2013 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, 2013 ........ I 2. Certification Classifications, March 15, 2013 ........................................................................... I 3. Change in number of licensed inpatient facilities during the past 70 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, 2013 ............................ VI - XI 12. Number of Facilities and Beds by County, March 15, 2013 ........................................ XII - XVI 13. Number of Certified Services by County, March 15, 2013 ....................................... XVII - XX 14. Number of Licensed Home Care Providers (HCP) by Classifications and County, March 15, 2013 ....................................................................................................... XXI – XXIII 15. Number of Housing with Services Establishments by County, March 15, 2013 ..... XXIV-XXV 16. Number of Licensed Facilities and Beds by County, March 15, 2013………… XXVI-XXVII FEDERAL HOSPITALS ...................................................................................................... XXVIII ABBREVIATIONS.................................................................................................................. XXIX LICENSING AND CERTIFICATION INFORMATION FOR ALL HEALTH CARE FACILITIES AND SERVICES...........................................................1 – 430 LISTING OF HEALTH CARE FACILITIES - Grouped by Type/Location Boarding Care Homes and Units ...........................................................................................431 Community Mental Health Centers .......................................................................................432 Comprehensive Outpatient Rehabilitation Facilities .............................................................432 End Stage Renal Disease Providers .......................................................................................433 Licensed Home Care Providers...................................................................................... 434-450 Certified Home Health Agencies .................................................................................. 451-452 Licensed Hospices..................................................................................................................453 Medicare Certified Hospices ..................................................................................................454 Hospitals ........................................................................................................................ 455-456 Nursing Homes .............................................................................................................. 457-460 Outpatient Occupational Therapy Provider ...........................................................................461 Outpatient Physical Therapy Providers .................................................................................461 Outpatient Speech Therapy Providers ...................................................................................462 Outpatient Surgical Center ............................................................................................. 462-463 Portable X-Ray Suppliers ......................................................................................................464 Rural Health Clinics ...............................................................................................................465 Supervised Living Facilities........................................................................................... 466-468 ALPHABETICAL LISTING OF LOCATIONS OF HEALTH CARE FACILITIES ......... 469-474 INDEX CONTAINING PAGE NUMBER FOR SPECIFIC FACILITY OR SERVICE INDEX PAGES.................................................................................................................. 1 - 46 MINNESOTA DEPARTMENT OF HEALTH DIVISION OF COMPLIANCE MONITORING DIRECTORY OF LICENSED AND CERTIFIED HEALTH CARE FACILITIES & SERVICES March 15, 2013 FOREWORD The directory that follows contains a list of hospitals and related institutions licensed and/or certified as of March 15, 2013. 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, 2013 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, 2013 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 137 118 1 377 28 (8) 305 59 10 1,671 82 Number of Beds 16,467 1,841 20 30,295 1,631 (434) 5,133 N/A 357 N/A N/A TABLE 2 Certification Classifications, March 15, 2013 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 80 4 370 4 31 35 27 199 68 97 2 57 84 14 13,240 1,769 281 29,474 ------------------- 362 17 211 29,085 947 1,811 71 ------- ------------------------------------------ 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 1,816 ------- II TABLE 3 The following table shows the change in the total number of licensed inpatient facilities and units during the past 70 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, 2013 Number of Beds Number of Facilities Number of Beds 1,161 180 446 201 88 81 19,929 37,260 8,188 3,733 8,152 137 377 28 305 10 16,467 30,295 1,631 5,133 357 16,225 996 77,262 857 53,883 *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, 2013 Type of Ownership Hospital Total Number % of Total Hosp. Hosp. Beds Beds Nonprofit Hosp. Public Beds Hosp. Proprietary Beds Hosp. Beds 1 – 24 29 508 21.2 3.1 20 358 8 140 1 10 25 – 49 53 1,826 38.7 11.1 32 1,107 21 719 0 0 50 - 99 24 1,742 17.5 10.6 22 1,567 0 0 2 175 100 - 299 17 3,182 12.4 19.3 15 2,919 2 263 0 0 300 + 14 9,209 10.2 55.9 13 9,209 1 0 0 0 137 16,467 100.0 100.0 102 15,160 32 1,122 3 185 TOTALS III TABLE 5 Nursing Homes and Units: Bed Range, Total Numbers and Percentages of Home and Beds by Ownership -- March 15, 2013 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 4 75 1.1 .2 3 54 0 0 1 21 25 - 49 87 3,491 23.1 11.5 47 1,902 14 569 26 1,020 50 - 99 196 13,566 52.0 44.8 115 8,208 20 1,274 61 4,084 87 12,089 23.1 39.9 59 8,243 5 628 23 3,218 3 1,074 .8 3.5 2 733 1 341 0 0 377 30,295 100.0 100.0 226 19,140 40 2,812 111 8,343 100 - 299 300 + TOTALS TABLE 6 Nursing Homes and Units: Home and Beds by Ownership and Percentage of Change -- March 15, 2012 and March 15, 2013 March 15, 2012 Nursing Home Units Ownership Homes and Units March 15, 2013 Beds Homes and Units % of Change Beds Homes and Units Beds Non Profit 226 19,538 226 19,140 0.0 -2.1 Public 45 3,125 40 2,812 -12.5 -11.1 Subtotal, Non Profit And Public 271 22,663 266 21,952 -1.9 -3.2 Proprietary 105 8,124 111 8,343 5.4 2.6 TOTALS 376 30,787 377 30,295 .26 -1.6 IV TABLE 7 Boarding Care Homes and Units: Bed Range, Total Numbers and Percentages of Homes and Beds by Ownership -March 15, 2013 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 7 94 25.0 5.8 1 4 0 0 6 90 25 - 49 7 223 25.0 13.7 1 33 0 0 6 190 50 - 99 7 422 25.0 25.9 5 304 0 0 2 118 100 - 299 6 892 21.4 54.7 1 104 2 361 3 427 300 + 1 0 3.6 0.0 1 0 0 0 0 0 28 1,631 100.0 100.0 9 445 2 361 17 825 TOTALS TABLE 8 Boarding Care Home Units: Home and Beds by Ownership and Percentage of Change -- March 15, 2012 and March 15, 2013 March 15, 2012 March 15, 2013 % of Change BCH Ownership Homes and Units Beds Homes and Units Beds Homes and Units Beds Non Profit 11 455 9 445 -22.2 -2.2 2 361 2 361 0.0 0.0 Subtotal, Non Profit and Public 13 816 11 806 -18.2 -1.2 Proprietary 16 815 17 825 5.9 1.2 TOTALS 29 1,631 28 1,631 -3.6 0.0 Public V TABLE 9 Supervised Living Facility and Units: Bed Range, Total Numbers and Percentages of Facility and Beds by Ownership March 15, 2013 Type of Ownership SLF Range Total Number % of Total Homes Beds Homes 1 - 15 231 1,665 75.7 16 - 49 57 1,492 50 - 99 12 100 - 299 300 + TOTALS Nonprofit Beds Public Proprietary Homes Beds Homes Beds Homes Beds 32.4 114 803 17 110 100 752 19.3 29.1 29 769 10 232 20 491 720 3.9 14.0 5 297 5 322 2 101 1 248 .3 4.8 0 0 1 248 0 0 2 1,008 .7 19.6 0 0 2 1,008 0 0 305 5,133 100.0 100.0 148 1,869 35 1,920 122 1,344 TABLE 10 Supervised Living Facilities and Units: Facilities and Beds by Ownership and Percentage of Change -- March 15, 2012 and March 15, 2013 March 15, 2012 March 15, 2013 % of Change SLF Ownership Homes and Units Beds Homes and Units Beds Homes and Units Beds Non Profit 148 1,886 148 1,869 0.0 -.91 36 1,913 35 1,920 -2.9 .36 Subtotal, Non Profit 184 3,799 183 3,789 -.55 -.26 Proprietary 123 1,354 122 1,344 -.82 -.74 TOTALS 307 5,153 305 5,133 -.66 -.39 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, 2013 Hosp. Psych. No. No. Beds Beds Bass. No. N.H. No. 1 0 1 2 0 0 0 0 25 0 6 123 0 0 0 0 2 0 2 6 0 4 4 1 546 0 74 521 0 58 70 175 1 0 1 4 0 0 1 0 87 0 16 335 0 0 9 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 0 0 2 118 0 12 200 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 13 244 0 40 606 0 1 0 1 4 0 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 6 155 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 1 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, 2013 Hosp. Psych. No. No. Beds Beds Bass. No. N.H. No. 2 0 2 3 0 1 2 1 204 0 22 283 0 0 74 16 2 0 2 9 1 8 11 0 207 0 60 933 200 78 93 0 0 0 0 2 0 0 1 0 0 0 0 100 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 4 0 2 1 1 127 0 14 299 0 12 6 16 1 0 1 3 0 1 0 0 43 0 4 202 0 24 0 0 0 0 0 6 0 0 0 0 0 0 0 322 0 0 0 0 1 0 1 3 1 1 2 0 77 0 12 336 9 26 64 0 2 0 2 7 0 0 3 0 71 0 11 539 0 0 36 0 1 0 1 2 0 0 0 0 20 0 2 66 0 0 0 0 11 1 8 49 14 37 35 0 5441 20 609 6135 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 64 0 28 8 0 1 0 1 2 0 1 2 0 86 0 15 230 0 11 22 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 0 100 0 0 0 0 1 0 1 1 0 0 0 0 49 0 8 71 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 22 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, 2013 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 1 0 1 3 0 1 1 0 49 0 11 140 0 8 2 0 2 0 2 2 0 0 1 0 32 0 6 136 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 2 0 0 1 0 25 0 1 128 0 0 5 0 1 0 1 1 0 0 0 0 15 0 3 40 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 8 231 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 4 196 0 0 0 0 2 0 2 3 0 0 0 0 82 0 13 268 0 0 0 0 1 0 1 3 0 0 1 0 49 0 10 198 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, 2013 Hosp. Psych. No. No. Beds Beds Bass. No. N.H. No. 1 0 1 3 0 1 5 1 17 0 0 165 0 58 665 16 1 0 1 4 0 0 1 0 48 0 7 186 0 0 15 0 1 0 0 3 0 0 0 0 14 0 0 151 0 0 0 0 B.C.H S.L.F-A S.L.F-B No. No. No. Other Outpat. No. Surg. Beds 3 0 3 7 0 3 4 1 2120 0 97 612 0 54 45 16 2 0 2 9 0 2 2 1 133 0 13 688 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 5 101 0 26 6 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 17 341 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 3010 242 195 319 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 6 262 26 0 18 0 1 0 1 5 0 1 0 0 35 0 6 250 0 10 0 0 2 0 2 6 0 2 1 0 86 0 22 413 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, 2013 Hosp. Psych. No. No. Beds Beds Bass. No. N.H. No. 8 0 7 17 1 6 9 0 1125 0 95 1370 54 75 93 0 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 B.C.H S.L.F-A S.L.F-B No. No. No. Other Outpat. No. Surg. Beds 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 18 136 0 0 0 0 1 0 1 2 0 0 0 0 25 0 4 90 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 35 636 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, 2013 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 7 177 0 66 15 0 137 1 118 377 28 131 186 10 16467 20 1841 30295 1631 1801 3332 357 0 0 59 TABLE 12: Number of Facilities and Beds by County, March 15, 2013 County AITKIN ANOKA BECKER BELTRAMI BENTON BIG STONE BLUE EARTH BROWN CARLTON CARVER CASS CHIPPEWA CHISAGO CLAY CLEARWATER COOK COTTONWOOD CROW WING DAKOTA Page XII Hosp. No. Beds CAH No. Beds Psych. No. Beds SNF No. Beds SNF/NF No. Beds NF 1 No. Beds NF 2 No. Beds ICF/MR No. Beds 0 1 0 0 2 0 0 0 0 25 0 0 123 0 0 0 2 0 1 0 6 0 0 5 531 0 175 0 521 0 0 65 1 0 0 0 4 0 0 1 87 0 0 0 335 0 0 9 1 0 1 0 4 0 0 0 89 0 16 0 247 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 416 0 0 0 0 2 0 0 2 0 0 1 0 40 0 0 114 0 0 12 1 0 0 0 5 0 0 4 272 0 0 0 371 0 0 54 0 3 0 0 4 0 0 2 0 74 0 0 322 0 0 8 0 3 0 0 3 0 0 1 0 50 0 0 244 0 0 6 1 0 0 0 4 0 0 6 97 0 0 0 249 0 0 81 0 1 0 0 2 0 0 0 0 13 0 0 102 0 0 0 0 1 0 0 2 0 0 1 0 25 0 0 155 0 0 6 1 0 0 0 3 0 0 2 61 0 0 0 218 0 0 20 0 0 0 0 4 0 0 0 0 0 0 0 362 0 0 0 0 1 0 0 2 0 0 1 0 25 0 0 86 0 0 15 0 1 0 0 1 0 0 0 0 16 0 0 37 0 0 0 0 2 0 0 3 0 0 2 0 33 0 0 173 0 0 33 2 1 0 0 3 0 0 0 156 25 0 0 283 0 0 0 2 0 0 2 8 0 0 10 193 0 0 37 896 0 0 90 TABLE 12: Number of Facilities and Beds by County, March 15, 2013 County DODGE DOUGLAS FARIBAULT FILLMORE FREEBORN GOODHUE GRANT HENNEPIN HOUSTON HUBBARD ISANTI ITASCA Hosp. No. Beds CAH No. Beds Psych. No. Beds SNF No. Beds SNF/NF No. Beds NF 1 No. Beds NF 2 No. Beds ICF/MR No. Beds 0 0 0 0 2 0 0 1 0 0 0 0 100 0 0 6 2 0 0 0 4 0 0 3 143 0 0 0 299 0 0 18 0 1 0 0 3 0 0 0 0 25 0 0 202 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 322 0 0 0 1 0 0 0 3 0 0 1 77 0 0 0 336 0 0 32 1 1 0 0 7 0 0 3 50 21 0 0 539 0 0 36 0 1 0 0 2 0 0 0 0 20 0 0 66 0 0 0 10 0 1 3 44 2 10 51 4988 0 20 189 5478 22 747 382 0 0 0 0 4 0 0 2 0 0 0 0 190 0 0 21 0 1 0 0 1 0 0 0 0 25 0 0 64 0 0 0 1 0 0 0 2 0 0 1 72 0 0 0 230 0 0 6 1 2 0 0 4 0 0 0 40 0 0 300 0 0 0 0 1 0 0 2 0 0 0 0 20 0 0 100 0 0 0 0 1 0 0 1 0 0 0 0 25 0 0 71 0 0 0 1 0 1 0 5 0 0 2 128 0 70 0 440 0 0 12 0 1 0 0 2 0 0 1 0 15 0 0 116 0 0 6 0 1 0 0 3 0 0 0 0 25 0 0 140 0 0 0 0 2 0 0 2 0 0 1 0 35 0 0 136 0 0 6 0 1 0 0 1 0 0 1 0 25 0 0 45 0 0 5 50 JACKSON KANABEC KANDIYOHI KITTSON KOOCHICHING LAC QUI PARLE LAKE Page XIII TABLE 12: Number of Facilities and Beds by County, March 15, 2013 County LAKE OF THE WOODS LESUEUR LINCOLN LYON MAHNOMEN MARSHALL MARTIN MCLEOD MEEKER MILLE LACS MORRISON MOWER Hosp. No. Beds CAH No. Beds Psych. No. Beds SNF No. Beds SNF/NF No. Beds NF 1 No. Beds NF 2 No. Beds ICF/MR No. Beds 0 1 0 0 1 0 0 0 0 15 0 0 40 0 0 0 0 1 0 0 3 0 0 0 0 24 0 0 160 0 0 0 0 2 0 0 3 0 0 1 0 44 0 0 121 0 0 10 0 2 0 0 4 0 0 3 0 50 0 0 231 0 0 18 0 1 0 0 1 0 0 0 0 15 0 0 48 0 0 0 0 1 0 0 1 0 0 0 0 20 0 0 60 0 0 0 1 0 0 0 4 0 0 3 57 0 0 0 221 0 0 32 1 1 0 0 3 0 0 1 54 25 0 0 300 0 0 6 0 1 0 0 3 0 0 0 0 25 0 0 196 0 0 0 1 1 0 0 3 0 0 0 54 18 0 0 268 0 0 0 0 1 0 0 3 0 0 1 0 25 0 0 198 0 0 14 1 0 0 0 5 0 0 6 0 0 0 262 0 0 34 0 1 0 0 2 0 0 1 0 25 0 0 117 0 0 18 66 MURRAY NICOLLET NOBLES NORMAN OLMSTED OTTER TAIL PENNINGTON Page XIV 1 1 0 0 2 0 0 1 16 17 0 0 117 0 0 8 1 0 0 0 4 0 0 1 48 0 0 0 186 0 0 15 0 1 0 0 3 0 0 0 0 14 0 0 151 0 0 0 3 0 0 2 6 0 0 5 1954 0 0 34 578 0 0 47 2 1 0 0 8 0 0 2 96 25 0 0 582 0 0 11 0 1 0 0 2 0 0 0 0 25 0 0 110 0 0 0 TABLE 12: Number of Facilities and Beds by County, March 15, 2013 County PINE PIPESTONE POLK POPE RAMSEY RED LAKE REDWOOD RENVILLE RICE ROCK ROSEAU SAINT LOUIS Hosp. No. Beds CAH No. Beds Psych. No. Beds SNF No. Beds SNF/NF No. Beds NF 1 No. Beds NF 2 No. Beds ICF/MR No. Beds 1 1 0 0 2 0 0 1 10 25 0 0 101 0 0 6 0 1 0 0 2 0 0 1 0 25 0 0 150 0 0 6 0 2 0 0 6 0 0 2 0 50 0 0 341 0 0 12 0 1 0 0 3 0 0 0 0 25 0 0 161 0 0 0 7 0 0 3 25 0 3 43 1867 0 0 181 2783 0 123 293 0 0 0 0 1 0 0 1 0 0 0 0 30 0 0 6 0 1 0 0 6 0 0 3 0 25 0 0 262 0 0 18 0 1 0 0 5 0 0 1 0 25 0 0 250 0 0 10 2 0 0 0 6 0 0 2 86 0 0 0 413 0 0 36 0 1 0 0 2 0 1 1 0 25 0 0 106 0 4 6 0 1 0 0 3 1 1 0 0 25 0 0 129 20 0 0 5 3 0 0 17 0 1 8 55 0 0 1370 0 54 47 991 SCOTT SHERBURNE SIBLEY STEARNS STEELE STEVENS SWIFT Page XV 1 1 0 0 4 0 0 2 93 25 0 0 372 0 0 61 0 0 0 1 3 0 0 3 0 0 0 2 392 0 0 18 0 1 0 0 3 0 0 1 0 20 0 0 130 0 0 15 1 4 0 0 7 0 0 1 469 92 0 0 454 0 0 24 1 0 0 0 3 1 0 3 33 0 0 0 207 12 0 28 0 1 0 0 1 0 0 1 0 25 0 0 88 0 0 6 0 2 0 0 2 0 1 0 0 40 0 0 96 0 19 0 TABLE 12: Number of Facilities and Beds by County, March 15, 2013 County TODD TRAVERSE WABASHA WADENA WASECA WASHINGTON WATONWAN WILKIN WINONA WRIGHT YELLOW MEDICINE Minnesota Page XVI Hosp. No. Beds CAH No. Beds Psych. No. Beds SNF No. Beds SNF/NF No. Beds NF 1 No. Beds NF 2 No. Beds ICF/MR No. Beds 0 2 0 0 2 0 0 0 0 50 0 0 136 0 0 0 0 1 0 0 2 0 0 0 0 25 0 0 90 0 0 0 0 2 0 0 3 0 0 0 0 43 0 0 243 0 0 0 0 1 0 0 3 0 0 1 0 25 0 0 240 0 0 16 0 1 0 0 3 0 0 0 0 25 0 0 160 0 0 0 2 0 0 0 6 0 0 3 183 0 0 0 636 0 0 18 0 2 0 0 2 0 0 1 0 50 0 0 126 0 0 13 0 1 0 0 1 0 0 0 0 25 0 0 120 0 0 0 1 0 0 0 5 0 0 0 88 0 0 0 411 0 0 0 2 1 0 0 7 0 0 2 81 25 0 0 483 0 0 18 0 2 0 0 3 0 0 2 0 50 0 0 177 0 0 12 62 80 4 11 362 4 17 211 13240 1769 281 443 29031 54 947 1811 TABLE 13: Number of Certified Services by County, March 15, 2013 County Outpt Renal PT/ST/OT No. No. Page XVII CMHC No. XRay No. HHA No. CORF No. Amb Surg No. HosRural Pice Clinic No. No. AITKIN 0 0 0 0 0 0 0 0 2 ALABAMA 0 0 0 0 0 0 0 0 0 ANOKA 4 4 0 0 3 0 4 0 0 ARIZONA 0 0 0 0 0 0 0 0 0 BECKER 1 0 0 0 2 0 1 0 0 BELTRAMI 2 0 0 0 2 0 0 1 1 BENTON 0 1 0 0 3 0 0 0 0 BIG STONE 1 0 0 0 2 0 0 0 0 BLUE EARTH 1 3 0 0 3 0 3 1 1 BROWN 1 0 1 0 2 0 0 0 1 CALIFORNIA 0 0 0 0 0 0 0 0 0 CARLTON 0 0 0 0 1 0 0 0 1 CARVER 1 1 0 0 1 0 1 1 0 CASS 1 0 0 0 1 0 0 0 4 CHIPPEWA 1 0 0 0 1 0 0 0 0 CHISAGO 0 0 0 0 2 0 0 2 0 CLAY 0 0 0 0 0 0 0 0 2 CLEARWATER 0 0 0 0 1 0 0 1 3 COOK 0 0 0 0 1 0 0 0 0 COTTONWOOD 0 0 0 0 1 0 0 0 3 CROW WING 1 0 0 0 4 0 1 2 1 DAKOTA 4 1 0 0 5 0 2 1 0 DODGE 0 0 0 0 0 0 0 0 0 DOUGLAS 1 0 0 0 1 0 1 1 0 FARIBAULT 0 0 0 0 1 0 0 1 0 FILLMORE 0 1 0 0 3 0 0 0 0 FLORIDA 0 0 0 0 0 0 0 0 0 FREEBORN 1 0 0 0 1 0 0 1 0 GOODHUE 1 0 0 0 3 0 0 1 0 GRANT 0 0 0 0 0 0 0 0 0 23 12 0 3 37 2 20 7 0 HENNEPIN TABLE 13: Number of Certified Services by County, March 15, 2013 County Outpt Renal PT/ST/OT No. No. Page XVIII CMHC No. XRay No. HHA No. CORF No. Amb Surg No. HosRural Pice Clinic No. No. HOUSTON 0 0 0 0 1 0 0 0 0 HUBBARD 0 1 0 0 0 0 0 1 0 IOWA 0 0 0 0 0 0 0 0 0 ISANTI 1 1 0 0 0 0 0 0 0 ITASCA 1 1 1 0 4 0 1 0 0 JACKSON 0 1 0 0 1 0 0 0 2 KANABEC 1 0 0 0 1 0 0 1 0 KANDIYOHI 1 0 1 0 4 0 2 1 0 KITTSON 0 0 0 0 1 0 0 0 2 KOOCHICHING 0 0 0 0 1 0 0 0 1 LAC QUI PARLE 0 0 0 0 2 0 0 0 3 LAKE 0 0 0 0 0 0 0 0 0 LAKE OF THE WOODS 0 0 0 0 1 0 0 1 1 LESUEUR 0 0 0 0 1 0 0 0 0 LINCOLN 0 0 0 0 2 0 0 2 3 LYON 1 0 1 0 2 0 1 1 2 MAHNOMEN 0 0 0 0 0 0 0 0 1 MARSHALL 0 0 0 0 0 0 0 0 1 MARTIN 1 0 0 0 0 0 1 0 0 MCLEOD 1 0 0 0 1 0 1 1 0 MEEKER 1 0 0 0 1 0 0 2 1 MILLE LACS 2 0 0 0 1 0 0 1 2 MORRISON 1 0 1 0 2 0 0 2 4 MOWER 0 0 0 0 2 0 0 1 0 MURRAY 0 0 0 0 0 0 0 1 2 NEW JERSEY 0 0 0 0 0 0 0 0 0 NICOLLET 0 0 0 0 1 0 0 0 0 NOBLES 1 0 0 0 1 0 0 1 0 NORMAN 0 0 0 0 0 0 0 0 3 NORTH DAKOTA 0 0 0 0 0 0 0 0 0 OLMSTED 2 1 0 1 7 0 0 3 0 TABLE 13: Number of Certified Services by County, March 15, 2013 County Outpt Renal PT/ST/OT No. No. Page XIX CMHC No. XRay No. HHA No. CORF No. Amb Surg No. HosRural Pice Clinic No. No. OTTER TAIL 1 0 1 0 4 0 0 1 3 PENNINGTON 1 0 0 0 1 0 0 0 0 PINE 1 0 0 0 0 0 0 0 4 PIPESTONE 1 0 0 0 1 0 0 1 0 POLK 0 0 1 0 2 0 0 1 2 POPE 0 0 0 0 2 0 0 1 1 13 3 1 0 25 0 6 6 0 RED LAKE 0 0 0 0 0 0 0 0 2 REDWOOD 1 0 0 0 1 0 0 1 1 RENVILLE 0 0 0 0 1 0 0 1 3 RICE 1 0 0 0 3 0 1 2 0 ROCK 0 0 1 0 0 0 0 1 0 ROSEAU 0 0 0 0 1 0 0 1 0 SAINT LOUIS 4 2 2 0 11 0 2 3 0 SCOTT 2 0 0 0 1 0 0 0 0 SHERBURNE 1 0 0 0 1 0 0 1 0 SIBLEY 0 0 0 0 2 0 0 0 4 SOUTH DAKOTA 0 0 0 0 0 0 0 0 0 STEARNS 2 2 1 0 7 0 5 3 5 STEELE 1 0 1 0 1 0 0 0 0 STEVENS 1 0 0 0 0 0 0 0 2 SWIFT 0 0 0 0 2 0 0 0 0 TEXAS 0 0 0 0 0 0 0 0 0 TODD 0 0 0 0 2 0 0 0 5 TRAVERSE 0 0 0 0 0 0 0 0 1 WABASHA 1 0 0 0 1 0 0 0 0 WADENA 1 0 0 0 3 0 0 2 3 WASECA 0 0 0 0 0 0 0 0 0 WASHINGTON 4 3 0 0 1 0 4 2 0 WATONWAN 0 0 0 0 1 0 0 0 0 WILKIN 0 0 0 0 1 0 0 1 0 RAMSEY TABLE 13: Number of Certified Services by County, March 15, 2013 County Outpt Renal PT/ST/OT No. No. Page XX CMHC No. XRay No. HHA No. CORF No. Amb Surg No. HosRural Pice Clinic No. No. WINONA 1 0 1 0 2 0 0 1 0 WISCONSIN 0 0 0 0 0 0 0 0 0 WRIGHT 1 1 0 0 1 0 0 0 0 YELLOW MEDICINE 1 0 0 0 3 0 0 0 1 97 39 14 4 199 2 57 68 84 Minnesota Page XXI TABLE 14: Number of Licensed Home Care Providers (HCP) by Classification and County, March 15, 2013 HCP Class A = Professional Home Care Agenc HCP Class F = Class F Home Care Provider HCP Class B = Para-Professional Agency Home Mgmt = Certificate of Registration HCP Class C = Individual Para-Professional for Home Management County Class A Class B Class C Class F AITKIN 0 1 0 3 0 ANOKA 27 1 1 17 4 BECKER 5 0 0 4 1 BELTRAMI 4 0 0 12 0 BENTON 7 0 0 7 0 BIG STONE 2 0 0 2 0 BLUE EARTH 8 1 0 13 1 BROWN 8 1 0 7 0 CARLTON 6 1 1 12 1 CARVER 5 1 1 10 0 CASS 1 0 0 7 1 CHIPPEWA 1 0 0 4 1 CHISAGO 5 0 0 6 0 CLAY 3 0 0 10 1 CLEARWATER 1 0 0 2 1 COOK 1 0 0 0 0 COTTONWOOD 1 0 0 3 0 CROW WING 10 1 1 7 3 DAKOTA 34 5 3 42 10 DODGE 0 0 0 3 0 DOUGLAS 2 0 0 14 1 FARIBAULT 1 0 0 4 0 FILLMORE 3 0 0 8 0 FREEBORN 2 0 0 7 1 GOODHUE 8 0 0 8 1 GRANT 1 0 0 0 0 251 21 13 129 37 1 0 0 3 0 HENNEPIN HOUSTON Home Mgmt Page XXII TABLE 14: Number of Licensed Home Care Providers (HCP) by Classification and County, March 15, 2013 County Class A Class B Class C Class F Home Mgmt HUBBARD 2 0 1 3 0 IOWA 1 0 0 0 0 ISANTI 4 0 0 5 1 ITASCA 7 0 0 15 0 JACKSON 1 0 0 4 0 KANABEC 1 0 0 3 0 KANDIYOHI 6 1 0 9 5 KITTSON 1 0 0 2 0 KOOCHICHING 2 0 0 3 0 LAC QUI PARLE 3 0 0 2 0 LAKE 0 0 0 4 0 LAKE OF THE WOODS 2 0 0 0 0 LESUEUR 1 0 0 6 1 LINCOLN 2 0 0 0 0 LYON 3 0 0 4 0 MARSHALL 0 0 0 1 0 MARTIN 1 0 0 5 0 MCLEOD 2 1 0 7 0 MEEKER 2 0 0 3 0 MILLE LACS 3 0 0 5 0 MORRISON 5 0 0 6 0 MOWER 4 0 0 11 0 MURRAY 0 0 0 2 0 NICOLLET 2 0 0 7 0 NOBLES 2 0 0 3 1 NORMAN 0 0 0 3 0 NORTH DAKOTA 5 1 0 0 2 OLMSTED 20 1 0 15 4 OTTER TAIL 13 2 1 21 1 PENNINGTON 1 0 0 3 0 PINE 1 0 0 6 0 Page XXIII TABLE 14: Number of Licensed Home Care Providers (HCP) by Classification and County, March 15, 2013 County Class A Class B Class C Class F POLK 2 0 0 7 2 POPE 2 0 0 3 0 95 10 2 46 12 RED LAKE 0 0 0 1 0 REDWOOD 1 0 0 5 0 RENVILLE 4 0 1 5 0 RICE 7 1 1 16 0 ROCK 0 1 0 2 0 ROSEAU 3 0 0 3 0 SAINT LOUIS 19 0 0 39 6 SCOTT 10 1 1 10 4 SHERBURNE 6 0 0 4 1 SIBLEY 3 0 0 4 0 SOUTH DAKOTA 2 1 0 0 0 STEARNS 17 1 1 11 2 STEELE 4 0 1 10 1 STEVENS 0 0 0 1 0 SWIFT 2 0 0 0 0 TODD 2 1 0 2 1 WABASHA 2 0 1 2 0 WADENA 5 0 0 4 0 WASECA 1 0 0 3 0 21 3 1 32 1 WATONWAN 1 0 0 1 0 WILKIN 2 0 0 1 1 WINONA 7 0 0 5 0 WISCONSIN 3 0 0 0 1 WRIGHT 8 2 5 8 0 YELLOW MEDICINE 3 0 0 4 0 730 60 36 734 111 RAMSEY WASHINGTON Minnesota Home Mgmt TABLE 15: Number of HWS by County, March 15, 2013 County HWS No. AITKIN 5 ANOKA Page XXIV County HWS No. LINCOLN 3 36 LYON 7 BECKER 12 MARSHALL 2 BELTRAMI 17 MARTIN 7 BENTON 14 MCLEOD 15 BIG STONE 4 MEEKER 12 BLUE EARTH 20 MILLE LACS BROWN 12 MORRISON 12 CARLTON 30 MOWER 14 CARVER 15 MURRAY CASS 10 NICOLLET CHIPPEWA 13 NOBLES 3 CHISAGO 10 NORMAN 5 CLAY 20 OLMSTED 33 8 4 11 CLEARWATER 2 OTTER TAIL 35 COTTONWOOD 7 PENNINGTON 3 CROW WING 26 PINE 5 DAKOTA 94 PIPESTONE 5 DODGE 5 POLK 12 23 POPE 7 DOUGLAS FARIBAULT 5 RAMSEY FILLMORE 9 RED LAKE 2 FREEBORN 7 REDWOOD 6 GOODHUE 12 RENVILLE 8 GRANT HENNEPIN 168 2 RICE 32 605 ROCK 3 5 HOUSTON 5 ROSEAU HUBBARD 9 SAINT LOUIS 91 ISANTI 6 SCOTT 14 ITASCA 25 SHERBURNE 11 JACKSON 5 SIBLEY KANABEC 5 STEARNS 30 25 STEELE 10 KITTSON 2 STEVENS 5 KOOCHICHING 5 SWIFT 7 LAC QUI PARLE 3 TODD 3 LAKE 7 TRAVERSE 1 LAKE OF THE WOODS 1 WABASHA 5 KANDIYOHI 5 TABLE 15: Number of HWS by County, March 15, 2013 County HWS No. WASECA 4 WASHINGTON 42 WATONWAN 2 WILKIN 3 WINONA 8 WRIGHT 16 YELLOW MEDICINE Minnesota 6 1816 Page XXV County HWS No. Page XXVI TABLE 16: Number of Licensed Facilities and Beds by County, March 15, 2013 Residential Hospices No. Hospice No. County ================================================ BELTRAMI 1 0 Residential Hospices No. Hospice No. County ================================================ LINCOLN 2 0 0 BLUE EARTH 1 0 LYON 1 1 1 MCLEOD 1 8 CHISAGO 2 0 1 0 MEEKER 2 2 0 MILLE LACS 1 1 0 MORRISON 2 2 0 MOWER 1 1 0 MURRAY 1 1 0 NOBLES 1 1 0 OLMSTED 3 10 3 OTTER TAIL 1 1 0 PIPESTONE 1 1 0 POLK 1 1 0 POPE 1 1 0 RAMSEY 7 2 0 0 0 0 REDWOOD 1 0 0 0 LAKE OF THE WOODS 0 0 0 KITTSON 0 0 0 KANDIYOHI 1 4 0 KANABEC 0 0 16 HUBBARD 1 8 0 HENNEPIN 1 4 0 GOODHUE 1 4 0 FREEBORN 0 0 0 FARIBAULT 0 0 0 DOUGLAS 0 0 0 DAKOTA 0 0 0 CROW WING 0 0 0 CLEARWATER 1 5 0 CARVER 0 RENVILLE 1 0 0 TABLE 16: Number of Licensed Facilities and Beds by County, March 15, 2013 Residential Hospices No. Hospice No. County ================================================ RICE 3 0 0 ROCK 1 1 4 ROSEAU 1 0 0 SAINT LOUIS 3 2 12 SHERBURNE 1 0 0 STEARNS 5 1 8 STEELE 0 2 8 WADENA 2 0 0 WASHINGTON 2 2 8 WILKIN 1 0 0 WINONA 1 0 0 Minnesota 78 17 89 Page XXVII Residential Hospices No. Hospice No. County ================================================ 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: Corp AICOTA HEALTH CARE CENTER INC MS. ALISON MATALAMAKI 218/927-6436 HCP-F HWSAL 850 2ND STREET NORTHWEST AITKIN, MN 56431 PHONE: 218/927-2164 (24776) FAX: NProf AITKIN COUNTY CARE MR. BARRY FOSS 218/927-6436 HCP-B 503 NORTH MINNESOTA AVENUE AITKIN, MN 56431 PHONE: 218/927-1383 (28463) FAX: NProf AITKIN HEALTH SERVICES MS. BETH LEAF 218/927-1382 NH-48 SNF-NF-48 301 MINNESOTA AVENUE SOUTH AITKIN, MN 56431 PHONE: 218/927-5526 (00002) FAX: Corp GOLDEN HORIZONS MS. CAROL RAW 218/927-8210 HCP-F HWSAL 518 SEVENTH AVE NE AITKIN, MN 56431 PHONE: 218/927-9996 (23660) FAX: MR. CHUCK LANE 218/927-7005 HWS HRA MARYHILL MANOR 215 3RD ST SE AITKIN, MN 56431 PHONE: 218/927-2151 (23662) FAX: MS. NANCY JOHNSON HOUG 218/927-4159 RHC Corp RIVERWOOD CLINIC AITKIN 200 BUNKER HILL DRIVE AITKIN, MN 56431 PHONE: 218/927-2157 (03734) FAX: NProf RIVERWOOD HEALTHCARE CENTER MR. MICHAEL HAGEN 218/927-4130 BASS-6 HOSP-25 CAH-25 200 BUNKER HILL DRIVE AITKIN, MN 56431 PHONE: 218/927-5501 (21927) FAX: Ind CHAPPYS GOLDEN SHORES MR. MICHAEL HAGEN 218/927-5575 HCP-F 530 PARK AVENUE HILL CITY, MN 55748 PHONE: 218/697-2705 (21006) FAX: 218/697-2573 MS. THERESA OLSON HWSAL Ind CHAPPYS GOLDEN SHORES 530 PARK AVENUE HILL CITY, MN 55748 PHONE: 218/697-2705 (21823) 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 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 MCGREGOR, MN 55760 PHONE: 218/768-4011 (03736) FAX: MR. MICHAEL HAGEN 218/768-4818 ---------------------------********** Ind A CARING HEART SENIOR SUPPORT ANOKA ******** -------------------------- HCP-C 757 143RD AVENUE NORTHWEST ANDOVER, MN 55304 PHONE: 612/867-7618 (28890) FAX: MS. PAMELA HEDGES 763/755-6306 HWSAL Corp CYPRESS MANOR 16770 WREN STREET NW ANDOVER, MN 55304 PHONE: 763/712-8363 (25460) FAX: MR. JACOB NELSON 763/323-4811 Ind JUST FOR RACHEL HOME CARE HCP-A 4954 170TH LANE NORTHWEST ANDOVER, MN 55304 PHONE: 763/286-3862 (25672) FAX: MS. ANGELA ELLIOTT 763/753-1964 HWSAL NProf THE FARMSTEAD 13733 QUAY STREET ANDOVER, MN 55304 PHONE: 763/712-7000 (20547) FAX: MS. SUSAN MINAR 763/712-7001 NProf THE FARMSTEAD HCP-F 13733 QUAY STREET ANDOVER, MN 55304 PHONE: 763/172-7000 (27961) FAX: MS. NATALIE MORLAND 763/712-7001 Corp AMERICAN BEST HOME CARE HCP-A 1820 FOURTH AVENUE ANOKA, MN 55303 PHONE: 612/919-9523 (27873) FAX: MR. SEGUN OLATAYO /- NProf ANOKA CARE CENTER NH-96 SNF-NF-96 1040 MADISON STREET ANOKA, MN 55303 PHONE: 763/421-2311 (00893) FAX: 763/421-2683 MR. DEAN MCDEVITT Minnesota Department of Health Division of Compliance Monitoring Page 3 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** State ANOKA METRO REG TREATMENT CTR Certification ANOKA Registration (Cont.)* -------------------------- OTHER-175 SLFB-29 PSY-175 3301 7TH AVE N (00004) ANOKA, MN 55303 PHONE: 651/431-5252 FAX: Lim-Liab GOLDEN LIVINGCENTER TWIN RIVER MR. BRIAN TEUBER 763/431-7733 NH-56 SNF-NF-56 305 FREMONT ST ANOKA, MN 55303 PHONE: 763/421-5660 (00866) FAX: MR. ERNEST GERSHONE 763/421-6581 HWSAL Lim-Liab RIVER OAKS OF ANOKA 910 WESTERN STREET ANOKA, MN 55303 PHONE: 763/421-4011 (24353) FAX: MR. FRANCIS LANG 763/422-8946 HWSAL-O Corp THE CEDARS 701 POLK STREET ANOKA, MN 55303 PHONE: 763/712-8363 (24253) FAX: MR. JACOB NELSON 763/323-4811 HWSAL-O Corp THE ELMS 2171 7TH AVENUE NORTH ANOKA, MN 55303 PHONE: 763/712-8363 (20535) FAX: MR. JACOB NELSON 763/323-4811 HWSAL-O Corp THE MAPLES 2823 7TH AVE NORTH ANOKA, MN 55303 PHONE: 763/712-8363 (23690) FAX: MR. JACOB NELSON 763/323-4811 HWSAL Corp THE OAKS 2201 7TH AVENUE NORTH ANOKA, MN 55303 PHONE: 763/712-8363 (20534) FAX: MR. JACOB NELSON 763/323-4811 HWSAL-O Corp THE PINES 2153 7TH AVENUE NORTH ANOKA, MN 55303 PHONE: 763/712-8363 (20536) FAX: MR. JACOB NELSON 763/323-4811 HWSAL Corp THE WILLOWS 2918 7TH AVENUE NORTH ANOKA, MN 55303 PHONE: 763/712-8363 (24668) FAX: NProf VOA HOME HEALTH AT ANOKA MR. JACOB NELSON 763/323-4811 HCP-F HWSAL-O 3002 4TH AVENUE NORTH ANOKA, MN 55303 PHONE: 763/404-7378 (29031) FAX: 763/404-7379 MR. DEAN MCDEVITT Minnesota Department of Health Division of Compliance Monitoring Page 4 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf VOA HOME HEALTH AT ANOKA Certification ANOKA Registration (Cont.)* -------------------------- HCP-A 3002 4TH AVENUE NORTH (29032) ANOKA, MN 55303 PHONE: 763/404-7378 FAX: MR. DEAN MCDEVITT 763/404-7379 NProf WALKER METHODIST PLAZA HCP-F HWSAL 131 MONROE STREET ANOKA, MN 55303 PHONE: 763/422-4037 (20443) FAX: MR. LEE ENGLER 763/422-8115 Corp WHISPERING PINES ASSTD LIVING HCP-F 707 POLK STREET ANOKA, MN 55303 PHONE: 763/712-8363 (20533) FAX: MR. JACOB NELSON 763/323-7822 Corp ANTHONY LOUIS CENTER SLFA-22 1000 PAUL PARKWAY BLAINE, MN 55434 PHONE: 763/757-2906 (01400) FAX: MS. MELISSA BROGGER 763/757-2059 Lim-Liab BLAINE ASSISTED LIVING AND MEM HCP-F HWSAL 10669 ULYSSES ST NE BLAINE, MN 55449 PHONE: 763/754-7300 (23914) FAX: MR. JASON GESCHWIND 763/754-2561 Lim-Liab BLAINE WHITE PINE HCP-F HWSAL 12446 JAMESTOWN STREET NE BLAINE, MN 55449 PHONE: 763/754-1930 (26857) FAX: MS. RHONDA SCHILLINGER 763/754-1933 Lim-Liab COMFORT KEEPERS HCP-A 9298 CENTRAL AVE NE BLAINE, MN 55434 PHONE: 763/786-1000 (26035) FAX: MR. TOM BERARD 763/786-9440 Home Mgmt Lim-Liab COMFORT KEEPERS 9298 CENTRAL AVE NE STE 404 BLAINE, MN 55434 PHONE: 763/786-1000 (28074) FAX: MS. BEV BERARD 763/786-9440 Corp HIGH LAND CARE INC HCP-A 10307 UNIVERSITY AVE NE BLAINE, MN 55434 PHONE: 763/786-3439 (03139) FAX: MS. MARILYN LOM 763/783-3528 Corp HOME INSTEAD SENIOR CARE HCP-A 10155 UNIVERSITY AVE NW # 100 BLAINE, MN 55343 PHONE: 763/792-0041 (23591) FAX: /- MR. DANIEL ARNOLD Minnesota Department of Health Division of Compliance Monitoring Page 5 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab MINNESOTA EYE LASER AND SURGER Certification ANOKA Registration (Cont.)* -------------------------Amb Surg Outpt Surg 11091 ULYSSES STREET (27713) BLAINE, MN 55434 PHONE: 952/888-5800 FAX: MS. CANDACE SIMERSON 763/576-8881 State MSOCS BLAINE HOME ICFMR-6 SLFB-6 12949 KENYON STREET NORTHEAST BLAINE, MN 55449 PHONE: 763/755-0233 (01644) FAX: MS. GEORGENE ANDRIST 763/755-0281 Lim-Liab NORTH METRO SURGERY CENTER Outpt Surg Amb Surg 11855 ULYSSES STREET SUITE 270 BLAINE, MN 554344182 PHONE: 763/755-6540 (26537) FAX: MS. JEANNIE FERNSTROM 763/755-6516 Corp STERLING HOUSE OF BLAINE HWSAL HCP-F 1005 PAUL PARKWAY BLAINE, MN 55434 PHONE: 763/755-2800 (20412) FAX: MS. LORI HANSON 763/755-6400 Corp TRANSAMERICA CARE INC HCP-A 11536 YANCY COURT NE BLAINE, MN 55449 PHONE: 763/742-2225 (28519) FAX: MR. GEBI TUFAA 763/245-7276 HWSAL Corp TRANSAMERICA CARE INC 11536 YANCY COURT NORTHEAST BLAINE, MN 55449 PHONE: 763/742-2225 (28520) FAX: MR. GEBI TUFAA /- Lim-Liab YAHWEH HOME CARE HCP-A 11465 TYLER STREET NORTHEAST BLAINE, MN 55434 PHONE: 763/205-5027 (29282) FAX: MS. TONJIA REED 763/568-7231 Out Pt Out Ot Corp HAM LAKE PHYSICAL THERAPY 18415 NE HWY 65 CEDAR, MN 55011 PHONE: 763/413-0880 (03772) FAX: Corp ANGELS OF MERCY ASSISTED LIVIN MR. MARK NETZINGER 763/413-0850 HCP-F 4427 MONROE STREET NE COLUMBIA HEIGHTS, MN 55421 PHONE: 763/432-9706 (28129) FAX: 763/432-9708 MR. FOLUSO ALLISON HWS NProf COLUMBIA VILLAGE 1675 44TH AVENUE NE COLUMBIA HEIGHTS, MN 55421 PHONE: 763/782-1606 (20787) FAX: 763/782-0857 MS. SHIRLEY BARNES Minnesota Department of Health Division of Compliance Monitoring Page 6 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp COMPASSIONATE HOME HEALTH INC Certification ANOKA Registration (Cont.)* -------------------------- HCP-A 4148 5TH STREET NE (26735) COLUMBIA HEIGHTS, MN 55421 PHONE: 763/782-8740 FAX: MR. MARK ONYENEMEZU 763/782-8740 NProf CREST VIEW HOME CARE HCP-F 4444 RESERVOIR BOULEVARD NE COLUMBIA HEIGHTS, MN 55421 PHONE: 763/782-1605 (20750) FAX: MS. KATHLEEN MIKKELSON 763/788-0012 NProf CREST VIEW HOME HEALTH CARE HCP-A HHA 1515 44TH AVENUE NORTHEAST COLUMBIA HEIGHTS, MN 55421 PHONE: 763/782-1611 (03080) FAX: MS. NAOMI FLUCK 763/788-0012 NProf CREST VIEW LUTHERAN HOME NH-122 SNF-NF-122 4444 RESERVOIR BLVD NE COLUMBIA HEIGHTS, MN 55421 PHONE: 763/782-1620 (00005) FAX: MR. TALIA ARAMALAY 763/782-0857 HWSAL NProf CREST VIEW ON 42ND 900 - 42ND AVENUE NE COLUMBIA HEIGHTS, MN 55421 PHONE: 763/781-5873 (21871) FAX: MS. KAREN FANTLE 763/781-5874 Lim-Liab LIGHTHOUSE OF COLUMBIA HEIGHTS HCP-F HWSAL 3801 HART BOULEVARD NORTHEAST COLUMBIA HEIGHTS, MN 55421 PHONE: 763/210-6600 (26853) FAX: MS. TAMMY KUCERA 763/210-6695 Lim-Liab PRO HEALTH HOME CARE AGENCY LL HCP-A 3989 CENTRAL AVE NE SUITE 510 COLUMBIA HEIGHTS, MN 55421 PHONE: 763/746-8155 (25163) FAX: DR. ABDULWAHAB ASAMARAI 763/746-8154 HWSAL NProf ROYCE PLACE 1515 44TH AVENUE NE COLUMBIA HEIGHTS, MN 55421 PHONE: 763/788-2020 (20079) FAX: MS. KAREN FANTLE 763/788-0012 HWS NProf THE BOULEVARD 4458 RESERVOIR BLVD NORTHEAST COLUMBIA HEIGHTS, MN 55421 PHONE: 763/782-1606 (20078) FAX: MS. SHIRLEY BARNES 763/782-0857 Corp AT HOME HEALTH CARE INC HCP-A 1601 128TH LANE NW COON RAPIDS, MN 55448 PHONE: 763/381-4448 (27749) 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 COON RAPIDS, MN 55448 PHONE: 763/755-8480 (01141) FAX: MS. MARY TJOSVOLD 763/755-3130 Corp COMMUNITY LIVING INC COTTAGE 5 SLFA-12 ICFMR-12 2483 109TH AVENUE NORTHWEST COON RAPIDS, MN 55433 PHONE: 952/443-2048 (01538) FAX: MS. MONICA SCHMIDT 952/443-2371 Corp COMMUNITY LIVING INC COTTAGE 6 SLFA-12 ICFMR-12 2493 109TH AVENUE NORTHWEST COON RAPIDS, MN 55433 PHONE: 952/443-2048 (01253) FAX: MS. MONICA SCHMIDT 952/443-2371 ESRD Corp COON RAPIDS DIALYSIS UNIT 3960 COON RAPIDS BLVD # 309 COON RAPIDS, MN 55103 PHONE: 763/421-8717 (02316) FAX: MS. JENNIFER ELLEFSON /- Lim-Liab COVENANT HOME HEALTH CARE LLC HCP-A HHA 199 COON RAPIDS BLVD STE 111 COON RAPIDS, MN 55433 PHONE: 763/755-9009 (02135) FAX: MS. GLORIA KLINEFELTER 763/862-8030 HWSAL Corp CREEKSIDE COTTAGE CATERED LIVI 1190 117TH AVENUE NW COON RAPIDS, MN 55448 PHONE: 763/754-6902 (24666) FAX: MS. MARY TJOSVOLD 763/754-6903 HWSAL Corp DEMAR ASSOCIATES INC 11777 XEON BOULEVARD COON RAPIDS, MN 55448 PHONE: 763/755-8174 (20134) FAX: MS. MARY TJOSVOLD 763/862-3846 HWSAL Corp EAGLE STREET CATERED LIVING 12009 EAGLE STREET COON RAPIDS, MN 55448 PHONE: 763/862-1627 (20835) FAX: Corp ELITE NURSING SERVICE INC MS. MARY TJOSVOLD 763/862-1900 HCP-A 2393 COON RAPIDS BOULEVARD COON RAPIDS, MN 55433 PHONE: 763/421-3613 (26977) 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 ---------------------------********** Lim-Liab EPIPHANY ASSISTED LIVING LLC Certification ANOKA Registration (Cont.)* -------------------------- HCP-F HWSAL 10955 HANSON BOULEVARD NW (21113) COON RAPIDS, MN 55433 PHONE: 763/772-1044 FAX: MS. MARY MCCARTY 763/772-1070 HWS NProf EPIPHANY PINES SENIOR HOUSING 1800 111TH AVE NW COON RAPIDS, MN 55433 PHONE: 763/755-9299 (23423) FAX: MS. MARY MCCARTY 763/862-4641 ESRD Corp FMC DIALYSIS SERVCES NO SUBURB 9144 SPRINGBROOK DRIVE COON RAPIDS, MN 55355 PHONE: 763/783-0103 (02816) FAX: MR. RICHARD PHIDD /- ESRD Corp FRESENIUS MED CARE COON RAPIDS 3465 NORTHDALE BOULEVARD COON RAPIDS, MN 55448 PHONE: 763/421-1032 (25769) FAX: Lim-Liab GENTLE CARE HOME HLTH SERVICES MR. JOHN MARIETTI 763/421-1054 HCP-A 11672 BUTTERNUT STREET NW COON RAPIDS, MN 55448 PHONE: 651/494-7453 (29208) FAX: MS. MILA NAZARENKO 651/846-6722 Home Mgmt Lim-Liab GRACIOUS COMPANIONS LLC 12564 GROUSE STREET NORTHWEST COON RAPIDS, MN 55448 PHONE: 763/233-1023 (27401) FAX: Lim-Liab GRACIOUS COMPANIONS LLC MS. REGINA KENNEY 763/862-8420 HCP-B 12564 GROUSE STREET NORTHWEST COON RAPIDS, MN 55448 PHONE: 763/757-5708 (28834) FAX: MS. REGINA KENNEY 763/862-8420 HWSAL NProf HOMESTEAD COON RAPIDS MEMORY 1770 113TH LANE COON RAPIDS, MN 55433 PHONE: 763/754-3500 (20478) FAX: Part MARGARET PLACE LTD PARTNERSHI MS. JENNIFER FRAZER-JOHN 763/754-3700 HCP-F HWS 1555 118TH LANE NORTHWEST COON RAPIDS, MN 55448 PHONE: 763/754-2505 (20886) FAX: Corp MARY T HOME HEALTH MS. MARY TJOSVOLD 763/754-0332 HCP-A HHA 1555 118TH LANE NORTHWEST COON RAPIDS, MN 55448 PHONE: 763/862-5479 (03136) FAX: 763/755-3631 MR. RANDY LEJA Minnesota Department of Health Division of Compliance Monitoring Page 9 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf MERCY HOSPITAL Certification ANOKA Registration (Cont.)* -------------------------- BASS-38 HOSP-271 HOSP-271 4050 COON RAPIDS BLVD (00009) COON RAPIDS, MN 55433 PHONE: 763/236-6000 FAX: MS. SARA CRIGER 763/236-8124 Corp MNGI ENDOSCOPY COON RAPIDS Outpt Surg Amb Surg 9145 SPRING BROOK DRIVE COON RAPIDS, MN 55433 PHONE: 612/871-1145 (21075) FAX: DR. SCOTT KETOVER /- Corp PARK RIVER ESTATES CARE CENTER NH-99 SNF-NF-99 9899 AVOCET ST NW COON RAPIDS, MN 55433 PHONE: 763/757-2320 (00010) FAX: Corp REHABCARE MR. THOMAS POLLOCK 763/757-6946 HCP-A 300 COON RAPIDS BLVD STE 200 COON RAPIDS, MN 55433 PHONE: 763/767-0854 (27066) 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 COON RAPIDS, MN 55433 PHONE: 763/767-0854 (02199) FAX: Corp REM MN COMM SRVS INC ANOKA MS. KELLY HUNGASKI 763/862-6533 SLFB-6 ICFMR-6 12011 KUMQUAT STREET NORTHWEST COON RAPIDS, MN 55448 PHONE: 651/644-7680 (01591) FAX: Lim-Liab SELECT SENIOR LIV/COON RAPIDS MS. CONNIE MENNE 651/644-6777 HCP-F 11350 MARTIN STREET COON RAPIDS, MN 55433 PHONE: 763/767-1127 (25728) FAX: MR. LANCE LEMIEUX 763/862-6852 HWSAL Lim-Liab SELECT SENIOR LIVING OF COON R 11350 MARTIN STREET NW COON RAPIDS, MN 55433 PHONE: 651/439-2414 (25729) FAX: NProf THE HOMESTEAD AT COON RAPIDS MR. LANCE LEMIEUX 651/439-3254 HCP-F HWSAL 11372 ROBINSON DRIVE NORTHWEST COON RAPIDS, MN 55433 PHONE: 763/754-3500 (20532) FAX: Corp ZION HOME HEALTH CARE MS. JENNIFER FRAZER-JOHN 763/754-3700 HCP-A 10308 XAVIS STREET NW COON RAPIDS, MN 55433 PHONE: 763/432-6323 (25735) FAX: 612/242-1935 MS. TETEE SARYEE Minnesota Department of Health Division of Compliance Monitoring Page 10 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab COMMUNITY OPTIONS Certification ANOKA Registration (Cont.)* -------------------------- SLFA-12 5384 NORTHEAST FIFTH STREET (01533) FRIDLEY, MN 55421 PHONE: 763/572-0009 FAX: MR. THOMAS ALF 763/572-1295 ESRD Corp EAST RIVER ROAD DIALYSIS 5301 EAST RIVER RD NE STE 117 FRIDLEY, MN 55421 PHONE: 763/571-5556 (25501) FAX: MR. LAWRENCE BLAIR 763/571-7882 HWSAL Lim-Liab FRIDLEY ASSISTED LIVING LLC 6352 CENTRAL AVENUE FRIDLEY, MN 55432 PHONE: 763/574-7366 (27981) FAX: MS. RHONDA SCHILLNGER 763/574-7362 Lim-Liab GOLDEN LIVINGCENTER LYNWOOD NH-54 SNF-NF-54 5700 EAST RIVER ROAD FRIDLEY, MN 55432 PHONE: 763/571-3150 (00935) FAX: MS. SHANNA SWANSON 763/571-2805 Corp HOME HEALTH CARE AGENCY HCP-A 7362 UNIVERSITY AVE NE STE 311 FRIDLEY, MN 55432 PHONE: 763/571-7191 (28878) FAX: MR. TUBTSHWM YANG 763/571-9197 Out St Out Ot Corp METRO THERAPY SPECIAL CHILDREN 5155 EAST RIVER ROAD STE 403 FRIDLEY, MN 55421 PHONE: 763/572-2519 (02799) FAX: MS. AUDREY CHAPUT 763/572-2616 Lim-Liab MN ORTHOPAEDIC SURG CTR LLC Outpt Surg Amb Surg 8290 UNIVERSITY AVE NE STE 100 FRIDLEY, MN 55432 PHONE: 763/786-9543 (04305) FAX: MS. REBECCA ANDERSON 763/786-3320 Out Pt Out St Out Ot Corp NOVACARE REHABILITATION 8290 UNIVERSITY AVE NE #300 FRIDLEY, MN 55432 PHONE: 763/784-2340 (03769) FAX: MS. MARY SMITH /- Corp PRIDE N'LIVING HOME CARE INC HCP-A 7691 CENTRAL AVENUE FRIDLEY, MN 55432 PHONE: 763/572-2390 (23218) FAX: 763/574-2459 MRS. DEBRA RIMPSON HWS Corp PRIDE N'LIVING HOME CARE INC 7691 CENTRAL AVENUE FRIDLEY, MN 55432 PHONE: 763/572-2390 (26208) 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 ---------------------------********** Certification ANOKA (Cont.)* -------------------------HWSAL Lim-Liab THE LANDMARK OF FRIDLEY Registration 6490 CENTRAL AVENUE NORTHEAST (28887) FRIDLEY, MN 55432 PHONE: 763/571-7355 FAX: MS. JEANNE JAECKELS /- Lim-Liab THE LANDMARK OF FRIDLEY HCP-F 6490 CENTRAL AVENUE NE FRIDLEY, MN 55432 PHONE: 763/571-7355 (28954) FAX: MS. JEANNE JAECKELS /- NProf UNITY HOSPITAL BASS-36 HOSP-275 HOSP-260 PPS-P-15 550 OSBORNE RD FRIDLEY, MN 55432 PHONE: 763/236-5000 (00011) FAX: MS. LORI WIGHTMAN 763/236-3774 Lim-Liab VILLAGE IN PINE RETIRMNT HOUSE HWSAL HCP-F 824 142ND AVENUE NE HAM LAKE, MN 55304 PHONE: 763/862-4900 (28200) FAX: MR. AKWEN MORCHO 763/792-3839 Home Mgmt Corp A TIME FOR HELP INC 481 LINDEN LANE LINO LAKES, MN 55014 PHONE: 651/481-1991 (29137) FAX: MS. SHIRLYN NICKELSON 651/482-9008 Corp A TIME FOR HELP INC HCP-A 481 LINDEN LANE LINO LAKES, MN 55014 PHONE: 651/481-1991 (24985) FAX: MS. SHIRLYN NICKELSON 651/482-9008 Corp A TO Z SOCIAL SERVICES INC HCP-A 693 HIGHLAND TRAIL LINO LAKES, MN 55014 PHONE: 651/248-6120 (27347) FAX: MR. AUGUSTINE AKPAN 651/784-5000 Corp AGABI HEALTH CARE SERVICES HCP-A 7259 SAVANNA COURT LINO LAKES, MN 55014 PHONE: 952/381-7697 (27854) FAX: MS. VICTORINE AMBE /- Lim-Liab COMPASSIONATE LUCYS SENIOR HOM HCP-A 695 OAK LANE LINO LAKES, MN 55014 PHONE: 651/784-7512 (29183) FAX: MS. ELIZABETH TAMFU /- Lim-Liab LINO LAKES ASSISTED LIVING LLC HCP-F HWSAL 725 TOWN CENTER PARKWAY LINO LAKES, MN 55014 PHONE: 763/267-6183 (27529) FAX: 763/398-2294 MS. AMY KOEHNEN Minnesota Department of Health Division of Compliance Monitoring Page 12 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab FUNDAMENTAL KIDS THERAPY LLC Certification ANOKA Registration (Cont.)* -------------------------- HCP-A 145 221ST AVENUE NORTHWEST (29241) OAK GROVE, MN 55011 PHONE: 952/297-2460 FAX: MS. JULIE JOHNSON /- Home Mgmt Corp CAREFREE HOME SERVICES INC 7830 149TH LANE NW RAMSEY, MN 55303 PHONE: 763/422-9713 (27857) FAX: MR. MICHAEL BEACH 763/421-3098 HWS-O Corp NEW MILLENNIUM HEALTH CARE 7931 6TH STREET NORTHEAST SPRING LAKE PARK, MN 55432 PHONE: 763/780-9933 (26489) FAX: Lim-Liab NURSING EXCELLENCE CORP MR. JOHN ARNDT 763/795-8878 HCP-A 8145 TYLER STREET NE SPRING LAKE PARK, MN 55432 PHONE: 612/310-0655 (25294) FAX: MS. SANDRA SOMMERS 763/208-0535 HWSAL ONProf OAK CREST SENIOR LIVING 1639 COUNTY HWY 10 NORTHEAST SPRING LAKE PARK, MN 55432 PHONE: 763/783-0150 (27156) FAX: Corp RELIEVE CARE INC MS. ELIZABETH MEYER 763/783-0154 HCP-A 1310 81ST AVENUE NE SPRING LAKE PARK, MN 55432 PHONE: 763/757-3207 (21806) FAX: MS. LARA FATUNBI 763/780-3008 ---------------------------********** BECKER ******** -------------------------HWSAL Lim-Liab DIAMOND WILLOW ASSISTED LIVING 1564 RANDOLPH ROAD DETROIT LAKES, MN 56502 PHONE: 218/846-0147 (25400) FAX: MS. BRENDA MARSHALL 218/846-0149 HWSAL Lim-Liab DIAMOND WILLOW ASSISTED LIVING 1558 RANDOLPH ROAD DETROIT LAKES, MN 56502 PHONE: 218/846-0825 (25380) FAX: NProf EMMANUEL COMMUNITY MS. BRENDA MARSHALL 218/846-0828 HCP-F 1415 MADISON AVENUE DETROIT LAKES, MN 56501 PHONE: 218/847-4486 (22058) FAX: 218/847-4488 MS. ASHLEY MCNALLY Minnesota Department of Health Division of Compliance Monitoring Page 13 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf EMMANUEL COMMUNITY Certification BECKER Registration (Cont.)* -------------------------- 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 DETROIT LAKES, MN 56501 PHONE: 218/847-4486 (00013) FAX: NProf ESSENTIA HEALTH OAK CROSSING MS. JANET GREEN 218/847-4488 NH-96 SNF-NF-96 1040 LINCOLN AVENUE DETROIT LAKES, MN 56501 PHONE: 218/847-5611 (00907) FAX: NProf ESSENTIA HEALTH ST MARYS MS. CHRISTY BRINKMAN 218/844-0780 BASS-16 HOSP-87 HOSP-87 1027 WASHINGTON AVENUE DETROIT LAKES, MN 56501 PHONE: 218/847-0852 (00888) FAX: Corp GOLDEN MANOR CORPORATION MR. RYAN HILL 218/847-7674 HCP-F 1159 GARNET BOULEVARD DETROIT LAKES, MN 56501 PHONE: 218/847-3195 (21056) FAX: 218/844-6029 MS. HEATHER CAMPBELL HWSAL Corp GOLDEN MANOR MEMORY CARE 1159 GARNET BOULEVARD DETROIT LAKES, MN 56501 PHONE: 218/844-6028 (24138) FAX: 218/844-6029 MS. HEATHER CAMPBELL HWSAL Corp GOLDEN MANOR OF DETROIT LAKES 1165 GARNET BOULEVARD DETROIT LAKES, MN 56501 PHONE: 218/844-3300 (23040) FAX: 218/844-3301 MS. HEATHER CAMPBELL HWSAL NProf LAMPLIGHTER MANOR 1425 MADISON AVENUE DETROIT LAKES, MN 56501 PHONE: 218/847-4486 (20313) FAX: 218/847-5384 MS. JANET GREEN HWSAL NProf LINCOLN PARK ASSISTED LIVING 208 OAK STREET DETROIT LAKES, MN 56501 PHONE: 218/844-0701 (21201) FAX: 218/847-0895 MS. TONYA CLEM HWS NProf LINCOLN PARK SENIOR APARTMENT 207 PARK STREET DETROIT LAKES, MN 56501 PHONE: 218/844-0701 (21248) FAX: 218/847-0895 MR. RYAN HILL Minnesota Department of Health Division of Compliance Monitoring Page 14 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification BECKER (Cont.)* -------------------------Home Mgmt NProf MAHUBE OTWA COM ACTION PTNRSHP Registration 1125 WEST RIVER ROAD PO 747 (29250) DETROIT LAKES, MN 565020747 PHONE: 218/847-1385 FAX: MS. KAREN LENIUS 218/847-1388 HWS Part PARK MANOR ESTATES 1035 ROOSEVELT AVENUE DETROIT LAKES, MN 56501 PHONE: 218/847-2636 (24593) FAX: MS. CHRISTY ALTHOFF 218/844-2637 ESRD NProf SANFORD DIALYSIS DETROIT LAKES 114 EAST FRAZEE STREET DETROIT LAKES, MN 56501 PHONE: 218/847-0825 (20925) FAX: MR. ROGER GILBERTSON /- Corp SANFORD HTH DL CLNC SAME DAY Outpt Surg Amb Surg 1245 WASHINGTON AVENUE DETROIT LAKES, MN 56501 PHONE: 218/846-2000 (27351) FAX: Church ST MARYS HOME HEALTH MS. BREANNA ADAMS 218/846-2197 HCP-A HHA 114 FRAZEE STREET E DETROIT LAKES, MN 56501 PHONE: 218/847-0808 (03707) FAX: Church ST MARYS SR LVG SUPPORTIVE SER MS. LINDA HESPE 218/847-0850 HCP-F 1027 WASHINGTON AVE DETROIT LAKES, MN 56501 PHONE: 218/844-0701 (23436) FAX: MS. TONYA CLEM 218/874-0895 HWSAL NProf THE COTTAGE 1435 MADISON AVENUE DETROIT LAKES, MN 56501 PHONE: 218/844-8354 (25997) FAX: MS. MELODIE OELFKE 218/844-9446 HWSAL NProf THE MADISON AT EMMANUEL COMMTY 1405 MADISON AVENUE DETROIT LAKES, MN 56501 PHONE: 218/844-9420 (23721) FAX: NProf WEST HOME MS. JANET GREEN 218/847-4488 SLFB-9 ICFMR-9 1118 WEST AVENUE DETROIT LAKES, MN 56502 PHONE: 218/847-5642 (01311) FAX: 218/847-7176 MR. THOMAS REIFFENBERGER HWS NProf WINCHESTER ON WASHINGTON 1051 WASHINGTON AVENUE DETROIT LAKES, MN 56501 PHONE: 218/844-0701 (20241) 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 FRAZEE, MN 56544 PHONE: 218/334-4501 (00730) FAX: Cnty SUNNYSIDE CARE CENTER MR. ANDREW HUHTA 218/334-4500 HCP-A 16561 US HIGHWAY 10 LAKE PARK, MN 56554 PHONE: 218/238-5944 (27036) FAX: Cnty SUNNYSIDE CARE CENTER MR. BLAINE GAMST 218/238-6854 NH-45 SNF-NF-45 16561 US HWY 10 LAKE PARK, MN 56554 PHONE: 218/238-5944 (00016) FAX: Corp NORTH STAR NURSING TEMPORARY A MR. DAVID SORBEL-INTERIM 218/238-6854 HCP-A 22119 480TH AVENUE PO BOX 306 OSAGE, MN 56570 PHONE: 218/573-2238 (21664) FAX: Tribal WHITE EARTH HOME HEALTH MS. HEIDI DREWES 218/573-3778 HCP-A HHA BOX 496 26246 CRANE ROAD WHITE EARTH, MN 56591 PHONE: 218/983-3286 (02147) FAX: MRS. JENNIFER STEVENS 218/983-2734 ---------------------------********** Lim-Liab A TOUCH OF HOME NORTH BELTRAMI ******** -------------------------- HCP-F HWSAL 915 21ST STREET NORTHWEST BEMIDJI, MN 56601 PHONE: 218/444-5878 (26426) FAX: Corp AUTUMN HILLS HOME CARE MS. JODI LINDSEY 218/444-5114 HCP-A 2528 PARK AVENUE NW BEMIDJI, MN 56601 PHONE: 218/333-3854 (28743) FAX: Corp AUTUMN HILLS OF BEMIDJI INC MS. SHELLEY CLOOSE 218/333-3855 HCP-F HWSAL 2528 PARK AVENUE NORTHWEST BEMIDJI, MN 56601 PHONE: 218/333-3854 (23983) FAX: 218/333-3855 MS. SHELLEY CLOOSE Minnesota Department of Health Division of Compliance Monitoring Page 16 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification BELTRAMI (Cont.)* -------------------------HWSAL NProf BAKER PARK INC Registration 803 DEWEY AVENUE (20518) BEMIDJI, MN 56601 PHONE: 218/751-7249 FAX: Cnty BELTRAMI COUNTY HEALTH & HUMAN MR. CRAIG BOYER 218/333-6303 HCP-A HHA 616 AMERICA AVE NW SUITE 340 BEMIDJI, MN 56601 PHONE: 218/333-8100 (02007) FAX: MS. LINDA YOURCZEK 218/333-8360 HWS Corp BIRCHHAVEN VILLAGE 1700 NORTON AVENUE NW BEMIDJI, MN 56601 PHONE: 218/444-1700 (28606) FAX: Corp CEDAR COTTAGE MS. CHARITY DELISLE 218/444-1760 HCP-F HWSAL 1711 DELTON AVENUE NORTHWEST BEMIDJI, MN 56601 PHONE: 218/444-3047 (20923) FAX: Corp COLLEENS CARING HANDS MS. SHERRY DENAULT 218/444-2731 HCP-F HWSAL 2525 BEMIDJI AVENUE NORTH BEMIDJI, MN 56601 PHONE: 218/333-8852 (26834) FAX: State COMM BEHAV HLTH HOSP BEMIDJI MS. COLLEEN HILL-KJOS 218/444-9183 OTHER-16 PSY-16 800 BEMIDJI AVE NORTH BEMIDJI, MN 56601 PHONE: 218/308-2400 (25049) FAX: Corp GOLDPINE HOME MR. RICHARD SLIETER 218/333-6800 HCP-F HWSAL 1700 30TH STREET NORTHWEST BEMIDJI, MN 56601 PHONE: 218/444-4346 (20075) FAX: Corp HAVENWOOD CARE CENTER MR. DUSTIN HOLLOWAY 218/444-4083 NH-90 SNF-NF-90 1633 DELTON AVE BEMIDJI, MN 56601 PHONE: 218/444-1745 (00017) FAX: Ind LONG LAKE LOON LODGE MR. BRANDON BJERKE 218/759-1744 HCP-F 7747 LOON LODGE LANE NORTHEAST BEMIDJI, MN 56601 PHONE: 218/586-2945 (22011) FAX: 218/586-4094 MS. AMY DELAP HWS Ind LONG LAKE LOON LODGE 7747 LOON LODGE LANE NE BEMIDJI, MN 56601 PHONE: 218/586-2945 (20285) FAX: 218/586-4094 MS. AMY DELAP Minnesota Department of Health Division of Compliance Monitoring Page 17 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf NEILSON PLACE Certification BELTRAMI NH-78 Registration (Cont.)* -------------------------SNF-NF-78 1000 ANNE STREET NW (00823) BEMIDJI, MN 56601 PHONE: 218/751-0220 FAX: MS. LINDA BARKLEY 218/333-6514 Corp PROGRESSIVE HEALTH CARE OF BEM HCP-A 405 BELTRAMI AVENUE BEMIDJI, MN 56601 PHONE: 218/444-6876 (21856) FAX: MR. PAUL IVERSON 218/444-2747 NProf SANFORD BEMIDJI HOME CARE HCP-A HHA 3525 PINE RIDGE AVENUE NW BEMIDJI, MN 56601 PHONE: 218/333-5665 (02372) FAX: MS. LORI SUNDBOM 218/333-5642 NProf SANFORD BEMIDJI HOSPICE Hospice HSPICE 3525 PINE RIDGE AVENUE NW BEMIDJI, MN 56601 PHONE: 218/333-5665 (02417) FAX: MS. LOIS RYDEEN 218/333-5642 NProf SANFORD BEMIDJI MEDICAL CENTER BASS-12 HOSP-118 1300 ANNE STREET NORTHWEST BEMIDJI, MN 56601 PHONE: 218/751-5430 HOSP-89 PPS-P-12 PPS-R-17 PPS-RPPS-P- (00821) FAX: MR. PAUL HANSON 218/333-5880 ESRD NProf SANFORD DIALYSIS BEMIDJI 1233 34TH STREET NORTHWEST BEMIDJI, MN 56601 PHONE: 218/751-5430 (03376) FAX: MS. LISA CARLSON /- NProf SANFORD HEALTH NEILSON PLACE HCP-F 803 DEWEY AVENUE BEMIDJI, MN 56601 PHONE: 218/751-0220 (26843) FAX: Corp TAMARACK COURT MS. LINDA BARKLEY 218/333-6514 HCP-F HWSAL 1511 DELTON AVENUE NW BEMIDJI, MN 56601 PHONE: 218/444-4999 (26081) FAX: Lim-Liab TOUCH OF HOME MR. JAMES BIRCHEM 218/444-5603 HCP-F HWSAL 711 17TH STREET BEMIDJI, MN 56601 PHONE: 218/444-2775 (21397) FAX: 218/444-5114 MS. SHAWN VANANTWEPEN HWSAL NProf TRILLIUM 930 ANNE STREET NW BEMIDJI, MN 56601 PHONE: 218/333-6289 (26844) FAX: 218/333-5639 MS. LINDA BARKLEY Minnesota Department of Health Division of Compliance Monitoring Page 18 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification BELTRAMI (Cont.)* -------------------------HWS NProf WINDSONG Registration 1010 ANNE STREET NW (27160) BEMIDJI, MN 56601 PHONE: 218/333-6289 FAX: MR. CRAIG BOYER 218/333-5639 NProf GOOD SAM SOC BLACKDUCK SR LIV HCP-F HWSAL 152 MARGARET AVENUE NORTHWEST BLACKDUCK, MN 56630 PHONE: 218/835-5483 (26635) FAX: MS. ANGEL NORMANDIN 218/835-5484 NProf GOOD SAM SOCIETY BLACKDUCK SNF-NF-32 NH-32 172 SUMMIT AVENUE WEST BLACKDUCK, MN 56630 PHONE: 218/835-3419 (00021) FAX: MS. ANGEL NORMANDIN 218/835-6737 HWSAL Corp HERITAGE HOUSE OF BLACKDUCK 441 4TH STREET NE BLACKDUCK, MN 56630 PHONE: 218/835-4564 (21164) FAX: MR. JAMES BIRCHEM 218/835-5809 RHC NProf SANFORD HLTH BLACKDUCK CLINIC 81 1ST STREET NW PO BOX 188 BLACKDUCK, MN 56630 PHONE: 218/367-6111 (24590) FAX: MS. MARY MILLER /- Corp CORNERSTONE RESID OF KELLIHER HCP-F HWSAL 280 MAIN STREET WEST KELLIHER, MN 56650 PHONE: 218/647-8258 (25374) FAX: MS. KARI SWANSON 218/647-8483 Tribal JOURDAIN PERPICH EXT CARE FAC SNF-NF-47 OTHER- 305 3RD AVENUE SW P O BOX 399 RED LAKE, MN 56671 PHONE: 218/679-3400 (00355) FAX: MR. WILLIAM ECKBLAD /- ESRD NProf SANFORD DIALYSIS RED LAKE 24760 HOSPITAL DRIVE BOX 249 RED LAKE, MN 56671 PHONE: 218/679-3117 (23621) FAX: Corp MEADOWLAND ELDER CARE HOMES MS. MARIA BEGNIER 218/679-4306 HCP-F HWS 21368 GULL LAKE LOOP ROAD NE TENSTRIKE, MN 56683 PHONE: 218/586-3740 (21190) FAX: 218/586-3746 MS. DONNA STEPHENS HWSAL Corp MEADOWLAND ELDER CARE HOMES II 21368 GULL LAKE LOOP ROAD NE TENSTRIKE, MN 56683 PHONE: 218/586-3740 (21191) FAX: 218/586-3746 MS. DONNA STEPHENS Minnesota Department of Health Division of Compliance Monitoring Page 19 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp FOLEY NURSING CENTER Certification BENTON Registration ******** -------------------------- NH-89 SNF-NF-89 253 PINE STREET (00629) FOLEY, MN 56329 PHONE: 320/968-6201 FAX: Corp HERITAGE HOME HEALTH MR. STEVEN OELRICH 320/968-7051 HCP-F 152 NORMAN AVENUE SOUTH FOLEY, MN 56329 PHONE: 320/968-7117 (26407) FAX: Corp HERITAGE HOME HEALTH & HOSPICE MS. KELSEY THOMPSON 320/968-7316 HCP-A HHA 152 NORMAN AVENUE SOUTH FOLEY, MN 56329 PHONE: 320/968-7117 (02339) FAX: MS. KELSEY THOMPSON, RN 320/968-7316 HWS Lim-Liab HERITAGE PLACE 120 NORMAN AVENUE SOUTH FOLEY, MN 56329 PHONE: 320/968-6425 (20153) FAX: MS. KATHRYN OELRICH 320/968-7051 HWSAL Corp HERITAGE POINTE 104 NORMAN AVENUE SOUTH FOLEY, MN 56329 PHONE: 320/968-6425 (26321) FAX: Corp ALL GOOD HOME CARE INC MS. KATHY OELRICH 320/968-7316 HCP-A 9250 LAKEWOOD SHORE RD NW RICE, MN 56367 PHONE: 320/393-2406 (25865) FAX: NProf COUNTRY MANOR EXTENDED SERV MR. MIKE ALLGOOD 320/393-2455 HCP-A HHA 520 FIRST STREET NE SARTELL, MN 56377 PHONE: 320/253-3343 (02226) FAX: Lim-Liab COUNTRY MANOR EXTENDED SVCS MS. LISA HANOWSKI 320/240-0244 HCP-F HWSAL 520 1ST STREET NE SARTELL, MN 56377 PHONE: 320/253-8450 (20206) FAX: Lim-Liab COUNTRY MANOR HLTH & REHAB CTR MR. ANTHONY FENSTAD 320/253-5922 NH-165 SNF-NF-165 520 FIRST STREET NORTHEAST SARTELL, MN 56377 PHONE: 320/253-1920 (00627) FAX: 320/656-5922 MR. BRIAN KELM HWSAL Lim-Liab THE COUNTRY VILLA LLC 520 FIRST ST NE SARTELL, MN 56377 PHONE: 320/253-8450 (20559) 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 ---------------------------********** Lim-Liab ACCESS INFUSION HEALTHCARE LLC Certification BENTON Registration (Cont.)* -------------------------- 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 SAUK RAPIDS, MN 56379 PHONE: 320/257-7445 (27306) FAX: Corp GENERATIONS HOME CARE INC MS. WENDY HULSEBUS 320/257-7447 HCP-F 817 5TH AVE N SAUK RAPIDS, MN 56379 PHONE: 320/230-3422 (26135) FAX: NProf GOOD SHEPHERD ASSISTED LIVING MS. LORRIE WAITE 320/453-8074 HCP-F 1115 4TH AVENUE NORTH SAUK RAPIDS, MN 56379 PHONE: 320/252-6525 (24855) FAX: MS. BARB REBISCHKE 320/259-3463 HWSAL NProf GOOD SHEPHERD COTTAGES 307 11TH STREET NORTH SAUK RAPIDS, MN 56379 PHONE: 320/252-6525 (23241) FAX: GOOD SHEPHERD HOME HEALTH CARE MR. BRUCE GLANZER 320/258-8675 NProf HCP-A HHA 1115 FOURTH AVENUE NORTH SAUK RAPIDS, MN 56379 PHONE: 320/252-6525 (02397) FAX: MR. BRUCE GLANZER 320/259-3463 HWSAL NProf GOOD SHEPHERD HOMES INC 1211 4TH AVENUE NORTH SAUK RAPIDS, MN 56379 PHONE: 320/252-6525 (25644) FAX: ONProf GOOD SHEPHERD LUTHERAN HOME MR. BRUCE GLANZER 320/259-3463 NH-162 SNF-NF-162 1115 4TH AVE N SAUK RAPIDS, MN 56379 PHONE: 320/252-6525 (00023) FAX: NProf JOURNEY HOME MR. BRUCE GLANZER 320/259-3463 SLFB-68 1485 10TH AVENUE NE SAUK RAPIDS, MN 56379 PHONE: 320/229-3762 (25468) FAX: 320/259-4565 MR. CRAIG BROMAN HWSAL NProf SHEPHERD COURT APARTMENTS 330 13TH STREET NORTH SAUK RAPIDS, MN 56379 PHONE: 320/252-6525 (20282) 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 SAUK RAPIDS, MN 56379 PHONE: 320/252-6525 (25646) FAX: MR. BRUCE GLANZER 320/259-3463 Out Pt Corp SPINAL REHAB CLINIC 225 NORTH BENTON DRIVE SAUK RAPIDS, MN 56379 PHONE: 320/252-1884 (03770) FAX: MS. LYNETTE MCGRATH /- Corp STERLING HOUSE OF SAUK RAPIDS HCP-F HWSAL 1325 SUMMIT AVENUE NORTH SAUK RAPIDS, MN 56379 PHONE: 320/203-8142 (20352) FAX: MS. AMANDA CHRISTEN 320/203-8207 HWSAL Part STERLING PARK RIDGEVIEW 1009 10TH AVENUE NORTHEAST SAUK RAPIDS, MN 56379 PHONE: 320/251-5228 (20619) FAX: Corp SUPPORTING HAND INC MR. HOWARD GROFF 320/259-8964 HCP-A 1269 2ND STREET N SUITE 200 SAUK RAPIDS, MN 56379 PHONE: 320/230-1931 (28722) FAX: MS. ANDREA YOUNG 320/230-0708 HWS Lim-Liab WAITE PROPERTIES LLC 817 FIFTH AVENUE NORTH SAUK RAPIDS, MN 56379 PHONE: 320/230-3422 (26134) FAX: Corp WALGREENS INFUSION SERVICES MS. LORRIE WAITE 320/230-8811 HCP-A 1000 S BENTON DRIVE STE 405 SAUK RAPIDS, MN 56379 PHONE: 320/252-5666 (03638) FAX: Lim-Liab WELSH PLACE MR. DAVID SCHULTA 320/252-5073 HCP-F HWSAL 902 15TH STREET NORTHEAST SAUK RAPIDS, MN 56379 PHONE: 320/282-5660 (27149) FAX: 320/217-5581 MR. TIMOTHY LEWELLYN HWSAL Lim-Liab ST CLOUD CAREFREE LIVING LLC 1225 DIVISION STREET EAST ST CLOUD, MN 56304 PHONE: 320/251-6483 (20383) FAX: 320/251-2714 MS. MARILYN HANSON Minnesota Department of Health Division of Compliance Monitoring Page 22 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf CLINTON CARE CENTER Certification BIG STONE Registration ******** -------------------------- HCP-F HWS 322 CO HIGHWAY 6 PO BOX 379 (23174) CLINTON, MN 56225 PHONE: 320/325-5414 FAX: NProf ESSENTIA HEALTH GRACE HOME MS. JENNA WIESE 320/325-5416 NH-50 SNF-NF-50 116 WEST SECOND STREET GRACEVILLE, MN 56240 PHONE: 320/748-7261 (00762) FAX: Church ESSENTIA HLTH GRACEVILLE HH MR. KEVIN GISH 320/748-8238 HCP-A HHA 115 WEST SECOND STREET GRACEVILLE, MN 56240 PHONE: 320/748-8211 (03589) 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 GRACEVILLE, MN 56240 PHONE: 320/748-7223 (00027) FAX: MR. KEVIN GISH 320/748-7225 HWSAL ONProf GRACE VILLAGE 114 WEST 2ND STREET GRACEVILLE, MN 56240 PHONE: 320/748-7220 (24236) FAX: City FAIRWAY VIEW SENIOR COMMUNIT MR. KEVIN GISH 320/748-7225 HCP-F HWSAL 215 LUNDELL AVENUE ORTONVILLE, MN 56278 PHONE: 320/839-2397 (23148) FAX: MS. BONNIE DYBDAHL 320/839-2398 HWS-O Cnty LAKESIDE APARTMENTS 301 NORTHWEST FIRST STREET ORTONVILLE, MN 56278 PHONE: 320/839-3304 (23374) FAX: NProf MONARCH HEIGHTS MS. JODI HORMANN 320/839-2320 SLFB-12 ICFMR-12 501 BURDICK AVENUE ORTONVILLE, MN 56278 PHONE: 320/839-6139 (01440) FAX: City NORTHRIDGE RESIDENCE MS. KRISTEN UNRUH 320/839-2060 NH-64 SNF-NF-64 1075 ROY STREET ORTONVILLE, MN 56278 PHONE: 320/839-6113 (00771) FAX: City ORTONVILLE AREA HEALTH SER HHA MR. RICHARD ASH 320/839-2985 HCP-A HHA 450 EASTVOLD AVENUE ORTONVILLE, MN 56278 PHONE: 320/839-4020 (02345) FAX: 320/839-4105 MR. RICHARD ASH Minnesota Department of Health Division of Compliance Monitoring Page 23 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** City ORTONVILLE AREA HEALTH SERVICE Certification BIG STONE Registration (Cont.)* -------------------------- BASS-4 HOSP-25 CAH-25 450 EASTVOLD AVE (00029) ORTONVILLE, MN 56278 PHONE: 320/839-2502 FAX: MR. RICK ASH 320/839-4105 ESRD NProf SATELLITE DIALYSIS ORTONVILLE 450 EASTVOLD AVENUE ORTONVILLE, MN 56278 PHONE: 320/839-4070 (23114) FAX: MR. TIMOTHY JACKSON 320/839-4071 ---------------------------********** Lim-Liab SOUTHERN MINNESOTA HOMECARE LL BLUE EARTH ******** -------------------------- HCP-A 213 PARKWAY AVE EAGLELAKE, MN 56024 PHONE: 507/257-2252 (26881) FAX: MS. BARBARA SONTAG /- Corp CRYSTAL SEASONS LVG COMMUNITY HCP-F HWSAL 222 SOUTH MURPHY STREET LAKE CRYSTAL, MN 56055 PHONE: 507/726-2266 (26192) FAX: MR. CHRISTOPHER THRO 507/726-2276 NProf ECUMEN LAKE CRYSTAL HCP-F HWSAL 511 WEST BLUE EARTH STREET LAKE CRYSTAL, MN 56055 PHONE: 507/726-6537 (20375) FAX: MS. EL DEANNE DORE 507/726-2402 Home Mgmt Corp ELDER CARE SERVICES INC 1110 PARK ROAD MADISON LAKE, MN 56063 PHONE: 507/243-3603 (20962) FAX: MS. SHARON CHADER 507/243-3375 Corp ALLIANCE HEALTH SERVICES HCP-A HHA 1400 MADISON AVENUE #212 MANKATO, MN 56001 PHONE: 507/386-1666 (03635) FAX: MS. ALANA FIALA /- Corp AUTUMN GRACE HCP-F 118 RAVEN COURT MANKATO, MN 56001 PHONE: 507/388-0645 (25816) FAX: 507/388-5412 MS. HEATHER BASS HWSAL Corp AUTUMN GRACE II 110 RAVEN COURT MANKATO, MN 56001 PHONE: 507/388-3660 (23858) 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 ---------------------------********** Corp GRACE SENIOR SERVICES INC Certification BLUE EARTH Registration (Cont.)* -------------------------- HCP-A HWSAL 118 RAVEN COURT (23093) MANKATO, MN 56001 PHONE: 507/388-3660 FAX: MRS. HEATHER BASS 507/388-5412 NProf HARRY MEYERING CTR INC SLFB-25 ICFMR-25 109 HOMESTEAD ROAD MANKATO, MN 56001 PHONE: 507/387-8281 (01008) FAX: MS. CAROL LEE 507/625-9948 Corp HILLCREST HEALTH CARE CENTER NH-100 SNF-NF-100 714 SOUTHBEND AVE MANKATO, MN 56001 PHONE: 507/387-3491 (00031) FAX: MS. AMY PORTER 507/387-6611 ESRD NProf IMMANUEL ST JOSEPHS ESRD 1025 MARSH STREET PO BOX 8673 MANKATO, MN 56002 PHONE: 507/345-2646 (02158) FAX: MR. JEROME CREST /- HWSAL Lim-Liab KEYSTONE COMMUNITIES OF MANKAT 100 DUBLIN ROAD MANKATO, MN 56001 PHONE: 612/886-2035 (24718) FAX: Corp LAURELS EDGE MR. MICHAEL LEWIS 612/886-2592 HCP-F HWSAL 77 STADIUM ROAD MANKATO, MN 56001 PHONE: 507/387-2133 (20485) FAX: Corp LAURELS PEAK REHAB CENTER MR. CHRISTOPHER THRO 507/387-1135 NH-65 SNF-NF-65 700 JAMES AVE MANKATO, MN 56001 PHONE: 507/345-4631 (00035) FAX: MR. TRAVIS GREGG 507/344-4835 HWS-O Corp LILLIAN GRACE 202 LILLIAN DRIVE MANKATO, MN 56001 PHONE: 507/385-3660 (23722) FAX: Corp MANKATO CLINIC ENDOSCOPY CTR MS. HEATHER BASS 507/388-5412 Outpt Surg Amb Surg 1230 E MAIN STREET MANKATO, MN 56002 PHONE: 507/625-1811 (23204) FAX: Lim-Liab MANKATO SURGERY CENTER MR. RANDY FARROW 507/388-3401 Outpt Surg Amb Surg 1411 PREMIER DRIVE MANKATO, MN 56001 PHONE: 507/388-6000 (21469) FAX: 507/388-6913 MS. JOLEEN HARRISON, RN Minnesota Department of Health Division of Compliance Monitoring Page 25 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification BLUE EARTH (Cont.)* -------------------------HWS NProf MAXFIELD PLACE Registration 324 MAXFIELD STREET (28853) MANKATO, MN 56001 PHONE: 507/345-2055 FAX: NProf MAYO CLINIC HEALTH SYS MANKATO MR. MICHAEL PARKER 507/345-1392 BASS-26 HOSP-272 HOSP-272 1025 MARSH ST PO BOX 8673 MANKATO, MN 56002 PHONE: 507/385-2646 (00033) FAX: NProf MAYO CLINIC HEALTH SYSTEM MANK MR. JEROME CREST 507/385-2908 HSPICE Hospice 1400 MADISON AVE SUITE 324 MANKATO, MN 56002 PHONE: 507/385-2618 (00219) FAX: Corp OAKLAWN HEALTH CARE CENTER MS. SUSAN KLESATH 507/385-5649 SNF-NF-77 NH-77 201 OAKLAWN AVE MANKATO, MN 56001 PHONE: 507/388-2913 (00038) FAX: MR. RICK KRANT 507/388-1235 Out Pt NProf OFC BACK CARE CENTER 1431 PREMIER DRIVE MANKATO, MN 56001 PHONE: 507/386-6650 (27161) FAX: Part OLD MAIN VILLAGE MR. MARK MILLER 507/388-8372 HCP-F HWSAL 301 SOUTH FIFTH STREET MANKATO, MN 56001 PHONE: 507/388-4200 (26043) FAX: Lim-Liab PAIN CENTERS OF MN MANKATO MR. DAN PETERKA 507/388-5991 Outpt Surg Amb Surg 1400 MADISON AVENUE SUITE 402 MANKATO, MN 56001 PHONE: 507/625-7246 (27290) FAX: NProf PATHSTONE CROSSING MR. VISHAL LAL 507/386-2599 HCP-F HWSAL 718 MOUND AVENUE MANKATO, MN 56001 PHONE: 507/345-4576 (20164) FAX: ONProf PATHSTONE HOME SERVICES MS. SHELLY CORNISH 507/385-4225 HCP-A HHA 718 MOUND AVENUE MANKATO, MN 56001 PHONE: 507/385-4210 (02389) FAX: NProf PATHSTONE LIVING MS. KARI EVERSON 507/385-4213 NH-69 SNF-NF-69 718 MOUND AVE MANKATO, MN 56001 PHONE: 507/345-4576 (00036) FAX: 507/385-4212 MS. JENNIFER PFEFFER 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 Out St Out Ot Ind PEDIATRIC THERAPY SERVICES Registration 309 HOLLY LANE (03809) MANKATO, MN 56001 PHONE: 507/388-5437 FAX: MS. NANCY DOBSON /- Corp PEDIATRIC THERAPY SERVICES INC HCP-A 150 ST. ANDREWS COURT MANKATO, MN 56001 PHONE: 507/388-5437 (03360) FAX: MS. NANCY DOBSON 507/388-2108 Out Pt Corp PHYS THER SPORTS MEDICINE CTR 1431 PREMIER DRIVE MANKATO, MN 56001 PHONE: 507/386-6700 (03813) FAX: MR. (BRIAN) JON ELLINGWORTH /- Corp PRAIRIE RIVER HOME CARE INC HCP-A HHA 227 EAST MAIN STREET #200 MANKATO, MN 56001 PHONE: 507/345-8591 (03190) FAX: NProf PRAIRIES EDGE MS. LORI SEEMANN 507/345-5023 SLFB-6 ICFMR-6 152 COUGAR DRIVE MANKATO, MN 56001 PHONE: 507/387-8281 (23697) FAX: Lim-Liab PRIMROSE OF MANKATO MS. CAROL LEE 507/387-9948 HCP-F HWSAL 1360 ADAMS STREET MANKATO, MN 56001 PHONE: 507/388-9292 (21208) FAX: MR. MARK MCNEARY 507/388-9292 HWS-O Corp REM HEARTLAND HILLTOP 201 80 HILLTOP LANE APT 201 MANKATO, MN 56001 PHONE: 507/387-3181 (27790) FAX: Corp REM HEARTLAND INC CYPRESS MS. CONNIE MENNE 507/387-3182 SLFA-11 ICFMR-11 204 THOMAS DRIVE MANKATO, MN 56001 PHONE: 507/387-3181 (01536) FAX: MS. CONNIE MENNE 507/387-3182 HWS-O Corp REM HEARTLAND INC HILLTOP 209 80 HILLTOP LANE APT 209 MANKATO, MN 56001 PHONE: 507/387-3181 (27819) FAX: Corp REM MANKATO INC BIRCH MS. CONNIE MENNE 507/345-3848 SLFB-12 ICFMR-12 206 THOMAS DRIVE MANKATO, MN 56001 PHONE: 507/387-3181 (01537) FAX: 507/387-3182 MS. CONNIE MENNE Minnesota Department of Health Division of Compliance Monitoring Page 27 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf SCHOOL SISTERS OF NOTRE DAME Certification BLUE EARTH Registration (Cont.)* -------------------------- 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 MANKATO, MN 56001 PHONE: 507/387-8281 (27322) FAX: Corp STERLING HOUSE OF MANKATO MS. CAROL LEE 507/625-9948 HCP-F HWSAL 100 TETON LANE MANKATO, MN 56001 PHONE: 507/386-1779 (20336) FAX: Corp SUNRISE COTTAGE OF MANKATO MS. AIMEE MALLETTE 507/386-1174 HCP-F 300 BUNTING LANE MANKATO, MN 56001 PHONE: 507/345-8787 (22359) FAX: MS. KIMBERLY ALINDER 507/345-8870 HWSAL Lim-Liab SUNRISE COTTAGE OF MANKATO 300 BUNTING LANE MANKATO, MN 56001 PHONE: 507/345-8787 (20394) FAX: Church THE LUTHERAN HOME CEDAR HAVEN MS. KIMBERLY ALINDER 507/345-8870 HCP-F HWSAL 630 REED STREET MANKATO, MN 56001 PHONE: 507/625-1512 (20185) FAX: MS. MARIANN SNYDER 507/388-6428 HWSAL Church THE LUTHERAN HOME CEDAR HAVEN 640 REED STREET MANKATO, MN 56001 PHONE: 507/625-1512 (20546) FAX: Lim-Liab WE CARE HOME CARE MS. MARIANN SNYDER 507/388-6428 HCP-A 530 RIVERFRONT DRIVE SUITE 240 MANKATO, MN 56001 PHONE: 507/414-5084 (29219) FAX: Lim-Liab WILD ROSE NURSING SERVICES LLC MR. MOHAMED AHMED 507/417-4327 HCP-A 1021 NORTH RIVERFRONT DRIVE MANKATO, MN 56001 PHONE: 507/625-8938 (28517) FAX: NProf ECUMEN MAPLETON MR. PAUL HAGEN 507/625-9038 HCP-F HWSAL 206 THIRD AVE NE MAPLETON, MN 56065 PHONE: 507/524-4990 (20377) FAX: 507/524-3239 MS. AMANDA BEAVENS Minnesota Department of Health Division of Compliance Monitoring Page 28 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification BLUE EARTH (Cont.)* -------------------------HWSAL NProf HERITAGE PLACE Registration 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 MAPLETON, MN 56065 PHONE: 507/524-3835 (27144) FAX: MR. RANDALL FARROW /- NProf MAPLETON COMMUNITY HOME HCP-F 301 TROENDLE STREET MAPLETON, MN 56065 PHONE: 507/524-3315 (28390) FAX: NProf MAPLETON COMMUNITY HOME MS. ROXANNE GOSSON 507/524-4410 NH-60 SNF-NF-60 301 TROENDLE ST MAPLETON, MN 56065 PHONE: 507/524-3315 (00037) FAX: MS. ROXANNE GOSSON 507/524-4410 ---------------------------********** Corp BRICKSTONE MANOR BROWN ******** -------------------------- HCP-F HWSAL 104 BROWN STREET WEST COMFREY, MN 56019 PHONE: 507/877-4600 (23856) FAX: NProf BROWN COUNTY EVAL CENTER INC MR. DAVID ENGLIN 507/877-6001 SLFB-16 510 NORTH FRONT NEW ULM, MN 56073 PHONE: 507/359-2749 (01641) FAX: Cnty BROWN COUNTY PUBLIC HEALTH MS. JILL WENZEL 507/354-7706 HCP-A HHA 1117 CENTER STREET PO BOX 543 NEW ULM, MN 56073 PHONE: 507/233-6820 (02041) FAX: Corp GOLDEN HOME CARE PLUS INC MS. KAREN MORITZ 507/233-6819 HCP-A 6 1/2 N MINNESOTA ST BOX 924 NEW ULM, MN 56073 PHONE: 507/359-2756 (03015) FAX: Corp MBW COMPANY INC MS. MARCY GULDEN 507/354-1260 HCP-A 1200 SOUTH BROADWAY NEW ULM, MN 56073 PHONE: 507/233-3030 (03081) FAX: 507/354-2168 MS. VICKI SIEVE Minnesota Department of Health Division of Compliance Monitoring Page 29 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp MBW ON RAYMOND Certification BROWN SLFA-4 Registration (Cont.)