2012 DIRECTORY LICENSED, CERTIFIED AND REGISTERED HEALTH CARE FACILITIES AND SERVICES Minnesota Department of Health Licensing and Certification Program P.O. Box 64900 St. Paul, Minnesota 55164-0900 TABLE OF CONTENTS FOREWORD TABLES: STATISTICAL DATA Page 1. Licensing Classifications and Bed Capacities of Institutions and Units, March 15, 2012 ........ I 2. Certification Classifications, March 15, 2012 ........................................................................... I 3. Increase in number of licensed inpatient facilities during the past 65 years ............................. II 4. Hospitals: Bed Range, Ownership ............................................................................................ II 5. Nursing Homes and Units: Bed Range, Ownership ................................................................. III 6. Nursing Homes and Units: Ownership, Percentage of Change ............................................... III 7. Boarding Care Homes and Units: Bed Range, Ownership ..................................................... IV 8. Boarding Care Homes and Units: Ownership, Percentage of Change .................................... IV 9. Supervised Living Facilities and Units: Bed Range, Ownership .............................................. V 10. Supervised Living Facilities and Units: Ownership, Percentage of Change............................. V 11. Number of Licensed Facilities and Beds by County, March 15, 2012 ............................ VI - XI 12. Number of Certified Facilities and Beds by County, March 15, 2012......................... XII - XVI 13. Number of Certified Services by County, March 15, 2012 ....................................... XVII - XX 14. Number of Licensed Home Care Providers (HCP) by Classifications and County, March 15, 2012 ....................................................................................................... XXI – XXIII 15. Number of Housing with Services Establishments by County, March 15, 2012 ..... XXIV-XXV 16. Number of Hospices and Residential Hospices by County, March 15, 2012…… XXVI-XXVII FEDERAL HOSPITALS ...................................................................................................... XXVIII ABBREVIATIONS.................................................................................................................. XXIX LICENSING AND CERTIFICATION INFORMATION FOR ALL HEALTH CARE FACILITIES AND SERVICES........................................................... 1 - 418 LISTING OF HEALTH CARE FACILITIES - Grouped by Type/Location Boarding Care Homes and Units ...........................................................................................419 Community Mental Health Centers .......................................................................................420 Comprehensive Outpatient Rehabilitation Facilities .............................................................420 End Stage Renal Disease Providers .......................................................................................421 Licensed Home Care Providers...................................................................................... 422-437 Certified Home Health Agencies .................................................................................. 438-439 Licensed Hospices..................................................................................................................440 Medicare Certified Hospices ..................................................................................................441 Hospitals ........................................................................................................................ 442-443 Nursing Homes .............................................................................................................. 444-447 Outpatient Occupational Therapy Provider ...........................................................................448 Outpatient Physical Therapy Providers .................................................................................448 Outpatient Speech Therapy Providers ...................................................................................449 Outpatient Surgical Center ............................................................................................. 449-450 Portable X-Ray Suppliers ......................................................................................................451 Rural Health Clinics ...............................................................................................................452 Supervised Living Facilities........................................................................................... 453-455 ALPHABETICAL LISTING OF LOCATIONS OF HEALTH CARE FACILITIES ......... 456-461 INDEX CONTAINING PAGE NUMBER FOR SPECIFIC FACILITY OR SERVICE INDEX PAGES.................................................................................................................. 1 - 45 MINNESOTA DEPARTMENT OF HEALTH DIVISION OF COMPLIANCE MONITORING DIRECTORY OF LICENSED AND CERTIFIED HEALTH CARE FACILITIES & SERVICES March 15, 2012 FOREWORD The directory that follows contains a list of hospitals and related institutions licensed and/or certified as of March 15, 2012. They are listed alphabetically by county, town, and facility name. Ownership or control is indicated as follows: Governmental, NonFederal Nongovernmental, Nonprofit Nongovernmental, For Profit State County (CNTY) City City-County (CYCO) Hospital District (DIST) or Authority Church Related (CHURCH) Nonprofit Corporation (NPROF) Other Nonprofit Ownership (ONPROF Tribal (TRIBAL) Individual (INDIV.) Partnership (PART.) Corporation (CORP.) Group (GROUP) Business Trust (TRUST) Limited Liability Co. (LIM-LIAB) HOSPITAL AND NURSING HOME LICENSING LAW Hospitals, boarding care homes, outpatient surgical centers and supervised living facilities in Minnesota are licensed under the provisions of Sections 144.50 to 144.58 inclusive, Minnesota Statutes. Nursing homes are licensed under the provisions of 144A.01 - .17, inclusive, Minnesota Statutes. A "HOSPITAL" means an institution primarily engaged in providing, by or under the supervision of physicians, to inpatients (A) diagnostic services and therapeutic services for medical diagnosis, treatment, and care of injured, disabled or sick persons, or (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons. A "PSYCHIATRIC HOSPITAL" means an entire institution which is primarily engaged in providing, by or under the supervision of a physician, psychiatric services for the diagnosis and treatment of mentally ill persons. A psychiatric wing or building of a general hospital would not be considered a psychiatric hospital. An "OUTPATIENT SURGICAL CENTER" means a freestanding facility organized for the specific purpose of providing elective outpatient surgery for preexamined, prediagnosed, low risk patients. A "NURSING HOME" means a facility or that part of a facility which provides nursing care to five or more persons. Nursing care means health evaluation and treatment of patients and residents who are not in need of an acute care facility but who require nursing supervision on an inpatient basis. A "BOARDING CARE HOME" provides personal or custodial care only. Examples of personal or custodial care include: Help with bathing, dressing, or other personal care; supervision of medications which can be safely self-administered; plus a program of activities and supervision required by persons who are not capable of properly caring for themselves. A "SUPERVISED LIVING FACILITY" provides a residential, homelike setting for persons who are mentally retarded, adult mentally ill, chemically dependent, or physically handicapped. Services include provision of meals, lodging, housekeeping services, health services, and other services provided by either staff or residents under supervision. Class A facilities include homes for ambulatory and mobile persons who are capable of taking appropriate action for self-preservation under emergency conditions as determined by program licensure provisions. Class B facilities include homes for ambulatory, nonambulatory, mobile or nonmobile persons who are not mentally or physically capable of taking appropriate action for self-preservation under emergency conditions as determined by program licensure provisions. HOME CARE PROVIDER LICENSING LAW Home care providers in Minnesota are licensed under the provisions of Sections 144A.43-144A.47 inclusive, Minnesota Statutes. A "Home Care Provider" means an individual, organization, association, corporation, unit of government, or other entity that is regularly engaged in the delivery, indirectly or by contractual arrangement, of home care services for a fee. At least one home care service must be provided directly, although additional home care services may be provided by contractual arrangements. Classes of home care licenses are: Class A or professional home care agency license. Provider may provide all home care services, but at least one of which is nursing, physical therapy, speech therapy, occupational therapy, nutritional services, medical social services, home health aide tasks, or the provision of medical supplies and equipment when accompanied by the provision of a home care services. These may be provided in a place of residence, including a residential center. Class B or paraprofessional agency license. Under this license, a provider may perform home care aide tasks and home management tasks in a place of residence. Class C, or individual paraprofessional license. Under this license, a provider may perform home health aide, home care aide, and home management tasks in a place of residence. Class F home care provider license. Under this license, a provider may provide assisted living home care services solely for residents of one or more registered housing with services establishments. HOME MANAGEMENT SERVICES A provider performing only home management tasks must obtain a certificate of registration from the commissioner of health. Home management services include at least two of the following services: housekeeping, meal preparation, and shopping provided to a person who is unable to perform these activities due to illness, disability or physical condition. HOUSING WITH SERVICES ESTABLISHMENTS Housing with services establishments are registered under the provisions of Chapter 144D., Minnesota Statutes. A housing with services establishment provides sleeping accommodations to one or more adult residents, at least 80 percent of which are 55 years of age or older and offering or providing for a fee, one or more regularly scheduled health related services or two or more regularly scheduled supportive services. An establishment that meets all the requirements of this chapter except that fewer than 80 percent of the adult residents are age 55 or older may, at its option, register as a housing with services establishment. Housing with services establishments that provide Assisted Living Services must meet the requirements under the provisions of Chapter 144G., Minnesota Statutes. “Assisted living” means a service or package of services advertised, marketed or otherwise described, offered or promoted under the phrase “assisted living” and which is available only to individuals residing in a registered housing with services establishment HOSPICE PROVIDERS Hospices are licensed under Minnesota Statutes, Section 144A.75, 144A.751-144A.756 and rules adopted thereunder. A hospice provider means an individual, organization, association, corporation, unit of government, or other entity that is regularly engaged in the delivery, directly or by contractual arrangement, of hospice services for a fee to terminally ill hospice patients. Residential hospice facility means a facility that resembles a single-family home located in a residential area that directly provides 24-hour residential and support services in a home-like setting for hospice patients as an integral part of the continuum of home care provided by a hospice. I DIRECTORY OF LICENSED AND CERTIFIED HEALTH CARE FACILITIES AND SERVICES Classification and Bed Capacity: As of March 15, 2012 the number of licensed Facilities and Services and the total bed capacities were as shown in Table 1; their certification classifications were as shown in Table 2. TABLE 1 Licensing Classifications, March 15, 2012 Licensing Classifications Number of Facilities and Services Hospitals Bassinets Psychiatric Hospital Nursing Home Boarding Care Homes (Includes B.C.H. Units of Other Facilities) Supervised Living Facilities Freestanding Outpatient Surgical Centers Other Specialized Hospitals Home Care Providers Hospices 138 119 1 376 29 (8) 307 59 10 1,618 79 Number of Beds 16,509 1,831 20 30,787 1,631 (434) 5,153 N/A 382 N/A N/A TABLE 2 Certification Classifications, March 15, 2012 Licensing Classifications Number of Facilities and Services Number of Beds Medicare Hospitals Critical Access Hospitals Psychiatric Hospital Skilled Nursing Facilities Portable X-Ray Facilities Outpatient Occupational Therapy Outpatient Physical Therapy Outpatient Speech Therapy Home Health Agencies Hospices Renal Disease Suppliers Comprehensive Outpatient Rehabilitation Facility Ambulatory Surgical Centers Rural Health Clinics Community Mental Health Centers 62 81 3 369 5 31 36 27 201 65 97 4 57 80 14 13,262 1,793 286 29,952 ------------------- 362 18 211 29,605 947 1,830 69 ------- ------------------------------------------ Medicaid Nursing Facilities I Nursing Facilities II Intermediate Care Facilities/Mental Retardation Accreditation by Approved Accrediting Organization Hospitals (Excluding Psychiatric Facilities) Housing with Services Establishments TABLE 2A 1,769 ------- II TABLE 3 The following table shows the change in the total number of licensed inpatient facilities and units during the past 65 years. January 1, 1943 Number of Facilities Hospitals Nursing Homes and Units Boarding Care Homes Supervised Living Facilities Other * TOTALS March 15, 1975 Number of Beds Number of Facilities 188 137 11,159 3,905 72 397 March 15, 2012 Number of Beds Number of Facilities Number of Beds 1,161 180 446 201 88 81 19,929 37,260 8,188 3,733 8,152 138 376 29 307 10 16,509 30,787 1,631 5,153 382 16,225 996 77,262 860 54,462 *Includes state operated specialized hospital beds. TABLE 4 Hospitals: Bed Range, Total Numbers of Percentages of Hospitals and Beds; Hospitals and Beds by Ownership -March 15, 2012 Type of Ownership Hospital Total Number % of Total Hosp. Hosp. Beds Beds Nonprofit Hosp. Public Beds Hosp. Proprietary Beds Hosp. Beds 1 – 24 30 532 21.7 3.2 21 382 8 140 1 10 25 – 49 52 1,785 37.7 10.8 29 1,029 23 756 0 0 50 - 99 26 1,931 18.8 11.7 23 1,657 2 182 1 92 100 - 299 16 3,052 11.6 18.5 14 2,789 2 263 0 0 300 + 14 9,209 10.1 55.8 12 8,315 2 894 0 0 138 16,509 100.0 100.0 99 14,172 37 2,235 2 102 TOTALS III TABLE 5 Nursing Homes and Units: Bed Range, Total Numbers and Percentages of Home and Beds by Ownership -- March 15, 2012 Type of Ownership Nursing Home Range Total Number % of Total Nonprofit Homes Homes Beds Homes Beds Homes Beds Homes Beds Public Proprietary Beds 1 - 24 3 51 .8 .2 2 30 0 0 1 21 25 - 49 83 3,341 22.1 10.9 45 1,821 14 562 24 958 50 - 99 194 13,374 51.6 43.4 114 8,095 25 1,591 55 3,688 92 12,645 24.5 41.1 62 8,557 5 631 25 3,457 4 1,376 1.1 4.5 3 1,035 1 341 0 0 376 30,787 100.0 100.0 226 19,538 45 3,125 105 8,124 100 - 299 300 + TOTALS TABLE 6 Nursing Homes and Units: Home and Beds by Ownership and Percentage of Change -- March 15, 2011 and March 15, 2012 March 15, 2011 Nursing Home Units Ownership Homes and Units March 15, 2012 Beds Homes and Units % of Change Beds Homes and Units Beds Non Profit 229 20,097 226 19,538 -1.3 -2.9 Public 48 3,280 45 3,125 -6.7 -4.7 Subtotal, Non Profit And Public 277 23,377 271 22,663 -2.2 -3.2 Proprietary 102 8,190 105 8,124 2.9 -.8 TOTALS 379 31,567 376 30,787 -.79 -2.5 IV TABLE 7 Boarding Care Homes and Units: Bed Range, Total Numbers and Percentages of Homes and Beds by Ownership -March 15, 2012 Type of Ownership BCH Units Range Total Number % of Total Homes Homes Beds Homes Beds Homes Beds Nonprofit Public Proprietary Beds Homes Beds 1 – 24 9 94 31.0 5.8 4 14 0 0 5 80 25 - 49 7 223 24.1 13.7 1 33 0 0 6 190 50 - 99 7 422 24.1 25.9 5 304 0 0 2 118 100 - 299 6 892 20.7 54.7 1 104 2 361 3 427 300 + 0 0 0 0.0 0 0 0 0 0 0 29 1,631 100.0 100.0 11 455 2 361 16 815 TOTALS TABLE 8 Boarding Care Home Units: Home and Beds by Ownership and Percentage of Change -- March 15, 2011 and March 15, 2012 March 15, 2011 March 15, 2012 % of Change BCH Ownership Homes and Units Beds Homes and Units Beds Homes and Units Beds Non Profit 12 489 11 455 -9.0 -7.5 2 361 2 361 0.0 0.0 Subtotal, Non Profit and Public 14 850 13 816 -7.7 -4.2 Proprietary 16 825 16 815 0.0 -1.2 TOTALS 30 1,675 29 1,631 -3.4 -2.7 Public V TABLE 9 Supervised Living Facility and Units: Bed Range, Total Numbers and Percentages of Facility and Beds by Ownership March 15, 2012 Type of Ownership SLF Range Total Number % of Total Homes Beds Homes 1 - 15 234 1,697 76.2 16 - 49 57 1,445 50 - 99 13 100 - 299 300 + TOTALS Nonprofit Beds Public Proprietary Homes Beds Homes Beds Homes Beds 32.9 113 791 20 136 101 770 18.6 28.0 30 798 7 164 20 483 797 4.2 15.5 5 297 6 399 2 101 1 248 .3 4.8 0 0 1 248 0 0 2 966 .7 18.7 0 0 2 966 0 0 307 5,153 100.0 100.0 148 1,886 36 1,913 123 1,354 TABLE 10 Supervised Living Facilities and Units: Facilities and Beds by Ownership and Percentage of Change -- March 15, 2011 and March 15, 2012 March 15, 2011 March 15, 2012 % of Change SLF Ownership Homes and Units Beds Homes and Units Beds Homes and Units Beds Non Profit 151 1,923 148 1,886 -2.0 -2.0 34 1,905 36 1,913 5.6 .42 Subtotal, Non Profit 185 3,828 184 3,799 -.54 -1.3 Proprietary 124 1,372 123 1,354 -.81 -1.3 TOTALS 309 5,200 307 5,153 -.65 -.91 Public County AITKIN ANOKA BECKER BELTRAMI BENTON BIG STONE BLUE EARTH BROWN CARLTON CARVER CASS CHIPPEWA CHISAGO CLAY CLEARWATER COOK COTTONWOOD VI Page TABLE 11: Number of Licensed Facilities and Beds by County, March 15, 2012 Hosp. Psych. No. No. Beds Beds Bass. No. N.H. No. 1 0 1 2 0 0 0 0 24 0 6 123 0 0 0 0 B.C.H S.L.F-A S.L.F-B No. No. No. Other Outpat. No. Surg. Beds 2 0 2 6 0 4 4 1 546 0 74 521 0 58 118 200 1 0 1 4 0 0 1 0 87 0 16 335 0 0 9 0 1 0 1 3 0 0 0 2 118 0 12 198 0 0 0 16 0 0 0 3 0 0 1 0 0 0 0 416 0 0 68 0 2 0 2 2 0 0 1 0 40 0 4 114 0 0 12 0 1 0 1 5 0 1 3 0 272 0 26 371 0 11 43 0 3 0 3 4 0 2 2 0 111 0 24 322 0 14 20 0 3 0 2 3 0 1 2 0 67 0 13 264 0 40 564 0 1 0 1 4 1 4 2 0 109 0 20 249 0 41 40 0 0 0 0 2 0 0 0 0 0 0 0 102 0 0 0 0 1 0 1 2 0 1 0 0 30 0 6 158 0 6 0 0 1 0 1 3 0 1 2 0 61 0 12 218 0 8 17 0 0 0 0 4 0 0 1 0 0 0 0 362 0 0 10 0 1 0 1 2 0 1 1 0 25 0 4 86 0 12 3 0 1 0 1 1 0 0 0 0 16 0 2 37 0 0 0 0 2 0 1 3 0 1 1 0 43 0 6 173 0 12 21 0 0 4 2 0 0 0 3 0 0 1 0 0 0 0 0 0 0 County CROW WING DAKOTA DODGE DOUGLAS FARIBAULT FILLMORE FREEBORN GOODHUE GRANT HENNEPIN HOUSTON HUBBARD ISANTI ITASCA JACKSON KANABEC KANDIYOHI VII Page TABLE 11: Number of Licensed Facilities and Beds by County, March 15, 2012 Hosp. Psych. No. No. Beds Beds Bass. No. N.H. No. 2 0 2 3 0 1 2 1 204 0 22 286 0 0 74 16 B.C.H S.L.F-A S.L.F-B No. No. No. Other Outpat. No. Surg. Beds 2 0 2 8 1 8 11 0 207 0 60 912 200 78 104 0 0 0 0 2 0 0 1 0 0 0 0 106 0 0 6 0 1 0 1 4 0 2 1 1 127 0 14 300 0 12 6 16 1 0 1 3 0 1 0 0 43 0 4 220 0 24 0 0 0 0 0 6 0 0 0 0 0 0 0 321 0 0 0 0 1 0 1 3 1 1 2 0 77 0 12 348 9 26 64 0 2 0 2 7 0 0 3 0 71 0 11 553 0 0 42 0 1 0 1 2 0 0 0 0 20 0 2 69 0 0 0 0 11 1 8 48 14 37 35 0 5401 20 590 6316 1039 540 311 0 0 0 0 4 0 0 2 0 0 0 0 190 0 0 21 0 1 0 1 1 0 1 1 0 50 0 10 68 0 28 8 0 1 0 1 2 0 1 1 0 86 0 15 256 0 11 6 0 3 0 3 4 0 0 1 0 104 0 20 300 0 0 24 0 1 0 0 2 0 0 0 0 20 0 0 105 0 0 0 0 1 0 1 1 0 0 0 0 49 0 8 77 0 0 0 0 1 0 1 5 0 1 4 1 136 0 20 440 0 6 128 70 1 2 0 1 0 0 0 0 0 21 0 0 0 1 0 0 2 County KITTSON KOOCHICHING LAC QUI PARLE LAKE LAKE OF THE WOODS LESUEUR LINCOLN LYON MAHNOMEN MARSHALL MARTIN MCLEOD MEEKER MILLE LACS MORRISON MOWER MURRAY VIII Page TABLE 11: Number of Licensed Facilities and Beds by County, March 15, 2012 Hosp. Psych. No. No. Beds Beds Bass. No. N.H. No. 1 0 1 2 0 0 1 0 15 0 0 116 0 0 6 0 B.C.H S.L.F-A S.L.F-B No. No. No. Other Outpat. No. Surg. Beds 1 0 1 3 0 1 1 0 49 0 11 150 0 8 2 0 2 0 2 2 0 0 1 0 32 0 6 136 0 0 6 0 1 0 1 2 0 0 1 0 25 0 1 128 0 0 5 0 1 0 1 1 0 0 0 0 15 0 3 42 0 0 0 0 1 0 0 3 0 0 0 0 24 0 0 160 0 0 0 0 2 0 1 3 0 0 1 0 44 0 1 121 0 0 10 0 2 0 1 4 0 4 1 0 74 0 8 237 0 46 6 0 1 0 0 1 0 0 0 0 18 0 0 48 0 0 0 0 1 0 0 1 0 0 0 0 20 0 0 60 0 0 0 0 1 0 1 4 0 0 3 0 57 0 16 221 0 0 32 0 2 0 2 3 0 0 1 0 115 0 14 300 0 0 6 0 1 0 1 3 0 0 0 0 35 0 4 204 0 0 0 0 2 0 2 3 0 0 0 0 82 0 13 270 0 0 0 0 1 0 1 3 0 0 1 0 49 0 10 208 0 0 14 0 1 0 1 5 0 1 5 0 82 0 10 262 0 8 26 0 1 0 1 2 0 0 1 0 25 0 2 117 0 0 18 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 County NICOLLET NOBLES NORMAN OLMSTED OTTER TAIL PENNINGTON PINE PIPESTONE POLK POPE RAMSEY RED LAKE REDWOOD RENVILLE RICE ROCK ROSEAU IX Page TABLE 11: Number of Licensed Facilities and Beds by County, March 15, 2012 Hosp. Psych. No. No. Beds Beds Bass. No. N.H. No. 1 0 1 3 0 1 6 1 17 0 0 165 0 58 655 16 B.C.H S.L.F-A S.L.F-B No. No. No. Other Outpat. No. Surg. Beds 1 0 1 4 0 0 1 0 48 0 7 189 0 0 15 0 1 0 0 3 0 0 0 0 14 0 0 151 0 0 0 0 3 0 3 7 0 4 4 1 2120 0 97 612 0 67 45 16 3 0 3 10 0 2 2 1 166 0 16 736 0 66 15 16 1 0 1 2 0 1 0 0 99 0 10 110 0 10 0 0 2 0 1 2 0 1 2 0 40 0 5 106 0 16 8 0 1 0 1 2 0 2 1 0 44 0 12 150 0 27 7 0 2 0 2 6 0 0 3 0 92 0 17 381 0 0 54 0 1 0 1 3 0 0 0 0 34 0 4 161 0 0 0 0 7 0 4 30 6 22 32 0 1914 0 150 3026 242 195 324 0 0 0 0 1 0 0 1 0 0 0 0 30 0 0 6 0 1 0 1 6 1 0 3 0 25 0 6 275 26 0 18 0 1 0 1 5 0 1 0 0 35 0 6 256 0 10 0 0 2 0 2 6 0 2 1 0 136 0 28 413 0 36 6 0 1 0 1 3 1 0 1 0 28 0 5 191 4 0 6 0 1 0 1 3 1 0 0 0 25 0 7 149 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 1 0 0 County SAINT LOUIS SCOTT SHERBURNE SIBLEY STEARNS STEELE STEVENS SWIFT TODD TRAVERSE WABASHA WADENA WASECA WASHINGTON WATONWAN WILKIN WINONA X Page TABLE 11: Number of Licensed Facilities and Beds by County, March 15, 2012 Hosp. Psych. No. No. Beds Beds Bass. No. N.H. No. 8 0 7 17 1 7 9 0 1125 0 95 1386 54 88 93 0 B.C.H S.L.F-A S.L.F-B No. No. No. Other Outpat. No. Surg. Beds 2 0 2 4 0 1 1 0 142 0 22 372 0 9 52 0 0 0 0 3 0 0 3 0 0 0 0 394 0 0 18 0 1 0 0 3 0 1 0 0 20 0 0 130 0 15 0 0 5 0 5 7 0 1 2 0 592 0 62 454 0 18 43 0 1 0 1 3 0 2 2 0 43 0 16 219 0 21 22 0 1 0 1 1 0 0 1 0 54 0 5 88 0 0 6 0 2 0 2 2 1 0 0 0 46 0 5 96 19 0 0 0 2 0 2 2 0 0 0 0 71 0 18 141 0 0 0 0 1 0 1 2 0 0 0 0 25 0 4 89 0 0 0 0 2 0 2 3 1 0 0 0 49 0 9 243 38 0 0 0 1 0 1 3 0 1 2 0 49 0 6 240 0 20 32 0 1 0 0 3 0 0 0 0 35 0 0 160 0 0 0 0 2 0 2 6 0 5 2 0 183 0 35 654 0 60 15 0 2 0 2 2 0 0 1 0 50 0 13 126 0 0 13 0 1 0 1 1 0 0 0 0 25 0 8 120 0 0 0 0 1 0 1 5 0 1 0 0 99 0 14 411 0 6 0 0 2 0 0 0 5 0 0 0 0 0 0 0 0 4 0 0 0 County WRIGHT YELLOW MEDICINE Minnesota Hosp. Psych. No. No. Beds Beds Bass. No. N.H. No. XI Page TABLE 11: Number of Licensed Facilities and Beds by County, March 15, 2012 B.C.H S.L.F-A S.L.F-B No. No. No. Other Outpat. No. Surg. Beds 2 0 2 7 0 1 2 1 104 0 30 483 0 40 18 16 2 0 2 3 0 2 2 0 55 0 7 184 0 66 15 0 138 1 119 376 29 133 186 10 16509 20 1831 30787 1631 1817 3336 382 0 0 59 Page XXVIII FEDERAL HOSPITALS * County - Institution Address Ownership BELTRAMI - Red Lake Indian Hospital Red Lake Federal CASS - Cass Lake Indian Hospital Cass Lake Federal HENNEPIN - Veterans Administration Hospital 54th Street & 48th Avenue 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. ABBREVIATIONS Amb. Surg. -- Ambulatory Surgical Center SNF/NF -- Medicare/Medicaid Facility Bass. -- Bassinets BCH -- Boarding Care Home CAH – Critical Access Hospital CMHC -- Community Mental Health Center CORF -- Comprehensive Outpatient Rehabilitation Facility ESRD -- End Stage Renal Disease Provider HCP-A -- Professional Home Care Agency License HCP-B -- Paraprofessional Agency License HCP-C -- Individual Paraprofessional License HCP-F -- Class F Home Care Provider License HCP-M -- Home Management Registration HHA -- Home Health Agency Hosp. -- Hospital HSPICE -- Hospice HWS – Housing with Services Establishment HWSAL – Housing with Services Establishment – Assisted Living HWS-O – Housing with Services Establishment – Optional Registration ICF/MR -- Intermediate Care Facility/Mental Retardation NF -- Nursing Facility (Medicaid Certified) NH -- Nursing Home Other -- Other Specialized Hospitals Output OT -- Outpatient Occupational Therapy Provider Outpt. PT -- Outpatient Physical Therapy Provider Outpt. ST. -- Outpatient Speech Therapy Provider Outpt. Surg. -- Outpatient Surgical Center Port. X-Ray -- Portable X-Ray Supplier Psy. Hosp. -- Psychiatric Hospital RESHPC – Residential Hospice Rural Hlth. -- Rural Health Clinic SLF -- Supervised Living Facility SNF -- Medicare Skilled Nursing Facility Page XXIX Minnesota Department of Health Division of Compliance Monitoring Page 1 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp AICOTA HEALTH CARE CENTER Certification AITKIN Registration ******** -------------------------- NH-75 SNF-NF-75 850 SECOND STREET NORTHWEST (00848) AITKIN, MN 56431 PHONE: 218/927-2164 FAX: MS. ALISON MATALAMAKI 218/927-6436 Corp AICOTA HEALTH CARE CENTER INC HCP-F HWSAL 850 2ND STREET NORTHWEST (24776) AITKIN, MN 56431 PHONE: 218/927-2182 FAX: MR. BARRY FOSS 218/927-2801 NProf AITKIN COUNTY CARE HCP-A 503 NORTH MINNESOTA AVENUE (28463) AITKIN, MN 56431 PHONE: 218/927-1383 FAX: MS. BETH LEAF 218/927-1382 NProf AITKIN HEALTH SERVICES NH-48 SNF-NF-48 301 MINNESOTA AVENUE SOUTH (00002) AITKIN, MN 56431 PHONE: 218/927-5545 FAX: MR. JAMES INGERSOLL 218/927-5564 Corp GOLDEN HORIZONS HCP-F HWSAL 518 SEVENTH AVE NE (23660) AITKIN, MN 56431 PHONE: 218/927-9996 FAX: 218/927-7005 MR. CHUCK LANE HWS HRA MARYHILL MANOR 215 3RD ST SE (23662) AITKIN, MN 56431 PHONE: 218/927-2151 FAX: 218/927-4159 MS. NANCY JOHNSON HOUG RHC Corp RIVERWOOD CLINIC AITKIN 200 BUNKER HILL DRIVE (03734) AITKIN, MN 56431 PHONE: 218/927-2157 FAX: MR. MICHAEL HAGEN /- NProf RIVERWOOD HEALTHCARE CENTER BASS-6 HOSP-24 CAH-24 200 BUNKER HILL DRIVE (21927) AITKIN, MN 56431 PHONE: 218/927-5501 FAX: Ind CHAPPYS GOLDEN SHORES MR. MICHAEL HAGEN 218/927-5575 HCP-F 530 PARK AVENUE (21006) HILL CITY, MN 55748 PHONE: 218/697-0145 FAX: 218/697-2573 MR. KEITH OLSON HWSAL Ind CHAPPYS GOLDEN SHORES 530 PARK AVENUE (21823) HILL CITY, MN 55748 PHONE: 218/697-2705 FAX: 218/697-8145 MR. KEITH OLSON Minnesota Department of Health Division of Compliance Monitoring Page 2 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification AITKIN (Cont.)* -------------------------HWSAL Lim-Liab NORTHLAND ASSISTED LIVING D/B/ Registration 22027 420TH STREET (27287) MCGREGOR, MN 55760 PHONE: 218/723-4040 FAX: MS. KARIE SIMPSON 218/723-4048 RHC Corp RIVERWOOD CLINIC MCGREGOR 2 EAST CENTER AVE PO BOX 340 (03736) MCGREGOR, MN 55760 PHONE: 218/768-4011 FAX: MR. MICHAEL HAGEN /- ---------------------------********** Lim-Liab AT YOUR SERVICE HH SERVICE LLC ANOKA ******** -------------------------- HCP-A 458 139TH LANE (28068) ANDOVER, MN 55304 PHONE: 612/532-2121 FAX: MS. LYNDA ROBERTS /- HWSAL-O Corp CYPRESS MANOR 16770 WREN STREET NW (25460) ANDOVER, MN 55304 PHONE: 763/712-8363 FAX: MR. JACOB NELSON 763/323-4811 Corp DONA CARING HEARTS INC HCP-A 1092 142ND LANE NW (25818) ANDOVER, MN 55304 PHONE: 763/238-4722 FAX: 763/432-2661 Ind JUST FOR RACHEL HOME CARE MS. WEATTA JACKSON HCP-A 4954 170TH LANE NORTHWEST (25672) ANDOVER, MN 55304 PHONE: 763/286-3862 FAX: MS. ANGELA ELLIOTT 763/753-1964 HWSAL NProf THE FARMSTEAD 13733 QUAY STREET (20547) ANDOVER, MN 55304 PHONE: 763/712-7000 FAX: MS. SUSAN MINAR 763/712-7001 NProf THE FARMSTEAD HCP-F 13733 QUAY STREET (27961) ANDOVER, MN 55304 PHONE: 763/172-7000 FAX: MS. NATALIE MORLAND 763/712-7001 Corp AMERICAN BEST HOME CARE HCP-A 1820 FOURTH AVENUE (27873) ANOKA, MN 55303 PHONE: 612/919-9523 FAX: /- MR. SEGUN OLATAYO Minnesota Department of Health Division of Compliance Monitoring Page 3 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf ANOKA CARE CENTER Certification ANOKA Registration (Cont.)* -------------------------- NH-96 SNF-NF-96 1040 MADISON STREET (00893) ANOKA, MN 55303 PHONE: 763/421-2311 FAX: State ANOKA METRO REG TREATMENT CTR MR. DEAN MCDEVITT 763/421-2683 OTHER-200 SLFB-77 PSY-200 3301 - 7TH AVE N (00004) ANOKA, MN 55303 PHONE: 763/712-5000 FAX: Lim-Liab GOLDEN LIVINGCENTER TWIN RIVER MR. BRIAN TEUBER 763/431-7733 NH-56 SNF-NF-56 305 FREMONT ST (00866) ANOKA, MN 55303 PHONE: 763/421-5660 FAX: MR. ERNEST GERSHONE 763/421-6581 HWSAL Lim-Liab RIVER OAKS OF ANOKA 910 WESTERN STREET (24353) ANOKA, MN 55303 PHONE: 763/421-4011 FAX: MR. FRANCIS LANG 763/422-8946 HWSAL-O Corp THE CEDARS 701 POLK STREET (24253) ANOKA, MN 55303 PHONE: 763/712-8363 FAX: 763/323-4811 MR. JACOB NELSON HWSAL-O Corp THE ELMS 2171 7TH AVENUE NORTH (20535) ANOKA, MN 55303 PHONE: 763/712-8363 FAX: 763/323-4811 MR. JACOB NELSON HWSAL Corp THE OAKS 2201 7TH AVENUE NORTH (20534) ANOKA, MN 55303 PHONE: 763/712-8363 FAX: MR. JACOB NELSON 763/323-4811 HWSAL-O Corp THE PINES 2153 7TH AVENUE NORTH (20536) ANOKA, MN 55303 PHONE: 763/712-8363 FAX: MR. JACOB NELSON 763/323-4811 HWSAL Corp THE WILLOWS 2918 7TH AVENUE NORTH (24668) ANOKA, MN 55303 PHONE: 763/712-8363 FAX: NProf WALKER PLAZA MR. JACOB NELSON 763/323-4811 HCP-F HWSAL 131 MONROE STREET (20443) ANOKA, MN 55303 PHONE: 763/422-4037 FAX: 763/422-8115 MR. LEE ENGLER Minnesota Department of Health Division of Compliance Monitoring Page 4 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification ANOKA (Cont.)* -------------------------HWSAL-O Corp WHISPERING PINES ASSTD LIVING Registration 2823 7TH AVE NORTH (23690) ANOKA, MN 55303 PHONE: 763/712-8363 FAX: Corp WHISPERING PINES ASSTD LIVING MR. JACOB NELSON 763/323-4811 HCP-F 707 POLK STREET (20533) ANOKA, MN 55303 PHONE: 763/712-8363 FAX: Corp ANTHONY LOUIS CENTER MR. JACOB NELSON 763/323-7822 SLFA-22 1000 PAUL PARKWAY (01400) BLAINE, MN 55434 PHONE: 763/757-2906 FAX: Lim-Liab BLAINE SUITE LIVING CARE LLC MS. MELISSA BROGGER 763/757-2059 HCP-F HWSAL 10669 ULYSSES ST NE (23914) BLAINE, MN 55449 PHONE: 763/754-7300 FAX: Lim-Liab BLAINE WHITE PINE MS. AUDREY MCELWAIN 763/754-2422 HCP-F HWSAL 12446 JAMESTOWN STREET NE (26857) BLAINE, MN 55449 PHONE: 763/754-1930 FAX: 763/754-1933 Lim-Liab COMFORT KEEPERS MS. RHONDA SCHILLINGER HCP-A 9298 CENTRAL AVE NE (26035) BLAINE, MN 55434 PHONE: 763/786-1000 FAX: 763/786-9440 MR. TOM BERARD Home Mgmt Lim-Liab COMFORT KEEPERS 9298 CENTRAL AVE NE STE 404 (28074) BLAINE, MN 55434 PHONE: 763/786-1000 FAX: Corp HIGH LAND CARE INC MS. BEV BERARD 763/786-9440 HCP-A 10307 UNIVERSITY AVE NE (03139) BLAINE, MN 55434 PHONE: 763/786-3439 FAX: Corp HOME INSTEAD SENIOR CARE MS. MARILYN LOM 763/783-3528 HCP-A 10155 UNIVERSITY AVE NW # 100 (23591) BLAINE, MN 55343 PHONE: 763/792-0041 FAX: Lim-Liab MINNESOTA EYE LASER AND SURGER MR. DANIEL ARNOLD 320/656-5229 Outpt Surg Amb Surg 11091 ULYSSES STREET (27713) BLAINE, MN 55434 PHONE: 952/888-5800 FAX: 952/884-2656 MS. CANDACE SIMERSON Minnesota Department of Health Division of Compliance Monitoring Page 5 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** State MSOCS BLAINE HOME Certification ANOKA Registration (Cont.)* -------------------------- SLFB-6 ICFMR-6 12949 KENYON STREET NORTHEAST (01644) BLAINE, MN 55449 PHONE: 763/755-0233 FAX: Lim-Liab NORTH METRO SURGERY CENTER MS. GEORGENE ANDRIST 763/755-0281 Outpt Surg Amb Surg 11855 ULYSSES STREET SUITE 270 (26537) BLAINE, MN 554344182 PHONE: 763/755-6540 FAX: Corp STERLING HOUSE OF BLAINE MS. JEANNIE FERNSTROM 763/755-6516 HCP-F HWSAL 1005 PAUL PARKWAY (20412) BLAINE, MN 55434 PHONE: 763/755-2800 FAX: Corp TRANSAMERICA CARE INC MS. LORI HANSON 763/755-6400 HCP-A 11536 YANCY COURT NE (28519) BLAINE, MN 55449 PHONE: 763/742-2225 FAX: MR. GEBI TUFAA 763/245-7276 HWSAL Corp TRANSAMERICA CARE INC 11536 YANCY COURT NORTHEAST (28520) BLAINE, MN 55449 PHONE: 763/742-2225 FAX: 763/245-7276 MR. GEBI TUFAA Out Pt Out Ot Corp HAM LAKE PHYSICAL THERAPY 18415 NE HWY 65 (03772) CEDAR, MN 55011 PHONE: 763/413-0880 FAX: 763/413-0850 Corp ANGELS OF MERCY MR. MARK NETZINGER HCP-A HWSAL 4427 MONROE STREET NE (25116) COLUMBIA HEIGHTS, MN 55421 PHONE: 763/432-9706 FAX: Corp ANGELS OF MERCY ASSISTED LIVIN MR. FOLUSO ALLISON 763/432-9708 HCP-F 4427 MONROE STREET NE (28129) COLUMBIA HEIGHTS, MN 55421 PHONE: 763/432-9706 FAX: MR. FOLUSO ALLISON 763/432-9708 HWS NProf COLUMBIA VILLAGE 1675 44TH AVENUE NE (20787) COLUMBIA HEIGHTS, MN 55421 PHONE: 763/782-1606 FAX: Corp COMPASSIONATE HOME HEALTH INC MS. SHIRLEY BARNES 763/782-0857 HCP-A 4148 5TH STREET NE (26735) COLUMBIA HEIGHTS, MN 55421 PHONE: 763/782-8740 FAX: 763/782-8740 MR. MARK ONYENEMEZU Minnesota Department of Health Division of Compliance Monitoring Page 6 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf CREST VIEW HOME CARE Certification ANOKA Registration (Cont.)* -------------------------- HCP-F 4444 RESERVOIR BOULEVARD NE (20750) COLUMBIA HEIGHTS, MN 55421 PHONE: 763/782-1605 FAX: MS. KATHLEEN MIKKELSON 763/788-0012 NProf CREST VIEW HOME HEALTH CARE HCP-A HHA 4444 RESERVOIR BOULEVARD NE (03080) COLUMBIA HEIGHTS, MN 55421 PHONE: 763/782-1611 FAX: MS. KATHLEEN MIKKELSON 763/788-0012 NProf CREST VIEW LUTHERAN HOME NH-122 SNF-NF-122 4444 RESERVOIR BLVD NE (00005) COLUMBIA HEIGHTS, MN 55421 PHONE: 763/782-1611 FAX: MR. TALIA ARAMALAY 763/782-0857 HWSAL NProf CREST VIEW ON 42ND 900 - 42ND AVENUE NE (21871) COLUMBIA HEIGHTS, MN 55421 PHONE: 763/781-5873 FAX: MS. KAREN FANTLE 763/781-5874 Lim-Liab LIGHTHOUSE OF COLUMBIA HEIGHTS HCP-F HWSAL 3801 HART BOULEVARD NORTHEAST (26853) COLUMBIA HEIGHTS, MN 55421 PHONE: 763/210-6600 FAX: 763/210-6695 Lim-Liab PRO-HEALTH HOME CARE AGENCY LL MS. TAMMY KUCERA HCP-A 3989 CENTRAL AVE NE SUITE 510 (25163) COLUMBIA HEIGHTS, MN 55421 PHONE: 763/746-8155 FAX: 763/746-8154 DR. ABDULWAHAB ASAMARAI HWSAL NProf ROYCE PLACE 1515 - 44TH AVENUE NE (20079) COLUMBIA HEIGHTS, MN 55421 PHONE: 763/788-2020 FAX: MS. KAREN FANTLE 763/788-0012 HWS NProf THE BOULEVARD 4458 RESERVOIR BLVD NORTHEAST (20078) COLUMBIA HEIGHTS, MN 55421 PHONE: 763/782-1606 FAX: MS. SHIRLEY BARNES 763/782-0857 Lim-Liab ALLIANCE HOMECARE SERVICES LLC HCP-A 9749 ILEX STREET NORTHWEST (28029) COON RAPIDS, MN 55433 PHONE: 763/208-6295 FAX: MS. BAO CHA 763/355-5459 Corp AT HOME HEALTH CARE INC HCP-A 1601 128TH LANE NW (27749) COON RAPIDS, MN 55448 PHONE: 763/381-4448 FAX: /- MS. JESSICA EASTER Minnesota Department of Health Division of Compliance Monitoring Page 7 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab CAMILIA ROSE CARE CENTER LLC Certification ANOKA Registration (Cont.)* -------------------------- NH-94 SNF-NF-94 11800 XEON BOULEVARD (00757) COON RAPIDS, MN 55448 PHONE: 763/755-8400 FAX: MS. SHARON FALKNOR 763/755-8578 Lim-Liab CAMILIA ROSE GROUP HOME SLFB-29 ICFMR-29 11820 XEON BOULEVARD (01141) COON RAPIDS, MN 55448 PHONE: 763/755-8480 FAX: MS. MARY TJOSVOLD 763/755-3130 Corp COMMUNITY LIVING INC COTTAGE 5 SLFA-12 ICFMR-12 2483 109TH AVENUE NORTHWEST (01538) COON RAPIDS, MN 55433 PHONE: 952/443-2048 FAX: MS. MONICA SCHMIDT 952/443-2371 Corp COMMUNITY LIVING INC COTTAGE 6 SLFA-12 ICFMR-12 2493 109TH AVENUE NORTHWEST (01253) COON RAPIDS, MN 55433 PHONE: 952/443-2048 FAX: MS. MONICA SCHMIDT 952/443-2371 ESRD Corp COON RAPIDS DIALYSIS UNIT 3960 COON RAPIDS BLVD # 309 (02316) COON RAPIDS, MN 55103 PHONE: 763/421-8717 FAX: /- MS. JENNIFER ELLEFSON Ind COVENANT HOME HEALTH CARE LLC HCP-A HHA 199 COON RAPIDS BLVD STE 111 (02135) COON RAPIDS, MN 55433 PHONE: 763/755-9009 FAX: 763/862-8030 MS. GLORIA KLINEFELTER HWSAL Corp CREEKSIDE COTTAGE CATERED LIVI 1190 117TH AVENUE NW (24666) COON RAPIDS, MN 55448 PHONE: 763/754-6902 FAX: MS. MARY TJOSVOLD 763/754-6903 HWSAL Corp DEMAR ASSOCIATES INC 11777 XEON BOULEVARD (20134) COON RAPIDS, MN 55448 PHONE: 763/755-8174 FAX: MS. MARY TJOSVOLD 763/862-3846 HWSAL Corp EAGLE STREET CATERED LIVING 12009 EAGLE STREET (20835) COON RAPIDS, MN 55448 PHONE: 763/862-1627 FAX: Corp ELITE NURSING SERVICE MS. MARY TJOSVOLD 763/862-1900 HCP-A 2393 COON RAPIDS BOULEVARD (26977) COON RAPIDS, MN 55433 PHONE: 763/421-3613 FAX: 763/374-5451 MR. BANBAH DENNIS GARSINII Minnesota Department of Health Division of Compliance Monitoring Page 8 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf EPIPHANY ASSISTED LIVING LLC Certification ANOKA Registration (Cont.)* -------------------------- HCP-F HWSAL 10955 HANSON BOULEVARD NW (21113) COON RAPIDS, MN 55433 PHONE: 763/755-0320 FAX: MS. LAURIE ANDERSON 763/772-1070 HWS NProf EPIPHANY PINES SENIOR HOUSING 1800 - 111TH AVE NW (23423) COON RAPIDS, MN 55433 PHONE: 763/755-9299 FAX: MS. MARY MCCARTY 763/862-4641 ESRD Corp FMC DIALYSIS SERVCES NO SUBURB 9144 SPRINGBROOK DRIVE (02816) COON RAPIDS, MN 55355 PHONE: 763/783-0103 FAX: MR. RICHARD PHIDD /- ESRD Corp FRESENIUS MED CARE COON RAPIDS 3465 NORTHDALE BOULEVARD (25769) COON RAPIDS, MN 55448 PHONE: 763/421-1032 FAX: MR. JOHN MARIETTI 763/421-1054 Home Mgmt Lim-Liab GRACIOUS COMPANIONS LLC 12564 GROUSE STREET NORTHWEST (27401) COON RAPIDS, MN 55448 PHONE: 763/233-1023 FAX: 763/862-8420 MS. REGINA KENNEY HWSAL NProf HOMESTEAD COON RAPIDS MEMORY 1770 113TH LANE (20478) COON RAPIDS, MN 55433 PHONE: 763/754-3500 FAX: 763/754-3700 Part MARGARET PLACE LTD PARTNERSHI MS. JENNIFER FRAZER-JOHN HCP-F HWS 1555 118TH LANE NORTHWEST (20886) COON RAPIDS, MN 55448 PHONE: 763/754-2505 FAX: Corp MARY T HOME HEALTH MS. MARY TJOSVOLD 763/754-0332 HCP-A HHA 1555 118TH LANE NORTHWEST (03136) COON RAPIDS, MN 55448 PHONE: 763/862-5479 FAX: Corp MARY T HOSPICE MR. RANDY LEJA 763/755-3631 Hospice HSPICE 1555 - 118TH LANE NW (26345) COON RAPIDS, MN 55448 PHONE: 763/772-9963 FAX: NProf MERCY HOSPITAL MS. BARBARA QUELLETTE 763/772-9962 BASS-38 HOSP-271 4050 COON RAPIDS BLVD (00009) COON RAPIDS, MN 55433 PHONE: 763/236-8119 FAX: 763/236-8124 MR. JEFF PETERSON HOSP-271 Minnesota Department of Health Division of Compliance Monitoring Page 9 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp MNGI ENDOSCOPY COON RAPIDS Certification ANOKA Registration (Cont.)* -------------------------- Outpt Surg Amb Surg 9145 SPRING BROOK DRIVE (21075) COON RAPIDS, MN 55433 PHONE: 612/871-1145 FAX: DR. SCOTT KETOVER /- Lim-Liab NEW LIVING LLC HCP-A 9900 BLUE BIRD ST NW STE 307 (27649) COON RAPIDS, MN 55433 PHONE: 651/347-0737 FAX: Corp PARK RIVER ESTATES CARE CENTER MR. LENDER FOSTER 763/208-3989 NH-99 SNF-NF-99 9899 AVOCET ST NW (00010) COON RAPIDS, MN 55433 PHONE: 763/757-2320 FAX: Corp REHABCARE MR. THOMAS POLLOCK 763/757-6946 HCP-A 300 COON RAPIDS BLVD STE 200 (27066) COON RAPIDS, MN 55433 PHONE: 763/767-0854 FAX: MS. SARA SHEPPARD (AGENCY ADM 763/862-6533 Out Pt Out St Out Ot Corp REHABCARE AGENCY MN 300 COON RAPIDS BLVD SUITE 200 (02199) COON RAPIDS, MN 55433 PHONE: 763/767-0854 FAX: 763/862-6533 MS. KELLY HUNGASKI HWS-O Corp REHOBOTH HOME 1036 95TH LANE NORTHWEST (27665) COON RAPIDS, MN 55433 PHONE: 763/205-3352 FAX: 763/205-3357 Corp REM MN COMM SRVS INC ANOKA MS. DORIS PARKER SLFB-6 ICFMR-6 12011 KUMQUAT STREET NORTHWEST (01591) COON RAPIDS, MN 55448 PHONE: 651/644-7680 FAX: Lim-Liab SELECT SENIOR LIV/COON RAPIDS MS. CONNIE MENNE 651/644-6777 HCP-F 11350 MARTIN STREET (25728) COON RAPIDS, MN 55433 PHONE: 763/767-1127 FAX: MR. LANCE LEMLEUX 763/862-6852 HWSAL Lim-Liab SELECT SENIOR LIVING OF COON R 11350 MARTIN STREET NW (25729) COON RAPIDS, MN 55433 PHONE: 651/439-2414 FAX: NProf THE HOMESTEAD AT COON RAPIDS MR. LANCE LEMIEUX 651/439-3254 HCP-F HWSAL 11372 ROBINSON DRIVE NORTHWEST (20532) COON RAPIDS, MN 55433 PHONE: 763/754-3500 FAX: 763/754-3700 MS. JENNIFER FRAZER-JOHN Minnesota Department of Health Division of Compliance Monitoring Page 10 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp ZION HOME HEALTH CARE Certification ANOKA Registration (Cont.)* -------------------------- HCP-A 10308 XAVIS STREET NW (25735) COON RAPIDS, MN 55433 PHONE: 763/432-6323 FAX: MS. JOSEPHINE SAYE 612/242-1935 Lim-Liab HUE HOME HEALTH CARE LLC HCP-A 3305 199TH AVENUE NE (28165) EAST BETHEL, MN 55011 PHONE: 763/843-8797 FAX: MR. HUE XIONG 763/843-8797 Lim-Liab COMMUNITY OPTIONS SLFA-12 5384 NORTHEAST FIFTH STREET (01533) FRIDLEY, MN 55421 PHONE: 763/572-0009 FAX: MR. THOMAS ALF 763/572-1295 HWSAL Lim-Liab FRIDLEY ASSISTED LIVING LLC 6352 CENTRAL AVENUE (27981) FRIDLEY, MN 55432 PHONE: 763/574-7366 FAX: MS. RHONDA SCHILLNGER 763/574-7362 ESRD Corp FRIDLEY DIALYSIS UNIT 5301 EAST RIVER RD NE STE 117 (25501) FRIDLEY, MN 55421 PHONE: 763/571-5556 FAX: 763/571-7882 Lim-Liab GOLDEN LIVINGCENTER LYNWOOD MR. LAWRENCE BLAIR NH-54 SNF-NF-54 5700 EAST RIVER ROAD (00935) FRIDLEY, MN 55432 PHONE: 763/571-3150 FAX: 763/571-2805 MS. SHANNA SWANSON Out St Out Ot Corp METRO THERAPY SPECIAL CHILDREN 5155 EAST RIVER ROAD STE 403 (02799) FRIDLEY, MN 55421 PHONE: 763/572-2519 FAX: MS. AUDREY CHAPUT 763/572-2616 Lim-Liab MN ORTHOPAEDIC SURG CTR LLC Outpt Surg Amb Surg 8290 UNIVERSITY AVE NE STE 100 (04305) FRIDLEY, MN 55432 PHONE: 763/786-9543 FAX: 763/786-3320 MS. REBECCA ANDERSON Out Pt Out St Out Ot Corp NOVACARE REHABILITATION 8290 UNIVERSITY AVE NE #300 (03769) FRIDLEY, MN 55432 PHONE: 763/784-2340 FAX: MS. MARY SMITH /- HWS Corp PRIDE N'LIVING HOME CARE INC 7691 CENTRAL AVENUE (26208) FRIDLEY, MN 55432 PHONE: 763/572-2390 FAX: 763/574-2459 MS CELESTINA WAINDIM Minnesota Department of Health Division of Compliance Monitoring Page 11 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp PRIDE N'LIVING HOME CARE INC Certification ANOKA Registration (Cont.)* -------------------------- HCP-A 7691 CENTRAL AVENUE (23218) FRIDLEY, MN 55432 PHONE: 763/572-2390 FAX: MRS. DEBRA RIMPSON 763/574-2459 Corp SERENITY HOME CARE INC HCP-A 7572 MCKINLEY STREET NORTHEAST (28069) FRIDLEY, MN 55432 PHONE: 763/234-9174 FAX: MS. JANE YANG /- NProf UNITY HOSPITAL BASS-36 HOSP-275 HOSP-260 PPS-P-15 550 OSBORNE RD (00011) FRIDLEY, MN 55432 PHONE: 763/236-5000 FAX: MS. LORI WIGHTMAN 763/236-3774 Lim-Liab VILLAGE IN PINE RETIRMNT HOUSE HCP-F HWSAL 824 142ND AVENUE NE (28200) HAM LAKE, MN 55304 PHONE: 763/862-4900 FAX: MR. AKWEN MORCHO 763/792-3839 Corp A TIME FOR HELP INC HCP-A 481 LINDEN LANE (24985) LINO LAKES, MN 55014 PHONE: 651/481-1991 FAX: 651/482-9008 Corp A TO Z SOCIAL SERVICES INC MS. SHIRLYN NICKELSON HCP-A 693 HIGHLAND TRAIL (27347) LINO LAKES, MN 55014 PHONE: 651/248-6120 FAX: 651/784-5000 Corp AGABI HEALTH CARE SERVICES MR. AUGUSTINE AKPAN HCP-A 7259 SAVANNA COURT (27854) LINO LAKES, MN 55014 PHONE: 952/381-7697 FAX: MS. VICTORINE AMBE /- Lim-Liab LINO LAKES ASSISTED LIVING LLC HCP-F HWSAL 725 TOWN CENTER PARKWAY (27529) LINO LAKES, MN 55014 PHONE: 763/267-6183 FAX: 763/398-2294 MS. AMY KOEHNEN Home Mgmt Corp CAREFREE HOME SERVICES INC 7830 149TH LANE NW (27857) RAMSEY, MN 55303 PHONE: 763/422-9713 FAX: 763/421-3098 MR. MICHAEL BEACH HWS-O Corp NEW MILLENNIUM HEALTH CARE 7931 6TH STREET NORTHEAST (26489) SPRING LAKE PARK, MN 55432 PHONE: 763/780-9933 FAX: 763/795-8878 MR. JOHN ARNDT Minnesota Department of Health Division of Compliance Monitoring Page 12 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab NURSING EXCELLENCE CORP Certification ANOKA Registration (Cont.)* -------------------------- HCP-A 8145 TYLER STREET NE (25294) SPRING LAKE PARK, MN 55432 PHONE: 612/310-0655 FAX: MS. SANDRA SOMMERS 763/208-0535 HWSAL ONProf OAK CREST SENIOR LIVING 1639 COUNTY HWY 10 NORTHEAST (27156) SPRING LAKE PARK, MN 55432 PHONE: 763/783-0150 FAX: Corp RELIEVE CARE INC MS. ELIZABETH MEYER 763/783-0154 HCP-A 1310 81ST AVENUE NE (21806) SPRING LAKE PARK, MN 55432 PHONE: 763/757-3207 FAX: MS. LARA FATUNBI 763/780-5700 ---------------------------********** BECKER ******** -------------------------HWSAL Lim-Liab DIAMOND WILLOW ASSISTED LIVING 1558 RANDOLPH ROAD (25380) DETROIT LAKES, MN 56502 PHONE: 218/846-0825 FAX: MS. BRENDA MARSHALL 218/846-0828 HWSAL Lim-Liab DIAMOND WILLOW ASSISTED LIVING 1564 RANDOLPH ROAD (25400) DETROIT LAKES, MN 56502 PHONE: 218/846-0147 FAX: 218/846-0149 NProf DL SURGERY CENTER MS. BRENDA MARSHALL Outpt Surg Amb Surg 125 FRAZEE STREET EAST (00372) DETROIT LAKES, MN 56501 PHONE: 218/844-2372 FAX: NProf EMMANUEL COMMUNITY DR. BRUCE CONMY 218/847-7674 HCP-F 1415 MADISON AVENUE (22058) DETROIT LAKES, MN 56501 PHONE: 218/847-4486 FAX: NProf EMMANUEL COMMUNITY MS. JANET GREEN 218/847-4488 HCP-A 1415 MADISON AVENUE (21130) DETROIT LAKES, MN 56501 PHONE: 218/847-4486 FAX: Church EMMANUEL NURSING HOME MS. JANET GREEN 218/847-4488 NH-120 SNF-NF-120 1415 MADISON AVE (00013) DETROIT LAKES, MN 56501 PHONE: 218/847-4486 FAX: 218/847-4488 MS. JANET GREEN Minnesota Department of Health Division of Compliance Monitoring Page 13 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf ESSENTIA HEALTH OAK CROSSING Certification BECKER Registration (Cont.)* -------------------------- NH-96 SNF-NF-96 1040 LINCOLN AVENUE (00907) DETROIT LAKES, MN 56501 PHONE: 218/847-5611 FAX: NProf ESSENTIA HEALTH ST MARYS MS. CHRISTY BRINKMAN 218/844-0780 BASS-16 HOSP-87 HOSP-87 1027 WASHINGTON AVENUE (00888) DETROIT LAKES, MN 56501 PHONE: 218/847-0852 FAX: Corp GOLDEN MANOR CORPORATION MR. RYAN HILL 218/847-7674 HCP-F 1159 GARNET BOULEVARD (21056) DETROIT LAKES, MN 56501 PHONE: 218/847-3195 FAX: MR. TODD SPIES 218/847-2770 HWSAL Corp GOLDEN MANOR MEMORY CARE 1159 GARNET BOULEVARD (24138) DETROIT LAKES, MN 56501 PHONE: 218/844-6028 FAX: MR. TODD SPIES 218/844-6029 HWSAL Corp GOLDEN MANOR OF BARNESVILLE 1159 GARNET BOULEVARD (21407) DETROIT LAKES, MN 56501 PHONE: 218/354-7200 FAX: 218/844-3701 MR. TODD SPIES HWSAL Corp GOLDEN MANOR OF DETROIT LAKES 1165 GARNET BOULEVARD (23040) DETROIT LAKES, MN 56501 PHONE: 218/844-3300 FAX: 218/844-3301 MR. TODD SPIES HWSAL NProf LAMPLIGHTER MANOR 1425 MADISON AVENUE (20313) DETROIT LAKES, MN 56501 PHONE: 218/847-4486 FAX: MS. JANET GREEN 218/847-5384 HWSAL NProf LINCOLN PARK ASSISTED LIVING 208 OAK STREET (21201) DETROIT LAKES, MN 56501 PHONE: 218/844-0701 FAX: MS. TONYA CLEM 218/847-0895 HWS NProf LINCOLN PARK SENIOR APARTMENT 207 PARK STREET (21248) DETROIT LAKES, MN 56501 PHONE: 218/844-0701 FAX: Lim-Liab MURPHS HOME MAINTENANCE MR. RYAN HILL 218/847-0895 HCP-B 10302 COUNTY ROAD 147 (27825) DETROIT LAKES, MN 56501 PHONE: 218/841-8682 FAX: 218/844-6500 MS. COLLETTE MURPHY Minnesota Department of Health Division of Compliance Monitoring Page 14 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification BECKER (Cont.)* -------------------------HWS Part PARK MANOR ESTATES Registration 1035 ROOSEVELT AVENUE (24593) DETROIT LAKES, MN 56501 PHONE: 218/847-2636 FAX: MS. CHRISTY ALTHOFF 218/844-2637 ESRD NProf SANFORD DIALYSIS DETROIT LAKES 114 EAST FRAZEE STREET (20925) DETROIT LAKES, MN 56501 PHONE: 218/847-0825 FAX: MR. ROGER GILBERTSON /- Corp SANFORD HTH DL CLNC SAME DAY Outpt Surg Amb Surg 1245 WASHINGTON AVENUE (27351) DETROIT LAKES, MN 56501 PHONE: 218/846-2000 FAX: Church ST MARY'S CONTINUED CARE MS. BREANNA ADAMS 218/846-2197 HCP-A 114 FRAZEE STREET EAST (21202) DETROIT LAKES, MN 56501 PHONE: 218/847-0808 FAX: Church ST MARYS HOME HEALTH MS. LINDA HESPE 218/847-0850 HCP-A HHA 114 FRAZEE STREET E (03707) DETROIT LAKES, MN 56501 PHONE: 218/847-0808 FAX: 218/847-0850 Church ST MARYS SR LVG SUPPORTIVE SER MS. LINDA HESPE HCP-F 1027 WASHINGTON AVE (23436) DETROIT LAKES, MN 56501 PHONE: 218/844-0701 FAX: 218/874-0895 MS. TONYA CLEM HWSAL NProf THE COTTAGE 1435 MADISON AVENUE (25997) DETROIT LAKES, MN 56501 PHONE: 218/844-8354 FAX: MS. JANET GREEN 218/844-9446 HWSAL NProf THE MADISON 1405 MADISON AVENUE (23721) DETROIT LAKES, MN 56501 PHONE: 218/844-9420 FAX: NProf WEST HOME MS. JANET GREEN 218/847-4488 SLFB-9 ICFMR-9 1118 WEST AVENUE (01311) DETROIT LAKES, MN 56502 PHONE: 218/847-5642 FAX: 218/847-7176 MR. THOMAS REIFFENBERGER HWS NProf WINCHESTER ON WASHINGTON 1051 WASHINGTON AVENUE (20241) DETROIT LAKES, MN 56501 PHONE: 218/844-0701 FAX: 218/847-0895 MS. TONYA CLEM Minnesota Department of Health Division of Compliance Monitoring Page 15 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab FRAZEE ASSISTED LIVING H C Certification BECKER Registration (Cont.)* -------------------------- HCP-F HWSAL 219 WEST MAPLE AVE (20154) FRAZEE, MN 56544 PHONE: 218/334-4501 FAX: Lim-Liab FRAZEE CARE CENTER MR. AUSTIN BLILIE 218/334-4500 NH-74 SNF-NF-74 219 WEST MAPLE AVE PO BOX 96 (00730) FRAZEE, MN 56544 PHONE: 218/334-4501 FAX: Cnty SUNNYSIDE CARE CENTER MR. AUSTIN BLILIE 218/334-4500 NH-45 SNF-NF-45 16561 US HWY 10 (00016) LAKE PARK, MN 56554 PHONE: 218/238-5944 FAX: Cnty SUNNYSIDE CARE CENTER MR. BLAINE GAMST 218/238-6854 HCP-A 16561 US HIGHWAY 10 (27036) LAKE PARK, MN 56554 PHONE: 218/238-5944 FAX: Corp NORTH STAR NURSING TEMPORARY A MR. BLAINE GAMST 218/238-6854 HCP-A 22119 480TH AVENUE PO BOX 306 (21664) OSAGE, MN 56570 PHONE: 218/573-2238 FAX: 218/573-3778 Tribal WHITE EARTH HOME HEALTH MS. HEIDI DREWES HCP-A HHA BOX 496 26246 CRANE ROAD (02147) WHITE EARTH, MN 56591 PHONE: 218/983-3286 FAX: 218/983-3724 MS. PATRICIA BUTLER ---------------------------********** Lim-Liab A TOUCH OF HOME NORTH BELTRAMI ******** -------------------------- HCP-F HWSAL 915 21ST STREET NORTHWEST (26426) BEMIDJI, MN 56601 PHONE: 218/444-5878 FAX: Corp AUTUMN HILLS OF BEMIDJI INC MS. SHAWN VANANTWERPEN 218/444-5114 HCP-F HWSAL 2528 PARK AVENUE NORTHWEST (23983) BEMIDJI, MN 56601 PHONE: 218/333-3854 FAX: 218/333-3855 MS. SHELLEY CLOOSE HWSAL NProf BAKER PARK INC 803 DEWEY AVENUE (20518) BEMIDJI, MN 56601 PHONE: 218/751-7249 FAX: 218/333-6514 MS. SANDRA BENSEN Minnesota Department of Health Division of Compliance Monitoring Page 16 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Cnty BELTRAMI COUNTY HEALTH & HUMAN Certification BELTRAMI Registration (Cont.)* -------------------------- HCP-A HHA 616 AMERICA AVE NW SUITE 340 (02007) BEMIDJI, MN 56601 PHONE: 218/333-8100 FAX: MS. LINDA YOURCZEK 218/333-8360 Corp CEDAR COTTAGE HCP-F HWSAL 1711 DELTON AVENUE NORTHWEST (20923) BEMIDJI, MN 56601 PHONE: 218/444-3047 FAX: MR. JAMES BIRCHEM 218/444-9060 Corp COLLEENS CARING HANDS HCP-F HWSAL 2525 BEMIDJI AVENUE NORTH (26834) BEMIDJI, MN 56601 PHONE: 218/333-8852 FAX: MS. COLLEEN HILL-KJOS 218/444-9183 State COMM BEHAV HLTH HOSP BEMIDJI OTHER-16 PSY-16 800 BEMIDJI AVE NORTH (25049) BEMIDJI, MN 56601 PHONE: 218/308-2400 FAX: MR. RICHARD SLIETER 218/333-6800 Corp GPH BEMIDJI INC HCP-F HWSAL 1700 30TH STREET NORTHWEST (20075) BEMIDJI, MN 56601 PHONE: 218/444-4346 FAX: 218/444-4346 Corp HAVENWOOD CARE CENTER MRS. JUDY KILLIAN NH-90 SNF-NF-90 1633 DELTON AVE (00017) BEMIDJI, MN 56601 PHONE: 218/444-1745 FAX: 218/759-1744 Ind LONG LAKE LOON LODGE MR. BRANDON BJERKE HCP-F 7747 LOON LODGE LANE NORTHEAST (22011) BEMIDJI, MN 56601 PHONE: 218/586-2945 FAX: MS. AMY DELAP /- HWS Ind LONG LAKE LOON LODGE 7747 LOON LODGE LANE NE (20285) BEMIDJI, MN 56601 PHONE: 218/586-2945 FAX: MS. AMY DELAP /- NProf NEILSON PLACE NH-78 SNF-NF-78 1000 ANNE STREET NW (00823) BEMIDJI, MN 56601 PHONE: 218/751-0220 FAX: Corp PROGRESSIVE HEALTH CARE OF BEM MS. LINDA BARKLEY 218/333-6514 HCP-A 405 BELTRAMI AVENUE (21856) BEMIDJI, MN 56601 PHONE: 218/444-6876 FAX: 218/444-2747 MR. PAUL IVERSON Minnesota Department of Health Division of Compliance Monitoring Page 17 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf SANFORD BEMIDJI HOME CARE Certification BELTRAMI Registration (Cont.)* -------------------------- HCP-A HHA 3525 PINE RIDGE AVENUE NW (02372) BEMIDJI, MN 56601 PHONE: 218/333-5665 FAX: MS. LORI SUNDBOM 218/333-5642 NProf SANFORD BEMIDJI HOSPICE Hospice HSPICE 3525 PINE RIDGE AVENUE NW (02417) BEMIDJI, MN 56601 PHONE: 218/333-5665 FAX: MS. LORI SUNDBOM 218/333-5642 NProf SANFORD BEMIDJI MEDICAL CENTER BASS-12 HOSP-118 1300 ANNE STREET NORTHWEST (00821) BEMIDJI, MN 56601 PHONE: 218/751-5430 HOSP-89 PPS-P-12 PPS-R-17 PPS-RPPS-P- FAX: MR. PAUL HANSON 218/333-5880 ESRD NProf SANFORD DIALYSIS BEMIDJI 1233 - 34TH STREET NORTHWEST (03376) BEMIDJI, MN 56601 PHONE: 218/751-5430 FAX: MS. LISA CARLSON /- NProf SANFORD HEALTH NEILSON PLACE HCP-F 803 DEWEY AVENUE (26843) BEMIDJI, MN 56601 PHONE: 218/333-5665 FAX: 218/333-5642 Corp TAMARACK COURT MS. LINDA BARKLEY HCP-F HWSAL 1511 DELTON AVENUE NW (26081) BEMIDJI, MN 56601 PHONE: 218/444-4999 FAX: 218/444-5603 Lim-Liab TOUCH OF HOME MR. JAMES BIRCHEM HCP-F HWSAL 711 17TH STREET (21397) BEMIDJI, MN 56601 PHONE: 218/444-2775 FAX: MS. JODI LINDSEY 218/444-5114 HWSAL NProf TRILLIUM 930 ANNE STREET NW (26844) BEMIDJI, MN 56601 PHONE: 218/333-5943 FAX: MS. LINDA BARKLEY 218/333-5639 HWS NProf WINDSONG 1010 ANNE STREET NW (27160) BEMIDJI, MN 56601 PHONE: 218/333-5943 FAX: NProf GOOD SAM SOC BLACKDUCK SR LIV MS. LINDA BARKLEY 218/333-5639 HCP-F HWSAL 152 MARGARET AVENUE NORTHWEST (26635) BLACKDUCK, MN 56630 PHONE: 218/835-5483 FAX: 218/835-5484 MS. ANGEL NORMANDIN Minnesota Department of Health Division of Compliance Monitoring Page 18 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf GOOD SAM SOCIETY BLACKDUCK Certification BELTRAMI Registration (Cont.)* -------------------------- NH-30 SNF-NF-30 172 SUMMIT AVE W (00021) BLACKDUCK, MN 56630 PHONE: 218/835-3419 FAX: MS. ANGEL NORMANDIN 218/835-6737 HWSAL Corp HERITAGE HOUSE OF BLACKDUCK 441 4TH STREET NE (21164) BLACKDUCK, MN 56630 PHONE: 218/835-4564 FAX: MR. JAMES BIRCHEM 218/835-5809 RHC NProf SANFORD HLTH BLACKDUCK CLINIC 81 1ST STREET NW PO BOX 188 (24590) BLACKDUCK, MN 56630 PHONE: 218/367-6111 FAX: MS. MARY MILLER /- Corp CORNERSTONE RESID OF KELLIHER HCP-F HWSAL 280 MAIN STREET WEST (25374) KELLIHER, MN 56650 PHONE: 218/647-8258 FAX: MS. KARI SWANSON 218/647-8483 Tribal JOURDAIN PERPICH EXT CARE FAC OTHER- SNF-NF-47 P O BOX 399 (00355) RED LAKE, MN 56671 PHONE: 218/679-3400 FAX: /- MS. DEBRA VINCENT ESRD NProf SANFORD DIALYSIS RED LAKE 24760 HOSPITAL DRIVE BOX 249 (23621) RED LAKE, MN 56671 PHONE: 218/679-3117 FAX: 218/679-4306 Corp MEADOWLAND ELDER CARE HOMES MS. MARIA BEGNIER HCP-F HWS 21368 GULL LAKE LOOP ROAD NE (21190) TENSTRIKE, MN 56683 PHONE: 218/586-3740 FAX: MS. LYNN BEDELL 218/586-3746 HWSAL Corp MEADOWLAND ELDER CARE HOMES II 21368 GULL LAKE LOOP ROAD NE (21191) TENSTRIKE, MN 56683 PHONE: 218/586-3740 FAX: MS. DONNA STEPHENS 218/586-3746 ---------------------------********** Corp FOLEY NURSING CENTER BENTON NH-89 SNF-NF-89 253 PINE STREET (00629) FOLEY, MN 56329 PHONE: 320/968-6201 FAX: 320/968-7051 ******** -------------------------- MR. STEVEN OELRICH Minnesota Department of Health Division of Compliance Monitoring Page 19 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp HERITAGE HOME HEALTH Certification BENTON Registration (Cont.)* -------------------------- HCP-F 152 NORMAN AVENUE SOUTH (26407) FOLEY, MN 56329 PHONE: 320/968-7117 FAX: Corp HERITAGE HOME HEALTH & HOSPICE MS. CHARLOTTE MONROE 320/968-7316 HCP-A HHA 152 NORMAN AVENUE SOUTH (02339) FOLEY, MN 56329 PHONE: 320/968-7117 FAX: MS. CHARLOTTE MONROE, RN 320/968-7316 HWS Lim-Liab HERITAGE PLACE 120 NORMAN AVENUE SOUTH (20153) FOLEY, MN 56329 PHONE: 320/968-6425 FAX: MS. KATHRYN OELRICH 320/968-7051 HWSAL Corp HERITAGE POINTE 104 NORMAN AVENUE SOUTH (26321) FOLEY, MN 56329 PHONE: 320/968-6425 FAX: Corp ALL GOOD HOME CARE INC MS. KATHY OELRICH 320/968-7316 HCP-A 9250 LAKEWOOD SHORE RD NW (25865) RICE, MN 56367 PHONE: 320/393-2406 FAX: 320/393-2455 NProf COUNTRY MANOR EXTENDED SERV MR. MIKE ALLGOOD HCP-A HHA 520 FIRST STREET NE (02226) SARTELL, MN 56377 PHONE: 320/253-3343 FAX: 320/240-0244 Lim-Liab COUNTRY MANOR EXTENDED SVCS MS. JENNY MINETTE HCP-F HWSAL 520 1ST STREET NE (20206) SARTELL, MN 56377 PHONE: 320/253-3343 FAX: Lim-Liab COUNTRY MANOR HLTH & REHAB CTR MR. ANTHONY FENSTAD 320/240-0244 NH-165 SNF-NF-165 520 FIRST STREET NORTHEAST (00627) SARTELL, MN 56377 PHONE: 320/253-1920 FAX: Corp GENERATIONS HOME CARE INC MR. BRIAN KELM 320/656-5922 HCP-F PO BOX 298 (26135) SARTELL, MN 56377 PHONE: 320/230-3422 FAX: 320/453-8074 MS. LORRIE WAITE HWSAL Lim-Liab THE COUNTRY VILLA 520 FIRST ST NE (20559) SARTELL, MN 56377 PHONE: 320/253-8450 FAX: 320/656-5922 MR. ANTHONY FENSTAD Minnesota Department of Health Division of Compliance Monitoring Page 20 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification BENTON (Cont.)* -------------------------HWS Lim-Liab WAITE PROPERTIES LLC Registration PO BOX 298 (26134) SARTELL, MN 56377 PHONE: 320/230-3422 FAX: Lim-Liab ACCESS INFUSION HEALTHCARE LLC MS. LORRIE WAITE 320/230-8811 HCP-A 16 12TH STREET SOUTH (25059) SAUK RAPIDS, MN 56379 PHONE: 320/492-5951 FAX: Lim-Liab CHERRYWOOD ADVANCED LIVING MS. JANE YAGER 320/259-0440 HCP-F 1685 4TH AVENUE NORTH (27306) SAUK RAPIDS, MN 56379 PHONE: 320/257-7445 FAX: NProf GOOD SHEPHERD ASSISTED LIVING MS. NANCY KOLLMANN 320/257-7447 HCP-F 1115 4TH AVENUE NORTH (24855) SAUK RAPIDS, MN 56379 PHONE: 320/252-6525 FAX: MS. BARB REBISCHKE 320/259-3463 HWSAL NProf GOOD SHEPHERD COTTAGES 307 11TH STREET NORTH (23241) SAUK RAPIDS, MN 56379 PHONE: 320/252-6525 FAX: GOOD SHEPHERD HOME HEALTH CARE 320/258-8675 NProf MR. BRUCE GLANZER HCP-A HHA 1115 FOURTH AVENUE NORTH (02397) SAUK RAPIDS, MN 56379 PHONE: 320/252-6525 FAX: 320/259-3463 MR. BRUCE GLANZER HWSAL NProf GOOD SHEPHERD HOMES INC 1211 4TH AVENUE NORTH (25644) SAUK RAPIDS, MN 56379 PHONE: 320/252-6525 FAX: ONProf GOOD SHEPHERD LUTHERAN HOME MR. BRUCE GLANZER 320/259-3463 NH-162 SNF-NF-162 1115 - 4TH AVE N (00023) SAUK RAPIDS, MN 56379 PHONE: 320/252-6525 FAX: NProf JOURNEY HOME MR. BRUCE GLANZER 320/259-3463 SLFB-68 1485 10TH AVENUE NE (25468) SAUK RAPIDS, MN 56379 PHONE: 320/229-3762 FAX: 320/259-4565 MR. CRAIG BROMAN HWSAL NProf SHEPHERD COURT APARTMENTS 330 13TH STREET NORTH (20282) SAUK RAPIDS, MN 56379 PHONE: 320/252-6525 FAX: 320/259-3479 MR. BRUCE GLANZER Minnesota Department of Health Division of Compliance Monitoring Page 21 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification BENTON (Cont.)* -------------------------HWSAL NProf SHEPHERD OAK APARTMENTS INC Registration 310 13TH STREET NORTH (25645) SAUK RAPIDS, MN 56379 PHONE: 320/252-6525 FAX: MR. BRUCE GLANZER 320/259-3463 HWSAL NProf SHEPHERD OAK WEST APARTMENTS I 220 13TH STREET NORTH (25646) SAUK RAPIDS, MN 56379 PHONE: 320/252-6525 FAX: MR. BRUCE GLANZER 320/259-3463 Out Pt Corp SPINAL REHAB CLINIC 225 NORTH BENTON DRIVE (03770) SAUK RAPIDS, MN 56379 PHONE: 320/252-1884 FAX: MS. LYNETTE MCGRATH /- Corp STERLING HOUSE OF SAUK RAPIDS HCP-F HWSAL 1325 SUMMIT AVENUE NORTH (20352) SAUK RAPIDS, MN 56379 PHONE: 320/203-8142 FAX: MS. AMANDA CHRISTEN 320/203-8207 HWSAL Part STERLING PARK RIDGEVIEW 1009 10TH AVENUE NORTHEAST (20619) SAUK RAPIDS, MN 56379 PHONE: 320/251-5228 FAX: 320/259-8964 Corp WALGREENS INFUSION SERVICES MR. HOWIE GROFF HCP-A 1000 S BENTON DRIVE STE 405 (03638) SAUK RAPIDS, MN 56379 PHONE: 320/252-5666 FAX: 320/252-5073 Lim-Liab WELSH PLACE MR. DAVID SCHULTA HCP-F HWSAL 902 15TH STREET NORTHEAST (27149) SAUK RAPIDS, MN 56379 PHONE: 320/282-5660 FAX: MR. TIMOTHY LEWELLYN 320/217-5581 ---------------------------********** NProf CLINTON CARE CENTER BIG STONE ******** -------------------------- HCP-F HWS 322 CO HIGHWAY 6 PO BOX 379 (23174) CLINTON, MN 56225 PHONE: 320/325-5414 FAX: 320/325-5416 MR. JAMES KAYE RHC NProf ESSENTIA HEALTH CHOKIO CLINIC 115 WEST SECOND STREET (03720) GRACEVILLE, MN 56240 PHONE: 320/748-7223 FAX: /- MR. TODD HOWELL Minnesota Department of Health Division of Compliance Monitoring Page 22 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf ESSENTIA HEALTH GRACE HOME Certification BIG STONE Registration (Cont.)* -------------------------- NH-50 SNF-NF-50 116 WEST SECOND STREET (00762) GRACEVILLE, MN 56240 PHONE: 320/748-7261 FAX: Church ESSENTIA HLTH GRACEVILLE HH MR. KEVIN GISH 320/748-8238 HCP-A HHA 115 WEST SECOND STREET (03589) GRACEVILLE, MN 56240 PHONE: 320/748-7223 FAX: NProf ESSENTIA HLTH HOLY TRINITY HOS MR. KEVIN GISH 320/748-7225 BASS-0 HOSP-15 CAH-15 115 - 2ND ST W - BOX 157 (00027) GRACEVILLE, MN 56240 PHONE: 320/748-7223 FAX: MR. KEVIN GISH 320/748-7225 HWSAL NProf GRACE VILLAGE 114 WEST 2ND STREET (24236) GRACEVILLE, MN 56240 PHONE: 320/748-7220 FAX: City FAIRWAY VIEW SENIOR COMMUNIT MR. TODD HOWELL 320/748-7225 HCP-F HWSAL 215 LUNDELL AVENUE (23148) ORTONVILLE, MN 56278 PHONE: 320/839-2397 FAX: 320/839-2398 MS. BONNIE DYBDAHL HWS-O Cnty LAKESIDE APARTMENTS 301 NORTHWEST FIRST STREET (23374) ORTONVILLE, MN 56278 PHONE: 320/839-3304 FAX: 320/839-2320 NProf MONARCH HEIGHTS MS. MARY BELING SLFB-12 ICFMR-12 501 BURDICK AVENUE (01440) ORTONVILLE, MN 56278 PHONE: 320/839-6139 FAX: City NORTHRIDGE RESIDENCE MS. KRISTEN UNRUH 320/839-2060 NH-64 SNF-NF-64 1075 ROY STREET (00771) ORTONVILLE, MN 56278 PHONE: 320/839-6113 FAX: City ORTONVILLE AREA HEALTH SER HHA MR. RICHARD ASH 320/839-2985 HCP-A HHA 450 EASTVOLD AVENUE (02345) ORTONVILLE, MN 56278 PHONE: 320/839-4020 FAX: City ORTONVILLE AREA HEALTH SERVICE MR. RICHARD ASH 320/839-4105 BASS-4 HOSP-25 450 EASTVOLD AVE (00029) ORTONVILLE, MN 56278 PHONE: 320/839-2502 FAX: 320/839-4105 MR. RICK ASH CAH-25 Minnesota Department of Health Division of Compliance Monitoring Page 23 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification BIG STONE (Cont.)* -------------------------ESRD NProf SATELLITE DIALYSIS ORTONVILLE Registration 450 EASTVOLD AVENUE (23114) ORTONVILLE, MN 56278 PHONE: 320/839-4070 FAX: MR. TIMOTHY JACKSON 320/839-4071 ---------------------------********** Lim-Liab SOUTHERN MINNESOTA HOMECARE LL BLUE EARTH ******** -------------------------- HCP-A 213 PARKWAY AVE (26881) EAGLELAKE, MN 56024 PHONE: 507/257-2252 FAX: MS. BARBARA SONTAG /- NProf COUNTRY NEIGHBORS HCP-F HWSAL 511 WEST BLUE EARTH STREET (20375) LAKE CRYSTAL, MN 56055 PHONE: 507/726-6537 FAX: MS. JULIE WOOD 507/726-2402 Corp CRYSTAL SEASONS LVG COMMUNITY HCP-F HWSAL 222 SOUTH MURPHY STREET (26192) LAKE CRYSTAL, MN 56055 PHONE: 507/726-2266 FAX: MR. CHRISTOPHER THRO 507/726-2276 Home Mgmt Corp ELDER CARE SERVICES INC 1110 PARK ROAD (20962) MADISON LAKE, MN 56063 PHONE: 507/243-3603 FAX: 507/243-3375 Corp ALLIANCE HEALTH SERVICES MS. SHARON CHADER HCP-A HHA 1400 MADISON AVENUE #212 (03635) MANKATO, MN 56001 PHONE: 507/386-1666 FAX: MS. ALANA FIALA /- Corp AUTUMN GRACE HCP-F 118 RAVEN COURT (25816) MANKATO, MN 56001 PHONE: 507/388-0645 FAX: MS. HEATHER BASS 507/388-5412 HWSAL Corp AUTUMN GRACE II 110 RAVEN COURT (23858) MANKATO, MN 56001 PHONE: 507/388-3660 FAX: Corp GRACE SENIOR SERVICES INC MRS. HEATHER BASS 507/388-5412 HCP-A HWSAL 118 RAVEN COURT (23093) MANKATO, MN 56001 PHONE: 507/388-3660 FAX: 507/388-5412 MRS. HEATHER BASS Minnesota Department of Health Division of Compliance Monitoring Page 24 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf HARRY MEYERING CTR INC Certification BLUE EARTH Registration (Cont.)* -------------------------- SLFB-25 ICFMR-25 109 HOMESTEAD ROAD (01008) MANKATO, MN 56001 PHONE: 507/387-8281 FAX: MS. CAROL LEE 507/625-9948 Corp HILLCREST HEALTH CARE CENTER NH-100 SNF-NF-100 714 SOUTHBEND AVE (00031) MANKATO, MN 56001 PHONE: 507/387-3491 FAX: MS. AMY PORTER 507/387-6611 ESRD NProf IMMANUEL ST JOSEPHS ESRD 1025 MARSH STREET PO BOX 8673 (02158) MANKATO, MN 56002 PHONE: 507/345-2646 FAX: MR. JEROME CREST /- HWSAL Lim-Liab KEYSTONE COMMUNITIES OF MANKAT 100 DUBLIN ROAD (24718) MANKATO, MN 56001 PHONE: 507/385-7080 FAX: Corp LAURELS EDGE MR. MICHAEL LEWIS 507/385-7081 HCP-F HWSAL 77 STADIUM ROAD (20485) MANKATO, MN 56001 PHONE: 507/387-2133 FAX: 507/387-1135 Corp LAURELS PEAK REHAB CENTER MS. LAURA ROLLINS NH-65 SNF-NF-65 700 JAMES AVE (00035) MANKATO, MN 56001 PHONE: 507/345-4631 FAX: 507/344-4835 MR. TRAVIS GREGG HWS-O Corp LILLIAN GRACE 202 LILLIAN DRIVE (23722) MANKATO, MN 56001 PHONE: 507/385-3660 FAX: Corp MANKATO CLINIC ENDOSCOPY CTR MS. HEATHER BASS 507/388-5412 Outpt Surg Amb Surg 1230 E MAIN STREET (23204) MANKATO, MN 56002 PHONE: 507/625-1811 FAX: Lim-Liab MANKATO SURGERY CENTER MR. RANDY FARROW 507/388-3401 Outpt Surg Amb Surg 1411 PREMIER DRIVE (21469) MANKATO, MN 56001 PHONE: 507/388-6000 FAX: NProf MAYO CLINIC HEALTH SYS MANKATO MS. JOLEEN STELTER, RN 507/388-6913 BASS-26 HOSP-272 1025 MARSH ST - PO BOX 8673 (00033) MANKATO, MN 56002 PHONE: 507/625-4031 FAX: 507/385-2908 MR. JEROME CREST HOSP-272 Minnesota Department of Health Division of Compliance Monitoring Page 25 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf MAYO CLINIC HEALTH SYSTEM-MANK Certification BLUE EARTH Registration (Cont.)* -------------------------- Hospice HSPICE 1400 MADISON AVE SUITE 324 (00219) MANKATO, MN 56002 PHONE: 507/385-2618 FAX: MR. BRIAN GAGER 507/385-5649 Corp OAKLAWN HEALTH CARE CENTER NH-77 SNF-NF-77 201 OAKLAWN AVE (00038) MANKATO, MN 56001 PHONE: 507/388-2913 FAX: MR. RICK KRANT 507/388-1235 Out Pt NProf OFC BACK CARE CENTER 1431 PREMIER DRIVE (27161) MANKATO, MN 56001 PHONE: 507/386-6650 FAX: MR. MARK MILLER 507/388-8372 Part OLD MAIN VILLAGE HCP-F HWSAL 301 SOUTH FIFTH STREET (26043) MANKATO, MN 56001 PHONE: 507/388-4200 FAX: MR. DAN PETERKA 507/388-5991 Lim-Liab PAIN CENTERS OF MN - MANKATO Outpt Surg Amb Surg 1400 MADISON AVENUE SUITE 402 (27290) MANKATO, MN 56001 PHONE: 507/625-7246 FAX: 507/386-2599 NProf PATHSTONE CROSSING MR. VISHAL LAL HCP-F HWSAL 718 MOUND AVENUE (20164) MANKATO, MN 56001 PHONE: 507/345-4576 FAX: 507/385-4225 ONProf PATHSTONE HOME SERVICES MS. SHELLY CORNISH HCP-A HHA 718 MOUND AVENUE (02389) MANKATO, MN 56001 PHONE: 507/385-4210 FAX: MS. SHELLY CORNISH 507/385-4213 NProf PATHSTONE LIVING NH-69 SNF-NF-69 718 MOUND AVE (00036) MANKATO, MN 56001 PHONE: 507/345-4576 FAX: MS. JENNIFER PFEFFER 507/385-4212 Out Pt Out St Out Ot Ind PEDIATRIC THERAPY SERVICES 309 HOLLY LANE (03809) MANKATO, MN 56001 PHONE: 507/388-5437 FAX: MS. NANCY DOBSON /- Corp PEDIATRIC THERAPY SERVICES INC HCP-A 309 HOLLY LANE (03360) MANKATO, MN 56001 PHONE: 507/388-5437 FAX: 507/388-2108 MS. NANCY DOBSON Minnesota Department of Health Division of Compliance Monitoring Page 26 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification BLUE EARTH (Cont.)* -------------------------Out Pt Corp PHYS THER SPORTS MEDICINE CTR Registration 1431 PREMIER DRIVE (03813) MANKATO, MN 56001 PHONE: 507/386-6700 FAX: MR. (BRIAN) JON ELLINGWORTH /- Corp PRAIRIE RIVER HOME CARE INC HCP-A HHA 227 EAST MAIN STREET #200 (03190) MANKATO, MN 56001 PHONE: 507/345-8591 FAX: NProf PRAIRIES EDGE MS. LORI SEEMANN 507/345-5023 SLFB-6 ICFMR-6 152 COUGAR DRIVE (23697) MANKATO, MN 56001 PHONE: 507/387-8281 FAX: Lim-Liab PRIMROSE OF MANKATO MS. CAROL LEE 507/387-9948 HCP-F HWSAL 1360 ADAMS STREET (21208) MANKATO, MN 56001 PHONE: 507/388-9292 FAX: MR. MARK MCNEARY 507/388-9292 HWS-O Corp REM HEARTLAND (HILLTOP 201) 80 HILLTOP LANE APT 201 (27790) MANKATO, MN 56001 PHONE: 507/387-3181 FAX: 507/387-3182 MS. CONNIE MENNE HWS-O Corp REM HEARTLAND INC (HILLTOP 209 80 HILLTOP LANE APT 209 (27819) MANKATO, MN 56001 PHONE: 507/387-3181 FAX: 507/345-3848 Corp REM HEARTLAND INC CYPRESS MS. CONNIE MENNE SLFA-11 ICFMR-11 204 THOMAS DRIVE (01536) MANKATO, MN 56001 PHONE: 507/387-3181 FAX: Corp REM MANKATO INC BIRCH MS. CONNIE MENNE 507/387-3182 SLFB-12 ICFMR-12 206 THOMAS DRIVE (01537) MANKATO, MN 56001 PHONE: 507/387-3181 FAX: NProf SCHOOL SISTERS OF NOTRE DAME MS. CONNIE MENNE 507/387-3182 HCP-F HWS 170 GOOD COUNSEL DRIVE (23742) MANKATO, MN 56001 PHONE: 507/389-4200 FAX: NProf STAYING HOME MR. BILL WARD 507/389-4108 HCP-B 109 HOMESTEAD ROAD (27322) MANKATO, MN 56001 PHONE: 507/387-8281 FAX: 507/625-9948 MS. CAROL LEE Minnesota Department of Health Division of Compliance Monitoring Page 27 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp STERLING HOUSE OF MANKATO Certification BLUE EARTH Registration (Cont.)* -------------------------- HCP-F HWSAL 100 TETON LANE (20336) MANKATO, MN 56001 PHONE: 507/386-1779 FAX: MS. PAIGE BEACH 507/386-1174 HWSAL Lim-Liab SUNRISE COTTAGE OF MANKATO 300 BUNTING LANE (20394) MANKATO, MN 56001 PHONE: 507/345-8787 FAX: MS. KIMBERLY ALINDER 507/345-8870 Corp SUNRISE COTTAGE OF MANKATO HCP-F 300 BUNTING LANE (22359) MANKATO, MN 56001 PHONE: 507/345-8787 FAX: MS. KIMBERLY ALINDER 507/345-8870 Church THE LUTHERAN HOME CEDAR HAVEN HCP-F HWSAL 630 REED STREET (20185) MANKATO, MN 56001 PHONE: 507/625-1512 FAX: MS. MARIANN SNYDER 507/388-6428 HWSAL Church THE LUTHERAN HOME CEDAR HAVEN 640 REED STREET (20546) MANKATO, MN 56001 PHONE: 507/625-1512 FAX: 507/388-6428 Lim-Liab WILD ROSE NURSING SERVICES LLC MS. MARIANN SNYDER HCP-A 1021 NORTH RIVERFRONT DRIVE (28517) MANKATO, MN 56001 PHONE: 507/625-8938 FAX: 507/625-9038 NProf COUNTRY NEIGHBORS MR. PAUL HAGEN HCP-F HWSAL 206 THIRD AVE NE (20377) MAPLETON, MN 56065 PHONE: 507/524-4990 FAX: MS. AMANDA BEAVENS 507/524-3239 HWSAL NProf HERITAGE PLACE 303 TROENDLE STREET (28389) MAPLETON, MN 56065 PHONE: 507/524-3315 FAX: MS. ROXANNE GOSSON 507/524-4410 RHC Corp MANKATO CLINIC MAPLETON FAM PR 305 MAIN STREET EAST (27144) MAPLETON, MN 56065 PHONE: 507/524-3835 FAX: MR. RANDALL FARROW /- NProf MAPLETON COMMUNITY HOME HCP-F 301 TROENDLE STREET (28390) MAPLETON, MN 56065 PHONE: 507/524-3315 FAX: 507/524-4410 MS. ROXANNE GOSSON Minnesota Department of Health Division of Compliance Monitoring Page 28 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf MAPLETON COMMUNITY HOME Certification BLUE EARTH Registration (Cont.)* -------------------------- NH-60 SNF-NF-60 301 TROENDLE ST (00037) MAPLETON, MN 56065 PHONE: 507/524-3115 FAX: MS. ROXANNE GOSSON 507/524-4410 ---------------------------********** Corp BRICKSTONE MANOR BROWN ******** -------------------------- HCP-F HWSAL 104 BROWN STREET WEST (23856) COMFREY, MN 56019 PHONE: 507/877-4600 FAX: NProf BROWN COUNTY EVAL CENTER INC MRS. PAULA ROCHELAU 507/877-6001 SLFB-16 510 NORTH FRONT (01641) NEW ULM, MN 56073 PHONE: 507/359-2749 FAX: Cnty BROWN COUNTY PUBLIC HEALTH MS. JILL WENZEL 507/354-7706 HCP-A HHA 1117 CENTER STREET PO BOX 543 (02041) NEW ULM, MN 56073 PHONE: 507/233-6820 FAX: Corp GOLDEN HOME CARE PLUS INC MS. KAREN MORITZ 507/233-6819 HCP-A 6 1/2 N MINNESOTA ST BOX 924 (03015) NEW ULM, MN 56073 PHONE: 507/359-2756 FAX: 507/354-1260 Corp MBW COMPANY INC MS. MARCY GULDEN HCP-A 1200 SOUTH BROADWAY (03081) NEW ULM, MN 56073 PHONE: 507/233-3030 FAX: Corp MBW ON RAYMOND MS. VICKI SIEVE 507/354-2168 SLFA-4 ICFMR-4 1131 RAYMOND DRIVE (01210) NEW ULM, MN 56073 PHONE: 507/233-3030 FAX: Corp MBW ON TENTH MS. VICKI SIEVE 507/354-2168 SLFB-4 ICFMR-4 1407 10TH NORTH STREET (01598) NEW ULM, MN 56073 PHONE: 507/233-3030 FAX: NProf NEW ULM MEDICAL CENTER MS. VICKI SIEVE 507/354-2168 BASS-14 HOSP-62 1324 FIFTH STREET NORTH (00839) NEW ULM, MN 56073 PHONE: 507/233-1000 FAX: 507/233-1575 MR. TOBY FREIER CAH-25 PPS-P-10 Minnesota Department of Health Division of Compliance Monitoring Page 29 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf NEW ULM MEDICAL CENTER Certification BROWN Registration (Cont.)* -------------------------- SLFA-10 1324 5TH NORTH STREET (24059) NEW ULM, MN 56073 PHONE: 507/233-1000 FAX: MR. TOBY FREIER 507/233-1575 NProf OAK HILLS LIVING CENTER NH-94 SNF-NF-94 1314 8TH STREET NORTH (00434) NEW ULM, MN 56073 PHONE: 507/359-2026 FAX: MS. CANDAS SCHOUVIELLER 507/354-2751 NProf OAK HILLS LIVING CENTER HCP-A HHA 1314 8TH STREET N (25987) NEW ULM, MN 56073 PHONE: 507/233-0800 FAX: MS. CANDAS SCHOUVIELLER 507/354-2751 NProf OAK HILLS LVNG CENTER ASST LI HCP-F HWSAL 1314 8TH NORTH STREET (21025) NEW ULM, MN 56073 PHONE: 507/233-0804 FAX: MS. CANDAS SCHOUVIELLER 507/354-2751 HWSAL NProf OAK VIEW APARTMENTS INC 1316 8TH STREET NORTH (23298) NEW ULM, MN 56073 PHONE: 507/359-2026 FAX: 507/354-2751 MS. CANDAS SCHOUVIELLER HWSAL Corp ORCHARD HILLS CATERED LIVING L 1223 KARL DRIVE (23169) NEW ULM, MN 56073 PHONE: 507/354-2159 FAX: /- MR. DEAN BLOEMKE HWSAL Lim-Liab PRAIRIE SENIOR COTTAGES OF NEW 1308 BIRCHWOOD DRIVE (21586) NEW ULM, MN 56073 PHONE: 507/359-3420 FAX: MS. LINDA TAUER 507/359-3421 Lim-Liab PRAIRIE SR COTTAGES NEW ULM HCP-F HWSAL 1304 BIRCHWOOD DRIVE (21584) NEW ULM, MN 56073 PHONE: 507/359-3420 FAX: 507/359-3421 MR. MICHAEL DEMMER ESRD NProf RENAL DIALYSIS FAC NEW ULM 1324 FIFTH STREET NORTH (02576) NEW ULM, MN 56073 PHONE: 507/359-5255 FAX: MR. JEROME CREST /- HWSAL NProf RIDGEWAY ON 23RD 720 23RD NORTH STREET (23249) NEW ULM, MN 56073 PHONE: 507/354-7000 FAX: 507/233-7410 MS. LORA GUTKNECHT Minnesota Department of Health Division of Compliance Monitoring Page 30 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification BROWN (Cont.)* -------------------------HWSAL NProf RIDGEWAY ON GERMAN Registration 715 SOUTH GERMAN STREET (20555) NEW ULM, MN 56073 PHONE: 507/354-7400 FAX: MS. KYLA FRANTA 507/359-5711 ONProf RIDGEWAY SENIOR LIVING HCP-F 715 SOUTH GERMAN STREET #100 (21355) NEW ULM, MN 56073 PHONE: 507/354-7400 FAX: MR. PAUL ABZUG 507/359-5711 Corp RIVERBLUFF HEALTH CARE INC HCP-A 48329 239TH STREET (03894) NEW ULM, MN 56073 PHONE: 507/947-3825 FAX: MR. DAVID STRENGE 507/947-3461 CMHC NProf SIOUX TRAIL MENTAL HLTH CENTER 1407 SOUTH STATE (02772) NEW ULM, MN 56073 PHONE: 507/354-3181 FAX: MR. PAUL KAPSCH /- Corp WELCOME HOME HEALTH CARE HCP-F 1223 KARL DRIVE (23650) NEW ULM, MN 56073 PHONE: 507/354-2159 FAX: 507/354-2179 MR. DEAN BLOEMKE HWSAL NProf COUNTRYSIDE RETIREMENT COMMUNI 1100 FIRST AVENUE SOUTH (20030) SLEEPY EYE, MN 56085 PHONE: 507/794-3200 FAX: 507/794-3596 NProf DIVINE PROVIDENCE COMM HOME MS. PAMELA ADAM NH-58 SNF-NF-58 700 - 3RD AVE NW (00040) SLEEPY EYE, MN 56085 PHONE: 507/794-3011 FAX: MS. JAYNA GROEBNER 507/794-3020 HWS HRA ROSS PARK APARTMENTS 313 4TH AVENUE SOUTHEAST (21072) SLEEPY EYE, MN 56085 PHONE: 507/794-5101 FAX: NProf SLEEPY EYE AREA HOME HEALTH MS. LAURA TREBESCH 507/794-5108 HCP-F 1100 1ST AVENUE SOUTH (21765) SLEEPY EYE, MN 56085 PHONE: 507/794-3594 FAX: NProf SLEEPY EYE AREA HOME HEALTH IN MS. PAM ADAM 507/794-5914 HCP-A 1100 FIRST AVENUE SOUTH (20718) SLEEPY EYE, MN 56085 PHONE: 507/794-3594 FAX: 507/794-5914 MRS. PAM ADAM Minnesota Department of Health Division of Compliance Monitoring Page 31 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Church SLEEPY EYE CARE CENTER Certification BROWN Registration (Cont.)* -------------------------- NH-65 SNF-NF-65 1105 THIRD AVENUE SOUTHWEST (00776) SLEEPY EYE, MN 56085 PHONE: 507/794-7995 FAX: MS. PAMELA ADAM 507/794-3577 City SLEEPY EYE MEDICAL CENTER BASS-4 HOSP-25 CAH-25 400 - 4TH AVE NW (00043) SLEEPY EYE, MN 56085 PHONE: 507/794-3571 FAX: MR. BOB VAN MEETEREN 507/794-5462 RHC City SLEEPY EYE MEDICAL CENTER 400 4TH AVENUE NORTHWEST (22176) SLEEPY EYE, MN 56085 PHONE: 507/794-3571 FAX: MR. BOB VAN MEETEREN /- NProf HOME CARE SERVICES HCP-F 201 SOUTH COUNTY ROAD 5 (22325) SPRINGFIELD, MN 56087 PHONE: 507/723-3243 FAX: NProf HOME CARE SERVICES - ST JOHN L MR. JOSHUA JENSEN 507/723-8044 HCP-A 201 SOUTH COUNTY ROAD 5 (23595) SPRINGFIELD, MN 56087 PHONE: 507/723-3243 FAX: 507/723-8044 NProf MAYO CLINIC HEALTH SYSTEM S F MR. JOSHUA JENSEN BASS-6 HOSP-24 CAH-24 625 JACKSON ST N (00044) SPRINGFIELD, MN 56087 PHONE: 507/723-6201 FAX: 507/723-6447 NProf ST JOHN LUTHERAN HOME MR. SCOTT THORESON NH-105 SNF-NF-105 201 CO RD 5 S (00045) SPRINGFIELD, MN 56087 PHONE: 507/723-3200 FAX: 507/723-6429 MR. JOSHUA JENSEN HWS NProf THE MAPLES AT ST JOHN 301 SOUTH COUNTY ROAD 5 (25454) SPRINGFIELD, MN 56087 PHONE: 507/723-3250 FAX: 507/723-3264 MR. JOSHUA JENSEN HWS NProf VISTA RIDGE MEMORY CARE SUITES 205 SOUTH COUNTY ROAD 5 (23181) SPRINGFIELD, MN 56087 PHONE: 507/723-3200 FAX: 507/723-6429 ---------------------------********** MR. JOSHUA JENSEN CARLTON ******** -------------------------- Minnesota Department of Health Division of Compliance Monitoring Page 32 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification CARLTON (Cont.)* -------------------------HWSAL Lim-Liab LIGHTHOUSE OF CLOQUET & BARNUM Registration 3730 HORIZON DRIVE (23718) BARNUM, MN 55707 PHONE: 218/878-7950 FAX: MR. TODD NOVACZYK 218/878-7951 HWSAL Lim-Liab LIGHTHOUSE OF CLOQUET & BARNUM 3725 HORIZON DRIVE (22197) BARNUM, MN 55707 PHONE: 218/878-7950 FAX: MR. TODD NOVACZYK 218/345-8800 HWSAL Lim-Liab LIGHTHOUSE OF CLOQUET & BARNUM 3722 HORIZON DRIVE BLDG #3 (21398) BARNUM, MN 55707 PHONE: 218/878-7950 FAX: MR. TODD NOVACZYK 218/878-7951 Home Mgmt Corp VISIONARY HOME CARE 3656 FRONT STREET (25895) BARNUM, MN 55707 PHONE: 218/389-6244 FAX: MS. JULIE BOGENHOLM 218/389-9851 NProf CARLTON PLACE HCP-F HWSAL 813 THIRD STREET (21142) CARLTON, MN 55718 PHONE: 218/384-8440 FAX: 218/384-8442 State COMMUNITY ADDICTION RECOVERY MR. LARRY PENK SLFA-40 810 THIRD STREET SUITE 102 (21547) CARLTON, MN 55718 PHONE: 218/384-7013 FAX: 218/384-7014 Church INTERFAITH CARE CENTER MS. KAREN JONES NH-96 SNF-NF-96 811 THIRD STREET (21170) CARLTON, MN 55718 PHONE: 218/384-4258 FAX: MS. CONSTANCE ANDERSON 218/384-9820 Ind LAURA BODIN HCP-A 1570 OLSONVILLE ROAD (21517) CARLTON, MN 55718 PHONE: 218/591-5423 FAX: MS. LAURA BODIN /- HWS NProf PINE VIEW APARTMENTS 800 THIRD STREET (21814) CARLTON, MN 55718 PHONE: 218/384-8443 FAX: 218/384-8442 MR. LARRY PENK HWS HRA WOODLAND PINES HRA OF CARLTON 201 SPRUCE AVENUE (21426) CARLTON, MN 55718 PHONE: 218/879-3353 FAX: 218/879-1437 MS. DEBRA SHAFF Minnesota Department of Health Division of Compliance Monitoring Page 33 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification CARLTON (Cont.)* -------------------------HWSAL HRA ASPEN ARMS Registration 950 14TH STREET (21159) CLOQUET, MN 55720 PHONE: 218/879-3353 FAX: NProf COMMUNITY MEMORIAL HOSPITAL MS. DEBRA SHAFF 218/879-1437 NH-88 BASS-6 HOSP-36 SNF-NF-88 CAH-25 512 SKYLINE BLVD (00048) CLOQUET, MN 55720 PHONE: 218/879-4641 FAX: MR. RICHARD BREUER 218/879-9167 HWSAL Lim-Liab DIAMOND WILLOW ASSISTED LIVING 130 W NORTH ROAD (24425) CLOQUET, MN 55720 PHONE: 218/878-1585 FAX: MS. BRENDA MARSHALL 218/878-1588 HWSAL Lim-Liab DIAMOND WILLOW ASSISTED LIVING 132 W NORTH ROAD (24426) CLOQUET, MN 55720 PHONE: 218/878-1972 FAX: MS. BRENDA MARSHALL 218/878-1588 HWSAL Lim-Liab EVERGREEN KNOLL 1309 14TH STREET (24494) CLOQUET, MN 55720 PHONE: 218/878-3302 FAX: 218/878-3304 ONProf EVERGREEN SENIOR LIVING MS. TERRI LANGEVIN HCP-F 1309 14TH STREET (21246) CLOQUET, MN 55720 PHONE: 218/878-3302 FAX: 218/878-3304 MR. PAUL ABZUG HWSAL Tribal FOND DU LAC ASSISTED LIVING RE 927 TRETTEL LANE (27607) CLOQUET, MN 55720 PHONE: 218/878-2104 FAX: Tribal FOND DU LAC HOME CARE PROGRAM MS. DEB SMITH 218/878-2198 HCP-A 927 TRETTEL LANE (27376) CLOQUET, MN 55720 PHONE: 218/879-1227 FAX: Ind GOLDEN YEARS CARE MS. DEBRA SMITH 218/878-2198 HCP-A 1701 MAPLEWOOOD AVENUE (27163) CLOQUET, MN 55720 PHONE: 218/499-4055 FAX: 218/499-4055 MS. KELLY ABRAHAMSON HWS Ind GOLDEN YEARS CARE 1701 MAPLEWOOD AVENUE (26904) CLOQUET, MN 55720 PHONE: 218/499-4055 FAX: 218/499-4055 MS. KELLY ABRAHAMSON Minnesota Department of Health Division of Compliance Monitoring Page 34 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification CARLTON (Cont.)* -------------------------HWS Part LARSON COMMONS Registration 810 CLOQUET AVENUE (21832) CLOQUET, MN 55720 PHONE: 218/879-3759 FAX: MS. CINDY FLEEGEL 218/879-8847 HWS Lim-Liab LIGHT HOUSE OF CLOQUET & BARNU 701 HORIZON CIRCLE (24315) CLOQUET, MN 55720 PHONE: 218/878-0085 FAX: MR. DAVE KELLER 888/331-6005 HWSAL Lim-Liab LIGHTHOUSE OF CLOQUET & BARNUM 1909 TALL PINE LANE (25969) CLOQUET, MN 55720 PHONE: 218/878-0000 FAX: MR. TODD NOCVACZYK 218/878-1099 HWSAL Lim-Liab LIGHTHOUSE OF CLOQUET & BARNUM 706 HORIZON CIRCLE (25970) CLOQUET, MN 55720 PHONE: 218/878-7950 FAX: Lim-Liab LIGHTHOUSE OF CLOQUET & BARNUM MR. TODD NOVACZYK 218/878-7951 HCP-F HWSAL 702 HORIZON CIRCLE (21672) CLOQUET, MN 55720 PHONE: 218/878-0085 FAX: 218/826-4722 MR. DAVE KELLER HWSAL Lim-Liab LIGHTHOUSE OF CLOQUET & BARNUM 705 HORIZON CIRCLE (24899) CLOQUET, MN 55720 PHONE: 218/878-7950 FAX: 218/878-7951 Ind LINDA ROSE ENLUND MR. TODD NOVACZYK HCP-C 1534 BLUEBIRD AVENUE (28081) CLOQUET, MN 55720 PHONE: 218/879-9090 FAX: Corp PLAINVIEW ESTATES MS. LINDA ENLUND 218/879-9090 HCP-F HWSAL 2507 FAIRVIEW AVENUE (25999) CLOQUET, MN 55720 PHONE: 218/879-8230 FAX: Corp SUPERIOR VIEW ASSISTED LVG MS. COLETA PARENTEAU 218/879-8223 HCP-F 207 AVENUE C SUTIE 220 (23771) CLOQUET, MN 55720 PHONE: 218/491-7838 FAX: Corp VISIONARY HOME CARE MR. ROB GANNUCCI 218/491-7840 HCP-B 1501 HIGHWAY 33 SOUTH (26776) CLOQUET, MN 55720 PHONE: 218/389-6244 FAX: 218/389-9851 MS. JULIE BOGENHOLM Minnesota Department of Health Division of Compliance Monitoring Page 35 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab VILLA COURT Certification CARLTON Registration (Cont.)* -------------------------- HCP-F HWSAL 1220 VILLA COURT DRIVE (26451) CROMWELL, MN 55726 PHONE: 218/644-3331 FAX: MS. JULIE PETERSON 218/644-3505 Lim-Liab VILLA HOME CARE LLC HCP-A 1220 VILLA COURT DRIVE (27915) CROMWELL, MN 55726 PHONE: 218/644-3331 FAX: MS. JULIE PETERSON 218/644-3505 Corp BARNES CARE INC HCP-F HWSAL 58 WEST HIGHWAY 61 (23529) ESKO, MN 55733 PHONE: 218/879-2635 FAX: MS. SHARLANE BARNES 218/879-2939 HWSAL Ind BARNES CARE INC 56 WEST HIGHWAY 61 (26579) ESKO, MN 55733 PHONE: 218/879-2635 FAX: MR. TERRY BARNES 218/879-2939 Corp PLAINVIEW ESTATES INC HCP-F HWSAL 46 THOMSON ROAD (22142) ESKO, MN 55733 PHONE: 218/879-8230 FAX: 218/879-8223 Lim-Liab AUGUSTANA MERCY CARE CTR MRS. COLETA PARENTEAU NH-80 SNF-NF-80 710 SOUTH KENWOOD AVE (00049) MOOSE LAKE, MN 55767 PHONE: 218/351-9400 FAX: 218/351-9401 MR. STEVEN MORK RHC Corp GATEWAY FAM HLTH CLINIC LTD 4570 COUNTY ROAD 61 (21127) MOOSE LAKE, MN 55767 PHONE: 218/485-4491 FAX: MR. ERIC NIELSEN /- HWS NProf KENWOOD PLACE 4560 COUNTY HIGHWAY 61 (20329) MOOSE LAKE, MN 55767 PHONE: 218/351-9415 FAX: NProf KENWOOD PLACE MR. STEVE MORK 218/351-9416 HCP-F 710 SOUTH KENWOOD AVENUE (27537) MOOSE LAKE, MN 55767 PHONE: 218/351-9415 FAX: Dist MERCY HOME HEALTH AGENCY MR. STEVE MORK 218/351-9416 HCP-A HHA 30 ARROWHEAD LANE (03714) MOOSE LAKE, MN 55767 PHONE: 218/485-5506 FAX: 218/485-5908 MR. JASON DOUGLAS Minnesota Department of Health Division of Compliance Monitoring Page 36 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Dist MERCY HOSPITAL Certification CARLTON Registration (Cont.)* -------------------------- BASS-7 HOSP-31 HOSP- CAH-25 CAH- 710 KENWOOD AVE S (27650) MOOSE LAKE, MN 55767 PHONE: 218/485-4481 FAX: State MN SEX OFFENDER PROGRAM MR. JASON DOUGLAS 218/586-5654 SLFB-558 1111 HIGHWAY 73 (01674) MOOSE LAKE, MN 55767 PHONE: 218/485-5300 FAX: State MSOCS MOOSE LAKE ICFMR GR HM MR. DENNIS BENSON 218/485-5316 SLFB-6 ICFMR-6 305 FOURTH STREET PO BOX 495 (01622) MOOSE LAKE, MN 55767 PHONE: 218/485-4634 FAX: MS. MIRANDA TRYTTEN 218/485-4365 HWSAL Corp OAKVIEW RESIDENTIAL CARE PO BOX 958 (28089) MOOSE LAKE, MN 55767 PHONE: 218/485-8779 FAX: Corp OAKVIEW RESIDENTIAL CARE INC DR. SUSAN BENZIE 218/485-8808 HCP-F HWSAL 300 TALBOT DRIVE PO BOX 958 (23530) MOOSE LAKE, MN 55767 PHONE: 218/485-8779 FAX: 218/485-8808 DR. SUSAN BENZIE HWSAL Corp OAKVIEW RESIDENTIAL CARE INC 500 TALBOT DRIVE PO BOX 958 (23531) MOOSE LAKE, MN 55767 PHONE: 218/485-8779 FAX: 218/485-8808 NProf SUNCREST ASSISTED LIVING DR. SUSAN BENZIE HCP-F HWSAL 2400 WASHINGTON AVENUE (23227) SCANLON, MN 55720 PHONE: 218/878-1180 FAX: Corp GARDEN TERRACE ASSISTED LIVING MS. DANIELLE LESMEISTER 218/878-1201 HCP-F HWSAL 426 MASON DRIVE (24256) WRENSHALL, MN 55797 PHONE: 218/384-4623 FAX: MS. KELLY LAVEAU 218/384-4508 ---------------------------********** Ind LICENSED CARE ON-CALL CARVER ******** -------------------------- HCP-A 215 CARVER CREEK PLACE (27003) CARVER, MN 55315 PHONE: 612/986-5304 FAX: 952/448-7378 MS. REBECCA BATHEJA Minnesota Department of Health Division of Compliance Monitoring Page 37 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab ALERE WOMEN'S AND CHILDREN'S H Certification CARVER Registration (Cont.)* -------------------------- HCP-A 551 WEST 78TH STREET SUITE 207 (03016) CHANHASSEN, MN 55317 PHONE: 770/767-8218 FAX: MS. JENNIFER EMMERICH 770/916-1312 NProf MOUNT OLIVET HOME HEALTH HCP-B 18986 LAKE DRIVE EAST (28366) CHANHASSEN, MN 55317 PHONE: 952/474-5974 FAX: MR. BRUCE TORGERSON 952/474-3652 HWSAL NProf PHS/CHANHASSEN INC 525 LAKE DRIVE (24077) CHANHASSEN, MN 55317 PHONE: 952/294-5500 FAX: MRS. JODI DEVICK NEAL 952/294-5501 NProf SUMMERWOOD OF CHANHASSEN HCP-F 525 LAKE DRIVE (28192) CHANHASSEN, MN 55317 PHONE: 952/294-5500 FAX: MS. NATALIE MORLAND 952/294-5501 NProf AUBURN COURTS HCP-F 501 NORTH OAK STREET (24271) CHASKA, MN 55318 PHONE: 952/448-9303 FAX: 952/361-0411 MS. SHEILA NIELAND-SNYDER HWSAL Church AUBURN COURTS 501 OAK STREET NORTH (20425) CHASKA, MN 55318 PHONE: 952/361-0333 FAX: 952/361-0305 NProf AUBURN MANOR MS. TERESA RANK NH-61 SNF-NF-61 501 OAK STREET (00335) CHASKA, MN 55318 PHONE: 952/448-9303 FAX: MR. WAYNE WARD 952/361-0305 Lim-Liab CHASKA PLAZA SURGERY CENTER 3000 HUNDERTMARK ROAD (28004) CHASKA, MN 55318 PHONE: 952/556-2622 FAX: MR. AARON JOHNSON /- Ind GARDENS OF LOVE CARE HOME HCP-F HWSAL 112509 RAMSEY COURT (26995) CHASKA, MN 55318 PHONE: 952/479-7788 FAX: 952/479-7788 MS. GAYLE SWENSON HWSAL Corp HIDDEN CREEK ASSISTED LIVING 112007 HIDDEN CREEK PLACE (20396) CHASKA, MN 55318 PHONE: 952/361-9338 FAX: /- MR. JAMES BOONE Minnesota Department of Health Division of Compliance Monitoring Page 38 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification CARVER (Cont.)* -------------------------HWSAL Corp HIDDEN CREEK ASSISTED LIVING Registration 112003 HIDDEN CREEK PLACE (20528) CHASKA, MN 55318 PHONE: 952/361-9338 FAX: MR. JAMES BOONE /- HWSAL Corp HIDDEN CREEK ASSISTED LIVING 112001 HIDDEN CREEK PLACE (20397) CHASKA, MN 55318 PHONE: 952/361-9338 FAX: MR. JAMES BOONE /- HWSAL Corp HIDDEN CREEK ASSISTED LIVING 112005 HIDDEN CREEK PLACE (20957) CHASKA, MN 55318 PHONE: 952/361-9338 FAX: MR. JAMES BOONE /- Corp HIDDEN CREEK ASSISTED LIVING HCP-F 112001 HIDDEN CREEK PLACE (20816) CHASKA, MN 55308 PHONE: 952/361-9338 FAX: MR. JAMES BOONE 952/361-9335 NProf MARIE STEINER KELTING HOSPICE RES-HSPICE-8 9120 SHADY OAK DRIVE (25976) CHASKA, MN 55318 PHONE: 952/442-3199 FAX: 952/442-3198 MS. LISA HURT HWS-O Corp TRANQUIL LIVING 1415 RAVOUX LANE (26197) CHASKA, MN 55318 PHONE: 952/361-0080 FAX: 952/448-1996 MS. KIMLOAN NGUYEN HWS-O Corp TRANQUIL LIVING 1421 RAVOUX LANE (26198) CHASKA, MN 55318 PHONE: 952/361-0080 FAX: MS. KIMLOAN NGUYEN 952/448-4996 Part FOREVER LIFE HOME HEALTH CARE HCP-A 223 WINKLER TRAIL (24761) COLOGNE, MN 55322 PHONE: 952/466-9866 FAX: MR. JEFF LEROY 952/466-9867 Ind JANICE R SINNEN HCP-C 16225 74TH STREET (27877) NEW GERMANY, MN 55367 PHONE: 952/353-2115 FAX: MS. JANICE SINNEN /- NProf MOUNT OLIVET ROLLING ACRES SLFB-6 ICFMR-6 129 MACKENTHUN LANE (21000) NORWOOD YOUNG AMERIC, MN 55368 PHONE: 952/467-6484 FAX: 952/467-6486 MR. BRUCE TORGERSON Minnesota Department of Health Division of Compliance Monitoring Page 39 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp HARBOR AT PEACE VILLAGE Certification CARVER Registration (Cont.)* -------------------------- HCP-F 300 NORTH FAXON ROAD (24555) NORWOOD- YOUNG AMER, MN 55368 PHONE: 952/467-9683 FAX: MS. LAURIE HILGERS 952/467-9684 HWS City HARBOR AT PEACE VILLAGE 300 NORTH FAXON ROAD (28522) NORWOOD-YOUNG AMERIC, MN 55368 PHONE: 952/467-9683 FAX: MR. TOM SIMMONS 952/467-9684 NProf AUGUSTANA EMERALD CARE LLC HCP-F 8150 BAVARIA RD (20815) VICTORIA, MN 55386 PHONE: 952/856-7522 FAX: MS. MARGARET OWENS 952/856-7527 HWSAL NProf AUGUSTANA EMERALD CREST OF VIC 8150 BAVARIA ROAD (24028) VICTORIA, MN 55386 PHONE: 952/856-7510 FAX: MS. MARGARET OWENS 952/856-7527 Lim-Liab BEAUTIFUL SOUL SENIOR CARE LLC HCP-B 719 WOODLAND HILLS BOULEVARD (28383) VICTORIA, MN 55386 PHONE: 612/548-4811 FAX: /- MR. PAUL HEGGESTAD Corp COMMUNITY LIVING INC COTTAGE 1 SLFA-12 ICFMR-12 1501 82ND STREET (01254) VICTORIA, MN 55386 PHONE: 952/443-2048 FAX: 952/443-2371 Corp COMMUNITY LIVING INC COTTAGE 2 MS. MONICA SCHMIDT SLFA-12 ICFMR-12 1531 82ND STREET (01539) VICTORIA, MN 55386 PHONE: 952/443-2048 FAX: Corp COMMUNITY LIVING INC COTTAGE 3 MS. MONICA SCHMIDT 952/443-2371 SLFA-11 ICFMR-11 1511 82ND STREET (01540) VICTORIA, MN 55386 PHONE: 952/443-2048 FAX: Corp COMMUNITY LIVING INC COTTAGE 4 MS. MONICA SCHMIDT 952/443-2371 SLFA-6 ICFMR-6 1521 82ND STREET (01541) VICTORIA, MN 55386 PHONE: 952/443-2048 FAX: Church MOUNT OLIVET ROLLING ACRES MS. MONICA SCHMIDT 952/443-2371 SLFB-34 ICFMR-34 7200 ROLLING ACRES RD BOX 220 (01022) VICTORIA, MN 55386 PHONE: 952/474-5974 FAX: 952/474-3652 MR. BRUCE TORGERSON Minnesota Department of Health Division of Compliance Monitoring Page 40 Directory of Facilities and Services Facility/Service Owner Licensure Certification CARVER ---------------------------********** NProf AUBURN HOME IN WACONIA Registration (Cont.)* -------------------------- BCH-0 NH-37 NF2-0 SNF-NF-37 594 CHERRY DRIVE (00053) WACONIA, MN 55387 PHONE: 952/442-2546 FAX: MR. WAYNE WARD 952/442-5504 ESRD Corp FMCNA WACONIA DIALYSIS 560 SOUTH MAPLE STREET SUITE 6 (26856) WACONIA, MN 55387 PHONE: 952/442-4605 FAX: NProf GOOD SAM SOCIETY WACONIA MR. PATRICK HOWARD 952/442-5902 NH-100 SNF-NF-100 333 FIFTH STREET WEST (00924) WACONIA, MN 55387 PHONE: 952/442-5111 FAX: Lim-Liab LIGHTHOUSE AT WACONIA MR. JAMES DUCHENE 952/442-7104 HCP-F HWSAL 500 CHERRY STREET (23848) WACONIA, MN 55387 PHONE: 952/442-1261 FAX: NProf RIDGEVIEW HOME CARE SERVICES MS. JILL CISCO 952/856-4711 HCP-A HHA 501 SOUTH MAPLE STREET (02252) WACONIA, MN 55387 PHONE: 952/442-6030 FAX: 952/442-6542 NProf RIDGEVIEW HOME SUPPORT SERVICE MS. LISA HURT HCP-A 501 SOUTH MAPLE ST STE 1 (21112) WACONIA, MN 55387 PHONE: 952/442-6030 FAX: 952/442-6542 NProf RIDGEVIEW HOSPICE MS. LISA HURT Hospice HSPICE 500 SOUTH MAPLE STREET (03780) WACONIA, MN 55387 PHONE: 952/442-6030 FAX: NProf RIDGEVIEW MEDICAL CENTER MS. LISA HURT 952/442-6324 BASS-20 HOSP-109 HOSP-109 500 MAPLE ST S (00055) WACONIA, MN 55387 PHONE: 952/442-2191 FAX: Church WESTVIEW ACRES GOOD SAM COM MR. ROBERT STEVENS 952/442-6543 HCP-F HWSAL 433 FIFTH STREET WEST (20109) WACONIA, MN 55387 PHONE: 952/442-5459 FAX: Church ELIM HOME WATERTOWN MR. JAMES DUCHENE 952/442-6170 NH-51 SNF-NF-51 409 JEFFERSON AVE SW - BOX 638 (00051) WATERTOWN, MN 55388 PHONE: 952/955-2691 FAX: 952/955-3799 MS. CORINNE ALLEN Minnesota Department of Health Division of Compliance Monitoring Page 41 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification CARVER (Cont.)* -------------------------Out Pt Out St Out Ot Church PRO REHAB Registration 200 LEWIS AVENUE SO SUITE 210 (02532) WATERTOWN, MN 55388 PHONE: 952/955-2242 FAX: MR. JEFFREY DAGEN 952/955-2010 Corp WESTWOOD PLACE INC HCP-F HWSAL 209 JEFFERSON AVENUE SOUTHWEST (20063) WATERTOWN, MN 55388 PHONE: 952/955-1399 FAX: MS. DEANNE BEITO 952/955-1398 ---------------------------********** Ind DIGNITY AND GRACE AL HOME CASS ******** -------------------------- HCP-F HWSAL 823 STATE HWY 371 NORTHWEST (27107) BACKUS, MN 56435 PHONE: 218/947-4445 FAX: MS. MELANIE BURNS 320/323-4455 ESRD Corp CASS LAKE DIALYSIS FACILITY 602 GRANT UTLEY ST PO BOX 757 (03600) CASS LAKE, MN 56633 PHONE: 218/335-6671 FAX: MS. JOAN ANDERSON /- CAH-13 PHS CASS LAKE INDIAN HLTH SERV HOS 425 7TH STREET NW (22140) CASS LAKE, MN 56633 PHONE: 218/335-3200 FAX: 218/335-3300 MS. NORINE SMITH RHC NProf SANFORD HLTH CASS LAKE CLINIC 219 GRANT UTLEY AVENUE (02840) CASS LAKE, MN 56633 PHONE: 218/335-2559 FAX: MS. MARY MILLER /- HWSAL Corp BIRCHVIEW GARDENS ASSISTED LVG 108 3RD STREET NORTH (28209) HACKENSACK, MN 56452 PHONE: 218/675-5424 FAX: Corp BIRCHVIEW GARDENS ASSISTED LVG MR. JOHN MCELFRESH 218/675-5184 HCP-F 108 3RD STREET NORTH (28208) HACKENSACK, MN 56452 PHONE: 218/675-5424 FAX: 218/675-5184 MR. JOHN MCELFRESH RHC NProf LONGVILLE LAKES CLINIC INC 180 JORDAN LANE (27046) LONGVILLE, MN 56655 PHONE: 218/363-3300 FAX: 218/363-2233 MS. THERESA SULLIVAN Minnesota Department of Health Division of Compliance Monitoring Page 42 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification CASS (Cont.)* -------------------------RHC NProf LAKEWOOD CLINIC PILLAGER Registration 653 PILLSBURY ST NO SUITE 1 (23695) PILLAGER, MN 56473 PHONE: 218/746-4550 FAX: MR. TIM RICE /- HWSAL Corp RIVERSIDE ASSISTED LIVING OF P 885 MEADOWVIEW CIRCLE NORTH (27489) PILLAGER, MN 56473 PHONE: 218/746-4400 FAX: Corp RIVERSIDE ASST LVG OF PILLAGER MS. JENNINE ENGEN 218/746-4444 HCP-F 885 MEADOWVIEW CIRCLE NORTH (27488) PILLAGER, MN 56473 PHONE: 218/746-4400 FAX: Corp BROOKSIDE COMFORT CARE MS. JENNINE ENGEN 218/746-4444 HCP-F HWSAL 2729 STATE 371 SOUTHWEST (23041) PINE RIVER, MN 56474 PHONE: 218/587-3304 FAX: NProf GOOD SAM SOCIETY PINE RIVER MR. ROBERT CADWELL 218/587-3314 NH-62 SNF-NF-62 518 JEFFERSON AVE - BOX 29 (00058) PINE RIVER, MN 56474 PHONE: 218/587-4423 FAX: 218/587-2671 MR. GEORGE PAULSON HWSAL NProf RIVERSIDE ASSISTED LIVING 2175 WHITE PINE PT RD SW (25419) PINE RIVER, MN 56474 PHONE: 218/587-4333 FAX: 218/587-3650 NProf RIVERSIDE SR APARTMENTS MR. MIKE DEUTH HCP-F HWS 2189 WHITE PINE POINT RD SW (22165) PINE RIVER, MN 56474 PHONE: 218/587-4433 FAX: Corp LAUREL LODGE INC MR. MIKE DEUTH 218/587-3650 HCP-F HWSAL 6870 SCHULTZ DRIVE NORTHEAST (21144) REMER, MN 56672 PHONE: 218/566-4722 FAX: Cnty CASS CO PUBLIC HEALTH SERVICES MS. DEBRA ENGEN 218/566-4723 HCP-A HHA BOX 40 400 MICHIGAN AVENUE (02062) WALKER, MN 56484 PHONE: 218/547-1340 FAX: Lim-Liab GOLDEN LIVINGCENTER WALKER MR. RENO WELLS 218/547-1448 NH-40 SNF-NF-40 209 BIRCHWOOD AVE W (00995) WALKER, MN 56484 PHONE: 218/547-1855 FAX: 218/547-2266 MS. HEATHER POTTER Minnesota Department of Health Division of Compliance Monitoring Page 43 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp GRAMMA JOS HOUSE Certification CASS Registration (Cont.)* -------------------------- HCP-F HWSAL 607 SOUTH SECOND STREET (20741) WALKER, MN 56484 PHONE: 218/547-2221 FAX: MR. KELLY NELSON 218/547-2298 HWSAL Corp MAY CREEK COTTAGES INC 301 10TH STREET SOUTH (26256) WALKER, MN 56484 PHONE: 218/547-4515 FAX: MS. ANN NOLAND 218/547-7553 HWSAL Corp MAY CREEK COTTAGES INC 299 10TH STREET SOUTH (26255) WALKER, MN 56484 PHONE: 218/547-4515 FAX: MS. ANN NOLAND 218/547-7553 Corp MAY CREEK LODGE INC HCP-F HWSAL 303 10TH STREET SOUTH BOX 530 (20689) WALKER, MN 56484 PHONE: 218/547-4515 FAX: MS. ANN NOLAND 218/547-7553 RHC NProf SANFORD HEALTH WALKER CLINIC 614 MICHIGAN AVENUE (20651) WALKER, MN 56484 PHONE: 218/547-3938 FAX: /- MS. MARY MILLER Corp STILLE HAVN HUS HCP-F 170 WALKER INDUSTRIES BLVD (27813) WALKER, MN 56484 PHONE: 218/547-5920 FAX: 218/547-5921 MR. JIM ROGEN HWS Corp STILLE HAVN HUS 170 WALKER INDUSTRIES BLVD (27814) WALKER, MN 56484 PHONE: 218/547-5920 FAX: MR. JIM ROGEN 218/547-5921 ---------------------------********** City CLARA CITY CARE CENTER CHIPPEWA ******** -------------------------- NH-66 SNF-NF-66 1012 DIVISION ST N (00061) CLARA CITY, MN 56222 PHONE: 320/847-2221 FAX: City CLARA CITY CARE CENTER MR. MICHAEL STORDAHL 320/847-3553 HCP-F 1012 NORTH DIVISION STREET (28268) CLARA CITY, MN 56222 PHONE: 320/847-2221 FAX: 320/847-3553 MR. MICHAEL STORDAHL Minnesota Department of Health Division of Compliance Monitoring Page 44 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification CHIPPEWA (Cont.)* -------------------------HWS City PRAIRIE PARK PLACE Registration 1100 WARRINGS AVENUE (20515) CLARA CITY, MN 56222 PHONE: 320/847-3785 FAX: MS. ANN JAENISCH 320/847-3553 Home Mgmt Corp AVENUES FOR CARE INC 101 SOUTH 1ST STREET SUITE 200 (27647) MONTEVIDEO, MN 56265 PHONE: 320/269-2929 FAX: MS. SHELLY ELKINGTON 320/269-2278 HWS NProf BROOKSIDE MANOR 804 BENSON ROAD (21803) MONTEVIDEO, MN 56265 PHONE: 320/269-6506 FAX: Corp BURNSDALE EXTENDED CARE MR. KEVIN HEIN 320/269-6507 HCP-F 1418 BLACK OAK AVENUE (28369) MONTEVIDEO, MN 56265 PHONE: 320/269-6640 FAX: MS. TAMI DORENKAMPER 320/226-6207 HWS Corp BURNSDALE EXTENDED CARE 1320 BLACK OAK (25964) MONTEVIDEO, MN 56265 PHONE: 320/269-9366 FAX: 320/269-6304 MS. TAMI DORENKAMPER HWS Corp BURNSDALE EXTENDED CARE 1318 BLACK OAK (25963) MONTEVIDEO, MN 56265 PHONE: 320/269-9366 FAX: 320/269-6304 Cy-Co CHIPPEWA CO MONTEVIDEO HOSP MS. TAMI DORENKAMPER BASS-6 HOSP-30 CAH-25 824 - 11TH ST N (00060) MONTEVIDEO, MN 56265 PHONE: 320/269-8877 FAX: Cy-Co CONCERNED CARE MR. MARK PAULSON 320/269-8186 HCP-A HHA 824 NORTH 11TH STREET (02374) MONTEVIDEO, MN 56265 PHONE: 320/321-8506 FAX: Church COPPER GLEN MR. MARK PAULSON 320/269-8186 HCP-F HWSAL 801 13TH STREET NORTH (20309) MONTEVIDEO, MN 56265 PHONE: 320/269-9617 FAX: Corp HEALTH PROVIDERS ROSEWOOD A MR. JAMES FLAHERTY 320/269-6510 HCP-F 1806 LINCOLN AVENUE (22049) MONTEVIDEO, MN 56265 PHONE: 320/269-6640 FAX: 320/269-6304 MS. TAMI DORENKAMPER Minnesota Department of Health Division of Compliance Monitoring Page 45 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification CHIPPEWA (Cont.)* -------------------------HWSAL Corp HOME FRONT FIRST Registration 224 NORTH 19TH STREET (21051) MONTEVIDEO, MN 56265 PHONE: 320/269-2930 FAX: MS. JENNINE ENGEN 320/269-4700 HWSAL Corp HOME FRONT FIRST 216 NORTH 19TH STREET (21835) MONTEVIDEO, MN 56265 PHONE: 320/269-4881 FAX: MRS. JENNINE ENGEN 320/269-4700 Church LUTHER HAVEN NH-92 SNF-NF-92 1109 HWY 7 E (00062) MONTEVIDEO, MN 56265 PHONE: 320/269-6517 FAX: MR. JIM FLAHERTY 320/269-6510 HWSAL Corp MEADOW CREEK HOSPITALITY LLC 4000 CR 15 SOUTHWEST (28185) MONTEVIDEO, MN 56265 PHONE: 320/269-8008 FAX: MS. LUANNE GIBSON 320/269-8100 ESRD Corp MONTEVIDEO DIALYSIS 824 NORTH ELEVENTH STREET (02817) MONTEVIDEO, MN 56265 PHONE: 320/269-7451 FAX: /- MS. BARB GRUBE Corp REM SW SERVICES (MONTEVIDEO) SLFA-6 ICFMR-6 585 GRAVEL ROAD (01266) MONTEVIDEO, MN 56265 PHONE: 320/269-6479 FAX: 320/269-8559 MR. PATRICK MASYGA HWSAL Corp ROSEWOOD 1806 LINCOLN AVENUE (21524) MONTEVIDEO, MN 56265 PHONE: 320/269-6870 FAX: Lim-Liab VALIN SENIOR CARE LLC MS. JENNINE ENGEN 320/269-6304 HCP-F HWSAL 5024 HIGHVIEW DRIVE SW (24410) MONTEVIDEO, MN 56265 PHONE: 320/269-8117 FAX: MS. LINDA DEGRISELLES 320/269-8117 ---------------------------********** NProf HAZELDEN FOUNDATION CHISAGO SLFB-5 15251 PLEASANT VALLEY - BOX 11 (00067) CENTER CITY, MN 55012 PHONE: 651/213-4217 FAX: 651/213-4738 MR. JOHN DRISCOLL ******** -------------------------- Minnesota Department of Health Division of Compliance Monitoring Page 46 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** ONProf AT HOME CARE OF PARMLY LIFEPOI Certification CHISAGO Registration (Cont.)* -------------------------- HCP-A 28210 OLD TOWNE ROAD (24763) CHISAGO CITY, MN 55013 PHONE: 651/257-7337 FAX: NProf FAIRVIEW LAKES HOMECARING HOSP MS. HEIDI LAMEYER 651/257-7330 HCP-A HHA 11725 STINSON AVENUE (02363) CHISAGO CITY, MN 55013 PHONE: 651/257-8850 FAX: NProf FAIRVIEW LAKES HOMECARING HOSP MS. KAREN BROHAUGH 651/257-8852 Hospice HSPICE 11725 STINSON AVENUE (02760) CHISAGO CITY, MN 55013 PHONE: 651/257-8850 FAX: MS. KAREN BROHAUGH 651/257-8852 HWSAL NProf ISABELLE'S HOUSE OF PARMLY LIF 10720 282ND STREET (25276) CHISAGO CITY, MN 55013 PHONE: 651/257-7944 FAX: Corp JUST LIKE HOME SENIOR CARE MS. HEIDI LAMEYER 651/257-0579 HCP-F 29288 OLD TOWN ROAD (28154) CHISAGO CITY, MN 55013 PHONE: 651/257-3684 FAX: 251/257-3685 MS. DEBBIE GIBSON HWSAL Corp JUST LIKE HOME SENIOR CARE 29288 OLD TOWN ROAD (28155) CHISAGO CITY, MN 55013 PHONE: 651/257-3684 FAX: 651/257-3685 NProf LINNEA RESIDENTIAL HOME MS. DEBBIE GIBSON SLFB-12 ICFMR-12 28770 OLD TOWNE RD PO BOX 450 (01282) CHISAGO CITY, MN 55013 PHONE: 651/257-2211 FAX: 651/257-9430 MR. SCOTT FOSS HWSAL NProf MARGARETS HOUSE 28210 OLD TOWNE ROAD (20872) CHISAGO CITY, MN 55013 PHONE: 651/257-7332 FAX: 651/257-0579 MS. HEIDI LAMEYER HWS NProf PARMLY LAKEVIEW APARTMENTS 10600 282ND STREET (22023) CHISAGO CITY, MN 55013 PHONE: 651/257-0581 FAX: 651/257-0583 MS. HEIDI LAMEYER HWS Church POINT PLEASANT HEIGHTS 28600 FAIRWAY LANE (20132) CHISAGO CITY, MN 55013 PHONE: 651/257-4035 FAX: 651/851-4080 MS. HEIDI LAMEYER Minnesota Department of Health Division of Compliance Monitoring Page 47 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Church THE MARGARET S PARMLY RES Certification CHISAGO Registration (Cont.)* -------------------------- NH-101 SNF-NF-101 28210 OLD TOWNE RD (00065) CHISAGO CITY, MN 55013 PHONE: 651/257-0575 FAX: NProf VINDAUGA VIEW ASSISTED LIVING MS. MARY CORDTS 651/257-0579 HCP-F HWSAL 10910 282ND STREET (21587) CHISAGO CITY, MN 55013 PHONE: 651/257-7332 FAX: Corp THERAPEUTIC COMM RESIDENCE MS. HEIDI LAMEYER 651/257-0579 SLFA-8 ICFMR-8 28100 NEWBERRY TRAIL (01519) LINDSTROM, MN 55045 PHONE: 651/257-1507 FAX: Corp BRASK HAVEN INC MR. DANIEL MCNALLY 651/257-1526 HCP-F HWSAL 31274 JULLIARD STREET NE (20809) NORTH BRANCH, MN 55056 PHONE: 651/674-7433 FAX: Cnty CHISAGO CO PUBLIC HEALTH DEPT MS. JODI BRASK 651/237-0563 HCP-A HHA 6133 402ND STREET (02015) NORTH BRANCH, MN 55056 PHONE: 651/213-5200 FAX: 651/213-5401 Church ECUMEN NORTH BRANCH MS. JILL BRIGGS NH-68 SNF-NF-68 5379 - 383RD ST (00066) NORTH BRANCH, MN 55056 PHONE: 651/237-3006 FAX: 651/674-5745 Lim-Liab NORTH BRANCH SUITE LIVING CARE MS. PATSY VOELKER HCP-F HWSAL 38610 14TH AVENUE (25046) NORTH BRANCH, MN 55056 PHONE: 651/674-0068 FAX: Church THE VILLAGES OF NORTH BRANCH MS. TAWNEE PIETCZAK 651/317-2010 HCP-F HWSAL 5379 383RD STREET (25212) NORTH BRANCH, MN 55056 PHONE: 651/237-3000 FAX: Corp ALL ABOUT CARING HOME CARE INC MS. MONICA/PAT NELSON/VOELKER 651/237-3073 HCP-A 170 SOUTH BREMER AVE PO #370 (24069) RUSH CITY, MN 55069 PHONE: 320/358-0987 FAX: Lim-Liab GOLDEN LIVINGCENTER RUSH CITY MR. MARK JOHNSTON 320/358-3422 NH-49 SNF-NF-49 650 BREMER AVENUE SOUTH (00994) RUSH CITY, MN 55069 PHONE: 320/358-4765 FAX: 320/358-4317 MS. KELSEY CALLAHAN Minnesota Department of Health Division of Compliance Monitoring Page 48 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp CARDENAS FRIENDSHIP HOME Certification CHISAGO Registration (Cont.)* -------------------------- HCP-F 17595 260TH STREET (20968) SHAFER, MN 55074 PHONE: 651/257-8146 FAX: MR. ROBERT CARDENAS 651/257-9246 Corp HEALTHY HANDS AND FOOT CARE HCP-A 18033 255TH STREET (28219) SHAFER, MN 55074 PHONE: 651/434-4562 FAX: MS. PHUONGLINH WILLIAMS /- Corp SUNRISE HEALTH SERVICES INC HCP-A HHA 22350 SUNRISE ROAD NE (03763) STACY, MN 55079 PHONE: 651/462-9331 FAX: MS. SUSAN ANDERSON 651/462-5761 HWS NProf EBENEZER LAKES SENIOR HOUSING 5430 MEADOW LANE (26797) WYOMING, MN 55092 PHONE: 651/982-6228 FAX: MS. KARI WILSON /- NProf FAIRVIEW LAKES HEALTH SERVICES BASS-12 HOSP-61 HOSP-61 5200 FAIRVIEW BLVD (00006) WYOMING, MN 55092 PHONE: 651/982-7104 FAX: 651/982-7110 NProf MEADOWS ON FAIRVIEW MR. STEVEN HOUSH HCP-F HWSAL 25565 FAIRVIEW AVENUE (23170) WYOMING, MN 55092 PHONE: 651/982-6228 FAX: 651/466-0717 MS. KARI WILSON ---------------------------********** CLAY ******** -------------------------RHC Ind BARNESVILLE AREA CLINIC 209 SECOND STREET SE BOX 279 (02509) BARNESVILLE, MN 56514 PHONE: 218/354-2111 FAX: DR. OWEN THOMPSON /- Corp CLAYCO CARE CENTER NH-35 SNF-NF-35 600 FIFTH STREET SOUTHEAST (00968) BARNESVILLE, MN 56514 PHONE: 218/354-2254 FAX: 218/354-2153 MS. HEIDI SCHEELER HWSAL HRA HOUGE ESTATES/CLAY COUNTY HRA 510 CENTER AVENUE EAST (21687) DILWORTH, MN 56529 PHONE: 218/233-8883 FAX: 218/233-9491 MS. DARA LEE Minnesota Department of Health Division of Compliance Monitoring Page 49 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp SERENITY ASSISTED LIVING INC Certification CLAY Registration (Cont.)* -------------------------- HCP-F HWSAL 1125 OAKVIEW DRIVE (24327) DILWORTH, MN 56529 PHONE: 218/477-7254 FAX: Corp HAWLEY MANOR MR. TIMOTHY ANDERSON 218/477-7255 HCP-A HWSAL 923 FIFTH STREET (20225) HAWLEY, MN 56549 PHONE: 218/483-3337 FAX: Corp HAWLEY RETIREMENT INC MR. TODD SPIES 218/483-3386 HCP-F 923 5TH STREET (28491) HAWLEY, MN 56549 PHONE: 218/483-3337 FAX: MR. TODD SPIES 218/483-3386 Home Mgmt Corp ALLCARE HOME CARE INC 200 5TH ST S STE 202B (25584) MOORHEAD, MN 56560 PHONE: 218/287-9148 FAX: MS. DAISY TRAUTMAN 218/287-2943 HWSAL Lim-Liab ARBOR PARK LIVING CENTER 520 28TH STREET NORTH (26942) MOORHEAD, MN 56560 PHONE: 218/359-9999 FAX: 218/359-0890 Lim-Liab ARBOR PARK LIVING CENTER MS. SUSAN BALA HCP-F HWSAL 2921 6TH AVENUE NORTH (23403) MOORHEAD, MN 56560 PHONE: 218/359-9999 FAX: 218/359-0890 MS. SUSAN BALA HWSAL Lim-Liab ARBOR PARK LIVING CENTER LLC 2901 - 6TH AVENUE NORTH (23767) MOORHEAD, MN 56560 PHONE: 218/359-9999 FAX: MS. SUSAN BALA 218/359-0890 HWS Part CARRIAGE HOUSE APARTMENTS 3412 VILLAGE GREEN BLVD (23130) MOORHEAD, MN 56560 PHONE: 218/236-6454 FAX: Cnty CLAY COUNTY RECEIVING CENTER MR. KENNETH TALLE 218/233-3613 SLFB-10 715 NORTH 11TH STREET #203 (01666) MOORHEAD, MN 56560 PHONE: 218/299-5220 FAX: Lim-Liab COMPASSIONCARE MS. KATHY MCKAY 218/299-7205 HCP-F 100 NORTH 3RD STREET STE 100 (27792) MOORHEAD, MN 56560 PHONE: 218/477-1008 FAX: 218/477-1009 MR. THOMAS SCHUETT Minnesota Department of Health Division of Compliance Monitoring Page 50 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification CLAY (Cont.)* -------------------------Home Mgmt Lim-Liab COMPASSIONCARE SERVICES LLC Registration 100 NORTH 3RD STREET SUITE 100 (28195) MOORHEAD, MN 56560 PHONE: 218/477-1008 FAX: NProf EVENTIDE FAIRMONT MR. THOMAS SCHUETT 218/477-1009 HCP-F HWSAL 801 SECOND AVENUE NORTH (20101) MOORHEAD, MN 56560 PHONE: 218/233-8022 FAX: Church EVENTIDE LUTHERAN HOME MS. MELODEE FENNO 218/233-9544 NH-195 SNF-NF-195 1405 - 7TH ST S (00072) MOORHEAD, MN 56560 PHONE: 218/233-7508 FAX: MR. DAVID USELMAN 218/233-3602 HWS HRA GATEWAY GARDENS 1817 1ST AVENUE NORTH (27399) MOORHEAD, MN 56560 PHONE: 218/233-8883 FAX: Lim-Liab GOLDEN LIVING COMMNTY MOORHEAD MS. DARA LEE 218/233-9491 HCP-F HWSAL 2800 HIGHWAY 10 EAST (22185) MOORHEAD, MN 56560 PHONE: 218/236-1367 FAX: 218/236-1180 Lim-Liab GOLDEN LIVINGCENTER MOORHEAD MR. RICHARD BLANCHARD NH-87 SNF-NF-87 2810 NORTH SECOND AVENUE (00938) MOORHEAD, MN 56560 PHONE: 218/233-7578 FAX: 218/233-8307 MR. RICHARD BLANCHARD HWSAL NProf LINDEN TREE CIRCLE 1400 7TH STREET SOUTH (21014) MOORHEAD, MN 56560 PHONE: 218/233-7508 FAX: Corp MOORHEAD MANOR MS. SANDI PETTERSEN 218/291-2228 HCP-F HWS 1710 13TH AVENUE NORTH (20192) MOORHEAD, MN 56560 PHONE: 218/236-6286 FAX: MS. SUSAN CHRISTIANSON 218/477-0442 HWS Part PARK VIEW TERRACE 100 3RD STREET NORTH (21739) MOORHEAD, MN 56560 PHONE: 218/233-8548 FAX: Lim-Liab RIVER POINTE OF MOORHEAD MS. KARI HOLMSTROM 218/233-2759 HCP-F HWSAL 2401 SOUTH 11TH STREET (26685) MOORHEAD, MN 56560 PHONE: 218/287-6900 FAX: 218/233-3234 MR. MARK ANDERSON Minnesota Department of Health Division of Compliance Monitoring Page 51 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** ONProf THE EVERGREENS OF MOORHEAD Certification CLAY Registration (Cont.)* -------------------------- HCP-F HWSAL 512 THIRD AVENUE SOUTH (20314) MOORHEAD, MN 56560 PHONE: 218/233-1535 FAX: MS. DEB MANTHEY 218/291-1162 HWSAL ONProf THE EVERGREENS OF MORRHEAD 502 - 3RD AVENUE SOUTH (25500) MOORHEAD, MN 56560 PHONE: 218/233-1535 FAX: MS. DEBBIE MANTHEY 218/291-1162 Lim-Liab VALLEYS FINEST HOME CARE LLC HCP-A 3805 SOUTH RIVERSHORE DRIVE (27922) MOORHEAD, MN 56560 PHONE: 218/287-2254 FAX: MR. BRAD NORDHOUGEN 218/233-4278 RHC NProf SANFORD HEALTH ULEN CLINIC 108 VIKING AVENUE WEST (03937) ULEN, MN 56585 PHONE: 218/494-3404 FAX: MS. BETH ULSCHMID 218/596-8112 City VIKING MANOR NURSING HOME NH-45 SNF-NF-45 317 - 1ST ST NW (00075) ULEN, MN 56585 PHONE: 218/596-8847 FAX: 218/596-8894 City VIKING MANOR NURSING HOME MR. TODD KJOS HCP-F HWSAL 317 1ST STREET NORTHWEST (20249) ULEN, MN 56585 PHONE: 218/596-8847 FAX: 218/596-8894 MR. TODD KJOS ---------------------------********** Cnty CLEARWATER CO MEMORIAL HOSP CLEARWATER BASS-4 HOSP-25 ******** -------------------------CAH-25 203 - 4TH ST NW (00076) BAGLEY, MN 56621 PHONE: 218/694-6501 FAX: MR. KIRBY JOHNSON 218/694-3528 Cnty CLEARWATER CO NSG SERVICE HCP-A HHA 212 MAIN AVENUE NORTH (02006) BAGLEY, MN 56621 PHONE: 218/694-6581 FAX: 218/694-6594 Cnty CLEARWATER HEALTH SERVS CLINIC MS. BONNIE ENGEN RHC 123 4TH STREET NW (21437) BAGLEY, MN 56621 PHONE: 218/694-2384 FAX: /- MS. VALERIE WALLINGFORD Minnesota Department of Health Division of Compliance Monitoring Page 52 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Cnty CLEARWATER HOSPICE Certification CLEARWATER Registration (Cont.)* -------------------------- Hospice HSPICE 212 MAIN AVENUE NORTH (03174) BAGLEY, MN 56621 PHONE: 218/694-6581 FAX: MS. BONNIE ENGEN 218/694-6594 Corp CORNERSTONE NSG & REHAB CENTER NH-43 SNF-NF-43 416 SEVENTH STREET NORTHEAST (00974) BAGLEY, MN 56621 PHONE: 218/694-6552 FAX: MS. KARI SWANSON 218/694-6987 Corp CORNERSTONE RES OF BAGLEY INC HCP-F HWSAL 30 SUNSET AVENUE SW (26540) BAGLEY, MN 56621 PHONE: 218/694-2701 FAX: MR. ALLEN POTVIN 218/694-2718 RHC NProf ESSENTIA HEALTH BAGLEY CLINIC 121 CENTRAL STREET W (22060) BAGLEY, MN 56621 PHONE: 218/694-6281 FAX: MS. PATRICIA WANGLER /- NProf PINE RIDGE RESIDENCE SLFA-12 SLFB-3 ICFMR-15 503 HALLAN AVENUE BOX 29 (01012) BAGLEY, MN 56621 PHONE: 218/694-6716 FAX: 218/694-3799 Corp THE GARDEN PL ASSIST LVNG PLU MR. DONALD BLOOFLAT HCP-F HWSAL 421 6TH STREET NE (21640) BAGLEY, MN 56621 PHONE: 218/694-2378 FAX: 218/694-2348 MS. SUNNA-LEE DORN RHC Cnty CLEARWATER HEALTH SERVS CLINIC 22 ELM STREET (21436) CLEARBROOK, MN 56634 PHONE: 218/776-3124 FAX: MS. VALERIE WALLINGFORD /- NProf GOOD SAM SOCIETY CLEARBROOK NH-43 SNF-NF-43 305 - 3RD AVE SW (00078) CLEARBROOK, MN 56634 PHONE: 218/776-3157 FAX: 218/776-3836 MS. ANGEL NORMANDIN Home Mgmt Corp HOME AT HEART CARE INC 221 3RD AVENUE SW PO BOX 183 (25734) CLEARBROOK, MN 56634 PHONE: 218/776-3508 FAX: 218/776-3507 ---------------------------********** MR. BRUCE EMMEL COOK ******** -------------------------- Minnesota Department of Health Division of Compliance Monitoring Page 53 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Dist COOK CO NORTHSHORE HOSP &C CTR Certification COOK Registration (Cont.)* -------------------------- NH-37 BASS-2 HOSP-16 SNF-NF-37 CAH-16 515 - 5TH AVE W (00080) GRAND MARAIS, MN 55604 PHONE: 218/387-3040 FAX: MS. KIMBER WRAALSTAD 218/387-3270 Dist COOK CO NORTHSHORE HOSP HM HLT HCP-A HHA 515 - 5TH AVENUE WEST (03138) GRAND MARAIS, MN 55604 PHONE: 218/387-3280 FAX: MS. KIMBER WRAALSTAD 218/387-3297 HWS NProf SAWTOOTH RIDGES 701 WEST FIFTH STREET #100 (20553) GRAND MARAIS, MN 55604 PHONE: 218/387-9247 FAX: MS. MELISSA SMITH 218/387-9241 ---------------------------********** NProf EVENTIDE SUITES COTTONWOOD ******** -------------------------- HCP-F HWSAL 810 3RD AVE (21929) MOUNTAIN LAKE, MN 56159 PHONE: 507/427-2464 FAX: MR. TIM SWOBODA 507/427-3036 NProf GOOD SAM SOCIETY MT LAKE NH-55 SNF-NF-55 745 BASINGER MEMORIAL DRIVE (00755) MOUNTAIN LAKE, MN 56159 PHONE: 507/427-2464 FAX: 507/427-3036 MR. TIM SWOBODA HWS HRA LAKER APARTMENTS 1225 3RD AVENUE (21751) MOUNTAIN LAKE, MN 56159 PHONE: 507/427-2425 FAX: MS. WENDY FAST 507/427-2485 RHC NProf SANFORD CLINIC MOUNTAIN LAKE 308 EIGHTH STREET (03551) MOUNTAIN LAKE, MN 56159 PHONE: 507/427-3332 FAX: MS. LAURIE JENSEN /- NProf GOOD SAM SOCIETY WESTBROOK NH-40 SNF-NF-40 149 - 1ST AVE - BOX 218 (00082) WESTBROOK, MN 56183 PHONE: 507/274-6155 FAX: 507/274-6207 MR. ANDREW HEWITT HWS NProf PETERSON ESTATES 1012 9TH STREET (23558) WESTBROOK, MN 56183 PHONE: 507/274-6804 FAX: 507/274-5671 MS. STACY BARSTAD Minnesota Department of Health Division of Compliance Monitoring Page 54 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification COTTONWOOD (Cont.)