWSAL

Page 582: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

545

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

STEVENS

RURAL REHABILITATION SERVICES

SANFORD DIALYSIS MORRIS

SCMC - COURAGE COTTAGE

SKYVIEW COURT

SKYVIEW PLAZA

STEVENS COMM MED CENTER CCC

STEVENS COMMUNITY MEDICAL CENTER

THE LEGACY

THE LEGACY

WEST WIND VILLAGE

1100 COURT DRIVE

400 EAST 1ST STREET

409 EAST 1ST STREET

1000 COURT DRIVE

1100 COURT DRIVE

409 EAST 1ST STREET

400 EAST 1ST STREET

622 EAST 7TH STREET

622 EAST 7TH STREET

1001 SCOTTS AVENUE

MORRIS, MN 56267

MORRIS, MN 56267

MORRIS, MN 56267

MORRIS, MN 56267

MORRIS, MN 56267

MORRIS, MN 56267

MORRIS, MN 56267

MORRIS, MN 56267

MORRIS, MN 56267

MORRIS, MN 56267

320/589-2004

320/589-2832

320/585-5133

320/589-0245

320/589-4582

320/585-5133

320/589-1313

320/208-3070

320/208-3070

320/589-7900

NProf

NProf

NProf

NProf

NProf

NProf

NProf

Corp

Corp

NProf

COMP

HOSP-49 BASS-5

COMP

NH-72

Out Pt Out St Out Ot

ESRD

CAH-25

SNF-NF-72

(34586)

(21529)

(21272)

(20374)

(26356)

(32089)

(00653)

(32418)

(32429)

(00654)

FAX: 320/589-7204

FAX: /-

FAX: 320/585-5971

FAX: 320/589-3929

FAX: 320/585-6162

FAX: 320/585-5971

FAX: 320/589-1065

FAX: 320/208-3072

FAX: 320/208-3072

FAX: 320/589-7955

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

GLENDA FEIST

WANDA BORCHERT

DENA CARBERT

SCOT ALLEN

SCOT ALLEN

KERRIE MCEVILLY

JOHN RAU

JOLYNN WARNES

JOLYNN WARNES

PAULA VIKER

---------------------------********** --------------------------(Cont.)*

HWS

HWSAL

HWSAL

HWSAL

Page 583: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

546

Facility/Service Owner Licensure Certification

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Directory of Facilities and Services

Page

Registration

SWIFT

APPLE RIDGE ESTATES

APPLETON AREA HEALTH

APPLETON AREA HEALTH

APPLETON AREA HEALTH

APPLETON AREA HELATH

APPLETON MUN HOSPITAL AND NURSING HOME

CENTRAL MINNESOTA SENIOR CARE

CENTRAL MINNESOTA SENIOR CARE

MEADOW LANE RESTORATIVE CARE CENTER

PROGRESSIVE CARE LLC

100 SOUTH BARDUSON STREET

30 SOUTH BEHL STREET

100 SOUTH BARDUSON STREET

30 SOUTH BEHL STREET

30 SOUTH BEHL STREET

30 SOUTH BEHL STREET

287 HIGHWAY 29 NORTH

414 13TH STREET SOUTH

2209 UTAH AVENUE

1710 MCKINNEY AVENUE

APPLETON, MN 56208

APPLETON, MN 56208

APPLETON, MN 56208

APPLETON, MN 56208

APPLETON, MN 56208

APPLETON, MN 56208

BENSON, MN 56215

BENSON, MN 56215

BENSON, MN 56215

BENSON, MN 56215

320/289-1163

320/289-8513

320/289-1163

320/289-2400

320/289-2400

320/289-1580

320/441-7001

320/441-7001

320/843-2225

320/843-4728

City

City

City

City

City

City

Corp

Corp

Lim-Liab

Lim-Liab

COMP

COMP

NH-50 HOSP-15 BASS-1

NH-50 HOSP-15 BASS-1

NH-37 BCH-19

COMP

HHA

SNF-NF-50 CAH-15

SNF-NF-50 CAH-15

RHC

SNF-NF-37 NF2-19

(23626)

(02903)

(33261)

(00655)

(00655)

(29114)

(20357)

(20543)

(00930)

(02398)

FAX: 320/289-1578

FAX: 320/289-1578

FAX: 320/289-1578

FAX: 320/289-1585

FAX: 320/289-1585

FAX: 320/289-1585

FAX: 320/235-8069

FAX: 320/235-8069

FAX: 320/843-2496

FAX: 320/314-8264

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

LORI ANDREAS

LORI ANDREAS

MITCH EJNIK

LORI ANDREAS

LORI ANDREAS

LORI ANDREAS

JACKLYN FRERICKS

JACKLYN FRERICKS

BROOKE SLAUGHTER

JAYNE THIELKE

---------------------------********** --------------------------********

HWS

HWSAL

HWSAL

Page 584: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

547

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

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Page

Registration

SWIFT

TEXAS

SCANDI HAVEN VILLAGE

SWIFT COUNTY - BENSON HEALTH SERVICES

SWIFT COUNTY-BENSON HEALTH SERVICES

CENTRAL MINNESOTA SENIOR CARE, INC.

GOOD SAMARITAN SOCIETY HOME CARE

AVERA AT HOME

COMFORT KEEPERS / HEALTHY AT HOME

SANDOS CARE CORPORATION

COMFORT KEEPERS

1710 MCKINNEY AVENUE

1815 WISCONSIN AVENUE

1810 MCKINNEY AVENUE

116 SCHAAF STREET

302 7TH AVENUE NE

826 NORTH 8TH STREET

1205 4TH AVENUE SOUTH #2

4141 31ST AVENUE SOUTH #102A

2424 MONETARY BOULEVARD #012

BENSON, MN 56215

BENSON, MN 56215

BENSON, MN 56215

MURDOCK, MN 56271

DEVILS LAKE, ND 58301

ESTHERVILLE, IA 51334

FARGO, ND 58103

FARGO, ND 58104

HUDSON, WI 54016

320/843-1304

320/843-4232

320/843-2030

320/875-4515

877/343-6217

712/362-6169

701/237-0004

701/478-1010

715/381-6730

Dist

Dist

NProf

Corp

NProf

NProf

Lim-Liab

Corp

Corp

HOSP-21 BASS-0

COMP

COMP

COMP

COMP

COMP

CAH-21

RHC

(33727)

(00659)

(33042)

(37350)

(22766)

(31653)

(23729)

(22134)

(30005)

FAX: 320/314-8264

FAX: 320/843-1309

FAX: /-

FAX: 320/235-8069

FAX: 218/773-0396

FAX: 712/362-6168

FAX: 701/237-0029

FAX: 701/478-1008

FAX: 715/381-6734

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JAYNE THIELKE

KURT WALDBILLIG

KURT WALDBILLIG

ELIZABETH HILLSTROM

CARMEN TRONSON

DOREEN HARDY

JOEL PETERSON

SHEENA SANDO

LINDA SHURDEN

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

HWSAL

HWSAL

Page 585: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

548

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

TEXAS

TODD

HELPING HANDS HOME CARE OF MINNESOTA, INC.

UNIVERSAL PEDIATRICS

BENEDICTINE HOME HEALTH

TRI COUNTY HOME CARE BERTHA CLINIC

LAKEWOOD CLINIC BROWERVILLE

CENTRAL TODD COUNTY CARE CENTER

CENTRAL TODD COUNTY CARE CENTER APARTMENTS

CENTRAL TODD COUNTY CARE CENTER APARTMENTS

CENTRAL TODD COUNTY CARE CENTER HOME CARE AGENCY

2244 490TH STREET

702 PARK STREET

1307 NORTH 7TH STREET

1ST STREET NORTH

30535 241ST AVENUE

406 HIGHWAY 71 EAST PO BOX 38

406 EAST HIGHWAY 71

406 HIGHWAY 71 EAST

406 EAST HIGHWAY 71

NORTHWOOD, IA 50459

SHELDON, IA 51201

WAHPETON, ND 58075

BERTHA, MN 56437

BROWERVILLE, MN 56438

CLARISSA, MN 56440

CLARISSA, MN 56440

CLARISSA, MN 56440

CLARISSA, MN 56440

507/993-7500

712/324-4012

701/642-6667

218/924-2250

320/594-2231

218/756-3636

218/756-3636

218/756-3636

218/756-3636

Corp

Corp

NProf

NProf

NProf

NProf

NProf

NProf

NProf

COMP HCBS

COMP

COMP

NH-45

COMP

COMP

RHC

RHC

SNF-NF-45

(24054)

(29775)

(20648)

(03181)

(21830)

(00761)

(20202)

(30447)

(20202)

FAX: 888/691-4965

FAX: 712/324-4091

FAX: 701/642-1863

FAX: /-

FAX: /-

FAX: 218/756-2276

FAX: 218/756-2276

FAX: 218/756-2276

FAX: 218/756-2276

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

SHELLEE WRIGHT

STEVEN TUCKER ANDERSON

TESSA STROEHL

MAUREEN IDEKER

TIMOTHY RICE

JASON POLOVICK

JASON POLOVICK

JASON POLOVICK

JASON POLOVICK

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

HWSAL

Page 586: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

549

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Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

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TODD

COLONIAL TERRACE

LAKEWOOD CLINIC EAGLE BEND

CENTRACARE HEALTH LONG PRAIRIE

CENTRACARE HEALTH - LONG PRAIRIE

CENTRACARE HEALTH LONG PRAIRIE MEADOW PLACE

CENTRACARE HEALTH SYSTEM

CENTRACARE HEALTH SYSTEM LONG PRAIRIE

CENTRACARE HEALTH SYSTEM-LONG PRAIRIE

TODD COUNTY HEALTH AND HUMAN SERVICES

VALLEY VIEW ESTATES

407 HIGHWAY 71 EAST

815 HIGHWAY 71

220 CENTRACARE DRIVE

50 CENTRACARE DRIVE

220 CENTRACARE DRIVE

24 9TH STREET SE

50 CENTRACARE DRIVE

20 9TH STREET SE

212 2ND AVENUE SOUTH

1104 4TH AVENUE NE

CLARISSA, MN 56440

EAGLE BEND, MN 56446

LONG PRAIRIE, MN 56347

LONG PRAIRIE, MN 56347

LONG PRAIRIE, MN 56347

LONG PRAIRIE, MN 56347

LONG PRAIRIE, MN 56347

LONG PRAIRIE, MN 56347

LONG PRAIRIE, MN 56347

LONG PRAIRIE, MN 56347

218/756-3636

218/738-2804

320/732-7208

320/732-2141

320/732-2131

320/732-2131

320/732-2141

320/732-2131

320/732-4500

320/732-3516

NProf

NProf

NProf

NProf

NProf

NProf

NProf

NProf

Cnty

Corp

COMP

HOSP-34 BASS-10

HOSP-34 BASS-10

NH-60

COMP

COMP

RHC

CAH-25

RHC

CAH-25

SNF-NF-60

HHA

(29643)

(21828)

(32752)

(33211)

(33149)

(23867)

(33211)

(00778)

(02033)

(20675)

FAX: 218/756-2276

FAX: /-

FAX: 320/200-3249

FAX: 320/732-7298

FAX: 320/732-7298

FAX: /-

FAX: 320/732-7298

FAX: 320/732-7298

FAX: 320/732-4445

FAX: 320/732-7018

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JASON POLOVICK

TIMOTHY RICE

LISA UDY

DANIEL SWENSON

LISA UDY

DANIEL SWENSON

DANIEL SWENSON

DANIEL SWENSON

DEANA CALLAHAN

JORDAN LIESEMEYER

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

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550

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Page

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TODD

TRAVERSE

VALLEY VIEW ESTATES

A DAUGHTER'S LOVE SUITES

A DAUGHTER'S LOVE SUITES

A DAUGHTER'S LOVE SUITES

A DAUGHTER'S LOVE, INC.

A DAUGHTERS LOVE, INC.

LAKEWOOD HEALTH SYSTEM

LAKEWOOD MANOR

BROWNS VALLEY HEALTH CENTER

1104 4TH AVENUE NE

512 4TH STREET NE

510 4TH STREET NE

514 4TH STREET NE

25184 THUNDER ROAD

25184 THUNDER ROAD

49725 COUNTY ROAD 83

222 5TH STREET NE

114 JEFFERSON STREET SOUTH

LONG PRAIRIE, MN 56347

STAPLES, MN 56479

STAPLES, MN 56479

STAPLES, MN 56479

STAPLES, MN 56479

STAPLES, MN 56479

STAPLES, MN 56479

STAPLES, MN 56479

BROWNS VALLEY, MN 56219

320/732-3516

218/296-2090

218/296-2090

218/296-2090

218/296-2090

218/296-2090

218/894-1515

218/894-2124

320/695-2165

Corp

Corp

Corp

Corp

Corp

Corp

NProf

NProf

NProf

COMP HCBS

HOSP-37 BASS-8

NH-35

CAH-25 PPS-P-10

SNF-NF-35

(30755)

(33677)

(33676)

(33678)

(33300)

(36902)

(24633)

(20201)

(00668)

FAX: 320/732-7018

FAX: 218/296-5049

FAX: 218/414-2606

FAX: 218/414-2606

FAX: 218/414-2606

FAX: 218/228-7881

FAX: 218/894-8355

FAX: 218/894-3067

FAX: 320/695-2166

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

LISA HUSETH

CHRISTINE TOLLEFSON

CHRISTINE TOLLEFSON

CHRISTINE TOLLEFSON

CHRISTINE TOLLEFSON

CARLA PLATZER

TIM RICE

TIM RICE

AUTUMN ROARK

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL

Page 588: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

551

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Directory of Facilities and Services

Page

Registration

TRAVERSE

WABASHA

COTEAU DES PRAIRIES HC SYSTEM BROWNS VALLEY CLINIC

PRAIRIEVIEW PLACE

SANFORD MEDICAL CENTER WHEATON

SANFORD WHEATON

TRAVERSE CARE CENTER

MAYO CLINIC HEALTH SYSTEM - LAKE CITY

RIVER OAKS AT LAKE PEPIN

RIVER OAKS AT LAKE PEPIN, LLC - HOME CARE

SERVICE MANAGEMENT GROUP INC

404 WEST BROADWAY

305 7TH STREET SOUTH

401 12TH STREET NORTH

401 12TH STREET NORTH

303 7TH STREET SOUTH

500 WEST GRANT STREET

815 NORTH HIGH STREET

815 NORTH HIGH STREET

317 NORTH HIGH STREET

BROWNS VALLEY, MN 56219

WHEATON, MN 56296

WHEATON, MN 56296

WHEATON, MN 56296

WHEATON, MN 56296

LAKE CITY, MN 55041

LAKE CITY, MN 55041

LAKE CITY, MN 55041

LAKE CITY, MN 55041

605/698-7647

320/563-8124

320/563-8226

320/563-8226

320/563-8124

651/345-1140

651/345-2713

651/645-2713

651/345-5000

Corp

NProf

NProf

City

ONProf

NProf

Lim-Liab

Lim-Liab

NProf

HOSP-25 BASS-4

NH-47

NH-90

COMP

RHC

CAH-25

RHC

SNF-NF-47

SNF-NF-90

(32679)

(33953)

(00670)

(23605)

(00669)

(00770)

(31884)

(31882)

(29088)

FAX: 320/695-2526

FAX: 320/563-4133

FAX: 320/563-8012

FAX: /-

FAX: 320/563-4133

FAX: 651/345-1153

FAX: 651/345-5336

FAX: 651/345-5336

FAX: 651/345-5076

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

GREG WEAVER - INTERIM CEO

DYLAN HANSON

CHELSIE FALK

JOANN FOLTZ

DYLAN HANSON

MACKENZIE HARNISCH

CORI BARKER

CHRISTOPHER KING

JOHN DAHM

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

HWS

HWSAL

HWSAL

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552

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

WABASHA

WADENA

GREEN PRAIRIE ASSISTED LIVING

GREEN PRAIRIE PLACE

THE GREEN PRAIRIE ASSISTED LIVING

THE GREEN PRAIRIE REHABILITATION CENTER

MAYO CLINIC DIALYSIS WABASHA

SAINT ELIZABETH HOSPITAL OF WABASHA

SAINT ELIZABETH'S COMMUNITY CLINIC

ST. ELIZABETH HOME HEALTH CARE

ST. ELIZABETH'S MEDICAL CENTER

810 2ND AVENUE NW

810 2ND AVENUE NW

810 2ND AVENUE NW

800 2ND AVENUE NW

1200 5TH GRANT BOULEVARD WEST

1200 GRANT BOULEVARD WEST

1200 GRANT BOULEVARD WEST

1200 GRANT BOULEVARD WEST

1200 GRANT BOULEVARD WEST

PLAINVIEW, MN 55964

PLAINVIEW, MN 55964

PLAINVIEW, MN 55964

PLAINVIEW, MN 55964

WABASHA, MN 55981

WABASHA, MN 55981

WABASHA, MN 55981

WABASHA, MN 55981

WABASHA, MN 55981

507/534-4204

507/534-3191

507/534-3191

507/534-3191

651/565-5995

651/565-4531

651/565-5600

651/565-5577

651/565-5559

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

NProf

Church

NProf

NProf

Church

COMP

COMP

NH-50

COMP

NH-100 HOSP-25 BASS-0

SNF-NF-50

ESRD

RHC

HHA

SNF-NF-100 CAH-25

(30464)

(20292)

(20292)

(00672)

(02756)

(20255)

(33753)

(03474)

(00675)

FAX: 507/534-2778

FAX: 507/710-0112

FAX: 507/710-0112

FAX: 507/710-0110

FAX: 651/565-5996

FAX: 651/565-2482

FAX: /-

FAX: 651/565-5630

FAX: 651/565-2482

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

LEESA GILMAN

LEESA GILMAN

LEESA GILMAN

MARC HALPERT

SUSAN MYAYA

THOMAS CROWLEY

SUSAN STIENE

JAMES ROOT

JIM ROOT

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

HWSAL

HWSAL

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553

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Page

Registration

WADENA

ESSENTIA HEALTH MENAHGA CLINIC

GREEN PINE ACRES NURSING HOME

MENAHGA HOME HEALTH

ROSE HAVEN

ROSE HAVEN ASSISTED LIVING INC

WOOD SIDE MANOR

CARING HANDS HOME CARE

PROVIDENCE VILLA LLC

PROVIDENCE VILLA LLC

SERENITY LIVING SOLUTIONS OF CENTRAL MINNESOTA

212 ASPEN AVENUE NE

427 MAIN STREET NE

427 MAIN STREET NE

37 6TH STREET SE

37 6TH STREET SE

501 MAIN STREET NE

113 MINNESOTA AVENUE W PO 197

200 MINNESOTA AVENUE EAST

200 MINNESOTA AVENUE EAST

1005 WELLS AVENUE WEST

MENAHGA, MN 56464

MENAHGA, MN 56464

MENAHGA, MN 56464

MENAHGA, MN 56464

MENAHGA, MN 56464

MENAHGA, MN 56464

SEBEKA, MN 56477

SEBEKA, MN 56477

SEBEKA, MN 56477

SEBEKA, MN 56477

218/564-4131

218/564-4101

218/564-4101

218/564-4268

218/564-4268

218/564-4101

218/837-5572

218/837-9162

218/837-9162

218/837-6406

NProf

City

City

Corp

Corp

City

Corp

Lim-Liab

Lim-Liab

Corp

NH-65

COMP

COMP

COMP

COMP

COMP

RHC

SNF-NF-65

HHA

(31447)

(00678)

(03629)

(29268)

(29269)

(20240)

(03311)

(33483)

(34011)

(32493)

FAX: /-

FAX: 218/564-5309

FAX: 218/564-4101

FAX: 218/564-5449

FAX: 218/564-5449

FAX: 218/564-5309

FAX: 218/837-6155

FAX: 218/837-8681

FAX: 218/837-8681

FAX: 218/837-6436

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

LARRY LEADBETTER

LAURA AHLF

LAURA AHLF

EDWIN HELTUNEN

EDWIN HELTUNEN

LAURA AHLF

PATRICIA JOHNSON

ANDREW HUHTA

ANDREW HUHTA

TIM MATROS

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

Page 591: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

554

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Directory of Facilities and Services

Page

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WADENA

SERENITY LIVING SOLUTIONS OF SEBEKA

TRI COUNTY HOMECARE SEBEKA CLINIC

CENTRACARE KIDNEY PROGRAM - STAPLES DIALYSIS

LAKEWOOD CLINIC STAPLES

LAKEWOOD HEALTH SYSTEM

LAKEWOOD HEALTH SYSTEM HOME CARE & HOSPICE

LAKEWOOD HEALTH SYSTEM HOSPICE

LAKEWOOD PINES SENIOR HOUSING

LAKEWOOD PINES SENIOR HOUSING

TRI COUNTY HOSPITAL VERNDALE CLINIC

1005 WELLS AVENUE WEST

106 MINNESOTA AVENUE EAST

401 PRAIRIE AVENUE NE

49725 COUNTY 83

401 PRAIRIE AVENUE NE

401 PRAIRIE AVENUE NE

401 PRAIRIE AVENUE NE

1702 AIRPORT ROAD NW

1702 AIRPORT ROAD NW

102 FARWELL STREET SOUTH

SEBEKA, MN 56477

SEBEKA, MN 56477

STAPLES, MN 56479

STAPLES, MN 56479

STAPLES, MN 56479

STAPLES, MN 56479

STAPLES, MN 56479

STAPLES, MN 56479

STAPLES, MN 56479

VERNDALE, MN 56481

218/837-6406

218/837-5333

320/240-7808

218/894-1033

218/894-1515

218/894-8080

218/894-8080

218/894-4460

218/894-4460

218/445-5990

Corp

NProf

NProf

NProf

NProf

NProf

ONProf

Corp

Corp

NProf

NH-100

COMP

Hospice

COMP

RHC

ESRD

RHC

SNF-NF-100

HHA

HSPICE

RHC

(21152)

(03503)

(22194)

(21829)

(00667)

(02198)

(03591)

(20936)

(30838)

(31669)

FAX: 218/837-6436

FAX: /-

FAX: /-

FAX: /-

FAX: 218/894-8355

FAX: 218/894-8099

FAX: 218/894-8099

FAX: 218/894-4453

FAX: 218/894-4453

FAX: 218/445-5989

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

TIM MATROS

JOSE ALBA

DAVID WALZ

TIM RICE

TIM RICE

BONNIE JOHNSON

TIM RICE

BONNIE JOHNSON

TIM RICE

JOEL BEISWENGER

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

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555

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Page

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WADENA

BELL HILL RECOVERY CENTER

COMFORT CARE COTTAGES

COMFORT CARE COTTAGES

COMMUNITY BEHAVIORAL HEALTH HOSPITAL-WADENA

FAIR OAKS NURSING AND REHAB LLC

MINNESOTA SPECIALTY HEALTH SYSTEM WADENA

THE MEADOWS OF WADENA

THE MEADOWS OF WADENA

TRI COUNTY HEALTH CARE WADENA CLINIC

TRI-COUNTY HOSPITAL

ROUTE 2 PO BOX 206

1232 JEFFERSON STREET SOUTH

1232 JEFFERSON STREET SOUTH

240 SHADY LANE DRIVE BOX 430

201 SHADY LANE DRIVE

240 SHADY LANE DRIVE BOX 430

110 HEMLOCK AVENUE NW

110 HEMLOCK AVENUE NW

4 NW DEERWOOD AVENUE

415 JEFFERSON STREET NORTH

WADENA, MN 56482

WADENA, MN 56482

WADENA, MN 56482

WADENA, MN 56482

WADENA, MN 56482

WADENA, MN 56482

WADENA, MN 56482

WADENA, MN 56482

WADENA, MN 56482

WADENA, MN 56482

218/631-3610

218/631-4873

218/631-4873

218/319-6001

218/631-1391

218/319-6001

218/632-3610

218/632-3610

218/631-1100

218/631-7489

NProf

Ind

Ind

State

Lim-Liab

State

NProf

Lim-Liab

NProf

NProf

SLFA-20

COMP

SLFB-16

NH-75

SLFB-16

COMP

HOSP-49 BASS-6

SNF-NF-75

RHC

CAH-25

(01546)

(20221)

(30454)

(23896)

(00679)

(23896)

(33133)

(33310)

(27822)

(00680)

FAX: 218/631-3917

FAX: 218/632-5924

FAX: 218/632-5924

FAX: 218/632-6583

FAX: 218/632-5028

FAX: 218/632-6583

FAX: 877/482-6765

FAX: 877/482-6765

FAX: /-

FAX: 218/631-7503

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ROSS OLSON

ADRIAN ERICKSON

ADRIAN ERICKSON

AMY GREENWALDT

MELISSA HOFFMAN

AMY GREENWALDT

PAUL ABZUG

JEN OYSTER

JOEL BEISWENGER

JOEL BEISWENGER

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

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556

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Page

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WASECA

BRIDGEWATER AT JANESVILLE LLC

BRIDGEWATER AT JANESVILLE LLC

WHISPERING CREEK

CORNELIA COTTAGES NEW RICHLAND

NEW RICHLAND CARE CENTER

COLONY COURT

COLONY COURT

COLONY COURT MEMORY CARE & CARE SUITES

LAKE SHORE INN NURSING HOME

LATHAM PLACE

543 OAKWOOD DRIVE

543 OAKWOOD DRIVE

102 EAST NORTH STREET

113 1ST STREET SW

312 1ST STREET NE

200 22ND AVENUE NE

200 22ND AVENUE NE

500 22ND AVENUE NW

108 8TH STREET NW

105 NW 8TH STREET

JANESVILLE, MN 56048

JANESVILLE, MN 56048

JANESVILLE, MN 56048

NEW RICHLAND, MN 56072

NEW RICHLAND, MN 56072

WASECA, MN 56093

WASECA, MN 56093

WASECA, MN 56093

WASECA, MN 56093

WASECA, MN 56093

507/231-1515

507/381-4600

507/231-5113

507/463-3565

507/465-3292

507/835-8227

507/835-8227

507/201-3000

507/835-2800

507/833-0903

Lim-Liab

Lim-Liab

City

Lim-Liab

City

Corp

Corp

Corp

Corp

Lim-Liab

COMP

NH-35

NH-50

COMP

NH-42

COMP

SNF-NF-35

SNF-NF-50

SNF-NF-42

(32775)

(32938)

(00681)

(30606)

(00748)

(20207)

(30450)

(28411)

(00682)

(23728)

FAX: 507/231-6744

FAX: 507/388-5162

FAX: 507/231-6310

FAX: /-

FAX: 507/465-3403

FAX: 507/835-5734

FAX: 507/835-5734

FAX: 507/835-5734

FAX: 507/833-1391

FAX: 507/833-1391

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

BROOKE OLSON

BROOKE OLSON

R PETER MADEL III

BRYAN CHRISTIANSON

CHARLES NESS

ERIC WORKE

ERIC WORKE

ERIC WORKE

R PETER MADEL III

R. PETER MADEL III

---------------------------********** --------------------------********

HWSAL

HWSAL

HWSAL

HWSAL

Page 594: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

557

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

WASECA

WASHINGTON

LATHAM PLACE

MAYO CLINIC HEALTH SYSTEM - WASECA

AFTON CARE LLC

CROIXDALE

CROIXDALE

AMERIGRACE HOME CARE LLC

AMERIGRACE HOME CARE LLC

COTTAGE GROVE DIALYSIS

COTTAGE GROVE WHITE PINE

105 NW 8TH STREET

501 NORTH STATE STREET

13115 50TH STREET SOUTH

750 HIGHWAY 95 NORTH

750 HIGHWAY 95 NORTH

9633 HALE AVENUE SOUTH

9633 HALE AVENUE SOUTH

8800 E POINT DOUGLAS ROAD #100

6900 EAST POINT DOUGLAS ROAD S

WASECA, MN 56093

WASECA, MN 56093

AFTON, MN 55001

BAYPORT, MN 55003

BAYPORT, MN 55003

COTTAGE GROVE, MN 55016

COTTAGE GROVE, MN 55016

COTTAGE GROVE, MN 55016

COTTAGE GROVE, MN 55016

507/833-0903

507/835-1210

651/436-4047

651/275-4800

651/275-4800

651/734-3183

651/734-3183

612/347-3431

651/458-9455

Lim-Liab

NProf

Lim-Liab

NProf

NProf

Lim-Liab

Lim-Liab

Corp

Lim-Liab

HOSP-35

COMP

COMP

COMP

COMP

CAH-25

ESRD

(30401)

(00908)

(27465)

(28164)

(31272)

(34337)

(34028)

(24580)

(26133)

FAX: 507/833-1391

FAX: 507/781-8945

FAX: 651/436-4048

FAX: 651/275-4801

FAX: 651/275-4801

FAX: /-

FAX: 651/459-0138

FAX: /-

FAX: 651/458-9457

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

RAYMOND MADEL III

MACKENZIE MILLER

VICKEI DRIGANS

JAN KOOMEN

NATALIE BARMAN

GRACE OYEFESOBI

GRACE OYEFESOBI

DENISE TURNBULL

RHONDA SCHILLINGER

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

HWSAL

HWSAL

HWSAL

Page 595: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

558

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

WASHINGTON

COTTAGE GROVE WHITE PINE

COTTAGE GROVE WHITE PINE II

COTTAGE GROVE WP II, LLC

LOVING CARE COTTAGE LLC

LOVING CARE COTTAGE, INC

LOVING CARE COTTAGE, LLC

LOVING CAREPARTNERS LLC

LOVING CAREPARTNERS, LLC

NORRIS SQUARE

NORRIS SQUARE

6900 EAST POINT DOUGLAS ROAD S

6950 EAST POINT DOUGLAS ROAD S

6950 EAST POINT DOUGLAS ROAD S

7740 HADLEY AVENUE SOUTH

7740 HADLEY AVENUE SOUTH

7740 HADLEY AVENUE SOUTH

6768 TIMBER RIDGE TRAIL SOUTH

6768 TIMBER RIDGE TRAIL SOUTH

6995 80TH STREET SOUTH

8200 HADLEY AVENUE SOUTH

COTTAGE GROVE, MN 55016

COTTAGE GROVE, MN 55016

COTTAGE GROVE, MN 55016

COTTAGE GROVE, MN 55016

COTTAGE GROVE, MN 55016

COTTAGE GROVE, MN 55016

COTTAGE GROVE, MN 55016

COTTAGE GROVE, MN 55016

COTTAGE GROVE, MN 55016

COTTAGE GROVE, MN 55016

651/458-9455

651/459-2870

651/459-2870

651/459-2779

651/459-2779

651/459-2779

651/493-7171

651/493-7171

651/769-6600

651/769-6600

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Corp

Lim-Liab

Lim-Liab

NProf

NProf

COMP

COMP

COMP

TCOMP

COMP

(30697)

(30783)

(27918)

(30240)

(22037)

(22037)

(36041)

(36408)

(25676)

(27946)

FAX: 651/458-9457

FAX: 651/459-2891

FAX: 651/459-2891

FAX: 651/458-0916

FAX: 651/458-0916

FAX: 651/458-0916

FAX: 651/493-7171

FAX: 651/493-7171

FAX: 651/769-6601

FAX: 651/769-6601

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

RHONDA SCHILLINGER

RHONDA SCHILLINGER

RHONDA SCHILLINGER

HEIDI CUNNINGHAM

HEIDI CUNNINGHAM

HEIDI CUNNINGHAM

CHARLOTTE GONZALES

CHARLOTTE GONZALES

MARK MEYER

JAN KOOMEN

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL-O

HWSAL

Page 596: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

559

Facility/Service Owner Licensure Certification

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Directory of Facilities and Services

Page

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NORRIS SQUARE

ROYAL AGE ASSISTED LIVING

ROYAL AGE ASSISTED LIVING LLC

ROYAL AGE ASSISTED LIVING LLC

TRIPLE ANGELS HEALTHCARE

TRIPLE ANGELS HEALTHCARE

TRIPLE ANGELS HEALTHCARE COMPANY

TRISTAR HOME CARE LLC

BIRCHWOOD ARBORS

BIRCHWOOD ARBORS

6993 80TH STREET SOUTH

7047 GOODVIEW AVENUE SOUTH

7882 JORGENSEN AVENUE SOUTH

7047 GOODVIEW AVENUE SOUTH

7774 HINTON AVENUE SOUTH UNIT1

7150 WEST POINT DOUGLAS ROAD S

7I50 WEST POINT DOUGLAS ROAD S

9402 93RD STREET SOUTH

750 NE 1ST STREET

750 NE 1ST STREET

COTTAGE GROVE, MN 55016

COTTAGE GROVE, MN 55016

COTTAGE GROVE, MN 55016

COTTAGE GROVE, MN 55016

COTTAGE GROVE, MN 55016

COTTAGE GROVE, MN 55016

COTTAGE GROVE, MN 55016

COTTAGE GROVE, MN 55016

FOREST LAKE, MN 55025

FOREST LAKE, MN 55025

651/769-6600

651/983-3703

651/458-0343

651/458-0343

651/795-8290

651/458-9401

651/458-9401

763/415-5471

651/466-1000

651/466-1000

NProf

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Corp

Corp

Lim-Liab

Lim-Liab

NProf

NH-78

COMP

COMP

COMP HCBS

COMP

SNF-NF-78

(33301)

(27490)

(27491)

(36630)

(29931)

(34363)

(25202)

(33529)

(21920)

(30232)

FAX: 651/769-6651

FAX: 651/459-3940

FAX: 651/459-3940

FAX: 651/459-3940

FAX: 651/458-9402

FAX: 651/458-9402

FAX: 651/458-9402

FAX: 763/204-8141

FAX: 651/466-1100

FAX: 651/466-1100

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

BEN VAN VOOREN

MTHUNZI DEWA

MTHUNZI DEWA

MTHUNZI DEWA

ADENIKE OGUNRINDE

ADENIKE OGUNRINDE

ADENIKE OGUNRINDE

RAPHAEL OZURUMBA

NOEL LOVAS

NOEL LOVAS

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWSAL

HWSAL

HWSAL

HWSAL

Page 597: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

560

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

WASHINGTON

BIRCHWOOD HEALTH CARE CENTER

CHERRYWOOD POINTE OF FOREST LAKE LLC

EVY GABS HEALTH CARE SYSTEMS LLC

EVYGABS HEALTHCARE SYSTEMS LLC

OTTOMEYER CLINICS PLLC

SENIOR CARE FOREST LAKE, LLC DBA BIRCHWOOD ARBORS

SKYLINE INCC LLC

WINDY ACRES LONG TERM CARE INC

NEW CHALLENGES INC - AFTON

PEACEFUL LIVING LLC

604 NE 1ST STREET

231 BROADWAY AVENUE WEST

20604 ENFIELD AVENUE NORTH

20604 ENFIELD AVENUE NORTH

967 SOUTH LAKE STREET

750 NE 1ST STREET

799 11THE AVENUE SW

7040 LAKE BOULEVARD

6880 ST. CROIX TRAIL SOUTH

1810 CREST VIEW DRIVE #3A

FOREST LAKE, MN 55025

FOREST LAKE, MN 55025

FOREST LAKE, MN 55025

FOREST LAKE, MN 55025

FOREST LAKE, MN 55025

FOREST LAKE, MN 55025

FOREST LAKE, MN 55025

FOREST LAKE, MN 55025

HASTINGS, MN 55033

HUDSON, WI 54016

651/464-5600

651/464-2709

651/492-8643

651/497-5170

651/464-1113

651/466-1000

952/393-7499

651/464-8337

651/454-0161

715/386-7071

NProf

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Corp

Lim-Liab

NH-100

COMP

COMP

COMP

SNF-NF-100

Out Pt

(00853)

(31808)

(34871)

(36395)

(23901)

(21920)

(34520)

(30515)

(28126)

(24968)

FAX: 651/466-1042

FAX: /-

FAX: 651/464-3415

FAX: /-

FAX: 651/464-0853

FAX: 651/466-1100

FAX: 651/389-9184

FAX: 651/464-8340

FAX: 651/379-4575

FAX: 715/386-0873

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

NOEL LOVAS

ERIN HILLIGAN

GABRIEL MBA

GABRIEL MBA

RICHARD HASTINGS

NOEL LOVAS

ERIN YOUNG

SHEANA DURNIL

SUE FRIES

IRENE PREGL

---------------------------********** --------------------------(Cont.)*

HWSAL

HWS-O

HWS-O

HWSAL

HWSAL

Page 598: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

561

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

WASHINGTON

GOOD LIFE SENIOR LIVING HUGO

KEYSTONE PLACE AT LAVALLE FIELDS

KEYSTONE PLACE LAVALLE FIELDS

THE ENCORE AT HUGO

WELCOME HOME HEALTH CARE

ARBOR GLENN SENIOR LIVING

BOULDER PONDS SENIOR LIVING

BRIGHTSTAR OF ST. CROIX VALLEY

HIGH POINTE SURGERY CENTER

SWEET CAROL HOME CARE INC

5260 127TH STREET NORTH

14602 FINALE AVENUE NORTH

14602 FINALE AVENUE NORTH

5607 150TH STREET NORTH

5260 127TH STREET, NORTH

11020 39TH STREET NORTH

192 JADE TRAIL NORTH

8951 33RD STREET NORTH

8650 HUDSON BOULEVARD #235

8530 EAGLE POINT BLVD, STE 100

HUGO, MN 55038

HUGO, MN 55038

HUGO, MN 55038

HUGO, MN 55038

HUGO, MN 55038

LAKE ELMO, MN 55042

LAKE ELMO, MN 55042

LAKE ELMO, MN 55042

LAKE ELMO, MN 55042

LAKE ELMO, MN 55042

651/426-1335

651/888-6557

651/888-6557

651/653-3282

651/426-1335

651/704-1444

612/431-2430

651/234-0044

/-

612/638-6667

Lim-Liab

Lim-Liab

Corp

Lim-Liab

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

COMP

COMP

COMP

Outpt Surg

TBASIC HCBS

Amb Surg

(33881)

(32045)

(32013)

(30353)

(23650)

(33357)

(37071)

(27924)

(00028)

(35945)

FAX: 651/426-1999

FAX: 651/426-3938

FAX: 651/426-3938

FAX: /-

FAX: 320/587-0053

FAX: 651/704-1420

FAX: /-

FAX: 651/234-0046

FAX: 651/702-7414

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

WANDA JACKSON

WILLIAM CURRIER

WILLIAM CURRIER

THOMAS OSTROM

JACOB WORK

ERIN HILLIGAN

AMY KORZENOWSKI

SINI STJERNSWARD ROSS

SANDY MADER

HOUA YANG

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL

Page 599: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

562

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

WASHINGTON

WILLOW HAVEN

SCENIC HILLS ALTERNATIVE CARE

LAKE SHORE RESIDENTIAL TREATMENT

NEW PERSPECTIVE MAHTOMEDI

NEW PERSPECTIVE MAHTOMEDI, LLC

NEW PERSPECTIVE MAHTOMEDI, LLC

NEW PERSPECTIVE OF MN, LLC

ST. ANDREW'S VILLAGE

THE ENCORE AT MAHTOMEDI

SUNSHINE WELLNESS CENTER INC

3819 LAVERNE AVENUE NORTH

1990 QUEENS AVENUE

140 QUAIL STREET

111 EAST AVENUE

113 EAST AVENUE

113 EAST AVENUE

113 EAST AVENUE

240 EAST AVENUE

720 MAHTOMEDI AVENUE

317 15TH AVENUE SE

LAKE ELMO, MN 55042

LAKE ST. CROIX BEACH, MN 55043

MAHTOMEDI, MN 55115

MAHTOMEDI, MN 55115

MAHTOMEDI, MN 55115

MAHTOMEDI, MN 55115

MAHTOMEDI, MN 55115

MAHTOMEDI, MN 55115

MAHTOMEDI, MN 55115

MINNEAPOLIS, MN 55464

651/770-2224

651/735-7259

651/429-2311

651/407-9076

651/407-9076

651/653-3429

651/407-9076

651/762-4100

651/528-8442

651/363-5154

Lim-Liab

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

NProf

Lim-Liab

Corp

SLFA-13

SLFA-23

COMP

COMP

TCOMP

(01523)

(26943)

(29821)

(20051)

(20050)

(33448)

(20050)

(21177)

(28353)

(35649)

FAX: 651/773-6501

FAX: 651/730-1667

FAX: 651/429-2677

FAX: 651/393-9756

FAX: 651/393-9756

FAX: 651/393-9756

FAX: 651/393-9756

FAX: 651/762-4135

FAX: 651/756-8240

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

LISA GASNER

ROBIN RENO

REBECCA BJORKLUND

VINCE BECKEL

ASHLEY WEYANDT

ASHLEY WEYANDT

ASHLEY WEYANDT

LIZ JEFFERSON

THOMAS OSTROM

ALIA NAMUS

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL

Page 600: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

563

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

WASHINGTON

CHRISTIAN HOMES

PHOENIX AT NEWPORT

SAFARI SERVICES LLC

ZUMBRO NEWPORT

BOUTWELLS LANDING

BOUTWELLS LANDING

OAK PARK SENIOR LIVING

OAK PARK SENIOR LIVING

OAK RIDGE PLACE

OAK RIDGE PLACE

295 12TH STREET

351 14TH STREET

1922 10TH AVENUE

2300 HASTINGS AVENUE

5600 NORWICH PARKWAY

5610 NORWICH PARKWAY

13936 LOWER 59TH STREET NORTH

13936 LOWER 59TH STREET NORTH

6060 OXBORO AVENUE NORTH

6060 OXBORO AVENUE NORTH

NEW PORT, MN 55055

NEWPORT, MN 55055

NEWPORT, MN 55055

NEWPORT, MN 55055

OAK PARK HEIGHTS, MN 55082

OAK PARK HEIGHTS, MN 55082

OAK PARK HEIGHTS, MN 55082

OAK PARK HEIGHTS, MN 55082

OAK PARK HEIGHTS, MN 55082

OAK PARK HEIGHTS, MN 55082

651/848-0061

651/227-7655

612/481-7586

651/264-1000

651/275-5000

651/275-5000

651/439-9995

651/492-6535

651/439-8034

651/439-8034

Corp

NProf

Lim-Liab

Corp

Lim-Liab

NProf

Lim-Liab

Lim-Liab

Corp

Corp

SLFB-6

COMP

COMP

COMP

ICFIID-6

(35128)

(23519)

(35198)

(35383)

(28193)

(21362)

(28227)

(28226)

(20599)

(30722)

FAX: 651/848-0322

FAX: 651/227-6847

FAX: 612/722-0796

FAX: /-

FAX: 651/275-5005

FAX: 651/275-5064

FAX: 651/275-8096

FAX: 651/454-4783

FAX: 651/439-8305

FAX: 651/439-8305

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

RUFUS ADEWOLA

DARLENE SCOTT

ASHA ABUKAR

CHRISTOPHER CONKEN

JAN KOOMEN

WENDY KINGBAY

KELLY MYERS

KELLY MYERS

, AMY HOWARD

AMY HOWARD

---------------------------********** --------------------------(Cont.)*

HWSAL

HWS-O

HWS-O

HWSAL

HWSAL

HWSAL

Page 601: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

564

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

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WASHINGTON

PEACEFUL LIVING LLC

PEACEFUL LIVING LLC

THE GABLES OF BOUTWELLS LANDING

ADEQUATE HOME CARE LLC

BESTVALUE HEALTHCARE INC

BESTVALUE HEALTHCARE INC

BESTVALUE HEALTHCARE INC.

COMPASSION HOME HEALTH CARE LLC

HEALTHEAST PILLARS

MORNING GLORY HOME CARE

5873 OXBORO AVENUE NORTH

5861 OXBORO AVENUE

13575 58TH STREET

5680 HADLEY AVENUE NORTH

7124 16TH STREET NORTH

7124 16TH STREET NORTH

3693 GROVNER ROAD NORTH

1364 GRANITE LANE NORTH

6025 UPPER 35TH STREET

1075 HADLEY AVENUE NORTH #110

OAK PARK HEIGHTS, MN 55082

OAK PARK HEIGHTS, MN 55082

OAK PARK HEIGHTS, MN 55082

OAKDALE, MN 55128

OAKDALE, MN 55128

OAKDALE, MN 55128

OAKDALE, MN 55128

OAKDALE, MN 55128

OAKDALE, MN 55128

OAKDALE, MN 55128

715/386-7071

715/386-7071

651/430-7202

651/367-9906

651/757-5080

651/757-5080

651/757-5080

612/424-2446

651/748-0330

651/493-1251

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Corp

Corp

Lim-Liab

NProf

Corp

NH-108

COMP

RES-HSPICE-8

SNF-NF-108

18-HOSPICE-8

(29417)

(31359)

(25613)

(35883)

(34234)

(34766)

(36759)

(36941)

(04309)

(29537)

FAX: 715/386-0873

FAX: 715/386-0873

FAX: 651/430-7201

FAX: 651/383-4585

FAX: 651/344-0582

FAX: 651/344-0582

FAX: 651/344-0582

FAX: 651/256-2998

FAX: 651/777-3324

FAX: 651/493-6696

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

IRENE PREGL

IRENE PREGL

GAVIN MIDDLETON

MOUNIR AYOUB

WASOLA OLAOYE

WASOLA OLAOYE

WASOLA OLAOYE

SYLVESTER MUTISYA

MICKI SCHAEFER

JULI WALL

---------------------------********** --------------------------(Cont.)*

HWS-O

HWS-O

HWSAL

HWSAL-O

HWSAL-O

HWSAL

Home Mgmt

Page 602: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

565

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

WASHINGTON

OAK MEADOWS

PEACEFUL LODGE

PEOPLE'S CHOICE HOME CARE SERVICES LLC

PEOPLE'S CHOICE HOME CARE SERVICES LLC

PINNACLE SERVICES INC EVERGREEN LAKE

PREMIUM CHOICE CARE LLC

PRIME CHOICE HOME CARE SOLUTIONS LLC

PROMISE COMPREHENSIVE SERVIES, INC.

RESOLUTE CARE INC

RESOLUTE CARE INC

8131 4TH STREET NORTH

6630 HUDSON BOULEVARD

4815 HELENA ROAD NORTH

4815 HELENA ROAD NORTH

7854 9TH STREET NORTH

1983 GENEVA AVENUE NORTH

7200 HUDSON BOULEVARD #107A

1799 HILO AVENUE NORTH

3904 GERSHWIN AVENUE NORTH

3904 GERSHWIN AVENUE NORTH

OAKDALE, MN 55128

OAKDALE, MN 55119

OAKDALE, MN 55128

OAKDALE, MN 55128

OAKDALE, MN 55128

OAKDALE, MN 55128

OAKDALE, MN 55128

OAKDALE, MN 55128

OAKDALE, MN 55128

OAKDALE, MN 55128

651/578-0676

651/207-5769

651/329-8555

651/329-8555

651/888-2192

651/239-6149

612/636-9008

612/236-7979

651/332-6506

651/332-6506

NProf

Corp

Lim-Liab

Lim-Liab

Corp

Lim-Liab

Lim-Liab

Corp

Corp

Corp

TCOMP

COMP

BASIC HCBS

TCOMP

(20462)

(33424)

(35296)

(35746)

(33371)

(33741)

(33852)

(37123)

(34656)

(35416)

FAX: 651/578-1431

FAX: 612/435-9881

FAX: /-

FAX: /-

FAX: 612/977-3960

FAX: 651/772-3357

FAX: 800/407-1102

FAX: 651/714-9213

FAX: /-

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

DEBORAH VEIT

KALIA VANG

ADEOLU ODEDINA

ADEOLU ODEDINA

JILL CIHLAR

FERDINAND FONDO

MACDONALD METZGER

RIH-REH ALI USMANU

ANDEM UMOH

EDEM UMOH

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWS-O

HWSAL-O

HWS

Page 603: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

566

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

WASHINGTON

SAFARI SERVICES LLC

SAFARI SERVICES LLC

SCENIC HILLS ALTERNATIVE CARE

ST. CROIX HOSPICE

THE WATERS OF OAKDALE

REBECCA'S RESIDENCE

ECUMEN HOSPICE

MORNING GLORY HOME CARE

ENHANCED CARE ASSISTED LIVING LLC

ENHANCED CARE ASSISTED LIVING, LLC

1224 GLENBROOK AVE NORTH #110

6206 40TH AVENUE NORTH

6230 10TH STREET #330A

7200 HUDSON BOULEVARD STE 100

7088 11TH STREET NORTH

21077 PENROSE AVENUE NORTH

3530 LEXINGTON AVENUE NORTH

1075 HADLEY AVENUE NORTH #110

824 PLEASANT AVENUE

824 PLEASANT AVENUE

OAKDALE, MN 55128

OAKDALE, MN 55128

OAKDALE, MN 55128

OAKDALE, MN 55128

OAKDALE, MN 55128

SCANDIA, MN 55073

SHORVIEW, MN 55126

ST. PAUL, MN 55128

ST. PAUL PARK, MN 55071

ST. PAUL PARK, MN 55071

612/722-0591

612/722-0591

651/735-7259

651/735-3656

651/393-5260

651/433-5839

651/714-0200

651/493-1251

651/302-2717

651/302-2717

Lim-Liab

Lim-Liab

Corp

Lim-Liab

Lim-Liab

Lim-Liab

NProf

Corp

Lim-Liab

Lim-Liab

COMP

Hospice

SLFA-10

Hospice

COMP

TCOMP

HSPICE

HSPICE

(35478)

(35480)

(26210)

(26361)

(31195)

(22017)

(03129)

(28758)

(36567)

(37163)

FAX: 612/481-7586

FAX: 612/481-7586

FAX: 651/730-1667

FAX: 651/735-0155

FAX: 651/739-9339

FAX: 651/734-9533

FAX: 651/714-0201

FAX: 651/493-6696

FAX: /-

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ASHA ABUKAR

ASHA ABUKAR

ROBIN RENO

JAMIE HANSON

KATHERINE TODD

JENNIFER FRAZER JOHN

BETH BRANZ

GERRI TIMM

AMANDA MORRISON

AMANDA MORRISON

---------------------------********** --------------------------(Cont.)*

HWS-O

HWS-O

HWSAL

HWSAL

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567

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

WASHINGTON

HAVEN CHEMICAL HEALTH

ASSOCIATED EYE CARE AMBULATORY SURGERY CENTER, LLC

CEDAR RIDGE

GOOD SAMARITAN SOCIETY - STILLWATER

HANDS AT THE CROSS CARE HOME

HANDS AT THE CROSS CARE HOME LLC

LAKEVIEW HOMECARE

LAKEVIEW HOSPICE

LAKEVIEW MEMORIAL HOSPITAL

ONTRACK HOME CARE INC

950 9TH AVENUE

2950 CURVE CREST BOULEVARD

11400 JULIANNE AVENUE NORTH

1119 OWENS STREET NORTH

1740 OVERLOOK TRAIL NORTH

1740 OVERLOOK TRAIL NORTH

1715 TOWER DRIVE #330

1715 TOWER DRIVE WEST #330

927 WEST CHURCHILL STREET

13955 NORTH 26TH STREET

ST. PAUL PARK, MN 55071

STILLWATER, MN 55082

STILLWATER, MN 55082

STILLWATER, MN 55082

STILLWATER, MN 55082

STILLWATER, MN 55082

STILLWATER, MN 55082

STILLWATER, MN 55082

STILLWATER, MN 55082

STILLWATER, MN 55082

651/734-9633

651/275-3113

651/426-3300

651/439-7180

612/308-1220

612/308-1220

651/430-3320

651/430-3320

651/430-4509

651/439-3790

Lim-Liab

Lim-Liab

Lim-Liab

NProf

Lim-Liab

Lim-Liab

NProf

NProf

NProf

Corp

SLFA-15

Outpt Surg

SLFA-25 SLFB-9

NH-68

TCOMP

COMP

Hospice

HOSP-97 BASS-15

COMP

Amb Surg

SNF-NF-68

HHA

HSPICE

HOSP-97

(37079)

(23898)

(01660)

(00903)

(35885)

(35279)

(03154)

(03223)

(00689)

(27846)

FAX: 651/734-9533

FAX: 651/275-3106

FAX: 651/426-0419

FAX: 651/439-4502

FAX: 612/337-1391

FAX: /-

FAX: 651/430-8505

FAX: 651/430-8505

FAX: 651/430-4512

FAX: 651/439-3790

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JENNIFER FRAZER-JOHN

RITA KEATING

MARTHA KLUG

RENE RACINE

ELIBELLE JARDIO

ELIBELLE JARDIO

LINDSAY RADKE

DENISE PLOURDE

THEODORE WEGLEITNER

RUTH LANGEVIN

---------------------------********** --------------------------(Cont.)*

HWSAL

Page 605: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

568

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

WASHINGTON

PROJECT CARING

PROJECT CARING

PROJECT CARING RESIDENTIAL ASSISTED LIVING

RIVER CITY DIALYSIS

SAFARI SERVICES LLC

SAFARU SERVICES LLC

THE ESTATES AT GREELEY LLC

THE ESTATES AT LINDEN LLC

THE GATHERING

THE LODGE

14410 21ST STREET NORTH

14410 21ST STREET NORTH

14410 21ST STREET NORTH

1970 NORTHWESTERN AVENUE SOUTH

5842 OLDFIELD AVENUE NORTH

5827 PELLER AVENUE NORTH

313 SOUTH GREELEY STREET

105 WEST LINDEN STREET

1715 TOWER DRIVE WEST #330

107 BRIDGEWATER WAY

STILLWATER, MN 55082

STILLWATER, MN 55082

STILLWATER, MN 55082

STILLWATER, MN 55082

STILLWATER, MN 55082

STILLWATER, MN 55802

STILLWATER, MN 55082

STILLWATER, MN 55082

STILLWATER, MN 55082

STILLWATER, MN 55082

651/485-0860

651/485-0860

651/485-0860

651/430-0067

612/722-0591

/-

651/439-5775

651/439-5004

651/430-3320

651/439-8200

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

NProf

Lim-Liab

COMP

COMP

NH-64

NH-51

Hospice

COMP

ESRD

SNF-NF-64

SNF-NF-51

HSPICE

(26164)

(30698)

(26164)

(02843)

(35479)

(35003)

(00947)

(00948)

(03223)

(34717)

FAX: 651/436-7545

FAX: 651/436-7545

FAX: 651/436-7545

FAX: 651/430-0140

FAX: 612/481-7586

FAX: /-

FAX: 651/439-1936

FAX: 651/430-2127

FAX: 651/430-8505

FAX: 651/430-8780

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

DAVID ITMAN

DAVID ITMAN

DAVID ITMAN

KIMBERLY KOHUTH

ASHA ABUKAR

ASHA ABUKAR

MICHAEL CARLSON

MICHAEL CARLSON

DENISE PLOURDE

RANDALL BENSON

---------------------------********** --------------------------(Cont.)*

HWSAL

HWS-O

HWS-O

Page 606: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

569

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

WASHINGTON

THE LODGE

ARTIS SENOR LIVING OF WOODBURY

ARTIS SLM OF WOODBURY LLC

CAREAPARENT

CENTER FOR DIAGNOSTIC IMAGING

COMMUNITY LIVING OPTIONS INC

COMMUNITY LIVING OPTIONS STRATFORD

DREAM WEAVER HOME CARE PC

FRESENIUS KIDNEY CARE WOODBURY

GOLDEN LIGHT AL LLC

107 BRIDGEWATER WAY

8155 AFTON ROAD

8155 AFTON ROAD

2042 WOODDALE DRIVE #200

6025 LAKE ROAD #100

6617 STRATFORD ROAD

6617 STRATFORD ROAD

8916 PINEHURST ROAD

7433 CURRELL BOULEVARD

600 LANDAU DRIVE

STILLWATER, MN 55802

WOODBURY, MN 55125

WOODBURY, MN 55125

WOODBURY, MN 55125

WOODBURY, MN 55125

WOODBURY, MN 55125

WOODBURY, MN 55125

WOODBURY, MN 55125

WOODBURY, MN 55125

WOODBURY, MN 55125

651/439-8200

651/493-2840

651/493-2840

651/702-4663

651/738-4780

763/856-4866

763/856-4866

651/216-9843

651/714-9948

651/442-5413

ONProf

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Corp

Corp

NProf

Lim-Liab

TCOMP

COMP

Outpt Surg

COMP

COMP

Amb Surg

ESRD

(35051)

(36092)

(35609)

(33567)

(29894)

(28270)

(32733)

(33814)

(33915)

(35224)

FAX: 651/430-8780

FAX: 651/493-2874

FAX: 651/493-2874

FAX: 651/846-6149

FAX: 952/738-4409

FAX: 763/856-5732

FAX: 763/856-5732

FAX: /-

FAX: 651/714-9064

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

RANDALL BENSON

KIMBERLY SYZMANSKI

KIMBERLY SZYMANSKI

DENNIS TODORA

TIFFANY SPARTZ

JEFF FELTZ

JEFF FELTZ

KENNETH STEINKAMP

FEDERICO SERRANO

IJEOMA ASOGWA

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL-O

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570

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

WASHINGTON

GOLDEN LIGHT ASSISTED LIVING LLC

GREATER CARE FACILITES, LLC

GREATER CARE FACILITIES LLC

GREATERCARE FACILITIES LLC

GREATERCARE FACILITIES LLC

GREATERCARE FACILITIES, LLC

HANDS AT THE CROSS CARE HOME

HEALTHEAST WOODWINDS HOSPITAL

HOLISTIC HOME CARE LLC

HOLISTIC HOME CARE LLC

600 LANDAU DRIVE

2087 WOODBRIDGE WAY

3020 WOODBURY DRIVE

6576 FALSTAFF TERRACE

9377 NEWCASTLE ROAD

7159 ROBINWOOD TRAIL

11010 SWEETWATER PATH

1925 WOODWINDS DRIVE

2321 CASCADE PLAZA SOUTH

2321 CASCADE PLAZA SOUTH

WOODBURY, MN 55125

WOODBURY, MN 55125

WOODBURY, MN 55125

WOODBURY, MN 55125

WOODBURY, MN 55125

WOODBURY, MN 55125

WOODBURY, MN 55129

WOODBURY, MN 55125

WOODBURY, MN 55125

WOODBURY, MN 55125

651/442-5413

651/528-8739

651/528-8739

651/528-8739

651/528-8739

651/528-8739

612/308-1220

651/232-2101

651/330-1733

651/330-1733

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

NProf

Lim-Liab

Lim-Liab

TCOMP

COMP

HOSP-86 BASS-28

COMP

HOSP-86

(35209)

(37104)

(33800)

(35718)

(35864)

(34002)

(35814)

(04278)

(32654)

(33146)

FAX: /-

FAX: 651/528-8676

FAX: 651/528-8676

FAX: 651/528-8676

FAX: 651/528-8676

FAX: 651/528-8676

FAX: 928/212-8727

FAX: 651/232-6888

FAX: 651/493-4290

FAX: 651/493-4290

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

IJEOMA ASOGWA

MIRIAM EGBUDOM

MIRIAM EGBUDOM

MIRIAM EGBUDOM

MIRIAM EGBUDOM

MIRIAM EGBUDOM

ELIBELLE JARDIO

LIA CHRISTIANSEN

LYNDA ABAGI

LYNDA ABAGI

---------------------------********** --------------------------(Cont.)*

HWSAL-O

HWSAL-O

HWSAL-O

HWSAL

HWSAL-O

HWSAL

Page 608: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

571

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

WASHINGTON

HOLISTIC HOME CARE LLC

HOLISTIC HOME CARE LLC

HOLISTIC HOME CARE LLC

HOLISTIC HOME CARE LLC

HOME SWEET HOME OF MINNESOTA

HOMETOWN SENIOR LIVING

HOMETOWN SENIOR LIVING-BELMONT

HOMETOWN SENIOR LIVING-BELMONT

HOMETOWN SR LIVING WEDGEWOOD

HOMETOWN SR LIVING WEDGEWOOD N

1812 BIELENBERG COURT

7533 CARILLON PLAZA WEST

2332 TIMBERLEA DRIVE

2325 CASCADE PLAZA SOUTH

6043 HUDSON ROAD STE 340

1265 BELMONT DRIVE

1265 BELMONT DRIVE

1265 BELMONT DRIVE

3610 MOUNT VERNON COURT

10025 ANTRIM COURT

WOODBURY, MN 55125

WOODBURY, MN 55125

WOODBURY, MN 55125

WOODBURY, MN 55125

WOODBURY, MN 55125

WOODBURY, MN 55125

WOODBURY, MN 55125

WOODBURY, MN 55125

WOODBURY, MN 55129

WOODBURY, MN 55129

651/283-9564

651/283-9564

651/330-1733

651/283-9564

651/348-6211

651/714-7075

651/714-7075

651/207-5999

651/714-7099

651/714-7075

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Corp

Corp

Corp

Corp

COMP

COMP

COMP

(33704)

(34053)

(36018)

(34265)

(34405)

(26862)

(26862)

(30652)

(28204)

(32439)

FAX: 651/493-4290

FAX: 651/493-4290

FAX: 651/493-4290

FAX: 651/702-8943

FAX: 651/528-7897

FAX: 651/344-4401

FAX: 651/344-4401

FAX: 651/344-4401

FAX: 651/714-7188

FAX: 651/344-4401

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

LYNDA ABAGI

LYNDA ABAGI

LYNDA ABAGI

LYNDA ABAGI

ARNOLD KUBEI

MARY HENDRICKS

MARY HENDRICKS

MARY HENDRICKS

MARY HENDRICKS

MARY HENDRICKS

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL-O

HWSAL-O

HWSAL-O

HWSAL

HWSAL

HWSAL

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572

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

WASHINGTON

HOSPICE OF THE MIDWEST

HSL WEDGEWOOD CENTRAL

IST CARE INC

LANDMARK SURGERY CENTER

LIBERTY FOSTER HOME CARE LLC

MARK YOUR HOME HEALTH CARE LLC

METRO CARE HUMAN SERVICES

MIDWEST SURGERY CENTER

MINNESOTA EYE LASER & SURGERY CENTERS

MNGI ENDOSCOPY WOODBURY

7616 CURRELL BOULEVARD #175

3602 MT VERNON COURT

10966 ASHLEY LANE

7115 TAMARACK ROAD #200

6234 COURTLY PLACE

6053 HUDSON ROAD #200

6043 HUDSON ROAD STE 340

2080 WOODWINDS DRIVE #200

7125 TAMARACK ROAD

237 RADIO DRIVE #200

WOODBURY, MN 55125

WOODBURY, MN 55129

WOODBURY, MN 55129

WOODBURY, MN 55125

WOODBURY, MN 55125

WOODBURY, MN 55125

WOODBURY, MN 55125

WOODBURY, MN 55125

WOODBURY, MN 55125

WOODBURY, MN 55125

651/344-1040

651/714-7075

651/246-7209

651/968-5468

651/731-5119

651/417-9593

651/528-7141

651/642-9199

952/888-5800

612/871-1145

Lim-Liab

Corp

Corp

Corp

Lim-Liab

Lim-Liab

Corp

Part

Lim-Liab

Corp

Hospice

TCOMP

Outpt Surg

COMP

COMP

Outpt Surg

HSPICE

Amb Surg

Amb Surg

Amb Surg

Amb Surg

(31998)

(34383)

(35117)

(00430)

(35897)

(33040)

(35671)

(21791)

(32886)

(33631)

FAX: 651/347-6904

FAX: 651/389-0531

FAX: /-

FAX: 651/968-5902

FAX: /-

FAX: 612/353-2216

FAX: 651/528-7897

FAX: 651/645-3346

FAX: 952/567-6156

FAX: 612/870-5491

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

LYNNEA ANDERSEN

MARY HENDRICKS

ABDIKARIM KALID

BECKIE HINES

SAID HIRSE FARAH

YU VANG

ARNOLD KUBEI

DAVE ROTHSCHILLER

DOMINIKA FORSYTH

SCOTT KETOVER

---------------------------********** --------------------------(Cont.)*

HWSAL

HWS-O

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573

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

WASHINGTON

MORNINGSTAR HOMES S.C.

NEW PERSPECTIVE - WOODBURY

PRELUDE HOME & SERVICES, LLC

PRELUDE HOME& SERVICES, LLC

PRELUDE HOME& SERVICES, LLC

PRELUDE HOMES & SERVICES LLC

PRELUDE HOMES AND SERVICES

PRIDE 'N 'LIVING HOME CARE INC

RHEMA HOMES LLC

SAGEWOOD

3154 MEADOW BROOK DRIVE

2195 CENTURY AVENUE SOUTH

10018 RALEIGH ROAD

10018 RALEIGH ROAD

10020 RALEIGH ROAD

10045 ANTRIM COURT

10018 RALEIGH ROAD

1201 HILLCREST COURT

7781 CAYENNE PLAZA

6281 OAKWOOD ROAD

WOODBURY, MN 55125

WOODBURY, MN 55125

WOODBURY, MN 55129

WOODBURY, MN 55129

WOODBURY, MN 55129

WOODBURY, MN 55129

WOODBURY, MN 55129

WOODBURY, MN 55125

WOODBURY, MN 55125

WOODBURY, MN 55125

253/223-4080

651/459-1400

651/358-3651

651/358-3651

651/358-3651

651/501-6507

651/358-3651

763/572-2390

651/442-1716

651/200-3082

Corp

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

Corp

Lim-Liab

Lim-Liab

TCOMP

COMP

COMP

(35202)

(31733)

(27917)

(27917)

(30782)

(31433)

(34601)

(33841)

(35844)

(28375)

FAX: /-

FAX: 651/730-1947

FAX: 651/501-6600

FAX: 651/501-6600

FAX: 651/501-6600

FAX: 651/358-6653

FAX: 651/358-6653

FAX: 763/574-2459

FAX: /-

FAX: 651/200-3084

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

YIHUA KEHRER

VINCE BECKEL

DEBORAH ROSE

DEBORAH ROSE

DEBORAH ROSE

DEBORAH ROSE

DEBORAH ROSE

KAREN WAINDIM

KOLAWOLE AMUSAN

ANGELINA SAM

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL

HWSAL

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574

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

WASHINGTON

SAGEWOOD LLC

SAINT THERESE OF WOODBURY

SAINT THERESE OF WOODBURY

SENIOR CARE WOODBURY, LLC

SOTAM HOME CARE LLC

SOTAM HOME CARE LLC

ST. THERESE OF WOODBURY, LLC

STONECREST

STONECREST

SYNERGY HOMECARE OF EAST CENTROAL METRO

6281 OAKWOOD ROAD

7555 BAILEY ROAD

7555 BAILEY ROAD

2825 WOODLANE DRIVE

9271 LAKE ROAD

9271 LAKE ROAD

7555 BAILEY ROAD

8725 PROMENADE LANE

8725 PROMENADE LANE

2155 WOODLANE DRIVE #200

WOODBURY, MN 55125

WOODBURY, MN 55129

WOODBURY, MN 55129

WOODBURY, MN 55125

WOODBURY, MN 55125

WOODBURY, MN 55125

WOODBURY, MN 55129

WOODBURY, MN 55125

WOODBURY, MN 55125

WOODBURY, MN 55125

651/200-3082

651/209-9100

651/209-9100

651/714-1000

651/278-1244

612/757-1891

651/209-9100

651/264-3200

651/264-3200

612/256-2214

Lim-Liab

NProf

NProf

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

NProf

NProf

Lim-Liab

COMP

COMP

COMP

TCOMP

NH-56

COMP

TCOMP

SNF-NF-56

(28374)

(32379)

(32320)

(21116)

(35673)

(34582)

(31025)

(25310)

(27949)

(35841)

FAX: 651/200-3080

FAX: /-

FAX: 651/209-9101

FAX: 651/714-1003

FAX: /-

FAX: 651/780-7074

FAX: 952/224-9101

FAX: 651/264-3329

FAX: 651/264-3334

FAX: 651/413-3000

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ANGELINA SAM

KATELYN NOWACK

KATELYN NOWACK

COLE BRODY

DESTINA BROWN-WEST

DESTINA BROWN-WEST

KATELYN NOWACK

JANEL MILLER

JAN KOOMEN

ALICIA HARMON

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL-O

HWSAL

Page 612: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

575

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

WASHINGTON

WATONWAN

TRIA ORTHOPAEDIC WOODBURY ASC

WOODBURY DIALYSIS

WOODBURY ESTATES

WOODBURY HEALTH CARE CENTER

WOODBURY SURGERY CENTER

WOODBURY VILLA

ZUMBRO HOUSE INC

LIVING MEADOWS AT LUTHER - MADELIA

MADELIA COMMUNITY HOSPITAL

155 RADIO DRIVE

1850 3 WEIR DRIVE

2825 WOODLANE DRIVE

7012 LAKE ROAD

587 BIELENBERG DRIVE #100

7008 LAKE ROAD

525 COMMONS DRIVE

503 BENZEL AVENUE SW

121 DREW AVENUE SE

WOODBURY, MN 55125

WOODBURY, MN 55125

WOODBURY, MN 55125

WOODBURY, MN 55125

WOODBURY, MN 55125

WOODBURY, MN 55125

WOODBURY, MN 55125

MADELIA, MN 56062

MADELIA, MN 56062

952/967-6884

651/730-4522

651/714-1000

651/735-6000

651/493-0343

651/735-4000

651/276-1191

507/642-3271

507/642-3255

Lim-Liab

Corp

NProf

NProf

Lim-Liab

Lim-Liab

Corp

NProf

NProf

NH-155

Outpt Surg

COMP

NH-51

HOSP-25 BASS-2

Amb Surg

ESRD

SNF-NF-155

Amb Surg

SNF-NF-51

CAH-25

(32582)

(03523)

(20551)

(00803)

(30181)

(30223)

(28733)

(00695)

(00696)

FAX: 952/806-5765

FAX: /-

FAX: 651/714-1003

FAX: 651/735-0075

FAX: 651/493-0344

FAX: 651/731-5585

FAX: 651/264-1002

FAX: 507/642-8676

FAX: 507/642-8516

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

STEVEN HOUSH

LISA THOELE

BRIDGET STABERG

MICHAEL KAREL

CHRISTIAN BERLINQUETTE

BRIDGET STABERG

CHRISTOPHER ONKEN

LARRY PASSEL

JEFF MENGENHAUSEN

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

HWSAL

HWSAL

Page 613: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

576

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

WATONWAN

WILKIN

MADELIA COMMUNITY HOSPITAL HOME CARE

REM HEARTLAND INC MADELIA

GOOD SAMARITAN SOCIETY BRANDT RIDGE

GOOD SAMARITAN SOCIETY PRAIRIE VIEW

GOOD SAMARITAN SOCIETY ST. JAMES

GSS - BRANDT RIDGE

MAYO CLINIC HEALTH SYSTEM - ST. JAMES

CHI HEALTH AT HOME

CHI HEALTH AT HOME

121 DREW AVENUE SE

226 DREW AVENUE SOUTH

1102 2ND STREET SOUTH

1101 2ND STREET SOUTH

1000 2ND STREET SOUTH

1102 2ND STREET SOUTH

1101 MOULTON & PARSONS DRIVE

1110 HIGHWAY 75 NORTH STE A

1110 HIGHWAY 75 NORTH STE A

MADELIA, MN 56062

MADELIA, MN 56062

ST. JAMES, MN 56081

ST. JAMES, MN 56081

ST. JAMES, MN 56081

ST. JAMES, MN 56081

ST. JAMES, MN 56081

BRECKENRIDGE, MN 56520

BRECKENRIDGE, MN 56520

507/642-3255

952/922-6776

507/375-6120

507/375-5150

507/375-3286

507/375-6120

507/375-8601

218/643-2275

218/643-2275

NProf

Corp

NProf

NProf

NProf

NProf

NProf

NProf

NProf

COMP

SLFB-13

COMP

NH-51

HOSP-25 BASS-6

COMP

Hospice

HHA

ICFIID-13

SNF-NF-51

CAH-25

HHA

HSPICE

(02340)

(01455)

(25414)

(21033)

(00697)

(30578)

(00698)

(02371)

(02418)

FAX: 507/642-3534

FAX: 952/922-6885

FAX: 507/375-5779

FAX: 507/375-3218

FAX: 507/375-3288

FAX: 507/375-5779

FAX: 507/375-8605

FAX: 218/643-2274

FAX: 218/643-2274

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

, JEFF MENGENHAUSEN

DEVIN NELSON

TIM SWOBODA

TIM SWOBODA

TIMOTHY SWOBODA

TIM SWOBODA

AMY LONG

CLARICE MARK

CLARE MARK

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

HWS

HWSAL

Page 614: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

577

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

WILKIN

WINONA

PIONEERCARE MEMORY COTTAGE

PIONEERCARE MEMORY COTTAGE

ST. FRANCIS HOME

ST. FRANCIS MEDICAL CENTER

TWIN TOWN VILLA

TWIN TOWN VILLA

WELCOME HOME HEALTH CARE, INC.

WILKIN COUNTY PUBLIC HEALTH

KAYCEE'S HOME CARE, INC.

519 OAK STREET

521 OAK STREET

2400 ST. FRANCIS DRIVE

2400 ST. FRANCIS DRIVE

615 DURUM DRIVE

615 DURUM DRIVE

615 DURUM DRIVE

300 5TH STREET SOUTH

323 NW TERRACE DRIVE

BRECKENRIDGE, MN 56520

BRECKENRIDGE, MN 56520

BRECKENRIDGE, MN 56520

BRECKENRIDGE, MN 56520

BRECKENRIDGE, MN 56520

BRECKENRIDGE, MN 56520

BRECKENRIDGE, MN 56520

BRECKENRIDGE, MN 56520

ROTHSAY, MN 56579

218/643-9572

218/643-9572

218/643-3000

218/643-3000

218/643-9542

218/643-9542

218/643-9542

218/643-7122

218/731-4062

NProf

NProf

Church

Church

Corp

Corp

Corp

Cnty

Corp

NH-80

HOSP-25 BASS-0

COMP

COMP

COMP

SNF-NF-80

CAH-25

(24440)

(24441)

(00818)

(00700)

(24375)

(30535)

(24375)

(24318)

(23373)

FAX: 218/643-9573

FAX: 218/643-9573

FAX: 218/643-0850

FAX: 218/643-0850

FAX: 218/643-9543

FAX: 218/643-9543

FAX: 218/643-9543

FAX: 218/643-7166

FAX: 218/731-4062

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

NATHAN JOHNSON

NATHAN JOHNSON

DAVID NELSON

DAVID NELSON

JACOB WORK

JACOB WORK

JACOB WORK

DEBRA JACOBS

DOROTHY FIEDLER

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

HWSAL

HWSAL

HWSAL

Home Mgmt

Page 615: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

578

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

WINONA

TRADITIONS OF LA CRESCENT

LEWISTON SENIOR LIVING

SPELTZ ESTATES ASSISTED LIVING, INC.