* -------------------------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 NEW ULM, MN 56073 PHONE: 507/233-3030 (01598) FAX: NProf NEW ULM MEDICAL CENTER MS. VICKI SIEVE 507/354-2168 SLFA-10 1324 5TH NORTH STREET NEW ULM, MN 56073 PHONE: 507/217-5108 (24059) FAX: NProf NEW ULM MEDICAL CENTER MR. TOBY FREIER 507/217-5575 BASS-14 HOSP-62 CAH-25 PPS-P-10 1324 FIFTH STREET NORTH NEW ULM, MN 56073 PHONE: 507/233-1000 (00839) FAX: NProf OAK HILLS LIVING CENTER MR. TOBY FREIER 507/233-1575 HCP-A HHA 1314 8TH STREET N NEW ULM, MN 56073 PHONE: 507/233-0800 (25987) FAX: NProf OAK HILLS LIVING CENTER MS. CANDAS SCHOUVIELLER 507/354-2751 NH-94 SNF-NF-94 1314 8TH STREET NORTH NEW ULM, MN 56073 PHONE: 507/359-2026 (00434) FAX: NProf OAK HILLS LVNG CENTER ASST LI MS. CANDAS SCHOUVIELLER 507/354-2751 HCP-F HWSAL 1314 8TH NORTH STREET NEW ULM, MN 56073 PHONE: 507/233-0804 (21025) FAX: 507/354-2751 MS. CANDAS SCHOUVIELLER HWSAL NProf OAK VIEW APARTMENTS INC 1316 8TH STREET NORTH NEW ULM, MN 56073 PHONE: 507/359-2026 (23298) FAX: 507/354-2751 MS. CANDAS SCHOUVIELLER HWSAL Corp ORCHARD HILLS CATERED LIVING L 1223 KARL DRIVE NEW ULM, MN 56073 PHONE: 507/354-2159 (23169) FAX: 507/354-2179 MR. DEAN BLOEMKE HWSAL Lim-Liab PRAIRIE SENIOR COTTAGES OF NEW 1308 BIRCHWOOD DRIVE NEW ULM, MN 56073 PHONE: 507/359-3420 (21586) FAX: 507/359-3421 MS. LINDA TAUER Minnesota Department of Health Division of Compliance Monitoring Page 30 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab PRAIRIE SR COTTAGES NEW ULM Certification BROWN Registration (Cont.)* -------------------------- HCP-F HWSAL 1308 BIRCHWOOD DRIVE (21584) NEW ULM, MN 56073 PHONE: 507/359-3420 FAX: MS. LINDA TAUER 507/359-3421 Lim-Liab QUALITY LIFE HOME CARE HCP-B 64431 COUNTY ROAD 21 NEW ULM, MN 56073 PHONE: 507/327-3195 (29135) FAX: MR. MATTHEW SCHROEDER 507/354-4503 Lim-Liab QUALITY LIFE HOME CARE LLC HCP-A 64431 COUNTY ROAD 21 NEW ULM, MN 56073 PHONE: 507/327-3195 (28968) FAX: MR. MATTHEW SCHROEDER /- ESRD NProf RENAL DIALYSIS FAC NEW ULM 1324 FIFTH STREET NORTH NEW ULM, MN 56073 PHONE: 507/359-5255 (02576) FAX: MR. JEROME CREST /- HWSAL NProf RIDGEWAY ON 23RD 720 23RD NORTH STREET NEW ULM, MN 56073 PHONE: 507/354-7000 (23249) FAX: MS. LORA GUTKNECHT 507/233-7410 HWSAL NProf RIDGEWAY ON GERMAN 715 SOUTH GERMAN STREET NEW ULM, MN 56073 PHONE: 507/354-7400 (20555) FAX: MS. KYLA FRANTA 507/359-5711 ONProf RIDGEWAY SENIOR LIVING HCP-F 715 SOUTH GERMAN STREET #100 NEW ULM, MN 56073 PHONE: 507/354-7400 (21355) FAX: MR. PAUL ABZUG 507/359-5711 Corp RIVERBLUFF HEALTH CARE INC HCP-A 48329 239TH STREET NEW ULM, MN 56073 PHONE: 507/947-3825 (03894) FAX: MR. DAVID STRENGE 507/947-3461 CMHC NProf SIOUX TRAIL MENTAL HLTH CENTER 1407 SOUTH STATE NEW ULM, MN 56073 PHONE: 507/354-3181 (02772) FAX: MR. PAUL KAPSCH /- Corp WELCOME HOME HEALTH CARE HCP-F 1223 KARL DRIVE NEW ULM, MN 56073 PHONE: 507/354-2159 (23650) FAX: 507/354-2179 MS. YVONNE SCHELL Minnesota Department of Health Division of Compliance Monitoring Page 31 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification BROWN (Cont.)* -------------------------HWSAL NProf COUNTRYSIDE RETIREMENT COMMUNI Registration 1100 FIRST AVENUE SOUTH (20030) SLEEPY EYE, MN 56085 PHONE: 507/794-3200 FAX: MS. PAMELA ADAM 507/794-3596 NProf DIVINE PROVIDENCE COMM HOME SNF-NF-58 NH-58 700 3RD AVE NW SLEEPY EYE, MN 56085 PHONE: 507/794-3011 (00040) FAX: MS. JAYNA GROEBNER 507/794-3020 NProf SLEEPY EYE AREA HOME HEALTH HCP-F 1100 1ST AVENUE SOUTH SLEEPY EYE, MN 56085 PHONE: 507/794-3594 (21765) FAX: MS. PAM ADAM 507/794-5914 NProf SLEEPY EYE AREA HOME HEALTH IN HCP-A 1100 FIRST AVENUE SOUTH SLEEPY EYE, MN 56085 PHONE: 507/794-3594 (20718) FAX: MRS. PAM ADAM 507/794-5914 Church SLEEPY EYE CARE CENTER NH-65 SNF-NF-65 1105 THIRD AVENUE SOUTHWEST SLEEPY EYE, MN 56085 PHONE: 507/794-7995 (00776) FAX: MS. PAMELA ADAM 507/794-3577 HWS HRA SLEEPY EYE HOUSING AUTHORITY ROSS PARK APARTMENTS SLEEPY EYE, MN 56085 PHONE: 507/794-5101 (21072) FAX: MS. LAURA TREBESCH 507/794-5108 RHC City SLEEPY EYE MEDICAL CENTER 400 4TH AVENUE NORTHWEST SLEEPY EYE, MN 56085 PHONE: 507/794-3571 (22176) FAX: MR. KEVIN SELLHEIM /- City SLEEPY EYE MEDICAL CENTER BASS-4 HOSP-25 400 4TH AVE NW SLEEPY EYE, MN 56085 PHONE: 507/794-3571 (00043) FAX: NProf HOME CARE SERVICES MR. BOB VAN MEETEREN 507/794-5462 HCP-F 201 SOUTH COUNTY ROAD 5 SPRINGFIELD, MN 56087 PHONE: 507/723-3243 (22325) FAX: NProf HOME CARE SERVICES ST JOHN LUT MR. JOSHUA JENSEN 507/723-8044 HCP-A 201 SOUTH COUNTY ROAD 5 SPRINGFIELD, MN 56087 PHONE: 507/723-3243 (23595) FAX: 507/723-8044 MR. JOSHUA JENSEN CAH-25 Minnesota Department of Health Division of Compliance Monitoring Page 32 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf MAYO CLINIC HEALTH SYSTEM S F Certification BROWN Registration (Cont.)* -------------------------- BASS-6 HOSP-24 CAH-24 625 JACKSON ST N (00044) SPRINGFIELD, MN 56087 PHONE: 507/723-6201 FAX: NProf ST JOHN LUTHERAN HOME MR. SCOTT THORESON 507/723-6447 NH-105 SNF-NF-105 201 CO RD 5 S SPRINGFIELD, MN 56087 PHONE: 507/723-3200 (00045) FAX: MR. JOSHUA JENSEN 507/723-6429 HWS NProf THE MAPLES AT ST JOHN 301 SOUTH COUNTY ROAD 5 SPRINGFIELD, MN 56087 PHONE: 507/723-3250 (25454) FAX: MR. JOSHUA JENSEN 507/723-3264 HWS NProf VISTA RIDGE MEMORY CARE SUITES 205 SOUTH COUNTY ROAD 5 SPRINGFIELD, MN 56087 PHONE: 507/723-3200 (23181) FAX: MR. JOSHUA JENSEN 507/723-6429 ---------------------------********** CARLTON ******** -------------------------HWSAL Lim-Liab LIGHTHOUSE OF CLOQUET & BARNUM 3725 HORIZON DR BLDG 2 BARNUM, MN 55707 PHONE: 218/878-7950 (22197) FAX: MR. TODD NOVACZYK 218/345-8800 HWSAL Lim-Liab LIGHTHOUSE OF CLOQUET & BARNUM 3730 HORIZON DRIVE BARNUM, MN 55707 PHONE: 218/878-7950 (23718) FAX: MR. TODD NOVACZYK 218/878-7951 HWSAL Lim-Liab LIGHTHOUSE OF CLOQUET & BARNUM 3722 HORIZON DRIVE BLDG #3 BARNUM, MN 55707 PHONE: 218/878-7950 (21398) FAX: Corp VISIONARY HOME CARE MR. TODD NOVACZYK 218/878-7951 HCP-A 3656 FRONT STREET BARNUM, MN 55707 PHONE: 218/389-3291 (28957) FAX: 218/389-9851 MS. JULIE BOGENHOLM Home Mgmt Corp VISIONARY HOME CARE 3656 FRONT STREET BARNUM, MN 55707 PHONE: 218/389-6244 (25895) FAX: 218/389-9851 MS. JULIE BOGENHOLM Minnesota Department of Health Division of Compliance Monitoring Page 33 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf CARLTON PLACE Certification CARLTON Registration (Cont.)* -------------------------HWSAL HCP-F 813 THIRD STREET (21142) CARLTON, MN 55718 PHONE: 218/384-8440 FAX: MRS. CONSTANCE ANDERSON 218/384-8442 State COMMUNITY ADDICTION RECOVERY SLFA-40 810 THIRD STREET SUITE 102 CARLTON, MN 55718 PHONE: 218/384-7003 (21547) FAX: MS. MERALEE ROSASCO 218/384-7006 Church INTERFAITH CARE CENTER NH-96 SNF-NF-96 811 THIRD STREET CARLTON, MN 55718 PHONE: 218/384-4258 (21170) FAX: MS. CONSTANCE ANDERSON 218/384-9820 Ind LAURA BODIN HCP-A 1570 OLSONVILLE ROAD CARLTON, MN 55718 PHONE: 218/591-5423 (21517) FAX: MS. LAURA BODIN /- HWS NProf PINE VIEW APARTMENTS 800 THIRD STREET CARLTON, MN 55718 PHONE: 218/384-8443 (21814) FAX: MRS. CONSTANCE ANDERSON 218/384-8442 HWS HRA WOODLAND PINES HRA OF CARLTON 201 SPRUCE AVENUE CARLTON, MN 55718 PHONE: 218/879-3353 (21426) FAX: MS. DEBRA SHAFF 218/879-1437 HWSAL HRA ASPEN ARMS 950 14TH STREET CLOQUET, MN 55720 PHONE: 218/879-3353 (21159) FAX: NProf COMMUNITY MEMORIAL HOSPITAL MS. DEBRA SHAFF 218/879-1437 NH-76 BASS-6 HOSP-36 SNF-NF-76 CAH-25 512 SKYLINE BLVD CLOQUET, MN 55720 PHONE: 218/879-4641 (00048) FAX: 218/879-9167 MR. RICHARD BREUER HWSAL Lim-Liab DIAMOND WILLOW ASSISTED LIVING 132 W NORTH ROAD CLOQUET, MN 55720 PHONE: 218/878-1972 (24426) FAX: 218/878-1588 MS. BRENDA MARSHALL HWSAL Lim-Liab DIAMOND WILLOW ASSISTED LIVING 130 W NORTH ROAD CLOQUET, MN 55720 PHONE: 218/878-1585 (24425) FAX: 218/878-1588 MS. BRENDA MARSHALL Minnesota Department of Health Division of Compliance Monitoring Page 34 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification CARLTON (Cont.)* -------------------------HWSAL Lim-Liab EVERGREEN KNOLL Registration 1309 14TH STREET (24494) CLOQUET, MN 55720 PHONE: 218/878-3302 FAX: ONProf EVERGREEN SENIOR LIVING MS. TERRI LANGEVIN 218/878-3304 HCP-F 1309 14TH STREET CLOQUET, MN 55720 PHONE: 218/878-3302 (21246) FAX: MR. PAUL ABZUG 218/878-3304 HWSAL Tribal FOND DU LAC ASSISTED LIVING RE 1571 AIRPORT ROAD CLOQUET, MN 55720 PHONE: 218/878-3848 (27607) FAX: Tribal FOND DU LAC HOME CARE PROGRAM MR. CHUCK ELLS ASSOCIATE DIREC 218/878-3843 HCP-A 1571 AIRPORT RD CLOQUET, MN 55720 PHONE: 218/878-3848 (27376) FAX: MS. DEBRA SMITH 218/878-3843 HWS Part LARSON COMMONS 810 CLOQUET AVENUE CLOQUET, MN 55720 PHONE: 218/879-3759 (21832) FAX: MS. CINDY FLEEGEL 218/879-8847 HWS Lim-Liab LIGHTHOUSE OF CLOQUET & BARNU 701 HORIZON CIRCLE CLOQUET, MN 55720 PHONE: 218/878-0085 (24315) FAX: Lim-Liab LIGHTHOUSE OF CLOQUET & BARNUM MR. DAVE KELLER 888/331-6005 HCP-F HWSAL 702 HORIZON CIRCLE CLOQUET, MN 55720 PHONE: 218/878-0077 (21672) FAX: 888/331-6005 MR. DAVE KELLER HWSAL Lim-Liab LIGHTHOUSE OF CLOQUET & BARNUM 1909 TALL PINE LANE CLOQUET, MN 55720 PHONE: 218/878-0000 (25969) FAX: 218/878-1099 MR. TODD NOCVACZYK HWSAL Lim-Liab LIGHTHOUSE OF CLOQUET & BARNUM 706 HORIZON CIRCLE CLOQUET, MN 55720 PHONE: 218/878-7950 (25970) FAX: 218/878-7951 MR. TODD NOVACZYK HWSAL Lim-Liab LIGHTHOUSE OF CLOQUET & BARNUM 705 HORIZON CIRCLE CLOQUET, MN 55720 PHONE: 218/878-7950 (24899) FAX: 218/878-7951 MR. TODD NOVACZYK Minnesota Department of Health Division of Compliance Monitoring Page 35 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Ind LINDA ROSE ENLUND Certification CARLTON Registration (Cont.)* -------------------------- 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 CLOQUET, MN 55720 PHONE: 218/879-8230 (25999) FAX: MS. COLETA PARENTEAU 218/879-8223 HWS-O Corp REM ARROWHEAD CARLTON APT 1 214 7TH STREET CLOQUET, MN 55720 PHONE: 218/720-2995 (28759) FAX: MR. PATRICK MASYGA 218/720-5090 HWS-O Corp REM ARROWHEAD CARLTON APT 2 214 7TH STREET CLOQUET, MN 55720 PHONE: 218/720-0995 (28761) FAX: Corp SUPERIOR VIEW ASSISTED LVG MR. PATRICK MASYGA 218/720-5090 HCP-F 207 AVENUE C SUITE 220 CLOQUET, MN 55720 PHONE: 218/491-7838 (23771) FAX: Corp VISIONARY HOME CARE MR. TROY MEAD 218/491-7840 HCP-B 1501 HIGHWAY 33 SOUTH CLOQUET, MN 55720 PHONE: 218/389-6244 (26776) FAX: Lim-Liab VILLA COURT MS. JULIE BOGENHOLM 218/389-9851 HWSAL HCP-F 1220 VILLA COURT DRIVE CROMWELL, MN 55726 PHONE: 218/644-3331 (26451) FAX: Lim-Liab VILLA HOME CARE LLC MS. JULIE PETERSON 218/644-3505 HCP-A 1220 VILLA COURT DRIVE CROMWELL, MN 55726 PHONE: 218/644-3331 (27915) FAX: MS. JULIE PETERSON 218/644-3505 HWSAL Ind BARNES CARE INC 56 WEST HIGHWAY 61 ESKO, MN 55733 PHONE: 218/879-2635 (26579) FAX: Corp BARNES CARE INC MR. TERRY BARNES 218/879-2939 HCP-F HWSAL 58 WEST HIGHWAY 61 ESKO, MN 55733 PHONE: 218/879-2635 (23529) FAX: 218/879-2939 MS. SHARLANE BARNES Minnesota Department of Health Division of Compliance Monitoring Page 36 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab HELPING HANDS RESPITE CARE Certification CARLTON Registration (Cont.)* -------------------------- HCP-A 24 N RIDGE ROAD (28992) ESKO, MN 55733 PHONE: 218/591-7680 FAX: MS. LISA MONTMINY /- Corp PLAINVIEW ESTATES INC HCP-F HWSAL 46 THOMSON ROAD ESKO, MN 55733 PHONE: 218/879-8230 (22142) FAX: MRS. COLETA PARENTEAU 218/879-8223 Lim-Liab AUGUSTANA MERCY CARE CTR NH-72 SNF-NF-72 710 SOUTH KENWOOD AVE MOOSE LAKE, MN 55767 PHONE: 218/351-9400 (00049) FAX: MR. STEVEN MORK 218/351-9401 RHC Corp GATEWAY FAM HLTH CLINIC LTD 4570 COUNTY ROAD 61 MOOSE LAKE, MN 55767 PHONE: 218/485-4491 (21127) FAX: MR. ERIC NIELSEN /- HWS NProf KENWOOD PLACE 4560 COUNTY HIGHWAY 61 MOOSE LAKE, MN 55767 PHONE: 218/351-9415 (20329) FAX: NProf KENWOOD PLACE MR. STEVE MORK 218/351-9416 HCP-F 710 SOUTH KENWOOD AVENUE MOOSE LAKE, MN 55767 PHONE: 218/351-9415 (27537) FAX: Dist MERCY HOME HEALTH AGENCY MR. STEVE MORK 218/351-9416 HCP-A HHA 30 ARROWHEAD LANE MOOSE LAKE, MN 55767 PHONE: 218/485-5506 (03714) FAX: Dist MERCY HOSPITAL MR. JASON DOUGLAS 218/485-5908 BASS-7 HOSP-31 HOSP- CAH-25 CAH- 710 KENWOOD AVE S MOOSE LAKE, MN 55767 PHONE: 218/485-4481 (27650) FAX: State MN SEX OFFENDER PROGRAM MR. JASON DOUGLAS 218/586-5654 SLFB-600 1111 HIGHWAY 73 MOOSE LAKE, MN 55767 PHONE: 218/485-5300 (01674) FAX: State MSOCS MOOSE LAKE ICFMR GR HM MR. DAVID BORNUS 218/485-5316 SLFB-6 ICFMR-6 305 FOURTH STREET PO BOX 495 MOOSE LAKE, MN 55767 PHONE: 218/485-4634 (01622) FAX: 218/485-4365 MS. MIRANDA TRYTTEN Minnesota Department of Health Division of Compliance Monitoring Page 37 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification CARLTON (Cont.)* -------------------------HWSAL Corp OAKVIEW RESIDENTIAL CARE Registration 1200 TALBOT DRIVE (28089) MOOSE LAKE, MN 55767 PHONE: 218/485-8779 FAX: Corp OAKVIEW RESIDENTIAL CARE INC DR. SUSAN BENZIE 218/485-8808 HWSAL HCP-F 300 TALBOT DRIVE PO BOX 958 MOOSE LAKE, MN 55767 PHONE: 218/485-8779 (23530) FAX: DR. SUSAN BENZIE 218/485-8808 HWSAL Corp OAKVIEW RESIDENTIAL CARE INC 500 TALBOT DRIVE PO BOX 958 MOOSE LAKE, MN 55767 PHONE: 218/485-8779 (23531) FAX: NProf SUNCREST ASSISTED LIVING DR. SUSAN BENZIE 218/485-8808 HWSAL HCP-F 2400 WASHINGTON AVENUE SCANLON, MN 55720 PHONE: 218/878-1180 (23227) FAX: Corp GARDEN TERRACE ASSISTED LIVING MS. DAWN SAARELA 218/878-1201 HWSAL HCP-F 426 MASON DRIVE WRENSHALL, MN 55797 PHONE: 218/384-4623 (24256) FAX: MS. KELLY LAVEAU 218/384-4508 ---------------------------********** Ind LICENSED CARE ON CALL CARVER ******** -------------------------- HCP-A 215 CARVER CREEK PLACE CARVER, MN 55315 PHONE: 612/986-5304 (27003) FAX: Lim-Liab ALERE WOMEN'S AND CHILDREN'S H MS. REBECCA BATHEJA 952/448-7378 HCP-A 551 WEST 78TH STREET STE 207 CHANHASSEN, MN 55317 PHONE: 770/767-8218 (03016) FAX: NProf MOUNT OLIVET HOME HEALTH MS. PEGGY BRUGMAN 770/916-1312 HCP-B 18986 LAKE DRIVE EAST CHANHASSEN, MN 55317 PHONE: 952/474-5974 (28366) FAX: NProf SUMMERWOOD OF CHANHASSEN MR. BRUCE TORGERSON 952/474-3652 HCP-F 525 LAKE DRIVE CHANHASSEN, MN 55317 PHONE: 952/294-5500 (28192) FAX: 952/294-5501 MS. NATALIE MORLAND Minnesota Department of Health Division of Compliance Monitoring Page 38 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification CARVER (Cont.)* -------------------------HWSAL NProf SUMMERWOOD OF CHANHASSEN Registration 525 LAKE DRIVE (24077) CHANHASSEN, MN 55317 PHONE: 952/294-5500 FAX: MRS. JODI DEVICK NEAL 952/294-5501 NProf AUBURN COURTS HCP-F 501 NORTH OAK STREET CHASKA, MN 55318 PHONE: 952/448-9303 (24271) FAX: MS. TRACY COURNEYA 952/361-0411 HWSAL Church AUBURN COURTS 501 OAK STREET NORTH CHASKA, MN 55318 PHONE: 952/361-0333 (20425) FAX: MS. SHEILA NIELAND-SNYDER 952/361-0305 NProf AUBURN MANOR NH-61 SNF-NF-61 501 OAK STREET CHASKA, MN 55318 PHONE: 952/448-9303 (00335) FAX: MR. WAYNE WARD 952/361-0305 Amb Surg Lim-Liab CHASKA PLAZA SURGERY CENTER 3000 HUNDERTMARK ROAD CHASKA, MN 55318 PHONE: 952/556-0155 (28004) FAX: MR. AARON JOHNSON /- Part FOREVER LIFE HOME HEALTH CARE HCP-A 123 WEST THIRD STREET STE 1 CHASKA, MN 55318 PHONE: 952/361-3052 (24761) FAX: MR. JEFF LEROY 952/361-3053 Ind GARDENS OF LOVE CARE HOME HCP-F HWSAL 112509 RAMSEY COURT CHASKA, MN 55318 PHONE: 952/479-7788 (26995) FAX: MS. GAYLE SWENSON 952/479-7788 Corp HIDDEN CREEK ASSISTED LIVING HCP-F 112001 HIDDEN CREEK PLACE CHASKA, MN 55308 PHONE: 952/361-9338 (20816) FAX: 952/361-9335 MR. JAMES BOONE HWSAL Corp HIDDEN CREEK ASSISTED LIVING 112007 HIDDEN CREEK PLACE CHASKA, MN 55318 PHONE: 952/361-9338 (20396) FAX: MR. JAMES BOONE /- HWSAL Corp HIDDEN CREEK ASSISTED LIVING 112003 HIDDEN CREEK PLACE CHASKA, MN 55318 PHONE: 952/361-9338 (20528) FAX: /- MR. JAMES BOONE Minnesota Department of Health Division of Compliance Monitoring Page 39 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification CARVER (Cont.)* -------------------------HWSAL Corp HIDDEN CREEK ASSISTED LIVING Registration 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 CHASKA, MN 55318 PHONE: 952/361-9338 (20957) FAX: MR. JAMES BOONE /- NProf MARIE STEINER KELTING HOSPICE RES-HSPICE-8 9120 SHADY OAK DRIVE CHASKA, MN 55318 PHONE: 952/442-3199 (25976) FAX: MS. LISA HURT 952/442-3198 HWS-O Corp TRANQUIL LIVING 1421 RAVOUX LANE CHASKA, MN 55318 PHONE: 952/361-0080 (26198) FAX: MS. KIMLOAN NGUYEN 952/448-4996 Ind JANICE R SINNEN HCP-C 16225 74TH STREET NEW GERMANY, MN 55367 PHONE: 952/353-2115 (27877) FAX: MS. JANICE SINNEN /- NProf MOUNT OLIVET ROLLING ACRES SLFB-6 ICFMR-6 129 MACKENTHUN LANE NORWOOD YOUNG AMERIC, MN 55368 PHONE: 952/467-6484 (21000) FAX: Corp HARBOR AT PEACE VILLAGE MR. BRUCE TORGERSON 866/380-3092 HCP-F 300 NORTH FAXON ROAD NORWOOD- YOUNG AMER, MN 55368 PHONE: 952/467-9683 (24555) FAX: MS. LAURIE HILGERS 952/467-9684 HWS City HARBOR AT PEACE VILLAGE 300 NORTH FAXON ROAD NORWOOD-YOUNG AMERIC, MN 55368 PHONE: 952/467-9683 (28522) FAX: MS. LAURIE HILGERS 952/467-9684 HWSAL NProf AUGUSTANA EMERALD CREST OF VIC 8150 BAVARIA ROAD VICTORIA, MN 55386 PHONE: 952/856-7510 (24028) FAX: NProf AUGUSTANA EMERALD CREST OF VIC MS. MARGARET OWENS 952/856-7527 HCP-F 8150 BAVARIA RD VICTORIA, MN 55386 PHONE: 952/856-7522 (20815) FAX: 952/856-7527 MS. MARGARET OWENS Minnesota Department of Health Division of Compliance Monitoring Page 40 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp COMMUNITY LIVING INC COTTAGE 1 Certification CARVER Registration (Cont.)* -------------------------- SLFA-12 ICFMR-12 1501 82ND STREET (01254) VICTORIA, MN 55386 PHONE: 952/443-2048 FAX: Corp COMMUNITY LIVING INC COTTAGE 2 MS. MONICA SCHMIDT 952/443-2371 SLFA-12 ICFMR-12 1531 82ND STREET VICTORIA, MN 55386 PHONE: 952/443-2048 (01539) FAX: Corp COMMUNITY LIVING INC COTTAGE 3 MS. MONICA SCHMIDT 952/443-2371 SLFA-11 ICFMR-11 1511 82ND STREET VICTORIA, MN 55386 PHONE: 952/443-2048 (01540) FAX: Corp COMMUNITY LIVING INC COTTAGE 4 MS. MONICA SCHMIDT 952/443-2371 SLFA-6 ICFMR-6 1521 82ND STREET VICTORIA, MN 55386 PHONE: 952/443-2048 (01541) FAX: Church MOUNT OLIVET ROLLING ACRES MS. MONICA SCHMIDT 952/443-2371 SLFB-34 ICFMR-34 7200 ROLLING ACRES RD BOX 220 VICTORIA, MN 55386 PHONE: 952/474-5974 (01022) FAX: Lim-Liab VICTORIA CARE CENTER LLC MR. BRUCE TORGERSON 952/474-3652 HCP-F 1885 STEIGER LAKE LANE VICTORIA, MN 55386 PHONE: 952/443-2735 (29015) FAX: MS. TERESA GREGORY 952/443-2735 HWSAL Lim-Liab VICTORIA CARE CENTER LLC 1885 STEIGER LAKE LANE VICTORIA, MN 55386 PHONE: 952/443-2735 (29014) FAX: NProf AUBURN HOME IN WACONIA MS. TERESA GREGORY 612/443-2735 NH-37 SNF-NF-37 594 CHERRY DRIVE WACONIA, MN 55387 PHONE: 952/442-2546 (00053) FAX: 952/442-5504 MR. WAYNE WARD HWSAL Corp AUBURN MEADOWS 591 CHERRY DRIVE WACONIA, MN 55318 PHONE: 952/227-0494 (28788) FAX: 952/442-5504 MS. SHEILA NIELAND-SNYDER ESRD Corp FMCNA WACONIA DIALYSIS 560 SOUTH MAPLE STREET SUITE 6 WACONIA, MN 55387 PHONE: 952/442-4605 (26856) FAX: 952/442-5902 MR. PATRICK HOWARD Minnesota Department of Health Division of Compliance Monitoring Page 41 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf GOOD SAM SOCIETY WACONIA Certification CARVER Registration (Cont.)* -------------------------- NH-100 SNF-NF-100 333 FIFTH STREET WEST (00924) WACONIA, MN 55387 PHONE: 952/442-5111 FAX: Lim-Liab LIGHTHOUSE AT WACONIA MS. REBECCA BOLLIG 952/442-6170 HCP-F HWSAL 500 CHERRY STREET WACONIA, MN 55387 PHONE: 952/442-1261 (23848) FAX: NProf RIDGEVIEW HOME CARE SERVICES MR. STEPHEN WILSON 952/856-4711 HCP-A HHA 501 SOUTH MAPLE STREET STE 1 WACONIA, MN 55387 PHONE: 952/442-6030 (02252) FAX: NProf RIDGEVIEW HOME SUPPORT SERVICE MS. LISA HURT 952/442-6542 HCP-A 501 SOUTH MAPLE ST STE 1 WACONIA, MN 55387 PHONE: 952/442-6030 (21112) FAX: NProf RIDGEVIEW HOSPICE MS. LISA HURT 952/442-6542 Hospice HSPICE 500 SOUTH MAPLE STREET WACONIA, MN 55387 PHONE: 952/442-6030 (03780) FAX: NProf RIDGEVIEW MEDICAL CENTER MS. LISA HURT 952/442-6524 BASS-20 HOSP-109 HOSP-97 PPS-P-12 500 MAPLE ST S WACONIA, MN 55387 PHONE: 952/442-2191 (00055) FAX: Church WESTVIEW ACRES GOOD SAM COM MR. ROBERT STEVENS 952/442-6543 HCP-F HWSAL 433 FIFTH STREET WEST WACONIA, MN 55387 PHONE: 952/442-5459 (20109) FAX: Church ELIM HOME WATERTOWN MS. REBECCA BOLLIG 952/442-6170 NH-51 SNF-NF-51 409 JEFFERSON AVE SW BOX 638 WATERTOWN, MN 55388 PHONE: 952/955-2691 (00051) FAX: MS. CORINNE ALLEN 952/955-3799 Out Pt Out St Out Ot Church PRO REHAB 200 LEWIS AVENUE SO SUITE 210 WATERTOWN, MN 55388 PHONE: 952/955-2242 (02532) FAX: Corp WESTWOOD PLACE INC MR. JEFFREY DAGEN 952/955-2010 HCP-F HWSAL 209 JEFFERSON AVENUE SOUTHWEST WATERTOWN, MN 55388 PHONE: 952/955-1399 (20063) FAX: 952/955-1398 MS. DEANNE BEITO Minnesota Department of Health Division of Compliance Monitoring Page 42 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp DIGNITY AND GRACE Certification CASS Registration ******** -------------------------- HCP-F HWSAL 823 STATE HWY 371 NORTHWEST (27107) BACKUS, MN 56435 PHONE: 218/947-4445 FAX: MRS. MELANIE BURNS 320/323-4455 Home Mgmt Lim-Liab HOME BUT NOT ALONE HOME CARE 1283 TRINITY PINES LANE NW BACKUS, MN 56435 PHONE: 218/947-3300 (29134) FAX: MS. LINDA NELSON /- ESRD Corp CASS LAKE DIALYSIS FACILITY 602 GRANT UTLEY ST PO BOX 757 CASS LAKE, MN 56633 PHONE: 218/335-6671 (03600) FAX: MS. JOAN ANDERSON /- CAH-13 PHS CASS LAKE INDIAN HLTH SERV HOS 425 7TH STREET NW CASS LAKE, MN 56633 PHONE: 218/335-3200 (22140) FAX: MS. NORINE SMITH 218/335-3300 RHC NProf SANFORD HLTH CASS LAKE CLINIC 219 GRANT UTLEY AVENUE CASS LAKE, MN 56633 PHONE: 218/335-2559 (02840) FAX: MS. MARY MILLER /- HWSAL Corp BIRCHVIEW GARDENS ASSISTED LIV 108 3RD STREET NORTH HACKENSACK, MN 56452 PHONE: 218/675-5424 (28209) FAX: MR. JOHN MCELFRESH 218/675-5184 Corp BIRCHVIEW GARDENS ASSISTED LVG HCP-F 108 3RD STREET NORTH HACKENSACK, MN 56452 PHONE: 218/675-5424 (28208) FAX: 218/675-5184 MR. JOHN MCELFRESH RHC NProf LONGVILLE LAKES CLINIC INC 180 JORDAN LANE LONGVILLE, MN 56655 PHONE: 218/363-3300 (27046) FAX: 218/363-2233 MS. THERESA SULLIVAN RHC NProf LAKEWOOD CLINIC PILLAGER 653 PILLSBURY ST NO SUITE 1 PILLAGER, MN 56473 PHONE: 218/746-4550 (23695) FAX: MR. TIM RICE /- HWSAL Corp RIVERSIDE ASSISTED LIVING OF P 885 MEADOWVIEW CIRCLE NORTH PILLAGER, MN 56473 PHONE: 218/746-4400 (27489) FAX: 218/746-4444 MS. SHAUNA KAPSNER Minnesota Department of Health Division of Compliance Monitoring Page 43 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp RIVERSIDE ASST LVG OF PILLAGER Certification CASS Registration (Cont.)* -------------------------- HCP-F 885 MEADOW VIEW CIRCLE NORTH (27488) PILLAGER, MN 56473 PHONE: 218/746-4400 FAX: Corp BROOKSIDE MS. MELANIE STRACK 218/746-4444 HCP-F HWSAL 2729 STATE 371 SOUTHWEST PINE RIVER, MN 56474 PHONE: 218/587-3304 (23041) FAX: NProf GOOD SAM SOCIETY PINE RIVER MS. MELANIE BURNS 218/587-3314 NH-62 SNF-NF-62 518 JEFFERSON AVE BOX 29 PINE RIVER, MN 56474 PHONE: 218/587-4423 (00058) FAX: MS. KAREN PROSOSKI 218/587-2671 HWSAL NProf RIVERSIDE ASSISTED LIVING 2175 WHITE PINE PT RD SW PINE RIVER, MN 56474 PHONE: 218/587-4333 (25419) FAX: NProf RIVERSIDE SR APARTMENTS MR. MIKE DEUTH 218/587-2155 HCP-F HWSAL 2189 WHITE PINE POINT RD SW PINE RIVER, MN 56474 PHONE: 218/587-4433 (22165) FAX: Corp AMERICARE LODGES INC MR. MIKE DEUTH 218/587-3650 HWSAL HCP-F 6870 SCHULTZ DRIVE NORTHEAST REMER, MN 56672 PHONE: 218/566-4722 (21144) FAX: Cnty CASS CO PUBLIC HEALTH SERVICES MRS. DEBRA ENGEN 218/566-3364 HCP-A HHA BOX 40 400 MICHIGAN AVENUE WALKER, MN 56484 PHONE: 218/547-1340 (02062) FAX: Lim-Liab GOLDEN LIVINGCENTER WALKER MR. RENO WELLS 218/547-1448 NH-40 SNF-NF-40 209 BIRCHWOOD AVE W WALKER, MN 56484 PHONE: 218/547-1855 (00995) FAX: 218/547-2266 MR. BRIAN LARSEN HWSAL Corp MAY CREEK COTTAGES INC 301 10TH STREET SOUTH WALKER, MN 56484 PHONE: 218/547-4515 (26256) FAX: 218/547-7553 MS. ANN NOLAND HWSAL Corp MAY CREEK COTTAGES INC 299 10TH STREET SOUTH WALKER, MN 56484 PHONE: 218/547-4515 (26255) FAX: 218/547-7553 MS. ANN NOLAND Minnesota Department of Health Division of Compliance Monitoring Page 44 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp MAY CREEK LODGE INC Certification CASS Registration (Cont.)* -------------------------- 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 WALKER, MN 56484 PHONE: 218/547-3938 (20651) FAX: MS. MARY MILLER /- ---------------------------********** City CLARA CITY CARE CENTER CHIPPEWA ******** -------------------------- NH-66 SNF-NF-66 1012 DIVISION ST N CLARA CITY, MN 56222 PHONE: 320/847-2221 (00061) FAX: MR. MICHAEL STORDAHL 320/847-3553 City CLARA CITY CARE CENTER HCP-F 1012 NORTH DIVISION STREET CLARA CITY, MN 56222 PHONE: 320/847-2221 (28268) FAX: 320/847-3553 MR. MICHAEL STORDAHL HWS City PRAIRIE PARK PLACE 1100 WARRINGS AVENUE CLARA CITY, MN 56222 PHONE: 320/847-3785 (20515) FAX: 320/847-3553 MS. ANN JAENISCH HWS City GRANITE RIDGE PLACE 500 SKYVIEW DRIVE GRANITE FALLS, MN 56241 PHONE: 320/564-3382 (20567) FAX: MR. GEORGE GERLACH /- HWSAL Corp HOMETOWN CARE PROVIDERS INC RI 640 CENTER AVENUE GRANITE FALLS, MN 56241 PHONE: 320/564-3308 (22068) FAX: MS. TAMARA TAMMEN /- Home Mgmt Corp AVENUES FOR CARE INC 101 SOUTH 1ST STREET SUITE 200 MONTEVIDEO, MN 56265 PHONE: 320/269-2929 (27647) FAX: 320/269-2278 MS. SHELLY ELKINGTON HWS NProf BROOKSIDE MANOR 804 BENSON ROAD MONTEVIDEO, MN 56265 PHONE: 320/269-6506 (21803) FAX: 320/269-6507 MR. JERRY TILDEN Minnesota Department of Health Division of Compliance Monitoring Page 45 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification CHIPPEWA (Cont.)* -------------------------HWS Corp BURNSDALE EXTENDED CARE Registration 1418 BLACK OAK AVENUE (21135) MONTEVIDEO, MN 56265 PHONE: 320/269-9366 FAX: Corp BURNSDALE EXTENDED CARE MS. TAMI DOREN KAMPER 320/269-6304 HCP-F 1418 BLACK OAK AVENUE MONTEVIDEO, MN 56265 PHONE: 320/269-6640 (28369) FAX: MS. TAMI DORENKAMPER 320/226-6304 HWS Corp BURNSDALE EXTENDED CARE 1320 BLACK OAK MONTEVIDEO, MN 56265 PHONE: 320/269-9366 (25964) FAX: MS. TAMI DORENKAMPER 320/269-6304 HWS Corp BURNSDALE EXTENDED CARE 1318 BLACK OAK MONTEVIDEO, MN 56265 PHONE: 320/269-9366 (25963) FAX: Cy-Co CHIPPEWA CO MONTEVIDEO HOSP MS. TAMI DORENKAMPER 320/269-6304 BASS-6 HOSP-30 CAH-25 824 11TH ST N MONTEVIDEO, MN 56265 PHONE: 320/269-8877 (00060) FAX: Cy-Co CHIPPEWA COUNTY MONTEVIDEO HHC MR. MARK PAULSON 320/269-8186 HCP-A HHA 824 NORTH 11TH STREET MONTEVIDEO, MN 56265 PHONE: 320/321-8506 (02374) FAX: Church COPPER GLEN MR. MARK PAULSON 320/269-8186 HCP-F HWSAL 801 13TH STREET NORTH MONTEVIDEO, MN 56265 PHONE: 320/321-8312 (20309) FAX: MR. JAMES FLAHERTY 320/269-6510 HWSAL Corp HOME FRONT FIRST 224 NORTH 19TH STREET MONTEVIDEO, MN 56265 PHONE: 320/269-2930 (21051) FAX: MS. PAULA ROCHELEAU 320/269-4700 HWSAL Corp HOME FRONT FIRST 216 NORTH 19TH STREET MONTEVIDEO, MN 56265 PHONE: 320/269-4881 (21835) FAX: Church LUTHER HAVEN MS. STACY WALZ 320/269-4700 NH-89 SNF-NF-89 1109 HWY 7 E MONTEVIDEO, MN 56265 PHONE: 320/269-6517 (00062) FAX: 320/269-6510 MR. JIM FLAHERTY Minnesota Department of Health Division of Compliance Monitoring Page 46 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification CHIPPEWA (Cont.)* -------------------------HWSAL Lim-Liab MEADOW CREEK HOSPITALITY LLC Registration 4000 CR 15 SOUTHWEST (28185) MONTEVIDEO, MN 56265 PHONE: 320/269-9000 FAX: MS. LUANNE GIBSON 320/269-8100 ESRD Corp MONTEVIDEO DIALYSIS 824 NORTH ELEVENTH STREET MONTEVIDEO, MN 56265 PHONE: 320/269-7451 (02817) FAX: MS. BARB GRUBE /- Corp REM SW SERVICES MONTEVIDEO SLFA-6 ICFMR-6 585 GRAVEL ROAD MONTEVIDEO, MN 56265 PHONE: 320/269-6479 (01266) FAX: MR. PATRICK MASYGA 320/269-8559 HWSAL Corp ROSEWOOD 1806 LINCOLN AVENUE MONTEVIDEO, MN 56265 PHONE: 320/269-6870 (21524) FAX: Lim-Liab VALIN SENIOR CARE LLC MS. STACY WALZ 320/269-6304 HWSAL HCP-F 5024 HIGHVIEW DRIVE SW MONTEVIDEO, MN 56265 PHONE: 320/269-8117 (24410) FAX: MS. LINDA DEGRISELLES 320/269-8117 ---------------------------********** NProf HAZELDEN FOUNDATION CHISAGO ******** -------------------------- SLFB-5 15251 PLEASANT VALLEY BOX 11 CENTER CITY, MN 55012 PHONE: 651/213-4217 (00067) FAX: ONProf AT HOME CARE OF PARMLY LIFEPOI MR. JOHN DRISCOLL 651/213-4738 HCP-A 28210 OLD TOWNE ROAD CHISAGO CITY, MN 55013 PHONE: 651/257-7337 (24763) FAX: NProf FAIRVIEW LAKES HOMECARING HOSP MS. DENISE OLSON 651/257-7330 Hospice HSPICE 11725 STINSON AVENUE CHISAGO CITY, MN 55013 PHONE: 651/257-8850 (02760) FAX: NProf FAIRVIEW LAKES HOMECARING HOSP MS. KAREN BROHAUGH 651/257-8852 HCP-A HHA 11725 STINSON AVENUE CHISAGO CITY, MN 55013 PHONE: 651/257-8850 (02363) FAX: 651/257-8852 MS. KAREN BROHAUGH Minnesota Department of Health Division of Compliance Monitoring Page 47 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification CHISAGO (Cont.)* -------------------------HWSAL NProf ISABELLE'S HOUSE OF PARMLY LIF Registration 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 CHISAGO CITY, MN 55013 PHONE: 651/257-3684 (28154) FAX: MS. DEBBIE GIBSON 251/257-3685 HWSAL Corp JUST LIKE HOME SENIOR CARE 29288 OLD TOWN ROAD CHISAGO CITY, MN 55013 PHONE: 651/257-3684 (28155) FAX: NProf LINNEA RESIDENTIAL HOME MS. DEBBIE GIBSON 651/257-3685 SLFB-12 ICFMR-12 28770 OLD TOWNE RD PO BOX 450 CHISAGO CITY, MN 55013 PHONE: 651/257-2211 (01282) FAX: MR. SCOTT FOSS 651/257-9430 HWSAL NProf MARGARETS HOUSE 28210 OLD TOWNE ROAD CHISAGO CITY, MN 55013 PHONE: 651/257-7332 (20872) FAX: MS. HEIDI LAMEYER 651/257-0579 HWS NProf PARMLY LAKEVIEW APARTMENTS 10600 282ND STREET CHISAGO CITY, MN 55013 PHONE: 651/257-0581 (22023) FAX: MS. HEIDI LAMEYER 651/257-0583 HWS Church POINT PLEASANT HEIGHTS 28600 FAIRWAY LANE CHISAGO CITY, MN 55013 PHONE: 651/257-4035 (20132) FAX: Church THE MARGARET S PARMLY RES MS. HEIDI LAMEYER 651/851-4080 NH-101 SNF-NF-101 28210 OLD TOWNE RD CHISAGO CITY, MN 55013 PHONE: 651/257-0575 (00065) FAX: NProf VINDAUGA VIEW ASSISTED LIVING MS. PATSY VOELKER 651/257-0579 HWSAL HCP-F 10910 282ND STREET CHISAGO CITY, MN 55013 PHONE: 651/257-7332 (21587) FAX: Corp MARY T HOSPICE MS. HEIDI LAMEYER 651/257-0579 Hospice HSPICE 1555 118TH LANE NW COON RAPIDS, MN 55448 PHONE: 763/772-9963 (26345) FAX: 763/754-0332 MR. RANDALL LEJA Minnesota Department of Health Division of Compliance Monitoring Page 48 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp THERAPEUTIC COMM RESIDENCE Certification CHISAGO Registration (Cont.)* -------------------------- SLFA-8 ICFMR-8 28100 NEWBERRY TRAIL (01519) LINDSTROM, MN 55045 PHONE: 651/257-1507 FAX: MR. DANIEL MCNALLY 651/257-1526 Church ECUMEN NORTH BRANCH NH-68 SNF-NF-68 5379 383RD ST NORTH BRANCH, MN 55056 PHONE: 651/237-3006 (00066) FAX: MR. NATHAN JOHNSON 651/674-5745 NProf ECUMEN NORTH BRANCH HCP-F HWSAL 5379 383RD STREET NORTH BRANCH, MN 55056 PHONE: 651/237-3000 (25212) FAX: MS. MONICA NELSON 651/237-3073 Lim-Liab NORTH BRANCH GW LLC HCP-F HWSAL 38610 14TH AVE NORTH BRANCH, MN 55056 PHONE: 651/674-0068 (25046) FAX: MS. RHONDA SCHILLINGER 651/317-2020 Corp ALL ABOUT CARING HOME CARE INC HCP-A 170 SOUTH BREMER AVE PO #370 RUSH CITY, MN 55069 PHONE: 320/358-0987 (24069) FAX: MR. MARK JOHNSTON 320/358-3422 Lim-Liab GOLDEN LIVINGCENTER RUSH CITY NH-49 SNF-NF-49 650 BREMER AVENUE SOUTH RUSH CITY, MN 55069 PHONE: 320/358-4765 (00994) FAX: MR. ERNEST GERSHONE-INTERIM 320/358-4317 Corp CARDENAS FRIENDSHIP HOME HCP-F 17595 260TH STREET SHAFER, MN 55074 PHONE: 651/257-8146 (20968) FAX: MR. ROBERT CARDENAS 651/257-9246 Corp HEALTHY HANDS AND FOOT CARE HCP-A 18033 255TH STREET SHAFER, MN 55074 PHONE: 651/434-4562 (28219) FAX: MS. PHUONGLINH WILLIAMS /- Corp SUNRISE HEALTH SERVICES INC HCP-A HHA 22350 SUNRISE ROAD NE STACY, MN 55079 PHONE: 651/462-9331 (03763) FAX: 651/462-5761 MS. SUSAN ANDERSON HWS NProf EBENEZER LAKES SENIOR HOUSING 5430 MEADOW LANE WYOMING, MN 55092 PHONE: 651/982-6228 (26797) FAX: /- MS. KARI WILSON Minnesota Department of Health Division of Compliance Monitoring Page 49 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf FAIRVIEW LAKES MEDICAL CENTER Certification CHISAGO Registration (Cont.)* -------------------------- BASS-12 HOSP-61 HOSP-61 5200 FAIRVIEW BLVD (00006) WYOMING, MN 55092 PHONE: 651/982-7104 FAX: MR. STEVEN HOUSH 651/982-7110 NProf MEADOWS ON FAIRVIEW HCP-F HWSAL 25565 FAIRVIEW AVENUE WYOMING, MN 55092 PHONE: 651/982-6228 (23170) FAX: MS. JILL NOKELBY 651/466-0717 ---------------------------********** CLAY ******** -------------------------RHC Ind BARNESVILLE AREA CLINIC 209 SECOND STREET SE BOX 279 BARNESVILLE, MN 56514 PHONE: 218/354-2111 (02509) FAX: DR. OWEN THOMPSON /- Corp CLAYCO CARE CENTER NH-35 SNF-NF-35 600 FIFTH STREET SOUTHEAST BARNESVILLE, MN 56514 PHONE: 218/354-2254 (00968) FAX: MR. JAMES BIRCHEM 218/354-2153 HWSAL Corp GOLDEN MANOR OF BARNESVILLE 1102 4TH AVE NE BARNESVILLE, MN 56501 PHONE: 218/354-7200 (21407) FAX: MS. HEATHER CAMPBELL 218/844-6029 HWSAL HRA HOUGE ESTATES/CLAY COUNTY HRA 510 CENTER AVENUE EAST DILWORTH, MN 56529 PHONE: 218/233-8883 (21687) FAX: MS. DARA LEE 218/233-9491 HWSAL Corp SERENITY LIVING CENTER 1204 OAKVIEW DRIVE DILWORTH, MN 56529 PHONE: 218/477-7254 (29276) FAX: MS. ELAINE ANDERSON 218/477-7255 Corp SERENITY LIVING CENTER HCP-F HWSAL 1125 OAKVIEW DRIVE DILWORTH, MN 56529 PHONE: 218/477-7254 (24327) FAX: MR. TIMOTHY ANDERSON 218/477-7255 Lim-Liab WE CARE LLC HCP-A 2873 143RD STREET SOUTH GLYNDON, MN 56547 PHONE: 701/412-8626 (28607) FAX: /- MS. HARMONIE HOFFMAN Minnesota Department of Health Division of Compliance Monitoring Page 50 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp HAWLEY MANOR Certification CLAY Registration (Cont.)* -------------------------- HCP-A HWSAL 923 FIFTH STREET (20225) HAWLEY, MN 56549 PHONE: 218/483-3337 FAX: Corp HAWLEY RETIREMENT INC MS. KAY REYNOLDS 218/483-3386 HCP-F 923 5TH STREET HAWLEY, MN 56549 PHONE: 218/483-3337 (28491) FAX: MS. KAY REYNOLDS 218/483-3386 Home Mgmt Corp ALLCARE HOME CARE INC 200 5TH ST S STE 202B MOORHEAD, MN 56560 PHONE: 218/287-9148 (25584) FAX: Lim-Liab ARBOR PARK LIVING CENTER MS. DAISY TRAUTMAN 218/287-2943 HCP-F HWSAL 2921 6TH AVENUE NORTH MOORHEAD, MN 56560 PHONE: 218/359-9999 (23403) FAX: MS. SUSAN BALA 218/359-0890 HWSAL Lim-Liab ARBOR PARK LIVING CENTER 520 28TH STREET NORTH MOORHEAD, MN 56560 PHONE: 218/359-9999 (26942) FAX: MS. SUSAN BALA 218/359-0890 HWSAL Lim-Liab ARBOR PARK LIVING CENTER LLC 2901 6TH AVENUE NORTH MOORHEAD, MN 56560 PHONE: 218/359-9999 (23767) FAX: MS. SUSAN BALA 218/359-0890 HWS Part CARRIAGE HOUSE APARTMENTS 3412 VILLAGE GREEN BLVD MOORHEAD, MN 56560 PHONE: 218/236-6454 (23130) FAX: Cnty CLAY COUNTY RECEIVING CENTER MR. KENNETH TALLE 218/233-3613 SLFB-10 715 NORTH 11TH STREET #203 MOORHEAD, MN 56560 PHONE: 218/299-5220 (01666) FAX: Lim-Liab COMPASSIONCARE MS. KATHY MCKAY 218/299-7205 HCP-F 100 NORTH 3RD STREET STE 100 MOORHEAD, MN 56560 PHONE: 218/477-1008 (27792) FAX: NProf EVENTIDE FAIRMONT MS. ALICIA WITHERSPOON 218/477-1009 HCP-F HWSAL 801 SECOND AVENUE NORTH MOORHEAD, MN 56560 PHONE: 218/233-8022 (20101) FAX: 218/233-9544 MS. MELODEE FENNO Minnesota Department of Health Division of Compliance Monitoring Page 51 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Church EVENTIDE LUTHERAN HOME Certification CLAY Registration (Cont.)* -------------------------- NH-195 SNF-NF-195 1405 7TH STREET SOUTH (00072) MOORHEAD, MN 56560 PHONE: 218/233-7508 FAX: MS. MELISSA HEESCH-INTERIM 218/233-3602 HWS HRA GATEWAY GARDENS 1817 1ST AVENUE NORTH MOORHEAD, MN 56560 PHONE: 218/233-8883 (27399) FAX: MS. DARA LEE 218/233-9491 Lim-Liab GOLDEN LIVING COMMNTY MOORHEAD HCP-F HWSAL 2800 HIGHWAY 10 EAST MOORHEAD, MN 56560 PHONE: 218/236-1367 (22185) FAX: MR. RICHARD BLANCHARD 218/236-1180 Lim-Liab GOLDEN LIVINGCENTER MOORHEAD NH-87 SNF-NF-87 2810 NORTH SECOND AVENUE MOORHEAD, MN 56560 PHONE: 218/233-7578 (00938) FAX: MR. DONALD FLACK III 218/233-8307 HWSAL-O Corp LILAC HOMES CORPORATION 2615 PARKVIEW DRIVE MOORHEAD, MN 56560 PHONE: 218/443-2426 (28989) FAX: MS. WILLIAM NELSON /- HWSAL NProf LINDEN TREE CIRCLE 1400 7TH STREET SOUTH MOORHEAD, MN 56560 PHONE: 218/233-7508 (21014) FAX: Corp MOORHEAD MANOR MS. JULIE STAIGLE 218/291-2228 HCP-F HWS 1710 13TH AVENUE NORTH MOORHEAD, MN 56560 PHONE: 218/236-6286 (20192) FAX: MS. SUSAN CHRISTIANSON 218/477-0442 HWS Part PARK VIEW TERRACE 100 3RD STREET NORTH MOORHEAD, MN 56560 PHONE: 218/233-8548 (21739) FAX: Lim-Liab RIVER POINTE OF MOORHEAD MS. NANCY STAIGER 218/233-2759 HCP-F HWSAL 2401 SOUTH 11TH STREET MOORHEAD, MN 56560 PHONE: 218/287-6900 (26685) FAX: NProf THE EVERGREENS OF MOORHEAD MR. RON BERVIG 218/233-3234 HCP-F HWSAL 512 THIRD AVENUE SOUTH MOORHEAD, MN 56560 PHONE: 218/233-1535 (20314) FAX: 218/291-1162 MS. JENNA GREFF Minnesota Department of Health Division of Compliance Monitoring Page 52 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification CLAY (Cont.)* -------------------------HWSAL NProf THE EVERGREENS OF MORRHEAD Registration 502 3RD AVENUE SOUTH (25500) MOORHEAD, MN 56560 PHONE: 218/233-1535 FAX: Lim-Liab VALLEYS FINEST HOME CARE LLC MS. JENNA GREFF 218/291-1162 HCP-A 3805 SOUTH RIVERSHORE DRIVE MOORHEAD, MN 56560 PHONE: 218/287-2254 (27922) FAX: MR. BRAD NORDHOUGEN 218/233-4278 RHC NProf SANFORD HEALTH ULEN CLINIC 108 VIKING AVENUE WEST ULEN, MN 56585 PHONE: 218/596-8867 (03937) FAX: City VIKING MANOR NURSING HOME MS. BETH ULSCHMID 218/596-8112 NH-45 SNF-NF-45 317 1ST ST NW ULEN, MN 56585 PHONE: 218/596-8847 (00075) FAX: City VIKING MANOR NURSING HOME MR. TODD KJOS 218/596-8894 HWSAL HCP-F 317 1ST STREET NORTHWEST ULEN, MN 56585 PHONE: 218/596-8847 (20249) FAX: MR. TODD KJOS 218/596-8894 ---------------------------********** Cnty CLEARWATER CO NSG SERVICE CLEARWATER HCP-A ******** -------------------------HHA 212 MAIN AVENUE NORTH BAGLEY, MN 56621 PHONE: 218/694-6581 (02006) FAX: Cnty CLEARWATER HOSPICE MS. BONNIE ENGEN 218/694-6594 Hospice HSPICE 212 MAIN AVENUE NORTH BAGLEY, MN 56621 PHONE: 218/694-6581 (03174) FAX: CORNERSTONE NSG & REHAB CENTER MS. BONNIE ENGEN 218/694-6594 Corp NH-43 SNF-NF-43 416 SEVENTH STREET NORTHEAST BAGLEY, MN 56621 PHONE: 218/694-6552 (00974) FAX: Corp CORNERSTONE RES OF BAGLEY INC MS. KARI SWANSON 218/694-6987 HWSAL HCP-F 30 SUNSET AVENUE SW BAGLEY, MN 56621 PHONE: 218/694-2701 (26540) FAX: 218/694-2718 MR. ALLEN POTVIN Minnesota Department of Health Division of Compliance Monitoring Page 53 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification CLEARWATER (Cont.)* -------------------------RHC NProf ESSENTIA HEALTH BAGLEY CLINIC Registration 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 BAGLEY, MN 56621 PHONE: 218/694-6716 (01012) FAX: 218/694-3799 MR. DONALD BLOOFLAT RHC NProf SANFORD BAGLEY CLINIC 123 4TH STREET NW BAGLEY, MN 56621 PHONE: 218/694-2384 (21437) FAX: MR. KIRBY JOHNSON /- NProf SANFORD BAGLEY MEDICAL CENTER BASS-4 HOSP-25 CAH-25 203 4TH ST NW BAGLEY, MN 56621 PHONE: 218/694-6501 (00076) FAX: 218/694-3528 Corp THE GARDEN PL ASSIST LVNG PLU MR. KIRBY JOHNSON HCP-F HWSAL 421 6TH STREET NE BAGLEY, MN 56621 PHONE: 218/694-2378 (21640) FAX: 218/694-2348 NProf GOOD SAM SOCIETY CLEARBROOK MS. SUNNA DORN NH-43 SNF-NF-43 305 3RD AVE SW CLEARBROOK, MN 56634 PHONE: 218/776-3157 (00078) FAX: 218/776-3836 MS. ANGEL NORMANDIN Home Mgmt Corp HOME AT HEART CARE INC 221 3RD AVENUE SW PO BOX 183 CLEARBROOK, MN 56634 PHONE: 218/776-3508 (25734) FAX: 218/776-3507 MR. BRUCE EMMEL RHC NProf SANFORD BAGLEY CLEARBROOK CLNC 22 ELM STREET CLEARBROOK, MN 56634 PHONE: 218/776-3124 (21436) FAX: /- MR. KIRBY JOHNSON ---------------------------********** Dist COOK CO NORTHSHORE HOSP &C CTR COOK ******** -------------------------- NH-37 BASS-2 HOSP-16 515 5TH AVE W GRAND MARAIS, MN 55604 PHONE: 218/387-3040 (00080) FAX: 218/387-3270 MS. KIMBER WRAALSTAD SNF-NF-37 CAH-16 Minnesota Department of Health Division of Compliance Monitoring Page 54 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Dist COOK CO NORTHSHORE HOSP HM HLT Certification COOK Registration (Cont.)* -------------------------- HCP-A HHA 515 5TH AVENUE WEST (03138) GRAND MARAIS, MN 55604 PHONE: 218/387-3280 FAX: MS. KIMBER WRAALSTAD 218/387-3297 ---------------------------********** NProf EVENTIDE SUITES COTTONWOOD ******** -------------------------- HCP-F HWSAL 810 3RD AVE MOUNTAIN LAKE, MN 56159 PHONE: 507/427-2464 (21929) FAX: MR. TIM SWOBODA 507/427-3036 NProf GOOD SAM SOCIETY MT LAKE NH-55 SNF-NF-55 745 BASINGER MEMORIAL DRIVE MOUNTAIN LAKE, MN 56159 PHONE: 507/427-2464 (00755) FAX: MR. TIM SWOBODA 507/427-3036 HWS HRA LAKER APARTMENTS 1225 3RD AVENUE MOUNTAIN LAKE, MN 56159 PHONE: 507/427-2425 (21751) FAX: MS. WENDY FAST 507/427-2485 RHC NProf SANFORD CLINIC MOUNTAIN LAKE 308 EIGHTH STREET MOUNTAIN LAKE, MN 56159 PHONE: 507/427-3332 (03551) FAX: MS. LAURIE JENSEN /- HWS NProf THE LODGE OF MOUNTAIN LAKE 603 7TH AVENUE MOUNTAIN LAKE, MN 56159 PHONE: 507/427-2465 (29275) FAX: NProf GOOD SAM SOCIETY WESTBROOK MR. TIM SWOBODA 507/427-2465 NH-40 SNF-NF-40 149 1ST AVE BOX 218 WESTBROOK, MN 56183 PHONE: 507/274-6155 (00082) FAX: 507/274-6207 MR. DAREN RIFE HWS NProf PETERSON ESTATES 1012 9TH STREET WESTBROOK, MN 56183 PHONE: 507/274-6804 (23558) FAX: 507/274-5671 MS. STACY BARSTAD RHC NProf SANFORD CLINIC WESTBROOK 920 BELL AVENUE WESTBROOK, MN 56183 PHONE: 507/274-6121 (20976) FAX: 507/274-5630 MR. DANIEL REINER Minnesota Department of Health Division of Compliance Monitoring Page 55 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf SANFORD WESTBROOK MEDICAL CTR Certification COTTONWOOD Registration (Cont.)* -------------------------- HOSP-8 CAH-8 920 BELL AVE (00083) WESTBROOK, MN 56183 PHONE: 507/274-6121 FAX: NProf GOOD SAM SOC HM C OF SW MN MS. STACY BARSTAD 507/274-5671 HCP-A HHA 710 FULLER DRIVE #3 WINDOM, MN 56101 PHONE: 507/831-0734 (03754) FAX: NProf GOOD SAM SOCIETY WINDOM MR. KEITH DUBOIS 507/831-0736 NH-78 SNF-NF-78 705 6TH ST WINDOM, MN 56101 PHONE: 507/831-1788 (00085) FAX: Corp HOME FOR CREATIVE LIVING MS. NANCY WEPPLO 507/831-0844 SLFB-21 ICFMR-21 108 NINTH STREET WINDOM, MN 56101 PHONE: 507/831-5033 (01194) FAX: MR. DEVIN NELSON 507/831-2612 HWSAL NProf MIKKELSEN MANOR 725 FULLER DRIVE WINDOM, MN 56101 PHONE: 507/831-1788 (20697) FAX: NProf MIKKELSEN MANOR ASSTD LIVING MS. NANCY WEPPLO 507/831-0846 HCP-F 725 FULLER DRIVE WINDOM, MN 56101 PHONE: 507/831-0745 (20710) FAX: Corp PINE VIEW ASSISTED LIVING MS. NANCY WEPPLO 507/831-0846 HCP-F 750 4TH AVENUE WINDOM, MN 56101 PHONE: 507/831-5277 (26908) FAX: MS. PATRICE GOETTE 507/831-5124 HWSAL Corp PINE VIEW ASSISTED LIVING 750 FOURTH AVENUE WINDOM, MN 56101 PHONE: 507/831-5277 (20175) FAX: MS. PATRICE GOETTE 507/831-5124 HWS NProf REMICK RIDGE ESTATES 350 SIXTH AVENUE WINDOM, MN 56101 PHONE: 507/831-0745 (20010) FAX: Corp RESIDENTIAL ADVANTAGES INC MS. NANCY WEPPLO 507/831-0845 SLFA-12 ICFMR-12 945 PROSPECT AVENUE WINDOM, MN 56101 PHONE: 507/831-3804 (01277) FAX: 507/831-2436 MR. D. BILL OLSON Minnesota Department of Health Division of Compliance Monitoring Page 56 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification COTTONWOOD (Cont.)* -------------------------RHC NProf SANFORD CLINIC WINDOM Registration 591 2ND AVENUE NORTH (21432) WINDOM, MN 56101 PHONE: 507/831-2223 FAX: MS. LAURIE JENSEN /- City WINDOM AREA HOSPITAL CAH-25 BASS-6 HOSP-35 2150 HOSPITAL DRIVE WINDOM, MN 56101 PHONE: 507/831-2400 (00796) FAX: MS. GERRI BURMEISTER 507/831-5749 ---------------------------********** Lim-Liab BRAINERD LAKES SURGERY CTR CROW WING ******** -------------------------- Outpt Surg Amb Surg 13114 ISLE DRIVE BAXTER, MN 56425 PHONE: 218/822-2400 (23092) FAX: State COMM BEHAV HLTH HOSP BAXTER MS. SANDY BERRETH 218/822-2401 OTHER-16 HOSP-16 14241 GRAND OAKS DRIVE BAXTER, MN 56425 PHONE: 218/316-3102 (24037) FAX: MR. RICHARD SLIETER 218/829-9141 HWSAL Lim-Liab DIAMOND WILLOW ASSISTED LIVING 14398 GRAND OAKS DRIVE BAXTER, MN 56425 PHONE: 218/825-7162 (24428) FAX: MS. BRENDA MARSHALL 218/825-7166 HWSAL Lim-Liab DIAMOND WILLOW ASSISTED LIVING 14396 GRAND OAKS DRIVE BAXTER, MN 56425 PHONE: 218/825-7034 (24427) FAX: Corp GOOD NEIGHBOR HHC OF BRAINERD MS. BRENDA MARSHALL 218/825-7165 HCP-A HHA 14387 EDGEWOOD DRIVE BAXTER, MN 56425 PHONE: 218/829-9238 (02759) FAX: Corp MN HOME CARE MS. SHERRIE CHRISTENSEN 218/829-2144 HCP-A 14775 EDGEWOOD DRIVE BAXTER, MN 56425 PHONE: 218/963-8899 (20912) FAX: Corp WELCOME HOME HEALTH CARE MS. TERRIE GETTY 218/963-9573 HCP-F HWSAL 14211 FIREWOOD DRIVE BAXTER, MN 56425 PHONE: 218/828-4770 (22195) FAX: 218/828-4771 MR. DEAN BLOEMKE Minnesota Department of Health Division of Compliance Monitoring Page 57 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp ALMOND HOUSE Certification CROW WING Registration (Cont.)* -------------------------- HCP-F HWS 802 28TH ST SE (20574) BRAINERD, MN 56401 PHONE: 218/822-3067 FAX: MS. CHARITY BITZER 218/822-3068 HWSAL Corp ALMOND HOUSE UNIT 2 804 SOUTHEAST 28TH STREET BRAINERD, MN 56401 PHONE: 218/822-3067 (20575) FAX: MR. JAMES JOHNSON 218/822-3068 HWSAL Corp ALMOND HOUSE UNIT 3 814 28TH STREET SOUTHEAST BRAINERD, MN 56401 PHONE: 218/822-3067 (20581) FAX: MR. JAMES JOHNSON 218/822-3068 HWS Corp ALMOND HOUSE UNIT 4 816 28TH STREET SOUTHEAST BRAINERD, MN 56401 PHONE: 218/822-3067 (20582) FAX: MR. JAMES JOHNSON 218/822-3068 HWS Corp ALMOST HOME 710 SOUTHEAST 28TH STREET BRAINERD, MN 56401 PHONE: 218/822-3067 (21680) FAX: MS. CHARITY BITZER 218/822-3068 Corp BARNABAS HEALTH CARE SERVICES HCP-A HHA 223 WASHINGTON STREET BRAINERD, MN 56401 PHONE: 218/829-0901 (02992) FAX: 218/829-4470 MS. BOBBIE DEBROS HWSAL Lim-Liab BRAINERD CAREFREE LIVING LLC 2723 OAK STREET BRAINERD, MN 56401 PHONE: 218/829-8622 (20187) FAX: 218/829-4463 MR. MERLE SAMPSON HWSAL-O HRA BRAINERD HRA 410 EAST RIVER ROAD BRAINERD, MN 56401 PHONE: 218/828-3705 (20506) FAX: 218/828-8817 MS. DIANA KLIBER HWSAL Corp CENTRAL MINNESOTA SENIOR CARE 1008 10TH STREET SOUTH BRAINERD, MN 56401 PHONE: 320/441-7001 (20683) FAX: 320/235-8069 MS. DAWN FRERICKS ESRD NProf CHRONIC DIALYSIS UNIT 2024 SOUTH SIXTH STREET BRAINERD, MN 56401 PHONE: 218/828-7532 (02818) FAX: /- MR. JOHN FROBENIUS Minnesota Department of Health Division of Compliance Monitoring Page 58 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** State COMMUNITY ADDICTION RECOVERY E Certification CROW WING Registration (Cont.)* -------------------------- SLFA-0 SLFB-58 11600 STATE AVE (01681) BRAINERD, MN 56401 PHONE: 218/828-6167 FAX: MS. KAREN JONES /- Cy-Co CROW WING COUNTY HEALTH DEPT HCP-A 204 LAUREL STREET SUITE 12 BRAINERD, MN 56401 PHONE: 218/824-1080 (02010) FAX: Lim-Liab EDGEWOOD VISTA BRAINERD MS. GWEN ANDERSON 218/824-1081 HCP-F HWSAL 14890 BEAVER DAM ROAD BRAINERD, MN 56401 PHONE: 218/828-3691 (23750) FAX: MR. PHILIP GISI 218/829-5482 HWSAL Lim-Liab EDGEWOOD VISTA BRAINERD ALZHEI 14890 BEAVER DAM ROAD BRAINERD, MN 56401 PHONE: 218/828-3691 (23751) FAX: Church ESSENTIA HEALTH ST JOSEPHS MED MR. PHILIP GISI 218/829-5482 BASS-15 HOSP-162 HOSP-140 PPS-P-22 523 NORTH THIRD STREET BRAINERD, MN 56401 PHONE: 218/829-2861 (00093) FAX: NProf GOOD SAM SOCIETY BETHANY MS. JANI WIEBOLT 218/828-3103 NH-124 SNF-NF-124 804 WRIGHT ST BRAINERD, MN 56401 PHONE: 218/829-1407 (00087) FAX: NProf GOOD SAM SOCIETY BETHANY SR MR. RYAN CERNEY 218/829-0516 HCP-F HWSAL 1953 SEVENTH STREET SOUTH BRAINERD, MN 56401 PHONE: 218/829-1407 (20129) FAX: NProf GOOD SAM SOCIETY WOODLAND MR. MIKE DEUTH 218/829-0516 NH-42 SNF-NF-42 100 BUFFALO HILLS LANE BRAINERD, MN 56401 PHONE: 218/829-1429 (00956) FAX: Corp GRATTAN PRIVATE DUTY NURSING I MS. JENNIFER BERGSTROM 218/829-4729 HCP-A 8382 50TH AVENUE BRAINERD, MN 56401 PHONE: 218/820-1326 (28253) FAX: 218/825-0144 MRS. STACI GRATTAN HWSAL NProf HARMONY HOUSE OF BRAINERD NO 218 NINTH STREET SOUTHWEST BRAINERD, MN 56401 PHONE: 218/828-4142 (20415) FAX: 218/828-4580 MS. BRIDGET BRITZ Minnesota Department of Health Division of Compliance Monitoring Page 59 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab HOME INSTEAD SENIOR CARE Certification CROW WING Registration (Cont.)* -------------------------- HCP-B 108 SOUTH 6TH STREET SUITE 3 (27309) BRAINERD, MN 56401 PHONE: 218/824-0077 FAX: MS. DEBORAH CRANNY 218/824-0079 Home Mgmt Lim-Liab HOME INSTEAD SENIOR CARE 108 SOUTH 6TH STREET SUITE 3 BRAINERD, MN 56401 PHONE: 218/824-0077 (23696) FAX: Lim-Liab LAKES AREA HOME CARE MS. DEBORAH CRANNY 218/824-0079 HCP-C 7043 BROWNS LANE BRAINERD, MN 56401 PHONE: 218/330-4671 (27663) FAX: MS. KATHI GALLUP 218/330-4671 Home Mgmt NProf LUTHERAN SOCIAL SERVICE 716 E STREET BRAINERD, MN 56401 PHONE: 218/824-3740 (23440) FAX: NProf LUTHERAN SOCIAL SERVICE OF MN MS. NANCY ROSEMORE 888/331-9217 HCP-A 716 EAST STREET BRAINERD, MN 56401 PHONE: 218/824-3740 (28197) FAX: State MN SPECIALTY HEALTH SYSTEM MS. NANCY ROSEMORE 888/331-9217 SLFB-16 11615 STATE AVENUE BRAINERD, MN 56401 PHONE: 218/828-6129 (00089) FAX: MS. PAULA HALVERSON 218/828-2569 HWSAL NProf SAMARITAN HOUSE BIRCHWOOD 2509 GREENWOOD STREET BRAINERD, MN 56401 PHONE: 218/855-6636 (24683) FAX: MS. JENNIFER BERGSTROM 218/855-6649 HWSAL NProf SAMARITAN HOUSE ELMWOOD 2517 GREENWOOD STREET BRAINERD, MN 56401 PHONE: 218/855-6638 (24681) FAX: MS. JENNIFER BERGSTROM 218/855-6647 HWSAL NProf SAMARITAN HOUSE OAKWOOD 2501 GREENWOOD STREET BRAINERD, MN 56401 PHONE: 218/855-6637 (23489) FAX: Corp TENDER CARE HOME MANAGEMENT MS. JENNIFER BERGSTROM 218/855-6648 HCP-A 324 SOUTH 5TH STREET STE B BRAINERD, MN 56401 PHONE: 218/454-0041 (24822) FAX: 218/825-8536 MS. KELLY COOPER-SWENSON Minnesota Department of Health Division of Compliance Monitoring Page 60 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf WOODLAND GOOD SAM ASSISTED LIV Certification CROW WING Registration (Cont.)* -------------------------- 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-117 BASS-7 HOSP-42 SNF-NF-117 CAH-25 320 EAST MAIN STREET CROSBY, MN 56441 PHONE: 218/546-7000 (00091) FAX: MR. JOHN SOLHEIM 218/546-7268 HWSAL NProf HALLETT COTTAGES 350 4TH STREET NORTHEAST CROSBY, MN 56441 PHONE: 218/546-6265 (25525) FAX: Dist HALLETT COTTAGES MS. KRISTIN NEFF 218/546-7269 HCP-F 350 FOURTH STREET NORTHEAST CROSBY, MN 56441 PHONE: 218/545-8523 (20479) FAX: MS. KRISTIN NEFF 218/545-8501 HWSAL NProf HEARTWOOD 500 HEARTWOOD DRIVE CROSBY, MN 56441 PHONE: 218/545-8500 (26228) FAX: Dist HOMEHEALTH PARTNERSHIP MS. KRISTIN NEFF 218/545-8501 Hospice HSPICE 500 HEARTWOOD DRIVE CROSBY, MN 56441 PHONE: 218/546-2311 (02994) FAX: Dist HOMEHEALTH PARTNERSHIP MR. JOHN SOLHEIM 218/546-4313 HCP-A HHA 500 HEARTWOOD DRIVE CROSBY, MN 56441 PHONE: 218/546-2311 (02256) FAX: MR. JOHN SOLHEIM 218/546-4313 HWS-O HRA HOUSING AND REDEVELOPMENT AUTH 300 3RD AVENUE NORTHEAST CROSBY, MN 564411642 PHONE: 218/546-5088 (21705) FAX: Corp GOLDEN HORIZONS OF CROSSLAKE MR. DAVID KNEELAND 218/546-5041 HCP-F HWSAL 13631 EAST SHORE ROAD CROSSLAKE, MN 56442 PHONE: 218/692-6650 (26009) FAX: 218/692-6652 MS. WENDY CHRISTENSEN RHC NProf RIVERWOOD HLTH CC GARRISON 27278 STATE HIGHWAY 18 GARRISON, MN 56450 PHONE: 320/525-3400 (25293) FAX: 320/525-3439 MR. MICHAEL HAGEN Minnesota Department of Health Division of Compliance Monitoring Page 61 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification CROW WING (Cont.)* -------------------------Home Mgmt Lim-Liab AIDE HOME CARE Registration 317 IRENE AVENUE (28277) IRONTON, MN 56455 PHONE: 218/546-6242 FAX: 218/772-0142 NProf GOOD SAMARITAN SOC HC HOSPICE MS. DEBBIE ZETTERVALL HCP-A HHA 24090 SMILEY ROAD SUITE 200 NISSWA, MN 56468 PHONE: 218/963-9452 (23213) FAX: 218/963-9746 NProf GOOD SAMARITAN SOCIETY-HOSPICE MS. KAYLA FARR Hospice HSPICE 24090 SMILEY ROAD SUITE 200 NISSWA, MN 56468 PHONE: 218/963-9452 (24551) FAX: MS. NANCY VOGEL 218/963-9746 HWSAL Lim-Liab SENIOR CLASS CARE 5307 HILLS CROSSING NISSWA, MN 56468 PHONE: 218/961-5605 (27831) FAX: 218/961-4001 Lim-Liab SENIOR CLASS HOME HEALTH CARE MS. ANGELA SANDELIN HCP-A 5307 HILLS CROSSING NISSWA, MN 56468 PHONE: 218/961-5605 (25179) FAX: 218/961-4001 MS. ANGELA SANDELIN HWSAL Corp HERITAGE HOUSE OF PEQUOT LAKES 5384 COUNTRY CARE LANE PEQUOT LAKES, MN 56472 PHONE: 218/568-4673 (20576) FAX: 218/568-5785 MR. JAMES BIRCHEM HWSAL Lim-Liab SENIOR CLASS CARE 4451 EAST WOODMAN STREET PEQUOT LAKES, MN 56472 PHONE: 218/568-5605 (26533) FAX: 218/961-4001 MS. ANGELA SANDELIN ---------------------------********** NProf APPLE VALLEY VILLA DAKOTA ******** -------------------------- HCP-F HWSAL 14610 GARRETT AVENUE APPLE VALLEY, MN 55124 PHONE: 952/236-2600 (25804) FAX: NProf AUGUSTANA HCC OF APPLE VALLEY MS. ANDREA NYE 952/236-2670 NH-178 SNF- SNF-NF-178 14650 GARRETT AVENUE APPLE VALLEY, MN 55124 PHONE: 952/236-2000 (00979) FAX: 952/236-2510 MR. DAVID SHAW Minnesota Department of Health Division of Compliance Monitoring Page 62 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf CENTENNIAL HOUSE OF APPLE VALY Certification DAKOTA Registration (Cont.)* -------------------------- 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 APPLE VALLEY, MN 55124 PHONE: 952/423-9778 (26838) FAX: MS. DONNA NOVAK 952/423-5280 HWSAL Corp COMMUNITY ASSISTED LIVING INC 13628 PILOT KNOB ROAD APPLE VALLEY, MN 55124 PHONE: 952/440-3955 (28479) FAX: MS. DONNA NOVAK /- Corp COMMUNITY HEALTHCARE SERVICE HCP-A 14249 HAYES ROAD APPLE VALLEY, MN 55124 PHONE: 952/891-8038 (28488) FAX: MR. ALBERT ABARA 952/891-8038 Home Mgmt Corp DAKOTA HOMEMAKING SERVICES INC 14530 PENNOCK AVENUE STE 101 APPLE VALLEY, MN 55124 PHONE: 952/997-7319 (21218) FAX: MS. SHARON BENTLEY 952/997-2780 HWS Part HARALSON APARTMENTS 15420 FOUNDERS LANE APPLE VALLEY, MN 55124 PHONE: 612/332-6264 (24369) FAX: MR. RICHARD BRUSTAD 612/332-2627 NProf HOPE AND NEW LIFE HEALTH CARE HCP-A 15278 DUPONT PATH SUITE 2 APPLE VALLEY, MN 55124 PHONE: 651/338-2041 (26764) FAX: MS. MILLICENT WARRINGTON-SAWYE 952/953-3301 Corp HOPE HEALTH CARE INC HCP-A 15278 DUPONT PATH APPLE VALLEY, MN 55124 PHONE: 952/322-4988 (20602) FAX: MS. MILLICENT WARRINGTON 952/953-3301 Corp NAGOMI INC HCP-F HWS 14424 LOWER GUTHRIE COURT APPLE VALLEY, MN 55124 PHONE: 952/431-3037 (25215) FAX: MR. JAMES JEONG /- NProf SEASONS AT APPLE VALLEY HCP-F HWSAL 15359 FOUNDERS LANE APPLE VALLEY, MN 55124 PHONE: 952/698-5300 (27794) FAX: 952/698-5302 MS. JULIE WALTON Minnesota Department of Health Division of Compliance Monitoring Page 63 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification DAKOTA (Cont.)* -------------------------HWSAL NProf THE CENTENNIAL HOUSE OF APPLE Registration 14615 PENNOCK AVENUE (20316) APPLE VALLEY, MN 55124 PHONE: 952/891-2711 FAX: MS. KATHRYN ROBERTS 952/891-4780 HWS Lim-Liab THE TIMBERS 14018 PENNOCK AVENUE SOUTH APPLE VALLEY, MN 55124 PHONE: 952/432-4070 (28140) FAX: Lim-Liab THE TIMBERS MR. STEPHEN NORNES 952/432-0019 HCP-F 14018 PENNOCK AVENUE SOUTH APPLE VALLEY, MN 55124 PHONE: 952/432-4070 (29080) FAX: Corp TWINS CARE NURSING SERVICE INC MR. STEPHEN NORNES 952/432-0019 HCP-A 7668 150TH ST SUITE 105 APPLE VALLEY, MN 55124 PHONE: 952/423-1204 (25451) FAX: Corp A WOMANS WAY MS. SHERRI WRIGHT 952/423-4113 SLFA-8 720 151ST STREET EAST BURNSVILLE, MN 55306 PHONE: 952/894-7722 (25914) FAX: 952/894-0882 MS. CAROL ACKLEY HWS-O NProf ACCESSIBLE SPACE INC WEST APT 1501 143RD STREET WEST BURNSVILLE, MN 55306 PHONE: 651/645-7271 (28387) FAX: 651/645-0541 MR. STEPHEN VANDERSCHAAF HWSAL NProf AUGUSTANA EMERALD CREST OF BUR 451 EAST TRAVELERS TRAIL BURNSVILLE, MN 55337 PHONE: 952/856-7522 (20860) FAX: 952/856-7527 MS. MARGARET OWENS HWSAL NProf AUGUSTANA EMERALD CREST OF BUR 455 EAST TRAVELERS TRAIL BURNSVILLE, MN 55337 PHONE: 952/856-7522 (20952) FAX: 952/856-7527 MS. MARGARET OWENS HWSAL NProf AUGUSTANA EMERALD CREST OF BUR 453 EAST TRAVELERS TRAIL BURNSVILLE, MN 55337 PHONE: 952/856-7522 (20861) FAX: 612/238-5015 MS. MARGARET OWENS HWSAL NProf AUGUSTANA EMERALD CREST OF BUR 457 EAST TRAVELERS TRAIL BURNSVILLE, MN 55337 PHONE: 952/856-7522 (21141) FAX: 952/856-7527 MS. MARGARET OWENS Minnesota Department of Health Division of Compliance Monitoring Page 64 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification DAKOTA (Cont.)* -------------------------HWSAL Lim-Liab AUGUSTANA REGENT AT BURNSVILLE Registration 14500 REGENT LANE (23217) BURNSVILLE, MN 55306 PHONE: 952/898-1910 FAX: MS. VICKI TOBROXEN 952/898-7257 Lim-Liab AUGUSTANA REGENT AT BURNSVILLE HCP-F 14500 REGENT LANE BURNSVILLE, MN 55306 PHONE: 952/898-1910 (23238) FAX: MS. VICKI TOBROXEN 952/898-7257 HWSAL Lim-Liab BURNSVILLE CAREFREE LIVING LLC 600 EAST NICOLLET BLVD BURNSVILLE, MN 55337 PHONE: 952/892-5559 (20191) FAX: MS. KATIE GRIEP 952/892-1585 ESRD Corp BURNSVILLE DIALYSIS UNIT 501 E NICOLLET BLVD SUITE 150 BURNSVILLE, MN 55337 PHONE: 952/892-1117 (02427) FAX: MS. KATHY WOLFE 952/892-6644 HWS Corp CARDENAS FRIENDSHIP HOUSE 13808 COUNTY ROAD 5 BURNSVILLE, MN 55337 PHONE: 612/670-1380 (20980) FAX: MR. ROBERT CARDENAS /- HWS Corp CARDENAS FRIENDSHIP HOUSE 912 KNOB HILL BURNSVILLE, MN 55337 PHONE: 952/882-8056 (20979) FAX: NProf DCI KENNELLY MR. ROBERT CARDENAS 651/257-9245 SLFA-8 ICFMR-8 12000 KENNELLY ROAD BURNSVILLE, MN 55337 PHONE: 952/894-3044 (01466) FAX: MS. JULIE MANWORREN 952/894-1926 HWS NProf EBENEZER RIDGE POINT APARTMENT 13800 COMMUNITY DRIVE BURNSVILLE, MN 55337 PHONE: 952/898-1989 (27920) FAX: NProf EBENEZER RIDGES GERIATRIC CC MS. BRITTANY PETERSON 952/898-4028 NH-104 SNF-NF-104 13820 COMMUNITY DRIVE BURNSVILLE, MN 55337 PHONE: 952/898-8400 (00756) FAX: NProf FAIRVIEW RIDGES HOSPITAL MS. REBECCA PEITERSEN 952/898-8450 BASS-48 HOSP-150 201 EAST NICOLLET BOULEVARD BURNSVILLE, MN 55337 PHONE: 952/892-2211 (00107) FAX: 952/892-2107 MS. BETH KREHBIEL HOSP-150 Minnesota Department of Health Division of Compliance Monitoring Page 65 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab HEALTHCARE RESOURCES Certification DAKOTA Registration (Cont.)* -------------------------- HCP-A 14573 GRAND AVE (24274) BURNSVILLE, MN 55306 PHONE: 952/432-4020 FAX: MR. RON ERIKSMOEN 952/431-5978 Home Mgmt Lim-Liab HOME INSTEAD SENIOR CARE 1600 EAST CLIFF ROAD BURNSVILLE, MN 55337 PHONE: 952/882-9300 (26156) FAX: Lim-Liab HOME INSTEAD SENIOR CARE MR. VITALY SALO 952/882-9301 HCP-B 1600 EAST CLIFF ROAD BURNSVILLE, MN 55337 PHONE: 952/882-9300 (26303) FAX: Lim-Liab HOME INSTEAD SENIOR CARE LICEN MR. VITALY SALO 952/882-9301 HCP-A 1600 EAST CLIFF ROAD BURNSVILLE, MN 55337 PHONE: 952/882-9300 (23616) FAX: Lim-Liab MINNESOTA VALLEY SURGERY CTR MR. VITALY SALO 952/882-9301 Outpt Surg Amb Surg 1000 140TH STREET WEST BURNSVILLE, MN 55337 PHONE: 952/232-1110 (24147) FAX: 952/232-1150 MS. SHARON RICHMOND HWS Corp NAGOMI INC 1209 131 STREET EAST BURNSVILLE, MN 55337 PHONE: 612/202-7963 (27011) FAX: 952/431-3037 MR. JAMES JEONG HWS Corp OPTIONS RESIDENTIAL INC 1200 WEST BURNSVILLE PARKWAY BURNSVILLE, MN 55337 PHONE: 952/564-3030 (27971) FAX: 952/564-3038 MR. JAMES HAMMILL HWS Corp OPTIONS RESIDENTIAL INC 12829 BRIAR COURT BURNSVILLE, MN 55337 PHONE: 952/564-3030 (27153) FAX: 952/564-3038 MR. JAMES HAMMILL HWS Corp OPTIONS RESIDENTIAL INC BRIAR 12837 BRIAR COURT BURNSVILLE, MN 55337 PHONE: 952/564-3030 (27394) FAX: 952/564-3038 MR. JAMES HAMMILL HWS Corp OPTIONS RESIDENTIAL INC BRIAR 12845 BRIAR CT BURNSVILLE, MN 55337 PHONE: 952/564-3030 (27393) FAX: 952/564-3038 MR. JAMES HAMMILL Minnesota Department of Health Division of Compliance Monitoring Page 66 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification DAKOTA (Cont.)* -------------------------HWS Corp OWAKIHI INC Registration 13150 HARRIET AVENUE SOUTH (28349) BURNSVILLE, MN 55337 PHONE: 651/450-6005 FAX: Lim-Liab SENIOR HELPERS MS. SANDRA KINDEM 651/450-5955 HCP-A 1500 MCANDREWS ROAD WEST BURNSVILLE, MN 55337 PHONE: 952/892-8403 (25457) FAX: Corp SYNERGY HOMECARE TWIN CITIES S MS. KRISTINE NENOVICH 952/892-8405 HCP-B 13955 W PRESERVE BLVD STE 202 BURNSVILLE, MN 55337 PHONE: 952/697-4430 (27612) FAX: NProf THE ARBORS AT RIDGES MR. OMAR RICHMOND 952/697-4431 HCP-F HWSAL 13810 COMMUNITY DRIVE BURNSVILLE, MN 55337 PHONE: 952/898-4005 (21489) FAX: Lim-Liab THE LODGE ON SUMMIT OAKS MS. BRITTANY PETERSON 952/435-6686 HCP-F HWSAL 1412 SUMMIT OAKS DR BURNSVILLE, MN 55337 PHONE: 952/431-9120 (24877) FAX: MR. GERALD MCGOWAN 952/431-9123 HWSAL Lim-Liab THE RIVERS 11111 RIVER HILLS DRIVE BURNSVILLE, MN 55337 PHONE: 952/890-8553 (21779) FAX: Lim-Liab THE RIVERS MR. STEPHEN NORNES 952/890-9320 HCP-F 11111 RIVER HILLS DRIVE BURNSVILLE, MN 55337 PHONE: 952/890-8553 (29079) FAX: MR. STEPHEN NORNES 952/890-9320 HWSAL Lim-Liab VALLEY RIDGE 1921 BURNSVILLE PARKWAY W BURNSVILLE, MN 55337 PHONE: 952/882-4000 (28955) FAX: Lim-Liab VALLEY RIDGE MS. SANDRA ARCHER 952/882-4001 HCP-F 1921 BURNSVILLE PKWY W BURNSVILLE, MN 55337 PHONE: 651/631-6197 (29086) FAX: Corp VISITING ANGELS MS. NATALIE MORLAND 651/631-6108 HCP-A 14551 COUNTY ROAD 11 STE 135 BURNSVILLE, MN 55337 PHONE: 952/891-8000 (21703) FAX: 952/891-8100 MR. DAN VLAISAVLJEVICH Minnesota Department of Health Division of Compliance Monitoring Page 67 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification DAKOTA (Cont.)* -------------------------Home Mgmt Corp VISITING ANGELS Registration 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 BURNSVILLE, MN 55337 PHONE: 952/891-8000 (23055) FAX: MR. DAN VLAISAVLJEVICH 952/891-8100 HWSAL Corp NEW CHALLENGES INC AFTON 6880 ST CROIX TRAIL SOUTH DENMARK TOWNSHIP, MN 55033 PHONE: 651/454-0161 (28126) FAX: Corp A A CARE INC MS. LEEANN METZMAKER 651/379-4575 HCP-A 1716 DAVENPORT CIRCLE EAGAN, MN 55122 PHONE: 651/428-3002 (22021) FAX: Corp ACCREDO HEALTH GROUP INC MR. SONG SEAK 651/600-3111 HCP-A 2915 WATERS ROAD SUITE 109 EAGAN, MN 55121 PHONE: 651/681-0885 (03256) FAX: Corp ALLIANCE ASSISTED LIVING SRVCS MS. PAMELA SADOWSKI 651/681-0977 HCP-F 2260 CLIFF ROAD EAGAN, MN 55122 PHONE: 651/895-8030 (20982) FAX: Corp ALLIANCE HEALTH SERVICES INC MS. ALANA FIALA 651/895-8070 HCP-A HHA 2260 CLIFF ROAD EAGAN, MN 55122 PHONE: 651/895-8030 (02838) FAX: MS. ALANA FIALA 651/895-8070 HWS Corp CARDENAS FRIENDSHIP HOUSE 1226 WILDERNESS RUN ROAD EAGAN, MN 55123 PHONE: 651/257-8146 (21118) FAX: Corp CLARE BRIDGE OF EAGAN MR. ROBERT CARDENAS 651/257-9245 HCP-F HWSAL 1365 CRESTRIDGE LANE EAGAN, MN 55123 PHONE: 651/686-5557 (20508) FAX: Corp COMFORCARE SENIOR SERVICES MS. KRISTIN BURSEY 651/686-7778 HCP-A 3080 LEXINGTON AVE S STE 108 EAGAN, MN 55121 PHONE: 651/789-6800 (28629) FAX: 651/789-6801 MRS. MARTHA ENDRIZZI Minnesota Department of Health Division of Compliance Monitoring Page 68 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf DCI POPPLER Certification DAKOTA Registration (Cont.)* -------------------------- SLFB-6 3020 POPPLER LANE (20857) EAGAN, MN 55122 PHONE: 651/688-8035 FAX: MS. JULIE MANWORREN 651/688-8250 ESRD Corp EAGAN DIALYSIS UNIT 2750 BLUEWATER ROAD SUITE 300 EAGAN, MN 55121 PHONE: 651/688-0132 (22530) FAX: MS. DEDE BLOOMQUIST /- Corp INFUSCIENCE INC HCP-A 2915 WATERS RD STE 110 EAGAN, MN 55121 PHONE: 612/486-1960 (24884) FAX: MS. JAYNE JUSTICE 612/486-1961 Ind JANE M GRENDER HCP-C 1875 NORTH RUBY COURT EAGAN, MN 55122 PHONE: 651/324-4503 (28379) FAX: MS. JANE GRENDER /- Lim-Liab JULIA DAY LLC HCP-A 2104 CEDAR GROVE TRAIL EAGAN, MN 55122 PHONE: 651/686-4030 (29155) FAX: MR. DENNIS CARSTENS 651/686-4031 HWSAL Lim-Liab KEYSTONE COMMUNITIES OF EAGAN 3810 ALDER LANE EAGAN, MN 55122 PHONE: 612/886-2035 (23505) FAX: MR. MICHAEL LEWIS 612/886-2592 HWS NProf LINCOLN PLACE 1997 GOLD TRAIL EAGAN, MN 55122 PHONE: 651/209-1681 (27190) FAX: MS. AMANDA FLYNN 651/209-1684 Corp MNGI ENDOSCOPY EAGAN Outpt Surg Amb Surg 1185 TOWN CTR DRIVE SUITE 200 EAGAN, MN 55123 PHONE: 612/871-1145 (23392) FAX: DR. SCOTT KETOVER /- Corp MVR HOME CARE INC HCP-A 3435 WASHINGTON DRIVE #104 EAGAN, MN 55122 PHONE: 651/994-9482 (23107) FAX: Corp NEW CHALLENGES INC MR. VLADIMIR STORCHAK 651/305-6224 HCP-F 4670 SLATER ROAD EAGAN, MN 55122 PHONE: 651/454-0161 (25523) FAX: 651/379-4575 MS. LEANN METZMAKER Minnesota Department of Health Division of Compliance Monitoring Page 69 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 EAGAN, MN 55122 PHONE: 952/895-0935 (28276) FAX: MR. SCOTT HINCHEE 952/736-9632 ONProf THE COMMONS ON MARICE HCP-F HWSAL 1380 MARICE DRIVE EAGAN, MN 55121 PHONE: 651/688-9999 (20662) FAX: MR. DAN PETERKA 651/688-7888 Lim-Liab TOUCHING HEARTS AT HOME HCP-B 4640 SLATER ROAD SUITE 110 EAGAN, MN 55122 PHONE: 651/452-7900 (27204) FAX: MR. WILLIAM WILKEN 651/452-2100 Corp ZACHARY HOME HEALTH CORPORATIO HCP-A 680 SUMMER LANE EAGAN, MN 55123 PHONE: 651/452-8174 (23615) FAX: MR. VICTOR BANGURA 651/797-3529 HWS Corp CENTENNIAL&HERITAGE PLACE APTS 1320 CENTENNIAL DRIVE FARMINGTON, MN 55024 PHONE: 651/287-0956 (29274) FAX: MR RUSSEL KENNEDY 651/287-0957 HWSAL Corp COMMUNITY ASSISTED LIVING INC 911 HONEYSUCKLE LANE FARMINGTON, MN 55024 PHONE: 651/460-2902 (26001) FAX: MS. DONNA NOVAK 651/460-2217 HWSAL Corp COMMUNITY ASSISTED LIVING INC 912 FOURTH STREET FARMINGTON, MN 55024 PHONE: 651/460-6762 (22166) FAX: MS. DONNA NOVAK 651/460-2217 NProf FARMINGTON HEALTH SERVICES HCP-F 3410 WEST 213TH STREET FARMINGTON, MN 55024 PHONE: 651/460-1138 (21782) FAX: MS. ELIZABETH LETICH 651/252-2009 Lim-Liab HEALING HANDS HOMECARE LLC HCP-A 18609 DULUTH STREET FARMINGTON, MN 55024 PHONE: 651/463-3040 (27805) FAX: /- MRS. REBEKAH SILVERTHORN Minnesota Department of Health Division of Compliance Monitoring Page 70 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. VICKI NORTON 651/463-7984 Corp RIVER VALLEY HOME CARE INC HCP-A HHA 916 EIGHTH STREET FARMINGTON, MN 55024 PHONE: 651/460-4201 (03533) FAX: MS. RACHELLE PARISEAU 651/460-4208 Home Mgmt Corp RIVER VALLEY HOME CARE INC 916 EIGHTH STREET FARMINGTON, MN 55024 PHONE: 651/460-4201 (20797) FAX: MS. RACHELLE PARISEAU 651/460-4208 NProf TRINITY CARE CENTER NH-65 SNF-NF-65 3410 213TH STREET WEST FARMINGTON, MN 55024 PHONE: 651/463-7818 (00101) FAX: MS. ELIZABETH LETICH 651/460-1165 HWSAL NProf TRINITY SUITES 205 11TH STREET FARMINGTON, MN 55024 PHONE: 651/460-1138 (28776) FAX: MS. ELIZABETH LETICH 651/252-2009 HWSAL NProf TRINITY TERRACE 3330 213TH STREET WEST FARMINGTON, MN 55024 PHONE: 651/460-1104 (20413) FAX: MRS. SHARON LILLA 651/463-4941 NProf AUGUSTANA HCC OF HASTINGS NH-91 SNF-NF-91 930 WEST 16TH STREET HASTINGS, MN 55033 PHONE: 651/437-6176 (00877) FAX: MS. KAY EMERSON 651/480-2120 NProf DAKOTA CO RECEIVING CENTER SLFB-27 1294 EAST 18TH ST BUILDING #1 HASTINGS, MN 55033 PHONE: 651/437-4209 (01406) FAX: 651/438-4144 MR. RICK TERZICK HWS NProf GUILD EMPIRE HOUSE 1344 FEATHERSTONE COURT HASTINGS, MN 55033 PHONE: 651/291-0067 (28850) FAX: MS. GRACE SCHMITT /- HWS NProf GUILD JUPITER PEAK LODGING 213 SIBLEY STREET HASTINGS, MN 55033 PHONE: 651/291-0067 (28821) FAX: 651/312-1222 MS. GRACE SCHMITT Minnesota Department of Health Division of Compliance Monitoring Page 71 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Ind HENRY HAGEN RESIDENCE Certification DAKOTA Registration (Cont.)