* -------------------------RHC NProf SANFORD CLINIC WESTBROOK Registration 920 BELL AVENUE (20976) WESTBROOK, MN 56183 PHONE: 507/274-6121 FAX: NProf SANFORD WESTBROOK MEDICAL CTR MR. DANIEL REINER 507/274-5630 HOSP-8 CAH-8 920 BELL AVE (00083) WESTBROOK, MN 56183 PHONE: 507/274-6121 FAX: NProf GOOD SAM SOCIETY WINDOM MS. STACY BARSTAD 507/274-5671 NH-78 SNF-NF-78 705 - 6TH ST (00085) WINDOM, MN 56101 PHONE: 507/831-1788 FAX: NProf GOOD SAMARITAN HOME HLTH CARE MS. NANCY WEPPLO 507/831-0844 HCP-A HHA 710 FULLER DRIVE #3 (03754) WINDOM, MN 56101 PHONE: 507/831-0734 FAX: Corp HOME FOR CREATIVE LIVING MS. NANCY WEPPLO 507/831-0736 SLFB-21 ICFMR-21 108 NINTH STREET (01194) WINDOM, MN 56101 PHONE: 507/831-5033 FAX: 507/831-2612 MR. DEVIN NELSON HWSAL NProf MIKKELSEN MANOR 725 FULLER DRIVE (20697) WINDOM, MN 56101 PHONE: 507/831-1788 FAX: 507/831-0846 NProf MIKKELSEN MANOR ASSTD LIVING MS. NANCY WEPPLO HCP-F 725 FULLER DRIVE (20710) WINDOM, MN 56101 PHONE: 507/831-0745 FAX: Corp PINE VIEW ASSISTED LIVING MS. NANCY WEPPLO 507/831-0846 HCP-F 750 4TH AVENUE (26908) WINDOM, MN 56101 PHONE: 507/831-5277 FAX: 507/831-5124 MS. PATRICE GOETTE HWSAL Corp PINE VIEW ASSISTED LIVING 750 FOURTH AVENUE (20175) WINDOM, MN 56101 PHONE: 507/831-5277 FAX: 507/831-5124 MS. PATRICE GOETTE HWS NProf REMICK RIDGE ESTATES 350 SIXTH AVENUE (20010) WINDOM, MN 56101 PHONE: 507/831-0745 FAX: 507/831-0845 MS. NANCY WEPPLO Minnesota Department of Health Division of Compliance Monitoring Page 55 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp RESIDENTIAL ADVANTAGES INC Certification COTTONWOOD Registration (Cont.)* -------------------------- SLFA-12 ICFMR-12 945 PROSPECT AVENUE (01277) WINDOM, MN 56101 PHONE: 507/831-3804 FAX: MR. D. BILL OLSON 507/831-2436 RHC NProf SANFORD CLINIC WINDOM 591 2ND AVENUE NORTH (21432) WINDOM, MN 56101 PHONE: 507/831-2223 FAX: MS. LAURIE JENSEN /- City WINDOM AREA HOSPITAL BASS-6 HOSP-35 CAH-25 2150 HOSPITAL DRIVE (00796) WINDOM, MN 56101 PHONE: 507/831-2400 FAX: MS. GERRI BURMEISTER 507/831-5749 ---------------------------********** Lim-Liab BRAINERD LAKES SURGERY CTR CROW WING ******** -------------------------- Outpt Surg Amb Surg 13114 ISLE DRIVE (23092) BAXTER, MN 56425 PHONE: 218/822-2400 FAX: State COMM BEHAV HLTH HOSP BAXTER MS. SANDY BERRETH 218/822-2401 OTHER-16 HOSP-16 14241 GRAND OAKS DRIVE (24037) BAXTER, MN 56425 PHONE: 218/316-3102 FAX: 218/829-9141 MR. RICHARD SLIETER HWSAL Lim-Liab DIAMOND WILLOW ASSISTED LIVING 14398 GRAND OAKS DRIVE (24428) BAXTER, MN 56425 PHONE: 218/825-7162 FAX: MS. BRENDA MARSHALL 218/825-7166 HWSAL Lim-Liab DIAMOND WILLOW ASSISTED LIVING 14396 GRAND OAKS DRIVE (24427) BAXTER, MN 56425 PHONE: 218/825-7034 FAX: Corp GOOD NEIGHBOR HHC OF BRAINERD MS. BRENDA MARSHALL 218/825-7165 HCP-A HHA 14387 EDGEWOOD DR (02759) BAXTER, MN 56425 PHONE: 218/829-9238 FAX: Corp MN HOME CARE MS. SHERRIE CHRISTENSEN 218/829-2144 HCP-A 14775 EDGEWOOD DRIVE (20912) BAXTER, MN 56425 PHONE: 218/963-8899 FAX: 218/963-9573 MS. TERRIE GETTY Minnesota Department of Health Division of Compliance Monitoring Page 56 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp WELCOME HOME HEALTH CARE Certification CROW WING Registration (Cont.)* -------------------------- HCP-F HWSAL 14211 FIREWOOD DRIVE (22195) BAXTER, MN 56425 PHONE: 218/828-4770 FAX: Corp ALMOND HOUSE MR. DEAN BLOEMKE 218/828-4771 HCP-F HWS PO BOX 442 (20574) BRAINERD, MN 56401 PHONE: 218/825-9255 FAX: MS. CHARITY BITZER 218/822-3068 HWSAL Corp ALMOND HOUSE UNIT 2 804 SOUTHEAST 28TH STREET (20575) BRAINERD, MN 56401 PHONE: 218/822-3067 FAX: MR. JAMES JOHNSON 218/822-3068 HWSAL Corp ALMOND HOUSE UNIT 3 814 28TH STREET SOUTHEAST (20581) BRAINERD, MN 56401 PHONE: 218/822-3067 FAX: MR. JAMES JOHNSON 218/822-3068 HWS Corp ALMOND HOUSE UNIT 4 816 28TH STREET SOUTHEAST (20582) BRAINERD, MN 56401 PHONE: 218/822-3067 FAX: 218/822-3068 MR. JAMES JOHNSON HWS Corp ALMOST HOME 710 SOUTHEAST 28TH STREET (21680) BRAINERD, MN 56401 PHONE: 218/822-3067 FAX: 218/822-3068 Corp BARNABAS HEALTH CARE SERVICES MS. CHARITY BITZER HCP-A HHA 223 WASHINGTON STREET (02992) BRAINERD, MN 56401 PHONE: 218/829-0901 FAX: 218/829-4470 MS. BOBBIE DEBROS HWSAL Lim-Liab BRAINERD CAREFREE LIVING LLC 2723 OAK STREET (20187) BRAINERD, MN 56401 PHONE: 218/829-8622 FAX: 218/829-4463 MR. MERLE SAMPSON HWSAL-O HRA BRAINERD HRA 410 EAST RIVER ROAD (20506) BRAINERD, MN 56401 PHONE: 218/828-3705 FAX: 218/828-8817 MS. DIANA KLIBER HWSAL Corp CENTRAL MINNESOTA SENIOR CARE 1008 10TH STREET SOUTH (20683) BRAINERD, MN 56401 PHONE: 320/441-7001 FAX: 320/235-8069 MS. DAWN FRERICKS Minnesota Department of Health Division of Compliance Monitoring Page 57 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification CROW WING (Cont.)* -------------------------ESRD NProf CHRONIC DIALYSIS UNIT Registration 2024 SOUTH SIXTH STREET (02818) BRAINERD, MN 56401 PHONE: 218/828-7532 FAX: MR. JOHN FROBENIUS /- State COMMUNITY ADDICTION RECOVERY E SLFA-0 SLFB-58 11600 STATE AVE (01681) BRAINERD, MN 56401 PHONE: 218/828-6167 FAX: MR. TODD JOHNSTON /- Cy-Co CROW WING COUNTY HEALTH DEPT HCP-A 204 LAUREL STREET SUITE 12 (02010) BRAINERD, MN 56401 PHONE: 218/824-1080 FAX: Lim-Liab EDGEWOOD VISTA BRAINERD MS. GWEN ANDERSON 218/824-1081 HCP-F HWSAL 14890 BEAVER DAM ROAD (23750) BRAINERD, MN 56401 PHONE: 218/828-3691 FAX: MR. PHILIP GISI 218/829-5482 HWSAL Lim-Liab EDGEWOOD VISTA BRAINERD ALZHEI 14890 BEAVER DAM ROAD (23751) BRAINERD, MN 56401 PHONE: 218/828-3691 FAX: 218/829-5482 Church ESSENTIA HEALTH ST JOSEPHS MED MR. PHILIP GISI BASS-15 HOSP-162 HOSP-140 PPS-P-22 523 NORTH THIRD STREET (00093) BRAINERD, MN 56401 PHONE: 218/829-2861 FAX: 218/828-3103 NProf GOOD SAM SOCIETY BETHANY MS. JANI WIEBOLT NH-124 SNF-NF-124 804 WRIGHT ST (00087) BRAINERD, MN 56401 PHONE: 218/829-1407 FAX: NProf GOOD SAM SOCIETY BETHANY SR MR. MICHAEL DEUTH 218/829-0516 HCP-F HWSAL 1953 SEVENTH STREET SOUTH (20129) BRAINERD, MN 56401 PHONE: 218/829-1407 FAX: NProf GOOD SAM SOCIETY WOODLAND MR. MIKE DEUTH 218/829-0516 NH-42 SNF-NF-42 100 BUFFALO HILLS LANE (00956) BRAINERD, MN 56401 PHONE: 218/829-1429 FAX: Corp GRATTAN PRIVATE DUTY NRSG INC MS. JENNIFER BERGSTROM 218/829-4729 HCP-A 8382 50TH AVENUE (28253) BRAINERD, MN 56401 PHONE: 218/820-1326 FAX: 218/825-0144 MS. STACI GRATTAN Minnesota Department of Health Division of Compliance Monitoring Page 58 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification CROW WING (Cont.)* -------------------------HWSAL NProf HARMONY HOUSE OF BRAINERD (NO) Registration 218 NINTH STREET SOUTHWEST (20415) BRAINERD, MN 56401 PHONE: 218/828-4142 FAX: MS. BRIDGET BRITZ 218/828-4580 Home Mgmt Lim-Liab HOME INSTEAD SENIOR CARE 108 SOUTH 6TH STREET SUITE 3 (23696) BRAINERD, MN 56401 PHONE: 218/824-0077 FAX: Lim-Liab HOME INSTEAD SENIOR CARE MS. DEBORAH CRANNY 218/824-0079 HCP-B 108 SOUTH 6TH STREET SUITE 3 (27309) BRAINERD, MN 56401 PHONE: 218/824-0077 FAX: Lim-Liab LAKES AREA HOME CARE MS. DEBORAH CRANNY 218/824-0079 HCP-C 7043 BROWNS LANE (27663) BRAINERD, MN 56401 PHONE: 218/330-4671 FAX: MS. KATHI GALLUP 218/330-4671 Home Mgmt NProf LUTHERAN SOCIAL SERVICE 716 E STREET (23440) BRAINERD, MN 56401 PHONE: 218/824-3740 FAX: 888/331-9217 NProf LUTHERAN SOCIAL SERVICE OF MN MS. NANCY ROSEMORE HCP-A 716 EAST STREET (28197) BRAINERD, MN 56401 PHONE: 218/824-3740 FAX: 888/331-9217 State MN SPECIALTY HEALTH SYSTEM MS. NANCY ROSEMORE SLFB-16 11615 STATE AVENUE (00089) BRAINERD, MN 56401 PHONE: 218/828-6123 FAX: Ind OPTIONS HHC HOME MGT SOLUTIONS MS. PAULA HALVERSON 218/828-2569 HCP-C 701 6TH AVENUE NE (27788) BRAINERD, MN 56401 PHONE: 218/232-2291 FAX: 218/232-2291 MS. DANIELLE DICKEY HWSAL NProf SAMARITAN HOUSE BIRCHWOOD 2509 GREENWOOD STREET (24683) BRAINERD, MN 56401 PHONE: 218/855-6636 FAX: 218/855-6649 MS. JENNIFER BERGSTROM HWSAL NProf SAMARITAN HOUSE ELMWOOD 2517 GREENWOOD STREET (24681) BRAINERD, MN 56401 PHONE: 218/855-6638 FAX: 218/855-6647 MS. JENNIFER BERGSTROM Minnesota Department of Health Division of Compliance Monitoring Page 59 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification CROW WING (Cont.)* -------------------------HWSAL NProf SAMARITAN HOUSE OAKWOOD Registration 2501 GREENWOOD STREET (23489) BRAINERD, MN 56401 PHONE: 218/855-6637 FAX: Corp TENDER CARE HOME MANAGEMENT MS. JENNIFER BERGSTROM 218/855-6648 HCP-A 324 SOUTH 5TH STREET, STE B (24822) BRAINERD, MN 56401 PHONE: 218/454-0041 FAX: NProf WOODLAND GOOD SAM ASSISTED LIV MS. KELLY COOPER-SWENSON 218/825-8536 HCP-F HWSAL 200 BUFFALO HILLS LANE (20012) BRAINERD, MN 56401 PHONE: 218/829-1429 FAX: Dist CUYUNA REGIONAL MEDICAL CENTER MS. JENNIFER BERGSTROM 218/829-4815 NH-120 BASS-7 HOSP-42 SNF-NF-120 CAH-25 320 EAST MAIN STREET (00091) CROSBY, MN 56441 PHONE: 218/546-7000 FAX: Dist HALLETT COTTAGES MR. THOMAS REEK 218/546-7268 HCP-F 350 FOURTH STREET NORTHEAST (20479) CROSBY, MN 56441 PHONE: 218/545-8523 FAX: 218/545-8501 MS. KRISTIN NEFF HWSAL NProf HALLETT COTTAGES 350 4TH STREET NORTHEAST (25525) CROSBY, MN 56441 PHONE: 218/546-6265 FAX: 218/546-7269 MS. KRISTIN NEFF HWSAL NProf HEARTWOOD 500 HEARTWOOD DRIVE (26228) CROSBY, MN 56441 PHONE: 218/545-8500 FAX: Dist HOMEHEALTH PARTNERSHIP MS. KRISTIN NEFF 218/545-8501 HCP-A HHA 320 EAST MAIN STREET (02256) CROSBY, MN 56441 PHONE: 218/546-2311 FAX: Dist HOMEHEALTH PARTNERSHIP MR. THOMAS REEK 218/546-4313 Hospice HSPICE 320 EAST MAIN STREET (02994) CROSBY, MN 56441 PHONE: 218/546-2311 FAX: 218/546-4313 MR. THOMAS REEK HWS-O HRA HOUSING AND REDEVELOPMENT AUTH 300 3RD AVENUE NORTHEAST (21705) CROSBY, MN 564411642 PHONE: 218/546-5088 FAX: 218/546-5041 MR. DAVID KNEELAND Minnesota Department of Health Division of Compliance Monitoring Page 60 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp GOLDEN HORIZONS OF CROSSLAKE Certification CROW WING Registration (Cont.)* -------------------------- HCP-F HWSAL 13631 EAST SHORE ROAD (26009) CROSSLAKE, MN 56442 PHONE: 218/692-6650 FAX: MR. CHUCK LANE 218/692-6654 RHC NProf RIVERWOOD HLTH CC GARRISON 27278 STATE HIGHWAY 18 (25293) GARRISON, MN 56450 PHONE: 320/525-3400 FAX: MR. MICHAEL HAGEN 320/525-3439 Home Mgmt Lim-Liab AIDE HOME CARE 317 IRENE AVENUE (28277) IRONTON, MN 56455 PHONE: 218/546-6242 FAX: MS. DEBBIE ZETTERVALL 218/772-0142 NProf GOOD SAMARITAN SOC HC HOSPICE HCP-A HHA 24090 SMILEY ROAD SUITE 200 (23213) NISSWA, MN 56468 PHONE: 218/963-9452 FAX: MS. KAYLA FARR 218/963-9746 NProf GOOD SAMARITAN SOCIETY-HOSPICE Hospice HSPICE 24090 SMILEY ROAD SUITE 200 (24551) NISSWA, MN 56468 PHONE: 218/963-9452 FAX: 218/963-9746 MS. KAYLA FARR HWSAL Lim-Liab SENIOR CLASS CARE 5307 HILLS CROSSING (27831) NISSWA, MN 56468 PHONE: 218/961-5605 FAX: 218/961-4001 Lim-Liab SENIOR CLASS HOME HEALTH CARE MS. ANGELA SANDELIN HCP-A 5307 HILLS CROSSING (25179) NISSWA, MN 56468 PHONE: 218/568-5605 FAX: MS. ANGELA SANDELIN 218/568-8444 HWSAL Corp HERITAGE HOUSE OF PEQUOT LAKES 5384 COUNTRY CARE LANE (20576) PEQUOT LAKES, MN 56472 PHONE: 218/568-4673 FAX: MR. JAMES BIRCHEM 218/568-5785 Ind MELODY CECELIA SWOFFORD HCP-A 31303 COUNTY ROAD 112, B-15 (28006) PEQUOT LAKES, MN 56472 PHONE: 218/568-8763 FAX: MS. MELODY SWOFFORD /- HWSAL Lim-Liab SENIOR CLASS CARE 4451 EAST WOODMAN STREET (26533) PEQUOT LAKES, MN 56472 PHONE: 218/568-5605 FAX: 218/568-8444 MS. ANGELA SANDELIN Minnesota Department of Health Division of Compliance Monitoring Page 61 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf APPLE VALLEY VILLA Certification DAKOTA Registration ******** -------------------------- HCP-F HWSAL 14610 GARRETT AVENUE (25804) APPLE VALLEY, MN 55124 PHONE: 952/236-2600 FAX: MR. DAVID SHAW 952/236-2670 NProf AUGUSTANA HCC OF APPLE VALLEY NH-188 SNF- SNF-NF-188 14650 GARRETT AVENUE (00979) APPLE VALLEY, MN 55124 PHONE: 952/236-2000 FAX: MR. DAVID SHAW 952/236-2510 NProf CENTENNIAL HOUSE OF APPLE VALY HCP-F 14625 PENNOCK AVENUE (24139) APPLE VALLEY, MN 55124 PHONE: 952/891-2711 FAX: MS. JANIS RIVERS 952/891-4780 HWSAL Corp COMMUNITY ASSISTED LIVING 13644 PILOT KNOB ROAD (26838) APPLE VALLEY, MN 55124 PHONE: 952/423-9778 FAX: MS. DONNA NOVAK 952/423-5280 HWSAL Corp COMMUNITY ASSISTED LIVING INC 13628 PILOT KNOB ROAD (28479) APPLE VALLEY, MN 55124 PHONE: 952/440-3955 FAX: /- MS. DONNA NOVAK Corp COMMUNITY HEALTHCARE SERVICE HCP-A 14249 HAYES ROAD (28488) APPLE VALLEY, MN 55124 PHONE: 952/891-8038 FAX: 952/891-8038 MR. ALBERT ABARA Home Mgmt Corp DAKOTA HOMEMAKING SERVICES INC 14530 PENNOCK AVENUE #101 (21218) APPLE VALLEY, MN 55124 PHONE: 952/997-7319 FAX: MS. SHARON BENTLEY 952/997-2780 HWS Part HARALSON APARTMENTS 15420 FOUNDERS LANE (24369) APPLE VALLEY, MN 55124 PHONE: 612/332-6264 FAX: Corp HEALTHCARE RESOURCES MR. RICHARD BRUSTAD 612/332-2627 HCP-A 13278 HURON CT (24274) APPLE VALLEY, MN 55124 PHONE: 952/432-4020 FAX: NProf HOPE AND NEW LIFE HEALTH CARE MR. RON ERIKSMOEN 952/431-5978 HCP-A 15278 DUPONT PATH SUITE 2 (26764) APPLE VALLEY, MN 55124 PHONE: 651/338-2041 FAX: 952/953-3301 MS. MILLICENT WARRINGTON-SAWYE Minnesota Department of Health Division of Compliance Monitoring Page 62 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp HOPE HEALTH CARE INC Certification DAKOTA Registration (Cont.)* -------------------------- HCP-A 15278 DUPONT PATH (20602) APPLE VALLEY, MN 55124 PHONE: 952/322-4988 FAX: MS. MILLICENT WARRINGTON 952/953-3301 CORF Lim-Liab INTEGRATED MEDICAL REHAB 14655 GALAXIE #160 (21264) APPLE VALLEY, MN 55124 PHONE: 952/431-5353 FAX: MR. DOUGLAS HANSON /- Corp NAGOMI INC HCP-F HWS 14424 LOWER GUTHRIE COURT (25215) APPLE VALLEY, MN 55124 PHONE: 952/431-3037 FAX: MR. JAMES JEONG /- NProf SEASONS AT APPLE VALLEY HCP-F HWSAL 15359 FOUNDERS LANE (27794) APPLE VALLEY, MN 55124 PHONE: 952/698-5300 FAX: MS. JULIE WALTON 952/698-5302 HWSAL NProf THE CENTENNIAL HOUSE OF APPLE 14615 PENNOCK AVENUE (20316) APPLE VALLEY, MN 55124 PHONE: 952/906-3800 FAX: 952/906-3888 MS. KATHRYN ROBERTS HWSAL Lim-Liab TIMBERS 14018 PENNOCK AVENUE (28140) APPLE VALLEY, MN 55124 PHONE: 952/432-4070 FAX: 952/432-0019 Corp TWINS CARE NURSING SERVICE INC MR. FRANCIS LANG HCP-A 7668 150TH ST SUITE 105 (25451) APPLE VALLEY, MN 55124 PHONE: 952/423-1204 FAX: MS. SHERRI WRIGHT 952/423-4113 Corp A WOMANS WAY SLFA-8 720 151ST STREET EAST (25914) BURNSVILLE, MN 55306 PHONE: 952/894-7722 FAX: MS. CAROL ACKLEY 952/894-0882 HWS-O NProf ACCESSIBLE SPACE INC WEST APA 1501 143RD STREET WEST (28387) BURNSVILLE, MN 55306 PHONE: 651/645-7271 FAX: MR. STEPHEN VANDERSCHAAF 651/645-0541 Corp ARDOR HOME CARE INC HCP-A 12302 CROWN HILL COURT (27926) BURNSVILLE, MN 55337 PHONE: 952/693-6843 FAX: /- MR. OSMAN KANU Minnesota Department of Health Division of Compliance Monitoring Page 63 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification DAKOTA (Cont.)* -------------------------HWSAL NProf AUGUSTANA EMERALD CREST OF BUR Registration 451 EAST TRAVELERS TRAIL (20860) BURNSVILLE, MN 55337 PHONE: 952/856-7522 FAX: MS. MARGARET OWENS 952/856-7527 HWSAL NProf AUGUSTANA EMERALD CREST OF BUR 455 EAST TRAVELERS TRAIL (20952) BURNSVILLE, MN 55337 PHONE: 952/856-7522 FAX: MS. MARGARET OWENS 952/856-7527 HWSAL NProf AUGUSTANA EMERALD CREST OF BUR 457 EAST TRAVELERS TRAIL (21141) BURNSVILLE, MN 55337 PHONE: 952/856-7522 FAX: MS. MARGARET OWENS 952/856-7527 HWSAL NProf AUGUSTANA EMERALD CREST OF BUR 453 EAST TRAVELERS TRAIL (20861) BURNSVILLE, MN 55337 PHONE: 952/856-7522 FAX: Lim-Liab AUGUSTANA REGENT AT BURNSVILLE MS. MARGARET OWENS 612/238-5015 HCP-F 14500 REGENT LANE (23238) BURNSVILLE, MN 55306 PHONE: 952/898-1910 FAX: 952/898-7257 MS. VICKI TOBROXEN HWSAL Lim-Liab AUGUSTANA REGENT AT BURNSVILLE 14500 REGENT LANE (23217) BURNSVILLE, MN 55306 PHONE: 952/898-1910 FAX: 952/898-7257 Lim-Liab BRIGHTSTAR OF THE SOUTHERN TWI MS. VICKI TOBROXEN HCP-A 2434 117TH STREET EAST (27924) BURNSVILLE, MN 55337 PHONE: 651/234-0044 FAX: 651/234-0046 MS. SINI STJERNSWARD ROSS HWSAL Lim-Liab BURNSVILLE CAREFREE LIVING LLC 600 EAST NICOLLET BLVD (20191) BURNSVILLE, MN 55337 PHONE: 952/892-5559 FAX: 952/892-1585 MS. KATIE GRIEP ESRD Corp BURNSVILLE DIALYSIS UNIT 501 E NICOLLET BLVD SUITE 150 (02427) BURNSVILLE, MN 55337 PHONE: 952/892-1117 FAX: 952/892-6644 MS. KATHY WOLFE HWS Corp CARDENAS FRIENDSHIP HOUSE 13808 COUNTY ROAD 5 (20980) BURNSVILLE, MN 55337 PHONE: 952/882-2956 FAX: 651/257-9245 MR. ROBERT CARDENAS Minnesota Department of Health Division of Compliance Monitoring Page 64 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification DAKOTA (Cont.)* -------------------------HWS Corp CARDENAS FRIENDSHIP HOUSE Registration 912 KNOB HILL (20979) BURNSVILLE, MN 55337 PHONE: 952/882-8056 FAX: NProf DCI KENNELLY MR. ROBERT CARDENAS 651/257-9245 SLFA-8 ICFMR-8 12000 KENNELLY ROAD (01466) BURNSVILLE, MN 55337 PHONE: 952/894-3044 FAX: MR. ROGER MEYER 952/894-1926 HWS NProf EBENEZER RIDGE POINT APARTMENT 13800 COMMUNITY DRIVE (27920) BURNSVILLE, MN 55337 PHONE: 952/898-1989 FAX: NProf EBENEZER RIDGES GERIATRIC CC MS. BRITTANY PETERSON 952/898-4028 NH-104 SNF-NF-104 13820 COMMUNITY DRIVE (00756) BURNSVILLE, MN 55337 PHONE: 952/898-8400 FAX: Church FAIRVIEW RIDGES HOSPITAL MS. ERIN HILLIGAN 952/898-8450 BASS-48 HOSP-150 HOSP-150 201 EAST NICOLLET BOULEVARD (00107) BURNSVILLE, MN 55337 PHONE: 952/892-2211 FAX: 952/892-2107 Lim-Liab HOME INSTEAD SENIOR CARE MS. BETH KREHBIEL HCP-B 1600 EAST CLIFF ROAD (26303) BURNSVILLE, MN 55337 PHONE: 952/882-9300 FAX: 952/882-9301 MR. VITALY SALO Home Mgmt Lim-Liab HOME INSTEAD SENIOR CARE 1600 EAST CLIFF ROAD (26156) BURNSVILLE, MN 55337 PHONE: 952/882-9300 FAX: Lim-Liab HOME INSTEAD SENIOR CARE-LICEN MR. VITALY SALO 952/882-9301 HCP-A 1600 EAST CLIFF ROAD (23616) BURNSVILLE, MN 55337 PHONE: 952/882-9300 FAX: Lim-Liab MINNESOTA VALLEY SURGERY CTR MR. VITALY SALO 952/882-9301 Outpt Surg Amb Surg 1000 140TH STREET WEST (24147) BURNSVILLE, MN 55337 PHONE: 952/232-1133 FAX: 952/232-1151 MS. SHARON RICHMOND HWS Corp NAGOMI INC 1209 131 STREET EAST (27011) BURNSVILLE, MN 55337 PHONE: 612/202-7963 FAX: 952/431-3037 MR. JAMES JEONG Minnesota Department of Health Division of Compliance Monitoring Page 65 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification DAKOTA (Cont.)* -------------------------HWS Corp OPTIONS RESIDENTIAL INC Registration 1200 WEST BURNSVILLE PARKWAY (27971) BURNSVILLE, MN 55337 PHONE: 952/564-3030 FAX: MR. JAMES HAMMILL 952/564-3038 HWS Corp OPTIONS RESIDENTIAL INC 12829 BRIAR COURT (27153) BURNSVILLE, MN 55337 PHONE: 952/564-3030 FAX: MR. JAMES HAMMILL 952/564-3038 HWS Corp OPTIONS RESIDENTIAL INC - BRIA 12837 BRIAR COURT (27394) BURNSVILLE, MN 55337 PHONE: 952/564-3030 FAX: MR. JAMES HAMMILL 952/564-3038 HWS Corp OPTIONS RESIDENTIAL INC - BRIA 12845 BRIAR CT (27393) BURNSVILLE, MN 55337 PHONE: 952/564-3030 FAX: MR. JAMES HAMMILL 952/564-3038 HWS Corp OWAKIHI INC 13150 HARRIET AVENUE SOUTH (28349) BURNSVILLE, MN 55337 PHONE: 651/450-6005 FAX: 651/450-5955 MS. SANDRA KINDEM HWS NProf PEOPLE INCORPORATED SUMMIT PAR 12501 PORTLAND AVENUE SOUTH (28017) BURNSVILLE, MN 55337 PHONE: 651/774-0011 FAX: 952/736-9632 Lim-Liab SENIOR HELPERS MR. TIM BURKETT HCP-A 1500 MCANDREWS ROAD WEST (25457) BURNSVILLE, MN 55337 PHONE: 952/892-8403 FAX: Corp SYNERGY HOMECARE TWIN CITIES S MS. KRISTINE NENOVICH 952/892-8405 HCP-B 13955 W PRESERVE BLVD STE 202 (27612) BURNSVILLE, MN 55337 PHONE: 952/697-4430 FAX: Lim-Liab TENDER CARE FOR YOU LLC MR. OMAR RICHMOND 952/697-4431 HCP-A 401 E BURNSVILLE PKWY STE 315 (28137) BURNSVILLE, MN 55337 PHONE: 952/540-7005 FAX: NProf THE ARBORS AT RIDGES MS. MARSHA KORTE 952/985-5789 HCP-F HWSAL 13810 COMMUNITY DRIVE (21489) BURNSVILLE, MN 55337 PHONE: 952/898-4005 FAX: 952/435-6686 MS. BRITTANY PETERSON Minnesota Department of Health Division of Compliance Monitoring Page 66 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab THE LODGE ON SUMMIT OAKS Certification DAKOTA Registration (Cont.)* -------------------------- HCP-F HWSAL 1412 SUMMIT OAKS DR (24877) BURNSVILLE, MN 55337 PHONE: 952/431-9120 FAX: MR. GERALD MCGOWAN 952/431-9123 HWSAL Part THE RIVERS 11111 RIVER HILLS DRIVE (21779) BURNSVILLE, MN 55337 PHONE: 952/890-8553 FAX: MR. FRANCIS LANG 952/890-9320 Home Mgmt Corp VISITING ANGELS 14551 COUNTY ROAD 11 STE 135 (22145) BURNSVILLE, MN 55337 PHONE: 952/891-8000 FAX: Corp VISITING ANGELS MR. DAN VLAISAVLJEVICH 952/891-8100 HCP-B 14551 COUNTY RD 11 STE 135 (23055) BURNSVILLE, MN 55337 PHONE: 952/891-8000 FAX: Corp VISITING ANGELS MR. DAN VLAISAVLJEVICH 952/891-8100 HCP-A 14551 COUNTY ROAD 11 (21703) BURNSVILLE, MN 55337 PHONE: 952/891-8000 FAX: 952/891-8100 MR. DAN VLAISAVLJEVICH HWSAL Corp NEW CHALLENGES INC AFTON 6880 ST. CROIX TRAIL SOUTH (28126) DENMARK TOWNSHIP, MN 55033 PHONE: 651/454-0161 FAX: 651/379-4575 Corp ACCREDO HEALTH GROUP INC MS. LEANN METZMAKER HCP-A 2915 WATERS ROAD SUITE 109 (03256) EAGAN, MN 55121 PHONE: 651/681-0885 FAX: Corp ALLIANCE ASSISTED LIVING SRVCS MS. ELIZABETH HOLLOWAY 651/681-0977 HCP-F 2260 CLIFF ROAD (20982) EAGAN, MN 55122 PHONE: 651/895-8030 FAX: Corp ALLIANCE HEALTH SERVICES INC MS. ALANA FIALA 651/895-8070 HCP-A HHA 2260 CLIFF ROAD (02838) EAGAN, MN 55122 PHONE: 651/895-8030 FAX: 651/895-8070 MS. ALANA FIALA HWS Corp CARDENAS FRIENDSHIP HOUSE 1226 WILDERNESS RUN ROAD (21118) EAGAN, MN 55123 PHONE: 651/257-8146 FAX: 651/257-9245 MR. ROBERT CARDENAS Minnesota Department of Health Division of Compliance Monitoring Page 67 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp CLARE BRIDGE OF EAGAN Certification DAKOTA Registration (Cont.)* -------------------------- HCP-F HWSAL 1365 CRESTRIDGE LANE (20508) EAGAN, MN 55123 PHONE: 651/686-5557 FAX: MS. SARAH KOBLICK 651/686-7778 NProf DCI POPPLER SLFB-6 3020 POPPLER LANE (20857) EAGAN, MN 55122 PHONE: 651/688-8035 FAX: MR. ROGER MEYER 651/688-8250 ESRD Corp EAGAN DIALYSIS UNIT 2750 BLUEWATER ROAD SUITE 300 (22530) EAGAN, MN 55121 PHONE: 651/688-0132 FAX: MS. DEDE BLOOMQUIST /- Lim-Liab GOODLIFE SERVICES HCP-B 1068 NORTHVIEW DRIVE (26997) EAGAN, MN 55123 PHONE: 612/916-0761 FAX: MR. PAUL ZENNER /- Ind JANE M GRENDER HCP-C 1875 NORTH RUBY COURT (28379) EAGAN, MN 55122 PHONE: 651/324-4503 FAX: /- MS. JANE GRENDER HWSAL Lim-Liab KEYSTONE COMMUNITIES OF EAGAN 3810 ALDER LANE (23505) EAGAN, MN 55122 PHONE: 651/379-2410 FAX: 651/379-2431 MR. MICHAEL LEWIS HWS NProf LINCOLN PLACE 1997 GOLD TRAIL (27190) EAGAN, MN 55122 PHONE: 651/209-1681 FAX: MS. AMANDA FLYNN 651/209-1684 Corp MNGI ENDOSCOPY EAGAN Outpt Surg Amb Surg 1185 TOWN CTR DRIVE SUITE 200 (23392) EAGAN, MN 55123 PHONE: 612/871-1145 FAX: DR. SCOTT KETOVER /- Corp MVR HOME CARE INC HCP-A 3435 WASHINGTON DRIVE #104 (23107) EAGAN, MN 55122 PHONE: 651/994-9482 FAX: Corp NEW CHALLENGES INC MR. VLADIMIR STORCHAK 651/305-6224 HCP-F 4670 SLATER ROAD (25523) EAGAN, MN 55122 PHONE: 651/454-0161 FAX: 651/379-4575 MS. LEANN METZMAKER Minnesota Department of Health Division of Compliance Monitoring Page 68 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab PEACEFUL MIND HOMES LLC Certification DAKOTA Registration (Cont.)* -------------------------- HCP-F HWSAL 3808 BLACKHAWK RIDGE PLACE (25900) EAGAN, MN 55122 PHONE: 651/538-4499 FAX: MS. KAM AGGARWAL 651/815-0420 HWS NProf PEOPLE INCORPORATED 3924 CEDARGROVE PARKWAY (28276) EAGAN, MN 55122 PHONE: 952/895-0935 FAX: MR. SCOTT HINCHEE 952/736-9632 ONProf THE COMMONS ON MARICE HCP-F HWSAL 1380 MARICE DRIVE (20662) EAGAN, MN 55121 PHONE: 651/688-9999 FAX: MR. DAN PETERKA 651/688-7888 Lim-Liab TOUCHING HEARTS AT HOME HCP-B 4640 SLATER ROAD SUITE 110 (27204) EAGAN, MN 55122 PHONE: 651/452-7900 FAX: MR. WILLIAM WILKEN 651/452-2100 Corp ZACHARY HOME HEALTH CORPORATIO HCP-A 680 SUMMER LANE (23615) EAGAN, MN 55123 PHONE: 651/452-8174 FAX: 651/797-3528 MR. VICTOR BANGURA HWSAL Corp COMMUNITY ASSISTED LIVING INC 911 HONEYSUCKLE LANE (26001) FARMINGTON, MN 55024 PHONE: 651/460-2902 FAX: 651/460-2217 MS. DONNA NOVAK HWSAL Corp COMMUNITY ASSISTED LIVING INC 912 FOURTH STREET (22166) FARMINGTON, MN 55024 PHONE: 651/460-6762 FAX: MS. DONNA NOVAK 651/460-2217 HWSAL Corp COMMUNITY ASSISTED LIVING INC 601 4TH STREET (21035) FARMINGTON, MN 55024 PHONE: 651/463-4571 FAX: MS. DONNA NOVAK 651/460-2217 NProf FARMINGTON HEALTH SERVICES HCP-F 3410 WEST 213TH STREET (21782) FARMINGTON, MN 55024 PHONE: 651/460-1138 FAX: MR. RICHARD LUDWIG 651/252-2009 Lim-Liab HEALING HANDS HOMECARE LLC HCP-A 18609 DULUTH STREET (27805) FARMINGTON, MN 55024 PHONE: 651/463-3040 FAX: /- MRS. REBEKAH SILVERTHORN Minnesota Department of Health Division of Compliance Monitoring Page 69 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab PAULS PLACE Certification DAKOTA Registration (Cont.)* -------------------------- SLFA-6 22355 ALBATROSS CIRCLE (25956) FARMINGTON, MN 55024 PHONE: 651/463-2608 FAX: MS. JANET HAVEN-HALL 651/463-7984 Home Mgmt Corp RIVER VALLEY HOME CARE INC 916 EIGHTH STREET (20797) FARMINGTON, MN 55024 PHONE: 651/460-4201 FAX: Corp RIVER VALLEY HOME CARE INC MS. RACHELLE PARISEAU 651/460-4208 HCP-A HHA 916 EIGHTH STREET (03533) FARMINGTON, MN 55024 PHONE: 651/460-4201 FAX: NProf TRINITY CARE CENTER MS. RACHELLE PARISEAU 651/460-4208 NH-65 SNF-NF-65 3410 213TH STREET WEST (00101) FARMINGTON, MN 55024 PHONE: 651/463-7818 FAX: MS. ELIZABETH LETICH 651/460-1165 HWSAL NProf TRINITY TERRACE 3330 213TH STREET WEST (20413) FARMINGTON, MN 55024 PHONE: 651/460-1104 FAX: 651/463-4941 NProf AUGUSTANA HCC OF HASTINGS MR. RICHARD LUDWIG NH-91 SNF-NF-91 930 WEST 16TH STREET (00877) HASTINGS, MN 55033 PHONE: 651/437-6176 FAX: 651/480-2120 NProf DAKOTA CO RECEIVING CENTER MR. LARRY VANDER POEL SLFB-38 1294 EAST 18TH ST BUILDING #1 (01406) HASTINGS, MN 55033 PHONE: 651/437-4209 FAX: Ind HENRY HAGEN RESIDENCE MS. LOUISE SKOGSTAD 651/438-4144 SLFA-6 ICFMR-6 19845 LILLEHEI AVENUE (01091) HASTINGS, MN 55033 PHONE: 651/437-9363 FAX: State MN VETERANS HOME HASTINGS MS. LAURA LEE REYNOLDS 651/437-9363 BCH-200 1200 EAST 18TH STREET (00788) HASTINGS, MN 55033 PHONE: 651/438-8579 FAX: NProf OAK RIDGE ASSTD LVNG HASTINGS MS. KARI EVERSON 651/437-2203 HCP-F HWSAL 1128 BAHLS DRIVE (21404) HASTINGS, MN 55033 PHONE: 651/438-0418 FAX: 651/438-0419 MS. DIANNE FIALA Minnesota Department of Health Division of Compliance Monitoring Page 70 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf PARK RIDGE APTS OF HASTINGS Certification DAKOTA Registration (Cont.)* -------------------------- HCP-F HWSAL 901 WEST 16TH STREET (26858) HASTINGS, MN 55033 PHONE: 651/480-6300 FAX: MS. TAMMY HASE 651/480-6348 NProf REGINA ASSISTED LIVING HCP-F HWSAL 1175 NININGER ROAD (20006) HASTINGS, MN 55033 PHONE: 651/480-4333 FAX: MR. TY ERICKSON 651/480-6854 NProf REGINA MEDICAL CENTER NH-61 BASS-12 HOSP-57 SNF-NF-61 HOSP-43 PPS-P-14 1175 NININGER ROAD (00100) HASTINGS, MN 55033 PHONE: 651/480-4100 FAX: MR. MARK WILSON 651/480-4212 Corp RUTH HOMES INC HCP-F HWSAL 1306 LINCOLN LANE (20237) HASTINGS, MN 55033 PHONE: 651/437-4312 FAX: MS. JANE HAUSMAN 651/437-6306 Home Mgmt Ind WITH OPEN ARMS 3346 CENTURY DRIVE (27969) HASTINGS, MN 55033 PHONE: 612/360-0926 FAX: 651/319-0745 Lim-Liab ANIKA HOME CARE MS. KELI MATSCH HCP-A 3144 EAST 78TH STREET (27014) INVER GROVE HEIGHTS, MN 55076 PHONE: 612/850-9022 FAX: 651/207-6581 Corp CARECO APARTMENTS INC MS. JULIE SCHWARTZ SLFA-14 ICFMR-14 6115 CARMEN AVENUE EAST (01503) INVER GROVE HEIGHTS, MN 55076 PHONE: 651/451-1756 FAX: MR. GARY NOBLE 651/451-1803 Lim-Liab COMFORT KEEPERS HCP-A 1870 50TH STREET EAST STE 7 (27804) INVER GROVE HEIGHTS, MN 55077 PHONE: 651/330-3071 FAX: MS. JOAN WURZER 651/330-3721 NProf DCI UPPER 55TH STREET SLFB-6 1885 UPPER 55TH STREET EAST (20938) INVER GROVE HEIGHTS, MN 55077 PHONE: 651/552-8748 FAX: MR. ROGER MEYER 651/552-8794 Ind DORI GIEBLER HCP-C 3770 CUNEEN TRAIL (27974) INVER GROVE HEIGHTS, MN 55076 PHONE: 651/457-7112 FAX: /- MS. DORI GIEBLER Minnesota Department of Health Division of Compliance Monitoring Page 71 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp GONDOLA GROUP INC Certification DAKOTA Registration (Cont.)* -------------------------- HCP-F HWS 8615 BIRCH BLVD (24603) INVER GROVE HEIGHTS, MN 55076 PHONE: 651/457-3619 FAX: MS. DARLENE DAVIS 651/451-0339 HWS Corp GONDOLA GROUP INC 2700 62ND STREET EAST (25528) INVER GROVE HEIGHTS, MN 55076 PHONE: 952/270-6586 FAX: MS. DARLENE DAVIS /- NProf GOOD SAM SOCIETY INVER GR HGTS NH-57 SNF-NF-57 1301 - 50TH ST E (00022) INVER GROVE HEIGHTS, MN 55077 PHONE: 651/451-1853 FAX: MS. PAMELA SCHULTZ 651/451-7515 Lim-Liab INVER GROVE HEIGHTS WHITE PINE HCP-F HWSAL 9056 BUCHANAN TRAIL (26132) INVER GROVE HEIGHTS, MN 55077 PHONE: 651/306-9886 FAX: MS. RHONDA SCHILLINGER 651/306-9888 Lim-Liab INVER GROVE HEIGHTS WP II LLC HCP-F 9058 BUCHANAN TRAIL (27377) INVER GROVE HEIGHTS, MN 55077 PHONE: 651/455-6549 FAX: 651/455-6559 MS. RHONDA SCHILLINGER HWSAL Lim-Liab INVER GROVE HEIGHTS WP II LLC 9058 BUCHANAN TRAIL (27378) INVER GROVE HEIGHTS, MN 55077 PHONE: 651/455-6549 FAX: 651/455-6559 Lim-Liab INVERVIEW HOME CARE MS. RHONDA SCHILLINGER HCP-F 6469 BOWMAN CIRCLE (28350) INVER GROVE HEIGHTS, MN 55076 PHONE: 651/340-4589 FAX: MR. ROY ASUNCION /- Lim-Liab INVERWOOD SENIOR LIVING HCP-F HWSAL 7260 SOUTH ROBERT TRAIL (26833) INVER GROVE HEIGHTS, MN 55077 PHONE: 651/312-5800 FAX: MR. LANCE LEMIEUX 651/450-0159 HWS Corp OWAKIHI INC 1455 UPPER 55TH STREET EAST (27375) INVER GROVE HEIGHTS, MN 55077 PHONE: 651/450-6005 FAX: NProf PRESBYTERIAN HOMES OF INVER GR MR. PAUL MOHRBACHER 651/451-5955 HCP-F 6307 BURNHAM CIRCLE (27965) INVER GROVE HEIGHTS, MN 55076 PHONE: 651/552-2800 FAX: 651/552-2801 MS. NATALIE MORLAND Minnesota Department of Health Division of Compliance Monitoring Page 72 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp SPECTRUM COMMUNITY HEALTH INC Certification DAKOTA Registration (Cont.)* -------------------------- HCP-A HHA 6205 CROSSMAN LANE (02168) INVER GROVE HEIGHTS, MN 55076 PHONE: 651/451-0569 FAX: MS. MARILYN HANSON 651/455-1179 Corp SPECTRUM COMMUNITY HEALTH INC HCP-F 6205 CROSSMAN LANE (21030) INVER GROVE HEIGHTS, MN 55076 PHONE: 651/451-0569 FAX: MS. MARILYN HANSON 651/455-1179 Corp STERLING HOUSE INVER GROVE HGT HCP-F HWSAL 5891 CARMEN AVENUE (20419) INVER GROVE HEIGHTS, MN 55076 PHONE: 651/306-0919 FAX: MS. KRISTIN BURSEY 651/306-1020 HWSAL NProf TIMBER HILLS - COMMONS/ARBOR 6305 BURNHAM CIRCLE (21981) INVER GROVE HEIGHTS, MN 55076 PHONE: 651/552-2800 FAX: MR. JIM ANGELL 651/552-2801 HWS NProf TIMBER HILLS - TERRACE 6309 BURNHAM CIRCLE (21982) INVER GROVE HEIGHTS, MN 55076 PHONE: 651/552-2800 FAX: 651/552-2801 Ind TOTAL CARE BODY AND HAIR MR. JIM ANGELL HCP-C 6840 BENTON WAY (20603) INVER GROVE HEIGHTS, MN 55076 PHONE: 651/398-1193 FAX: 651/457-1636 Corp WOODLYN HEIGHTS HEALTHCARE CTR MS. EDITH LIVINGOOD NH-105 SNF-NF-105 2060 UPPER 55TH STREET E (00829) INVER GROVE HEIGHTS, MN 55077 PHONE: 651/451-1881 FAX: MR. ALLAN BARR 651/451-3378 HWS Lim-Liab INVERVIEW HOME CARE 6469 BOWMAN CIRCLE (28351) INVER GROVE HEIGTHS, MN 55076 PHONE: 651/340-4589 FAX: MR. ROY ASUNCION /- Home Mgmt NProf COMMON SENSE SERVICES 6415 CARMEN AVE (03141) INVER GROVE HTGS, MN 55076 PHONE: 651/552-0288 FAX: Corp 2 CARING HANDS MS. LYNNE ZIMMERMAN 651/552-0192 HCP-F HWSAL 20752 GEMINI TRAIL (23850) LAKEVILLE, MN 55044 PHONE: 952/985-6495 FAX: 952/469-9751 MS. ANN NOWRANG Minnesota Department of Health Division of Compliance Monitoring Page 73 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp CHARIS HOME HEALTH CARE INC Certification DAKOTA Registration (Cont.)* -------------------------- HCP-A 9405 - 207TH STREET WEST (27587) LAKEVILLE, MN 55044 PHONE: 952/201-9964 FAX: MS. OMOLARA OLIHA /- Ind CHARLOTTE L EAST HCP-C 7992 GRINNELL WAY (20954) LAKEVILLE, MN 55044 PHONE: 952/953-4720 FAX: MS. CHARLOTTE EAST /- Lim-Liab DIVINE CARE LLC HCP-A 16125 HYLAND AVENUE (25125) LAKEVILLE, MN 55044 PHONE: 952/236-9202 FAX: Lim-Liab HEDDEN HOME HEALTH CARE LLC MRS. FENTEZIA ZEWDIE 952/236-9202 HCP-B 20375 KENSINGTON COURT (27807) LAKEVILLE, MN 55044 PHONE: 612/716-0447 FAX: Lim-Liab HIGHVIEW HILLS BY WALKER MS. THERESA BOWLING 952/388-1774 HCP-F HWSAL 20150 HIGHVIEW AVENUE (26626) LAKEVILLE, MN 55044 PHONE: 952/985-5155 FAX: 952/985-7271 Corp HOSPICE ADVANTAGE MR. DENNIS ODONNELL Hospice HSPICE 18472 KENYON AVE (25486) LAKEVILLE, MN 55044 PHONE: 952/435-6828 FAX: 952/435-6933 MS. KRISHNA TINGELHOFF HWSAL Corp ICELAND MANOR 20541 ICELAND AVENUE (25395) LAKEVILLE, MN 55044 PHONE: 952/985-6495 FAX: Corp INTEGRA HOME CARE MS. ANN NOWRANG 952/469-9751 HCP-A 20730 HOLYOKE AVE (25579) LAKEVILLE, MN 55044 PHONE: 952/985-0672 FAX: State MSOCS HERSHEY MR. DIMITRIY PAPKOV 952/985-0675 SLFB-6 ICFMR-6 20685 HERSHEY AVENUE WEST (01630) LAKEVILLE, MN 55044 PHONE: 952/469-5122 FAX: State MSOCS LAKEVILLE JONQUIL MR. ROGER DENEEN 952/469-5753 SLFB-6 ICFMR-6 17041 JONQUIL AVENUE (01654) LAKEVILLE, MN 55044 PHONE: 952/435-2846 FAX: 952/435-2854 MR. ROGER DENEEN Minnesota Department of Health Division of Compliance Monitoring Page 74 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification DAKOTA (Cont.)* -------------------------HWSAL Corp SPYGLASS MANOR Registration 7166 205TH STREET WEST (27193) LAKEVILLE, MN 55044 PHONE: 952/985-6495 FAX: Corp SUPERIOR HOME HEALTH CARE INC MS. ANN NOWRANG 952/469-9751 HCP-A HHA 10603 165TH STREET WEST (25570) LAKEVILLE, MN 55044 PHONE: 952/898-5400 FAX: MS. DORI FINCH 952/898-5454 HWSAL Corp THE LODGE ON HIGHVIEW 20152 HIGHVIEW AVENUE (28016) LAKEVILLE, MN 55044 PHONE: 952/435-6828 FAX: Corp TIMIKS HEALTHCARE SERVICES INC MS. SANDY LUCIER 952/435-6933 HCP-A 5370 172ND STREET WEST (27209) LAKEVILLE, MN 55024 PHONE: 612/281-6538 FAX: Lim-Liab TRINITY HOME HEALTH CARE SERVI MR. MICHAEL TAIWO 952/460-8871 HCP-A 17305 CEDAR AVE STE 220 (25834) LAKEVILLE, MN 55044 PHONE: 952/465-1959 FAX: 952/236-0138 Corp TWIN CITY WOUND & OSTOMY ASSOC MS. ETYANE AYANA HCP-A 9483 208TH STREET WEST (26657) LAKEVILLE, MN 55044 PHONE: 952/985-0747 FAX: 952/985-0749 Corp CORAM SPECIALTY INFUSION SERV MS. JULIE ROSKAMP HCP-A 2345 WATERS DRIVE (02446) MENDOTA HEIGHTS, MN 55120 PHONE: 651/452-5600 FAX: NProf DCI CARMEN MS. RACHELLE SWANSON 651/452-6273 SLFB-6 915 CARMEN LANE (21108) MENDOTA HEIGHTS, MN 55118 PHONE: 651/405-0569 FAX: NProf DCI DAKOTA ADULTS MR. ROGER MEYER 651/405-0559 SLFB-12 ICFMR-12 2031 SOUTH VICTORIA ROAD (01359) MENDOTA HEIGHTS, MN 55118 PHONE: 651/452-4295 FAX: NProf DCI DIANE MR. ROGER MEYER 651/452-4296 SLFB-6 ICFMR-6 1668 DIANE ROAD (01646) MENDOTA HEIGHTS, MN 55118 PHONE: 651/686-7872 FAX: 651/686-6572 MR. ROGER MEYER Minnesota Department of Health Division of Compliance Monitoring Page 75 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf DCI MARY ADELE Certification DAKOTA Registration (Cont.)* -------------------------- SLFB-6 1055 MARY ADELE AVENUE (20941) MENDOTA HEIGHTS, MN 55120 PHONE: 651/365-8707 FAX: Lim-Liab DUNGARVIN MINNESOTA LLC MR. ROGER MEYER 651/365-8708 HCP-F 1110 CENTER POINTE CRV STE 100 (24782) MENDOTA HEIGHTS, MN 55120 PHONE: 651/699-6050 FAX: Corp FAMILY CHOICE HOMECARE MS. KARIN STOCKWELL 651/699-7265 HCP-A 2486 POND CIRCLE WEST (21807) MENDOTA HEIGHTS, MN 55120 PHONE: 651/452-5298 FAX: Lim-Liab FRIDLEY ASSISTED LIVING LLC MR. PAUL SCHNELL 651/452-5298 HCP-F 720 MAIN ST STE 205 (27980) MENDOTA HEIGHTS, MN 55118 PHONE: 763/574-7366 FAX: MS. LAURA STANGA 763/574-7362 HWS Corp HEART TO HOME INC 2351 PAGEL ROAD (26147) MENDOTA HEIGHTS, MN 55120 PHONE: 651/454-5250 FAX: 651/686-5295 MR. JOSH CESARO HWS Corp HEART TO HOME INC 659 SOUTH FREEWAY ROAD (25756) MENDOTA HEIGHTS, MN 55118 PHONE: 651/485-8738 FAX: 651/686-5295 Corp HEART TO HOME INC MR. JOSHUA CESARO HCP-F 659 SOUTH FREEWAY ROAD (25755) MENDOTA HEIGHTS, MN 55118 PHONE: 651/454-5250 FAX: Lim-Liab JOSEPHS CHATEAU MR. JOSHUA CESARO 651/686-5295 HCP-F 1059 W MARIE AVENUE (28222) MENDOTA HEIGHTS, MN 55118 PHONE: 651/815-9250 FAX: MS. SHARON MOREY 651/688-0088 HWS Lim-Liab JOSEPHS CHATEAU LLC 1059 MARIE AVENUE WEST (28224) MENDOTA HEIGHTS, MN 55118 PHONE: 651/815-9250 FAX: Corp KALEB INC MS. SHARON MOREY 651/688-0088 HCP-A 869 MENDAKOTA COURT (21957) MENDOTA HEIGHTS, MN 55120 PHONE: 651/905-9908 FAX: 651/905-9908 MR. STEVEN WEINTRAUT Minnesota Department of Health Division of Compliance Monitoring Page 76 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab MARGARETS HOUSE Certification DAKOTA Registration (Cont.)* -------------------------- SLFA-10 2535 CONDON COURT (21238) MENDOTA HEIGHTS, MN 55120 PHONE: 651/686-0518 FAX: MS. JANET HAVEN-HALL 651/686-0526 HWSAL Lim-Liab REGENCY HOME HEALTHCARE 664 FREEWAY ROAD NORTH (26593) MENDOTA HEIGHTS, MN 55118 PHONE: 651/488-4655 FAX: MS. JEAN JOHNSON 651/488-4656 HWSAL Lim-Liab CIMARRON ASSISTED LIVING 14673 CIMARRON AVENUE WEST (27280) ROSEMOUNT, MN 55068 PHONE: 612/554-8334 FAX: MR. DALLAS REDLIN 651/344-8732 HWS Lim-Liab PEACEFUL MIND HOMES LLC 12591 SHANNON PARKWAY (27389) ROSEMOUNT, MN 55068 PHONE: 651/538-4499 FAX: Lim-Liab REDLINE HOME SERVICES LLC MS. KAM AGGARWAL 651/815-0420 HCP-F 4260 - 153RD STREET WEST (25498) ROSEMOUNT, MN 55068 PHONE: 651/322-8337 FAX: 651/344-8732 MS. LORELIE REDLIN HWSAL Lim-Liab ROSECOURT ASSISTED LIVING 4307 159TH COURT WEST (25861) ROSEMOUNT, MN 55068 PHONE: 651/322-8337 FAX: 651/344-8732 MS. LORELIE REDLIN HWSAL Corp ROSEMOUNT COURT 3710 145TH STREET WEST (26024) ROSEMOUNT, MN 55068 PHONE: 651/423-2016 FAX: MS. LEEANN METZMAKER 651/379-4575 HWSAL Lim-Liab ROSEVIEW ASSISTED LIVING 14665 CHILI AVENUE WEST (26047) ROSEMOUNT, MN 55068 PHONE: 651/322-8337 FAX: MS. LORELIE REDLIN 651/344-8732 Home Mgmt Lim-Liab ACCENT HOME CARE LLC 13524 HILLSBORO AVENUE (27709) SAVAGE, MN 55378 PHONE: 651/287-0093 FAX: Corp BRYANT AVE RESIDENCE MS. LANA BARSKIY 651/287-0094 SLFA-13 ICFMR-13 1120 BRYANT AVENUE (01240) SOUTH ST PAUL, MN 55075 PHONE: 651/450-6005 FAX: 651/451-5955 MR. PAUL MOHRBACHER Minnesota Department of Health Division of Compliance Monitoring Page 77 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf CERENITY RES SOUTH ST PAUL Certification DAKOTA Registration (Cont.)* -------------------------- HCP-F 744 19TH AVENUE NORTH (21008) SOUTH ST PAUL, MN 55075 PHONE: 651/326-6500 FAX: MS. TAMMY CARDENAS 651/326-6550 HWSAL ONProf CERENITY RESIDENCE SOUTH ST PA 744 19TH AVENUE NORTH (21583) SOUTH ST PAUL, MN 55075 PHONE: 651/326-6500 FAX: MS. TAMMY CARDENAS 651/326-6550 NProf DCI CONGRESS SLFB-6 2207 CONGRESS (20874) SOUTH ST PAUL, MN 55075 PHONE: 651/450-2304 FAX: MR. ROGER MEYER 651/450-2341 HWS-O Lim-Liab EVERYDAY LIVING 133 BUILDING 133 12TH AVENUE NORTH (28274) SOUTH ST PAUL, MN 55075 PHONE: 612/695-6041 FAX: MR. BLAKE ELLIOTT 651/688-0525 HWS Lim-Liab FAITH HOME CARE LLC 2410 FRANCIS STREET (27977) SOUTH ST PAUL, MN 55072 PHONE: 651/450-2244 FAX: 651/436-2412 Corp SUMMIT AVENUE RESIDENCE MS. MARCIA ROBERTS SLFA-13 ICFMR-13 920 SUMMIT AVENUE (01331) SOUTH ST PAUL, MN 55075 PHONE: 651/450-6005 FAX: 651/451-5955 Ind KORIN M NASH MR. PAUL MOHRBACHER HCP-C 15599 NORELIUS ROAD (26934) WELCH, MN 55089 PHONE: 651/258-4919 FAX: MS. KORIN NASH /- HWS Corp COLONIAL PARK APARTMENTS 1323 KRUSE STREET (27660) WEST SAINT PAUL, MN 55118 PHONE: 651/287-0956 FAX: MR. RUSSEL KENNEDY 651/287-0957 Home Mgmt Corp HMONG MINNESOTA HOME CARE INC 1111 WATERLOO AVENUE (27501) WEST SAINT PAUL, MN 55118 PHONE: 651/340-4790 FAX: Corp SNYDER HEALTH CARE SYSTEMS INC MS. BOUACHANH VUE 651/340-4791 HCP-A 1074 SOUTH ROBERT ST STE 10 (28481) WEST SAINT PAUL, MN 55118 PHONE: 651/730-4327 FAX: 651/340-6770 MR. CLARENCE TWEH Minnesota Department of Health Division of Compliance Monitoring Page 78 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification DAKOTA (Cont.)* -------------------------HWS Corp WESTVIEW PARK APARTMENTS Registration 330 WESTVIEW DRIVE (28194) WEST SAINT PAUL, MN 55118 PHONE: 651/450-1802 FAX: MS. SANDRA QUINN 651/450-7923 Corp CLARE BRIDGE OF WEST ST PAUL HCP-F HWSAL 315 EAST THOMPSON AVENUE (20511) WEST ST PAUL, MN 55118 PHONE: 612/453-1805 FAX: MS. KRISTIN BURSEY 612/453-1806 HWS Corp COLONIAL COURT APARTMENTS 1313 KRUSE STREET (28500) WEST ST PAUL, MN 55118 PHONE: 651/287-0956 FAX: MR. RUSSELL KENNEDY 651/287-0957 Home Mgmt NProf DARTS 1645 MARTHALER LANE (03086) WEST ST PAUL, MN 55118 PHONE: 651/455-1560 FAX: MS. JUDITH FAIRBROTHER 651/234-2280 NProf DCI EMERSON SLFB-6 ICFMR-6 41 EMERSON AVENUE EAST (01633) WEST ST PAUL, MN 55118 PHONE: 651/450-1880 FAX: 651/450-2070 MR. ROGER MEYER HWS-O Lim-Liab DUNGARVIN/COVINGTON COURT 374 374 EAST MARIE AVENUE (27227) WEST ST PAUL, MN 55118 PHONE: 651/699-6050 FAX: 651/699-7265 MS. KARIN STOCKWELL HWS-O Lim-Liab DUNGARVIN/COVINGTON COURT 376 376 EAST MARIE AVENUE (27228) WEST ST PAUL, MN 55118 PHONE: 651/699-6050 FAX: MS. KARIN STOCKWELL /- ESRD Corp FMC WEST ST PAUL DIALYSIS 1590 SOUTH ROBERT ST # 103 (26074) WEST ST PAUL, MN 55118 PHONE: 651/457-2232 FAX: 651/457-2450 MR. PATRICK HOWARD HWS NProf GUILD CAROUSEL APARTMENTS 1335 OAKDALE AVENUE (28283) WEST ST PAUL, MN 55118 PHONE: 651/925-8450 FAX: 651/312-1222 MS. GRACE SCHMITT HWS NProf GUILD HOLIDAY ACRES 1 1762 OAKDALE AVENUE (28290) WEST ST PAUL, MN 55118 PHONE: 651/925-8450 FAX: 651/312-1222 MS. GRACE SCHMITT Minnesota Department of Health Division of Compliance Monitoring Page 79 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification DAKOTA (Cont.)* -------------------------HWS NProf GUILD HOLIDAY ACRES 2 Registration 1772 OAKDALE AVENUE (28347) WEST ST PAUL, MN 55118 PHONE: 651/291-0067 FAX: MS. GRACE SCHMITT 651/312-1222 HWS NProf GUILD OAKDALE TERRACE 1940 OAKDALE AVENUE (28284) WEST ST PAUL, MN 55118 PHONE: 651/925-8450 FAX: MS. GRACE SCHMITT 651/312-1222 HWS Corp MCCLISH MANOR 213 ANNAPOLIS STREET WEST (28207) WEST ST PAUL, MN 55118 PHONE: 651/454-0161 FAX: MS. LEANN METZMAKER 651/379-4575 HWS NProf MOUNT CARMEL MANOR 1560 BELLOWS STREET (20365) WEST ST PAUL, MN 55118 PHONE: 651/451-0030 FAX: MS. LIZ HAGSTROM 651/451-0300 Out Pt Out Ot Corp NOVACARE REHAB 60 EAST MARIE #105 2ND FLOOR (03745) WEST ST PAUL, MN 55118 PHONE: 651/451-6156 FAX: /- MS. KELLY CASEY HWS-O Corp OPTIONS RESIDENTIAL INC 1167 SOUTH ROBERT STREET (28505) WEST ST PAUL, MN 55118 PHONE: 952/564-3030 FAX: 952/654-3038 NProf PHOENIX SERVICE CORPORATION MR. JAMES HAMMILL HCP-A 330 MARIE AVE EAST (21451) WEST ST PAUL, MN 55118 PHONE: 651/227-5971 FAX: Corp SOUTHVIEW ACRES HLTH CARE CTR MS. DARLENE SCOTT 651/227-6847 NH-241 SNF-NF-241 2000 OAKDALE AVENUE (00102) WEST ST PAUL, MN 55118 PHONE: 651/451-1821 FAX: Lim-Liab SOUTHVIEW SENIOR LIVING MR. THOMAS GOERITZ 651/451-9538 HCP-F HWSAL 1984 OAKDALE AVENUE (24035) WEST ST PAUL, MN 55118 PHONE: 651/554-4838 FAX: Corp STERLING HOUSE OF WEST ST PAUL MR. LANCE LEMIEUX 651/455-0267 HCP-F HWSAL 305 EAST THOMPSON (20472) WEST ST PAUL, MN 55117 PHONE: 651/453-1803 FAX: 651/453-1804 MS. KRISTIN BURSEY Minnesota Department of Health Division of Compliance Monitoring Page 80 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf WALKER AT WESTWOOD RIDGE Certification DAKOTA Registration (Cont.)* -------------------------- HCP-F HWSAL ONE THOMPSON AVENUE WEST (20448) WEST ST PAUL, MN 55118 PHONE: 651/455-3999 FAX: MR. NED AMMONS 651/455-5962 ESRD Corp WEST ST PAUL DIALYSIS UNIT 1555 LIVINGSTON AVENUE (02728) WEST ST PAUL, MN 55118 PHONE: 651/455-2995 FAX: MS. BECKY SKWIRA /- ---------------------------********** Cnty FAIRVIEW CARE CENTER DODGE ******** -------------------------- NH-55 SNF-NF-55 702 10TH AVENUE NW PO BOX 10 (00103) DODGE CENTER, MN 55927 PHONE: 507/374-3578 FAX: MS. JANE SHEERAN 507/374-2907 Home Mgmt Ind JOANNE L. HUNGER 101 3RD ST SE - PO BOX 282 (27137) DODGE CENTER, MN 55927 PHONE: 507/633-9209 FAX: MS. JOANNE HUNGER /- HWS City CREST VIEW VILLA 305 4TH STREET NORTHEAST (20885) HAYFIELD, MN 55940 PHONE: 507/477-3547 FAX: 507/477-3268 City FIELD CREST CARE CENTER MS. LAVONNE BOULLION NH-51 SNF-NF-51 318 SECOND STREET NORTHEAST (00104) HAYFIELD, MN 55940 PHONE: 507/477-3266 FAX: MR. DAN WILL 507/477-3268 City FIELD CREST HOME CARE HCP-F HWSAL 318 SECOND STREET NE (23661) HAYFIELD, MN 55940 PHONE: 507/477-3266 FAX: MR. DAN WILL 507/477-3268 State KASSON MSOCS SLFB-6 ICFMR-6 1101 1ST AVENUE NORTHEAST (01640) KASSON, MN 55944 PHONE: 507/634-4025 FAX: 507/634-7229 MR. ROGER DENEEN HWSAL Corp PRAIRIE MEADOWS SENIOR LIVING 800 5TH AVENUE (24053) KASSON, MN 55944 PHONE: 507/634-9500 FAX: /- MRS. COLETTE MILES Minnesota Department of Health Division of Compliance Monitoring Page 81 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Ind CHICOS BOARD AND LODGE Certification DODGE Registration (Cont.)* -------------------------- HCP-F HWSAL 520 STATE STREET (20193) WEST CONCORD, MN 55985 PHONE: 507/527-2842 FAX: MS. STEPHANIE CHICOS 507/527-2842 Lim-Liab CIRCLE DRIVE MANOR ASST LVNG HCP-F HWSAL 56733 STATE HWY 56 SOUTH (20055) WEST CONCORD, MN 55985 PHONE: 507/527-2424 FAX: MS. MELISSA CHRISTIANSON 507/527-2866 ---------------------------********** Church BETHANY HOME DOUGLAS ******** -------------------------- NH-83 SNF-NF-83 1020 LARK ST (00108) ALEXANDRIA, MN 56308 PHONE: 320/762-1567 FAX: MS. CAROL KVIDT 320/762-5316 Church BETHANY HOME HEALTH SERVICES HCP-F 1020 LARK STREET (22032) ALEXANDRIA, MN 56308 PHONE: 320/763-2180 FAX: MS. CAROL KVIDT 320/759-6297 HWSAL NProf BETHEL MANOR II 906 ASH STREET (22188) ALEXANDRIA, MN 56308 PHONE: 320/763-7200 FAX: 320/763-7204 MS. CAROL KVIDT HWSAL NProf BETHEL MANOR INC 910 ASH STREET (22033) ALEXANDRIA, MN 56308 PHONE: 320/763-7200 FAX: MS. CAROL KVIDT 320/763-7204 Ind BONNIES SENIOR HAVEN HCP-F HWSAL 1201 RIDGEVIEW TERRACE NE (26278) ALEXANDRIA, MN 56308 PHONE: 320/759-6599 FAX: MS. BONITA NIENABER 320/763-7853 ESRD NProf CENTRACARE KIDNEY PROGRAM 111 17TH AVENUE EAST (03875) ALEXANDRIA, MN 56308 PHONE: 320/240-7808 FAX: MS. CATHY SINDELIR /- State COMM BEHAVIORAL HEALTH HOSP OTHER-16 HOSP-16 1610 8TH AVENUE EAST (23908) ALEXANDRIA, MN 56308 PHONE: 320/335-6201 FAX: 320/759-1002 MR. JOHN COSCO Minnesota Department of Health Division of Compliance Monitoring Page 82 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification DOUGLAS (Cont.)* -------------------------HWSAL Lim-Liab DIAMOND WILLOW ASSISTED LIVING Registration 803 1/2 VICTOR STREET (26045) ALEXANDRIA, MN 56308 PHONE: 320/762-2067 FAX: MS. BRENDA MARSHALL 320/762-2649 HWSAL Lim-Liab DIAMOND WILLOW ASSISTED LIVING 803 VICTOR STREET (26046) ALEXANDRIA, MN 56308 PHONE: 320/762-1448 FAX: MS. BRENDA MARSHALL 320/762-2608 Cnty DOUGLAS CO PUB HEALTH HOSPICE Hospice HSPICE 725 ELM STREET SUITE 1200 (02916) ALEXANDRIA, MN 56308 PHONE: 320/763-6018 FAX: MS. SANDRA TUBBS 320/763-4127 Cnty DOUGLAS COUNTY HOSPITAL BASS-14 HOSP-127 HOSP-127 111 17TH AVENUE EAST (00111) ALEXANDRIA, MN 56308 PHONE: 320/762-1511 FAX: MR. CARL VAAGENES 320/762-6120 Lim-Liab EDGEWOOD VISTA ALEXANDRIA HCP-F HWSAL 1902 7TH AVENUE EAST (21247) ALEXANDRIA, MN 56308 PHONE: 320/759-2121 FAX: 320/759-2120 Lim-Liab GOLDENRIDGE SENIOR CARE LLC MR. PHILIP GISI HCP-F HWS 1203 STEGER ROAD NW (26644) ALEXANDRIA, MN 56308 PHONE: 320/762-2387 FAX: /- MS. REBECCA SPRENGER NProf GRAND ARBOR HCP-F HWS 4403 PIONEER ROAD (28201) ALEXANDRIA, MN 56308 PHONE: 320/763-1600 FAX: NProf KNUTE NELSON MR. MARK ANDERSON 302/763-7548 NH-130 SNF-NF-130 420 12TH AVENUE EAST (00113) ALEXANDRIA, MN 56308 PHONE: 320/763-1163 FAX: NProf KNUTE NELSON HOME CARE MS. ANGELA URMAN 320/763-7548 HCP-A HHA 420 12TH AVENUE EAST (24066) ALEXANDRIA, MN 56308 PHONE: 320/759-1273 FAX: Lim-Liab LAKES AREA ASSISTED LIVING MS. ANNE MAJOR 320/759-1275 HCP-F 1313 COUNTY ROAD 22 NW (23150) ALEXANDRIA, MN 56308 PHONE: 320/759-5600 FAX: 320/763-3618 MR. KENT THOMSON Minnesota Department of Health Division of Compliance Monitoring Page 83 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification DOUGLAS (Cont.)* -------------------------HWSAL Lim-Liab LAKES AREA ASSISTED LIVING LLC Registration 1313 CO RD 22 NW (21766) ALEXANDRIA, MN 56308 PHONE: 320/759-5600 FAX: Lim-Liab MINNESOTA EYE INSTITUTE MR. KENT THOMSON 320/763-3618 Outpt Surg Amb Surg 3401 SOUTH BROADWAY (21815) ALEXANDRIA, MN 56308 PHONE: 320/759-2020 FAX: NProf NELSON GABLES SENIOR CARE MS. PAMELA CARLSON 320/759-2424 HCP-F HWSAL 1220 NOKOMIS STREET (20056) ALEXANDRIA, MN 56308 PHONE: 320/762-4310 FAX: Lim-Liab PEACEFUL BLISS ASSISTD LVG LLC MS. LINDA NAMUR 320/763-5738 HCP-F HWSAL 90 EAST LAKE COWDRY ROAD NW (26439) ALEXANDRIA, MN 56308 PHONE: 320/762-8345 FAX: Lim-Liab PRAIRIE SENIOR COTTAGES ALEX MS. JUDY MCNUTT 320/762-8341 HCP-F HWS 812 MCKAY AVENUE (21280) ALEXANDRIA, MN 56308 PHONE: 320/763-8244 FAX: 320/763-8255 MRS. PATRICIA ISAACSON HWS Lim-Liab PRAIRIE SENIOR COTTAGES OF ALE 814 MCKAY AVENUE (21281) ALEXANDRIA, MN 56308 PHONE: 320/763-8244 FAX: 320/763-8255 NProf PRAIRIEWOOD HOME MRS. PATRICIA ISAACSON SLFB-6 ICFMR-6 2736 LEHOMME DIEU HEIGHTS NE (01684) ALEXANDRIA, MN 56308 PHONE: 320/763-4787 FAX: NProf ROSEWOOD MR. KEITH LUNDSETTER 320/763-6520 SLFA-6 ICFMR-6 1007 HIGH STREET (01214) ALEXANDRIA, MN 56308 PHONE: 320/762-2479 FAX: NProf SCENICWOOD MR. KEITH LUNDSETTER 320/762-9784 SLFA-6 ICFMR-6 1119 SCENIC HEIGHTS RD RT #8 (01215) ALEXANDRIA, MN 56308 PHONE: 320/763-7308 FAX: 320/763-6520 MR. KEITH LUNDSETTER HWSAL Corp SHARONS SENIOR SERVICES INC 2307 EAST GOLF COURSE ROAD NE (28117) ALEXANDRIA, MN 56308 PHONE: 320/760-9193 FAX: 320/762-2581 MS. VALERIE VONDERHARR Minnesota Department of Health Division of Compliance Monitoring Page 84 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp SHARONS SENIOR SERVICES INC Certification DOUGLAS Registration (Cont.)* -------------------------- HCP-F 1441 ROSEWOOD LANE SE (23562) ALEXANDRIA, MN 56308 PHONE: 320/760-9193 FAX: MS. VALERIE VONDERHARR 320/763-4874 HWS Corp SHARONS SENIOR SERVICES INC 1441 ROSEWOOD LANE SOUTHEAST (23512) ALEXANDRIA, MN 56308 PHONE: 320/759-2153 FAX: MS. VALERIE VONDERHARR 320/763-4874 HWSAL Lim-Liab WINDMILL PONDS ASSISTED LIVING 715 VICTOR STREET (21642) ALEXANDRIA, MN 56308 PHONE: 320/759-2132 FAX: Lim-Liab WINDMILL PONDS ASSISTED LIVING MR. MORRIS KNOPF 320/759-3192 HCP-F 715 VICTOR STREET (21855) ALEXANDRIA, MN 56308 PHONE: 320/759-2132 FAX: MS. KATHY PATTON 320/759-3192 HWSAL NProf WINONA SHORES 1010 LARK STREET (22126) ALEXANDRIA, MN 56308 PHONE: 320/763-1120 FAX: 320/763-1121 Part YOUR CHOICE HOME CARE LLP MS. CAROL KVIDT HCP-A 716 JEFFERSON (24983) ALEXANDRIA, MN 56308 PHONE: 320/762-1501 FAX: 320/219-7388 Corp LAKE COUNTRY ASSISTED LVG INC MS. HEIDI ANDERSON HCP-F HWSAL 305 CENTRAL AVENUE SOUTH (27453) BRANDON, MN 56315 PHONE: 320/524-2208 FAX: Lim-Liab EVANSVILLE CARE CENTER MS. JENNIFER SCHALOW 320/524-2245 NH-35 SNF-NF-35 649 STATE STREET NORTHWEST (00110) EVANSVILLE, MN 56326 PHONE: 218/948-2219 FAX: Lim-Liab EVANSVILLE SENIOR LIVING MR. BRANDON BORGSTROM 218/948-2004 HCP-F HWSAL 651 STATE STREET (24481) EVANSVILLE, MN 56326 PHONE: 218/948-2346 FAX: 218/948-2004 MR. BRANDON BORGSTROM HWSAL NProf BRIDGEWELL ASSISTED LIVING 410 WEST MAIN STREET (25904) OSAKIS, MN 55360 PHONE: 320/859-2142 FAX: 320/859-6293 MR. DAVID CARLSON Minnesota Department of Health Division of Compliance Monitoring Page 85 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf COMMUNITY MEMORIAL HOME Certification DOUGLAS Registration (Cont.)* -------------------------- NH-52 SNF-NF-52 410 WEST MAIN STREET (00109) OSAKIS, MN 56360 PHONE: 320/859-2142 FAX: MR. DAVID CARLSON 320/859-3288 Home Mgmt Ind HELPING HANDS IN HOME SERVICES 15197 125TH AVENUE (26475) OSAKIS, MN 56360 PHONE: 320/766-4370 FAX: MS. LESA RIEDEL /- HWSAL NProf TERRACE HEIGHTS ASSISTED LIVIN 410 WEST MAIN STREET (20267) OSAKIS, MN 56360 PHONE: 320/859-2142 FAX: NProf WEST VIEW/TERRACE HGHTS/BRIDGE MR. DAVID CARLSON 320/859-6293 HCP-F HWSAL 240 6TH AVENUE NORTH (21663) OSAKIS, MN 56360 PHONE: 320/859-2142 FAX: MR. DAVID CARLSON 320/859-6293 ---------------------------********** NProf FRIENDSHIP COURT FARIBAULT ******** -------------------------- HCP-F HWSAL 1228 SOUTH RICE STREET (20457) BLUE EARTH, MN 56013 PHONE: 507/526-2184 FAX: 507/526-7427 Corp NICOLLET PLACE MR. DENNIS REIMAN HCP-F HWSAL 311 SOUTH NICOLLET (20008) BLUE EARTH, MN 56013 PHONE: 507/526-3237 FAX: NProf ST LUKES LUTHERAN CARE CENTER MS. MARY BEYER 507/526-3902 NH-120 SNF-NF-120 1219 SOUTH RAMSEY (00116) BLUE EARTH, MN 56013 PHONE: 507/526-2184 FAX: Dist UNITED HANDS HOSPICE MS. MARGARET BRANDT-INTERIM 507/526-7007 Hospice HSPICE 125 SOUTH MAIN STREET (02964) BLUE EARTH, MN 56013 PHONE: 507/526-7970 FAX: Dist UNITED HOSP DIST HOME HLTH SER MR. JEFFREY LANG 507/526-3285 HCP-A HHA 125 SOUTH MAIN STREET (02804) BLUE EARTH, MN 56013 PHONE: 507/526-7970 FAX: 507/526-3285 MRS. CANDACE ARENDS Minnesota Department of Health Division of Compliance Monitoring Page 86 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Dist UNITED HOSPITAL DISTRICT Certification FARIBAULT BASS-4 HOSP-43 Registration (Cont.)* -------------------------CAH-25 515 SOUTH MOORE ST PO BOX 160 (00117) BLUE EARTH, MN 56013 PHONE: 507/526-7907 FAX: MR. JEFF LANG 507/526-3621 Corp PARKVIEW CARE CTR WELLS INC NH-55 SNF-NF-55 55 TENTH STREET SOUTHEAST (00784) WELLS, MN 56097 PHONE: 507/553-3115 FAX: MR. ANDREW HUHTA 507/553-6060 Church THE SHEPHERDS INN HCP-F HWSAL 46 FIRST AVENUE SOUTHWEST (20042) WELLS, MN 56097 PHONE: 507/553-6271 FAX: MR. STEVEN LORENZ 507/553-6830 Dist ADOLESCENT TRTMT CTR WINNEBAGO SLFA-24 620 1ST AVENUE SOUTHWEST (01377) WINNEBAGO, MN 56098 PHONE: 507/893-3885 FAX: MR. JEFFREY LANG 507/893-4223 Corp PARKER OAKS COMMUNITIES INC NH-45 SNF-NF-45 211 SIXTH STREET NORTHWEST (00120) WINNEBAGO, MN 56098 PHONE: 507/893-3171 FAX: 507/893-3174 Corp PARKER OAKS COMMUNITIES INC MS. KYLA JACOBS HCP-F HWSAL 211 SIXTH STREET NORTHWEST (20270) WINNEBAGO, MN 56098 PHONE: 507/893-3171 FAX: 507/893-3174 MS. KYLA JACOBS HWSAL Corp PATRIOT ASSISTED LIVING 55 CLEVELAND AVENUE (28258) WINNEBAGO, MN 56098 PHONE: 507/893-4999 FAX: MS. DEB BARNES /- ---------------------------********** NProf CHOSEN VALLEY ASSISTED LIVING FILLMORE ******** -------------------------- HCP-F HWSAL 1260 WINONA STREET SE (24105) CHATFIELD, MN 55923 PHONE: 507/867-3416 FAX: NProf CHOSEN VALLEY CARE CENTER MR. CRAIG BACKEN 507/867-3426 NH-78 SNF-NF-78 1102 LIBERTY STREET SOUTHEAST (00750) CHATFIELD, MN 55923 PHONE: 507/867-4220 FAX: 507/867-0080 MR. CRAIG BACKEN Minnesota Department of Health Division of Compliance Monitoring Page 87 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf HARMONY COMMUNITY HLTHCARE INC Certification FILLMORE Registration (Cont.)* -------------------------- NH-42 SNF-NF-42 815 MAIN AVE S (00125) HARMONY, MN 55939 PHONE: 507/886-6544 FAX: City HERITAGE GROVE MR. TIMOTHY SAMUELSON 507/886-6584 HCP-F HWSAL 455 MAIN AVENUE NORTH (21518) HARMONY, MN 55939 PHONE: 507/886-6515 FAX: Corp GREEN LEA MANOR MR. TIM TRIMBLE 507/886-6620 NH-51 SNF-NF-51 115 NORTH LYNDALE RR 2 BOX 49 (00124) MABEL, MN 55954 PHONE: 507/493-5436 FAX: Corp THE MEADOWS OF MABEL MS. JULIE VETTLESON 507/493-5461 HCP-F HWSAL 610 EAST NEWBURG STREET (23862) MABEL, MN 55954 PHONE: 507/493-5995 FAX: Corp OSTRANDER ASSISTED LIVING MS. JULIE VETTLESON 507/493-5555 HCP-F HWSAL 309 MINNESOTA STREET (23139) OSTRANDER, MN 55961 PHONE: 507/657-2231 FAX: 507/657-2403 Corp OSTRANDER CARE AND REHAB MR. GRANT THAYER NH-25 SNF-NF-25 305 MINNESOTA STREET (00922) OSTRANDER, MN 55961 PHONE: 507/657-2231 FAX: 507/657-2403 Cnty FILLMORE COUNTY PHNS MR. LLOYD SWALVE HCP-A HHA 902 HOUSTON ST NW (02047) PRESTON, MN 55965 PHONE: 507/765-3898 FAX: NProf GOOD SAM SOCIETY HOME CARE MS. LANTHA STEVENS 507/765-2139 HCP-A HHA 200 ST PAUL STREET (03380) PRESTON, MN 55965 PHONE: 507/765-2700 FAX: Lim-Liab PARK LANE ESTATES MS. VICKIE LYNCH 507/765-3339 HCP-F HWSAL 111 FILLMORE PLACE SOUTHEAST (21250) PRESTON, MN 55965 PHONE: 507/765-9986 FAX: Lim-Liab TRADITIONS OF PRESTON LLC MS. CATHY NATION 507/765-9987 HCP-F HWSAL 515 WASHINGTON STREET NW (26354) PRESTON, MN 55965 PHONE: 507/765-3837 FAX: 507/765-3838 MS. BRYNA DISRUDE Minnesota Department of Health Division of Compliance Monitoring Page 88 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Church BREMMER SUITES Certification FILLMORE Registration (Cont.)* -------------------------- HCP-F HWSAL 803 HOME STREET PO BOX 747 (20418) RUSHFORD, MN 55971 PHONE: 507/864-7714 FAX: MRS. SAMANTHA COLBENSON 507/864-2842 Church GOOD SHEPHERD LUTHERAN HOME NH-75 SNF-NF-75 800 HOME STREET BOX 747 (00123) RUSHFORD, MN 55971 PHONE: 507/864-7714 FAX: MR. TOM LINDH 507/864-2842 Out Pt Out Ot Part THERAPY NETWORK 800 HOME STREET PO BOX 747 (02447) RUSHFORD, MN 55971 PHONE: 507/454-3621 FAX: MR. ROBERT SCHRUPP /- NProf SPRING VALLEY CARE CENTER NH-50 SNF-NF-50 800 MEMORIAL DRIVE (00121) SPRING VALLEY, MN 55975 PHONE: 507/346-7381 FAX: NProf SPRING VALLEY ESTATES MS. PENNY SOLBERG 507/346-7619 HCP-F HWSAL 815 MEMORIAL DRIVE (21082) SPRING VALLEY, MN 55975 PHONE: 507/346-7381 FAX: 507/346-7619 NProf SPRING VALLEY HOME HEALTH AG MS. DEANNA VREEMAN HCP-A HHA 800 MEMORIAL DRIVE (02406) SPRING VALLEY, MN 55975 PHONE: 507/346-7381 FAX: 507/346-7619 MS. PENNY SOLBERG HWS NProf THE EVERGREENS 820 MEMORIAL DRIVE (25275) SPRING VALLEY, MN 55975 PHONE: 507/346-7381 FAX: MS. DEANNA VREEMAN 507/346-7619 ---------------------------********** Corp BRIANS ELDER CARE INC FREEBORN ******** -------------------------- HCP-F HWSAL 1201 SOUTHVIEW LANE (20323) ALBERT LEA, MN 56007 PHONE: 507/373-9616 FAX: Ind BROADWAY ASSISTED LIVING MR. BRIAN FREDRICKSON 507/377-8025 BCH-9 HCP-F 512 SOUTH BROADWAY (00132) ALBERT LEA, MN 56007 PHONE: 507/373-2909 FAX: 507/373-2239 MRS. ANNABELLE FRAZIER HWSAL Minnesota Department of Health Division of Compliance Monitoring Page 89 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab EMBRACE HOME CARE LLC Certification FREEBORN Registration (Cont.)* -------------------------- HCP-A 204 SOUTH WASHINGTON STE 100 (27834) ALBERT LEA, MN 56007 PHONE: 507/369-5701 FAX: MS. PATTY MADRIGAL 507/369-5702 NProf FOUNTAIN LAKE TREATMENT CTR SLFA-26 SLFB-32 408 FOUNTAIN STREET WEST (01390) ALBERT LEA, MN 56007 PHONE: 507/377-6411 FAX: MR. JERRY EHN 507/377-6443 NProf GOOD SAM SOCIETY ALBERT LEA NH-126 SNF-NF-126 75507 240TH STREET (00131) ALBERT LEA, MN 56007 PHONE: 507/373-0683 FAX: MR. MARK ANDERSON 507/373-3229 NProf GOOD SAM SOCIETY HIDDEN CREEK HCP-F HWSAL 75303 240TH STREET (24246) ALBERT LEA, MN 56007 PHONE: 507/379-2737 FAX: MR. MARK ANDERSON 507/379-5964 HWSAL Part JUST LIKE HOME PLACE LLP 310 E CLARK (23461) ALBERT LEA, MN 56007 PHONE: 507/373-0975 FAX: 507/377-6186 Part JUST LIKE HOME PLACE LLP MR. ROLAND KEYESKI HCP-F 310 EAST CLARK STREET (20205) ALBERT LEA, MN 56007 PHONE: 507/373-0975 FAX: 507/377-6186 Church KNUTSON PLACE APARTMENTS MR. ROLAND KEYESKI HCP-F HWS 801 LUTHER PLACE (20016) ALBERT LEA, MN 56007 PHONE: 507/373-8226 FAX: MR. SCOT SPATES 507/379-9506 ESRD NProf MAYO DIALYSIS ALBERT LEA 1705 BROADWAY SOUTHEAST (02118) ALBERT LEA, MN 56007 PHONE: 507/373-2384 FAX: MR. TERRY MAXHIMER /- NProf MAYO CLINIC HEALTH SYS ALBT LE Hospice HSPICE 1705 SOUTHEAST BROADWAY (03179) ALBERT LEA, MN 56007 PHONE: 507/377-6393 FAX: NProf MAYO CLINIC HEALTH SYS ALBT LE MS. MARCIA SMITH 507/377-6451 BASS-12 HOSP-77 404 WEST FOUNTAIN STREET (00920) ALBERT LEA, MN 56007 PHONE: 507/373-2384 FAX: 507/377-6383 MR. STEVEN UNDERDAHL HOSP-77 Minnesota Department of Health Division of Compliance Monitoring Page 90 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf MAYO CLINIC HS - ALBERT LEA Certification FREEBORN Registration (Cont.)* -------------------------- HCP-A HHA 1705 SOUTHEAST BROADWAY (02263) ALBERT LEA, MN 56007 PHONE: 507/377-6393 FAX: MS. MARCIA SMITH 507/377-6451 Lim-Liab OAK PARK PLACE HCP-F HWSAL 1615 BRIDGE AVENUE (21154) ALBERT LEA, MN 56007 PHONE: 507/373-5600 FAX: MR. SCOTT FRANK 507/373-1121 Corp REM WOODVALE INC PLAINVIEW SLFB-32 ICFMR-32 1204 PLAINVIEW LANE (01307) ALBERT LEA, MN 56007 PHONE: 507/373-7629 FAX: MR. PATRICK MASYGA 507/373-7299 Church ST JOHNS LUTHERAN HOME NH-170 SNF-NF-170 901 LUTHER PLACE (00138) ALBERT LEA, MN 56007 PHONE: 507/373-8226 FAX: MR. SCOT SPATES 507/379-9506 NProf THORNE CREST RET CENTER NH-52 SNF-NF-52 1201 GARFIELD AVENUE (00833) ALBERT LEA, MN 56007 PHONE: 507/373-2311 FAX: 507/377-1216 NProf THORNE CREST RETIREMENT CENTE MS. SHANNA ECKBERG HCP-F HWSAL 1201 GARFIELD AVENUE (20111) ALBERT LEA, MN 56007 PHONE: 507/373-2311 FAX: 507/377-1216 MS. SHANNA ECKBERG Home Mgmt Ind JOANN JENSEN 79841 170TH STREET (24939) GLENVILLE, MN 56036 PHONE: 507/488-0122 FAX: MS. JOANN JENSEN /- ---------------------------********** NProf ANGELS CARE CENTER GOODHUE NH-89 ******** -------------------------SNF-NF-89 300 NORTH DOW STREET (00758) CANNON FALLS, MN 55009 PHONE: 507/263-4658 FAX: NProf MAYO CLINIC HEALTH SYS CF MR. RICK BUECHNER 507/263-4127 BASS-4 HOSP-21 1116 WEST MILL STREET (00140) CANNON FALLS, MN 55009 PHONE: 507/263-4221 FAX: 507/263-7853 MR. WILLIAM PRIEST CAH-21 Minnesota Department of Health Division of Compliance Monitoring Page 91 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification GOODHUE (Cont.)* -------------------------HWSAL Lim-Liab TWIN RIVERS SENIOR CAMPUS Registration 900 MAIN STREET (26730) CANNON FALLS, MN 55009 PHONE: 507/263-3600 FAX: MS. KIM WORRALL 507/263-6077 Church GUNDERSON GARDENS HCP-F HWS 215 HUSETH STREET (23397) KENYON, MN 55946 PHONE: 507/789-7138 FAX: MR. DAVID VANDERGON 507/789-8843 Church KENYON SUNSET HOME NH-48 SNF-NF-48 127 GUNDERSON BOULEVARD (00145) KENYON, MN 55946 PHONE: 507/789-7104 FAX: MR. DAVID VANDERGON 507/789-8843 Lim-Liab NORTH RIDGE VIEW LLC HCP-F HWSAL 101 NORTH RIDGE DRIVE (27617) KENYON, MN 55946 PHONE: 507/789-6184 FAX: MS. ALICE SYVERSON 507/789-6184 Ind RUTH FREDRICKSON CARES HCP-A 715 HOME STREET BOX 16 (24834) KENYON, MN 55946 PHONE: 507/789-6521 FAX: /- MS. RUTH FREDRICKSON ONProf EVERGREEN PLACE HCP-F HWSAL 220 THIRD STREET NORTHWEST (20321) PINE ISLAND, MN 55963 PHONE: 507/356-8585 FAX: 507/356-8563 NProf PINE HAVEN CARE CENTER INC MR. STEVE ZILLER NH-70 SNF-NF-70 210 NORTHWEST THIRD STREET (00148) PINE ISLAND, MN 55963 PHONE: 507/356-8304 FAX: Corp PINE HAVEN HOME HEALTH MR. STEVEN ZILLER 507/356-4400 HCP-A 220 3RD STREET NORTHWEST (27311) PINE ISLAND, MN 55963 PHONE: 507/356-8585 FAX: NProf ACCRA HOME HEALTH INC MS. DANETTE BAKKEN 507/356-8563 HCP-A HHA 910 MAIN STREET #205 (02048) RED WING, MN 55066 PHONE: 651/388-1010 FAX: NProf DEERCREST MR. JOHN DAHM 651/388-1178 HCP-F HWSAL 470 FAIRVIEW BOULEVARD (25182) RED WING, MN 55066 PHONE: 651/267-5444 FAX: 651/267-5429 MS. LUCY BOXRUD Minnesota Department of Health Division of Compliance Monitoring Page 92 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf FAIRVIEW RED WING HOSPICE Certification GOODHUE Registration (Cont.)* -------------------------- Hospice HSPICE 1407 WEST FOURTH ST (03130) RED WING, MN 55066 PHONE: 651/385-3410 FAX: MS. NICHOLE GRUIS DIEKMANN 651/385-3414 NProf FAIRVIEW RED WING MED CENTER BASS-7 HOSP-50 HOSP-50 701 FAIRVIEW BOULEVARD POB 95 (21423) RED WING, MN 55066 PHONE: 651/267-5051 FAX: MR. SCOTT WORDELMAN 651/267-5935 NProf FAIRVIEW SEMINARY HOME NH-84 SNF-NF-84 906 COLLEGE AVENUE (00150) RED WING, MN 55066 PHONE: 651/385-3434 FAX: MS. MARY JO HILL 651/385-3420 Corp HIAWATHA HOMECARE HCP-A HHA 4920 MOUNDVIEW DR STE B (02923) RED WING, MN 55066 PHONE: 651/388-2223 FAX: MS. KAREN SEIFERT 651/388-2227 HWS HRA JORDAN TOWER I 433 WEST FOURTH STREET (21039) RED WING, MN 55066 PHONE: 651/301-7018 FAX: 651/385-0551 MR. RANDAL HEMMERLIN HWS HRA JORDAN TOWER II 440 WEST FIFTH STREET (21040) RED WING, MN 55066 PHONE: 651/301-7018 FAX: 651/385-0551 Corp KATHERINE MORROW INC MR. RANDAL HEMMERLIN HCP-A 722 EAST AVENUE (25365) RED WING, MN 55066 PHONE: 651/388-6174 FAX: MS. KATHERINE MORROW /- Lim-Liab LOVING RESIDENCE HCP-F HWSAL 1760 PERLICH AVENUE (20142) RED WING, MN 55066 PHONE: 651/388-1650 FAX: Corp POTTER RIDGE MS. SANDRA MCDONALD 651/388-1684 HCP-F HWSAL 1971 NEAL STREET (24048) RED WING, MN 55066 PHONE: 651/388-1546 FAX: 651/388-1438 MR. DEAN BLOEMKE ESRD Corp RED WING DIALYSIS UNIT 3028 NORTH SERVICE DRIVE (02510) RED WING, MN 55066 PHONE: 651/388-7711 FAX: 651/388-4311 MS. DEDE ERICKSON Minnesota Department of Health Division of Compliance Monitoring Page 93 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab RED WING HEALTH CENTER Certification GOODHUE Registration (Cont.)* -------------------------- NH-145 SNF-NF-145 1412 WEST 4TH STREET (00149) RED WING, MN 55066 PHONE: 651/385-4800 FAX: ONProf RED WING REGIONAL HOME HEALTH MR. BRADLEY MOLGARDY 651/388-9502 HCP-A HHA 1407 WEST FOURTH ST (02301) RED WING, MN 55066 PHONE: 651/385-3410 FAX: Corp REM RIVER BLUFFS PARK HEIGHTS MS. NICHOLE GRUIS DIEKMANN 651/385-3414 SLFB-13 ICFMR-13 2606 MALMQUIST AVENUE (01511) RED WING, MN 55066 PHONE: 651/388-7158 FAX: Church ST BRIGID'S AT HI-PARK MS. JUANITA HAYES 651/388-8243 HCP-A 135 PIONEER ROAD (03227) RED WING, MN 55066 PHONE: 651/388-1234 FAX: Church ST BRIGIDS AT HI PARK MR. MICHAEL SCHULTZ 651/388-0347 NH-65 SNF-NF-65 213 PIONEER ROAD (00787) RED WING, MN 55066 PHONE: 651/388-1234 FAX: 651/388-0347 MR. MICHAEL SCHULTZ HWSAL Church ST BRIGIDS AT HI-PARK 135 PIONEER ROAD (20291) RED WING, MN 55066 PHONE: 651/388-1234 FAX: 651/388-0347 Lim-Liab VALENTINES ASSISTED LIVING LLC MR. MICHAEL SCHULTZ HCP-F HWSAL 2557 EAGLE RIDGE DRIVE (25435) RED WING, MN 55066 PHONE: 651/388-5556 FAX: Church VASA CHILDRENS HOME MS. SANDRA MCDONALD 651/388-2363 SLFB-18 ICFMR-18 5225 WEST HIGHWAY 61 (01020) RED WING, MN 55066 PHONE: 651/388-8845 FAX: MS. JERI SCHOONOVER 651/388-8848 Home Mgmt Lim-Liab VISITING ANGELS 2000 OLD WEST MAIN ST STE 328 (26490) RED WING, MN 55066 PHONE: 651/212-6600 FAX: Lim-Liab VISITING ANGELS MR. JAY ROESNER 651/385-2225 HCP-A 2000 OLD W MAIN ST STE 328 (26539) RED WING, MN 55066 PHONE: 651/212-6601 FAX: 651/385-2225 MR. JAY ROESNER Minnesota Department of Health Division of Compliance Monitoring Page 94 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf RIVERVIEW SERVICES INC Certification GOODHUE Registration (Cont.)* -------------------------- SLFB-11 ICFMR-11 400 HILLCREST AVENUE NORTH (01229) WANAMINGO, MN 55983 PHONE: 507/824-2091 FAX: MS. NANCI ADAMS 507/824-2249 HWSAL NProf THE BRIDGES OF ZUMBROTA 295 WEST 4TH STREET (20583) ZUMBROTA, MN 55992 PHONE: 507/732-8455 FAX: MS. KARI EVERSON 507/732-8433 NProf ZUMBROTA CARE CENTER NH-52 SNF-NF-52 433 MILL STREET (00917) ZUMBROTA, MN 55992 PHONE: 507/732-8400 FAX: MS. ELIZABETH RAW 507/732-8432 NProf ZUMBROTA CARE CENTER HOME CARE HCP-F 433 MILL STREET (22850) ZUMBROTA, MN 55992 PHONE: 507/732-8455 FAX: MS. SHANNON DONAHUE 507/732-8433 ---------------------------********** Corp BARRETT ASSISTED LVG COM INC GRANT ******** -------------------------- HCP-F HWSAL 800 SPRUCE AVENUE (20428) BARRETT, MN 56311 PHONE: 320/528-2371 FAX: 320/528-2504 Corp BARRETT CARE CENTER INC MR. VERNON JUNKER NH-36 SNF-NF-36 800 SPRUCE AVENUE (00153) BARRETT, MN 56311 PHONE: 320/528-2527 FAX: MR. DAVID VANDERGON 320/528-2642 NProf PRAIRIE RIDGE HOSP HLTH SERV BASS-2 HOSP-20 CAH-20 930 FIRST STREET NORTHEAST (00154) ELBOW LAKE, MN 56531 PHONE: 218/685-4461 FAX: MR. TOM KOOIMAN 218/685-6749 NProf GOOD SAM SOCIETY HOFFMAN NH-33 SNF-NF-33 104 - 6TH STE S - BOX 337 (00014) HOFFMAN, MN 56339 PHONE: 320/986-2048 FAX: 320/986-2564 ---------------------------********** MR. WILLIAM BREWER HENNEPIN HWS NProf 8601 NICOLLET AVENUE SOUTH 211 CLINTON AVENUE SOUTH (27277) BLOOMINGTON, MN 55420 PHONE: 612/703-2610 FAX: /- ******** -------------------------- MS. KRISTEN BROWN Minnesota Department of Health Division of Compliance Monitoring Page 95 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp A A CARE INC Certification HENNEPIN Registration (Cont.)* -------------------------- HCP-A 8113 BLOOMINGTON AVE S (22021) BLOOMINGTON, MN 55425 PHONE: 651/255-0750 FAX: MR. VISOT HAN 651/233-2399 NProf A+ HOME HEALTH CARE INC HCP-A 8932 OLD CEDAR AVENUE SOUTH (03413) BLOOMINGTON, MN 55425 PHONE: 952/854-7760 FAX: MS. DONNA ROBB 952/854-7842 Ind AGAPE SENIOR KARE HCP-A 5706 AUTO CLUB CIRCLE (27400) BLOOMINGTON, MN 55437 PHONE: 952/835-3037 FAX: MS. PATRICIA LIBBY /- Home Mgmt Corp ALL HOME HEALTH INC 2626 82ND ST E STE 180 (24067) BLOOMINGTON, MN 55425 PHONE: 952/814-7400 FAX: MR. MAC WALTERS 952/853-0966 HWSAL-O Lim-Liab AMELIE HOUSE 1400 WEST 100TH STREET (26939) BLOOMINGTON, MN 55431 PHONE: 952/746-7896 FAX: 952/746-7897 Lim-Liab ASERACARE HOME HEALTH MR. JAMES HAMMILL HCP-A HHA 5001 AMERICAN BLVD SUITE 640 (23582) BLOOMINGTON, MN 55437 PHONE: 952/835-5314 FAX: 952/835-5441 Corp ASERACARE HOSPICE MS. CAROL SKARE Hospice HSPICE 5001 AMERICAN BLVD SUITE 655 (23584) BLOOMINGTON, MN 55437 PHONE: 952/943-0009 FAX: NProf ASSISTED LVG IN HERITAGE HALL MS. CAROL SKARE 952/943-1187 HCP-F HWSAL 11501 MASONIC HOME DRIVE (20126) BLOOMINGTON, MN 55437 PHONE: 952/948-7000 FAX: MS. SHELLY WIGGEN 952/948-7970 ESRD Corp BLOOMINGTON DIALYSIS UNIT TRC 8591 LYNDALE AVENUE SOUTH (20863) BLOOMINGTON, MN 55420 PHONE: 952/703-5888 FAX: NProf BLOOMINGTON OUTREACH HOME MS. COURTNEY JENNE 952/703-5889 SLFA-6 ICFMR-6 10633 KELL AVENUE SOUTH (01098) BLOOMINGTON, MN 55437 PHONE: 952/881-2848 FAX: 952/884-0179 MS. MARY TJOSVOLD Minnesota Department of Health Division of Compliance Monitoring Page 96 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab BRECK HOME RESIDENTIAL CARE Certification HENNEPIN Registration (Cont.)* -------------------------- HCP-F HWSAL 312 WEST 95TH STREET (23111) BLOOMINGTON, MN 55420 PHONE: 612/702-8801 FAX: MS. JENNIFER MORGAN 952/881-2100 HWSAL Lim-Liab BRECK HOME RESIDENTIAL CARE CE 318 WEST 95TH STREET (24594) BLOOMINGTON, MN 55420 PHONE: 952/881-4044 FAX: MS. JENNIFER MORGAN 952/881-2100 HWS-O Corp CARDENAS FRIENDSHIP HOUSE 3608 WEST 84TH STREET (20981) BLOOMINGTON, MN 55431 PHONE: 952/841-1923 FAX: MR. ROBERT CARDENAS 651/257-9245 Corp CARLSON DRAKE HOUSE SLFA-12 5414 W OLD SHAKOPEE CIRCLE (01508) BLOOMINGTON, MN 55437 PHONE: 952/888-5611 FAX: MS. KIM OFFERDAHL-BROOKS 952/888-3741 Ind CAROL BURNETT HCP-C 6970 WEST 84TH STREET (03115) BLOOMINGTON, MN 55438 PHONE: 952/833-0030 FAX: /- MS. CAROL BURNETT Lim-Liab CHU SURGERY CENTER LLC Outpt Surg Amb Surg 9117 LYNDALE AVE SOUTH (25881) BLOOMINGTON, MN 55420 PHONE: 952/835-1235 FAX: 952/835-0534 Corp CONFIDENT HOME CARE INC MS. CARRIE JACOBS HCP-A 8005 14TH AVENUE SOUTH (28057) BLOOMINGTON, MN 55425 PHONE: 612/598-2942 FAX: MS. ALBERTHA KISH /- HWSAL-O Corp DESTINY HOME CARE SERVICES 9907 WENTWORTH AVENUE SOUTH (27249) BLOOMINGTON, MN 55420 PHONE: 952/888-7172 FAX: 952/888-7724 MS. FAITH UDEH HWS-O Corp DESTINY HOME CARE SERVICES 8036 UPTON AVENUE SOUTH (28028) BLOOMINGTON, MN 55431 PHONE: 952/888-7172 FAX: 952/888-7724 MS. FAITH UDEH HWSAL-O Corp DESTINY HOME CARE SERVICES 8709 BRYANT AVENUE SOUTH (27248) BLOOMINGTON, MN 55420 PHONE: 952/888-1405 FAX: 952/888-7724 MS. FAITH UDEH Minnesota Department of Health Division of Compliance Monitoring Page 97 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp DESTINY HOME CARE SERVICES INC Certification HENNEPIN Registration (Cont.)* -------------------------- HCP-A 9907 WENTWORTH AVENUE SOUTH (24149) BLOOMINGTON, MN 55420 PHONE: 952/888-7172 FAX: MS. FAITH UDEH 952/888-7724 ESRD Corp FMC SOUTHTOWN DIALYSIS 7901 XERXES AVE SOUTH #103 (25770) BLOOMINGTON, MN 55431 PHONE: 952/881-6986 FAX: MS. BEVERLY LEVY 952/881-0621 HWS NProf FREMONT COURT 8300 FREMONT AVENUE SOUTH (27883) BLOOMINGTON, MN 55420 PHONE: 952/884-6308 FAX: MS. KRISTEN BROWN /- NProf FRIENDSHIP VILLAGE OF BLOOMING HCP-A 8100 HIGHWOOD DRIVE (03093) BLOOMINGTON, MN 55438 PHONE: 952/831-7500 FAX: MS. ANNEMARIE HEISE 952/830-9583 HWS NProf FRIENDSHIP VILLAGE OF BLOOMING 8100 HIGHWOOD DRIVE (20194) BLOOMINGTON, MN 55438 PHONE: 952/831-7500 FAX: 952/830-9893 NProf FRIENDSHIP VLGE OF BLOOMINGTON MR. RICK MEYER BCH-53 NH-66 SNF-66 8100 HIGHWOOD DRIVE (00806) BLOOMINGTON, MN 55438 PHONE: 952/831-7500 FAX: 952/830-9893 MR. RONALD DONACIK HWSAL-O NProf GARFIELD COMMONS 9450 GARFIELD AVENUE SOUTH (24489) BLOOMINGTON, MN 55420 PHONE: 651/639-9799 FAX: Lim-Liab GOLDEN LIVINGCENTER BLOOMINGTN MR. MICHAEL BJERKESETT 651/639-3699 NH-74 SNF-NF-74 9200 NICOLLET AVENUE SOUTH (00169) BLOOMINGTON, MN 55420 PHONE: 952/881-8676 FAX: NProf GUNDERSON PLACE MR. JOSEPH GUBBELS 952/881-1050 SLFB-6 ICFMR-6 9739 UTICA ROAD (01627) BLOOMINGTON, MN 55437 PHONE: 952/831-4155 FAX: NProf HEALTHPARTNERS HOSPICE & PALLI MR. GEORGE KLAUSER 952/831-0407 Hospice HSPICE 8170 33RD AVENUE SOUTH (02533) BLOOMINGTON, MN 55425 PHONE: 952/883-6977 FAX: 952/883-6883 MS. MARY LOU IRVINE Minnesota Department of Health Division of Compliance Monitoring Page 98 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWSAL Lim-Liab HIGHLAND HOUSE Registration 4616 WEST 102ND STREET (20254) BLOOMINGTON, MN 55437 PHONE: 952/893-9078 FAX: MS. JODY BARNEY 952/888-5465 Corp HOME LAB PARTNERS INC HCP-A 2626 EAST 82ND STREET STE 101 (28280) BLOOMINGTON, MN 55425 PHONE: 952/842-9000 FAX: MS. BARBARA DREALAN 952/842-9001 Lim-Liab HOMECARE RESOURCE LLC HCP-A 900 AMERICAN BLVD E SUITE 100 (21226) BLOOMINGTON, MN 55420 PHONE: 952/854-6104 FAX: MS. CHARIE DEVOLITES 952/854-6134 Corp HOMEWELL SENIOR CARE HCP-B 5001 AMERICAN BLVD STE 605 (27694) BLOOMINGTON, MN 55437 PHONE: 952/345-3202 FAX: MR. LEONARD JACOBSEN 952/345-3204 Lim-Liab ICARE HEALTH PRO LLC HCP-A 7800 METRO PARKWAY SUITE 300 (28228) BLOOMINGTON, MN 55425 PHONE: 952/854-5859 FAX: 952/378-3584 Corp IN-HOME LAB CONNECTION INC MS. MARILOU NOCON HCP-A 2626 EAST 82ND STREET STE 101 (21893) BLOOMINGTON, MN 55425 PHONE: 952/842-9000 FAX: 952/842-9001 Lim-Liab LIVE WELL AT HOME CARE MS. KATHLEEN VALUSEK HCP-B 8040 ENSIGN ROAD (28281) BLOOMINGTON, MN 55438 PHONE: 612/701-9816 FAX: MR. JEFFREY WETMORE /- HWS NProf LYNDALE AVE PROPERTIES 9150 LYNDALE AVE S (28082) BLOOMINGTON, MN 55420 PHONE: 612/618-0644 FAX: 952/440-1074 MS. KRISTEN BROWN HWS NProf LYNDALE AVENUE APARTMENTS 9140 LYNDALE AVENUE SOUTH (27887) BLOOMINGTON, MN 55420 PHONE: 612/618-0644 FAX: 612/440-1074 MS. KRISTEN BROWN HWS NProf LYNDALE AVENUE PROPERTIES 9130 LYNDALE AVENUE SOUTH (28044) BLOOMINGTON, MN 55429 PHONE: 612/618-0644 FAX: 952/440-1074 MS. KRISTEN BROWN Minnesota Department of Health Division of Compliance Monitoring Page 99 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp M & E NURSING SERVICES AND TRA Certification HENNEPIN Registration (Cont.)* -------------------------- HCP-A 7900 INTERNATIONAL DR STE 200 (25239) BLOOMINGTON, MN 55425 PHONE: 952/851-7883 FAX: DR. WINSTON SCHIMMING 952/854-8437 Lim-Liab MARTIN LUTHER CARE CENTER NH-137 SNF-NF-137 1401 EAST 100TH STREET (00227) BLOOMINGTON, MN 55425 PHONE: 952/888-7751 FAX: MS. JODY BARNEY 952/888-5465 HWS NProf MASADA MANOR 9000 NICOLLET AVENUE SOUTH (27609) BLOOMINGTON, MN 55420 PHONE: 952/888-1270 FAX: MS. KRISTEN BROWN /- HWSAL Part MEADOW WOODS 1301 EAST 100TH STREET (20264) BLOOMINGTON, MN 55425 PHONE: 952/888-1010 FAX: MS. SUZANNE KONECNY 952/881-4323 Part MEADOW WOODS HOME CARE HCP-F 1301 EAST 100TH STREET (25763) BLOOMINGTON, MN 55425 PHONE: 952/948-5180 FAX: 952/881-4323 Lim-Liab METROPOLITAN LIVING LLC MS. SUZIE KONECNY HCP-F HWSAL-O 9230 5TH AVENUE SOUTH (26106) BLOOMINGTON, MN 55420 PHONE: 952/746-7896 FAX: 952/746-7897 NProf MINNESOTA MASONIC HOME CARE CT MS. LOUISA ABDI NH-214 SNF-NF-214 11501 MASONIC HOME DRIVE (00232) BLOOMINGTON, MN 55437 PHONE: 952/948-7956 FAX: MS. SHELLY WIGGIN 952/948-7970 Lim-Liab MN EYE LASER & SURGERY CENTER Outpt Surg Amb Surg 9801 DUPONT AVE SO SUITE 100 (00301) BLOOMINGTON, MN 55431 PHONE: 952/567-6062 FAX: MS. NANCYE KNIGHTON 952/567-6188 Corp MNGI ENDOSCOPY BLOOMINGTON Outpt Surg Amb Surg 5705 W OLD SHAKOPEE RD STE 150 (25898) BLOOMINGTON, MN 55437 PHONE: 612/871-1145 FAX: 651/641-0556 DR. SCOTT KETOVER XRAY Corp MOBILEX USA 8030 OLD CEDAR AVE S SUITE 226 (27065) BLOOMINGTON, MN 554251203 PHONE: 952/854-4984 FAX: /- MS. PATRICIA FALICE Minnesota Department of Health Division of Compliance Monitoring Page 100 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** State MSOCS BLOOMINGTON Certification HENNEPIN Registration (Cont.)* -------------------------- SLFB-6 ICFMR-6 8634 OAKLAND AVENUE (01652) BLOOMINGTON, MN 55420 PHONE: 952/881-5214 FAX: MR. ROGER DENEEN 952/881-5246 Corp MTAI ALBERT PLACE SLFA-6 ICFMR-6 9911 13TH AVENUE SOUTH (01565) BLOOMINGTON, MN 55425 PHONE: 952/888-0652 FAX: MS. MARY TJOSVOLD 952/881-6182 Ind NAOME HOME HEALTH CARE HCP-C 8410 BLOOMINGTON AVENUE (27020) BLOOMINGTON, MN 55425 PHONE: 952/417-6943 FAX: MS. KIDIST PETERSON /- Corp NERVANAS CARING HANDS INC HCP-F HWS 8719 BLOOMINGTON AVENUE SOUTH (26052) BLOOMINGTON, MN 55425 PHONE: 612/220-7511 FAX: MS. NERVANA RAMNARAIN /- HWSAL NProf NEWTON MANOR 10000 NEWTON AVENUE SOUTH (21010) BLOOMINGTON, MN 55431 PHONE: 952/948-3000 FAX: 952/948-3017 MS. SUE HILLSTAD HWS NProf NICOLLET COURT APARTMENTS 8917 WENTWORTH AVENUE SOUTH (26890) BLOOMINGTON, MN 55420 PHONE: 952/884-9418 FAX: /- MS. KRISTEN BROWN Lim-Liab NINE MILE CREEK SENIOR LIVING HCP-F HWSAL 2301 VILLAGE LANE (27108) BLOOMINGTON, MN 55431 PHONE: 952/888-0731 FAX: MS. KAREN LARSON 952/884-2191 XRAY Corp PREMIER DIAGNOSTIC IMAGING INC 10800 LYNDALE AVE S STE 150 (26595) BLOOMINGTON, MN 55420 PHONE: 952/955-8010 FAX: NProf PRESB HOMES OF BLOOMINGTON MS. KIM ALGOO 952/345-0295 NH-98 SNF-NF-98 9889 PENN AVENUE SOUTH (00189) BLOOMINGTON, MN 55431 PHONE: 952/948-3000 FAX: 952/948-3002 MS. MICHELLE SULLIVAN HWSAL NProf PRESBYTERIAN HOMES OF BLOOMING 9889 PENN AVENUE SOUTH (24062) BLOOMINGTON, MN 55431 PHONE: 952/948-3000 FAX: 952/948-3017 MS. SUE HILLSTAD Minnesota Department of Health Division of Compliance Monitoring Page 101 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf PRESBYTERIAN HOMES OF BLOOMING Certification HENNEPIN Registration (Cont.)* -------------------------- HCP-F 9889 PENN AVENUE SOUTH (27958) BLOOMINGTON, MN 55431 PHONE: 952/948-3000 FAX: MS. NATALIE MORLAND 952/948-3017 HWSAL NProf PRESBYTERIAN HOMES OF BLOOMING 10030 NEWTON AVENUE SOUTH (20127) BLOOMINGTON, MN 55431 PHONE: 952/948-3000 FAX: MS. SUE HILLSTAD 952/948-3017 Lim-Liab PRNSC HCP-A 2626 E 82ND STREET (25662) BLOOMINGTON, MN 55425 PHONE: 952/540-4290 FAX: MS. CHARIE DEVOLITES 952/858-8835 Lim-Liab PRNSC LLC HCP-F 2626 82ND ST E STE 32B (25220) BLOOMINGTON, MN 55425 PHONE: 952/858-8807 FAX: MS. CHARIE DEVOLITES 952/858-8835 XRAY Corp PROF PORTABLE X-RAY INC 4801 W 81ST STREET STE 118 (22086) BLOOMINGTON, MN 55437 PHONE: 952/915-9779 FAX: 952/915-9597 Corp PROF RESOURCE NETWORK HHC MS. SUE MCNAMEE HCP-A HHA 2626 E 82ND STREET SUITE 328 (03633) BLOOMINGTON, MN 55425 PHONE: 952/858-8807 FAX: 952/858-8835 Corp REM HENNEPIN (BLOOMINGTON) MS. CHARIE DEVOLITES SLFA-14 ICFMR-14 9201 CEDAR AVENUE SOUTH (01360) BLOOMINGTON, MN 55425 PHONE: 952/591-0797 FAX: MS. CONNIE MENNE 952/591-0050 Home Mgmt Corp RIGHT AT HOME 9000 OLD CEDAR AV S STE #1 (21258) BLOOMINGTON, MN 55425 PHONE: 952/854-6122 FAX: MR. PAUL BLOM 952/854-6162 Lim-Liab SENIOR HELPERS HCP-A 7800 METRO PARKWAY SUITE 100 (24827) BLOOMINGTON, MN 55425 PHONE: 952/392-1999 FAX: 952/392-1998 MS. KAREN LILYQUIST HWS NProf SIMPSON HOUSING SERVICES- CROS 8735 PORTLAND AVENUE SOUTH (26698) BLOOMINGTON, MN 55420 PHONE: 612/455-1077 FAX: /- MS. JANELLE LEPPA Minnesota Department of Health Division of Compliance Monitoring Page 102 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp SOLBAKKEN Certification HENNEPIN Registration (Cont.)* -------------------------- HCP-F HWS 7733 WEST 99TH STREET CIRCLE (20990) BLOOMINGTON, MN 55438 PHONE: 952/943-8485 FAX: MS. MARY ADAMS 952/943-2941 HWS Corp SOLBAKKEN INC 9969 NORD ROAD (21101) BLOOMINGTON, MN 55437 PHONE: 952/835-4645 FAX: MS. MARY ADAMS 952/943-2941 HWS Corp SOLBAKKEN INC 7733 WEST 99TH STREET CIRCLE (20527) BLOOMINGTON, MN 55420 PHONE: 952/943-8485 FAX: MS. MARY ADAMS 952/943-2941 HWSAL Corp THE JAMES INC 10549 BEARD AVENUE SOUTH (28558) BLOOMINGTON, MN 55431 PHONE: 952/831-4591 FAX: MR. JAMES IMASUEN 952/831-3275 Corp THE JAMES INC HCP-F HWSAL 4533 NORMANDALE HIGHLANDS D (23991) BLOOMINGTON, MN 55437 PHONE: 952/831-4591 FAX: 952/831-3275 MR. JAMES IMASUEN Out Pt Out St Out Ot Corp THE THERAPY PLACE 900 WEST 94TH STREET (03828) BLOOMINGTON, MN 55420 PHONE: 952/885-0418 FAX: /- MS. LYNN KOPFMAN Lim-Liab THE WEALSHIRE OF BLOOMINGTON HCP-F HWSAL 10601 LYNDALE AVENUE SOUTH (28128) BLOOMINGTON, MN 55420 PHONE: 952/345-1900 FAX: MR. THOMAS WISKOW /- Lim-Liab TRIA ORTHOPAEDIC CTR LLC Outpt Surg Amb Surg 8100 NORTHLAND DRIVE (23244) BLOOMINGTON, MN 55431 PHONE: 952/806-5303 FAX: Lim-Liab UTMOST CARE HEALTH SERVICES LL MR. THEODORE WEGLEITNER 952/831-1626 HCP-A HHA 8200 HUMBOLDT AVENUE S STE 101 (25533) BLOOMINGTON, MN 55431 PHONE: 952/486-1491 FAX: Corp WEST BLOOMINGTON RESIDENCE MS. BLESSING ANYIWE 952/681-2735 HCP-F HWSAL 10441 JOHNSON AVENUE SOUTH (24675) BLOOMINGTON, MN 55437 PHONE: 763/550-1774 FAX: 763/559-9155 MS. MARCIA DOONER Minnesota Department of Health Division of Compliance Monitoring Page 103 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf WINGSPAN LIFE RESOURCES Certification HENNEPIN Registration (Cont.)* -------------------------- SLFB-6 ICFMR-6 2209 91 1/2 STREET WEST (01198) BLOOMINGTON, MN 55431 PHONE: 651/646-3846 FAX: MS. PATRICIA MOORE 651/646-2347 HWS NProf 6307 SCOTT AVENUE NORTH 6307 SCOTT AVENUE NORTH (28475) BROOKLYN CENTER, MN 55429 PHONE: 651/528-5026 FAX: MS. KRISTEN BROWN /- Corp ESTEEM NURSING CARE INC HCP-A 3300 BASS LAKE ROAD (21960) BROOKLYN CENTER, MN 55429 PHONE: 763/503-2400 FAX: MR. EMMANUEL OKIDEGBE 763/503-2401 HWS NProf 2801 66TH AVENUE NORTH 2801 66TH AVENUE NORTH (26951) BROOKLYN CENTER, MN 55430 PHONE: 718/415-5068 FAX: MS. KRISTEN BROWN /- HWS NProf 3513 47TH AVENUE NORTH 3513 47TH AVENUE NORTH (26767) BROOKLYN CENTER, MN 55422 PHONE: 612/522-3394 FAX: /- MS. KRISTEN BROWN HWS NProf 5211 XERXES AVENUE NORTH 5211 XERXES AVENUE NORTH (28529) BROOKLYN CENTER, MN 55430 PHONE: 612/558-1000 FAX: /- MS. STACEY RAY Corp ABIDJAN HEALTHCARE INC HCP-A 1301 72ND AVENUE NORTH (27875) BROOKLYN CENTER, MN 55430 PHONE: 763/208-5169 FAX: MS. OYEMI ROBERTS 763/432-0170 Lim-Liab ABUNDANT LIFE HOME HEALTH CARE HCP-A 5901 BROOKLYN BLVD STE 110 (26471) BROOKLYN CENTER, MN 55429 PHONE: 763/843-6749 FAX: 763/898-3521 MR. GEORGE MARSHALL HWS-O Lim-Liab ABUNDANT LIFE HOME HEALTH CARE 5901 BROOKLYN BLVD STE 110 (26592) BROOKLYN CENTER, MN 55429 PHONE: 763/732-8391 FAX: 763/898-3521 MR. GEORGE MARSHALL HWS NProf AFFIRMATION HOUSE 6007 NORTH GIRARD AVENUE (27055) BROOKLYN CENTER, MN 55430 PHONE: 612/204-8319 FAX: /- MS. STACY RAY Minnesota Department of Health Division of Compliance Monitoring Page 104 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Ind ALL ABOUT HOME CARE Certification HENNEPIN Registration (Cont.)* -------------------------- HCP-A 5637 BROOKLYN BLVD STE 301 (26493) BROOKLYN CENTER, MN 55429 PHONE: 763/535-7830 FAX: Corp ALL LOVE INC MS. BRIDGETT MANNING 763/537-9129 HCP-A 5701 SHINGLE CREEK PKWY (26483) BROOKLYN CENTER, MN 55430 PHONE: 763/205-5913 FAX: MR. PAXTON RICHARDSON 763/432-6214 HWSAL Lim-Liab AMAZING LOVE ASSISTED LIVING 2318 55TH AVENUE NORTH (24365) BROOKLYN CENTER, MN 55430 PHONE: 763/561-3434 FAX: Corp AMERICAN FAMILY HOME CARE MR. YEMMY OSONOWO 763/561-3636 HCP-A 5901 BROOKLYN BLVD SUITE 206 (24442) BROOKLYN CENTER, MN 55429 PHONE: 763/971-8888 FAX: Lim-Liab ASIAN AMERICAN ELDERLY AL LLC MS. LOVETH AMAYANVBO 763/971-8892 HCP-F HWSAL 5313 62ND AVENUE NORTH (24014) BROOKLYN CENTER, MN 55429 PHONE: 763/569-0127 FAX: 763/569-0127 Ind AUDRIE HOME HEALTH CARE LLC MRS. CHAO VANG HCP-A 5415 GIRARD AVE N UNIT B (26484) BROOKLYN CENTER, MN 55430 PHONE: 763/560-9212 FAX: 763/560-9636 MS. AUDRIE PIERSON HWS NProf BEARD AVENUE APARTMENTS 6101 BEARD AVENUE NORTH (28179) BROOKLYN CENTER, MN 55429 PHONE: 651/470-4017 FAX: MS. KRISTEN BROWN 763/712-1334 HWSAL-O Corp BEST CARE GROUP 6213 CHOWEN AVENUE NORTH (22356) BROOKLYN CENTER, MN 55429 PHONE: 612/378-1040 FAX: Ind BETHEL FINANCE & MGMT SERVICES MS. NAZNEEN KHATOON 612/378-2850 HCP-B 5901 BROOKLYN BLVD SUITE 210 (26044) BROOKLYN CENTER, MN 55429 PHONE: 763/746-8566 FAX: Corp BLESSING HOME HEALTH SERVICES MR. JOSEPH BOAKYE-DANQUAH 763/537-1688 HCP-A 6500 BROOKLYN BLVD STE 200 (25402) BROOKLYN CENTER, MN 55429 PHONE: 763/568-7236 FAX: 763/568-7239 MS. NGOZI MBIBI Minnesota Department of Health Division of Compliance Monitoring Page 105 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf BROOKLYN CENTER OUTREACH HOME Certification HENNEPIN Registration (Cont.)* -------------------------- SLFA-6 ICFMR-6 507 69TH AVENUE NORTH (01021) BROOKLYN CENTER, MN 55430 PHONE: 763/561-9030 FAX: Corp CAREMAXX HEALTH CARE SYSTEM MS. MARY TJOSVOLD 763/561-0263 HCP-F 5701 SHINGLE CREEK PKWY 110 (24181) BROOKLYN CENTER, MN 55430 PHONE: 763/566-4559 FAX: Corp CAREMAXX HEALTH CARE SYSTEMS MR. ADASSA OPUSUNJU 763/566-2147 HCP-A 5701 SHINGLE CREEK PKWY 110 (21374) BROOKLYN CENTER, MN 55430 PHONE: 763/566-4559 FAX: MS. JOSEPHINE GURLEY 763/566-2147 HWSAL NProf CENTER PARK SENIOR APARTMENTS/ 5415 69TH AVENUE NORTH (20024) BROOKLYN CENTER, MN 55429 PHONE: 763/569-4500 FAX: MS. DEBRA KEENEY 763/569-4576 HWS NProf CENTER POINTE APARTMENTS 2936 NORTHWAY DRIVE (25187) BROOKLYN CENTER, MN 55430 PHONE: 763/561-9072 FAX: 763/561-3672 Lim-Liab COMFORTABLE HOME HEALTH CARE L MS. KRISTEN BROWN HCP-A 7101 KYLE AVENUE NORTH (28256) BROOKLYN CENTER, MN 55429 PHONE: 763/458-8641 FAX: 763/572-1300 NProf DCI LYNDALE MS. LATONYA HOLIFIELD SLFB-8 ICFMR-8 5449 LYNDALE AVENUE NORTH (01243) BROOKLYN CENTER, MN 55430 PHONE: 763/560-2220 FAX: 763/560-7596 MR. ROGER MEYER HWSAL Corp EARLE BROWN TERRACE 6100 SUMMIT DRIVE NORTH (21671) BROOKLYN CENTER, MN 55430 PHONE: 763/560-6829 FAX: 763/560-5089 MR. FRANCIS LANG HWSAL NProf ECUMEN PRAIRIE LODGE 6001 EARLE BROWN DRIVE (20315) BROOKLYN CENTER, MN 55430 PHONE: 763/566-1495 FAX: 763/566-1625 MRS. JANELLE MEYERS HWS NProf EDEN PARK APARTMENTS 6428 NORTH DOUGLAS DRIVE (27534) BROOKLYN CENTER, MN 55429 PHONE: 763/535-6092 FAX: 763/535-1302 MS. KRISTEN BROWN Minnesota Department of Health Division of Compliance Monitoring Page 106 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp EPIPHANY HEALTH CARE SRVCS INC Certification HENNEPIN Registration (Cont.)* -------------------------- HCP-A 1619 73RD AVENUE NORTH (24977) BROOKLYN CENTER, MN 55444 PHONE: 763/560-2707 FAX: MR. WALTER YANG 763/560-2710 Corp FIRST CHOICE NURSING & HOMECAR HCP-F 5701 SHINGLE CREEK PKWY #112 (26335) BROOKLYN CENTER, MN 55430 PHONE: 763/503-9505 FAX: MR. JERRY HAVON 763/503-2363 Corp FIRST CHOICE NURSING AND HOME HCP-A 5701 SHINGLE CREEK PKY STE 112 (22349) BROOKLYN CENTER, MN 55430 PHONE: 763/503-9505 FAX: MR. JERRY HAVON 763/503-2363 HWS NProf GATEWAY COMMONS 2818 NORTHWAY DRIVE (25342) BROOKLYN CENTER, MN 55430 PHONE: 612/204-8319 FAX: MS. STACEY RAY /- Corp GOOD FAITH INC HCP-A 6500 BROOKLYN BLVD STE 103 (26601) BROOKLYN CENTER, MN 55429 PHONE: 763/438-2936 FAX: 763/503-9451 Corp GOODNESS AND MERCY HEALTH SERV MR. MINIRU ALAWIYE HCP-A 6018 HALIFAX PLACE NORTH (23419) BROOKLYN CENTER, MN 55429 PHONE: 651/631-2535 FAX: 651/631-2538 Corp GOODNESS AND MERCY HLTH SVCS MS. ADESOLA OGUNDIPE HCP-F HWSAL-O 6018 HALIFAX PLACE (27939) BROOKLYN CENTER, MN 55429 PHONE: 651/631-2535 FAX: Corp HAPPY FEET FOOTCARE INC MS. ADESOLA OGUNDIPE 651/631-2538 HCP-A 6912 TOLEDO AVENUE NORTH (02914) BROOKLYN CENTER, MN 55429 PHONE: 763/560-5136 FAX: MS. JENNIFER RYAN 763/560-5092 Home Mgmt Corp HMONG SENIOR HEALTH CARE INC 6206 BROOKLYN BOULEVARD (28455) BROOKLYN CENTER, MN 55429 PHONE: 763/566-2889 FAX: Lim-Liab HOLISTIC ARRAY OF AUTHENTIC SV MR. JER YANG 763/526-2947 HCP-A 3813 51ST AVENUE NORTH (28019) BROOKLYN CENTER, MN 55429 PHONE: 763/536-9768 FAX: 763/536-9768 MS. ELIZABETH NAMARRA Minnesota Department of Health Division of Compliance Monitoring Page 107 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp IN CHARGE HOME HEALTHCARE SERV Certification HENNEPIN Registration (Cont.)* -------------------------- HCP-A 3300 BASS LAKE ROAD STE 400H (26944) BROOKLYN CENTER, MN 55429 PHONE: 651/332-4220 FAX: MR. GELGELU FELEMA /- NProf MARANATHA CARE CENTER NH-97 SNF-NF-97 5401 69TH AVENUE NORTH (00226) BROOKLYN CENTER, MN 55429 PHONE: 763/549-9600 FAX: MS. STASIA ALLYN 763/549-9636 NProf MARANATHA PLACE HCP-F 5401 69TH AVENUE NORTH (27951) BROOKLYN CENTER, MN 55429 PHONE: 763/569-4500 FAX: MS. NATALIE MORLAND 763/569-4576 Corp MAY HEALTH CARE INC HCP-A 5901 BROOKLYN BLVD STE 204 (20858) BROOKLYN CENTER, MN 55429 PHONE: 763/533-2001 FAX: MR. CHA LEE 763/533-1151 HWS Lim-Liab MEDICAL MANAGEMENT HOME CARE L 6224 DUPONT AVENUE NORTH (28435) BROOKLYN CENTER, MN 55430 PHONE: 763/566-6493 FAX: /- MS. ANNA WALKER Lim-Liab MEDICAL MANAGEMENT HOME CARE L HCP-F 6224 DUPONT AVENUE NORTH (28434) BROOKLYN CENTER, MN 55430 PHONE: 763/566-6493 FAX: /- MS. ANNA WALKER Corp MILES VENTS CARE HCP-A 5701 SHINGLE CREEK PKWY #115 (26443) BROOKLYN CENTER, MN 55430 PHONE: 763/205-5880 FAX: Corp MINNESOTA LIFE CARE SERVICES MS. JULIANA IRETELE 763/205-5878 HCP-A 3300 BASS LAKE ROAD #312 (28486) BROOKLYN CENTER, MN 55429 PHONE: 763/560-8995 FAX: Corp N & V HELPFUL HEARTCARE INC MR. JOHN TARLEY 763/560-9720 HCP-A 3300 COUNTY ROAD 10 (25916) BROOKLYN CENTER, MN 55429 PHONE: 763/218-8685 FAX: Corp NEW LIFE HEALTH AND HOME CARE MRS. VERA DIXON 763/219-8547 HCP-A 5901 BROOKLYN BLVD SUITE 212-B (27187) BROOKLYN CENTER, MN 55429 PHONE: 763/227-2756 FAX: 763/227-2756 MR. JEFFREY KARBEDEH Minnesota Department of Health Division of Compliance Monitoring Page 108 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Ind NGUFOR Certification HENNEPIN Registration (Cont.)* -------------------------- HCP-A 6500 BROOKLYN BOULEVARD #108 (28144) BROOKLYN CENTER, MN 55429 PHONE: 651/329-6478 FAX: MR. PATRICK NGUFOR 651/205-5899 NProf NORTH RESIDENTIAL HOSPICE RES-HSPICE-8 4201 58TH AVENUE NORTH (01679) BROOKLYN CENTER, MN 55429 PHONE: 763/520-3900 FAX: MS. BETH BRANZ 763/520-3920 Corp OLIDIA CARE INC HCP-A 7243 MORGAN AVENUE NORTH (25418) BROOKLYN CENTER, MN 55430 PHONE: 612/703-6144 FAX: MR. OLIVIER NKWONKAM 763/503-7171 HWS Lim-Liab RIGHTWAY HOME CARE SERVICES 7082 BROOKLYN BOULEVARD (27024) BROOKLYN CENTER, MN 55429 PHONE: 612/801-7711 FAX: MR. ADEBAYO MUSTAPHA 763/566-4206 Lim-Liab RIGHTWAY HOME CARE SERVICES IN HCP-A 7082 BROOKLYN BOULEVARD (26948) BROOKLYN CENTER, MN 55429 PHONE: 763/432-9738 FAX: 763/208-5725 MR. ANDREW OBAMI HWS NProf RIVERWOOD ESTATES 6417 WILLOW LANE (26748) BROOKLYN CENTER, MN 55430 PHONE: 612/204-8319 FAX: /- MS. STACEY RAY HWS NProf RIVERWOOD ESTATES 6409 WILLOW LANE (27289) BROOKLYN CENTER, MN 55430 PHONE: 612/204-8319 FAX: MS. STACEY RAY /- HWS NProf RIVERWOOD ESTATES 215 65TH AVENUE NORTH (26107) BROOKLYN CENTER, MN 55430 PHONE: 612/204-8319 FAX: MS. STACEY RAY /- HWS NProf RIVERWOOD ESTATES 207 65TH AVENUE (26665) BROOKLYN CENTER, MN 55430 PHONE: 612/204-8319 FAX: MS. STACEY RAY /- HWS NProf RIVERWOOD ESTATES 6425 WILLOW LANE NORTH (26108) BROOKLYN CENTER, MN 55430 PHONE: 612/204-8319 FAX: /- MS. STACEY RAY Minnesota Department of Health Division of Compliance Monitoring Page 109 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS NProf RIVERWOOD ESTATES Registration 201 65TH AVENUE NORTH (26831) BROOKLYN CENTER, MN 55430 PHONE: 612/204-8319 FAX: MS. STACEY RAY /- HWS NProf RIVERWOOD ESTATES 6401 WILLOW LANE (27795) BROOKLYN CENTER, MN 55412 PHONE: 612/204-8319 FAX: MS. STACEY RAY 612/375-9105 HWS NProf STERLING SQUARE 1401 67TH AVENUE NORTH (28151) BROOKLYN CENTER, MN 55430 PHONE: 612/325-2500 FAX: MS. STACEY RAY /- Lim-Liab TLC HEALTHCARE SVS LLC HCP-A 3300 COUNTY ROAD 10 STE 400I (27715) BROOKLYN CENTER, MN 55429 PHONE: 612/965-6819 FAX: MS. AZANETH BIRGEN 651/344-0850 HWS Lim-Liab TLC HEALTHCARE SVS LLC 3300 COUNTY ROAD 10 STE 400I (27799) BROOKLYN CENTER, MN 55429 PHONE: 612/965-6819 FAX: 651/344-0850 Corp TOLAD INC MS. EMMY BRADFORD HCP-F 7062 BROOKLYN BOULEVARD (26275) BROOKLYN CENTER, MN 55429 PHONE: 763/566-1744 FAX: 763/566-1755 Lim-Liab VERACITY HEALTH SYSTEMS LLC MR. EMMANUEL COKER HCP-A 3300 COUNTY ROAD 10 #405 (28039) BROOKLYN CENTER, MN 55429 PHONE: 763/208-1797 FAX: 651/344-0590 MR. MBUTAMBE AKPANG HWSAL Corp 24/7 HEALTHCARE PRO 7233 WEST BROADWAY #1 (27692) BROOKLYN PARK, MN 55428 PHONE: 763/923-4708 FAX: MR. M-FALILOU DIABY /- HWSAL Corp 24/7 HEALTHCARE PRO 7233 WEST BOARDWAY #1 (27746) BROOKLYN PARK, MN 55428 PHONE: 763/923-4708 FAX: MR. M-FALILOU DIABY /- HWS NProf 5833 - HUNTINGTON PLACE 5833 73RD AVENUE NORTH (25845) BROOKLYN PARK, MN 55429 PHONE: 651/774-0011 FAX: 651/774-0606 MR. GEOFFREY MEYER Minnesota Department of Health Division of Compliance Monitoring Page 110 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS NProf 6628 WEST BROADWAY Registration 6628 WST BROADWAY (27370) BROOKLYN PARK, MN 55428 PHONE: 612/325-2500 FAX: MS. KRISTEN BROWN 612/521-4606 HWS NProf 7940 KYLE AVENUE NORTH 7940 KYLE AVENUE NORTH (28493) BROOKLYN PARK, MN 55443 PHONE: 612/387-9216 FAX: MS. KRISTEN BROWN /- Corp ACR HOME ON FALLGOLD SLFB-6 ICFMR-6 9719 FALLGOLD PARKWAY (20743) BROOKLYN PARK, MN 55443 PHONE: 763/424-0352 FAX: MR. GENE LEISTICO 763/424-6544 Lim-Liab AFFILIATED FAMILY & SENIOR S HCP-A 8617 EDINBROOK CROSSING #213 (25390) BROOKLYN PARK, MN 55443 PHONE: 763/273-4725 FAX: MR. ALBASHA NKENZIDYO 763/273-4724 HWS Corp AMAS INCORPORATED 4016 81ST AVENUE NORTH (25609) BROOKLYN PARK, MN 55443 PHONE: 763/315-2837 FAX: 763/424-6196 Corp AMAS INCORPORATED MR. DEEN AJIBOLA HCP-F HWS 3617 77TH AVENUE NORTH (24324) BROOKLYN PARK, MN 55443 PHONE: 763/315-2837 FAX: 763/424-6196 Lim-Liab ANGEL HEALTH SERVICES MR. DEEN AJIBOLA HCP-A 2609 87TH TRAIL NORTH (28255) BROOKLYN PARK, MN 55443 PHONE: 763/412-9921 FAX: MR. PHILIP UWAGWU /- HWS NProf AUTUMN RIDGE APARTMENTS 6304 BOONE AVENUE NORTH (26442) BROOKLYN PARK, MN 55428 PHONE: 763/533-8541 FAX: 763/531-0258 MS. KRISTEN BROWN HWS NProf AUTUMN RIDGE APARTMENTS 6308 BOONE AVENUE NORTH (26413) BROOKLYN PARK, MN 55428 PHONE: 763/533-8541 FAX: 763/531-0258 MS. KRISTEN BROWN HWS NProf AUTUMN RIDGE APARTMENTS 6300 BOONE AVENUE NORTH (26423) BROOKLYN PARK, MN 55428 PHONE: 763/533-8541 FAX: 763/531-0258 MS. KRISTEN BROWN Minnesota Department of Health Division of Compliance Monitoring Page 111 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp AWESOME HEALTH CARE SVCS INC Certification HENNEPIN Registration (Cont.)* -------------------------- HCP-A 5418 VILLAGE CREEK PARKWAY (28180) BROOKLYN PARK, MN 55443 PHONE: 763/464-5471 FAX: MS. JIABA KENNEDY 763/253-4401 HWS-O Corp CAREMAXX HEALTH CARE SYSTEMS 5440 KINGS CIRCLE NORTH (24288) BROOKLYN PARK, MN 55443 PHONE: 763/566-4559 FAX: MS. JOSEPHINE GURLEY 763/566-2147 HWS-O Corp CAREMAXX HEALTH CARE SYSTEMS 516 BROOKDALE DRIVE (24290) BROOKLYN PARK, MN 55444 PHONE: 763/566-4559 FAX: MS. JOSEPHINE GURLEY 763/566-2147 HWS-O Corp CAREMAXX HEALTH CARE SYSTEMS 4709 OXBOROUGH GARDENS (24291) BROOKLYN PARK, MN 55443 PHONE: 763/566-4559 FAX: MS. JOSEPHINE GURLEY 763/566-2147 HWS-O Corp CAREMAXX HEALTH CARE SYSTEMS 2020 97TH AVENUE NORTH (24293) BROOKLYN PARK, MN 55443 PHONE: 763/566-4559 FAX: 763/566-2147 MS. JOSEPHINE GURLEY HWS-O Corp CAREMAXX HEALTH CARE SYSTEMS 8048 SCOTT AVENUE NORTH (22191) BROOKLYN PARK, MN 55443 PHONE: 763/566-4559 FAX: 763/566-2147 MS. JOSEPHINE GURLEY HWS-O Corp CAREMAXX HEALTH CARE SYSTEMS 9701 EVERGREEN AVENUE NORTH (24294) BROOKLYN PARK, MN 55443 PHONE: 763/566-4559 FAX: MS. JOSEPHINE GURLEY 763/566-2147 HWS-O Corp CAREMAXX HEALTHCARE SYSTEMS IN 8348 IDAHO AVENUE NORTH (24916) BROOKLYN PARK, MN 55443 PHONE: 763/566-4559 FAX: Lim-Liab CARING NURSES LLC MS. JOSEPHINE GURLEY 763/566-2147 HCP-F 7714 BROOKLYN BLVD #204 (27460) BROOKLYN PARK, MN 55443 PHONE: 763/566-4325 FAX: 763/566-4341 MR. ROBERT EDDY HWS Lim-Liab CARING NURSES LLC 4426 LADYSLIPPER AVENUE NORTH (27459) BROOKLYN PARK, MN 55443 PHONE: 763/566-4325 FAX: 763/566-4341 MS. JOSEPHINE SMITH Minnesota Department of Health Division of Compliance Monitoring Page 112 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab CARING NURSES LLC Certification HENNEPIN Registration (Cont.)* -------------------------- HCP-A 7714 BROOKLYN BLVD SUITE 204 (25432) BROOKLYN PARK, MN 55443 PHONE: 763/566-4325 FAX: MS. JOSEPHINE GURLEY 763/566-4341 HWS Corp CHOICE HOUSE 7509 COLORADO AVENUE NORTH (25822) BROOKLYN PARK, MN 55443 PHONE: 763/493-5067 FAX: MR. EMEKA LINUS OKAFOR 763/493-5138 HWS NProf CHRIS DEUTH OF DEUTH MANAGEMEN 3408 84TH AVENUE NORTH (27159) BROOKLYN PARK, MN 55442 PHONE: 651/341-5551 FAX: Lim-Liab CODE CARE LLC MS. JANELLE LEPPA 651/207-4780 HCP-A 3612 104TH TRAIL NORTH (25736) BROOKLYN PARK, MN 55443 PHONE: 763/657-1022 FAX: Ind COMFORT HEALTH CARE MS. DORTHEY IKEGWUANI 763/424-9724 HCP-A 3621 85TH AVENUE N STE 106 (27703) BROOKLYN PARK, MN 55443 PHONE: 763/425-4020 FAX: 763/425-4021 NProf DCI EDGEWOOD MR. BEE VANG SLFB-8 ICFMR-8 6525 EDGEWOOD AVENUE NORTH (01258) BROOKLYN PARK, MN 55428 PHONE: 763/533-5104 FAX: 763/533-2630 Lim-Liab DIVINE LOVE HOME CARE SERVICES MR. ROGER MEYER HCP-A 4600 OXBOROUGH GARDENS (24515) BROOKLYN PARK, MN 55443 PHONE: 612/251-6610 FAX: Corp DIVINE NURTURING HOMECARE SVCS MS. UCHE OBIDIEGWU 763/424-9942 HCP-A 7964 BROOKLYN BLVD STE 216 (28018) BROOKLYN PARK, MN 55445 PHONE: 763/390-2590 FAX: 763/494-3782 MR. ANTHONY ADANENE HWSAL-O Lim-Liab DUNGARVIN/HUMBOLDT 7731 HUMBOLDT AVENUE NORTH (24562) BROOKLYN PARK, MN 55444 PHONE: 651/699-6050 FAX: 651/699-7265 MS. KARIN STOCKWELL HWSAL-O Lim-Liab DUNGARVIN/HUMBOLDT 7719 HUMBOLDT AVENUE NORTH (24559) BROOKLYN PARK, MN 55444 PHONE: 651/699-6050 FAX: 651/699-7265 MS. KARIN STOCKWELL Minnesota Department of Health Division of Compliance Monitoring Page 113 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWSAL-O Lim-Liab DUNGARVIN/HUMBOLDT Registration 7723 HUMBOLDT AVENUE NORTH (24560) BROOKLYN PARK, MN 55444 PHONE: 651/699-6050 FAX: MS. KARIN STOCKWELL 651/699-7265 HWSAL-O Lim-Liab DUNGARVIN/HUMBOLDT 7727 HUMBOLDT AVENUE NORTH (24561) BROOKLYN PARK, MN 55444 PHONE: 651/699-6050 FAX: Corp ELIMARC HEALTH CARE NETWORK IN MS. KARIN STOCKWELL 651/699-7265 HCP-A 3018 80TH CIRCLE NORTH (25884) BROOKLYN PARK, MN 55444 PHONE: 763/585-6107 FAX: MS. NKEM ANDERSON 763/585-6107 HWS-O Corp ESTEEM NURSING CARE INC 8008 IDAHO CIRCLE NORTH (24357) BROOKLYN PARK, MN 55445 PHONE: 612/281-5356 FAX: Corp EVENSONG MANOR MR. EMMANUEL OKIDEGBE 763/503-2401 HCP-F HWS 6264 YUKON AVENUE NORTH (24202) BROOKLYN PARK, MN 55428 PHONE: 763/537-4374 FAX: 763/537-4374 MS. MARY JANE CHAIGNOT HWSAL-O NProf EVERGREEN APARTMENTS 7108 WEST BROADWAY (24488) BROOKLYN PARK, MN 55428 PHONE: 651/639-9799 FAX: 651/639-3699 MR. MICHAEL BJERKESETT HWS-O Corp FIRST CHOICE NURSING & HOME CA 2108 PEARSON PKWY (26265) BROOKLYN PARK, MN 55444 PHONE: 763/503-9505 FAX: Corp GRANDMAS PLACE INC MR. JERRY HAVON 763/503-2363 HCP-F HWS-O 7901 ZANE AVE N (24787) BROOKLYN PARK, MN 55443 PHONE: 763/560-2500 FAX: Lim-Liab HANNAH HOME LLC MR. RON HENDRICKSON 763/561-0159 HCP-A 7538 BRUNSWICK AVENUE NORTH (21979) BROOKLYN PARK, MN 55443 PHONE: 612/770-0696 FAX: Lim-Liab HARMONY LIVING HEALTH CARE SER MS. ELIZABETH GAYE 763/493-2909 HCP-A 7420 UNITY AVE NORTH SUITE 203 (25474) BROOKLYN PARK, MN 55443 PHONE: 763/432-7968 FAX: 763/432-7968 MR. ALEXANDER ONGOU Minnesota Department of Health Division of Compliance Monitoring Page 114 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab HARMONY LIVING HLTH CARE SRVCS Certification HENNEPIN Registration (Cont.)* -------------------------- HCP-F HWS 7509 COLFAX AVENUE NORTH (25475) BROOKLYN PARK, MN 55444 PHONE: 763/657-7646 FAX: MR. ALEXANDER ONGOU 763/432-7968 Corp HENNEPIN HOME HEALTH CARE INC HCP-A HHA 8590 EDINBURGH CENTER DRIVE (03188) BROOKLYN PARK, MN 55443 PHONE: 763/425-5959 FAX: MS. AMELIA MATA 763/425-5929 NProf HOMEWARD BOUND BROOKLYN PARK SLFB-32 ICFMR-32 7839 BROOKLYN BOULEVARD (01273) BROOKLYN PARK, MN 55445 PHONE: 763/525-3186 FAX: MR. DON PRIEBE 763/525-4084 Corp HOPECARE PCA INC HCP-A 7710 BROOKLYN BLVD (26394) BROOKLYN PARK, MN 55443 PHONE: 763/566-6066 FAX: MS. SHEREE STEELE 763/566-5577 Lim-Liab HOPES RESIDENCE HCP-F HWSAL 6449 EDGEMONT BOULEVARD NORTH (26435) BROOKLYN PARK, MN 55428 PHONE: 763/208-4590 FAX: 763/208-4590 MS. ESTHER HAMMER HWS NProf HUNTINGON PLACE APARTMENTS 5809 73RD AVENUE NORTH (25401) BROOKLYN PARK, MN 55429 PHONE: 612/204-8319 FAX: /- MS. STACEY RAY HWS NProf HUNTINGTON PLACE APARTMENTS 5817 73RD AVENUE NORTH (26424) BROOKLYN PARK, MN 55429 PHONE: 612/204-8319 FAX: MS. STACEY RAY /- HWS NProf HUNTINGTON PLACE APARTMENTS 5849 73RD AVENUE NORTH (26191) BROOKLYN PARK, MN 55429 PHONE: 612/787-4016 FAX: MS. STACEY RAY /- HWS NProf HUNTINGTON PLACE APARTMENTS 5801 73RD AVENUE NORTH (26190) BROOKLYN PARK, MN 55429 PHONE: 612/204-8319 FAX: MS. STACEY RAY /- HWSAL Lim-Liab IANS HOUSE 7825 MODERN ROAD (28485) BROOKLYN PARK, MN 55428 PHONE: 952/848-0935 FAX: 952/920-6929 MR. EVARISTUS ESIMADU Minnesota Department of Health Division of Compliance Monitoring Page 115 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab INDEPENDENT CARE AGENCY Certification HENNEPIN Registration (Cont.)* -------------------------- HCP-A 7420 UNITY AVENUE N STE 307 (26927) BROOKLYN PARK, MN 55443 PHONE: 763/560-8887 FAX: MS. BINDU HELENA BORBOR 763/560-9097 Corp INTEGRATED NURSING & HLTH SVCS HCP-A HHA 7100 NORTHLAND CIRCLE STE 119A (20847) BROOKLYN PARK, MN 55428 PHONE: 763/504-4559 FAX: MR. ROY BELFREY 763/504-1185 HWSAL-O Lim-Liab IYKES HOUSE 4400 82ND AVENUE NORTH (25157) BROOKLYN PARK, MN 55443 PHONE: 952/848-0935 FAX: MS. RACHEL LORENZEN 952/920-6929 NProf J A WEDUM HOSPICE RESIDENCE Hospice 9350 NOBLE PARKWAY (26907) BROOKLYN PARK, MN 55443 PHONE: 763/236-2950 FAX: MS. GAYLE MATTSON /- Ind JENNIFER BENSON HCP-C 9137 WOODHALL CROSSING (03845) BROOKLYN PARK, MN 55443 PHONE: 612/978-5662 FAX: /- MS. JENNIFER BENSON Lim-Liab JIRANI CARE HCP-A 7714 BROOKLYN BLVD STE 200C (26936) BROOKLYN PARK, MN 55443 PHONE: 763/560-0080 FAX: 763/560-0090 MR. WONLE QUEEGLAY HWS NProf KENSINGTON 8312 ZANE AVENUE (27611) BROOKLYN PARK, MN 55443 PHONE: 612/325-2500 FAX: MS. KRISTEN BROWN /- HWS NProf KENSINGTON PLACE 8316 ZANE AVENUE NORTH (27372) BROOKLYN PARK, MN 55443 PHONE: 612/325-2500 FAX: 612/521-4606 MS. KRISTEN BROWN HWS NProf KENSINGTON PLACE 8300 8300 ZANE AVENUE NORTH (25346) BROOKLYN PARK, MN 55443 PHONE: 612/325-2500 FAX: 763/561-1033 MS. LAUREL MILLER HWS NProf KENSINGTON PLACE 8308 8308 ZANE AVENUE NORTH (25347) BROOKLYN PARK, MN 55443 PHONE: 763/461-5016 FAX: 763/561-0033 MS. SUE WATLOV PHILLIPS Minnesota Department of Health Division of Compliance Monitoring Page 116 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS NProf KENSINGTON PLACE APARTMENTS Registration 8304 ZANE AVENUE NORTH (27870) BROOKLYN PARK, MN 55443 PHONE: 612/325-2500 FAX: MS. KRISTEN BROWN 612/521-4606 HWSAL Lim-Liab KRISTEN'S HOUSE 8125 FRANCE AVENUE NORTH (26577) BROOKLYN PARK, MN 55443 PHONE: 952/848-0935 FAX: MR. EVARISTUS EJIMADU 952/920-6929 Corp METRO NURSING CARE INC HCP-A 8217 HAMPSHIRE CT N (26444) BROOKLYN PARK, MN 55445 PHONE: 651/210-2708 FAX: MR. SAMUEL ADOFO 763/273-4065 HWS NProf MOONRAKER APARTMENTS 5509 BROOKDALE DRIVE NORTH (27369) BROOKLYN PARK, MN 55443 PHONE: 612/204-8319 FAX: MS. STACEY RAY /- HWS NProf MOONRAKER APARTMENTS 5505 BROOKDALE DRIVE NORTH (27463) BROOKLYN PARK, MN 55443 PHONE: 763/560-5228 FAX: 763/560-5279 MS. KRISTEN BROWN HWS NProf MOONRAKER APARTMENTS 5513 BROOKDALE DRIVE NORTH (27368) BROOKLYN PARK, MN 55443 PHONE: 612/204-8319 FAX: /- MS. STACEY RAY HWS NProf MOONRAKER APARTMENTS 5501 BROOKDALE DRIVE NORTH (27519) BROOKLYN PARK, MN 55443 PHONE: 763/560-5228 FAX: MS. STACEY RAY 763/560-5279 HWS NProf MOONRAKER APARTMENTS 5517 BROOKDALE DRIVE NORTH (25462) BROOKLYN PARK, MN 55443 PHONE: 612/204-8319 FAX: MS. STACEY RAY /- Corp NEW MILLENNIUM HEALTH CARE HCP-A 6264 SUNRISE TERRACE (21361) BROOKLYN PARK, MN 55428 PHONE: 763/780-9933 FAX: 763/795-8878 MR. JOHN ARNDT HWSAL-O Corp NEW MILLENNIUM HEALTH CARE 6264 SUNRISE TERRACE (26479) BROOKLYN PARK, MN 55428 PHONE: 763/780-9933 FAX: 763/795-8878 MR. JOHN ARNDT Minnesota Department of Health Division of Compliance Monitoring Page 117 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab NGORR HOME CARE LLC Certification HENNEPIN Registration (Cont.)* -------------------------- HCP-A 8248 HAMPSHIRE AVENUE NORTH (28037) BROOKLYN PARK, MN 55445 PHONE: 763/424-6459 FAX: Corp ON TIME HEALTH SERVICES MS. NYAHA JOME 763/424-6459 HCP-A 7936 LAD PKWY (27938) BROOKLYN PARK, MN 55443 PHONE: 763/377-2441 FAX: MS. KRISTI MOORE 763/566-3315 HWSAL-O Corp PINNACLE SERVICES INC 8617 EDINBROOK CROSSING (27023) BROOKLYN PARK, MN 55443 PHONE: 763/657-0612 FAX: Lim-Liab PLATEAU HEALTHCARE LLC MS. JILL CIHLAR 763/657-0156 HCP-A 1817 LARAMIE TRAIL (27310) BROOKLYN PARK, MN 55444 PHONE: 763/444-1361 FAX: MR. FAISALE BOUKARI 763/444-1358 HWS-O Lim-Liab PLATEAU HEALTHCARE LLC 1817 LARAMIE TRAIL (27797) BROOKLYN PARK, MN 55444 PHONE: 763/444-1361 FAX: 763/444-1358 MR. FAISALE BOUKARI HWS NProf POINT OF AMERICA 7845 NORTH YATES AVENUE (28078) BROOKLYN PARK, MN 55443 PHONE: 763/561-4122 FAX: 763/561-4123 Corp PRECIOUS HOME CARE SERVICES IN MS. STACEY RAY HCP-A 8333 SHERIDAN AVE NO (23939) BROOKLYN PARK, MN 55444 PHONE: 763/516-5717 FAX: MRS. AGNES GARLEY-ALABI 763/315-2944 HWS Corp PRONTO HEALTH SERVICES INC 5702 84 1/2 AVENUE NORTH (26212) BROOKLYN PARK, MN 55443 PHONE: 651/380-0304 FAX: Corp REM HENNEPIN INC (LAKELAND) MS. KEHINDE OJO 651/385-5563 SLFB-6 ICFMR-6 6816 65TH AVE NORTH (01026) BROOKLYN PARK, MN 55428 PHONE: 952/591-0797 FAX: Lim-Liab RESOLVE HOME HEALTHCARE LLC MS. CONNIE MENNE 952/591-0050 HCP-A 8248 LOGAN AVENUE NORTH (25042) BROOKLYN PARK, MN 55444 PHONE: 763/219-7125 FAX: 763/503-9109 MR. JUNIOR BISMARCK Minnesota Department of Health Division of Compliance Monitoring Page 118 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS NProf RIDGEBROOK Registration 5860 73RD AVENUE NORTH (27861) BROOKLYN PARK, MN 55429 PHONE: 763/566-1577 FAX: MS. KRISTEN BROWN /- HWSAL Lim-Liab RYLEE'S HOUSE 7517 69TH AVENUE NORTH (26323) BROOKLYN PARK, MN 55428 PHONE: 952/848-0935 FAX: MS. RACHEL LORENZEN 952/920-6929 Lim-Liab SEFERTT HEALTH CARE HCP-A 10031 HONEYSUCKLE AVENUE NORTH (28096) BROOKLYN PARK, MN 55443 PHONE: 763/657-7537 FAX: MS. LOIS AMUSAN 763/657-7537 NProf SHINGLE CREEK OPTION SLFB-15 ICFMR-15 5624 73RD AVENUE NORTH (01430) BROOKLYN PARK, MN 55429 PHONE: 763/560-5330 FAX: MR. MICHAEL AMON 763/566-8429 NProf ST THERESE AT OXBOW LAKE HCP-A HWSAL 5200 OAK GROVE PARKWAY (24510) BROOKLYN PARK, MN 55443 PHONE: 763/493-7000 FAX: 763/493-7001 MS. DINAH MARTIN HWSAL Corp THE CARING SISTERS HOME CARE S 3901 BURQUEST LANE NORTH (24802) BROOKLYN PARK, MN 55429 PHONE: 763/537-7963 FAX: 952/545-0489 Corp THERE'S NO PLACE LIKE HOME HEA MR. OLALEYE BECKLEY HCP-A 9906 SCOTT AVENUE NORTH (27194) BROOKLYN PARK, MN 55443 PHONE: 612/203-9501 FAX: MR. CHRISTOPHER MEHL /- HWSAL Corp TOLAD INCORPORATED 516 BROOKDALE DRIVE (26250) BROOKLYN PARK, MN 55444 PHONE: 763/566-1744 FAX: MR. EMMANUEL COKER 763/566-1755 HWSAL Corp TRADITION AT BROOKLYN PARK 8500 TESSMAN FARM ROAD (25879) BROOKLYN PARK, MN 55428 PHONE: 763/416-7740 FAX: MR. FRANCIS LANG 763/416-7745 Lim-Liab TUTS BLESSING LLC HCP-A 8617 EDINBROOK CROSSING #104 (26478) BROOKLYN PARK, MN 55443 PHONE: 850/207-5322 FAX: /- MS. MYRA MAGANA Minnesota Department of Health Division of Compliance Monitoring Page 119 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWSAL Corp ULTIMATE HOME CARE Registration 7601 ZANE AVENUE NORTH (27152) BROOKLYN PARK, MN 55428 PHONE: 763/560-9890 FAX: Corp ULTIMATE HOME CARE MR. ALFRED APATA 763/560-9891 HCP-A 7040 LAKELAND AVE N #208B (26575) BROOKLYN PARK, MN 55428 PHONE: 763/560-9890 FAX: Corp ULTIMATE HOME CARE MR. ALFRED APATA 763/560-9891 HCP-F 7040 LAKELAND AVENUE N #208 (27151) BROOKLYN PARK, MN 55428 PHONE: 763/560-9890 FAX: Lim-Liab ULTRA CARE HOME HEALTH LLC MR. ALFRED APATA 763/560-9891 HCP-A 7714 BROOKLYN BVD STE 108 (26488) BROOKLYN PARK, MN 55443 PHONE: 763/355-5408 FAX: Corp UNIVERSAL PEDIATRIC SERV INC MS. DOROTHY OKECH 763/355-5470 HCP-A HHA 7101 NORTHLAND CIRCLE STE 205 (02856) BROOKLYN PARK, MN 55428 PHONE: 763/535-9690 FAX: 763/535-9688 Corp VIZION ONE INC MS. SANDY LYNCH HCP-A 6001 78TH AVENUE NORTH STE 206 (27916) BROOKLYN PARK, MN 55443 PHONE: 763/205-5257 FAX: 763/205-5899 MS. GWENDOLINE WANKA HWSAL Corp WATERFORD MANOR 6288 LOUISIANA COURT NORTH (21662) BROOKLYN PARK, MN 55428 PHONE: 763/537-3382 FAX: MR. FRANCIS LANG 763/536-7679 HWS NProf WEST BROADWAY APARTMENTS 6626 WEST BROADWAY AVENUE (27464) BROOKLYN PARK, MN 55428 PHONE: 612/325-2500 FAX: MS. KRISTEN BROWN 612/810-7899 HWS NProf WEST BROADWAY APARTMENTS 6624 W BROADWAY (27590) BROOKLYN PARK, MN 55428 PHONE: 612/325-2500 FAX: Corp CHAMPLIN SHORES ASSIST LIVING MS. KRISTEN BROWN 612/521-4606 HCP-F HWSAL 119 EAST HAYDEN LAKE ROAD (22095) CHAMPLIN, MN 55316 PHONE: 763/712-0118 FAX: 763/712-0278 MS. RENAE WITSCHEN Minnesota Department of Health Division of Compliance Monitoring Page 120 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab CHAMPLIN SUITE LIVING CARE LLC Certification HENNEPIN Registration (Cont.)* -------------------------- HCP-F HWSAL 11469 JEFFERSON COURT NORTH (25047) CHAMPLIN, MN 55316 PHONE: 763/433-2585 FAX: MS. AUDREY MCELWAIN 763/235-3620 ESRD Corp FRESENIUS MED CARE OF CHAMPLIN 12339 CHAMPLIN DRIVE (23606) CHAMPLIN, MN 55316 PHONE: 763/421-1032 FAX: Lim-Liab LE MIEUX NURSING SERVICES LLC MR. JOHN MARIETTI 763/421-1054 HCP-A 11116 ZEALAND AVE N STE 204 (27185) CHAMPLIN, MN 55316 PHONE: 763/746-0845 FAX: Corp SOLACE HOME HEALTH & HOSPICE C MS. CHINYELUM OBI-RAPU 763/746-0846 HCP-A 11209 COMMERCE DRIVE NORTH (28095) CHAMPLIN, MN 55316 PHONE: 763/323-6564 FAX: MR. MOHAMMED HUSSAIN 763/323-1027 HWSAL-O NProf WIGGINS APARTMENTS 206 EAST HAYDEN LAKE ROAD (24485) CHAMPLIN, MN 55316 PHONE: 651/639-9799 FAX: 651/639-3699 Lim-Liab AMAZING LOVE ASSISTED LIVING MR. MICHAEL BJERKESETT HCP-F 5724 BASS LAKE ROAD (24012) CRYSTAL, MN 55429 PHONE: 763/561-3434 FAX: 763/561-3636 MR. YEMMY OSONOWO HWSAL Lim-Liab AMAZING LOVE ASSISTED LIVING 5724 BASS LAKE ROAD (24780) CRYSTAL, MN 55429 PHONE: 763/561-3434 FAX: Lim-Liab AMAZING LOVE HEALTHCARE SERVIC MR. YEMMY OSONOWO 763/561-3636 HCP-A 5724 BASS LAKE ROAD (23687) CRYSTAL, MN 55429 PHONE: 763/561-3434 FAX: NProf CIP CITY LIGHTS MR. YEMMY OSONOWO 763/561-3636 SLFB-6 ICFMR-6 4303 COLORADO AVENUE (01625) CRYSTAL, MN 55422 PHONE: 763/535-8282 FAX: Corp CLINIQUE HEALTH CARE SERVICES MR. JOHN EVERETT 763/535-8282 HCP-F 6000 BASS LAKE ROAD SUITE 204 (28365) CRYSTAL, MN 55429 PHONE: 763/503-4757 FAX: 763/549-9952 MS. NNENNA ORJINTA Minnesota Department of Health Division of Compliance Monitoring Page 121 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp CLINIQUE HEALTHCARE SERVICES I Certification HENNEPIN Registration (Cont.)