SPELTZ ESTATES ASSISTED LIVING

SPELTZ ESTATES ASSISTED LIVING, INC.

ST. CHARLES ASSISTED LIVING

ST. CHARLES ASSISTED LIVING, INC.

WHITEWATER HEALTH SERVICES

ADITH MILLER MANOR

BROOKDALE WINONA

333 SOUTH 2ND STREET

505 EAST MAIN STREET

232 FREMONT STREET SOUTH

232 FREMONT STREET SOUTH

232 FREMONT STREET SOUTH

402 4TH STREET WEST

402 WEST 4TH STREET

525 BLUFF AVENUE

885 MANKATO AVENUE

835 EAST BELLEVIEW STREET

LA CRESCENT, MN 55947

LEWISTON, MN 55952

LEWISTON, MN 55952

LEWISTON, MN 55952

LEWISTON, MN 55952

ST. CHARLES, MN 55972

ST. CHARLES, MN 55972

ST. CHARLES, MN 55972

WINONA, MN 55987

WINONA, MN 55987

507/895-6447

507/522-3500

507/523-2252

507/523-2252

507/523-2252

507/932-4062

507/932-4062

507/932-3283

507/454-0179

507/454-3090

Lim-Liab

Lim-Liab

Corp

Corp

Corp

Corp

Corp

Lim-Liab

NProf

Corp

COMP

COMP

COMP

COMP

NH-45

COMP

SNF-NF-45

(34447)

(33311)

(23457)

(30387)

(23457)

(30816)

(21667)

(00942)

(20147)

(20328)

FAX: 507/895-6065

FAX: 507/522-3502

FAX: 507/523-2929

FAX: 507/523-2929

FAX: 507/523-2929

FAX: 507/932-3803

FAX: 507/932-3803

FAX: 507/932-4756

FAX: 507/457-4158

FAX: 507/454-5466

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JAMIE BURNS

HEIDI DUNCANSON

MICHELE SPELTZ

MICHELE SPELTZ

MICHELE SPELTZ

DORI ZANTO

DORI ZANTO

RACHEL WALLIN

LINDA ATKINSON

REBECCA SOBOLIK

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

Page 616: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

579

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

WINONA

BROOKDALE WINONA

CALLISTA COURT

CALLISTA COURT

COMMON GROUND RECOVERY HOUSING INC

GUNDERSEN LUTHERAN MEDICAL CENTER WINONA CAMPUS

HIAWATHA BLUFFS LIVING

HOME AND COMMUNITY OPTIONS, INC.

LAKE WINONA MANOR

MANOR LIVING HOME CARE

OPTIONS PLUS HOME CARE, LLC

835 EAST BELLEVIEW STREET

1455 WEST BROADWAY STREET

1455 WEST BROADWAY STREET

730 WEST BROADWAY

1122 WEST HIGHWAY 61

1433 SERVICE DRIVE

174 EDWARD STREET

865 MANKATO AVENUE

875 MANKATO AVENUE

350 EAST SARNIA

WINONA, MN 55987

WINONA, MN 55987

WINONA, MN 55987

WINONA, MN 55987

WINONA, MN 55987

WINONA, MN 55987

WINONA, MN 55987

WINONA, MN 55987

WINONA, MN 55987

WINONA, MN 55987

507/454-3090

507/457-0280

507/457-0280

507/615-0101

507/615-0600

507/474-1433

507/452-1021

507/457-4366

507/452-7636

507/474-1509

Corp

NProf

NProf

Corp

NProf

NProf

NProf

NProf

NProf

Corp

COMP

SLFA-20

Outpt Surg

SLFA-6

NH-110

COMP

SNF-NF-110

(30556)

(20549)

(29387)

(33014)

(34470)

(33111)

(01134)

(20873)

(20424)

(25827)

FAX: 507/454-5466

FAX: 507/494-5117

FAX: 507/494-5117

FAX: 507/615-0102

FAX: /-

FAX: 507/453-6267

FAX: 507/452-1504

FAX: 507/457-4595

FAX: 507/457-4158

FAX: 507/474-2509

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

REBECCA SOBOLIK

SUE WILBER

CAROL EHLINGER

MATTEA SCHMITZ

BRYAN ERDMANN

ERIK SIEVERS

SUZANNE HORSTMAN

LINDA ATKINSON

LINDA ATKINSON

JEN HEMMELMAN

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWS-O

HWSAL

Page 617: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

580

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

WINONA

ROGER METZ MANOR

SAINT ANNE EXTENDED HEALTHCARE

SAUER HEALTH CARE

STERLING HOUSE OF WINONA

SUGAR LOAF SENIOR LIVING

SUGAR LOAF SENIOR LIVING

WATKINS MANOR

WATKINS MANOR

WINONA AREA HOSPICE

WINONA HEALTH SENIOR LIVING AT WATKINS

875 MANKATO AVENUE

1347 WEST BROADWAY STREET

1635 WEST SERVICE DRIVE

835 EAST BELLEVIEW STREET

765 MENARD ROAD

765 MENARD ROAD

175 EAST WABASHA STREET

175 EAST WABASHA STREET

175 EAST WABASHA STREET

175 EAST WABASHA STREET

WINONA, MN 55987

WINONA, MN 55987

WINONA, MN 55987

WINONA, MN 55987

WINONA, MN 55987

WINONA, MN 55987

WINONA, MN 55987

WINONA, MN 55987

WINONA, MN 55987

WINONA, MN 55987

507/452-7636

507/205-6248

507/454-5540

507/454-3090

507/452-1277

507/452-1277

507/494-7400

507/494-7400

507/457-4468

507/494-7400

NProf

Church

NProf

Corp

Lim-Liab

Lim-Liab

NProf

NProf

NProf

NProf

NH-109

NH-71

COMP

COMP

COMP

Hospice

COMP

SNF-NF-109

SNF-NF-71

HSPICE

(20424)

(00955)

(00705)

(20328)

(28895)

(28896)

(20822)

(30797)

(02881)

(20822)

FAX: 507/457-4158

FAX: 507/452-2556

FAX: 507/454-1647

FAX: 507/454-5466

FAX: /-

FAX: /-

FAX: 507/494-7490

FAX: 507/494-7490

FAX: 507/457-4168

FAX: 507/494-7490

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

LINDA ATKINSON

CAROL EHLINGER

SARA BLAIR

REBECCA SOBOLIK

ALYSSA RENK

ALYSSA RENK

LINDA ATKINSON

LINDA ATKINSON

LINDA ATKINSON

LINDA ATKINSON

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

Page 618: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

581

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

WINONA

WRIGHT

WINONA HEALTH SERVICES

WINONA HEALTH SERVICES

ENGEL HAUS

ENGEL HAUS

PUSH SERVICES INC

UPDAY HOME HEALTH LLC

ANNANDALE CARE CENTER, INC.

CENTENNIAL VILLA

CENTENNIAL VILLA ASSISTED LIVING

855 MANKATO AVENUE

855 MANKATO AVENUE

5101 KASSEL AVENUE NE

5101 KASSEL AVENUE NE

10486 51ST COURT

11704 EAST LAKETOWNE DRIVE

500 PARK STREET EAST

600 PARK STREET EAST

660 PARK STREET EAST

WINONA, MN 55987

WINONA, MN 55987

ALBERTVILLE, MN 55301

ALBERTVILLE, MN 55301

ALBERTVILLE, MN 55301

ALBERTVILLE, MN 55301

ANNANDALE, MN 55302

ANNANDALE, MN 55302

ANNANDALE, MN 55302

507/454-3650

507/454-3650

763/498-4594

763/498-4594

952/229-7432

763/464-3473

320/274-3737

320/274-5031

320/274-3737

NProf

NProf

NProf

NProf

Corp

Lim-Liab

NProf

NProf

NProf

HOSP-49 BASS-8

COMP

COMP

COMP

NH-60

COMP

HOSP-49

ESRD

SNF-NF-60

(00701)

(02111)

(30893)

(31271)

(33182)

(34032)

(00951)

(20074)

(20856)

FAX: 507/457-4159

FAX: 507/964-2941

FAX: 763/270-3480

FAX: 763/270-3480

FAX: 763/497-0005

FAX: /-

FAX: 320/274-3631

FAX: 320/274-1330

FAX: 320/274-1330

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

RACHELLE SCHULTZ

RACHELLE SCHULTZ

MINDY SMITH

MINDY SMITH

PUSH S PRINCESS YANFORH NIMELY

JENNIFER ANDERSON

DEBRA REITMEIER

DEBORAH FLYGARE

DEBORAH FLYGARE

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

HWSAL

HWSAL

Page 619: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

582

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

WRIGHT

CENTENNIAL VILLA ASSTD LIVING

CENTENNIAL VILLA MEMORY CARE

COMMUNITY BEHAVIORAL HEALTH HOSPITAL-ANNANDALE

ADARA HOME HEALTH INC

ADARACARE INC

BUFFALO HOSPITAL

FMC DIALYSIS SERVICES BUFFALO

GENTLE TOUCH HEALTH INITIATIVES, LLC

GLENN BUFFALO, LLC

GLENN BUFFALO, LLC

660 PARK STREET EAST

500 PARK STREET EAST

400 ANNANDALE BOULEVARD

25 1ST AVENUE NE #100

25 1ST AVENUE NE #200

303 CATLIN STREET

104 MARTY DRIVE #2

407 8TH STREET NW

201 1ST STREET NE

407 8TH STREET NW

ANNANDALE, MN 55302

ANNANDALE, MN 55302

ANNANDALE, MN 55302

BUFFALO, MN 55313

BUFFALO, MN 55313

BUFFALO, MN 55313

BUFFALO, MN 55313

BUFFALO, MN 55313

BUFFALO, MN 55313

BUFFALO, MN 55313

320/274-5031

320/274-5031

651/259-3850

763/682-3005

763/682-0665

763/684-7180

763/682-0211

763/682-9366

763/682-5489

763/682-5489

NProf

NProf

State

Corp

Corp

NProf

Corp

Lim-Liab

Lim-Liab

Lim-Liab

OTHER-16

COMP

COMP

HOSP-65 BASS-18

COMP

PSY-16

HHA

HOSP-65

ESRD

(30825)

(25919)

(24145)

(03190)

(33848)

(00860)

(03717)

(29351)

(20395)

(20122)

FAX: 320/274-1330

FAX: 320/274-1330

FAX: 320/274-7018

FAX: 763/682-3006

FAX: 763/682-6543

FAX: 763/684-7910

FAX: /-

FAX: 763/682-6569

FAX: 763/682-4237

FAX: 763/682-6569

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

DEBORAH FLYGARE

DEBORAH FLYGARE

JAMES KELLY

LORI SEEMANN

LORI SEEMANN

KELLY SPRATT

JANELL MARTINSON

JEANETTE RUTLEDGE

JEANETTE RUTLEDGE

JEANETTE RUTLEDGE

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

Page 620: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

583

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

WRIGHT

GLENN BUFFALO, LLC

HAVENWOOD OF BUFFALO

LAKE RIDGE ASSISTED LIVING

LAKE RIDGE ASSISTED LIVING

LAKE RIDGE CARE CENTER OF BUFFALO, INC.

LAKE RIDGE MANOR

LIVING WELL - DOUGLAS

PARK TERRACE ASSISTED LIVING & MEMORY CARE

PARK TERRACE INC.

PARK VIEW CARE CENTER

415 8TH STREET NW

150 DIVISION STREET EAST

310 LAKE BOULEVARD SOUTH

310 LAKE BOULEVARD SOUTH

310 LAKE BOULEVARD SOUTH

310 LAKE BOULEVARD SOUTH

303 DOUGLAS DRIVE

613 MONTROSE BOULEVARD

613 MONTROSE BOULEVARD

200 PARK LANE

BUFFALO, MN 55313

BUFFALO, MN 55313

BUFFALO, MN 55313

BUFFALO, MN 55313

BUFFALO, MN 55313

BUFFALO, MN 55313

BUFFALO, MN 55313

BUFFALO, MN 55313

BUFFALO, MN 55313

BUFFALO, MN 55313

763/682-5489

763/682-4144

763/404-4604

763/404-4648

763/404-4600

763/404-4604

763/682-4588

763/684-4866

763/684-4866

763/951-7825

Lim-Liab

Lim-Liab

NProf

NProf

NProf

NProf

NProf

NProf

NProf

Church

COMP

NH-56

COMP

SLFB-6

COMP

NH-115

SNF-NF-56

ICFIID-6

SNF-NF-115

(20123)

(36609)

(20186)

(30436)

(00714)

(20186)

(01179)

(25448)

(30587)

(00719)

FAX: 763/682-6569

FAX: /-

FAX: 763/682-4464

FAX: 763/682-4464

FAX: 763/682-6419

FAX: 763/682-4464

FAX: 763/682-9650

FAX: 763/682-6855

FAX: 763/682-6855

FAX: 763/684-1044

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JEANETTE RUTLEDGE

CHANDA KNOFF

JASON NELSON

JASON NELSON

JASON NELSON

JASON NELSON

ANNETTE RIPLEY

JILL PINGEL

JILL PINGEL

MATHEW BEDARD

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

Page 621: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

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Directory of Facilities and Services

Page

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WRIGHT

SUNRISE ASSISTED LIVING OF BUFFALO

BROOKRIDGE

BROOKRIDGE

COKATO MANOR

COKATO MANOR HOME HEALTH

HERITAGE PLACE

THE ESTATES AT DELANO LLC

THE LEGACY OF DELANO

THE LEGACY OF DELANO

THE LEGACY OF DELANO LLC

201 1ST STREET NE

180 SUNSET AVENUE NW

180 SUNSET AVENUE NW

182 SUNSET AVENUE

511 COKATO STREET NW

182 SUNSET AVENUE NW

433 COUNTY ROAD 30

1350 ST. PETER AVENUE EAST

1350 ST. PETER AVENUE EAST

1350 ST. PETER AVENUE EAST

BUFFALO, MN 55313

COKATO, MN 55321

COKATO, MN 55321

COKATO, MN 55321

COKATO, MN 55321

COKATO, MN 55321

DELANO, MN 55328

DELANO, MN 55328

DELANO, MN 55328

DELANO, MN 55328

763/682-5489

320/286-3190

320/286-3196

320/286-2158

320/286-3049

320/286-3118

763/972-2987

763/972-2333

763/972-2333

763/972-2333

Lim-Liab

BusTrust

BusTrust

NProf

BusTrust

BusTrust

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

COMP

NH-56

COMP

NH-46

COMP

COMP

SNF-NF-56

HHA

SNF-NF-46

(20395)

(20830)

(30799)

(00712)

(03746)

(20343)

(00933)

(26590)

(29189)

(26590)

FAX: 763/682-4237

FAX: 320/286-3163

FAX: 320/286-3163

FAX: 320/286-5729

FAX: 320/286-2307

FAX: 320/286-3163

FAX: 763/972-2457

FAX: 763/972-5900

FAX: 763/972-5900

FAX: 763/972-5900

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JEANETTE RUTLEDGE

TRESHA MELQUIST

TRESHA MELQUIST

TRESHA MELQUIST

TRESHA MELQUIST

JAMES BROICH

JESSICA MISKA

BRIDGET RAEHSLER

BRIDGET RAEHSLER

BRIDGET RAEHSLER

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

HWSAL

Page 622: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

585

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Directory of Facilities and Services

Page

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WRIGHT

GOOD SAMARITAN SOCIETY - HOWARD LAKE

THE LODGE OF HOWARD LAKE

THE LODGE OF HOWARD LAKE

ESSENTIAL KARE

CENTRACARE HEALTH - MONTICELLO

CENTRACARE HEALTH MONTICELLO

HELPING HAND COMPANIONS INC

ST. BENEDICTS SENIOR COMMUNITY THE COURT

INDEPENDENT HAVEN ROSE HAVEN I

INDEPENDENT HAVEN ROSE HAVEN II

413 13TH AVENUE

445 1ST STREET EAST

445 1ST STREET EAST

6543 117TH STREET NW

1013 HART BOULEVARD

1013 HART BOULEVARD

6207 WILDWOOD WAY

1301 EAST 7TH STREET

320 GARFIELD AVENUE SOUTH

330 GARFIELD AVENUE SOUTH

HOWARD LAKE, MN 55349

HOWARD LAKE, MN 55349

HOWARD LAKE, MN 55349

MAPLE LAKE, MN 55358

MONTICELLO, MN 55362

MONTICELLO, MN 55362

MONTICELLO, MN 55362

MONTICELLO, MN 55362

MONTROSE, MN 55363

MONTROSE, MN 55363

320/543-3800

320/543-1010

320/543-1010

320/963-7571

763/295-2945

763/295-2945

763/333-8606

763/295-4058

763/999-7799

763/999-7799

NProf

NProf

ONProf

Corp

ONProf

ONProf

Corp

Church

Corp

Corp

NH-32

COMP

COMP

NH-89 HOSP-39 BASS-12

NH-89 HOSP-39 BASS-12

BASIC

SNF-NF-32

SNF-NF-89 CAH-25 PPS-P-10

SNF-NF-89 CAH-25 PPS-P-10

(00019)

(29925)

(29926)

(21604)

(00717)

(00717)

(33108)

(20806)

(33362)

(33363)

FAX: 320/543-2305

FAX: 320/543-1064

FAX: 320/543-1064

FAX: 855/884-7635

FAX: 763/271-2299

FAX: 763/271-2299

FAX: /-

FAX: 763/295-5384

FAX: 763/999-7790

FAX: 763/999-7790

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

LAURA SALONEK

LAURA SALONEK

LAURA SALONEK

MICHAEL HILGERT

JOHN HERING

JOHN HERING

ALEXA DIETERICHS

CATHERINE OLSON

KHRISTINA LUND

KHRISTINA LUND

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWS-O

HWS-O

Page 623: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

586

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

WRIGHT

ACCURATE HOME CARE LLC

DANIEL CARE HOMES LLC

PARAMONUT CARE

RHODIUM HEALTHCARE SERVICES

RIVERVIEW LANDING

RIVERVIEW LANDING

CARING HEARTS AT HOME LLC

THE BEATITUDES HOMES LLC

THE LEGACY OF ST. MICHAEL

THE BEATITUDES HOMES LLC

9000 QUANTRELLE AVENUE NE

7819 MACKENZIE AVENUE NE

12041 78TH STREET NE

11323 74TH STREET NE

9200 QUANTRELLE AVENUE NE

9200 QUANTRELLE AVENUE NE

2000 BALSAM LANE

10315 31ST PLACE NE

4400 LANGE AVENUE NE

10315 31ST PLACE NE

OTSEGO, MN 55330

OTSEGO, MN 55330

OTSEGO, MN 55330

OTSEGO, MN 55301

OTSEGO, MN 55330

OTSEGO, MN 55330

ROCKFORD, MN 55373

ST MICHAEL, MN 55376

ST MICHAEL, MN 55376

ST. MICHAEL, MN 55376

763/633-3800

763/321-9729

612/636-3800

763/432-6413

763/746-3400

763/746-3400

612/272-4114

763/501-9192

763/497-0171

612/868-3721

Lim-Liab

Lim-Liab

Lim-Liab

Corp

NProf

NProf

Lim-Liab

Lim-Liab

Lim-Liab

Lim-Liab

COMP

TCOMP

COMP

COMP

COMP

COMP HCBS

COMP

HHA

(21487)

(35823)

(34841)

(34795)

(34086)

(34389)

(28793)

(35331)

(27112)

(35610)

FAX: 763/633-3808

FAX: /-

FAX: /-

FAX: 763/432-6652

FAX: 763/635-5480

FAX: 763/635-5480

FAX: 763/777-9386

FAX: 888/349-5754

FAX: 763/497-7120

FAX: /-

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

BILL ENGLISH

EMELIE NGOY

JOHN YUFANYI

DALIER NEWTON

ANDREA ERICKSON

ANDREA ERICKSON

KATHLEEN TURNER

SONIE KPANAKU

ALEX FERRELL

SONIE KPANAKU

---------------------------********** --------------------------(Cont.)*

HWSAL

HWSAL

HWSAL

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587

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

WRIGHT

YELLOW MEDICINE

THE LEGACY OF ST. MICHAEL

SANFORD CANBY DIALYSIS UNIT

SANFORD CANBY MEDICAL CENTER

SANFORD CANBY MEDICAL CENTER

SANFORD CANBY MEDICAL CENTER

SANFORD CLINIC CANBY

SYLVAN COURT

SYLVAN PLACE

CLARKFIELD CARE CENTER

4400 LANGE AVENUE NE

112 ST. OLAF AVENUE SOUTH

213 ST. OLAF AVENUE N STE B

112 ST. OLAF AVENUE SOUTH

212 ST. OLAF AVENUE SOUTH

112 ST. OLAF AVENUE

112 ST. OLAF AVENUE SOUTH

212 ST. OLAF AVENUE SOUTH

805 5TH STREET

ST. MICHAEL, MN 55376

CANBY, MN 56220

CANBY, MN 56220

CANBY, MN 56220

CANBY, MN 56220

CANBY, MN 56220

CANBY, MN 56220

CANBY, MN 56220

CLARKFIELD, MN 56223

763/497-0171

507/223-7277

507/223-7277

507/223-7277

507/223-7277

507/223-7221

507/223-7277

507/223-7277

320/669-7229

Lim-Liab

NProf

NProf

NProf

NProf

NProf

NProf

NProf

City

COMP

NH-53 HOSP-25 BASS-2

COMP

NH-53 HOSP-25 BASS-2

COMP

ESRD

HHA

SNF-NF-53 CAH-25

RHC

SNF-NF-53 CAH-25

HHA

(29185)

(04244)

(02240)

(00722)

(23624)

(02775)

(00722)

(23511)

(02302)

FAX: 763/497-7120

FAX: 507/223-7465

FAX: 507/223-5346

FAX: 507/223-7340

FAX: 507/223-7886

FAX: /-

FAX: 507/223-7340

FAX: 507/223-5877

FAX: 320/669-0107

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

ALEX FERRELL

ROBERT SALMON

BRENDA KNUTSON

LORI SISK

JASON ANDERSON

LORI SISK

LORI SISK

JASON ANDERSON

JULIE LONDGREN

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

HWSAL

HWS

Page 625: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

588

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Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

YELLOW MEDICINE

IOWA

KANSAS

MAINE

CLARKFIELD CARE CENTER

CLARKFIELD HOUSING & REDEVELOPMENT AUTHORITY

AVERA GRANITE FALLS

GRANITE MANOR

HENRY HILL APARTMENTS

PROJECT TURNABOUT

AVERA AT HOME

EXAMINETICS, INC.

805 5TH STREET

1012 12TH AVENUE

345 10TH AVENUE

345 10TH AVENUE

150 7TH AVENUE

660 18TH STREET

826 NORTH 8TH STREET

10561 BARKLEY PLACE #400

CLARKFIELD, MN 56223

CLARKFIELD, MN 56223

GRANITE FALLS, MN 56241

GRANITE FALLS, MN 56241

GRANITE FALLS, MN 56241

GRANITE FALLS, MN 56241

ESTHERVILLE, IA 51334

OVERLAND PARK, KS 66212

320/669-7561

320/669-4648

320/564-6201

320/564-6201

320/564-4030

320/564-4911

712/362-6169

913/748-2000

City

HRA

NProf

NProf

Part

NProf

NProf

Corp

NH-36

HOSP-30 BASS-3

HOSP-30 BASS-3

SLFA-96 SLFB-15

Hospice

SNF-NF-36

CAH-25

CAH-25

(00842)

(20928)

(00725)

(00725)

(22006)

(21953)

(31610)

(31792)

FAX: 320/669-7409

FAX: 320/669-4648

FAX: 320/313-3396

FAX: 320/313-3396

FAX: 320/564-4637

FAX: 320/564-3122

FAX: 712/362-6168

FAX: 913/748-2001

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JUSTIN BOLDT

JESSICA ANDERSON

TOM KOOIMAN

TOM KOOIMAN

STACY GROSSE

MICHAEL SCHIKS

DOREEN HARDY

MELINDA TIFFANY

---------------------------**********

---------------------------**********

---------------------------**********

---------------------------**********

--------------------------

--------------------------

--------------------------

--------------------------

********

********

********

(Cont.)*

HWS

HWS

MOBHES

Page 626: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

589

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

MAINE

NORTH DAKOTA

PROMERICA HEALTH, LLC

ETHOS HOME CARE

ETHOS HOSPICE

HOSPICE OF THE RED RIVER VALLEY

RIGHT AT HOME

SANFORD HOME CARE

SANFORD MEDICAL CENTER FARGO

SONMAR HOME CARE LLC

VALLEY HOME CARE LLC

380 US ROUTE 1

3361 45TH STREET SOUTH #100

3361 45TH STREET SOUTH #100

1701 38TH STREET SOUTH #101

15 BROADWAY NORTH #604

100 4TH STREET SOUTH

820 4TH STREET NORTH

15 BROADWAY NORTH #604

1336 25TH AVENUE SOUTH #213

FALMOUTH, ME 04105

FARGO, ND 58104

FARGO, ND 58104

FARGO, ND 58103

FARGO, ND 58102

FARGO, ND 58103

FARGO, ND 58122

FARGO, ND 58102

FARGO, ND 58103

207/828-4700

701/356-3803

701/356-3803

701/356-1500

866/292-5609

701/234-4900

701/234-7524

701/997-0400

701/235-2271

Lim-Liab

Lim-Liab

NProf

NProf

Lim-Liab

NProf

NProf

Lim-Liab

Lim-Liab

COMP

Hospice

Hospice

BASIC HCBS

COMP

Hospice

(33114)

(31181)

(33099)

(03040)

(33514)

(03255)

(35160)

(33739)

(33902)

FAX: 270/828-4704

FAX: 701/356-3804

FAX: 701/356-3804

FAX: 701/356-1591

FAX: 701/232-3944

FAX: 701/234-4899

FAX: 701/417-2328

FAX: 701/232-3944

FAX: 701/235-2338

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

JENNIFER MINTHORN

CASSANDRA ZIELKE

CASSANDRA ZIELKE

TRACEE CAPRON

BARIMORE MARING

MARY KAY HERRMANN

KIM WOLF

BARIMORE MARING

TONI LARSON

---------------------------**********

---------------------------**********

--------------------------

--------------------------********

(Cont.)*

MOBHES

Home Mgmt

Home Mgmt

Page 627: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

590

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

NORTH DAKOTA

SOUTH DAKOTA

WISCONSIN

ALTRU'S HOME HEALTH

GRISWOLD HOME CARE OF MOORHEAD

SANFORD HOME HEALTH

AVERA AT HOME

AVERA@HOME

SANFORD HOSPICE

SCREENING AMERICA

COTEAU DES PRAIRIES HOSPITAL HOME CARE

COMFORT KEEPERS

1380 SOUTH COLUMBIA ROAD

3227 OAK RIDGE LOOP EAST

304 NORTH MCKENZIE STREET

901 EAST VIRGIL STREET

301 FLYNN DRIVE

2710 WEST 12TH STREET

7001 SOUTH LYNCREST PLACE #101

205 ORCHARD DRIVE

2424 MONETARY BOULEVARD #012

GRAND FORKS, ND 58201

WEST FARGO, ND 58078

LUVERNE, SD 56156

MILBANK, SD 57252

MILBANK, SD 57252

SIOUX FALLS, SD 57104

SIOUX FALLS, SD 57108

SISSETON, SD 57262

HUDSON, WI 54016

701/780-5880

701/850-2000

605/328-5900

605/432-5159

605/432-3259

605/312-5500

605/274-2525

605/698-4664

715/381-6730

NProf

Corp

NProf

NProf

NProf

NProf

Corp

NProf

Corp

COMP

COMP

COMP

Hospice

COMP

Hospice

COMP

(03113)

(32508)

(21079)

(31751)

(31750)

(03300)

(31793)

(03653)

(32607)

FAX: 701/780-5849

FAX: 701/212-4714

FAX: 605/328-5963

FAX: 605/432-3287

FAX: 605/432-6003

FAX: 605/312-5501

FAX: 605/274-0620

FAX: 605/698-6456

FAX: 715/381-6734

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

PHONE:

TERRA NUELLE

MORGAN GILLELAND

LORA NELSON

JESSICA WELLNITZ

JESSICA WELLNITZ

LORA NELSON

JAMES MCFARLAND

PRESLEY JONES

LINDA SHURDEN

---------------------------**********

---------------------------**********

---------------------------**********

--------------------------

--------------------------

--------------------------

********

********

(Cont.)*

MOBHES

Home Mgmt

Page 628: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

591

Facility/Service Owner Licensure Certification

Minnesota Department of HealthHealth Regulation Division

Directory of Facilities and Services

Page

Registration

WISCONSIN

MAYO CLINIC HEALTH SYSTEM - FRANCISCAN MEDICAL CENTER

GUNDERSEN LUTHERAN HOSPICE

MOBILE MEDICAL DIAGNOSTICS OF LA CROSSE, INC.

700 WEST AVENUE SOUTH

1900 SOUTH AVENUE

2895 ALGOMA BOULEVARD

LA CROSSE, WI 54601

LACROSSE, WI 54601

OSHKOSH, WI 54901

608/392-9790

608/775-8435

920/230-9729

NProf

ONProf

Corp

Hospice

Hospice

(28013)

(21826)

(36329)

FAX: 608/392-9548

FAX: 608/775-8440

FAX: 920/230-2061

PHONE:

PHONE:

PHONE:

ERIN SHADBOLT

ANNE BERGET

NICOLE SWANSON

---------------------------********** --------------------------(Cont.)*

MOBHES

Page 629: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

592Page

===================================================================== =====================================================================

BENSON

BLOOMINGTON

DULUTH

HASTINGS

MINNEAPOLIS

OSSEO

REVERE

ST PAUL

ST. PAUL

MEADOW LANE RESTORATIVE CC

FRIENDSHIP VILLAGE OF BLOOMING

AFTENRO HOME

MN VETERANS HOME HASTINGS

ANDREW RESIDENCE

BIRCHWOOD CARE HOME

BRIDGES MN

BYWOOD EAST HEALTH CARE

EBENEZER CARE CENTER

GRAND AVE REST HOME

MINNESOTA TEEN CHALLENGE

MN VETERANS HOME MINNEAPOLIS

MOUNT OLIVET HOME

SOUTHSIDE CARE CENTER

TWIN CITY GARDENS

THE VILLA AT OSSEO

REVERE HOME

AMY JOHNSON RESIDENCE

EPISCOPAL CHURCH HOME OF MN

HAYES RESIDENCE

LITTLE SISTERS OF THE POOR

THE QUINLAN HOME

LOCATION BOARDING CARE HOME LOCATION BOARDING CARE HOME

Page 630: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

593Page

============================================================================================================================================

ST. PAUL RAMSEY CO MENTAL HEALTH CTR ST. LOUIS PARK

ST. PAUL

MN MEDICAL & REHAB SERVS LLC

RRECOVERY SERVICES

LOCATION COMMUNITY MENTAL HEALTH CENTER LOCATION COMPREHENSIVE OUTPATIENT REHAB. FACILITY

Page 631: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

594Page

AITKIN

ALBERT LEA

ALEXANDRIA

APPLE VALLEY

ARDEN HILLS

BEMIDJI

BIG LAKE

BLAINE

BLOOMINGTON

BRAINERD

BUFFALO

BURNSVILLE

CAMBRIDGE

CANBY

CASS LAKE

CHAMPLIN

CHASKA

CLOQUET

COON RAPIDS

COTTAGE GROVE

CROOKSTON

DETROIT LAKES

DILWORTH

DULUTH

DUNDAS

EAGAN

EDEN PRAIRIE

EDINA

ELK RIVER

EVELETH

FAIRMONT

FARIBAULT

FERGUS FALLS

FRIDLEY

GLENCOE

GOLDEN VALLEY

GRAND RAPIDS

HASTINGS

HIBBING

HUTCHINSON

LAKEVILLE

LITCHFIELD

LITTLE FALLS

MANKATO

MAPLE GROVE

MAPLEWOOD

MARSHALL

MINNEAPOLIS

MINNETONKA

MONTEVIDEO

MORA

MORRIS

NEW HOPE

NEW ULM

NORTH MANKATO

NORTHFIELD

OLIVIA

ORTONVILLE

OWATONNA

PIPESTONE

PLYMOUTH

PRINCETON

RED LAKE

REDWOOD FALLS

RICHFIELD

ROBBINSDALE

ROCHESTER

ROSEAU

ROSEVILLE

SAVAGE

SHAKOPEE

ST. CLOUD

ST. LOUIS PARK

ST. PAUL

CENTRACARE KIDNEY AITKIN

MAYO CLINIC DIALYSIS

CENTRACARE KIDNEY PROGRAM

EAST VALLEY DIALYSIS

ARDEN HILLS DIALYSIS UNIT

SANFORD DIALYSIS BEMIDJI

CENTRA CARE KIDNEY PROGRAM

CENTRAL AVENUE DIALYSIS

FRESENIUS MEDICAL CARE BLAINE

BLOOMINGTON DIALYSIS UNIT TRC

FMC SOUTHTOWN DIALYSIS

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ST. PAUL

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COKATO

COLD SPRING

COLERAINE

COLUMBIA HEIGHTS

COLUMBIA HEIGHTS

COMFREY

COON RAPIDS

COTTAGE GROVE

CROMWELL

CROOKSTON

CROSBY

CROSSLAKE

CRYSTAL

DASSEL

DAWSON

DAYTON

DEER RIVER

DELANO

DETROIT LAKES

DEVILS LAKE

DILWORTH

DULUTH

BROOKRIDGE

COKATO MANOR HOME HEALTH

ASSUMPTION HEALTH SERVICES

ASSUMPTION HOME CARE

HOME AND COMFORT INC

LEGACY COMMUNITY CARE INC

ADVANCE GROUP HOMES INC

ALL HOMECARING

ALLIANCE HOMES CORPORATION

CHINESE SOCIAL SERVICE CENTER

COMFORT GROUP HOME INC

CREST VIEW HOME CARE

CREST VIEW HOME HEALTH CARE

DIVERSITY UNION GROUP HOME LLC

FIRST CARE OF MINNESOTA INC

GOODQUALITY HOME HEALTH SERVIC

HEALING RESIDENCES INC

HEART GROUP HOME LLC

NEW PERSPECTIVE - COLUMBIA HEI

PRO-HEALTH HOME CARE AGENCY LL

BRICKSTONE MANOR

ALIYA CARE

ALLINA HOME HEALTH INFUSION TH

AUTUMN GLEN SENIOR LIVING

CALM HOME HEALTH CARE LLC

COMFORT CARE GROUP LLC

EPIPHANY ASSISTED LIVING LLC

GEORGIA HOME HEALTH CARE LLC

GRACE ASSISTED LIVING LLC

MARGARET PLACE LIMITED PARTNER

MARY T HOME HEALTH

MY LEGAL NURSE CONSULTANTS LLC

NEW LIFE CARE LLC

NURA PA

QUALICARE HOMES CORPORATION

REVIVE CARE SERVICES INC

SELECT SENIOR LIVING OF COON R

THE HOMESTEAD AT COON RAPIDS

TR HOMES

WE CARE HOME HEALTH SERVICES

AMERIGRACE HOME CARE LLC

COTTAGE GROVE WHITE PINE

COTTAGE GROVE WP II LLC

LOVING CARE COTTAGE INC

LOVING CAREPARTNERS LLC

NORRIS SQUARE

ROYAL AGE ASSISTED LIVING

TRIPLE ANGELS HEALTHCARE COMPA

TRISTAR HOME CARE LLC

VILLA COURT

RIVERVIEW HOME CARE

VILLA ST. VINCENT INC

CUYUNA REG MED CTR PALLIATIVE

HEARTWOOD

KC COMPANIES OF CROSSLAKE INC

WHITEFISH AT THE LAKES SENIOR

AMAZING LOVE LLC

ANCHOR HOUSE LLC

ATTENTIVE CARE

CLINIQUE HEALTH CARE SERVICES

COMFORT CARE NURSING SERVICES

HEATHERS MANOR

JOYFUL HOME HEALTH CARE LLC

LOVING HOMES INC

N & V HELPFUL HEART CARE INC

Y M CARE INC

LAKESIDE ASSISTED LIVING

JOHNSON MEMORIAL ASSISTED LIVI

SONSHINE HOME HEALTH CARE LLC

AGAPECARE SERVICES LLC

EAGANCARE BEHAVIORAL HEALTH SE

FORTUNATE HOMES LLC

SANCTUARY HEALTHCARE SERVICES

SENATIVE SERVICES LLC

DEER RIVER HOME CARE

THE LEGACY OF DELANO LLC

ECUMEN HOME CARE - DETROIT LAK

ESSENTIA HEALTH HOME CARE WEST

GOLDEN MANOR CORPORATION

PELICAN LANDING

ST MARY'S SENIOR LIVING SUPPOR

GOOD SAMARITAN SOCIETY HOME CA

SERENITY ASSISTED LIVING

ACCENTUCARE INC

BENET HALL

ECUMEN DULUTH THE SHORES

ECUMEN HOME CARE LAKESHORE

GARDEN HOUSE ESTATES

HEARTHSTONE HOME CARE

HERITAGE HAVEN INC

HILLSIDE HOMES OF DULUTH INC

INTERIM HEALTHCARE

KINDRED AT HOME

LAKESIDE MANOR BOARDING HOME I

MCCARTHY MANOR INC

NORTHERN LIVES INC

PATHWAYS TO ACHIEVEMENT INC

PINES HOMECARE SERVICES LLC

PRIMROSE OF DULUTH

RECOVER HEALTH

RIVER HILL ASSISTED LIVING INC

SENIOR FRIEND HOME CARE

SEPTEMBER HOUSE

SPIRIT VALLEY ASSISTED LIVING

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DULUTH

EAGAN

EAGEN

EAST GRAND FORKS

EDEN PRAIRIE

EDEN PRAIRIE

EDGERTON

EDINA

ELK RIVER

ELKO

ELLENDALE

ELMORE

ERSKINE

ESKO

ESTHERVILLE

EVANSVILLE

EVELETH

EXCELSIOR

EYOTA

FAIRFAX

FAIRMONT

FALCON HEIGHTS

FARGO

ST ANN'S RESIDENCE

ST. LUKE'S HOME CARE

TBI RESIDENTIAL AND COMMUNITY

TENDER CARES LLC

TWIN DIAMOND OPERATOR LLC

WESLEY RESIDENCE OF DULUTH

WESTWOOD OF DULUTH

ACCREDO HEALTH GROUP INC

ALLIANCE ASSISTED LIVING INC

ALLIANCE HEALTH SERVICES INC

BROOKDALE EAGAN

BROOKVIEW COTTAGE

COMPASSIONATE HEARTS LLC

EAGAN POINTE SENIOR LIVING

EVERBLOOM HOME HEALTH CARE

GREEN LIVING GROUP HOME LLC

HAPPY FEET FOOTCARE

HERITAGE HOME HEALTH CARE LLC

IN-HOME LAB CONNECTION INC

LAKELAND HOMECARE LLC

MILLENNIUM HOME SENIOR CARE

MILLENNIUM HOMES LLC

MINNESOTA HOME OF CARE AND COM

NEW CHALLENGES INC

NEW PERSPECTIVE - EAGAN

PEOPLE INCORPORATED

PRIORITY CARE HOMES LLC

THE COMMONS ON MARICE

TRUE CARE LIVING LLC

UNVEILING HEALTH LLC

UNVEILING HEALTH LLC

ZACHARY HOME HEALTH CORPORATIO

OMEGA HOME HEALTHCARE LLC

EDGEWOOD EAST GRAND FORKS SENI

GOOD SAMARITAN SOCIETY HERITAG

AMAZING HOMECARE AND NURSING S

BECKY'S PLACE INC

BROOKDALE EDEN PRAIRIE

CAREBUILDERS AT HOME

CARING ARMS CORP

EDEN PRAIRIE SENIOR LIVING LLC

ELIM SHORES

GRANDVIEW RELIABLE CARE LLC

HOMECARE RESOURCE LLC

LEVEL MOUNTAIN HOME CARE LLC

LUANN'S PLACE LLC

MANOR HOUSE

MATRIX HOME HEALTH CARE SPECIA

MERRY LAKE LLC

PRAIRIE BLUFFS SENIOR LIVING

PRAIRIE RESIDENCE CARE LLC

PROFESSIONAL RESOURCE NETWORK

QUALITY CARE COMPANIONS

TRANQUIL LIVING

VOLUNTEERS OF AMERICA HOME HEA

EDGEBROOK ESTATES ASSISTED LIV

ALLIED PROFESSIONALS INC

BROOKDALE EDINA

BROOKDALE HOME HLTH MINNESOTA

CUSTOMCARE HOME HEALTH CARE LL

EBENEZER HOME CARE

EBENEZER HOME CARE

EBENEZER HOME CARE

EBENEZER HOME CARE

EBENEZER MANAGEMENT SERVICES

EBENEZER MANAGEMENT SERVICES I

EBENEZER MANAGEMENT SERVICES I

ENGLISH ROSE SUITES AND B HOME

HERITAGE OF EDINA INC

HOME INSTEAD SENIOR CARE

HOMEWATCH CAREGIVERS

INTREPID USA HEALTHCARE SRVCS

MERCY LINK LLC

RESTART INC

SUNRISE OF EDINA

VISITING ANGELS MINNEAPOLIS

WALKER METHODIST CARE SUITES

YORKSHIRE OF EDINA SENIOR LIVI

BEE HIVE HOMES

ELK RIVER SENIOR CARE LLC

GABBY CARE HOMES LLC

GUARDIAN ANGELS BY THE LAKE

GUARDIAN ANGELS ELIM HOME CARE

KINDRED CARES

RIDGEWOOD MANOR LLC

THE LODGE ON NATCHEZ

WHISPERING OAK PLACE

ELMORE ASSISTED LIVING

THE COUNTRY PLACE

BARNES CARE INC

PLAINVIEW ESTATES INC

AVERA AT HOME

EVANSVILLE SENIOR LIVING

NEW JOURNEY RESIDENCE

THE WATERVIEW WOODS ASSISTED L

TROUVAILLE MEMORY CARE SUITES

ARBOR GARDENS PLACE

FAIRFAX COMMUNITY HOME HEALTH

INGLESIDE

VISTA PRAIRIE AT GOLDFINCH EST

WOODLAND MANOR

FALCON HOME HEALTH CARE

COMFORT KEEPERS / HEALTHY AT H

ETHOS HOME CARE

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FARGO

FARIBAULT

FARMINGTON

FERGUS FALLS

FERTILE

FOLEY

FOREST LAKE

FOSSTON

FRAZEE

FRIDLEY

FRIDLEY

FULDA

GAYLORD

GIBBON

GLENCOE

GLENWOOD

GOLDEN VALLEY

GRACEVILLE

GRAND FORKS

GRAND MARAIS

GRAND MEADOW

GRAND RAPIDS

GREENBUSH

HACKENSACK

HALLOCK

HALSTAD

HANOVER

HARMONY

RIGHT AT HOME

SANDOS CARE CORPORATION

SANFORD HOME CARE

BEACON LANDING LLC

BROOKDALE FARIBAULT

DAWN'S ELDER CARE

FARIBAULT SENIOR LIVING

GUEST HOUSE OF FARIBAULT LLC

HERITAGE HOUSE ELDER CARE

IVY HILL SENIOR CARE INC

MAPLEWOOD HOMES OF FARIBAULT

MILESTONE SENIOR LIVING

NEW PERSPECTIVE FARIBAULT

OUR CIRCLE OF FRIENDS

PLEASANT VIEW ESTATES LLC

RICE COUNTY PHNS

RISON HOMES INC

ACCESS RECOVERY CENTER INC

FARMINGTON HEALTH SERVICES

GOLDEN GRAND HOMECARE LLC

RIVER VALLEY HOME CARE INC

SENIOR FRIEND HOME CARE

THE LEGACY OF FARMINGTON

ACCRA HOME CARE INC

CK HOME HEALTH CARE INC

HARMONY HOME HEALTH CARE

LB HOME CARE

LUTHERAN BRETHREN HOME CARE

NEW DIMENSIONS HHC INC

PARK GARDENS OF FERGUS FALLS

PIONEER HOME INC

THE MILL STREET RESIDENCE

FAIR MEADOW ASSISTED LIVING

THE GARDENS AT FOLEY ASSISTED

BIRCHWOOD ARBORS

EVY GABS HEALTH CARE SYSTEMS L

WINDY ACRES LONG TERM INC

BETHANY ASSISTED LIVING

CORNERSTONE RESIDENCE

PRAIRIE PINES COMMUNITY

FRAZEE ASSISTED LIVING HOME CA

CITY OF LAKES HOME CARE LLC

FRIDLEY ASSISTED LIVING LLC

GLOBAL CASE MANAGEMENT LLC

HEALTHMAX HOME HEALTH SERVICES

INFINITY HEALTH HOME CARE LLC

LIVEWELL HOME CARE LLC

METRO ASSISTED LIVING AND REHA

MILL CITY HOME HEALTH CARE INC

OPEN ARMS HOUSING INC

OPTIMUM HEALTHCARE SERVICES LL

PARK POINT INC

PRIDE N'LIVING HOME CARE INC

THE LANDMARK OF FRIDLEY

UPEND HOME HEALTH CARE INC

MAPLEWOOD COURT ASSISTED LIVIN

OAK TERRACE SENIOR HOUSING OF

SOUTH VIEW LIVING CENTER

DOMINION CARES HOME HEALTH

GRAND MEADOWS

GUARDIAN IN HOME HEALTH & SECU

GLACIAL RIDGE HOME CARE

GLENWOOD ESTATES

PARKVIEW COURT

ALLIANCE HHC & NURSING SERVICE

AMADA SENIOR CARE TWIN CITIES

ARMS HOME HEALTH CARE LLC

CARINGHANDS LLC

COMPASSIONCARE

HAWTHORNE HOUSE

HERITAGE HOUSE ASSISTED LIVING

HOME HEALTH CARE INC

HONESTY CARE HOME LLC

LA BONNE VIE INC

LEGACY HOME HEALTH CARE INC

PARKINSON SPECIALTY CARE HOME

PRIMARY LIVING INC

REVO HOME HEALTH

RISEN HOME CARE LLC

SUMMIT HOME HEALTH CARE INC

SUNRISE OF GOLDEN VALLEY

SYNERGY HOMECARE MINNEAPOLIS

VITAL HOME CARE LLC

ESSENTIA HEALTH GRACEVILLE HH

ALTRU'S HOME HEALTH

NORTH SHORE HEALTH

THE MEADOWS

2CARE4U LLC

BROOKSTONE MANOR INC

GARDEN COURT CHATEAU

GRAND ITASCA CLINIC & HOSP HC

MAJESTIC PINES

NORTHWOODS VILLA

OAK HILL ASSISTED LIVING

RECOVER HEALTH

RIVER GRAND SENIOR LIVING

THE EMERALDS AT GRAND RAPIDS

LIFECARE GREENBUSH MANOR

BIRCHVIEW GARDENS ASSISTED LIV

KITTSON MEMORIAL HOME HLTHCARE

RIVERS EDGE

HALSTAD LIVING CENTER

BRIDGEWATER AT HANOVER LLC

HARMONY PLACE

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HASTINGS

HAWLEY

HAYFIELD

HENDRICKS

HENNING

HERMANTOWN

HERON LAKE

HIBBING

HILLS

HINCKLEY

HOLDINGFORD

HOPKINS

HOUSTON

HOWARD LAKE

HUDSON

HUGO

HUTCHINSON

INTERNATIONAL FALLS

INVER GROVE HEIGHTS

IRONTON

ISANTI

IVANHOE

JACKSON

JANESVILLE

JORDAN

KARLSTAD

KASSON

KELLIHER

KENYON

LA CRESCENT

LAKE CITY

LAKE CRYSTAL

LAKE ELMO

LAKEFIELD

LAKEVILLE

LE CENTER

LE SUEUR

LEROY

LEWISTON

LILYDALE

LINO LAKES

LITCHFIELD

LITTLE CANADA

LITTLE FALLS

LITTLEFORK

LONG LAKE

LONG PRAIRIE

BETHEL CARE SERIVCES

PARK RIDGE APARTMENTS OF HASTI

REGINA ASSISTED LIVING

COMFORTING ANGELS

HAWLEY RETIREMENT INC

FIELD CREST HOME CARE

HENDRICKS C H ASSN & RET HOME

OUR HOME YOUR HOME

WILLOW CREEK SENIOR COMMUNITY

CARINGEDGE HEALTHCARE OF HERMA

EDGEWOOD HERMANTOWN I SENIOR L

LAKEVIEW ASSISTED LIVING

ASPEN GROVE ALTERNATIVE SENIOR

HEALTHLINE HOMECARE

HILLCREST TERRACE OF CHISHOLM

RECOVER HEALTH

THE TUFF VILLAGE

ELDERWOOD OF HINCKLEY

HYATT HOUSE LLC

CARING GROUP HOME LLC

GENTLE TOUCH HEALTH INITIATIVE

LIVEWELL MANAGEMENT

MIRAGE HOMES LLC

PARK NICOLLET METHODIST HC

VALLEY VIEW HEALTHCARE & REHAB

THE LODGE OF HOWARD LAKE

COMFORT KEEPERS

PEACEFUL LIVING LLC

KEYSTONE PLACE LAVALLE FIELDS

WELCOME HOME HEALTH CARE

ECUMEN HUTCHINSON THE OAKS

HARMONY RIVER LIVING CENTER

PRAIRIE SENIOR COTTAGES OF HUT

WELCOME HOME HEALTH CARE INC

GOOD SAM INTERNATIONAL FALLS

GOOD SAMARITAN SOCIETY NORTHWI

RIDGEVIEW ASSISTED LIVING LLC

BROOKDALE INVER GROVE HEIGHTS

COMFORT KEEPERS

GREAT HOME MN LLC

HEALTHSTAR HOME HEALTH

INVER GROVE HEIGHTS WP II LLC

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INVERWOOD SENIOR LIVING

PRESBYTERIAN HOMES OF INVER GR

SPECTRUM COMMUNITY HEALTH INC

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AIDE HOME HEALTH CARE

PRAIRIE SENIOR COTTAGES OF ISA

CARING4U PLLC

THE PINES

BRIDGEWATER AT JANESVILLE LLC

OAK TERR SR HOUSING OF JORDAN

VALLEYVIEW OF JORDAN LLC

THE MEADOWS

PRAIRIE MEADOWS

CORNERSTONE RESIDENCE OF KELLI

GUNDERSON GARDENS

NORTH RIDGE VIEW LLC

SPRINGBROOK VILLAGE OF LA CRES

TRADITIONS OF LA CRESCENT

RIVER OAKS AT LAKE PEPIN LLC -

CRYSTAL SEASONS ALF LLC

THE BEACON AT LAKE CRYSTAL

BRIGHTSTAR OF ST CROIX VALLEY

SWEET CAROL HOME CARE INC

VALLEY VIEW ASSISTED LIVING

2 CARING HANDS

BEEHIVE HOMES OF LAKEVILLE

BILLIE'S CHOICE LLC

DIVINE CARE LLC

GONDOLA GROUP INC

INTEGRA HOME CARE

JBS HOMES LLC

NOAH HOME CARE INC

SENIORS AT HOME INC

SUPERIOR HOME CARE NURSING LLC

TWIN CITY WOUND & OSTOMY ASSOC

UNITED HOMES SERVICES

WALKER METHODIST HIGHVIEW HILL

CARRIAGE HOUSE SENIOR LIVING

HORIZON PLACE

LE SUEUR COUNTY PUBLIC HEALTH

OAK TERRACE SENIOR HOUSING OF

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SPELTZ ESTATES ASSISTED LIVIN

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LINO LAKES ASSISTED LIVING LLC

LINO LAKES GW LLC

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ECUMEN HC & HOSPICE LITCHFIELD

ECUMEN OF LITCHFIELD SENIOR HO

GOOD SAM HOME CARE

VISITING ANGELS

BRIDGEWAY ESTATES

CHI HEALTH AT HOME

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JACK PINE CHATEAU HOME CARE

LONG LAKE ASSISTED LIVING LLC

CENTRACARE HEALTH LONG PRAIRI

TODD COUNTY PHNS

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LONG PRAIRIE

LONSDALE

LUVERNE

MABEL

MADELIA

MADISON

MAHNOMEN

MAHTOMEDI

MANKATO

MAPLE GROVE

MAPLE LAKE

MAPLE PLAIN

MAPLETON

MAPLEWOOD

MARSHALL

MCINTOSH

MEADOWLANDS

MELROSE

MENAHGA

MENDOTA HEIGHTS

MILACA

MILBANK

MINNEAPOLIS

VALLEY VIEW ESTATES

THREE LINKS MANAGEMENT SERVICE

ALPHA SIGMA HEALTH GROUP INC

OASIS CARE HOME LLC

POPLAR CREEK ESTATES

SANFORD HOME HEALTH

THE MEADOWS OF MABEL

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MAHNOMEN HEALTH CENTER

NEW PERSPECTIVE MAHTOMEDI LLC

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ECUMEN HOME CARE PATHSTONE

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INTERIM HEALTHCARE

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SOUTHERN MINNESOTA HOMECARE LL

THE BEACON AT LE CENTER

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ARBOR LAKES SENIOR LIVING

BEE HIVE HOMES OF MAPLE GROVE

BEYOND EXPECTATIONS HOME HEALT

CHEZ VOUS HOME CARE LLC

CHOICES BY DESIGN LLC

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DIVINE NURTURING HOMECARE SERV

GBALEAH HOME CARE LLC

GLOBAL ALLIANCE HOME HEALTH CA

GOLDEN POND HOME

HEARTFELT CARE LLC

HOME CARE ASSISTANCE OF MINNES

HOME INSTEAD SENIOR CARE OF MI

INDIGO HEALTH CARE SERVICES LL

NEW HOPE CARE LLC

PENTEC HEALTH INC

PRO MEDICAL SERVICES INC

REGENCY HOME HEALTHCARE SRVCS

SOLACE HEALTH SERVICES LLC

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ESSENTIAL KARE

HAVEN HOMES ASSISTED LIVING

MAPLETON COMMUNITY HOME

THE BEACON AT MAPLETON

ACCENTCARE FAIRVIEW HH EAST

AT HOME WITH US-LLC

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ECUMEN LAKEVIEW COMMONS

ECUMEN SEASONS AT MAPLEWOOD

ELK RIDGE ALZHEIMERS SPECIAL C

EQUITABLE HEALTHCARE SERVICES

FIRSTAT NURSING SERVICES

HANDS CARE LLP

HELP HOME CARE

HOME HELPERS OF THE TWIN CITIE

HOME INSTEAD 161

LAKE PHALEN OPCO LLC

MAPLE HILL SENIOR LIVING LLC

METRO HEALTH CARE SERVICES LLC

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THE ENCORE AT THE TWIN CITIES

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VOA HOME HEALTH AT MAPLEWOOD

AVERA AT HOME MARSHALL

HERITAGE POINTE SENIOR LIVING

INTERNATIONAL QUALITY HOMECARE

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STEPPING STONE HOME HEALTH CAR

TOUCHING HEARTS HOME CARE

POPLAR MEADOWS OF MCINTOSH

THE HUMMINGBIRD

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LUTHERAN SOCIAL SERVICE OF MIN

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ROSE HAVEN ASSISTED LIVING INC

CORAM CVS/SPECIALTY INFUSION S

FAMILY CHOICE HOMECARE

HEART TO HOME INCORPORATED

KALEB INC

MENDOTA HEIGHTS WP LLC

ADULT CARE SERVICES OF MN INC

COUNTRY MEADOWS OF MILACA INC

AVERA@HOME

1-0 GRANNY'S HELPFUL HANDS LLC

1-BELEVO HEALTH SERVICES LLC

1ST CHOICE PEDIATRIC HOME CARE

A CARING HOME LLC

A HELPING HAND SENIOR CARE SER

ABIITAN MILL CITY

ABSOLUTE HOMES INC

ACCENTCARE FAIRVIEW HH WEST

ACCORD

ADEG GROUP HOME LLC

ADNA K HOME HEALTH INC

AHRAN CARE LLC

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MINNEAPOLIS MINNEAPOLISALL HOME CARE LLC

ALLIANCE GROUP HOME LLC

ALLINA HEALTH HOME HEALTH

AMA GROUP HOME

AMAL HOME HEALTH CARE INC

AMERICAN HOME HEALTH SERVICES

AMRAN HOME HEALTH CARE LLC

ANGELS ASSISTED LIVING INC

AUGUSTANA HOME HEALTH SERVICES

AUGUSTANA RESIDENTIAL CARE

BATALO HOME HEALTH CARE LLC

BAYDA GROUP HOME INC

BAYWOOD HOME CARE

BEAUTIFUL HEARTS LLC

BEST CARE HOME HEALTH INC

BEST CHOICE HOME CARE LLC

BEST HOME HEALTH CARE SERVICE

BETTER CARE SERVICES LLC

BIG HEARTS HOME CARE INC

BRYANT SQUARE HOME HEALTH CARE

CAPITAL HOME HEALTH CARE LLC

CAREMARK HOME HEALTH CARE LLC

CARESERVICES LLC

CAREXTRA HOME HEALTH

CARING HEART HOME HEALTHCARE L

CARING HEARTS HOME CARE INC

CARING HOME HEALTH INC

CATHOLIC ELDERCARE AT HOME

CC GROUP HOME CARE INC

CENTER CARE INC

CENTER LIGHT CARE LLC

CHERIE AUGSPURGER LLC

CHILDRENS HOME CARE & HOSPICE

CLARE HOUSING

COMFORT CARE ASSISTED LIVING L

COMFORT CARE CENTER LLC

COMFORT CARE HOMES LLC

COMFORT LIVING INC

COMPASSIONATE NURSES NETWORK L

COSMO HOME HEALTHCARE SERVICES

CURE HOME HEALTH INC

DIAMONDS HOME HEALTHCARE INC

DOODI'S BEST CARE INC

DUALE INC

EAGLE GROUP HOME LLC

EDEN HOMES INC

ELEGED HOME CARE INC

ELITE QUALITY SERVICES LLC

EMPOWERING HOMECARE CORP

EPIC HOMES LLC

ESSENTIAL HEALTH SERVICES LLC

ESTEEM HOME HEALTH SERVICES

FAIRVIEW HOME INFUSION

FAMILY CARE SERVICES INC

FIRST CHOICE HOME CARE INC

FIRST CHOICE RESIDENTIAL CARE

GATEWAY HOMECARE SERVICES

GLORY HOME HEALTH INC

GOLDEN CARE LLC

GOLDEN NEST LLC

GRACE GROUP HOME LLC

GRACE HAND GROUP HOME LLC

GRACE PLACE

GRANDMA'S HELPER LLC

HARMONY HEALTH SERVICES LLC

HEALING HOME SERVICES LLC

HEALTHGUARD PARTNERS INC

HELIOPOLIS HOME HEALTH CARE LL

HERITAGE HOME HEALTH CARE LLC

HOLISTIC HOME, LLC

HOPE ASSISTED LIVING LLC

HOPE REST HOMES INC

HOPE WELLNESS CENTER INC

IMRAN HEALTHCARE SERVICES LLC

INVITING HOMES LLC

JONES HARRISON RESIDENCE ASSIS

JOY LIVING INC

KUBRA HOME CARE INC

LIFE INSPIRED LLC

LINK UP HOME HEALTHCARE

METROPOLITAN SINCERITY HOMECAR

MIDTOWN HOUSING SERVICES LLC

MIDWEST GROUP HOME LLC

MIDWEST GROUP LIVING INC

MIDWEST HOMES INC

MIDWEST PROFESSIONAL SERVICES

MILLENNIUM HEALTH CARE LLC

MILLERS LANDING SENIOR LIVING

MILS HOME HEALTH CARE AGENCY

MINNEHAHA SENIOR LIVING

MISSION HILL GROUP HOME SRVCS

MN CARE ACCESS LLC

MN GROUP HOME LLC

MOONLIGHT HOME HEALTH CARE LLC

MOORE BOARD AND CARE LLC

MORNING STAR HEALTH CARE SERVI

MORNINGSTAR CARE SERVICES, LLC

MVNA

NASIYE GROUP HOME CORP

NEW DIRECTION RESIDENTIAL SERV

NOAH ASSISTING LIVING INC

NOBLE HOME CARE SERVICES LLC

NTINGALE IN-HOUSE SKILLED NURS

OAK GROVE CARE CENTER INC

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Page

MINNEAPOLIS

MINNEOTA

MINNEOTA

MINNETONKA

MONTEVIDEO

MONTGOMERY

MONTICELLO

MOORHEAD

MOOSE LAKE

MORA

MORGAN

OPEN ARMS GROUP HOME LLC

OPEN HEART LLC

PARADISE ASSISTED LIVING INC

PARKVIEW MANOR INC

PINEVIEW HOME HEALTH LLC

PINNACLE HOME CARE

PINNACLE SERVICES INC

PREMIUM HEALTH CARE INC

PROSPER HOME HEALTH AND TRANSP

QUALITY HOME CARE INC

RAKHMA INC

REDESIGN LIFESTYLE CARE LLC

RESIDENT SERVICES INC

S & H HEALTH CARE SERVICES LLC

SADIS RESIDENTIAL CARE CENTER

SAFA GROUP HOME LLC

SAFECARE HOMES INC

SCANDIA CAPITAL PARTNERS

SENITE HEALTH

SERENITY GROUP HOMES LLC

SERENITY HEALTH CARE SERVICES

SHAMAANI HOME HEALTH CARE INC

SHIRE'S GROUP HOME INC SERVICE

SIDE BY SIDE HOME CARE SERVICE

SOLUTION HOME CARE LLC

ST. JUDE HOME HEALTH LLC

STANTON HOUSE WITH SERVICES

STAR GROUP HOME INC

STARCARE HEALTH SERVICES LLC

SU CASA HOME CARE

SUMMIT HEALTHCARE INC

SUNSHINE RESIDENTIAL LLC

SUNSHINE WELLNESS CENTER INC

TAILORED CARE RESIDENCE INC.

TENDER CARE GROUP HOME INC

TENDER CARE GROUP HOMES LLC

THE KENWOOD RETIREMENT COMMUNI

TOUCHSTONE MENTAL HEALTH

TRUE CARE HOMES

TWIN CITIES ASSISTED LIVING IN

TWIN CITIES GROUP HOMES LLC

UNIQUE HOMES LLC

UNITED SOCIAL SERVICE OF MN LL

UNIVERSAL CARE HOMES LLC

VISION2020 GROUP HOMES LLC

WALKER HOME SERVICES

WARM TOUCH HOME CARE INC

WELCOME HOME HEALTH CARE

WELLNESS HOMES INC

WELLSPRING COMFORT LIVING LLC

WESTVIEW CARE INC

MADISON AVENUE APARTMENTS

TOWN AND COUNTRY HHC

ACCRA HOME HEALTH DULUTH

ACCRA HOME HEALTH INC

ASSISTING HANDS OF MINNEAPOLIS

AUGUSTANA EMERALD CREST MNTONK

AVALON MEMORY CARE

BEACON HILL

BRIGHTCARE SERVICES INC

EPIPHANY CARE HOMES

GENERATION CARE INC

GENTLE TOUCH HEALTH INITIATIVE

GIANNA HOMES - SURSUM CORDA

GUARDIAN HOMES INC

HARBOR HEALTH MANAGEMENT LLC

HERITAGE HOUSE

MERCY CARE HOME LLC

MORNING GLORY HOMES INC

NEW PERSPECTIVE SENIOR LIVING

NIGHTINGALE HOME HEALTHCARE

NURTURING CARE RESIDENCE

PEDIATECH NURSING

RECOVER CARE

RECOVER HEALTH

ST JOHN HOME CARE

ST JOHN HOME CARE LLC

STONECREST LIVING INC

SUNRISE OF MINNETONKA

SYNCARE INC

THE WATERS SENIOR LIVING MANAG

VOA HOME HEALTH AT ELDER HOMES

CHIPPEWA COUNTY MONTEVIDEO HHC

COPPER GLEN

INSPIRE SERVICES LLC

TRADITIONS OF MONTGOMERY LLC

HELPING HAND COMPANIONS INC

ACTIVE AT HOME HELPERS

ARBOR PARK LIVING CENTER

BEEHIVE HOMES OF MOORHEAD

COMFORT CARE ANGELS LLC

EVENTIDE

FARMSTEAD CARE OF MOORHEAD LP

HUMANE NURSING SERVICES INC

MOORHEAD MANOR

RIVER POINTE OF MOORHEAD

THE EVERGREENS OF MOORHEAD

AUGUSTANA OAKVIEW CARE LLC

ESSENTIA HEALTH MOOSE LAKE HC

KENWOOD PLACE

EASTWOOD SENIOR LIVING HOME CA

KANABEC COUNTY COMM HEALTH

ST LIVING COMMUNITY OF MORA

GIL-MOR HAVEN

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MORRIS

MOTLEY

MOUNDS VIEW

MOUNTAIN LAKE

NEW BRIGHTON

NEW HOPE

NEW LONDON

NEW MUNICH

NEW PRAGUE

NEW ULM

NEW YORK MILLS

NISSWA

NORTH BRANCH

NORTH MANKATO

NORTH OAKS

NORTH ST PAUL

NORTH ST. PAUL

NORTHFIELD

NORTHFIELD

NORTHWOOD

NORWOOD YOUNGAMERIC

NSTPAUL

OAK PARK HEIGHTS

OAKDALE

OGILVIE

OLIVIA

ONAMIA

ORTONVILLE

OSAGE

OSAKIS

OSSEO

OSTRANDER

OTSEGO

OWATONNA

PARK RAPIDS

PARKERS PRAIRIE

PAYNESVILLE

PELICAN RAPIDS

HOME CARE SERVICE OPTIONS

STEVENS COMM MED CENTER CCC

THE LEGACY

UP NORTH ANGELS

MIDWEST MEDICAL HOLDINGS INC

THE LODGE OF MOUNTAIN LAKE

APRIA HEALTHCARE LLC

BAYADA HOME HEALTH CARE INC

CRESCENT GROUP HOME LLC

IN HOUSE HOME HEALTH LLC

LIGHTHOUSE RESIDENTIAL SERVICE

MENTAL HEALTH NURSING LLC

MINN CARE HOME HEALTH LLC

PANZER HOME CARE

SENIOR SUITES OF NEW BRIGHTON

GENTLE CARE HOMES INC

HOME HEALTH AT NORTH RIDGE

IHEART HOUSING WITH SERVICES I

INTEGRA HOME HEALTH PROFESSION

LIVING LIFE HOME CARE

NEW HOPE HEALTH CARE LLC

ST THERESE RESIDENCE NURSING

THE LODGE OF NEW HOPE

TOTALCARE ASSISTED LIVING SERV

GLENOAKS SENIOR LIVING CAMPUS

LAKE REGION HOME HEALTH

TREE OF LIFE ASSISTED LIVING

MALA STRANA ASSISTED LIVING

EON INC

GOLDEN HOME CARE PLUS INC

MINNESOTA VALLEY MANAGEMENT LL

OAK HILLS LIVING CENTER ASSIST

PRAIRIE SENIOR COTTAGES OF NEW

RIDGEWAY SENIOR LIVING

WELCOME HOME HEALTH CARE INC

LAKE COUNTRY HOME CARE

MILLS MANOR

TENDER HEARTS HOME CARE

GOOD SAM SOCIETY HC HOSPICE

WELCOME HOME HEALTH CARE INC

BRASK HAVEN INC

ECUMEN NORTH BRANCH

BIRCHWOOD COTTAGES

OAK TERRACE ASSISTED LIVING OF

VISTA PRAIRIE AT MONARCH MEADO

BROOKDALE NORTH OAKS

NORTHERN STARS HOME CARE LLC

WAVERLY GARDENS

POLAR RIDGE SR LIVING

ALL FAMILY HOME CARE LLC

BENEDICTINE LIVING COMMUNITY O

HOME CARE LINK

MILLSTREAM COMMONS HOME CARE

NORTHFIELD HOME CARE

NORTHFIELD PARKVIEW INC

REFLECTIONS HOME CARE

THE FAMILY RESIDENCE

VALLEY VIEW OF NORTHFIELD

HELPING HANDS HOME CARE OF MIN

HARBOR OF PEACE VILLAGE

FOOTWORKS

BOUTWELLS LANDING

OAK PARK SENIOR LIVING

OAK RIDGE PLACE

ADEQUATE HOME CARE LLC

BESTVALUE HEALTHCARE INC

PEOPLE'S CHOICE HOME CARE SERV

PREMIUM CHOICE CARE LLC

PRIME CHOICE HOME CARE SOLUTIO

RESOLUTE CARE INC

SCENIC HILLS ALTERNATIVE CARE

SIGNE AND OLIVIAS

RENVILLE COUNTY PHS

LAKE SONG ASSISTED LIVING

MILLE LACS BAND OF OJIBWE PUBL

MILLE LACS HOME CARE

FAIRWAY VIEW SENIOR COMMUNITY

HOME HEALTH AGENCY

NORTH STAR NURSING TEMPORARY A

WEST VIEW/BRIDGEWELL AL APTS

BENEDICTINE SENIOR LIVING AT S

COMFORT KEEPERS

OSTRANDER ASSISTED LIVING

ACCURATE HOME CARE LLC

DANIEL CARE HOMES LLC

PARAMOUNT CARE

RIVERVIEW LANDING

BIRCHWOOD COTTAGE

BIRCHWOOD COTTAGES

BRIDGEWATER AT OWATONNA LLC

COUNTRYSIDE CATERED SENIOR LIV

PARK PLACE SENIOR LIVING

STEELE COUNTY PHNS

THE BROOKS ON ST. PAUL

TIMBERDALE TRACE

TIMBERDALE TRACE

TRADITIONS OF OWATONNA

TRADITIONS OF OWATONNA II

VISITING ANGELS

HERITAGE MANOR

MCCORNELL COURT

WASHBURNE COURT

LILAC HOMES CORPORATION

RIVERFRONT MANOR

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Page

PEQUOT LAKES

PERHAM

PIERZ

PILLAGER

PINE CITY

PINE ISLAND

PINE RIVER

PIPESTONE

PLAINVIEW

PLYMOUTH

PRESTON

PRINCETON

PRIOR LAKE

PROCTOR

RAMSEY

RANIER

RED LAKE FALLS

RED WING

REDWOOD FALLS

REMER

RENVILLE

RICE

RICHFIED

RICHFIELD

ROBBINSDALE

ROCHESTER

SENIOR CLASS CARE

SENIOR CLASS CARE OF PEQUOT LA

SENIOR CLASS COMMUNITY LLC

ELK RIDGE ASSISTED LIVING

PERHAM LIVING

PERHAM LIVING HOME CARE

SOME PLACE SPECIAL

THE THOMAS HOUSE INC

HARMONY HOUSE

HORIZON HEALTH HOMECARE

PIERZ MEADOW PONDS INC

RIVERSIDE ASSISTED LIVING OF P

NORTHERN PINES ASSISTED LIVING

S & O'S ASSISTED LIVING

SOPHIE'S MANOR ASSISTED LIVING

EVERGREEN PLACE

RIVERSIDE ASSISTED LIVING

FALLS LANDING ASSISTED LIVING

GOOD SAMARITAN SOCIETY - PIPES

PIPESTONE COUNTY HOME HEALTH

THE GREEN PRAIRIE ASSISTED LIV

ALL HOPES INCORPORATED

BAYADA HOME HEALTH CARE INC

BRIGHTSTAR CARE OF PLYMOUTH

BROOKDALE PLYMOUTH

CHAMPIONS VILLAGE LLC

CORNERSTONE ASSISTED LIVING OF

GIANNA HOMES - GLADYS' PLACE L

HOME CARE SOLUTIONS

INFINITY CARE CORP

MINNESOTAWEST H HEALTHCARE

PARK'S PLACE

PIONEER ESTATES

PLEASANT LIGHT LLC

REHABCARE

SUMMERWOOD OF PLYMOUTH

SUNLIGHT INC

SYNCARE INC

TOUCHING HEARTS AT HOME

PARK LANE ESTATES

PRESTON GOOD SAM HOME CARE

TRADITIONS OF PRESTON

CALEY HOUSE

STERLING POINTE SENIOR LIVING

COMMUNITY ASSISTED LIVING INC

COMMUNITY HOME HEALTH INC

FLAGSHIP FRANCHISES OF MINNESO

GOLDEN HEART SENIOR CARE SCOTT

MCKENNA CROSSING

NEW PERSPECTIVE - PRIOR LAKE

HOME INSTEAD

LIFESTONE HEALTH CARE INC

STONEY RIVER RAMSEY

DECKER'S FAMILY CARE INC

HILLCREST SENIOR LIVING INC

ELYSIAN HOME CARE

ELYSIAN HOME CARE

HIAWATHA HOMECARE

LOVING RESIDENCE

OMEGA HOME HEALTHCARE LLC

POTTER RIDGE

ROYALTY HOMES

ST CRISPIN LIVING COMMUNITY-TH

VALENTINES ASSISTED LIVING LLC

VINTAGE HOMECARE

CARRIS HEALTH

VISTA PRAIRIE AT GARNETTE GARD

AMERICARE LODGES INC

RENVILLE HEALTH SERVICES HOMEC

ALL GOOD HOME CARE INC

WELCOME HOME LLC

AMANA HOME CARE LLC

ANIKA HOME CARE LLC

APPLEWOOD HOME HEALTH CARE LLC

AVINITY HOME CARE

BRIDGES HEALTH LLC

BRIDGES HEALTH LLC

CAPERNAUM PEDIATRIC THERAPY IN

EASE COMFORT LLC

GOLDSTAR RESIDENTIAL SERVICES

LIGHTCARE GROUP HOMES LLC

PHOENIX COVE ADULT DAY CENTER

PREMIER HOME CARE LLC

PROCARE HEALTH CORP

RICHFIELD SENIOR SUITES

SISTERS HOME HEALTH CARE LLC

A-A-H MERCY HOME HEALTH LLC

GOOD SAM GOLDEN VALLEY

NEST CARE INC

TFF CARE LLC

ADAPTA

ARBOR TERRACE

CENTRIC HEALTHCARE LLC

CHARTER HOUSE

COMFORT HEALTH

COMFORT HEALTH

COTTAGEWOOD SR COM ROCHESTER

EXCELLENT CARE SERVICES INC

GLOBAL HOME HEALTH CARE INC

HAPPY END HOMES INC

HOME INSTEAD SENIOR CARE

HOME INSTEAD SENIOR CARE

INTERIM HEALTHCARE OF ROCHESTE

INTERNATIONAL QUALITY HOMECARE

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ROCHESTER

ROCKFORD

ROGERS

ROSEAU

ROSEMOUNT

ROSEVILLE

ROTHSAY

ROYALTON

RUSH CITY

RUSHFORD

SANDSTONE

SARTELL

SAUK CENTRE

SAUK RAPIDS

SAVAGE

SCANLON

SEBEKA

SHAFER

SHAKOPEE

SHELDON

SHERBURN

SHEVLIN

SHOREVIEW

SILVER LAKE

SISSETON

SLAYTON

SLEEPY EYE

KAMIN HOME HEALTH SERVICES

MADONNA MEADOWS

MADONNA TOWERS OF ROCHESTER IN

MARCELLA MANOR LLC

MEADOW LAKES

PRIMETIME LIVING

RECOVER HEALTH

ROBLAND HOME HEALTH CARE CORPO

ROCHESTER HOME INFUSION

SMART CHOICE HOME CARE CORPORA

STANLEY JONES & ASSOCIATES

SUNSET HOMES ASSISTED LIVING I

THE SHALOM HOME LLC

VISITING ANGELS

VOA HOME HEALTH AT ROCHESTER

WILLOWS & WATERS SENIOR LIVING

CARING HEARTS AT HOME LLC

ELSELIA HOME HEALTHCARE SERVIC

FAMILY TREE HOMES LLC

FIRST CHOICE RESIDENTIAL

NEW LIFE HEALTH SERVICE

THE WELLSTEAD OF ROGERS

AGELESS CARE INCORPORATED

LIFECARE HOME CARE

OAK CREST SENIOR HOUSING

ALMOST FAMILY HOME CARE LLC

ROSEMOUNT HOME CARE

ARTHURS SENIOR CARE

CAREPOINT HOME INC

COMMUNITIES OF CARE

DYNAMIC HEALTHCARE LLC

EAGLECREST SENIOR HOUSING LLC

GOLDEN LIVING COMMUNITY LAKE

HOME HEALTHCARE AGENCY

IN MY FATHER'S HOUSE LLC

INTERIM HEALTHCARE OF THE TC

INTREPID USA HEALTHCARE SVCS

KINDRED AT HOME

NEW PERSPECTIVE - ROSEVILLE

OPTION CARE

OPTUM INFUSION SERVICES 500 IN

PEDIATRIC HOME SERVICE

PRESBYTERIAN ASSISTED LIVING H

PRESBYTERIAN HOMES HOME CARE

SHARMARKE CARE HOME INC

SIFU HEATH LLC

SUNRISE ASSISTED LIVING OF ROS

SUNRISE RESIDENTIAL SERVICES L

SYNERGY HOME CARE MSP METRO

THE FRIENDSHIP HOME COMMUNITY

THE PRESERVE OF ROSEVILLE

KAYCEE'S HOME CARE INC

RIVERSIDE ASSISTED LIVING

ALL ABOUT CARING HOME CARE INC

BREMMER SUITES

KC COMPANIES OF SANDSTONE INC

RESTORATION SERVICES OF MINNES

COUNTRY MANOR EXTENDED SERVICE

COUNTRY MANOR EXTENDED SERVICE

EDGEWOOD SARTELL LLC

ALTERNATIVE SENIOR CARE

CEDAR COVE ASSISTED LIVING

FAIRWAY PINES SENIOR LIVING CO

GETTY STREET ASSISTED LIVING

ACCESS INFUSION HEALTHCARE INC

BRIDGES MN

CHERRYWOOD ADVANCED LIVING

GOOD SHEPHERD ASSISTED LIVING

GOOD SHEPHERD HOME HEALTH CARE

LANDINGS OF SAUK RAPIDS

LEGACY PLACE LLC

RIDGEVIEW PLACE

WILDWOOD ASSISTED LIVING

2CARE4U SOUTH LLC

3CARE HEALTH LLC

BRIGHTSTAR CARE OF SCOTT/CARVE

GOLDEN HEART SENIOR CARE

RIVERS OF LIFE

THE SENIORS' FRIEND LLC

SUNCREST ASSISTED LIVING

CARING HANDS HOME CARE

PROVIDENCE VILLA LLC

SERENITY LIVING SOLUTIONS OF C

CARDENAS FRIENDSHIP HOME

ALL SAINTS SENIOR LIVING

AUGUSTANA EMERALD CREST SHAKOP

DAMACARE HEALTH SERVICES LLC

SYNERGYCARE LLC

TENDER CARE PROVIDERS LLC

THE GARDENS AT ST. GERTRUDES

TRUSTED HOME CARE LLC

UNIVERSAL HEALTH SERVICES LLC

UNIVERSAL PEDIATRICS

TEALWOOD MANAGEMENT LLC

SERENITY ASSISTED LIVING

KIND HEART CARE HOME INC

SHOREVIEW SENIOR LIVING

SPEAK RIGHT NOW LLC

ST. THERESE AT ST. ODILIA

ZUBEER GROUP HOME LLC

CEDAR CREST OF SILVER LAKE

COTEAU DES PRAIRIES HOSPITAL H

LINDENWOOD ASSISTED LIVING

LEADING CHOICE HOME HELPERS

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SLEEPY EYE

SOUTH ST PAUL

SOUTH ST. PAUL

SPICER

SPRING GROVE

SPRING LAKE PARK

SPRING PARK

SPRING VALLEY

SPRINGFIELD

ST PAUL

ST ANTHONY

ST ANTHONY VILLAGE

ST CLOUD

ST LOUIS PARK

ST MICHAEL

ST PAUL

ST PAULMN COMFORT CARE, LLC

SLEEPY EYE AREA HOME HEALTH IN

VISTA PRAIRIE AT RIVER HEIGHTS

EVERYDAY LIVING LLC

COUNTRY LIVING MANAGEMENT COMP

TOUCHING HEARTS AT HOME WC MN

SPRING GROVE ASSISTED LIVING L

MERCY CAREGIVERS OF MINNESOTA

OROMIA HEALTH CARE

RISE HOME HEALTH CARE LLC

UNITED CHAPTERS LIVING

LAKE MINNETONKA SHORES

SPRING VALLEY ESTATES

SPRING VALLEY HOME HEALTH

HOME CARE SERVICES

ENHANCE LIVING INC

SISTERS ASSISTANT LIVING CARE

ABC HOME HEALTH CARE PLUS LLC

APLUS HEALTH CARE LLC

CHANDLER PLACE HOME HEALTH CAR

MERCY HOME HEALTH

PROVIDENT HOME HEALTHCARE

THE LEGACY OF ST ANTHONY

PREMIER HEALTH HOMES INC

ACCESS MINNESOTA LLC

ADF CARE SERVICES

ADVANCED ONE CARE CENTER INC

ALLY GROUP HOMES LLC

APPLE GROUP HOME INC

FIRST LIGHT RESIDENTIAL CARE L

H & H GROUP HOME LLC

LIFESPRK LLC

MOTIVATE HOME SERVICES LLC

SAFE HARBOR RESIDENTIAL CARE

SILVERCARE LLC

THE CARING SISTERS HOME CARE S

THE BEATITUDES HOMES LLC

THE LEGACY OF ST MICHAEL

1 BEST CARE INC

ABBEYCARE INC

ABRAHAM'S BOSOM CARE LLC

ACCESSIBLE SPACE INC 1

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ACCESSIBLE SPACE INC NO

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ALPINE HOME HEALTH LLC

AMY JOHNSON RESIDENCE

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ATHANOR HOUSING AND RESIDENTIA