* -------------------------- 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 HASTINGS, MN 55033 PHONE: 651/438-8579 (00788) FAX: NProf OAK RIDGE ASSTD LVNG HASTINGS MR. ANDREW BURNSIDE 651/437-2203 HCP-F HWSAL 1128 BAHLS DRIVE HASTINGS, MN 55033 PHONE: 651/438-0418 (21404) FAX: NProf PARK RIDGE APTS OF HASTINGS MS. DIANNE FIALA 651/438-0419 HCP-F HWSAL 901 WEST 16TH STREET HASTINGS, MN 55033 PHONE: 651/480-6300 (26858) FAX: NProf REGINA ASSISTED LIVING MS. TAMMY HASE 651/480-6348 HWSAL HCP-F 1175 NININGER ROAD HASTINGS, MN 55033 PHONE: 651/480-4333 (20006) FAX: NProf REGINA MEDICAL CENTER MR. TY ERICKSON 651/480-6854 NH-61 BASS-12 HOSP-57 SNF-NF-61 HOSP-43 PPS-P-14 1175 NININGER ROAD HASTINGS, MN 55033 PHONE: 651/480-4100 (00100) FAX: Corp RUTH HOMES INC MR. MARK WILSON 651/480-4212 HCP-F HWSAL 1306 LINCOLN LANE HASTINGS, MN 55033 PHONE: 651/437-4312 (20237) FAX: Lim-Liab ANIKA HOME CARE MS. JANE HAUSMAN 651/437-6306 HCP-A 3144 78TH ST EAST INVER GROVE HEIGHTS, MN 55076 PHONE: 612/850-9022 (27014) FAX: Corp CARECO APARTMENTS INC MS. JULIE SCHWARTZ 651/207-6581 SLFA-14 ICFMR-14 6115 CARMEN AVENUE EAST INVER GROVE HEIGHTS, MN 55076 PHONE: 651/451-1756 (01503) FAX: Lim-Liab COMFORT KEEPERS MR. GARY NOBLE 651/451-1803 HCP-A 1870 50TH STREET EAST STE 7 INVER GROVE HEIGHTS, MN 55077 PHONE: 651/330-3071 (27804) FAX: 651/330-3721 MS. JOAN WURZER Minnesota Department of Health Division of Compliance Monitoring Page 72 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf DCI UPPER 55TH STREET Certification DAKOTA Registration (Cont.)* -------------------------- SLFB-6 1885 UPPER 55TH STREET EAST (20938) INVER GROVE HEIGHTS, MN 55077 PHONE: 651/552-8748 FAX: MS. JULIE MANWORREN 651/552-8794 Corp GONDOLA GROUP INC HCP-F HWS 8615 BIRCH BLVD INVER GROVE HEIGHTS, MN 55076 PHONE: 952/270-6586 (24603) FAX: MS. DARLENE DAVIS 651/322-4807 HWS Corp GONDOLA GROUP INC 2700 62ND STREET EAST INVER GROVE HEIGHTS, MN 55076 PHONE: 952/270-6586 (25528) FAX: MS. DARLENE DAVIS /- NProf GOOD SAM SOCIETY INVER GR HGTS SNF-NF-57 NH-57 1301 - 50TH ST E INVER GROVE HEIGHTS, MN 55077 PHONE: 651/451-1853 (00022) FAX: Lim-Liab INVER GROVE HEIGHTS WHITE PINE MS. PAMELA SCHULTZ 651/451-7515 HCP-F HWSAL 9056 BUCHANAN TRAIL INVER GROVE HEIGHTS, MN 55077 PHONE: 651/306-9886 (26132) FAX: Lim-Liab INVER GROVE HEIGHTS WP II LLC MS. RHONDA SCHILLINGER 651/306-9888 HCP-F 9058 BUCHANAN TRAIL INVER GROVE HEIGHTS, MN 55077 PHONE: 651/455-6549 (27377) FAX: MS. RHONDA SCHILLINGER 651/455-6559 HWSAL Lim-Liab INVER GROVE HEIGHTS WP II LLC 9058 BUCHANAN TRAIL INVER GROVE HEIGHTS, MN 55077 PHONE: 651/455-6549 (27378) FAX: Lim-Liab INVERWOOD SENIOR LIVING MS. RHONDA SCHILLINGER 651/455-6559 HCP-F HWSAL 7260 SOUTH ROBERT TRAIL INVER GROVE HEIGHTS, MN 55077 PHONE: 651/312-5800 (26833) FAX: MR. LANCE LEMIEUX 651/450-0159 HWS Corp OWAKIHI INC 1455 UPPER 55TH STREET EAST INVER GROVE HEIGHTS, MN 55077 PHONE: 651/450-6005 (27375) FAX: NProf PRESBYTERIAN HOMES OF INVER GR MR. PAUL MOHRBACHER 651/451-5955 HCP-F 6307 BURNHAM CIRCLE INVER GROVE HEIGHTS, MN 55076 PHONE: 651/552-2800 (27965) FAX: 651/552-2801 MS. NATALIE MORLAND Minnesota Department of Health Division of Compliance Monitoring Page 73 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp SPECTRUM COMMUNITY HEALTH INC Certification DAKOTA Registration (Cont.)* -------------------------- HCP-F 6205 CROSSMAN LANE (21030) INVER GROVE HEIGHTS, MN 55076 PHONE: 651/451-0569 FAX: MS. MARILYN HANSON 651/455-1179 Corp SPECTRUM COMMUNITY HEALTH INC HCP-A HHA 6205 CROSSMAN LANE INVER GROVE HEIGHTS, MN 55076 PHONE: 651/451-0569 (02168) FAX: MS. MARILYN HANSON 651/455-1179 Corp STERLING HOUSE INVER GROVE HGT HCP-F HWSAL 5891 CARMEN AVENUE INVER GROVE HEIGHTS, MN 55076 PHONE: 651/306-0919 (20419) FAX: MS. PAIGE BEACH 651/306-1020 HWSAL NProf TIMBER HILLS - COMMONS/ARBOR 6305 BURNHAM CIRCLE INVER GROVE HEIGHTS, MN 55076 PHONE: 651/552-2800 (21981) FAX: MR. BLAKE BOCHE 651/552-2801 Ind TOTAL CARE BODY AND HAIR HCP-C 6840 BENTON WAY INVER GROVE HEIGHTS, MN 55076 PHONE: 651/398-1193 (20603) FAX: MS. EDITH LIVINGOOD 651/457-1636 Corp WOODLYN HEIGHTS HEALTHCARE CTR NH-99 SNF-NF-99 2060 UPPER 55TH STREET E INVER GROVE HEIGHTS, MN 55077 PHONE: 651/451-1881 (00829) FAX: MR. ALLAN BARR 651/451-3378 Home Mgmt NProf COMMON SENSE SERVICES 6415 CARMEN AVE INVER GROVE HTGS, MN 55076 PHONE: 651/552-0288 (03141) FAX: MS. LYNNE ZIMMERMAN 651/552-0192 Corp 2 CARING HANDS HCP-F HWSAL 20752 GEMINI TRAIL LAKEVILLE, MN 55044 PHONE: 952/985-6495 (23850) FAX: MS. ANN NOWRANG 952/233-8871 Corp CHARIS HOME HEALTH CARE INC HCP-A 9405 207TH STREET WEST LAKEVILLE, MN 55044 PHONE: 952/201-9964 (27587) FAX: MS. OMOLARA OLIHA /- Ind CHARLOTTE L EAST HCP-C 7992 GRINNELL WAY LAKEVILLE, MN 55044 PHONE: 952/953-4720 (20954) FAX: /- MS. CHARLOTTE EAST Minnesota Department of Health Division of Compliance Monitoring Page 74 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab DIVINE CARE LLC Certification DAKOTA Registration (Cont.)* -------------------------- HCP-A 16125 HYLAND AVENUE (25125) LAKEVILLE, MN 55044 PHONE: 952/236-9202 FAX: MRS. FENTEZIA ZEWDIE 952/236-9202 Corp EBENEZER HOME CARE HCP-F 9850 163RD STREET WEST LAKEVILLE, MN 55044 PHONE: 952/435-7199 (29050) FAX: MS. KELLI THOMAS /- Lim-Liab HOSPICE ADVANTAGE Hospice HSPICE 18472 KENYON AVE LAKEVILLE, MN 55044 PHONE: 952/435-6828 (25486) FAX: MS. DAWN FETHERSTON 952/435-6933 HWSAL Corp ICELAND MANOR 20541 ICELAND AVENUE LAKEVILLE, MN 55044 PHONE: 952/985-6495 (25395) FAX: Corp INTEGRA HOME CARE MS. ANN NOWRANG 952/469-9751 HCP-A HHA 20730 HOLYOKE AVE LAKEVILLE, MN 55044 PHONE: 952/985-0672 (25579) FAX: State MSOCS HERSHEY MR. DIMITRIY PAPKOV 952/985-0675 SLFB-6 ICFMR-6 20685 HERSHEY AVENUE WEST LAKEVILLE, MN 55044 PHONE: 952/469-5122 (01630) FAX: State MSOCS LAKEVILLE JONQUIL MR. ROGER DENEEN 952/469-5753 SLFB-6 ICFMR-6 17041 JONQUIL AVENUE LAKEVILLE, MN 55044 PHONE: 952/435-2846 (01654) FAX: MR. ROGER DENEEN 952/435-2854 HWSAL Lim-Liab SERENITY RESIDENTIAL CARE LLC 16641 JACARANDA WAY LAKEVILLE, MN 55044 PHONE: 952/221-7346 (29247) FAX: Lim-Liab SERENITY RESIDENTIAL CARE LLC MS. ALICIA NELSON 952/236-9536 HCP-F 16641 JACARANDA WAY LAKEVILLE, MN 55044 PHONE: 952/221-7346 (29248) FAX: 952/236-9536 MS. ALICIA NELSON HWSAL Corp SPYGLASS MANOR 7166 205TH STREET WEST LAKEVILLE, MN 55044 PHONE: 952/985-6495 (27193) FAX: 952/469-9751 MS. ANN NOWRANG Minnesota Department of Health Division of Compliance Monitoring Page 75 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab SUPERIOR HOME HEALTH CARE 1060 Certification DAKOTA Registration (Cont.)* -------------------------- HCP-A 10603 165TH STREET WEST (28996) LAKEVILLE, MN 55044 PHONE: 952/898-5400 FAX: MR. HOWARD JONES, JR 952/898-5454 Corp SUPERIOR HOME HEALTH CARE INC HCP-A HHA 10603 165TH STREET WEST LAKEVILLE, MN 55044 PHONE: 952/898-5400 (25570) FAX: MS. DORI FINCH 952/898-5454 HWSAL Lim-Liab THE FOUNTAINS AT HOSANNA! 9850 163RD STREET WEST LAKEVILLE, MN 55044 PHONE: 952/435-7199 (29049) FAX: MS. KELLI THOMAS /- HWSAL Corp THE LODGE ON HIGHVIEW 20152 HIGHVIEW AVENUE LAKEVILLE, MN 55044 PHONE: 952/435-6828 (28016) FAX: Corp TIMIKS HEALTHCARE SERVICES INC MR. GERALD MCGOWAN 952/435-6933 HCP-A 5370 172ND STREET WEST LAKEVILLE, MN 55024 PHONE: 612/281-6538 (27209) FAX: Lim-Liab TRINITY HOME HEALTH CARE SERVI MR. MICHAEL TAIWO 952/460-8871 HCP-A 17305 CEDAR AVE STE 220 LAKEVILLE, MN 55044 PHONE: 952/465-1959 (25834) FAX: Corp TWIN CITY WOUND & OSTOMY ASSOC MS. ETYANE AYANA 952/236-0138 HCP-A 9483 208TH STREET WEST LAKEVILLE, MN 55044 PHONE: 952/985-0747 (26657) FAX: Lim-Liab WALKER METHODIST HIGHVIEW HILL MS. JULIE ROSKAMP 952/985-0749 HCP-F HWSAL 20150 HIGHVIEW AVENUE LAKEVILLE, MN 55044 PHONE: 952/985-5155 (26626) FAX: MR. DENNIS ODONNELL 952/985-7271 HWSAL Lim-Liab LILYDALE SENIOR LIVING 949 SIBLEY MEMORIAL HWY LILYDALE, MN 55118 PHONE: 651/454-6853 (29018) FAX: Lim-Liab LILYDALE SENIOR LIVING MR. LANCE LEMIEUX 651/454-4783 HCP-F 949 SIBLEY MEMORIAL HWY LILYDALE, MN 55118 PHONE: 651/454-6853 (29017) FAX: 651/454-4783 MR. LANCE LEMIEUX Minnesota Department of Health Division of Compliance Monitoring Page 76 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp CORAM SPECIALTY INFUSION SERV Certification DAKOTA Registration (Cont.)* -------------------------- 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 MENDOTA HEIGHTS, MN 55118 PHONE: 651/405-0569 (21108) FAX: NProf DCI DAKOTA ADULTS MS. JULIE MANWORREN 651/405-0559 SLFB-12 ICFMR-12 2031 SOUTH VICTORIA ROAD MENDOTA HEIGHTS, MN 55118 PHONE: 651/452-4295 (01359) FAX: NProf DCI DIANE MS. JULIE MANWORREN 651/452-4296 SLFB-6 ICFMR-6 1668 DIANE ROAD MENDOTA HEIGHTS, MN 55118 PHONE: 651/686-7872 (01646) FAX: NProf DCI MARY ADELE MS. JULIE MANWORREN 651/686-6572 SLFB-6 1055 MARY ADELE AVENUE MENDOTA HEIGHTS, MN 55120 PHONE: 651/365-8707 (20941) FAX: Lim-Liab DUNGARVIN MINNESOTA LLC MS. JULIE MANWORREN 651/365-8708 HCP-F 1110 CENTER POINTE CRV STE 100 MENDOTA HEIGHTS, MN 55120 PHONE: 651/699-6050 (24782) FAX: Corp FAMILY CHOICE HOMECARE MS. KARIN STOCKWELL 651/699-7265 HCP-A 2486 POND CIRCLE WEST MENDOTA HEIGHTS, MN 55120 PHONE: 651/452-5298 (21807) FAX: Lim-Liab FRIDLEY ASSISTED LIVING LLC MR. PAUL SCHNELL 651/452-5298 HCP-F 720 MAIN ST STE 205 MENDOTA HEIGHTS, MN 55118 PHONE: 763/574-7366 (27980) FAX: 763/574-7362 MS. ASHLEY KLIPSTEIN HWS Corp HEART TO HOME INC 2351 PAGEL ROAD MENDOTA HEIGHTS, MN 55120 PHONE: 651/454-5250 (26147) FAX: 651/686-5295 MR. JOSH CESARO HWS Corp HEART TO HOME INC 659 SOUTH FREEWAY ROAD MENDOTA HEIGHTS, MN 55118 PHONE: 651/454-5250 (25756) FAX: 651/686-5295 MR. JOSHUA CESARO Minnesota Department of Health Division of Compliance Monitoring Page 77 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp HEART TO HOME INC Certification DAKOTA Registration (Cont.)* -------------------------- HCP-F 659 SOUTH FREEWAY ROAD (25755) MENDOTA HEIGHTS, MN 55118 PHONE: 651/454-5250 FAX: MR. JOSHUA CESARO 651/686-5295 HWS Lim-Liab JOSEPH'S CHATEAU LLC 1059 MARIE AVENUE WEST MENDOTA HEIGHTS, MN 55118 PHONE: 651/815-9250 (28224) FAX: Lim-Liab JOSEPHS CHATEAU DR. SHARON MOREY 651/688-0088 HCP-F 1059 W MARIE AVENUE MENDOTA HEIGHTS, MN 55118 PHONE: 651/815-9250 (28222) FAX: Corp KALEB INC MS. SHARON MOREY 651/688-0088 HCP-A 869 MENDAKOTA COURT MENDOTA HEIGHTS, MN 55120 PHONE: 651/905-9908 (21957) FAX: Lim-Liab MARGARETS HOUSE MR. STEVEN WEINTRAUT 651/905-9908 SLFA-10 2535 CONDON COURT MENDOTA HEIGHTS, MN 55120 PHONE: 651/686-0518 (21238) FAX: MS. JANET HAVEN-HALL 651/686-0526 HWSAL Lim-Liab REGENCY HOME HEALTHCARE 664 FREEWAY ROAD NORTH MENDOTA HEIGHTS, MN 55118 PHONE: 651/488-4655 (26593) FAX: MS. JEAN JOHNSON 651/488-4656 HWSAL Lim-Liab CIMARRON ASSISTED LIVING 14673 CIMARRON AVENUE WEST ROSEMOUNT, MN 55068 PHONE: 651/322-8337 (27280) FAX: MR. DALLAS REDLIN 651/344-8732 HWS Lim-Liab PEACEFUL MIND HOMES LLC 12591 SHANNON PARKWAY ROSEMOUNT, MN 55068 PHONE: 651/538-4499 (27389) FAX: Lim-Liab REDLIN HOME SERVICES LLC MS. KAM AGGARWAL 651/815-0420 HCP-F 4260 153RD STREET WEST ROSEMOUNT, MN 55068 PHONE: 651/322-8337 (25498) FAX: 651/344-8732 MS. LORELIE REDLIN HWSAL Lim-Liab ROSECOURT ASSISTED LIVING 4307 159TH COURT WEST ROSEMOUNT, MN 55068 PHONE: 651/322-8337 (25861) FAX: 651/344-8732 MS. LORELIE REDLIN Minnesota Department of Health Division of Compliance Monitoring Page 78 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification DAKOTA (Cont.)* -------------------------HWSAL Corp ROSEMOUNT COURT Registration 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 ROSEMOUNT, MN 55068 PHONE: 651/322-8337 (26047) FAX: MS. LORELIE REDLIN 651/344-8732 Home Mgmt Lim-Liab SENIORS HELPING SENIORS 14542 COBALT AVENUE ROSEMOUNT, MN 55068 PHONE: 651/274-4285 (28741) FAX: MR. VICTOR FRICANO /- Home Mgmt Lim-Liab ACCENT HOME CARE LLC 13524 HILLSBORO AVENUE SAVAGE, MN 55378 PHONE: 612/799-3591 (27709) FAX: MS. LANA BARSKIY 952/380-1371 Home Mgmt Lim-Liab HOME WITH YOU COMPNON CARE LLC 3 APFELRIDGE COURT SOUTH SAINT PAUL, MN 55075 PHONE: 651/262-3916 (28816) FAX: MS. TONI WAKEM 612/643-5172 Corp BRYANT AVE RESIDENCE ICFMR-13 SLFA-13 1120 BRYANT AVENUE SOUTH ST PAUL, MN 55075 PHONE: 651/450-6005 (01240) FAX: MR. PAUL MOHRBACHER 651/451-5955 NProf DCI CONGRESS SLFB-6 2207 CONGRESS SOUTH ST PAUL, MN 55075 PHONE: 651/450-2304 (20874) FAX: 651/450-2341 MS. JULIE MANWORREN HWS Lim-Liab EVERYDAY LIVING 133 BUILDING 133 12TH AVENUE NORTH SOUTH ST PAUL, MN 55075 PHONE: 651/688-7173 (28274) FAX: MR. BLAKE ELLIOTT /- HWS Lim-Liab FAITH HOME CARE LLC 2410 FRANCIS STREET SOUTH ST PAUL, MN 55072 PHONE: 651/450-2244 (27977) FAX: 651/436-2412 MS. MARCIA ROBERTS HWSAL Lim-Liab RIVER HEIGHTS ASSISTED LIVING 744 19TH AVENUE NORTH SOUTH ST PAUL, MN 55075 PHONE: 651/326-6500 (21583) FAX: 651/326-6506 MR. PATRICK RAFFERTY Minnesota Department of Health Division of Compliance Monitoring Page 79 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab RIVER HEIGHTS ASSISTED LIVING Certification DAKOTA Registration (Cont.)* -------------------------- HCP-F 744 19TH AVENUE NORTH (21008) SOUTH ST PAUL, MN 55075 PHONE: 651/326-6500 FAX: Corp SUMMIT AVENUE RESIDENCE MR. PATRICK RAFFERTY 651/326-6506 SLFA-13 ICFMR-13 33 WENTWORTH AVE E STE 280 SOUTH ST PAUL, MN 55075 PHONE: 651/450-6005 (01331) FAX: MR. PAUL MOHRBACHER 651/451-5955 HWS Corp COLONIAL COURT APARTMENTS 1323 KRUSE STREET WEST SAINT PAUL, MN 55118 PHONE: 651/287-0956 (27660) FAX: MR. RUSSELL KENNEDY 651/287-0957 Home Mgmt Corp HMONG MINNESOTA HOME CARE INC 1111 WATERLOO AVENUE WEST SAINT PAUL, MN 55118 PHONE: 651/340-4790 (27501) FAX: Corp SNYDER HEALTH CARE SYSTEMS INC MS. BOUACHANH VUE 651/340-4791 HCP-A 1074 SOUTH ROBERT ST STE 10 WEST SAINT PAUL, MN 55118 PHONE: 651/730-4327 (28481) FAX: MR. CLARENCE TWEH 651/340-6770 HWS Corp WESTVIEW PARK APARTMENTS 330 WESTVIEW DRIVE WEST SAINT PAUL, MN 55118 PHONE: 651/450-1802 (28194) FAX: Corp CLARE BRIDGE OF WEST ST PAUL MS. KATHLEEN LAMMINEN 651/450-7923 HCP-F HWSAL 315 EAST THOMPSON AVENUE WEST ST PAUL, MN 55118 PHONE: 612/453-1805 (20511) FAX: 612/453-1806 MS. KRISTIN BURSEY HWS Corp COLONIAL COURT APARTMENTS 1333 KRUSE STREET WEST ST PAUL, MN 55118 PHONE: 651/287-0956 (28930) FAX: 651/287-0957 MR. RUSS KENNEDY HWS Corp COLONIAL COURT APARTMENTS 1313 KRUSE STREET WEST ST PAUL, MN 55118 PHONE: 651/287-0956 (28500) FAX: 651/287-0957 MR. RUSSELL KENNEDY Home Mgmt NProf DARTS 1645 MARTHALER LANE WEST ST PAUL, MN 55118 PHONE: 651/455-1560 (03086) FAX: 651/234-2280 MS. BETH WIGGINS Minnesota Department of Health Division of Compliance Monitoring Page 80 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf DCI EMERSON Certification DAKOTA Registration (Cont.)* -------------------------- SLFB-6 ICFMR-6 41 EMERSON AVENUE EAST (01633) WEST ST PAUL, MN 55118 PHONE: 651/450-1880 FAX: 651/450-2070 MS. JULIE MANWORREN HWS-O Lim-Liab DUNGARVIN/COVINGTON COURT 374 374 EAST MARIE AVENUE WEST ST PAUL, MN 55118 PHONE: 651/699-6050 (27227) FAX: 651/699-7265 MS. KARIN STOCKWELL HWS-O Lim-Liab DUNGARVIN/COVINGTON COURT 376 376 EAST MARIE AVENUE WEST ST PAUL, MN 55118 PHONE: 651/699-6050 (27228) FAX: MS. KARIN STOCKWELL /- ESRD Corp FMC WEST ST PAUL DIALYSIS 1590 SOUTH ROBERT ST # 103 WEST ST PAUL, MN 55118 PHONE: 651/457-2232 (26074) FAX: 651/457-2450 MR. PATRICK HOWARD HWS NProf GUILD CAROUSEL APARTMENTS 1335 OAKDALE AVENUE WEST ST PAUL, MN 55118 PHONE: 651/925-8450 (28283) FAX: 651/312-1222 MS. GRACE SCHMITT HWS NProf GUILD HOLIDAY ACRES 1 1762 OAKDALE AVENUE WEST ST PAUL, MN 55118 PHONE: 651/925-8450 (28290) FAX: 651/312-1222 MS. GRACE SCHMITT HWS NProf GUILD HOLIDAY ACRES 2 1772 OAKDALE AVENUE WEST ST PAUL, MN 55118 PHONE: 651/291-0067 (28347) FAX: 651/312-1222 MS. GRACE SCHMITT HWS NProf GUILD HOLIDAY ACRES 3 1802 OAKDALE AVENUE WEST ST PAUL, MN 55118 PHONE: 651/291-0067 (29214) FAX: 651/312-1222 MS. GRACE TANGJERD SCHMITT HWS-O NProf GUILD HOLIDAY ACRES 4 1812 OAKDALE AVENUE WEST ST PAUL, MN 55118 PHONE: 651/291-0067 (29277) FAX: 651/312-1222 MS. GRACE TANGJERD SCHMITT HWS Corp MCCLISH MANOR 213 ANNAPOLIS STREET WEST WEST ST PAUL, MN 55118 PHONE: 651/454-0161 (28207) FAX: 651/379-4575 MS. LEEANN METZMAKER Minnesota Department of Health Division of Compliance Monitoring Page 81 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification DAKOTA (Cont.)* -------------------------HWS NProf MOUNT CARMEL MANOR Registration 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 WEST ST PAUL, MN 55118 PHONE: 651/451-6156 (03745) FAX: MS. KELLY CASEY /- HWS Corp OPTIONS RESIDENTIAL INC/GABRIE 1167 SOUTH ROBERT STREET WEST ST PAUL, MN 55118 PHONE: 952/564-3030 (28505) FAX: MR. JAMES HAMMILL 952/654-3038 NProf PHOENIX SERVICE CORPORATION HCP-A 330 MARIE AVE EAST WEST ST PAUL, MN 55118 PHONE: 651/227-5971 (21451) FAX: MS. DARLENE SCOTT 651/227-6847 Corp SOUTHVIEW ACRES HLTH CARE CTR NH-241 SNF-NF-241 2000 OAKDALE AVENUE WEST ST PAUL, MN 55118 PHONE: 651/451-1821 (00102) FAX: MR. THOMAS GOERITZ 651/451-9538 Lim-Liab SOUTHVIEW SENIOR LIVING HWSAL HCP-F 1984 OAKDALE AVENUE WEST ST PAUL, MN 55118 PHONE: 651/554-4838 (24035) FAX: MR. LANCE LEMIEUX 651/455-0267 Corp STERLING HOUSE OF WEST ST PAUL HCP-F HWSAL 305 EAST THOMPSON WEST ST PAUL, MN 55117 PHONE: 651/453-1803 (20472) FAX: MS. KRISTIN BURSEY 651/453-1804 Lim-Liab VIVA HOME CARE SERVICES HCP-B 1015 OTTAWA AVENUE WEST ST PAUL, MN 55118 PHONE: 651/955-3509 (28971) FAX: MR. JOSEPH MCCOLLUM /- Lim-Liab WALKER METH WESTWOOD RIDGE II NH-37 SNF-37 61 THOMPSON AVENUE WEST WEST ST PAUL, MN 55118 PHONE: 651/259-2701 (27996) FAX: 651/259-2724 MR. MARK PEDERSON HWSAL Lim-Liab WALKER METHODIST WESTWD RDG II 61 THOMPSON AVENUE WEST WEST ST PAUL, MN 55118 PHONE: 651/455-3999 (28949) FAX: 651/455-5962 MR. MARK PEDERSON Minnesota Department of Health Division of Compliance Monitoring Page 82 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf WALKER METHODIST WESTWOOD RIDG Certification DAKOTA Registration (Cont.)* -------------------------- HCP-F HWSAL ONE THOMPSON AVENUE WEST (20448) WEST ST PAUL, MN 55118 PHONE: 651/455-3999 FAX: MR. MARK PEDERSON 651/455-5962 ESRD Corp WEST ST PAUL DIALYSIS UNIT 1555 LIVINGSTON AVENUE WEST ST PAUL, MN 55118 PHONE: 651/455-2995 (02728) FAX: MS. BECKY SKWIRA /- ---------------------------********** Cnty FAIRVIEW CARE CENTER DODGE ******** -------------------------- NH-55 SNF-NF-55 702 10TH AVENUE NW PO BOX 10 DODGE CENTER, MN 55927 PHONE: 507/374-3578 (00103) FAX: MS. JANE SHEERAN 507/374-2907 HWS City CREST VIEW VILLA 305 4TH STREET NORTHEAST HAYFIELD, MN 55940 PHONE: 507/477-3547 (20885) FAX: MS. LAVONNE BOULLION 507/477-3268 City FIELD CREST CARE CENTER NH-45 SNF-NF-45 318 SECOND STREET NORTHEAST HAYFIELD, MN 55940 PHONE: 507/477-3266 (00104) FAX: MS. CHERYL GUSTASON 507/477-3268 City FIELD CREST HOME CARE HCP-F HWSAL 318 SECOND STREET NE HAYFIELD, MN 55940 PHONE: 507/477-3266 (23661) FAX: MR. DAN WILL 507/477-3268 State KASSON MSOCS SLFB-6 ICFMR-6 1101 1ST AVENUE NORTHEAST KASSON, MN 55944 PHONE: 507/634-4025 (01640) FAX: MR. ROGER DENEEN 507/634-7229 HWSAL Corp PRAIRIE MEADOWS SENIOR LIVING 800 5TH AVENUE KASSON, MN 55944 PHONE: 507/634-9500 (24053) FAX: MRS. COLETTE MILES /- Ind CHICOS BOARD AND LODGE HCP-F HWSAL 520 STATE STREET WEST CONCORD, MN 55985 PHONE: 507/527-2842 (20193) FAX: 507/527-2842 MS. STEPHANIE CHICOS Minnesota Department of Health Division of Compliance Monitoring Page 83 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab CIRCLE DRIVE MANOR ASST LVNG Certification DODGE Registration (Cont.)* -------------------------- 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 ALEXANDRIA, MN 56308 PHONE: 320/762-1567 (00108) FAX: MR. PATRICK MCDONALD 320/762-5316 Church BETHANY HOME HEALTH SERVICES HCP-F 1020 LARK STREET ALEXANDRIA, MN 56308 PHONE: 320/763-2180 (22032) FAX: MS. CAROL KVIDT 320/759-6297 HWSAL NProf BETHEL MANOR 910 ASH STREET ALEXANDRIA, MN 56308 PHONE: 320/763-7200 (22033) FAX: MS. CAROL KVIDT 320/763-7204 HWSAL NProf BETHEL MANOR II 906 ASH STREET ALEXANDRIA, MN 56308 PHONE: 320/763-7200 (22188) FAX: MS. CAROL KVIDT 320/763-7204 Ind BONNIES SENIOR HAVEN HCP-F HWSAL 1201 RIDGEVIEW TERRACE NE ALEXANDRIA, MN 56308 PHONE: 320/759-6599 (26278) FAX: MS. BONITA NIENABER 320/763-7853 ESRD NProf CENTRACARE KIDNEY PROGRAM 111 17TH AVENUE EAST ALEXANDRIA, MN 56308 PHONE: 320/240-7808 (03875) FAX: MS. CATHY SINDELIR /- State COMM BEHAVIORAL HEALTH HOSP OTHER-16 HOSP-16 1610 8TH AVENUE EAST ALEXANDRIA, MN 56308 PHONE: 320/335-6201 (23908) FAX: 320/759-1002 MS. MARLENE SCHNICKELS HWSAL Lim-Liab DIAMOND WILLOW ASSISTED LIVING 803 1/2 VICTOR STREET ALEXANDRIA, MN 56308 PHONE: 320/762-2067 (26045) FAX: 320/762-2649 MS. BRENDA MARSHALL Minnesota Department of Health Division of Compliance Monitoring Page 84 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification DOUGLAS (Cont.)* -------------------------HWSAL Lim-Liab DIAMOND WILLOW ASSISTED LIVING Registration 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 ALEXANDRIA, MN 56308 PHONE: 320/763-6018 (02916) FAX: MS. SANDRA TUBBS 320/763-4127 Cnty DOUGLAS COUNTY HOSPITAL BASS-14 HOSP-127 HOSP-127 111 17TH AVENUE EAST ALEXANDRIA, MN 56308 PHONE: 320/762-1511 (00111) FAX: MR. CARL VAAGENES 320/762-6120 HWSAL NProf ECUMEN BETHANY COMMUNITY MEMOR 1020 LARK STREET ALEXANDRIA, MN 56308 PHONE: 320/762-1567 (28777) FAX: MS. PATTI CAREY 320/762-5316 Lim-Liab EDGEWOOD VISTA ALEXANDRIA HCP-F HWSAL 1902 7TH AVENUE EAST ALEXANDRIA, MN 56308 PHONE: 320/759-2121 (21247) FAX: MS. MICHELLE BODE 320/759-2120 Lim-Liab GOLDENRIDGE SENIOR CARE LLC HWS HCP-F 1203 STEGER ROAD NW ALEXANDRIA, MN 56308 PHONE: 320/762-2387 (26644) FAX: MS. REBECCA SPRENGER /- NProf GRAND ARBOR HCP-F HWS 4403 PIONEER ROAD SE ALEXANDRIA, MN 56308 PHONE: 320/763-1600 (28201) FAX: NProf KNUTE NELSON MS. CARLI LINDEMANN 320/763-1603 SNF-NF-124 NH-124 420 12TH AVENUE EAST ALEXANDRIA, MN 56308 PHONE: 320/763-1163 (00113) FAX: NProf KNUTE NELSON HOME CARE MS. ANGELA URMAN 320/763-7548 HHA HCP-A 1910 AGA DRIVE SUITE 100 ALEXANDRIA, MN 56308 PHONE: 320/759-1273 (24066) FAX: NProf KNUTE NELSON HOSPICE MS. ANNE MAJOR 320/759-1275 Hospice 1910 AGA DRIVE SUITE 100 ALEXANDRIA, MN 56308 PHONE: 320/759-1273 (28923) FAX: 320/759-1275 MS. ANNE MAJOR Minnesota Department of Health Division of Compliance Monitoring Page 85 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 LAKES AREA ASSISTED LIVING LLC MR. KENT THOMSON 320/763-3618 HCP-F 1313 COUNTY ROAD 22 NW ALEXANDRIA, MN 56308 PHONE: 320/759-5600 (23150) FAX: Lim-Liab MINNESOTA EYE INSTITUTE MS. DIANE ZIEBECC 320/763-3618 Outpt Surg Amb Surg 3401 SOUTH BROADWAY ALEXANDRIA, MN 56308 PHONE: 320/759-2020 (21815) FAX: NProf NELSON GABLES SENIOR CARE MS. PAMELA CARLSON 320/759-2424 HCP-F HWSAL 1220 NOKOMIS STREET ALEXANDRIA, MN 56308 PHONE: 320/762-4310 (20056) FAX: Lim-Liab PEACEFUL BLISS ASSISTD LVG LLC MS. CARLI LINDEMANN 320/763-5738 HCP-F HWSAL 90 EAST LAKE COWDRY ROAD NW ALEXANDRIA, MN 56308 PHONE: 320/762-8345 (26439) FAX: Lim-Liab PRAIRIE SENIOR COTTAGES ALEX MS. JUDY MCNUTT 320/762-8341 HWS HCP-F 812 MCKAY AVENUE ALEXANDRIA, MN 56308 PHONE: 320/763-8244 (21280) FAX: MS. KAYLA THOENNES 320/763-8255 HWS Lim-Liab PRAIRIE SENIOR COTTAGES OF ALE 814 MCKAY AVENUE ALEXANDRIA, MN 56308 PHONE: 320/763-8244 (21281) FAX: NProf PRAIRIEWOOD HOME MRS. KAYLA THOENNES 320/763-8255 SLFB-6 ICFMR-6 2736 LEHOMME DIEU HEIGHTS NE ALEXANDRIA, MN 56308 PHONE: 320/763-4787 (01684) FAX: NProf ROSEWOOD MR. KEITH LUNDSETTER 320/763-6520 SLFA-6 ICFMR-6 1007 HIGH STREET ALEXANDRIA, MN 56308 PHONE: 320/762-2479 (01214) FAX: NProf SCENICWOOD MR. KEITH LUNDSETTER 320/762-9784 SLFA-6 ICFMR-6 1119 SCENIC HEIGHTS RD RT #8 ALEXANDRIA, MN 56308 PHONE: 320/763-7308 (01215) FAX: 320/763-6520 MR. KEITH LUNDSETTER Minnesota Department of Health Division of Compliance Monitoring Page 86 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 HWSAL Corp SHARONS SENIOR SERVICES INC 2307 EAST GOLF COURSE ROAD NE ALEXANDRIA, MN 56308 PHONE: 320/760-9193 (28117) FAX: MS. VALERIE VONDERHARR 320/762-2581 HWS Corp SHARONS SENIOR SERVICES INC 1441 ROSEWOOD LANE SOUTHEAST ALEXANDRIA, MN 56308 PHONE: 320/759-2153 (23512) FAX: MS. VALERIE VONDERHARR 320/763-4874 HWSAL Lim-Liab WINDMILL PONDS ASSISTED LIVING 715 VICTOR STREET ALEXANDRIA, MN 56308 PHONE: 320/759-2132 (21642) FAX: Lim-Liab WINDMILL PONDS ASSISTED LIVING MR. PATRICK RAFFERTY 320/759-3192 HCP-F 715 VICTOR STREET ALEXANDRIA, MN 56308 PHONE: 320/759-2132 (21855) FAX: MS. KATHY PATTON 320/759-3192 HWSAL NProf WINONA SHORES 1010 LARK STREET ALEXANDRIA, MN 56308 PHONE: 320/763-1120 (22126) FAX: Part YOUR CHOICE HOME CARE LLP MS. CAROL KVIDT 320/763-1121 HCP-A 716 JEFFERSON ALEXANDRIA, MN 56308 PHONE: 320/762-1501 (24983) FAX: Corp LAKE COUNTRY ASSISTED LVG INC MS. HEIDI ANDERSON 320/219-7388 HWSAL HCP-F 305 CENTRAL AVENUE SOUTH BRANDON, MN 56315 PHONE: 320/524-2208 (27453) FAX: Lim-Liab EVANSVILLE CARE CENTER MS. JENNIFER SCHALOW 320/524-2245 NH-40 SNF-NF-40 649 STATE STREET NORTHWEST EVANSVILLE, MN 56326 PHONE: 218/948-2219 (00110) FAX: Lim-Liab EVANSVILLE SENIOR LIVING MR. BRANDON BORGSTROM 218/948-2004 HWSAL HCP-F 651 STATE STREET EVANSVILLE, MN 56326 PHONE: 218/948-2346 (24481) FAX: 320/834-5100 MR. BRANDON BORGSTROM Minnesota Department of Health Division of Compliance Monitoring Page 87 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification DOUGLAS (Cont.)* -------------------------HWSAL NProf BRIDGEWELL ASSISTED LIVING Registration 410 WEST MAIN STREET (25904) OSAKIS, MN 55360 PHONE: 320/859-2142 FAX: MR. DAVID CARLSON 320/859-6293 NProf COMMUNITY MEMORIAL HOME NH-52 SNF-NF-52 410 WEST MAIN STREET OSAKIS, MN 56360 PHONE: 320/859-2142 (00109) FAX: MR. DAVID CARLSON 320/859-3288 Home Mgmt Ind HELPING HANDS IN HOME SERVICES 15197 125TH AVENUE OSAKIS, MN 56360 PHONE: 320/766-4370 (26475) FAX: MS. LESA RIEDEL /- HWSAL NProf TERRACE HEIGHTS ASSISTED LIVIN 410 WEST MAIN STREET OSAKIS, MN 56360 PHONE: 320/859-2142 (20267) FAX: NProf WEST VIEW/TERRACE HGHTS/BRIDGE MR. DAVID CARLSON 320/859-6293 HCP-F HWSAL 240 6TH AVENUE NORTH OSAKIS, MN 56360 PHONE: 320/859-2142 (21663) FAX: MR. DAVID CARLSON 320/859-6293 ---------------------------********** NProf FRIENDSHIP COURT FARIBAULT ******** -------------------------- HCP-F HWSAL 1228 SOUTH RICE STREET BLUE EARTH, MN 56013 PHONE: 507/526-2184 (20457) FAX: Corp NICOLLET PLACE MR. DONNIS MATTHEWS 507/526-7427 HCP-F HWSAL 311 SOUTH NICOLLET BLUE EARTH, MN 56013 PHONE: 507/526-3237 (20008) FAX: NProf ST LUKES LUTHERAN CARE CENTER MS. MARY BEYER 507/526-3902 NH-112 SNF-NF-112 1219 SOUTH RAMSEY BLUE EARTH, MN 56013 PHONE: 507/526-2184 (00116) FAX: Dist UNITED HANDS HOSPICE MS. MARGARET BRANDT 507/526-7427 Hospice HSPICE 125 SOUTH MAIN STREET BLUE EARTH, MN 56013 PHONE: 507/526-7970 (02964) FAX: 507/526-3285 MR. JEFFREY LANG Minnesota Department of Health Division of Compliance Monitoring Page 88 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Dist UNITED HOSP DIST HOME HLTH SER Certification FARIBAULT Registration (Cont.)* -------------------------- HCP-A HHA 125 SOUTH MAIN STREET (02804) BLUE EARTH, MN 56013 PHONE: 507/526-7970 FAX: 507/526-3621 Dist UNITED HOSPITAL DISTRICT MRS. CANDACE ARENDS BASS-4 HOSP-43 CAH-25 515 SOUTH MOORE ST PO BOX 160 BLUE EARTH, MN 56013 PHONE: 507/526-7907 (00117) FAX: 507/526-3621 Corp PARKVIEW CARE CTR WELLS INC MR. JEFF LANG NH-55 SNF-NF-55 55 TENTH STREET SOUTHEAST WELLS, MN 56097 PHONE: 507/553-3115 (00784) FAX: MS. JESSICA RAAD 507/553-6060 Church THE SHEPHERDS INN HWSAL HCP-F 46 FIRST AVENUE SOUTHWEST WELLS, MN 56097 PHONE: 507/553-6271 (20042) FAX: 507/553-6830 Dist ADOLESCENT TRTMT CTR WINNEBAGO MR. STEVEN LORENZ SLFA-24 620 1ST AVENUE SOUTHWEST WINNEBAGO, MN 56098 PHONE: 507/893-3885 (01377) FAX: 507/893-4223 Corp PARKER OAKS COMMUNITIES INC MR. JEFFREY LANG NH-35 SNF-NF-35 211 SIXTH STREET NORTHWEST WINNEBAGO, MN 56098 PHONE: 507/893-3171 (00120) FAX: 507/893-3174 Corp PARKER OAKS COMMUNITIES INC MR. CHRISTOPHER KNOLL HCP-F HWSAL 211 SIXTH STREET NORTHWEST WINNEBAGO, MN 56098 PHONE: 507/893-3171 (20270) FAX: 507/893-3174 MS. DOROTHY BAKER HWSAL Corp PATRIOT ASSISTED LIVING 550 CLEVELAND AVENUE WINNEBAGO, MN 56098 PHONE: 507/893-4999 (28258) FAX: /- MS. DOROTHY BAKER ---------------------------********** NProf CHOSEN VALLEY ASSISTED LIVING FILLMORE HWSAL HCP-F 1260 WINONA STREET SE CHATFIELD, MN 55923 PHONE: 507/867-3416 (24105) FAX: 507/867-3426 ******** -------------------------- MR. CRAIG BACKEN Minnesota Department of Health Division of Compliance Monitoring Page 89 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf CHOSEN VALLEY CARE CENTER Certification FILLMORE Registration (Cont.)* -------------------------- NH-78 SNF-NF-78 1102 LIBERTY STREET SOUTHEAST (00750) CHATFIELD, MN 55923 PHONE: 507/867-4220 FAX: NProf HARMONY COMMUNITY HLTHCARE INC MR. CRAIG BACKEN 507/867-0080 NH-43 SNF-NF-43 815 MAIN AVE S HARMONY, MN 55939 PHONE: 507/886-6544 (00125) FAX: City HERITAGE GROVE MR. TIMOTHY SAMUELSON 507/886-6584 HCP-F HWSAL 455 MAIN AVENUE NORTH HARMONY, MN 55939 PHONE: 507/886-6515 (21518) FAX: Corp GREEN LEA MANOR MR. TIM TRIMBLE 507/886-6620 NH-51 SNF-NF-51 115 NORTH LYNDALE RR 2 BOX 49 MABEL, MN 55954 PHONE: 507/493-5436 (00124) FAX: Corp THE MEADOWS OF MABEL MS. JULIE VETTLESON 507/493-5461 HCP-F HWSAL 610 EAST NEWBURG STREET MABEL, MN 55954 PHONE: 507/493-5995 (23862) FAX: Corp OSTRANDER ASSISTED LIVING MS. JULIE VETTLESON 507/493-5555 HCP-F HWSAL 309 MINNESOTA STREET OSTRANDER, MN 55961 PHONE: 507/657-2231 (23139) FAX: Corp OSTRANDER CARE AND REHAB MR. GRANT THAYER 507/657-2403 NH-25 SNF-NF-25 305 MINNESOTA STREET OSTRANDER, MN 55961 PHONE: 507/657-2231 (00922) FAX: Cnty FILLMORE COUNTY PHNS MR. LLOYD SWALVE 507/657-2403 HCP-A HHA 902 HOUSTON ST NW PRESTON, MN 55965 PHONE: 507/765-3898 (02047) FAX: Lim-Liab PARK LANE ESTATES MS. LANTHA STEVENS 507/765-2139 HCP-F HWSAL 111 FILLMORE PLACE SOUTHEAST PRESTON, MN 55965 PHONE: 507/765-9986 (21250) FAX: NProf PRESTON GOOD SAM SOC HC MR. CHUCK LANE 507/765-9987 HCP-A HHA 200 ST PAUL STREET PRESTON, MN 55965 PHONE: 507/765-2700 (03380) FAX: 507/765-3339 MS. VICKIE LYNCH Minnesota Department of Health Division of Compliance Monitoring Page 90 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab TRADITIONS OF PRESTON LLC Certification FILLMORE Registration (Cont.)* -------------------------- HCP-F HWSAL 515 WASHINGTON STREET NW (26354) PRESTON, MN 55965 PHONE: 507/765-3837 FAX: 507/765-3838 Church BREMMER SUITES MS. BRYNA DISRUDE HCP-F HWSAL 803 HOME STREET PO BOX 747 RUSHFORD, MN 55971 PHONE: 507/864-7714 (20418) FAX: 507/864-2842 Church GOOD SHEPHERD LUTHERAN HOME MRS. SAMANTHA COLBENSON NH-75 SNF-NF-75 800 HOME STREET BOX 747 RUSHFORD, MN 55971 PHONE: 507/864-7714 (00123) FAX: MR. TOM LINDH 507/864-2842 Out Pt Out Ot Part THERAPY NETWORK 800 HOME STREET PO BOX 747 RUSHFORD, MN 55971 PHONE: 507/454-3621 (02447) FAX: /- MR. ROBERT SCHRUPP NProf SPRING VALLEY CARE CENTER NH-50 SNF-NF-50 800 MEMORIAL DRIVE SPRING VALLEY, MN 55975 PHONE: 507/346-7381 (00121) FAX: 507/346-7619 NProf SPRING VALLEY ESTATES MS. PENNY SOLBERG HCP-F HWSAL 815 MEMORIAL DRIVE SPRING VALLEY, MN 55975 PHONE: 507/346-7381 (21082) FAX: 507/346-7619 NProf SPRING VALLEY HOME HEALTH AG MS. DEANNA VREEMAN HCP-A HHA 800 MEMORIAL DRIVE SPRING VALLEY, MN 55975 PHONE: 507/346-7381 (02406) FAX: 507/346-7619 MS. PENNY SOLBERG HWS NProf THE EVERGREENS 820 MEMORIAL DRIVE SPRING VALLEY, MN 55975 PHONE: 507/346-7381 (25275) FAX: 507/346-7619 MS. DEANNA VREEMAN ---------------------------********** Corp BRIANS ELDER CARE INC FREEBORN ******** -------------------------- HCP-F HWSAL 1201 SOUTHVIEW LANE ALBERT LEA, MN 56007 PHONE: 507/373-9616 (20323) FAX: 507/377-8025 MR. BRIAN FREDRICKSON Minnesota Department of Health Division of Compliance Monitoring Page 91 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Ind BROADWAY ASSISTED LIVING Certification FREEBORN Registration (Cont.)* -------------------------- BCH-9 HCP-F HWSAL 512 SOUTH BROADWAY (00132) ALBERT LEA, MN 56007 PHONE: 507/373-2909 FAX: MRS. ANNABELLE FRAZIER 507/373-2239 Lim-Liab EMBRACE HOME CARE LLC HCP-A 204 SOUTH WASHINGTON STE 100 ALBERT LEA, MN 56007 PHONE: 507/369-5701 (27834) FAX: MS. PATTY MADRIGAL 507/369-5702 NProf FOUNTAIN LAKE TREATMENT CTR SLFA-26 SLFB-32 408 FOUNTAIN STREET WEST ALBERT LEA, MN 56007 PHONE: 507/377-6411 (01390) FAX: MR. JERRY EHN 507/377-6443 NProf GOOD SAM SOCIETY ALBERT LEA SNF-NF-114 NH-114 75507 240TH STREET ALBERT LEA, MN 56007 PHONE: 507/373-0683 (00131) FAX: MS. KATIE DAVIS 507/373-3229 NProf GOOD SAM SOCIETY HIDDEN CREEK HCP-F HWSAL 75303 240TH STREET ALBERT LEA, MN 56007 PHONE: 507/379-2737 (24246) FAX: MS. KATIE DAVIS 507/379-5964 Part JUST LIKE HOME PLACE LLP HCP-F 310 EAST CLARK STREET ALBERT LEA, MN 56007 PHONE: 507/373-0975 (20205) FAX: MR. ROLAND KEYESKI 507/377-6186 HWSAL Part JUST LIKE HOME PLACE LLP 310 E CLARK ALBERT LEA, MN 56007 PHONE: 507/373-0975 (23461) FAX: MR. ROLAND KEYESKI 507/377-6186 Church KNUTSON PLACE APARTMENTS HCP-F HWS 801 LUTHER PLACE ALBERT LEA, MN 56007 PHONE: 507/373-8226 (20016) FAX: MR. SCOT SPATES 507/379-9506 ESRD NProf MAYO DIALYSIS ALBERT LEA 1705 BROADWAY SOUTHEAST ALBERT LEA, MN 56007 PHONE: 507/373-2384 (02118) FAX: MR. TERRY MAXHIMER /- NProf MAYO CLINIC HEALTH SYS ALBT LE BASS-12 HOSP-77 404 WEST FOUNTAIN STREET ALBERT LEA, MN 56007 PHONE: 507/373-2384 (00920) FAX: 507/377-6383 MR. STEVEN UNDERDAHL HOSP-77 Minnesota Department of Health Division of Compliance Monitoring Page 92 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf MAYO CLINIC HEALTH SYS ALBT LE Certification FREEBORN Registration (Cont.)* -------------------------- Hospice HSPICE 1705 SOUTHEAST BROADWAY (03179) ALBERT LEA, MN 56007 PHONE: 507/377-6393 FAX: 507/377-6451 NProf MAYO CLINIC HS ALBERT LEA MS. MARCIA SMITH HCP-A HHA 1705 SOUTHEAST BROADWAY ALBERT LEA, MN 56007 PHONE: 507/377-6393 (02263) FAX: 507/377-6451 Lim-Liab OAK PARK PLACE MS. MARCIA SMITH HCP-F HWSAL 1615 BRIDGE AVENUE ALBERT LEA, MN 56007 PHONE: 507/373-5600 (21154) FAX: MR. SCOTT FRANK 507/373-1121 Corp REM WOODVALE INC PLAINVIEW ICFMR-32 SLFB-32 1204 PLAINVIEW LANE ALBERT LEA, MN 56007 PHONE: 507/373-7629 (01307) FAX: 507/373-7299 Church ST JOHNS LUTHERAN HOME MR. PATRICK MASYGA SNF-NF-170 NH-170 901 LUTHER PLACE ALBERT LEA, MN 56007 PHONE: 507/373-8226 (00138) FAX: 507/379-9506 NProf THORNE CREST RET CENTER MR. SCOT SPATES NH-52 SNF-NF-52 1201 GARFIELD AVENUE ALBERT LEA, MN 56007 PHONE: 507/373-2311 (00833) FAX: 507/377-1216 NProf THORNE CREST RETIREMENT CENTE MS. SHANNA ECKBERG HCP-F HWSAL 1201 GARFIELD AVENUE ALBERT LEA, MN 56007 PHONE: 507/373-2311 (20111) FAX: 507/377-1216 MS. SHANNA ECKBERG Home Mgmt Ind JOANN JENSEN 79841 170TH STREET GLENVILLE, MN 56036 PHONE: 507/488-0122 (24939) FAX: /- MS. JOANN JENSEN ---------------------------********** NProf ANGELS CARE CENTER GOODHUE NH-89 SNF-NF-89 300 NORTH DOW STREET CANNON FALLS, MN 55009 PHONE: 507/263-4658 (00758) FAX: 507/263-4127 ******** -------------------------- MR. RICK BUECHNER Minnesota Department of Health Division of Compliance Monitoring Page 93 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf MAYO CLINIC HEALTH SYS CF Certification GOODHUE Registration (Cont.)* -------------------------- BASS-4 HOSP-21 CAH-21 1116 WEST MILL STREET (00140) CANNON FALLS, MN 55009 PHONE: 507/263-4221 FAX: MR. WILLIAM PRIEST 507/263-7853 HWSAL Lim-Liab TWIN RIVERS SENIOR CAMPUS 900 MAIN STREET CANNON FALLS, MN 55009 PHONE: 507/263-3600 (26730) FAX: MS. KIM WORRALL 507/263-6077 Church GUNDERSON GARDENS HCP-F HWSAL 215 HUSETH STREET KENYON, MN 55946 PHONE: 507/789-7138 (23397) FAX: MR. DAVID VANDERGON 507/789-8843 Church KENYON SUNSET HOME NH-43 SNF-NF-43 127 GUNDERSON BOULEVARD KENYON, MN 55946 PHONE: 507/789-7104 (00145) FAX: MR. DAVID VANDERGON 507/789-8843 Lim-Liab NORTH RIDGE VIEW LLC HCP-F HWSAL 101 NORTH RIDGE DRIVE KENYON, MN 55946 PHONE: 507/789-6184 (27617) FAX: MS. ALICE SYVERSON 507/789-6184 Ind RUTH FREDRICKSON CARES HCP-A 715 HOME STREET BOX 16 KENYON, MN 55946 PHONE: 507/789-6521 (24834) FAX: MS. RUTH FREDRICKSON /- ONProf EVERGREEN PLACE HCP-F HWSAL 220 THIRD STREET NORTHWEST PINE ISLAND, MN 55963 PHONE: 507/356-8585 (20321) FAX: MR. STEVE ZILLER 507/356-8563 NProf PINE HAVEN CARE CENTER INC NH-66 SNF-NF-66 210 NORTHWEST THIRD STREET PINE ISLAND, MN 55963 PHONE: 507/356-8304 (00148) FAX: MR. STEVEN ZILLER 507/356-4400 NProf PINE HAVEN HOME HEALTH HCP-A 220 3RD STREET NORTHWEST PINE ISLAND, MN 55963 PHONE: 507/356-8585 (27311) FAX: MS. DANETTE BAKKEN 507/356-8563 NProf ACCRA HOME HEALTH INC HCP-A HHA 910 MAIN STREET #205 RED WING, MN 55066 PHONE: 952/935-3515 (02048) FAX: /- MR. JOHN DAHM Minnesota Department of Health Division of Compliance Monitoring Page 94 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab DEER CREST Certification GOODHUE Registration (Cont.)* -------------------------- HCP-F HWSAL 470 FAIRVIEW BOULEVARD (25182) RED WING, MN 55066 PHONE: 651/267-5444 FAX: MS. JILL PRAHL 651/267-5429 Corp HIAWATHA HOMECARE HCP-A HHA 4920 MOUNDVIEW DR STE B RED WING, MN 55066 PHONE: 651/388-2223 (02923) FAX: MS. KAREN SEIFERT 651/388-2227 HWS HRA JORDAN TOWER I 433 WEST FOURTH STREET RED WING, MN 55066 PHONE: 651/301-7018 (21039) FAX: MR. RANDAL HEMMERLIN 651/385-0551 HWS HRA JORDAN TOWER II 440 WEST FIFTH STREET RED WING, MN 55066 PHONE: 651/301-7018 (21040) FAX: MR. RANDAL HEMMERLIN 651/385-0551 Corp KATHERINE MORROW INC HCP-A 722 EAST AVENUE RED WING, MN 55066 PHONE: 651/388-6174 (25365) FAX: MS. KATHERINE MORROW /- Lim-Liab LOVING RESIDENCE HCP-F HWSAL 1760 PERLICH AVENUE RED WING, MN 55066 PHONE: 651/388-1650 (20142) FAX: NProf MAYO CLINIC HLTH SYS IN REDWIN MS. SANDRA MCDONALD 651/388-1684 Hospice HSPICE 1407 WEST FOURTH ST RED WING, MN 55066 PHONE: 651/385-3410 (03130) FAX: ONProf MAYO CLINIC HLTH SYS RED WING MS. NICHOLE GRUIS DIEKMANN 651/385-3414 HCP-A HHA 1407 WEST FOURTH ST RED WING, MN 55066 PHONE: 651/385-3410 (02301) FAX: NProf MAYO CLINIC HLTH SYS RED WING MS. NICHOLE GRUIS DIEKMANN 651/385-3414 BASS-7 HOSP-50 HOSP-50 701 HEWITT BOULEVARD POB 95 RED WING, MN 55066 PHONE: 651/267-5051 (21423) FAX: Corp POTTER RIDGE MR. MICHAEL LARSON 651/267-5935 HCP-F HWSAL 1971 NEAL STREET RED WING, MN 55066 PHONE: 651/388-1546 (24048) FAX: 651/388-1438 MR. DEAN BLOEMKE Minnesota Department of Health Division of Compliance Monitoring Page 95 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification GOODHUE (Cont.)* -------------------------ESRD Corp RED WING DIALYSIS UNIT Registration 3028 NORTH SERVICE DRIVE (02510) RED WING, MN 55066 PHONE: 651/388-7711 FAX: Lim-Liab RED WING HEALTH CENTER MS. DEDE ERICKSON 651/388-4311 NH-145 SNF-NF-145 1412 WEST 4TH STREET RED WING, MN 55066 PHONE: 651/385-4800 (00149) FAX: Corp REM RIVER BLUFFS PARK HEIGHTS MR. ANTHONY LINN 651/388-9502 SLFB-13 ICFMR-13 2606 MALMQUIST AVENUE RED WING, MN 55066 PHONE: 651/388-7158 (01511) FAX: NProf SEMINARY HOME MS. JUANITA HAYES 651/388-8243 NH-84 SNF-NF-84 906 COLLEGE AVENUE RED WING, MN 55066 PHONE: 651/385-3434 (00150) FAX: MS. MARY JO HILL 651/385-3420 HWSAL Church ST BRIGID'S AT HI PARK 135 PIONEER ROAD RED WING, MN 55066 PHONE: 651/388-1234 (20291) FAX: Church ST BRIGID'S AT HI PARK MR. MICHAEL SCHULTZ 651/385-5481 HCP-A 135 PIONEER ROAD RED WING, MN 55066 PHONE: 651/388-1234 (03227) FAX: Church ST BRIGIDS AT HI PARK MR. MICHAEL SCHULTZ 651/388-0347 NH-65 SNF-NF-65 213 PIONEER ROAD RED WING, MN 55066 PHONE: 651/388-1234 (00787) FAX: Lim-Liab VALENTINES ASSISTED LIVING LLC MR. MICHAEL SCHULTZ 651/388-0347 HCP-F HWSAL 2557 EAGLE RIDGE DRIVE RED WING, MN 55066 PHONE: 651/388-5556 (25435) FAX: Church VASA CHILDRENS HOME MS. SANDRA MCDONALD 651/388-2363 SLFB-12 ICFMR-12 5225 WEST HIGHWAY 61 RED WING, MN 55066 PHONE: 651/388-8845 (01020) FAX: 651/388-8848 MS. MONIQUE STROM Home Mgmt Lim-Liab VISITING ANGELS 2000 OLD WEST MAIN ST STE 328 RED WING, MN 55066 PHONE: 651/212-6600 (26490) FAX: 651/385-2225 MR. JAY ROESNER Minnesota Department of Health Division of Compliance Monitoring Page 96 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab VISITING ANGELS Certification GOODHUE Registration (Cont.)* -------------------------- HCP-A 2000 OLD W MAIN ST STE 328 (26539) RED WING, MN 55066 PHONE: 651/212-6601 FAX: NProf RIVERVIEW SERVICES INC MR. JAY ROESNER 651/385-2225 SLFB-11 ICFMR-11 400 HILLCREST AVENUE NORTH WANAMINGO, MN 55983 PHONE: 507/824-2091 (01229) FAX: MS. NANCI ADAMS 507/824-2249 HWSAL NProf THE BRIDGES OF ZUMBROTA 295 WEST 4TH STREET ZUMBROTA, MN 55992 PHONE: 507/732-8455 (20583) FAX: NProf ZUMBROTA CARE CENTER MS. SHANNON DONAHUE 507/732-8433 NH-47 SNF-NF-47 433 MILL STREET ZUMBROTA, MN 55992 PHONE: 507/732-8402 (00917) FAX: ZUMBROTA CARE CENTER HOME CARE MS. SHANNON DONAHUE 507/732-8432 NProf HCP-F 433 MILL STREET ZUMBROTA, MN 55992 PHONE: 507/732-8455 (22850) FAX: MS. SHANNON DONAHUE 507/732-8433 ---------------------------********** GRANT ******** -------------------------HWSAL Corp ASHBY LIVING CENTER INC 112 IVERSON ASHBY, MN 56309 PHONE: 218/747-2995 (28744) FAX: MS. SUSAN BALA 218/747-2996 HWSAL Corp BARRETT ASSISTED LVG COM INC 800 SPRUCE AVENUE BARRETT, MN 56311 PHONE: 320/528-2371 (20428) FAX: Corp BARRETT ASSISTED LVG COMMUNITY MR. VERNON JUNKER 320/528-2504 HCP-A 800 SPRUCE AVENUE BARRETT, MN 56311 PHONE: 320/528-2527 (28985) FAX: Corp BARRETT CARE CENTER INC MS. JEANINE JUNKER 320/528-2642 SNF-NF-33 NH-33 800 SPRUCE AVENUE BARRETT, MN 56311 PHONE: 320/528-2527 (00153) FAX: 320/528-2642 MR. VERNON JUNKER Minnesota Department of Health Division of Compliance Monitoring Page 97 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf PRAIRIE RIDGE HOSP HLTH SERV Certification GRANT Registration (Cont.)* -------------------------CAH-20 BASS-2 HOSP-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 HOFFMAN, MN 56339 PHONE: 320/986-2048 (00014) FAX: MR. WILLIAM BREWER 320/986-2564 ---------------------------********** HENNEPIN HWS NProf 10731 FRANCE AVENUE SOUTH ******** -------------------------- 10731 FRANCE AVENUE SOUTH BLOOMINGTON, MN 55431 PHONE: 612/724-7368 (29211) FAX: MS. KRISTEN BROWN /- HWS NProf 1501 AMERICAN BOULEVARD 1501 AMERICAN BOULEVARD BLOOMINGTON, MN 55425 PHONE: 612/281-2550 (29027) FAX: MS. KRISTEN BROWN /- HWS NProf 8601 NICOLLET AVENUE SOUTH 8601 NICOLLET AVENUE SOUTH BLOOMINGTON, MN 55420 PHONE: 612/703-2610 (27277) FAX: MS. KRISTEN BROWN /- NProf A+ HOME HEALTH CARE INC HCP-A 8932 OLD CEDAR AVENUE SOUTH BLOOMINGTON, MN 55425 PHONE: 952/854-7760 (03413) FAX: MS. DONNA ROBB 952/854-7842 Ind AGAPE SENIOR KARE HCP-A 5706 AUTO CLUB CIRCLE BLOOMINGTON, MN 55437 PHONE: 952/835-3037 (27400) FAX: MS. PATRICIA LIBBY /- Home Mgmt Corp ALL HOME HEALTH INC 2626 82ND ST E STE 180 BLOOMINGTON, MN 55425 PHONE: 952/814-7400 (24067) FAX: 952/853-0966 MR. MAC WALTERS HWSAL-O Lim-Liab AMELIE HOUSE 1400 WEST 100TH STREET BLOOMINGTON, MN 55431 PHONE: 952/746-7896 (26939) FAX: 952/746-7897 MR. JAMES HAMMILL Minnesota Department of Health Division of Compliance Monitoring Page 98 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab ASERACARE HOME HEALTH Certification HENNEPIN Registration (Cont.)* -------------------------- HCP-A HHA 5001 AMERICAN BLVD SUITE 640 (23582) BLOOMINGTON, MN 55437 PHONE: 952/835-5314 FAX: MS. LISA HARREL 952/835-5441 Corp ASERACARE HOSPICE Hospice HSPICE 5001 AMERICAN BLVD SUITE 655 BLOOMINGTON, MN 55437 PHONE: 952/943-0009 (23584) FAX: MS. MARY HARREL 952/943-1187 NProf ASSISTED LVG IN HERITAGE HALL HCP-F HWSAL 11501 MASONIC HOME DRIVE BLOOMINGTON, MN 55437 PHONE: 952/948-7000 (20126) FAX: MS. SHELLY WIGGEN 952/948-7970 ESRD Corp BLOOMINGTON DIALYSIS UNIT TRC 8591 LYNDALE AVENUE SOUTH BLOOMINGTON, MN 55420 PHONE: 952/703-5888 (20863) FAX: MS. COURTNEY JENNE 952/703-5889 NProf BLOOMINGTON OUTREACH HOME SLFA-6 ICFMR-6 10633 KELL AVENUE SOUTH BLOOMINGTON, MN 55437 PHONE: 952/881-2848 (01098) FAX: MS. MARY TJOSVOLD 952/884-0179 Lim-Liab BRECK HOME RESIDENTIAL CARE HCP-F HWSAL 312 WEST 95TH STREET BLOOMINGTON, MN 55420 PHONE: 612/702-8801 (23111) FAX: MS. JENNIFER MORGAN 952/881-2100 HWSAL Lim-Liab BRECK HOME RESIDENTIAL CARE CE 318 WEST 95TH STREET BLOOMINGTON, MN 55420 PHONE: 612/702-8801 (24594) FAX: MS. JENNIFER MORGAN 952/881-2100 HWS-O Corp CARDENAS FRIENDSHIP HOUSE 3608 WEST 84TH STREET BLOOMINGTON, MN 55431 PHONE: 612/670-1380 (20981) FAX: MR. ROBERT CARDENAS /- Corp CARLSON DRAKE HOUSE SLFA-12 5414 W OLD SHAKOPEE CIRCLE BLOOMINGTON, MN 55437 PHONE: 952/888-5611 (01508) FAX: MS. KIM OFFERDAHL-BROOKS 952/888-3741 Ind CAROL BURNETT HCP-C 6970 WEST 84TH STREET BLOOMINGTON, MN 55438 PHONE: 952/884-8933 (03115) FAX: /- MS. CAROL BURNETT Minnesota Department of Health Division of Compliance Monitoring Page 99 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab CHU SURGERY CENTER LLC Certification HENNEPIN Registration (Cont.)* -------------------------- Outpt Surg Amb Surg 9117 LYNDALE AVE SOUTH (25881) BLOOMINGTON, MN 55420 PHONE: 952/835-1235 FAX: MS. CARRIE JACOBS 952/835-0534 HWS Corp DESTINY HOME CARE SERVICES 8036 UPTON AVENUE SOUTH BLOOMINGTON, MN 55431 PHONE: 952/888-7172 (28028) FAX: MS. FAITH UDEH 952/888-7724 HWSAL-O Corp DESTINY HOME CARE SERVICES 9907 WENTWORTH AVENUE SOUTH BLOOMINGTON, MN 55420 PHONE: 952/888-7172 (27249) FAX: MS. FAITH UDEH 952/888-7724 HWSAL-O Corp DESTINY HOME CARE SERVICES 8709 BRYANT AVENUE SOUTH BLOOMINGTON, MN 55420 PHONE: 952/888-1405 (27248) FAX: MS. FAITH UDEH 952/888-7724 Corp DESTINY HOME CARE SERVICES INC HCP-A 9907 WENTWORTH AVENUE SOUTH BLOOMINGTON, MN 55420 PHONE: 952/888-7172 (24149) FAX: MS. FAITH UDEH 952/888-7724 ESRD Corp FMC SOUTHTOWN DIALYSIS 7901 XERXES AVE SOUTH #103 BLOOMINGTON, MN 55431 PHONE: 952/881-6986 (25770) FAX: MS. BEVERLY LEVY 952/881-0621 Corp FOUNDERS RIDGE HCP-F 6600 AUTO CLUB ROAD BLOOMINGTON, MN 55438 PHONE: 952/946-2000 (29092) FAX: MS. NATALIE MORLAND 952/946-2001 HWS NProf FOUNDERS RIDGE 6600 AUTO CLUB ROAD BLOOMINGTON, MN 55438 PHONE: 952/946-2000 (28701) FAX: MS. LISA ALIPATE /- HWS NProf FREMONT COURT 8300 FREMONT AVENUE SOUTH BLOOMINGTON, MN 55420 PHONE: 952/884-6308 (27883) FAX: MS. KRISTEN BROWN /- NProf FRIENDSHIP VILLAGE OF BLOOMING HCP-A 8100 HIGHWOOD DRIVE BLOOMINGTON, MN 55438 PHONE: 952/831-7500 (03093) FAX: 952/830-9583 MR. RONALD DONACIK Minnesota Department of Health Division of Compliance Monitoring Page 100 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS NProf FRIENDSHIP VILLAGE OF BLOOMING Registration 8100 HIGHWOOD DRIVE (20194) BLOOMINGTON, MN 55438 PHONE: 952/831-7500 FAX: MR. RICK MEYER 952/830-9893 NProf FRIENDSHIP VLGE OF BLOOMINGTON BCH-53 NH-66 SNF-66 8100 HIGHWOOD DRIVE BLOOMINGTON, MN 55438 PHONE: 952/831-7500 (00806) FAX: MR. RONALD DONACIK 952/830-9893 HWSAL-O NProf GARFIELD COMMONS 9450 GARFIELD AVENUE SOUTH BLOOMINGTON, MN 55420 PHONE: 651/639-9799 (24489) FAX: MR. MICHAEL BJERKESETT 651/639-3699 Lim-Liab GOLDEN LIVINGCENTER BLOOMINGTN SNF-NF-74 NH-74 9200 NICOLLET AVENUE SOUTH BLOOMINGTON, MN 55420 PHONE: 952/881-8676 (00169) FAX: MR. JOSEPH GUBBELS 952/881-1050 Lim-Liab GUAVA HEALTHCARE HCP-A 9897 LYNDALE AVENUE S STE 1 BLOOMINGTON, MN 55420 PHONE: 612/280-7752 (28823) FAX: MS. RACHEL LARSON /- NProf GUNDERSON PLACE SLFB-6 ICFMR-6 9739 UTICA ROAD BLOOMINGTON, MN 55437 PHONE: 952/831-4155 (01627) FAX: NProf HEALTHPARTNERS HOSPICE & PALLI MR. GEORGE KLAUSER 952/831-0407 Hospice HSPICE 8170 33RD AVENUE SOUTH BLOOMINGTON, MN 55425 PHONE: 952/883-6977 (02533) FAX: Corp HOME LAB PARTNERS INC MS. MARY LOU IRVINE 952/883-6883 HCP-A 2626 EAST 82ND STREET STE 101 BLOOMINGTON, MN 55425 PHONE: 952/842-9000 (28280) FAX: Lim-Liab HOMECARE RESOURCE LLC MS. BARBARA DREALAN 952/842-9001 HCP-A 2740 AMERICAN BLVD W STE 110 BLOOMINGTON, MN 55431 PHONE: 952/854-6104 (21226) FAX: Corp HOMEWELL SENIOR CARE MS. CHARIE DEVOLITES 952/854-6134 HCP-B 5001 AMERICAN BLVD STE 605 BLOOMINGTON, MN 55437 PHONE: 952/345-3202 (27694) FAX: 952/345-3204 MR. LEONARD JACOBSEN Minnesota Department of Health Division of Compliance Monitoring Page 101 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp IN-HOME LAB CONNECTION INC Certification HENNEPIN Registration (Cont.)* -------------------------- HCP-A HHA 2626 EAST 82ND STREET STE 101 (21893) BLOOMINGTON, MN 55425 PHONE: 952/842-9000 FAX: MS. KATHLEEN VALUSEK 952/842-9001 Lim-Liab LIVE WELL AT HOME CARE HCP-A 8040 ENSIGN ROAD BLOOMINGTON, MN 55438 PHONE: 612/701-9816 (28281) FAX: MR. JEFFREY WETMORE /- HWS NProf LYNDALE AVENUE APARTMENTS 9140 LYNDALE AVENUE SOUTH BLOOMINGTON, MN 55420 PHONE: 612/618-0644 (27887) FAX: MS. KRISTEN BROWN 612/440-1074 HWS NProf LYNDALE AVENUE PROPERTIES 9130 LYNDALE AVENUE SOUTH BLOOMINGTON, MN 55429 PHONE: 612/618-0644 (28044) FAX: MS. KRISTEN BROWN 952/440-1074 Corp M & E NURSING SERVICES AND TRA HCP-A 7900 INTERNATIONAL DR STE 200 BLOOMINGTON, MN 55425 PHONE: 952/851-7883 (25239) FAX: DR. WINSTON SCHIMMING 952/854-8437 Lim-Liab MAINSTAY SENIOR CARE HCP-B 8120 PENN AVENUE SOUTH #419 BLOOMINGTON, MN 55431 PHONE: 952/452-8083 (28750) FAX: MS. JOAN CONNELLY 510/443-1874 Lim-Liab MARTIN LUTHER CARE CENTER NH-137 SNF-NF-137 1401 EAST 100TH STREET BLOOMINGTON, MN 55425 PHONE: 952/948-5150 (00227) FAX: MS. JODY BARNEY 952/698-3606 HWS NProf MASADA MANOR 9000 NICOLLET AVENUE SOUTH BLOOMINGTON, MN 55420 PHONE: 952/888-1270 (27609) FAX: MS. KRISTEN BROWN /- HWSAL Part MEADOW WOODS 1301 EAST 100TH STREET BLOOMINGTON, MN 55425 PHONE: 952/888-1010 (20264) FAX: Part MEADOW WOODS HOME CARE MS. SUZANNE KONECNY 952/881-4323 HCP-F 1301 EAST 100TH STREET BLOOMINGTON, MN 55425 PHONE: 952/948-5180 (25763) FAX: 952/881-4323 MS. SUZIE KONECNY Minnesota Department of Health Division of Compliance Monitoring Page 102 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab METROPOLITAN LIVING LLC Certification HENNEPIN Registration (Cont.)* -------------------------- HCP-F HWSAL-O 9230 5TH AVENUE SOUTH (26106) BLOOMINGTON, MN 55420 PHONE: 952/746-7896 FAX: MR. JIM HAMMILL 952/746-7897 NProf MINNESOTA MASONIC HOME CARE CT NH-214 SNF-NF-214 11501 MASONIC HOME DRIVE BLOOMINGTON, MN 55437 PHONE: 952/948-7956 (00232) FAX: MS. SHELLY WIGGIN 952/948-7970 Lim-Liab MN EYE LASER & SURGERY CENTER Outpt Surg Amb Surg 9801 DUPONT AVE SO SUITE 100 BLOOMINGTON, MN 55431 PHONE: 952/567-6062 (00301) FAX: MS. MAGGIE LINDSTROM 952/567-6188 Corp MNGI ENDOSCOPY BLOOMINGTON Outpt Surg Amb Surg 5705 W OLD SHAKOPEE RD STE 150 BLOOMINGTON, MN 55437 PHONE: 612/871-1145 (25898) FAX: DR. SCOTT KETOVER 651/641-0556 XRAY Corp MOBILEX USA 8030 OLD CEDAR AVE S SUITE 226 BLOOMINGTON, MN 554251203 PHONE: 952/854-4984 (27065) FAX: MS. PATRICIA FALICE /- State MSOCS BLOOMINGTON SLFB-6 ICFMR-6 8634 OAKLAND AVENUE BLOOMINGTON, MN 55420 PHONE: 952/881-5214 (01652) FAX: MR. ROGER DENEEN 952/881-5246 Corp MTAI ALBERT PLACE SLFA-6 ICFMR-6 9911 13TH AVENUE SOUTH BLOOMINGTON, MN 55425 PHONE: 952/888-0652 (01565) FAX: MS. MARY TJOSVOLD 952/881-6182 Corp NERVANAS CARING HANDS INC HCP-F HWS 8719 BLOOMINGTON AVENUE SOUTH BLOOMINGTON, MN 55425 PHONE: 612/220-7511 (26052) FAX: 952/854-4633 MS. NERVANA RAMNARAIN HWSAL NProf NEWTON MANOR 10000 NEWTON AVENUE SOUTH BLOOMINGTON, MN 55431 PHONE: 952/948-3000 (21010) FAX: 952/948-3017 MS. SUE HILLSTAD HWS NProf NICOLLET COURT 8909 WENTWORTH AVE BLOOMINGTON, MN 55420 PHONE: 952/888-1270 (27613) FAX: /- MS. KRISTEN BROWN Minnesota Department of Health Division of Compliance Monitoring Page 103 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS NProf NICOLLET COURT APARTMENTS Registration 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 BLOOMINGTON, MN 55431 PHONE: 952/888-0731 (27108) FAX: MS. KAREN LARSON 952/884-2191 Lim-Liab PAMPER ME FOOTCARE HCP-A 10807 GOODRICH AVENUE SOUTH BLOOMINGTON, MN 55437 PHONE: 952/220-7527 (29159) FAX: MS. TONYA CHABOYEA /- XRAY Corp PREMIER DIAGNOSTIC IMAGING INC 10800 LYNDALE AVE S STE 150 BLOOMINGTON, MN 55420 PHONE: 952/955-8010 (26595) FAX: NProf PRESB HOMES OF BLOOMINGTON MS. KIM ALGOO 952/345-0295 NH-98 SNF-NF-98 9889 PENN AVENUE SOUTH BLOOMINGTON, MN 55431 PHONE: 952/948-3000 (00189) FAX: NProf PRESBYTERIAN HOMES OF BLOOMING MS. MICHELLE SULLIVAN 952/948-3002 HCP-F 9889 PENN AVENUE SOUTH BLOOMINGTON, MN 55431 PHONE: 952/948-3000 (27958) FAX: MS. NATALIE MORLAND 952/948-3017 HWSAL NProf PRESBYTERIAN HOMES OF BLOOMING 9889 PENN AVENUE SOUTH BLOOMINGTON, MN 55431 PHONE: 952/948-3000 (24062) FAX: MS. SUE HILLSTAD 952/948-3017 HWSAL NProf PRESBYTERIAN HOMES OF BLOOMING 10030 NEWTON AVENUE SOUTH BLOOMINGTON, MN 55431 PHONE: 952/948-3000 (20127) FAX: Lim-Liab PRESTIGE LIVING HOME CARE LLC MS. SUE HILLSTAD 952/948-3017 HCP-A 140 WEST 98TH STREET STE 218 BLOOMINGTON, MN 55420 PHONE: 952/881-2012 (29061) FAX: Lim-Liab PRNSC MS. ESTHER MUCHINA 952/884-5452 HCP-A 2740 AMERICAN BLVD W STE 100 BLOOMINGTON, MN 55431 PHONE: 952/858-8827 (25662) FAX: 952/858-8835 MS. CHARIE DEVOLITES Minnesota Department of Health Division of Compliance Monitoring Page 104 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab PRNSC LLC Certification HENNEPIN Registration (Cont.)* -------------------------- HCP-F 2740 AMERICAN BLVD W STE 100 (25220) BLOOMINGTON, MN 55431 PHONE: 952/858-8807 FAX: MS. CHARIE DEVOLITES 952/858-8835 XRAY Corp PROF PORTABLE X RAY INC 4801 W 81ST STREET STE 118 BLOOMINGTON, MN 55437 PHONE: 952/915-9779 (22086) FAX: MS. SUE MCNAMEE 952/915-9597 Corp PROF RESOURCE NETWORK HHC HCP-A HHA 2740 AMERICAN BLVD W STE 100 BLOOMINGTON, MN 55431 PHONE: 952/858-8807 (03633) FAX: MS. CHARIE DEVOLITES 952/858-8835 Corp RELIABLE HOME CARE HCP-A 9803 WENTWORTH AVENUE BLOOMINGTON, MN 55420 PHONE: 952/393-7857 (28659) FAX: MS. DEBORAH OJOGWU 952/888-8721 Corp REM HENNEPIN BLOOMINGTON SLFA-14 ICFMR-14 9201 CEDAR AVENUE SOUTH BLOOMINGTON, MN 55425 PHONE: 952/591-0797 (01360) FAX: MS. CONNIE MENNE 952/591-0050 Home Mgmt Corp RIGHT AT HOME 2626 EAST 82ND STREET STE 150 BLOOMINGTON, MN 55425 PHONE: 952/854-6122 (21258) FAX: MR. PAUL BLOM 952/854-6162 Lim-Liab RTS UNLIMITED HEALTHCARE SVCS HCP-A 8816 EMERSON AVENUE SOUTH BLOOMINGTON, MN 55420 PHONE: 651/714-3839 (29132) FAX: MS. TONYA LOVE 855/755-4401 Lim-Liab SENIOR HELPERS HCP-A 7800 METRO PARKWAY SUITE 100 BLOOMINGTON, MN 55425 PHONE: 952/392-1999 (24827) FAX: MS. KAREN LILYQUIST 952/392-1998 Lim-Liab SENIOR HOME HEALTH CARE HCP-A 7800 METRO PARKWAY SUITE 300 BLOOMINGTON, MN 55425 PHONE: 612/388-5404 (28931) FAX: 763/592-7969 MR. JEYLANI HASHI HWS NProf SIMPSON HOUSING SERVICES CROS 8735 PORTLAND AVENUE SOUTH BLOOMINGTON, MN 55420 PHONE: 612/455-1077 (26698) FAX: /- MS. JANELLE LEPPA Minnesota Department of Health Division of Compliance Monitoring Page 105 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 BLOOMINGTON, MN 55437 PHONE: 952/835-4645 (21101) FAX: MS. MARY ADAMS 952/943-2941 HWS Corp SOLBAKKEN INC 145 SPRING VALLEY DR BLOOMINGTON, MN 55420 PHONE: 952/943-8485 (20527) FAX: MS. MARY ADAMS 952/943-2941 HWS NProf ST STEPHENS HUMAN SERVICES 9150 LYNDALE AVE S BLOOMINGTON, MN 55420 PHONE: 612/618-0644 (28082) FAX: MS. KRISTEN BROWN 952/440-1074 Corp THE JAMES INC HCP-F HWSAL 4533 NORMANDALE HIGHLANDS D BLOOMINGTON, MN 55437 PHONE: 952/831-4591 (23991) FAX: MR. JAMES IMASUEN 952/831-3275 HWSAL Corp THE JAMES INC 10549 BEARD AVENUE SOUTH BLOOMINGTON, MN 55431 PHONE: 952/831-4591 (28558) FAX: MR. JAMES IMASUEN 952/831-3275 Out Pt Out St Out Ot Corp THE THERAPY PLACE 900 WEST 94TH STREET BLOOMINGTON, MN 55420 PHONE: 952/885-0418 (03828) FAX: MS. LYNN KOPFMAN /- Lim-Liab THE WEALSHIRE OF BLOOMINGTON HCP-F HWSAL 10601 LYNDALE AVENUE SOUTH BLOOMINGTON, MN 55420 PHONE: 952/345-1900 (28128) FAX: Lim-Liab TRIA ORTHOPAEDIC CTR LLC MR. THOMAS WISKOW 952/345-1906 Outpt Surg Amb Surg 8100 NORTHLAND DRIVE BLOOMINGTON, MN 55431 PHONE: 952/806-5303 (23244) FAX: Lim-Liab UTMOST CARE HEALTH SERVICES LL MR. THEODORE WEGLEITNER 952/831-1626 HCP-A HHA 8200 HUMBOLDT AVENUE S STE 101 BLOOMINGTON, MN 55431 PHONE: 952/486-1491 (25533) FAX: 952/681-2732 MS. BLESSING ANYIWE Minnesota Department of Health Division of Compliance Monitoring Page 106 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWSAL Lim-Liab WELCOME HOME RESIDENTIAL CARE Registration 8466 KELL AVENUE SOUTH (28782) BLOOMINGTON, MN 55437 PHONE: 612/203-8899 FAX: MR. CHRISTOPHER KUECHLE 952/929-2032 Corp WEST BLOOMINGTON RESIDENCE HCP-F HWSAL 10441 JOHNSON AVENUE SOUTH BLOOMINGTON, MN 55437 PHONE: 763/550-1774 (24675) FAX: MS. MARCIA DOONER 763/559-9155 NProf WINGSPAN LIFE RESOURCES SLFB-6 ICFMR-6 2209 91 1/2 STREET WEST BLOOMINGTON, MN 55431 PHONE: 651/646-3846 (01198) FAX: MS. PATRICIA MOORE 651/646-2347 HWS NProf 6307 SCOTT AVENUE NORTH 6307 SCOTT AVENUE NORTH BROOKLYN CENTER, MN 55429 PHONE: 651/528-5026 (28475) FAX: MS. KRISTEN BROWN /- Corp ESTEEM NURSING CARE INC HCP-A 3300 BASS LAKE ROAD STE 108 BROOKLYN CENTER, MN 55429 PHONE: 763/503-2400 (21960) FAX: MR. EMMANUEL OKIDEGBE 763/503-2401 HWS NProf 2801 66TH AVENUE NORTH 2801 66TH AVENUE NORTH BROOKLYN CENTER, MN 55430 PHONE: 718/415-5068 (26951) FAX: MS. KRISTEN BROWN /- HWS NProf 3513 47TH AVENUE NORTH 3513 47TH AVENUE NORTH BROOKLYN CENTER, MN 55422 PHONE: 612/522-3394 (26767) FAX: MS. KRISTEN BROWN /- HWS NProf 5211 XERXES AVENUE NORTH 5211 XERXES AVENUE NORTH BROOKLYN CENTER, MN 55430 PHONE: 612/558-1000 (28529) FAX: MS. STACEY RAY /- Corp ABIDJAN HEALTHCARE INC HCP-A 1301 72ND AVENUE NORTH BROOKLYN CENTER, MN 55430 PHONE: 763/208-5169 (27875) FAX: Lim-Liab ABUNDANT LIFE HOME HEALTH CARE MS. OYEMI ROBERTS 763/432-0170 HCP-A 5901 BROOKLYN BLVD STE 110 BROOKLYN CENTER, MN 55429 PHONE: 763/843-0735 (26471) FAX: 763/898-3521 MR. GEORGE MARSHALL Minnesota Department of Health Division of Compliance Monitoring Page 107 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS NProf AFFIRMATION HOUSE Registration 6007 NORTH GIRARD AVENUE (27055) BROOKLYN CENTER, MN 55430 PHONE: 612/204-8319 FAX: MS. STACY RAY /- Corp ALL LOVE INC HCP-A 5701 SHINGLE CREEK PKWY #580 BROOKLYN CENTER, MN 55430 PHONE: 763/205-5913 (26483) FAX: MR. PAXTON RICHARDSON 763/432-6214 HWSAL Lim-Liab AMAZING LOVE ASSISTED LIVING 2318 55TH AVENUE NORTH BROOKLYN CENTER, MN 55430 PHONE: 763/561-3434 (24365) FAX: Corp AMERICAN FAMILY HOME CARE MR. YEMMY OSONOWO 763/561-3636 HCP-A 5901 BROOKLYN BLVD SUITE 208 BROOKLYN CENTER, MN 55429 PHONE: 763/971-8888 (24442) FAX: Lim-Liab ASIAN AMERICAN ELDERLY AL LLC MS. LOVETH AMAYANVBO 763/971-8892 HWSAL HCP-F 5313 62ND AVENUE NORTH BROOKLYN CENTER, MN 55429 PHONE: 763/569-0127 (24014) FAX: MRS. CHAO VANG 763/569-0127 HWS NProf BEARD AVENUE APARTMENTS 6101 BEARD AVENUE NORTH BROOKLYN CENTER, MN 55429 PHONE: 651/470-4017 (28179) FAX: MS. KRISTEN BROWN 763/712-1334 HWSAL-O Corp BEST CARE GROUP 6213 CHOWEN AVENUE NORTH BROOKLYN CENTER, MN 55429 PHONE: 612/378-1040 (22356) FAX: Ind BETHEL MANAGEMENT GROUP MS. NAZNEEN KHATOON 612/378-2850 HCP-B 5901 BROOKLYN BLVD SUITE 210 BROOKLYN CENTER, MN 55429 PHONE: 763/746-8566 (26044) FAX: Corp BLESSING HOME HEALTH SERVICES MR. JOSEPH BOAKYE-DANQUAH 763/537-1688 HCP-A 6500 BROOKLYN BLVD STE 200 BROOKLYN CENTER, MN 55429 PHONE: 763/568-7236 (25402) FAX: Part BRIDGING LIFE HOME HEALTHCARE MS. NGOZI MBIBI 763/568-7239 HCP-A 6537 CHOWEN AVENUE NORTH BROOKLYN CENTER, MN 55429 PHONE: 612/987-7111 (29110) FAX: 651/698-2303 MR. MOMODOU CEESAY Minnesota Department of Health Division of Compliance Monitoring Page 108 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: MS. MARY TJOSVOLD 763/561-0263 HWS NProf CENTER POINTE APARTMENTS 2936 NORTHWAY DRIVE BROOKLYN CENTER, MN 55430 PHONE: 763/561-9072 (25187) FAX: MS. KRISTEN BROWN 763/561-3672 NProf DCI LYNDALE SLFB-8 ICFMR-8 5449 LYNDALE AVENUE NORTH BROOKLYN CENTER, MN 55430 PHONE: 763/560-2220 (01243) FAX: MS. JULIE MANWORREN 763/560-7596 Lim-Liab EARLE BROWN TERRACE HCP-F 6100 SUMMIT DRIVE NORTH BROOKLYN CENTER, MN 55430 PHONE: 763/560-6829 (29083) FAX: MR. STEPHEN NORNES 763/560-5089 HWSAL Lim-Liab EARLE BROWN TERRACE 6100 SUMMIT DRIVE NORTH BROOKLYN CENTER, MN 55430 PHONE: 763/560-6829 (21671) FAX: MR. STEPHEN NORNES 763/560-5089 HWS NProf EDEN PARK APARTMENTS 6428 NORTH DOUGLAS DRIVE BROOKLYN CENTER, MN 55429 PHONE: 763/535-6092 (27534) FAX: MS. KRISTEN BROWN 763/535-1302 Corp FIRST CHOICE NURSING & HOMECAR HCP-F 5701 SHINGLE CREEK PKWY #112 BROOKLYN CENTER, MN 55430 PHONE: 763/503-9505 (26335) FAX: MR. JERRY HAVON 763/503-2363 Corp FIRST CHOICE NURSING AND HOME HCP-A 5701 SHINGLE CREEK PKY STE 112 BROOKLYN CENTER, MN 55430 PHONE: 763/503-9505 (22349) FAX: MR. JERRY HAVON 763/503-2363 HWS NProf GATEWAY COMMONS 2818 NORTHWAY DRIVE BROOKLYN CENTER, MN 55430 PHONE: 612/204-8319 (25342) FAX: MS. STACEY RAY /- Corp GOOD FAITH INC HCP-A 6040 EARLE BROWN DR STE 260 BROOKLYN CENTER, MN 55430 PHONE: 763/438-2936 (26601) FAX: 763/503-9451 MR. MINIRU ALAWIYE Minnesota Department of Health Division of Compliance Monitoring Page 109 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp GOODNESS AND MERCY HEALTH SERV Certification HENNEPIN Registration (Cont.)* -------------------------- HCP-A 3808 61ST STREET N (23419) BROOKLYN CENTER, MN 55429 PHONE: 651/631-2535 FAX: MS. ADESOLA OGUNDIPE 651/631-2538 HWSAL Corp GOODNESS AND MERCY HEALTH SVCS 6018 HALIFAX PLACE NORTH BROOKLYN CENTER, MN 55423 PHONE: 651/631-2535 (28857) FAX: MR. FOLA OGUNDIPE 651/631-2538 Corp GOODNESS AND MERCY HLTH SVCS HCP-F HWSAL-O 3808 61ST AVE N BROOKLYN CENTER, MN 55429 PHONE: 651/631-2535 (27939) FAX: MS. ADESOLA OGUNDIPE 651/631-2538 Corp HAPPY FEET FOOTCARE INC HCP-A 6912 TOLEDO AVENUE NORTH BROOKLYN CENTER, MN 55429 PHONE: 763/560-5136 (02914) FAX: MS. JENNIFER RYAN 763/560-5092 Home Mgmt Corp HMONG SENIOR HEALTH CARE INC 6206 BROOKLYN BOULEVARD BROOKLYN CENTER, MN 55429 PHONE: 763/566-2889 (28455) FAX: MR. JER YANG 763/526-2947 Lim-Liab HOLISTIC ARRAY OF AUTHENTIC SE HCP-A 3813 51ST AVENUE NORTH BROOKLYN CENTER, MN 55429 PHONE: 763/536-9768 (28019) FAX: MS. ELIZABETH NAMARRA 763/536-9768 Corp IN CHARGE HOME HEALTHCARE SERV HCP-A 3300 BASS LAKE ROAD STE 400H BROOKLYN CENTER, MN 55429 PHONE: 651/332-4220 (26944) FAX: MR. GELGELU FELEMA /- Lim-Liab INDEPENDENT HOME CARE AGENCY HCP-A 3300 COUNTY ROAD 10 STE 300E BROOKLYN CENTER, MN 55429 PHONE: 612/235-1378 (28566) FAX: NProf MARANATHA CARE CENTER MR. OLIVER WALKER 763/560-9097 NH-92 SNF-NF-92 5401 69TH AVENUE NORTH BROOKLYN CENTER, MN 55429 PHONE: 763/549-9600 (00226) FAX: 763/549-9636 MS. ANNE O'CONNOR HWSAL NProf MARANATHA PLACE 5415 69TH AVENUE NORTH BROOKLYN CENTER, MN 55429 PHONE: 763/569-4500 (20024) FAX: 763/569-4576 MS. DEBRA KEENEY Minnesota Department of Health Division of Compliance Monitoring Page 110 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf MARANATHA PLACE Certification HENNEPIN (Cont.)* -------------------------- HCP-F 5401 69TH AVENUE NORTH (27951) BROOKLYN CENTER, MN 55429 PHONE: 763/549-9600 FAX: Corp MAY HEALTH CARE INC MS. NATALIE MORLAND 763/549-9636 HCP-A 5901 BROOKLYN BLVD STE 204 BROOKLYN CENTER, MN 55429 PHONE: 763/533-2001 (20858) FAX: Corp MILES VENTS CARE MR. CHA LEE 763/533-1151 HCP-A 5701 SHINGLE CREEK PKWY #115 BROOKLYN CENTER, MN 55430 PHONE: 763/205-5880 (26443) FAX: Corp MINNESOTA LIFE CARE SERVICES MS. JULIANA IRETELE 763/205-5878 HCP-A 3300 BASS LAKE ROAD #312 BROOKLYN CENTER, MN 55429 PHONE: 763/560-8995 (28486) FAX: Corp N & V HELPFUL HEARTCARE INC MR. JOHN TARLEY 763/560-9720 HCP-A 3300 COUNTY ROAD 10 STE 204B BROOKLYN CENTER, MN 55429 PHONE: 763/442-0460 (25916) FAX: Corp NEW LIFE HEALTH AND HOME CARE MRS. VERA DIXON 206/666-2482 HCP-A 5901 BROOKLYN BLVD SUITE 209 BROOKLYN CENTER, MN 55429 PHONE: 763/227-2756 (27187) FAX: Ind NGUFOR MR. JEFFREY KARBEDEH 763/227-2756 HCP-A 6500 BROOKLYN BOULEVARD #108 BROOKLYN CENTER, MN 55429 PHONE: 763/208-4222 (28144) FAX: NProf NORTH RESIDENTIAL HOSPICE MR. PATRICK NGUFOR 763/208-4191 RES-HSPICE-8 4201 58TH AVENUE NORTH BROOKLYN CENTER, MN 55429 PHONE: 763/520-3900 (01679) FAX: Corp OLIDIA CARE INC MS. LISA EDSTROM 763/520-3920 HCP-A 7243 MORGAN AVENUE NORTH BROOKLYN CENTER, MN 55430 PHONE: 612/703-6144 (25418) FAX: Corp OPEN ARMS NURSING SERVICES INC MR. OLIVIER NKWONKAM 763/503-7171 HCP-A 3300 COUNTY ROAD 10 STE 320J BROOKLYN CENTER, MN 55429 PHONE: 763/244-1406 (28787) FAX: 763/390-0407 Registration MR. MARBUE WATKINS Minnesota Department of Health Division of Compliance Monitoring Page 111 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS-O Lim-Liab PLATEAU HEALTHCARE LLC Registration 6424 JUNE AVENUE NORTH (29267) BROOKLYN CENTER, MN 55429 PHONE: 763/444-1361 FAX: MR. FAISALE BOUKARI 763/444-1358 HWS Lim-Liab RIGHTWAY HOME CARE SERVICES 7082 BROOKLYN BOULEVARD BROOKLYN CENTER, MN 55429 PHONE: 763/432-9738 (27024) FAX: MR. ADEBAYO MUSTAPHA 763/208-5725 Lim-Liab RIGHTWAY HOME CARE SERVICES IN HCP-A 7082 BROOKLYN BOULEVARD BROOKLYN CENTER, MN 55429 PHONE: 763/432-9738 (26948) FAX: 763/208-5725 MR. ADEBAYO MUSTAPHA HWS NProf RIVERWOOD ESTATES 6425 WILLOW LANE NORTH BROOKLYN CENTER, MN 55430 PHONE: 612/204-8319 (26108) FAX: MS. STACEY RAY /- HWS NProf RIVERWOOD ESTATES 6417 WILLOW LANE BROOKLYN CENTER, MN 55430 PHONE: 612/204-8319 (26748) FAX: MS. STACEY RAY /- HWS NProf RIVERWOOD ESTATES 215 65TH AVENUE NORTH BROOKLYN CENTER, MN 55430 PHONE: 612/204-8319 (26107) FAX: MS. STACEY RAY /- HWS NProf RIVERWOOD ESTATES 207 65TH AVENUE BROOKLYN CENTER, MN 55430 PHONE: 612/204-8319 (26665) FAX: MS. STACEY RAY /- HWS NProf RIVERWOOD ESTATES 201 65TH AVENUE NORTH BROOKLYN CENTER, MN 55430 PHONE: 612/204-8319 (26831) FAX: MS. STACEY RAY /- HWS NProf RIVERWOOD ESTATES 6401 WILLOW LANE BROOKLYN CENTER, MN 55412 PHONE: 612/204-8319 (27795) FAX: 612/375-9105 MS. STACEY RAY HWS NProf RIVERWOOD ESTATES 6409 WILLOW LANE BROOKLYN CENTER, MN 55430 PHONE: 612/204-8319 (27289) FAX: /- MS. STACEY RAY Minnesota Department of Health Division of Compliance Monitoring Page 112 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS NProf STERLING SQUARE Registration 1401 67TH AVENUE NORTH (28151) BROOKLYN CENTER, MN 55430 PHONE: 612/325-2500 FAX: MS. STACEY RAY /- HWS NProf THE CREST 6221 SHINGLE CREEK PARKWAY BROOKLYN CENTER, MN 55430 PHONE: 612/376-7661 (28893) FAX: MS. KRISTEN BROWN /- HWSAL NProf THE PRAIRIE LODGE AT EARLE BRO 6001 EARLE BROWN DRIVE BROOKLYN CENTER, MN 55430 PHONE: 763/566-1495 (20315) FAX: MRS. JANELLE MEYERS 763/566-1625 HWS Lim-Liab TLC HEALTHCARE SVS LLC 3300 COUNTY ROAD 10 STE 400I BROOKLYN CENTER, MN 55429 PHONE: 612/965-6819 (27799) FAX: Corp TOLAD INC MS. EMMY BRADFORD 651/344-0850 HCP-F 7062 BROOKLYN BOULEVARD BROOKLYN CENTER, MN 55429 PHONE: 763/566-1744 (26275) FAX: MR. EMMANUEL COKER 763/566-1755 HWS-O Corp TRUE LIFE HOME CARE SERVICES 6001 ADMIRAL PLACE NORTH BROOKLYN CENTER, MN 55429 PHONE: 952/356-5542 (29251) FAX: Corp TRUE LIFE HOME CARE SERVICES I MS. COLLEEN JAMES 763/219-4401 HCP-A 6001 ADMIRAL PLACE N BROOKLYN CENTER, MN 55429 PHONE: 952/356-5542 (25542) FAX: Lim-Liab VERACITY HEALTH SYSTEMS LLC MR. ISHMAEL KOMARA 763/219-4401 HCP-A 3300 COUNTY ROAD 10 #405 BROOKLYN CENTER, MN 55429 PHONE: 763/208-1797 (28039) FAX: Corp YOUR WAY HOME CARE INC MR. MBUTAMBE AKPANG 651/344-0590 HCP-A 3260 BASS LAKE ROAD STE C BROOKLYN CENTER, MN 55429 PHONE: 763/533-3135 (24406) FAX: 763/533-3178 MS. JUANITA SWAIN HWS NProf 5833 - HUNTINGTON PLACE 5833 73RD AVENUE NORTH BROOKLYN PARK, MN 55429 PHONE: 651/774-0011 (25845) FAX: 651/774-0606 MRS. DANIELLE FOX Minnesota Department of Health Division of Compliance Monitoring Page 113 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS NProf 6628 WEST BROADWAY Registration 6628 WEST 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 BROOKLYN PARK, MN 55443 PHONE: 612/387-9216 (28493) FAX: MS. KRISTEN BROWN /- HWS-O Lim-Liab ABUNDANT LIFE HOME HEALTH CARE 8633 EDINBROOK CROSSING BROOKLYN PARK, MN 55443 PHONE: 763/732-8391 (26592) FAX: Corp ACR HOME ON FALLGOLD MR. GEORGE MARSHALL 763/898-3521 SLFB-6 ICFMR-6 9719 FALLGOLD PARKWAY BROOKLYN PARK, MN 55443 PHONE: 763/424-0352 (20743) FAX: Lim-Liab AFFILIATED FAMILY AND SENIOR S MR. GENE LEISTICO 763/424-6544 HCP-A 8340 MINNETONKA BLVD APT 3 BROOKLYN PARK, MN 55426 PHONE: 763/273-4725 (25390) FAX: MR. ALBASHA NKENZID HUME 952/300-2660 HWS Corp AMAS INCORPORATED 4016 81ST AVENUE NORTH BROOKLYN PARK, MN 55443 PHONE: 763/315-2837 (25609) FAX: Corp AMAS INCORPORATED MR. DEEN AJIBOLA 763/424-6196 HCP-F HWS 3617 77TH AVENUE NORTH BROOKLYN PARK, MN 55443 PHONE: 763/315-2837 (24324) FAX: Lim-Liab ANGEL HEALTH SERVICES MR. DEEN AJIBOLA 763/424-6196 HCP-A 2609 87TH TRAIL NORTH BROOKLYN PARK, MN 55443 PHONE: 763/412-9921 (28255) FAX: Lim-Liab AUDRIE HOME HEALTH CARE LLC MR. PHILIP UWAGWU 763/315-6586 HCP-A 7040 LAKELAND AVE NO STE 205 BROOKLYN PARK, MN 55428 PHONE: 763/560-9212 (26484) FAX: 763/560-9636 MS. AUDRIE HOME HEA PIERSON HWS NProf AUTUMN RIDGE APARTMENTS 6308 BOONE AVENUE NORTH BROOKLYN PARK, MN 55428 PHONE: 763/533-8541 (26413) FAX: 763/531-0258 MS. KRISTEN BROWN Minnesota Department of Health Division of Compliance Monitoring Page 114 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS NProf AUTUMN RIDGE APARTMENTS Registration 6300 BOONE AVENUE NORTH (26423) BROOKLYN PARK, MN 55428 PHONE: 763/533-8541 FAX: MS. KRISTEN BROWN 763/531-0258 HWS NProf AUTUMN RIDGE APARTMENTS 6304 BOONE AVENUE NORTH BROOKLYN PARK, MN 55428 PHONE: 763/533-8541 (26442) FAX: Lim-Liab CARING NURSES LLC MS. KRISTEN BROWN 763/531-0258 HCP-F 7714 BROOKLYN BLVD #204 BROOKLYN PARK, MN 55443 PHONE: 763/566-4325 (27460) FAX: MR. ROBERT EDDY 763/566-4341 HWS Lim-Liab CARING NURSES LLC 4426 LADYSLIPPER AVENUE NORTH BROOKLYN PARK, MN 55443 PHONE: 763/566-4325 (27459) FAX: Lim-Liab CARING NURSES LLC MS. JOSEPHINE SMITH 763/566-4341 HCP-A 7714 BROOKLYN BLVD SUITE 204 BROOKLYN PARK, MN 55443 PHONE: 763/566-4325 (25432) FAX: MS. JOSEPHINE GURLEY 763/566-4341 HWS Corp CHOICE HOUSE 7509 COLORADO AVENUE NORTH BROOKLYN PARK, MN 55443 PHONE: 763/493-5067 (25822) FAX: Lim-Liab CODE CARE LLC MR. EMEKA LINUS OKAFOR 763/493-5138 HCP-A 3612 104TH TRAIL NORTH BROOKLYN PARK, MN 55443 PHONE: 763/657-1022 (25736) FAX: Ind COMFORT HEALTH CARE MS. DORTHEY IKEGWUANI 763/424-9724 HCP-A 3621 85TH AVENUE N STE 106 BROOKLYN PARK, MN 55443 PHONE: 763/425-4020 (27703) FAX: Lim-Liab COMFORTABLE HOME HEALTH CARE L MR. BEE VANG 763/425-4021 HCP-A 6001 78TH AVE NORTH STE 202 BROOKLYN PARK, MN 55443 PHONE: 763/951-3382 (28256) FAX: NProf DCI EDGEWOOD MS. LATONYA HOLIFIELD 763/951-3420 SLFB-8 ICFMR-8 6525 EDGEWOOD AVENUE NORTH BROOKLYN PARK, MN 55428 PHONE: 763/533-5104 (01258) FAX: 763/533-2630 MS. JULIE MANWORREN Minnesota Department of Health Division of Compliance Monitoring Page 115 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab DIVINE LOVE HOME CARE SERVICES Certification HENNEPIN Registration (Cont.)