* -------------------------- HCP-A 6000 BASS LAKE ROAD (25544) CRYSTAL, MN 55429 PHONE: 763/503-4757 FAX: Corp COMFORTCARE NURSING SERVICES I MR. ANTHONY ORJINTA 763/549-9952 HCP-A 7000 57TH AVENUE NORTH (23068) CRYSTAL, MN 55428 PHONE: 763/536-3050 FAX: COMPASSIONATE CARE NETWORK LLC MS. SAYBA NGAIMA PHILIPS 763/536-7919 Lim-Liab HCP-A 6000 BASS LAKE ROAD #107 (27223) CRYSTAL, MN 55429 PHONE: 763/535-5661 FAX: NProf CRYSTAL CARE CENTER MR. ROBERT EDDY 763/535-5664 NH-130 SNF-NF-130 3245 VERA CRUZ AVENUE NORTH (00255) CRYSTAL, MN 55422 PHONE: 763/535-6260 FAX: MR. FRANK ROBINSON 763/535-7772 HWS Corp GRANDMA'S PLACE INC 5900 WEST BROADWAY AVE (26760) CRYSTAL, MN 55428 PHONE: 763/560-2500 FAX: 763/561-0159 MR. RON HENDRICKSON HWS-O Corp GRANDMA'S PLACE INC 5920 WEST BROADWAY AVE (26761) CRYSTAL, MN 55428 PHONE: 763/560-2500 FAX: 763/561-0159 MR. RON HENDRICKSON HWS-O Corp GRANDMA'S PLACE INC 5910 WEST BROADWAY AVENUE #5 (26763) CRYSTAL, MN 55428 PHONE: 763/560-2500 FAX: Corp GREAT LAKES HOME CARE INC MR. RON HENDRICKSON 763/561-0159 HCP-A 6000 BASS LAKE ROAD #104 (28067) CRYSTAL, MN 55429 PHONE: 763/537-6651 FAX: MS. MARY-KIM EGERE 763/535-4288 HWSAL Corp HEATHERS MANOR 3000 NORTH DOUGLAS DRIVE (21623) CRYSTAL, MN 55422 PHONE: 763/544-6777 FAX: Corp LACROIX FAMILY RESIDENCES INC MR. FRANCIS LANG 763/513-5859 HCP-F HWS 3712 ADAIR AVENUE NORTH (24136) CRYSTAL, MN 55422 PHONE: 763/531-2156 FAX: 763/531-2158 MR. GIUSEPPE MENDOLIA Minnesota Department of Health Division of Compliance Monitoring Page 122 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS NProf LWV LODGE Registration 3200 - 3204 DOUGLAS DRIVE N (28410) CRYSTAL, MN 55422 PHONE: 763/479-3555 FAX: MR. DUANE REYNOLDS 763/479-7130 HWS NProf LWV LODGE III 3255-3257 DOUGLAS DRIVE NORTH (27080) CRYSTAL, MN 55422 PHONE: 763/479-3555 FAX: MS. MARY ROEHL 763/479-7130 Lim-Liab MAGIC HEALTHCARE PARTNERS HCP-A 6000 BASS LAKE ROAD (27687) CRYSTAL, MN 55429 PHONE: 952/807-1685 FAX: MR. JONES BITANGE 612/435-1378 Corp MORGATHA HOME HEALTH CARE INC HCP-A 6000 BASS LAKE ROAD STE 111 (27943) CRYSTAL, MN 55429 PHONE: 763/533-0022 FAX: MR. GARDOE CEPHAS 763/533-0044 NProf OUTREACH RICE CREEK SLFB-4 ICFMR-4 5402 FAIRVIEW AVENUE NORTH (01562) CRYSTAL, MN 55429 PHONE: 763/537-4550 FAX: 763/537-2262 Corp REM HENNEPIN INC CRYSTAL MS. MARY TJOSVOLD SLFB-6 ICFMR-6 3400 QUAIL AVE NORTH (26137) CRYSTAL, MN 55422 PHONE: 952/591-0797 FAX: 952/591-0050 Corp SIMAC PROFESSIONAL BUSINESS SE MS. CONNIE MENNE HCP-A 6000 BASS LAKE ROAD (26217) CRYSTAL, MN 55429 PHONE: 763/205-3401 FAX: MS. SIMONE ACOLATSE 763/204-3142 Corp TRUE LIFE HOME CARE SERVICES I HCP-A 6000 BASS LAKE ROAD SUITE 216 (25542) CRYSTAL, MN 55429 PHONE: 952/356-5542 FAX: MS. COLLEEN JAMES 763/219-4401 HWS-O Corp TRUE LIFE HOME CARE SERVICES I 6000 BASS LAKE RD STE 216 (25600) CRYSTAL, MN 55442 PHONE: 952/356-5542 FAX: MS. COLLEEN JAMES /- Corp UNITED CARE GROUP INC HCP-A 5501 LAKELAND AVENUE (26573) CRYSTAL, MN 55429 PHONE: 763/535-6451 FAX: 763/535-2756 MS. ROBIN DUNLAP Minnesota Department of Health Division of Compliance Monitoring Page 123 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp YOUR WAY HOME CARE INC Certification HENNEPIN Registration (Cont.)* -------------------------- HCP-A 7000 57TH AVE N STE 102 (24406) CRYSTAL, MN 55428 PHONE: 763/533-3135 FAX: MS. JUANITA SWAIN 763/533-3178 Ind HEARTLAND ASSISTED LIVING HCP-F HWSAL 13811 114TH AVENUE NORTH (26051) DAYTON, MN 55369 PHONE: 763/425-7671 FAX: MS. LARISA KHARCHENKO 763/425-7671 Corp LAKE MINNETONKA CARE CENTER NH-21 SNF-NF-21 20395 SUMMERVILLE ROAD (00234) DEEPHAVEN, MN 55331 PHONE: 952/474-4474 FAX: MR. JEFF SPRINKEL 952/474-4272 HWSAL Lim-Liab SOJOURN SUITES LLC - JAMES AVE 18900 JAMES AVENUE (26002) DEEPHAVEN, MN 55391 PHONE: 952/473-1810 FAX: MR. THOMAS PENN 952/400-3542 Corp AGING JOYFULLY HCP-F HWS 13050 PIONEER TRAIL (24640) EDEN PRAIRIE, MN 55347 PHONE: 952/942-2510 FAX: 952/942-7415 MS. JOY FOLIE Home Mgmt Lim-Liab APPARENTCARE LLC 6995 MARIANN DRIVE (26681) EDEN PRAIRIE, MN 55346 PHONE: 952/937-0055 FAX: /- MS. TRACY KEIBLER Corp BECKYS PLACE INC HCP-F 6391 DUCK LAKE ROAD (28367) EDEN PRAIRIE, MN 55346 PHONE: 612/719-2915 FAX: MS. BECKY DORR 952/442-2207 HWSAL Corp BECKYS PLACE INC 6391 DUCK LAKE ROAD (28368) EDEN PRAIRIE, MN 55387 PHONE: 612/719-2915 FAX: MS. BECKY DORR /- NProf CASTLE RIDGE CARE CENTER NH-60 SNF-NF-60 625 PRAIRIE CENTER DR (00973) EDEN PRAIRIE, MN 55344 PHONE: 952/942-2100 FAX: 952/942-2101 MR. JIM ANGELL HWSAL NProf CASTLE RIDGE MANOR HOUSE 615 PRAIRIE CENTER DRIVE (21183) EDEN PRAIRIE, MN 55344 PHONE: 952/942-2100 FAX: 952/942-2101 MR. JIM ANGELL Minnesota Department of Health Division of Compliance Monitoring Page 124 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp CLARE BRIDGE OF EDEN PRAIRIE Certification HENNEPIN Registration (Cont.)* -------------------------- HCP-F HWSAL 7513 MITCHELL ROAD (20538) EDEN PRAIRIE, MN 55344 PHONE: 952/906-3800 FAX: MS. SUSAN BEAM 952/906-3888 Lim-Liab CUSTOMCARE HOME HEALTH CARE LL HCP-A 6400 FLYING CLOUD DRIVE # 225 (23437) EDEN PRAIRIE, MN 55344 PHONE: 952/914-0269 FAX: MR. CALVIN MILLER 952/960-0239 ESRD Corp EDEN PRAIRIE DIALYSIS 14852 SCENIC HGT RD BLDG B 255 (22098) EDEN PRAIRIE, MN 55344 PHONE: 952/934-2411 FAX: MS. TAMMY MESA 952/934-3851 NProf ELIM SHORES HCP-F HWSAL 7900 TIMBER LAKE DRIVE (24915) EDEN PRAIRIE, MN 55347 PHONE: 952/934-3005 FAX: MS. CATHERINE SEIFERT 952/934-0730 Corp HEBRON HOMES INCORPORATED HCP-A 17354 HANSON COURT (27830) EDEN PRAIRIE, MN 55347 PHONE: 678/462-4753 FAX: 952/906-0145 MR. OLUKAYODE AWOSIKA HWS Lim-Liab LUANN'S PLACE LLC 6660 W 175TH AVENUE (25323) EDEN PRAIRIE, MN 55346 PHONE: 952/334-9272 FAX: 952/974-0936 Lim-Liab LUANNS PLACE LLC MS. LUANN FEHN HCP-F 6660 WEST 175TH AVENUE (26470) EDEN PRAIRIE, MN 55346 PHONE: 952/334-9272 FAX: MS. LUANN FEHN 952/974-0936 NProf MANOR HOUSE HCP-F 625 PRAIRIE CENTER DRIVE (27962) EDEN PRAIRIE, MN 55344 PHONE: 952/942-2100 FAX: MS. NATALIE MORLAND 952/942-2101 Corp MILLINUM HEALTH SERVICES INC HCP-A 8555 CARDIFF LANE (28098) EDEN PRAIRIE, MN 55344 PHONE: 952/212-7446 FAX: MR. ASAD SHANE /- State MSOCS EDEN PRAIRIE CHATHAM WAY SLFB-6 ICFMR-6 6204 CHATHAM WAY (01657) EDEN PRAIRIE, MN 55346 PHONE: 952/934-0995 FAX: 952/934-1145 MR. ROGER DENEEN Minnesota Department of Health Division of Compliance Monitoring Page 125 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** State MSOCS EDEN PRAIRIE DELL ROAD Certification HENNEPIN Registration (Cont.)* -------------------------- SLFB-6 ICFMR-6 7198 DELL ROAD (01656) EDEN PRAIRIE, MN 55346 PHONE: 952/934-0390 FAX: MR. ROGER DENEEN 952/934-0480 Corp ON-BELAY EDEN PRAIRIE SLFA-16 7170 BRYANT LAKE DRIVE (26333) EDEN PRAIRIE, MN 55344 PHONE: 952/224-5873 FAX: MS. MELISSA BROGGER 952/224-5876 Lim-Liab PIONEER ESTATES OF EDEN PRAR HCP-F HWSAL 8751 PRESERVE BOULEVARD (20455) EDEN PRAIRIE, MN 55344 PHONE: 952/914-0934 FAX: MR. RICHARD ROWLAND 952/943-2563 Corp PRIDE INSTITUTE SLFA-42 14400 MARTIN DRIVE (01405) EDEN PRAIRIE, MN 55344 PHONE: 952/934-7554 FAX: MR. RICK PLISZKA 952/934-8764 HWSAL Lim-Liab SUMMIT PLACE ASSISTED LIVING 8501 FLYING CLOUD DRIVE (21963) EDEN PRAIRIE, MN 55344 PHONE: 952/995-1000 FAX: 952/995-1288 MS. CAROL HANSEN HWS Lim-Liab SUMMIT PLACE INDEPENDENT LIVIN 8505 FLYING CLOUD DRIVE (21962) EDEN PRAIRIE, MN 55344 PHONE: 952/995-1000 FAX: 952/995-1288 Lim-Liab THE COLONY MRS. CAROL HANSEN HCP-F HWSAL 431 PRAIRIE CENTER DRIVE (21648) EDEN PRAIRIE, MN 55344 PHONE: 952/828-9500 FAX: MS. ANITA CORNELIUS 952/828-8195 Lim-Liab THE COLONY AT EDEN PRAIRIE NH-25 SNF-NF-25 431 PRAIRIE CENTER DRIVE (21549) EDEN PRAIRIE, MN 55344 PHONE: 952/828-9500 FAX: MS. ANITA CORNELIUS 952/828-8195 HWS Corp WOODLAND HILLS RESIDENTIAL CAR 6832 BARBERRY LANE (26337) EDEN PRAIRIE, MN 55346 PHONE: 952/681-7791 FAX: MS. TRACY HUSON 952/933-3754 Corp 24/7 HEALTHCARE PRO HCP-A 4515 SEDUM LANE (27691) EDINA, MN 55435 PHONE: 763/923-4708 FAX: /- MR. M-FALILOU DIABY Minnesota Department of Health Division of Compliance Monitoring Page 126 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab AGEWELL HOME CARE Certification HENNEPIN Registration (Cont.)* -------------------------- HCP-A 4940 VIKING DRIVE SUITE 545 (23501) EDINA, MN 55435 PHONE: 952/345-8770 FAX: MS. CAROLE OVERBY 952/345-8771 Lim-Liab ALLEVIACARE LLC HCP-A 5780 LINCOLN DRIVE STE 250 (26286) EDINA, MN 55436 PHONE: 952/303-4725 FAX: MS. JENELLE BOECKERMANN 952/303-4802 Corp ALLIED PROFESSIONALS INC HCP-A 3209 WEST 76TH STREET (02925) EDINA, MN 55435 PHONE: 952/832-5101 FAX: MS. PAT MULLIGAN 952/832-0656 Corp BRYANT SQUARE HOME HEALTH CARE HCP-F 5000 NOB HILL DRIVE (26429) EDINA, MN 55439 PHONE: 612/823-7286 FAX: MR. RANDAL HAGEMEYER 612/823-0518 Corp CAPERNAUM PEDIATRIC THERAPY IN HCP-A 7250 FRANCE AVENUE SOUTH (02847) EDINA, MN 55435 PHONE: 612/922-2009 FAX: 612/927-6201 Lim-Liab CAREMINDERS HOME CARE MS. BONNA OLSON HCP-A 7200 FRANCE AVE S STE 331 (27606) EDINA, MN 55435 PHONE: 952/500-8750 FAX: 952/303-5329 Part CENTENNIAL LAKES SURGERY CTR MS. TANYA DECKER Outpt Surg Amb Surg 7373 FRANCE AVENUE SOUTH, #404 (00379) EDINA, MN 55435 PHONE: 952/832-9360 FAX: MR. ROB SIMMONS 952/832-5079 HWS NProf CHALLET 4415 PARKLAWN COURT (26893) EDINA, MN 55435 PHONE: 952/941-2100 FAX: MS. KRISTEN BROWN /- Lim-Liab COMFORCARE SENIOR SERVICES HCP-A 4445 WEST 77TH STREET STE 122 (27186) EDINA, MN 55435 PHONE: 952/960-2266 FAX: Lim-Liab CROSSTOWN SURGERY CENTER LLC MR. SAMUEL MITCHELL 952/960-2267 Outpt Surg Amb Surg 4010 WEST 65TH STREET (27380) EDINA, MN 55435 PHONE: 952/456-7300 FAX: 952/456-7399 MR. AARON JOHNSON Minnesota Department of Health Division of Compliance Monitoring Page 127 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Ind DONNA MARIE NORGREN Certification HENNEPIN Registration (Cont.)* -------------------------- HCP-C 5808 CHOWEN AVENUE SOUTH (02907) EDINA, MN 55410 PHONE: 952/920-4984 FAX: MS. DONNA NORGREN /- NProf EDINA CARE & REHAB CENTER NH-125 SNF-NF-125 6200 XERXES AVENUE SOUTH (00740) EDINA, MN 55423 PHONE: 952/925-8500 FAX: MR. TODD CARSEN 952/925-8502 ESRD Corp EDINA DIALYSIS CENTER 6550 YORK AVENUE SO SUITE 100 (02534) EDINA, MN 55435 PHONE: 952/925-9339 FAX: MS. CAROLINE DAVIS /- HWSAL Lim-Liab EDINA PARK PLAZA 3330 EDINBOROUGH WAY (20381) EDINA, MN 55435 PHONE: 952/831-4084 FAX: Lim-Liab EDINA PARK PLAZA MS. SARAH TERRY 952/831-7171 HCP-F 3330 EDINBOROUGH WAY (26486) EDINA, MN 55435 PHONE: 952/831-4084 FAX: 952/831-7171 MS. LYNETTE KELECICH Corp EDINA SURGERY CENTER 6525 FRANCE AVE SO SUITE 300A (22138) EDINA, MN 55435 PHONE: 952/925-1765 FAX: 952/925-1579 MS. ORLA MCCLURE HWSAL Corp ENGLISH ROSE SUITES 6201 LOCH MOOR DRIVE (25762) EDINA, MN 55439 PHONE: 952/983-0412 FAX: MS. JAYNE CLAIRMONT 952/253-2548 HWSAL Corp ENGLISH ROSE SUITES 609 BLAKE ROAD SOUTH (20426) EDINA, MN 55343 PHONE: 952/983-0412 FAX: MS. JAYNE CLAIRMONT 952/253-2548 HWSAL Corp ENGLISH ROSE SUITES BRAEMAR HI 6941 VALLEY VIEW ROAD (21145) EDINA, MN 55439 PHONE: 952/983-0412 FAX: NProf FAIRVIEW SOUTHDALE HOSPITAL MS. JAYNE CLAIRMONT 952/253-2548 BASS-45 HOSP-390 6401 FRANCE AVENUE SOUTH (00201) EDINA, MN 55435 PHONE: 952/924-5100 FAX: 952/924-5382 MR. BRADLEY BEARD HOSP-372 PPS-P-18 Minnesota Department of Health Division of Compliance Monitoring Page 128 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------Home Mgmt Lim-Liab GIDEONS ARMY Registration 5401 LONDONDERRY ROAD (27521) EDINA, MN 55436 PHONE: 952/938-3769 FAX: MS. DAWN SIEMON /- Corp HERITAGE OF EDINA INC HCP-F HWSAL 3420 3434 3450 & 3456 HERITAGE (20233) EDINA, MN 55435 PHONE: 952/920-9145 FAX: MS. MARIA FIELD 952/915-5411 Lim-Liab HOME CARE RELIANCE LLC HCP-A 7200 FRANCE AVE S STE 236 (28199) EDINA, MN 55435 PHONE: 877/977-7359 FAX: MS. CAROL SCHRADER 612/305-8358 Home Mgmt Corp HOME INSTEAD SENIOR CARE 4445 WEST 77TH ST STE 121 (03782) EDINA, MN 55435 PHONE: 952/929-5695 FAX: MS. CHER FRANTA 952/929-2032 Corp HOME INSTEAD SENIOR CARE HCP-B 4445 WEST 77TH ST STE 121 (26849) EDINA, MN 55425 PHONE: 952/929-5695 FAX: 952/929-2032 Corp HOME INSTEAD SENIOR CARE MS. CHER KUECHLE HCP-A 4445 WEST 77TH STREET #121 (23590) EDINA, MN 55435 PHONE: 952/929-5695 FAX: 952/929-2032 Corp HOMEWATCH CAREGIVERS MRS. CHER KUECHLE HCP-A 7240 METRO BOULEVARD (28357) EDINA, MN 55439 PHONE: 952/657-5210 FAX: MS. DEBORAH NELSON 952/500-8791 Lim-Liab HSC HOMECARE AGENCY HCP-A 7104 OHMS LANE (26187) EDINA, MN 55439 PHONE: 952/224-7055 FAX: MS. PATIENCE KANKEH 952/224-7053 Lim-Liab INNOVATIVE SENIOR CARE HH HCP-A HHA 3330 EDINBOROUGH WAY (25254) EDINA, MN 55435 PHONE: 952/933-1362 FAX: 952/933-2781 MS. KATHLEEN AHERN Out Pt Out St Out Ot Lim-Liab INNOVATIVE SR CARE EDINA PK PL 3330 EDINBOROUGH WAY (25405) EDINA, MN 55435 PHONE: 952/831-4024 FAX: /- MR. ERIN BERNIER Minnesota Department of Health Division of Compliance Monitoring Page 129 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------CORF Lim-Liab INTEGRATED MEDICAL REHAB Registration 7250 FRANCE AVE SO 111 (21260) EDINA, MN 55435 PHONE: 952/832-8991 FAX: MR. DOUGLAS HANSON 952/837-8992 Lim-Liab MCCANNEL EYE SURGERY Outpt Surg Amb Surg 3124 WEST 70TH STREET (20911) EDINA, MN 55435 PHONE: 952/848-8338 FAX: MS. KAREN BARTELT 952/848-8302 Corp MINNESOTA SURGERY CENTER LTD Outpt Surg Amb Surg 7400 FRANCE AVENUE SUITE 102 (23072) EDINA, MN 55435 PHONE: 952/835-8307 FAX: MS. MARSHA THIEL /- NProf N C LITTLE MEMORIAL HOSPICE RES-HSPICE-8 Hospice 7019 LYNMAR LANE (03721) EDINA, MN 55435 PHONE: 952/928-9394 FAX: MR. ROBERT SOLHEIM 952/925-3578 Lim-Liab ORTHOPAEDIC INSTITUTE SURG CTR Outpt Surg Amb Surg 8100 W 78TH STREET SUITE 220 (22057) EDINA, MN 55439 PHONE: 952/914-8418 FAX: 952/914-8401 MS. NANCY PAGE HWSAL Lim-Liab PARKINSONS SPECIALTY CARE 6804 DOVRE DRIVE (21434) EDINA, MN 55436 PHONE: 763/550-1774 FAX: 952/788-9900 Lim-Liab PERSONALIZED LIVING EDINA PARK MS. MARCIA DOONER HCP-A 3330 EDINBOROUGH WAY (28030) EDINA, MN 55435 PHONE: 952/831-4084 FAX: MS. JAYNE RHODES 952/831-7171 Corp PROMISE CARE INC HCP-A 6545 FRANCE AVE S SUITE 501 (24821) EDINA, MN 55435 PHONE: 952/942-5676 FAX: MRS. CAROLINE LINDEMAN /- Corp REM HENNEPIN INC WILLIAM SLFB-6 ICFMR-6 5100 WILLIAM AVENUE (01149) EDINA, MN 55436 PHONE: 952/591-0707 FAX: 952/591-0050 MS. CONNIE MENNE HWS Part SOUTH HAVEN SENIOR COMMUNITY 3400 PARKLAWN AVENUE (25247) EDINA, MN 55435 PHONE: 952/831-3372 FAX: /- MS. ELIZABETH HAGSTROM Minnesota Department of Health Division of Compliance Monitoring Page 130 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWSAL Corp SUNRISE ASSISTED LIVING OF EDI Registration 7128 FRANCE AVENUE SOUTH (21787) EDINA, MN 55435 PHONE: 952/927-8000 FAX: MRS. JUDY MCMEEKIN 952/927-6400 Lim-Liab SUNRISE ASSISTED LIVING/EDINA HCP-F 7128 FRANCE AVENUE SOUTH (20814) EDINA, MN 55435 PHONE: 952/927-8000 FAX: MS. JUDY MCMEEKIN 952/927-6400 Ind SUNSHINE CARE INC HCP-C 3420 HERITAGE DR STE 212 (25019) EDINA, MN 55435 PHONE: 952/715-0295 FAX: MS. LAURA REED /- HWS Lim-Liab VERNON TERRACE 5250 VERNON AVENUE SOUTH (28216) EDINA, MN 55436 PHONE: 952/925-5615 FAX: NProf WALKER ELDER SUITES MR. TODD METOXEN 952/925-1702 HCP-F 7400 YORK AVENUE SOUTH (23693) EDINA, MN 55435 PHONE: 952/835-8351 FAX: 952/835-7453 MR. MARK ANDERSON HWSAL NProf WALKER ELDER SUITES 7400 YORK AVENUE SOUTH (20444) EDINA, MN 55435 PHONE: 952/835-8351 FAX: 952/835-7453 Lim-Liab YORK GARDENS MR. JOSEPH SIGNORE HCP-F HWSAL 3451 PARKLAWN (27800) EDINA, MN 55435 PHONE: 952/898-6700 FAX: Lim-Liab ZEL SKIN & LASER SPECIALISTS MS. JILL SCHEWE 952/898-6701 Outpt Surg Amb Surg 4100 WEST 50TH STREET (24276) EDINA, MN 55424 PHONE: 952/929-8888 FAX: Lim-Liab ENCORE SENIOR HOME CARE MS. SUSAN OLSON 952/929-9669 HCP-A 350 HIGHWAY 7 SUITE 233 (26469) EXCELSIOR, MN 55331 PHONE: 952/426-1371 FAX: Lim-Liab GOLDEN LIVINGCENTER EXCELSIOR MR. TYLER STEVENS 952/405-6671 NH-56 SNF-NF-56 515 DIVISION STREET (00988) EXCELSIOR, MN 55331 PHONE: 952/474-5488 FAX: 952/474-3864 MS. MARY HARREL Minnesota Department of Health Division of Compliance Monitoring Page 131 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS NProf LAKEVIEW VILLA Registration 723 WATER STREET (27871) EXCELSIOR, MN 55331 PHONE: 952/546-1415 FAX: MS. KRISTEN BROWN 952/546-1435 HWS-O NProf 1400 NORTH DOUGLAS DRIVE 1400 NORTH DOUGLAS DRIVE (25564) GOLDEN VALLEY, MN 55410 PHONE: 612/204-8319 FAX: MS. STACEY RAY /- HWS NProf 1450 DOUGLAS DRIVE 1450 DOUGLAS DRIVE (25399) GOLDEN VALLEY, MN 55422 PHONE: 612/204-8319 FAX: MS. STACEY RAY /- HWS NProf 1500 DOUGLAS DRIVE NORTH 1500 DOUGLAS DRIVE NORTH (27890) GOLDEN VALLEY, MN 55422 PHONE: 763/545-8516 FAX: MS. KRISTEN BROWN 612/259-8154 HWS NProf 1600 DOUGLAS DRIVE NORTH 1600 DOUGLAS DRIVE NORTH (28045) GOLDEN VALLEY, MN 55422 PHONE: 763/545-8516 FAX: 612/259-8154 Lim-Liab ALLIANCE HHC & NURSING SERVICE MS. KRISTEN BROWN HCP-A HHA 1405 NORTH LILAC DRIVE STE 218 (25403) GOLDEN VALLEY, MN 55422 PHONE: 763/208-6295 FAX: 763/355-5459 Lim-Liab ARMS OF COMPASSION HOME CARE S MRS. BAO CHA HCP-A 1405 LILAC DRIVE N SUITE 131 (25955) GOLDEN VALLEY, MN 55422 PHONE: 763/208-6642 FAX: MRS. KECIA HAYSLETT 763/208-0656 HWSAL Corp BLAISDELL PLACE 6738 PLYMOUTH AVENUE NORTH (25862) GOLDEN VALLEY, MN 55427 PHONE: 763/533-6822 FAX: MR. OLALEYE BECKLEY 763/545-0489 Corp CARE PLUS HOME HEALTH AGENCY HCP-A HHA 4050 OLSON MEM HWY SUITE 165 (02387) GOLDEN VALLEY, MN 55422 PHONE: 763/529-5520 FAX: MR. GAETANO (GUY) PASQUALINI 763/529-5521 Ind CATHARINE A NISAM HCP-C 5605 LINDSAY STREET (27037) GOLDEN VALLEY, MN 55422 PHONE: 763/546-7305 FAX: /- MS. CATHERINE NISAM Minnesota Department of Health Division of Compliance Monitoring Page 132 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab CIRCLE DOWN ASSISTED LIVING Certification HENNEPIN Registration (Cont.)* -------------------------- HCP-F 5230 CIRCLE DOWN (28373) GOLDEN VALLEY, MN 55416 PHONE: 952/374-4710 FAX: MS. LYNN DEICHERT /- HWSAL-O Lim-Liab CIRCLE DOWN ASSISTED LIVING 5230 CIRCLE DOWN (28372) GOLDEN VALLEY, MN 55416 PHONE: 952/374-4710 FAX: MS. LYNN DEICHERT /- NProf COLONIAL ACRES HEALTH CARE CTR NH-108 SNF-43 5825 ST CROIX AVENUE (00183) GOLDEN VALLEY, MN 55422 PHONE: 763/544-1555 FAX: MS. PAULA SPARLING 763/544-8032 NProf COURAGE CENTER HCP-A HWS-O 3915 GOLDEN VALLEY ROAD (03148) GOLDEN VALLEY, MN 55422 PHONE: 763/588-0811 FAX: MS. DEB SALHUS /- CORF NProf COURAGE CENTER OUTPATIENT SRVS 3915 GOLDEN VALLEY RD (02089) GOLDEN VALLEY, MN 55422 PHONE: 763/588-0811 FAX: /- MS. DEB SALHUS NProf COURAGE RESIDENCE NH-40 SNF-NF-40 3915 GOLDEN VALLEY ROAD (00751) GOLDEN VALLEY, MN 55422 PHONE: 763/520-0306 FAX: 763/520-0388 NProf COVENANTCARE AT HOME MS. MARTHA SWENSON HCP-A HHA 5800 ST CROIX AVENUE (20228) GOLDEN VALLEY, MN 55422 PHONE: 763/732-1400 FAX: MS. CAROLYN SCHMIDT 763/732-1403 Corp DAISY HOME CARE INC HCP-A 1710 DOUGLAS DRIVE #260 D (27547) GOLDEN VALLEY, MN 55422 PHONE: 763/253-4400 FAX: MR. CHARLES OMATO 763/253-4401 ESRD Corp FMC DIALYSIS SERVCES GOLDN VAL 6155 DULUTH STREET (02790) GOLDEN VALLEY, MN 55422 PHONE: 763/544-0298 FAX: MR. RICHARD PHIDD /- Lim-Liab GENTLE TOUCH HLTH INITIATV LLC HCP-F 5000 GLENWOOD AVENUE SUITE 150 (24214) GOLDEN VALLEY, MN 55422 PHONE: 952/933-3333 FAX: 952/933-8776 MS. SUSAN SNYDER Minnesota Department of Health Division of Compliance Monitoring Page 133 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp GOLDEN VALLEY REHAB AND CC Certification HENNEPIN Registration (Cont.)* -------------------------- NH-175 SNF-NF-175 7505 COUNTRY CLUB DRIVE (00112) GOLDEN VALLEY, MN 55427 PHONE: 763/545-0416 FAX: MS. KRISTINA GUINDON 763/545-1715 HWSAL Corp GOLDEN VALLEY RESIDENCE 1940 MAJOR LANE (24264) GOLDEN VALLEY, MN 55422 PHONE: 763/521-4839 FAX: NProf GOOD SAM SOCIETY - HOME CARE MS. MARCIA HAMILTON-DOONER 763/559-9155 HCP-A HHA 5821 DULUTH STREET SUITE 115 (23131) GOLDEN VALLEY, MN 55422 PHONE: 763/546-9020 FAX: NProf HAMMER LEE MS. JENNIFER SANCHEZ 763/546-9023 SLFB-6 ICFMR-6 2825 LEE AVENUE NORTH (01607) GOLDEN VALLEY, MN 55422 PHONE: 952/473-1261 FAX: Corp HAWTHORNE HOUSE MS. LISBETH ARMSTRON 952/473-8629 HCP-F HWSAL 6931 COUNTRY CLUB DRIVE (23104) GOLDEN VALLEY, MN 55427 PHONE: 612/385-9200 FAX: 763/205-1950 MS. SUSANTHI FERNANDO HWSAL Corp HAWTHORNE HOUSE INC 501 KELLY DRIVE (24099) GOLDEN VALLEY, MN 55427 PHONE: 612/385-9200 FAX: 763/205-1950 MS. SUSANTHI FERNANDO HWSAL Corp HAWTHORNE HOUSE INC 6909 COUNTRY CLUB DRIVE (23667) GOLDEN VALLEY, MN 55427 PHONE: 621/385-9200 FAX: MS. SUSANTHI FERNANDO 763/205-1950 HWSAL Corp HAWTHORNE HOUSE INC 1100 IDAHO AVENUE (23395) GOLDEN VALLEY, MN 55427 PHONE: 612/385-9200 FAX: MS. SUSANTHI FERNANDO 763/205-1950 HWSAL Corp HAWTHORNE HOUSE INC 541 KELLY DRIVE (24326) GOLDEN VALLEY, MN 55427 PHONE: 612/385-9200 FAX: Church HERITAGE HOUSE ASSISTED LIVING MS. SUSANTHI FERNANDO 763/205-1950 HCP-F HWSAL 5825 ST CROIX AVENUE (20177) GOLDEN VALLEY, MN 55422 PHONE: 763/732-1434 FAX: 763/513-6644 MR. GARY GARDEEN Minnesota Department of Health Division of Compliance Monitoring Page 134 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp HOME CARE PROFESSIONALS INC Certification HENNEPIN Registration (Cont.)* -------------------------- HCP-A 800 BOONE AVE N STE 110 (25703) GOLDEN VALLEY, MN 55427 PHONE: 763/417-8888 FAX: MR. DAVID OLSHANSKY 763/417-9999 Corp HOME HEALTH CARE INC HCP-A HHA 800 BOONE AVE N SUITE 200 (03337) GOLDEN VALLEY, MN 55427 PHONE: 763/417-8888 FAX: MR. DAVID OLSHANSKY 763/417-9999 Corp IN HOME PERSONAL CARE HOME HEA HCP-A 8441 WAYZATA BLVD STE 130 (03278) GOLDEN VALLEY, MN 55426 PHONE: 763/546-1000 FAX: MRS. ERIN GOVRIK 763/546-1018 NProf INTERNATIONAL HEALTH CARE SERV HCP-A HHA 5801 DULUTH STREET SUITE 310 (02915) GOLDEN VALLEY, MN 55422 PHONE: 763/591-1959 FAX: MR. MICHAEL TOBAK 763/591-0105 Corp LA BONNE VIE INC HCP-F HWSAL 6443 WESTCHESTER CIRCLE (21395) GOLDEN VALLEY, MN 55427 PHONE: 612/735-8480 FAX: /- MS. TAMARA JUNTILLA Corp LEGACY HOME HEALTH CARE INC HCP-A 800 BOONE AVENUE N STE 195 (26206) GOLDEN VALLEY, MN 55427 PHONE: 763/593-1000 FAX: 763/417-9999 Part MERIDIAN SERVICES INC MR. SASHA AKSELROD HCP-A 9400 GOLDEN VALLEY RD (24883) GOLDEN VALLEY, MN 55427 PHONE: 763/450-5000 FAX: MS. CHERYL VENNERSTROM 763/450-5005 Lim-Liab MINNEAPOLIS EYE CENTER Outpt Surg Amb Surg 8401 GOLDEN VALLEY RD STE 340 (20729) GOLDEN VALLEY, MN 55427 PHONE: 763/383-4150 FAX: MS. JENNIFER CORNELIS 763/383-4151 Out Pt NProf MPLS CLINIC OF NEUROLOGY 4225 GOLDEN VALLEY RD (02163) GOLDEN VALLEY, MN 55422 PHONE: 763/588-0661 FAX: MS. MARILYN BALFANZ /- Corp MTAI GLADSON SLFA-6 ICFMR-6 7350 RIDGEWAY ROAD (01564) GOLDEN VALLEY, MN 55427 PHONE: 763/542-8340 FAX: 763/542-3285 MS. MARY TJOSVOLD Minnesota Department of Health Division of Compliance Monitoring Page 135 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp MTAI SAND CREEK Certification HENNEPIN Registration (Cont.)* -------------------------- SLFA-5 ICFMR-5 5555 WESTBROOK ROAD (01561) GOLDEN VALLEY, MN 55427 PHONE: 763/545-7086 FAX: MS. MARY TJOSVOLD 763/545-4251 HWSAL Corp NEW DIRECTIONS RESIDENTIAL SER 4740 GOLDEN VALLEY ROAD (28249) GOLDEN VALLEY, MN 55427 PHONE: 612/545-5240 FAX: Corp OASIS MS. TRENA ALLBRITTON 612/545-5241 SLFA-16 6739 GOLDEN VALLEY ROAD (01516) GOLDEN VALLEY, MN 55427 PHONE: 763/544-1447 FAX: MR. W. DAVID MORIN 763/544-0833 HWSAL-O Corp PINNACLE SERVICES - BRAIRWOOD 2580 QUAIL AVE N (26847) GOLDEN VALLEY, MN 55442 PHONE: 763/205-5249 FAX: Lim-Liab REGENCY HOSPITAL OF MPLS LLC MS. JILL CIHLAR 763/205-6978 HOSP-92 HOSP-92 1300 HIDDEN LAKES PARKWAY (00158) GOLDEN VALLEY, MN 55422 PHONE: 763/302-8301 FAX: 763/521-3805 Corp REM HENNEPIN INC (REGENT) MR. JOHN ALLEN SLFA-6 ICFMR-6 3239 REGENT AVENUE NORTH (01274) GOLDEN VALLEY, MN 55422 PHONE: 952/591-0797 FAX: 952/591-0050 NProf RESTART INC MS. CONNIE MENNE HCP-F 700 MEADOW LANE N (25379) GOLDEN VALLEY, MN 55422 PHONE: 763/588-7633 FAX: Corp SUMMIT HOME HEALTH CARE INC MR. JAMES JASPER 763/588-7613 HCP-A HHA 800 BOONE AVENUE N (23370) GOLDEN VALLEY, MN 55427 PHONE: 763/417-8888 FAX: MR. MARK OLSHANSKY 763/417-9999 HWSAL Part SUNRISE OF GOLDEN VALLEY 4950 OLSON MEMORIAL HIGHWAY (23982) GOLDEN VALLEY, MN 55422 PHONE: 763/522-4000 FAX: Corp SUNRISE OF GOLDEN VALLEY MS. LISA CURRY 763/522-6170 HCP-F 4950 OLSON MEMORIAL HIGHWAY (23981) GOLDEN VALLEY, MN 55422 PHONE: 763/522-4000 FAX: 763/522-6170 MS. LISA CURRY Minnesota Department of Health Division of Compliance Monitoring Page 136 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab SYNERGY HOMECARE MINNEAPOLIS Certification HENNEPIN Registration (Cont.)* -------------------------- HCP-B 7575 GOLDEN VALLEY RD #270 (26505) GOLDEN VALLEY, MN 55427 PHONE: 763/746-2899 FAX: MR. MITCHELL BLOOM 763/746-2898 Corp THE CARING SISTERS HOME CARE HCP-F HWSAL-O 6166 OLSON MEMORIAL HWY (20820) GOLDEN VALLEY, MN 55416 PHONE: 763/545-0490 FAX: MS. EDITH MMUMA 763/545-0489 Corp THE CARING SISTERS HOME CARE S HCP-A 6166 OLSON MEMORIAL HWY (24617) GOLDEN VALLEY, MN 55422 PHONE: 612/990-2592 FAX: MS. EDITH NGANG 952/426-4691 HWSAL Corp THE CARING SISTERS HOME CARE S 1375 OAK GROVE CIRCLE (21932) GOLDEN VALLEY, MN 554224415 PHONE: 763/208-1508 FAX: MR. OLALEYE BECKLEY 763/545-0489 Corp UNIVERSAL HOME HLTH CARE AGENC HCP-A HHA 4725 OLSON MEMORIAL HIGHWAY (23846) GOLDEN VALLEY, MN 55422 PHONE: 612/822-2937 FAX: 612/822-2998 Corp WARM HANDS KIND HEARTS INC MS. SHUKRI ADAN HCP-A 1940 MAJOR DR (03650) GOLDEN VALLEY, MN 55422 PHONE: 763/550-1774 FAX: 763/559-9155 Lim-Liab WATCHFUL CAREGIVERS MS. MARCIA DOONER HCP-A 1405 NORTH LILAC DR (25398) GOLDEN VALLEY, MN 55422 PHONE: 763/535-4326 FAX: MRS. WOKIE HARMON-BELLA 763/537-9352 Lim-Liab WATCHFUL CAREGIVERS HCP-F HWS 1405 NORTH LILAC DR STE 123 (25630) GOLDEN VALLEY, MN 55422 PHONE: 763/535-4326 FAX: 763/537-9352 MS. WOKIE HARMON-BELLA HWS Church WOODSIDE TERRACE ASSISTED LIVI 5800 ST CROIX AVENUE (21715) GOLDEN VALLEY, MN 55422 PHONE: 763/732-1434 FAX: 763/513-6644 MR. GARY GARDEEN HWS NProf 1220 CAMBRIDGE ST 2211 CLINTON AVENUE SOUTH (27124) HOPKINS, MN 55343 PHONE: 612/290-6680 FAX: /- MS. KRISTEN BROWN Minnesota Department of Health Division of Compliance Monitoring Page 137 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------Home Mgmt NProf ACCRA CARE INC Registration 1011 1ST STREET SOUTH #315 (26055) HOPKINS, MN 55343 PHONE: 952/935-3515 FAX: MS. KATHY HENDRICKSON 952/935-7112 HWSAL NProf AUGUSTANA CHAPEL VIEW APARTMEN 605 MINNETONKA MILLS ROAD (20026) HOPKINS, MN 55343 PHONE: 952/697-3877 FAX: MS. KIM PEDERSON 952/938-4092 NProf AUGUSTANA CHAPEL VIEW CARE CTR NH-118 SNF-NF-118 615 MINNETONKA MILLS ROAD (00727) HOPKINS, MN 55343 PHONE: 952/938-2761 FAX: MS. MARY ROY 952/938-4092 Out Pt Out St Out Ot NProf AUGUSTANA THERAPY SERVICES 34 TENTH AVENUE SOUTH (21755) HOPKINS, MN 55343 PHONE: 612/333-1551 FAX: MS. KRISTY HOEPNER 612/338-5326 HWS NProf BRENTWOOD PARK APARTMENTS 619 ROBINWOOD LANE (28010) HOPKINS, MN 55305 PHONE: 612/204-8319 FAX: /- MS. STACEY RAY HWS NProf BRENTWOOD PARK APARTMENTS 1301 HIGHWAY 7 (27698) HOPKINS, MN 55305 PHONE: 952/938-5163 FAX: 952/935-8501 Lim-Liab GOLDEN LIVINGCENTER HOPKINS MS. KRISTEN BROWN NH-138 SNF-NF-138 725 SECOND AVENUE SOUTH (00872) HOPKINS, MN 55343 PHONE: 952/935-3338 FAX: Corp GRACE HOMES - OAK RIDGE HOUSE MS. BROOKE VIEGUT 952/935-0032 HCP-F 601 OAK RIDGE ROAD (26529) HOPKINS, MN 55305 PHONE: 952/303-4305 FAX: 952/303-4121 MS. BETHANY BUCHANAN HWS Corp GRACE HOMES - OAK RIDGE HOUSE 601 OAK RIDGE ROAD (28023) HOPKINS, MN 55305 PHONE: 952/303-4305 FAX: 952/303-4121 MS. BETHANY BUCHANAN HWS NProf HIAWATHA COURT 1125 HIAWATHA AVENUE (28362) HOPKINS, MN 55343 PHONE: 952/922-2500 FAX: 952/922-5400 MS. KRISTEN BROWN Minnesota Department of Health Division of Compliance Monitoring Page 138 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab HOME CARE WITH A HEART LLC Certification HENNEPIN Registration (Cont.)* -------------------------- HCP-C 739 2ND STREET NORTHEAST (27237) HOPKINS, MN 55343 PHONE: 952/922-3094 FAX: MS. BONNIE LEVY /- HWS NProf KNOLLWOOD APARTMENTS 1210 CAMBRIDGE STREET (27052) HOPKINS, MN 55343 PHONE: 612/204-8319 FAX: MS. STACEY RAY /- Home Mgmt Ind MIRIAM PARADA SERBER & DAVID W 707 11TH AVENUE SOUTH APT 6 (27948) HOPKINS, MN 55343 PHONE: 612/208-6428 FAX: MS. MIRIAM SERBER /- Ind RENEE M GAU HCP-C 5601 SMETANA DRIVE UNIT 415 (24242) HOPKINS, MN 55305 PHONE: 952/929-0189 FAX: MS. RENEE GAU /- ONProf THE TERRACES ASSISTED LIVING L HCP-F 901 FELTL COURT (26013) HOPKINS, MN 55343 PHONE: 952/960-5550 FAX: 952/960-8776 MS. SUSAN SNYDER HWSAL ONProf THE TERRACES OF ST THERESE SW 901 FELTL COURT (22139) HOPKINS, MN 55343 PHONE: 952/933-3333 FAX: 952/933-8776 MS. SUSAN SNYDER HWS NProf THE TOWERS OF ST THERESE SW 1011 FELTL COURT (20217) HOPKINS, MN 55343 PHONE: 952/933-3333 FAX: MS. SUSAN SNYDER 952/933-8776 Home Mgmt Lim-Liab VISITING ANGELS 175 JACKSON AVE NO SUITE 429 (21674) HOPKINS, MN 55343 PHONE: 952/935-0789 FAX: Lim-Liab VISITING ANGELS MS. ROCHELLE LANDY 952/937-0778 HCP-A 175 JACKSON AVENUE N (21675) HOPKINS, MN 55343 PHONE: 952/935-0789 FAX: Lim-Liab LONG LAKE ASSISTED LIVING LLC MRS. ROCHELLE LANDY 952/935-0778 HCP-F HWSAL 345 NORTH BROWN ROAD (23172) LONG LAKE, MN 55356 PHONE: 952/473-2527 FAX: 952/404-9701 MR. KEITH UNGER Minnesota Department of Health Division of Compliance Monitoring Page 139 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf ORONO WOODLANDS Certification HENNEPIN Registration (Cont.)* -------------------------- SLFB-6 ICFMR-6 2100 6TH AVENUE NORTH BOX 507 (01366) LONG LAKE, MN 55356 PHONE: 952/473-0852 FAX: MS. GLADYS MC CLENDON 952/473-8428 Corp GOLDEN ELDERLY CARE SUITES HCP-A 8055 FERN LANE (27328) LORETTO, MN 55357 PHONE: 612/201-0604 FAX: MR. MIKEL STRANDLUND 763/496-1403 Lim-Liab ARBOR LAKES SENIOR LIVING HCP-F HWS 12001 80TH AVENUE NORTH (27690) MAPLE GROVE, MN 55369 PHONE: 763/478-2141 FAX: MR. BEN WELNA 651/454-4783 Ind BETTY R JOHNSON HCP-C 6593 IVES LANE NORTH (28538) MAPLE GROVE, MN 55369 PHONE: 612/987-1488 FAX: MS. BETTY JOHSON /- Corp BRIGHTSTAR HEALTHCARE OF WAYZA HCP-A 7365 KIRKWOOD COURT N #345 (27083) MAPLE GROVE, MN 55369 PHONE: 612/486-4400 FAX: 612/486-4010 Corp CBD HOME CARE INC MR. RICK GASS HCP-A 10650 COUNTY RD 81 STE 207 (25274) MAPLE GROVE, MN 55369 PHONE: 763/493-5067 FAX: 763/493-5138 NProf DCI 75TH MR. EMEKA LINUS OKAFOR SLFB-6 ICFMR-6 14850 75TH AVENUE NORTH (01401) MAPLE GROVE, MN 55369 PHONE: 763/420-5848 FAX: MR. ROGER MEYER 763/420-6121 XRAY Corp DMS IMAGING INC 11600 96TH AVENUE NORTH (03276) MAPLE GROVE, MN 55369 PHONE: 763/315-1947 FAX: MR. GAUTE SANDBERG /- Lim-Liab DUNGARVIN YOUGAL SLFA-6 10203 94TH AVENUE (00245) MAPLE GROVE, MN 55369 PHONE: 651/699-6050 FAX: Corp EDELWEISS HOME HEALTH CARE MS. NATALIE GRAF 651/699-7265 HCP-A 7014 EAST FISH LAKE ROAD (21804) MAPLE GROVE, MN 55311 PHONE: 763/315-1050 FAX: 763/315-1090 MS. LORI MUELLER Minnesota Department of Health Division of Compliance Monitoring Page 140 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab FAIRVIEW MAPLE GROVE SURG CTR Certification HENNEPIN Registration (Cont.)* -------------------------- Outpt Surg Amb Surg 14500 99TH AVENUE NORTH (24347) MAPLE GROVE, MN 55369 PHONE: 763/898-1400 FAX: MS. HEATHER SHERIDAN 763/898-1439 ESRD Corp FRESENIUS MED CARE MAPLE GROVE 7365 KIRKWOOD COURT SUITE 135 (26279) MAPLE GROVE, MN 55369 PHONE: 763/494-0316 FAX: MR. JOHN MARIETTI 763/494-4201 HWSAL Corp GOLDEN POND 12270 87TH AVENUE NORTH (27329) MAPLE GROVE, MN 55369 PHONE: 612/201-0604 FAX: MS. NANCY STRANDLUND 952/405-2281 Lim-Liab GOODLIFE HOMECARE LLC HCP-A 7206 YUMA LANE NORTH (28254) MAPLE GROVE, MN 55311 PHONE: 763/420-6280 FAX: MR. MICHAEL GRAMS 763/273-4768 Home Mgmt Lim-Liab GRAPHIC RELIEF LLC 15207 94TH PLACE NORTH (27281) MAPLE GROVE, MN 55369 PHONE: 612/518-3754 FAX: /- MR. ANTHONY RUBASCH NProf HAMMER LAWNDALE SLFB-6 ICFMR-6 6688 LAWNDALE LANE NORTH (01686) MAPLE GROVE, MN 55311 PHONE: 952/473-1261 FAX: 952/473-8629 MS. LISBETH ARMSTRONG Home Mgmt Corp HOME INSTEAD SENIOR CARE 7213 FORESTVIEW LANE (21090) MAPLE GROVE, MN 55369 PHONE: 763/544-5988 FAX: Corp HOME INSTEAD SENIOR CARE #230 MR. JOHN STUCK 763/544-6012 HCP-B 7213 FORESTVIEW LANE (23593) MAPLE GROVE, MN 55369 PHONE: 763/544-5988 FAX: Corp HOME INSTEAD SENIOR CARE OF MI MR. JOHN STUCK 763/544-6012 HCP-A 7213 FORESTVIEW LANE NORTH (27897) MAPLE GROVE, MN 55369 PHONE: 763/544-5988 FAX: NProf HOMEWARD BOUND INC MR. JOHN STUCK 763/544-5988 HCP-A 6452 BLUEBIRD CIRCLE (24265) MAPLE GROVE, MN 55369 PHONE: 763/746-4850 FAX: 763/746-4850 MR. DONALD PRIEBE Minnesota Department of Health Division of Compliance Monitoring Page 141 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf HOMEWARD BOUND MAPLE GROVE Certification HENNEPIN Registration (Cont.)* -------------------------- SLFB-6 ICFMR-6 6769 EAST FISH LAKE ROAD (01585) MAPLE GROVE, MN 55369 PHONE: 763/525-3186 FAX: MR. DONALD PRIEBE 763/525-8048 Lim-Liab JOYCE HEALTH CARE LLC HCP-A 9220 ZANZIBAR LANE NORTH (28031) MAPLE GROVE, MN 55311 PHONE: 763/412-2476 FAX: MR. CHARLES CARR MANNING /- Corp KIDSPEAK LTD HCP-A 6936 GARLAND LANE NORTH (21545) MAPLE GROVE, MN 55311 PHONE: 763/416-9313 FAX: MS. AMY CHOUINARD 763/416-4530 ESRD Corp MAPLE GROVE DIALYSIS UNIT 15655 GROVE CIRCLE NORTH (25897) MAPLE GROVE, MN 55369 PHONE: 763/420-2804 FAX: NProf MAPLE GROVE HOSPITAL MS. CYNTHIA BARNHOUSE 763/420-7162 BASS-17 HOSP-90 HOSP-90 9875 HOSPITAL DRIVE (25593) MAPLE GROVE, MN 55369 PHONE: 763/581-1000 FAX: 763/581-1555 Corp MINNESOTA SURGERY CENTER LTD MR. ANDY COCHRANE Outpt Surg Amb Surg 9550 UPLAND AVENUE NORTH (25675) MAPLE GROVE, MN 55369 PHONE: 763/420-2981 FAX: 763/537-6666 Lim-Liab NORTH MEMORIAL AMBU SURG MS. MARSHA THIEL Outpt Surg Amb Surg 9855 HOSPITAL DRIVE SUITE 175 (25447) MAPLE GROVE, MN 55369 PHONE: 763/581-9000 FAX: Lim-Liab PRAIRIECARE MS. TRACI ALBERS 763/581-9001 PSY-HOSP-20 12915 63RD AVENUE NORTH (27048) MAPLE GROVE, MN 55369 PHONE: 763/383-5800 FAX: 952/826-8360 DR. JOEL OBERSTAR HWSAL Corp ROSE ARBOR 16500 92ND AVENUE NORTH (21387) MAPLE GROVE, MN 55311 PHONE: 763/493-5910 FAX: 763/420-5728 MS. SHELLEY MCDONALD HWS Corp SOLBAKKEN INC 18255 83RD AVENUE NORTH (27896) MAPLE GROVE, MN 55311 PHONE: 612/280-3394 FAX: 952/943-2941 MS. MARY ADAMS Minnesota Department of Health Division of Compliance Monitoring Page 142 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp WILDFLOWER LODGE Certification HENNEPIN Registration (Cont.)* -------------------------- HCP-F HWSAL 9251 BLACK OAKS LANE NORTH (21386) MAPLE GROVE, MN 55311 PHONE: 763/493-5910 FAX: MS. SHELLEY MCDONALD 763/420-5728 Corp ANGEL HEARTS HOME CARE HCP-B 8625 BURR OAK LANE (28145) MAPLE PLAIN, MN 55359 PHONE: 763/972-8223 FAX: MS. LISA KRUEGER /- NProf BRYANT HOUSE HCP-F HWS 5515 BRYANT STREET (20106) MAPLE PLAIN, MN 55359 PHONE: 763/479-3655 FAX: MR. ROBERT MUELLER 763/479-3656 NProf HAVEN HOMES OF MAPLE PLAIN NH-67 SNF-NF-67 1520 WYMAN AVENUE PO BOX 369 (00950) MAPLE PLAIN, MN 55359 PHONE: 763/479-1993 FAX: MR. ROBERT MUELLER 763/479-3656 Lim-Liab YOUR OWN NURSE LLC HCP-A 3155 LAKESHORE AVENUE (26621) MAPLE PLAIN, MN 55359 PHONE: 612/306-5071 FAX: /- MS. CAROL SHIELDS Corp NEW DIRECTIONS RESIDENTIAL SER HCP-A 3457 FREMONT AVENUE NORTH (28248) MINEAPOLIS, MN 55412 PHONE: 612/545-5240 FAX: 612/545-5241 MS. TRENA ALLBRITTON HWS NProf 1005 15TH AVENUE SE 1005 15TH AVENUE SE (25056) MINNEAPOLIS, MN 55414 PHONE: 612/204-8319 FAX: 612/375-9105 MS. STACEY RAY HWS NProf 1068 18TH AVENUE SE 1068 18TH AVENUE SE (27593) MINNEAPOLIS, MN 55414 PHONE: 651/280-7302 FAX: MS. KRISTEN BROWN /- HWS NProf 1070 18TH AVENUE SOUTHEAST 1070 18TH AVENUE SOUTHEAST (26990) MINNEAPOLIS, MN 55412 PHONE: 651/558-8459 FAX: MS. KRISTEN BROWN /- HWS NProf 1093 27TH AVENUE SE 1093 27TH AVENUE SE (27616) MINNEAPOLIS, MN 55414 PHONE: 651/280-7302 FAX: /- MS. KRISTEN BROWN Minnesota Department of Health Division of Compliance Monitoring Page 143 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS NProf 1115 MAIN STREET Registration 1115 MAIN STREET NE (27135) MINNEAPOLIS, MN 55413 PHONE: 763/571-3300 FAX: 763/571-4209 MS. KRISTEN BROWN HWS NProf 1220 CLASSIC CITY APARTMENTS 1220 MAIN STREET (28472) MINNEAPOLIS, MN 55413 PHONE: 612/623-1888 FAX: 612/623-1869 MS. KRISTEN BROWN HWS NProf 1220 MORGAN AVENUE NORTH 1220 MORGAN AVENUE NORTH (26888) MINNEAPOLIS, MN 55411 PHONE: 612/381-9399 FAX: MS. KRISTEN BROWN /- HWS NProf 1345 VINCENT AVENUE NORTH 1345 VINCENT AVENUE NORTH (28118) MINNEAPOLIS, MN 55413 PHONE: 612/227-6858 FAX: MS. KRISTEN BROWN /- HWS NProf 137 EAST 17TH STREET 137 EAST 17TH STREET (27472) MINNEAPOLIS, MN 55404 PHONE: 612/374-3339 FAX: 612/374-3340 MS. KRISTEN BROWN HWS NProf 1405 SE COMO AVENUE 1405 SE COMO AVENUE (24937) MINNEAPOLIS, MN 55414 PHONE: 612/204-8319 FAX: 612/375-9105 MS. STACEY RAY HWS NProf 1409 SE COMO AVENUE 1409 SE COMO AVENUE (24936) MINNEAPOLIS, MN 55414 PHONE: 612/204-8319 FAX: 612/375-9105 MS. STACEY RAY HWS NProf 15 WEST 22ND STREET LLC 15 WEST 22ND STREET (25022) MINNEAPOLIS, MN 55404 PHONE: 612/922-7925 FAX: 612/722-0884 MS. KRISTEN BROWN HWS NProf 1500 PARK AVENUE 1500 PARK AVENUE (28176) MINNEAPOLIS, MN 55404 PHONE: 612/886-2079 FAX: MS. KRISTEN BROWN /- HWS NProf 1522 LASALLE AVENUE SOUTH 1522 LASALLE AVENUE SOUTH (28159) MINNEAPOLIS, MN 55403 PHONE: 612/374-7339 FAX: /- MS. STACEY RAY Minnesota Department of Health Division of Compliance Monitoring Page 144 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS NProf 1600 PARK AVENUE SOUTH Registration 1600 PARK AVENUE SOUTH (28531) MINNEAPOLIS, MN 55404 PHONE: 612/219-0234 FAX: 952/849-9410 MS. KRISTEN BROWN HWS NProf 1621 TAYLOR STREET NE 1621 TAYLOR STREET NE (25339) MINNEAPOLIS, MN 55413 PHONE: 612/204-8319 FAX: MS. STACEY RAY /- HWS NProf 1701 COMO AVENUE SOUTHEAST 1701 COMO AVENUE SOUTHEAST (26954) MINNEAPOLIS, MN 55414 PHONE: 651/558-8459 FAX: MS. KRISTEN BROWN /- HWS NProf 1703 COMO AVENUE SOUTHEAST 1703 COMO AVENUE SOUTHEAST (26953) MINNEAPOLIS, MN 55414 PHONE: 651/558-8459 FAX: MS. KRISTEN BROWN /- HWS NProf 1720 19TH AVENUE NE 1720 19TH AVENUE NE (27860) MINNEAPOLIS, MN 55408 PHONE: 612/508-8700 FAX: 612/823-0685 MS. KRISTEN BROWN HWS NProf 1807 TALMAGE AVENUE SOUTHEAST 1807 TALMAGE AVENUE SOUTHEAST (28363) MINNEAPOLIS, MN 55414 PHONE: 612/801-8629 FAX: /- MS. KRISTEN BROWN HWS NProf 1810 3RD AVENUE SOUTH #101 1810 3RD AVENUE SOUTH #101 (28156) MINNEAPOLIS, MN 55404 PHONE: 612/774-3339 FAX: MS. STACEY RAY /- HWS NProf 1815 1ST AVENUE S LLC 1815 1ST AVENUE S (25023) MINNEAPOLIS, MN 55403 PHONE: 612/922-7925 FAX: 612/722-0884 MS. KRISTEN BROWN HWS NProf 1820 STEVENS AVENUE 1820 STEVENS AVENUE (27017) MINNEAPOLIS, MN 55404 PHONE: 612/870-8500 FAX: MS. KRISTEN BROWN /- HWS NProf 1828 COLUMBUS AVENUE 1828 COLUMBUS AVENUE (26078) MINNEAPOLIS, MN 55404 PHONE: 612/377-5650 FAX: 612/522-3479 MS. KRISTEN BROWN Minnesota Department of Health Division of Compliance Monitoring Page 145 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS NProf 1911 11TH AVENUE SOUTH Registration 1911 11TH AVENUE SOUTH (25747) MINNEAPOLIS, MN 55404 PHONE: 612/204-8319 FAX: MS. STACEY RAY /- HWS NProf 1912 STEVENS AVENUE SOUTH 1912 STEVENS AVENUE SOUTH (28532) MINNEAPOLIS, MN 55403 PHONE: 952/297-6626 FAX: 952/884-9851 MS. KRISTEN BROWN HWS NProf 1913 STEVENS AVENUE SOUTH #3 1913 STEVENS AVENUE SOUTH #3 (27869) MINNEAPOLIS, MN 55403 PHONE: 612/870-1870 FAX: MS. KRISTEN BROWN /- HWS NProf 1915 2ND AVENUE SOUTH 1915 2ND AVENUE SOUTH (27390) MINNEAPOLIS, MN 55403 PHONE: 612/204-8319 FAX: MS. STACEY RAY /- HWS NProf 1924 EMERSON AVENUE SOUTH 1924 EMERSON AVENUE SOUTH (25797) MINNEAPOLIS, MN 55403 PHONE: 612/204-8319 FAX: /- MS. STACEY RAY HWS NProf 1924 STEVENS AVENUE SOUTH 1924 STEVENS AVENUE SOUTH (27863) MINNEAPOLIS, MN 55403 PHONE: 612/870-1870 FAX: /- MS. KRISTEN BROWN HWS NProf 1929 3RD AVENUE SOUTH 1929 3RD AVENUE SOUTH (27710) MINNEAPOLIS, MN 55404 PHONE: 612/204-8319 FAX: MS. STACEY RAY /- HWS NProf 2010 RUSSELL AVENUE NORTH 2010 RUSSELL AVENUE NORTH (28218) MINNEAPOLIS, MN 55411 PHONE: 612/269-5744 FAX: MS. KRISTEN BROWN /- HWS NProf 2014 3RD AVENUE SOUTH 2014 3RD AVENUE SOUTH (26889) MINNEAPOLIS, MN 55404 PHONE: 612/922-7925 FAX: MS. KRISTEN BROWN /- HWS NProf 2017 PILLSBURY AVENUE SOUTH 2017 PILLSBURY AVENUE SOUTH (27320) MINNEAPOLIS, MN 55404 PHONE: 612/377-2792 FAX: /- MS. KRISTEN BROWN Minnesota Department of Health Division of Compliance Monitoring Page 146 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS NProf 2020 OAKLAND AVENUE SOUTH Registration 2020 OAKLAND AVENUE SOUTH (28495) MINNEAPOLIS, MN 55404 PHONE: 651/331-0914 FAX: MS. KRISTEN BROWN /- HWS NProf 2103 2ND AVENUE SOUTH 2103 2ND AVENUE SOUTH (27597) MINNEAPOLIS, MN 55404 PHONE: 612/874-0311 FAX: 612/874-0313 MS. KRISTEN BROWN HWS NProf 2119 PILLSBURY AVENUE SOUTH 2119 PILLSBURY AVENUE SOUTH (27595) MINNEAPOLIS, MN 55404 PHONE: 612/872-2489 FAX: 612/872-2359 MS. KRISTEN BROWN HWS NProf 2200 BLAISDELL AVE 2211 CLINTON AVENUE SOUTH (27608) MINNEAPOLIS, MN 55404 PHONE: 612/872-2489 FAX: MS. KRISTEN BROWN /- HWS NProf 2200 PILLSBURY AVENUE S LLC 2200 PILLSBURY AVENUE S (25024) MINNEAPOLIS, MN 55404 PHONE: 612/922-7925 FAX: 612/722-0884 MS. KRISTEN BROWN HWS NProf 2220 14TH AVENUE SOUTH 2220 14TH AVENUE SOUTH (28473) MINNEAPOLIS, MN 55404 PHONE: 651/343-8836 FAX: /- MS. KRISTEN BROWN HWS NProf 2221 BLAISDELL AVENUE SOUTH 2221 BLAISDELL AVENUE SOUTH (27131) MINNEAPOLIS, MN 55404 PHONE: 612/872-2489 FAX: 612/872-2359 MS. KRISTEN BROWN HWS NProf 225 OAK GROVE STREET 225 OAK GROVE STREET (26898) MINNEAPOLIS, MN 55403 PHONE: 612/871-3313 FAX: MS. KRISTEN BROWN /- HWS NProf 2312 BLAISDELL AVENUE SOUTH 2312 BLAISDELL AVENUE SOUTH (27470) MINNEAPOLIS, MN 55404 PHONE: 612/872-2489 FAX: 612/872-2359 MS. KRISTEN BROWN HWS NProf 233 26TH AVENUE NE 233 26TH AVENUE NE (28217) MINNEAPOLIS, MN 55418 PHONE: 612/703-6666 FAX: /- MS. KRISTEN BROWN Minnesota Department of Health Division of Compliance Monitoring Page 147 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS NProf 233 OAK GROVE Registration 233 OAK GROVE (28153) MINNEAPOLIS, MN 55403 PHONE: 612/871-3313 FAX: MS. STACEY RAY /- Corp 24 HOUR CARE HCP-A 2736 HENNEPIN AVE S (26189) MINNEAPOLIS, MN 55408 PHONE: 612/871-4242 FAX: 612/879-8374 MR. DAVID BROWN HWS NProf 2525 BLAISDELL AVENUE SOUTH 2525 BLAISDELL AVENUE SOUTH (25789) MINNEAPOLIS, MN 55408 PHONE: 612/204-8319 FAX: MS. STACEY RAY /- HWS NProf 2526 SOUTH EIGHTH STREET 2526 SOUTH EIGHTH STREET (28189) MINNEAPOLIS, MN 55454 PHONE: 952/469-3326 FAX: MS. STACEY RAY /- HWS NProf 2537 EMERSON AVENUE SOUTH 2537 EMERSON AVENUE SOUTH (27128) MINNEAPOLIS, MN 55405 PHONE: 612/922-7925 FAX: 612/722-0885 MS. KRISTEN BROWN HWS NProf 2625 18TH AVENUE SOUTH 2625 18TH AVENUE SOUTH (27480) MINNEAPOLIS, MN 55407 PHONE: 612/501-6355 FAX: /- MS. KRISTEN BROWN HWS NProf 2629 WEST 43RD STREET 2629 WEST 43RD STREET (27269) MINNEAPOLIS, MN 55410 PHONE: 952/941-2400 FAX: 952/941-2413 MS. KRISTEN BROWN HWS NProf 2631 COLUMBUS AVENUE SOUTH 2631 COLUMBUS AVENUE SOUTH (27317) MINNEAPOLIS, MN 55404 PHONE: 651/735-9758 FAX: MS. KRISTEN BROWN /- HWS NProf 2633 PLEASANT AVENUE SOUTH 2633 PLEASANT AVENUE SOUTH (27711) MINNEAPOLIS, MN 55408 PHONE: 612/204-8319 FAX: MS. STACEY RAY /- HWS NProf 2635 14TH AVENUE SOUTH 2635 14TH AVENUE SOUTH (27885) MINNEAPOLIS, MN 55407 PHONE: 612/840-5561 FAX: /- MS. KRISTEN BROWN Minnesota Department of Health Division of Compliance Monitoring Page 148 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS NProf 2640 2ND AVENUE SOUTH Registration 2640 2ND AVENUE SOUTH (25953) MINNEAPOLIS, MN 55404 PHONE: 612/501-6355 FAX: MS. KRISTEN BROWN /- HWS NProf 2640 BLAISDELL AVENUE 2211 CLINTON AVENUE SOUTH (25170) MINNEAPOLIS, MN 55408 PHONE: 612/501-6355 FAX: MS. KRISTEN BROWN /- HWS NProf 2649 12TH AVENUE SOUTH 2649 12TH AVENUE SOUTH (27060) MINNEAPOLIS, MN 55404 PHONE: 612/990-7333 FAX: MS. KRISTEN BROWN /- HWS-O NProf 2700 GRAND AVENUE SOUTH 2700 GRAND AVENUE SOUTH (25940) MINNEAPOLIS, MN 55408 PHONE: 612/204-8319 FAX: MS. STACEY RAY /- HWS NProf 2700 THIRD AVENUE SOUTH 2211 CLINTON AVENUE SOUTH (27482) MINNEAPOLIS, MN 55404 PHONE: 612/501-6355 FAX: /- MS. KRISTEN BROWN HWS NProf 2713 2ND AVENUE SOUTH 2713 2ND AVENUE SOUTH (27471) MINNEAPOLIS, MN 55404 PHONE: 612/501-6355 FAX: /- MS. KRISTEN BROWN HWS NProf 2718 CHICAGO AVENUE SOUTH 2718 CHICAGO AVENUE SOUTH (28008) MINNEAPOLIS, MN 55407 PHONE: 612/242-8758 FAX: 612/501-6355 MS. KRISTEN BROWN HWS NProf 2720 PILLSBURY AVENUE SOUTH 2720 PILLSBURY AVENUE SOUTH (27477) MINNEAPOLIS, MN 55408 PHONE: 612/872-2474 FAX: MS. KRISTEN BROWN /- HWS NProf 3014 31ST AVENUE SOUTH 3014 31ST AVENUE SOUTH (26897) MINNEAPOLIS, MN 55406 PHONE: 612/922-7925 FAX: MS. KRISTEN BROWN /- HWS NProf 3016 29TH AVENUE 3016 29TH AVENUE SOUTH (27610) MINNEAPOLIS, MN 55406 PHONE: 612/598-3671 FAX: /- MS. KRISTEN BROWN Minnesota Department of Health Division of Compliance Monitoring Page 149 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS NProf 3020 31ST AVENUE SOUTH Registration 3020 31ST AVENUE SOUTH (26825) MINNEAPOLIS, MN 55406 PHONE: 612/922-7925 FAX: MS. KRISTEN BROWN /- HWS NProf 3052 MINNEHAHA AVENUE 3052 MINNEHAHA AVENUE (28503) MINNEAPOLIS, MN 55406 PHONE: 612/721-5354 FAX: MS. KRISTEN BROWN /- HWS NProf 3105 GIRARD AVENUE NORTH #1 3105 GIRARD AVENUE NORTH #1 (27872) MINNEAPOLIS, MN 55411 PHONE: 612/870-6294 FAX: MS. KRISTEN BROWN /- HWS NProf 3112 MINNEHAHA AVENUE 3112 MINNEHAHA AVENUE (26958) MINNEAPOLIS, MN 55406 PHONE: 952/925-3878 FAX: MS. KRISTEN BROWN /- HWS NProf 3117 15TH AVENUE SOUTH 3117 15TH AVENUE SOUTH (25190) MINNEAPOLIS, MN 55407 PHONE: 612/724-7368 FAX: 612/722-0904 MS. KRISTEN BROWN HWS NProf 3121 3RD AVENUE SOUTH 3121 3RD AVENUE SOUTH (26733) MINNEAPOLIS, MN 55408 PHONE: 612/275-2855 FAX: /- MS. KRISTEN BROWN HWS NProf 3126 58TH STREET EAST 3126 58TH STREET EAST (26959) MINNEAPOLIS, MN 55417 PHONE: 612/861-3482 FAX: MS. KRISTEN BROWN /- HWS-O NProf 3132 PLEASANT AVENUE SOUTH 3132 PLEASANT AVENUE SOUTH (25857) MINNEAPOLIS, MN 55408 PHONE: 612/204-8319 FAX: MS. STACEY RAY /- HWS NProf 3201 GIRARD AVENUE NORTH 3201 GIRARD AVENUE NORTH (27867) MINNEAPOLIS, MN 55412 PHONE: 612/521-1749 FAX: 612/521-1282 MS. KRISTEN BROWN HWS NProf 3204 24TH AVENUE SOUTH 3204 24TH AVENUE SOUTH (27276) MINNEAPOLIS, MN 55406 PHONE: 612/718-3288 FAX: /- MS. KRISTEN BROWN Minnesota Department of Health Division of Compliance Monitoring Page 150 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS NProf 3210 29TH AVENUE SOUTH Registration 3210 29TH AVENUE SOUTH (26826) MINNEAPOLIS, MN 55406 PHONE: 612/810-9390 FAX: MS. KRISTEN BROWN /- HWS NProf 3211 6TH STREET NORTH 2211 CLINTON AVENUE SOUTH (26952) MINNEAPOLIS, MN 55164 PHONE: 651/329-6107 FAX: MS. KRISTEN BROWN /- HWS NProf 3232 BLAISDELL 3232 BLAISDELL AVENUE SOUTH (26414) MINNEAPOLIS, MN 55408 PHONE: 612/827-6284 FAX: MS. KRISTEN BROWN /- HWS NProf 327 UNIVERSITY AVENUE SE 327 UNIVERSITY AVENUE SE (24906) MINNEAPOLIS, MN 55414 PHONE: 612/204-8319 FAX: 612/375-9105 MS. STACEY RAY HWS NProf 330 8TH STREET SOUTHEAST 330 8TH STREET SOUTHEAST (25840) MINNEAPOLIS, MN 55414 PHONE: 612/331-8369 FAX: 612/379-7810 MS. KRISTEN BROWN HWS NProf 3305 BRYANT AVENUE SOUTH 3305 BRYANT AVENUE SOUTH (25231) MINNEAPOLIS, MN 55404 PHONE: 612/204-8319 FAX: /- MS. STACEY RAY HWS NProf 3310 NORTH PENN AVENUE 3310 NORTH PENN AVENUE (27796) MINNEAPOLIS, MN 55112 PHONE: 612/204-8319 FAX: 612/375-9105 MS. STACEY RAY HWS NProf 3320 GRAND AVENUE 3320 GRAND AVENUE (26896) MINNEAPOLIS, MN 55409 PHONE: 612/266-8699 FAX: MS. KRISTEN BROWN /- HWS NProf 3320 LONGFELLOW AVENUE SOUTH 3320 LONGFELLOW AVENUE SOUTH (26989) MINNEAPOLIS, MN 55407 PHONE: 612/724-7368 FAX: MS. KRISTEN BROWN /- HWS NProf 3351 PARK AVENUE SOUTH 3351 PARK AVENUE SOUTH (28533) MINNEAPOLIS, MN 55407 PHONE: 612/272-4177 FAX: 612/722-2214 MS. JANELLE LEPPA Minnesota Department of Health Division of Compliance Monitoring Page 151 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS NProf 3413 PORTLAND AVENUE S Registration 3413 PORTLAND AVE S (25647) MINNEAPOLIS, MN 55404 PHONE: 612/810-9390 FAX: 612/722-0885 MS. KRISTEN BROWN HWS NProf 3414 MINNEHAHA AVE LLC 3414 MINNEHAHA AVENUE (25026) MINNEAPOLIS, MN 55406 PHONE: 612/922-7925 FAX: 612/722-0884 MS. KRISTEN BROWN HWS-O NProf 3430 NE TYLER STREET 3430 NORTHEAST TYLER STREET (27536) MINNEAPOLIS, MN 55418 PHONE: 612/204-8319 FAX: 612/375-9105 MS. STACEY RAY HWS NProf 3452 SOUTH EMERSON AVENUE 3452 SOUTH EMERSON AVENUE (28525) MINNEAPOLIS, MN 55408 PHONE: 952/925-3878 FAX: MS. STACEY RAY /- HWS NProf 3455 SOUTH MINNEHAHA AVENUE 3455 SOUTH MINNEHAHA AVENUE (26664) MINNEAPOLIS, MN 55406 PHONE: 612/204-8319 FAX: /- MS. STACEY RAY HWS NProf 3457 CENTRAL AVENUE NORTHEAST 3457 CENTRAL AVENUE NORTHEAST (26583) MINNEAPOLIS, MN 55418 PHONE: 612/204-8319 FAX: /- MS. STACEY RAY HWS NProf 3457 MINNEHAHA AVENUE SOUTH 3457 MINNEHAHA AVENUE SOUTH (26003) MINNEAPOLIS, MN 55406 PHONE: 612/204-8319 FAX: MS. STACEY RAY /- HWS NProf 3520 12TH AVENUE SOUTH 3520 12TH AVENUE SOUTH (26895) MINNEAPOLIS, MN 55409 PHONE: 612/270-7844 FAX: MS. KRISTEN BROWN /- HWS NProf 3534 PENN AVENUE NORTH 3534 PENN AVENUE NORTH (27315) MINNEAPOLIS, MN 55412 PHONE: 612/522-3394 FAX: MS. KRISTEN BROWN /- HWS NProf 3542 NORTH PENN AVENUE 3542 NORTH PENN AVENUE (28158) MINNEAPOLIS, MN 55412 PHONE: 612/522-3394 FAX: /- MS. STACEY RAY Minnesota Department of Health Division of Compliance Monitoring Page 152 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS NProf 3545 12TH AVENUE SOUTH Registration 3545 12TH AVENUE SOUTH (26732) MINNEAPOLIS, MN 55407 PHONE: 763/566-6591 FAX: MS. KRISTEN BROWN /- HWS NProf 3643 PENN AVENUE NORTH 3643 PENN AVENUE NORTH (26731) MINNEAPOLIS, MN 55412 PHONE: 612/522-3394 FAX: MS. KRISTEN BROWN /- HWS NProf 3654 BRYANT AVENUE SOUTH 2211 CLINTON AVENUE SOUTH (27132) MINNEAPOLIS, MN 55409 PHONE: 612/804-8730 FAX: MS. KRISTEN BROWN /- HWS NProf 3701 WEST LAKE STREET 2211 CLINTON AVENUE SOUTH (27864) MINNEAPOLIS, MN 55404 PHONE: 952/925-3878 FAX: MS. KRISTEN BROWN /- HWS NProf 3708 LYNDALE AVENUE SOUTH 3708 LYNDALE AVENUE SOUTH (27862) MINNEAPOLIS, MN 55409 PHONE: 952/925-3878 FAX: 952/928-3832 MS. KRISTEN BROWN HWS NProf 3736 SOUTH CEDAR AVENUE 3736 SOUTH CEDAR AVENUE (25567) MINNEAPOLIS, MN 55407 PHONE: 612/204-8319 FAX: /- MS. STACEY RAY HWS NProf 3801 NICOLLET AVENUE SOUTH 3801 NICOLLET AVENUE SOUTH (28494) MINNEAPOLIS, MN 55409 PHONE: 612/701-9491 FAX: MS. KRISTEN BROWN /- HWS NProf 3806 6TH STREET NORTH 3806 6TH STREET NORTH (27058) MINNEAPOLIS, MN 55429 PHONE: 612/219-9762 FAX: MS. KRISTEN BROWN /- HWS NProf 3816 NICOLLET AVENUE S LLC 3816 NICOLLET AVENUE S (25025) MINNEAPOLIS, MN 55409 PHONE: 612/922-7925 FAX: 612/722-0884 MS. KRISTEN BROWN HWS NProf 3824 SNELLING AVENUE SOUTH 3824 SNELLING AVENUE SOUTH (27018) MINNEAPOLIS, MN 55406 PHONE: 612/759-3044 FAX: /- MS. KRISTEN BROWN Minnesota Department of Health Division of Compliance Monitoring Page 153 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS NProf 4052 MINNEHAHA AVENUE Registration 4052 MINNEHAHA AVENUE (27614) MINNEAPOLIS, MN 55406 PHONE: 612/325-5862 FAX: MS. KRISTEN BROWN /- HWS NProf 410 6TH STREET SE 410 6TH STREET SE (25058) MINNEAPOLIS, MN 55414 PHONE: 612/204-8319 FAX: 612/375-9105 MS. STACEY RAY HWS NProf 4126 QUEEN AVENUE NORTH 4126 QUEEN AVENUE NORTH (26956) MINNEAPOLIS, MN 55429 PHONE: 612/227-6858 FAX: MS. KRISTEN BROWN /- HWS NProf 416 20TH AVENUE NE UNIT #1 416 20TH AVENUE NE UNIT #1 (28132) MINNEAPOLIS, MN 55418 PHONE: 612/236-9296 FAX: 612/236-9296 MS. JANELLE LEPPA HWS NProf 4331 GIRARD AVENUE NORTH 4311 GIRARD AVENUE NORTH (28361) MINNEAPOLIS, MN 55412 PHONE: 612/267-5530 FAX: 612/234-4708 MS. KRISTEN BROWN HWS NProf 4445 EAST LAKE STREET 4445 EAST LAKE STREET (27127) MINNEAPOLIS, MN 55406 PHONE: 612/922-7925 FAX: 612/722-0885 MS. KRISTEN BROWN HWS NProf 4604 BLOOMINGTON AVENUE SOUTH 4604 BLOOMINGTON AVENUE SOUTH (28474) MINNEAPOLIS, MN 55407 PHONE: 612/987-6115 FAX: MS. KRISTEN BROWN /- HWS NProf 4TH STREET RESIDENCE 432 4TH STREET SE (28543) MINNEAPOLIS, MN 55414 PHONE: 651/222-7587 FAX: MS. STACEY RAY /- HWS NProf 507 RIDGEWOOD AVENUE 507 RIDGEWOOD AVENUE (27615) MINNEAPOLIS, MN 55403 PHONE: 612/325-5862 FAX: MS. KRISTEN BROWN /- HWS NProf 5222 LOGAN AVENUE NORTH 5222 LOGAN AVENUE NORTH (27882) MINNEAPOLIS, MN 55430 PHONE: 612/232-3059 FAX: /- MS. KRISTEN BROWN Minnesota Department of Health Division of Compliance Monitoring Page 154 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS NProf 5500 BRYANT AVENUE NORTH Registration 2211 CLINTON AVENUE SOUTH (27059) MINNEAPOLIS, MN 55404 PHONE: 651/329-6107 FAX: MS. KRISTEN BROWN /- HWS NProf 5700 34TH AVENUE 5700 34TH AVENUE (26642) MINNEAPOLIS, MN 55417 PHONE: 612/669-7334 FAX: MS. KRISTEN BROWN /- HWS NProf 5712 34TH AVENUE SOUTH 5712 34TH AVENUE SOUTH (27057) MINNEAPOLIS, MN 55417 PHONE: 612/669-7334 FAX: MS. KRISTEN BROWN /- HWS NProf 5740 SANDER DRIVE 5740 SANDER DRIVE (26887) MINNEAPOLIS, MN 55417 PHONE: 651/688-8024 FAX: MS. KRISTEN BROWN /- HWS NProf 5761 33RD AVENUE SOUTH 5761 33RD AVENUE SOUTH (25839) MINNEAPOLIS, MN 55417 PHONE: 612/598-4275 FAX: /- MS. KRISTEN BROWN HWS NProf 601 WEST 28TH STREET 601 WEST 28TH STREET (27886) MINNEAPOLIS, MN 55408 PHONE: 612/822-9999 FAX: 952/445-2134 MS. KRISTEN BROWN HWS NProf 610 LOGAN AVENUE NORTH 610 LOGAN AVENUE NORTH (26824) MINNEAPOLIS, MN 55411 PHONE: 612/381-9399 FAX: MS. KRISTEN BROWN /- HWS NProf 617 19TH AVENUE SOUTH 617 19TH AVENUE SOUTH (27062) MINNEAPOLIS, MN 55454 PHONE: 612/333-9164 FAX: MS. KRISTEN BROWN /- HWS NProf 619 19TH AVENUE SOUTH 619 19TH AVENUE SOUTH (27474) MINNEAPOLIS, MN 55454 PHONE: 612/333-9164 FAX: 612/333-8185 MS. KRISTEN BROWN HWS NProf 621 19TH AVENUE SOUTH 621 19TH AVENUE SOUTH (26892) MINNEAPOLIS, MN 55454 PHONE: 612/333-9164 FAX: /- MS. KRISTEN BROWN Minnesota Department of Health Division of Compliance Monitoring Page 155 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS NProf 627 POLK STREET NE Registration 627 POLK STREET NE (24996) MINNEAPOLIS, MN 55413 PHONE: 612/204-8319 FAX: MS. STACEY RAY 612/375-9105 HWS NProf 689 LOWRY AVENUE NORTHEAST 689 LOWRY AVENUE NORTHEAST (28496) MINNEAPOLIS, MN 55418 PHONE: 612/327-5144 FAX: MS. KRISTEN BROWN /- HWS-O NProf 717 SE UNIVERSITY AVENUE 717 SE UNIVERSITY AVENUE (27224) MINNEAPOLIS, MN 55414 PHONE: 612/204-8319 FAX: MS. STACEY RAY /- HWS NProf 725 LYNDALE AVENUE NORTH 725 LYNDALE AVENUE NORTH (27134) MINNEAPOLIS, MN 55411 PHONE: 612/664-8195 FAX: MS. KRISTEN BROWN 612/374-0190 HWS NProf 725 SE 8TH AVENUE 725 SE 8TH AVENUE (25668) MINNEAPOLIS, MN 55414 PHONE: 612/204-8319 FAX: /- MS. STACEY RAY HWS NProf 734 ALDRICH AVENUE NORTH 734 ALDRICH AVENUE NORTH (27133) MINNEAPOLIS, MN 55411 PHONE: 612/664-8195 FAX: 612/374-0190 NProf A CHANCE TO GROW INC MS. KRISTEN BROWN HCP-A Out Pt Out St Out Ot 1800 SECOND STREET NE (02476) MINNEAPOLIS, MN 55418 PHONE: 612/789-1236 FAX: NProf ABBOTT NORTHWESTERN HOSPITAL MR. BOB DE BOER 612/706-5555 BASS-65 HOSP-952 HOSP-913 PPS-R-39 800 EAST 28TH STREET (00242) MINNEAPOLIS, MN 55407 PHONE: 612/863-4000 FAX: Corp ACCEL HEALTH SERVICES INC MR. BEN BACHE-WIGG 612/863-5667 HCP-A HHA 1421 PARK AVENUE SOUTH (23488) MINNEAPOLIS, MN 55404 PHONE: 612/343-8931 FAX: 612/343-8933 MS. SUE SUCHY HWS NProf AEON HOMES 1822 PARK AVENUE SOUTH (25520) MINNEAPOLIS, MN 55404 PHONE: 612/871-5800 FAX: 612/872-6815 MR. ALAN ARTHUR Minnesota Department of Health Division of Compliance Monitoring Page 156 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab ALDRICH BOARD AND CARE LLC Certification HENNEPIN Registration (Cont.)* -------------------------- BCH-25 3101 ALDRICH AVENUE SOUTH (00159) MINNEAPOLIS, MN 55408 PHONE: 612/825-4488 FAX: MS. FAY YAEGER 612/825-4489 Corp ALL HOMECARING HCP-A HHA 3638 CENTRAL AVENUE NE (02166) MINNEAPOLIS, MN 55418 PHONE: 612/378-1474 FAX: MS. DONNA LIVERINGHOUSE 612/378-1570 Home Mgmt Lim-Liab ALL NATIONALS HOME HEALTH CARE 2828 UNIVERSITY AVE SE STE125 (27564) MINNEAPOLIS, MN 55414 PHONE: 612/331-9441 FAX: MR. JOSHUA MILLER 612/331-9508 HWS Lim-Liab ALLIANCE ADDITION LLC 1931 WEST BROADWAY (27493) MINNEAPOLIS, MN 55411 PHONE: 612/287-1612 FAX: MS. LOIS MUELLER 612/287-1616 HWS NProf ALLIANCE HOUSING 2011 PILLSBURY AVENUE SOUTH (25838) MINNEAPOLIS, MN 55404 PHONE: 612/874-0311 FAX: 612/874-0313 Lim-Liab ALMOND HOME HEALTH CARE LLC MS. KRISTEN BROWN HCP-A 81 LOWRY AVENUE #126 (28160) MINNEAPOLIS, MN 55418 PHONE: 612/259-8026 FAX: 612/259-8027 NProf AMER INDIAN COMM DEV COR MR. IBRAJIM ELMI SLFB-50 1800 CHICAGO AVENUE SOUTH (01668) MINNEAPOLIS, MN 55404 PHONE: 612/879-3562 FAX: MS. SHARLEE BENSON 612/879-3604 Home Mgmt Lim-Liab AMERICAN UNITED CARE LLC 81 LOWRY AVE NE STE 126 (27645) MINNEAPOLIS, MN 55418 PHONE: 612/259-8026 FAX: MR. IBRAHIM ELMI 612/259-8027 Corp ANDREW RESIDENCE BCH-212 NF2-212 1215 SOUTH NINTH STREET (00993) MINNEAPOLIS, MN 55404 PHONE: 612/333-0111 FAX: 612/338-1734 MS. KAREN FOY HWS Lim-Liab ANPA WASTE NUMPA 3146 CEDAR AVENUE (27942) MINNEAPOLIS, MN 55407 PHONE: 612/871-0690 FAX: /- MS. LEE BLONS Minnesota Department of Health Division of Compliance Monitoring Page 157 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWSAL NProf ASI 28TH STREET Registration 2749 11TH AVENUE SOUTH (25492) MINNEAPOLIS, MN 55407 PHONE: 651/645-7271 FAX: MR. STEPHEN VANDER SCHAAF 651/645-0541 HWSAL-O NProf ASI CAMDEN HOUSE 500 49TH AVENUE NORTH (25491) MINNEAPOLIS, MN 55430 PHONE: 651/645-7271 FAX: MR. STEPHEN VANDER SCHAAF 651/645-1054 HWSAL-O NProf ASI CHICAGO HOUSE 3710 CHICAGO AVENUE SOUTH (25490) MINNEAPOLIS, MN 55407 PHONE: 651/645-7271 FAX: MR. STEPHEN VANDER SCHAAF 651/645-0541 HWSAL NProf AUGUSTANA APARTMENTS OF MINNEA 1510 ELEVENTH AVENUE SOUTH (20027) MINNEAPOLIS, MN 55404 PHONE: 612/238-5260 FAX: MS. JOAN EDWARDS 612/343-8974 NProf AUGUSTANA HCC OF MPLS NH-287 SNF-NF-287 1007 EAST 14TH STREET (00164) MINNEAPOLIS, MN 55404 PHONE: 612/238-5101 FAX: 612/238-5240 NProf AUGUSTANA HOME HEALTH CARE SER MS. JEAN COLE HCP-F 1007 E 14TH STREET (03383) MINNEAPOLIS, MN 55404 PHONE: 612/377-6655 FAX: 612/377-6688 Lim-Liab AUGUSTANA RESIDENTIAL CARE MS. KATIE STADTHER HCP-F 1007 EAST 14TH STREET (25859) MINNEAPOLIS, MN 55404 PHONE: 612/238-5126 FAX: MS. MARY JO THORNE 612/238-5048 Corp AVENUE FOR HOME CARE INC HCP-A 7000 57TH AVENUE NORTH STE 120 (27068) MINNEAPOLIS, MN 55428 PHONE: 763/537-6104 FAX: MR. OCHUKO OKITIPI 763/537-7514 Lim-Liab BANADIR HOME HEALTH CARE HCP-A 311 W LAKE STREET (25814) MINNEAPOLIS, MN 55408 PHONE: 612/501-7406 FAX: CEO FUAD ABDIRAHMAN /- Corp BAYWOOD HOME CARE HCP-A 6465 WAYZATA BLVD STE 150 (20973) MINNEAPOLIS, MN 55426 PHONE: 763/546-8899 FAX: 763/595-0465 MS. DOROTHY MUFFETT Minnesota Department of Health Division of Compliance Monitoring Page 158 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS-O NProf BEECHWOOD 917 Registration 917 24TH AVENUE SOUTH (27718) MINNEAPOLIS, MN 55406 PHONE: 612/333-2141 FAX: Corp BEECHWOOD INC MS. LINDA WOODFORD 612/825-0789 HCP-A 3901 CHICAGO AVENUE SOUTH (27716) MINNEAPOLIS, MN 55407 PHONE: 612/824-0415 FAX: Corp BEECHWOOD INC MS. LINDA WOODFORD 612/825-0789 HCP-F 4033 COLUMBUS AVENUE SOUTH (27717) MINNEAPOLIS, MN 55407 PHONE: 612/824-0415 FAX: NProf BENEDICTINE HEALTH CTR OF MPLS MS. LINDA WOODFORD 612/825-0789 NH-110 SNF-NF-110 618 EAST 17TH STREET (00960) MINNEAPOLIS, MN 55404 PHONE: 612/879-2800 FAX: Corp BEST CARE HOME HEALTH INC MR. DAVE BRENNAN 612/879-2917 HCP-F 3008 UNIVERSITY AVENUE SE (20840) MINNEAPOLIS, MN 55414 PHONE: 612/378-1040 FAX: 612/378-2850 Corp BEST CARE HOME HEALTH INC MS. NAZNEEN KHATOON HCP-A HHA 3008 UNIVERSITY AVE SOUTHEAST (02802) MINNEAPOLIS, MN 55414 PHONE: 612/378-1040 FAX: 612/378-2850 Church BETHANY COVENANT HOME MS. NAZNEEN KHATOON BCH-10 NH-56 NF2-10 SNF-NF-56 2309 HAYES STREET NORTHEAST (00167) MINNEAPOLIS, MN 55418 PHONE: 612/781-2691 FAX: MS. PAULA SPARLING 612/781-8835 HWS NProf BETHANY COVENANT VILLAGE 2309 HAYES STREET NORTHEAST (26980) MINNEAPOLIS, MN 55418 PHONE: 612/781-2691 FAX: Corp BILL KELLY HOUSE MS. PAULA SPARLING 612/781-8835 SLFA-16 3104 EAST 58TH STREET (01507) MINNEAPOLIS, MN 55417 PHONE: 612/726-1502 FAX: Corp BIRCHWOOD CARE HOME MR. WILLIAM MORIN 612/726-1009 BCH-60 NF2-60 715 WEST 31ST STREET (00168) MINNEAPOLIS, MN 55408 PHONE: 612/823-7286 FAX: 612/823-0518 MR. RANDAL HAGEMEYER Minnesota Department of Health Division of Compliance Monitoring Page 159 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS NProf BOTTINEAU COMMONS Registration 1808 UNIVERSITY AVENUE NE (27452) MINNEAPOLIS, MN 55418 PHONE: 651/774-0011 FAX: MR. GEOFFREY MEYER 651/774-0606 HWS NProf BOTTINEAU LOFTS 1929 2ND STREET NORTHEAST (27451) MINNEAPOLIS, MN 55418 PHONE: 651/774-0011 FAX: MR. GEOFFREY MEYER 651/774-0606 Lim-Liab BRIGHT STARS CARE CENTER HCP-F HWSAL-O 4659 LYNDALE AVENUE NORTH (26125) MINNEAPOLIS, MN 55412 PHONE: 612/238-3104 FAX: MRS. JULIE BROTT 612/238-3509 Corp BRISTOL PLACE HOME HEALTH SERV HCP-A HHA 412 RIDGEWOOD AVE S STE A (03184) MINNEAPOLIS, MN 55403 PHONE: 612/871-0805 FAX: MR. SHELDON SCHNEIDER 612/813-0158 HWS NProf BROADWAY APARTMENTS 759 WASHINGTON STREET NE (25598) MINNEAPOLIS, MN 55413 PHONE: 612/834-0027 FAX: 952/897-1153 MS. KRISTEN BROWN HWS NProf BROADWAY AVENUE 2211 6TH STREET NORTH (27109) MINNEAPOLIS, MN 55411 PHONE: 612/559-1824 FAX: 612/871-2295 MS. JANELLE LEPPA HWSAL-O Corp BROWN KRAUSE MANOR 3633 CHICAGO AVENUE SOUTH (23618) MINNEAPOLIS, MN 55407 PHONE: 612/821-8663 FAX: MS. LAURA WILSON 612/821-2827 HWS-O Corp BRYANT SQUARE APARTMENTS 3115 ALDRICH AVENUE SOUTH (26430) MINNEAPOLIS, MN 55408 PHONE: 612/823-7286 FAX: MR. RANDAL HAGEMEYER 612/823-0518 Corp BRYN MAWR HEALTH CARE CENTER NH-112 SNF-NF-112 275 PENN AVE NORTH (00175) MINNEAPOLIS, MN 55405 PHONE: 612/377-4723 FAX: 612/377-0294 MR. KARL SWEDBERG HWS NProf BURI MANOR 1515 S CHICAGO AVENUE (28079) MINNEAPOLIS, MN 55404 PHONE: 612/630-2264 FAX: /- MS. STACEY RAY Minnesota Department of Health Division of Compliance Monitoring Page 160 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp BYWOOD EAST HEALTH CARE Certification HENNEPIN Registration (Cont.)* -------------------------- BCH-100 NF2-100 3427 CENTRAL AVENUE NORTHEAST (00176) MINNEAPOLIS, MN 55418 PHONE: 612/788-9757 FAX: MR. RANDAL HAGEMEYER 612/789-6564 HWS NProf BYWOOD EAST HEALTH CARE 3439 NE CENTRAL AVENUE (26747) MINNEAPOLIS, MN 55418 PHONE: 612/204-8319 FAX: MS. STACEY RAY /- Corp CAMDEN CARE CENTER NH-87 SNF-NF-87 512 49TH AVENUE NORTH (00166) MINNEAPOLIS, MN 55430 PHONE: 612/529-7747 FAX: MR. ROBERT LETICH 612/607-5821 Home Mgmt NProf CAREGVR SUPT PRG KOREAN SRV CT 630 CEDAR AVENUE SOUTH #B1 (23329) MINNEAPOLIS, MN 55454 PHONE: 612/332-3483 FAX: MS. YOONJU PARK 612/342-1341 Corp CARING FOR ANGELS INC HCP-A 3244 BLAISDEL AVE S STE 202 (28143) MINNEAPOLIS, MN 55408 PHONE: 763/237-2010 FAX: 952/934-2692 MS. LAQUITA ALEXANDER HWS NProf CATHOLIC CHARITIES 3540 11TH AVENUE SOUTH (27056) MINNEAPOLIS, MN 55409 PHONE: 612/204-8319 FAX: /- MS. STACEY RAY NProf CATHOLIC ELDERCARE AT HOME HCP-A 817 NORTHEAST MAIN STREET (03147) MINNEAPOLIS, MN 55413 PHONE: 612/379-1370 FAX: NProf CATHOLIC ELDERCARE AT HOME MR. MICHAEL SHASKY 612/362-2449 HCP-F 817 NORTHEAST MAIN STREET (21005) MINNEAPOLIS, MN 55413 PHONE: 612/605-2505 FAX: NProf CATHOLIC ELDERCARE ON MAIN MS. JANET CARLSON 612/605-2504 NH-150 SNF-NF-150 817 MAIN STREET NORTHEAST (00984) MINNEAPOLIS, MN 55413 PHONE: 612/379-1370 FAX: NProf CHILDRENS HOME CARE & HOSPICE MS. KIMBERLY KING 612/362-2486 Hospice 2525 CHICAGO AVENUE SOUTH (03189) MINNEAPOLIS, MN 55404 PHONE: 612/813-6246 FAX: 612/813-6358 MS. LIZ LEIGHTON Minnesota Department of Health Division of Compliance Monitoring Page 161 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf CHILDRENS HOME CARE & HOSPICE Certification HENNEPIN HCP-A Registration (Cont.)* -------------------------HHA 2525 CHICAGO AVENUE SOUTH (02142) MINNEAPOLIS, MN 55404 PHONE: 612/813-6246 FAX: MS. LIZ LEIGHTON 612/813-6358 NProf CHILDRENS HOSP & CLINICS MINNE BASS-138 HOSP-279 HOSP-279 2525 CHICAGO AVENUE SOUTH (00741) MINNEAPOLIS, MN 55404 PHONE: 612/813-6112 FAX: MR. DAVID OVERMAN 612/813-6807 Corp CHRISTINE PROFESSIONAL HC INC HCP-F HWSAL-O 1815 CENTRAL AVENUE NE (25943) MINNEAPOLIS, MN 55418 PHONE: 763/464-4072 FAX: MR. MIKE OHENZUWA /- Home Mgmt Corp CIRCLE OF LIFE HC ANISHINAABE 1433 E FRANKLIN AVE STE 12 (27760) MINNEAPOLIS, MN 55404 PHONE: 612/871-2474 FAX: MS. PATRICIA YAGER 612/870-3874 HWS NProf CITY LIMITS 125 EAST 59TH STREET (26957) MINNEAPOLIS, MN 55419 PHONE: 763/561-9072 FAX: /- MS. KRISTEN BROWN HWS Part CLARE APARTMENTS 929 CENTRAL AVENUE NE (23957) MINNEAPOLIS, MN 55413 PHONE: 612/236-9521 FAX: 612/236-9520 NProf CLARE HOUSING MR. LEE LEWIS HCP-F 929 CENTRAL AVE NE (23905) MINNEAPOLIS, MN 55413 PHONE: 612/236-9514 FAX: MR. LEE LEWIS 612/236-9510 HWSAL Part CLARE MIDTOWN 3105 23RD AVENUE SOUTH (27720) MINNEAPOLIS, MN 55407 PHONE: 612/236-9521 FAX: MR. LEE LEWIS /- HWS NProf COLFAX VILLAS 3619 COLFAX AVENUE SOUTH (26894) MINNEAPOLIS, MN 55409 PHONE: 952/393-8280 FAX: MS. KRISTEN BROWN /- Lim-Liab COMFORT SERVICES LLC HCP-A 515 WEST LAKE STREET (24998) MINNEAPOLIS, MN 55408 PHONE: 612/822-1203 FAX: 612/871-2161 MS. FARDOWSA MOHAMED Minnesota Department of Health Division of Compliance Monitoring Page 162 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf COMMUNITY INVOLVEMENT PROG HHS Certification HENNEPIN Registration (Cont.)* -------------------------- HCP-A HHA 1600 BROADWAY ST NE STE 1 (02783) MINNEAPOLIS, MN 55413 PHONE: 612/362-4434 FAX: MS. MARSHA CLAIBORNE 612/547-0556 Corp COMPREHENSIVE HOME CARE INC HCP-A 521 SOUTH 7TH STREET SUITE 516 (27230) MINNEAPOLIS, MN 55415 PHONE: 612/743-3146 FAX: 763/205-1829 MR. BRYAN CHRISTENSEN HWS-O Corp CROWN MEDICAL HOME HEALTH AGEN 1925 FIRST AVENUE SOUTH (26266) MINNEAPOLIS, MN 55403 PHONE: 612/871-4354 FAX: 612/872-4343 DR. JOYCE ONYEKABA HWS Lim-Liab CRS PENN RE-ENTRY LLC 3003 PENN AVENUE NORTH (26319) MINNEAPOLIS, MN 55411 PHONE: 763/566-2888 FAX: 763/566-3949 MR. MARCELL GARRETSON Home Mgmt Corp DIAMONDS HOME HEALTH CARE INC 2740 MINNEHAHA AVE #146 (27646) MINNEAPOLIS, MN 55406 PHONE: 612/724-4254 FAX: 612/722-2186 MS. SHUKRI YUSUF HWS NProf DIVERSIFIED PROPERTIES 2417 17TH AVENUE SOUTH #7 (27954) MINNEAPOLIS, MN 55407 PHONE: 612/722-8881 FAX: /- MS. KRISTEN BROWN HWS NProf DIVERSIFIED PROPERTY MANAGEMEN 2609 16TH AVENUE (28007) MINNEAPOLIS, MN 55406 PHONE: 612/722-8881 FAX: 612/722-0904 MS. KRISTEN BROWN HWS Corp DR THOMAS H JOHNSON HWS 5518/20 OLIVER AVENUE SOUTH (26116) MINNEAPOLIS, MN 55419 PHONE: 612/285-8743 FAX: 612/922-9276 MS. BETH BALENGER HWS Corp DR THOMAS H JOHNSON HWS 5543 45 PENN AVENUE SOUTH (24377) MINNEAPOLIS, MN 55419 PHONE: 612/285-8743 FAX: 612/922-9276 MS. BETH BALENGER HWS Corp DR THOMAS H JOHNSON HWS 2221 WEST 55TH STREET (23749) MINNEAPOLIS, MN 55419 PHONE: 612/285-8743 FAX: 612/922-9276 MS. BETH BALENGER Minnesota Department of Health Division of Compliance Monitoring Page 163 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS Corp DR THOMAS H JOHNSON'S HOUSE WI Registration 5515 - 5517 PENN AVENUE SO (21508) MINNEAPOLIS, MN 55419 PHONE: 612/285-8743 FAX: MS. BETH BALENGER 612/922-9276 NProf EBENEZER CARE CENTER BCH-104 NH-34 NF2-104 SNF-NF-34 2545 PORTLAND AVENUE SOUTH (00191) MINNEAPOLIS, MN 55404 PHONE: 612/879-2262 FAX: MR. JOEL PREVOST 612/879-2316 NProf EBENEZER HOME CARE HCP-F 2625 PARK AVENUE (27773) MINNEAPOLIS, MN 55407 PHONE: 612/871-4574 FAX: MS. MARY BETH DAVIS 612/872-7368 HWS-O NProf EBENEZER PARK APARTMENTS 2700 PARK AVENUE (20248) MINNEAPOLIS, MN 55407 PHONE: 612/879-2233 FAX: MS. ANGELA MATTSON 612/879-8111 HWS NProf EBENEZER TOWER APARTMENTS 2523 PORTLAND AVENUE (20227) MINNEAPOLIS, MN 55404 PHONE: 612/879-2243 FAX: 612/879-1424 NProf EDEN RESIDENTIAL PROGRAM MS. NANCY WEYKER SLFA-49 1025 PORTLAND AVENUE SOUTH (01584) MINNEAPOLIS, MN 55404 PHONE: 612/338-0723 FAX: 612/338-3653 MS. PAMELA LINDGREN Home Mgmt Corp ELDERCARE SOLUTIONS INC 100 SOUTH 5TH STREET #1075 (26036) MINNEAPOLIS, MN 55402 PHONE: 858/755-2829 FAX: MR. JOHN KIRIAZE 858/792-2899 HWS NProf ELLIOT APARTMENTS 1819 - 25 ELLIOT AVENUE SOUTH (28009) MINNEAPOLIS, MN 55404 PHONE: 612/455-5130 FAX: MS. RAHO WARSAME 612/455-5101 Corp ELLIOT CARE HOME INC BCH-15 NF2-15 1500 ELLIOT AVENUE SOUTH (00195) MINNEAPOLIS, MN 55404 PHONE: 612/339-2291 FAX: 612/339-2291 MR. MARK JEFFERIS HWS NProf ELLIOT COURT APARTMENTS 1132 SOUTH EIGHTH STREET (28020) MINNEAPOLIS, MN 55404 PHONE: 612/630-2264 FAX: /- MS. STACEY RAY Minnesota Department of Health Division of Compliance Monitoring Page 164 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS Part EMANUEL HOUSING LP Registration 822 SOUTH THIRD STREET (28506) MINNEAPOLIS, MN 55415 PHONE: 612/287-1600 FAX: Lim-Liab EXCEPTIONAL HOME HEALTH MS. LOIS MUELLER 612/287-1616 HCP-A 2110 W BROADWAY AVE (26696) MINNEAPOLIS, MN 55411 PHONE: 612/529-2886 FAX: NProf FAIRVIEW HOME CARE AND HOSPICE MS. TARA WATSON 612/521-1926 HCP-A HHA 2450 26TH AVENUE SOUTH (02187) MINNEAPOLIS, MN 55406 PHONE: 612/721-2491 FAX: Lim-Liab FAIRVIEW HOME INFUSION MS. KATHLEEN LUCAS 612/728-2400 HCP-A 711 B KASOTA AVENUE (21388) MINNEAPOLIS, MN 55414 PHONE: 612/672-2233 FAX: NProf FAIRVIEW HOSPICE MS. VANESSA HARTZLER 612/672-2234 Hospice HSPICE 2450 26TH AVENUE SOUTH (02466) MINNEAPOLIS, MN 55406 PHONE: 612/721-2491 FAX: 612/728-2400 NProf FAIRVIEW UNIVERSITY TRANS SERV MS. KATHLEEN LUCAS NH-53 NF1-9 SNF-NF-44 2450 RIVERSIDE AVENUE SOUTH (00259) MINNEAPOLIS, MN 55454 PHONE: 612/273-4197 FAX: 612/273-7950 NProf FAMILIES HOME CARE MS. SHARON JOHNSON HCP-B 9909 SOUTH SHORE DRIVE #210 (28187) MINNEAPOLIS, MN 55441 PHONE: 763/545-9606 FAX: Corp FAMILY CARE SERVICES INC MS. CYNTHIA CHAVAN 763/592-7910 HCP-A HHA 2500 MINNEHAHA AVE SOUTH (21182) MINNEAPOLIS, MN 55404 PHONE: 612/340-0733 FAX: 612/340-0032 MR. MUSTAFA MOHAMED HWS NProf FIRST EQUITY GROUP 726 30TH AVENUE NORTH (27266) MINNEAPOLIS, MN 55411 PHONE: 612/889-4202 FAX: 952/856-5124 MS. JANELLE LEPPA HWSAL Part FIRST PREMIER HOME HEALTH CARE 3726 FREMONT AVENUE NORTH (25349) MINNEAPOLIS, MN 55412 PHONE: 612/520-2470 FAX: 612/520-2473 MS. TRENA ALLBRITTON Minnesota Department of Health Division of Compliance Monitoring Page 165 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------ESRD Corp FMCNA PARK AVE DIALYSIS CENTER Registration 2637 PARK AVENUE (02409) MINNEAPOLIS, MN 55407 PHONE: 612/872-1946 FAX: MS. JILL FRAKI 612/872-4373 ESRD Corp FMCNA SOUTH MPLS DIALYSIS CTR 4310 NICOLLET AVENUE SOUTH (03801) MINNEAPOLIS, MN 55409 PHONE: 612/822-4411 FAX: MS. LYNNE HAMILTON 612/872-7770 HWS NProf FOLWELL PARK APARTMENTS 3753 GIRARD AVENUE NORTH (27483) MINNEAPOLIS, MN 55412 PHONE: 612/522-3394 FAX: MS. KRISTEN BROWN 612/521-9714 Corp FRANKLIN FAMILY HOME HEALTH AG HCP-A 100 EAST FRANKLIN AVENUE (24660) MINNEAPOLIS, MN 55403 PHONE: 612/871-4354 FAX: MS. FRANCESCA IWUNZE 612/872-4343 HWS NProf FRANKLIN HOUSING COOPERATIVE 2300 EAST FRANKLIN AVENUE (27868) MINNEAPOLIS, MN 55406 PHONE: 612/338-4574 FAX: 612/338-4579 Corp GATEWAY HOMECARE SERVICES MS. KRISTEN BROWN HCP-B 912 EAST 24TH STREET STE B207 (26807) MINNEAPOLIS, MN 55404 PHONE: 612/871-1109 FAX: 612/874-3206 MR. AHMED ALI HWS NProf GATEWAY LOFTS 2623 WEST BROADWAY (28476) MINNEAPOLIS, MN 55411 PHONE: 612/721-6256 FAX: MS. KRISTEN BROWN /- Corp GIVING GLORY HEALTH CARE SERVI HCP-F HWS-O 334 PIERCE STREET NE (27089) MINNEAPOLIS, MN 55413 PHONE: 612/379-4811 FAX: 612/379-4811 MS. FEYISAYO (FEYI OJOYEYI HWS NProf GOFF HOLDINGS INC 5754 33RD AVENUE SOUTH (28386) MINNEAPOLIS, MN 55417 PHONE: 612/285-1009 FAX: 612/285-1010 MS. KRISTEN BROWN HWS NProf GOFF HOLDINGS LLC 5753 SANDER DRIVE (28504) MINNEAPOLIS, MN 55417 PHONE: 612/285-1009 FAX: 612/285-1010 MS. KRISTEN BROWN Minnesota Department of Health Division of Compliance Monitoring Page 166 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab GOLDEN LIVINGCENTER CHATEAU Certification HENNEPIN Registration (Cont.)* -------------------------- NH-75 SNF-NF-75 2106 SECOND AVENUE SOUTH (00937) MINNEAPOLIS, MN 55404 PHONE: 612/874-1603 FAX: MR. TIMOTHY JOHNSON 612/874-0213 HWS-O Lim-Liab GOLDEN NEST LLC 1918 19TH AVENUE NORTHEAST (27473) MINNEAPOLIS, MN 55418 PHONE: 651/755-2836 FAX: NProf GOOD SAM SOCTY UNIV SPEC CARE MS. HONGJOO LEE 612/861-7509 NH-165 SNF-NF-165 22 27TH AVENUE SOUTHEAST (00890) MINNEAPOLIS, MN 55414 PHONE: 612/332-4262 FAX: NProf GRACE PLACE MS. SHARON ST. MARY 612/673-6271 HCP-F 630 CEDAR AVENUE SOUTH B-1 (03860) MINNEAPOLIS, MN 55454 PHONE: 612/332-3483 FAX: MS. YOONJU PARK 612/342-1341 HWSAL City GRACE PLACE ASSISTED LIVING 630 CEDAR AVE S #B-1 (24891) MINNEAPOLIS, MN 55454 PHONE: 612/342-1358 FAX: 612/342-1337 Corp GRAND AVE REST HOME MS. MARY BOLER BCH-20 NF2-20 3956 GRAND AVENUE SOUTH (00208) MINNEAPOLIS, MN 55409 PHONE: 612/824-1434 FAX: 612/824-2219 MR. ALLEN SODERBECK HWS-O Corp GRANDMA'S PLACE INC 4100 THOMAS AVENUE NORTH (24788) MINNEAPOLIS, MN 55412 PHONE: 763/560-2500 FAX: MR. RON HENDRICKSON 763/561-0159 HWS Lim-Liab HARMONY HOUSE 109 24TH STREET EAST (23128) MINNEAPOLIS, MN 55404 PHONE: 612/872-1926 FAX: Lim-Liab HEALTHMAX HOME HEALTH SERVICES MS. CARLEEN FLETTRE 612/872-7757 HCP-A 125 W BROADWAY AVE STE 102 (25988) MINNEAPOLIS, MN 55411 PHONE: 612/886-1009 FAX: Corp HELPING ANGELS HOME CARE INC MS. NIMO AHMED 612/677-3947 HCP-A 620 16TH AVE S #6 (26624) MINNEAPOLIS, MN 55454 PHONE: 612/203-0078 FAX: 612/454-2577 MR. ADIIZAK AHMED Minnesota Department of Health Division of Compliance Monitoring Page 167 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------Home Mgmt Lim-Liab HELPING HEARTS IN HOME CARE LL Registration 4115 25TH AVENUE SOUTH (27947) MINNEAPOLIS, MN 55406 PHONE: 612/721-1288 FAX: MS. AMADOR PACHECO /- Cnty HENNEPIN COUNTY MEDICAL CTR BASS-65 HOSP-894 HOSP-765 PPS-P-102 PPS-R-27 701 PARK AVENUE SOUTH (00211) MINNEAPOLIS, MN 55415 PHONE: 612/873-2338 FAX: DR. ARTHUR GONZALEZ 612/904-4214 ESRD Corp HOME DIALYSIS UNIT OF TRC INC 825 SO EIGHTH ST SUITE 1202 (21098) MINNEAPOLIS, MN 55404 PHONE: 612/347-4458 FAX: Corp HOMLIFE HEALTHCARE MR. MARK BRATLAND 612/341-7944 HCP-A 4205 WEBBER PARKWAY (27998) MINNEAPOLIS, MN 55412 PHONE: 612/521-1569 FAX: MS. BARBRA PETTIS 612/521-1576 HWS ONProf HOPE COMMUNITY INC 2023 PORTLAND AVENUE SOUTH (27798) MINNEAPOLIS, MN 55404 PHONE: 612/874-8867 FAX: 612/874-8650 MS. MARY KEEFE HWS ONProf HOPE COMMUNITY INC 2115 PORTLAND AVENUE SOUTH (27418) MINNEAPOLIS, MN 55404 PHONE: 612/874-8867 FAX: 612/874-8650 MS. MARY KEEFE HWS NProf JDR PROPERTIES 2934 CEDAR AVENUE (28547) MINNEAPOLIS, MN 55407 PHONE: 612/872-2489 FAX: NProf JONES HARRISON RES ASST LVG MS. KRISTEN BROWN 612/872-2359 HCP-F HWSAL 3700 CEDAR LAKE AVENUE (20654) MINNEAPOLIS, MN 55416 PHONE: 612/928-3544 FAX: NProf JONES HARRISON RESIDENCE MS. CHERYL GLISCZINSKI 612/225-1190 NH-163 SNF-NF-163 3700 CEDAR LAKE AVENUE (00216) MINNEAPOLIS, MN 55416 PHONE: 612/920-2030 FAX: NProf JORGENSEN HOUSE MS. JO ANN BUYTENDORP 612/920-2824 SLFA-6 3444 GIRARD AVENUE SOUTH (01535) MINNEAPOLIS, MN 55408 PHONE: 612/825-9856 FAX: 612/825-1056 MR. GEORGE KLAUSER Minnesota Department of Health Division of Compliance Monitoring Page 168 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp KAAL HOME HEALTHCARE SERVICES Certification HENNEPIN Registration (Cont.)* -------------------------- HCP-A 2700 EAST 28TH STREET (26645) MINNEAPOLIS, MN 55406 PHONE: 612/872-1950 FAX: MR. ABDULLAHI DAUD 612/872-1788 Lim-Liab KEYSTONE COMMUNITIES MANAGEMEN HCP-F 401 NORTH 3RD STREET SUITE 350 (27702) MINNEAPOLIS, MN 55401 PHONE: 612/886-2035 FAX: MR. MICHAEL LEWIS 612/886-2592 HWS-O Part KINGSLEY COMMONS 4550 HUMBOLDT AVENUE NORTH (25129) MINNEAPOLIS, MN 55412 PHONE: 651/588-2303 FAX: MS. ELIZABETH HAGSTROM 651/291-1003 HWS NProf KIRBY VENTURES INC 3028 THIRD AVENUE SOUTH (27264) MINNEAPOLIS, MN 55409 PHONE: 612/396-2761 FAX: MS. JANELLE LEPPA /- HWS NProf LASALLE COMMONS 1517 LASALLE AVENUE SOUTH (27481) MINNEAPOLIS, MN 55403 PHONE: 612/871-1666 FAX: 612/871-2187 MS. KRISTEN BROWN Home Mgmt Lim-Liab LIFELINE SENIOR SERVICE LLC 2550 BURNHAM ROAD (27722) MINNEAPOLIS, MN 55416 PHONE: 612/964-2795 FAX: 612/871-1652 MR. JEFFREY WILWERDING HWS NProf LINDEN AVENUE APARTMENTS 1302 LINDEN AVENUE (27884) MINNEAPOLIS, MN 55403 PHONE: 612/599-2270 FAX: MS. KRISTEN BROWN /- Corp LIVING CHALLENGE SLFA-6 701 EAST 57TH STREET (01527) MINNEAPOLIS, MN 55417 PHONE: 952/922-8466 FAX: 952/922-8463 MR. PRINCE ADE DEMEHIN HWS-O NProf LOREN ON PARK 2625 PARK AVENUE (28125) MINNEAPOLIS, MN 55407 PHONE: 612/871-4574 FAX: 612/872-7368 MS. MARY BETH DAVIS HWSAL HRA LYNDALE MANOR 600 18TH AVENUE NORTH (21515) MINNEAPOLIS, MN 55411 PHONE: 612/344-2292 FAX: 612/302-7090 MS. MARY BOLER Minnesota Department of Health Division of Compliance Monitoring Page 169 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS NProf LYNWOOD COMMONS Registration 2211 CLINTON AVENUE SOUTH (27865) MINNEAPOLIS, MN 55404 PHONE: 612/866-2527 FAX: MS. KRISTEN BROWN /- HWSAL NProf MAIN STREET LODGE 909 MAIN STREET NORTHEAST (20105) MINNEAPOLIS, MN 55413 PHONE: 612/362-2450 FAX: MR. MICHAEL SHASKY 612/362-2449 Ind MARCIA L OLSON HCP-C 518 RUSSELL AVENUE NORTH (25467) MINNEAPOLIS, MN 55405 PHONE: 612/747-3176 FAX: MS. MARCIA OLSON /- Corp MARIA HOME SLFA-6 ICFMR-6 2809 31ST AVENUE SOUTH (20721) MINNEAPOLIS, MN 55406 PHONE: 612/871-0805 FAX: MR. DAN SCHNEIDER 612/871-0455 Lim-Liab MARIYA HOME CARE INC HCP-A 2940 PILLSBURY AVE SUITE 203 (23623) MINNEAPOLIS, MN 55408 PHONE: 612/823-4305 FAX: 612/823-4263 Corp MEISA SUPPORT SERVICES LLC MR. SAEED HUSSEIN FARAH HCP-A 970 EAST HENNEPIN AVENUE (27291) MINNEAPOLIS, MN 55414 PHONE: 612/454-4175 FAX: 612/454-4176 Corp METRO AREA CARE PROVIDERS INC MR. ABEDELHALIM LAWABNI HCP-A HHA 2825 CEDAR AVENUE SOUTH (24902) MINNEAPOLIS, MN 55407 PHONE: 612/338-5661 FAX: 888/216-9564 MR. IDRIS ABDI Home Mgmt Corp METRO HOME HEALTH CARE SVCS IN 3438 SNELLING AVENUE SOUTH (27880) MINNEAPOLIS, MN 55406 PHONE: 612/871-6773 FAX: 612/871-6980 MR. ABDULKADIR WARSAME HWS Corp MI CASA ON CENTRAL 3439 CENTRAL AVENUE NORTHEAST (26290) MINNEAPOLIS, MN 55418 PHONE: 612/788-9757 FAX: 612/789-6564 MR. LANCE GARRISON HWS Corp MI CASA ON TYLER 3430 TYLER AVENUE NORTHEAST (26289) MINNEAPOLIS, MN 55418 PHONE: 612/788-9757 FAX: /- MR. LANCE GARRISON Minnesota Department of Health Division of Compliance Monitoring Page 170 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp MIDWEST PROFESSIONAL SERVICES Certification HENNEPIN Registration (Cont.)* -------------------------- HCP-A HHA 801 PARK AVENUE (24359) MINNEAPOLIS, MN 55404 PHONE: 612/343-3265 FAX: MS. PAMELA ROCKLAGE 612/343-3267 Corp MILS HOME HEALTH CARE AGENCY HCP-A HHA 2010 EAST HENNEPIN AVENUE #051 (02993) MINNEAPOLIS, MN 55413 PHONE: 612/379-4027 FAX: MR. DAVID DREIER 612/379-3489 ESRD Corp MINNEAPOLIS DIALYSIS UNIT 825 SO 8TH STREET SUITE 16 (02100) MINNEAPOLIS, MN 55404 PHONE: 612/347-5972 FAX: MR. DAVID LUHRING 612/347-5876 ESRD Corp MINNEAPOLIS NE DIALYSIS 1049 10TH AVENUE SE (21690) MINNEAPOLIS, MN 55414 PHONE: 253/272-1916 FAX: MS. TAMMY FOLDEN /- HWSAL City MINNEAPOLIS PUBLIC HOUSING AUT 350 VAN WHITE MEMORIAL BLVD (24321) MINNEAPOLIS, MN 55405 PHONE: 612/344-2296 FAX: 612/377-6309 MS. MARY BOLER ESRD Corp MINNEAPOLIS UPTOWN DIALYSIS 3601 LYNDALE AVE SOUTH (25314) MINNEAPOLIS, MN 55409 PHONE: 612/825-4583 FAX: 612/825-4651 MR. GREGORY CHATMAN Lim-Liab MINNESOTA BIRTH CENTER 2606 CHICAGO AVENUE SOUTH (28380) MINNEAPOLIS, MN 55407 PHONE: 612/545-5311 FAX: MS. CHRISTIANA FITCH /- NProf MINNESOTA TEEN CHALLENGE BCH-53 1507 LOWRY AVENUE NORTHEAST (00272) MINNEAPOLIS, MN 55418 PHONE: 612/373-3366 FAX: State MN VETERANS HOME MINNEAPOLIS MRS. WENDY LOWRY 612/871-2541 BCH-161 NH-341 5101 MINNEHAHA AVENUE SOUTH (00233) MINNEAPOLIS, MN 55417 PHONE: 612/548-5700 FAX: NProf MN VISITING NURSE AGENCY MS. SHELLEY KENDRICK 612/548-5711 HCP-A HHA 3433 BROADWAY ST NE SUITE 300 (02037) MINNEAPOLIS, MN 55413 PHONE: 612/617-4600 FAX: 612/617-4782 DR. JEN VAN LIEW Minnesota Department of Health Division of Compliance Monitoring Page 171 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab MOORE BOARD AND CARE INC Certification HENNEPIN Registration (Cont.)* -------------------------- HCP-F HWS 3552 CLINTON AVENUE SOUTH (21618) MINNEAPOLIS, MN 55408 PHONE: 612/822-8757 FAX: MS. CHRISTINE MOORE 612/822-1758 NProf MOUNT OLIVET CAREVIEW HOME NH-153 SNF-NF-153 5517 LYNDALE AVENUE SOUTH (00178) MINNEAPOLIS, MN 55419 PHONE: 612/827-5677 FAX: MR. TIMOTHY HOKANSON 612/821-3241 Church MOUNT OLIVET HOME BCH-94 NF2-94 5517 LYNDALE AVENUE SOUTH (00236) MINNEAPOLIS, MN 55419 PHONE: 612/827-5677 FAX: MR. TIMOTHY HOKANSON 612/821-3241 HWS NProf MUTUAL MANAGEMENT 608 20TH AVENUE SOUTH (27374) MINNEAPOLIS, MN 55454 PHONE: 612/339-9164 FAX: MS. JANELLE LEPPA 612/333-8185 NProf NANCY PAGE PROG OF PEOPLE INC SLFA-16 245 SOUTH CLIFTON (01338) MINNEAPOLIS, MN 55403 PHONE: 612/870-3787 FAX: 612/870-3783 MR. JAMES OLSON HWSAL Corp NEW DIRECTIONS RESIDENTIAL SER 3231 SIXTH STREET NORTH (28250) MINNEAPOLIS, MN 55411 PHONE: 612/545-5240 FAX: /- MS. TRENA ALLBRITTON HWS NProf NICOLLET COMMONS LLC 3230 NICOLLET AVENUE SOUTH (25172) MINNEAPOLIS, MN 55408 PHONE: 651/248-9819 FAX: MS. KRISTEN BROWN /- HWS NProf NICOLLET COURT 2211 CLINTON AVENUE SOUTH (27613) MINNEAPOLIS, MN 55404 PHONE: 952/888-1270 FAX: MS. KRISTEN BROWN /- HWS Part NICOLLET SQUARE 3710 NICOLLET AVENUE (27314) MINNEAPOLIS, MN 55409 PHONE: 612/871-0890 FAX: NProf NORTH OAKS ON EMERSON MS. LEE BLONS 612/871-0843 HCP-F HWSAL 2929 EMERSON AVENUE NORTH (20218) MINNEAPOLIS, MN 55411 PHONE: 612/521-2929 FAX: 612/522-2921 MR. MIKE MILLER Minnesota Department of Health Division of Compliance Monitoring Page 172 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS NProf OAK GROVE APARTMENTS Registration 227 OAK GROVE STREET (28130) MINNEAPOLIS, MN 55403 PHONE: 612/871-3313 FAX: MS. KRISTEN BROWN 612/871-9448 Corp OAK GROVE CARE CENTER INC HCP-F 1822 PARK AVENUE SOUTH (25518) MINNEAPOLIS, MN 55404 PHONE: 612/871-5800 FAX: MS. SARA WILLIAMS 612/872-6815 Corp OLUS HOME INC HCP-A 4013 PARK AVENUE SOUTH (28291) MINNEAPOLIS, MN 55407 PHONE: 612/824-1142 FAX: MS. GLORIA FREEMAN 612/824-1456 NProf OUTREACH STEVENS SLFA-6 ICFMR-6 5240 QUEEN AVENUE NORTH (20664) MINNEAPOLIS, MN 55430 PHONE: 612/588-4825 FAX: MS. MARY TJOSVOLD 612/521-6654 HWS-O NProf PAIGE HALL 727 SOUTH 5TH AVENUE (25779) MINNEAPOLIS, MN 55404 PHONE: 612/204-8319 FAX: /- MS. STACEY RAY Lim-Liab PANGEA CARE GROUP HCP-A 3036 GRAND AVE S #302 (28033) MINNEAPOLIS, MN 55408 PHONE: 612/377-1118 FAX: 612/377-1119 MS. HALIMA FARAH HWS NProf PARK AVENUE APARTMENTS 2211 CLINTON AVENUE SOUTH (27866) MINNEAPOLIS, MN 55404 PHONE: 952/405-7480 FAX: MS. KRISTEN BROWN /- HWS ONProf PARK AVENUE APARTMENTS 2418 PARK AVENUE (26531) MINNEAPOLIS, MN 55404 PHONE: 612/871-0221 FAX: 612/871-0354 MS. DAWN HORGAN HWS NProf PARK TWO 214 15TH STREET WEST (26900) MINNEAPOLIS, MN 55403 PHONE: 612/871-6581 FAX: MS. KRISTEN BROWN /- HWSAL City PARKER SKYVIEW 1815 CENTRAL AVENUE NORTHEAST (21761) MINNEAPOLIS, MN 55418 PHONE: 612/342-2266 FAX: 612/781-3495 MR. BILL KOS Minnesota Department of Health Division of Compliance Monitoring Page 173 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWSAL Ind PASSION CARE Registration 4347 4TH AVENUE SOUTH (28172) MINNEAPOLIS, MN 55409 PHONE: 612/823-3880 FAX: MR. JOHNNIE LEE /- Ind PASSION CARE HCP-A 4347 4TH AVENUE SOUTH (28038) MINNEAPOLIS, MN 55409 PHONE: 612/823-3880 FAX: MR. JOHNNIE LEE /- Lim-Liab PCA AGENCY HCP-A 5201 BRYANT AVENUE N (27750) MINNEAPOLIS, MN 55430 PHONE: 612/703-2901 FAX: MR. JAMES SAYDEE 763/205-2312 Lim-Liab PEACEFUL CARE LLC HCP-A 920 EAST LAKE STREET #111 (28557) MINNEAPOLIS, MN 55407 PHONE: 612/701-6094 FAX: MR. ROGER CREWS /- HWS NProf PENN OAK APARTMENTS 3528 PENN AVENUE NORTH (27371) MINNEAPOLIS, MN 55412 PHONE: 612/522-3394 FAX: 612/521-9714 NProf PEOPLE II MS. KRISTEN BROWN SLFA-6 ICFMR-6 1380 WEST MINNEHAHA PARKWAY (01556) MINNEAPOLIS, MN 55419 PHONE: 612/827-4671 FAX: 612/827-1259 NProf PEOPLE INCORP EPILEPSY SERVIC MS. GAYLE CARNEY HCP-F HWS-O 630 CEDAR AVENUE #201 (21819) MINNEAPOLIS, MN 55454 PHONE: 612/338-9035 FAX: NProf PEOPLE INCORPORATED DSL MR. M. TIMOTHY BURKETT 612/338-1160 HCP-F HWS-O 726 NORTHEAST 2ND STREET (23646) MINNEAPOLIS, MN 55413 PHONE: 612/331-3525 FAX: NProf PHILLIPS EYE INSTITUTE MS. MEGAN DAVIS 612/331-3587 HOSP-20 HOSP-20 2215 PARK AVENUE SOUTH (00231) MINNEAPOLIS, MN 55404 PHONE: 612/775-8815 FAX: 612/775-9601 MS. JOAN ARBACH HWSAL-O Corp PINNACLE SERVICES - JACKSON SQ 2902 POLK STREET NORTHEAST (26848) MINNEAPOLIS, MN 55418 PHONE: 612/208-1369 FAX: 612/208-1369 MS. JILL CIHLAR Minnesota Department of Health Division of Compliance Monitoring Page 174 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp PINNACLE SERVICES INC Certification HENNEPIN Registration (Cont.)* -------------------------- HCP-A 724 CENTRAL AVE NE (24508) MINNEAPOLIS, MN 55414 PHONE: 612/977-3100 FAX: MS. JILL CIHLAR 612/977-3110 NProf PROVIDENCE PLACE NH-204 SNF-NF-204 3720 23RD AVENUE SOUTH (00096) MINNEAPOLIS, MN 55407 PHONE: 612/724-5495 FAX: MR. JOEL KELSH 612/729-6271 Part QUALITY FOOTCARE HCP-A 2010 EAST HENNEPIN AVE BOX 051 (24711) MINNEAPOLIS, MN 55413 PHONE: 612/588-2696 FAX: MS. AMY KEMMETMUELLER 612/379-3489 NProf RAKHMA PEACE HOME HCP-F HWSAL 4953 ALDRICH AVENUE SOUTH (20103) MINNEAPOLIS, MN 55419 PHONE: 612/824-2345 FAX: MS. SUSAN ECKSTROM 612/824-3165 HWS NProf REA-HAL PROPERTIES 1901 COLFAX AVENUE (27889) MINNEAPOLIS, MN 55403 PHONE: 612/868-6283 FAX: /- MS. KRISTEN BROWN Church REDEEMER RESIDENCE INC NH-129 SNF-NF-129 625 WEST 31ST STREET (00160) MINNEAPOLIS, MN 55408 PHONE: 612/827-2555 FAX: 612/827-0450 Corp REENTRY HOUSE MR. DANNY COLGAN SLFA-16 5812 LYNDALE AVENUE SOUTH (01470) MINNEAPOLIS, MN 55419 PHONE: 612/869-2411 FAX: Corp REM HENNEPIN (PILLSBURY) MS. FRAN LESIE KO 612/869-0313 SLFA-21 ICFMR-21 2311 PILLSBURY AVENUE SOUTH (01029) MINNEAPOLIS, MN 55404 PHONE: 952/591-0797 FAX: Corp REM HENNEPIN INC (LYNDALE) MS. CONNIE MENNE 952/591-0050 SLFA-10 ICFMR-10 1307 6TH STREET SE (21654) MINNEAPOLIS, MN 55414 PHONE: 952/591-0797 FAX: Corp REM HENNEPIN INC QUEEN MS. CONNIE MENNE 952/591-0050 SLFB-6 ICFMR-6 614 QUEEN AVENUE SOUTH (01130) MINNEAPOLIS, MN 55405 PHONE: 952/591-0797 FAX: 952/591-0050 MS. CONNIE MENNE Minnesota Department of Health Division of Compliance Monitoring Page 175 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS NProf REMINGTON CAMPUS APARTMENTS Registration 414 7TH AVENUE SOUTHEAST (27275) MINNEAPOLIS, MN 55414 PHONE: 612/378-0501 FAX: MS. KRISTEN BROWN /- HWS-O NProf RESTART INC 1111 SEVENTH STREET S APT #34 (21905) MINNEAPOLIS, MN 55415 PHONE: 612/664-0119 FAX: MR. JAMES JASPER 612/664-0140 HWS-O NProf RESTART INC - 614 614 8TH STREET SOUTHEAST (25373) MINNEAPOLIS, MN 55414 PHONE: 612/379-9409 FAX: MR. JAMES JASPER 612/331-9175 HWS-O NProf RESTART INC - ELLIOT 4317 ELLIOT AVENUE SOUTH (25370) MINNEAPOLIS, MN 55407 PHONE: 612/822-3506 FAX: MR. JAMES JASPER 612/824-2719 HWS-O NProf RESTART INC - KATHY'S PLACE 4525-B ALDRICH AVENUE SOUTH (25372) MINNEAPOLIS, MN 55419 PHONE: 612/822-5372 FAX: 612/827-4967 MR. JAMES JASPER HWS-O NProf RESTART INC - MINNEHAHA 4652 MINNEHAHA AVENUE SOUTH (25371) MINNEAPOLIS, MN 55406 PHONE: 612/729-1460 FAX: 612/729-5059 Lim-Liab RIGHT AT HOME MR. JAMES JASPER HCP-A 1304 UNIVERSITY AVENUE NE #303 (26963) MINNEAPOLIS, MN 55413 PHONE: 612/235-4130 FAX: MS. LYDIA JARMULOWICZ 612/392-0023 HWS NProf RIPLEY GARDENS 310 QUEEN AVENUE NORTH (25471) MINNEAPOLIS, MN 55405 PHONE: 651/774-0011 FAX: MR. GEOFF MEYER 651/774-0606 Lim-Liab RIVERSIDE ENDOSCOPY CENTER LLC Outpt Surg Amb Surg 606 24TH AVENUE SO SUITE 800 (21592) MINNEAPOLIS, MN 55454 PHONE: 651/225-7999 FAX: 651/225-7997 MR. TOM NORDSTROM HWS NProf RIVERSIDE PLAZA 1530 S 6TH ST (CHASE BLDG C) (25903) MINNEAPOLIS, MN 55454 PHONE: 612/204-8319 FAX: /- MS. STACEY RAY Minnesota Department of Health Division of Compliance Monitoring Page 176 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS NProf RIVERSIDE PLAZA BUILDING D Registration 1630 SOUTH 6TH STREET (25063) MINNEAPOLIS, MN 55454 PHONE: 612/204-8319 FAX: MS. STACEY RAY 612/375-9105 HWS NProf RIVERSIDE PLAZA BUILDING M 1615 SOUTH 4TH STREET (25064) MINNEAPOLIS, MN 55454 PHONE: 612/204-8319 FAX: MS. STACEY RAY 612/375-9105 Part RIVERSIDE PROFESSIONAL HEALTH HCP-A 1929 SOUTH 5TH STREET #200 (27345) MINNEAPOLIS, MN 55454 PHONE: 612/359-9917 FAX: MS. CHALI BEDASSO 612/359-9917 HWSAL NProf RIVERVILLAGE EAST 2919 RANDOLPH STREET NORTHEAST (23147) MINNEAPOLIS, MN 55418 PHONE: 612/605-2500 FAX: MR. MICHAEL SHASKY 612/605-2504 HWS NProf RIVERVILLAGE NORTH 2921 RANDOLPH STREET NORTHEAST (23036) MINNEAPOLIS, MN 55418 PHONE: 612/605-2501 FAX: 612/605-2502 Lim-Liab ROBIN HINTZ MA CCC-SLP LLC MR. MICHAEL SHASKY HCP-A 18 NORTH 12TH STREET (28556) MINNEAPOLIS, MN 55405 PHONE: 952/393-6412 FAX: /- MS. ROBIN HINTZ HWS NProf RS EDEN 1828 CENTRAL AVENUE NORTHEAST (22051) MINNEAPOLIS, MN 55418 PHONE: 612/782-2999 FAX: MS. LOIS MUELLER 612/781-5723 HWS Lim-Liab RS EDEN / DILLION APARTMENTS 3210 LYNDALE AVENUE NORTH (25594) MINNEAPOLIS, MN 55411 PHONE: 612/287-1600 FAX: MS. LOIS MUELLER 612/287-1616 HWS Lim-Liab RS EDEN / DILLION APARTMENTS 3218 LYNDALE AVENUE NORTH (25595) MINNEAPOLIS, MN 55411 PHONE: 612/287-1600 FAX: Lim-Liab SENIOR HELPERS MS. LOIS MUELLER 612/287-1616 HCP-A 7362 UNIVERSITY AVE NE STE 210 (26976) MINNEAPOLIS, MN 55432 PHONE: 763/432-7037 FAX: 763/432-7059 MS. ILENE MILLER Minnesota Department of Health Division of Compliance Monitoring Page 177 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------Home Mgmt Ind SENIOR SUPPORT AND CARE Registration 4019 LINDEN HILLS BOULEVARD (27382) MINNEAPOLIS, MN 55410 PHONE: 612/669-7007 FAX: MS. COLLEEN SARAT /- HWS Lim-Liab SERENITY PLACE 2409 1ST AVENUE SOUTH (24075) MINNEAPOLIS, MN 55404 PHONE: 612/872-1926 FAX: MS. CARLEEN FLETTRE 612/871-9202 HWS NProf SEWARD FLATS 2104 22ND AVENUE SOUTH (27373) MINNEAPOLIS, MN 55404 PHONE: 612/664-1764 FAX: MS. KRISTEN BROWN /- HWS NProf SEWARD FLATS 2019 21ST AVENUE SOUTH (27956) MINNEAPOLIS, MN 55404 PHONE: 612/664-1764 FAX: MS. KRISTEN BROWN 612/664-1780 HWS NProf SEWARD FLATS 2020 22ND AVENUE SOUTH (28021) MINNEAPOLIS, MN 55404 PHONE: 612/328-5101 FAX: /- MS. KRISTEN BROWN Corp SHABA HEALTH SERVICES CORP HCP-A 617 CEDAR AVENUE SOUTH #A (28120) MINNEAPOLIS, MN 55454 PHONE: 612/867-9699 FAX: 612/354-7152 MR. ABDULLAHI SHABA HWS NProf SHINGLE CREEK COMMONS 4600 HUMBOLDT AVENUE NORTH (25160) MINNEAPOLIS, MN 55412 PHONE: 612/588-2303 FAX: ONProf SHRINERS HOSPITAL FOR CHILDREN MS. ELIZABETH HAGSTROM 651/291-1003 HOSP-40 2025 EAST RIVER PARKWAY (00256) MINNEAPOLIS, MN 55414 PHONE: 612/596-6100 FAX: 612/339-7634 MR. CHARLES LOBECK Home Mgmt Corp SIFA CARE INC 2736 LYNDALE AVE S #212 (25045) MINNEAPOLIS, MN 55408 PHONE: 612/870-1570 FAX: 612/870-1571 MR. AHMED MOHAMUD HWSAL City SIGNE BURCKHARDT MANOR 2533 FIRST AVENUE SOUTH (20278) MINNEAPOLIS, MN 55404 PHONE: 612/821-2190 FAX: 612/872-4472 MS. MARY BOLER Minnesota Department of Health Division of Compliance Monitoring Page 178 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS NProf SLATER SQUARE Registration 1425 PORTLAND AVENUE SOUTH (24934) MINNEAPOLIS, MN 55404 PHONE: 612/204-8319 FAX: MS. STACEY RAY 612/375-9105 HWS NProf SLATER SQUARE 1420 S PORTLAND AVENUE (24793) MINNEAPOLIS, MN 55404 PHONE: 612/340-1261 FAX: MS. STACEY RAY 612/340-9580 HWS NProf SLATER SQUARE 1412 PORTLAND AVENUE (24795) MINNEAPOLIS, MN 55404 PHONE: 612/340-1261 FAX: MS. STACEY RAY 612/340-9580 HWS NProf SLATER SQUARE 1416 PORTLAND AVENUE SOUTH (24794) MINNEAPOLIS, MN 55404 PHONE: 612/340-1261 FAX: MS. STACEY RAY 612/340-9580 HWS NProf SLATER SQUARE 1400 PORTLAND AVE S (24896) MINNEAPOLIS, MN 55404 PHONE: 612/204-8319 FAX: /- MS. STACEY RAY Corp SOUTHSIDE CARE CENTER BCH-17 NF2-17 2644 ALDRICH AVENUE SOUTH (00780) MINNEAPOLIS, MN 55408 PHONE: 612/872-4233 FAX: 612/872-0005 Lim-Liab SPECIALTY CARE GROUP MR. MARK ANDERSON HCP-A 2113 GIRARD AVE S STE 2 (27391) MINNEAPOLIS, MN 55405 PHONE: 612/925-5008 FAX: MR. JESSUA MATHIEU 612/435-9844 NProf ST OLAF RESIDENCE NH-80 SNF-NF-80 2912 FREMONT AVENUE NORTH (00260) MINNEAPOLIS, MN 55411 PHONE: 612/287-3565 FAX: 612/522-2921 MR. DONALD FLACK III HWS NProf ST STEPHENS HUMAN SERVICES 2211 CLINTON AVENUE SOUTH (27535) MINNEAPOLIS, MN 55404 PHONE: 612/990-7333 FAX: 612/729-8404 MS. KRISTEN BROWN HWS Lim-Liab STEP AHEAD RESIDENTIAL GROUP H 2701 14TH AVENUE SOUTH (28483) MINNEAPOLIS, MN 55407 PHONE: 612/369-5323 FAX: /- MR. KEYF ABDI Minnesota Department of Health Division of Compliance Monitoring Page 179 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS NProf STRADFORD FLATS Registration 2211 CLINTON AVENUE SOUTH (27479) MINNEAPOLIS, MN 55404 PHONE: 612/664-1764 FAX: MS. KRISTEN BROWN /- Corp SU CASA HOME CARE HCP-F 3427 CENTRAL AVENUE NE (26288) MINNEAPOLIS, MN 55418 PHONE: 612/788-9757 FAX: MR. RANDAL HALEMEYER 612/789-6564 Corp SUMMIT HEALTHCARE INC HCP-A 3018 EAST LAKE STREET (21160) MINNEAPOLIS, MN 55406 PHONE: 612/721-7776 FAX: MR. MAXWELL AFORO 612/722-3578 HWS Lim-Liab SUPPORTIVE LIVING SOLUTIONS LL 2401 1ST AVENUE SOUTH (23129) MINNEAPOLIS, MN 55404 PHONE: 612/872-1926 FAX: MS. CARLEEN FLETTRE 612/872-7757 Corp SUPREME CARE INC HCP-A 1433 EAST FRANKLIN AVENUE (24759) MINNEAPOLIS, MN 55404 PHONE: 612/343-4004 FAX: 612/343-4007 MR. MOHAMED ISSE HWS NProf SVEDAHL INVESTMENTS 3521 12TH AVENUE (28360) MINNEAPOLIS, MN 55409 PHONE: 612/270-7844 FAX: 612/395-3315 Lim-Liab SYNERGY HOME CARE MSP METRO MS. KRISTEN BROWN HCP-B 3433 BROADWAY ST NE STE 215 (26669) MINNEAPOLIS, MN 55413 PHONE: 612/455-2585 FAX: MR. JAMES ZENK 612/455-3967 Lim-Liab SYSKON HOME HEALTH CARE LLC HCP-A 4351 LOGAN AVENUE NORTH (28384) MINNEAPOLIS, MN 55412 PHONE: 952/278-0620 FAX: MR. JC VAIANA /- HWS NProf THE BALMORAL 1005 SOUTH PORTLAND AVENUE (26597) MINNEAPOLIS, MN 55404 PHONE: 612/204-8319 FAX: MS. STACEY RAY /- HWS NProf THE BARRINGTON 911 SOUTH PARK AVENUE (26596) MINNEAPOLIS, MN 55404 PHONE: 612/338-3118 FAX: 612/341-9140 MS. STACEY RAY Minnesota Department of Health Division of Compliance Monitoring Page 180 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS NProf THE BELMONT APARTMENTS Registration 1000 FRANKLIN AVENUE WEST (26899) MINNEAPOLIS, MN 55405 PHONE: 612/870-1547 FAX: MS. KRISTEN BROWN /- HWS Corp THE CARING SISTERS HOME CARE S 431 PENN AVENUE NORTH (26691) MINNEAPOLIS, MN 55405 PHONE: 612/377-6442 FAX: MR. OLALEYE BECKLEY 763/545-0489 HWS Part THE CONTINENTAL 66 SOUTH 12TH STREET (27549) MINNEAPOLIS, MN 55403 PHONE: 612/339-4557 FAX: MR. CHRIS NIMMER 612/339-6374 HWS NProf THE JOURDAIN 2006 PORTLAND AVE S (24897) MINNEAPOLIS, MN 55404 PHONE: 612/204-8319 FAX: MS. STACEY RAY /- Lim-Liab THE KENWOOD RETIREMENT COM HCP-F HWSAL 825 SUMMIT AVENUE (20341) MINNEAPOLIS, MN 55403 PHONE: 612/374-8100 FAX: 612/377-3600 NProf THE SALVATION ARMY HARB LIGHT MRS. JENNIFER VOLKENANT SLFA-44 1010 CURRIE AVENUE NORTH (01601) MINNEAPOLIS, MN 55403 PHONE: 612/767-3100 FAX: 612/338-4717 Corp THE STANTON HOUSE INC MR. STEVE HORSFIELD HCP-F 3354 JAMES AVENUE NORTH (26409) MINNEAPOLIS, MN 55412 PHONE: 612/521-9543 FAX: Corp THE STANTON HOUSE INC MS. TERRA ROSS 612/886-1310 HCP-A 3354 JAMES AVENUE NORTH (26668) MINNEAPOLIS, MN 55412 PHONE: 612/521-9543 FAX: MS. NIKIA ROSS 612/886-1310 HWSAL Corp THE STANTON HOUSE INC 3354 JAMES AVE N (25977) MINNEAPOLIS, MN 55412 PHONE: 612/521-9543 FAX: Lim-Liab THE WATERS OF MINNEHAHA MS. TERRA ROSS 612/886-1310 HCP-F HWSAL 3733 23RD AVENUE SOUTH (27808) MINNEAPOLIS, MN 55407 PHONE: 612/238-0010 FAX: 612/238-2799 MS. EMILY RINALDI Minnesota Department of Health Division of Compliance Monitoring Page 181 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS NProf THE WELLSTONE Registration 620 EAST FRANKLIN AVENUE (26446) MINNEAPOLIS, MN 55404 PHONE: 612/598-4323 FAX: MS. KRISTEN BROWN /- HWSAL-O HRA THIRD AVENUE NBBI 1001 WASHINGTON AVENUE NORTH (24487) MINNEAPOLIS, MN 55401 PHONE: 612/342-1453 FAX: MS. MARY BOLER 612/342-1407 HWSAL Corp THOMAS T FEENEY MANOR 901 4TH AVENUE NORTH (28487) MINNEAPOLIS, MN 55404 PHONE: 612/843-0090 FAX: MS. MARY BOLER 612/377-6688 Corp THREE THIRTY FIVE RIDGEWOOD SLFA-6 ICFMR-6 335 RIDGEWOOD AVENUE (01375) MINNEAPOLIS, MN 55403 PHONE: 612/871-0805 FAX: MR. DAN SCHNEIDER 612/871-0455 NProf TOTAL LIVING HOME CARE HCP-A 7625 METRO BLVD (27229) MINNEAPOLIS, MN 55439 PHONE: 952/945-4144 FAX: 952/945-4106 Lim-Liab TRANSITION HEALTHCARE LLC MR. ROBERT LOVEGROVE HCP-F 4601 EXCELSIOR BLVD STE 650 (27184) MINNEAPOLIS, MN 55416 PHONE: 952/920-0400 FAX: 952/697-4661 MS. MICHELE GRANDNER HWS-O Part TREE TOPS AT CALHOUN 3535 BRYANT AVENUE SOUTH (20446) MINNEAPOLIS, MN 55408 PHONE: 612/825-5454 FAX: MS. TRACY LINTON /- NProf TURNING POINT INC SLFA-32 1105 16TH AVENUE NORTH (01574) MINNEAPOLIS, MN 55411 PHONE: 612/520-4004 FAX: NProf TURNING POINT INC MS. ELIZABETH REED 612/302-4106 SLFA-24 1500 GOLDEN VALLEY ROAD (01678) MINNEAPOLIS, MN 55411 PHONE: 612/520-4004 FAX: Lim-Liab TWIN CITIES CARE SERVICES MS. ELIZABETH REED 612/520-0047 HCP-A 1007 EAST 24TH STREET (27874) MINNEAPOLIS, MN 55404 PHONE: 612/824-2291 FAX: 612/824-7901 MS. ABDULKARIM DAHIR Minnesota Department of Health Division of Compliance Monitoring Page 182 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab TWIN CITY HOME HEALTHCARE LLC Certification HENNEPIN Registration (Cont.)* -------------------------- HCP-A 912 EAST 24TH STREET STE M106 (28032) MINNEAPOLIS, MN 55421 PHONE: 612/232-3297 FAX: MR. AHMED ABDULLAHI /- Home Mgmt Corp TWINS HOME HEALTH CARE INC 2533 24TH AVENUE SOUTH (27759) MINNEAPOLIS, MN 55406 PHONE: 612/465-0408 FAX: MR. ABDIRAHMAN DHUNKAL 612/339-5901 ESRD NProf UMMC FAIRVIEW RENAL DIALYSIS 2450 RIVERSIDE AVE STE 2300 (02098) MINNEAPOLIS, MN 55455 PHONE: 612/626-5300 FAX: MR. MICHEAL FLYNN /- Corp UNITED CARE INC HCP-A 2845 HARRRIET AVE. SOUTH (23902) MINNEAPOLIS, MN 55408 PHONE: 612/331-3863 FAX: MR. AHMED MOHMOUD 612/331-4653 Corp UNITED HOME HEALTHCARE SERVICE HCP-A 2601 BLOOMINGTON AVENUE (27712) MINNEAPOLIS, MN 55407 PHONE: 612/987-1120 FAX: 612/872-1550 MS. MOHAMED KODAH HWS-O Lim-Liab UNITY PLACE 2611 CENTRAL AVENUE NE (25496) MINNEAPOLIS, MN 55418 PHONE: 612/872-1926 FAX: 612/872-7757 NProf UNIVERSITY OF MN MED CTR MS. CARLEEN FLETTRE BASS-168 HOSP-1700 HOSP-1532 PPS-P-138 PPS-R-30 2450 RIVERSIDE AVENUE (00200) MINNEAPOLIS, MN 55454 PHONE: 612/273-3000 FAX: 612/273-4051 MR. GORDON ALEXANDER HWS-O Lim-Liab V K ARRIGONI WEST 508 SOUTHEAST UNIVERSITY AVE (21730) MINNEAPOLIS, MN 55404 PHONE: 612/331-6582 FAX: 612/331-8672 MR. JOE CUOCO HWS NProf VENTURA FLATS 1818 14TH AVENUE SOUTH (25186) MINNEAPOLIS, MN 55404 PHONE: 612/871-6370 FAX: MS. KRISTEN BROWN /- HWS NProf VICTORIA LAKE APARTMENTS 8400 MINNETONKA BOULEVARD (26891) MINNEAPOLIS, MN 55426 PHONE: 612/454-1600 FAX: /- MS. KRISTEN BROWN Minnesota Department of Health Division of Compliance Monitoring Page 183 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf VOLUNTEERS OF AMERICA OF MN Certification HENNEPIN Registration (Cont.)* -------------------------- HCP-F 7625 METRO BLVD (03712) MINNEAPOLIS, MN 55439 PHONE: 952/945-4144 FAX: MR. BRAD HUARD 952/945-4106 NProf WALKER HOME SERVICES HCP-F 3737 BRYANT AVENUE SOUTH (02260) MINNEAPOLIS, MN 55409 PHONE: 612/827-8363 FAX: MR. DENNY O'DONNELL 612/827-8458 NProf WALKER METHODIST HEALTH CTR NH-336 NF1-22 SNF-NF-314 3737 BRYANT AVENUE SOUTH (00276) MINNEAPOLIS, MN 55409 PHONE: 612/827-5931 FAX: MR. MATTHEW KINNE 612/827-8458 HWSAL NProf WALKER PLACE 3701 BRYANT AVENUE SOUTH (20447) MINNEAPOLIS, MN 55409 PHONE: 612/827-8500 FAX: MR. CHRIS ORR 612/827-8535 HWS NProf WASHINGTON COURT APTS 2101 WASHINGTON STREET NE (27955) MINNEAPOLIS, MN 55418 PHONE: 612/455-5141 FAX: 612/455-5101 MS. KRISTEN BROWN HWS NProf WESTPORT PROPERTIES 2200 BRYANT AVENUE SOUTH (25191) MINNEAPOLIS, MN 55405 PHONE: 612/290-0874 FAX: 612/929-0422 MS. KRISTEN BROWN HWS NProf WEXFORD COMMONS 206 WEST 62ND STREET (28135) MINNEAPOLIS, MN 55419 PHONE: 612/866-4444 FAX: MS. KRISTEN BROWN /- HWS NProf WEXFORD COMMONS 218 WEST 62ND STREET (27469) MINNEAPOLIS, MN 55419 PHONE: 612/866-4444 FAX: MS. KRISTEN BROWN 612/866-5994 HWS NProf WEXFORD COMMONS 216 WEST 62ND STREET (27468) MINNEAPOLIS, MN 55419 PHONE: 612/866-4444 FAX: Lim-Liab WHITTIER PLACE MS. KRISTEN BROWN 612/866-5994 HCP-F HWS 2405 FIRST AVENUE SOUTH (21707) MINNEAPOLIS, MN 55404 PHONE: 612/872-1926 FAX: 612/872-7757 MS. CARLEEN FLETTRE Minnesota Department of Health Division of Compliance Monitoring Page 184 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS NProf WILSON REAL ESTATE Registration 3955 CEDAR AVENUE (28119) MINNEAPOLIS, MN 55407 PHONE: 612/710-2548 FAX: MS. KRISTEN BROWN 952/474-3226 Corp YELLOW ROSE HOME CARE INC HCP-A 1316 126TH AVENUE NORTHWEST (27686) MINNEAPOLIS, MN 55448 PHONE: 763/432-9117 FAX: MS. KAREN SKOGMAN /- Corp ASSISTED LIVING AT HOME INC HCP-A 17029 CLEAR SPRING TERRACE (28080) MINNETONKA, MN 55345 PHONE: 952/956-4595 FAX: MR. MARTIN STAMM /- HWSAL NProf AUGUSTANA EMERALD CREST OF MIN 13401 LAKE STREET EXTENSION (20563) MINNETONKA, MN 55305 PHONE: 952/933-9903 FAX: MS. MARGARET OWENS 952/933-1157 HWSAL NProf AUGUSTANA EMERALD CREST OF MIN 13409 LAKE STREET EXTENSION (20564) MINNETONKA, MN 55305 PHONE: 952/933-9903 FAX: 952/933-1157 MS. MARGARET OWENS HWSAL NProf AUGUSTANA EMERALD CREST OF MIN 13417 LAKE STREET EXTENSION (20705) MINNETONKA, MN 55305 PHONE: 952/933-9903 FAX: 952/933-1157 Corp BAYADA NURSES INC MS. MARGARET OWENS HCP-A HHA 10400 YELLOW CIRCLE DRIVE #401 (02349) MINNETONKA, MN 55343 PHONE: 952/935-5581 FAX: MS. LISA FOWLER 952/935-5920 NProf BEACON HILL HCP-F 5300 BEACON HILL ROAD (27950) MINNETONKA, MN 55345 PHONE: 952/988-8800 FAX: MS. NATALIE MORLAND 952/988-8815 Lim-Liab BUBBIESITTER AND ZADIES TOO HCP-F HWSAL 14667 LAKE STREET EXTENSION (26276) MINNETONKA, MN 55345 PHONE: 952/405-6960 FAX: 952/405-6960 MS. REBECCA FINE Out Pt Out St Out Ot NProf CHILDRENS HC MPLS AMB & REHAB 5950 CLEARWATER DRIVE STE 500 (03491) MINNETONKA, MN 55343 PHONE: 952/930-8630 FAX: /- MS. BROOK WHEELER Minnesota Department of Health Division of Compliance Monitoring Page 185 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf CHILDRENS HEALTH CARE SERVICES Certification HENNEPIN Registration (Cont.)* -------------------------- Outpt Surg Amb Surg 6050 CLEARWATER DRIVE (01665) MINNETONKA, MN 55343 PHONE: 952/930-8600 FAX: MS. GLORIA DRAKE 952/930-8650 Corp COMFORCARE SENIOR SERVICES-MIN HCP-A 14550 EXCELSIOR BOULEVARD (27049) MINNETONKA, MN 55345 PHONE: 952/767-1687 FAX: MR. TERRY GRATHEN 952/935-4030 Corp DIGNITY IN-HOME CARE INC HCP-B 11900 WAYZATA BLVD STE 108 (27258) MINNETONKA, MN 55305 PHONE: 952/544-0699 FAX: MS. JUNE FERRIS 952/544-0899 HWSAL NProf ELDER HOMESTEAD 11400 FOURTH STREET NORTH (20104) MINNETONKA, MN 55343 PHONE: 952/933-1752 FAX: MS. PATRICIA KRUEGER 952/933-0730 Lim-Liab FREEDOM POINTE MINNETONKA HCP-F HWSAL 500 CARLSON PARKWAY (20677) MINNETONKA, MN 55305 PHONE: 952/473-3330 FAX: 952/473-7555 Lim-Liab GENTLE TOUCH HEALTH INITIATIVE MR. STEPHEN WILSON HCP-F 5300 WOODHILL ROAD (28262) MINNETONKA, MN 55345 PHONE: 952/345-4404 FAX: 952/345-4402 NProf GIANNA HOMES SURSUM CORDA MR. MARK MOILANEN HCP-F HWS 4605 FAIRHILLS ROAD EAST (20897) MINNETONKA, MN 55345 PHONE: 952/988-0953 FAX: MS. ANNE HANSEN 952/988-6935 NProf HAMMER LAKESIDE SLFB-6 ICFMR-6 5209 MICHAELE LANE (01594) MINNETONKA, MN 55345 PHONE: 952/473-1261 FAX: MS. LISBETH ARMSTRONG 952/473-8629 Corp HEALTHY SOLES HCP-A 17029 CLEAR SPRING TERRACE (24407) MINNETONKA, MN 55345 PHONE: 952/994-4438 FAX: MS. LORI STAMM /- Out Pt Out St Out Ot Corp INNOVATIVE SR CARE FREEDOM 500 CARLSON PARKWAY (24430) MINNETONKA, MN 55305 PHONE: 952/473-3330 FAX: /- MS. ERIN BERNIER Minnesota Department of Health Division of Compliance Monitoring Page 186 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf JEWISH FAMILY & CHILDRENS SVS Certification HENNEPIN Registration (Cont.)* -------------------------- HCP-B 13100 WAYZATA BOULEVARD #400 (26901) MINNETONKA, MN 55305 PHONE: 952/546-0616 FAX: MS. JUDY HALPER 952/593-1778 HWSAL Lim-Liab LEGACY CARE HOME II 14814 CROWN DRIVE (27968) MINNETONKA, MN 55345 PHONE: 612/597-3153 FAX: MS. MICHELLE NOAH 952/938-5401 Lim-Liab LEGACY CARE HOME LLC HCP-F HWSAL 14900 CROWN DR (25364) MINNETONKA, MN 55345 PHONE: 612/597-3153 FAX: MS. MICHELLE NASH 952/938-5401 Corp MINNETONKA ASSISTED LIVING HCP-F 14505 MINNETONKA DRIVE (23866) MINNETONKA, MN 55345 PHONE: 952/988-0011 FAX: MR. ADAM CLARK 952/988-0051 HWSAL Corp MINNETONKA ASSISTED LIVING COM 14505 MINNETONKA DRIVE (20107) MINNETONKA, MN 55345 PHONE: 952/988-0011 FAX: 952/988-0151 MS. RENAE WITSCHEN HWSAL Lim-Liab MINNETONKA CARE RESIDENCE 4328 WILLISTON ROAD (28484) MINNETONKA, MN 55345 PHONE: 763/550-1774 FAX: 763/559-9155 MS. MARCIA HAMILTON-COTTER ESRD Corp MINNETONKA DIALYSIS UNIT 17809 HUTCHINS DRIVE (03583) MINNETONKA, MN 55345 PHONE: 952/470-9944 FAX: MS. MELISSA SHIELDS-NORDNESS /- HWSAL Corp MY RETIREMENT HOUSE INC 11705 LIVE OAK DRIVE (27858) MINNETONKA, MN 55305 PHONE: 952/591-7663 FAX: Corp MY RETIREMENT HOUSE INC MR. MEHR SHAHIDI 952/591-7663 HCP-A 2304 RIVENDELL LANE (27494) MINNETONKA, MN 55305 PHONE: 952/546-0100 FAX: Corp MY RETIREMENT HOUSE INC MR. JAY SHAHIDI 952/591-7663 HCP-F HWSAL 2304 RIVENDELL LANE (26828) MINNETONKA, MN 55305 PHONE: 952/546-0100 FAX: 952/591-7663 MR. MEHR SHAHIDI Minnesota Department of Health Division of Compliance Monitoring Page 187 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp NIGHTINGALE HOME HEALTH CARE Certification HENNEPIN Registration (Cont.)* -------------------------- HCP-A HHA 10550 WAYZATA BLVD STE 1 (23521) MINNETONKA, MN 55305 PHONE: 763/545-3131 FAX: MS. SADIE TERWEY 866/878-0094 Corp NIGHTINGALE HOSPICE CARE OF MN Hospice 10550 WAYZATA BLVD STE 1 (27605) MINNETONKA, MN 55305 PHONE: 763/545-3131 FAX: MS. NEDRA MORAN 763/546-1191 HWSAL Corp NURTURING CARE 4441 HUNTER RIDGE (24965) MINNETONKA, MN 55345 PHONE: 952/688-1106 FAX: MS. TINA HAUGSTAD 763/201-7821 Lim-Liab PEDIATECH NURSING HCP-A 601 CARLSON PARKWAY STE 1050 (27859) MINNETONKA, MN 55305 PHONE: 952/449-5281 FAX: MS. LARRAINE O'MALLEY 952/449-5283 HWSAL NProf PHS/BEACON HILL INC 5300 BEACON HILL ROAD (20025) MINNETONKA, MN 55345 PHONE: 952/988-8800 FAX: 952/988-8815 MS. KAREN CASPER- ROBESON HWSAL NProf RAKHMA GRACE HOME 5126 MAYVIEW ROAD (20102) MINNETONKA, MN 55345 PHONE: 612/824-2345 FAX: 612/824-3165 Corp RECOVER HEALTH MS. SUSAN ECKSTROM HCP-A HHA 5900 GREEN OAK DR STE 200 (02478) MINNETONKA, MN 55343 PHONE: 952/926-9808 FAX: MR. GREG VON ARX 952/926-4002 Corp REM HENNEPIN (MINNETONKA) SLFA-15 ICFMR-15 21 WESTWOOD ROAD (01403) MINNETONKA, MN 55305 PHONE: 952/591-0797 FAX: MS. CONNIE MENNE 952/591-0050 Out Pt Out St Out Ot NProf ST DAVIDS CHILD DEV FAMILY SRV 3395 PLYMOUTH ROAD (03487) MINNETONKA, MN 55305 PHONE: 952/939-0396 FAX: MS. BEA BROGAARD /- Lim-Liab ST JOHN HOME CARE HCP-A 1502 ARCHWOOD ROAD (27997) MINNETONKA, MN 55305 PHONE: 612/245-3474 FAX: 952/545-6411 MS. MOPELOLA AKINLOYE Minnesota Department of Health Division of Compliance Monitoring Page 188 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab ST JOHN HOME CARE LLC Certification HENNEPIN Registration (Cont.)* -------------------------- HCP-F HWS 1502 ARCHWOOD ROAD (27697) MINNETONKA, MN 55305 PHONE: 612/245-3474 FAX: MS. MOPELOLA AKINLOYE 952/545-6411 Corp STEVENS RESIDENCE HCP-F HWSAL 3704 CARDINAL ROAD (20517) MINNETONKA, MN 55345 PHONE: 952/930-9144 FAX: MS. FAUN SPENCER 952/930-9184 HWSAL Part SUNRISE OF MINNETONKA 18605 OLD EXCELSIOR BLVD (24010) MINNETONKA, MN 55345 PHONE: 952/474-9155 FAX: MR. SEAN HYDE 952/474-9171 Corp SUNRISE OF MINNETONKA HCP-F 18605 OLD EXCELSIOR BLVD (24011) MINNETONKA, MN 55345 PHONE: 952/474-9155 FAX: MR. SEAN HYDE 952/474-9171 HWSAL Lim-Liab THE GLENN BY ST THERESE SW 5300 WOODHILL ROAD (28261) MINNETONKA, MN 55345 PHONE: 952/345-4404 FAX: 952/345-4402 Lim-Liab TLC AGENCIES LLC MR. MARK MOILANEN HCP-A 15830 LAKE STREET EXTENSION (28093) MINNETONKA, MN 55345 PHONE: 651/307-0249 FAX: /- MS. AUGUSTINE FALLAH NProf VOA HOME HEALTH AT ELDER HOMES HCP-A 11400 4TH STREET NORTH (23745) MINNETONKA, MN 55343 PHONE: 952/933-1752 FAX: VOA HOME HLTHATELDER HOMESTEAD MS. PATTY KRUEGER 952/933-0730 NProf HCP-F 11400 4TH STREET NORTH (23500) MINNETONKA, MN 55343 PHONE: 952/933-1752 FAX: MS. PATTY KRUEGER 952/933-0730 HWS NProf WESTRIDGE SENIOR HOUSING INC 11201 FAIRFIELD ROAD (28076) MINNETONKA, MN 55305 PHONE: 952/512-0547 FAX: Corp WOODLAND HILLS RES CRE HME INC MS. PEGGY HARNDEN 952/512-1563 HCP-F HWS 16624 ELM DRIVE (23610) MINNETONKA, MN 55345 PHONE: 952/681-7791 FAX: 952/933-3754 MR. COREY HUSON Minnesota Department of Health Division of Compliance Monitoring Page 189 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS Corp WOODLAND HILLS RESIDENTIAL CAR Registration 5215 ROGERS DRIVE (24824) MINNETONKA, MN 55343 PHONE: 952/933-9749 FAX: MRS. TRACY HUSON 952/933-3754 Corp YMG HOME CARE SERVICES INC HCP-A 13920 MCGINTY ROAD EAST (23556) MINNETONKA, MN 55305 PHONE: 952/412-3545 FAX: MR. YAKOV GITERMAN 952/930-1152 Lim-Liab KINDERCARE HOME CARE LLC HCP-A 270 COUNTY RD 110 N (25296) MINNETRISTA, MN 55364 PHONE: 952/250-8624 FAX: MR. PAUL MORANDE /- Lim-Liab STONEBRIDGE MANOR HCP-F HWSAL 4250 STONEBRIDGE CIRCLE (27881) MINNETRISTA, MN 55364 PHONE: 952/470-0606 FAX: MS. ELEANOR EGAN /- Ind LOVING CARE BY MARTHA HCP-A 6251 WESTEDGE BOULEVARD (25311) MOUND, MN 55364 PHONE: 952/472-1756 FAX: 952/472-1756 MS. MARTHA ASHBAUGH HWSAL Lim-Liab SOJOURN SUITES LLC 2895 WESTEDGE BLVD (24342) MOUND, MN 55364 PHONE: 952/472-6642 FAX: 952/400-3542 MR. THOMAS PENN HWSAL-O Lim-Liab SOJOURN SUITES LYNWOOD 5724 LYNWOOD BOULEVARD (27232) MOUND, MN 55364 PHONE: 952/473-1810 FAX: Corp TRANQUIL LIVING MR. THOMAS PENN 952/400-3542 HCP-A 4784 NORTHERN ROAD (21554) MOUND, MN 55364 PHONE: 952/361-0080 FAX: 952/448-1996 MR. BRYANT SLOSS HWS-O NProf BASS LAKE COURT TOWNHOMES 7360 BASS LAKE ROAD (24492) NEW HOPE, MN 55428 PHONE: 612/455-5131 FAX: 612/455-5101 MS. LESLIE ANGEL HWS-O NProf BASS LAKE COURT TOWNHOMES 7378 BASS LAKE ROAD (26524) NEW HOPE, MN 55428 PHONE: 612/455-5131 FAX: 612/455-5101 MS. LESLIE ANGEL Minnesota Department of Health Division of Compliance Monitoring Page 190 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS-O NProf BASS LAKE TOWNHOMES Registration 7302 BASS LAKE ROAD (23642) NEW HOPE, MN 55428 PHONE: 612/455-5131 FAX: MS. LESLIE ANGEL 612/455-5101 HWSAL Lim-Liab BENS HOUSE 5337 OREGON AVENUE NORTH (28278) NEW HOPE, MN 55428 PHONE: 952/848-0935 FAX: MR. EVARISTUS EJIMADU 952/920-6929 HWS NProf BRIDGE INVESTMENTS 7335 62ND AVENUE NORTH (27265) NEW HOPE, MN 55422 PHONE: 952/890-7727 FAX: MS. JANELLE LEPPA 952/897-8097 Out Pt Out St Out Ot Corp CAPERNAUM PEDIATRIC THERAPY 9220 BASS LAKE ROAD SUITE 260 (03719) NEW HOPE, MN 55428 PHONE: 763/533-0363 FAX: NProf GOOD SAM SOCIETY AMBASSADOR MS. BONNA OLSON 763/533-0842 NH-85 SNF-NF-85 8100 MEDICINE LAKE ROAD (00898) NEW HOPE, MN 55427 PHONE: 763/544-4171 FAX: 763/591-7191 Lim-Liab MERWIN IV & SPECIALTY PHARMACY MS. MARIE BARTA HCP-A 3001 LOUISIANA AVENUE NORTH #B (26757) NEW HOPE, MN 55427 PHONE: 763/746-9890 FAX: 763/746-9887 MS. RUTH VERCHEK HWSAL NProf MN MASONIC HOME NORTH RIDGE AP 5500 BOONE AVENUE NORTH (20257) NEW HOPE, MN 55428 PHONE: 763/592-4005 FAX: Corp MTAI MINNEHAHA CREEK MS. KIM PEDERSON 763/592-4099 SLFA-5 ICFMR-5 8949 48TH AVENUE NORTH (01563) NEW HOPE, MN 55428 PHONE: 763/537-9220 FAX: 763/537-6416 MS. MARY TJOSVOLD ESRD Corp NEW HOPE DIALYSIS CENTER 5640 INTERNATIONAL PKWY (24101) NEW HOPE, MN 55428 PHONE: 763/537-0300 FAX: 763/537-0340 MS. FRAN SOCASH HWSAL NProf NORTH PARK PLAZA APARTMENTS 8201 45TH AVENUE NORTH (21616) NEW HOPE, MN 55428 PHONE: 651/699-6050 FAX: 763/535-3286 MS. LONDA DUNN Minnesota Department of Health Division of Compliance Monitoring Page 191 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf NORTH RIDGE CARE CENTER Certification HENNEPIN Registration (Cont.)