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BEST CHOICE HOME HEALTHCARE LL

CARE HOME CARE

CARE PLANNERS HOME HEALTH CARE

CAREFOCUS CORPORATION

CAREFOCUS HEALTH INC

CARING ROSE HOMES LLC

CENTRAL TOWERS

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CERENITY SENIOR CARE MARIAN

COMFORCARE HOME CARE ST PAUL

COMFORT KEEPERS - TWIN CITIES

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CRAWFORD SENIOR CARE

DELLWOOD GARDENS

DERMAN SENIOR CARE

EQUITY SERVICES OF ST. PAUL

EXPRESS HOME HEALTH CARE

GENEROUS HOME CARE

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HEARTS HOME CARE LLC

HIGHLAND GW LLC

HUMAN CARE INC

IMMACULATE HOME CARE LLC

IN HOME PERSONAL CARE HOME HEA

INSPIRE CARE INC

LYNGBLOMSTEN SERVICES INC

MAMAE CARE INC

MAXIMUM HOME CARE SERVICES LLC

MINNESOTA WELLNESS CENTER LLC

MULTICULTURAL CARE CENTER LLC

NAJMA GROUP HOME LLC

NATIONAL HOME HEALTHCARE INC

NEW PERSPECTIVE - HIGHLAND PAR

OLU'S HOME INC

OLYDIA HOME CARE INC

OTTAWA HOME HEALTH SERVICES LL

OUR LADY OF PEACE HOME CARE

OVERCOMER HEALTHCARE SERVICE C

PEACEFUL LIVING SERVICES

QUALITY CARE SERVICES LLC

RAMSEY HILL SENIOR LIVING LLC

RESTFUL LIVING LLC

RICHANGEL CARE INCORPORATED

RIVER OF LIFE RESIDENTIAL LIVI

SAFE & COMPASSIONATE HOME CARE

SERENITY HOME HEALTH CARE SYST

SHEPARD PARK HOME CARE

SUMMIT HILL SENIOR LIVING

SUNLIGHT SENIOR LIVING

SUNLIGHT SERVICES LLC

SUNSHINE CORPORATION

SUNSHINE GROUP HOME LLC

SUPPORTIVE LIVING SOLUTIONS WH

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ST PAUL

ST PETER

ST. PAUL

ST. ANTHONY

ST. CHARLES

ST. CLOUD

ST. JAMES

ST. JOSEPH

ST. LOUIS PARK

ST. PAUL

ST. PAUL

ST. PAUL PARK

ST. PETER

STAPLES

STARBUCK

STILLWATER

TAYLORS FALLS

THIEF RIVER FALLS

TONKA BAY

TOWER

TRACY

TRUMAN

TWIN VALLEY

TWO HARBORS

ULEN

VADNAIS HEIGHTS

VICTORIA

VIRGINIA

WABASHA

WABASSO

WACONIA

TAYLOR & MENSAH IN-HOME CARE

THE BLESSED HOME CARE

THE ENCORE AT MAHTOMEDI LLC

THE FRIENDSHIP PLACE LLC

TWIN CITIES NURSING CARE INC

TWINCITIES LOYAL HOLISTIC CARE

V-CARE HOME HEALTH INC

VIETNAMESE MINNESOTANS ASSOCIA

WILDER HOME CARE

BENEDICTINE SENIOR LIVING COMM

ECUMEN PRAIRIE HILL

LINDA GRACK CARES

PHEASANTS RIDGE ASSISTED LIVIN

HOPE HOME CARE LLC

ABLE CARE CONNECT HOME HEALTH

CARE MINNESOTA LLC

OLYMPIC GROUP HOME LLC

ST. CHARLES ASSISTED LVG INC

ARISE CARES

GENERATIONS HOME CARE INC

HOMEWATCH CAREGIVERS OF ST CLO

INSPIRED BY YOU HOME CARE LLC

LAKESIDE HEALTH SERVICES INC

MARY CLARE OLSON AGENCY

MIDWEST GROUP HOMES, LLC

NATURE'S POINT ASSISTED LIVING

SPOT REHABILITATION INC

ST BENEDICTS SENIOR COMMUNITY

ST SCHOLASTICA CONVENT

VISITING ANGELS

GOOD SAMARITAN SOCIETY BRANDT

ARLINGTON PLACE

PREMIER HEALTHCARE MANAGEMENT

EVERYTIME HOME CARE

GOLDEN BRIGHT HOMES LLC

LIFESPRK

LIFESPRK HOME HEALTH

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ONETOUCH CARE SERVICES LLC

SECOND HORIZON LIVING LLC

SHOLOM COMMUNITY ALLIANCE HOME

A&A RELIABLE HOME HEALTH CARE

A-1 RELIABLE HOME CARE INC

ACCESSIBLE SPACE INC 2

ALCORDIA CARE LLC

ARKHAVEN HOME CARE LLC

BLUE MOON CENTER LLC

CARE PLUS HHA INC

CARE PLUS HOME CARE

CAREMATE HOME HEALTH CARE INC

CARONDELET VILLAGE

DIVINE HEALTHCARE NETWORK

EPISCOPAL HOME CARE AND SERVIC

HEAVEN HOME CARE LLC

LEGEND HLTH CARE RESOURCES LLC

MORNING GLORY HOME CARE

NEW HOPE HOME CARE LLC

PERFECTION HEALTH CARE SERVICE

RELIACARE HOME HEALTH INC

SAFETY CARE INC

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SHOLOM HOME CARE

SPECIALIZED HOME HEALTH CARE S

THREE STARS GROUP HOMES LLC

TLC HC OF THE TWIN CITIES

UNITED HOME HEALTH CARE LLC

ENHANCED CARE ASSISTED LIVING

GOOD SAM HOME CARE ST PETER

A DAUGHTER'S LOVE INC

LAKEWOOD HLTH SYS HM C & HSPCE

LAKEWOOD PINES SENIOR HOUSING

HOLLY RIDGE MANOR

HANDS AT THE CROSS CARE HOME L

LAKEVIEW HOMECARE

ONTRACK HOME CARE INC

PROJECT CARING

THE LODGE

THE EVANGELICAL LUTHERAN GOOD

INTER COUNTY NURSING SERVICE

MINNESOTA GREENLEAF

VALLEY ASSISTED LIVING

SOJOURN AT HOME LLC

SOJOURN SUITES LLC

VERMILION SENIOR LIVING

SHETEK HOME CARE

HEARTLAND SENIOR LIVING HOME

TWIN VALLEY ASSISTED LIVING LL

AGATE BAY ASSISTED LIVING LLC

BARROSS COTTAGE

BARROSS COTTAGE II LLC

THE WATERVIEW SHORES ASSISTED

VIKING MANOR NURSING HOME

GABLE PINES AT VADNAIS HTS

PINNACLE HOME HEALTH CARE LLC

PRECIOUS LIVES HOME LLC

PRUDENT CARE LLC

SUITE LIVING SENIOR CARE

AUGUSTANA EMERALD CREST OF VIC

EDGEWOOD VIRGINIA I SENIOR LIV

LAKEVIEW RESIDENCE

SPECTRUM HEALTH COMPANIES

ST. ELIZABETH'S MEDICAL CENTER

SERENITY SUITES SENIOR LIVING

ALWAYS BEST CARE SW METRO

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WACONIA

WADENA

WAHPETON

WAITE PARK

WALKER

WARREN

WARROAD

WASECA

WATERTOWN

WATERVILLE

WATKINS

WAYZATA

WELLS

WEST CONCORD

WEST FARGO

WEST ST PAUL

WEST ST. PAUL

WHITE BEAR LAKE

WHITE EARTH

WILLMAR

WILLMAR

WINDOM

WINNEBAGO

WINONA

WINSTED

WINTHROP

WOODBURY

WORTHINGTON

WRENSHALL

ZIMMERMAN

ZUMBROTA

GOOD SAMARITAN SOCIETY WESTVIE

NAGEL ASSISTED LIVING

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RIDGEVIEW HOME SUPPORT SERVICE

RIDGEVIEW MEDICAL CENTER

COMFORT CARE COTTAGES

THE MEADOWS OF WADENA

BENEDICTINE HOME HEALTH

BAYADA HOME HEALTH CARE INC

CENTRACARE HOME HEALTH

COMFORT KEEPERS

HOME INSTEAD SENIOR CARE

RECOVER HEALTH

STERLING PARK COMMONS

CASS COUNTY PUBLIC HEALTH

EDGEWOOD MAY CREEK LLC

NORTH STAR MANOR ASSISTED LIVI

LAKEVIEW RETIREMENT RESIDENCE

COLONY COURT

LATHAM PLACE

WESTWOOD PLACE INC

WATERVILLE ASSISTED LIVING LLC

GARDEN VIEW AT HILLTOP

BB HOME HEALTHCARE

EDEN PATHWAYS

ICARE HOMES LLC

VISITING ANGELS

THE SHEPHERD'S INN

CHICOS BOARD & LODGE LLC

CIRCLE DRIVE MANOR ASSISTED LI

GRISWOLD HOME CARE OF MOORHEAD

PHOENIX SERVICE CORPORATION

SAKINAH HOMES LLC

SOUTHVIEW SENIOR LIVING

WALKER METHODIST WESTWOOD RIDG

BROOKDALE WEST ST PAUL - MC

BROOKDALE WEST ST. PAUL- AL

HODAN HOME HEALTH CARE LLC

LOVINGCARE NURSING & HOME CARE

ADVANCED MEDICAL HOME CARE LLC

CERENITY RESIDENCE OF WHITE BE

SUITE LIVING SENIOR MANAGEMENT

SYMPHONY SENIOR SERVICES INC

VISION QUEST PROPERTY MANAGEME

WHITE BEAR LAKE COH CARE LLC

WHITE EARTH HOME HEALTH

BETHESDA ASSISTED LIVING

BETHESDA HOME HEALTH

BROOKDALE WILLMAR

CENTRAL MINNESOTA SENIOR CARE

COMPASSIONATE CARE INC

COMPASSIONATE COTTAGE II

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COPPERLEAF SENIOR LIVING

DIVINE HOME CARE INC

DIVINE HOUSE INC

PRAIRIE SENIOR COTTAGES OF WIL

ENGAGED HOME CARE

GOOD SAM HOME CARE OF SW MN

MIKKELSEN MANOR ASSISTED LIVIN

PINE VIEW ASSISTED LIVING

HEARTLAND SENIOR LIVING HOME

BROOKDALE WINONA

CALLISTA COURT

OPTIONS PLUS HOME CARE LLC

SUGAR LOAF SENIOR LIVING

WATKINS MANOR

INDEPENDENCE HOME CARE LLC

THE GARDENS AT WINSTED ASSISTE

THE LODGE OF WINTHROP

1ST CARE INC

ARTIS SLM OF WOODBURY LLC

CAREAPARENT

COMMUNITY LIVING OPTIONS INC

DREAM WEAVER HOME CARE PC

GOLDEN LIGHT ASSISTED LIVING L

GREATER CARE FACILITIES LLC

HOLISTIC HOME CARE LLC

HOME SWEET HOME OF MINNESOTA

HOMETOWN SENIOR LIVING

MARK YOUR HOME HEALTH CARE LLC

METRO CARE HUMAN SERVICES

MORNINGSTAR HOMES S C

PRELUDE HOME & SERVICES LLC

SAGEWOOD LLC

SAINT THERESE OF WOODBURY

SENIOR CARE WOODBURY LLC

SOTAM HOME CARE LLC

STONECREST

SYNERGY HOMECARE OF EAST CENTR

ZUMBRO HOUSE INC

ECUMEN WORTHINGTON THE MEADOWS

GOLDEN HORIZONS

SANFORD WORTHINGTON HOME CARE

GARDEN TERRACE ASSISTED LIVING

COMPASSIONATE HOME CARE LTD

ZUMBROTA CARE CENTER HOME CARE

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ALBERT LEA

ANOKA

AUSTIN

BAXTER

BEMIDJI

BLAINE

BLOOMINGTON

BRECKENRIDGE

BROOKLYN CENTER

BURNSVILLE

CHISAGO CITY

CLEARBROOK

COLUMBIA HEIGHTS

COON RAPIDS

CROOKSTON

CRYSTAL

DETROIT LAKES

DULUTH

EDEN PRAIRIE

EDINA

FARGO

FARMINGTON

GOLDEN VALLEY

HIBBING

HOPKINS

HUDSON

LAKEVILLE

MAPLEWOOD

MAYER

MELROSE

MILACA

MINNEAPOLIS

MINNETONKA

MONTEVIDEO

MONTGOMERY

NORTH BRANCH

NORTHFIELD

OAKDALE

OSSEO

OWATONNA

PLYMOUTH

RAMSEY

RED WING

ROCHESTER

ROSEVILLE

SAUK CENTRE

SOUTH ST. PAUL

SPICER, MN 56288

ST. CLOUD

ST. LOUIS PARK

ST. PAUL

VIRGINIA

WAYZATA

WEST ST. PAUL

WHITE BEAR LAKE

WILLMAR

WORTHINGTON

WYOMING

JOANN JENSEN

AVALON HOME CARE INC

COMFORT KEEPERS

SENIORS HELPING SENIORS

HOME INSTEAD SENIOR CARE

TOUCHING HEARTS AT HOME

R LACARTE & COMPANY/SWC HOME M

FIRSTLIGHT HOME CARE OF MINNEA

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WILKIN COUNTY PUBLIC HEALTH

HMONG SENIOR HEALTH CARE INC

WE CARE HEALTH SYSTEM LLC

HOME INSTEAD SENIOR CARE

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POINT PLEASANT HEIGHTS

HOME AT HEART CARE INC

DIVERSITY UNION GROUP HOME LLC

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MAHUBE OTWA COMMUNITY ACTION

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CHERISHED HOME MANAGEMENT

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HOME INSTEAD SENIOR CARE # 161

VISITING ANGELS

MS V'S CARING HANDS LLC

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LYNN ANDERSON

AGAPE HOME CARE PROVIDER

CAREGVR SUPT PRG KOREAN SRV CT

CIRCLE OF LIFE HC ANISHINAABE

DIAMONDS HOME HEALTH CARE INC

GRANDMA'S HELPER LLC

QUALITY HOME CARE INC

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TWINS HOME HEALTH CARE INC

PAMELA J COLEMAN

AVENUES FOR CARE INC

AGING SERVICES FOR COMMUNITIES

GOOD COMPANY SERVICES LLC

CREEKRIDGE CONCIERGE

THE NEIGHBOR LADY INC

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COMFORT KEEPERS

ALL GENERATIONS HOME CARE INC

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NOBLE HOME CARE SERVICE LLC

PAMELA FILLHOUER

RIGHT AT HOME

SENIORS HELPING SENIORS

TOUCHING HEARTS AT HOME

CAREFREE HOME SERVICES INC

SENIOR ONE

VISITING ANGELS

GLAZON CARE SERVICES

HOME INSTEAD SENIOR CARE

TOUCHING HEARTS AT HOME ST PAU

ALTERNATIVE SENIOR CARE INC

HOME WITH YOU COMPANION CARE

TOUCHING HEARTS AT HOME WC MN

ARISE CARES

CHRISTINE METCALF

AT YOUR SERVICE SENIOR ASST

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PEACEFUL HOME ASSISTED LIVING

ROSE HOME CARE HOME MANAGEMENT

ST. LOUIS CO PUBLIC HEALTH HS

EXCELLENCE LIVING CONNECTIONS

DARTS

HELPING HEART LLC

CENTRAL MN SENIOR CARE INC

DIVINE HOME CARE INC

DIVINE HOUSE INC

FOURTH AVENUE HOMES INC

SW MN OPPORTUNITY COUNCIL INC

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ALEXANDRIA

APPLETON

AUSTIN

BAGLEY

BAXTER

BEMIDJI

BIGFORK

BLOOMINGTON

BLUE EARTH

BRAINERD

BRANDON

BRECKENRIDGE

BROOKLYN PARK

BUFFALO

CANBY

CLARKFIELD

COKATO

COLD SPRING

COLUMBIA HEIGHTS

COON RAPIDS

CROOKSTON

CROSBY

DEER RIVER

DETROIT LAKES

DULUTH

EAGAN

EAGEN

EDEN PRAIRIE

EDINA

ELK RIVER

FARIBAULT

FARMINGTON

FERGUS FALLS

FRIDLEY

GLENWOOD

GOLDEN VALLEY

GOLDEN VALLEY

GRACEVILLE

GRAND MARAIS

GRAND RAPIDS

HALLOCK

HENDRICKS

HERMANTOWN

HIBBING

HOPKINS

INTERNATIONAL FALLS

INVER GROVE HEIGHTS

LE CENTER

LITCHFIELD

LITTLE CANADA

LITTLE FALLS

LONG PRAIRIE

MADELIA

MADISON

MANKATO

MAPLE GROVE

MAPLEWOOD

MARSHALL

MINNEAPOLIS

MINNEOTA

MINNETONKA

MONTEVIDEO

MOOSE LAKE

MORA

NEW BRIGHTON

NEW LONDON

NISSWA

NORTHFIELD

OLIVIA

ONAMIA

ORTONVILLE

KNUTE NELSON HOME CARE

APPLETON AREA HEALTH

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CLEARWATER COUNTY NSG SERVICE

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UNITED HOSPITAL DISTRICT INC

BARNABAS HEALTH CARE SERVICES

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OLIDIA CARE INC

SEFERTT HEALTH CARE LLC

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KINDRED AT HOME

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ALLIANCE HEALTH SERVICES INC

IN-HOME LAB CONNECTION INC

OMEGA HOME HEALTHCARE LLC

HOMECARE RESOURCE LLC

PROFESSIONAL RESOURCE NETWORK

BROOKDALE HOME HLTH MINNESOTA

INTREPID USA HEALTHCARE SRVCS

GUARDIAN ANGELS ELIM HOME CARE

RICE COUNTY PHNS

RIVER VALLEY HOME CARE INC

ACCRA HOME CARE INC

LB HOME CARE

NEW DIMENSIONS HHC INC

HEALTHMAX HOME HEALTH SERVICES

GLACIAL RIDGE HOME CARE

ALLIANCE HHC & NURSING SERVICE

HOME HEALTH CARE INC

SUMMIT HOME HEALTH CARE INC

ESSENTIA HEALTH GRACEVILLE HH

NORTH SHORE HEALTH

GRAND ITASCA CLINIC & HOSP HC

RECOVER HEALTH

KITTSON MEMORIAL HOME HLTHCARE

HENDRICKS C H ASSN & RET HOME

CARINGEDGE HEALTHCARE OF HERMA

HEALTHLINE HOMECARE

RECOVER HEALTH

PARK NICOLLET METHODIST HC

GOOD SAM INTERNATIONAL FALLS

HEALTHSTAR HOME HEALTH

SPECTRUM COMMUNITY HEALTH INC

LE SUEUR COUNTY PUBLIC HEALTH

ECUMEN HC & HOSPICE LITCHFIELD

GOOD SAM HOME CARE

CHI HEALTH AT HOME

TODD COUNTY PHNS

MADELIA COMMUNITY HOSP HM CARE

MADISON HOME HEALTH AGENCY

ECUMEN HOME CARE PATHSTONE

REGENCY HOME HEALTHCARE SRVCS

ACCENTCARE FAIRVIEW HH EAST

FIRSTAT NURSING SERVICES

AVERA AT HOME MARSHALL

ACCENTCARE FAIRVIEW HH WEST

ACCORD

ALLINA HEALTH HOME HEALTH

BEST CARE HOME HEALTH INC

CHILDRENS HOME CARE & HOSPICE

FAMILY CARE SERVICES INC

MIDWEST PROFESSIONAL SERVICES

MILS HOME HEALTH CARE AGENCY

MVNA

PINNACLE SERVICES INC

SERENITY HEALTH CARE SERVICES

TOWN AND COUNTRY HHC

ACCRA HOME HEALTH DULUTH

NIGHTINGALE HOME HEALTHCARE

RECOVER HEALTH

CHIPPEWA COUNTY MONTEVIDEO HHC

ESSENTIA HEALTH MOOSE LAKE HC

KANABEC COUNTY COMM HEALTH

BAYADA HOME HEALTH CARE INC

LAKE REGION HOME HEALTH

GOOD SAM SOCIETY HC HOSPICE

HOME CARE LINK

NORTHFIELD HOME CARE

RENVILLE COUNTY PHS

MILLE LACS HOME CARE

HOME HEALTH AGENCY

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LOCATION CERTIFIED HOME HEALTH AGENCY LOCATION CERTIFIED HOME HEALTH AGENCY

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Page

OTSEGO

OWATONNA

PERHAM

PIERZ

PIPESTONE

PLYMOUTH

PRESTON

PRIOR LAKE

RED WING

REDWOOD FALLS

ROBBINSDALE

ROCHESTER

ROSEAU

ROSEVILLE

SARTELL

SAUK RAPIDS

SEBEKA

SPRING VALLEY

ST ANTHONY

ST PAUL

ST. ANTHONY

ST. CLOUD

ST. LOUIS PARK

ST. PAUL

ST. PETER

STAPLES

STILLWATER

THIEF RIVER FALLS

TRACY

WABASHA

WACONIA

WAITE PARK

WAITE PARK

WALKER

WHITE BEAR LAKE

WHITE EARTH

WILLMAR

WINDOM

WORTHINGTON

ACCURATE HOME CARE LLC

STEELE COUNTY PHNS

PERHAM LIVING HOME CARE

HORIZON HEALTH HOMECARE

PIPESTONE COUNTY HOME HEALTH

BAYADA HOME HEALTH CARE INC

PRESTON GOOD SAM HOME CARE

COMMUNITY HOME HEALTH INC

HIAWATHA HOMECARE

OMEGA HOME HEALTHCARE LLC

CARRIS HEALTH

GOOD SAM GOLDEN VALLEY

COMFORT HEALTH

INTERIM HEALTHCARE OF ROCHESTE

INTERNATIONAL QUALITY HOMECARE

RECOVER HEALTH

STANLEY JONES & ASSOCIATES

LIFECARE HOME CARE

INTERIM HEALTHCARE OF THE TC

INTREPID USA HEALTHCARE SVCS

KINDRED AT HOME

PEDIATRIC HOME SERVICE

PRESBYTERIAN HOMES HOME CARE

COUNTRY MANOR EXTENDED SERVICE

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CARING HANDS HOME CARE

SPRING VALLEY HOME HEALTH

ABC HOME HEALTH CARE PLUS LLC

APLUS HEALTH CARE LLC

PROVIDENT HOME HEALTHCARE

CAREFOCUS CORPORATION

EQUITY SERVICES OF ST. PAUL

OUR LADY OF PEACE HOME CARE

ABLE CARE CONNECT HOME HEALTH

SPOT REHABILITATION INC

EVERYTIME HOME CARE

LIFESPRK HOME HEALTH

CARE PLUS HHA INC

CAREMATE HOME HEALTH CARE INC

DIVINE HEALTHCARE NETWORK

SAFETY CARE INC

SHOLOM HOME CARE

TLC HC OF THE TWIN CITIES

GOOD SAM HOME CARE ST PETER

LAKEWOOD HLTH SYS HM C & HSPCE

LAKEVIEW HOMECARE

INTER COUNTY NURSING SERVICE

SHETEK HOME CARE

ST. ELIZABETH'S MEDICAL CENTER

RIDGEVIEW MEDICAL CENTER

BAYADA HOME HEALTH CARE INC

CENTRACARE HOME HEALTH

RECOVER HEALTH

CASS COUNTY PUBLIC HEALTH

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WHITE EARTH HOME HEALTH

BETHESDA HOME HEALTH

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616Page

LOCATION LICENSED HOSPICE

ALBERT LEA

ALEXANDRIA

AUSTIN

BAGLEY

BEMIDJI

BLAINE

BLOOMINGTON

BLUE EARTH

BRECKENRIDGE

COON RAPIDS

CROSBY

DULUTH

EDEN PRAIRIE

EDINA

ELK RIVER

ESTHERVILLE

FARGO

FERGUS FALLS

FOSSTON

GLENWOOD

GOLDEN VALLEY

GRAND RAPIDS

HALLOCK

HENDRICKS

HERMANTOWN

HIBBING

LA CROSSE

LACROSSE

LAKEVILLE

LITTLE FALLS

LUVERNE

MANKATO

MARSHALL

MILBANK

MINNEAPOLIS

NISSWA

NORTHFIELD

OAKDALE

OLIVIA

ONAMIA

PARK RAPIDS

PIERZ

PIPESTONE

RED WING

REDWOOD FALLS

ROBBINSDALE

ROCHESTER

ROSEAU

ROSEVILLE

SAUK RAPIDS

SHORVIEW

SIOUX FALLS

SLAYTON

ST LOUIS PARK

ST PAUL

ST. AUGUSTA

ST. CLOUD

ST. LOUIS PARK

ST. PAUL

STAPLES

STILLWATER

WACONIA

WAITE PARK

WILLMAR

WINONA

WOODBURY

MAYO CLINIC ALBERT LEA

HORIZON PUBLIC HEALTH

KNUTE NELSON HOSPICE

MAYO CLINIC HEALTH SYS AUSTIN

CLEARWATER HOSPICE

SANFORD BEMIDJI HOSPICE

OLIVE GROVE HOSPICE LLC

BROOKDALE HOSPICE MINNESOTA

HEALTHPARTNERS HOSPICE & PAL

UNITED HOSPITAL DISTRICT INC

CHI HEALTH AT HOME

MARY T HOSPICE

HOMEHEALTH PARTNERSHIP

ESSENTIA HLTH ST. MARY'S HSPC

KINDRED HOSPICE

ST. LUKE'S HOSPICE DULUTH

COMFORT HOSPICE LLC

ASERACARE HOSPICE

KINDRED HOSPICE

N C LITTLE MEMORIAL HOSPICE

GUARDIAN ANGELS ELIM HOSPICE

AVERA AT HOME

ETHOS HOSPICE

HOSPICE OF THE RED RIVER VALLE

SANFORD MEDICAL CENTER FARGO

LB HOSPICE

ESSENTIA HEALTH HOSPICE WEST

GLACIAL RIDGE HOSPICE

MOMENTS HOSPICE

ST. CROIX HOSPICE

KITTSON COUNTY HOSPICE INC

GOOD SHEPHERD HOSPICE

CARINGEDGE HOSPICE HERMANTOWN

MOMENTS HOSPICE

NORTH STAR HOSPICE

MAYO CLINIC HEALTH SYS FRANCIS

GUNDERSEN HOSPICE

MINNESOTA HOSPICE LLC

CHI HEALTH AT HOME

SANFORD LUVERNE HOSPICE

MAYO CLINIC HEALTH SYS MANKATO

AVERA AT HOME SOUTHWEST MN

PRAIRIE HOME HOSPICE

AVERA AT HOME

ACCENTCARE FAIRVIEW HSPIC WEST

ALLINA HLTH HSPCE & PALL CARE

CHILDRENS HOME CARE & HOSPICE

GRACE HOSPICE

HENNEPIN HEALTHCARE HOSPICE

GOOD SAM SOCIETY HOSPICE

NORTHFIELD HOSPICE

ST. CROIX HOSPICE

OLIVIA HOSPITAL & CLINIC-HOSPI

MILLE LACS HLTH SYS HOSPICE

ST. JOSEPHS AREA HLTH SERVICES

HORIZON HEALTH HOSPICE

PIPESTONE COUNTY HOSPICE

MAYO CLINIC HOSPICE RED WING

CARRIS HEALTH - REDWOOD LLC

NORTH MEMORIAL HOSPICE CARE

HEARTLAND HM HLTH CARE HOSPICE

INTERIM HEALTHCARE ROCHESTER

MAYO CLINIC HOSPICE

MOMENTS HOSPICE

SEASONS HOSPICE

LIFECARE HOSPICE

HEARTLAND HOME HC AND HOSPICE

INTERIM HEALTHCARE

INTREPID USA HOSPICE

PRESBYTERIAN HOMES HOSPICE INC

HEARTLAND HOME HLTH C & HSPICE

ECUMEN HOSPICE

SANFORD HOSPICE

HOSPICE OF MURRAY COUNTY INC

LIFESPRK HOSPICE LLC

AVALON HOSPICE MINNESOTA LLC

SHOLOM HOSPICE

QUIET OAKS HOSPICE HOUSE

MOMENTS HOSPICE

BRIGHTON HOSPICE

CRESCENT COVE

PARK NICOLLET METHODIST HOSP

HEALTHEAST HOSPICE

OUR LADY OF PEACE HOSPICE

LAKEWOOD HEALTH SYSTEM HOSPICE

LAKEVIEW HOSPICE

RIDGEVIEW HOSPICE

CENTRACARE HOME HLTH & HOSPICE

CARRIS HEALTH LLC

DIVINE HOSPICE CARE

WINONA AREA HOSPICE

HOSPICE OF THE MIDWEST

=====================================================================

HOSPICE

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

D

LOCATION LICENSED HOSPICE

=====================================================================

HOSPICE

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ALBERT LEA

ALEXANDRIA

AUSTIN

BAGLEY

BEMIDJI

BLAINE

BLOOMINGTON

BLUE EARTH

BRECKENRIDGE

COON RAPIDS

CROSBY

DULUTH

EDINA

ELK RIVER

FERGUS FALLS

FOSSTON

GLENWOOD

GOLDEN VALLEY

GRAND RAPIDS

HENDRICKS

HERMANTOWN

HIBBING

LAKEVILLE

LITTLE FALLS

LUVERNE

MANKATO

MARSHALL

MINNEAPOLIS

NISSWA

NORTHFIELD

OAKDALE

OLIVIA

ONAMIA

PARK RAPIDS

PIERZ

PIPESTONE

RED WING

REDWOOD FALLS

ROBBINSDALE

ROCHESTER

ROCHESTER

ROSEAU

ROSEVILLE

SAUK RAPIDS

SHORVIEW

SLAYTON

ST PAUL

ST. CLOUD

ST. LOUIS PARK

ST. PAUL

STAPLES

STILLWATER

WACONIA

WAITE PARK

WILLMAR

WINONA

WOODBURY

MAYO CLINIC ALBERT LEA

HORIZON PUBLIC HEALTH

KNUTE NELSON HOSPICE

MAYO CLINIC HEALTH SYS AUSTIN

CLEARWATER HOSPICE

SANFORD BEMIDJI HOSPICE

OLIVE GROVE HOSPICE LLC

BROOKDALE HOSPICE MINNESOTA

HEALTHPARTNERS HOSPICE & PAL

UNITED HOSPITAL DISTRICT INC

CHI HEALTH AT HOME

MARY T HOSPICE

HOMEHEALTH PARTNERSHIP

ESSENTIA HLTH ST. MARY'S HSPC

ST. LUKE'S HOSPICE DULUTH

ASERACARE HOSPICE

KINDRED HOSPICE

GUARDIAN ANGELS ELIM HOSPICE

LB HOSPICE

ESSENTIA HEALTH HOSPICE WEST

GLACIAL RIDGE HOSPICE

MOMENTS HOSPICE

ST. CROIX HOSPICE

GOOD SHEPHERD HOSPICE

CARINGEDGE HOSPICE HERMANTOWN

MOMENTS HOSPICE

NORTH STAR HOSPICE

MINNESOTA HOSPICE LLC

CHI HEALTH AT HOME

SANFORD LUVERNE HOSPICE

MAYO CLINIC HEALTH SYS MANKATO

AVERA AT HOME SOUTHWEST MN

PRAIRIE HOME HOSPICE

ACCENTCARE FAIRVIEW HSPIC WEST

ALLINA HLTH HSPCE & PALL CARE

GRACE HOSPICE

HENNEPIN HEALTHCARE HOSPICE

GOOD SAM SOCIETY HOSPICE

NORTHFIELD HOSPICE

ST. CROIX HOSPICE

OLIVIA HOSPITAL & CLINIC-HOSPI

MILLE LACS HLTH SYS HOSPICE

ST. JOSEPHS AREA HLTH SERVICES

HORIZON HEALTH HOSPICE

PIPESTONE COUNTY HOSPICE

MAYO CLINIC HOSPICE RED WING

CARRIS HEALTH - REDWOOD LLC

NORTH MEMORIAL HOSPICE CARE

HEARTLAND HM HLTH CARE HOSPICE

INTERIM HEALTHCARE ROCHESTER

MAYO CLINIC HOSPICE

MOMENTS HOSPICE

SEASONS HOSPICE

LIFECARE HOSPICE

HEARTLAND HOME HC AND HOSPICE

INTERIM HEALTHCARE

INTREPID USA HOSPICE

PRESBYTERIAN HOMES HOSPICE INC

HEARTLAND HOME HLTH C & HSPICE

ECUMEN HOSPICE

HOSPICE OF MURRAY COUNTY INC

AVALON HOSPICE MINNESOTA LLC

SHOLOM HOSPICE

MOMENTS HOSPICE

BRIGHTON HOSPICE

PARK NICOLLET METHODIST HOSP

HEALTHEAST HOSPICE

OUR LADY OF PEACE HOSPICE

LAKEWOOD HEALTH SYSTEM HOSPICE

LAKEVIEW HOSPICE

RIDGEVIEW HOSPICE

CENTRACARE HOME HLTH & HOSPICE

CARRIS HEALTH LLC

DIVINE HOSPICE CARE

WINONA AREA HOSPICE

HOSPICE OF THE MIDWEST

LOCATION MEDICARE CERTIFIED HOSPICE LOCATION MEDICARE CERTIFIED HOSPICE

=========================================================================================================================================

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BROOKLYN CENTER

BROOKLYN PARK

DULUTH

EDINA

LUVERNE

MARSHALL

OAKDALE

OWATONNA

PIPESTONE

ROCHESTER

SLAYTON

ST. AUGUSTA

ST. PAUL

WORTHINGTON

CRESCENT COVE

J A WEDUM HOSPICE RESIDENCE

SOLVAY HOUSE

N C LITTLE MEMORIAL HOSPICE

SANFORD LUVERNE HOSPICE

PRAIRIE HOME - LOCKWOOD HOUSE

PRAIRIE HOME-MCLAUGHLIN HOUSE

HEALTHEAST PILLARS

ALLINA HLTH HSPCE & PALLITV CA

PIPESTONE COUNTY HOSPICE RESID

SEASONS HOSPICE

OUR HOUSE OF MURRAY COUNTY

QUIET OAKS HOSPICE HOUSE

OUR LADY OF PEACE HOSPICE

SUNSET COTTAGE

LOCATION RESIDENTIAL HOSPICE LOCATION RESIDENTIAL HOSPICE

=========================================================================================================================================

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LOCATION HOSPITAL DEEMED LOCATION HOSPITAL DEEMED

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Page

ADA

AITKIN

ALBERT LEA

ALEXANDRIA

APPLETON

ARLINGTON

AURORA

BAGLEY

BAUDETTE

BEMIDJI

BENSON

BIGFORK

BLUE EARTH

BRAINERD

BRECKENRIDGE

BUFFALO

BURNSVILLE

CAMBRIDGE

CANBY

CANNON FALLS

CASS LAKE

CLOQUET

COOK

COON RAPIDS

CROOKSTON

CROSBY

DAWSON

DEER RIVER

DETROIT LAKES

DULUTH

EDINA

ELBOW LAKE

ELY

FAIRMONT

FARIBAULT

FERGUS FALLS

FOSSTON

GLENCOE

GLENWOOD

GRACEVILLE

GRAND MARAIS

GRAND RAPIDS

GRANITE FALLS

HALLOCK

HASTINGS

HENDRICKS

HIBBING

HUTCHINSON

INTERNATIONAL FALLS

JACKSON

LAKE CITY

LE SUEUR

LITCHFIELD

LITTLE FALLS

LONG PRAIRIE

LUVERNE

MADELIA

MADISON

MAHNOMEN

MANKATO

MAPLE GROVE

MAPLEWOOD

MARSHALL

MELROSE

MINNEAPOLIS

MONTEVIDEO

MONTICELLO

MOOSE LAKE

MORA

MORRIS

NEW PRAGUE

NEW ULM

NORTHFIELD

OLIVIA

ONAMIA

ORTONVILLE

OWATONNA

PARK RAPIDS

PAYNESVILLE

PERHAM

PIPESTONE

PRINCETON

RED WING

REDWOOD FALLS

ROBBINSDALE

ROCHESTER

ROSEAU

SANDSTONE

SAUK CENTRE

SHAKOPEE

SLAYTON

SLEEPY EYE

ST. CLOUD

ST. JAMES

ST. LOUIS PARK

ST. PAUL

ESSENTIA HEALTH ADA

RIVERWOOD HEALTHCARE CENTER

MAYO CLINIC ALBERT LEA AUSTIN

ALOMERE HEALTH

APPLETON AREA HEALTH

RIDGEVIEW SIBLEY MEDICAL CTR

ESSENTIA HEALTH NORTHERN PINES

SANFORD BAGLEY MEDICAL CENTER

LAKEWOOD HEALTH CENTER

SANFORD BEMIDJI MEDICAL CENTER

SWIFT COUNTY BENSON HLTH SVCS

BIGFORK VALLEY HOSPITAL

UNITED HOSPITAL DISTRICT

ESSENTIA HEALTH ST JOSEPHS MED

ST. FRANCIS MEDICAL CENTER

BUFFALO HOSPITAL

FAIRVIEW RIDGES HOSPITAL

CAMBRIDGE MEDICAL CENTER

SANFORD CANBY MEDICAL CENTER

MAYO CLINIC HEALTH SYS CF

CASS LAKE INDIAN HLTH SERV HOS

COMMUNITY MEMORIAL HOSPITAL

COOK HOSPITAL

MERCY HOSPITAL

RIVERVIEW HOSPITAL & NSG HOME

CUYUNA REGIONAL MEDICAL CENTER

JOHNSON MEMORIAL HOSP & HOME

DEER RIVER HEALTH CARE CENTER

ESSENTIA HEALTH ST. MARYS

ESSENTIA HEALTH DULUTH

ESSENTIA HEALTH ST. MARY'S MED

ST. LUKE'S HOSPITAL

FAIRVIEW SOUTHDALE HOSPITAL

PRAIRIE RIDGE HOSP HLTH SERV

ELY BLOOMENSON COMM HOSPITAL

MAYO CLINIC HEALTH SYSTEM

DISTRICT ONE HOSPITAL

LAKE REGION HEALTHCARE CORP

ESSENTIA HEALTH FOSSTON

GLENCOE REGIONAL HEALTH SRVCS

GLACIAL RIDGE HOSPITAL

ESSENTIA HEALTH HOLY TRINITY

NORTH SHORE HEALTH

GRAND ITASCA CLINIC & HOSP

AVERA GRANITE FALLS

KITTSON MEMORIAL HOSPITAL

REGINA HOSPITAL

HENDRICKS COMMUNITY HOSPITAL

UNIVERSITY MEDICAL CTR MESABI

HUTCHINSON HEALTH

RAINY LAKE MEDICAL CENTER

SANFORD JACKSON MEDICAL CENTER

MAYO CLINIC HEALTH SYSTEM

RIDGEVIEW LESUEUR LTC&REHAB CT

MEEKER MEMORIAL HOSPITAL

ST. GABRIEL'S HOSPITAL

CENTRACARE HEALTH LONG PRAIRIE

SANFORD LUVERNE MEDICAL CENTER

MADELIA COMMUNITY HOSPITAL

MADISON HOSPITAL

MAHNOMEN HEALTH CENTER

MAYO CLINIC HEALTH SYS MANKATO

MAPLE GROVE HOSPITAL

HEALTHEAST ST. JOHNS HOSPITAL

AVERA MARSHALL REG MED CENTER

CENTRACARE HEALTH SYS MELROSE

ABBOTT NORTHWESTERN HOSPITAL

CHILDRENS HOSP & CLINICS MPLS

HENNEPIN COUNTY MEDICAL CTR

UNIVERSITY OF MN MED CTR

CCM HEALTH

CENTRACARE HEALTH MONTICELLO

ESSENTIA HEALTH MOOSE LAKE

WELIA HEALTH

STEVENS COMMUNITY MEDICAL CTR

MCHS NEW PRAGUE

NEW ULM MEDICAL CENTER

NORTHFIELD CITY HOSPITAL & NSG

OLIVIA HOSPITAL & CLINIC

MILLE LACS HEALTH SYSTEM

ORTONVILLE AREA HEALTH SERVICE

OWATONNA HOSPITAL

ST. JOSEPHS AREA HLTH SERVICES

CENTRACARE HEALTH PAYNESVILLE

PERHAM HEALTH

PIPESTONE COUNTY MEDICAL CTR

FAIRVIEW NORTHLAND REG HOSP

MAYO CLINIC HEALTH SYS RED WIN

CARRIS HEALTH REDWOOD LLC

NORTH MEMORIAL HEALTH

MAYO CLINIC HOSPITAL ROCHESTER

OLMSTED MEDICAL CENTER

LIFECARE MEDICAL CENTER

ESSENTIA HEALTH SANDSTONE

CENTRACARE HEALTH SYSTEM

ST. FRANCIS REGIONAL MED CTR

MURRAY COUNTY MEM HOSP

SLEEPY EYE MEDICAL CENTER

ST. CLOUD HOSPITAL

MAYO CLINIC HEALTH SYS ST JAME

PARK NICOLLET METHODIST HOSP

GILLETTE CHILDREN'S SPEC HOSP

REGIONS HOSPITAL

ST. JOSEPH'S HOSPITAL

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

Y

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ST. PAUL

ST. PETER

STAPLES

STILLWATER

THIEF RIVER FALLS

TRACY

TWO HARBORS

TYLER

VIRGINIA

WABASHA

WACONIA

WADENA

WARREN

WASECA

WESTBROOK

WHEATON

WILLMAR

WINDOM

WINONA

WOODBURY

WORTHINGTON

WYOMING

UNITED HOSPITAL

RIVERS EDGE HOSPITAL & CLINIC

LAKEWOOD HEALTH SYSTEM

LAKEVIEW MEMORIAL HOSPITAL

SANFORD MED CTR THIEF RVR FALL

SANFORD TRACY MEDICAL CENTER

LAKE VIEW MEMORIAL HOSPITAL

AVERA TYLER HOSPITAL

ESSENTIA HEALTH VIRGINIA

ST. ELIZABETHS MEDICAL CENTER

RIDGEVIEW MEDICAL CENTER

TRI COUNTY HOSPITAL

NORTH VALLEY HEALTH CENTER

MAYO CLINIC HEALTH SYS WASECA

SANFORD WESTBROOK MEDICAL CTR

SANFORD MEDICAL CENTER WHEATON

CARRIS HEALTH LLC

WINDOM AREA HEALTH

WINONA HEALTH SERVICES

HEALTHEAST WOODWINDS HOSPITAL

SANFORD WORTHINGTON MEDICAL

FAIRVIEW LAKES MEDICAL CENTER

Y

Y

Y

Y

Y

Y

Y

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LOCATION NURSING HOME LOCATION NURSING HOME

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Page

ADA

AITKIN

ALBANY

ALBERT LEA

ALEXANDRIA

ANNANDALE

ANOKA

APPLE VALLEY

APPLETON

ARDEN HILLS

ARLINGTON

AURORA

AUSTIN

BAGLEY

BARNESVILLE

BARRETT

BATTLE LAKE

BAUDETTE

BELGRADE

BELLE PLAINE

BELVIEW

BEMIDJI

BENSON

BIGFORK

BLACKDUCK

BLOOMING PRAIRIE

BLOOMINGTON

BLUE EARTH

BRAINERD

BRECKENRIDGE

BROOKLYN CENTER

BROOKLYN PARK

BROWNS VALLEY

BUFFALO

BUFFALO LAKE

BUHL

BURNSVILLE

CALEDONIA

CAMBRIDGE

CANBY

CANNON FALLS

CARLTON

CHASKA

CHATFIELD

CHISAGO CITY

CHISHOLM

CLARA CITY

CLARISSA

CLARKFIELD

CLOQUET

COKATO

COLD SPRING

COLUMBIA HEIGHTS

COOK

COON RAPIDS

COTTAGE GROVE

CROOKSTON

CROSBY

CRYSTAL

DASSEL

DAWSON

DEEPHAVEN

DEER RIVER

DELANO

DETROIT LAKES

DODGE CENTER

DULUTH

EDEN PRAIRIE

EDGERTON

EDINA

ELK RIVER

ELLSWORTH

ELY

ERSKINE

EVANSVILLE

EVELETH

EXCELSIOR

FAIRFAX

BENEDICTINE CARE COMMUNITY

AICOTA HEALTH CARE CENTER

AITKIN HEALTH SERVICES

MOTHER OF MERCY SENIOR LIVING

GOOD SAM ALBERT LEA

ST JOHN'S ON FOUNTAIN LAKE

ST. JOHN'S LUTHERAN HOME

THORNE CREST RETIREMENT CENTER

BETHANY ON THE LAKE LLC

KNUTE NELSON

ANNANDALE CARE CENTER

ANOKA REHAB & LIVING CENTER

THE ESTATES AT TWIN RIVERS LLC

AUGUSTANA HEALTH CC OF APPLE

APPLETON AREA HEALTH

PRESBYTERIAN HOMES ARDEN HILLS

GOOD SAM ARLINGTON

ESSENTIA HEALTH NORTHERN PINES

GOOD SAM COMFORCARE

SACRED HEART CARE CENTER INC

ST. MARK'S LIVING

CORNERSTONE NSG & REHAB CENTER

VALLEY CARE AND REHAB LLC

BARRETT CARE CENTER INC

GOOD SAM BATTLE LAKE

LAKEWOOD CARE CENTER

BELGRADE NURSING HOME

THE LUTHERAN HOME BELLE PLAINE

PARKVIEW HOME

HAVENWOOD CARE CENTER

NEILSON PLACE

MEADOW LANE RESTORATIVE CC

BIGFORK VALLEY COMMUNITIES

GOOD SAM BLACKDUCK

PRAIRIE MANOR CARE CENTER

FRIENDSHIP VILLAGE OF BLOOMING

MARTIN LUTHER CARE CENTER

MINNESOTA MASONIC HOME CARE

PRESBYTERIAN HOMES BLOOMINGTON

THE ESTATES AT BLOOMINGTON

ST. LUKES LUTHERAN CARE CENTER

GOOD SAM BETHANY

GOOD SAM WOODLAND

ST. FRANCIS HOME

MARANATHA CARE CENTER

SAINT THERESE OF OXBOW LAKE

BROWNS VALLEY HEALTH CENTER

LAKE RIDGE CARE CTR OF BUFFALO

PARK VIEW CARE CENTER

BUFFALO LAKE HEALTHCARE CTR

CORNERSTONE VILLA

EBENEZER RIDGES GERIATRIC CC

CALEDONIA REHAB & RETIREMENT

GRACEPOINTE CROSSING GABLES

SANFORD CANBY MEDICAL CENTER

TERRACE AT CANNON FALLS LLC

INTERFAITH CARE CENTER

AUBURN MANOR

CHOSEN VALLEY CARE CENTER

PARMLY ON THE LAKE LLC

HERITAGE MANOR

CLARA CITY CARE CENTER

CENTRAL TODD COUNTY CARE CTR

CLARKFIELD CARE CENTER

COMMUNITY MEMORIAL HOSPITAL

COKATO MANOR

ASSUMPTION HOME

CREST VIEW LUTHERAN HOME

COOK HOSPITAL

CAMILIA ROSE CARE CENTER LLC

PARK RIVER ESTATES CARE CENTER

NORRIS SQUARE

RIVERVIEW HOSPITAL & NSG HOME

VILLA ST. VINCENT

CUYUNA REGIONAL MEDICAL CENTER

TERRACE AT CRYSTAL LLC

LAKESIDE HEALTH CARE CENTER

JOHNSON MEMORIAL HOSP & HOME

LAKE MINNETONKA CARE CENTER

DEER RIVER HEALTH CARE CENTER

THE ESTATES AT DELANO LLC

EMMANUEL NURSING HOME

ESSENTIA HEALTH OAK CROSSING

FAIRVIEW CARE CENTER

BAYSHORE RESIDENCE & REHAB CTR

BENEDICTINE HEALTH CENTER

CHRIS JENSEN HLTH & REHAB CTR

ECUMEN LAKESHORE

FRANCISCAN HEALTH CENTER

THE NORTH SHORE ESTATES LLC

VIEWCREST HEALTH CENTER

CASTLE RIDGE CARE CENTER

PRAIRIE BLUFFS TCU LLC

EDGEBROOK CARE CENTER

AURORA ON FRANCE

EDENBROOK OF EDINA

GUARDIAN ANGELS CARE CENTER

PARKVIEW MANOR NURSING HOME

BOUNDARY WATERS CARE CENTER

PIONEER MEMORIAL CARE CENTER

EVANSVILLE CARE CENTER

THE WATERVIEW WOODS LLC

THE ESTATES AT EXCELSIOR LLC

FAIRFAX COMMUNITY HOME

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LOCATION NURSING HOME LOCATION NURSING HOME

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Page

FAIRMONT

FARIBAULT

FARMINGTON

FERGUS FALLS

FERTILE

FOLEY

FOREST LAKE

FOSSTON

FRANKLIN

FRAZEE

FRIDLEY

FULDA

GAYLORD

GLENCOE

GLENWOOD

GOLDEN VALLEY

GRACEVILLE

GRAND MARAIS

GRAND MEADOW

GRAND RAPIDS

GRANITE FALLS

GREENBUSH

HALLOCK

HALSTAD

HARMONY

HASTINGS

HAYFIELD

HENDRICKS

HIBBING

HILLS

HOPKINS

HOUSTON

HOWARD LAKE

HUTCHINSON

INTERNATIONAL FALLS

INVER GROVE HEIGHTS

IVANHOE

JACKSON

JANESVILLE

KARLSTAD

LA CRESCENT

LAKE CITY

LAKE PARK

LAKEFIELD

LAMBERTON

LE CENTER

LE SUEUR

LITCHFIELD

LITTLE FALLS

LITTLEFORK

LONG PRAIRIE

LUVERNE

MABEL

MADELIA

MADISON

MAHNOMEN

MANKATO

MAPLE PLAIN

MAPLETON

MAPLEWOOD

MARSHALL

MCINTOSH

MELROSE

MENAHGA

MILACA

MINNEAPOLIS

MINNEOTA

MONTEVIDEO

MONTICELLO

MOORHEAD

MOOSE LAKE

MORA

MORGAN

LAKEVIEW METHODIST HCC

PLEASANT MANOR LLC

THE EMERALDS AT FARIBAULT LLC

TRINITY CARE CENTER

LB BROEN HOME

MN VETERANS HOME FERGUS FALLS

PIONEER CARE CENTER

FAIR MEADOW NURSING HOME

THE GARDENS AT FOLEY LLC

BIRCHWOOD HEALTH CARE CENTER

ESSENTIA HEALTH FOSSTON

FRANKLIN RESTORATIVE CARE CTR

FRAZEE CARE CENTER

INTERLUDE RESTORATIVE SUITES

THE ESTATES AT FRIDLEY LLC

MAPLE LAWN SENIOR CARE

OAK TERRACE HEALTH CARE CENTER

GLENCOE REGIONAL HEALTH SRVCS

GLENWOOD VILLAGE CARE CENTER

BROOKVIEW A VILLA CENTER

COURAGE KENNY REHAB INST TRP

COVENANT LVG CARE & REHAB CTR

ESSENTIA HEALTH GRACE HOME

NORTH SHORE HEALTH

MEADOW MANOR

GRAND VILLAGE

THE EMERALDS AT GRAND RAPIDS

AVERA GRANITE FALLS CARE CTR

LIFECARE GREENBUSH MANOR

KITTSON MEMORIAL HOSPITAL

HALSTAD LIVING CENTER

GUNDERSEN HARMONY CARE CENTER

AUGUSTANA CARE HASTINGS HEALTH

REGINA SENIOR LIVING

FIELD CREST CARE CENTER

HENDRICKS COMMUNITY HOSPITAL

GUARDIAN ANGELS HEALTH & REHAB

TUFF MEMORIAL HOME

AUGUSTANA CHAPEL VIEW CARE CTR

HOPKINS HEALTH SERVICES

VALLEY VIEW HEALTHCARE & REHAB

GOOD SAM SOCIETY HOWARD LAKE

HARMONY RIVER LIVING CENTER

GOOD SAM INTERNATIONAL FALLS

GOOD SAM INVER GROVE HEIGHTS

WOODLYN HEIGHTS HEALTHCARE CTR

DIVINE PROVIDENCE HEALTH CENTR

GOOD SAM JACKSON

WHISPERING CREEK

KARLSTAD HEALTHCARE CTR INC

LA CRESCENT HEALTH SVCS

MAYO CLINIC HEALTH SYSTEM

SUNNYSIDE CARE CENTER

COLONIAL MANOR NURSING HOME

VALLEY VIEW MANOR HCC

CENTRAL HEALTH CARE

RIDGEVIEW LESUEUR LTC&REHAB CT

MEEKER MANOR REHAB CTR LLC

LITTLE FALLS CARE CENTER

ST OTTO'S CARE CENTER INC

LITTLEFORK MEDICAL CENTER

CENTRACARE HEALTH SYSTEM

GOOD SAMARITAN MARY JANE BROWN

MN VETERANS HOME LUVERNE

GREEN LEA SENIOR LIVING

LIVING MEADOWS AT LUTHER

MADISON HEALTHCARE SERVICES

MAHNOMEN HEALTH CENTER

HILLCREST CARE & REHAB CENTER

LAURELS PEAK CARE & REHAB CTR

OAKLAWN CARE & REHAB CENTER

PATHSTONE LIVING

HAVEN HOMES OF MAPLE PLAIN

MAPLETON COMMUNITY HOME

GOOD SAM SOC MAPLEWOOD

MAPLEWOOD CARE CENTER

RAMSEY COUNTY CARE CENTER

AVERA MARSHALL REG MED CENTER

MCINTOSH SENIOR LIVING

CENTRACARE HEALTH SYS MELROSE

GREEN PINE ACRES NURSING HOME

ELIM HOME MILACA

BENEDICTINE HEALTH CTR OF MPLS

CATHOLIC ELDERCARE ON MAIN

EBENEZER CARE CENTER

FAIRVIEW UNIVERSITY TRANS SVCS

JONES HARRISON RESIDENCE

MN VETERANS HOME MINNEAPOLIS

MOUNT OLIVET CAREVIEW HOME

PROVIDENCE PLACE

REDEEMER RESIDENCE INC

THE ESTATES AT CHATEAU LLC

THE VILLA AT BRYN MAWR

TWIN CITY GARDENS

VICTORY HEALTH & REHAB CTR

WALKER METHODIST HEALTH CTR

MINNEOTA MANOR HCC

LUTHER HAVEN

CENTRACARE HEALTH MONTICELLO

EVENTIDE LUTHERAN HOME

MOORHEAD RESTORATIVE CARE CTR

AUGUSTANA MERCY CARE CENTER

ST. CLARE LVG COMM OF MORA

GIL MOR MANOR

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LOCATION NURSING HOME LOCATION NURSING HOME

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Page

MORRIS

MOUNTAIN LAKE

NEW BRIGHTON

NEW HOPE

NEW LONDON

NEW PRAGUE

NEW RICHLAND

NEW ULM

NORTH BRANCH

NORTH OAKS

NORTHFIELD

OAK PARK HEIGHTS

OLIVIA

ONAMIA

ORTONVILLE

OSAKIS

OSSEO

OSTRANDER

OWATONNA

PARK RAPIDS

PARKERS PRAIRIE

PAYNESVILLE

PELICAN RAPIDS

PERHAM

PIERZ

PINE CITY

PINE ISLAND

PINE RIVER

PIPESTONE

PLAINVIEW

PLYMOUTH

PRINCETON

RED WING

REDWOOD FALLS

RENVILLE

RICHFIELD

ROBBINSDALE

ROCHESTER

ROCHESTER

ROSEAU

ROSEVILLE

RUSH CITY

RUSHFORD

SANDSTONE

SARTELL

SAUK CENTRE

SAUK RAPIDS

SHAKOPEE

SILVER BAY

SLEEPY EYE

SPRING GROVE

SPRING PARK

SPRING VALLEY

SPRINGFIELD

ST LOUIS PARK

ST PAUL

ST. ANTHONY

ST. CHARLES

ST. CLOUD

ST. JAMES

ST. LOUIS PARK

ST. PAUL

ST. PETER

STAPLES

WEST WIND VILLAGE

GOOD SAM MOUNTAIN LAKE

BEACON HAVEN

BENEDICTINE HLTH CTR INNSBRUCK

NEW BRIGHTON A VILLA CENTER

NEW BRIGHTON CARE CENTER

GOOD SAM AMBASSADOR

NORTH RIDGE HEALTH AND REHAB

ST. THERESE HOME

GLENOAKS SENIOR LIVING CAMPUS

MALA STRANA CARE & REHAB CTR

NEW RICHLAND CARE CENTER

OAK HILLS LIVING CENTER

ECUMEN NORTH BRANCH

PRESBYTERIAN HOMES NORTH OAKS

NORTHFIELD CARE CENTER INC

NORTHFIELD CITY HOSPITAL & NSG

THREE LINKS CARE CENTER

GABLES OF BOUTWELLS LANDING

OLIVIA RESTORATIVE CARE CTR

MILLE LACS HEALTH SYSTEM

FAIRWAY VIEW NEIGHBORHOODS

GALEON

THE VILLA AT OSSEO

OSTRANDER CARE AND REHAB

KODA LIVING COMMUNITY

HERITAGE LIVING CENTER

ST. WILLIAMS LIVING CENTER

CENTRACARE HEALTH PAYNESVILLE

PELICAN VALLEY HEALTH CENTER

PERHAM LIVING

PIERZ VILLA INC

LAKESIDE MEDICAL CENTER

PINE HAVEN CARE CENTER INC

GOOD SAM PINE RIVER

GOOD SAM PIPESTONE

THE GREEN PRAIRIE REHAB CTR

INTERLUDE

MISSION NURSING HOME

THE BIRCHES AT TRILLIUM WOODS

ELIM HOME

BAY VIEW NURSING & REHAB CTR

ST. CRISPIN LIVING COMMUNITY

RIVER VALLEY HEALTH & REHAB

RENVILLA HEALTH CENTER

RICHFIELD A VILLA CENTER

GOOD SAM SPECIALTY CARE COMM

ROBBINSDALE A VILLA CENTER

ST. THERESE TCU NORTH LLC

CHARTER HOUSE INC

EDENBROOK OF ROCHESTER

MADONNA TOWERS OF ROCHESTER

ROCHESTER EAST HLTH SVCS

ROCHESTER REHAB & LIVING CTR

ROCHESTER WEST HEALTH SVCS

SAMARITAN BETHANY HM ON EIGHTH

LIFECARE MEDICAL CENTER

LANGTON SHORES

ROSE OF SHARON A VILLA CENTER

THE ESTATES AT ROSEVILLE LLC

THE ESTATES AT RUSH CITY LLC

GOOD SHEPHERD LUTHERAN HOME

SANDSTONE HEALTH CARE CENTER

COUNTRY MANOR HLTH & REHAB CTR

ST. BENEDICTS SENIOR COMMUNITY

CENTRACARE HEALTH SYSTEM

GOOD SHEPHERD LUTHERAN HOME

SHAKOPEE FRIENDSHIP MANOR

ST GERTRUDES HLTH & REHAB CTR

MN VETERANS HOME SILVER BAY

DIVINE PROVIDENCE COMMUNITY HM

SLEEPY EYE CARE CENTER

TWEETEN LUTHERAN HEALTH C C

LAKE MINNETONKA SHORES

SPRING VALLEY CARE CENTER

ST. JOHN LUTHERAN HOME

PARK HEALTH A VILLA CENTER

THE ESTATES AT ST LOUIS PARK

CAPITOL VIEW TRANSITIONAL CARE

CARONDELET VILLAGE CARE CENTER

CERENITY CARE CTR ON HUMBOLDT

CERENITY MARIAN ST PAUL LLC

EPISCOPAL CHURCH HOME GARDENS

EPISCOPAL CHURCH HOME OF MN

GALTIER A VILLA CENTER

SHIRLEY CHAPMAN SHOLOM HOME E

THE EMERALDS AT ST PAUL LLC

ST. ANTHONY HEALTH & REHAB

WHITEWATER HEALTH SERVICES

ST. BENEDICTS SENIOR COMMUNITY

TALAHI NURSING & REHAB CENTER

GOOD SAM SOCIETY ST JAMES

SHOLOM HOME WEST

TEXAS TERRACE A VILLA CENTER

THE VILLA AT ST LOUIS PARK

HIGHLAND CHATEAU HCC

LITTLE SISTERS OF THE POOR

LYNGBLOMSTEN CARE CENTER

NEW HARMONY CARE & REHAB CTR

ST. ANTHONY PARK HOME

THE ESTATES AT LYNNHURST LLC

BENEDICTINE LVG COMM ST PETER

SO PSYCHIATRIC NF ST PETER

LAKEWOOD HEALTH SYSTEM

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LOCATION NURSING HOME LOCATION NURSING HOME

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Page

STARBUCK

STEWARTVILLE

STILLWATER

THIEF RIVER FALLS

TRACY

TRIMONT

TRUMAN

TWO HARBORS

TYLER

ULEN

VIRGINIA

WABASHA

WABASSO

WACONIA

WADENA

WAITE PARK

WARREN

WARROAD

WASECA

WATKINS

WAYZATA

WELLS

WEST ST. PAUL

WESTBROOK

WHEATON

WHITE BEAR LAKE

WILLMAR

WINDOM

WINONA

WINSTED

WINTHROP

WOODBURY

WORTHINGTON

WYOMING

ZUMBROTA

MINNEWASKA COMMUNITY HLTH SVC

STEWARTVILLE CARE CENTER

GOOD SAM SOCIETY STILLWATER

THE ESTATES AT GREELEY LLC

THE ESTATES AT LINDEN LLC

OAKLAND PARK COMMUNITIES INC

THIEF RIVER CARE CENTER

PRAIRIE VIEW SENIOR LIVING

SEASONS HEALTHCARE

TRUMAN SENIOR LIVING

THE WATERVIEW SHORES LLC

AVERA TYLER HOSPITAL

VIKING MANOR NURSING HOME

ESSENTIA HEALTH VIRGINIA

THE WATERVIEW PINES LLC

ST. ELIZABETHS MEDICAL CENTER

WABASSO RESTORATIVE CARE CTR

AUBURN HOME IN WACONIA

GOOD SAM WACONIA&WESTVIEW ACRE

FAIR OAKS NURSING & REHAB LLC

STERLING PARK HCC

NORTH STAR MANOR

WARROAD CARE CENTER

LAKESHORE INN NURSING HOME

HILLTOP HEALTH CARE CENTER

FOLKESTONE

PARKVIEW CARE CENTER WELLS

SOUTHVIEW ACRES HEALTHCARE CTR

WALKER METHODIST WESTWOOD II

GOOD SAM WESTBROOK

TRAVERSE CARE CENTER

CERENITY CARE CENTER WBL

BETHESDA

CARRIS HLTH CC THERAPY SUITES

GOOD SAM WINDOM

LAKE WINONA MANOR

SAINT ANNE EXTENDED HEALTHCARE

SAUER HEALTH CARE

THE GARDENS AT WINSTED LLC

GOOD SAM WINTHROP

ST. THERESE OF WOODBURY LLC

WOODBURY HEALTH CARE CENTER

CROSSROADS CARE CENTER

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MEADOWS ON FAIRVIEW

ZUMBROTA CARE CENTER

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LOCATION OUTPATIENT OCCUPATIONAL THERAPY PROVIDER LOCATION OUTPATIENT PHYSICAL THERAPY PROVIDER

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Page

BLOOMINGTON

CAMBRIDGE

DULUTH

EDEN PRAIRIE

EDINA

FRIDLEY

GOLDEN VALLEY

HAM LAKE

HOPKINS

JACKSON

MANKATO

MINNEAPOLIS

MINNETONKA

MORRIS

PARK RAPIDS

PLYMOUTH

RICHFIELD

ROGERS

RUSHFORD

SARTELL

ST. CLOUD

ST. PAUL

VIRGINIA

WATERTOWN

WEST ST. PAUL

THE THERAPY PLACE

HEALTH DIMENSIONS REHAB INC

EH POLINSKY MEDICAL REHAB CTR

AEGIS THERAPIES

CAPERNAUM PEDIATRIC THERAPY

NOVA CARE OUTPATIENT REHAB

METRO THERAPY SPECIAL CHILDREN

REHAB SERV GOLDEN VALLEY INC

HAM LAKE PHYSICAL THERAPY

CENTREX REHAB

PRAIRIE REHABILITATION SERVS

PEDIATRIC THERAPY SERVICES

A CHANCE TO GROW INC

THE FAMILY PARTNERSHIP

ST. DAVIDS CHILD DV FAMILY SRV

RURAL REHABILITATION SERVICES

PARK RAPIDS PT AND REHAB

REHABCARE AGENCY MN

FRASER RICHFIELD

FIVE STAR REHAB WELLNESS SERV

NOVACARE REHABILITATION

THERAPY NETWORK

NOVACARE REHABILITATION

SPOT REHABILITATION INC

LIFETRACK RESOURCES

PROFESSIONAL REHAB CONSULTANTS

IRON RANGE REHAB CENTER

PRO REHAB

NOVACARE REHAB

BLOOMINGTON

CAMBRIDGE

DULUTH

EDEN PRAIRIE

EDINA

FOREST LAKE

GOLDEN VALLEY

GRAND RAPIDS

HAM LAKE

HOPKINS

JACKSON

MANKATO

MARSHALL

MINNEAPOLIS

MINNETONKA

MORRIS

PARK RAPIDS

PLYMOUTH

RICHFIELD

ROGERS

RUSHFORD

SARTELL

SAUK RAPIDS

ST. CLOUD

ST. PAUL

VIRGINIA

WATERTOWN

WEST ST. PAUL

WILLMAR

ADVACARE CLINICS LTD

THE THERAPY PLACE

HEALTH DIMENSIONS REHAB INC

EH POLINSKY MEDICAL REHAB CTR

AEGIS THERAPIES

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INTREPID USA HEALTHCARE SRVCS

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OTTOMEYER CLINICS PLLC

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THE HEALTH ENHANCEMENT CTR

THE FAMILY PARTNERSHIP

ST. DAVIDS CHILD DV FAMILY SRV

RURAL REHABILITATION SERVICES

PARK RAPIDS PT AND REHAB

REHABCARE AGENCY MN

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THERAPY NETWORK

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SPINAL REHAB CLINIC

SPOT REHABILITATION INC

LIFETRACK RESOURCES

IRON RANGE REHAB CENTER

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NELSON CLINIC & REHAB CARE PA