* -------------------------- HCP-A 4600 OXBOROUGH GARDENS (24515) BROOKLYN PARK, MN 55443 PHONE: 612/251-6610 FAX: Corp DIVINE NURTURING HOMECARE SERV MS. UCHE OBIDIEGWU 763/315-1117 HCP-A 7964 BROOKLYN BLVD STE 216 BROOKLYN PARK, MN 55445 PHONE: 763/390-2590 (28018) FAX: MS. NOELA SUHFOR 763/494-3782 HWSAL-O Lim-Liab DUNGARVIN/HUMBOLDT 7719 HUMBOLDT AVENUE NORTH BROOKLYN PARK, MN 55444 PHONE: 651/699-6050 (24559) FAX: MS. KARIN STOCKWELL 651/699-7265 HWSAL-O Lim-Liab DUNGARVIN/HUMBOLDT 7723 HUMBOLDT AVENUE NORTH BROOKLYN PARK, MN 55444 PHONE: 651/699-6050 (24560) FAX: MS. KARIN STOCKWELL 651/699-7265 HWSAL-O Lim-Liab DUNGARVIN/HUMBOLDT 7727 HUMBOLDT AVENUE NORTH BROOKLYN PARK, MN 55444 PHONE: 651/699-6050 (24561) FAX: MS. KARIN STOCKWELL 651/699-7265 HWSAL-O Lim-Liab DUNGARVIN/HUMBOLDT 7731 HUMBOLDT AVENUE NORTH BROOKLYN PARK, MN 55444 PHONE: 651/699-6050 (24562) FAX: Corp ELIMARC HEALTH CARE NETWORK IN MS. KARIN STOCKWELL 651/699-7265 HCP-A 3018 80TH CIRCLE NORTH BROOKLYN PARK, MN 55444 PHONE: 763/585-6107 (25884) FAX: MS. NKEM ANDERSON 763/585-6107 HWS-O Corp ESTEEM NURSING CARE INC 8008 IDAHO CIRCLE NORTH BROOKLYN PARK, MN 55445 PHONE: 612/281-5356 (24357) FAX: Corp EVENSONG MANOR MR. EMMANUEL OKIDEGBE 763/503-2401 HCP-F HWS 6264 YUKON AVENUE NORTH BROOKLYN PARK, MN 55428 PHONE: 763/537-4374 (24202) FAX: 763/537-4374 MS. MARY JANE CHAIGNOT HWSAL-O NProf EVERGREEN APARTMENTS 7108 WEST BROADWAY BROOKLYN PARK, MN 55428 PHONE: 651/639-9799 (24488) FAX: 651/639-3699 MR. MICHAEL BJERKESETT Minnesota Department of Health Division of Compliance Monitoring Page 116 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS-O Corp FIRST CHOICE NURSING & HOME CA Registration 2108 PEARSON PKWY (26265) BROOKLYN PARK, MN 55444 PHONE: 763/503-9505 FAX: MR. JERRY HAVON 763/503-2363 HWSAL Corp FIRST CHOICE NURSING & HOMECAR 5231 91ST CRESCENT BROOKLYN PARK, MN 55444 PHONE: 763/503-9505 (28880) FAX: MR. JERRY HAVON 763/503-2363 Corp GRACEFUL AGING HEALTH CARE INC HCP-A 7632 LEE AVENUE NORTH BROOKLYN PARK, MN 55443 PHONE: 612/481-7559 (28713) FAX: MS. AMIE SECKA /- Corp GRANDMAS PLACE INC HCP-F HWS-O 7901 ZANE AVE N BROOKLYN PARK, MN 55443 PHONE: 763/560-2500 (24787) FAX: MR. RON HENDRICKSON 763/561-0159 Lim-Liab GUARDIAN HOME HEALTH CARE LLC HCP-B 6708 DUTTON AVENUE NORTH BROOKLYN PARK, MN 55428 PHONE: 763/238-7796 (28909) FAX: MS. LEQUILLA CARR-MANNING /- Lim-Liab HANNAH HOME LLC HCP-A 7538 BRUNSWICK AVENUE NORTH BROOKLYN PARK, MN 55443 PHONE: 612/770-0696 (21979) FAX: Lim-Liab HARMONY LIVING HEALTH CARE SER MS. ELIZABETH GAYE 763/493-2909 HCP-A 7420 UNITY AVE NORTH SUITE 203 BROOKLYN PARK, MN 55443 PHONE: 763/432-7968 (25474) FAX: Lim-Liab HARMONY LIVING HLTH CARE SRVCS MR. ALEXANDER ONGOU 763/432-7968 HCP-F HWS 7509 COLFAX AVENUE NORTH BROOKLYN PARK, MN 55444 PHONE: 763/432-7968 (25475) FAX: Corp HENNEPIN HOME HEALTH CARE INC MR. ALEXANDER ONGOU 763/432-7968 HCP-A HHA 8590 EDINBURGH CENTER DRIVE BROOKLYN PARK, MN 55443 PHONE: 763/425-5959 (03188) FAX: NProf HOMEWARD BOUND BROOKLYN PARK MS. AMELIA MATA 763/425-5929 SLFB-32 ICFMR-32 7839 BROOKLYN BOULEVARD BROOKLYN PARK, MN 55445 PHONE: 763/746-4850 (01273) FAX: 763/525-4084 MR. DON PRIEBE Minnesota Department of Health Division of Compliance Monitoring Page 117 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp HOPECARE PCA INC Certification HENNEPIN Registration (Cont.)* -------------------------- 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 BROOKLYN PARK, MN 55428 PHONE: 763/208-4590 (26435) FAX: MS. ESTHER HAMMER 763/208-4590 HWS NProf HUNTINGON PLACE APARTMENTS 5809 73RD AVENUE NORTH BROOKLYN PARK, MN 55429 PHONE: 612/204-8319 (25401) FAX: MS. STACEY RAY /- HWS NProf HUNTINGTON PLACE APARTMENTS 5849 73RD AVENUE NORTH BROOKLYN PARK, MN 55429 PHONE: 612/787-4016 (26191) FAX: MS. STACEY RAY /- HWS NProf HUNTINGTON PLACE APARTMENTS 5801 73RD AVENUE NORTH BROOKLYN PARK, MN 55429 PHONE: 612/204-8319 (26190) FAX: MS. STACEY RAY /- HWS NProf HUNTINGTON PLACE APARTMENTS 5817 73RD AVENUE NORTH BROOKLYN PARK, MN 55429 PHONE: 612/204-8319 (26424) FAX: MS. STACEY RAY /- HWSAL-O Lim-Liab IAN'S HOUSE 7825 MODERN ROAD BROOKLYN PARK, MN 55428 PHONE: 952/848-0935 (28485) FAX: Corp INTEGRATED NURSING & HLTH SVCS MR. EVARISTUS ESIMADU 952/920-6929 HCP-A HHA 7100 NORTHLAND CIRCLE STE 119A BROOKLYN PARK, MN 55428 PHONE: 763/504-4559 (20847) FAX: MR. ROY BELFREY 763/504-1185 HWSAL-O Lim-Liab IYKES HOUSE 4400 82ND AVENUE NORTH BROOKLYN PARK, MN 55443 PHONE: 952/848-0935 (25157) FAX: NProf J A WEDUM HOSPICE RESIDENCE MS. RACHEL LORENZEN 952/920-6929 HCP-X RESHPC 9350 NOBLE PARKWAY BROOKLYN PARK, MN 55443 PHONE: 763/236-2950 (26907) FAX: 763/236-2975 MS. GAYLE MATTSON Minnesota Department of Health Division of Compliance Monitoring Page 118 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Ind JENNIFER BENSON Certification HENNEPIN Registration (Cont.)* -------------------------- 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 BROOKLYN PARK, MN 55443 PHONE: 763/560-0080 (26936) FAX: MR. WONLE QUEEGLAY 763/560-0090 HWS NProf KENSINGTON 8312 ZANE AVENUE BROOKLYN PARK, MN 55443 PHONE: 612/325-2500 (27611) FAX: MS. KRISTEN BROWN /- HWS NProf KENSINGTON PLACE 8316 ZANE AVENUE NORTH BROOKLYN PARK, MN 55443 PHONE: 612/325-2500 (27372) FAX: MS. KRISTEN BROWN 612/521-4606 HWS NProf KENSINGTON PLACE APARTMENTS 8304 ZANE AVENUE NORTH BROOKLYN PARK, MN 55443 PHONE: 612/325-2500 (27870) FAX: MS. KRISTEN BROWN 612/521-4606 HWSAL Lim-Liab KRISTEN'S HOUSE 8125 FRANCE AVENUE NORTH BROOKLYN PARK, MN 55443 PHONE: 952/848-0935 (26577) FAX: MR. EVARISTUS EJIMADU 952/920-6929 Corp MAINS'L SERVICES INC HCP-A 7000 78TH AVENUE NORTH BROOKLYN PARK, MN 55445 PHONE: 763/494-4553 (28651) FAX: MS. TERESA WILLIAMS 763/416-9120 HWSAL Corp METROPOLITAN CARE INC 9613 EVERGREEN AVENUE N BROOKLYN PARK, MN 55443 PHONE: 763/425-0228 (28565) FAX: MR. TIBESSO DAYASSA /- Corp METROPOLITAN CARE INC HCP-A 9613 EVERGREEN AVENUE N BROOKLYN PARK, MN 55443 PHONE: 763/425-0228 (28564) FAX: MR. TIBESSO DAYASSA /- HWS NProf MOONRAKER APARTMENTS 5517 BROOKDALE DRIVE NORTH BROOKLYN PARK, MN 55443 PHONE: 612/204-8319 (25462) FAX: /- MS. STACEY RAY Minnesota Department of Health Division of Compliance Monitoring Page 119 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS NProf MOONRAKER APARTMENTS Registration 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 BROOKLYN PARK, MN 55443 PHONE: 763/560-5228 (27519) FAX: MS. STACEY RAY 763/560-5279 HWS NProf MOONRAKER APARTMENTS 5505 BROOKDALE DRIVE NORTH BROOKLYN PARK, MN 55443 PHONE: 763/560-5228 (27463) FAX: MS. KRISTEN BROWN 763/560-5279 HWS NProf MOONRAKER APARTMENTS 5509 BROOKDALE DRIVE NORTH BROOKLYN PARK, MN 55443 PHONE: 612/204-8319 (27369) FAX: MS. STACEY RAY /- HWSAL-O Corp NEW MILLENNIUM HEALTH CARE 6264 SUNRISE TERRACE BROOKLYN PARK, MN 55428 PHONE: 763/780-9933 (26479) FAX: Corp NEW MILLENNIUM HEALTH CARE MR. JOHN ARNDT 763/795-8878 HCP-A 6264 SUNRISE TERRACE BROOKLYN PARK, MN 55428 PHONE: 763/780-9933 (21361) FAX: Corp ON TIME HEALTH SERVICES MR. JOHN ARNDT 763/795-8878 HCP-A 7936 LAD PKWY BROOKLYN PARK, MN 55443 PHONE: 763/438-6593 (27938) FAX: MS. KRISTI MOORE 763/717-8269 HWSAL-O Corp PINNACLE SERVICES INC 8617 EDINBROOK CROSSING BROOKLYN PARK, MN 55443 PHONE: 763/657-0612 (27023) FAX: Lim-Liab PLATEAU HEALTHCARE LLC MS. JILL CIHLAR 763/657-0156 HCP-A 1817 LARAMIE TRAIL BROOKLYN PARK, MN 55444 PHONE: 763/444-1361 (27310) FAX: 763/444-1358 MR. FAISALE BOUKARI HWS-O Lim-Liab PLATEAU HEALTHCARE LLC 1817 LARAMIE TRAIL BROOKLYN PARK, MN 55444 PHONE: 763/444-1361 (27797) FAX: 763/444-1358 MS. ALICIA THIELEN Minnesota Department of Health Division of Compliance Monitoring Page 120 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS NProf POINT OF AMERICA Registration 7845 NORTH YATES AVENUE (28078) BROOKLYN PARK, MN 55443 PHONE: 763/561-4122 FAX: MS. STACEY RAY 763/561-4123 Corp PRECIOUS HOME CARE SERVICES IN HCP-A 8333 SHERIDAN AVE N BROOKLYN PARK, MN 55444 PHONE: 763/516-5717 (23939) FAX: MRS. AGNES GARLEY-ALABI 763/315-4944 Corp REM HENNEPIN INC LAKELAND ICFMR-6 SLFB-6 6816 65TH AVE NORTH BROOKLYN PARK, MN 55428 PHONE: 763/535-6793 (01026) FAX: MS. CONNIE MENNE 952/591-0050 Lim-Liab RESOLVE HOME HEALTHCARE LLC HCP-A 8248 LOGAN AVENUE NORTH BROOKLYN PARK, MN 55444 PHONE: 763/219-7125 (25042) FAX: MR. CHARLES AGU /- HWS NProf RIDGEBROOK 5860 73RD AVENUE NORTH BROOKLYN PARK, MN 55429 PHONE: 763/566-1577 (27861) FAX: MS. KRISTEN BROWN /- HWS NProf RIDGEBROOK APARTMENTS 5880 73RD AVENUE NORTH BROOKLYN PARK, MN 55443 PHONE: 763/566-1577 (28892) FAX: MS. KRISTEN BROWN /- HWSAL Lim-Liab RYLEE'S HOUSE 7517 69TH AVENUE NORTH BROOKLYN PARK, MN 55428 PHONE: 952/848-0935 (26323) FAX: Lim-Liab SAINT THERESE AT OXBOW LAKE MS. RACHEL LORENZEN 952/920-6929 NH-56 5200 OAK GROVE PARKWAY BROOKLYN PARK, MN 55443 PHONE: 763/493-7000 (27752) FAX: Lim-Liab SEFERTT HEALTH CARE MS. DINAH MARTIN 763/493-7001 HCP-A 10031 HONEYSUCKLE AVENUE NORTH BROOKLYN PARK, MN 55443 PHONE: 763/657-7537 (28096) FAX: NProf SHINGLE CREEK OPTION MS. LOIS AMUSAN 763/657-7537 SLFB-15 ICFMR-15 5624 73RD AVENUE NORTH BROOKLYN PARK, MN 55429 PHONE: 763/560-5330 (01430) FAX: 763/566-8429 MR. MICHAEL AMON Minnesota Department of Health Division of Compliance Monitoring Page 121 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf ST THERESE AT OXBOW LAKE Certification HENNEPIN Registration (Cont.)* -------------------------- HCP-A HWSAL 5200 OAK GROVE PARKWAY (24510) BROOKLYN PARK, MN 55443 PHONE: 763/493-7000 FAX: MS. DINAH MARTIN 763/493-7001 HWSAL Lim-Liab STANLEYS HOUSE 7549 HAMPSHIRE AVENUE NORTH BROOKLYN PARK, MN 55428 PHONE: 952/836-6862 (29209) FAX: MR. EVARISTUS EJIMADU 952/920-6929 HWSAL Corp THE CARING SISTERS HOME CARE S 3901 BURQUEST LANE NORTH BROOKLYN PARK, MN 55429 PHONE: 763/537-7963 (24802) FAX: MR. OLALEYE BECKLEY 952/426-4691 Corp THERE'S NO PLACE LIKE HOME HC HCP-A 9906 SCOTT AVENUE NORTH BROOKLYN PARK, MN 55443 PHONE: 612/203-9501 (27194) FAX: MR. CHRISTOPHER MEHL /- HWSAL Corp TOLAD INCORPORATED 516 BROOKDALE DRIVE BROOKLYN PARK, MN 55444 PHONE: 763/566-1744 (26250) FAX: MR. EMMANUEL COKER 763/566-1755 HWSAL Lim-Liab TRADITION 8500 TESSMAN FARM ROAD BROOKLYN PARK, MN 55428 PHONE: 763/416-7740 (25879) FAX: MR. STEPHEN NORNES 763/416-7745 Lim-Liab TRADITION HCP-F 8500 TESSMAN FARM ROAD BROOKLYN PARK, MN 55445 PHONE: 763/416-7740 (29077) FAX: MR. STEPHEN NORNES 763/416-7745 Lim-Liab TUTS BLESSING LLC HCP-A 8617 EDINBROOK CROSSING #104 BROOKLYN PARK, MN 55443 PHONE: 850/207-5322 (26478) FAX: MS. MYRA MAGANA /- Corp ULTIMATE HOME CARE HCP-A 7040 LAKELAND AVE N #208B BROOKLYN PARK, MN 55428 PHONE: 763/560-9890 (26575) FAX: Corp ULTIMATE HOME CARE MR. ALFRED APATA 763/560-9891 HCP-F 7040 LAKELAND AVENUE N #208 BROOKLYN PARK, MN 55428 PHONE: 763/560-9890 (27151) FAX: 763/560-9891 MR. ALFRED APATA Minnesota Department of Health Division of Compliance Monitoring Page 122 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: MR. ALFRED APATA 763/560-9891 HWSAL Corp ULTIMATE HOME CARE 8617 EDINBROOK CROSSING BROOKLYN PARK, MN 55443 PHONE: 763/560-9890 (28751) FAX: Lim-Liab ULTRA CARE HOME HEALTH LLC MR. ALFRED APATA 763/560-9891 HCP-A 7714 BROOKLYN BVD STE 108 BROOKLYN PARK, MN 55443 PHONE: 763/355-5408 (26488) FAX: Corp UNIVERSAL PEDIATRIC SERV INC MS. DOROTHY OKECH 763/355-5470 HCP-A HHA 7101 NORTHLAND CIRCLE STE 205 BROOKLYN PARK, MN 55428 PHONE: 763/535-9690 (02856) FAX: Corp VIZION ONE INC MS. CHRISTINE LESEMANN 763/535-9688 HCP-A HHA 6001 78TH AVENUE NORTH STE 206 BROOKLYN PARK, MN 55443 PHONE: 763/205-5257 (27916) FAX: Lim-Liab WATCHFUL CAREGIVERS MS. GWENDOLINE WANKA 763/205-5899 HCP-A 7710 BROOKLYN BLVD STE 204 BROOKLYN PARK, MN 55443 PHONE: 763/535-4326 (25398) FAX: Lim-Liab WATERFORD ESTATES MRS. WOKIE HARMON-BELLA 763/537-9352 HCP-B 7000 62ND AVENUE NORTH BROOKLYN PARK, MN 55428 PHONE: 763/533-9389 (28826) FAX: Lim-Liab WATERFORD MANOR MR. STEPHEN NORNES 763/537-1761 HCP-F 6288 LOUISIANA COURT NORTH BROOKLYN PARK, MN 55428 PHONE: 763/537-3382 (29078) FAX: 763/536-7679 MR. STEPHEN NORNES HWSAL Lim-Liab WATERFORD MANOR 6288 LOUISIANA COURT NORTH BROOKLYN PARK, MN 55428 PHONE: 763/537-3382 (21662) FAX: 763/536-7679 MR. STEPHEN NORNES HWS NProf WEST BROADWAY APARTMENTS 6626 WEST BROADWAY AVENUE BROOKLYN PARK, MN 55428 PHONE: 612/325-2500 (27464) FAX: 612/810-7899 MS. KRISTEN BROWN Minnesota Department of Health Division of Compliance Monitoring Page 123 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS NProf WEST BROADWAY APARTMENTS Registration 6624 W BROADWAY (27590) BROOKLYN PARK, MN 55428 PHONE: 612/325-2500 FAX: MS. KRISTEN BROWN 612/521-4606 Ind NAOME HOME HEALTH CARE HCP-C 11464 GALTIER DR BURNSVILLE, MN 55337 PHONE: 952/393-3629 (27020) FAX: MS. KIDIST PETERSON /- Lim-Liab CHAMPLIN GW LLC HCP-F HWSAL 11469 JEFFERSON COURT NORTH CHAMPLIN, MN 55316 PHONE: 763/433-2585 (25047) FAX: MS. RHONDA SCHILLINGER 763/235-3620 Corp CHAMPLIN SHORES ASSIST LIVING HCP-F HWSAL 119 EAST HAYDEN LAKE ROAD CHAMPLIN, MN 55316 PHONE: 763/712-0118 (22095) FAX: MS. RENAE WITSCHEN 763/712-0278 ESRD Corp FRESENIUS MED CARE OF CHAMPLIN 12339 CHAMPLIN DRIVE CHAMPLIN, MN 55316 PHONE: 763/421-1032 (23606) FAX: MR. JOHN MARIETTI 763/421-1054 Lim-Liab LE MIEUX NURSING SERVICES LLC HCP-A 11116 ZEALAND AVE N STE 204 CHAMPLIN, MN 55316 PHONE: 763/746-0845 (27185) FAX: MS. CHINYELUM OBI-RAPU 763/746-0846 Corp SOLACE HOME HEALTH AND HOSPICE HCP-A 11209 COMMERCE DRIVE NORTH CHAMPLIN, MN 55316 PHONE: 763/273-7659 (28095) FAX: MR. MOHAMMED HUSSAIN 763/323-1027 Lim-Liab TLC HEALTHCARE SERVICES LLC HCP-A 11030 DOUGLAS DRIVE NORTH CHAMPLIN, MN 55316 PHONE: 913/558-1459 (29063) FAX: MS. AZANETH BIRGEN /- Corp TRANSITIONS HOME CARE HCP-A 11030 DOUGLAS DRIVE NORTH CHAMPLIN, MN 55316 PHONE: 612/749-9436 (28765) FAX: 763/571-2128 MS. AMY GUIMONT HWSAL-O NProf WIGGINS APARTMENTS 206 EAST HAYDEN LAKE ROAD CHAMPLIN, MN 55316 PHONE: 651/639-9799 (24485) FAX: 651/639-3699 MR. MICHAEL BJERKESETT Minnesota Department of Health Division of Compliance Monitoring Page 124 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------Home Mgmt Lim-Liab 1-1 CARING HANDS LLC Registration 1466 LAKE DRIVE WEST (29158) CHANHASSEN, MN 55317 PHONE: 952/400-6123 FAX: MR. ANTHONY WILKERSON 952/400-6122 Lim-Liab AMAZING LOVE ASSISTED LIVING HCP-F 5724 BASS LAKE ROAD CRYSTAL, MN 55429 PHONE: 763/561-3434 (24012) FAX: MR. YEMMY OSONOWO 763/561-3636 HWSAL Lim-Liab AMAZING LOVE ASSISTED LIVING 5724 BASS LAKE ROAD CRYSTAL, MN 55429 PHONE: 763/561-3434 (24780) FAX: MR. YEMMY OSONOWO 763/561-3636 Lim-Liab AMAZING LOVE HEALTHCARE SERVIC HCP-A 5724 BASS LAKE ROAD CRYSTAL, MN 55429 PHONE: 763/561-3434 (23687) FAX: MR. YEMMY OSONOWO 763/561-3636 NProf CIP CITY LIGHTS SLFB-6 ICFMR-6 4303 COLORADO AVENUE CRYSTAL, MN 55422 PHONE: 763/535-8282 (01625) FAX: MR. JOHN EVERETT 763/535-8282 Corp CLINIQUE HEALTH CARE SERVICES HCP-F 6000 BASS LAKE ROAD SUITE 204 CRYSTAL, MN 55429 PHONE: 763/503-4757 (28365) FAX: MS. NNENNA ORJINTA 763/549-9952 Corp CLINIQUE HEALTHCARE SERVICES I HCP-A 6000 BASS LAKE ROAD CRYSTAL, MN 55429 PHONE: 763/503-4757 (25544) FAX: MR. ANTHONY ORJINTA 763/549-9952 Corp COMFORTCARE NURSING SERVICES I HCP-A 7000 57TH AVENUE NORTH #108 CRYSTAL, MN 55428 PHONE: 763/536-3050 (23068) FAX: MS. SAYBA NGAIMA PHILIPS 763/536-7919 NProf CRYSTAL CARE CENTER NH-130 SNF-NF-130 3245 VERA CRUZ AVENUE NORTH CRYSTAL, MN 55422 PHONE: 763/535-6260 (00255) FAX: 763/535-7772 MR. FRANK ROBINSON HWS NProf CRYSTAL COURTS APARTMENTS 5940 WEST BROADWAY AVENUE CRYSTAL, MN 55428 PHONE: 952/941-2400 (28836) FAX: /- MS. STACEY RAY Minnesota Department of Health Division of Compliance Monitoring Page 125 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS Corp GRANDMA'S PLACE INC Registration 5900 WEST BROADWAY AVE STE 6 (26760) CRYSTAL, MN 55428 PHONE: 763/560-2500 FAX: MR. RON HENDRICKSON 763/561-0159 HWS Corp GRANDMA'S PLACE INC 5920 WEST BROADWAY AVE CRYSTAL, MN 55428 PHONE: 763/560-2500 (26761) FAX: MR. RON HENDRICKSON 763/561-0159 HWS Corp GRANDMA'S PLACE INC 5910 WEST BROADWAY AVENUE #5 CRYSTAL, MN 55428 PHONE: 763/560-2500 (26763) FAX: Corp GREAT LAKES HOME CARE INC MR. RON HENDRICKSON 763/561-0159 HCP-A 6000 BASS LAKE ROAD #104 CRYSTAL, MN 55429 PHONE: 763/537-6651 (28067) FAX: Lim-Liab HEATHERS ESTATES MRS. MARY-KIM EGERE 763/535-4288 HCP-B 2900 NORTH DOUGLAS DRIVE CRYSTAL, MN 55422 PHONE: 763/544-1220 (28824) FAX: MR. STEPHEN NORNES 763/544-2310 HWSAL Lim-Liab HEATHERS MANOR 3000 NORTH DOUGLAS DRIVE CRYSTAL, MN 55422 PHONE: 763/544-6777 (21623) FAX: Lim-Liab HEATHERS MANOR MR. STEPHEN NORNES 763/513-5859 HCP-F 3000 NORTH DOUGLAS DRIVE CRYSTAL, MN 55422 PHONE: 763/544-6777 (29082) FAX: Lim-Liab INTEGRITAS HOMECARE LLC MR. STEPHEN NORNES 763/513-5859 HCP-A 6000 BASS LAKE ROAD #200 CRYSTAL, MN 55429 PHONE: 612/414-5055 (28716) FAX: 763/746-9401 MR. DENNIS WALSH HWS NProf LWV LODGE 3200 - 3204 DOUGLAS DRIVE N CRYSTAL, MN 55422 PHONE: 763/479-3555 (28410) FAX: 763/479-7130 MR. DUANE REYNOLDS HWS NProf LWV LODGE III 3255-3257 DOUGLAS DRIVE NORTH CRYSTAL, MN 55422 PHONE: 763/479-3555 (27080) FAX: 763/479-2605 MS. MARY ROEHL Minnesota Department of Health Division of Compliance Monitoring Page 126 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab MAGIC HEALTHCARE PARTNERS Certification HENNEPIN Registration (Cont.)* -------------------------- HCP-A 6000 BASS LAKE ROAD #207 (27687) CRYSTAL, MN 55429 PHONE: 952/807-1685 FAX: NProf OUTREACH RICE CREEK MR. JONES BITANGE 612/435-1378 SLFB-4 ICFMR-4 5402 FAIRVIEW AVENUE NORTH CRYSTAL, MN 55429 PHONE: 763/537-4550 (01562) FAX: Corp QUALITY HEALTH CARE SERVICES MS. MARY TJOSVOLD 763/537-2262 HCP-A 5701 KENTUCKY AVE N STE 198 CRYSTAL, MN 55428 PHONE: 763/533-1657 (28791) FAX: Corp REM HENNEPIN INC CRYSTAL MR. ZINNAH CHESSON 763/533-1659 SLFB-6 ICFMR-6 3400 QUAIL AVE NORTH CRYSTAL, MN 55422 PHONE: 952/591-0797 (26137) FAX: Corp SIMAC PROFESSIONAL BUSINESS SE MS. CONNIE MENNE 952/591-0050 HCP-A 6000 BASS LAKE ROAD CRYSTAL, MN 55429 PHONE: 763/205-3401 (26217) FAX: Corp UNITED CARE GROUP INC MS. SIMONE ACOLATSE 763/204-3142 HCP-A 5501 LAKELAND AVENUE CRYSTAL, MN 55429 PHONE: 763/535-6451 (26573) FAX: Ind HEARTLAND ASSISTED LIVING MS. ROBIN DUNLAP 763/535-2756 HCP-F HWSAL 13811 114TH AVENUE NORTH DAYTON, MN 55369 PHONE: 763/425-7671 (26051) FAX: Corp LAKE MINNETONKA CARE CENTER MS. LARISA KHARCHENKO 763/425-7671 NH-21 SNF-NF-21 20395 SUMMERVILLE ROAD DEEPHAVEN, MN 55331 PHONE: 952/474-4474 (00234) FAX: MR. JEFF SPRINKEL 952/474-4272 HWSAL Lim-Liab SOJOURN SUITES LLC JAMES AVE 18900 JAMES AVENUE DEEPHAVEN, MN 55391 PHONE: 952/473-1810 (26002) FAX: Corp AGING JOYFULLY MR. THOMAS PENN 952/400-3542 HWS HCP-F 13050 PIONEER TRAIL EDEN PRAIRIE, MN 55347 PHONE: 952/942-2510 (24640) FAX: 952/942-7415 MS. JOY HANSEN Minnesota Department of Health Division of Compliance Monitoring Page 127 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------Home Mgmt Lim-Liab APPARENTCARE LLC Registration 6995 MARIANN DRIVE (26681) EDEN PRAIRIE, MN 55346 PHONE: 952/937-0055 FAX: MS. TRACY KEIBLER /- HWSAL Corp BECKY'S PLACE INC 6391 DUCK LAKE ROAD EDEN PRAIRIE, MN 55387 PHONE: 612/719-2915 (28368) FAX: MS. BECKY DORR /- Corp BECKYS PLACE INC HCP-F 6391 DUCK LAKE ROAD EDEN PRAIRIE, MN 55346 PHONE: 952/906-9181 (28367) FAX: NProf CASTLE RIDGE CARE CENTER MS. BECKY DORR 952/906-9181 NH-60 SNF-NF-60 625 PRAIRIE CENTER DR EDEN PRAIRIE, MN 55344 PHONE: 952/942-2100 (00973) FAX: MR. JIM ANGELL 952/942-2101 HWSAL NProf CASTLE RIDGE MANOR HOUSE 615 PRAIRIE CENTER DRIVE EDEN PRAIRIE, MN 55344 PHONE: 952/942-2100 (21183) FAX: Corp CLARE BRIDGE OF EDEN PRAIRIE MR. JIM ANGELL 952/942-2101 HCP-F HWSAL 7513 MITCHELL ROAD EDEN PRAIRIE, MN 55344 PHONE: 952/906-3800 (20538) FAX: Lim-Liab CUSTOMCARE HOME HEALTH CARE LL MS. SUSAN BEAM 952/906-3888 HCP-A 6400 FLYING CLOUD DRIVE # 225 EDEN PRAIRIE, MN 55344 PHONE: 952/914-0269 (23437) FAX: Lim-Liab DELTA HOME HEALTH CARE LLC MR. CALVIN MILLER 952/960-0239 HCP-A 6520 EDENVALE BLVD STE 110 EDEN PRAIRIE, MN 55346 PHONE: 952/994-3260 (29161) FAX: MR. AHMED ISMAIL 877/816-2063 ESRD Corp EDEN PRAIRIE DIALYSIS 14852 SCENIC HGT RD BLDG B 255 EDEN PRAIRIE, MN 55344 PHONE: 952/934-2411 (22098) FAX: NProf ELIM SHORES MS. TAMMY MESA 952/934-3851 HCP-F HWSAL 7900 TIMBER LAKE DRIVE EDEN PRAIRIE, MN 55347 PHONE: 952/934-3005 (24915) FAX: 952/934-0730 MS. CATHERINE SEIFERT Minnesota Department of Health Division of Compliance Monitoring Page 128 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp GRISWOLD HOME CARE Certification HENNEPIN Registration (Cont.)* -------------------------- HCP-B 12100 SINGLETREE LANE (28856) EDEN PRAIRIE, MN 55344 PHONE: 612/790-7455 FAX: MR. BRIAN NAAS /- HWS Lim-Liab LUANN'S PLACE LLC 6660 W 175TH AVENUE EDEN PRAIRIE, MN 55346 PHONE: 952/334-9272 (25323) FAX: Lim-Liab LUANNS PLACE LLC MS. LUANN FEHN 952/974-0936 HCP-F 6660 WEST 175TH AVENUE EDEN PRAIRIE, MN 55346 PHONE: 952/334-9272 (26470) FAX: NProf MANOR HOUSE MS. LUANN FEHN 952/974-0936 HCP-F 625 PRAIRIE CENTER DRIVE EDEN PRAIRIE, MN 55344 PHONE: 952/942-2100 (27962) FAX: State MSOCS EDEN PRAIRIE CHATHAM WAY MS. NATALIE MORLAND 952/942-2101 SLFB-6 ICFMR-6 6204 CHATHAM WAY EDEN PRAIRIE, MN 55346 PHONE: 952/934-0995 (01657) FAX: State MSOCS EDEN PRAIRIE DELL ROAD MR. ROGER DENEEN 952/934-1145 SLFB-6 ICFMR-6 7198 DELL ROAD EDEN PRAIRIE, MN 55346 PHONE: 952/934-0390 (01656) FAX: Corp ON-BELAY EDEN PRAIRIE MR. ROGER DENEEN 952/934-0480 SLFA-16 7170 BRYANT LAKE DRIVE EDEN PRAIRIE, MN 55344 PHONE: 952/224-5873 (26333) FAX: Lim-Liab PIONEER ESTATES OF EDEN PRAR MS. MELISSA BROGGER 952/224-5876 HCP-F HWSAL 8751 PRESERVE BOULEVARD EDEN PRAIRIE, MN 55344 PHONE: 952/914-0934 (20455) FAX: Corp PRIDE INSTITUTE MR. RICHARD ROWLAND 952/943-2563 SLFA-42 14400 MARTIN DRIVE EDEN PRAIRIE, MN 55344 PHONE: 952/934-7554 (01405) FAX: 952/934-8764 MR. RICK PLISZKA HWSAL Lim-Liab SUMMIT PLACE ASSISTED LIVING 8501 FLYING CLOUD DRIVE EDEN PRAIRIE, MN 55344 PHONE: 952/995-1000 (21963) FAX: 952/995-1288 MS. CAROL HANSEN Minnesota Department of Health Division of Compliance Monitoring Page 129 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS Lim-Liab SUMMIT PLACE INDEPENDENT LIVIN Registration 8505 FLYING CLOUD DRIVE (21962) EDEN PRAIRIE, MN 55344 PHONE: 952/995-1000 FAX: MRS. CAROL HANSEN 952/995-1288 Lim-Liab THE COLONY HWSAL HCP-F 431 PRAIRIE CENTER DRIVE EDEN PRAIRIE, MN 55344 PHONE: 952/828-9500 (21648) FAX: MS. ANITA CORNELIUS 952/828-8195 Lim-Liab THE COLONY AT EDEN PRAIRIE NH-25 SNF-NF-25 431 PRAIRIE CENTER DRIVE EDEN PRAIRIE, MN 55344 PHONE: 952/828-9500 (21549) FAX: MS. ANITA CORNELIUS 952/828-8195 Corp 24/7 HEALTHCARE PRO HCP-A 4515 SEDUM LANE EDINA, MN 55435 PHONE: 763/923-4708 (27691) FAX: MR. M-FALILOU DIABY /- Lim-Liab ALLEVIACARE LLC HCP-A 5780 LINCOLN DRIVE STE 250 EDINA, MN 55436 PHONE: 952/303-4725 (26286) FAX: Corp ALLIED PROFESSIONALS INC MS. JENELLE BOECKERMANN 952/303-4802 HCP-A 3209 WEST 76TH STREET EDINA, MN 55435 PHONE: 952/832-5101 (02925) FAX: Corp BRYANT SQUARE HOME HEALTH CARE MS. PAT MULLIGAN 952/832-0656 HCP-F 5000 NOB HILL DRIVE EDINA, MN 55439 PHONE: 612/823-7286 (26429) FAX: Corp CAPERNAUM PEDIATRIC THERAPY IN MR. RANDAL HAGEMEYER 612/823-0518 HCP-A 7250 FRANCE AVENUE SOUTH EDINA, MN 55435 PHONE: 612/922-2009 (02847) FAX: Lim-Liab CAREMINDERS HOME CARE MRS. BONNA OLSON 612/927-6201 HCP-A 7200 FRANCE AVE S STE 331 EDINA, MN 55435 PHONE: 952/500-8750 (27606) FAX: Part CENTENNIAL LAKES SURGERY CTR MS. TANYA CASTILLO 952/303-5329 Amb Surg Outpt Surg 7373 FRANCE AVENUE SOUTH #404 EDINA, MN 55435 PHONE: 952/832-9360 (00379) FAX: 952/832-5079 MR. ROB SIMMONS Minnesota Department of Health Division of Compliance Monitoring Page 130 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS NProf CHALLET Registration 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 EDINA, MN 55435 PHONE: 952/960-2266 (27186) FAX: MR. SAMUEL MITCHELL 952/960-2267 Lim-Liab CROSSTOWN SURGERY CENTER LLC Outpt Surg Amb Surg 4010 WEST 65TH STREET EDINA, MN 55435 PHONE: 952/456-7300 (27380) FAX: MR. AARON JOHNSON 952/456-7399 Ind DONNA MARIE NORGREN HCP-C 5808 CHOWEN AVENUE SOUTH EDINA, MN 55410 PHONE: 952/920-4984 (02907) FAX: MS. DONNA NORGREN /- NProf EDINA CARE & REHAB CENTER NH-125 SNF-NF-125 6200 XERXES AVENUE SOUTH EDINA, MN 55423 PHONE: 952/925-8500 (00740) FAX: MR. TODD CARSEN 952/925-8502 ESRD Corp EDINA DIALYSIS CENTER 6550 YORK AVENUE SO SUITE 100 EDINA, MN 55435 PHONE: 952/925-9339 (02534) FAX: MS. CAROLINE DAVIS /- Lim-Liab EDINA PARK PLAZA HCP-F 3330 EDINBOROUGH WAY EDINA, MN 55435 PHONE: 952/831-4084 (26486) FAX: 952/831-7171 MR. WILLIAM CURRIER HWSAL Lim-Liab EDINA PARK PLAZA 3330 EDINBOROUGH WAY EDINA, MN 55435 PHONE: 952/831-4084 (20381) FAX: 952/831-7171 MS. LYNETTE KELECICH Corp EDINA SURGERY CENTER 6525 FRANCE AVE S STE 300A EDINA, MN 55435 PHONE: 952/925-1765 (22138) FAX: 952/925-1579 MS. ORLA MCCLURE HWSAL Corp ENGLISH ROSE SUITES 609 BLAKE ROAD SOUTH EDINA, MN 55343 PHONE: 952/983-0412 (20426) FAX: 952/253-2548 MS. JAYNE CLAIRMONT Minnesota Department of Health Division of Compliance Monitoring Page 131 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWSAL Corp ENGLISH ROSE SUITES Registration 6201 LOCH MOOR DRIVE (25762) EDINA, MN 55439 PHONE: 952/983-0412 FAX: MS. JAYNE CLAIRMONT 952/253-2548 HWSAL Corp ENGLISH ROSE SUITES BRAEMAR HI 6941 VALLEY VIEW ROAD EDINA, MN 55439 PHONE: 952/983-0412 (21145) FAX: MS. JAYNE CLAIRMONT 952/253-2548 NProf FAIRVIEW SOUTHDALE HOSPITAL BASS-45 HOSP-390 HOSP-372 PPS-P-18 6401 FRANCE AVENUE SOUTH EDINA, MN 55435 PHONE: 952/924-5100 (00201) FAX: MR. BRADLEY BEARD 952/924-5382 Home Mgmt Lim-Liab GIDEONS ARMY 5401 LONDONDERRY ROAD EDINA, MN 55436 PHONE: 952/938-3769 (27521) FAX: MS. DAWN SIEMON /- Corp HERITAGE OF EDINA INC HCP-F HWSAL 3420 3434 3450 & 3456 HERITAGE EDINA, MN 55435 PHONE: 952/920-9145 (20233) FAX: MS. MARIA FIELD 952/915-5411 Lim-Liab HOME CARE RELIANCE LLC HCP-A 7200 FRANCE AVE S STE 236 EDINA, MN 55435 PHONE: 877/977-7359 (28199) FAX: MS. CAROL SCHRADER 612/305-8358 Lim-Liab HOME CARE UTOPIA HCP-B 6216 CHOWEN AVENUE SOUTH EDINA, MN 55410 PHONE: 218/310-4081 (28908) FAX: MS. TRISTEN COHEN /- Corp HOME INSTEAD SENIOR CARE HCP-A 4445 WEST 77TH STREET #121 EDINA, MN 55435 PHONE: 952/929-5695 (23590) FAX: Corp HOME INSTEAD SENIOR CARE MRS. CHER KUECHLE 952/929-2032 HCP-B 4445 WEST 77TH ST STE 121 EDINA, MN 55425 PHONE: 952/929-5695 (26849) FAX: 952/929-2032 MS. CHER KUECHLE Home Mgmt Corp HOME INSTEAD SENIOR CARE 4445 WEST 77TH ST STE 224 EDINA, MN 55435 PHONE: 952/929-5695 (03782) FAX: 952/929-2032 MS. CHER FRANTA Minnesota Department of Health Division of Compliance Monitoring Page 132 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp HOMEWATCH CAREGIVERS Certification HENNEPIN Registration (Cont.)* -------------------------- HCP-A 7240 METRO BOULEVARD (28357) EDINA, MN 55439 PHONE: 952/657-5210 FAX: MS. DEBORAH NELSON 952/500-8791 Lim-Liab INNOVATIVE SENIOR CARE HH HCP-A HHA 3330 EDINBOROUGH WAY EDINA, MN 55435 PHONE: 952/933-1362 (25254) FAX: MS. KATHLEEN AHERN 952/933-2781 Out Pt Out St Out Ot Lim-Liab INNOVATIVE SR CARE EDINA PK PL 3330 EDINBOROUGH WAY EDINA, MN 55435 PHONE: 952/831-4024 (25405) FAX: MR. ERIN BERNIER /- Lim-Liab LIFESPRK HCP-A 4940 VIKING DRIVE SUITE 545 EDINA, MN 55435 PHONE: 952/345-8770 (23501) FAX: Corp MATRIX TEAM HOME CARE MS. CAROLE OVERBY 952/345-8771 HCP-A 7550 FRANCE AVENUE SOUTH #210 EDINA, MN 55435 PHONE: 952/525-0505 (24015) FAX: Lim-Liab MCCANNEL EYE SURGERY MR. BRUCE LAWRENCE 952/525-0506 Outpt Surg Amb Surg 3124 WEST 70TH STREET EDINA, MN 55435 PHONE: 952/848-8338 (20911) FAX: Corp MINNESOTA SURGERY CENTER LTD MS. NIKKI MADISON 952/848-8302 Outpt Surg Amb Surg 7400 FRANCE AVENUE SUITE 102 EDINA, MN 55435 PHONE: 952/835-8307 (23072) FAX: NProf N C LITTLE MEMORIAL HOSPICE MS. MARSHA THIEL 763/537-6606 RES-HSPICE-8 Hospice 7019 LYNMAR LANE EDINA, MN 55435 PHONE: 952/928-9394 (03721) FAX: Lim-Liab ORTHOPAEDIC INSTITUTE SURG CTR MR. ROBERT SOLHEIM 952/925-3578 Outpt Surg Amb Surg 8100 W 78TH STREET SUITE 220 EDINA, MN 55439 PHONE: 952/914-8418 (22057) FAX: 952/914-8401 MS. NANCY PAGE HWSAL Lim-Liab PARKINSON'S SPECIALTY CARE 6802 DOVRE DR EDINA, MN 55436 PHONE: 952/988-9900 (23855) FAX: 763/539-9155 MS. MARCIA DOONER Minnesota Department of Health Division of Compliance Monitoring Page 133 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab PERSONALIZED LIVING AT EDINA P Certification HENNEPIN Registration (Cont.)* -------------------------- HCP-A 3330 EDINBOROUGH WAY (28030) EDINA, MN 55435 PHONE: 952/831-4084 FAX: MS. JAYNE RHODES 952/831-7171 Corp PHYSICIAN SYSTEMS INC HCP-A 6810 VALLEY VIEW ROAD EDINA, MN 55439 PHONE: 612/839-8147 (28668) FAX: MR. SHANKAR VELUVALI /- Corp PROMISE CARE INC HCP-A 6545 FRANCE AVE S STE 501 EDINA, MN 55435 PHONE: 952/942-5676 (24821) FAX: MS. CAROLINE LINDEMAN /- Corp REM HENNEPIN INC WILLIAM SLFB-6 ICFMR-6 5100 WILLIAM AVENUE EDINA, MN 55436 PHONE: 952/591-0707 (01149) FAX: MS. CONNIE MENNE 952/591-0050 NProf RESTART INC HCP-F 5275 EDINA INDUSTRL BLVD #240 EDINA, MN 55439 PHONE: 763/588-7633 (25379) FAX: MR. JAMES JASPER 763/588-7613 HWS Part SOUTH HAVEN SENIOR COMMUNITY 3400 PARKLAWN AVENUE EDINA, MN 55435 PHONE: 952/831-3372 (25247) FAX: MS. ELIZABETH HAGSTROM /- Lim-Liab SUNRISE ASSISTED LIVING EDINA HCP-F 7128 FRANCE AVENUE SOUTH EDINA, MN 55435 PHONE: 952/927-8000 (20814) FAX: 952/927-6400 MS. JUDY MCMEEKIN HWSAL Lim-Liab SUNRISE ASSISTED LIVING OF EDI 7128 FRANCE AVENUE SOUTH EDINA, MN 55435 PHONE: 952/927-8000 (21787) FAX: 952/927-6400 MRS. JUDY MCMEEKIN HWS Lim-Liab VERNON TERRACE 5250 VERNON AVENUE SOUTH EDINA, MN 55436 PHONE: 952/925-5615 (28216) FAX: 952/925-1702 MS. JENNIFER KEMP HWSAL NProf WALKER METHODIST CARE SUITES 7400 YORK AVENUE SOUTH EDINA, MN 55435 PHONE: 952/835-8351 (20444) FAX: 952/835-7453 MS. SARA ASCHENBRENER Minnesota Department of Health Division of Compliance Monitoring Page 134 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf WALKER METHODIST CARE SUITES Certification HENNEPIN Registration (Cont.)* -------------------------- HCP-F 7400 YORK AVENUE SOUTH (23693) EDINA, MN 55435 PHONE: 952/835-8351 FAX: MR. MARK ANDERSON 952/835-7453 Lim-Liab YORK GARDENS HCP-F HWSAL 3451 PARKLAWN EDINA, MN 55435 PHONE: 952/898-6700 (27800) FAX: MS. LUCY BOXRUD 952/898-6701 Lim-Liab ZEL SKIN & LASER SPECIALISTS Outpt Surg Amb Surg 4100 WEST 50TH STREET EDINA, MN 55424 PHONE: 952/929-8888 (24276) FAX: MS. SUSAN OLSON 952/929-9669 Lim-Liab ENCORE SENIOR HOME CARE HCP-A 350 HIGHWAY 7 SUITE 138 EXCELSIOR, MN 55331 PHONE: 952/426-1371 (26469) FAX: MR. TYLER STEVENS 952/405-6671 Lim-Liab GOLDEN LIVINGCENTER EXCELSIOR NH-56 SNF-NF-56 515 DIVISION STREET EXCELSIOR, MN 55331 PHONE: 952/474-5488 (00988) FAX: MS. KIMBERLY LYON - INTERIM 952/474-3864 HWS NProf LAKEVIEW VILLA 723 WATER STREET EXCELSIOR, MN 55331 PHONE: 952/546-1415 (27871) FAX: MS. KRISTEN BROWN 952/546-1435 Lim-Liab COMFORT KEEPERS HCP-A 3105 NORTH BROADWAY STE 4 FARGO, ND 58102 PHONE: 736/546-8070 (23729) FAX: 763/546-8180 MR. JOEL PETERSON HWS-O NProf 1400 NORTH DOUGLAS DRIVE 1400 NORTH DOUGLAS DRIVE GOLDEN VALLEY, MN 55410 PHONE: 612/204-8319 (25564) FAX: MS. STACEY RAY /- HWS NProf 1450 DOUGLAS DRIVE 1450 DOUGLAS DRIVE GOLDEN VALLEY, MN 55422 PHONE: 612/204-8319 (25399) FAX: MS. STACEY RAY /- HWS NProf 1500 DOUGLAS DRIVE NORTH 1500 DOUGLAS DRIVE NORTH GOLDEN VALLEY, MN 55422 PHONE: 763/545-8516 (27890) FAX: 612/259-8154 MS. KRISTEN BROWN Minnesota Department of Health Division of Compliance Monitoring Page 135 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS NProf 1600 DOUGLAS DRIVE NORTH Registration 1600 DOUGLAS DRIVE NORTH (28045) GOLDEN VALLEY, MN 55422 PHONE: 763/545-8516 FAX: MS. KRISTEN BROWN 612/259-8154 Lim-Liab ALLIANCE HHC & NURSING SERVICE HCP-A HHA 4725 OLSON MEMORIAL HWY # 200 GOLDEN VALLEY, MN 55422 PHONE: 763/208-6295 (25403) FAX: MR. ROBIN NYANGENA 763/355-5459 Lim-Liab ALLIANCE HOMECARE SERVICES LLC HCP-A 4725 OLSON MEMORIAL HWY GOLDEN VALLEY, MN 55422 PHONE: 763/208-6295 (28029) FAX: MR. ROBIN NYANGENA 763/355-5459 Corp ARMS OF COMPASSION HOME CARE HCP-A 1405 LILAC DRIVE NORTH STE 131 GOLDEN VALLEY, MN 55422 PHONE: 763/208-6642 (29062) FAX: MS. KECIA HAYSLETT 763/208-0656 HWSAL Corp BLAISDELL PLACE 6738 PLYMOUTH AVENUE NORTH GOLDEN VALLEY, MN 55427 PHONE: 763/533-6822 (25862) FAX: MR. OLALEYE BECKLEY 952/426-4691 Corp CARE PLUS HOME HEALTH AGENCY I HCP-A HHA 4050 OLSON MEM HWY SUITE 165 GOLDEN VALLEY, MN 55422 PHONE: 763/529-5520 (02387) FAX: MR. GAETANO (GUY) PASQUALINI 763/529-5521 Ind CATHARINE A NISAM HCP-C 5605 LINDSAY STREET GOLDEN VALLEY, MN 55422 PHONE: 763/546-7305 (27037) FAX: MS. CATHERINE NISAM /- HWS Lim-Liab CHEZ VOUS HOME CARE LLC 2925 REGENT AVENUE NORTH GOLDEN VALLEY, MN 55422 PHONE: 612/220-8052 (29038) FAX: MR. JOHN ARRELL 612/259-7440 Lim-Liab CIRCLE DOWN ASSISTED LIVING HCP-F 5230 CIRCLE DOWN GOLDEN VALLEY, MN 55416 PHONE: 952/374-4710 (28373) FAX: 763/568-7026 MS. LYNN DEICHERT HWSAL Lim-Liab CIRCLE DOWN ASSISTED LIVING 5230 CIRCLE DOWN GOLDEN VALLEY, MN 55416 PHONE: 952/374-4710 (28372) FAX: /- MS. LYNN DEICHERT Minnesota Department of Health Division of Compliance Monitoring Page 136 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf COLONIAL ACRES HEALTH CARE CTR Certification HENNEPIN Registration (Cont.)* -------------------------- NH-88 SNF-39 5825 ST CROIX AVENUE (00183) GOLDEN VALLEY, MN 55422 PHONE: 763/544-1555 FAX: MS. PAULA SPARLING 763/544-8032 Lim-Liab COMPASSIONCARE HCP-A 620 MENDELSSOHN AVE SUITE 107 GOLDEN VALLEY, MN 55427 PHONE: 218/477-1008 (29177) FAX: MR. THOMAS SCHUETT 218/477-1009 NProf COURAGE CENTER HCP-A HWS-O 3915 GOLDEN VALLEY ROAD GOLDEN VALLEY, MN 55422 PHONE: 763/520-0261 (03148) FAX: MS. JEANNE OLSON 763/520-1907 CORF NProf COURAGE CENTER OUTPATIENT SRVS 3915 GOLDEN VALLEY RD GOLDEN VALLEY, MN 55422 PHONE: 763/588-0811 (02089) FAX: MS. JEANNE OLSON /- NProf COURAGE RESIDENCE NH-40 SNF-NF-40 3915 GOLDEN VALLEY ROAD GOLDEN VALLEY, MN 55422 PHONE: 763/520-0306 (00751) FAX: MS. MARTHA SWENSON 763/520-0388 NProf COVENANTCARE AT HOME HCP-A HHA 5800 ST CROIX AVENUE GOLDEN VALLEY, MN 55422 PHONE: 763/732-1400 (20228) FAX: MS. CAROLYN SCHMIDT 763/732-1403 Corp DAISY HOME CARE INC HCP-A 1710 DOUGLAS DRIVE #260 D GOLDEN VALLEY, MN 55422 PHONE: 763/253-4400 (27547) FAX: MR. CHARLES OMATO 763/253-4401 ESRD Corp FMC DIALYSIS SERVCES GOLDN VAL 6155 DULUTH STREET GOLDEN VALLEY, MN 55422 PHONE: 763/544-0298 (02790) FAX: MR. RICHARD PHIDD /- Lim-Liab GENTLE TOUCH HLTH INITIATV LLC HCP-F 5000 GLENWOOD AVENUE SUITE 150 GOLDEN VALLEY, MN 55422 PHONE: 952/933-3333 (24214) FAX: Corp GOLDEN VALLEY REHAB AND CC MS. SUSAN SNYDER 952/933-8776 NH-164 SNF-NF-164 7505 COUNTRY CLUB DRIVE GOLDEN VALLEY, MN 55427 PHONE: 763/545-0416 (00112) FAX: 763/545-1715 MS. KRISTINA GUINDON Minnesota Department of Health Division of Compliance Monitoring Page 137 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWSAL Corp GOLDEN VALLEY RESIDENCE Registration 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 HHA HCP-A 5851 DULUTH STREET SUITE 115 GOLDEN VALLEY, MN 55422 PHONE: 763/546-9020 (23131) FAX: NProf HAMMER LEE MS. JAIME BERGREN-HANISH 763/546-9023 ICFMR-6 SLFB-6 2825 LEE AVENUE NORTH GOLDEN VALLEY, MN 55422 PHONE: 952/473-1261 (01607) FAX: Corp HAWTHORNE HOUSE MR. JOHN ESTREM 952/473-8629 HCP-F HWSAL 6931 COUNTRY CLUB DRIVE GOLDEN VALLEY, MN 55427 PHONE: 612/385-9200 (23104) FAX: MS. SUSANTHI FERNANDO 763/205-1950 HWSAL Corp HAWTHORNE HOUSE INC 501 KELLY DRIVE GOLDEN VALLEY, MN 55427 PHONE: 612/385-9200 (24099) FAX: MS. SUSANTHI FERNANDO 763/205-1950 HWSAL Corp HAWTHORNE HOUSE INC 6909 COUNTRY CLUB DRIVE GOLDEN VALLEY, MN 55427 PHONE: 621/385-9200 (23667) FAX: MS. SUSANTHI FERNANDO 763/205-1950 HWSAL Corp HAWTHORNE HOUSE INC 1100 IDAHO AVENUE GOLDEN VALLEY, MN 55427 PHONE: 612/385-9200 (23395) FAX: MS. SUSANTHI FERNANDO 763/205-1950 HWSAL Corp HAWTHORNE HOUSE INC 541 KELLY DRIVE GOLDEN VALLEY, MN 55427 PHONE: 612/385-9200 (24326) FAX: Church HERITAGE HOUSE ASSISTED LIVING MS. SUSANTHI FERNANDO 763/205-1950 HCP-F HWSAL 5825 ST CROIX AVENUE GOLDEN VALLEY, MN 55422 PHONE: 763/732-1434 (20177) FAX: Corp HOME CARE PROFESSIONALS INC MR. GARY GARDEEN 763/513-6644 HCP-A 800 BOONE AVE N STE 110 GOLDEN VALLEY, MN 55427 PHONE: 763/417-8888 (25703) FAX: 763/417-9999 MR. DAVID OLSHANSKY Minnesota Department of Health Division of Compliance Monitoring Page 138 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp HOME HEALTH CARE INC Certification HENNEPIN Registration (Cont.)* -------------------------- 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 GOLDEN VALLEY, MN 55426 PHONE: 763/546-1000 (03278) FAX: MRS. ERIN GOVRIK 763/546-1018 NProf INTERNATIONAL HEALTH CARE SERV HCP-A HHA 5801 DULUTH STREET SUITE 310 GOLDEN VALLEY, MN 55422 PHONE: 763/591-1959 (02915) FAX: MR. MICHAEL TOBAK 763/591-0105 Corp LA BONNE VIE INC HCP-F HWSAL 6443 WESTCHESTER CIRCLE GOLDEN VALLEY, MN 55427 PHONE: 612/735-8480 (21395) FAX: MS. TAMARA JUNTILLA /- Corp LEGACY HOME HEALTH CARE INC HCP-A 800 BOONE AVENUE N STE 195 GOLDEN VALLEY, MN 55427 PHONE: 763/593-1000 (26206) FAX: MR. SASHA AKSELROD 763/593-1001 Part MERIDIAN SERVICES INC HCP-A 9400 GOLDEN VALLEY RD GOLDEN VALLEY, MN 55427 PHONE: 763/450-5000 (24883) FAX: MS. CHERYL VENNERSTROM 763/450-5005 Lim-Liab MINNEAPOLIS EYE CENTER Outpt Surg Amb Surg 8401 GOLDEN VALLEY RD STE 340 GOLDEN VALLEY, MN 55427 PHONE: 763/383-4150 (20729) FAX: MS. JENNIFER CORNELIS 763/383-4151 Out Pt NProf MPLS CLINIC OF NEUROLOGY 4225 GOLDEN VALLEY RD GOLDEN VALLEY, MN 55422 PHONE: 763/588-0661 (02163) FAX: MS. MARILYN BALFANZ /- Corp MTAI GLADSON SLFA-6 ICFMR-6 7350 RIDGEWAY ROAD GOLDEN VALLEY, MN 55427 PHONE: 763/542-8340 (01564) FAX: Corp MTAI SAND CREEK MS. MARY TJOSVOLD 763/542-3285 SLFA-5 ICFMR-5 5555 WESTBROOK ROAD GOLDEN VALLEY, MN 55427 PHONE: 763/545-7086 (01561) FAX: 763/545-4251 MS. MARY TJOSVOLD Minnesota Department of Health Division of Compliance Monitoring Page 139 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWSAL Corp NEW DIRECTIONS RESIDENTIAL SER Registration 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 GOLDEN VALLEY, MN 55427 PHONE: 763/544-1447 (01516) FAX: Corp PARKINSONS SPECIALTY HOME CARE MR. HUGH AYLWARD 763/544-0833 HCP-A 1940 MAJOR DRIVE GOLDEN VALLEY, MN 55422 PHONE: 763/550-1774 (03650) FAX: MS. MARCIA HAMILTON-COTTER 763/559-9155 HWSAL-O Corp PINNACLE SERVICES BRAIRWOOD 2580 QUAIL AVE N GOLDEN VALLEY, MN 55442 PHONE: 763/205-5249 (26847) FAX: Lim-Liab REGENCY HOSPITAL OF MPLS LLC MS. JILL CIHLAR 763/205-6978 HOSP-92 HOSP-92 1300 HIDDEN LAKES PARKWAY GOLDEN VALLEY, MN 55422 PHONE: 763/302-8301 (00158) FAX: Corp RELIABLE HUMAN SERVICES INC MR. JOHN ALLEN 763/521-3805 HCP-A 1710 DOUGLAS DRIVE N STE 204 GOLDEN VALLEY, MN 55422 PHONE: 763/390-7695 (29112) FAX: Corp REM HENNEPIN INC REGENT MR. CHRISTIAN KOLLEH 763/219-8482 SLFA-6 ICFMR-6 3239 REGENT AVENUE NORTH GOLDEN VALLEY, MN 55422 PHONE: 952/591-0797 (01274) FAX: Corp SUMMIT HOME HEALTH CARE INC MS. CONNIE MENNE 952/591-0050 HCP-A HHA 800 BOONE AVE N STE 175 GOLDEN VALLEY, MN 55427 PHONE: 763/417-8888 (23370) FAX: Corp SUNRISE OF GOLDEN VALLEY MR. MARK OLSHANSKY 763/417-9999 HCP-F 4950 OLSON MEMORIAL HIGHWAY GOLDEN VALLEY, MN 55422 PHONE: 763/522-4000 (23981) FAX: 763/522-6170 MS. LISA CURRY HWSAL Part SUNRISE OF GOLDEN VALLEY 4950 OLSON MEMORIAL HIGHWAY GOLDEN VALLEY, MN 55422 PHONE: 763/522-4000 (23982) FAX: 763/522-6170 MS. LISA CURRY Minnesota Department of Health Division of Compliance Monitoring Page 140 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 HWSAL Corp THE CARING SISTERS HOME CARE S 1375 OAK GROVE CIRCLE GOLDEN VALLEY, MN 554224415 PHONE: 952/426-4690 (21932) FAX: MR. OLALEYE BECKLEY 952/426-4691 Lim-Liab WATCHFUL CAREGIVERS HCP-F HWS 1405 NORTH LILAC DRIVE STE 123 GOLDEN VALLEY, MN 55422 PHONE: 763/535-4326 (25630) FAX: MS. WOKIE HARMON-BELLA 763/537-9352 HWS Church WOODSIDE TERRACE ASSISTED LIVI 5800 ST CROIX AVENUE GOLDEN VALLEY, MN 55422 PHONE: 763/732-1434 (21715) FAX: MR. GARY GARDEEN 763/513-6644 HWS NProf 1220 CAMBRIDGE ST 1220 CAMBRIDGE ST HOPKINS, MN 55343 PHONE: 612/290-6680 (27124) FAX: MS. KRISTEN BROWN /- Home Mgmt NProf ACCRA CARE INC 1011 1ST STREET SOUTH #315 HOPKINS, MN 55343 PHONE: 952/935-3515 (26055) FAX: MR. JOHN DAHM 952/935-7112 HWSAL NProf AUGUSTANA CHAPEL VIEW APARTMEN 605 MINNETONKA MILLS ROAD HOPKINS, MN 55343 PHONE: 952/697-3877 (20026) FAX: MS. KIM PEDERSON 952/938-4092 NProf AUGUSTANA CHAPEL VIEW CARE CTR NH-118 SNF-NF-118 615 MINNETONKA MILLS ROAD HOPKINS, MN 55343 PHONE: 952/938-2761 (00727) FAX: 952/938-4092 MS. MARY ROY Out Pt Out St Out Ot NProf AUGUSTANA THERAPY SERVICES 34 TENTH AVENUE SOUTH HOPKINS, MN 55343 PHONE: 612/333-1551 (21755) FAX: 612/338-5326 MS. KRISTY HOEPNER HWS NProf BRENTWOOD PARK APARTMENTS 619 ROBINWOOD LANE HOPKINS, MN 55305 PHONE: 612/204-8319 (28010) FAX: /- MS. STACEY RAY Minnesota Department of Health Division of Compliance Monitoring Page 141 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS NProf BRENTWOOD PARK APARTMENTS Registration 1301 HIGHWAY 7 (27698) HOPKINS, MN 55305 PHONE: 952/938-5163 FAX: MS. KRISTEN BROWN 952/935-8501 Lim-Liab GOLDEN LIVINGCENTER HOPKINS SNF-NF-138 NH-138 725 SECOND AVENUE SOUTH HOPKINS, MN 55343 PHONE: 952/935-3338 (00872) FAX: MS. BROOKE VIEGUT 952/935-0032 Corp GRACE HOMES OAK RIDGE HOUSE HCP-F 601 OAK RIDGE ROAD HOPKINS, MN 55305 PHONE: 952/303-4305 (26529) FAX: MS. BETHANY BUCHANAN 952/303-4121 HWS Corp GRACE HOMES OAK RIDGE HOUSE 601 OAK RIDGE ROAD HOPKINS, MN 55305 PHONE: 952/303-4305 (28023) FAX: MS. BETHANY BUCHANAN 952/303-4121 HWS NProf HIAWATHA COURT 1125 HIAWATHA AVENUE HOPKINS, MN 55343 PHONE: 952/922-2500 (28362) FAX: MS. KRISTEN BROWN /- Lim-Liab HOME CARE WITH A HEART LLC HCP-C 739 2ND STREET NORTHEAST HOPKINS, MN 55343 PHONE: 952/922-3094 (27237) FAX: MS. BONNIE LEVY /- HWS NProf KNOLLWOOD APARTMENTS 1210 CAMBRIDGE STREET HOPKINS, MN 55343 PHONE: 612/204-8319 (27052) FAX: MS. STACEY RAY /- Home Mgmt Ind MIRIAM PARADA SERBER & DAVID W 707 11TH AVENUE SOUTH APT 6 HOPKINS, MN 55343 PHONE: 612/208-6428 (27948) FAX: MS. MIRIAM SERBER /- Ind RENEE M GAU HCP-C 5601 SMETANA DRIVE UNIT 415 HOPKINS, MN 55305 PHONE: 952/240-0282 (24242) FAX: MS. RENEE GAU /- ONProf THE TERRACES ASSISTED LIVING L HCP-F 901 FELTL COURT HOPKINS, MN 55343 PHONE: 952/960-5550 (26013) FAX: 952/960-8776 MS. SUSAN SNYDER Minnesota Department of Health Division of Compliance Monitoring Page 142 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWSAL ONProf THE TERRACES OF ST THERESE SW Registration 901 FELTL COURT (22139) HOPKINS, MN 55343 PHONE: 952/933-3333 FAX: MS. SUSAN SNYDER 952/933-8776 HWS NProf THE TOWERS OF ST THERESE SW 1011 FELTL COURT HOPKINS, MN 55343 PHONE: 952/933-3333 (20217) FAX: MS. SUSAN SNYDER 952/933-8776 Home Mgmt Lim-Liab VISITING ANGELS 175 JACKSON AVE NO SUITE 429 HOPKINS, MN 55343 PHONE: 952/935-0789 (21674) FAX: MS. TERRI DEVEAU 952/937-0778 Lim-Liab VISITING ANGELS HCP-A 175 JACKSON AVENUE N HOPKINS, MN 55343 PHONE: 952/935-0789 (21675) FAX: MS. TERRI DEVEAU 952/935-0778 Lim-Liab LONG LAKE ASSISTED LIVING LLC HWSAL HCP-F 345 NORTH BROWN ROAD LONG LAKE, MN 55356 PHONE: 952/473-2527 (23172) FAX: MR. KEITH UNGER 952/404-9701 NProf ORONO WOODLANDS ICFMR-6 SLFB-6 2100 6TH AVENUE NORTH BOX 507 LONG LAKE, MN 55356 PHONE: 952/473-0852 (01366) FAX: MS. GLADYS MC CLENDON 952/473-8428 Corp GOLDEN ELDERLY CARE SUITES COR HCP-A 8055 FERN LANE LORETTO, MN 55357 PHONE: 612/201-0604 (27328) FAX: MS. NANCY STRANDLUND 763/496-1403 Corp ABUNDANCE HOMECARE HCP-A 7018 EAST FISH LAKE ROAD MAPLE GROVE, MN 55311 PHONE: 763/315-1050 (29273) FAX: MR. SAMPSON ROLEN 763/315-1090 Lim-Liab ARBOR LAKES SENIOR LIVING HCP-F HWS 12001 80TH AVENUE NORTH MAPLE GROVE, MN 55369 PHONE: 763/575-7021 (27690) FAX: MR. BEN WELNA 651/575-7034 Ind BETTY R JOHNSON HCP-C 6593 IVES LANE NORTH MAPLE GROVE, MN 55369 PHONE: 612/987-1488 (28538) FAX: /- MS. BETTY JOHSON Minnesota Department of Health Division of Compliance Monitoring Page 143 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp BRIGHTSTAR HEALTHCARE OF WAYZA Certification HENNEPIN Registration (Cont.)* -------------------------- HCP-A 7365 KIRKWOOD COURT N #345 (27083) MAPLE GROVE, MN 55369 PHONE: 612/486-4400 FAX: MR. RICK GASS 612/486-4010 Home Mgmt Lim-Liab BYCHOICE HOME CARE SRVS LLC 11670 FOUNTAINS DRIVE #200 MAPLE GROVE, MN 55369 PHONE: 763/445-2692 (29153) FAX: MS. AYESHA BOBRAY 763/445-2501 Corp CBD HOME CARE INC HCP-A 10650 COUNTY RD 81 STE 207 MAPLE GROVE, MN 55369 PHONE: 763/493-5067 (25274) FAX: MR. EMEKA LINUS OKAFOR 763/493-5138 NProf DCI 75TH SLFB-6 ICFMR-6 14850 75TH AVENUE NORTH MAPLE GROVE, MN 55369 PHONE: 763/420-5848 (01401) FAX: MS. JULIE MANWORREN 763/420-6121 Lim-Liab DIVERSEY HOME CARE LLC HCP-A 6631 URBANDALE LANE NORTH MAPLE GROVE, MN 55311 PHONE: 952/388-7368 (28998) FAX: MR. ANTHONY PALO /- Lim-Liab DUNGARVIN YOUGAL SLFA-6 10203 94TH AVENUE MAPLE GROVE, MN 55369 PHONE: 651/699-6050 (00245) FAX: MS. NATALIE GRAF 651/699-7265 Corp EDELWEISS HOME HEALTH CARE HCP-A 7014 EAST FISH LAKE ROAD MAPLE GROVE, MN 55311 PHONE: 763/315-1050 (21804) FAX: MS. LORI MUELLER 763/315-1090 Lim-Liab FAIRVIEW MAPLE GROVE SURG CTR Outpt Surg Amb Surg 14500 99TH AVENUE NORTH MAPLE GROVE, MN 55369 PHONE: 763/898-1400 (24347) FAX: 763/898-1439 MS. HEATHER SHERIDAN ESRD Corp FRESENIUS MED CARE MAPLE GROVE 7365 KIRKWOOD COURT SUITE 135 MAPLE GROVE, MN 55369 PHONE: 763/494-0316 (26279) FAX: 763/494-4201 MR. JOHN MARIETTI HWSAL Corp GOLDEN POND 12270 87TH AVENUE NORTH MAPLE GROVE, MN 55369 PHONE: 866/344-4946 (27329) FAX: /- MS. NANCY STRANDLUND Minnesota Department of Health Division of Compliance Monitoring Page 144 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab GOODLIFE HOMECARE LLC Certification HENNEPIN Registration (Cont.)* -------------------------- 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 MAPLE GROVE, MN 55369 PHONE: 612/518-3754 (27281) FAX: MR. ANTHONY RUBASCH /- NProf HAMMER LAWNDALE SLFB-6 ICFMR-6 6688 LAWNDALE LANE NORTH MAPLE GROVE, MN 55311 PHONE: 952/473-1261 (01686) FAX: MR. JOHN ESTREM 952/473-8629 Lim-Liab HEALING TOUCH HOME CARE LLC HCP-F 9823 102ND AVENUE NORTH MAPLE GROVE, MN 55369 PHONE: 952/688-7164 (29295) FAX: MS ESTHER WAKO /- Home Mgmt Corp HOME INSTEAD SENIOR CARE 9684 63RD AVE N STE 106 MAPLE GROVE, MN 55369 PHONE: 763/544-5988 (21090) FAX: Corp HOME INSTEAD SENIOR CARE #230 MR. JOHN STUCK 763/544-6012 HCP-B 9684 63RD AVE N SUITE #106 MAPLE GROVE, MN 55369 PHONE: 763/544-5988 (23593) FAX: Corp HOME INSTEAD SR CARE OF MPLS MS. KATHLEEN STUCK 763/544-6012 HCP-A 9684 63RD AVENUE NORTH MAPLE GROVE, MN 55369 PHONE: 763/544-5988 (27897) FAX: NProf HOMEWARD BOUND INC MR. JOHN STUCK 763/544-5988 HCP-A 6452 BLUEBIRD CIRCLE MAPLE GROVE, MN 55369 PHONE: 763/746-4850 (24265) FAX: NProf HOMEWARD BOUND MAPLE GROVE MR. DONALD PRIEBE 763/746-4850 SLFB-6 ICFMR-6 6769 EAST FISH LAKE ROAD MAPLE GROVE, MN 55369 PHONE: 763/746-4850 (01585) FAX: Corp KIDSPEAK LTD MR. DONALD PRIEBE 763/525-8048 HCP-A 6936 GARLAND LANE NORTH MAPLE GROVE, MN 55311 PHONE: 763/416-9313 (21545) FAX: 763/416-4530 MS. AMY CHOUINARD Minnesota Department of Health Division of Compliance Monitoring Page 145 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------ESRD Corp MAPLE GROVE DIALYSIS UNIT Registration 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-36 HOSP-130 HOSP-130 9875 HOSPITAL DRIVE MAPLE GROVE, MN 55369 PHONE: 763/581-1000 (25593) FAX: Corp MINNESOTA SURGERY CENTER LTD MR. ANDY COCHRANE 763/581-1555 Outpt Surg Amb Surg 9550 UPLAND AVENUE NORTH MAPLE GROVE, MN 55369 PHONE: 763/420-2981 (25675) FAX: Lim-Liab NORTH MEMORIAL AMBU SURG MS. MARSHA THIEL 763/537-6666 Outpt Surg Amb Surg 9855 HOSPITAL DRIVE SUITE 175 MAPLE GROVE, MN 55369 PHONE: 763/581-9000 (25447) FAX: Lim-Liab PRAIRIECARE MS. TRACI ALBERS 763/581-9001 PSY-HOSP-20 PSY-20 12915 63RD AVENUE NORTH MAPLE GROVE, MN 55369 PHONE: 763/383-5800 (27048) FAX: DR. JOEL OBERSTAR 952/826-8360 HWSAL Corp ROSE ARBOR 16500 92ND AVENUE NORTH MAPLE GROVE, MN 55311 PHONE: 763/493-5910 (21387) FAX: MS. SHELLEY MCDONALD 763/420-5728 HWS Corp SOLBAKKEN INC 18255 83RD AVENUE NORTH MAPLE GROVE, MN 55311 PHONE: 612/280-3394 (27896) FAX: Corp WILDFLOWER LODGE MS. MARY ADAMS 952/943-2941 HCP-F HWSAL 9251 BLACK OAKS LANE NORTH MAPLE GROVE, MN 55311 PHONE: 763/493-5910 (21386) FAX: NProf BRYANT HOUSE MS. SHELLEY MCDONALD 763/420-5728 HCP-F HWS 5515 BRYANT STREET MAPLE PLAIN, MN 55359 PHONE: 763/479-3655 (20106) FAX: NProf HAVEN HOMES OF MAPLE PLAIN MR. ROBERT MUELLER 763/479-3656 NH-67 SNF-NF-67 1520 WYMAN AVENUE PO BOX 369 MAPLE PLAIN, MN 55359 PHONE: 763/479-1993 (00950) FAX: 763/479-3656 MR. ROBERT MUELLER Minnesota Department of Health Division of Compliance Monitoring Page 146 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp NEW DIRECTIONS RESIDENTIAL SER Certification HENNEPIN Registration (Cont.)* -------------------------- 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 MINNEAPOLIS, MN 55414 PHONE: 612/204-8319 (25056) FAX: 612/375-9105 MS. STACEY RAY HWS NProf 1115 MAIN STREET 1115 MAIN STREET NE MINNEAPOLIS, MN 55413 PHONE: 763/571-3300 (27135) FAX: 763/571-4209 MS. KRISTEN BROWN HWS NProf 1220 CLASSIC CITY APARTMENTS 1220 MAIN STREET MINNEAPOLIS, MN 55413 PHONE: 612/623-1888 (28472) FAX: 612/623-1869 MS. KRISTEN BROWN HWS NProf 1220 MORGAN AVENUE NORTH 1220 MORGAN AVENUE NORTH MINNEAPOLIS, MN 55411 PHONE: 612/381-9399 (26888) FAX: MS. KRISTEN BROWN /- HWS NProf 1405 SE COMO AVENUE 1405 SE COMO AVENUE MINNEAPOLIS, MN 55414 PHONE: 612/204-8319 (24937) FAX: 612/375-9105 MS. STACEY RAY HWS NProf 1407 GOLDEN VALLEY ROAD 1407 GOLDEN VALLEY ROAD MINNEAPOLIS, MN 55411 PHONE: 612/703-1416 (29270) FAX: MS. STACEY RAY /- HWS NProf 1409 SE COMO AVENUE 1409 SE COMO AVENUE MINNEAPOLIS, MN 55414 PHONE: 612/204-8319 (24936) FAX: 612/375-9105 MS. STACEY RAY HWS NProf 15 WEST 22ND STREET LLC 15 WEST 22ND STREET MINNEAPOLIS, MN 55404 PHONE: 612/922-7925 (25022) FAX: 612/722-0884 MS. KRISTEN BROWN HWS NProf 1500 PARK AVENUE 1500 PARK AVENUE MINNEAPOLIS, MN 55404 PHONE: 612/886-2079 (28176) 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 1522 LASALLE AVENUE SOUTH Registration 1522 LASALLE AVENUE SOUTH (28159) MINNEAPOLIS, MN 55403 PHONE: 612/374-7339 FAX: MS. STACEY RAY /- HWS NProf 1529 BRYANT AVENUE NORTH 1529 BRYANT AVENUE NORTH MINNEAPOLIS, MN 55411 PHONE: 612/285-1009 (28569) FAX: 612/454-2772 MS. KRISTEN BROWN HWS NProf 1600 PARK AVENUE SOUTH 1600 PARK AVENUE SOUTH MINNEAPOLIS, MN 55404 PHONE: 612/219-0234 (28531) FAX: 952/849-9410 MS. KRISTEN BROWN HWS NProf 1621 TAYLOR STREET NE 1621 TAYLOR STREET NE MINNEAPOLIS, MN 55413 PHONE: 612/204-8319 (25339) FAX: MS. STACEY RAY /- HWS NProf 1720 19TH AVENUE NE 1720 19TH AVENUE NE MINNEAPOLIS, MN 55408 PHONE: 612/508-8700 (27860) FAX: 612/823-0685 MS. KRISTEN BROWN HWS NProf 1807 EAST LAKE STREET 1807 EAST LAKE STREET MINNEAPOLIS, MN 55407 PHONE: 612/822-9999 (28570) FAX: MS. KRISTEN BROWN /- HWS NProf 1807 TALMAGE AVENUE SOUTHEAST 1807 TALMAGE AVENUE SOUTHEAST MINNEAPOLIS, MN 55414 PHONE: 612/801-8629 (28363) FAX: MS. KRISTEN BROWN /- HWS NProf 1810 3RD AVENUE SOUTH #101 1810 3RD AVENUE SOUTH #101 MINNEAPOLIS, MN 55404 PHONE: 612/774-3339 (28156) FAX: MS. STACEY RAY /- HWS NProf 1815 1ST AVENUE S LLC 1815 1ST AVENUE S MINNEAPOLIS, MN 55403 PHONE: 612/922-7925 (25023) FAX: 612/722-0884 MS. KRISTEN BROWN HWS NProf 1818 BRYANT AVENUE NORTH 1818 BRYANT AVENUE NORTH MINNEAPOLIS, MN 55411 PHONE: 612/325-2500 (28727) FAX: 612/521-4606 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 1820 STEVENS AVENUE Registration 1820 STEVENS AVENUE (27017) MINNEAPOLIS, MN 55404 PHONE: 612/870-8500 FAX: MS. KRISTEN BROWN /- HWS NProf 1828 COLUMBUS AVENUE 1828 COLUMBUS AVENUE MINNEAPOLIS, MN 55404 PHONE: 612/377-5650 (26078) FAX: MS. KRISTEN BROWN 612/522-3479 HWS NProf 1911 11TH AVENUE SOUTH 1911 11TH AVENUE SOUTH MINNEAPOLIS, MN 55404 PHONE: 612/204-8319 (25747) FAX: MS. STACEY RAY /- HWS NProf 1912 STEVENS AVE SOUTH 1912 STEVENS AVENUE SOUTH MINNEAPOLIS, MN 55403 PHONE: 952/297-6626 (28532) FAX: MS. KRISTEN BROWN 952/884-9851 HWS NProf 1913 STEVENS AVENUE SOUTH #3 1913 STEVENS AVENUE SOUTH #3 MINNEAPOLIS, MN 55403 PHONE: 612/870-1870 (27869) FAX: MS. KRISTEN BROWN /- HWS NProf 1915 2ND AVENUE SOUTH 1915 2ND AVENUE SOUTH MINNEAPOLIS, MN 55403 PHONE: 612/204-8319 (27390) FAX: MS. STACEY RAY /- HWS NProf 1924 EMERSON AVENUE SOUTH 1924 EMERSON AVENUE SOUTH MINNEAPOLIS, MN 55403 PHONE: 612/204-8319 (25797) FAX: MS. STACEY RAY /- HWS NProf 1924 STEVENS AVENUE SOUTH 1924 STEVENS AVENUE SOUTH MINNEAPOLIS, MN 55403 PHONE: 612/870-1870 (27863) FAX: MS. KRISTEN BROWN /- HWS NProf 1929 3RD AVENUE SOUTH 1929 3RD AVENUE SOUTH MINNEAPOLIS, MN 55404 PHONE: 612/204-8319 (27710) FAX: MS. STACEY RAY /- Corp 1ST CHOICE PCA SERVICES HCP-A 226 COLFAX AVENUE N STE 102 MINNEAPOLIS, MN 554051437 PHONE: 612/770-4177 (29156) FAX: 612/454-2664 MS. TERRI LYNAS Minnesota Department of Health Division of Compliance Monitoring Page 149 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS NProf 2010 RUSSELL AVENUE NORTH Registration 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 MINNEAPOLIS, MN 55404 PHONE: 612/922-7925 (26889) FAX: MS. KRISTEN BROWN /- HWS NProf 2017 PILLSBURY AVENUE SOUTH 2017 PILLSBURY AVENUE SOUTH MINNEAPOLIS, MN 55404 PHONE: 612/377-2792 (27320) FAX: MS. KRISTEN BROWN /- HWS NProf 2020 OAKLAND AVENUE SOUTH 2020 OAKLAND AVENUE SOUTH MINNEAPOLIS, MN 55404 PHONE: 651/331-0914 (28495) FAX: MS. KRISTEN BROWN /- HWS NProf 2029 WILLOW AVENUE NORTH 2029 WILLOW AVENUE NORTH MINNEAPOLIS, MN 55411 PHONE: 612/208-6434 (28861) FAX: MS. KRISTEN BROWN /- HWS NProf 2103 2ND AVENUE SOUTH 2103 2ND AVENUE SOUTH MINNEAPOLIS, MN 55404 PHONE: 612/874-0311 (27597) FAX: 612/874-0313 MS. KRISTEN BROWN HWS NProf 2114 FOURTH STREET NE #2 2114 FOURTH STREET NE #2 MINNEAPOLIS, MN 55418 PHONE: 612/481-4378 (28891) FAX: MS. WENDY WIEGMANN /- HWS NProf 2119 PILLSBURY AVENUE SOUTH 2119 PILLSBURY AVENUE SOUTH MINNEAPOLIS, MN 55404 PHONE: 612/872-2489 (27595) FAX: 612/872-2359 MS. KRISTEN BROWN HWS NProf 2200 BLAISDELL AVE 2200 BLAISDELL AVE MINNEAPOLIS, MN 55404 PHONE: 612/872-2489 (27608) FAX: MS. KRISTEN BROWN /- HWS NProf 2200 PILLSBURY AVENUE S LLC 2200 PILLSBURY AVENUE S MINNEAPOLIS, MN 55404 PHONE: 612/922-7925 (25024) FAX: 612/722-0884 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 2220 14TH AVENUE SOUTH Registration 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 MINNEAPOLIS, MN 55404 PHONE: 612/872-2489 (27131) FAX: MS. KRISTEN BROWN 612/872-2359 HWS NProf 225 OAK GROVE STREET 225 OAK GROVE STREET MINNEAPOLIS, MN 55403 PHONE: 612/871-3313 (26898) FAX: MS. KRISTEN BROWN /- HWS NProf 2312 BLAISDELL AVENUE SOUTH 2312 BLAISDELL AVENUE SOUTH MINNEAPOLIS, MN 55404 PHONE: 612/872-2489 (27470) FAX: MS. KRISTEN BROWN 612/872-2359 HWS NProf 233 OAK GROVE 233 OAK GROVE MINNEAPOLIS, MN 55403 PHONE: 612/871-3313 (28153) FAX: MS. STACEY RAY /- Corp 24 HOUR CARE HCP-A 2736 HENNEPIN AVE S STE 1 MINNEAPOLIS, MN 55408 PHONE: 612/871-4242 (26189) FAX: 612/879-8374 MR. DAVID BROWN HWS NProf 2525 BLAISDELL AVENUE SOUTH 2525 BLAISDELL AVENUE SOUTH MINNEAPOLIS, MN 55408 PHONE: 612/204-8319 (25789) FAX: MS. STACEY RAY /- HWS NProf 2526 SOUTH 8TH STREET 2526 SOUTH EIGHTH STREET MINNEAPOLIS, MN 55454 PHONE: 952/469-3326 (28189) FAX: MS. STACEY RAY /- HWS NProf 2537 EMERSON AVENUE SOUTH 2537 EMERSON AVENUE SOUTH MINNEAPOLIS, MN 55405 PHONE: 612/922-7925 (27128) FAX: 612/722-0885 MS. KRISTEN BROWN HWS NProf 2629 WEST 43RD STREET 2629 WEST 43RD STREET MINNEAPOLIS, MN 55410 PHONE: 952/941-2400 (27269) FAX: 952/941-2413 MS. KRISTEN BROWN Minnesota Department of Health Division of Compliance Monitoring Page 151 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS NProf 2631 COLUMBUS AVENUE SOUTH Registration 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 MINNEAPOLIS, MN 55408 PHONE: 612/204-8319 (27711) FAX: MS. STACEY RAY /- HWS NProf 2640 2ND AVENUE SOUTH 2640 2ND AVENUE SOUTH MINNEAPOLIS, MN 55404 PHONE: 612/388-5570 (25953) FAX: MS. KRISTEN BROWN /- HWS NProf 2640 BLAISDELL AVENUE 2640 BLAISDELL AVENUE MINNEAPOLIS, MN 55408 PHONE: 612/501-6355 (25170) FAX: MS. KRISTEN BROWN /- HWS-O NProf 2700 GRAND AVENUE SOUTH 2700 GRAND AVENUE SOUTH MINNEAPOLIS, MN 55408 PHONE: 612/204-8319 (25940) FAX: MS. STACEY RAY /- HWS NProf 2700 THIRD AVENUE SOUTH 2700 THIRD AVENUE SOUTH MINNEAPOLIS, MN 55404 PHONE: 612/501-6355 (27482) FAX: MS. KRISTEN BROWN /- HWS NProf 2718 CHICAGO AVENUE SOUTH 2718 CHICAGO AVENUE SOUTH MINNEAPOLIS, MN 55407 PHONE: 612/242-8758 (28008) FAX: 612/501-6355 MS. KRISTEN BROWN HWS NProf 2720 PILLSBURY AVENUE SOUTH 2720 PILLSBURY AVENUE SOUTH MINNEAPOLIS, MN 55408 PHONE: 612/872-2474 (27477) FAX: MS. KRISTEN BROWN /- HWS NProf 2740 PLEASANT AVENUE SOUTH 2740 PLEASANT AVENUE SOUTH MINNEAPOLIS, MN 55408 PHONE: 612/374-3339 (29279) FAX: MS. KRISTEN BROWN /- HWS NProf 3 WEST 34TH STREET 3 WEST 34TH STREET MINNEAPOLIS, MN 55408 PHONE: 612/293-9767 (28656) FAX: /- MS. KRISTEN BROWN Minnesota Department of Health Division of Compliance Monitoring Page 152 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS NProf 3007 IRVING AVENUE NORTH Registration 3007 IRVING AVENUE NORTH (29288) MINNEAPOLIS, MN 55412 PHONE: 952/457-1149 FAX: MS. KRISTEN BROWN /- HWS NProf 3010 15TH AVENUE SOUTH 3010 15TH AVENUE SOUTH MINNEAPOLIS, MN 55407 PHONE: 612/990-7333 (27535) FAX: 612/729-8404 MS. KRISTEN BROWN HWS NProf 3014 31ST AVENUE SOUTH 3014 31ST AVENUE SOUTH MINNEAPOLIS, MN 55406 PHONE: 612/922-7925 (26897) FAX: MS. KRISTEN BROWN /- HWS NProf 3016 29TH AVENUE SOUTH 3016 29TH AVENUE SOUTH MINNEAPOLIS, MN 55406 PHONE: 612/598-3671 (27610) FAX: MS. KRISTEN BROWN /- HWS NProf 3020 31ST AVENUE SOUTH 3020 31ST AVENUE SOUTH MINNEAPOLIS, MN 55406 PHONE: 612/922-7925 (26825) FAX: MS. KRISTEN BROWN /- HWS NProf 3105 GIRARD AVENUE NORTH #1 3105 GIRARD AVENUE NORTH #1 MINNEAPOLIS, MN 55411 PHONE: 612/870-6294 (27872) FAX: MS. KRISTEN BROWN /- HWS NProf 3112 MINNEHAHA AVENUE 3112 MINNEHAHA AVENUE MINNEAPOLIS, MN 55406 PHONE: 952/925-3878 (26958) FAX: MS. KRISTEN BROWN /- HWS NProf 3117 15TH AVENUE SOUTH 3117 15TH AVENUE SOUTH MINNEAPOLIS, MN 55407 PHONE: 612/724-7368 (25190) FAX: 612/722-0904 MS. KRISTEN BROWN HWS NProf 3121 3RD AVENUE SOUTH 3121 3RD AVENUE SOUTH MINNEAPOLIS, MN 55408 PHONE: 612/275-2855 (26733) FAX: MS. KRISTEN BROWN /- HWS NProf 3126 58TH STREET EAST 3126 58TH STREET EAST MINNEAPOLIS, MN 55417 PHONE: 612/861-3482 (26959) 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-O NProf 3132 PLEASANT AVENUE SOUTH Registration 3132 PLEASANT AVENUE SOUTH (25857) MINNEAPOLIS, MN 55408 PHONE: 612/204-8319 FAX: MS. STACEY RAY /- HWS NProf 3139 THIRD AVENUE SOUTH 3139 THIRD AVENUE SOUTH MINNEAPOLIS, MN 55408 PHONE: 612/216-5040 (29213) FAX: MS. KRISTEN BROWN /- HWS NProf 3201 GIRARD AVENUE NORTH 3201 GIRARD AVENUE NORTH MINNEAPOLIS, MN 55412 PHONE: 612/521-1749 (27867) FAX: 612/521-1282 MS. KRISTEN BROWN HWS NProf 3210 29TH AVENUE SOUTH 3210 29TH AVENUE SOUTH MINNEAPOLIS, MN 55406 PHONE: 612/810-9390 (26826) FAX: MS. KRISTEN BROWN /- HWS NProf 3214 NORTH QUEEN AVENUE 3214 NORTH QUEEN AVENUE MINNEAPOLIS, MN 55412 PHONE: 612/618-0810 (28655) FAX: MS. STACEY RAY /- HWS NProf 3215 SIXTH STREET NORTH 3215 SIXTH STREET NORTH MINNEAPOLIS, MN 55411 PHONE: 612/221-1371 (28927) FAX: MS. KRISTEN BROWN /- HWS NProf 3232 BLAISDELL AVENUE SOUTH 3232 BLAISDELL AVENUE SOUTH MINNEAPOLIS, MN 55408 PHONE: 612/827-6284 (26414) FAX: MS. KRISTEN BROWN /- HWS NProf 327 UNIVERSITY AVENUE SE 327 UNIVERSITY AVENUE SE MINNEAPOLIS, MN 55414 PHONE: 612/204-8319 (24906) FAX: 612/375-9105 MS. STACEY RAY HWS NProf 330 8TH STREET SOUTHEAST 330 8TH STREET SOUTHEAST MINNEAPOLIS, MN 55414 PHONE: 612/331-8369 (25840) FAX: 612/379-7810 MS. KRISTEN BROWN HWS NProf 3305 BRYANT AVENUE SOUTH 3305 BRYANT AVENUE SOUTH MINNEAPOLIS, MN 55404 PHONE: 612/204-8319 (25231) FAX: /- MS. STACEY RAY Minnesota Department of Health Division of Compliance Monitoring Page 154 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS NProf 3310 NORTH PENN AVENUE Registration 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 MINNEAPOLIS, MN 55409 PHONE: 612/266-8699 (26896) FAX: MS. KRISTEN BROWN /- HWS NProf 3320 LONGFELLOW AVENUE SOUTH 3320 LONGFELLOW AVENUE SOUTH MINNEAPOLIS, MN 55407 PHONE: 612/724-7368 (26989) FAX: MS. KRISTEN BROWN /- HWS NProf 3351 PARK AVENUE SOUTH 3351 PARK AVENUE SOUTH MINNEAPOLIS, MN 55407 PHONE: 612/272-4177 (28533) FAX: 612/722-2214 MS. JANELLE LEPPA HWS NProf 3413 PORTLAND AVENUE S 3413 PORTLAND AVENUE S MINNEAPOLIS, MN 55404 PHONE: 612/810-9390 (25647) FAX: 612/722-0885 MS. KRISTEN BROWN HWS NProf 3414 MINNEHAHA AVE LLC 3414 MINNEHAHA AVENUE MINNEAPOLIS, MN 55406 PHONE: 612/922-7925 (25026) FAX: 612/722-0884 MS. KRISTEN BROWN HWS NProf 3416 3RD AVENUE SOUTH 3416 3RD AVENUE SOUTH MINNEAPOLIS, MN 55404 PHONE: 612/805-9342 (28752) FAX: 612/844-2669 MS. KRISTEN BROWN HWS-O NProf 3430 NORTHEAST TYLER STREET 3430 NORTHEAST TYLER STREET MINNEAPOLIS, MN 55418 PHONE: 612/204-8319 (27536) FAX: 612/375-9105 MS. STACEY RAY HWS NProf 3452 SOUTH EMERSON AVENUE 3452 SOUTH EMERSON AVENUE MINNEAPOLIS, MN 55408 PHONE: 952/925-3878 (28525) FAX: MS. STACEY RAY /- HWS NProf 3455 SOUTH MINNEHAHA AVENUE 3455 SOUTH MINNEHAHA AVENUE MINNEAPOLIS, MN 55406 PHONE: 612/204-8319 (26664) FAX: /- MS. STACEY RAY Minnesota Department of Health Division of Compliance Monitoring Page 155 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS NProf 3457 CENTRAL AVENUE NORTHEAST Registration 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 MINNEAPOLIS, MN 55406 PHONE: 612/204-8319 (26003) FAX: MS. STACEY RAY /- HWS NProf 3520 12TH AVENUE SOUTH 3520 12TH AVENUE SOUTH MINNEAPOLIS, MN 55409 PHONE: 612/270-7844 (26895) FAX: MS. KRISTEN BROWN /- HWS NProf 3534 PENN AVENUE NORTH 3534 PENN AVENUE NORTH MINNEAPOLIS, MN 55412 PHONE: 612/522-3394 (27315) FAX: MS. KRISTEN BROWN /- HWS NProf 3542 NORTH PENN AVENUE 3542 NORTH PENN AVENUE MINNEAPOLIS, MN 55412 PHONE: 612/522-3394 (28158) FAX: MS. STACEY RAY /- HWS NProf 3545 12TH AVENUE SOUTH 3545 12TH AVENUE SOUTH MINNEAPOLIS, MN 55407 PHONE: 763/566-6591 (26732) FAX: MS. KRISTEN BROWN /- HWS NProf 3643 PENN AVENUE NORTH 3643 PENN AVENUE NORTH MINNEAPOLIS, MN 55412 PHONE: 612/522-3394 (26731) FAX: MS. KRISTEN BROWN /- HWS NProf 3654 BRYANT AVENUE SOUTH 3654 BRYANT AVENUE SOUTH MINNEAPOLIS, MN 55409 PHONE: 612/804-8730 (27132) FAX: MS. KRISTEN BROWN /- HWS NProf 3701 WEST LAKE STREET 3701 WEST LAKE STREET MINNEAPOLIS, MN 55404 PHONE: 952/925-3878 (27864) FAX: MS. KRISTEN BROWN /- HWS NProf 3708 LYNDALE AVENUE SOUTH 3708 LYNDALE AVENUE SOUTH MINNEAPOLIS, MN 55409 PHONE: 952/925-3878 (27862) FAX: 952/928-3832 MS. KRISTEN BROWN Minnesota Department of Health Division of Compliance Monitoring Page 156 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS NProf 3710 MINNEHAHA AVENUE SOUTH Registration 3710 MINNEHAHA AVENUE SOUTH (29140) MINNEAPOLIS, MN 55406 PHONE: 612/799-7885 FAX: MS. KRISTEN BROWN /- HWS NProf 3736 SOUTH CEDAR AVENUE 3736 SOUTH CEDAR AVENUE MINNEAPOLIS, MN 55407 PHONE: 612/204-8319 (25567) FAX: MS. STACEY RAY /- HWS NProf 3801 NICOLLET AVENUE SOUTH 3801 NICOLLET AVENUE SOUTH MINNEAPOLIS, MN 55409 PHONE: 612/701-9491 (28494) FAX: MS. KRISTEN BROWN /- HWS NProf 3806 6TH STREET NORTH 3806 6TH STREET NORTH MINNEAPOLIS, MN 55429 PHONE: 612/219-9762 (27058) FAX: MS. KRISTEN BROWN /- HWS NProf 3816 NICOLLET AVENUE S LLC 3816 NICOLLET AVENUE S MINNEAPOLIS, MN 55409 PHONE: 612/922-7925 (25025) FAX: 612/722-0884 MS. KRISTEN BROWN HWS NProf 4038 COLFAX AVENUE NORTH #2 4038 COLFAX AVENUE NORTH #2 MINNEAPOLIS, MN 55412 PHONE: 612/308-2967 (28678) FAX: 612/746-6503 MS. KRISTEN BROWN HWS NProf 4052 MINNEHAHA AVENUE 4052 MINNEHAHA AVENUE MINNEAPOLIS, MN 55406 PHONE: 612/325-5862 (27614) FAX: MS. KRISTEN BROWN /- HWS NProf 410 6TH STREET SE 410 6TH STREET SE MINNEAPOLIS, MN 55414 PHONE: 612/204-8319 (25058) FAX: 612/375-9105 MS. STACEY RAY HWS NProf 4126 QUEEN AVENUE NORTH 4126 QUEEN AVENUE NORTH MINNEAPOLIS, MN 55429 PHONE: 612/227-6858 (26956) FAX: MS. KRISTEN BROWN /- HWS NProf 416 20TH AVENUE NE UNIT #1 416 20TH AVENUE NE UNIT #1 MINNEAPOLIS, MN 55418 PHONE: 612/236-9296 (28132) FAX: 612/236-9296 MS. JANELLE LEPPA Minnesota Department of Health Division of Compliance Monitoring Page 157 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS NProf 4331 GIRARD AVENUE NORTH Registration 4331 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 MINNEAPOLIS, MN 55406 PHONE: 612/922-7925 (27127) FAX: 612/722-0885 MS. KRISTEN BROWN HWS NProf 4604 BLOOMINGTON AVENUE SOUTH 4604 BLOOMINGTON AVENUE SOUTH MINNEAPOLIS, MN 55407 PHONE: 612/987-6115 (28474) FAX: MS. KRISTEN BROWN /- HWS NProf 4TH STREET RESIDENCE 432 4TH STREET SE MINNEAPOLIS, MN 55414 PHONE: 651/222-7587 (28543) FAX: MS. STACEY RAY /- HWS NProf 507 RIDGEWOOD AVENUE 507 RIDGEWOOD AVENUE MINNEAPOLIS, MN 55403 PHONE: 612/325-5862 (27615) FAX: MS. KRISTEN BROWN /- HWS NProf 5700 34TH AVENUE 5700 34TH AVENUE MINNEAPOLIS, MN 55417 PHONE: 612/669-7334 (26642) FAX: MS. KRISTEN BROWN /- HWS NProf 5712 34TH AVENUE SOUTH 5712 34TH AVENUE SOUTH MINNEAPOLIS, MN 55417 PHONE: 612/669-7334 (27057) FAX: MS. KRISTEN BROWN /- HWS NProf 5753 BOSSEN TERRACE 5753 BOSSEN TERRACE MINNEAPOLIS, MN 55417 PHONE: 612/293-9767 (28657) FAX: MS. KRISTEN BROWN /- HWS NProf 5761 33RD AVENUE SOUTH 5761 33RD AVENUE SOUTH MINNEAPOLIS, MN 55417 PHONE: 612/598-4275 (25839) FAX: MS. KRISTEN BROWN /- HWS NProf 601 WEST 28TH STREET 601 WEST 28TH STREET MINNEAPOLIS, MN 55408 PHONE: 612/822-9999 (27886) FAX: 952/445-2134 MS. KRISTEN BROWN Minnesota Department of Health Division of Compliance Monitoring Page 158 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS NProf 617 19TH AVENUE SOUTH Registration 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 MINNEAPOLIS, MN 55454 PHONE: 612/333-9164 (27474) FAX: MS. KRISTEN BROWN 612/333-8185 HWS NProf 621 19TH AVENUE SOUTH 621 19TH AVENUE SOUTH MINNEAPOLIS, MN 55454 PHONE: 612/333-9164 (26892) FAX: MS. KRISTEN BROWN /- HWS NProf 627 POLK STREET NE 627 POLK STREET NE MINNEAPOLIS, MN 55413 PHONE: 612/204-8319 (24996) FAX: MS. STACEY RAY 612/375-9105 HWS NProf 689 LOWRY AVENUE NORTHEAST 689 LOWRY AVENUE NORTHEAST MINNEAPOLIS, MN 55418 PHONE: 612/327-5144 (28496) FAX: MS. KRISTEN BROWN /- HWS-O NProf 717 SE UNIVERSITY AVENUE 717 SE UNIVERSITY AVENUE MINNEAPOLIS, MN 55414 PHONE: 612/204-8319 (27224) FAX: MS. STACEY RAY /- HWS NProf 725 LYNDALE AVENUE NORTH 725 LYNDALE AVENUE NORTH MINNEAPOLIS, MN 55411 PHONE: 612/664-8195 (27134) FAX: MS. KRISTEN BROWN 612/374-0190 HWS NProf 725 SE 8TH AVENUE 725 SE 8TH AVENUE MINNEAPOLIS, MN 55414 PHONE: 612/204-8319 (25668) FAX: MS. STACEY RAY /- HWS NProf 734 ALDRICH AVENUE NORTH 734 ALDRICH AVENUE NORTH MINNEAPOLIS, MN 55411 PHONE: 612/664-8195 (27133) FAX: NProf A CHANCE TO GROW INC MS. KRISTEN BROWN 612/374-0190 HCP-A 1800 SECOND STREET NE MINNEAPOLIS, MN 55418 PHONE: 612/789-1236 (02476) FAX: 612/706-5555 MR. BOB DEBOER Minnesota Department of Health Division of Compliance Monitoring Page 159 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp A1 DIRECT CARE INC Certification HENNEPIN Registration (Cont.)