* -------------------------- NH-397 SNF-NF-397 5430 BOONE AVENUE NORTH (00238) NEW HOPE, MN 55428 PHONE: 763/592-2610 FAX: MR. ROBERT TAIVAL 763/592-2999 NProf NORTH RIDGE CONGREGATE HOUSING HCP-A 5500 BOONE AVENUE NORTH (02852) NEW HOPE, MN 55428 PHONE: 763/592-3000 FAX: MS. PAULA CASTLE 763/592-4099 HWS NProf NORTHUMBERLAND 4220 WINNETKA AVENUE NORTH (28530) NEW HOPE, MN 55428 PHONE: 763/535-0324 FAX: MS. STACEY RAY /- HWS NProf NORTHUMBERLAND APARTMENTS 4224 WINNETKA AVENUE NORTH (28477) NEW HOPE, MN 55428 PHONE: 763/535-0324 FAX: MS. STACEY RAY /- Corp NURTURING CARE HCP-F 7760 48 AVENUE NORTH (24964) NEW HOPE, MN 55428 PHONE: 612/272-3713 FAX: 763/201-7821 MS. TINA HAUGSTAD Home Mgmt Lim-Liab ST THERESE AT HOME SOLUTIONS 8000 BASS LAKE ROAD (24373) NEW HOPE, MN 55428 PHONE: 763/531-5000 FAX: 763/531-5411 NProf ST THERESE HOME MS. KRISTIN KOPP NH-302 SNF-NF-302 8000 BASS LAKE ROAD (00261) NEW HOPE, MN 55428 PHONE: 763/531-5085 FAX: MS. DENISE JUDAY BARNETT 763/531-5475 HWSAL NProf ST THERESE RESIDENCE 8008 BASS LAKE ROAD (20141) NEW HOPE, MN 55428 PHONE: 763/531-5400 FAX: NProf ST THERESE RESIDENCE NURSING MS. SUSAN BRENDEFUR 763/531-5468 HCP-A 8008 BASS LAKE ROAD (03020) NEW HOPE, MN 55428 PHONE: 763/531-5400 FAX: Lim-Liab ST. THERESE AT HOME SOLUTIONS MS. SUSAN BRENDEFUR 763/531-5468 HCP-A 8000 BASS LAKE ROAD (27008) NEW HOPE, MN 55428 PHONE: 763/531-5000 FAX: 763/531-5411 MS. KRISTIN KOPP Minnesota Department of Health Division of Compliance Monitoring Page 192 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Ind THREE KS CARE SERVICES Certification HENNEPIN Registration (Cont.)* -------------------------- HCP-A 7600 BASS LAKE ROAD STE 101 (24828) NEW HOPE, MN 55428 PHONE: 763/544-3148 FAX: Corp TOTALCARE ASSISTED LIVING SERV MS. QUEENA SLOAN 763/544-3149 HCP-F 2730 WINNETKA AVENUE NORTH (24859) NEW HOPE, MN 55428 PHONE: 763/205-1702 FAX: MS. ESTHER CHUNG 763/205-1703 HWSAL Lim-Liab TOTALCARE ASSISTED LIVING SERV 2730 WINNETKA AVENUE NORTH (25459) NEW HOPE, MN 55428 PHONE: 763/205-7102 FAX: MS. NNENNA ANYAOGU 763/205-1703 HWSAL-O NProf TOUCHSTONE ASSISTED LIVING APA 7376 BASS LAKE ROAD (23487) NEW HOPE, MN 55428 PHONE: 763/536-8134 FAX: NProf TOUCHSTONE ASSISTED LIVNG APTS MS. MARTHA LANTZ 763/536-8893 HCP-F 7376 BASS LAKE ROAD (23337) NEW HOPE, MN 55428 PHONE: 763/536-8134 FAX: 763/536-8893 NProf BENEDICTINE SR LIV STEEPLE PTE MS. MARTHA LANTZ HCP-F HWSAL 625 CENTRAL AVENUE (20531) OSSEO, MN 55369 PHONE: 763/425-4440 FAX: 763/391-0747 Corp BERKSHIRE RESIDENCE MS. STEPHANIE RITTER BCH-115 NF2-115 501 SECOND STREET SOUTHEAST (00733) OSSEO, MN 55369 PHONE: 763/425-3939 FAX: Lim-Liab COMFORT KEEPERS MR. THOMAS PAUL 763/424-2777 HCP-A 535 CENTRAL AVENUE (23394) OSSEO, MN 55369 PHONE: 763/273-4207 FAX: MS. KELLY LINDELL 763/273-4209 Home Mgmt Lim-Liab COMFORT KEEPERS 535 CENTRAL AVENUE (22447) OSSEO, MN 55369 PHONE: 763/273-4207 FAX: Corp OSSEO GARDENS MS. KELLY LINDELL 763/273-4209 HCP-F HWSAL 525 SECOND STREET SOUTHEAST (21206) OSSEO, MN 55369 PHONE: 763/315-4869 FAX: 763/315-0050 MR. DANIEL PAKONEN Minnesota Department of Health Division of Compliance Monitoring Page 193 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp CLARE BRIDGE OF PLYMOUTH Certification HENNEPIN Registration (Cont.)* -------------------------- HCP-F HWSAL 15855 22ND AVENUE NORTH (20537) PLYMOUTH, MN 55447 PHONE: 763/476-8200 FAX: MS. KRISTI KELLER-SMITH 763/476-5900 NProf CORNERSTONE ASSISTED LIVING HCP-F HWSAL 3750 LAWNDALE LANE NORTH (23083) PLYMOUTH, MN 55446 PHONE: 763/550-0333 FAX: MS. DIANE EBERLE 763/390-1888 Lim-Liab DUNGARVIN CHAI SLFA-6 1210 OAKVIEW LANE NORTH (01211) PLYMOUTH, MN 55441 PHONE: 651/699-6050 FAX: MS. NATALIE GRAF 651/699-7265 HWSAL Part FIRST PREMIER HOME HEALTH CARE 1020 W MEDICINE LAKE DRIVE (25578) PLYMOUTH, MN 55441 PHONE: 612/520-2470 FAX: MS. TRENA ALLBRITTON 612/520-2473 Home Mgmt Corp GOODHEART HOME HEALTH CARE INC 3301 HIGHWAY 169 N #262 (28260) PLYMOUTH, MN 55441 PHONE: 763/442-0482 FAX: /- MS. AUGUSTINE ANUEBUNWA NProf HAMMER KENTUCKY SLFA-6 ICFMR-6 18115 30TH AVE N (01581) PLYMOUTH, MN 55447 PHONE: 952/473-1261 FAX: 952/473-8629 NProf HAMMER MCGLINCH MS. LISBETH ARMSTRONG SLFB-6 ICFMR-6 18300 26TH AVE N (01669) PLYMOUTH, MN 55447 PHONE: 952/473-1261 FAX: NProf HAZELDEN CTR FOR YOUTH & FAMIL MS. LISBETH ARMSTRONG 952/473-8629 SLFB-6 11505 36TH AVENUE NORTH (01367) PLYMOUTH, MN 55441 PHONE: 651/213-4217 FAX: Corp HEALTH CORPS MR. JIM STEINHAGEN 651/213-4738 HCP-A 11605 61ST AVENUE NORTH (21882) PLYMOUTH, MN 55442 PHONE: 763/553-7996 FAX: Corp HEALTH CORPS MS. M CLAIRE MELSTROM 763/559-7653 HCP-F 11605 61ST AVENUE NORTH (21881) PLYMOUTH, MN 55442 PHONE: 763/553-7996 FAX: 763/559-7653 MS. M CLAIRE MELSTROM Minnesota Department of Health Division of Compliance Monitoring Page 194 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp HOME CARE SOLUTIONS Certification HENNEPIN (Cont.)* -------------------------- HCP-A 3390 ANNAPOLIS LANE SUITE A (03628) PLYMOUTH, MN 55447 PHONE: 763/231-9000 FAX: NProf HOMEWARD BOUND PLYMOUTH MS. TAMARA SULLIVAN 763/231-9004 SLFB-6 ICFMR-6 13522 SUNSET TRAIL (01583) PLYMOUTH, MN 55441 PHONE: 763/525-3186 FAX: NProf HOSPICE OF THE TWIN CITIES INC MR. DON PRIEBE 763/528-8048 Hospice HSPICE 10405 6TH AVE NO SUITE 250 (03001) PLYMOUTH, MN 55441 PHONE: 763/531-2424 FAX: Corp ILBNC SPECIAL PROCEDURES MS. PAMELA SCHAID 763/531-2422 Outpt Surg Amb Surg 15700 37TH AVE NO SUITE 210 (23976) PLYMOUTH, MN 55446 PHONE: 952/814-6644 FAX: MR. BRIAN NEUBAUER 952/814-6744 Out St Out Ot Corp INNOVATIVE THERAPY LLC 5480 NATHAN LANE SUITE 140 (24224) PLYMOUTH, MN 55442 PHONE: 763/553-1933 FAX: 763/553-2933 NProf MISSION DETOX CENTER MS. MARY DANIELSON SLFB-21 3409 EAST MEDICINE LAKE BLVD (01384) PLYMOUTH, MN 55441 PHONE: 763/559-1402 FAX: 763/559-2559 NProf MISSION NURSING HOME MS. PATRICIA MURPHY NH-97 SNF-NF-97 3401 EAST MEDICINE LAKE BLVD (00235) PLYMOUTH, MN 55441 PHONE: 763/559-3123 FAX: Lim-Liab MNGI ENDOSCOPY PLYMOUTH MR. DELBERT CLARK 763/559-0604 Outpt Surg Amb Surg 15700 37TH AVE NO SUITE 300 (21575) PLYMOUTH, MN 55446 PHONE: 612/871-1145 FAX: Corp OMETTA VENT CARE SERVICES INC DR. SCOTT KETOVER 612/870-5525 HCP-A 3140 HARBOR LANE N STE 250 (23485) PLYMOUTH, MN 55447 PHONE: 763/551-1123 FAX: Corp ON BELAY HOUSE MS. BARBARA CURRIN 763/551-1109 SLFA-20 115 FORESTVIEW LANE NORTH (01293) PLYMOUTH, MN 55441 PHONE: 763/546-8008 FAX: 763/546-7674 Registration MS. MELISSA BROGGER Minnesota Department of Health Division of Compliance Monitoring Page 195 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf OUTREACH PLYMOUTH HOME EAST Certification HENNEPIN Registration (Cont.)* -------------------------- SLFB-6 ICFMR-6 11550 52ND AVENUE NORTH (01471) PLYMOUTH, MN 55442 PHONE: 763/208-4889 FAX: NProf OUTREACH PLYMOUTH HOME WEST MS. MARY TJOSVOLD 763/208-4890 SLFA-6 ICFMR-6 2735 OLIVE LANE NORTH (01301) PLYMOUTH, MN 55447 PHONE: 763/473-7182 FAX: MS. MARY TJOSVOLD 763/473-0072 HWSAL Lim-Liab PARKINSON'S SPECIALTY CARE 10405 6TH AVENUE NORTH (23855) PLYMOUTH, MN 55441 PHONE: 952/988-9900 FAX: MS. MARCIA DOONER 763/539-9155 HWSAL-O Corp PINNACLE SERVICES - STONECREEK 1020 WEST MEDICINE LAKE DRIVE (27239) PLYMOUTH, MN 55441 PHONE: 612/208-8515 FAX: PRESBYTERIAN HOMES SUMMERWOOD MS. JILL CIHLAR 612/208-3902 HWSAL NProf 16205 36TH AVENUE NORTH (21983) PLYMOUTH, MN 55446 PHONE: 763/383-8888 FAX: 763/383-0032 Corp PRO MEDICAL SERVICES INC MS. ANGIE SWETLAND HCP-A 4190 VINEWOOD LANE NORTH #111 (27879) PLYMOUTH, MN 55442 PHONE: 763/390-2561 FAX: 763/494-6664 Lim-Liab RIGHT AT HOME MS. NOELA SUHFOR HCP-B 3140 HARBOR LANE #220 (25545) PLYMOUTH, MN 55447 PHONE: 763/559-9733 FAX: MS. KIM STENDER 888/896-9894 Home Mgmt Corp SENIORS CHOICE AT HOME 9909 S SHORE DRIVE SUITE 1A (03542) PLYMOUTH, MN 55441 PHONE: 763/546-1599 FAX: Lim-Liab SUMMERWOOD OF PLYMOUTH MR. JAMES AGRIMSON 763/546-2271 HCP-F 16205 36TH AVENUE NORTH (27963) PLYMOUTH, MN 55446 PHONE: 763/383-8888 FAX: 763/383-0032 MS. NATALIE MORLAND Home Mgmt Corp TOUCHING HEARTS AT HOME 10700 OLD COUNTY ROAD 15 (25429) PLYMOUTH, MN 55441 PHONE: 763/544-0401 FAX: 763/746-8156 MS. JERI GORT Minnesota Department of Health Division of Compliance Monitoring Page 196 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf WESTHEALTH INC Certification HENNEPIN Registration (Cont.)* -------------------------- Outpt Surg Amb Surg 2855 CAMPUS DRIVE (00417) PLYMOUTH, MN 55441 PHONE: 612/863-5324 FAX: DR. BEN BACHE-WIIG 612/863-2191 HWS-O NProf 6421 E PLEASANT AVENUE SOUTH 6421 E PLEASANT AVENUE SOUTH (25667) RICHFIELD, MN 55423 PHONE: 612/204-8319 FAX: MS. STACEY RAY /- HWS NProf 6429 PLEASANT AVENUE 6429 PLEASANT AVENUE (27591) RICHFIELD, MN 55422 PHONE: 612/722-7714 FAX: MS. KRISTEN BROWN /- HWS NProf 6526 OLIVER AVENUE SOUTH 6526 OLIVER AVENUE SOUTH (27318) RICHFIELD, MN 55423 PHONE: 952/941-2400 FAX: MS. KRISTEN BROWN 952/941-2413 HWS NProf 6601 5TH AVENUE SOUTH 6601 5TH AVENUE SOUTH (25666) RICHFIELD, MN 55423 PHONE: 612/204-8319 FAX: /- MS. STACEY RAY HWS NProf 7600 CEDAR AVENUE 7600 CEDAR AVENUE SOUTH (25597) RICHFIELD, MN 55423 PHONE: 612/834-0027 FAX: /- MS. KRISTEN BROWN HWS NProf 7601 18TH AVENUE S 7601 18TH AVENUE S (25625) RICHFIELD, MN 55423 PHONE: 612/834-0027 FAX: MS. KRISTEN BROWN 952/897-1153 HWS NProf 7625 18TH AVENUE SOUTH 7625 18TH AVENUE SOUTH (27025) RICHFIELD, MN 55423 PHONE: 612/204-8319 FAX: MS. STACEY RAY /- Corp BRENDAS HEALTHCARE INC HCP-C 7145 OAKLAND AVENUE SOUTH (03303) RICHFIELD, MN 55423 PHONE: 612/861-3398 FAX: MS. BRENDA JOHNSON /- HWSAL Lim-Liab CHEZ VOUS HOME CARE LLC 7620 NICOLLET AVENUE SOUTH (26655) RICHFIELD, MN 55423 PHONE: 612/220-8052 FAX: 612/886-2280 MR. JOHN ARRELL Minnesota Department of Health Division of Compliance Monitoring Page 197 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab CHEZ VOUS HOME CARE LLC Certification HENNEPIN Registration (Cont.)* -------------------------- HCP-A 7620 NICOLLET AVENUE S (26654) RICHFIELD, MN 55423 PHONE: 612/220-8052 FAX: MS. SEETA ARRELL 612/259-7440 HWS NProf CROSSROADS AT PENN 7720 PENN AVENUE SOUTH (26445) RICHFIELD, MN 55423 PHONE: 612/866-9987 FAX: MS. KRISTEN BROWN 612/866-4937 HWS NProf CROSSROADS AT PENN 7700 PENN AVENUE SOUTH (27122) RICHFIELD, MN 55423 PHONE: 612/204-8319 FAX: MS. STACEY RAY /- HWS NProf CROSSROADS AT PENN 7710 SOUTH PENN AVENUE (28188) RICHFIELD, MN 55423 PHONE: 612/866-3628 FAX: MS. STACEY RAY /- HWS NProf CROSSROADS AT PENN 7600 SOUTH PENN AVENUE (28152) RICHFIELD, MN 55423 PHONE: 612/866-7628 FAX: /- MS. STACEY RAY HWS NProf CROSSROADS AT PENN 7610 PENN AVENUE SOUTH (27019) RICHFIELD, MN 55423 PHONE: 612/204-8319 FAX: /- MS. STACEY RAY Corp CRYSTAL CARE ASSISTED LIVING HCP-F 6461 LYNDALE AVENUE SOUTH (23566) RICHFIELD, MN 55423 PHONE: 612/861-4272 FAX: Corp CRYSTAL CARE HOME HLTH SRV INC MS. SALLY KNUTSON 612/605-0078 HCP-A HHA 6461 LYNDALE AVENUE SOUTH (20616) RICHFIELD, MN 55423 PHONE: 612/861-4272 FAX: Corp CRYSTAL CARE SUPPORT SERVICES MS. SALLY KNUTSON 612/866-2290 HCP-A 6461 LYNDALE AVENUE SOUTH (21157) RICHFIELD, MN 55423 PHONE: 612/861-4272 FAX: 612/605-0078 MS. SALLY KNUTSON Home Mgmt Corp CSSC HOME CARE SERVICES 6632 PENN AVENUE SOUTH (28014) RICHFIELD, MN 55423 PHONE: 612/529-2602 FAX: 612/465-2733 MS. HI LI YOU Minnesota Department of Health Division of Compliance Monitoring Page 198 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------Out Pt Out St Out Ot NProf FRASER COMMUNITY SERVICES Registration 2400 WEST 64TH STREET (02508) RICHFIELD, MN 55423 PHONE: 612/861-1688 FAX: MS. DIANE CROSS /- HWSAL Lim-Liab GOLDEN NEST LLC 6733 EMERSON AVENUE SOUTH (23666) RICHFIELD, MN 55423 PHONE: 612/861-7509 FAX: MS. JUNGHEE YUN 612/861-7509 HWS NProf HUB APARTMENTS 200 WEST 65TH STREET (27125) RICHFIELD, MN 55423 PHONE: 952/473-5750 FAX: MS. KRISTEN BROWN 612/869-8093 Ind JUDITH A BEYER HCP-C 7221 HARRIET AVENUE SOUTH (02944) RICHFIELD, MN 55423 PHONE: 612/866-0805 FAX: MS. JUDITH BEYER /- Lim-Liab KANG LE HOME HEALTH CARE HCP-A 6632 PENN AVE S STE 201 (28467) RICHFIELD, MN 55423 PHONE: 612/208-3848 FAX: 612/861-7058 MS. LIXIN QIN HWS NProf LYNDALE GARDEN 6301 LYNDALE AVENUE SOUTH (25596) RICHFIELD, MN 55423 PHONE: 612/866-8652 FAX: 612/869-8093 MS. KIRSTEN BROWN HWS NProf LYNDALE GARDENS 6335 LYNDALE AVENUE SOUTH (27319) RICHFIELD, MN 55423 PHONE: 612/866-8652 FAX: 612/869-8093 MS. KRISTEN BROWN HWS NProf LYNDALE GARDENS 6325 LYNDALE AVENUE SOUTH (26110) RICHFIELD, MN 55423 PHONE: 612/866-8652 FAX: 612/869-8093 MS. KRISTEN BROWN HWS NProf LYNDALE GARDENS APARTMENTS 6315 LYNDALE AVENUE SOUTH (26128) RICHFIELD, MN 55423 PHONE: 612/866-8652 FAX: 612/869-8093 MS. KRISTEN BROWN HWS NProf LYNWOOD COMMONS 7435 LYNDALE AVENUE SOUTH (26282) RICHFIELD, MN 55423 PHONE: 612/866-2527 FAX: 612/866-2529 MS. KRISTEN BROWN Minnesota Department of Health Division of Compliance Monitoring Page 199 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS NProf LYNWOOD COMMONS Registration 7501 LYNDALE AVENUE SOUTH (27270) RICHFIELD, MN 55423 PHONE: 612/866-2527 FAX: MS. KRISTEN BROWN /- HWS NProf LYNWOOD COMMONS 7521 LYNDALE AVENUE SOUTH (27272) RICHFIELD, MN 55423 PHONE: 612/866-2527 FAX: MS. KRISTEN BROWN /- HWS NProf LYNWOOD COMMONS 7515 LYNDALE AVENUE SOUTH (27271) RICHFIELD, MN 55423 PHONE: 612/866-2527 FAX: MS. KRISTEN BROWN /- HWSAL NProf MAINSTREET VILLAGE 7601 LYNDALE AVENUE SOUTH (21184) RICHFIELD, MN 55423 PHONE: 612/869-6584 FAX: MS. CHERIE CAMUEL 612/869-6843 HWSAL Part MARKET PLAZA HOUSING LTD PARTN 6501 WOODLAKE DRIVE (20869) RICHFIELD, MN 55423 PHONE: 612/861-1186 FAX: 612/861-1779 MS. ANNE JANDA HWS NProf PENN AVENUE APARTMENTS 7420 PENN AVENUE SOUTH (27126) RICHFIELD, MN 55423 PHONE: 952/473-5750 FAX: 612/869-8093 MS. KRISTEN BROWN HWS NProf PLANEVIEW PROPERTIES 7444 CEDAR AVENUE SOUTH (27888) RICHFIELD, MN 55423 PHONE: 612/532-2560 FAX: NProf PROGRESS VALLEY II MS. KRISTEN BROWN 612/869-8355 SLFA-24 308 EAST 78TH STREET (01237) RICHFIELD, MN 55423 PHONE: 612/869-3223 FAX: Corp REM HENNEPIN INC MINNEHAHA MS. SUSANNE LAMBERT 612/861-7060 SLFA-6 ICFMR-6 7101 12TH AVENUE SOUTH (01132) RICHFIELD, MN 55423 PHONE: 952/591-0797 FAX: 952/591-0050 MS. CONNIE MENNE ESRD Corp RICHFIELD DIALYSIS 6601 LYNDALE AVE S STE 150 (24100) RICHFIELD, MN 55413 PHONE: 612/869-2118 FAX: 612/869-2219 MS. MARCIA BRUNN Minnesota Department of Health Division of Compliance Monitoring Page 200 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp RICHFIELD HEALTH CENTER Certification HENNEPIN Registration (Cont.)* -------------------------- NH-118 SNF-NF-118 7727 PORTLAND AVENUE SOUTH (00253) RICHFIELD, MN 55423 PHONE: 612/861-1691 FAX: MS. LYNN HICKEY 612/861-0186 Lim-Liab RICHFIELD SENIOR SUITES LLC HCP-F HWSAL 6808 THIRD AVENUE SOUTH (20052) RICHFIELD, MN 55423 PHONE: 612/866-3961 FAX: MS. LAVONNE SEEMANN 612/866-9303 Ind SHARON OJILE HOMECARE HCP-C 7233 HARRIET AVENUE (03070) RICHFIELD, MN 55423 PHONE: 612/869-1180 FAX: MS. SHARON OJILE /- NProf TCCH HOME CARE HCP-F 7645 LYNDALE AVENUE SOUTH #110 (20226) RICHFIELD, MN 55423 PHONE: 612/243-4583 FAX: MS. BARBARA KUHLMAN 612/861-2149 HWSAL Lim-Liab THE PINES 400 WEST 67TH STREET (21780) RICHFIELD, MN 55423 PHONE: 612/861-3331 FAX: 612/259-2889 Corp UNITY HEALTH CARE MR. FRANCIS LANG HCP-F 6603 QUEEN AVE S STE N (23694) RICHFIELD, MN 55423 PHONE: 612/285-8743 FAX: 612/922-9276 Corp UNITY HEALTHCARE INC MS. PAULETTE WILSON HCP-A 6603 QUEEN AVE S SUITE N (25195) RICHFIELD, MN 55423 PHONE: 612/285-8743 FAX: 612/922-9276 MS. PAULETTE WILSON HWS NProf 3719 WEST BROADWAY 3719 WEST BROADWAY (28240) ROBBINSDALE, MN 55422 PHONE: 612/860-2550 FAX: MS. STACEY RAY /- HWS NProf 3731 WEST BROADWAY 3731 WEST BROADWAY (28471) ROBBINSDALE, MN 55426 PHONE: 612/860-2550 FAX: MS. STACEY RAY /- HWS NProf 3737 WEST BROADWAY 3737 WEST BROADWAY (28526) ROBBINSDALE, MN 55422 PHONE: 612/860-2550 FAX: /- MS. STACEY RAY Minnesota Department of Health Division of Compliance Monitoring Page 201 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS NProf 3759 WEST BROADWAY AVENUE Registration 3759 WEST BROADWAY AVENUE (27957) ROBBINSDALE, MN 55422 PHONE: 763/521-4457 FAX: MS. KRISTEN BROWN 815/846-1827 HWS NProf 3848 WEST BROADWAY 3848 WEST BROADWAY (27016) ROBBINSDALE, MN 55422 PHONE: 612/290-6680 FAX: MS. KRISTEN BROWN /- Corp ACR HOME ON ROBIN SLFB-5 ICFMR-5 4404 ROBIN AVENUE (01628) ROBBINSDALE, MN 55422 PHONE: 763/535-1022 FAX: MR. GENE LEISTICO 763/535-2107 HWSAL Part COPPERFIELD HILL - THE MANOR 4200 40TH AVENUE NORTH (21574) ROBBINSDALE, MN 55422 PHONE: 763/277-1001 FAX: Part COPPERFIELD HILL PHASE II MS. LUCINDA GARDNER 763/277-1015 HCP-F HWSAL 4020 LAKELAND AVENUE NORTH (20297) ROBBINSDALE, MN 55422 PHONE: 763/533-1268 FAX: 763/277-1015 NProf DCI 3801 BROADWAY MS. LUCINDA GARDNER SLFB-9 ICFMR-9 3801 WEST BROADWAY (01379) ROBBINSDALE, MN 55422 PHONE: 763/522-7556 FAX: 763/522-4573 NProf DCI 3807 BROADWAY MR. ROGER MEYER SLFB-9 ICFMR-9 3807 WEST BROADWAY (01475) ROBBINSDALE, MN 55422 PHONE: 763/521-1076 FAX: NProf DCI FRANCE MR. ROGER MEYER 763/521-0785 SLFB-6 ICFMR-6 2759 FRANCE AVENUE NORTH (01290) ROBBINSDALE, MN 55422 PHONE: 763/521-0387 FAX: MR. ROGER MEYER 763/521-2294 ESRD Corp FRESENIUS MED CARE ROBBINSDALE 4094 LAKELAND AVENUE NORTH (27801) ROBBINSDALE, MN 554222236 PHONE: 763/533-3759 FAX: Corp GERIATRIC SERVICES OF MN MR. DAVID LUHRING 763/533-1025 HCP-A 3366 OAKDALE AVENUE N STE 551 (26130) ROBBINSDALE, MN 55422 PHONE: 763/587-7737 FAX: 763/587-7069 MS. KATHIE SURMA Minnesota Department of Health Division of Compliance Monitoring Page 202 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf NORTH MEMORIAL HOME HLTH HOSPC Certification HENNEPIN Registration (Cont.)* -------------------------- Hospice HSPICE 3500 FRANCE AVE NORTH #101 (02386) ROBBINSDALE, MN 55422 PHONE: 763/520-3900 FAX: MS. BETH BRANZ 763/520-3920 NProf NORTH MEMORIAL HOME HLTH HOSPC HCP-A HHA 3500 FRANCE AVENUE N (02049) ROBBINSDALE, MN 55422 PHONE: 763/520-3900 FAX: MS. LISA EDSTROM 763/520-3920 NProf NORTH MEMORIAL MEDICAL CENTER BASS-42 HOSP-518 HOSP-474 PPS-P-26 PPS-R-18 3300 OAKDALE NORTH (00240) ROBBINSDALE, MN 55422 PHONE: 763/520-5200 FAX: MS. LOREN TAYLOR 763/520-5006 ESRD NProf ROBBINSDALE DIALYSIS 3461 WEST BROADWAY AVENUE (27847) ROBBINSDALE, MN 554222955 PHONE: 763/521-4865 FAX: MS. TRACEY TRACY 763/522-6754 Corp ROBBINSDALE REHAB & CARE CTR NH-100 SNF-NF-100 3130 GRIMES AVENUE NORTH (00122) ROBBINSDALE, MN 55422 PHONE: 763/588-0771 FAX: 763/588-8252 MS. KATHLEEN PANKRATZ HWS NProf ROBBINWOOD APARTMENTS 3852 W BROADWAY AVENUE (27316) ROBBINSDALE, MN 55422 PHONE: 952/925-3878 FAX: 952/928-3832 MS. KRISTEN BROWN HWS-O NProf ROBINWOOD APARTMENTS 3850 WEST BROADWAY (27180) ROBBINSDALE, MN 55422 PHONE: 612/204-8319 FAX: MS. STACEY RAY /- HWS NProf ROBINWOOD APARTMENTS 3854 WEST BROADWAY (27562) ROBBINSDALE, MN 55422 PHONE: 612/204-8319 FAX: MS. STACEY RAY 612/375-9105 HWSAL Lim-Liab DIAMONDCREST SENIOR LIVING 20500 SOUTH DIAMOND LAKE ROAD (23988) ROGERS, MN 55374 PHONE: 763/428-8181 FAX: MS. EMILY SCHMAUS 763/428-1697 Corp NORTH POINT PLACE HCP-F HWSAL 15175 NORTH POINT DRIVE (28072) ROGERS, MN 55374 PHONE: 612/998-5551 FAX: /- MS. JULIE LENSEGRAV Minnesota Department of Health Division of Compliance Monitoring Page 203 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab THE WELLSTEAD OF ROGERS Certification HENNEPIN Registration (Cont.)* -------------------------- HCP-F HWS 20600 SOUTH DIAMOND LAKE ROAD (20700) ROGERS, MN 55374 PHONE: 763/428-1981 FAX: MS. DAVID SMITH 763/428-3792 HWSAL Lim-Liab SOJOURN SUITES LLC 5845 COUNTRY CLUB ROAD (22590) SHOREWOOD, MN 55331 PHONE: 952/470-2216 FAX: MR. THOMAS PENN 952/400-3542 HWS NProf LAKE MINNETONKA SHORES- COURT 4501 SHORELINE DRIVE (24845) SPRING PARK, MN 55384 PHONE: 952/471-4001 FAX: Lim-Liab LAKE MINNETONKA SHORES MS. MARY WEIS 952/471-6084 HCP-F 4527 SHORELINE DRIVE (27953) SPRING PARK, MN 55384 PHONE: 952/471-4001 FAX: NProf LAKE MINNETONKA SHORES MS. NATALIE MORLAND 952/471-6084 NH-145 SNF-NF-145 4527 SHORELINE DRIVE (00271) SPRING PARK, MN 55384 PHONE: 952/471-6094 FAX: 952/471-6084 MR. ROB LAHAMMER HWSAL NProf LAKE MINNETONKA SHORES- COMMON 4559 SHORELINE DRIVE (20219) SPRING PARK, MN 55384 PHONE: 952/471-4001 FAX: 952/471-6084 MS. MARY WEIS HWS NProf LAKE MINNETONKA SHORES-VILLA T 4523 SHORELINE DRIVE (24844) SPRING PARK, MN 55384 PHONE: 952/471-4001 FAX: Lim-Liab COMPLETE HOME HEALTH SERVICES MS. MARY WEIS 952/471-6084 HCP-A HHA 4001 STINSON BLVD NE LL32 (24785) ST ANTHONY, MN 55421 PHONE: 612/788-2273 FAX: Corp PROVIDENT HOME HEALTHCARE DR. SIRRI NOMO-ONGOLO 612/886-1939 HCP-A 2817 ANTHONY LANE S (26906) ST ANTHONY, MN 55418 PHONE: 612/238-4688 FAX: 612/238-4689 MS. RAMONA ERICKSON HWS NProf 2700 RHODE ISLAND 2700 RHODE ISLAND (28157) ST LOUIS PARK, MN 55426 PHONE: 952/925-3878 FAX: 952/928-3832 MS. STACEY RAY Minnesota Department of Health Division of Compliance Monitoring Page 204 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS NProf 3520 AQUILA CIRCLE Registration 3520 AQUILA CIRCLE (28528) ST LOUIS PARK, MN 55426 PHONE: 952/925-3878 FAX: MS. STACEY RAY /- HWS NProf 3528 AQUILA CIRCLE 3528 AQUILA CIRCLE (28527) ST LOUIS PARK, MN 55426 PHONE: 952/925-3878 FAX: MS. STACEY RAY /- HWS NProf 3536 AQUILA CIRCLE 3536 AQUILA CIRCLE (28502) ST LOUIS PARK, MN 55426 PHONE: 952/925-3878 FAX: MS. STACEY RAY 952/928-3832 HWS NProf 8817 WEST 35TH STREET 8817 WEST 35TH STREET (27279) ST LOUIS PARK, MN 55426 PHONE: 952/925-3878 FAX: MS. KRISTEN BROWN /- Corp ADULT HELP & COMPANION CARE HCP-B 4584 CEDAR LAKE RD SUITE 5 (03855) ST LOUIS PARK, MN 55416 PHONE: 612/708-1079 FAX: 952/377-0411 Lim-Liab AMEDISYS HOME HEALTH OF MINNES MR. CHRISTIAN RIVARD HCP-A HHA 5000 36 STREET W STE 225 (26162) ST LOUIS PARK, MN 55416 PHONE: 952/926-1127 FAX: 952/926-0535 Lim-Liab AROUND THE CLOCK HOME CARE MS. PAULETTE DUNCAN HCP-A HHA 2257 LOUISIANA AVENUE SOUTH (21115) ST LOUIS PARK, MN 55426 PHONE: 952/848-0935 FAX: Lim-Liab AROUND THE CLOCK HOME CARE LLC MR. EVARISTUS EJIMADU 952/920-6929 HCP-F 2257 LOUISIANA AVENUE SOUTH (24648) ST LOUIS PARK, MN 55426 PHONE: 952/920-6944 FAX: MR. EVARISTUS EJIMADU 952/920-6929 HWS NProf BAYCLIFF 1436 COLORADO AVENUE SOUTH (27721) ST LOUIS PARK, MN 55416 PHONE: 952/546-1415 FAX: Corp BRIGHTSTAR SOUTH WEST MINNEAPO MS. KRISTEN BROWN 952/546-1435 HCP-A 4601 EXCELSIOR BLVD #403 (27876) ST LOUIS PARK, MN 55416 PHONE: 952/236-3965 FAX: 952/236-3963 MS. REBECCA BLYTHE Minnesota Department of Health Division of Compliance Monitoring Page 205 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab CENTER FOR DIAGNOSTIC IMAGING Certification HENNEPIN Registration (Cont.)* -------------------------- Outpt Surg Amb Surg 5775 WAYZATA BLVD SUITE 190 (21792) ST LOUIS PARK, MN 55416 PHONE: 952/738-4842 FAX: MR. JEFF JAHN 952/541-5443 HWS NProf COLORADO COURT 2211 CLINTON AVE S (27594) ST LOUIS PARK, MN 55416 PHONE: 952/546-1415 FAX: MS. KRISTEN BROWN 952/546-1435 ESRD Corp FRESENIUS MED CARE ST LOUIS PK 5680 36TH STREET WEST (27143) ST LOUIS PARK, MN 55416 PHONE: 952/926-0959 FAX: Corp GENTLE CARE INC MR. JOHN MARIETTI 952/926-3694 HCP-A 4517 MINNETONKA BLVD (26440) ST LOUIS PARK, MN 55416 PHONE: 651/621-5693 FAX: Lim-Liab GOLDEN LIVINGCNTR ST LOUIS PK MR. OMAR S. AHMED 800/345-4208 NH-208 SNF-NF-208 3201 VIRGINIA AVENUE SOUTH (00943) ST LOUIS PARK, MN 55426 PHONE: 952/935-0333 FAX: 952/935-6747 Lim-Liab HOME CARE ASSISTANCE MS. JILL ACOSTA HCP-B 4430 EXCELSIOR BOULEVARD (27533) ST LOUIS PARK, MN 55416 PHONE: 952/236-7527 FAX: 952/236-7539 Lim-Liab HOME CARE ASSISTANCE OF MINNEA MS. DENISE SCHAEFER HCP-A 4430 EXCELSIOR BOULEVARD (27714) ST LOUIS PARK, MN 55416 PHONE: 952/236-7527 FAX: Corp INNER CIRCLE CARE MS. DENISE SCHAEFER 952/236-7539 HCP-A 6801 WAYZATA BOULEVARD STE 3 (28215) ST LOUIS PARK, MN 55426 PHONE: 612/720-0063 FAX: Corp INTREPID USA HEALTHCARE SERVS MS. SUSAN ST. JAMES 952/546-0206 HCP-F 5353 WAYZATA BLVD SUITE 300 (20786) ST LOUIS PARK, MN 55416 PHONE: 952/513-5400 FAX: Corp INTREPID USA HEALTHCARE SRVCS MS. LAURA WILSON 952/513-5444 HCP-A Out Pt Out St Out Ot 5353 WAYZATA BLVD (02233) ST LOUIS PARK, MN 554161317 PHONE: 952/513-5400 FAX: 952/513-5444 MS. LAURA WILSON Minnesota Department of Health Division of Compliance Monitoring Page 206 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS NProf KNOLLWOOD PLACE APARTMENTS Registration 3630 PHILLIPS PARKWAY (20232) ST LOUIS PARK, MN 55426 PHONE: 952/939-1601 FAX: MR. KEITH WOLFE 952/933-1485 Corp LIVING LIFE HOME CARE HCP-A 4501 MINNETONKA BLVD (26152) ST LOUIS PARK, MN 55416 PHONE: 612/435-7140 FAX: MR. WILLIAM KREBS 612/435-7141 HWS NProf LOUISIANA COURT APARTMENTS 2742 LOUISIANA COURT (27123) ST LOUIS PARK, MN 55426 PHONE: 612/204-8319 FAX: MS. STACEY RAY /- HWS Lim-Liab LOUISIANA COURT LIMITED PARTNE 2704 LOUISIANA COURT (25968) ST LOUIS PARK, MN 55436 PHONE: 952/925-4402 FAX: MS. LAUREL MILLER 952/925-4590 HWS Corp LOUISIANA COURT LIMITED PARTNE 2741 LOUISIANA COURT (25967) ST LOUIS PARK, MN 55436 PHONE: 952/925-4402 FAX: 952/925-4590 Corp MATRIX TEAM HOME CARE MS. LAUREL MILLER HCP-A 1660 SOUTH HIGHWAY 100 #201 (24015) ST LOUIS PARK, MN 55416 PHONE: 952/525-0505 FAX: 952/525-0506 MR. BRUCE LAWRENCE HWS NProf MENORAH PLAZA APARTMENTS 4925 MINNETONKA BOULEVARD (20195) ST LOUIS PARK, MN 55416 PHONE: 952/927-0460 FAX: 952/927-0831 MS. LAURI MITCHELL HWS NProf MENORAH WEST APARTMENTS 3600 PHILLIPS PARKWAY (21774) ST LOUIS PARK, MN 55426 PHONE: 952/927-0460 FAX: 952/927-0831 MS. LAURI MITCHELL CORF Lim-Liab MN MEDICAL & REHAB SERVS LLC 4330 SOUTH CEDAR LAKE ROAD (21768) ST LOUIS PARK, MN 55416 PHONE: 952/381-3434 FAX: MORNING STAR WOMENS HEALTH AND MR. MELVIN GRAF /- Lim-Liab 6111 EXCELSIOR BOULEVARD (27774) ST LOUIS PARK, MN 55416 PHONE: 612/922-4784 FAX: 952/564-3262 MS. PAULA FEIGAL Minnesota Department of Health Division of Compliance Monitoring Page 207 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp OPEN HAND HOMECARE INC Certification HENNEPIN Registration (Cont.)* -------------------------- HCP-B 6009 WAYZATA BLVD #220 (28385) ST LOUIS PARK, MN 55416 PHONE: 952/405-8564 FAX: MS. CHRISTIANA YANKEY 952/544-0387 Corp PARK HEALTH & REHAB CENTER NH-81 SNF-NF-81 4415 WEST 36 1/2 STREET (00129) ST LOUIS PARK, MN 55416 PHONE: 952/927-9717 FAX: MS. KRISTIE JOHNSRUD 952/927-7687 NProf PARK NICOLLET METHODIST HC HCP-A HHA 6500 EXCELSIOR BOULEVARD (02229) ST LOUIS PARK, MN 55426 PHONE: 952/993-6087 FAX: MS. PATRICIA BETLACH 952/993-5081 NProf PARK NICOLLET METHODIST HOSP Hospice HSPICE 6500 EXCELSIOR BOULEVARD (02422) ST LOUIS PARK, MN 55426 PHONE: 952/993-6087 FAX: MS. PATRICIA BETLACH 952/993-5081 NProf PARK NICOLLET METHODIST HOSP BASS-50 HOSP-426 HOSP-411 PPS-R-15 6500 EXCELSIOR BLVD PO BOX 650 (00230) ST LOUIS PARK, MN 55440 PHONE: 952/993-5000 FAX: 952/993-5936 MR. MICHAEL KAUPA HWSAL Lim-Liab PARKSHORE SENIOR CAMPUS LLC 3633 PARK CENTER BOULEVARD (20427) ST LOUIS PARK, MN 55416 PHONE: 952/925-6231 FAX: 952/926-6823 MR. MICHAEL GOULD HWS Lim-Liab PARKSHORE SENIOR CAMPUS LLC 3663 PARK CENTER BOULEVARD (20868) ST LOUIS PARK, MN 55416 PHONE: 952/925-6231 FAX: MR. MICHAEL GOULD 952/926-6823 Corp QUALITY ASSURANCE HH OF MN HCP-B 5353 WAYZATA BLVD STE 204 (27596) ST LOUIS PARK, MN 55416 PHONE: 952/500-9113 FAX: 952/303-3361 MS. LYDIA ARYEETEY HWS NProf RHODE ISLAND CHATEAU 2712 RHODE ISLAND AVENUE SOUTH (27278) ST LOUIS PARK, MN 55426 PHONE: 952/925-3878 FAX: MS. KRISTEN BROWN /- HWSAL Lim-Liab ROITENBERG FAMILY ASSISTED LIV 3610 PHILLIPS PARKWAY SOUTH (21691) ST LOUIS PARK, MN 55426 PHONE: 952/908-1701 FAX: 952/908-1777 MRS. JENNIFER BEVER Minnesota Department of Health Division of Compliance Monitoring Page 208 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf SHOLOM COMM ALLIANCE HOME HLTH Certification HENNEPIN Registration (Cont.)* -------------------------- HCP-F 3620 PHILLIPS PARKWAY (21400) ST LOUIS PARK, MN 55426 PHONE: 952/939-1515 FAX: NProf SHOLOM HOME CARE MS. SARAH VAN WINKLE 952/933-1485 HCP-A 3630 PHILLIPS PARKWAY (27031) ST LOUIS PARK, MN 55426 PHONE: 952/939-1515 FAX: NProf SHOLOM HOME WEST MS. SARAH VANWINKLE 952/933-1485 NH-179 SNF-NF-179 3620 PHILLIPS PARKWAY SOUTH (00380) ST LOUIS PARK, MN 55426 PHONE: 952/935-6311 FAX: NProf SHOLOM HOSPICE MS. DEBORAH ROSE 952/939-1633 Hospice HSPICE 3630 PHILLIPS PARKWAY (25996) ST LOUIS PARK, MN 55426 PHONE: 651/328-2091 FAX: MS. SARAH VANWINKLE 952/933-1485 ESRD Corp ST LOUIS PARK DIALYSIS CENTER 3505 LOUISIANA AVENUE SOUTH (02112) ST LOUIS PARK, MN 55426 PHONE: 952/285-1400 FAX: 952/285-1406 Corp TEXAS TERRACE CARE CENTER MS. CHERYL KENSOK NH-131 SNF-NF-131 7900 WEST 28TH STREET (00144) ST LOUIS PARK, MN 55426 PHONE: 952/920-8380 FAX: 952/920-7866 MS. JENNIFER KUHN HWSAL Corp THE CARING SISTERS HOME CARE S 2833 YOSEMITE AVENUE SOUTH (24801) ST LOUIS PARK, MN 55416 PHONE: 763/545-0490 FAX: MR. OLALEYE BECKLEY 763/545-0489 HWSAL Corp THE CARING SISTERS HOME CARE S 2846 YOSEMITE AVENUE SOUTH (24499) ST LOUIS PARK, MN 55416 PHONE: 612/990-2592 FAX: MS. EDITH NGANG 763/545-0489 HWSAL Corp THE CARING SISTERS HOME CARE S 2852 YOSEMITE AVENUE SOUTH (23620) ST LOUIS PARK, MN 55416 PHONE: 612/990-2592 FAX: NProf THE WAYSIDE HOUSE INC MR. OLALEYE BECKLEY 763/545-0489 SLFA-41 3705 PARK CENTER BOULEVARD (01647) ST LOUIS PARK, MN 55416 PHONE: 952/926-5626 FAX: 952/926-9713 MS. ELLIE SKELTON Minnesota Department of Health Division of Compliance Monitoring Page 209 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp TRAVELING ANGEL PC Certification HENNEPIN Registration (Cont.)* -------------------------- HCP-A 3136 FLORIDA AVE SOUTH (21821) ST LOUIS PARK, MN 55426 PHONE: 612/483-2349 FAX: MS. JEANETTE VOLK /- Lim-Liab VISITING ANGELS HCP-A 5871 CEDAR LAKE RD (21550) ST LOUIS PARK, MN 55416 PHONE: 952/544-6300 FAX: MR. RONALD HAGBERG 952/544-6222 Home Mgmt Lim-Liab VISITING ANGELS LIVING ASSIST 5871 CEDAR LAKE ROAD (21494) ST LOUIS PARK, MN 55416 PHONE: 952/544-6300 FAX: Corp WESTWOOD HEALTH CARE CENTER MR. RONALD HAGBERG 952/544-6222 NH-105 SNF-NF-105 7500 WEST 22ND STREET (00278) ST LOUIS PARK, MN 55426 PHONE: 952/546-4261 FAX: MS. ANNETTE THORSON 952/546-7164 ESRD Corp WESTWOOD HILLS DIALYSIS 7525 WAYZATA BOULEVARD (25768) ST LOUIS PARK, MN 55426 PHONE: 952/546-1401 FAX: 952/544-0583 Lim-Liab SOJOURN AT HOME LLC MS. DEANNA ERICKSON HCP-B 4270 CIRCLE ROAD (28267) TONKA BAY, MN 55331 PHONE: 612/790-9292 FAX: 952/400-3542 Lim-Liab SOJOURN SUITES LLC MR. THOMAS PENN HCP-F 4270 CIRCLE ROAD (26695) TONKA BAY, MN 55331 PHONE: 612/790-9292 FAX: Corp DIVINE RESULTS HOME CARE INC MR. THOMAS PENN 952/400-3542 HCP-A 521 INDIAN MOUND STREET (28173) WAYZATA, MN 55391 PHONE: 952/820-5132 FAX: Corp ENGLISH ROSE SUITES MS. BEVERLY FRANKWITZ 952/417-6788 HCP-F 1708 PONDVIEW TERRACE (20905) WAYZATA, MN 55391 PHONE: 952/983-0412 FAX: 952/253-2548 MS. VICKI MARTINI HWSAL Corp ENGLISH ROSE SUITES 1708 PONDVIEW TERRACE (23614) WAYZATA, MN 55391 PHONE: 952/983-0412 FAX: 952/253-2548 MS. JAYNE CLAIRMONT Minnesota Department of Health Division of Compliance Monitoring Page 210 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab GOLDEN LIVING COMM REFLECTIONS Certification HENNEPIN Registration (Cont.)* -------------------------- HCP-F HWSAL 15409 WAYZATA BOULEVARD (21126) WAYZATA, MN 55391 PHONE: 952/473-5466 FAX: M. ALLISON MURKOWSKI 952/473-6842 Lim-Liab GOLDEN LVGCTR HILLCRST WAYZATA NH-84 SNF-84 15409 WAYZATA BOULEVARD (00213) WAYZATA, MN 55391 PHONE: 952/473-5466 FAX: MS. ALLISON MURKOWSKI 952/473-6842 NProf HAMMER CARLSON SLFB-6 ICFMR-6 16325 COUNTY ROAD 15 (20875) WAYZATA, MN 55391 PHONE: 952/473-1261 FAX: MS. LISBETH ARMSTRONG 952/473-8629 NProf HAMMER RIDGEVIEW SLFB-6 ICFMR-6 401 RIDGEVIEW DR (04306) WAYZATA, MN 55391 PHONE: 952/473-1261 FAX: MR. LISBETH ARMSTRONG 952/473-8629 NProf HAMMER SHERIDAN SLFB-6 ICFMR-6 2412 SHERIDAN HILLS CURVE (21172) WAYZATA, MN 55391 PHONE: 952/473-1261 FAX: 952/473-8629 Corp HEALTHTOUCH HOME CARE INC MR. TIMOTHY NELSON HCP-A 600 TWELVE OAKS CTR DRIVE #640 (22035) WAYZATA, MN 55391 PHONE: 952/473-1177 FAX: 952/473-1870 Corp HOME CARE CONNECTIONS INC MS. PHILOMENA MARSHALL HCP-A 600 TWELVE OAKS CTR DR (22034) WAYZATA, MN 55391 PHONE: 952/473-1177 FAX: MS. PHILOMENA MARSHALL 952/473-1870 HWSAL Part MERIDIAN MANOR 163 WEST WAYZATA BOULEVARD (21781) WAYZATA, MN 55391 PHONE: 952/473-3200 FAX: MR. FRANCIS LANG 952/404-1540 NProf SHADYWAY GROUP HOME SLFA-6 ICFMR-6 522 SHADYWAY ROAD (01213) WAYZATA, MN 55391 PHONE: 952/475-1621 FAX: MS. LISA SCHEINOST 952/475-0089 Corp WEST SUBURBAN SENIOR RESOURCES HCP-A PO BOX 251 (02945) WAYZATA, MN 55391 PHONE: 952/473-1292 FAX: /- MR. GERALD FENSTAD Minnesota Department of Health Division of Compliance Monitoring Page 211 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp CALEDONIA CARE AND REHAB Certification HOUSTON Registration ******** -------------------------- NH-50 SNF-NF-50 425 BADGER ST N (00073) CALEDONIA, MN 55921 PHONE: 507/725-3351 FAX: MR. LLOYD SWALVE 507/725-5142 HWSAL Corp CALEDONIA CARE AND REHAB BUCK 505 NORTH BADGER STREET (20033) CALEDONIA, MN 55921 PHONE: 507/725-3351 FAX: Cnty HOUSTON COUNTY PUBLIC HEALTH N MR. LLOYD SWALVE 507/725-5142 HCP-A HHA 611 VISTA DRIVE SUITE 1 (02013) CALEDONIA, MN 55921 PHONE: 507/725-5810 FAX: Corp ROSEVIEW COURT CARE AGENCY MS. DEB ROCK 507/725-2150 HCP-F HWSAL 425 NORTH BADGER STREET (20196) CALEDONIA, MN 55921 PHONE: 507/725-3351 FAX: NProf ABLE INC HOUSTON MR. LLOYD SWALVE 507/725-5142 SLFB-6 ICFMR-6 105 WEST ELM STREET BOX 245 (01611) HOUSTON, MN 55943 PHONE: 507/896-3040 FAX: 507/896-2439 MS. GAIL MEYER HWS NProf HERITAGE COURT 110 HENDERSON STREET (20339) HOUSTON, MN 55943 PHONE: 507/896-3125 FAX: 507/896-3289 NProf VALLEY VIEW NURSING HOME MR. CHRIS SCHULZ NH-45 SNF-NF-45 510 EAST CEDAR STREET (00286) HOUSTON, MN 55943 PHONE: 507/896-3125 FAX: NProf ABLE INC LACRESCENT MS. DEBORAH BARNES 507/896-3289 SLFB-15 ICFMR-15 1700 LANCER BOULEVARD (01419) LACRESCENT, MN 55947 PHONE: 507/895-8111 FAX: Corp CLADDAGH HOUSE INC MS. GAIL MEYER 507/895-4505 HCP-F HWS 333 SOUTH SECOND STREET (20565) LACRESCENT, MN 55947 PHONE: 507/895-6447 FAX: Lim-Liab GOLDEN LIVINGCENTER LACRESNT MR. LARRY LEDEBUHR 507/895-6065 NH-45 SNF-NF-45 101 SOUTH HILL STREET (00936) LACRESCENT, MN 55947 PHONE: 507/895-4445 FAX: 507/895-7195 MS. KAITLIN THOMAS Minnesota Department of Health Division of Compliance Monitoring Page 212 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab SPRING GROVE ASSISTED LIV LLC Certification HOUSTON Registration (Cont.)* -------------------------- HCP-F HWSAL 130 5TH AVENUE SE (23911) SPRING GROVE, MN 55974 PHONE: 507/498-4000 FAX: MS. CAROL NERSTAD 507/498-4001 NProf TWEETEN LUTHERAN HEALTH C C NH-50 SNF-NF-50 125 FIFTH AVENUE SOUTHEAST (00285) SPRING GROVE, MN 55974 PHONE: 507/498-3211 FAX: MR. RICK COLBY 507/498-3228 ---------------------------********** Ind LAURA THERESA JULIUS HUBBARD ******** -------------------------- HCP-C 31115 200TH STREET (21134) AKELEY, MN 56433 PHONE: 218/226-2984 FAX: MS. LAURA JULIUS /- Corp PINE MANORS INC SLFA-28 SLFB-8 22195 STATE 34 (01578) NEVIS, MN 56467 PHONE: 218/732-4337 FAX: Part CARE AGE COUNTRY HOME MS. RACHEL MUELLER 218/732-0399 HCP-F HWSAL 18846 EAGLE BEND ROAD (20086) PARK RAPIDS, MN 56470 PHONE: 218/732-3721 FAX: 218/732-1208 MR. CHRIS NIEMEYER HWSAL Lim-Liab DIAMOND WILLOW ASSISTED LIVING 909 CROCUS HILL STREET (25123) PARK RAPIDS, MN 56470 PHONE: 218/732-2663 FAX: 218/732-2666 MS. BRENDA MARSHALL HWSAL Lim-Liab DIAMOND WILLOW ASSISTED LIVING 911 CROCUS HILL STREET (25122) PARK RAPIDS, MN 56470 PHONE: 218/732-1671 FAX: 218/732-2666 MS. BRENDA MARSHALL HWSAL Cnty HERITAGE COTTAGE ON 5TH 615 WEST SIXTH STREET (26535) PARK RAPIDS, MN 56470 PHONE: 218/237-8345 FAX: 218/237-8348 MR. KURT HANSEN HWSAL Cnty HERITAGE COTTAGE ON 6TH 611 WEST SIXTH STREET (26536) PARK RAPIDS, MN 56470 PHONE: 218/237-8345 FAX: 218/237-8348 MR. KURT HANSEN Minnesota Department of Health Division of Compliance Monitoring Page 213 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Cnty HERITAGE LIVING CENTER Certification HUBBARD NH-68 Registration (Cont.)* -------------------------SNF-NF-68 619 WEST SIXTH STREET (00288) PARK RAPIDS, MN 56470 PHONE: 218/732-3329 FAX: MR. KURT HANSEN 218/732-9125 Cnty HERITAGE MANOR HCP-F HWSAL 602 FAIR AVENUE (21235) PARK RAPIDS, MN 56470 PHONE: 218/237-7275 FAX: MR. KURT HANSEN 218/237-1210 HWSAL Lim-Liab HYATT HOUSE LLC 307 EASTERN AVENUE SOUTH (25233) PARK RAPIDS, MN 56470 PHONE: 218/237-0020 FAX: MS. ANNETTE JUNES 218/237-5060 Lim-Liab HYATT HOUSE LLC HCP-F HWSAL 309 EASTERN AVENUE SOUTH (24162) PARK RAPIDS, MN 56470 PHONE: 218/237-0020 FAX: MS. ANNETTE JUNES 218/237-5060 Lim-Liab MANY LAKES HOME CARES LLC HCP-A 23095 GUNNER DRIVE (26684) PARK RAPIDS, MN 56470 PHONE: 218/732-9394 FAX: 866/381-4612 MS. HEIDI NEUER Out Pt Out St Out Ot Corp PARK RAPIDS PT AND REHAB 200 SOUTH MAIN STREET (03572) PARK RAPIDS, MN 56470 PHONE: 218/732-0868 FAX: /- MR. STEVEN JENSEN HWS NProf PARK VILLA APARTMENTS 607 WEST 7TH STREET (21679) PARK RAPIDS, MN 56470 PHONE: 218/237-7275 FAX: Church ST JOSEPHS AREA HLTH SERVICES MR. KURT HANSEN 218/237-1210 HCP-A HHA 323 SOUTH MAIN (02416) PARK RAPIDS, MN 56470 PHONE: 218/732-4552 FAX: Church ST JOSEPHS AREA HLTH SERVICES MR. BEN KOPPELMAN 218/732-1273 BASS-10 HOSP-50 CAH-25 600 PLEASANT AVE (00287) PARK RAPIDS, MN 56470 PHONE: 218/732-3311 FAX: Church ST JOSEPHS AREA HLTH SERVICES MR. BEN KOPPELMAN 218/732-1368 Hospice HSPICE 323 MAIN AVE S (03458) PARK RAPIDS, MN 56470 PHONE: 218/237-5471 FAX: 218/732-1273 MS. BETH FUNK Minnesota Department of Health Division of Compliance Monitoring Page 214 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab BK FAMILY NURSING HOME CARE LL Certification ISANTI Registration ******** -------------------------- HCP-A 515 HORSESHOE LANE (26855) BRAHAM, MN 55006 PHONE: 320/396-3185 FAX: Lim-Liab ELMHURST COMMONS MR. STEVE KARPEH 866/407-7861 HCP-F HWSAL 400 3RD STREET SOUTHWEST (24848) BRAHAM, MN 55006 PHONE: 320/396-0440 FAX: NProf CAMBRIDGE MED CTR DELLWOOD MR. CHUCK PETRICH 651/777-2448 SLFA-11 701 DELLWOOD STREET (23586) CAMBRIDGE, MN 55008 PHONE: 763/689-7723 FAX: NProf CAMBRIDGE MEDICAL CENTER MR. SCOTT TENNAPEL 763/689-7781 BASS-15 HOSP-86 HOSP-72 PPS-P-14 701 SOUTH DELLWOOD AVENUE (00295) CAMBRIDGE, MN 55008 PHONE: 763/689-7700 FAX: MR. DENNIS DORAN 763/688-7941 HWSAL Corp CARSTENS HARBOUR 653 MAIN STREET NORTH (27286) CAMBRIDGE, MN 55008 PHONE: 763/552-1340 FAX: 763/552-1341 Corp CARSTENS HARBOUR INC MR. J. SCOTT KENT HCP-F 653 MAIN STREET NORTH (21284) CAMBRIDGE, MN 55008 PHONE: 763/552-1340 FAX: 866/265-7173 MR. J. SCOTT KENT ESRD NProf CENTRACARE CAMBRIDGE DIALYSIS 520 11TH AVE SW SOUTH BLDG (25908) CAMBRIDGE, MN 55008 PHONE: 763/691-1333 FAX: NProf DCI CENTRAL MS. CATHY SINDELIR 763/691-0999 SLFB-6 ICFMR-6 1555 CENTRAL AVENUE SOUTHWEST (01371) CAMBRIDGE, MN 55008 PHONE: 763/689-3794 FAX: MR. ROGER MEYER 763/444-7011 Home Mgmt NProf GRACEPOINTE ADULT DAY CENTER 548 FIRST AVENUE WEST (28075) CAMBRIDGE, MN 55008 PHONE: 763/689-0885 FAX: ONProf GRACEPOINTE CROSS GABLES EAST MS. MOLLY CARLSON 763/689-9450 NH-112 SNF-NF-112 548 FIRST AVENUE (00292) CAMBRIDGE, MN 55008 PHONE: 763/689-1474 FAX: 763/689-9450 MR. JOSHUA THEIS Minnesota Department of Health Division of Compliance Monitoring Page 215 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf GRACEPOINTE CROSS GABLES WEST Certification ISANTI Registration (Cont.)* -------------------------- NH-144 SNF-NF-144 135 FERN STREET NORTH (00294) CAMBRIDGE, MN 55008 PHONE: 763/691-2103 FAX: MS. LAURIE SYKES 763/691-2200 NProf GRACEPOINTE CRSING THE COMMONS HCP-F HWSAL 1545 RIVERHILLS PKWAY NW (20709) CAMBRIDGE, MN 55008 PHONE: 763/689-1474 FAX: MR. DAN LINDH 763/689-6629 Out Pt Out St Out Ot Corp HEALTH DIMENSIONS REHAB INC 1001 HIGHWAY 95 (02443) CAMBRIDGE, MN 55008 PHONE: 763/689-5385 FAX: MR. MARK ESSLING 763/689-5558 Corp HEALTH DIMENSIONS REHABILITATI HCP-A 1994 EAST RUM RIVER DRIVE SO (03104) CAMBRIDGE, MN 55008 PHONE: 763/689-5385 FAX: MR. MARK ESSLING 763/689-5558 Home Mgmt Lim-Liab VISITING ANGELS 200 3RD AVENUE NE SUITE 100 (26618) CAMBRIDGE, MN 55008 PHONE: 763/552-4043 FAX: 763/689-6681 Lim-Liab VISITING ANGELS MR. GEORGE CARLSON HCP-A 200 3RD AVENUE NE STE 100 (26546) CAMBRIDGE, MN 55008 PHONE: 763/552-4043 FAX: 763/689-6681 Lim-Liab PRAIRIE SR COTTAGES OF ISANTI MS. KAREN CARLSON HCP-F HWSAL 706 6TH AVENUE NORTH (28490) ISANTI, MN 55040 PHONE: 763/444-4626 FAX: MS. NYCOLE CORDELL /- HWS Corp SOLBAKKEN INC 5101 289TH AVENUE NORTHWEST (22198) ISANTI, MN 55040 PHONE: 952/943-8485 FAX: MS. MARY ADAMS 952/943-2941 Ind CONNIE R DAVIS LPN HCP-A 1875 WEST RUSH DRIVE (28181) STANCHFIELD, MN 55080 PHONE: 763/670-7498 FAX: /- ---------------------------********** MS. CONNIE DAVIS ITASCA ******** -------------------------- Minnesota Department of Health Division of Compliance Monitoring Page 216 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Dist BIGFORK VALLEY COMMUNITIES Certification ITASCA Registration (Cont.)* -------------------------- NH-40 SNF-NF-40 258 PINE TREE DR P O BOX 258 (00834) BIGFORK, MN 56628 PHONE: 218/743-3177 FAX: Dist BIGFORK VALLEY HOME CARE MR. MIKE ANDERSON 218/743-3559 HCP-A HHA 258 PINE TREE DRIVE PO BOX 258 (03846) BIGFORK, MN 56628 PHONE: 218/743-1004 FAX: Dist BIGFORK VALLEY HOSPITAL MR. MIKE ANDERSON 218/743-3559 BASS-4 HOSP-20 CAH-20 258 PINE TREE DRIVE (00300) BIGFORK, MN 56628 PHONE: 218/743-3177 FAX: MR. DANIEL ODEGAARD 218/743-3559 HWSAL Dist BIGFORK VALLEY VILLA 258 PINE TREE DR (20243) BIGFORK, MN 56628 PHONE: 218/743-1000 FAX: Dist BIGFORK VALLEY VILLA ASST LVG MR. H DANIEL ODEGAARD 218/743-3559 HCP-F 258 PINE TREE DRIVE (23171) BIGFORK, MN 56628 PHONE: 218/743-1004 FAX: 218/743-4160 Corp EDGEWOOD CARE INC MR. DANIEL ODEGAARD HCP-F HWSAL 102 10TH AVE PO BOX 39 (24649) BOVEY, MN 55709 PHONE: 218/245-3550 FAX: 218/245-3551 Corp AUTUMN LANE MR. PETER GIVING HCP-F 36858 PINCHERRY ROAD (26859) COHASSET, MN 55721 PHONE: 218/328-0225 FAX: Corp AUTUMN LANE INC MS. LEANNE BRENDEN 218/328-6105 HCP-A HWSAL 36858 PINCHERRY RD (23725) COHASSET, MN 55721 PHONE: 218/328-0225 FAX: Corp MAPLE WOODS ASTD LIVING AND HC MS. LEANNE BRENDEN 218/328-6105 HCP-A HWSAL 40170 COUNTY ROAD 257 (26072) COHASSET, MN 55721 PHONE: 218/244-9458 FAX: Corp SUGAR BROOK VILLA INC MR. DEAN DICKSON 218/999-5657 HCP-F HWSAL 20868 SUGAR HILLS ROAD (23715) COHASSET, MN 55721 PHONE: 218/326-5730 FAX: 218/326-5713 MS. BARBARA GRENIGER Minnesota Department of Health Division of Compliance Monitoring Page 217 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp HOME AND COMFORT INC Certification ITASCA Registration (Cont.)* -------------------------- HCP-F HWSAL 500 POWELL AVENUE (21439) COLERAINE, MN 55722 PHONE: 218/245-0012 FAX: MS. BETHEL WILCOWSKI 218/245-0293 HWS NProf COMSTOCK COURT 1001 COMSTOCK DRIVE (20220) DEER RIVER, MN 56636 PHONE: 218/246-3015 FAX: MR. JEFFRY STAMPOHAR 218/246-3013 NProf DEER RIVER HEALTH CARE CENTER NH-32 BASS-6 HOSP-20 SNF-NF-32 CAH-20 115 10TH AVENUE NORTHEAST (00296) DEER RIVER, MN 56636 PHONE: 218/246-2900 FAX: MR. JEFFRY STAMPOHAR 218/246-3013 NProf DEER RIVER HOME CARE HCP-A HHA 1002 COMSTOCK DRIVE (02403) DEER RIVER, MN 56636 PHONE: 218/246-3012 FAX: MR. JEFFRY STAMPOHAR 218/246-3054 Corp 4U HOME HEALTH CARE HCP-A 21058 BIRCH HILL DRIVE (27332) GRAND RAPIDS, MN 55744 PHONE: 218/326-0095 FAX: /- MRS. CARLA HENNING Corp ACCESS HEALTH CARE HCP-A HHA 400 WITTMAN DRIVE SUITE B (03932) GRAND RAPIDS, MN 55744 PHONE: 218/326-0004 FAX: 218/326-4770 Corp ACCESS SERVICES INCORPORATED MS. DARLENE COLLINS HCP-F 400 WITTMAN DRIVE SUITE B (21658) GRAND RAPIDS, MN 55744 PHONE: 218/326-0004 FAX: Ind BEVERLY HEMMINGSON TRUST MS. DARLENE COLLINS 218/326-4770 HCP-A 30711 ZIMS LANE (25817) GRAND RAPIDS, MN 55744 PHONE: 218/326-2370 FAX: Corp CRYSTAL LAKE HOME MS. LORRIE YESCHICK 866/408-8868 HCP-F HWSAL 102 NE 14TH STREET (23124) GRAND RAPIDS, MN 55744 PHONE: 218/327-0312 FAX: 218/327-6099 MS. PAMELA FRIESEN HWSAL Lim-Liab DIAMOND WILLOW ASSISTED LIVING 949 1/2 SW 11TH AVE (24816) GRAND RAPIDS, MN 55744 PHONE: 218/327-9460 FAX: 218/327-9407 MS. BRENDA MARSHALL Minnesota Department of Health Division of Compliance Monitoring Page 218 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification ITASCA (Cont.)* -------------------------HWSAL Lim-Liab DIAMOND WILLOW ASSISTING LIVIN Registration 949 SW 11TH AVE (24815) GRAND RAPIDS, MN 55744 PHONE: 218/327-9406 FAX: Lim-Liab EVERGREEN TERRACE MS. BRENDA MARSHALL 218/327-9408 NH-109 SNF-NF-109 2801 SOUTH HIGHWAY 169 (00299) GRAND RAPIDS, MN 55744 PHONE: 218/326-3431 FAX: MS. KATHERINE HOLLAND 218/327-3217 ESRD Corp FMC DIALYSIS SRVCS GR RAPIDS 410 SOUTHWEST FIRST AVENUE (03802) GRAND RAPIDS, MN 55744 PHONE: 218/327-1930 FAX: Lim-Liab GARDEN COURT CHATEAU MS. LINDA SARNE 218/327-1912 HCP-F HWS 2501 COUNTY ROAD 76 (24912) GRAND RAPIDS, MN 55744 PHONE: 218/999-5998 FAX: NProf GRAND ITASCA CLINIC & HOSP MS. JULIE MANLEY-HARTJE 218/999-5996 BASS-10 HOSP-64 HOSP-50 PPS-R-14 1601 GOLF COURSE ROAD (00297) GRAND RAPIDS, MN 55744 PHONE: 218/326-3401 FAX: 218/999-1461 NProf GRAND ITASCA CLINIC & HOSP HC MR. DANIEL MCCORMICK HCP-A HHA 111 SE 3RD STREET (02975) GRAND RAPIDS, MN 55744 PHONE: 218/326-7568 FAX: 218/999-1052 MR. TODD CORTESE HWS Corp GRAND MANOR 1605 NW 4TH STREET (21146) GRAND RAPIDS, MN 55744 PHONE: 218/326-5314 FAX: MS. DARLENE COLLINS 218/326-9811 HWS Corp GRAND MANOR II 227 SOUTHWEST 13TH STREET (21147) GRAND RAPIDS, MN 55744 PHONE: 218/326-5314 FAX: MS. DARLENE COLLINS 218/326-9811 HWS Corp GRAND MANOR III 1115 SOUTHWEST 2ND AVENUE (21148) GRAND RAPIDS, MN 55744 PHONE: 218/326-5314 FAX: Cnty GRAND VILLAGE MS. DARLENE COLLINS 218/326-9811 NH-119 SNF-NF-119 923 HALE LAKE POINTE (00298) GRAND RAPIDS, MN 55744 PHONE: 218/326-0543 FAX: 218/327-2405 MR. JACOB GOERING Minnesota Department of Health Division of Compliance Monitoring Page 219 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab LAKEWOOD SURGERY CENTER Certification ITASCA Registration (Cont.)* -------------------------- Outpt Surg Amb Surg 1542 GOLF COURSE RD SUITE 105 (23863) GRAND RAPIDS, MN 55744 PHONE: 218/326-3937 FAX: MR. MARK RIEHLE 218/326-3955 HWSAL Lim-Liab MANOR HOUSE SENIOR LIVING 722 NORTH POKEGAMA AVENUE (20077) GRAND RAPIDS, MN 55744 PHONE: 218/326-3469 FAX: MR. STEVE RICH 218/327-6013 Lim-Liab MANOR HOUSE SENIOR LIVING HCP-F 722 NORTH POKEGAMA AVENUE (26123) GRAND RAPIDS, MN 55744 PHONE: 218/326-3469 FAX: MR. STEVE RICH 320/327-6013 Corp MCKINNEY LAKE HOUSE HCP-F HWSAL 2304 MCKINNEY LAKE ROAD (23682) GRAND RAPIDS, MN 55744 PHONE: 218/326-2226 FAX: MS. CHERYL HEIKKILA 218/326-2226 HWSAL NProf MOSES RESIDENCE 220 17TH STREET NW (24458) GRAND RAPIDS, MN 55744 PHONE: 651/645-7271 FAX: 651/645-0541 Corp NORTH COUNTRY CARE MR. STEPHEN VANDER SCHAAF HCP-F HWS-O 1212 GUNN ROAD (21748) GRAND RAPIDS, MN 55744 PHONE: 218/327-0729 FAX: 218/245-2189 MRS. JENNIFER ALTENHOFEN HWS Corp NORTH COUNTRY CARE INC 1132 GUNN ROAD (23126) GRAND RAPIDS, MN 55744 PHONE: 218/327-9595 FAX: MRS. JENNIFER ALTENHOFEN 218/245-2189 CMHC NProf NORTHLAND COUNSELING CENTER 215 SOUTHEAST SECOND AVENUE (02776) GRAND RAPIDS, MN 55744 PHONE: 218/326-1274 FAX: MR. SYD EWENS /- NProf NORTHLAND RECOVERY CENTER SLFB-24 1215 SEVENTH AVENUE SOUTHEAST (01608) GRAND RAPIDS, MN 55744 PHONE: 218/313-1315 FAX: Lim-Liab PLEASANT SEASONS MS. COLLEEN MACKEY 218/327-1932 HCP-F HWSAL 2815 HWY 169 S (21909) GRAND RAPIDS, MN 55744 PHONE: 218/326-8567 FAX: 218/327-2734 MR. GARY BRINK Minnesota Department of Health Division of Compliance Monitoring Page 220 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification ITASCA (Cont.)* -------------------------Out Pt Part RADTKE PHYSICAL THERAPY Registration 1542 GOLF COURSE ROAD SUITE 4 (20672) GRAND RAPIDS, MN 55744 PHONE: 218/326-3300 FAX: Corp RIVER GRAND INC MR. MICHAEL RADTKE 218/326-3400 HCP-F HWSAL 355 RIVER ROAD (25198) GRAND RAPIDS, MN 55744 PHONE: 218/999-5333 FAX: Corp THE ROCK HHC INC MS. ROCHELLE LANGLOIS 218/999-5833 HCP-A 1415 EAST US HIGHWAY 169 (26864) GRAND RAPIDS, MN 55744 PHONE: 218/327-8294 FAX: Corp TLC SERENITY HOME MRS. KATHLEEN CETWINSKI 888/291-6818 HCP-F HWSAL 625 NE 1ST AVENUE (25126) GRAND RAPIDS, MN 55744 PHONE: 218/327-9222 FAX: MRS. TERESA LINN 218/326-1560 HWSAL Corp TLC SERENITY HOME II 1314 SOUTHEAST 4TH AVENUE (26534) GRAND RAPIDS, MN 55744 PHONE: 218/326-0049 FAX: 218/326-1560 Corp WENDIGO PINES ASSTED LIVING MS. TERESA LINN HCP-F HWSAL 20371 WENDIGO PARK ROAD (21725) GRAND RAPIDS, MN 55744 PHONE: 218/326-6900 FAX: 218/326-2783 MS. RAISA KOTULA HWSAL ONProf WOODLAND HOMES 650 SE 13TH STREET (21859) GRAND RAPIDS, MN 55744 PHONE: 218/327-1936 FAX: MR. DEAN BLOEMKE 218/327-0027 HWSAL Corp HILLCREST NASHWAUK 511 PLATT AVENUE EAST (26487) NASHWAUK, MN 55769 PHONE: 218/263-4157 FAX: MR. RANDY SCHROETTER 218/263-4468 ---------------------------********** Corp LAKEVIEW ASSISTED LIVING JACKSON HCP-F HWSAL 941 COUNTY ROAD 9 (25317) HERON LAKE, MN 56137 PHONE: 507/793-2349 FAX: 507/793-2348 ******** -------------------------- MS. DAWN SMITH Minnesota Department of Health Division of Compliance Monitoring Page 221 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Cnty COTTONWOOD JACKSON COMM H S Certification JACKSON Registration (Cont.)* -------------------------- HCP-A HHA 402 WHITE STREET STE 201 (02101) JACKSON, MN 56143 PHONE: 507/847-2366 FAX: MS. PATRICIA STEWART 507/847-2881 NProf GOOD SAM SOCIETY JACKSON NH-68 SNF-NF-68 601 WEST STREET (00303) JACKSON, MN 56143 PHONE: 507/847-3100 FAX: MR. GORDON HORMANN 507/847-2119 Out Pt Out Ot Ind PRAIRIE REHABILITATION SERVS 816 3RD STREET (23594) JACKSON, MN 56143 PHONE: 507/372-2232 FAX: MR. TROY VANORMAN /- RHC NProf SANFORD CLINIC JACKSON 1430 NORTH HIGHWAY (03494) JACKSON, MN 56143 PHONE: 507/847-2200 FAX: MR. DAVID HOVE /- NProf SANFORD JACKSON MEDICAL CENTER HOSP-20 CAH-20 1430 NORTH HIGHWAY (00305) JACKSON, MN 56143 PHONE: 507/847-2420 FAX: 507/847-3728 NProf THE PINES MS. MARY RUYTER HCP-F HWSAL 1508 NORTH HIGHWAY (20041) JACKSON, MN 56143 PHONE: 507/847-5762 FAX: 507/847-5763 Corp COLONIAL MANOR NURSING HOME MR. GORDON HORMANN NH-37 SNF-NF-37 403 COLONIAL AVENUE (00302) LAKEFIELD, MN 56150 PHONE: 507/662-6646 FAX: MS. PATRICE GOETTE 507/662-5531 HWSAL Corp DOMAN ROSE PLACE 220 MILWAUKEE STREET (20084) LAKEFIELD, MN 56150 PHONE: 507/662-6433 FAX: Corp DOMAN ROSE PLACE MS. BRENDA MEYER 507/662-5364 HCP-F 220 MILWAUKEE STREET (25743) LAKEFIELD, MN 56150 PHONE: 507/662-5236 FAX: 507/662-5126 MS. PAMELA KAREN HWSAL Corp ROSEWOOD VILLA 224 MILWAUKEE STREET (23401) LAKEFIELD, MN 56150 PHONE: 507/662-6433 FAX: 507/662-5542 MS. BRENDA MEYER Minnesota Department of Health Division of Compliance Monitoring Page 222 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification JACKSON (Cont.)* -------------------------RHC NProf SANFORD CLINIC LAKEFIELD Registration 220 MILWAUKEE (03730) LAKEFIELD, MN 56150 PHONE: 507/662-6611 FAX: MR. DAVID HOVE /- HWSAL Corp VALLEY VIEW ASSISTED LIVING 1005 MILWAUKEE STREET (23658) LAKEFIELD, MN 56150 PHONE: 507/662-5330 FAX: MS. PATRICE GOETTE 507/662-5679 Corp VALLEY VIEW ASSISTED LIVING HCP-F 1005 MILWAUKEE STREET (23656) LAKEFIELD, MN 56150 PHONE: 507/662-5330 FAX: MS. PATRICE GOETTE 507/662-5679 ---------------------------********** KANABEC ******** -------------------------HWSAL NProf BENEDICTINE LIVING COMMUNITY O 101 NINTH STREET (20246) MORA, MN 55051 PHONE: 320/679-2576 FAX: MR. JACK L'HEUREUX 320/679-8358 NProf BENEDICTINE LVG COMM OF MORA NH-77 SNF-NF-77 110 NORTH 7TH STREET (00814) MORA, MN 55051 PHONE: 320/679-1411 FAX: 320/679-8350 NProf BENEDICTINE LVG COMM OF MORA MR. JACK L'HEUREUX HCP-F 101 NINTH STREET (03022) MORA, MN 55051 PHONE: 320/679-2576 FAX: MR. JACK L'HEUREUX 320/679-8358 HWSAL Lim-Liab COUNTRY HOME COMFORTS LLC 1784 OLYMPIC STREET (26768) MORA, MN 55051 PHONE: 320/679-2847 FAX: MS. BARBARA STEINER /- NProf EASTWOOD SENIOR LVG HOME CARE HCP-F HWSAL 170 VALHALLA CIRCLE (27518) MORA, MN 55051 PHONE: 320/679-2916 FAX: Cnty FIRSTLIGHT HEALTH SYSTEM MS. MARY JO THORNE 320/679-4336 BASS-8 HOSP-49 301 S HWY 65 (00308) MORA, MN 55051 PHONE: 320/225-3315 FAX: 320/225-3320 MR. RANDY ULSETH CAH-25 Minnesota Department of Health Division of Compliance Monitoring Page 223 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification KANABEC (Cont.)* -------------------------ESRD Corp FMCNA MORA DIALYSIS CENTER Registration 820 HOWE AVENUE SUITE 104 (03556) MORA, MN 55051 PHONE: 320/679-1250 FAX: Cnty KANABEC CO PUBLIC HLTH HOSPICE MS. SARAH PARKER 320/670-1154 Hospice HSPICE 905 E FOREST AVENUE SUITE 127 (03844) MORA, MN 55051 PHONE: 320/679-6330 FAX: Cnty KANABEC COUNTY PHNS MS. WENDY THOMPSON 320/679-6333 HCP-A HHA 905 E FOREST AVENUE (02216) MORA, MN 55051 PHONE: 320/679-6330 FAX: MS. WENDY THOMPSON 320/679-6333 HWSAL Lim-Liab SCANDIA HOUSE OF MORA 973 MAPLE AVENUE EAST (26502) MORA, MN 55051 PHONE: 320/679-3260 FAX: Lim-Liab SIGNE AND OLIVIAS LLC MR. KENNETH BERGSTROM 320/679-3220 HCP-F HWSAL 1545 HARBOR STREET (26359) OGILVIE, MN 56358 PHONE: 320/272-0115 FAX: 320/272-4100 MS. VICTORIA FORE ---------------------------********** NProf ATWATER HOUSE KANDIYOHI SLFA-6 ******** -------------------------ICFMR-6 110 5TH STREET NORTH (01110) ATWATER, MN 56209 PHONE: 320/235-5897 FAX: 320/231-0633 MS. CATHERINE JOHNSON HWSAL Corp SUNNYVIEW 316 SUNRISE LANE (20569) ATWATER, MN 56209 PHONE: 320/441-7001 FAX: 320/235-8069 MS. DAWN FRERICKS HWSAL Corp SUNNYVIEW II 314 SUNRISE LANE (21369) ATWATER, MN 56209 PHONE: 320/441-7001 FAX: 320/235-8069 MS. DAWN FRERICKS HWSAL Corp CENTRAL MINNESOTA SENIOR CARE 270 WEST MILKY WAY AVENUE (23210) LAKE LILLIAN, MN 56253 PHONE: 320/441-7001 FAX: 320/235-8069 MS. DAWN FRERICKS Minnesota Department of Health Division of Compliance Monitoring Page 224 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification KANDIYOHI (Cont.)* -------------------------HWSAL NProf BENEDICTINE LIVING COMMUNITY O Registration 102 GLEN OAKS DRIVE (20303) NEW LONDON, MN 56273 PHONE: 320/354-2121 FAX: NProf BENEDICTINE LNG COM NEW LONDON MR. JIM LAINE 320/354-2060 NH-62 SNF-NF-62 100 GLEN OAKS DRIVE (00314) NEW LONDON, MN 56273 PHONE: 320/354-2231 FAX: NProf BENEDICTINE LVG COM NEW LONDON MR. JAMES LAINE 320/354-2060 HCP-F 102 GLEN OAKS DRIVE (21021) NEW LONDON, MN 56273 PHONE: 320/354-2231 FAX: Corp LAKE REGION HOME HEALTH MR. JAMES LAINE 320/354-2060 HCP-A HHA 102 GLEN OAKS DRIVE (02204) NEW LONDON, MN 56273 PHONE: 320/354-5858 FAX: MS. KIMBERLY WESTBERG OLSON 320/354-2179 Home Mgmt Corp TOUCHING HEARTS AT HOME 14 4TH AVENUE SE PO BOX 52 (25344) NEW LONDON, MN 56273 PHONE: 320/354-4663 FAX: 320/354-4669 MS. LINDA MADSEN HWSAL Corp CENTRAL MINNESOTA SENIOR CARE 403 CARDINAL DRIVE (23208) PRINSBURG, MN 56281 PHONE: 320/441-7001 FAX: 320/235-8069 Corp COUNTRY LVNG MANAGEMENT CO MS. DAWN FRERICKS HCP-F 12335 13TH STREET NORTHWEST (28183) SPICER, MN 56288 PHONE: 320/354-4000 FAX: NProf LAKEWOOD HOME MS. LUANNE GIBSON 320/269-8100 SLFB-6 ICFMR-6 256 LAKE AVENUE NORTH (01542) SPICER, MN 56288 PHONE: 320/796-6999 FAX: 320/796-6522 MS. KAREN ROSMAN-BANGASSER HWSAL-O Corp CENTRAL MINNESOTA SENIOR CARE 403 CENTRAL AVE (24351) SUNBURG, MN 56289 PHONE: 320/441-7001 FAX: 320/235-8069 MS. DAWN FRERICKS HWSAL Corp MIRIAM MANOR 403 CENTRAL AVENUE (23209) SUNBURG, MN 56289 PHONE: 320/366-3934 FAX: 320/235-8069 MS. DAWN FRERICKS Minnesota Department of Health Division of Compliance Monitoring Page 225 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification KANDIYOHI (Cont.)* -------------------------HWS NProf BETHESDA Registration 901 SE WILLMAR AVENUE (27748) WILLMAR, MN 56201 PHONE: 320/235-9532 FAX: NProf BETHESDA HERITAGE CENTER MS. MICHELLE HAEFNER 320/235-7909 NH-128 SNF-NF-128 1012 EAST THIRD STREET (00312) WILLMAR, MN 56201 PHONE: 320/235-3924 FAX: Church BETHESDA HOME HEALTH MS. MICHELLE HAEFNER 320/231-3399 HCP-A HHA 901 WILLMAR AVENUE SUITE 2 (02926) WILLMAR, MN 56201 PHONE: 320/235-8364 FAX: NProf BETHESDA NH PLEASANTVIEW MS. AUDREY RAAP 320/235-6968 NH-120 SNF-NF-120 901 SOUTHEAST WILLMAR AVENUE (00792) WILLMAR, MN 56201 PHONE: 320/235-9532 FAX: Corp CENTRAL MINNESOTA SENIOR CARE MS. MICHELLE HAEFNER 320/235-7909 HCP-A 322 5TH STREET SW (03399) WILLMAR, MN 56201 PHONE: 320/441-7001 FAX: 320/235-8069 MS. DEBRA SHRIVER HWSAL Corp CENTRAL MINNESOTA SENIOR CARE 1409 BECKER AVENUE SE (24178) WILLMAR, MN 56201 PHONE: 320/441-7001 FAX: 320/235-8069 MS. DEBRA OLESON HWSAL Corp CENTRAL MINNESOTA SENIOR CARE 2323 GORTON AVENUE NORTHWEST (20166) WILLMAR, MN 56201 PHONE: 320/441-7001 FAX: MS. DAWN FRERICKS 320/235-8069 HWSAL Corp CENTRAL MINNESOTA SENIOR CARE 2323 GORTON AVENUE NORTHWEST (20430) WILLMAR, MN 56201 PHONE: 320/441-7001 FAX: Corp CENTRAL MN SENIOR CARE INC MS. DAWN FRERICKS 320/235-8069 HCP-F 1004 1ST ST S STE 1 (20855) WILLMAR, MN 56201 PHONE: 320/441-7001 FAX: 320/235-8069 MS. DEBRA SHRIVER Home Mgmt Corp CENTRAL MN SENIOR CARE INC 1004 4TH ST S STE 1 (21061) WILLMAR, MN 56201 PHONE: 320/441-7001 FAX: 320/235-8069 MS. DAWN FRERICKS Minnesota Department of Health Division of Compliance Monitoring Page 226 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** State CHILD& ADOL BEHAV HLTH (CABHS) Certification KANDIYOHI Registration (Cont.)* -------------------------- OTHER-70 PSY-70 1701 TECHNOLOGY DRIVE NE (00318) WILLMAR, MN 56201 PHONE: 320/231-5421 FAX: State COMMUNITY ADDICTION WILLMAR MS. NANCY WEBSTER-SMITH 218/231-5901 SLFB-90 1801 TECHNOLOGY DRIVE NE (26528) WILLMAR, MN 56201 PHONE: 320/231-5356 FAX: Corp COMPASSIONATE CARE INC MR. TODD JOHNSTON 651/431-7701 HCP-B 601 4TH STREET SOUTHWEST (27923) WILLMAR, MN 56201 PHONE: 320/231-9868 FAX: MS. BEVERLY WERDER 320/231-9871 HWS Lim-Liab COMPASSIONATE COTTAGE LLC 1000 COTTONWOOD DRIVE NE (25626) WILLMAR, MN 56201 PHONE: 320/235-2775 FAX: Lim-Liab COMPASSIONATE COTTAGE LLC MS. BEVERLY WERDER 320/231-9871 HCP-F 601 SW 4TH STREET (25627) WILLMAR, MN 56201 PHONE: 320/231-9868 FAX: 320/231-9871 MS. BEVERLY WERDER HWSAL Corp COPPERLEAF SENIOR LIVING 1550 1ST STREET NORTH (26121) WILLMAR, MN 56201 PHONE: 320/222-5000 FAX: 320/222-5001 Corp COPPERLEAF SENIOR LIVING MS. DANA ASCHE HCP-F 1550 1ST STREET NORTH (26122) WILLMAR, MN 56201 PHONE: 320/222-5000 FAX: MS. DANA ASCHE 320/759-3192 Home Mgmt Corp DIVINE HOME CARE INC 322 SW SECOND STREET (23168) WILLMAR, MN 56201 PHONE: 320/231-9757 FAX: Corp DIVINE HOME CARE INC MS. PAMELA BREDE 320/231-9795 HCP-A HHA 322 SOUTHWEST 2ND STREET (22025) WILLMAR, MN 56201 PHONE: 320/231-9757 FAX: Corp DIVINE HOUSE INC MS. PAMELA BREDE 320/231-9795 HCP-F 328 5TH STREET SOUTHWEST (20854) WILLMAR, MN 56201 PHONE: 320/231-2738 FAX: 320/231-3276 MS. DEBRA SHRIVER Minnesota Department of Health Division of Compliance Monitoring Page 227 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification KANDIYOHI (Cont.)* -------------------------Home Mgmt Corp DIVINE HOUSE INC Registration 328 FIFTH STREET SOUTHWEST (21062) WILLMAR, MN 56201 PHONE: 320/231-2738 FAX: MS. DEBRA SHRIVER 320/231-3276 HWS-O Corp DIVINE HOUSE INC/VALLEY QUEST 1300 7 1/2 STREET SW (20764) WILLMAR, MN 56201 PHONE: 320/231-2738 FAX: MS. DEBRA SHRIVER 320/231-3276 HWSAL Corp DIVINE HOUSE INC/VALLEYBROOK H 505 NORTHWEST 33RD STREET (21124) WILLMAR, MN 56201 PHONE: 320/231-2738 FAX: Lim-Liab FAMILY SURGERY CENTER LLC MS. DEB OELSON 320/231-3276 Outpt Surg Amb Surg 1801 19TH AVENUE SW (23189) WILLMAR, MN 56201 PHONE: 320/235-7700 FAX: MS. CARMEN MACIK 320/235-7701 HWSAL-O HRA HIGHLAND APARTMENTS 115 EAST BECKER AVENUE (21839) WILLMAR, MN 56201 PHONE: 320/231-0887 FAX: 320/235-8260 MS. NIKKI ILGEN HWSAL Corp ISLAND VIEW MANOR INC 700 NORTH HIGHWAY #71 (20333) WILLMAR, MN 56201 PHONE: 320/441-7001 FAX: 320/235-8069 MS. DEBRA OLESON HWS-O Part LAKE PLACE I APARTMENTS 1420 LAKE AVE NW (21193) WILLMAR, MN 56201 PHONE: 320/235-0742 FAX: MR. DOUG WESTROM 320/235-0759 HWS-O Part LAKE PLACE II APARTMENTS 1421 LAKE AVENUE NW (21194) WILLMAR, MN 56201 PHONE: 320/235-0742 FAX: MR. DOUG WESTROM 320/235-0759 HWSAL-O HRA LAKEVIEW APARTMENTS 300 SEVENTH STREET NW (21840) WILLMAR, MN 56201 PHONE: 320/235-8637 FAX: State MN SPECIALTY HEALTH SYSTEM MS. NICOLE ILGEN 320/235-8260 SLFB-16 1208 OLENA AVE SE (25363) WILLMAR, MN 56201 PHONE: 320/235-0900 FAX: 320/214-3335 MS. PAULA HALVERSON Minnesota Department of Health Division of Compliance Monitoring Page 228 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification KANDIYOHI (Cont.)* -------------------------HWSAL Lim-Liab PRAIRIE SENIOR COTTAGES OF WI Registration 1701 19TH AVENUE SOUTHWEST (20738) WILLMAR, MN 56201 PHONE: 320/235-6022 FAX: Lim-Liab PRAIRIE SR COTTAGES WILLMAR MS. BECKY HOLMGREN 320/235-6029 HCP-F HWSAL 1705 19TH AVENUE SW (20579) WILLMAR, MN 56201 PHONE: 320/235-6022 FAX: Corp QUALITY QUEST HEALTH CARE INC MR. MICHAEL DEMMER 320/235-6029 HCP-A HHA 2295 66TH AVENUE NORTHEAST (03362) WILLMAR, MN 56201 PHONE: 320/235-5440 FAX: City RICE CARE CENTER MS. SHARRIE FOLLMANN 320/214-7371 NH-78 SNF-NF-78 1801 SOUTHWEST WILLMAR AVENUE (00313) WILLMAR, MN 56201 PHONE: 320/214-2700 FAX: City RICE HOSPICE PROGRAM MR. TROY BARRICK 320/214-2765 Hospice HSPICE 301 BECKER AVENUE SOUTHWEST (02407) WILLMAR, MN 56201 PHONE: 320/231-4450 FAX: 320/231-4864 City RICE MEMORIAL HOSPITAL MS. MARY BETH POTTER BASS-20 HOSP-136 HOSP-128 PPS-P-8 301 BECKER AVENUE SOUTHWEST (00316) WILLMAR, MN 56201 PHONE: 320/231-4227 FAX: 320/231-4869 MR. MICHAEL SCHRAMM ESRD City RICE MEMORIAL HOSPITAL ESRD 301 BECKER AVENUE SOUTHWEST (02116) WILLMAR, MN 56201 PHONE: 320/231-4235 FAX: Part SAMAH HOME HEALTH CARE MR. HANS DAHL 320/231-4873 HCP-A 330 SW 4TH ST STE 9-B (28489) WILLMAR, MN 56201 PHONE: 320/262-3657 FAX: Corp STERLING HOUSE WILLMAR MR. JAWAD ZAKIR 866/775-6681 HCP-F HWSAL 1501 - 19TH AVENUE SOUTHWEST (20351) WILLMAR, MN 56201 PHONE: 320/235-1024 FAX: NProf SUNRISE VILLAGE MS. WENDY HABERMAN 320/235-1108 HCP-F HWSAL 1125 NINTH STREET SOUTHEAST (20208) WILLMAR, MN 56201 PHONE: 320/235-1602 FAX: 320/235-4517 MS. PAM HOCKERT-FREESE Minnesota Department of Health Division of Compliance Monitoring Page 229 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab WILLMAR CARE CENTER Certification KANDIYOHI Registration (Cont.)* -------------------------- NH-52 SNF-NF-52 500 RUSSELL STREET (00996) WILLMAR, MN 56201 PHONE: 320/235-3181 FAX: MS. DAWN BROESDER 320/235-2957 Lim-Liab WILLMAR SURGERY CENTER LLP Outpt Surg Amb Surg 1320 SOUTH 1ST ST PO BOX 773 (00289) WILLMAR, MN 56201 PHONE: 320/235-6506 FAX: MR. TERRY TONE 320/235-7069 NProf WOODLAND CENTERS SLFB-16 1125 SE 6TH STREET (01502) WILLMAR, MN 56201 PHONE: 320/235-4613 FAX: MR. RICHARD LEE 320/231-9140 CMHC NProf WOODLAND CENTERS 1125 SE SIXTH ST PO BOX 787 (02778) WILLMAR, MN 56201 PHONE: 320/235-4613 FAX: DR. EUGENE BONYNGE /- ---------------------------********** NProf KITTSON COUNTY HOSPICE INC KITTSON ******** -------------------------- Hospice BOX 581 (02878) HALLOCK, MN 56728 PHONE: 218/843-3612 FAX: 218/843-2311 MS. TERESA CLAY RHC NProf KITTSON MEMORIAL CLINIC 1010 SOUTH BIRCH BOX 700 (03134) HALLOCK, MN 56728 PHONE: 218/843-3612 FAX: MR. RICHARD FAILING /- NProf KITTSON MEMORIAL HOME HLTHCARE HCP-A HHA 1010 SOUTH BIRCH PO BOX 430 (02155) HALLOCK, MN 56728 PHONE: 218/843-3662 FAX: NProf KITTSON MEMORIAL HOSPITAL MR. RICK FAILING 218/843-2487 NH-70 BASS-0 HOSP-15 SNF-NF-70 CAH-15 1010 SOUTH BIRCH (00321) HALLOCK, MN 56728 PHONE: 218/843-3612 FAX: NProf RIVERS EDGE MR. RICHARD FAILING 218/843-2311 HCP-F HWSAL 513 10TH STREET SOUTHEAST (25470) HALLOCK, MN 56728 PHONE: 218/843-8812 FAX: 218/843-2487 MS. CINDY URBANIAK Minnesota Department of Health Division of Compliance Monitoring Page 230 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp KARLSTAD HEALTHCARE CTR INC Certification KITTSON Registration (Cont.)* -------------------------- NH-46 SNF-NF-46 304 WASHINGTON AVENUE WEST (00830) KARLSTAD, MN 56732 PHONE: 218/436-2161 FAX: MS. EMILY STRAW 218/436-4161 RHC NProf KITTSON MEM CLINIC OF KARLSTAD 1ST AND ROOSEVELT P O BOX 199 (22061) KARLSTAD, MN 56732 PHONE: 218/843-3612 FAX: MR. RICHARD FAILING /- Corp LSS GRANVILLE ICF-MR SLFB-6 ICFMR-6 402 MAIN STREET S PO BOX 240 (01416) KARLSTAD, MN 56732 PHONE: 218/436-2518 FAX: Lim-Liab THE MEADOWS MS. BARB STENSLAND 218/436-7426 HCP-F HWSAL 306 WASHINGTON AVENUE WEST (23877) KARLSTAD, MN 56732 PHONE: 218/436-2161 FAX: MR. HOWARD GROFF 218/436-3564 ---------------------------********** KOOCHICHING ******** -------------------------HWSAL Corp DECKER'S FAMILY CARE INC/PAPER 4143 HIGHWAY 11 (22352) INTERNATIONAL FALLS, MN 56649 PHONE: 218/285-9546 FAX: 218/286-5312 NProf GOOD SAM SOCIETY INTL FALLS MR. JOHN DECKER NH-64 SNF-NF-64 1402 HIGHWAY 71 (00322) INTERNATIONAL FALLS, MN 56649 PHONE: 218/283-8313 FAX: NProf GOOD SAMARITAN HC INTL FALLS MR. ADAM COE 218/283-9497 HCP-A HHA 1404 HIGHWAY 71 (24363) INTERNATIONAL FALLS, MN 56649 PHONE: 218/283-4319 FAX: MR. ADAM COE 218/283-3219 HWS NProf GOOD SAMARITAN SOCIETY - RIVER 1406 HIGHWAY 71 (20466) INTERNATIONAL FALLS, MN 56649 PHONE: 218/285-9563 FAX: Cnty KOOCHICHING COUNTY HEALTH DEPT MR. ADAM COE 218/283-8361 HCP-A HHA 1000 FIFTH STREET (02126) INTERNATIONAL FALLS, MN 56649 PHONE: 218/283-7070 FAX: 218/283-7050 MS. SUSAN CONGRAVE Minnesota Department of Health Division of Compliance Monitoring Page 231 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf RAINY LAKE MEDICAL CENTER Certification KOOCHICHING Registration (Cont.)* -------------------------- BASS-11 HOSP-49 CAH-25 1400 HIGHWAY 71 (00323) INTERNATIONAL FALLS, MN 56649 PHONE: 218/283-4481 FAX: MR. STEPHEN ERIXON 218/283-2281 Lim-Liab RIDGEVIEW LLC HCP-F HWSAL 2020 RIDGEVIEW DRIVE (23979) INTERNATIONAL FALLS, MN 56649 PHONE: 218/283-2806 FAX: MS. DONNA TAYLOR 218/283-2177 City LITTLEFORK MEDICAL CENTER HCP-F HWSAL 912 MAIN STREET (21857) LITTLEFORK, MN 56653 PHONE: 218/278-6634 FAX: MS. KIMBERLY PERKINS 218/278-6637 RHC City LITTLEFORK MEDICAL CENTER PO BOX N (03502) LITTLEFORK, MN 56653 PHONE: 218/278-6634 FAX: MS. KIMBERLY PERKINS /- City LITTLEFORK MEDICAL CENTER NH-50 SNF-NF-50 BOX N 900 MAIN STREET (00324) LITTLEFORK, MN 56653 PHONE: 218/278-6634 FAX: 218/278-6637 City PINEVIEW RECOVERY CENTER MS. KIMBERLY PERKINS SLFA-8 SLFB-2 912 MAIN STREET (01653) LITTLEFORK, MN 56653 PHONE: 218/278-6634 FAX: 218/278-6637 Corp NORTHOME HEALTHCARE CENTER INC MS. KIMBERLY PERKINS NH-36 SNF-NF-36 11995 MAIN STREET BOX 138 (00325) NORTHOME, MN 56661 PHONE: 218/897-5293 FAX: MR. NICOLAI BERG 218/897-5253 Corp DECKERS FAMILY CARE INC HCP-F HWSAL 3443 PINE STREET (20001) RAINER, MN 56649 PHONE: 218/286-5635 FAX: 218/286-5312 ---------------------------********** MR. JOHN DECKER LAC QUI PARLE ******** -------------------------RHC Dist JOHNSON MEMORIAL BOYD CLINIC 115 3RD STREET (21827) BOYD, MN 56218 PHONE: 320/769-4323 FAX: /- MS. MELISSA STRUXNESS Minnesota Department of Health Division of Compliance Monitoring Page 232 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification LAC QUI PARLE (Cont.)* -------------------------RHC Dist DAWSON CLINIC Registration 1272 WALNUT STREET (02999) DAWSON, MN 56232 PHONE: 320/769-4393 FAX: MS. KATHY JOHNSON /- Corp DAWSON ICFMR SLFB-6 ICFMR-6 BOX 309 2974 - 192ND STREET (01590) DAWSON, MN 56232 PHONE: 320/769-4444 FAX: MR. TODD HILLSTROM 320/769-4813 Dist JOHNSON MEMORIAL HOME CARE HCP-A HHA 1294 CHESTNUT ST (02730) DAWSON, MN 56232 PHONE: 320/769-4323 FAX: MS. KATHY JOHNSON 320/769-2972 Dist JOHNSON MEMORIAL HOSP & HOME NH-56 BASS-4 HOSP-20 SNF-NF-56 CAH-23 1282 WALNUT STREET (00326) DAWSON, MN 56232 PHONE: 320/769-4323 FAX: MS. KATHY JOHNSON 320/769-2972 Corp PRAIRIE MEADOWS ASSISTED LIVIN HCP-F HWSAL 1255 WALNUT STREET (22054) DAWSON, MN 56232 PHONE: 320/769-2144 FAX: 320/769-4670 Lim-Liab SONSHINE HOME HEALTH CARE LLC MR. JOHN ROIGER HCP-A 1313 SPRUCE STREET (26729) DAWSON, MN 56232 PHONE: 320/769-2669 FAX: 320/769-2989 Lim-Liab GRACE HAVEN ASSISTED LIVING MS. CARMEN KELLEN HCP-F HWSAL-O 301 3RD STREET EAST (28354) MADISON, MN 56256 PHONE: 320/598-7557 FAX: MS. JENNIFER GILYARD 320/598-7558 HWS NProf HILLTOP RESIDENCE INC 915 1ST AVENUE (21699) MADISON, MN 56256 PHONE: 320/598-3129 FAX: MR. SCOTT LARSON 320/598-3923 RHC NProf LAC QUI PARLE CLINIC MADISON 900 SECOND AVENUE (03513) MADISON, MN 56256 PHONE: 320/598-7551 FAX: MR. DALLAS REESE /- NProf MADISON HOSPITAL BASS-2 HOSP-12 820 THIRD AVENUE (00328) MADISON, MN 56256 PHONE: 320/598-7536 FAX: 320/598-3923 MR. SCOTT LARSON CAH-12 Minnesota Department of Health Division of Compliance Monitoring Page 233 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf MADISON HOSPITAL HHA Certification LAC QUI PARLE Registration (Cont.)* -------------------------- HCP-A HHA 900 SECOND AVENUE (02173) MADISON, MN 56256 PHONE: 320/698-7198 FAX: MS. SHERRY DEYO 320/598-7387 NProf MADISON LUTHERAN HOME NH-80 SNF-NF-80 900 SECOND AVENUE (00329) MADISON, MN 56256 PHONE: 320/598-7536 FAX: MR. SCOTT LARSON 320/598-3923 ---------------------------********** State MN VETERANS HOME SILVER BAY LAKE ******** -------------------------- NH-83 45 BANKS BOULEVARD (00381) SILVER BAY, MN 55614 PHONE: 218/226-6300 FAX: MS. CAROL GILBERTSON 218/226-6336 HWSAL Corp SILVER BAY CAREFREE LIVING INC 36 BELL CIRCLE (27604) SILVER BAY, MN 55614 PHONE: 218/226-3524 FAX: MR. MERLE SAMPSON 218/741-1448 HWSAL Lim-Liab BARROSS COTTAGE 401 SOUTH AVENUE (20987) TWO HARBORS, MN 55616 PHONE: 218/834-8018 FAX: 218/834-8019 Lim-Liab BARROSS COTTAGE MS. CYNTHIA STORY HCP-F 401 SOUTH AVENUE (27999) TWO HARBORS, MN 55616 PHONE: 218/834-8018 FAX: MS. CYNTHIA STORY /- Lim-Liab BARROSS MANOR HCP-F HWSAL 414 FIRST AVENUE (20053) TWO HARBORS, MN 55616 PHONE: 218/834-6174 FAX: NProf DULUTH REG CARE CTR THALASSIC MS. CORTNEY BUCHHOLZ 218/834-4015 SLFB-5 ICFMR-5 1815 HIGHWAY 61 EAST (01587) TWO HARBORS, MN 55616 PHONE: 218/834-5657 FAX: NProf ECUMEN SCENIC SHORES MR. MICHAEL MILLS 218/727-9555 NH-45 SNF-NF-45 402 13TH AVENUE (00844) TWO HARBORS, MN 55616 PHONE: 218/834-8374 FAX: 218/834-8439 MR. JOHN KORZENDORFER Minnesota Department of Health Division of Compliance Monitoring Page 234 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf ECUMEN SCENIC SHORES ASST LVG Certification LAKE Registration (Cont.)* -------------------------- HCP-F HWS 409 13TH AVENUE (21265) TWO HARBORS, MN 55616 PHONE: 218/834-0849 FAX: MS. MARIE JONDAL 218/834-0850 HWSAL NProf LAKE VIEW COTTAGE III 806 13TH AVENUE (20019) TWO HARBORS, MN 55616 PHONE: 218/834-7304 FAX: MR. BRIAN CARLSON 218/834-7388 HWSAL NProf LAKE VIEW COTTAGE IV 810 13TH AVENUE (20018) TWO HARBORS, MN 55616 PHONE: 218/834-7304 FAX: MR. BRIAN CARLSON 218/834-7388 NProf LAKE VIEW MEM HOSP HOME CARE HCP-F 325 11TH AVENUE (20751) TWO HARBORS, MN 55616 PHONE: 218/834-7300 FAX: MR. BRIAN CARLSON 218/834-7388 NProf LAKE VIEW MEMORIAL HOSPITAL BASS-1 HOSP-25 CAH-25 325 ELEVENTH AVENUE (00331) TWO HARBORS, MN 55616 PHONE: 218/834-7300 FAX: 218/834-7388 MR. BRIAN CARLSON HWS Corp SAFE HARBOR BOARD & LODGE INC 426 1ST AVENUE (24905) TWO HARBORS, MN 55616 PHONE: 218/834-5501 FAX: 218/834-5501 MRS. HEIDI LYNN-HOLBECK RHC NProf SUPERIORHEALTH MEDICAL GROUP 1010 4TH STREET (23790) TWO HARBORS, MN 55616 PHONE: 218/834-7200 FAX: MS. KATHY MCNAMARA /- ---------------------------********** Church LAKEWOOD CARE CENTER LAKE OF THE WOODS NH-42 ******** -------------------------SNF-NF-42 600 MAIN AVENUE SOUTH (21104) BAUDETTE, MN 56623 PHONE: 218/634-3488 FAX: Church LAKEWOOD HEALTH CENTER MR. JASON BREUER 218/634-3416 BASS-3 HOSP-15 600 SOUTH MAIN (00333) BAUDETTE, MN 56623 PHONE: 218/634-2120 FAX: 218/634-3416 MR. JASON BREUER CAH-15 Minnesota Department of Health Division of Compliance Monitoring Page 235 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification LAKE OF THE WOODS (Cont.)* -------------------------RHC NProf LAKEWOOD HEALTH CENTER CLINIC Registration 600 MAIN AVENUE SOUTH (27146) BAUDETTE, MN 56623 PHONE: 218/634-2120 FAX: NProf LAKEWOOD HOSPICE MS. SHAR RAY FEICKERT 218/634-1094 Hospice HSPICE 806 MAIN STREET W PO BOX 580 (03660) BAUDETTE, MN 56623 PHONE: 218/634-1795 FAX: NProf LAKEWOOD NURSING SERVICE MS. MICHELLE BROWN 218/634-3490 HCP-A HHA 806 MAIN ST WEST - PO BOX 580 (02138) BAUDETTE, MN 56623 PHONE: 218/634-1795 FAX: MS. MICHELLE BROWN 218/634-3490 HWSAL Church PARKERS ARC 600 MAIN AVENUE SOUTH (20421) BAUDETTE, MN 56623 PHONE: 218/634-3407 FAX: MR. JASON BREUER 218/634-3416 ---------------------------********** Corp CENTRAL HEALTH CARE LESUEUR ******** -------------------------- NH-54 SNF-NF-54 444 NORTH CORDOVA (00800) LE CENTER, MN 56057 PHONE: 507/357-2275 FAX: 507/357-4346 Corp HORIZON PLACE MR. KARL PELOVSKY HCP-F HWSAL 510 COMMERCE DRIVE (27214) LE CENTER, MN 56057 PHONE: 507/357-2262 FAX: Cnty LESUEUR COUNTY PUBLIC HEALTH MS. NANCY PETERSON 507/357-4346 HCP-A HHA 88 SOUTH PARK AVENUE (02029) LE CENTER, MN 56057 PHONE: 507/357-8246 FAX: NProf COUNTRY NEIGHBORS MS. CINDY SHAUGHNESSY 507/357-4223 HCP-F HWSAL 175 EAST DERRYNANE ST (20376) LECENTER, MN 56057 PHONE: 507/357-4104 FAX: Lim-Liab LEISURE COTTAGE MS. CHRISTI CARTER 507/357-4937 HCP-F HWS 228 SOUTH ELMWOOD AVENUE (20230) LESUEUR, MN 56058 PHONE: 507/665-3750 FAX: 507/720-0362 MS. AMY LIFFRIG Minnesota Department of Health Division of Compliance Monitoring Page 236 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab LESUEUR ASSISTED LIVING LLC Certification LESUEUR Registration (Cont.)* -------------------------- HCP-F HWSAL 105 PLUM RUN ROAD (23904) LESUEUR, MN 56058 PHONE: 507/665-2499 FAX: MR. JASON GESCHWIND 507/665-2637 NProf MINNESOTA VALLEY HLTH CTR INC NH-68 HOSP-24 SNF-NF-68 CAH-24 621 SOUTH FOURTH STREET (00336) LESUEUR, MN 56058 PHONE: 507/665-3375 FAX: MR. JERRY BOERBOOM 507/665-2191 Home Mgmt NProf AGING SERVICES FOR COMMUNITIES 212 1ST ST S - PO BOX 7 (23985) MONTGOMERY, MN 56069 PHONE: 507/364-5663 FAX: MS. SHELLY BARNETT 507/364-5454 Lim-Liab TRADITIONS OF MONTGOMERY LLC HCP-F HWSAL 399 LEXINGTON AVENUE NW (26604) MONTGOMERY, MN 56069 PHONE: 507/364-5585 FAX: MS. LISA KROHN 866/899-6831 Lim-Liab HEART TO HANDS HOME CARE HCP-A 24365 WEST CEDAR LAKE DRIVE (28134) NEW PRAGUE, MN 56071 PHONE: 952/212-4709 FAX: /- MS. JULIE HERMANSTUFER NProf GOOD SAM SOCIETY WATERVILLE NH-38 SNF-NF-38 205 FIRST STREET NORTH (00962) WATERVILLE, MN 56096 PHONE: 507/362-4245 FAX: 507/362-8631 Lim-Liab TRADITIONS OF WATERVILLE LLC MS. TERESA HILDEBRANDT HCP-F HWS 117 PAQUIN STREET EAST (25965) WATERVILLE, MN 56096 PHONE: 507/362-4155 FAX: MS. ASHLEY RESLER 507/362-4151 ---------------------------********** NProf GOOD SHEPHERD HOSPICE LINCOLN ******** -------------------------- Hospice HSPICE 503 EAST LINCOLN STREET (03298) HENDRICKS, MN 56136 PHONE: 507/275-3134 FAX: 507/275-3104 MR. JEFF GOLLAHER RHC Ind HENDRICKS CLINIC 501 EAST LINCOLN STREET (03493) HENDRICKS, MN 56136 PHONE: 507/275-3121 FAX: /- MR. JEFFREY GOLLAHER Minnesota Department of Health Division of Compliance Monitoring Page 237 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf HENDRICKS COMM HOSP Certification LINCOLN Registration (Cont.)* -------------------------- NH-58 HOSP-24 SNF-NF-58 CAH-24 503 EAST LINCOLN STREET (00340) HENDRICKS, MN 56136 PHONE: 507/275-3134 FAX: NProf HENDRICKS COMMUNITY HOSP HHA MR. JEFF GOLLAHER 507/275-3104 HCP-A HHA 503 EAST LINCOLN STREET (02241) HENDRICKS, MN 56136 PHONE: 507/275-3134 FAX: MR. JEFF GOLLAHER 507/275-3104 HWS NProf LINCOLN LANE VILLA 503 E LINCOLN ST P O BOX 106 (21339) HENDRICKS, MN 56136 PHONE: 507/275-3134 FAX: NProf DIVINE PROVIDENCE HEALTH CENTR MRS. DAWN POPOWSKI 507/275-2242 NH-25 SNF-NF-25 312 EAST GEORGE STREET (00339) IVANHOE, MN 56142 PHONE: 507/694-1414 FAX: MR. GREG WILSON 507/694-1191 HWSAL Corp HOMESTEAD PLACE 501 MORK STREET (20824) LAKE BENTON, MN 56149 PHONE: 320/441-7001 FAX: 320/235-8069 MS. DEBRA OLESON HWSAL Corp HOMESTEAD PLACE 503 MORK STREET (20825) LAKE BENTON, MN 56149 PHONE: 320/441-7001 FAX: 320/235-8069 MS. DEBRA OLESON HWS NProf DANEBOD VILLAGE HOME 404 DANEBOD VILLAGE DRIVE (22008) TYLER, MN 56178 PHONE: 507/247-3200 FAX: Corp REM SOUTHWEST SERV INC (TYLER) MS. RONI WILLIAMS 507/247-4202 SLFB-10 ICFMR-10 303 HIGHLAND COURT (01247) TYLER, MN 56178 PHONE: 507/537-1459 FAX: NProf RIDGEVIEW HOSPICE MR. PATRICK MASYGA 507/537-1450 Hospice HSPICE 240 WILLOW STREET (03400) TYLER, MN 56178 PHONE: 507/247-5521 FAX: NProf TYLER HEALTHCARE CENTER INC MR. DALE KRUGER 507/247-5972 NH-38 BASS-1 HOSP-20 240 WILLOW STREET (00338) TYLER, MN 56178 PHONE: 507/247-5521 FAX: 507/247-5972 MR. DALE KRUGER SNF-NF-38 CAH-20 Minnesota Department of Health Division of Compliance Monitoring Page 238 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf TYLER HOME CARE Certification LINCOLN Registration (Cont.)* -------------------------- HCP-A HHA 240 WILLOW STREET (02360) TYLER, MN 56178 PHONE: 507/247-5973 FAX: MR. DALE KRUGER 507/247-2392 RHC NProf TYLER MEDICAL CLINIC 210 HIGHLAND COURT (02722) TYLER, MN 56178 PHONE: 507/247-5921 FAX: MR. JAMES ROTERT /- ---------------------------********** Corp COLONIAL MANOR OF BALATON LYON ******** -------------------------- NH-33 SNF-NF-33 HIGHWAY 14 EAST, PO BOX 219 (00982) BALATON, MN 56115 PHONE: 507/734-3511 FAX: MR. PAUL LUITJENS 507/734-2337 HWS City LAKEVIEW SENIOR HOUSING 651 US HIGHWAY 14 EAST (22353) BALATON, MN 56115 PHONE: 507/734-6828 FAX: City LAKEVIEW SENIOR HOUSING MR. PAUL LUITJENS 507/734-6830 HCP-F 651 HIGHWAY 14 EAST (23188) BALATON, MN 56115 PHONE: 507/734-6828 FAX: 507/734-6830 MS. LORI HENKEL RHC NProf SANFORD CLINIC BALATON HIGHWAY 14E (21356) BALATON, MN 56115 PHONE: 507/629-3200 FAX: Corp FIELDCREST ASSISTED LIVING MR. DANIEL REINER 507/629-3202 HCP-F HWSAL 80 EAST VERMILLION STREET (20524) COTTONWOOD, MN 56229 PHONE: 507/423-6691 FAX: NProf AVERA MARSHALL REG MED CENTER MR. JERRY BOERBOOM 507/423-6470 NH-76 BASS-8 HOSP-49 SNF-NF-76 CAH-25 PPS-P-10 300 SOUTH BRUCE STREET (00343) MARSHALL, MN 56258 PHONE: 507/537-9160 FAX: 507/537-9053 MS. MARY MAERTENS HWSAL Lim-Liab BOULDER ESTATES 601 VILLAGE DRIVE (20507) MARSHALL, MN 56258 PHONE: 507/532-3834 FAX: 507/537-2490 MR. JAMES CARR Minnesota Department of Health Division of Compliance Monitoring Page 239 Directory of Facilities and Services Facility/Service Owner Licensure Certification LYON ---------------------------********** NProf BRENTWOOD HOME Registration (Cont.)* -------------------------- SLFA-10 1012 ESTHER LANE (27145) MARSHALL, MN 56285 PHONE: 507/532-8998 FAX: MS. CLAUDIA CRAVENS 507/532-3049 HWSAL Corp CENTRAL MINNESOTA SENIOR CARE/ 1232 PATRICA COURT EAST (20570) MARSHALL, MN 56258 PHONE: 320/441-7001 FAX: MS. DEBRA OLESON 320/235-8069 HWS Lim-Liab HILL STREET PLACE 401 SOUTH HILL STREET (26126) MARSHALL, MN 56258 PHONE: 507/537-9234 FAX: MR. JAMES CARR 507/537-9254 ESRD Corp MARSHALL DIALYSIS CTR DAVITA 300 SOUTH BRUCE STREET (02535) MARSHALL, MN 56258 PHONE: 507/537-9348 FAX: MS. SHERRY DANIELS /- NProf PRAIRIE HOME HOSPICE Hospice HSPICE 1104 EAST COLLEGE DRIVE (02384) MARSHALL, MN 56258 PHONE: 507/537-9247 FAX: 507/537-9258 NProf PRAIRIE HOME HOSPICE MS. DODIE DERYNCK RES-HSPICE-5 1107 SKYLINE CIRCLE (22089) MARSHALL, MN 56258 PHONE: 507/537-9247 FAX: 507/537-9258 NProf PROJECT TURNABOUT HALFWAY HSE MS. DODIE DERYNCK SLFA-24 1220 BIRCH STREET (01617) MARSHALL, MN 56258 PHONE: 507/532-3008 FAX: Corp REM SOUTHWEST SRVS MARSHALL A MR. MICHAEL SCHIKS 507/532-3058 SLFA-6 ICFMR-6 1003 NORTH FOURTH STREET (01042) MARSHALL, MN 56258 PHONE: 507/537-1459 FAX: Corp REM SOUTHWEST SRVS MARSHALL B MR. PATRICK MASYGA 507/537-1450 SLFA-6 ICFMR-6 1005 NORTH FOURTH STREET (01615) MARSHALL, MN 56258 PHONE: 507/537-1459 FAX: Corp REM SOUTHWEST SRVS MARSHALL C MR. PATRICK MASYGA 507/537-1450 SLFB-6 ICFMR-6 1007 NORTH FOURTH STREET (01616) MARSHALL, MN 56258 PHONE: 507/537-1459 FAX: 507/537-1450 MR. PATRICK MASYGA Minnesota Department of Health Division of Compliance Monitoring Page 240 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp SOUTHWEST MINNESOTA SURG CTR Certification LYON Registration (Cont.)* -------------------------- Outpt Surg Amb Surg 1401 NWAKAMA STREET (25540) MARSHALL, MN 56258 PHONE: 507/929-7696 FAX: MS. MEGAN POOL 507/393-7697 Lim-Liab STEPPING STONE HOME HEALTH CAR HCP-F 601 VILLAGE DRIVE (26940) MARSHALL, MN 56258 PHONE: 507/537-2413 FAX: MR. JIM KNUDSON 507/537-2430 Lim-Liab TOUCHING HEARTS HOME CARE HCP-A 1210 EAST COLLEGE DR SUITE 800 (24577) MARSHALL, MN 56258 PHONE: 507/337-1101 FAX: MS. DEBORA BLOMME 507/337-1102 CMHC NProf WESTERN HUMAN DEVELOPMENT CTR 1106 EAST COLLEGE DRIVE (02768) MARSHALL, MN 56258 PHONE: 507/532-3236 FAX: DR. JOSEPH STEGER /- Part MADISON AVENUE APARTMENTS HCP-F HWSAL 700 NORTH MADISON STREET (20238) MINNEOTA, MN 56264 PHONE: 507/872-5300 FAX: 507/872-5359 Corp MINNEOTA MANOR HCC MS. KATHY JOHNSON NH-67 SNF-NF-67 700 NORTH MONROE STREET (00887) MINNEOTA, MN 56264 PHONE: 507/872-5300 FAX: 507/872-5359 Corp TOWN AND COUNTRY HHC MS. KATHY JOHNSON HCP-A HHA 700 NORTH MONROE STREET (02412) MINNEOTA, MN 56264 PHONE: 507/872-5300 FAX: MS. KATHY JOHNSON 507/872-5359 HWS NProf O BRIEN COURT 410 STATE STREET (20304) TRACY, MN 56175 PHONE: 507/629-3449 FAX: MS. CINDY SWENHAUGEN /- Corp PRAIRIE VIEW HEALTHCARE CENTER NH-61 SNF-NF-61 250 FIFTH STREET EAST (00342) TRACY, MN 56175 PHONE: 507/629-3331 FAX: 507/629-3086 MR. JASON SWANSON RHC NProf SANFORD CLINIC TRACY 251 FIFTH STREET EAST (03335) TRACY, MN 56175 PHONE: 507/629-3520 FAX: /- MR. DANIEL REINER Minnesota Department of Health Division of Compliance Monitoring Page 241 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf SANFORD TRACY MEDICAL CENTER Certification LYON Registration (Cont.)* -------------------------- HOSP-25 CAH-25 251 FIFTH STREET EAST (00344) TRACY, MN 56175 PHONE: 507/629-3200 FAX: MS. STACY BARSTAD 507/629-3202 Lim-Liab SHETEK HOME CARE HCP-A HHA 251 FIFTH STREET EAST (02748) TRACY, MN 56175 PHONE: 507/212-4155 FAX: MS. MARIANNE BOERBOOM 507/212-4144 ---------------------------********** Cy-Co MAHNOMEN HEALTH CENTER MAHNOMEN ******** -------------------------- NH-48 HOSP-18 SNF-NF-48 CAH-15 414 WEST JEFFERSON (00353) MAHNOMEN, MN 56557 PHONE: 218/935-2511 FAX: MS. SUSAN KLASSEN 218/935-5409 RHC NProf SANFORD HEALTH MAHNOMEN CLINIC 414 WEST JEFFERSON PO BOX 396 (03424) MAHNOMEN, MN 56557 PHONE: 218/935-2514 FAX: MS. CHARLOTTE WHITTEY /- ---------------------------********** MARSHALL ******** -------------------------RHC NProf NW MN HEALTH CLINIC STEPHEN PO BOX 614 6TH ST AT PACIFIC (03515) STEPHEN, MN 56757 PHONE: 218/478-2767 FAX: /- MR. RICHARD FAILING Lim-Liab TAMARAC SENIOR LIVNG COMMUNITY HCP-F HWSAL 900 LINCOLN AVENUE (23935) STEPHEN, MN 56757 PHONE: 218/478-2850 FAX: NProf GOOD SAM SOCIETY WARREN MS. MOLLY TOULOUSE 218/478-2852 NH-60 SNF-NF-60 410 SOUTH MCKINLEY STREET (00356) WARREN, MN 56762 PHONE: 218/745-5282 FAX: MR. TIMOTHY BYRNE 218/745-6434 HWS NProf GOOD SAMARITAN APARTMENTS 434 SOUTH MCKINLEY STREET (23993) WARREN, MN 56762 PHONE: 218/745-5282 FAX: NProf NORTH VALLEY HEALTH CENTER MR. TIMOTHY BYRNE 218/745-6434 HOSP-20 CAH-20 109 SOUTH MINNESOTA STREET (00871) WARREN, MN 56762 PHONE: 218/745-4211 FAX: 218/745-4215 MR. KEVIN SMITH Minnesota Department of Health Division of Compliance Monitoring Page 242 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification MARSHALL (Cont.)* -------------------------RHC NProf NORTH VALLEY HLTH CTR CLINIC Registration 109 SOUTH MINNESOTA STREET (03790) WARREN, MN 56762 PHONE: 218/745-4211 FAX: MR. KEVIN SMITH /- ---------------------------********** Corp GOLDFINCH ESTATES MARTIN ******** -------------------------- HCP-F HWSAL 850 GOLDFINCH STREET (23692) FAIRMONT, MN 56031 PHONE: 507/235-9405 FAX: Cnty HUMAN SERVICES OF FARIBAULT & MS. ERIN MAIDL 507/238-4163 HCP-A 115 WEST 1ST STREET (21571) FAIRMONT, MN 56031 PHONE: 507/238-4757 FAX: Corp INGLESIDE MR. WARREN KNUDSON 507/238-1574 HCP-F HWSAL 2811 ROLAND AVENUE (20004) FAIRMONT, MN 56031 PHONE: 507/238-9654 FAX: NProf LAKEVIEW METHODIST HCC MR. ERIC WORKE 507/238-1442 NH-95 SNF-NF-95 610 SUMMIT DRIVE (00360) FAIRMONT, MN 56031 PHONE: 507/235-6606 FAX: 507/235-3995 MR. ROBERT LAKE HWS NProf MAPLEWOOD RESIDENCE INC 620 SUMMIT DRIVE (23768) FAIRMONT, MN 56031 PHONE: 507/235-3443 FAX: NProf MAYO CLINIC HEALTH SYS FAIRMNT MR. ROBERT LAKE 507/235-3995 BASS-16 HOSP-57 NH-40 HOSP-57 SNF-NF-40 800 MEDICAL CTR DRIVE PO 800 (00359) FAIRMONT, MN 56031 PHONE: 507/238-8101 FAX: 507/238-8686 MR. ROBERT BARTINGALE ESRD NProf MAYO DIALYSIS FAIRMONT 835 JOHNSON STREET (23115) FAIRMONT, MN 56031 PHONE: 507/238-8100 FAX: 507/238-8686 MS. DAWN TWEED HWS-O Corp REM HEARTLAND INC - ODYSSEY 1205 VICTORIA (27383) FAIRMONT, MN 56031 PHONE: 507/238-9932 FAX: 507/235-9781 MS. KARINA SCHMITZ Minnesota Department of Health Division of Compliance Monitoring Page 243 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp REM HEARTLAND INC AMBER Certification MARTIN Registration (Cont.)* -------------------------- SLFB-14 ICFMR-14 107 DOROTHY STREET (01205) FAIRMONT, MN 56031 PHONE: 507/238-4751 FAX: Corp REM HEARTLAND INC BUDD MS. CONNIE MENNE 507/238-4753 SLFB-12 ICFMR-12 111 DOROTHY STREET (01427) FAIRMONT, MN 56031 PHONE: 507/238-4751 FAX: Lim-Liab SO CENTRAL SURGICAL CTR LLC MS. CONNIE MENNE 507/238-4753 Outpt Surg Amb Surg 717 SOUTH STATE ST SUITE 1000 (20623) FAIRMONT, MN 56031 PHONE: 507/235-3939 FAX: NProf WOODLAND MANOR MR. BRYON NELSEN 507/238-3375 HCP-F HWSAL 610 SUMMIT DRIVE (20996) FAIRMONT, MN 56031 PHONE: 507/235-6606 FAX: NProf COMM OPTIONS AND RESOURCES I MR. ROBERT LAKE 507/235-3995 SLFB-6 ICFMR-6 332 FOX LAKE AVE PO BOX 333 (01045) SHERBURN, MN 56171 PHONE: 507/764-4612 FAX: 507/764-4067 Lim-Liab TEMPERANCE LAKE RIDGE MS. JUDY MARTENS HCP-F HWSAL 410 FOX LAKE AVENUE (21944) SHERBURN, MN 56171 PHONE: 507/764-4977 FAX: 507/764-2592 City TRIMONT HEALTH CARE CENTER MS. JEANNE JAECKELS NH-36 SNF-NF-36 303 BROADWAY AVENUE SOUTH (00365) TRIMONT, MN 56176 PHONE: 507/639-2381 FAX: Corp TRUMAN SENIOR LIVING MS. CINDY VERSCHELDE 507/639-2142 NH-50 SNF-NF-50 400 NORTH FOURTH AVENUE EAST (00361) TRUMAN, MN 56088 PHONE: 507/776-2031 FAX: Corp TRUMAN SENIOR LIVING INC MS. LORNA CRAIG-PAULSON 507/776-2032 HCP-F HWSAL 400 NORTH 4TH AVENUE EAST (22125) TRUMAN, MN 56088 PHONE: 507/776-2031 FAX: 507/776-2032 ---------------------------********** MS. ANNYEA BERG MCLEOD ******** -------------------------- Minnesota Department of Health Division of Compliance Monitoring Page 244 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp SHADE TREE RETIREMENT CENTER Certification MCLEOD Registration (Cont.)* -------------------------- HCP-F HWSAL 115 FOURTH AVE SO PO BOX 35 (20268) BROWNTON, MN 55312 PHONE: 320/328-5949 FAX: Corp DOMINION HOME HEALTH SERVICES MR. RONALD BELTZ 320/328-5995 HCP-A 1205 10TH STREET EAST (28070) GLENCOE, MN 55336 PHONE: 320/864-9926 FAX: NProf GLENCOE REGIONAL HEALTH SRVCS MS. MARIAM AJAYI 888/206-4549 NH-110 BASS-8 HOSP-49 SNF-NF-110 CAH-25 1805 HENNEPIN AVENUE NORTH (00351) GLENCOE, MN 55336 PHONE: 320/864-3121 FAX: Lim-Liab GRAND MEADOWS INC MR. JON BRABAND 320/864-7887 HCP-F HWSAL 1420 PRAIRIE AVENUE (26737) GLENCOE, MN 55336 PHONE: 320/864-5577 FAX: Lim-Liab GUARDIAN IN HM HEALTH & SECRTY MS. JEANNE JAECKELS 320/864-5577 HCP-B 14907 125TH STREET (26619) GLENCOE, MN 55336 PHONE: 320/864-6544 FAX: 320/864-6544 MS. SONYA BORG HWS NProf ORCHARD ESTATES 1900 FORD AVENUE NORTH (20002) GLENCOE, MN 55336 PHONE: 320/864-7798 FAX: 320/864-7887 Corp CEDAR CREST ESTATE MS. NANCY ELLEFSON HCP-F HWSAL 225 SHADY RIDGE ROAD (20040) HUTCHINSON, MN 55350 PHONE: 320/587-7077 FAX: NProf CONNECTCARE MS. ROSALIND EWALD 320/587-4299 Hospice HSPICE 710 PARK ISLAND DRIVE SW (20626) HUTCHINSON, MN 55350 PHONE: 320/234-5031 FAX: NProf CONNECTCARE MS. MONICA STANTON 320/234-5032 HCP-A HHA 710 PARK ISLAND DRIVE SW (03552) HUTCHINSON, MN 55350 PHONE: 320/234-5031 FAX: 320/234-5032 MS. MONICA STANTON HWSAL NProf ECUMEN PINES 1015 CENTURY AVE SW (23788) HUTCHINSON, MN 55350 PHONE: 320/234-0865 FAX: 320/234-8306 MRS. BERIT SPORS Minnesota Department of Health Division of Compliance Monitoring Page 245 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification MCLEOD (Cont.)* -------------------------ESRD Corp FMC DIALYSIS SRVS HUTCHINSON Registration 1095 HIGHWAY 15 SOUTH (03327) HUTCHINSON, MN 55350 PHONE: 320/234-4940 FAX: MR. JOHN MARIETTI /- NProf HARMONY RIVER LIVING CENTER NH-120 SNF-NF-120 1555 SHERWOOD STREET SOUTHEAST (00348) HUTCHINSON, MN 55350 PHONE: 320/484-6000 FAX: MS. LINDA KRENTZ 320/484-6001 HWS-O HRA HUTCH H & R AUTHORITY PARK TOW 133 3RD AVENUE SOUTHWEST (20464) HUTCHINSON, MN 55350 PHONE: 320/587-2168 FAX: NProf HUTCHINSON AREA HEALTH CARE MS. JEAN WARD 320/587-3748 BASS-6 HOSP-66 HOSP-54 PPS-P-12 1095 HIGHWAY 15 SOUTH (00350) HUTCHINSON, MN 55350 PHONE: 320/234-5000 FAX: DR. STEVEN MULDER 320/587-3340 HWSAL Lim-Liab PRAIRIE SENIOR COTTAGES OF HUT 1320 BRADFORD STREET (20737) HUTCHINSON, MN 55350 PHONE: 320/587-5508 FAX: 320/587-7491 Lim-Liab PRAIRIE SR COTTAGES HUTCHINSON MR. JOHN PETERSON HCP-F HWSAL 1310 BRADFORD STREET (20745) HUTCHINSON, MN 55350 PHONE: 320/587-5508 FAX: 320/587-7491 MR. JOHN PETERSON HWS NProf PRINCE OF PEACE RETIREMENT LIV 301 GLEN STREET SOUTHWEST (20080) HUTCHINSON, MN 55350 PHONE: 320/234-7588 FAX: Corp REGIONAL EYE SURGERY CTR INC MS. MERLINE DUERING 320/234-6355 Outpt Surg Amb Surg 1455 MONTREAL STREET SE PO 699 (24516) HUTCHINSON, MN 55350 PHONE: 320/234-6660 FAX: NProf THE OAKS ON CENTURY MS. KIMBERLY MACKERETH 320/234-3570 HCP-F HWSAL 945 CENTURY AVENUE SW (20784) HUTCHINSON, MN 55350 PHONE: 320/234-0865 FAX: 320/234-6008 MRS. BERIT SPORS HWSAL Lim-Liab CEDAR CREST OF SILVER LAKE 1401 MAIN STREET WEST (26903) SILVER LAKE, MN 55381 PHONE: 320/327-6577 FAX: 320/587-7077 MS. ROSALIND EWALD Minnesota Department of Health Division of Compliance Monitoring Page 246 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf BENEDICTINE LV COMM OF WINSTED Certification MCLEOD Registration (Cont.)* -------------------------- HCP-F HWSAL 215 LINDEN AVENUE WEST (24030) WINSTED, MN 55395 PHONE: 320/354-2231 FAX: MS. CHRISTINA GAMALDI 320/354-2060 NProf BENEDICTINE LVG COMM WINSTED NH-70 SNF-NF-70 551 4TH ST NORTH (00352) WINSTED, MN 55395 PHONE: 320/485-2151 FAX: MS. CHRISTINA GAMALDI 320/485-4241 HWSAL NProf GARDEN HOUSE AT ST MARYS 300 FAIRLAWN AVENUE WEST (28112) WINSTED, MN 55395 PHONE: 320/485-2151 FAX: MS. CHRISTINA GAMALDI 320/485-4241 NProf OUTREACH TRILLIUM WEST SLFB-6 ICFMR-6 306 WESTGATE DRIVE PO BOX 246 (01614) WINSTED, MN 55395 PHONE: 320/485-3759 FAX: MS. MARY TJOSVOLD 320/485-4738 ---------------------------********** MEEKER ******** -------------------------HWSAL Lim-Liab CEDAR CREST OF COSMOS 130 NEPTUNE STREET NORTH (22174) COSMOS, MN 56228 PHONE: 320/877-9100 FAX: 320/587-4299 Lim-Liab LAKEVIEW RANCH HEALTHCARE LLC MS. ROSALIND EWALD HCP-A 69531 213TH STREET (26341) DARWIN, MN 55324 PHONE: 320/275-4027 FAX: MS. JUDY BERRY 320/275-4028 Lim-Liab LAKEVIEW RANCH HEALTHCARE LLC Hospice 69531 213TH STREET (26416) DARWIN, MN 55324 PHONE: 320/275-4611 FAX: MS. JUDY BERRY 320/275-4030 Corp LAKEVIEW RANCH INC HCP-F HWS 69531 213TH STREET (20829) DARWIN, MN 55324 PHONE: 320/275-4027 FAX: 320/275-4028 MS. JUDY BERRY RHC NProf DASSEL MEDICAL CENTER 460 FIFTH STREET N BOX 367 (02801) DASSEL, MN 55325 PHONE: 320/275-3358 FAX: /- DR. STEVEN MULDER Minnesota Department of Health Division of Compliance Monitoring Page 247 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification MEEKER (Cont.)* -------------------------HWSAL NProf LAKESIDE APARTMENTS Registration 441 WILLIAM AVENUE EAST (20568) DASSEL, MN 55325 PHONE: 320/275-3308 FAX: Lim-Liab LAKESIDE ASSISTED LIVING MR. WILLIAM WARD 320/275-3433 HCP-F 441 WILLIAM AVENUE EAST (26188) DASSEL, MN 55325 PHONE: 320/275-3308 FAX: City LAKESIDE HEALTH CARE CENTER MR. WILLIAM WARD 320/275-3433 NH-54 SNF-NF-54 439 WILLIAM AVE E PO BOX 383 (00773) DASSEL, MN 55325 PHONE: 320/275-3308 FAX: MR. WILLIAM WARD 320/275-3433 HWS Corp LAKEVIEW RANCH INC 22851 MINNESOTA HIGHWAY 15 (22067) DASSEL, MN 55325 PHONE: 320/275-4027 FAX: Corp CHERYLS NURSING POOL INC MS. JUDY BERRY 320/275-4028 HCP-A 209 STATE STREET NORTH (27994) EDEN VALLEY, MN 55329 PHONE: 320/453-7007 FAX: 320/453-7004 Part TODDS PLACE LLC MS. CHERYL ELLIOTT HCP-F HWS 569 STATE ST NORTH BOX 303 (23258) EDEN VALLEY, MN 55329 PHONE: 320/453-6747 FAX: 320/453-6747 MS. KATIE NOUIS HWSAL Church BETHANY ASSISTED LIVING 203 NORTH ARMSTRONG AVE (23748) LITCHFIELD, MN 55355 PHONE: 320/693-2430 FAX: MS. REBECCA WARPULA 320/373-6610 ESRD NProf CENTRACARE LITCHFIELD DIALYSIS 520 US HIGHWAY 12 EAST (25910) LITCHFIELD, MN 55355 PHONE: 320/693-7777 FAX: NProf ECUMEN LITCHFIELD SR HSG SERVS MS. CATHY SINDELIR 320/693-1555 HCP-F 203 NORTH ARMSTRONG AVENUE (21203) LITCHFIELD, MN 55355 PHONE: 320/693-2430 FAX: NProf ECUMEN OF LITCHFIELD HOME CARE MR. CRAIG SMITH 320/373-6610 HCP-A HHA 218 NORTH HOLCOMBE AVENUE (02364) LITCHFIELD, MN 55355 PHONE: 320/693-7367 FAX: 320/693-0433 MS. MICHELLE TEPFER Minnesota Department of Health Division of Compliance Monitoring Page 248 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Church EMMANUEL HOME Certification MEEKER Registration (Cont.)* -------------------------- NH-100 SNF-NF-100 600 SOUTH DAVIS AVENUE (00775) LITCHFIELD, MN 55355 PHONE: 320/693-2472 FAX: MR. CRAIG SMITH 320/693-2242 HWS Church EMMAUS PLACE 200 NORTH HOLCOMBE (20586) LITCHFIELD, MN 55355 PHONE: 320/693-2430 FAX: MS. REBECCA WARPULA 320/373-6610 HWS Church GLORIA DEI MANOR 218 NORTH HOLCOMBE AVENUE (20108) LITCHFIELD, MN 55355 PHONE: 320/693-2430 FAX: MS. REBECCA WARPULA 320/373-6610 HWS HRA HOUSING REDEVELOPMENT LITCHFIE 122 WEST FOURTH STREET (20584) LITCHFIELD, MN 55355 PHONE: 320/693-2104 FAX: NProf LITCHFIELD AREA HOSPICE MS. PAT BRAATEN 320/593-8199 Hospice HSPICE 218 NORTH HOLCOMBE (03129) LITCHFIELD, MN 55355 PHONE: 320/693-7367 FAX: 320/693-7418 Cnty MEEKER MEM HOSP MR. CRAIG SMITH BASS-4 HOSP-35 CAH-25 PPS-P-10 612 SOUTH SIBLEY AVENUE (00370) LITCHFIELD, MN 55355 PHONE: 320/693-3242 FAX: 320/693-4567 Dist HILLTOP CARE CENTER MR. KYLE RASMUSSEN NH-50 SNF-NF-50 410 LUELLA STREET (00798) WATKINS, MN 55389 PHONE: 320/764-2300 FAX: 320/764-2665 MS. BEVERLY MUELLER HWSAL-O NProf WATKINS AREA HOMES 150 3RD STREET SOUTH (21229) WATKINS, MN 55389 PHONE: 320/764-5600 FAX: 320/764-5601 MS. JOLEEN PFAU HWSAL NProf WATKINS AREA HOMES 181 3RD STREET SOUTH (21231) WATKINS, MN 55389 PHONE: 320/764-5600 FAX: 320/764-5601 MS. JOLEEN PFAU HWSAL-O NProf WATKINS AREA HOMES 161 3RD STREET SOUTH (21230) WATKINS, MN 55389 PHONE: 320/764-5600 FAX: 320/764-5601 MS. JOLEEN PFAU Minnesota Department of Health Division of Compliance Monitoring Page 249 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification MEEKER (Cont.)* -------------------------HWS NProf WATKINS AREA HOMES II / ST ANT Registration 131 CHURCH STREET (21232) WATKINS, MN 55389 PHONE: 320/764-5600 FAX: MS. JOLEEN PFAU 320/764-5601 ---------------------------********** Lim-Liab SCANDIA SENIOR CARE LLC MILLE LACS ******** -------------------------- HCP-A 15622 135TH STREET (25867) FORESTON, MN 56330 PHONE: 320/294-5898 FAX: MR. KENNETH BERGSTROM 320/294-5336 RHC NProf MILLE LACS FAMILY CLINIC ISLE 375 WEST ISLE ST (02461) ISLE, MN 56342 PHONE: 320/676-3661 FAX: MR. WILLIAM NELSON 320/676-3672 HWSAL Lim-Liab SCANDIA HOUSE OF ISLE 540 EAST ISLE STREET (28438) ISLE, MN 56342 PHONE: 320/676-3260 FAX: NProf COUNTRY MEADOWS MR. KENNETH BERGSTROM 320/676-3230 HCP-F HWSAL 740 2ND STREET SE (24336) MILACA, MN 56353 PHONE: 320/983-6386 FAX: 320/983-6824 Church ELIM HOME MS. LAURA BROBERG NH-98 SNF-NF-98 730 SECOND ST SE PO BOX 157 (00376) MILACA, MN 56353 PHONE: 320/983-2185 FAX: Corp HERITAGE HOUSE OF MILACA MS. LAURA BROBERG 320/983-2190 HCP-F HWSAL 115 9TH ST NW SUITE 120 (23743) MILACA, MN 56353 PHONE: 320/982-7000 FAX: Lim-Liab HOME ADVANTAGE HEALTH CARE LLC MS. LORI CARLSON 320/982-7001 HCP-A 11172 125TH AVENUE (27666) MILACA, MN 56353 PHONE: 320/369-4221 FAX: NProf LAKE SONG ASSISTED LIVING MS. RACHEL WEIDNER 320/369-4221 HCP-F HWSAL 206 NORTH ELM STREET (24552) ONAMIA, MN 56359 PHONE: 320/532-2099 FAX: 320/532-3833 MR. KERMIT HOLL Minnesota Department of Health Division of Compliance Monitoring Page 250 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Tribal MILLE LACS BAND OF OJIBWE PUBL Certification MILLE LACS Registration (Cont.)* -------------------------- HCP-A 17230 NOOPIMING DRIVE (25702) ONAMIA, MN 56359 PHONE: 320/532-7775 FAX: MS. LISA BLAHOSKY 320/532-7524 RHC NProf MILLE LACS FAMILY CLNC ONAMIA 200 NORTH ELM STREET (02459) ONAMIA, MN 56359 PHONE: 320/532-3154 FAX: NProf MILLE LACS HEALTH SYSTEM MR. WILLIAM NELSON 320/532-3111 NH-57 BASS-3 HOSP-28 SNF-NF-57 CAH-18 PPS-P-10 200 NORTH ELM STREET (00374) ONAMIA, MN 56359 PHONE: 320/532-3154 FAX: NProf MILLE LACS HLTH SYS HOSPICE MR. WILLIAM NELSON 320/532-3111 Hospice HSPICE 200 NORTH ELM STREET (03598) ONAMIA, MN 56359 PHONE: 320/532-2800 FAX: NProf MILLE LACS HOME CARE MR. WILLIAM NELSON 320/532-4325 HCP-A HHA 200 ELM ST NORTH (02323) ONAMIA, MN 56359 PHONE: 320/532-2800 FAX: 320/532-4325 MR. WILLIAM NELSON HWS Part BELLE HAVEN TOWNHOMES LP 101 18TH AVENUE NORTH (24251) PRINCETON, MN 55371 PHONE: 763/389-5080 FAX: 763/389-5080 NProf CALEY HOUSE ASSISTED LIVING MR. JEFFREY LARSON HCP-F HWSAL 104 SOUTH EIGHTH AVENUE (21649) PRINCETON, MN 55371 PHONE: 763/389-0424 FAX: MR. SUSIE SPAIN 763/389-0436 ESRD NProf CENTRACARE KIDNEY PROGRAM 112 SOUTH RUM RIVER DRIVE #10 (21067) PRINCETON, MN 55371 PHONE: 763/389-2048 FAX: MS. CATHY SINDELIR 763/389-2325 ESRD Corp CENTRAL MINNESOTA REG DIALYSIS 124 RUM RIVER DRIVE NORTH (21096) PRINCETON, MN 55371 PHONE: 763/389-1045 FAX: Church ELIM HOME MR. JOHN MARIETTI 763/389-1084 NH-115 SNF-NF-115 701 FIRST STREET (00375) PRINCETON, MN 55371 PHONE: 763/389-1171 FAX: 763/389-0432 MR. TODD LUNDEEN Minnesota Department of Health Division of Compliance Monitoring Page 251 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf FAIRVIEW NORTHLAND REG HOSP Certification MILLE LACS Registration (Cont.)* -------------------------- BASS-10 HOSP-54 HOSP-54 911 NORTHLAND DRIVE (00408) PRINCETON, MN 55371 PHONE: 763/389-1313 FAX: MR. JOHN HERMAN 763/389-6306 Lim-Liab STERLING POINTE SENIOR LVG LLC HCP-F HWSAL 1250 NORTHLAND DRIVE (28071) PRINCETON, MN 55371 PHONE: 763/389-8655 FAX: MS. JEANNE JAEKELS /- HWS-O Part WOMENS TRANSITIONAL HOUSING 1213 11TH AVENUE NORTH (27496) PRINCETON, MN 55371 PHONE: 763/389-5080 FAX: MR. JEFFREY LARSON 763/631-9117 ---------------------------********** MORRISON ******** -------------------------RHC NProf MILLE LACS FAMILY CLINIC 26362 370TH AVENUE (23611) HILLMAN, MN 56338 PHONE: 320/277-3682 FAX: MR. DANIEL REINER /- Lim-Liab BRIDGEWAY ESTATES HCP-F HWSAL 103 12TH STREET NE (21656) LITTLE FALLS, MN 56345 PHONE: 320/632-2089 FAX: 320/632-2097 MR. SCOT ALLEN ESRD NProf CENTRACARE DIALYSIS 815 SOUTHEAST SECOND STREET (02119) LITTLE FALLS, MN 56345 PHONE: 320/632-5441 FAX: MR. JOHN FROBENIUS /- HWSAL Corp CENTRAL MINNESOTA SENIOR CARE 315 SIXTH STREET SOUTHWEST (20317) LITTLE FALLS, MN 56345 PHONE: 320/441-7001 FAX: Lim-Liab COMFORT KEEPERS MS. DAWN FRERICKS 320/235-8069 HCP-A 211 1ST STREET NORTHEAST (27578) LITTLE FALLS, MN 56345 PHONE: 320/632-0924 FAX: 320/632-0918 MR. JAY VASEK HWSAL Lim-Liab DIAMOND WILLOW ASSISTED LIVING 1405 5TH AVENUE NE (25705) LITTLE FALLS, MN 56345 PHONE: 320/616-2848 FAX: 320/616-2910 MS. BRENDA MARSHALL Minnesota Department of Health Division of Compliance Monitoring Page 252 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification MORRISON (Cont.)* -------------------------HWSAL Lim-Liab DIAMOND WILLOW ASSISTED LIVING Registration 1401 5TH AVE NE (25706) LITTLE FALLS, MN 56345 PHONE: 320/616-2845 FAX: MS. BRENDA MARSHALL 320/616-2910 HWSAL NProf HARMONY HOUSE OF LITTLE FALLS 1201 HILTON ROAD (23236) LITTLE FALLS, MN 56345 PHONE: 320/632-9449 FAX: MS. BRIDGET BRITZ 320/632-2913 Lim-Liab HIGHLAND SENIOR LVG COMMUNITY HCP-F HWSAL 1012 3RD AVENUE NE (27367) LITTLE FALLS, MN 56345 PHONE: 320/632-1880 FAX: MS. JEAN JAECKELS 320/414-0353 Church LUTHERAN CARE CENTER NH-65 SNF-NF-65 1200 FIRST AVENUE NE (00382) LITTLE FALLS, MN 56345 PHONE: 320/632-9211 FAX: MR. SCOT ALLEN 320/632-2097 Corp MINNESOTA HERITAGE HOUSE HCP-F 920 SOUTHEAST FOURTH STREET (21049) LITTLE FALLS, MN 56345 PHONE: 320/631-4104 FAX: 320/631-4106 Cnty MORRISON CO PUBLIC HEALTH MR. JAMES BIRCHEM HCP-A 200 EAST BROADWAY (02031) LITTLE FALLS, MN 56345 PHONE: 320/632-6664 FAX: 320/632-0392 MS. BONNIE PAULSEN CMHC ONProf NORTHERN PINES MENTAL HLTH CTR PO BOX 367 ROUTE 5 BOX 257 (02769) LITTLE FALLS, MN 56345 PHONE: 320/632-6647 FAX: MR. JOHN PETERSON /- HWSAL-O Corp NOUIS HOME CARE INC 308 1ST STREET SOUTHEAST (28501) LITTLE FALLS, MN 56345 PHONE: 320/632-3868 FAX: 320/632-4315 MR. LEROY NOUIS HWS-O Corp REM CENTRAL LAKES INC 200 8TH STREET SOUTHEAST #2 (27485) LITTLE FALLS, MN 56345 PHONE: 320/616-6876 FAX: 320/616-6844 MS. NITA HAYES HWS Corp REM CENTRAL LAKES INC 200 8TH STREET SE #4 (27560) LITTLE FALLS, MN 56345 PHONE: 320/616-6876 FAX: 320/616-6844 MS. NITA HAYES Minnesota Department of Health Division of Compliance Monitoring Page 253 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf ST CAMILLUS PLACE Certification MORRISON Registration (Cont.)* -------------------------- SLFB-14 ICFMR-14 1100 SOUTHEAST FOURTH STREET (01478) LITTLE FALLS, MN 56345 PHONE: 320/631-5020 FAX: MS. LISA THIELMAN 320/631-5025 Church ST GABRIELS HOSPITAL BASS-10 HOSP-49 CAH-25 815 SOUTHEAST SECOND STREET (00383) LITTLE FALLS, MN 56345 PHONE: 320/631-5600 FAX: MR. CHAD COOPER 320/631-5680 Corp ST OTTOS CARE CENTER NH-93 SNF-NF-93 920 SOUTHEAST FOURTH STREET (00817) LITTLE FALLS, MN 56345 PHONE: 320/632-9281 FAX: MR. BRIAN BERNANDER 320/631-4106 Corp TRINITY HOME HEALTH CARE INC HCP-A 308 1ST STREET SOUTHEAST (28378) LITTLE FALLS, MN 56345 PHONE: 320/632-3868 FAX: MR. LEROY NOUIS 320/632-4315 ONProf UNITY FAMILY HOME CARE HOSPICE HCP-A HHA 815 SOUTHEAST SECOND STREET (02813) LITTLE FALLS, MN 56345 PHONE: 320/631-5575 FAX: 320/631-1650 ONProf UNITY FAMILY HOSPICE MS. LAURA SCHERER Hospice HSPICE 815 SOUTHEAST SECOND STREET (03097) LITTLE FALLS, MN 56345 PHONE: 320/631-5575 FAX: 320/631-1650 MS. SHARON SANDERSON - INTERIM HWSAL NProf HARMONY HOUSE OF MOTLEY I 900 EASTWOOD LANE SOUTH (20572) MOTLEY, MN 56466 PHONE: 218/352-6941 FAX: 218/352-6942 MS. BRIDGET BRITZ HWSAL NProf HARMONY HOUSE OF MOTLEY III 908 EASTWOOD LANE SO SUITE 1 (20971) MOTLEY, MN 56466 PHONE: 218/352-6941 FAX: 218/352-6942 MS. BRIDGET BRITZ RHC NProf LAKEWOOD CLINIC MOTLEY 1233 HIGHWAY 10 (22117) MOTLEY, MN 56466 PHONE: 320/352-6911 FAX: MR. TIMOTHY RICE /- RHC NProf FAMILY MEDICAL CENTER 200 SOUTH FIRST AVENUE (27043) PIERZ, MN 56364 PHONE: 320/468-2536 FAX: 320/468-2728 MR. DENNIS DVORAK Minnesota Department of Health Division of Compliance Monitoring Page 254 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf HARMONY HOUSE Certification MORRISON Registration (Cont.)* -------------------------- HCP-F 26814 - 143RD ST PO BOX 220 (20767) PIERZ, MN 56364 PHONE: 320/468-6451 FAX: MS. BRIDGET BRITZ 320/468-6463 HWSAL NProf HARMONY HOUSE 26886 143RD STREET (20172) PIERZ, MN 56364 PHONE: 320/468-2811 FAX: MS. BRIDGET BRITZ 320/468-6863 NProf HORIZON HEALTH INC HCP-A HHA 26814 143RD STREET PO BOX 220 (03347) PIERZ, MN 56364 PHONE: 320/468-6451 FAX: MS. PAT POSTER 320/468-6452 Corp PIERZ MEADOW PONDS INC HCP-F HWSAL 305 RONALD AVENUE (23849) PIERZ, MN 56364 PHONE: 320/468-2941 FAX: MRS. JENNINE ENGEN 320/468-2955 Corp PIERZ VILLA INC NH-50 SNF-NF-50 119 FAUST STREET SOUTHEAST (00384) PIERZ, MN 56364 PHONE: 320/468-6405 FAX: 320/468-0088 MS. KIM ROCHELEAU RHC NProf RANDALL LAKES AREA CLINIC 250 WHITE OAK DRIVE (27045) RANDALL, MN 56475 PHONE: 320/749-2877 FAX: /- MR. DENNIS DVORAK Corp RIVERSIDE ASSISTED LIVING HCP-F HWSAL 812 CENTRE STREET EAST (24459) ROYALTON, MN 56373 PHONE: 320/584-6484 FAX: MRS. JENNINE ENGEN 320/584-5003 ---------------------------********** City ADAMS HEALTH CARE CENTER MOWER ******** -------------------------- NH-54 SNF-NF-54 810 WEST MAIN STREET (00754) ADAMS, MN 55909 PHONE: 507/582-3263 FAX: City ADAMS HOME HEALTH AGENCY MS. CHERYL GUSTASON 507/582-7793 HCP-F 810 WEST MAIN (26961) ADAMS, MN 55909 PHONE: 507/582-7704 FAX: 507/582-3275 MS. CHERYL GUSTASON Minnesota Department of Health Division of Compliance Monitoring Page 255 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** City ADAMS HOME HEALTH CARE Certification MOWER Registration (Cont.)* -------------------------- HCP-A HWSAL 810 WEST MAIN STREET (02812) ADAMS, MN 55909 PHONE: 507/582-7704 FAX: NProf CROSS HOME MS. CHERYL GUSTASON 507/582-3275 SLFB-4 ICFMR-4 302 1ST ST (01417) ADAMS, MN 55909 PHONE: 507/324-3725 FAX: State AUSTIN MSOCS MS. JERI SCHOONOVER 507/324-3728 SLFB-6 ICFMR-6 1000 12TH STREET SOUTHWEST (01639) AUSTIN, MN 55912 PHONE: 507/433-9027 FAX: Part CEDARS OF AUSTIN MR. ROGER DENEEN 507/433-9046 HCP-F HWSAL 700 FIRST DRIVE NORTHWEST (20189) AUSTIN, MN 55912 PHONE: 507/437-3246 FAX: NProf GLENDALOUGH OF AUSTIN INC MS. LUCINDA GARDNER 507/437-3248 SLFB-6 ICFMR-6 1409 12TH AVENUE NORTHWEST (01645) AUSTIN, MN 55912 PHONE: 507/433-6499 FAX: 507/334-4394 NProf GOOD SAM SOCIETY COMFORCARE MR. RUSS KENNEDY NH-45 SNF-NF-45 1201 17TH STREET NE (00967) AUSTIN, MN 55912 PHONE: 507/437-4526 FAX: 507/437-9024 Church KENWOOD HERITAGE LIVING MS. KATIE DAVIS HCP-F HWSAL 400 SOUTHWEST 15TH AVENUE (20978) AUSTIN, MN 55912 PHONE: 507/437-4594 FAX: Part KINGSLEY HOUSE MS. CHRISTINE HARRIS 507/396-0534 HCP-F HWS 206 1ST STREET SOUTHWEST (20752) AUSTIN, MN 55912 PHONE: 507/437-7681 FAX: Lim-Liab KSMS OUR HOUSE LLC MR. JEFF BRADLEY 507/434-2139 HCP-F HWSAL 204 14TH STREET NORTHWEST (20449) AUSTIN, MN 55912 PHONE: 507/437-2179 FAX: NProf MAYO CLINIC HEALTH SYS AUSTIN MR. RANDY KLEIN 507/437-2310 Hospice HSPICE 408 NORTHWEST FOURTH AVENUE (03409) AUSTIN, MN 55912 PHONE: 507/434-1415 FAX: 507/434-1276 MR. ADAM REES Minnesota Department of Health Division of Compliance Monitoring Page 256 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf MAYO CLINIC HEALTH SYS AUSTIN Certification MOWER Registration (Cont.)* -------------------------- BASS-10 HOSP-82 HOSP-66 PPS-P-16 1000 FIRST DRIVE NORTHWEST (00395) AUSTIN, MN 55912 PHONE: 507/433-7351 FAX: NProf MAYO CLINIC HEALTH SYS- AUSTIN MR. ADAM REES 507/434-1992 HCP-A HHA 408 NORTHWEST FOURTH AVENUE (02313) AUSTIN, MN 55912 PHONE: 507/434-1415 FAX: MR. ADAM REES 507/434-1276 HWSAL Lim-Liab OUR HOUSE SENIOR LIVING 1313 15TH AVENUE NW (24097) AUSTIN, MN 55912 PHONE: 507/437-3373 FAX: MR. RANDY KLEIN 507/437-3383 HWSAL Lim-Liab OUR HOUSE SENIOR LIVING 1401 15TH AVENUE NW (21746) AUSTIN, MN 55912 PHONE: 507/396-0085 FAX: Lim-Liab PRIMROSE LEASE MANAGEMENT LLC MR. RANDY KLEIN 507/396-0087 HCP-F HWSAL 1701 22ND AVE SW (21689) AUSTIN, MN 55912 PHONE: 507/434-0600 FAX: 507/434-0041 NProf REFLECTIONS ASSISTED LIVING MR. MARK MCNEARY HCP-F HWSAL 300 SECOND STREET SW (25944) AUSTIN, MN 55912 PHONE: 507/440-6564 FAX: 507/437-2393 Corp REM WOODVALE INC CEDAR I MR. GARY CORCORAN SLFA-8 ICFMR-8 310 3RD STREET SOUTHEAST (01276) AUSTIN, MN 55912 PHONE: 507/433-7301 FAX: Corp REM WOODVALE INC CEDAR IV MR. PATRICK MASYGA 507/433-4597 SLFB-6 ICFMR-6 1710 22ND AVENUE SOUTHWEST (01306) AUSTIN, MN 55912 PHONE: 507/451-1296 FAX: MR. PATRICK MASYGA 507/451-1349 HWSAL NProf SACRED HEART ASSISTED LIVING A 1202 12TH STREET SOUTHWEST (20386) AUSTIN, MN 55912 PHONE: 507/433-1905 FAX: NProf SACRED HEART CARE CENTER INC MS. REBECCA MATHEWS HALVERSON 507/434-9572 NH-59 SNF-NF-59 1200 TWELFTH STREET SOUTHWEST (00393) AUSTIN, MN 55912 PHONE: 507/433-1808 FAX: 507/433-9572 MS. REBECCA MATHEWS-HALVERSON Minnesota Department of Health Division of Compliance Monitoring Page 257 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf SACRED HEART HOME HEALTH CARE Certification MOWER Registration (Cont.)* -------------------------- HCP-A HHA 1200 12TH STREET SOUTHWEST (02231) AUSTIN, MN 55912 PHONE: 507/433-1905 FAX: MS. REBECCA MATHEWS HALVERSON 507/433-8012 HWS NProf ST MARKS APARTMENTS 1401 SW FOURTH STREET (23378) AUSTIN, MN 55912 PHONE: 507/434-7255 FAX: Church ST MARKS LUTHERAN HOME MS. SUE DIEZ 507/434-7256 NH-61 SNF-NF-61 400 15TH AVENUE SOUTHWEST (00394) AUSTIN, MN 55912 PHONE: 507/437-4594 FAX: Corp THE CARLSON HOME OF AUSTIN INC MR. CHRIS SCHULZ 507/434-7201 HCP-F HWSAL 300 FIRST AVENUE NORTHWEST (20073) AUSTIN, MN 55912 PHONE: 507/433-8357 FAX: Corp WHISPERING PINES RANCH MR. RICHARD CARLSON 507/433-9368 HCP-F HWSAL 1916 4TH STREET SOUTHEAST (25430) AUSTIN, MN 55912 PHONE: 507/433-1117 FAX: 507/434-4129 Corp MEADOW MANOR MS. REBECCA MURAS NH-43 SNF-NF-43 210 EAST GRAND AVENUE (00390) GRAND MEADOW, MN 55936 PHONE: 507/754-5212 FAX: 507/754-5222 Corp THE MEADOWS MS. MEGAN KLEINSASSER HCP-F HWSAL 117 SECOND STREET SOUTHEAST (21007) GRAND MEADOW, MN 55936 PHONE: 507/754-4000 FAX: NProf KARLYN HOME MS. GAIL SHERIDAN 507/754-5227 SLFB-4 ICFMR-4 198 PENNY LANE (26373) LEROY, MN 55951 PHONE: 507/324-3725 FAX: City WILDWOOD GROVE MS. JERI SCHOONOVER 507/324-3728 HCP-F HWSAL 410 EAST MAIN STREET (21165) LEROY, MN 55951 PHONE: 507/324-9515 FAX: 507/324-5355 ---------------------------********** MS. PATTY WHITE MURRAY ******** -------------------------- Minnesota Department of Health Division of Compliance Monitoring Page 258 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf MAPLE LAWN NURSING HOME Certification MURRAY Registration (Cont.)* -------------------------- NH-62 SNF-NF-62 400 SEVENTH STREET (00396) FULDA, MN 56131 PHONE: 507/425-2571 FAX: MR. ARLAN SWANSON 507/425-2572 HWS NProf MAPLEVIEW ESTATES 700 MAPLE LANE (20997) FULDA, MN 56131 PHONE: 507/425-2572 FAX: MR. ARLAN SWANSON 507/425-2572 NProf MAPLEWOOD COURT ASST LVNG HCP-F HWSAL 310 7TH ST NE (23225) FULDA, MN 56131 PHONE: 507/425-9900 FAX: MR. ARLAN SWANSON 507/425-9900 RHC Cnty MURRAY COUNTY CLINIC FULDA 119 NORTH ST PAUL AVENUE (26186) FULDA, MN 56131 PHONE: 507/425-2300 FAX: MS. RENEE LOGAN 507/836-6700 Lim-Liab GOLDEN LIVINGCENTER SLAYTON NH-55 SNF-NF-55 2957 REDWOOD AVENUE SOUTH (00915) SLAYTON, MN 56172 PHONE: 507/836-6135 FAX: 507/836-8746 NProf HOSPICE OF MURRAY COUNTY INC MR. LUKE SCHRYVERS Hospice HSPICE 36 PARK DRIVE PO BOX 86 (02669) SLAYTON, MN 56172 PHONE: 507/836-8114 FAX: 507/836-6462 Corp LINDENWOOD ASSISTED LIVING MS. NONA MAGNUSSEN HCP-F HWSAL 2409 LINDEN AVE (20735) SLAYTON, MN 56172 PHONE: 507/836-1055 FAX: MR. RICHARD HOLMBERG 507/836-1075 RHC Cnty MURRAY COUNTY CLINIC 2040 JUNIPER AVENUE (03733) SLAYTON, MN 56172 PHONE: 507/836-6153 FAX: MR. JOHN OLSON /- Cnty MURRAY COUNTY MEM HOSP BASS-2 HOSP-25 2042 JUNIPER AVENUE (00397) SLAYTON, MN 56172 PHONE: 507/836-1277 FAX: NProf OUR HOUSE OF MURRAY COUNTY MR. MELDON SNOW 507/836-6700 RES-HSPICE-4 36 PARK DRIVE PO BOX 86 (20283) SLAYTON, MN 56172 PHONE: 507/836-8114 FAX: 507/836-6462 MS. NONA MAGNUSSEN CAH-25 Minnesota Department of Health Division of Compliance Monitoring Page 259 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp PRAIRIE VIEW INC Certification MURRAY Registration (Cont.)