The Gables Of Boutwells Landing

LBN: Vssa Care Center Llc
The Gables Of Boutwells Landing is an health care organization with primary practice located at 13575 58Th St. N. , Oak Park Heights MN 55082-6994. 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. Vssa Care Center Llc can be contacted via phone (651) 430-7200, or through Meyer, Mark Thomas via phone (651) 631-6120.

Contact Information

Primary practice address
13575 58Th St. N. Oak Park Heights MN 55082-6994
Phone: (651) 430-7200
Fax: (651) 430-7201
Website:
Map and Directions
Authorized official contact:
Name: Meyer, Mark Thomas
Phone: (651) 631-6120

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 343663 Minnesota

Profile Details

NPI number 1205077559
LBN Legal business name Vssa Care Center Llc
DBA Doing business as The Gables Of Boutwells Landing
Authorized official Meyer, Mark Thomas
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 17th, 2009
Last updated Jan 24th, 2017 - about 9 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 1205077559 NPPES
Minnesota MEDICAID 378150100
Minnesota Other NH0827

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