* -------------------------- HCP-A 617 WEST BROADWAY STE 202 (28764) MINNEAPOLIS, MN 55411 PHONE: 612/522-9958 FAX: MR. PAUL LAMUREN 612/522-8999 NProf ABBOTT NORTHWESTERN HOSPITAL BASS-65 HOSP-952 HOSP-913 PPS-R-39 800 EAST 28TH STREET MINNEAPOLIS, MN 55407 PHONE: 612/863-4000 (00242) FAX: DR. BEN BACHE-WIIG 612/863-5667 HWS NProf AEON HOMES 1822 PARK AVENUE SOUTH MINNEAPOLIS, MN 55404 PHONE: 612/871-5800 (25520) FAX: MR. ALAN ARTHUR 612/872-6815 Corp AFYA HOME HEALTH CARE HCP-A 2110 NICOLLET AVENUE MINNEAPOLIS, MN 55404 PHONE: 612/242-6435 (28997) FAX: MR. LATEEF BILAL 612/234-4391 Home Mgmt Lim-Liab AGAPE HOME CARE PROVIDER 2515 SOUTH 9TH ST #910 MINNEAPOLIS, MN 55406 PHONE: 612/384-6513 (29109) FAX: MR. KIDIST GEMTA /- Lim-Liab ALDRICH BOARD AND CARE LLC BCH-25 3101 ALDRICH AVENUE SOUTH MINNEAPOLIS, MN 55408 PHONE: 612/825-4488 (00159) FAX: Corp ALL HOMECARING MS. FAY YAEGER 612/825-4489 HCP-A HHA 3638 CENTRAL AVENUE NE MINNEAPOLIS, MN 55418 PHONE: 612/378-1474 (02166) FAX: MS. DONNA LIVERINGHOUSE 612/378-1570 Home Mgmt Lim-Liab ALL NATIONS HOME HEALTH CARE 2828 UNIVERSITY AVE SE STE125 MINNEAPOLIS, MN 55414 PHONE: 612/331-9441 (27564) FAX: MR. JOSHUA MILLER 612/331-9508 Home Mgmt Lim-Liab ALLEGIANCE ABILITY ASSISTANCE 2800 UNIVERSITY AVE SE STE 200 MINNEAPOLIS, MN 55414 PHONE: 612/331-8811 (28567) FAX: Lim-Liab ALLEGIANCE ABILITY ASSISTANCE MR. RUSSELL WALETSKI 612/331-8814 HCP-A 2800 UNIVERSITY AVE SE STE 200 MINNEAPOLIS, MN 55414 PHONE: 612/331-8811 (27853) FAX: 612/331-8814 MS KATHERINE WALETSKI Minnesota Department of Health Division of Compliance Monitoring Page 160 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS Lim-Liab ALLIANCE ADDITION LLC Registration 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 MINNEAPOLIS, MN 55404 PHONE: 612/874-0311 (25838) FAX: Corp AMAZING GRACE HOME CARE MS. KRISTEN BROWN 612/874-0313 HCP-A 515 EAST GRANT STREET APT 311 MINNEAPOLIS, MN 55404 PHONE: 612/644-4490 (29154) FAX: NProf AMER INDIAN COMM DEV COR MS. NNEKA OGBU 612/343-8618 SLFB-50 1800 CHICAGO AVENUE SOUTH MINNEAPOLIS, MN 55404 PHONE: 612/879-3562 (01668) FAX: MS. SHARLEE BENSON 612/879-3604 Home Mgmt Lim-Liab AMERICAN UNITED CARE LLC 81 LOWRY AVE NE STE 126 MINNEAPOLIS, MN 55418 PHONE: 612/259-8026 (27645) FAX: Corp ANDREW RESIDENCE MR. IBRAHIM ELMI 612/259-8027 BCH-212 NF2-212 1215 SOUTH NINTH STREET MINNEAPOLIS, MN 55404 PHONE: 612/333-0111 (00993) FAX: Corp ANGELS OF MERCY MS. KAREN FOY 612/338-1734 HCP-A HWSAL 1020 34TH AVENUE NORTH MINNEAPOLIS, MN 55412 PHONE: 763/432-9706 (25116) FAX: 763/432-9708 MR. FOLUSO ALLISON HWS Lim-Liab ANPA WASTE NUMPA 3146 CEDAR AVENUE MINNEAPOLIS, MN 55407 PHONE: 651/789-6260 (27942) FAX: 651/789-6288 MS. JILL GARCIA HWS NProf ARMADILLO FLATS LLC 2727 1ST AVENUE SOUTH MINNEAPOLIS, MN 55408 PHONE: 612/813-1175 (29101) FAX: 612/813-1170 MS. LEAH BLAIR HWSAL NProf ASI 28TH STREET 2749 11TH AVENUE SOUTH MINNEAPOLIS, MN 55407 PHONE: 651/645-7271 (25492) FAX: 651/645-0541 MR. STEPHEN VANDER SCHAAF Minnesota Department of Health Division of Compliance Monitoring Page 161 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWSAL-O NProf ASI CAMDEN HOUSE Registration 500 49TH AVENUE NORTH (25491) MINNEAPOLIS, MN 55430 PHONE: 651/645-7271 FAX: MR. STEPHEN VANDER SCHAAF 651/645-0541 HWSAL NProf ASI CHICAGO HOUSE 3710 CHICAGO AVENUE SOUTH MINNEAPOLIS, MN 55407 PHONE: 651/645-7271 (25490) FAX: MR. STEPHEN VANDER SCHAAF 651/645-0541 Home Mgmt Corp AT HOME LTD 1622 PARK AVENUE SOUTH MINNEAPOLIS, MN 55404 PHONE: 612/673-9594 (28999) FAX: MR. RICKI JOHNSON 612/673-9896 HWSAL NProf AUGUSTANA APARTMENTS OF MINNEA 1510 ELEVENTH AVENUE SOUTH MINNEAPOLIS, MN 55404 PHONE: 612/238-5260 (20027) FAX: MS. JULIANNE FRIES 612/343-8974 NProf AUGUSTANA HCC OF MPLS NH-268 SNF-NF-268 1007 EAST 14TH STREET MINNEAPOLIS, MN 55404 PHONE: 612/238-5000 (00164) FAX: MS. JEAN COLE 612/238-5240 NProf AUGUSTANA HOME HEALTH CARE SER HCP-F 901 4TH AVENUE NORTH MINNEAPOLIS, MN 55405 PHONE: 612/377-6655 (03383) FAX: MS. KATIE STADTHER 612/377-6688 Lim-Liab AUGUSTANA RESIDENTIAL CARE HCP-F 1007 EAST 14TH STREET MINNEAPOLIS, MN 55404 PHONE: 612/238-5126 (25859) FAX: MS. MARY JO THORNE 612/238-5048 Corp AVENUE FOR HOME CARE INC HCP-A 7000 57TH AVENUE NORTH STE 120 MINNEAPOLIS, MN 55428 PHONE: 763/537-6104 (27068) FAX: MR. OCHUKO OKITIPI 763/537-7514 HWS NProf AVENUES FOR HOMELESS YOUTH 1708 OAK PARK AVENUE MINNEAPOLIS, MN 55411 PHONE: 612/522-1690 (29037) FAX: MS. DEBORAH LOON 612/522-1633 Lim-Liab BANADIR HOME HEALTH CARE HCP-A 311 W LAKE STREET MINNEAPOLIS, MN 55408 PHONE: 612/501-7406 (25814) FAX: /- CEO FUAD ABDIRAHMAN Minnesota Department of Health Division of Compliance Monitoring Page 162 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp BAYWOOD HOME CARE Certification HENNEPIN Registration (Cont.)* -------------------------- HCP-A 6465 WAYZATA BLVD STE 150 (20973) MINNEAPOLIS, MN 55426 PHONE: 763/546-8899 FAX: MS. DOROTHY MUFFETT 763/595-0465 Corp BEECHWOOD INC HCP-A 3901 CHICAGO AVENUE SOUTH MINNEAPOLIS, MN 55407 PHONE: 612/824-0415 (27716) FAX: MS. LINDA WOODFORD 612/825-0789 Corp BEECHWOOD INC HCP-F 4033 COLUMBUS AVENUE SOUTH MINNEAPOLIS, MN 55407 PHONE: 612/824-0415 (27717) FAX: MS. LINDA WOODFORD 612/825-0789 NProf BENEDICTINE HEALTH CTR OF MPLS NH-110 SNF-NF-110 618 EAST 17TH STREET MINNEAPOLIS, MN 55404 PHONE: 612/879-2800 (00960) FAX: MR. DAVE BRENNAN 612/879-2917 Corp BEST CARE HOME HEALTH INC HCP-A HHA 3008 UNIVERSITY AVE SOUTHEAST MINNEAPOLIS, MN 55414 PHONE: 612/378-1040 (02802) FAX: MS. NAZNEEN KHATOON 612/378-2850 Corp BEST CARE HOME HEALTH INC HCP-F 3008 UNIVERSITY AVENUE SE MINNEAPOLIS, MN 55414 PHONE: 612/378-1040 (20840) FAX: MS. NAZNEEN KHATOON 612/378-2850 HWS NProf BETHANY CARE CENTER 2309 HAYES STREET NORTHEAST MINNEAPOLIS, MN 55418 PHONE: 612/781-2691 (26980) FAX: MR. JONATHON SONDERGAARD 612/781-8835 Corp BETHANY CARE CENTER HCP-F 2309 HAYES STREET NORTHEAST MINNEAPOLIS, MN 55418 PHONE: 612/781-2691 (29076) FAX: MR. JONATHON SONDERGAARD /- Corp BETHANY CARE CENTER BCH-10 NH-56 NF2-10 SNF-NF-56 2309 HAYES STREET NORTHEAST MINNEAPOLIS, MN 55418 PHONE: 612/781-2691 (00167) FAX: 612/781-8835 MR. JON SONDEGAARD HWS NProf BETHESDA CHURCH APARTMENTS 1110 8TH STREET SOUTH MINNEAPOLIS, MN 55415 PHONE: 612/720-8799 (28766) FAX: /- MS. KRISTEN BROWN Minnesota Department of Health Division of Compliance Monitoring Page 163 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab BEYOND SPEECH Certification HENNEPIN Registration (Cont.)* -------------------------- HCP-A 4156 PLEASANT AVENUE (29162) MINNEAPOLIS, MN 55409 PHONE: 612/594-6897 FAX: Corp BILL KELLY HOUSE MS. LYNNE CONLEY 612/466-2911 SLFA-16 3104 EAST 58TH STREET MINNEAPOLIS, MN 55417 PHONE: 612/726-1502 (01507) FAX: Corp BIRCHWOOD CARE HOME MR. WILLIAM MORIN 612/726-1009 BCH-60 NF2-60 715 WEST 31ST STREET MINNEAPOLIS, MN 55408 PHONE: 612/823-7286 (00168) FAX: MR. RANDAL HAGEMEYER 612/823-0518 HWS NProf BOSSEN PARK APTS 5710 31ST AVENUE SOUTH MINNEAPOLIS, MN 55417 PHONE: 612/727-2589 (28767) FAX: MS. KRISTEN BROWN 612/727-1143 HWS NProf BOSSEN PARK LP 5717 31ST AVENUE SOUTH MINNEAPOLIS, MN 55417 PHONE: 612/727-2589 (28674) FAX: MS. KRISTEN BROWN 612/727-1143 HWS NProf BOTTINEAU COMMONS 1808 UNIVERSITY AVENUE NE MINNEAPOLIS, MN 55418 PHONE: 651/774-0011 (27452) FAX: MRS. DANIELLE FOX 651/774-0606 HWS NProf BOTTINEAU LOFTS 1929 2ND STREET NORTHEAST MINNEAPOLIS, MN 55418 PHONE: 651/774-0011 (27451) FAX: Lim-Liab BRIGHT STARS CARE CENTER MRS. DANIELLE FOX 651/774-0606 HCP-F HWSAL-O 4659 LYNDALE AVENUE NORTH MINNEAPOLIS, MN 55412 PHONE: 612/238-3104 (26125) FAX: Corp BRISTOL PLACE HOME HEALTH SERV MRS. JULIE BROTT 612/238-3509 HCP-A HHA 412 RIDGEWOOD AVE S STE A MINNEAPOLIS, MN 55403 PHONE: 612/871-0805 (03184) FAX: 612/813-0158 MS. JILL CULVER-RAMOS HWS NProf BROADWAY APARTMENTS 759 WASHINGTON STREET NE MINNEAPOLIS, MN 55413 PHONE: 612/834-0027 (25598) FAX: 952/897-1153 MS. KRISTEN BROWN Minnesota Department of Health Division of Compliance Monitoring Page 164 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS NProf BROADWAY AVENUE Registration 2211 6TH STREET NORTH (27109) MINNEAPOLIS, MN 55411 PHONE: 612/559-1824 FAX: MS. JANELLE LEPPA 612/871-2295 HWSAL-O Corp BROWN KRAUSE MANOR 3633 CHICAGO AVENUE SOUTH MINNEAPOLIS, MN 55407 PHONE: 612/821-8663 (23618) FAX: MS. LAURA WILSON 612/821-2827 HWS-O Corp BRYANT SQUARE APARTMENTS 3115 ALDRICH AVENUE SOUTH MINNEAPOLIS, MN 55408 PHONE: 612/823-7286 (26430) FAX: MR. RANDAL HAGEMEYER 612/823-0518 Corp BRYN MAWR HEALTH CARE CENTER NH-112 SNF-NF-112 275 PENN AVE NORTH MINNEAPOLIS, MN 55405 PHONE: 612/377-4723 (00175) FAX: MR. KARL SWEDBERG 612/377-0294 HWS NProf BURI MANOR 1515 S CHICAGO AVENUE MINNEAPOLIS, MN 55404 PHONE: 612/630-2264 (28079) FAX: MS. STACEY RAY /- Corp BYWOOD EAST HEALTH CARE BCH-100 NF2-100 3427 CENTRAL AVENUE NORTHEAST MINNEAPOLIS, MN 55418 PHONE: 612/788-9757 (00176) FAX: 612/789-6564 MR. RANDAL HAGEMEYER HWS NProf BYWOOD EAST HEALTH CARE 3439 NE CENTRAL AVENUE MINNEAPOLIS, MN 55418 PHONE: 612/204-8319 (26747) FAX: MS. STACEY RAY /- HWS NProf CABRINI PARTNERSHIP 610 LOGAN AVENUE NORTH MINNEAPOLIS, MN 55411 PHONE: 612/454-4499 (26824) FAX: 612/746-5502 MS. CARRIE MCNEIL HWS NProf CABRINI PARTNERSHIP 1201 BROOK AVENUE SOUTHEAST MINNEAPOLIS, MN 55414 PHONE: 612/454-4499 (29030) FAX: 612/746-5502 MS. CARRIE MCNEIL HWS NProf CALLCO SERVICES LLC 2800 PILLSBURY AVENUE SOUTH MINNEAPOLIS, MN 55408 PHONE: 612/242-1809 (28961) FAX: /- MS. KRISTEN BROWN Minnesota Department of Health Division of Compliance Monitoring Page 165 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab CAMDEN CARE CENTER Certification HENNEPIN Registration (Cont.)* -------------------------- NH-87 SNF-NF-87 512 49TH AVENUE NORTH (00166) MINNEAPOLIS, MN 55430 PHONE: 612/529-7747 FAX: MR. JAMES BLUM 612/529-5643 Lim-Liab CAPITAL HOME HEALTH CARE LLC HCP-A 1808 RIVERSIDE AVE STE 207 MINNEAPOLIS, MN 55454 PHONE: 612/886-7411 (28840) FAX: MR. MAHAD BASHIR 612/673-0379 Home Mgmt NProf CAREGVR SUPT PRG KOREAN SRV CT 630 CEDAR AVENUE SOUTH #B1 MINNEAPOLIS, MN 55454 PHONE: 612/332-3483 (23329) FAX: MS. YOONJU PARK 612/342-1341 HWS NProf CATHOLIC CHARITIES 3540 11TH AVENUE SOUTH MINNEAPOLIS, MN 55409 PHONE: 612/204-8319 (27056) FAX: MS. STACEY RAY /- NProf CATHOLIC ELDERCARE AT HOME HCP-A 817 NORTHEAST MAIN STREET MINNEAPOLIS, MN 55413 PHONE: 612/379-1370 (03147) FAX: NProf CATHOLIC ELDERCARE AT HOME MR. MICHAEL SHASKY 612/362-2449 HCP-F 817 NORTHEAST MAIN STREET MINNEAPOLIS, MN 55413 PHONE: 612/605-2513 (21005) FAX: NProf CATHOLIC ELDERCARE ON MAIN MS. JANET CARLSON 612/605-2504 NH-150 SNF-NF-150 817 MAIN STREET NORTHEAST MINNEAPOLIS, MN 55413 PHONE: 612/379-1370 (00984) FAX: CENTRAL NEIGHBORHOOD APARTMENT MS. KIMBERLY KING 612/362-2486 HWS NProf 3637 COLUMBUS AVENUE SOUTH MINNEAPOLIS, MN 55407 PHONE: 612/723-9569 (28654) FAX: NProf CHILDRENS HOME CARE & HOSPICE MS. LEAH BLAIR 612/455-5101 Hospice 2525 CHICAGO AVENUE SOUTH MINNEAPOLIS, MN 55404 PHONE: 612/813-6246 (03189) FAX: NProf CHILDRENS HOME CARE & HOSPICE MS. LIZ LEIGHTON 612/813-6358 HCP-A HHA 2525 CHICAGO AVENUE SOUTH MINNEAPOLIS, MN 55404 PHONE: 612/813-6246 (02142) FAX: 612/813-6358 MS. LIZ LEIGHTON Minnesota Department of Health Division of Compliance Monitoring Page 166 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf CHILDRENS HOSP & CLINICS MINNE Certification HENNEPIN Registration (Cont.)* -------------------------- 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 Home Mgmt Corp CIRCLE OF LIFE HC ANISHINAABE 1433 E FRANKLIN AVE STE 12 MINNEAPOLIS, MN 55404 PHONE: 612/871-2474 (27760) FAX: MS. PATRICIA YAGER 612/870-3874 HWS Part CLARE APARTMENTS 929 CENTRAL AVENUE NE MINNEAPOLIS, MN 55413 PHONE: 612/236-9521 (23957) FAX: MR. LEE LEWIS 612/236-9520 NProf CLARE HOUSING HCP-F 929 CENTRAL AVE NE MINNEAPOLIS, MN 55413 PHONE: 612/236-9514 (23905) FAX: MS. MICHELE BOYER 612/236-9510 HWSAL Part CLARE MIDTOWN 3105 23RD AVENUE SOUTH MINNEAPOLIS, MN 55407 PHONE: 612/236-9521 (27720) FAX: MR. LEE LEWIS /- HWS NProf COLFAX VILLAS 3619 COLFAX AVENUE SOUTH MINNEAPOLIS, MN 55409 PHONE: 952/393-8280 (26894) FAX: MS. KRISTEN BROWN /- Lim-Liab COMFORT SERVICES LLC HCP-A 515 WEST LAKE ST STE C MINNEAPOLIS, MN 55408 PHONE: 612/822-1203 (24998) FAX: NProf COMMUNITY INVOLVEMENT PROG HHS MS. FARDOWSA MOHAMED 612/871-2161 HCP-A HHA 1600 BROADWAY ST NE STE 1 MINNEAPOLIS, MN 55413 PHONE: 612/362-4434 (02783) FAX: Corp COMPREHENSIVE HOME CARE INC MS. MARSHA CLAIBORNE 612/547-0556 HCP-A 521 SOUTH 7TH STREET SUITE 516 MINNEAPOLIS, MN 55415 PHONE: 763/205-6218 (27230) FAX: 763/205-1829 MR. BRYAN CHRISTENSEN HWS-O Corp CROWN MEDICAL HOME HEALTH AGEN 1925 FIRST AVENUE SOUTH MINNEAPOLIS, MN 55403 PHONE: 612/871-4354 (26266) FAX: 612/872-4343 DR. JOYCE ONYEKABA Minnesota Department of Health Division of Compliance Monitoring Page 167 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS Lim-Liab CRS PENN RE-ENTRY LLC Registration 3003 PENN AVENUE NORTH (26319) MINNEAPOLIS, MN 55411 PHONE: 763/566-2888 FAX: MR. MARCELL GARRETSON 763/566-3949 Home Mgmt Corp DIAMONDS HOME HEALTH CARE INC 2740 MINNEHAHA AVE #146 MINNEAPOLIS, MN 55406 PHONE: 612/724-4254 (27646) FAX: MS. SHUKRI YUSUF 612/722-2186 HWS NProf DIVERSIFIED PROPERTIES 2417 17TH AVENUE SOUTH #7 MINNEAPOLIS, MN 55407 PHONE: 612/722-8881 (27954) FAX: MS. KRISTEN BROWN /- HWS NProf DIVERSIFIED PROPERTIES 2726 BLOOMINGTON AVENUE SOUTH MINNEAPOLIS, MN 55407 PHONE: 612/724-7368 (28770) FAX: MS. KRISTEN BROWN /- HWS NProf DIVERSIFIED PROPERTY MANAGEMEN 2609 16TH AVENUE MINNEAPOLIS, MN 55406 PHONE: 612/722-8881 (28007) FAX: MS. KRISTEN BROWN 612/722-0904 HWS Corp DR THOMAS H JOHNSON HWS 5543 45 PENN AVENUE SOUTH MINNEAPOLIS, MN 55419 PHONE: 612/285-8743 (24377) FAX: MS. BETH BALENGER 612/922-9276 HWS Corp DR THOMAS H JOHNSON HWS 5518/20 OLIVER AVENUE SOUTH MINNEAPOLIS, MN 55419 PHONE: 612/285-8743 (26116) FAX: MS. BETH BALENGER 612/922-9276 HWS Corp DR THOMAS H JOHNSON HWS 2221 WEST 55TH STREET MINNEAPOLIS, MN 55419 PHONE: 612/285-8743 (23749) FAX: MS. BETH BALENGER 612/922-9276 HWS Corp DR THOMAS H JOHNSON'S HOUSE 5515 - 5517 PENN AVENUE SO MINNEAPOLIS, MN 55419 PHONE: 612/285-8743 (21508) FAX: NProf EBENEZER CARE CENTER MS. PAULETTE WILSON 612/922-9276 BCH-104 NH-34 2545 PORTLAND AVENUE SOUTH MINNEAPOLIS, MN 55404 PHONE: 612/879-2262 (00191) FAX: 612/879-2316 MR. JOEL PREVOST NF2-104 SNF-NF-34 Minnesota Department of Health Division of Compliance Monitoring Page 168 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf EBENEZER HOME CARE Certification HENNEPIN Registration (Cont.)* -------------------------- HCP-F 2625 PARK AVENUE (27773) MINNEAPOLIS, MN 55407 PHONE: 612/871-4574 FAX: MS. MARY BETH DAVIS 612/872-7368 HWS NProf EBENEZER PARK APARTMENTS 2700 PARK AVENUE MINNEAPOLIS, MN 55407 PHONE: 612/879-2233 (20248) FAX: MS. ANGELA MATTSON 612/879-8111 HWS NProf EBENEZER TOWER APARTMENTS 2523 PORTLAND AVENUE MINNEAPOLIS, MN 55404 PHONE: 612/879-2243 (20227) FAX: MS. NANCY WEYKER 612/879-1424 NProf EDEN RESIDENTIAL PROGRAM SLFA-49 1025 PORTLAND AVENUE SOUTH MINNEAPOLIS, MN 55404 PHONE: 612/338-0723 (01584) FAX: MS. PAMELA LINDGREN 612/338-3653 Home Mgmt Corp ELDERCARE SOLUTIONS INC 100 SOUTH 5TH STREET #1075 MINNEAPOLIS, MN 55402 PHONE: 858/792-2897 (26036) FAX: MR. JOHN KIRIAZE 858/792-2899 HWS NProf ELLIOT APARTMENTS 1819 - 25 ELLIOT AVENUE SOUTH MINNEAPOLIS, MN 55404 PHONE: 612/455-5130 (28009) FAX: MS. RAHO WARSAME 612/455-5101 Corp ELLIOT CARE HOME INC BCH-15 NF2-15 1500 ELLIOT AVENUE SOUTH MINNEAPOLIS, MN 55404 PHONE: 612/339-2291 (00195) FAX: MR. MARK JEFFERIS 612/339-2291 HWS NProf ELLIOT COURT APARTMENTS 1132 SOUTH EIGHTH STREET MINNEAPOLIS, MN 55404 PHONE: 612/204-8319 (28020) FAX: MS. STACEY RAY /- HWS Part EMANUEL HOUSING LP 822 SOUTH THIRD STREET MINNEAPOLIS, MN 55415 PHONE: 612/287-1600 (28506) FAX: Lim-Liab EXCEPTIONAL HOME HEALTH MS. LOIS MUELLER 612/287-1616 HCP-A 2110 W BROADWAY AVE MINNEAPOLIS, MN 55411 PHONE: 612/529-2886 (26696) FAX: 612/521-1926 MS. TARA WATSON Minnesota Department of Health Division of Compliance Monitoring Page 169 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf FAIRVIEW HOME CARE AND HOSPICE Certification HENNEPIN Registration (Cont.)* -------------------------- 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 MINNEAPOLIS, MN 55414 PHONE: 612/672-2233 (21388) FAX: NProf FAIRVIEW HOSPICE MS. LISA GANKSE 612/672-2234 Hospice HSPICE 2450 26TH AVENUE SOUTH MINNEAPOLIS, MN 55406 PHONE: 612/721-2491 (02466) FAX: NProf FAIRVIEW UNIVERSITY TRANS SERV MS. KATHLEEN LUCAS 612/728-2400 NH-36 NF1-0 SNF-NF-36 2450 RIVERSIDE AVENUE SOUTH MINNEAPOLIS, MN 55454 PHONE: 612/273-4197 (00259) FAX: Corp FAMILY CARE SERVICES INC MS. SHARON JOHNSON 612/273-7950 HCP-A HHA 2500 MINNEHAHA AVE SOUTH MINNEAPOLIS, MN 55404 PHONE: 612/340-0733 (21182) FAX: Lim-Liab FIDELITY HEALTHCARE MR. MUSTAFA MOHAMED 612/340-0032 HCP-A 333 WASHINGTON AVE N #300 MINNEAPOLIS, MN 55402 PHONE: 651/271-0621 (28563) FAX: 612/349-2760 MS. KARYN PIMENTEL HWS NProf FIRST EQUITY GROUP 726 30TH AVENUE NORTH MINNEAPOLIS, MN 55411 PHONE: 612/889-4202 (27266) FAX: 952/856-5124 MS. JANELLE LEPPA ESRD Corp FMCNA PARK AVE DIALYSIS CENTER 2637 PARK AVENUE MINNEAPOLIS, MN 55407 PHONE: 612/872-1946 (02409) FAX: 612/872-4373 MS. JILL FRAKI ESRD Corp FMCNA SOUTH MPLS DIALYSIS CTR 4310 NICOLLET AVENUE SOUTH MINNEAPOLIS, MN 55409 PHONE: 612/822-4411 (03801) FAX: 612/872-7770 MS. LYNNE HAMILTON HWS NProf FOLWELL PARK APARTMENTS 3753 GIRARD AVENUE NORTH MINNEAPOLIS, MN 55412 PHONE: 612/522-3394 (27483) FAX: 612/521-9714 MS. KRISTEN BROWN Minnesota Department of Health Division of Compliance Monitoring Page 170 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS NProf FRANKLIN CO-OP Registration 2329 S 9TH STREET (28568) MINNEAPOLIS, MN 55406 PHONE: 612/338-4574 FAX: MS. KRISTEN BROWN 612/238-4579 Corp FRANKLIN FAMILY HOME HEALTH AG HCP-A 100 EAST FRANKLIN AVENUE MINNEAPOLIS, MN 55403 PHONE: 612/871-4354 (24660) FAX: MS. FRANCESCA IWUNZE 612/872-4343 HWS NProf FRANKLIN HOUSING COOPERATIVE 2300 EAST FRANKLIN AVENUE MINNEAPOLIS, MN 55406 PHONE: 612/338-4574 (27868) FAX: MS. KRISTEN BROWN 612/338-4579 Corp GATEWAY HOMECARE SERVICES HCP-B 912 EAST 24TH STREET STE B207 MINNEAPOLIS, MN 55404 PHONE: 612/871-1109 (26807) FAX: 612/874-3206 MR. AHMED ALI HWS NProf GATEWAY LOFTS 2623 WEST BROADWAY MINNEAPOLIS, MN 55411 PHONE: 612/721-6256 (28476) FAX: MS. KRISTEN BROWN /- HWS NProf GOFF HOLDINGS INC 5754 33RD AVENUE SOUTH MINNEAPOLIS, MN 55417 PHONE: 612/285-1009 (28386) FAX: 612/285-1010 MS. KRISTEN BROWN HWS NProf GOFF HOLDINGS LLC 5753 SANDER DRIVE MINNEAPOLIS, MN 55417 PHONE: 612/285-1009 (28504) FAX: 612/285-1010 MS. KRISTEN BROWN HWS NProf GOFF HOLDINGS LLC 901 MORGAN AVENUE NORTH MINNEAPOLIS, MN 55411 PHONE: 612/285-1009 (28919) FAX: MS. KRISTEN BROWN /- HWS NProf GOFF HOLDINGS LLC 1527 LOGAN AVENUE NORTH MINNEAPOLIS, MN 55411 PHONE: 612/285-1009 (28918) FAX: MS. KRISTEN BROWN /- HWS NProf GOFF HOLDINGS LLC 3628 BLOOMINGTON AVENUE SOUTH MINNEAPOLIS, MN 55407 PHONE: 612/285-1009 (29068) FAX: /- MS. KRISTEN BROWN Minnesota Department of Health Division of Compliance Monitoring Page 171 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS NProf GOFF HOLDINGS LLC Registration 1215 KNOX AVENUE NORTH (28768) MINNEAPOLIS, MN 55411 PHONE: 612/285-1009 FAX: MS. KRISTEN BROWN 612/285-1010 HWS NProf GOFF HOLDINGS LLC 3330 ALDRICH AVENUE NORTH MINNEAPOLIS, MN 55412 PHONE: 612/285-1009 (28917) FAX: MS. KRISTEN BROWN /- Lim-Liab GOLDEN LIVINGCENTER CHATEAU NH-69 SNF-NF-69 2106 SECOND AVENUE SOUTH MINNEAPOLIS, MN 55404 PHONE: 612/874-1603 (00937) FAX: MR. RYAN ONSTAD 612/874-0213 HWS Lim-Liab GOLDEN NEST LLC 1918 19TH AVENUE NORTHEAST MINNEAPOLIS, MN 55418 PHONE: 651/755-2836 (27473) FAX: NProf GRACE PLACE MS. HONGJOO LEE 612/861-7509 HCP-F 630 CEDAR AVENUE SOUTH B-1 MINNEAPOLIS, MN 55454 PHONE: 612/332-3483 (03860) FAX: MS. KWANGZA KWON 612/342-1341 HWSAL City GRACE PLACE ASSISTED LIVING 630 CEDAR AVE S #B-1 MINNEAPOLIS, MN 55454 PHONE: 612/342-1358 (24891) FAX: Corp GRAND AVE REST HOME MS. MARY BOLER 612/342-1337 BCH-20 NF2-20 3956 GRAND AVENUE SOUTH MINNEAPOLIS, MN 55409 PHONE: 612/824-1434 (00208) FAX: MR. ALLEN SODERBECK 612/824-2219 HWS Corp GRANDMA'S PLACE INC 4100 THOMAS AVENUE NORTH #1 MINNEAPOLIS, MN 55412 PHONE: 763/560-2500 (24788) FAX: Lim-Liab GRANNYS HELPFUL HANDS LLC MR. RON HENDRICKSON 763/561-0159 HCP-A 410 EAST LAKE STREET MINNEAPOLIS, MN 55408 PHONE: 612/824-1177 (29190) FAX: 763/390-7763 MS. RAYNELL FINN Lim-Liab GREENWAY SURGERY CENTER 2020 EAST 28TH ST SUITE 100 MINNEAPOLIS, MN 554071453 PHONE: 612/728-7000 (28356) FAX: 612/728-2677 MS. ESTHER LINDEMAN Minnesota Department of Health Division of Compliance Monitoring Page 172 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS Lim-Liab HARMONY HOUSE Registration 109 24TH STREET EAST (23128) MINNEAPOLIS, MN 55404 PHONE: 612/872-1926 FAX: MS. CARLEEN FLETTRE 612/872-7757 Lim-Liab HEALTHMAX HOME HEALTH SERVICES HCP-A 125 W BROADWAY AVE STE 102 MINNEAPOLIS, MN 55411 PHONE: 612/521-2400 (25988) FAX: MRS. NIMO AHMED 612/677-3947 Corp HELPING ANGELS HOME CARE INC HCP-A 620 16TH AVE S #6 MINNEAPOLIS, MN 55454 PHONE: 612/203-0078 (26624) FAX: MR. ADIIZAK AHMED 612/454-2577 NProf HENNEPIN COUNTY MEDICAL CTR BASS-65 HOSP-894 HOSP-765 PPS-P-102 PPS-R-27 701 PARK AVENUE SOUTH MINNEAPOLIS, MN 55415 PHONE: 612/873-2338 (00211) FAX: DR. ARTHUR GONZALEZ 612/904-4214 HWS NProf HIGHER GROUND 165 GLENWOOD AVENUE NORTH MINNEAPOLIS, MN 55405 PHONE: 612/204-8550 (28661) FAX: MS. VICKIE FRANCZAK /- ESRD Corp HOME DIALYSIS UNIT OF TRC INC 825 SO EIGHTH ST SUITE 1202 MINNEAPOLIS, MN 55404 PHONE: 612/347-4458 (21098) FAX: Lim-Liab HOME HEALTH AGENCY MR. MARK BRATLAND 612/341-7944 HCP-A 5201 BRYANT AVENUE N MINNEAPOLIS, MN 55430 PHONE: 612/703-2901 (27750) FAX: Corp HOMLIFE HEALTHCARE MR. JAMES SAYDEE 763/205-2312 HCP-A 4205 WEBBER PARKWAY MINNEAPOLIS, MN 55412 PHONE: 612/521-1569 (27998) FAX: 612/521-1576 MS. BARBRA PETTIS HWS ONProf HOPE COMMUNITY INC 2115 PORTLAND AVENUE SOUTH MINNEAPOLIS, MN 55404 PHONE: 612/874-8867 (27418) FAX: 612/874-8650 MS. MARY KEEFE HWS Part HOPE HARBOR 53 GLENWOOD AVENUE MINNEAPOLIS, MN 55403 PHONE: 612/659-0705 (29094) FAX: 612/659-0713 MS. LOUISE SIMONS Minnesota Department of Health Division of Compliance Monitoring Page 173 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------Home Mgmt Corp INTEGRITY HOME HEALTH CO Registration 2100 PLYMOUTH AVE N STE 117 (25422) MINNEAPOLIS, MN 55411 PHONE: 612/877-4190 FAX: MS. CYNTHIA BUFFINGTON 612/877-4191 HWS NProf JDR PROPERTIES 2934 CEDAR AVENUE MINNEAPOLIS, MN 55407 PHONE: 612/782-2489 (28547) FAX: MS. KRISTEN BROWN 612/872-2359 HWS NProf JEREMY LARSON 3207 GIRARD AVENUE MINNEAPOLIS, MN 55412 PHONE: 612/203-1769 (29044) FAX: MS. KRISTEN BROWN /- NProf JONES HARRISON RES ASST LVG HCP-F HWSAL 3700 CEDAR LAKE AVENUE MINNEAPOLIS, MN 55416 PHONE: 612/928-3544 (20654) FAX: NProf JONES HARRISON RESIDENCE MRS. JENNIFER CROSBY 612/225-1190 NH-163 SNF-NF-163 3700 CEDAR LAKE AVENUE MINNEAPOLIS, MN 55416 PHONE: 612/920-2030 (00216) FAX: NProf JORGENSEN HOUSE MS. JO ANN BUYTENDORP 612/920-2824 SLFA-6 3444 GIRARD AVENUE SOUTH MINNEAPOLIS, MN 55408 PHONE: 612/825-9856 (01535) FAX: KEYSTONE COMMUNITIES MANAGEMEN MR. GEORGE KLAUSER 612/825-1056 Lim-Liab HCP-F 401 NORTH 3RD STREET SUITE 350 MINNEAPOLIS, MN 55401 PHONE: 612/886-2035 (27702) FAX: 612/886-2592 MR. MICHAEL LEWIS HWS-O Part KINGSLEY COMMONS 4550 HUMBOLDT AVENUE NORTH MINNEAPOLIS, MN 55412 PHONE: 651/588-2303 (25129) FAX: 651/291-1003 MS. ELIZABETH HAGSTROM HWS NProf LASALLE COMMONS 1517 LASALLE AVENUE SOUTH MINNEAPOLIS, MN 55403 PHONE: 612/871-1666 (27481) FAX: 612/871-2187 MS. KRISTEN BROWN Home Mgmt Lim-Liab LIFELINE SENIOR SERVICE LLC 2550 BURNHAM ROAD MINNEAPOLIS, MN 55416 PHONE: 612/964-2795 (27722) FAX: 612/871-1652 MR. JEFFREY WILWERDING Minnesota Department of Health Division of Compliance Monitoring Page 174 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS NProf LINDEN AVENUE APARTMENTS Registration 1302 LINDEN AVENUE (27884) MINNEAPOLIS, MN 55403 PHONE: 612/599-2270 FAX: MS. KRISTEN BROWN /- Lim-Liab LINKS HOME HEALTHCARE LLC HCP-A 620 16TH AVENUE SOUTH STE 45 MINNEAPOLIS, MN 55454 PHONE: 612/226-0069 (29111) FAX: MR. HAWA WARSAME /- Corp LIVING CHALLENGE SLFA-6 701 EAST 57TH STREET MINNEAPOLIS, MN 55417 PHONE: 952/922-8466 (01527) FAX: MR. PRINCE ADE DEMEHIN 952/922-8463 HWS NProf LOREN ON PARK 2625 PARK AVENUE MINNEAPOLIS, MN 55407 PHONE: 612/871-4574 (28125) FAX: MS. MARY BETH DAVIS 612/872-7368 HWSAL HRA LYNDALE MANOR 600 18TH AVENUE NORTH MINNEAPOLIS, MN 55411 PHONE: 612/344-2292 (21515) FAX: MS. MARY BOLER 612/302-7090 HWSAL NProf MAIN STREET LODGE 909 MAIN STREET NORTHEAST MINNEAPOLIS, MN 55413 PHONE: 612/362-2450 (20105) FAX: Corp MARIA HOME MR. MICHAEL SHASKY 612/362-2449 ICFMR-6 SLFA-6 2809 31ST AVENUE SOUTH MINNEAPOLIS, MN 55406 PHONE: 612/871-0805 (20721) FAX: Lim-Liab MARIYA HOME CARE INC MR. DAN SCHNEIDER 612/871-0455 HCP-A 2940 PILLSBURY AVE SUITE 203 MINNEAPOLIS, MN 55408 PHONE: 612/823-4305 (23623) FAX: Corp METRO AREA CARE PROVIDERS INC MR. SAEED HUSSEIN FARAH 612/823-4263 HCP-A HHA 2825 CEDAR AVENUE SOUTH MINNEAPOLIS, MN 55407 PHONE: 612/338-5661 (24902) FAX: 888/216-9564 MR. IDRIS ABDI Home Mgmt Corp METRO HOME HEALTH CARE SVCS IN 3438 SNELLING AVENUE SOUTH MINNEAPOLIS, MN 55406 PHONE: 612/871-6773 (27880) FAX: 612/871-6980 MR. ABDULKADIR WARSAME Minnesota Department of Health Division of Compliance Monitoring Page 175 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS Corp MI CASA ON CENTRAL Registration 3439 CENTRAL AVENUE NORTHEAST (26290) MINNEAPOLIS, MN 55418 PHONE: 612/788-9757 FAX: MR. LANCE GARRISON 612/789-6564 HWS Corp MI CASA ON TYLER 3430 TYLER AVENUE NORTHEAST MINNEAPOLIS, MN 55418 PHONE: 612/788-9757 (26289) FAX: MR. LANCE GARRISON /- Corp MIDWEST PROFESSIONAL SERVICES HCP-A HHA 801 PARK AVENUE MINNEAPOLIS, MN 55404 PHONE: 612/343-3265 (24359) FAX: MS. TERESA WAGNER 612/343-3267 Corp MILS HOME HEALTH CARE AGENCY HCP-A HHA 2010 EAST HENNEPIN AVENUE #051 MINNEAPOLIS, MN 55413 PHONE: 612/379-4027 (02993) FAX: MR. DAVID BENNEROTTE 612/379-3489 ESRD Corp MINNEAPOLIS DIALYSIS UNIT 825 SO 8TH STREET SUITE SL42 MINNEAPOLIS, MN 55404 PHONE: 612/347-5972 (02100) FAX: MR. DAVID LUHRING 612/347-5876 ESRD Corp MINNEAPOLIS NE DIALYSIS 1049 10TH AVENUE SE MINNEAPOLIS, MN 55414 PHONE: 253/272-1916 (21690) FAX: MS. CHERIE BRENNAN /- HWSAL HRA MINNEAPOLIS PUBLIC HOUSING AUT 350 VAN WHITE MEMORIAL BLVD MINNEAPOLIS, MN 55405 PHONE: 612/344-2296 (24321) FAX: MS. MARY BOLER 612/377-6309 ESRD Corp MINNEAPOLIS UPTOWN DIALYSIS 3601 LYNDALE AVE SOUTH MINNEAPOLIS, MN 55409 PHONE: 612/825-4583 (25314) FAX: MR. GREGORY CHATMAN 612/825-4651 Lim-Liab MINNESOTA BIRTH CENTER 2606 CHICAGO AVENUE SOUTH MINNEAPOLIS, MN 55407 PHONE: 612/545-5311 (28380) FAX: NProf MINNESOTA TEEN CHALLENGE MS. CHRISTIANA FITCH 612/200-9925 BCH-53 1507 LOWRY AVENUE NORTHEAST MINNEAPOLIS, MN 55418 PHONE: 612/373-3366 (00272) FAX: 612/871-2541 MRS. WENDY LOWRY Minnesota Department of Health Division of Compliance Monitoring Page 176 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS NProf MISSION INN MN Registration 3122 MORGAN AVENUE NORTH (29095) MINNEAPOLIS, MN 55412 PHONE: 612/578-8509 FAX: MS. KRISTEN BROWN /- State MN VETERANS HOME MINNEAPOLIS BCH-161 NH-341 5101 MINNEHAHA AVENUE SOUTH MINNEAPOLIS, MN 55417 PHONE: 612/548-5705 (00233) FAX: MR. DENNIS DECOSTA 612/548-5711 NProf MN VISITING NURSE AGENCY HHA HCP-A 2000 SUMMER ST NE STE 100 MINNEAPOLIS, MN 55413 PHONE: 612/617-4600 (02037) FAX: DR. JEN VAN LIEW 612/617-4782 Lim-Liab MOORE BOARD AND CARE INC HCP-F HWS 3552 CLINTON AVENUE SOUTH MINNEAPOLIS, MN 55408 PHONE: 612/822-8757 (21618) FAX: MS. CHRISTINE MOORE 612/822-1758 NProf MOUNT OLIVET CAREVIEW HOME NH-153 SNF-NF-153 5517 LYNDALE AVENUE SOUTH MINNEAPOLIS, MN 55419 PHONE: 612/827-5677 (00178) FAX: MR. TIMOTHY HOKANSON 612/821-3241 Church MOUNT OLIVET HOME BCH-94 NF2-94 5517 LYNDALE AVENUE SOUTH MINNEAPOLIS, MN 55419 PHONE: 612/827-5677 (00236) FAX: MR. TIMOTHY HOKANSON 612/821-3241 HWS NProf MUTUAL MANAGEMENT 608 20TH AVENUE SOUTH MINNEAPOLIS, MN 55454 PHONE: 612/339-9164 (27374) FAX: MS. WENDY WIEGMANN 612/333-8185 NProf NANCY PAGE PROG OF PEOPLE INC SLFA-16 245 SOUTH CLIFTON MINNEAPOLIS, MN 55403 PHONE: 612/870-3787 (01338) FAX: MS. JENNIFER WEIGELT 612/870-3783 Corp NATIONAL HOME HEALTHCARE INC HCP-A 3434 BLOOMINGTON AVE S STE 103 MINNEAPOLIS, MN 55407 PHONE: 612/203-5035 (29113) FAX: MR. YASSIN IBRAHIM /- HWSAL Corp NEW DIRECTIONS RESIDENTIAL SER 3231 SIXTH STREET NORTH MINNEAPOLIS, MN 55411 PHONE: 612/545-5240 (28250) FAX: /- MS. TRENA ALLBRITTON Minnesota Department of Health Division of Compliance Monitoring Page 177 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS NProf NICOLLET COMMONS LLC Registration 3230 NICOLLET AVENUE SOUTH (25172) MINNEAPOLIS, MN 55408 PHONE: 952/220-6967 FAX: MS. KRISTEN BROWN /- HWS Part NICOLLET SQUARE 3710 NICOLLET AVENUE MINNEAPOLIS, MN 55409 PHONE: 651/789-6260 (27314) FAX: MS. JILL GARCIA 651/789-6288 NProf NORTH OAKS ON EMERSON HCP-F HWSAL 2929 EMERSON AVENUE NORTH MINNEAPOLIS, MN 55411 PHONE: 612/521-2929 (20218) FAX: MR. DONALD FLACK 612/522-2921 HWS NProf OAK GROVE APARTMENTS 227 OAK GROVE STREET MINNEAPOLIS, MN 55403 PHONE: 612/871-3313 (28130) FAX: MS. KRISTEN BROWN 612/871-9448 Corp OAK GROVE CARE CENTER INC HCP-F 1822 PARK AVENUE SOUTH MINNEAPOLIS, MN 55404 PHONE: 612/871-5800 (25518) FAX: MS. SARA WILLIAMS 612/872-6815 Corp OLUS HOME INC HCP-A 4013 PARK AVENUE SOUTH MINNEAPOLIS, MN 55407 PHONE: 612/824-1142 (28291) FAX: MS. GLORIA FREEMAN 612/824-1456 NProf OUTREACH STEVENS SLFA-6 ICFMR-6 5240 QUEEN AVENUE NORTH MINNEAPOLIS, MN 55430 PHONE: 612/588-4825 (20664) FAX: 612/521-6654 MS. MARY TJOSVOLD HWS-O NProf PAIGE HALL 727 SOUTH 5TH AVENUE MINNEAPOLIS, MN 55404 PHONE: 612/204-8319 (25779) FAX: MS. STACEY RAY /- HWS NProf PARK AVENUE APARTMENTS 2809 PARK AVENUE MINNEAPOLIS, MN 55407 PHONE: 952/405-7480 (27866) FAX: MS. KRISTEN BROWN /- HWS ONProf PARK AVENUE APARTMENTS 2418 PARK AVENUE MINNEAPOLIS, MN 55404 PHONE: 612/871-0221 (26531) FAX: 612/871-0354 MS. DAWN HORGAN Minnesota Department of Health Division of Compliance Monitoring Page 178 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS Lim-Liab PARK RESIDENCE Registration 3550 PARK AVE (29206) MINNEAPOLIS, MN 55407 PHONE: 651/209-8490 FAX: MR. JOE CUOCO 651/209-8499 HWS NProf PARK TWO 214 15TH STREET WEST MINNEAPOLIS, MN 55403 PHONE: 612/871-6581 (26900) FAX: MS. KRISTEN BROWN /- HWSAL City PARKER SKYVIEW 1815 CENTRAL AVENUE NORTHEAST MINNEAPOLIS, MN 55418 PHONE: 612/342-2266 (21761) FAX: MR. BILL KOS 612/781-3495 Lim-Liab PASSION CARE HCP-A 4347 4TH AVENUE SOUTH MINNEAPOLIS, MN 55409 PHONE: 612/823-3880 (28038) FAX: MR. JOHNNIE LEE /- HWSAL Lim-Liab PASSION CARE 4347 4TH AVENUE SOUTH MINNEAPOLIS, MN 55409 PHONE: 612/823-3880 (28172) FAX: MR. JOHNNIE LEE /- Lim-Liab PEACEFUL CARE LLC HCP-A 5144 13TH AVE S MINNEAPOLIS, MN 55417 PHONE: 612/701-6094 (28557) FAX: MR. ROGER CREWS 612/886-1835 HWS NProf PENN OAK APARTMENTS 3528 PENN AVENUE NORTH MINNEAPOLIS, MN 55412 PHONE: 612/522-3394 (27371) FAX: NProf PEOPLE II MS. KRISTEN BROWN 612/521-9714 SLFA-6 ICFMR-6 1380 WEST MINNEHAHA PARKWAY MINNEAPOLIS, MN 55419 PHONE: 612/827-4671 (01556) FAX: NProf PEOPLE INC EPILEPSY SERVICES MS. GAYLE CARNEY 612/827-1259 HCP-F HWS-O 630 CEDAR AVENUE #201 MINNEAPOLIS, MN 55454 PHONE: 612/338-9035 (21819) FAX: NProf PEOPLE INCORPORATED DSL MR. M. TIMOTHY BURKETT 612/338-1160 HCP-F HWS-O 726 NORTHEAST 2ND STREET MINNEAPOLIS, MN 55413 PHONE: 612/331-3525 (23646) FAX: 612/331-3587 MS. ANNMARIE FLOREST Minnesota Department of Health Division of Compliance Monitoring Page 179 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf PHILLIPS EYE INSTITUTE Certification HENNEPIN Registration (Cont.)* -------------------------- HOSP-20 HOSP-20 2215 PARK AVENUE SOUTH (00231) MINNEAPOLIS, MN 55404 PHONE: 612/775-8815 FAX: MS. JOAN ARBACH 612/775-9601 HWSAL-O Corp PINNACLE SERVICES - JACKSON SQ 2902 POLK STREET NORTHEAST MINNEAPOLIS, MN 55418 PHONE: 612/208-1369 (26848) FAX: MS. JILL CIHLAR 612/208-1369 Corp PINNACLE SERVICES INC HCP-A 724 CENTRAL AVE NE MINNEAPOLIS, MN 55414 PHONE: 612/977-3100 (24508) FAX: MS. JILL CIHLAR 612/977-3110 NProf PROVIDENCE PLACE NH-190 SNF-NF-190 3720 23RD AVENUE SOUTH MINNEAPOLIS, MN 55407 PHONE: 612/724-5495 (00096) FAX: MR. JOEL KELSH 612/729-6271 Part QUALITY FOOTCARE HCP-A 2010 EAST HENNEPIN AVE BOX 051 MINNEAPOLIS, MN 55413 PHONE: 612/588-2696 (24711) FAX: MS. AMY KEMMETMUELLER 612/379-3489 HWS NProf QUICKSTAR MANAGEMENT 1834 ULYSSES STREET NE MINNEAPOLIS, MN 55418 PHONE: 612/414-1839 (29204) FAX: MS. KRISTEN BROWN /- NProf RAKHMA PEACE HOME HCP-F HWSAL 4953 ALDRICH AVENUE SOUTH MINNEAPOLIS, MN 55419 PHONE: 612/824-2345 (20103) FAX: MS. SUSAN ECKSTROM 612/824-3165 HWS NProf REA-HAL PROPERTIES 1901 COLFAX AVENUE MINNEAPOLIS, MN 55403 PHONE: 612/868-6283 (27889) FAX: MS. KRISTEN BROWN /- Church REDEEMER RESIDENCE INC NH-127 SNF-NF-127 625 WEST 31ST STREET MINNEAPOLIS, MN 55408 PHONE: 612/827-2555 (00160) FAX: Corp REENTRY HOUSE MR. DANNY COLGAN 612/827-0450 SLFA-16 5812 LYNDALE AVENUE SOUTH MINNEAPOLIS, MN 55419 PHONE: 612/869-2411 (01470) FAX: 612/869-0313 MS. FRAN LESIE KO Minnesota Department of Health Division of Compliance Monitoring Page 180 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp REM HENNEPIN (PILLSBURY) Certification HENNEPIN Registration (Cont.)* -------------------------- SLFA-21 ICFMR-21 2311 PILLSBURY AVENUE SOUTH (01029) MINNEAPOLIS, MN 55404 PHONE: 763/852-5325 FAX: MS. CONNIE MENNE 952/591-0050 Corp REM HENNEPIN INC (LYNDALE) SLFA-10 ICFMR-10 1307 6TH STREET SE MINNEAPOLIS, MN 55414 PHONE: 763/852-5325 (21654) FAX: MS. CONNIE MENNE 763/852-5350 Corp REM HENNEPIN INC QUEEN SLFB-6 ICFMR-6 614 QUEEN AVENUE SOUTH MINNEAPOLIS, MN 55405 PHONE: 952/591-0797 (01130) FAX: MS. CONNIE MENNE 952/591-0050 HWS NProf REMINGTON CAMPUS APARTMENTS 414 7TH AVENUE SOUTHEAST MINNEAPOLIS, MN 55414 PHONE: 612/378-0501 (27275) FAX: MS. KRISTEN BROWN /- HWS-O NProf RESTART INC 1111 SEVENTH STREET S APT #34 MINNEAPOLIS, MN 55415 PHONE: 612/664-0119 (21905) FAX: MR. JAMES JASPER 612/664-0140 HWS-O NProf RESTART INC - 614 614 8TH STREET SOUTHEAST MINNEAPOLIS, MN 55414 PHONE: 612/379-9409 (25373) FAX: MR. JAMES JASPER 612/331-9175 HWS-O NProf RESTART INC - ELLIOT 4317 ELLIOT AVENUE SOUTH MINNEAPOLIS, MN 55407 PHONE: 612/822-3506 (25370) FAX: MR. JAMES JASPER 612/824-2719 HWS-O NProf RESTART INC - KATHY'S PLACE 4525-B ALDRICH AVENUE SOUTH MINNEAPOLIS, MN 55419 PHONE: 612/822-5372 (25372) FAX: MR. JAMES JASPER 612/827-4967 HWS-O NProf RESTART INC - MINNEHAHA 4652 MINNEHAHA AVENUE SOUTH MINNEAPOLIS, MN 55406 PHONE: 612/729-1460 (25371) FAX: Lim-Liab RIGHT AT HOME MR. JAMES JASPER 612/729-5059 HCP-A 1304 UNIVERSITY AVENUE NE #303 MINNEAPOLIS, MN 55413 PHONE: 612/235-4130 (26963) FAX: 612/392-0023 MS. LYDIA JARMULOWICZ Minnesota Department of Health Division of Compliance Monitoring Page 181 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS NProf RIPLEY GARDENS Registration 310 QUEEN AVENUE NORTH (25471) MINNEAPOLIS, MN 55405 PHONE: 651/774-0011 FAX: MRS. DANIELLE FOX 651/774-0606 Lim-Liab RIVERSIDE ENDOSCOPY CENTER LLC Outpt Surg Amb Surg 606 24TH AVENUE SO SUITE 800 MINNEAPOLIS, MN 55454 PHONE: 651/225-7999 (21592) FAX: MR. TOM NORDSTROM 651/225-7997 HWS NProf RIVERSIDE PLAZA 1515 SOUTH FOURTH STREET MINNEAPOLIS, MN 55454 PHONE: 612/338-8925 (29000) FAX: MS. STACEY RAY /- HWS NProf RIVERSIDE PLAZA 1530 S 6TH ST (CHASE BLDG C) MINNEAPOLIS, MN 55454 PHONE: 612/204-8319 (25903) FAX: MS. STACEY RAY /- HWS NProf RIVERSIDE PLAZA 1601 SOUTH FOURTH STREET MINNEAPOLIS, MN 55454 PHONE: 612/204-8319 (29138) FAX: MS. STACEY RAY /- HWS NProf RIVERSIDE PLAZA BUILDING D 1630 SOUTH 6TH STREET MINNEAPOLIS, MN 55454 PHONE: 612/204-8319 (25063) FAX: MS. STACEY RAY 612/375-9105 HWS NProf RIVERSIDE PLAZA BUILDING M 1615 SOUTH 4TH STREET MINNEAPOLIS, MN 55454 PHONE: 612/204-8319 (25064) FAX: Part RIVERSIDE PROFESSIONAL HEALTH MS. STACEY RAY 612/375-9105 HCP-A 1929 SOUTH 5TH STREET #200 MINNEAPOLIS, MN 55454 PHONE: 612/359-9917 (27345) FAX: 612/359-9917 MS. CHALI BEDASSO HWSAL NProf RIVERVILLAGE EAST 2919 RANDOLPH STREET NORTHEAST MINNEAPOLIS, MN 55418 PHONE: 612/605-2500 (23147) FAX: 612/605-2504 MR. MICHAEL SHASKY HWS NProf RIVERVILLAGE NORTH 2921 RANDOLPH STREET NORTHEAST MINNEAPOLIS, MN 55418 PHONE: 612/605-2501 (23036) FAX: 612/605-2502 MR. MICHAEL SHASKY Minnesota Department of Health Division of Compliance Monitoring Page 182 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab ROBIN HINTZ MA CCC-SLP LLC Certification HENNEPIN Registration (Cont.)* -------------------------- HCP-A 18 N 12TH ST PO BOX 50601 (28556) MINNEAPOLIS, MN 55405 PHONE: 952/393-6412 FAX: MS. ROBIN HINTZ 612/886-8654 HWS NProf RS EDEN 1828 CENTRAL AVENUE NORTHEAST MINNEAPOLIS, MN 55418 PHONE: 612/782-2999 (22051) FAX: MS. LOIS MUELLER 612/781-5723 HWS Lim-Liab RS EDEN / DILLION APARTMENTS 3218 LYNDALE AVENUE NORTH MINNEAPOLIS, MN 55411 PHONE: 612/287-1600 (25595) FAX: MS. LOIS MUELLER 612/287-1616 HWS Lim-Liab RS EDEN / DILLION APARTMENTS 3210 LYNDALE AVENUE NORTH MINNEAPOLIS, MN 55411 PHONE: 612/287-1600 (25594) FAX: MS. LOIS MUELLER 612/287-1616 HWS NProf SANDER LLC 5734 SANDER DRIVE MINNEAPOLIS, MN 55417 PHONE: 612/618-0971 (28769) FAX: MS. KRISTEN BROWN /- Lim-Liab SENIOR HELPERS HCP-A 7362 UNIVERSITY AVE NE STE 210 MINNEAPOLIS, MN 55432 PHONE: 763/432-7037 (26976) FAX: 763/432-7059 MR. MARC FIORAVANTI Home Mgmt Ind SENIOR SUPPORT AND CARE 4019 LINDEN HILLS BOULEVARD MINNEAPOLIS, MN 55410 PHONE: 612/669-7007 (27382) FAX: MS. COLLEEN SARAT /- HWS Lim-Liab SERENITY PLACE 2409 1ST AVENUE SOUTH MINNEAPOLIS, MN 55404 PHONE: 612/872-1926 (24075) FAX: 612/871-9202 MS. CARLEEN FLETTRE HWS NProf SEWARD FLATS 2104 22ND AVENUE SOUTH MINNEAPOLIS, MN 55404 PHONE: 612/664-1764 (27373) FAX: MS. KRISTEN BROWN /- HWS NProf SEWARD FLATS 2019 21ST AVENUE SOUTH MINNEAPOLIS, MN 55404 PHONE: 612/328-5101 (27956) FAX: 612/664-1780 MS. KRISTEN BROWN Minnesota Department of Health Division of Compliance Monitoring Page 183 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS NProf SEWARD FLATS Registration 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 MINNEAPOLIS, MN 55454 PHONE: 612/867-9699 (28120) FAX: MR. ABDULLAHI SHABA 612/354-7152 HWS NProf SHINGLE CREEK COMMONS 4600 HUMBOLDT AVENUE NORTH MINNEAPOLIS, MN 55412 PHONE: 612/588-2303 (25160) FAX: MS. ELIZABETH HAGSTROM 651/291-1003 ONProf SHRINERS HOSPITAL FOR CHILDREN HOSP-40 2025 EAST RIVER PARKWAY MINNEAPOLIS, MN 55414 PHONE: 612/596-6100 (00256) FAX: 612/339-7634 MR. CHARLES LOBECK Home Mgmt Corp SIFA CARE INC 2736 LYNDALE AVE S #212 MINNEAPOLIS, MN 55408 PHONE: 612/870-1570 (25045) FAX: 612/870-1571 MR. AHMED MOHAMUD HWSAL HRA SIGNE BURCKHARDT MANOR 2533 FIRST AVENUE SOUTH MINNEAPOLIS, MN 55404 PHONE: 612/821-2190 (20278) FAX: 612/872-4472 MS. MARY BOLER HWS NProf SLATER SQUARE 1416 PORTLAND AVENUE SOUTH MINNEAPOLIS, MN 55404 PHONE: 612/340-1261 (24794) FAX: 612/340-9580 MS. STACEY RAY HWS NProf SLATER SQUARE 1400 PORTLAND AVE S MINNEAPOLIS, MN 55404 PHONE: 612/204-8319 (24896) FAX: MS. STACEY RAY /- HWS NProf SLATER SQUARE 1420 S PORTLAND AVENUE MINNEAPOLIS, MN 55404 PHONE: 612/340-1261 (24793) FAX: 612/340-9580 MS. STACEY RAY HWS NProf SLATER SQUARE 1412 PORTLAND AVENUE MINNEAPOLIS, MN 55404 PHONE: 612/340-1261 (24795) FAX: 612/340-9580 MS. STACEY RAY Minnesota Department of Health Division of Compliance Monitoring Page 184 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 Corp SOUTHSIDE CARE CENTER NF2-17 BCH-17 2644 ALDRICH AVENUE SOUTH MINNEAPOLIS, MN 55408 PHONE: 612/872-4233 (00780) FAX: MR. MARK ANDERSON 612/872-0005 Lim-Liab SPECIALTY CARE GROUP HCP-A 2113 GIRARD AVE S STE 2 MINNEAPOLIS, MN 55405 PHONE: 612/925-5008 (27391) FAX: MS. DANICA DOBEK 612/435-9844 NProf ST OLAF RESIDENCE SNF-NF-80 NH-80 2912 FREMONT AVENUE NORTH MINNEAPOLIS, MN 55411 PHONE: 612/287-3565 (00260) FAX: MR. DAVID USELMAN 612/522-2921 HWS NProf STAR MANAGEMENT 2709 STEVENS AVENUE SOUTH MINNEAPOLIS, MN 55408 PHONE: 651/235-6175 (29026) FAX: MS. KRISTEN BROWN /- HWS Lim-Liab STEP AHEAD RESIDENTIAL GROUP H 2701 14TH AVENUE SOUTH MINNEAPOLIS, MN 55407 PHONE: 612/369-5323 (28483) FAX: MR. KEYF ABDI /- HWS NProf STEVENS COMMUNITY APARTMENTS 1900 THIRD AVENUE SOUTH MINNEAPOLIS, MN 55404 PHONE: 612/870-8010 (28673) FAX: MS. KRISTEN BROWN 612/870-0289 HWS NProf STRATFORD FLATS 22 E. 15TH ST MINNEAPOLIS, MN 55403 PHONE: 612/664-1764 (27479) FAX: MS. KRISTEN BROWN /- Corp SU CASA HOME CARE HCP-F 3427 CENTRAL AVENUE NE MINNEAPOLIS, MN 55418 PHONE: 612/788-9757 (26288) FAX: Corp SUMMIT HEALTHCARE INC MR. RANDAL HALEMEYER 612/789-6564 HCP-A 3018 EAST LAKE STREET MINNEAPOLIS, MN 55406 PHONE: 612/721-7776 (21160) FAX: 612/722-3578 MR. MAXWELL AFORO Minnesota Department of Health Division of Compliance Monitoring Page 185 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS Lim-Liab SUPPORTIVE LIVING SOLUTIONS LL Registration 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 E FRANKLIN AVENUE STE #1 MINNEAPOLIS, MN 55404 PHONE: 612/343-4004 (24759) FAX: MR. MOHAMED ISSE 612/343-4007 HWS NProf SVEDAHL INVESTMENTS 3521 12TH AVENUE MINNEAPOLIS, MN 55409 PHONE: 612/270-7844 (28360) FAX: MS. KRISTEN BROWN /- Lim-Liab SYNERGY HOME CARE MSP METRO HCP-A 3433 BROADWAY ST NE STE 215 MINNEAPOLIS, MN 55413 PHONE: 612/455-2585 (26669) FAX: MR. JAMES ZENK 612/455-3967 Lim-Liab SYSKON HOME HEALTH CARE LLC HCP-A 4351 LOGAN AVENUE NORTH MINNEAPOLIS, MN 55412 PHONE: 952/278-0620 (28384) FAX: MR. JC VAIANA /- HWS NProf THE BALMORAL 1005 SOUTH PORTLAND AVENUE MINNEAPOLIS, MN 55404 PHONE: 612/204-8319 (26597) FAX: MS. STACEY RAY /- HWS NProf THE BARRINGTON 911 SOUTH PARK AVENUE MINNEAPOLIS, MN 55404 PHONE: 612/338-3118 (26596) FAX: 612/341-9140 MS. STACEY RAY HWS NProf THE BELMONT APARTMENTS 1000 FRANKLIN AVENUE WEST MINNEAPOLIS, MN 55405 PHONE: 612/870-1547 (26899) FAX: MS. KRISTEN BROWN /- HWS Corp THE CARING SISTERS HOME CARE S 431 PENN AVENUE NORTH MINNEAPOLIS, MN 55405 PHONE: 612/377-6442 (26691) FAX: 952/426-4691 MR. OLALEYE BECKLEY HWS Part THE CONTINENTAL 66 SOUTH 12TH STREET MINNEAPOLIS, MN 55403 PHONE: 612/339-4557 (27549) FAX: 612/339-6374 MR. CHRIS NIMMER Minnesota Department of Health Division of Compliance Monitoring Page 186 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS NProf THE COYLE Registration 1801 SOUTH LASALLE AVENUE (29139) MINNEAPOLIS, MN 55403 PHONE: 612/376-7661 FAX: MS. STACEY RAY /- Out Pt Out St Out Ot ONProf THE FAMILY PARTNERSHIP 1501 XERXES AVENUE NORTH MINNEAPOLIS, MN 55411 PHONE: 612/341-1622 (28437) FAX: MS. MOLLY GREENMAN 612/339-9150 HWS NProf THE JOURDAIN 2006 PORTLAND AVE S MINNEAPOLIS, MN 55404 PHONE: 612/204-8319 (24897) FAX: MS. STACEY RAY /- Lim-Liab THE KENWOOD RETIREMENT COM HCP-F HWSAL 825 SUMMIT AVENUE MINNEAPOLIS, MN 55403 PHONE: 612/374-8100 (20341) FAX: MRS. JENNIFER VOLKENANT 612/377-3600 NProf THE SALVATION ARMY HARB LIGHT SLFA-44 1010 CURRIE AVENUE NORTH MINNEAPOLIS, MN 55403 PHONE: 612/767-3100 (01601) FAX: MS. DONNA BAUER 612/338-4717 Corp THE STANTON HOUSE INC HCP-F 3354 JAMES AVENUE NORTH MINNEAPOLIS, MN 55412 PHONE: 612/521-9543 (26409) FAX: MS. NIKIA ROSS 612/886-1310 HWSAL Corp THE STANTON HOUSE INC 3354 JAMES AVE N MINNEAPOLIS, MN 55412 PHONE: 612/521-9543 (25977) FAX: MS. NIKIA ROSS 612/886-1310 Lim-Liab THE WATERS OF MINNEHAHA HCP-F HWSAL 3733 23RD AVENUE SOUTH MINNEAPOLIS, MN 55407 PHONE: 612/238-0010 (27808) FAX: 612/238-2799 MS. EMILY RINALDI HWS NProf THE WELLSTONE 620 EAST FRANKLIN AVENUE MINNEAPOLIS, MN 55404 PHONE: 612/435-1686 (26446) FAX: MS. KRISTEN BROWN /- HWSAL-O HRA THIRD AVENUE NBBI 1001 WASHINGTON AVENUE NORTH MINNEAPOLIS, MN 55401 PHONE: 612/342-1453 (24487) FAX: 612/342-1407 MS. MARY BOLER Minnesota Department of Health Division of Compliance Monitoring Page 187 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWSAL Corp THOMAS T FENNEY MANOR Registration 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 MINNEAPOLIS, MN 55403 PHONE: 612/871-0805 (01375) FAX: MR. DAN SCHNEIDER 612/871-0455 HWS NProf TLC HARDEN LLC 3230 PENN AVENUE NORTH MINNEAPOLIS, MN 55412 PHONE: 612/399-6370 (29029) FAX: MS. KRISTEN BROWN /- Lim-Liab TRANSITION HEALTHCARE LLC HCP-F 4601 EXCELSIOR BLVD STE 650 MINNEAPOLIS, MN 55416 PHONE: 952/920-0400 (27184) FAX: MS. MICHELE GRANDNER 952/697-4661 NProf TURNING POINT INC SLFA-24 1500 GOLDEN VALLEY ROAD MINNEAPOLIS, MN 55411 PHONE: 612/520-4004 (01678) FAX: MS. ELIZABETH REED 612/520-0047 NProf TURNING POINT INC SLFA-32 1105 16TH AVENUE NORTH MINNEAPOLIS, MN 55411 PHONE: 612/520-4004 (01574) FAX: MS. ELIZABETH REED 612/302-4106 Lim-Liab TWIN CITIES CARE SERVICES HCP-A 1007 EAST 24TH STREET MINNEAPOLIS, MN 55404 PHONE: 612/824-2291 (27874) FAX: MS. ABDULKARIM DAHIR 612/824-7901 Lim-Liab TWIN CITY HOME HEALTHCARE LLC HCP-A 1010 PARK AVENUE UNIT 1 MINNEAPOLIS, MN 55404 PHONE: 612/232-3297 (28032) FAX: MR. AHMED ABDULLAHI /- Home Mgmt Corp TWINS HOME HEALTH CARE INC 2533 24TH AVENUE SOUTH MINNEAPOLIS, MN 55406 PHONE: 612/465-0408 (27759) FAX: 612/339-5901 MR. ABDIRAHMAN DHUNKAL ESRD NProf UMMC FAIRVIEW RENAL DIALYSIS 2450 RIVERSIDE AVE STE 2300 MINNEAPOLIS, MN 55455 PHONE: 612/626-5300 (02098) FAX: /- MR. MICHEAL FLYNN Minnesota Department of Health Division of Compliance Monitoring Page 188 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp UNITED HOME HEALTHCARE SERVICE Certification HENNEPIN Registration (Cont.)* -------------------------- HCP-A 2601 BLOOMINGTON AVENUE (27712) MINNEAPOLIS, MN 55407 PHONE: 612/987-1120 FAX: MS. MOHAMED KODAH 612/872-1550 Corp UNITY HEALTH CARE HCP-F 2221 WEST 55TH STREET MINNEAPOLIS, MN 55419 PHONE: 612/285-8743 (23694) FAX: MS. PAULETTE WILSON 612/922-9276 Corp UNITY HEALTHCARE INC HCP-A 2221 WEST 55TH ST MINNEAPOLIS, MN 55419 PHONE: 612/285-8743 (25195) FAX: MS. PAULETTE WILSON 612/922-9276 HWS Lim-Liab UNITY PLACE 2611 CENTRAL AVENUE NE MINNEAPOLIS, MN 55418 PHONE: 612/872-1926 (25496) FAX: MS. CARLEEN FLETTRE 612/872-7757 NProf UNIVERSITY OF MN MED CTR BASS-168 HOSP-1700 HOSP-1532 PPS-P-138 PPS-R-30 2450 RIVERSIDE AVENUE MINNEAPOLIS, MN 55454 PHONE: 612/273-6000 (00200) FAX: MS. CAROLYN WILSON 612/273-4051 HWS-O Lim-Liab V K ARRIGONI WEST 508 SOUTHEAST UNIVERSITY AVE MINNEAPOLIS, MN 55414 PHONE: 612/331-6582 (21730) FAX: MR. JOE CUOCO 612/331-8672 HWS NProf VENTURA FLATS 1818 14TH AVENUE SOUTH MINNEAPOLIS, MN 55404 PHONE: 612/871-6370 (25186) FAX: MS. KRISTEN BROWN /- HWS NProf VICTORIA LAKE APARTMENTS 8400 MINNETONKA BOULEVARD MINNEAPOLIS, MN 55426 PHONE: 612/454-1600 (26891) FAX: MS. KRISTEN BROWN /- NProf VOLUNTEERS OF AMERICA OF MN HCP-F 7625 METRO BLVD MINNEAPOLIS, MN 55439 PHONE: 952/945-4144 (03712) FAX: NProf WALKER HOME SERVICES MS. ANNA PETERSMEYER 952/945-4106 HCP-F 3737 BRYANT AVENUE SOUTH MINNEAPOLIS, MN 55409 PHONE: 612/827-8363 (02260) FAX: 612/827-8458 MS. LYNN STARKOVICH Minnesota Department of Health Division of Compliance Monitoring Page 189 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf WALKER METHODIST HEALTH CTR Certification HENNEPIN Registration (Cont.)* -------------------------- NH-336 NF1-22 SNF-NF-314 3737 BRYANT AVENUE SOUTH (00276) MINNEAPOLIS, MN 55409 PHONE: 612/827-5931 FAX: MS. KARLY LEWIS 612/827-8458 HWSAL NProf WALKER METHODIST PLACE 3701 BRYANT AVENUE SOUTH MINNEAPOLIS, MN 55409 PHONE: 612/827-8500 (20447) FAX: MR. CHRIS ORR 612/827-8535 HWS NProf WASHINGTON COURT APTS 2101 WASHINGTON STREET NE MINNEAPOLIS, MN 55418 PHONE: 612/455-5141 (27955) FAX: MS. KRISTEN BROWN /- HWS NProf WESTPORT PROPERTIES 2200 BRYANT AVENUE SOUTH MINNEAPOLIS, MN 55405 PHONE: 612/290-0874 (25191) FAX: MS. KRISTEN BROWN 612/929-0422 HWS NProf WEXFORD COMMONS 208 WEST 62ND STREET MINNEAPOLIS, MN 55419 PHONE: 952/473-5750 (28634) FAX: MS. KRISTEN BROWN 612/869-8093 HWS NProf WEXFORD COMMONS 206 WEST 62ND STREET MINNEAPOLIS, MN 55419 PHONE: 612/866-4444 (28135) FAX: MS. KRISTEN BROWN /- HWS NProf WEXFORD COMMONS 216 WEST 62ND STREET MINNEAPOLIS, MN 55419 PHONE: 612/866-4444 (27468) FAX: MS. KRISTEN BROWN 612/866-5994 HWS NProf WEXFORD COMMONS 218 WEST 62ND STREET MINNEAPOLIS, MN 55419 PHONE: 612/866-4444 (27469) FAX: Lim-Liab WHITTIER PLACE MS. KRISTEN BROWN 612/866-5994 HCP-F HWS 2405 FIRST AVENUE SOUTH MINNEAPOLIS, MN 55404 PHONE: 612/872-1926 (21707) FAX: 612/872-7757 MS. CARLEEN FLETTRE HWS NProf WILSON REAL ESTATE 3955 CEDAR AVENUE MINNEAPOLIS, MN 55407 PHONE: 612/710-2548 (28119) FAX: 952/474-3226 MS. KRISTEN BROWN Minnesota Department of Health Division of Compliance Monitoring Page 190 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS Lim-Liab WILSON REAL ESTATE Registration 4920 28TH AVENUE SOUTH (29102) MINNEAPOLIS, MN 55417 PHONE: 612/710-2548 FAX: MS. JENNIFER WEISSMAN /- Corp YELLOW ROSE HOME CARE INC HCP-A 1316 126TH AVENUE NORTHWEST MINNEAPOLIS, MN 55448 PHONE: 763/432-9117 (27686) FAX: MS. KAREN SKOGMAN 763/432-9117 HWS Corp ZUMBRO HOUSE - SANDER 5740 SANDER DRIVE MINNEAPOLIS, MN 55417 PHONE: 651/264-1000 (28732) FAX: MR. CHRISTOPHER ONKEN 651/264-1002 HWS-O Corp ZUMBRO HOUSE - SANDER #2 5753 SANDER DRIVE MINNEAPOLIS, MN 55417 PHONE: 651/264-1000 (28819) FAX: MR. CHRISTOPHER ONKEN 651/264-1022 HWSAL NProf AUGUSTANA EMERALD CREST OF MIN 13417 LAKE STREET EXTENSION MINNETONKA, MN 55305 PHONE: 952/933-9903 (20705) FAX: MS. MARGARET OWENS 952/933-1157 HWSAL NProf AUGUSTANA EMERALD CREST OF MIN 13401 LAKE STREET EXTENSION MINNETONKA, MN 55305 PHONE: 952/856-7522 (20563) FAX: MS. MARGARET OWENS 952/933-1157 HWSAL NProf AUGUSTANA EMERALD CREST OF MIN 13409 LAKE STREET EXTENSION MINNETONKA, MN 55305 PHONE: 952/933-9903 (20564) FAX: MS. MARGARET OWENS 952/933-1157 Corp BAYADA PEDIATRICS HCP-A HHA 10400 YELLOW CIRCLE DR STE 401 MINNETONKA, MN 55343 PHONE: 952/935-5581 (02349) FAX: MS. KRISTA O'CONNOR /- NProf BEACON HILL HCP-F 5300 BEACON HILL ROAD MINNETONKA, MN 55345 PHONE: 952/988-8800 (27950) FAX: 952/988-8815 MS. NATALIE MORLAND Out Pt Out St Out Ot NProf CHILDRENS HC MPLS AMB & REHAB 5950 CLEARWATER DRIVE STE 500 MINNETONKA, MN 55343 PHONE: 952/930-8630 (03491) FAX: /- MS. BROOK WHEELER Minnesota Department of Health Division of Compliance Monitoring Page 191 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: Corp COMFORCARE SENIOR SERVICES-MIN MS. GLORIA DRAKE 952/930-8650 HCP-A 14550 EXCELSIOR BLVD STE 203 MINNETONKA, MN 55345 PHONE: 952/767-1687 (27049) FAX: MR. TERRY GRATHEN 952/935-4030 HWSAL NProf ELDER HOMESTEAD 11400 FOURTH STREET NORTH MINNETONKA, MN 55343 PHONE: 952/933-1752 (20104) FAX: Lim-Liab FREEDOM POINTE MINNETONKA MS. PATRICIA KRUEGER 952/933-0730 HCP-F HWSAL 500 CARLSON PARKWAY MINNETONKA, MN 55305 PHONE: 952/473-3330 (20677) FAX: Lim-Liab GENTLE TOUCH HEALTH INITIATIVE MR. STEPHEN WILSON 952/473-7555 HCP-F 5300 WOODHILL ROAD MINNETONKA, MN 55345 PHONE: 952/345-4404 (28262) FAX: NProf GIANNA HOMES SURSUM CORDA MR. MARK MOILANEN 952/345-4402 HCP-F HWS 4605 FAIRHILLS ROAD EAST MINNETONKA, MN 55345 PHONE: 952/988-0953 (20897) FAX: Corp GRISWOLD HOME CARE MS. ANNE HANSEN 952/988-6935 HCP-B 15612 HIGHWAY 7 SUITE 239 MINNETONKA, MN 55345 PHONE: 612/747-7918 (28822) FAX: NProf HAMMER LAKESIDE MR. PATRICK RUSSELL 763/479-2331 SLFB-6 ICFMR-6 5209 MICHAELE LANE MINNETONKA, MN 55345 PHONE: 952/473-1261 (01594) FAX: Corp HEALTH CORPS MS. LISBETH ARMSTRONG 952/473-8629 HCP-F 5900 GREEN OAK DRIVE STE 200 MINNETONKA, MN 55343 PHONE: 952/926-9808 (21881) FAX: Corp HEALTH CORPS MS. M CLAIRE MELSTROM 952/926-4002 HCP-A 5900 GREEN OAK DR STE 200 MINNETONKA, MN 55343 PHONE: 952/926-9808 (21882) FAX: 952/926-4002 MR. GREG VON ARX Minnesota Department of Health Division of Compliance Monitoring Page 192 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------Out Pt Out St Out Ot Corp INNOVATIVE SR CARE FREEDOM Registration 500 CARLSON PARKWAY (24430) MINNETONKA, MN 55305 PHONE: 952/473-3330 FAX: MS. ERIN BERNIER /- NProf JEWISH FAMILY & CHILDRENS SVS HCP-B 13100 WAYZATA BOULEVARD #400 MINNETONKA, MN 55305 PHONE: 952/546-0616 (26901) FAX: MS. JUDY HALPER 952/593-1778 HWSAL Lim-Liab LEGACY CARE HOME II 14814 CROWN DRIVE MINNETONKA, MN 55345 PHONE: 612/597-3153 (27968) FAX: MS. MICHELLE NASH 952/938-5401 Lim-Liab LEGACY CARE HOME LLC HCP-F HWSAL 14900 CROWN DR MINNETONKA, MN 55345 PHONE: 612/597-3153 (25364) FAX: MS. MICHELLE NASH 952/938-5401 Corp MINNETONKA ASSISTED LIVING HCP-F 14505 MINNETONKA DRIVE MINNETONKA, MN 55345 PHONE: 952/988-0011 (23866) FAX: MR. JONATHAN FENTON 952/988-0051 Lim-Liab MINNETONKA ASSISTED LIVING HCP-F HWSAL 14667 LAKE STREET EXTENSION MINNETONKA, MN 55345 PHONE: 612/756-9944 (26276) FAX: MS. REBECCA FINE 952/456-6466 HWSAL Corp MINNETONKA ASSISTED LIVING COM 14505 MINNETONKA DRIVE MINNETONKA, MN 55345 PHONE: 952/988-0011 (20107) FAX: MS. RENAE WITSCHEN 952/988-0151 Lim-Liab MINNETONKA CARE RESIDENCE HCP-F 4328 WILLISTON ROAD MINNETONKA, MN 55345 PHONE: 763/550-1774 (28591) FAX: 763/559-9155 MS. MARCIA COTTER HWSAL Lim-Liab MINNETONKA CARE RESIDENCE 4328 WILLISTON ROAD MINNETONKA, MN 55345 PHONE: 763/550-1774 (28484) FAX: 763/559-9155 MS. MARCIA HAMILTON-COTTER ESRD Corp MINNETONKA DIALYSIS UNIT 17809 HUTCHINS DRIVE MINNETONKA, MN 55345 PHONE: 952/470-9944 (03583) FAX: /- MS. BARBARA LAWRENZ Minnesota Department of Health Division of Compliance Monitoring Page 193 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWSAL Corp MY RETIREMENT HOUSE INC Registration 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-F HWSAL 2304 RIVENDELL LANE MINNETONKA, MN 55305 PHONE: 952/546-0100 (26828) FAX: Corp MY RETIREMENT HOUSE INC MR. MEHR SHAHIDI 952/591-7663 HCP-A 2304 RIVENDELL LANE MINNETONKA, MN 55305 PHONE: 952/546-0100 (27494) FAX: Corp NIGHTINGALE HOME HEALTH CARE MR. JAY SHAHIDI 952/591-7663 HHA HCP-A 10550 WAYZATA BLVD STE 1 MINNETONKA, MN 55305 PHONE: 763/545-3131 (23521) FAX: Corp NIGHTINGALE HOSPICE CARE OF MN MS. PIPER BRAR 866/878-0094 Hospice 10550 WAYZATA BLVD STE 1 MINNETONKA, MN 55305 PHONE: 866/334-7777 (27605) FAX: MS. SADIE TERWAY 866/878-0094 HWSAL Corp NURTURING CARE 4441 HUNTER RIDGE MINNETONKA, MN 55345 PHONE: 952/688-1106 (24965) FAX: Lim-Liab PEDIATECH NURSING MS. TINA HAUGSTAD 763/201-7821 HCP-A 601 CARLSON PARKWAY STE 1050 MINNETONKA, MN 55305 PHONE: 952/449-5282 (27859) FAX: MS. LARRAINE O'MALLEY 952/449-5283 HWSAL NProf PHS/BEACON HILL INC 5300 BEACON HILL ROAD MINNETONKA, MN 55345 PHONE: 952/988-8800 (20025) FAX: MS. KAREN CASPER- ROBESON 952/988-8815 HWSAL NProf RAKHMA GRACE HOME 5126 MAYVIEW ROAD MINNETONKA, MN 55345 PHONE: 612/824-2345 (20102) FAX: Corp RECOVER HEALTH MS. SUSAN ECKSTROM 612/824-3165 HCP-A HHA 5900 GREEN OAK DR STE 200 MINNETONKA, MN 55343 PHONE: 952/926-9808 (02478) FAX: 952/926-4002 MR. GREG VON ARX Minnesota Department of Health Division of Compliance Monitoring Page 194 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp REM HENNEPIN (MINNETONKA) Certification HENNEPIN Registration (Cont.)* -------------------------- 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 MINNETONKA, MN 55305 PHONE: 952/939-0396 (03487) FAX: MS. BEA BROGAARD /- Lim-Liab ST JOHN HOME CARE HCP-A 1502 ARCHWOOD ROAD MINNETONKA, MN 55305 PHONE: 612/245-3474 (27997) FAX: MS. MOPELOLA AKINLOYE 952/545-6411 Lim-Liab ST JOHN HOME CARE LLC HCP-F HWS 1502 ARCHWOOD ROAD MINNETONKA, MN 55305 PHONE: 612/245-3474 (27697) FAX: MS. MOPELOLA AKINLOYE 952/545-6411 Corp STEVENS RESIDENCE HCP-F HWSAL 3704 CARDINAL ROAD MINNETONKA, MN 55345 PHONE: 952/930-9144 (20517) FAX: MS. FAUN SPENCER 952/930-9184 HWSAL Part SUNRISE OF MINNETONKA 18605 OLD EXCELSIOR BLVD MINNETONKA, MN 55345 PHONE: 952/474-9155 (24010) FAX: MS. YOUNG BEBUS 952/474-9171 Corp SUNRISE OF MINNETONKA HCP-F 18605 OLD EXCELSIOR BLVD MINNETONKA, MN 55345 PHONE: 952/474-9155 (24011) FAX: MR. YOUNG BEBUS 952/474-9171 HWSAL Lim-Liab THE GLENN BY ST THERESE SOUTHW 5300 WOODHILL ROAD MINNETONKA, MN 55345 PHONE: 952/345-4404 (28261) FAX: MR. MARK MOILANEN 952/345-4402 Lim-Liab TLC AGENCIES LLC HCP-A 15830 LAKE STREET EXTENSION MINNETONKA, MN 55345 PHONE: 651/307-0249 (28093) FAX: MR. AUGUSTINE FALLAH /- Lim-Liab UNICARE HEALTH SERVICES LLC HCP-A 6142 CREEKVIEW TRL MINNETONKA, MN 55345 PHONE: 763/438-6593 (29160) FAX: 404/254-1831 MR. OSMAN DIRIE Minnesota Department of Health Division of Compliance Monitoring Page 195 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf VOA HOME HEALTH AT ELDER HOMES Certification HENNEPIN Registration (Cont.)* -------------------------- HCP-A 11400 4TH STREET NORTH (23745) MINNETONKA, MN 55343 PHONE: 952/933-1752 FAX: NProf VOA HOME HLTH AT ELDER HMSTED MS. TARYN BARTZ 952/933-0730 HCP-F 11400 4TH STREET NORTH MINNETONKA, MN 55343 PHONE: 952/933-1752 (23500) FAX: MS. PATTY KRUEGER 952/933-0730 HWS NProf WESTRIDGE SENIOR HOUSING INC 11201 FAIRFIELD ROAD MINNETONKA, MN 55305 PHONE: 952/512-0547 (28076) FAX: Corp WOODLAND HILLS RES CRE HME INC MS. PEGGY HARNDEN 952/512-1563 HCP-F HWS 16624 ELM DRIVE MINNETONKA, MN 55345 PHONE: 952/681-7791 (23610) FAX: MR. COREY HUSON 952/933-3754 HWS Corp WOODLAND HILLS RESIDENTIAL CAR 5215 ROGERS DRIVE MINNETONKA, MN 55343 PHONE: 952/933-9749 (24824) FAX: Ind LOVING CARE BY MARTHA MRS. TRACY HUSON 952/933-3754 HCP-A 6251 WESTEDGE BOULEVARD MOUND, MN 55364 PHONE: 952/472-1756 (25311) FAX: MS. MARTHA ASHBAUGH 952/472-1756 HWSAL Lim-Liab SOJOURN SUITES LLC 2895 WESTEDGE BLVD MOUND, MN 55364 PHONE: 952/472-6642 (24342) FAX: MR. THOMAS PENN 952/400-3542 HWSAL-O Lim-Liab SOJOURN SUITES LYNWOOD 5724 LYNWOOD BOULEVARD MOUND, MN 55364 PHONE: 952/473-1810 (27232) FAX: Corp TRANQUIL LIVING MR. THOMAS PENN 952/400-3542 HCP-A 4784 NORTHERN ROAD MOUND, MN 55364 PHONE: 952/361-0080 (21554) FAX: 952/448-1996 MR. BRYANT SLOSS HWS-O NProf BASS LAKE APARTMENTS 7610 BASS LAKE ROAD NEW HOPE, MN 55428 PHONE: 612/455-5100 (29294) FAX: 612/455-5101 MS. LESLIE ANGEL Minnesota Department of Health Division of Compliance Monitoring Page 196 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS-O NProf BASS LAKE COURT TOWNHOMES Registration 7360 BASS LAKE ROAD (24492) NEW HOPE, MN 55428 PHONE: 612/455-5131 FAX: MS. LESLIE ANGEL 612/455-5101 HWS-O NProf BASS LAKE COURT TOWNHOMES 7378 BASS LAKE ROAD NEW HOPE, MN 55428 PHONE: 612/455-5131 (26524) FAX: MS. LESLIE ANGEL 612/455-5101 HWS-O NProf BASS LAKE TOWNHOMES 7302 BASS LAKE ROAD NEW HOPE, MN 55428 PHONE: 612/455-5131 (23642) FAX: MS. LESLIE ANGEL 612/455-5101 HWSAL Lim-Liab BEN'S HOUSE 5337 OREGON AVENUE NORTH NEW HOPE, MN 55428 PHONE: 952/848-0935 (28278) FAX: MR. EVARISTUS EJIMADU 952/920-6929 HWS NProf BRIDGE INVESTMENTS 7335 62ND AVENUE NORTH NEW HOPE, MN 55422 PHONE: 952/890-7727 (27265) FAX: MS. JANELLE LEPPA 952/897-8097 Out Pt Out St Out Ot Corp CAPERNAUM PEDIATRIC THERAPY 9220 BASS LAKE ROAD SUITE 260 NEW HOPE, MN 55428 PHONE: 763/533-0363 (03719) FAX: NProf GOOD SAM SOCIETY AMBASSADOR MS. BONNA OLSON 763/533-0842 NH-85 SNF-NF-85 8100 MEDICINE LAKE ROAD NEW HOPE, MN 55427 PHONE: 763/544-4171 (00898) FAX: Lim-Liab MERWIN IV & SPECIALTY PHARMACY MS. MARIE BARTA 763/591-7191 HCP-A 3001 LOUISIANA AVENUE NORTH #B NEW HOPE, MN 55427 PHONE: 763/746-9890 (26757) FAX: MS. RUTH VERCHEK 763/540-6281 HWSAL NProf MN MASONIC HOME NORTH RIDGE AP 5500 BOONE AVENUE NORTH NEW HOPE, MN 55428 PHONE: 763/592-4000 (20257) FAX: Corp MTAI MINNEHAHA CREEK MS. KIM PEDERSON 763/592-4099 SLFA-5 ICFMR-5 8949 48TH AVENUE NORTH NEW HOPE, MN 55428 PHONE: 763/537-9220 (01563) FAX: 763/537-6416 MS. MARY TJOSVOLD Minnesota Department of Health Division of Compliance Monitoring Page 197 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------ESRD Corp NEW HOPE DIALYSIS CENTER Registration 5640 INTERNATIONAL PKWY (24101) NEW HOPE, MN 55428 PHONE: 763/537-0300 FAX: MS. FRAN SOCASH 763/537-0340 HWSAL NProf NORTH PARK PLAZA APARTMENTS 8201 45TH AVENUE NORTH NEW HOPE, MN 55428 PHONE: 651/699-6050 (21616) FAX: MS. LONDA DUNN 763/535-3286 NProf NORTH RIDGE CARE CENTER NH-397 SNF-NF-397 5430 BOONE AVENUE NORTH NEW HOPE, MN 55428 PHONE: 763/592-2610 (00238) FAX: MS. KIM PEDERSON 763/592-2999 NProf NORTH RIDGE CONGREGATE HOUSING HCP-A 5500 BOONE AVENUE NORTH NEW HOPE, MN 55428 PHONE: 763/592-3000 (02852) FAX: MS. PAULA CASTLE 763/592-4099 HWS NProf NORTHUMBERLAND 4220 WINNETKA AVENUE NORTH NEW HOPE, MN 55428 PHONE: 763/535-0324 (28530) FAX: MS. STACEY RAY /- HWS NProf NORTHUMBERLAND APARTMENTS 4224 WINNETKA AVENUE NORTH NEW HOPE, MN 55428 PHONE: 763/535-0324 (28477) FAX: MS. STACEY RAY /- Corp NURTURING CARE HCP-F 7760 48 AVENUE NORTH NEW HOPE, MN 55428 PHONE: 612/272-3713 (24964) FAX: MS. TINA HAUGSTAD 763/201-7821 Home Mgmt Lim-Liab ST THERESE AT HOME SOLUTIONS 8000 BASS LAKE ROAD NEW HOPE, MN 55428 PHONE: 952/292-5801 (24373) FAX: NProf ST THERESE HOME MS. KRISTIN KOPP 952/224-0991 NH-266 SNF-NF-266 8000 BASS LAKE ROAD NEW HOPE, MN 55428 PHONE: 763/531-5085 (00261) FAX: 763/531-5475 MS. DENISE JUDAY BARNETT HWSAL NProf ST THERESE RESIDENCE 8008 BASS LAKE ROAD NEW HOPE, MN 55428 PHONE: 763/531-5400 (20141) FAX: 763/531-5468 MS. SUSAN BRENDEFUR Minnesota Department of Health Division of Compliance Monitoring Page 198 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf ST THERESE RESIDENCE NURSING Certification HENNEPIN Registration (Cont.)* -------------------------- HCP-A 8008 BASS LAKE ROAD (03020) NEW HOPE, MN 55428 PHONE: 763/531-5400 FAX: Ind THREE KS CARE SERVICES MS. SUSAN BRENDEFUR 763/531-5468 HCP-A 7600 BASS LAKE ROAD STE 101 NEW HOPE, MN 55428 PHONE: 763/544-3148 (24828) FAX: Part TJ HEALTH SERVICES LLP MS. QUEENA SLOAN 763/544-3149 HCP-A 8015 36TH AVE N #319 NEW HOPE, MN 55427 PHONE: 612/644-5769 (29150) FAX: Corp TOTALCARE ASSISTED LIVING SERV MR. JAMES FLAH 763/546-1828 HCP-F 2730 WINNETKA AVENUE NORTH NEW HOPE, MN 55428 PHONE: 763/205-1702 (24859) FAX: MS. ESTHER CHUNG 763/205-1703 HWSAL Lim-Liab TOTALCARE ASSISTED LIVING SERV 2730 WINNETKA AVENUE NORTH NEW HOPE, MN 55428 PHONE: 763/205-7102 (25459) FAX: MS. NNENNA ANYAOGU 763/205-1703 HWSAL-O NProf TOUCHSTONE ASSISTED LIVING APA 7376 BASS LAKE ROAD NEW HOPE, MN 55428 PHONE: 763/536-8134 (23487) FAX: NProf TOUCHSTONE ASSISTED LIVNG APTS MS. MARTHA LANTZ 763/536-8893 HCP-F 7376 BASS LAKE ROAD NEW HOPE, MN 55428 PHONE: 763/536-8134 (23337) FAX: Corp EBENEZER HOME CARE MS. MARTHA LANTZ 763/536-8893 HCP-F 875 WAYZATA BOULEVARD ORONO, MN 55391 PHONE: 952/473-6655 (28636) FAX: MS. CHERYL KLINKHAMMER 952/473-6677 HWSAL Lim-Liab TRAILS OF ORONO 875 WAYZATA BOULEVARD ORONO, MN 55391 PHONE: 952/473-6655 (28637) FAX: NProf BENEDICTINE SR LIV STEEPLE PTE MS. CHERYL KLINKHAMMER 952/473-6677 HCP-F HWSAL 625 CENTRAL AVENUE OSSEO, MN 55369 PHONE: 763/425-4440 (20531) FAX: 763/391-0747 MS. STEPHANIE RITTER Minnesota Department of Health Division of Compliance Monitoring Page 199 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp BERKSHIRE RESIDENCE Certification HENNEPIN Registration (Cont.)