* -------------------------- SLFB-18 ICFMR-18 2220 TWENTY-SEVENTH STREET (01520) SLAYTON, MN 56172 PHONE: 507/836-8955 FAX: MR. LOUIS NELSON 507/836-8957 HWS Cnty SUNRISE TERRACE 2121 IRONWOOD AVENUE, BOX 100 (20669) SLAYTON, MN 56172 PHONE: 507/836-8980 FAX: MS. SHARON MCCLURE /- ---------------------------********** NProf GOOD SAMARITAN SOCIETY LAFAYET NICOLLET ******** -------------------------- HCP-F HWSAL 251 SEVENTH STREET (21059) LAFAYETTE, MN 56054 PHONE: 507/228-8238 FAX: Corp MONARCH MEADOWS MS. LORI BUSSLER 507/228-8389 HCP-F HWSAL 2135 LOR RAY DRIVE (20554) NORTH MANKATO, MN 56003 PHONE: 507/344-0059 FAX: MS. LISA HOFFERBERT 507/344-1504 HWS HRA NORTH MANKATO HOUSING & REDEVE 615 NICOLLET AVENUE (21094) NORTH MANKATO, MN 56003 PHONE: 507/388-3202 FAX: 507/388-1054 Lim-Liab OAK TERRACE ASSISTED LIVING O MR. JIM ROVNEY HCP-F HWSAL 1575 HOOVER DRIVE (20970) NORTH MANKATO, MN 56003 PHONE: 507/387-2037 FAX: MR. DENNIS HOOD 507/387-6011 HWS Lim-Liab OAK TERRACE WEST 1570 TOWER BLVD (22081) NORTH MANKATO, MN 56003 PHONE: 507/387-2037 FAX: NProf THERESE K SEXTON HOME SOUTH MR. DENNIS HOOD 507/387-2061 SLFB-8 ICFMR-8 2050 HAUGHTON AVENUE (01454) NORTH MANKATO, MN 56003 PHONE: 507/345-8590 FAX: NProf BENEDICTINE LIVING COMMUNITY MR. STEVE SCHOENER 507/345-3771 NH-79 SNF-NF-79 1907 KLEIN STREET (00399) ST PETER, MN 56082 PHONE: 507/934-2203 FAX: 507/934-8392 MS. LINDA NELSEN Minnesota Department of Health Division of Compliance Monitoring Page 260 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf BENEDICTINE SR LVG COMM ST PTR Certification NICOLLET Registration (Cont.)* -------------------------- HCP-F HWSAL 1906 NORTH SUNRISE DRIVE (28206) ST PETER, MN 56082 PHONE: 507/934-2203 FAX: MS. LINDA NELSEN 507/934-8392 State COMM ADDICTION REC ENTERPRISE SLFB-36 1703 CSAH 15 (24618) ST PETER, MN 56082 PHONE: 507/933-5033 FAX: MS. BONNIE SACK 507/931-7888 State COMM BEHAVIORAL HEALTH HOSP OTHER-16 HOSP-16 2000 KLEIN STREET (24230) ST PETER, MN 56082 PHONE: 507/933-5001 FAX: MS. CAROL OLSON /- NProf ECUMEN PRAIRIE HILL HCP-F HWSAL 1305 MARSHALL STREET (27944) ST PETER, MN 56082 PHONE: 507/934-2200 FAX: MS. HEATHER SLECHTA 507/934-2201 NProf ECUMEN SAND PRAIRIE HCP-F HWSAL 700 KNIGHT STREET (20719) ST PETER, MN 56082 PHONE: 507/931-4375 FAX: 507/934-5346 State FORENSIC SERVICES MS. MARY OLSON SLFA-58 SLFB-350 100 FREEMAN DRIVE (01418) ST PETER, MN 56082 PHONE: 507/931-7128 FAX: 507/931-7711 NProf GOOD SAM HC - ST PETER MR. DAVID PROFFITT HCP-A HHA 221 WEST PART ROW (23185) ST PETER, MN 56082 PHONE: 507/931-0949 FAX: MS. TERESA HILDEBRANDT 507/931-0110 NProf GOOD SAM SOCIETY ST PETER NH-38 SNF-NF-38 830 NORTH SUNRISE DRIVE (00400) ST PETER, MN 56082 PHONE: 507/931-9021 FAX: MS. TERESA HILDEBRANDT 507/931-9043 HWS NProf GOOD SAMARITAN SOCIETY-HERITAG 1302 TRAVERSE ROAD (20916) ST PETER, MN 56082 PHONE: 507/931-8545 FAX: MS. TERESA HILDEBRANDT 507/931-2123 Part HOLISTIC HOME HEALTH CARE HCP-A 956 RABBIT ROAD (27848) ST PETER, MN 56082 PHONE: 507/382-2173 FAX: /- MS. DAWN CLOBES Minnesota Department of Health Division of Compliance Monitoring Page 261 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** State MSOP - GREEN ACRES Certification NICOLLET Registration (Cont.)* -------------------------- SLFB-8 100 FREEMAN DRIVE (27850) ST PETER, MN 56082 PHONE: 651/431-5874 FAX: State MSOP - HALVORSON HOUSE MR. DENNIS BENSON 651/431-7404 SLFB-5 100 FREEMAN DRIVE (26491) ST PETER, MN 56082 PHONE: 651/431-5874 FAX: State MSOP - PEXTON/SHANTZ MR. DENNIS BENSON 651/431-7404 SLFB-248 100 FREEMAN DRIVE (27851) ST PETER, MN 56082 PHONE: 651/431-5874 FAX: Cnty NICOLLET COUNTY PUBLIC HEALTH MR. DENNIS BENSON 651/431-7404 HCP-A 501 SOUTH MINNESOTA AVENUE (02055) ST PETER, MN 56082 PHONE: 507/934-0459 FAX: Lim-Liab PHEASANTS RIDGE ASSISTED LIVNG MS. MARY HILDEBRANDT 507/934-0437 HCP-F HWSAL 1807 SUNRISE DRIVE (24372) ST PETER, MN 56082 PHONE: 507/931-0966 FAX: 507/931-1008 City RIVERS EDGE HOSPITAL & CLINIC MS. NICKI REHNELT BASS- HOSP-17 CAH-17 1900 NORTH SUNRISE DRIVE (23299) ST PETER, MN 56082 PHONE: 507/931-2200 FAX: 507/934-7651 State SO PSYCHIATRIC NF - ST PETER MS. COLLEEN SPIKE NH-48 100 FREEMAN DRIVE (25494) ST PETER, MN 56082 PHONE: 507/985-2365 FAX: MS. MICHELLE CHALIN 507/985-3310 HWS HRA ST PETER HRA PARKVIEW MANOR 1010 SOUTH FOURTH STREET (21283) ST PETER, MN 56082 PHONE: 507/931-2236 FAX: MS. SHANNON LLOYD 507/934-1731 ---------------------------********** City ADRIAN CARE CENTER INC NOBLES NH-30 SNF-NF-30 603 LOUISIANA AVENUE (00405) ADRIAN, MN 56110 PHONE: 507/483-2580 FAX: 507/483-2610 ******** -------------------------- MR. ANDREW HUHTA Minnesota Department of Health Division of Compliance Monitoring Page 262 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** City ADRIAN COUNTRY LIVING COTTAGES Certification NOBLES Registration (Cont.)* -------------------------- HCP-F HWSAL 200 WEST 7TH STREET (27386) ADRIAN, MN 56110 PHONE: 507/483-2511 FAX: City PARKVIEW MANOR NURSING HOME MR. ALAN OERTLI 507/483-2445 NH-45 SNF-NF-45 308 SHERMAN AVENUE (00406) ELLSWORTH, MN 56129 PHONE: 507/967-2482 FAX: NProf C C S INC RIDGEWOOD MR. MICHAEL WERNER 507/967-2141 SLFB-15 ICFMR-15 1381 KNOLLWOOD DRIVE (01278) WORTHINGTON, MN 56187 PHONE: 507/376-6095 FAX: Lim-Liab CARING & COMPASSIONATE HCA LLC MS. PATRICIA COWDIN 507/376-5117 HCP-A 1815 ELEANOR STREET (28175) WORTHINGTON, MN 56187 PHONE: 507/343-0077 FAX: Lim-Liab COMPASSIONATE CARE HOSPICE MS. REMONA BROWN 507/343-0076 Hospice HSPICE 31361 STATE HIGHWAY 266 (25020) WORTHINGTON, MN 56187 PHONE: 507/372-7003 FAX: 507/376-4273 Corp CROSSROADS CARE CENTER MS. BETSY HAUGEN NH-50 SNF-NF-50 965 MCMILLAN STREET (00407) WORTHINGTON, MN 56187 PHONE: 507/376-5312 FAX: 507/376-9536 Corp GOLDEN HORIZON MS. BARBARA ATCHISON HCP-F HWSAL 1790 COLLEGEWAY (23234) WORTHINGTON, MN 56187 PHONE: 218/568-6610 FAX: MR. CHUCK LANE 218/568-6642 ESRD City SANFORD REGIONAL HOSPITAL WOR 1018 SIXTH AVENUE (02243) WORTHINGTON, MN 56187 PHONE: 507/372-2941 FAX: NProf SANFORD WORTHINGTON HOME CARE MR. RANDY ANDERSON - INTERIM 507/372-3379 HCP-A HHA 1018 SIXTH AVENUE (02314) WORTHINGTON, MN 56187 PHONE: 507/372-3139 FAX: NProf SANFORD WORTHINGTON MEDICAL CE MR. RANDY ANDERSON - INTERIM 507/372-3373 BASS-7 HOSP-48 HOSP-48 1018 SIXTH AVENUE (00412) WORTHINGTON, MN 56187 PHONE: 507/372-2941 FAX: 507/372-3240 MR. RANDY ANDERSON - INTERIM Minnesota Department of Health Division of Compliance Monitoring Page 263 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp SOUTH SHORE CARE CENTER Certification NOBLES Registration (Cont.)* -------------------------- NH-64 SNF-NF-64 1307 SOUTH SHORE DRIVE (00885) WORTHINGTON, MN 56187 PHONE: 507/376-3175 FAX: MS. BARBARA ATCHISON 507/376-9042 NProf SUNSET COTTAGE RES-HSPICE-4 1935 WOODLAND COURT (21952) WORTHINGTON, MN 56187 PHONE: 605/328-4440 FAX: MS. LOIS SCHULLER 605/328-5995 Home Mgmt NProf SW MN OPPORTUNITY COUNCIL INC 1106 3RD AVENUE (03689) WORTHINGTON, MN 56187 PHONE: 507/376-4195 FAX: MR. NEAL STEFFL 507/376-3636 NProf THE MEADOWS OF WORTHINGTON HCP-F 1801 COLLEGEWAY (03709) WORTHINGTON, MN 56187 PHONE: 507/372-7838 FAX: MS. NATALIE BURNELL 507/372-7804 HWSAL Lim-Liab THE MEADOWS OF WORTHINGTON LLC 1801 COLLEGEWAY (20011) WORTHINGTON, MN 56187 PHONE: 507/372-7838 FAX: 507/372-7804 MS. NATALIE BURNELL ---------------------------********** Church BRIDGES CARE COMMUNITY NORMAN ******** -------------------------- HCP-F 201 9TH STREET WEST SUITE 2 (26532) ADA, MN 56510 PHONE: 218/784-3836 FAX: MS. KATIE REDIG 218/784-5245 NProf BRIDGES CARE COMMUNITY NH-49 SNF-NF-49 201 9TH STREET WEST (00413) ADA, MN 56510 PHONE: 218/784-5500 FAX: MS. KATIE REDIG 218/784-5245 RHC NProf BRIDGES MEDICAL SERVICES 201 9TH STREET WEST (02794) ADA, MN 56510 PHONE: 218/784-5000 FAX: MR. STEVE SPAETH /- NProf ESSENTIA HEALTH ADA HOSP-14 CAH-14 201 9TH STREET WEST (26485) ADA, MN 56510 PHONE: 218/784-5000 FAX: 218/784-3855 MR. DANIEL ROHRBACH Minnesota Department of Health Division of Compliance Monitoring Page 264 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification NORMAN (Cont.)* -------------------------HWS Part VALLEY VIEW MANOR Registration 705 WEST MAIN STREET (21569) ADA, MN 56510 PHONE: 218/784-7246 FAX: MS. SHELLEY HEITMAN 218/784-2246 Church HALSTAD LIVING CENTER NH-44 SNF-NF-44 133 FOURTH AVENUE EAST (00764) HALSTAD, MN 56548 PHONE: 218/456-2105 FAX: MR. DENNIS THORSON 218/456-2290 Church HALSTAD LIVING CENTER HCP-F 133 4TH AVENUE EAST (20733) HALSTAD, MN 56548 PHONE: 218/456-2105 FAX: MS. LORI MERKLE 218/456-2290 HWS NProf HERITAGE HOUSE 201 4TH AVENUE EAST (20732) HALSTAD, MN 56548 PHONE: 218/456-2105 FAX: MS. LORI MERKLE 218/456-2290 RHC NProf SANFORD HEALTH HALSTAD CLINIC 445 1ST STREET EAST (02747) HALSTAD, MN 56548 PHONE: 218/456-2158 FAX: /- DR. WALLACE RADTKE Church LINCOLN TERRACE HCP-F 205 3RD STREET NW (20734) TWIN VALLEY, MN 56584 PHONE: 218/584-5181 FAX: 218/584-8592 MR. DWIGHT FUGLIE HWSAL Church LINCOLN TERRACE 205 THIRD STREET NW PO BOX 480 (20349) TWIN VALLEY, MN 56584 PHONE: 218/584-5183 FAX: MR. DWIGHT FUGLIE 218/584-8592 HWS NProf NORMANDY APARTMENTS 201 3RD STREET NW PO BOX 480 (20725) TWIN VALLEY, MN 56584 PHONE: 218/584-5181 FAX: MR. DWIGHT FUGLIE 218/584-5304 RHC NProf SANFORD HLTH TWIN VALLEY CLINI 212 MAIN AVENUE WEST (03938) TWIN VALLEY, MN 56584 PHONE: 218/584-5142 FAX: MR. MARK DUNCAN /- Church TWIN VALLEY LIVING CENTER NH-58 SNF-NF-58 208 OPPEGARD AVE NW PO BOX 480 (00414) TWIN VALLEY, MN 565840480 PHONE: 218/584-5181 FAX: 218/584-5304 MS. SHARI SCHREINER Minnesota Department of Health Division of Compliance Monitoring Page 265 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab ARBOR GARDENS Certification OLMSTED Registration ******** -------------------------- HCP-F HWSAL 535 CANYON DRIVE NW (21810) EYOTA, MN 55934 PHONE: 507/545-3999 FAX: MR. DONALD RADEMACHER 507/545-3948 HWSAL Corp SUNSET HOMES ASSISTED LIVING I 11237 11TH AVENUE NORTHWEST (27053) ORONOCO, MN 55960 PHONE: 507/202-9742 FAX: Lim-Liab 1050 PLUMMER PLACE LLC MR. JOSEPH MABURURU 507/206-4858 HCP-F HWSAL 1050 PLUMMER CIRCLE (24850) ROCHESTER, MN 55902 PHONE: 507/424-3384 FAX: Lim-Liab AAFIYA HOME CARE LLC MS. ALICE SYVERSON 507/206-3225 HCP-A 3270 19TH STREET NW (25640) ROCHESTER, MN 55901 PHONE: 507/292-0113 FAX: NProf ALLENDALE HOUSE MS. HAWO MOHAMED 507/292-7964 SLFB-6 ICFMR-6 2847 19TH AVENUE NORTHWEST (01667) ROCHESTER, MN 55901 PHONE: 507/288-7195 FAX: 507/288-4522 NProf ARBOR TERRACE MR. PAUL BURTON HCP-F 700 NORTHWEST 2ND AVENUE (20864) ROCHESTER, MN 55901 PHONE: 507/288-4883 FAX: 507/424-4074 MS. SUSAN KNUTSON HWS NProf ARBOR TERRACE 700 NORTHWEST SECOND AVENUE (20146) ROCHESTER, MN 55901 PHONE: 507/288-4883 FAX: MS. SUSAN KNUTSON 507/424-4074 HWSAL-O NProf BOSTROM TERRACE 1680 EASTWOOD ROAD SE (24486) ROCHESTER, MN 55904 PHONE: 651/645-7271 FAX: MR. STEPHEN VANDER SCHAAF 651/645-0541 HWS NProf CASTLEVIEW APARTMENTS 120 NORTH BROADWAY (25732) ROCHESTER, MN 55906 PHONE: 507/288-3663 FAX: NProf CHARTER HOUSE MS. CINDY NORGARD 507/281-8348 NH-32 SNF-32 211 NORTHWEST SECOND STREET (00193) ROCHESTER, MN 55901 PHONE: 507/266-7373 FAX: 507/266-6827 MR. TONY ENQUIST Minnesota Department of Health Division of Compliance Monitoring Page 266 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf CHARTER HOUSE INC Certification OLMSTED (Cont.)* -------------------------- HCP-F HWSAL 211 SECOND STREET NORTHWEST (20068) ROCHESTER, MN 55901 PHONE: 507/266-7849 FAX: MR. MARK A. (TONY) ENQUIST 507/266-6681 NProf CHARTERHOUSE HHA HCP-A HHA 211 NORTHWEST SECOND STREET (02324) ROCHESTER, MN 55901 PHONE: 507/266-7849 FAX: MR. MARK A. (TONY) ENQUIST 507/266-2101 NProf CHOICE HOME CARE INC HCP-A HHA 2200 SECOND ST SW (03737) ROCHESTER, MN 55902 PHONE: 507/285-3912 FAX: MS. VICTORIA DALLE MOLLE 507/285-0898 Corp CNS HOME HEALTH CARE HCP-A HHA 1239 2ND AVENUE SOUTHWEST (21066) ROCHESTER, MN 55902 PHONE: 507/289-2411 FAX: MR. JEFFREY SEVERSON 507/529-0360 Corp COMFORT HOME HEALTH CARE HCP-A HHA 2746 SUPERIOR DR NW SUITE 200 (02238) ROCHESTER, MN 55901 PHONE: 507/281-2332 FAX: 507/281-2632 Corp COMFORT HOME HEALTH CARE MR. CHRISTOPHER BLUM HCP-F 2746 SUPERIOR DRIVE NW STE 200 (21496) ROCHESTER, MN 55901 PHONE: 507/281-2332 FAX: 507/281-2632 State COMM BEHAV HLTH HOSP ROCHESTER MR. CHRISTOPHER BLUM OTHER-16 251 WOOD LAKE DRIVE SE (24231) ROCHESTER, MN 55904 PHONE: 507/206-2561 FAX: MR. MARK LANCET /- Lim-Liab DIVINE TOUCH HOME HEALTH CARE HCP-A 1312 7TH STREET NW STE 209 (28116) ROCHESTER, MN 55901 PHONE: 651/204-6638 FAX: MR. SYLVESTER NGENE /- Lim-Liab EMPATHIC HOMECARE LLC HCP-A 521 NORTH BROADWAY STE 3 (27941) ROCHESTER, MN 55904 PHONE: 507/202-9414 FAX: MR. MUSTAF FARAH /- Corp EXCELLENT CARE SERVICES INC HCP-A 329 ELTON HILLS DRIVE NW (24797) ROCHESTER, MN 55901 PHONE: 507/289-0338 FAX: 507/289-7484 Registration MR. ABIODUN AKINBOLU Minnesota Department of Health Division of Compliance Monitoring Page 267 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab EXTENDED HAND HOME CARE Certification OLMSTED Registration (Cont.)* -------------------------- HCP-A 808 33RD STREET NORTHWEST (26050) ROCHESTER, MN 55901 PHONE: 507/424-0404 FAX: MR. DAVID ROWLAND 507/316-0615 Home Mgmt Lim-Liab EXTENDED HAND HOME CARE LLC 808 33RD STREET NORTHWEST (25699) ROCHESTER, MN 55901 PHONE: 507/424-0404 FAX: MS. SARAH ROWLAND 507/316-0615 Home Mgmt NProf FAMILY SERVICE ROCHESTER INC 1110 6TH STREET NW (02886) ROCHESTER, MN 55901 PHONE: 507/287-2010 FAX: Corp GLOBAL HOME HEALTH CARE INC MR. BRAD LOHRBACH 507/287-7805 HCP-A 1032 15TH AVE SE (21537) ROCHESTER, MN 55904 PHONE: 507/282-6466 FAX: Lim-Liab GOLDEN LIVINGCENTER ROCH EAST MS. NINA MASCHKA 507/292-6694 NH-116 SNF-NF-116 501 EIGHTH AVE SOUTHEAST (00953) ROCHESTER, MN 55904 PHONE: 507/288-6514 FAX: 507/288-6686 Lim-Liab GOLDEN LIVINGCNTR ROCHESTER W MS. CAREY HUEBERT NH-54 SNF-NF-54 2215 HIGHWAY 52 NORTH (00941) ROCHESTER, MN 55901 PHONE: 507/288-1818 FAX: 507/288-5502 Lim-Liab HEARTLAND HOSPICE MR. TYLER DONAHUE Hospice HSPICE 3143 SUPERIOR DR NW STE B (23773) ROCHESTER, MN 55901 PHONE: 507/292-1170 FAX: Lim-Liab HOME INSTEAD SENIOR CARE MS. SANDRA MAYNARD 507/292-1169 HCP-B 304 6TH STREET SOUTHWEST (26860) ROCHESTER, MN 55902 PHONE: 507/285-1700 FAX: MR. JOHN PACCHETTI 507/536-4056 Home Mgmt Lim-Liab HOME INSTEAD SENIOR CARE 304 6TH STREET SOUTHWEST (22018) ROCHESTER, MN 55902 PHONE: 507/285-1700 FAX: Lim-Liab HOME INSTEAD SENIOR CARE MR. JOHN PACCHETTI 507/536-4056 HCP-A 304 6TH STREET SW (24370) ROCHESTER, MN 55902 PHONE: 507/285-1700 FAX: 507/536-4056 MR. JOHN PACCHETTI Minnesota Department of Health Division of Compliance Monitoring Page 268 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp INTERNATIONAL QUALITY HOMECARE Certification OLMSTED Registration (Cont.)* -------------------------- HCP-A HHA 3261 19TH ST NW (20865) ROCHESTER, MN 55901 PHONE: 507/252-8117 FAX: DR. ADERONKE MORDI 507/252-1985 HWSAL NProf KENOSHA DRIVE APARTMENTS 3461 KENOSHA DRIVE NW (27313) ROCHESTER, MN 55901 PHONE: 651/645-7271 FAX: NProf MADONNA MEADOWS MR. STEPHEN VANDER SCHAAF 651/645-0541 HCP-F HWSAL 3035 SALEM MEADOWS DRIVE SW (20566) ROCHESTER, MN 55902 PHONE: 507/252-5400 FAX: MR. MARK CAIRNS 507/252-5500 HWSAL NProf MADONNA TOWERS OF ROCHESTER 4001 19TH AVENUE NORTHWEST (20211) ROCHESTER, MN 55901 PHONE: 507/288-3911 FAX: MADONNA TOWERS OF ROCHESTER IC MR. MARK CAIRNS 507/288-0393 Church NH-62 SNF-2 SNF-NF-60 4001 19TH AVENUE NORTHWEST (00419) ROCHESTER, MN 55901 PHONE: 507/288-3911 FAX: MADONNA TOWERS OF ROCHESTER IN 507/288-0393 NProf MR. MARK NOBLE HCP-A 4001 19TH AVENUE NORTHWEST (03299) ROCHESTER, MN 55901 PHONE: 507/288-3911 FAX: 507/288-0393 Corp MAPLE MANOR HEALTHCARE & REHAB MR. MARK CAIRNS NH-81 SNF-NF-81 1875 19TH STREET NORTHWEST (00916) ROCHESTER, MN 55901 PHONE: 507/282-9449 FAX: NProf MAYO CLINIC HOSPICE MR. PATRICK BLUM 507/287-0552 Hospice HSPICE 200 FIRST STREET SOUTHWEST (02504) ROCHESTER, MN 55905 PHONE: 507/284-4002 FAX: NProf MAYO CLINIC METHODIST HOSPITAL MS. ANN BARTLETT 507/284-0220 BASS-55 HOSP-794 201 WEST CENTER STREET (00423) ROCHESTER, MN 55902 PHONE: 507/266-7890 FAX: NProf MAYO CLINIC REHABILITATION SER MS. LYNN FREDERICK 507/255-3125 HCP-A 200 FIRST STREET SW (27662) ROCHESTER, MN 55905 PHONE: 507/266-6465 FAX: 507/284-3431 MS. ARLEEN DERYNCK HOSP-794 Minnesota Department of Health Division of Compliance Monitoring Page 269 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf MAYO CLINIC ST MARYS HOSPITAL Certification OLMSTED Registration (Cont.)* -------------------------- BASS-26 HOSP-1265 HOSP-1099 PPS-P-108 PPS-R-58 1216 SECOND STREET SOUTHWEST (00428) ROCHESTER, MN 55902 PHONE: 507/255-5123 FAX: MS. B. LYNN FREDERICK 507/255-3125 ESRD NProf MAYO DIALYSIS ROCHESTER METH 201 CENTER STREET WEST (02106) ROCHESTER, MN 55902 PHONE: 507/284-2511 FAX: MR. BRAD WICK 507/886-6584 ESRD NProf MAYO DIALYSIS ROCHESTER NE CLI 3041 STONEHEDGE DRIVE NE (23151) ROCHESTER, MN 55906 PHONE: 507/538-8580 FAX: MR. LEE HECHT 507/266-7891 XRAY NProf MAYO FOUNDATION 200 FIRST STREET SOUTHWEST (03774) ROCHESTER, MN 55905 PHONE: 507/284-2511 FAX: MR. SCOTT SEINOLA /- HWSAL Lim-Liab MEADOW LAKES SENIOR LIVING 22 45TH AVENUE NORTHWEST (21129) ROCHESTER, MN 55901 PHONE: 507/252-5069 FAX: 507/536-4539 NProf OLMSTED MEDICAL CENTER MR. PATRICK BLUM BASS-16 HOSP-61 HOSP-61 1650 FOURTH STREET SOUTHEAST (00422) ROCHESTER, MN 55904 PHONE: 507/529-6600 FAX: 507/529-6622 Lim-Liab OXFORD PROPERTY MANAGEMENT LLC MR. TIM WIER HCP-F 421 1ST AVENUE SW SUITE 303 (28279) ROCHESTER, MN 55902 PHONE: 507/285-3282 FAX: MS. KIM WORRALL /- Lim-Liab PRIME TIME ESSENTIAL CARE LLC HCP-A 220 SOUTH BROADWAY SUITE 354 (27063) ROCHESTER, MN 55904 PHONE: 507/319-0481 FAX: MS. AISHA KASSIM /- HWS Lim-Liab PRIMETIME LIVINN SUITES 220 S BROADWAY 3RD FLR SUITES (28289) ROCHESTER, MN 55904 PHONE: 507/316-0481 FAX: MS. AISHA KASSIM /- Corp REM RIVER BLUFFS (WILLOW CR A) SLFA-13 ICFMR-13 1621 10TH ST SE (01461) ROCHESTER, MN 55904 PHONE: 507/287-6824 FAX: 507/282-9563 MS. JUANITA HAYES Minnesota Department of Health Division of Compliance Monitoring Page 270 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp REM RIVER BLUFFS (WILLOW CR B) Certification OLMSTED Registration (Cont.)* -------------------------- SLFB-11 ICFMR-11 2206 11TH AVENUE SOUTHEAST (01464) ROCHESTER, MN 55904 PHONE: 507/287-6824 FAX: Corp REM RIVER BLUFFS ROCHESTER NW MS. JUANITA HAYES 507/282-9563 SLFA-11 ICFMR-11 2509 55TH STREET NORTHWEST (01322) ROCHESTER, MN 55901 PHONE: 507/287-6824 FAX: Corp REM RIVER BLUFFS ROCHESTER SE MS. JUANITA HAYES 507/282-9563 SLFA-13 ICFMR-13 1631 19TH AVE SE (01320) ROCHESTER, MN 55904 PHONE: 507/287-6824 FAX: MS. JUANITA HAYES 507/282-9563 HWSAL Lim-Liab REZA HOUSE LLC 1623 4TH STREET NW (28553) ROCHESTER, MN 55901 PHONE: 507/529-7870 FAX: ROBLAND HOME HEALTH CARE CORPO MR. AMIR TAHERKHANCHI 507/536-9700 Corp HCP-A HHA 1500 1ST AVENUE NE SUITE 111C (26391) ROCHESTER, MN 55906 PHONE: 507/252-4619 FAX: 866/597-0950 State ROCHESTER MSOCS MR. OMAR HASSAN SLFB-6 ICFMR-6 448 17TH STREET SOUTHWEST (01635) ROCHESTER, MN 55902 PHONE: 507/280-5551 FAX: 507/280-5552 NProf SAMARITAN BETHANY HM ON EIGHTH MR. ROGER DENEEN NH-182 SNF-NF-182 24 8TH STREET NORTHWEST (00427) ROCHESTER, MN 55901 PHONE: 507/289-4031 FAX: MS. SUSAN WIESNER 507/289-6001 NProf SEASONS HOSPICE 1811 GREENVIEW PLACE SW #110 (03427) ROCHESTER, MN 55902 PHONE: 507/285-1930 FAX: NProf SEASONS HOSPICE MS. BEVERLY HAYNES 507/282-2737 RES-HSPICE-8 5650 WEATHERHILL ROAD SW (23506) ROCHESTER, MN 55902 PHONE: 507/285-1930 FAX: Lim-Liab SHALOM ESTATE LLC MS. BEVERLY HAYNES 507/282-2737 HCP-F HWSAL 2070 CENTURY HILLS DRIVE NE (22020) ROCHESTER, MN 55906 PHONE: 507/281-9700 FAX: 507/206-3225 MS. ALICE MAE SYVERSON Minnesota Department of Health Division of Compliance Monitoring Page 271 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp SHIFFO HOME HEALTH CARE CORPOR Certification OLMSTED Registration (Cont.)* -------------------------- HCP-A 12 ELTON HILLS DRIVE NW #207 (22189) ROCHESTER, MN 55901 PHONE: 507/289-5801 FAX: MS. HAMDI ADEN 507/289-5885 Lim-Liab SHIRAZ ASSISTED LIVING LLC HCP-F 3008 NORTHERN VALLEY DRIVE NE (28552) ROCHESTER, MN 55906 PHONE: 507/271-2945 FAX: MR. AMIR TAHERKHANCHI 507/536-9700 HWSAL Lim-Liab SHOREWOOD COMMONS ASSISTED LIV 2115 2ND STREET SOUTHWEST (20686) ROCHESTER, MN 55902 PHONE: 507/252-9110 FAX: MS. CAROL HANSEN 507/286-9237 HWS ONProf SHOREWOOD PLACE 2205 SECOND STREET SW (21645) ROCHESTER, MN 55902 PHONE: 507/252-9110 FAX: MS. CAROL HANSEN 507/286-9237 Corp STANLEY JONES & ASSOCIATES HCP-A HHA 2746 SUPERIOR DR NW SUITE 300 (02308) ROCHESTER, MN 55901 PHONE: 507/288-0064 FAX: 507/288-3993 MS. PATRICE MRDJENOVICH - HANK Out Pt Out St Corp STANLEY JONES AND ASSOCIATES 2746 SUPERIOR DR NW SUITE 300 (02587) ROCHESTER, MN 55901 PHONE: 507/288-0064 FAX: /- MS. PATRICE MRDJENOVICH - HANK HWSAL Lim-Liab SUNRISE ASSISTED LIVING VIII 4150 - 4156 55TH STREET NW (21241) ROCHESTER, MN 55901 PHONE: 507/286-8528 FAX: 507/286-8527 MS. ALICIA ADAMS HWSAL Lim-Liab SUNRISE ASSISTED LIVING VI 4240 - 4246 55TH STREET NW (21242) ROCHESTER, MN 55901 PHONE: 507/286-8528 FAX: 507/286-8527 MS. ALICIA ADAMS HWSAL Lim-Liab SUNRISE COTTAGES ROCHESTER I 4310-4316 55TH ST NORTHWEST (20391) ROCHESTER, MN 55901 PHONE: 507/286-8528 FAX: 507/286-8527 MS. ALICIA ADAMS HWSAL Lim-Liab SUNRISE COTTAGES ROCHESTER II 4320-4326 55TH ST NORTHWEST (20392) ROCHESTER, MN 55901 PHONE: 507/286-8528 FAX: 507/286-8527 MS. ALICIA ADAMS Minnesota Department of Health Division of Compliance Monitoring Page 272 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification OLMSTED (Cont.)* -------------------------HWSAL Lim-Liab SUNRISE COTTAGES ROCHESTER III Registration 4330-4336 55TH ST NORTHWEST (20393) ROCHESTER, MN 55901 PHONE: 507/286-8528 FAX: MS. ALICIA ADAMS 507/286-8527 HWSAL Lim-Liab SUNRISE COTTAGES ROCHESTER IV 4210-4216 55TH ST NORTHWEST (20120) ROCHESTER, MN 55901 PHONE: 507/286-8528 FAX: MS. ALICIA ADAMS 507/286-8527 HWSAL Lim-Liab SUNRISE COTTAGES ROCHESTER IX 4130 - 4136 55TH ST NW (CTG 9) (20498) ROCHESTER, MN 55901 PHONE: 507/286-8528 FAX: MS. ALICIA ADAMS 507/286-8527 HWSAL Lim-Liab SUNRISE COTTAGES ROCHESTER V 4230-4236 55TH ST NORTHWEST (20496) ROCHESTER, MN 55901 PHONE: 507/286-8528 FAX: MS. ALICIA ADAMS 507/286-8527 HWSAL Lim-Liab SUNRISE COTTAGES ROCHESTER VII 4140-4146 55TH ST NORTHWEST (20504) ROCHESTER, MN 55901 PHONE: 507/286-8528 FAX: 507/286-8527 Lim-Liab SUNRISE OF ROCHESTER MS. ALICIA ADAMS HCP-F 4220 - 55TH ST NW (22509) ROCHESTER, MN 55901 PHONE: 507/286-8528 FAX: 507/286-8527 Corp SUNSET HOMES ASSISTED LIVING MS. ALICIA ADAMS HCP-F HWSAL 3686 KENOSHA DRIVE NORTHWEST (26018) ROCHESTER, MN 55902 PHONE: 507/206-4856 FAX: Corp SUNSET HOMES ASSISTED LIVING I MR. JOSEPH MABURURU 507/206-4858 HCP-A 2101 GLENVIEW LANE NE (26019) ROCHESTER, MN 55906 PHONE: 507/206-4856 FAX: Corp THE GABLES MR. JOSEPH MABURURU 507/206-4858 SLFA-30 604 FIFTH STREET SOUTHWEST (01449) ROCHESTER, MN 55902 PHONE: 507/282-2500 FAX: Lim-Liab VISITING ANGELS MS. NANCY STOFFERAHN 507/282-6036 HCP-A 1700 NORTH BROADWAY SUITE 116 (26975) ROCHESTER, MN 55906 PHONE: 507/289-1147 FAX: 507/289-7247 MR. JOSEPH SEDELMEYER Minnesota Department of Health Division of Compliance Monitoring Page 273 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf VOA HOME HEALTH AT ROCHESTER Certification OLMSTED Registration (Cont.)* -------------------------- HCP-A HWSAL 1900 BALLINGTON BLVD NW (24676) ROCHESTER, MN 55901 PHONE: 507/535-2000 FAX: NProf VOA HOME HEALTH AT ROCHESTER MR. TOM KNOEPKE 507/535-2001 HCP-F 1900 BALLINGTON BOULEVARD (25044) ROCHESTER, MN 55901 PHONE: 507/535-2000 FAX: Corp WILLOWS & WATERS SR LVG INC MR. MARK ROBINSON 507/535-2001 HCP-F HWSAL 707 UPPER MEADOW LANE NW (28043) ROCHESTER, MN 55901 PHONE: 507/288-0593 FAX: Lim-Liab WOODLAND MEMORY LANE LLC MS. APRIL CHRISTENSEN 507/292-8777 HCP-F HWS 1009 SIERRA LANE NORTHEAST (24849) ROCHESTER, MN 55906 PHONE: 507/269-5702 FAX: NProf ZUMBRO VALLEY CONNEC REFER UNI MS. TAMMY ARNDT 888/894-3489 SLFB-22 343 WOOD LAKE DRIVE SE (25343) ROCHESTER, MN 55904 PHONE: 507/281-6248 FAX: 507/535-5792 NProf GARDEN COTTAGES ASSISTED LIVIN MR. DAVID COOK HCP-F HWSAL 500 FIRST AVENUE SOUTHEAST (20910) STEWARTVILLE, MN 55976 PHONE: 507/421-1395 FAX: 507/533-8667 NProf ROOT RIVER ESTATES HOME CARE S MR. EUGENE GUSTASON HCP-F HWSAL 110 NORTHEAST FOURTH STREET (20604) STEWARTVILLE, MN 55976 PHONE: 507/533-1378 FAX: MR. EUGENE GUSTASON 507/533-1384 HWSAL NProf STEWARTVILLA APARTMENTS 125 SECOND AVENUE NORTHEAST (21424) STEWARTVILLE, MN 55976 PHONE: 507/533-1378 FAX: NProf STEWARTVILLE CARE CENTER MR. EUGENE GUSTASON 507/533-1384 NH-85 SNF-NF-85 120 FOURTH STREET NORTHEAST (00429) STEWARTVILLE, MN 55976 PHONE: 507/533-4288 FAX: NProf STEWARTVILLE HOME CARE SERVICE MR. EUGENE GUSTASON 507/533-1384 HCP-A 110 FOURTH STREET NE (03939) STEWARTVILLE, MN 55976 PHONE: 507/533-1375 FAX: 507/533-1384 MR. EUGENE GUSTASON Minnesota Department of Health Division of Compliance Monitoring Page 274 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification OLMSTED (Cont.)* -------------------------HWSAL NProf STEWARTVILLE SENIOR CAMPUS COT Registration 119 2ND AVENUE NORTHEAST (25127) STEWARTVILLE, MN 55976 PHONE: 507/533-1378 FAX: MR. EUGENE GUSTASON 507/533-1384 ---------------------------********** Lim-Liab GOLDEN LIVGCTR OTTER TAIL LAKE OTTER TAIL ******** -------------------------- NH-48 SNF-NF-48 28930 COUNTY HIGHWAY 145 (00182) BATTLE LAKE, MN 56515 PHONE: 218/495-2992 FAX: NProf GOOD SAM SOCIETY BATTLE LAKE MS. JOAN GEDDE 218/495-2979 NH-55 SNF-NF-55 105 GLENHAVEN DRIVE (00146) BATTLE LAKE, MN 56515 PHONE: 218/864-5231 FAX: NProf LAKEVIEW SENIOR LIVING APTS MR. JAMES WOLF 218/864-5498 HCP-F HWSAL 605 NORTH LAKE AVENUE (25117) BATTLE LAKE, MN 56515 PHONE: 218/862-5230 FAX: Corp MIDWEST COMMUNITY RESIDENTIAL MR. JAMES WOLF 218/862-5240 HCP-A 23748 GIRARD BEACH LANE (26325) BATTLE LAKE, MN 56515 PHONE: 218/864-5609 FAX: 218/864-5653 MS. SANDRA MAROHL HWSAL NProf ALCOTT MANOR 418 EAST ALCOTT AVENUE (21425) FERGUS FALLS, MN 56537 PHONE: 218/998-7400 FAX: NProf ARLINGTON HOME MR. JOHN ZWIERS 218/998-7362 SLFB-5 ICFMR-5 1505 SOUTH ARLINGTON (01222) FERGUS FALLS, MN 56537 PHONE: 218/739-2045 FAX: NProf BROEN MEMORIAL HOME MS. NICOLLE TOSO 218/736-0089 NH-124 SNF-NF-124 824 SOUTH SHERIDAN (00862) FERGUS FALLS, MN 56537 PHONE: 218/998-7300 FAX: Ind C K HOME HEALTH CARE INC MR. JOHN ZWIERS 218/998-7350 HCP-A 106 FOURTH AVENUE N (21606) FERGUS FALLS, MN 56537 PHONE: 218/998-3778 FAX: 218/998-3187 MS. MICHELLE SALWEI Minnesota Department of Health Division of Compliance Monitoring Page 275 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp CARE 2000 HOME HEALTHCARE SVC Certification OTTER TAIL Registration (Cont.)* -------------------------- HCP-A HHA 119 EAST LINCOLN AVENUE (03084) FERGUS FALLS, MN 56538 PHONE: 218/736-0246 FAX: MR. FRANK WASSMER 218/736-0265 Corp CARE 2000 HOME HEALTHCARE SVCS HCP-B 119 EAST LINCOLN AVENUE (28091) FERGUS FALLS, MN 56538 PHONE: 218/736-0246 FAX: MS. PATRICIA PEPPEL 218/736-0265 Corp CARE 2000 HOME HEALTHCARE SVCS HCP-F 119 EAST LINCOLN AVENUE (28092) FERGUS FALLS, MN 56538 PHONE: 218/736-0246 FAX: MS. PATRICIA PEPPEL 218/736-0265 State COMM ADDICTION RECOVERY ENTERP SLFA-60 1174 WESTERN AVENUE (26316) FERGUS FALLS, MN 56537 PHONE: 218/736-1824 FAX: MR. TERRY BEDARD /- State COMM BEHAV HOSP FERGUS FALLS OTHER-16 HOSP-16 1801 WEST ALCOTT (24073) FERGUS FALLS, MN 56537 PHONE: 218/332-5001 FAX: 218/739-1329 MR. DERRICK JONES ESRD Corp FERGUS FALLS DIALYSIS CENTER 714 SOUTH MILL STREET (02117) FERGUS FALLS, MN 56537 PHONE: 218/739-6197 FAX: /- MR. JERRY GUSTAFSON HWSAL Corp GOLDEN MANOR OF FERGUS FALLS 124 WEST ORIOLE DRIVE (21055) FERGUS FALLS, MN 56537 PHONE: 218/739-1119 FAX: Part HARMONY HOME HEALTH CARE MR. TODD SPIES 218/844-3701 HCP-A 25483 COUNTY HIGHWAY 27 (23813) FERGUS FALLS, MN 56537 PHONE: 218/998-3750 FAX: Lim-Liab HAVEN MANOR ON SPRINGEN MRS. DANIELLE SCHUETZLE 218/998-3965 HCP-F HWSAL 721 SPRINGEN AVENUE (27818) FERGUS FALLS, MN 56537 PHONE: 218/739-6200 FAX: Corp KESSEL GROUP HOME INC MR. BARRETT PRODY 218/736-4250 SLFA-6 ICFMR-6 24641 W RIVERS BEND RD BOX 743 (01212) FERGUS FALLS, MN 56537 PHONE: 218/736-6612 FAX: 218/736-6612 MR. THEODORE KESSEL Minnesota Department of Health Division of Compliance Monitoring Page 276 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf LAKE REGION HEALTHCARE CORP Certification OTTER TAIL Registration (Cont.)* -------------------------- BASS-10 HOSP-108 HOSP-80 PPS-P-14 PPS-R-14 712 SOUTH CASCADE (00437) FERGUS FALLS, MN 56538 PHONE: 218/736-8190 FAX: MR. EDWARD MEHL 218/736-8765 NProf LAKELAND HOSPICE & HOME CARE HCP-A HHA 1505 PEBBLE LAKE ROAD STE 400 (02334) FERGUS FALLS, MN 56537 PHONE: 218/998-1400 FAX: MS. MARGARET DAHL 218/998-7350 NProf LAKELAND HOSPICE HOUSE RES-HSPICE-8 394 WOODLAND DRIVE (26300) FERGUS FALLS, MN 56537 PHONE: 218/998-1400 FAX: MS. MARGARET DAHL 218/998-1420 NProf LAKELAND HOSPICE INC Hospice HSPICE 1505 PEBBLE LAKE ROAD STE 400 (03077) FERGUS FALLS, MN 56537 PHONE: 218/998-1400 FAX: MS. MARGARET DAHL 218/998-7350 CMHC NProf LAKELAND MENTAL HEALTH CTR 21081 COUNTY HWY 1 (02779) FERGUS FALLS, MN 56537 PHONE: 218/736-6987 FAX: /- MS. CLAIR PRODY NProf LUTHERAN BRETHREN HOME CARE HCP-F 418 EAST ALCOTT (21591) FERGUS FALLS, MN 56537 PHONE: 218/998-7400 FAX: 218/998-7362 NProf LUTHERAN SOCIAL SERVICE OF MN MR. JOHN ZWIERS HCP-F 731 WESTERN AVENUE (23561) FERGUS FALLS, MN 56537 PHONE: 218/736-5431 FAX: Ind MARYS HOUSE MS. NANCY ROSEMORE 218/739-4807 HCP-F HWSAL 419 EAST ST CHARLES (28269) FERGUS FALLS, MN 56537 PHONE: 218/864-9985 FAX: State MN VETERANS HOME FERGUS FALLS MS. MARY MURPHY 218/864-9985 NH-106 1821 NORTH PARK (00531) FERGUS FALLS, MN 56537 PHONE: 218/736-0400 FAX: Corp NEW DIMENSIONS HHC INC MR. JON SKILLINGSTAD 218/739-7686 HCP-A HHA 312 N TOWER ROAD (03314) FERGUS FALLS, MN 56538 PHONE: 218/739-5856 FAX: 218/736-6330 MS. WENDY ERLANDSON Minnesota Department of Health Division of Compliance Monitoring Page 277 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab PARK GARDENS OF FERGUS FALLS Certification OTTER TAIL Registration (Cont.)* -------------------------- HCP-F HWSAL 215 EAST SKOGMO BLVD (24507) FERGUS FALLS, MN 56537 PHONE: 218/998-4444 FAX: MS. KATIE TYSDAL 218/998-4476 Church PIONEER CARE CENTER NH-105 SNF-NF-105 1131 SOUTH MABELLE AVENUE (00443) FERGUS FALLS, MN 56537 PHONE: 218/998-1518 FAX: MR. NATHAN JOHNSON 218/998-1580 Church PIONEER HOME INC - CARE SUITES HCP-F HWS 1006 SOUTH SHERIDAN (20076) FERGUS FALLS, MN 56537 PHONE: 218/739-7701 FAX: 218/739-7707 MR. JOHN RICHARDS HWS Church PIONEER POINTE 411 EVERETT AVENUE EAST (20450) FERGUS FALLS, MN 56537 PHONE: 218/739-7703 FAX: 218/739-7707 MR. JOHN RICHARDS HWSAL Church PIONEER SENIOR COTTAGES 1325 MABELLE AVENUE (21214) FERGUS FALLS, MN 56537 PHONE: 218/998-9970 FAX: 218/998-9972 MR. JOHN RICHARDS HWSAL Church PIONEER SENIOR COTTAGES 1327 MABELLE AVENUE SOUTH (21213) FERGUS FALLS, MN 56537 PHONE: 218/998-9970 FAX: 218/998-9972 MR. JOHN RICHARDS HWSAL Church PIONEER SENIOR COTTAGES II 1315 MABELLE AVENUE SOUTH (21567) FERGUS FALLS, MN 56537 PHONE: 218/998-9974 FAX: 218/998-9976 MR. JOHN RICHARDS HWSAL Church PIONEER SENIOR COTTAGES II 1317 MABELLE AVENUE SOUTH (21568) FERGUS FALLS, MN 56537 PHONE: 218/998-9974 FAX: 218/998-9976 MR. JOHN RICHARDS HWSAL Church PIONEER SENIOR COTTAGES III 1307 MABELLE AVENUE SOUTH (23153) FERGUS FALLS, MN 56537 PHONE: 218/998-9980 FAX: MR. JOHN RICHARDS /- HWSAL Church PIONEER SENIOR COTTAGES III 1305 MABELLE AVENUE SOUTH (23152) FERGUS FALLS, MN 56537 PHONE: 218/998-9980 FAX: /- MR. JOHN RICHARDS Minnesota Department of Health Division of Compliance Monitoring Page 278 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf PRODUCTIVE ALTERNATIVES INC Certification OTTER TAIL Registration (Cont.)* -------------------------- SLFB-10 1205 NORTH TOWER ROAD (23998) FERGUS FALLS, MN 56537 PHONE: 218/998-5649 FAX: MR. BOB JOHNSON 218/736-2541 HWS Part RIVER BEND APARTMENTS 222 NORTH WHITFORD STREET (21758) FERGUS FALLS, MN 56537 PHONE: 218/736-2557 FAX: MS. NANCY BARRETT 218/998-3665 HWSAL HRA RIVERVIEW HEIGHTS HIGHRISE 205 NORTH SHERIDAN AVENUE (20036) FERGUS FALLS, MN 56537 PHONE: 218/739-6522 FAX: MR. JEFFREY GAFFANEY 218/739-0975 HWS NProf SHERIDAN HOUSE 808 SOUTH SHERIDAN (22541) FERGUS FALLS, MN 56537 PHONE: 218/998-7400 FAX: MR. JOHN ZWIERS 218/998-7362 Corp SYNSTELIEN COMMUNITY SERVICES HCP-A 128 EAST MEADOWLARK LANE (25892) FERGUS FALLS, MN 56537 PHONE: 218/736-7322 FAX: 218/739-1090 NProf THE MILL STREET RESIDENCE MR. DARYL SYNSTELIEN HCP-F HWSAL 802 SOUTH MILL STREET (20037) FERGUS FALLS, MN 56537 PHONE: 218/739-2900 FAX: 218/739-2192 Ind TLC HOME CARE MR. MICHAEL SIEMS HCP-B 1321 NICOLE COURT (27366) FERGUS FALLS, MN 56537 PHONE: 218/205-1262 FAX: MS. TERRI KASEMAN /- Ind VALKOMMEN-HEM INN HCP-F HWSAL-O 328 14TH STREET EAST (26941) FERGUS FALLS, MN 56537 PHONE: 218/998-3712 FAX: MS. EUNICE MATSON 218/998-3010 Lim-Liab GOLDEN LIVINGCENTER HENNING NH-50 SNF-NF-50 907 MARSHALL AVENUE (00799) HENNING, MN 56551 PHONE: 218/583-2965 FAX: 218/583-2719 MS. JOAN GEDDE RHC NProf HENNING MEDICAL CLINIC 401 DOUGLAS AVENUE (03504) HENNING, MN 56551 PHONE: 218/583-2953 FAX: /- MR. DENNIS MILEY Minnesota Department of Health Division of Compliance Monitoring Page 279 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Ind OUR HOME YOUR HOME Certification OTTER TAIL Registration (Cont.)* -------------------------- HCP-F HWSAL 609 FRONT STREET (21050) HENNING, MN 56551 PHONE: 218/583-4428 FAX: MS. JODY LOHSE 218/583-2504 City WILLOW CREEK SENIOR COMMUNITY HCP-F HWSAL 500 WILLOW CREEK DRIVE (23334) HENNING, MN 56551 PHONE: 218/548-6683 FAX: MS. GINA ELLINGSON 218/548-6684 Church ELDERS HOME INC NH-54 SNF-NF-54 SOUTH TOUSLEY PO BOX 188 (00432) NEW YORK MILLS, MN 56567 PHONE: 218/385-2005 FAX: MR. CAL ANDERSON 218/385-4170 HWS NProf HERITAGE MANOR INC 105 EDGEWOOD STREET (21686) NEW YORK MILLS, MN 56567 PHONE: 218/385-2005 FAX: MR. CAL ANDERSON 218/385-4170 Ind HOME SWEET HOME ASSISTED LVNG HCP-F HWSAL 412 HUMMINGBIRD LANE (27030) NEW YORK MILLS, MN 56567 PHONE: 218/385-2660 FAX: 218/385-2667 Lim-Liab LAKE COUNTRY HOME CARE MS. MICHELLE STEINBACH HCP-A 95 MILLER ST (26683) NEW YORK MILLS, MN 56567 PHONE: 218/385-3422 FAX: 218/385-3506 Corp TENDER HEARTS HOME CARE MS. LINDA MOORE HCP-A 407 CARLUND PARKWAY (21941) NEW YORK MILLS, MN 56567 PHONE: 877/362-9784 FAX: MS. KERRIE STEINBACH 218/385-3583 RHC NProf OTTERTAIL AREA MEDICAL CLINIC 232 HIGHWAY 78 N PO BOX 129 (27821) OTTERTAIL, MN 56571 PHONE: 218/367-6262 FAX: MR. JOEL BEISWENGER /- RHC NProf SANFORD HLTH OTTERTAIL CLINIC 105 OTTERTAIL DRIVE (24182) OTTERTAIL, MN 56571 PHONE: 218/367-6111 FAX: DR. CHAD THIEL /- NProf ST WILLIAMS FOSTER CARE MCCOR HCP-F HWSAL 122 NORTH MCCORNELL (20188) PARKERS PRAIRIE, MN 56361 PHONE: 218/338-4671 FAX: 218/338-5917 MR. PAUL BAER Minnesota Department of Health Division of Compliance Monitoring Page 280 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf ST WILLIAMS LIVING CENTER Certification OTTER TAIL Registration (Cont.)* -------------------------- NH-58 SNF-NF-58 212 WEST SOO STREET BOX 30 (00444) PARKERS PRAIRIE, MN 56361 PHONE: 218/338-4671 FAX: MR. PAUL BAER 218/338-5917 HWS Part MILL POND VIEW APARTMENTS 101 EAST MILL AVENUE (21757) PELICAN RAPIDS, MN 56572 PHONE: 218/863-5085 FAX: MS. MARGARET FARRIS 218/863-5086 Dist PELICAN VALLEY HEALTH CENTER NH-40 SNF-NF-40 211 EAST MILL ST PO BOX 645 (00442) PELICAN RAPIDS, MN 56572 PHONE: 218/863-2991 FAX: MR. NATHAN JOHNSON 218/863-5255 Dist RIVERFRONT MANOR HCP-F 211 EAST MILL STREET (21613) PELICAN RAPIDS, MN 56572 PHONE: 218/863-1133 FAX: MR. RANDY WANEK 218/863-4860 HWSAL Dist RIVERFRONT MANOR PELICAN RAPII 215 EAST MILL AVENUE (21612) PELICAN RAPIDS, MN 56572 PHONE: 218/863-1133 FAX: 218/863-4860 MS. KATIE LUNDMARK RHC NProf SANFORD HLTH PELICN RPDS CLINC 211 EAST MILL STREET (23220) PELICAN RAPIDS, MN 56572 PHONE: 701/234-6207 FAX: /- MS. LISA CARLSON Corp AUTUMN MANOR HCP-F HWSAL 812 4TH AVENUE SOUTHWEST (23869) PERHAM, MN 56573 PHONE: 218/346-3266 FAX: MS. BEVERLY BERGUM 218/346-3266 HWS Dist BRIARWOOD 630 FIFTH STREET SOUTHWEST (20557) PERHAM, MN 56573 PHONE: 218/347-1865 FAX: Ind CDS HOMEMAKING PLUS MR. CHARLES HOFIUS 218/347-1866 HCP-C 320 3RD AVENUE SOUTHEAST (28202) PERHAM, MN 56573 PHONE: 218/298-1957 FAX: 218/298-1957 MS. CYNTHIA NIEHAUS HWS HRA LAKELAND APARTMENTS 211 2ND AVENUE SOUTHEAST (23186) PERHAM, MN 56573 PHONE: 218/346-4582 FAX: 218/346-9364 MRS. MARY HOLZER Minnesota Department of Health Division of Compliance Monitoring Page 281 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Dist PERHAM HEALTH Certification OTTER TAIL Registration (Cont.)* -------------------------- BASS-3 HOSP-29 CAH-25 1000 CONEY STREET WEST (28377) PERHAM, MN 56573 PHONE: 218/347-4500 FAX: MR. CHARLES HOFIUS 218/347-4540 Dist PERHAM LIVING HOME CARE HCP-A HHA 735 3RD STREET SOUTHWEST (03870) PERHAM, MN 56573 PHONE: 218/347-1880 FAX: MR. CHUCK HOFIUS 218/347-1885 Dist PERHAM MEMORIAL HOSP & HOME NH-96 BASS-3 HOSP-29 SNF-NF-96 CAH-25 665 THIRD STREET SOUTHWEST (00438) PERHAM, MN 56573 PHONE: 218/346-4500 FAX: MR. CHUCK HOFIUS 218/346-4540 HWSAL Corp PRAIRIE VIEW ASSISTED LIVING 825 7TH AVENUE SOUTHWEST (27188) PERHAM, MN 56573 PHONE: 218/346-3167 FAX: MS. KARI HONER 218/298-1140 Corp PRAIRIE VIEW ASSISTED LVNG INC HCP-F HWSAL 821 7TH AVENUE SOUTHWEST (24511) PERHAM, MN 56573 PHONE: 218/346-3080 FAX: 218/346-2700 Lim-Liab SOME PLACE SPECIAL MR. STEVEN HONER HCP-F HWSAL 449 WEST MAIN (24471) PERHAM, MN 56573 PHONE: 218/346-2431 FAX: /- MS. JESSICA JOHNSON HWS Dist ST JAMES MANOR 415 EIGHTH AVENUE SW (22350) PERHAM, MN 56573 PHONE: 218/347-1854 FAX: MS. DEBBIE ANDERSON 218/347-1864 HWSAL Corp THE THOMAS HOUSE II 738 THIRD AVENUE SW (23404) PERHAM, MN 56573 PHONE: 218/346-3064 FAX: MS. LISA NELSON /- Corp THE THOMAS HOUSE INC HCP-F HWSAL 701 3RD AVENUE SOUTHWEST (21578) PERHAM, MN 56573 PHONE: 218/346-3064 FAX: MS. LISA NELSON /- Home Mgmt Ind HELPING HANDS 36591 COUNTY HIGHWAY 14 (25825) RICHVILLE, MN 56576 PHONE: 218/371-7185 FAX: /- MS. LISA LIEN Minnesota Department of Health Division of Compliance Monitoring Page 282 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification OTTER TAIL (Cont.)* -------------------------HWSAL Lim-Liab VERGAS ASSISTED LIVING Registration 405 EAST FRAZEE AVENUE (20135) VERGAS, MN 56587 PHONE: 218/342-2741 FAX: MR. AUSTIN BLILIE 218/342-2779 ---------------------------********** NProf GLENMORE THIEF RIVER FALLS PENNINGTON ******** -------------------------- SLFA-10 621 NO LABREE AVE (01548) THIEF RIVER FALLS, MN 56701 PHONE: 218/281-9538 FAX: MR. ROSS MATLACK 218/281-9221 Cnty INTER CO NURSING SERVICE HCP-A HHA 318 NORTH KNIGHT AVENUE (02124) THIEF RIVER FALLS, MN 56701 PHONE: 218/681-0876 FAX: MS. ANITA CARDINAL 218/683-7099 Lim-Liab MINNESOTA GREENLEAF HCP-F HWSAL 1006 GREENWOOD STREET EAST (23224) THIEF RIVER FALLS, MN 56701 PHONE: 218/681-1685 FAX: MS. PEGGY CLOW 218/681-4014 Corp OAK PARK SENIOR LIVING HCP-F HWSAL 121 BAKEN STREET (22082) THIEF RIVER FALLS, MN 56701 PHONE: 218/681-1675 FAX: 218/681-1037 Corp OAKLAND PARK COMMUNITIES INC MR. JIM BIRCHEM NH-40 SNF-NF-40 123 BAKEN STREET (00449) THIEF RIVER FALLS, MN 56701 PHONE: 218/681-1675 FAX: MS. LINDA SEBENALER 218/681-1037 ESRD NProf SANFORD DIALYSIS THIEF RVR FLS 120 LABREE AVENUE SOUTH (26854) THIEF RIVER FALLS, MN 567012819 PHONE: 218/681-4240 FAX: MS. DEANNA PICOTTE /- NProf SANFORD MED CTR THIEF RVR FALL BASS-10 HOSP-99 CAH-25 PPS-P-10 120 LABREE AVENUE SOUTH (24712) THIEF RIVER FALLS, MN 56701 PHONE: 218/681-4240 FAX: NProf THIEF RIVER CARE CENTER MS. CHRIS HARFF 218/683-4511 NH-70 SNF-NF-70 2001 EASTWOOD DRIVE (00448) THIEF RIVER FALLS, MN 56701 PHONE: 218/683-8100 FAX: 218/683-8130 MS. MICHELE HALVORSON Minnesota Department of Health Division of Compliance Monitoring Page 283 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf VALLEY HOME Certification PENNINGTON Registration (Cont.)* -------------------------- HCP-F HWSAL 523 ARNOLD AVENUE SOUTH (00450) THIEF RIVER FALLS, MN 56701 PHONE: 218/681-3286 FAX: MS. LYNN GELLER 218/681-3287 ---------------------------********** Lim-Liab COUNTRY HOME COMFORTS PINE ******** -------------------------- HCP-F 2656 RAINBOW STREET (26778) BROOK PARK, MN 55007 PHONE: 320/679-2847 FAX: MS. BARBARA STEINER /- HWSAL Lim-Liab ELDERWOOD OF HINCKLEY 710 SPRING LANE (23986) HINCKLEY, MN 55037 PHONE: 320/384-7373 FAX: MS. LAURA AUSMUS 320/384-0700 Lim-Liab ELDERWOOD OF HINCKLEY HCP-F 25269 CROSS LAKE ROAD (27972) HINCKLEY, MN 55037 PHONE: 320/384-7373 FAX: MS. LAURA AUSMUS 320/384-0700 RHC Corp GATEWAY FAMILY HEALTH CLINIC 206 MAIN STREET E PO BOX 309 (23052) HINCKLEY, MN 55037 PHONE: 320/384-6618 FAX: COMMUNITY SUPPORTS PROGRAMMING /- MR. WILLIAM PALMER Ind HCP-A 500 3RD AVENUE SUITE 2 (24826) PINE CITY, MN 55063 PHONE: 320/629-6674 FAX: Corp EDGEWATER ASSISTED LIVING MS. TINA MAY 320/629-6630 HCP-F HWSAL 14856 EDGEWATER ROAD NE (23691) PINE CITY, MN 55063 PHONE: 320/629-1447 FAX: Corp GOLDEN HORIZONS INC MS. DEBRA ERICKSON 320/629-2318 HCP-F HWSAL 1305 EIGHTH STREET SW (22193) PINE CITY, MN 55063 PHONE: 320/629-7272 FAX: Corp LAKESIDE MEDICAL CENTER MR. CHUCK LANE 320/629-5388 HCP-F HWSAL 129 SIXTH AVENUE SE (23417) PINE CITY, MN 55063 PHONE: 320/629-2542 FAX: 320/629-1093 MR. MAX BLAUFUSS Minnesota Department of Health Division of Compliance Monitoring Page 284 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp LAKESIDE MEDICAL CENTER Certification PINE Registration (Cont.)* -------------------------- HOSP-10 NH-46 HOSP-10 SNF-NF-46 129 EAST SIXTH AVENUE (00451) PINE CITY, MN 55063 PHONE: 320/629-2542 FAX: MR. MAX BLAUFUSS 320/629-1093 Lim-Liab MEADOW CREEK SLFA-16 SLFB-2 PO BOX 74 17305 MEADOW CRK LN (01637) PINE CITY, MN 55063 PHONE: 763/444-4838 FAX: MS. MARIANNE THIRY 763/444-6007 State SIXTH AVENUE RESIDENCE SLFB-6 ICFMR-6 215 SIXTH AVENUE EAST (01619) PINE CITY, MN 55063 PHONE: 320/629-2116 FAX: MS. MIRANDA TRYTTEN 320/629-2252 Corp SOPHIES MANOR ASSISTED LIVING HCP-F HWSAL 17500 RANCH DRIVE (24653) PINE CITY, MN 55063 PHONE: 320/629-2064 FAX: MS. CYNTHIA SHERRILL 320/629-4918 ESRD Corp TRC PINE CITY 129 EAST SIXTH AVENUE (02432) PINE CITY, MN 55603 PHONE: 763/444-7245 FAX: /- MR. BRAD NYE NProf ESSENTIA HEALTH - SANDSTONE NH-60 SNF-NF-60 109 COURT AVENUE SOUTH (00452) SANDSTONE, MN 55072 PHONE: 320/245-2212 FAX: 320/245-2359 NProf ESSENTIA HEALTH SANDSTONE MR. PAUL GAEBE BASS-5 HOSP-30 CAH-25 109 COURT AVENUE SOUTH (00453) SANDSTONE, MN 55072 PHONE: 320/245-2212 FAX: MR. JAMES KOPPEN 320/245-5243 RHC Corp GATEWAY FAMILY CLINIC 204 LUNDORFF DRIVE (21128) SANDSTONE, MN 55072 PHONE: 320/245-2250 FAX: MR. WILLIAM PALMER /- ---------------------------********** NProf EDGEBROOK CARE CENTER PIPESTONE ******** -------------------------- NH-56 SNF-NF-56 505 TROSKY ROAD WEST (00454) EDGERTON, MN 56128 PHONE: 507/442-7121 FAX: 507/442-3952 MR. PHILIP SAMUELSON Minnesota Department of Health Division of Compliance Monitoring Page 285 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification PIPESTONE (Cont.)* -------------------------HWS NProf EDGEBROOK ESTATES Registration 505 TROSKY ROAD WEST (20552) EDGERTON, MN 56128 PHONE: 507/442-7121 FAX: NProf EDGEBROOK ESTATES ASSISTED LIV MR. PHILIP SAMUELSON 507/442-3952 HCP-F HWSAL 301 5TH AVENUE NORTH (23870) EDGERTON, MN 56128 PHONE: 507/442-5080 FAX: City JASPER SUNRISE VILLAGE MR. PHILIP SAMUELSON 507/442-5101 HCP-F HWSAL 100 ROBERT AVE N SUITE 100 (20083) JASPER, MN 56144 PHONE: 507/348-8620 FAX: Corp COMFORT KEEPERS MS. LAUREL YKEMA 507/348-6100 HCP-A 101 8TH AVENUE NORTHEAST (26937) PIPESTONE, MN 56164 PHONE: 507/562-4663 FAX: Corp FALLS LANDING ASSISTED LIVING MS. LISA HUBERS 507/562-4665 HCP-F HWSAL 1101 NORTH HIAWATHA (23333) PIPESTONE, MN 56164 PHONE: 507/562-6648 FAX: 507/562-6650 NProf GOOD SAM SOCIETY PIPESTONE MR. MIKE LUDOLPH NH-94 SNF-NF-94 1311 NORTH HIAWATHA (00455) PIPESTONE, MN 56164 PHONE: 507/825-5428 FAX: 507/825-5117 NProf HIAWATHA MANOR MR. PHILIP SAMUELSON SLFA-6 ICFMR-6 107 FIFTH AVENUE NORTHEAST (01140) PIPESTONE, MN 56164 PHONE: 507/825-5697 FAX: Cnty PIPESTONE CO HOME HEALTH AGNCY MS. CHRISTINE ROBINSON 507/825-4173 HCP-A HHA 916 - 4TH AVENUE SW (02046) PIPESTONE, MN 56164 PHONE: 507/825-6024 FAX: Cnty PIPESTONE CO MED C & ASHTON CC MR. BRADLEY BURRIS 507/825-6145 BASS-12 HOSP-44 CAH-25 916 4TH AVENUE SOUTHWEST (00456) PIPESTONE, MN 56164 PHONE: 507/825-5811 FAX: Cnty PIPESTONE COUNTY HOSPICE MR. BRADLEY BURRIS 507/825-5733 Hospice HSPICE 916 4TH AVENUE SOUTHWEST (24107) PIPESTONE, MN 56164 PHONE: 507/825-6024 FAX: 507/825-6145 MR. BRADLEY BURRIS Minnesota Department of Health Division of Compliance Monitoring Page 286 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Cnty PIPESTONE COUNTY HOSPICE RESID Certification PIPESTONE Registration (Cont.)* -------------------------- RES-HSPICE-4 309 10TH STREET SW (24029) PIPESTONE, MN 56164 PHONE: 507/825-6024 FAX: MR. BRADLEY BURRIS 507/825-6145 ESRD Corp PIPESTONE DIALYSIS FACILITY 916 4TH AVENUE SOUTHWEST (03936) PIPESTONE, MN 56164 PHONE: 507/825-6623 FAX: MS. SHERRY DANIELS 507/825-6627 HWS NProf RIDGE VIEW ESTATES 903 SECOND AVENUE SOUTHEAST (20656) PIPESTONE, MN 56164 PHONE: 507/825-4885 FAX: NProf NEW LIFE TREATMENT CENTER MR. PHILIP SAMUELSON 507/562-1355 SLFA-21 SLFB-7 130 DAKOTA STREET (01241) WOODSTOCK, MN 56186 PHONE: 507/777-4321 FAX: MR. GARY AMBROSE 507/777-4284 ---------------------------********** POLK ******** -------------------------HWSAL-O HRA CROOKSTON HOUSING & ECONOMIC D 110 SARGENT STREET (20389) CROOKSTON, MN 56716 PHONE: 218/281-5334 FAX: 218/281-6214 NProf GLENMORE RECOVERY CENTER MS. KAREN LUNAK SLFB-42 23616 US HIGHWAY 2 SW (01512) CROOKSTON, MN 56716 PHONE: 218/281-9514 FAX: 218/281-9221 MR. ROSS MATLACK HWS Church GOOD SHEPHERD HALL 620 SUMMIT AVENUE (22009) CROOKSTON, MN 56716 PHONE: 218/281-4218 FAX: 218/281-2690 MS. JUDY HULST Home Mgmt Corp INDEPENDENCE PLUS INC 27885 170TH AVENUE SW (20730) CROOKSTON, MN 56716 PHONE: 218/281-3506 FAX: 218/281-3015 MR. PATRICK BARANSKI HWS Part NIMENS ESPEGARD APARTMENTS 1700 WIDMAN LANE (20794) CROOKSTON, MN 56716 PHONE: 218/281-1282 FAX: 218/281-6487 MS. MIRIAM BUCHANAN Minnesota Department of Health Division of Compliance Monitoring Page 287 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification POLK (Cont.)* -------------------------CMHC NProf NORTHWESTERN MENTAL HLTH CTR Registration 600 COLLEGE AVE PO BOX 603 (02787) CROOKSTON, MN 56716 PHONE: 218/281-3940 FAX: MR. DAN WILSON /- Corp REM NORTHSTAR (JOHNSON PLACE) SLFB-6 ICFMR-6 220 JOHNSON PLACE (01457) CROOKSTON, MN 56716 PHONE: 218/281-5113 FAX: NProf RIVERVIEW HOME CARE MR. PATRICK MASYGA 218/281-7468 HCP-A HHA 323 SOUTH MINNESOTA (02497) CROOKSTON, MN 56716 PHONE: 218/281-9478 FAX: NProf RIVERVIEW HOSPITAL & NSG HOME MR. ROSS MATLACK 218/281-9248 NH-64 BASS-10 HOSP-49 SNF-NF-64 CAH-25 323 SOUTH MINNESOTA (00470) CROOKSTON, MN 56716 PHONE: 218/281-9200 FAX: MR. ROSS MATLACK 218/281-9222 Home Mgmt NProf VALLEY HOUSEKEEPING 102 NORTH BROADWAY PO BOX 607 (02902) CROOKSTON, MN 56716 PHONE: 218/281-5832 FAX: 218/281-0743 Church VILLA ST VINCENT MR. DENNIS DEMERS NH-104 SNF-NF-104 516 WALSH STREET (00815) CROOKSTON, MN 56716 PHONE: 218/281-3424 FAX: 218/281-4755 Church VILLA ST VINCENT INC MS. JUDITH HULST HCP-F HWS 516 WALSH STREET (20007) CROOKSTON, MN 56716 PHONE: 218/281-3424 FAX: Corp EDGEWOOD VISTA MR. JUDITH HULST 218/281-4755 HCP-F HWSAL 608 FIFTH AVENUE NORTHWEST (20454) EAST GRAND FORKS, MN 56721 PHONE: 218/773-6648 FAX: NProf GOOD SAM SOC HERITAGE GROVE MS. TAMMIE RADERMACHER 218/773-6543 HCP-F 2122 RIVER ROAD NORTHWEST (20627) EAST GRAND FORKS, MN 56721 PHONE: 218/773-7484 FAX: 218/773-6041 MR. TIM BYRNE HWSAL NProf GOOD SAM SOC HERTGE GROVE 2122 RIVER ROAD NORTHWEST (24554) EAST GRAND FORKS, MN 56721 PHONE: 218/773-7484 FAX: 218/773-6041 MR. TIM BYRNE Minnesota Department of Health Division of Compliance Monitoring Page 288 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp REM NORTHSTAR (RED RIVER WEST) Certification POLK Registration (Cont.)* -------------------------- SLFB-6 ICFMR-6 2138 NINTH AVENUE NORTHWEST (01458) EAST GRAND FORKS, MN 56721 PHONE: 218/281-5113 FAX: MR. PATRICK MASYGA 218/281-7468 HWSAL NProf CROSSROADS APARTMENTS 22842 347TH STREET SE (23371) ERSKINE, MN 56535 PHONE: 218/687-4702 FAX: NProf PIONEER MEMORIAL CARE CENTER MS. SUSANNA FRENKEL 218/687-4703 NH-68 SNF-NF-68 23028 - 347TH STREET SE (00469) ERSKINE, MN 56535 PHONE: 218/687-2365 FAX: NProf THE COUNTRY PLACE APARTMENTS MS. MELISSA CHISHOLM 218/687-2047 HCP-F HWSAL 23110 347TH STREET SE (20593) ERSKINE, MN 56535 PHONE: 218/687-2288 FAX: City FAIR MEADOW NURSING HOME MS. MELISSA CHISHOLM 218/687-3278 NH-50 SNF-NF-50 BOX 8 300 GARFIELD AVENUE SE (00460) FERTILE, MN 56540 PHONE: 218/945-6194 FAX: 218/945-6459 Corp CORNERSTONE RESIDENCE MR. BARRY ROBERTSON HCP-F HWSAL 115 1ST STREET EAST (23400) FOSSTON, MN 56542 PHONE: 218/435-6333 FAX: 218/435-6336 NProf ESSENTIA HEALTH FOSSTON MS. JUDY POTVIN NH-50 BASS-7 HOSP-43 SNF-NF-50 CAH-25 900 HILLIGOSS BLVD SOUTHEAST (00461) FOSSTON, MN 56542 PHONE: 218/435-1133 FAX: NProf ESSENTIA HEALTH FOSSTON HM HTH MS. PATRICIA WANGLER 218/435-1134 HCP-A HHA 900 HILLIGOSS BLVD SOUTHEAST (02366) FOSSTON, MN 56542 PHONE: 218/435-1133 FAX: NProf FIRST CARE HOSPICE MS. PATRICIA WANGLER 218/435-1134 Hospice HSPICE 900 HILLIGOSS BLVD SOUTHEAST (03716) FOSSTON, MN 56542 PHONE: 218/435-1133 FAX: 218/435-1134 MS. PATRICIA WRANGLER HWSAL Corp MIDWAY CARE CENTER INC 114 SECOND STREET NORTHEAST (27388) FOSSTON, MN 56542 PHONE: 218/435-1272 FAX: 218/435-6336 MR. ALLEN POTVIN Minnesota Department of Health Division of Compliance Monitoring Page 289 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf PRAIRIE PINES COMMUNITY Certification POLK Registration (Cont.)* -------------------------- HCP-F HWSAL 903 PRAIRIE PINES DRIVE (23659) FOSSTON, MN 56542 PHONE: 218/435-1337 FAX: NProf MCINTOSH SENIOR LIVING MS. PATRICIA WANGLER 218/435-1540 NH-45 SNF-NF-45 600 RIVERSIDE AVENUE NORTHEAST (00467) MCINTOSH, MN 56556 PHONE: 218/563-2715 FAX: City POPLAR MEADOWS OF MCINTOSH MS. SHARLENE KNUTSON 218/563-2395 HCP-F HWS 325 SCOTS AVENUE SE (22355) MCINTOSH, MN 56556 PHONE: 218/563-2436 FAX: MS. CAROLE LARSON 218/563-6100 ---------------------------********** POPE ******** -------------------------HWS Corp CENTRAL MINNESOTA SENIOR CARE 515 6TH AVENUE PARKCREST (27708) GLENWOOD, MN 56334 PHONE: 320/441-7001 FAX: Dist GLACIAL RIDGE HOME CARE MS. DEBRA OLESON 320/235-8069 HCP-A HHA 220 FIRST STREET SE (02369) GLENWOOD, MN 56334 PHONE: 320/634-2221 FAX: 320/634-2006 Dist GLACIAL RIDGE HOSPICE MS. TERRI ANDERSON Hospice HSPICE 10 FOURTH AVENUE SOUTHEAST (02298) GLENWOOD, MN 56334 PHONE: 320/634-2221 FAX: Dist GLACIAL RIDGE HOSPITAL MS. TERRI ANDERSON 320/634-2006 BASS-4 HOSP-34 CAH-25 10 FOURTH AVENUE SOUTHEAST (00473) GLENWOOD, MN 56334 PHONE: 320/634-4521 FAX: 320/634-2269 MR. KIRK STENSRUD HWS Corp GLEN HAVEN MANOR 507 SOUTHEAST 5TH STREET (24175) GLENWOOD, MN 56334 PHONE: 320/634-0201 FAX: 320/235-8069 MS. DEBRA OLESON HWS Corp GLEN VIEW APARTMENTS 501 5TH STREET SOUTHEAST (24177) GLENWOOD, MN 56334 PHONE: 320/441-7001 FAX: 320/231-8069 MS. DEBRA OLESON Minnesota Department of Health Division of Compliance Monitoring Page 290 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab GLENWOOD ESTATES Certification POPE Registration (Cont.)* -------------------------- HCP-F 500 NORTH FRANKLIN STREET (22168) GLENWOOD, MN 56334 PHONE: 320/634-0022 FAX: MS. KAREN HOLTE 320/634-0052 HWSAL Corp GLENWOOD ESTATES 500 FRANKLIN STREET N (22169) GLENWOOD, MN 56334 PHONE: 320/634-0022 FAX: MR. PAULA KAY ROCHELEAU 320/634-0052 RHC Dist GLENWOOD MEDICAL CENTER 417 SOUTH FRANKLIN (24009) GLENWOOD, MN 56334 PHONE: 320/634-5157 FAX: MR. KIRK STENSRUD /- Church GLENWOOD VILLAGE CARE CENTER NH-64 SNF-NF-64 719 SOUTHEAST SECOND STREET (00474) GLENWOOD, MN 56334 PHONE: 320/634-5131 FAX: NProf GOOD SAM SOCIETY GLNWD LKVIEW MS. MARY KRUEGER 320/634-5777 NH-32 SNF-NF-32 515 FRANKLIN STREET SOUTH (00969) GLENWOOD, MN 56334 PHONE: 320/634-4553 FAX: 320/634-5109 MR. WILLIAM BREWER HWSAL NProf PARKVIEW COURT 300 8TH AVENUE SOUTHEAST (20017) GLENWOOD, MN 56334 PHONE: 320/634-5802 FAX: 320/634-5818 Church PARKVIEW COURT ASSISTED LIVING MS. MARY KRUEGER HCP-F 300 SE 8TH AVENUE (23780) GLENWOOD, MN 56334 PHONE: 320/634-5131 FAX: MS. MARY KRUEGER 320/634-5777 HWSAL Corp CENTRAL MN SENIOR CARE TOUCH O 300 JOHN STREET (25021) STARBUCK, MN 56381 PHONE: 320/441-7001 FAX: NProf HOLLY RIDGE MANOR MS. DEBRA OLESON 320/235-8069 HCP-F HWSAL 500 HOLLY RIDGE DRIVE (21570) STARBUCK, MN 56381 PHONE: 320/239-7104 FAX: Church MINNEWASKA COMMUNITY HLTH SERV MS. DEBBIE SCHNEIDER 320/239-7144 NH-65 SNF-NF-65 605 MAIN STREET (00477) STARBUCK, MN 56381 PHONE: 320/239-2217 FAX: 320/239-7144 MS. DEBBIE SCHNEIDER Minnesota Department of Health Division of Compliance Monitoring Page 291 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf MINNEWASKA HOME CARE Certification POPE Registration (Cont.)* -------------------------- HCP-A HHA 605 MAIN STREET PO BOX 40 (03853) STARBUCK, MN 56381 PHONE: 320/239-7159 FAX: MS. DEBBIE SCHNEIDER 320/239-7263 ---------------------------********** Corp ACR HOME ON CUMMINGS RAMSEY ******** -------------------------- SLFB-4 ICFMR-4 1385 CUMMINGS LANE (01378) ARDEN HILLS, MN 55112 PHONE: 651/636-7537 FAX: MR. GENE LEISTICO 651/697-1724 ESRD Corp ARDEN HILLS DIALYSIS UNIT 3900 NORTHWOOD DRIVE SUITE 110 (02442) ARDEN HILLS, MN 55112 PHONE: 651/483-3159 FAX: MS. ROSANNA NELSON /- HWSAL NProf LAKEVIEW RESIDENCE 3220 LAKE JOHANNA BOULEVARD (20113) ARDEN HILLS, MN 55112 PHONE: 651/631-6063 FAX: MS. MARIA GARRITY 651/631-6070 NProf PHOENIX AT JANET COURT SLFB-6 ICFMR-6 1769 JANET COURT (23588) ARDEN HILLS, MN 55112 PHONE: 651/227-7655 FAX: 651/227-6847 NProf PRESBY HOMES OF ARDEN HILLS MS. DARLENE SCOTT NH-208 SNF-NF-208 3220 LAKE JOHANNA BOULEVARD (00975) ARDEN HILLS, MN 55112 PHONE: 651/631-6000 FAX: MS. LISA KALLA 651/631-6036 NProf PRESBYTERIAN HOMES OF ARDEN HI HCP-F 3220 LAKE JOHANNA BOULEVARD (27964) ARDEN HILLS, MN 55112 PHONE: 651/631-6000 FAX: 651/631-6057 MS. NATALIE MORLAND HWS NProf SUTTON PLACE 3220 LAKE JOHANNA BOULEVARD (22887) ARDEN HILLS, MN 55112 PHONE: 651/631-6063 FAX: 651/631-6070 MS. MARIA GARRITY Home Mgmt Ind MARCH SERVICES 1800 LARPENTERU AVE W. APT 17 (24495) FALCON HEIGHTS, MN 55113 PHONE: 651/646-8113 FAX: /- MS. MELANIE LEEHY Minnesota Department of Health Division of Compliance Monitoring Page 292 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification RAMSEY (Cont.)* -------------------------HWS NProf GARDEN TERRACE Registration 2874 MARKET PLACE DRIVE (20362) LITTLE CANADA, MN 55117 PHONE: 651/481-9028 FAX: MS. ELIZABETH HAGSTROM /- NProf MONTREAL COURTS APARTMENTS HCP-F HWS-O 425 LABORE ROAD UNIT 108 (26039) LITTLE CANADA, MN 55117 PHONE: 651/490-3130 FAX: NProf NORTHEAST RESIDENCE II MS. ELIZABETH MCKAY 651/490-3148 SLFB-6 ICFMR-6 410 EAST LITTLE CANADA ROAD (20896) LITTLE CANADA, MN 55117 PHONE: 651/765-0238 FAX: Lim-Liab REGENCY HOME HEALTHCARE MS. CORRINE SCHMIDT 651/765-0426 HCP-F 2980 RICE STREET (26594) LITTLE CANADA, MN 55113 PHONE: 651/488-4655 FAX: Lim-Liab REGENCY HOME HEALTHCARE SRVCS MS. JEAN JOHNSON 651/488-4656 HCP-A HHA 2980 RICE STREET (22064) LITTLE CANADA, MN 55113 PHONE: 651/488-4655 FAX: 651/488-4656 Corp REM RAMSEY INC SEXTANT MS. JEAN JOHNSON SLFA-6 ICFMR-6 332 SEXTANT (01143) LITTLE CANADA, MN 55117 PHONE: 651/644-7680 FAX: 651/644-6777 Lim-Liab BRIGHTSTAR HEALTHCARE MS. CONNIE MENNE HCP-A 2395 ARIEL STREET SUITE B (26209) MAPLEWOOD, MN 55109 PHONE: 651/770-8427 FAX: Lim-Liab CHILDREN'S THERAPLAY LLC MS. CAROL HOUGHTBY 651/770-4845 HCP-A 2399 ARIEL STREET NORTH (03297) MAPLEWOOD, MN 55109 PHONE: 651/773-0354 FAX: NProf DCI BROOKVIEW MS. MAGGIE LESHER 651/773-0371 SLFB-6 ICFMR-6 2675 BROOKVIEW DRIVE EAST (01600) MAPLEWOOD, MN 55119 PHONE: 651/731-1602 FAX: NProf DCI COPE MR. ROGER MEYER 651/731-9120 SLFB-6 ICFMR-6 1362 EAST COPE AVENUE (01599) MAPLEWOOD, MN 55109 PHONE: 651/483-9596 FAX: 651/483-4139 MR. ROGER MEYER Minnesota Department of Health Division of Compliance Monitoring Page 293 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf DCI LARPENTEUR Certification RAMSEY Registration (Cont.)* -------------------------- SLFB-6 ICFMR-6 1951 LARPENTEUR AVENUE EAST (01595) MAPLEWOOD, MN 55109 PHONE: 651/770-7120 FAX: MR. ROGER MEYER 651/770-7130 NProf DCI MARYLAND SLFB-6 2355 MARYLAND AVENUE EAST (20783) MAPLEWOOD, MN 55119 PHONE: 651/773-4074 FAX: MR. ROGER MEYER 651/773-3314 HWSAL NProf ECUMEN LAKEVIEW COMMONS 1200 NORTH LAKEWOOD DRIVE (20114) MAPLEWOOD, MN 55119 PHONE: 651/770-1111 FAX: MS. ANDREA NYE 651/773-7399 NProf ECUMEN LAKEVIEW COMMONS HCP-F 1200 NORTH LAKEWOOD DRIVE (21972) MAPLEWOOD, MN 55119 PHONE: 651/770-1111 FAX: MS. ANDREA NYE 651/773-7399 HWSAL NProf ECUMEN SEASONS AT MAPLEWOOD 1670 LEGACY PARKWAY EAST (27398) MAPLEWOOD, MN 55109 PHONE: 651/756-1859 FAX: 651/756-1754 NProf ECUMEN SEASONS AT MAPLEWOOD MS. DEBBIE MANTHEY HCP-F 1670 LEGACY PARKWAY EAST (27397) MAPLEWOOD, MN 55109 PHONE: 651/756-1859 FAX: 651/756-1754 MS. DEBBIE MANTHEY HWSAL Corp ESSLING'S HOMES PLUS INC 1729 GERVAIS AVENUE (24754) MAPLEWOOD, MN 55109 PHONE: 651/493-3652 FAX: MS. MICHELLE YOUNGBERG 651/730-1667 HWSAL Corp ESSLINGS HOMES PLUS INC 1747 GERVAIS AVENUE (25241) MAPLEWOOD, MN 55109 PHONE: 651/340-8873 FAX: MS. BRIDGET ESSLING CARLSON 651/730-1667 ESRD Corp FMC MAPLEWOOD HEIGHTS 2017 WOODLYN HEIGHTS (25765) MAPLEWOOD, MN 55109 PHONE: 651/748-5774 FAX: MR. PATRICK HOWARD /- NProf FURNESS HOUSE SLFB-6 ICFMR-6 1866 FURNESS STREET (01604) MAPLEWOOD, MN 55109 PHONE: 651/227-7655 FAX: 651/227-6847 MS. DARLENE SCOTT Minnesota Department of Health Division of Compliance Monitoring Page 294 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab GABRIEL PRIORITY CARE LLC Certification RAMSEY Registration (Cont.)* -------------------------- HCP-A 2024 CLARK ST (27361) MAPLEWOOD, MN 55117 PHONE: 612/423-8718 FAX: MR. GERMAINE JONES /- NProf GOOD SAM SOCIETY MAPLEWOOD NH-102 SNF-NF-102 550 EAST ROSELAWN AVENUE (00900) MAPLEWOOD, MN 55117 PHONE: 651/774-9765 FAX: MS. SUSAN JENSEN 651/793-3353 NProf HEALTHEAST ST JOHNS HOSPITAL BASS-44 HOSP-184 HOSP-184 1575 BEAM AVENUE (00224) MAPLEWOOD, MN 55109 PHONE: 651/232-7000 FAX: MR. SCOTT NORTH 651/232-7240 Lim-Liab HEALTHEAST SURG CTR MAPLEWOOD Outpt Surg Amb Surg 1655 BEAM AVENUE (00980) MAPLEWOOD, MN 55109 PHONE: 651/232-7787 FAX: MR. CHRIS SQUIRE 651/232-7786 Home Mgmt Corp HOME INSTEAD SENIOR CARE # 150 2480 WHITE BEAR AVE (03744) MAPLEWOOD, MN 55109 PHONE: 651/747-8722 FAX: 651/747-8726 Corp HOME INSTEAD SENIOR CARE #150 MS. KENDRA PHILLIPS HCP-B 2480 WHITE BEAR AVE (23592) MAPLEWOOD, MN 55109 PHONE: 651/747-8722 FAX: 651/747-8726 NProf HOWARD HOUSE MS. KENDRA PHILLIPS SLFB-6 ICFMR-6 1685 HOWARD STREET NORTH (01603) MAPLEWOOD, MN 55109 PHONE: 651/227-7655 FAX: MS. DARLENE SCOTT 651/227-6847 NProf MAPLEWOOD CARE CENTER NH-149 SNF-NF-149 1900 SHERREN AVENUE (00520) MAPLEWOOD, MN 55109 PHONE: 651/770-1365 FAX: 651/770-1646 MR. DOUG DOLINSKY HWSAL Corp MAPLEWOOD CARE RESIDENCE 2338 OVERLOOK CIRCLE (25791) MAPLEWOOD, MN 55119 PHONE: 763/550-1774 FAX: MS. MARCIA DOONER /- ESRD Corp MAPLEWOOD DIALYSIS CENTER 2785 WHITE BEAR AVE SUITE 201 (02844) MAPLEWOOD, MN 55109 PHONE: 651/779-2222 FAX: /- MS. DENISE TURNBULL Minnesota Department of Health Division of Compliance Monitoring Page 295 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab MAPLEWOOD SUITE LIVING CARE Certification RAMSEY Registration (Cont.)* -------------------------- HCP-F HWSAL 2300 HAZELWOOD STREET (25824) MAPLEWOOD, MN 55109 PHONE: 651/777-3316 FAX: MS. KELLI LORENZO 651/773-5041 Ind METRO NURSING SERVICES HCP-F 1312 BURKE CIRCLE EAST (27530) MAPLEWOOD, MN 55109 PHONE: 651/230-9300 FAX: MR. ABDI GONJOBE 651/739-1269 Lim-Liab METRO NURSING SERVICES HCP-A HWS 1312 BURKE CIRCLE EAST (27039) MAPLEWOOD, MN 55109 PHONE: 651/230-9300 FAX: MR. ABDI GONJOBE 651/756-1696 Lim-Liab MN EYE LASER & SURG CTRS LLC Outpt Surg Amb Surg 1965 11TH AVENUE EAST (20703) MAPLEWOOD, MN 55109 PHONE: 651/748-4400 FAX: MS. CANDACE SIMERSON 651/748-4401 Lim-Liab MNGI ENDOSCOPY MAPLEWOOD Outpt Surg Amb Surg 1997 SLOAN PLACE (04308) MAPLEWOOD, MN 55117 PHONE: 612/871-1145 FAX: /- DR. SCOTT KETOVER NProf PHOENIX AT CARVER SLFB-6 ICFMR-6 2465 CARVER AVE (23589) MAPLEWOOD, MN 55119 PHONE: 651/227-7655 FAX: 651/227-6847 NProf RAJWOOD MS. DARLENE SCOTT SLFA-4 ICFMR-4 2951 BARTELMY LANE (01572) MAPLEWOOD, MN 55109 PHONE: 651/429-5686 FAX: Cnty RAMSEY COUNTY CARE CENTER MS. MARY POWER 651/483-9500 NH-178 SNF-NF-178 2000 WHITE BEAR AVENUE (00846) MAPLEWOOD, MN 55109 PHONE: 651/777-7486 FAX: MR. STEVEN FRITZKE 651/777-1426 HWS Lim-Liab REGENCY HOME HEALTHCARE SERVIC 2473 IDAHO AVENUE (27793) MAPLEWOOD, MN 55119 PHONE: 651/294-8941 FAX: Corp REM RAMSEY INC (LAKEWOOD) MS. JEAN JOHNSON 651/294-8942 SLFA-5 975 LAKEWOOD DRIVE (28182) MAPLEWOOD, MN 55119 PHONE: 651/644-7680 FAX: 651/644-6777 MS. CONNIE MENNE Minnesota Department of Health Division of Compliance Monitoring Page 296 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp REM RAMSEY INC (MAYHILL) Certification RAMSEY Registration (Cont.)* -------------------------- SLFA-5 ICFMR-5 797 MAYHILL DRIVE (26750) MAPLEWOOD, MN 551193828 PHONE: 651/644-7680 FAX: Ind ROXANNE TARNOWSKI MS. CONNIE MENNE 651/644-6777 HCP-C 2072 CHAMBERS STREET (28136) MAPLEWOOD, MN 55109 PHONE: 651/481-7811 FAX: MS. ROXANNE TARNOWSKI 651/587-0092 HWSAL Lim-Liab SUNLIGHT SERVICES 1243 SKILLMAN AVENUE (26492) MAPLEWOOD, MN 55109 PHONE: 651/714-5056 FAX: NProf VOA HOME HEALTH AT MAPLEWOOD MS. LEE VANG 651/714-5059 HCP-F 1890 SHERREN AVENUE EAST (21091) MAPLEWOOD, MN 55109 PHONE: 651/770-3959 FAX: MR. DOUG DOLINSKY 651/770-5779 HWS NProf WALKER AT HAZEL RIDGE 2730 HAZELWOOD STREET (20445) MAPLEWOOD, MN 55109 PHONE: 651/779-9779 FAX: 651/779-1827 NProf WALKER AT HAZEL RIDGE MS. PEGGY ARNE HCP-F 2730 HAZELWOOD STREET (26375) MAPLEWOOD, MN 55109 PHONE: 651/779-9779 FAX: 651/779-1827 Lim-Liab MIDWEST MEDICAL HOLDINGS LLC MS. PEGGY ARNE HCP-A 8400 CORAL SEA ST SUITE 100 (02851) MOUNDS VIEW, MN 55112 PHONE: 763/780-1500 FAX: 763/780-1515 MR. LARRY LINDBERG HWSAL Corp SCENIC HILLS ALTERNATIVE CARE 2519 COUNTY ROAD I (27182) MOUNDS VIEW, MN 55112 PHONE: 651/735-7259 FAX: 651/730-1667 MS. MICHELLE YOUNGBERG HWS Corp SCENIC HILLS ALTERNATIVE CARE 2517 COUNTY ROAD I (27183) MOUNDS VIEW, MN 55112 PHONE: 651/735-7259 FAX: 651/730-1167 MS. MICHELLE YOUNGBERG HWSAL Corp THE SAMARITAN COMMONS 1 AT MOU 7355 PARKVIEW TERRACE (26317) MOUNDS VIEW, MN 55112 PHONE: 651/659-0208 FAX: 651/659-0161 MR. MICHAEL ADERINKOMI Minnesota Department of Health Division of Compliance Monitoring Page 297 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification RAMSEY (Cont.)* -------------------------Home Mgmt Corp TOUCHING HEARTS AT HOME Registration 2704 NORTHEAST CO HWY 10 (27809) MOUNDS VIEW, MN 55112 PHONE: 763/780-0075 FAX: MR. ROBERT LARSON 763/780-6995 Corp AXIS ON ST MICHAEL SLFB-6 ICFMR-6 5533 ST MICHAEL STREET (23393) MOUNDSVIEW, MN 55112 PHONE: 763/717-4967 FAX: MS. DOROTHY WROBEL 763/780-9207 HWSAL-O NProf MOUNDS VIEW GABLES 2670 COUNTY ROAD I (24474) MOUNDSVIEW, MN 55112 PHONE: 651/639-9799 FAX: MR. MICHAEL BJERKESETT 651/639-3699 NProf PHOENIX AT LUDDEN SLFB-6 ICFMR-6 7717 LONG LAKE RD (23427) MOUNDSVIEW, MN 55112 PHONE: 651/227-7655 FAX: MS. DARLENE SCOTT 651/227-6847 HWS NProf THE SANDS 5445 JACKSON DRIVE (27585) MOUNDSVIEW, MN 55112 PHONE: 651/225-8963 FAX: /- MR. GEOFFERY MEYER Corp ACR HOME ON REDWOOD SLFB-4 ICFMR-4 862 REDWOOD LANE (01573) NEW BRIGHTON, MN 55112 PHONE: 651/635-9060 FAX: 651/635-4392 NProf BEACON HAVEN MR. GENE LEISTICO NH-6 1200 LONG LAKE ROAD (23554) NEW BRIGHTON, MN 55112 PHONE: 651/379-0100 FAX: Church BENEDICTINE HLTH CTR INNSBRUCK MS. TERESE ERICKSON 651/379-0601 NH-105 SNF-NF-105 1101 BLACK OAK DRIVE (00940) NEW BRIGHTON, MN 55112 PHONE: 651/633-1686 FAX: Corp CHRISTINE PROFESSIONAL HEALTH MS. SUSAN AGER 651/633-5267 HCP-A 888 W CTY RD D STE 103 (25194) NEW BRIGHTON, MN 55112 PHONE: 763/464-4072 FAX: 763/784-2039 MR. MIKE OHENZUWA ESRD Corp FMCNA NEW BRIGHTON DIAL CTR 550 COUNTY ROAD D SUITE 7 (04296) NEW BRIGHTON, MN 55112 PHONE: 651/631-0885 FAX: 651/631-1878 MS. LYNNE HAMILTON Minnesota Department of Health Division of Compliance Monitoring Page 298 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp HEALTH AND REHAB NEW BRIGHTON Certification RAMSEY NH-110 Registration (Cont.)* -------------------------SNF-NF-110 825 FIRST AVENUE NORTHWEST (00114) NEW BRIGHTON, MN 55112 PHONE: 651/633-7875 FAX: MEADOWOOD SHORES SENIOR HOUSIN MS. LYNN HICKEY 651/628-9335 HWS Part 2100 SILVER LAKE ROAD (21728) NEW BRIGHTON, MN 55112 PHONE: 651/604-2900 FAX: Lim-Liab MINNESOTA VASCULAR SUR CTR LLC MR. MICHAEL GOULD 651/582-0499 Outpt Surg Amb Surg 600 COUNTY ROAD D SUITE 2 (24767) NEW BRIGHTON, MN 55112 PHONE: 763/432-4300 FAX: Corp NEW BRIGHTON CARE CENTER MR. TROY ROOVERS 763/432-4301 NH-57 SNF-NF-57 805 SIXTH AVENUE NORTHWEST (00507) NEW BRIGHTON, MN 55112 PHONE: 651/633-7200 FAX: MR. MICHAEL CHIES 651/287-7883 HWSAL Part NEW BRIGHTON SENIOR ASSISTED L 2700 RICE CREEK ROAD (20231) NEW BRIGHTON, MN 55112 PHONE: 651/633-6484 FAX: 651/633-8702 Corp SENIOR SUITES OF NEW BRIGHTON MR. MICHAEL GOULD HCP-F HWSAL 805 6TH AVENUE NORTHWEST (21383) NEW BRIGHTON, MN 55112 PHONE: 651/633-7200 FAX: 651/287-7883 Corp SILVER OAKS MR. MICHAEL CHIES SLFA-4 ICFMR-4 3277 RICE CREEK ROAD (01586) NEW BRIGHTON, MN 55112 PHONE: 651/636-0546 FAX: MS. SANDRA QUINN 651/636-4530 HWSAL-O NProf THORNDALE APARTMENTS 1050 THORNDALE AVENUE (24473) NEW BRIGHTON, MN 55112 PHONE: 651/639-9799 FAX: Corp VISITING ANGELS MR. MICHAEL BJERKESETT 651/639-3699 HCP-A 151 SILVER LAKE ROAD STE 207 (26712) NEW BRIGHTON, MN 55112 PHONE: 651/633-4487 FAX: Corp CLARE BRIDGE OF NORTH OAKS MS. CAROLYN THOMPSON 651/633-6225 HCP-F HWSAL 300 VILLAGE CENTER DRIVE (20539) NORTH OAKS, MN 55127 PHONE: 651/482-8111 FAX: 651/482-8333 MS. LORI HANSON Minnesota Department of Health Division of Compliance Monitoring Page 299 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Church PRESBYTERIAN HOMES NORTH OAKS Certification RAMSEY Registration (Cont.)* -------------------------- NH-60 SNF-NF-60 5919 CENTERVILLE ROAD (23579) NORTH OAKS, MN 55127 PHONE: 651/765-4000 FAX: MS. BRANDI BARTHEL 651/765-4001 HWSAL NProf WAVERLY GARDENS 5919 CENTERVILLE ROAD (24195) NORTH OAKS, MN 55127 PHONE: 651/765-4000 FAX: MR. DANIEL ERICKSON 651/765-4001 Home Mgmt Lim-Liab BEST HOME CARE LLC 2199 17TH AVENUE EAST (26538) NORTH ST PAUL, MN 55109 PHONE: 651/330-2550 FAX: Part FOOTWORKS MR. ALBERT BEST 651/330-2550 HCP-A 2480 SHRYER AVENUE EAST (03096) NORTH ST PAUL, MN 55109 PHONE: 651/501-0624 FAX: Corp HEALTHSTAR HOME HEALTH MR. TIMOTHY O'HEARN 651/773-5318 HCP-A 2586 7TH AVENUE EAST #302 (21714) NORTH ST PAUL, MN 55109 PHONE: 651/633-7300 FAX: 651/633-7301 MR. TIM PLANT HWS-O Corp REM MINNESOTA COMMUNITY SERVIC 2266 NORTH SECOND STREET (26634) NORTH ST PAUL, MN 55109 PHONE: 651/644-7680 FAX: 651/643-6777 Lim-Liab ACR AT HOME COMPANION CARE MR. DAVID WILSON HCP-B 2437 RICE STREET (27192) ROSEVILLE, MN 55113 PHONE: 651/294-4799 FAX: Lim-Liab ACR AT HOME HEALTHCARE LLC MR. GENE LEISTICO 651/484-5863 HCP-A 2437 RICE STREET (21710) ROSEVILLE, MN 55113 PHONE: 651/294-4799 FAX: Corp ACR HOME ON LYDIA WEST MR. GENE LEISTICO 651/484-5863 SLFB-4 ICFMR-4 2528 LYDIA AVENUE WEST (01576) ROSEVILLE, MN 55113 PHONE: 651/636-7172 FAX: Corp ACR ON DALE COURT MR. GENE LEISTICO 651/636-7205 SLFB-4 ICFMR-4 1822 DALE COURT (24142) ROSEVILLE, MN 55113 PHONE: 651/488-1088 FAX: 651/488-1544 MR. GENE LEISTICO Minnesota Department of Health Division of Compliance Monitoring Page 300 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification RAMSEY (Cont.)* -------------------------HWS NProf AEON - SIENNA GREEN II Registration 2245 NORTH SNELLING AVENUE (27583) ROSEVILLE, MN 55113 PHONE: 651/631-1400 FAX: MR. GEOFFREY MEYER 651/774-0606 Lim-Liab ARTHURS WHITE PINES RES CARE HCP-F HWSAL 1854 ALTA VISTA DRIVE (24818) ROSEVILLE, MN 55113 PHONE: 651/294-4798 FAX: MR. GENE LEISTICO 651/484-5863 HWSAL Lim-Liab ARTHURS WHITE PINES RESIDENTIA 2437 RICE STREET (27856) ROSEVILLE, MN 55113 PHONE: 651/294-4798 FAX: MR. JAMES NELSON 651/484-5863 Corp AXIS ON BELMONT SLFB-4 ICFMR-4 692 BELMONT LANE W (23246) ROSEVILLE, MN 55113 PHONE: 651/489-4630 FAX: MS. DOROTHY WROBEL 651/489-4336 Corp AXIS ON ELDRIDGE SLFB-6 ICFMR-6 651 ELDRIDGE AVENUE WEST (22846) ROSEVILLE, MN 55113 PHONE: 651/488-2237 FAX: 651/489-9520 MS. DOROTHY WROBEL HWSAL NProf EAGLE CREST ARBOR 2955 LINCOLN DRIVE (24032) ROSEVILLE, MN 55113 PHONE: 651/628-3000 FAX: 651/628-3014 MS. SUSANNE HEINS HWSAL NProf EAGLE CREST COMMONS 2945 LINCOLN DRIVE (20065) ROSEVILLE, MN 55113 PHONE: 651/628-3001 FAX: MS. SUSANNE HEINS 651/628-3014 NProf EAGLECREST HCP-F 2945 LINCOLN DRIVE (27952) ROSEVILLE, MN 55113 PHONE: 651/628-3000 FAX: MS. NATALIE MORLAND /- ESRD Corp FMC DIALYSIS SERVCES ROSEVILLE 2045 RICE STREET (03522) ROSEVILLE, MN 55113 PHONE: 651/489-3312 FAX: MR. RICHARD PHIDD /- Corp GENTIVA HEALTH SERVICES HCP-A HHA 1970 OAKCREST AVENUE (02215) ROSEVILLE, MN 55113 PHONE: 651/636-6330 FAX: 651/636-6229 MS. CINDY FUSSY Minnesota Department of Health Division of Compliance Monitoring Page 301 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab GOLDEN LIVING COMM LAKE RIDGE Certification RAMSEY Registration (Cont.)* -------------------------- HCP-F HWSAL 2727 NORTH VICTORIA (25214) ROSEVILLE, MN 55113 PHONE: 651/483-5431 FAX: Lim-Liab GOLDEN LIVINGCENTER LAKE RIDGE MS. ALICIA ALBERT 651/486-2461 NH-175 SNF-NF-175 2727 NORTH VICTORIA (00497) ROSEVILLE, MN 55113 PHONE: 651/483-5431 FAX: MS. ALICIA ALBERT 651/486-2461 HWS NProf GOOD SAM SOC HERTG PL ROSEVILE 563 COUNTY RD B W (23462) ROSEVILLE, MN 55113 PHONE: 651/489-3293 FAX: NProf GOOD SAMARITAN HOME CARE MS. LAUREN PAHNKE 651/489-0603 HCP-A HHA 563 COUNTY ROAD B WEST (03140) ROSEVILLE, MN 55113 PHONE: 651/488-7680 FAX: Lim-Liab HEARTLAND HOME HC AND HOSPICE MRS. CYNTHIA MCINTYRE 651/488-7687 Hospice HSPICE 2685 LONG LAKE ROAD SUITE 105 (02970) ROSEVILLE, MN 55113 PHONE: 651/633-6522 FAX: 651/638-8499 Lim-Liab HEARTLAND HOME HC AND HOSPICE MS. SANDRA MAYNARD HCP-A HHA 2685 LONG LAKE ROAD SUITE 105 (02165) ROSEVILLE, MN 55113 PHONE: 651/633-6522 FAX: 651/633-5733 Corp INTERIM HC OF THE TWIN CITIES MS. MARGERY BERTRAM HCP-A HHA 2833 NORTH FAIRVIEW AVENUE (21158) ROSEVILLE, MN 55113 PHONE: 651/917-3634 FAX: Corp INTERIM HEALTHCARE MR. THOMAS GEARY 651/917-3620 Hospice 2833 FAIRVIEW AVENUE NORTH (28285) ROSEVILLE, MN 55113 PHONE: 651/917-3624 FAX: Corp INTERIM HOME STYLE SERVICES MR. THOMAS GEARY 651/917-3620 HCP-A 2833 NORTH FAIRVIEW AVENUE (23076) ROSEVILLE, MN 55113 PHONE: 651/917-3634 FAX: Corp INTREPID USA HEALTHCARE SERVS MR. THOMAS GEARY 651/917-3620 HCP-A HHA 2778 CLEVELAND AVENUE NORTH (02232) ROSEVILLE, MN 551131127 PHONE: 651/638-7800 FAX: 651/638-7801 MS. LAURA WILSON Minnesota Department of Health Division of Compliance Monitoring Page 302 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf LANGTON PLACE Certification RAMSEY Registration (Cont.)* -------------------------- NH-119 SNF-119 1910 WEST COUNTY ROAD D (00284) ROSEVILLE, MN 55112 PHONE: 651/631-6200 FAX: MR. SCOTT WELTER 651/631-6032 Home Mgmt Ind MARILYN H JACOBSON 2756 GRIGGS STREET NORTH (25886) ROSEVILLE, MN 55113 PHONE: 651/330-4525 FAX: MS. MARILYN JACOBSON /- Lim-Liab OAK ACRES LLC HCP-F HWSAL 2201 ACORN ROAD (27150) ROSEVILLE, MN 55113 PHONE: 651/697-1405 FAX: MR. ART MUELLER /- Corp PEDIATRIC HOME SERVICE HCP-A 2800 CLEVELAND AVENUE NORTH (03693) ROSEVILLE, MN 55113 PHONE: 651/642-1825 FAX: NProf PRESBYTERIAN ASSTD LIVING HC MS. CAMEO ZEHNDER 651/638-0680 HCP-F 2845 HAMLINE AVE N (20898) ROSEVILLE, MN 55113 PHONE: 651/631-7608 FAX: 651/631-6108 NProf PRESBYTERIAN HOMES HOME CARE MS. NATALIE MORLAND HCP-A HHA 1910 WEST COUNTY ROAD D (02133) ROSEVILLE, MN 55112 PHONE: 651/631-6123 FAX: 651/631-6108 NProf PRESBYTERIAN HOMES HOSPICE INC MS. REBECCA CONWAY Hospice HSPICE 2845 HAMLINE AVENUE NORTH (25425) ROSEVILLE, MN 55113 PHONE: 651/631-6123 FAX: MS. REBECCA CONWAY 651/631-6343 HWS-O Lim-Liab REGENCY HOME HEALTHCARE SERVIC 320 ELMER STREET (23154) ROSEVILLE, MN 55113 PHONE: 651/488-4655 FAX: Corp ROSE OF SHARON MANOR MS. JEAN JOHNSON 651/488-4656 NH-69 SNF-NF-69 1000 LOVELL AVENUE (00126) ROSEVILLE, MN 55113 PHONE: 651/484-3378 FAX: 651/484-8982 MS. KAY SCHUMACHER HWSAL-O NProf ROSELAWN VILLAGE APARTMENTS 1074 ROSELAWN AVENUE WEST (24470) ROSEVILLE, MN 55113 PHONE: 651/645-7271 FAX: 651/645-0541 MR. STEPHEN VANDER SCHAAF Minnesota Department of Health Division of Compliance Monitoring Page 303 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification RAMSEY (Cont.)* -------------------------HWSAL NProf ROSEWOOD ESTATE OF ROSEVILLE Registration 2750 NORTH VICTORIA STREET (20022) ROSEVILLE, MN 55113 PHONE: 651/482-1611 FAX: MS. DEBRA WATSON 651/482-0429 Corp ROSEWOOD ESTATE OF ROSEVILLE HCP-F 2750 VICTORIA STREET NORTH (21912) ROSEVILLE, MN 55113 PHONE: 651/482-1611 FAX: MS. DEBRA WATSON 651/482-0429 HWSAL Lim-Liab SUNRISE ASSISTED LIVING ROSEVI 2555 SNELLING AVENUE NORTH (21410) ROSEVILLE, MN 55113 PHONE: 651/636-4800 FAX: MS. MARY BROWN 651/636-4809 Lim-Liab SUNRISE ASSTD LIV OF ROSEVILLE HCP-F 2555 SNELLING AVENUE NORTH (22361) ROSEVILLE, MN 55113 PHONE: 651/636-4800 FAX: MS. MARY BROWN 651/646-4809 Corp THE FRIENDSHIP HOME COMMUNITY HCP-F HWSAL 947 LYDIA DRIVE WEST (24337) ROSEVILLE, MN 55113 PHONE: 651/698-0763 FAX: 651/528-6216 MRS. VICTORIA JOHANSSON HWSAL Corp THE FRIENDSHIP HOME COMMUNITY 500 ROSELAWN AVENUE W (26201) ROSEVILLE, MN 55113 PHONE: 651/398-2294 FAX: 651/528-6216 Corp TLC HM CARE OF THE TWIN CITIES MS. VICTORIA JOHANSSON HCP-A HHA 1255 WEST LARPENTEUR AVENUE (03235) ROSEVILLE, MN 55113 PHONE: 651/647-0017 FAX: MR. SOLOMON MULUGETA 651/647-3423 Corp TLC NURSING SERVICES Hospice 1255 WEST LARPENTEUR AVENUE (28286) ROSEVILLE, MN 55113 PHONE: 651/647-0017 FAX: MS. AMANDA JACKSON 651/647-3423 Corp TRUSTED HEALTHCARE SERVICES IN HCP-B 2353 RICE STREET STE 240 (28287) ROSEVILLE, MN 55113 PHONE: 651/329-7598 FAX: MR. WALTER DOBGIMA /- Corp WALGREENS INFUSION SERVICES HCP-A 2750 ARTHUR STREET (20892) ROSEVILLE, MN 55113 PHONE: 651/635-9272 FAX: 651/635-9174 MS. LORI ZSITEK Minnesota Department of Health Division of Compliance Monitoring Page 304 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf WAVERLY GARDENS Certification RAMSEY (Cont.)* -------------------------- HCP-F 2845 HAMLINE AVENUE NORTH (28191) ROSEVILLE, MN 55113 PHONE: 651/765-4000 FAX: Corp ACR HOME ON DAWN MS. NATALIE MORLAND 651/765-4001 SLFB-4 ICFMR-4 191 DAWN AVENUE (01620) SHOREVIEW, MN 55126 PHONE: 651/486-0380 FAX: Corp AXIS ON GLENHILL MR. GENE LEISTICO 651/486-7767 SLFB-4 ICFMR-4 1083 GLENHILL ROAD (22370) SHOREVIEW, MN 55126 PHONE: 651/482-0562 FAX: Corp BAYADA NURSES INC MS. DOROTHY WROBEL 651/482-0482 HCP-A 3490 LEXINGTON AVE N STE 310 (27763) SHOREVIEW, MN 55126 PHONE: 651/482-8400 FAX: Corp COMMUNITIES OF CARE MS. ROCHELLE NELSON WODARZ 651/482-8300 HCP-A 500 W HIGHWAY 96 STE 100 (20862) SHOREVIEW, MN 55126 PHONE: 651/482-0549 FAX: 651/482-0280 Lim-Liab DUNGARVIN CAMARA MS. JOAN VAUGHN SLFA-5 3989 VIRGINIA CIRCLE (24104) SHOREVIEW, MN 55126 PHONE: 651/699-6050 FAX: 651/699-7265 NProf ECUMEN AT HOME MS. NATALIE GRAF HCP-A 3530 LEXINGTON AVENUE NORTH (26983) SHOREVIEW, MN 55126 PHONE: 651/766-4300 FAX: NProf ECUMEN HOME CARE MS. SUE DIEKMANN 651/766-4310 HCP-F 3530 LEXINGTON AVENUE NORTH (21399) SHOREVIEW, MN 55126 PHONE: 651/766-4300 FAX: Corp KIDS ABILITIES MS. SHELLEY KENDRICK 952/469-8313 HCP-A 490 WEST HIGHWAY 96 SUITE 300 (23066) SHOREVIEW, MN 55126 PHONE: 651/451-3016 FAX: Cnty LAKE OWASSO RESIDENCE MS. JENNIFER SARGENT 651/481-7040 SLFB-64 ICFMR-64 210 OWASSO BOULEVARD NORTH (00831) SHOREVIEW, MN 55126 PHONE: 651/765-7704 FAX: 651/765-7722 Registration MS. DANA CASTONGUAY Minnesota Department of Health Division of Compliance Monitoring Page 305 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification RAMSEY (Cont.)* -------------------------Out Pt Out St Out Ot NProf PHOENIX SERVICE CORPORATION Registration 1045 TOMLYN AVENUE (02524) SHOREVIEW, MN 55127 PHONE: 651/227-7655 FAX: MS. JUDITH DOUGLAS /- Corp REM RAMSEY INC HODGSON SLFA-6 ICFMR-6 5091 HODGSON ROAD (01370) SHOREVIEW, MN 55126 PHONE: 651/644-7680 FAX: MS. CONNIE MENNE 651/644-6777 HWS NProf SCANDIA SHORES 418 HIGHWAY 96 (28056) SHOREVIEW, MN 55126 PHONE: 651/415-9793 FAX: MS. HEATHER TODD 651/483-6002 Lim-Liab SPEAK RIGHT NOW LLC HCP-A 439 CAROL LANE (28275) SHOREVIEW, MN 55126 PHONE: 612/308-6132 FAX: MS. JENNIFER ELTON 651/414-9339 NProf ST THERESE AT ST ODILIA HCP-A 3500 VIVIAN AVENUE (28348) SHOREVIEW, MN 55126 PHONE: 651/842-6780 FAX: 651/842-6653 MS. JOLENE BAKER HWS NProf ST THERESE HOME INC 3500 VIVIAN AVENUE (27661) SHOREVIEW, MN 55126 PHONE: 763/531-5037 FAX: 763/531-5004 MS. BARB RODE HWS NProf 395 LUELLA STREET 395 LUELLA STREET (28381) ST PAUL, MN 55119 PHONE: 651/256-1226 FAX: MR. MATT LEWIS /- HWSAL-O HRA NEILL NBBI 325 LAUREL AVENUE (24469) ST PAUL, MN 55102 PHONE: 651/292-6035 FAX: MS. TERESA VAPLON 651/298-5666 Lim-Liab NELS INTL SERVICES LLC HCP-A 2285 STEWART AVENUE SUITE 1107 (28370) ST PAUL, MN 55116 PHONE: 651/500-7788 FAX: MS. NYONU NDIKINTUM /- Part CHANDLER PLACE HOME HLTH CARE HCP-F HWSAL 3701 CHANDLER DRIVE (20047) ST ANTHONY, MN 55421 PHONE: 612/788-7321 FAX: 612/913-5370 MR. JOHN GOODMAN Minnesota Department of Health Division of Compliance Monitoring Page 306 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification RAMSEY (Cont.)* -------------------------HWSAL Part PEARL GARDEN Registration 3700 FOSS ROAD NORTHEAST (20451) ST ANTHONY, MN 55421 PHONE: 612/788-9673 FAX: MR. JOHN GOODMAN 612/789-2173 Part ST ANTHONY HEALTH CENTER NH-150 SNF-NF-150 3700 FOSS ROAD NORTHEAST (00522) ST ANTHONY, MN 55421 PHONE: 612/788-9673 FAX: 612/788-0104 MS. MARCIA LINDIG HWS NProf 1161 SAINT CLAIR AVENUE 1161 SAINT CLAIR AVENUE (27254) ST PAUL, MN 55105 PHONE: 651/774-0011 FAX: 651/774-0606 MR. GEOFFERY MEYER HWS-O NProf 1325 WESTERN AVENUE NORTH 1325 WESTERN AVENUE NORTH (27257) ST PAUL, MN 55117 PHONE: 651/774-0011 FAX: 651/774-0606 MR. GEOFFERY MEYER HWS NProf 1339 SHERBURNE 1339 SHERBURNE AVENUE (26448) ST PAUL, MN 55104 PHONE: 651/774-0011 FAX: 651/774-0606 MR. GEOFFERY MEYER HWS NProf 1340 WESTERN 1340 WESTERN AVENUE NORTH (27262) ST PAUL, MN 55117 PHONE: 651/774-0011 FAX: 651/774-0606 MR. GEOFFREY MEYER HWS NProf 1345 WESTERN AVENUE N 1345 WESTERN AVENUE N (28264) ST PAUL, MN 55117 PHONE: 651/256-1226 FAX: MR. MATT LEWIS /- HWS NProf 1350 MARYLAND AVENUE EAST 1350 MARYLAND AVENUE EAST (27599) ST PAUL, MN 55106 PHONE: 651/256-1226 FAX: MR. GEOFFREY MEYER /- HWS NProf 1360 WESTERN AVENUE N 1360 WESTERN AVENUE N (28265) ST PAUL, MN 55117 PHONE: 651/256-1226 FAX: MR. MATT LEWIS /- HWS ONProf 1509 ALBEMARLE STREET 1509 ALBEMARLE STREE (27810) ST PAUL, MN 55717 PHONE: 651/256-1226 FAX: /- MR. MATT LEWIS Minnesota Department of Health Division of Compliance Monitoring Page 307 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification RAMSEY (Cont.)* -------------------------HWS ONProf 1533 WOODBRIDGE STREET Registration 1533 WOODBRIDGE STREET (27555) ST PAUL, MN 55117 PHONE: 651/256-1226 FAX: MR. MATT LEWIS /- HWS NProf 1541 ALBEMARLE 1541 ALBEMARLE STREET (27263) ST PAUL, MN 55117 PHONE: 651/774-0011 FAX: 651/774-0606 MR. GEOFFREY MEYER HWS NProf 1552 WOODBRIDGE STREET 1552 WOODBRIDGE STREET (28382) ST PAUL, MN 55117 PHONE: 651/256-1226 FAX: MR. MATT LEWIS /- HWS ONProf 1564 ENGLISH STREET 1564 ENGLISH STREET (27603) ST PAUL, MN 55106 PHONE: 651/256-1226 FAX: MR. MATT LEWIS /- HWS NProf 1595 RICE STREET 1595 RICE STREET (25917) ST PAUL, MN 55117 PHONE: 651/774-0011 FAX: 651/774-0606 MR. GEOFFREY MEYER HWS ONProf 1849 EAST 7TH STREET 1849 EAST 7TH STREET (27554) ST PAUL, MN 55119 PHONE: 651/256-1226 FAX: /- MR. MATT LEWIS HWS ONProf 1855 EAST 7TH STREET 1855 EAST 7TH STREET (27602) ST PAUL, MN 55119 PHONE: 651/256-1226 FAX: MR. MATT LEWIS /- HWS ONProf 200 S WINTHROP STREET 200 S WINTHROP STREET (28022) ST PAUL, MN 55119 PHONE: 651/256-1226 FAX: MR. MATT LEWIS /- HWS NProf 2236 LOWER AFTON ROAD 2236 LOWER AFTON ROAD (28499) ST PAUL, MN 55119 PHONE: 651/256-1226 FAX: MR. MATT LEWIS /- HWS ONProf 249 WESTERN AVENUE SOUTH 249 WESTERN AVENUE SOUTH (27556) ST PAUL, MN 55102 PHONE: 651/256-1226 FAX: /- MR. MATT LEWIS Minnesota Department of Health Division of Compliance Monitoring Page 308 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification RAMSEY (Cont.)* -------------------------HWS-O NProf 330 MAGNOLIA AVENUE EAST Registration 330 MAGNOLIA AVENUE EAST (27600) ST PAUL, MN 55130 PHONE: 651/256-1226 FAX: MR. GEOFFREY MEYER /- HWS NProf 334 MAGNOLIA AVENUE EAST 334 MAGNOLIA AVENUE EAST (27601) ST PAUL, MN 55130 PHONE: 651/256-1226 FAX: MR. GEOFFERY MEYER /- HWS NProf 360 COTTAGE AVENEUE 360 COTTAGE AVENUE (28263) ST PAUL, MN 55117 PHONE: 651/256-1226 FAX: MR. MATT LEWIS /- HWS ONProf 390 WEST COTTAGE AVENUE 390 WEST COTTAGE AVENUE (28015) ST PAUL, MN 55117 PHONE: 651/256-1226 FAX: MR. MATT LEWIS /- HWS NProf 419 FRONT AVENUE 419 FRONT AVENUE (27919) ST PAUL, MN 55117 PHONE: 651/280-2250 FAX: /- MR. MATT LEWIS HWS NProf 508/510 HUMBOLDT APARTMENTS 508/510 HUMBOLDT APARTMENTS (20484) ST PAUL, MN 55107 PHONE: 651/280-2250 FAX: 651/220-1737 MS. NANCY KETCHEL HWS NProf 516 HUMBOLDT APARTMENTS 516 HUMBOLDT AVENUE (20483) ST PAUL, MN 55107 PHONE: 651/280-2250 FAX: 651/220-1737 MS. NANCY KETCHEL HWS-O NProf 642 FRONT AVENUE 642 FRONT AVENUE (28498) ST PAUL, MN 55103 PHONE: 651/256-1226 FAX: MR. MATT LEWIS /- HWS NProf 659 DAYTON AVENUE 659 DAYTON AVENUE (27811) ST PAUL, MN 55704 PHONE: 651/256-1226 FAX: MR. MATT LEWIS /- HWS ONProf 705 SOUTH SNELLING AVENUE 705 SOUTH SNELLING AVENUE (27812) ST PAUL, MN 55116 PHONE: 651/256-1226 FAX: /- MR. MATT LEWIS Minnesota Department of Health Division of Compliance Monitoring Page 309 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification RAMSEY (Cont.)* -------------------------HWS NProf 76 WEST STEVENS Registration 76 WEST STEVENS (27261) ST PAUL, MN 55107 PHONE: 651/774-0011 FAX: MR. GEOFFERY MEYER 651/774-0606 HWS ONProf 8 FOURTH STREET EAST 8 FOURTH STREET EAST (27966) ST PAUL, MN 55101 PHONE: 651/256-1226 FAX: MR. MATT LEWIS /- HWS NProf 904 RICE STREET-TAB PROPERTIES 904 RICE STREET (27256) ST PAUL, MN 55117 PHONE: 651/774-0011 FAX: Corp ABBEYCARE INC MR. GEOFFERY MEYER 651/774-0606 HCP-A 1148 GRAND AVENUE (03799) ST PAUL, MN 55105 PHONE: 651/690-5352 FAX: Corp ABC CARE INC MS. LILIYA GOKHBERG 651/209-8065 HCP-A 1321 PAYNE AVENUE (28124) ST PAUL, MN 55130 PHONE: 651/771-8507 FAX: 651/771-2421 NProf ACCESSIBLE SPACE ASI METRO 1 MS. GLORIA WONG HCP-F 2550 UNIVERSITY AVE W ST 330N (24380) ST PAUL, MN 55114 PHONE: 651/645-7271 FAX: 651/645-0541 NProf ACCESSIBLE SPACE ASI METRO 2 MR. STEPHEN VANDERSCHAAF HCP-F 2550 UNIVERSITY AVE W STE 330N (24381) ST PAUL, MN 55114 PHONE: 651/645-7271 FAX: NProf ACCESSIBLE SPACE ASI METRO 3 MR. STEPHEN VANDERSCHAAF 651/645-0541 HCP-F 2550 UNIVERSITY AVE W STE 330N (24382) ST PAUL, MN 55114 PHONE: 651/645-7271 FAX: NProf ACCESSIBLE SPACE INC ASI NORTH MR. STEPHEN VANDERSCHAAF 651/645-0541 HCP-F 2550 UNIVERSITY AVE W STE 330N (24379) ST PAUL, MN 55114 PHONE: 651/645-7271 FAX: NProf ACCESSIBLE SPACE INC ASI SOUTH MR. STEPHEN VANDERSCHAAF 651/645-0541 HCP-F 2550 UNIVERSITY AVE W STE 330N (27312) ST PAUL, MN 55114 PHONE: 651/645-7271 FAX: 651/654-7271 MS. KIM NESBITT Minnesota Department of Health Division of Compliance Monitoring Page 310 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp ADVANTAGE HOME CARE SERVS INC Certification RAMSEY Registration (Cont.)* -------------------------- HCP-A HHA 780 UNIVERSITY AVENUE WEST (03402) ST PAUL, MN 55104 PHONE: 651/645-9011 FAX: MS. BLESSING ANYANWU 651/644-5595 HWS NProf AEON - SIENNA GREEN 317 YORK AVENUE (27584) ST PAUL, MN 55130 PHONE: 651/631-1400 FAX: MR. GEOFFREY MEYER 651/774-0606 Home Mgmt Lim-Liab ALLEGIANCE ABILITY ASSISTANCE 1821 UNIVERSITY AVE W STE 149 (27138) ST PAUL, MN 55104 PHONE: 651/917-6773 FAX: Lim-Liab ALLEGIANCE ABILITY ASSISTANCE MS. KATHERINE WALETSKI 651/917-6775 HCP-A 1821 W UNIVERSITY AVE STE S149 (27853) ST PAUL, MN 55104 PHONE: 651/917-6773 FAX: NProf ALLINA HM C HSPCE & PALLITV CA MS. KATHERINE WALETSKI 651/917-6775 HCP-A HHA 1055 WESTGATE DRIVE (23627) ST PAUL, MN 55114 PHONE: 651/635-9173 FAX: 651/628-2999 NProf ALLINA HM C HSPCE & PALLITV CA MR. ROBERT WIELAND Hospice HSPICE 1055 WESTGATE DRIVE SUITE 100 (02441) ST PAUL, MN 55114 PHONE: 651/635-9173 FAX: 651/628-2999 MS. GAYLE MATTSON HWS ONProf AMERICAN HOUSE 352 WACOUTA (26482) ST PAUL, MN 55101 PHONE: 612/871-0890 FAX: State AMRTC COMO COMMUNITY UNIT MS. LEE BLONS 612/871-0843 SLFA-16 690 COMO AVENUE (04307) ST PAUL, MN 55103 PHONE: 651/558-2187 FAX: Corp AMY JOHNSON RESIDENCE MS. PAULA HALVERSON 651/558-2230 BCH-25 HCP-A HWSAL-O 89 VIRGINIA STREET (00777) ST PAUL, MN 55102 PHONE: 651/224-3363 FAX: 651/290-2600 MS. DONETTA JOHNSON HWS-O Church ANTIOCH RESTORATION HOME FOR M 740 DAYTON AVENUE (27545) ST PAUL, MN 55104 PHONE: 651/298-1360 FAX: 651/224-4410 MS. DEBRA MESSENGER Minnesota Department of Health Division of Compliance Monitoring Page 311 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp APRIA HEALTHCARE INC Certification RAMSEY Registration (Cont.)* -------------------------- HCP-A 1645 ENERGY PARK DRIVE (03501) ST PAUL, MN 55108 PHONE: 651/523-8888 FAX: Corp ARDENT HOME HEALTHCARE INC MR. NORMAN PAYSON 651/523-8850 HCP-A 775 NORTH MILTON STREET 110 (27927) ST PAUL, MN 55104 PHONE: 651/489-4239 FAX: NProf ASI METRO 4 MR. THONG VANG 651/489-4239 HCP-F 2550 UNIVERSITY AVE STE 330N (25489) ST PAUL, MN 55114 PHONE: 651/645-7271 FAX: MR. STEPHEN VANDERSCHAAF 651/645-0541 HWSAL Lim-Liab ASIAN AMERICAN ELDERLY ASSISTE 2113 MINNEHAHA AVE E (24886) ST PAUL, MN 55119 PHONE: 763/569-0127 FAX: Corp ASIAN AMERICAN HOME HEALTH CAR MRS. CHAO VANG 763/569-0127 HCP-A 995 W UNIVERSITY AVE STE 230 (27701) ST PAUL, MN 55104 PHONE: 651/641-8660 FAX: 651/641-8652 Corp ASIAN HOME CARE INC MR. WILLIAM VANG HCP-A 519 UNIVERSITY AVE WEST #100 (21585) ST PAUL, MN 55103 PHONE: 651/999-0268 FAX: 651/999-0269 Corp ASPEN HOME CARE MS. MAI XIONG HCP-A 429 IDAHO AVE W APT 32 (27552) ST PAUL, MN 55117 PHONE: 218/851-5623 FAX: NProf ASPEN MEDICAL GROUP UNIVERSITY MS. BOBBIE GORDON 218/963-9573 Outpt Surg Amb Surg 2635 UNIVERSITY AVENUE STE 100 (25404) ST PAUL, MN 55114 PHONE: 651/241-3900 FAX: 651/241-9281 MS. PHEA ANDERSON Home Mgmt Corp ATT HOME HEALTH CARE INC 1543 COMO AVENUE STE 101 (27802) ST PAUL, MN 55108 PHONE: 651/646-8771 FAX: 651/646-8910 MR. MICHAEL NGUYEN HWSAL NProf BENTSON FAMILY ASSISTED LIVING 730 KAY AVENUE (26406) ST PAUL, MN 55102 PHONE: 651/328-2000 FAX: 651/328-2070 MS. BARB RUPPE Minnesota Department of Health Division of Compliance Monitoring Page 312 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab BETHEL CARE CENTER Certification RAMSEY (Cont.)* -------------------------- NH-131 SNF-NF-131 420 MARSHALL AVENUE (00913) ST PAUL, MN 55102 PHONE: 651/224-2368 FAX: MR. GARY BRINK 651/224-3582 Lim-Liab BETTER LIFE CARE LLC HCP-B 588 WHITE BEAR AVENUE NORTH (28273) ST PAUL, MN 55106 PHONE: 651/788-9057 FAX: MS. GRACE MORRIS /- NProf CAPITOL VIEW TRANSITIONAL CARE NH-32 SNF-32 640 JACKSON STREET (00498) ST PAUL, MN 55101 PHONE: 651/254-0400 FAX: MS. MICHELLE MANGAN 651/254-0422 Lim-Liab CARE PLANNERS HOME HEALTH CARE HCP-A 1919 UNIVERSITY AVE STE 114 (27330) ST PAUL, MN 55104 PHONE: 651/645-9887 FAX: MS. ELIN OHLSSON 651/645-9884 Lim-Liab CARE WITH HEART HOME SERVICES HCP-A 245 NORTH RUTH STREET #201 (28046) ST PAUL, MN 55119 PHONE: 952/836-6862 FAX: /- MS. RACHEL LORENZEN Corp CAREFOCUS CORPORATION HCP-A HHA 2429 UNIVERSITY AVENUE WEST (02837) ST PAUL, MN 55114 PHONE: 651/925-5598 FAX: 651/925-5599 Corp CARELINKS HOME CARE INC MR. ADEWALE KOLEOSHO HCP-A 1955 UNIVERSITY AVE W STE 204 (27379) ST PAUL, MN 55104 PHONE: 651/756-8322 FAX: Corp CAREMATE HOME HEALTH CARE INC MR. CHARLES SOKPA-ANKU 651/756-8515 HCP-A HHA 2236 MARSHALL AVENUE (03323) ST PAUL, MN 55104 PHONE: 651/659-0208 FAX: Corp CAREMATE HOME HEALTH CARE INC MR. MICHAEL ADERINKOMI 651/659-0161 HCP-F 2236 MARSHALL AVENUE (26318) ST PAUL, MN 551045799 PHONE: 651/659-0208 FAX: Corp CARING HANDS HOME HEALTH CARE MR. MICHAEL ADERINKOMI 651/659-0161 HCP-A 1955 UNIVERSITY AVENUE W #206 (27815) ST PAUL, MN 55104 PHONE: 651/319-5743 FAX: 651/356-8248 Registration MR. JOHN KWAME AWUKU Minnesota Department of Health Division of Compliance Monitoring Page 313 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab CARING PROFESSIONALS HOMECARE Certification RAMSEY Registration (Cont.)* -------------------------- HCP-A HHA 2356 UNIVERSITY AV W SUITE 220 (25299) ST PAUL, MN 55114 PHONE: 651/789-2299 FAX: MR. MATTHEW DEWEY 651/306-1359 HWSAL-O Lim-Liab CARONDELET VILLAGE - BETHANY C 525 FAIRVIEW AVENUE SOUTH (28388) ST PAUL, MN 55116 PHONE: 651/695-5000 FAX: NProf CARONDELET VILLAGE CARE CENTER MS. HEATHER HEIJERMAN 651/695-5001 NH-45 525 FAIRVIEW AVENUE SOUTH (27189) ST PAUL, MN 55116 PHONE: 651/695-5000 FAX: MS. HEATHER HEIJERMAN 651/695-5001 HWS NProf CARTY HEIGHTS 412 DUNLAP STREET NORTH (26981) ST PAUL, MN 55104 PHONE: 651/288-1142 FAX: MS. HEIDI ELMQUIST 651/209-1912 Home Mgmt NProf CATHOLIC CHARITIES CAREGIVER S 1276 UNIVERSITY AVE (23257) ST PAUL, MN 55104 PHONE: 651/641-3178 FAX: 651/641-1005 MS. PATRICIA MCARDLE HWS NProf CEDAR PARK APARTMENTS - 1266 1266 HAZELWOOD STREET (25843) ST PAUL, MN 55106 PHONE: 651/774-0011 FAX: 651/774-0606 MR. GEOFFREY MEYER HWS NProf CEDAR PARK APARTMENTS - 1286 1286 HAZELWOOD STREET (25842) ST PAUL, MN 55106 PHONE: 651/774-0011 FAX: MR. GEOFFREY MEYER 651/774-0606 HWS NProf CEDAR PARK ARARTMENTS - 1288 1288 HAZELWOOD STREET (25844) ST PAUL, MN 55106 PHONE: 651/774-0011 FAX: Part CENTRAL TOWERS MR. GEOFFREY MEYER 651/774-0606 HCP-F 20 EAST EXCHANGE STREET (27959) ST PAUL, MN 55101 PHONE: 651/215-4600 FAX: NProf CERENITY CARE CTR MARIAN MS. NATALIE MORLAND 651/298-9317 NH-90 SNF-NF-90 200 EARL STREET (00354) ST PAUL, MN 55106 PHONE: 651/793-2100 FAX: 651/771-4509 MR. JEFFREY THORNE Minnesota Department of Health Division of Compliance Monitoring Page 314 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf CERENITY CARE CTR ON HUMBOLDT Certification RAMSEY Registration (Cont.)* -------------------------- NH-125 SNF-NF-125 512 HUMBOLDT AVENUE (00538) ST PAUL, MN 55107 PHONE: 651/227-8091 FAX: NProf CERENITY CC MARIAN ST PAUL MR. TED SCHMIDT 651/220-1755 HCP-F HWSAL 200 EARL STREET (20167) ST PAUL, MN 55106 PHONE: 651/793-2100 FAX: NProf CERENITY RES ON HUMBOLDT MR. JEFFREY THORNE 651/771-4509 HCP-F HWSAL 514 HUMBOLDT AVENUE (20269) ST PAUL, MN 55107 PHONE: 651/220-1700 FAX: NProf CERENITY RES ON HUMBOLDT MR. TODD KLEIN 651/220-1724 NH-30 SNF-30 514 HUMBOLDT AVENUE (00891) ST PAUL, MN 55107 PHONE: 651/220-1700 FAX: MS. HEIDI HOFFMAN 651/220-1724 HWSAL ONProf CERENITY RESIDENCE - MARIAN OF 225 FRANK STREET (21947) ST PAUL, MN 55106 PHONE: 651/793-2100 FAX: 651/771-4509 NProf COMMUNITY FOUNDATIONS MR. JEFFREY THORNE SLFA-16 796 CAPITOL HEIGHTS (01549) ST PAUL, MN 55103 PHONE: 651/221-9880 FAX: 651/225-1545 MR. TERRY SCHNEIDER HWS NProf COMO VILLA ESTATES 837 COMO AVENUE (27427) ST PAUL, MN 55103 PHONE: 651/774-0011 FAX: 651/774-0606 MR. GEOFFERY MEYER Home Mgmt ONProf CONGREGATE HOUSING SERVS PROG 555 WABASHA STREET N STE 400 (03538) ST PAUL, MN 55102 PHONE: 651/292-6035 FAX: 651/298-5666 MS. TERESA VAPLON HWS NProf CORNELIA HOUSE 1840 UNIVERSITY AVENUE WEST (26979) ST PAUL, MN 55104 PHONE: 651/288-3931 FAX: 651/288-5084 MS. JULIE NIEWALD HWS Lim-Liab CRS GROTTO REENTRY LLC 450 GROTTO STREET NORTH (26964) ST PAUL, MN 55104 PHONE: 763/566-2888 FAX: 763/566-3949 MR. MARCELL GARRETSON Minnesota Department of Health Division of Compliance Monitoring Page 315 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Ind DALYCE ELLIOTT YOUNG Certification RAMSEY Registration (Cont.)* -------------------------- HCP-C 1610 FERNWOOD ST (27878) ST PAUL, MN 55108 PHONE: 651/488-4896 FAX: MS. DALYCE YOUNG /- NProf DIANE AHRENS CRISIS RESIDENCE SLFA-16 1593 HEWITT AVENUE (01095) ST PAUL, MN 55104 PHONE: 651/645-9424 FAX: MS. JENNIFER WEIGELT 651/645-3216 Corp DIVINE HEALTHCARE NETWORK HCP-A HHA 856 UNIVERSITY AVENUE (03484) ST PAUL, MN 55104 PHONE: 651/665-9795 FAX: MR. ISAAC OBI 651/665-9796 Ind DOMUS HEALTH CARE HCP-F HWSAL-O 279 ROBIE STREET EAST (27976) ST PAUL, MN 55107 PHONE: 651/222-7872 FAX: MS. IMEE DEL MUNDO /- Lim-Liab DUNGARVIN BALBRIGGEN SLFA-5 1270 EAST LARPENTEUR AVENUE (01182) ST PAUL, MN 55109 PHONE: 651/699-6050 FAX: 651/699-7265 Lim-Liab DUNGARVIN TIKVAH MS. NATALIE GRAF SLFA-6 1778 ROME AVENUE (01368) ST PAUL, MN 55116 PHONE: 651/699-6050 FAX: 651/699-7265 Corp EFFICIENT MEDICAL SERVICES INC MS. NATALIE GRAF HCP-A 577B UNIVERSITY AVE WEST (21483) ST PAUL, MN 55103 PHONE: 651/647-9717 FAX: NProf EPISCOPAL CHURCH HOME OF MN MR. AUGUSTINE AKPAN 651/644-9704 BCH-50 NH-81 1879 FERONIA AVENUE (00486) ST PAUL, MN 55104 PHONE: 651/646-4061 FAX: NProf EPISCOPAL HOME CARE AND SERVIC MR. MICHAEL KAREL 651/288-5087 HCP-A 490 EAST LYNNHURST AVENUE (27670) ST PAUL, MN 55104 PHONE: 651/632-8808 FAX: NProf EPISCOPAL HOME CARE AND SRVS MR. MIKE KAREL 651/288-4662 HCP-F 490 EAST LYNNHURST AVENUE (26962) ST PAUL, MN 55104 PHONE: 651/632-8808 FAX: 651/288-4662 MR. MIKE KAREL NF2-50 SNF-NF-81 Minnesota Department of Health Division of Compliance Monitoring Page 316 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf EQUITY SERVICES OF ST PAUL Certification RAMSEY Registration (Cont.)* -------------------------- HCP-A HHA 1169 RICE STREET (02531) ST PAUL, MN 55117 PHONE: 651/489-4656 FAX: MR. BRUCE LARSON 651/489-4811 HWSAL Corp ESSLINGS HOMES PLUS INC 2188 BONNIE LANE (20272) ST PAUL, MN 55119 PHONE: 651/735-7259 FAX: MS. BRIDGET ESSLING LOCKBAUM 651/730-1667 HWSAL Corp ESSLINGS HOMES PLUS INC 2187 BONNIE LANE (20271) ST PAUL, MN 55119 PHONE: 651/735-7259 FAX: MS. BRIDGET ESSLING LOCKBAUM 651/735-7259 Corp EXPRESS HOME HEALTH CARE HCP-A 1148 ARCADE STREET (21956) ST PAUL, MN 55106 PHONE: 651/776-9910 FAX: MS. PA YANG 651/776-9181 Corp FIRST CHOICE HOME CARE INC HCP-A HHA 933 WHITE BEAR AVENUE NORTH (03253) ST PAUL, MN 55106 PHONE: 651/488-1680 FAX: 651/487-4087 Lim-Liab FIRSTAT NURSING SERVICES MS. PANG THAO HCP-A HHA 1885 UNIVERSITY AVE W (22015) ST PAUL, MN 55104 PHONE: 651/288-0222 FAX: 651/288-0214 NProf FRANCISCAN HOME CARE MS. DEANNA HAMMOND HCP-A 1903 NORFOLK AVENUE (03288) ST PAUL, MN 55116 PHONE: 651/696-8425 FAX: MS. PAULA FISCHER 651/696-8434 NProf FRANCISCAN HOME HEALTH HCP-A HHA 2076 ST ANTHONY AVENUE (23112) ST PAUL, MN 55104 PHONE: 651/789-5030 FAX: 651/789-0078 MS. NANCY LARSON ESRD Corp FRESENIUS MEDICAL CARE MIDWAY 1690 UNIVERSITY AVE W # B-100 (23762) ST PAUL, MN 55104 PHONE: 651/917-0081 FAX: 651/917-0091 MS. CAROL MEREDITH ESRD Corp FRESENIUS MEDICAL OF ST PAUL 445 ETNA STREET SUITE 60 (23523) ST PAUL, MN 55106 PHONE: 651/251-3847 FAX: /- MS. LYNN HAMILTON Minnesota Department of Health Division of Compliance Monitoring Page 317 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp GALTIER HEALTH CENTER Certification RAMSEY Registration (Cont.)* -------------------------- NH-112 SNF-NF-112 445 GALTIER AVENUE (00480) ST PAUL, MN 55103 PHONE: 651/224-1848 FAX: MR. THOMAS THOMPSON 651/224-9613 NProf GILLETTE CHILDRENS SPEC HOSP HOSP-60 HOSP-60 200 UNIVERSITY AVENUE EAST (00488) ST PAUL, MN 55101 PHONE: 651/229-3838 FAX: MS. MARGARET PERRYMAN 651/229-3999 Lim-Liab GOLDEN LIVINGCENTER LYNNHURST NH-72 SNF-NF-72 471 LYNNHURST AVENUE WEST (00945) ST PAUL, MN 55104 PHONE: 651/645-6453 FAX: MR. DAVID USELMAN 651/659-0681 HWSAL-O HRA HAMLINE HI RISE 777 NORTH HAMLINE AVENUE (20541) ST PAUL, MN 55104 PHONE: 651/292-6035 FAX: MS. TERESA VAPLON 651/298-5666 Ind HAPPY HOME CARE SERVICES HCP-A 1200 FOREST STREET # 1 (26709) ST PAUL, MN 55106 PHONE: 651/772-6986 FAX: /- MR. SHAO YANG HWS Corp HARRY & JEANETTE WEINBERG APAR 760 PERLMAN STREET (26377) ST PAUL, MN 55102 PHONE: 651/925-8000 FAX: 651/925-8067 Corp HAYES RESIDENCE MS. LAURI MITCHELL BCH-40 NF2-40 1620 RANDOLPH AVENUE (00928) ST PAUL, MN 55105 PHONE: 651/690-4458 FAX: MRS. HELEN JENNEN 651/690-2787 Lim-Liab HEALTH FOUNDATIONS LLC 968 GRAND AVENUE (27753) ST PAUL, MN 55105 PHONE: 651/895-2520 FAX: NProf HEALTHEAST BETHESDA HOSPITAL MS. AMY JOHNSON - GRASS 651/330-3768 HOSP-254 HOSP-254 559 CAPITOL BOULEVARD (00976) ST PAUL, MN 55103 PHONE: 651/232-2000 FAX: NProf HEALTHEAST HOME CARE MS. CATHERINE BARR 651/232-2118 HCP-A HHA 1700 UNIVERSITY AVENUE (02250) ST PAUL, MN 55104 PHONE: 651/232-2800 FAX: 651/232-2891 MS. NADINE PAITICH Minnesota Department of Health Division of Compliance Monitoring Page 318 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf HEALTHEAST HOSPICE Certification RAMSEY Registration (Cont.)* -------------------------- Hospice HSPICE 45 WEST 10TH STREET (02353) ST PAUL, MN 55102 PHONE: 651/232-3312 FAX: MS. BETH SPOTTISWOODE 651/232-3494 Corp HEALTHY COMMUNITY SERVICES INC HCP-A 1096 RICE STREET STE A (28047) ST PAUL, MN 55117 PHONE: 651/407-8949 FAX: MS. AI VANG 651/487-3130 HWSAL NProf HERITAGE APARTMENTS INC 1440 MIDWAY PARKWAY (20280) ST PAUL, MN 55108 PHONE: 651/632-5428 FAX: MS. JENNIFER VEITENHEIMER 651/632-5451 Lim-Liab HIGHLAND CHATEAU HCC NH-64 SNF-NF-64 2319 WEST SEVENTH STREET (00494) ST PAUL, MN 55116 PHONE: 651/698-0793 FAX: MS. ANN THOLE 651/698-0378 Lim-Liab HIGHLAND HOME CARE LLC HCP-A 1795 BAYARD AVENUE (26945) ST PAUL, MN 55116 PHONE: 651/249-3714 FAX: /- MR. MICHAEL RYAN ESRD Corp HIGHLAND PARK DIALYSIS 1559 WEST SEVENTH STREET (25766) ST PAUL, MN 55102 PHONE: 651/222-7139 FAX: 651/224-3655 Corp HOME CARE GIVERS INC MS. BECKY SKWIRA HCP-A 806 7TH STREET #201 (27359) ST PAUL, MN 55106 PHONE: 651/808-4044 FAX: MR. ARTEMIO ALVARADO /- Corp HOPE HOME HEALTH CARE SERVICES HCP-A 749 MILTON STREET NORTH (21961) ST PAUL, MN 55104 PHONE: 651/225-8868 FAX: NProf HOPE INTERNATIONAL HOME HEALTH MR. EH VUE 651/488-7600 HCP-A 220 S ROBERT ST STE 109 (27762) ST PAUL, MN 55107 PHONE: 651/222-3962 FAX: Corp HUMAN CARE INC MR. JAMES GBALA 651/222-3962 HCP-A 450 SYNDICATE STREET STE 380 (25211) ST PAUL, MN 55104 PHONE: 651/999-5733 FAX: 651/999-5735 MR. MUSSE SALAH Minnesota Department of Health Division of Compliance Monitoring Page 319 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf INTEGRATED HOME CARE Certification RAMSEY Registration (Cont.)* -------------------------- HCP-A HHA 475 ETNA STREET ST (02303) ST PAUL, MN 55106 PHONE: 651/415-4663 FAX: MS. DENISE EDGETT 651/415-4010 Lim-Liab INVESTING IN BEHAVIORAL SERVIC HCP-A 199 CESAR CHAVEZ STREET STE 1 (28544) ST PAUL, MN 55107 PHONE: 310/430-9473 FAX: 763/208-3989 MR. MARCO PLASENCIA HWSAL NProf IRIS PARK COMMONS 1850 UNIVERSITY AVENUE WEST (23247) ST PAUL, MN 55104 PHONE: 651/646-1026 FAX: 651/632-8807 MR. MARK LADWIG HWS ONProf KIMBALL COURT 545 NORTH SNELLING AVENUE (26481) ST PAUL, MN 55104 PHONE: 612/871-0890 FAX: 612/871-0843 MS. LEE BLONS HWS NProf KINGDOM PATHWAYS FREEDOM HOUSE 426 OXFORD STREET NORTH (24969) ST PAUL, MN 55433 PHONE: 651/387-8393 FAX: /- MS. LORIANNE MICHAUD HWS NProf KINGDOM PATHWAYS FREEDOM HOUSE 1038 AURORA AVENUE (24970) ST PAUL, MN 55104 PHONE: 651/387-8393 FAX: /- MS. LORIANNE MICHAUD HWS NProf LABLANCHE APARTMENTS 1365 WESTERN AVENUE (27421) ST PAUL, MN 55117 PHONE: 651/774-0011 FAX: 651/774-0606 MR. GEOFFERY MEYER HWS NProf LABLANCHE APARTMENTS 1366 WESTERN AVENUE (27422) ST PAUL, MN 55117 PHONE: 651/774-0011 FAX: 651/774-0606 MR. GEOFFERY MEYER HWS NProf LAMPLIGHTER VILLAGE 1551 ALBAMARLE STREET (27423) ST PAUL, MN 55117 PHONE: 651/774-0011 FAX: 651/774-0606 MR. GEOFFREY MEYER HWS NProf LAMPLIGHTER VILLAGE 1512 WOODBRIDGE ST STE 202 (27766) ST PAUL, MN 55117 PHONE: 651/744-0011 FAX: /- MR. GEOFFREY MEYER Minnesota Department of Health Division of Compliance Monitoring Page 320 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp LANDMARK SURGERY CENTER Certification RAMSEY Registration (Cont.)* -------------------------- Outpt Surg Amb Surg 17 WEST EXCHANGE ST STE 222 (00430) ST PAUL, MN 55102 PHONE: 651/968-5468 FAX: MS. BECKIE HINES 651/968-5492 HWS NProf LAWSON ARMS APARTMENTS - 1032 1032 DULUTH STREET (26320) ST PAUL, MN 55106 PHONE: 651/774-0011 FAX: MR. GEOFFERY MEYER 651/774-0606 Out Pt Out St Out Ot NProf LIFETRACK RESOURCES 709 UNIVERSITY AVENUE WEST (02090) ST PAUL, MN 55104 PHONE: 651/227-8471 FAX: MR. JOHN MOHR /- NProf LITTLE SISTERS OF THE POOR BCH-33 NH-40 NF2-33 SNF-NF-40 330 SOUTH EXCHANGE STREET (00763) ST PAUL, MN 55102 PHONE: 651/227-0336 FAX: SR. THERESA ROBERTSON 651/227-7321 Home Mgmt Corp LOVINGCARE NURSING AND HOMECAR 501 NORTH DALE STREET (28141) ST PAUL, MN 55103 PHONE: 651/848-0061 FAX: 651/848-0322 MS. EDILEOLA ADEWOLA HWSAL NProf LYNGBLOMSTEN APARTMENTS 1455 ALMOND AVENUE (20250) ST PAUL, MN 55108 PHONE: 651/632-5422 FAX: 651/632-5440 Church LYNGBLOMSTEN CARE CENTER MS. JILL HULT NH-237 SNF-NF-237 1415 ALMOND AVENUE (00501) ST PAUL, MN 55108 PHONE: 651/646-2941 FAX: MR. JEFF HEINECKE 651/646-8360 Church LYNGBLOMSTEN SERVICES INC HCP-A 1415 ALMOND AVENUE (03381) ST PAUL, MN 55108 PHONE: 651/646-2941 FAX: MS. JANET BYRNES 651/646-8360 HWS NProf MARK GUNTER - 249 WESTERN 249 WESTERN AVENUE (25228) ST PAUL, MN 55102 PHONE: 651/774-0011 FAX: MR. GEOFFERY MEYER 651/774-0606 Ind MARY ALICE F REED HCP-C 2395 BENSON AVE #307 (24244) ST PAUL, MN 55116 PHONE: 763/370-5426 FAX: /- MS. MARY ALICE REED Minnesota Department of Health Division of Compliance Monitoring Page 321 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Ind MARY ELLEN BRANDT Certification RAMSEY Registration (Cont.)* -------------------------- HCP-A 1418 WOODBRIDGE STREET (22092) ST PAUL, MN 55117 PHONE: 651/487-5544 FAX: MS. MARY ELLEN BRANDT /- HWS NProf MARY HALL 438 MAIN STREET (27350) ST PAUL, MN 55102 PHONE: 651/647-2340 FAX: MS. PATRICIA WILDER 651/222-2412 HWS NProf MAST APARTMENTS - 1384 ST PAUL 1384 ST PAUL AVENUE (27255) ST PAUL, MN 55116 PHONE: 651/774-0011 FAX: MR. GEOFFERY MEYER 651/774-0606 Lim-Liab MATRXCARE LLC HCP-A 411 MAIN STREET SUITE 412 (25677) ST PAUL, MN 55102 PHONE: 651/269-2999 FAX: MR. GARY BAILEY /- Lim-Liab MAXIMUM HOMECARE SERVICES LLC HCP-A 1577 NEVADA AVENUE (26758) ST PAUL, MN 55106 PHONE: 651/353-8964 FAX: 651/330-2045 Corp METRO HOME HEALTH INC MS. MERCY ALO HCP-A 345 UNIVERSITY AVE W STE A (25321) ST PAUL, MN 551032091 PHONE: 651/647-4330 FAX: 651/647-1075 Corp MIDWAY HOME HEALTH CARE MR. SUNDAY OLAYINKA HCP-A HHA 1324 PAYNE AVENUE (21405) ST PAUL, MN 55106 PHONE: 651/793-6901 FAX: Corp MINNESOTA NATIONAL HEALTH KARE MR. FONG LOR 651/776-5251 HCP-A 23 EMPIRE DRIVE STE 123N (28271) ST PAUL, MN 55103 PHONE: 651/222-2787 FAX: Corp MINNESOTA SENIOR CARE INC MS. CATALINA LO 651/224-1057 HCP-B 1394 JACKSON ST SUITE 105 (25623) ST PAUL, MN 55117 PHONE: 651/493-8837 FAX: 651/493-8910 MS. KAO LOR HWSAL-O HRA MONTREAL NBBI 1085 MONTREAL AVE #1406 (24468) ST PAUL, MN 55116 PHONE: 651/292-6035 FAX: 651/298-5666 MS. TERESA VAPLON Minnesota Department of Health Division of Compliance Monitoring Page 322 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp MORNING STAR HEALTHCARE SERVIC Certification RAMSEY Registration (Cont.)* -------------------------- HCP-A 2147 UNIVERSITY AVE WEST #206 (24798) ST PAUL, MN 55114 PHONE: 651/209-2950 FAX: MR. LAWRENCE UBANI 651/917-2013 HWS Lim-Liab MORNING STAR HEALTHCARE SERVIC 2147 UNIVERSITY AVENUE W (25616) ST PAUL, MN 55114 PHONE: 651/209-2950 FAX: Corp MOUNDS PARK RESIDENCE MR. LAWRENCE UBANI 651/917-2013 BCH-36 908 MOUND STREET (00998) ST PAUL, MN 55106 PHONE: 651/776-7170 FAX: Corp MY HOME HEALTH CARE INC MS. LAURA REYNOLDS 651/776-4196 HCP-A 569 DALE ST N STE 100 (21876) ST PAUL, MN 55103 PHONE: 651/488-3126 FAX: Church NEW HARMONY CARE CENTER MRS. MAI YER SOUNG 651/487-7637 NH-76 SNF-NF-76 135 GERANIUM AVENUE EAST (00492) ST PAUL, MN 55117 PHONE: 651/488-6658 FAX: 651/488-7587 Lim-Liab NORTHWEST HOME HEALTH CARE MR. TRENTON CARLSON HCP-A 1821 UNIVERSITY AVE W (24008) ST PAUL, MN 55104 PHONE: 651/493-3834 FAX: 651/493-3835 NProf OUR HOUSE OF MN INC I MR. SYLVESTER AMELETSE SLFA-6 ICFMR-6 1846 DAYTON AVENUE (01102) ST PAUL, MN 55104 PHONE: 651/646-1104 FAX: NProf OUR HOUSE OF MN INC II MR. DENNIS HOLMAN 651/646-1104 SLFA-6 ICFMR-6 1846 PORTLAND AVENUE (01173) ST PAUL, MN 55104 PHONE: 651/646-1104 FAX: NProf OUR LADY OF PEACE HOME MR. DENNIS HOLMAN 651/646-1104 NH-40 2076 ST ANTHONY AVENUE (00869) ST PAUL, MN 55104 PHONE: 651/646-2797 FAX: Corp PATHWAYS TO COMMUNITY INC MR. JOE STANSILAV 651/646-7884 HCP-A 475 N CLEVELAND AVE (26113) ST PAUL, MN 55104 PHONE: 651/641-4009 FAX: 651/641-4015 MR. JAMES KRUSE Minnesota Department of Health Division of Compliance Monitoring Page 323 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp PEACEFUL LIVING SERVICES Certification RAMSEY Registration (Cont.)* -------------------------- HCP-F HWSAL 1000 REANEY (24993) ST PAUL, MN 55106 PHONE: 651/493-1485 FAX: NProf PEOPLE INCORPORATED MS. BAO VANG 612/435-9881 HCP-A HHA 317 YORK AVENUE (02672) ST PAUL, MN 55130 PHONE: 651/774-0202 FAX: NProf PEOPLE INCORPORATED MS. SUE HOISINGTON 651/774-5517 HCP-F 317 YORK AVENUE (21945) ST PAUL, MN 55101 PHONE: 651/774-0011 FAX: MS. ERIKA ASHE 651/774-0606 HWS-O NProf PEOPLE INCORPORATED EDGEBROOK 2250 EDGEBROOK AVE (21907) ST PAUL, MN 55119 PHONE: 651/731-0821 FAX: MR. M. TIMOTHY BURKETT 651/731-0821 HWS-O NProf PEOPLE INCORPORATED LONDIN PLA 384 LONDIN PLACE (21902) ST PAUL, MN 55119 PHONE: 651/731-0821 FAX: 651/731-0821 MR. M. TIMOTHY BURKETT HWS-O NProf PEOPLE INCORPORATED RUTH HOUSE 246 RUTH STREET (21908) ST PAUL, MN 55119 PHONE: 651/731-0821 FAX: 651/731-0821 Part PHCSS LLP MR. M. TIMOTHY BURKETT HCP-A 293 COMO AVENUE UNIT 200 (27945) ST PAUL, MN 55103 PHONE: 651/487-3048 FAX: NProf PHOENIX AT DOUGLAS MS. PHUA YANG 651/487-3055 SLFB-6 ICFMR-6 1538 POINT DOUGLAS (23482) ST PAUL, MN 55119 PHONE: 651/227-7655 FAX: NProf PHOENIX AT FOSS MS. DARLENE SCOTT 651/227-6847 SLFB-6 ICFMR-6 1500 AMES (23483) ST PAUL, MN 55106 PHONE: 651/227-7655 FAX: NProf PHOENIX AT VIKING MS. DARLENE SCOTT 651/227-6847 SLFB-6 ICFMR-6 645 VIKING DRIVE EAST (01195) ST PAUL, MN 55117 PHONE: 651/227-7655 FAX: 651/227-6847 MS. DARLENE SCOTT Minnesota Department of Health Division of Compliance Monitoring Page 324 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification RAMSEY (Cont.)* -------------------------Out St Out Ot Corp PROFESSIONAL REHAB CONSULTANTS Registration 1246 UNIVERSITY AVENUE WEST (02584) ST PAUL, MN 55104 PHONE: 651/293-3997 FAX: MS. MAREE COOK 651/224-0624 Home Mgmt Corp RAINBOW HOME HEALTHCARE INC 1417 ARCADE STREET (26839) ST PAUL, MN 55106 PHONE: 651/778-0562 FAX: MR. PAOGE VANG 651/778-9967 HWSAL NProf RAKHMA JOY HOME 123 SOUTH WHEELER (20115) ST PAUL, MN 55105 PHONE: 612/824-2345 FAX: MS. SUSAN ECKSTROM 612/824-3165 CMHC Cnty RAMSEY CO MENTAL HEALTH CTR 1919 UNIVERSITY AVE SUITE 200 (23090) ST PAUL, MN 55104 PHONE: 651/266-7920 FAX: MS. NANCY HOULTON /- Cy-Co RAMSEY COUNTY DETOX CENTER SLFB-50 402 UNIVERSITY AVENUE EAST (01571) ST PAUL, MN 55130 PHONE: 651/266-4009 FAX: 651/266-4539 MR. KIRK FOWLER HWSAL-O HRA RAVOUX HI RISE 280 RAVOUX STREET (20540) ST PAUL, MN 55103 PHONE: 651/292-6035 FAX: 651/298-5666 MS. TERESA VAPLON HWS Corp REDEEMERS ARMS 313 NORTH DALE (24994) ST PAUL, MN 55103 PHONE: 651/774-0011 FAX: NProf REGIONS HOSPITAL MR. GEOFFERY MEYER 651/774-0606 BASS-26 HOSP-454 HOSP-438 PPS-R-16 640 JACKSON STREET (00527) ST PAUL, MN 55101 PHONE: 651/254-2191 FAX: Corp REM RAMSEY INC (WILSON AVENUE) MR. BROCK NELSON 651/254-2194 SLFB-10 ICFMR-10 1975 WILSON AVENUE (01344) ST PAUL, MN 55119 PHONE: 651/644-7680 FAX: Corp REM RAMSEY INC GOODRICH MS. CONNIE MENNE 651/644-6777 SLFA-6 ICFMR-6 917 GOODRICH AVE (01055) ST PAUL, MN 55105 PHONE: 651/644-7680 FAX: 651/644-6777 MS. CONNIE MENNE Minnesota Department of Health Division of Compliance Monitoring Page 325 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp REM RAMSEY INC MISSISSIPPI Certification RAMSEY Registration (Cont.)* -------------------------- SLFA-6 ICFMR-6 1866 MISSISSIPPI RIVER BLVD S (01056) ST PAUL, MN 55116 PHONE: 651/644-7680 FAX: Corp REM RAMSEY INC NEBRASKA MS. CONNIE MENNE 651/644-6777 SLFA-6 ICFMR-6 2140 NEBRASKA AVENUE EAST (21032) ST PAUL, MN 55119 PHONE: 651/644-7680 FAX: Corp REM RAMSEY INC WYOMING MS. CONNIE MENNE 651/644-6777 SLFA-6 ICFMR-6 445 EAST WYOMING (01088) ST PAUL, MN 55107 PHONE: 651/644-7680 FAX: MS. CONNIE MENNE 651/644-6777 HWS NProf RENAISSANCE BOX 200 EAST 10TH STREET (28139) ST PAUL, MN 55101 PHONE: 651/224-4710 FAX: MR. GEOFFREY MEYER 651/228-7112 HWSAL NProf ROSEWOOD ESTATE OF HIGHLAND 750 MISSISSIPPI RIVER BLVD (20168) ST PAUL, MN 55116 PHONE: 651/698-1111 FAX: 651/698-8688 Corp ROSEWOOD ESTATE OF HIGHLAND MS. DEBRA WATSON HCP-F 750 MISSISSIPPI RIVER BLVD (21913) ST PAUL, MN 55116 PHONE: 651/698-1111 FAX: 651/698-8688 Corp SAFETY CARE INC MS. DEBRA WATSON HCP-A HHA 933-A UNIVERSITY AVENUE (03351) ST PAUL, MN 55104 PHONE: 651/645-4537 FAX: Corp SCENIC HILLS ALTERNATIVE CARE MS. STELLA NWAIWU 651/645-4358 HCP-F 2187 BONNIE LANE (26210) ST PAUL, MN 55119 PHONE: 651/735-7259 FAX: 651/730-1667 MS. BRIDGET ESSLING LOCKBAUM HWS Corp SCENIC HILLS ALTERNATIVE CARE 2170 SNOWSHOE LANE E (23158) ST PAUL, MN 55119 PHONE: 651/735-7259 FAX: 651/730-1667 MS. BRIDGET ESSLING LOCKBAUM HWS NProf SEABURY 1830 UNIVERSITY AVENUE WEST (26982) ST PAUL, MN 55104 PHONE: 651/379-5102 FAX: 651/209-8080 MS. KIRE MEYER-QUIST Minnesota Department of Health Division of Compliance Monitoring Page 326 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp SERENITY HOME HEALTH CARE SYST Certification RAMSEY Registration (Cont.)