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BLOOMINGTON

CAMBRIDGE

DULUTH

EDEN PRAIRIE

EDINA

FRIDLEY

GOLDEN VALLEY

HOPKINS

MANKATO

MINNEAPOLIS

MINNETONKA

MORRIS

PARK RAPIDS

PLYMOUTH

RICHFIELD

ROGERS

ST. CLOUD

ST. PAUL

VIRGINIA

WATERTOWN

THE THERAPY PLACE

HEALTH DIMENSIONS REHAB INC

EH POLINSKY MEDICAL REHAB CTR

AEGIS THERAPIES

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NOVA CARE OUTPATIENT REHAB

METRO THERAPY SPECIAL CHILDREN

REHAB SERV GOLDEN VALLEY INC

CENTREX REHAB

PEDIATRIC THERAPY SERVICES

A CHANCE TO GROW INC

THE FAMILY PARTNERSHIP

ST. DAVIDS CHILD DV FAMILY SRV

RURAL REHABILITATION SERVICES

PARK RAPIDS PT AND REHAB

REHABCARE AGENCY MN

FRASER RICHFIELD

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LIFETRACK RESOURCES

PROFESSIONAL REHAB CONSULTANTS

IRON RANGE REHAB CENTER

PRO REHAB

ALEXANDRIA

BAXTER

BLAINE

BLOOMINGTON

BURNSVILLE

CHASKA

COON RAPIDS

DETROIT LAKES

DULUTH

EAGAN

EDINA

FAIRMONT

FARIBAULT

GRAND RAPIDS

HUTCHINSON

LAKE ELMO

MANKATO

MAPLE GROVE

MAPLEWOOD

MARSHALL

CENTER FOR PAIN MANAGEMENT

MINNESOTA EYE INSTITUTE

VANCE THOMPSON VISION

BRAINERD LAKES SURGERY CTR

BLAINE ORTHOPEDIC SURGERY CTR

MINNESOTA EYE LASER & SURGERY

NORTH METRO SURGERY CENTER

CHU SURGERY CENTER LLC

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MNGI ENDOSCOPY BLOOMINGTON

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REGIONAL EYE SURGERY CTR INC

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PAIN CENTERS OF MN MANKATO

CENTER FOR RESTORATIVE SURGERY

FAIRVIEW MAPLE GROVE SURG CTR

METROPOLITAN SURGICAL CTR

NORTH MEMORIAL AMBU SURG

HEALTHEAST SURGERY CENTER

MNGI ENDOSCOPY MAPLEWOOD

SOUTHWEST MINNESOTA SURG CTR

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Page

MINNEAPOLIS

MINNETONKA

NEW BRIGHTON

PLYMOUTH

ST. CLOUD

ST. LOUIS PARK

ST. PAUL

STILLWATER

VADNAIS HEIGHTS

VIRGINIA

WILLMAR

WINONA

WOODBURY

WORTHINGTON

GREENWAY SURGICAL SUITES

U OF M HEALTH CLINICS SURGERY

CHILDRENS HEALTH CARE SERVICES

MINNESOTA EYE LASER & SURGERY

MINNETONKA AMBULATORY SURGERY

MINNESOTA VASCULAR SURGERY CTR

ILBNC SPECIAL PROCEDURES

MNGI ENDOSCOPY PLYMOUTH

WESTHEALTH SURGERY CENTER LLC

CENTRACARE SURGERY CTR LLC

MIDSOTA SURGICAL SUITES

ST. CLOUD CTR OPHTHALMIC SURG

ST. CLOUD SURGICAL CENTER

CENTER FOR DIAGNOSTIC IMAGING

MINNESOTA ENDOSCOPY CENTER LLC

ASSOCIATED EYE CARE AMB SURG

VADNAIS HEIGHTS SURGERY CENTER

NORTHWOODS SURGERY CENTER LLC

CARRIS HEALTH SURGERY CENTER

FAMILY SURGERY CENTER LLC

GUNDERSEN LUTHERAN MEDICAL CTR

CENTER FOR DIAGNOSTIC IMAGING

LANDMARK SURGERY CENTER

MIDWEST SURGERY CENTER

MN EYE LASER & SURGERY CTRS

MNGI ENDOSCOPY WOODBURY

TRIA ORTHOPAEDIC WOODBURY

WOODBURY SURGERY CENTER

AVERA MED GROUP WORTHINGTON

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628

LOCATION PORTABLE X-RAY SUPPLIER

==================================================================== ====================================================================

Page

MOBILEX USA

PROF PORTABLE X RAY INC

FIREFLY IMAGING SERVICES LLC

PREVENTIVE DIAGNOSTICS INC

BLOOMINGTON

BURNSVILLE

JACKSON

MINNEAPOLIS

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629

LOCATION RURAL HEALTH CLINIC LOCATION RURAL HEALTH CLINIC

==========================================================================================================================================

Page

ADA

AITKIN

APPLETON

ARLINGTON

AURORA

BAGLEY

BALATON

BAUDETTE

BENSON

BERTHA

BOYD

BROOTEN

BROWERVILLE

BROWNS VALLEY

CANBY

CLEARBROOK

CROOKSTON

DASSEL

DAWSON

EAGLE BEND

ELY

FERTILE

FULDA

GARRISON

GAYLORD

GLENWOOD

GRACEVILLE

HALLOCK

HALSTAD

HECTOR

HENDERSON

HENDRICKS

HENNING

HILLMAN

HINCKLEY

INTERNATIONAL FALLS

ISLE

IVANHOE

JACKSON

KARLSTAD

LAKE BENTON

LAKEFIELD

LITCHFIELD

LITTLEFORK

LONG PRAIRIE

LONGVILLE

MADISON

MAHNOMEN

MAHNOMEN

MCGREGOR

MELROSE

MENAHGA

MOTLEY

MOUNTAIN LAKE

OKLEE

OLIVIA

ONAMIA

OTTERTAIL

PARK RAPIDS

PAYNESVILLE

PELICAN RAPIDS

PIERZ

PILLAGER

PINE CITY

RANDALL

RED LAKE FALLS

REDWOOD FALLS

REMER

RENVILLE

RICHMOND

SANDSTONE

SAUK CENTRE

SEBEKA

SLAYTON

SLEEPY EYE

STAPLES

STARBUCK

TRACY

TWIN VALLEY

TYLER

ULEN

VERNDALE

WABASHA

WADENA

WALKER

WALNUT GROVE

WARREN

WESTBROOK

WHEATON

WINDOM

WINTHROP

ESSENTIA HEALTH ADA CLINIC

RIVERWOOD CLINIC AITKIN

APPLETON MUN HOSPITAL & NH

RIDGEVIEW ARLINGTON CLINIC

ESSENTIA HEALTH NORTHERN PINES

ESSENTIA HEALTH BAGLEY CLINIC

SANFORD BAGLEY CLINIC

SANFORD CLINIC BALATON

LAKEWOOD HEALTH CENTER CLINIC

SWIFT COUNTY BENSON HLTH SVCS

TRI COUNTY HC BERTHA CLINIC

JOHNSON MEMORIAL BOYD CLINIC

BROOTEN MEDICAL CENTER

LAKEWOOD CLINIC BROWERVILLE

BROWNS VALLEY CLINIC

SANFORD CLINIC CANBY

SANFORD BAGLEY CLEARBROOK CLNC

RIVERVIEW CLINIC

DASSEL MEDICAL CENTER

MEEKER MEMORIAL HOSP & CLINICS

DAWSON CLINIC

LAKEWOOD CLINIC EAGLE BEND

ESSENTIA HEALTH ELY CLINIC

RIVERVIEW CLINIC

MURRAY COUNTY CLINIC FULDA

RIVERWOOD HEALTH CC GARRISON

RIDGEVIEW GAYLORD CLINIC

GLENWOOD MEDICAL CENTER

ESSENTIA HEALTH GRACEVILLE

KITTSON MEMORIAL CLINIC

SANFORD HEALTH HALSTAD CLINIC

HECTOR CLINIC

RIDGEVIEW HENDERSON CLINIC

HENDRICKS CLINIC

TRI COUNTY HC HENNING CLINIC

MILLE LACS FAMILY CLINIC

GATEWAY FAMILY HEALTH CLINIC

WELIA HEALTH HINCKLEY

ESSENTIA HEALTH INTER FALLS

RAINY LAKE MEDICAL CENTER

MILLE LACS FAMILY CLINIC ISLE

IVANHOE MEDICAL CENTER

SANFORD CLINIC JACKSON

KITTSON MEM CLINIC OF KARLSTAD

AVERA MED GROUP LAKE BENTON

SANFORD CLINIC LAKEFIELD

MEEKER MEMORIAL HOSP & CLINICS

RAINY LAKE CLINIC LITTLEFORK

CENTRACARE HEALTH SYSTEM

CRMC LONGVILLE

LAC QUI PARLE CLINIC MADISON

ESSENTIA ST. MARY'S MAHNOMEN

SANFORD HEALTH MAHNOMEN CLINIC

RIVERWOOD MCGREGOR CLINIC

CENTRACARE HLTH-MELROSE CLINIC

ESSENTIA HEALTH MENAHGA CLINIC

LAKEWOOD CLINIC MOTLEY

SANFORD CLINIC MOUNTAIN LAKE

ESSENTIA HEALTH OKLEE CLINIC

OLIVIA HOSPITAL & CLINIC

MILLE LACS FAMILY CLNC ONAMIA

TRI COUNTY HC OTTERTAIL CLINIC

ESSENTIA HEALTH PARK RAPIDS CL

CENTRACARE HLTH PAYNESVILLE CL

ESSENTIA PELICAN RAPIDS CLINIC

SANFORD HLTH PELICN RPDS CLINC

FAMILY MEDICAL CENTER

LAKEWOOD CLINIC PILLAGER

FIRSTLIGHT PINE CITY

RANDALL LAKES AREA CLINIC

RIVERVIEW CLINIC

CARRIS HEALTH - REDWOOD, LLC

ESSENTIA HEALTH REMER CLINIC

RENVILLE CLINIC

CENTRACARE HLTH RICHMOND CLINI

GATEWAY FAMILY CLINIC

CENTRACARE CLINIC SAUK CENTRE

TRI COUNTY HC SEBEKA CLINIC

SLAYTON CLINIC

SLEEPY EYE MEDICAL CENTER

LAKEWOOD CLINIC STAPLES

STARBUCK MEDICAL CENTER

STEVENS COMMUNITY STARBUCK

SANFORD CLINIC TRACY

SANFORD HLTH TWIN VALLEY CLNC

AVERA MEDICAL GROUP TYLER

SANFORD HEALTH ULEN CLINIC

TRI COUNTY HOSP VERNDALE CLINI

ST. ELIZABETHS COMM CLINIC

TRI COUNTY HC WADENA CLINIC

ESSENTIA HEALTH WALKER CLINIC

SANFORD HEALTH WALKER CLINIC

SANFORD TRACY WALNUT GROVE CLC

NORTH VALLEY HLTH CTR CLINIC

SANFORD CLINIC WESTBROOK

SANFORD WHEATON

SANFORD CLINIC WINDOM

RIDGEVIEW WINTHROP CLINIC

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630

LOCATION SUPERVISED LIVING FACILITY DHS lic

======================================================================

LOCATION SUPERVISED LIVING FACILITY DHS lic

======================================================================

Page

ALBERT LEA

ANOKA

ARDEN HILLS

ARLINGTON

ATWATER

AURORA

BELLE PLAINE

BIG LAKE

BIRD ISLAND

BLAINE

BLOOMINGTON

BRAINERD

BROOKLYN CENTER

BROOKLYN PARK

BROOKSTON

BUFFALO

BURNSVILLE

CAMBRIDGE

CANNON FALLS

CARLTON

CENTER CITY

CHISHOLM

COON RAPIDS

CRYSTAL

DAWSON

DULUTH

EAGAN

EAST BETHEL

EDEN PRAIRIE

EDINA

FAIRMONT

FARMINGTON

FERGUS FALLS

GOLDEN VALLEY

GOLDEN VALLEY

GRAND RAPIDS

GRANITE FALLS

HASTINGS

HIBBING

HOUSTON

INVER GROVE HEIGHTS

LA CRESCENT

LAKE ELMO

LAKEVILLE

LONG LAKE

LUVERNE

MADELIA

MAHTOMEDI

MANKATO

MAPLE GROVE

MAPLEWOOD

MARSHALL

MENDOTA HEIGHTS

MINNEAPOLIS

FOUNTAIN CENTERS

ANOKA METRO REG TREATMENT CTR

ACR HOME ON CUMMINGS

PHOENIX AT JANET COURT

HIGH ISLAND CREEK RESIDENCE

ATWATER ICFIID

DRCC AURORA

THE LUTHERAN HOME HOPE RES

LIVING WELL POWELL

RENVILLE COUNTY COMM RES

ANTHONY LOUIS CENTER

CARLSON DRAKE HOUSE

MTAI ALBERT PLACE

MTAI BLOOMINGTON

FOUR WINDS TREATMENT PROGRAM

MN SPECIALTY HEALTH SYSTEM

LIVING WELL LYNDALE

MTAI BROOKLYN CENTER

ACR HOME ON FALLGOLD

HOMEWARD BOUND BROOKLYN PARK

LIVING WELL EDGEWOOD

REM HENNEPIN INC LAKELAND

SHINGLE CREEK OPTION

WINTER HOMES INCORPORATED

LIVING WELL DOUGLAS

LIVING WELL KENNELLY

LIVING WELL CENTRAL

VALLEY VIEW RECOVERY CENTER

COMMUNITY ADDICTION RECOVERY

HAZELDEN FOUNDATION

RANGE CENTER LEGACY

BETHESDA LUTHERAN COMM COT 5

BETHESDA LUTHERAN COMM COT 6

CAMILIA ROSE GROUP HOME

MTAI RICE CREEK

REM HENNEPIN INC CRYSTAL

DAWSON ICF MR

E B I INCORPORATED

NORTHWOOD CHILDRENS SVS INC

RES TREATMENT & DETOX CTR

THUNDERBIRD WREN HOUSE

LIVING WELL POPPLER

CAMBIA HILLS OF EAST BETHEL

PRIDE INSTITUTE

RIVER RIDGE LLC A WOMAN'S WAY

REM HENNEPIN INC WILLIAM

REM HEARTLAND INC AMBER

REM HEARTLAND INC BUDD

PAUL'S PLACE

ARLINGTON HOME

CARE FERGUS FALLS

HAMMER LEE

MTAI GLADSON

MTAI SAND CREEK

OASIS

REM HENNEPIN INC REGENT

NORTHLAND RECOVERY CENTER

PROJECT TURNABOUT

COCHRAN RECOVERY SERVICES INC

HENRY HAGEN RESIDENCE

RANGE CENTER ASPENWOOD HOME

RANGE CENTER MAPLEVIEW HOME

ABLE INC HOUSTON

CARECO APARTMENTS INC

GATEWAY RECOVERY CENTER LLC

LIVING WELL UPPER 55TH

ABLE INC LA CRESCENT

WILLOW HAVEN

RIVER RIDGE GLEN CREEK LODGE

ORONO WOODLANDS

RESIDENTIAL ADVANTAGES LLC

REM HEARTLAND INC MADELIA

LAKE SHORE RES TREATMENT

HARRY MEYERING CTR INC

PRAIRIES EDGE

REM HEARTLAND INC BIRCH

REM HEARTLAND INC CYPRESS

DUNGARVIN YOUGAL

HAMMER LAWNDALE

HOMEWARD BOUND MAPLE GROVE

LIVING WELL 75TH

AFTON PLACE

FURNESS HOUSE

HOWARD HOUSE

LIVING WELL BROOKVIEW

LIVING WELL COPE

LIVING WELL LARPENTEUR

LIVING WELL MARYLAND

PHOENIX AT CARVER

RADIAS HEALTH

RAJWOOD

REM RAMSEY INC LAKEWOOD

REM RAMSEY INC MAYHILL

BRENTWOOD HOME

PROJECT TURNABOUT HALFWAY HSE

REM SOUTHWEST SRVS MARSHALL A

REM SOUTHWEST SRVS MARSHALL C

LIVING WELL CARMEN

LIVING WELL DIANE

LIVING WELL MARY ADELE

LIVING WELL VICTORIA

MARGARETS HOUSE

AMERICAN INDIAN COMM DEVLP

BILL KELLY HOUSE

35 31 CR

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631

LOCATION SUPERVISED LIVING FACILITY DHS lic

======================================================================

LOCATION SUPERVISED LIVING FACILITY DHS lic

======================================================================

Page

MINNEAPOLIS

MINNETONKA

MONTEVIDEO

MOORHEAD

MOOSE LAKE

MOUNDS VIEW

NEVIS

NEW BRIGHTON

NEW HOPE

NEW ULM

NEWPORT

NORTH MANKATO

NORTH ST. PAUL

NORTHFIELD

NORWOOD YOUNGAMERIC

ORTONVILLE

OWATONNA

PINE CITY

PLYMOUTH

ROBBINSDALE

ROCHESTER

ROCHESTER

ROSEVILLE

SAUK RAPIDS

SCANDIA

SHAKOPEE

SHERBURN

SHOREVIEW

SLAYTON

SOUTH ST. PAUL

ST PAUL

ST. AUGUSTA

ST. CLOUD

ST. LOUIS PARK

ST. PAUL

ST. PAUL PARK

ST. PETER

STILLWATER

VADNAIS HEIGHTS

VICTORIA

VIRGINIA

WACONIA

WADENA

WAYZATA

WEST ST. PAUL

WHITE BEAR LAKE

EDEN RESIDENTIAL PROGRAM

HCMC CRISIS RESIDENCE

JORGENSEN HOUSE

LIVING CHALLENGE

PEOPLE II

REENTRY HOUSE

REENTRY HOUSE CRISIS STBL PROG

REM HENNEPIN INC QUEEN

REM HENNEPIN PILLSBURY

TURNING POINT INC

HAMMER LAKESIDE

REM HENNEPIN MINNETONKA

REM SW SERVICES MONTEVIDEO

CLAY COUNTY RECEIVING CENTER

MN SEX OFFENDER PROGRAM

AXIS ON ST. MICHAEL

PHOENIX AT LUDDEN

PINE MANORS INC

ACR HOME ON REDWOOD

SILVER OAKS

MTAI MINNEHAHA CREEK

BROWN COUNTY EVAL CENTER INC

MBW COMPANY

MBW ON RAYMOND

NEW ULM MEDICAL CENTER

PHOENIX AT NEWPORT

ROLLINGWOOD HOME

THERESE K SEXTON HOME SOUTH

REM RAMSEY INC NORTH OAKS

AZULE OPPORTUNITIES, LLC

LAURA BAKER SERVICES ASSC

MOUNT OLIVET ROLLING ACRES

MONARCH HEIGHTS

KAPLAN WOODS CARE HOME

MEADOW CREEK

DUNGARVIN CHAI

HAMMER KENTUCKY

HAMMER MCGLINCH

HAZELDEN CTR FOR YOUTH & FAM

HOMEWARD BOUND PLYMOUTH

JUDY RATTERATH WDRL MGT CTR

MTAI PLYMOUTH EAST

ON BELAY HOUSE

ACR HOME ON ROBIN

LIVING WELL 3801

LIVING WELL 3807

LIVING WELL FRANCE

ALLENDALE HOUSE

JOHN E HERMAN HOME & TRMT FAC

REM RIVER BLUFFS ROCHESTER SE

REM RIVER BLUFFS STONE PARK

THE GABLES

ZUMBRO VALLEY CONNECTIONS

ACR HOME ON LYDIA WEST

ACR ON DALE COURT

AXIS ON BELMONT

AXIS ON ELDRIDGE

BRIDGE RECOVERY LLC

REBECCAS RESIDENCE

DELPHI

COMM OPTIONS AND RESOURCES I

ACR HOME ON DAWN

AXIS ON GLENHILL

DUNGARVIN CAMARA

LAKE OWASSO RESIDENCE

WINGSPAN LIFE RESOURCES

PRAIRIE VIEW

LIVING WELL CONGRESS

DUNGARVIN TIKVAH

REFRACTIONS LLC

CTRL MN RECEIVING AND REFERRAL

FOCUS XII HALFWAY HOUSE

THE WAYSIDE HOUSE INC

DUNGARVIN BALBRIGGEN

LATITUDES TREATMENT CENTER LLC

PHOENIX AT DOUGLAS

PHOENIX AT FOSS

PHOENIX AT VIKING

RAMSEY COUNTY DETOX CENTER

ST. PAUL COMO COMMUNITY UNIT

TAPESTRY

TWIN TOWN TREATMENT CENTER

JANET'S RESIDENCE

COMM ADDICTION RECOVERY ENTERP

FORENSIC MENTAL HEALTH PROGRAM

FORENSIC MENTAL HEALTH PROGRAM

MSOP GREEN ACRES

MSOP PEXTON SHANTZ

MSOP SUNRISE

CEDAR RIDGE

PHOENIX AT CENTERVILLE

PHOENIX AT ENGLISH

SPRINGHILL

MOUNT OLIVET ROLLING ACRES

DONOVAN FRANK DETOX CENTER

MERRITT HOUSE

MOUNT OLIVET ROLLING ACRES

BELL HILL RECOVERY CENTER

MN SPECIALTY HEALTH SYSTEM

HAMMER CARLSON

HAMMER RIDGEVIEW

HAMMER SHERIDAN

LIVING WELL EAST EMERSON

AXIS ON WHITE BEAR AVENUE

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632

LOCATION SUPERVISED LIVING FACILITY DHS lic

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LOCATION SUPERVISED LIVING FACILITY DHS lic

======================================================================

Page

WHITE BEAR LAKE

WHITE BEAR TOWNSHIP

WILLMAR

WINDOM

WINONA

WINSTED

WOODSTOCK

WORTHINGTON

PHOENIX AT CASWELL

AXIS ON SENECA

COMMUNITY ADDICTION WILLMAR

MN SPECIALTY HEALTH SYSTEM

WOODLAND CENTERS

HOME FOR CREATIVE LIVING

COMMON GRND RECOVERY HSG INC

HOME AND COMMUNITY OPTIONS INC

MTAI TRILLIUM

NEW LIFE TREATMENT CENTER

C C S INC RIDGEWOOD

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633Page

============================================================================================================================================

BRAINERD

MILACA

MINNEAPOLIS

ST. PAUL

ST. PETER

LUNA WOMEN'S WELLNESS & BC PC

A NEW STORY BIRTH CENTER

MINNESOTA BIRTH CENTER

ROOTS COMMUNITY BIRTH CENTER

WILLOW MIDWIVES LTD

HEALTH FOUNDATIONS LLC

MINNESOTA BIRTH CENTER

RIVER VALLEY BIRTH CENTER

FALMOUTH

OSHKOSH

OVERLAND PARK

SHAKOPEE

SIOUX FALLS

ST. PAUL

PROMERICA HEALTH LLC

MOBILE MED DIAGNOSTICS LA CROS

EXAMINETICS INC

SCOTT COUNTY

SCREENING AMERICA

ST. LUKE MOBILE MEDICAL CLINIC

LOCATION BIRTH CENTER LOCATION MOBILE HEALTH EVALUATION/SCREENING

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Page 634 MINNESOTA DEPARTMENT OF HEALTH

Health Regulation Division

Alphabetical Listing of Locations of Health Care Facilities - March 15, 2021

TOWN COUNTY TOWN COUNTY

Ada Norman Adams Mower Adrian Nobles Afton Washington Aitkin Aitkin Akeley Hubbard Albany Stearns Albert Lea Freeborn Albertville Wright Alexandria Douglas Andover Anoka Annandale Wright Anoka Anoka Apple Valley Dakota Appleton Swift Arden Hills Ramsey Arlington Sibley Ashby Grant Atwater Kandiyohi Aurora St. Louis Austin Mower

Babbitt St. Louis Backus Cass Bagley Clearwater Balaton Lyon Barnesville Clay Barnum Carlton Barrett Grant Battle Lake Otter Tail Baudette Lake of the Woods Baxter Crow Wing Bayport Washington Belgrade Stearns Belle Plaine Scott Belview Redwood Bemidji Beltrami Benson Swift Bertha Todd Big Lake Sherburne

Bigfork Itasca Bird Island Renville Biwabik St. Louis

Blackduck Beltrami Blaine Anoka Blooming Prairie Steele Bloomington Hennepin Blue Earth Faribault Bovey Itasca Boyd Lac Qui Parle Braham Isanti Brainerd Crow Wing Brandon Douglas Breckenridge Wilkin Bricelyn Faribault Brooklyn Center Hennepin Brooklyn Park Hennepin Brookston St. Louis Browerville Todd Browns Valley Traverse Brownsdale Mower Buffalo Wright Buffalo Lake Renville Buhl St. Louis Burns Township Anoka Burnsville Dakota Byron Olmsted

Caledonia Houston Cambridge Isanti Canby Yellow Medicine Cannon Falls Goodhue Canton Fillmore Carlton Carlton Cass Lake Cass Cedar Anoka Center City Chisago Ceylon Martin Champlin Hennepin Chanhassen Carver Chaska Carver

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TOWN COUNTY

Chatfield Fillmore Chisago City Chisago Chisholm St. Louis Circle Pines Anoka Clara City Chippewa Clarissa Todd Clarkfield Yellow Medicine Clear Lake Sherburne Clearbrook Clearwater Clements Redwood Cleveland Le Sueur Clinton Big Stone Cloquet Carlton Cohasset Itasca Cokato Wright Cold Springs Stearns Coleraine Itasca Cologne Carver Columbia Heights Anoka Comfrey Brown Cook St. Louis Coon Rapids Anoka Corcoran Hennepin Cosmos Meeker Cottage Grove Washington Cotton St. Louis Cromwell Carlton Crookston Polk Crosby Crow Wing CrossLake Crow Wing Crystal Hennepin

Dalton Ottertail Danube Renville Danvers Swift Darwin Meeker Dassel Meeker Dawson Lac Qui Parle Dayton Hennepin Degraff Swift Deephaven Hennepin Deer River Itasca Deerwood Crow Wing Delano Wright Dent Otter Ta

TOWN COUNTY

Detroit Lakes Becker Dexter Mower Dilworth Clay Dodge Center Dodge Donnelly Stevens Duluth St. Louis Dundas Rice

Eagan Dakota Eagle Bend Todd East Bethel Anoka East Grand Forks Polk Eden Prairie Hennepin Eden Valley Stearns/Meeker Edgerton Pipestone Edina Hennepin Elbow Lake Grant Elizabeth Otter Tail Elk River Sherburne Elko Scott Ellendale Freeborn Ellsworth Nobles Ely St. Louis Erskine Polk Esko Carlton Evansville Douglas Eveleth St. Louis Excelsior Hennepin/Carver Eyota Olmsted

Fairfax Renville Fairmont Martin Falcon Heights Ramsey Faribault Rice Farmington Dakota Fergus Falls Otter Tail Fertile Polk Floodwood St. Louis Foley Benton Forest Lake Washington Foreston Anoka Fosston Polk Franklin Renville Frazee Becker Fridley Anoka Fulda Murray

Page 635

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TOWN COUNTY

Garrison Crow Wing Gaylord Sibley Gibbon Sibley Glencoe McLeod Glenville Freeborn Glenwood Pope Glyndon Clay Golden Valley Hennepin Goodhue Goodhue Graceville Big Stone Granada Martin Grand Marais Cook Grand Meadow Mower Grand Rapids Itasca Granite Falls Yellow Medicine Greenbush Roseau Greenfield Hennepin Grey Eagle Todd Grygla Marshall

Hackensack Cass Hallock Kittson Halstad Norman Ham Lake Anoka Hamel Mower Hancock Stevens Hanover Hennepin Hanska Brown Harmony Fillmore Hastings Dakota Hawley Clay Hayfield Dodge Hector Renville Henderson Sibley Hendricks Lincoln Henning Otter Tail Herman Grant Hermantown St. Louis Heron Lake Jackson Hibbing St. Louis Hill City Aitkin Hillman Morrison Hills Rock Hinckley Pine Hoffman Grant

TOWN COUNTY

Hollandale Freeborn Hopkins Hennepin Houston Houston Howard Lake Wright Hudson Wisconsin Hugo Anoka Hutchinson McLeod

International Falls Koochiching Inver Grove Heights Dakota Ironton Crow Wing Isanti Isanti Isle Ivanhoe Lincoln

Jackson Jackson Jacobson Aitkin Janesville Waseca Jordan Scott

Karlstad Kittson Kasson Dodge Kelliher Beltrami Kellogg Wabasha Kensington Douglas Kenyon Goodhue Kimball Stearns

LaCrescent Houston Lafayette Nicollet Lake Benton Lincoln Lake City Goodhue/Wabasha Lake Crystal Blue Earth Lake Elmo Washington Lake Park Becker Lakefield Jackson Lakeville Dakota Lamberton Redwood LeCenter LeSueur Leroy Mower Lester Prairie McLeod LeSueur LeSueur Lewiston Winona Lexington Anoka Lilydale Dakota

Page 636

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TOWN COUNTY

Lindstrom Chisago Lino Lakes Anoka Litchfield Meeker Little Canada Ramsey Little Falls Morrison Littlefork Koochiching Long Lake Hennepin Long Prairie Todd Lonsdale Rice Loretto Wright Luverne Rock

Mabel Fillmore Madelia Watonwan Madison Lac Qui Parle Madison Lake Blue Earth Mahnomen Mahnomen Mahtomedi Washington Mankato Blue Earth Maple Grove Hennepin Maple Plain Hennepin Mapleton Blue Earth Maplewood Ramsey Marshall Lyon McGregor Aitkin McIntosh Polk Meadowlands St. Louis Medford Steele Melrose Stearns Menahga Wadena Mendota Heights Dakota Merrifield Crow Wing Milaca Mille Lacs Minneapolis Hennepin Minneota Lyon Minnesota City Winona Minnetonka Hennepin Minnetrista Hennepin Montevideo Chippewa Montgomery LeSueur Monticello Wright Moorhead Clay Moose Lake Carlton Mora Kanabec Morgan Redwood

TOWN COUNTY

Morris Stevens Morristown Rice Motley Morrison Mound Hennepin Mountain Iron St. Louis Mountain Lake Cottonwood Murdock Swift

Nelson Douglas Nevis Hubbard New Brighton Ramsey New Germany Carver New Hope Hennepin New London Kandiyohi New Prague Scott New Richland Waseca New Ulm Brown New York Mills Otter Tail Newport Washington Nisswa Crow Wing North Branch Chisago North Mankato Nicollet North Oaks Ramsey North St. Paul Ramsey Northfield Rice Northome Koochiching Norwood Carver

Oak Grove Anoka Oak Park Heights Washington Oakdale Washington Ogilvie Kanabec Oklee Red Lake Falls Olivia Renville Onamia Mille Lacs Orono Hennepin Ortonville Big Stone Osage Becker Osakis Douglas Osseo Hennepin Ostrander Fillmore Otesgo Wright Otter Tail Otter Tail Owatonna Steele

Page 637

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TOWN COUNTY

Park Rapids Hubbard Parkers Prairie Otter Tail Paynesville Stearns Pelican Rapids Otter Tail Pequot Lakes Crow Wing Perham Otter Tail Pierz Morrison Pillager Cass Pine City Pine Pine Island Goodhue Pine River Cass Pine Springs Washington Pipestone Pipestone Plainview Wabasha Plymouth Hennepin Preston Fillmore Princeton Mille Lacs Prior Lake Scott Proctor St. Louis

Ramsey Anoka Ranier Koochiching Red Lake Beltrami Red Lake Falls Red Lake Red Wing Goodhue Redwood Falls Redwood Remer Cass Renville Renville Revere Redwood Richfield Hennepin Richmond Stearns Robbinsdale Hennepin Rochester Olmsted Rockford Wright Rogers Hennepin Roseau Roseau Rosemount Dakota Roseville Ramsey Rothsay Wilkin Round Lake Nobles Royalton Morrison Rush City Chisago Rushford Fillmore

TOWN COUNTY

St. Anthony Hennepin St. Anthony Village Ramsey St. Augusta Stearns St. Charles Winona St. Cloud Benton/Stearns/Sherburne St. Francis Anoka St. James Watonwan St. Louis Park Hennepin St. Michael Wright St. Paul Ramsey St. Peter Nicollet Sandstone Pine Sartell Benton/Stearns Sauk Centre Stearns Sauk Rapids Benton Savage Scott Scandia Washington Scanlon Carlton Sebeka Wadena Shafer Chisago Shakopee Scott Sheldon Iowa Sherburne Martin Shevlin Clearwater Shoreview Ramsey Shorewood Hennepin Silver Bay Lake Silver Creek Wright Slayton Murray Sleepy Eye Brown South Haven Wright South St. Paul Dakota Spicer Kandiyohi Spring Grove Houston Spring Lake Park Anoka Spring Park Hennepin Spring Valley Fillmore Springfield Brown Stacy Chisago Staples Wadena Starbuck Pope Stephen Marshall Stewartville Olmsted Stillwater Washington Sturgeon Lake Pine

Page 638

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TOWN COUNTY

Taunton Lyon Taylors Falls Chisago Thief River Falls Pennington Tonka Bay Hennepin Tower St. Louis Tracy Lyon Trimont Martin Truman Martin Twin Valley Norman Two Harbors Lake Tyler Lincoln

Ulen Clay Utica Winona

Vadnais Heights Ramsey Victoria Carver Virginia St. Louis

Wabasha Wabasha Wabasso Redwood Waconia Carver Wadena Wadena Waite Park Stearns Waldorf Waseca Walker Cass Walnut Grove Redwood Wanamingo Goodhue Warren Marshall Warroad Roseau Waseca Waseca Watertown Carver Waterville LeSueur Watkins Meeker Waverly Wright Wayzata Hennepin Welch Goodhue Welcome Martin Wells Faribault

TOWN COUNTY

West St. Paul Dakota Westbrook Cottonwood Wheaton Traverse White Bear Lake Ramsey White Earth Becker Willmar Kandiyohi Windom Cottonwood Winnebago Faribault Winona Winona Winsted McLeod Winthrop Sibley Woodbury Washington Woodstock Pipestone Worthington Nobles Wrenshall Carlton Wyoming Chisago/Anoka

Zimmerman Sherburne Zumbrota Goodhue

Page 639

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Minnesota Department of Health

Index For Directory of Facilities and Services

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

Index Page 1Health Regulation Division

SAFARI SERVICES LLC

1 BEST CARE INC

1-0 GRANNY'S HELPFUL HANDS LLC

1-0 GRANNY'S HELPFUL HANDS LLC

1-0 GRANNY'S HELPFUL HANDS LLC

1-0 GRANNY'S HELPFUL HANDS LLC

1-0 GRANNY'S HELPFUL HANDS LLC

1-BELEVO HEALTH SERVICES

1-BELEVO HEALTH SERVICES LLC

14TH STREET HOUSE

1ST ATTENTIVE SERVICES LLC

1ST ATTENTIVE SERVICES LLC

1ST ATTENTIVE SERVICES LLC

1ST CARE INC

1ST CARE INC

1ST CHOICE HOME LLC

1ST CHOICE HOME LLC

1ST CHOICE PEDIATRIC HOME CARE

2 CARING HANDS

2 CARING HANDS

2 CARING HANDS INC

2016 HOME

24 - SEVEN HOME CARE INC

24 SEVEN HOME CARE INC

24-SEVEN HOME CARE, INC.

24-SEVEN HOME CARE, INC.

2CARE4U LLC

2CARE4U SOUTH LLC

3CARE HEALTH LLC

3CARE HEALTH LLC

611 FLATS, LLC

A BEAUTIFUL CHOICE LLC

A CARING HOME LLC

A CARING HOME LLC

A CARING HOME LLC

A CHANCE TO GROW INC

A DAUGHTER'S LOVE INC

A DAUGHTER'S LOVE SUITES

A DAUGHTER'S LOVE SUITES

A DAUGHTER'S LOVE SUITES

A DAUGHTERS LOVE, INC.

A HELPING HAND SENIOR CARE SER

A HELPING HAND SENIOR CARE SER

A HELPING HAND SENIOR CARE SER

A HELPING HAND SENIOR CARE SER

A NEW STORY BIRTH CENTER

A TOUCH OF HOME NORTH

A&A RELIABLE HOME HEALTH CARE

A+ HOME HEALTH CARE INC

A-1 RELIABLE HOME CARE INC

A-1 RELIABLE HOME CARE INC

A-1 RELIABLE HOME CARE INC

A-1 RELIABLE HOME CARE INC

A-A-H MERCY HOME HEALTH

A-A-H MERCY HOME HEALTH LLC

AARAN CARE INC

ABBEYCARE INC

ABBOTT NORTHWESTERN HOSPITAL

ABC HOME HEALTH CARE PLUS LLC

ABIITAN MILL CITY

ABIITAN MILL CITY

ABILIT HOLDINGS MEADOW LAKES

ABILIT HOLDINGS PRAIRIE MEADOW

ABLE CARE CONNECT HOME HEALTH

ABLE INC HOUSTON

ABLE INC LA CRESCENT

ABRAHAM'S BOSOM CARE LLC

ABRAHAM'S BOSOM CARE LLC

ABSOLUTE HOMES INC

ABSOLUTE HOMES INC

ABUNDANT LIFE HOME HEALTH CARE

ACACIA CARE LLC

ACCENTCARE FAIRVIEW HH EAST

ACCENTCARE FAIRVIEW HH WEST

ACCENTCARE FAIRVIEW HSPIC WEST

ACCENTUCARE INC

ACCESS INFUSION HEALTHCARE INC

ACCESS MINNESOTA LLC

ACCESS MINNESOTA LLC

ACCESS NORTH CTR FOR IND OF NE

ACCESS RECOVERY CENTER INC

ACCESS RECOVERY CENTER INC.

ACCESS RECOVERY CENTER INC.

ACCESSIBLE SPACE INC 1

ACCESSIBLE SPACE INC 2

ACCESSIBLE SPACE INC 3

ACCESSIBLE SPACE INC 4

ACCESSIBLE SPACE INC NO

ACCESSIBLE SPACE INC SO

ACCORD

ACCRA CARE INC

ACCRA HOME CARE INC

WASHINGTON

RAMSEY

HENNEPIN

HENNEPIN

DAKOTA

HENNEPIN

HENNEPIN

RAMSEY

RAMSEY

CLAY

HENNEPIN

HENNEPIN

HENNEPIN

WASHINGTON

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

DAKOTA

DAKOTA

DAKOTA

ANOKA

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

ITASCA

SCOTT

SCOTT

SCOTT

HENNEPIN

ANOKA

HENNEPIN

HENNEPIN

DAKOTA

HENNEPIN

TODD

TODD

TODD

TODD

TODD

HENNEPIN

HENNEPIN

RAMSEY

HENNEPIN

MILLE LACS

BELTRAMI

RAMSEY

HENNEPIN

RAMSEY

HENNEPIN

HENNEPIN

RAMSEY

HENNEPIN

HENNEPIN

RAMSEY

RAMSEY

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

OLMSTED

DODGE

HENNEPIN

HOUSTON

HOUSTON

RAMSEY

RAMSEY

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

RAMSEY

HENNEPIN

HENNEPIN

SAINT LOUIS

BENTON

RAMSEY

STEARNS

SAINT LOUIS

DAKOTA

DAKOTA

DAKOTA

RAMSEY

RAMSEY

RAMSEY

RAMSEY

RAMSEY

RAMSEY

HENNEPIN

HENNEPIN

OTTER TAIL

568

447

243

242

120

243

209

460

433

71

243

178

178

572

145

145

145

243

113

91

105

14

178

178

179

179

334

518

518

518

243

7

308

243

91

288

550

550

550

550

550

243

243

460

243

373

31

461

145

461

314

313

461

314

314

461

448

244

318

244

244

393

125

321

327

328

448

448

244

244

159

159

426

244

244

498

36

447

535

509

105

91

105

448

461

448

448

448

448

244

234

404

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Minnesota Department of Health

Index For Directory of Facilities and Services

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

Index Page 2Health Regulation Division

ACCRA HOME HEALTH DULUTH

ACCRA HOME HEALTH INC

ACCREDO HEALTH GROUP INC

ACCURATE HOME CARE LLC

ACCURATE HOMES LLC

ACCURATE HOMES LLC

ACE HOMES INC

ACE HOMES INC

ACE VENT HOME

ACR HOME ON CUMMINGS

ACR HOME ON DAWN

ACR HOME ON FALLGOLD

ACR HOME ON LYDIA WEST

ACR HOME ON REDWOOD

ACR HOME ON ROBIN

ACR ON DALE COURT

ACTIVE AT HOME HELPERS

ADAGIO MANOR ASSISTED LIVING

ADAMS HEALTH CARE SERVICES

ADAMS HEALTH CARE SERVICES

ADAPTA

ADAPTA

ADAPTA

ADARA HOME HEALTH INC

ADARACARE INC

ADEG GROUP HOME LLC

ADEG GROUP HOME LLC

ADEQUATE HOME CARE LLC

ADEQUATE HOME CARE LLC

ADF CARE SERVICES

ADITH MILLER MANOR

ADNA HOMES LLC

ADNA HOMES LLC

ADNA K HOME HEALTH INC

ADRIAN COUNTRY LIVING COTTAGES

ADRIAN COUNTRY LIVING COTTAGES

ADULT CARE SERVICES OF MN INC

ADVACARE CLINICS LTD

ADVANCE GROUP HOME INC

ADVANCE GROUP HOMES INC

ADVANCED MEDICAL HOME CARE LLC

ADVANCED ONE CARE CENTER

ADVANCED ONE CARE CENTER INC

ADVANCED ONE CARE CENTER INC

AEGIS THERAPIES

AEON

AFFINITY RESIDENTIAL CARE LLC

AFFINITY RESIDENTIAL CARE LLC

AFFINITY RESIDENTIAL CARE LLC

AFFINITY RESIDENTIAL CARE LLC

AFFINITY RESIDENTIAL CARE LLC

AFTENRO HOME

AFTON CARE LLC

AFTON PLACE

AGAPE HEALTHCARE SERVICES INC

AGAPE HOME CARE PROVIDER

AGAPECARE SERVICES LLC

AGAPECARE SERVICES LLC

AGATE BAY ASSISTED LIVING LLC

AGATE BAY ASSISTED LIVING, LLC

AGELESS CARE INCORPORATED

AGELESS CARE INCORPORATED

AGILITY ADVANTAGE HHC LLC

AGILITY ADVANTAGE HOME HEALTHC

AGING SERVICES FOR COMMUNITIES

AHRAN CARE

AHRAN CARE LLC

AICOTA HEALTH CARE CENTER

AICOTA HEALTH CARE CENTER

AICOTA HEALTH CARE CENTER INC

AIDE HOME HEALTH CARE

AITKIN HEALTH SERVICES

ALAAFIA HOMECARE LLC

ALCORDIA CARE LLC

ALCORDIA CARE LLC

ALEX ASSISTED LIVING LLC

ALEX ASSISTED LIVING LLC

ALEXAS HOUSE

ALIYA CARE

ALIYA CARE INC

ALIYA CARE INC

ALIYA CARE INC

ALL ABOUT CARING HOME CARE INC

ALL FAMILY HOME CARE LLC

ALL FAMILY HOME CARE W/ SERVIC

ALL GENERATIONS HOME CARE INC

ALL GOOD HOME CARE INC

ALL HOME CARE LLC

ALL HOMECARING

ALL HOPES AT LINNET

ALL HOPES AT ORCHARD

ALL HOPES AT PEARSON

SAINT LOUIS

HENNEPIN

DAKOTA

WRIGHT

DAKOTA

DAKOTA

HENNEPIN

HENNEPIN

HENNEPIN

RAMSEY

RAMSEY

HENNEPIN

RAMSEY

RAMSEY

HENNEPIN

RAMSEY

CLAY

HENNEPIN

HENNEPIN

HENNEPIN

OLMSTED

OLMSTED

OLMSTED

WRIGHT

WRIGHT

HENNEPIN

HENNEPIN

WASHINGTON

ANOKA

HENNEPIN

WINONA

HENNEPIN

HENNEPIN

HENNEPIN

NOBLES

NOBLES

MILLE LACS

HENNEPIN

HENNEPIN

ANOKA

RAMSEY

HENNEPIN

OLMSTED

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

SAINT LOUIS

WASHINGTON

RAMSEY

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

LAKE

LAKE

ROSEAU

ROSEAU

HENNEPIN

HENNEPIN

LESUEUR

HENNEPIN

HENNEPIN

AITKIN

AITKIN

AITKIN

CROW WING

AITKIN

HENNEPIN

RAMSEY

ANOKA

DOUGLAS

DOUGLAS

HENNEPIN

ANOKA

HENNEPIN

HENNEPIN

ANOKA

CHISAGO

RAMSEY

HENNEPIN

STEELE

BENTON

HENNEPIN

ANOKA

ANOKA

HENNEPIN

HENNEPIN

512

288

100

586

91

91

179

179

145

423

445

179

439

434

314

439

71

228

145

145

393

393

393

582

582

244

244

564

26

318

578

179

179

245

388

388

374

146

245

11

476

245

393

319

215

245

288

146

146

146

308

498

557

426

159

245

159

214

354

354

494

493

179

179

357

245

245

1

1

1

85

2

179

461

28

126

129

180

14

321

321

14

69

438

301

541

35

245

11

14

158

180

Page 679: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

Minnesota Department of Health

Index For Directory of Facilities and Services

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

Index Page 3Health Regulation Division

ALL HOPES INCORPORATED

ALL SAINTS SENIOR LIVING

ALL SAINTS SENIOR LVG SHAKOPEE

ALL SEASONS HOME HEALTH

ALL WULLANCARE INC

ALL WULLANCARE INC

ALLENDALE HOUSE

ALLIANCE ASSISTED LIVING INC

ALLIANCE ASSISTED LIVING INC

ALLIANCE GROUP HOME LLC

ALLIANCE GROUP HOME LLC

ALLIANCE HEALTH SERVICES INC

ALLIANCE HHC & NURSING SERVICE

ALLIANCE HOME CARE

ALLIANCE HOME CARE

ALLIANCE HOMES CORPORATION

ALLIANCE HOMES CORPORATION

ALLIED PROFESSIONALS INC

ALLINA HEALTH HOME HEALTH

ALLINA HLTH HSPCE & PALL CARE

ALLINA HLTH HSPCE & PALLITV CA

ALLINA HOME HEALTH INFUSION TH

ALLY GROUP HOMES LLC

ALLY GROUP HOMES LLC

ALMOND HOUSE

ALMOND HOUSE

ALMOND HOUSE UNIT 2

ALMOND HOUSE UNIT 3

ALMOND HOUSE UNIT 4

ALMOST FAMILY HOME CARE LLC

ALMOST HOME

ALOMERE HEALTH

ALPHA ASSISTED LIVING INC

ALPHA ASSISTED LIVING INC

ALPHA SIGMA HEALTH GROUP INC

ALPINE HOME HEALTH LLC

ALTERNATIVE SENIOR CARE

ALTERNATIVE SENIOR CARE INC

ALTRU RENAL DIALYSIS

ALTRU RENAL DIALYSIS AT CROOKS

ALTRU'S HOME HEALTH

ALWAYS BEST CARE SW METRO

ALWAYS HERE HOME CARE LLC

AMA GROUP HOME

AMA GROUP HOME INC

AMADA SENIOR CARE MINNEAPOLIS-

AMADA SENIOR CARE TWIN CITIES

AMADA SENIOR CARE TWIN CITIES

AMAL HOME HEALTH CARE INC

AMAL HOME HEALTH CARE INC

AMAL HOME HEALTH CARE INC.

AMANA HOME CARE

AMANA HOME CARE LLC

AMAZING HOME LLC

AMAZING HOMECARE AND NURSING S

AMAZING LOVE ASSISTED LIVING

AMAZING LOVE ELDERLY CARE CTR

AMAZING LOVE LLC

AMC CARE INC

AMC CARE, INC

AMECARE SERVICES LLC

AMELIE HOUSE

AMERICAN BEST HOME CARE INC

AMERICAN BEST HOME CARE INC

AMERICAN BEST HOME CARE INC

AMERICAN BEST HOME CARE INC

AMERICAN BEST HOME CARE INC

AMERICAN BEST HOME CARE INC

AMERICAN BEST HOME CARE INC

AMERICAN BEST HOME CARE, INC

AMERICAN BEST HOME CARE, INC.

AMERICAN BEST HOME CARE, INC.

AMERICAN BEST HOME CARE, INC.

AMERICAN EAGLE OWATONNA

AMERICAN FAMILY HOME CARE

AMERICAN FAMILY HOME CARE

AMERICAN HOME HEALTH SERVICES

AMERICAN INDIAN CDC

AMERICAN INDIAN COMM DEVLP

AMERICAN VOLUNTEERS HOMES

AMERICARE LODGES

AMERICARE LODGES

AMERICARE LODGES

AMERICARE LODGES INC

AMERICARE LODGES INC

AMERICN EAGLE OWATONNA

AMERIGRACE HOME CARE LLC

AMERIGRACE HOME CARE LLC

AMERIGRACE HOME CARE LLC

AMERIGRACE HOME CARE LLC

AMRAN HOME HEALTH CARE LLC

AMRAN HOME HEALTH CARE LLC

HENNEPIN

SCOTT

SCOTT

HENNEPIN

HENNEPIN

HENNEPIN

OLMSTED

SCOTT

DAKOTA

HENNEPIN

HENNEPIN

DAKOTA

HENNEPIN

DAKOTA

DAKOTA

ANOKA

ANOKA

HENNEPIN

RAMSEY

RAMSEY

STEELE

ANOKA

HENNEPIN

HENNEPIN

CROW WING

CROW WING

CROW WING

CROW WING

CROW WING

DAKOTA

CROW WING

DOUGLAS

HENNEPIN

HENNEPIN

ROCK

RAMSEY

STEARNS

STEARNS

ROSEAU

POLK

NORTH DAKOTA

CARVER

DAKOTA

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

ANOKA

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

MORRISON

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

STEELE

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

ITASCA

ITASCA

ITASCA

CASS

CASS

STEELE

WASHINGTON

WASHINGTON

RAMSEY

RAMSEY

HENNEPIN

HENNEPIN

302

520

520

180

180

180

393

516

100

245

245

100

228

91

91

11

11

220

433

433

542

15

321

319

80

80

80

80

80

118

80

126

159

246

492

448

534

534

494

418

590

59

91

246

246

236

228

7

180

246

180

313

308

159

215

209

379

210

180

180

159

146

180

160

160

160

160

210

160

302

160

181

160

541

160

158

246

246

246

210

335

335

335

63

63

541

557

557

461

461

246

246

Page 680: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

Minnesota Department of Health

Index For Directory of Facilities and Services

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

Index Page 4Health Regulation Division

AMY JOHNSON RESIDENCE

AMY JOHNSON RESIDENCE

ANCHOR HOUSE

ANCHOR HOUSE LLC

ANCHOR ON 54

ANCHOR ON CENTURY

ANDREW RESIDENCE

ANGEL CARE HOMES

ANGEL CARE HOMES LLC

ANGEL HEARTS HEALTH CARE SERV

ANGEL HEARTS HEALTH CARE SERVI

ANGEL HOME CARE

ANGEL'S HEALTH & HC SRV INC

ANGEL'S HLTH & HOME CARE SRV

ANGELS ASSISTED LIVING INC

ANGELS ASSISTED LIVING INC

ANGELS HEALTH & HOME CARE SERV

ANGELS HEALTH AND HC SERV INC

ANGELS HOMES LLC

ANGELS HOMES LLC

ANGELS HOMES LLC

ANGELS OF MERCY ASSISTED LIVIN

ANGELS OF MERCY HOME

ANIKA HOME CARE LLC

ANNANDALE CARE CENTER

ANNE'S PLACE LLC

ANOKA METRO REG TREATMENT CTR

ANOKA REHAB & LIVING CENTER

ANTHONY LOUIS CENTER

APLUS HEALTH CARE LLC

APPARENT PLAN

APPLE GROUP HOME INC

APPLE GROUP HOME INC

APPLE RIDGE ESTATES

APPLE VALLEY VILLA

APPLE VALLEY VILLA

APPLETON AREA HEALTH

APPLETON AREA HEALTH

APPLETON AREA HEALTH

APPLETON MUN HOSPITAL & NH

APPLEWOOD HOME HEALTH CARE LLC

APPLEWOOD HOME HEALTH CARE LLC

APRIA HEALTHCARE LLC

ARBOR GARDEN PLACE

ARBOR GARDENS PLACE

ARBOR GLENN SENIOR LIVING

ARBOR LAKES SENIOR LIVING

ARBOR LAKES SENIOR LIVING LLC

ARBOR LANE

ARBOR OAKS SENIOR LIVING LLC

ARBOR OAKS SENIOR LIVING LLC

ARBOR PARK LIVING CENTER

ARBOR PARK LIVING CENTER

ARBOR PARK LIVING CENTER LLC

ARBOR PARK LIVING CENTER LLC

ARBOR PARK LIVING CENTER LLC

ARBOR TERRACE

ARBOR TERRACE

ARBORS AT RIDGES

ARDEN HILLS DIALYSIS UNIT

ARISE CARES

ARISE CARES

ARISE HOMECARE SERVICES LLC

ARISE HOMECARE SERVICES PLLC

ARISE HOMECARE SERVICES PLLC

ARKHAVEN HOME CARE LLC

ARKHAVEN HOME CARE, LLC.

ARLINGTON HOME

ARLINGTON PLACE

ARLINGTON PLACE

ARMS HOME HEALTH CARE LLC

ARMS HOME HEALTHCARE

ARMSTRONG HOMES INC.

ARTHUR'S SENIOR CARE AV

ARTHURS SENIOR CARE

ARTHURS SENIOR CARE ON EMMERT

ARTIS SENIOR LVG OF WOODBURY

ARTIS SLM OF WOODBURY LLC

ASERACARE HOSPICE

ASHBY HOLDINGS LLC DBA ASHBY L

ASHBY LIVING CENTER

ASHER HAUS

ASHTON HOMES LLC

ASHTON HOMES LLC

ASHTON HOMES LLC

ASHTON HOMES LLC

ASHTON HOMES LLC

ASHTON HOMES LLC

ASHTON HOMES LLC

ASHTON HOMES LLC

ASI 28TH STREET

ASI CAMDEN HOUSE

RAMSEY

RAMSEY

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

DAKOTA

DAKOTA

DAKOTA

HENNEPIN

HENNEPIN

HENNEPIN

WRIGHT

SAINT LOUIS

ANOKA

ANOKA

ANOKA

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

SWIFT

DAKOTA

DAKOTA

SWIFT

SWIFT

SWIFT

SWIFT

HENNEPIN

HENNEPIN

RAMSEY

OLMSTED

OLMSTED

WASHINGTON

HENNEPIN

HENNEPIN

DAKOTA

ANOKA

ANOKA

CLAY

CLAY

CLAY

CLAY

CLAY

OLMSTED

OLMSTED

DAKOTA

RAMSEY

STEARNS

STEARNS

HENNEPIN

HENNEPIN

HENNEPIN

RAMSEY

RAMSEY

OTTER TAIL

STEARNS

STEARNS

HENNEPIN

HENNEPIN

HENNEPIN

RAMSEY

RAMSEY

RAMSEY

WASHINGTON

WASHINGTON

HENNEPIN

GRANT

GRANT

STEARNS

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

448

449

181

210

160

181

247

181

181

181

181

160

161

161

247

247

161

181

92

91

91

161

161

309

581

498

4

3

7

318

216

321

319

546

86

87

546

546

546

546

309

309

434

392

392

561

236

237

92

2

2

72

71

72

72

72

401

393

92

423

536

535

206

181

181

461

439

404

539

539

228

247

182

439

439

439

569

569

220

144

144

530

161

182

237

228

297

297

159

182

247

247

Page 681: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

Minnesota Department of Health

Index For Directory of Facilities and Services

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

Index Page 5Health Regulation Division

ASIAN AMERICAN ELDERLY AL LLC

ASIAN AMERICAN ELDERLY ASSISTE

ASPEN GROVE ALTERNATIVE SENIOR

ASPEN GROVE ALTERNATIVE SENIOR

ASPEN GROVE ASSISTED LIVING

ASPEN GROVE ASSISTED LIVING

ASPEN HOME HEALTH CARE INC

ASPEN HOMES

ASSISTED LIVING AT NORTH RIDGE

ASSISTED LIVING IN HERITAGE HA

ASSISTING HANDS OF MINNEAPOLIS

ASSOCIATED EYE CARE AMB SURG

ASSOCIATED TENDER CARE LLC

ASST LVG IN HERITAGE HALL

ASSUMPTION COURT

ASSUMPTION HEALTH SERVICES

ASSUMPTION HOME

ASSUMPTION HOME CARE

ASSURANT CARE HOMES LLC

ASSURANT CARE HOMES LLC

ASSURANT CARE HOMES LLC

ASSURED CARE

ASSURED CARE

ASSURED CARE

ASSURED WELLNESS LLC

ASSURED WELLNESS LLC

ASSURED WELLNESS LLC

ASTRAL HOME CARE BARRINGTON

ASTRAL HOME CARE LLC

AT HOME WITH US LLC

AT HOME WITH US-LLC

AT YOUR SERVICE SENIOR ASST

ATHANOR HOUSING AND RESIDENTIA

ATHANOR ST. PAUL

ATTENTIVE CARE

ATTENTIVE CARE

ATTENTIVE CARE

ATWATER ICFIID

AUBURN COURTS

AUBURN COURTS

AUBURN HOME IN WACONIA

AUBURN MANOR

AUBURN MEADOWS

AUGUSTANA APARTMENTS OF MPLS

AUGUSTANA APARTMENTS OF MPLS

AUGUSTANA APARTMENTS OF MPLS

AUGUSTANA APARTMENTS OFMPLS

AUGUSTANA CARE HASTINGS HEALTH

AUGUSTANA CHAPEL VIEW APTS

AUGUSTANA CHAPEL VIEW CARE CTR

AUGUSTANA EMERALD CREST

AUGUSTANA EMERALD CREST

AUGUSTANA EMERALD CREST

AUGUSTANA EMERALD CREST

AUGUSTANA EMERALD CREST

AUGUSTANA EMERALD CREST BURNSV

AUGUSTANA EMERALD CREST BURNSV

AUGUSTANA EMERALD CREST BURNSV

AUGUSTANA EMERALD CREST BURNSV

AUGUSTANA EMERALD CREST BURNSV

AUGUSTANA EMERALD CREST MNTONK

AUGUSTANA EMERALD CREST OF VIC

AUGUSTANA EMERALD CREST SHAKOP

AUGUSTANA HEALTH CC OF APPLE

AUGUSTANA HOME HEALTH SERVICES

AUGUSTANA MERCY CARE CENTER

AUGUSTANA OAKVIEW CARE LLC

AUGUSTANA OAKVIEW CARE LLC

AUGUSTANA OAKVIEW CARE LLC

AUGUSTANA REGENT AT BURNSVILLE

AUGUSTANA REGENT AT BURNSVILLE

AUGUSTANA RESIDENTIAL CARE

AURORA ASSISTED LIVING LLC

AURORA ASSISTED LIVING LLC

AURORA CAREFREE LIVING INC

AURORA ON FRANCE

AURORA ON FRANCE

AURORA'S HOUSE

AUTUMN GLEN SENIOR LIVING

AUTUMN GLEN SENIOR LIVING

AUTUMN GRACE I

AUTUMN GRACE II

AUTUMN GRACE III

AUTUMN HILLS OF BEMIDJI INC

AUTUMN HILLS OF BEMIDJI INC

AUTUMN LANE

AUTUMN LANE INC

AUTUMN RIDGE

AUTUMN RIDGE 2

AVA'S HOUSE

AVALON HOME CARE INC

AVALON HOSPICE MINNESOTA LLC

HENNEPIN

HENNEPIN

SAINT LOUIS

SAINT LOUIS

SAINT LOUIS

SAINT LOUIS

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

WASHINGTON

HENNEPIN

HENNEPIN

STEARNS

STEARNS

STEARNS

STEARNS

ANOKA

ANOKA

ANOKA

HENNEPIN

HENNEPIN

DAKOTA

RAMSEY

RAMSEY

RAMSEY

HENNEPIN

HENNEPIN

RAMSEY

RAMSEY

HENNEPIN

RAMSEY

RAMSEY

HENNEPIN

HENNEPIN

RAMSEY

KANDIYOHI

CARVER

CARVER

CARVER

CARVER

CARVER

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

DAKOTA

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

CARVER

SCOTT

DAKOTA

DAKOTA

DAKOTA

DAKOTA

DAKOTA

HENNEPIN

CARVER

SCOTT

DAKOTA

HENNEPIN

CARLTON

CARLTON

CARLTON

CARLTON

DAKOTA

DAKOTA

HENNEPIN

RAMSEY

RAMSEY

SAINT LOUIS

HENNEPIN

HENNEPIN

HENNEPIN

ANOKA

ANOKA

BLUE EARTH

BLUE EARTH

BLUE EARTH

BELTRAMI

BELTRAMI

ITASCA

ITASCA

HENNEPIN

HENNEPIN

HENNEPIN

ANOKA

RAMSEY

161

161

509

509

497

497

182

182

297

146

288

567

161

146

530

530

530

530

15

15

7

146

146

92

462

449

449

182

161

426

426

322

449

462

210

210

438

342

57

57

59

57

59

247

247

247

247

107

235

234

289

289

289

59

520

92

92

92

92

92

289

59

520

87

248

55

55

55

55

92

93

248

462

449

495

220

220

162

15

15

41

41

41

31

31

333

333

182

182

319

3

449

Page 682: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

Minnesota Department of Health

Index For Directory of Facilities and Services

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

Index Page 6Health Regulation Division

AVALON MEMORY CARE

AVALON MEMORY CARE

AVENUES FOR CARE INC

AVERA AT HOME

AVERA AT HOME

AVERA AT HOME

AVERA AT HOME MARSHALL

AVERA AT HOME SOUTHWEST MN

AVERA DIALYSIS MARSHALL

AVERA GRANITE FALLS

AVERA GRANITE FALLS CARE CTR

AVERA MARSHALL REG MED CENTER

AVERA MED GROUP LAKE BENTON

AVERA MED GROUP WORTHINGTON

AVERA MEDICAL GROUP TYLER

AVERA TYLER HOSPITAL

AVERA@HOME

AVINITY HOME CARE

AXIS ON BELMONT

AXIS ON ELDRIDGE

AXIS ON GLENHILL

AXIS ON SENECA

AXIS ON ST. MICHAEL

AXIS ON WHITE BEAR AVENUE

AZULE OPPORTUNITIES, LLC

B'S HOMECARE INC

B. A COMFORT LIFE HOMECARE LLC

BABBITT CAREFREE LIVING

BAIKAH HOMES LLC

BAIKAH HOMES LLC

BAKER PARK INC

BANCROFT CREEK ESTATES

BANI HOMES

BANI SERVICES LLC

BARAKA HOME CARE LLC

BARNABAS HEALTH CARE SERVICES

BARNES CARE

BARNES CARE INC

BARNES CARE INC

BARNES CARE INC

BARRETT ASSISTED LIVING INC

BARRETT CARE CENTER INC

BARROSS COTTAGE

BARROSS COTTAGE

BARROSS COTTAGE II LLC

BARROSS COTTAGE II LLC

BASS LAKE COURT TOWNHOMES

BASS LAKE TOWNHOMES

BASS TOWNHOMES

BATALO HOME HEALTH CARE LLC

BATTLE CREEK CARE HOME

BAY VIEW NURSING & REHAB CTR

BAYADA HOME HEALTH CARE INC

BAYADA HOME HEALTH CARE INC

BAYADA HOME HEALTH CARE INC

BAYDA GROUP HOME INC

BAYDA GROUPD HOME INC

BAYSHORE RESIDENCE & REHAB CTR

BAYVIEW CASE MANAGEMENT

BAYVIEW CASE MANAGEMENT

BAYWOOD HOME CARE

BB HOME HEALTHCARE

BEACON HAVEN

BEACON HILL

BEACON LANDING LLC

BEATITUDES HOMES LLC

BEAUTIFUL HEARTS LLC

BEAUTIFUL HEARTS LLC

BEAUTIFUL HEARTS LLC

BECKY'S PLACE INC

BECKY'S PLACE INC

BEE HIVE HOMES

BEE HIVE HOMES

BEE HIVE HOMES OF DULUTH

BEE HIVE HOMES OF MAPLE GROVE

BEEHIVE HOME OF LAKEVILLE

BEEHIVE HOMES OF LAKEVILLE

BEEHIVE HOMES OF MAPLE GROVE

BEEHIVE HOMES OF MOORHEAD

BEEHIVE HOMES OF MOORHEAD

BEKA HOME

BEL RAE SENIOR LIVING

BELGRADE NURSING HOME

BELL HILL RECOVERY CENTER

BELL MEDICAL SERVICES INC

BELONG HEALTH CARE LLC

BELONG HEALTH CARE LLC

BEN'S HOUSE

BENEDICT COURT

BENEDICT HOMES

BENEDICT HOUSE

BENEDICTINE CARE COMMUNITY

HENNEPIN

HENNEPIN

CHIPPEWA

IOWA

TEXAS

SOUTH DAKOTA

LYON

LYON

LYON

YELLOW MEDICINE

CHIPPEWA

LYON

LINCOLN

NOBLES

LINCOLN

LINCOLN

SOUTH DAKOTA

HENNEPIN

RAMSEY

RAMSEY

RAMSEY

RAMSEY

RAMSEY

RAMSEY

RICE

ISANTI

HENNEPIN

SAINT LOUIS

ANOKA

ANOKA

BELTRAMI

FREEBORN

HENNEPIN

HENNEPIN

DAKOTA

CROW WING

CARLTON

CARLTON

CARLTON

CARLTON

GRANT

GRANT

LAKE

LAKE

LAKE

LAKE

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

RAMSEY

GOODHUE

HENNEPIN

STEARNS

RAMSEY

HENNEPIN

HENNEPIN

SAINT LOUIS

DAKOTA

DAKOTA

HENNEPIN

HENNEPIN

RAMSEY

HENNEPIN

RICE

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

SHERBURNE

SHERBURNE

SAINT LOUIS

HENNEPIN

DAKOTA

DAKOTA

HENNEPIN

CLAY

CLAY

HENNEPIN

RAMSEY

STEARNS

WADENA

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

SHERBURNE

SHERBURNE

OLMSTED

NORMAN

289

289

65

588

547

590

360

360

360

588

65

360

359

389

359

359

590

311

439

439

445

478

433

476

489

330

182

495

4

4

31

136

146

147

93

80

54

54

54

54

144

144

354

354

354

354

297

297

297

248

462

141

302

539

434

248

248

498

87

87

248

325

434

289

484

202

147

248

248

216

216

523

523

498

237

113

113

237

72

72

182

433

530

555

183

183

183

297

525

525

394

391

Page 683: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

Minnesota Department of Health

Index For Directory of Facilities and Services

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

Index Page 7Health Regulation Division

BENEDICTINE HEALTH CENTER

BENEDICTINE HEALTH CTR OF MPLS

BENEDICTINE HLTH CTR INNSBRUCK

BENEDICTINE HOME HEALTH

BENEDICTINE LIVING COMMUNITY

BENEDICTINE LIVING COMMUNITY O

BENEDICTINE LIVING NORTHFIELD

BENEDICTINE LVG COMM ST PETER

BENEDICTINE SENIOR LIVING

BENEDICTINE SENIOR LIVING

BENEDICTINE SENIOR LIVING AT S

BENEDICTINE SENIOR LIVING COMM

BENEDICTINE SUPPORTIVE SERVICE

BENET HALL

BENET HALL

BENTSON FAMILY ASST LVG RES

BERKELEY HEIGHTS HOMES LLC

BERKELEY HEIGHTS HOMES LLC

BERKELEY HEIGHTS HOMES LLC

BERKELEY HEIGHTS HOMES, LLC

BEST CARE GROUP

BEST CARE HOME HEALTH INC

BEST CHOICE HOME CARE LLC

BEST CHOICE HOME CARE LLC

BEST CHOICE HOME HEALTHCARE LL

BEST HOME HEALTH CARE SERVICE

BEST HOME HEALTH CARE SERVICES

BESTVALUE HEALTHCARE INC

BESTVALUE HEALTHCARE INC

BESTVALUE HEALTHCARE INC.