* -------------------------- BCH-115 NF2-115 501 SECOND STREET SOUTHEAST (00733) OSSEO, MN 55369 PHONE: 763/425-3939 FAX: MS. KAYLA VADNIE 763/424-2777 Home Mgmt Lim-Liab COMFORT KEEPERS 535 CENTRAL AVENUE OSSEO, MN 55369 PHONE: 763/273-4207 (22447) FAX: MS. KELLY LINDELL 763/273-4209 Lim-Liab COMFORT KEEPERS HCP-A 535 CENTRAL AVENUE OSSEO, MN 55369 PHONE: 763/273-4207 (23394) FAX: MS. KELLY LINDELL 763/273-4209 Corp OSSEO GARDENS HCP-F HWSAL 525 SECOND STREET SOUTHEAST OSSEO, MN 55369 PHONE: 763/315-4869 (21206) FAX: MR. DANIEL PAKONEN 763/315-0050 Corp CLARE BRIDGE OF PLYMOUTH HCP-F HWSAL 15855 22ND AVENUE NORTH PLYMOUTH, MN 55447 PHONE: 763/476-8200 (20537) FAX: MS. KRISTI KELLER-SMITH 763/476-5900 NProf CORNERSTONE ASSISTED LIVING HCP-F HWSAL 3750 LAWNDALE LANE NORTH PLYMOUTH, MN 55446 PHONE: 763/550-0333 (23083) FAX: MS. DIANE LYNCH 763/390-1888 Lim-Liab DUNGARVIN CHAI SLFA-6 1210 OAKVIEW LANE NORTH PLYMOUTH, MN 55441 PHONE: 651/699-6050 (01211) FAX: MS. NATALIE GRAF 651/699-7265 Home Mgmt Corp GOODHEART HOME HEALTH CARE INC 3301 HIGHWAY 169 N #262 PLYMOUTH, MN 55441 PHONE: 763/442-0482 (28260) FAX: MS. AUGUSTINE ANUEBUNWA /- NProf HAMMER KENTUCKY SLFA-6 ICFMR-6 18115 30TH AVE N PLYMOUTH, MN 55447 PHONE: 952/473-1261 (01581) FAX: NProf HAMMER MCGLINCH MS. LISBETH ARMSTRONG 952/473-8629 SLFB-6 ICFMR-6 18300 26TH AVE N PLYMOUTH, MN 55447 PHONE: 952/473-1261 (01669) FAX: 952/473-8629 MS. LISBETH ARMSTRONG Minnesota Department of Health Division of Compliance Monitoring Page 200 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf HAZELDEN CTR FOR YOUTH & FAMIL Certification HENNEPIN (Cont.)* -------------------------- SLFB-6 11505 36TH AVENUE NORTH (01367) PLYMOUTH, MN 55441 PHONE: 651/213-4217 FAX: Corp HOME CARE SOLUTIONS MR. JIM STEINHAGEN 651/213-4738 HCP-A 3390 ANNAPOLIS LANE SUITE A PLYMOUTH, MN 55447 PHONE: 763/231-9000 (03628) FAX: NProf HOMEWARD BOUND PLYMOUTH MS. TAMARA SULLIVAN 763/231-9004 SLFB-6 ICFMR-6 13522 SUNSET TRAIL PLYMOUTH, MN 55441 PHONE: 763/746-4850 (01583) FAX: NProf HOSPICE OF THE TWIN CITIES INC MR. DON PRIEBE 763/528-8048 Hospice HSPICE 10405 6TH AVE NO SUITE 250 PLYMOUTH, MN 55441 PHONE: 763/531-2424 (03001) FAX: Corp ILBNC SPECIAL PROCEDURES MS. PAMELA SCHAID 763/531-2422 Outpt Surg Amb Surg 15700 37TH AVE NO SUITE 210 PLYMOUTH, MN 55446 PHONE: 952/814-6644 (23976) FAX: MR. BRIAN NEUBAUER 952/814-6744 Out St Out Ot Corp INNOVATIVE THERAPY LLC 5480 NATHAN LANE SUITE 140 PLYMOUTH, MN 55442 PHONE: 763/553-1933 (24224) FAX: NProf MISSION DETOX CENTER MS. MARY DANIELSON 763/553-2933 SLFB-21 3409 EAST MEDICINE LAKE BLVD PLYMOUTH, MN 55441 PHONE: 763/559-1402 (01384) FAX: NProf MISSION NURSING HOME MS. PATRICIA MURPHY 763/559-2559 NH-97 SNF-NF-97 3401 EAST MEDICINE LAKE BLVD PLYMOUTH, MN 55441 PHONE: 763/559-3123 (00235) FAX: Lim-Liab MNGI ENDOSCOPY PLYMOUTH MR. DELBERT CLARK 763/559-0604 Outpt Surg Amb Surg 15700 37TH AVE NO SUITE 300 PLYMOUTH, MN 55446 PHONE: 612/871-1145 (21575) FAX: Corp OMETTA VENT CARE SERVICES INC DR. SCOTT KETOVER 612/870-5525 HCP-A 3140 HARBOR LANE N STE 250 PLYMOUTH, MN 55447 PHONE: 763/551-1123 (23485) FAX: 763/551-1109 Registration MS. BARBARA CURRIN Minnesota Department of Health Division of Compliance Monitoring Page 201 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp ON BELAY HOUSE Certification HENNEPIN Registration (Cont.)* -------------------------- SLFA-20 115 FORESTVIEW LANE NORTH (01293) PLYMOUTH, MN 55441 PHONE: 763/546-8008 FAX: NProf OUTREACH PLYMOUTH HOME EAST MS. MELISSA BROGGER 763/546-7674 SLFB-6 ICFMR-6 11550 52ND AVENUE NORTH PLYMOUTH, MN 55442 PHONE: 763/208-4889 (01471) FAX: NProf OUTREACH PLYMOUTH HOME WEST MS. MARY TJOSVOLD 763/208-4890 SLFA-6 ICFMR-6 2735 OLIVE LANE NORTH PLYMOUTH, MN 55447 PHONE: 763/473-7182 (01301) FAX: PRESBYTERIAN HOMES SUMMERWOOD MS. MARY TJOSVOLD 763/473-0072 HWSAL NProf 16205 36TH AVENUE NORTH PLYMOUTH, MN 55446 PHONE: 763/383-8888 (21983) FAX: Corp PRO MEDICAL SERVICES INC MS. SHELLI BAKKEN 763/383-0032 HCP-A 4190 VINEWOOD LANE NORTH #111 PLYMOUTH, MN 55442 PHONE: 763/390-2561 (27879) FAX: Lim-Liab RIGHT AT HOME MS. NOELA SUHFOR 763/494-6664 HCP-B 3140 HARBOR LANE #220 PLYMOUTH, MN 55447 PHONE: 763/559-9733 (25545) FAX: MS. KIM STENDER 888/896-9894 Home Mgmt Corp SENIORS CHOICE AT HOME 9909 S SHORE DRIVE SUITE 1A PLYMOUTH, MN 55441 PHONE: 763/546-1599 (03542) FAX: MR. JAMES AGRIMSON 763/546-2271 Home Mgmt Lim-Liab SENIORS HELPING SENIORS 14565 41ST AVENUE NORTH PLYMOUTH, MN 55446 PHONE: 763/694-0165 (28740) FAX: Lim-Liab SUMMERWOOD OF PLYMOUTH MS. CHERI NISPEL 763/694-0165 HCP-F 16205 36TH AVENUE NORTH PLYMOUTH, MN 55446 PHONE: 763/383-8888 (27963) FAX: 763/383-0032 MS. NATALIE MORLAND Home Mgmt Corp TOUCHING HEARTS AT HOME 10700 OLD COUNTY ROAD 15 PLYMOUTH, MN 55441 PHONE: 763/544-0401 (25429) FAX: 763/746-8156 MS. JERI GORT Minnesota Department of Health Division of Compliance Monitoring Page 202 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab TRUSTED HOME CARE LLC Certification HENNEPIN Registration (Cont.)* -------------------------- HCP-A 9909 SOUTH SHORE DR STE 210F (27121) PLYMOUTH, MN 55441 PHONE: 952/378-1592 FAX: MR. CHARLES WELTER 952/445-2250 NProf WESTHEALTH INC Outpt Surg Amb Surg 2855 CAMPUS DRIVE STE 465 PLYMOUTH, MN 55441 PHONE: 612/863-5324 (00417) FAX: 612/863-2191 MS. SUE DURKIN HWS-O NProf 420 EAST 73RD STREET 420 EAST 73RD STREET RICHFIELD, MN 55423 PHONE: 612/799-7885 (29199) FAX: MS. KRISTEN BROWN /- HWS-O NProf 6421 E PLEASANT AVENUE SOUTH 6421 E PLEASANT AVENUE SOUTH RICHFIELD, MN 55423 PHONE: 612/204-8319 (25667) FAX: MS. STACEY RAY /- HWS NProf 6429 PLEASANT AVENUE 6429 PLEASANT AVENUE RICHFIELD, MN 55422 PHONE: 612/722-7714 (27591) FAX: MS. KRISTEN BROWN /- HWS NProf 6526 OLIVER AVENUE SOUTH 6526 OLIVER AVENUE SOUTH RICHFIELD, MN 55423 PHONE: 952/941-2400 (27318) FAX: 952/941-2413 MS. KRISTEN BROWN HWS NProf 6601 5TH AVENUE SOUTH 6601 5TH AVENUE SOUTH RICHFIELD, MN 55423 PHONE: 612/204-8319 (25666) FAX: MS. STACEY RAY /- HWS NProf 7600 CEDAR AVENUE SOUTH 7600 CEDAR AVENUE SOUTH RICHFIELD, MN 55423 PHONE: 612/834-0027 (25597) FAX: MS. KRISTEN BROWN /- HWS NProf 7601 18TH AVENUE S 7601 18TH AVENUE S RICHFIELD, MN 55423 PHONE: 612/834-0027 (25625) FAX: 952/897-1153 MS. KRISTEN BROWN HWS NProf 7625 18TH AVENUE SOUTH 7625 18TH AVENUE SOUTH RICHFIELD, MN 55423 PHONE: 612/204-8319 (27025) FAX: /- MS. STACEY RAY Minnesota Department of Health Division of Compliance Monitoring Page 203 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp BRENDAS HEALTHCARE INC Certification HENNEPIN Registration (Cont.)* -------------------------- HCP-C 7145 OAKLAND AVENUE SOUTH (03303) RICHFIELD, MN 55423 PHONE: 612/861-3398 FAX: MS. BRENDA JOHNSON /- Lim-Liab CHEZ VOUS HOME CARE LLC HCP-A 7620 NICOLLET AVENUE S RICHFIELD, MN 55423 PHONE: 612/220-8052 (26654) FAX: MS. SEETA ARRELL 612/259-7440 HWSAL Lim-Liab CHEZ VOUS HOME CARE LLC 7620 NICOLLET AVENUE SOUTH RICHFIELD, MN 55423 PHONE: 612/220-8052 (26655) FAX: MR. JOHN ARRELL 612/259-7440 HWS NProf CROSSROADS AT PENN 7610 PENN AVENUE SOUTH RICHFIELD, MN 55423 PHONE: 612/204-8319 (27019) FAX: MS. STACEY RAY /- HWS NProf CROSSROADS AT PENN 7720 PENN AVENUE SOUTH RICHFIELD, MN 55423 PHONE: 612/866-9987 (26445) FAX: MS. KRISTEN BROWN 612/866-4937 HWS NProf CROSSROADS AT PENN 7700 PENN AVENUE SOUTH RICHFIELD, MN 55423 PHONE: 612/204-8319 (27122) FAX: MS. STACEY RAY /- HWS NProf CROSSROADS AT PENN 7710 SOUTH PENN AVENUE RICHFIELD, MN 55423 PHONE: 612/866-3628 (28188) FAX: MS. STACEY RAY /- HWS NProf CROSSROADS AT PENN 7600 SOUTH PENN AVENUE RICHFIELD, MN 55423 PHONE: 612/866-7628 (28152) FAX: MS. STACEY RAY /- Corp CRYSTAL CARE HOME HLTH SRV INC HCP-A HHA 6461 LYNDALE AVENUE SOUTH RICHFIELD, MN 55423 PHONE: 612/861-4272 (20616) FAX: Corp CRYSTAL CARE SUPPORT SERVICES MS. SALLY KNUTSON 612/605-0078 HCP-A 6461 LYNDALE AVENUE SOUTH RICHFIELD, MN 55423 PHONE: 612/861-4272 (21157) FAX: 612/605-0078 MS. SALLY KNUTSON Minnesota Department of Health Division of Compliance Monitoring Page 204 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS NProf DAWS APARTMENTS LLC Registration 7145 CHICAGO AVENUE SOUTH (28860) RICHFIELD, MN 55423 PHONE: 752/297-6626 FAX: MS. KRISTEN BROWN /- Out Pt Out St Out Ot NProf FRASER COMMUNITY SERVICES 2400 WEST 64TH STREET RICHFIELD, MN 55423 PHONE: 612/861-1688 (02508) FAX: MS. DIANE CROSS /- HWSAL Lim-Liab GOLDEN NEST LLC 6733 EMERSON AVENUE SOUTH RICHFIELD, MN 55423 PHONE: 612/861-7509 (23666) FAX: MS. JUNGHEE YUN 612/861-7509 Lim-Liab HELPING HANDS GROUP HOME HCP-A 6711 14TH AVENUE SOUTH RICHFIELD, MN 55432 PHONE: 952/688-2345 (29152) FAX: MS. TINA BONKAT /- HWSAL Lim-Liab HELPING HANDS GROUP HOME 6711 14TH AVENUE SOUTH RICHFIELD, MN 55432 PHONE: 952/688-2345 (29151) FAX: MS. TINA BONKAT /- HWS NProf HUB APARTMENTS 200 WEST 65TH STREET RICHFIELD, MN 55423 PHONE: 952/473-5750 (27125) FAX: MS. KRISTEN BROWN 612/869-8093 Ind JUDITH A BEYER HCP-C 7221 HARRIET AVENUE SOUTH RICHFIELD, MN 55423 PHONE: 612/866-0805 (02944) FAX: MS. JUDITH BEYER /- Lim-Liab KANG LE HOME HEALTH CARE HCP-A 6632 PENN AVE S STE 201 RICHFIELD, MN 55423 PHONE: 612/208-3848 (28467) FAX: 612/861-7058 MS. LIXIN QIN HWS NProf LYNDALE GARDEN 6301 LYNDALE AVENUE SOUTH RICHFIELD, MN 55423 PHONE: 612/866-8652 (25596) FAX: 612/869-8093 MS. KIRSTEN BROWN HWS NProf LYNDALE GARDENS 6335 LYNDALE AVENUE SOUTH RICHFIELD, MN 55423 PHONE: 612/866-8652 (27319) FAX: 612/869-8093 MS. KRISTEN BROWN Minnesota Department of Health Division of Compliance Monitoring Page 205 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS NProf LYNDALE GARDENS Registration 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 RICHFIELD, MN 55423 PHONE: 612/866-8652 (26128) FAX: 612/869-8093 MS. KRISTEN BROWN HWS NProf LYNWOOD COMMONS 7435 LYNDALE AVENUE SOUTH RICHFIELD, MN 55423 PHONE: 612/866-2527 (26282) FAX: 612/866-2529 MS. KRISTEN BROWN HWS NProf LYNWOOD COMMONS 7515 LYNDALE AVENUE SOUTH RICHFIELD, MN 55423 PHONE: 612/866-2527 (27271) FAX: MS. KRISTEN BROWN /- HWS NProf LYNWOOD COMMONS 7521 LYNDALE AVENUE SOUTH RICHFIELD, MN 55423 PHONE: 612/866-2527 (27272) FAX: MS. KRISTEN BROWN /- HWS NProf LYNWOOD COMMONS 7445 LYNDALE AVE SOUTH RICHFIELD, MN 55423 PHONE: 612/866-2527 (27865) FAX: MS. KRISTEN BROWN /- HWS NProf LYNWOOD COMMONS 7501 LYNDALE AVENUE SOUTH RICHFIELD, MN 55423 PHONE: 612/866-2527 (27270) FAX: MS. KRISTEN BROWN /- HWSAL NProf MAINSTREET VILLAGE 7601 LYNDALE AVENUE SOUTH RICHFIELD, MN 55423 PHONE: 612/869-6584 (21184) FAX: 612/869-6843 MS. CHERIE CAMUEL HWSAL Part MARKET PLAZA HOUSING LTD PARTN 6501 WOODLAKE DRIVE RICHFIELD, MN 55423 PHONE: 612/861-1186 (20869) FAX: 612/861-1779 MS. ANNE JANDA HWS NProf PENN AVENUE APARTMENTS 7420 PENN AVENUE SOUTH RICHFIELD, MN 55423 PHONE: 952/473-5750 (27126) FAX: 612/869-8093 MS. KRISTEN BROWN Minnesota Department of Health Division of Compliance Monitoring Page 206 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf PROGRESS VALLEY II Certification HENNEPIN Registration (Cont.)* -------------------------- SLFA-24 308 EAST 78TH STREET (01237) RICHFIELD, MN 55423 PHONE: 612/869-3223 FAX: MS. SUSANNE LAMBERT 612/861-7060 Corp REM HENNEPIN INC MINNEHAHA SLFA-6 ICFMR-6 7101 12TH AVENUE SOUTH RICHFIELD, MN 55423 PHONE: 763/852-5332 (01132) FAX: MS. CONNIE MENNE 763/852-5350 ESRD Corp RICHFIELD DIALYSIS 6601 LYNDALE AVE S STE 150 RICHFIELD, MN 55413 PHONE: 612/869-2118 (24100) FAX: MS. VAL RILEY 612/869-2219 Corp RICHFIELD HEALTH CENTER SNF-NF-118 NH-118 7727 PORTLAND AVENUE SOUTH RICHFIELD, MN 55423 PHONE: 612/861-1691 (00253) FAX: MS. LYNN SAUERER 612/861-0186 Lim-Liab RICHFIELD SENIOR SUITES LLC HCP-F HWSAL 6808 THIRD AVENUE SOUTH RICHFIELD, MN 55423 PHONE: 612/866-3961 (20052) FAX: MS. LAVONNE SEEMANN 612/866-9303 Ind SHARON OJILE HOMECARE HCP-C 7233 HARRIET AVENUE RICHFIELD, MN 55423 PHONE: 612/869-1180 (03070) FAX: MS. SHARON OJILE /- NProf TCCH HOME CARE HCP-F 7645 LYNDALE AVENUE SOUTH #110 RICHFIELD, MN 55423 PHONE: 612/243-4583 (20226) FAX: 612/861-2149 MS. BARBARA KUHLMAN HWSAL Lim-Liab THE PINES 400 WEST 67TH STREET RICHFIELD, MN 55423 PHONE: 612/861-3331 (21780) FAX: 612/259-2889 MS. MARY JO THORNE HWS NProf 3711 WEST BROADWAY AVENUE NORT 3711 WEST BROADWAY AVENUE N ROBBINSDALE, MN 55411 PHONE: 763/521-4457 (28658) FAX: MS. KRISTEN BROWN /- HWS NProf 3719 WEST BROADWAY 3719 WEST BROADWAY ROBBINSDALE, MN 55422 PHONE: 612/860-2550 (28240) FAX: /- MS. STACEY RAY Minnesota Department of Health Division of Compliance Monitoring Page 207 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS NProf 3725 WEST BROADWAY Registration 3725 WEST BROADWAY (29025) ROBBINSDALE, MN 55426 PHONE: 763/521-4457 FAX: MS. KRISTEN BROWN /- HWS NProf 3731 WEST BROADWAY 3731 WEST BROADWAY ROBBINSDALE, MN 55426 PHONE: 612/860-2550 (28471) FAX: MS. STACEY RAY /- HWS-O NProf 3737 WEST BROADWAY 3737 WEST BROADWAY ROBBINSDALE, MN 55422 PHONE: 612/860-2550 (28526) FAX: MS. STACEY RAY /- HWS NProf 3759 WEST BROADWAY AVENUE 3759 WEST BROADWAY AVENUE ROBBINSDALE, MN 55422 PHONE: 763/521-4457 (27957) FAX: MS. KRISTEN BROWN 815/846-1827 HWS NProf 3848 WEST BROADWAY 3848 WEST BROADWAY ROBBINSDALE, MN 55422 PHONE: 612/290-6680 (27016) FAX: MS. KRISTEN BROWN /- Corp ACR HOME ON ROBIN SLFB-5 ICFMR-5 4404 ROBIN AVENUE ROBBINSDALE, MN 55422 PHONE: 763/535-1022 (01628) FAX: MR. GENE LEISTICO 763/535-2107 HWSAL Part COPPERFIELD HILL - THE MANOR 4200 40TH AVENUE NORTH ROBBINSDALE, MN 55422 PHONE: 763/277-1001 (21574) FAX: Part COPPERFIELD HILL PHASE II MS. LUCINDA GARDNER 763/277-1015 HWSAL HCP-F 4020 LAKELAND AVENUE NORTH ROBBINSDALE, MN 55422 PHONE: 763/533-1268 (20297) FAX: NProf DCI 3801 BROADWAY MS. LUCINDA GARDNER 763/277-1015 SLFB-9 ICFMR-9 3801 WEST BROADWAY ROBBINSDALE, MN 55422 PHONE: 763/522-7556 (01379) FAX: NProf DCI 3807 BROADWAY MS. JULIE MANWORREN 763/522-4573 ICFMR-9 SLFB-9 3807 WEST BROADWAY ROBBINSDALE, MN 55422 PHONE: 763/521-1076 (01475) FAX: 763/521-0785 MS. JULIE MANWORREN Minnesota Department of Health Division of Compliance Monitoring Page 208 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf DCI FRANCE Certification HENNEPIN Registration (Cont.)* -------------------------- SLFB-6 ICFMR-6 2759 FRANCE AVENUE NORTH (01290) ROBBINSDALE, MN 55422 PHONE: 763/521-0387 FAX: MS. JULIE MANWORREN 763/521-2294 ESRD Corp FRESENIUS MED CARE ROBBINSDALE 4094 LAKELAND AVENUE NORTH ROBBINSDALE, MN 554222236 PHONE: 763/533-3759 (27801) FAX: Corp GERIATRIC SERVICES OF MN MR. DAVID LUHRING 763/533-1025 HCP-A 3366 OAKDALE AVENUE N STE 551 ROBBINSDALE, MN 55422 PHONE: 763/587-7737 (26130) FAX: NProf GOOD SAM SOCTY SPEC CARE COMM MS. KATHIE SURMA 763/587-7069 NH-96 SNF-NF-96 3815 WEST BROADWAY ROBBINSDALE, MN 55422 PHONE: 651/767-9409 (00890) FAX: NProf NORTH MEMORIAL HOME HLTH HOSPC MS. SHARON ST. MARY 612/673-6270 Hospice HSPICE 3500 FRANCE AVE NORTH #101 ROBBINSDALE, MN 55422 PHONE: 763/520-5770 (02386) FAX: NProf NORTH MEMORIAL HOME HLTH HOSPC MS. LISA EDSTROM 763/520-3920 HCP-A HHA 3500 FRANCE AVENUE N ROBBINSDALE, MN 55422 PHONE: 763/520-5777 (02049) FAX: NProf NORTH MEMORIAL MEDICAL CENTER MS. CHERIE WICKMAN 763/520-3920 BASS-42 HOSP-518 HOSP-474 PPS-P-26 PPS-R-18 3300 OAKDALE NORTH ROBBINSDALE, MN 55422 PHONE: 763/520-5200 (00240) FAX: MS. LOREN TAYLOR 763/520-5006 ESRD NProf ROBBINSDALE DIALYSIS 3461 WEST BROADWAY AVENUE ROBBINSDALE, MN 554222955 PHONE: 763/521-4865 (27847) FAX: Corp ROBBINSDALE REHAB & CARE CTR MS. TRACEY TRACY 763/522-6754 NH-75 SNF-NF-75 3130 GRIMES AVENUE NORTH ROBBINSDALE, MN 55422 PHONE: 763/588-0771 (00122) FAX: 763/588-8252 MS. KATHLEEN PANKRATZ HWS NProf ROBBINWOOD APARTMENTS 3852 W BROADWAY AVENUE ROBBINSDALE, MN 55422 PHONE: 952/925-3878 (27316) FAX: 952/928-3832 MS. KRISTEN BROWN Minnesota Department of Health Division of Compliance Monitoring Page 209 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS-O NProf ROBINWOOD APARTMENTS Registration 3850 WEST BROADWAY (27180) ROBBINSDALE, MN 55422 PHONE: 612/204-8319 FAX: MS. STACEY RAY /- HWS NProf ROBINWOOD APARTMENTS 3854 WEST BROADWAY ROBBINSDALE, MN 55422 PHONE: 612/204-8319 (27562) FAX: MS. STACEY RAY 612/375-9105 HWSAL Lim-Liab DIAMONDCREST SENIOR LIVING 20500 SOUTH DIAMOND LAKE ROAD ROGERS, MN 55374 PHONE: 763/428-8181 (23988) FAX: Lim-Liab THE WELLSTEAD OF ROGERS MS. EMILY SCHMAUS 763/428-1697 HCP-F HWS 20600 SOUTH DIAMOND LAKE ROAD ROGERS, MN 55374 PHONE: 763/428-1981 (20700) FAX: MS. EMILY SCHMAUS 763/428-3792 HWSAL Lim-Liab SOJOURN SUITES LLC 5845 COUNTRY CLUB ROAD SHOREWOOD, MN 55331 PHONE: 952/470-2216 (22590) FAX: MR. THOMAS PENN 952/400-3542 HWS NProf LAKE MINNETONKA SHORES- COURT 4501 SHORELINE DRIVE SPRING PARK, MN 55384 PHONE: 952/471-4001 (24845) FAX: NProf LAKE MINNETONKA SHORES MS. MARY WEIS 952/471-6084 NH-145 SNF-NF-145 4527 SHORELINE DRIVE SPRING PARK, MN 55384 PHONE: 952/471-4001 (00271) FAX: Lim-Liab LAKE MINNETONKA SHORES MS. LYDIA BUETOW 952/471-3909 HCP-F 4527 SHORELINE DRIVE SPRING PARK, MN 55384 PHONE: 952/471-4001 (27953) FAX: 952/471-6084 MS. NATALIE MORLAND HWSAL NProf LAKE MINNETONKA SHORES- COMMON 4559 SHORELINE DRIVE SPRING PARK, MN 55384 PHONE: 952/471-4001 (20219) FAX: 952/471-6084 MS. MARY WEIS HWS NProf LAKE MINNETONKA SHORES-VILLA T 4523 SHORELINE DRIVE SPRING PARK, MN 55384 PHONE: 952/471-4001 (24844) FAX: 952/471-6084 MS. MARY WEIS Minnesota Department of Health Division of Compliance Monitoring Page 210 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab COMPLETE HOME HEALTH SERVICES Certification HENNEPIN Registration (Cont.)* -------------------------- HCP-A HHA 4001 STINSON BLVD NE LL32 (24785) ST ANTHONY, MN 55421 PHONE: 612/788-2273 FAX: DR. SIRRI NOMO-ONGOLO 612/886-1939 Corp PROVIDENT HOME HEALTHCARE HCP-A 2817 ANTHONY LANE S STE 301 ST ANTHONY, MN 55418 PHONE: 612/238-4688 (26906) FAX: MS. RAMONA ERICKSON 612/238-4689 Ind EREYNA HAUGEN HCP-C 8760 HILLVIEW DRIVE EAST ST BONIFACIUS, MN 55375 PHONE: 952/446-1050 (29093) FAX: MS. EREYNA HAUGEN /- Ind SWEDISH HOME HEALTHCARE INC HCP-C 8800 HILLVIEW DRIVE ST BONIFACIUS, MN 55375 PHONE: 612/702-5555 (28881) FAX: MR. DAVID GILBERT /- HWS NProf 2700 RHODE ISLAND 2700 RHODE ISLAND ST LOUIS PARK, MN 55426 PHONE: 952/925-3878 (28157) FAX: MS. STACEY RAY 952/928-3832 HWS NProf 3520 AQUILA CIRCLE 3520 AQUILA CIRCLE ST LOUIS PARK, MN 55426 PHONE: 952/925-3878 (28528) FAX: MS. STACEY RAY /- HWS NProf 3528 AQUILA CIRCLE 3528 AQUILA CIRCLE ST LOUIS PARK, MN 55426 PHONE: 952/925-3878 (28527) FAX: MS. STACEY RAY /- HWS NProf 3536 AQUITA CIRCLE 3536 AQUILA CIRCLE ST LOUIS PARK, MN 55426 PHONE: 952/925-3878 (28502) FAX: MS. STACEY RAY 952/928-3832 HWS NProf 8817 WEST 35TH STREET 8817 WEST 35TH STREET ST LOUIS PARK, MN 55426 PHONE: 952/925-3878 (27279) FAX: MS. KRISTEN BROWN /- Corp ACCEL HEALTH SERVICES INC HCP-A HHA 1660 S HIGHWAY 100 STE 412 ST LOUIS PARK, MN 55416 PHONE: 612/343-8931 (23488) FAX: /- MS. NIMO MUSA Minnesota Department of Health Division of Compliance Monitoring Page 211 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp ADULT HELP & COMPANION CARE Certification HENNEPIN Registration (Cont.)* -------------------------- HCP-B 4584 CEDAR LAKE RD SUITE 5 (03855) ST LOUIS PARK, MN 55416 PHONE: 612/708-1079 FAX: MR. CHRISTIAN RIVARD 952/377-0411 Lim-Liab AROUND THE CLOCK HOME CARE HCP-A HHA 2257 LOUISIANA AVENUE SOUTH ST LOUIS PARK, MN 55426 PHONE: 952/848-0935 (21115) FAX: MR. EVARISTUS EJIMADU 952/920-6929 Lim-Liab AROUND THE CLOCK HOME CARE LLC HCP-F 2257 LOUISIANA AVENUE SOUTH ST LOUIS PARK, MN 55426 PHONE: 958/848-0935 (24648) FAX: MR. EVARISTUS EJIMADU 952/920-6929 HWS NProf BAYCLIFF 1436 COLORADO AVENUE SOUTH ST LOUIS PARK, MN 55416 PHONE: 952/546-1415 (27721) FAX: MS. KRISTEN BROWN 952/546-1435 Corp BRIGHTSTAR SOUTH WEST MINNEAPO HCP-A 4601 EXCELSIOR BLVD #403 ST LOUIS PARK, MN 55416 PHONE: 952/236-3965 (27876) FAX: MS. REBECCA BLYTHE 952/236-3963 Corp CARE FOR LESS HCP-F 5600 WEST LAKE STREET ST LOUIS PARK, MN 55416 PHONE: 763/291-8167 (28692) FAX: MR. JEMAL HASSEN 952/929-1015 Lim-Liab CENTER FOR DIAGNOSTIC IMAGING Outpt Surg Amb Surg 5775 WAYZATA BLVD SUITE 190 ST LOUIS PARK, MN 55416 PHONE: 952/513-6862 (21792) FAX: 952/541-5443 MR. JEFF JAHN HWS NProf COLORADO COURT 1410 COLORADO AVE ST LOUIS PARK, MN 55416 PHONE: 952/546-1415 (27594) FAX: MS. KRISTEN BROWN /- ESRD Corp FRESENIUS MED CARE ST LOUIS PK 5680 36TH STREET WEST ST LOUIS PARK, MN 55416 PHONE: 952/926-0959 (27143) FAX: 952/926-3694 MR. JOHN MARIETTI Home Mgmt Corp GENTLE CARE INC 4517 MINNETONKA BLVD ST LOUIS PARK, MN 55416 PHONE: 651/621-5693 (29171) FAX: 800/345-4208 MR. OMAR SAYID-AHMED Minnesota Department of Health Division of Compliance Monitoring Page 212 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp GENTLE CARE INC Certification HENNEPIN Registration (Cont.)* -------------------------- HCP-B 4517 MINNETONKA BLVD #212 (26440) ST LOUIS PARK, MN 55416 PHONE: 651/621-5693 FAX: MR. OMAR AHMED 800/345-4208 Lim-Liab GOLDEN LIVINGCNTR ST LOUIS PK NH-208 SNF-NF-208 3201 VIRGINIA AVENUE SOUTH ST LOUIS PARK, MN 55426 PHONE: 952/935-0333 (00943) FAX: MR. TIMOTHY JOHNSON 952/935-6747 Lim-Liab HOME CARE ASSISTANCE HCP-B 4430 EXCELSIOR BOULEVARD ST LOUIS PARK, MN 55416 PHONE: 952/236-7527 (27533) FAX: MS. DENISE SCHAEFER 952/236-7539 Lim-Liab HOME CARE ASSISTANCE OF MINNEA HCP-A 4430 EXCELSIOR BOULEVARD ST LOUIS PARK, MN 55416 PHONE: 763/493-7000 (27714) FAX: MS. DENISE SCHAEFER 763/493-7001 Corp INTREPID USA HEALTHCARE SERVS HCP-F 5775 WAYZATA BLVD SUITE 540 ST LOUIS PARK, MN 55416 PHONE: 952/513-5400 (20786) FAX: MS. LAURA WILSON 952/513-5444 Corp INTREPID USA HEALTHCARE SRVCS HCP-A Out Pt Out St Out Ot 5775 WAYZATA BLVD ST LOUIS PARK, MN 554161222 PHONE: 952/513-5400 (02233) FAX: MS. PAULETTE DUNCAN 952/513-5444 HWS NProf KNOLLWOOD PLACE APARTMENTS 3630 PHILLIPS PARKWAY ST LOUIS PARK, MN 55426 PHONE: 952/939-1601 (20232) FAX: MS. DEBORAH ROSE 952/933-1485 Corp LILI GROUP INC HCP-A 3947 EXCELSIOR BLVD STE 119 ST LOUIS PARK, MN 55416 PHONE: 612/616-5729 (29084) FAX: MR. YUSSUF HAMID 866/599-2641 Corp LIVING LIFE HOME CARE HCP-A 4501 MINNETONKA BLVD ST LOUIS PARK, MN 55416 PHONE: 612/435-7140 (26152) FAX: 612/435-7141 MR. WILLIAM KREBS HWS NProf LOUISIANA COURT APARTMENTS 2742 LOUISIANA COURT ST LOUIS PARK, MN 55426 PHONE: 612/204-8319 (27123) FAX: /- MS. STACEY RAY Minnesota Department of Health Division of Compliance Monitoring Page 213 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HENNEPIN (Cont.)* -------------------------HWS NProf MENORAH PLAZA APARTMENTS Registration 4925 MINNETONKA BOULEVARD (20195) ST LOUIS PARK, MN 55416 PHONE: 952/927-0460 FAX: MS. SARA ASCHENBRENER 952/653-3689 HWS NProf MENORAH WEST APARTMENTS 3600 PHILLIPS PARKWAY ST LOUIS PARK, MN 55426 PHONE: 952/927-0460 (21774) FAX: MS. SARA ASCHENBRENER 952/653-3689 CORF Lim-Liab MN MEDICAL & REHAB SERVS LLC 4330 SOUTH CEDAR LAKE ROAD ST LOUIS PARK, MN 55416 PHONE: 952/381-3434 (21768) FAX: MR. MELVIN GRAF /- Lim-Liab MORNING STAR WOMENS HEALTH AND 6111 EXCELSIOR BOULEVARD ST LOUIS PARK, MN 55416 PHONE: 612/922-4784 (27774) FAX: Corp PARK HEALTH & REHAB CENTER MS. REBECCA GORSKI 952/564-3262 NH-81 SNF-NF-81 4415 WEST 36 1/2 STREET ST LOUIS PARK, MN 55416 PHONE: 952/927-9717 (00129) FAX: NProf PARK NICOLLET METHODIST HC MS. KRISTIE JOHNSRUD 952/927-7687 HCP-A HHA 6500 EXCELSIOR BOULEVARD ST LOUIS PARK, MN 55426 PHONE: 952/993-6087 (02229) FAX: NProf PARK NICOLLET METHODIST HOSP MS. PATRICIA BETLACH 952/993-5081 Hospice HSPICE 6500 EXCELSIOR BOULEVARD ST LOUIS PARK, MN 55426 PHONE: 952/993-6087 (02422) FAX: NProf PARK NICOLLET METHODIST HOSP MS. PATRICIA BETLACH 952/993-5081 BASS-50 HOSP-426 HOSP-411 PPS-R-15 6500 EXCELSIOR BLVD PO BOX 650 ST LOUIS PARK, MN 55440 PHONE: 952/993-5000 (00230) FAX: 952/993-5936 MR. MICHAEL KAUPA HWSAL Lim-Liab PARKSHORE SENIOR CAMPUS LLC 3633 PARK CENTER BOULEVARD ST LOUIS PARK, MN 55416 PHONE: 952/925-6231 (20427) FAX: 952/926-6823 MR. MICHAEL GOULD HWS Lim-Liab PARKSHORE SENIOR CAMPUS LLC 3663 PARK CENTER BOULEVARD ST LOUIS PARK, MN 55416 PHONE: 952/925-6231 (20868) FAX: 952/926-6823 MR. MICHAEL GOULD Minnesota Department of Health Division of Compliance Monitoring Page 214 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp QUALITY ASSURANCE HH OF MN Certification HENNEPIN Registration (Cont.)* -------------------------- HCP-B 5353 WAYZATA BLVD STE 204 (27596) ST LOUIS PARK, MN 55416 PHONE: 952/500-9113 FAX: MS. LYDIA ARYEETEY 952/303-3361 HWS NProf RHODE ISLAND CHATEAU 2712 RHODE ISLAND AVENUE SOUTH ST LOUIS PARK, MN 55426 PHONE: 952/925-3878 (27278) FAX: MS. KRISTEN BROWN /- HWSAL Lim-Liab ROITENBERG FAMILY ASSISTED LIV 3610 PHILLIPS PARKWAY SOUTH ST LOUIS PARK, MN 55426 PHONE: 952/908-1700 (21691) FAX: NProf SHOLOM COMM ALLIANCE HOME HLTH MRS. DEBORAH ROSE 952/908-1777 HCP-F 3620 PHILLIPS PARKWAY ST LOUIS PARK, MN 55426 PHONE: 952/939-1515 (21400) FAX: NProf SHOLOM HOME CARE MS. LISA ABICHT-SWENSEN 952/939-1662 HCP-A 3630 PHILLIPS PARKWAY ST LOUIS PARK, MN 55426 PHONE: 952/939-1515 (27031) FAX: NProf SHOLOM HOME WEST MS. LISA ABICHT-SWENSEN 952/939-1662 NH-179 SNF-NF-179 3620 PHILLIPS PARKWAY SOUTH ST LOUIS PARK, MN 55426 PHONE: 952/935-6311 (00380) FAX: NProf SHOLOM HOSPICE MR. MATTHEW KINNE 952/939-1633 Hospice HSPICE 3630 PHILLIPS PARKWAY ST LOUIS PARK, MN 55426 PHONE: 651/328-2091 (25996) FAX: MS. LISA ABIGHT-SWENSEN 952/933-1485 HWSAL Lim-Liab ST JOHN HOME CARE LLC 265 SHELARD PARKWAY ST LOUIS PARK, MN 55305 PHONE: 612/245-3474 (28879) FAX: MR. MOPELOLA AKINLOYE 952/545-6411 ESRD Corp ST LOUIS PARK DIALYSIS CENTER 3505 LOUISIANA AVENUE SOUTH ST LOUIS PARK, MN 55426 PHONE: 952/285-1400 (02112) FAX: Lim-Liab ST THERESE AT HOME SOLUTIONS L MS. CHERYL KENSOK 952/285-1406 HCP-A 1660 HWY 100 S STE 103 ST LOUIS PARK, MN 554161524 PHONE: 763/531-5000 (27008) FAX: 763/531-5411 MS. KRISTIN KOPP Minnesota Department of Health Division of Compliance Monitoring Page 215 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab STABILITY HOME HEALTHCARE Certification HENNEPIN Registration (Cont.)* -------------------------- HCP-B 9021 SANLEN ROAD (28958) ST LOUIS PARK, MN 55426 PHONE: 612/309-6414 FAX: MS. RAVI SEELEY 952/544-9379 Corp TEXAS TERRACE CARE CENTER NH-118 SNF-NF-118 7900 WEST 28TH STREET ST LOUIS PARK, MN 55426 PHONE: 952/920-8380 (00144) FAX: MS. JENNIFER KUHN 952/920-7866 Corp THE CARING SISTERS HOME CARE HCP-F 2833 YOSEMITE AVENUE SOUTH ST LOUIS PARK, MN 55416 PHONE: 952/426-4690 (20820) FAX: MS. EDITH NGANG 952/426-4691 HWSAL Corp THE CARING SISTERS HOME CARE S 2852 YOSEMITE AVENUE SOUTH ST LOUIS PARK, MN 55416 PHONE: 612/990-2592 (23620) FAX: MR. OLALEYE BECKLEY 952/426-4691 HWSAL Corp THE CARING SISTERS HOME CARE S 2846 YOSEMITE AVENUE SOUTH ST LOUIS PARK, MN 55416 PHONE: 612/990-2592 (24499) FAX: MS. EDITH NGANG 763/545-0489 HWSAL Corp THE CARING SISTERS HOME CARE S 2833 YOSEMITE AVENUE SOUTH ST LOUIS PARK, MN 55416 PHONE: 612/990-2592 (24801) FAX: MR. OLALEYE BECKLEY 952/426-4691 Corp THE CARING SISTERS HOME CARE S HCP-A 2833 YOSEMITE AVENUE SOUTH ST LOUIS PARK, MN 55416 PHONE: 952/426-4690 (24617) FAX: MS. EDITH NGANG 952/426-4691 NProf THE WAYSIDE HOUSE INC SLFA-41 3705 PARK CENTER BOULEVARD ST LOUIS PARK, MN 55416 PHONE: 952/926-5626 (01647) FAX: MS. ELLIE SKELTON 952/926-9713 Lim-Liab TOWER LIGHT HCP-F 3601 WOODDALE AVENUE SOUTH ST LOUIS PARK, MN 55416 PHONE: 952/881-6322 (28789) FAX: MS. ANNE WESTALL /- HWSAL Lim-Liab TOWER LIGHT 3601 WOODDALE AVENUE SOUTH ST LOUIS PARK, MN 55416 PHONE: 952/881-6322 (28790) FAX: /- MS. ANNE WESTALL Minnesota Department of Health Division of Compliance Monitoring Page 216 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 /- HWS Lim-Liab UNITED ASSISTED HEALTH LLC 4810 HIGHWAY 7 APT 307 ST LOUIS PARK, MN 55416 PHONE: 612/644-9309 (28841) FAX: Corp VISITING ANGELS MS. ASHA ALI 877/816-2063 HCP-A 5871 CEDAR LAKE RD STE 101 ST LOUIS PARK, MN 55416 PHONE: 952/544-6300 (21550) FAX: MR. DAN VLAISAVLJEVICH 952/544-6222 Home Mgmt Corp VISITING ANGELS 5871 CEDAR LAKE ROAD #101 ST LOUIS PARK, MN 55416 PHONE: 952/544-6300 (21494) FAX: Corp WESTWOOD HEALTH CARE CENTER MR. DAN VLAISAVLJEVICH 952/544-6222 NH-105 SNF-NF-105 7500 WEST 22ND STREET ST LOUIS PARK, MN 55426 PHONE: 952/546-4261 (00278) FAX: MS. ANNETTE THORSON 952/546-7164 ESRD Corp WESTWOOD HILLS DIALYSIS 7525 WAYZATA BOULEVARD ST LOUIS PARK, MN 55426 PHONE: 952/546-1401 (25768) FAX: MS. DEANNA ERICKSON 952/544-0583 Home Mgmt Corp YMG HOME CARE SERVICES INC 5811 CEDAR LAKE ROAD ST LOUIS PARK, MN 55416 PHONE: 952/412-3545 (29157) FAX: Lim-Liab SOJOURN AT HOME LLC MR. YAKOV GITERMAN 952/930-1152 HCP-B 4270 CIRCLE ROAD TONKA BAY, MN 55331 PHONE: 612/790-9292 (28267) FAX: Lim-Liab SOJOURN SUITES LLC MR. THOMAS PENN 952/400-3542 HCP-F 4270 CIRCLE ROAD TONKA BAY, MN 55331 PHONE: 612/790-9292 (26695) FAX: Corp B HOME BY ENGLISH ROSE SUITES MR. THOMAS PENN 952/400-3542 HCP-A 1708 PONDVIEW TERRACE WAYZATA, MN 55391 PHONE: 952/983-0412 (28562) FAX: 952/253-2548 MS. VICKI MARTINI Minnesota Department of Health Division of Compliance Monitoring Page 217 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp DIVINE RESULTS HOME CARE INC Certification HENNEPIN Registration (Cont.)* -------------------------- HCP-A 521 INDIAN MOUND STREET (28173) WAYZATA, MN 55391 PHONE: 952/820-5132 FAX: MS. BEVERLY FRANKWITZ /- Corp ENGLISH ROSE SUITES HCP-F 1708 PONDVIEW TERRACE WAYZATA, MN 55391 PHONE: 952/983-0412 (20905) FAX: MS. TIFFANY GOMEZ 952/253-2548 HWSAL Corp ENGLISH ROSE SUITES 1708 PONDVIEW TERRACE WAYZATA, MN 55391 PHONE: 952/983-0412 (23614) FAX: Lim-Liab GOLDEN LIVING COMM REFLECTIONS MS. JAYNE CLAIRMONT 952/253-2548 HCP-F HWSAL 15409 WAYZATA BOULEVARD WAYZATA, MN 55391 PHONE: 952/473-5466 (21126) FAX: Lim-Liab GOLDEN LVGCTR HILLCRST WAYZATA MS. ALLISON MURKOWSKI 952/473-6842 SNF-84 NH-84 15409 WAYZATA BOULEVARD WAYZATA, MN 55391 PHONE: 952/473-5466 (00213) FAX: NProf HAMMER CARLSON MS. ALLISON MURKOWSKI 952/473-6842 SLFB-6 ICFMR-6 16325 COUNTY ROAD 15 WAYZATA, MN 55391 PHONE: 952/473-1261 (20875) FAX: NProf HAMMER RIDGEVIEW MS. LISBETH ARMSTRONG 952/473-8629 SLFB-6 ICFMR-6 401 RIDGEVIEW DRIVE WAYZATA, MN 55391 PHONE: 952/473-1261 (04306) FAX: NProf HAMMER SHERIDAN MS. LISBETH ARMSTRONG 952/473-8629 SLFB-6 ICFMR-6 2412 SHERIDAN HILLS CURVE WAYZATA, MN 55391 PHONE: 952/473-1261 (21172) FAX: Corp HEALTHTOUCH HOME CARE INC MR. TIMOTHY NELSON 952/473-8629 HCP-A 600 TWELVE OAKS CTR DRIVE #640 WAYZATA, MN 55391 PHONE: 952/473-1177 (22035) FAX: Corp HOME CARE CONNECTIONS INC MS. PHILOMENA MARSHALL 952/473-1870 HCP-A 600 TWELVE OAKS CTR DR STE 640 WAYZATA, MN 55391 PHONE: 952/473-1177 (22034) FAX: 952/473-1870 MS. PHILOMENA MARSHALL Minnesota Department of Health Division of Compliance Monitoring Page 218 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab MERIDIAN MANOR Certification HENNEPIN Registration (Cont.)* -------------------------- HCP-F 163 WEST WAYZATA BOULEVARD (29081) WAYZATA, MN 55391 PHONE: 952/473-3700 FAX: MR. STEPHEN NORNES 952/404-1540 HWSAL Lim-Liab MERIDIAN MANOR 163 WEST WAYZATA BOULEVARD WAYZATA, MN 55391 PHONE: 952/473-3700 (21781) FAX: NProf SHADYWAY GROUP HOME MR. STEPHEN NORNES 952/404-1540 SLFA-6 ICFMR-6 522 SHADYWAY ROAD WAYZATA, MN 55391 PHONE: 952/475-1621 (01213) FAX: MS. LISA SCHEINOST 952/475-0089 ---------------------------********** Corp CALEDONIA CARE AND REHAB HOUSTON ******** -------------------------- NH-50 SNF-NF-50 425 BADGER ST N CALEDONIA, MN 55921 PHONE: 507/725-3351 (00073) FAX: MR. LLOYD SWALVE 507/725-5142 HWSAL Corp CALEDONIA CARE AND REHAB BUCK 505 NORTH BADGER STREET CALEDONIA, MN 55921 PHONE: 507/725-2380 (20033) FAX: Cnty HOUSTON CTY PUB HLTH NURSNG SV MR. LLOYD SWALVE 507/725-5142 HCP-A HHA 611 VISTA DRIVE SUITE 1 CALEDONIA, MN 55921 PHONE: 507/725-5810 (02013) FAX: Corp ROSEVIEW COURT CARE AGENCY MS. DEBRA ROCK 507/725-2150 HCP-F HWSAL 425 NORTH BADGER STREET CALEDONIA, MN 55921 PHONE: 507/725-3351 (20196) FAX: NProf ABLE INC HOUSTON MR. LLOYD SWALVE 507/725-5142 SLFB-6 ICFMR-6 105 WEST ELM STREET BOX 245 HOUSTON, MN 55943 PHONE: 507/896-3040 (01611) FAX: 507/896-2439 MS. GAIL MEYER HWS NProf HERITAGE COURT 110 HENDERSON STREET HOUSTON, MN 55943 PHONE: 507/896-3125 (20339) FAX: 507/896-3289 MRS. DEBORAH BARNES Minnesota Department of Health Division of Compliance Monitoring Page 219 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf VALLEY VIEW NURSING HOME Certification HOUSTON Registration (Cont.)* -------------------------- NH-45 SNF-NF-45 510 EAST CEDAR STREET (00286) HOUSTON, MN 55943 PHONE: 507/896-3125 FAX: MS. DEBORAH BARNES 507/896-3289 NProf ABLE INC LACRESCENT SLFB-15 ICFMR-15 1700 LANCER BOULEVARD LACRESCENT, MN 55947 PHONE: 507/895-8111 (01419) FAX: MS. GAIL MEYER 507/895-4505 Corp CLADDAGH HOUSE INC HCP-F HWS 333 SOUTH SECOND STREET LACRESCENT, MN 55947 PHONE: 507/895-6447 (20565) FAX: MR. LARRY LEDEBUHR 507/895-6065 Lim-Liab GOLDEN LIVINGCENTER LACRESNT NH-45 SNF-NF-45 101 SOUTH HILL STREET LACRESCENT, MN 55947 PHONE: 507/895-4445 (00936) FAX: MS. KAITLIN THOMAS 507/895-7195 Lim-Liab SPRING GROVE ASSISTED LIV LLC HWSAL HCP-F 130 5TH AVENUE SE SPRING GROVE, MN 55974 PHONE: 507/498-4000 (23911) FAX: MS. CAROL NERSTAD 507/498-4001 NProf TWEETEN LUTHERAN HEALTH C C NH-50 SNF-NF-50 125 FIFTH AVENUE SOUTHEAST SPRING GROVE, MN 55974 PHONE: 507/498-3211 (00285) FAX: MR. TIMOTHY SAMUELSON-INTERIM 507/498-3228 ---------------------------********** Ind LAURA THERESA JULIUS HUBBARD ******** -------------------------- HCP-C 31115 200TH STREET AKELEY, MN 56433 PHONE: 218/226-2984 (21134) FAX: MS. LAURA JULIUS /- Corp PINE MANORS INC SLFA-28 SLFB-8 22195 STATE 34 NEVIS, MN 56467 PHONE: 218/732-4337 (01578) FAX: Part CARE AGE COUNTRY HOME MS. RACHEL MUELLER 218/732-0399 HCP-F HWSAL 18846 EAGLE BEND ROAD PARK RAPIDS, MN 56470 PHONE: 218/732-3721 (20086) FAX: 218/732-1208 MR. CHRIS NIEMEYER Minnesota Department of Health Division of Compliance Monitoring Page 220 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HUBBARD (Cont.)* -------------------------HWSAL Lim-Liab DIAMOND WILLOW ASSISTED LIVING Registration 909 CROCUS HILL STREET (25123) PARK RAPIDS, MN 56470 PHONE: 218/732-2663 FAX: MS. BRENDA MARSHALL 218/732-2666 HWSAL Lim-Liab DIAMOND WILLOW ASSISTED LIVING 911 CROCUS HILL STREET PARK RAPIDS, MN 56470 PHONE: 218/732-1671 (25122) FAX: MS. BRENDA MARSHALL 218/732-2666 HWSAL Cnty HERITAGE COTTAGE ON 5TH 615 WEST SIXTH STREET PARK RAPIDS, MN 56470 PHONE: 218/237-8345 (26535) FAX: MR. KURT HANSEN 218/237-8348 HWSAL Cnty HERITAGE COTTAGE ON 6TH 611 WEST SIXTH STREET PARK RAPIDS, MN 56470 PHONE: 218/237-8345 (26536) FAX: MR. KURT HANSEN 218/237-8348 Cnty HERITAGE LIVING CENTER NH-64 SNF-NF-64 619 WEST SIXTH STREET PARK RAPIDS, MN 56470 PHONE: 218/732-3329 (00288) FAX: MR. KURT HANSEN 218/732-9125 Cnty HERITAGE MANOR HCP-F HWSAL 602 FAIR AVENUE PARK RAPIDS, MN 56470 PHONE: 218/237-7275 (21235) FAX: MR. KURT HANSEN 218/237-1210 HWSAL Lim-Liab HYATT HOUSE LLC 307 EASTERN AVENUE SOUTH PARK RAPIDS, MN 56470 PHONE: 218/237-0020 (25233) FAX: MS. ANNETTE JUNES 218/237-5060 Lim-Liab HYATT HOUSE LLC HCP-F HWSAL 309 EASTERN AVENUE SOUTH PARK RAPIDS, MN 56470 PHONE: 218/237-0020 (24162) FAX: MS. ANNETTE JUNES 218/237-5060 Lim-Liab MANY LAKES HOME CARES LLC HCP-A 23095 GUNNER DRIVE PARK RAPIDS, MN 56470 PHONE: 218/732-9394 (26684) FAX: 866/381-4612 MS. HEIDI NEUER Out Pt Out St Out Ot Corp PARK RAPIDS PT AND REHAB 200 SOUTH MAIN STREET PARK RAPIDS, MN 56470 PHONE: 218/732-0868 (03572) FAX: /- MR. STEVEN JENSEN Minnesota Department of Health Division of Compliance Monitoring Page 221 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification HUBBARD (Cont.)* -------------------------HWS NProf PARK VILLA APARTMENTS Registration 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 323 SOUTH MAIN PARK RAPIDS, MN 56470 PHONE: 218/732-4552 (02416) FAX: Church ST JOSEPHS AREA HLTH SERVICES MR. BEN KOPPELMAN 218/732-1273 CAH-25 BASS-10 HOSP-50 600 PLEASANT AVE PARK RAPIDS, MN 56470 PHONE: 218/732-3311 (00287) FAX: Church ST JOSEPHS AREA HLTH SERVICES MR. BEN KOPPELMAN 218/732-1368 HSPICE Hospice 323 MAIN AVE S PARK RAPIDS, MN 56470 PHONE: 218/237-5593 (03458) FAX: MR. BEN KOPPELMAN 218/732-1273 ---------------------------********** Lim-Liab ELMHURST COMMONS ISANTI ******** -------------------------- HCP-F HWSAL 400 3RD STREET SOUTHWEST BRAHAM, MN 55006 PHONE: 320/396-0440 (24848) FAX: NProf CAMBRIDGE MED CTR DELLWOOD MR. CHUCK PETRICH 320/396-0038 SLFA-11 701 DELLWOOD STREET CAMBRIDGE, MN 55008 PHONE: 763/688-7952 (23586) FAX: NProf CAMBRIDGE MEDICAL CENTER MR. SCOTT TENNAPEL 763/689-7781 BASS-15 HOSP-86 HOSP-72 PPS-P-14 701 SOUTH DELLWOOD AVENUE CAMBRIDGE, MN 55008 PHONE: 763/689-7700 (00295) FAX: Corp CARSTENS HARBOUR INC MR. DENNIS DORAN 763/688-7941 HCP-F 653 MAIN STREET NORTH CAMBRIDGE, MN 55008 PHONE: 763/552-1340 (21284) FAX: 866/265-7173 MR. J. SCOTT KENT ESRD NProf CENTRACARE CAMBRIDGE DIALYSIS 520 11TH AVE SW SOUTH BLDG CAMBRIDGE, MN 55008 PHONE: 763/691-1333 (25908) FAX: 763/691-0999 MS. CATHY SINDELIR Minnesota Department of Health Division of Compliance Monitoring Page 222 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf DCI CENTRAL Certification ISANTI Registration (Cont.)* -------------------------- SLFB-6 ICFMR-6 1555 CENTRAL AVENUE SOUTHWEST (01371) CAMBRIDGE, MN 55008 PHONE: 763/689-3794 FAX: MS. JULIE MANWORREN 763/444-7011 ONProf GRACEPOINTE CROSS GABLES EAST NH-90 SNF-NF-90 548 FIRST AVENUE WEST CAMBRIDGE, MN 55008 PHONE: 763/689-2323 (00292) FAX: MS. BRANDI BARTHEL 763/689-9450 NProf GRACEPOINTE CROSS GABLES WEST NH-140 SNF-NF-140 135 FERN STREET NORTH CAMBRIDGE, MN 55008 PHONE: 763/691-2103 (00294) FAX: MS. LAURIE SYKES 763/691-2200 NProf GRACEPOINTE CRSING THE COMMONS HCP-F HWSAL 1545 RIVERHILLS PKWAY NW CAMBRIDGE, MN 55008 PHONE: 763/689-1474 (20709) FAX: MR. TODD KLEIN 763/689-6629 Out Pt Out St Out Ot Corp HEALTH DIMENSIONS REHAB INC 1001 HIGHWAY 95 CAMBRIDGE, MN 55008 PHONE: 763/689-5385 (02443) FAX: MR. MARK ESSLING 763/689-5558 Corp HEALTH DIMENSIONS REHABILITATI HCP-A 1994 EAST RUM RIVER DRIVE SO CAMBRIDGE, MN 55008 PHONE: 763/689-5385 (03104) FAX: MR. MARK ESSLING 763/689-5558 State MN SPECIALTY HEALTH SYSTEM SLFB-16 1425 EAST RUM RIVER DRIVE SO CAMBRIDGE, MN 55008 PHONE: 763/689-7322 (28559) FAX: MS. PAULA HALVORSON /- HWSAL Corp THE HAVEN HOUSE INC/CARSTEN'S 653 MAIN STREET NORTH CAMBRIDGE, MN 55008 PHONE: 763/552-1340 (27286) FAX: Lim-Liab VISITING ANGELS MR. J. SCOTT KENT 866/265-7173 HCP-A 200 3RD AVENUE NE STE 100 CAMBRIDGE, MN 55008 PHONE: 763/552-4043 (26546) FAX: 763/689-6681 MS. KAREN CARLSON Home Mgmt Lim-Liab VISITING ANGELS 200 3RD AVE NE STE 100 CAMBRIDGE, MN 55008 PHONE: 763/552-4043 (26618) FAX: 763/689-6681 MR. GEORGE CARLSON Minnesota Department of Health Division of Compliance Monitoring Page 223 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab PRAIRIE SR COTTAGES OF ISANTI Certification ISANTI Registration (Cont.)* -------------------------- HCP-F HWSAL 706 6TH AVENUE NORTH (28490) ISANTI, MN 55040 PHONE: 763/444-4626 FAX: MR. DUSTIN LEE 763/444-0177 HWS Corp SOLBAKKEN INC 5101 289TH AVENUE NORTHWEST ISANTI, MN 55040 PHONE: 952/943-8485 (22198) FAX: MS. MARY ADAMS 952/943-2941 Corp BRASK HAVEN INC HCP-F HWSAL 31274 JULLIARD STREET NE NORTH BRANCH, MN 55056 PHONE: 651/674-7433 (20809) FAX: MS. JODI BRASK 651/237-0563 Corp CARE PARTNER SERVICES HCP-A 37350 VERDIN STREET NW STANCHFIELD, MN 55080 PHONE: 763/689-0638 (28797) FAX: MS. JULAINE SCHINDELDECKER /- Ind CONNIE R DAVIS LPN HCP-A 1875 WEST RUSH DRIVE STANCHFIELD, MN 55080 PHONE: 763/670-7498 (28181) FAX: MS. CONNIE DAVIS /- ---------------------------********** Dist BIGFORK VALLEY COMMUNITIES ITASCA ******** -------------------------SNF-NF-40 NH-40 258 PINE TREE DR PO BOX 258 BIGFORK, MN 56628 PHONE: 218/743-4117 (00834) FAX: Dist BIGFORK VALLEY HOME CARE MR. MIKE ANDERSON 218/743-3559 HCP-A HHA 258 PINE TREE DRIVE BIGFORK, MN 56628 PHONE: 218/743-1004 (03846) FAX: Dist BIGFORK VALLEY HOSPITAL MR. MIKE ANDERSON 218/743-3559 BASS-4 HOSP-20 CAH-20 258 PINE TREE DRIVE BIGFORK, MN 56628 PHONE: 218/743-3177 (00300) FAX: 218/743-3559 MR. DANIEL ODEGAARD HWSAL Dist BIGFORK VALLEY VILLA 258 PINE TREE DR BIGFORK, MN 56628 PHONE: 218/743-1000 (20243) FAX: 218/743-3559 MR. H DANIEL ODEGAARD Minnesota Department of Health Division of Compliance Monitoring Page 224 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Dist BIGFORK VALLEY VILLA ASST LVG Certification ITASCA Registration (Cont.)* -------------------------- HCP-F 258 PINE TREE DRIVE (23171) BIGFORK, MN 56628 PHONE: 218/743-1004 FAX: Corp EDGEWOOD CARE INC MR. DANIEL ODEGAARD 218/743-4160 HCP-F HWSAL 102 10TH AVE PO BOX 39 BOVEY, MN 55709 PHONE: 218/245-3550 (24649) FAX: Corp AUTUMN LANE MR. PETER GIVING 218/245-3551 HCP-F 36858 PINCHERRY ROAD COHASSET, MN 55721 PHONE: 218/328-0225 (26859) FAX: MS. LEANNE BRENDEN 218/328-6105 HWSAL Corp AUTUMN LANE INC 36858 PINCHERRY RD COHASSET, MN 55721 PHONE: 218/328-0225 (23725) FAX: Corp MAPLE WOODS ASTD LIVING AND HC MS. LEANNE BRENDEN 218/328-6105 HCP-A HWSAL 40170 COUNTY ROAD 257 COHASSET, MN 55721 PHONE: 218/244-9458 (26072) FAX: Corp SUGAR BROOK VILLA INC MR. DEAN DICKSON 218/999-5657 HCP-F HWSAL 20868 SUGAR HILLS ROAD COHASSET, MN 55721 PHONE: 218/326-5730 (23715) FAX: Corp HOME AND COMFORT INC MS. BARBARA GRENIGER 218/326-5713 HCP-F HWSAL PO BOX 719 COLERAINE, MN 55722 PHONE: 218/245-0012 (21439) FAX: MS. BETHEL WILCOWSKI 218/245-0293 HWS NProf COMSTOCK COURT 35 10TH AVE NE DEER RIVER, MN 56636 PHONE: 218/246-3015 (20220) FAX: NProf DEER RIVER HEALTH CARE CENTER MR. JEFFRY STAMPOHAR 218/246-3013 NH-32 BASS-6 HOSP-20 SNF-NF-32 CAH-20 115 10TH AVENUE NORTHEAST DEER RIVER, MN 56636 PHONE: 218/246-2900 (00296) FAX: NProf DEER RIVER HOME CARE MR. JEFFRY STAMPOHAR 218/246-3013 HCP-A HHA 115 10TH AVENUE NORTHEAST DEER RIVER, MN 56636 PHONE: 218/246-3012 (02403) FAX: 218/246-3054 MR. JEFFRY STAMPOHAR Minnesota Department of Health Division of Compliance Monitoring Page 225 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp 4U HOME HEALTH CARE Certification ITASCA Registration (Cont.)* -------------------------- HCP-A 21058 BIRCH HILL DRIVE (27332) GRAND RAPIDS, MN 55744 PHONE: 218/326-0095 FAX: Corp ACCESS HEALTH CARE MRS. CARLA HENNING 218/326-0095 HCP-A HHA 400 WITTMAN DRIVE SUITE B GRAND RAPIDS, MN 55744 PHONE: 218/326-0004 (03932) FAX: Corp ACCESS SERVICES INCORPORATED MS. DARLENE COLLINS 218/326-4770 HCP-F 400 WITTMAN DRIVE SUITE B GRAND RAPIDS, MN 55744 PHONE: 218/326-0004 (21658) FAX: Corp CRYSTAL LAKE HOME MS. DARLENE COLLINS 218/326-4770 HCP-F HWSAL 102 NE 14TH STREET GRAND RAPIDS, MN 55744 PHONE: 218/327-0312 (23124) FAX: MS. PAMELA FRIESEN 218/327-0312 HWSAL Lim-Liab DIAMOND WILLOW ASSISTED LIVING 949 1/2 SW 11TH AVE GRAND RAPIDS, MN 55744 PHONE: 218/327-9460 (24816) FAX: MS. BRENDA MARSHALL 218/327-9407 HWSAL Lim-Liab DIAMOND WILLOW ASSISTING LIVIN 949 SW 11TH AVE GRAND RAPIDS, MN 55744 PHONE: 218/327-9406 (24815) FAX: Lim-Liab EVERGREEN TERRACE MS. BRENDA MARSHALL 218/327-9408 NH-109 SNF-NF-109 2801 SOUTH HIGHWAY 169 GRAND RAPIDS, MN 55744 PHONE: 218/326-3431 (00299) FAX: MS. KATHERINE HOLLAND 218/327-3217 ESRD Corp FMC DIALYSIS SRVCS GR RAPIDS 410 SOUTHWEST FIRST AVENUE GRAND RAPIDS, MN 55744 PHONE: 218/327-1930 (03802) FAX: Lim-Liab GARDEN COURT CHATEAU MS. LINDA SARNE 218/327-1912 HCP-F HWSAL 2501 COUNTY ROAD 76 GRAND RAPIDS, MN 55744 PHONE: 218/999-5998 (24912) FAX: NProf GRAND ITASCA CLINIC & HOSP MS. JULIE MANLEY-HARTJE 218/999-5996 BASS-10 HOSP-64 1601 GOLF COURSE ROAD GRAND RAPIDS, MN 55744 PHONE: 218/326-3401 (00297) FAX: 218/999-1461 MR. DANIEL MCCORMICK HOSP-50 PPS-R-14 Minnesota Department of Health Division of Compliance Monitoring Page 226 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf GRAND ITASCA CLINIC & HOSP HC Certification ITASCA Registration (Cont.)* -------------------------- HCP-A HHA 111 SE 3RD STREET (02975) GRAND RAPIDS, MN 55744 PHONE: 218/326-7568 FAX: MR. TODD CORTESE 218/999-1052 HWS Corp GRAND MANOR 1605 NW 4TH STREET GRAND RAPIDS, MN 55744 PHONE: 218/326-5314 (21146) FAX: MS. DARLENE COLLINS 218/326-9811 HWS Corp GRAND MANOR II 227 SOUTHWEST 13TH STREET GRAND RAPIDS, MN 55744 PHONE: 218/326-5314 (21147) FAX: MS. DARLENE COLLINS 218/326-9811 HWS Corp GRAND MANOR III 1115 SOUTHWEST 2ND AVENUE GRAND RAPIDS, MN 55744 PHONE: 218/326-5314 (21148) FAX: Cnty GRAND VILLAGE MS. DARLENE COLLINS 218/326-9811 NH-119 SNF-NF-119 923 HALE LAKE POINTE GRAND RAPIDS, MN 55744 PHONE: 218/326-0543 (00298) FAX: Lim-Liab LAKEWOOD SURGERY CENTER MS. SHAWNA JOKINEN 218/327-2405 Outpt Surg Amb Surg 1542 GOLF COURSE RD SUITE 105 GRAND RAPIDS, MN 55744 PHONE: 218/326-3937 (23863) FAX: Lim-Liab MANOR HOUSE SENIOR LIVING MR. MARK RIEHLE 218/326-3955 HCP-F 722 NORTH POKEGAMA AVENUE GRAND RAPIDS, MN 55744 PHONE: 218/326-3469 (26123) FAX: MR. STEVE RICH 320/327-6013 HWSAL Lim-Liab MANOR HOUSE SENIOR LIVING 722 NORTH POKEGAMA AVENUE GRAND RAPIDS, MN 55744 PHONE: 218/326-3469 (20077) FAX: Corp MCKINNEY LAKE HOUSE MR. PATRICK RAFFERTY 218/327-6013 HCP-F HWSAL 2304 MCKINNEY LAKE ROAD GRAND RAPIDS, MN 55744 PHONE: 218/326-2226 (23682) FAX: 218/326-2226 MS. CHERYL HEIKKILA HWSAL-O NProf MOSES RESIDENCE 220 17TH STREET NW GRAND RAPIDS, MN 55744 PHONE: 651/645-7271 (24458) FAX: 651/645-0541 MR. STEPHEN VANDER SCHAAF Minnesota Department of Health Division of Compliance Monitoring Page 227 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp NORTH COUNTRY CARE Certification ITASCA Registration (Cont.)* -------------------------- HCP-F HWS 1212 GUNN ROAD (21748) GRAND RAPIDS, MN 55744 PHONE: 218/327-0729 FAX: MRS. JENNIFER ALTENHOFEN 218/245-2189 HWS Corp NORTH COUNTRY CARE INC 1132 GUNN ROAD GRAND RAPIDS, MN 55744 PHONE: 218/327-9595 (23126) FAX: MRS. JENNIFER ALTENHOFEN 218/245-2189 CMHC NProf NORTHLAND COUNSELING CENTER 215 SOUTHEAST SECOND AVENUE GRAND RAPIDS, MN 55744 PHONE: 218/326-1274 (02776) FAX: MR. SYD EWENS /- NProf NORTHLAND RECOVERY CENTER SLFB-24 1215 SEVENTH AVENUE SOUTHEAST GRAND RAPIDS, MN 55744 PHONE: 218/313-1315 (01608) FAX: Lim-Liab PLEASANT SEASONS MS. COLLEEN MACKEY 218/327-1932 HCP-F HWSAL 2815 HWY 169 S GRAND RAPIDS, MN 55744 PHONE: 218/326-8567 (21909) FAX: MS. KATHY HOLLAND 218/327-2734 Out Pt Part RADTKE PHYSICAL THERAPY 1542 GOLF COURSE ROAD SUITE 4 GRAND RAPIDS, MN 55744 PHONE: 218/326-3300 (20672) FAX: Lim-Liab RIVER GRAND MR. MICHAEL RADTKE 218/326-3400 HCP-F 355 RIVER ROAD GRAND RAPIDS, MN 55744 PHONE: 218/999-5333 (29046) FAX: MS. ROCHELLE LANGLOIS 218/999-5833 HWSAL Corp RIVER GRAND INC 355 RIVER ROAD GRAND RAPIDS, MN 55744 PHONE: 218/999-5333 (28963) FAX: Corp THE ROCK HHC INC MS. ROCHELLE LANGLOIS 218/999-5833 HCP-A 1415 EAST US HIGHWAY 169 GRAND RAPIDS, MN 55744 PHONE: 218/327-8294 (26864) FAX: Corp TLC SERENITY HOME MRS. KATHLEEN CETWINSKI 888/291-6818 HCP-F HWSAL 625 NE 1ST AVENUE GRAND RAPIDS, MN 55744 PHONE: 218/327-9222 (25126) FAX: 218/326-1560 MRS. TERESA LINN Minnesota Department of Health Division of Compliance Monitoring Page 228 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification ITASCA (Cont.)* -------------------------HWSAL Corp TLC SERENITY HOME II Registration 1314 SOUTHEAST 4TH AVENUE (26534) GRAND RAPIDS, MN 55744 PHONE: 218/326-0049 FAX: MS. TERESA LINN 218/326-1560 Corp WHISPERING PINES ASSISTED LIVG HCP-F HWSAL 20371 WENDIGO PARK ROAD GRAND RAPIDS, MN 55744 PHONE: 218/326-6900 (21725) FAX: MS. JESSICA RAAD 218/326-2783 HWSAL Corp HILLCREST NASHWAUK 511 PLATT AVENUE EAST NASHWAUK, MN 55769 PHONE: 218/263-4157 (26487) FAX: MR. RANDY SCHROETTER 218/263-4468 ---------------------------********** Corp LAKEVIEW ASSISTED LIVING JACKSON ******** -------------------------- HCP-F HWSAL 941 COUNTY ROAD 9 HERON LAKE, MN 56137 PHONE: 507/793-2349 (25317) FAX: MS. PATRICE GOETTE 507/793-2348 Cnty COTTONWOOD JACKSON COMM H S HCP-A HHA 402 WHITE STREET STE 201 JACKSON, MN 56143 PHONE: 507/847-2366 (02101) FAX: MS. PATRICIA STEWART 507/847-2881 NProf GOOD SAM SOCIETY JACKSON NH-63 SNF-NF-63 601 WEST STREET JACKSON, MN 56143 PHONE: 507/847-3100 (00303) FAX: MR. GORDON HORMANN 507/847-2119 Out Pt Out Ot Ind PRAIRIE REHABILITATION SERVS 816 3RD STREET JACKSON, MN 56143 PHONE: 507/372-2232 (23594) FAX: MR. TROY VANORMAN /- RHC NProf SANFORD CLINIC JACKSON 1430 NORTH HIGHWAY JACKSON, MN 56143 PHONE: 507/847-2200 (03494) FAX: MR. DAVID HOVE /- NProf SANFORD JACKSON MEDICAL CENTER CAH-20 HOSP-20 1430 NORTH HIGHWAY JACKSON, MN 56143 PHONE: 507/847-2420 (00305) FAX: 507/847-3728 MS. MARY RUYTER Minnesota Department of Health Division of Compliance Monitoring Page 229 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf THE PINES Certification JACKSON Registration (Cont.)* -------------------------HWSAL HCP-F 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 LAKEFIELD, MN 56150 PHONE: 507/662-6646 (00302) FAX: 507/662-5531 Corp DOMAN ROSE PLACE MS. PATRICE GOETTE HCP-F 220 MILWAUKEE STREET LAKEFIELD, MN 56150 PHONE: 507/662-5236 (25743) FAX: MS. PAMELA KAREN 507/662-5126 HWSAL Corp DOMAN ROSE PLACE 220 MILWAUKEE STREET LAKEFIELD, MN 56150 PHONE: 507/662-6433 (20084) FAX: 507/662-5364 MS. BRENDA MEYER HWSAL Corp ROSEWOOD VILLA 224 MILWAUKEE STREET LAKEFIELD, MN 56150 PHONE: 507/662-6433 (23401) FAX: 507/662-5542 MS. BRENDA MEYER RHC NProf SANFORD CLINIC LAKEFIELD 209 MAIN STREET PO BOX 546 LAKEFIELD, MN 56150 PHONE: 507/662-6611 (03730) FAX: /- MR. DAVID HOVE HWSAL Corp VALLEY VIEW ASSISTED LIVING 1005 MILWAUKEE STREET LAKEFIELD, MN 56150 PHONE: 507/662-5330 (23658) FAX: 507/662-5679 Corp VALLEY VIEW ASSISTED LIVING MS. PATRICE GOETTE HCP-F 1005 MILWAUKEE STREET LAKEFIELD, MN 56150 PHONE: 507/662-5330 (23656) FAX: 507/662-5679 ---------------------------********** MS. PATRICE GOETTE KANABEC ******** -------------------------HWSAL Lim-Liab COUNTRY HOME COMFORTS LLC 2656 RAINBOW STREET BROOK PARK, MN 55051 PHONE: 320/679-2847 (26768) FAX: 320/679-8934 MS. BARBARA STEINER Minnesota Department of Health Division of Compliance Monitoring Page 230 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification KANABEC (Cont.)* -------------------------HWSAL NProf BENEDICTINE LIVING COMMUNITY O Registration 101 NINTH STREET (20246) MORA, MN 55051 PHONE: 320/679-2576 FAX: NProf BENEDICTINE LVG COMM OF MORA MR. JACK L'HEUREUX 320/679-8358 HCP-F 101 NINTH STREET MORA, MN 55051 PHONE: 320/679-2576 (03022) FAX: NProf BENEDICTINE LVG COMM OF MORA MR. JACK L'HEUREUX 320/679-8358 NH-71 SNF-NF-71 110 NORTH 7TH STREET MORA, MN 55051 PHONE: 320/679-1411 (00814) FAX: NProf EASTWOOD SENIOR LVG HOME CARE MR. JACK L'HEUREUX 320/679-8350 HCP-F HWSAL 170 VALHALLA CIRCLE MORA, MN 55051 PHONE: 320/679-2916 (27518) FAX: Cnty FIRSTLIGHT HEALTH SYSTEM MS. MARGARET OWENS 320/679-4336 BASS-8 HOSP-49 CAH-25 301 S HWY 65 MORA, MN 55051 PHONE: 320/225-3315 (00308) FAX: MR. RANDY ULSETH 320/225-3320 ESRD Corp FMCNA MORA DIALYSIS CENTER 820 HOWE AVENUE SUITE 104 MORA, MN 55051 PHONE: 320/679-1250 (03556) FAX: Cnty KANABEC CO PUBLIC HLTH HOSPICE MS. SARAH PARKER 320/670-1154 Hospice HSPICE 905 E FOREST AVENUE SUITE 127 MORA, MN 55051 PHONE: 320/679-6330 (03844) FAX: Cnty KANABEC COUNTY PHNS MS. WENDY THOMPSON 320/679-6333 HCP-A HHA 905 E FOREST AVENUE MORA, MN 55051 PHONE: 320/679-6330 (02216) FAX: MS. WENDY THOMPSON 320/679-6333 HWSAL Lim-Liab SCANDIA HOUSE OF MORA 973 MAPLE AVENUE EAST MORA, MN 55051 PHONE: 320/679-3260 (26502) FAX: Lim-Liab SIGNE AND OLIVIAS LLC MR. KENNETH BERGSTROM 320/679-3220 HCP-F HWSAL 1545 HARBOR STREET OGILVIE, MN 56358 PHONE: 320/272-0115 (26359) FAX: 320/272-4100 MS. VICTORIA FORE Minnesota Department of Health Division of Compliance Monitoring Page 231 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf ATWATER HOUSE Certification KANDIYOHI SLFA-6 Registration ******** -------------------------ICFMR-6 110 5TH STREET NORTH (01110) ATWATER, MN 56209 PHONE: 320/235-5897 FAX: MS. CATHERINE JOHNSON 320/231-0633 HWSAL Corp SUNNYVIEW 316 SUNRISE LANE ATWATER, MN 56209 PHONE: 320/441-7001 (20569) FAX: MS. DAWN FRERICKS 320/235-8069 HWSAL Corp SUNNYVIEW II 314 SUNRISE LANE ATWATER, MN 56209 PHONE: 320/441-7001 (21369) FAX: MS. DAWN FRERICKS 320/235-8069 HWSAL Corp CENTRAL MINNESOTA SENIOR CARE 270 WEST MILKY WAY AVENUE LAKE LILLIAN, MN 56253 PHONE: 320/441-7001 (23210) FAX: MS. DAWN FRERICKS 320/235-8069 HWSAL NProf BENEDICTINE LIVING COMMUNITY O 102 GLENOAKS DRIVE NEW LONDON, MN 56273 PHONE: 320/354-2121 (20303) FAX: NProf BENEDICTINE LNG COM NEW LONDON MR. JIM LAINE 320/354-2060 NH-62 SNF-NF-62 100 GLEN OAKS DRIVE NEW LONDON, MN 56273 PHONE: 320/354-2231 (00314) FAX: NProf BENEDICTINE LVG COM NEW LONDON MR. JAMES LAINE 320/354-2060 HCP-F 100 GLENOAKS DRIVE NEW LONDON, MN 56273 PHONE: 320/354-2231 (21021) FAX: MR. JAMES LAINE 320/354-2060 HWS NProf BENEDICTINE LVG COM VILLAGE AP 104 GLENOAKS DRIVE NEW LONDON, MN 56273 PHONE: 320/354-6054 (29292) FAX: Corp LAKE REGION HOME HEALTH MR JAMES LAINE 320/354-2060 HCP-A HHA 220 MAIN STREET NORTH NEW LONDON, MN 56273 PHONE: 320/354-5858 (02204) FAX: 320/354-2179 MS. KIMBERLY WESTBERG OLSON Home Mgmt Corp TOUCHING HEARTS AT HOME 14 4TH AVENUE SE PO BOX 52 NEW LONDON, MN 56273 PHONE: 320/354-4663 (25344) FAX: 320/354-4664 MS. LINDA MADSEN Minnesota Department of Health Division of Compliance Monitoring Page 232 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification KANDIYOHI (Cont.)* -------------------------HWSAL Corp CENTRAL MINNESOTA SENIOR CARE Registration 403 CARDINAL DRIVE (23208) PRINSBURG, MN 56281 PHONE: 320/441-7001 FAX: MS. DAWN FRERICKS 320/235-8069 Corp COUNTRY LVNG MANAGEMENT CO HCP-F 12335 13TH STREET NORTHWEST SPICER, MN 56288 PHONE: 320/354-4000 (28183) FAX: MS. LUANNE GIBSON 320/269-8100 NProf LAKEWOOD HOME SLFB-6 ICFMR-6 256 LAKE AVENUE NORTH SPICER, MN 56288 PHONE: 320/796-6999 (01542) FAX: MS. KAREN ROSMAN-BANGASSER 320/796-6522 HWSAL-O Corp CENTRAL MINNESOTA SENIOR CARE 403 CENTRAL AVE SUNBURG, MN 56289 PHONE: 320/441-7001 (24351) FAX: MS. DAWN FRERICKS 320/235-8069 HWSAL Corp MIRIAM MANOR 403 CENTRAL AVENUE SUNBURG, MN 56289 PHONE: 320/366-3934 (23209) FAX: MS. DAWN FRERICKS 320/235-8069 Ind AMBITION 24 HOME HEALTH HCP-A 1043 HILL ROAD SOUTHWEST WILLMAR, MN 56201 PHONE: 320/295-6513 (28835) FAX: MS. TRACY ZIMMERMAN DESCHEPPE /- HWS NProf BETHESDA 901 SE WILLMAR AVENUE WILLMAR, MN 56201 PHONE: 320/235-9532 (27748) FAX: NProf BETHESDA HERITAGE CENTER MS. MICHELLE HAEFNER 320/235-7909 NH-125 SNF-NF-125 1012 EAST THIRD STREET WILLMAR, MN 56201 PHONE: 320/235-3924 (00312) FAX: Church BETHESDA HOME HEALTH MS. MICHELLE HAEFNER 320/231-3399 HCP-A HHA 901 WILLMAR AVENUE SUITE 2 WILLMAR, MN 56201 PHONE: 320/235-8364 (02926) FAX: NProf BETHESDA NH PLEASANTVIEW MS. NANCY DEITER 320/235-6968 NH-123 SNF-NF-123 901 SOUTHEAST WILLMAR AVENUE WILLMAR, MN 56201 PHONE: 320/235-9532 (00792) FAX: 320/235-7909 MS. MICHELLE HAEFNER Minnesota Department of Health Division of Compliance Monitoring Page 233 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification KANDIYOHI (Cont.)* -------------------------HWSAL Corp CENTRAL MINNESOTA SENIOR CARE Registration 1409 BECKER AVENUE SE (24178) WILLMAR, MN 56201 PHONE: 320/441-7001 FAX: Corp CENTRAL MINNESOTA SENIOR CARE MS. DEBRA OLESON 320/235-8069 HCP-A 1004 1ST ST S STE 1 WILLMAR, MN 56201 PHONE: 320/441-7001 (03399) FAX: MS. DEBRA SHRIVER 320/235-8069 Home Mgmt Corp CENTRAL MN SENIOR CARE INC 1004 4TH ST S STE 1 WILLMAR, MN 56201 PHONE: 320/441-7001 (21061) FAX: Corp CENTRAL MN SENIOR CARE INC MS. DAWN FRERICKS 320/235-8069 HCP-F 1004 1ST ST S STE 1 WILLMAR, MN 56201 PHONE: 320/441-7001 (20855) FAX: MS. DEBRA SHRIVER 320/235-8069 HWSAL Corp CENTRAL MN SENIOR CARE INC A 2323 GORTON AVENUE NORTHWEST WILLMAR, MN 56201 PHONE: 320/441-7001 (20166) FAX: MS. DAWN FRERICKS 320/235-8069 HWSAL Corp CENTRAL MN SENIOR CARE INC B 2323 GORTON AVENUE NORTHWEST WILLMAR, MN 56201 PHONE: 320/441-7001 (20430) FAX: State CHILD& ADOL BEHAV HLTH (CABHS) MS. DAWN FRERICKS 320/235-8069 PSY-70 OTHER-70 1701 TECHNOLOGY DRIVE NE WILLMAR, MN 56201 PHONE: 320/231-5421 (00318) FAX: State COMMUNITY ADDICTION WILLMAR MR. MARK KRAGENBRING 218/231-5901 SLFB-90 1801 TECHNOLOGY DRIVE NE WILLMAR, MN 56201 PHONE: 320/231-5356 (26528) FAX: Corp COMPASSIONATE CARE INC MS. KAREN JONES 651/431-7701 HCP-B 601 4TH STREET SOUTHWEST WILLMAR, MN 56201 PHONE: 320/231-9868 (27923) FAX: Lim-Liab COMPASSIONATE COTTAGE LLC MS. BEVERLY WERDER 320/231-9871 HCP-F 601 SW 4TH STREET WILLMAR, MN 56201 PHONE: 320/231-9868 (25627) FAX: 320/231-9871 MS. BEVERLY WERDER Minnesota Department of Health Division of Compliance Monitoring Page 234 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification KANDIYOHI (Cont.)* -------------------------HWS Lim-Liab COMPASSIONATE COTTAGE LLC Registration 1000 COTTONWOOD DRIVE NE (25626) WILLMAR, MN 56201 PHONE: 320/235-2775 FAX: MS. BEVERLY WERDER 320/231-9871 HWSAL Corp COPPERLEAF SENIOR LIVING 1550 1ST STREET NORTH WILLMAR, MN 56201 PHONE: 320/222-5000 (26121) FAX: Corp COPPERLEAF SENIOR LIVING MR. RAMSEY JENNINGS 320/222-5001 HCP-F 1550 1ST STREET NORTH WILLMAR, MN 56201 PHONE: 320/222-5000 (26122) FAX: Corp DIVINE HOME CARE INC MS. DANA ASCHE 320/344-1504 HHA HCP-A 322 SOUTHWEST 2ND STREET WILLMAR, MN 56201 PHONE: 320/231-9757 (22025) FAX: MS. PAMELA BREDE 320/231-9795 Home Mgmt Corp DIVINE HOME CARE INC 322 SW SECOND STREET WILLMAR, MN 56201 PHONE: 320/231-9757 (23168) FAX: MS. PAMELA BREDE 320/231-9795 Home Mgmt Corp DIVINE HOUSE INC 328 FIFTH STREET SOUTHWEST WILLMAR, MN 56201 PHONE: 320/231-2738 (21062) FAX: Corp DIVINE HOUSE INC MS. DEBRA SHRIVER 320/231-3276 HCP-F 328 5TH STREET SOUTHWEST WILLMAR, MN 56201 PHONE: 320/231-2738 (20854) FAX: MS. DEBRA SHRIVER 320/231-3276 HWS-O Corp DIVINE HOUSE INC/VALLEY QUEST 1300 7 1/2 STREET SW WILLMAR, MN 56201 PHONE: 320/231-2738 (20764) FAX: MS. DEBRA SHRIVER 320/231-3276 HWSAL Corp DIVINE HOUSE INC/VALLEYBROOK H 505 - 33RD ST NW WILLMAR, MN 56201 PHONE: 320/441-7001 (21124) FAX: Lim-Liab FAMILY SURGERY CENTER LLC MS. DEB OELSON 320/235-8069 Outpt Surg Amb Surg 1801 19TH AVENUE SW WILLMAR, MN 56201 PHONE: 320/235-7700 (23189) FAX: 320/235-7701 MS. CARMEN MACIK Minnesota Department of Health Division of Compliance Monitoring Page 235 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification KANDIYOHI (Cont.)* -------------------------HWSAL-O HRA HIGHLAND APARTMENTS Registration 115 EAST BECKER AVENUE (21839) WILLMAR, MN 56201 PHONE: 320/231-0887 FAX: MS. NIKKI ILGEN 320/235-8260 HWSAL Corp ISLAND VIEW MANOR INC 700 NORTH HIGHWAY #71 WILLMAR, MN 56201 PHONE: 320/441-7001 (20333) FAX: MS. DEBRA OLESON 320/235-8069 HWS-O Part LAKE PLACE I APARTMENTS 1420 LAKE AVE NW WILLMAR, MN 56201 PHONE: 320/235-0742 (21193) FAX: MR. DOUG WESTROM 320/235-0759 HWS-O Part LAKE PLACE II APARTMENTS 1421 LAKE AVENUE NW WILLMAR, MN 56201 PHONE: 320/235-0742 (21194) FAX: MR. DOUG WESTROM 320/235-0759 HWSAL-O HRA LAKEVIEW APARTMENTS 300 SEVENTH STREET NW WILLMAR, MN 56201 PHONE: 320/235-8637 (21840) FAX: State MN SPECIALTY HEALTH SYSTEM MS. GABRIELA CARRANZA 320/235-8260 SLFB-16 1208 OLENA AVE SE WILLMAR, MN 56201 PHONE: 320/235-0900 (25363) FAX: MS. PAULA HALVERSON 320/214-3335 HWSAL Lim-Liab PRAIRIE SENIOR COTTAGES OF WI 1701 19TH AVENUE SOUTHWEST WILLMAR, MN 56201 PHONE: 320/235-6022 (20738) FAX: Lim-Liab PRAIRIE SR COTTAGES WILLMAR MS. BECKY HOLMGREN 320/235-6029 HCP-F HWSAL 1705 19TH AVENUE SW WILLMAR, MN 56201 PHONE: 320/235-6022 (20579) FAX: Corp QUALITY QUEST HEALTH CARE INC MS. BECKY HOLMGREN 320/235-6029 HCP-A HHA 2295 66TH AVENUE NORTHEAST WILLMAR, MN 56201 PHONE: 320/235-5440 (03362) FAX: City RICE CARE CENTER MS. RACHEL ANDERSON 320/214-7371 NH-78 SNF-NF-78 1801 SOUTHWEST WILLMAR AVENUE WILLMAR, MN 56201 PHONE: 320/214-2700 (00313) FAX: 320/214-2765 MR. TROY BARRICK Minnesota Department of Health Division of Compliance Monitoring Page 236 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** City RICE HOSPICE PROGRAM Certification KANDIYOHI Registration (Cont.)* -------------------------- Hospice HSPICE 301 BECKER AVENUE SOUTHWEST (02407) WILLMAR, MN 56201 PHONE: 320/231-4450 FAX: MS. MARY BETH POTTER 320/231-4864 City RICE MEMORIAL HOSPITAL BASS-20 HOSP-136 HOSP-128 PPS-P-8 301 BECKER AVENUE SOUTHWEST WILLMAR, MN 56201 PHONE: 320/231-4227 (00316) FAX: MR. MICHAEL SCHRAMM 320/231-4869 ESRD City RICE MEMORIAL HOSPITAL ESRD 301 BECKER AVENUE SOUTHWEST WILLMAR, MN 56201 PHONE: 320/231-4235 (02116) FAX: MR. HANS DAHL 320/231-4873 Home Mgmt Lim-Liab SAMAH HOME HEALTH CARE 330 SW 4TH STREET SUITE 9-B WILLMAR, MN 56201 PHONE: 320/262-3657 (29280) FAX: MR. JAWAD ZAKIR 320/272-2915 Corp STERLING HOUSE WILLMAR HCP-F HWSAL 1501 - 19TH AVENUE SOUTHWEST WILLMAR, MN 56201 PHONE: 320/235-1024 (20351) FAX: MS. WENDY HABERMAN 320/235-1108 NProf SUNRISE VILLAGE HCP-F HWSAL 1125 NINTH STREET SOUTHEAST WILLMAR, MN 56201 PHONE: 320/235-1602 (20208) FAX: MS. PAM HOCKERT-FREESE 320/235-4517 Lim-Liab WILLMAR CARE CENTER NH-52 SNF-NF-52 500 RUSSELL STREET WILLMAR, MN 56201 PHONE: 320/235-3181 (00996) FAX: MS. BREANNE WOLTERS 320/235-2957 Part WILLMAR SURGERY CENTER LLP Outpt Surg Amb Surg 1320 SOUTH 1ST ST PO BOX 773 WILLMAR, MN 56201 PHONE: 320/235-6506 (00289) FAX: MR. TERRY TONE 320/235-7069 CMHC NProf WOODLAND CENTERS 1125 SE SIXTH ST PO BOX 787 WILLMAR, MN 56201 PHONE: 320/235-4613 (02778) FAX: DR. EUGENE BONYNGE /- NProf WOODLAND CENTERS SLFB-16 1125 SE SIXTH ST PO BOX 787 WILLMAR, MN 56201 PHONE: 320/235-4613 (01502) FAX: 320/231-9140 MR. RICHARD LEE Minnesota Department of Health Division of Compliance Monitoring Page 237 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf KITTSON COUNTY HOSPICE INC Certification KITTSON Registration ******** -------------------------- 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 HALLOCK, MN 56728 PHONE: 218/843-3612 (03134) FAX: /- MR. RICHARD FAILING NProf KITTSON MEMORIAL HOME HLTHCARE HCP-A HHA 1010 SOUTH BIRCH PO BOX 430 HALLOCK, MN 56728 PHONE: 218/843-3662 (02155) FAX: MR. RICK FAILING 218/843-2487 NProf KITTSON MEMORIAL HOSPITAL NH-70 BASS-0 HOSP-15 SNF-NF-70 CAH-15 1010 SOUTH BIRCH HALLOCK, MN 56728 PHONE: 218/843-3612 (00321) FAX: 218/843-2311 NProf RIVERS EDGE MR. RICHARD FAILING HWSAL HCP-F 513 10TH STREET SOUTHEAST HALLOCK, MN 56728 PHONE: 218/843-8812 (25470) FAX: 218/843-2487 Corp KARLSTAD HEALTHCARE CTR INC MS. CINDY URBANIAK NH-46 SNF-NF-46 304 WASHINGTON AVENUE WEST KARLSTAD, MN 56732 PHONE: 218/436-2161 (00830) FAX: 218/436-4161 MS. EMILY STRAW RHC NProf KITTSON MEM CLINIC OF KARLSTAD 1ST AND ROOSEVELT P O BOX 199 KARLSTAD, MN 56732 PHONE: 218/843-3612 (22061) FAX: /- MR. RICHARD FAILING Corp LSS GRANVILLE ICF-MR SLFB-6 ICFMR-6 402 MAIN STREET S PO BOX 240 KARLSTAD, MN 56732 PHONE: 218/436-2518 (01416) FAX: 218/436-7426 Lim-Liab THE MEADOWS MS. BARB STENSLAND HCP-F HWSAL 306 WASHINGTON AVENUE WEST KARLSTAD, MN 56732 PHONE: 218/436-2161 (23877) FAX: 218/436-3564 ---------------------------********** MR. HOWARD GROFF KOOCHICHING ******** -------------------------- Minnesota Department of Health Division of Compliance Monitoring Page 238 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification KOOCHICHING (Cont.)* -------------------------HWSAL Corp DECKER'S FAMILY CARE INC/PAPER Registration 4143 HIGHWAY 11 (22352) INTERNATIONAL FALLS, MN 56649 PHONE: 218/285-9546 FAX: MR. JOHN DECKER 218/286-5312 NProf GOOD SAM SOCIETY INTL FALLS SNF-NF-54 NH-54 1402 HIGHWAY 71 INTERNATIONAL FALLS, MN 56649 PHONE: 218/283-8313 (00322) FAX: MR. ADAM COE 218/283-9497 NProf GOOD SAMARITAN HC INTL FALLS HHA HCP-A 1404 HIGHWAY 71 INTERNATIONAL FALLS, MN 56649 PHONE: 218/283-4319 (24363) FAX: MR. ADAM COE 218/283-3219 HWS NProf GOOD SAMARITAN SOCIETY - RIVER 1406 HIGHWAY 71 INTERNATIONAL FALLS, MN 56649 PHONE: 218/285-9563 (20466) FAX: MR. ADAM COE 218/283-8361 Cnty KOOCHICHING COUNTY HEALTH DEPT HCP-A 1000 FIFTH STREET INTERNATIONAL FALLS, MN 56649 PHONE: 218/283-7070 (02126) FAX: MS. SUSAN CONGRAVE 218/283-7050 NProf RAINY LAKE MEDICAL CENTER BASS-11 HOSP-49 CAH-25 1400 HIGHWAY 71 INTERNATIONAL FALLS, MN 56649 PHONE: 218/283-4481 (00323) FAX: MR. BOB HALEY 218/283-2281 Lim-Liab RIDGEVIEW LLC HCP-F HWSAL 2020 RIDGEVIEW DRIVE INTERNATIONAL FALLS, MN 56649 PHONE: 218/283-2806 (23979) FAX: MS. DONNA TAYLOR 218/283-2177 RHC City LITTLEFORK MEDICAL CENTER PO BOX N LITTLEFORK, MN 56653 PHONE: 218/278-6634 (03502) FAX: MS. KIMBERLY PERKINS /- City LITTLEFORK MEDICAL CENTER HCP-F HWSAL 912 MAIN STREET LITTLEFORK, MN 56653 PHONE: 218/278-6634 (21857) FAX: City LITTLEFORK MEDICAL CENTER MS. KIMBERLY PERKINS 218/278-6637 NH-50 SNF-NF-50 BOX N 900 MAIN STREET LITTLEFORK, MN 56653 PHONE: 218/278-6634 (00324) FAX: 218/278-6637 MS. KIMBERLY PERKINS Minnesota Department of Health Division of Compliance Monitoring Page 239 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** City PINEVIEW RECOVERY CENTER Certification KOOCHICHING Registration (Cont.)* -------------------------- SLFA-8 SLFB-2 912 MAIN STREET (01653) LITTLEFORK, MN 56653 PHONE: 218/278-6634 FAX: MS. KIMBERLY PERKINS 218/278-6637 Corp NORTHOME HEALTHCARE CENTER INC NH-36 SNF-NF-36 11995 MAIN STREET BOX 138 NORTHOME, MN 56661 PHONE: 218/897-5293 (00325) FAX: MR. NICOLAI BERG 218/897-5253 Corp DECKERS FAMILY CARE INC HCP-F HWSAL 3443 PINE STREET RAINER, MN 56668 PHONE: 218/286-5635 (20001) FAX: MR JOHN DECKER 218/286-5312 ---------------------------********** LAC QUI PARLE ******** -------------------------RHC Dist JOHNSON MEMORIAL BOYD CLINIC 115 3RD STREET BOYD, MN 56218 PHONE: 320/769-4323 (21827) FAX: MS. MELISSA STRUXNESS /- RHC Dist DAWSON CLINIC 1272 WALNUT STREET DAWSON, MN 56232 PHONE: 320/769-4393 (02999) FAX: MS. KATHY JOHNSON /- Corp DAWSON ICFMR SLFB-6 ICFMR-6 BOX 309 2974 - 192ND STREET DAWSON, MN 56232 PHONE: 320/769-4444 (01590) FAX: Dist JOHNSON MEMORIAL HOME CARE MR. TODD HILLSTROM 320/769-4813 HCP-A HHA 1294 CHESTNUT ST DAWSON, MN 56232 PHONE: 320/769-4323 (02730) FAX: Dist JOHNSON MEMORIAL HOSP & HOME MS. KATHY JOHNSON 320/769-2972 NH-56 BASS-4 HOSP-20 SNF-NF-56 CAH-23 1282 WALNUT STREET DAWSON, MN 56232 PHONE: 320/769-4323 (00326) FAX: Corp PRAIRIE MEADOWS ASSISTED LIVIN MS. KATHY JOHNSON 320/769-2972 HCP-F HWSAL 1255 WALNUT STREET DAWSON, MN 56232 PHONE: 320/769-2144 (22054) FAX: 320/769-4670 MR. JOHN ROIGER Minnesota Department of Health Division of Compliance Monitoring Page 240 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab SONSHINE HOME HEALTH CARE LLC Certification LAC QUI PARLE Registration (Cont.)* -------------------------- 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 301 3RD STREET EAST MADISON, MN 56256 PHONE: 320/598-7557 (28354) FAX: 320/598-7558 MS. JENNIFER GILYARD HWS NProf HILLTOP RESIDENCE INC 915 1ST AVENUE MADISON, MN 56256 PHONE: 320/598-3129 (21699) FAX: MR. SCOTT LARSON 320/598-3923 RHC NProf LAC QUI PARLE CLINIC MADISON 900 SECOND AVENUE MADISON, MN 56256 PHONE: 320/598-7551 (03513) FAX: /- MR. DALLAS REESE NProf MADISON HOSPITAL BASS-2 HOSP-12 CAH-12 820 THIRD AVENUE MADISON, MN 56256 PHONE: 320/598-7536 (00328) FAX: 320/598-3923 NProf MADISON HOSPITAL HHA MR. STEVE MOBURG HCP-A HHA 900 SECOND AVENUE MADISON, MN 56256 PHONE: 320/598-7556 (02173) FAX: 320/598-7387 NProf MADISON LUTHERAN HOME MS. SHERRY DEYO NH-80 SNF-NF-80 900 SECOND AVENUE MADISON, MN 56256 PHONE: 320/598-7536 (00329) FAX: 320/598-3923 MR. STEVE MOBURG-ACTING PERMIT ---------------------------********** State MN VETERANS HOME SILVER BAY LAKE ******** -------------------------- NH-83 45 BANKS BOULEVARD SILVER BAY, MN 55614 PHONE: 218/226-6300 (00381) FAX: 218/226-6302 MS. CAROL GILBERTSON HWSAL Corp SILVER BAY CAREFREE LIVING INC 36 BELL CIRCLE SILVER BAY, MN 55614 PHONE: 218/226-3524 (27604) FAX: 218/226-3212 MR. MERLE SAMPSON Minnesota Department of Health Division of Compliance Monitoring Page 241 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification LAKE (Cont.)