* -------------------------- HCP-A 161 ST ANTHONY AVENUE STE 830 (26753) ST PAUL, MN 55103 PHONE: 952/451-4149 FAX: MR. MOHAMED ALBERT 651/493-4868 Part SHEPARD PARK HC HCP-F HWSAL 2235 ROCKWOOD AVENUE (20169) ST PAUL, MN 55116 PHONE: 651/698-3954 FAX: MS. HEATHER RADUENZ 651/698-4013 NProf SHIRLEY CHAPMAN SHOLOM HM EAST NH-92 SNF-NF-92 740 KAY AVENUE (00496) ST PAUL, MN 55102 PHONE: 651/328-2000 FAX: MS. JENNIFER BEVER 651/328-2070 HWS NProf SIBLEY PARK - 211 211 EAST 7TH STREET (26449) ST PAUL, MN 55101 PHONE: 651/774-0011 FAX: MR. GEOFFERY MEYER 651/774-0606 Corp ST ANTHONY PARK HOME NH-84 SNF-NF-84 2237 COMMONWEALTH AVENUE (00997) ST PAUL, MN 55108 PHONE: 651/632-3500 FAX: 651/644-0792 NProf ST JOSEPHS HOSPITAL MR. JOHN BARKER BASS-40 HOSP-401 HOSP-401 45 W 10TH STREET (00524) ST PAUL, MN 55102 PHONE: 651/232-3000 FAX: 651/232-3518 NProf ST MARYS HOSPICE MS. SARA CRIGER Hospice HSPICE 2076 ST ANTHONY AVENUE (21131) ST PAUL, MN 55104 PHONE: 651/789-5030 FAX: 651/789-0078 MS. NANCY LARSON ESRD Corp ST PAUL CAPITOL DIALYS AT HOME 555 PARK STREET SUITE 110 (24071) ST PAUL, MN 55103 PHONE: 651/221-3437 FAX: MR. GARY BEIL /- ESRD Corp ST PAUL CAPITOL DIALYSIS 555 PARK STREET SUITE 230 (02105) ST PAUL, MN 55103 PHONE: 651/221-3318 FAX: MS. JILL MEYERSON-COCHLIN /- ESRD Corp ST PAUL DIALYSIS 555 PARK ST SUITE 180 (02183) ST PAUL, MN 55103 PHONE: 651/291-8855 FAX: /- MS. TAMMY FOLDEN Minnesota Department of Health Division of Compliance Monitoring Page 327 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification RAMSEY (Cont.)* -------------------------HWS NProf ST PAUL RESIDENCE Registration 902 HERSEY STREET (25394) ST PAUL, MN 55114 PHONE: 651/647-2325 FAX: MR. JAMES GILLHAM 651/603-0462 Corp STAR SERVICES HCP-A 1295 BANDANA BLVD. N. (26883) ST PAUL, MN 55108 PHONE: 651/644-3140 FAX: MS. ANGIE HART 651/641-0346 HWS NProf STRAUS LOFTS 350 SIBLEY STREET (27425) ST PAUL, MN 55101 PHONE: 651/774-0011 FAX: MR. GEOFFREY MEYER 651/774-0606 ESRD Corp SUN RAY DIALYSIS UNIT 1744 OLD HUDSON ROAD (25767) ST PAUL, MN 55106 PHONE: 651/793-5191 FAX: MS. JENNY MCPHILLIPS /- Corp SUNLIGHT SENIOR LIVING HCP-F HWSAL 400 WESTERN AVENUE (27035) ST PAUL, MN 55103 PHONE: 651/714-5056 FAX: 651/714-5059 MS. LEE VANG HWSAL Lim-Liab SUNLIGHT SERVICES 281 CESAR CHAVEZ STREET (24453) ST PAUL, MN 55107 PHONE: 651/714-5056 FAX: 651/714-5059 MS. LEE VANG HWSAL Lim-Liab SUNLIGHT SERVICES LLC 1105 HAZEL STREET (24717) ST PAUL, MN 55119 PHONE: 651/714-5056 FAX: Lim-Liab SUNLIGHT SERVICES LLC MS. LEE VANG 651/714-5059 HCP-F HWSAL 440 VIRGINIA STREET (23761) ST PAUL, MN 55103 PHONE: 651/312-1113 FAX: Corp SUNSHINE HOME HEALTH CARE INC MS. LEE VANG 651/714-5059 HCP-A 1885 UNIVERSITY AVE W SUITE 36 (24346) ST PAUL, MN 55104 PHONE: 651/645-1449 FAX: Lim-Liab SUPPORTIVE LIVING SOLUTIONS MR. HASSAN ELMI 651/645-1437 HCP-A 255 SUMMIT AVENUE (28464) ST PAUL, MN 55102 PHONE: 651/222-7587 FAX: 651/222-5341 MS. CARLEEN FLETTRE Minnesota Department of Health Division of Compliance Monitoring Page 328 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification RAMSEY (Cont.)* -------------------------HWS NProf TALITHA CUMI WOMENS HOME Registration 1565 ALBERTMERLE STREET (28497) ST PAUL, MN 55117 PHONE: 651/315-9221 FAX: MS. IRENE STOCKETT /- Lim-Liab TAPESTRY SLFA-3 SLFB-48 135 EAST COLORADO STREET (25565) ST PAUL, MN 55107 PHONE: 651/489-7740 FAX: MS. DEB CHMIELESKI 651/489-6458 HWSAL Part THE ALTON MEMORY CARE 1306 ALTON STREET (25829) ST PAUL, MN 55116 PHONE: 651/699-2480 FAX: Corp THE COOPERATING COMMUNITY PROG MS. CINDY LEACH 651/699-2386 HCP-A 1885 UNIVERSITY AVE W (27234) ST PAUL, MN 55104 PHONE: 651/503-8618 FAX: Corp THE QUINLAN HOME MR. JOHN RENTSCHLER 651/917-8311 BCH-58 391 PLEASANT AVENUE (00363) ST PAUL, MN 55102 PHONE: 651/222-7200 FAX: 651/224-0624 MS. LAURA REYNOLDS HWS NProf THE SALAVATION ARMY BOOTH BROW 1471 COMO AVENUE WEST (24600) ST PAUL, MN 55108 PHONE: 651/646-2601 FAX: 651/646-1655 MAJOR ARNEL RUPPEL Home Mgmt Lim-Liab TOUCHING HEARTS AT HOME ST PAU 550 SNELLING AVENUE S STE 103 (27544) ST PAUL, MN 55116 PHONE: 651/452-6825 FAX: Lim-Liab TWIN CITIES HOME HEALTH CARE A MR. JARROD PETERSON 651/236-8279 HCP-A 111 KELLOGG BLVD E # 227/228 (27855) ST PAUL, MN 55101 PHONE: 651/298-1086 FAX: Lim-Liab TWIN TOWN TREATMENT CENTER MR. R. LAMAR HUDSON 651/298-8711 SLFA-50 1706 UNIVERSITY AVENUE (01200) ST PAUL, MN 55104 PHONE: 651/645-3661 FAX: 651/645-0959 MR. STEVEN BRANCO HWS Corp TWINS CARE NURSING SERVICE INC 1730 GRAHAM AVENUE WEST (26922) ST PAUL, MN 55116 PHONE: 952/423-1204 FAX: 952/423-4113 MS. SHERRI WRIGHT Minnesota Department of Health Division of Compliance Monitoring Page 329 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp UNITED HOME HEALTHCARE INC Certification RAMSEY Registration (Cont.)* -------------------------- HCP-A 161 ST ANTHONY AVENUE (27588) ST PAUL, MN 55103 PHONE: 651/489-4735 FAX: MR. NENG YANG 651/489-4738 NProf UNITED HOSPITAL BASS-40 HOSP-546 HOSP-15 333 NORTH SMITH AVENUE (00525) ST PAUL, MN 55102 PHONE: 651/241-8816 HOSP-515 PPS-P-15 PPS-R-16 HOSP15 FAX: MR. TOM O'CONNER 651/241-5189 ESRD Corp UNIVERSITY DIALYSIS RIVERSIDE 1045 WESTGATE DRIVE #90 (03881) ST PAUL, MN 55114 PHONE: 651/645-1847 FAX: MS. WENDY VALENTO 651/645-1890 Lim-Liab UNIVERSITY HOME HEALTH CARE LL HCP-A 379 UNIVERSITY AVE W STE 379 (28138) ST PAUL, MN 55103 PHONE: 651/665-0026 FAX: MS. TIA LEE 651/204-0826 Corp V-CARE HOME HEALTH INC HCP-A 1049 PAYNE AVENUE (28359) ST PAUL, MN 55130 PHONE: 651/793-7635 FAX: 651/793-7659 MS. SUE KIACHIATONG XIONG HWSAL-O HRA VALLEY HI RISE 261 UNIVERSITY AVENUE (24472) ST PAUL, MN 55101 PHONE: 651/292-6035 FAX: 651/298-5666 NProf VIETNAMESE MINNESOTANS ASSOCIA MS. TERESA VAPLON HCP-A 1030 UNIVERSITY AVENUE STE 140 (27589) ST PAUL, MN 55104 PHONE: 651/290-4791 FAX: MR. TINH TRAN 651/290-4785 NProf WILDER ASSISTED LIVNG PROGRAMS HCP-F 650 MARSHALL AVENUE (20812) ST PAUL, MN 55104 PHONE: 651/280-2298 FAX: MS. JOCELYN SCHOWALTER 651/224-6906 Corp WINGSPAN LIFE RESOURCES SLFA-6 ICFMR-6 2134 MARSHALL AVENUE (01287) ST PAUL, MN 55104 PHONE: 651/646-3846 FAX: 651/646-2347 MS. PATRICIA MOORE HWS NProf WOLKOWICZ PROPERTIES 981 NORTH ST ALBANS (27767) ST PAUL, MN 55103 PHONE: 651/774-0011 FAX: /- MR. GEOFFREY MEYER Minnesota Department of Health Division of Compliance Monitoring Page 330 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification RAMSEY (Cont.)* -------------------------HWS NProf WOODBRIDGE TERRACE APARTMENTS Registration 208 WEST HOYT (25894) ST PAUL, MN 55117 PHONE: 651/774-0011 FAX: MR. GEOFFERY MEYER 651/774-0606 HWSAL Part CENTRAL TOWERS 20 EAST EXCHANGE STREET (20319) ST PAUL 55101, MN 55101 PHONE: 651/215-4600 FAX: MR. FREDERICK BRUMM 651/298-9317 Home Mgmt Corp ASIAN AMERICAN HOME HC SERVICE 3301 EDGERTON STREET (27586) VADNAIS HEIGHTS, MN 55127 PHONE: 651/641-8660 FAX: MR. PHINEAS VANG 651/641-8652 HWS-O Ind CHRISTIAN GLANCEY 4021 ELMWOOD STREET (25585) VADNAIS HEIGHTS, MN 55127 PHONE: 651/653-7444 FAX: MR. CHRISTIAN GLANCEY /- Corp LIFESPAN HOME CARE SERVICES IN HCP-A 3225 MEADOWBROOK COURT (23141) VADNAIS HEIGHTS, MN 55127 PHONE: 651/210-7122 FAX: 651/484-7489 NProf PHOENIX AT CENTERVILLE MS. AKPENE ASEMPA SLFB-6 ICFMR-6 785 EAST COUNTY ROAD E (01649) VADNAIS HEIGHTS, MN 55127 PHONE: 651/227-7655 FAX: 651/227-6847 NProf PHOENIX AT ENGLISH MS. DARLENE SCOTT SLFB-6 ICFMR-6 1336 EAST COUNTY ROAD E (01648) VADNAIS HEIGHTS, MN 55110 PHONE: 651/227-7655 FAX: NProf SPRINGHILL MS. DARLENE SCOTT 651/227-4847 SLFB-4 ICFMR-4 531 SPRINGHILL ROAD (01636) VADNAIS HEIGHTS, MN 55127 PHONE: 651/429-5686 FAX: Lim-Liab VINTAGE MOMENTS LLC MS. SUSAN NORTON 651/483-0775 HCP-F HWSAL 4559 BRAMBLEWOOD AVENUE (25313) VADNAIS HEIGHTS, MN 55127 PHONE: 651/653-4883 FAX: Corp AXIS ON WHITE BEAR AVENUE MS. KATHERINE MASON 651/653-4887 SLFB-6 ICFMR-6 3516 WHITE BEAR AVENUE NORTH (22847) WHITE BEAR LAKE, MN 55110 PHONE: 651/779-4301 FAX: 651/777-0411 MS. DOROTHY WROBEL Minnesota Department of Health Division of Compliance Monitoring Page 331 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp CERENITY CARE CENTER WBL Certification RAMSEY Registration (Cont.)* -------------------------- NH-187 SNF-NF-187 1891 FLORENCE STREET (00923) WHITE BEAR LAKE, MN 55110 PHONE: 651/232-1821 FAX: NProf CERENITY RESIDENCE OF WBL MR. GREGORY BAUMBERGER 651/232-1801 HCP-F HWSAL 4615 SECOND AVENUE (20170) WHITE BEAR LAKE, MN 55110 PHONE: 651/232-1868 FAX: Lim-Liab COMFORTS OF HOME CARE LLC MR. GREG BAUMBERGER 651/232-1801 HCP-A 1245 GUN CLUB ROAD (24174) WHITE BEAR LAKE, MN 55110 PHONE: 651/407-7009 FAX: Lim-Liab MINNESOTA IN HOME HEALTH CARE MS. GIGI CHOLLETT 651/407-6422 HCP-A 2239 LAKEAIRES BOULEVARD (27806) WHITE BEAR LAKE, MN 55110 PHONE: 651/231-9536 FAX: NProf PHOENIX AT CASWELL MS. CARI PRATLEY 651/305-3694 SLFB-6 ICFMR-6 2168 - 12TH ST (23428) WHITE BEAR LAKE, MN 55110 PHONE: 651/227-7655 FAX: 651/227-6847 Corp VISION QUEST PROPERTY MANAGEMT MS. DARLENE SCOTT HCP-A 5771 MEADOWVIEW DRIVE (28288) WHITE BEAR LAKE, MN 55110 PHONE: 651/428-0646 FAX: 651/777-2448 Corp VISITING ANGELS MR. CHARLES PETRICH HCP-A 2200 THIRD STREET (23261) WHITE BEAR LAKE, MN 55110 PHONE: 651/653-0110 FAX: MS. JENNIFER WEST 651/653-0115 Home Mgmt Corp VISITING ANGELS 2200 THIRD STREET (23353) WHITE BEAR LAKE, MN 55110 PHONE: 651/653-0110 FAX: Lim-Liab WHITE BEAR LAKE COH CARE LLC MS. JENNIFER WEST 651/653-0115 HCP-F HWSAL 1235 GUN CLUB ROAD (24613) WHITE BEAR LAKE, MN 55110 PHONE: 651/757-3800 FAX: Corp AXIS ON SENECA MS. RHONDA SHILLINGER 651/757-3820 SLFB-6 ICFMR-6 1586 SENECA TRAIL (01325) WHITE BEAR TOWNSHIP, MN 55110 PHONE: 651/426-3546 FAX: 651/426-8456 MS. DOROTHY WROBEL Minnesota Department of Health Division of Compliance Monitoring Page 332 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp REM RAMSEY INC PROSPECT Certification RAMSEY Registration (Cont.)* -------------------------- SLFA-6 ICFMR-6 5474 PROSPECT AVENUE (01106) WHITE BEAR TOWNSHIP, MN 55110 PHONE: 651/644-7680 FAX: MS. CONNIE MENNE 651/644-6777 ---------------------------********** Lim-Liab FREEDOM LIVING CENTER LLC RED LAKE ******** -------------------------- HCP-F HWSAL 306 TOUPIN STREET (27165) OKLEE, MN 56742 PHONE: 218/796-5001 FAX: Corp HILLCREST SENIOR LIVING MR. RICHARD DULKA 218/796-5003 NH-30 SNF-NF-30 311 BROADWAY AVENUE NE (00540) RED LAKE FALLS, MN 56750 PHONE: 218/253-2157 FAX: MS. ANGELA MALONE 218/253-4676 HWS HRA HOUSING AND REDEVELOPMENT AUTH 209 INTERNATIONAL DRIVE (21419) RED LAKE FALLS, MN 56750 PHONE: 218/253-2022 FAX: NProf NORTHWOOD HOME MS. MARY ANN BENOIT 218/253-2238 SLFB-6 ICFMR-6 418 SEVENTH STREET SOUTHWEST (01589) RED LAKE FALLS, MN 56750 PHONE: 218/253-4315 FAX: 218/253-4099 MS. DEB VIGNESS ---------------------------********** City PARKVIEW HOME REDWOOD NH-35 ******** -------------------------SNF-NF-35 102 COUNTY STATE AID HWY 9 (00543) BELVIEW, MN 56214 PHONE: 507/938-4151 FAX: City PARKWOOD APARTMENTS MR. JAMES BROICH 507/938-4038 HCP-F HWSAL 505 SOUTH SECOND STREET (20318) BELVIEW, MN 56214 PHONE: 507/938-3020 FAX: City VALLEY VIEW MANOR MR. JAMES BROICH 507/938-4038 NH-63 SNF-NF-63 200 EAST NINTH AVENUE (00731) LAMBERTON, MN 56152 PHONE: 507/752-7346 FAX: NProf GIL-MOR HAVEN MS. DAWN GIESE 507/752-7348 HCP-F HWS 90 THIRD STREET EAST (27387) MORGAN, MN 56266 PHONE: 507/249-3143 FAX: 507/249-2310 MR. JAMES BROICH Minnesota Department of Health Division of Compliance Monitoring Page 333 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf GIL-MOR MANOR Certification REDWOOD Registration (Cont.)* -------------------------- NH-35 SNF-NF-35 96 THIRD STREET EAST (00542) MORGAN, MN 56266 PHONE: 507/249-3143 FAX: MR. JAMES BROICH 507/249-2310 NProf EASTWOOD HOME SLFB-6 ICFMR-6 101 FIREWOOD DRIVE (01588) REDWOOD FALLS, MN 56283 PHONE: 507/637-5212 FAX: MS. JUDY RICHARDS 507/637-5774 Corp GARNETTE GARDENS SENIOR LIVING HCP-F HWSAL 511 DEKALB STREET (23560) REDWOOD FALLS, MN 56283 PHONE: 507/644-8500 FAX: MS. NATALIE SEEHAUSEN 507/644-2375 NProf GOOD SAM SOCIETY REDWOOD FALLS NH-48 SNF-NF-48 200 DEKALB ST S (00063) REDWOOD FALLS, MN 56283 PHONE: 507/637-5711 FAX: MS. MICHELLE TOMLINSON 507/637-2132 NProf JOHNSON PARK PLACE HCP-F HWSAL 1011 EAST ELM STREET (20009) REDWOOD FALLS, MN 56283 PHONE: 507/627-8121 FAX: 507/627-8382 City REDWOOD AREA HOSP HOSPICE SER MS. MICHELLE TOMLINSON Hospice HSPICE 100 FALLWOOD ROAD (02499) REDWOOD FALLS, MN 56283 PHONE: 507/637-4511 FAX: 507/697-6029 City REDWOOD AREA HOSPITAL MR. JAMES SCHULTE BASS-6 HOSP-25 CAH-25 100 FALLWOOD ROAD (00545) REDWOOD FALLS, MN 56283 PHONE: 507/637-4511 FAX: MR. JAMES SCHULTE 507/697-6029 City REDWOOD AREA HOSPITAL HOME CAR HCP-A HHA 100 FALLWOOD ROAD (02405) REDWOOD FALLS, MN 56283 PHONE: 507/637-4500 FAX: MR. JAMES SCHULTE 507/697-6000 Cnty REDWOOD CO PHS HCP-A HHA 266 EAST BRIDGE STREET (02096) REDWOOD FALLS, MN 56283 PHONE: 507/637-4041 FAX: 507/637-4046 MS. GENIE SIMON ESRD Corp REDWOOD FALLS DIALYSIS CTR 100 FALLWOOD ROAD (03377) REDWOOD FALLS, MN 56283 PHONE: 507/823-4733 FAX: /- MS. NANCY SPERL Minnesota Department of Health Division of Compliance Monitoring Page 334 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** State REDWOOD FALLS MSOCS Certification REDWOOD Registration (Cont.)* -------------------------- SLFB-6 ICFMR-6 205 BAKER DRIVE (01634) REDWOOD FALLS, MN 56283 PHONE: 507/637-5317 FAX: MR. DAN REIGSTAD 507/637-5308 HWS City SEASONS 400 VEDA DRIVE (27101) REDWOOD FALLS, MN 56283 PHONE: 507/627-2224 FAX: MR. JAMES SCHULTE 507/627-2233 NProf WESTWOOD HOME SLFB-6 ICFMR-6 921 EAST OAK STREET (01609) REDWOOD FALLS, MN 56283 PHONE: 507/637-3347 FAX: MS. JUDY RICHARDS 507/637-5189 Corp WOOD DALE HOME INC NH-50 SNF-NF-50 600 SUNRISE BOULEVARD (00749) REDWOOD FALLS, MN 56283 PHONE: 507/637-3587 FAX: MS. JUDITH SANDMANN 507/637-2546 Corp REVERE HOME BCH-26 300 SOUTH MAIN (00824) REVERE, MN 56166 PHONE: 651/257-8146 FAX: 651/257-9245 Lim-Liab GOLDEN LIVINGCENTER WABASSO MR. ROBERT CARDENAS NH-44 SNF-NF-44 660 MAPLE STREET (00949) WABASSO, MN 56293 PHONE: 507/342-5166 FAX: 507/342-5136 Lim-Liab COUNTRY VIEW SENIOR COMMUNITY MR. DRU FISCHGRABE HCP-F HWSAL 810 8TH STREET (23778) WALNUT GROVE, MN 56180 PHONE: 507/859-2133 FAX: MS. JEANNE JAECKELS 507/859-2143 RHC NProf SANFORD TRACY WALNUT GROVE CLC 830 EIGHTH STREET (21357) WALNUT GROVE, MN 56180 PHONE: 507/859-2157 FAX: MS. STACY BARSTAD /- ---------------------------********** Corp GLESENERS ASSISTED LIVING SERV RENVILLE HCP-F HWSAL-O 160 SOUTH MAIN STREET (24783) BIRD ISLAND, MN 55310 PHONE: 320/365-3823 FAX: 320/365-3361 ******** -------------------------- MR. MARK GLESENER Minnesota Department of Health Division of Compliance Monitoring Page 335 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp GLESENERS HOME CARE SERVICES Certification RENVILLE Registration (Cont.)* -------------------------- HCP-A 160 S MAIN STREET PO BOX 140 (27975) BIRD ISLAND, MN 55310 PHONE: 320/365-3823 FAX: NProf RENVILLE COUNTY COMM RES MR. MARK GLESENER 320/365-3361 SLFA-10 ICFMR-10 831 GROVE AVENUE (01312) BIRD ISLAND, MN 55310 PHONE: 320/365-3881 FAX: NProf BUFFALO LAKE HEALTHCARE CTR MS. BEVERLY BURMAN 320/365-4533 NH-49 SNF-NF-49 703 WEST YELLOWSTONE TRAIL (00550) BUFFALO LAKE, MN 55314 PHONE: 320/833-5364 FAX: Corp JULIES HOME HEALTH CARE INC MR. MARK RUST 320/833-5526 HCP-A 114 CHURCH AVENUE WEST (25054) BUFFALO LAKE, MN 55314 PHONE: 320/833-6082 FAX: NProf WESTVIEW ESTATES MS. JULIE UFKES 320/833-5943 HCP-F HWSAL 703 W YELLOWSTONE TRAIL (20031) BUFFALO LAKE, MN 55314 PHONE: 320/833-5364 FAX: 320/833-5526 Corp FAIRFAX COMMUNITY HOME MR. MARK RUST NH-50 SNF-NF-50 300 TENTH AVENUE SE (00847) FAIRFAX, MN 55332 PHONE: 507/426-8241 FAX: 507/426-7340 Corp FAIRFAX COMMUNITY HOME HEALTH MS. JUDITH SANDMANN HCP-A 300 10TH AVE SE (03554) FAIRFAX, MN 55332 PHONE: 507/426-8241 FAX: MS. JUDITH SANDMANN 507/426-7340 HWS Corp FAIRFAX COMMUNITY HOME INC 300 TENTH AVENUE SOUTHEAST (21143) FAIRFAX, MN 55332 PHONE: 507/426-8241 FAX: Lim-Liab GOLDEN LIVINGCENTER FRANKLIN MS. JUDITH SANDMANN 507/426-7340 NH-46 SNF-NF-46 900 3RD STREET SOUTH (00934) FRANKLIN, MN 55333 PHONE: 507/557-2211 FAX: Lim-Liab PRAIRIE VIEW OF HECTOR MR. DRU FISCHGRABE 507/557-2214 HCP-F HWSAL 1010 EAST ELM AVENUE (21943) HECTOR, MN 55342 PHONE: 320/848-2093 FAX: 320/848-2506 MS. ANDREA ANDERSON Minnesota Department of Health Division of Compliance Monitoring Page 336 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification RENVILLE (Cont.)* -------------------------RHC Corp RENVILLE CTY HOSP CLNCS HECTOR Registration 131 BIRCH AVENUE WEST (03575) HECTOR, MN 55342 PHONE: 320/848-6294 FAX: MS. KATHLEEN RYAN /- HWS City FAIRVIEW PLACE APARTMENTS 603 EAST FAIRVIEW AVENUE (20216) OLIVIA, MN 56277 PHONE: 320/523-1836 FAX: MS. JENNIFER EVENSON 320/523-1416 Lim-Liab GOLDEN LIVINGCENTER OLIVIA NH-65 SNF-NF-65 1003 WEST MAPLE (00939) OLIVIA, MN 56277 PHONE: 320/523-1652 FAX: MS. AMANDA GENTILLI 320/523-5734 NProf PARK VIEW VILLAGE HCP-F HWSAL 1204 WEST PARK AVENUE (21635) OLIVIA, MN 56277 PHONE: 320/523-1743 FAX: MS. PAM HOCKERT FREESE 320/523-1925 RHC Corp RENVILLE CO HOSP CLINIC OLIVIA 600 PARK AVENUE (03573) OLIVIA, MN 56277 PHONE: 320/523-1460 FAX: /- MS. KATHLEEN RYAN Cnty RENVILLE COUNTY HOSP & CLINCS BASS-6 HOSP-35 CAH-25 611 EAST FAIRVIEW (00558) OLIVIA, MN 56277 PHONE: 320/523-1261 FAX: 320/523-3458 Cnty RENVILLE COUNTY HOSPICE MR. GLENN HAUGO Hospice HSPICE 611 EAST FAIRVIEW AVENUE (03271) OLIVIA, MN 56277 PHONE: 320/523-1261 FAX: Cnty RENVILLE COUNTY PHS MS. MAUREEN STYLE 320/523-3571 HCP-A HHA 105 S FIFTH ST STE 119H (02120) OLIVIA, MN 56277 PHONE: 320/523-2570 FAX: 320/523-3749 MS. JILL BRUNS HWS NProf EAST RIDGE COURT 219 ELM AVENUE SOUTHEAST (22007) RENVILLE, MN 56284 PHONE: 320/329-3901 FAX: 320/329-3901 MR. JAMES INGERSOLL HWS NProf MEADOWS ON MAIN 611 MAIN STREET SO BOX 679 (20044) RENVILLE, MN 56284 PHONE: 320/329-3788 FAX: 320/329-3678 MR. JAMES INGERSOLL Minnesota Department of Health Division of Compliance Monitoring Page 337 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf RENVILLA HEALTH CENTER Certification RENVILLE Registration (Cont.)* -------------------------- NH-46 SNF-NF-46 205 SOUTHEAST ELM AVENUE (00557) RENVILLE, MN 56284 PHONE: 320/329-8381 FAX: MR. JAMES INGERSOLL 320/329-3678 RHC Corp RENVILLE COUNTY HOSP & CLINICS 420 NORTH MAIN STREET (03574) RENVILLE, MN 56284 PHONE: 320/329-8395 FAX: MS. KATHLEEN RYAN /- NProf RENVILLE HEALTH SERVICES HOMEC HCP-F 611 MAIN STREET SOUTH (20933) RENVILLE, MN 56284 PHONE: 320/329-3834 FAX: MR. JAMES INGERSOLL 320/329-3944 ---------------------------********** RICE ******** -------------------------Amb Surg Corp CROSSROADS SURGERY CENTER 1575 20TH STREET NW (24483) FARIBAULT, MN 55021 PHONE: 507/209-6226 FAX: MS. HEATHER LARSON 507/209-6228 Ind DAWNS ELDER CARE HCP-C 2424 WOODLAND DRIVE (23327) FARIBAULT, MN 55021 PHONE: 507/333-5491 FAX: /- MS. DAWN CABALLERO Lim-Liab DEACONESS TOWER HCP-F 503 EAST DIVISION STREET (03753) FARIBAULT, MN 55021 PHONE: 507/332-5100 FAX: MS. KAREN RUDA 507/332-5188 HWSAL Lim-Liab DEACONESS TOWER 503 EAST DIVISION STREET (20049) FARIBAULT, MN 55021 PHONE: 507/332-5158 FAX: Dist DISTRICT ONE HOSPITAL MS. KAREN RUDA 507/332-5199 BASS-16 HOSP-99 HOSP-99 200 STATE AVENUE (00569) FARIBAULT, MN 55021 PHONE: 507/334-6451 FAX: Dist FARIBAULT AREA HOSPICE MR. STEPHEN PRIBYL 507/332-4848 Hospice HSPICE 200 STATE AVENUE (02877) FARIBAULT, MN 55021 PHONE: 507/332-4834 FAX: 507/332-4829 MS. KATHY BLOMQUIST Minnesota Department of Health Division of Compliance Monitoring Page 338 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab FARIBAULT CARE CENTER Certification RICE Registration (Cont.)* -------------------------- NH-55 SNF-NF-55 1738 HULETT AVENUE NORTH (00989) FARIBAULT, MN 55021 PHONE: 507/334-3918 FAX: MS. BRENDA SCHRUPP 507/332-2748 ESRD Corp FARIBAULT DIALYSIS UNIT 201 SO LYNDALE AVE SUITE F (02810) FARIBAULT, MN 55021 PHONE: 507/334-0306 FAX: MS. CARI DOCK /- Lim-Liab FARIBAULT SENIOR LIVING HCP-F HWSAL-O 843 FARIBAULT ROAD (27967) FARIBAULT, MN 55021 PHONE: 507/334-5009 FAX: MR. DAVID HESLEY /- State FARIBAULT SOCS SLFB-6 ICFMR-6 1805 SHUMWAY AVENUE (01642) FARIBAULT, MN 55021 PHONE: 507/332-0495 FAX: Lim-Liab GUEST HOUSE OF FARIBAULT LLC MR. ROGER DENEEN 507/332-2166 HCP-A HWS 118 SIXTH STREET NORTHWEST (22372) FARIBAULT, MN 55021 PHONE: 507/334-8269 FAX: 507/331-7345 Ind HERITAGE HOUSE ELDER CARE MR. LEON SHERWOOD HCP-F HWSAL 1415 NORTHWEST 7TH STREET (21721) FARIBAULT, MN 55021 PHONE: 507/334-5111 FAX: 507/334-5111 MS. JULIE SPRONK HWS-O Corp HILLTOP HOME 4 THIRD AVENUE SW (25128) FARIBAULT, MN 55021 PHONE: 507/332-0547 FAX: MS. DEBORAH SONNEK 507/332-2335 HWSAL Corp IVY HILL SENIOR CARE 519 FIRST STREET SOUTHWEST (20469) FARIBAULT, MN 55021 PHONE: 507/332-8966 FAX: Corp IVY HILL SENIOR CARE INC MS. SHIRLEY RAINEY 507/384-3464 HCP-F 519 FIRST STREET SOUTHWEST (03884) FARIBAULT, MN 55021 PHONE: 507/332-8966 FAX: 507/384-3464 MS. SHIRLEY RAINEY HWSAL Lim-Liab KEYSTONE COMMUNITIES FARIBAULT 828 FIRST STREET NORTHEAST (21877) FARIBAULT, MN 55021 PHONE: 507/332-2555 FAX: 507/332-2102 MR. MICHAEL LEWIS Minnesota Department of Health Division of Compliance Monitoring Page 339 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp MAPLEWOOD HOMES Certification RICE Registration (Cont.)* -------------------------- HCP-F HWS-O 326 NW 7TH STREET (22003) FARIBAULT, MN 55021 PHONE: 507/332-4071 FAX: MR. JOHN WALLGREN 507/332-4071 HWSAL-O Lim-Liab MAPLEWOOD HOMES OF FARIBAULT 428 NORTHWEST 5TH STREET (27982) FARIBAULT, MN 55021 PHONE: 507/334-4712 FAX: Lim-Liab MILESTONE SENIOR LIVING MR. JOHN WALLGREN 507/334-0083 HCP-F HWSAL 2500 14TH STREET NE (25820) FARIBAULT, MN 55021 PHONE: 507/331-2748 FAX: Corp OUR CIRCLE OF FRIENDS MS. JULIE HEIL 507/331-7087 HCP-F HWS-O 1663 GLYNVIEW TRAIL (27158) FARIBAULT, MN 55021 PHONE: 507/210-1794 FAX: Corp OUR CIRCLE OF FRIENDS /MAIN C MS. CHERYL GLENDE 507/334-9795 HCP-F HWS 1150 THIRD ST SW (20400) FARIBAULT, MN 55021 PHONE: 507/332-9731 FAX: 507/333-4457 MS. CHERYL GLENDE HWS-O Corp OUR HOUSE 1017 NORTHWEST 7TH STREET (20095) FARIBAULT, MN 55021 PHONE: 507/332-0547 FAX: 507/332-0547 Corp PLEASANT MANOR INC MS. DEBORAH SONNEK NH-65 SNF-NF-65 27 BRAND AVENUE (00568) FARIBAULT, MN 55021 PHONE: 507/334-2036 FAX: Corp PLEASANT VIEW ESTATES MS. BONNIE CAMPEAU 507/334-3558 HCP-F HWSAL 41 BRAND AVENUE (24584) FARIBAULT, MN 55021 PHONE: 507/333-5960 FAX: Cnty RICE COUNTY PHNS MS. JO MEILLIER 507/333-5974 HCP-A HHA 320 NORTHWEST 3RD ST (02022) FARIBAULT, MN 55021 PHONE: 507/332-6111 FAX: Corp RISON HOMES INC MRS. DIANE WINKELS 507/332-5932 HCP-F 314 CENTRAL AVENUE (20152) FARIBAULT, MN 55021 PHONE: 507/332-0547 FAX: 507/332-2335 MS. DEBORAH SONNEK Minnesota Department of Health Division of Compliance Monitoring Page 340 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab ST LUCAS CARE CENTER Certification RICE Registration (Cont.)* -------------------------- NH-109 SNF-NF-109 500 SOUTHEAST FIRST STREET (00571) FARIBAULT, MN 55021 PHONE: 507/332-5100 FAX: Corp STERLING HOUSE OF FARIBAULT MS. KAREN RUDA 507/332-5188 HCP-F HWSAL 935 SPRING ROAD (20398) FARIBAULT, MN 55021 PHONE: 507/333-2559 FAX: Lim-Liab THE VILLAGES OF LONSDALE MS. PAIGE BEACH 507/333-2557 HCP-F 1000 BIRCH STREET NORTHEAST (26772) LONSDALE, MN 55046 PHONE: 507/744-3453 FAX: MS. PATRICIA VINCENT 507/744-3951 HWSAL Lim-Liab THE VILLAGES OF LONSDALE 1000 BIRCH STREET NE (26754) LONSDALE, MN 55046 PHONE: 507/744-3453 FAX: MS. MARILYN PINT 507/744-3951 HWS-O Corp MORRISTOWN 104 4TH STREET SW PO BOX 774 (20028) MORRISTOWN, MN 55052 PHONE: 507/332-0547 FAX: 507/332-2335 Lim-Liab PLUM HOME CARE LLC MS. DEBORAH SONNEK HCP-A 300 2ND STREET SOUTHEAST (28133) MORRISTOWN, MN 55052 PHONE: 507/685-2829 FAX: 507/685-2830 Lim-Liab THE PLUM HOUSE MS. ALYSSA WEBER HCP-F HWSAL 300 - 2ND ST SE (23434) MORRISTOWN, MN 55052 PHONE: 507/685-2829 FAX: 507/685-2830 MS. MELANIE HOPMAN HWSAL Church CANNON VALLEY SUITES 900 CANNON VALLEY DRIVE (23183) NORTHFIELD, MN 55057 PHONE: 507/645-6007 FAX: 507/664-3490 MS. SHELLEY HOLDEN HWS NProf COTTAGE ON FOREST 811 FOREST AVENUE (26073) NORTHFIELD, MN 55057 PHONE: 507/664-8805 FAX: 507/645-0942 MS. PATRICIA VINCENT HWSAL NProf EVERGREEN LODGE 912 CANNON VALLEY DRIVE WEST (25764) NORTHFIELD, MN 55057 PHONE: 507/645-6007 FAX: 507/645-0117 MS. SHELLEY HOLDEN Minnesota Department of Health Division of Compliance Monitoring Page 341 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf HOME CARE LINK Certification RICE Registration (Cont.)* -------------------------- HCP-A HHA 815 FOREST AVENUE (03105) NORTHFIELD, MN 55057 PHONE: 507/664-8863 FAX: NProf HOME COMPANION LINK MS. PATRICIA VINCENT 507/645-0942 HCP-B 815 FOREST AVENUE (27688) NORTHFIELD, MN 55057 PHONE: 507/664-8863 FAX: NProf LAURA BAKER SERVICES ASSOC MS. PATRICIA VINCENT 507/650-9227 SLFA-30 ICFMR-30 211 OAK STREET (01163) NORTHFIELD, MN 55057 PHONE: 507/645-8866 FAX: NProf MILLSTREAM COMMONS HOME CARE MS. SANDRA GERDES 507/645-8869 HCP-F HWSAL 210 WEST EIGHTH STREET (24063) NORTHFIELD, MN 55057 PHONE: 507/650-0141 FAX: Church NORTHFIELD CARE CENTER INC MS. KATHY OLSON 507/650-9170 NH-42 SNF-NF-42 900 CANNON VALLEY DRIVE (00567) NORTHFIELD, MN 55057 PHONE: 507/645-9511 FAX: 507/645-0117 City NORTHFIELD CITY HOSPITAL & NSG MR. THOMAS NIELSEN NH-40 BASS-12 HOSP-37 SNF-NF-40 HOSP-37 2000 NORTH AVENUE (00566) NORTHFIELD, MN 55057 PHONE: 507/646-1001 FAX: 507/646-1392 City NORTHFIELD HOME CARE MR. MARK HENKE HCP-A HHA 2000 NORTH AVENUE (02208) NORTHFIELD, MN 55057 PHONE: 507/646-1457 FAX: City NORTHFIELD HOSPICE MR. MARK HENKE 507/646-1395 Hospice HSPICE 2000 NORTH AVENUE (02880) NORTHFIELD, MN 55057 PHONE: 507/646-1314 FAX: 507/646-6877 MS. SUSAN LOHMANN HWS Church NORTHFIELD MANOR INC 901 CANNON VALLEY DRIVE (20097) NORTHFIELD, MN 55057 PHONE: 507/645-9090 FAX: 507/645-0117 MS. SHELLEY HOLDEN HWSAL Church NORTHFIELD PARKVIEW INC 910 CANNON VALLEY DRIVE (20096) NORTHFIELD, MN 55057 PHONE: 507/645-6007 FAX: 507/645-0117 MS. SHELLEY HOLDEN Minnesota Department of Health Division of Compliance Monitoring Page 342 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Church NORTHFIELD PARKVIEW INC Certification RICE Registration (Cont.)* -------------------------- HCP-F 910 CANNON VALLEY DRIVE (03339) NORTHFIELD, MN 55057 PHONE: 507/645-6007 FAX: MR. KYLE NORDINE 507/645-0117 HWSAL Church NORTHWOOD PINES 931 CANNON VALLEY DRIVE WEST (27563) NORTHFIELD, MN 55057 PHONE: 507/645-6007 FAX: Church NRC HOME CARE MS. SHELLEY HOLDEN 507/645-0117 HCP-A 910 CANNON VALLEY DRIVE (25315) NORTHFIELD, MN 55057 PHONE: 507/645-6007 FAX: NProf REFLECTIONS HOME CARE MS. TINA SEARS 507/664-3490 HCP-F HWS 809 FOREST AVENUE (26343) NORTHFIELD, MN 55057 PHONE: 507/664-8809 FAX: NProf REFLECTIONS HOSPICE MS. PATRICIA VINCENT 507/650-7989 Hospice 809 FOREST AVENUE (26136) NORTHFIELD, MN 55057 PHONE: 507/664-8809 FAX: 507/645-0942 MS. PATRICIA VINCENT HWS NProf THE COTTAGE EAST 800 WEST FIFTH (20137) NORTHFIELD, MN 55057 PHONE: 507/664-8860 FAX: 507/645-0942 MS. PATRICIA VINCENT HWS NProf THE COTTAGE EAST 802 WEST FIFTH (20138) NORTHFIELD, MN 55057 PHONE: 507/664-8866 FAX: MS. PATRICIA VINCENT 507/645-0942 HWS NProf THE COTTAGE WEST 804 WEST FIFTH STREET (20342) NORTHFIELD, MN 55057 PHONE: 507/664-8860 FAX: MS. PATRICIA VINCENT 507/645-0942 HWS NProf THREE LINKS APARTMENTS 805 FOREST AVENUE (20139) NORTHFIELD, MN 55057 PHONE: 507/664-8850 FAX: NProf THREE LINKS CARE CENTER MS. PATRICIA VINCENT 507/645-2265 NH-102 SNF-NF-102 815 FOREST AVENUE (00564) NORTHFIELD, MN 55057 PHONE: 507/664-8800 FAX: 507/645-0942 MS. PATRICIA VINCENT Minnesota Department of Health Division of Compliance Monitoring Page 343 Directory of Facilities and Services Facility/Service Owner Licensure Certification RICE ---------------------------********** (Cont.)* -------------------------HWS NProf THREE LINKS CARE CENTER/FELLOW Registration 815 FOREST AVENUE (20136) NORTHFIELD, MN 55057 PHONE: 507/664-8800 FAX: Lim-Liab VALLEY VIEW OF NORTHFIELD MS. PATRICIA VINCENT 507/645-0942 HCP-F HWSAL 812 NORTH LINDEN STREET (20071) NORTHFIELD, MN 55057 PHONE: 507/645-4126 FAX: WEST HILLS LODGE WOMENS PROGRM MR. JOHN F BONNER 507/645-5948 NProf SLFA-6 1101 SPRING STREET SOUTH (27689) NORTHFIELD, MN 55057 PHONE: 507/645-6226 FAX: MS. JODY ANDERSON 507/645-7473 ROCK ---------------------------********** Church THE TUFF VILLAGE INC ******** -------------------------- HCP-F HWSAL 301 COUNTY ROAD NO 6 (21200) HILLS, MN 56138 PHONE: 507/962-3500 FAX: Church TUFF MEMORIAL HOME MS. BONNIE HENGEVELD 507/962-3590 NH-50 SNF-NF-50 505 EAST FOURTH STREET (00576) HILLS, MN 56138 PHONE: 507/962-3275 FAX: 507/962-3277 MR. DANA DAHLQUIST HWSAL Church TUFF MEMORIAL HOME VISTE MANOR 500 EAST 4TH STREET (23857) HILLS, MN 56138 PHONE: 507/962-3500 FAX: NProf GOOD SAM SOCIETY HOME CARE MS. BONNIE HENGEVELD 507/962-3590 HCP-B 201 OAK DRIVE (25624) LUVERNE, MN 56156 PHONE: 507/283-1996 FAX: NProf GOOD SAM SOCIETY MARY JN BROWN MR. ANTHONY LINN 507/283-1773 BCH-4 NH-56 110 SOUTH WALNUT AVENUE (00575) LUVERNE, MN 56156 PHONE: 507/283-2375 FAX: State MN VETERANS HOME - LUVERNE MR. TONY LINN 507/283-2377 NH-85 1300 NORTH KNISS PO BOX 539 (00411) LUVERNE, MN 56156 PHONE: 507/283-1100 FAX: 507/283-1127 MR. MICHAEL BOND NF2-4 SNF-NF-56 Minnesota Department of Health Division of Compliance Monitoring Page 344 Directory of Facilities and Services Facility/Service Owner Licensure Certification ROCK ---------------------------********** NProf POPLAR CREEK ESTATES Registration (Cont.)* -------------------------- HCP-F 201 OAK DRIVE (23223) LUVERNE, MN 56156 PHONE: 507/283-1996 FAX: MR. ANTHONY LINN 507/283-1773 Corp RES ADVANTAGES INC LUVERNE SLFB-6 ICFMR-6 107 SOUTH BLUE MOUND AVENUE (01345) LUVERNE, MN 56156 PHONE: 507/831-5033 FAX: MR. D. BILL OLSON 507/831-2612 ONProf SANFORD LUVERNE HOSPICE RES-HSPICE-4 217 NORTH OAKLEY (23479) LUVERNE, MN 56156 PHONE: 507/283-1805 FAX: MS. TAMMY LOOSBROCK 507/283-1809 NProf SANFORD LUVERNE HOSPICE 402 EAST MAIN (02825) LUVERNE, MN 56156 PHONE: 507/283-1805 FAX: MS. TAMMY LOOSBROCK 507/283-1809 NProf SANFORD LUVERNE MEDICAL CENTER BASS-5 HOSP-28 CAH-25 1600 NORTH KNISS AVENUE (00574) LUVERNE, MN 56156 PHONE: 507/283-2321 FAX: 507/283-2091 MS. TAMMY LOOSBROCK CMHC NProf SOUTHWESTERN MENTAL HEALTH CTR 216 E LUVERNE ST PO BOX 686 (02788) LUVERNE, MN 56156 PHONE: 507/283-9511 FAX: /- MR. SCOTT JOHNSON HWSAL NProf THE OAKS & POPLAR CREEK ESTATE 201 OAK DRIVE (20465) LUVERNE, MN 56156 PHONE: 507/283-1996 FAX: MR. TONY LINN 507/283-1773 ---------------------------********** Corp COMPASSIONATE HOME CARE ROSEAU ******** -------------------------- HCP-A 14818 COUNTY ROAD 4 (25298) GREENBUSH, MN 56726 PHONE: 218/782-4146 FAX: NProf LIFECARE GREENBUSH MANOR MS. SARA EEG 218/782-4191 HCP-F 19120 200TH STREET (27671) GREENBUSH, MN 56726 PHONE: 218/782-2131 FAX: 218/782-4005 MS. SHANNON CARLSON Minnesota Department of Health Division of Compliance Monitoring Page 345 Directory of Facilities and Services Facility/Service Owner Licensure Certification ROSEAU ---------------------------********** (Cont.)* -------------------------HWSAL NProf LIFECARE GREENBUSH MANOR Registration 19120 200TH STREET (27672) GREENBUSH, MN 56726 PHONE: 218/782-2131 FAX: NProf LIFECARE GREENBUSH MANOR MS. CATHERINE HUSS 218/782-4005 BCH-0 NH-40 NF1-20 NF2-0 SNF-NF-20 19120 200TH STREET (00578) GREENBUSH, MN 56726 PHONE: 218/463-2500 FAX: Corp AGELESS CARE INCORPORATED MR. SHANNON CARLSON 218/463-1266 HCP-A HWS 702 7TH STREET SOUTHWEST (24558) ROSEAU, MN 56751 PHONE: 218/463-3695 FAX: NProf LIFECARE HOME CARE & HOSPICE MS. KARIN LOVEN-KOTZ 218/464-3708 HCP-A HHA 715 DELMORE DRIVE (02143) ROSEAU, MN 56751 PHONE: 218/463-2500 FAX: NProf LIFECARE HOME CARE & HOSPICE MS. CATHERINE HUSS 218/463-4755 Hospice HSPICE 715 DELMORE DRIVE (03637) ROSEAU, MN 56751 PHONE: 218/463-2500 FAX: 218/463-4755 NProf LIFECARE MEDICAL CENTER MS. CATHERINE HUSS NH-60 BASS-7 HOSP-25 SNF-NF-60 CAH-25 715 DELMORE DRIVE (00579) ROSEAU, MN 56751 PHONE: 218/463-2500 FAX: 218/463-1266 MR. KEITH OKESON HWS Part NORTH STAR APARTMENTS 706 MAIN AVENUE SOUTH (20956) ROSEAU, MN 56751 PHONE: 218/463-3086 FAX: NProf OAK CREST SENIOR HOUSING MS. DEBBIE KOMPELIEN 218/463-2774 HCP-F HWSAL 201 10TH STREET SOUTHEAST (24166) ROSEAU, MN 56751 PHONE: 218/463-2006 FAX: NProf LAKEVIEW RETIREMENT RESIDENCE MS. CHERYL GRAFSTROM 218/463-2031 HCP-F HWSAL 1401 LAKE STREET NORTHWEST (20747) WARROAD, MN 56763 PHONE: 218/386-1235 FAX: NProf WARROAD CARE CENTER MR. ROD KUTTER 218/386-3548 NH-49 SNF-NF-49 1401 LAKE STREET NW (26877) WARROAD, MN 56763 PHONE: 218/386-1235 FAX: 218/386-3548 MR. ROD KUTTER Minnesota Department of Health Division of Compliance Monitoring Page 346 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf DRCC AURORA Certification SAINT LOUIS Registration ******** -------------------------- SLFB-5 ICFMR-5 417 SOUTH MAIN STREET (01610) AURORA, MN 55705 PHONE: 218/229-3369 FAX: IRONGATE APARTMENTS & TOWNHOME MR. MICHAEL MILLS 218/727-9555 HWSAL Cy-Co 310 EAST 4TH AVENUE NORTH (20881) AURORA, MN 55705 PHONE: 218/229-2886 FAX: NProf NORTHERN PINES MEDICAL CENTER MS. JANE YOUNGER 218/206-8673 NH-50 BASS-4 HOSP-16 SNF-NF-50 CAH-16 5211 HIGHWAY 110 (00604) AURORA, MN 55705 PHONE: 218/229-2211 FAX: MS. LAURA ACKMAN 218/229-2042 HWSAL Corp CLAYRIDGE ASSISTED LIVING 100 VERMILION TRAIL PO BOX 906 (21987) BIWABIK, MN 55708 PHONE: 218/865-4588 FAX: MR. CLYDE SALMI 218/865-4671 HWSAL-O Corp ANDERSONS PINE GROVE HOME INC 5130 HIGHWAY 31 BOX 284 (20045) BROOKSTON, MN 55711 PHONE: 218/453-5554 FAX: 218/453-1014 Corp ANDERSONS PINE GROVE HOME, INC MR. TROY MELIN HCP-F 5130 HIGHWAY 31 (03911) BROOKSTON, MN 55711 PHONE: 218/453-5554 FAX: 218/453-1014 Corp STONEHAVEN ASSISTED LIVING MR. TROY MELIN HCP-F 8783 2ND STREET S PO BOX 367 (28161) BROOKSTON, MN 55711 PHONE: 218/453-5062 FAX: MS. JENNIFER JOHNSON 218/453-5064 HWSAL Corp STONEHAVEN ASSISTED LIVING 8783 2ND STREET S PO BOX 367 (28162) BROOKSTON, MN 55711 PHONE: 218/453-5062 FAX: Corp THE LAMB HOUSE INC MS. JENNIFER JOHNSON 218/453-5063 HCP-F HWSAL 4878 HWY #31 PO BOX 322 (21969) BROOKSTON, MN 55711 PHONE: 218/453-5262 FAX: Corp WINTER HOMES INCORPORATED MRS. LAUREL LAMB 218/453-1023 SLFA-6 4982 PAUPORES ROAD (01651) BROOKSTON, MN 55711 PHONE: 218/879-2275 FAX: 218/878-8366 MS. SHERRY WINTER Minnesota Department of Health Division of Compliance Monitoring Page 347 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf CORNERSTONE VILLA Certification SAINT LOUIS Registration (Cont.)* -------------------------- NH-44 SNF-NF-44 1000 FOREST STREET (23242) BUHL, MN 55713 PHONE: 218/258-8742 FAX: MS. DEBRA DOUGHTY 218/258-8767 HWSAL Lim-Liab NORTHLAND ASSISTED LIVING 500 EAST MONROE DRIVE (26432) BUHL, MN 55713 PHONE: 218/258-8681 FAX: Church HERITAGE MANOR MRS. KARIE SIMPSON 218/258-8681 NH-85 SNF-NF-85 321 NORTHEAST SIXTH STREET (00904) CHISHOLM, MN 55719 PHONE: 218/254-5765 FAX: Corp HILLCREST TERRACE OF CHISHOLM MR. GEOFFREY RYAN 218/354-5767 HCP-F HWSAL 624 SW THIRD STREET BOX 552 (20199) CHISHOLM, MN 55719 PHONE: 218/263-4157 FAX: NProf LEGACY RANGE CENTER INC MR. RANDY SCHROETTER 218/263-4468 SLFB-6 ICFMR-6 112 9TH STREET NORTHWEST (01062) CHISHOLM, MN 55719 PHONE: 218/254-8745 FAX: 218/254-7343 Corp SERVING HANDS INC MS. SHELLEY ROBINSON HCP-F 601 EAST LAKE STREET (25527) CHISHOLM, MN 55719 PHONE: 218/254-7300 FAX: 218/254-2839 MR. TODD NELSON HWS Lim-Liab SERVING HANDS PROPERTIES LLC 601 EAST LAKE STREET (25526) CHISHOLM, MN 55719 PHONE: 218/254-7300 FAX: Corp WENDIGO PINES ASSISTED LIVING MR. TODD NELSON 218/254-2839 HCP-F HWSAL 504 IRON DRIVE (27162) CHISOLM, MN 55719 PHONE: 218/254-2750 FAX: MS. RAISA KOTULA 218/254-0164 HWSAL Corp COOK CAREFREE LIVING INC 151 4TH STREET SOUTHEAST (27092) COOK, MN 55723 PHONE: 218/666-0200 FAX: Dist COOK HOSPITAL MR.. MERLE SAMPSON 218/666-0203 NH-28 BASS-2 HOSP-14 10 SOUTHEAST FIFTH STREET (00586) COOK, MN 55723 PHONE: 218/666-5945 FAX: 218/666-6129 MR. ALLEN VOGT SNF-NF-28 CAH-14 Minnesota Department of Health Division of Compliance Monitoring Page 348 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Ind BARBARA DAWN KUTSI Certification SAINT LOUIS Registration (Cont.)* -------------------------- HCP-A 8747 LAMBERT ROAD (21808) COTTON, MN 55724 PHONE: 218/393-2170 FAX: MS. BARBARA KUTSI /- Corp ADULT IN HOME CARE HCP-B 2308 SPRINGVALE COURT (28220) DULUTH, MN 55811 PHONE: 218/348-6888 FAX: MS. PATRICIA LUOMA /- NProf AFTENRO HOME BCH-54 NF2-54 510 WEST COLLEGE STREET (00581) DULUTH, MN 55811 PHONE: 218/728-6602 FAX: NProf BAYSHORE HEALTH CENTER MR. DONALD ALEXANDER 218/728-5452 NH-160 SNF-NF-160 1601 ST LOUIS AVENUE (00589) DULUTH, MN 55802 PHONE: 218/727-8651 FAX: NProf BENEDICTINE HEALTH CENTER MS. SHAWNA JOKINEN 218/727-1761 NH-120 SNF-NF-120 935 KENWOOD AVENUE (00861) DULUTH, MN 55811 PHONE: 218/723-6408 FAX: 218/723-6449 NProf BENET HALL MR. MARK BROMAN HCP-F 1001 KENWOOD AVENUE (28241) DULUTH, MN 55811 PHONE: 218/723-6733 FAX: 218/723-6548 MS. MARGARET WOLTERS HWSAL NProf BENET HALL 1001 KENWOOD AVENUE (28244) DULUTH, MN 55811 PHONE: 218/723-6733 FAX: Lim-Liab CHRIS JENSEN HLTH & REHAB CTR MS. MARGARET WOLTERS 218/723-6548 NH-170 SNF-NF-170 2501 RICE LAKE ROAD (00598) DULUTH, MN 55811 PHONE: 218/625-6400 FAX: 218/625-6452 MS. JILL HESS HWSAL Lim-Liab DIAMOND WILLOW AL -LESTER PARK 6353 E SUPERIOR STREET (28545) DULUTH, MN 55804 PHONE: 218/525-8093 FAX: 218/525-8176 MS. BRENDA MARSHALL HWSAL Lim-Liab DIAMOND WILLOW AL -LESTER PARK 6355 E SUPERIOR STREET (28546) DULUTH, MN 55804 PHONE: 218/525-8177 FAX: 218/525-8364 MS. BRENDA MARSHALL Minnesota Department of Health Division of Compliance Monitoring Page 349 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf DRCC LAVERNE Certification SAINT LOUIS Registration (Cont.)* -------------------------- SLFA-6 ICFMR-6 1530 EAST SECOND STREET (20994) DULUTH, MN 55812 PHONE: 218/728-5891 FAX: Corp E B I INCORPORATED MR. MICHAEL MILLS 218/727-9555 SLFA-6 625 NORTH 56 AVENUE WEST (01544) DULUTH, MN 55807 PHONE: 218/624-3122 FAX: NProf ESSENTIA HEALTH DULUTH MS. SARAH HAMILTON 218/628-1699 HOSP-165 HOSP-121 PPS-R-44 PPS-R- 502 EAST SECOND STREET (00596) DULUTH, MN 55805 PHONE: 218/786-2629 FAX: Church ESSENTIA HEALTH ST MARYS MED MR. ROCKLON CHAPIN 218/786-2645 BASS-46 HOSP-380 HOSP-380 407 EAST THIRD STREET (00600) DULUTH, MN 55805 PHONE: 218/786-4000 FAX: Lim-Liab FIVE STAR ASSISTED LIVING SERV MR. PETER PERSON 218/786-4888 HCP-F 11 EAST SUPERIOR ST SUITE 230 (24424) DULUTH, MN 55802 PHONE: 218/428-7575 FAX: 218/625-2338 MS. NATALIE ZELEZNIKAR ESRD Corp FMC DIAL SERVS OF SPIRIT VALLE 4700 MIKE COLALLILO DRIVE (21989) DULUTH, MN 55807 PHONE: 218/624-7787 FAX: 218/624-7752 MR. JOHN ROTH ESRD Corp FMC DIALYSIS OF DULUTH 502 EAST 2ND ST (02113) DULUTH, MN 55805 PHONE: 218/720-1164 FAX: NProf FRANCISCAN HEALTH CENTER MS. PAM ELDSTAD 218/720-1463 NH-44 SNF-NF-44 3910 MINNESOTA AVENUE (00865) DULUTH, MN 55802 PHONE: 218/727-8933 FAX: Corp GARDEN HOUSE ESTATES LTD MR. ROBERT DAHL 218/727-6610 HCP-F HWSAL 1 RIVERSIDE DRIVE (20837) DULUTH, MN 55808 PHONE: 218/628-0271 FAX: Corp GENTIVA HEALTH SERVICES MR. DALE BREILAND 218/628-3981 HCP-A HHA 925 EAST SUPERIOR ST SUITE 104 (02426) DULUTH, MN 55802 PHONE: 218/723-8999 FAX: 218/723-8237 MS. BETH ABRAHAMSON Minnesota Department of Health Division of Compliance Monitoring Page 350 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification SAINT LOUIS (Cont.)* -------------------------HWSAL Part GREYSOLON PLAZA Registration 231 EAST SUPERIOR STREET (20850) DULUTH, MN 55802 PHONE: 218/722-7523 FAX: Lim-Liab HEARTHSTONE HOME CARE LLC MS. J. CARLA SCHNEIDER 218/727-4370 HCP-A HHA 2528 TRINITY ROAD (26728) DULUTH, MN 55811 PHONE: 218/740-4290 FAX: MS. BRENDA MARSHALL 218/279-4412 Home Mgmt Lim-Liab HEARTLAND PCA LLC 1700 MALL DRIVE (25708) DULUTH, MN 55811 PHONE: 218/727-0990 FAX: MS. ANNA BUCHANAN 218/727-1179 HWSAL Corp HERITAGE HAVEN INC 3040 MORRIS THOMAS ROAD (25918) DULUTH, MN 55811 PHONE: 218/722-2088 FAX: MS. SUZANNE TAYLOR 218/722-2085 HWSAL Corp HERITAGE HAVEN INC 3044 MORRIS THOMAS ROAD (24250) DULUTH, MN 55811 PHONE: 218/722-2415 FAX: 218/722-2415 Corp HERITAGE HAVEN INC MS. SUZANNE TAYLOR HCP-F HWSAL 4512 LONDON ROAD (20035) DULUTH, MN 55804 PHONE: 218/590-5037 FAX: 218/722-2415 MS. SUZANNE TAYLOR HWSAL Corp HERITAGE HAVEN INC III 3042 MORRIS THOMAS ROAD (25455) DULUTH, MN 55811 PHONE: 218/722-2118 FAX: MS. SUZANNE TAYLOR 218/722-2415 HWSAL Corp HILLSIDE HOMES I 408 NORTH 8TH AVENUE EAST (20888) DULUTH, MN 55805 PHONE: 218/727-1999 FAX: MS. DIANE LINDSEY 218/720-6022 HWSAL Corp HILLSIDE HOMES II 412 NORTH 8TH AVENUE EAST (20889) DULUTH, MN 55805 PHONE: 218/733-9268 FAX: Corp HILLSIDE HOMES OF DULUTH INC MS. DIANE LINDSEY 218/720-6022 HCP-F 414 NORTH 8TH AVENUE EAST (20350) DULUTH, MN 55805 PHONE: 218/720-5890 FAX: 218/720-6022 MS. DIANE LINDSEY Minnesota Department of Health Division of Compliance Monitoring Page 351 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf HOME CARE SERV OPTIONS DULUTH Certification SAINT LOUIS Registration (Cont.)* -------------------------- HCP-F 50 EAST ST MARIE STREET (20643) DULUTH, MN 55803 PHONE: 218/724-5500 FAX: MS. DANIELLE LESMEISTER 218/724-5535 Lim-Liab HOME INSTEAD SENIOR CARE HCP-A 315 EAST CENTRAL ENTRANCE (23296) DULUTH, MN 55811 PHONE: 218/727-8810 FAX: MS. MARY ANDREWS 218/727-3522 CMHC NProf HUMAN DEVELOPMENT CENTER 1401 EAST FIRST STREET (02766) DULUTH, MN 55805 PHONE: 218/728-4491 FAX: MR. ALLEN BROWN /- HWS Corp IINTERIM HEALTHCARE VENT CARE 4730 MATTERHORN CIRCLE (22354) DULUTH, MN 55811 PHONE: 218/722-0053 FAX: MR. STEVEN SCRIGNOLI 218/722-0318 HWSAL Corp INNOVATIVE ASSISTED LIVING 230 WEST SUPERIOR STREET (23770) DULUTH, MN 55802 PHONE: 218/491-7838 FAX: 218/491-7840 Corp INTERIM HEALTHCARE MR. TROY MEAD HCP-F 227 W FIRST STREET STE 400 (20828) DULUTH, MN 55802 PHONE: 218/722-0053 FAX: 218/722-0318 Corp INTERIM HEALTHCARE MS. DIANE SMITH HCP-A HHA 227 WEST FIRST ST STE 400 (02828) DULUTH, MN 55802 PHONE: 218/722-0053 FAX: Lim-Liab KEYSTONE BLUFFS ASSISTED LIVG MS. DIANE SMITH 218/722-0318 HCP-F HWSAL 2528 TRINITY ROAD (21036) DULUTH, MN 55811 PHONE: 218/727-2800 FAX: 218/727-2850 MS. AMY ALTMAN HWS-O HRA KING MANOR 222 EAST SECOND STREET (21169) DULUTH, MN 55805 PHONE: 218/529-6300 FAX: 218/529-6344 MR. RICHARD BALL Home Mgmt Corp LAKE SUPERIOR CONCIERGE INC 5652 N CLOQUET ROAD (25246) DULUTH, MN 55810 PHONE: 218/310-6779 FAX: 218/624-8727 MS. KIMBERLY SORENSEN Minnesota Department of Health Division of Compliance Monitoring Page 352 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf LAKESHORE AT HOME Certification SAINT LOUIS Registration (Cont.)* -------------------------- HCP-A HHA 3900 LONDON ROAD (02059) DULUTH, MN 55804 PHONE: 218/625-7849 FAX: NProf LAKESHORE HOME CARE MS. SHAWNA JOKINEN 218/625-8274 HCP-F HWSAL 4000 LONDON ROAD (24064) DULUTH, MN 55804 PHONE: 218/625-7824 FAX: NProf LAKESHORE INC MR. PAUL LIBBON 218/625-7808 NH-60 SNF-NF-60 4002 LONDON ROAD (00594) DULUTH, MN 55804 PHONE: 218/525-1951 FAX: MR. PAUL LIBBON 218/625-7808 HWS NProf LAKESHORE THE CREST 4004 LONDON ROAD (25830) DULUTH, MN 55804 PHONE: 218/625-7805 FAX: Corp LAKESIDE MANOR MR. PAUL LIBBON 218/625-7808 HCP-F HWSAL 4831 LONDON ROAD (20087) DULUTH, MN 55804 PHONE: 218/525-2784 FAX: 218/525-3411 Corp LAKEWALK SURGERY CENTER INC MR. THOMAS KOLAR Outpt Surg Amb Surg 1420 LONDON ROAD SUITE 100 (20618) DULUTH, MN 55805 PHONE: 218/728-8505 FAX: 218/728-8557 MR. JOE MAJERUS HWS Lim-Liab LENOX PLACE 701 WEST SUPERIOR STREET (23964) DULUTH, MN 55802 PHONE: 218/722-0739 FAX: Corp MCCARTHY MANOR INC MRS. KELLEY ZARWELL 218/722-3429 HCP-F HWSAL 2221 NORTH ARLINGTON AVENUE (20034) DULUTH, MN 55811 PHONE: 218/722-1501 FAX: MR. JOHN HANSEN 218/722-5882 HWS-O HRA MIDTOWNE MANOR II 2011 WEST 2ND ST (21168) DULUTH, MN 55806 PHONE: 218/529-6300 FAX: State MSOCS DULUTH ICFMR GR HM MR. RICHARD BALL 218/529-6344 SLFB-6 ICFMR-6 1423 SWAN LAKE ROAD (01650) DULUTH, MN 55811 PHONE: 218/722-9449 FAX: 218/279-2674 MR. JERRY MAURER Minnesota Department of Health Division of Compliance Monitoring Page 353 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp NORTHERN LIGHTS HOME HLTH CARE Certification SAINT LOUIS Registration (Cont.)* -------------------------- HCP-A 5640 TAFT ROAD (28213) DULUTH, MN 55803 PHONE: 218/390-7551 FAX: MR. JAMES KANESKI /- Lim-Liab NORTHLAND ASSISTED LIVING HCP-F 202 W SUPERIOR STREET STE 610 (24908) DULUTH, MN 55802 PHONE: 218/723-4040 FAX: MS. KARIE SIMPSON 218/723-4048 Corp NURSES THAT CARE INC HCP-A HHA 1932 LONDON ROAD (03338) DULUTH, MN 55812 PHONE: 218/724-2800 FAX: MS. DEBRA ADAMS-KOLTES 218/724-8200 Corp PATHWAYS TO ACHIEVEMENT HCP-F 114 SOUTH 20TH AVE W STE A (26846) DULUTH, MN 55806 PHONE: 218/721-4732 FAX: MS. BRENDA EHNES 218/491-7185 Corp PATHWAYS TO ACHIEVEMENT HCP-A HHA 114 SOUTH 20TH AVE W STE A (23205) DULUTH, MN 55806 PHONE: 218/721-4732 FAX: 218/491-7185 Lim-Liab PAVILION SURGERY CENTER LLC MS. BRENDA EHNES Outpt Surg Amb Surg 920 EAST FIRST ST SUITE 101 (21063) DULUTH, MN 55805 PHONE: 218/279-6200 FAX: 218/279-6205 MR. JAMES MUSTONEN HWSAL Part PENNEL PARK COMMONS 330 NORTH ARLINGTON AVE (21831) DULUTH, MN 55811 PHONE: 218/727-8715 FAX: 218/727-8715 MS. CINDY FLEEGEL HWSAL-O NProf PINE GROVE APARTMENTS 4082 HAINES ROAD (24466) DULUTH, MN 55811 PHONE: 651/645-7271 FAX: 651/645-0541 MR. STEPHEN VANDER SCHAAF HWSAL NProf PINES III ASSISTED LIVING 50 EAST ST MARIE STREET (20866) DULUTH, MN 55803 PHONE: 218/724-5500 FAX: 218/724-5535 MS. KIM BERNACKI Out Pt Out St Out Ot NProf POLINSKY MEDICAL REHAB CTR 402 EAST 2ND STREET (26267) DULUTH, MN 55805 PHONE: 218/786-5410 FAX: /- MR. BILL SINGPIEL Minnesota Department of Health Division of Compliance Monitoring Page 354 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab PRIMROSE OF DULUTH Certification SAINT LOUIS Registration (Cont.)* -------------------------- HCP-F HWSAL 724 MAPLE GROVE ROAD (21916) DULUTH, MN 55811 PHONE: 218/724-4900 FAX: NProf RES TREATMENT & DETOX CTR MS. NANCY SAARI 218/722-3760 SLFB-40 1402 EAST SUPERIOR STREET (21125) DULUTH, MN 55805 PHONE: 218/529-3426 FAX: Corp RIVER HILL ASSISTED LIVING INC MS. TINA SILVERNESS 218/529-3447 HCP-F HWSAL 126 98TH AVENUE WEST (25393) DULUTH, MN 55808 PHONE: 218/626-3322 FAX: NProf RSI HARTLEY MS. PATRICE STENHAMMER 218/626-1089 SLFB-6 ICFMR-6 707 WEST ARROWHEAD ROAD (01448) DULUTH, MN 55811 PHONE: 218/728-4435 FAX: MR. JON NELSON 218/727-2893 HWSAL Lim-Liab SCENIC SENIOR HAUS 5359 NORTH SHORE DRIVE (27832) DULUTH, MN 55804 PHONE: 218/525-6697 FAX: 218/525-6697 Lim-Liab SCENIC SENIOR HAUS LLC MRS. SHARON DELEO HCP-F 5359 NORTH SHORE DRIVE (27833) DULUTH, MN 55804 PHONE: 218/525-6697 FAX: 218/525-6697 Corp SENIOR FRIEND MS. SHARON DELEO HCP-F 301 W FIRST ST SUITE 309 (21940) DULUTH, MN 55802 PHONE: 218/727-1111 FAX: Corp SENIOR FRIEND ASSOCIATES INC MR. RANDALL LEJA 218/720-6819 HCP-A HHA 301 WEST FIRST ST SUITE 309 (02390) DULUTH, MN 55802 PHONE: 218/727-1111 FAX: Ind SEPTEMBER HOUSE MR. JIM MARCHETTI 218/720-6819 HCP-F HWS 2140 WOODLAND AVENUE (03775) DULUTH, MN 55803 PHONE: 218/728-9065 FAX: NProf SOLVAY HOUSE MS. SUZANNE VEDDER 218/728-4815 RES-HSPICE-12 801 BAYLIS STREET (25300) DULUTH, MN 55811 PHONE: 218/529-3400 FAX: 218/529-3419 MS. CATHY BERENDTS 18-HOSPICE-12 Minnesota Department of Health Division of Compliance Monitoring Page 355 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** State SOSNN BRIDGE HOUSE Certification SAINT LOUIS Registration (Cont.)* -------------------------- SLFA-13 221 NORTH FIRST AVENUE WEST (01673) DULUTH, MN 55806 PHONE: 218/725-7785 FAX: Lim-Liab SPIRIT VALLEY ASSISTED LIVING MR. DAVE HARTFORD 218/725-7748 HCP-F HWSAL 102 NORTH 58TH AVENUE WEST (24120) DULUTH, MN 55807 PHONE: 218/628-2705 FAX: MR. CHARLES BELL 218/628-7225 HWSAL Lim-Liab SPIRIT VALLEY ASSISTED LIVING 101 NORTH 58TH AVENUE WEST (24431) DULUTH, MN 55807 PHONE: 218/628-2705 FAX: NProf ST ANNS RESIDENCE MR. CHARLES BELL 218/628-7225 HCP-F HWSAL 330 EAST THIRD STREET (20183) DULUTH, MN 55805 PHONE: 218/727-8831 FAX: Church ST ELIGIUS HEALTH CENTER MR. DAVID KERN 218/727-8833 NH-99 SNF-NF-99 7700 GRAND AVENUE (00593) DULUTH, MN 55807 PHONE: 218/628-2341 FAX: 218/628-0395 MR. STEVE BAUKNER Home Mgmt Cnty ST LOUIS CO PUBLIC HEALTH & HS 325 WEST FIRST STREET STE 300 (02019) DULUTH, MN 55802 PHONE: 218/725-5267 FAX: 218/725-5282 NProf ST LUKES HOME HEALTH SERVICES MR. RICHARD PINGRY HCP-A HHA 220 NORTH SIXTH AVENUE EAST (02150) DULUTH, MN 55805 PHONE: 218/249-6111 FAX: NProf ST LUKES HOSPICE DULUTH MS. LYNN NELSON 218/249-6166 Hospice HSPICE 220 NORTH SIXTH AVENUE EAST (02753) DULUTH, MN 55805 PHONE: 218/249-6111 FAX: NProf ST LUKES HOSPITAL MS. LYNN NELSON 218/249-2166 BASS-18 HOSP-267 HOSP-248 PPS-R-19 PPS-R- 915 EAST FIRST STREET (00599) DULUTH, MN 55805 PHONE: 218/249-5555 FAX: NProf ST MARYS HOSPICE & PALLIATIVE MR. JOHN STRANGE 218/249-2472 Hospice HSPICE 330 EAST 2ND STREET (02562) DULUTH, MN 55805 PHONE: 218/786-4020 FAX: 218/786-4223 MS. CATHY BERENDTS Minnesota Department of Health Division of Compliance Monitoring Page 356 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification SAINT LOUIS (Cont.)* -------------------------HWSAL-O NProf SUPERIOR VIEW APARTMENTS Registration 1022 JUNCTION AVENUE (24465) DULUTH, MN 55812 PHONE: 651/645-7271 FAX: MR. STEPHEN VANDER SCHAAF 651/645-0541 NProf THUNDERBIRD/WREN HOUSE SLFA-21 229 NORTH FOURTH AVENUE WEST (01358) DULUTH, MN 55806 PHONE: 218/879-6731 FAX: MR. JIM MALLERY 218/879-6734 Home Mgmt Ind TOUCHING HEARTS AT HOME 314 W SUPERIOR ST STE M275 (25226) DULUTH, MN 55802 PHONE: 218/724-4743 FAX: MS. SASCHA MANSSON 218/724-4743 Ind TRANSITIONAL SENIOR HOUSING HCP-F HWS 1609 PIEDMONT AVENUE (20834) DULUTH, MN 55811 PHONE: 218/727-5080 FAX: MR. BRUCE ROSERA 218/727-4330 HWS-O HRA TRI TOWERS 222 NORTH 2ND AVE EAST (21864) DULUTH, MN 55805 PHONE: 218/529-6355 FAX: 218/529-6379 NProf VIEWCREST HEALTH CENTER MR. RICHARD BALL NH-92 SNF-NF-92 3111 CHURCH STREET (00602) DULUTH, MN 55811 PHONE: 218/279-4203 FAX: 218/727-6460 Ind WENDY S. MARSHALL MR. ROBERT DAHL HCP-A 4837 DANIELS ROAD (28237) DULUTH, MN 55811 PHONE: 218/729-7393 FAX: MS. WENDY MARSHALL /- Corp WESLEY RESIDENCE OF DULUTH HCP-F HWSAL 5601 GRAND AVENUE (20151) DULUTH, MN 55807 PHONE: 218/628-2307 FAX: NProf WESTWOOD OF DULUTH MS. MARIA RUNYAN 218/628-6301 HCP-F HWS 925 KENWOOD AVENUE (20935) DULUTH, MN 55811 PHONE: 218/733-2238 FAX: NProf BOUNDARY WATERS CARE CENTER MR. DANA TCHIDA 218/279-7360 NH-58 SNF-NF-58 200 WEST CONAN STREET (00587) ELY, MN 55731 PHONE: 218/365-3271 FAX: 218/365-8777 MS. PATRICIA BANKS Minnesota Department of Health Division of Compliance Monitoring Page 357 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf ELY BLOOMENSON COMM HOSPITAL Certification SAINT LOUIS Registration (Cont.)* -------------------------- BASS-3 HOSP-25 CAH-25 328 WEST CONAN STREET (28259) ELY, MN 55731 PHONE: 218/365-3271 FAX: NProf ELY BLOOMENSON HOSPITAL HHA MR. JOHN FOSSUM 218/365-8777 HCP-A HHA 328 WEST CONAN STREET (02258) ELY, MN 55731 PHONE: 218/365-8722 FAX: MS. BECKY GAULKE 218/365-8777 HWSAL Lim-Liab ELY CAREFREE LIVING 140 SOUTH 2ND AVENUE WEST (25891) ELY, MN 55731 PHONE: 218/365-2261 FAX: MS. MARILYN HANSON 218/365-2214 HWSAL Lim-Liab ELY CAREFREE LIVING 100 SOUTH 2ND AVENUE WEST (25889) ELY, MN 55731 PHONE: 218/365-2261 FAX: MS. MARILYN HANSON 218/365-2214 HWSAL Lim-Liab ELY CAREFREE LIVING 200 SOUTH 2ND AVENUE WEST (25890) ELY, MN 55731 PHONE: 218/365-2261 FAX: 218/365-2214 MS. MARILYN HANSON HWSAL Corp SPECTRUM COMMUNITY HEALTH INC 1505 NORTH PIONEER RD (23478) ELY, MN 55731 PHONE: 218/741-3013 FAX: 218/741-1448 NProf EVELETH HEALTH SERVICES PARK MS. MARILYN HANSON NH-24 SNF-NF-24 227 MCKINLEY AVENUE (00588) EVELETH, MN 55734 PHONE: 218/744-1950 FAX: MS. LAURA PETERSEN 218/744-3868 ESRD Corp FRESENIUS MEDICAL CARE EVELETH 233 MC KINLEY AVENUE (02473) EVELETH, MN 55734 PHONE: 218/744-3226 FAX: Corp SALMI HOMES INC MS. PAM ELDSTAD 218/744-3072 HCP-F 303 HAT TRICK AVENUE (03739) EVELETH, MN 55734 PHONE: 218/744-5907 FAX: NProf ST RAPHAELS HEALTH & REHAB MR. CLYDE SALMI 218/744-1024 HCP-F HWSAL 601 GRANT AVENUE (20198) EVELETH, MN 55734 PHONE: 218/744-9800 FAX: 218/744-9829 MS. DAWN CHIABOTTI Minnesota Department of Health Division of Compliance Monitoring Page 358 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf ST RAPHAELS HEALTH & REHAB CTR Certification SAINT LOUIS Registration (Cont.)* -------------------------- NH-76 SNF-NF-76 601 GRANT AVENUE (00583) EVELETH, MN 55734 PHONE: 218/744-9800 FAX: MS. DAWN CHIABOTTI 218/744-9829 HWSAL Corp WILLOWWOOD MEMORY CARE 303 HAT TRICK AVENUE (20846) EVELETH, MN 55734 PHONE: 218/744-5907 FAX: MR. CLYDE SALMI 218/744-1024 HWS Part RIVERVIEW MANOR 328 EAST 11TH AVENUE (23094) FLOODWOOD, MN 55736 PHONE: 218/476-2738 FAX: MS. SHIRLEY JOHNSON 218/721-2377 HWSAL HRA BROADVIEW MANOR 120 OHIO AVE WEST (23607) GILBERT, MN 55741 PHONE: 218/741-0398 FAX: Lim-Liab DIRECTIONS FOR LIFE MS. RACHELLE HUFFMAN 218/741-8521 HCP-A 4897 MILLER TRUNK HWY STE 226 (28121) HERMANTOWN, MN 55811 PHONE: 218/722-1184 FAX: 218/727-3677 MS. CHRISTINE MEILACH HWSAL Lim-Liab EDGEWOOD VISTA ALZHEIMERS CARE 4175 WESTBERG ROAD (20853) HERMANTOWN, MN 55811 PHONE: 218/723-8905 FAX: 218/723-4051 Lim-Liab EDGEWOOD VISTA HERMANTOWN MS. ANN BANKS HCP-F HWSAL 4195 WESTBERG ROAD (20852) HERMANTOWN, MN 55811 PHONE: 218/723-8905 FAX: MR. PHILIP GISI 218/723-4051 HWSAL Lim-Liab EDGEWOOD VISTA HERMANTOWN - AL 4195 WESTBERG ROAD (21901) HERMANTOWN, MN 55811 PHONE: 218/723-8905 FAX: MS. ANN BECK 218/723-4051 HWSAL Lim-Liab EDGEWOOD VISTA SUITES 4125 WESTBERG ROAD (23990) HERMANTOWN, MN 55811 PHONE: 218/723-8905 FAX: Corp GOLDEN OAKS MR. PHILIP GISI 218/723-4051 HCP-F HWSAL 4067 REINKE ROAD (20156) HERMANTOWN, MN 55811 PHONE: 218/729-5014 FAX: 218/729-0319 MRS. LAURA LOKKEN Minnesota Department of Health Division of Compliance Monitoring Page 359 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification SAINT LOUIS (Cont.)* -------------------------HWSAL Corp INNOVATIVE ASSISTED LIVING Registration 230 WEST SUPERIOR STREET (24184) HERMANTOWN, MN 55811 PHONE: 218/491-7838 FAX: MR. ROB GANNUCCI 218/491-7840 HWSAL Corp SUPERIOR VIEW ASSISTED LIVING 4264 LAVAQUE ROAD (26914) HERMANTOWN, MN 55811 PHONE: 218/491-7838 FAX: MR. TROY MEAD 218/491-7840 Ind ASPEN GROVE ALT SENIOR LIVING HCP-F 522 ASPEN GROVE (27486) HIBBING, MN 55746 PHONE: 218/263-7330 FAX: MS. BRENDA GARGANO /- HWSAL Ind ASPEN GROVE ALTERNATIVE SENIOR 522 ASPEN GROVE (27487) HIBBING, MN 55746 PHONE: 218/263-7330 FAX: MS. BRENDA GARGANO /- Home Mgmt Corp CHERISHED HOME MANAGEMENT 1903 EAST 31ST STREET (27166) HIBBING, MN 55746 PHONE: 218/263-8239 FAX: 218/263-8239 MS. KIMBERLY TYLER ESRD Corp FRESENIUS MED CARE OF HIBBING 750 EAST 34TH ST (02115) HIBBING, MN 55746 PHONE: 218/362-6623 FAX: /- MS. ANGIE HULBURT NProf GREENVIEW NORTH HCP-F HWSAL 3520 EAST 7TH AVENUE (20403) HIBBING, MN 55746 PHONE: 218/262-5139 FAX: MS. JANET KIESEL 218/262-4050 HWSAL NProf GREENVIEW SOUTH 3522 EAST SEVENTH AVENUE (20092) HIBBING, MN 55746 PHONE: 218/262-5139 FAX: NProf GUARDIAN ANGELS HEALTH & REHAB MS. JANET KIESEL 218/263-4050 NH-90 SNF-NF-90 1500 EAST THIRD AVENUE (00858) HIBBING, MN 55746 PHONE: 218/263-7583 FAX: Lim-Liab HEALTHLINE HOMECARE MR. GEOFFREY RYAN 218/231-8111 HCP-A HHA 1101 E 37TH STREET (02309) HIBBING, MN 55746 PHONE: 218/262-6982 FAX: 218/262-1723 MR. DAVID HOHL Minnesota Department of Health Division of Compliance Monitoring Page 360 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification SAINT LOUIS (Cont.)* -------------------------HWSAL Corp HILLCREST ADAMS Registration 2229 THIRD AVENUE EAST (20529) HIBBING, MN 55746 PHONE: 218/263-4157 FAX: MR. RANDY SCHROETTER 218/263-9032 HWSAL Corp HILLCREST ALICE - NORTH 2314 2ND AVENUE EAST (22146) HIBBING, MN 55746 PHONE: 218/263-4157 FAX: MR. RANDY SCHROETTER 218/263-9032 HWSAL Corp HILLCREST ALICE - SOUTH 2314 2ND AVENUE EAST (23553) HIBBING, MN 55746 PHONE: 218/263-9220 FAX: MR. RANDY SCHROETTER 218/263-9580 HWSAL Corp HILLCREST OAKS 2413 1ST AVENUE EAST (28478) HIBBING, MN 55746 PHONE: 218/263-4157 FAX: MR. RANDY SCHROETTER 218/263-4468 HWSAL Corp HILLCREST PARKSIDE NORTH 2310 2ND AVENUE EAST (25376) HIBBING, MN 55746 PHONE: 218/263-9220 FAX: 218/263-5750 MR. RANDY SCHROETTER HWSAL Corp HILLCREST PARKSIDE SOUTH 2310 2ND AVENUE EAST (25375) HIBBING, MN 55746 PHONE: 218/263-8402 FAX: 218/263-5750 MR. RANDY SCHROETTER HWSAL Corp HILLCREST SUITES 1520 EAST HWY 37 (24447) HIBBING, MN 55746 PHONE: 218/263-3643 FAX: MR. RANDY SCHROETTER 218/263-5516 HWSAL Corp HILLCREST TERRACE OF HIBBING 1507 EAST 41ST STREET (20200) HIBBING, MN 55746 PHONE: 218/263-3641 FAX: Corp HOME CARE SPECIALISTS MR. RANDY SCHROETTER 218/263-7556 HCP-A HHA 101 EAST HOWARD STREET (02376) HIBBING, MN 55746 PHONE: 218/262-5887 FAX: ONProf NORTH STAR HOSPICE MS. CATHERINE BAUDECK 218/262-6228 Hospice HSPICE 1101 EAST 37TH ST SUITE 27 (03270) HIBBING, MN 55746 PHONE: 218/262-6982 FAX: 218/262-1723 MR. DAVID HOHL Minnesota Department of Health Division of Compliance Monitoring Page 361 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification SAINT LOUIS (Cont.)* -------------------------HWS-O NProf PERPICH APARTMENTS Registration 3203 - 3RD AVE W (24880) HIBBING, MN 55746 PHONE: 218/263-9237 FAX: NProf RANGE CENTER ASPENWOOD HOME MS. WANDA TARAY 218/741-3080 SLFB-6 ICFMR-6 1820 EAST 39TH STREET (01629) HIBBING, MN 55746 PHONE: 218/263-9079 FAX: NProf RANGE CENTER MAPLEVIEW HOME MS. SHELLEY ROBINSON 218/254-7343 SLFB-6 ICFMR-6 506 WEST 47TH STREET (01315) HIBBING, MN 55746 PHONE: 218/263-4573 FAX: MS. SHELLEY ROBINSON 218/254-7343 HWS HRA SEVENTH AVENUE APARTMENTS 3230 EAST 7TH AVENUE APT 1-N (20585) HIBBING, MN 55746 PHONE: 218/263-3661 FAX: NProf UNIVERSITY MEDICAL CTR MESABI MS. ANITA PROVINZINO 218/262-4164 BASS-16 HOSP-175 HOSP-175 750 EAST 34TH STREET (00859) HIBBING, MN 55746 PHONE: 218/362-6659 FAX: 218/362-6619 MRS. DEBRA BOARDMAN HWSAL Lim-Liab NORTHLAND VILLAGE 421 KENNEDY MEMORIAL DRIVE (27970) HOYT LAKES, MN 55750 PHONE: 218/225-0176 FAX: 218/225-0179 Corp THE HUMMINGBIRD MS. KARIE SIMPSON HCP-F HWS 7704 COLE AVENUE (26569) MEADOWLANDS, MN 55765 PHONE: 218/427-2294 FAX: 218/427-1015 MR. MICHAEL LINDGREN HWSAL Lim-Liab DIAMOND WILLOW ASSISTED LIVING 8583 UNITY DRIVE (24664) MOUNTAIN IRON, MN 55768 PHONE: 218/741-1412 FAX: 218/741-1454 MS. BRENDA MARSHALL HWSAL Lim-Liab DIAMOND WILLOW ASSISTED LIVING 8585 UNITY DRIVE (24665) MOUNTAIN IRON, MN 55768 PHONE: 218/741-1450 FAX: 218/741-1453 MS. BRENDA MARSHALL HWSAL Lim-Liab DIAMOND WILLOW ASSISTED LIVING 913 OLD HWY 2 (23609) PROCTOR, MN 55810 PHONE: 218/624-9771 FAX: 218/624-9772 MS. BRENDA MARSHALL Minnesota Department of Health Division of Compliance Monitoring Page 362 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification SAINT LOUIS (Cont.)* -------------------------HWSAL Lim-Liab DIAMOND WILLOW ASSISTED LIVING Registration 919 OLD HWY 2 (24121) PROCTOR, MN 55810 PHONE: 218/624-5102 FAX: MS. BRENDA MARSHALL 218/624-6028 HWSAL Lim-Liab DIAMOND WILLOW ASSISTED LIVING 921 OLD HWY 2 (24122) PROCTOR, MN 55810 PHONE: 218/624-5034 FAX: Lim-Liab DIAMOND WILLOW ASSISTED LIVING MS. BRENDA MARSHALL 218/624-5375 HCP-F HWSAL 915 OLD HIGHWAY 2 (23122) PROCTOR, MN 55810 PHONE: 218/591-3604 FAX: MS. BRENDA MARSHALL 218/625-2338 HWSAL Lim-Liab DIAMOND WILLOW ASSISTED LIVING 923 OLD HWY 2 (24123) PROCTOR, MN 55810 PHONE: 218/624-0363 FAX: Corp GOLDEN OAKS ADV ASSIST LIVING MS. BRENDA MARSHALL 218/624-0295 HCP-F HWSAL 23 WATERVIEW DRIVE (25952) PROCTOR, MN 55810 PHONE: 218/740-0404 FAX: 218/740-0337 Corp GOLDEN HORIZONS MS. TERI DIMARCO HCP-F HWSAL 1232 BIRCH STREET NORTH (24173) TOWER, MN 55790 PHONE: 218/753-7788 FAX: 218/753-7792 MR. CHUCK LANE HWSAL Lim-Liab ALICE NETELL TOWERS 550 THIRD AVENUE NORTH (21519) VIRGINIA, MN 55792 PHONE: 218/741-3650 FAX: 218/741-3650 MS. ANN SCHUG-PETERS HWSAL Corp CHESTNUT GROVE EAST 1204 WEST CHESTNUT STREET (21899) VIRGINIA, MN 55792 PHONE: 218/749-6846 FAX: 218/749-6846 MR. RANDY SCHROETTER HWSAL Corp CHESTNUT GROVE NORTH 1204 WEST CHESTNUT STREET (20288) VIRGINIA, MN 55792 PHONE: 218/749-6846 FAX: 218/749-6846 MR. RANDY SCHROETTER HWSAL Corp CHESTNUT GROVE SOUTH 1204 WEST CHESTNUT STREET (20287) VIRGINIA, MN 55792 PHONE: 218/749-6847 FAX: 218/749-6846 MR. RANDY SCHROETTER Minnesota Department of Health Division of Compliance Monitoring Page 363 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification SAINT LOUIS (Cont.)* -------------------------HWSAL Corp CHESTNUT GROVE WEST Registration 1204 WEST CHESTNUT STREET (21898) VIRGINIA, MN 55792 PHONE: 218/749-6846 FAX: MR. RANDY SCHROETTER 218/749-6846 NProf DONOVAN FRANK DETOX CENTER SLFA-20 SLFB-12 626 13TH STREET SOUTH (20624) VIRGINIA, MN 55792 PHONE: 218/741-4714 FAX: MS. WANDA TARAY 218/741-3080 Lim-Liab EDGEWOOD VISTA VIRGINIA HCP-F HWSAL 705 NORTH 17TH STREET (21353) VIRGINIA, MN 55792 PHONE: 218/741-7106 FAX: MR. PHILIP GISI 218/741-5371 HWSAL Lim-Liab EDGEWOOD VISTA VIRGINIA - ALZ 605 NORTH 17TH STREET (21354) VIRGINIA, MN 55792 PHONE: 218/741-7106 FAX: MR. PHILIP GISI 218/741-7229 Corp HEALTHSTAR HOME HEALTH AGENCY HCP-A HHA 1001 NINTH AVENUE NORTH (02186) VIRGINIA, MN 55792 PHONE: 218/749-9410 FAX: 218/749-7940 MS. SUSAN TWITE GIORGI Out Pt Out St Out Ot NProf IRON RANGE REHAB CENTER 901 NORTH 9TH STREET SUITE 100 (02091) VIRGINIA, MN 55792 PHONE: 218/749-9405 FAX: 218/749-9407 NProf MERRITT HOUSE MR. HENRY TAMMINEN SLFA-16 731 THIRD STREET SOUTH (20793) VIRGINIA, MN 55792 PHONE: 218/741-9630 FAX: MR. GORDON HOELSCHER 218/741-2640 State MSOCS VIRGINIA ICFMR GR HM SLFB-6 ICFMR-6 700 SOUTH SEVENTH AVENUE WEST (01643) VIRGINIA, MN 55792 PHONE: 218/741-8440 FAX: 218/742-3420 MS. BETTY PREBLE CMHC NProf RANGE MENTAL HEALTH CENTER 624 SOUTH 13TH ST PO BOX 1188 (02777) VIRGINIA, MN 55792 PHONE: 218/749-2881 FAX: MR. MILLER FRIESEN /- HWSAL Corp SPECTRUM COMMUNITY HEALTH INC 712 NINTH STREET SOUTH (23260) VIRGINIA, MN 55792 PHONE: 218/741-3013 FAX: 218/741-1448 MS. MARILYN HANSON Minnesota Department of Health Division of Compliance Monitoring Page 364 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf ST MICHAELS HLTH & REHAB CTR Certification SAINT LOUIS Registration (Cont.)* -------------------------- NH-96 SNF-NF-96 1201 8TH STREET SOUTH (00582) VIRGINIA, MN 55792 PHONE: 218/748-7800 FAX: MS. CHERYL HIGH 218/748-7890 HWSAL HRA THE COLUMBIA 600 NORTH THIRD AVENUE (21737) VIRGINIA, MN 55792 PHONE: 218/749-5898 FAX: MR. JAMES PASKE 218/741-2610 HWSAL HRA THE ROUCHLEAU 602 THIRD AVENUE NORTH (21736) VIRGINIA, MN 55792 PHONE: 218/749-5898 FAX: City VIRGINIA REG MED CTR & NH MR. JAMES PASKE 218/741-2610 BASS-6 HOSP-83 NH-90 HOSP-67 PPS-R-16 SNF-NF-90 901 NINTH STREET NORTH (00603) VIRGINIA, MN 55792 PHONE: 218/741-3340 FAX: MR. JEFFREY BROWN 218/749-9427 ---------------------------********** Lim-Liab KINGSWAY HOME CARE SCOTT ******** -------------------------- HCP-A HWSAL 815 WEST MAIN STREET (26037) BELLE PLAINE, MN 56011 PHONE: 952/873-5900 FAX: 952/873-5901 Lim-Liab KINGSWAY MINISTRIES LLC MR. KARL KEUP HCP-F 815 WEST MAIN STREET (27757) BELLE PLAINE, MN 56011 PHONE: 952/873-5900 FAX: NProf LUTHERAN HOME MR. KARL KEUP 952/873-5901 NH-97 SNF-NF-97 611 WEST MAIN STREET (00605) BELLE PLAINE, MN 56011 PHONE: 952/873-2215 FAX: Church THE LUTHERAN HOME HOPE RES MR. DENNIS DECOSTA 952/873-2120 SLFB-52 ICFMR-52 611 WEST MAIN STREET (01682) BELLE PLAINE, MN 56011 PHONE: 952/873-2143 FAX: Corp THE LODGE ON NATCHEZ MS. DEBRA WILBRIGHT 952/873-2147 HCP-F HWSAL 27890 NATCHEZ AVENUE (21486) ELKO, MN 55020 PHONE: 952/652-9120 FAX: 952/652-9121 MR. GERALD MCGOWAN Minnesota Department of Health Division of Compliance Monitoring Page 365 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification SCOTT (Cont.)* -------------------------HWSAL Lim-Liab OAK TERRACE SENIOR HOUSING OF Registration 622 ABERDEEN AVENUE (28513) JORDAN, MN 55352 PHONE: 952/492-5559 FAX: MR. DREW HOOD /- Lim-Liab OAK TERRACE SENIOR HOUSING OF HCP-F 622 ABERDEEN AVENUE (28511) JORDAN, MN 55352 PHONE: 952/492-5559 FAX: MR. DREW HOOD /- Lim-Liab VALLEYVIEW OF JORDAN LLC HCP-F HWSAL 4061 WEST 173RD STREET (20964) JORDAN, MN 55352 PHONE: 952/492-6160 FAX: MRS. ALAINA GAST 952/492-6860 Corp MALA STRANA ASSISTED LIVING HCP-F HWSAL 999 COLUMBUS AVE N (21822) NEW PRAGUE, MN 56071 PHONE: 952/758-2511 FAX: MS. MARY WHITMER 952/758-0171 Corp MALA STRANA HEALTH CARE CTR NH-90 SNF-NF-90 1001 COLUMBUS AVENUE NORTH (00811) NEW PRAGUE, MN 56071 PHONE: 952/758-2511 FAX: 952/758-2514 NProf MCHS - NEW PRAGUE MS. HOLLY KRANZ BASS-6 HOSP-49 CAH-25 301 SECOND STREET NORTHEAST (00607) NEW PRAGUE, MN 56071 PHONE: 952/758-8101 FAX: 952/758-2166 Ind SALLYS HOME HEALTH CARE MS. MARY KLIMP HCP-C 605 LEXINGTON AVENUE NORTH (27531) NEW PRAGUE, MN 56071 PHONE: 612/205-6612 FAX: MS. SALLY TUPY /- Corp COMMUNITY ASSISTED LIVING INC HCP-F 16670 FRANKLIN TRAIL SE #120A (20823) PRIOR LAKE, MN 55372 PHONE: 952/440-3955 FAX: Corp COMMUNITY HOME HEALTH INC MS. BARBARA CEBALLOS 952/440-3956 HCP-A HHA 16670 FRANKLIN TRAIL SE #120A (03422) PRIOR LAKE, MN 55372 PHONE: 952/440-3955 FAX: 952/440-3956 MS. BARBARA CEBALLOS HWS Lim-Liab KEYSTONE COMMUNITIES OF PRIOR 4685 PARK NICOLLET AVENUE (22094) PRIOR LAKE, MN 55372 PHONE: 952/226-9200 FAX: 952/226-9208 MR. MICHAEL J. LEWIS Minnesota Department of Health Division of Compliance Monitoring Page 366 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification SCOTT (Cont.)* -------------------------HWSAL NProf MCKENNA CROSSING Registration 13810 SHEPHERDS PATH NW (25285) PRIOR LAKE, MN 55379 PHONE: 952/230-3300 FAX: MRS. MELISSA KIRCHHOFF 952/230-3301 Ind THE SENIORS FRIEND LLC HCP-C 5895 TIMBER TRAIL SOUTHEAST (27353) PRIOR LAKE, MN 55372 PHONE: 952/388-9240 FAX: MS. BRENDA RODGERS /- Home Mgmt Corp CREEKRIDGE CONCIERGE 14079 RIDGE POINT COURT (27010) SAVAGE, MN 55378 PHONE: 651/260-6024 FAX: MS. HOLLY FELLOWS 952/403-6377 Home Mgmt Lim-Liab GENTLE CARE IN-HOME SVCS LLC 4239 WEST 125TH STREET (27148) SAVAGE, MN 55378 PHONE: 612/998-8725 FAX: MS. RONDA GRISIM 952/890-5013 ESRD Corp SCOTT COUNTY DIALYSIS 7456 SOUTH PARK DRIVE (24585) SAVAGE, MN 55378 PHONE: 612/347-5864 FAX: /- MS. KATHY WOLFE Home Mgmt Lim-Liab AGAPE HOMELIVING AGENCY 2560 VIERLING DRIVE EAST (27260) SHAKOPEE, MN 55379 PHONE: 952/445-2640 FAX: 952/445-2640 Lim-Liab ALL FAMILY HOME CARE LLC MS. LISA DIXON HCP-A 9105 PRESERVE TRAIL (26744) SHAKOPEE, MN 55379 PHONE: 612/751-1743 FAX: MR. STEPHEN GOWDY /- Corp ASSURED CARE HCP-F HWSAL 206 MALLARD DRIVE (27091) SHAKOPEE, MN 55379 PHONE: 952/829-1251 FAX: 952/314-1527 MS. JOAN COLEMAN HWSAL NProf AUGUSTANA EMERALD CREST OF SHA 1855 10TH AVENUE WEST (21389) SHAKOPEE, MN 55379 PHONE: 952/856-7522 FAX: 952/856-7527 MS. MARGARET OWENS HWSAL Corp COMMUNITY ASSISTED LIVING INC 1205 SIXTH AVENUE WEST (21887) SHAKOPEE, MN 55379 PHONE: 952/403-5163 FAX: 952/403-0261 MS. DONNA NOVAK Minnesota Department of Health Division of Compliance Monitoring Page 367 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification SCOTT (Cont.)* -------------------------HWSAL Corp COMMUNITY ASSISTED LIVING INC Registration 915 FULLER STREET (22164) SHAKOPEE, MN 55379 PHONE: 952/445-8708 FAX: Corp DELPHI MS. DONNA NOVAK 952/403-0261 SLFA-9 ICFMR-9 1411 EAST SHAKOPEE AVENUE (01228) SHAKOPEE, MN 55379 PHONE: 952/445-1680 FAX: MS. BETSY NELSON-CALLAHAN 952/403-6420 ESRD Corp FMCNA SHAKOPEE DIALYSIS CENTER 1515 ST FRANCIS AVENUE #150 (03935) SHAKOPEE, MN 55374 PHONE: 952/403-1038 FAX: Corp SHAKOPEE FRIENDSHIP MANOR MR. JOHN MARIETTI 952/403-1054 NH-80 SNF-NF-80 1340 THIRD AVENUE WEST (00820) SHAKOPEE, MN 55379 PHONE: 952/445-4155 FAX: Church ST FRANCIS REGIONAL MED CENTER MR. BRUCE SALMELA 952/445-9367 BASS-16 HOSP-93 HOSP-93 1455 ST FRANCIS AVENUE (00458) SHAKOPEE, MN 55379 PHONE: 952/403-3000 FAX: 952/403-3820 Church ST GERTRUDES HEALTH CENTER MR. MIKE BAUMGARTNER NH-105 SNF-NF-105 1850 SARAZIN STREET (00459) SHAKOPEE, MN 55379 PHONE: 952/233-4400 FAX: 952/233-4476 NProf THE GARDENS AT ST GERTRUDES MR. LEE LARSON HCP-F HWSAL 1850 SARAZIN STREET (23871) SHAKOPEE, MN 55379 PHONE: 952/233-4400 FAX: Corp THE JAMES INC MR. LEE LARSON 952/233-4476 HCP-A 6965 EDINGTON CIRCLE (23727) SHAKOPEE, MN 55379 PHONE: 952/233-5376 FAX: Corp TRUSTED HOME CARE LLC MR. JAMES IMASUEN 952/233-3754 HCP-A 763 WESTWIND AVENUE WEST (27121) SHAKOPEE, MN 55379 PHONE: 952/378-1592 FAX: 952/445-2250 ---------------------------********** MR. CHARLES WELTER SHERBURNE ******** -------------------------- Minnesota Department of Health Division of Compliance Monitoring Page 368 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification SHERBURNE (Cont.)* -------------------------HWSAL Lim-Liab SHEPHERD OF GRACE LLC Registration 11175 - 27TH AVE SE (24881) BECKER, MN 55308 PHONE: 763/262-8000 FAX: MR. BRUCE GLANZER 763/262-8001 ESRD NProf CENTRA CARE BIG LAKE DIALYSIS 16830 198TH AVE NW (03880) BIG LAKE, MN 55309 PHONE: 763/263-7300 FAX: MS. LAURIE BRAUN 763/263-7334 HWSAL Lim-Liab CHERRYWOOD OF BIG LAKE 177 HENRY ROAD (28113) BIG LAKE, MN 55309 PHONE: 320/257-7445 FAX: MS. NANCY KOLLMANN 320/257-7447 HWSAL Lim-Liab CHERRYWOOD OF BIG LAKE 171 HENRY ROAD (28114) BIG LAKE, MN 55309 PHONE: 320/257-7445 FAX: MS. NANCY KOLLMANN 320/257-7447 NProf DCI POWELL CIRCLE SLFB-6 ICFMR-6 150 POWELL CIRCLE WEST (01411) BIG LAKE, MN 55309 PHONE: 763/263-6503 FAX: 763/263-7052 Lim-Liab MCBOE HOME HEALTH LLC MR. ROGER MEYER HCP-A 141 TURNBERRY TRAIL (27285) BIG LAKE, MN 55309 PHONE: 763/458-0397 FAX: /- MRS. TANIA BOE Corp SENIOR HELPERS HCP-A 171 LAKE ST N (24954) BIG LAKE, MN 55371 PHONE: 763/262-9966 FAX: MR. DENNIS EICHINGER 763/262-9967 Corp ACCOUNTABLE HOME CARE HCP-A 11250 192ND AVENUE NORTHWEST (03859) ELK RIVER, MN 55330 PHONE: 612/770-4177 FAX: MS. TERRI LYNAS /- Lim-Liab ACCURATE HOME CARE LLC HCP-A 19021 FREEPORT ST SUITE 400 (21487) ELK RIVER, MN 55330 PHONE: 763/633-3800 FAX: 763/633-3808 MS. AMY NELSON HWS NProf ANGEL RIDGE 280 EVANS AVENUE (24463) ELK RIVER, MN 55330 PHONE: 763/241-4430 FAX: 763/241-4448 MS. RITA WAXON Minnesota Department of Health Division of Compliance Monitoring Page 369 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification SHERBURNE (Cont.)* -------------------------Home Mgmt Corp AVALON HOME CARE INC Registration 20132 ULYSSES STREET NW (28053) ELK RIVER, MN 55330 PHONE: 763/753-8658 FAX: MS. REBEKAH JUDISCH 763/753-4314 HWS NProf EVANS PARK 300 EVANS AVENUE (24461) ELK RIVER, MN 55330 PHONE: 763/241-4430 FAX: Part FAMILY PLUS HOMECARE HEALTH SE MS. RITA WAXON 763/241-4448 HCP-A 10627 171ST AVENUE NORTHWEST (27454) ELK RIVER, MN 55330 PHONE: 763/274-0133 FAX: NProf GUARDIAN ANGELS BY THE LAKE MR. AL WOOLHOUSE 763/274-0107 HCP-F HWSAL 13439 185TH LANE NW (21673) ELK RIVER, MN 55330 PHONE: 763/241-7682 FAX: Church GUARDIAN ANGELS CARE CENTER MS. ANNETTE GREELY 763/274-1349 NH-120 SNF-NF-120 400 EVANS AVENUE (00611) ELK RIVER, MN 55330 PHONE: 763/241-4405 FAX: 763/241-4444 NProf GUARDIAN ANGELS ELIM HOME CARE MR. DANIEL FAIR HCP-A HHA 403 MAIN STREET (02670) ELK RIVER, MN 55330 PHONE: 763/241-0654 FAX: 763/241-0274 NProf GUARDIAN ANGELS ELIM HOSPICE MR. GARY HJELMSTAD Hospice HSPICE 403 MAIN STREET (23764) ELK RIVER, MN 55330 PHONE: 763/241-0654 FAX: MS. LINDA OLSON 763/241-0274 HWS NProf GUARDIAN OAKS 350 EVANS AVENUE (24462) ELK RIVER, MN 55330 PHONE: 763/241-4430 FAX: Lim-Liab HAPPY HEARTS HOME HEALTH AGENC MS. RITA WAXON 763/241-4448 HCP-A 19309 UPLAND STREET NORTHWEST (26510) ELK RIVER, MN 55330 PHONE: 763/706-7300 FAX: NProf LAVINE PLACE MS. CYNTHIA ANDERSON 763/241-0196 SLFB-6 ICFMR-6 11754 191 1/2 AVENUE NORTHWEST (01631) ELK RIVER, MN 55330 PHONE: 763/441-0960 FAX: 763/441-3205 MR. GEORGE KLAUSER Minnesota Department of Health Division of Compliance Monitoring Page 370 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf MACGREGOR PLACE Certification SHERBURNE Registration (Cont.)* -------------------------- SLFB-6 ICFMR-6 497 GATES AVENUE (01632) ELK RIVER, MN 55330 PHONE: 763/441-6514 FAX: MR. GEORGE KLAUSER 763/441-3109 HWS Church BENEDICT VILLAGE 2000 15TH AVE SE (22055) ST CLOUD, MN 56304 PHONE: 320/252-0010 FAX: MS. CHERYL ANDERSON 320/203-2784 HWSAL Church BENEDICT COURT 1980 15TH AVENUE SOUTHEAST (20145) ST CLOUD, MN 56304 PHONE: 320/252-0010 FAX: MS. SHELLY KALTHOFF 320/229-8309 HWSAL Church BENEDICT HOMES 1340 MINNESOTA BLVD SOUTHEAST (20286) ST CLOUD, MN 56304 PHONE: 320/252-0010 FAX: MS. SHELLY KALTHOFF 320/229-8309 HWS Church BENET PLACE 1420 MINNESOTA BLVD SE (22065) ST CLOUD, MN 56304 PHONE: 320/252-2557 FAX: 320/259-6605 MS. LORI NORHEIM HWS Church BENET PLACE SOUTH 1975 15TH AVE SE (22066) ST CLOUD, MN 56304 PHONE: 320/252-2557 FAX: 320/259-6605 MS. LORI NORHEIM HWSAL Corp NATURE'S POINT ASSISTED LIVING 1717 UNIVERSITY DRIVE SE (21937) ST CLOUD, MN 56304 PHONE: 320/251-9120 FAX: Church ST BENEDICTS SENIOR COMMUNITY MR. DARWIN SCHWANTES 320/251-4336 NH-197 SNF-2 SNF-NF-195 1810 MINNESOTA BOULEVARD SE (00774) ST CLOUD, MN 56304 PHONE: 320/252-0010 FAX: Church ST BENEDICTS SENIOR COMMUNITY MS. CHRISTINE BAKKE 320/654-2351 HCP-F 1810 MINNESOTA BOULEVARD SE (20711) ST CLOUD, MN 56304 PHONE: 320/252-0010 FAX: Church ST SCHOLASTICA CONVENT MS. ROBIN THEIS 320/654-2351 HCP-F HWSAL 1845 20TH AVE SE (23095) ST CLOUD, MN 56304 PHONE: 320/251-2225 FAX: 320/251-1455 SR. KARA HENNES Minnesota Department of Health Division of Compliance Monitoring Page 371 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp TALAHI CARE CENTER Certification SHERBURNE Registration (Cont.)* -------------------------- NH-77 SNF-NF-77 1717 UNIVERSITY DRIVE SE (00614) ST CLOUD, MN 56304 PHONE: 320/251-9120 FAX: MR. DARWIN SCHWANTES 320/251-4336 Lim-Liab TALAHI HOME HEALTH HCP-F 1717 UNIVERSITY DRIVE SE (20550) ST CLOUD, MN 56304 PHONE: 320/251-9120 FAX: MR. DARWIN SCHWATES 320/251-4336 ---------------------------********** Corp GOLDEN HEARTS INC SIBLEY ******** -------------------------- HCP-F HWSAL 602 MARION DRIVE (20902) ARLINGTON, MN 55307 PHONE: 507/964-2111 FAX: MS. LAURA KICKER 507/964-5165 NProf GOOD SAM SOCIETY ARLINGTON NH-45 SNF-NF-45 411 SEVENTH AVENUE NW (00617) ARLINGTON, MN 55307 PHONE: 507/964-2251 FAX: MR. GERALD BERGLIN 507/964-2255 NProf GOOD SAMARITAN SOCIETY FAIRVI HCP-F HWSAL 409 7TH AVENUE NW (25120) ARLINGTON, MN 55307 PHONE: 507/964-5156 FAX: 507/964-5110 NProf HIGH ISLAND CREEK RES MR. GERALD BERGLIN SLFA-15 ICFMR-15 708 CHESTNUT DRIVE (01313) ARLINGTON, MN 55307 PHONE: 507/964-5984 FAX: MS. SUSAN BIENFANG /- City SIBLEY MEDICAL CENTER HOSP-20 CAH-20 601 WEST CHANDLER (00618) ARLINGTON, MN 55307 PHONE: 507/964-2271 FAX: MR. TODD SANDBERG 507/964-8490 RHC NProf SIBLEY MEDICAL CLINIC 607 WEST CHANDLER (22177) ARLINGTON, MN 55307 PHONE: 507/964-2285 FAX: DR. JOHN VENER /- City SIBLEY MEDICAL CNTR HOME CARE HCP-A HHA 601 WEST CHANDLER (03336) ARLINGTON, MN 55307 PHONE: 507/964-2271 FAX: 507/964-5256 MR. CURTIS NIELSEN Minnesota Department of Health Division of Compliance Monitoring Page 372 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab OAK TERRACE HEALTH CARE CENTER Certification SIBLEY Registration (Cont.)* -------------------------- NH-46 SNF-NF-46 640 THIRD STREET (00619) GAYLORD, MN 55334 PHONE: 507/237-2911 FAX: MS. DEBORAH BARNES 507/237-5744 Lim-Liab OAK TERRACE HEALTH CENTER OF G HCP-A 640 - 3RD STREET (27233) GAYLORD, MN 55334 PHONE: 507/237-2911 FAX: MS. VICKIE HOLTZ 507/237-5744 Lim-Liab OAK TERRACE SENIOR HOUSING OF HCP-F 638 - 3RD STREET (20214) GAYLORD, MN 55334 PHONE: 507/237-2911 FAX: MR. MICHAEL MONTAG 507/237-5744 HWSAL Lim-Liab OAK TERRACE SENIOR HOUSING OF 638 THIRD STREET (22115) GAYLORD, MN 55334 PHONE: 507/237-2911 FAX: MS. HOLLY KRANZ 507/237-5744 Cnty SIBLEY COUNTY PUBLIC HEALTH DP HCP-A HHA 111 EIGHTH STREET PO BOX 166 (02095) GAYLORD, MN 55334 PHONE: 507/237-4035 FAX: 507/237-4031 MS. LAURA REID RHC NProf SIBLEY MEDICAL CLINIC 315 4TH STREET (22178) GAYLORD, MN 55334 PHONE: 507/237-5523 FAX: /- DR. JOHN VENER Lim-Liab SOUTHVIEW LIVING CENTER LLC HCP-F HWSAL 555 EAST 12TH STREET (22547) GIBBON, MN 55335 PHONE: 507/834-6510 FAX: MS. MAVIS PAUTZ 507/834-6511 RHC Cnty SIBLEY MED CTR HENDERSON 505 MAIN STREET (23978) HENDERSON, MN 56044 PHONE: 507/248-3433 FAX: MR. JASON DOUGLAS /- NProf GOOD SAM SOCIETY WINTHROP NH-39 SNF-NF-39 506 HIGH STREET (00961) WINTHROP, MN 55396 PHONE: 507/647-5391 FAX: 507/647-2035 MS. LORI BUSSLER RHC NProf SIBLEY MEDICAL CLINIC 223 NORTH CARVER (22179) WINTHROP, MN 55396 PHONE: 507/647-5318 FAX: /- DR. JOHN VENER Minnesota Department of Health Division of Compliance Monitoring Page 373 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification STEARNS ******** -------------------------RHC NProf ALBANY AREA HOSP ALBANY CLINIC Registration 320 THIRD AVENUE NORTH (03527) ALBANY, MN 56307 PHONE: 320/845-2157 FAX: MS. SANDRA DAY /- Church ALBANY AREA HOSPITAL & MED CTR BASS-2 HOSP-17 CAH-17 300 THIRD AVENUE (00622) ALBANY, MN 56307 PHONE: 320/845-2121 FAX: MS. SANDRA DAY 320/845-6127 Ind GOLDEN HEARTS HOME CARE HCP-C 21052 QUAKER ROAD (28111) ALBANY, MN 56307 PHONE: 320/845-7060 FAX: MS. CINDY TOMSCHE /- HWS NProf MERCY MANOR II 332 GOLF VIEW DRIVE (24638) ALBANY, MN 56307 PHONE: 320/845-2969 FAX: MR. JOHN HOEFS 320/845-7006 HWS NProf MERCY MANOR INC 334 GOLF VIEW DRIVE (21556) ALBANY, MN 56307 PHONE: 320/845-2969 FAX: 320/845-7006 NProf MOTHER OF MERCY CAMPUS CARE MR. JOHN HOEFS HCP-F HWSAL 230 CHURCH AVENUE PO BOX 676 (20265) ALBANY, MN 56307 PHONE: 320/845-2195 FAX: 320/845-7092 NProf MOTHER OF MERCY CAMPUS OF CARE MR. JOHN HOEFS NH-76 SNF-NF-76 230 CHURCH STREET BOX 676 (00634) ALBANY, MN 56307 PHONE: 320/845-2195 FAX: MR. JOHN HOEFS 320/845-7092 RHC NProf ALBANY AREA HOSP AVON CLINIC 108 STRATFORD STREET (03524) AVON, MN 56310 PHONE: 320/356-7602 FAX: MR. LARRY NOVAKOSKE /- NProf BELGRADE NURSING HOME NH-49 SNF-NF-49 103 SCHOOL ST - PO BOX 340 (00626) BELGRADE, MN 563120340 PHONE: 320/254-8215 FAX: NProf ASSUMPTION HEALTH SERVICES MR. PHILIP LORD 320/254-8238 HCP-F HWS 615 NORTH FIRST STREET (20324) COLD SPRING, MN 56320 PHONE: 320/685-4110 FAX: 320/685-3401 MS. JAN LUTHENS Minnesota Department of Health Division of Compliance Monitoring Page 374 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Church ASSUMPTION HOME Certification STEARNS Registration (Cont.)* -------------------------- NH-82 SNF-NF-82 715 NORTH FIRST STREET (00624) COLD SPRING, MN 56320 PHONE: 320/685-3693 FAX: MS. JAN LUTHENS 320/685-7044 NProf ASSUMPTION HOME CARE HCP-A HHA 615 NORTH FIRST STREET (26118) COLD SPRING, MN 56320 PHONE: 320/685-4110 FAX: MS. HEIDI HOPPE 320/685-3401 HWS NProf JOHN PAUL APARTMENTS 200 EIGHTH AVENUE NORTH (21670) COLD SPRING, MN 56320 PHONE: 320/685-4429 FAX: MS. LAURA SAKRY 320/685-7300 HWS-O Part SPRINGHAVEN/PINEWEST II LP 308 11 1/2 AVENUE SOUTH (26591) COLD SPRING, MN 56320 PHONE: 320/685-9803 FAX: MS. JOLEEN PFAV 320/685-3535 HWS Part SPRINGHAVEN/PINEWEST II LP 308 11 1/2 AVENUE SOUTH (26971) COLD SPRING, MN 56320 PHONE: 320/685-9803 FAX: 320/685-3535 MS. JOLEEN PFAU HWSAL Corp HERITAGE HOUSE OF KIMBALL 260 MAGNUS JOHNSON STREET NE (22788) KIMBALL, MN 55353 PHONE: 320/398-8643 FAX: 320/398-8645 NProf CENTRACARE - MELROSE PARK VIEW MR. JAMES BIRCHEM HCP-F HWSAL 125 NORTH 5TH AVE WEST (23480) MELROSE, MN 56352 PHONE: 320/256-4231 FAX: MS. BERTHA HARTUNG 320/256-4949 NProf CENTRACARE HEALTH SYS MELROSE NH-75 BASS-6 HOSP-28 SNF-NF-75 CAH-25 525 MAIN STREET WEST (00633) MELROSE, MN 56352 PHONE: 320/256-4231 FAX: MR. GERRY GILBERTSON 320/256-4949 RHC NProf CENTRACARE HEALTH SYSM-MELROSE 525 WEST MAIN STREET (27995) MELROSE, MN 56352 PHONE: 320/256-4228 FAX: MS. JULIA DRAXTEN 320/256-7106 Ind JOANN TSCHIDA HCP-C 43466 SUNSET BEACH ROAD (27364) MELROSE, MN 56352 PHONE: 320/836-2327 FAX: /- MS. JOANN TSCHIDA Minnesota Department of Health Division of Compliance Monitoring Page 375 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification STEARNS (Cont.)* -------------------------HWS Lim-Liab OAK RIDGE MANOR Registration 20 NORTH NINTH AVE EAST (21996) MELROSE, MN 56352 PHONE: 320/493-1710 FAX: MS. LISA MARVIN /- HWS Church ROSE VIEW MANOR 16 FIRST ST. SE (21988) MELROSE, MN 56352 PHONE: 320/256-4600 FAX: MR. DONALD MEYER /- Corp DAS GOLDENE WOHNHEIM HCP-F HWSAL 632 MAIN STREET (20182) NEW MUNICH, MN 56356 PHONE: 320/837-5343 FAX: MS. ELAINE GARDING 320/837-5443 HWS Dist 700 STEARNS PLACE 701 STEARNS AVENUE (24204) PAYNESVILLE, MN 56362 PHONE: 320/243-7100 FAX: Dist PAYNESVILLE AREA HOSPITAL MS. MARI LOUIS 320/243-7930 NH-52 BASS-6 HOSP-30 SNF-NF-52 CAH-25 200 FIRST STREET WEST (00636) PAYNESVILLE, MN 56362 PHONE: 320/243-4212 FAX: 320/243-7912 Dist WASHBURNE COURT MS. BEVERLY MUELLER HCP-F HWSAL 311 WASHBURNE AVENUE (00631) PAYNESVILLE, MN 56362 PHONE: 320/243-7451 FAX: 320/243-3764 MS. BEVERLY MUELLER HWSAL Lim-Liab CHERRYWOOD OF RICHMOND 140 BARRY AVENUE NW (27308) RICHMOND, MN 56368 PHONE: 320/257-7445 FAX: MS. WENDY HULSEBUS 320/257-7447 HWSAL Lim-Liab CHERRYWOOD OF RICHMOND 150 BARRY AVENUE NW (27307) RICHMOND, MN 56368 PHONE: 320/257-7445 FAX: Corp TADDS LIGHTHOUSE INC MS. WENDY HULSEBUS 320/257-7447 HCP-A 651 4TH STREET NORTHWEST (27344) RICHMOND, MN 56368 PHONE: 612/702-0089 FAX: Corp BAYADA NURSES INC MR. JACOB COMEE 763/682-5048 HCP-A 2351 CONNECTICUT AVENUE (27706) SARTELL, MN 56377 PHONE: 320/251-0668 FAX: 320/251-0680 MS. LISA FOWLER Minnesota Department of Health Division of Compliance Monitoring Page 376 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab CENTRAL MN SURGICAL CENTER LLC Certification STEARNS Registration (Cont.)* -------------------------- Outpt Surg Amb Surg 2000 23RD STREET SOUTH #305 (26837) SARTELL, MN 56377 PHONE: 320/229-7955 FAX: MR. STEPHEN GERBERDING 320/229-7902 Out Pt Out Ot Corp NOVACARE REHABILITATION 2251 CONNECTICUT AVENUE (03724) SARTELL, MN 55377 PHONE: 763/295-6878 FAX: MR. DENNIS LUNDQUIST /- HWSAL Corp THE LEGENDS AT HERITAGE PLACE 673 BRIANNA DRIVE (26365) SARTELL, MN 56377 PHONE: 320/281-3343 FAX: MR. DEAN BLOEMKE 320/587-0005 HWSAL Corp THE LEGENDS AT HERITAGE PLACE 677 BRIANNA DRIVE (26585) SARTELL, MN 56377 PHONE: 320/281-3343 FAX: Corp WELCOME HOME HEALTH CARE INC MR. DEAN BLOEMKE 320/587-0005 HCP-F 677 BRIANNA DRIVE (28073) SARTELL, MN 56377 PHONE: 320/281-3343 FAX: 320/281-3511 MR. ROMAN BLOEMKE Home Mgmt Corp ALTERNATIVE SENIOR CARE INC 601 SINCLAIR LEWIS AVENUE (23973) SAUK CENTRE, MN 56378 PHONE: 320/352-3350 FAX: 320/323-4398 Corp ALTERNATIVE SENIOR CARE INC MS. CYNTHIA KARASCH HCP-B 601 SINCLAIR LEWIS AVENUE (26947) SAUK CENTRE, MN 56378 PHONE: 320/352-3350 FAX: Lim-Liab FAIRWAY PINES SENIOR LVG COMM MS. CYNTHIA KARASCH 320/323-4398 HCP-F HWSAL 606 MAIN STREET NORTH (26205) SAUK CENTRE, MN 56378 PHONE: 320/351-4900 FAX: Corp GETTY STREET ASSISTED LIVING MS. NATASHA SUELFLOW 320/351-4903 HCP-F HWSAL 1214 GETTY STREET SOUTH (24072) SAUK CENTRE, MN 56378 PHONE: 320/351-4333 FAX: 320/351-4335 MR. JERRY BOERBOOM HWS HRA RIVERVIEW MANOR/SAUK CENTRE HR 407 NORTH 1ST STREET (21153) SAUK CENTRE, MN 56378 PHONE: 320/352-2311 FAX: 320/352-2726 MS. JULIE SIEBEN Minnesota Department of Health Division of Compliance Monitoring Page 377 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** City ST MICHAELS HOSPICE Certification STEARNS Hospice Registration (Cont.)* -------------------------HSPICE 425 NORTH ELM STREET (02575) SAUK CENTRE, MN 56378 PHONE: 320/352-2221 FAX: City ST MICHAELS HOSPITAL & NH MS. MONICA BLASKE 320/351-1728 NH-60 BASS-8 HOSP-28 SNF-NF-60 CAH-25 425 NORTH ELM STREET (00640) SAUK CENTRE, MN 56378 PHONE: 320/352-2221 FAX: City ST MIKE HOSP SAUK CT HOME CARE MR. DELANO CHRISTIANSON 320/352-5150 HCP-A HHA 425 NORTH ELM STREET (02517) SAUK CENTRE, MN 56378 PHONE: 320/352-2221 FAX: NProf QUIET OAKS HOSPICE HOUSE MS. MONICA BLASKE 320/351-1728 RES-HSPICE-8 Hospice 5537 GALAXY ROAD (26154) ST AUGUSTA, MN 56301 PHONE: 320/255-5433 FAX: MR. JOE BAUER 320/240-7962 Home Mgmt Corp ARISE HOME HEALTH CARE 2907 CLEARWATER ROAD (25428) ST CLOUD, MN 56301 PHONE: 320/230-6348 FAX: 320/259-1368 Lim-Liab ARISE HOME HEALTH CARE MR. JASON VACHAL HCP-A 2907 CLEARWATER ROAD (24350) ST CLOUD, MN 56301 PHONE: 320/230-6348 FAX: 320/259-1368 Lim-Liab CDS WELCOME HOME LLC MISSISSIP MR. JAY VACHAL HCP-F HWSAL 616 22ND STREET SOUTH (28376) ST CLOUD, MN 56301 PHONE: 320/217-8384 FAX: 320/217-8384 MS. DARA SMITH ESRD NProf CENTRACARE DIALYSIS HLTH PLAZA 1900 CENTRACARE CIRCLE (02410) ST CLOUD, MN 56303 PHONE: 320/240-7808 FAX: 320/240-7840 MS. CATHY SINDELIR ESRD NProf CENTRACARE KIDNEY PROGRAM 48 29TH AVENUE NORTH (21825) ST CLOUD, MN 56303 PHONE: 320/251-2700 FAX: 320/202-7126 ONProf CENTRACARE SURGERY CTR LLC MR. DAVID WALZ Amb Surg 1900 CENTRACARE CIRCLE (24819) ST CLOUD, MN 56303 PHONE: 320/229-4997 FAX: 320/229-5198 MS. DIANE BUSCHENA-BRENNA Minnesota Department of Health Division of Compliance Monitoring Page 378 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification STEARNS (Cont.)* -------------------------CMHC NProf CENTRAL MN MENTAL HLTH CENTER 1321 NORTH 13TH STREET (02771) ST CLOUD, MN 56303 PHONE: 320/252-5010 FAX: DR. CHARLES JOHNSTON, JR. /- NProf CTRL MN RECEIVING AND REFERRAL SLFB-19 1321 NORTH 13TH STREET (01638) ST CLOUD, MN 56303 PHONE: 320/252-5010 FAX: NProf FOCUS XII HALFWAY HOUSE MR. DAVID BARAGA 320/203-1855 SLFA-18 3220 EIGHTH STREET NORTH (01178) ST CLOUD, MN 56303 PHONE: 320/252-5010 FAX: Corp GOODCARELAND INC MR. DAVID BARAGA 320/203-1855 HCP-A 3533 17TH AVENUE SOUTH (26567) ST CLOUD, MN 563019664 PHONE: 320/203-7558 FAX: Corp HEALTHNORTH HOME CARE INC MRS. SAMIAT GAZAL 320/203-7558 HCP-A 56 SOUTH 33RD AVENUE SUITE 22 (26011) ST CLOUD, MN 56301 PHONE: 320/260-5280 FAX: 320/654-1668 Lim-Liab HEARTLAND HOME HLTH C&HOSPICE MR. JAY JOHNSON Hospice HSPICE 605 FRANKLIN AVENUE NE (23078) ST CLOUD, MN 56304 PHONE: 320/654-1136 FAX: 320/654-6803 Ind MARY CLARE OLSON AGENCY MS. JANE WOLFF HCP-A 5417 GARDEN HILLS LANE (21207) ST CLOUD, MN 56301 PHONE: 320/259-8957 FAX: Corp MEDICAL SOLUTIONS HOME CARE IN MS. MARY OLSON 320/259-8957 HCP-A 2233 ROOSEVELT ROAD SUITE 1 (27327) ST CLOUD, MN 56301 PHONE: 320/258-3733 FAX: Corp MIDSOTA SURGICAL SUITES PA MR. STEVEN DUNCAN 320/217-6102 Outpt Surg Amb Surg 3701 - 12TH ST STE 101 (00008) ST CLOUD, MN 56303 PHONE: 320/253-7257 FAX: Lim-Liab NPA HOME HEALTH CARE LLC MR. ENNIS ARNTSON 320/251-2939 HCP-A 22 WILSON AVE NE PO BOX 6063 (27363) ST CLOUD, MN 56304 PHONE: 320/259-7706 FAX: 612/451-4590 MR. BILLY ANDERSON Registration Minnesota Department of Health Division of Compliance Monitoring Page 379 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Ind PATRICIA BESTE C/O B HENDERSON Certification STEARNS Registration (Cont.)* -------------------------- HCP-C 4212 FOURTH STREET SOUTH (03740) ST CLOUD, MN 56301 PHONE: 612/237-4015 FAX: MS. PATRICIA BESTE /- HWSAL-O NProf QUARRY HEIGHTS APARTMENTS 2051 QUARRY ROAD (24464) ST CLOUD, MN 56301 PHONE: 651/645-7271 FAX: Corp RECOVER HEALTH MR. STEPHEN VANDER SCHAAF 651/645-0541 HCP-A HHA 3400 1ST ST. N (02312) ST CLOUD, MN 56303 PHONE: 320/259-7045 FAX: Corp REM CENTRAL LAKES INC FERNWOOD MS. JENNIFER BALLANTINE 320/259-7044 SLFB-24 ICFMR-24 1775 ROOSEVELT ROAD (01514) ST CLOUD, MN 56301 PHONE: 320/259-6022 FAX: MS. JUANITA HAYES 320/259-6076 HWSAL Lim-Liab SKYLIGHT GARDENS 501 1ST STREET NORTH (20347) ST CLOUD, MN 56303 PHONE: 320/259-4584 FAX: 320/259-6159 MS. MICHELLE MACE Out Ot Corp SPOT REHABILITATION INC 2835 WEST ST GERMAIN ST #300 (02786) ST CLOUD, MN 56301 PHONE: 320/259-4151 FAX: 320/259-5707 Corp SPOT REHABILITATION INC MS. ELIZABETH STIENESSEN HCP-A HHA 2835 WEST ST GERMAIN ST #300 (03058) ST CLOUD, MN 56301 PHONE: 320/259-4151 FAX: MS. ELIZABETH STIENESSEN 320/259-5707 HWSAL Lim-Liab ST CLOUD CAREFREE LIVING LLC 1225 DIVISION STREET EAST (20383) ST CLOUD, MN 56304 PHONE: 320/251-6483 FAX: Lim-Liab ST CLOUD CTR OPHTHALMIC SURG MR. MERLE SAMPSON 320/251-2714 Outpt Surg Amb Surg 2055 15TH STREET NORTH SUITE B (21628) ST CLOUD, MN 56303 PHONE: 320/258-6620 FAX: Church ST CLOUD HOSPITAL MS. SALLY JOHNSON 320/258-6622 BASS-40 HOSP-489 1406 SIXTH AVENUE NORTH (00639) ST CLOUD, MN 56303 PHONE: 320/255-5661 FAX: 320/656-7099 MR. CRAIG BROMAN HOSP-469 PPS-R-20 Minnesota Department of Health Division of Compliance Monitoring Page 380 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf ST CLOUD HOSPITAL HC SERVICES Certification STEARNS Registration (Cont.)* -------------------------- HCP-A HHA 48 NORTH 29TH AVE SUITE 15 (02185) ST CLOUD, MN 56303 PHONE: 320/259-9375 FAX: MS. GAIL OLSON 320/240-3266 NProf ST CLOUD HOSPITAL HOSPICE Hospice HSPICE 48 NORTH 29TH AVENUE SUITE 15 (02255) ST CLOUD, MN 56303 PHONE: 320/259-9375 FAX: MS. GAIL OLSON 320/240-3266 Part ST CLOUD SURGERY CTR Outpt Surg Amb Surg 1526 NORTHWAY DRIVE (00837) ST CLOUD, MN 56303 PHONE: 320/251-8385 FAX: MS. JEANETTE STACK 320/251-3202 Corp ARLINGTON PLACE HCP-F HWSAL 21 16TH AVENUE SOUTHEAST (20617) ST JOSEPH, MN 56374 PHONE: 320/363-1313 FAX: MS. PAT FLICKER /- Corp COMFORT KEEPERS HCP-A 50 10TH AVENUE SOUTH (23629) WAITE PARK, MN 56387 PHONE: 320/230-9939 FAX: 320/230-9941 Corp HOME INSTEAD SENIOR CARE MS. SUE THORSON HCP-A 406 GREAT OAK DRIVE (28492) WAITE PARK, MN 56387 PHONE: 320/258-3055 FAX: 320/656-5229 MR. DANIEL ARNOLD HWSAL Part PARK GARDENS APARTMENTS 114 - 1ST ST N (24102) WAITE PARK, MN 56387 PHONE: 320/252-7224 FAX: Lim-Liab SAVING GRACE HOME HEALTH LLC MR. HOWARD GROFF 320/252-5629 HCP-A 54 10TH AVENUE SOUTH (27693) WAITE PARK, MN 56387 PHONE: 320/257-6013 FAX: Part STERLING PARK COMMONS MS. SUSAN THORSON 320/230-9941 HCP-F HWSAL 35 1ST AVENUE NORTH (20596) WAITE PARK, MN 56387 PHONE: 320/252-9595 FAX: Corp STERLING PARK HCC MR. FRED STRUZYK 320/252-5629 NH-60 SNF-NF-60 142 NORTH FIRST STREET (00643) WAITE PARK, MN 56387 PHONE: 320/252-9595 FAX: 320/252-9216 MR. FRED STRUZYK Minnesota Department of Health Division of Compliance Monitoring Page 381 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab TLA FOSTER CARE LLC Certification STEARNS Registration (Cont.)* -------------------------- HCP-F HWSAL 705 2ND AVENUE SOUTH (25193) WAITE PARK, MN 56387 PHONE: 320/230-6613 FAX: MS. AMBER TOBIN 320/240-2890 ---------------------------********** Church HEATHER HAUS STEELE ******** -------------------------- HCP-F HWSAL 223 4TH STREET NW (27084) BLOOMING PRAIRIE, MN 55917 PHONE: 507/583-7399 FAX: NProf PRAIRIE MANOR CARE CENTER MR. MARK ROBINSON 507/583-2401 NH-56 SNF-NF-56 220 THIRD STREET NORTHWEST (00650) BLOOMING PRAIRIE, MN 55917 PHONE: 507/583-4434 FAX: Lim-Liab WHISPERING OAK PROPERTIES LLC MS. SUSAN JOHNSON 507/583-2401 HCP-F HWSAL 903 CALVERLY COURT STE 211 (24982) ELLENDALE, MN 56026 PHONE: 507/684-3026 FAX: MS. MARYANN SCHLAAK 505/684-3194 Home Mgmt Corp ALL GENERATIONS HOME CARE INC 135 W MAIN STREET SUITE G (25452) OWATONNA, MN 55060 PHONE: 507/214-8007 FAX: 507/214-8010 Corp CASCADE CARE SERVICES INC MS. LORI MORTENSEN HCP-A 2311 - 44TH AVE SE (23577) OWATONNA, MN 55060 PHONE: 507/214-2800 FAX: Corp CLARE BRIDGE OF OWATONNA MS. RITA DORNQUAST 507/451-0690 HCP-F HWSAL 364 CEDARDALE DRIVE SE (20851) OWATONNA, MN 55060 PHONE: 507/446-8600 FAX: NProf COUNTRYSIDE CATERED SR LIVING MS. SANDRA ARCHER 507/446-8601 HCP-F HWSAL 650 EL DORADO STREET (24682) OWATONNA, MN 55060 PHONE: 507/446-8334 FAX: Lim-Liab DARYEEL HOME CARE LLC MS. JENNIFER REDMAN 507/446-4059 HCP-A 221 MINERAL SPRINGS ROAD (26745) OWATONNA, MN 55060 PHONE: 507/214-2907 FAX: 507/214-2908 MR. AHMED ADBDULLE Minnesota Department of Health Division of Compliance Monitoring Page 382 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf HOSPICE OF OWATONNA HOSPITAL Certification STEELE Registration (Cont.)* -------------------------- RES-HSPICE-8 18-HOSPICE- 2350 26TH STREET NW (02836) OWATONNA, MN 55060 PHONE: 651/635-9173 FAX: MS. GAYLE MATTSON 651/628-2999 Ind JULIE SUMMY HCP-C 1802 NORTH CEDAR (21579) OWATONNA, MN 55060 PHONE: 507/451-3410 FAX: MS. JULIE SUMMY /- ESRD NProf MAYO DIALYSIS OWATONNA 2200 NORTHWEST 26TH STREET (02827) OWATONNA, MN 55060 PHONE: 507/455-0520 FAX: MR. BRIAN SCHNIEPP /- Lim-Liab OWATONNA CARE CENTER NH-55 NF1-12 SNF-NF-43 201 SW 18TH ST (00649) OWATONNA, MN 55060 PHONE: 507/451-6600 FAX: NProf OWATONNA HOSPITAL MS. BRENDA SCHRUPP 507/451-6087 BASS-16 HOSP-43 HOSP-33 PPS-P-10 2250 26TH STREET NORTHWEST (00986) OWATONNA, MN 55060 PHONE: 507/977-2323 FAX: 507/977-2335 NProf PARK PLACE SENIOR LIVING MR. DAVID ALBRECHT HCP-F HWSAL 125 EAST PARK STREET (21085) OWATONNA, MN 55060 PHONE: 507/451-0808 FAX: 507/446-8116 Corp RAINBOW RESIDENCE MS. THERESA SCHNEIDER SLFB-16 ICFMR-16 285 CEDARDALE DRIVE (01408) OWATONNA, MN 55060 PHONE: 507/451-5327 FAX: Corp REM WOODVALE INC (MAPLE CREEK) MR. JAMES KARKHOFF 507/451-5354 SLFB-6 ICFMR-6 2397 HADDONSTONE LANE NE (26923) OWATONNA, MN 55060 PHONE: 507/433-7301 FAX: Corp REM WOODVALE INC ADAMS MR. PATRICK MASYGA 507/433-4597 SLFA-6 ICFMR-6 592 ADAMS AVENUE (01439) OWATONNA, MN 55060 PHONE: 507/451-1296 FAX: Corp ROYAL HOME CARE AGENCY INC MR. PATRICK MASYGA 507/451-1349 HCP-A 660 BRIDGE STREET (25273) OWATONNA, MN 55060 PHONE: 507/214-2781 FAX: 507/214-2586 MR. OLAD AHMED Minnesota Department of Health Division of Compliance Monitoring Page 383 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification STEELE (Cont.)* -------------------------CMHC NProf SO CENTRAL HUMAN RELATIONS CTR Registration 610 FLORENCE AVENUE (02770) OWATONNA, MN 55060 PHONE: 507/451-2630 FAX: MR. ROBERT STEELE /- Cnty STEELE COUNTY COMMUNITIES FOR NH-108 SNF-NF-108 1409 SOUTH CEDAR AVENUE (00644) OWATONNA, MN 55060 PHONE: 507/444-4200 FAX: MS. TERRY SCHNEIDER 507/449-4944 Cnty STEELE COUNTY PHNS HCP-A HHA BOX 890 635 FLORENCE AVENUE (02043) OWATONNA, MN 55060 PHONE: 507/444-7650 FAX: MS. DEE ANN PETTYJOHN 507/444-7668 Corp STERLING HOUSE OF OWATONNA HCP-F HWSAL 334 CEDARDALE DRIVE (20332) OWATONNA, MN 55060 PHONE: 507/451-6914 FAX: MS. SANDRA ARCHER 507/451-7083 NProf THE BROOKS ON ST PAUL HCP-F HWSAL 2480 ST PAUL ROAD (20975) OWATONNA, MN 55060 PHONE: 507/446-0611 FAX: 507/446-5858 Lim-Liab TRADITIONS OF OWATONNA MS. SUE DOTY HCP-F HWSAL 195 24TH PLACE NW (24247) OWATONNA, MN 55060 PHONE: 507/455-0700 FAX: 507/451-5414 Lim-Liab TRADITIONS OF OWATONNA II LLC MS. DEIDRA BURKE HCP-F HWSAL 150 24TH STREET NE (25424) OWATONNA, MN 55060 PHONE: 507/451-0433 FAX: MS. DEIDRA BURKE 507/451-3453 HWSAL Lim-Liab VALLEYVIEW OF OWATONNA LLC 1212 WEST FRONTAGE ROAD I-35 (25302) OWATONNA, MN 55060 PHONE: 507/451-0722 FAX: MS. JEAN PURRIER 507/455-3731 Lim-Liab VALLEYVIEW OF OWATONNA LLC HCP-F 1212 FRONTAGE ROAD/N I35 (25301) OWATONNA, MN 55060 PHONE: 507/451-0722 FAX: MS. JEAN PURRIER 507/455-3731 Lim-Liab VISITING ANGELS HCP-A 577 STATE AVENUE #3 (27787) OWATONNA, MN 55060 PHONE: 507/451-1124 FAX: /- MR. BRYCE WAHL Minnesota Department of Health Division of Compliance Monitoring Page 384 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf WEST HILLS LODGE Certification STEELE Registration (Cont.)* -------------------------- SLFA-15 545 FLORENCE AVENUE (01206) OWATONNA, MN 55060 PHONE: 507/451-1172 FAX: MS. JODY ANDERSON 507/451-5701 ---------------------------********** STEVENS ******** -------------------------RHC NProf ESSENTIA HLTH GRACEVILLE CLINI 101 SO MAIN STREET PO BOX 74 (03819) CHOKIO, MN 56221 PHONE: 320/324-7500 FAX: MR. TODD HOWELL /- HWS-O HRA GRANDVIEW APARTMENTS 100 SOUTH COLUMBIA AVENUE (20298) MORRIS, MN 56267 PHONE: 320/589-3142 FAX: MS. MELANIE FOHL 320/589-3008 NProf HOME CARE SERVICE OPTIONS HCP-F 1100 COURT DRIVE (26184) MORRIS, MN 56267 PHONE: 320/589-4663 FAX: MS. DANIELLE LESMEISTER 320/585-6162 HWS Corp LEGACY HOMES 4 SOUTH COURT (26687) MORRIS, MN 56267 PHONE: 320/589-0246 FAX: 320/589-7196 NProf RAVENWOOD HOME MS. LISA DENZER SLFB-6 ICFMR-6 605 WEST SIXTH STREET (01662) MORRIS, MN 56267 PHONE: 320/589-2057 FAX: 320/589-0462 MS. JUDY RICHARDS ESRD NProf SANFORD DIALYSIS MORRIS 400 EAST 1ST STREET (21529) MORRIS, MN 56267 PHONE: 320/589-2832 FAX: MS. WANDA BORCHERT /- HWSAL NProf SKYVIEW COURT 1000 COURT DRIVE (20374) MORRIS, MN 56267 PHONE: 320/589-0245 FAX: 320/589-3929 MS. DANIELLE LESMEISTER HWSAL NProf SKYVIEW PLAZA 1100 COURT DRIVE (26356) MORRIS, MN 56267 PHONE: 320/585-4582 FAX: 320/585-6162 MS. DANIELLE LESMEISTER Minnesota Department of Health Division of Compliance Monitoring Page 385 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf STEVENS COMMUNITY MED CENTER Certification STEVENS BASS-5 HOSP-54 Registration (Cont.)* -------------------------CAH-25 400 EAST FIRST STREET (00653) MORRIS, MN 56267 PHONE: 320/589-1313 FAX: MR. JOHN RAU 320/589-1065 HWS NProf STEVENS COMMUNITY MEDICAL CENT 409 EAST FIRST STREET (21272) MORRIS, MN 56267 PHONE: 320/585-5133 FAX: NProf WEST WIND VILLAGE MS. KRISTI ABLER 320/589-7648 NH-88 SNF-NF-88 1001 SCOTTS AVENUE (00654) MORRIS, MN 56267 PHONE: 320/589-1133 FAX: MR. MICHAEL SYLTIE 320/589-7955 ---------------------------********** SWIFT ******** -------------------------HWS City APPLE RIDGE ESTATES 100 SOUTH BARDUSON STREET (23626) APPLETON, MN 56208 PHONE: 320/289-1163 FAX: City APPLETON HOSP HOME HEALTH CARE MS. KATHY JOHNSON 320/289-1578 HCP-A HHA 30 SOUTH BEHL STREET (02903) APPLETON, MN 56208 PHONE: 320/289-2422 FAX: 320/289-1797 City APPLETON MUNICIPAL HOSPITAL MR. JASON CARLSON NH-53 BASS-1 HOSP-15 SNF-NF-53 CAH-15 30 SOUTH BEHL STREET (00655) APPLETON, MN 56208 PHONE: 320/289-2422 FAX: 320/289-1585 MR. MIKE DEFOE - INTERIM HWSAL Corp CENTRAL MINNESOTA SENIOR CARE 287 HIGHWAY 29 NORTH (20357) BENSON, MN 56215 PHONE: 320/441-7001 FAX: 320/235-8069 MS. DEBRA OLESON HWSAL Corp CENTRAL MINNESOTA SENIOR CARE 414 13TH STREET SOUTH (20543) BENSON, MN 56215 PHONE: 320/441-7001 FAX: 320/235-8069 MS. DEBRA OLESON HWSAL Corp CENTRAL MINNESOTA SENIOR CARE 416 13TH STREET SOUTH (20542) BENSON, MN 56215 PHONE: 320/441-7001 FAX: 320/235-8069 MS. DAWN FRERICKS Minnesota Department of Health Division of Compliance Monitoring Page 386 Directory of Facilities and Services Facility/Service Owner Licensure Certification SWIFT ---------------------------********** Lim-Liab GOLDEN LIVINGCENTER MEADOW LN Registration (Cont.)* -------------------------- BCH-19 NH-43 NF2-19 SNF-NF-43 2209 UTAH AVENUE (00930) BENSON, MN 56215 PHONE: 320/843-2225 FAX: MR. SHANE ROCHE 320/843-2496 HWSAL City PARK VIEW MANOR 300 13TH STREET NORTH (20562) BENSON, MN 56215 PHONE: 320/842-8481 FAX: MS. MICHELLE BOUTA 320/843-3018 Dist SWIFT COUNTY BENSON HOSPITAL BASS-4 HOSP-31 CAH-25 1815 WISCONSIN AVENUE (00659) BENSON, MN 56215 PHONE: 320/843-4232 FAX: MR. FRANK LAWATSCH 320/843-4172 Cy-Co SWIFT CTY BENSON HOSP HH CARE HCP-A HHA 2125 MINNESOTA AVENUE (02398) BENSON, MN 56215 PHONE: 320/843-1349 FAX: MR. FRANK LAWATSCH 320/843-1345 HWSAL City WESTWOOD MANOR 2000 HALL AVENUE (20561) BENSON, MN 56215 PHONE: 320/842-8481 FAX: 320/843-3018 MS. MICHELLE BOUTA HWSAL Corp GREEN GABLES ASSISTED LIVING 116 SCHAFF STREET (20805) MURDOCK, MN 56271 PHONE: 320/875-4742 FAX: 320/875-4555 MS. TAMARA TAMMEN ---------------------------********** TODD ******** -------------------------RHC NProf BERTHA MEDICAL CENTER PO BOX 67 FIRST STREET NORTH (03181) BERTHA, MN 56437 PHONE: 218/924-2250 FAX: MS. MAUREEN IDEKER /- RHC NProf LAKEWOOD CLINIC BROWERVILLE 30535 241ST AVENUE (21830) BROWERVILLE, MN 56438 PHONE: 320/594-2231 FAX: MR. TIM RICE /- NProf CENTRAL TODD CO CARE CENTER NH-71 SNF-NF-71 406 EAST HIGHWAY 71 PO BOX 38 (00761) CLARISSA, MN 56440 PHONE: 218/756-3636 FAX: 218/756-2276 MR. JASON POLOVICK Minnesota Department of Health Division of Compliance Monitoring Page 387 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf CENTRAL TODD CO CC H C & APTS Certification TODD Registration (Cont.)* -------------------------- HCP-F HWSAL 406 EAST HIGHWAY 71 (20202) CLARISSA, MN 56440 PHONE: 218/756-3636 FAX: MR. JASON POLOVICK 218/756-2276 NProf CENTRAL TODD COUNTY HOME CARE HCP-A 406 EAST HIGHWAY 71 (27816) CLARISSA, MN 56440 PHONE: 218/756-3636 FAX: MR. JASON POLOVICK 218/756-3639 Corp MAPLE HOMES INC HCP-F 306 BRIDGE STREET SOUTH (26589) CLARISSA, MN 56440 PHONE: 218/251-4442 FAX: MS. BELENE MCLAUGHLIN 218/251-4442 HWSAL-O Ind MAPLE HOMES INC 306 BRIDGE STREET SOUTH (21677) CLARISSA, MN 56440 PHONE: 218/251-4442 FAX: MRS. BELENE MCLAUGHLIN 815/301-6516 Corp ALISHAS CARE CENTER 12550 COUNTY ROAD 38 (28456) EAGLE BEND, MN 56446 PHONE: 320/732-8162 FAX: 320/732-8162 MS. AMY CLASEMAN RHC NProf LAKEWOOD CLINIC EAGLE BEND 815 HIGHWAY 71 (21828) EAGLE BEND, MN 56446 PHONE: 218/738-2804 FAX: /- MR. TIMOTHY RICE RHC NProf LONG PRAIRIE HOSP EAGLE VALLEY 815 HIGHWAY 71 SOUTH (03505) EAGLE BEND, MN 56446 PHONE: 218/738-2804 FAX: MS. TONI TEBBEN 218/738-5263 Home Mgmt Ind EAGLES CROSSING HOME MANAGEMNT 103 SPRUCE STREET PO BOX 87 (28049) GREY EAGLE, MN 56336 PHONE: 320/285-3128 FAX: MS. DIANE KRAMER 320/285-3128 NProf CENTRACARE HEALTH SYSTEM-LONG NH-70 BASS-10 HOSP-34 SNF-NF-70 CAH-25 20 NINTH STREET SOUTHEAST (00778) LONG PRAIRIE, MN 56347 PHONE: 320/732-2141 FAX: 320/732-7298 MR. DANIEL SWENSON RHC NProf CENTRACARE HLTH SYSTEM LONG PR 24 9TH STREET SE (23867) LONG PRAIRIE, MN 56347 PHONE: 320/732-2131 FAX: /- MR. DAN SWENSON Minnesota Department of Health Division of Compliance Monitoring Page 388 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Cnty TODD COUNTY PHNS Certification TODD Registration (Cont.)* -------------------------- HCP-A HHA 119 THIRD STREET SOUTH STE 2 (02033) LONG PRAIRIE, MN 56347 PHONE: 320/732-4440 FAX: MS. CHERYL SCHNEIDER 320/732-4445 Ind VALLEY VIEW ESTATES HCP-F HWSAL 1104 4TH AVENUE NORTHEAST (20675) LONG PRAIRIE, MN 56347 PHONE: 320/732-3516 FAX: MR. PETE WARNES 320/732-7018 NProf LAKEWOOD HEALTH SYSTEM BASS-8 HOSP-37 CAH-25 PPS-P-10 49725 COUNTY ROAD 83 (24633) STAPLES, MN 56479 PHONE: 218/894-1515 FAX: MR. TIM RICE 218/894-8355 HWS NProf LAKEWOOD MANOR 222 FIFTH STREET NE (20201) STAPLES, MN 56479 PHONE: 218/894-2124 FAX: MR. TIM RICE 218/894-3067 ---------------------------********** NProf BROWNS VALLEY HEALTH CENTER TRAVERSE NH-39 ******** -------------------------SNF-NF-39 114 JEFFERSON STREET SOUTH (00668) BROWNS VALLEY, MN 56219 PHONE: 320/695-2165 FAX: 320/695-2166 MS. CLAUDIA WARD RHC Corp LAKE REGION HEALTHCARE SERVICE 404 WEST BROADWAY (24631) BROWNS VALLEY, MN 56219 PHONE: 320/695-2526 FAX: MR. LARRY SCHULTZ /- RHC Corp LAKE REGION HC CLINIC SERVICES 403 12TH STREET NORTH (24632) WHEATON, MN 56296 PHONE: 320/563-8295 FAX: MR. LARRY SCHULTZ /- HWS Cnty PRAIRIEVIEW PLACE 305 SEVENTH STREET SOUTH (20456) WHEATON, MN 56296 PHONE: 320/563-8600 FAX: SANFORD MEDICAL CENTER WHEATON MR. STEFAN STAMENKOVIC 320/563-4133 NProf BASS-4 HOSP-25 401 12TH STREET NORTH (00670) WHEATON, MN 56296 PHONE: 320/563-8226 FAX: 320/563-8012 MS. JOANN FOLTZ CAH-25 Minnesota Department of Health Division of Compliance Monitoring Page 389 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification TRAVERSE (Cont.)* -------------------------RHC City SANFORD WHEATON Registration 401 12TH STREET NORTH (23605) WHEATON, MN 56296 PHONE: 320/563-8226 FAX: MS. JOANN FOLTZ /- Lim-Liab TRAVERSE CARE CENTER NH-50 SNF-NF-50 303 SEVENTH STREET SOUTH (00669) WHEATON, MN 56296 PHONE: 320/563-8124 FAX: MS. CHELSY STATTELMAN 320/563-4133 ---------------------------********** Corp HIGH STREET HOUSE INC WABASHA ******** -------------------------- HCP-F HWSAL 317 NORTH HIGH STREET (21471) LAKE CITY, MN 55041 PHONE: 651/345-5000 FAX: MR. CHERYL SPRICK 651/345-5076 NProf MAYO CLINIC HEALTH SYS L C BASS-5 HOSP-18 CAH-18 500 WEST GRANT STREET (20693) LAKE CITY, MN 55041 PHONE: 651/345-3321 FAX: MS. CHERI KRAMER 651/345-1182 NProf MAYO CLINIC HEALTH SYS L C NH-90 SNF-NF-90 500 WEST GRANT STREET (00770) LAKE CITY, MN 55041 PHONE: 651/345-1144 FAX: 651/345-1167 Corp RIVER OAKS HEALTH CARE CTR INC MR. JACOB SUCKOW BCH-38 815 NORTH HIGH STREET (00970) LAKE CITY, MN 55041 PHONE: 651/345-5336 FAX: MS. DIANE HOLST 651/345-5724 Ind HELEN PATRICIA PETER HCP-C 124 FIRST AVENUE SOUTH (25543) MAZEPPA, MN 55956 PHONE: 507/250-6021 FAX: MS. HELEN PETER /- NProf GREEN PRAIRIE PLACE HCP-A HWS 810 SECOND AVENUE NORTHWEST (20292) PLAINVIEW, MN 55964 PHONE: 507/534-4204 FAX: Church ST ISIDORE HLTH CTR OF GRWD PR MS. PAULA LEWIS 507/534-2778 NH-53 SNF-NF-53 800 SECOND AVENUE NORTHWEST (00672) PLAINVIEW, MN 55964 PHONE: 507/534-3191 FAX: 507/534-2778 MS. PAULA LEWIS Minnesota Department of Health Division of Compliance Monitoring Page 390 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification WABASHA (Cont.)* -------------------------ESRD NProf MAYO DIALYSIS WABASHA Registration 1200 FIFTH GRANT BOULEVARD (02756) WABASHA, MN 55981 PHONE: 651/565-4598 FAX: MR. BRIAN SCHNIEPP /- NProf ST ELIZABETH HOME HEALTH CARE HCP-A HHA 1200 GRANT BLVD WEST (03474) WABASHA, MN 55981 PHONE: 651/565-5577 FAX: MR. JAMES ROOT 651/565-5630 HWSAL Church ST ELIZABETH HOSPITAL OF WABAS 1200 FIFTH GRANT BLVD WEST (20255) WABASHA, MN 55981 PHONE: 651/565-4531 FAX: Church ST ELIZABETHS MEDICAL CENTER MR. THOMAS CROWLEY 651/565-2482 NH-100 BASS-4 HOSP-31 SNF-NF-100 CAH-25 1200 GRANT BOULEVARD WEST (00675) WABASHA, MN 55981 PHONE: 651/565-4531 FAX: Cnty WABASHA COUNTY PHS MR. TOM CROWLEY 651/565-2482 HCP-A HHA 411 HIAWATHA DRIVE EAST (03908) WABASHA, MN 55981 PHONE: 651/565-5200 FAX: 651/565-2637 MS. JUDY BARTON ---------------------------********** City GREEN PINE ACRES NURSING HOME WADENA ******** -------------------------- NH-65 SNF-NF-65 427 MAIN STREET NORTHEAST (00678) MENAHGA, MN 56464 PHONE: 218/564-4101 FAX: City MENAGHA HOME HEALTH MS. CLAIR ERICKSON 218/564-5309 HCP-F 427 MAIN STREET NE PO BOX 130 (03629) MENAHGA, MN 56464 PHONE: 218/564-4101 FAX: MS. CLAIR ERICKSON 218/564-4101 HWSAL City WOOD SIDE MANOR 501 MAIN STREET NE (20240) MENAHGA, MN 56464 PHONE: 218/564-4101 FAX: Corp CARING HANDS HOME CARE MS. CLAIR ERICKSON 218/564-5309 HCP-A HHA 113 MINNESOTA AVE W PO BOX 19 (03311) SEBEKA, MN 56477 PHONE: 218/837-5572 FAX: 218/837-6155 MS. PATRICIA JOHNSON Minnesota Department of Health Division of Compliance Monitoring Page 391 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification WADENA (Cont.)* -------------------------HWSAL Corp HERITAGE HOUSE OF SEBEKA Registration 1005 WELLS AVENUE WEST (21152) SEBEKA, MN 56477 PHONE: 218/837-6406 FAX: MR. JAMES BIRCHEM /- RHC NProf SEBEKA MEDICAL CLINIC 102 MINNESOTA AVENUE EAST (03503) SEBEKA, MN 56477 PHONE: 218/837-5333 FAX: MS. MAUREEN IDEKER /- Corp AFFIRMATIONS HOME CARE INC HCP-A 1510 6TH STREET NORTHEAST (28391) STAPLES, MN 56479 PHONE: 218/894-1785 FAX: MS. SANDRA RADDOHL 218/894-1785 ESRD NProf CENTRACARE DIALYSIS LAKEWOOD 401 EAST PRAIRIE AVENUE (22194) STAPLES, MN 56479 PHONE: 320/240-7808 FAX: MS. CATHY SINDELIR /- RHC NProf LAKEWOOD CLINIC STAPLES 49725 COUNTY 83 (21829) STAPLES, MN 56479 PHONE: 218/894-1033 FAX: /- MR. TIM RICE NProf LAKEWOOD HEALTH SYSTEM NH-100 SNF-NF-100 401 PRAIRIE AVENUE NE (00667) STAPLES, MN 56479 PHONE: 218/894-1515 FAX: 218/894-8355 NProf LAKEWOOD HEALTH SYSTEM HOSPICE MR. TIM RICE Hospice HSPICE 401 PRAIRIE AVENUE NE (03591) STAPLES, MN 56479 PHONE: 218/894-8080 FAX: NProf LAKEWOOD HLTH SYS HM C & HSPCE MR. TIM RICE 218/894-8099 HCP-A HHA 401 PRAIRIE AVENUE NE (02198) STAPLES, MN 56479 PHONE: 218/894-8080 FAX: Corp LAKEWOOD PINES SENIOR HOUSING MR. TIM RICE 218/894-8099 HCP-F HWS 1702 AIRPORT RD NW (20936) STAPLES, MN 56479 PHONE: 218/894-4460 FAX: NProf BELL HILL RECOVERY CENTER MS. VIRGINIA ROLLINS 218/894-4453 SLFA-20 ROUTE 2 PO BOX 206 (01546) WADENA, MN 56482 PHONE: 218/631-3610 FAX: 218/631-3917 MR. ROSS OLSON Minnesota Department of Health Division of Compliance Monitoring Page 392 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Ind COMFORT CARE COTTAGES Certification WADENA Registration (Cont.)* -------------------------- HCP-F HWSAL 1232 JEFFERSON STREET SOUTH (20221) WADENA, MN 56482 PHONE: 218/631-4873 FAX: MR. ADRIAN ERICKSON 218/632-5924 HWS Corp FAIR OAKS APARTMENTS 131 SHADY LANE DRIVE (20222) WADENA, MN 56482 PHONE: 218/631-1163 FAX: NProf FAIR OAKS LODGE INC MS. ROBERTA CLINE 218/631-1528 NH-75 SNF-NF-75 201 SHADY LANE DRIVE (00679) WADENA, MN 56482 PHONE: 218/631-1391 FAX: MS. ROBERTA CLINE 218/632-5028 HWS NProf FAIR OAKS LODGE INC 201 SHADY LANE DRIVE (23513) WADENA, MN 56482 PHONE: 218/631-1391 FAX: NProf FAIR OAKS LODGE INC MS. ROBERTA CLINE 218/631-1528 HCP-A 201 SHADY LANE DRIVE (03632) WADENA, MN 56482 PHONE: 218/631-1391 FAX: 218/632-5028 MS. ROBERTA CLINE HWS HRA HUMPHREY MANOR 300 SECOND STREET SE (23096) WADENA, MN 56482 PHONE: 218/631-7723 FAX: 218/631-7709 State MN SPECIALTY HEALTH SYSTEM MS. DIANNE ROUSSLANG SLFB-16 240 SHADY LANE DR PO BOX 430 (23896) WADENA, MN 56482 PHONE: 218/319-6002 FAX: Corp OAKRIDGE HOMES OF WADENA MS. PAULA HALVERSON 218/632-6583 SLFB-16 ICFMR-16 739 SUNNYBROOK ROAD (01474) WADENA, MN 56482 PHONE: 218/631-4133 FAX: NProf TRI COUNTY HOSP HOME CARE MS. SHELLI FARONE 218/631-4134 HCP-A HHA 415 NORTH JEFFERSON (02415) WADENA, MN 56482 PHONE: 218/631-7480 FAX: NProf TRI COUNTY HOSPITAL MR. JOEL BEISWENGER 218/631-7588 BASS-6 HOSP-49 415 JEFFERSON STREET NORTH (00680) WADENA, MN 56482 PHONE: 218/631-3510 FAX: 218/631-7503 MR. DENNIS MILEY CAH-25 Minnesota Department of Health Division of Compliance Monitoring Page 393 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf TRI COUNTY HOSPITAL HOSPICE Certification WADENA Registration (Cont.)* -------------------------- Hospice HSPICE 415 NORTH JEFFERSON STREET (03306) WADENA, MN 56482 PHONE: 218/631-7480 FAX: MR. JOEL BEISWENGER 218/631-7588 RHC NProf WADENA MEDICAL CENTER 4 NORTHWEST DEERWOOD AVENUE (27822) WADENA, MN 56482 PHONE: 218/631-1100 FAX: MR. JOEL BEISWENGER /- ---------------------------********** City JANESVILLE NURSING HOME WASECA ******** -------------------------- NH-45 SNF-NF-45 102 EAST NORTH STREET (00681) JANESVILLE, MN 56048 PHONE: 507/231-5113 FAX: NProf COUNTRY NEIGHBORS MR. R. PETER MADEL III 507/231-6310 HCP-F HWSAL 113 FIRST STREET SOUTHWEST (20378) NEW RICHLAND, MN 56072 PHONE: 507/463-3565 FAX: City NEW RICHLAND CARE CTR MS. BRENDA HAUGEN 507/463-3197 NH-50 SNF-NF-50 312 1ST STREET NE P O BOX 477 (00748) NEW RICHLAND, MN 56072 PHONE: 507/465-3292 FAX: 507/465-3403 Corp COLONY COURT MS. MIKENZI HEBEL HCP-F HWSAL 200 22ND AVENUE NORTHEAST (20207) WASECA, MN 56093 PHONE: 507/835-8227 FAX: MR. ERIC WORKE 507/835-5734 HWSAL Corp COLONY COURT MEM C & C SUITES 500 22ND AVENUE NORTHWEST (28411) WASECA, MN 56093 PHONE: 507/835-8227 FAX: Corp LAKE SHORE INN NURSING HOME MR. ERIC WORKE 507/835-5734 NH-65 SNF-NF-65 108 8TH STREET NORTHWEST (00682) WASECA, MN 56093 PHONE: 507/835-2800 FAX: Lim-Liab LATHAM PLACE MR. MICHAEL CORCHRAN 507/833-1391 HCP-F HWSAL 105 NORTHWEST 8TH STREET (23728) WASECA, MN 56093 PHONE: 507/833-0903 FAX: 507/833-1391 MR. MICHAEL CORCHRAN Minnesota Department of Health Division of Compliance Monitoring Page 394 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf MAYO CLINIC HEALTH SYS WASECA Certification WASECA Registration (Cont.)