BETHAL PAVILION HOMECARE LLC

BETHANY ASSISTED LIVING

BETHANY ASSISTED LIVING

BETHANY ASSISTED LIVING

BETHANY ON THE LAKE

BETHANY ON THE LAKE ASSISTED L

BETHANY ON THE LAKE LLC

BETHANY SENIOR LIVING APTS

BETHEL

BETHEL CARE SERIVCES

BETHEL CARE SERVICES, INC

BETHEL CARE SERVICES, INC

BETHEL PAVILION HOMECARE LLC

BETHESDA

BETHESDA ASSISTED LIVING

BETHESDA HOME HEALTH

BETHESDA LUTHERAN COMM COT 5

BETHESDA LUTHERAN COMM COT 6

BETTER CARE SERVICES LLC

BETTER CARE SERVICES LLC

BETTER LIVING RESIDENTIAL CARE

BEYOND EXPECTATIONS HOME HEALT

BHATTI GI SURGERY CENTER

BIDWELL RESIDENCE

BIDWELL RESIDENCE

BIG HEARTS HOME CARE INC

BIG HEARTS HOME CARE INC

BIGFORK VALLEY COMMUNITIES

BIGFORK VALLEY HOME CARE

BIGFORK VALLEY HOSPITAL

BIGFORK VALLEY VILLA

BIGFORK VALLEY VILLA ASSISTED

BILL KELLY HOUSE

BILLIE'S CHOICE LLC

BIRCHVIEW GARDENS ASSISTED LIV

BIRCHVIEW GARDENS ASSISTED LVG

BIRCHWOOD ARBORS

BIRCHWOOD ARBORS

BIRCHWOOD CARE HOME

BIRCHWOOD COTTAGE

BIRCHWOOD COTTAGES

BIRCHWOOD COTTAGES

BIRCHWOOD COTTAGES

BIRCHWOOD COTTAGES

BIRCHWOOD COTTAGES

BIRCHWOOD HEALTH CARE CENTER

BLAINE ORTHOPEDIC SURGERY CTR

BLAINE WHITE PINE

BLAINE WHITE PINE

BLAINE WHITE PINE II

BLAINE WPII LLC

BLC OF MORA

BLISSFUL HOME CARE INC

BLISSFUL HOMECARE INC

BLOOMINGTON DIALYSIS UNIT TRC

BLUE LAKE HOMES LLC

BLUE LAKE HOMES LLC

BLUE MOON CENTER LLC

BLUE MOON CENTER LLC

BOBBY'S HOUSE

BOSTROM TERRACE

BOULDER CREEK

SAINT LOUIS

HENNEPIN

RAMSEY

TEXAS

SCOTT

DAKOTA

DAKOTA

NICOLLET

NICOLLET

HENNEPIN

HENNEPIN

NICOLLET

NORMAN

SAINT LOUIS

SAINT LOUIS

RAMSEY

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

RAMSEY

HENNEPIN

HENNEPIN

WASHINGTON

WASHINGTON

WASHINGTON

HENNEPIN

MEEKER

POLK

POLK

DOUGLAS

DOUGLAS

DOUGLAS

CROW WING

HENNEPIN

DAKOTA

DAKOTA

DAKOTA

HENNEPIN

KANDIYOHI

KANDIYOHI

KANDIYOHI

ANOKA

ANOKA

HENNEPIN

HENNEPIN

RAMSEY

HENNEPIN

CARVER

DAKOTA

DAKOTA

HENNEPIN

RAMSEY

ITASCA

ITASCA

ITASCA

ITASCA

ITASCA

HENNEPIN

DAKOTA

CASS

CASS

WASHINGTON

WASHINGTON

HENNEPIN

STEELE

STEELE

STEELE

STEELE

NICOLLET

NICOLLET

WASHINGTON

ANOKA

ANOKA

ANOKA

ANOKA

ANOKA

KANABEC

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

RAMSEY

RAMSEY

HENNEPIN

OLMSTED

LYON

498

248

434

548

520

118

118

388

387

301

301

386

390

498

498

462

183

183

297

183

162

248

249

249

449

249

249

564

564

564

183

371

420

420

126

126

126

81

162

107

107

107

183

344

348

344

15

15

249

249

462

237

57

122

122

249

433

332

332

332

332

333

249

113

62

62

559

560

249

541

542

542

542

385

385

560

7

8

8

8

8

341

162

162

147

206

206

462

462

183

394

360

Page 684: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

Minnesota Department of Health

Index For Directory of Facilities and Services

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

Index Page 8Health Regulation Division

BOULDER ESTATES

BOULDER PONDS SENIOR LIVING

BOUNDARY CREEK TERRACE

BOUNDARY WATERS CARE CENTER

BOUTWELLS LANDING

BOUTWELLS LANDING

BRAINERD CAREFREE LIVING LLC

BRAINERD LAKES SURGERY CTR

BRANDON'S ASSISTED LIVING

BRANDON'S ASSISTED LIVING

BRASK HAVEN INC

BRASK HAVEN INC

BRECK HOME RESIDENTIAL CARE

BRECK HOME RESIDENTIAL CARE

BRECK HOME RESIDENTIAL CARE CE

BREMMER SUITES

BREMMER SUITES

BRENTWOOD HOME

BRIARWOOD

BRICKSTONE MANOR

BRICKSTONE MANOR

BRIDGE RECOVERY LLC

BRIDGES HEALTH LLC

BRIDGES HEALTH LLC

BRIDGES HEALTH LLC

BRIDGES MN

BRIDGES MN

BRIDGES MN

BRIDGEWATER AT HANOVER LLC

BRIDGEWATER AT HANOVER LLC

BRIDGEWATER AT JANESVILLE LLC

BRIDGEWATER AT JANESVILLE LLC

BRIDGEWATER AT MANKATO

BRIDGEWATER AT MANKATO II

BRIDGEWATER AT OWATONNA

BRIDGEWATER AT OWATONNA LLC

BRIDGEWAY ESTATES

BRIDGEWAY ESTATES

BRIDGEWELL ASSISTED LIVING

BRIDGEWOOD

BRIGHT LIVING LLC

BRIGHT LIVING LLC

BRIGHT PATH HOMES

BRIGHT PATH HOMES LLC

BRIGHT PATH HOMES LLC

BRIGHT PATH HOMES LLC

BRIGHT PATH HOMES LLC

BRIGHT PATH HOMES LLC

BRIGHT PATH HOMES LLC

BRIGHTCARE SERVICES INC

BRIGHTCARE SERVICES INC

BRIGHTON HOSPICE

BRIGHTSTAR CARE OF PLYMOUTH

BRIGHTSTAR CARE OF SCOTT/CARVE

BRIGHTSTAR CARE OF ST PAUL

BRIGHTSTAR OF ST CROIX VALLEY

BROADWAY ASSISTED LIVING

BROADWAY ASSISTED LIVING

BROOKDALE EAGAN

BROOKDALE EAGAN

BROOKDALE EDEN PRAIRIE

BROOKDALE EDEN PRAIRIE

BROOKDALE EDINA

BROOKDALE EDINA

BROOKDALE FARIBAULT

BROOKDALE FARIBAULT

BROOKDALE HOME HLTH MINNESOTA

BROOKDALE HOSPICE MINNESOTA

BROOKDALE INVER GROVE HEIGHTS

BROOKDALE INVER GROVE HEIGHTS

BROOKDALE MANKATO

BROOKDALE MANKATO

BROOKDALE NORTH OAKS

BROOKDALE NORTH OAKS

BROOKDALE PLYMOUTH

BROOKDALE PLYMOUTH

BROOKDALE WEST ST PAUL - MC

BROOKDALE WEST ST PAUL AL

BROOKDALE WEST ST PAUL MC

BROOKDALE WEST ST. PAUL- AL

BROOKDALE WILLMAR

BROOKDALE WILLMAR

BROOKDALE WINONA

BROOKDALE WINONA

BROOKE MANOR INC

BROOKE MANOR INC

BROOKLYN PARK ASSISTED LIVING

BROOKLYN PARK ASSISTED LIVING

BROOKLYN PARK ASSISTED LIVING

BROOKLYN PARK ASSISTED LIVING

BROOKLYN PARK ASSISTED LIVING

BROOKLYN PARK ASSISTED LIVING

LYON

WASHINGTON

HENNEPIN

SAINT LOUIS

WASHINGTON

WASHINGTON

CROW WING

CROW WING

DOUGLAS

DOUGLAS

ISANTI

ISANTI

HENNEPIN

HENNEPIN

HENNEPIN

FILLMORE

FILLMORE

LYON

OTTER TAIL

BROWN

BROWN

BENTON

HENNEPIN

HENNEPIN

HENNEPIN

BENTON

BENTON

HENNEPIN

HENNEPIN

HENNEPIN

WASECA

WASECA

BLUE EARTH

BLUE EARTH

STEELE

STEELE

MORRISON

MORRISON

DOUGLAS

CARVER

HENNEPIN

HENNEPIN

HENNEPIN

ANOKA

ANOKA

HENNEPIN

ANOKA

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

SCOTT

RAMSEY

WASHINGTON

FREEBORN

FREEBORN

DAKOTA

DAKOTA

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

RICE

RICE

HENNEPIN

HENNEPIN

DAKOTA

DAKOTA

BLUE EARTH

BLUE EARTH

RAMSEY

RAMSEY

HENNEPIN

HENNEPIN

DAKOTA

DAKOTA

DAKOTA

DAKOTA

KANDIYOHI

KANDIYOHI

WINONA

WINONA

SAINT LOUIS

SAINT LOUIS

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

360

561

237

507

563

563

81

79

130

130

332

332

147

147

147

135

135

361

410

47

47

36

309

309

309

36

36

249

234

234

556

556

41

41

542

542

376

376

130

57

184

183

162

21

21

162

21

162

162

289

289

322

302

518

426

561

136

136

101

101

217

216

222

221

488

484

221

147

112

109

46

42

437

437

302

302

122

122

122

124

348

344

580

579

496

496

250

184

184

250

250

250

Page 685: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

Minnesota Department of Health

Index For Directory of Facilities and Services

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

Index Page 9Health Regulation Division

BROOKRIDGE

BROOKRIDGE

BROOKSIDE COMFORT CARE

BROOKSIDE SENIOR LIVING

BROOKSTONE MANOR INC

BROOKSTONE MANOR INC

BROOKSTONE MANOR INC

BROOKVIEW A VILLA CENTER

BROOKVIEW COTTAGE

BROOKVIEW COTTAGE

BROOKVIEW COTTAGE INC

BROOKVIEW COTTAGE INC

BROOTEN MEDICAL CENTER

BROWN COUNTY EVAL CENTER INC

BROWNS VALLEY CLINIC

BROWNS VALLEY HEALTH CENTER

BRYANT HOUSE

BRYANT SQUARE HOME HEALTH CARE

BUFFALO HOSPITAL

BUFFALO LAKE HEALTHCARE CTR

BUHL CAREFREE LIVING LLC

BURNSVILLE CAREFREE LIVING

BURNSVILLE DIALYSIS UNIT

BURNSVILLE SURGERY CENTER PA

BURNSWICK HOUSE

BUTTERFLY BOUND CARE

BUTTERFLY BOUND CARE

BUTTERFLY BOUND CARE

BUTTERFLY BOUND CARE

BUTTERFLY BOUND CARE

BUTTERFLY BOUND CARE

BYWOOD EAST HEALTH CARE

C C S INC RIDGEWOOD

CA LIVING LLC

CALEDONIA CARE AGENCY

CALEDONIA REHAB & RETIREMENT

CALEDONIA REHAB & RETIREMENT

CALEY HOUSE

CALEY HOUSE ASSISTED LIVING

CALLISTA COURT

CALLISTA COURT

CALM HOME HEALTH CARE LLC

CALM HOME HEALTH CARE LLC

CAMBIA HILLS OF EAST BETHEL

CAMBRIDGE MEDICAL CENTER

CAMILIA ROSE CARE CENTER LLC

CAMILIA ROSE GROUP HOME

CANNON RIVERS SENIOR LIVING

CANNON VALLEY SUITES

CAPERNAUM PEDIATRIC THERAPY

CAPERNAUM PEDIATRIC THERAPY IN

CAPITAL HOME HEALTH CARE LLC

CAPITAL HOME HEALTH CARE LLC

CAPITAL HOME HEALTH CARE LLC

CAPITOL VIEW TRANSITIONAL CARE

CARDENAS FRIENDSHIP HOME

CARDENAS FRIENDSHIP HOUSE

CARDENAS FRIENDSHIP HOUSE

CARDENAS FRIENDSHIP HOUSE

CARDENAS FRIENDSHIP HOUSE

CARDIGAN RIDGE

CARE AGE COUNTRY HOME

CARE FERGUS FALLS

CARE HOME CARE

CARE HOMES LLC

CARE HOMES LLC

CARE MINNESOTA LLC

CARE MINNESOTA LLC

CARE PARTNERS HOME CARE LLC

CARE PARTNERS HOMECARE LLC

CARE PARTNERS HOMECARE LLC

CARE PLANNERS HOME HEALTH CARE

CARE PLUS HHA INC

CARE PLUS HOME CARE

CARE PLUS HOME CARE LLC

CARE PLUS HOME CARE LLC

CARE PLUS HOME CARE, LLC

CARE SERVICES LLC

CARE4LIFE HOME LLC

CARE4LIFE HOME LLC

CAREAPARENT

CAREBUILDERS AT HOME

CARECO APARTMENTS INC

CAREFOCUS CORPORATION

CAREFOCUS HEALTH INC

CAREFREE COTT OF MPLD CHATEAU

CAREFREE HOME SERVICES INC

CAREGVR SUPT PRG KOREAN SRV CT

CARELINK SKILLED NURSING & HC

CARELINK SKILLED NURSING & HC

CARELINK SKILLED NURSING AND H

CAREMARK HOME HEALTH CARE LLC

WRIGHT

WRIGHT

CASS

CHIPPEWA

ITASCA

ITASCA

ITASCA

HENNEPIN

DAKOTA

DAKOTA

DAKOTA

DAKOTA

STEARNS

BROWN

TRAVERSE

TRAVERSE

HENNEPIN

HENNEPIN

WRIGHT

RENVILLE

SAINT LOUIS

DAKOTA

DAKOTA

DAKOTA

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

NOBLES

HENNEPIN

HOUSTON

HOUSTON

HOUSTON

MILLE LACS

MILLE LACS

WINONA

WINONA

HENNEPIN

ANOKA

ANOKA

ISANTI

ANOKA

ANOKA

GOODHUE

RICE

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

RAMSEY

RAMSEY

CHISAGO

DAKOTA

HENNEPIN

DAKOTA

DAKOTA

RAMSEY

HUBBARD

OTTER TAIL

RAMSEY

HENNEPIN

ANOKA

DAKOTA

DAKOTA

HENNEPIN

HENNEPIN

HENNEPIN

RAMSEY

RAMSEY

RAMSEY

ANOKA

HENNEPIN

HENNEPIN

HENNEPIN

DAKOTA

DAKOTA

WASHINGTON

HENNEPIN

DAKOTA

RAMSEY

RAMSEY

RAMSEY

ANOKA

HENNEPIN

DAKOTA

OLMSTED

DAKOTA

HENNEPIN

584

584

63

65

337

335

335

228

101

101

93

93

530

47

551

550

242

250

582

481

496

94

93

93

184

163

163

163

162

163

163

250

389

250

327

327

327

375

375

579

579

184

15

21

330

15

15

139

489

221

309

184

250

462

449

69

101

147

93

93

425

329

405

449

184

8

101

121

184

184

163

449

462

463

16

184

163

250

93

94

569

216

109

450

450

426

26

250

87

394

87

251

Page 686: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

Minnesota Department of Health

Index For Directory of Facilities and Services

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

Index Page 10Health Regulation Division

CAREMATE HOME HEALTH CARE INC

CAREMINDERS HOME CARE

CAREPOINT HOME INC

CAREPOINT HOME INC

CARESERVICES LLC

CARESERVICES, LLC

CARESTAY HOMES LLC

CARESTAY HOMES LLC

CAREVIEW HOME HEALTH LLC

CAREVIEW IDAHO HOME

CAREVIEW WINCHESTER HOME

CAREVIEW YATES HOME

CAREXTRA HOME HEALTH

CAREXTRA HOME HEALTH LLC

CARING HEARTS RESIDENTIAL

CARING ARMS CORP

CARING ARMS CORP

CARING FRIENDS

CARING FRIENDS LLC

CARING GROUP HOME LLC

CARING GROUP HOME LLC

CARING HANDS HOME CARE

CARING HEART HOME HEALTHCARE

CARING HEART HOME HEALTHCARE

CARING HEART HOME HEALTHCARE L

CARING HEARTS AT HOME LLC

CARING HEARTS HOME CARE INC

CARING HEARTS HOME CARE INC

CARING HOME HEALTH INC

CARING HOME HEALTH INC

CARING MEADOWS

CARING MEADOWS II

CARING NURSES LLC

CARING NURSES LLC

CARING NURSES LLC

CARING NURSES LLC

CARING ROSE HOMES LLC

CARING ROSE HOMES LLC

CARING4U PLLC

CARINGEDGE HEALTHCARE OF HERMA

CARINGEDGE HOSPICE HERMANTOWN

CARINGHANDS LLC

CARINGHANDS LLC

CARLSON DRAKE HOUSE

CARLTON PLACE

CARLTON PLACE

CARONDELET VILLAGE

CARONDELET VILLAGE

CARONDELET VILLAGE CARE CENTER

CARRIAGE HOUSE SENIOR LIVING

CARRIAGE HOUSE SENIOR LIVING

CARRIS HEALTH

CARRIS HEALTH - REDWOOD LLC

CARRIS HEALTH - REDWOOD LLC

CARRIS HEALTH - REDWOOD, LLC

CARRIS HEALTH LLC

CARRIS HEALTH LLC

CARRIS HEALTH LLC

CARRIS HEALTH REDWOOD LLC

CARRIS HEALTH SURGERY CENTER

CARRIS HLTH CC THERAPY SUITES

CARVER RIDGE SENIOR LIVING

CARVER RIDGE SENIOR LIVING

CASS COUNTY PUBLIC HEALTH

CASS LAKE DIALYSIS FACILITY

CASS LAKE INDIAN HLTH SERV HOS

CASTLE RIDGE CARE CENTER

CASTLE RIDGE MANOR HOUSE

CATHOLIC ELDERCARE AT HOME

CATHOLIC ELDERCARE ON MAIN

CATHOLIC ELDERCARE-MAIN ST LDG

CC GROUP HOME CARE INC

CC GROUP HOME CARE INC.

CCHC GAGE EAST

CCM HEALTH

CCRM MINNEAPOLIS

CEDAR COTTAGE

CEDAR COTTAGE

CEDAR COURT

CEDAR COURT

CEDAR COVE ASSISTED LIVING

CEDAR COVE ASSISTED LIVING

CEDAR CREEK SENIOR LIVING

CEDAR CREST OF SILVER LAKE

CEDAR CREST OF SILVER LAKE

CEDAR RIDGE

CEDARS OF AUSTIN

CEDARS OF AUSTIN

CENTENNIAL HOUSE APPLE VALLEY

CENTENNIAL HOUSE OF APPLE VALL

CENTENNIAL LAKES SURGERY CTR

CENTENNIAL VILLA

RAMSEY

HENNEPIN

RAMSEY

RAMSEY

HENNEPIN

RAMSEY

ANOKA

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

DAKOTA

HENNEPIN

HENNEPIN

HENNEPIN

DAKOTA

HENNEPIN

HENNEPIN

WADENA

RAMSEY

RAMSEY

HENNEPIN

WRIGHT

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

RAMSEY

RAMSEY

LINCOLN

SAINT LOUIS

SAINT LOUIS

HENNEPIN

HENNEPIN

HENNEPIN

CARLTON

CARLTON

RAMSEY

RAMSEY

RAMSEY

LESUEUR

LESUEUR

REDWOOD

REDWOOD

REDWOOD

REDWOOD

KANDIYOHI

KANDIYOHI

KANDIYOHI

REDWOOD

KANDIYOHI

KANDIYOHI

CARVER

CARVER

CASS

CASS

CASS

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

ANOKA

HENNEPIN

OLMSTED

CHIPPEWA

HENNEPIN

BELTRAMI

BELTRAMI

MOWER

MOWER

STEARNS

STEARNS

ANOKA

MCLEOD

MCLEOD

WASHINGTON

MOWER

MOWER

DAKOTA

DAKOTA

HENNEPIN

WRIGHT

463

147

463

439

251

426

21

148

163

185

163

210

251

221

118

216

216

148

94

251

235

553

450

450

251

586

251

251

251

251

185

185

185

185

185

185

450

463

358

508

508

228

148

148

51

51

463

463

450

356

356

479

479

480

479

348

344

344

480

345

344

56

56

64

62

62

216

216

251

252

252

26

252

394

66

221

31

32

380

380

534

534

21

369

369

567

380

380

90

87

221

581

Page 687: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

Minnesota Department of Health

Index For Directory of Facilities and Services

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

Index Page 11Health Regulation Division

CENTENNIAL VILLA ASSISTED LIVI

CENTENNIAL VILLA ASSTD LIVING

CENTENNIAL VILLA MEMORY CARE

CENTER CARE INC

CENTER CARE INC

CENTER FOR DIAGNOSTIC IMAGING

CENTER FOR DIAGNOSTIC IMAGING

CENTER FOR PAIN MANAGEMENT

CENTER FOR RESTORATIVE SURGERY

CENTER LIGHT CARE LLC

CENTER LIGHT CARE LLC

CENTRA CARE KIDNEY PROGRAM

CENTRACARE - MELROSE PARK VIEW

CENTRACARE CAMBRIDGE DIALYSIS

CENTRACARE CLINIC SAUK CENTRE

CENTRACARE HEALTH LONG PRAIRI

CENTRACARE HEALTH LONG PRAIRIE

CENTRACARE HEALTH MONTICELLO

CENTRACARE HEALTH PAYNESVILLE

CENTRACARE HEALTH SYS MELROSE

CENTRACARE HEALTH SYSTEM

CENTRACARE HEALTH SYSTEM

CENTRACARE HEALTH SYSTEM

CENTRACARE HLTH PAYNESVILLE CL

CENTRACARE HLTH RICHMOND CLINI

CENTRACARE HLTH-MELROSE CLINIC

CENTRACARE HOME HEALTH

CENTRACARE HOME HLTH & HOSPICE

CENTRACARE KDNY PG LITCHFIELD

CENTRACARE KDNY PGM LITTLE FAL

CENTRACARE KIDNEY AITKIN

CENTRACARE KIDNEY OLIVIA

CENTRACARE KIDNEY PGM STAPLES

CENTRACARE KIDNEY PROGRAM

CENTRACARE KIDNEY PROGRAM

CENTRACARE KIDNEY PROGRAM

CENTRACARE KIDNEY PROGRAM

CENTRACARE MELROSE PARK VIEW

CENTRACARE SURGERY CTR LLC

CENTRACARE- LP MEADOW PLACE

CENTRAL AVENUE DIALYSIS

CENTRAL HEALTH CARE

CENTRAL MINNESOTA CARE

CENTRAL MINNESOTA REG DIALYSIS

CENTRAL MINNESOTA SENIOR CARE

CENTRAL MINNESOTA SENIOR CARE

CENTRAL MINNESOTA SENIOR CARE

CENTRAL MINNESOTA SENIOR CARE

CENTRAL MINNESOTA SENIOR CARE

CENTRAL MINNESOTA SENIOR CARE

CENTRAL MINNESOTA SENIOR CARE

CENTRAL MINNESOTA SENIOR CARE

CENTRAL MINNESOTA SENIOR CARE

CENTRAL MINNESOTA SR CARE A

CENTRAL MINNESOTA SR CARE B

CENTRAL MN SENIOR CARE

CENTRAL MN SENIOR CARE INC

CENTRAL TODD CO CC APARTMENTS

CENTRAL TODD COUNTY CARE CENTE

CENTRAL TODD COUNTY CARE CTR

CENTRAL TOWERS

CENTRAL TOWERS LTD PARTNERSHIP

CENTREX REHAB

CENTRIC HEALTHCARE LLC

CERENITY CARE CENTER WBL

CERENITY CARE CTR ON HUMBOLDT

CERENITY MARIAN ST PAUL LLC

CERENITY RES MARIAN OF ST PAUL

CERENITY RESIDENCE OF WBL

CERENITY RESIDENCE OF WHITE BE

CERENITY RESIDENCE ON HUMBOLDT

CERENITY RESIDENCE ON HUMBOLDT

CERENITY SENIOR CARE MARIAN

CERENITY SENIOR CARE MARIAN

CHAMPIONS VILLAGE LLC

CHAMPIONS VILLAGE, LLC

CHAMPLIN SHORES

CHANDLER PLACE

CHANDLER PLACE HOME HEALTH CAR

CHAPPY'S GOLDEN SHORES

CHARITY CARE INC

CHARITY CARE INC

CHARITY CARE INC

CHARTER HOUSE

CHARTER HOUSE INC

CHARTERHOUSE INC

CHASE COURAGEOUS HEALTH SERVIC

CHASE COURAGEOUS HLTH SERVICES

CHASKA HEIGHTS

CHASKA HEIGHTS SENIOR LIVING

CHATEAU WATERS

CHECK ON MY FAMILY

WRIGHT

WRIGHT

WRIGHT

HENNEPIN

HENNEPIN

WASHINGTON

HENNEPIN

DOUGLAS

HENNEPIN

HENNEPIN

HENNEPIN

SHERBURNE

STEARNS

ISANTI

STEARNS

TODD

TODD

WRIGHT

STEARNS

STEARNS

STEARNS

TODD

TODD

STEARNS

STEARNS

STEARNS

STEARNS

STEARNS

MEEKER

MORRISON

AITKIN

RENVILLE

WADENA

DOUGLAS

CROW WING

MILLE LACS

STEARNS

STEARNS

STEARNS

TODD

ANOKA

LESUEUR

KANDIYOHI

SHERBURNE

LYON

POPE

SWIFT

SWIFT

SWIFT

KANDIYOHI

KANDIYOHI

CROW WING

KANDIYOHI

KANDIYOHI

KANDIYOHI

MORRISON

KANDIYOHI

TODD

TODD

TODD

RAMSEY

RAMSEY

HENNEPIN

OLMSTED

RAMSEY

RAMSEY

RAMSEY

RAMSEY

RAMSEY

RAMSEY

RAMSEY

RAMSEY

RAMSEY

RAMSEY

HENNEPIN

ANOKA

HENNEPIN

RAMSEY

RAMSEY

AITKIN

HENNEPIN

HENNEPIN

HENNEPIN

OLMSTED

OLMSTED

OLMSTED

HENNEPIN

HENNEPIN

CARVER

CARVER

STEARNS

CHISAGO

581

582

582

252

252

569

322

127

237

252

252

522

531

330

534

549

549

585

532

531

534

549

549

532

533

531

539

539

371

376

1

482

554

127

81

375

536

531

536

549

8

356

345

523

361

423

547

546

546

342

343

82

345

345

345

378

345

548

548

548

450

450

235

394

476

450

450

463

477

476

451

451

451

463

302

21

206

460

447

2

185

185

206

394

394

394

185

296

57

57

533

69

Page 688: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

Minnesota Department of Health

Index For Directory of Facilities and Services

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

Index Page 12Health Regulation Division

CHEPSTON HOME HEALTHCARE LLC

CHERIE AUGSPURGER LLC

CHERISHED HOME MANAGEMENT

CHERRYWOOD 3315

CHERRYWOOD 3325

CHERRYWOOD ADVANCED LIVING

CHERRYWOOD OF ANDOVER 1889

CHERRYWOOD OF ANDOVER 1899

CHERRYWOOD OF BIG LAKE 171

CHERRYWOOD OF BIG LAKE 177

CHERRYWOOD OF RICHMOND

CHERRYWOOD OF RICHMOND

CHERRYWOOD OF ST. CLOUD 1030

CHERRYWOOD OF ST. CLOUD1036

CHERRYWOOD POINTE AT LEXINGTON

CHERRYWOOD POINTE BLOOMINGTON

CHERRYWOOD POINTE FOREST LAKE

CHERRYWOOD POINTE MINNETONKA

CHERRYWOOD POINTE OF PLYMOUTH

CHERRYWOOD POINTE OF ROSEVILLE

CHESTNUT GROVE EAST

CHESTNUT GROVE NORTH

CHEV'S PLACE LLC

CHEZ VOUS HOME CARE LLC

CHEZ VOUS HOME CARE LLC

CHEZ VOUS HOME CARE LLC

CHI HEALTH AT HOME

CHI HEALTH AT HOME

CHI HEALTH AT HOME

CHI HEALTH AT HOME

CHICOS BOARD & LODGE LLC

CHICOS BOARD & LODGE LLC

CHIKA'S HOUSE

CHILD & ADOLESCENT BEHAV HLTH

CHILDRENS HEALTH CARE SERVICES

CHILDRENS HOME CARE & HOSPICE

CHILDRENS HOME CARE & HOSPICE

CHILDRENS HOSP & CLINICS MPLS

CHINESE SOCIAL SERVICE CENTER

CHIPPEWA COUNTY MONTEVIDEO HHC

CHOICES BY DESIGN LLC

CHOICES BY DESIGN LLC 83RD PL

CHOSEN VALLEY APARTMENTS

CHOSEN VALLEY ASSISTED LIVING

CHOSEN VALLEY ASSISTED LIVING

CHOSEN VALLEY CARE CENTER

CHRIS JENSEN HLTH & REHAB CTR

CHRISTIAN HOMES

CHRISTINE METCALF

CHU SURGERY CENTER LLC

CIMARRON

CINDY'S PLACE LLC

CIRCLE DRIVE MANOR

CIRCLE DRIVE MANOR ASSISTED LI

CIRCLE OF LIFE HC ANISHINAABE

CITY OF LAKES HOME CARE LLC

CJ'S PLACE

CK HOME HEALTH CARE INC

CLADDAGH SENIOR LIVING

CLADDAGH SENIOR LVG CALEDONIA

CLARA CITY ASSISTED LIVING

CLARA CITY ASSISTED LIVING

CLARA CITY CARE CENTER

CLARE APARTMENTS

CLARE HOUSING

CLARE MIDTOWN

CLARK CROSSINGS OF WELLS

CLARKFIELD CARE CENTER

CLARKFIELD HOME HEALTH AGENCY

CLARKFIELD HRA

CLAY COUNTY RECEIVING CENTER

CLEARWATER COUNTY NSG SERVICE

CLEARWATER HOSPICE

CLINIQUE HEALTH CARE SERVICES

CLINIQUE HEALTH CARE SERVICES

CLINTON CARE CENTER

CLINTON CARE CENTER

COCHRAN RECOVERY SERVICES INC

COKATO MANOR

COKATO MANOR HOME HEALTH

COLLEEN'S CARING HANDS

COLLEEN'S CARING HANDS

COLONIAL MANOR NURSING HOME

COLONIAL TERRACE

COLONY COURT

COLONY COURT

COLONY COURT MEMORY CARE

COLORADO HOUSE

COLUMBIA VILLAGE

COMFORCARE HOME CARE ST PAUL

COMFORT CARE ANGELS LLC

COMFORT CARE ASSISTED LIVING

HENNEPIN

HENNEPIN

SAINT LOUIS

STEARNS

STEARNS

BENTON

ANOKA

ANOKA

SHERBURNE

SHERBURNE

STEARNS

STEARNS

STEARNS

STEARNS

RAMSEY

HENNEPIN

WASHINGTON

HENNEPIN

HENNEPIN

RAMSEY

SAINT LOUIS

SAINT LOUIS

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

MORRISON

WILKIN

MORRISON

WILKIN

DODGE

DODGE

HENNEPIN

KANDIYOHI

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

ANOKA

CHIPPEWA

HENNEPIN

HENNEPIN

FILLMORE

FILLMORE

FILLMORE

FILLMORE

SAINT LOUIS

WASHINGTON

STEARNS

HENNEPIN

DAKOTA

SHERBURNE

DODGE

DODGE

HENNEPIN

ANOKA

SHERBURNE

OTTER TAIL

HOUSTON

HOUSTON

CHIPPEWA

CHIPPEWA

CHIPPEWA

HENNEPIN

HENNEPIN

HENNEPIN

FARIBAULT

YELLOW MEDICINE

YELLOW MEDICINE

YELLOW MEDICINE

CLAY

CLEARWATER

CLEARWATER

HENNEPIN

HENNEPIN

BIG STONE

BIG STONE

DAKOTA

WRIGHT

WRIGHT

BELTRAMI

BELTRAMI

JACKSON

TODD

WASECA

WASECA

WASECA

HENNEPIN

ANOKA

RAMSEY

CLAY

HENNEPIN

186

252

509

536

536

37

2

2

522

522

533

533

536

536

440

148

560

290

302

440

513

513

316

309

228

237

376

576

377

576

125

125

206

345

290

252

252

253

11

66

237

186

133

133

133

133

498

563

536

148

118

523

126

126

253

22

526

404

327

327

65

65

65

253

253

253

132

588

587

588

72

75

75

186

210

39

39

107

584

584

32

32

340

549

556

556

556

186

11

451

72

253

Page 689: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

Minnesota Department of Health

Index For Directory of Facilities and Services

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

Index Page 13Health Regulation Division

COMFORT CARE ASSISTED LIVING L

COMFORT CARE CENTER LLC

COMFORT CARE CENTER LLC

COMFORT CARE COTTAGES

COMFORT CARE COTTAGES

COMFORT CARE GROUP LLC

COMFORT CARE GROUP LLC

COMFORT CARE GROUP LLC

COMFORT CARE HOMES

COMFORT CARE HOMES

COMFORT CARE HOMES LLC

COMFORT CARE NURSING SERVICES

COMFORT GROUP HOME INC

COMFORT GROUP HOMES INC

COMFORT HEALTH

COMFORT HEALTH

COMFORT HOSPICE LLC

COMFORT KEEPERS

COMFORT KEEPERS

COMFORT KEEPERS

COMFORT KEEPERS

COMFORT KEEPERS

COMFORT KEEPERS

COMFORT KEEPERS

COMFORT KEEPERS

COMFORT KEEPERS - TWIN CITIES

COMFORT KEEPERS / HEALTHY AT H

COMFORT LIVING

COMFORT LIVING INC

COMFORT RESIDENCE BLAINE

COMFORT RESIDENCE LESUEUR

COMFORT RESIDENCE ST LOUIS PK

COMFORTING ANGELS

COMM ADDICTION RECOVERY ENTERP

COMM BEHAV HLTH HOSP BEMIDJI

COMM BEHAV HLTH HOSP ROCHESTER

COMM BEHAV HOSP FERGUS FALLS

COMM BEHAVIORAL HEALTH HOSP

COMM BEHAVORIAL HLTH HOSPITAL

COMM LIVING OPTIONS HALPER WAY

COMM OPTIONS AND RESOURCES I

COMMON GRND RECOVERY HSG INC

COMMUNITIES OF CARE

COMMUNITY ADDICTION RECOVERY

COMMUNITY ADDICTION WILLMAR

COMMUNITY ASSISTED LIVING INC

COMMUNITY ASSISTED LIVING INC

COMMUNITY ASSISTED LIVING INC

COMMUNITY ASSISTED LIVING INC

COMMUNITY ASSISTED LIVING INC

COMMUNITY ASSISTED LIVING INC

COMMUNITY BEHAVIORAL HLTH HOSP

COMMUNITY BOARDING CARE LLC

COMMUNITY HOME HEALTH INC

COMMUNITY LIVING OPTIONS INC

COMMUNITY LIVING OPTIONS STRAT

COMMUNITY MEMORIAL HOSPITAL

COMPASSION HOME HEALTH CARE

COMPASSION HOME HEALTH CARE LL

COMPASSIONATE CARE INC

COMPASSIONATE COTTAGE II

COMPASSIONATE COTTAGE II

COMPASSIONATE COTTAGE LLC

COMPASSIONATE COTTAGE LLC

COMPASSIONATE HEARTS LLC

COMPASSIONATE HEARTS LLC

COMPASSIONATE HOME

COMPASSIONATE HOME CARE LTD

COMPASSIONATE HOMECARE NURSING

COMPASSIONATE LUCYS SENIOR HOM

COMPASSIONATE NURSES NETWORK

COMPASSIONATE NURSES NETWORK L

COMPASSIONCARE

CONGREGATE HOUSING SERVS PROG

COOK CAREFREE LIVING INC

COOK HOSPITAL

COON RAPIDS DIALYSIS UNIT

COPPER GLEN

COPPER GLEN

COPPERFIELD HILL - THE MANOR

COPPERFIELD HILL THE LODGE

COPPERLEAF SENIOR LIVING

CORAM CVS/SPECIALTY INFUSION S

CORNELIA COTTAGES NEW RICHLAND

CORNELIA HOUSE

CORNERSTONE ASSISTED LIVING

CORNERSTONE ASSISTED LIVING OF

CORNERSTONE CARE

CORNERSTONE CARE LLC

CORNERSTONE NSG & REHAB CENTER

CORNERSTONE RESIDENCE

CORNERSTONE RESIDENCE

HENNEPIN

HENNEPIN

HENNEPIN

WADENA

WADENA

ANOKA

HENNEPIN

ANOKA

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

ANOKA

ANOKA

OLMSTED

OLMSTED

HENNEPIN

TEXAS

ANOKA

DAKOTA

ANOKA

STEARNS

HENNEPIN

HENNEPIN

WISCONSIN

RAMSEY

TEXAS

HENNEPIN

HENNEPIN

ANOKA

LESUEUR

HENNEPIN

CLAY

NICOLLET

BELTRAMI

OLMSTED

OTTER TAIL

DOUGLAS

WRIGHT

RAMSEY

MARTIN

WINONA

RAMSEY

CARLTON

KANDIYOHI

DAKOTA

DAKOTA

SCOTT

SCOTT

DAKOTA

SCOTT

CROW WING

HENNEPIN

SCOTT

WASHINGTON

WASHINGTON

CARLTON

WASHINGTON

RAMSEY

KANDIYOHI

KANDIYOHI

KANDIYOHI

KANDIYOHI

KANDIYOHI

DAKOTA

DAKOTA

HENNEPIN

SHERBURNE

HENNEPIN

ANOKA

HENNEPIN

HENNEPIN

HENNEPIN

RAMSEY

SAINT LOUIS

SAINT LOUIS

ANOKA

CHIPPEWA

CHIPPEWA

HENNEPIN

HENNEPIN

KANDIYOHI

DAKOTA

WASECA

RAMSEY

HENNEPIN

HENNEPIN

MEEKER

MEEKER

CLEARWATER

CLEARWATER

POLK

253

253

235

555

555

16

148

16

254

253

254

210

12

12

395

394

217

547

4

109

4

539

301

301

590

451

547

254

254

8

356

319

71

387

32

395

405

127

582

477

366

579

440

52

345

87

87

520

517

105

520

79

254

517

569

569

54

564

451

345

346

346

346

346

101

101

186

526

186

25

254

254

229

463

497

498

16

66

66

314

314

346

116

556

463

303

303

371

371

75

76

420

Page 690: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

Minnesota Department of Health

Index For Directory of Facilities and Services

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

Index Page 14Health Regulation Division

CORNERSTONE RESIDENCE

CORNERSTONE RESIDENCE

CORNERSTONE RESIDENCE KELLIHER

CORNERSTONE RESIDENCE OF BAGLE

CORNERSTONE RESIDENCE OF KELLI

CORNERSTONE RESIDENCE SENIOR C

CORNERSTONE VILLA

CORNERSTONE VILLA

CORNERSTONE VILLA

COSMO HOME HEALTHCARE SERVICE

COSMO HOME HEALTHCARE SERVICES

COSMO HOME HEALTHCARE SERVICES

COTEAU DES PRAIRIES HOSPITAL H

COTTAGE GROVE DIALYSIS

COTTAGE GROVE WHITE PINE

COTTAGE GROVE WHITE PINE

COTTAGE GROVE WHITE PINE II

COTTAGE GROVE WP II LLC

COTTAGE ON FOREST

COTTAGEWOOD SENIOR COMM I

COTTAGEWOOD SENIOR COMM IX

COTTAGEWOOD SENIOR COMM VI

COTTAGEWOOD SENIOR COMM VII

COTTAGEWOOD SENIOR COMM VIII

COTTAGEWOOD SENIOR COMM II

COTTAGEWOOD SENIOR COMM III

COTTAGEWOOD SENIOR COMM IV

COTTAGEWOOD SENIOR COMM V

COTTAGEWOOD SENIOR COMMUNITIES

COTTAGEWOOD SR COM ROCHESTER

COUNTRY COURT

COUNTRY LIVING MANAGEMENT COMP

COUNTRY MANOR EXTENDED SERVICE

COUNTRY MANOR EXTENDED SERVICE

COUNTRY MANOR HLTH & REHAB CTR

COUNTRY MANOR SENIOR APTS

COUNTRY MEADOWS OF MILACA

COUNTRY MEADOWS OF MILACA INC

COUNTRY VIEW SENIOR LIVING

COUNTRYSIDE CATERED SENIOR LIV

COUNTRYSIDE CATERED SENIOR LVG

COUNTRYSIDE RETIREMENT COMM

COURAGE KENNY REHAB INST TRP

COVENANT LIVING OF GV ASST LVG

COVENANT LVG CARE & REHAB CTR

COVENANT LVG OF GV ASST LVG

CRAWFORD SENIOR CARE

CREEKRIDGE CONCIERGE

CREEKSIDE COTTAGE ASST LIVING

CREEKSIDE VILLAS

CRESCENT COVE

CRESCENT COVE

CRESCENT GROUP HOME LLC

CRESCENT GROUP HOME LLC

CREST VIEW HOME CARE

CREST VIEW HOME HEALTH CARE

CREST VIEW LUTHERAN HOME

CREST VIEW ON 42ND

CREST VIEW SENIOR COMMUNITY

CREST VIEW VILLA

CRESTWOOD

CRMC LONGVILLE

CROIXDALE

CROIXDALE

CROOKSTON HOUSING & EDA

CROSSROADS APARTMENTS

CROSSROADS CARE CENTER

CROSSROADS SURGERY CENTER

CROSSTOWN SURGERY CENTER LLC

CRYSTAL BROOK SENIOR LIVING

CRYSTAL SEASONS ALF LLC

CRYSTAL SEASONS LIVING CENTER

CSL ROSE ARBOR

CTRL MN RECEIVING AND REFERRAL

CURE HOME HEALTH INC

CURE HOME HEALTH INC

CURE HOME HEALTH INC

CUSTOMCARE HOME HEALTH CARE LL

CUSTOMIZE LIVING LLC

CUSTOMIZE LIVING LLC

CUYUNA REG MED CTR PALLIATIVE

CUYUNA REGIONAL MEDICAL CENTER

CYPRESS MANOR

D & D'S CARING HEARTS

D & D'S CARING HEARTS

DAMACARE HEALTH SERVICES LLC

DANIEL CARE HOMES LLC

DANIEL CARE HOMES LLC

DARTS

DASSEL MEDICAL CENTER

DAWN'S ELDER CARE

DAWSON CLINIC

CLEARWATER

POLK

BELTRAMI

CLEARWATER

BELTRAMI

CLEARWATER

SAINT LOUIS

SAINT LOUIS

SAINT LOUIS

DAKOTA

HENNEPIN

HENNEPIN

SOUTH DAKOTA

WASHINGTON

WASHINGTON

WASHINGTON

WASHINGTON

WASHINGTON

RICE

OLMSTED

OLMSTED

OLMSTED

OLMSTED

OLMSTED

OLMSTED

OLMSTED

OLMSTED

OLMSTED

BLUE EARTH

OLMSTED

RICE

KANDIYOHI

BENTON

BENTON

BENTON

BENTON

MILLE LACS

MILLE LACS

REDWOOD

STEELE

STEELE

BROWN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

RAMSEY

SCOTT

ANOKA

ANOKA

HENNEPIN

HENNEPIN

RAMSEY

RAMSEY

ANOKA

ANOKA

ANOKA

ANOKA

ANOKA

DODGE

CARVER

CASS

WASHINGTON

WASHINGTON

POLK

POLK

NOBLES

RICE

HENNEPIN

HUBBARD

BLUE EARTH

BLUE EARTH

HENNEPIN

STEARNS

HENNEPIN

STEARNS

HENNEPIN

HENNEPIN

ANOKA

HENNEPIN

CROW WING

CROW WING

ANOKA

BELTRAMI

BELTRAMI

SCOTT

WRIGHT

HENNEPIN

DAKOTA

MEEKER

RICE

LAC QUI PARLE

75

420

35

75

35

76

496

497

496

110

254

254

590

557

557

558

558

558

489

395

395

395

395

396

395

395

395

395

43

396

484

343

36

36

36

36

373

373

481

542

542

50

229

229

229

234

451

517

16

16

163

322

435

434

12

12

12

12

8

125

57

62

557

557

418

419

389

484

221

329

41

40

241

536

255

536

254

221

8

145

84

84

3

32

32

520

586

164

122

370

485

352

Page 691: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

Minnesota Department of Health

Index For Directory of Facilities and Services

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

Index Page 15Health Regulation Division

DAWSON ICF MR

DD GATES HOUSE

DECATUR HOUSE

DECKER'S FAMILY CARE INC

DECKER'S FAMILY CARE INC

DEEPHAVEN WOODS

DEER CREST

DEER RIVER HEALTH CARE CENTER

DEER RIVER HOME CARE

DELIGHT HOME HEALTHCARE LLC

DELIGHT HOME HEALTHCARE LLC

DELIGHT HOME HEALTHCARE LLC

DELIGHT HOME HEALTHCARE LLC

DELIGHT HOME HEALTHCARE LLC

DELIGHT HOME HEALTHCARE, LLC

DELIGHT HOME HEALTHCARE, LLC

DELLWOOD GARDENS

DELLWOOD GARDENS

DELPHI

DERMAN SENIOR CARE

DERMAN SENIOR CARE INC.

DERMAN SENIOR CARE, INC

DERMAN SENIOR CARE, INC

DESNOL HEALTHCARE SERVICES

DESNOL HEALTHCARE SERVICES LLC

DESNOL HEALTHCARE SERVICES LLC

DESTINY HOME

DESTINY HOME CARE SERVICES

DESTINY HOME CARE SERVICES

DESTINY HOME CARE SERVICES

DESTINY HOME CARE SERVICES

DESTINY HOME CARE SERVICES INC

DESTINY HOME CARE SERVICES INC

DESTINY HOME CARE SERVICES INC

DFC - PAPERMAKER'S PLACE

DIALYSIS AT MANKATO CLINIC

DIAMOND WILLOW ALEXANDRIA 1

DIAMOND WILLOW BAXTER 1

DIAMOND WILLOW BAXTER 2

DIAMOND WILLOW CLOQUET 1

DIAMOND WILLOW CLOQUET 2

DIAMOND WILLOW DETROIT LAKES 1

DIAMOND WILLOW DETROIT LAKES 2

DIAMOND WILLOW GRAND RAPIDS 1

DIAMOND WILLOW GRAND RAPIDS 2

DIAMOND WILLOW LESTER PARK 1

DIAMOND WILLOW LESTER PARK 2

DIAMOND WILLOW LITTLE FALLS 1

DIAMOND WILLOW LITTLE FALLS 2

DIAMOND WILLOW MOUNTAIN IRON 1

DIAMOND WILLOW MOUNTAIN IRON 2

DIAMOND WILLOW OF ALEXANDRIA 2

DIAMOND WILLOW OF PROCTOR 1

DIAMOND WILLOW OF PROCTOR 2

DIAMOND WILLOW OF PROCTOR 3

DIAMOND WILLOW OF PROCTOR 4

DIAMOND WILLOW OF PROCTOR 5

DIAMOND WILLOW PARK RAPIDS 1

DIAMOND WILLOW PARK RAPIDS 2

DIAMONDCREST SENIOR LIVING

DIAMONDS HOME HEALTH CARE INC

DIAMONDS HOME HEALTHCARE INC

DIANE'S PLACE LLC

DIGNIFIED CHOICE CARE

DIGNITY AND GRACE

DIGNITY AND GRACE

DIGNITY HEALTHCARE SERVICES

DIGNITY HEALTHCARE SERVICES

DIGNITY HOME CARE LLC

DIGNITY HOME CARE LLC

DIS-GENERATION GROUP INC

DIS-GENERATION GROUP INC

DIS-GENERATION GROUP INC

DISTRICT ONE HOSPITAL

DIVERSITY UNION GROUP HOME LLC

DIVERSITY UNION GROUP HOME LLC

DIVERSITY UNION GROUP HOME LLC

DIVINE CARE LLC

DIVINE CARE LLC

DIVINE CARE LLC

DIVINE HEALING HOME CARE LLC

DIVINE HEALING HOME CARE LLC

DIVINE HEALTH HOME CARE LLC

DIVINE HEALTHCARE NETWORK

DIVINE HOME CARE INC

DIVINE HOME CARE INC

DIVINE HOME CARE SERVICES LLC

DIVINE HOME CARE SERVICES LLC

DIVINE HOSPICE CARE

DIVINE HOUSE INC

DIVINE HOUSE INC

DIVINE HOUSE INCVALLEY

LAC QUI PARLE

CROW WING

HENNEPIN

KOOCHICHING

KOOCHICHING

HENNEPIN

GOODHUE

ITASCA

ITASCA

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

RAMSEY

RAMSEY

SCOTT

RAMSEY

ANOKA

ANOKA

DAKOTA

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

KOOCHICHING

BLUE EARTH

DOUGLAS

CROW WING

CROW WING

CARLTON

CARLTON

BECKER

BECKER

ITASCA

ITASCA

SAINT LOUIS

SAINT LOUIS

MORRISON

MORRISON

SAINT LOUIS

SAINT LOUIS

DOUGLAS

SAINT LOUIS

SAINT LOUIS

SAINT LOUIS

SAINT LOUIS

SAINT LOUIS

HUBBARD

HUBBARD

HENNEPIN

HENNEPIN

HENNEPIN

SHERBURNE

DAKOTA

CASS

CASS

ANOKA

ANOKA

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

RICE

HENNEPIN

ANOKA

ANOKA

DAKOTA

DAKOTA

DAKOTA

HENNEPIN

HENNEPIN

HENNEPIN

RAMSEY

KANDIYOHI

KANDIYOHI

HENNEPIN

HENNEPIN

KANDIYOHI

KANDIYOHI

KANDIYOHI

KANDIYOHI

352

81

297

352

352

215

141

334

334

186

187

186

159

186

186

207

464

451

520

451

12

22

94

187

187

164

187

148

148

148

149

149

149

149

350

42

127

79

79

52

52

28

28

335

335

499

499

377

377

512

512

127

512

512

512

512

512

329

329

316

255

255

523

94

61

62

4

4

149

149

211

187

187

485

255

12

12

94

113

88

164

238

187

464

346

346

164

164

346

346

346

347

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Minnesota Department of Health

Index For Directory of Facilities and Services

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

Index Page 16Health Regulation Division

DIVINE NURTURING HOMECARE SERV

DIVINE PROVIDENCE COMMUNITY HM

DIVINE PROVIDENCE HEALTH CENTR

DOMINION CARES HOME HEALTH

DOMINION HEALTH CARE SERVICES

DOMINION HEALTHCARE SERVICES

DONOVAN FRANK DETOX CENTER

DOODI'S BEST CARE

DOODI'S BEST CARE INC

DOSWELL HOME

DOUGLAS HOME

DR THOMAS H JOHNSON HWS

DR THOMAS H JOHNSON HWS

DR THOMAS H JOHNSON HWS

DR THOMAS H JOHNSON HWS

DR THOMAS H JOHNSON HWS

DRCC AURORA

DREAM WEAVER HOME CARE PC

DUALE INC

DULUTH SURGICAL SUITES LLC

DUNGARVIN BALBRIGGEN

DUNGARVIN CAMARA

DUNGARVIN CHAI

DUNGARVIN TIKVAH

DUNGARVIN YOUGAL

DYNAMIC HEALTHCARE LLC

DYNAMIC HEALTHCARE LLC

E B I INCORPORATED

EAGAN DIALYSIS UNIT

EAGAN ORTHOPEDIC SURGERY CTR

EAGAN POINTE SENIOR LIVING

EAGAN POINTE SENIOR LIVING LLC

EAGAN SURGERY CENTER

EAGANCARE BEHAVIORAL HEALTH

EAGANCARE BEHAVIORAL HEALTH SE

EAGANCARE BEHAVIORAL HEALTH SE

EAGLE CREST ARBOR

EAGLE CREST COMMONS

EAGLE GROUP HOME INC

EAGLE GROUP HOME LLC

EAGLE STREET CATERED LIVING

EAGLECREST SENIOR HOUSING LLC

EASE COMFORT LLC

EASE COMFORT LLC

EASE COMFORT LLC

EAST RIDGE COURT

EAST RIVER ROAD DIALYSIS

EAST VALLEY DIALYSIS

EASTWOOD SENIOR LIVING

EASTWOOD SENIOR LIVING HOME CA

EBENEZER CARE CENTER

EBENEZER HOME CARE

EBENEZER HOME CARE

EBENEZER HOME CARE

EBENEZER HOME CARE

EBENEZER LAKES SENIOR HOUSING

EBENEZER MANAGEMENT SERVICES

EBENEZER MANAGEMENT SERVICES I

EBENEZER MANAGEMENT SERVICES I

EBENEZER RIDGES GERIATRIC CC

ECUMEN DET LKS THE COTTAGE

ECUMEN DETROIT LKS THE MADISON

ECUMEN DULUTH THE SHORES

ECUMEN DULUTH THE SHORES

ECUMEN HC & HOSPICE LITCHFIELD

ECUMEN HOME CARE - DETROIT LAK

ECUMEN HOME CARE LAKESHORE

ECUMEN HOME CARE PATHSTONE

ECUMEN HOSPICE

ECUMEN HUTCHINSON THE OAKS

ECUMEN HUTCHINSON THE OAKS

ECUMEN HUTCHINSON THE PINES

ECUMEN LAKESHORE

ECUMEN LAKEVIEW COMMONS

ECUMEN LAKEVIEW COMMONS

ECUMEN NORTH BRANCH

ECUMEN NORTH BRANCH

ECUMEN NORTH BRANCH

ECUMEN OF LITCHFIELD SENIOR HO

ECUMEN PRAIRIE HILL

ECUMEN PRAIRIE HILL

ECUMEN SAND PRAIRIE

ECUMEN SEASONS AT APPLE VALLEY

ECUMEN SEASONS AT APPLE VALLEY

ECUMEN SEASONS AT MAPLEWOOD

ECUMEN SEASONS AT MAPLEWOOD

ECUMEN WORTHINGTON THE MEADOWS

ECUMEN WORTHINGTON THE MEADOWS

EDDIES PLACE

EDEN HOMES INC

EDEN HOMES INC

EDEN HOMES INC

HENNEPIN

BROWN

LINCOLN

MCLEOD

HENNEPIN

HENNEPIN

SAINT LOUIS

HENNEPIN

HENNEPIN

RAMSEY

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

SAINT LOUIS

WASHINGTON

HENNEPIN

SAINT LOUIS

RAMSEY

RAMSEY

HENNEPIN

RAMSEY

HENNEPIN

RAMSEY

RAMSEY

SAINT LOUIS

DAKOTA

DAKOTA

DAKOTA

DAKOTA

DAKOTA

DAKOTA

HENNEPIN

DAKOTA

RAMSEY

RAMSEY

HENNEPIN

HENNEPIN

ANOKA

RAMSEY

HENNEPIN

HENNEPIN

HENNEPIN

RENVILLE

ANOKA

DAKOTA

KANABEC

KANABEC

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

CHISAGO

HENNEPIN

HENNEPIN

HENNEPIN

DAKOTA

BECKER

BECKER

SAINT LOUIS

SAINT LOUIS

MEEKER

BECKER

SAINT LOUIS

BLUE EARTH

WASHINGTON

MCLEOD

MCLEOD

MCLEOD

SAINT LOUIS

RAMSEY

RAMSEY

CHISAGO

CHISAGO

CHISAGO

MEEKER

NICOLLET

NICOLLET

NICOLLET

DAKOTA

DAKOTA

RAMSEY

RAMSEY

NOBLES

NOBLES

SAINT LOUIS

HENNEPIN

HENNEPIN

HENNEPIN

238

50

358

367

187

164

513

255

255

464

187

256

255

255

255

255

495

569

256

499

464

446

303

452

238

440

440

499

101

101

102

102

102

102

214

94

440

440

256

256

16

440

309

310

310

483

22

88

341

341

256

222

225

221

222

69

222

222

222

94

28

28

499

499

371

28

499

42

566

368

368

368

499

426

431

68

68

68

371

387

386

387

88

88

427

427

389

389

508

256

256

310

Page 693: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

Minnesota Department of Health

Index For Directory of Facilities and Services

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

Index Page 17Health Regulation Division

EDEN HOMES INC

EDEN PATHWAYS

EDEN PRAIRIE DIALYSIS

EDEN PRAIRIE SENIOR LIVING LLC

EDEN PRAIRIE SENIOR LIVING LLC

EDEN RESIDENTIAL PROGRAM

EDENBROOK OF EDINA

EDENBROOK OF ROCHESTER

EDGEBROOK CARE CENTER

EDGEBROOK ESTATES

EDGEBROOK ESTATES ASSISTED LIV

EDGEBROOK ESTATES ASSISTED LVG

EDGEMONT PLACE ALZHEIMER'S

EDGEMONT PLACE ALZHEIMER'S SPE

EDGEWOOD ALEX SENIOR LIVING

EDGEWOOD ALEXANDRIA SENIOR LIV

EDGEWOOD BAXTER LLC

EDGEWOOD BAXTER LLC

EDGEWOOD BLAINE LLC

EDGEWOOD BLAINE LLC

EDGEWOOD BRAINERD SENIOR LIVIN

EDGEWOOD BRAINERD SENIOR LIVIN

EDGEWOOD CARE INC

EDGEWOOD CARE INC

EDGEWOOD EAST GRAND FORKS SENI

EDGEWOOD EGF SENIOR LIVING

EDGEWOOD HERMANTOWN I SENIOR L

EDGEWOOD HERMANTOWN I SENIOR L

EDGEWOOD HERMANTOWN I SR LVG

EDGEWOOD HERMANTOWN II SR LVG

EDGEWOOD MAY CREEK LLC

EDGEWOOD MAY CREEK LLC

EDGEWOOD MAY CREEK LLC

EDGEWOOD MAY CREEK LLC

EDGEWOOD PLACE

EDGEWOOD SARTELL LLC

EDGEWOOD SARTELL LLC

EDGEWOOD SARTELL LLC

EDGEWOOD VIRGINIA I SENIOR LIV

EDGEWOOD VIRGINIA I SENIOR LIV

EDGEWOOD VIRGINIA I SENIOR LIV

EDINA DIALYSIS CENTER

EDINA SPECIALTY SURGERY CENTER

EDINA SURGERY CENTER

EDINBROOK HOME

EH POLINSKY MEDICAL REHAB CTR

EL-LYON LLC

ELDER HOMESTEAD

ELDERWOOD OF HINCKLEY

ELDERWOOD OF HINCKLEY

ELEGED HOME CARE INC

ELEGED HOME CARE INC

ELEGED HOME CARE INC

ELIM HOME

ELIM HOME MILACA

ELIM SHORES

ELIM SHORES

ELITE CARE GIVER GROUP-HOME

ELITE CAREGIVER GROUP-HOME LLC

ELITE NURSING SERVICE INC

ELITE NURSING SERVICES INC

ELITE QUALITY SERVICES LLC

ELITE QUALITY SERVICES LLC

ELITE QUALITY SERVICES LLC

ELIZJOSEPH HEALTHCARE LLC

ELIZJOSEPH HEALTHCARE LLC

ELIZJOSEPH HEALTHCARE LLC

ELIZJOSEPH HEALTHCARE LLC

ELIZJOSEPH HEALTHCARE LLC

ELIZJOSEPH HEALTHCARE LLC

ELK RIDGE ALZHEIMER'S SPECIAL

ELK RIDGE ALZHEIMERS SPECIAL C

ELK RIDGE ASSISTED LIVING

ELK RIDGE ASSISTED LIVING SC

ELK RIDGE ASSISTED LIVING SC

ELK RIDGE ASSISTED LIVING SC

ELK RIVER SENIOR CARE LLC

ELK RIVER SENIOR LIVING

ELMHURST COMMONS

ELMORE ASSISTED LIVING

ELMORE ASSISTED LIVING

ELSELIA HOME HEALTHCARE SERVIC

ELY BLOOMENSON COMM HOSPITAL

ELY CAREFREE LIVING

ELY CAREFREE LIVING

ELY CAREFREE LIVING

ELYSIAN HOME CARE

ELYSIAN HOME CARE

ELYSIAN SENIOR HOMES OF CHANHA

ELYSIAN SENIOR HOMES OF DULUTH

EMBRACE HOME CARE LLC

EMMANUEL NURSING HOME

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

OLMSTED

PIPESTONE

PIPESTONE

PIPESTONE

PIPESTONE

ANOKA

ANOKA

DOUGLAS

DOUGLAS

CROW WING

CROW WING

ANOKA

ANOKA

CROW WING

CROW WING

ITASCA

ITASCA

POLK

POLK

SAINT LOUIS

SAINT LOUIS

SAINT LOUIS

SAINT LOUIS

CASS

CASS

CASS

CASS

HENNEPIN

STEARNS

STEARNS

STEARNS

SAINT LOUIS

SAINT LOUIS

SAINT LOUIS

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

SAINT LOUIS

HENNEPIN

HENNEPIN

PINE

PINE

HENNEPIN

HENNEPIN

HENNEPIN

MILLE LACS

MILLE LACS

HENNEPIN

HENNEPIN

HENNEPIN

ANOKA

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

RAMSEY

RAMSEY

OTTER TAIL

OTTER TAIL

OTTER TAIL

OTTER TAIL

SHERBURNE

SHERBURNE

ISANTI

FARIBAULT

FARIBAULT

HENNEPIN

SAINT LOUIS

SAINT LOUIS

SAINT LOUIS

SAINT LOUIS

GOODHUE

GOODHUE

CARVER

SAINT LOUIS

FREEBORN

BECKER

256

325

217

217

217

256

222

396

416

416

416

416

8

9

127

127

79

79

9

9

81

81

333

333

419

419

509

509

509

509

64

64

64

64

187

533

533

533

513

514

513

222

222

222

188

503

188

290

414

414

257

257

256

375

374

217

217

257

9

164

164

257

257

257

164

165

165

164

165

178

427

427

412

410

410

411

523

523

330

132

132

316

507

507

507

507

141

141

56

499

136

28

Page 694: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

Minnesota Department of Health

Index For Directory of Facilities and Services

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

Index Page 18Health Regulation Division

EMMAUS PLACE

EMPATHY HOME CARE INC

EMPATHY HOME CARE INC

EMPATHY HOME CARE INC

EMPATHY HOME CARE INC

EMPATHY HOME CARE INC

EMPATHY HOME CARE INC

EMPATHY HOME CARE INC

EMPATHY HOME CARE INC

EMPATHY HOME CARE INC

EMPATHY HOME CARE INC

EMPIRE SYSTEMS HOME CARE

EMPIRE SYSTEMS HOME CARE

EMPIRE SYSTEMS HOME CARE

EMPIRE SYSTEMS HOME CARE

EMPIRE SYSTEMS HOME CARE

EMPOWERING HOMECARE CORP

EMPOWERMENT HEALTHCARE

ENGAGED HOME CARE

ENGEL HAUS

ENGEL HAUS

ENGLISH ROSE SUITES AND B HOME

ENGLISH ROSE SUITES B HILLS

ENGLISH ROSE SUITES GLEASON

ENGLISH ROSE SUITES INDIAN HIL

ENGLISH ROSE SUITES INTERLACHE

ENGLISH ROSE SUITES LOCH WOOD

ENHANCE LIVING INC

ENHANCE LIVING INC

ENHANCED CARE ASSISTED LIVING

ENHANCED CARE ASSISTED LIVING

ENHANCED CARE ASSISTED LIVING

ENHANCED CARE ASSISTED LIVING

ENHANCED CARE ASSISTED LIVING

ENHANCED CARE ASSISTED LIVING

ENHANCED CARE ASSISTED LIVING

EON INC

EPIC HOMES LLC

EPIC HOMES LLC

EPIC HOMES LLC

EPIPHANY ASSISTED LIVING LLC

EPIPHANY ASSISTED LIVING LLC

EPIPHANY CARE HOMES

EPIPHANY CARE HOMES

EPIPHANY CARE HOMES LLC

EPISCOPAL CHURCH HOME GARDENS

EPISCOPAL CHURCH HOME OF MN

EPISCOPAL HOME CARE AND SERVIC

EQUITABLE HEALTHCARE SERVICES

EQUITY SERVICES OF ST. PAUL

ESSENTIA HEALTH ADA

ESSENTIA HEALTH ADA CLINIC

ESSENTIA HEALTH BAGLEY CLINIC

ESSENTIA HEALTH DULUTH

ESSENTIA HEALTH ELY CLINIC

ESSENTIA HEALTH FOSSTON

ESSENTIA HEALTH GRACE HOME

ESSENTIA HEALTH GRACEVILLE

ESSENTIA HEALTH GRACEVILLE HH

ESSENTIA HEALTH HOLY TRINITY

ESSENTIA HEALTH HOME CARE WEST

ESSENTIA HEALTH HOSPICE WEST

ESSENTIA HEALTH INTER FALLS

ESSENTIA HEALTH MENAHGA CLINIC

ESSENTIA HEALTH MOOSE LAKE

ESSENTIA HEALTH MOOSE LAKE HC

ESSENTIA HEALTH NORTHERN PINES

ESSENTIA HEALTH NORTHERN PINES

ESSENTIA HEALTH OAK CROSSING

ESSENTIA HEALTH OKLEE CLINIC

ESSENTIA HEALTH PARK RAPIDS CL

ESSENTIA HEALTH REMER CLINIC

ESSENTIA HEALTH SANDSTONE

ESSENTIA HEALTH ST JOSEPHS MED

ESSENTIA HEALTH ST. MARY'S MED

ESSENTIA HEALTH ST. MARYS

ESSENTIA HEALTH VIRGINIA

ESSENTIA HEALTH WALKER CLINIC

ESSENTIA HLTH ST. MARY'S HSPC

ESSENTIA PELICAN RAPIDS CLINIC

ESSENTIA ST. MARY'S MAHNOMEN

ESSENTIAL HEALTH SERVICES LLC

ESSENTIAL KARE

ESSLING'S HOME PLUS INC

ESSLING'S HOMES PLUS INC

ESSLING'S HOMES PLUS INC

ESSLINGS HOMES PLUS INC

ESTEEM HOME HEALTH SERVICES

ESTEEM HOME HEALTH SERVICES L

ESTEEM NURSING CARE INC

ESTHERRA CARE LLC

ESTHERRA CARE LLC

MEEKER

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

COTTONWOOD

WRIGHT

WRIGHT

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

RAMSEY

RAMSEY

RAMSEY

RAMSEY

RAMSEY

WASHINGTON

RAMSEY

RAMSEY

WASHINGTON

BROWN

HENNEPIN

HENNEPIN

HENNEPIN

ANOKA

ANOKA

CARVER

HENNEPIN

HENNEPIN

RAMSEY

RAMSEY

RAMSEY

RAMSEY

RAMSEY

NORMAN

NORMAN

CLEARWATER

SAINT LOUIS

SAINT LOUIS

POLK

BIG STONE

BIG STONE

BIG STONE

BIG STONE

BECKER

POLK

KOOCHICHING

WADENA

CARLTON

CARLTON

SAINT LOUIS

SAINT LOUIS

BECKER

RED LAKE

HUBBARD

CASS

PINE

CROW WING

SAINT LOUIS

BECKER

SAINT LOUIS

CASS

SAINT LOUIS

OTTER TAIL

MAHNOMEN

HENNEPIN

WRIGHT

RAMSEY

RAMSEY

RAMSEY

RAMSEY

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

371

165

165

188

188

188

211

211

188

211

207

188

165

165

165

314

257

188

78

581

581

223

223

223

223

223

223

447

452

464

464

464

566

464

464

566

47

257

188

188

16

16

59

290

295

452

452

464

427

452

391

391

76

504

507

421

39

39

39

39

28

421

350

553

55

55

495

495

28

478

329

64

415

82

505

29

515

64

500

410

363

257

585

452

427

427

457

257

211

165

189

258

Page 695: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

Minnesota Department of Health

Index For Directory of Facilities and Services

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

Index Page 19Health Regulation Division

ESTHERRA CARE LLC

ESTHERRA CARE LLC

ESTHERRA CARE LLC

ESTHERRA CARE LLC

ESTHERRA CARE LLC

ETHOS HOME CARE

ETHOS HOSPICE

EVANSVILLE CARE CENTER

EVANSVILLE SENIOR LIVING

EVANSVILLE SENIOR LIVING

EVENSONG MANOR

EVENSONG MANOR

EVENTIDE

EVENTIDE FAIRMONT

EVENTIDE LUTHERAN HOME

EVENTIDE THE LINDEN

EVERBLOOM HOME HEALTH CARE

EVERBLOOM HOME HEALTH CARE

EVERGREEN APARTMENTS

EVERGREEN KNOLL

EVERGREEN LODGE

EVERGREEN PLACE

EVERGREEN PLACE

EVERGREEN SENIOR LIVING

EVERLEAD HOME HEALTH CARE LLC

EVERLEAD HOME HEALTH CARE LLC

EVERYDAY LIVING LLC

EVERYDAY LIVING LLC

EVERYDAY LIVING LLC

EVERYDAY LIVING LLC

EVERYTIME HOME CARE

EVY GABS HEALTH CARE SYSTEMS L

EVYGABS HEALTHCARE SYSTEMS LLC

EXAMINETICS INC

EXCELLENCE LIVING CONNECTIONS

EXCELLENT CARE SERVICES INC

EXPRESS HOME HEALTH CARE

EZEKIEL'S HOUSE

FAIR MEADOW ASSISTED LIVING

FAIR MEADOW ASSISTED LIVING

FAIR MEADOW NURSING HOME

FAIR OAKS NURSING & REHAB LLC

FAIRFAX COMMUNITY HOME

FAIRFAX COMMUNITY HOME HEALTH

FAIRFAX COMMUNITY HOME INC

FAIRVIEW CARE CENTER

FAIRVIEW HOME INFUSION

FAIRVIEW LAKES MEDICAL CENTER

FAIRVIEW MAPLE GROVE SURG CTR

FAIRVIEW NORTHLAND REG HOSP

FAIRVIEW PLACE

FAIRVIEW RIDGES HOSPITAL

FAIRVIEW SOUTHDALE HOSPITAL

FAIRVIEW UNIVERSITY TRANS SVCS

FAIRWAY PINES SENIOR LIVING

FAIRWAY PINES SENIOR LIVING CO

FAIRWAY VIEW

FAIRWAY VIEW NEIGHBORHOODS

FAIRWAY VIEW SENIOR COMMUNITY

FALCON HOME HEALTH CARE

FALCON HOME HEALTH CARE LLC

FALLS LANDING ASSISTED LIVING

FALLS LANDING ASSISTED LIVING

FAMILY CARE SERVICES INC

FAMILY CHOICE HOMECARE

FAMILY MEDICAL CENTER

FAMILY SURGERY CENTER LLC

FAMILY TREE CARE HOMES

FAMILY TREE HOMES LLC

FAMILY TRUST HOME HEALTH LLC

FAMILY TRUST HOME HEALTH LLC

FANTUM HOME HEALTH CARE LLC

FANTUM HOME HEALTH CARE LLC

FARIBAULT DIALYSIS UNIT

FARIBAULT SENIOR LIVING

FARIBAULT SENIOR LIVING

FARMINGTON HEALTH SERVICES

FARMSTEAD CARE OF MOORHEAD

FARMSTEAD CARE OF MOORHEAD LP

FERGUS FALLS DIALYSIS CENTER

FIELD CREST ASSISTED LIVING

FIELD CREST CARE CENTER

FIELD CREST HOME CARE

FIELDCREST ASSISTED LIVING

FIREFLY IMAGING SERVICES LLC

FIRST CARE OF MINNESOTA INC

FIRST CHOICE ASSISTED LIVING

FIRST CHOICE ASSISTED LIVING

FIRST CHOICE HOME CARE INC

FIRST CHOICE NURSING & HOMECAR

FIRST CHOICE NURSING & HOMECAR

FIRST CHOICE NURSING & HOMECAR

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

NORTH DAKOTA

NORTH DAKOTA

DOUGLAS

DOUGLAS

DOUGLAS

HENNEPIN

HENNEPIN

CLAY

CLAY

CLAY

CLAY

DAKOTA

DAKOTA

HENNEPIN

CARLTON

RICE

GOODHUE

GOODHUE

CARLTON

HENNEPIN

HENNEPIN

HENNEPIN

DAKOTA

DAKOTA

HENNEPIN

HENNEPIN

WASHINGTON

WASHINGTON

KANSAS

HENNEPIN

OLMSTED

RAMSEY

HENNEPIN

POLK

POLK

POLK

WADENA

RENVILLE

RENVILLE

RENVILLE

DODGE

HENNEPIN

CHISAGO

HENNEPIN

SHERBURNE

RENVILLE

DAKOTA

HENNEPIN

HENNEPIN

STEARNS

STEARNS

BIG STONE

BIG STONE

BIG STONE

RAMSEY

HENNEPIN

PIPESTONE

PIPESTONE

HENNEPIN

DAKOTA

MORRISON

KANDIYOHI

RAMSEY

HENNEPIN

HENNEPIN

RAMSEY

HENNEPIN

HENNEPIN

RICE

RICE

RICE

DAKOTA

CLAY

CLAY

OTTER TAIL

DODGE

DODGE

DODGE

LYON

JACKSON

ANOKA

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

258

189

189

189

189

589

589

130

130

130

189

189

72

73

73

73

102

102

189

52

489

141

141

52

166

165

258

116

120

258

322

560

560

588

325

396

452

217

420

420

420

555

482

482

482

124

258

69

238

525

483

94

223

258

535

535

40

40

40

424

258

416

416

258

116

378

347

435

316

166

435

211

189

485

485

485

106

73

73

405

125

125

125

360

339

12

149

149

259

190

166

190

Page 696: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

Minnesota Department of Health

Index For Directory of Facilities and Services

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

Index Page 20Health Regulation Division

FIRST CHOICE NURSING & HOMECAR

FIRST CHOICE ON 81ST AVE

FIRST CHOICE RESIDENTIAL

FIRST CHOICE RESIDENTIAL CARE

FIRST CHOICE RESIDENTIAL CARE

FIRST LIGHT RESIDENTIAL CARE L

FIRST LIGHT RESIDENTIAL CARE L

FIRST MERCY HOMES LLC

FIRST MERCY HOMES LLC

FIRST MERCY HOMES LLC.

FIRSTAT NURSING SERVICES

FIRSTLIGHT HOME CARE OF MINNEA

FIRSTLIGHT PINE CITY

FIVE STAR REHAB WELLNESS SERV

FLAGSHIP FRANCHISES OF MINNESO

FLOURISH

FMC DIAL SVCS OF SPIRIT VALLEY

FMC DIALYSIS SERVCES ROSEVILLE

FMC DIALYSIS SERVICES BUFFALO

FMC DIALYSIS SERVICES DULUTH

FMC DIALYSIS SERVICES EVELETH

FMC DIALYSIS SRVCS GR RAPIDS

FMC DIALYSIS SVCS N SUBURBAN

FMC MAPLEWOOD HEIGHTS

FMC PLYMOUTH CREEK

FMC SOUTHTOWN DIALYSIS

FMC WEST ST. PAUL DIALYSIS

FMCNA NEW BRIGHTON DIAL CTR

FMCNA PARK AVE DIALYSIS CENTER

FMCNA SHAKOPEE DIALYSIS CENTER

FMCNA SOUTH MPLS DIALYSIS CTR

FMCNA WACONIA DIALYSIS

FOCUS XII HALFWAY HOUSE

FOLKESTONE

FOLKESTONE NORTH

FOND DU LAC ASST LVG RESIDENCE

FOND DU LAC HOME CARE PROGRAM

FOOTWORKS

FORENSIC MENTAL HEALTH PROGRAM

FORENSIC MENTAL HEALTH PROGRAM

FORTUNATE HOMES LLC

FORTUNATE HOMES LLC

FORTUNATE HOMES LLC

FORTUNATE HOMES LLC

FORTUNATE HOMES LLC

FOUNDERS RIDGE

FOUNDERS RIDGE

FOUNTAIN CENTERS

FOUNTAIN GATE HEALTH LLC

FOUR WINDS TREATMENT PROGRAM

FOURTH AVENUE HOMES INC

FOXGLOVE

FRANCE AVENUE

FRANCE HOUSE

FRANCISCAN HEALTH CENTER

FRANCISCAN SISTERS OF LITTLE F

FRANKLIN RESTORATIVE CARE CTR

FRASER RICHFIELD

FRAZEE ASSISTED LIVING

FRAZEE ASSISTED LIVING HOME CA

FRAZEE CARE CENTER

FRAZIER RECOVERY HOME

FRAZIER RECOVERY HOMES

FRAZIER RECOVERY HOMES LLC

FRAZIER RECOVERY HOMES LLC

FRAZIER RECOVERY HOMES LLC

FRAZIER RECOVERY HOMES LLC

FRAZIER RECOVERY HOMES LLC

FRAZIER RECOVERY HOMES LLC

FRAZIER RECOVERY HOMES LLC

FREEDOM HOME CARE LLC

FREEMONT HOUSE

FREMONT HOME

FRESENIUS KIDNEY CARE CHASKA

FRESENIUS KIDNEY CARE MORA

FRESENIUS KIDNEY CARE WOODBURY

FRESENIUS MED CA CANNON VALLEY

FRESENIUS MED CA RND LK DIALYS

FRESENIUS MED CARE COON RAPIDS

FRESENIUS MED CARE LAKEVILLE

FRESENIUS MED CARE MAPLE GROVE

FRESENIUS MED CARE OF CHAMPLIN

FRESENIUS MED CARE OF HIBBING

FRESENIUS MED CARE ROBBINSDALE

FRESENIUS MED CARE ST LOUIS PK

FRESENIUS MED CARE TWO RIVERS

FRESENIUS MEDICAL CARE BLAINE

FRESENIUS MEDICAL CARE CLOQUET

FRESENIUS MEDICAL CARE MIDWAY

FRESENIUS MEDICAL OF ST. PAUL

FRIDLEY ASSISTED LIVING LLC

FRIDLEY ASSISTED LIVING LLC

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

DAKOTA

HENNEPIN

RAMSEY

HENNEPIN

PINE

HENNEPIN

SCOTT

HENNEPIN

SAINT LOUIS

RAMSEY

WRIGHT

SAINT LOUIS

SAINT LOUIS

ITASCA

ANOKA

RAMSEY

HENNEPIN

HENNEPIN

DAKOTA

RAMSEY

HENNEPIN

SCOTT

HENNEPIN

CARVER

STEARNS

HENNEPIN

HENNEPIN

CARLTON

CARLTON

RAMSEY

NICOLLET

NICOLLET

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

FREEBORN

ANOKA

CROW WING

KANDIYOHI

HENNEPIN

HENNEPIN

HENNEPIN

SAINT LOUIS

MORRISON

RENVILLE

HENNEPIN

BECKER

BECKER

BECKER

DAKOTA

DAKOTA

RICE

DAKOTA

DAKOTA

DAKOTA

DAKOTA

DAKOTA

DAKOTA

BLUE EARTH

HENNEPIN

HENNEPIN

CARVER

KANABEC

WASHINGTON

RICE

ANOKA

ANOKA

DAKOTA

HENNEPIN

HENNEPIN

SAINT LOUIS

HENNEPIN

HENNEPIN

DAKOTA

ANOKA

CARLTON

RAMSEY

RAMSEY

ANOKA

ANOKA

189

190

317

259

149

319

322

149

88

310

427

150

414

317

517

229

500

440

582

500

508

335

16

427

303

150

122

465

273

520

259

59

537

325

325

52

52

438

387

387

190

214

166

190

166

150

150

136

25

82

347

190

190

190

500

377

482

310

30

30

30

120

120

485

108

108

108

110

120

120

42

166

166

57

341

569

484

17

17

113

238

207

510

314

322

108

9

53

465

465

22

22

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Minnesota Department of Health

Index For Directory of Facilities and Services

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

Index Page 21Health Regulation Division

FRIENDSHIP COURT

FRIENDSHIP COURT

FRIENDSHIP HOUSE

FRIENDSHIP HOUSE LLC

FRIENDSHIP HOUSE LLC

FRIENDSHIP VILLAGE BLOMMINGTON

FRIENDSHIP VILLAGE BLOOMINGTON

FRIENDSHIP VILLAGE OF BLOOMING

FSLF CLARE RESIDENCE

FSLF MARY HALL

FURNESS HOUSE

GABBY CARE HOMES LLC

GABBY CARE HOMES LLC

GABBY CARE HOMES LLC - FAITHS

GABBY CARE HOMES LLC - HANNAH

GABBY CARE HOMES LLC - SAMS

GABBY CARE HOMES LLC CILLA

GABBY CARE HOMES LLC FORT LEE

GABBY CARE HOMES LLC OREGON HO

GABLE PINES AT VADNAIS HEIGHTS

GABLE PINES AT VADNAIS HTS

GABLES OF BOUTWELLS LANDING

GALEON

GALTIER A VILLA CENTER

GARDEN COURT CHATEAU

GARDEN COURT CHATEAU

GARDEN HOUSE ESTATES

GARDEN HOUSE ESTATES LTD

GARDEN TERRACE ASSISTED LIVING

GARDEN VIEW AT HILLTOP

GARDEN VIEW AT HILLTOP

GARFIELD COMMONS

GATEWAY FAMILY CLINIC

GATEWAY FAMILY HEALTH CLINIC

GATEWAY HOMECARE SERVICES

GATEWAY RECOVERY CENTER LLC

GBALEAH HOME CARE LLC

GEMINI MANOR

GENERATION CARE INC

GENERATIONS HOME CARE INC

GENERATIONS HOME CARE INC

GENERATIONS HOME CARE INC

GENERATIONS HOME CARE INC

GENERATIONS HOME CARE, INC.