* -------------------------HWSAL Lim-Liab BARROSS COTTAGE Registration 401 SOUTH AVENUE (20987) TWO HARBORS, MN 55616 PHONE: 218/834-8018 FAX: Lim-Liab BARROSS COTTAGE MS. CYNTHIA STORY 218/834-8019 HCP-F 401 SOUTH AVENUE TWO HARBORS, MN 55616 PHONE: 218/834-8018 (27999) FAX: Lim-Liab BARROSS MANOR MS. CYNTHIA STORY 218/834-8019 HCP-F HWSAL 414 FIRST AVENUE TWO HARBORS, MN 55616 PHONE: 218/834-6174 (20053) FAX: NProf DULUTH REG CARE CTR THALASSIC MS. CORTNEY BUCHHOLZ 218/834-4015 ICFMR-5 SLFB-5 1815 HIGHWAY 61 EAST TWO HARBORS, MN 55616 PHONE: 218/834-5657 (01587) FAX: NProf ECUMEN SCENIC SHORES MR. MICHAEL MILLS 218/727-9555 NH-45 SNF-NF-45 402 13TH AVENUE TWO HARBORS, MN 55616 PHONE: 218/834-8374 (00844) FAX: NProf ECUMEN SCENIC SHORES ASST LVG MR. BLAINE GAMST 218/834-8439 HCP-F HWS 409 13TH AVENUE TWO HARBORS, MN 55616 PHONE: 218/834-0849 (21265) FAX: MS. JULIE LUCHSINGER 218/834-0850 HWSAL NProf LAKE VIEW COTTAGE III 806 13TH AVENUE TWO HARBORS, MN 55616 PHONE: 218/834-7304 (20019) FAX: MR. BRIAN CARLSON 218/834-7388 HWSAL NProf LAKE VIEW COTTAGE IV 810 13TH AVENUE TWO HARBORS, MN 55616 PHONE: 218/834-7304 (20018) FAX: NProf LAKE VIEW MEM HOSP HOME CARE MR. BRIAN CARLSON 218/834-7388 HCP-F 325 11TH AVENUE TWO HARBORS, MN 55616 PHONE: 218/834-7300 (20751) FAX: NProf LAKE VIEW MEMORIAL HOSPITAL MR. BRIAN CARLSON 218/834-7388 BASS-1 HOSP-25 325 ELEVENTH AVENUE TWO HARBORS, MN 55616 PHONE: 218/834-7300 (00331) FAX: 218/834-7388 MS. JO ANN HOAG CAH-25 Minnesota Department of Health Division of Compliance Monitoring Page 242 Directory of Facilities and Services Facility/Service Owner Licensure Certification LAKE ---------------------------********** (Cont.)* -------------------------HWS Corp SAFE HARBOR BOARD & LODGE INC Registration 426 1ST AVENUE (24905) TWO HARBORS, MN 55616 PHONE: 218/834-5501 FAX: MRS. HEIDI LYNN-HOLBECK 218/834-5501 ---------------------------********** Church LAKEWOOD CARE CENTER LAKE OF THE WOODS ******** -------------------------- NH-40 SNF-NF-40 600 MAIN AVENUE SOUTH BAUDETTE, MN 56623 PHONE: 218/634-3488 (21104) FAX: Church LAKEWOOD HEALTH CENTER MR. JASON BRUER 218/634-3416 BASS-3 HOSP-15 CAH-15 600 SOUTH MAIN BAUDETTE, MN 56623 PHONE: 218/634-2120 (00333) FAX: NProf LAKEWOOD HEALTH CENTER MR. JASON BREUER 218/634-3416 HCP-A 600 MAIN AVENUE SOUTH BAUDETTE, MN 56623 PHONE: 218/634-1795 (02138) FAX: MR. JASON BREUER 218/634-3490 RHC NProf LAKEWOOD HEALTH CENTER CLINIC 600 MAIN AVENUE SOUTH BAUDETTE, MN 56623 PHONE: 218/634-2120 (27146) FAX: NProf LAKEWOOD HOSPICE MS. SHAR RAY FEICKERT 218/634-1094 Hospice 806 MAIN STREET W PO BOX 580 BAUDETTE, MN 56623 PHONE: 218/634-1795 (03660) FAX: MR. JASON BREUER 218/634-3490 HWSAL Church PARKERS ARC 600 MAIN AVENUE SOUTH BAUDETTE, MN 56623 PHONE: 218/634-3407 (20421) FAX: MR. JASON BREUER 218/634-3416 ---------------------------********** Corp CENTRAL HEALTH CARE LESUEUR ******** -------------------------- NH-54 SNF-NF-54 444 NORTH CORDOVA LE CENTER, MN 56057 PHONE: 507/357-2275 (00800) FAX: Corp HORIZON PLACE MR. KARL PELOVSKY 507/357-4346 HCP-F HWSAL 510 COMMERCE DRIVE LE CENTER, MN 56057 PHONE: 507/357-2262 (27214) FAX: 507/357-4346 MS. NANCY PETERSON Minnesota Department of Health Division of Compliance Monitoring Page 243 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Cnty LESUEUR COUNTY PUBLIC HEALTH Certification LESUEUR Registration (Cont.)* -------------------------- HCP-A HHA 88 SOUTH PARK AVENUE (02029) LE CENTER, MN 56057 PHONE: 507/357-8246 FAX: 507/357-4223 NProf ECUMEN LECENTER MS. CINDY SHAUGHNESSY HCP-F HWSAL 175 EAST DERRYNANE ST LECENTER, MN 56057 PHONE: 507/357-4104 (20376) FAX: 507/357-4937 Lim-Liab LEISURE COTTAGE MS. CHRISTI CARTER HCP-F HWS 228 SOUTH ELMWOOD AVENUE LESUEUR, MN 56058 PHONE: 507/665-3750 (20230) FAX: Lim-Liab LESUEUR ASSISTED LIVING LLC MS. AMY LIFFRIG 507/720-0362 HWSAL HCP-F 105 PLUM RUN ROAD LESUEUR, MN 56058 PHONE: 507/665-2499 (23904) FAX: 507/665-2637 NProf MINNESOTA VALLEY HLTH CTR INC MR. JASON GESCHWIND NH-68 HOSP-24 SNF-NF-68 CAH-24 621 SOUTH FOURTH STREET LESUEUR, MN 56058 PHONE: 507/665-3375 (00336) FAX: 507/665-2191 MR. JERRY BOERBOOM Home Mgmt NProf AGING SERVICES FOR COMMUNITIES 212 1ST ST S - PO BOX 7 MONTGOMERY, MN 56069 PHONE: 507/364-5663 (23985) FAX: 507/364-5454 Lim-Liab TRADITIONS OF MONTGOMERY LLC MS. SHELLY BARNETT HCP-F HWSAL 399 LEXINGTON AVENUE NW MONTGOMERY, MN 56069 PHONE: 507/364-5585 (26604) FAX: 866/899-6831 NProf GOOD SAM SOCIETY WATERVILLE MS. LISA KROHN NH-38 SNF-NF-38 205 FIRST STREET NORTH WATERVILLE, MN 56096 PHONE: 507/362-4245 (00962) FAX: 507/362-8631 Lim-Liab WATERVILLE ASSISTED LIVING LLC MS. TERESA HILDEBRANDT HCP-F HWS 117 PAQUIN STREET EAST WATERVILLE, MN 56096 PHONE: 507/362-4155 (25965) FAX: 507/362-4151 ---------------------------********** MS. ASHLEY RESLER LINCOLN ******** -------------------------- Minnesota Department of Health Division of Compliance Monitoring Page 244 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf GOOD SHEPHERD HOSPICE Certification LINCOLN Registration (Cont.)* -------------------------- Hospice HSPICE 503 EAST LINCOLN STREET (03298) HENDRICKS, MN 56136 PHONE: 507/275-3134 FAX: MR. JEFF GOLLAHER 507/275-3104 RHC Ind HENDRICKS CLINIC 501 EAST LINCOLN STREET HENDRICKS, MN 56136 PHONE: 507/275-3134 (03493) FAX: MR. JEFFREY GOLLAHER /- NProf HENDRICKS COMM HOSP NH-58 HOSP-24 SNF-NF-58 CAH-24 503 EAST LINCOLN STREET HENDRICKS, MN 56136 PHONE: 507/275-3134 (00340) FAX: NProf HENDRICKS COMMUNITY HOSP HHA MR. JEFF GOLLAHER 507/275-3104 HCP-A HHA 503 EAST LINCOLN STREET HENDRICKS, MN 56136 PHONE: 507/275-3134 (02241) FAX: MR. JEFF GOLLAHER 507/275-3104 HWS NProf LINCOLN LANE VILLA 503 E LINCOLN ST - PO BOX 106 HENDRICKS, MN 56136 PHONE: 218/643-9542 (21339) FAX: NProf DIVINE PROVIDENCE HEALTH CENTR MRS. DAWN POPOWSKI 218/643-9543 NH-25 SNF-NF-25 312 EAST GEORGE STREET IVANHOE, MN 56142 PHONE: 507/694-1414 (00339) FAX: MR. GREG WILSON 507/694-1191 RHC NProf IVANHOE MEDICAL CENTER 366 EAST GEORGE STREET IVANHOE, MN 56142 PHONE: 507/694-1100 (28186) FAX: MR. JEFF GOLLAHER 507/694-1440 HWSAL Corp HOMESTEAD PLACE 503/501 MORK STREET LAKE BENTON, MN 56149 PHONE: 320/441-7001 (20825) FAX: MS. DEBRA OLESON 320/235-8069 HWS NProf DANEBOD VILLAGE HOME 404 DANEBOD VILLAGE DRIVE TYLER, MN 56178 PHONE: 507/247-3200 (22008) FAX: Corp REM SOUTHWEST SERV INC (TYLER) MS. RONI WILLIAMS 507/247-4202 SLFB-10 ICFMR-10 303 HIGHLAND COURT TYLER, MN 56178 PHONE: 507/537-5568 (01247) FAX: 507/537-1450 MR. PATRICK MASYGA Minnesota Department of Health Division of Compliance Monitoring Page 245 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf RIDGEVIEW HOSPICE Certification LINCOLN Registration (Cont.)* -------------------------- Hospice HSPICE 240 WILLOW STREET (03400) TYLER, MN 56178 PHONE: 507/247-5521 FAX: MR. DALE KRUGER 507/247-5972 NProf TYLER HEALTHCARE CENTER INC NH-38 BASS-1 HOSP-20 SNF-NF-38 CAH-20 240 WILLOW STREET TYLER, MN 56178 PHONE: 507/247-5521 (00338) FAX: MR. DALE KRUGER 507/247-5972 NProf TYLER HOME CARE HCP-A HHA 240 WILLOW STREET TYLER, MN 56178 PHONE: 507/247-5973 (02360) FAX: MR. DALE KRUGER 507/247-2392 RHC NProf TYLER MEDICAL CLINIC 210 HIGHLAND COURT TYLER, MN 56178 PHONE: 507/247-5921 (02722) FAX: MR. DALE KRUGER /- ---------------------------********** Corp COLONIAL MANOR OF BALATON LYON ******** -------------------------- NH-33 SNF-NF-33 551 US HIGHWAY 14 BALATON, MN 56115 PHONE: 507/734-3511 (00982) FAX: City LAKEVIEW SENIOR HOUSING MR. PAUL LUITJENS 507/734-2337 HCP-F 651 HIGHWAY 14 EAST BALATON, MN 56115 PHONE: 507/734-6828 (23188) FAX: MR. PAUL LUITZENS 507/734-6830 HWS City LAKEVIEW SENIOR HOUSING 651 US HIGHWAY 14 EAST BALATON, MN 56115 PHONE: 507/734-6828 (22353) FAX: MR. PAUL LUITJENS 507/734-6830 RHC NProf SANFORD CLINIC BALATON HIGHWAY 14E BALATON, MN 56115 PHONE: 507/629-3200 (21356) FAX: Corp FIELDCREST ASSISTED LIVING MR. DANIEL REINER 507/629-3202 HCP-F HWSAL 80 EAST VERMILLION STREET COTTONWOOD, MN 56229 PHONE: 507/423-6691 (20524) FAX: 507/423-6470 MR. JERRY J BOERBOOM Minnesota Department of Health Division of Compliance Monitoring Page 246 Directory of Facilities and Services Facility/Service Owner Licensure Certification LYON ---------------------------********** NProf AVERA MARSHALL REG MED CENTER Registration (Cont.)* -------------------------- 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: MS. MARY MAERTENS 507/537-9053 HWSAL Lim-Liab BOULDER ESTATES 601 VILLAGE DRIVE MARSHALL, MN 56258 PHONE: 507/532-3834 (20507) FAX: MR. JAMES CARR 507/537-2490 NProf BRENTWOOD HOME SLFA-10 1012 ESTHER LANE MARSHALL, MN 56285 PHONE: 507/532-8998 (27145) FAX: MS. CLAUDIA CRAVENS 507/532-3049 HWSAL Corp CENTRAL MINNESOTA SENIOR CARE/ 1232 PATRICA COURT EAST MARSHALL, MN 56258 PHONE: 320/441-7001 (20570) FAX: MS. DEBRA OLESON 320/235-8069 HWS Lim-Liab HILL STREET PLACE 401 SOUTH HILL STREET MARSHALL, MN 56258 PHONE: 507/537-9234 (26126) FAX: MR. JAMES CARR 507/537-9254 ESRD Corp MARSHALL DIALYSIS CTR DAVITA 300 SOUTH BRUCE STREET MARSHALL, MN 56258 PHONE: 507/537-9348 (02535) FAX: MS. SHERRY DANIELS /- NProf PRAIRIE HOME HOSPICE RES-HSPICE-5 1107 SKYLINE CIRCLE MARSHALL, MN 56258 PHONE: 507/537-9247 (22089) FAX: NProf PRAIRIE HOME HOSPICE MS. DODIE DERYNCK 507/537-9258 Hospice HSPICE 408 EAST MAIN STREET #8 MARSHALL, MN 56258 PHONE: 507/337-0080 (02384) FAX: NProf PROJECT TURNABOUT HALFWAY HSE MS. PAT MELLENTHIN 507/337-0081 SLFA-24 1220 BIRCH STREET MARSHALL, MN 56258 PHONE: 507/532-3008 (01617) FAX: Corp REM SOUTHWEST SRVS MARSHALL A MR. MICHAEL SCHIKS 507/532-3058 SLFA-6 ICFMR-6 1003 NORTH FOURTH STREET MARSHALL, MN 56258 PHONE: 507/537-1459 (01042) FAX: 507/537-1450 MR. PATRICK MASYGA Minnesota Department of Health Division of Compliance Monitoring Page 247 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp REM SOUTHWEST SRVS MARSHALL B Certification LYON Registration (Cont.)* -------------------------- SLFA-6 ICFMR-6 1005 NORTH FOURTH STREET (01615) MARSHALL, MN 56258 PHONE: 507/537-1459 FAX: MR. PATRICK MASYGA 507/537-1450 Corp REM SOUTHWEST SRVS MARSHALL C SLFB-6 ICFMR-6 1007 NORTH FOURTH STREET MARSHALL, MN 56258 PHONE: 507/537-1459 (01616) FAX: MR. PATRICK MASYGA 507/537-1450 Corp SOUTHWEST MINNESOTA SURG CTR Outpt Surg Amb Surg 1401 NWAKAMA STREET MARSHALL, MN 56258 PHONE: 507/929-7696 (25540) FAX: MS. MEGAN JOHNSON 507/393-7697 Lim-Liab STEPPING STONE HOME HEALTH CAR HCP-F 601 VILLAGE DRIVE MARSHALL, MN 56258 PHONE: 507/537-2413 (26940) FAX: MR. JIM KNUDSON 507/537-2430 Lim-Liab TOUCHING HEARTS HOME CARE HCP-A 1210 EAST COLLEGE DR SUITE 800 MARSHALL, MN 56258 PHONE: 507/337-1101 (24577) FAX: MS. DEBORA BLOMME 507/337-1102 CMHC NProf WESTERN HUMAN DEVELOPMENT CTR 1106 EAST COLLEGE DRIVE MARSHALL, MN 56258 PHONE: 507/532-3236 (02768) FAX: DR. JOSEPH STEGER /- Part MADISON AVENUE APARTMENTS HCP-F HWSAL 700 NORTH MADISON STREET MINNEOTA, MN 56264 PHONE: 507/872-5300 (20238) FAX: MS. KATHY JOHNSON 507/872-5359 Corp MINNEOTA MANOR HCC NH-67 SNF-NF-67 700 NORTH MONROE STREET MINNEOTA, MN 56264 PHONE: 507/872-5300 (00887) FAX: MS. KATHY JOHNSON 507/872-5359 Corp TOWN AND COUNTRY HHC HCP-A HHA 700 NORTH MONROE STREET MINNEOTA, MN 56264 PHONE: 507/872-5300 (02412) FAX: 507/872-5359 MS. KATHY JOHNSON HWS NProf O BRIEN COURT 410 STATE STREET TRACY, MN 56175 PHONE: 507/629-3449 (20304) FAX: /- MS. CINDY SWENHAUGEN Minnesota Department of Health Division of Compliance Monitoring Page 248 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp PRAIRIE VIEW HEALTHCARE CENTER Certification LYON Registration (Cont.)* -------------------------- NH-55 SNF-NF-55 250 FIFTH STREET EAST (00342) TRACY, MN 56175 PHONE: 507/629-3331 FAX: MR. JASON SWANSON 507/629-3086 RHC NProf SANFORD CLINIC TRACY 251 FIFTH STREET EAST TRACY, MN 56175 PHONE: 507/629-3520 (03335) FAX: MR. DANIEL REINER /- NProf SANFORD TRACY MEDICAL CENTER HOSP-25 CAH-25 251 FIFTH STREET EAST TRACY, MN 56175 PHONE: 507/629-3200 (00344) FAX: MS. STACY BARSTAD 507/629-3202 Lim-Liab SHETEK HOME CARE HCP-A HHA 251 FIFTH STREET EAST TRACY, MN 56175 PHONE: 507/212-4155 (02748) 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 MAHNOMEN, MN 56557 PHONE: 218/935-2511 (00353) FAX: MS. SUSAN KLASSEN 218/935-2370 RHC NProf SANFORD HEALTH MAHNOMEN CLINIC 414 WEST JEFFERSON PO BOX 396 MAHNOMEN, MN 56557 PHONE: 218/935-2514 (03424) FAX: MS. CHARLOTTE WHITTEY /- ---------------------------********** Lim-Liab TAMARAC SENIOR LIVNG COMMUNITY MARSHALL ******** -------------------------- HCP-F HWSAL 900 LINCOLN AVENUE STEPHEN, MN 56757 PHONE: 218/478-2850 (23935) FAX: NProf GOOD SAM SOCIETY WARREN MS. MINDY GERSZEWSKI 218/478-2852 NH-60 SNF-NF-60 410 SOUTH MCKINLEY STREET WARREN, MN 56762 PHONE: 218/745-5282 (00356) FAX: 218/745-6434 MR. TIMOTHY BYRNE HWS NProf GOOD SAMARITAN APARTMENTS 434 SOUTH MCKINLEY STREET WARREN, MN 56762 PHONE: 218/745-5282 (23993) FAX: 218/745-6434 MR. TIMOTHY BYRNE Minnesota Department of Health Division of Compliance Monitoring Page 249 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf NORTH VALLEY HEALTH CENTER Certification MARSHALL Registration (Cont.)* -------------------------- HOSP-20 CAH-20 109 SOUTH MINNESOTA STREET (00871) WARREN, MN 56762 PHONE: 218/745-4211 FAX: MS. ASHLEY KING 218/745-4215 RHC NProf NORTH VALLEY HLTH CTR CLINIC 109 SOUTH MINNESOTA STREET WARREN, MN 56762 PHONE: 218/745-4211 (03790) FAX: MS. ASHLEY KING /- ---------------------------********** Corp GOLDFINCH ESTATES MARTIN ******** -------------------------- HCP-F HWSAL 850 GOLDFINCH STREET FAIRMONT, MN 56031 PHONE: 507/235-9405 (23692) FAX: Cnty HUMAN SERVICES OF FARIBAULT & MR. RAMSEY JENNINGS 507/238-4163 HCP-A 115 WEST 1ST STREET FAIRMONT, MN 56031 PHONE: 507/238-4757 (21571) FAX: Corp INGLESIDE MS. KATHY WERNER 507/238-1574 HCP-F HWSAL 2811 ROLAND AVENUE FAIRMONT, MN 56031 PHONE: 507/238-9654 (20004) FAX: NProf LAKEVIEW METHODIST HCC MR. ERIC WORKE 507/238-1442 NH-95 SNF-NF-95 610 SUMMIT DRIVE FAIRMONT, MN 56031 PHONE: 507/235-6606 (00360) FAX: MR. ROBERT LAKE 507/235-3995 HWS NProf MAPLEWOOD RESIDENCE INC 620 SUMMIT DRIVE FAIRMONT, MN 56031 PHONE: 507/235-3443 (23768) 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 FAIRMONT, MN 56031 PHONE: 507/238-8101 (00359) FAX: 507/238-8686 MR. ROBERT BARTINGALE ESRD NProf MAYO DIALYSIS FAIRMONT 835 JOHNSON STREET FAIRMONT, MN 56031 PHONE: 507/238-8100 (23115) FAX: 507/238-8686 MS. DAWN TWEED Minnesota Department of Health Division of Compliance Monitoring Page 250 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification MARTIN (Cont.)* -------------------------HWS-O Corp REM HEARTLAND INC - ODYSSEY Registration 1205 VICTORIA (27383) FAIRMONT, MN 56031 PHONE: 507/238-9932 FAX: Corp REM HEARTLAND INC AMBER MS. LORI LARSON 507/235-9781 ICFMR-14 SLFB-14 107 DOROTHY STREET FAIRMONT, MN 56031 PHONE: 507/238-4751 (01205) FAX: Corp REM HEARTLAND INC BUDD MS. CONNIE MENNE 507/238-4753 ICFMR-12 SLFB-12 111 DOROTHY STREET FAIRMONT, MN 56031 PHONE: 507/238-4751 (01427) FAX: Lim-Liab SO CENTRAL SURGICAL CTR LLC MS. CONNIE MENNE 507/238-4753 Outpt Surg Amb Surg 717 SOUTH STATE ST SUITE 1000 FAIRMONT, MN 56031 PHONE: 507/235-3939 (20623) FAX: NProf WOODLAND MANOR MR. BRYON NELSEN 507/238-3375 HCP-F HWSAL 610 SUMMIT DRIVE FAIRMONT, MN 56031 PHONE: 507/235-6606 (20996) FAX: NProf COMM OPTIONS AND RESOURCES I MR. ROBERT LAKE 507/235-3995 SLFB-6 ICFMR-6 332 FOX LAKE AVE PO BOX 333 SHERBURN, MN 56171 PHONE: 507/764-4612 (01045) FAX: Lim-Liab TEMPERANCE LAKE RIDGE MS. JUDY MARTENS 507/764-4067 HCP-F HWSAL 410 FOX LAKE AVENUE SHERBURN, MN 56171 PHONE: 507/764-4977 (21944) FAX: City TRIMONT HEALTH CARE CENTER MS. JEANNE JAECKELS 507/764-2592 NH-36 SNF-NF-36 303 BROADWAY AVENUE SOUTH TRIMONT, MN 56176 PHONE: 507/639-2381 (00365) FAX: Corp TRUMAN SENIOR LIVING MS. CINDY VERSCHELDE 507/639-2142 NH-50 SNF-NF-50 400 NORTH FOURTH AVENUE EAST TRUMAN, MN 56088 PHONE: 507/776-2031 (00361) FAX: Corp TRUMAN SENIOR LIVING INC MS. LORNA CRAIG-PAULSON 507/776-2032 HCP-F HWSAL 400 NORTH 4TH AVENUE EAST TRUMAN, MN 56088 PHONE: 507/776-2031 (22125) FAX: 507/776-2032 MS. LORNA CRAIG PAULSON Minnesota Department of Health Division of Compliance Monitoring Page 251 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp SHADE TREE RETIREMENT CENTER Certification MCLEOD Registration ******** -------------------------- 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 GLENCOE, MN 55336 PHONE: 320/864-9926 (28070) 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 GLENCOE, MN 55336 PHONE: 320/864-3121 (00351) FAX: Lim-Liab GRAND MEADOWS MR. JON BRABAND 320/864-7887 HCP-F 1420 PRAIRIE AVENUE GLENCOE, MN 55336 PHONE: 320/864-5577 (29045) FAX: MS. PATRICIA ISAACSON 320/864-5350 HWSAL Corp GRAND MEADOWS INC 1420 PRAIRIE AVENUE GLENCOE, MN 55336 PHONE: 320/864-5577 (28964) FAX: Lim-Liab GUARDIAN IN HM HEALTH & SECRTY MS. PATRICIA ISAACSON 320/864-5350 HCP-B 14907 125TH STREET GLENCOE, MN 55336 PHONE: 320/864-6544 (26619) FAX: MS. SONYA BORG 267/695-6865 HWS NProf ORCHARD ESTATES 1900 FORD AVENUE NORTH GLENCOE, MN 55336 PHONE: 320/864-7798 (20002) FAX: MS. NANCY ELLEFSON 320/864-7887 HWSAL Corp BIRCHWOOD HOUSE 710 PARK ISLAND DRIVE HUTCHINSON, MN 55350 PHONE: 320/587-7737 (29202) FAX: Corp CEDAR CREST ESTATE MS. JUDITH FIGGE 320/234-7950 HCP-F HWSAL 225 SHADY RIDGE ROAD HUTCHINSON, MN 55350 PHONE: 320/587-7077 (20040) FAX: NProf CONNECTCARE MS. ROSALIND EWALD 320/327-0147 HCP-A HHA 211 FREEMONT AVENUE SE HUTCHINSON, MN 55350 PHONE: 320/234-5031 (03552) FAX: 320/234-5032 MS. MONICA STANTON Minnesota Department of Health Division of Compliance Monitoring Page 252 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf CONNECTCARE Certification MCLEOD Registration (Cont.)* -------------------------- Hospice HSPICE 211 FREEMONT AVENUE SOUTHEAST (20626) HUTCHINSON, MN 55350 PHONE: 320/234-5031 FAX: MS. MONICA STANTON 320/234-5032 NProf ECUMEN OAKS HCP-F HWSAL 945 CENTURY AVENUE SW HUTCHINSON, MN 55350 PHONE: 320/234-0865 (20784) FAX: MRS. BERIT SPORS 320/234-6008 HWSAL NProf ECUMEN PINES 1015 CENTURY AVE SW HUTCHINSON, MN 55350 PHONE: 320/234-0865 (23788) FAX: MRS. BERIT SPORS 320/234-8306 ESRD Corp FMC DIALYSIS SRVS HUTCHINSON 1095 HIGHWAY 15 SOUTH HUTCHINSON, MN 55350 PHONE: 320/234-4940 (03327) FAX: MR. JOHN MARIETTI /- NProf HARMONY RIVER LIVING CENTER NH-120 SNF-NF-120 1555 SHERWOOD STREET SOUTHEAST HUTCHINSON, MN 55350 PHONE: 320/484-6000 (00348) FAX: NProf HARMONY RIVER LIVING CENTER MS. DEBRA NEVIN-INTERIM 320/484-6001 HCP-F HWSAL-O 1555 SHERWOOD STREET SOUTHEAST HUTCHINSON, MN 55350 PHONE: 320/484-6000 (28986) FAX: MS. LINDA KRENTZ 320/234-5002 HWS-O HRA HUTCH H & R AUTHORITY PARK TOW 133 3RD AVENUE SOUTHWEST HUTCHINSON, MN 55350 PHONE: 320/587-2168 (20464) FAX: NProf HUTCHINSON HEALTH MS. JEAN WARD 320/587-3748 BASS-6 HOSP-66 HOSP-54 PPS-P-12 1095 HIGHWAY 15 SOUTH HUTCHINSON, MN 55350 PHONE: 320/234-5000 (00350) FAX: DR. STEVEN MULDER 320/234-4667 HWSAL Lim-Liab PRAIRIE SENIOR COTTAGES OF HUT 1320 BRADFORD STREET HUTCHINSON, MN 55350 PHONE: 320/587-5508 (20737) FAX: Lim-Liab PRAIRIE SR COTTAGES HUTCHINSON MR. JOHN PETERSON 320/587-7491 HCP-F HWSAL 1310 BRADFORD STREET HUTCHINSON, MN 55350 PHONE: 320/587-5508 (20745) FAX: 320/587-7491 MR. JOHN PETERSON Minnesota Department of Health Division of Compliance Monitoring Page 253 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification MCLEOD (Cont.)* -------------------------HWS NProf PRINCE OF PEACE RETIREMENT LIV Registration 301 GLEN STREET SOUTHWEST (20080) HUTCHINSON, MN 55350 PHONE: 320/234-7588 FAX: 320/234-6355 Corp REGIONAL EYE SURGERY CTR INC MS. MERLINE DUERING Outpt Surg Amb Surg 1455 MONTREAL ST SE PO BOX 699 HUTCHINSON, MN 55350 PHONE: 320/234-6660 (24516) FAX: 320/234-3570 MS. KIMBERLY MACKERETH HWSAL Lim-Liab CEDAR CREST OF SILVER LAKE 1401 MAIN STREET WEST SILVER LAKE, MN 55381 PHONE: 320/327-6577 (26903) FAX: NProf BENEDICTINE LV COMM OF WINSTED MS. ROSALIND EWALD 320/587-7077 HCP-F HWSAL 215 LINDEN AVENUE WEST WINSTED, MN 55395 PHONE: 320/485-4303 (24030) FAX: 320/485-4900 NProf BENEDICTINE LVG COMM WINSTED MS. CHRISTINA HAUPT NH-70 SNF-NF-70 551 4TH ST NORTH WINSTED, MN 55395 PHONE: 320/485-2151 (00352) FAX: 320/485-4241 MS. CHRISTINA GAMALDI HWSAL NProf GARDEN HOUSE AT ST MARYS 300 FAIRLAWN AVENUE WEST WINSTED, MN 55395 PHONE: 320/485-2151 (28112) FAX: 320/485-4241 NProf OUTREACH TRILLIUM WEST MS. CHRISTINA GAMALDI SLFB-6 ICFMR-6 306 WESTGATE DRIVE PO BOX 246 WINSTED, MN 55395 PHONE: 320/485-3759 (01614) FAX: 320/485-4738 MS. MARY TJOSVOLD ---------------------------********** MEEKER ******** -------------------------HWSAL Lim-Liab CEDAR CREST OF COSMOS 130 NEPTUNE STREET NORTH COSMOS, MN 56228 PHONE: 320/877-9100 (22174) FAX: Lim-Liab LAKEVIEW RANCH HEALTHCARE LLC MS. ROSALIND EWALD 320/587-4299 HCP-A 69531 213TH STREET DARWIN, MN 55324 PHONE: 320/275-4027 (26341) FAX: 320/275-4028 MS. JUDY BERRY Minnesota Department of Health Division of Compliance Monitoring Page 254 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab LAKEVIEW RANCH HEALTHCARE LLC Certification MEEKER Registration (Cont.)* -------------------------- 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 DARWIN, MN 55324 PHONE: 320/275-4027 (20829) FAX: MS. JUDY BERRY 320/275-4028 RHC NProf DASSEL MEDICAL CENTER 460 FIFTH STREET N BOX 367 DASSEL, MN 55325 PHONE: 320/275-3358 (02801) FAX: DR. STEVEN MULDER /- HWSAL NProf LAKESIDE APARTMENTS 441 WILLIAM AVENUE EAST DASSEL, MN 55325 PHONE: 320/275-3308 (20568) FAX: Lim-Liab LAKESIDE ASSISTED LIVING MR. WILLIAM WARD 320/275-3433 HCP-F 441 WILLIAM AVENUE EAST DASSEL, MN 55325 PHONE: 320/275-3308 (26188) FAX: Lim-Liab LAKESIDE HEALTH CARE CENTER MR. WILLIAM WARD 320/275-3433 NH-54 SNF-NF-54 439 WILLIAM AVE E PO BOX 383 DASSEL, MN 55325 PHONE: 320/275-3308 (00773) FAX: MR. WILLIAM WARD 320/275-3433 HWS Corp LAKEVIEW RANCH INC 22851 MINNESOTA HIGHWAY 15 DASSEL, MN 55325 PHONE: 320/275-4027 (22067) FAX: MS. JUDY BERRY 320/275-4028 HWSAL Church BETHANY ASSISTED LIVING 203 NORTH ARMSTRONG AVE LITCHFIELD, MN 55355 PHONE: 320/693-2430 (23748) FAX: MS. REBECCA WARPULA 320/373-6610 ESRD NProf CENTRACARE LITCHFIELD DIALYSIS 520 US HIGHWAY 12 EAST LITCHFIELD, MN 55355 PHONE: 320/693-7777 (25910) FAX: NProf ECUMEN LITCHFIELD SR HSG SERVS MS. CATHY SINDELIR 320/693-1555 HCP-F 203 NORTH ARMSTRONG AVENUE LITCHFIELD, MN 55355 PHONE: 320/693-2430 (21203) FAX: 320/373-6610 MR. CRAIG SMITH Minnesota Department of Health Division of Compliance Monitoring Page 255 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf ECUMEN OF LITCHFIELD HC & HSPC Certification MEEKER Registration (Cont.)* -------------------------- Hospice HSPICE 218 NORTH HOLCOMBE (03129) LITCHFIELD, MN 55355 PHONE: 320/693-7367 FAX: NProf ECUMEN OF LITCHFIELD HOME CARE MS. KARI EVERSON 320/693-7418 HCP-A HHA 218 N HOLCOMBE AVE LITCHFIELD, MN 55355 PHONE: 320/693-7367 (02364) FAX: Church EMMANUEL HOME MS. KARI EVERSON 320/693-0433 NH-92 SNF-NF-92 600 SOUTH DAVIS AVENUE LITCHFIELD, MN 55355 PHONE: 320/693-2472 (00775) FAX: MR. CRAIG SMITH 320/693-2242 HWS Church EMMAUS PLACE 200 NORTH HOLCOMBE LITCHFIELD, MN 55355 PHONE: 320/693-2430 (20586) FAX: MS. REBECCA WARPULA 320/373-6610 HWS Church GLORIA DEI MANOR 218 NORTH HOLCOMBE AVENUE LITCHFIELD, MN 55355 PHONE: 320/693-2430 (20108) FAX: MS. REBECCA WARPULA 320/373-6610 HWS HRA HOUSING REDEVELOPMENT LITCHFIE 122 WEST FOURTH STREET LITCHFIELD, MN 55355 PHONE: 320/693-2104 (20584) FAX: Cnty MEEKER MEM HOSP MS. PAT BRAATEN 320/593-8199 BASS-4 HOSP-35 CAH-25 PPS-P-10 612 SOUTH SIBLEY AVENUE LITCHFIELD, MN 55355 PHONE: 320/693-3242 (00370) FAX: Lim-Liab HILLTOP HEALTH CARE CENTER MR. KYLE RASMUSSEN 320/693-4567 NH-50 SNF-NF-50 410 LUELLA STREET WATKINS, MN 55389 PHONE: 320/764-2300 (00798) FAX: 320/764-2665 MR. FRED STRUZYK HWSAL NProf WATKINS AREA HOMES 150 3RD STREET SOUTH WATKINS, MN 55389 PHONE: 320/764-5600 (21229) FAX: 320/764-5601 MS. JOLEEN PFAU HWSAL NProf WATKINS AREA HOMES 181 3RD STREET SOUTH WATKINS, MN 55389 PHONE: 320/764-5600 (21231) FAX: 320/764-5601 MS. JOLEEN PFAU Minnesota Department of Health Division of Compliance Monitoring Page 256 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification MEEKER (Cont.)* -------------------------HWSAL NProf WATKINS AREA HOMES Registration 161 3RD STREET SOUTH (21230) WATKINS, MN 55389 PHONE: 320/764-5600 FAX: MS. JOLEEN PFAU 320/764-5601 HWS-O NProf WATKINS AREA HOMES II / ST ANT 131 CHURCH STREET WATKINS, MN 55389 PHONE: 320/764-5600 (21232) FAX: MS. JOLEEN PFAU 320/764-5601 ---------------------------********** Lim-Liab SCANDIA SENIOR CARE LLC MILLE LACS ******** -------------------------- HCP-A 15622 135TH STREET FORESTON, MN 56330 PHONE: 320/294-5335 (25867) FAX: MR. KENNETH BERGSTROM 320/294-5336 RHC NProf MILLE LACS FAMILY CLINIC ISLE 375 WEST ISLE ST ISLE, MN 56342 PHONE: 320/676-3661 (02461) FAX: MR. WILLIAM NELSON 320/676-3672 HWSAL Lim-Liab SCANDIA HOUSE OF ISLE 540 EAST ISLE STREET ISLE, MN 56342 PHONE: 320/676-3260 (28438) FAX: NProf COUNTRY MEADOWS MR. KENNETH BERGSTROM 320/676-3230 HCP-F HWSAL 740 2ND STREET SE MILACA, MN 56353 PHONE: 320/983-6386 (24336) FAX: Church ELIM HOME - MILACA MS. LAURA BROBERG 320/983-6824 NH-98 SNF-NF-98 730 SECOND ST SE PO BOX 157 MILACA, MN 56353 PHONE: 320/983-2185 (00376) FAX: Corp HERITAGE HOUSE OF MILACA MS. LAURA BROBERG 320/983-2190 HCP-F HWSAL 115 9TH ST NW SUITE 120 MILACA, MN 56353 PHONE: 320/982-7000 (23743) FAX: NProf LAKE SONG ASSISTED LIVING MS. LORI CARLSON 320/982-7001 HCP-F HWSAL 206 NORTH ELM STREET ONAMIA, MN 56359 PHONE: 320/532-2000 (24552) FAX: 320/532-3833 MR. KERMIT HOLL Minnesota Department of Health Division of Compliance Monitoring Page 257 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 ONAMIA, MN 56359 PHONE: 320/532-3154 (02459) 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 ONAMIA, MN 56359 PHONE: 320/532-2889 (00374) FAX: NProf MILLE LACS HLTH SYS HOSPICE MR. ANDREW BURNSIDE 320/532-2743 HSPICE Hospice 200 NORTH ELM STREET ONAMIA, MN 56359 PHONE: 320/532-2800 (03598) FAX: NProf MILLE LACS HOME CARE MS. SHELLY HANNEKEN 320/532-4325 HCP-A HHA 200 ELM ST NORTH ONAMIA, MN 56359 PHONE: 320/532-2800 (02323) FAX: MR. WILLIAM NELSON 320/532-4325 HWS Part BELLE HAVEN TOWNHOMES LP 101 18TH AVENUE NORTH PRINCETON, MN 55371 PHONE: 763/389-5080 (24251) FAX: NProf CALEY HOUSE ASSISTED LIVING MR. JEFFREY LARSON 763/389-5080 HCP-F HWSAL 104 SOUTH EIGHTH AVENUE PRINCETON, MN 55371 PHONE: 763/389-0424 (21649) FAX: MR. TODD LUNDEEN 763/389-0436 ESRD NProf CENTRACARE KIDNEY PROGRAM 112 SOUTH RUM RIVER DRIVE #10 PRINCETON, MN 55371 PHONE: 763/389-2048 (21067) FAX: MS. CATHY SINDELIR 763/389-2325 ESRD Corp CENTRAL MINNESOTA REG DIALYSIS 124 RUM RIVER DRIVE NORTH PRINCETON, MN 55371 PHONE: 763/389-1045 (21096) FAX: Church ELIM HOME MR. JOHN MARIETTI 763/389-1084 NH-113 SNF-NF-113 701 FIRST STREET PRINCETON, MN 55371 PHONE: 763/389-1171 (00375) FAX: 763/389-0432 MR. TODD LUNDEEN Minnesota Department of Health Division of Compliance Monitoring Page 258 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 PRINCETON, MN 55371 PHONE: 763/389-8655 (28071) FAX: MS. MARNI GUSTAFSON /- HWS-O Part WOMENS TRANSITIONAL HOUSING 1213 11TH AVENUE NORTH PRINCETON, MN 55371 PHONE: 763/389-5080 (27496) FAX: MS, JANA ENGH 763/631-9117 ---------------------------********** MORRISON ******** -------------------------RHC NProf MILLE LACS FAMILY CLINIC 26362 370TH AVENUE HILLMAN, MN 56338 PHONE: 320/277-3682 (23611) FAX: MR. DANIEL REINER /- Lim-Liab BRIDGEWAY ESTATES HCP-F HWSAL 103 12TH STREET NE LITTLE FALLS, MN 56345 PHONE: 320/632-2089 (21656) FAX: MR. SCOT ALLEN 320/632-2097 ESRD NProf CENTRACARE KIDNEY PROGRAM LITT 808 THIRD STREET SE SUITE 330 LITTLE FALLS, MN 56345 PHONE: 320/632-5441 (02119) FAX: MR. JOHN FROBENIUS /- HWSAL Corp CENTRAL MINNESOTA SENIOR CARE 315 SIXTH STREET SOUTHWEST LITTLE FALLS, MN 56345 PHONE: 320/441-7001 (20317) FAX: Lim-Liab COMFORT KEEPERS MS. DAWN FRERICKS 320/235-8069 HCP-A 211 1ST STREET NORTHEAST LITTLE FALLS, MN 56345 PHONE: 320/632-0924 (27578) FAX: 320/632-0918 MR. JAY VASEK HWSAL Lim-Liab DIAMOND WILLOW ASSISTED LIVING 1405 5TH AVENUE NE LITTLE FALLS, MN 56345 PHONE: 320/616-2848 (25705) FAX: 320/616-2910 MS. BRENDA MARSHALL Minnesota Department of Health Division of Compliance Monitoring Page 259 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 LITTLE FALLS, MN 56345 PHONE: 320/632-9449 (23236) FAX: MS. BRIDGET BRITZ 320/632-2913 Lim-Liab HIGHLAND SENIOR LVG COMMUNITY HCP-F HWSAL 1012 3RD AVENUE NE LITTLE FALLS, MN 56345 PHONE: 320/632-1880 (27367) FAX: MS. JEAN JAECKELS 320/414-0353 Church LUTHERAN CARE CENTER SNF-NF-55 NH-55 1200 FIRST AVENUE NE LITTLE FALLS, MN 56345 PHONE: 320/632-9211 (00382) FAX: MR. SCOT ALLEN 320/632-2097 Corp MINNESOTA HERITAGE HOUSE HCP-F 920 SOUTHEAST FOURTH STREET LITTLE FALLS, MN 56345 PHONE: 320/631-4104 (21049) FAX: MR. JAMES BIRCHEM 320/631-4106 Cnty MORRISON CO PUBLIC HEALTH HCP-A 200 EAST BROADWAY LITTLE FALLS, MN 56345 PHONE: 320/632-6664 (02031) FAX: MS. BONNIE PAULSEN 320/632-0392 CMHC ONProf NORTHERN PINES MENTAL HLTH CTR PO BOX 367 ROUTE 5 BOX 257 LITTLE FALLS, MN 56345 PHONE: 320/632-6647 (02769) FAX: MR. JOHN PETERSON /- HWSAL-O Corp NOUIS HOME CARE INC 308 1ST STREET SOUTHEAST LITTLE FALLS, MN 56345 PHONE: 320/632-3868 (28501) FAX: NProf ST CAMILLUS PLACE MR. LEROY NOUIS 320/632-4315 SLFB-14 ICFMR-14 1100 SOUTHEAST 4TH STREET LITTLE FALLS, MN 56345 PHONE: 320/631-5020 (01478) FAX: Church ST GABRIELS HOSPITAL MS. LISA THIELMAN 320/631-5025 BASS-10 HOSP-49 815 SOUTHEAST SECOND STREET LITTLE FALLS, MN 56345 PHONE: 320/631-5600 (00383) FAX: 320/631-5680 MR. CHAD COOPER CAH-25 Minnesota Department of Health Division of Compliance Monitoring Page 260 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp ST OTTOS CARE CENTER Certification MORRISON Registration (Cont.)* -------------------------- 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 LITTLE FALLS, MN 56345 PHONE: 320/632-3868 (28378) FAX: MR. LEROY NOUIS 320/632-4315 ONProf UNITY FAMILY HOME CARE HOSPICE HCP-A HHA 815 SOUTHEAST SECOND STREET LITTLE FALLS, MN 56345 PHONE: 320/631-5575 (02813) FAX: MS. LAURA SCHERER 320/631-1650 ONProf UNITY FAMILY HOSPICE Hospice HSPICE 815 SOUTHEAST SECOND STREET LITTLE FALLS, MN 56345 PHONE: 320/631-5575 (03097) FAX: MS. LAURA SCHERER 320/631-1650 HWSAL NProf HARMONY HOUSE OF MOTLEY I 900 EASTWOOD LANE SOUTH MOTLEY, MN 56466 PHONE: 218/352-6941 (20572) FAX: MS. BRIDGET BRITZ 218/352-6942 HWSAL NProf HARMONY HOUSE OF MOTLEY III 908 EASTWOOD LANE SO SUITE 1 MOTLEY, MN 56466 PHONE: 218/352-6941 (20971) FAX: MS. BRIDGET BRITZ 218/352-6942 RHC NProf LAKEWOOD CLINIC MOTLEY 1233 HIGHWAY 10 MOTLEY, MN 56466 PHONE: 320/352-6911 (22117) FAX: MR. TIMOTHY RICE /- RHC NProf FAMILY MEDICAL CENTER 200 SOUTH FIRST AVENUE PIERZ, MN 56364 PHONE: 320/468-2536 (27043) FAX: MR. DENNIS DVORAK 320/468-2728 HWSAL NProf HARMONY HOUSE 26886 143RD STREET PIERZ, MN 56364 PHONE: 320/468-2811 (20172) FAX: NProf HARMONY HOUSE MS. BRIDGET BRITZ 320/468-6863 HCP-F 26814 - 143RD ST PO BOX 220 PIERZ, MN 56364 PHONE: 320/468-6451 (20767) FAX: 320/468-6463 MS. BRIDGET BRITZ Minnesota Department of Health Division of Compliance Monitoring Page 261 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf HORIZON HEALTH HOSPICE Certification MORRISON Registration (Cont.)* -------------------------- Hospice 26814 143RD STREET (28959) PIERZ, MN 56364 PHONE: 320/468-6451 FAX: MS. PAT POSTER 320/468-6452 NProf HORIZON HEALTH INC HCP-A HHA 26814 143RD STREET PO BOX 220 PIERZ, MN 56364 PHONE: 320/468-6451 (03347) FAX: MS. BRIDGET BRITZ 320/468-6452 Corp PIERZ MEADOW PONDS INC HCP-F HWSAL 305 RONALD AVENUE PIERZ, MN 56364 PHONE: 320/468-2949 (23849) FAX: MRS. ANGELA ATHMAN 320/468-2955 Corp PIERZ VILLA INC NH-50 SNF-NF-50 119 FAUST STREET SOUTHEAST PIERZ, MN 56364 PHONE: 320/468-6405 (00384) FAX: MS. KIM ROCHELEAU 320/468-0088 RHC NProf RANDALL LAKES AREA CLINIC 250 WHITE OAK DRIVE RANDALL, MN 56475 PHONE: 320/749-2877 (27045) FAX: MR. DENNIS DVORAK /- Corp RIVERSIDE ASSISTED LIVING HCP-F HWSAL 812 CENTRE STREET EAST ROYALTON, MN 56373 PHONE: 320/584-6484 (24459) FAX: MRS. PAULA ROCHELEAU 320/584-5003 ---------------------------********** City ADAMS HEALTH CARE CENTER MOWER ******** -------------------------- NH-54 SNF-NF-54 810 WEST MAIN STREET ADAMS, MN 55909 PHONE: 507/582-3263 (00754) FAX: City ADAMS HOME HEALTH AGENCY MR. MICHAEL CORCHRAN 507/582-7793 HCP-F 810 WEST MAIN ADAMS, MN 55909 PHONE: 507/582-7704 (26961) FAX: City ADAMS HOME HEALTH CARE MS. CHERYL GUSTASON 507/582-3275 HCP-A HWSAL 810 WEST MAIN STREET ADAMS, MN 55909 PHONE: 507/582-7704 (02812) FAX: 507/582-3275 MS. CHERYL GUSTASON Minnesota Department of Health Division of Compliance Monitoring Page 262 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf CROSS HOME Certification MOWER Registration (Cont.)* -------------------------- SLFB-4 ICFMR-4 302 1ST STREET (01417) ADAMS, MN 55909 PHONE: 507/324-3725 FAX: State AUSTIN MSOCS MS. JERI SCHOONOVER 507/582-3221 SLFB-6 ICFMR-6 1000 12TH STREET SOUTHWEST AUSTIN, MN 55912 PHONE: 507/433-9027 (01639) FAX: Part CEDARS OF AUSTIN MR. ROGER DENEEN 507/433-9046 HCP-F HWSAL 700 FIRST DRIVE NORTHWEST AUSTIN, MN 55912 PHONE: 507/437-3246 (20189) FAX: NProf GLENDALOUGH OF AUSTIN INC MS. LUCINDA GARDNER 507/437-3248 SLFB-6 ICFMR-6 1409 12TH AVENUE NORTHWEST AUSTIN, MN 55912 PHONE: 507/433-6499 (01645) FAX: NProf GOOD SAM SOCIETY COMFORCARE MR. RUSS KENNEDY 507/334-4394 NH-45 SNF-NF-45 1201 17TH STREET NE AUSTIN, MN 55912 PHONE: 507/437-4526 (00967) FAX: Church KENWOOD HERITAGE LIVING MS. SARA RUPKALUIS 507/437-9024 HCP-F HWSAL 400 SOUTHWEST 15TH AVENUE AUSTIN, MN 55912 PHONE: 507/437-4594 (20978) FAX: Part KINGSLEY HOUSE MR. CHRIS SCHULZ 507/396-0534 HCP-F HWS 206 1ST STREET SOUTHWEST AUSTIN, MN 55912 PHONE: 507/437-7681 (20752) FAX: Lim-Liab KSMS OUR HOUSE LLC MR. JEFF BRADLEY 507/434-2139 HCP-F HWSAL 204 14TH STREET NORTHWEST AUSTIN, MN 55912 PHONE: 507/437-2179 (20449) FAX: NProf MAYO CLINIC HEALTH SYS AUSTIN MR. RANDY KLEIN 507/437-2310 Hospice HSPICE 408 NORTHWEST FOURTH AVENUE AUSTIN, MN 55912 PHONE: 507/434-1415 (03409) FAX: NProf MAYO CLINIC HEALTH SYS AUSTIN MR. ADAM REES 507/434-1276 BASS-10 HOSP-82 1000 FIRST DRIVE NORTHWEST AUSTIN, MN 55912 PHONE: 507/433-7351 (00395) FAX: 507/434-1992 MR. ADAM REES HOSP-66 PPS-P-16 Minnesota Department of Health Division of Compliance Monitoring Page 263 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab NURSE CARE EVERY SEASON LIFE Certification MOWER Registration (Cont.)* -------------------------- HCP-A 2005 D OAK TREE LANE (28756) AUSTIN, MN 55912 PHONE: 507/884-6025 FAX: MS. NANCY JOHNSON 507/884-6025 HWSAL Lim-Liab OUR HOUSE SENIOR LIVING 1401 15TH AVENUE NW AUSTIN, MN 55912 PHONE: 507/396-0085 (21746) FAX: MR. RANDY KLEIN 507/396-0087 HWSAL Lim-Liab OUR HOUSE SENIOR LIVING 1313 15TH AVENUE NW AUSTIN, MN 55912 PHONE: 507/437-3373 (24097) FAX: Lim-Liab PRIMROSE LEASE MANAGEMENT LLC MR. RANDY KLEIN 507/437-3383 HWSAL HCP-F 1701 22ND AVE SW AUSTIN, MN 55912 PHONE: 507/434-0600 (21689) FAX: Corp REFLECTIONS ASSISTED LIVING MR. MARK MCNEARY 507/434-0041 HCP-F HWSAL 300 SECOND STREET SW AUSTIN, MN 55912 PHONE: 507/440-6564 (25944) FAX: Corp REM WOODVALE INC CEDAR I MR. GARY CORCORAN 507/437-2393 SLFA-8 ICFMR-8 310 3RD STREET SOUTHEAST AUSTIN, MN 55912 PHONE: 507/433-7301 (01276) FAX: Corp REM WOODVALE INC CEDAR IV MR. PATRICK MASYGA 507/433-4597 SLFB-6 ICFMR-6 1710 22ND AVENUE SOUTHWEST AUSTIN, MN 55912 PHONE: 507/451-1296 (01306) FAX: MR. PATRICK MASYGA 507/451-1349 HWSAL NProf SACRED HEART ASSISTED LIVING A 1202 12TH STREET SOUTHWEST AUSTIN, MN 55912 PHONE: 507/433-1905 (20386) FAX: NProf SACRED HEART CARE CENTER INC MS. REBECCA MATHEWS HALVERSON 507/434-9572 NH-59 SNF-NF-59 1200 TWELFTH STREET SOUTHWEST AUSTIN, MN 55912 PHONE: 507/433-1808 (00393) FAX: NProf SACRED HEART HOME HEALTH CARE MS. REBECCA MATHEWS-HALVERSON 507/433-9572 HCP-A HHA 1200 12TH STREET SOUTHWEST AUSTIN, MN 55912 PHONE: 507/433-1905 (02231) FAX: 507/433-8012 MS. REBECCA MATHEWS HALVERSON Minnesota Department of Health Division of Compliance Monitoring Page 264 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Church ST MARKS LUTHERAN HOME Certification MOWER Registration (Cont.)* -------------------------- NH-61 SNF-NF-61 400 15TH AVENUE SOUTHWEST (00394) AUSTIN, MN 55912 PHONE: 507/437-4594 FAX: 507/434-7201 Corp THE CARLSON HOME OF AUSTIN INC MR. CHRIS SCHULZ HCP-F HWSAL 300 FIRST AVENUE NORTHWEST AUSTIN, MN 55912 PHONE: 507/433-8357 (20073) FAX: 507/433-9368 Corp WHISPERING PINES RANCH MR. RICHARD CARLSON HCP-F HWSAL 1916 4TH STREET SOUTHEAST AUSTIN, MN 55912 PHONE: 507/433-1117 (25430) FAX: Corp MEADOW MANOR MS. REBECCA MURAS 507/434-4129 NH-43 SNF-NF-43 210 EAST GRAND AVENUE GRAND MEADOW, MN 55936 PHONE: 507/754-5212 (00390) FAX: 507/754-5222 Corp THE MEADOWS MS. MEGAN KLEINSASSER HCP-F HWSAL 117 SECOND STREET SOUTHEAST GRAND MEADOW, MN 55936 PHONE: 507/754-4000 (21007) FAX: 507/754-5227 NProf KARLYN HOME MS. GAIL SHERIDAN SLFB-4 ICFMR-4 198 PENNY LANE LEROY, MN 55951 PHONE: 507/324-3725 (26373) FAX: 507/324-3728 City WILDWOOD GROVE MS. JERI SCHOONOVER HCP-F HWSAL 410 EAST MAIN STREET LEROY, MN 55951 PHONE: 507/324-9515 (21165) FAX: 507/324-5355 MS. MARY JEAN HARRINGTON ---------------------------********** NProf MAPLE LAWN NURSING HOME MURRAY ******** -------------------------- NH-62 SNF-NF-62 400 SEVENTH STREET FULDA, MN 56131 PHONE: 507/425-2571 (00396) FAX: 507/425-2572 MR. ARLAN SWANSON HWS NProf MAPLEVIEW ESTATES 700 MAPLE LANE FULDA, MN 56131 PHONE: 507/425-2572 (20997) FAX: 507/425-2572 MR. ARLAN SWANSON Minnesota Department of Health Division of Compliance Monitoring Page 265 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf MAPLEWOOD COURT ASST LVNG Certification MURRAY Registration (Cont.)* -------------------------- 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 FULDA, MN 56131 PHONE: 507/425-2300 (26186) FAX: MS. RENEE LOGAN 507/836-6700 Lim-Liab GOLDEN LIVINGCENTER SLAYTON NH-55 SNF-NF-55 2957 REDWOOD AVENUE SOUTH SLAYTON, MN 56172 PHONE: 507/836-6135 (00915) FAX: MS. LISA LORING 507/836-8746 NProf HOSPICE OF MURRAY COUNTY INC Hospice HSPICE 36 PARK DRIVE PO BOX 86 SLAYTON, MN 56172 PHONE: 507/836-8114 (02669) FAX: MS. NONA MAGNUSSEN 507/836-6462 Corp LINDENWOOD ASSISTED LIVING HCP-F HWSAL 2409 LINDEN AVE SLAYTON, MN 56172 PHONE: 507/836-1055 (20735) FAX: MR. RICHARD HOLMBERG 507/836-1075 RHC Cnty MURRAY COUNTY CLINIC 2040 JUNIPER AVENUE SLAYTON, MN 56172 PHONE: 507/836-6153 (03733) FAX: MR. JOHN OLSON /- Cnty MURRAY COUNTY MEM HOSP BASS-2 HOSP-25 CAH-25 2042 JUNIPER AVENUE SLAYTON, MN 56172 PHONE: 507/836-6111 (00397) FAX: MR. MELDON SNOW 507/836-6700 NProf OUR HOUSE OF MURRAY COUNTY RES-HSPICE-4 36 PARK DRIVE PO BOX 86 SLAYTON, MN 56172 PHONE: 507/836-8114 (20283) FAX: MS. NONA MAGNUSSEN 507/836-6462 Corp PRAIRIE VIEW INC SLFB-18 ICFMR-18 2220 TWENTY-SEVENTH STREET SLAYTON, MN 56172 PHONE: 507/836-8955 (01520) FAX: 507/836-8957 MR. LOUIS NELSON HWS Cnty SUNRISE TERRACE 2121 IRONWOOD AVENUE SLAYTON, MN 56172 PHONE: 507/836-8980 (20669) FAX: /- MS. JENNIFER HAGEDORN Minnesota Department of Health Division of Compliance Monitoring Page 266 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf GOOD SAMARITAN SOCIETY LAFAYET Certification NICOLLET Registration ******** -------------------------- HCP-F HWSAL 251 SEVENTH STREET (21059) LAFAYETTE, MN 56054 PHONE: 507/228-8238 FAX: MS. LORI BUSSLER 507/228-8389 Corp MONARCH MEADOWS HCP-F HWSAL 2135 LOR RAY DRIVE NORTH MANKATO, MN 56003 PHONE: 507/344-0059 (20554) FAX: MS. STACY WIHLM 507/344-1504 HWS HRA NORTH MANKATO HOUSING & REDEVE 615 NICOLLET AVENUE NORTH MANKATO, MN 56003 PHONE: 507/388-3202 (21094) FAX: MR. JIM ROVNEY 507/388-1054 Lim-Liab OAK TERRACE ASSISTED LIVING O HCP-F HWSAL 1575 HOOVER DRIVE NORTH MANKATO, MN 56003 PHONE: 507/387-2037 (20970) FAX: MR. DENNIS HOOD 507/387-6011 HWS Lim-Liab OAK TERRACE WEST 1570 TOWER BLVD NORTH MANKATO, MN 56003 PHONE: 507/387-2037 (22081) FAX: MR. DENNIS HOOD 507/387-6011 NProf THERESE K SEXTON HOME SOUTH ICFMR-8 SLFB-8 2050 HAUGHTON AVENUE NORTH MANKATO, MN 56003 PHONE: 507/345-8590 (01454) FAX: MR. STEVE SCHOENER 507/345-3771 NProf BENEDICTINE LIVING COMMUNITY SNF-NF-79 NH-79 1907 KLEIN STREET ST PETER, MN 56082 PHONE: 507/934-2203 (00399) FAX: MS. LINDA NELSEN 507/934-8392 NProf BENEDICTINE SR LVG COMM ST PTR HCP-F HWSAL 1906 NORTH SUNRISE DRIVE ST PETER, MN 56082 PHONE: 507/934-8810 (28206) FAX: MS. LINDA NELSEN 507/934-0214 State COMM ADDICTION REC ENTERPRISE SLFB-36 1703 CSAH 15 ST PETER, MN 56082 PHONE: 507/933-5033 (24618) FAX: MS. KAREN JONES 507/931-7888 State COMM BEHAVIORAL HEALTH HOSP OTHER-16 HOSP-16 2000 KLEIN STREET ST PETER, MN 56082 PHONE: 507/933-5001 (24230) FAX: /- MR. ANTHONY WALTER Minnesota Department of Health Division of Compliance Monitoring Page 267 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf ECUMEN PRAIRIE HILL Certification NICOLLET Registration (Cont.)* -------------------------- HCP-F HWSAL 1305 MARSHALL STREET (27944) ST PETER, MN 56082 PHONE: 507/934-2200 FAX: NProf ECUMEN SAND PRAIRIE MS. HEATHER SLECHTA 507/934-2201 HCP-F HWSAL 700 KNIGHT STREET ST PETER, MN 56082 PHONE: 507/931-4375 (20719) FAX: State FORENSIC SERVICES MS. MARY OLSON 507/934-5346 SLFA-58 SLFB-350 100 FREEMAN DRIVE ST PETER, MN 56082 PHONE: 507/985-3128 (01418) FAX: NProf GOOD SAM SOC HM C OF SW MN MS. CAROL OLSON 507/985-3366 HHA HCP-A 221 WEST PARK ROW ST PETER, MN 56082 PHONE: 507/931-0949 (23185) FAX: NProf GOOD SAM SOCIETY ST PETER MR. KEITH DUBOIS 507/931-0110 NH-38 SNF-NF-38 830 NORTH SUNRISE DRIVE ST PETER, MN 56082 PHONE: 507/931-9021 (00400) FAX: MS. TERESA HILDEBRANDT 507/931-9043 HWS NProf GOOD SAMARITAN SOCIETY-HERITAG 1302 TRAVERSE ROAD ST PETER, MN 56082 PHONE: 507/931-8545 (20916) FAX: State MSOP - GREEN ACRES MS. TERESA HILDEBRANDT 507/931-2123 SLFB-23 100 FREEMAN DRIVE ST PETER, MN 56082 PHONE: 651/431-5874 (27850) FAX: State MSOP - PEXTON/SHANTZ MR. DAVID BORNUS 651/431-7404 SLFB-248 100 FREEMAN DRIVE ST PETER, MN 56082 PHONE: 651/431-5874 (27851) FAX: Cnty NICOLLET COUNTY PUBLIC HEALTH MR. DAVID BORNUS 651/431-7404 HCP-A 501 SOUTH MINNESOTA AVENUE ST PETER, MN 56082 PHONE: 507/934-0459 (02055) FAX: Lim-Liab PHEASANTS RIDGE ASSISTED LIVNG MS. MARY HILDEBRANDT 507/934-0437 HCP-F HWSAL 1807 SUNRISE DRIVE ST PETER, MN 56082 PHONE: 507/931-0966 (24372) FAX: 507/931-1008 MRS. NICKI REHNELT Minnesota Department of Health Division of Compliance Monitoring Page 268 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** City RIVERS EDGE HOSPITAL & CLINIC Certification NICOLLET Registration (Cont.)* -------------------------- BASS- HOSP-17 CAH-17 1900 NORTH SUNRISE DRIVE (23299) ST PETER, MN 56082 PHONE: 507/931-2200 FAX: State SO PSYCHIATRIC NF - ST PETER MS. COLLEEN SPIKE 507/934-7651 NH-48 100 FREEMAN DRIVE ST PETER, MN 56082 PHONE: 507/985-2365 (25494) FAX: MS. MICHELLE CHALIN 507/985-3310 HWS HRA ST PETER HRA PARKVIEW MANOR 1010 SOUTH FOURTH STREET ST PETER, MN 56082 PHONE: 507/931-2236 (21283) FAX: MS. SHANNON LLOYD 507/934-1731 ---------------------------********** Corp ADRIAN CARE CENTER NOBLES ******** -------------------------- NH-30 SNF-NF-30 603 LOUISIANA AVENUE ADRIAN, MN 56110 PHONE: 507/483-2580 (00405) FAX: City ADRIAN COUNTRY LIVING COTTAGES MR. MARK LINDEMAN 507/483-2610 HCP-F HWSAL 200 WEST 7TH STREET ADRIAN, MN 56110 PHONE: 507/483-2511 (27386) FAX: City PARKVIEW MANOR NURSING HOME MR. ALAN OERTLI 507/483-2445 NH-42 SNF-NF-42 308 SHERMAN AVENUE ELLSWORTH, MN 56129 PHONE: 507/967-2482 (00406) FAX: NProf C C S INC RIDGEWOOD MR. MICHAEL WERNER 507/967-2141 SLFB-15 ICFMR-15 1381 KNOLLWOOD DRIVE WORTHINGTON, MN 56187 PHONE: 507/376-6095 (01278) FAX: Lim-Liab CARING & COMPASSIONATE HEALTH MS. PATRICIA COWDIN 507/376-5117 HCP-A 1815 ELEANOR STREET WORTHINGTON, MN 56187 PHONE: 507/343-0077 (28175) FAX: Lim-Liab COMPASSIONATE CARE HOSPICE MS. REMONA BROWN 507/343-0076 Hospice HSPICE 31361 STATE HIGHWAY 266 WORTHINGTON, MN 56187 PHONE: 507/372-7003 (25020) FAX: 507/376-4273 MS. LAURIE TIMMER Minnesota Department of Health Division of Compliance Monitoring Page 269 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp CROSSROADS CARE CENTER Certification NOBLES Registration (Cont.)* -------------------------- NH-50 SNF-NF-50 965 MCMILLAN STREET (00407) WORTHINGTON, MN 56187 PHONE: 507/376-5312 FAX: Corp GOLDEN HORIZON MS. BARBARA ATCHISON 507/376-9536 HCP-F HWSAL 1790 COLLEGEWAY WORTHINGTON, MN 56187 PHONE: 507/376-3111 (23234) FAX: MR. CHUCK LANE 507/376-3399 ESRD City SANFORD REGIONAL HOSPITAL WOR 1018 SIXTH AVENUE WORTHINGTON, MN 56187 PHONE: 507/372-2941 (02243) FAX: NProf SANFORD WORTHINGTON HOME CARE MR. RANDY ANDERSON - INTERIM 507/372-3379 HCP-A HHA 1018 SIXTH AVENUE WORTHINGTON, MN 56187 PHONE: 507/372-3139 (02314) FAX: NProf SANFORD WORTHINGTON MEDICAL CE MR. MICHAEL HAMMER 507/372-3177 BASS-7 HOSP-48 HOSP-48 1018 SIXTH AVENUE WORTHINGTON, MN 56187 PHONE: 507/372-2941 (00412) FAX: Corp SOUTH SHORE CARE CENTER MR. MICHAEL HAMMER 507/372-3240 NH-64 SNF-NF-64 1307 S SHORE DRIVE WORTHINGTON, MN 56187 PHONE: 507/376-3175 (00885) FAX: NProf SUNSET COTTAGE MS. BARBARA ATCHISON 507/376-9042 RES-HSPICE-4 1935 WOODLAND COURT WORTHINGTON, MN 56187 PHONE: 605/312-5500 (21952) FAX: MS. LOIS SCHULLER 605/312-5501 Home Mgmt NProf SW MN OPPORTUNITY COUNCIL INC 1106 3RD AVENUE WORTHINGTON, MN 56187 PHONE: 507/376-4195 (03689) FAX: NProf THE MEADOWS OF WORTHINGTON MR. NEAL STEFFL 507/376-3636 HCP-F 1801 COLLEGEWAY WORTHINGTON, MN 56187 PHONE: 507/372-7838 (03709) FAX: THE MEADOWS OF WORTHINGTON LLC 507/372-7804 MS. NATALIE BURNELL HWSAL NProf 1801 COLLEGEWAY WORTHINGTON, MN 56187 PHONE: 507/372-7838 (20011) FAX: 507/343-0201 MS. NATALIE BURNELL Minnesota Department of Health Division of Compliance Monitoring Page 270 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Church BRIDGES CARE COMMUNITY Certification NORMAN Registration ******** -------------------------- HCP-F 201 9TH STREET WEST SUITE 2 (26532) ADA, MN 56510 PHONE: 218/784-3836 FAX: MR. TYLER HOEMBERG 218/784-5245 NProf BRIDGES CARE COMMUNITY NH-49 SNF-NF-49 201 9TH STREET WEST ADA, MN 56510 PHONE: 218/784-5500 (00413) FAX: MS. KATIE REDIG 218/784-5245 RHC NProf ESSENTIA HEALTH - ADA CLINIC 201 9TH STREET WEST ADA, MN 56510 PHONE: 218/784-2727 (02794) FAX: MR. RYAN HILL /- NProf ESSENTIA HEALTH ADA HOSP-14 CAH-14 201 9TH STREET WEST ADA, MN 56510 PHONE: 218/784-5000 (26485) FAX: MR. DANIEL ROHRBACH 218/784-3855 HWS NProf SUMMERFIELD PLACE OF ADA 100 1ST STREET EAST ADA, MN 56510 PHONE: 218/637-6093 (23159) FAX: MRS. MIRIAM BUCHANAN 218/637-6094 HWS Part VALLEY VIEW MANOR 705 WEST MAIN STREET ADA, MN 56510 PHONE: 218/784-7246 (21569) FAX: MR. JON KNOWLES 218/784-2246 Church HALSTAD LIVING CENTER NH-44 SNF-NF-44 133 FOURTH AVENUE EAST HALSTAD, MN 56548 PHONE: 218/456-2105 (00764) FAX: MR. DWIGHT FUGLIE 218/456-2290 Church HALSTAD LIVING CENTER HCP-F 133 4TH AVENUE EAST HALSTAD, MN 56548 PHONE: 218/456-2105 (20733) FAX: 218/456-2290 MR. DWIGHT FUGLIE HWS NProf HERITAGE HOUSE 201 4TH AVENUE EAST HALSTAD, MN 56548 PHONE: 218/456-2105 (20732) FAX: 218/456-2290 MS. LORI MERKLE RHC NProf SANFORD HEALTH HALSTAD CLINIC 445 1ST STREET EAST HALSTAD, MN 56548 PHONE: 218/456-2158 (02747) FAX: /- DR. WALLACE RADTKE Minnesota Department of Health Division of Compliance Monitoring Page 271 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification NORMAN (Cont.)* -------------------------HWSAL Church LINCOLN TERRACE Registration 205 THIRD STREET NW PO BOX 480 (20349) TWIN VALLEY, MN 56584 PHONE: 218/584-5183 FAX: MRS. SHARI SCHREINER 218/584-8592 Church LINCOLN TERRACE HCP-F 205 3RD STREET NW TWIN VALLEY, MN 56584 PHONE: 218/584-5181 (20734) FAX: MS. SHARI SCHREINER 218/584-8592 HWS NProf NORMANDY APARTMENTS 201 3RD STREET NW PO BOX 480 TWIN VALLEY, MN 56584 PHONE: 218/584-5181 (20725) FAX: MRS. SHARI SCHREINER 218/584-5304 RHC NProf SANFORD HLTH TWIN VALLEY CLINI 501 2ND STREET NW TWIN VALLEY, MN 56584 PHONE: 218/584-5142 (03938) FAX: MR. MARK DUNCAN /- Church TWIN VALLEY LIVING CENTER NH-58 SNF-NF-58 208 OPPEGARD AVE NW PO BOX 480 TWIN VALLEY, MN 565840480 PHONE: 218/584-5181 (00414) FAX: MS. SHARI SCHREINER 218/584-5304 ---------------------------********** Lim-Liab ARBOR GARDENS OLMSTED ******** -------------------------- HCP-F HWSAL 535 CANYON DRIVE NW EYOTA, MN 55934 PHONE: 507/545-3999 (21810) FAX: MR. DONALD RADEMACHER 507/545-3948 HWSAL Corp SUNSET HOMES ASSISTED LIVING I 11237 11TH AVENUE NORTHWEST ORONOCO, MN 55960 PHONE: 507/202-9742 (27053) FAX: Lim-Liab 1050 PLUMMER PLACE LLC MR. JOSEPH MABURURU 507/206-4858 HCP-F HWSAL 1050 PLUMMER CIRCLE ROCHESTER, MN 55902 PHONE: 507/424-3384 (24850) FAX: 507/206-3225 MS. ALICE SYVERSON Home Mgmt Lim-Liab ADVANCE HOME HEALTH CARE LLC 4439 SURREY LANE NORTHWEST ROCHESTER, MN 55901 PHONE: 507/206-0384 (29115) FAX: 507/206-0384 MR. ABDINUR ABDI Minnesota Department of Health Division of Compliance Monitoring Page 272 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf ALLENDALE HOUSE Certification OLMSTED Registration (Cont.)* -------------------------- SLFB-6 ICFMR-6 2847 19TH AVENUE NORTHWEST (01667) ROCHESTER, MN 55901 PHONE: 507/288-7195 FAX: NProf ARBOR TERRACE MR. PAUL BURTON 507/288-4522 HCP-F 700 NORTHWEST 2ND AVENUE ROCHESTER, MN 55901 PHONE: 507/288-4883 (20864) FAX: MS. SUSAN KNUTSON 507/424-4074 HWS NProf ARBOR TERRACE 700 NORTHWEST SECOND AVENUE ROCHESTER, MN 55901 PHONE: 507/288-4883 (20146) FAX: MS. SUSAN KNUTSON 507/424-5455 HWSAL-O NProf BOSTROM TERRACE 1680 EASTWOOD ROAD SE ROCHESTER, MN 55904 PHONE: 651/645-7271 (24486) FAX: MR. STEPHEN VANDER SCHAAF 651/645-0541 HWS NProf CASTLEVIEW APARTMENTS 120 NORTH BROADWAY ROCHESTER, MN 55906 PHONE: 507/288-3663 (25732) FAX: NProf CHARTER HOUSE MAJOR JIM FRYE 507/281-8348 NH-32 SNF-32 211 NORTHWEST SECOND STREET ROCHESTER, MN 55901 PHONE: 507/266-7373 (00193) FAX: NProf CHARTER HOUSE INC MR. TONY ENQUIST 507/266-6827 HCP-F HWSAL 211 SECOND STREET NORTHWEST ROCHESTER, MN 55901 PHONE: 507/266-8572 (20068) FAX: NProf CHARTERHOUSE HHA MR. MARK A. (TONY) ENQUIST 507/266-6827 HCP-A HHA 211 NORTHWEST SECOND STREET ROCHESTER, MN 55901 PHONE: 507/266-7849 (02324) FAX: NProf CHOICE HOME CARE INC MR. MARK A. (TONY) ENQUIST 507/266-2101 HCP-A HHA 2200 SECOND ST SW ROCHESTER, MN 55902 PHONE: 507/285-3912 (03737) FAX: Corp CNS HOME HEALTH CARE MS. VICTORIA DALLE MOLLE 507/285-0898 HCP-A HHA 3143 SUPERIOR DRIVE NW STE A ROCHESTER, MN 559012970 PHONE: 507/289-2411 (21066) FAX: 507/529-0360 MR. JEFFREY SEVERSON Minnesota Department of Health Division of Compliance Monitoring Page 273 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp COMFORT HEALTH Certification OLMSTED Registration (Cont.)* -------------------------- HCP-A HHA 2746 SUPERIOR DR NW SUITE 200 (02238) ROCHESTER, MN 55901 PHONE: 507/281-2332 FAX: MR. CHRISTOPHER BLUM /- Corp COMFORT HOME HEALTH CARE HCP-F 2746 SUPERIOR DRIVE NW STE 200 ROCHESTER, MN 55901 PHONE: 507/281-2332 (21496) FAX: MR. CHRISTOPHER BLUM 507/281-2632 State COMM BEHAV HLTH HOSP ROCHESTER OTHER-16 251 WOOD LAKE DRIVE SE ROCHESTER, MN 55904 PHONE: 507/206-2561 (24231) FAX: MR. ANTHONY WALTERS /- Lim-Liab DIVINE TOUCH HOME HEALTH CARE HCP-A 1312 7TH STREET NW STE 209 ROCHESTER, MN 55901 PHONE: 507/216-6348 (28116) FAX: MR. SYLVESTER NGENE /- Corp EXCELLENT CARE SERVICES INC HCP-A 329 ELTON HILLS DRIVE NW ROCHESTER, MN 55901 PHONE: 507/289-0338 (24797) FAX: Lim-Liab EXTENDED HAND HOME CARE MR. ABIODUN AKINBOLU 507/289-7484 HCP-A 808 33RD STREET NORTHWEST ROCHESTER, MN 55901 PHONE: 507/424-0404 (26050) FAX: MR. DAVID ROWLAND 507/316-0615 Home Mgmt Lim-Liab EXTENDED HAND HOME CARE LLC 808 33RD STREET NORTHWEST ROCHESTER, MN 55901 PHONE: 507/424-0404 (25699) FAX: MS. SARAH ROWLAND 507/316-0615 Home Mgmt NProf FAMILY SERVICE ROCHESTER INC 1110 6TH STREET NW ROCHESTER, MN 55901 PHONE: 507/287-2010 (02886) FAX: Corp GLOBAL HOME HEALTH CARE INC MR. BRAD LOHRBACH 507/287-7805 HCP-A 1032 15TH AVE SE ROCHESTER, MN 55904 PHONE: 507/282-6466 (21537) FAX: Lim-Liab GOLDEN LIVINGCENTER ROCH EAST MS. NINA MASCHKA 507/292-6694 NH-116 SNF-NF-116 501 EIGHTH AVE SOUTHEAST ROCHESTER, MN 55904 PHONE: 507/288-6514 (00953) FAX: 507/288-6686 MR. TYLER DONAHUE Minnesota Department of Health Division of Compliance Monitoring Page 274 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab GOLDEN LIVINGCNTR ROCHESTER W Certification OLMSTED Registration (Cont.)* -------------------------- NH-54 SNF-NF-54 2215 HIGHWAY 52 NORTH (00941) ROCHESTER, MN 55901 PHONE: 507/288-1818 FAX: MS. NICOLE BARCLAY 507/288-5502 Lim-Liab HEARTLAND HOME HEALTH CARE AND Hospice HSPICE 3143 SUPERIOR DR NW STE B ROCHESTER, MN 55901 PHONE: 507/292-1170 (23773) FAX: MS. SANDRA MAYNARD 507/292-1169 Lim-Liab HOME INSTEAD SENIOR CARE HCP-A 304 6TH STREET SW ROCHESTER, MN 55902 PHONE: 507/285-1700 (24370) FAX: JOHN AND SARAH PACCHETTI 507/536-4056 Lim-Liab HOME INSTEAD SENIOR CARE HCP-B 304 6TH STREET SOUTHWEST ROCHESTER, MN 55902 PHONE: 507/285-1700 (26860) FAX: MR. JOHN PACCHETTI 507/536-4056 Home Mgmt Lim-Liab HOME INSTEAD SENIOR CARE 304 6TH STREET SOUTHWEST ROCHESTER, MN 55902 PHONE: 507/285-1700 (22018) FAX: MR. JOHN PACCHETTI 507/536-4056 Corp INTERNATIONAL QUALITY HOMECARE HCP-A HHA 3261 19TH ST NW ROCHESTER, MN 55901 PHONE: 507/252-8117 (20865) FAX: DR. ADERONKE MORDI /- HWSAL NProf KENOSHA DRIVE APARTMENTS 3461 KENOSHA DRIVE NW ROCHESTER, MN 55901 PHONE: 651/645-7271 (27313) FAX: NProf MADONNA MEADOWS MR. STEPHEN VANDER SCHAAF 651/645-0541 HCP-F HWSAL 3035 SALEM MEADOWS DRIVE SW ROCHESTER, MN 55902 PHONE: 507/252-5400 (20566) FAX: MR. MARK CAIRNS 507/252-5500 HWSAL NProf MADONNA TOWERS OF ROCHESTER 4001 19TH AVENUE NORTHWEST ROCHESTER, MN 55901 PHONE: 507/288-3911 (20211) FAX: MADONNA TOWERS OF ROCHESTER IC MR. MARK NOBLE 507/288-0393 Church NH-62 SNF-2 SNF-NF-60 4001 19TH AVENUE NORTHWEST ROCHESTER, MN 55901 PHONE: 507/288-3911 (00419) FAX: 507/288-0393 MS. BETH REDALEN Minnesota Department of Health Division of Compliance Monitoring Page 275 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf MADONNA TOWERS OF ROCHESTER IN Certification OLMSTED Registration (Cont.)* -------------------------- HCP-A 4001 19TH AVENUE NORTHWEST (03299) ROCHESTER, MN 55901 PHONE: 507/288-3911 FAX: MR. MARK NOBLE 507/288-0393 Corp MAPLE MANOR HEALTHCARE & REHAB NH-81 SNF-NF-81 1875 19TH STREET NORTHWEST ROCHESTER, MN 55901 PHONE: 507/282-9449 (00916) FAX: MR. PATRICK BLUM 507/287-0552 NProf MAYO CLINIC HOSPICE Hospice HSPICE 200 FIRST STREET SOUTHWEST ROCHESTER, MN 55905 PHONE: 507/284-4002 (02504) FAX: MS. ANN BARTLETT 507/284-0220 NProf MAYO CLINIC METHODIST HOSPITAL BASS-55 HOSP-794 HOSP-794 201 WEST CENTER STREET ROCHESTER, MN 55902 PHONE: 507/255-5123 (00423) FAX: MS. LYNN FREDERICK 507/255-3125 NProf MAYO CLINIC REHABILITATION SER HCP-A 200 FIRST STREET SW ROCHESTER, MN 55905 PHONE: 507/266-6465 (27662) FAX: MS. ARLEEN DERYNCK 507/284-3431 NProf MAYO CLINIC-ST MARY'S HOSPITAL BASS-26 HOSP-1265 HOSP-1099 PPS-P-108 PPS-R-58 1216 SECOND STREET SOUTHWEST ROCHESTER, MN 55902 PHONE: 507/255-5123 (00428) FAX: 507/255-3125 MS. B. LYNN FREDERICK ESRD NProf MAYO DIALYSIS ROCHESTER METH 201 CENTER STREET WEST ROCHESTER, MN 55902 PHONE: 507/284-2511 (02106) FAX: 507/886-6584 MR. BRAD WICK ESRD NProf MAYO DIALYSIS ROCHESTER NE CLI 3041 STONEHEDGE DRIVE NE ROCHESTER, MN 55906 PHONE: 507/538-8580 (23151) FAX: 507/266-7891 MR. BRADLEY WICK XRAY NProf MAYO FOUNDATION 200 FIRST STREET SOUTHWEST ROCHESTER, MN 55905 PHONE: 507/284-2511 (03774) FAX: MR. SCOTT SEINOLA /- HWSAL Lim-Liab MEADOW LAKES SENIOR LIVING 22 45TH AVENUE NORTHWEST ROCHESTER, MN 55901 PHONE: 507/252-5069 (21129) FAX: 507/536-4539 MR. PATRICK BLUM Minnesota Department of Health Division of Compliance Monitoring Page 276 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf OLMSTED MEDICAL CENTER Certification OLMSTED BASS-16 HOSP-61 Registration (Cont.)* -------------------------HOSP-61 1650 FOURTH STREET SOUTHEAST (00422) ROCHESTER, MN 55904 PHONE: 507/529-6600 FAX: MR. TIM WEIR 507/529-6622 Lim-Liab OXFORD PROPERTY MANAGEMENT LLC HCP-F 421 1ST AVENUE SW SUITE 303 ROCHESTER, MN 55902 PHONE: 507/285-3282 (28279) FAX: MS. KIM WORRALL /- Lim-Liab PRIME TIME ESSENTIAL CARE LLC HCP-A 220 SOUTH BROADWAY SUITE 354 ROCHESTER, MN 55904 PHONE: 507/319-0481 (27063) FAX: MS. AISHA KASSIM /- HWS Lim-Liab PRIMETIME LIVINN SUITES 105 NORTH BROADWAY ROCHESTER, MN 55901 PHONE: 507/254-0355 (28289) FAX: MS. AISHA KASSIM /- Corp REM RIVER BLUFFS (WILLOW CR B) SLFB-11 ICFMR-11 2206 11TH AVENUE SOUTHEAST ROCHESTER, MN 55904 PHONE: 507/287-6824 (01464) FAX: Corp REM RIVER BLUFFS ROCHESTER NW MS. JUANITA HAYES 507/282-9563 SLFA-11 ICFMR-11 2509 55TH STREET NORTHWEST ROCHESTER, MN 55901 PHONE: 507/287-6824 (01322) FAX: Corp REM RIVER BLUFFS ROCHESTER SE MS. JUANITA HAYES 507/282-9563 SLFA-13 ICFMR-13 1631 19TH AVE SE ROCHESTER, MN 55904 PHONE: 507/287-6824 (01320) FAX: MS. JUANITA HAYES 507/282-9563 HWSAL Lim-Liab REZA HOUSE LLC 1623 4TH STREET NW ROCHESTER, MN 55901 PHONE: 507/529-7870 (28553) FAX: ROBLAND HOME HEALTH CARE CORPO MR. AMIR TAHERKHANCHI 507/536-9700 Corp HCP-A HHA 1500 1ST AVENUE NE SUITE 111C ROCHESTER, MN 55906 PHONE: 507/252-4619 (26391) FAX: State ROCHESTER MSOCS MR. OMAR HASSAN 866/597-0950 SLFB-6 ICFMR-6 448 17TH STREET SOUTHWEST ROCHESTER, MN 55902 PHONE: 507/280-5551 (01635) FAX: 507/280-5552 MR. ROGER DENEEN Minnesota Department of Health Division of Compliance Monitoring Page 277 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification OLMSTED (Cont.)* -------------------------HWSAL-O Lim-Liab ROSE HOUSE Registration 3008 NORTHERN VALLEY DRIVE (29024) ROCHESTER, MN 55906 PHONE: 507/271-2945 FAX: NProf SAMARITAN BETHANY HM ON EIGHTH MR. AMIR TAHERKHANCHI 507/271-2945 SNF-NF-182 NH-182 24 8TH STREET NORTHWEST ROCHESTER, MN 55901 PHONE: 507/289-4031 (00427) FAX: NProf SEASONS HOSPICE MS. KYLA JACOBS 507/289-6001 RES-HSPICE-8 5650 WEATHERHILL ROAD SW ROCHESTER, MN 55902 PHONE: 507/285-1930 (23506) FAX: MS. BEVERLY HAYNES 507/282-2737 NProf SEASONS HOSPICE 1696 GREENVIEW DRIVE SOUTHWEST ROCHESTER, MN 55902 PHONE: 507/285-1930 (03427) FAX: Lim-Liab SHALOM ESTATE LLC MS. BEVERLY HAYNES 507/282-2737 HCP-F HWSAL 2070 CENTURY HILLS DRIVE NE ROCHESTER, MN 55906 PHONE: 507/281-9700 (22020) FAX: Corp SHIFFO HOME HEALTH CARE CORPOR MS. ALICE MAE SYVERSON 507/206-3225 HCP-A 12 ELTON HILLS DRIVE NW #207 ROCHESTER, MN 55901 PHONE: 507/289-5801 (22189) FAX: Lim-Liab SHIRAZ ASSISTED LIVING LLC MS. HAMDI ADEN 507/289-5885 HCP-F 2320 48TH STREET NE ROCHESTER, MN 55906 PHONE: 507/271-2945 (28552) FAX: SHOREWOOD COMMONS ASSISTED LIV MR. AMIR TAHERKHANCHI 507/536-9700 HWSAL Lim-Liab 2115 2ND STREET SOUTHWEST ROCHESTER, MN 55902 PHONE: 507/252-9110 (20686) FAX: MR. ERIC HUNTOON 507/286-9237 HWS ONProf SHOREWOOD PLACE 2205 SECOND STREET SW ROCHESTER, MN 55902 PHONE: 507/252-9110 (21645) FAX: Corp STANLEY JONES & ASSOCIATES MS. DOROTHY SCHOENFELDER 507/286-9237 HCP-A HHA 2746 SUPERIOR DR NW SUITE 300 ROCHESTER, MN 55901 PHONE: 507/288-0064 (02308) FAX: 507/288-3993 MS. PATRICE MRDJENOVICH - HANK Minnesota Department of Health Division of Compliance Monitoring Page 278 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification OLMSTED (Cont.)* -------------------------Out Pt Out St Corp STANLEY JONES AND ASSOCIATES Registration 2746 SUPERIOR DR NW SUITE 300 (02587) ROCHESTER, MN 55901 PHONE: 507/288-0064 FAX: MS. PATRICE MRDJENOVICH - HANK /- Corp SUN HOME HEALTH CARE INC HCP-A 1700 N BROADWAY AVE STE 114 ROCHESTER, MN 55906 PHONE: 507/529-7999 (28970) FAX: MR. ABDISULAN SABRIYE 507/289-2117 HWSAL Lim-Liab SUNRISE ASSISTED LIVING VIII 4150 - 4156 55TH STREET NW ROCHESTER, MN 55901 PHONE: 507/286-8528 (21241) FAX: MS. ALICIA ADAMS 507/286-8527 HWSAL Lim-Liab SUNRISE ASSISTED LIVING VI 4240 - 4246 55TH STREET NW ROCHESTER, MN 55901 PHONE: 507/286-8528 (21242) FAX: Corp SUNRISE COTTAGE OF ROCHESTER MS. ALICIA ADAMS 507/286-8527 HCP-F 4220 - 55TH ST NW ROCHESTER, MN 55901 PHONE: 507/286-8528 (22509) FAX: 507/286-8527 MS. ALICIA ADAMS HWSAL Lim-Liab SUNRISE COTTAGES ROCHESTER I 4310-4316 55TH ST NORTHWEST ROCHESTER, MN 55901 PHONE: 507/286-8528 (20391) FAX: 507/286-8527 MS. ALICIA ADAMS HWSAL Lim-Liab SUNRISE COTTAGES ROCHESTER II 4320-4326 55TH ST NORTHWEST ROCHESTER, MN 55901 PHONE: 507/286-8528 (20392) FAX: 507/286-8527 MS. ALICIA ADAMS HWSAL Lim-Liab SUNRISE COTTAGES ROCHESTER III 4330-4336 55TH ST NORTHWEST ROCHESTER, MN 55901 PHONE: 507/286-8528 (20393) FAX: 507/286-8527 MS. ALICIA ADAMS HWSAL Lim-Liab SUNRISE COTTAGES ROCHESTER IV 4210-4216 55TH ST NORTHWEST ROCHESTER, MN 55901 PHONE: 507/286-8528 (20120) FAX: 507/286-8527 MS. ALICIA ADAMS HWSAL Lim-Liab SUNRISE COTTAGES ROCHESTER IX 4130 - 4136 55TH ST NW (CTG 9) ROCHESTER, MN 55901 PHONE: 507/286-8528 (20498) FAX: 507/286-8527 MS. ALICIA ADAMS Minnesota Department of Health Division of Compliance Monitoring Page 279 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification OLMSTED (Cont.)* -------------------------HWSAL Lim-Liab SUNRISE COTTAGES ROCHESTER V Registration 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 ROCHESTER, MN 55901 PHONE: 507/286-8528 (20504) FAX: Corp SUNSET HOMES ASSISTED LIVING MS. ALICIA ADAMS 507/286-8527 HCP-F HWSAL 3686 KENOSHA DRIVE NORTHWEST ROCHESTER, MN 55902 PHONE: 507/206-4856 (26018) FAX: Corp THE GABLES MR. JOSEPH MABURURU 507/206-4858 SLFA-30 604 FIFTH STREET SOUTHWEST ROCHESTER, MN 55902 PHONE: 507/282-2500 (01449) FAX: Lim-Liab VISITING ANGELS MS. NANCY STOFFERAHN 507/282-6036 HCP-A 302 ELTON HILLS DR NW SUITE 20 ROCHESTER, MN 55901 PHONE: 507/289-1147 (26975) FAX: NProf VOA HOME HEALTH AT ROCHESTER MR. JOSEPH SEDELMEYER 507/289-7247 HWSAL HCP-A 1900 BALLINGTON BLVD NW ROCHESTER, MN 55901 PHONE: 507/535-2000 (24676) FAX: NProf VOA HOME HEALTH AT ROCHESTER MR. MARK ROBINSON 507/535-2001 HCP-F 1900 BALLINGTON BOULEVARD ROCHESTER, MN 55901 PHONE: 507/535-2000 (25044) FAX: Corp WILLOWS & WATERS SR LVG INC MR. MARK ROBINSON 507/535-2001 HWSAL-O HCP-F 707 UPPER MEADOW LANE NW ROCHESTER, MN 55901 PHONE: 507/288-0593 (28043) FAX: Lim-Liab WOODLAND MEMORY LANE LLC MS. APRIL CHRISTENSEN 651/286-3108 HCP-F HWS 1009 SIERRA LANE NORTHEAST ROCHESTER, MN 55906 PHONE: 507/269-5702 (24849) FAX: NProf ZUMBRO VALLEY CONNEC REFER UNI MS. TAMMY ARNDT 888/894-3489 SLFB-22 343 WOOD LAKE DRIVE SE ROCHESTER, MN 55904 PHONE: 507/281-6248 (25343) FAX: 507/535-5792 MR. DAVID COOK Minnesota Department of Health Division of Compliance Monitoring Page 280 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf ROOT RIVER ESTATES HOME CARE S Certification OLMSTED Registration (Cont.)* -------------------------- 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 STEWARTVILLE, MN 55976 PHONE: 507/533-1378 (21424) FAX: NProf STEWARTVILLE CARE CENTER MR. EUGENE GUSTASON 507/533-1384 NH-85 SNF-NF-85 120 FOURTH STREET NORTHEAST STEWARTVILLE, MN 55976 PHONE: 507/533-4288 (00429) FAX: NProf STEWARTVILLE HOME CARE SERVICE MR. EUGENE GUSTASON 507/533-1384 HCP-A 110 FOURTH STREET NE STEWARTVILLE, MN 55976 PHONE: 507/533-1375 (03939) FAX: MR. EUGENE GUSTASON 507/533-1384 HWSAL NProf STEWARTVILLE SENIOR CAMPUS COT 119 2ND AVENUE NORTHEAST STEWARTVILLE, MN 55976 PHONE: 507/533-1378 (25127) FAX: MR. EUGENE GUSTASON 507/533-1384 ---------------------------********** NProf GOOD SAM SOCIETY BATTLE LAKE OTTER TAIL NH-55 ******** -------------------------SNF-NF-55 105 GLENHAVEN DRIVE BATTLE LAKE, MN 56515 PHONE: 218/864-5231 (00146) FAX: NProf LAKEVIEW SENIOR LIVING APTS MR. JAMES WOLF 218/864-5498 HCP-F HWSAL 605 NORTH LAKE AVENUE BATTLE LAKE, MN 56515 PHONE: 218/862-5230 (25117) FAX: Corp MIDWEST COMMUNITY RESIDENTIAL MR. JAMES WOLF 218/862-5240 HCP-A 23748 GIRARD BEACH LANE BATTLE LAKE, MN 56515 PHONE: 218/864-5609 (26325) FAX: NProf ACCRA HOME CARE INC MS. SANDRA MAROHL 218/864-5653 HCP-F 119 EAST LINCOLN AVENUE FERGUS FALLS, MN 56538 PHONE: 218/736-0246 (28092) FAX: 218/736-0265 MS. SUSAN MORGAN Minnesota Department of Health Division of Compliance Monitoring Page 281 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf ACCRA HOME CARE INC Certification OTTER TAIL Registration (Cont.)* -------------------------- HCP-B 119 EAST LINCOLN AVENUE (28091) FERGUS FALLS, MN 56538 PHONE: 218/736-0246 FAX: MS. SUSAN MORGAN 218/736-0265 NProf ACCRA HOME CARE INC HCP-A HHA 119 EAST LINCOLN AVENUE FERGUS FALLS, MN 56538 PHONE: 218/736-0246 (03084) FAX: MS. SUSAN MORGAN 218/736-0265 HWSAL NProf ALCOTT MANOR 418 EAST ALCOTT AVENUE FERGUS FALLS, MN 56537 PHONE: 218/998-7400 (21425) FAX: MR. JOHN ZWIERS 218/998-7362 NProf ARLINGTON HOME SLFB-5 ICFMR-5 1505 SOUTH ARLINGTON FERGUS FALLS, MN 56537 PHONE: 218/739-2045 (01222) FAX: MS. NICOLLE TOSO 218/736-0089 NProf BROEN MEMORIAL HOME NH-124 SNF-NF-124 824 SOUTH SHERIDAN FERGUS FALLS, MN 56537 PHONE: 218/998-7300 (00862) FAX: MR. JOHN ZWIERS 218/998-7350 Ind C K HOME HEALTH CARE INC HCP-A 106 FOURTH AVENUE N FERGUS FALLS, MN 56537 PHONE: 218/998-3778 (21606) FAX: MS. MICHELLE SALWEI 218/998-3187 State COMM ADDICTION RECOVERY ENTERP SLFA-60 1174 WESTERN AVENUE FERGUS FALLS, MN 56537 PHONE: 218/736-1824 (26316) FAX: MR. TERRY BEDARD /- State COMM BEHAV HOSP FERGUS FALLS OTHER-16 HOSP-16 1801 WEST ALCOTT FERGUS FALLS, MN 56537 PHONE: 218/332-5001 (24073) FAX: 218/739-1329 MR. DERRICK JONES ESRD Corp FERGUS FALLS DIALYSIS CENTER 907 SOUTH MILL STREET FERGUS FALLS, MN 56537 PHONE: 218/739-6197 (02117) FAX: MR. JERRY GUSTAFSON /- HWSAL Corp GOLDEN MANOR OF FERGUS FALLS 124 WEST ORIOLE DRIVE FERGUS FALLS, MN 56537 PHONE: 218/739-1119 (21055) FAX: 218/844-6029 MS. HEATHER CAMPBELL Minnesota Department of Health Division of Compliance Monitoring Page 282 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Part HARMONY HOME HEALTH CARE Certification OTTER TAIL (Cont.)