* -------------------------- HOSP-35 CAH-25 501 NORTH STATE STREET (00908) WASECA, MN 56093 PHONE: 507/835-1210 FAX: Cnty WASECA COUNTY PUBLIC HEALTH SE MR. JEFFREY CARLSON 507/837-3945 HCP-A 299 JOHNSON AVENUE SW (02934) WASECA, MN 56093 PHONE: 507/835-0685 FAX: MS. CHERYL LEWER 507/835-0687 ---------------------------********** WASHINGTON ******** -------------------------HWS Lim-Liab AFTON CARE 13115 50TH STREET SOUTH (27467) AFTON, MN 55001 PHONE: 651/436-4047 FAX: Lim-Liab AFTON CARE ST CROIX MS. HEATHER PERRY 651/436-4048 HCP-F 15890 31ST STREET SOUTH (27465) AFTON, MN 55001 PHONE: 651/436-8757 FAX: MS. CYNTHIA HEINN 651/436-1159 HWS Lim-Liab AFTON CARE ST CROIX 15890 31ST STREET SOUTH (27466) AFTON, MN 55001 PHONE: 651/436-8757 FAX: 651/436-1159 MS. CYNTHIA HEINN HWSAL NProf CROIXDALE 750 HIGHWAY 95 NORTH (00686) BAYPORT, MN 55003 PHONE: 651/275-4800 FAX: NProf CROIXDALE MS. RENE ROESER 651/275-4801 HCP-F 750 HIGHWAY 95 NORTH (28164) BAYPORT, MN 55003 PHONE: 651/275-4800 FAX: Lim-Liab BETTYS HOME MS. NATALIE MORLAND 651/275-4801 HCP-F 7882 JORGENSEN AVENUE (27490) COTTAGE GROVE, MN 55016 PHONE: 651/458-0343 FAX: 651/458-0343 MR. ALFREDO LAUS HWS Lim-Liab BETTYS HOME 7882 JORGENSEN AVENUE (27491) COTTAGE GROVE, MN 55016 PHONE: 651/458-0343 FAX: 651/458-0343 MR. ALFREDO LAUS Minnesota Department of Health Division of Compliance Monitoring Page 395 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification WASHINGTON (Cont.)* -------------------------ESRD Corp COTTAGE GROVE DIALYSIS Registration 8800 E POINT DOUGLAS RD #100 (24580) COTTAGE GROVE, MN 55016 PHONE: 612/347-3431 FAX: MS. DENISE TURNBULL /- Lim-Liab COTTAGE GROVE WHITE PINE HCP-F HWSAL 6900 EAST POINT DOUGLAS ROAD S (26133) COTTAGE GROVE, MN 55016 PHONE: 651/458-9455 FAX: MS. RHONDA SCHILLINGER 651/458-9457 Lim-Liab COTTAGE GROVE WP II LLC HCP-F HWSAL 6950 EAST POINT DOUGLAS ROAD S (27918) COTTAGE GROVE, MN 55016 PHONE: 651/459-2870 FAX: MS. RHONDA SCHILLINGER 651/459-2891 Corp INSPIRED CARE SERVICES HCP-A 6620 WILDFLOWER DR S (28480) COTTAGE GROVE, MN 55016 PHONE: 651/210-7023 FAX: MS. DYNESE DIGGS /- Lim-Liab LOVING CARE COTTAGE LLC HCP-F HWSAL 7740 HADLEY AVENUE (22037) COTTAGE GROVE, MN 55016 PHONE: 651/459-2779 FAX: 651/458-0916 NProf NORRIS SQUARE MS. HEIDI CUNNINGHAM HCP-F 8200 HADLEY AVENUE SOUTH (27946) COTTAGE GROVE, MN 55016 PHONE: 651/769-6600 FAX: 651/769-6601 MS. NATALIE MORLAND HWSAL NProf NORRIS SQUARE 8200 HADLEY AVENUE SOUTH (25676) COTTAGE GROVE, MN 55016 PHONE: 651/769-6602 FAX: MR. BLAKE BOCHE 651/769-6601 Corp PREFERRED HOME CARE PROVIDERS HCP-A 9635 HAMLET AVENUE (28048) COTTAGE GROVE, MN 55016 PHONE: 651/354-7290 FAX: MR. PAUL AKHALU /- HWS-O Corp REM MINNESOTA COMMUNITY SERVIC 7764 HEMMINGWAY AVE S (26641) COTTAGE GROVE, MN 55016 PHONE: 651/643-6740 FAX: 651/643-6777 MR. DAVID WILSON HWS-O Corp REM MINNESOTA COMMUNITY SERVIC 7762 HEMMINGWAY AVE S UNIT 4 (26640) COTTAGE GROVE, MN 55016 PHONE: 651/643-6740 FAX: 651/643-6777 MR. DAVID WILSON Minnesota Department of Health Division of Compliance Monitoring Page 396 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification WASHINGTON (Cont.)* -------------------------HWS-O Corp REM MINNESOTA COMMUNITY SERVIC Registration 7749 HEARTHSIDE AVE S (27384) COTTAGE GROVE, MN 55016 PHONE: 651/643-6740 FAX: MR. DAVID WILSON 651/643-6777 HWS-O Corp REM MINNESOTA COMMUNITY SERVIC 7749 HEARTHSIDE AVE S (27385) COTTAGE GROVE, MN 55016 PHONE: 651/643-6740 FAX: MR. DAVID WILSON 651/643-6777 HWSAL Corp TRIPLE ANGELS HEALTHCARE 7957 80TH STREET S (25286) COTTAGE GROVE, MN 55016 PHONE: 651/458-9401 FAX: MS. ADENIKE OGUNRINDE /- Corp TRIPLE ANGELS HEALTHCARE CO HCP-F 7957 80TH STREET S (25202) COTTAGE GROVE, MN 55016 PHONE: 651/458-9401 FAX: MS. ADENIKE AGUNRINDE 651/458-9402 NProf BIRCHWOOD ARBORS HCP-F HWSAL 750 NORTHEAST FIRST STREET (21920) FOREST LAKE, MN 55025 PHONE: 651/466-1000 FAX: 651/466-1100 NProf BIRCHWOOD HEALTH CARE CENTER MS. DIANE WILLETTE NH-120 SNF-NF-120 604 NORTHEAST FIRST STREET (00853) FOREST LAKE, MN 55025 PHONE: 651/464-5600 FAX: 651/464-0992 Lim-Liab ELDER HAVEN HOMES LLC MS. DIANE WILLETTE HCP-F HWSAL 367 SOUTHWEST 4TH STREET (21186) FOREST LAKE, MN 55025 PHONE: 651/464-0899 FAX: MS. BRENDA WARD 651/464-3861 ESRD Corp FOREST LAKE DIALYSIS 1068 SOUTH LAKE STREET #110 (03759) FOREST LAKE, MN 55025 PHONE: 651/982-9212 FAX: MS. DIANA SKOOG /- Lim-Liab LIFES ALTERNATIVES HOME CARE L HCP-A 8503 178TH LANE (25121) FOREST LAKE, MN 55025 PHONE: 651/464-6167 FAX: 651/464-6998 MS. COLLEEN ORDE Out Pt Lim-Liab OTTOMEYER CLINICS PLLC 967 SOUTH LAKE STREET (23901) FOREST LAKE, MN 55025 PHONE: 651/464-1113 FAX: 651/464-0853 DR. RICHARD HASTINGS Minnesota Department of Health Division of Compliance Monitoring Page 397 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp WINDY ACRES ASSISTED LVNG INC Certification WASHINGTON Registration (Cont.)* -------------------------- HCP-F HWSAL 7040 LAKE BOULEVARD (20401) FOREST LAKE, MN 55025 PHONE: 651/464-8337 FAX: Lim-Liab HUGO SUITE LIVING CARE LLC MR. GARY LANKEY 651/464-8340 HCP-F HWSAL 5607 NORTH 150TH STREET (23369) HUGO, MN 55038 PHONE: 651/653-3282 FAX: Corp ALWAYS BEST CARE OF ST CROIX MS. TAWNEE PIETCZAK 651/653-5169 HCP-B 2461 MENDEL AVENUE NORTH (28142) LAKE ELMO, MN 55042 PHONE: 651/779-1881 FAX: Lim-Liab HIGH POINTE SURGERY CENTER MS. LAURIE CHERRY 651/777-3614 Outpt Surg Amb Surg 8650 HUDSON BLVD STE 235 (00028) LAKE ELMO, MN 55042 PHONE: 651/702-7400 FAX: Part WILLOW HAVEN MS. TRACI ALBERS 651/702-7414 SLFA-13 3819 LAVERNE AVE NO PO BOX 258 (01523) LAKE ELMO, MN 55042 PHONE: 651/770-2224 FAX: 651/773-6501 MS. DANNI SCHIFSKY HWSAL Corp SCENIC HILLS ALTERNATIVE CARE 1990 QUEENS AVENUE (26943) LAKE ST CROIX BEACH, MN 55043 PHONE: 651/735-7259 FAX: 651/730-1667 MS. BRIDGET ESSLING LOCKBAUM HWSAL Lim-Liab ASSISTED LIVING COMPANY LLC 140 QUAIL STREET (20023) MAHTOMEDI, MN 55115 PHONE: 651/653-3598 FAX: Lim-Liab COVENTRY SENIOR LIVING MS. SALLY KNUTSON 651/653-3598 HCP-F 720 MAHTOMEDI AVENUE (28352) MAHTOMEDI, MN 55115 PHONE: 651/528-8442 FAX: MS. CARLEIGH SAWYER 651/756-8240 HWSAL Lim-Liab COVENTRY SENIOR LIVING 720 MAHTOMEDI AVENUE (28353) MAHTOMEDI, MN 55115 PHONE: 651/528-8442 FAX: Lim-Liab NEW PERSPECTIVE MAHTOMEDI MS. CARLEIGH SAWYER 651/756-8240 HCP-F HWS 113 EAST AVENUE (20050) MAHTOMEDI, MN 55115 PHONE: 651/407-9076 FAX: 651/653-9747 MR. TODD NOVACZYK Minnesota Department of Health Division of Compliance Monitoring Page 398 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification WASHINGTON (Cont.)* -------------------------HWS Lim-Liab NEW PERSPECTIVE MAHTOMEDI LLC Registration 111 EAST AVENUE (20051) MAHTOMEDI, MN 55115 PHONE: 651/407-9076 FAX: MR. RYAN NOVACYZK 651/653-9747 HWSAL NProf ST ANDREWS VILLAGE 240 EAST AVENUE (21177) MAHTOMEDI, MN 55115 PHONE: 651/762-4100 FAX: MS. MELISSA KIRCHHOFF 651/762-4135 NProf PHOENIX AT NEWPORT SLFB-6 ICFMR-6 351 14TH STREET (23519) NEWPORT, MN 55055 PHONE: 651/227-7655 FAX: MS. DARLENE SCOTT 651/227-6847 Corp APOLLO HOMES INC HCP-A 5871 OXBORO AVENUE NORTH (23984) OAK PARK HEIGHTS, MN 55082 PHONE: 651/351-0474 FAX: MS. JILL MARKOE 651/351-0228 NProf BOUTWELLS LANDING HCP-F 5600 NORWICH PARKWAY (28193) OAK PARK HEIGHTS, MN 55082 PHONE: 651/275-5000 FAX: 651/275-5005 MS. NATALIE MORLAND HWSAL NProf BOUTWELLS LANDING 5610 NORWICH PARKWAY (21362) OAK PARK HEIGHTS, MN 55082 PHONE: 651/275-5000 FAX: 651/275-5005 Lim-Liab CELEBRITY HOME HEALTH PARTNERS MS. DEBRA WAEDT-NEVIN HCP-A 5883 OXBORO AVENUE N (27157) OAK PARK HEIGHTS, MN 55082 PHONE: 612/799-6508 FAX: MS. ELLEN CRAYTON /- Lim-Liab GABLES OF BOUTWELLS LANDING NH-108 SNF-NF-108 13575 58TH STREET (25613) OAK PARK HEIGHTS, MN 55082 PHONE: 651/430-7200 FAX: MS. LAURA COGNETTA 651/430-7201 HWSAL Lim-Liab OAK PARK SENIOR LIVING 13936 LOWER 59TH STREET N (28227) OAK PARK HEIGHTS, MN 55082 PHONE: 651/454-4801 FAX: Lim-Liab OAK PARK SENIOR LIVING MS. SARAH MILLIGAN 651/454-4783 HCP-F 13936 LOWER 59TH STREET N (28226) OAK PARK HEIGHTS, MN 55082 PHONE: 651/454-4801 FAX: 651/454-4783 MS. SARA MILLIGAN Minnesota Department of Health Division of Compliance Monitoring Page 399 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp OAK RIDGE PLACE Certification WASHINGTON Registration (Cont.)* -------------------------- HCP-F HWSAL 6060 OXBORO AVENUE NORTH (20599) OAK PARK HEIGHTS, MN 55082 PHONE: 651/439-8034 FAX: MR. CHARLES PETRICH 651/439-8305 HWS-O Lim-Liab OXBORO HOME 5881 OXBORO AVENUE NORTH (28282) OAK PARK HEIGHTS, MN 55082 PHONE: 651/342-0538 FAX: MS. BECKIE KANE 651/342-0548 HWSAL Lim-Liab OXBORO HOME 5883 OXBORO AVENUE NORTH (27921) OAK PARK HEIGHTS, MN 55082 PHONE: 651/983-1651 FAX: MS. IRENE PREGL /- NProf HEALTHEAST PILLARS RES-HSPICE-8 18-HOSPICE-8 6025 UPPER 35TH STREET (04309) OAKDALE, MN 55128 PHONE: 651/748-0330 FAX: MS. BETH SPOTTISWOODE 651/777-3324 HWSAL NProf OAK MEADOWS 8131 FOURTH STREET NORTH (20462) OAKDALE, MN 55128 PHONE: 651/578-0676 FAX: 651/578-1431 Lim-Liab ST CROIX HOSPICE MS. CONNIE DOW Hospice HSPICE 7200 HUDSON BOULEVARD STE 100 (26361) OAKDALE, MN 55128 PHONE: 651/735-3656 FAX: 651/735-0126 Ind NANCY ISCHER MS. TAMARA TASCHNER HCP-C 7860 64TH STREET (24132) PINE SPRINGS, MN 55115 PHONE: 651/779-8334 FAX: MS. NANCY ISCHER /- Lim-Liab REBECCAS RESIDENCE SLFA-10 21077 PENROSE AVENUE NORTH (22017) SCANDIA, MN 55073 PHONE: 651/433-5839 FAX: Corp SCANDIA ELDERCARE MS. JANET HAVEN-HALL 651/433-5921 HCP-F 14640 205TH STREET NORTH (28560) SCANDIA, MN 55073 PHONE: 651/433-5705 FAX: 651/433-4731 MS. DIANE THOM HWSAL-O Corp SCANDIA ELDERCARE 13640 205TH STREET NORTH (28561) SCANDIA, MN 55073 PHONE: 651/433-5705 FAX: 651/433-4731 MS. DIANE THOM Minnesota Department of Health Division of Compliance Monitoring Page 400 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Ind ALTERNATIVE HOME CARE SOLUTION Certification WASHINGTON Registration (Cont.)* -------------------------- HCP-A 1648 DIXON DRIVE (26667) ST PAUL PARK, MN 55071 PHONE: 651/214-2044 FAX: MS. FRANCES ZOGAA /- Corp REM MN COMM SVS INC PARK PLACE SLFA-6 ICFMR-6 901 2ND STREET (01125) ST PAUL PARK, MN 55071 PHONE: 651/644-7680 FAX: MS. CONNIE MENNE 651/644-6777 Lim-Liab ASSOCIATED EYE CARE AMB SURG Outpt Surg Amb Surg 2950 CURVE CREST BOULEVARD (23898) STILLWATER, MN 55082 PHONE: 651/275-3002 FAX: MR. MARK FISHER 651/275-3027 Lim-Liab CEDAR RIDGE SLFA-25 SLFB-9 11400 JULIANNE AVENUE NORTH (01660) STILLWATER, MN 55082 PHONE: 651/426-3300 FAX: MS. STEPHANIE GILQUIST 651/426-0149 Out Pt Out St Out Ot NProf COURAGE ST CROIX 1460 CURVE CREST BOULEVARD (02471) STILLWATER, MN 55082 PHONE: 651/439-8283 FAX: /- MR. PETER POLGA Lim-Liab GOLDEN LIVINGCENTER GREELEY NH-70 SNF-NF-70 313 SOUTH GREELEY STREET (00947) STILLWATER, MN 55082 PHONE: 651/439-5775 FAX: 651/439-1936 Lim-Liab GOLDEN LIVINGCENTER LINDEN MS. JENNIFER SCHOENECKER NH-67 SNF-NF-67 105 WEST LINDEN STREET (00948) STILLWATER, MN 55082 PHONE: 651/439-5004 FAX: NProf GOOD SAM SOCIETY STILLWATER MS. JENNIFER SCHOENECKER 651/430-2127 NH-99 SNF-NF-99 1119 OWENS STREET NORTH (00903) STILLWATER, MN 55082 PHONE: 651/439-7180 FAX: 651/439-4502 MR. NATHAN PEARSON HWS NProf GREENBRIER APARTMENTS CAMPUS 14847 60TH STREET N (28536) STILLWATER, MN 55082 PHONE: 651/430-8820 FAX: 651/430-8430 MR. MARK KUPPE HWS NProf GREENBRIER APARTMENTS CANVAS 14843 60TH STREET NORTH (28554) STILLWATER, MN 55082 PHONE: 651/439-7812 FAX: 651/430-8430 MR. MARK KUPPE Minnesota Department of Health Division of Compliance Monitoring Page 401 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification WASHINGTON (Cont.)* -------------------------HWS-O NProf HOME FREE Registration 6450 PANAMA AVENUE (23909) STILLWATER, MN 55082 PHONE: 651/777-5222 FAX: MR. JOHN SAVEREIDE 651/251-5111 Lim-Liab KING OF KINGS HOME HEALTH CARE HCP-A 200 SOUTH 3RD STREET STE 200 (28272) STILLWATER, MN 55082 PHONE: 651/329-4047 FAX: MR. BRIAN MCKEE 651/351-0503 NProf LAKEVIEW HOMECARE HCP-A HHA 1715 TOWER DRIVE WEST STE 330 (03154) STILLWATER, MN 55082 PHONE: 651/430-3320 FAX: MS. BRUNY FULLERTON 651/430-8505 NProf LAKEVIEW HOMECARE AND HOSPICE HCP-F 1715 TOWER DRIVE W STE 330 (21236) STILLWATER, MN 55082 PHONE: 651/430-3320 FAX: MS. BRUNY FULLERTON 651/430-8505 NProf LAKEVIEW HOSPICE Hospice HSPICE 1715 TOWER DRIVE WEST STE 330 (03223) STILLWATER, MN 55082 PHONE: 651/430-3320 FAX: 651/430-8505 NProf LAKEVIEW MEMORIAL HOSPITAL MS. BRUNY FULLERTON BASS-15 HOSP-97 HOSP-97 927 WEST CHURCHILL STREET (00689) STILLWATER, MN 55082 PHONE: 651/439-5330 FAX: 651/430-4512 Corp ONTRACK HOME CARE INC MR. CURT GEISSLER HCP-A 13955 NORTH 26TH STREET (27846) STILLWATER, MN 55082 PHONE: 651/439-3790 FAX: MS. RUTH MONZEL 651/439-3790 Corp PROJECT CARING RES ASSTD LVG HCP-F HWSAL 14410 21ST STREET NORTH (26164) STILLWATER, MN 55082 PHONE: 651/485-0860 FAX: MS. JACQUELINE FITZGERALD 651/436-7545 Corp REM MN COMM SVS INC IMPERIAL C SLFA-6 ICFMR-6 8050 IMPERIAL COURT (01131) STILLWATER, MN 55082 PHONE: 651/644-7680 FAX: 651/644-6777 MS. CONNIE MENNE ESRD Corp RIVER CITY DIALYSIS 1970 NORTHWESTERN AVENUE NORTH (02843) STILLWATER, MN 55082 PHONE: 651/430-0067 FAX: /- MS. TRISHA RHOADS Minnesota Department of Health Division of Compliance Monitoring Page 402 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp ACE HOME CARE INC Certification WASHINGTON Registration (Cont.)* -------------------------- HCP-A 6886 NEWBURY KNOLL (27205) WOODBURY, MN 55125 PHONE: 651/815-0335 FAX: MR. MICHAEL DOE 888/831-9109 Corp BANGEM HOME HEALTH HCP-A 8593 SAVANNA OAKS LANE (24183) WOODBURY, MN 55125 PHONE: 651/731-9970 FAX: MR. WILSON EKINDE 651/730-1664 Corp COLBY LAKE CARE HOME INC HCP-F HWS 9377 NEWCASTLE ROAD (26643) WOODBURY, MN 55125 PHONE: 651/230-5088 FAX: MS. VIJWANTIE SIRJU 651/731-7814 Lim-Liab COMFORT KEEPERS HCP-A 8362 TAMARACK VILLAGE #119-230 (22026) WOODBURY, MN 55125 PHONE: 651/779-7740 FAX: MS. JAN LEVINE 651/779-0098 Corp COMMUNITY LIVING OPTIONS INC HCP-F HWSAL 6617 STRATFORD ROAD (28270) WOODBURY, MN 55125 PHONE: 763/856-4866 FAX: 763/856-5732 Lim-Liab FAITH HOME CARE LLC MR. JEFF FELTZ HCP-F HWS 10910 THORNE RIDGE (26620) WOODBURY, MN 55129 PHONE: 651/436-5452 FAX: 651/436-2412 MS. MARCIA ROBERTS HWSAL Corp FIVE STAR ALTERNATIVE NURSING 6617 STRATFORD ROAD (27765) WOODBURY, MN 55125 PHONE: 651/493-0760 FAX: MS. SANDRA GAVENY 651/501-5725 Lim-Liab GOLDEN NEST LLC HCP-F 2769 EAGLE VALLEY DRIVE (23665) WOODBURY, MN 55129 PHONE: 651/755-2836 FAX: MR. HONGJOO LEE 612/861-7509 NProf HEALTHEAST WOODWINDS HOSPITAL BASS-20 HOSP-86 HOSP-86 1925 WOODWINDS DRIVE (04278) WOODBURY, MN 55125 PHONE: 651/232-6880 FAX: 651/232-6888 MR. THOMAS SCHMITT HWSAL Corp HOMETOWN SENIOR LIVING WEDGEWO 3610 MOUNT VERNON COURT (28204) WOODBURY, MN 55129 PHONE: 715/781-0605 FAX: /- MR. GREGORY HENDRICKS Minnesota Department of Health Division of Compliance Monitoring Page 403 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp HOMETOWN SENIOR LIVING-BELMONT Certification WASHINGTON Registration (Cont.)* -------------------------- HCP-F HWSAL 1265 BELMONT DRIVE (26862) WOODBURY, MN 55125 PHONE: 651/207-5999 FAX: MS. MARY HENDRICKS 651/207-5917 Part MIDWEST SURGERY CENTER Outpt Surg Amb Surg 2080 WOODWINDS DRIVE (21791) WOODBURY, MN 55125 PHONE: 651/642-9199 FAX: MR. H. JOSEPH DRANNEN 651/642-9837 Out Pt Out St Out Ot Corp NOVA CARE OUTPATIENT REHAB DIV 1000 RADIO DRIVE STE 110 (02793) WOODBURY, MN 55125 PHONE: 651/702-0555 FAX: MR. THOMAS COPLIN /- Lim-Liab PLATINUM HOMECARE LLC HCP-A 1976 WOODDALE DRIVE (27009) WOODBURY, MN 55125 PHONE: 651/294-0051 FAX: Lim-Liab PRELUDE HOME & SERVICES LLC MS. CAROL TONER 651/294-3668 HCP-F HWSAL 10020 RALEIGH RD (27917) WOODBURY, MN 55129 PHONE: 651/501-6513 FAX: 651/501-6600 MS. JANELLE JOHNSON HWS-O Corp REM WOODMERE 6939 COLLINGWOOD LANE APT 2 (28127) WOODBURY, MN 55125 PHONE: 651/643-6740 FAX: 651/643-6740 Lim-Liab SAGEWOOD LLC MS. CONNIE MENNE HCP-F 6281 OAKWOOD ROAD (28374) WOODBURY, MN 55125 PHONE: 651/270-9128 FAX: MS. JEANETTE ROMERO 651/200-3084 HWSAL Lim-Liab SAGEWOOD LLC 6281 OAKWOOD ROAD (28375) WOODBURY, MN 55125 PHONE: 651/200-3082 FAX: Corp SENIORS CARING COMPANIONS INC MS. JEANETTE ROMERO 651/200-3084 HCP-A 10246 GRAND OAKS TRAIL (23102) WOODBURY, MN 55129 PHONE: 651/770-2288 FAX: 651/770-0222 MS. PAULA CARTER HWSAL NProf STONECREST 8725 PROMENADE LANE (25310) WOODBURY, MN 55125 PHONE: 651/264-3200 FAX: 651/264-3334 MS. STACY CARLSRUD Minnesota Department of Health Division of Compliance Monitoring Page 404 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf STONECREST Certification WASHINGTON Registration (Cont.)* -------------------------- HCP-F 8725 PROMENADE LANE (27949) WOODBURY, MN 55125 PHONE: 651/264-3200 FAX: MS. NATALIE MORLAND 651/264-3334 Corp SYNERGY HOME CARE HCP-B 7616 CURRELL BLVD SUITE 200 (26376) WOODBURY, MN 55125 PHONE: 651/209-6360 FAX: MS. ANGELA NELSON 866/941-5649 Lim-Liab WICARE SERVICES HCP-A 2602 COPPER CLIFF TRAIL (26425) WOODBURY, MN 55125 PHONE: 651/738-4890 FAX: MS. DOROTHY MICHORI 651/735-3022 Corp WOODBURY AMBULATORY SURG CENTE Outpt Surg Amb Surg 8675 VALLEY CREEK RD STE 300 (20726) WOODBURY, MN 55125 PHONE: 651/241-3450 FAX: MS. BECKIE HINES 651/241-3453 ESRD Corp WOODBURY DIALYSIS 1850 - 3 WEIR DRIVE (03523) WOODBURY, MN 55125 PHONE: 651/730-4522 FAX: /- MS. COLLEEN LAPINSKI HWSAL Lim-Liab WOODBURY ESTATES 2825 WOODLANE DRIVE (20551) WOODBURY, MN 55125 PHONE: 651/714-1000 FAX: 651/714-1003 NProf WOODBURY ESTATES MR. RICHARD MARTIN HCP-F 2825 WOODLANE DRIVE (21116) WOODBURY, MN 55125 PHONE: 651/714-1000 FAX: Lim-Liab WOODBURY HCC PERSONAL AL MR. JOEL ULLAND 651/714-1003 HCP-F 7012 LAKE ROAD (25287) WOODBURY, MN 55125 PHONE: 651/735-6000 FAX: WOODBURY HCC PERSONAL ASSISTED MR. GREGORY ANDERSON 651/735-0075 HWSAL NProf 7012 LAKE ROAD (20320) WOODBURY, MN 55125 PHONE: 651/735-6000 FAX: NProf WOODBURY HEALTH CARE CENTER MR. GREG ANDERSON 651/735-0075 NH-190 SNF-NF-190 7012 LAKE ROAD (00803) WOODBURY, MN 55125 PHONE: 651/735-6000 FAX: 651/735-0075 MR. GREG ANDERSON Minnesota Department of Health Division of Compliance Monitoring Page 405 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf WOODBURY VILLA Certification WASHINGTON Registration (Cont.)* -------------------------- HCP-F HWSAL 7008 LAKE ROAD (21870) WOODBURY, MN 551252499 PHONE: 651/735-4000 FAX: MS. KATHY RYAN 651/731-5585 ---------------------------********** Church LUTHER MEMORIAL HOME WATONWAN ******** -------------------------- NH-71 SNF-NF-71 221 SIXTH STREET SOUTHWEST (00695) MADELIA, MN 56062 PHONE: 507/642-3271 FAX: NProf MADELIA COMMUNITY HOSP HM CARE MS. DAWN CAMPBELL 507/642-8676 HCP-A HHA 121 DREW AVENUE SOUTHEAST (02340) MADELIA, MN 56062 PHONE: 507/642-3255 FAX: NProf MADELIA COMMUNITY HOSPITAL MS. CANDACE FENSKE 507/642-8516 BASS-7 HOSP-25 CAH-25 121 DREW AVENUE SOUTHEAST (00696) MADELIA, MN 56062 PHONE: 507/642-3255 FAX: Corp REM HEARTLAND INC MADELIA MS. CANDACE FENSKE 507/642-8516 SLFB-13 ICFMR-13 226 DREW AVENUE SOUTHEAST (01455) MADELIA, MN 56062 PHONE: 507/642-3153 FAX: 507/642-3260 NProf GOOD SAM SOCIETY BRANDT RIDGE MS. CONNIE MENNE HWSAL HCP-F 1102 - 2ND STREET SOUTH (25414) ST JAMES, MN 56081 PHONE: 507/375-6120 FAX: NProf GOOD SAM SOCIETY ST JAMES MR. TIM SWOBODA 507/375-5779 NH-55 SNF-NF-55 1000 SOUTH SECOND STREET (00697) ST JAMES, MN 56081 PHONE: 507/375-3286 FAX: NProf MAYO CLINIC HEALTH SYS ST JAME MR. TIMOTHY SWOBODA 507/375-3288 BASS-6 HOSP-25 CAH-25 1101 MOULTON & PARSONS DR (00698) ST JAMES, MN 56081 PHONE: 507/375-3261 FAX: 507/375-8605 MR. SCOTT THORESON HWS NProf PRAIRIE VIEW CONGREGATE APARTM 1101 SECOND STREET SOUTH (21033) ST JAMES, MN 56081 PHONE: 507/375-5150 FAX: 507/375-3218 ---------------------------********** MR. TIM SWOBODA WILKIN ******** -------------------------- Minnesota Department of Health Division of Compliance Monitoring Page 406 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification WILKIN (Cont.)* -------------------------HWSAL Corp PIONEER RETIREMENT COMMUNITY Registration 519 OAK STREET (24440) BRECKENRIDGE, MN 56520 PHONE: 218/643-9572 FAX: MR. JOHN RICHARDS 218/643-9573 HWSAL Corp PIONEER RETIREMENT COMMUNITY 521 OAK STREET (24441) BRECKENRIDGE, MN 56520 PHONE: 218/643-9572 FAX: NProf RIVEREDGE HOSPICE ST FRANCIS MR. JOHN RICHARDS 218/643-9573 Hospice HSPICE 1110 HWY 75 NORTH SUITE A (02418) BRECKENRIDGE, MN 56520 PHONE: 218/643-2275 FAX: Church ST FRANCIS HEALTHCARE CAMPUS MS. TAMERA ALTHOFF 218/643-2274 BASS-8 HOSP-25 CAH-25 2400 ST FRANCIS DRIVE (00700) BRECKENRIDGE, MN 56520 PHONE: 218/643-3000 FAX: Church ST FRANCIS HOME MR. DAVID NELSON 218/643-0850 NH-120 SNF-NF-120 2400 ST FRANCIS DRIVE (00818) BRECKENRIDGE, MN 56520 PHONE: 218/643-3000 FAX: 218/643-0850 NProf ST FRANCIS HOME HEALTH CARE MR. DAVID NELSON HCP-A HHA 1110 HWY 75 NORTH SUITE A (02371) BRECKENRIDGE, MN 56520 PHONE: 218/643-2275 FAX: 218/643-2274 Corp WELCOME HOME HEALTH CARE INC MS. TAMERA ALTHOFF HCP-F HWSAL 615 DURUM DRIVE (24375) BRECKENRIDGE, MN 56520 PHONE: 218/643-9542 FAX: MS. LISA LEHMANN 218/643-9543 Home Mgmt Cnty WILKIN COUNTY PUBLIC HEALTH 300 5TH STREET SOUTH (24318) BRECKENRIDGE, MN 56520 PHONE: 218/643-7122 FAX: Corp KAYCEE'S HOME CARE INC MS. DEBRA JACOBS 218/643-7166 HCP-A 507 WEST MAIN AVENUE (23373) ROTHSAY, MN 56579 PHONE: 218/731-4062 FAX: 218/867-2733 ---------------------------********** MS. DOROTHY FIEDLER WINONA ******** -------------------------- Minnesota Department of Health Division of Compliance Monitoring Page 407 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Part LEWISTON VILLA NURSING HOME Certification WINONA NH-42 Registration (Cont.)* -------------------------SNF-NF-42 505 EAST MAIN STREET (00964) LEWISTON, MN 55952 PHONE: 507/523-2123 FAX: MS. JODI BARTON 507/523-3699 Corp SPELTZ ESTATES ASSIST LIV INC HCP-F HWSAL 232 FREMONT ST S (23457) LEWISTON, MN 55952 PHONE: 507/523-2252 FAX: MS. MICHELE SPELTZ 507/523-2929 Lim-Liab GOLDEN LIVINGCENTER WHITEWATER NH-55 SNF-NF-55 525 BLUFF AVENUE (00942) ST CHARLES, MN 55972 PHONE: 507/932-3283 FAX: MS. NICOLE BARCLAY 507/932-4756 Corp ST CHARLES ASSISTED LIVING IN HCP-F HWSAL 402 WEST FOURTH STREET (21667) ST CHARLES, MN 55972 PHONE: 507/932-4062 FAX: MR. LINUS SOPPA 507/932-3803 HWSAL NProf ADITH MILLER MANOR 885 MANKATO AVENUE (20147) WINONA, MN 55987 PHONE: 507/454-0179 FAX: 507/457-4158 Corp BOURNE MEDICAL SERVICE MS. CHERYL KRAGE HCP-A 163 WALNUT STREET (03683) WINONA, MN 55987 PHONE: 507/452-1313 FAX: 507/454-5717 NProf CALLISTA COURT MR. STEPHEN FLAD HCP-A HWSAL 1455 WEST BROADWAY (20549) WINONA, MN 55987 PHONE: 507/457-0280 FAX: MS. MARIE BUNDE 507/494-5117 ESRD NProf COMMUNITY MEM HOSP ESRD UNIT 855 MANKATO AVE (02111) WINONA, MN 55987 PHONE: 507/454-3650 FAX: MS. SARA GABRICK 507/964-2941 CMHC NProf HIAWATHA VALLEY MNTL HLTH CTR 111 RIVERFRONT PO BOX 619 (02773) WINONA, MN 55987 PHONE: 507/454-4341 FAX: MR. MICHAEL EMAN /- NProf HOME AND COMMUNITY OPTIONS INC SLFA-6 174 EDWARD STREET (01134) WINONA, MN 55987 PHONE: 507/452-1021 FAX: 507/452-1504 MR. DENNIS THEEDE Minnesota Department of Health Division of Compliance Monitoring Page 408 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf LAKE WINONA MANOR Certification WINONA Registration (Cont.)* -------------------------- NH-134 SNF-NF-134 865 MANKATO AVENUE (20873) WINONA, MN 55987 PHONE: 507/457-4366 FAX: NProf MANOR LIVNG HC & WATKINS MANO MS. MARY MILLER-HYLAND 507/457-4595 HCP-F HWSAL 175 EAST WABASHA (20822) WINONA, MN 55987 PHONE: 507/494-7400 FAX: Lim-Liab OPTIONS PLUS HOME CARE LLC MS. CHERYL KRAGE 507/494-7490 HCP-A 1459 W 5TH ST (25827) WINONA, MN 55987 PHONE: 507/474-1509 FAX: Corp QUALITY LIVING HOME HEALTH CAR MS. JENNI ZIMMERMAN 507/474-2509 HCP-A 164 EAST 4TH STREET (21081) WINONA, MN 55987 PHONE: 507/454-6800 FAX: MR. GARY POBLOCKI 507/454-6803 HWSAL NProf ROGER METZ MANOR 875 MANKATO AVENUE (20424) WINONA, MN 55987 PHONE: 507/452-7636 FAX: 507/457-4158 Church SAINT ANNE EXTENDED HEALTHCARE MS. CHERYL KRAGE NH-109 SNF-NF-109 1347 WEST BROADWAY (00955) WINONA, MN 55987 PHONE: 507/454-3621 FAX: 507/452-2556 NProf SAUER MEMORIAL HOME MR. RAND GETTLER NH-71 SNF-NF-71 1635 WEST SERVICE DRIVE (00705) WINONA, MN 55987 PHONE: 507/454-5540 FAX: Corp STERLING HOUSE WINONA MS. MARY MILLER-HYLAND 507/454-1647 HCP-F HWSAL 835 EAST BELLEVIEW STREET (20328) WINONA, MN 55987 PHONE: 507/454-3090 FAX: NProf WINONA AREA HOSPICE MS. REBECCA SOBOLIK 507/454-5466 Hospice HSPICE 175 EAST WABASHA STREET (02881) WINONA, MN 55987 PHONE: 507/457-4468 FAX: Cnty WINONA CO PUBLIC HLTH NRSG SER MS. PAM SLOCUM 507/457-4168 HCP-A HHA 202 WEST THIRD STREET (02065) WINONA, MN 55987 PHONE: 507/457-6500 FAX: 507/457-9381 MS. SUSAN BLAISDELL Minnesota Department of Health Division of Compliance Monitoring Page 409 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf WINONA HEALTH HOME CARE Certification WINONA Registration (Cont.)* -------------------------- HCP-A HHA 175 EAST WABASHA STREET (02254) WINONA, MN 55987 PHONE: 507/457-4468 FAX: NProf WINONA HEALTH SERVICES MS. MARY MILLER-HYLAND 507/457-4168 BASS-14 HOSP-99 HOSP-88 PPS-P-11 855 MANKATO AVENUE (00701) WINONA, MN 55987 PHONE: 507/454-3650 FAX: MS. RACHEL SCHULTZ 507/457-4159 ---------------------------********** NProf ANNANDALE CARE CENTER WRIGHT ******** -------------------------- NH-60 SNF-NF-60 500 PARK STREET EAST (00951) ANNANDALE, MN 55302 PHONE: 320/274-3737 FAX: MS. DEBRA REITMEIER 320/274-3631 HWSAL NProf CENTENNIAL VILLA 600 PARK STREET EAST (20074) ANNANDALE, MN 55302 PHONE: 320/274-5031 FAX: MS. DEBORAH FLYGARE 320/274-1330 HWSAL NProf CENTENNIAL VILLA ASSISTED LIVI 500 PARK STREET EAST (25919) ANNANDALE, MN 55302 PHONE: 320/274-5031 FAX: 320/274-1330 NProf CENTENNIAL VILLA ASSISTED LVN MS. DEBORAH FLYGARE HCP-F HWSAL 660 PARK STREET EAST (20856) ANNANDALE, MN 55302 PHONE: 320/274-5031 FAX: State COMM BEHAV HLTH HOSP ANNANDALE MS. DEB FLYGARE 320/274-1330 OTHER-16 HOSP-16 400 ANNANDALE BOULEVARD (24145) ANNANDALE, MN 55302 PHONE: 651/259-3850 FAX: NProf BUFFALO HOSPITAL MS. PAM BAJARI 320/274-7018 BASS-18 HOSP-65 HOSP-65 303 CATLIN STREET (00860) BUFFALO, MN 55313 PHONE: 763/682-1212 FAX: NProf DCI DOUGLAS MS. JENNIFER MYSTER 763/684-7910 SLFB-6 ICFMR-6 303 DOUGLAS DRIVE (01179) BUFFALO, MN 55313 PHONE: 763/682-4588 FAX: 763/682-9650 MR. ROGER MEYER Minnesota Department of Health Division of Compliance Monitoring Page 410 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification WRIGHT (Cont.)* -------------------------Out Pt Out St Corp EXCEL PHYSICAL THERAPY Registration 300 CATLIN STREET (03893) BUFFALO, MN 55313 PHONE: 763/682-2202 FAX: MR. VIRGIL MICHAELIS /- ESRD Corp FMC DIALYSIS SERVICES BUFFALO 104 MARTY DRIVE (03717) BUFFALO, MN 55313 PHONE: 763/682-0211 FAX: MR. JOHN MARIETTI /- HWS Corp GRANDMAS PLACE PARK LANE 609 MONTROSE BLVD (28131) BUFFALO, MN 55313 PHONE: 763/560-2500 FAX: MR. RON HENDRICKSON 763/561-0159 Ind KIMBERLY HAGLUND HCP-C 672 BARTON AVENUE NW (25985) BUFFALO, MN 55313 PHONE: 612/616-5891 FAX: MS. KIMBERLY HAGLUND /- NProf LAKE RIDGE CARE CTR OF BUFFALO NH-62 SNF-NF-62 310 LAKE BOULEVARD (00714) BUFFALO, MN 55313 PHONE: 763/682-1434 FAX: 763/682-6419 NProf LAKE RIDGE MANOR MR. JASON NELSON HCP-F HWSAL 310 LAKE BOULEVARD SO (20186) BUFFALO, MN 55313 PHONE: 763/404-4617 FAX: 763/682-4464 NProf PARK TERRACE ASSTD LVG & MEM C MR. JASON NELSON HCP-F HWSAL 613 MONTROSE BOULEVARD (25448) BUFFALO, MN 55313 PHONE: 763/684-4866 FAX: MS. ANN DIRKS 763/682-6855 Church PARK VIEW CARE CENTER NH-124 SNF-NF-124 200 PARK LANE (00719) BUFFALO, MN 55313 PHONE: 763/682-1131 FAX: MS. ANN DIRKS 763/684-1044 Corp REM SO CENTRAL SERVS (BUFFALO) SLFB-12 ICFMR-12 914 THIRD AVENUE NORTHEAST (01487) BUFFALO, MN 55313 PHONE: 763/682-3142 FAX: MR. PATRICK MASYGA 763/682-9722 Ind STEPHANIE LYNN SALONEK HCP-C 1611 GRIFFING PARK ROAD (25925) BUFFALO, MN 55313 PHONE: 612/702-9338 FAX: /- MS. STEPHANIE SALONEK Minnesota Department of Health Division of Compliance Monitoring Page 411 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification WRIGHT (Cont.)* -------------------------HWSAL Lim-Liab SUNRISE ASSISTED LIVING OF BUF Registration 201 FIRST STREET NORTHEAST (20395) BUFFALO, MN 55313 PHONE: 763/682-5489 FAX: Corp SUNRISE COTTAGES OF BUFFALO MS. CHERYL KLINKHAMMER 763/684-4809 HCP-F 407 EIGHTH STREET NORTHWEST (26623) BUFFALO, MN 55313 PHONE: 763/682-9366 FAX: MS. ANDREA KYLLONEN 763/682-6569 HWSAL Lim-Liab SUNRISE COTTAGES OF BUFFALO 415-421 EIGHTH ST NORTHWEST (20123) BUFFALO, MN 55313 PHONE: 763/682-9366 FAX: MS. ANDREA KYLLONEN 763/682-6569 HWSAL Lim-Liab SUNRISE COTTAGES OF BUFFALO 407-413 EIGHTH ST NORTHWEST (20122) BUFFALO, MN 55313 PHONE: 763/682-9366 FAX: Corp SUNRISE OF BUFFALO MS. ANDREA KYLLONEN 763/682-6569 HCP-F 201 FIRST STREET NE (22360) BUFFALO, MN 55313 PHONE: 763/682-5489 FAX: 763/684-4809 ONProf BROOKRIDGE MS. ANNELIESE PETERSON HCP-F HWSAL 180 SUNSET AVENUE (20830) COKATO, MN 55321 PHONE: 320/286-3196 FAX: 320/286-3163 NProf COKATO MANOR MS. NANCY STRATMAN NH-56 SNF-NF-56 182 SUNSET AVENUE (00712) COKATO, MN 55321 PHONE: 320/286-2158 FAX: ONProf COKATO MANOR COMPANION CARE MS. NANCY STRATMAN 320/286-2031 HCP-A 600 THIRD STREET SE (26004) COKATO, MN 55321 PHONE: 320/286-3049 FAX: ONProf COKATO MANOR HOME HEALTH MS. NANCY STRATMAN 320/286-2307 HCP-A HHA 600 THIRD STREET SOUTHEAST (03746) COKATO, MN 55321 PHONE: 320/286-3049 FAX: 320/286-2307 MS. NANCY STRATMAN HWS ONProf EDGEWOOD GABLES 600 EAST THIRD STREET (20523) COKATO, MN 55321 PHONE: 320/286-2159 FAX: 320/286-2307 MS. NANCY STRATMAN Minnesota Department of Health Division of Compliance Monitoring Page 412 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification WRIGHT (Cont.)* -------------------------HWSAL ONProf HERITAGE PLACE Registration 182 SUNSET AVENUE (20343) COKATO, MN 55321 PHONE: 320/286-2158 FAX: MS. NANCY STRATMAN 320/286-2031 Lim-Liab GOLDEN LIVINGCENTER DELANO NH-54 SNF-NF-54 433 COUNTY ROAD 30 (00933) DELANO, MN 55328 PHONE: 763/972-2987 FAX: MR. ALEXANDER COLBORN 763/972-2457 Lim-Liab THE LEGACY OF DELANO HCP-F HWSAL 1350 ST PETER AVENUE EAST (26590) DELANO, MN 55328 PHONE: 763/972-2333 FAX: MS. KELLI HALLSTROM 763/972-5900 NProf GOOD SAM SOCIETY HOWARD LAKE NH-38 SNF-NF-38 413 -13TH AVENUE (00019) HOWARD LAKE, MN 55349 PHONE: 320/543-3800 FAX: MS. LAURA RINDFLEISCH 320/543-2305 Ind NANCY J LOEBERTMANN HCP-C 1010 SHORELINE DRIVE (25986) HOWARD LAKE, MN 55349 PHONE: 320/543-3603 FAX: /- MS. NANCY LOEBERTMANN Corp SUGAR LAKE SUPPORTED LIVING SE HCP-A 6523 117TH STREET NW (21604) MAPLE LAKE, MN 55358 PHONE: 320/963-7571 FAX: 320/963-7572 Dist NEW RIVER MEDICAL CENTER MR. MICHAEL HILGERT NH-89 BASS-12 HOSP-39 SNF-NF-89 CAH-25 PPS-R-10 1013 HART BOULEVARD (00717) MONTICELLO, MN 55362 PHONE: 763/293-2945 FAX: MR. MARSHALL SMITH 763/271-2299 HWSAL Church ST BENEDICTS SEN COM THE COURT 1301 EAST 7TH STREET (20806) MONTICELLO, MN 55362 PHONE: 763/295-4058 FAX: MS. SANDY HAGGERTY 763/295-5384 HWS Church ST BENEDICTS SR COMM VILLAGE 1305 EAST SEVENTH STREET (22056) MONTICELLO, MN 55362 PHONE: 763/295-4058 FAX: Corp THERES NO PLACE LIKE HOME INC MS. SANDY HAGGERTY 763/295-5384 HCP-B 4134 DEEGAN COURT SUITE 50 (27517) MONTICELLO, MN 55362 PHONE: 763/295-1140 FAX: 763/295-1141 MS. VICKI DUNNIGAN Minnesota Department of Health Division of Compliance Monitoring Page 413 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab CARING HEARTS AT HOME LLC Certification WRIGHT Registration (Cont.)* -------------------------- HCP-A 2000 BALSAM LANE (27817) ROCKFORD, MN 55373 PHONE: 218/988-2163 FAX: MS. KATHLEEN TURNER /- Ind PEDIATRIC SPEECH & LANGUAGE HCP-A 7006 GREENWOOD CT (25224) ROCKFORD, MN 55373 PHONE: 612/961-8310 FAX: MS. AMY PEDERSON 612/234-4617 Lim-Liab PROVISIONAL HOME HEALTH LLC HCP-A 4110 MAPLE HURST DRIVE SOUTH (28083) ROCKFORD, MN 55373 PHONE: 763/575-7281 FAX: MS. KRISTINE CARR 763/575-7281 Lim-Liab SERENITY CHOICE HOMECARE HCP-A 33459 CSAH 19 (27648) SOUTH HAVEN, MN 55382 PHONE: 320/398-8335 FAX: MS. SARAH KNUTSON 320/398-8335 Home Mgmt Lim-Liab ANN MAR HOME HELP LLC 4981 LANSING AVENUE NORTHEAST (28462) ST MICHAEL, MN 55376 PHONE: 763/954-0035 FAX: 763/954-0035 MS. ANN WOJCIK Out Pt Corp ST MICHAEL SPINAL REHAB CENTER 400 CENTRAL AVENUE (20848) ST MICHAEL, MN 55376 PHONE: 763/497-2787 FAX: /- MS. LINDA KARST Lim-Liab THE LEGACY OF ST MICHAEL HCP-F HWSAL 4400 LANGE AVENUE NORTHEAST (27112) ST MICHAEL, MN 55376 PHONE: 763/497-0171 FAX: Lim-Liab NEW BEGINNINGS AT WAVERLY LLC MR. RICK HUNTINGTON 763/497-7120 SLFA-40 109 NORTH SHORE DRIVE (01497) WAVERLY, MN 55390 PHONE: 763/658-5800 FAX: Ind SUNSHINE HOME CARE MR. CLELLAND GILCHRIST 763/658-4128 HCP-C 800 NORTH SHORE DRIVE (27013) WAVERLY, MN 55390 PHONE: 763/658-7045 FAX: 763/658-7046 ---------------------------********** MS. RENEE CHASE YELLOW MEDICINE ******** -------------------------- Minnesota Department of Health Division of Compliance Monitoring Page 414 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp REM CANBY SENIOR SERVICES Certification YELLOW MEDICINE Registration (Cont.)* -------------------------- HCP-F 125 - 1ST STREET EAST (21212) CANBY, MN 56220 PHONE: 507/223-5633 FAX: MR. PAT MASYGA 507/223-5659 HWS Corp REM SOUTHWEST SERVICES INC SUN 909 NORTH RING AVENUE (23757) CANBY, MN 56220 PHONE: 507/223-5633 FAX: MR. PAT MASYGA 507/223-5659 HWS Corp REM SOUTHWEST SERVICES INC SUN 911 NORTH RING AVENUE (23758) CANBY, MN 56220 PHONE: 507/223-5633 FAX: MR. PAT MASYGA 507/223-5659 Corp REM SOUTHWEST SRVS CANBY A SLFA-6 ICFMR-6 1201 HAARFAGER AVE N (01081) CANBY, MN 56220 PHONE: 507/223-7271 FAX: MR. PATRICK MASYGA 507/223-5659 Corp REM SOUTHWEST SRVS CANBY B SLFB-6 ICFMR-6 1205 HAARFAGER AVE N (01659) CANBY, MN 56220 PHONE: 507/223-7271 FAX: 507/223-5659 MR. PATRICK MASYGA ESRD NProf SANFORD CANBY DIALYSIS UNIT 112 ST OLAF AVENUE SOUTH (04244) CANBY, MN 56220 PHONE: 507/223-7277 FAX: 507/223-7465 NProf SANFORD CANBY MED CENTER MR. ROBERT SALMON HCP-A HHA 213 ST OLAF AVE N STE B (02240) CANBY, MN 56220 PHONE: 507/223-7277 FAX: MS. LORI SISK 507/223-5346 NProf SANFORD CANBY MEDICAL CENTER HCP-F 112 ST OLAF AVENUE SOUTH (23624) CANBY, MN 56220 PHONE: 507/223-7277 FAX: MS. NANCY SALMON 507/223-5877 NProf SANFORD CANBY MEDICAL CENTER NH-75 BASS-4 HOSP-25 SNF-NF-75 CAH-25 112 ST OLAF AVENUE SOUTH (00722) CANBY, MN 56220 PHONE: 507/223-7277 FAX: 507/223-5877 MR. ROBERT SALMON RHC NProf SANFORD CLINIC CANBY 112 ST OLAF AVENUE (02775) CANBY, MN 56220 PHONE: 507/223-7221 FAX: /- MR. ROBERT SALMON Minnesota Department of Health Division of Compliance Monitoring Page 415 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Ind SERENITY HOUSE Certification YELLOW MEDICINE Registration (Cont.)* -------------------------- HCP-F HWSAL 310 HAARFAGER AVENUE SOUTH (23202) CANBY, MN 56220 PHONE: 507/223-5269 FAX: MS. JOANN HANSEN /- HWS NProf SYLVAN HOUSE 112 ST OLAF AVE S (24249) CANBY, MN 56220 PHONE: 507/223-7277 FAX: MS. NANCY SALMON 507/223-5877 HWSAL NProf SYLVAN PLACE 212 ST OLAF AVENUE SOUTH (23511) CANBY, MN 56220 PHONE: 507/223-7277 FAX: MS. NANCY SALMON 507/223-5877 City CLARKFIELD CARE CENTER NH-52 SNF-NF-52 805 FIFTH STREET (00842) CLARKFIELD, MN 56223 PHONE: 320/669-7561 FAX: MR. PAUL LUITJENS 320/669-7409 City CLARKFIELD HOME HEALTH AGENCY HCP-A HHA 1012 12TH AVENUE SUITE 201 (02302) CLARKFIELD, MN 56223 PHONE: 320/669-7229 FAX: 320/669-7229 MS. BECKY HOLZHEIMER HWSAL HRA CLARKFIELD HOUSING & REDEVELOP 1012 12TH AVENUE (20928) CLARKFIELD, MN 56223 PHONE: 320/669-4648 FAX: 320/669-4648 City GRANITE FALLS MUN HOSP HHA MS. STEPHANIE BROCK HCP-A HHA 345 TENTH AVENUE (02200) GRANITE FALLS, MN 56241 PHONE: 320/564-6226 FAX: 320/564-1265 MR. GEORGE GERLACH HWS City GRANITE RIDGE PLACE 500 SKYVIEW DRIVE (20567) GRANITE FALLS, MN 56241 PHONE: 320/564-3382 FAX: MR. GEORGE GERLACH /- HWS Part HENRY HILL APARTMENTS 150 7TH AVENUE (22006) GRANITE FALLS, MN 56241 PHONE: 320/564-4030 FAX: 320/564-4637 MS. BECKY LEWISON HWSAL Corp HOMETOWN CARE PROVIDERS INC RI 640 CENTER AVENUE (22068) GRANITE FALLS, MN 56241 PHONE: 320/564-3308 FAX: 320/564-4870 MS. TAMARA TAMMEN Minnesota Department of Health Division of Compliance Monitoring Page 416 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** HOMETOWN CRE PROVDR INC RVRSDE Corp Certification YELLOW MEDICINE Registration (Cont.)* -------------------------- HCP-F 640 CENTER AVE (23491) GRANITE FALLS, MN 56241 PHONE: 320/564-3308 FAX: City MUNICIPAL HOSP & GRANITE MANOR MS. TAMARA TAMMEN 320/564-4870 NH-57 BASS-3 HOSP-30 SNF-NF-57 CAH-25 345 TENTH AVENUE (00725) GRANITE FALLS, MN 56241 PHONE: 320/564-3111 FAX: NProf PROJECT TURNABOUT MR. GEORGE GERLACH 320/313-3396 SLFA-60 SLFB-9 660 18TH STREET (21953) GRANITE FALLS, MN 56241 PHONE: 320/564-4911 FAX: MR. MICHAEL SCHIKS 320/564-3122 ---------------------------********** Corp HELPING HANDS HOME CARE OF MIN IOWA ******** -------------------------- HCP-A 2244 490TH STREET (24054) NORTHWOOD, IA 50459 PHONE: 507/993-7500 FAX: MRS. SHELLEE WRIGHT 888/691-4965 ---------------------------********** Lim-Liab COMFORT KEEPERS NORTH DAKOTA ******** -------------------------- HCP-A 3105 NORTH BROADWAY (23729) FARGO, ND 58102 PHONE: 736/546-8070 FAX: Corp HOME INSTEAD SENIOR CARE MR. JOEL PETERSON 763/546-8180 HCP-B 505 N BROADWAY STE 204 (22134) FARGO, ND 58102 PHONE: 701/478-1010 FAX: MS. ARLETTE PRESTON 701/478-1008 Home Mgmt Corp HOME INSTEAD SENIOR CARE 505 N BROADWAY STE 204 (25316) FARGO, ND 58102 PHONE: 701/478-1010 FAX: NProf HOSPICE OF THE RED RIVER VALLE MS. ARLETTE PRESTON 701/478-1008 Hospice 1701 38TH STREET S SUITE 101 (03040) FARGO, ND 58103 PHONE: 701/356-1500 FAX: NProf PRAIRIELAND HOME CARE MS. WANDA POEHLS 701/356-1591 HCP-A HCP 1102 PAGE DRIVE SW (03350) FARGO, ND 58103 PHONE: 701/232-1245 FAX: 701/232-0813 MR. ROBERT LESMANN Minnesota Department of Health Division of Compliance Monitoring Page 417 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf SANFORD HOME CARE Certification NORTH DAKOTA Registration (Cont.)* -------------------------- HCP-A HCP 1711 SOUTH UNIVERSITY DRIVE (03255) FARGO, ND 58103 PHONE: 701/234-4900 FAX: MS. MARCIA SJULSTAD 701/234-4899 Home Mgmt Corp SPECTRUM HOME CARE 2108 S UNIVERSITY UNIT 106-B (20859) FARGO, ND 58103 PHONE: 701/293-8172 FAX: MR. GREG WENTZ 701/293-0113 NProf ALTRU HOME SERVICES HCP-A HCP 1380 S COLUMBIA RD (03113) GRAND FORKS, ND 58201 PHONE: 701/780-5880 FAX: MR. IAN WATSON 701/780-5849 NProf ALTRU HOME SERVICES HOSPICE Hospice 1380 SOUTH COLUMBIA ROAD (03224) GRAND FORKS, ND 58206 PHONE: 701/780-5880 FAX: MR. IAN WATSON 701/780-5849 NProf GOOD SAMARITAN SOCIETY HOME CA HCP-A 501 EAST FRONT STREET (22766) LARIMORE, ND 58251 PHONE: 701/343-6244 FAX: 701/343-2255 NProf ST CATHERINE'S HOME CARE MS. RITA RAFFETY HCP-A 1307 NORTH 7TH STREET (20648) WAHPETON, ND 58075 PHONE: 701/642-6667 FAX: 701/642-2485 MS. EMMY TRETTER Home Mgmt Ind ACTIVE AT HOME HELPERS 3440 5TH STREET WEST #309 (28223) WEST FARGO, ND 58078 PHONE: 701/540-3483 FAX: MR. JERRET THISETH /- Home Mgmt Ind KINDER CARE 2100 MAIN AVE E STE 3 (27321) WEST FARGO, ND 58078 PHONE: 701/261-3246 FAX: MS. MELANIE KLINKHAMMER 701/281-1952 ---------------------------********** Corp HOME CARE SERVICES OF SOUTH DA SOUTH DAKOTA ******** -------------------------- HCP-A 316 SOUTH COTEAU (26727) PIERRE, SD 57501 PHONE: 605/224-2273 FAX: 605/224-9006 MR. ROBERT BOEHMER Minnesota Department of Health Division of Compliance Monitoring Page 418 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp HOMECARE SERVICES OF SD INC Certification SOUTH DAKOTA Registration (Cont.)* -------------------------- HCP-B 431 SOUTH PIERRE (03396) PIERRE, SD 57501 PHONE: 605/224-2273 FAX: NProf SANFORD HOSPICE MR. ROBERT BOEHMER 605/224-9006 Hospice 2710 WEST 12TH STREET (03300) SIOUX FALLS, SD 57104 PHONE: 605/328-4440 FAX: NProf SANFORD VISITING NURSES ASSOCI MS. LOIS SCHULLER 605/328-5963 HCP-A 2710 WEST 12TH STREET (21079) SIOUX FALLS, SD 57104 PHONE: 605/328-5900 FAX: NProf COTEAU DES PRAIRIES HOSPITAL H MS. LOIS SCHULLER 605/328-5963 HCP-A HCP 205 ORCHARD DRIVE (03653) SISSETON, SD 57262 PHONE: 605/698-4664 FAX: MRS. JESSICA MOEN 605/698-4613 ---------------------------********** Lim-Liab PEACEFUL LIVING LLC WISCONSIN ******** -------------------------- HCP-A 1200 HOSFORD ST STE 107 (24968) HUDSON, WI 54016 PHONE: 715/386-7071 FAX: NProf GUNDERSEN LUTHERAN HOSPICE MS. BECKIE KANE 715/386-0873 Hospice 1900 SOUTH AVENUE (21826) LACROSSE, WI 54601 PHONE: 608/775-8400 FAX: Church MAYO CLINIC HEALTH SYSTEM FRAN MS. WANEETA EVERSON 608/775-8415 HCP-A 212 SOUTH ELEVENTH STREET (02936) LACROSSE, WI 54601 PHONE: 608/392-9790 FAX: Corp MAYO CLINIC HLTH SYS FRANCSCN MS. ANGELA RUPPERT 608/791-9548 Hospice 212 SOUTH 11TH STREET (28013) LACROSSE, WI 54601 PHONE: 608/392-9790 FAX: 608/791-9548 MS. ANGELA RUPPERT Page 419 LOCATION BOARDING CARE HOME ===================================================================== ALBERT LEA BROADWAY ASSISTED LIVING BENSON GOLDEN LIVINGCENTER MEADOW LN BLOOMINGTON FRIENDSHIP VLGE OF BLOOMINGTON DULUTH AFTENRO HOME GREENBUSH LIFECARE GREENBUSH MANOR HASTINGS MN VETERANS HOME HASTINGS LAKE CITY RIVER OAKS HEALTH CARE CTR INC LUVERNE GOOD SAM SOCIETY MARY JN BROWN MINNEAPOLIS ALDRICH BOARD AND CARE LLC ANDREW RESIDENCE BETHANY COVENANT HOME BIRCHWOOD CARE HOME BYWOOD EAST HEALTH CARE EBENEZER CARE CENTER ELLIOT CARE HOME INC GRAND AVE REST HOME MINNESOTA TEEN CHALLENGE MN VETERANS HOME MINNEAPOLIS MOUNT OLIVET HOME SOUTHSIDE CARE CENTER OSSEO BERKSHIRE RESIDENCE REVERE REVERE HOME ST PAUL AMY JOHNSON RESIDENCE EPISCOPAL CHURCH HOME OF MN HAYES RESIDENCE LITTLE SISTERS OF THE POOR MOUNDS PARK RESIDENCE THE QUINLAN HOME WACONIA AUBURN HOME IN WACONIA LOCATION BOARDING CARE HOME ===================================================================== Page 420 LOCATION COMMUNITY MENTAL HEALTH CENTER LOCATION COMPREHENSIVE OUTPATIENT REHAB. FACILITY ===================================================================== ======================================================================= CROOKSTON NORTHWESTERN MENTAL HLTH CTR APPLE VALLEY INTEGRATED MEDICAL REHAB DULUTH HUMAN DEVELOPMENT CENTER EDINA INTEGRATED MEDICAL REHAB FERGUS FALLS LAKELAND MENTAL HEALTH CTR GOLDEN VALLEY COURAGE CENTER OUTPATIENT SRVS GRAND RAPIDS NORTHLAND COUNSELING CENTER ST LOUIS PARK MN MEDICAL & REHAB SERVS LLC LITTLE FALLS NORTHERN PINES MENTAL HLTH CTR LUVERNE SOUTHWESTERN MENTAL HEALTH CTR MARSHALL WESTERN HUMAN DEVELOPMENT CTR NEW ULM SIOUX TRAIL MENTAL HLTH CENTER OWATONNA SO CENTRAL HUMAN RELATIONS CTR ST CLOUD CENTRAL MN MENTAL HLTH CENTER ST PAUL RAMSEY CO MENTAL HEALTH CTR VIRGINIA RANGE MENTAL HEALTH CENTER WILLMAR WOODLAND CENTERS WINONA HIAWATHA VALLEY MNTL HLTH CTR Page 421 LOCATION END STAGE RENAL DISEASE SUPPLIER LOCATION END STAGE RENAL DISEASE SUPPLIER ======================================================================= ====================================================================== ALBERT LEA MAYO DIALYSIS ALBERT LEA MORRIS SANFORD DIALYSIS MORRIS ALEXANDRIA CENTRACARE KIDNEY PROGRAM NEW BRIGHTON FMCNA NEW BRIGHTON DIAL CTR ARDEN HILLS ARDEN HILLS DIALYSIS UNIT NEW HOPE NEW HOPE DIALYSIS CENTER BEMIDJI SANFORD DIALYSIS BEMIDJI NEW ULM RENAL DIALYSIS FAC NEW ULM BIG LAKE CENTRA CARE BIG LAKE DIALYSIS ORTONVILLE SATELLITE DIALYSIS ORTONVILLE BLOOMINGTON BLOOMINGTON DIALYSIS UNIT TRC OWATONNA MAYO DIALYSIS OWATONNA FMC SOUTHTOWN DIALYSIS PINE CITY TRC PINE CITY BRAINERD CHRONIC DIALYSIS UNIT PIPESTONE PIPESTONE DIALYSIS FACILITY BUFFALO FMC DIALYSIS SERVICES BUFFALO PRINCETON CENTRACARE KIDNEY PROGRAM BURNSVILLE BURNSVILLE DIALYSIS UNIT CAMBRIDGE CENTRACARE CAMBRIDGE DIALYSIS RED LAKE SANFORD DIALYSIS RED LAKE CANBY SANFORD CANBY DIALYSIS UNIT RED WING RED WING DIALYSIS UNIT CASS LAKE CASS LAKE DIALYSIS FACILITY REDWOOD FALLS REDWOOD FALLS DIALYSIS CTR CHAMPLIN FRESENIUS MED CARE OF CHAMPLIN RICHFIELD RICHFIELD DIALYSIS COON RAPIDS COON RAPIDS DIALYSIS UNIT ROBBINSDALE FRESENIUS MED CARE ROBBINSDALE CENTRAL MINNESOTA REG DIALYSIS ROBBINSDALE DIALYSIS FMC DIALYSIS SERVCES NO SUBURB FRESENIUS MED CARE COON RAPIDS ROCHESTER MAYO DIALYSIS ROCHESTER METH MAYO DIALYSIS ROCHESTER NE CLI COTTAGE GROVE COTTAGE GROVE DIALYSIS DETROIT LAKES SANFORD DIALYSIS DETROIT LAKES ROSEVILLE FMC DIALYSIS SERVCES ROSEVILLE DULUTH FMC DIAL SERVS OF SPIRIT VALLE SAVAGE SCOTT COUNTY DIALYSIS FMC DIALYSIS OF DULUTH SHAKOPEE FMCNA SHAKOPEE DIALYSIS CENTER EAGAN EAGAN DIALYSIS UNIT ST CLOUD CENTRACARE DIALYSIS HLTH PLAZA EDEN PRAIRIE EDEN PRAIRIE DIALYSIS EDINA EDINA DIALYSIS CENTER EVELETH FRESENIUS MEDICAL CARE EVELETH ST LOUIS PARK DIALYSIS CENTER FAIRMONT MAYO DIALYSIS FAIRMONT WESTWOOD HILLS DIALYSIS FARIBAULT FARIBAULT DIALYSIS UNIT FERGUS FALLS FERGUS FALLS DIALYSIS CENTER FRESENIUS MEDICAL OF ST PAUL FOREST LAKE FOREST LAKE DIALYSIS HIGHLAND PARK DIALYSIS FRIDLEY FRIDLEY DIALYSIS UNIT ST PAUL CAPITOL DIALYS AT HOME GOLDEN VALLEY FMC DIALYSIS SERVCES GOLDN VAL ST PAUL CAPITOL DIALYSIS GRAND RAPIDS FMC DIALYSIS SRVCS GR RAPIDS ST PAUL DIALYSIS HIBBING FRESENIUS MED CARE OF HIBBING SUN RAY DIALYSIS UNIT HUTCHINSON FMC DIALYSIS SRVS HUTCHINSON LITCHFIELD CENTRACARE LITCHFIELD DIALYSIS STAPLES CENTRACARE DIALYSIS LAKEWOOD LITTLE FALLS CENTRACARE DIALYSIS STILLWATER RIVER CITY DIALYSIS MANKATO IMMANUEL ST JOSEPHS ESRD THIEF RIVER FALLS SANFORD DIALYSIS THIEF RVR FLS MAPLE GROVE FRESENIUS MED CARE MAPLE GROVE WABASHA MAYO DIALYSIS WABASHA MAPLE GROVE DIALYSIS UNIT WACONIA FMCNA WACONIA DIALYSIS FMC MAPLEWOOD HEIGHTS WEST ST PAUL FMC WEST ST PAUL DIALYSIS MAPLEWOOD CENTRACARE KIDNEY PROGRAM ST LOUIS PARK ST PAUL FRESENIUS MED CARE ST LOUIS PK FRESENIUS MEDICAL CARE MIDWAY UNIVERSITY DIALYSIS RIVERSIDE WEST ST PAUL DIALYSIS UNIT MAPLEWOOD DIALYSIS CENTER MARSHALL MARSHALL DIALYSIS CTR DAVITA WILLMAR RICE MEMORIAL HOSPITAL ESRD MINNEAPOLIS FMCNA PARK AVE DIALYSIS CENTER WINONA COMMUNITY MEM HOSP ESRD UNIT FMCNA SOUTH MPLS DIALYSIS CTR WOODBURY WOODBURY DIALYSIS HOME DIALYSIS UNIT OF TRC INC WORTHINGTON SANFORD REGIONAL HOSPITAL WOR MINNEAPOLIS DIALYSIS UNIT MINNEAPOLIS NE DIALYSIS MINNEAPOLIS UPTOWN DIALYSIS UMMC FAIRVIEW RENAL DIALYSIS MINNETONKA MINNETONKA DIALYSIS UNIT MONTEVIDEO MONTEVIDEO DIALYSIS MORA FMCNA MORA DIALYSIS CENTER Page 422 LOCATION LICENSED HOME CARE PROVIDER HCP LOCATION LICENSED HOME CARE PROVIDER HCP ====================================================================================================================================== ADA BRIDGES CARE COMMUNITY F ARDEN HILLS PRESBYTERIAN HOMES OF ARDEN HI F ADAMS ADAMS HOME HEALTH AGENCY F ARLINGTON GOLDEN HEARTS INC F ADAMS HOME HEALTH CARE A GOOD SAMARITAN SOCIETY FAIRVI F ADRIAN ADRIAN COUNTRY LIVING COTTAGES F SIBLEY MEDICAL CNTR HOME CARE A AFTON AFTON CARE ST CROIX F CEDARS OF AUSTIN F AITKIN AICOTA HEALTH CARE CENTER INC F KENWOOD HERITAGE LIVING F AITKIN COUNTY CARE A KINGSLEY 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INC GOOD SAMARITAN HOME CARE WINDOM GOOD SAMARITAN HOME HLTH CARE HEARTLAND HOME HC AND HOSPICE WINONA WINONA CO PUBLIC HLTH NRSG SER WINONA HEALTH HOME CARE INTERIM HC OF THE TWIN CITIES INTREPID USA HEALTHCARE SERVS PRESBYTERIAN HOMES HOME CARE TLC HM CARE OF THE TWIN CITIES SARTELL COUNTRY MANOR EXTENDED SERV SAUK CENTRE ST MIKE HOSP SAUK CT HOME CARE SAUK RAPIDS GOOD SHEPHERD HOME HEALTH CARE SEBEKA CARING HANDS HOME CARE SPRING VALLEY SPRING VALLEY HOME HEALTH AG WORTHINGTON SANFORD WORTHINGTON HOME CARE Page 440 LOCATION LICENSED HOSPICE HOSPICE ===================================================================== LOCATION LICENSED HOSPICE HOSPICE ===================================================================== ALBERT LEA MAYO CLINIC HEALTH SYS ALBT LE D HEARTLAND HOSPICE D ALEXANDRIA DOUGLAS CO PUB HEALTH HOSPICE D MAYO CLINIC HOSPICE D AUSTIN MAYO CLINIC HEALTH SYS AUSTIN D SEASONS HOSPICE D BAGLEY CLEARWATER HOSPICE D ROSEAU LIFECARE HOME CARE & HOSPICE D BAUDETTE 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FAIRVIEW HOSPICE MORA KANABEC CO PUBLIC HLTH HOSPICE NISSWA GOOD SAMARITAN SOCIETY-HOSPICE NORTHFIELD NORTHFIELD HOSPICE OAKDALE ST CROIX HOSPICE OLIVIA RENVILLE COUNTY HOSPICE ONAMIA MILLE LACS HLTH SYS HOSPICE PARK RAPIDS ST JOSEPHS AREA HLTH SERVICES PIPESTONE PIPESTONE COUNTY HOSPICE PLYMOUTH HOSPICE OF THE TWIN CITIES INC RED WING FAIRVIEW RED WING HOSPICE REDWOOD FALLS REDWOOD AREA HOSP HOSPICE SER ROBBINSDALE NORTH MEMORIAL HOME HLTH HOSPC ROCHESTER HEARTLAND HOSPICE MAYO CLINIC HOSPICE SEASONS HOSPICE ROSEAU LIFECARE HOME CARE & HOSPICE ROSEVILLE HEARTLAND HOME HC AND HOSPICE PRESBYTERIAN HOMES HOSPICE INC SAUK CENTRE ST MICHAELS HOSPICE SLAYTON HOSPICE OF MURRAY COUNTY INC ST CLOUD HEARTLAND HOME HLTH C&HOSPICE ST CLOUD HOSPITAL HOSPICE Page 442 LOCATION HOSPITAL JCAHO ================================================================== LOCATION HOSPITAL JCAHO ================================================================== Y ADA ESSENTIA HEALTH ADA HUTCHINSON HUTCHINSON AREA 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HEALTHEAST ST JOHNS HOSPITAL Y BRAINERD ESSENTIA HEALTH ST JOSEPHS MED MARSHALL AVERA MARSHALL REG MED CENTER BRECKENRIDGE ST FRANCIS HEALTHCARE CAMPUS MELROSE CENTRACARE HEALTH SYS MELROSE BUFFALO BUFFALO HOSPITAL Y MINNEAPOLIS ABBOTT NORTHWESTERN HOSPITAL Y BURNSVILLE FAIRVIEW RIDGES HOSPITAL Y CHILDRENS HOSP & CLINICS MINNE Y CAMBRIDGE CAMBRIDGE MEDICAL CENTER Y HENNEPIN COUNTY MEDICAL CTR Y CANBY SANFORD CANBY MEDICAL CENTER PHILLIPS EYE INSTITUTE Y CANNON FALLS MAYO CLINIC HEALTH SYS CF SHRINERS HOSPITAL FOR CHILDREN Y CASS LAKE CASS LAKE INDIAN HLTH SERV HOS UNIVERSITY OF MN MED CTR Y CLOQUET COMMUNITY MEMORIAL HOSPITAL MONTEVIDEO CHIPPEWA CO MONTEVIDEO HOSP COOK COOK HOSPITAL MONTICELLO NEW RIVER MEDICAL CENTER COON RAPIDS MERCY HOSPITAL MOOSE LAKE MERCY HOSPITAL CROOKSTON RIVERVIEW HOSPITAL & NSG HOME MORA FIRSTLIGHT HEALTH SYSTEM CROSBY CUYUNA REGIONAL MEDICAL CENTER MORRIS STEVENS COMMUNITY MED CENTER DAWSON JOHNSON MEMORIAL HOSP & HOME NEW PRAGUE MCHS - NEW PRAGUE DEER RIVER DEER RIVER HEALTH CARE CENTER NEW ULM NEW ULM MEDICAL CENTER DETROIT LAKES ESSENTIA HEALTH ST MARYS Y NORTHFIELD NORTHFIELD CITY HOSPITAL & NSG DULUTH ESSENTIA HEALTH DULUTH Y OLIVIA RENVILLE COUNTY HOSP & CLINCS ESSENTIA HEALTH ST MARYS MED Y ONAMIA MILLE LACS HEALTH SYSTEM Y Y Y ST LUKES HOSPITAL Y ORTONVILLE ORTONVILLE AREA HEALTH SERVICE EDINA FAIRVIEW SOUTHDALE HOSPITAL Y OWATONNA OWATONNA HOSPITAL ELBOW LAKE PRAIRIE RIDGE HOSP HLTH SERV PARK RAPIDS ST JOSEPHS AREA HLTH SERVICES ELY ELY BLOOMENSON COMM HOSPITAL PAYNESVILLE PAYNESVILLE AREA HOSPITAL FAIRMONT MAYO CLINIC HEALTH SYS FAIRMNT PERHAM PERHAM HEALTH FARIBAULT DISTRICT ONE HOSPITAL FERGUS FALLS LAKE REGION HEALTHCARE CORP FOSSTON ESSENTIA HEALTH FOSSTON FRIDLEY UNITY HOSPITAL GLENCOE GLENCOE REGIONAL HEALTH SRVCS Y Y PERHAM MEMORIAL HOSP & HOME PINE CITY LAKESIDE MEDICAL CENTER PIPESTONE PIPESTONE CO MED C & ASHTON CC PRINCETON FAIRVIEW NORTHLAND REG HOSP Y RED WING FAIRVIEW RED WING MED CENTER Y GLENWOOD GLACIAL RIDGE HOSPITAL REDWOOD FALLS REDWOOD AREA HOSPITAL GRACEVILLE ESSENTIA HLTH HOLY TRINITY HOS ROBBINSDALE NORTH MEMORIAL MEDICAL CENTER Y GRAND MARAIS COOK CO NORTHSHORE HOSP &C CTR ROCHESTER MAYO CLINIC METHODIST HOSPITAL Y GRAND RAPIDS GRAND ITASCA CLINIC & HOSP MAYO CLINIC ST MARYS HOSPITAL Y GRANITE FALLS MUNICIPAL HOSP & GRANITE MANOR HALLOCK KITTSON MEMORIAL HOSPITAL HASTINGS REGINA MEDICAL CENTER HENDRICKS HENDRICKS COMM HOSP HIBBING UNIVERSITY MEDICAL CTR MESABI Y Y Y OLMSTED MEDICAL CENTER Y Y ROSEAU LIFECARE MEDICAL CENTER SANDSTONE ESSENTIA HEALTH SANDSTONE SAUK CENTRE ST MICHAELS HOSPITAL & NH SHAKOPEE ST FRANCIS REGIONAL MED CENTER Y Page 443 LOCATION HOSPITAL JCAHO ================================================================== SLAYTON MURRAY COUNTY MEM HOSP SLEEPY EYE SLEEPY EYE MEDICAL CENTER SPRINGFIELD MAYO CLINIC HEALTH SYSTEM S F ST CLOUD ST CLOUD HOSPITAL ST JAMES MAYO CLINIC HEALTH SYS ST JAME ST LOUIS PARK PARK NICOLLET METHODIST HOSP Y ST PAUL GILLETTE CHILDRENS SPEC HOSP Y REGIONS HOSPITAL Y ST JOSEPHS HOSPITAL Y UNITED HOSPITAL Y ST PETER RIVERS EDGE HOSPITAL & CLINIC STAPLES LAKEWOOD HEALTH SYSTEM STILLWATER LAKEVIEW MEMORIAL HOSPITAL THIEF RIVER FALLS SANFORD MED CTR THIEF RVR FALL TRACY SANFORD TRACY MEDICAL CENTER TWO HARBORS LAKE VIEW MEMORIAL HOSPITAL TYLER TYLER HEALTHCARE CENTER INC VIRGINIA VIRGINIA REG MED CTR & NH WABASHA ST ELIZABETHS MEDICAL CENTER WACONIA RIDGEVIEW MEDICAL CENTER WADENA TRI COUNTY HOSPITAL WARREN NORTH VALLEY HEALTH CENTER WASECA MAYO CLINIC HEALTH SYS WASECA WESTBROOK SANFORD WESTBROOK MEDICAL CTR WHEATON SANFORD MEDICAL CENTER WHEATON WILLMAR RICE MEMORIAL HOSPITAL WINDOM WINDOM AREA HOSPITAL WINONA WINONA HEALTH SERVICES WOODBURY HEALTHEAST WOODWINDS HOSPITAL WORTHINGTON SANFORD WORTHINGTON MEDICAL CE WYOMING FAIRVIEW LAKES HEALTH SERVICES Y Y Y Y Y Y Y LOCATION HOSPITAL JCAHO ================================================================== Page 444 LOCATION NURSING HOME 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WOODLAND EDINA EDINA CARE & REHAB CENTER BRECKENRIDGE ST FRANCIS HOME ELK RIVER GUARDIAN ANGELS CARE CENTER BROOKLYN CENTER MARANATHA CARE CENTER ELLSWORTH PARKVIEW MANOR NURSING HOME BROWNS VALLEY BROWNS VALLEY HEALTH CENTER ELY BOUNDARY WATERS CARE CENTER BUFFALO LAKE RIDGE CARE CTR OF BUFFALO ERSKINE PIONEER MEMORIAL CARE CENTER PARK VIEW CARE CENTER EVANSVILLE EVANSVILLE CARE CENTER BUFFALO LAKE HEALTHCARE CTR EVELETH EVELETH HEALTH SERVICES PARK BUFFALO LAKE THE COLONY AT EDEN PRAIRIE Page 445 LOCATION NURSING HOME ===================================================================== LOCATION NURSING HOME ===================================================================== EVELETH ST RAPHAELS HEALTH & REHAB CTR INVER GROVE HEIGHTS WOODLYN HEIGHTS HEALTHCARE CTR EXCELSIOR GOLDEN LIVINGCENTER EXCELSIOR IVANHOE DIVINE PROVIDENCE HEALTH CENTR FAIRFAX FAIRFAX COMMUNITY HOME JACKSON GOOD SAM SOCIETY JACKSON FAIRMONT LAKEVIEW METHODIST HCC JANESVILLE JANESVILLE NURSING HOME MAYO CLINIC HEALTH SYS FAIRMNT KARLSTAD KARLSTAD HEALTHCARE CTR INC FARIBAULT CARE CENTER KENYON KENYON SUNSET HOME PLEASANT MANOR INC LACRESCENT GOLDEN LIVINGCENTER LACRESNT ST LUCAS CARE CENTER LAKE CITY MAYO CLINIC HEALTH SYS L C FARMINGTON TRINITY CARE CENTER LAKE PARK SUNNYSIDE CARE CENTER FERGUS FALLS BROEN MEMORIAL HOME LAKEFIELD COLONIAL MANOR NURSING HOME MN VETERANS HOME FERGUS FALLS LAMBERTON VALLEY VIEW MANOR FARIBAULT PIONEER CARE CENTER LE CENTER CENTRAL HEALTH CARE FERTILE FAIR MEADOW NURSING HOME LESUEUR MINNESOTA VALLEY HLTH CTR INC FOLEY FOLEY NURSING CENTER LEWISTON LEWISTON VILLA NURSING HOME FOREST LAKE BIRCHWOOD HEALTH CARE CENTER LITCHFIELD EMMANUEL HOME FOSSTON ESSENTIA HEALTH FOSSTON LITTLE FALLS LUTHERAN CARE CENTER FRANKLIN GOLDEN LIVINGCENTER FRANKLIN FRAZEE FRAZEE CARE CENTER LITTLEFORK LITTLEFORK MEDICAL CENTER FRIDLEY GOLDEN LIVINGCENTER LYNWOOD LONG PRAIRIE CENTRACARE HEALTH SYSTEM-LONG FULDA MAPLE LAWN NURSING HOME LUVERNE GOOD SAM SOCIETY MARY JN BROWN GAYLORD OAK TERRACE HEALTH CARE CENTER GLENCOE GLENCOE REGIONAL HEALTH SRVCS MABEL GREEN LEA MANOR GLENWOOD GLENWOOD VILLAGE CARE CENTER MADELIA LUTHER MEMORIAL HOME GOOD SAM SOCIETY GLNWD LKVIEW MADISON MADISON LUTHERAN HOME COLONIAL ACRES HEALTH CARE CTR MAHNOMEN MAHNOMEN HEALTH CENTER COURAGE RESIDENCE MANKATO HILLCREST HEALTH CARE CENTER GOLDEN VALLEY ST OTTOS CARE CENTER MN VETERANS HOME - LUVERNE GOLDEN VALLEY REHAB AND CC LAURELS PEAK REHAB CENTER GRACEVILLE ESSENTIA HEALTH GRACE HOME OAKLAWN HEALTH CARE CENTER GRAND MARAIS COOK CO NORTHSHORE HOSP &C CTR GRAND MEADOW MEADOW MANOR MAPLE PLAIN HAVEN HOMES OF MAPLE PLAIN GRAND RAPIDS EVERGREEN TERRACE MAPLETON MAPLETON COMMUNITY HOME GRAND VILLAGE MAPLEWOOD GOOD SAM SOCIETY MAPLEWOOD PATHSTONE LIVING GRANITE FALLS MUNICIPAL HOSP & GRANITE MANOR GREENBUSH LIFECARE GREENBUSH MANOR HALLOCK KITTSON MEMORIAL HOSPITAL MARSHALL AVERA MARSHALL REG MED CENTER HALSTAD HALSTAD LIVING CENTER MCINTOSH MCINTOSH SENIOR LIVING HARMONY HARMONY COMMUNITY HLTHCARE INC MELROSE CENTRACARE HEALTH SYS MELROSE HASTINGS AUGUSTANA HCC OF HASTINGS MENAHGA GREEN PINE ACRES NURSING HOME MAPLEWOOD CARE CENTER RAMSEY COUNTY CARE CENTER REGINA MEDICAL CENTER MILACA ELIM HOME HAYFIELD FIELD CREST CARE CENTER MINNEAPOLIS AUGUSTANA HCC OF MPLS HENDRICKS HENDRICKS COMM HOSP BENEDICTINE HEALTH CTR OF MPLS HENNING GOLDEN LIVINGCENTER HENNING BETHANY COVENANT HOME HIBBING GUARDIAN ANGELS HEALTH & REHAB BRYN MAWR HEALTH CARE CENTER HILLS TUFF MEMORIAL HOME CAMDEN CARE CENTER HOFFMAN GOOD SAM SOCIETY HOFFMAN CATHOLIC ELDERCARE ON MAIN HOPKINS AUGUSTANA CHAPEL VIEW CARE CTR EBENEZER CARE CENTER GOLDEN LIVINGCENTER HOPKINS FAIRVIEW UNIVERSITY TRANS SERV HOUSTON VALLEY VIEW NURSING HOME GOLDEN LIVINGCENTER CHATEAU HOWARD LAKE GOOD SAM SOCIETY HOWARD LAKE GOOD SAM SOCTY UNIV SPEC CARE HUTCHINSON HARMONY RIVER LIVING CENTER JONES HARRISON RESIDENCE INTERNATIONAL FALLS GOOD SAM SOCIETY INTL FALLS MN VETERANS HOME MINNEAPOLIS INVER GROVE HEIGHTS GOOD SAM SOCIETY 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HOME SILVER BAY NORTHFIELD CITY HOSPITAL & NSG SLAYTON GOLDEN LIVINGCENTER SLAYTON THREE LINKS CARE CENTER SLEEPY EYE DIVINE PROVIDENCE COMM HOME ST GERTRUDES HEALTH CENTER SLEEPY EYE CARE CENTER NORTHOME NORTHOME HEALTHCARE CENTER INC OAK PARK HEIGHTS GABLES OF BOUTWELLS LANDING SPRING GROVE TWEETEN LUTHERAN HEALTH C C OLIVIA GOLDEN LIVINGCENTER OLIVIA SPRING PARK LAKE MINNETONKA SHORES ONAMIA MILLE LACS HEALTH SYSTEM SPRING VALLEY SPRING VALLEY CARE CENTER ORTONVILLE NORTHRIDGE RESIDENCE SPRINGFIELD ST JOHN LUTHERAN HOME OSAKIS COMMUNITY MEMORIAL HOME ST ANTHONY ST ANTHONY HEALTH CENTER OSTRANDER OSTRANDER CARE AND REHAB ST CHARLES GOLDEN LIVINGCENTER WHITEWATER OWATONNA OWATONNA CARE CENTER ST CLOUD ST BENEDICTS SENIOR COMMUNITY TALAHI CARE CENTER STEELE COUNTY COMMUNITIES FOR PARK RAPIDS HERITAGE LIVING CENTER ST JAMES GOOD SAM SOCIETY ST JAMES PARKERS PRAIRIE ST WILLIAMS LIVING CENTER ST LOUIS PARK GOLDEN LIVINGCNTR ST LOUIS PK PAYNESVILLE PAYNESVILLE AREA HOSPITAL PARK HEALTH & 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OFC BACK CARE CENTER ST DAVIDS CHILD DEV FAMILY SRV PEDIATRIC THERAPY SERVICES NEW HOPE CAPERNAUM PEDIATRIC THERAPY PHYS THER SPORTS MEDICINE CTR PARK RAPIDS PARK RAPIDS PT AND REHAB MINNEAPOLIS A CHANCE TO GROW INC PLYMOUTH INNOVATIVE THERAPY LLC MINNETONKA CHILDRENS HC MPLS AMB & REHAB RICHFIELD FRASER COMMUNITY SERVICES RUSHFORD THERAPY NETWORK SARTELL NOVACARE REHABILITATION NEW HOPE CAPERNAUM PEDIATRIC THERAPY SHOREVIEW PHOENIX SERVICE CORPORATION PARK RAPIDS PARK RAPIDS PT AND REHAB ST CLOUD SPOT REHABILITATION INC RICHFIELD FRASER COMMUNITY SERVICES ST LOUIS PARK INTREPID USA HEALTHCARE SRVCS ROCHESTER STANLEY JONES AND ASSOCIATES ST PAUL LIFETRACK RESOURCES RUSHFORD THERAPY NETWORK PROFESSIONAL REHAB CONSULTANTS SARTELL NOVACARE REHABILITATION STILLWATER COURAGE ST CROIX SAUK RAPIDS SPINAL REHAB CLINIC VIRGINIA IRON RANGE REHAB CENTER SHOREVIEW PHOENIX SERVICE CORPORATION WATERTOWN PRO REHAB ST LOUIS PARK INTREPID USA HEALTHCARE SRVCS WEST ST PAUL NOVACARE REHAB ST MICHAEL ST 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TRIA ORTHOPAEDIC CTR LLC NOVACARE REHABILITATION HOPKINS AUGUSTANA THERAPY SERVICES BURNSVILLE MINNESOTA VALLEY SURGERY CTR MANKATO PEDIATRIC THERAPY SERVICES COON RAPIDS MNGI ENDOSCOPY COON RAPIDS MINNEAPOLIS A CHANCE TO GROW INC DETROIT LAKES DL SURGERY CENTER MINNETONKA CHILDRENS HC MPLS AMB & REHAB INNOVATIVE SR CARE FREEDOM SANFORD HTH DL CLNC SAME DAY DULUTH LAKEWALK SURGERY CENTER INC PAVILION SURGERY CENTER LLC ST DAVIDS CHILD DEV FAMILY SRV NEW HOPE CAPERNAUM PEDIATRIC THERAPY EAGAN MNGI ENDOSCOPY EAGAN PARK RAPIDS PARK RAPIDS PT AND REHAB EDINA CENTENNIAL LAKES SURGERY CTR PLYMOUTH INNOVATIVE THERAPY LLC CROSSTOWN SURGERY CENTER LLC RICHFIELD FRASER COMMUNITY SERVICES MCCANNEL EYE SURGERY ROCHESTER STANLEY JONES AND ASSOCIATES MINNESOTA SURGERY CENTER LTD SHOREVIEW PHOENIX SERVICE CORPORATION ORTHOPAEDIC INSTITUTE SURG CTR ST LOUIS PARK INTREPID USA HEALTHCARE SRVCS ST PAUL LIFETRACK RESOURCES FAIRMONT SO CENTRAL SURGICAL CTR LLC PROFESSIONAL REHAB CONSULTANTS FARIBAULT CROSSROADS SURGERY CENTER STILLWATER COURAGE ST CROIX FRIDLEY MN ORTHOPAEDIC SURG CTR LLC VIRGINIA IRON RANGE REHAB CENTER GOLDEN VALLEY MINNEAPOLIS EYE CENTER WATERTOWN PRO REHAB GRAND RAPIDS LAKEWOOD SURGERY CENTER WOODBURY NOVA CARE OUTPATIENT REHAB DIV HUTCHINSON REGIONAL EYE SURGERY CTR INC LAKE ELMO HIGH POINTE SURGERY CENTER MANKATO MANKATO CLINIC ENDOSCOPY CTR ZEL SKIN & LASER SPECIALISTS MANKATO SURGERY CENTER PAIN CENTERS OF MN - MANKATO MAPLE GROVE FAIRVIEW MAPLE GROVE SURG CTR MINNESOTA SURGERY CENTER LTD NORTH MEMORIAL AMBU SURG MAPLEWOOD HEALTHEAST SURG CTR MAPLEWOOD MN EYE LASER & SURG CTRS LLC MNGI ENDOSCOPY MAPLEWOOD MARSHALL SOUTHWEST MINNESOTA SURG CTR MINNEAPOLIS RIVERSIDE ENDOSCOPY CENTER LLC MINNETONKA CHILDRENS HEALTH CARE SERVICES NEW BRIGHTON MINNESOTA VASCULAR SUR CTR LLC PLYMOUTH ILBNC SPECIAL PROCEDURES MNGI ENDOSCOPY PLYMOUTH WESTHEALTH INC SARTELL CENTRAL MN SURGICAL CENTER LLC ST CLOUD CENTRACARE SURGERY CTR LLC MIDSOTA SURGICAL SUITES PA ST CLOUD CTR 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===================================================================== ADA BRIDGES MEDICAL SERVICES ONAMIA MILLE LACS FAMILY CLNC ONAMIA AITKIN RIVERWOOD CLINIC AITKIN OTTERTAIL OTTERTAIL AREA MEDICAL CLINIC ALBANY ALBANY AREA HOSP ALBANY CLINIC ARLINGTON SIBLEY MEDICAL CLINIC PELICAN RAPIDS SANFORD HLTH PELICN RPDS CLINC AVON ALBANY AREA HOSP AVON CLINIC PIERZ FAMILY MEDICAL CENTER BAGLEY CLEARWATER HEALTH SERVS CLINIC PILLAGER LAKEWOOD CLINIC PILLAGER ESSENTIA HEALTH BAGLEY CLINIC RANDALL RANDALL LAKES AREA CLINIC BALATON SANFORD CLINIC BALATON RENVILLE RENVILLE COUNTY HOSP & CLINICS BARNESVILLE BARNESVILLE AREA CLINIC SANDSTONE GATEWAY FAMILY CLINIC BAUDETTE LAKEWOOD HEALTH CENTER CLINIC SEBEKA SEBEKA MEDICAL CLINIC BERTHA BERTHA MEDICAL CENTER SLAYTON MURRAY COUNTY CLINIC BLACKDUCK SANFORD HLTH BLACKDUCK CLINIC SLEEPY EYE SLEEPY EYE MEDICAL CENTER BOYD JOHNSON MEMORIAL BOYD CLINIC STAPLES LAKEWOOD CLINIC STAPLES BROWERVILLE LAKEWOOD CLINIC BROWERVILLE STEPHEN NW MN HEALTH CLINIC 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HALSTAD CLINIC HECTOR RENVILLE CTY HOSP CLNCS HECTOR HENDERSON SIBLEY MED CTR HENDERSON HENDRICKS HENDRICKS CLINIC HENNING HENNING MEDICAL CLINIC HILLMAN MILLE LACS FAMILY CLINIC HINCKLEY GATEWAY FAMILY HEALTH CLINIC ISLE MILLE LACS FAMILY CLINIC ISLE JACKSON SANFORD CLINIC JACKSON KARLSTAD KITTSON MEM CLINIC OF KARLSTAD LAKEFIELD SANFORD CLINIC LAKEFIELD LITTLEFORK LITTLEFORK MEDICAL CENTER LONG PRAIRIE CENTRACARE HLTH SYSTEM LONG PR LONGVILLE LONGVILLE LAKES CLINIC INC MADISON LAC QUI PARLE CLINIC MADISON MAHNOMEN SANFORD HEALTH MAHNOMEN CLINIC MAPLETON MANKATO CLINIC MAPLETON FAM PR MCGREGOR RIVERWOOD CLINIC MCGREGOR MELROSE CENTRACARE HEALTH SYSM-MELROSE MOOSE LAKE GATEWAY FAM HLTH CLINIC LTD MOTLEY LAKEWOOD CLINIC MOTLEY MOUNTAIN LAKE SANFORD CLINIC MOUNTAIN LAKE OLIVIA RENVILLE CO HOSP CLINIC OLIVIA SANFORD HLTH OTTERTAIL CLINIC SANFORD WHEATON Page 453 LOCATION SUPERVISED LIVING FACILITY DHS lic LOCATION SUPERVISED LIVING FACILITY DHS lic ======================================================================= ======================================================================= ADAMS CROSS HOME 34 ALBERT LEA FOUNTAIN LAKE TREATMENT CTR REM WOODVALE INC PLAINVIEW PRAIRIEWOOD HOME 34 ROSEWOOD SCENICWOOD ALEXANDRIA COMMUNITY LIVING INC COTTAGE 5 34 35 COMMUNITY LIVING INC COTTAGE 6 34 34 REM MN COMM SRVS INC ANOKA 34 GLENMORE RECOVERY CENTER 32 35 34 REM NORTHSTAR (JOHNSON PLACE) 34 34 CIP CITY LIGHTS 34 OUTREACH RICE CREEK 34 COON RAPIDS CROOKSTON CRYSTAL ANOKA ANOKA METRO REG TREATMENT CTR 35 ARDEN HILLS ACR HOME ON CUMMINGS 34 REM HENNEPIN INC CRYSTAL 34 PHOENIX AT JANET COURT 34 DAWSON DAWSON ICFMR 34 ARLINGTON HIGH ISLAND CREEK RES 34 DETROIT LAKES WEST HOME 34 ATWATER ATWATER HOUSE 34 DULUTH DRCC LAVERNE 34 AURORA DRCC AURORA 34 E B I INCORPORATED 34 AUSTIN AUSTIN MSOCS 34 MSOCS DULUTH ICFMR GR HM 34 GLENDALOUGH OF AUSTIN INC 34 RES TREATMENT & DETOX CTR 35 32 REM WOODVALE INC CEDAR I 34 RSI HARTLEY 34 REM WOODVALE INC CEDAR IV 34 SOSNN BRIDGE HOUSE 36 PINE RIDGE RESIDENCE 34 THUNDERBIRD/WREN HOUSE 35 34 BAGLEY BELLE PLAINE THE LUTHERAN HOME HOPE RES 34 EAGAN DCI POPPLER BIG LAKE DCI POWELL CIRCLE 34 EAST GRAND FORKS REM NORTHSTAR (RED RIVER WEST) 34 BIRD ISLAND RENVILLE COUNTY COMM RES 34 EDEN PRAIRIE MSOCS EDEN PRAIRIE CHATHAM WAY 34 BLAINE ANTHONY LOUIS CENTER 35 MSOCS EDEN PRAIRIE DELL ROAD 34 MSOCS BLAINE HOME 34 ON-BELAY EDEN PRAIRIE 35 BLOOMINGTON OUTREACH HOME 34 PRIDE INSTITUTE 35 CARLSON DRAKE HOUSE 36 EDINA REM HENNEPIN INC WILLIAM 34 GUNDERSON PLACE 34 ELK RIVER LAVINE PLACE 34 MSOCS BLOOMINGTON 34 MACGREGOR PLACE 34 MTAI ALBERT PLACE 34 REM HEARTLAND INC AMBER 34 REM HENNEPIN (BLOOMINGTON) 34 REM HEARTLAND INC BUDD 34 WINGSPAN LIFE RESOURCES 34 FARIBAULT FARIBAULT SOCS 34 COMMUNITY ADDICTION RECOVERY E 34 35 FARMINGTON PAULS PLACE 35 MN SPECIALTY HEALTH SYSTEM 36 FERGUS FALLS ARLINGTON HOME 34 BROOKLYN CENTER OUTREACH HOME 34 COMM ADDICTION RECOVERY ENTERP 35 DCI LYNDALE 34 KESSEL GROUP HOME INC 34 ACR HOME ON FALLGOLD 34 PRODUCTIVE ALTERNATIVES INC 32 DCI EDGEWOOD 34 FRIDLEY COMMUNITY OPTIONS 36 HOMEWARD BOUND BROOKLYN PARK 34 GOLDEN VALLEY HAMMER LEE 34 REM HENNEPIN INC (LAKELAND) 34 MTAI GLADSON 34 SHINGLE CREEK OPTION 34 MTAI SAND CREEK 34 BROOKSTON WINTER HOMES INCORPORATED 34 OASIS 36 BUFFALO DCI DOUGLAS 34 REM HENNEPIN INC (REGENT) 34 REM SO CENTRAL SERVS (BUFFALO) 34 GRAND RAPIDS NORTHLAND RECOVERY CENTER 32 35 A WOMANS WAY 35 GRANITE FALLS PROJECT TURNABOUT 32 35 DCI KENNELLY 34 HASTINGS DAKOTA CO RECEIVING CENTER 32 35 CAMBRIDGE MED CTR DELLWOOD 35 HENRY HAGEN RESIDENCE 34 DCI CENTRAL 34 RANGE CENTER ASPENWOOD HOME 34 REM SOUTHWEST SRVS CANBY A 34 RANGE CENTER MAPLEVIEW HOME 34 REM SOUTHWEST SRVS CANBY B 34 HOUSTON ABLE INC HOUSTON 34 CARLTON COMMUNITY ADDICTION RECOVERY 35 INVER GROVE HEIGHTS CARECO APARTMENTS INC 34 CENTER CITY HAZELDEN FOUNDATION 35 DCI UPPER 55TH STREET 34 CHISAGO CITY LINNEA RESIDENTIAL HOME 34 KARLSTAD LSS GRANVILLE ICF-MR 34 CHISHOLM LEGACY RANGE CENTER INC 34 KASSON KASSON MSOCS 34 COON RAPIDS CAMILIA ROSE GROUP HOME 34 LACRESCENT ABLE INC LACRESCENT 34 BLOOMINGTON BRAINERD BROOKLYN CENTER BROOKLYN PARK BURNSVILLE CAMBRIDGE CANBY FAIRMONT HIBBING Page 454 LOCATION SUPERVISED LIVING FACILITY DHS lic LOCATION SUPERVISED LIVING FACILITY DHS lic ======================================================================= ======================================================================= REM HENNEPIN INC QUEEN 34 34 THE SALVATION ARMY HARB LIGHT 35 34 THREE THIRTY FIVE RIDGEWOOD 34 KARLYN HOME 34 TURNING POINT INC 35 LINDSTROM THERAPEUTIC COMM RESIDENCE 34 TURNING POINT INC 35 LITTLE CANADA NORTHEAST RESIDENCE II 34 HAMMER LAKESIDE 34 REM HENNEPIN (MINNETONKA) 34 LAKE ELMO WILLOW HAVEN 36 LAKEVILLE MSOCS HERSHEY MSOCS LAKEVILLE JONQUIL LEROY MINNEAPOLIS MINNETONKA REM RAMSEY INC SEXTANT 34 LITTLE FALLS ST CAMILLUS PLACE 34 MONTEVIDEO REM SW SERVICES (MONTEVIDEO) 34 LITTLEFORK PINEVIEW RECOVERY CENTER 35 MOORHEAD CLAY COUNTY RECEIVING CENTER 35 32 LONG LAKE ORONO WOODLANDS 34 MOOSE LAKE MN SEX OFFENDER PROGRAM 36 LUVERNE RES ADVANTAGES INC LUVERNE 34 MSOCS MOOSE LAKE ICFMR GR HM 34 MADELIA REM HEARTLAND INC MADELIA 34 MORRIS RAVENWOOD HOME 34 MANKATO HARRY MEYERING CTR INC 34 MOUNDSVIEW AXIS ON ST MICHAEL 34 PRAIRIES EDGE 34 PHOENIX AT LUDDEN 34 REM HEARTLAND INC CYPRESS 34 NEVIS PINE MANORS INC 35 32 REM MANKATO INC BIRCH 34 NEW BRIGHTON ACR HOME ON REDWOOD 34 DCI 75TH 34 SILVER OAKS 34 DUNGARVIN YOUGAL 34 NEW HOPE MTAI MINNEHAHA CREEK 34 HAMMER LAWNDALE 34 NEW ULM BROWN COUNTY EVAL CENTER INC 32 35 HOMEWARD BOUND MAPLE GROVE 34 MBW ON RAYMOND 34 DCI BROOKVIEW 34 MBW ON TENTH 34 DCI COPE 34 NEW ULM MEDICAL CENTER 35 DCI LARPENTEUR 34 NEWPORT PHOENIX AT NEWPORT 34 DCI MARYLAND 34 NORTH MANKATO THERESE K SEXTON HOME SOUTH 34 FURNESS HOUSE 34 NORTHFIELD LAURA BAKER SERVICES ASSOC 34 HOWARD HOUSE 34 WEST HILLS LODGE WOMENS PROGRM 35 PHOENIX AT CARVER 34 RAJWOOD 34 REM RAMSEY INC (LAKEWOOD) 34 REM RAMSEY INC (MAYHILL) BRENTWOOD HOME MAPLE GROVE MAPLEWOOD MARSHALL MENDOTA HEIGHTS MINNEAPOLIS NORWOOD YOUNG AMERI MOUNT OLIVET ROLLING ACRES 34 ORTONVILLE MONARCH HEIGHTS 34 OWATONNA RAINBOW RESIDENCE 34 34 REM WOODVALE INC (MAPLE CREEK) 34 36 REM WOODVALE INC ADAMS 34 PROJECT TURNABOUT HALFWAY HSE 35 WEST HILLS LODGE 35 REM SOUTHWEST SRVS MARSHALL A 34 MEADOW CREEK 32 31 REM SOUTHWEST SRVS MARSHALL B 34 SIXTH AVENUE RESIDENCE 34 REM SOUTHWEST SRVS MARSHALL C 34 PIPESTONE HIAWATHA MANOR 34 DCI CARMEN 34 PLYMOUTH DUNGARVIN CHAI 34 DCI DAKOTA ADULTS 34 HAMMER KENTUCKY 34 DCI DIANE 34 HAMMER MCGLINCH 34 DCI MARY ADELE 34 HAZELDEN CTR FOR YOUTH & FAMIL 35 MARGARETS HOUSE 31 HOMEWARD BOUND PLYMOUTH 34 AMER INDIAN COMM DEV COR 35 MISSION DETOX CENTER 35 32 BILL KELLY HOUSE 36 ON BELAY HOUSE 35 EDEN RESIDENTIAL PROGRAM 35 OUTREACH PLYMOUTH HOME EAST 34 JORGENSEN HOUSE 34 OUTREACH PLYMOUTH HOME WEST 34 LIVING CHALLENGE 34 RED LAKE FALLS NORTHWOOD HOME 34 MARIA HOME 34 RED WING REM RIVER BLUFFS PARK HEIGHTS 34 NANCY PAGE PROG OF PEOPLE INC 36 VASA CHILDRENS HOME 34 OUTREACH STEVENS 34 EASTWOOD HOME 34 PEOPLE II 34 REDWOOD FALLS MSOCS 34 REENTRY HOUSE 36 WESTWOOD HOME 34 REM HENNEPIN (PILLSBURY) 34 PROGRESS VALLEY II 31 REM HENNEPIN INC (LYNDALE) 34 REM HENNEPIN INC MINNEHAHA 34 PINE CITY REDWOOD FALLS RICHFIELD Page 455 LOCATION SUPERVISED LIVING FACILITY DHS lic LOCATION SUPERVISED LIVING FACILITY DHS lic ======================================================================= ======================================================================= ROBBINSDALE ROCHESTER ACR HOME ON ROBIN 34 ST PAUL WINGSPAN LIFE RESOURCES 34 DCI 3801 BROADWAY 34 ST PAUL PARK REM MN COMM SVS INC PARK PLACE 34 DCI 3807 BROADWAY 34 ST PETER COMM ADDICTION REC ENTERPRISE 35 DCI FRANCE 34 FORENSIC SERVICES 36 ALLENDALE HOUSE 34 MSOP - GREEN ACRES REM RIVER BLUFFS (WILLOW CR A) 34 MSOP - HALVORSON HOUSE REM RIVER BLUFFS (WILLOW CR B) 34 MSOP - PEXTON/SHANTZ REM RIVER BLUFFS ROCHESTER NW 34 REM RIVER BLUFFS ROCHESTER SE 34 ROCHESTER MSOCS 34 THE GABLES 35 ZUMBRO VALLEY CONNEC REFER UNI 26 CEDAR RIDGE 32 35 REM MN COMM SVS INC IMPERIAL C 34 THIEF RIVER FALLS GLENMORE THIEF RIVER FALLS 35 TWO HARBORS DULUTH REG CARE CTR THALASSIC 34 32 TYLER REM SOUTHWEST SERV INC (TYLER) 34 ACR HOME ON LYDIA WEST 34 VADNAIS HEIGHTS PHOENIX AT CENTERVILLE 34 ACR ON DALE COURT 34 PHOENIX AT ENGLISH 34 AXIS ON BELMONT 34 SPRINGHILL 34 AXIS ON ELDRIDGE 34 COMMUNITY LIVING INC COTTAGE 1 34 SAUK RAPIDS JOURNEY HOME 35 COMMUNITY LIVING INC COTTAGE 2 34 SCANDIA REBECCAS RESIDENCE 35 COMMUNITY LIVING INC COTTAGE 3 34 SHAKOPEE DELPHI 34 COMMUNITY LIVING INC COTTAGE 4 34 SHERBURN COMM OPTIONS AND RESOURCES I 34 MOUNT OLIVET ROLLING ACRES 34 SHOREVIEW ACR HOME ON DAWN 34 DONOVAN FRANK DETOX CENTER 35 AXIS ON GLENHILL 34 MERRITT HOUSE 36 DUNGARVIN CAMARA 34 MSOCS VIRGINIA ICFMR GR HM 34 LAKE OWASSO RESIDENCE 34 BELL HILL RECOVERY CENTER 35 REM RAMSEY INC HODGSON 34 MN SPECIALTY HEALTH SYSTEM 36 SLAYTON PRAIRIE VIEW INC 34 OAKRIDGE HOMES OF WADENA 34 SOUTH ST PAUL BRYANT AVE RESIDENCE 34 WANAMINGO RIVERVIEW SERVICES INC 34 DCI CONGRESS 34 WAVERLY NEW BEGINNINGS AT WAVERLY LLC 35 SUMMIT AVENUE RESIDENCE 34 WAYZATA HAMMER CARLSON 34 SPICER LAKEWOOD HOME 34 HAMMER RIDGEVIEW 34 ST CLOUD CTRL MN RECEIVING AND REFERRAL 32 35 36 HAMMER SHERIDAN 34 FOCUS XII HALFWAY HOUSE 31 SHADYWAY GROUP HOME 34 REM CENTRAL LAKES INC FERNWOOD 34 WEST ST PAUL DCI EMERSON 34 ST LOUIS PARK THE WAYSIDE HOUSE INC 35 WHITE BEAR LAKE AXIS ON WHITE BEAR AVENUE 34 ST PAUL AMRTC COMO COMMUNITY UNIT 36 PHOENIX AT CASWELL 34 COMMUNITY FOUNDATIONS 36 DIANE AHRENS CRISIS RESIDENCE 36 DUNGARVIN BALBRIGGEN 34 DUNGARVIN TIKVAH ROSEVILLE STILLWATER VICTORIA VIRGINIA WADENA WHITE BEAR TOWNSHIP AXIS ON SENECA 34 REM RAMSEY INC PROSPECT 34 COMMUNITY ADDICTION WILLMAR 35 34 MN SPECIALTY HEALTH SYSTEM 36 OUR HOUSE OF MN INC I 34 WOODLAND CENTERS 35 36 OUR HOUSE OF MN INC II 34 HOME FOR CREATIVE LIVING 34 PHOENIX AT DOUGLAS 34 RESIDENTIAL ADVANTAGES INC 34 PHOENIX AT FOSS 34 WINNEBAGO ADOLESCENT TRTMT CTR WINNEBAGO 35 PHOENIX AT VIKING 34 WINONA HOME AND COMMUNITY OPTIONS INC 34 RAMSEY COUNTY DETOX CENTER 32 WINSTED OUTREACH TRILLIUM WEST 34 REM RAMSEY INC (WILSON AVENUE) 34 WOODSTOCK NEW LIFE TREATMENT CENTER 35 32 REM RAMSEY INC GOODRICH 34 WORTHINGTON C C S INC RIDGEWOOD 34 REM RAMSEY INC MISSISSIPPI 34 REM RAMSEY INC NEBRASKA 34 REM RAMSEY INC WYOMING 34 TAPESTRY 35 TWIN TOWN TREATMENT CENTER 31 WILLMAR WINDOM Page 456 MINNESOTA DEPARTMENT OF HEALTH Division of Compliance Monitoring Alphabetical Listing of Location of Care Facilities - March 15, 2012 TOWN COUNTY TOWN COUNTY Ada Adams Adrian Afton Ah-Gwah-Ching Aitkin Albany Albert Lea Albertville Alexandria Andover Annandale Anoka Apple Valley Appleton Arden Hills Argyle Arlington Ashby Atwater Audobon Aurora Austin Norman Mower Nobles Washington Cass Aitkin Stearns Freeborn Wright Douglas Anoka Wright Anoka Dakota Swift Ramsey Marshall Sibley Grant Kandiyohi Becker St. Louis Mower Babbitt Backus Bagley Balaton Barnesville Barnum Barrett Battle Lake Baudette Baxter Bayport Belgrade Belle Plaine Belview Bemidji Benson Bertha St. Louis Cass Clearwater Lyon Clay Carlton Grant Otter Tail Lake of the Woods Crow Wing Washington Stearns Scott Redwood Beltrami Swift Todd Big Lake Bigfork Bird Island Biwabik Blackduck Blaine Blooming Prairie Bloomington Blue Earth Bovey Boyd Braham Brainerd Brandon Breckenridge Bricelyn Brooklyn Center Brooklyn Park Brookston Browerville Browns Valley Buffalo Buffalo Lake Buhl Burns Township Burnsville Byron Sherburne Itasca Renville St. Louis Beltrami Anoka Steele Hennepin Faribault Itasca Lac Qui Parle Isanti Crow Wing Douglas Wilkin Faribault Hennepin Hennepin St. Louis Todd Traverse Wright Renville St. Louis Anoka Dakota Olmsted Caledonia Cambridge Canby Cannon Falls Canton Carlton Center City Ceylon Champlin Chanhassen Chaska Chatfield Chisago City Houston Isanti Yellow Medicine Goodhue Fillmore Carlton Chisago Martin Hennepin Carver Carver Fillmore Chisago Page 457 TOWN COUNTY TOWN COUNTY Chisholm Circle Pines Clara City Clarissa Clarkfield Clear Lake Clearbrook Clements Cleveland Clinton Cloquet Cohasset Cokato Cold Springs Coleraine Cologne Columbia Heights Comfrey Cook Coon Rapids Corcoran Cosmos Cottage Grove Cotton Cromwell Crookston Crosby CrossLake Crystal St. Louis Anoka Chippewa Todd Yellow Medicine Sherburne Clearwater Redwood Le Sueur Big Stone Carlton Itasca Wright Stearns Itasca Carver Anoka Brown St. Louis Anoka Hennepin Meeker Washington St. Louis Carlton Polk Crow Wing Crow Wing Hennepin Dilworth Dodge Center Donnelly Duluth Clay Dodge Stevens St. Louis Eagan Eagle Bend East Bethel East Grand Forks Eden Prairie Eden Valley Edgerton Edina Elbow Lake Elizabeth Elk River Elko Ellendale Ellsworth Ely Erskine Esko Evansville Eveleth Excelsior Eyota Dakota Todd Anoka Polk Hennepin Stearns Pipestone Hennepin Grant Otter Tail Sherburne Scott Freeborn Nobles St. Louis Polk Carlton Douglas St. Louis Hennepin/Carver Olmsted Dalton Danube Danvers Darwin Dassel Dawson Dayton Degraff Deephaven Deer River Deerwood Delano Dent Detroit Lakes Dexter Ottertail Renville Swift Meeker Meeker Lac Qui Parle Hennepin Swift Hennepin Itasca Crow Wing Wright Otter Tail Becker Mower Fairfax Fairmont Faribault Farmington Fergus Falls Fertile Floodwood Foley Forest Lake Foreston Fosston Franklin Frazee Fridley Fulda Renville Martin Rice Dakota Otter Tail Polk St. Louis Benton Washington Anoka Polk Renville Becker Anoka Murray Garrison Gaylord Crow Wing Sibley Page 458 TOWN COUNTY TOWN COUNTY Gibbon Glencoe Glenville Glenwood Glyndon Golden Valley Goodhue Graceville Granada Grand Marais Grand Meadow Grand Rapids Granite Falls Greenbush Greenfield Grey Eagle Grygla Sibley McLeod Freeborn Pope Clay Hennepin Goodhue Big Stone Martin Cook Mower Itasca Yellow Medicine Roseau Hennepin Todd Marshall Hugo Hutchinson Anoka McLeod International Falls Inver Grove Heights Isanti Ivanhoe Koochiching Dakota Isanti Lincoln Jackson Jacobson Janesville Jordan Jackson Aitkin Waseca Scott Hackensack Hallock Halstad Ham Lake Hamel Hancock Hanska Harmony Hastings Hawley Hayfield Hector Henderson Hendricks Henning Herman Hermantown Heron Lake Hibbing Hill City Hillman Hills Hinckley Hoffman Hollandale Hopkins Houston Howard Lake Cass Kittson Norman Anoka Mower Stevens Brown Fillmore Dakota Clay Dodge Renville Sibley Lincoln Otter Tail Grant St. Louis Jackson St. Louis Aitkin Morrison Rock Pine Grant Freeborn Hennepin Houston Wright Karlstad Kasson Kelliher Kensington Kenyon Kerkhoven Kimball Kittson Dodge Beltrami Douglas Goodhue Swift Stearns LaCrescent Lafayette Lake Benton Lake City Lake Crystal Lake Elmo Lake Park Lakefield Lakeville Lamberton LeCenter Leroy Lester Prairie LeSueur Lewiston Lexington Lindstrom Lino Lakes Litchfield Little Canada Little Falls Littlefork Long Lake Long Prairie Lonsdale Houston Nicollet Lincoln Goodhue/Wabasha Blue Earth Washington Becker Jackson Dakota Redwood LeSueur Mower McLeod LeSueur Winona Anoka Chisago Anoka Meeker Ramsey Morrison Koochiching Hennepin Todd Rice Page 459 TOWN COUNTY TOWN COUNTY Loretto Luverne Wright Rock Douglas Mabel Madelia Madison Mahnomen Mahtomedi Mankato Mantorville Maple Grove Maple Plain Mapleton Maplewood Marietta Marshall Mazeppa McGregor McIntosh Meadowlands Medford Melrose Menahga Mendota Heights Merrifield Milaca Minneapolis Minneota Minnesota City Minnetonka Minnetrista Montevideo Montgomery Monticello Moorhead Moose Lake Mora Morgan Morris Morristown Motley Mound Mountain Iron Mountain Lake Fillmore Watonwan Lac Qui Parle Mahnomen Washington Blue Earth Dodge Hennepin Hennepin Blue Earth Ramsey Lac Qui Parle Lyon Wabasha Aitkin Polk St. Louis Steele Stearns Wadena Dakota Crow Wing Mille Lacs Hennepin Lyon Winona Hennepin Hennepin Chippewa LeSueur Wright Clay Carlton Kanabec Redwood Stevens Rice Morrison Hennepin St. Louis Cottonwood Nelson Nett Lake Nevis New Brighton New Germany New Hope New London New Prague New Richland New Ulm New York Mills Newport Nisswa Nopeming North Branch North Mankato North Oaks North St. Paul Northfield Northome Norwood Oak Park Heights Oakdale Ogilvie Oklee Olivia Onamia Ortonville Osage Osakis Osseo Ostrander Owatonna Washington Washington Kanabec Red Lake Falls Renville Mille Lacs Big Stone Becker Douglas Hennepin Fillmore Steele Park Rapids Parkers Prairie Paynesville Pelican Rapids Pequot Lakes Perham Pierz Pillager Pine City Hubbard Otter Tail Stearns Otter Tail Crow Wing Otter Tail Morrison Cass Pine St. Louis/Koochiching Hubbard Ramsey Carver Hennepin Kandiyohi Scott Waseca Brown Otter Tail Washington Crow Wing St. Louis Chisago Nicollet Ramsey Ramsey Rice Koochiching Carver Page 460 TOWN COUNTY TOWN COUNTY Pine Island Pine River Pine Springs Pipestone Plainview Plymouth Preston Princeton Prior Lake Proctor Goodhue Cass Washington Pipestone Wabasha Hennepin Fillmore Mille Lacs Scott St. Louis Ramsey Ranier Red Lake Red Lake Falls Red Wing Redwood Falls Remer Renville Revere Richfield Richmond Richville Robbinsdale Rochester Rockford Rogers Roseau Rosemount Roseville Rothsay Round Lake Royalton Rush City Rushford Anoka Koochiching Beltrami Red Lake Goodhue Redwood Cass Renville Redwood Hennepin Stearns Otter Tail Hennepin Olmsted Hennepin Hennepin Roseau Dakota Ramsey Wilkin Nobles Morrison Chisago Fillmore St. Paul St. Peter Saginaw Sandstone Sargeant Sartell Sauk Centre Sauk Rapids Savage Scanlon Sebeka Searles Shafer Shakopee Sherburne Shoreview Shorewood Silver Bay Silver Creek Slayton Sleepy Eye South Haven South St. Paul Spicer Spring Grove Spring Park Spring Valley Springfield Stacy Stanchfield Staples Starbuck Stephen Stewartville Stillwater Stockton Ramsey Nicollet St. Louis Pine Mower Benton Stearns Benton Scott Carlton Wadena Brown Chisago Scott Martin Ramsey Hennepin Lake Wright Murray Brown Wright Dakota Kandiyohi Houston Hennepin Fillmore Brown Chisago Isanti Wadena Pope Marshall Olmsted Washington Winona St. Anthony Village St. Augusta St. Bonifacius St. Charles St. Cloud St. Francis St. James St. Louis Park St. Michael Ramsey Stearns Hennepin Winona Taunton Thief River Falls Togo Tonka Bay Tower Tracy Trimont Truman Lyon Pennington Itasca Hennepin St. Louis Lyon Martin Martin Benton/Stearns/Sherburne Anoka Watonwan Hennepin Wright Page 461 TOWN COUNTY TOWN COUNTY Twin Valley Two Harbors Tyler Norman Lake Lincoln Wykoff Wyoming Fillmore Washington Ulen Clay Zimmerman Zumbrota Sherburne Goodhue Vadnais Heights Victoria Villard Virginia Ramsey Carver Pope St. Louis Wabasha Wabasso Waconia Wadena Waite Park Waldorf Walker Walnut Grove Wanamingo Warren Warroad Waseca Watertown Waterville Watkins Waverly Wayzata Welch Welcome Wells West St. Paul Westbrook Wheaton White Bear Lake White Earth Willmar Windom Winnebago Winona Winsted Winthrop Woodbury Woodstock Worthington Wrenshall Wabasha Redwood Carver Wadena Stearns Waseca Cass Redwood Goodhue Marshall Roseau Waseca Carver LeSueur Meeker Wright Hennepin Goodhue Martin Faribault Dakota Cottonwood Traverse Ramsey Becker Kandiyohi Cottonwood Faribault Winona McLeod Sibley Washington Pipestone Nobles Carlton Minnesota Department of Health Division of Compliance Monitoring Index For Directory of Facilities and Services FACILITY NAME COUNTY 1005 15TH AVENUE SE HENNEPIN 1050 PLUMMER PLACE LLC 1068 18TH AVENUE SE PAGE# Index Page 1 FACILITY NAME COUNTY PAGE# 142 1912 STEVENS AVENUE SOUTH HENNEPIN 145 OLMSTED 265 1913 STEVENS AVENUE SOUTH #3 HENNEPIN 145 HENNEPIN 142 1915 2ND AVENUE SOUTH HENNEPIN 145 1070 18TH AVENUE SOUTHEAST HENNEPIN 142 1924 EMERSON AVENUE SOUTH HENNEPIN 145 1093 27TH AVENUE SE HENNEPIN 142 1924 STEVENS AVENUE SOUTH HENNEPIN 145 1115 MAIN STREET HENNEPIN 143 1929 3RD AVENUE SOUTH HENNEPIN 145 1161 SAINT CLAIR AVENUE RAMSEY 306 2 CARING HANDS DAKOTA 72 1220 CAMBRIDGE ST HENNEPIN 136 200 S WINTHROP STREET RAMSEY 307 1220 CLASSIC CITY APARTMENTS HENNEPIN 143 2010 RUSSELL AVENUE NORTH HENNEPIN 145 1220 MORGAN AVENUE NORTH HENNEPIN 143 2014 3RD AVENUE SOUTH HENNEPIN 145 1325 WESTERN AVENUE NORTH RAMSEY 306 2017 PILLSBURY AVENUE SOUTH HENNEPIN 145 1339 SHERBURNE RAMSEY 306 2020 OAKLAND AVENUE SOUTH HENNEPIN 146 1340 WESTERN RAMSEY 306 2103 2ND AVENUE SOUTH HENNEPIN 146 1345 VINCENT AVENUE NORTH HENNEPIN 143 2119 PILLSBURY AVENUE SOUTH HENNEPIN 146 1345 WESTERN AVENUE N RAMSEY 306 2200 BLAISDELL AVE HENNEPIN 146 1350 MARYLAND AVENUE EAST RAMSEY 306 2200 PILLSBURY AVENUE S LLC HENNEPIN 146 1360 WESTERN AVENUE N RAMSEY 306 2220 14TH AVENUE SOUTH HENNEPIN 146 137 EAST 17TH STREET HENNEPIN 143 2221 BLAISDELL AVENUE SOUTH HENNEPIN 146 1400 NORTH DOUGLAS DRIVE HENNEPIN 131 2236 LOWER AFTON ROAD RAMSEY 307 1405 SE COMO AVENUE HENNEPIN 143 225 OAK GROVE STREET HENNEPIN 146 1409 SE COMO AVENUE HENNEPIN 143 2312 BLAISDELL AVENUE SOUTH HENNEPIN 146 1450 DOUGLAS DRIVE HENNEPIN 131 233 26TH AVENUE NE HENNEPIN 146 15 WEST 22ND STREET LLC HENNEPIN 143 233 OAK GROVE HENNEPIN 147 1500 DOUGLAS DRIVE NORTH HENNEPIN 131 24 HOUR CARE HENNEPIN 147 1500 PARK AVENUE HENNEPIN 143 24/7 HEALTHCARE PRO HENNEPIN 125 1509 ALBEMARLE STREET RAMSEY 306 24/7 HEALTHCARE PRO HENNEPIN 109 1522 LASALLE AVENUE SOUTH HENNEPIN 143 24/7 HEALTHCARE PRO HENNEPIN 109 1533 WOODBRIDGE STREET RAMSEY 307 249 WESTERN AVENUE SOUTH RAMSEY 307 1541 ALBEMARLE RAMSEY 307 2525 BLAISDELL AVENUE SOUTH HENNEPIN 147 1552 WOODBRIDGE STREET RAMSEY 307 2526 SOUTH EIGHTH STREET HENNEPIN 147 1564 ENGLISH STREET RAMSEY 307 2537 EMERSON AVENUE SOUTH HENNEPIN 147 1595 RICE STREET RAMSEY 307 2625 18TH AVENUE SOUTH HENNEPIN 147 1600 DOUGLAS DRIVE NORTH HENNEPIN 131 2629 WEST 43RD STREET HENNEPIN 147 1600 PARK AVENUE SOUTH HENNEPIN 144 2631 COLUMBUS AVENUE SOUTH HENNEPIN 147 1621 TAYLOR STREET NE HENNEPIN 144 2633 PLEASANT AVENUE SOUTH HENNEPIN 147 1701 COMO AVENUE SOUTHEAST HENNEPIN 144 2635 14TH AVENUE SOUTH HENNEPIN 147 1703 COMO AVENUE SOUTHEAST HENNEPIN 144 2640 2ND AVENUE SOUTH HENNEPIN 148 1720 19TH AVENUE NE HENNEPIN 144 2640 BLAISDELL AVENUE HENNEPIN 148 1807 TALMAGE AVENUE SOUTHEAST HENNEPIN 144 2649 12TH AVENUE SOUTH HENNEPIN 148 1810 3RD AVENUE SOUTH #101 HENNEPIN 144 2700 GRAND AVENUE SOUTH HENNEPIN 148 1815 1ST AVENUE S LLC HENNEPIN 144 2700 RHODE ISLAND HENNEPIN 203 1820 STEVENS AVENUE HENNEPIN 144 2700 THIRD AVENUE SOUTH HENNEPIN 148 1828 COLUMBUS AVENUE HENNEPIN 144 2713 2ND AVENUE SOUTH HENNEPIN 148 1849 EAST 7TH STREET RAMSEY 307 2718 CHICAGO AVENUE SOUTH HENNEPIN 148 1855 EAST 7TH STREET RAMSEY 307 2720 PILLSBURY AVENUE SOUTH HENNEPIN 148 1911 11TH AVENUE SOUTH HENNEPIN 145 2801 66TH AVENUE NORTH HENNEPIN 103 Minnesota Department of Health Division of Compliance Monitoring Index For Directory of Facilities and Services FACILITY NAME COUNTY 3014 31ST AVENUE SOUTH HENNEPIN 3016 29TH AVENUE 3020 31ST AVENUE SOUTH PAGE# Index Page 2 FACILITY NAME COUNTY PAGE# 148 3736 SOUTH CEDAR AVENUE HENNEPIN 152 HENNEPIN 148 3737 WEST BROADWAY HENNEPIN 200 HENNEPIN 149 3759 WEST BROADWAY AVENUE HENNEPIN 201 3052 MINNEHAHA AVENUE HENNEPIN 149 3801 NICOLLET AVENUE SOUTH HENNEPIN 152 3105 GIRARD AVENUE NORTH #1 HENNEPIN 149 3806 6TH STREET NORTH HENNEPIN 152 3112 MINNEHAHA AVENUE HENNEPIN 149 3816 NICOLLET AVENUE S LLC HENNEPIN 152 3117 15TH AVENUE SOUTH HENNEPIN 149 3824 SNELLING AVENUE SOUTH HENNEPIN 152 3121 3RD AVENUE SOUTH HENNEPIN 149 3848 WEST BROADWAY HENNEPIN 201 3126 58TH STREET EAST HENNEPIN 149 390 WEST COTTAGE AVENUE RAMSEY 308 3132 PLEASANT AVENUE SOUTH HENNEPIN 149 395 LUELLA STREET RAMSEY 305 3201 GIRARD AVENUE NORTH HENNEPIN 149 4052 MINNEHAHA AVENUE HENNEPIN 153 3204 24TH AVENUE SOUTH HENNEPIN 149 410 6TH STREET SE HENNEPIN 153 3210 29TH AVENUE SOUTH HENNEPIN 150 4126 QUEEN AVENUE NORTH HENNEPIN 153 3211 6TH STREET NORTH HENNEPIN 150 416 20TH AVENUE NE UNIT #1 HENNEPIN 153 3232 BLAISDELL HENNEPIN 150 419 FRONT AVENUE RAMSEY 308 327 UNIVERSITY AVENUE SE HENNEPIN 150 4331 GIRARD AVENUE NORTH HENNEPIN 153 330 8TH STREET SOUTHEAST HENNEPIN 150 4445 EAST LAKE STREET HENNEPIN 153 330 MAGNOLIA AVENUE EAST RAMSEY 308 4604 BLOOMINGTON AVENUE SOUTH HENNEPIN 153 3305 BRYANT AVENUE SOUTH HENNEPIN 150 4TH STREET RESIDENCE HENNEPIN 153 3310 NORTH PENN AVENUE HENNEPIN 150 4U HOME HEALTH CARE ITASCA 217 3320 GRAND AVENUE HENNEPIN 150 507 RIDGEWOOD AVENUE HENNEPIN 153 3320 LONGFELLOW AVENUE SOUTH HENNEPIN 150 508/510 HUMBOLDT APARTMENTS RAMSEY 308 334 MAGNOLIA AVENUE EAST RAMSEY 308 516 HUMBOLDT APARTMENTS RAMSEY 308 3351 PARK AVENUE SOUTH HENNEPIN 150 5211 XERXES AVENUE NORTH HENNEPIN 103 3413 PORTLAND AVENUE S HENNEPIN 151 5222 LOGAN AVENUE NORTH HENNEPIN 153 3414 MINNEHAHA AVE LLC HENNEPIN 151 5500 BRYANT AVENUE NORTH HENNEPIN 154 3430 NE TYLER STREET HENNEPIN 151 5700 34TH AVENUE HENNEPIN 154 3452 SOUTH EMERSON AVENUE HENNEPIN 151 5712 34TH AVENUE SOUTH HENNEPIN 154 3455 SOUTH MINNEHAHA AVENUE HENNEPIN 151 5740 SANDER DRIVE HENNEPIN 154 3457 CENTRAL AVENUE NORTHEAST HENNEPIN 151 5761 33RD AVENUE SOUTH HENNEPIN 154 3457 MINNEHAHA AVENUE SOUTH HENNEPIN 151 5833 - HUNTINGTON PLACE HENNEPIN 109 3513 47TH AVENUE NORTH HENNEPIN 103 601 WEST 28TH STREET HENNEPIN 154 3520 12TH AVENUE SOUTH HENNEPIN 151 610 LOGAN AVENUE NORTH HENNEPIN 154 3520 AQUILA CIRCLE HENNEPIN 204 617 19TH AVENUE SOUTH HENNEPIN 154 3528 AQUILA CIRCLE HENNEPIN 204 619 19TH AVENUE SOUTH HENNEPIN 154 3534 PENN AVENUE NORTH HENNEPIN 151 621 19TH AVENUE SOUTH HENNEPIN 154 3536 AQUILA CIRCLE HENNEPIN 204 627 POLK STREET NE HENNEPIN 155 3542 NORTH PENN AVENUE HENNEPIN 151 6307 SCOTT AVENUE NORTH HENNEPIN 103 3545 12TH AVENUE SOUTH HENNEPIN 152 642 FRONT AVENUE RAMSEY 308 360 COTTAGE AVENEUE RAMSEY 308 6421 E PLEASANT AVENUE SOUTH HENNEPIN 196 3643 PENN AVENUE NORTH HENNEPIN 152 6429 PLEASANT AVENUE HENNEPIN 196 3654 BRYANT AVENUE SOUTH HENNEPIN 152 6526 OLIVER AVENUE SOUTH HENNEPIN 196 3701 WEST LAKE STREET HENNEPIN 152 659 DAYTON AVENUE RAMSEY 308 3708 LYNDALE AVENUE SOUTH HENNEPIN 152 6601 5TH AVENUE SOUTH HENNEPIN 196 3719 WEST BROADWAY HENNEPIN 200 6628 WEST BROADWAY HENNEPIN 110 3731 WEST BROADWAY HENNEPIN 200 689 LOWRY AVENUE NORTHEAST HENNEPIN 155 Minnesota Department of Health Division of Compliance Monitoring Index For Directory of Facilities and Services FACILITY NAME COUNTY 700 STEARNS PLACE STEARNS 705 SOUTH SNELLING AVENUE 717 SE UNIVERSITY AVENUE PAGE# Index Page 3 FACILITY NAME COUNTY PAGE# 375 ACCURATE HOME CARE LLC SHERBURNE 368 RAMSEY 308 ACE HOME CARE INC WASHINGTON 402 HENNEPIN 155 ACR AT HOME COMPANION CARE RAMSEY 299 725 LYNDALE AVENUE NORTH HENNEPIN 155 ACR AT HOME HEALTHCARE LLC RAMSEY 299 725 SE 8TH AVENUE HENNEPIN 155 ACR HOME ON CUMMINGS RAMSEY 291 734 ALDRICH AVENUE NORTH HENNEPIN 155 ACR HOME ON DAWN RAMSEY 304 76 WEST STEVENS RAMSEY 309 ACR HOME ON FALLGOLD HENNEPIN 110 7600 CEDAR AVENUE HENNEPIN 196 ACR HOME ON LYDIA WEST RAMSEY 299 7601 18TH AVENUE S HENNEPIN 196 ACR HOME ON REDWOOD RAMSEY 297 7625 18TH AVENUE SOUTH HENNEPIN 196 ACR HOME ON ROBIN HENNEPIN 201 7940 KYLE AVENUE NORTH HENNEPIN 110 ACR ON DALE COURT RAMSEY 299 8 FOURTH STREET EAST RAMSEY 309 ACTIVE AT HOME HELPERS NORTH DAKOTA 417 8601 NICOLLET AVENUE SOUTH HENNEPIN 94 ADAMS HEALTH CARE CENTER MOWER 254 8817 WEST 35TH STREET HENNEPIN 204 ADAMS HOME HEALTH AGENCY MOWER 254 904 RICE STREET-TAB PROPERTIES RAMSEY 309 ADAMS HOME HEALTH CARE MOWER 255 A A CARE INC HENNEPIN 95 ADITH MILLER MANOR WINONA 407 A CHANCE TO GROW INC HENNEPIN 155 ADOLESCENT TRTMT CTR WINNEBAGO FARIBAULT A TIME FOR HELP INC ANOKA 11 ADRIAN CARE CENTER INC NOBLES 261 A TO Z SOCIAL SERVICES INC ANOKA 11 ADRIAN COUNTRY LIVING COTTAGES NOBLES 262 A TOUCH OF HOME NORTH BELTRAMI 15 ADULT HELP & COMPANION CARE HENNEPIN 204 A WOMANS WAY DAKOTA 62 ADULT IN HOME CARE SAINT LOUIS 348 A+ HOME HEALTH CARE INC HENNEPIN 95 ADVANTAGE HOME CARE SERVS INC RAMSEY 310 AAFIYA HOME CARE LLC OLMSTED 265 AEON - SIENNA GREEN RAMSEY 310 ABBEYCARE INC RAMSEY 309 AEON - SIENNA GREEN II RAMSEY 300 ABBOTT NORTHWESTERN HOSPITAL HENNEPIN 155 AEON HOMES HENNEPIN 155 ABC CARE INC RAMSEY 309 AFFILIATED FAMILY & SENIOR S HENNEPIN 110 ABIDJAN HEALTHCARE INC HENNEPIN 103 AFFIRMATION HOUSE HENNEPIN 103 ABLE INC HOUSTON HOUSTON 211 AFFIRMATIONS HOME CARE INC WADENA 391 ABLE INC LACRESCENT HOUSTON 211 AFTENRO HOME SAINT LOUIS 348 ABUNDANT LIFE HOME HEALTH CARE HENNEPIN 103 AFTON CARE WASHINGTON 394 ABUNDANT LIFE HOME HEALTH CARE HENNEPIN 103 AFTON CARE ST CROIX WASHINGTON 394 ACCEL HEALTH SERVICES INC HENNEPIN 155 AFTON CARE ST CROIX WASHINGTON 394 ACCENT HOME CARE LLC DAKOTA 76 AGABI HEALTH CARE SERVICES ANOKA 11 ACCESS HEALTH CARE ITASCA 217 AGAPE HOMELIVING AGENCY SCOTT 366 ACCESS INFUSION HEALTHCARE LLC BENTON 20 AGAPE SENIOR KARE HENNEPIN ACCESS SERVICES INCORPORATED ITASCA 217 AGELESS CARE INCORPORATED ROSEAU 345 ACCESSIBLE SPACE ASI METRO 1 RAMSEY 309 AGEWELL HOME CARE HENNEPIN 126 ACCESSIBLE SPACE ASI METRO 2 RAMSEY 309 AGING JOYFULLY HENNEPIN 123 ACCESSIBLE SPACE ASI METRO 3 RAMSEY 309 AGING SERVICES FOR COMMUNITIES LESUEUR 236 ACCESSIBLE SPACE INC WEST APA DAKOTA 62 AICOTA HEALTH CARE CENTER AITKIN 1 ACCESSIBLE SPACE INC ASI NORTH RAMSEY 309 AICOTA HEALTH CARE CENTER INC AITKIN 1 ACCESSIBLE SPACE INC ASI SOUTH RAMSEY 309 AIDE HOME CARE CROW WING ACCOUNTABLE HOME CARE SHERBURNE 368 AITKIN COUNTY CARE AITKIN 1 ACCRA CARE INC HENNEPIN 137 AITKIN HEALTH SERVICES AITKIN 1 ACCRA HOME HEALTH INC GOODHUE 91 ALBANY AREA HOSP ALBANY CLINIC STEARNS 373 ACCREDO HEALTH GROUP INC DAKOTA 66 ALBANY AREA HOSP AVON CLINIC STEARNS 373 86 95 60 Minnesota Department of Health Division of Compliance Monitoring Index For Directory of Facilities and Services FACILITY NAME COUNTY PAGE# ALBANY AREA HOSPITAL & MED CTR STEARNS ALCOTT MANOR ALDRICH BOARD AND CARE LLC ALERE WOMEN'S AND CHILDREN'S H CARVER ALICE NETELL TOWERS SAINT LOUIS ALISHAS CARE CENTER TODD ALL ABOUT CARING HOME CARE INC CHISAGO 47 ALL ABOUT HOME CARE HENNEPIN 104 ALL FAMILY HOME CARE LLC SCOTT ALL GENERATIONS HOME CARE INC STEELE ALL GOOD HOME CARE INC BENTON ALL HOME HEALTH INC ALL HOMECARING Index Page 4 FACILITY NAME COUNTY PAGE# 373 AMAZING LOVE ASSISTED LIVING HENNEPIN 104 OTTER TAIL 274 AMAZING LOVE HEALTHCARE SERVIC HENNEPIN 120 HENNEPIN 156 AMEDISYS HOME HEALTH OF MINNES HENNEPIN 204 AMELIE HOUSE HENNEPIN 95 362 AMER INDIAN COMM DEV COR HENNEPIN 156 387 AMERICAN BEST HOME CARE ANOKA AMERICAN FAMILY HOME CARE HENNEPIN 104 AMERICAN HOUSE RAMSEY 310 366 AMERICAN UNITED CARE LLC HENNEPIN 156 381 AMRTC COMO COMMUNITY UNIT RAMSEY 310 19 AMY JOHNSON RESIDENCE RAMSEY 310 HENNEPIN 95 ANDERSONS PINE GROVE HOME INC SAINT LOUIS 346 HENNEPIN 156 ANDERSONS PINE GROVE HOME, INC SAINT LOUIS 346 ALL LOVE INC HENNEPIN 104 ANDREW RESIDENCE HENNEPIN 156 ALL NATIONALS HOME HEALTH CARE HENNEPIN 156 ANGEL HEALTH SERVICES HENNEPIN 110 ALLCARE HOME CARE INC CLAY ANGEL HEARTS HOME CARE HENNEPIN 142 ALLEGIANCE ABILITY ASSISTANCE RAMSEY 310 ANGEL RIDGE SHERBURNE 368 ALLEGIANCE ABILITY ASSISTANCE RAMSEY 310 ANGELS CARE CENTER GOODHUE ALLENDALE HOUSE OLMSTED 265 ANGELS OF MERCY ANOKA ALLEVIACARE LLC HENNEPIN 126 ANGELS OF MERCY ASSISTED LIVIN ANOKA ALLIANCE ADDITION LLC HENNEPIN 156 ANIKA HOME CARE DAKOTA 70 ALLIANCE ASSISTED LIVING SRVCS DAKOTA 66 ANN MAR HOME HELP LLC WRIGHT 413 ALLIANCE HEALTH SERVICES BLUE EARTH 23 ANNANDALE CARE CENTER WRIGHT 409 ALLIANCE HEALTH SERVICES INC DAKOTA 66 ANOKA CARE CENTER ANOKA ALLIANCE HHC & NURSING SERVICE HENNEPIN ANOKA METRO REG TREATMENT CTR ANOKA ALLIANCE HOMECARE SERVICES LLC ANOKA ANPA WASTE NUMPA HENNEPIN ALLIANCE HOUSING HENNEPIN 156 ANTHONY LOUIS CENTER ANOKA ALLIED PROFESSIONALS INC HENNEPIN 126 ANTIOCH RESTORATION HOME FOR M RAMSEY 310 ALLINA HM C HSPCE & PALLITV CA RAMSEY 310 APOLLO HOMES INC WASHINGTON 398 ALLINA HM C HSPCE & PALLITV CA RAMSEY 310 APPARENTCARE LLC HENNEPIN 123 ALMOND HOME HEALTH CARE LLC HENNEPIN 156 APPLE RIDGE ESTATES SWIFT 385 ALMOND HOUSE CROW WING 56 APPLE VALLEY VILLA DAKOTA ALMOND HOUSE UNIT 2 CROW WING 56 APPLETON HOSP HOME HEALTH CARE SWIFT 385 ALMOND HOUSE UNIT 3 CROW WING 56 APPLETON MUNICIPAL HOSPITAL SWIFT 385 ALMOND HOUSE UNIT 4 CROW WING 56 APRIA HEALTHCARE INC RAMSEY 311 ALMOST HOME CROW WING 56 ARBOR GARDENS OLMSTED 265 ALTERNATIVE HOME CARE SOLUTION WASHINGTON 400 ARBOR LAKES SENIOR LIVING HENNEPIN 139 ALTERNATIVE SENIOR CARE INC STEARNS 376 ARBOR PARK LIVING CENTER CLAY 49 ALTERNATIVE SENIOR CARE INC STEARNS 376 ARBOR PARK LIVING CENTER CLAY 49 ALTRU HOME SERVICES NORTH DAKOTA 417 ARBOR PARK LIVING CENTER LLC CLAY ALTRU HOME SERVICES HOSPICE NORTH DAKOTA 417 ARBOR TERRACE OLMSTED 265 ALWAYS BEST CARE OF ST CROIX WASHINGTON 397 ARBOR TERRACE OLMSTED 265 AMAS INCORPORATED HENNEPIN 110 ARDEN HILLS DIALYSIS UNIT RAMSEY 291 AMAS INCORPORATED HENNEPIN 110 ARDENT HOME HEALTHCARE INC RAMSEY 311 AMAZING LOVE ASSISTED LIVING HENNEPIN 120 ARDOR HOME CARE INC DAKOTA AMAZING LOVE ASSISTED LIVING HENNEPIN 120 ARISE HOME HEALTH CARE STEARNS 37 49 131 6 2 90 5 5 3 3 156 4 61 49 62 377 Minnesota Department of Health Division of Compliance Monitoring Index For Directory of Facilities and Services FACILITY NAME COUNTY ARISE HOME HEALTH CARE STEARNS ARLINGTON HOME ARLINGTON PLACE PAGE# Index Page 5 FACILITY NAME COUNTY 377 AUGUSTANA EMERALD CREST OF BUR DAKOTA 63 OTTER TAIL 274 AUGUSTANA EMERALD CREST OF BUR DAKOTA 63 STEARNS 380 AUGUSTANA EMERALD CREST OF BUR DAKOTA 63 ARMS OF COMPASSION HOME CARE S HENNEPIN 131 AUGUSTANA EMERALD CREST OF BUR DAKOTA 63 AROUND THE CLOCK HOME CARE HENNEPIN 204 AUGUSTANA EMERALD CREST OF MIN HENNEPIN 184 AROUND THE CLOCK HOME CARE LLC HENNEPIN 204 AUGUSTANA EMERALD CREST OF MIN HENNEPIN 184 ARTHURS WHITE PINES RES CARE RAMSEY 300 AUGUSTANA EMERALD CREST OF MIN HENNEPIN 184 ARTHURS WHITE PINES RESIDENTIA RAMSEY 300 AUGUSTANA EMERALD CREST OF SHA SCOTT 366 ASERACARE HOME HEALTH HENNEPIN 95 AUGUSTANA EMERALD CREST OF VIC CARVER 39 ASERACARE HOSPICE HENNEPIN 95 AUGUSTANA HCC OF APPLE VALLEY DAKOTA 61 ASI 28TH STREET HENNEPIN 157 AUGUSTANA HCC OF HASTINGS DAKOTA 69 ASI CAMDEN HOUSE HENNEPIN 157 AUGUSTANA HCC OF MPLS HENNEPIN 157 ASI CHICAGO HOUSE HENNEPIN 157 AUGUSTANA HOME HEALTH CARE SER HENNEPIN 157 ASI METRO 4 RAMSEY 311 AUGUSTANA MERCY CARE CTR CARLTON 35 ASIAN AMERICAN ELDERLY AL LLC HENNEPIN 104 AUGUSTANA REGENT AT BURNSVILLE DAKOTA 63 ASIAN AMERICAN ELDERLY ASSISTE RAMSEY 311 AUGUSTANA REGENT AT BURNSVILLE DAKOTA 63 ASIAN AMERICAN HOME HC SERVICE RAMSEY 330 AUGUSTANA RESIDENTIAL CARE HENNEPIN 157 ASIAN AMERICAN HOME HEALTH CAR RAMSEY 311 AUGUSTANA THERAPY SERVICES HENNEPIN 137 ASIAN HOME CARE INC RAMSEY 311 AUSTIN MSOCS MOWER 255 ASPEN ARMS CARLTON 33 AUTUMN GRACE BLUE EARTH 23 ASPEN GROVE ALT SENIOR LIVING SAINT LOUIS 359 AUTUMN GRACE II BLUE EARTH 23 ASPEN GROVE ALTERNATIVE SENIOR SAINT LOUIS 359 AUTUMN HILLS OF BEMIDJI INC BELTRAMI ASPEN HOME CARE RAMSEY 311 AUTUMN LANE ITASCA 216 ASPEN MEDICAL GROUP UNIVERSITY RAMSEY 311 AUTUMN LANE INC ITASCA 216 ASSISTED LIVING AT HOME INC HENNEPIN 184 AUTUMN MANOR OTTER TAIL 280 ASSISTED LIVING COMPANY LLC WASHINGTON 397 AUTUMN RIDGE APARTMENTS HENNEPIN 110 ASSISTED LVG IN HERITAGE HALL HENNEPIN 95 AUTUMN RIDGE APARTMENTS HENNEPIN 110 ASSOCIATED EYE CARE AMB SURG WASHINGTON 400 AUTUMN RIDGE APARTMENTS HENNEPIN 110 ASSUMPTION HEALTH SERVICES STEARNS 373 AVALON HOME CARE INC SHERBURNE 369 ASSUMPTION HOME STEARNS 374 AVENUE FOR HOME CARE INC HENNEPIN 157 ASSUMPTION HOME CARE STEARNS 374 AVENUES FOR CARE INC CHIPPEWA 44 ASSURED CARE SCOTT 366 AVERA MARSHALL REG MED CENTER LYON 238 AT HOME CARE OF PARMLY LIFEPOI CHISAGO AWESOME HEALTH CARE SVCS INC HENNEPIN 111 AT HOME HEALTH CARE INC ANOKA 6 AXIS ON BELMONT RAMSEY 300 AT YOUR SERVICE HH SERVICE LLC ANOKA 2 AXIS ON ELDRIDGE RAMSEY 300 ATT HOME HEALTH CARE INC RAMSEY 311 AXIS ON GLENHILL RAMSEY 304 ATWATER HOUSE KANDIYOHI 223 AXIS ON SENECA RAMSEY 331 AUBURN COURTS CARVER 37 AXIS ON ST MICHAEL RAMSEY 297 AUBURN COURTS CARVER 37 AXIS ON WHITE BEAR AVENUE RAMSEY 330 AUBURN HOME IN WACONIA CARVER 40 BAKER PARK INC BELTRAMI 15 AUBURN MANOR CARVER 37 BANADIR HOME HEALTH CARE HENNEPIN 157 AUDRIE HOME HEALTH CARE LLC HENNEPIN 104 BANGEM HOME HEALTH WASHINGTON 402 AUGUSTANA APARTMENTS OF MINNEA HENNEPIN 157 BARBARA DAWN KUTSI SAINT LOUIS 348 AUGUSTANA CHAPEL VIEW APARTMEN HENNEPIN 137 BARNABAS HEALTH CARE SERVICES CROW WING 56 AUGUSTANA CHAPEL VIEW CARE CTR HENNEPIN 137 BARNES CARE INC CARLTON 35 AUGUSTANA EMERALD CARE LLC CARVER 39 BARNES CARE INC CARLTON 35 46 PAGE# 15 Minnesota Department of Health Division of Compliance Monitoring Index For Directory of Facilities and Services FACILITY NAME COUNTY BARNESVILLE AREA CLINIC CLAY BARRETT ASSISTED LVG COM INC BARRETT CARE CENTER INC BARROSS COTTAGE LAKE BARROSS COTTAGE LAKE BARROSS MANOR LAKE BASS LAKE COURT TOWNHOMES BASS LAKE COURT TOWNHOMES PAGE# Index Page 6 FACILITY NAME COUNTY 48 BENET HALL SAINT LOUIS 348 GRANT 94 BENET PLACE SHERBURNE 370 GRANT 94 BENET PLACE SOUTH SHERBURNE 370 233 BENS HOUSE HENNEPIN 190 233 BENTSON FAMILY ASSISTED LIVING RAMSEY 311 233 BERKSHIRE RESIDENCE HENNEPIN 192 HENNEPIN 189 BERTHA MEDICAL CENTER TODD 386 HENNEPIN 189 BEST CARE GROUP HENNEPIN 104 BASS LAKE TOWNHOMES HENNEPIN 190 BEST CARE HOME HEALTH INC HENNEPIN 158 BAYADA NURSES INC HENNEPIN 184 BEST CARE HOME HEALTH INC HENNEPIN 158 BAYADA NURSES INC STEARNS 375 BEST HOME CARE LLC RAMSEY 299 BAYADA NURSES INC RAMSEY 304 BETHANY ASSISTED LIVING MEEKER 247 BAYCLIFF HENNEPIN 204 BETHANY COVENANT HOME HENNEPIN 158 BAYSHORE HEALTH CENTER SAINT LOUIS 348 BETHANY COVENANT VILLAGE HENNEPIN 158 BAYWOOD HOME CARE HENNEPIN 157 BETHANY HOME DOUGLAS 81 BEACON HAVEN RAMSEY 297 BETHANY HOME HEALTH SERVICES DOUGLAS 81 BEACON HILL HENNEPIN 184 BETHEL CARE CENTER RAMSEY 312 BEARD AVENUE APARTMENTS HENNEPIN 104 BETHEL FINANCE & MGMT SERVICES HENNEPIN 104 BEAUTIFUL SOUL SENIOR CARE LLC CARVER BETHEL MANOR II DOUGLAS 81 BECKYS PLACE INC HENNEPIN 123 BETHEL MANOR INC DOUGLAS 81 BECKYS PLACE INC HENNEPIN 123 BETHESDA KANDIYOHI 225 BEECHWOOD 917 HENNEPIN 158 BETHESDA HERITAGE CENTER KANDIYOHI 225 BEECHWOOD INC HENNEPIN 158 BETHESDA HOME HEALTH KANDIYOHI 225 BEECHWOOD INC HENNEPIN 158 BETHESDA NH PLEASANTVIEW KANDIYOHI 225 BELGRADE NURSING HOME STEARNS 373 BETTER LIFE CARE LLC RAMSEY 312 BELL HILL RECOVERY CENTER WADENA 391 BETTY R JOHNSON HENNEPIN 139 BELLE HAVEN TOWNHOMES LP MILLE LACS 250 BETTYS HOME WASHINGTON 394 BELTRAMI COUNTY HEALTH & HUMAN BELTRAMI 16 BETTYS HOME WASHINGTON 394 BENEDICT COURT SHERBURNE 370 BEVERLY HEMMINGSON TRUST ITASCA 217 BENEDICT HOMES SHERBURNE 370 BIGFORK VALLEY COMMUNITIES ITASCA 216 BENEDICT VILLAGE SHERBURNE 370 BIGFORK VALLEY HOME CARE ITASCA 216 BENEDICTINE HEALTH CENTER SAINT LOUIS 348 BIGFORK VALLEY HOSPITAL ITASCA 216 BENEDICTINE HEALTH CTR OF MPLS HENNEPIN 158 BIGFORK VALLEY VILLA ITASCA 216 BENEDICTINE HLTH CTR INNSBRUCK RAMSEY 297 BIGFORK VALLEY VILLA ASST LVG ITASCA 216 BENEDICTINE LIVING COMMUNITY NICOLLET 259 BILL KELLY HOUSE HENNEPIN 158 BENEDICTINE LIVING COMMUNITY O KANABEC 222 BIRCHVIEW GARDENS ASSISTED LVG CASS BENEDICTINE LIVING COMMUNITY O KANDIYOHI 224 BIRCHVIEW GARDENS ASSISTED LVG CASS BENEDICTINE LNG COM NEW LONDON KANDIYOHI 224 BIRCHWOOD ARBORS WASHINGTON 396 BENEDICTINE LV COMM OF WINSTED MCLEOD 246 BIRCHWOOD CARE HOME HENNEPIN 158 BENEDICTINE LVG COM NEW LONDON KANDIYOHI 224 BIRCHWOOD HEALTH CARE CENTER WASHINGTON 396 BENEDICTINE LVG COMM OF MORA KANABEC 222 BK FAMILY NURSING HOME CARE LL ISANTI 214 BENEDICTINE LVG COMM OF MORA KANABEC 222 BLAINE SUITE LIVING CARE LLC ANOKA 4 BENEDICTINE LVG COMM WINSTED MCLEOD 246 BLAINE WHITE PINE ANOKA 4 BENEDICTINE SR LIV STEEPLE PTE HENNEPIN 192 BLAISDELL PLACE HENNEPIN 131 BENEDICTINE SR LVG COMM ST PTR NICOLLET 260 BLESSING HOME HEALTH SERVICES HENNEPIN 104 BENET HALL SAINT LOUIS 348 BLOOMINGTON DIALYSIS UNIT TRC HENNEPIN 95 39 PAGE# 41 41 Minnesota Department of Health Division of Compliance Monitoring Index For Directory of Facilities and Services FACILITY NAME COUNTY BLOOMINGTON OUTREACH HOME HENNEPIN BONNIES SENIOR HAVEN BOSTROM TERRACE PAGE# Index Page 7 FACILITY NAME COUNTY 95 BROWN COUNTY PUBLIC HEALTH BROWN DOUGLAS 81 BROWN KRAUSE MANOR HENNEPIN 159 OLMSTED 265 BROWNS VALLEY HEALTH CENTER TRAVERSE 388 BOTTINEAU COMMONS HENNEPIN 159 BRYANT AVE RESIDENCE DAKOTA BOTTINEAU LOFTS HENNEPIN 159 BRYANT HOUSE HENNEPIN 142 BOULDER ESTATES LYON 238 BRYANT SQUARE APARTMENTS HENNEPIN 159 BOUNDARY WATERS CARE CENTER SAINT LOUIS 356 BRYANT SQUARE HOME HEALTH CARE HENNEPIN 126 BOURNE MEDICAL SERVICE WINONA 407 BRYN MAWR HEALTH CARE CENTER HENNEPIN 159 BOUTWELLS LANDING WASHINGTON 398 BUBBIESITTER AND ZADIES TOO HENNEPIN 184 BOUTWELLS LANDING WASHINGTON 398 BUFFALO HOSPITAL WRIGHT 409 BRAINERD CAREFREE LIVING LLC CROW WING 56 BUFFALO LAKE HEALTHCARE CTR RENVILLE 335 BRAINERD HRA CROW WING 56 BURI MANOR HENNEPIN 159 BRAINERD LAKES SURGERY CTR CROW WING 55 BURNSDALE EXTENDED CARE CHIPPEWA 44 BRASK HAVEN INC CHISAGO 47 BURNSDALE EXTENDED CARE CHIPPEWA 44 BRECK HOME RESIDENTIAL CARE HENNEPIN 96 BURNSDALE EXTENDED CARE CHIPPEWA 44 BRECK HOME RESIDENTIAL CARE CE HENNEPIN 96 BURNSVILLE CAREFREE LIVING LLC DAKOTA 63 BREMMER SUITES FILLMORE 88 BURNSVILLE DIALYSIS UNIT DAKOTA BRENDAS HEALTHCARE INC HENNEPIN 196 BYWOOD EAST HEALTH CARE HENNEPIN 160 BRENTWOOD HOME LYON 239 BYWOOD EAST HEALTH CARE HENNEPIN 160 BRENTWOOD PARK APARTMENTS HENNEPIN 137 C C S INC RIDGEWOOD NOBLES 262 BRENTWOOD PARK APARTMENTS HENNEPIN 137 C K HOME HEALTH CARE INC OTTER TAIL 274 BRIANS ELDER CARE INC FREEBORN 88 CALEDONIA CARE AND REHAB HOUSTON 211 BRIARWOOD OTTER TAIL 280 CALEDONIA CARE AND REHAB BUCK HOUSTON 211 BRICKSTONE MANOR BROWN CALEY HOUSE ASSISTED LIVING MILLE LACS 250 BRIDGE INVESTMENTS HENNEPIN 190 CALLISTA COURT WINONA 407 BRIDGES CARE COMMUNITY NORMAN 263 CAMBRIDGE MED CTR DELLWOOD ISANTI 214 BRIDGES CARE COMMUNITY NORMAN 263 CAMBRIDGE MEDICAL CENTER ISANTI 214 BRIDGES MEDICAL SERVICES NORMAN 263 CAMDEN CARE CENTER HENNEPIN 160 BRIDGEWAY ESTATES MORRISON 251 CAMILIA ROSE CARE CENTER LLC ANOKA BRIDGEWELL ASSISTED LIVING DOUGLAS 84 CAMILIA ROSE GROUP HOME ANOKA BRIGHT STARS CARE CENTER HENNEPIN 159 CANNON VALLEY SUITES RICE 340 BRIGHTSTAR HEALTHCARE RAMSEY 292 CAPERNAUM PEDIATRIC THERAPY HENNEPIN 190 BRIGHTSTAR HEALTHCARE OF WAYZA HENNEPIN 139 CAPERNAUM PEDIATRIC THERAPY IN HENNEPIN 126 BRIGHTSTAR OF THE SOUTHERN TWI DAKOTA 63 CAPITOL VIEW TRANSITIONAL CARE RAMSEY 312 BRIGHTSTAR SOUTH WEST MINNEAPO HENNEPIN 204 CARDENAS FRIENDSHIP HOME CHISAGO 48 BRISTOL PLACE HOME HEALTH SERV HENNEPIN 159 CARDENAS FRIENDSHIP HOUSE DAKOTA 63 BROADVIEW MANOR SAINT LOUIS 358 CARDENAS FRIENDSHIP HOUSE DAKOTA 66 BROADWAY APARTMENTS HENNEPIN 159 CARDENAS FRIENDSHIP HOUSE DAKOTA 64 BROADWAY ASSISTED LIVING FREEBORN 88 CARDENAS FRIENDSHIP HOUSE HENNEPIN 96 BROADWAY AVENUE HENNEPIN 159 CARE 2000 HOME HEALTHCARE SVC OTTER TAIL 275 BROEN MEMORIAL HOME OTTER TAIL 274 CARE 2000 HOME HEALTHCARE SVCS OTTER TAIL 275 BROOKLYN CENTER OUTREACH HOME HENNEPIN 105 CARE 2000 HOME HEALTHCARE SVCS OTTER TAIL 275 BROOKRIDGE WRIGHT 411 CARE AGE COUNTRY HOME HUBBARD 212 BROOKSIDE COMFORT CARE CASS 42 CARE PLANNERS HOME HEALTH CARE RAMSEY 312 BROOKSIDE MANOR CHIPPEWA 44 CARE PLUS HOME HEALTH AGENCY HENNEPIN 131 BROWN COUNTY EVAL CENTER INC BROWN 28 CARE WITH HEART HOME SERVICES RAMSEY 312 28 PAGE# 28 76 63 7 7 Minnesota Department of Health Division of Compliance Monitoring Index For Directory of Facilities and Services FACILITY NAME COUNTY CARECO APARTMENTS INC DAKOTA CAREFOCUS CORPORATION RAMSEY CAREFREE HOME SERVICES INC ANOKA CAREGVR SUPT PRG KOREAN SRV CT HENNEPIN CARELINKS HOME CARE INC RAMSEY CAREMATE HOME HEALTH CARE INC RAMSEY CAREMATE HOME HEALTH CARE INC CAREMAXX HEALTH CARE SYSTEM PAGE# Index Page 8 FACILITY NAME COUNTY PAGE# 70 CATHOLIC ELDERCARE AT HOME HENNEPIN 160 312 CATHOLIC ELDERCARE ON MAIN HENNEPIN 160 CBD HOME CARE INC HENNEPIN 139 160 CDS HOMEMAKING PLUS OTTER TAIL 280 312 CDS WELCOME HOME LLC MISSISSIP STEARNS 377 312 CEDAR COTTAGE BELTRAMI 16 RAMSEY 312 CEDAR CREST ESTATE MCLEOD 244 HENNEPIN 105 CEDAR CREST OF COSMOS MEEKER 246 CAREMAXX HEALTH CARE SYSTEMS HENNEPIN 111 CEDAR CREST OF SILVER LAKE MCLEOD 245 CAREMAXX HEALTH CARE SYSTEMS HENNEPIN 111 CEDAR PARK APARTMENTS - 1266 RAMSEY 313 CAREMAXX HEALTH CARE SYSTEMS HENNEPIN 111 CEDAR PARK APARTMENTS - 1286 RAMSEY 313 CAREMAXX HEALTH CARE SYSTEMS HENNEPIN 111 CEDAR PARK ARARTMENTS - 1288 RAMSEY 313 CAREMAXX HEALTH CARE SYSTEMS HENNEPIN 111 CEDAR RIDGE WASHINGTON 400 CAREMAXX HEALTH CARE SYSTEMS HENNEPIN 111 CEDARS OF AUSTIN MOWER 255 CAREMAXX HEALTH CARE SYSTEMS HENNEPIN 105 CELEBRITY HOME HEALTH PARTNERS WASHINGTON 398 CAREMAXX HEALTHCARE SYSTEMS IN HENNEPIN 111 CENTENNIAL HOUSE OF APPLE VALY DAKOTA CAREMINDERS HOME CARE HENNEPIN 126 CENTENNIAL LAKES SURGERY CTR HENNEPIN 126 CARING & COMPASSIONATE HCA LLC NOBLES 262 CENTENNIAL VILLA WRIGHT 409 CARING FOR ANGELS INC HENNEPIN 160 CENTENNIAL VILLA ASSISTED LIVI WRIGHT 409 CARING HANDS HOME CARE WADENA 390 CENTENNIAL VILLA ASSISTED LVN WRIGHT 409 CARING HANDS HOME HEALTH CARE RAMSEY 312 CENTER FOR DIAGNOSTIC IMAGING HENNEPIN 205 CARING HEARTS AT HOME LLC WRIGHT 413 CENTER PARK SENIOR APARTMENTS/ HENNEPIN 105 CARING NURSES LLC HENNEPIN 111 CENTER POINTE APARTMENTS HENNEPIN 105 CARING NURSES LLC HENNEPIN 111 CENTRA CARE BIG LAKE DIALYSIS SHERBURNE 368 CARING NURSES LLC HENNEPIN 112 CENTRACARE - MELROSE PARK VIEW STEARNS 374 CARING PROFESSIONALS HOMECARE RAMSEY 313 CENTRACARE CAMBRIDGE DIALYSIS ISANTI 214 CARLSON DRAKE HOUSE HENNEPIN 96 CENTRACARE DIALYSIS MORRISON 251 CARLTON PLACE CARLTON 32 CENTRACARE DIALYSIS HLTH PLAZA STEARNS 377 CAROL BURNETT HENNEPIN 96 CENTRACARE DIALYSIS LAKEWOOD WADENA 391 CARONDELET VILLAGE - BETHANY C RAMSEY 313 CENTRACARE HEALTH SYS MELROSE STEARNS 374 CARONDELET VILLAGE CARE CENTER RAMSEY 313 CENTRACARE HEALTH SYSM-MELROSE STEARNS 374 CARRIAGE HOUSE APARTMENTS CLAY 49 CENTRACARE HEALTH SYSTEM-LONG TODD 387 CARSTENS HARBOUR ISANTI 214 CENTRACARE HLTH SYSTEM LONG PR TODD 387 CARSTENS HARBOUR INC ISANTI 214 CENTRACARE KIDNEY PROGRAM DOUGLAS CARTY HEIGHTS RAMSEY 313 CENTRACARE KIDNEY PROGRAM MILLE LACS 250 CASCADE CARE SERVICES INC STEELE 381 CENTRACARE KIDNEY PROGRAM STEARNS 377 CASS CO PUBLIC HEALTH SERVICES CASS 42 CENTRACARE LITCHFIELD DIALYSIS MEEKER 247 CASS LAKE DIALYSIS FACILITY CASS 41 CENTRACARE SURGERY CTR LLC STEARNS 377 CASS LAKE INDIAN HLTH SERV HOS CASS 41 CENTRAL HEALTH CARE LESUEUR 235 CASTLE RIDGE CARE CENTER HENNEPIN 123 CENTRAL MINNESOTA REG DIALYSIS MILLE LACS 250 CASTLE RIDGE MANOR HOUSE HENNEPIN 123 CENTRAL MINNESOTA SENIOR CARE KANDIYOHI 224 CASTLEVIEW APARTMENTS OLMSTED 265 CENTRAL MINNESOTA SENIOR CARE KANDIYOHI 225 CATHARINE A NISAM HENNEPIN 131 CENTRAL MINNESOTA SENIOR CARE SWIFT 385 CATHOLIC CHARITIES HENNEPIN 160 CENTRAL MINNESOTA SENIOR CARE POPE 289 CATHOLIC CHARITIES CAREGIVER S RAMSEY 313 CENTRAL MINNESOTA SENIOR CARE SWIFT 385 CATHOLIC ELDERCARE AT HOME HENNEPIN 160 CENTRAL MINNESOTA SENIOR CARE KANDIYOHI 223 11 61 81 Minnesota Department of Health Division of Compliance Monitoring Index For Directory of Facilities and Services FACILITY NAME COUNTY PAGE# CENTRAL MINNESOTA SENIOR CARE SWIFT CENTRAL MINNESOTA SENIOR CARE CROW WING CENTRAL MINNESOTA SENIOR CARE KANDIYOHI 225 CENTRAL MINNESOTA SENIOR CARE KANDIYOHI CENTRAL MINNESOTA SENIOR CARE KANDIYOHI CENTRAL MINNESOTA SENIOR CARE MORRISON CENTRAL MINNESOTA SENIOR CARE CENTRAL MINNESOTA SENIOR CARE/ Index Page 9 FACILITY NAME COUNTY PAGE# CHERYLS NURSING POOL INC MEEKER 247 CHESTNUT GROVE EAST SAINT LOUIS 362 CHESTNUT GROVE NORTH SAINT LOUIS 362 225 CHESTNUT GROVE SOUTH SAINT LOUIS 362 224 CHESTNUT GROVE WEST SAINT LOUIS 363 251 CHEZ VOUS HOME CARE LLC HENNEPIN 197 KANDIYOHI 225 CHEZ VOUS HOME CARE LLC HENNEPIN 196 LYON 239 CHICOS BOARD AND LODGE DODGE CENTRAL MN MENTAL HLTH CENTER STEARNS 378 CHILD& ADOL BEHAV HLTH (CABHS) KANDIYOHI 226 CENTRAL MN SENIOR CARE INC KANDIYOHI 225 CHILDREN'S THERAPLAY LLC RAMSEY 292 CENTRAL MN SENIOR CARE INC KANDIYOHI 225 CHILDRENS HC MPLS AMB & REHAB HENNEPIN 184 CENTRAL MN SENIOR CARE TOUCH O POPE 290 CHILDRENS HEALTH CARE SERVICES HENNEPIN 185 CENTRAL MN SURGICAL CENTER LLC STEARNS 376 CHILDRENS HOME CARE & HOSPICE HENNEPIN 160 CENTRAL TODD CO CARE CENTER TODD 386 CHILDRENS HOME CARE & HOSPICE HENNEPIN 161 CENTRAL TODD CO CC H C & APTS TODD 387 CHILDRENS HOSP & CLINICS MINNE HENNEPIN 161 CENTRAL TODD COUNTY HOME CARE TODD 387 CHIPPEWA CO MONTEVIDEO HOSP CHIPPEWA 44 CENTRAL TOWERS RAMSEY 313 CHISAGO CO PUBLIC HEALTH DEPT CHISAGO 47 CENTRAL TOWERS RAMSEY 330 CHOICE HOME CARE INC OLMSTED 266 CERENITY CARE CENTER WBL RAMSEY 331 CHOICE HOUSE HENNEPIN 112 CERENITY CARE CTR MARIAN RAMSEY 313 CHOSEN VALLEY ASSISTED LIVING FILLMORE 86 CERENITY CARE CTR ON HUMBOLDT RAMSEY 314 CHOSEN VALLEY CARE CENTER FILLMORE 86 CERENITY CC MARIAN ST PAUL RAMSEY 314 CHRIS DEUTH OF DEUTH MANAGEMEN HENNEPIN 112 CERENITY RES ON HUMBOLDT RAMSEY 314 CHRIS JENSEN HLTH & REHAB CTR SAINT LOUIS 348 CERENITY RES ON HUMBOLDT RAMSEY 314 CHRISTIAN GLANCEY RAMSEY 330 CERENITY RES SOUTH ST PAUL DAKOTA 77 CHRISTINE PROFESSIONAL HC INC HENNEPIN 161 CERENITY RESIDENCE - MARIAN OF RAMSEY 314 CHRISTINE PROFESSIONAL HEALTH RAMSEY 297 CERENITY RESIDENCE OF WBL RAMSEY 331 CHRONIC DIALYSIS UNIT CROW WING 57 CERENITY RESIDENCE SOUTH ST PA DAKOTA 77 CHU SURGERY CENTER LLC HENNEPIN 96 CHALLET HENNEPIN 126 CIMARRON ASSISTED LIVING DAKOTA 76 CHAMPLIN SHORES ASSIST LIVING HENNEPIN 119 CIP CITY LIGHTS HENNEPIN 120 CHAMPLIN SUITE LIVING CARE LLC HENNEPIN 120 CIRCLE DOWN