GENEROUS HOME CARE

GENEROUS HOME CARE SERVICES

GENTLE CARE HOMES INC

GENTLE CARE HOMES INC

GENTLE HANDS OF TIME LLC

GENTLE HAVEN LLC

GENTLE HAVEN LLC

GENTLE TOUCH HEALTH INITIATIVE

GENTLE TOUCH HEALTH INITIATIVE

GENTLE TOUCH HEALTH INITIATIVE

GENTLE TOUCH HEALTH INITITATIV

GEORGIA HOME HEALTH CARE LLC

GEORGIA HOME HEALTH CARE LLC

GETTY STREET ASSISTED LIVING

GETTY STREET ASSISTED LIVING

GIANNA HOMES - GLADYS' PLACE L

GIANNA HOMES - SURSUM CORDA

GIANNA HOMES GLADYS' PLACE LLC

GIANNA HOMES SURSUM CORDA

GIIR HOME LLC

GIL MOR MANOR

GIL-MOR HAVEN

GIL-MOR HAVEN

GILLETTE CHILDREN'S SPEC HOSP

GLACIAL RIDGE HOME CARE

GLACIAL RIDGE HOSPICE

GLACIAL RIDGE HOSPITAL

GLACIAL TRAILS MEMORY CARE

GLAZON CARE MAPLE CAMPUS

GLAZON CARE SERVICES

GLAZON CARE THE VIEW HOUSE 2

GLAZON CARE THE VIEW HOUSE 3

GLAZON CARE VIOLA CAMPUS

GLENCOE DIALYSIS

GLENCOE REGIONAL HEALTH SRVCS

GLENN BUFFALO LLC

GLENN BUFFALO LLC

GLENN BUFFALO LLC

GLENOAKS SENIOR LIVING CAMPUS

GLENOAKS SENIOR LIVING CAMPUS

GLENOAKS SENIOR LIVING CAMPUS

GLENOAKS SENIOR LIVING CAMPUS

GLENWOOD ESTATES

GLENWOOD ESTATES

GLENWOOD MEDICAL CENTER

GLENWOOD VILLAGE CARE CENTER

GLESENER'S ASSISTED LIVING SRV

GLOBAL ALLIANCE HOME HEALTH

FARIBAULT

FARIBAULT

HENNEPIN

DAKOTA

DAKOTA

HENNEPIN

HENNEPIN

HENNEPIN

MORRISON

MORRISON

RAMSEY

HENNEPIN

SHERBURNE

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

RAMSEY

RAMSEY

WASHINGTON

DOUGLAS

RAMSEY

ITASCA

ITASCA

SAINT LOUIS

SAINT LOUIS

CARLTON

MEEKER

MEEKER

HENNEPIN

PINE

PINE

HENNEPIN

DAKOTA

HENNEPIN

DAKOTA

HENNEPIN

STEARNS

STEARNS

STEARNS

STEARNS

STEARNS

RAMSEY

HENNEPIN

HENNEPIN

HENNEPIN

ISANTI

DAKOTA

DAKOTA

WRIGHT

HENNEPIN

HENNEPIN

BLUE EARTH

ANOKA

SHERBURNE

STEARNS

STEARNS

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

REDWOOD

REDWOOD

REDWOOD

RAMSEY

POPE

POPE

POPE

POPE

OLMSTED

OLMSTED

GOODHUE

GOODHUE

OLMSTED

MCLEOD

MCLEOD

WRIGHT

WRIGHT

WRIGHT

KANDIYOHI

KANDIYOHI

KANDIYOHI

KANDIYOHI

POPE

POPE

POPE

POPE

RENVILLE

ANOKA

131

131

259

88

88

150

150

150

377

377

427

207

524

207

207

207

207

207

208

475

475

564

130

452

336

336

500

500

56

372

372

150

415

414

259

110

238

113

290

540

537

539

540

533

452

303

298

297

331

90

88

582

290

235

42

17

524

535

535

303

290

303

290

259

479

479

479

465

422

422

422

423

396

396

139

139

396

367

367

583

582

584

343

343

343

343

422

422

422

422

481

17

Page 698: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

Minnesota Department of Health

Index For Directory of Facilities and Services

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

Index Page 22Health Regulation Division

GLOBAL ALLIANCE HOME HEALTH

GLOBAL ALLIANCE HOME HEALTH CA

GLOBAL CASE MANAGEMENT LLC

GLOBAL CASE MANAGMENT

GLOBAL CASE MGMT-EAST ST. PAUL

GLOBAL HEATHER HOME

GLOBAL HOME HEALTH CARE INC

GLOBAL POINTE SENIOR LIVING

GLORIA DEI MANOR

GLORY HOME HEALTH INC

GOLDEN BRIGHT HOMES LLC

GOLDEN BRIGHT HOMES LLC

GOLDEN CARE LLC

GOLDEN CARE LLC

GOLDEN CARE SERVICES LLC

GOLDEN GRAND HOME CARE LLC

GOLDEN GRAND HOMECARE LLC

GOLDEN HEART HOME

GOLDEN HEART HOME 2

GOLDEN HEART SENIOR CARE

GOLDEN HEART SENIOR CARE SCOTT

GOLDEN HEARTS HC SRVS, LLC

GOLDEN HEARTS HOME CARE LLC

GOLDEN HEARTS HOME CARE SERVIC

GOLDEN HEARTS HOME CARE SVS

GOLDEN HEARTS INC

GOLDEN HEARTS INC

GOLDEN HOME CARE PLUS INC

GOLDEN HORIZONS

GOLDEN HORIZONS

GOLDEN HORIZONS

GOLDEN HORIZONS

GOLDEN HORIZONS OF CROSSLAKE

GOLDEN LIGHT AL LLC

GOLDEN LIGHT ASSISTED LIVING L

GOLDEN LIVING COMMUNITY LAKE

GOLDEN MANOR CORPORATION

GOLDEN MANOR MEMORY CARE

GOLDEN MANOR OF BARNESVILLE

GOLDEN MANOR OF DETROIT LAKES

GOLDEN MAPLE HOMES INC

GOLDEN MAPLE HOMES INC

GOLDEN MAPLE HOMES INC

GOLDEN MAPLE HOMES INC

GOLDEN NEST LLC

GOLDEN NEST LLC

GOLDEN NEST LLC

GOLDEN OAKS HOME CARE LLC

GOLDEN OAKS HOME CARE LLC

GOLDEN OAKS OF PROCTOR

GOLDEN POND

GOLDEN POND BP

GOLDEN POND CHAMPLIN

GOLDEN POND CRYSTAL

GOLDEN POND HOME

GOLDEN POND MAPLEWOOD

GOLDEN POND MOUNDS VIEW

GOLDEN POND WBL

GOLDEN TOUCH HEALTH CARE LLC

GOLDEN TOUCH HEALTH CARE LLC

GOLDEN TOUCH HEALTH CARE LLC

GOLDEN TOUCH HEALTH CARE LLC

GOLDEN VALLEY DIALYSIS CENTER

GOLDEN VALLEY RESIDENCE

GOLDENRIDGE SENIOR CARE LLC

GOLDPINE HOME

GOLDPINE HOME

GOLDSTAR RESIDENTIAL SERVICES

GOLDSTAR RESIDENTIAL SERVICES

GONDOLA GROUP INC

GONDOLA GROUP INC

GONDOLA GROUP INC

GONDOLA GROUP INC

GOOD COMPANY SERVICES LLC

GOOD LIFE SENIOR LIVING HUGO

GOOD NEIGHBOR HHC OF BRAINERD

GOOD SAM ALBERT LEA

GOOD SAM BETHANY

GOOD SAM WOODLAND

GOOD SAM AMBASSADOR

GOOD SAM ARLINGTON

GOOD SAM BATTLE LAKE

GOOD SAM BLACKDUCK

GOOD SAM COMFORCARE

GOOD SAM GOLDEN VALLEY

GOOD SAM HOME CARE

GOOD SAM HOME CARE OF SW MN

GOOD SAM HOME CARE ST PETER

GOOD SAM INTERNATIONAL FALLS

GOOD SAM INTERNATIONAL FALLS

GOOD SAM INVER GROVE HEIGHTS

GOOD SAM JACKSON

HENNEPIN

HENNEPIN

ANOKA

ANOKA

RAMSEY

ANOKA

OLMSTED

HENNEPIN

MEEKER

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

DAKOTA

DAKOTA

HENNEPIN

HENNEPIN

SCOTT

SCOTT

ANOKA

ANOKA

ANOKA

ANOKA

SIBLEY

SIBLEY

BROWN

NOBLES

AITKIN

AITKIN

NOBLES

CROW WING

WASHINGTON

WASHINGTON

RAMSEY

BECKER

BECKER

CLAY

BECKER

DAKOTA

DAKOTA

DAKOTA

DAKOTA

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

SAINT LOUIS

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

RAMSEY

RAMSEY

RAMSEY

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

DOUGLAS

BELTRAMI

BELTRAMI

HENNEPIN

HENNEPIN

DAKOTA

DAKOTA

DAKOTA

DAKOTA

CHISAGO

WASHINGTON

CROW WING

FREEBORN

CROW WING

CROW WING

HENNEPIN

SIBLEY

OTTER TAIL

BELTRAMI

MOWER

HENNEPIN

RAMSEY

COTTONWOOD

NICOLLET

KOOCHICHING

KOOCHICHING

DAKOTA

JACKSON

211

238

22

22

465

22

396

229

372

259

319

322

259

259

229

106

106

223

150

518

517

17

4

4

4

527

526

48

389

1

1

389

85

569

570

440

29

29

70

29

113

95

94

95

260

259

310

190

190

512

238

191

208

211

238

428

433

477

191

166

166

191

229

230

127

32

32

310

310

113

110

119

110

68

561

79

136

82

82

298

527

404

34

380

315

425

78

387

350

350

110

339

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Minnesota Department of Health

Index For Directory of Facilities and Services

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

Index Page 23Health Regulation Division

GOOD SAM MOUNTAIN LAKE

GOOD SAM PINE RIVER

GOOD SAM PIPESTONE

GOOD SAM SOC - HERITAGE PLACE

GOOD SAM SOC MAPLEWOOD

GOOD SAM SOCIETY - FAIRVIEW

GOOD SAM SOCIETY BLACKDUCK

GOOD SAM SOCIETY HC HOSPICE

GOOD SAM SOCIETY HIDDEN CREEK

GOOD SAM SOCIETY HOSPICE

GOOD SAM SOCIETY HOWARD LAKE

GOOD SAM SOCIETY PRAIRIE VIEW

GOOD SAM SOCIETY ST JAMES

GOOD SAM SOCIETY STILLWATER

GOOD SAM SPECIALTY CARE COMM

GOOD SAM WACONIA&WESTVIEW ACRE

GOOD SAM WESTBROOK

GOOD SAM WINDOM

GOOD SAM WINTHROP

GOOD SAMARITAN HERITAGE GROVE

GOOD SAMARITAN MARY JANE BROWN

GOOD SAMARITAN SOCIETY - FAIRV

GOOD SAMARITAN SOCIETY - HIDDE

GOOD SAMARITAN SOCIETY - PIPES

GOOD SAMARITAN SOCIETY BETHANY

GOOD SAMARITAN SOCIETY BLACKDU

GOOD SAMARITAN SOCIETY BRANDT

GOOD SAMARITAN SOCIETY HERITAG

GOOD SAMARITAN SOCIETY HOME CA

GOOD SAMARITAN SOCIETY NORTHWI

GOOD SAMARITAN SOCIETY PINES

GOOD SAMARITAN SOCIETY WESTVIE

GOOD SAMARITAN WESTVIEW ACRES

GOOD SHEPHERD ASSISTED LIVING

GOOD SHEPHERD COTTAGES

GOOD SHEPHERD HOME HEALTH CARE

GOOD SHEPHERD HOMES INC

GOOD SHEPHERD HOSPICE

GOOD SHEPHERD LUTHERAN HOME

GOOD SHEPHERD LUTHERAN HOME

GOODNESS AND MERCY HEALTH SERV

GOODNESS AND MERCY HEALTH SERV

GOODQUALITY HOME HEALTH SERVIC

GOODQUALITY HOME HEALTH SRVS

GRACE ASSISTED LIVING LLC

GRACE ASSISTED LIVING LLC

GRACE ASSISTED LIVING LLC

GRACE ASSISTED LIVING LLC

GRACE ASSISTED LIVING LLC

GRACE GROUP HOME LLC

GRACE GROUP HOME LLC

GRACE HAND GROUP HOME LLC

GRACE HAND GROUP HOME LLC

GRACE HAVEN ASSISTED LIVING

GRACE HAVEN ASSISTED LIVING

GRACE HOME

GRACE HOME HEALTHCARE INC

GRACE HOMES - OAK RIDGE

GRACE HOMES - WALNUT LODGE

GRACE HOMES - WILSHIRE WALK

GRACE HOSPICE

GRACE PLACE

GRACE PLACE ASSISTED LIVING

GRACE VILLAGE

GRACEFUL LODGE HOME CARE

GRACEFUL LODGE HOME CARE

GRACEPOINTE CROSSING

GRACEPOINTE CROSSING

GRACEPOINTE CROSSING GABLES

GRAND ARBOR

GRAND ARBOR

GRAND AVE REST HOME

GRAND ITASCA CLINIC & HOSP

GRAND ITASCA CLINIC & HOSP HC

GRAND MANOR II

GRAND MANOR III

GRAND MEADOWS

GRAND MEADOWS INC

GRAND VILLAGE

GRANDMA'S HELPER LLC

GRANDMA'S HELPER LLC

GRANDMA'S PLACE INC

GRANDMA'S PLACE INC

GRANDMA'S PLACE INC

GRANDMA'S PLACE INC

GRANDMAS PLACE INC

GRANDVIEW RELIABLE CARE LLC

GRANNY'S HELPFUL HANDS LLC

GRATEFUL HEARTS RESIDENTIAL

GRATTAN PRIVATE DUTY NURSING I

GREAT HOME ALISON MN LLC

GREAT HOME MINNESOTA LLC

COTTONWOOD

CASS

PIPESTONE

RAMSEY

RAMSEY

SIBLEY

BELTRAMI

CROW WING

FREEBORN

CROW WING

WRIGHT

WATONWAN

WATONWAN

WASHINGTON

HENNEPIN

CARVER

COTTONWOOD

COTTONWOOD

SIBLEY

POLK

ROCK

SIBLEY

FREEBORN

PIPESTONE

CROW WING

BELTRAMI

WATONWAN

POLK

TEXAS

KOOCHICHING

JACKSON

CARVER

CARVER

BENTON

BENTON

BENTON

BENTON

LINCOLN

FILLMORE

BENTON

HENNEPIN

HENNEPIN

ANOKA

ANOKA

ANOKA

ANOKA

DAKOTA

ANOKA

ANOKA

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

LAC QUI PARLE

LAC QUI PARLE

HENNEPIN

FREEBORN

HENNEPIN

DAKOTA

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

BIG STONE

HENNEPIN

HENNEPIN

ISANTI

ISANTI

ISANTI

DOUGLAS

DOUGLAS

HENNEPIN

ITASCA

ITASCA

ITASCA

ITASCA

MCLEOD

MCLEOD

ITASCA

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

RAMSEY

HENNEPIN

CROW WING

DAKOTA

DAKOTA

77

63

417

441

428

527

34

85

137

85

585

576

576

567

314

60

77

78

528

419

492

527

137

416

82

34

576

419

547

350

339

60

60

37

37

37

37

358

135

37

167

166

13

13

17

9

88

17

22

260

260

260

260

353

353

211

137

235

95

235

260

260

260

39

167

167

331

331

331

127

128

260

336

336

336

336

367

367

336

261

261

212

211

261

191

212

217

465

191

82

110

110

Page 700: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

Minnesota Department of Health

Index For Directory of Facilities and Services

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

Index Page 24Health Regulation Division

GREAT HOME MN AVIARY

GREAT HOME MN LLC

GREAT OAK SENIOR CARE INC

GREATER CARE FACILITES, LLC

GREATER CARE FACILITIES LLC

GREATER HEIGHTS CARE

GREATER HEIGHTS CARE LLC

GREATER MINNESOTA HOME HEALTH

GREATERCARE FACILITIES LLC

GREATERCARE FACILITIES LLC

GREATERCARE FACILITIES LLC

GREEN LEA SENIOR LIVING

GREEN LIVING GROUP HOME LLC

GREEN LIVING GROUP HOME LLC

GREEN LIVING GROUP HOME LLC

GREEN PINE ACRES NURSING HOME

GREEN PRAIRIE ASSISTED LIVING

GREENWAY SURGICAL SUITES

GRISWOLD HOME CARE OF MOORHEAD

GSS - BRANDT RIDGE

GSS - RIVER'S EDGE VILLA

GUARANTEED HOME HEALTH CARE

GUARANTEED HOME HEALTH CARE LL

GUARDIAN ANGELS BY THE LAKE

GUARDIAN ANGELS BY THE LAKE

GUARDIAN ANGELS CARE CENTER

GUARDIAN ANGELS ELIM HOME CARE

GUARDIAN ANGELS ELIM HOSPICE

GUARDIAN ANGELS HEALTH & REHAB

GUARDIAN ANGELS LLC

GUARDIAN HOMES INC

GUARDIAN HOMES INC

GUARDIAN IN HOME HEALTH & SECU

GUEST HOUSE OF FARIBAULT LLC

GUEST HOUSE OF FARIBAULT LLC

GUNDERSEN HARMONY CARE CENTER

GUNDERSEN HOSPICE

GUNDERSEN LUTHERAN MEDICAL CTR

GUNDERSON GARDENS

GUNDERSON GARDENS

GUNDERSON GARDENS ROSE WING

H & H GROUP HOME LLC

H & H GROUP HOME LLC

H AND S RESIDENCE LLC

H AND S RESIDENCE LLC

HADLEY HOUSE

HALLETT COTTAGES

HALSTAD LIVING CENTER

HALSTAD LIVING CENTER

HAM LAKE PHYSICAL THERAPY

HAMLINE HI RISE

HAMMER CARLSON

HAMMER KENTUCKY

HAMMER LAKESIDE

HAMMER LAWNDALE

HAMMER LEE

HAMMER MCGLINCH

HAMMER RIDGEVIEW

HAMMER SHERIDAN

HANDS AT THE CROSS CARE HOME

HANDS AT THE CROSS CARE HOME

HANDS AT THE CROSS CARE HOME L

HANDS CARE LLP

HANDS CARE LLP

HAPPY END HOMES INC

HAPPY END HOMES INC

HAPPY END HOMES INC

HAPPY END HOMES, INC

HAPPY FEET FOOTCARE

HARBOR AT PEACE VILLAGE

HARBOR HEALTH MANAGEMENT LLC

HARBOR OF PEACE VILLAGE

HARDING PLACE

HARMONY

HARMONY CARE PROVIDERS LLC

HARMONY HEALTH SERVICES LLC

HARMONY HEALTH SERVICES LLC

HARMONY HEALTH SERVICES, LLC

HARMONY HOME HEALTH CARE

HARMONY HOMES LLC

HARMONY HOMES LLC

HARMONY HOUSE

HARMONY HOUSE

HARMONY HOUSE

HARMONY HOUSE OF BRAINERD I

HARMONY HOUSE OF MOTLEY I

HARMONY HOUSE OF MOTLEY III

HARMONY PLACE

HARMONY PLACE

HARMONY RIVER LIVING CENTER

HARMONY RIVER LIVING CENTER

HARMONY RIVER LIVING CENTER

DAKOTA

DAKOTA

HENNEPIN

WASHINGTON

WASHINGTON

HENNEPIN

HENNEPIN

HENNEPIN

WASHINGTON

WASHINGTON

WASHINGTON

FILLMORE

CLAY

HENNEPIN

DAKOTA

WADENA

WABASHA

HENNEPIN

NORTH DAKOTA

WATONWAN

KOOCHICHING

HENNEPIN

HENNEPIN

SHERBURNE

SHERBURNE

SHERBURNE

SHERBURNE

SHERBURNE

SAINT LOUIS

ANOKA

HENNEPIN

HENNEPIN

MCLEOD

RICE

RICE

FILLMORE

WISCONSIN

WINONA

GOODHUE

GOODHUE

GOODHUE

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

OTTER TAIL

CROW WING

NORMAN

NORMAN

ANOKA

RAMSEY

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

WASHINGTON

WASHINGTON

WASHINGTON

RAMSEY

RAMSEY

OLMSTED

OLMSTED

OLMSTED

HENNEPIN

DAKOTA

CARVER

HENNEPIN

CARVER

MORRISON

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

OTTER TAIL

HENNEPIN

HENNEPIN

MORRISON

MORRISON

HENNEPIN

CROW WING

MORRISON

MORRISON

FILLMORE

FILLMORE

MCLEOD

MCLEOD

MCLEOD

110

110

150

570

570

191

191

167

570

570

570

134

73

310

102

553

552

261

590

576

351

191

191

524

524

524

524

524

510

26

291

291

367

485

485

133

591

579

140

140

140

319

319

192

192

411

84

391

391

25

453

326

303

291

238

230

303

326

326

570

567

567

428

428

396

397

396

261

102

58

291

58

379

167

167

261

261

261

405

167

167

379

379

261

82

378

378

134

134

368

368

368

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Minnesota Department of Health

Index For Directory of Facilities and Services

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

Index Page 25Health Regulation Division

HARRISON BAY SENIOR LIVING

HARRY & JEANETTE WEINBERG APTS

HARRY MEYERING CTR INC

HAVEN HOMES

HAVEN HOMES ASSISTED LIVING

HAVEN HOMES OF MAPLE PLAIN

HAVENWOOD CARE CENTER

HAVENWOOD OF BUFFALO

HAVENWOOD OF BURNSVILLE

HAVENWOOD OF MAPLE GROVE

HAVENWOOD OF MINNETONKA

HAVENWOOD OF RICHFIELD

HAWLEY RETIREMENT INC

HAWTHORNE ECOVILLAGE APTS

HAWTHORNE HOUSE

HAWTHORNE HOUSE INC

HAWTHORNE HOUSE INC

HAWTHORNE HOUSE INC

HAWTHORNE HOUSE INC

HAWTHORNE HOUSE INC

HAYDEN GROVE SENIOR LIVING

HAYDEN'S HOUSE

HAYES RESIDENCE

HAZEL SENIOR LIVING LLC

HAZELDEN CTR FOR YOUTH & FAM

HAZELDEN FOUNDATION

HCMC #1 HOME CARE MORE CARE

HCMC #4 HOME CARE MORE CARE

HCMC CRISIS RESIDENCE

HCMC HOME CARE MORE CARE 3 LLC

HEALING HOME SERVICES LLC

HEALING HOME SERVICES LLC

HEALING HOMES LIVING SERVICES

HEALING HOMES LIVING SERVICES

HEALING RESIDENCES INC

HEALING RESIDENCES INC

HEALTH DIMENSIONS REHAB INC

HEALTH FOUNDATIONS LLC

HEALTH POINT HWS LLC

HEALTHEAST BETHESDA HOSPITAL

HEALTHEAST HOSPICE

HEALTHEAST PILLARS

HEALTHEAST ST. JOHNS HOSPITAL

HEALTHEAST SURGERY CENTER

HEALTHEAST WOODWINDS HOSPITAL

HEALTHGUARD PARTNERS INC

HEALTHGUARD PARTNERS INC

HEALTHLINE HOMECARE

HEALTHMAX HOME HEALTH SERVICES

HEALTHPARTNERS HOSPICE & PAL

HEALTHPOINT HOUSING @ UTAH

HEALTHPOINT HOUSING AT QUAIL

HEALTHPOINT HOUSING WITH SVCS

HEALTHPOINT HWS @ 119TH

HEALTHSTAR HOME HEALTH

HEART GROUP HOME LLC

HEART GROUP HOME LLC

HEART OF A STAR HOME CARE

HEART OF A STAR HOMECARE

HEART TO HOME

HEART TO HOME INC

HEART TO HOME INC

HEART TO HOME INCORPORATED

HEART TO HOME INCORPORATED

HEARTFELT CARE LLC

HEARTFELT CARE LLC

HEARTFELT CARE LLC

HEARTHSTONE HOME CARE

HEARTLAND HM HLTH CARE HOSPICE

HEARTLAND HOME HC AND HOSPICE

HEARTLAND HOME HLTH C & HSPICE

HEARTLAND PCA LLC

HEARTLAND SENIOR LIVING HOME

HEARTLAND SENIOR LIVING HOME

HEARTS HOME CARE LLC

HEARTWOOD

HEARTWOOD

HEATHER HAUS

HEATHER HAUS

HEATHERS MANOR

HEATHERS MANOR

HEAVEN HOME CARE LLC

HEAVEN HOMES INC

HECTOR CLINIC

HELIOPOLIS HOME HEALTH CARE LL

HELIOPOLIS HOME HEALTHCARE LLC

HELIOPOLIS HOME HEALTHCARE LLC

HELP HOME CARE

HELP HOME CARE LLC

HELP HOME CARE LLC

HELP HOME CARE, LLC

HELPFUL HANDS HOME CARE LLC

HENNEPIN

RAMSEY

BLUE EARTH

HENNEPIN

HENNEPIN

HENNEPIN

BELTRAMI

WRIGHT

DAKOTA

HENNEPIN

HENNEPIN

HENNEPIN

CLAY

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

RAMSEY

RAMSEY

HENNEPIN

CHISAGO

ANOKA

ANOKA

HENNEPIN

ANOKA

HENNEPIN

HENNEPIN

RAMSEY

RAMSEY

ANOKA

ANOKA

ISANTI

RAMSEY

ANOKA

RAMSEY

RAMSEY

WASHINGTON

RAMSEY

RAMSEY

WASHINGTON

HENNEPIN

HENNEPIN

SAINT LOUIS

ANOKA

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

ANOKA

RAMSEY

ANOKA

ANOKA

HENNEPIN

HENNEPIN

DAKOTA

DAKOTA

DAKOTA

DAKOTA

DAKOTA

HENNEPIN

HENNEPIN

HENNEPIN

SAINT LOUIS

OLMSTED

RAMSEY

BENTON

SAINT LOUIS

MARTIN

FARIBAULT

RAMSEY

CROW WING

CROW WING

STEELE

STEELE

HENNEPIN

HENNEPIN

RAMSEY

HENNEPIN

RENVILLE

HENNEPIN

HENNEPIN

HENNEPIN

RAMSEY

HENNEPIN

RAMSEY

RAMSEY

HENNEPIN

296

465

42

242

242

242

32

583

95

239

291

310

71

261

230

230

230

230

230

230

151

298

465

465

304

67

17

17

262

17

262

262

465

453

13

13

330

466

9

466

466

564

428

428

570

262

262

510

22

151

208

212

167

9

425

13

13

192

167

116

117

116

116

116

192

239

239

500

397

441

37

501

367

133

453

84

84

540

541

212

212

466

262

482

285

262

151

428

242

428

466

168

Page 702: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

Minnesota Department of Health

Index For Directory of Facilities and Services

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

Index Page 26Health Regulation Division

HELPFUL HANDS HOME CARE LLC

HELPING HAND COMPANIONS INC

HELPING HANDS HOME CARE OF MIN

HELPING HEART LLC

HENDRICKS C H ASSN & RET HOME

HENDRICKS CLINIC

HENDRICKS COMMUNITY HOSPITAL

HENNEPIN COUNTY MEDICAL CTR

HENNEPIN HEALTHCARE HOSPICE

HENNEPIN HOME HEALTH CARE INC

HENRY HAGEN RESIDENCE

HENRY HILL APARTMENTS

HERITAGE APARTMENTS INC

HERITAGE COMMONS

HERITAGE COTTAGE ON 5TH

HERITAGE COTTAGE ON 6TH

HERITAGE COURT

HERITAGE HAVEN INC

HERITAGE HAVEN INC

HERITAGE HAVEN INC

HERITAGE HAVEN INC III

HERITAGE HOME HEALTH CARE LLC

HERITAGE HOME HEALTH CARE LLC

HERITAGE HOUSE

HERITAGE HOUSE

HERITAGE HOUSE

HERITAGE HOUSE ASSISTED LIVING

HERITAGE HOUSE ELDER CARE

HERITAGE HOUSE ELDER CARE

HERITAGE HOUSE ELDER CARE

HERITAGE HOUSE OF MILACA

HERITAGE LIVING CENTER

HERITAGE MANOR

HERITAGE MANOR

HERITAGE MANOR

HERITAGE MEADOWS

HERITAGE OF EDINA INC

HERITAGE OF EDINA INC

HERITAGE OF EDINA INC

HERITAGE OF EDINA INC

HERITAGE PLACE

HERITAGE PLACE

HERITAGE POINTE

HERITAGE POINTE SENIOR LIVING

HERITAGE POINTE SENIOR LIVING

HIAWATHA BLUFFS LIVING

HIAWATHA HOMECARE

HIAWATHA SUITES SENIOR LIVING

HIGH ISLAND CREEK RESIDENCE

HIGH POINTE I APARTMENTS

HIGH POINTE II APARTMENTS

HIGH POINTE SURGERY CENTER

HIGHER GROUND ST PAUL RESIDENC

HIGHLAND APARTMENTS

HIGHLAND CHATEAU HCC

HIGHLAND GW LLC

HIGHLAND GW LLC

HIGHLAND PARK DIALYSIS

HIGHLAND SENIOR LIVING

HIGHLAND SENIOR LIVING OF LITT

HILLCREST

HILLCREST ADAMS

HILLCREST ALICE - NORTH

HILLCREST ALICE - SOUTH

HILLCREST CARE & REHAB CENTER

HILLCREST NASHWAUK

HILLCREST PARKSIDE NORTH

HILLCREST PARKSIDE SOUTH

HILLCREST SENIOR LIVING INC

HILLCREST SENIOR LIVING INC

HILLCREST SUITES

HILLCREST TERRACE OF CHISHOLM

HILLCREST TERRACE OF HIBBING

HILLS CROSSING SENIOR LIVING

HILLSIDE HOMES I

HILLSIDE HOMES II

HILLSIDE HOMES OF DULUTH INC

HILLTOP HEALTH CARE CENTER

HILLTOP HOME

HILLTOP RESIDENCE INC

HIS SERVICES HOME CARE LLC

HIS SERVICES HOME CARE LLC

HISTORICAL HASTINGS DIALYSIS

HMONG SENIOR HEALTH CARE INC

HODAN HOME HEALTH CARE LLC

HOFFMAN SENIOR LIVING

HOLISTIC HOME CARE LLC

HOLISTIC HOME CARE LLC

HOLISTIC HOME CARE LLC

HOLISTIC HOME CARE LLC

HOLISTIC HOME CARE LLC

HOLISTIC HOME CARE LLC

HENNEPIN

WRIGHT

TEXAS

RAMSEY

LINCOLN

LINCOLN

LINCOLN

HENNEPIN

HENNEPIN

HENNEPIN

DAKOTA

YELLOW MEDICINE

RAMSEY

HENNEPIN

HUBBARD

HUBBARD

HOUSTON

SAINT LOUIS

SAINT LOUIS

SAINT LOUIS

SAINT LOUIS

DAKOTA

HENNEPIN

HENNEPIN

RAMSEY

NORMAN

HENNEPIN

RICE

RICE

RICE

MILLE LACS

HUBBARD

SAINT LOUIS

HUBBARD

HUBBARD

NICOLLET

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

BLUE EARTH

WRIGHT

BENTON

LYON

LYON

WINONA

GOODHUE

HENNEPIN

SIBLEY

OLMSTED

OLMSTED

WASHINGTON

RAMSEY

KANDIYOHI

RAMSEY

RAMSEY

RAMSEY

RAMSEY

MORRISON

MORRISON

CASS

SAINT LOUIS

SAINT LOUIS

SAINT LOUIS

BLUE EARTH

ITASCA

SAINT LOUIS

SAINT LOUIS

RED LAKE

RED LAKE

SAINT LOUIS

SAINT LOUIS

SAINT LOUIS

CROW WING

SAINT LOUIS

SAINT LOUIS

SAINT LOUIS

MEEKER

RICE

LAC QUI PARLE

HENNEPIN

HENNEPIN

DAKOTA

HENNEPIN

DAKOTA

GRANT

WASHINGTON

WASHINGTON

WASHINGTON

WASHINGTON

WASHINGTON

WASHINGTON

168

585

548

477

358

358

358

262

262

192

108

588

466

262

329

329

327

501

501

501

501

102

263

291

435

391

230

485

486

485

374

329

497

329

330

387

224

224

224

224

46

584

35

361

361

579

141

263

527

397

397

561

466

347

466

453

453

466

377

377

65

510

510

510

42

339

510

510

478

478

510

510

511

85

501

501

501

372

486

353

168

159

108

168

122

144

571

571

570

571

570

571

Page 703: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

Minnesota Department of Health

Index For Directory of Facilities and Services

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

Index Page 27Health Regulation Division

HOLISTIC HOME LLC

HOLISTIC HOME, LLC

HOLLY RIDGE MANOR

HOLLY RIDGE MANOR

HOME AND COMFORT INC

HOME AND COMFORT INC

HOME AND COMFORT INC 2

HOME AND COMMUNITY OPTIONS INC

HOME AT HEART CARE INC

HOME CARE ASSISTANCE OF MINNES

HOME CARE LINK

HOME CARE SERVICE OPTIONS

HOME CARE SERVICES

HOME CARE SOLUTIONS

HOME DIALYSIS UNIT OF TRC INC

HOME FOR CREATIVE LIVING

HOME FRONT FIRST

HOME HEALTH AGENCY

HOME HEALTH AT NORTH RIDGE

HOME HEALTH CARE INC

HOME HEALTHCARE AGENCY

HOME HELPERS OF THE TWIN CITIE

HOME INSTEAD

HOME INSTEAD 161

HOME INSTEAD SENIOR CARE

HOME INSTEAD SENIOR CARE

HOME INSTEAD SENIOR CARE

HOME INSTEAD SENIOR CARE

HOME INSTEAD SENIOR CARE

HOME INSTEAD SENIOR CARE

HOME INSTEAD SENIOR CARE

HOME INSTEAD SENIOR CARE

HOME INSTEAD SENIOR CARE

HOME INSTEAD SENIOR CARE

HOME INSTEAD SENIOR CARE # 161

HOME INSTEAD SENIOR CARE #167

HOME INSTEAD SENIOR CARE OF MI

HOME JOY HOME CARE INC

HOME JOY HOME CARE OF 83

HOME SWEET HOME OF MINNESOTA

HOME SWEET HOME OF MINNESOTA

HOME SWEET HOME OF MINNESOTA

HOME SWEET HOME OF MINNESOTA

HOME SWEET HOME OF MINNESOTA

HOME SWEET HOME OF MN

HOME TO HOME HEALTHCARE LLC

HOME TO HOME HEALTHCARE LLC

HOME TO HOME HEALTHCARE SERVIC

HOME WITH YOU COMPANION CARE

HOMECARE RESOURCE LLC

HOMEHEALTH PARTNERSHIP

HOMESTEAD PLACE

HOMESTEAD PLACE

HOMETOWN HOME CARE II

HOMETOWN SENIOR LIVING

HOMETOWN SENIOR LIVING-BELMONT

HOMETOWN SR LIVING OF EAGAN

HOMETOWN SR LIVING WEDGEWOOD

HOMETOWN SR LIVING WEDGEWOOD N

HOMEWARD BOUND BROOKLYN PARK

HOMEWARD BOUND MAPLE GROVE

HOMEWARD BOUND PLYMOUTH

HOMEWATCH CAREGIVERS

HOMEWATCH CAREGIVERS OF ST CLO

HONESTY CARE HOME LLC

HONESTY CARE HOME LLC

HOPE AND NEW LIFE HEALTH CARE

HOPE AND NEW LIFE HEALTHCARE

HOPE ASSISTED LIVING LLC

HOPE ASSISTED LIVING LLC

HOPE ASSISTED LIVING LLC

HOPE HOME CARE LLC

HOPE HOMES LLC

HOPE PLACE

HOPE RESIDENTIAL HOMES LLC

HOPE RESIDENTIAL HOMES LLC

HOPE REST HOMES

HOPE REST HOMES INC

HOPE REST HOMES INC

HOPE REST HOMES INC.

HOPE WELLNESS CENTER INC

HOPE WELLNESS CENTER INC.

HOPE'S RESIDENCE

HOPE'S RESIDENCE

HOPE'S RESIDENCE

HOPEVILLE HOME HEALTHCARE

HOPEVILLE HOMES

HOPKINS HEALTH SERVICES

HORIZON CARE LLC

HORIZON CARE LLC

HORIZON HEALTH HOMECARE

HORIZON HEALTH HOSPICE

HENNEPIN

HENNEPIN

POPE

POPE

ITASCA

ITASCA

ITASCA

WINONA

CLEARWATER

HENNEPIN

RICE

STEVENS

BROWN

HENNEPIN

HENNEPIN

COTTONWOOD

CHIPPEWA

BIG STONE

HENNEPIN

HENNEPIN

RAMSEY

RAMSEY

SAINT LOUIS

RAMSEY

CROW WING

DAKOTA

OLMSTED

DAKOTA

CROW WING

ANOKA

OLMSTED

STEARNS

OLMSTED

HENNEPIN

RAMSEY

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

DAKOTA

RAMSEY

DAKOTA

WASHINGTON

RAMSEY

RAMSEY

DAKOTA

DAKOTA

DAKOTA

DAKOTA

HENNEPIN

CROW WING

LINCOLN

LINCOLN

RENVILLE

WASHINGTON

WASHINGTON

DAKOTA

WASHINGTON

WASHINGTON

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

STEARNS

HENNEPIN

HENNEPIN

DAKOTA

DAKOTA

HENNEPIN

HENNEPIN

HENNEPIN

RAMSEY

HENNEPIN

ANOKA

SCOTT

HENNEPIN

HENNEPIN

HENNEPIN

ANOKA

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

DAKOTA

DAKOTA

MORRISON

MORRISON

263

263

423

423

334

334

333

579

76

239

489

544

51

304

263

78

66

40

298

230

441

428

513

428

80

95

397

95

82

3

397

540

397

224

429

224

239

192

192

95

467

95

571

466

438

95

95

96

120

217

84

359

359

481

571

571

104

571

571

192

239

304

224

537

231

231

88

89

263

263

263

460

151

18

519

151

263

263

23

311

264

264

151

192

192

193

208

235

89

89

379

379

Page 704: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

Minnesota Department of Health

Index For Directory of Facilities and Services

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

Index Page 28Health Regulation Division

HORIZON HOME CARE SERVICES INC

HORIZON HOME CARE SERVICES INC

HORIZON HOME CARE SERVICES INC

HORIZON PLACE

HORIZON PLACE

HORIZON PUBLIC HEALTH

HOSPICE OF MURRAY COUNTY INC

HOSPICE OF THE MIDWEST

HOSPICE OF THE RED RIVER VALLE

HOWARD HOUSE

HOYT LAKES CAREFREE LIVING LLC

HSL OF ROSEMOUNT

HSL WEDGEWOOD CENTRAL

HUB CITY DEVELOPMENT INC

HUMAN CARE INC

HUMANE NURSING SERVICES INC

HUTCHINSON DIALYSIS CENTER

HUTCHINSON HEALTH

HYATT HOUSE LLC

HYATT HOUSE LLC

HYATT HOUSE LLC

I CARE HOMES LLC

IAN'S HOUSE

ICARE HOMES L.L.C.

ICARE HOMES LLC

ICELAND MANOR

IDAHO HOME

IHEART HOUSING WITH SERVICES

IHEART HOUSING WITH SERVICES

IHEART HOUSING WITH SERVICES I

IHI THOMAS COURT

IHI ZANE

ILBNC SPECIAL PROCEDURES

IMMACULATE HOME CARE LLC

IMRAN HEALTHCARE SERVICES LLC

IMRAN HEALTHCARE SERVICES LLC

IMRAN HEALTHCARE SERVICES LLC

IN HOME PERSONAL CARE HOME HEA

IN HOUSE HOME HEALTH

IN HOUSE HOME HEALTH LLC

IN MY FATHER'S HOUSE LLC

IN MY FATHER'S HOUSE LLC

IN-HOME LAB CONNECTION INC

INDEPENDENCE HOME CARE LLC

INDEPENDENCE PLUS INC

INDEPENDENT ENDEAVORS LLC

INDEPENDENT HAVEN INC

INDEPENDENT HAVEN ROSE HAVEN I

INDEPENDENT HAVEN ROSEHAVEN II

INDEPENDENT HOME CARE AGENCY

INDEPENDENT LIVING PLACEMENT

INDIGO HEALTH CARE SERVICES LL

INDIGO HEALTHCARE SERVICES LLC

INDIGO HEALTHCARE SERVICES LLC

INFINITY CARE CORP

INFINITY CARE CORP

INFINITY HEALTH HOME CARE LLC

INFINITY HEALTH HOME CARE LLC

INGLESIDE

INGLESIDE

INSPIRE CARE INC

INSPIRE CARE INC

INSPIRE CARE INC

INSPIRE SERVICES LLC

INSPIRED BY YOU HOME CARE LLC

INSPIRED SPINE SURGCENTER LLC

INTEGRA HOME CARE

INTEGRA HOME HEALTH PROF LLC

INTEGRA HOME HEALTH PROFESSION

INTEGRITY HOME HEALTH CARE LLC

INTEGRITY HOME HEALTH CARE LLC

INTER COUNTY NURSING SERVICE

INTERFAITH CARE CENTER

INTERIM HEALTHCARE

INTERIM HEALTHCARE

INTERIM HEALTHCARE

INTERIM HEALTHCARE OF ROCHESTE

INTERIM HEALTHCARE OF THE TC

INTERIM HEALTHCARE ROCHESTER

INTERIM HEALTHCARE VENT CARE

INTERLUDE

INTERLUDE RESTORATIVE SUITES

INTERLUDE RESTORATIVE SUITES

INTERNATIONAL QUALITY HOMECARE

INTERNATIONAL QUALITY HOMECARE

INTREPID USA HEALTHCARE SRVCS

INTREPID USA HEALTHCARE SVCS

INTREPID USA HOSPICE

INTUIT HOME CARE

INVER GROVE HEIGHTS WHITE PINE

INVER GROVE HEIGHTS WP II LLC

INVER GROVE HEIGHTS WP II LLC

HENNEPIN

HENNEPIN

HENNEPIN

LESUEUR

LESUEUR

DOUGLAS

MURRAY

WASHINGTON

NORTH DAKOTA

RAMSEY

SAINT LOUIS

DAKOTA

WASHINGTON

MURRAY

RAMSEY

CLAY

MCLEOD

MCLEOD

STEARNS

STEARNS

STEARNS

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

DAKOTA

RAMSEY

ANOKA

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

RAMSEY

HENNEPIN

HENNEPIN

HENNEPIN

RAMSEY

ANOKA

RAMSEY

RAMSEY

RAMSEY

HENNEPIN

MCLEOD

POLK

DAKOTA

HENNEPIN

WRIGHT

WRIGHT

HENNEPIN

RAMSEY

HENNEPIN

HENNEPIN

ANOKA

HENNEPIN

HENNEPIN

HENNEPIN

ANOKA

MARTIN

MARTIN

RAMSEY

RAMSEY

RAMSEY

LESUEUR

STEARNS

HENNEPIN

DAKOTA

HENNEPIN

HENNEPIN

HENNEPIN

ANOKA

PENNINGTON

CARLTON

RAMSEY

SAINT LOUIS

BLUE EARTH

OLMSTED

RAMSEY

OLMSTED

SAINT LOUIS

HENNEPIN

HENNEPIN

ANOKA

LYON

OLMSTED

HENNEPIN

RAMSEY

RAMSEY

HENNEPIN

DAKOTA

DAKOTA

DAKOTA

193

193

193

356

356

128

384

572

589

429

511

119

572

384

453

73

368

368

537

531

531

326

193

326

326

113

467

26

298

298

264

193

304

453

264

264

264

453

23

435

441

441

215

370

418

108

168

585

585

168

467

239

193

13

304

304

264

23

365

365

435

453

467

357

537

224

114

298

298

168

18

412

52

441

501

42

397

441

397

501

304

304

23

361

397

224

441

441

239

111

111

111

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Minnesota Department of Health

Index For Directory of Facilities and Services

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

Index Page 29Health Regulation Division

INVER GROVE HEIGHTS WP LLC

INVERWOOD SENIOR LIVING

INVERWOOD SENIOR LIVING

INVITING HOMES LLC

INVITING HOMES LLC

IRIS PARK COMMONS

IRON RANGE REHAB CENTER

ISLAND VIEW MANOR INC

IVANHOE MEDICAL CENTER

IVY HILL SENIOR CARE INC

IVY HILL SENIOR CARE INC

IYKE'S HOUSE

J & K COMFORT HOME

J A WEDUM HOSPICE RESIDENCE

JABEZ CUSTOMIZED LIVING SERVI

JABEZ CUSTOMIZED LIVING SERVIC

JABEZ CUSTOMIZED LIVING SRVCS

JACK PINE CHATEAU

JACK PINE CHATEAU HOME CARE

JAMES RESIDENCES

JAN CAN LLC

JANET'S RESIDENCE

JASE'S HOUSE

JASPER SUNRISE VILLAGE

JBS HOMES LLC

JBS HOMES LLC

JERSEY HOUSE

JMKAY HEALTH CARE SERVICES INC

JMKAY HEALTH CARE SERVICES INC

JMKAY HEALTH CARE SERVICES INC

JMKAY HEALTH CARE SERVICES INC

JMKAY HEALTH CARE SERVICES INC

JMKAY HEALTH CARE SERVICES INC

JMKAY HEALTH CARE SERVICES INC

JMKAY HEALTHCARE SERVICES INC

JOANN JENSEN

JOHANNA SHORES

JOHANNA SHORES COMMONS / ARBOR

JOHN E HERMAN HOME & TRMT FAC

JOHN PAUL APARTMENTS

JOHNSON MEMORIAL ASSISTED LIVI

JOHNSON MEMORIAL ASST LVG

JOHNSON MEMORIAL BOYD CLINIC

JOHNSON MEMORIAL HOSP & HOME

JOHNSON MEMORIAL HOSP & HOME

JONES HARRISON ASSISTED LIVING

JONES HARRISON RESIDENCE

JONES HARRISON RESIDENCE ASSIS

JORDAN TOWER I

JORDAN TOWER II

JORGENSEN HOUSE

JOSHUA MANOR

JOURDAIN PERPICH EXT CARE FAC

JOURNEYS HOME CARE LLC

JOURNEYS HOME CARE LLC

JOY CARE HOMES LLC

JOY CARE HOMES LLC

JOY CARE HOMES LLC

JOY CARE HOMES LLC

JOY LIVING INC

JOY LIVING INC

JOYFUL COMPANIONS HOME CARE

JOYFUL HOME HEALTH CARE LLC

JOYFUL HOME HEALTH CARE LLC

JOYFUL HOME HEALTHCARE LLC

JOYOUS CARE & FAMILY PRESERVA

JOYOUS CARE & FAMILY PRESERVAT

JOYOUS CARE SERVICES

JUBILEE HOME CARE INC

JUDY RATTERATH WDRL MGT CTR

JULIES HOME HEALTH CARE INC

JUST FOR RACHEL HOME CARE

JUST LIKE HOME SENIOR CARE

JUST LIKE HOME SENIOR CARE

KALEB INC

KAMIN HOME HEALTH SERVICES

KANABEC COUNTY COMM HEALTH

KAPLAN WOODS CARE HOME

KAREN HOME

KARLSTAD HEALTHCARE CTR INC

KAYCEE'S HOME CARE INC

KAYTON RESIDENTIAL LLC

KC COMPANIES OF CROSSLAKE INC

KC COMPANIES OF SANDSTONE INC

KELLER LAKE COMMONS

KENWOOD PLACE

KEYSTONE BLUFFS

KEYSTONE PLACE AT LAVALLE FIEL

KEYSTONE PLACE LAVALLE FIELDS

KIND CARE LLC

KIND CARE LLC

KIND HEART CARE HOME

DAKOTA

DAKOTA

DAKOTA

HENNEPIN

HENNEPIN

RAMSEY

SAINT LOUIS

KANDIYOHI

LINCOLN

RICE

RICE

HENNEPIN

ANOKA

HENNEPIN

HENNEPIN

HENNEPIN

ANOKA

KOOCHICHING

KOOCHICHING

HENNEPIN

DAKOTA

WASHINGTON

RAMSEY

PIPESTONE

DAKOTA

DAKOTA

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

ANOKA

HENNEPIN

HENNEPIN

HENNEPIN

FREEBORN

RAMSEY

RAMSEY

OLMSTED

STEARNS

LAC QUI PARLE

LAC QUI PARLE

LAC QUI PARLE

LAC QUI PARLE

LAC QUI PARLE

HENNEPIN

HENNEPIN

HENNEPIN

GOODHUE

GOODHUE

HENNEPIN

DAKOTA

BELTRAMI

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

ANOKA

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

RENVILLE

ANOKA

CHISAGO

CHISAGO

DAKOTA

OLMSTED

KANABEC

STEELE

HENNEPIN

KITTSON

WILKIN

RAMSEY

CROW WING

PINE

SHERBURNE

CARLTON

SAINT LOUIS

WASHINGTON

WASHINGTON

HENNEPIN

HENNEPIN

RAMSEY

111

111

111

264

264

467

514

347

359

486

486

193

18

193

193

194

27

351

351

194

114

567

441

416

114

114

194

169

194

168

168

23

169

168

169

137

424

424

398

530

352

352

352

352

352

265

264

265

141

142

265

89

35

169

194

194

208

208

194

265

304

304

212

23

212

194

194

194

169

305

481

3

67

67

117

398

341

543

291

349

577

442

85

415

522

55

502

561

561

169

169

446

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Minnesota Department of Health

Index For Directory of Facilities and Services

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

Index Page 30Health Regulation Division

KIND HEART CARE HOME INC

KINDHEART HOMES INC

KINDHEART HOMES INC

KINDHEART HOMES INC

KINDHEART HOMES INC

KINDHEART HOMES INC.

KINDRED AT HOME

KINDRED AT HOME

KINDRED CARES

KINDRED HOSPICE

KINDRED HOSPICE

KINGDOM HOME HEALTH CARE LLC

KINGDOM PLACE

KINGFISHER HEALTH LLC

KINGSLEY PLACE

KINGSLEY SHORES SENIOR LIVING

KINGSWAY HEALTHCARE SERVICES

KINGSWAY HEALTHCARE SVCS LLC

KINGSWAY HOME CARE

KINGSWAY RETIREMENT LIVING

KITTSON COUNTY HOSPICE INC

KITTSON MEM CLINIC OF KARLSTAD

KITTSON MEMORIAL CLINIC

KITTSON MEMORIAL HOME HLTHCARE

KITTSON MEMORIAL HOSPITAL

KNOLLWOOD PLACE APARTMENTS

KNUTE NELSON

KNUTE NELSON

KNUTE NELSON HOME CARE

KNUTE NELSON HOSPICE

KNUTSON PLACE APARTMENTS

KODA LIVING COMMUNITY

KOOTASCA CA MENS PEER HOUSE

KRISTEN'S HOUSE

KSMS OUR HOUSE LLC

KUBRA HOME CARE INC

KUBRA HOME CARE INC

KUBRA HOME CARE INC

KYLE RESIDENCE

LA BONNE VIE INC

LA BONNE VIE INC

LA CRESCENT HEALTH SVCS

LAC QUI PARLE CLINIC MADISON

LAKE COUNTRY HOME CARE

LAKE MINNETONKA CARE CENTER

LAKE MINNETONKA SHORES

LAKE MINNETONKA SHORES

LAKE MINNETONKA SHORES

LAKE OWASSO RESIDENCE

LAKE PHALEN OPCO LLC

LAKE PLACE I APARTMENTS

LAKE PLACE II APARTMENTS

LAKE REGION HEALTHCARE CORP

LAKE REGION HOME HEALTH

LAKE RIDGE ASSISTED LIVING

LAKE RIDGE ASSISTED LIVING

LAKE RIDGE CARE CTR OF BUFFALO

LAKE SHORE RES TREATMENT

LAKE SONG ASSISTED LIVING

LAKE SONG ASSISTED LIVING

LAKE SUPERIOR CONCIERGE INC

LAKE VIEW MEMORIAL HOSPITAL

LAKE WINONA MANOR

LAKELAND HOMECARE LLC

LAKELAND HOMECARE LLC

LAKELAND HOMECARE LLC

LAKESHORE INN NURSING HOME

LAKESIDE APARTMENTS

LAKESIDE ASSISTED LIVING

LAKESIDE HEALTH CARE CENTER

LAKESIDE HEALTH SERVICES INC

LAKESIDE MANOR

LAKESIDE MANOR BOARDING HOME I

LAKESIDE MEDICAL CENTER

LAKEVIEW ASSISTED LIVING

LAKEVIEW ASSISTED LIVING

LAKEVIEW HOME HEALTH CARE

LAKEVIEW HOME HEALTH CARE INC

LAKEVIEW HOMECARE

LAKEVIEW HOSPICE

LAKEVIEW MEMORIAL HOSPITAL

LAKEVIEW METHODIST HCC

LAKEVIEW RANCH

LAKEVIEW RANCH

LAKEVIEW RESIDENCE

LAKEVIEW RESIDENCE

LAKEVIEW RETIREMENT RESIDENCE

LAKEVIEW RETIREMENT RESIDENCE

LAKEVIEW SENIOR HOUSING

LAKEVIEW SENIOR LIVING APARTME

LAKEVIEW SENIOR LIVING APTS

LAKEVILLE DIALYSIS

RAMSEY

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

RAMSEY

SAINT LOUIS

SHERBURNE

HENNEPIN

SAINT LOUIS

LYON

HENNEPIN

ANOKA

DAKOTA

DAKOTA

HENNEPIN

HENNEPIN

SCOTT

SCOTT

KITTSON

KITTSON

KITTSON

KITTSON

KITTSON

HENNEPIN

DOUGLAS

HUBBARD

DOUGLAS

DOUGLAS

FREEBORN

STEELE

ITASCA

HENNEPIN

MOWER

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HOUSTON

LAC QUI PARLE

OTTER TAIL

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

RAMSEY

RAMSEY

KANDIYOHI

KANDIYOHI

OTTER TAIL

KANDIYOHI

WRIGHT

WRIGHT

WRIGHT

WASHINGTON

MILLE LACS

MILLE LACS

SAINT LOUIS

LAKE

WINONA

HENNEPIN

DAKOTA

DAKOTA

WASECA

MEEKER

MEEKER

MEEKER

STEARNS

SAINT LOUIS

SAINT LOUIS

PINE

JACKSON

JACKSON

DAKOTA

DAKOTA

WASHINGTON

WASHINGTON

WASHINGTON

MARTIN

MEEKER

MEEKER

SAINT LOUIS

SAINT LOUIS

ROSEAU

ROSEAU

LYON

OTTER TAIL

OTTER TAIL

DAKOTA

446

195

265

195

265

265

442

502

524

224

502

359

169

9

114

114

195

195

515

515

349

349

349

349

349

322

128

328

128

128

137

543

336

195

381

265

266

265

169

231

231

328

353

409

215

318

318

318

446

429

347

347

405

343

583

583

583

562

375

374

502

355

579

195

103

103

556

370

370

371

537

502

502

414

339

339

89

89

567

568

567

365

370

371

514

514

495

495

359

404

404

114

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Minnesota Department of Health

Index For Directory of Facilities and Services

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

Index Page 31Health Regulation Division

LAKEWALK SURGERY CENTER INC

LAKEWOOD

LAKEWOOD CARE CENTER

LAKEWOOD CLINIC BROWERVILLE

LAKEWOOD CLINIC EAGLE BEND

LAKEWOOD CLINIC MOTLEY

LAKEWOOD CLINIC PILLAGER

LAKEWOOD CLINIC STAPLES

LAKEWOOD HEALTH CENTER

LAKEWOOD HEALTH CENTER

LAKEWOOD HEALTH CENTER CLINIC

LAKEWOOD HEALTH SYSTEM

LAKEWOOD HEALTH SYSTEM

LAKEWOOD HEALTH SYSTEM HOSPICE

LAKEWOOD HLTH SYS HM C & HSPCE

LAKEWOOD MANOR

LAKEWOOD PINES SENIOR HOUSING

LAKEWOOD PINES SENIOR HOUSING

LAKEWOOD SURGERY CENTER

LAMPLIGHTER MANOR

LANDINGS AT SAUK RAPIDS

LANDINGS OF BLAINE

LANDINGS OF BLAINE

LANDINGS OF MINNETONKA

LANDINGS OF SAUK RAPIDS

LANDMARK SURGERY CENTER

LANGE BOARD AND ROOM INC

LANGE BOARD AND ROOM INC

LANGE BOARD AND ROOM INC

LANGTON SHORES

LARPENTEUR AVENUE DIALYSIS

LARSON COMMONS

LATHAM PLACE

LATHAM PLACE

LATITUDES TREATMENT CENTER LLC

LAURA BAKER SERVICES ASSC

LAURELS EDGE ASSISTED LIVING

LAURELS EDGE ASSISTED LIVING

LAURELS PEAK CARE & REHAB CTR

LB ALCOTT MANOR

LB BROEN HOME

LB HOME CARE

LB HOSPICE

LB SHERIDAN HOUSE

LB WOODLAND LODGE

LCS CHAMPLIN LLC

LE SUEUR COUNTY PUBLIC HEALTH

LEADING CHOICE HOME HELPERS

LEGACY CARE HOME

LEGACY CARE HOME

LEGACY CARE HOME

LEGACY CARE HOME

LEGACY COMMUNITY CARE INC

LEGACY COMMUNITY CARE INC

LEGACY HOME HEALTH CARE INC

LEGACY OF BROWNSDALE

LEGACY OF BROWNSDALE

LEGACY PLACE LLC

LEGACY PLACE LLC

LEGEND HEALTH CARE RESOURCES

LEGEND HLTH CARE RESOURCES LLC

LEVEL MOUNTAIN HOME CARE LLC

LEWISTON SENIOR LIVING

LEXINGTON LANDING

LEXINGTON POINTE SENIOR LIVING

LIBERTY FOSTER HOME CARE LLC

LIBERTY FOSTER HOME CARE LLC

LIBERTY MATHAN LLC

LIBERTY MATHAN LLC

LIBERTY MATHAN LLC

LIFE INSPIRED

LIFE INSPIRED LLC

LIFECARE GREENBUSH MANOR

LIFECARE GREENBUSH MANOR

LIFECARE GREENBUSH MANOR

LIFECARE HOME CARE

LIFECARE HOSPICE

LIFECARE MEDICAL CENTER

LIFESPACE PERSONAL SERVICES

LIFESPRK

LIFESPRK HOME HEALTH

LIFESPRK HOSPICE LLC

LIFESPRK LLC

LIFESTONE HEALTH CARE INC

LIFESTONE HEALTH CARE INC

LIFETRACK RESOURCES

LIGHTCARE GROUP HOMES LLC

LIGHTCARE GROUP HOMES LLC

LIGHTHOUSE RESIDENTIAL SERVICE

LILAC HOME ENH AS LIV MEM CARE

LILAC HOMES CORPORATION

LILAC HOMES CORPORATION

SAINT LOUIS

CARVER

LAKE OF THE WOODS

TODD

TODD

MORRISON

CASS

WADENA

LAKE OF THE WOODS

LAKE OF THE WOODS

LAKE OF THE WOODS

TODD

WADENA

WADENA

WADENA

TODD

WADENA

WADENA

ITASCA

BECKER

BENTON

ANOKA

ANOKA

HENNEPIN

BENTON

WASHINGTON

SHERBURNE

SHERBURNE

SHERBURNE

RAMSEY

RAMSEY

CARLTON

WASECA

WASECA

RAMSEY

RICE

BLUE EARTH

BLUE EARTH

BLUE EARTH

OTTER TAIL

OTTER TAIL

OTTER TAIL

OTTER TAIL

OTTER TAIL

OTTER TAIL

HENNEPIN

LESUEUR

BROWN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

ANOKA

ANOKA

HENNEPIN

MOWER

MOWER

BENTON

BENTON

RAMSEY

RAMSEY

HENNEPIN

WINONA

RAMSEY

DAKOTA

HENNEPIN

WASHINGTON

ANOKA

ANOKA

ANOKA

HENNEPIN

HENNEPIN

ROSEAU

ROSEAU

ROSEAU

ROSEAU

ROSEAU

ROSEAU

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

SAINT LOUIS

SAINT LOUIS

RAMSEY

DAKOTA

HENNEPIN

RAMSEY

CLAY

CLAY

CLAY

502

58

355

548

549

378

62

554

355

355

355

550

554

554

554

550

554

554

336

29

37

10

9

291

37

572

523

523

523

442

442

53

557

556

467

489

43

43

43

405

406

406

406

406

406

208

356

50

291

145

291

292

11

13

231

383

383

37

38

429

467

218

578

467

103

266

572

5

5

5

266

266

493

493

493

494

494

494

151

323

323

319

320

513

513

467

118

311

435

70

74

73

Page 708: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

Minnesota Department of Health

Index For Directory of Facilities and Services

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

Index Page 32Health Regulation Division

LILAC HOMES CORPORATION

LILYDALE SENIOR LIVING

LILYDALE SENIOR LIVING

LILYS HOUSE

LINCOLN LANE VILLA

LINCOLN PARK ASSISTED LIVING

LINCOLN PARK SENIOR APARTMENT

LINDA GRACK CARES

LINDEN GROVE VETERAN APTS

LINDENWOOD ASSISTED LIVING

LINK UP HOME HEALTHCARE

LINK UP HOME HEALTHCARE

LINO LAKES ASSISTED LIVING LLC

LINO LAKES ASSISTED LIVING LLC

LINO LAKES GRACEWOOD

LINO LAKES GW LLC

LITCHFIELD HRA

LITTLE FALLS CARE CENTER

LITTLE SISTERS OF THE POOR

LITTLEFORK MEDICAL CENTER

LIVEWELL HOME CARE LLC

LIVEWELL HOME CARE LLC

LIVEWELL MANAGEMENT

LIVING CHALLENGE

LIVING GRACE HOME CARE

LIVING GRACE HOME CARE

LIVING HOME HOMES-INVER GROVE

LIVING HOPE COTTAGES SAVAGE

LIVING HOPE HOMES

LIVING LIFE HOME CARE

LIVING MEADOWS AT LUTHER

LIVING WELL 3801

LIVING WELL 3807

LIVING WELL 75TH

LIVING WELL BROOKVIEW

LIVING WELL CARMEN

LIVING WELL CENTRAL

LIVING WELL CONGRESS

LIVING WELL COPE

LIVING WELL DIANE

LIVING WELL DOUGLAS

LIVING WELL EAST EMERSON

LIVING WELL EDGEWOOD

LIVING WELL FRANCE

LIVING WELL HOME CARE LLC

LIVING WELL HOME CARE LLC

LIVING WELL HOSPITALITY LLC

LIVING WELL KENNELLY

LIVING WELL LARPENTEUR

LIVING WELL LYNDALE

LIVING WELL MARY ADELE

LIVING WELL MARYLAND

LIVING WELL POPPLER

LIVING WELL POWELL

LIVING WELL UPPER 55TH

LIVING WELL VICTORIA

LONG LAKE ASSISTED LIVING LLC

LONG LAKE ASSISTED LIVING LLC

LONG LAKE LOON LODGE

LONG LAKE LOON LODGE

LOREN ON PARK

LOVE & CARE LLC

LOVE & CARE LLC

LOVING CARE COTTAGE INC

LOVING CARE COTTAGE LLC

LOVING CAREPARTNERS LLC

LOVING CAREPARTNERS, LLC

LOVING HOMES INC

LOVING HOMES INC

LOVING RESIDENCE

LOVING RESIDENCE

LOVING TOUCH INC

LOVING TOUCH INC

LOVINGCARE NURSING & HOME CARE

LOWRY TOWERS

LOYAL HEALTH CARE SERVICES LLC

LOYALTY HOME HEALTH CARE, LLC

LOYALTY HOME HEALTHCARE

LUANN'S PLACE LLC

LUANN'S PLACE LLC

LUCAS HOUSE

LUNA WOMEN'S WELLNESS & BC PC

LUTHER HAVEN

LUTHERAN BRETHREN HOME CARE

LUTHERAN SOCIAL SERVICE

LUTHERAN SOCIAL SERVICE OF MIN

LYNDALE MANOR

LYNGBLOMSTEN APARTMENTS

LYNGBLOMSTEN CARE CENTER

LYNGBLOMSTEN SERVICES INC

LYNN ANDERSON

MA'S ROOM AND BOARD

CLAY

DAKOTA

DAKOTA

HENNEPIN

LINCOLN

BECKER

BECKER

NICOLLET

STEARNS

MURRAY

HENNEPIN

HENNEPIN

ANOKA

ANOKA

ANOKA

ANOKA

MEEKER

MORRISON

RAMSEY

KOOCHICHING

HENNEPIN

RAMSEY

HENNEPIN

HENNEPIN

ANOKA

HENNEPIN

DAKOTA

SCOTT

DAKOTA

HENNEPIN

WATONWAN

HENNEPIN

HENNEPIN

HENNEPIN

RAMSEY

DAKOTA

ISANTI

DAKOTA

RAMSEY

DAKOTA

WRIGHT

DAKOTA

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

DAKOTA

DAKOTA

RAMSEY

HENNEPIN

DAKOTA

RAMSEY

DAKOTA

SHERBURNE

DAKOTA

DAKOTA

HENNEPIN

HENNEPIN

BELTRAMI

BELTRAMI

HENNEPIN

HENNEPIN

HENNEPIN

WASHINGTON

WASHINGTON

WASHINGTON

WASHINGTON

HENNEPIN

HENNEPIN

GOODHUE

GOODHUE

HENNEPIN

HENNEPIN

DAKOTA

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

CROW WING

CHIPPEWA

OTTER TAIL

STEARNS

STEARNS

HENNEPIN

RAMSEY

RAMSEY

RAMSEY

MILLE LACS

GOODHUE

73

116

116

195

358

29

29

386

537

384

266

266

25

25

25

26

372

377

467

351

169

425

235

266

18

170

111

519

111

298

575

315

315

239

429

117

331

121

429

117

583

123

195

315

170

170

89

96

429

170

117

429

103

522

111

117

236

236

33

32

266

170

170

558

558

558

558

212

212

142

142

170

170

123

266

195

196

196

218

218

196

82

66

406

531

532

266

468

468

453

374

142

Page 709: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

Minnesota Department of Health

Index For Directory of Facilities and Services

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

Index Page 33Health Regulation Division

MADELIA COMMUNITY HOSP HM CARE

MADELIA COMMUNITY HOSPITAL

MADISON AVENUE APARTMENTS

MADISON AVENUE APARTMENTS

MADISON HEALTHCARE SERVICES

MADISON HOME HEALTH AGENCY

MADISON HOSPITAL

MADONNA MEADOWS

MADONNA MEADOWS

MADONNA SUMMIT OF BYRON

MADONNA TOWERS OF ROCHESTER

MADONNA TOWERS OF ROCHESTER

MADONNA TOWERS OF ROCHESTER IN

MAHNOMEN AREA ASSISTED LIVING

MAHNOMEN HEALTH CENTER

MAHNOMEN HEALTH CENTER

MAHUBE OTWA COMMUNITY ACTION

MAINSTREET VILLAGE

MAJESTIC PINES

MAJESTIC PINES

MALA STRANA ASSISTED LIVING

MALA STRANA ASSISTED LIVING

MALA STRANA CARE & REHAB CTR

MAMAE CARE INC

MAMAE CARE INC

MANKATO CLINIC ENDOSCOPY CTR

MANKATO SURGERY CENTER

MANKATO UPTOWN DIALYSIS

MANOR HOUSE

MANZMED START CORPORATIONS

MANZMED START CORPORATIONS

MAPLE GROVE DIALYSIS UNIT

MAPLE GROVE HOSPITAL

MAPLE HILL SENIOR LIVING LLC

MAPLE HILL SENIOR LIVING LLC

MAPLE HOUSE LLC

MAPLE LAWN SENIOR CARE

MAPLE SENIOR LIVING

MAPLE WOODS ASSISTED LIVING

MAPLE WOODS ASSISTED LIVING

MAPLE WOODS ASSISTED LIVING AN

MAPLETON COMMUNITY HOME

MAPLETON COMMUNITY HOME

MAPLEVIEW ESTATES

MAPLEWOOD CARE CENTER

MAPLEWOOD CARE RESIDENCE

MAPLEWOOD COURT ASSISTED LIVIN

MAPLEWOOD COURT ASST LIVING

MAPLEWOOD DIALYSIS CENTER

MAPLEWOOD HOMES

MAPLEWOOD HOMES OF FARIBAULT

MAPLEWOOD MANOR LLC

MAPLEWOOD RESIDENCE INC

MARANATHA CARE CENTER

MARANATHA COMMONS

MARANATHA PLACE

MARCELLA MANOR LLC

MARCELLA MANOR LLC

MARGARET PLACE

MARGARET PLACE LIMITED PARTNER

MARGARETS HOUSE

MARK YOUR HOME HEALTH CARE LLC

MARTHA HOUSE LLC

MARTHA HOUSE LLC

MARTIN LUTHER CARE CENTER

MARY CLARE OLSON AGENCY

MARY T HOME HEALTH

MARY T HOSPICE

MARYWOOD

MATRIX HOME HEALTH CARE SPECIA

MAXIMUM HOME CARE SERVICES LLC

MAYA'S HOUSE

MAYO CLINIC ALBERT LEA

MAYO CLINIC ALBERT LEA AUSTIN

MAYO CLINIC DIALYSIS

MAYO CLINIC DIALYSIS WABASHA

MAYO CLINIC DIALYSIS FAIRMONT

MAYO CLINIC DIALYSIS METHODIST

MAYO CLINIC DIALYSIS OWATONNA

MAYO CLINIC DIALYSIS ST. MARYS

MAYO CLINIC HEALTH SYS AUSTIN

MAYO CLINIC HEALTH SYS CF

MAYO CLINIC HEALTH SYS FRANCIS

MAYO CLINIC HEALTH SYS MANKATO

MAYO CLINIC HEALTH SYS MANKATO

MAYO CLINIC HEALTH SYS RED WIN

MAYO CLINIC HEALTH SYS ST JAME

MAYO CLINIC HEALTH SYS WASECA

MAYO CLINIC HEALTH SYSTEM

MAYO CLINIC HEALTH SYSTEM

MAYO CLINIC HEALTH SYSTEM

MAYO CLINIC HOSPICE

WATONWAN

WATONWAN

LYON

LYON

LAC QUI PARLE

LAC QUI PARLE

LAC QUI PARLE

OLMSTED

OLMSTED

OLMSTED

OLMSTED

OLMSTED

OLMSTED

MAHNOMEN

MAHNOMEN

MAHNOMEN

BECKER

HENNEPIN

ITASCA

ITASCA

SCOTT

SCOTT

SCOTT

RAMSEY

HENNEPIN

BLUE EARTH

BLUE EARTH

BLUE EARTH

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

RAMSEY

RAMSEY

ANOKA

MURRAY

HENNEPIN

ITASCA

ITASCA

ITASCA

BLUE EARTH

BLUE EARTH

MURRAY

RAMSEY

RAMSEY

MURRAY

MURRAY

RAMSEY

RICE

RICE

GRANT

MARTIN

HENNEPIN

HENNEPIN

HENNEPIN

OLMSTED

OLMSTED

ANOKA

ANOKA

DAKOTA

WASHINGTON

SCOTT

CARVER

HENNEPIN

STEARNS

ANOKA

ANOKA

SAINT LOUIS

HENNEPIN

RAMSEY

ANOKA

FREEBORN

FREEBORN

FREEBORN

WABASHA

MARTIN

OLMSTED

STEELE

OLMSTED

MOWER

GOODHUE

WISCONSIN

BLUE EARTH

BLUE EARTH

GOODHUE

WATONWAN

WASECA

MARTIN

GOODHUE

WABASHA

OLMSTED

576

575

362

362

353

353

353

398

398

392

398

398

398

363

363

363

29

311

337

336

516

517

517

454

321

43

43

47

218

151

151

239

240

429

429

27

384

240

333

334

333

46

47

384

430

430

384

384

430

486

486

144

365

170

170

171

398

398

18

18

117

572

521

58

151

537

18

18

502

218

454

27

137

138

137

552

365

399

543

399

380

140

591

43

43

142

576

557

365

140

551

399

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Minnesota Department of Health

Index For Directory of Facilities and Services

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

Index Page 34Health Regulation Division

MAYO CLINIC HOSPICE RED WING

MAYO CLINIC HOSPITAL ROCHESTER

MAYO CLINIC NE CLINIC

MBW COMPANY

MBW ON RAYMOND

MCCANNEL EYE SURGERY

MCCARTHY MANOR INC

MCCARTHY MANOR INC

MCCLISH MANOR

MCCORNELL COURT

MCCORNELL COURT

MCGREGOR CAREFREE LIVING LLC

MCHS NEW PRAGUE

MCINTOSH SENIOR LIVING

MCKENNA CROSSING

MCKENNA CROSSING

MEADOW CREEK

MEADOW CREEK HOSPITALITY LLC

MEADOW LAKES

MEADOW LANE RESTORATIVE CC

MEADOW MANOR

MEADOW RIDGE SENIOR LIVING

MEADOW WOODS

MEADOWOOD SHORES SR HOUSING

MEADOWS ON FAIRVIEW

MEADOWS ON FAIRVIEW

MEADOWS ON MAIN

MED-NURSE

MEDFORD SENIOR CARE LLC

MEEKER MANOR REHAB CTR LLC

MEEKER MEMORIAL HOSP & CLINICS

MEEKER MEMORIAL HOSP & CLINICS

MEEKER MEMORIAL HOSPITAL

MELKEZEDEK CARE LLC

MELKEZEDEK CARE LLC

MELKEZEDEK CARE LLC

MENAHGA HOME HEALTH

MENDOTA HEIGHTS WHITE PINE

MENDOTA HEIGHTS WP LLC

MENORAH PLAZA APARTMENTS

MENTAL HEALTH NURSING LLC

MERCY CARE HOME LLC

MERCY CARE HOME LLC

MERCY CAREGIVERS OF MINNESOTA

MERCY CAREGIVERS OF MINNESOTA

MERCY CAREGIVERS OF MINNESOTA

MERCY HOME HEALTH

MERCY HOSPITAL

MERCY HOUSING

MERCY LINK LLC

MERCY LINK LLC

MERCY LINK LLC

MERCY LINK LLC

MERCY LINK LLC

MERCY LINK LLC

MERIDIAN MANOR

MERRCY CARE HOME LLC

MERRCY CARE HOME LLC

MERRITT HOUSE

MERRY LAKE LLC

MERRY LAKE LLC

METRO ASSISTED LIVING

METRO ASSISTED LIVING AND REHA

METRO CARE HUMAN SERVICES

METRO CARE HUMAN SERVICES

METRO CARE HUMAN SERVICES

METRO CARE HUMAN SERVICES

METRO CARE HUMAN SERVICES

METRO CARE HUMAN SERVICES

METRO HEALTH CARE SERVICES LLC

METRO HEALTH CARE SERVICES LLC

METRO NURSING SERVICES LLC

METRO THERAPY SPECIAL CHILDREN

METROPOLITAN COMMUNITY SVCS

METROPOLITAN LIVING LLC

METROPOLITAN LIVING LLC

METROPOLITAN SINCERITY HOMECAR

METROPOLITAN SINCERITY HOMECAR

METROPOLITAN SURGICAL CTR

MIA'S HOUSE

MIAKARSEH HOUSE

MIDSOTA SURGICAL SUITES

MIDTOWN HOUSING SERVICES LLC

MIDTOWN HOUSING SERVICES, LLC

MIDWAY CARE CENTER INC

MIDWEST GROUP HOME LLC

MIDWEST GROUP HOME LLC

MIDWEST GROUP HOMES LLC

MIDWEST GROUP HOMES, LLC

MIDWEST GROUP LIVING INC

MIDWEST GROUP LIVING INC

MIDWEST HOMES INC

GOODHUE

OLMSTED

OLMSTED

BROWN

BROWN

HENNEPIN

SAINT LOUIS

SAINT LOUIS

DAKOTA

OTTER TAIL

OTTER TAIL

AITKIN

SCOTT

POLK

SCOTT

SCOTT

PINE

CHIPPEWA

OLMSTED

SWIFT

MOWER

HENNEPIN

HENNEPIN

RAMSEY

CHISAGO

CHISAGO

RENVILLE

DAKOTA

STEELE

MEEKER

MEEKER

MEEKER

MEEKER

HENNEPIN

HENNEPIN

HENNEPIN

WADENA

DAKOTA

DAKOTA

HENNEPIN

RAMSEY

HENNEPIN

HENNEPIN

HENNEPIN

ANOKA

ANOKA

HENNEPIN

ANOKA

HENNEPIN

DAKOTA

HENNEPIN

DAKOTA

DAKOTA

DAKOTA

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

SAINT LOUIS

HENNEPIN

HENNEPIN

ANOKA

ANOKA

WASHINGTON

DAKOTA

DAKOTA

DAKOTA

DAKOTA

HENNEPIN

RAMSEY

RAMSEY

RAMSEY

ANOKA

HENNEPIN

DAKOTA

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

SHERBURNE

ANOKA

STEARNS

HENNEPIN

HENNEPIN

POLK

HENNEPIN

ANOKA

STEARNS

STEARNS

HENNEPIN

HENNEPIN

HENNEPIN

142

399

399

48

48

225

503

502

123

409

409

2

517

421

517

518

414

66

399

546

383

231

152

435

70

70

483

96

541

372

372

371

372

196

196

196

553

117

117

320

435

292

292

267

27

27

318

18

311

96

225

96

89

96

267

326

323

323

514

292

218

23

23

572

112

123

112

123

267

430

430

430

23

235

96

152

267

267

240

525

18

537

267

267

421

267

13

537

538

267

268

268

Page 711: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

Minnesota Department of Health

Index For Directory of Facilities and Services

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

Index Page 35Health Regulation Division

MIDWEST HOMES INC

MIDWEST HOMES INC

MIDWEST LIVING GROUP INC.

