Johanna Shores

LBN: Presbyterian Homes Of Arden Hills Inc
Johanna Shores is an health care organization with primary practice located at 3220 Lake Johanna Blvd , Arden Hills MN 55112. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Presbyterian Homes Of Arden Hills Inc can be contacted via phone (651) 631-6119, or through Meyer, Mark via phone (651) 631-6120.

Contact Information

Primary practice address
3220 Lake Johanna Blvd Arden Hills MN 55112
Phone: (651) 631-6119
Fax: (651) 631-6122
Website:
Map and Directions
Authorized official contact:
Name: Meyer, Mark
Phone: (651) 631-6120

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1629172630
LBN Legal business name Presbyterian Homes Of Arden Hills Inc
DBA Doing business as Johanna Shores
Authorized official Meyer, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Sep 11th, 2006
Last updated Mar 14th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629172630 NPPES
Minnesota MEDICAID 369842400
Minnesota Other NH0085
Minnesota Other 712686

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