ASSISTED LIVING HENNEPIN 132 CHANDLER PLACE HOME HLTH CARE RAMSEY 305 CIRCLE DOWN ASSISTED LIVING HENNEPIN 132 CHAPPYS GOLDEN SHORES AITKIN 1 CIRCLE DRIVE MANOR ASST LVNG DODGE CHAPPYS GOLDEN SHORES AITKIN 1 CIRCLE OF LIFE HC ANISHINAABE HENNEPIN 161 CHARIS HOME HEALTH CARE INC DAKOTA 73 CITY LIMITS HENNEPIN 161 CHARLOTTE L EAST DAKOTA 73 CLADDAGH HOUSE INC HOUSTON 211 CHARTER HOUSE OLMSTED 265 CLARA CITY CARE CENTER CHIPPEWA 43 CHARTER HOUSE INC OLMSTED 266 CLARA CITY CARE CENTER CHIPPEWA 43 CHARTERHOUSE HHA OLMSTED 266 CLARE APARTMENTS HENNEPIN 161 CHASKA PLAZA SURGERY CENTER CARVER CLARE BRIDGE OF EAGAN DAKOTA CHERISHED HOME MANAGEMENT SAINT LOUIS 359 CLARE BRIDGE OF EDEN PRAIRIE HENNEPIN 124 CHERRYWOOD ADVANCED LIVING BENTON 20 CLARE BRIDGE OF NORTH OAKS RAMSEY 298 CHERRYWOOD OF BIG LAKE SHERBURNE 368 CLARE BRIDGE OF OWATONNA STEELE 381 CHERRYWOOD OF BIG LAKE SHERBURNE 368 CLARE BRIDGE OF PLYMOUTH HENNEPIN 193 CHERRYWOOD OF RICHMOND STEARNS 375 CLARE BRIDGE OF WEST ST PAUL DAKOTA CHERRYWOOD OF RICHMOND STEARNS 375 CLARE HOUSING HENNEPIN 385 56 37 81 81 67 78 161 Minnesota Department of Health Division of Compliance Monitoring Index For Directory of Facilities and Services FACILITY NAME COUNTY CLARE MIDTOWN HENNEPIN CLARKFIELD CARE CENTER CLARKFIELD HOME HEALTH AGENCY PAGE# Index Page 10 FACILITY NAME COUNTY PAGE# 161 COMFORT KEEPERS HENNEPIN 192 YELLOW MEDICINE 415 COMFORT KEEPERS ANOKA YELLOW MEDICINE 415 COMFORT SERVICES LLC HENNEPIN 161 CLARKFIELD HOUSING & REDEVELOP YELLOW MEDICINE 415 COMFORTABLE HOME HEALTH CARE L HENNEPIN 105 CLAY COUNTY RECEIVING CENTER CLAY 49 COMFORTCARE NURSING SERVICES I HENNEPIN 121 CLAYCO CARE CENTER CLAY 48 COMFORTS OF HOME CARE LLC RAMSEY 331 CLAYRIDGE ASSISTED LIVING SAINT LOUIS COMM ADDICTION REC ENTERPRISE NICOLLET 260 CLEARWATER CO MEMORIAL HOSP CLEARWATER 51 COMM ADDICTION RECOVERY ENTERP OTTER TAIL 275 CLEARWATER CO NSG SERVICE CLEARWATER 51 COMM BEHAV HLTH HOSP ANNANDALE WRIGHT 409 CLEARWATER HEALTH SERVS CLINIC CLEARWATER 52 COMM BEHAV HLTH HOSP BAXTER CROW WING 55 CLEARWATER HEALTH SERVS CLINIC CLEARWATER 51 COMM BEHAV HLTH HOSP BEMIDJI BELTRAMI 16 CLEARWATER HOSPICE CLEARWATER 52 COMM BEHAV HLTH HOSP ROCHESTER OLMSTED 266 CLINIQUE HEALTH CARE SERVICES HENNEPIN 120 COMM BEHAV HOSP FERGUS FALLS OTTER TAIL 275 CLINIQUE HEALTHCARE SERVICES I HENNEPIN 121 COMM BEHAVIORAL HEALTH HOSP NICOLLET 260 CLINTON CARE CENTER BIG STONE 21 COMM BEHAVIORAL HEALTH HOSP DOUGLAS CNS HOME HEALTH CARE OLMSTED 266 COMM OPTIONS AND RESOURCES I MARTIN CODE CARE LLC HENNEPIN 112 COMMON SENSE SERVICES DAKOTA 72 COKATO MANOR WRIGHT 411 COMMUNITIES OF CARE RAMSEY 304 COKATO MANOR COMPANION CARE WRIGHT 411 COMMUNITY ADDICTION RECOVERY CARLTON 32 COKATO MANOR HOME HEALTH WRIGHT 411 COMMUNITY ADDICTION RECOVERY E CROW WING COLBY LAKE CARE HOME INC WASHINGTON 402 COMMUNITY ADDICTION WILLMAR KANDIYOHI COLFAX VILLAS HENNEPIN 161 COMMUNITY ASSISTED LIVING DAKOTA COLLEENS CARING HANDS BELTRAMI 16 COMMUNITY ASSISTED LIVING INC SCOTT 367 COLONIAL ACRES HEALTH CARE CTR HENNEPIN 132 COMMUNITY ASSISTED LIVING INC SCOTT 365 COLONIAL COURT APARTMENTS DAKOTA 78 COMMUNITY ASSISTED LIVING INC SCOTT 366 COLONIAL MANOR NURSING HOME JACKSON 221 COMMUNITY ASSISTED LIVING INC DAKOTA 68 COLONIAL MANOR OF BALATON LYON 238 COMMUNITY ASSISTED LIVING INC DAKOTA 68 COLONIAL PARK APARTMENTS DAKOTA 77 COMMUNITY ASSISTED LIVING INC DAKOTA 68 COLONY COURT WASECA 393 COMMUNITY ASSISTED LIVING INC DAKOTA 61 COLONY COURT MEM C & C SUITES WASECA 393 COMMUNITY FOUNDATIONS RAMSEY 314 COLORADO COURT HENNEPIN 205 COMMUNITY HEALTHCARE SERVICE DAKOTA 61 COLUMBIA VILLAGE ANOKA COMMUNITY HOME HEALTH INC SCOTT 365 COMFORCARE SENIOR SERVICES HENNEPIN 126 COMMUNITY INVOLVEMENT PROG HHS HENNEPIN 162 COMFORCARE SENIOR SERVICES-MIN HENNEPIN 185 COMMUNITY LIVING INC COTTAGE 1 CARVER 39 COMFORT CARE COTTAGES WADENA 392 COMMUNITY LIVING INC COTTAGE 2 CARVER 39 COMFORT HEALTH CARE HENNEPIN 112 COMMUNITY LIVING INC COTTAGE 3 CARVER 39 COMFORT HOME HEALTH CARE OLMSTED 266 COMMUNITY LIVING INC COTTAGE 4 CARVER 39 COMFORT HOME HEALTH CARE OLMSTED 266 COMMUNITY LIVING INC COTTAGE 5 ANOKA 7 COMFORT KEEPERS NORTH DAKOTA 416 COMMUNITY LIVING INC COTTAGE 6 ANOKA 7 COMFORT KEEPERS PIPESTONE 285 COMMUNITY LIVING OPTIONS INC WASHINGTON 402 COMFORT KEEPERS MORRISON 251 COMMUNITY MEM HOSP ESRD UNIT WINONA 407 COMFORT KEEPERS HENNEPIN 192 COMMUNITY MEMORIAL HOME DOUGLAS 85 COMFORT KEEPERS STEARNS 380 COMMUNITY MEMORIAL HOSPITAL CARLTON 33 COMFORT KEEPERS DAKOTA COMMUNITY OPTIONS ANOKA 10 COMFORT KEEPERS ANOKA COMMUNITY SUPPORTS PROGRAMMING PINE 283 COMFORT KEEPERS WASHINGTON COMO VILLA ESTATES RAMSEY 314 346 5 70 4 402 4 81 243 57 226 61 Minnesota Department of Health Division of Compliance Monitoring Index For Directory of Facilities and Services FACILITY NAME COUNTY COMPASSIONATE CARE HOSPICE NOBLES COMPASSIONATE CARE INC COMPASSIONATE CARE NETWORK LLC PAGE# Index Page 11 FACILITY NAME COUNTY 262 COUNTRY MANOR EXTENDED SVCS BENTON KANDIYOHI 226 COUNTRY MANOR HLTH & REHAB CTR BENTON HENNEPIN 121 COUNTRY MEADOWS MILLE LACS 249 COMPASSIONATE COTTAGE LLC KANDIYOHI 226 COUNTRY NEIGHBORS WASECA 393 COMPASSIONATE COTTAGE LLC KANDIYOHI 226 COUNTRY NEIGHBORS BLUE EARTH 23 COMPASSIONATE HOME CARE ROSEAU 344 COUNTRY NEIGHBORS BLUE EARTH 27 COMPASSIONATE HOME HEALTH INC ANOKA 5 COUNTRY NEIGHBORS LESUEUR 235 COMPASSIONCARE CLAY 49 COUNTRY VIEW SENIOR COMMUNITY REDWOOD 334 COMPASSIONCARE SERVICES LLC CLAY 50 COUNTRYSIDE CATERED SR LIVING STEELE 381 COMPLETE HOME HEALTH SERVICES HENNEPIN 203 COUNTRYSIDE RETIREMENT COMMUNI BROWN COMPREHENSIVE HOME CARE INC HENNEPIN 162 COURAGE CENTER HENNEPIN 132 COMSTOCK COURT ITASCA 217 COURAGE CENTER OUTPATIENT SRVS HENNEPIN 132 CONCERNED CARE CHIPPEWA 44 COURAGE RESIDENCE HENNEPIN 132 CONFIDENT HOME CARE INC HENNEPIN 96 COURAGE ST CROIX WASHINGTON 400 CONGREGATE HOUSING SERVS PROG RAMSEY 314 COVENANT HOME HEALTH CARE LLC ANOKA CONNECTCARE MCLEOD 244 COVENANTCARE AT HOME HENNEPIN 132 CONNECTCARE MCLEOD 244 COVENTRY SENIOR LIVING WASHINGTON 397 CONNIE R DAVIS LPN ISANTI 215 COVENTRY SENIOR LIVING WASHINGTON 397 COOK CAREFREE LIVING INC SAINT LOUIS 347 CREEKRIDGE CONCIERGE SCOTT 366 COOK CO NORTHSHORE HOSP &C CTR COOK 53 CREEKSIDE COTTAGE CATERED LIVI ANOKA 7 COOK CO NORTHSHORE HOSP HM HLT COOK 53 CREST VIEW HOME CARE ANOKA 6 COOK HOSPITAL SAINT LOUIS CREST VIEW HOME HEALTH CARE ANOKA 6 COON RAPIDS DIALYSIS UNIT ANOKA CREST VIEW LUTHERAN HOME ANOKA 6 COPPER GLEN CHIPPEWA CREST VIEW ON 42ND ANOKA 6 COPPERFIELD HILL - THE MANOR HENNEPIN 201 CREST VIEW VILLA DODGE COPPERFIELD HILL PHASE II HENNEPIN 201 CROIXDALE WASHINGTON 394 COPPERLEAF SENIOR LIVING KANDIYOHI 226 CROIXDALE WASHINGTON 394 COPPERLEAF SENIOR LIVING KANDIYOHI 226 CROOKSTON HOUSING & ECONOMIC D POLK 286 CORAM SPECIALTY INFUSION SERV DAKOTA CROSS HOME MOWER 255 CORNELIA HOUSE RAMSEY 314 CROSSROADS APARTMENTS POLK 288 CORNERSTONE ASSISTED LIVING HENNEPIN 193 CROSSROADS AT PENN HENNEPIN 197 CORNERSTONE NSG & REHAB CENTER CLEARWATER 52 CROSSROADS AT PENN HENNEPIN 197 CORNERSTONE RES OF BAGLEY INC CLEARWATER 52 CROSSROADS AT PENN HENNEPIN 197 CORNERSTONE RESID OF KELLIHER BELTRAMI 18 CROSSROADS AT PENN HENNEPIN 197 CORNERSTONE RESIDENCE POLK 288 CROSSROADS AT PENN HENNEPIN 197 CORNERSTONE VILLA SAINT LOUIS 347 CROSSROADS CARE CENTER NOBLES 262 COTEAU DES PRAIRIES HOSPITAL H SOUTH DAKOTA 418 CROSSROADS SURGERY CENTER RICE 337 COTTAGE GROVE DIALYSIS WASHINGTON 395 CROSSTOWN SURGERY CENTER LLC HENNEPIN 126 COTTAGE GROVE WHITE PINE WASHINGTON 395 CROW WING COUNTY HEALTH DEPT CROW WING COTTAGE GROVE WP II LLC WASHINGTON 395 CROWN MEDICAL HOME HEALTH AGEN HENNEPIN 162 COTTAGE ON FOREST RICE 340 CRS GROTTO REENTRY LLC RAMSEY 314 COTTONWOOD JACKSON COMM H S JACKSON 221 CRS PENN RE-ENTRY LLC HENNEPIN 162 COUNTRY HOME COMFORTS PINE 283 CRYSTAL CARE ASSISTED LIVING HENNEPIN 197 COUNTRY HOME COMFORTS LLC KANABEC 222 CRYSTAL CARE CENTER HENNEPIN 121 COUNTRY LVNG MANAGEMENT CO KANDIYOHI 224 CRYSTAL CARE HOME HLTH SRV INC HENNEPIN 197 COUNTRY MANOR EXTENDED SERV BENTON 19 CRYSTAL CARE SUPPORT SERVICES HENNEPIN 197 347 7 44 74 PAGE# 19 19 30 7 80 57 Minnesota Department of Health Division of Compliance Monitoring Index For Directory of Facilities and Services FACILITY NAME COUNTY PAGE# CRYSTAL LAKE HOME ITASCA CRYSTAL SEASONS LVG COMMUNITY BLUE EARTH CSSC HOME CARE SERVICES HENNEPIN 197 CTRL MN RECEIVING AND REFERRAL STEARNS CUSTOMCARE HOME HEALTH CARE LL HENNEPIN CUYUNA REGIONAL MEDICAL CENTER CROW WING CYPRESS MANOR ANOKA DAISY HOME CARE INC HENNEPIN DAKOTA CO RECEIVING CENTER DAKOTA DAKOTA HOMEMAKING SERVICES INC DAKOTA DALYCE ELLIOTT YOUNG RAMSEY DANEBOD VILLAGE HOME DARTS Index Page 12 FACILITY NAME COUNTY DEER RIVER HOME CARE ITASCA DEERCREST GOODHUE DELPHI SCOTT 367 378 DEMAR ASSOCIATES INC ANOKA 7 124 DESTINY HOME CARE SERVICES HENNEPIN 96 59 DESTINY HOME CARE SERVICES HENNEPIN 96 2 217 23 PAGE# 217 91 DESTINY HOME CARE SERVICES HENNEPIN 96 132 DESTINY HOME CARE SERVICES INC HENNEPIN 97 69 DIAMOND WILLOW AL -LESTER PARK SAINT LOUIS 348 61 DIAMOND WILLOW AL -LESTER PARK SAINT LOUIS 348 315 DIAMOND WILLOW ASSISTED LIVING HUBBARD 212 LINCOLN 237 DIAMOND WILLOW ASSISTED LIVING CROW WING 55 DAKOTA 78 DIAMOND WILLOW ASSISTED LIVING CARLTON 33 DARYEEL HOME CARE LLC STEELE 381 DIAMOND WILLOW ASSISTED LIVING SAINT LOUIS 362 DAS GOLDENE WOHNHEIM STEARNS 375 DIAMOND WILLOW ASSISTED LIVING SAINT LOUIS 361 DASSEL MEDICAL CENTER MEEKER 246 DIAMOND WILLOW ASSISTED LIVING BECKER DAWNS ELDER CARE RICE 337 DIAMOND WILLOW ASSISTED LIVING CROW WING 55 DAWSON CLINIC LAC QUI PARLE 232 DIAMOND WILLOW ASSISTED LIVING SAINT LOUIS 362 DAWSON ICFMR LAC QUI PARLE 232 DIAMOND WILLOW ASSISTED LIVING DOUGLAS DCI 3801 BROADWAY HENNEPIN 201 DIAMOND WILLOW ASSISTED LIVING DOUGLAS 82 DCI 3807 BROADWAY HENNEPIN 201 DIAMOND WILLOW ASSISTED LIVING MORRISON 252 DCI 75TH HENNEPIN 139 DIAMOND WILLOW ASSISTED LIVING MORRISON 251 DCI BROOKVIEW RAMSEY 292 DIAMOND WILLOW ASSISTED LIVING BECKER DCI CARMEN DAKOTA 74 DIAMOND WILLOW ASSISTED LIVING HUBBARD 212 DCI CENTRAL ISANTI 214 DIAMOND WILLOW ASSISTED LIVING SAINT LOUIS 362 DCI CONGRESS DAKOTA 77 DIAMOND WILLOW ASSISTED LIVING CARLTON DCI COPE RAMSEY 292 DIAMOND WILLOW ASSISTED LIVING SAINT LOUIS 361 DCI DAKOTA ADULTS DAKOTA 74 DIAMOND WILLOW ASSISTED LIVING ITASCA 217 DCI DIANE DAKOTA 74 DIAMOND WILLOW ASSISTED LIVING SAINT LOUIS 362 DCI DOUGLAS WRIGHT 409 DIAMOND WILLOW ASSISTED LIVING SAINT LOUIS 361 DCI EDGEWOOD HENNEPIN 112 DIAMOND WILLOW ASSISTING LIVIN ITASCA 218 DCI EMERSON DAKOTA DIAMONDCREST SENIOR LIVING HENNEPIN 202 DCI FRANCE HENNEPIN DIAMONDS HOME HEALTH CARE INC HENNEPIN 162 DCI KENNELLY DAKOTA DIANE AHRENS CRISIS RESIDENCE RAMSEY 315 DCI LARPENTEUR RAMSEY 293 DIGNITY AND GRACE AL HOME CASS DCI LYNDALE HENNEPIN 105 DIGNITY IN-HOME CARE INC HENNEPIN 185 DCI MARY ADELE DAKOTA 75 DIRECTIONS FOR LIFE SAINT LOUIS 358 DCI MARYLAND RAMSEY 293 DISTRICT ONE HOSPITAL RICE 337 DCI POPPLER DAKOTA 67 DIVERSIFIED PROPERTIES HENNEPIN 162 DCI POWELL CIRCLE SHERBURNE DIVERSIFIED PROPERTY MANAGEMEN HENNEPIN 162 DCI UPPER 55TH STREET DAKOTA DIVINE CARE LLC DAKOTA 73 DEACONESS TOWER RICE 337 DIVINE HEALTHCARE NETWORK RAMSEY 315 DEACONESS TOWER RICE 337 DIVINE HOME CARE INC KANDIYOHI 226 DECKER'S FAMILY CARE INC/PAPER KOOCHICHING 230 DIVINE HOME CARE INC KANDIYOHI 226 DECKERS FAMILY CARE INC KOOCHICHING 231 DIVINE HOUSE INC KANDIYOHI 226 DEER RIVER HEALTH CARE CENTER ITASCA 217 DIVINE HOUSE INC KANDIYOHI 227 78 201 64 368 70 12 82 12 33 41 Minnesota Department of Health Division of Compliance Monitoring Index For Directory of Facilities and Services FACILITY NAME COUNTY DIVINE HOUSE INC/VALLEY QUEST KANDIYOHI DIVINE HOUSE INC/VALLEYBROOK H DIVINE LOVE HOME CARE SERVICES PAGE# Index Page 13 FACILITY NAME COUNTY PAGE# 227 EARLE BROWN TERRACE HENNEPIN 105 KANDIYOHI 227 EAST RIDGE COURT RENVILLE 336 HENNEPIN 112 EASTWOOD HOME REDWOOD 333 DIVINE NURTURING HOMECARE SVCS HENNEPIN 112 EASTWOOD SENIOR LVG HOME CARE KANABEC 222 DIVINE PROVIDENCE COMM HOME BROWN 30 EBENEZER CARE CENTER HENNEPIN 163 DIVINE PROVIDENCE HEALTH CENTR LINCOLN 237 EBENEZER HOME CARE HENNEPIN 163 DIVINE RESULTS HOME CARE INC HENNEPIN 209 EBENEZER LAKES SENIOR HOUSING CHISAGO 48 DIVINE TOUCH HOME HEALTH CARE OLMSTED 266 EBENEZER PARK APARTMENTS HENNEPIN 163 DL SURGERY CENTER BECKER EBENEZER RIDGE POINT APARTMENT DAKOTA DMS IMAGING INC HENNEPIN 139 EBENEZER RIDGES GERIATRIC CC DAKOTA DOMAN ROSE PLACE JACKSON 221 EBENEZER TOWER APARTMENTS HENNEPIN 163 DOMAN ROSE PLACE JACKSON 221 ECUMEN AT HOME RAMSEY 304 DOMINION HOME HEALTH SERVICES MCLEOD 244 ECUMEN HOME CARE RAMSEY 304 DOMUS HEALTH CARE RAMSEY 315 ECUMEN LAKEVIEW COMMONS RAMSEY 293 DONA CARING HEARTS INC ANOKA 2 ECUMEN LAKEVIEW COMMONS RAMSEY 293 DONNA MARIE NORGREN HENNEPIN 127 ECUMEN LITCHFIELD SR HSG SERVS MEEKER 247 DONOVAN FRANK DETOX CENTER SAINT LOUIS 363 ECUMEN NORTH BRANCH CHISAGO 47 DORI GIEBLER DAKOTA 70 ECUMEN OF LITCHFIELD HOME CARE MEEKER 247 DOUGLAS CO PUB HEALTH HOSPICE DOUGLAS 82 ECUMEN PINES MCLEOD 244 DOUGLAS COUNTY HOSPITAL DOUGLAS 82 ECUMEN PRAIRIE HILL NICOLLET 260 DR THOMAS H JOHNSON HWS HENNEPIN 162 ECUMEN PRAIRIE LODGE HENNEPIN 105 DR THOMAS H JOHNSON HWS HENNEPIN 162 ECUMEN SAND PRAIRIE NICOLLET 260 DR THOMAS H JOHNSON HWS HENNEPIN 162 ECUMEN SCENIC SHORES LAKE 233 DR THOMAS H JOHNSON'S HOUSE WI HENNEPIN 163 ECUMEN SCENIC SHORES ASST LVG LAKE 234 DRCC AURORA SAINT LOUIS 346 ECUMEN SEASONS AT MAPLEWOOD RAMSEY 293 DRCC LAVERNE SAINT LOUIS 349 ECUMEN SEASONS AT MAPLEWOOD RAMSEY 293 DULUTH REG CARE CTR THALASSIC LAKE 233 EDELWEISS HOME HEALTH CARE HENNEPIN 139 DUNGARVIN BALBRIGGEN RAMSEY 315 EDEN PARK APARTMENTS HENNEPIN 105 DUNGARVIN CAMARA RAMSEY 304 EDEN PRAIRIE DIALYSIS HENNEPIN 124 DUNGARVIN CHAI HENNEPIN 193 EDEN RESIDENTIAL PROGRAM HENNEPIN 163 DUNGARVIN MINNESOTA LLC DAKOTA 75 EDGEBROOK CARE CENTER PIPESTONE 284 DUNGARVIN TIKVAH RAMSEY 315 EDGEBROOK ESTATES PIPESTONE 285 DUNGARVIN YOUGAL HENNEPIN 139 EDGEBROOK ESTATES ASSISTED LIV PIPESTONE 285 DUNGARVIN/COVINGTON COURT 374 DAKOTA 78 EDGEWATER ASSISTED LIVING PINE 283 DUNGARVIN/COVINGTON COURT 376 DAKOTA 78 EDGEWOOD CARE INC ITASCA 216 DUNGARVIN/HUMBOLDT HENNEPIN 112 EDGEWOOD GABLES WRIGHT 411 DUNGARVIN/HUMBOLDT HENNEPIN 113 EDGEWOOD VISTA POLK 287 DUNGARVIN/HUMBOLDT HENNEPIN 113 EDGEWOOD VISTA ALEXANDRIA DOUGLAS DUNGARVIN/HUMBOLDT HENNEPIN 112 EDGEWOOD VISTA ALZHEIMERS CARE SAINT LOUIS 358 E B I INCORPORATED SAINT LOUIS 349 EDGEWOOD VISTA BRAINERD CROW WING 57 EAGAN DIALYSIS UNIT DAKOTA 67 EDGEWOOD VISTA BRAINERD ALZHEI CROW WING 57 EAGLE CREST ARBOR RAMSEY 300 EDGEWOOD VISTA HERMANTOWN SAINT LOUIS 358 EAGLE CREST COMMONS RAMSEY 300 EDGEWOOD VISTA HERMANTOWN - AL SAINT LOUIS 358 EAGLE STREET CATERED LIVING ANOKA EDGEWOOD VISTA SUITES SAINT LOUIS 358 EAGLECREST RAMSEY 300 EDGEWOOD VISTA VIRGINIA SAINT LOUIS 363 EAGLES CROSSING HOME MANAGEMNT TODD 387 EDGEWOOD VISTA VIRGINIA - ALZ SAINT LOUIS 363 12 7 64 64 82 Minnesota Department of Health Division of Compliance Monitoring Index For Directory of Facilities and Services FACILITY NAME COUNTY EDINA CARE & REHAB CENTER HENNEPIN EDINA DIALYSIS CENTER EDINA PARK PLAZA PAGE# Index Page 14 FACILITY NAME COUNTY PAGE# 127 EPISCOPAL HOME CARE AND SERVIC RAMSEY 315 HENNEPIN 127 EPISCOPAL HOME CARE AND SRVS RAMSEY 315 HENNEPIN 127 EQUITY SERVICES OF ST PAUL RAMSEY 316 EDINA PARK PLAZA HENNEPIN 127 ESSENTIA HEALTH - SANDSTONE PINE 284 EDINA SURGERY CENTER HENNEPIN 127 ESSENTIA HEALTH ADA NORMAN 263 EFFICIENT MEDICAL SERVICES INC RAMSEY 315 ESSENTIA HEALTH BAGLEY CLINIC CLEARWATER ELDER CARE SERVICES INC BLUE EARTH 23 ESSENTIA HEALTH CHOKIO CLINIC BIG STONE ELDER HAVEN HOMES LLC WASHINGTON 396 ESSENTIA HEALTH DULUTH SAINT LOUIS 349 ELDER HOMESTEAD HENNEPIN 185 ESSENTIA HEALTH FOSSTON POLK 288 ELDERCARE SOLUTIONS INC HENNEPIN 163 ESSENTIA HEALTH FOSSTON HM HTH POLK 288 ELDERS HOME INC OTTER TAIL 279 ESSENTIA HEALTH GRACE HOME BIG STONE ELDERWOOD OF HINCKLEY PINE 283 ESSENTIA HEALTH OAK CROSSING BECKER ELDERWOOD OF HINCKLEY PINE 283 ESSENTIA HEALTH SANDSTONE PINE ELIM HOME MILLE LACS 250 ESSENTIA HEALTH ST JOSEPHS MED CROW WING ELIM HOME MILLE LACS 249 ESSENTIA HEALTH ST MARYS BECKER ELIM HOME WATERTOWN CARVER 40 ESSENTIA HEALTH ST MARYS MED SAINT LOUIS 349 ELIM SHORES HENNEPIN 124 ESSENTIA HLTH GRACEVILLE CLINI STEVENS 384 ELIMARC HEALTH CARE NETWORK IN HENNEPIN 113 ESSENTIA HLTH GRACEVILLE HH BIG STONE 22 ELITE NURSING SERVICE ANOKA ESSENTIA HLTH HOLY TRINITY HOS BIG STONE 22 ELLIOT APARTMENTS HENNEPIN 163 ESSLING'S HOMES PLUS INC RAMSEY 293 ELLIOT CARE HOME INC HENNEPIN 163 ESSLINGS HOMES PLUS INC RAMSEY 293 ELLIOT COURT APARTMENTS HENNEPIN 163 ESSLINGS HOMES PLUS INC RAMSEY 316 ELMHURST COMMONS ISANTI 214 ESSLINGS HOMES PLUS INC RAMSEY 316 ELY BLOOMENSON COMM HOSPITAL SAINT LOUIS 357 ESTEEM NURSING CARE INC HENNEPIN 113 ELY BLOOMENSON HOSPITAL HHA SAINT LOUIS 357 ESTEEM NURSING CARE INC HENNEPIN 103 ELY CAREFREE LIVING SAINT LOUIS 357 EVANS PARK SHERBURNE 369 ELY CAREFREE LIVING SAINT LOUIS 357 EVANSVILLE CARE CENTER DOUGLAS 84 ELY CAREFREE LIVING SAINT LOUIS 357 EVANSVILLE SENIOR LIVING DOUGLAS 84 EMANUEL HOUSING LP HENNEPIN 164 EVELETH HEALTH SERVICES PARK SAINT LOUIS 357 EMBRACE HOME CARE LLC FREEBORN 89 EVENSONG MANOR HENNEPIN 113 EMMANUEL COMMUNITY BECKER 12 EVENTIDE FAIRMONT CLAY 50 EMMANUEL COMMUNITY BECKER 12 EVENTIDE LUTHERAN HOME CLAY 50 EMMANUEL HOME MEEKER 248 EVENTIDE SUITES COTTONWOOD 53 EMMANUEL NURSING HOME BECKER 12 EVERGREEN APARTMENTS HENNEPIN EMMAUS PLACE MEEKER 248 EVERGREEN KNOLL CARLTON EMPATHIC HOMECARE LLC OLMSTED 266 EVERGREEN LODGE RICE ENCORE SENIOR HOME CARE HENNEPIN 130 EVERGREEN PLACE GOODHUE 91 ENGLISH ROSE SUITES HENNEPIN 209 EVERGREEN SENIOR LIVING CARLTON 33 ENGLISH ROSE SUITES HENNEPIN 127 EVERGREEN TERRACE ITASCA ENGLISH ROSE SUITES HENNEPIN 127 EVERYDAY LIVING 133 BUILDING DAKOTA 77 ENGLISH ROSE SUITES HENNEPIN 209 EXCEL PHYSICAL THERAPY WRIGHT 410 ENGLISH ROSE SUITES BRAEMAR HI HENNEPIN 127 EXCELLENT CARE SERVICES INC OLMSTED 266 EPIPHANY ASSISTED LIVING LLC ANOKA EXCEPTIONAL HOME HEALTH HENNEPIN 164 EPIPHANY HEALTH CARE SRVCS INC HENNEPIN EXPRESS HOME HEALTH CARE RAMSEY 316 EPIPHANY PINES SENIOR HOUSING ANOKA EXTENDED HAND HOME CARE OLMSTED 267 EPISCOPAL CHURCH HOME OF MN RAMSEY EXTENDED HAND HOME CARE LLC OLMSTED 267 7 8 106 8 315 52 21 22 13 284 57 13 113 33 340 218 Minnesota Department of Health Division of Compliance Monitoring Index For Directory of Facilities and Services FACILITY NAME COUNTY FAIR MEADOW NURSING HOME POLK FAIR OAKS APARTMENTS FAIR OAKS LODGE INC PAGE# Index Page 15 FACILITY NAME COUNTY 288 FILLMORE COUNTY PHNS FILLMORE WADENA 392 FIRST CARE HOSPICE POLK 288 WADENA 392 FIRST CHOICE HOME CARE INC RAMSEY 316 FAIR OAKS LODGE INC WADENA 392 FIRST CHOICE NURSING & HOME CA HENNEPIN 113 FAIR OAKS LODGE INC WADENA 392 FIRST CHOICE NURSING & HOMECAR HENNEPIN 106 FAIRFAX COMMUNITY HOME RENVILLE 335 FIRST CHOICE NURSING AND HOME HENNEPIN 106 FAIRFAX COMMUNITY HOME HEALTH RENVILLE 335 FIRST EQUITY GROUP HENNEPIN 164 FAIRFAX COMMUNITY HOME INC RENVILLE 335 FIRST PREMIER HOME HEALTH CARE HENNEPIN 193 FAIRVIEW CARE CENTER DODGE 80 FIRST PREMIER HOME HEALTH CARE HENNEPIN 164 FAIRVIEW HOME CARE AND HOSPICE HENNEPIN 164 FIRSTAT NURSING SERVICES RAMSEY 316 FAIRVIEW HOME INFUSION HENNEPIN 164 FIRSTLIGHT HEALTH SYSTEM KANABEC 222 FAIRVIEW HOSPICE HENNEPIN 164 FIVE STAR ALTERNATIVE NURSING WASHINGTON 402 FAIRVIEW LAKES HEALTH SERVICES CHISAGO 48 FIVE STAR ASSISTED LIVING SERV SAINT LOUIS 349 FAIRVIEW LAKES HOMECARING HOSP CHISAGO 46 FMC DIAL SERVS OF SPIRIT VALLE SAINT LOUIS 349 FAIRVIEW LAKES HOMECARING HOSP CHISAGO 46 FMC DIALYSIS OF DULUTH SAINT LOUIS 349 FAIRVIEW MAPLE GROVE SURG CTR HENNEPIN 140 FMC DIALYSIS SERVCES GOLDN VAL HENNEPIN 132 FAIRVIEW NORTHLAND REG HOSP MILLE LACS 251 FMC DIALYSIS SERVCES NO SUBURB ANOKA FAIRVIEW PLACE APARTMENTS RENVILLE 336 FMC DIALYSIS SERVCES ROSEVILLE RAMSEY 300 FAIRVIEW RED WING HOSPICE GOODHUE 92 FMC DIALYSIS SERVICES BUFFALO WRIGHT 410 FAIRVIEW RED WING MED CENTER GOODHUE 92 FMC DIALYSIS SRVCS GR RAPIDS ITASCA 218 FAIRVIEW RIDGES HOSPITAL DAKOTA 64 FMC DIALYSIS SRVS HUTCHINSON MCLEOD 245 FAIRVIEW SEMINARY HOME GOODHUE 92 FMC MAPLEWOOD HEIGHTS RAMSEY 293 FAIRVIEW SOUTHDALE HOSPITAL HENNEPIN 127 FMC SOUTHTOWN DIALYSIS HENNEPIN 97 FAIRVIEW UNIVERSITY TRANS SERV HENNEPIN 164 FMC WEST ST PAUL DIALYSIS DAKOTA 78 FAIRWAY PINES SENIOR LVG COMM STEARNS 376 FMCNA MORA DIALYSIS CENTER KANABEC 223 FAIRWAY VIEW SENIOR COMMUNIT BIG STONE FMCNA NEW BRIGHTON DIAL CTR RAMSEY 297 FAITH HOME CARE LLC WASHINGTON 402 FMCNA PARK AVE DIALYSIS CENTER HENNEPIN 165 FAITH HOME CARE LLC DAKOTA 77 FMCNA SHAKOPEE DIALYSIS CENTER SCOTT 367 FALLS LANDING ASSISTED LIVING PIPESTONE 285 FMCNA SOUTH MPLS DIALYSIS CTR HENNEPIN 165 FAMILIES HOME CARE HENNEPIN 164 FMCNA WACONIA DIALYSIS CARVER 40 FAMILY CARE SERVICES INC HENNEPIN 164 FOCUS XII HALFWAY HOUSE STEARNS 378 FAMILY CHOICE HOMECARE DAKOTA FOLEY NURSING CENTER BENTON FAMILY MEDICAL CENTER MORRISON 253 FOLWELL PARK APARTMENTS HENNEPIN 165 FAMILY PLUS HOMECARE HEALTH SE SHERBURNE 369 FOND DU LAC ASSISTED LIVING RE CARLTON 33 FAMILY SERVICE ROCHESTER INC OLMSTED 267 FOND DU LAC HOME CARE PROGRAM CARLTON 33 FAMILY SURGERY CENTER LLC KANDIYOHI 227 FOOTWORKS RAMSEY 299 FARIBAULT AREA HOSPICE RICE 337 FORENSIC SERVICES NICOLLET 260 FARIBAULT CARE CENTER RICE 338 FOREST LAKE DIALYSIS WASHINGTON 396 FARIBAULT DIALYSIS UNIT RICE 338 FOREVER LIFE HOME HEALTH CARE CARVER FARIBAULT SENIOR LIVING RICE 338 FOUNTAIN LAKE TREATMENT CTR FREEBORN FARIBAULT SOCS RICE 338 FRANCISCAN HEALTH CENTER SAINT LOUIS 349 FARMINGTON HEALTH SERVICES DAKOTA FRANCISCAN HOME CARE RAMSEY 316 FERGUS FALLS DIALYSIS CENTER OTTER TAIL FRANCISCAN HOME HEALTH RAMSEY 316 FIELD CREST CARE CENTER DODGE 80 FRANKLIN FAMILY HOME HEALTH AG HENNEPIN 165 FIELD CREST HOME CARE DODGE 80 FRANKLIN HOUSING COOPERATIVE HENNEPIN 165 FIELDCREST ASSISTED LIVING LYON FRASER COMMUNITY SERVICES HENNEPIN 198 22 75 68 275 238 PAGE# 87 8 18 38 89 Minnesota Department of Health Division of Compliance Monitoring Index For Directory of Facilities and Services FACILITY NAME COUNTY PAGE# FRAZEE ASSISTED LIVING H C BECKER FRAZEE CARE CENTER BECKER FREEDOM LIVING CENTER LLC RED LAKE 332 FREEDOM POINTE MINNETONKA HENNEPIN FREMONT COURT HENNEPIN FRESENIUS MED CARE COON RAPIDS ANOKA FRESENIUS MED CARE MAPLE GROVE FRESENIUS MED CARE OF CHAMPLIN Index Page 16 FACILITY NAME COUNTY PAGE# 15 GENTLE TOUCH HEALTH INITIATIVE HENNEPIN 185 15 GENTLE TOUCH HLTH INITIATV LLC HENNEPIN 132 GERIATRIC SERVICES OF MN HENNEPIN 201 185 GETTY STREET ASSISTED LIVING STEARNS 376 97 GIANNA HOMES SURSUM CORDA HENNEPIN 185 8 GIDEONS ARMY HENNEPIN 128 HENNEPIN 140 GIL-MOR HAVEN REDWOOD 332 HENNEPIN 120 GIL-MOR MANOR REDWOOD 333 FRESENIUS MED CARE OF HIBBING SAINT LOUIS 359 GILLETTE CHILDRENS SPEC HOSP RAMSEY 317 FRESENIUS MED CARE ROBBINSDALE HENNEPIN 201 GIVING GLORY HEALTH CARE SERVI HENNEPIN 165 FRESENIUS MED CARE ST LOUIS PK HENNEPIN 205 GLACIAL RIDGE HOME CARE POPE 289 FRESENIUS MEDICAL CARE EVELETH SAINT LOUIS 357 GLACIAL RIDGE HOSPICE POPE 289 FRESENIUS MEDICAL CARE MIDWAY RAMSEY 316 GLACIAL RIDGE HOSPITAL POPE 289 FRESENIUS MEDICAL OF ST PAUL RAMSEY 316 GLEN HAVEN MANOR POPE 289 FRIDLEY ASSISTED LIVING LLC DAKOTA 75 GLEN VIEW APARTMENTS POPE 289 FRIDLEY ASSISTED LIVING LLC ANOKA 10 GLENCOE REGIONAL HEALTH SRVCS MCLEOD 244 FRIDLEY DIALYSIS UNIT ANOKA 10 GLENDALOUGH OF AUSTIN INC MOWER 255 FRIENDSHIP COURT FARIBAULT 85 GLENMORE RECOVERY CENTER POLK 286 FRIENDSHIP VILLAGE OF BLOOMING HENNEPIN 97 GLENMORE THIEF RIVER FALLS PENNINGTON 282 FRIENDSHIP VILLAGE OF 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REDWOOD 333 GOLDEN HORIZON NOBLES 262 GATEWAY COMMONS HENNEPIN 106 GOLDEN HORIZONS AITKIN GATEWAY FAM HLTH CLINIC LTD CARLTON 35 GOLDEN HORIZONS SAINT LOUIS 362 GATEWAY FAMILY CLINIC PINE 284 GOLDEN HORIZONS INC PINE 283 GATEWAY FAMILY HEALTH CLINIC PINE 283 GOLDEN HORIZONS OF CROSSLAKE CROW WING 60 GATEWAY GARDENS CLAY 50 GOLDEN LIVGCTR OTTER TAIL LAKE OTTER TAIL 274 GATEWAY HOMECARE SERVICES HENNEPIN 165 GOLDEN LIVING COMM LAKE RIDGE RAMSEY 301 GATEWAY LOFTS HENNEPIN 165 GOLDEN LIVING COMM REFLECTIONS HENNEPIN 210 GENERATIONS HOME CARE INC BENTON 19 GOLDEN LIVING COMMNTY MOORHEAD CLAY 50 GENTIVA HEALTH SERVICES SAINT LOUIS 349 GOLDEN LIVINGCENTER BLOOMINGTN HENNEPIN 97 GENTIVA HEALTH SERVICES RAMSEY 300 GOLDEN LIVINGCENTER CHATEAU HENNEPIN 166 GENTLE CARE IN-HOME SVCS LLC SCOTT 366 GOLDEN LIVINGCENTER DELANO WRIGHT 412 GENTLE CARE INC HENNEPIN 205 GOLDEN LIVINGCENTER EXCELSIOR HENNEPIN 130 1 Minnesota Department of Health Division of Compliance Monitoring Index For Directory of Facilities and Services FACILITY NAME COUNTY GOLDEN LIVINGCENTER FRANKLIN RENVILLE GOLDEN LIVINGCENTER GREELEY GOLDEN LIVINGCENTER HENNING PAGE# Index Page 17 FACILITY NAME COUNTY PAGE# 335 GOOD SAM SOC HERTG PL ROSEVILE RAMSEY 301 WASHINGTON 400 GOOD SAM SOC HERTGE GROVE POLK 287 OTTER TAIL 278 GOOD SAM SOCIETY - HOME CARE HENNEPIN 133 GOLDEN LIVINGCENTER HOPKINS HENNEPIN 137 GOOD SAM SOCIETY ALBERT LEA FREEBORN 89 GOLDEN LIVINGCENTER LACRESNT HOUSTON 211 GOOD SAM SOCIETY AMBASSADOR HENNEPIN 190 GOLDEN LIVINGCENTER LAKE RIDGE RAMSEY 301 GOOD SAM SOCIETY ARLINGTON SIBLEY 371 GOLDEN LIVINGCENTER LINDEN WASHINGTON 400 GOOD SAM SOCIETY BATTLE LAKE OTTER TAIL 274 GOLDEN LIVINGCENTER LYNNHURST RAMSEY 317 GOOD SAM SOCIETY BETHANY CROW WING 57 GOLDEN LIVINGCENTER LYNWOOD ANOKA 10 GOOD SAM SOCIETY BETHANY SR CROW WING 57 GOLDEN LIVINGCENTER MEADOW LN SWIFT 386 GOOD SAM SOCIETY BLACKDUCK BELTRAMI GOLDEN LIVINGCENTER MOORHEAD CLAY 50 GOOD SAM SOCIETY BRANDT RIDGE WATONWAN GOLDEN LIVINGCENTER OLIVIA RENVILLE 336 GOOD SAM SOCIETY CLEARBROOK CLEARWATER GOLDEN LIVINGCENTER ROCH EAST OLMSTED 267 GOOD SAM SOCIETY COMFORCARE MOWER 255 GOLDEN LIVINGCENTER RUSH CITY CHISAGO 47 GOOD SAM SOCIETY GLNWD LKVIEW POPE 290 GOLDEN LIVINGCENTER SLAYTON MURRAY 258 GOOD SAM SOCIETY HIDDEN CREEK FREEBORN 89 GOLDEN LIVINGCENTER TWIN RIVER ANOKA GOOD SAM SOCIETY HOFFMAN GRANT 94 GOLDEN LIVINGCENTER WABASSO REDWOOD 334 GOOD SAM SOCIETY HOME CARE FILLMORE GOLDEN LIVINGCENTER WALKER CASS 42 GOOD SAM SOCIETY HOME CARE ROCK 343 GOLDEN LIVINGCENTER WHITEWATER WINONA 407 GOOD SAM SOCIETY HOWARD LAKE WRIGHT 412 GOLDEN LIVINGCNTR ROCHESTER W OLMSTED 267 GOOD SAM SOCIETY INTL FALLS KOOCHICHING 230 GOLDEN LIVINGCNTR ST LOUIS PK HENNEPIN 205 GOOD SAM SOCIETY INVER GR HGTS DAKOTA 71 GOLDEN LVGCTR HILLCRST WAYZATA HENNEPIN 210 GOOD SAM SOCIETY JACKSON JACKSON 221 GOLDEN MANOR CORPORATION BECKER 13 GOOD SAM SOCIETY MAPLEWOOD RAMSEY 294 GOLDEN MANOR MEMORY CARE BECKER 13 GOOD SAM SOCIETY MARY JN BROWN ROCK 343 GOLDEN MANOR OF BARNESVILLE BECKER 13 GOOD SAM SOCIETY MT LAKE COTTONWOOD 53 GOLDEN MANOR OF DETROIT LAKES BECKER 13 GOOD SAM SOCIETY PINE RIVER CASS 42 GOLDEN MANOR OF FERGUS FALLS OTTER TAIL 275 GOOD SAM SOCIETY PIPESTONE PIPESTONE 285 GOLDEN NEST LLC WASHINGTON 402 GOOD SAM SOCIETY REDWOOD FALLS REDWOOD 333 GOLDEN NEST LLC HENNEPIN 166 GOOD SAM SOCIETY ST JAMES WATONWAN 405 GOLDEN NEST LLC HENNEPIN 198 GOOD SAM SOCIETY ST PETER NICOLLET 260 GOLDEN OAKS SAINT LOUIS 358 GOOD SAM SOCIETY STILLWATER WASHINGTON 400 GOLDEN OAKS ADV ASSIST LIVING SAINT LOUIS 362 GOOD SAM SOCIETY WACONIA CARVER GOLDEN POND HENNEPIN 140 GOOD SAM SOCIETY WARREN MARSHALL 241 GOLDEN VALLEY REHAB AND CC HENNEPIN 133 GOOD SAM SOCIETY WATERVILLE LESUEUR 236 GOLDEN VALLEY RESIDENCE HENNEPIN 133 GOOD SAM SOCIETY WESTBROOK COTTONWOOD 53 GOLDEN YEARS CARE CARLTON 33 GOOD SAM SOCIETY WINDOM COTTONWOOD 54 GOLDEN YEARS CARE CARLTON 33 GOOD SAM SOCIETY WINTHROP SIBLEY GOLDENRIDGE SENIOR CARE LLC DOUGLAS 82 GOOD SAM SOCIETY WOODLAND CROW WING GOLDFINCH ESTATES MARTIN GOOD SAM SOCTY UNIV SPEC CARE HENNEPIN 166 GONDOLA GROUP INC DAKOTA 71 GOOD SAMARITAN APARTMENTS MARSHALL 241 GONDOLA GROUP INC DAKOTA 71 GOOD SAMARITAN HC INTL FALLS KOOCHICHING 230 GOOD FAITH INC HENNEPIN 301 GOOD NEIGHBOR HHC OF BRAINERD CROW WING GOOD SAM HC - ST PETER NICOLLET GOOD SAM SOC BLACKDUCK SR LIV BELTRAMI GOOD SAM SOC HERITAGE GROVE POLK 3 242 18 405 52 87 40 372 57 GOOD SAMARITAN HOME CARE RAMSEY 55 GOOD SAMARITAN HOME HLTH CARE COTTONWOOD 54 260 GOOD SAMARITAN SOC HC HOSPICE CROW WING 60 17 GOOD SAMARITAN SOCIETY FAIRVI SIBLEY 371 287 GOOD SAMARITAN SOCIETY - RIVER KOOCHICHING 230 106 Minnesota Department of Health Division of Compliance Monitoring Index For Directory of Facilities and Services FACILITY NAME COUNTY PAGE# GOOD SAMARITAN SOCIETY HOME CA NORTH DAKOTA GOOD SAMARITAN SOCIETY LAFAYET GOOD SAMARITAN SOCIETY-HERITAG GOOD SAMARITAN SOCIETY-HOSPICE CROW WING GOOD SHEPHERD ASSISTED LIVING BENTON GOOD SHEPHERD COTTAGES BENTON GOOD SHEPHERD HALL POLK GOOD SHEPHERD HOME HEALTH CARE BENTON 20 GOOD SHEPHERD HOMES INC BENTON 20 GOOD SHEPHERD HOSPICE LINCOLN 236 GOOD SHEPHERD LUTHERAN HOME BENTON GOOD SHEPHERD LUTHERAN HOME GOODCARELAND INC Index Page 18 FACILITY NAME COUNTY PAGE# 417 GRANDMAS PLACE PARK LANE WRIGHT 410 NICOLLET 259 GRANDVIEW APARTMENTS STEVENS 384 NICOLLET 260 GRANITE FALLS MUN HOSP HHA YELLOW MEDICINE 415 60 GRANITE RIDGE PLACE YELLOW MEDICINE 415 20 GRAPHIC RELIEF LLC HENNEPIN 140 20 GRATTAN PRIVATE DUTY NRSG INC CROW WING GREAT LAKES HOME CARE INC HENNEPIN 121 GREEN GABLES ASSISTED LIVING SWIFT 386 GREEN LEA MANOR FILLMORE 87 GREEN PINE ACRES NURSING HOME WADENA 390 20 GREEN PRAIRIE PLACE WABASHA 389 FILLMORE 88 GREENBRIER APARTMENTS CAMPUS WASHINGTON 400 STEARNS 378 GREENBRIER APARTMENTS CANVAS WASHINGTON 400 GOODHEART HOME HEALTH CARE INC HENNEPIN 193 GREENVIEW NORTH SAINT LOUIS 359 GOODLIFE HOMECARE LLC HENNEPIN 140 GREENVIEW SOUTH SAINT LOUIS 359 GOODLIFE SERVICES DAKOTA 67 GREYSOLON PLAZA SAINT LOUIS 350 GOODNESS AND MERCY HEALTH SERV HENNEPIN 106 GUARDIAN ANGELS BY THE LAKE SHERBURNE 369 GOODNESS AND MERCY HLTH SVCS HENNEPIN 106 GUARDIAN ANGELS CARE CENTER SHERBURNE 369 GPH BEMIDJI INC BELTRAMI 16 GUARDIAN ANGELS ELIM HOME CARE SHERBURNE 369 GRACE HAVEN ASSISTED LIVING LAC QUI PARLE 232 GUARDIAN ANGELS ELIM HOSPICE SHERBURNE 369 GRACE HOMES - OAK RIDGE HOUSE HENNEPIN 137 GUARDIAN ANGELS HEALTH & REHAB SAINT LOUIS 359 GRACE HOMES - OAK RIDGE HOUSE HENNEPIN 137 GUARDIAN IN HM HEALTH & SECRTY MCLEOD 244 GRACE PLACE HENNEPIN 166 GUARDIAN OAKS SHERBURNE 369 GRACE PLACE ASSISTED LIVING HENNEPIN 166 GUEST HOUSE OF FARIBAULT LLC RICE 338 GRACE SENIOR SERVICES INC BLUE EARTH 23 GUILD CAROUSEL APARTMENTS DAKOTA 78 GRACE VILLAGE BIG STONE 22 GUILD HOLIDAY ACRES 1 DAKOTA 78 GRACEPOINTE ADULT DAY CENTER ISANTI 214 GUILD HOLIDAY ACRES 2 DAKOTA 79 GRACEPOINTE CROSS GABLES EAST ISANTI 214 GUILD OAKDALE TERRACE DAKOTA 79 GRACEPOINTE CROSS GABLES WEST ISANTI 215 GUNDERSEN LUTHERAN HOSPICE WISCONSIN GRACEPOINTE CRSING THE COMMONS ISANTI 215 GUNDERSON GARDENS GOODHUE 91 GRACIOUS COMPANIONS LLC ANOKA 8 GUNDERSON PLACE HENNEPIN 97 GRAMMA JOS HOUSE CASS 43 HALLETT COTTAGES CROW WING 59 GRAND ARBOR DOUGLAS 82 HALLETT COTTAGES CROW WING 59 GRAND AVE REST HOME HENNEPIN 166 HALSTAD LIVING CENTER NORMAN 264 GRAND ITASCA CLINIC & HOSP ITASCA 218 HALSTAD LIVING CENTER NORMAN 264 GRAND ITASCA CLINIC & HOSP HC ITASCA 218 HAM LAKE PHYSICAL THERAPY ANOKA GRAND MANOR ITASCA 218 HAMLINE HI RISE RAMSEY 317 GRAND MANOR II ITASCA 218 HAMMER CARLSON HENNEPIN 210 GRAND MANOR III ITASCA 218 HAMMER KENTUCKY HENNEPIN 193 GRAND MEADOWS INC MCLEOD 244 HAMMER LAKESIDE HENNEPIN 185 GRAND VILLAGE ITASCA 218 HAMMER LAWNDALE HENNEPIN 140 GRANDMA'S PLACE INC HENNEPIN 121 HAMMER LEE HENNEPIN 133 GRANDMA'S PLACE INC HENNEPIN 121 HAMMER MCGLINCH HENNEPIN 193 GRANDMA'S PLACE INC HENNEPIN 121 HAMMER RIDGEVIEW HENNEPIN 210 GRANDMA'S PLACE INC HENNEPIN 166 HAMMER SHERIDAN HENNEPIN 210 GRANDMAS PLACE INC HENNEPIN 113 HANNAH HOME LLC HENNEPIN 113 286 57 418 5 Minnesota Department of Health Division of Compliance Monitoring Index For Directory of Facilities and Services FACILITY NAME COUNTY HAPPY FEET FOOTCARE INC HENNEPIN HAPPY HEARTS HOME HEALTH AGENC HAPPY HOME CARE SERVICES PAGE# Index Page 19 FACILITY NAME COUNTY PAGE# 106 HEALTHEAST ST JOHNS HOSPITAL RAMSEY 294 SHERBURNE 369 HEALTHEAST SURG CTR MAPLEWOOD RAMSEY 294 RAMSEY 317 HEALTHEAST WOODWINDS HOSPITAL WASHINGTON 402 HARALSON APARTMENTS DAKOTA 61 HEALTHLINE HOMECARE SAINT LOUIS 359 HARBOR AT PEACE VILLAGE CARVER 39 HEALTHMAX HOME HEALTH SERVICES HENNEPIN 166 HARBOR AT PEACE VILLAGE CARVER 39 HEALTHNORTH HOME CARE INC STEARNS 378 HARMONY COMMUNITY HLTHCARE INC FILLMORE 87 HEALTHPARTNERS HOSPICE & PALLI HENNEPIN HARMONY HOME HEALTH CARE OTTER TAIL 275 HEALTHSTAR HOME HEALTH RAMSEY 299 HARMONY HOUSE MORRISON 254 HEALTHSTAR HOME HEALTH AGENCY SAINT LOUIS 363 HARMONY HOUSE HENNEPIN 166 HEALTHTOUCH HOME CARE INC HENNEPIN 210 HARMONY HOUSE MORRISON 254 HEALTHY COMMUNITY SERVICES INC RAMSEY 318 HARMONY HOUSE OF BRAINERD (NO) CROW WING HEALTHY HANDS AND FOOT CARE CHISAGO 48 HARMONY HOUSE OF LITTLE FALLS MORRISON 252 HEALTHY SOLES HENNEPIN 185 HARMONY HOUSE OF MOTLEY I MORRISON 253 HEART TO HANDS HOME CARE LESUEUR 236 HARMONY HOUSE OF MOTLEY III MORRISON 253 HEART TO HOME INC DAKOTA 75 HARMONY LIVING HEALTH CARE SER HENNEPIN 113 HEART TO HOME INC DAKOTA 75 HARMONY LIVING HLTH CARE SRVCS HENNEPIN 114 HEART TO HOME INC DAKOTA HARMONY RIVER LIVING CENTER MCLEOD 245 HEARTHSTONE HOME CARE LLC SAINT LOUIS 350 HARRY & JEANETTE WEINBERG APAR RAMSEY 317 HEARTLAND ASSISTED LIVING HENNEPIN 123 HARRY MEYERING CTR INC BLUE EARTH 24 HEARTLAND HOME HC AND HOSPICE RAMSEY 301 HAVEN HOMES OF MAPLE PLAIN HENNEPIN 142 HEARTLAND HOME HC AND HOSPICE RAMSEY 301 HAVEN MANOR ON SPRINGEN OTTER TAIL 275 HEARTLAND HOME HLTH C&HOSPICE STEARNS 378 HAVENWOOD CARE CENTER BELTRAMI 16 HEARTLAND HOSPICE OLMSTED 267 HAWLEY MANOR CLAY 49 HEARTLAND PCA LLC SAINT LOUIS 350 HAWLEY RETIREMENT INC CLAY 49 HEARTWOOD CROW WING HAWTHORNE HOUSE HENNEPIN 133 HEATHER HAUS STEELE 381 HAWTHORNE HOUSE INC HENNEPIN 133 HEATHERS MANOR HENNEPIN 121 HAWTHORNE HOUSE INC HENNEPIN 133 HEBRON HOMES INCORPORATED HENNEPIN 124 HAWTHORNE HOUSE INC HENNEPIN 133 HEDDEN HOME HEALTH CARE LLC DAKOTA HAWTHORNE HOUSE INC HENNEPIN 133 HELEN PATRICIA PETER WABASHA 389 HAYES RESIDENCE RAMSEY 317 HELPING ANGELS HOME CARE INC HENNEPIN 166 HAZELDEN CTR FOR YOUTH & FAMIL HENNEPIN 193 HELPING HANDS OTTER TAIL 281 HAZELDEN FOUNDATION CHISAGO 45 HELPING HANDS HOME CARE OF MIN IOWA 416 HEALING HANDS HOMECARE LLC DAKOTA 68 HELPING HANDS IN HOME SERVICES DOUGLAS 85 HEALTH AND REHAB NEW BRIGHTON RAMSEY 298 HELPING HEARTS IN HOME CARE LL HENNEPIN 167 HEALTH CORPS HENNEPIN 193 HENDRICKS CLINIC LINCOLN 236 HEALTH CORPS HENNEPIN 193 HENDRICKS COMM HOSP LINCOLN 237 HEALTH DIMENSIONS REHAB INC ISANTI 215 HENDRICKS COMMUNITY HOSP HHA LINCOLN 237 HEALTH DIMENSIONS REHABILITATI ISANTI 215 HENNEPIN COUNTY MEDICAL CTR HENNEPIN 167 HEALTH FOUNDATIONS LLC RAMSEY 317 HENNEPIN HOME HEALTH CARE INC HENNEPIN 114 HEALTH PROVIDERS ROSEWOOD A CHIPPEWA 44 HENNING MEDICAL CLINIC OTTER TAIL 278 HEALTHCARE RESOURCES DAKOTA 61 HENRY HAGEN RESIDENCE DAKOTA HEALTHEAST BETHESDA HOSPITAL RAMSEY 317 HENRY HILL APARTMENTS YELLOW MEDICINE 415 HEALTHEAST HOME CARE RAMSEY 317 HERITAGE APARTMENTS INC RAMSEY 318 HEALTHEAST HOSPICE RAMSEY 318 HERITAGE COTTAGE ON 5TH HUBBARD 212 HEALTHEAST PILLARS WASHINGTON 399 HERITAGE COTTAGE ON 6TH HUBBARD 212 58 97 75 59 73 69 Minnesota Department of Health Division of Compliance Monitoring Index For Directory of Facilities and Services FACILITY NAME COUNTY PAGE# HERITAGE COURT HOUSTON HERITAGE GROVE FILLMORE HERITAGE HAVEN INC SAINT LOUIS HERITAGE HAVEN INC SAINT LOUIS HERITAGE HAVEN INC SAINT LOUIS HERITAGE HAVEN INC III SAINT LOUIS HERITAGE HOME HEALTH BENTON HERITAGE HOME HEALTH & HOSPICE BENTON HERITAGE HOUSE NORMAN HERITAGE HOUSE ASSISTED LIVING HENNEPIN HERITAGE HOUSE ELDER CARE RICE HERITAGE HOUSE OF BLACKDUCK BELTRAMI 18 HERITAGE HOUSE OF KIMBALL STEARNS 374 HERITAGE HOUSE OF MILACA MILLE LACS 249 HERITAGE HOUSE OF PEQUOT LAKES CROW WING HERITAGE HOUSE OF SEBEKA WADENA HERITAGE LIVING CENTER HERITAGE MANOR Index Page 20 FACILITY NAME COUNTY HILLCREST ADAMS SAINT LOUIS 360 87 HILLCREST ALICE - NORTH SAINT LOUIS 360 350 HILLCREST ALICE - SOUTH SAINT LOUIS 360 350 HILLCREST HEALTH CARE CENTER BLUE EARTH 24 350 HILLCREST NASHWAUK ITASCA 220 350 HILLCREST OAKS SAINT LOUIS 360 19 HILLCREST PARKSIDE NORTH SAINT LOUIS 360 19 HILLCREST PARKSIDE SOUTH SAINT LOUIS 360 264 HILLCREST SENIOR LIVING RED LAKE 332 133 HILLCREST SUITES SAINT LOUIS 360 338 HILLCREST TERRACE OF CHISHOLM SAINT LOUIS 347 HILLCREST TERRACE OF HIBBING SAINT LOUIS 360 HILLSIDE HOMES I SAINT LOUIS 350 HILLSIDE HOMES II SAINT LOUIS 350 HILLSIDE HOMES OF DULUTH INC SAINT LOUIS 350 391 HILLTOP CARE CENTER MEEKER 248 HUBBARD 213 HILLTOP HOME RICE 338 SAINT LOUIS 347 HILLTOP RESIDENCE INC LAC QUI PARLE 232 HERITAGE MANOR HUBBARD 213 HMONG MINNESOTA HOME CARE INC DAKOTA HERITAGE MANOR INC OTTER TAIL 279 HMONG SENIOR HEALTH CARE INC HENNEPIN 106 HERITAGE OF EDINA INC HENNEPIN 128 HOLISTIC ARRAY OF AUTHENTIC SV HENNEPIN 106 HERITAGE PLACE BENTON 19 HOLISTIC HOME HEALTH CARE NICOLLET 260 HERITAGE PLACE BLUE EARTH 27 HOLLY RIDGE MANOR POPE 290 HERITAGE PLACE WRIGHT HOME ADVANTAGE HEALTH CARE LLC MILLE LACS 249 HERITAGE POINTE BENTON HOME AND COMFORT INC ITASCA 217 HIAWATHA COURT HENNEPIN HOME AND COMMUNITY OPTIONS INC WINONA 407 HIAWATHA HOMECARE GOODHUE 92 HOME AT HEART CARE INC CLEARWATER HIAWATHA MANOR PIPESTONE 285 HOME CARE ASSISTANCE HENNEPIN 205 HIAWATHA VALLEY MNTL HLTH CTR WINONA 407 HOME CARE ASSISTANCE OF MINNEA HENNEPIN 205 HIDDEN CREEK ASSISTED LIVING CARVER 37 HOME CARE CONNECTIONS INC HENNEPIN 210 HIDDEN CREEK ASSISTED LIVING CARVER 38 HOME CARE GIVERS INC RAMSEY 318 HIDDEN CREEK ASSISTED LIVING CARVER 38 HOME CARE LINK RICE 341 HIDDEN CREEK ASSISTED LIVING CARVER 38 HOME CARE PROFESSIONALS INC HENNEPIN 134 HIDDEN CREEK ASSISTED LIVING CARVER 38 HOME CARE RELIANCE LLC HENNEPIN 128 HIGH ISLAND CREEK RES SIBLEY 371 HOME CARE SERV OPTIONS DULUTH SAINT LOUIS 351 HIGH LAND CARE INC ANOKA 4 HOME CARE SERVICE OPTIONS STEVENS 384 HIGH POINTE SURGERY CENTER WASHINGTON 397 HOME CARE SERVICES BROWN 31 HIGH STREET HOUSE INC WABASHA 389 HOME CARE SERVICES - ST JOHN L BROWN 31 HIGHLAND APARTMENTS KANDIYOHI 227 HOME CARE SERVICES OF SOUTH DA SOUTH DAKOTA 417 HIGHLAND CHATEAU HCC RAMSEY 318 HOME CARE SOLUTIONS HENNEPIN 194 HIGHLAND HOME CARE LLC RAMSEY 318 HOME CARE SPECIALISTS SAINT LOUIS 360 HIGHLAND HOUSE HENNEPIN HOME CARE WITH A HEART LLC HENNEPIN 138 HIGHLAND PARK DIALYSIS RAMSEY 318 HOME COMPANION LINK RICE 341 HIGHLAND SENIOR LVG COMMUNITY MORRISON 252 HOME DIALYSIS UNIT OF TRC INC HENNEPIN 167 HIGHVIEW HILLS BY WALKER DAKOTA HOME FOR CREATIVE LIVING COTTONWOOD 54 HILL STREET PLACE LYON HOME FREE WASHINGTON 401 211 60 412 19 137 98 73 239 PAGE# 77 52 Minnesota Department of Health Division of Compliance Monitoring Index For Directory of Facilities and Services FACILITY NAME COUNTY HOME FRONT FIRST CHIPPEWA HOME FRONT FIRST HOME HEALTH CARE INC PAGE# Index Page 21 FACILITY NAME COUNTY PAGE# 45 HOPE COMMUNITY INC HENNEPIN 167 CHIPPEWA 45 HOPE HEALTH CARE INC DAKOTA 62 HENNEPIN 134 HOPE HOME HEALTH CARE SERVICES RAMSEY 318 HOME INSTEAD SENIOR CARE NORTH DAKOTA 416 HOPE INTERNATIONAL HOME HEALTH RAMSEY 318 HOME INSTEAD SENIOR CARE HENNEPIN 128 HOPECARE PCA INC HENNEPIN 114 HOME INSTEAD SENIOR CARE HENNEPIN 128 HOPES RESIDENCE HENNEPIN 114 HOME INSTEAD SENIOR CARE CROW WING HORIZON HEALTH INC MORRISON 254 HOME INSTEAD SENIOR CARE OLMSTED HORIZON PLACE LESUEUR 235 HOME INSTEAD SENIOR CARE DAKOTA HOSPICE ADVANTAGE DAKOTA 73 HOME INSTEAD SENIOR CARE OLMSTED 267 HOSPICE OF MURRAY COUNTY INC MURRAY 258 HOME INSTEAD SENIOR CARE HENNEPIN 128 HOSPICE OF OWATONNA HOSPITAL STEELE 382 HOME INSTEAD SENIOR CARE DAKOTA 64 HOSPICE OF THE RED RIVER VALLE NORTH DAKOTA 416 HOME INSTEAD SENIOR CARE HENNEPIN HOSPICE OF THE TWIN CITIES INC HENNEPIN 194 HOME INSTEAD SENIOR CARE ANOKA HOUGE ESTATES/CLAY COUNTY HRA CLAY HOME INSTEAD SENIOR CARE SAINT LOUIS 351 HOUSING AND REDEVELOPMENT AUTH RED LAKE HOME INSTEAD SENIOR CARE OLMSTED 267 HOUSING AND REDEVELOPMENT AUTH CROW WING HOME INSTEAD SENIOR CARE NORTH DAKOTA 416 HOUSING REDEVELOPMENT LITCHFIE MEEKER 248 HOME INSTEAD SENIOR CARE CROW WING 58 HOUSTON COUNTY PUBLIC HEALTH N HOUSTON 211 HOME INSTEAD SENIOR CARE STEARNS 380 HOWARD HOUSE RAMSEY 294 HOME INSTEAD SENIOR CARE # 150 RAMSEY 294 HSC HOMECARE AGENCY HENNEPIN 128 HOME INSTEAD SENIOR CARE #150 RAMSEY 294 HUB APARTMENTS HENNEPIN 198 HOME INSTEAD SENIOR CARE #230 HENNEPIN 140 HUE HOME HEALTH CARE LLC ANOKA HOME INSTEAD SENIOR CARE OF MI HENNEPIN 140 HUGO SUITE LIVING CARE LLC WASHINGTON 397 HOME INSTEAD SENIOR CARE-LICEN DAKOTA 64 HUMAN CARE INC RAMSEY 318 HOME LAB PARTNERS INC HENNEPIN 98 HUMAN DEVELOPMENT CENTER SAINT LOUIS 351 HOME SWEET HOME ASSISTED LVNG OTTER TAIL HUMAN SERVICES OF FARIBAULT & MARTIN 242 HOMECARE RESOURCE LLC HENNEPIN HUMPHREY MANOR WADENA 392 HOMECARE SERVICES OF SD INC SOUTH DAKOTA HUNTINGON PLACE APARTMENTS HENNEPIN 114 HOMEHEALTH PARTNERSHIP CROW WING 59 HUNTINGTON PLACE APARTMENTS HENNEPIN 114 HOMEHEALTH PARTNERSHIP CROW WING 59 HUNTINGTON PLACE APARTMENTS HENNEPIN 114 HOMESTEAD COON RAPIDS MEMORY ANOKA 8 HUNTINGTON PLACE APARTMENTS HENNEPIN 114 HOMESTEAD PLACE LINCOLN 237 HUTCH H & R AUTHORITY PARK TOW MCLEOD 245 HOMESTEAD PLACE LINCOLN 237 HUTCHINSON AREA HEALTH CARE MCLEOD 245 HOMETOWN CARE PROVIDERS INC RI YELLOW MEDICINE 415 HYATT HOUSE LLC HUBBARD 213 HOMETOWN CRE PROVDR INC RVRSDE YELLOW MEDICINE 416 HYATT HOUSE LLC HUBBARD 213 HOMETOWN SENIOR LIVING WEDGEWO WASHINGTON 402 IANS HOUSE HENNEPIN 114 HOMETOWN SENIOR LIVING-BELMONT WASHINGTON 403 ICARE HEALTH PRO LLC HENNEPIN 98 HOMEWARD BOUND BROOKLYN PARK HENNEPIN 114 ICELAND MANOR DAKOTA 73 HOMEWARD BOUND INC HENNEPIN 140 IINTERIM HEALTHCARE VENT CARE SAINT LOUIS 351 HOMEWARD BOUND MAPLE GROVE HENNEPIN 141 ILBNC SPECIAL PROCEDURES HENNEPIN 194 HOMEWARD BOUND PLYMOUTH HENNEPIN 194 IMMANUEL ST JOSEPHS ESRD BLUE EARTH HOMEWATCH CAREGIVERS HENNEPIN 128 IN CHARGE HOME HEALTHCARE SERV HENNEPIN 107 HOMEWELL SENIOR CARE HENNEPIN 98 IN HOME PERSONAL CARE HOME HEA HENNEPIN 134 HOMLIFE HEALTHCARE HENNEPIN 167 IN-HOME LAB CONNECTION INC HENNEPIN 98 HOPE AND NEW LIFE HEALTH CARE DAKOTA INDEPENDENCE PLUS INC POLK 286 HOPE COMMUNITY INC HENNEPIN INDEPENDENT CARE AGENCY HENNEPIN 115 58 267 64 140 4 279 98 418 61 167 48 332 59 10 24 Minnesota Department of Health Division of Compliance Monitoring Index For Directory of Facilities and Services FACILITY NAME COUNTY INGLESIDE MARTIN INNER CIRCLE CARE INNOVATIVE ASSISTED LIVING PAGE# Index Page 22 FACILITY NAME COUNTY PAGE# 242 JDR PROPERTIES HENNEPIN 167 HENNEPIN 205 JENNIFER BENSON HENNEPIN 115 SAINT LOUIS 359 JEWISH FAMILY & CHILDRENS SVS HENNEPIN 186 INNOVATIVE ASSISTED LIVING SAINT LOUIS 351 JIRANI CARE HENNEPIN 115 INNOVATIVE SENIOR CARE HH HENNEPIN 128 JOANN JENSEN FREEBORN INNOVATIVE SR CARE EDINA PK PL HENNEPIN 128 JOANN TSCHIDA STEARNS INNOVATIVE SR CARE FREEDOM HENNEPIN 185 JOANNE L. HUNGER DODGE INNOVATIVE THERAPY LLC HENNEPIN 194 JOHN PAUL APARTMENTS STEARNS 374 INSPIRED CARE SERVICES WASHINGTON 395 JOHNSON MEMORIAL BOYD CLINIC LAC QUI PARLE 231 INTEGRA HOME CARE DAKOTA 73 JOHNSON MEMORIAL HOME CARE LAC QUI PARLE 232 INTEGRATED HOME CARE RAMSEY 319 JOHNSON MEMORIAL HOSP & HOME LAC QUI PARLE 232 INTEGRATED MEDICAL REHAB HENNEPIN 129 JOHNSON PARK PLACE REDWOOD 333 INTEGRATED MEDICAL REHAB DAKOTA JONES HARRISON RES ASST LVG HENNEPIN 167 INTEGRATED NURSING & HLTH SVCS HENNEPIN 115 JONES HARRISON RESIDENCE HENNEPIN 167 INTER CO NURSING SERVICE PENNINGTON 282 JORDAN TOWER I GOODHUE 92 INTERFAITH CARE CENTER CARLTON 32 JORDAN TOWER II GOODHUE 92 INTERIM HC OF THE TWIN CITIES RAMSEY 301 JORGENSEN HOUSE HENNEPIN 167 INTERIM HEALTHCARE SAINT LOUIS 351 JOSEPHS CHATEAU DAKOTA 75 INTERIM HEALTHCARE SAINT LOUIS 351 JOSEPHS CHATEAU LLC DAKOTA 75 INTERIM HEALTHCARE RAMSEY 301 JOURDAIN PERPICH EXT CARE FAC BELTRAMI 18 INTERIM HOME STYLE SERVICES RAMSEY 301 JOURNEY HOME BENTON 20 INTERNATIONAL HEALTH CARE SERV HENNEPIN 134 JOYCE HEALTH CARE LLC HENNEPIN 141 INTERNATIONAL QUALITY HOMECARE OLMSTED 268 JUDITH A BEYER HENNEPIN 198 INTREPID USA HEALTHCARE SERVS RAMSEY 301 JULIE SUMMY STEELE 382 INTREPID USA HEALTHCARE SERVS HENNEPIN 205 JULIES HOME HEALTH CARE INC RENVILLE 335 INTREPID USA HEALTHCARE SRVCS HENNEPIN 205 JUST FOR RACHEL HOME CARE ANOKA INVER GROVE HEIGHTS WHITE PINE DAKOTA 71 JUST LIKE HOME PLACE LLP FREEBORN 89 INVER GROVE HEIGHTS WP II LLC DAKOTA 71 JUST LIKE HOME PLACE LLP FREEBORN 89 INVER GROVE HEIGHTS WP II LLC DAKOTA 71 JUST LIKE HOME SENIOR CARE CHISAGO 46 INVERVIEW HOME CARE DAKOTA 72 JUST LIKE HOME SENIOR CARE CHISAGO 46 INVERVIEW HOME CARE DAKOTA 71 KAAL HOME HEALTHCARE SERVICES HENNEPIN 168 INVERWOOD SENIOR LIVING DAKOTA 71 KALEB INC DAKOTA INVESTING IN BEHAVIORAL SERVIC RAMSEY 319 KANABEC CO PUBLIC HLTH HOSPICE KANABEC 223 IRIS PARK COMMONS RAMSEY 319 KANABEC COUNTY PHNS KANABEC 223 IRON RANGE REHAB CENTER SAINT LOUIS 363 KANG LE HOME HEALTH CARE HENNEPIN 198 IRONGATE APARTMENTS & TOWNHOME SAINT LOUIS 346 KARLSTAD HEALTHCARE CTR INC KITTSON 230 ISABELLE'S HOUSE OF PARMLY LIF CHISAGO KARLYN HOME MOWER 257 ISLAND VIEW MANOR INC KANDIYOHI 227 KASSON MSOCS DODGE 80 IVY HILL SENIOR CARE RICE 338 KATHERINE MORROW INC GOODHUE 92 IVY HILL SENIOR CARE INC RICE 338 KAYCEE'S HOME CARE INC WILKIN 406 IYKES HOUSE HENNEPIN 115 KENOSHA DRIVE APARTMENTS OLMSTED 268 J A WEDUM HOSPICE RESIDENCE HENNEPIN 115 KENSINGTON HENNEPIN 115 JANE M GRENDER DAKOTA 67 KENSINGTON PLACE HENNEPIN 115 JANESVILLE NURSING HOME WASECA 393 KENSINGTON PLACE 8300 HENNEPIN 115 JANICE R SINNEN CARVER 38 KENSINGTON PLACE 8308 HENNEPIN 115 JASPER SUNRISE VILLAGE PIPESTONE KENSINGTON PLACE APARTMENTS HENNEPIN 116 62 46 285 90 374 80 2 75 Minnesota Department of Health Division of Compliance Monitoring Index For Directory of Facilities and Services FACILITY NAME COUNTY KENWOOD HERITAGE LIVING MOWER KENWOOD PLACE CARLTON KENWOOD PLACE CARLTON KENYON SUNSET HOME GOODHUE KESSEL GROUP HOME INC OTTER TAIL KEYSTONE BLUFFS ASSISTED LIVG SAINT LOUIS KEYSTONE COMMUNITIES FARIBAULT KEYSTONE COMMUNITIES MANAGEMEN KEYSTONE COMMUNITIES OF EAGAN DAKOTA KEYSTONE COMMUNITIES OF MANKAT BLUE EARTH KEYSTONE COMMUNITIES OF PRIOR SCOTT KIDS ABILITIES KIDSPEAK LTD PAGE# Index Page 23 FACILITY NAME COUNTY LAKE COUNTRY ASSISTED LVG INC DOUGLAS 35 LAKE COUNTRY HOME CARE OTTER TAIL 279 35 LAKE MINNETONKA CARE CENTER HENNEPIN 123 91 LAKE MINNETONKA SHORES HENNEPIN 203 275 LAKE MINNETONKA SHORES HENNEPIN 203 351 LAKE MINNETONKA SHORES- COMMON HENNEPIN 203 RICE 338 LAKE MINNETONKA SHORES-VILLA T HENNEPIN 203 HENNEPIN 168 LAKE OWASSO RESIDENCE RAMSEY 304 67 LAKE PLACE I APARTMENTS KANDIYOHI 227 24 LAKE PLACE II APARTMENTS KANDIYOHI 227 365 LAKE REGION HC CLINIC SERVICES TRAVERSE 388 RAMSEY 304 LAKE REGION HEALTHCARE CORP OTTER TAIL 276 HENNEPIN 141 LAKE REGION HEALTHCARE SERVICE TRAVERSE 388 KIMBALL COURT RAMSEY 319 LAKE REGION HOME HEALTH KANDIYOHI 224 KIMBERLY HAGLUND WRIGHT 410 LAKE RIDGE CARE CTR OF BUFFALO WRIGHT 410 KINDER CARE NORTH DAKOTA 417 LAKE RIDGE MANOR WRIGHT 410 KINDERCARE HOME CARE LLC HENNEPIN 189 LAKE SHORE INN NURSING HOME WASECA 393 KING MANOR SAINT LOUIS 351 LAKE SONG ASSISTED LIVING MILLE LACS 249 KING OF KINGS HOME HEALTH CARE WASHINGTON 401 LAKE SUPERIOR CONCIERGE INC SAINT LOUIS 351 KINGDOM PATHWAYS FREEDOM HOUSE RAMSEY 319 LAKE VIEW COTTAGE III LAKE 234 KINGDOM PATHWAYS FREEDOM HOUSE RAMSEY 319 LAKE VIEW COTTAGE IV LAKE 234 KINGSLEY COMMONS HENNEPIN 168 LAKE VIEW MEM HOSP HOME CARE LAKE 234 KINGSLEY HOUSE MOWER 255 LAKE VIEW MEMORIAL HOSPITAL LAKE 234 KINGSWAY HOME CARE SCOTT 364 LAKE WINONA MANOR WINONA 408 KINGSWAY MINISTRIES LLC SCOTT 364 LAKELAND APARTMENTS OTTER TAIL 280 KIRBY VENTURES INC HENNEPIN 168 LAKELAND HOSPICE & HOME CARE OTTER TAIL 276 KITTSON COUNTY HOSPICE INC KITTSON 229 LAKELAND HOSPICE HOUSE OTTER TAIL 276 KITTSON MEM CLINIC OF KARLSTAD KITTSON 230 LAKELAND HOSPICE INC OTTER TAIL 276 KITTSON MEMORIAL CLINIC KITTSON 229 LAKELAND MENTAL HEALTH CTR OTTER TAIL 276 KITTSON MEMORIAL HOME HLTHCARE KITTSON 229 LAKER APARTMENTS COTTONWOOD 53 KITTSON MEMORIAL HOSPITAL KITTSON 229 LAKES AREA ASSISTED LIVING DOUGLAS 82 KNOLLWOOD APARTMENTS HENNEPIN 138 LAKES AREA ASSISTED LIVING LLC DOUGLAS 83 KNOLLWOOD PLACE APARTMENTS HENNEPIN 206 LAKES AREA HOME CARE CROW WING 58 KNUTE NELSON DOUGLAS 82 LAKESHORE AT HOME SAINT LOUIS 352 KNUTE NELSON HOME CARE DOUGLAS 82 LAKESHORE HOME CARE SAINT LOUIS 352 KNUTSON PLACE APARTMENTS FREEBORN 89 LAKESHORE INC SAINT LOUIS 352 KOOCHICHING COUNTY HEALTH DEPT KOOCHICHING 230 LAKESHORE THE CREST SAINT LOUIS 352 KORIN M NASH DAKOTA 77 LAKESIDE APARTMENTS BIG STONE KRISTEN'S HOUSE HENNEPIN 116 LAKESIDE APARTMENTS MEEKER 247 KSMS OUR HOUSE LLC MOWER 255 LAKESIDE ASSISTED LIVING MEEKER 247 LA BONNE VIE INC HENNEPIN 134 LAKESIDE HEALTH CARE CENTER MEEKER 247 LABLANCHE APARTMENTS RAMSEY 319 LAKESIDE MANOR SAINT LOUIS 352 LABLANCHE APARTMENTS RAMSEY 319 LAKESIDE MEDICAL CENTER PINE 283 LAC QUI PARLE CLINIC MADISON LAC QUI PARLE 232 LAKESIDE MEDICAL CENTER PINE 284 LACROIX FAMILY RESIDENCES INC HENNEPIN 121 LAKEVIEW APARTMENTS KANDIYOHI 227 LAKE MINNETONKA SHORES- COURT HENNEPIN 203 LAKEVIEW ASSISTED LIVING JACKSON 220 255 PAGE# 84 22 Minnesota Department of Health Division of Compliance Monitoring Index For Directory of Facilities and Services FACILITY NAME COUNTY LAKEVIEW HOMECARE WASHINGTON LAKEVIEW HOMECARE AND HOSPICE LAKEVIEW HOSPICE PAGE# Index Page 24 FACILITY NAME COUNTY 401 LAURELS EDGE BLUE EARTH WASHINGTON 401 LAURELS PEAK REHAB CENTER BLUE EARTH 24 WASHINGTON 401 LAVINE PLACE SHERBURNE 369 LAKEVIEW MEMORIAL HOSPITAL WASHINGTON 401 LAWSON ARMS APARTMENTS - 1032 RAMSEY 320 LAKEVIEW METHODIST HCC MARTIN 242 LE MIEUX NURSING SERVICES LLC HENNEPIN 120 LAKEVIEW RANCH HEALTHCARE LLC MEEKER 246 LEGACY HOMES STEVENS 384 LAKEVIEW RANCH HEALTHCARE LLC MEEKER 246 LEGACY CARE HOME II HENNEPIN 186 LAKEVIEW RANCH INC MEEKER 246 LEGACY CARE HOME LLC HENNEPIN 186 LAKEVIEW RANCH INC MEEKER 247 LEGACY HOME HEALTH CARE INC HENNEPIN 134 LAKEVIEW RESIDENCE RAMSEY 291 LEGACY RANGE CENTER INC SAINT LOUIS 347 LAKEVIEW RETIREMENT RESIDENCE ROSEAU 345 LEISURE COTTAGE LESUEUR 235 LAKEVIEW SENIOR HOUSING LYON 238 LENOX PLACE SAINT LOUIS 352 LAKEVIEW SENIOR HOUSING LYON 238 LESUEUR ASSISTED LIVING LLC LESUEUR 236 LAKEVIEW SENIOR LIVING APTS OTTER TAIL 274 LESUEUR COUNTY PUBLIC HEALTH LESUEUR 235 LAKEVIEW VILLA HENNEPIN 131 LEWISTON VILLA NURSING HOME WINONA 407 LAKEWALK SURGERY CENTER INC SAINT LOUIS 352 LICENSED CARE ON-CALL CARVER 36 LAKEWOOD CARE CENTER LAKE OF THE WOODS 234 LIFECARE GREENBUSH MANOR ROSEAU 345 LAKEWOOD CLINIC BROWERVILLE TODD 386 LIFECARE GREENBUSH MANOR ROSEAU 344 LAKEWOOD CLINIC EAGLE BEND TODD 387 LIFECARE GREENBUSH MANOR ROSEAU 345 LAKEWOOD CLINIC MOTLEY MORRISON 253 LIFECARE HOME CARE & HOSPICE ROSEAU 345 LAKEWOOD CLINIC PILLAGER CASS 42 LIFECARE HOME CARE & HOSPICE ROSEAU 345 LAKEWOOD CLINIC STAPLES WADENA LIFECARE MEDICAL CENTER ROSEAU 345 LAKEWOOD HEALTH CENTER LAKE OF THE WOODS 234 LIFELINE SENIOR SERVICE LLC HENNEPIN 168 LAKEWOOD HEALTH CENTER CLINIC LAKE OF THE WOODS 235 LIFES ALTERNATIVES HOME CARE L WASHINGTON 396 LAKEWOOD HEALTH SYSTEM TODD 388 LIFESPAN HOME CARE SERVICES IN RAMSEY 330 LAKEWOOD HEALTH SYSTEM WADENA 391 LIFETRACK RESOURCES RAMSEY 320 LAKEWOOD HEALTH SYSTEM HOSPICE WADENA 391 LIGHT HOUSE OF CLOQUET & BARNU CARLTON 34 LAKEWOOD HLTH SYS HM C & HSPCE WADENA 391 LIGHTHOUSE AT WACONIA CARVER 40 LAKEWOOD HOME KANDIYOHI 224 LIGHTHOUSE OF CLOQUET & BARNUM CARLTON 32 LAKEWOOD HOSPICE LAKE OF THE WOODS 235 LIGHTHOUSE OF CLOQUET & BARNUM CARLTON 34 LAKEWOOD MANOR TODD 388 LIGHTHOUSE OF CLOQUET & BARNUM CARLTON 34 LAKEWOOD NURSING SERVICE LAKE OF THE WOODS 235 LIGHTHOUSE OF CLOQUET & BARNUM CARLTON 34 LAKEWOOD PINES SENIOR HOUSING WADENA 391 LIGHTHOUSE OF CLOQUET & BARNUM CARLTON 32 LAKEWOOD SURGERY CENTER ITASCA 219 LIGHTHOUSE OF CLOQUET & BARNUM CARLTON 34 LAMPLIGHTER MANOR BECKER 13 LIGHTHOUSE OF CLOQUET & BARNUM CARLTON 32 LAMPLIGHTER VILLAGE RAMSEY 319 LIGHTHOUSE OF COLUMBIA HEIGHTS ANOKA LAMPLIGHTER VILLAGE RAMSEY 319 LILLIAN GRACE BLUE EARTH LANDMARK SURGERY CENTER RAMSEY 320 LINCOLN LANE VILLA LINCOLN 237 LANGTON PLACE RAMSEY 302 LINCOLN PARK ASSISTED LIVING BECKER 13 LARSON COMMONS CARLTON 34 LINCOLN PARK SENIOR APARTMENT BECKER 13 LASALLE COMMONS HENNEPIN 168 LINCOLN PLACE DAKOTA 67 LATHAM PLACE WASECA 393 LINCOLN TERRACE NORMAN 264 LAURA BAKER SERVICES ASSOC RICE 341 LINCOLN TERRACE NORMAN 264 LAURA BODIN CARLTON LINDA ROSE ENLUND CARLTON 34 LAURA THERESA JULIUS HUBBARD LINDEN AVENUE APARTMENTS HENNEPIN 168 LAUREL LODGE INC CASS LINDEN TREE CIRCLE CLAY 391 32 212 42 PAGE# 24 6 24 50 Minnesota Department of Health Division of Compliance Monitoring Index For Directory of Facilities and Services FACILITY NAME COUNTY LINDENWOOD ASSISTED LIVING MURRAY LINNEA RESIDENTIAL HOME LINO LAKES ASSISTED LIVING LLC LITCHFIELD AREA HOSPICE MEEKER LITTLE SISTERS OF THE POOR RAMSEY LITTLEFORK MEDICAL CENTER KOOCHICHING LITTLEFORK MEDICAL CENTER LITTLEFORK MEDICAL CENTER LIVE WELL AT HOME CARE HENNEPIN LIVING CHALLENGE HENNEPIN LIVING LIFE HOME CARE HENNEPIN LONG LAKE ASSISTED LIVING LLC LONG LAKE LOON LODGE PAGE# Index Page 25 FACILITY NAME COUNTY PAGE# 258 LYNGBLOMSTEN CARE CENTER RAMSEY 320 CHISAGO 46 LYNGBLOMSTEN SERVICES INC RAMSEY 320 ANOKA 11 LYNWOOD COMMONS HENNEPIN 198 248 LYNWOOD COMMONS HENNEPIN 199 320 LYNWOOD COMMONS HENNEPIN 199 231 LYNWOOD COMMONS HENNEPIN 199 KOOCHICHING 231 LYNWOOD COMMONS HENNEPIN 169 KOOCHICHING 231 M & E NURSING SERVICES AND TRA HENNEPIN 99 MACGREGOR PLACE SHERBURNE 370 168 MADELIA COMMUNITY HOSP HM CARE WATONWAN 405 206 MADELIA COMMUNITY HOSPITAL WATONWAN 405 HENNEPIN 138 MADISON AVENUE APARTMENTS LYON 240 BELTRAMI 16 MADISON HOSPITAL LAC QUI PARLE 232 LONG LAKE LOON LODGE BELTRAMI 16 MADISON HOSPITAL HHA LAC QUI PARLE 233 LONG PRAIRIE HOSP EAGLE VALLEY TODD 387 MADISON LUTHERAN HOME LAC QUI PARLE 233 LONGVILLE LAKES CLINIC INC CASS 41 MADONNA MEADOWS OLMSTED 268 LOREN ON PARK HENNEPIN 168 MADONNA TOWERS OF ROCHESTER OLMSTED 268 LOUISIANA COURT APARTMENTS HENNEPIN 206 MADONNA TOWERS OF ROCHESTER IC OLMSTED 268 LOUISIANA COURT LIMITED PARTNE HENNEPIN 206 MADONNA TOWERS OF ROCHESTER IN OLMSTED 268 LOUISIANA COURT LIMITED PARTNE HENNEPIN 206 MAGIC HEALTHCARE PARTNERS HENNEPIN 122 LOVING CARE BY MARTHA HENNEPIN 189 MAHNOMEN HEALTH CENTER MAHNOMEN 241 LOVING CARE COTTAGE LLC WASHINGTON 395 MAIN STREET LODGE HENNEPIN 169 LOVING RESIDENCE GOODHUE 92 MAINSTREET VILLAGE HENNEPIN 199 LOVINGCARE NURSING AND HOMECAR RAMSEY 320 MALA STRANA ASSISTED LIVING SCOTT 365 LSS GRANVILLE ICF-MR KITTSON 230 MALA STRANA HEALTH CARE CTR SCOTT 365 LUANN'S PLACE LLC HENNEPIN 124 MANKATO CLINIC ENDOSCOPY CTR BLUE EARTH 24 LUANNS PLACE LLC HENNEPIN 124 MANKATO CLINIC MAPLETON FAM PR BLUE EARTH 27 LUTHER HAVEN CHIPPEWA 45 MANKATO SURGERY CENTER BLUE EARTH 24 LUTHER MEMORIAL HOME WATONWAN 405 MANOR HOUSE HENNEPIN 124 LUTHERAN BRETHREN HOME CARE OTTER TAIL 276 MANOR HOUSE SENIOR LIVING ITASCA 219 LUTHERAN CARE CENTER MORRISON 252 MANOR HOUSE SENIOR LIVING ITASCA 219 LUTHERAN HOME SCOTT 364 MANOR LIVNG HC & WATKINS MANO WINONA 408 LUTHERAN SOCIAL SERVICE CROW WING 58 MANY LAKES HOME CARES LLC HUBBARD 213 LUTHERAN SOCIAL SERVICE OF MN OTTER TAIL 276 MAPLE GROVE DIALYSIS UNIT HENNEPIN 141 LUTHERAN SOCIAL SERVICE OF MN CROW WING MAPLE GROVE HOSPITAL HENNEPIN 141 LWV LODGE HENNEPIN 122 MAPLE HOMES INC TODD 387 LWV LODGE III HENNEPIN 122 MAPLE HOMES INC TODD 387 LYNDALE AVE PROPERTIES HENNEPIN 98 MAPLE LAWN NURSING HOME MURRAY 258 LYNDALE AVENUE APARTMENTS HENNEPIN 98 MAPLE MANOR HEALTHCARE & REHAB OLMSTED 268 LYNDALE AVENUE PROPERTIES HENNEPIN 98 MAPLE WOODS ASTD LIVING AND HC ITASCA 216 LYNDALE GARDEN HENNEPIN 198 MAPLETON COMMUNITY HOME BLUE EARTH LYNDALE GARDENS HENNEPIN 198 MAPLETON COMMUNITY HOME BLUE EARTH LYNDALE GARDENS HENNEPIN 198 MAPLEVIEW ESTATES MURRAY 258 LYNDALE GARDENS APARTMENTS HENNEPIN 198 MAPLEWOOD CARE CENTER RAMSEY 294 LYNDALE MANOR HENNEPIN 168 MAPLEWOOD CARE RESIDENCE RAMSEY 294 LYNGBLOMSTEN APARTMENTS RAMSEY 320 MAPLEWOOD COURT ASST LVNG MURRAY 258 98 58 27 28 Minnesota Department of Health Division of Compliance Monitoring Index For Directory of Facilities and Services FACILITY NAME COUNTY MAPLEWOOD DIALYSIS CENTER RAMSEY MAPLEWOOD HOMES MAPLEWOOD HOMES OF FARIBAULT PAGE# Index Page 26 FACILITY NAME COUNTY 294 MAYO CLINIC HEALTH SYS MANKATO BLUE EARTH 24 RICE 339 MAYO CLINIC HEALTH SYS ST JAME WATONWAN 405 RICE 339 MAYO CLINIC HEALTH SYS WASECA WASECA 394 MAPLEWOOD RESIDENCE INC MARTIN 242 MAYO CLINIC HEALTH SYS- AUSTIN MOWER 256 MAPLEWOOD SUITE LIVING CARE RAMSEY 295 MAYO CLINIC HEALTH SYSTEM FRAN WISCONSIN 418 MARANATHA CARE CENTER HENNEPIN 107 MAYO CLINIC HEALTH SYSTEM S F BROWN MARANATHA PLACE HENNEPIN 107 MAYO CLINIC HEALTH SYSTEM-MANK BLUE EARTH 25 MARCH SERVICES RAMSEY 291 MAYO CLINIC HLTH SYS FRANCSCN WISCONSIN 418 MARCIA L OLSON HENNEPIN 169 MAYO CLINIC HOSPICE OLMSTED 268 MARGARET PLACE LTD PARTNERSHI ANOKA MAYO CLINIC HS - ALBERT LEA FREEBORN MARGARETS HOUSE CHISAGO 46 MAYO CLINIC METHODIST HOSPITAL OLMSTED 268 MARGARETS HOUSE DAKOTA 76 MAYO CLINIC REHABILITATION SER OLMSTED 268 MARIA HOME HENNEPIN 169 MAYO CLINIC ST MARYS HOSPITAL OLMSTED 269 MARIE STEINER KELTING HOSPICE CARVER MAYO DIALYSIS FAIRMONT MARTIN 242 MARILYN H JACOBSON RAMSEY 302 MAYO DIALYSIS OWATONNA STEELE 382 MARIYA HOME CARE INC HENNEPIN 169 MAYO DIALYSIS ROCHESTER METH OLMSTED 269 MARK GUNTER - 249 WESTERN RAMSEY 320 MAYO DIALYSIS ROCHESTER NE CLI OLMSTED 269 MARKET PLAZA HOUSING LTD PARTN HENNEPIN 199 MAYO DIALYSIS WABASHA WABASHA 390 MARSHALL DIALYSIS CTR DAVITA LYON 239 MAYO FOUNDATION OLMSTED 269 MARTIN LUTHER CARE CENTER HENNEPIN 99 MBW COMPANY INC BROWN 28 MARY ALICE F REED RAMSEY 320 MBW ON RAYMOND BROWN 28 MARY CLARE OLSON AGENCY STEARNS 378 MBW ON TENTH BROWN MARY ELLEN BRANDT RAMSEY 321 MCBOE HOME HEALTH LLC SHERBURNE 368 MARY HALL RAMSEY 321 MCCANNEL EYE SURGERY HENNEPIN 129 MARY T HOME HEALTH ANOKA 8 MCCARTHY MANOR INC SAINT LOUIS 352 MARY T HOSPICE ANOKA 8 MCCLISH MANOR DAKOTA MARYHILL MANOR AITKIN 1 MCHS - NEW PRAGUE SCOTT 365 MARYS HOUSE OTTER TAIL MCINTOSH SENIOR LIVING POLK 289 MASADA MANOR HENNEPIN MCKENNA CROSSING SCOTT 366 MAST APARTMENTS - 1384 ST PAUL RAMSEY 321 MCKINNEY LAKE HOUSE ITASCA 219 MATRIX TEAM HOME CARE HENNEPIN 206 MEADOW CREEK PINE 284 MATRXCARE LLC RAMSEY 321 MEADOW CREEK HOSPITALITY LLC CHIPPEWA 45 MAXIMUM HOMECARE SERVICES LLC RAMSEY 321 MEADOW LAKES SENIOR LIVING OLMSTED 269 MAY CREEK COTTAGES INC CASS 43 MEADOW MANOR MOWER 257 MAY CREEK COTTAGES INC CASS 43 MEADOW WOODS HENNEPIN 99 MAY CREEK LODGE INC CASS 43 MEADOW WOODS HOME CARE HENNEPIN 99 MAY HEALTH CARE INC HENNEPIN 107 MEADOWLAND ELDER CARE HOMES BELTRAMI 18 MAYO DIALYSIS ALBERT LEA FREEBORN 89 MEADOWLAND ELDER CARE HOMES II BELTRAMI 18 MAYO CLINIC HEALTH SYS ALBT LE FREEBORN 89 MEADOWOOD SHORES SENIOR HOUSIN RAMSEY MAYO CLINIC HEALTH SYS ALBT LE FREEBORN 89 MEADOWS ON FAIRVIEW CHISAGO 48 MAYO CLINIC HEALTH SYS AUSTIN MOWER 256 MEADOWS ON MAIN RENVILLE 336 MAYO CLINIC HEALTH SYS AUSTIN MOWER 255 MEDICAL MANAGEMENT HOME CARE L HENNEPIN 107 MAYO CLINIC HEALTH SYS CF GOODHUE 90 MEDICAL MANAGEMENT HOME CARE L HENNEPIN 107 MAYO CLINIC HEALTH SYS FAIRMNT MARTIN 242 MEDICAL SOLUTIONS HOME CARE IN STEARNS 378 MAYO CLINIC HEALTH SYS L C WABASHA 389 MEEKER MEM HOSP MEEKER 248 MAYO CLINIC HEALTH SYS L C WABASHA 389 MEISA SUPPORT SERVICES LLC HENNEPIN 169 8 38 276 99 PAGE# 31 90 28 79 298 Minnesota Department of Health Division of Compliance Monitoring Index For Directory of Facilities and Services FACILITY NAME COUNTY MELODY CECELIA SWOFFORD CROW WING MENAGHA HOME HEALTH WADENA MENORAH PLAZA APARTMENTS HENNEPIN MENORAH WEST APARTMENTS HENNEPIN MERCY HOME HEALTH AGENCY CARLTON MERCY HOSPITAL ANOKA MERCY HOSPITAL CARLTON MERCY MANOR II STEARNS MERCY MANOR INC STEARNS MERIDIAN MANOR HENNEPIN MERIDIAN SERVICES INC HENNEPIN MERRITT HOUSE MERWIN IV & SPECIALTY PHARMACY PAGE# Index Page 27 FACILITY NAME COUNTY PAGE# MINNEAPOLIS DIALYSIS UNIT HENNEPIN 170 390 MINNEAPOLIS EYE CENTER HENNEPIN 134 206 MINNEAPOLIS NE DIALYSIS HENNEPIN 170 206 MINNEAPOLIS PUBLIC HOUSING AUT HENNEPIN 170 MINNEAPOLIS UPTOWN DIALYSIS HENNEPIN 170 MINNEOTA MANOR HCC LYON 240 36 MINNESOTA BIRTH CENTER HENNEPIN 170 373 MINNESOTA EYE INSTITUTE DOUGLAS 83 373 MINNESOTA EYE LASER AND SURGER ANOKA 210 MINNESOTA GREENLEAF PENNINGTON 282 134 MINNESOTA HERITAGE HOUSE MORRISON 252 SAINT LOUIS 363 MINNESOTA IN HOME HEALTH CARE RAMSEY 331 HENNEPIN 190 MINNESOTA LIFE CARE SERVICES HENNEPIN 107 METRO AREA CARE PROVIDERS INC HENNEPIN 169 MINNESOTA MASONIC HOME CARE CT HENNEPIN 99 METRO HOME HEALTH CARE SVCS IN HENNEPIN 169 MINNESOTA NATIONAL HEALTH KARE RAMSEY 321 METRO HOME HEALTH INC RAMSEY 321 MINNESOTA SENIOR CARE INC RAMSEY 321 METRO NURSING CARE INC HENNEPIN 116 MINNESOTA SURGERY CENTER LTD HENNEPIN 141 METRO NURSING SERVICES RAMSEY 295 MINNESOTA SURGERY CENTER LTD HENNEPIN 129 METRO NURSING SERVICES RAMSEY 295 MINNESOTA TEEN CHALLENGE HENNEPIN 170 METRO THERAPY SPECIAL CHILDREN ANOKA 10 MINNESOTA VALLEY HLTH CTR INC LESUEUR 236 METROPOLITAN LIVING LLC HENNEPIN 99 MINNESOTA VALLEY SURGERY CTR DAKOTA 64 MI CASA ON CENTRAL HENNEPIN 169 MINNESOTA VASCULAR SUR CTR LLC RAMSEY 298 MI CASA ON TYLER HENNEPIN 169 MINNETONKA ASSISTED LIVING HENNEPIN 186 MIDSOTA SURGICAL SUITES PA STEARNS 378 MINNETONKA ASSISTED LIVING COM HENNEPIN 186 MIDTOWNE MANOR II SAINT LOUIS 352 MINNETONKA CARE RESIDENCE HENNEPIN 186 MIDWAY CARE CENTER INC POLK 288 MINNETONKA DIALYSIS UNIT HENNEPIN 186 MIDWAY HOME HEALTH CARE RAMSEY 321 MINNEWASKA COMMUNITY HLTH SERV POPE 290 MIDWEST COMMUNITY RESIDENTIAL OTTER TAIL 274 MINNEWASKA HOME CARE POPE 291 MIDWEST MEDICAL HOLDINGS LLC RAMSEY 296 MIRIAM MANOR KANDIYOHI 224 MIDWEST PROFESSIONAL SERVICES HENNEPIN 170 MIRIAM PARADA SERBER & DAVID W HENNEPIN 138 MIDWEST SURGERY CENTER WASHINGTON 403 MISSION DETOX CENTER HENNEPIN 194 MIKKELSEN MANOR COTTONWOOD 54 MISSION NURSING HOME HENNEPIN 194 MIKKELSEN MANOR ASSTD LIVING COTTONWOOD 54 MN EYE LASER & SURG CTRS LLC RAMSEY 295 MILES VENTS CARE HENNEPIN 107 MN EYE LASER & SURGERY CENTER HENNEPIN MILESTONE SENIOR LIVING RICE 339 MN HOME CARE CROW WING MILL POND VIEW APARTMENTS OTTER TAIL 280 MN MASONIC HOME NORTH RIDGE AP HENNEPIN 190 MILLE LACS BAND OF OJIBWE PUBL MILLE LACS 250 MN MEDICAL & REHAB SERVS LLC HENNEPIN 206 MILLE LACS FAMILY CLINIC MORRISON 251 MN ORTHOPAEDIC SURG CTR LLC ANOKA 10 MILLE LACS FAMILY CLINIC ISLE MILLE LACS 249 MN SEX OFFENDER PROGRAM CARLTON 36 MILLE LACS FAMILY CLNC ONAMIA MILLE LACS 250 MN SPECIALTY HEALTH SYSTEM KANDIYOHI MILLE LACS HEALTH SYSTEM MILLE LACS 250 MN SPECIALTY HEALTH SYSTEM CROW WING MILLE LACS HLTH SYS HOSPICE MILLE LACS 250 MN SPECIALTY HEALTH SYSTEM WADENA 392 MILLE LACS HOME CARE MILLE LACS 250 MN VETERANS HOME - LUVERNE ROCK 343 MILLINUM HEALTH SERVICES INC HENNEPIN 124 MN VETERANS HOME FERGUS FALLS OTTER TAIL 276 MILLSTREAM COMMONS HOME CARE RICE 341 MN VETERANS HOME HASTINGS DAKOTA MILS HOME HEALTH CARE AGENCY HENNEPIN 170 MN VETERANS HOME MINNEAPOLIS HENNEPIN 60 35 8 4 99 55 227 58 69 170 Minnesota Department of Health Division of Compliance Monitoring Index For Directory of Facilities and Services FACILITY NAME COUNTY PAGE# MN VETERANS HOME SILVER BAY LAKE MN VISITING NURSE AGENCY MNGI ENDOSCOPY MAPLEWOOD MNGI ENDOSCOPY BLOOMINGTON HENNEPIN MNGI ENDOSCOPY COON RAPIDS ANOKA MNGI ENDOSCOPY EAGAN DAKOTA MNGI ENDOSCOPY PLYMOUTH HENNEPIN 194 MOBILEX USA HENNEPIN 99 MONARCH HEIGHTS BIG STONE 22 MONARCH MEADOWS NICOLLET 259 MONTEVIDEO DIALYSIS CHIPPEWA 45 MONTREAL COURTS APARTMENTS RAMSEY MONTREAL NBBI RAMSEY MOONRAKER APARTMENTS HENNEPIN MOONRAKER APARTMENTS HENNEPIN MOONRAKER APARTMENTS HENNEPIN MOONRAKER APARTMENTS MOONRAKER APARTMENTS Index Page 28 FACILITY NAME COUNTY 233 MSOCS VIRGINIA ICFMR GR HM SAINT LOUIS 363 HENNEPIN 170 MSOP - GREEN ACRES NICOLLET 261 RAMSEY 295 MSOP - HALVORSON HOUSE NICOLLET 261 MSOP - PEXTON/SHANTZ NICOLLET 261 MTAI ALBERT PLACE HENNEPIN 100 MTAI GLADSON HENNEPIN 134 MTAI MINNEHAHA CREEK HENNEPIN 190 MTAI SAND CREEK HENNEPIN 135 MUNICIPAL HOSP & GRANITE MANOR YELLOW MEDICINE 416 MURPHS HOME MAINTENANCE BECKER 13 MURRAY COUNTY CLINIC MURRAY 258 292 MURRAY COUNTY CLINIC FULDA MURRAY 258 321 MURRAY COUNTY MEM HOSP MURRAY 258 116 MUTUAL MANAGEMENT HENNEPIN 171 116 MVR HOME CARE INC DAKOTA 67 116 MY HOME HEALTH CARE INC RAMSEY 322 HENNEPIN 116 MY RETIREMENT HOUSE INC HENNEPIN 186 HENNEPIN 116 MY RETIREMENT HOUSE INC HENNEPIN 186 MOORE BOARD AND CARE INC HENNEPIN 171 MY RETIREMENT HOUSE INC HENNEPIN 186 MOORHEAD MANOR CLAY 50 N & V HELPFUL HEARTCARE INC HENNEPIN 107 MORGATHA HOME HEALTH CARE INC HENNEPIN 122 N C LITTLE MEMORIAL HOSPICE HENNEPIN 129 MORNING STAR HEALTHCARE SERVIC RAMSEY 322 NAGOMI INC DAKOTA 64 MORNING STAR HEALTHCARE SERVIC RAMSEY 322 NAGOMI INC DAKOTA 62 MORNING STAR WOMENS HEALTH AND HENNEPIN 206 NANCY ISCHER WASHINGTON 399 MORRISON CO PUBLIC HEALTH MORRISON 252 NANCY J LOEBERTMANN WRIGHT 412 MORRISTOWN RICE 340 NANCY PAGE PROG OF PEOPLE INC HENNEPIN 171 MOSES RESIDENCE ITASCA 219 NAOME HOME HEALTH CARE HENNEPIN 100 MOTHER OF MERCY CAMPUS CARE STEARNS 373 NATURE'S POINT ASSISTED LIVING SHERBURNE 370 MOTHER OF MERCY CAMPUS OF CARE STEARNS 373 NEILL NBBI RAMSEY 305 MOUNDS PARK RESIDENCE RAMSEY 322 NEILSON PLACE BELTRAMI MOUNDS VIEW GABLES RAMSEY 297 NELS INTL SERVICES LLC RAMSEY MOUNT CARMEL MANOR DAKOTA 79 NELSON GABLES SENIOR CARE DOUGLAS 83 MOUNT OLIVET CAREVIEW HOME HENNEPIN 171 NERVANAS CARING HANDS INC HENNEPIN 100 MOUNT OLIVET HOME HENNEPIN 171 NEW BEGINNINGS AT WAVERLY LLC WRIGHT 413 MOUNT OLIVET HOME HEALTH CARVER 37 NEW BRIGHTON CARE CENTER RAMSEY 298 MOUNT OLIVET ROLLING ACRES CARVER 39 NEW BRIGHTON SENIOR ASSISTED L RAMSEY 298 MOUNT OLIVET ROLLING ACRES CARVER 38 NEW CHALLENGES INC DAKOTA 67 MPLS CLINIC OF NEUROLOGY HENNEPIN NEW CHALLENGES INC AFTON DAKOTA 66 MSOCS BLAINE HOME ANOKA NEW DIMENSIONS HHC INC OTTER TAIL 276 MSOCS BLOOMINGTON HENNEPIN 100 NEW DIRECTIONS RESIDENTIAL SER HENNEPIN 135 MSOCS DULUTH ICFMR GR HM SAINT LOUIS 352 NEW DIRECTIONS RESIDENTIAL SER HENNEPIN 142 MSOCS EDEN PRAIRIE CHATHAM WAY HENNEPIN 124 NEW DIRECTIONS RESIDENTIAL SER HENNEPIN 171 MSOCS EDEN PRAIRIE DELL ROAD HENNEPIN 125 NEW HARMONY CARE CENTER RAMSEY 322 MSOCS HERSHEY DAKOTA 73 NEW HOPE DIALYSIS CENTER HENNEPIN 190 MSOCS LAKEVILLE JONQUIL DAKOTA 73 NEW LIFE HEALTH AND HOME CARE HENNEPIN 107 MSOCS MOOSE LAKE ICFMR GR HM CARLTON 36 NEW LIFE TREATMENT CENTER PIPESTONE 286 99 9 67 134 5 PAGE# 16 305 Minnesota Department of Health Division of Compliance Monitoring Index For Directory of Facilities and Services FACILITY NAME COUNTY NEW LIVING LLC ANOKA NEW MILLENNIUM HEALTH CARE HENNEPIN NEW MILLENNIUM HEALTH CARE HENNEPIN NEW MILLENNIUM HEALTH CARE ANOKA NEW PERSPECTIVE MAHTOMEDI WASHINGTON NEW PERSPECTIVE MAHTOMEDI LLC WASHINGTON NEW RICHLAND CARE CTR NEW RIVER MEDICAL CENTER PAGE# Index Page 29 FACILITY NAME COUNTY NORTH VALLEY HLTH CTR CLINIC MARSHALL 242 116 NORTHEAST RESIDENCE II RAMSEY 292 116 NORTHERN LIGHTS HOME HLTH CARE SAINT LOUIS 353 11 NORTHERN PINES MEDICAL CENTER SAINT LOUIS 346 397 NORTHERN PINES MENTAL HLTH CTR MORRISON 252 398 NORTHFIELD CARE CENTER INC RICE 341 WASECA 393 NORTHFIELD CITY HOSPITAL & NSG RICE 341 WRIGHT 412 NORTHFIELD HOME CARE RICE 341 NEW ULM MEDICAL CENTER BROWN 28 NORTHFIELD HOSPICE RICE 341 NEW ULM MEDICAL CENTER BROWN 29 NORTHFIELD MANOR INC RICE 341 NEWTON MANOR HENNEPIN 100 NORTHFIELD PARKVIEW INC RICE 341 NGORR HOME CARE LLC HENNEPIN 117 NORTHFIELD PARKVIEW INC RICE 342 NGUFOR HENNEPIN 108 NORTHLAND ASSISTED LIVING SAINT LOUIS 347 NICOLLET COMMONS LLC HENNEPIN 171 NORTHLAND ASSISTED LIVING SAINT LOUIS 353 NICOLLET COUNTY PUBLIC HEALTH NICOLLET 261 NORTHLAND ASSISTED LIVING D/B/ AITKIN NICOLLET COURT HENNEPIN 171 NORTHLAND COUNSELING CENTER ITASCA 219 NICOLLET COURT APARTMENTS HENNEPIN 100 NORTHLAND RECOVERY CENTER ITASCA 219 NICOLLET PLACE FARIBAULT 85 NORTHLAND VILLAGE SAINT LOUIS 361 NICOLLET SQUARE HENNEPIN 171 NORTHOME HEALTHCARE CENTER INC KOOCHICHING 231 NIGHTINGALE HOME HEALTH CARE HENNEPIN 187 NORTHRIDGE RESIDENCE BIG STONE 22 NIGHTINGALE HOSPICE CARE OF MN HENNEPIN 187 NORTHUMBERLAND HENNEPIN 191 NIMENS ESPEGARD APARTMENTS POLK 286 NORTHUMBERLAND APARTMENTS HENNEPIN 191 NINE MILE CREEK SENIOR LIVING HENNEPIN 100 NORTHWEST HOME HEALTH CARE RAMSEY 322 NORMANDY APARTMENTS NORMAN 264 NORTHWESTERN MENTAL HLTH CTR POLK 287 NORRIS SQUARE WASHINGTON 395 NORTHWOOD HOME RED LAKE 332 NORRIS SQUARE WASHINGTON 395 NORTHWOOD PINES RICE 342 NORTH BRANCH SUITE LIVING CARE CHISAGO NOUIS HOME CARE INC MORRISON 252 NORTH COUNTRY CARE ITASCA 219 NOVA CARE OUTPATIENT REHAB DIV WASHINGTON 403 NORTH COUNTRY CARE INC ITASCA 219 NOVACARE REHAB DAKOTA NORTH MANKATO HOUSING & REDEVE NICOLLET 259 NOVACARE REHABILITATION STEARNS NORTH MEMORIAL AMBU SURG HENNEPIN 141 NOVACARE REHABILITATION ANOKA NORTH MEMORIAL HOME HLTH HOSPC HENNEPIN 202 NPA HOME HEALTH CARE LLC STEARNS 378 NORTH MEMORIAL HOME HLTH HOSPC HENNEPIN 202 NRC HOME CARE RICE 342 NORTH MEMORIAL MEDICAL CENTER HENNEPIN 202 NURSES THAT CARE INC SAINT LOUIS 353 NORTH METRO SURGERY CENTER ANOKA NURSING EXCELLENCE CORP ANOKA NORTH OAKS ON EMERSON HENNEPIN 171 NURTURING CARE HENNEPIN 191 NORTH PARK PLAZA APARTMENTS HENNEPIN 190 NURTURING CARE HENNEPIN 187 NORTH POINT PLACE HENNEPIN 202 NW MN HEALTH CLINIC STEPHEN MARSHALL 241 NORTH RESIDENTIAL HOSPICE HENNEPIN 108 O BRIEN COURT LYON 240 NORTH RIDGE CARE CENTER HENNEPIN 191 OAK ACRES LLC RAMSEY 302 NORTH RIDGE CONGREGATE HOUSING HENNEPIN 191 OAK CREST SENIOR HOUSING ROSEAU 345 NORTH RIDGE VIEW LLC GOODHUE 91 OAK CREST SENIOR LIVING ANOKA NORTH STAR APARTMENTS ROSEAU 345 OAK GROVE APARTMENTS HENNEPIN 172 NORTH STAR HOSPICE SAINT LOUIS 360 OAK GROVE CARE CENTER INC HENNEPIN 172 NORTH STAR NURSING TEMPORARY A BECKER 15 OAK HILLS LIVING CENTER BROWN 29 NORTH VALLEY HEALTH CENTER MARSHALL 241 OAK HILLS LIVING CENTER BROWN 29 9 47 5 PAGE# 2 79 376 10 12 12 Minnesota Department of Health Division of Compliance Monitoring Index For Directory of Facilities and Services FACILITY NAME COUNTY PAGE# OAK HILLS LVNG CENTER ASST LI BROWN OAK MEADOWS WASHINGTON OAK PARK PLACE FREEBORN OAK PARK SENIOR LIVING WASHINGTON OAK PARK SENIOR LIVING PENNINGTON OAK PARK SENIOR LIVING WASHINGTON OAK RIDGE ASSTD LVNG HASTINGS DAKOTA OAK RIDGE MANOR STEARNS 375 OAK RIDGE PLACE WASHINGTON OAK TERRACE ASSISTED LIVING O NICOLLET OAK TERRACE HEALTH CARE CENTER SIBLEY OAK TERRACE HEALTH CENTER OF G OAK TERRACE SENIOR HOUSING OF Index Page 30 FACILITY NAME COUNTY PAGE# 29 ORTHOPAEDIC INSTITUTE SURG CTR HENNEPIN 129 399 ORTONVILLE AREA HEALTH SER HHA BIG STONE 22 90 ORTONVILLE AREA HEALTH SERVICE BIG STONE 22 398 OSSEO GARDENS HENNEPIN 192 282 OSTRANDER ASSISTED LIVING FILLMORE 87 398 OSTRANDER CARE AND REHAB FILLMORE 87 OTTERTAIL AREA MEDICAL CLINIC OTTER TAIL 279 OTTOMEYER CLINICS PLLC WASHINGTON 396 399 OUR CIRCLE OF FRIENDS RICE 339 259 OUR CIRCLE OF FRIENDS /MAIN C RICE 339 372 OUR HOME YOUR HOME OTTER TAIL 279 SIBLEY 372 OUR HOUSE RICE 339 SCOTT 365 OUR HOUSE OF MN INC I RAMSEY 322 OAK TERRACE SENIOR HOUSING OF SIBLEY 372 OUR HOUSE OF MN INC II RAMSEY 322 OAK TERRACE SENIOR HOUSING OF SCOTT 365 OUR HOUSE OF MURRAY COUNTY MURRAY 258 OAK TERRACE SENIOR HOUSING OF SIBLEY 372 OUR HOUSE SENIOR LIVING MOWER 256 OAK TERRACE WEST NICOLLET 259 OUR HOUSE SENIOR LIVING MOWER 256 OAK VIEW APARTMENTS INC BROWN 29 OUR LADY OF PEACE HOME RAMSEY 322 OAKLAND PARK COMMUNITIES INC PENNINGTON 282 OUTREACH PLYMOUTH HOME EAST HENNEPIN 195 OAKLAWN HEALTH CARE CENTER BLUE EARTH 25 OUTREACH PLYMOUTH HOME WEST HENNEPIN 195 OAKRIDGE HOMES OF WADENA WADENA 392 OUTREACH RICE CREEK HENNEPIN 122 OAKVIEW RESIDENTIAL CARE CARLTON 36 OUTREACH STEVENS HENNEPIN 172 OAKVIEW RESIDENTIAL CARE INC CARLTON 36 OUTREACH TRILLIUM WEST MCLEOD 246 OAKVIEW RESIDENTIAL CARE INC CARLTON 36 OWAKIHI INC DAKOTA 65 OASIS HENNEPIN 135 OWAKIHI INC DAKOTA 71 OFC BACK CARE CENTER BLUE EARTH 25 OWATONNA CARE CENTER STEELE 382 OLD MAIN VILLAGE BLUE EARTH 25 OWATONNA HOSPITAL STEELE 382 OLIDIA CARE INC HENNEPIN 108 OXBORO HOME WASHINGTON 399 OLMSTED MEDICAL CENTER OLMSTED 269 OXBORO HOME WASHINGTON 399 OLUS HOME INC HENNEPIN 172 OXFORD PROPERTY MANAGEMENT LLC OLMSTED 269 OMETTA VENT CARE SERVICES INC HENNEPIN 194 PAIGE HALL HENNEPIN 172 ON BELAY HOUSE HENNEPIN 194 PAIN CENTERS OF MN - MANKATO BLUE EARTH ON TIME HEALTH SERVICES HENNEPIN 117 PANGEA CARE GROUP HENNEPIN 172 ON-BELAY EDEN PRAIRIE HENNEPIN 125 PARK AVENUE APARTMENTS HENNEPIN 172 ONTRACK HOME CARE INC WASHINGTON 401 PARK AVENUE APARTMENTS HENNEPIN 172 OPEN HAND HOMECARE INC HENNEPIN 207 PARK GARDENS APARTMENTS STEARNS 380 OPTIONS HHC HOME MGT SOLUTIONS CROW WING PARK GARDENS OF FERGUS FALLS OTTER TAIL 277 OPTIONS PLUS HOME CARE LLC WINONA 408 PARK HEALTH & REHAB CENTER HENNEPIN 207 OPTIONS RESIDENTIAL INC DAKOTA 65 PARK LANE ESTATES FILLMORE 87 OPTIONS RESIDENTIAL INC DAKOTA 65 PARK MANOR ESTATES BECKER OPTIONS RESIDENTIAL INC DAKOTA 79 PARK NICOLLET METHODIST HC HENNEPIN 207 OPTIONS RESIDENTIAL INC - BRIA DAKOTA 65 PARK NICOLLET METHODIST HOSP HENNEPIN 207 OPTIONS RESIDENTIAL INC - BRIA DAKOTA 65 PARK NICOLLET METHODIST HOSP HENNEPIN 207 ORCHARD ESTATES MCLEOD 244 PARK PLACE SENIOR LIVING STEELE 382 ORCHARD HILLS CATERED LIVING L BROWN 29 PARK RAPIDS PT AND REHAB HUBBARD 213 ORONO WOODLANDS HENNEPIN PARK RIDGE APTS OF HASTINGS DAKOTA 69 58 139 25 14 70 Minnesota Department of Health Division of Compliance Monitoring Index For Directory of Facilities and Services FACILITY NAME COUNTY PARK RIVER ESTATES CARE CENTER ANOKA PARK TERRACE ASSTD LVG & MEM C WRIGHT PARK TWO HENNEPIN PARK VIEW CARE CENTER WRIGHT PARK VIEW MANOR SWIFT PARK VIEW TERRACE CLAY PARK VIEW VILLAGE PARK VILLA APARTMENTS PAGE# Index Page 31 FACILITY NAME COUNTY PAGE# PEDIATRIC SPEECH & LANGUAGE WRIGHT 413 410 PEDIATRIC THERAPY SERVICES BLUE EARTH 25 172 PEDIATRIC THERAPY SERVICES INC BLUE EARTH 25 410 PELICAN VALLEY HEALTH CENTER OTTER TAIL 280 386 PENN AVENUE APARTMENTS HENNEPIN 199 50 PENN OAK APARTMENTS HENNEPIN 173 RENVILLE 336 PENNEL PARK COMMONS SAINT LOUIS 353 HUBBARD 213 PEOPLE II HENNEPIN 173 PARKER OAKS COMMUNITIES INC FARIBAULT 86 PEOPLE INCORP EPILEPSY SERVIC HENNEPIN 173 PARKER OAKS COMMUNITIES INC FARIBAULT 86 PEOPLE INCORPORATED RAMSEY 323 PARKER SKYVIEW HENNEPIN 172 PEOPLE INCORPORATED RAMSEY 323 PARKERS ARC LAKE OF THE WOODS 235 PEOPLE INCORPORATED DAKOTA PARKINSON'S SPECIALTY CARE HENNEPIN 195 PEOPLE INCORPORATED DSL HENNEPIN 173 PARKINSONS SPECIALTY CARE HENNEPIN 129 PEOPLE INCORPORATED EDGEBROOK RAMSEY 323 PARKSHORE SENIOR CAMPUS LLC HENNEPIN 207 PEOPLE INCORPORATED LONDIN PLA RAMSEY 323 PARKSHORE SENIOR CAMPUS LLC HENNEPIN 207 PEOPLE INCORPORATED RUTH HOUSE RAMSEY 323 PARKVIEW CARE CTR WELLS INC FARIBAULT 86 PEOPLE INCORPORATED SUMMIT PAR DAKOTA PARKVIEW COURT POPE 290 PERHAM HEALTH OTTER TAIL 281 PARKVIEW COURT ASSISTED LIVING POPE 290 PERHAM LIVING HOME CARE OTTER TAIL 281 PARKVIEW HOME REDWOOD 332 PERHAM MEMORIAL HOSP & HOME OTTER TAIL 281 PARKVIEW MANOR NURSING HOME NOBLES 262 PERPICH APARTMENTS SAINT LOUIS 361 PARKWOOD APARTMENTS REDWOOD 332 PERSONALIZED LIVING EDINA PARK HENNEPIN 129 PARMLY LAKEVIEW APARTMENTS CHISAGO 46 PETERSON ESTATES COTTONWOOD PASSION CARE HENNEPIN 173 PHCSS LLP RAMSEY 323 PASSION CARE HENNEPIN 173 PHEASANTS RIDGE ASSISTED LIVNG NICOLLET 261 PATHSTONE CROSSING BLUE EARTH 25 PHILLIPS EYE INSTITUTE HENNEPIN 173 PATHSTONE HOME SERVICES BLUE EARTH 25 PHOENIX AT LUDDEN RAMSEY 297 PATHSTONE LIVING BLUE EARTH 25 PHOENIX AT CARVER RAMSEY 295 PATHWAYS TO ACHIEVEMENT SAINT LOUIS 353 PHOENIX AT CASWELL RAMSEY 331 PATHWAYS TO ACHIEVEMENT SAINT LOUIS 353 PHOENIX AT CENTERVILLE RAMSEY 330 PATHWAYS TO COMMUNITY INC RAMSEY 322 PHOENIX AT DOUGLAS RAMSEY 323 PATRICIA BESTE C/O B HENDERSON STEARNS 379 PHOENIX AT ENGLISH RAMSEY 330 PATRIOT ASSISTED LIVING FARIBAULT 86 PHOENIX AT FOSS RAMSEY 323 PAULS PLACE DAKOTA 69 PHOENIX AT JANET COURT RAMSEY 291 PAVILION SURGERY CENTER LLC SAINT LOUIS 353 PHOENIX AT NEWPORT WASHINGTON 398 PAYNESVILLE AREA HOSPITAL STEARNS 375 PHOENIX AT VIKING RAMSEY 323 PCA AGENCY HENNEPIN 173 PHOENIX SERVICE CORPORATION RAMSEY 305 PEACEFUL BLISS ASSISTD LVG LLC DOUGLAS 83 PHOENIX SERVICE CORPORATION DAKOTA 79 PEACEFUL CARE LLC HENNEPIN 173 PHS/BEACON HILL INC HENNEPIN PEACEFUL LIVING LLC WISCONSIN 418 PHS/CHANHASSEN INC CARVER 37 PEACEFUL LIVING SERVICES RAMSEY 323 PHYS THER SPORTS MEDICINE CTR BLUE EARTH 26 PEACEFUL MIND HOMES LLC DAKOTA 68 PIERZ MEADOW PONDS INC MORRISON 254 PEACEFUL MIND HOMES LLC DAKOTA 76 PIERZ VILLA INC MORRISON 254 PEARL GARDEN RAMSEY 306 PINE GROVE APARTMENTS SAINT LOUIS 353 PEDIATECH NURSING HENNEPIN 187 PINE HAVEN CARE CENTER INC GOODHUE 91 PEDIATRIC HOME SERVICE RAMSEY 302 PINE HAVEN HOME HEALTH GOODHUE 91 9 68 65 53 187 Minnesota Department of Health Division of Compliance Monitoring Index For Directory of Facilities and Services FACILITY NAME COUNTY PINE MANORS INC HUBBARD PINE RIDGE RESIDENCE PINE VIEW APARTMENTS PAGE# Index Page 32 FACILITY NAME COUNTY 212 PRAIRIE HOME HOSPICE LYON 239 CLEARWATER 52 PRAIRIE HOME HOSPICE LYON 239 CARLTON 32 PRAIRIE MANOR CARE CENTER STEELE 381 PINE VIEW ASSISTED LIVING COTTONWOOD 54 PRAIRIE MEADOWS ASSISTED LIVIN LAC QUI PARLE 232 PINE VIEW ASSISTED LIVING COTTONWOOD 54 PRAIRIE MEADOWS SENIOR LIVING DODGE 80 PINES III ASSISTED LIVING SAINT LOUIS 353 PRAIRIE PARK PLACE CHIPPEWA 44 PINEVIEW RECOVERY CENTER KOOCHICHING 231 PRAIRIE PINES COMMUNITY POLK 289 PINNACLE SERVICES - BRAIRWOOD HENNEPIN 135 PRAIRIE REHABILITATION SERVS JACKSON 221 PINNACLE SERVICES - JACKSON SQ HENNEPIN 173 PRAIRIE RIDGE HOSP HLTH SERV GRANT 94 PINNACLE SERVICES - STONECREEK HENNEPIN 195 PRAIRIE RIVER HOME CARE INC BLUE EARTH 26 PINNACLE SERVICES INC HENNEPIN 174 PRAIRIE SENIOR COTTAGES ALEX DOUGLAS 83 PINNACLE SERVICES INC HENNEPIN 117 PRAIRIE SENIOR COTTAGES OF WI KANDIYOHI 228 PIONEER CARE CENTER OTTER TAIL 277 PRAIRIE SENIOR COTTAGES OF ALE DOUGLAS 83 PIONEER ESTATES OF EDEN PRAR HENNEPIN 125 PRAIRIE SENIOR COTTAGES OF HUT MCLEOD PIONEER HOME INC - CARE SUITES OTTER TAIL 277 PRAIRIE SENIOR COTTAGES OF NEW BROWN 29 PIONEER MEMORIAL CARE CENTER POLK 288 PRAIRIE SR COTTAGES HUTCHINSON MCLEOD 245 PIONEER POINTE OTTER TAIL 277 PRAIRIE SR COTTAGES NEW ULM BROWN PIONEER RETIREMENT COMMUNITY WILKIN 406 PRAIRIE SR COTTAGES OF ISANTI ISANTI 215 PIONEER RETIREMENT COMMUNITY WILKIN 406 PRAIRIE SR COTTAGES WILLMAR KANDIYOHI 228 PIONEER SENIOR COTTAGES OTTER TAIL 277 PRAIRIE VIEW ASSISTED LIVING OTTER TAIL 281 PIONEER SENIOR COTTAGES OTTER TAIL 277 PRAIRIE VIEW ASSISTED LVNG INC OTTER TAIL 281 PIONEER SENIOR COTTAGES II OTTER TAIL 277 PRAIRIE VIEW CONGREGATE APARTM WATONWAN 405 PIONEER SENIOR COTTAGES II OTTER TAIL 277 PRAIRIE VIEW HEALTHCARE CENTER LYON 240 PIONEER SENIOR COTTAGES III OTTER TAIL 277 PRAIRIE VIEW INC MURRAY 259 PIONEER SENIOR COTTAGES III OTTER TAIL 277 PRAIRIE VIEW OF HECTOR RENVILLE 335 PIPESTONE CO HOME HEALTH AGNCY PIPESTONE 285 PRAIRIECARE HENNEPIN 141 PIPESTONE CO MED C & ASHTON CC PIPESTONE 285 PRAIRIELAND HOME CARE NORTH DAKOTA 416 PIPESTONE COUNTY HOSPICE PIPESTONE 285 PRAIRIES EDGE BLUE EARTH PIPESTONE COUNTY HOSPICE RESID PIPESTONE 286 PRAIRIEVIEW PLACE TRAVERSE PIPESTONE DIALYSIS FACILITY PIPESTONE 286 PRAIRIEWOOD HOME DOUGLAS 83 PLAINVIEW ESTATES CARLTON 34 PRECIOUS HOME CARE SERVICES IN HENNEPIN 117 PLAINVIEW ESTATES INC CARLTON 35 PREFERRED HOME CARE PROVIDERS WASHINGTON 395 PLANEVIEW PROPERTIES HENNEPIN 199 PRELUDE HOME & SERVICES LLC WASHINGTON 403 PLATEAU HEALTHCARE LLC HENNEPIN 117 PREMIER DIAGNOSTIC IMAGING INC HENNEPIN 100 PLATEAU HEALTHCARE LLC HENNEPIN 117 PRESB HOMES OF BLOOMINGTON HENNEPIN 100 PLATINUM HOMECARE LLC WASHINGTON 403 PRESBY HOMES OF ARDEN HILLS RAMSEY 291 PLEASANT MANOR INC RICE 339 PRESBYTERIAN ASSTD LIVING HC RAMSEY 302 PLEASANT SEASONS ITASCA 219 PRESBYTERIAN HOMES HOME CARE RAMSEY 302 PLEASANT VIEW ESTATES RICE 339 PRESBYTERIAN HOMES HOSPICE INC RAMSEY 302 PLUM HOME CARE LLC RICE 340 PRESBYTERIAN HOMES NORTH OAKS RAMSEY 299 POINT OF AMERICA HENNEPIN 117 PRESBYTERIAN HOMES OF ARDEN HI RAMSEY 291 POINT PLEASANT HEIGHTS CHISAGO 46 PRESBYTERIAN HOMES OF BLOOMING HENNEPIN 101 POLINSKY MEDICAL REHAB CTR SAINT LOUIS 353 PRESBYTERIAN HOMES OF BLOOMING HENNEPIN 100 POPLAR CREEK ESTATES ROCK 344 PRESBYTERIAN HOMES OF BLOOMING HENNEPIN 101 POPLAR MEADOWS OF MCINTOSH POLK 289 PRESBYTERIAN HOMES OF INVER GR DAKOTA POTTER RIDGE GOODHUE PRESBYTERIAN HOMES SUMMERWOOD HENNEPIN 92 PAGE# 245 29 26 388 71 195 Minnesota Department of Health Division of Compliance Monitoring Index For Directory of Facilities and Services FACILITY NAME COUNTY PRIDE INSTITUTE HENNEPIN PRIDE N'LIVING HOME CARE INC ANOKA PRIDE N'LIVING HOME CARE INC ANOKA PRIME TIME ESSENTIAL CARE LLC OLMSTED PRIMETIME LIVINN SUITES OLMSTED PRIMROSE LEASE MANAGEMENT LLC MOWER PRIMROSE OF DULUTH PRIMROSE OF MANKATO PRINCE OF PEACE RETIREMENT LIV MCLEOD PRNSC HENNEPIN PRNSC LLC HENNEPIN PRO MEDICAL SERVICES INC HENNEPIN PRO REHAB CARVER PRO-HEALTH HOME CARE AGENCY LL ANOKA PRODUCTIVE ALTERNATIVES INC OTTER TAIL PROF PORTABLE X-RAY INC HENNEPIN PROF RESOURCE NETWORK HHC PROFESSIONAL REHAB CONSULTANTS PAGE# Index Page 33 FACILITY NAME COUNTY RANGE CENTER ASPENWOOD HOME SAINT LOUIS 361 11 RANGE CENTER MAPLEVIEW HOME SAINT LOUIS 361 10 RANGE MENTAL HEALTH CENTER SAINT LOUIS 363 269 RAVENWOOD HOME STEVENS 384 269 RAVOUX HI RISE RAMSEY 324 256 REA-HAL PROPERTIES HENNEPIN 174 SAINT LOUIS 354 REBECCAS RESIDENCE WASHINGTON 399 BLUE EARTH 26 RECOVER HEALTH STEARNS 379 245 RECOVER HEALTH HENNEPIN 187 101 RED WING DIALYSIS UNIT GOODHUE 92 101 RED WING HEALTH CENTER GOODHUE 93 195 RED WING REGIONAL HOME HEALTH GOODHUE 93 REDEEMER RESIDENCE INC HENNEPIN 174 REDEEMERS ARMS RAMSEY 324 278 REDLINE HOME SERVICES LLC DAKOTA 101 REDWOOD AREA HOSP HOSPICE SER REDWOOD 333 HENNEPIN 101 REDWOOD AREA HOSPITAL REDWOOD 333 RAMSEY 324 REDWOOD AREA HOSPITAL HOME CAR REDWOOD 333 PROGRESS VALLEY II HENNEPIN 199 REDWOOD CO PHS REDWOOD 333 PROGRESSIVE HEALTH CARE OF BEM BELTRAMI REDWOOD FALLS DIALYSIS CTR REDWOOD 333 PROJECT CARING RES ASSTD LVG WASHINGTON 401 REDWOOD FALLS MSOCS REDWOOD 334 PROJECT TURNABOUT YELLOW MEDICINE 416 REENTRY HOUSE HENNEPIN 174 PROJECT TURNABOUT HALFWAY HSE LYON 239 REFLECTIONS ASSISTED LIVING MOWER 256 PROMISE CARE INC HENNEPIN 129 REFLECTIONS HOME CARE RICE 342 PRONTO HEALTH SERVICES INC HENNEPIN 117 REFLECTIONS HOSPICE RICE 342 PROVIDENCE PLACE HENNEPIN 174 REGENCY HOME HEALTHCARE DAKOTA 76 PROVIDENT HOME HEALTHCARE HENNEPIN 203 REGENCY HOME HEALTHCARE RAMSEY 292 PROVISIONAL HOME HEALTH LLC WRIGHT 413 REGENCY HOME HEALTHCARE SERVIC RAMSEY 302 QUALITY ASSURANCE HH OF MN HENNEPIN 207 REGENCY HOME HEALTHCARE SERVIC RAMSEY 295 QUALITY FOOTCARE HENNEPIN 174 REGENCY HOME HEALTHCARE SRVCS RAMSEY 292 QUALITY LIVING HOME HEALTH CAR WINONA 408 REGENCY HOSPITAL OF MPLS LLC HENNEPIN 135 QUALITY QUEST HEALTH CARE INC KANDIYOHI 228 REGINA ASSISTED LIVING DAKOTA 70 QUARRY HEIGHTS APARTMENTS STEARNS 379 REGINA MEDICAL CENTER DAKOTA 70 QUIET OAKS HOSPICE HOUSE STEARNS 377 REGIONAL EYE SURGERY CTR INC MCLEOD 245 RADTKE PHYSICAL THERAPY ITASCA 220 REGIONS HOSPITAL RAMSEY 324 RAINBOW HOME HEALTHCARE INC RAMSEY 324 REHABCARE ANOKA 9 RAINBOW RESIDENCE STEELE 382 REHABCARE AGENCY MN ANOKA 9 RAINY LAKE MEDICAL CENTER KOOCHICHING 231 REHOBOTH HOME ANOKA 9 RAJWOOD RAMSEY 295 RELIEVE CARE INC ANOKA 12 RAKHMA GRACE HOME HENNEPIN 187 REM CANBY SENIOR SERVICES YELLOW MEDICINE 414 RAKHMA JOY HOME RAMSEY 324 REM CENTRAL LAKES INC MORRISON 252 RAKHMA PEACE HOME HENNEPIN 174 REM CENTRAL LAKES INC MORRISON 252 RAMSEY CO MENTAL HEALTH CTR RAMSEY 324 REM CENTRAL LAKES INC FERNWOOD STEARNS 379 RAMSEY COUNTY CARE CENTER RAMSEY 295 REM HEARTLAND (HILLTOP 201) BLUE EARTH RAMSEY COUNTY DETOX CENTER RAMSEY 324 REM HEARTLAND INC (HILLTOP 209 BLUE EARTH RANDALL LAKES AREA CLINIC MORRISON 254 REM HEARTLAND INC - ODYSSEY MARTIN 125 41 6 16 PAGE# 76 26 26 242 Minnesota Department of Health Division of Compliance Monitoring Index For Directory of Facilities and Services FACILITY NAME COUNTY REM HEARTLAND INC AMBER MARTIN REM HEARTLAND INC BUDD MARTIN REM HEARTLAND INC CYPRESS BLUE EARTH REM HEARTLAND INC MADELIA WATONWAN REM HENNEPIN (BLOOMINGTON) HENNEPIN REM HENNEPIN (MINNETONKA) HENNEPIN REM HENNEPIN (PILLSBURY) REM HENNEPIN INC (LAKELAND) PAGE# Index Page 34 FACILITY NAME COUNTY 243 REM SOUTHWEST SRVS MARSHALL A LYON 239 243 REM SOUTHWEST SRVS MARSHALL B LYON 239 26 REM SOUTHWEST SRVS MARSHALL C LYON 239 405 REM SW SERVICES (MONTEVIDEO) CHIPPEWA 101 REM WOODMERE WASHINGTON 403 187 REM WOODVALE INC (MAPLE CREEK) STEELE 382 HENNEPIN 174 REM WOODVALE INC ADAMS STEELE 382 HENNEPIN 117 REM WOODVALE INC CEDAR I MOWER 256 REM HENNEPIN INC (LYNDALE) HENNEPIN 174 REM WOODVALE INC CEDAR IV MOWER 256 REM HENNEPIN INC (REGENT) HENNEPIN 135 REM WOODVALE INC PLAINVIEW FREEBORN 90 REM HENNEPIN INC CRYSTAL HENNEPIN 122 REMICK RIDGE ESTATES COTTONWOOD 54 REM HENNEPIN INC MINNEHAHA HENNEPIN 199 REMINGTON CAMPUS APARTMENTS HENNEPIN 175 REM HENNEPIN INC QUEEN HENNEPIN 174 RENAISSANCE BOX RAMSEY 325 REM HENNEPIN INC WILLIAM HENNEPIN 129 RENAL DIALYSIS FAC NEW ULM BROWN 29 REM MANKATO INC BIRCH BLUE EARTH RENEE M GAU HENNEPIN 138 REM MINNESOTA COMMUNITY SERVIC RAMSEY 299 RENVILLA HEALTH CENTER RENVILLE 337 REM MINNESOTA COMMUNITY SERVIC WASHINGTON 396 RENVILLE CO HOSP CLINIC OLIVIA RENVILLE 336 REM MINNESOTA COMMUNITY SERVIC WASHINGTON 395 RENVILLE COUNTY COMM RES RENVILLE 335 REM MINNESOTA COMMUNITY SERVIC WASHINGTON 395 RENVILLE COUNTY HOSP & CLINCS RENVILLE 336 REM MINNESOTA COMMUNITY SERVIC WASHINGTON 396 RENVILLE COUNTY HOSP & CLINICS RENVILLE 337 REM MN COMM SRVS INC ANOKA ANOKA RENVILLE COUNTY HOSPICE RENVILLE 336 REM MN COMM SVS INC IMPERIAL C WASHINGTON 401 RENVILLE COUNTY PHS RENVILLE 336 REM MN COMM SVS INC PARK PLACE WASHINGTON 400 RENVILLE CTY HOSP CLNCS HECTOR RENVILLE 336 REM NORTHSTAR (JOHNSON PLACE) POLK 287 RENVILLE HEALTH SERVICES HOMEC RENVILLE 337 REM NORTHSTAR (RED RIVER WEST) POLK 288 RES ADVANTAGES INC LUVERNE ROCK 344 REM RAMSEY INC (LAKEWOOD) RAMSEY 295 RES TREATMENT & DETOX CTR SAINT LOUIS 354 REM RAMSEY INC (MAYHILL) RAMSEY 296 RESIDENTIAL ADVANTAGES INC COTTONWOOD REM RAMSEY INC (WILSON AVENUE) RAMSEY 324 RESOLVE HOME HEALTHCARE LLC HENNEPIN 117 REM RAMSEY INC GOODRICH RAMSEY 324 RESTART INC HENNEPIN 175 REM RAMSEY INC HODGSON RAMSEY 305 RESTART INC HENNEPIN 135 REM RAMSEY INC MISSISSIPPI RAMSEY 325 RESTART INC - 614 HENNEPIN 175 REM RAMSEY INC NEBRASKA RAMSEY 325 RESTART INC - ELLIOT HENNEPIN 175 REM RAMSEY INC PROSPECT RAMSEY 332 RESTART INC - KATHY'S PLACE HENNEPIN 175 REM RAMSEY INC SEXTANT RAMSEY 292 RESTART INC - MINNEHAHA HENNEPIN 175 REM RAMSEY INC WYOMING RAMSEY 325 REVERE HOME REDWOOD 334 REM RIVER BLUFFS (WILLOW CR A) OLMSTED 269 REZA HOUSE LLC OLMSTED 270 REM RIVER BLUFFS (WILLOW CR B) OLMSTED 270 RHODE ISLAND CHATEAU HENNEPIN 207 REM RIVER BLUFFS PARK HEIGHTS GOODHUE 93 RICE CARE CENTER KANDIYOHI 228 REM RIVER BLUFFS ROCHESTER NW OLMSTED 270 RICE COUNTY PHNS RICE 339 REM RIVER BLUFFS ROCHESTER SE OLMSTED 270 RICE HOSPICE PROGRAM KANDIYOHI 228 REM SO CENTRAL SERVS (BUFFALO) WRIGHT 410 RICE MEMORIAL HOSPITAL KANDIYOHI 228 REM SOUTHWEST SERV INC (TYLER) LINCOLN 237 RICE MEMORIAL HOSPITAL ESRD KANDIYOHI 228 REM SOUTHWEST SERVICES INC SUN YELLOW MEDICINE 414 RICHFIELD DIALYSIS HENNEPIN 199 REM SOUTHWEST SERVICES INC SUN YELLOW MEDICINE 414 RICHFIELD HEALTH CENTER HENNEPIN 200 REM SOUTHWEST SRVS CANBY A YELLOW MEDICINE 414 RICHFIELD SENIOR SUITES LLC HENNEPIN 200 REM SOUTHWEST SRVS CANBY B YELLOW MEDICINE 414 RIDGE VIEW ESTATES PIPESTONE 286 26 9 PAGE# 45 55 Minnesota Department of Health Division of Compliance Monitoring Index For Directory of Facilities and Services FACILITY NAME COUNTY PAGE# RIDGEBROOK HENNEPIN RIDGEVIEW HOME CARE SERVICES CARVER RIDGEVIEW HOME SUPPORT SERVICE CARVER RIDGEVIEW HOSPICE LINCOLN 237 RIDGEVIEW HOSPICE CARVER RIDGEVIEW LLC KOOCHICHING RIDGEVIEW MEDICAL CENTER CARVER RIDGEWAY ON 23RD BROWN RIDGEWAY ON GERMAN BROWN RIDGEWAY SENIOR LIVING BROWN RIGHT AT HOME HENNEPIN RIGHT AT HOME RIGHT AT HOME Index Page 35 FACILITY NAME COUNTY PAGE# RIVERVIEW MANOR/SAUK CENTRE HR STEARNS 376 40 RIVERVIEW SERVICES INC GOODHUE 94 40 RIVERVILLAGE EAST HENNEPIN 176 RIVERVILLAGE NORTH HENNEPIN 176 RIVERWOOD CLINIC AITKIN AITKIN 1 RIVERWOOD CLINIC MCGREGOR AITKIN 2 40 RIVERWOOD ESTATES HENNEPIN 109 29 RIVERWOOD ESTATES HENNEPIN 109 30 RIVERWOOD ESTATES HENNEPIN 108 30 RIVERWOOD ESTATES HENNEPIN 108 195 RIVERWOOD ESTATES HENNEPIN 108 HENNEPIN 175 RIVERWOOD ESTATES HENNEPIN 108 HENNEPIN 101 RIVERWOOD ESTATES HENNEPIN 108 RIGHTWAY HOME CARE SERVICES HENNEPIN 108 RIVERWOOD HEALTHCARE CENTER AITKIN RIGHTWAY HOME CARE SERVICES IN HENNEPIN 108 RIVERWOOD HLTH CC GARRISON CROW WING RIPLEY GARDENS HENNEPIN 175 ROBBINSDALE DIALYSIS HENNEPIN 202 RISON HOMES INC RICE 339 ROBBINSDALE REHAB & CARE CTR HENNEPIN 202 RIVER BEND APARTMENTS OTTER TAIL 278 ROBBINWOOD APARTMENTS HENNEPIN 202 RIVER CITY DIALYSIS WASHINGTON 401 ROBIN HINTZ MA CCC-SLP LLC HENNEPIN 176 RIVER GRAND INC ITASCA 220 ROBINWOOD APARTMENTS HENNEPIN 202 RIVER HILL ASSISTED LIVING INC SAINT LOUIS 354 ROBINWOOD APARTMENTS HENNEPIN 202 RIVER OAKS HEALTH CARE CTR INC WABASHA 389 RIVER OAKS OF ANOKA ANOKA RIVER POINTE OF MOORHEAD CLAY RIVER VALLEY HOME CARE INC DAKOTA RIVER VALLEY HOME CARE INC DAKOTA RIVERBLUFF HEALTH CARE INC RIVEREDGE HOSPICE ST FRANCIS 118 40 231 1 60 ROBLAND HOME HEALTH CARE CORPO OLMSTED 270 3 ROCHESTER MSOCS OLMSTED 270 50 ROGER METZ MANOR WINONA 408 69 ROITENBERG FAMILY ASSISTED LIV HENNEPIN 207 69 ROOT RIVER ESTATES HOME CARE S OLMSTED 273 BROWN 30 ROSE ARBOR HENNEPIN 141 WILKIN 406 ROSE OF SHARON MANOR RAMSEY 302 RIVERFRONT MANOR OTTER TAIL 280 ROSE VIEW MANOR STEARNS 375 RIVERFRONT MANOR PELICAN RAPII OTTER TAIL 280 ROSECOURT ASSISTED LIVING DAKOTA 76 RIVERS EDGE KITTSON 229 ROSELAWN VILLAGE APARTMENTS RAMSEY 302 RIVERS EDGE HOSPITAL & CLINIC NICOLLET 261 ROSEMOUNT COURT DAKOTA 76 RIVERSIDE ASSISTED LIVING MORRISON 254 ROSEVIEW ASSISTED LIVING DAKOTA 76 RIVERSIDE ASSISTED LIVING CASS 42 ROSEVIEW COURT CARE AGENCY HOUSTON 211 RIVERSIDE ASSISTED LIVING OF P CASS 42 ROSEWOOD DOUGLAS 83 RIVERSIDE ASST LVG OF PILLAGER CASS 42 ROSEWOOD CHIPPEWA 45 RIVERSIDE ENDOSCOPY CENTER LLC HENNEPIN 175 ROSEWOOD ESTATE OF HIGHLAND RAMSEY 325 RIVERSIDE PLAZA HENNEPIN 175 ROSEWOOD ESTATE OF HIGHLAND RAMSEY 325 RIVERSIDE PLAZA BUILDING D HENNEPIN 176 ROSEWOOD ESTATE OF ROSEVILLE RAMSEY 303 RIVERSIDE PLAZA BUILDING M HENNEPIN 176 ROSEWOOD ESTATE OF ROSEVILLE RAMSEY 303 RIVERSIDE PROFESSIONAL HEALTH HENNEPIN 176 ROSEWOOD VILLA JACKSON 221 RIVERSIDE SR APARTMENTS CASS ROSS PARK APARTMENTS BROWN 30 RIVERVIEW HEIGHTS HIGHRISE OTTER TAIL 278 ROXANNE TARNOWSKI RAMSEY 296 RIVERVIEW HOME CARE POLK 287 ROYAL HOME CARE AGENCY INC STEELE 382 RIVERVIEW HOSPITAL & NSG HOME POLK 287 ROYCE PLACE ANOKA RIVERVIEW MANOR SAINT LOUIS 358 RS EDEN HENNEPIN 42 6 176 Minnesota Department of Health Division of Compliance Monitoring Index For Directory of Facilities and Services FACILITY NAME COUNTY RS EDEN / DILLION APARTMENTS HENNEPIN RS EDEN / DILLION APARTMENTS RSI HARTLEY RUTH FREDRICKSON CARES GOODHUE RUTH HOMES INC DAKOTA RYLEE'S HOUSE HENNEPIN SACRED HEART ASSISTED LIVING A SACRED HEART CARE CENTER INC PAGE# Index Page 36 FACILITY NAME COUNTY PAGE# 176 SANFORD HLTH BLACKDUCK CLINIC BELTRAMI HENNEPIN 176 SANFORD HLTH CASS LAKE CLINIC CASS SAINT LOUIS 354 SANFORD HLTH OTTERTAIL CLINIC OTTER TAIL 279 91 SANFORD HLTH PELICN RPDS CLINC OTTER TAIL 280 70 SANFORD HLTH TWIN VALLEY CLINI NORMAN 264 118 SANFORD HOME CARE NORTH DAKOTA 417 MOWER 256 SANFORD HOSPICE SOUTH DAKOTA 418 MOWER 256 SANFORD HTH DL CLNC SAME DAY BECKER 14 SACRED HEART HOME HEALTH CARE MOWER 257 SANFORD JACKSON MEDICAL CENTER JACKSON 221 SAFE HARBOR BOARD & LODGE INC LAKE 234 SANFORD LUVERNE HOSPICE ROCK 344 SAFETY CARE INC RAMSEY 325 SANFORD LUVERNE HOSPICE ROCK 344 SAGEWOOD LLC WASHINGTON 403 SANFORD LUVERNE MEDICAL CENTER ROCK 344 SAGEWOOD LLC WASHINGTON 403 SANFORD MED CTR THIEF RVR FALL PENNINGTON 282 SAINT ANNE EXTENDED HEALTHCARE WINONA 408 SANFORD MEDICAL CENTER WHEATON TRAVERSE 388 SALLYS HOME HEALTH CARE SCOTT 365 SANFORD REGIONAL HOSPITAL WOR NOBLES 262 SALMI HOMES INC SAINT LOUIS 357 SANFORD TRACY MEDICAL CENTER LYON 241 SAMAH HOME HEALTH CARE KANDIYOHI 228 SANFORD TRACY WALNUT GROVE CLC REDWOOD 334 SAMARITAN BETHANY HM ON EIGHTH OLMSTED 270 SANFORD VISITING NURSES ASSOCI SOUTH DAKOTA 418 SAMARITAN HOUSE BIRCHWOOD CROW WING 58 SANFORD WESTBROOK MEDICAL CTR COTTONWOOD 54 SAMARITAN HOUSE ELMWOOD CROW WING 58 SANFORD WHEATON TRAVERSE 389 SAMARITAN HOUSE OAKWOOD CROW WING 59 SANFORD WORTHINGTON HOME CARE NOBLES 262 SANFORD BEMIDJI HOME CARE BELTRAMI 17 SANFORD WORTHINGTON MEDICAL CE NOBLES 262 SANFORD BEMIDJI HOSPICE BELTRAMI 17 SATELLITE DIALYSIS ORTONVILLE BIG STONE SANFORD BEMIDJI MEDICAL CENTER BELTRAMI 17 SAUER MEMORIAL HOME WINONA 408 SANFORD CANBY DIALYSIS UNIT YELLOW MEDICINE 414 SAVING GRACE HOME HEALTH LLC STEARNS 380 SANFORD CANBY MED CENTER YELLOW MEDICINE 414 SAWTOOTH RIDGES COOK SANFORD CANBY MEDICAL CENTER YELLOW MEDICINE 414 SCANDIA ELDERCARE WASHINGTON 399 SANFORD CANBY MEDICAL CENTER YELLOW MEDICINE 414 SCANDIA ELDERCARE WASHINGTON 399 SANFORD CLINIC BALATON LYON 238 SCANDIA HOUSE OF ISLE MILLE LACS 249 SANFORD CLINIC CANBY YELLOW MEDICINE 414 SCANDIA HOUSE OF MORA KANABEC 223 SANFORD CLINIC JACKSON JACKSON 221 SCANDIA SENIOR CARE LLC MILLE LACS 249 SANFORD CLINIC LAKEFIELD JACKSON 222 SANFORD CLINIC MOUNTAIN LAKE COTTONWOOD SANFORD CLINIC TRACY LYON SANFORD CLINIC WESTBROOK COTTONWOOD SANFORD CLINIC WINDOM COTTONWOOD SANFORD DIALYSIS BEMIDJI SANFORD DIALYSIS DETROIT LAKES 18 41 23 53 SCANDIA SHORES RAMSEY 305 53 SCENIC HILLS ALTERNATIVE CARE RAMSEY 296 240 SCENIC HILLS ALTERNATIVE CARE RAMSEY 325 54 SCENIC HILLS ALTERNATIVE CARE RAMSEY 296 55 SCENIC HILLS ALTERNATIVE CARE RAMSEY 325 BELTRAMI 17 SCENIC HILLS ALTERNATIVE CARE WASHINGTON 397 BECKER 14 SCENIC SENIOR HAUS SAINT LOUIS 354 SANFORD DIALYSIS MORRIS STEVENS 384 SCENIC SENIOR HAUS LLC SAINT LOUIS 354 SANFORD DIALYSIS RED LAKE BELTRAMI SCENICWOOD DOUGLAS 83 SANFORD DIALYSIS THIEF RVR FLS PENNINGTON 282 SCHOOL SISTERS OF NOTRE DAME BLUE EARTH 26 SANFORD HEALTH HALSTAD CLINIC NORMAN 264 SCOTT COUNTY DIALYSIS SCOTT 366 SANFORD HEALTH MAHNOMEN CLINIC MAHNOMEN 241 SEABURY RAMSEY 325 SANFORD HEALTH NEILSON PLACE BELTRAMI 17 SEASONS REDWOOD 334 SANFORD HEALTH ULEN CLINIC CLAY 51 SEASONS AT APPLE VALLEY DAKOTA SANFORD HEALTH WALKER CLINIC CASS 43 SEASONS HOSPICE OLMSTED 18 62 270 Minnesota Department of Health Division of Compliance Monitoring Index For Directory of Facilities and Services FACILITY NAME COUNTY SEASONS HOSPICE OLMSTED SEBEKA MEDICAL CLINIC SEFERTT HEALTH CARE SELECT SENIOR LIV/COON RAPIDS ANOKA SELECT SENIOR LIVING OF COON R ANOKA SENIOR CLASS CARE CROW WING SENIOR CLASS CARE SENIOR CLASS HOME HEALTH CARE PAGE# Index Page 37 FACILITY NAME COUNTY 270 SHETEK HOME CARE LYON 241 WADENA 391 SHIFFO HOME HEALTH CARE CORPOR OLMSTED 271 HENNEPIN 118 SHINGLE CREEK COMMONS HENNEPIN 177 9 SHINGLE CREEK OPTION HENNEPIN 118 9 SHIRAZ ASSISTED LIVING LLC OLMSTED 271 60 SHIRLEY CHAPMAN SHOLOM HM EAST RAMSEY 326 CROW WING 60 SHOLOM COMM ALLIANCE HOME HLTH HENNEPIN 208 CROW WING 60 SHOLOM HOME CARE HENNEPIN 208 SENIOR FRIEND SAINT LOUIS 354 SHOLOM HOME WEST HENNEPIN 208 SENIOR FRIEND ASSOCIATES INC SAINT LOUIS 354 SHOLOM HOSPICE HENNEPIN 208 SENIOR HELPERS SHERBURNE 368 SHOREWOOD COMMONS ASSISTED LIV OLMSTED 271 SENIOR HELPERS HENNEPIN 101 SHOREWOOD PLACE OLMSTED 271 SENIOR HELPERS HENNEPIN 176 SHRINERS HOSPITAL FOR CHILDREN HENNEPIN 177 SENIOR HELPERS DAKOTA 65 SIBLEY COUNTY PUBLIC HEALTH DP SIBLEY 372 SENIOR SUITES OF NEW BRIGHTON RAMSEY 298 SIBLEY MED CTR HENDERSON SIBLEY 372 SENIOR SUPPORT AND CARE HENNEPIN 177 SIBLEY MEDICAL CENTER SIBLEY 371 SENIORS CARING COMPANIONS INC WASHINGTON 403 SIBLEY MEDICAL CLINIC SIBLEY 371 SENIORS CHOICE AT HOME HENNEPIN 195 SIBLEY MEDICAL CLINIC SIBLEY 372 SEPTEMBER HOUSE SAINT LOUIS 354 SIBLEY MEDICAL CLINIC SIBLEY 372 SERENITY ASSISTED LIVING INC CLAY SIBLEY MEDICAL CNTR HOME CARE SIBLEY 371 SERENITY CHOICE HOMECARE WRIGHT SIBLEY PARK - 211 RAMSEY 326 SERENITY HOME CARE INC ANOKA SIFA CARE INC HENNEPIN 177 SERENITY HOME HEALTH CARE SYST RAMSEY 326 SIGNE AND OLIVIAS LLC KANABEC 223 SERENITY HOUSE YELLOW MEDICINE 415 SIGNE BURCKHARDT MANOR HENNEPIN 177 SERENITY PLACE HENNEPIN 177 SILVER BAY CAREFREE LIVING INC LAKE 233 SERVING HANDS INC SAINT LOUIS 347 SILVER OAKS RAMSEY 298 SERVING HANDS PROPERTIES LLC SAINT LOUIS 347 SIMAC PROFESSIONAL BUSINESS SE HENNEPIN 122 SEVENTH AVENUE APARTMENTS SAINT LOUIS 361 SIMPSON HOUSING SERVICES- CROS HENNEPIN 101 SEWARD FLATS HENNEPIN 177 SIOUX TRAIL MENTAL HLTH CENTER BROWN SEWARD FLATS HENNEPIN 177 SIXTH AVENUE RESIDENCE PINE 284 SEWARD FLATS HENNEPIN 177 SKYLIGHT GARDENS STEARNS 379 SHABA HEALTH SERVICES CORP HENNEPIN 177 SKYVIEW COURT STEVENS 384 SHADE TREE RETIREMENT CENTER MCLEOD 244 SKYVIEW PLAZA STEVENS 384 SHADYWAY GROUP HOME HENNEPIN 210 SLATER SQUARE HENNEPIN 178 SHAKOPEE FRIENDSHIP MANOR SCOTT 367 SLATER SQUARE HENNEPIN 178 SHALOM ESTATE LLC OLMSTED 270 SLATER SQUARE HENNEPIN 178 SHARON OJILE HOMECARE HENNEPIN 200 SLATER SQUARE HENNEPIN 178 SHARONS SENIOR SERVICES INC DOUGLAS 84 SLATER SQUARE HENNEPIN 178 SHARONS SENIOR SERVICES INC DOUGLAS 84 SLEEPY EYE AREA HOME HEALTH BROWN 30 SHARONS SENIOR SERVICES INC DOUGLAS 83 SLEEPY EYE AREA HOME HEALTH IN BROWN 30 SHEPARD PARK HC RAMSEY 326 SLEEPY EYE CARE CENTER BROWN 31 SHEPHERD COURT APARTMENTS BENTON 20 SLEEPY EYE MEDICAL CENTER BROWN 31 SHEPHERD OAK APARTMENTS INC BENTON 21 SLEEPY EYE MEDICAL CENTER BROWN 31 SHEPHERD OAK WEST APARTMENTS I BENTON 21 SNYDER HEALTH CARE SYSTEMS INC DAKOTA 77 SHEPHERD OF GRACE LLC SHERBURNE 368 SO CENTRAL HUMAN RELATIONS CTR STEELE 383 SHERIDAN HOUSE OTTER TAIL 278 SO CENTRAL SURGICAL CTR LLC MARTIN 243 49 413 11 PAGE# 30 Minnesota Department of Health Division of Compliance Monitoring Index For Directory of Facilities and Services FACILITY NAME COUNTY SO PSYCHIATRIC NF - ST PETER NICOLLET SOJOURN AT HOME LLC SOJOURN SUITES LLC PAGE# Index Page 38 FACILITY NAME COUNTY PAGE# 261 SPRINGHILL RAMSEY 330 HENNEPIN 209 SPYGLASS MANOR DAKOTA HENNEPIN 209 ST ANDREWS VILLAGE WASHINGTON 398 SOJOURN SUITES LLC HENNEPIN 189 ST ANNS RESIDENCE SAINT LOUIS 355 SOJOURN SUITES LLC HENNEPIN 203 ST ANTHONY HEALTH CENTER RAMSEY 306 SOJOURN SUITES LLC - JAMES AVE HENNEPIN 123 ST ANTHONY PARK HOME RAMSEY 326 SOJOURN SUITES LYNWOOD HENNEPIN 189 ST BENEDICTS SEN COM THE COURT WRIGHT 412 SOLACE HOME HEALTH & HOSPICE C HENNEPIN 120 ST BENEDICTS SENIOR COMMUNITY SHERBURNE 370 SOLBAKKEN HENNEPIN 102 ST BENEDICTS SENIOR COMMUNITY SHERBURNE 370 SOLBAKKEN INC HENNEPIN 141 ST BENEDICTS SR COMM VILLAGE WRIGHT 412 SOLBAKKEN INC HENNEPIN 102 ST BRIGID'S AT HI-PARK GOODHUE 93 SOLBAKKEN INC HENNEPIN 102 ST BRIGIDS AT HI PARK GOODHUE 93 SOLBAKKEN INC ISANTI 215 ST BRIGIDS AT HI-PARK GOODHUE 93 SOLVAY HOUSE SAINT LOUIS 354 ST CAMILLUS PLACE MORRISON 253 SOME PLACE SPECIAL OTTER TAIL 281 ST CATHERINE'S HOME CARE NORTH DAKOTA 417 SONSHINE HOME HEALTH CARE LLC LAC QUI PARLE 232 ST CHARLES ASSISTED LIVING IN WINONA 407 SOPHIES MANOR ASSISTED LIVING PINE 284 ST CLOUD CAREFREE LIVING LLC STEARNS 379 SOSNN BRIDGE HOUSE SAINT LOUIS 355 ST CLOUD CTR OPHTHALMIC SURG STEARNS 379 SOUTH HAVEN SENIOR COMMUNITY HENNEPIN 129 ST CLOUD HOSPITAL STEARNS 379 SOUTH SHORE CARE CENTER NOBLES 263 ST CLOUD HOSPITAL HC SERVICES STEARNS 380 SOUTHERN MINNESOTA HOMECARE LL BLUE EARTH ST CLOUD HOSPITAL HOSPICE STEARNS 380 SOUTHSIDE CARE CENTER HENNEPIN ST CLOUD SURGERY CTR STEARNS 380 SOUTHVIEW ACRES HLTH CARE CTR DAKOTA ST CROIX HOSPICE WASHINGTON 399 SOUTHVIEW LIVING CENTER LLC SIBLEY ST DAVIDS CHILD DEV FAMILY SRV HENNEPIN 187 SOUTHVIEW SENIOR LIVING DAKOTA ST ELIGIUS HEALTH CENTER SAINT LOUIS 355 SOUTHWEST MINNESOTA SURG CTR LYON 240 ST ELIZABETH HOME HEALTH CARE WABASHA 390 SOUTHWESTERN MENTAL HEALTH CTR ROCK 344 ST ELIZABETH HOSPITAL OF WABAS WABASHA 390 SPEAK RIGHT NOW LLC RAMSEY 305 ST ELIZABETHS MEDICAL CENTER WABASHA 390 SPECIALTY CARE GROUP HENNEPIN 178 ST FRANCIS HEALTHCARE CAMPUS WILKIN 406 SPECTRUM COMMUNITY HEALTH INC SAINT LOUIS 357 ST FRANCIS HOME WILKIN 406 SPECTRUM COMMUNITY HEALTH INC DAKOTA 72 ST FRANCIS HOME HEALTH CARE WILKIN 406 SPECTRUM COMMUNITY HEALTH INC DAKOTA 72 ST FRANCIS REGIONAL MED CENTER SCOTT 367 SPECTRUM COMMUNITY HEALTH INC SAINT LOUIS 363 ST GABRIELS HOSPITAL MORRISON 253 SPECTRUM HOME CARE NORTH DAKOTA 417 ST GERTRUDES HEALTH CENTER SCOTT 367 SPELTZ ESTATES ASSIST LIV INC WINONA 407 ST ISIDORE HLTH CTR OF GRWD PR WABASHA 389 SPINAL REHAB CLINIC BENTON 21 ST JAMES MANOR OTTER TAIL 281 SPIRIT VALLEY ASSISTED LIVING SAINT LOUIS 355 ST JOHN HOME CARE HENNEPIN 187 SPIRIT VALLEY ASSISTED LIVING SAINT LOUIS 355 ST JOHN HOME CARE LLC HENNEPIN 188 SPOT REHABILITATION INC STEARNS 379 ST JOHN LUTHERAN HOME BROWN SPOT REHABILITATION INC STEARNS 379 ST JOHNS LUTHERAN HOME FREEBORN SPRING GROVE ASSISTED LIV LLC HOUSTON 212 ST JOSEPHS AREA HLTH SERVICES HUBBARD 213 SPRING VALLEY CARE CENTER FILLMORE 88 ST JOSEPHS AREA HLTH SERVICES HUBBARD 213 SPRING VALLEY ESTATES FILLMORE 88 ST JOSEPHS AREA HLTH SERVICES HUBBARD 213 SPRING VALLEY HOME HEALTH AG FILLMORE 88 ST JOSEPHS HOSPITAL RAMSEY 326 SPRINGHAVEN/PINEWEST II LP STEARNS 374 ST LOUIS CO PUBLIC HEALTH & HS SAINT LOUIS 355 SPRINGHAVEN/PINEWEST II LP STEARNS 374 ST LOUIS PARK DIALYSIS CENTER HENNEPIN 208 23 178 79 372 79 74 31 90 Minnesota Department of Health Division of Compliance Monitoring Index For Directory of Facilities and Services FACILITY NAME COUNTY ST LUCAS CARE CENTER RICE ST LUKES HOME HEALTH SERVICES ST LUKES HOSPICE DULUTH PAGE# Index Page 39 FACILITY NAME COUNTY 340 STEPPING STONE HOME HEALTH CAR LYON SAINT LOUIS 355 STERLING HOUSE INVER GROVE HGT DAKOTA SAINT LOUIS 355 STERLING HOUSE OF BLAINE ANOKA ST LUKES HOSPITAL SAINT LOUIS 355 STERLING HOUSE OF FARIBAULT RICE ST LUKES LUTHERAN CARE CENTER FARIBAULT 85 STERLING HOUSE OF MANKATO BLUE EARTH ST MARKS APARTMENTS MOWER 257 STERLING HOUSE OF OWATONNA STEELE 383 ST MARKS LUTHERAN HOME MOWER 257 STERLING HOUSE OF SAUK RAPIDS BENTON 21 ST MARY'S CONTINUED CARE BECKER 14 STERLING HOUSE OF WEST ST PAUL DAKOTA 79 ST MARYS HOME HEALTH BECKER 14 STERLING HOUSE WILLMAR KANDIYOHI 228 ST MARYS HOSPICE RAMSEY 326 STERLING HOUSE WINONA WINONA 408 ST MARYS HOSPICE & PALLIATIVE SAINT LOUIS 355 STERLING PARK COMMONS STEARNS 380 ST MARYS SR LVG SUPPORTIVE SER BECKER 14 STERLING PARK HCC STEARNS 380 ST MICHAEL SPINAL REHAB CENTER WRIGHT 413 STERLING PARK RIDGEVIEW BENTON 21 ST MICHAELS HLTH & REHAB CTR SAINT LOUIS 364 STERLING POINTE SENIOR LVG LLC MILLE LACS 251 ST MICHAELS HOSPICE STEARNS 377 STERLING SQUARE HENNEPIN 109 ST MICHAELS HOSPITAL & NH STEARNS 377 STEVENS COMMUNITY MED CENTER STEVENS 385 ST MIKE HOSP SAUK CT HOME CARE STEARNS 377 STEVENS COMMUNITY MEDICAL CENT STEVENS 385 ST OLAF RESIDENCE HENNEPIN 178 STEVENS RESIDENCE HENNEPIN 188 ST OTTOS CARE CENTER MORRISON 253 STEWARTVILLA APARTMENTS OLMSTED 273 ST PAUL CAPITOL DIALYS AT HOME RAMSEY 326 STEWARTVILLE CARE CENTER OLMSTED 273 ST PAUL CAPITOL DIALYSIS RAMSEY 326 STEWARTVILLE HOME CARE SERVICE OLMSTED 273 ST PAUL DIALYSIS RAMSEY 326 STEWARTVILLE SENIOR CAMPUS COT OLMSTED 274 ST PAUL RESIDENCE RAMSEY 327 STILLE HAVN HUS CASS 43 ST PETER HRA PARKVIEW MANOR NICOLLET 261 STILLE HAVN HUS CASS 43 ST RAPHAELS HEALTH & REHAB SAINT LOUIS 357 STONEBRIDGE MANOR HENNEPIN 189 ST RAPHAELS HEALTH & REHAB CTR SAINT LOUIS 358 STONECREST WASHINGTON 404 ST SCHOLASTICA CONVENT SHERBURNE 370 STONECREST WASHINGTON 403 ST STEPHENS HUMAN SERVICES HENNEPIN 178 STONEHAVEN ASSISTED LIVING SAINT LOUIS 346 ST THERESE AT HOME SOLUTIONS HENNEPIN 191 STONEHAVEN ASSISTED LIVING SAINT LOUIS 346 ST THERESE AT OXBOW LAKE HENNEPIN 118 STRADFORD FLATS HENNEPIN 179 ST THERESE AT ST ODILIA RAMSEY 305 STRAUS LOFTS RAMSEY 327 ST THERESE HOME HENNEPIN 191 SU CASA HOME CARE HENNEPIN 179 ST THERESE HOME INC RAMSEY 305 SUGAR BROOK VILLA INC ITASCA 216 ST THERESE RESIDENCE HENNEPIN 191 SUGAR LAKE SUPPORTED LIVING SE WRIGHT 412 ST THERESE RESIDENCE NURSING HENNEPIN 191 SUMMERWOOD OF CHANHASSEN CARVER ST WILLIAMS FOSTER CARE MCCOR OTTER TAIL 279 SUMMERWOOD OF PLYMOUTH HENNEPIN ST WILLIAMS LIVING CENTER OTTER TAIL 280 SUMMIT AVENUE RESIDENCE DAKOTA ST. THERESE AT HOME SOLUTIONS HENNEPIN 191 SUMMIT HEALTHCARE INC HENNEPIN 179 STANLEY JONES & ASSOCIATES OLMSTED 271 SUMMIT HOME HEALTH CARE INC HENNEPIN 135 STANLEY JONES AND ASSOCIATES OLMSTED 271 SUMMIT PLACE ASSISTED LIVING HENNEPIN 125 STAR SERVICES RAMSEY 327 SUMMIT PLACE INDEPENDENT LIVIN HENNEPIN 125 STAYING HOME BLUE EARTH SUN RAY DIALYSIS UNIT RAMSEY 327 STEELE COUNTY COMMUNITIES FOR STEELE 383 SUNCREST ASSISTED LIVING CARLTON 36 STEELE COUNTY PHNS STEELE 383 SUNLIGHT SENIOR LIVING RAMSEY 327 STEP AHEAD RESIDENTIAL GROUP H HENNEPIN 178 SUNLIGHT SERVICES RAMSEY 296 STEPHANIE LYNN SALONEK WRIGHT 410 SUNLIGHT SERVICES RAMSEY 327 26 PAGE# 240 72 5 340 27 37 195 77 Minnesota Department of Health Division of Compliance Monitoring Index For Directory of Facilities and Services FACILITY NAME COUNTY SUNLIGHT SERVICES LLC RAMSEY SUNLIGHT SERVICES LLC SUNNYSIDE CARE CENTER PAGE# Index Page 40 FACILITY NAME COUNTY PAGE# 327 SUPPORTIVE LIVING SOLUTIONS RAMSEY 327 RAMSEY 327 SUPPORTIVE LIVING SOLUTIONS LL HENNEPIN 179 BECKER 15 SUPREME CARE INC HENNEPIN 179 SUNNYSIDE CARE CENTER BECKER 15 SUTTON PLACE RAMSEY 291 SUNNYVIEW KANDIYOHI 223 SVEDAHL INVESTMENTS HENNEPIN 179 SUNNYVIEW II KANDIYOHI 223 SW MN OPPORTUNITY COUNCIL INC NOBLES 263 SUNRISE ASSISTED LIVING VIII OLMSTED 271 SWIFT COUNTY BENSON HOSPITAL SWIFT 386 SUNRISE ASSISTED LIVING OF BUF WRIGHT 411 SWIFT CTY BENSON HOSP HH CARE SWIFT 386 SUNRISE ASSISTED LIVING OF EDI HENNEPIN 130 SYLVAN HOUSE YELLOW MEDICINE 415 SUNRISE ASSISTED LIVING ROSEVI RAMSEY 303 SYLVAN PLACE YELLOW MEDICINE 415 SUNRISE ASSISTED LIVING VI OLMSTED 271 SYNERGY HOME CARE WASHINGTON 404 SUNRISE ASSISTED LIVING/EDINA HENNEPIN 130 SYNERGY HOME CARE MSP METRO HENNEPIN 179 SUNRISE ASSTD LIV OF ROSEVILLE RAMSEY 303 SYNERGY HOMECARE MINNEAPOLIS HENNEPIN 136 SUNRISE COTTAGE OF MANKATO BLUE EARTH 27 SYNERGY HOMECARE TWIN CITIES S DAKOTA SUNRISE COTTAGE OF MANKATO BLUE EARTH 27 SYNSTELIEN COMMUNITY SERVICES OTTER TAIL 278 SUNRISE COTTAGES OF BUFFALO WRIGHT 411 SYSKON HOME HEALTH CARE LLC HENNEPIN 179 SUNRISE COTTAGES OF BUFFALO WRIGHT 411 TADDS LIGHTHOUSE INC STEARNS 375 SUNRISE COTTAGES OF BUFFALO WRIGHT 411 TALAHI CARE CENTER SHERBURNE 371 SUNRISE COTTAGES ROCHESTER I OLMSTED 271 TALAHI HOME HEALTH SHERBURNE 371 SUNRISE COTTAGES ROCHESTER II OLMSTED 271 TALITHA CUMI WOMENS HOME RAMSEY 328 SUNRISE COTTAGES ROCHESTER III OLMSTED 272 TAMARAC SENIOR LIVNG COMMUNITY MARSHALL 241 SUNRISE COTTAGES ROCHESTER IV OLMSTED 272 TAMARACK COURT BELTRAMI SUNRISE COTTAGES ROCHESTER IX OLMSTED 272 TAPESTRY RAMSEY 328 SUNRISE COTTAGES ROCHESTER V OLMSTED 272 TCCH HOME CARE HENNEPIN 200 SUNRISE COTTAGES ROCHESTER VII OLMSTED 272 TEMPERANCE LAKE RIDGE MARTIN 243 SUNRISE HEALTH SERVICES INC CHISAGO 48 TENDER CARE FOR YOU LLC DAKOTA 65 SUNRISE OF BUFFALO WRIGHT 411 TENDER CARE HOME MANAGEMENT CROW WING 59 SUNRISE OF GOLDEN VALLEY HENNEPIN 135 TENDER HEARTS HOME CARE OTTER TAIL 279 SUNRISE OF GOLDEN VALLEY HENNEPIN 135 TERRACE HEIGHTS ASSISTED LIVIN DOUGLAS 85 SUNRISE OF MINNETONKA HENNEPIN 188 TEXAS TERRACE CARE CENTER HENNEPIN 208 SUNRISE OF MINNETONKA HENNEPIN 188 THE ALTON MEMORY CARE RAMSEY 328 SUNRISE OF ROCHESTER OLMSTED 272 THE ARBORS AT RIDGES DAKOTA SUNRISE TERRACE MURRAY 259 THE BALMORAL HENNEPIN 179 SUNRISE VILLAGE KANDIYOHI 228 THE BARRINGTON HENNEPIN 179 SUNSET COTTAGE NOBLES 263 THE BELMONT APARTMENTS HENNEPIN 180 SUNSET HOMES ASSISTED LIVING OLMSTED 272 THE BOULEVARD ANOKA SUNSET HOMES ASSISTED LIVING I OLMSTED 272 THE BRIDGES OF ZUMBROTA GOODHUE SUNSET HOMES ASSISTED LIVING I OLMSTED 265 THE BROOKS ON ST PAUL STEELE 383 SUNSHINE CARE INC HENNEPIN 130 THE CARING SISTERS HOME CARE HENNEPIN 136 SUNSHINE HOME CARE WRIGHT 413 THE CARING SISTERS HOME CARE S HENNEPIN 208 SUNSHINE HOME HEALTH CARE INC RAMSEY 327 THE CARING SISTERS HOME CARE S HENNEPIN 136 SUPERIOR HOME HEALTH CARE INC DAKOTA 74 THE CARING SISTERS HOME CARE S HENNEPIN 180 SUPERIOR VIEW APARTMENTS SAINT LOUIS 356 THE CARING SISTERS HOME CARE S HENNEPIN 208 SUPERIOR VIEW ASSISTED LIVING SAINT LOUIS 359 THE CARING SISTERS HOME CARE S HENNEPIN 118 SUPERIOR VIEW ASSISTED LVG CARLTON 34 THE CARING SISTERS HOME CARE S HENNEPIN 208 SUPERIORHEALTH MEDICAL GROUP LAKE 234 THE CARING SISTERS HOME CARE S HENNEPIN 136 65 17 65 6 94 Minnesota Department of Health Division of Compliance Monitoring Index For Directory of Facilities and Services FACILITY NAME COUNTY PAGE# THE CARLSON HOME OF AUSTIN INC MOWER THE CEDARS ANOKA THE CENTENNIAL HOUSE OF APPLE DAKOTA THE COLONY HENNEPIN THE COLONY AT EDEN PRAIRIE HENNEPIN THE COLUMBIA SAINT LOUIS THE COMMONS ON MARICE DAKOTA THE CONTINENTAL HENNEPIN 180 THE COOPERATING COMMUNITY PROG RAMSEY 328 THE COTTAGE BECKER THE COTTAGE EAST RICE THE COTTAGE EAST THE COTTAGE WEST 257 Index Page 41 FACILITY NAME COUNTY THE MAPLES AT ST JOHN BROWN PAGE# 31 THE MARGARET S PARMLY RES CHISAGO 62 THE MEADOWS MOWER 257 125 THE MEADOWS KITTSON 230 125 THE MEADOWS OF MABEL FILLMORE 364 THE MEADOWS OF WORTHINGTON NOBLES 263 THE MEADOWS OF WORTHINGTON LLC NOBLES 263 THE MILL STREET RESIDENCE OTTER TAIL 278 THE OAKS ANOKA THE OAKS & POPLAR CREEK ESTATE ROCK 344 342 THE OAKS ON CENTURY MCLEOD 245 RICE 342 THE PINES JACKSON 221 RICE 342 THE PINES HENNEPIN 200 THE COUNTRY PLACE APARTMENTS POLK 288 THE PINES ANOKA THE COUNTRY VILLA BENTON THE PLUM HOUSE RICE 340 THE ELMS ANOKA THE QUINLAN HOME RAMSEY 328 THE EVERGREENS FILLMORE 88 THE RIVERS DAKOTA 66 THE EVERGREENS OF MOORHEAD CLAY 51 THE ROCK HHC INC ITASCA 220 THE EVERGREENS OF MORRHEAD CLAY 51 THE ROUCHLEAU SAINT LOUIS 364 THE FARMSTEAD ANOKA 2 THE SALAVATION ARMY BOOTH BROW RAMSEY 328 THE FARMSTEAD ANOKA 2 THE SALVATION ARMY HARB LIGHT HENNEPIN 180 THE FRIENDSHIP HOME COMMUNITY RAMSEY 303 THE SAMARITAN COMMONS 1 AT MOU RAMSEY 296 THE FRIENDSHIP HOME COMMUNITY RAMSEY 303 THE SANDS RAMSEY 297 THE GABLES OLMSTED 272 THE SENIORS FRIEND LLC SCOTT 366 THE GARDEN PL ASSIST LVNG PLU CLEARWATER THE SHEPHERDS INN FARIBAULT 86 THE GARDENS AT ST GERTRUDES SCOTT 367 THE STANTON HOUSE INC HENNEPIN 180 THE GLENN BY ST THERESE SW HENNEPIN 188 THE STANTON HOUSE INC HENNEPIN 180 THE HOMESTEAD AT COON RAPIDS ANOKA 9 THE STANTON HOUSE INC HENNEPIN 180 THE HUMMINGBIRD SAINT LOUIS 361 THE TERRACES ASSISTED LIVING L HENNEPIN 138 THE JAMES INC SCOTT 367 THE TERRACES OF ST THERESE SW HENNEPIN 138 THE JAMES INC HENNEPIN 102 THE THERAPY PLACE HENNEPIN 102 THE JAMES INC HENNEPIN 102 THE THOMAS HOUSE II OTTER TAIL 281 THE JOURDAIN HENNEPIN 180 THE THOMAS HOUSE INC OTTER TAIL 281 THE KENWOOD RETIREMENT COM HENNEPIN 180 THE TOWERS OF ST THERESE SW HENNEPI
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