MIDWEST MEDICAL HOLDINGS INC

MIDWEST PROFESSIONAL SERVICES

MIDWEST RESIDENTIAL

MIDWEST RESIDENTIAL INC

MIDWEST RESIDENTIAL INC

MIDWEST RESIDENTIAL INC

MIDWEST RESIDENTIAL INC

MIDWEST RESIDENTIAL INC

MIDWEST SURGERY CENTER

MIKES PLACE LLC

MIKKELSEN MANOR

MIKKELSEN MANOR ASSISTED LIVIN

MILES VENTS INC

MILES VENTS INC

MILES VENTS INC

MILES VENTS INCORPORATED

MILESTONE SENIOR LIVING

MILESTONE SENIOR LIVING

MILL CITY HOME HEALTH CARE INC

MILL CITY HOME HEALTH CARE INC

MILL CITY SENIOR LIVING

MILL POND VIEW APARTMENTS

MILLE LACS BAND OF OJIBWE PUBL

MILLE LACS FAMILY CLINIC

MILLE LACS FAMILY CLINIC ISLE

MILLE LACS FAMILY CLNC ONAMIA

MILLE LACS HEALTH SYSTEM

MILLE LACS HLTH SYS HOSPICE

MILLE LACS HOME CARE

MILLENNIUM HEALTH CARE LLC

MILLENNIUM HEALTH CARE LLC

MILLENNIUM HOME SENIOR CARE

MILLENNIUM HOME SENIOR CARE

MILLENNIUM HOMES LLC

MILLENNIUM HOMES LLC

MILLER'S LANDING

MILLERS LANDING SENIOR LIVING

MILLS MANOR

MILLS MANOR

MILLSTREAM COMMONS

MILLSTREAM COMMONS HOME CARE

MILS HOME HEALTH CARE AGENCY

MINN CARE HOME HEALTH LLC

MINN CARE HOME HEALTH LLC

MINN CARE HOME HEALTH LLC

MINN CARE HOME HEALTH LLC

MINNEAPOLIS DIALYSIS UNIT

MINNEAPOLIS NE DIALYSIS

MINNEAPOLIS UPTOWN DIALYSIS

MINNEHAHA COMMONS

MINNEHAHA SENIOR LIVING

MINNEHAHA SENIOR LIVING

MINNEOTA MANOR HCC

MINNESOTA BIRTH CENTER

MINNESOTA BIRTH CENTER

MINNESOTA ENDOSCOPY CENTER LLC

MINNESOTA EYE INSTITUTE

MINNESOTA EYE LASER & SURGERY

MINNESOTA EYE LASER & SURGERY

MINNESOTA GREENLEAF

MINNESOTA GREENLEAF

MINNESOTA GROUP HOMES LLC

MINNESOTA GROUP HOMES LLC

MINNESOTA GROUP HOMES LLC

MINNESOTA HOME OF CARE AND COM

MINNESOTA HOSPICE LLC

MINNESOTA MASONIC HOME CARE

MINNESOTA TEEN CHALLENGE

MINNESOTA VALLEY MANAGEMENT LL

MINNESOTA VALLEY SURGERY CTR

MINNESOTA VASCULAR SURGERY CTR

MINNESOTA WELLNESS CENTER LLC

MINNESOTA WELLNESS CENTER LLC

MINNESOTA WELLNESS CENTER LLC

MINNESOTA WELLNESS CENTER LLC

MINNESOTAWEST H HEALTHCARE

MINNETONKA AMBULATORY SURGERY

MINNETONKA ASSISTED LIVING LLC

MINNETONKA CARE RESIDENCE

MINNETONKA DIALYSIS UNIT

MINNEWASKA COMMUNITY HLTH SVC

MINNEWASKA COMMUNITY HOME

MIRACLES 1ST LLC

MIRAGE HOMES LLC

MIRAGE HOMES LLC

MIRIAM MANOR

MISSION COURT

MISSION GROUP HOME L.L.C.

MISSION GROUP HOME LLC

HENNEPIN

DAKOTA

HENNEPIN

RAMSEY

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

WASHINGTON

SHERBURNE

COTTONWOOD

COTTONWOOD

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

RICE

RICE

ANOKA

ANOKA

RICE

OTTER TAIL

MILLE LACS

MORRISON

MILLE LACS

MILLE LACS

MILLE LACS

MILLE LACS

MILLE LACS

HENNEPIN

HENNEPIN

RAMSEY

DAKOTA

DAKOTA

HENNEPIN

HENNEPIN

HENNEPIN

OTTER TAIL

OTTER TAIL

RICE

RICE

HENNEPIN

HENNEPIN

HENNEPIN

RAMSEY

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

LYON

RAMSEY

HENNEPIN

RAMSEY

DOUGLAS

HENNEPIN

ANOKA

PENNINGTON

PENNINGTON

HENNEPIN

HENNEPIN

HENNEPIN

DAKOTA

DAKOTA

HENNEPIN

HENNEPIN

BROWN

DAKOTA

RAMSEY

HENNEPIN

RAMSEY

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

POPE

LYON

ANOKA

HENNEPIN

HENNEPIN

KANDIYOHI

NORMAN

HENNEPIN

HENNEPIN

268

96

212

433

268

152

152

152

152

152

152

572

524

78

78

171

171

196

171

486

486

24

23

486

410

374

376

373

374

374

375

375

268

268

430

103

103

299

268

268

409

409

489

489

267

171

171

435

299

268

268

269

269

269

283

362

468

269

468

128

292

10

412

412

153

152

311

103

114

153

269

48

96

436

236

454

292

292

305

292

292

153

292

423

360

3

269

236

343

391

171

171

Page 712: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

Minnesota Department of Health

Index For Directory of Facilities and Services

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

Index Page 36Health Regulation Division

MISSION HILL GROUP HOME SRVCS

MISSION HILL GROUP HOME SRVS

MISSION NURSING HOME

MN BEST CARE, LLC

MN BEST HOME CARE LLC

MN BEST HOME CARE LLC

MN CARE ACCESS LLC

MN CARE ACCESS LLC

MN COMFORT CARE, LLC

MN EYE LASER & SURGERY CENTER

MN EYE LASER & SURGERY CTRS

MN GROUP HOME LLC

MN GROUP HOME LLC

MN HOME CARE

MN HOME OF CARE AND COMPASSION

MN MEDICAL & REHAB SERVS LLC

MN SEX OFFENDER PROGRAM

MN SPECIALTY HEALTH SYSTEM

MN SPECIALTY HEALTH SYSTEM

MN SPECIALTY HEALTH SYSTEM

MN VETERANS HOME FERGUS FALLS

MN VETERANS HOME HASTINGS

MN VETERANS HOME LUVERNE

MN VETERANS HOME MINNEAPOLIS

MN VETERANS HOME SILVER BAY

MNGI ENDOSCOPY BLOOMINGTON

MNGI ENDOSCOPY COON RAPIDS

MNGI ENDOSCOPY EAGAN

MNGI ENDOSCOPY MAPLEWOOD

MNGI ENDOSCOPY PLYMOUTH

MNGI ENDOSCOPY WOODBURY

MOBILE MED DIAGNOSTICS LA CROS

MOBILEX USA

MOMENTS HOSPICE

MOMENTS HOSPICE

MOMENTS HOSPICE

MOMENTS HOSPICE

MONARCH HEIGHTS

MONTEVIDEO DIALYSIS

MOONLIGHT HOME HEALTH CARE LLC

MOONLIGHT HOME HEALTH CARE LLC

MOORE BOARD AND CARE LLC

MOORE BOARD AND CARE LLC

MOORHEAD DIALYSIS

MOORHEAD MANOR

MOORHEAD MANOR

MOORHEAD RESTORATIVE CARE CTR

MORNING GLORY HOME CARE

MORNING GLORY HOME CARE

MORNING GLORY HOMES INC

MORNING GLORY HOMES INC

MORNING GLORY HOMES INC

MORNING STAR HEALTH CARE SER

MORNING STAR HEALTH CARE SERVI

MORNINGSTAR CARE SERVICES, LLC

MORNINGSTAR CARE SERVICES, LLC

MORNINGSTAR HOMES S C

MORNINGSTAR HOMES S C

MORRISTOWN

MOSES RESIDENCE

MOTHER OF MERCY

MOTHER OF MERCY SENIOR LIVING

MOTHER OF MERCY SENIOR LIVING

MOTHER OF MERCY SENIOR LIVING

MOTIVATE HOME SERVICES LLC

MOUNDS VIEW GABLES

MOUNT OLIVET CAREVIEW HOME

MOUNT OLIVET HOME

MOUNT OLIVET ROLLING ACRES

MOUNT OLIVET ROLLING ACRES

MOUNT OLIVET ROLLING ACRES

MOUNT ST BENEDICT LIVING

MPLS CLINIC OF NEUROLOGY

MS V'S CARING HANDS LLC

MS-AC MANKATO AG SENIOR LIVING

MS-AC MANKATO WE SENIOR LIVING

MSOP GREEN ACRES

MSOP PEXTON SHANTZ

MSOP SUNRISE

MTAI ALBERT PLACE

MTAI BLOOMINGTON

MTAI BROOKLYN CENTER

MTAI GLADSON

MTAI MINNEHAHA CREEK

MTAI PLYMOUTH EAST

MTAI RICE CREEK

MTAI SAND CREEK

MTAI TRILLIUM

MULTICULTURAL CARE CENTER LLC

MULTICULTURAL CARE CENTER LLC

MULTICULTURAL CARE CENTER LLC

MURRAY COUNTY CLINIC FULDA

HENNEPIN

HENNEPIN

HENNEPIN

RAMSEY

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

BROWN

HENNEPIN

WASHINGTON

HENNEPIN

HENNEPIN

CROW WING

HENNEPIN

HENNEPIN

CARLTON

KANDIYOHI

WADENA

CROW WING

OTTER TAIL

DAKOTA

ROCK

HENNEPIN

LAKE

HENNEPIN

ANOKA

DAKOTA

RAMSEY

HENNEPIN

WASHINGTON

WISCONSIN

HENNEPIN

HENNEPIN

SAINT LOUIS

STEARNS

OLMSTED

BIG STONE

CHIPPEWA

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

CLAY

CLAY

CLAY

CLAY

WASHINGTON

WASHINGTON

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

DAKOTA

HENNEPIN

WASHINGTON

RICE

ITASCA

STEARNS

STEARNS

STEARNS

STEARNS

HENNEPIN

RAMSEY

HENNEPIN

HENNEPIN

CARVER

CARVER

CARVER

POLK

HENNEPIN

CARVER

BLUE EARTH

BLUE EARTH

NICOLLET

NICOLLET

NICOLLET

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

MCLEOD

RAMSEY

HENNEPIN

HENNEPIN

MURRAY

270

269

305

424

171

196

270

270

50

152

572

270

270

80

269

323

55

347

555

83

406

108

492

286

354

153

19

103

430

305

572

591

153

231

509

538

399

40

66

270

311

270

270

70

74

73

74

566

564

293

293

293

271

271

270

96

153

573

488

337

529

529

529

529

320

434

271

271

59

60

59

418

234

58

43

44

387

388

388

153

153

171

231

299

305

213

231

370

454

271

271

384

Page 713: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

Minnesota Department of Health

Index For Directory of Facilities and Services

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

Index Page 37Health Regulation Division

MURRAY COUNTY MEM HOSP

MVNA

MY LEGAL NURSE CONSULTANTS LLC

MYSA HOUSE

N & V HELPFUL HEART CARE

N & V HELPFUL HEART CARE INC

N & V HELPFUL HEART CARE INC

N & V HELPFUL HEART CARE INC

N & V HELPFUL HEART CARE INC

N C LITTLE MEMORIAL HOSPICE

NAGEL ASSISTED LIVING

NAGEL ASSISTED LIVING

NAGOMI INC

NAGOMI YA SENIOR LIVING

NAJMA GROUP HOME LLC

NAJMA GROUP HOME LLC

NASIYE GROUP HOME CORP

NASIYE GROUP HOME CORP

NATIONAL HOME HEALTHCARE INC

NATURE'S POINT ASSISTED LIVING

NATURE'S POINT ASSISTED LIVING

NEILSON PLACE

NELSON CLINIC & REHAB CARE PA

NELSON GABLES

NELSON GABLES SENIOR CARE APTS

NERVANA'S CARING HANDS INC

NERVANAS CARING HANDS INC

NERVANAS CARING HANDS INC

NEST CARE INC

NEST CARE INC.

NEW BRIDGE CARE LLC

NEW BRIDGE CARE LLC

NEW BRIGHTON ASSISTED LIVING

NEW BRIGHTON A VILLA CENTER

NEW BRIGHTON CARE CENTER

NEW CHALLENGES INC

NEW CHALLENGES INC - AFTON

NEW DIMENSIONS HHC INC

NEW DIRECTION RESIDENTIAL SERV

NEW DIRECTIONS RESIDENTIAL SRV

NEW DIRECTIONS RESIDENTIAL SVS

NEW FREEDOM INC

NEW FREEDOM INC

NEW HARMONY CARE & REHAB CTR

NEW HOPE APARTMENTS

NEW HOPE CARE LLC

NEW HOPE CARE LLC

NEW HOPE DIALYSIS CENTER

NEW HOPE HEALTH CARE LLC

NEW HOPE HEALTH CARE LLC

NEW HOPE HEALTH CARE LLC

NEW HOPE HOME CARE LLC

NEW HOPE HOME CARE LLC

NEW HORIZON ASSISTED LIVING

NEW HORIZON ASSISTED LIVING LL

NEW JOURNEY RESIDENCE

NEW JOURNEY RESIDENCE

NEW LIFE CARE LLC

NEW LIFE CARE LLC

NEW LIFE CARE LLC

NEW LIFE HEALTH SERVICE

NEW LIFE HEALTH SERVICE

NEW LIFE HEALTH SERVICE

NEW LIFE HEALTH SERVICE

NEW LIFE TREATMENT CENTER

NEW PERSPECTIVE - FARIBAULT

NEW PERSPECTIVE - CARLSON PKWY

NEW PERSPECTIVE - CLOQUET & BA

NEW PERSPECTIVE - COLUMBIA HEI

NEW PERSPECTIVE - COLUMBIA HTS

NEW PERSPECTIVE - EAGAN

NEW PERSPECTIVE - EAGAN

NEW PERSPECTIVE - HIGHLAND PAR

NEW PERSPECTIVE - MANKATO

NEW PERSPECTIVE - MANKATO

NEW PERSPECTIVE - PRIOR LAKE

NEW PERSPECTIVE - PRIOR LAKE

NEW PERSPECTIVE - ROSEVILLE

NEW PERSPECTIVE - ROSEVILLE

NEW PERSPECTIVE - WOODBURY

NEW PERSPECTIVE -HIGHLAND PARK

NEW PERSPECTIVE CLOQUET BARNUM

NEW PERSPECTIVE CLOQUET BARNUM

NEW PERSPECTIVE CLOQUET BARNUM

NEW PERSPECTIVE CLOQUET BARNUM

NEW PERSPECTIVE CLOQUET BARNUM

NEW PERSPECTIVE CLOQUET BARNUM

NEW PERSPECTIVE CLOQUET BARNUM

NEW PERSPECTIVE CLOQUET BARNUM

NEW PERSPECTIVE FARIBAULT

NEW PERSPECTIVE MAHTOMEDI

NEW PERSPECTIVE MAHTOMEDI LLC

MURRAY

HENNEPIN

ANOKA

KANABEC

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

CARVER

CARVER

DAKOTA

DAKOTA

RAMSEY

RAMSEY

HENNEPIN

HENNEPIN

RAMSEY

SHERBURNE

SHERBURNE

BELTRAMI

KANDIYOHI

DOUGLAS

DOUGLAS

DAKOTA

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

ANOKA

ANOKA

RAMSEY

RAMSEY

RAMSEY

DAKOTA

WASHINGTON

OTTER TAIL

HENNEPIN

HENNEPIN

HENNEPIN

MILLE LACS

MILLE LACS

RAMSEY

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

RAMSEY

HENNEPIN

HENNEPIN

SAINT LOUIS

SAINT LOUIS

ANOKA

ANOKA

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

PIPESTONE

RICE

HENNEPIN

CARLTON

ANOKA

ANOKA

DAKOTA

DAKOTA

RAMSEY

BLUE EARTH

BLUE EARTH

SCOTT

SCOTT

RAMSEY

RAMSEY

WASHINGTON

RAMSEY

CARLTON

CARLTON

CARLTON

CARLTON

CARLTON

CARLTON

CARLTON

CARLTON

RICE

WASHINGTON

WASHINGTON

384

271

19

341

271

172

213

172

172

225

60

60

89

89

468

454

271

271

454

525

526

33

347

128

128

97

153

153

315

315

10

10

436

436

436

104

560

406

272

232

196

375

375

468

299

240

196

299

299

172

197

272

468

197

197

495

508

19

19

172

232

299

197

317

417

487

293

53

14

14

104

104

454

44

44

518

518

443

442

573

457

53

53

53

51

53

53

51

51

487

562

562

Page 714: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

Minnesota Department of Health

Index For Directory of Facilities and Services

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

Index Page 38Health Regulation Division

NEW PERSPECTIVE MAHTOMEDI LLC

NEW PERSPECTIVE SENIOR LIVING

NEW PERSPECTIVE WACONIA

NEW PERSPECTIVE WACONIA

NEW RICHLAND CARE CENTER

NEW ULM DIALYSIS

NEW ULM MEDICAL CENTER

NEW ULM MEDICAL CENTER

NEWTON MANOR

NEXTSTEP HOMECARE INC

NIGHTINGALE HOME HEALTHCARE

NINE MILE CREEK SENIOR LIVING

NOAH ASSISTING LIVING INC

NOAH ASSISTING LIVING INC

NOAH HOME CARE INC

NOAH HOME CARE INC

NOBLE CARES LLC

NOBLE CARES, LLC

NOBLE HOME CARE SERVICE LLC

NOBLE HOME CARE SERVICES LLC

NORBELLA SENIOR LIVING

NORBELLA SENIOR LIVING SAVAGE

NORMANDY APARTMENTS

NORRIS SQUARE

NORRIS SQUARE

NORRIS SQUARE

NORTH COUNTRY HOUSEKEEPING HCS

NORTH MEMORIAL AMBU SURG

NORTH MEMORIAL HEALTH

NORTH MEMORIAL HOSPICE CARE

NORTH METRO SURGERY CENTER

NORTH PARK PLAZA

NORTH RIDGE HEALTH AND REHAB

NORTH RIDGE VIEW LLC

NORTH RIDGE VIEW LLC

NORTH SHORE HEALTH

NORTH SHORE HEALTH

NORTH STAR APARTMENTS

NORTH STAR ASSISTED LIVING

NORTH STAR HOSPICE

NORTH STAR INDEPENDENT SR LVG

NORTH STAR MANOR

NORTH STAR MANOR ASSISTED LIVI

NORTH STAR NURSING TEMPORARY A

NORTH VALLEY HEALTH CENTER

NORTH VALLEY HLTH CTR CLINIC

NORTHERN LAKES SENIOR LIVING

NORTHERN LIGHTS OF ITASCA GRAN

NORTHERN LIVES INC

NORTHERN PINES ASSISTED LIVING

NORTHERN PINES ASSISTED LIVING

NORTHERN STARS HOME CARE LLC

NORTHFIELD CARE CENTER INC

NORTHFIELD CITY HOSPITAL & NSG

NORTHFIELD DIALYSIS

NORTHFIELD HOME CARE

NORTHFIELD HOSPICE

NORTHFIELD MANOR INC

NORTHFIELD PARKVIEW INC

NORTHFIELD PARKVIEW INC

NORTHLAND RECOVERY CENTER

NORTHWINDS ASSISTED LIVING

NORTHWOOD CHILDRENS SVS INC

NORTHWOOD PINES

NORTHWOODS CAREGIVERS

NORTHWOODS SURGERY CENTER LLC

NORTHWOODS VILLA

NORTHWOODS VILLA

NORTHWOODS VILLA INC

NORTHWOODS VILLA INC.

NOUIS HOME CARE INC

NOUIS HOME CARE INC

NOVA 65TH AVE HOME

NOVA CARE OUTPATIENT REHAB

NOVA EWING HOME

NOVA HOME CARE LLC

NOVACARE REHAB

NOVACARE REHABILITATION

NOVACARE REHABILITATION

NTINGALE IN-HOUSE SKILLED NURS

NURA PA

NURA SURGICAL CENTER

NURTURING CARE RESIDENCE

NURTURING CARE RESIDENCE

NURTURING HOMES LLC

NUVISION HOMECARE SERVICES LLC

NUVISION HOMECARE SERVICES LLC

O'BRIEN COURT

OAK CREST SENIOR HOUSING

OAK CREST SENIOR HOUSING

OAK GROVE CARE CENTER INC

OAK HILL ASSISTED LIVING

WASHINGTON

HENNEPIN

CARVER

CARVER

WASECA

BROWN

BROWN

BROWN

HENNEPIN

DOUGLAS

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

DAKOTA

DAKOTA

ANOKA

ANOKA

HENNEPIN

HENNEPIN

SCOTT

SCOTT

NORMAN

WASHINGTON

WASHINGTON

WASHINGTON

SAINT LOUIS

HENNEPIN

HENNEPIN

HENNEPIN

ANOKA

HENNEPIN

HENNEPIN

GOODHUE

GOODHUE

COOK

COOK

ROSEAU

MARSHALL

SAINT LOUIS

MARSHALL

MARSHALL

MARSHALL

BECKER

MARSHALL

MARSHALL

CROW WING

ITASCA

SAINT LOUIS

PINE

PINE

RAMSEY

RICE

DAKOTA

RICE

RICE

DAKOTA

RICE

RICE

RICE

ITASCA

KOOCHICHING

SAINT LOUIS

RICE

BELTRAMI

SAINT LOUIS

ITASCA

ITASCA

ITASCA

ITASCA

MORRISON

MORRISON

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

DAKOTA

STEARNS

HENNEPIN

HENNEPIN

ANOKA

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

LYON

ROSEAU

ROSEAU

HENNEPIN

ITASCA

562

293

60

60

556

48

48

48

154

128

293

154

272

272

114

97

5

5

305

272

518

519

391

559

558

558

503

240

315

315

10

299

299

140

140

77

77

494

364

511

364

364

364

31

364

364

80

337

503

415

414

437

489

118

490

490

118

490

490

490

337

350

503

490

33

514

337

337

337

337

378

378

172

225

172

172

123

534

317

272

19

225

293

293

325

315

197

363

494

494

272

338

Page 715: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

Minnesota Department of Health

Index For Directory of Facilities and Services

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

Index Page 39Health Regulation Division

OAK HILL ASSISTED LIVING

OAK HILLS ASSISTED LIVING

OAK HILLS LIVING CENTER

OAK HILLS LIVING CENTER ASSIST

OAK HOUSE LLC

OAK MEADOWS

OAK PARK PLACE

OAK PARK PLACE OF ALBERT LEA L

OAK PARK SENIOR LIVING

OAK PARK SENIOR LIVING

OAK RIDGE ASST LVG OF HASTINGS

OAK RIDGE MANOR

OAK RIDGE PLACE

OAK RIDGE PLACE

OAK TERR SR HOUSING OF JORDAN

OAK TERRACE ASSISTED LIVING OF

OAK TERRACE GAYLORD LLC

OAK TERRACE HEALTH CARE CENTER

OAK TERRACE HOUSING OF JORDAN

OAK TERRACE NORTH MANKATO

OAK TERRACE OF LE SUEUR LLC

OAK TERRACE SENIOR HOUSING OF

OAK TERRACE SENIOR HOUSING OF

OAK TERRACE WEST

OAK VIEW APARTMENTS INC

OAKLAND PARK COMMUNITIES INC

OAKLAWN CARE & REHAB CENTER

OASIS

OASIS CARE HOME LLC

OASIS CARE HOME LLC

OCOF MAIN COURT

OKALEE OF MEDINA

OLD MAIN VILLAGE

OLD MAIN VILLAGE

OLIDIA CARE INC

OLIVE BRANCH ESTATES

OLIVE GROVE HOSPICE LLC

OLIVE HEALTHCARE LLC

OLIVE HEALTHCARE LLC

OLIVE HEALTHCARE LLC

OLIVE HEALTHCARE LLC

OLIVIA HOME

OLIVIA HOSPITAL & CLINIC

OLIVIA HOSPITAL & CLINIC

OLIVIA HOSPITAL & CLINIC-HOSPI

OLIVIA RESTORATIVE CARE CTR

OLMSTED MEDICAL CENTER

OLU'S HOME INC

OLUS HOME INC

OLYDIA HOME CARE INC

OLYDIA HOME CARE INC

OLYMPIC GROUP HOME LLC

OLYMPIC GROUP HOME LLC

OMEGA HOME HEALTHCARE LLC

OMEGA HOME HEALTHCARE LLC

OMOCARE LLC

OMOCARE LLC

OMOCARE LLC

ON BELAY HOUSE

ONETOUCH CARE SERVICES LLC

ONTRACK HOME CARE INC

OPEN ARMS GROUP HOME LLC

OPEN ARMS GROUP HOME LLC

OPEN ARMS HOUSING INC

OPEN ARMS HOUSING INC

OPEN ARMS LLC

OPEN ARMS LLC

OPEN ARMS NURSING SERVICES INC

OPEN ARMS NURSING SERVICES INC

OPEN HEART LLC

OPEN HEART LLC

OPEN HEART LLC

OPTIMUM CARE SERVICES LLC

OPTIMUM HEALTHCARE SERVICES LL

OPTIMUM HEALTHCARE SERVICES LL

OPTION CARE

OPTIONS 29 BRIAR COURT

OPTIONS CEDAR

OPTIONS PLUS HOME CARE LLC

OPTIONS RESIDENTIAL GATEWAY

OPTIONS RESIDENTIAL GOLFVIEW

OPTIONS RESIDENTIAL INC 851

OPTIONS RESIDENTIAL INC - 1200

OPTIONS RESIDENTIAL INC - 45 B

OPTIONS RESIDENTIAL INC 37

OPTIONS RESIDENTIAL INC GABRIE

OPTIONS RESIDENTIAL INC GALAXY

OPTIONS WASHINGTON

OPTUM INFUSION SERVICES 500 IN

ORCHARD ESTATES

ORCHARD HILLS SENIOR LIVING

ORCHARD PATH

ITASCA

BROWN

BROWN

BROWN

SHERBURNE

WASHINGTON

FREEBORN

FREEBORN

WASHINGTON

WASHINGTON

DAKOTA

STEARNS

WASHINGTON

WASHINGTON

SCOTT

NICOLLET

SIBLEY

SIBLEY

SCOTT

NICOLLET

LESUEUR

LESUEUR

SIBLEY

NICOLLET

BROWN

PENNINGTON

BLUE EARTH

HENNEPIN

ROCK

ROCK

RICE

HENNEPIN

BLUE EARTH

BLUE EARTH

HENNEPIN

CARVER

ANOKA

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

RENVILLE

RENVILLE

RENVILLE

RENVILLE

OLMSTED

RAMSEY

RAMSEY

RAMSEY

HENNEPIN

RAMSEY

HENNEPIN

GOODHUE

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

WASHINGTON

HENNEPIN

HENNEPIN

ANOKA

ANOKA

DAKOTA

DAKOTA

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

ANOKA

ANOKA

RAMSEY

DAKOTA

HENNEPIN

WINONA

RAMSEY

RAMSEY

DAKOTA

DAKOTA

DAKOTA

DAKOTA

DAKOTA

RAMSEY

DAKOTA

RAMSEY

MCLEOD

BROWN

DAKOTA

338

48

48

48

524

565

138

138

563

563

108

532

563

563

516

385

527

528

516

385

356

356

528

386

49

413

44

232

492

492

487

242

44

44

197

56

10

272

172

173

172

213

483

483

483

483

399

454

454

455

173

442

321

142

215

197

173

197

305

322

567

173

272

24

24

97

97

173

197

273

272

273

154

24

24

442

97

311

579

438

438

123

97

97

97

123

438

118

442

367

49

90

Page 716: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

Minnesota Department of Health

Index For Directory of Facilities and Services

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

Index Page 40Health Regulation Division

ORCHARDS OF MINNETONKA

OROMIA HEALTH CARE

ORONO WOODLANDS

ORR CAREFREE LIVING INC

ORTHOPAEDIC INSTITUTE SURG CTR

ORTONVILLE AREA HEALTH SERVICE

OSSEO GARDENS ASSISTED LIVING

OSTENAA BOARD & LODGING INC

OSTRANDER ASSISTED LIVING

OSTRANDER ASSISTED LIVING

OSTRANDER CARE AND REHAB

OTTAWA HOME HEALTH SERVICES

OTTAWA HOME HEALTH SERVICES

OTTAWA HOME HEALTH SERVICES LL

OTTAWA HOME HEALTH SERVICES LL

OTTOMEYER CLINICS PLLC

OUR CIRCLE OF FRIENDS

OUR HOME YOUR HOME

OUR HOME YOUR HOME

OUR HOUSE

OUR HOUSE OF MURRAY COUNTY

OUR HOUSE SENIOR LIVING

OUR HOUSE SENIOR LIVING

OUR HOUSE SENIOR LIVING

OUR LADY OF PEACE HOME CARE

OUR LADY OF PEACE HOSPICE

OVERCOMER HEALTHCARE SERVICE

OVERCOMER HEALTHCARE SERVICE C

OVERCOMER HEALTHCARE SERVICE C

OVERCOMER HEALTHCARE SERVICE C

OVERCOMER HEALTHCARE SERVICE C

OWATONNA HOSPITAL

PAC VILLAGE LLC

PAC VILLAGE LLC

PAIN CENTERS OF MN CHASKA

PAIN CENTERS OF MN MANKATO

PALLANSCH PROPERTIES LLC

PALLANSCH PROPERTIES LLC

PALLANSCH PROPERTIES LLC

PALLANSCH PROPERTIES LLC

PAMELA FILLHOUER

PAMELA J COLEMAN

PANZER HOME CARE

PARADISE ASSISTED LIVING INC

PARADISE ASSISTED LIVING INC

PARADISE ASSISTED LIVING INC

PARADISE ASSITED LIVING

PARADISE CARE HOMES LLC

PARADISE CARE HOMES LLC

PARADISE CARE HOMES LLC

PARADISE CARE HOMES LLC

PARAMOUNT CARE

PARAMOUNT CARE

PARK AVENUE APARTMENTS

PARK GARDENS APARTMENTS

PARK GARDENS OF FERGUS FALLS

PARK GARDENS OF FERGUS FALLS

PARK HEALTH A VILLA CENTER

PARK LANE ESTATES

PARK LANE ESTATES

PARK MANOR ESTATES

PARK NICOLLET METHODIST HC

PARK NICOLLET METHODIST HOSP

PARK NICOLLET METHODIST HOSP

PARK NICOLLET SAME DAY SURGERY

PARK PLACE SENIOR LIVING

PARK PLACE SENIOR LIVING

PARK POINT INC

PARK POINT INC

PARK RAPIDS PT AND REHAB

PARK RIDGE APARTMENTS HASTINGS

PARK RIDGE APARTMENTS OF HASTI

PARK RIVER ESTATES CARE CENTER

PARK TERRACE ASSISTED LIVING &

PARK TERRACE INC

PARK VIEW CARE CENTER

PARK VIEW TERRACE APARTMENTS

PARK VIEW VILLAGE

PARK'S PLACE

PARKER OAKS SENIOR LIVING

PARKER SKYVIEW

PARKERS ARC

PARKINSON SPECIALTY CARE HOME

PARKINSON'S SPECIALTY CARE II

PARKS' PLACE

PARKSHORE SENIOR CAMPUS LLC

PARKSHORE SENIOR CAMPUS LLC

PARKVIEW CARE CENTER WELLS

PARKVIEW COURT

PARKVIEW COURT

PARKVIEW HOME

PARKVIEW MANOR

HENNEPIN

ANOKA

HENNEPIN

SAINT LOUIS

HENNEPIN

BIG STONE

HENNEPIN

POLK

FILLMORE

FILLMORE

FILLMORE

HENNEPIN

RAMSEY

RAMSEY

HENNEPIN

WASHINGTON

RICE

OTTER TAIL

OTTER TAIL

RICE

MURRAY

MOWER

MOWER

MOWER

RAMSEY

RAMSEY

RAMSEY

RAMSEY

RAMSEY

RAMSEY

RAMSEY

STEELE

HENNEPIN

HENNEPIN

CARVER

BLUE EARTH

NORMAN

NOBLES

CLAY

CROW WING

HENNEPIN

HENNEPIN

RAMSEY

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

WRIGHT

HENNEPIN

STEARNS

OTTER TAIL

OTTER TAIL

HENNEPIN

FILLMORE

FILLMORE

BECKER

HENNEPIN

HENNEPIN

HENNEPIN

DAKOTA

STEELE

STEELE

ANOKA

HENNEPIN

HUBBARD

DAKOTA

DAKOTA

ANOKA

WRIGHT

WRIGHT

WRIGHT

CLAY

RENVILLE

HENNEPIN

FARIBAULT

HENNEPIN

LAKE OF THE WOODS

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

FARIBAULT

POPE

POPE

REDWOOD

HENNEPIN

293

27

236

512

225

40

301

421

134

134

134

300

455

455

299

560

487

408

409

487

385

381

381

381

455

468

468

455

455

455

455

543

273

273

58

44

391

388

71

86

305

293

436

240

154

273

240

273

273

197

198

173

586

273

540

406

406

320

134

134

29

236

323

323

97

543

543

24

240

330

108

109

19

583

583

583

74

483

305

133

273

355

232

225

305

320

320

132

422

422

479

274

Page 717: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

Minnesota Department of Health

Index For Directory of Facilities and Services

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

Index Page 41Health Regulation Division

PARKVIEW MANOR INC

PARKVIEW MANOR NURSING HOME

PARKWOOD APARTMENTS

PARKWOOD APARTMENTS

PARMLY ON THE LAKE ISABELLE

PARMLY ON THE LAKE ASSISTED LI

PARMLY ON THE LAKE LLC

PARMLY ON THE LAKE MARGARET'S

PARMLY ON THE LAKE VINDAUGA

PARTNERS IN CARE INC

PARTNERS IN CARE INC

PARTRIDGE HOME

PATHSTONE CROSSING

PATHSTONE CROSSING

PATHSTONE LIVING

PATHWAYS TO ACHIEVEMENT INC

PATIENT CENTERED HOME CARE SER

PATRIOT ASSISTED LIVING

PAUL'S PLACE

PAVILION SURGERY CENTER LLC

PEACE HOMECARE SERVICES

PEACE HOMECARE SERVICES LLC

PEACEFUL HOME ASSISTED LIVING

PEACEFUL HOME ASSISTED LIVING

PEACEFUL LIVING

PEACEFUL LIVING LLC

PEACEFUL LIVING LLC

PEACEFUL LIVING LLC

PEACEFUL LIVING LLC

PEACEFUL LIVING SERVICES

PEACEFUL LODGE

PEARL GARDEN

PEDIATECH NURSING

PEDIATRIC HOME SERVICE

PEDIATRIC THERAPY SERVICES

PELICAN LANDING

PELICAN LANDING

PELICAN VALLEY HEALTH CENTER

PENN HOME LLC

PENN HOME LLC

PENNY'S HOUSE

PENTEC HEALTH INC

PEOPLE II

PEOPLE INC EDGEBROOK HOUSE

PEOPLE INC LONDIN PLACE

PEOPLE INC MONTREAL COURTS 401

PEOPLE INC MONTREAL COURTS 445

PEOPLE INC MONTREAL COURTS APT

PEOPLE INCORPORATED

PEOPLE INCORPORATED DAP

PEOPLE INCORPORATED DAP

PEOPLE INCORPORATED DAP

PEOPLE INCORPORATED DAP

PEOPLE INCORPORATED DAP

PEOPLE INCORPORATED DAP

PEOPLE INCORPORATED DSL

PEOPLE INCORPORATED GIRARD

PEOPLE INCORPORATED RUTH HOUSE

PEOPLE'S CHOICE HOME CARE SERV

PEOPLE'S CHOICE HOME CARE SERV

PERFECTION HEALTH CARE SERVICE

PERFECTION HEALTH CARE SVSINC

PERHAM HEALTH

PERHAM LIVING

PERHAM LIVING

PERHAM LIVING HOME CARE

PERHAM LIVING NORTHWINDS

PERSONAL CARE MANAGEMENT, LLC

PETERSON COLONIAL HOMES 1

PETERSON COLONIAL HOMES 2

PETERSON COLONIAL HOMES INC

PETERSON ESTATES

PHALEN DIALYSIS

PHEASANTS RIDGE

PHEASANTS RIDGE ASSISTED LIVIN

PHOENIX AT CARVER

PHOENIX AT CASWELL

PHOENIX AT CENTERVILLE

PHOENIX AT CHARLES

PHOENIX AT DOUGLAS

PHOENIX AT ENGLISH

PHOENIX AT FOSS

PHOENIX AT JANET COURT

PHOENIX AT LUDDEN

PHOENIX AT NEWPORT

PHOENIX AT VIKING

PHOENIX COVE ADULT DAY CENTER

PHOENIX SERVICE CORPORATION

PHS/BEACON HILL INC

PHYS THER SPORTS MEDICINE CTR

PIERZ MEADOW PONDS INC

PIERZ MEADOW PONDS INC

HENNEPIN

NOBLES

REDWOOD

REDWOOD

CHISAGO

CHISAGO

CHISAGO

CHISAGO

CHISAGO

HENNEPIN

HENNEPIN

ANOKA

BLUE EARTH

BLUE EARTH

BLUE EARTH

SAINT LOUIS

HENNEPIN

OTTER TAIL

DAKOTA

SAINT LOUIS

HENNEPIN

HENNEPIN

RAMSEY

RAMSEY

RAMSEY

WASHINGTON

WASHINGTON

WASHINGTON

DAKOTA

RAMSEY

WASHINGTON

RAMSEY

HENNEPIN

RAMSEY

BLUE EARTH

BECKER

BECKER

OTTER TAIL

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

RAMSEY

RAMSEY

RAMSEY

RAMSEY

RAMSEY

RAMSEY

DAKOTA

DAKOTA

DAKOTA

DAKOTA

DAKOTA

DAKOTA

HENNEPIN

HENNEPIN

RAMSEY

WASHINGTON

WASHINGTON

RAMSEY

RAMSEY

OTTER TAIL

OTTER TAIL

OTTER TAIL

OTTER TAIL

OTTER TAIL

ANOKA

SAINT LOUIS

SAINT LOUIS

SAINT LOUIS

COTTONWOOD

RAMSEY

NICOLLET

NICOLLET

RAMSEY

RAMSEY

RAMSEY

RAMSEY

RAMSEY

RAMSEY

RAMSEY

RAMSEY

RAMSEY

WASHINGTON

RAMSEY

HENNEPIN

DAKOTA

HENNEPIN

BLUE EARTH

MORRISON

MORRISON

274

389

479

479

67

67

68

67

68

213

206

19

44

44

44

503

198

407

106

503

198

213

469

469

469

564

564

560

109

455

565

433

294

442

45

30

30

410

198

198

198

240

274

469

456

425

425

425

424

90

98

98

97

98

98

274

274

456

565

565

469

456

411

411

411

411

411

5

496

496

496

77

469

386

386

431

477

475

469

469

475

469

424

434

563

469

311

121

294

45

379

379

Page 718: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

Minnesota Department of Health

Index For Directory of Facilities and Services

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

Index Page 42Health Regulation Division

PIERZ VILLA INC

PILGRIM HOME CARE LLC

PILLARS OF MANKATO SENIOR LVG

PILLARS OF PROSPECT PARK

PINE GROVE APARTMENTS

PINE HAVEN

PINE HAVEN CARE CENTER INC

PINE MANORS INC

PINE RIDGE APARTMENTS

PINE VIEW ASSISTED LIVING

PINE VIEW ASSISTED LIVING

PINES HOMECARE SERVICES LLC

PINES III ASSISTED LIVING

PINEVIEW HOME HEALTH LLC

PINNACLE HOME CARE

PINNACLE HOME HEALTH CARE LLC

PINNACLE SERVICES INC

PINNACLE SERVICES INC

PINNACLE SERVICES INC

PINNACLE SERVICES INC

PIONEER CARE CENTER

PIONEER ESTATES

PIONEER ESTATES

PIONEER ESTATES

PIONEER ESTATES

PIONEER ESTATES

PIONEER HOME INC

PIONEER MEMORIAL CARE CENTER

PIONEER POINTE

PIONEER SENIOR COTTAGES

PIONEER SENIOR COTTAGES

PIONEER SENIOR COTTAGES II

PIONEER SENIOR COTTAGES II

PIONEER SENIOR COTTAGES III

PIONEER SENIOR COTTAGES III

PIONEERCARE MEMORY COTTAGE

PIONEERCARE MEMORY COTTAGE

PIPESTONE COUNTY HOME HEALTH

PIPESTONE COUNTY HOSPICE

PIPESTONE COUNTY HOSPICE RESID

PIPESTONE COUNTY MEDICAL CTR

PIPESTONE DIALYSIS FACILITY

PLAINVIEW ESTATES

PLAINVIEW ESTATES INC

PLAINVIEW ESTATES INC

PLATEAU HEALTHCARE LLC

PLATEAU HEALTHCARE LLC

PLATEAU HEALTHCARE LLC

PLATEAU HEALTHCARE LLC

PLATEAU HEALTHCARE LLC

PLEASANT LIGHT LLC

PLEASANT MANOR LLC

PLEASANT PINES

PLEASANT VIEW ESTATES LLC

PLEASANT VIEW ESTATES LLC

POINT PLEASANT HEIGHTS

POINT PLEASANT HEIGHTS

POINT-ONE HOME HEALTH LLC

POLAR RIDGE SENIOR LIVING

POLAR RIDGE SENIOR LIVING

POLAR RIDGE SR LIVING

PONDVIEW ESTATES

PONDVIEW ESTATES

POPLAR CREEK ESTATES

POPLAR MEADOWS OF MCINTOSH

POPLAR MEADOWS OF MCINTOSH

POSSIBLE HEALTHCARE INC

POTTER RIDGE

POTTER RIDGE

PPL GREENLEAF LLC

PPL IRVING COMMONS LLC

PRAHA VILLAGE

PRAIRIE RESIDENCE CARE LLC

PRAIRIE BLUFFS SENIOR LIVING

PRAIRIE BLUFFS SENIOR LIVING

PRAIRIE BLUFFS TCU LLC

PRAIRIE HOME - LOCKWOOD HOUSE

PRAIRIE HOME COMMUNITY CARE

PRAIRIE HOME HOSPICE

PRAIRIE HOME-MCLAUGHLIN HOUSE

PRAIRIE MANOR CARE CENTER

PRAIRIE MEADOWS

PRAIRIE PARK PLACE

PRAIRIE PINES COMMUNITY

PRAIRIE PINES COMMUNITY

PRAIRIE REHABILITATION SERVS

PRAIRIE RESIDENCE CARE LLC

PRAIRIE RIDGE HOSP HLTH SERV

PRAIRIE SENIOR COTTAGES

PRAIRIE SENIOR COTTAGES OF AL

PRAIRIE SENIOR COTTAGES OF AL

PRAIRIE SENIOR COTTAGES OF ALB

MORRISON

HENNEPIN

BLUE EARTH

HENNEPIN

SAINT LOUIS

CASS

GOODHUE

HUBBARD

ITASCA

COTTONWOOD

COTTONWOOD

SAINT LOUIS

SAINT LOUIS

HENNEPIN

HENNEPIN

RAMSEY

HENNEPIN

HENNEPIN

WASHINGTON

HENNEPIN

OTTER TAIL

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

OTTER TAIL

POLK

OTTER TAIL

OTTER TAIL

OTTER TAIL

OTTER TAIL

OTTER TAIL

OTTER TAIL

OTTER TAIL

WILKIN

WILKIN

PIPESTONE

PIPESTONE

PIPESTONE

PIPESTONE

PIPESTONE

CARLTON

CARLTON

CARLTON

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

RICE

CASS

RICE

RICE

CHISAGO

CHISAGO

HENNEPIN

RAMSEY

RAMSEY

RAMSEY

STEARNS

STEARNS

ROCK

POLK

POLK

HENNEPIN

GOODHUE

GOODHUE

HENNEPIN

HENNEPIN

LESUEUR

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

LYON

LYON

LYON

LYON

STEELE

DODGE

CHIPPEWA

POLK

POLK

JACKSON

HENNEPIN

GRANT

KANDIYOHI

FREEBORN

FREEBORN

FREEBORN

379

173

45

274

503

64

141

329

338

78

78

503

503

274

274

475

274

274

565

232

407

218

218

218

218

306

407

419

407

407

407

407

407

407

408

577

577

417

417

417

417

417

53

54

54

198

198

240

173

198

306

487

64

487

488

68

68

154

437

438

437

529

529

492

421

421

173

142

142

275

275

357

219

219

219

219

361

361

361

361

541

125

65

421

421

340

219

144

348

138

138

138

Page 719: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

Minnesota Department of Health

Index For Directory of Facilities and Services

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

Index Page 43Health Regulation Division

PRAIRIE SENIOR COTTAGES OF ALE

PRAIRIE SENIOR COTTAGES OF HUT

PRAIRIE SENIOR COTTAGES OF ISA

PRAIRIE SENIOR COTTAGES OF NEW

PRAIRIE SENIOR COTTAGES OF WIL

PRAIRIE VIEW

PRAIRIE VIEW

PRAIRIE VIEW SENIOR LIVING

PRAIRIECARE

PRAIRIES EDGE

PRAIRIEVIEW PLACE

PRECIOUS LIVES HOME LLC

PRECIOUS LIVES HOME VADNAIS H

PRELUDE HOME & SERVICES LLC

PRELUDE HOME& SERVICES LLC

PRELUDE HOMES & SERVICES LLC

PRELUDE HOMES & SERVICES LLC

PRELUDE HOMES AND SERVICES

PREMIER ASSISTED LIVING

PREMIER ASSISTED LIVING

PREMIER HEALTH HOMES INC

PREMIER HEALTHCARE MANAGEMENT

PREMIER HOME CARE LLC

PREMIER HOME CARE LLC

PREMIUM CHOICE CARE LLC

PREMIUM CHOICE CARE LLC

PREMIUM HEALTH CARE INC

PREMIUM HEALTH CARE INC.

PREMIUM HOME HEALTHCARE LLC

PRES HOMES BLOOMINGTON COMMONS

PRES HOMES BLOOMINGTON-ARBOR

PRESBYTERIAN ASSISTED LIVING H

PRESBYTERIAN HOMES ARDEN HILLS

PRESBYTERIAN HOMES BLOOMINGTON

PRESBYTERIAN HOMES HOME CARE

PRESBYTERIAN HOMES HOSPICE INC

PRESBYTERIAN HOMES NORTH OAKS

PRESBYTERIAN HOMES OF BLOOMING

PRESBYTERIAN HOMES OF INVER GR

PRESTIGE HOME HEALTH CARE LLC

PRESTIGE HOME HEALTH CARE LLC

PRESTIGE HOME HEALTH CARE LLC

PRESTIGE HOME HEALTH CARE LLC

PRESTON GOOD SAM HOME CARE

PREVENTIVE DIAGNOSTICS INC

PRIDE 'N'LIVING HOME CARE INC

PRIDE INSTITUTE

PRIDE N'LIVING HOME CARE INC

PRIMARY LIVING INC

PRIMARY LIVING INC

PRIME CARE SERVICES INC

PRIME CARE SERVICES INC

PRIME CARE SERVICES INC

PRIME CARE SERVICES, INC

PRIME CARE SERVICES, INC.

PRIME CARE SERVICES, INC.

PRIME CHOICE HOME CARE SOLUTIO

PRIMETIME LIVING

PRIMETIME LIVING

PRIMETIME LIVING

PRIMROSE LEASE MANAGEMENT LLC

PRIMROSE OF AUSTIN

PRIMROSE OF DULUTH

PRIMROSE OF DULUTH

PRIMROSE RET COMM OF MANKATO

PRIMROSE RETIREMENT COMMUNITY

PRIMUS INCORPORATED

PRIMUS INCORPORATED

PRIMUS INCORPORATED

PRIMUS INCORPORATED

PRIORITY CARE HOMES LLC

PRIORITY CARE HOMES LLC

PRO MEDICAL SERVICES INC

PRO REHAB

PRO-HEALTH HOME CARE AGENCY LL

PROCARE HEALTH CORP

PROCARE HEALTH CORP.

PROF PORTABLE X RAY INC

PROFESSIONAL REHAB CONSULTANTS

PROFESSIONAL RESOURCE NETWORK

PROGRESSIVE CARE LLC

PROJECT CARING

PROJECT CARING RESIDENTIAL AL

PROJECT TURNABOUT

PROJECT TURNABOUT HALFWAY HSE

PROMERICA HEALTH LLC

PROMISE CARE INC

PROMISE COMPREHENSIVE SERVICES

PROSPER HOME HEALTH AND TRANSP

PROSPER HOME HEALTH& TRANSPO

PROVIDENCE PLACE

PROVIDENCE VILLA LLC

DOUGLAS

MCLEOD

ISANTI

BROWN

KANDIYOHI

RENVILLE

MURRAY

LYON

HENNEPIN

BLUE EARTH

TRAVERSE

RAMSEY

RAMSEY

WASHINGTON

WASHINGTON

RAMSEY

WASHINGTON

WASHINGTON

HENNEPIN

HENNEPIN

RAMSEY

STEARNS

HENNEPIN

HENNEPIN

WASHINGTON

RAMSEY

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

RAMSEY

RAMSEY

HENNEPIN

RAMSEY

RAMSEY

RAMSEY

HENNEPIN

DAKOTA

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

FILLMORE

HENNEPIN

WASHINGTON

HENNEPIN

ANOKA

HENNEPIN

HENNEPIN

OLMSTED

RAMSEY

HENNEPIN

RAMSEY

HENNEPIN

RAMSEY

WASHINGTON

OLMSTED

OLMSTED

OLMSTED

MOWER

MOWER

SAINT LOUIS

SAINT LOUIS

BLUE EARTH

BLUE EARTH

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

DAKOTA

DAKOTA

RAMSEY

CARVER

ANOKA

HENNEPIN

HENNEPIN

DAKOTA

RAMSEY

HENNEPIN

SWIFT

WASHINGTON

WASHINGTON

YELLOW MEDICINE

LYON

MAINE

HENNEPIN

WASHINGTON

HENNEPIN

HENNEPIN

HENNEPIN

WADENA

129

368

332

49

348

482

385

363

198

45

551

475

475

573

573

477

573

573

174

174

447

539

312

311

565

431

275

275

199

154

154

443

424

154

443

443

437

154

112

199

199

174

174

135

275

573

219

24

312

232

399

470

154

470

312

470

565

399

400

400

381

381

504

504

45

45

199

199

199

199

104

104

425

61

14

312

312

98

470

219

546

568

568

588

361

589

155

565

275

155

275

553

Page 720: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

Minnesota Department of Health

Index For Directory of Facilities and Services

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

Index Page 44Health Regulation Division

PROVIDENCE VILLA LLC

PROVIDENT HOME HEALTHCARE

PRUDENT CARE LLC

PRUDENT CARE LLC

PRUDENT CARE LLC

PSC OF ALEXANDRIA LLC

PSC OF ALEXANDRIA LLC

PSC OF HUTCHINSON LLC

PSC OF HUTCHINSON LLC

PSC OF ISANTI LLC

PSC OF NEW ULM LLC

PSC OF NEW ULM LLC

PSC OF WILLMAR LLC

PURE HEART HEALTH SERVICES INC

PURPOSE HOME HEALTHCARE INC

PUSH SERVICES INC

PUSH SERVICES INC

PUSH SERVICES INC

PUSH SERVICES INC

PUSH SERVICES INC

PUSH SERVICES INC

QUALICARE HOMES CORPORATION

QUALICARE HOMES CORPORATION

QUALITY CARE COMPANIONS

QUALITY CARE SERVICES LLC

QUALITY CARE SERVICES LLC

QUALITY FOOTCARE

QUALITY HOME CARE INC

QUALITY HOME CARE INC

QUALITY HOME CARE INC

QUIET OAKS HOSPICE HOUSE

R LACARTE & COMPANY/SWC HOME M

RADIAS HEALTH

RADTKE PHYSICAL THERAPY

RAINY LAKE CLINIC LITTLEFORK

RAINY LAKE MEDICAL CENTER

RAINY LAKE MEDICAL CENTER

RAJO CARE HOME INC

RAJWOOD

RAKHMA GRACE HOME

RAKHMA HARMONY HOUSE

RAKHMA INC

RAKHMA JOY HOME

RAKHMA PEACE HOME

RAMSEY CO MENTAL HEALTH CTR

RAMSEY COUNTY CARE CENTER

RAMSEY COUNTY DETOX CENTER

RAMSEY HILL SENIOR LIVING LLC

RAMSEY HILL SENIOR LIVING LLC

RANDALL LAKES AREA CLINIC

RANGE CENTER ASPENWOOD HOME

RANGE CENTER LEGACY

RANGE CENTER MAPLEVIEW HOME

RAPHA HEALTH CARE SERVICES INC

RAPHA HEALTH CARE SERVICES INC

RAPHA HEALTH CARE SERVICES INC

RAPHA HEALTH CARE SERVICES INC

RAPHA HEALTH CARE SERVICES INC

RAVOUX HI RISE

RCS

REBECCAS RESIDENCE

RECOVER CARE

RECOVER HEALTH

RECOVER HEALTH

RECOVER HEALTH

RECOVER HEALTH

RECOVER HEALTH

RECOVER HEALTH

RECOVERY HOME HEALTH CARE

RECOVERY HOME HEALTH CARE LLC

RECOVERY HOME HEALTH CARE LLC

RED CEDAR ASSISTED LIVING CENT

RED CEDAR ASSISTED LIVING CTR

REDEEMER RESIDENCE INC

REDESIGN LIFESTYLE CARE LLC

REDESIGN LIFESTYLE CARE LLC

REDWOOD FALLS DIALYSIS

REENTRY HOUSE

REENTRY HOUSE CRISIS STBL PROG

REFLECTIONS

REFLECTIONS ASSISTED LIVING

REFLECTIONS ASSISTED LIVING

REFLECTIONS HOME CARE

REFRACTIONS LLC

REGENCY HOME HEALTHCARE SRVCS

REGENCY HOSPITAL OF MPLS LLC

REGINA ASSISTED LIVING

REGINA ASSISTED LIVING

REGINA HOSPITAL

REGINA SENIOR LIVING

REGIONAL EYE SURGERY CTR INC

REGIONS HOSPITAL

WADENA

HENNEPIN

RAMSEY

HENNEPIN

HENNEPIN

DOUGLAS

DOUGLAS

MCLEOD

MCLEOD

ISANTI

BROWN

BROWN

KANDIYOHI

ANOKA

GRANT

HENNEPIN

HENNEPIN

WRIGHT

HENNEPIN

HENNEPIN

HENNEPIN

ANOKA

ANOKA

HENNEPIN

RAMSEY

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

STEARNS

ANOKA

RAMSEY

ITASCA

KOOCHICHING

KOOCHICHING

KOOCHICHING

HENNEPIN

RAMSEY

HENNEPIN

HENNEPIN

HENNEPIN

RAMSEY

HENNEPIN

RAMSEY

RAMSEY

RAMSEY

RAMSEY

RAMSEY

MORRISON

SAINT LOUIS

SAINT LOUIS

SAINT LOUIS

HENNEPIN

HENNEPIN

HENNEPIN

RAMSEY

HENNEPIN

RAMSEY

HENNEPIN

WASHINGTON

HENNEPIN

OLMSTED

SAINT LOUIS

SAINT LOUIS

STEARNS

HENNEPIN

ITASCA

RAMSEY

DAKOTA

DAKOTA

CASS

CASS

HENNEPIN

HENNEPIN

HENNEPIN

REDWOOD

HENNEPIN

HENNEPIN

RICE

MOWER

MOWER

RICE

STEARNS

HENNEPIN

HENNEPIN

DAKOTA

DAKOTA

DAKOTA

DAKOTA

MCLEOD

RAMSEY

553

318

476

275

275

129

129

369

369

332

49

49

348

19

144

213

213

581

300

232

300

19

19

219

456

155

208

275

276

276

535

10

426

338

351

350

351

306

431

294

232

276

456

276

470

431

470

456

470

379

511

497

511

199

199

174

470

199

456

174

566

294

400

504

511

540

294

338

443

119

98

62

62

276

276

276

480

276

276

490

381

381

490

535

241

232

109

109

109

109

369

470

Page 721: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

Minnesota Department of Health

Index For Directory of Facilities and Services

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

Index Page 45Health Regulation Division

REHAB SERV GOLDEN VALLEY INC

REHABCARE

REHABCARE AGENCY MN

REIGN SERVICES LLC

REIGN SERVICES LLC

RELIABLE HUMAN SERVICES INC

RELIACARE HOME HEALTH

RELIACARE HOME HEALTH

RELIACARE HOME HEALTH

RELIACARE HOME HEALTH INC

RELIEF HOME CARE LLC

RELIEF HOMECARE LLC

RELIEF HOMECARE LLC

REM HEARTLAND INC AMBER

REM HEARTLAND INC BIRCH

REM HEARTLAND INC BUDD

REM HEARTLAND INC CYPRESS

REM HEARTLAND INC MADELIA

REM HENNEPIN INC CRYSTAL

REM HENNEPIN INC LAKELAND

REM HENNEPIN INC QUEEN

REM HENNEPIN INC REGENT

REM HENNEPIN INC WILLIAM

REM HENNEPIN MINNETONKA

REM HENNEPIN PILLSBURY

REM RAMSEY INC LAKEWOOD

REM RAMSEY INC MAYHILL

REM RAMSEY INC NORTH OAKS

REM RIVER BLUFFS ROCHESTER SE

REM RIVER BLUFFS STONE PARK

REM SOUTHWEST SRVS MARSHALL A

REM SOUTHWEST SRVS MARSHALL C

REM SW SERVICES MONTEVIDEO

REMICK RIDGE ESTATES

REMMY'S TENDER CARE

RENEWED SPIRIT INC.

RENVILLA HEALTH CENTER

RENVILLE CLINIC

RENVILLE COUNTY COMM RES

RENVILLE COUNTY PHS

RENVILLE HEALTH SERVICES HOMEC

RES CARE AT NINE MILE CREEK

RES TREATMENT & DETOX CTR

RESIDENT SERVICES INC

RESIDENT SERVICES INC

RESIDENTIAL ADVANTAGES LLC

RESIDENTIAL CARE AT NINE MILE

RESIDENTIAL CARE AT NINE MILE

RESIDENTIAL CARE NINE MILE CRK

RESIDENTIAL TRANSITIONS INC

RESIDENTIAL TRANSITIONS INC

RESILIENCE CARE SERVICES LLC

RESOLUTE CARE INC

RESOLUTE CARE INC

REST CARE HOME SERVICES

REST CARE HOME SERVICES, LLC

REST CARE HOME SERVICES, LLC

RESTART ADAIR

RESTART COLORADO

RESTART INC

RESTART INC 8TH

RESTART INC ELLIOT

RESTART INC KATHY'S PLACE

RESTART INC MINNEHAHA

RESTART ZEALAND

RESTFUL LIVING LLC

RESTFUL LIVING LLC

RESTORATION SERVICES OF MINNES

RESTORATION SERVICES OF MN INC

RESTORATION SERVICES OF MN INC

REVERE HOME

REVIVE CARE SERVICES

REVIVE CARE SERVICES INC

REVIVE CARE SERVICES INC

REVO HOME HEALTH

RHEMA HOMES LLC

RHODIUM HEALTHCARE SERVICES

RHODIUM HEALTHCARE SERVICES IN

RICE COUNTY PHNS

RICHANGEL CARE INC

RICHANGEL CARE INCORPORATED

RICHFIELD A VILLA CENTER

RICHFIELD DIALYSIS

RICHFIELD SENIOR SUITES

RICHFIELD SENIOR SUITES LLC

RIDGE VIEW ESTATES

RIDGES SURGERY CENTER LLC

RIDGEVIEW ARLINGTON CLINIC

RIDGEVIEW ASSISTED LIVING LLC

RIDGEVIEW ASSISTED LIVING LLC

RIDGEVIEW CARE SUITES

RIDGEVIEW GAYLORD CLINIC

HENNEPIN

HENNEPIN

HENNEPIN

RAMSEY

HENNEPIN

HENNEPIN

RAMSEY

RAMSEY

RAMSEY

RAMSEY

DAKOTA

DAKOTA

DAKOTA

MARTIN

BLUE EARTH

MARTIN

BLUE EARTH

WATONWAN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

RAMSEY

RAMSEY

RAMSEY

OLMSTED

OLMSTED

LYON

LYON

CHIPPEWA

COTTONWOOD

HENNEPIN

RAMSEY

RENVILLE

RENVILLE

RENVILLE

RENVILLE

RENVILLE

HENNEPIN

SAINT LOUIS

HENNEPIN

HENNEPIN

ROCK

HENNEPIN

HENNEPIN

HENNEPIN

DAKOTA

DAKOTA

HENNEPIN

WASHINGTON

WASHINGTON

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

RAMSEY

RAMSEY

PINE

PINE

PINE

REDWOOD

ANOKA

ANOKA

HENNEPIN

HENNEPIN

WASHINGTON

WRIGHT

HENNEPIN

RICE

RAMSEY

RAMSEY

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

PIPESTONE

DAKOTA

SIBLEY

KOOCHICHING

KOOCHICHING

CARVER

SIBLEY

232

306

306

424

200

174

471

471

470

471

106

98

98

365

45

365

45

576

213

200

277

233

225

294

277

431

431

438

400

400

362

362

67

78

155

431

484

484

481

483

484

155

504

277

277

493

312

312

155

123

123

174

565

565

155

155

155

213

213

225

277

277

277

277

300

456

456

415

415

414

480

14

20

277

233

573

586

174

488

457

457

312

312

313

313

417

98

527

351

351

58

528

Page 722: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

Minnesota Department of Health

Index For Directory of Facilities and Services

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

Index Page 46Health Regulation Division

RIDGEVIEW HENDERSON CLINIC

RIDGEVIEW HOME SUPPORT SERVICE

RIDGEVIEW HOSPICE

RIDGEVIEW LESUEUR LTC&REHAB CT

RIDGEVIEW MEDICAL CENTER

RIDGEVIEW MEDICAL CENTER

RIDGEVIEW PLACE

RIDGEVIEW SENIOR LIVING

RIDGEVIEW SIBLEY MEDICAL CTR

RIDGEVIEW WINTHROP CLINIC

RIDGEWAY ON 23RD

RIDGEWAY ON GERMAN

RIDGEWAY SENIOR LIVING

RIDGEWOOD MANOR LLC

RIDGEWOOD VILLA

RIGHT AT HOME

RIGHT AT HOME

RIGHT AT HOME

RIGHT AT HOME

RIGHT AT HOME

RIGHTWAY HOME CARE SERVICES IN

RIGHTWAY HOME SVS OVERTON

RILEY CROSSING SENIOR LIVING

RISE HOME HEALTH CARE

RISE HOME HEALTH CARE LLC

RISEN HOME CARE LLC

RISEN HOME CARE LLC

RISEN HOME CARE LLC

RISING CEDAR APARTMENTS

RISON HOMES INC

RIVER BEND APARTMENTS

RIVER BEND ASSISTED LIVING

RIVER CITY DIALYSIS

RIVER GRAND INC

RIVER GRAND SENIOR LIVING

RIVER HILL ASSISTED LIVING INC

RIVER HILL ASSISTED LIVING INC

RIVER OAKS AT LAKE PEPIN

RIVER OAKS AT LAKE PEPIN LLC -

RIVER OAKS AT SHADY RIDGE LLC

RIVER OAKS AT WATERTOWN

RIVER OAKS OF ANOKA

RIVER OF LIFE RESIDENTIAL LIVI

RIVER POINTE OF MOORHEAD

RIVER POINTE OF MOORHEAD

RIVER RIDGE GLEN CREEK LODGE

RIVER RIDGE LLC A WOMAN'S WAY

RIVER VALLEY BIRTH CENTER

RIVER VALLEY HEALTH & REHAB

RIVER VALLEY HOME CARE INC

RIVER VALLEY HOME CARE INC

RIVERFRONT MANOR

RIVERFRONT MANOR

RIVERFRONT ON MAIN

RIVERS EDGE

RIVERS EDGE

RIVERS EDGE ASSISTED LIVING

RIVERS EDGE ASSISTED LIVING IN

RIVERS EDGE HOSPITAL & CLINIC

RIVERS OF LIFE

RIVERS OF LIFE

RIVERSIDE ASSISTED LIVING

RIVERSIDE ASSISTED LIVING

RIVERSIDE ASSISTED LIVING

RIVERSIDE ASSISTED LIVING

RIVERSIDE ASSISTED LIVING

RIVERSIDE ASSISTED LIVING OF P

RIVERSIDE SENIOR LIVING APTS

RIVERVIEW CLINIC

RIVERVIEW CLINIC

RIVERVIEW CLINIC

RIVERVIEW HEIGHTS HIGHRISE

RIVERVIEW HOME CARE

RIVERVIEW HOSPITAL & NSG HOME

RIVERVIEW LANDING

RIVERVIEW LANDING

RIVERVIEW MANOR

RIVERVILLAGE EAST

RIVERVILLAGE NORTH

RIVERWOOD CLINIC AITKIN

RIVERWOOD HEALTH CC GARRISON

RIVERWOOD HEALTHCARE CENTER

RIVERWOOD MCGREGOR CLINIC

ROBBINSDALE A VILLA CENTER

ROBBINSDALE DIALYSIS

ROBLAND HOME HEALTH CARE CORPO

ROBLAND HOME HEALTHCARE

ROCHESTER DIALYSIS

ROCHESTER EAST HLTH SVCS

ROCHESTER HOME INFUSION

ROCHESTER REHAB & LIVING CTR

ROCHESTER WEST HEALTH SVCS

SIBLEY

CARVER

CARVER

LESUEUR

CARVER

CARVER

BENTON

BENTON

SIBLEY

SIBLEY

BROWN

BROWN

BROWN

SHERBURNE

POPE

NORTH DAKOTA

HENNEPIN

HENNEPIN

NORTH DAKOTA

HENNEPIN

HENNEPIN

ANOKA

CARVER

RAMSEY

ANOKA

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

RICE

OTTER TAIL

OLMSTED

WASHINGTON

ITASCA

ITASCA

SAINT LOUIS

SAINT LOUIS

WABASHA

WABASHA

MCLEOD

CARVER

ANOKA

RAMSEY

CLAY

CLAY

DAKOTA

HENNEPIN

NICOLLET

REDWOOD

DAKOTA

DAKOTA

OTTER TAIL

OTTER TAIL

OTTER TAIL

KITTSON

KITTSON

AITKIN

AITKIN

NICOLLET

SCOTT

SCOTT

MORRISON

CASS

CASS

CASS

MORRISON

CASS

CASS

POLK

POLK

RED LAKE

OTTER TAIL

POLK

POLK

WRIGHT

WRIGHT

SAINT LOUIS

HENNEPIN

HENNEPIN

AITKIN

CROW WING

AITKIN

AITKIN

HENNEPIN

HENNEPIN

OLMSTED

OLMSTED

OLMSTED

OLMSTED

OLMSTED

OLMSTED

OLMSTED

528

61

61

357

60

61

38

38

527

528

49

49

49

525

422

589

156

306

589

155

174

24

56

436

27

175

233

175

277

488

408

400

568

338

338

504

504

551

551

369

61

5

457

74

74

114

219

388

480

106

106

410

410

410

349

349

1

1

388

519

519

380

63

63

63

380

63

63

418

420

478

408

418

418

586

586

508

278

278

1

85

2

2

315

316

400

400

400

400

401

401

401

Page 723: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

Minnesota Department of Health

Index For Directory of Facilities and Services

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

Index Page 47Health Regulation Division

ROGER METZ MANOR

ROITENBERG ASSISTED LIVING

ROLLING HILLS HOME CARE

ROLLINGWOOD HOME

ROOT RIVER ESTATES

ROOTS COMMUNITY BIRTH CENTER

ROSE ARBOR

ROSE HAVEN

ROSE HAVEN ASSISTED LIVING INC

ROSE HOME CARE HOME MANAGEMENT

ROSE OF SHARON A VILLA CENTER

ROSE VIEW MANOR

ROSELAWN VILLAGE APARTMENTS

ROSEMOUNT COURT

ROSEMOUNT HOME CARE

ROSEVIEW

ROSEWOOD

ROSEWOOD

ROSEWOOD SENIOR LIVING

ROSEWOOD SENIOR LIVING LLC

ROUND LAKE HOME

ROY MANOR

ROYAL AGE ASSISTED LIVING

ROYAL AGE ASSISTED LIVING LLC

ROYAL AGE ASSISTED LIVING LLC

ROYAL CARE LLC

ROYAL CARING HANDS HOME HEALTH

ROYAL CARINGHANDS HHC SERVICES

ROYAL CROWN HOMES LLC

ROYAL CROWN HOMES LLC

ROYAL CROWN HOMES LLC

ROYAL HOME CARE INC

ROYAL HOME CARE INC

ROYAL HOME CARE INC

ROYAL HOME CARE INC

ROYAL HOME CARE INC

ROYAL HOME CARE INC

ROYAL HOME CARE INC.

ROYAL STAR RESIDENCE INC

ROYALTY HOMES

ROYCE PLACE

RRECOVERY SERVICES

RURAL REHABILITATION SERVICES

RUSHSEBA STATION

RYLEE'S HOUSE

S & H HEALTH CARE SERVICES

S & H HEALTH CARE SERVICES LLC

S & O'S ASSISTED LIVING

S & O'S ASSISTED LIVING LLC

SABAINAH HEALTHCARE INC

SABAINAH HEALTHCARE INC

SABAINAH HEALTHCARE INC

SACRED HEART ASSISTED LVG APTS

SACRED HEART CARE CENTER INC

SACRED HEART CARE CENTER INC

SACRED HEART HOME HEALTH CARE

SADIS RESIDENTIAL CARE CENTER

SAFA GROUP HOME LLC

SAFA GROUP HOME LLC

SAFARI SERVICES LLC

SAFARI SERVICES LLC

SAFARI SERVICES LLC

SAFARI SERVICES LLC

SAFE & COMPASSIONATE HC SRVS

SAFE & COMPASSIONATE HOME CARE

SAFE HARBOR RESIDENTIAL CARE

SAFE HARBOR RSDNTL CARE HOME

SAFECARE HOMES INC

SAFECARE HOMES INC

SAFETY CARE INC

SAGEWOOD

SAGEWOOD LLC

SAINT ANNE EXTENDED HEALTHCARE

SAINT ELIZABETH HOSPITAL

SAINT THERESE OF OXBOW LAKE

SAINT THERESE OF OXBOW LAKE

SAINT THERESE OF OXBOW LAKE

SAINT THERESE OF WOODBURY

SAINT THERESE OF WOODBURY

SAKINAH HOMES @ FROST

SAKINAH HOMES LLC

SAKINAH HOMES LLC

SAKINAH HOMES LLC @ WINIFRED

SALAMS CARE RESIDENTIAL LLC

SALEXAH HOMES SERVICE CORP

SAMARITAN BETHANY HM ON EIGHTH

SAMARITAN HOUSE BIRCHWOOD

SAMARITAN HOUSE ELMWOOD

SAMARITAN HOUSE OAKWOOD

SAMS HOUSE

SANCTUARY HEALTHCARE SERVICES

SANCTUARY HEALTHCARE SERVICES

WINONA

HENNEPIN

GRANT

BLUE EARTH

OLMSTED

HENNEPIN

HENNEPIN

WADENA

WADENA

RAMSEY

RAMSEY

STEARNS

RAMSEY

DAKOTA

DAKOTA

DAKOTA

CARVER

CHIPPEWA

ISANTI

ISANTI

ANOKA

DAKOTA

WASHINGTON

WASHINGTON

WASHINGTON

HENNEPIN

HENNEPIN

HENNEPIN

DAKOTA

DAKOTA

DAKOTA

HENNEPIN

ANOKA

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

GOODHUE

ANOKA

RAMSEY

STEVENS

CHISAGO

HENNEPIN

HENNEPIN

HENNEPIN

KANABEC

PINE

ANOKA

ANOKA

HENNEPIN

MOWER

MOWER

MOWER

MOWER

HENNEPIN

HENNEPIN

HENNEPIN

WASHINGTON

WASHINGTON

WASHINGTON

WASHINGTON

HENNEPIN

RAMSEY

HENNEPIN

HENNEPIN

RAMSEY

HENNEPIN

RAMSEY

WASHINGTON

WASHINGTON

WINONA

WABASHA

HENNEPIN

HENNEPIN

HENNEPIN

WASHINGTON

WASHINGTON

DAKOTA

DAKOTA

DAKOTA

RAMSEY

RAMSEY

HENNEPIN

OLMSTED

CROW WING

CROW WING

CROW WING

ANOKA

HENNEPIN

RAMSEY

580

323

144

47

403

278

241

553

553

471

443

532

443

119

119

119

58

67

331

331

20

115

559

559

559

175

175

175

98

99

99

278

20

175

175

200

175

278

214

142

14

471

545

69

200

233

278

342

415

11

5

200

381

382

382

382

278

278

278

566

566

568

563

278

457

320

175

443

279

471

573

574

580

552

200

201

200

574

574

86

121

121

471

431

156

401

83

83

83

24

200

436

Page 724: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

Minnesota Department of Health

Index For Directory of Facilities and Services

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

Index Page 48Health Regulation Division

SANCTUARY HEALTHCARE SERVICES

SANCTUARY HEALTHCARE SERVICES

SANDOS CARE CORPORATION

SANDSTONE GOLDEN HORIZONS

SANDSTONE HEALTH CARE CENTER

SANFORD BAGLEY CLEARBROOK CLNC

SANFORD BAGLEY CLINIC

SANFORD BAGLEY MEDICAL CENTER

SANFORD BEHAVIORAL HLTH CENTER

SANFORD BEMIDJI HOME CARE

SANFORD BEMIDJI HOSPICE

SANFORD BEMIDJI MEDICAL CENTER

SANFORD CANBY DIALYSIS UNIT

SANFORD CANBY MEDICAL CENTER

SANFORD CANBY MEDICAL CENTER

SANFORD CANBY MEDICAL CENTER

SANFORD CLINIC BALATON

SANFORD CLINIC CANBY

SANFORD CLINIC JACKSON

SANFORD CLINIC LAKEFIELD

SANFORD CLINIC MOUNTAIN LAKE

SANFORD CLINIC TRACY

SANFORD CLINIC WESTBROOK

SANFORD CLINIC WINDOM

SANFORD DETROIT LKS HM DIALYSI

SANFORD DIALYSIS BEMIDJI

SANFORD DIALYSIS DETROIT LAKES

SANFORD DIALYSIS MORRIS

SANFORD DIALYSIS RED LAKE

SANFORD DIALYSIS THIEF RVR FLS

SANFORD HEALTH DETROIT LAKES

SANFORD HEALTH HALSTAD CLINIC

SANFORD HEALTH MAHNOMEN CLINIC

SANFORD HEALTH NEILSON PLACE

SANFORD HEALTH ULEN CLINIC

SANFORD HEALTH WALKER CLINIC

SANFORD HLTH PELICN RPDS CLINC

SANFORD HLTH TWIN VALLEY CLNC

SANFORD HOME CARE

SANFORD HOME HEALTH

SANFORD HOSPICE

SANFORD JACKSON MEDICAL CENTER

SANFORD LUVERNE HOSPICE

SANFORD LUVERNE HOSPICE

SANFORD LUVERNE MEDICAL CENTER

SANFORD MED CTR THIEF RVR FALL

SANFORD MEDICAL CENTER FARGO

SANFORD MEDICAL CENTER WHEATON

SANFORD TRACY MEDICAL CENTER

SANFORD TRACY WALNUT GROVE CLC

SANFORD WESTBROOK MEDICAL CTR

SANFORD WHEATON

SANFORD WORTHINGTON HOME CARE

SANFORD WORTHINGTON MED CENTER

SANFORD WORTHINGTON MEDICAL

SATELLITE DIALYSIS ORTONVILLE

SAUER HEALTH CARE

SAUK CENTRE HRA

SAVAGE SENIOR LIVING

SAVANNA PRAIRIE

SCANDI HAVEN VILLAGE

SCANDIA CAPITAL PARTNERS

SCANDIA HOUSE OF ISLE

SCANDIA HOUSE OF MORA

SCENIC HILLS ALTERNATIVE CARE

SCENIC HILLS ALTERNATIVE CARE

SCENIC HILLS ALTERNATIVE CARE

SCENIC HILLS ALTERNATIVE CARE

SCENIC HILLS ALTERNATIVE CARE

SCHOOL SISTERS OF NOTRE DAME

SCHOOL SISTERS OF NOTRE DAME C

SCMC - COURAGE COTTAGE

SCOTT COUNTY

SCOTT COUNTY DIALYSIS

SCREENING AMERICA

SEABURY

SEASONS HEALTHCARE

SEASONS HOSPICE

SEASONS HOSPICE

SECOND HORIZON LIVING LLC

SECOND HORIZON LIVING LLC

SECURED HEALTH AND HOME CARE

SECURED HEALTH AND HOME CARE I

SEED HOME HEALTHCARE LLC

SEED HOME HEALTHCARE LLC

SEFERTT HEALTH CARE LLC

SELECT SENIOR LIVING OF COON R

SELECT SR LVG COON RAPIDS LLC

SENATIVE SERVICES LLC

SENATIVE SERVICES LLC

SENATIVE SERVICES LLC

SENATIVE SERVICES LLC

HENNEPIN

RAMSEY

TEXAS

PINE

PINE

CLEARWATER

CLEARWATER

CLEARWATER

PENNINGTON

BELTRAMI

BELTRAMI

BELTRAMI

YELLOW MEDICINE

YELLOW MEDICINE

YELLOW MEDICINE

YELLOW MEDICINE

LYON

YELLOW MEDICINE

JACKSON

JACKSON

COTTONWOOD

LYON

COTTONWOOD

COTTONWOOD

BECKER

BELTRAMI

BECKER

STEVENS

BELTRAMI

PENNINGTON

BECKER

NORMAN

MAHNOMEN

BELTRAMI

CLAY

CASS

OTTER TAIL

NORMAN

NORTH DAKOTA

SOUTH DAKOTA

SOUTH DAKOTA

JACKSON

ROCK

ROCK

ROCK

PENNINGTON

NORTH DAKOTA

TRAVERSE

LYON

REDWOOD

COTTONWOOD

TRAVERSE

NOBLES

NOBLES

NOBLES

BIG STONE

WINONA

STEARNS

SCOTT

STEARNS

SWIFT

MILLE LACS

MILLE LACS

KANABEC

WASHINGTON

RAMSEY

RAMSEY

RAMSEY

WASHINGTON

BLUE EARTH

BLUE EARTH

STEVENS

SCOTT

SCOTT

SOUTH DAKOTA

RAMSEY

MARTIN

OLMSTED

OLMSTED

HENNEPIN

HENNEPIN

ANOKA

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

ANOKA

ANOKA

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

214

446

547

415

416

76

76

76

413

33

33

33

587

587

587

587

360

587

340

340

77

363

77

79

30

33

29

545

35

413

30

391

364

33

74

65

410

392

589

590

590

340

493

493

493

413

589

551

363

481

78

551

390

390

390

40

580

535

519

531

547

374

373

341

562

457

434

434

566

46

46

545

521

519

590

471

366

401

401

323

324

20

200

156

156

200

20

20

208

215

316

214

Page 725: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

Minnesota Department of Health

Index For Directory of Facilities and Services

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

Index Page 49Health Regulation Division

SENIOR CARE WOODBURY LLC

SENIOR CLASS CARE

SENIOR CLASS CARE

SENIOR CLASS CARE OF PEQUOT LA

SENIOR CLASS COMMUNITY LLC

SENIOR CLASS COMMUNITY LLC

SENIOR FRIEND HOME CARE

SENIOR FRIEND HOME CARE

SENIOR HELPERS

SENIOR HOME HEALTH CARE LLC

SENIOR LIVING LLC

SENIOR ONE

SENIOR RIDE PLUS

SENIOR SUITES OF NEW BRIGHTON

SENIOR SUITES OF NEW BRIGHTON

SENIOR SUPPORT AND CARE

SENIORS AT HOME INC

SENIORS CARING FOR SENIORS

SENIORS HELPING SENIORS

SENIORS HELPING SENIORS

SENITE HEALTH

SEPTEMBER HOUSE

SERENDIPITOUS LIVING

SERENDIPITOUS LIVING

SERENDIPITOUS LIVING

SERENDIPITOUS LIVING

SERENE HANDS HOME HEALTH CARE

SERENEHANDS HOME HEALTH CARE

SERENEHANDS HOME HEALTH CARE I

SERENITY ASSISTED LIVING

SERENITY ASSISTED LIVING

SERENITY ASSISTED LIVING

SERENITY ASSISTED LIVING

SERENITY GROUP HOMES LLC

SERENITY GROUP HOMES LLC

SERENITY HEALTH CARE SERVICES

SERENITY HOME HEALTH CARE INC

SERENITY HOME HEALTH CARE SYST

SERENITY LIVING CARE INC

SERENITY LIVING CARE INC

SERENITY LIVING CENTER

SERENITY LIVING CENTER INC

SERENITY LIVING SOLUTIONS OF C

SERENITY LIVNG SOLUTIONS OF BL

SERENITY LVG SLTNS BLACKDUCK

SERENITY LVG SOLUTIONS REMER

SERENITY LVG SOLUTIONS SEBEKA

SERENITY PLACE

SERENITY PLACE ON 7TH

SERENITY SUITES SENIOR LIVING

SERENITY SUITES SENIOR LIVING

SERENITY VILLAGE

SERENITY VILLAGE AT AVON INC

SERVICE MANAGEMENT GROUP INC

SERVING HART

SERVING HART INC

SEVEN HILLS SENIOR LIVING

SHADE TREE RETIREMENT CENTER

SHAKOPEE FRIENDSHIP MANOR

SHAMAANI HOME HEALTH CARE INC

SHAMAANI HOME HEALTH CARE INC

SHARMARKE CARE HOME INC

SHARMARKE CARE HOME INC

SHEPARD PARK HOME CARE

SHEPHERD COURT APARTMENTS

SHEPHERD OAK APARTMENTS INC

SHEPHERD OAK WEST APARTMENTS

SHEPHERD OF GRACE LLC

SHETEK HOME CARE

SHINGLE CREEK OPTION

SHIRE HOMES INC

SHIRE HOMES INC

SHIRE'S GROUP HOME INC SERVICE

SHIRES GROUP HOME INC

SHIRLEY CHAPMAN SHOLOM HOME E

SHOLOM COMMUNITY ALLIANCE HOME

SHOLOM HOME CARE

SHOLOM HOME WEST

SHOLOM HOSPICE

SHOREVIEW SENIOR LIVING

SHOREVIEW SENIOR LIVING

SHOREWOOD COMMONS

SHOREWOOD PLACE

SIDE BY SIDE HOME CARE SERVICE

SIFU HEATH LLC

SIGNE AND OLIVIAS

SIGNE AND OLIVIAS LLC

SIGNE BURCKHARDT MANOR

SILVER BAY CAREFREE LIVING

SILVER LIGHT SENIOR LIVING

SILVER OAKS

SILVERCARE LLC

WASHINGTON

CROW WING

CROW WING

CROW WING

CROW WING

CROW WING

SAINT LOUIS

DAKOTA

DAKOTA

HENNEPIN

HENNEPIN

ANOKA

DAKOTA

RAMSEY

RAMSEY

HENNEPIN

DAKOTA

DAKOTA

HENNEPIN

MOWER

HENNEPIN

SAINT LOUIS

DAKOTA

DAKOTA

DAKOTA

RAMSEY

ANOKA

HENNEPIN

ANOKA

CLEARWATER

CLAY

CLEARWATER

CLAY

HENNEPIN

HENNEPIN

HENNEPIN

RAMSEY

RAMSEY

RAMSEY

RAMSEY

CLAY

CLAY

WADENA

BELTRAMI

BELTRAMI

CASS

WADENA

HENNEPIN

STEARNS

REDWOOD

REDWOOD

STEARNS

STEARNS

WABASHA

SAINT LOUIS

SAINT LOUIS

RAMSEY

MCLEOD

SCOTT

HENNEPIN

HENNEPIN

RAMSEY

HENNEPIN

RAMSEY

BENTON

BENTON

BENTON

SHERBURNE

LYON

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

RAMSEY

HENNEPIN

RAMSEY

HENNEPIN

RAMSEY

RAMSEY

RAMSEY

OLMSTED

OLMSTED

HENNEPIN

RAMSEY

KANABEC

KANABEC

HENNEPIN

LAKE

DAKOTA

RAMSEY

HENNEPIN

574

86

86

86

86

86

504

106

99

156

201

26

99

436

436

226

115

115

306

382

279

504

104

90

90

471

10

175

10

76

70

76

71

279

279

279

471

457

432

431

71

71

553

34

34

64

554

279

539

481

480

529

530

551

497

497

457

367

521

288

209

443

317

459

38

38

38

522

363

201

156

156

279

279

458

324

472

324

458

446

446

401

401

280

443

342

342

280

354

99

436

320

Page 726: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

Minnesota Department of Health

Index For Directory of Facilities and Services

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

Index Page 50Health Regulation Division

SILVERCREEK ON MAIN

SINCERE CARE INC

SINCERE CARE INC SERVICE CORP

SISTERCARE

SISTERCARE LLC

SISTERS ASSISTANT LIVING CARE

SISTERS ASSISTANT LIVING CARE

SISTERS ASSISTANT LIVING CARE

SISTERS HOME HEALTH CARE LLC

SISTERS HOME HEALTH CARE LLC

SISTERS HOME HEALTH CARE LLC

SKYLIGHT GARDENS

SKYLINE HEALTH SERVICES INC

SKYLINE HOUSING WITH SERVICES

SKYLINE INCC LLC

SKYVIEW COURT

SKYVIEW PLAZA

SLAYTON CLINIC

SLEEPY EYE AREA HOME HEALTH IN

SLEEPY EYE CARE CENTER

SLEEPY EYE HOUSING AUTHORITY

SLEEPY EYE MEDICAL CENTER

SLEEPY EYE MEDICAL CENTER

SMART CHOICE HOME CARE CORPORA

SO PSYCHIATRIC NF ST PETER

SOJOURN AT HOME LLC

SOJOURN SUITES JAMES

SOJOURN SUITES LLC

SOJOURN SUITES LLC

SOJOURN SUITES LLC

SOJOURN SUITES LYNWOOD

SOJOURN SUITES PLYMOUTH

SOJOURN SUITES ST. BONIFACIUS

SOJOURN SUITES WESTEDGE

SOLACE HEALTH SERVICES LLC

SOLACE HEALTH SERVICES LLC

SOLBAKKEN

SOLBAKKEN INC

SOLBAKKEN INC

SOLUTION HOME CARE LLC

SOLUTION HOME CARE LLC

SOLVAY HOUSE

SOME PLACE SPECIAL

SONSHINE HOME HEALTH CARE LLC

SOPHIE'S MANOR ASSISTED LIVING

SOPHIE'S MANOR ASSISTED LIVING

SORRELL HOUSE

SOTAM HOME CARE LLC

SOTAM HOME CARE LLC LLC

SOURIYATHAY HOUSING W SERVICES

SOURIYATHAY HOUSING WITH SERVI

SOURIYATHAY HOUSING WITH SVS

SOURIYATHAY HWS

SOURIYATHAY HWS

SOUTH CENTRAL SURGICAL CTR LLC

SOUTH HOUSE

SOUTH SHORE CARE CENTER

SOUTH VIEW LIVING CENTER

SOUTH VIEW LIVING CENTER

SOUTHERN MINNESOTA HOMECARE LL

SOUTHSIDE ASSISTED LIVING CORP

SOUTHSIDE ASSISTED LIVING CORP

SOUTHSIDE ASSISTED LIVING CORP

SOUTHSIDE ASSISTED LIVING CORP

SOUTHSIDE CARE CENTER

SOUTHVIEW ACRES HEALTHCARE CTR

SOUTHVIEW SENIOR LIVING

SOUTHVIEW SENIOR LIVING

SOUTHWEST MINNESOTA SURG CTR

SPEAK RIGHT NOW LLC

SPECIALIZED HOME HEALTH CARE

SPECIALIZED HOME HEALTH CARE

SPECIALIZED HOME HEALTH CARE S

SPECTRUM COMMUNITY HEALTH INC

SPECTRUM COMMUNITY HEALTH INC

SPECTRUM HEALTH COMPANIES

SPELTZ ESTATES ASSISTED LIVIN

SPELTZ ESTATES ASSISTED LIVING

SPINAL REHAB CLINIC

SPIRIT VALLEY ASSISTED LIVING

SPIRIT VALLEY ASSISTED LIVING

SPIRIT VALLEY ASSISTED LIVING

SPOT REHABILITATION INC

SPOT REHABILITATION INC

SPRING GROVE ASSISTED LIVING

SPRING GROVE ASSISTED LIVING L

SPRING VALLEY CARE CENTER

SPRING VALLEY ESTATES

SPRING VALLEY ESTATES

SPRING VALLEY HOME HEALTH

SPRINGBROOK VILLAGE LACRESCENT

SPRINGBROOK VILLAGE OF LA CRES

HENNEPIN

HENNEPIN

DAKOTA

FARIBAULT

FARIBAULT

RAMSEY

DAKOTA

RAMSEY

HENNEPIN

HENNEPIN

HENNEPIN

STEARNS

ANOKA

HENNEPIN

WASHINGTON

STEVENS

STEVENS

MURRAY

BROWN

BROWN

BROWN

BROWN

BROWN

OLMSTED

NICOLLET

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

CARVER

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

SAINT LOUIS

OTTER TAIL

LAC QUI PARLE

PINE

PINE

HENNEPIN

WASHINGTON

WASHINGTON

HENNEPIN

HENNEPIN

HENNEPIN

SHERBURNE

HENNEPIN

MARTIN

SIBLEY

NOBLES

SIBLEY

SIBLEY

BLUE EARTH

HENNEPIN

DAKOTA

HENNEPIN

DAKOTA

HENNEPIN

DAKOTA

DAKOTA

DAKOTA

LYON

RAMSEY

RAMSEY

RAMSEY

RAMSEY

DAKOTA

DAKOTA

SAINT LOUIS

WINONA

WINONA

BENTON

SAINT LOUIS

SAINT LOUIS

SAINT LOUIS

STEARNS

STEARNS

HOUSTON

HOUSTON

FILLMORE

FILLMORE

FILLMORE

FILLMORE

HOUSTON

HOUSTON

241

156

90

131

131

444

119

447

313

313

226

538

10

156

560

545

545

385

50

50

50

51

50

402

388

325

215

317

325

61

296

306

296

296

208

241

241

306

241

280

201

504

412

353

415

415

233

574

574

201

201

209

522

201

365

527

390

528

528

46

145

90

280

90

280

124

121

124

362

446

472

458

472

112

112

514

578

578

38

505

505

505

538

538

328

328

135

135

136

136

328

328

Page 727: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

Minnesota Department of Health

Index For Directory of Facilities and Services

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

Index Page 51Health Regulation Division

SPRINGHILL

SPYGLASS MANOR

ST ANN'S RESIDENCE

ST BENEDICTS SENIOR COMMUNITY

ST CLOUD CAREFREE LIVING LLC

ST CRISPIN LIVING COMMUNITY-TH

ST CRISPIN LVG COMM-THE VILLA

ST GERTRUDES HLTH & REHAB CTR

ST JOHN HOME CARE

ST JOHN HOME CARE LLC

ST JOHN HOME CARE LLC

ST JOHN'S COMMUNITY CARE

ST JOHN'S ON FOUNTAIN LAKE

ST LIVING COMMUNITY OF MORA

ST MARKS HERITAGE COMMUNITY

ST MARY'S SENIOR LIVING SUPPOR

ST OTTO'S CARE CENTER INC

ST SCHOLASTICA CONVENT

ST SCHOLASTICA CONVENT

ST THERESE RESIDENCE

ST THERESE RESIDENCE NURSING

ST. ANDREWS VILLAGE

ST. ANN'S RESIDENCE

ST. ANTHONY HEALTH & REHAB

ST. ANTHONY PARK HOME

ST. BENEDICTS SENIOR COMMUNITY

ST. BENEDICTS SENIOR COMMUNITY

ST. BENEDICTS SR CM THE COURT

ST. CHARLES ASSISTED LIVING

ST. CHARLES ASSISTED LVG INC

ST. CLARE LVG COMM OF MORA

ST. CLOUD CTR OPHTHALMIC SURG

ST. CLOUD HOSPITAL

ST. CLOUD SURGICAL CENTER

ST. CRISPIN LIVING COMMUNITY

ST. CROIX HOSPICE

ST. CROIX HOSPICE

ST. DAVIDS CHILD DV FAMILY SRV

ST. ELIZABETH'S MEDICAL CENTER

ST. ELIZABETHS COMM CLINIC

ST. ELIZABETHS MEDICAL CENTER

ST. FRANCIS HOME

ST. FRANCIS MEDICAL CENTER

ST. FRANCIS REGIONAL MED CTR

ST. GABRIEL'S HOSPITAL

ST. JAMES MANOR

ST. JOHN HOME CARE

ST. JOHN HOME CARE LLC

ST. JOHN HOME CARE LLC

ST. JOHN HOME CARE LLC

ST. JOHN HOME CARE LLC

ST. JOHN LUTHERAN HOME

ST. JOHN'S LUTHERAN HOME

ST. JOSEPH'S HOSPITAL

ST. JOSEPHS AREA HLTH SERVICES

ST. JOSEPHS AREA HLTH SERVICES

ST. JUDE HOME HEALTH LLC

ST. JUDE RESIDENCE

ST. LOUIS CO PUBLIC HEALTH HS

ST. LOUIS PARK DIALYSIS CENTER

ST. LUKE MOBILE MEDICAL CLINIC

ST. LUKE'S HOME CARE

ST. LUKE'S HOSPICE DULUTH

ST. LUKE'S HOSPITAL

ST. LUKES LUTHERAN CARE CENTER

ST. MARK'S HERITAGE COMMUNITY

ST. MARK'S LIVING

ST. PAUL CAPITOL DIA AT HOME

ST. PAUL CAPITOL DIALYSIS

ST. PAUL COMO COMMUNITY UNIT

ST. PAUL DIALYSIS

ST. PAUL RESIDENCE

ST. THERESE AT ST. ODILIA

ST. THERESE HOME

ST. THERESE HOME INC

ST. THERESE OF WOODBURY LLC

ST. THERESE TCU NORTH LLC

ST. WILLIAMS LIVING CENTER

STANLEY JONES & ASSOCIATES

STANLEY'S HOUSE

STANTON HOUSE WITH SERVICES

STANTON HOUSE WITH SERVICES

STANTON HOUSE WITH SERVICES

STANTON HOUSE WITH SERVICES

STANTON HOUSE WITH SRVS INC

STAR CARE HEALTH SERVICES LLC

STAR GROUP HOME INC

STAR GROUP HOME, INC

STARBUCK MEDICAL CENTER

STARCARE HEALTH SERVICES LLC

STEARNS PLACE

STEELE COUNTY PHNS

RAMSEY

DAKOTA

SAINT LOUIS

SHERBURNE

BENTON

GOODHUE

GOODHUE

SCOTT

HENNEPIN

HENNEPIN

HENNEPIN

FREEBORN

FREEBORN

KANABEC

MOWER

BECKER

MORRISON

SHERBURNE

SHERBURNE

HENNEPIN

HENNEPIN

WASHINGTON

SAINT LOUIS

RAMSEY

RAMSEY

STEARNS

SHERBURNE

WRIGHT

WINONA

WINONA

KANABEC

STEARNS

STEARNS

STEARNS

GOODHUE

ITASCA

WASHINGTON

HENNEPIN

WABASHA

WABASHA

WABASHA

WILKIN

WILKIN

SCOTT

MORRISON

OTTER TAIL

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

BROWN

FREEBORN

RAMSEY

HUBBARD

HUBBARD

HENNEPIN

HENNEPIN

SAINT LOUIS

HENNEPIN

RAMSEY

SAINT LOUIS

SAINT LOUIS

SAINT LOUIS

FARIBAULT

MOWER

MOWER

RAMSEY

RAMSEY

RAMSEY

RAMSEY

RAMSEY

RAMSEY

HENNEPIN

RAMSEY

WASHINGTON

HENNEPIN

OTTER TAIL

OLMSTED

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

POPE

HENNEPIN

STEARNS

STEELE

476

115

505

525

39

143

143

521

294

307

295

138

138

341

382

30

378

526

526

300

300

562

505

460

472

534

525

585

578

578

341

538

538

538

143

338

566

294

552

552

552

577

577

521

378

412

307

307

295

307

307

51

138

472

330

330

280

209

515

324

472

505

505

505

131

382

382

472

472

461

472

472

446

300

446

574

316

409

402

201

280

280

280

280

281

281

281

281

423

281

532

543

Page 728: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

Minnesota Department of Health

Index For Directory of Facilities and Services

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

Index Page 52Health Regulation Division

STEP FORWARD, INC

STEPPING STONE HOME HEALTH CAR

STERLING PARK COMMONS

STERLING PARK COMMONS

STERLING PARK HCC

STERLING POINTE SENIOR LIVING

STERLING POINTE SENIOR LIVING

STEVENS COMM MED CENTER CCC

STEVENS COMMUNITY MEDICAL CTR

STEVENS COMMUNITY STARBUCK

STEWARTVILLA APARTMENTS

STEWARTVILLE CARE CENTER

STEWARTVILLE SEN CAMPUS COTT

STONEBAY SENIOR LIVING

STONECREST

STONECREST

STONECREST LIVING

STONECREST LIVING

STONECREST LIVING

STONECREST LIVING

STONECREST LIVING

STONECREST LIVING INC

STONEHAVEN SENIOR LIVING

STONEY RIVER RAMSEY

STONEY RIVER RAMSEY

SU CASA HOME CARE

SUBURBAN RESIDENTIAL CARE LLC

SUBURBAN RESIDENTIAL CARE LLC

SUGAR BROOK VILLA

SUGAR BROOK VILLA

SUGAR LOAF SENIOR LIVING

SUGAR LOAF SENIOR LIVING

SUITE LIVING OF LITTLE CANADA

SUITE LIVING OF NORTH ST PAUL

SUITE LIVING OF ROSEVILLE

SUITE LIVING SENIOR CARE

SUITE LIVING SENIOR CARE

SUITE LIVING SENIOR CARE

SUITE LIVING SENIOR CARE

SUITE LIVING SENIOR CARE

SUITE LIVING SENIOR MANAGEMENT

SUMMERWOOD OF CHANHASSEN

SUMMERWOOD OF CHANHASSEN

SUMMERWOOD OF PLYMOUTH

SUMMERWOOD OF PLYMOUTH

SUMMIT HEALTHCARE INC

SUMMIT HILL SENIOR LIVING

SUMMIT HILL SENIOR LIVING

SUMMIT HOME HEALTH CARE INC

SUMMIT PLACE ASSISTED LIVING

SUMMIT PLACE SENIOR LIVING

SUMMIT RECOVERY SUITES

SUMMIT RECOVERY SUITES

SUN RAY DIALYSIS UNIT

SUNBURG APARTMENTS

SUNCREST ASSISTED LIVING

SUNCREST ASSISTED LIVING

SUNLIGHT INC

SUNLIGHT INC

SUNLIGHT INC.

SUNLIGHT SENIOR LIVING

SUNLIGHT SENIOR LIVING

SUNLIGHT SERVICES

SUNLIGHT SERVICES LLC

SUNLIGHT SERVICES LLC

SUNLIGHT SERVICES LLC

SUNLIGHT SERVICES LLC

SUNNYSIDE CARE CENTER

SUNNYVIEW

SUNNYVIEW II

SUNRISE ASSISTED LIVING OF ROS

SUNRISE FARM

SUNRISE OF EDINA

SUNRISE OF EDINA

SUNRISE OF GOLDEN VALLEY

SUNRISE OF GOLDEN VALLEY

SUNRISE OF MINNETONKA

SUNRISE OF ROSEVILLE

SUNRISE RESIDENTIAL SERVICES

SUNRISE RESIDENTIAL SERVICES L

SUNRISE TERRACE

SUNRISE VIEW ASSISTED LIVING L

SUNRISE VILLAGE

SUNSET COTTAGE

SUNSET HOMES ASSISTED LIVING

SUNSET HOMES ASSISTED LIVING

SUNSET HOMES ASSISTED LIVING I

SUNSET HOMES ASSISTED LVNG III

SUNSHINE ASSISTED LIVING

SUNSHINE ASSISTED LIVING LLC

SUNSHINE CORPORATION

SUNSHINE GROUP HOME LLC

HENNEPIN

LYON

STEARNS

STEARNS

STEARNS

MILLE LACS

MILLE LACS

STEVENS

STEVENS

POPE

OLMSTED

OLMSTED

OLMSTED

OLMSTED

WASHINGTON

WASHINGTON

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

DAKOTA

ANOKA

ANOKA

HENNEPIN

HENNEPIN

HENNEPIN

ITASCA

ITASCA

WINONA

WINONA

RAMSEY

RAMSEY

RAMSEY

RAMSEY

RAMSEY

ANOKA

DAKOTA

HENNEPIN

RAMSEY

CARVER

CARVER

HENNEPIN

HENNEPIN

HENNEPIN

RAMSEY

RAMSEY

HENNEPIN

HENNEPIN

HENNEPIN

DAKOTA

RAMSEY

RAMSEY

KANDIYOHI

CARLTON

CARLTON

HENNEPIN

HENNEPIN

HENNEPIN

RAMSEY

RAMSEY

RAMSEY

RAMSEY

RAMSEY

RAMSEY

RAMSEY

BECKER

KANDIYOHI

KANDIYOHI

RAMSEY

LESUEUR

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

RAMSEY

RAMSEY

HENNEPIN

MURRAY

NOBLES

KANDIYOHI

NOBLES

OLMSTED

OLMSTED

OLMSTED

OLMSTED

HENNEPIN

HENNEPIN

RAMSEY

HENNEPIN

228

362

540

540

540

376

376

545

545

423

404

404

404

392

574

574

324

295

295

295

295

295

104

26

26

281

176

176

334

334

580

580

425

438

444

476

476

26

112

201

477

57

56

307

307

281

458

458

233

219

220

104

476

473

344

56

55

307

281

281

458

458

432

473

432

473

458

31

342

342

444

357

226

226

233

233

295

444

444

317

385

389

348

390

393

402

402

393

156

157

458

325

Page 729: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

Minnesota Department of Health

Index For Directory of Facilities and Services

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

Index Page 53Health Regulation Division

SUNSHINE GROUP HOME LLC

SUNSHINE RESIDENTIAL LLC

SUNSHINE WELLNESS CENTER INC

SUNSHINE WELLNESS CENTER INC

SUPERIOR HOME CARE NURSING LLC

SUPERIOR VIEW APARTMENTS

SUPPORTIVE LIVING SOLUTIONS

SUPPORTIVE LIVING SOLUTIONS WH

SUPREME LIVING HOMES LLC

SUPREME LIVING HOMES LLC

SW MN OPPORTUNITY COUNCIL INC

SWEET CAROL HOME CARE INC

SWIFT COUNTY BENSON HLTH SVCS

SWIFT COUNTY BENSON HLTH SVCS

SYLVAN PLACE

SYMPHONY SENIOR SERVICES INC

SYNCARE INC

SYNCARE INC

SYNCARE INC

SYNCARE, INC JOY HOME

SYNERGY HOME CARE MSP METRO

SYNERGY HOME CARE NORTHEAST ME

SYNERGY HOMECARE MINNEAPOLIS

SYNERGY HOMECARE OF EAST CENTR

SYNERGY HOMECARE SOUTHERN TWIN

SYNERGYCARE LLC

SYNERGYCARE LLC

SYRIAUNA MANOR

T & R HOMES, INC.

T & R HOMES, INC.

TAILORED CARE RESIDENCE INC

TAILORED CARE RESIDENCE INC

TAILORED CARE RESIDENCE INC.

TALAHI NURSING & REHAB CENTER

TALAMORE SENIOR LIVING

TAMARAC SR LIVING COMMUNITY

TAMARACK COURT

TAMARACK COURT

TAPESTRY

TAYLOR & MENSAH IN-HOME CARE

TBI RESIDENTIAL AND COMMUNITY

TBI RESIDENTIAL AND COMMUNITY

TCHIDI'S HOUSE

TEALWOOD MANAGEMENT LLC

TEAM HOME HEALTH CARE LLC

TEAM HOME HEALTHCARE LLC

TEMPERANCE LAKE RIDGE

TENDER CARE GROUP HOME INC

TENDER CARE GROUP HOMES LLC

TENDER CARE GROUP HOMES LLC

TENDER CARE PROVIDERS

TENDER CARE PROVIDERS LLC

TENDER CARES LLC

TENDER HEARTS HOME CARE

TERRACE AT CANNON FALLS LLC

TERRACE AT CRYSTAL LLC

TERRACE HEIGHTS IND LIVING

TEXAS TERRACE A VILLA CENTER

TFF CARE LLC

THE 92ND TRAIL

THE ALTON MEMORY CARE

THE APPOINTED HOME LLC

THE BEACON AT LAKE CRYSTAL

THE BEACON AT LAKE CRYSTAL

THE BEACON AT LE CENTER

THE BEACON AT MAPLETON

THE BEACON AT MAPLETON

THE BEATITUDES HOMES LLC

THE BEATITUDES HOMES LLC

THE BEATITUDES HOMES LLC

THE BEATITUDES HOMES LLC

THE BEATITUDES HOMES LLC

THE BEATITUDES HOMES, LLC

THE BIRCHES AT TRILLIUM WOODS

THE BLESSED HOME CARE

THE BLESSED HOME CARE

THE BLUFFS OF LAKE CITY

THE BOULEVARD

THE BRIDGES OF ZUMBROTA

THE BROOKS ON ST PAUL

THE BROOKS ON ST. PAUL

THE BURLINGTON HOUSE

THE BURLINGTON HOUSE - 509

THE BURLINGTON HOUSE 470

THE BURLINGTON HOUSE-460

THE CARING CREW LLC

THE CARING SISTERS HOME CARE

THE CARING SISTERS HOME CARE

THE CARING SISTERS HOME CARE

THE CARING SISTERS HOME CARE

THE CARING SISTERS HOME CARE

THE CARING SISTERS HOME CARE

HENNEPIN

HENNEPIN

HENNEPIN

WASHINGTON

DAKOTA

SAINT LOUIS

DAKOTA

RAMSEY

HENNEPIN

HENNEPIN

NOBLES

WASHINGTON

SWIFT

SWIFT

YELLOW MEDICINE

RAMSEY

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

RAMSEY

ANOKA

HENNEPIN

WASHINGTON

DAKOTA

SCOTT

SCOTT

DAKOTA

ANOKA

ANOKA

HENNEPIN

HENNEPIN

HENNEPIN

SHERBURNE

STEARNS

MARSHALL

BELTRAMI

BELTRAMI

RAMSEY

RAMSEY

SAINT LOUIS

SAINT LOUIS

RAMSEY

MARTIN

HENNEPIN

HENNEPIN

MARTIN

HENNEPIN

HENNEPIN

HENNEPIN

DAKOTA

DAKOTA

SAINT LOUIS

OTTER TAIL

GOODHUE

HENNEPIN

DOUGLAS

HENNEPIN

HENNEPIN

HENNEPIN

RAMSEY

HENNEPIN

BLUE EARTH

BLUE EARTH

BLUE EARTH

BLUE EARTH

BLUE EARTH

HENNEPIN

WRIGHT

WRIGHT

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

RAMSEY

RAMSEY

GOODHUE

ANOKA

GOODHUE

STEELE

STEELE

CROW WING

MORRISON

CROW WING

CROW WING

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

321

281

282

562

115

505

124

460

201

176

390

561

547

547

587

477

295

307

307

296

444

11

233

574

99

521

521

99

20

11

282

282

282

526

538

364

33

33

473

459

506

506

444

366

313

202

366

282

282

282

119

120

506

409

140

214

130

324

316

202

473

300

41

41

46

47

47

241

586

586

202

241

176

308

459

459

141

14

143

543

543

83

378

83

83

202

324

233

176

324

202

300

Page 730: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

Minnesota Department of Health

Index For Directory of Facilities and Services

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

Index Page 54Health Regulation Division

THE CARING SISTERS HOME CARE S

THE CARLSON HOME INC

THE CARLSON HOME OF AUSTIN INC

THE CEDARS

THE COLONY AT EDEN PRAIRIE

THE COMMONS ON MARICE

THE COMMONS ON MARICE

THE COTTAGE EAST

THE COTTAGE WEST

THE COUNTRY PLACE

THE COUNTRY PLACE APARTMENTS

THE COUNTRY VILLA

THE ELMS

THE EMERALDS AT FARIBAULT

THE EMERALDS AT FARIBAULT LLC

THE EMERALDS AT GRAND RAPIDS

THE EMERALDS AT GRAND RAPIDS

THE EMERALDS AT GRAND RAPIDS

THE EMERALDS AT ST PAUL LLC

THE ENCORE AT MAHTOMEDI LLC

THE ENCORE AT CHAMPLIN

THE ENCORE AT HUGO

THE ENCORE AT MAHTOMEDI

THE ENCORE AT MAPLEWOOD

THE ENCORE AT NORTH BRANCH

THE ENCORE AT THE TWIN CITIES

THE ESTATES AT BLOOMINGTON

THE ESTATES AT CHATEAU LLC

THE ESTATES AT DELANO LLC

THE ESTATES AT EXCELSIOR LLC

THE ESTATES AT FRIDLEY LLC

THE ESTATES AT GREELEY LLC

THE ESTATES AT LINDEN LLC

THE ESTATES AT LYNNHURST LLC

THE ESTATES AT ROSEVILLE LLC

THE ESTATES AT RUSH CITY LLC

THE ESTATES AT ST LOUIS PARK

THE ESTATES AT TWIN RIVERS LLC

THE EVANGELICAL LUTHERAN GOOD

THE EVERGREENS

THE EVERGREENS OF MOORHEAD

THE EVERGREENS OF MOORHEAD

THE EVERGREENS OF MOORHEAD

THE FAMILY PARTNERSHIP

THE FAMILY RESIDENCE

THE FAMILY RESIDENCE

THE FARMSTEAD

THE FARMSTEAD

THE FOUNTAINS AT HOSANNA!

THE FRIENDSHIP HOME COMMUNITY

THE FRIENDSHIP HOME COMMUNITY

THE FRIENDSHIP HOME COMMUNITY

THE FRIENDSHIP HOME COMMUNITY

THE FRIENDSHIP PLACE LLC

THE FRIENDSHIP PLACE LLC

THE GABLES

THE GARDENS AT FOLEY AL LLC

THE GARDENS AT FOLEY ASSISTED

THE GARDENS AT FOLEY LLC

THE GARDENS AT ST GERTRUDES

THE GARDENS AT ST. GERTRUDES

THE GARDENS AT WINSTED AL

THE GARDENS AT WINSTED ASSISTE

THE GARDENS AT WINSTED LLC

THE GENEVA SUITES

THE GENEVA SUITES

THE GENEVA SUITES

THE GENEVA SUITES

THE GENEVA SUITES

THE GENEVA SUITES

THE GENEVA SUITES

THE GENEVA SUITES

THE GLENN MINNETONKA

THE GOOD SAMARITAN NURSE

THE GRACE HOME HEALTH SERVICES

THE GRACE HOME HEALTH SERVICES

THE GREEN PRAIRIE ASSISTED LIV

THE GREEN PRAIRIE REHAB CTR

THE GUARDIAN HOME CARE

THE GUARDIAN HOME CARE LLC

THE HARBORS SENIOR LIVING

THE HAVEN AT PEACE VILLAGE

THE HEALTH ENHANCEMENT CTR

THE HOMESTEAD AT ANOKA

THE HOMESTEAD AT ANOKA

THE HOMESTEAD AT COON RAPIDS

THE HOMESTEAD AT COON RAPIDS

THE HOMESTEAD AT COON RAPIDS

THE HOMESTEAD AT MAPLEWOOD

THE HOMESTEAD AT ROCHESTER

THE HOMESTEAD AT ROCHESTER

THE HUMMINGBIRD

HENNEPIN

MOWER

MOWER

ANOKA

HENNEPIN

DAKOTA

DAKOTA

RICE

RICE

POLK

POLK

BENTON

ANOKA

RICE

RICE

ITASCA

ITASCA

ITASCA

RAMSEY

RAMSEY

HENNEPIN

WASHINGTON

WASHINGTON

RAMSEY

CHISAGO

RAMSEY

HENNEPIN

HENNEPIN

WRIGHT

HENNEPIN

ANOKA

WASHINGTON

WASHINGTON

RAMSEY

RAMSEY

CHISAGO

HENNEPIN

ANOKA

CHISAGO

FILLMORE

CLAY

CLAY

CLAY

HENNEPIN

RICE

RICE

ANOKA

ANOKA

DAKOTA

RAMSEY

RAMSEY

RAMSEY

RAMSEY

RAMSEY

RAMSEY

OLMSTED

BENTON

BENTON

BENTON

SCOTT

SCOTT

MCLEOD

MCLEOD

MCLEOD

HENNEPIN

HENNEPIN

DAKOTA

DAKOTA

HENNEPIN

DAKOTA

HENNEPIN

HENNEPIN

HENNEPIN

RAMSEY

HENNEPIN

HENNEPIN

WABASHA

WABASHA

HENNEPIN

HENNEPIN

ANOKA

CARVER

LYON

ANOKA

ANOKA

ANOKA

ANOKA

ANOKA

RAMSEY

OLMSTED

OLMSTED

SAINT LOUIS

321

382

382

5

220

104

105

490

491

419

420

36

5

488

488

338

339

339

459

459

209

561

562

432

69

432

157

282

584

227

24

568

568

473

444

69

321

6

69

136

74

74

74

282

491

491

3

3

115

445

445

445

445

459

459

402

35

35

35

521

521

370

370

370

220

157

105

99

157

99

226

226

296

445

202

202

552

552

202

202

25

59

362

6

6

20

21

20

432

402

403

511

Page 731: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

Minnesota Department of Health

Index For Directory of Facilities and Services

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

Index Page 55Health Regulation Division

THE HUMMINGBIRD

THE JAMES INC

THE JAMES INC

THE JAMES INC

THE JAMES INC

THE KENWOOD

THE KENWOOD RETIREMENT COMMUNI

THE LAKE COTTAGE

THE LANDMARK OF FRIDLEY

THE LANDMARK OF FRIDLEY

THE LEGACY

THE LEGACY

THE LEGACY OF DELANO

THE LEGACY OF DELANO LLC

THE LEGACY OF FARMINGTON

THE LEGACY OF FARMINGTON

THE LEGACY OF ST ANTHONY

THE LEGACY OF ST ANTHONY

THE LEGACY OF ST MICHAEL

THE LEGACY OF ST MICHAEL

THE LODGE

THE LODGE

THE LODGE OF HOWARD LAKE

THE LODGE OF HOWARD LAKE

THE LODGE OF MENDOTA

THE LODGE OF MOUNTAIN LAKE

THE LODGE OF MOUNTAIN LAKE

THE LODGE OF NEW HOPE

THE LODGE OF NEW HOPE

THE LODGE OF TAYLORS FALLS

THE LODGE OF WINTHROP

THE LODGE OF WINTHROP

THE LODGE ON NATCHEZ

THE LODGE ON NATCHEZ

THE LODGE ON SUMMIT OAKS

THE LODGE ON SUMMIT OAKS

THE LUTHERAN HOME BELLE PLAINE

THE LUTHERAN HOME HOPE RES

THE MAPLES

THE MAPLES AT ST. JOHN

THE MEADOWS

THE MEADOWS

THE MEADOWS

THE MEADOWS

THE MEADOWS

THE MEADOWS OF MABEL

THE MEADOWS OF MABEL

THE MEADOWS OF WADENA

THE MEADOWS OF WADENA

THE MILL STREET RESIDENCE

THE MILL STREET RESIDENCE

THE MOMENTS OF LAKEVILLE

THE NEIGHBOR LADY INC

THE NORTH SHORE ESTATES LLC

THE OAKS

THE OAKS & POPLAR CREEK ESTATE

THE PILLARS OF HIGHLAND PARK

THE PILLARS OF SHOREWOOD LNDNG

THE PILLARS OF WHITE BEAR LAKE

THE PINES

THE PINES

THE PINES

THE PLUMMER HOME LLC

THE PLUMMER HOME LLC

THE PLUMMER HOME LLC

THE PRAIRIE LODGE AT EARLE BRN

THE PRAIRIE LODGE AT EARLE BRN

THE PRAIRIE LODGE AT EARLE BRN

THE PRAIRIE LODGE AT EARLE BRO

THE PRESERVE OF ROSEVILLE

THE PRESERVE OF ROSEVILLE

THE QUINLAN HOME

THE RIVERS

THE RIVERS

THE ROSEMOUNT

THE ROYALS

THE SANCTUARY AT BROOKLYN CTR

THE SANCTUARY AT ST. CLOUD

THE SANCTUARY AT WEST ST PAUL

THE SENIORS' FRIEND LLC

THE SHALOM HOME LLC

THE SHALOM HOME LLC

THE SHEPHERD'S INN

THE SHEPHERDS INN

THE SHORES OF LAKE PHALEN

THE TERRACE AT IRIS PARK

THE TERRACES

THE THERAPY PLACE

THE THOMAS HOUSE INC

THE THOMAS HOUSE INC

THE TOWERS

THE TUFF VILLAGE

SAINT LOUIS

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

SHERBURNE

ANOKA

ANOKA

STEVENS

STEVENS

WRIGHT

WRIGHT

DAKOTA

DAKOTA

HENNEPIN

HENNEPIN

WRIGHT

WRIGHT

WASHINGTON

WASHINGTON

WRIGHT

WRIGHT

DAKOTA

COTTONWOOD

COTTONWOOD

HENNEPIN

HENNEPIN

CHISAGO

SIBLEY

SIBLEY

SCOTT

SCOTT

DAKOTA

DAKOTA

SCOTT

SCOTT

ANOKA

BROWN

FREEBORN

KITTSON

MOWER

KITTSON

MOWER

FILLMORE

FILLMORE

WADENA

WADENA

OTTER TAIL

OTTER TAIL

DAKOTA

RICE

SAINT LOUIS

ANOKA

ROCK

RAMSEY

HENNEPIN

RAMSEY

ANOKA

JACKSON

HENNEPIN

OLMSTED

RAMSEY

OLMSTED

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

RAMSEY

RAMSEY

RAMSEY

DAKOTA

DAKOTA

DAKOTA

HENNEPIN

HENNEPIN

SHERBURNE

DAKOTA

SCOTT

OLMSTED

OLMSTED

FARIBAULT

FARIBAULT

RAMSEY

RAMSEY

HENNEPIN

HENNEPIN

OTTER TAIL

OTTER TAIL

HENNEPIN

ROCK

511

157

157

157

157

282

283

525

25

25

545

545

584

584

106

106

318

318

586

587

568

569

585

585

117

77

77

300

301

69

529

528

516

516

99

100

516

515

6

51

139

350

383

349

383

134

134

555

555

408

408

115

491

506

6

493

473

317

477

6

340

313

392

424

402

176

176

176

176

445

445

473

100

100

119

176

177

526

121

519

402

402

132

132

432

473

236

157

412

412

236

491

Page 732: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

Minnesota Department of Health

Index For Directory of Facilities and Services

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

Index Page 56Health Regulation Division

THE TUFF VILLAGE

THE VIEW HOUSE 1

THE VILLA AT BRYN MAWR

THE VILLA AT OSSEO

THE VILLA AT ST LOUIS PARK

THE VILLAGES OF LONSDALE

THE WATERS OF EDINA

THE WATERS OF EXCELSIOR

THE WATERS OF HIGHLAND PARK

THE WATERS OF OAKDALE

THE WATERS OF PLYMOUTH

THE WATERS OF WHITE BEAR LAKE

THE WATERS ON 50TH

THE WATERS ON MAYOWOOD

THE WATERS SENIOR LIVING MANAG

THE WATERVIEW PINES LLC

THE WATERVIEW SHORES AL

THE WATERVIEW SHORES ASSISTED

THE WATERVIEW SHORES LLC

THE WATERVIEW WOODS AL

THE WATERVIEW WOODS ASSISTED L

THE WATERVIEW WOODS LLC

THE WAYSIDE HOUSE INC

THE WEALSHIRE LLC

THE WEALSHIRE OF BLOOMINGTON

THE WELLINGTON SENIOR LIVING

THE WELLSTEAD OF ROGERS

THE WELLSTEAD OF ROGERS

THE WILLOWS

THERAPY NETWORK

THERESE K SEXTON HOME SOUTH

THIEF RIVER CARE CENTER

THIRD AVENUE TOWERS

THOENNES PROPERTY MGMT LLC

THOMAS HOME

THOMAS RESIDENCE

THOMAS T FEENEY MANOR

THORNDALE APARTMENTS

THORNE CREST RETIREMENT CENTER

THORNE CREST RETIREMENT CENTER

THORNE CREST RETIREMENT CENTER

THREE LINKS APARTMENTS

THREE LINKS CARE CENTER

THREE LINKS MANAGEMENT SERVICE

THREE RIVERS HOUSE

THREE STARS GROUP HOMES LLC

THREE STARS GROUP HOMES LLC

THREE STARS GROUP HOMES, LLC

THUNDERBIRD WREN HOUSE

TIMBER HILLS

TIMBERDALE TRACE

TIMBERDALE TRACE

TLC HC OF THE TWIN CITIES

TODD COUNTY PHNS

TOLAD INC

TOLAD INCORPORATED

TONDA YAH IN HOME CARE LLC

TOPCARE HEALTH SERVICES

TOPCARE HOME

TOTAL HOME HEALTH SERVICES LLC

TOTAL HOME HEALTH SERVICES LLC

TOTALCARE ASSISTED LIVIN

TOTALCARE ASSISTED LIVING

TOTALCARE ASSISTED LIVING SERV

TOTALCARE ASSISTED LIVING SVCS

TOUCH OF HOME

TOUCH OF HOME

TOUCHING HEARTS AT HOME WC MN

TOUCHING HEARTS AT HOME

TOUCHING HEARTS AT HOME

TOUCHING HEARTS AT HOME

TOUCHING HEARTS AT HOME

TOUCHING HEARTS AT HOME ST PAU

TOUCHING HEARTS AT HOME WC MN

TOUCHING HEARTS HOME CARE

TOUCHING LIVES COMMUNITIES

TOUCHING LIVES COMMUNITIES LLC

TOUCHSTONE MENTAL HEALTH

TOWER LIGHT

TOWN AND COUNTRY HHC

TR HOMES

TRADITION

TRADITION

TRADITIONS OF LA CRESCENT

TRADITIONS OF LA CRESCENT

TRADITIONS OF MONTGOMERY LLC

TRADITIONS OF MONTGOMERY LLC

TRADITIONS OF OWATONNA

TRADITIONS OF OWATONNA

TRADITIONS OF OWATONNA II

TRADITIONS OF OWATONNA II LLC

TRADITIONS OF PRESTON

ROCK

GOODHUE

HENNEPIN

HENNEPIN

HENNEPIN

RICE

HENNEPIN

HENNEPIN

RAMSEY

WASHINGTON

HENNEPIN

RAMSEY

HENNEPIN

OLMSTED

HENNEPIN

SAINT LOUIS

LAKE

LAKE

LAKE

SAINT LOUIS

SAINT LOUIS

SAINT LOUIS

HENNEPIN

HENNEPIN

HENNEPIN

RAMSEY

HENNEPIN

HENNEPIN

ANOKA

FILLMORE

NICOLLET

PENNINGTON

HENNEPIN

DOUGLAS

HENNEPIN

HENNEPIN

HENNEPIN

RAMSEY

FREEBORN

FREEBORN

FREEBORN

RICE

RICE

RICE

HENNEPIN

RAMSEY

RAMSEY

HENNEPIN

SAINT LOUIS

DAKOTA

STEELE

STEELE

RAMSEY

TODD

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

BELTRAMI

BELTRAMI

KANDIYOHI

BELTRAMI

HENNEPIN

SAINT LOUIS

HENNEPIN

RAMSEY

KANDIYOHI

LYON

SCOTT

SCOTT

HENNEPIN

HENNEPIN

LYON

ANOKA

HENNEPIN

HENNEPIN

WINONA

HOUSTON

LESUEUR

LESUEUR

STEELE

STEELE

STEELE

STEELE

FILLMORE

492

140

283

302

324

488

226

227

473

566

308

477

283

403

296

515

355

355

355

508

508

508

324

158

158

474

317

317

6

135

386

413

283

129

203

283

283

437

139

139

139

491

491

488

215

459

474

283

506

112

544

543

474

549

203

203

214

203

203

203

203

301

234

301

316

34

34

343

34

308

506

308

445

343

362

518

519

283

325

362

21

203

203

578

328

357

357

544

544

544

544

135

Page 733: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

Minnesota Department of Health

Index For Directory of Facilities and Services

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

Index Page 57Health Regulation Division

TRADITIONS OF PRESTON

TRADITIONS OF WATERVILLE

TRAILS OF ORONO

TRANQUIL LIVING

TRANQUIL LIVING

TRANSITIONS HOME CARE

TRAVERSE CARE CENTER

TREE OF LIFE ASSISTED LIVING

TREE OF LIFE ASSISTED LIVING

TRI COUNTY HC BERTHA CLINIC

TRI COUNTY HC HENNING CLINIC

TRI COUNTY HC OTTERTAIL CLINIC

TRI COUNTY HC SEBEKA CLINIC

TRI COUNTY HC WADENA CLINIC

TRI COUNTY HOSP VERNDALE CLINI

TRI COUNTY HOSPITAL

TRIA ORTHOPAEDIC CENTER LLC

TRIA ORTHOPAEDIC WOODBURY

TRILLIUM

TRILLIUM WOODS

TRINITY CARE CENTER

TRINITY HOME HEALTH CARE SERVI

TRINITY SUITES

TRINTY TERRACE

TRIPLE ANGELS HEALTHCARE

TRIPLE ANGELS HEALTHCARE

TRIPLE ANGELS HEALTHCARE COMPA

TRISTAR HOME CARE LLC

TRISTAR HOME CARE LLC

TROUVAILLE LLC

TROUVAILLE MEMORY CARE SUITES

TRUE CARE HOMES

TRUE CARE HOMES

TRUE CARE LIVING

TRUE CARE LIVING LLC

TRUMAN MANOR APARTMENTS

TRUMAN SENIOR LIVING

TRUSTED HOME CARE LLC

TUFF MEMORIAL HOME

TUFF MEMORIAL HOME VISTE MANOR

TURNING POINT INC

TURNING POINT INC

TURNING POINT INC

TWEETEN LUTHERAN HEALTH C C

TWIN CITIES ASSISTED LIVING

TWIN CITIES ASSISTED LIVING

TWIN CITIES ASSISTED LIVING IN

TWIN CITIES ASSISTED LVG INC

TWIN CITIES GROUP HOMES LLC

TWIN CITIES GROUP HOMES LLC

TWIN CITIES NURSING CARE

TWIN CITIES NURSING CARE INC

TWIN CITIES SURGERY CENTER

TWIN CITY GARDENS

TWIN CITY WOUND & OSTOMY ASSOC

TWIN DIAMOND OPERATOR LLC

TWIN TOWN TREATMENT CENTER

TWIN TOWN VILLA

TWIN VALLEY ASSISTED LIVING LL

TWINCITIES LOYAL HOLISTIC CARE

TWINS CARE NURSING SERVICE INC

TWINS HOME HEALTH CARE INC

TWO TWELVE SURGERY CENTER

U OF M HEALTH CLINICS SURGERY

ULTIMATE HOME CARE

ULTIMATE CARE BROOKDALE HOUSE

ULTIMATE HC RIVERDALE HOME

ULTIMATE HM CARE REGENT HOUSE

ULTIMATE HOME CARE - NORTHTOWN

ULTIMATE HOME CARE LOGAN HOUSE

ULTIMATECARE SPRING LAKE HOUSE

UMMC FAIRVIEW RENAL DIALYSIS

UNIQUE HOMES

UNIQUE HOMES LLC

UNIQUE HOMES LLC

UNIQUE HOMES LLC

UNISON GROUP HOME

UNISON GROUP HOME LLC

UNITED CHAPTERS LIVING

UNITED CHAPTERS LIVING

UNITED HEALTHCARE LLC

UNITED HOME HEALTH CARE LLC

UNITED HOME SERVICES LLC

UNITED HOMES HEALTH CARE LLC

UNITED HOMES SERVICES

UNITED HOMES SERVICES

UNITED HOSPITAL

UNITED HOSPITAL DISTRICT

UNITED HOSPITAL DISTRICT INC

UNITED HOSPITAL DISTRICT INC

UNITED PROVIDERS L.L.C.

UNITED PROVIDERS LLC

FILLMORE

LESUEUR

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

TRAVERSE

STEARNS

STEARNS

TODD

OTTER TAIL

OTTER TAIL

WADENA

WADENA

WADENA

WADENA

HENNEPIN

WASHINGTON

BELTRAMI

HENNEPIN

DAKOTA

DAKOTA

DAKOTA

DAKOTA

WASHINGTON

WASHINGTON

WASHINGTON

HENNEPIN

WASHINGTON

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

DAKOTA

MARTIN

MARTIN

SCOTT

ROCK

ROCK

HENNEPIN

HENNEPIN

HENNEPIN

HOUSTON

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

RAMSEY

RAMSEY

HENNEPIN

HENNEPIN

DAKOTA

SAINT LOUIS

RAMSEY

WILKIN

NORMAN

RAMSEY

HENNEPIN

HENNEPIN

CARVER

HENNEPIN

HENNEPIN

HENNEPIN

ANOKA

HENNEPIN

ANOKA

HENNEPIN

ANOKA

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

ANOKA

HENNEPIN

RAMSEY

DAKOTA

RAMSEY

SCOTT

DAKOTA

RAMSEY

FARIBAULT

FARIBAULT

FARIBAULT

HENNEPIN

HENNEPIN

135

357

301

296

220

209

551

532

532

548

408

409

554

555

554

555

158

575

34

308

107

100

107

107

559

559

559

203

559

227

228

284

283

284

105

366

366

521

492

492

284

284

284

328

284

284

284

284

284

285

474

459

226

285

115

506

474

577

392

460

158

285

58

285

204

204

6

204

27

177

27

285

285

285

316

285

177

177

234

27

158

474

90

474

519

115

474

131

132

132

177

177

Page 734: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

Minnesota Department of Health

Index For Directory of Facilities and Services

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

Index Page 58Health Regulation Division

UNITED SOCIAL SERVICE OF MN LL

UNITED SOCIAL SERVICES OF MN L

UNITY PLACE

UNITY TRUST HOME CARE LLC

UNITY TRUST HOME CARE LLC

UNIVERSAL CARE HOMES LLC

UNIVERSAL CARE HOMES LLC

UNIVERSAL CARE HOMES LLC

UNIVERSAL HEALTH SERVICES LLC

UNIVERSAL HEALTH SERVICES LLC

UNIVERSAL HEALTH SERVICES LLC

UNIVERSAL HEALTH SERVICES LLC

UNIVERSAL HEALTH SERVICES LLC

UNIVERSAL HEALTH SERVICES LLC

UNIVERSAL PEDIATRICS

UNIVERSITY DIALYSIS RIVERSIDE

UNIVERSITY MEDICAL CTR MESABI

UNIVERSITY OF MN MED CTR

UNTIED CHAPTERS LIVING

UNVEILING HEALTH LLC

UNVEILING HEALTH LLC

UP NORTH ANGELS

UPDAY HOME HEALTH LLC

UPEND HOME HEALTH CARE INC

UPEND HOME HEALTH CARE INC

UPLIFTED CARE SERVICES LLC

UPLIFTED CARE SERVICES LLC

UPLIFTED CARE SERVICES LLC

UPLIFTED CARE SERVICES LLC

UPLIFTED CARE SERVICES, LLC

UPLIFTED CARE SERVICES, LLC

UPLIFTED CARE SERVICES, LLC

URBANA PLACE SENIOR LIVING

URBANA PLACE SENIOR LIVING LLC

V-CARE HOME HEALTH INC

VADNAIS HEIGHTS SURGERY CENTER

VAIMAR SUITES LLC

VAIMAR SUITES LLC

VAIMAR SUITES LLC

VAIMAR SUITES, LLC

VALENTINES ASSISTED LIVING LLC

VALENTINES ASSISTED LIVING LLC

VALLEY ASSISTED LIVING

VALLEY ASSISTED LIVING

VALLEY CARE AND REHAB LLC

VALLEY HI RISE

VALLEY HOME CARE LLC

VALLEY RIDGE

VALLEY RIDGE

VALLEY VIEW ASSISTED LIVING

VALLEY VIEW ASSISTED LIVING

VALLEY VIEW ESTATES

VALLEY VIEW ESTATES

VALLEY VIEW HEALTHCARE & REHAB

VALLEY VIEW HEALTHCARE & REHAB

VALLEY VIEW MANOR HCC

VALLEY VIEW OF NORTHFIELD

VALLEY VIEW RECOVERY CENTER

VALLEYVIEW ASSISTED LIVING

VALLEYVIEW OF JORDAN LLC

VALLEYVIEW OF JORDAN LLC

VALLEYVIEW OF NORTHFIELD

VANCE THOMPSON VISION

VERGAS ASSISTED LIVING

VERMILION SENIOR LIVING

VERNON TERRACE

VICTOR'S PLACE

VICTORY HEALTH & REHAB CTR

VICTORY HOUSE

VIETNAMESE MINNESOTANS ASSOCIA

VIEWCREST HEALTH CENTER

VIKING MANOR NURSING HOME

VIKING MANOR NURSING HOME

VIKING MANOR NURSING HOME

VIKINGS HOME HEALTH CARE LLC

VIKINGS HOME HEALTH CARE LLC

VILLA COURT

VILLA COURT

VILLA ST VINCENT INC

VILLA ST. VINCENT

VILLA ST. VINCENT INC

VILLAGE SHORES

VINTAGE HOMECARE

VIRGINIA CAREFREE LIVING

VISION QUEST PROPERTY MANAGEME

VISION2020 GROUP HOMES LLC

VISION2020 GROUP HOMES LLC

VISITING ANGELS

VISITING ANGELS

VISITING ANGELS

VISITING ANGELS

VISITING ANGELS

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

SCOTT

ANOKA

HENNEPIN

SCOTT

HENNEPIN

HENNEPIN

TEXAS

RAMSEY

SAINT LOUIS

HENNEPIN

HENNEPIN

DAKOTA

DAKOTA

CASS

WRIGHT

RAMSEY

ANOKA

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

RAMSEY

RAMSEY

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

GOODHUE

GOODHUE

PENNINGTON

PENNINGTON

CLAY

RAMSEY

NORTH DAKOTA

DAKOTA

DAKOTA

JACKSON

JACKSON

TODD

TODD

HOUSTON

HOUSTON

REDWOOD

RICE

GOODHUE

STEELE

SCOTT

SCOTT

RICE

DOUGLAS

OTTER TAIL

SAINT LOUIS

HENNEPIN

SAINT LOUIS

HENNEPIN

HENNEPIN

RAMSEY

SAINT LOUIS

CLAY

CLAY

CLAY

HENNEPIN

HENNEPIN

CARLTON

CARLTON

POLK

POLK

POLK

HENNEPIN

GOODHUE

SAINT LOUIS

RAMSEY

HENNEPIN

HENNEPIN

RAMSEY

RAMSEY

HENNEPIN

HENNEPIN

STEARNS

285

286

286

204

204

286

286

286

522

3

313

522

158

158

548

474

511

258

226

105

105

62

581

475

25

204

204

286

204

204

204

205

205

205

460

476

205

205

205

205

143

143

413

413

70

475

589

100

100

340

340

549

550

327

327

479

491

140

544

516

516

491

129

412

513

227

506

286

177

460

506

75

75

75

209

209

54

54

418

418

419

313

143

515

478

286

286

432

432

326

205

538

Page 735: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow

Minnesota Department of Health

Index For Directory of Facilities and Services

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

Index Page 59Health Regulation Division

VISITING ANGELS

VISITING ANGELS

VISITING ANGELS

VISITING ANGELS

VISITING ANGELS MINNEAPOLIS

VISTA PRAIRIE AT COPPERLEAF

VISTA PRAIRIE AT GARNETTE GARD

VISTA PRAIRIE AT GOLDFINCH EST

VISTA PRAIRIE AT MONARCH MEADO

VISTA PRAIRIE AT RIVER HEIGHTS

VISTA PRAIRIE AT WINDMILL POND

VITAL HOME CARE LLC

VOA HOME HEALTH AT ANOKA

VOA HOME HEALTH AT ELDER HOMES

VOA HOME HEALTH AT MAPLEWOOD

VOA HOME HEALTH AT ROCHESTER

VOLUNTEERS OF AMERICA HOME HEA

VP AT GARNETTE GARDENS

VP AT GOLDFINCH ESTATES LLC

VP AT MONARCH MEADOWS LLC

VP AT RIVER HEIGHTS LLC

VP AT WINDMILL PONDS LLC

WABASSO RESTORATIVE CARE CTR

WALGREENS #13880

WALKER HOME SERVICES

WALKER METHODIST CARE SUITES

WALKER METHODIST CARE SUITES

WALKER METHODIST HEALTH CTR

WALKER METHODIST HIGHVIEW HILL

WALKER METHODIST HIGHVIEW HILL

WALKER METHODIST LEVANDE HOME

WALKER METHODIST LEVANDE LLC

WALKER METHODIST PLACE

WALKER METHODIST PLAZA

WALKER METHODIST PLAZA GARDENS

WALKER METHODIST PLAZA HOME CA

WALKER METHODIST WESTWOOD

WALKER METHODIST WESTWOOD

WALKER METHODIST WESTWOOD II

WALKER METHODIST WESTWOOD RIDG

WARM TOUCH HOME CARE INC

WARM TOUCH HOME CARE INC

WARROAD CARE CENTER

WASHBURNE COURT

WASHBURNE COURT

WATCHEN HOMES INC

WATCHEN HOMES INC

WATCHFUL CAREGIVERS

WATCHFUL CAREGIVERS LLC

WATER'S EDGE

WATERFORD MANOR

WATERFORD MANOR

WATERS EDGE

WATERVILLE ASSISTED LIVING LLC

WATKINS AREA HOMES

WATKINS AREA HOMES

WATKINS AREA HOMES

WATKINS AREA HOMES II

WATKINS MANOR

WATKINS MANOR

WAVERLY GARDENS

WAVERLY GARDENS

WAYZATA SURGERY CENTER

WE CARE HEALTH SYSTEM LLC

WE CARE HOME HEALTH SERVICES

WEALSHIRE OF MEDINA

WEATHERSTONE SENIOR LIVING LLC

WELCOME HOME HEALTH CARE

WELCOME HOME HEALTH CARE

WELCOME HOME HEALTH CARE INC

WELCOME HOME HEALTH CARE INC

WELCOME HOME HEALTH CARE INC

WELCOME HOME HEALTH CARE INC

WELCOME HOME LLC

WELIA HEALTH

WELIA HEALTH HINCKLEY

WELLBEING HOMES LLC

WELLNESS GROUP HOME

WELLNESS GROUP HOME CORP

WELLNESS HOMES INC

WELLNESS HOMES INC

WELLNESS HOMES INC

WELLSPRING COMFORT LIVING LLC

WESLEY RESIDENCE OF DULUTH

WESLEY RESIDENCE OF DULUTH

WEST BLOOMINGTON RESIDENCE

WEST ST. PAUL DIALYSIS UNIT

WEST VIEW ASSISTED LIVING APT

WEST VIEW/BRIDGEWELL AL APTS

WEST WIND VILLAGE

WESTHEALTH SURGERY CENTER LLC

WESTVIEW CARE INC

STEELE

OLMSTED

GOODHUE

RAMSEY

HENNEPIN

KANDIYOHI

REDWOOD

MARTIN

NICOLLET

DAKOTA

DOUGLAS

HENNEPIN

ANOKA

HENNEPIN

RAMSEY

OLMSTED

HENNEPIN

REDWOOD

MARTIN

NICOLLET

DAKOTA

DOUGLAS

REDWOOD

BENTON

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

DAKOTA

DAKOTA

ISANTI

ISANTI

HENNEPIN

ANOKA

ANOKA

ANOKA

DAKOTA

DAKOTA

DAKOTA

DAKOTA

HENNEPIN

HENNEPIN

ROSEAU

STEARNS

STEARNS

HENNEPIN

RAMSEY

HENNEPIN

HENNEPIN

BLUE EARTH

HENNEPIN

HENNEPIN

FREEBORN

LESUEUR

MEEKER

MEEKER

MEEKER

MEEKER

WINONA

WINONA

RAMSEY

RAMSEY

HENNEPIN

HENNEPIN

ANOKA

HENNEPIN

OLMSTED

HENNEPIN

WASHINGTON

BROWN

MCLEOD

WILKIN

CROW WING

HENNEPIN

KANABEC

PINE

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

HENNEPIN

SAINT LOUIS

SAINT LOUIS

HENNEPIN

DAKOTA

DOUGLAS

DOUGLAS

STEVENS

HENNEPIN

HENNEPIN

544

403

143

425

227

348

480

365

386

120

129

234

6

296

433

403

220

480

366

386

121

129

481

38

287

227

227

287

115

116

331

331

287

7

7

7

124

124

124

121

205

287

495

533

533

177

475

205

177

46

206

206

139

358

372

372

373

373

580

580

437

437

326

177

21

242

403

287

561

49

369

577

86

308

342

414

206

178

178

287

287

287

287

506

507

158

124

131

131

545

308

287

Page 736: 2021 Directory of Registered, Licensed, and/or Certified ......$ 683(59,6(' /,9,1* )$&,/,7< surylghv d uhvlghqwldo krpholnh vhwwlqj iru shuvrqv zkr duh lqwhoohfwxdoo\ glvdeohg dgxow