* -------------------------- HCP-A 25483 COUNTY HIGHWAY 27 (23813) FERGUS FALLS, MN 56537 PHONE: 218/998-3750 FAX: MRS. DANIELLE SCHUETZLE 218/998-3965 Corp KESSEL GROUP HOME INC SLFA-6 ICFMR-6 24641 W RIVERS BEND RD BOX 743 FERGUS FALLS, MN 56537 PHONE: 218/736-6612 (01212) FAX: MR. THEODORE KESSEL 218/736-6612 NProf LAKE REGION HEALTHCARE CORP BASS-10 HOSP-108 HOSP-80 PPS-P-14 PPS-R-14 712 SOUTH CASCADE FERGUS FALLS, MN 56538 PHONE: 218/736-8190 (00437) FAX: MR. EDWARD MEHL 218/736-8765 NProf LAKELAND HOMECARE HHA HCP-A 805 E CHANNING AVE FERGUS FALLS, MN 56537 PHONE: 218/998-1400 (02334) FAX: MS. REBECCA ODDEN 218/998-7350 NProf LAKELAND HOSPICE Hospice HSPICE 805 EAST CHANNING FERGUS FALLS, MN 56537 PHONE: 218/998-1400 (03077) FAX: MS. BECKY ODDEN 218/998-7350 CMHC NProf LAKELAND MENTAL HEALTH CTR 21081 COUNTY HWY 1 FERGUS FALLS, MN 56537 PHONE: 218/736-6987 (02779) FAX: MS. CLAIR PRODY /- NProf LUTHERAN BRETHREN HOME CARE HCP-F 418 EAST ALCOTT FERGUS FALLS, MN 56537 PHONE: 218/998-7300 (21591) FAX: NProf LUTHERAN SOCIAL SERVICE OF MN MR. JOHN ZWIERS 218/998-7362 HCP-F 731 WESTERN AVENUE FERGUS FALLS, MN 56537 PHONE: 218/736-5431 (23561) FAX: State MN VETERANS HOME FERGUS FALLS MS. NANCY ROSEMORE 218/739-4807 NH-106 1821 NORTH PARK FERGUS FALLS, MN 56537 PHONE: 218/736-0400 (00531) FAX: Corp NEW DIMENSIONS HHC INC MR. JON SKILLINGSTAD 218/739-7686 HCP-A HHA 312 N TOWER ROAD FERGUS FALLS, MN 56538 PHONE: 218/739-5856 (03314) FAX: 218/736-6330 Registration MS. WENDY ERLANDSON Minnesota Department of Health Division of Compliance Monitoring Page 283 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp NEW DIMENSIONS HOME HEALTH CAR Certification OTTER TAIL Registration (Cont.)* -------------------------- HCP-F 312 NORTH TOWER ROAD (28778) FERGUS FALLS, MN 56537 PHONE: 218/739-5856 FAX: MS. WENDY ERLANDSON 218/736-6330 Lim-Liab PARK GARDENS OF FERGUS FALLS HCP-F HWSAL 215 EAST SKOGMO BLVD FERGUS FALLS, MN 56537 PHONE: 218/998-4444 (24507) FAX: MS. KATIE TYSDAL 218/998-4476 Church PIONEER CARE CENTER NH-105 SNF-NF-105 1131 SOUTH MABELLE AVENUE FERGUS FALLS, MN 56537 PHONE: 218/998-1500 (00443) FAX: MR. NATHAN JOHNSON 218/998-1580 Church PIONEER HOME INC - CARE SUITES HCP-F HWS 1006 SOUTH SHERIDAN FERGUS FALLS, MN 56537 PHONE: 218/739-7701 (20076) FAX: 218/739-7707 MR. JOHN RICHARDS HWS Church PIONEER POINTE 411 EVERETT AVENUE EAST FERGUS FALLS, MN 56537 PHONE: 218/739-7703 (20450) FAX: 218/739-7707 MR. JOHN RICHARDS HWSAL Church PIONEER SENIOR COTTAGES 1325 MABELLE AVENUE FERGUS FALLS, MN 56537 PHONE: 218/998-9970 (21214) FAX: 218/998-9972 MR. JOHN RICHARDS HWSAL Church PIONEER SENIOR COTTAGES 1327 MABELLE AVENUE SOUTH FERGUS FALLS, MN 56537 PHONE: 218/998-9970 (21213) FAX: 218/998-9972 MR. JOHN RICHARDS HWSAL Church PIONEER SENIOR COTTAGES II 1315 MABELLE AVENUE SOUTH FERGUS FALLS, MN 56537 PHONE: 218/998-9974 (21567) FAX: 218/998-9976 MR. JOHN RICHARDS HWSAL Church PIONEER SENIOR COTTAGES II 1317 MABELLE AVENUE SOUTH FERGUS FALLS, MN 56537 PHONE: 218/998-9974 (21568) FAX: 218/998-9976 MR. JOHN RICHARDS HWSAL Church PIONEER SENIOR COTTAGES III 1305 MABELLE AVENUE SOUTH FERGUS FALLS, MN 56537 PHONE: 218/998-9980 (23152) FAX: /- MR. JOHN RICHARDS Minnesota Department of Health Division of Compliance Monitoring Page 284 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification OTTER TAIL (Cont.)* -------------------------HWSAL Church PIONEER SENIOR COTTAGES III Registration 1307 MABELLE AVENUE SOUTH (23153) FERGUS FALLS, MN 56537 PHONE: 218/998-9980 FAX: MR. JOHN RICHARDS /- NProf PRODUCTIVE ALTERNATIVES INC SLFB-10 1205 NORTH TOWER ROAD FERGUS FALLS, MN 56537 PHONE: 218/998-5649 (23998) FAX: MR. BOB JOHNSON 218/736-2541 HWS Part RIVER BEND APARTMENTS 222 NORTH WHITFORD STREET FERGUS FALLS, MN 56537 PHONE: 218/736-2557 (21758) FAX: MS. NANCY BARRETT 218/998-3665 HWSAL HRA RIVERVIEW HEIGHTS HIGHRISE 205 NORTH SHERIDAN AVENUE FERGUS FALLS, MN 56537 PHONE: 218/739-6522 (20036) FAX: MR. JEFFREY GAFFANEY 218/739-0975 HWS NProf SHERIDAN HOUSE 808 SOUTH SHERIDAN FERGUS FALLS, MN 56537 PHONE: 218/998-7400 (22541) FAX: MR. JOHN ZWIERS 218/998-7362 Corp SYNSTELIEN COMMUNITY SERVICES HCP-A 128 EAST MEADOWLARK LANE FERGUS FALLS, MN 56537 PHONE: 218/736-7322 (25892) FAX: MR. DARYL SYNSTELIEN 218/739-1090 NProf THE MILL STREET RESIDENCE HWSAL HCP-F 802 SOUTH MILL STREET FERGUS FALLS, MN 56537 PHONE: 218/739-2900 (20037) FAX: MR. MICHAEL SIEMS 218/739-2192 Ind TLC HOME CARE HCP-B 1321 NICOLE COURT FERGUS FALLS, MN 56537 PHONE: 218/205-1262 (27366) FAX: MS. TERRI KASEMAN /- Ind VALKOMMEN-HEM INN HWSAL-O HCP-F 328 14TH STREET EAST FERGUS FALLS, MN 56537 PHONE: 218/998-3712 (26941) FAX: Lim-Liab GOLDEN LIVINGCENTER HENNING MS. EUNICE MATSON 218/998-3010 NH-50 SNF-NF-50 907 MARSHALL AVENUE HENNING, MN 56551 PHONE: 218/583-2965 (00799) FAX: 218/583-2719 MS. JOAN GEDDE Minnesota Department of Health Division of Compliance Monitoring Page 285 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification OTTER TAIL (Cont.)* -------------------------RHC NProf HENNING MEDICAL CLINIC Registration 401 DOUGLAS AVENUE (03504) HENNING, MN 56551 PHONE: 218/583-2953 FAX: MR. DENNIS MILEY /- Ind OUR HOME YOUR HOME HCP-F HWSAL 609 FRONT STREET HENNING, MN 56551 PHONE: 218/583-4428 (21050) FAX: MS. JODY LOHSE 218/583-2504 City WILLOW CREEK SENIOR COMMUNITY HCP-F HWSAL 500 WILLOW CREEK DRIVE HENNING, MN 56551 PHONE: 218/548-6683 (23334) FAX: MS. GINA ELLINGSON 218/548-6684 Church ELDERS HOME INC NH-54 SNF-NF-54 SOUTH TOUSLEY PO BOX 188 NEW YORK MILLS, MN 56567 PHONE: 218/385-2005 (00432) FAX: MR. CAL ANDERSON 218/385-4170 Ind HOME SWEET HOME ASSISTED LVNG HCP-F HWSAL 412 HUMMINGBIRD LANE NEW YORK MILLS, MN 56567 PHONE: 218/385-2660 (27030) FAX: MRS. MICHELLE STEINBACH 218/385-2667 Lim-Liab LAKE COUNTRY HOME CARE HCP-A 95 MILLER ST STE E NEW YORK MILLS, MN 56567 PHONE: 218/385-3422 (26683) FAX: MS. LINDA MOORE 218/385-3506 Corp TENDER HEARTS HOME CARE HCP-A 407 CARLUND PARKWAY NEW YORK MILLS, MN 56567 PHONE: 877/362-9784 (21941) FAX: MS. KERRIE STEINBACH 218/385-3583 RHC NProf OTTERTAIL AREA MEDICAL CLINIC 232 HIGHWAY 78 N PO BOX 129 OTTERTAIL, MN 56571 PHONE: 218/367-6262 (27821) FAX: MR. JOEL BEISWENGER /- Lim-Liab PRESCRIPTION HOME CARE LLC HCP-A 36144 RUSH LAKE LOOP OTTERTAIL, MN 56571 PHONE: 612/810-0997 (29284) FAX: MS. ANA KNIGHT /- NProf ST WILLIAMS FOSTER CARE MCCOR HCP-F HWSAL 122 NORTH MCCORNELL PARKERS PRAIRIE, MN 56361 PHONE: 218/338-4671 (20188) FAX: 218/338-5917 MR. PAUL BAER Minnesota Department of Health Division of Compliance Monitoring Page 286 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 HWSAL NProf GOOD SAMARITAN SOCIETY - PELIC 119 NORTH BROADWAY PELICAN RAPIDS, MN 56572 PHONE: 218/863-2401 (28601) FAX: MS. LINDA NINE 218/863-5049 Church GOOD SAMARITAN SOCIETY PELICAN HCP-F 119 NORTH BROADWAY PELICAN RAPIDS, MN 56572 PHONE: 218/863-2401 (28600) FAX: MS. LINDA NINE 218/863-5049 Lim-Liab LILAC HOME CARE LLC HCP-A 24806 LABRADOR BEACH ROAD PELICAN RAPIDS, MN 56572 PHONE: 218/863-1665 (28725) FAX: MR. WILLIAM NELSON /- Corp LILAC HOMES ASSISTED LIVING HCP-F 24806 LABRADOR BEACH ROAD PELICAN RAPIDS, MN 56572 PHONE: 218/443-2426 (28988) FAX: MR. WILLIAM NELSON /- HWS Part MILL POND VIEW APARTMENTS 101 EAST MILL AVENUE PELICAN RAPIDS, MN 56572 PHONE: 218/863-5085 (21757) FAX: MS. MARGARET FARRIS 218/863-5086 Dist PELICAN VALLEY HEALTH CENTER NH-40 SNF-NF-40 211 EAST MILL AVENUE PELICAN RAPIDS, MN 56572 PHONE: 218/863-2991 (00442) FAX: MS. BARBARA GARRITY 218/863-5255 Dist RIVERFRONT MANOR HCP-F 211 EAST MILL STREET PELICAN RAPIDS, MN 56572 PHONE: 218/863-1133 (21613) FAX: 218/863-4860 MR. NATHAN JOHNSON HWSAL Dist RIVERFRONT MANOR PELICAN RAPII 215 EAST MILL AVENUE PELICAN RAPIDS, MN 56572 PHONE: 218/863-1133 (21612) FAX: 218/863-4860 MR. NATHAN JOHNSON RHC NProf SANFORD HLTH PELICN RPDS CLINC 211 EAST MILL STREET PELICAN RAPIDS, MN 56572 PHONE: 701/234-6207 (23220) FAX: /- MS. LISA CARLSON Minnesota Department of Health Division of Compliance Monitoring Page 287 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab 7TH HEAVEN ASSISTED LIVING LLC Certification OTTER TAIL Registration (Cont.)* -------------------------- HCP-F HWSAL 210 7TH AVENUE SOUTHEAST (29022) PERHAM, MN 56573 PHONE: 218/346-7077 FAX: MS. JULIE REITMEYER /- HWS Dist BRIARWOOD 630 FIFTH STREET SOUTHWEST PERHAM, MN 56573 PHONE: 218/347-1865 (20557) FAX: Ind CDS HOMEMAKING PLUS MR. CHARLES HOFIUS 218/347-1866 HCP-C 320 3RD AVENUE SOUTHEAST PERHAM, MN 56573 PHONE: 218/298-1957 (28202) FAX: MS. CYNTHIA NIEHAUS 218/298-1957 HWS HRA LAKELAND APARTMENTS 211 2ND AVENUE SOUTHEAST PERHAM, MN 56573 PHONE: 218/346-4582 (23186) FAX: Dist PERHAM HEALTH MRS. MARY HOLZER 218/346-9364 BASS-3 HOSP-25 CAH-25 1000 CONEY STREET WEST PERHAM, MN 56573 PHONE: 218/347-4500 (28377) FAX: Dist PERHAM LIVING MR. CHARLES HOFIUS 218/347-4540 NH-96 SNF-NF-96 735 3RD STREET SOUTHWEST PERHAM, MN 56573 PHONE: 218/346-4500 (00438) FAX: Dist PERHAM LIVING MS. KATIE LUNDMARK 218/346-4540 HCP-F 735 3RD STREET SOUTHWEST PERHAM, MN 56573 PHONE: 218/347-1800 (28907) FAX: Dist PERHAM LIVING HOME CARE MS. COURTNEY VROMAN 218/347-1862 HCP-A HHA 735 3RD STREET SOUTHWEST PERHAM, MN 56573 PHONE: 218/347-1880 (03870) FAX: Corp PRAIRIE VIEW ASSISTED LIVING MR. CHUCK HOFIUS 218/347-1885 HCP-A 821 7TH AVENUE SOUTHWEST PERHAM, MN 56573 PHONE: 218/346-3080 (28894) FAX: 218/346-2700 MS. KARI HONOR HWSAL Corp PRAIRIE VIEW ASSISTED LIVING I 825 7TH AVENUE SOUTHWEST PERHAM, MN 56573 PHONE: 218/346-3167 (27188) FAX: 218/298-1140 MS. KARI HONER Minnesota Department of Health Division of Compliance Monitoring Page 288 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp PRAIRIE VIEW ASSISTED LVNG INC Certification OTTER TAIL Registration (Cont.)* -------------------------- 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 PERHAM, MN 56573 PHONE: 218/346-2431 (24471) FAX: /- MS. JESSICA JOHNSON HWS Dist ST JAMES MANOR 415 EIGHTH AVENUE SW PERHAM, MN 56573 PHONE: 218/347-1854 (22350) FAX: MS. DEBBIE ANDERSON 218/347-1864 HWSAL Corp THE THOMAS HOUSE II 738 THIRD AVENUE SW PERHAM, MN 56573 PHONE: 218/346-3064 (23404) FAX: /- MS. LISA NELSON Corp THE THOMAS HOUSE INC HCP-F HWSAL 701 3RD AVENUE SOUTHWEST PERHAM, MN 56573 PHONE: 218/346-3064 (21578) FAX: /- MS. LISA NELSON HWSAL Corp THOMAS HOUSE III 812 4TH AVENUE SOUTHWEST PERHAM, MN 56573 PHONE: 218/346-3266 (28779) FAX: /- MS. LISA NELSON Home Mgmt Ind HELPING HANDS 36591 COUNTY HIGHWAY 14 RICHVILLE, MN 56576 PHONE: 218/371-7185 (25825) FAX: /- MS. LISA LIEN HWSAL Lim-Liab VERGAS ASSISTED LIVING 405 EAST FRAZEE AVENUE VERGAS, MN 56587 PHONE: 218/342-2741 (20135) FAX: 218/342-2779 MR. AUSTIN BLILIE ---------------------------********** NProf GLENMORE THIEF RIVER FALLS PENNINGTON SLFA-10 621 NO LABREE AVE THIEF RIVER FALLS, MN 56701 PHONE: 218/281-9538 (01548) FAX: 218/281-9221 MR. ROSS MATLACK ******** -------------------------- Minnesota Department of Health Division of Compliance Monitoring Page 289 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Cnty INTER CO NURSING SERVICE Certification PENNINGTON Registration (Cont.)* -------------------------- HCP-A HHA 318 NORTH KNIGHT AVENUE (02124) THIEF RIVER FALLS, MN 56701 PHONE: 218/681-0876 FAX: 218/683-7099 Lim-Liab MINNESOTA GREENLEAF MS. ANITA CARDINAL HWSAL HCP-F 1006 GREENWOOD STREET EAST THIEF RIVER FALLS, MN 56701 PHONE: 218/681-1685 (23224) FAX: 218/681-4014 Corp OAK PARK SENIOR LIVING MS. CHELSEY SWATZKE HCP-F HWSAL 121 BAKEN STREET THIEF RIVER FALLS, MN 56701 PHONE: 218/681-1675 (22082) FAX: MR. JIM BIRCHEM 218/681-1037 Corp OAKLAND PARK COMMUNITIES INC NH-40 SNF-NF-40 123 BAKEN STREET THIEF RIVER FALLS, MN 56701 PHONE: 218/681-1675 (00449) FAX: 218/681-1037 MS. ANGELA MALONE ESRD NProf SANFORD DIALYSIS THIEF RVR FLS 120 LABREE AVENUE SOUTH THIEF RIVER FALLS, MN 567012819 PHONE: 218/681-4240 (26854) FAX: /- MS. DEANNA PICOTTE NProf SANFORD MED CTR THIEF RVR FALL CAH-25 PPS-P-10 BASS-10 HOSP-99 120 LABREE AVENUE SOUTH THIEF RIVER FALLS, MN 56701 PHONE: 218/681-4240 (24712) FAX: 218/683-4511 NProf THIEF RIVER CARE CENTER MR. BRIAN CARLSON NH-70 SNF-NF-70 2001 EASTWOOD DRIVE THIEF RIVER FALLS, MN 56701 PHONE: 218/683-8100 (00448) FAX: 218/683-8130 NProf VALLEY HOME MS. MICHELE HALVORSON HWSAL HCP-F 523 ARNOLD AVENUE SOUTH THIEF RIVER FALLS, MN 56701 PHONE: 218/681-3286 (00450) FAX: 218/681-3287 MS. LYNN GELLER ---------------------------********** Lim-Liab COUNTRY HOME COMFORTS PINE ******** -------------------------- HCP-F 2656 RAINBOW STREET BROOK PARK, MN 55007 PHONE: 320/679-2847 (26778) FAX: 651/679-8934 MS. BARBARA STEINER Minnesota Department of Health Division of Compliance Monitoring Page 290 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification PINE (Cont.)* -------------------------HWSAL Lim-Liab ELDERWOOD OF HINCKLEY Registration 710 SPRING LANE (23986) HINCKLEY, MN 55037 PHONE: 320/384-7373 FAX: MR. RONALD AUSMUS 320/384-0700 Lim-Liab ELDERWOOD OF HINCKLEY HCP-F 25269 CROSS LAKE ROAD HINCKLEY, MN 55037 PHONE: 320/384-7373 (27972) FAX: MS. LAURA AUSMUS 320/384-0700 RHC Cnty FIRSTLIGHT HINCKLEY 620 SANDY LANE ROAD HINCKLEY, MN 55037 PHONE: 320/629-7505 (28051) FAX: MR. RANDY ULSETH 320/629-2202 RHC Corp GATEWAY FAMILY HEALTH CLINIC 206 MAIN STREET E PO BOX 309 HINCKLEY, MN 55037 PHONE: 320/384-6618 (23052) FAX: COMMUNITY SUPPORTS PROGRAMMING MR. WILLIAM PALMER /- Ind HCP-A 500 3RD AVENUE SUITE 2 PINE CITY, MN 55063 PHONE: 320/629-6674 (24826) FAX: Corp EDGEWATER ASSISTED LIVING MS. TINA MAY 320/629-6630 HCP-F HWSAL 14856 EDGEWATER ROAD NE PINE CITY, MN 55063 PHONE: 320/629-1447 (23691) FAX: MS. DEBRA ERICKSON 320/629-2318 RHC Cnty FIRSTLIGHT PINE CITY 1425 MAIN STREET NORTH PINE CITY, MN 55063 PHONE: 320/629-7505 (28050) FAX: Corp GOLDEN HORIZONS INC MR. RANDY ULSETH 320/629-2202 HCP-F HWSAL 1305 EIGHTH STREET SW PINE CITY, MN 55063 PHONE: 320/629-7272 (22193) FAX: Corp LAKESIDE MEDICAL CENTER MR. CHUCK LANE 320/629-5388 HCP-F HWSAL 129 SIXTH AVENUE SE PINE CITY, MN 55063 PHONE: 320/629-2542 (23417) FAX: Corp LAKESIDE MEDICAL CENTER MR. MAX BLAUFUSS 320/629-1093 HOSP-10 NH-46 129 EAST SIXTH AVENUE PINE CITY, MN 55063 PHONE: 320/629-2542 (00451) FAX: 320/629-1093 MR. MAX BLAUFUSS HOSP-10 SNF-NF-46 Minnesota Department of Health Division of Compliance Monitoring Page 291 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab MEADOW CREEK Certification PINE Registration (Cont.)* -------------------------- SLFA-26 SLFB-0 PO BOX 74 17305 MEADOW CRK LN (01637) PINE CITY, MN 55063 PHONE: 763/444-4838 FAX: 763/444-6007 State SIXTH AVENUE RESIDENCE MS. MARIANNE THIRY SLFB-6 ICFMR-6 215 SIXTH AVENUE EAST PINE CITY, MN 55063 PHONE: 320/629-2116 (01619) FAX: 320/629-2252 Corp SOPHIES MANOR ASSISTED LIVING MS. MIRANDA TRYTTEN HCP-F HWSAL 17500 RANCH DRIVE PINE CITY, MN 55063 PHONE: 320/629-2064 (24653) FAX: MS. CYNTHIA SHERRILL 320/629-4918 ESRD Corp TRC PINE CITY 129 EAST SIXTH AVENUE PINE CITY, MN 55603 PHONE: 763/444-7245 (02432) FAX: /- MR. BRAD NYE NProf ESSENTIA HEALTH - SANDSTONE NH-55 SNF-NF-55 109 COURT AVENUE SOUTH SANDSTONE, MN 55072 PHONE: 320/245-5668 (00452) FAX: 320/245-3220 NProf ESSENTIA HEALTH SANDSTONE MS. JAMIE PARO BASS-5 HOSP-30 CAH-25 109 COURT AVENUE SOUTH SANDSTONE, MN 55072 PHONE: 320/245-2212 (00453) FAX: 320/245-5243 MR. JAMES KOPPEN RHC Corp GATEWAY FAMILY CLINIC 204 LUNDORFF DRIVE SANDSTONE, MN 55072 PHONE: 320/245-2250 (21128) FAX: /- MR. WILLIAM PALMER ---------------------------********** NProf EDGEBROOK CARE CENTER PIPESTONE ******** -------------------------- NH-56 SNF-NF-56 505 TROSKY ROAD WEST EDGERTON, MN 56128 PHONE: 507/442-7121 (00454) FAX: 507/442-3952 MR. PHILIP SAMUELSON HWS NProf EDGEBROOK ESTATES 505 TROSKY ROAD WEST EDGERTON, MN 56128 PHONE: 507/442-7121 (20552) FAX: 507/442-3952 MR. PHILIP SAMUELSON Minnesota Department of Health Division of Compliance Monitoring Page 292 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf EDGEBROOK ESTATES ASSISTED LIV Certification PIPESTONE Registration (Cont.)* -------------------------- 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 JASPER, MN 56144 PHONE: 507/348-8620 (20083) FAX: Corp HOME CARE SERVICES OF SOUTH DA MS. LAUREL YKEMA 507/348-6100 HCP-A 316 SOUTH COTEAU PIERRE, SD 57501 PHONE: 605/224-2273 (26727) FAX: Corp COMFORT KEEPERS MR. ROBERT BOEHMER 605/224-9006 HCP-A 101 8TH AVENUE NORTHEAST PIPESTONE, MN 56164 PHONE: 507/562-4663 (26937) FAX: Corp FALLS LANDING ASSISTED LIVING MS. LISA HUBERS 507/562-4665 HCP-F HWSAL 1101 NORTH HIAWATHA PIPESTONE, MN 56164 PHONE: 507/562-6648 (23333) FAX: NProf GOOD SAM SOCIETY PIPESTONE MR. MIKE LUDOLPH 507/562-6650 NH-94 SNF-NF-94 1311 NORTH HIAWATHA PIPESTONE, MN 56164 PHONE: 507/825-5428 (00455) FAX: NProf HIAWATHA MANOR MR. JOSHUA HOFMEYER 507/825-5117 SLFA-6 ICFMR-6 107 FIFTH AVENUE NORTHEAST PIPESTONE, MN 56164 PHONE: 507/825-5697 (01140) FAX: Cnty PIPESTONE CO HOME HEALTH AGNCY MS. CHRISTINE ROBINSON 507/825-4173 HCP-A HHA 916 - 4TH AVENUE SW PIPESTONE, MN 56164 PHONE: 507/825-6024 (02046) FAX: Cnty PIPESTONE CO MED C & ASHTON CC MR. BRADLEY BURRIS 507/825-6145 BASS-12 HOSP-44 CAH-25 916 4TH AVENUE SOUTHWEST PIPESTONE, MN 56164 PHONE: 507/825-5811 (00456) FAX: Cnty PIPESTONE COUNTY HOSPICE MR. BRADLEY BURRIS 507/825-5733 Hospice HSPICE 916 4TH AVENUE SOUTHWEST PIPESTONE, MN 56164 PHONE: 507/825-6024 (24107) FAX: 507/825-6145 MR. BRADLEY BURRIS Minnesota Department of Health Division of Compliance Monitoring Page 293 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 PIPESTONE, MN 56164 PHONE: 507/825-6623 (03936) FAX: MS. SHERRY DANIELS 507/825-6627 HWS NProf RIDGE VIEW ESTATES 903 SECOND AVENUE SOUTHEAST PIPESTONE, MN 56164 PHONE: 507/825-4885 (20656) FAX: NProf NEW LIFE TREATMENT CENTER MS. MELISSA MEYER 507/562-1355 SLFA-21 SLFB-7 130 DAKOTA STREET WOODSTOCK, MN 56186 PHONE: 507/777-4321 (01241) FAX: MR. GARY AMBROSE 507/777-4284 ---------------------------********** POLK ******** -------------------------HWSAL-O HRA CROOKSTON HOUSING & ECONOMIC D 110 SARGENT STREET CROOKSTON, MN 56716 PHONE: 218/281-5334 (20389) FAX: NProf GLENMORE RECOVERY CENTER MS. LISA STREET 218/281-6214 SLFB-42 23616 US HIGHWAY 2 SW CROOKSTON, MN 56716 PHONE: 218/281-9514 (01512) FAX: 218/281-9221 MR. ROSS MATLACK HWS Church GOOD SHEPHERD HALL 620 SUMMIT AVENUE CROOKSTON, MN 56716 PHONE: 218/281-4218 (22009) FAX: 218/281-2690 MS. JUDY HULST Home Mgmt Corp INDEPENDENCE PLUS INC 27885 170TH AVENUE SW CROOKSTON, MN 56716 PHONE: 218/281-3506 (20730) FAX: 218/281-9929 MS. RUBY BARANSKI HWS Part NIMENS ESPEGARD APARTMENTS 1700 WIDMAN LANE CROOKSTON, MN 56716 PHONE: 218/281-1282 (20794) FAX: 218/281-6487 MS. MIRIAM BUCHANAN Minnesota Department of Health Division of Compliance Monitoring Page 294 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification POLK (Cont.)* -------------------------CMHC NProf NORTHWESTERN MENTAL HLTH CTR Registration PO BOX 603, 603 BRUCE STREET (02787) CROOKSTON, MN 56716 PHONE: 218/281-3940 FAX: MR. SHAUNA REITMEIER /- Corp REM NORTHSTAR (JOHNSON PLACE) SLFB-6 ICFMR-6 220 JOHNSON PLACE CROOKSTON, MN 56716 PHONE: 218/281-5113 (01457) FAX: MR. PATRICK MASYGA 218/281-7468 RHC NProf RIVERVIEW CLINIC 323 SOUTH MINNESOTA STREET CROOKSTON, MN 56716 PHONE: 218/281-9200 (28147) FAX: NProf RIVERVIEW HOME CARE MR. WILLIAM BENNETT 218/281-9509 HCP-A HHA 323 SOUTH MINNESOTA CROOKSTON, MN 56716 PHONE: 218/281-9478 (02497) FAX: NProf RIVERVIEW HOSPITAL & NSG HOME MR. ROSS MATLACK 218/281-9248 NH-24 BASS-10 HOSP-49 SNF-NF-24 CAH-25 323 SOUTH MINNESOTA CROOKSTON, MN 56716 PHONE: 218/281-9200 (00470) FAX: MR. ROSS MATLACK 218/281-9222 Home Mgmt NProf VALLEY HOUSEKEEPING 102 NORTH BROADWAY PO BOX 607 CROOKSTON, MN 56716 PHONE: 218/281-5832 (02902) FAX: Church VILLA ST VINCENT MR. DENNIS DEMERS 218/281-0743 NH-104 SNF-NF-104 516 WALSH STREET CROOKSTON, MN 56716 PHONE: 218/281-3424 (00815) FAX: Church VILLA ST VINCENT INC MS. JUDITH HULST 218/281-4755 HWS HCP-F 516 WALSH STREET CROOKSTON, MN 56716 PHONE: 218/281-3424 (20007) FAX: Corp EDGEWOOD VISTA MRS. JUDITH HULST 218/281-4755 HCP-F HWSAL 608 FIFTH AVENUE NORTHWEST EAST GRAND FORKS, MN 56721 PHONE: 218/773-6648 (20454) FAX: NProf GOOD SAM SOC HERITAGE GROVE MS. TAMMIE RADERMACHER 218/773-6543 HCP-F 2122 RIVER ROAD NORTHWEST EAST GRAND FORKS, MN 56721 PHONE: 218/773-7484 (20627) FAX: 218/773-6041 MR. TIM BYRNE Minnesota Department of Health Division of Compliance Monitoring Page 295 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification POLK (Cont.)* -------------------------HWSAL NProf GOOD SAMARITAN SOCIETY HERITAG Registration 2122 RIVER ROAD NORTHWEST (24554) EAST GRAND FORKS, MN 56721 PHONE: 218/773-7484 FAX: Corp REM NORTHSTAR (RED RIVER WEST) MR. TIM BYRNE 218/773-6041 ICFMR-6 SLFB-6 2138 NINTH AVENUE NORTHWEST EAST GRAND FORKS, MN 56721 PHONE: 218/281-5113 (01458) FAX: MR. PATRICK MASYGA 218/281-7468 HWSAL NProf CROSSROADS APARTMENTS 22842 347TH STREET SE ERSKINE, MN 56535 PHONE: 218/687-4702 (23371) FAX: NProf PIONEER MEMORIAL CARE CENTER MS. MELISSA CHISHOLM 218/687-4703 SNF-NF-68 NH-68 23028 - 347TH STREET SE ERSKINE, MN 56535 PHONE: 218/687-2365 (00469) FAX: NProf THE COUNTRY PLACE APARTMENTS MS. MELISSA CHISHOLM 218/687-2047 HCP-F HWSAL 23110 347TH STREET SE ERSKINE, MN 56535 PHONE: 218/687-2288 (20593) FAX: City FAIR MEADOW NURSING HOME MS. MELISSA CHISHOLM 218/687-3278 NH-50 SNF-NF-50 BOX 8 300 GARFIELD AVENUE SE FERTILE, MN 56540 PHONE: 218/945-6194 (00460) FAX: MR. BARRY ROBERTSON 218/945-6459 RHC NProf RIVERVIEW CLINIC 306 NORTH MILL STREET FERTILE, MN 56540 PHONE: 218/945-6695 (28148) FAX: Corp CORNERSTONE RESIDENCE MR. WILLIAM BENNETT 218/945-6693 HCP-F HWSAL 115 1ST STREET EAST FOSSTON, MN 56542 PHONE: 218/435-6333 (23400) FAX: NProf ESSENTIA HEALTH FOSSTON MS. JUDY POTVIN 218/435-6336 NH-50 BASS-7 HOSP-43 SNF-NF-50 CAH-25 900 HILLIGOSS BLVD SOUTHEAST FOSSTON, MN 56542 PHONE: 218/435-1133 (00461) FAX: NProf ESSENTIA HEALTH FOSSTON HM HTH MS. PATRICIA WANGLER 218/435-1134 HCP-A HHA 900 HILLIGOSS BLVD SOUTHEAST FOSSTON, MN 56542 PHONE: 218/435-1133 (02366) FAX: 218/435-1134 MS. PATRICIA WANGLER Minnesota Department of Health Division of Compliance Monitoring Page 296 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf FIRST CARE HOSPICE Certification POLK Registration (Cont.)* -------------------------- Hospice HSPICE 900 HILLIGOSS BLVD SOUTHEAST (03716) FOSSTON, MN 56542 PHONE: 218/435-1133 FAX: MS. PATRICIA WRANGLER 218/435-1134 HWSAL Corp MIDWAY CARE CENTER INC 114 SECOND STREET NORTHEAST FOSSTON, MN 56542 PHONE: 218/435-1272 (27388) FAX: NProf PRAIRIE PINES COMMUNITY MR. ALLEN POTVIN 218/435-6336 HCP-F HWSAL 903 PRAIRIE PINES DRIVE FOSSTON, MN 56542 PHONE: 218/435-1337 (23659) FAX: NProf MCINTOSH SENIOR LIVING MS. PATRICIA WANGLER 218/435-1540 NH-45 SNF-NF-45 600 RIVERSIDE AVENUE NORTHEAST MCINTOSH, MN 56556 PHONE: 218/563-2715 (00467) FAX: City POPLAR MEADOWS OF MCINTOSH MS. SHARLENE KNUTSON 218/563-2395 HCP-F HWS 325 SCOTS AVENUE SE MCINTOSH, MN 56556 PHONE: 218/563-2436 (22355) FAX: MS. CAROLE LARSON 218/563-6100 ---------------------------********** POPE ******** -------------------------HWS Corp CENTRAL MINNESOTA SENIOR CARE 515 6TH AVENUE PARKCREST GLENWOOD, MN 56334 PHONE: 320/441-7001 (27708) FAX: Dist GLACIAL RIDGE HOME CARE MS. DEBRA OLESON 320/235-8069 HCP-A HHA 220 FIRST STREET SE GLENWOOD, MN 56334 PHONE: 320/634-2221 (02369) FAX: Dist GLACIAL RIDGE HOSPICE MS. TERRI ANDERSON 320/634-2006 Hospice HSPICE 10 FOURTH AVENUE SOUTHEAST GLENWOOD, MN 56334 PHONE: 320/634-2221 (02298) FAX: Dist GLACIAL RIDGE HOSPITAL MS. TERRI ANDERSON 320/634-2006 BASS-4 HOSP-34 10 FOURTH AVENUE SOUTHEAST GLENWOOD, MN 56334 PHONE: 320/634-4521 (00473) FAX: 320/634-2269 MR. KIRK STENSRUD CAH-25 Minnesota Department of Health Division of Compliance Monitoring Page 297 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification POPE (Cont.)* -------------------------HWS Corp GLEN HAVEN MANOR Registration 507 SOUTHEAST 5TH STREET (24175) GLENWOOD, MN 56334 PHONE: 320/634-0201 FAX: MS. DEBRA OLESON 320/235-8069 HWS Corp GLEN VIEW APARTMENTS 501 5TH STREET SOUTHEAST GLENWOOD, MN 56334 PHONE: 320/441-7001 (24177) FAX: MS. DEBRA OLESON 320/231-8069 Corp GLENWOOD ESTATES HCP-F 500 NORTH FRANKLIN STREET GLENWOOD, MN 56334 PHONE: 320/634-0022 (22168) FAX: MS. KAREN HOLTE 320/634-0052 HWSAL Corp GLENWOOD ESTATES 500 FRANKLIN STREET N GLENWOOD, MN 56334 PHONE: 320/634-0022 (22169) FAX: MS. KAREN HOLTE 320/634-0052 RHC Dist GLENWOOD MEDICAL CENTER 417 SOUTH FRANKLIN GLENWOOD, MN 56334 PHONE: 320/634-5157 (24009) FAX: MR. KIRK STENSRUD /- Church GLENWOOD VILLAGE CARE CENTER NH-64 SNF-NF-64 719 SOUTHEAST SECOND STREET GLENWOOD, MN 56334 PHONE: 320/634-5131 (00474) FAX: NProf GOOD SAM SOCIETY GLNWD LKVIEW MS. MARY KRUEGER 320/634-5777 NH-32 SNF-NF-32 515 FRANKLIN STREET SOUTH GLENWOOD, MN 56334 PHONE: 320/634-4553 (00969) FAX: MR. WILLIAM BREWER 320/634-5109 HWSAL NProf PARKVIEW COURT 300 8TH AVENUE SOUTHEAST GLENWOOD, MN 56334 PHONE: 320/634-5131 (20017) FAX: Church PARKVIEW COURT ASSISTED LIVING MS. MARY KRUEGER 320/634-5818 HCP-F 300 SE 8TH AVENUE GLENWOOD, MN 56334 PHONE: 320/634-5131 (23780) FAX: 320/634-5777 MS. MARY KRUEGER HWSAL Corp CENTRAL MN SENIOR CARE TOUCH O 300 JOHN STREET STARBUCK, MN 56381 PHONE: 320/441-7001 (25021) FAX: 320/235-8069 MS. DEBRA OLESON Minnesota Department of Health Division of Compliance Monitoring Page 298 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf HOLLY RIDGE MANOR Certification POPE Registration (Cont.)* -------------------------- HCP-F HWSAL 500 HOLLY RIDGE DRIVE (21570) STARBUCK, MN 56381 PHONE: 320/239-7104 FAX: MS. DEBBIE SCHNEIDER 320/239-7144 Church MINNEWASKA COMMUNITY HLTH SERV NH-65 SNF-NF-65 605 MAIN STREET STARBUCK, MN 56381 PHONE: 320/239-2217 (00477) FAX: MR. MURRAY FINGER 320/239-7144 NProf MINNEWASKA HOME CARE HCP-A HHA 605 MAIN STREET STARBUCK, MN 563810040 PHONE: 320/239-7159 (03853) FAX: MR. MURRAY FINGER 320/239-7263 ---------------------------********** Corp ACR HOME ON CUMMINGS RAMSEY ******** -------------------------- SLFB-4 ICFMR-4 1385 CUMMINGS LANE ARDEN HILLS, MN 55112 PHONE: 651/636-7537 (01378) FAX: MR. GENE LEISTICO 651/697-1724 ESRD Corp ARDEN HILLS DIALYSIS UNIT 3900 NORTHWOOD DRIVE SUITE 110 ARDEN HILLS, MN 55112 PHONE: 651/483-3159 (02442) FAX: JOHANNA SHORES COMMONS AND ARB MS. ROSANNA NELSON /- HWSAL NProf 3200 LAKE JOHANNA BOULEVARD ARDEN HILLS, MN 55112 PHONE: 651/631-6063 (20113) FAX: NProf PHOENIX AT JANET COURT MS. MARIA GARRITY 651/631-6070 SLFB-6 ICFMR-6 1769 JANET COURT ARDEN HILLS, MN 55112 PHONE: 651/227-7655 (23588) FAX: NProf PRESBY HOMES OF ARDEN HILLS MS. DARLENE SCOTT 651/227-6847 NH-208 SNF-NF-208 3220 LAKE JOHANNA BOULEVARD ARDEN HILLS, MN 55112 PHONE: 651/631-6000 (00975) FAX: NProf PRESBYTERIAN HOMES OF ARDEN HI MS. WENDY KINGBAY 651/631-6036 HCP-F 3220 LAKE JOHANNA BOULEVARD ARDEN HILLS, MN 55112 PHONE: 651/631-6000 (27964) FAX: 651/631-6057 MS. NATALIE MORLAND Minnesota Department of Health Division of Compliance Monitoring Page 299 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification RAMSEY (Cont.)* -------------------------HWS NProf 396 LABORE ROAD Registration 396 LABORE ROAD (28854) LITTLE CANADA, MN 55117 PHONE: 651/256-1226 FAX: MR. MATT LEWIS /- HWS NProf GARDEN TERRACE 2874 MARKET PLACE DRIVE LITTLE CANADA, MN 55117 PHONE: 651/481-9028 (20362) FAX: MS. ELIZABETH HAGSTROM /- Corp LIFESPAN HOME CARE SERVICES HCP-A 93 W LITTLE CANADA RD STE 103 LITTLE CANADA, MN 55117 PHONE: 651/210-7122 (23141) FAX: MS. AKPENE ASEMPA 651/484-7489 NProf MONTREAL CTS APTS - PEOPLE INC HCP-F HWS-O 425 LABORE ROAD UNIT 108 LITTLE CANADA, MN 55117 PHONE: 651/490-3130 (26039) FAX: MS. ERIKA ASHE 651/490-3148 NProf NORTHEAST RESIDENCE II SLFB-6 ICFMR-6 410 EAST LITTLE CANADA ROAD LITTLE CANADA, MN 55117 PHONE: 651/765-0238 (20896) FAX: MS. CORRINE SCHMIDT 651/765-0426 Lim-Liab REGENCY HOME HEALTHCARE HCP-F 2980 RICE STREET LITTLE CANADA, MN 55113 PHONE: 651/488-4655 (26594) FAX: MS. JEAN JOHNSON 651/488-4656 Lim-Liab REGENCY HOME HEALTHCARE SRVCS HCP-A HHA 2980 RICE STREET LITTLE CANADA, MN 55113 PHONE: 651/488-4655 (22064) FAX: MS. JEAN JOHNSON 651/488-4656 Corp REM RAMSEY INC SEXTANT SLFA-6 ICFMR-6 332 SEXTANT LITTLE CANADA, MN 55117 PHONE: 651/644-7680 (01143) FAX: MS. CONNIE MENNE 651/644-6777 Lim-Liab YOUR FAVORITE HOME HEALTH CARE HCP-B 336 LABORE ROAD APT 213 LITTLE CANADA, MN 55117 PHONE: 612/816-2291 (29003) FAX: MR. KALEB HAILU /- HWS NProf 1881 FURNESS STREET 1881 FURNESS STREET MAPLEWOOD, MN 55109 PHONE: 651/256-1226 (28734) FAX: /- MR. MATT LEWIS Minnesota Department of Health Division of Compliance Monitoring Page 300 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab BRIGHTSTAR HEALTHCARE Certification RAMSEY Registration (Cont.)* -------------------------- 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 MAPLEWOOD, MN 55109 PHONE: 651/773-0354 (03297) FAX: NProf COMMUNITY FOUNDATIONS MS. MAGGIE LESHER 651/773-0371 SLFA-16 1096 GERVAIS AVENUE MAPLEWOOD, MN 55109 PHONE: 651/221-9880 (01549) FAX: NProf DCI BROOKVIEW MR. TERRY SCHNEIDER 651/225-1545 SLFB-6 ICFMR-6 2675 BROOKVIEW DRIVE EAST MAPLEWOOD, MN 55119 PHONE: 651/731-1602 (01600) FAX: NProf DCI COPE MS. JULIE MANWORREN 651/731-9120 SLFB-6 ICFMR-6 1362 EAST COPE AVENUE MAPLEWOOD, MN 55109 PHONE: 651/483-9596 (01599) FAX: NProf DCI LARPENTEUR MS. JULIE MANWORREN 651/483-4139 SLFB-6 ICFMR-6 1951 LARPENTEUR AVENUE EAST MAPLEWOOD, MN 55109 PHONE: 651/770-7120 (01595) FAX: NProf DCI MARYLAND MS. JULIE MANWORREN 651/770-7130 SLFB-6 2355 MARYLAND AVENUE EAST MAPLEWOOD, MN 55119 PHONE: 651/773-4074 (20783) FAX: NProf ECUMEN LAKEVIEW COMMONS MS. JULIE MANWORREN 651/773-3314 HCP-F 1200 NORTH LAKEWOOD DRIVE MAPLEWOOD, MN 55119 PHONE: 651/770-1111 (21972) FAX: NProf ECUMEN SEASONS AT MAPLEWOOD MS. ANDREA NYE 651/773-7399 HCP-F 1670 LEGACY PARKWAY EAST MAPLEWOOD, MN 55109 PHONE: 651/756-1859 (27397) FAX: 651/756-1754 MR. JOSEPH SIGNORE HWSAL Corp ESSLINGS HOMES PLUS INC 1729 GERVAIS AVENUE MAPLEWOOD, MN 55109 PHONE: 651/735-7259 (24754) FAX: 651/730-1667 MS. EYDIE SHYPULSKI Minnesota Department of Health Division of Compliance Monitoring Page 301 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification RAMSEY (Cont.)* -------------------------HWSAL-O Corp ESSLINGS HOMES PLUS INC Registration 1747 GERVAIS AVENUE (25241) MAPLEWOOD, MN 55109 PHONE: 651/735-7259 FAX: MS. EYDIE SHYPULSKI 651/730-1667 ESRD Corp FMC MAPLEWOOD HEIGHTS 2017 WOODLYN HEIGHTS MAPLEWOOD, MN 55109 PHONE: 651/748-5774 (25765) FAX: MR. PATRICK HOWARD /- NProf FURNESS HOUSE SLFB-6 ICFMR-6 1866 FURNESS STREET MAPLEWOOD, MN 55109 PHONE: 651/227-7655 (01604) FAX: MS. DARLENE SCOTT 651/227-6847 Lim-Liab GABRIEL PRIORITY CARE HCP-A 2024 CLARK STREET MAPLEWOOD, MN 55117 PHONE: 612/423-8718 (27361) FAX: MR. GERMAINE JONES /- NProf GOOD SAM SOCIETY MAPLEWOOD NH-102 SNF-NF-102 550 EAST ROSELAWN AVENUE MAPLEWOOD, MN 55117 PHONE: 651/774-9765 (00900) FAX: NProf HEALTHEAST ST JOHNS HOSPITAL MS. SUSAN JENSEN 651/793-3353 BASS-44 HOSP-184 HOSP-184 1575 BEAM AVENUE MAPLEWOOD, MN 55109 PHONE: 651/232-7000 (00224) FAX: Lim-Liab HEALTHEAST SURG CTR MAPLEWOOD MR. SCOTT NORTH 651/232-7240 Outpt Surg Amb Surg 1655 BEAM AVENUE MAPLEWOOD, MN 55109 PHONE: 651/232-7787 (00980) FAX: Corp HOME HELPERS OF THE TWIN CITIE MR. CHRIS SQUIRE 651/232-7786 HCP-B 2515 WHITE BEAR AVENUE A-8-129 MAPLEWOOD, MN 55109 PHONE: 612/518-5741 (28757) FAX: Corp HOME INSTEAD SENIOR CARE #150 MS. JENNIFER OLESEN 651/484-4687 HCP-B 2480 WHITE BEAR AVE MAPLEWOOD, MN 55109 PHONE: 651/747-8722 (23592) FAX: 651/747-8726 MS. KENDRA PHILLIPS Home Mgmt Corp HOME INSTEAD SENIOR CARE #150 2480 WHITE BEAR AVE MAPLEWOOD, MN 55109 PHONE: 651/747-8722 (03744) FAX: 651/747-8726 MS. KENDRA PHILLIPS Minnesota Department of Health Division of Compliance Monitoring Page 302 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf HOWARD HOUSE Certification RAMSEY Registration (Cont.)* -------------------------- SLFB-6 ICFMR-6 1685 HOWARD STREET NORTH (01603) MAPLEWOOD, MN 55109 PHONE: 651/227-7655 FAX: MS. DARLENE SCOTT 651/227-6847 HWSAL NProf LAKEVIEW COMMONS 1200 NORTH LAKEWOOD DRIVE MAPLEWOOD, MN 55119 PHONE: 651/770-1111 (20114) FAX: MS. ANDREA NYE 651/773-7399 NProf MAPLEWOOD CARE CENTER NH-149 SNF-NF-149 1900 SHERREN AVENUE MAPLEWOOD, MN 55109 PHONE: 651/770-1365 (00520) FAX: MR. DOUG DOLINSKY 651/770-1646 HWSAL Corp MAPLEWOOD CARE RESIDENCE 2338 OVERLOOK CIRCLE MAPLEWOOD, MN 55119 PHONE: 763/550-1774 (25791) FAX: MS. MARCIA DOONER /- ESRD Corp MAPLEWOOD DIALYSIS CENTER 2785 WHITE BEAR AVE SUITE 201 MAPLEWOOD, MN 55109 PHONE: 651/779-2222 (02844) FAX: MS. DENISE TURNBULL /- Lim-Liab MAPLEWOOD GW LLC HCP-F HWSAL 2300 HAZELWOOD STREET MAPLEWOOD, MN 55109 PHONE: 651/777-3316 (25824) FAX: MS. RHONDA SCHILLINGER 651/773-7580 Lim-Liab METRO NURSING SERVICES HCP-A HWS 1312 BURKE CIRCLE EAST MAPLEWOOD, MN 55109 PHONE: 651/230-9300 (27039) FAX: MR. ABDI GONJOBE 651/756-1696 Lim-Liab METRO NURSING SERVICES LLC HCP-F 1312 BURKE CIRCLE EAST MAPLEWOOD, MN 55109 PHONE: 651/230-9300 (27530) FAX: MR. ABDI GONJOBE 651/739-1269 Lim-Liab MN EYE LASER & SURG CTRS LLC Outpt Surg Amb Surg 1965 11TH AVENUE EAST MAPLEWOOD, MN 55109 PHONE: 651/748-4400 (20703) FAX: MS. CANDACE SIMERSON 651/748-4401 Lim-Liab MNGI ENDOSCOPY MAPLEWOOD Outpt Surg Amb Surg 1997 SLOAN PLACE MAPLEWOOD, MN 55117 PHONE: 612/871-1145 (04308) FAX: /- DR. SCOTT KETOVER Minnesota Department of Health Division of Compliance Monitoring Page 303 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf PHOENIX AT CARVER Certification RAMSEY Registration (Cont.)* -------------------------- SLFB-6 ICFMR-6 2465 CARVER AVE (23589) MAPLEWOOD, MN 55119 PHONE: 651/227-7655 FAX: NProf RAJWOOD MS. DARLENE SCOTT 651/227-6847 SLFA-4 ICFMR-4 2951 BARTELMY LANE MAPLEWOOD, MN 55109 PHONE: 651/429-5686 (01572) FAX: Cnty RAMSEY COUNTY CARE CENTER MR. ROBERT LANE 651/483-9500 NH-178 SNF-NF-178 2000 WHITE BEAR AVENUE MAPLEWOOD, MN 55109 PHONE: 651/777-7486 (00846) FAX: MR. STEVEN FRITZKE 651/777-1426 HWS Lim-Liab REGENCY HOME HEALTHCARE SERVIC 2473 IDAHO AVENUE MAPLEWOOD, MN 55119 PHONE: 651/294-8941 (27793) FAX: Corp REM RAMSEY INC (LAKEWOOD) MS. JEAN JOHNSON 651/294-8942 SLFA-5 ICFMR-5 975 LAKEWOOD DRIVE MAPLEWOOD, MN 55119 PHONE: 651/644-7680 (28182) FAX: Corp REM RAMSEY INC (MAYHILL) MS. CONNIE MENNE 651/644-6777 SLFA-5 ICFMR-5 797 MAYHILL DRIVE MAPLEWOOD, MN 551193828 PHONE: 651/644-7680 (26750) FAX: Corp RICHANGEL CARE INCORPORATED MS. CONNIE MENNE 651/644-6777 HCP-A 2321 HIGHWOOD AVENUE EAST MAPLEWOOD, MN 55119 PHONE: 651/207-8672 (29149) FAX: Ind ROXANNE TARNOWSKI MR. RICHARD IKERI 651/714-9152 HCP-C 2072 CHAMBERS STREET MAPLEWOOD, MN 55109 PHONE: 651/481-7811 (28136) FAX: 651/587-0092 MS. ROXANNE TARNOWSKI HWSAL NProf SEASONS AT MAPLEWOOD 1670 LEGACY PARKWAY EAST MAPLEWOOD, MN 55109 PHONE: 651/756-1859 (27398) FAX: 651/756-1754 MR. JOSEPH SIGNORE HWSAL Lim-Liab SUNLIGHT SERVICES 1243 SKILLMAN AVENUE MAPLEWOOD, MN 55109 PHONE: 651/714-5056 (26492) FAX: 651/714-5059 MS. LEE VANG Minnesota Department of Health Division of Compliance Monitoring Page 304 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab THE SHORES HOME CARE Certification RAMSEY Registration (Cont.)* -------------------------- HCP-F 1870 EAST SHORE DRIVE (29005) MAPLEWOOD, MN 55109 PHONE: 651/777-7784 FAX: MS. BARBARA RUPPE 651/344-0622 HWSAL Lim-Liab THE SHORES OF LAKE PHALEN 1870 EAST SHORE DRIVE MAPLEWOOD, MN 55109 PHONE: 651/777-7784 (29004) FAX: NProf VOA HOME HEALTH AT MAPLEWOOD MS. BARBARA RUPPE 651/344-0622 HCP-F 1890 SHERREN AVENUE EAST MAPLEWOOD, MN 55109 PHONE: 651/770-3959 (21091) FAX: MR. DOUG DOLINSKY 651/770-5779 HWS NProf WALKER METHODIST HAZEL RIDGE 2730 HAZELWOOD STREET MAPLEWOOD, MN 55109 PHONE: 651/779-9779 (20445) FAX: NProf WALKER METHODIST HAZEL RIDGE MS. PEGGY ARNE 651/779-1827 HCP-F 2730 HAZELWOOD STREET MAPLEWOOD, MN 55109 PHONE: 651/779-9779 (26375) FAX: Lim-Liab MIDWEST MEDICAL HOLDINGS LLC MS. PEGGY ARNE 651/779-1827 HCP-A 8400 CORAL SEA ST SUITE 100 MOUNDS VIEW, MN 55112 PHONE: 763/780-1500 (02851) FAX: 763/780-1515 MR. LARRY LINDBERG HWS-O Corp SCENIC HILLS ALTERNATIVE CARE 2517 COUNTY ROAD I MOUNDS VIEW, MN 55112 PHONE: 651/735-7259 (27183) FAX: 651/730-1167 MS. EYDIE SHYPULSKI HWSAL Corp SCENIC HILLS ALTERNATIVE CARE 2519 COUNTY ROAD I MOUNDS VIEW, MN 55112 PHONE: 651/735-7259 (27182) FAX: 651/730-1667 MS. EYDIE SHYPULSKI HWSAL Corp THE SAMARITAN COMMONS 1 AT MOU 7355 PARKVIEW TERRACE MOUNDS VIEW, MN 55112 PHONE: 651/659-0208 (26317) FAX: 651/659-0161 MR. MICHAEL ADERINKOMI Home Mgmt Corp TOUCHING HEARTS AT HOME 2704 NORTHEAST CO HWY 10 MOUNDS VIEW, MN 55112 PHONE: 763/780-0075 (27809) FAX: 763/780-6996 MR. ROBERT LARSON Minnesota Department of Health Division of Compliance Monitoring Page 305 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp AXIS ON ST MICHAEL Certification RAMSEY Registration (Cont.)* -------------------------- 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 MOUNDSVIEW, MN 55112 PHONE: 651/639-9799 (24474) FAX: MR. MICHAEL BJERKESETT 651/639-3699 NProf PHOENIX AT LUDDEN SLFB-6 ICFMR-6 7717 LONG LAKE RD MOUNDSVIEW, MN 55112 PHONE: 651/227-7655 (23427) FAX: MS. DARLENE SCOTT 651/227-6847 HWS NProf THE SANDS 5445 JACKSON DRIVE MOUNDSVIEW, MN 55112 PHONE: 651/225-8963 (27585) FAX: MRS. DANIELLE FOX /- Corp ACR HOME ON REDWOOD SLFB-4 ICFMR-4 862 REDWOOD LANE NEW BRIGHTON, MN 55112 PHONE: 651/635-9060 (01573) FAX: Lim-Liab AMOR HOME CARE SERVICES LLC MR. GENE LEISTICO 651/635-4392 HCP-A 1405 SILVER LAKE RD SUITE 18 NEW BRIGHTON, MN 55112 PHONE: 952/428-8566 (28815) FAX: NProf BEACON HAVEN MR. VICTOR DAVIS 763/273-8766 NH-6 1200 LONG LAKE ROAD NEW BRIGHTON, MN 55112 PHONE: 651/379-0100 (23554) FAX: Church BENEDICTINE HLTH CTR INNSBRUCK MS. TERESE ERICKSON 651/379-0601 NH-105 SNF-NF-105 1101 BLACK OAK DRIVE NEW BRIGHTON, MN 55112 PHONE: 651/633-1686 (00940) FAX: Corp CHRISTINE PROFESSIONAL HEALTH MS. SUSAN AGER 651/633-5267 HCP-A 888 W CTY RD D STE 103 NEW BRIGHTON, MN 55112 PHONE: 763/464-4072 (25194) FAX: 763/784-2039 MR. MIKE OHENZUWA ESRD Corp FMCNA NEW BRIGHTON DIAL CTR 550 COUNTY ROAD D SUITE 7 NEW BRIGHTON, MN 55112 PHONE: 651/631-0885 (04296) FAX: 651/631-1878 MS. LYNNE HAMILTON Minnesota Department of Health Division of Compliance Monitoring Page 306 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp HEALTH AND REHAB NEW BRIGHTON Certification RAMSEY NH-100 Registration (Cont.)* -------------------------SNF-NF-100 825 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 NEW BRIGHTON, MN 55112 PHONE: 651/604-2900 (21728) FAX: Lim-Liab MINNESOTA VASCULAR SUR CTR LLC MR. MICHAEL GOULD 651/582-0499 Outpt Surg Amb Surg 600 COUNTY ROAD D SUITE 2 NEW BRIGHTON, MN 55112 PHONE: 763/432-4300 (24767) FAX: Corp NEW BRIGHTON CARE CENTER MR. TROY ROOVERS 763/432-4301 SNF-NF-57 NH-57 805 SIXTH AVENUE NORTHWEST NEW BRIGHTON, MN 55112 PHONE: 651/633-7200 (00507) FAX: MR. MICHAEL CHIES 651/287-7883 HWSAL Part NEW BRIGHTON SENIOR ASSISTED L 2700 RICE CREEK ROAD NEW BRIGHTON, MN 55112 PHONE: 651/633-6484 (20231) FAX: Corp SENIOR SUITES OF NEW BRIGHTON MR. MICHAEL GOULD 651/633-8702 HWSAL HCP-F 805 6TH AVENUE NORTHWEST NEW BRIGHTON, MN 55112 PHONE: 651/633-7200 (21383) FAX: Corp SILVER OAKS MR. MICHAEL CHIES 651/287-7883 SLFA-4 ICFMR-4 3277 RICE CREEK ROAD NEW BRIGHTON, MN 55112 PHONE: 651/636-0546 (01586) FAX: MS. SANDRA QUINN 651/636-4530 HWSAL-O NProf THORNDALE APARTMENTS 1050 THORNDALE AVENUE NEW BRIGHTON, MN 55112 PHONE: 651/639-9799 (24473) FAX: Corp VISITING ANGELS MR. MICHAEL BJERKESETT 651/639-3699 HCP-A 151 SILVER LAKE ROAD STE 207 NEW BRIGHTON, MN 55112 PHONE: 651/633-4487 (26712) FAX: Corp CLARE BRIDGE OF NORTH OAKS MS. CAROLYN THOMPSON 651/633-6225 HWSAL HCP-F 300 VILLAGE CENTER DRIVE NORTH OAKS, MN 55127 PHONE: 651/482-8111 (20539) FAX: 651/482-8333 MS. LORI HANSON Minnesota Department of Health Division of Compliance Monitoring Page 307 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: NProf WAVERLY GARDENS MS. JULIE THOMPSON 651/765-4001 HCP-F 5919 CENTERVILLE ROAD NORTH OAKS, MN 55127 PHONE: 651/765-4000 (28191) FAX: MS. NATALIE MORLAND 651/765-4001 HWSAL NProf WAVERLY GARDENS 5919 CENTERVILLE ROAD NORTH OAKS, MN 55127 PHONE: 651/765-4000 (24195) FAX: MR. DANIEL ERICKSON 651/765-4001 Home Mgmt Lim-Liab BEST HOME CARE LLC 2562 - 7TH AVE STE 201 NORTH ST PAUL, MN 55109 PHONE: 651/330-2550 (26538) FAX: Part FOOTWORKS MR. ANDRE BEST 763/592-8262 HCP-A 2480 SHRYER AVENUE EAST NORTH ST PAUL, MN 55109 PHONE: 651/501-0624 (03096) FAX: Corp HEALTHSTAR HOME HEALTH MS. MICHELLE O'HEARN 651/773-5318 HCP-A HHA 2586 7TH AVENUE EAST STE 302 NORTH ST PAUL, MN 55109 PHONE: 651/633-7300 (21714) FAX: Corp REM RAMSEY INC (NORTH OAKS) MS. GERI WAGNER 651/633-7301 SLFB-5 ICFMR-5 2570 HOLLOWAY AVENUE EAST NORTH ST PAUL, MN 55109 PHONE: 651/644-7680 (01344) FAX: Lim-Liab ACR AT HOME COMPANION CARE MS. CONNIE MENNE 651/644-6777 HCP-B 2437 RICE STREET ROSEVILLE, MN 55113 PHONE: 651/294-4799 (27192) FAX: Lim-Liab ACR AT HOME HEALTHCARE LLC MR. GENE LEISTICO 651/484-5863 HCP-A 2437 RICE STREET ROSEVILLE, MN 55113 PHONE: 651/294-4799 (21710) FAX: Corp ACR HOME ON LYDIA WEST MR. GENE LEISTICO 651/484-5863 SLFB-4 ICFMR-4 2528 LYDIA AVENUE WEST ROSEVILLE, MN 55113 PHONE: 651/636-7172 (01576) FAX: 651/636-7205 MR. GENE LEISTICO Minnesota Department of Health Division of Compliance Monitoring Page 308 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp ACR ON DALE COURT Certification RAMSEY Registration (Cont.)* -------------------------- SLFB-4 ICFMR-4 1822 DALE COURT (24142) ROSEVILLE, MN 55113 PHONE: 651/488-1088 FAX: MR. GENE LEISTICO 651/488-1544 HWS NProf AEON - SIENNA GREEN 2235 N SNELLING AVE ROSEVILLE, MN 55130 PHONE: 651/631-1400 (27584) FAX: MR. GEOFFREY MEYER 651/774-0606 HWS NProf AEON - SIENNA GREEN II 2245 NORTH SNELLING AVENUE ROSEVILLE, MN 55113 PHONE: 651/631-1400 (27583) FAX: MRS. DANIELLE FOX 651/774-0606 HWSAL Lim-Liab ARTHURS RESIDENTIAL CARE 3310 EMMERT STREET ROSEVILLE, MN 55126 PHONE: 651/294-4798 (27856) FAX: Lim-Liab ARTHURS RESIDENTIAL CARE MR. JAMES NELSON 651/484-5863 HWSAL HCP-F 1854 ALTA VISTA DRIVE ROSEVILLE, MN 55113 PHONE: 651/294-4798 (24818) FAX: Corp AXIS ON BELMONT MR. GENE LEISTICO 651/484-5863 SLFB-4 ICFMR-4 692 BELMONT LANE W ROSEVILLE, MN 55113 PHONE: 651/489-4630 (23246) FAX: Corp AXIS ON ELDRIDGE MS. JENNIFER MAGISTAD 651/489-4336 SLFB-6 ICFMR-6 651 ELDRIDGE AVENUE WEST ROSEVILLE, MN 55113 PHONE: 651/488-2237 (22846) FAX: 651/489-9520 MS. DOROTHY WROBEL HWS Lim-Liab CHERRYWOOD POINT OF ROSEVILLE 2996 CLEVELAND AVENUE N ROSEVILLE, MN 55113 PHONE: 651/633-0044 (28965) FAX: 651/633-4038 MS. CINDY LEACH HWSAL NProf EAGLE CREST ARBOR 2955 LINCOLN DRIVE ROSEVILLE, MN 55113 PHONE: 651/628-3000 (24032) FAX: 651/628-3014 MS. SUSANNE HEINS HWSAL NProf EAGLE CREST COMMONS 2945 LINCOLN DRIVE ROSEVILLE, MN 55113 PHONE: 651/628-3001 (20065) FAX: 651/628-3014 MS. SUSANNE HEINS Minnesota Department of Health Division of Compliance Monitoring Page 309 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf EAGLECREST Certification RAMSEY Registration (Cont.)* -------------------------- HCP-F 2945 LINCOLN DRIVE (27952) ROSEVILLE, MN 55113 PHONE: 651/628-3000 FAX: MS. NATALIE MORLAND 651/628-3014 ESRD Corp FMC DIALYSIS SERVCES ROSEVILLE 2045 RICE STREET ROSEVILLE, MN 55113 PHONE: 651/489-3312 (03522) FAX: MR. RICHARD PHIDD /- Corp GENTIVA HEALTH SERVICES HCP-A HHA 1970 OAKCREST AVENUE ROSEVILLE, MN 55113 PHONE: 651/636-6330 (02215) FAX: Lim-Liab GOLDEN LIVING COMM LAKE RIDGE MS. CINDY FUSSY 651/636-6229 HCP-F HWSAL 2727 NORTH VICTORIA ROSEVILLE, MN 55113 PHONE: 651/483-5431 (25214) FAX: Lim-Liab GOLDEN LIVINGCENTER LAKE RIDGE MS. ALICIA ALBERT 651/486-2461 NH-175 SNF-NF-175 2727 NORTH VICTORIA ROSEVILLE, MN 55113 PHONE: 651/483-5431 (00497) FAX: NProf GOOD SAMARITAN HOME CARE MS. JILL ACOSTA 651/486-2461 HCP-A HHA 563 COUNTY ROAD B WEST ROSEVILLE, MN 55113 PHONE: 651/488-7680 (03140) FAX: MRS. CYNTHIA MCINTYRE 651/488-7687 HWS NProf GOOD SAMARITAN SOCIETY - HERIT 563 COUNTY RD B W ROSEVILLE, MN 55113 PHONE: 651/489-3293 (23462) FAX: Lim-Liab HEARTLAND HOME HC AND HOSPICE MS. LAUREN PAHNKE 651/489-0603 HCP-A HHA 2685 LONG LAKE ROAD SUITE 105 ROSEVILLE, MN 55113 PHONE: 651/633-6522 (02165) FAX: Lim-Liab HEARTLAND HOME HC AND HOSPICE MS. MARGERY BERTRAM 651/633-5733 Hospice HSPICE 2685 LONG LAKE ROAD SUITE 105 ROSEVILLE, MN 55113 PHONE: 651/633-6522 (02970) FAX: Corp INTERIM HC OF THE TWIN CITIES MS. SANDRA MAYNARD 651/638-8499 HCP-A HHA 2833 NORTH FAIRVIEW AVENUE ROSEVILLE, MN 55113 PHONE: 651/917-3634 (21158) FAX: 651/917-3620 MR. THOMAS GEARY Minnesota Department of Health Division of Compliance Monitoring Page 310 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp INTERIM HEALTHCARE Certification RAMSEY Registration (Cont.)* -------------------------- Hospice HSPICE 2833 FAIRVIEW AVENUE NORTH (28285) ROSEVILLE, MN 55113 PHONE: 651/917-3624 FAX: MR. THOMAS GEARY 651/917-3620 Corp INTERIM HOME STYLE SERVICES HCP-A 2833 NORTH FAIRVIEW AVENUE ROSEVILLE, MN 55113 PHONE: 651/917-3634 (23076) FAX: MR. THOMAS GEARY 651/917-3620 Corp INTREPID USA HEALTHCARE SERVS HCP-A HHA 2778 CLEVELAND AVENUE NORTH ROSEVILLE, MN 551131127 PHONE: 651/638-7800 (02232) FAX: MS. LAURA WILSON 651/638-7801 HWSAL Part KEYSTONE COMMUNITIES OF ROSEVI 2750 NORTH VICTORIA STREET ROSEVILLE, MN 55113 PHONE: 612/886-2035 (20022) FAX: MR. MICHAEL LEWIS 612/886-2592 NProf LANGTON PLACE NH-119 SNF-119 1910 WEST COUNTY ROAD D ROSEVILLE, MN 55112 PHONE: 651/631-6200 (00284) FAX: MR. MATHEW BEDARD 651/631-6032 Corp MINNESOTA SENIOR CARE INC HCP-B 2353 RICE ST STE 112 ROSEVILLE, MN 55113 PHONE: 651/493-8837 (25623) FAX: MS. KAO LOR 651/493-8910 Lim-Liab OAK ACRES LLC HCP-F HWSAL 2201 ACORN ROAD ROSEVILLE, MN 55113 PHONE: 651/697-1405 (27150) FAX: MR. ART MUELLER /- Corp PEDIATRIC HOME SERVICE HCP-A 2800 CLEVELAND AVENUE NORTH ROSEVILLE, MN 55113 PHONE: 651/642-1825 (03693) FAX: NProf PRESBYTERIAN ASSTD LIVING HC MS. CAMEO ZEHNDER 651/638-0680 HCP-F 2845 HAMLINE AVE N ROSEVILLE, MN 55113 PHONE: 651/631-6197 (20898) FAX: NProf PRESBYTERIAN HOMES HOME CARE MS. NATALIE MORLAND 651/631-6108 HCP-A HHA 1910 WEST COUNTY ROAD D ROSEVILLE, MN 55112 PHONE: 651/746-8200 (02133) FAX: 651/631-6343 MS. REBECCA CONWAY Minnesota Department of Health Division of Compliance Monitoring Page 311 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf PRESBYTERIAN HOMES HOSPICE INC Certification RAMSEY Registration (Cont.)* -------------------------- 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 ROSEVILLE, MN 55113 PHONE: 651/488-4655 (23154) FAX: MS. JEAN JOHNSON 651/488-4656 Corp ROSE OF SHARON MANOR NH-63 SNF-NF-63 1000 LOVELL AVENUE ROSEVILLE, MN 55113 PHONE: 651/484-3378 (00126) FAX: MS. CHERIE COMMUEL 651/484-8982 HWSAL-O NProf ROSELAWN VILLAGE APARTMENTS 1074 ROSELAWN AVENUE WEST ROSEVILLE, MN 55113 PHONE: 651/645-7271 (24470) FAX: MR. STEPHEN VANDER SCHAAF 651/645-0541 HWS-O NProf SIENNA GREEN II 2275 SNELLING AVENUE NORTH ROSEVILLE, MN 55113 PHONE: 651/341-3148 (28818) FAX: MS. DANIELLE FOX /- HWSAL Lim-Liab SUNRISE ASSISTED LIVING ROSEVI 2555 SNELLING AVENUE NORTH ROSEVILLE, MN 55113 PHONE: 651/636-4800 (21410) FAX: Lim-Liab SUNRISE ASSTD LIV OF ROSEVILLE MS. DEBRA WATSON 651/636-4809 HCP-F 2555 SNELLING AVENUE NORTH ROSEVILLE, MN 55113 PHONE: 651/636-4800 (22361) FAX: Corp THE FRIENDSHIP HOME COMMUNITY MS. DEBRA WATSON 651/646-4809 HCP-F HWSAL 947 LYDIA DRIVE WEST ROSEVILLE, MN 55113 PHONE: 651/398-2294 (24337) FAX: MRS. VICTORIA JOHANSSON 651/528-6216 HWSAL Corp THE FRIENDSHIP HOME COMMUNITY 500 ROSELAWN AVENUE W ROSEVILLE, MN 55113 PHONE: 651/398-2294 (26201) FAX: Corp TLC HM CARE OF THE TWIN CITIES MS. VICTORIA JOHANSSON 651/528-6216 HCP-A HHA 1255 WEST LARPENTEUR AVENUE ROSEVILLE, MN 55113 PHONE: 651/647-0017 (03235) FAX: 651/647-3423 MR. SOLOMON MULUGETA Minnesota Department of Health Division of Compliance Monitoring Page 312 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp TLC NURSING SERVICES Certification RAMSEY (Cont.)* -------------------------- 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 ROSEVILLE, MN 55113 PHONE: 651/329-7598 (28287) FAX: MR. WALTER DOBGIMA /- Corp WALGREENS INFUSION SERVICES HCP-A 2750 ARTHUR STREET ROSEVILLE, MN 55113 PHONE: 651/635-9272 (20892) FAX: Corp ACR HOME ON DAWN MR. MICHAEL FELISH 651/635-9174 SLFB-4 ICFMR-4 191 DAWN AVENUE SHOREVIEW, MN 55126 PHONE: 651/486-0380 (01620) FAX: Corp AXIS ON GLENHILL MR. GENE LEISTICO 651/486-7767 SLFB-4 ICFMR-4 1083 GLENHILL ROAD SHOREVIEW, MN 55126 PHONE: 651/482-0562 (22370) FAX: Corp BAYADA HOME HEALTH CARE INC MS. DOROTHY WROBEL 651/482-0482 HCP-A HHA 3490 LEXINGTON AVE N SUITE 310 SHOREVIEW, MN 55126 PHONE: 651/482-8400 (27763) FAX: Corp COMMUNITIES OF CARE MS. ROCHELLE NELSON WODARZ 651/482-8300 HCP-A 500 W HIGHWAY 96 STE 100 SHOREVIEW, MN 55126 PHONE: 651/482-0549 (20862) FAX: Lim-Liab DUNGARVIN CAMARA MS. JOAN VAUGHN 651/482-0280 SLFA-5 3989 VIRGINIA CIRCLE SHOREVIEW, MN 55126 PHONE: 651/699-6050 (24104) FAX: NProf ECUMEN AT HOME MS. NATALIE GRAF 651/699-7265 HCP-A 3530 LEXINGTON AVENUE NORTH SHOREVIEW, MN 55126 PHONE: 651/766-4666 (26983) FAX: NProf ECUMEN HOME CARE MS. SUE DIEKMANN 651/900-6438 HCP-F 3530 LEXINGTON AVENUE NORTH SHOREVIEW, MN 55126 PHONE: 651/766-4300 (21399) FAX: 952/469-8313 Registration MS. SHELLEY KENDRICK Minnesota Department of Health Division of Compliance Monitoring Page 313 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp KIDS ABILITIES Certification RAMSEY Registration (Cont.)* -------------------------- HCP-A 490 WEST HIGHWAY 96 SUITE 300 (23066) SHOREVIEW, MN 55126 PHONE: 651/451-3016 FAX: MS. JENNIFER SARGENT 651/481-7040 Cnty LAKE OWASSO RESIDENCE SLFB-64 ICFMR-64 210 OWASSO BOULEVARD NORTH SHOREVIEW, MN 55126 PHONE: 651/765-7704 (00831) FAX: MS. DANA CASTONGUAY 651/765-7722 Out Pt Out St Out Ot NProf PHOENIX SERVICE CORPORATION 1045 TOMLYN AVENUE SHOREVIEW, MN 55127 PHONE: 651/227-7655 (02524) FAX: MS. JUDITH DOUGLAS /- Corp REM RAMSEY INC HODGSON SLFA-6 ICFMR-6 5091 HODGSON ROAD SHOREVIEW, MN 55126 PHONE: 651/644-7680 (01370) FAX: MS. CONNIE MENNE 651/644-6777 HWS NProf SCANDIA SHORES 418 HIGHWAY 96 SHOREVIEW, MN 55126 PHONE: 651/415-9793 (28056) FAX: MS. HEATHER TODD 651/483-6002 HWS Lim-Liab SHOREVIEW SENIOR LIVING 4710 CUMBERLAND STREET SHOREVIEW, MN 55126 PHONE: 651/484-9822 (28875) FAX: Lim-Liab SHOREVIEW SENIOR LIVING MR. LANCE LEMIUEX 651/454-4783 HCP-F 4710 CUMBERLAND STREET SHOREVIEW, MN 55126 PHONE: 651/484-9822 (28874) FAX: Lim-Liab SPEAK RIGHT NOW LLC MR. LANCE LEMIEUX 651/454-4783 HCP-A 439 CAROL LANE SHOREVIEW, MN 55126 PHONE: 612/308-6132 (28275) FAX: NProf ST THERESE AT ST ODILIA MS. JENNIFER ELTON 651/414-9339 HCP-A 3500 VIVIAN AVENUE SHOREVIEW, MN 55126 PHONE: 651/842-6780 (28348) FAX: 651/842-6653 MS. JOLENE BAKER HWS NProf ST THERESE HOME INC 3500 VIVIAN AVENUE SHOREVIEW, MN 55126 PHONE: 763/531-5037 (27661) FAX: 763/531-5004 MS. BARB RODE Minnesota Department of Health Division of Compliance Monitoring Page 314 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp WEST SUBURBAN SENIOR RESOURCES Certification RAMSEY Registration (Cont.)* -------------------------- HCP-A 3696 MILTON STREET (02945) SHOREVIEW, MN 55126 PHONE: 651/766-9200 FAX: MR. GERALD FENSTAD /- HWS ONProf 395 LUELLA STREET 395 LUELLA STREET ST PAUL, MN 55119 PHONE: 651/256-1226 (28381) FAX: MR. MATT LEWIS /- HWSAL-O HRA NEILL NBBI 325 LAUREL AVENUE ST PAUL, MN 55102 PHONE: 651/292-6035 (24469) FAX: MS. TERESA VAPLON 651/298-5666 Lim-Liab NELS INTL SERVICES LLC HCP-A 2285 STEWART AVENUE SUITE 1107 ST PAUL, MN 55116 PHONE: 651/500-7788 (28370) FAX: MS. NYONU NDIKINTUM /- Part CHANDLER PLACE HOME HLTH CARE HCP-F HWSAL 3701 CHANDLER DRIVE ST ANTHONY, MN 55421 PHONE: 612/788-7321 (20047) FAX: MR. JOHN GOODMAN 612/913-5370 HWSAL Part PEARL GARDEN 3700 FOSS ROAD NORTHEAST ST ANTHONY, MN 55421 PHONE: 612/788-9673 (20451) FAX: Part ST ANTHONY HEALTH CENTER MR. JOHN GOODMAN 612/789-2173 NH-150 SNF-NF-150 3700 FOSS ROAD NORTHEAST ST ANTHONY, MN 55421 PHONE: 612/788-9673 (00522) FAX: 612/788-0104 MS. MARCIA LINDIG HWS NProf 1161 SAINT CLAIR AVENUE 1161 SAINT CLAIR AVENUE ST PAUL, MN 55105 PHONE: 651/774-0011 (27254) FAX: 651/774-0606 MRS. DANIELLE FOX HWS-O NProf 1325 WESTERN AVENUE NORTH 1325 WESTERN AVENUE NORTH ST PAUL, MN 55117 PHONE: 651/774-0011 (27257) FAX: 651/774-0606 MRS. DANIELLE FOX HWS NProf 1339 SHERBURNE 1339 SHERBURNE AVENUE ST PAUL, MN 55104 PHONE: 651/774-0011 (26448) FAX: 651/774-0606 MRS. DANIELLE FOX Minnesota Department of Health Division of Compliance Monitoring Page 315 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification RAMSEY (Cont.)* -------------------------HWS NProf 1340 WESTERN Registration 1340 WESTERN AVENUE NORTH (27262) ST PAUL, MN 55117 PHONE: 651/774-0011 FAX: 651/774-0606 MRS. DANIELLE FOX HWS ONProf 1345 WESTERN AVENUE N 1345 WESTERN AVENUE N ST PAUL, MN 55117 PHONE: 651/256-1226 (28264) FAX: MR. MATT LEWIS /- HWS NProf 1350 MARYLAND AVENUE EAST 1350 MARYLAND AVENUE EAST ST PAUL, MN 55106 PHONE: 651/256-1226 (27599) FAX: MRS. DANIELLE FOX /- HWS ONProf 1360 WESTERN AVENUE N 1360 WESTERN AVENUE N ST PAUL, MN 55117 PHONE: 651/256-1226 (28265) FAX: MR. MATT LEWIS /- HWS NProf 1361 CONWAY STREET 1361 CONWAY STREET ST PAUL, MN 55106 PHONE: 651/451-9034 (28873) FAX: MS. STACEY RAY /- HWS NProf 1376 EAST 3RD STREET 1376 EAST 3RD STREET ST PAUL, MN 55106 PHONE: 651/451-9034 (28872) FAX: MS. STACEY RAY /- HWS NProf 1455 MINNEHAHA 1455 MINNEHAHA AVENUE ST PAUL, MN 55106 PHONE: 651/774-0011 (28735) FAX: MS. DANIELLE FOX /- HWS ONProf 1509 ALBEMARLE STREET 1509 ALBEMARLE STREE ST PAUL, MN 55717 PHONE: 651/256-1226 (27810) FAX: MR. MATT LEWIS /- HWS NProf 1529 ADRIAN STREET 1529 ADRIAN STREET ST PAUL, MN 55102 PHONE: 651/451-9034 (28867) FAX: MS. STACEY RAY /- HWS ONProf 1533 WOODBRIDGE STREET 1533 WOODBRIDGE STREET ST PAUL, MN 55117 PHONE: 651/256-1226 (27555) FAX: /- MR. MATT LEWIS Minnesota Department of Health Division of Compliance Monitoring Page 316 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification RAMSEY (Cont.)* -------------------------HWS NProf 1541 ALBEMARLE Registration 1541 ALBEMARLE STREET (27263) ST PAUL, MN 55117 PHONE: 651/774-0011 FAX: 651/774-0606 MRS. DANIELLE FOX HWS Corp 1542 MARION STREET 1542 MARION STREET ST PAUL, MN 55117 PHONE: 651/738-8778 (29048) FAX: MS. DANIELLE FOX /- HWS ONProf 1552 WOODBRIDGE STREET 1552 WOODBRIDGE STREET ST PAUL, MN 55117 PHONE: 651/256-1226 (28382) FAX: MR. MATT LEWIS /- HWS ONProf 1564 ENGLISH STREET 1564 ENGLISH STREET ST PAUL, MN 55106 PHONE: 651/256-1226 (27603) FAX: MR. MATT LEWIS /- HWS NProf 1595 RICE STREET 1595 RICE STREET ST PAUL, MN 55117 PHONE: 651/774-0011 (25917) FAX: 651/774-0606 MRS. DANIELLE FOX HWS NProf 1601 ENGLISH STREET 1601 ENGLISH STREET ST PAUL, MN 55106 PHONE: 651/451-9034 (28869) FAX: MS. STACEY RAY /- HWS ONProf 1642 CHARLES AVENUE 1642 CHARLES AVENUE ST PAUL, MN 55104 PHONE: 651/256-1226 (28598) FAX: MR. MATT LEWIS /- HWS NProf 1693 SHERBURN 1693 SHERBURNE AVENUE ST PAUL, MN 55104 PHONE: 651/774-0011 (28737) FAX: MS. DANIELLE FOX /- HWS NProf 1845 OLD HUDSON ROAD 1845 OLD HUDSON ROAD ST PAUL, MN 55119 PHONE: 651/451-9034 (28870) FAX: MS. STACEY RAY /- HWS ONProf 1849 EAST 7TH STREET 1849 EAST 7TH STREET ST PAUL, MN 55119 PHONE: 651/256-1226 (27554) FAX: /- MR. MATT LEWIS Minnesota Department of Health Division of Compliance Monitoring Page 317 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification RAMSEY (Cont.)* -------------------------HWS ONProf 1855 EAST 7TH STREET Registration 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 ST PAUL, MN 55119 PHONE: 651/256-1226 (28022) FAX: MR. MATT LEWIS /- HWS NProf 222 FRANK STREET 222 FRANK STREET ST PAUL, MN 55106 PHONE: 651/256-1226 (28898) FAX: MR. MATT LEWIS /- HWS ONProf 2236 LOWER AFTON ROAD 2236 LOWER AFTON ROAD ST PAUL, MN 55119 PHONE: 651/256-1226 (28499) FAX: MR. MATT LEWIS /- HWS ONProf 249 WESTERN AVENUE SOUTH 249 WESTERN AVENUE SOUTH ST PAUL, MN 55102 PHONE: 651/256-1226 (27556) FAX: MR. MATT LEWIS /- HWS NProf 296 BATES 296 BATES AVENUE ST PAUL, MN 55106 PHONE: 651/774-0011 (28736) FAX: MS. DANIELLE FOX /- HWS NProf 330 MAGNOLIA AVENUE EAST 330 MAGNOLIA AVENUE EAST ST PAUL, MN 55130 PHONE: 651/256-1226 (27600) FAX: MRS. DANIELLE FOX /- HWS NProf 334 MAGNOLIA AVENUE EAST 334 MAGNOLIA AVENUE EAST ST PAUL, MN 55130 PHONE: 651/256-1226 (27601) FAX: MRS. DANIELLE FOX /- HWS NProf 342 FULLER AVENUE 342 FULLER AVENUE ST PAUL, MN 55103 PHONE: 651/256-1226 (29028) FAX: MR. MATT LEWIS /- HWS ONProf 360 COTTAGE AVENUE 360 COTTAGE AVENUE ST PAUL, MN 55117 PHONE: 651/256-1226 (28263) FAX: /- MR. MATT LEWIS Minnesota Department of Health Division of Compliance Monitoring Page 318 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification RAMSEY (Cont.)* -------------------------HWS ONProf 390 WEST COTTAGE AVENUE Registration 390 WEST COTTAGE AVENUE (28015) ST PAUL, MN 55117 PHONE: 651/256-1226 FAX: MR. MATT LEWIS /- HWS ONProf 419 FRONT AVENUE 419 FRONT AVENUE ST PAUL, MN 55117 PHONE: 651/256-1226 (27919) FAX: MR. MATT LEWIS /- HWS NProf 500 SHERBURNE AVE 500 SHERBURNE AVE ST PAUL, MN 55104 PHONE: 651/256-1222 (28897) FAX: MR. MATT LEWIS /- HWS NProf 508/510 HUMBOLDT APARTMENTS 508/510 HUMBOLDT APARTMENTS ST PAUL, MN 55107 PHONE: 651/280-2250 (20484) FAX: 651/220-1737 MR. STEVE SPAULDING HWS NProf 516 HUMBOLDT APARTMENTS 516 HUMBOLDT AVENUE ST PAUL, MN 55107 PHONE: 651/280-2250 (20483) FAX: 651/220-1737 MS. NANCY KETCHEL HWS Lim-Liab 554 CHARLES AVENUE 554 CHARLES AVENUE ST PAUL, MN 55104 PHONE: 651/222-7721 (28990) FAX: MS. DORA JONES /- HWS NProf 590 MENDOTA STREET 590 MENDOTA STREET ST PAUL, MN 55106 PHONE: 651/226-1226 (28784) FAX: MR. MATT LEWIS /- HWS NProf 627 AURORA AVENUE WEST 627 AURORA AVENUE WEST ST PAUL, MN 55104 PHONE: 651/256-1226 (28839) FAX: MR. MATT LEWIS /- HWS ONProf 642 FRONT AVENUE 642 FRONT AVENUE ST PAUL, MN 55103 PHONE: 651/256-1226 (28498) FAX: MR. MATT LEWIS /- HWS NProf 659 DAYTON AVENUE 659 DAYTON AVENUE ST PAUL, MN 55704 PHONE: 651/256-1226 (27811) FAX: /- MR. MATT LEWIS Minnesota Department of Health Division of Compliance Monitoring Page 319 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification RAMSEY (Cont.)* -------------------------HWS ONProf 705 SOUTH SNELLING AVENUE Registration 705 SOUTH SNELLING AVENUE (27812) ST PAUL, MN 55116 PHONE: 651/256-1226 FAX: MR. MATT LEWIS /- HWS NProf 76 WEST STEVENS 76 WEST STEVENS ST PAUL, MN 55107 PHONE: 651/774-0011 (27261) FAX: MRS. DANIELLE FOX 651/774-0606 HWS ONProf 8 FOURTH STREET EAST 8 FOURTH STREET EAST ST PAUL, MN 55101 PHONE: 651/256-1226 (27966) FAX: MR. MATT LEWIS /- HWS NProf 904 RICE STREET-TAB PROPERTIES 904 RICE STREET ST PAUL, MN 55117 PHONE: 651/774-0011 (27256) FAX: Corp ABBEYCARE INC MRS. DANIELLE FOX 651/774-0606 HCP-A 1148 GRAND AVENUE ST PAUL, MN 55105 PHONE: 651/690-5352 (03799) FAX: Corp ABC CARE INC MS. LILIYA GOKHBERG 651/209-8065 HCP-A 1321 PAYNE AVENUE ST PAUL, MN 55130 PHONE: 651/771-8507 (28124) FAX: NProf ACCESSIBLE SPACE ASI METRO 1 MS. GLORIA WONG 651/771-2421 HCP-F 2550 UNIVERSITY AVE W ST 330N ST PAUL, MN 55114 PHONE: 651/645-7271 (24380) FAX: NProf ACCESSIBLE SPACE ASI METRO 2 MR. STEPHEN VANDERSCHAAF 651/645-0541 HCP-F 2550 UNIVERSITY AVE W STE 330N ST PAUL, MN 55114 PHONE: 651/645-7271 (24381) FAX: NProf ACCESSIBLE SPACE ASI METRO 3 MR. STEPHEN VANDERSCHAAF 651/645-0541 HCP-F 2550 UNIVERSITY AVE W STE 330N ST PAUL, MN 55114 PHONE: 651/645-7271 (24382) FAX: NProf ACCESSIBLE SPACE INC ASI NORTH MR. STEPHEN VANDERSCHAAF 651/645-0541 HCP-F 2550 UNIVERSITY AVE W STE 330N ST PAUL, MN 55114 PHONE: 651/645-7271 (24379) FAX: 651/645-0541 MR. STEPHEN VANDERSCHAAF Minnesota Department of Health Division of Compliance Monitoring Page 320 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf ACCESSIBLE SPACE INC ASI SOUTH Certification RAMSEY Registration (Cont.)* -------------------------- HCP-F 2550 UNIVERSITY AVE W STE 330N (27312) ST PAUL, MN 55114 PHONE: 507/206-5168 FAX: MS. KIM NESBITT 507/206-5169 Corp ADVANTAGE HOME CARE SERVS INC HCP-A HHA 780 UNIVERSITY AVENUE WEST ST PAUL, MN 55104 PHONE: 651/645-9011 (03402) FAX: MS. BLESSING ANYANWU 651/644-5595 NProf ALLINA HM C HSPCE & PALLITV CA HHA HCP-A 1055 WESTGATE DRIVE STE 100 ST PAUL, MN 55114 PHONE: 651/635-9173 (23627) FAX: MR. ROBERT WIELAND 651/628-2999 NProf ALLINA HM C HSPCE & PALLITV CA HSPICE Hospice 1055 WESTGATE DRIVE SUITE 100 ST PAUL, MN 55114 PHONE: 651/635-9173 (02441) FAX: MS. GLORIA CADE 651/628-2999 HWS ONProf AMERICAN HOUSE 352 WACOUTA ST PAUL, MN 55101 PHONE: 651/789-6260 (26482) FAX: MS. JILL GARCIA 651/789-6288 State AMRTC COMO COMMUNITY UNIT SLFA-16 690 COMO AVENUE ST PAUL, MN 55103 PHONE: 651/558-2187 (04307) FAX: MS. PAULA HALVERSON 651/558-2230 Corp AMY JOHNSON RESIDENCE BCH-25 HCP-A 89 VIRGINIA STREET ST PAUL, MN 55102 PHONE: 651/224-3363 (00777) FAX: MS. DONETTA JOHNSON 651/290-2600 Ind ANOINTED HOME CARE AGENCY HCP-A 1651 CUMBERLAND STREET, APT 1 ST PAUL, MN 55117 PHONE: 612/327-5699 (29136) FAX: MS. IPYANA ANYELWISYE /- Corp APRIA HEALTHCARE INC HCP-A 1645 ENERGY PARK DRIVE ST PAUL, MN 55108 PHONE: 651/523-8888 (03501) FAX: NProf ASI METRO 4 MR. DANIEL STARCK 651/523-8850 HCP-F 2550 UNIVERSITY AVE STE 330N ST PAUL, MN 55114 PHONE: 651/645-7271 (25489) FAX: 651/645-0541 MR. STEPHEN VANDERSCHAAF HWSAL-O Minnesota Department of Health Division of Compliance Monitoring Page 321 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification RAMSEY (Cont.)* -------------------------HWSAL Lim-Liab ASIAN AMERICAN ELDERLY ASSISTE Registration 2113 MINNEHAHA AVE E (24886) ST PAUL, MN 55119 PHONE: 763/569-0127 FAX: MRS. CHAO VANG 763/569-0127 Corp ASIAN AMERICAN HOME HEALTH CAR HCP-A 995 W UNIVERSITY AVE STE 230 ST PAUL, MN 55104 PHONE: 651/641-8660 (27701) FAX: MR. WILLIAM VANG 651/641-8652 Home Mgmt Corp ASIAN COMMUNITY SPECIAL SRSVCS 531 VAN BUREN ST PAUL, MN 55103 PHONE: 651/755-5557 (28967) FAX: MS. CHAO YANG 651/489-8990 Corp ASIAN HOME CARE INC HCP-A 519 UNIVERSITY AVE WEST #100 ST PAUL, MN 55103 PHONE: 651/999-0268 (21585) FAX: MS. MAI XIONG 651/999-0269 NProf ASPEN MEDICAL GROUP UNIVERSITY Amb Surg Outpt Surg 2635 UNIVERSITY AVENUE STE 100 ST PAUL, MN 55114 PHONE: 651/241-3900 (25404) FAX: MS. MICHELE BARTON 651/241-9285 Home Mgmt Corp ATT HOME HEALTH CARE INC 1543 COMO AVENUE STE 101 ST PAUL, MN 55108 PHONE: 651/646-8771 (27802) FAX: MR. MICHAEL NGUYEN 651/646-8910 HWSAL NProf BENTSON FAMILY ASSISTED LIVING 730 KAY AVENUE ST PAUL, MN 55102 PHONE: 651/328-2000 (26406) FAX: MS. JENNIFER BEVER 651/328-2070 Lim-Liab BETHEL CARE CENTER SNF-NF-131 NH-131 420 MARSHALL AVENUE ST PAUL, MN 55102 PHONE: 651/224-2368 (00913) FAX: MS. JENNIFER SCHOENECKER 651/224-3582 Lim-Liab BETTER LIFE CARE LLC HCP-B 588 WHITE BEAR AVENUE NORTH ST PAUL, MN 55106 PHONE: 651/501-7475 (28273) FAX: MS. GRACE MORRIS /- Lim-Liab BRIGHTENING CONNECTIONS LLC HCP-A 1111 ELWAY STREET APT 504 ST PAUL, MN 55116 PHONE: 651/785-3059 (28969) FAX: /- MS. SAMANTHA SAWHER Minnesota Department of Health Division of Compliance Monitoring Page 322 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab CAPITAL CARE SERVICES LLC Certification RAMSEY Registration (Cont.)* -------------------------- HCP-A 2324 UNIVERSITY AVENUE STE 106 (28987) ST PAUL, MN 55114 PHONE: 651/683-2147 FAX: MS. JOYANN SWEENY 651/683-2086 NProf CAPITOL VIEW TRANSITIONAL CARE NH-32 SNF-32 640 JACKSON STREET ST PAUL, MN 55101 PHONE: 651/254-0400 (00498) FAX: MS. MICHELLE MANGAN 651/254-0422 HWSAL Corp CARE FOR LESS 970 BURR STREET ST PAUL, MN 55130 PHONE: 763/291-8167 (28693) FAX: MR. JEMAL HASSAN 952/929-1015 Lim-Liab CARE PLANNERS HOME HEALTH CARE HCP-A 1919 UNIVERSITY AVE STE 114 ST PAUL, MN 55104 PHONE: 651/645-1070 (27330) FAX: MS. ELIN OHLSSON 651/645-9884 Lim-Liab CARE WITH HEART HOME SERVICES HCP-A 245 NORTH RUTH STREET #201 ST PAUL, MN 55119 PHONE: 952/836-6862 (28046) FAX: MS. RACHEL LORENZEN /- Corp CAREFOCUS CORPORATION HCP-A HHA 2429 UNIVERSITY AVE WEST #200 ST PAUL, MN 55114 PHONE: 651/925-5598 (02837) FAX: Corp CAREMATE HOME HEALTH CARE INC MR. ADEWALE KOLEOSHO 651/925-5599 HCP-A HHA 2236 MARSHALL AVENUE ST PAUL, MN 55104 PHONE: 651/659-0208 (03323) FAX: Corp CAREMATE HOME HEALTH CARE INC MR. MICHAEL ADERINKOMI 651/659-0161 HCP-F 2236 MARSHALL AVENUE ST PAUL, MN 551045799 PHONE: 651/659-0208 (26318) FAX: Lim-Liab CARING PROFESSIONALS HOMECARE MR. MICHAEL ADERINKOMI 651/659-0161 HCP-A HHA 2356 UNIVERSITY AV W SUITE 220 ST PAUL, MN 55114 PHONE: 651/789-2299 (25299) FAX: Corp CARINGHANDS HOME HEALTH CARE I MS. FLAVIANNA TESHA 651/306-1359 HCP-A 2233 UNIVERSITY AVE W STE 206 ST PAUL, MN 55104 PHONE: 651/319-5743 (27815) FAX: 651/356-8248 MR. JOHN KWAME AWUKU Minnesota Department of Health Division of Compliance Monitoring Page 323 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab CARONDELET VILLAGE Certification RAMSEY Registration (Cont.)* -------------------------- HCP-F 525 FAIRVIEW AVENUE SOUTH (29085) ST PAUL, MN 55105 PHONE: 651/690-7081 FAX: MS. L BETH CARLSON 651/695-5001 HWSAL Lim-Liab CARONDELET VILLAGE BETHANY COM 525 FAIRVIEW AVENUE SOUTH ST PAUL, MN 55116 PHONE: 651/695-5000 (28388) FAX: NProf CARONDELET VILLAGE CARE CENTER MS. BETH CARLSON 651/695-5001 NH-45 SNF-NF-45 525 FAIRVIEW AVENUE SOUTH ST PAUL, MN 55116 PHONE: 651/695-5000 (27189) FAX: MS. HEATHER HEIJERMAN 651/695-5001 Home Mgmt NProf CATHOLIC CHARITIES CAREGIVER S 1276 UNIVERSITY AVE ST PAUL, MN 55104 PHONE: 651/641-3178 (23257) FAX: MR. TIMOTHY MARX 651/641-1005 HWS NProf CEDAR PARK APARTMENTS - 1266 1266 HAZELWOOD STREET ST PAUL, MN 55106 PHONE: 651/774-0011 (25843) FAX: MRS. DANIELLE FOX 651/774-0606 HWS NProf CEDAR PARK APARTMENTS - 1286 1286 HAZELWOOD STREET ST PAUL, MN 55106 PHONE: 651/774-0011 (25842) FAX: MRS. DANIELLE FOX 651/774-0606 HWS NProf CEDAR PARK ARARTMENTS - 1288 1288 HAZELWOOD STREET ST PAUL, MN 55106 PHONE: 651/774-0011 (25844) FAX: Part CENTRAL TOWERS MRS. DANIELLE FOX 651/774-0606 HCP-F 20 EAST EXCHANGE STREET ST PAUL, MN 55101 PHONE: 651/215-4600 (27959) FAX: NProf CERENITY CARE CTR MARIAN MS. NATALIE MORLAND 651/298-9317 NH-90 SNF-NF-90 200 EARL STREET ST PAUL, MN 55106 PHONE: 651/793-2100 (00354) FAX: NProf CERENITY CARE CTR ON HUMBOLDT MR. JEFFREY THORNE 651/771-4509 NH-125 SNF-NF-125 512 HUMBOLDT AVENUE ST PAUL, MN 55107 PHONE: 651/227-8091 (00538) FAX: 651/220-1755 MR. TED SCHMIDT Minnesota Department of Health Division of Compliance Monitoring Page 324 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf CERENITY CC MARIAN ST PAUL Certification RAMSEY Registration (Cont.)* -------------------------- HCP-F HWSAL 200 EARL STREET (20167) ST PAUL, MN 55106 PHONE: 651/793-2100 FAX: MR. JEFFREY THORNE 651/771-4509 NProf CERENITY RES ON HUMBOLDT HCP-F HWSAL 514 HUMBOLDT AVENUE ST PAUL, MN 55107 PHONE: 651/220-1700 (20269) FAX: MRS. COURTNEY BLOMQUIST 651/220-1724 NProf CERENITY RES ON HUMBOLDT NH-30 SNF-30 514 HUMBOLDT AVENUE ST PAUL, MN 55107 PHONE: 651/220-1702 (00891) FAX: 651/220-1724 MR. TED SCHMIDT HWSAL ONProf CERENITY RESIDENCE - MARIAN OF 225 FRANK STREET ST PAUL, MN 55106 PHONE: 651/793-2100 (21947) FAX: 651/771-4509 MR. JEFFREY THORNE HWS NProf COMO VILLA ESTATES 837 COMO AVENUE ST PAUL, MN 55103 PHONE: 651/774-0011 (27427) FAX: 651/774-0606 MRS. DANIELLE FOX Home Mgmt ONProf CONGREGATE HOUSING SERVS PROG 555 WABASHA STREET N STE 400 ST PAUL, MN 55102 PHONE: 651/292-6035 (03538) FAX: 651/298-5666 MS. TERESA VAPLON HWS NProf CORNELIA HOUSE 1840 UNIVERSITY AVENUE WEST ST PAUL, MN 55104 PHONE: 651/288-3931 (26979) FAX: 651/288-5084 MS. JULIE NIEWALD HWS-O NProf CROSSING HOME 1565 ALBERTMERLE STREET ST PAUL, MN 55117 PHONE: 651/222-8553 (28497) FAX: MR. JOHN HENDERSON /- HWS Lim-Liab CRS GROTTO REENTRY LLC 450 GROTTO STREET NORTH ST PAUL, MN 55104 PHONE: 763/566-2888 (26964) FAX: 763/566-3949 MR. MARCELL GARRETSON HWS Lim-Liab DALE STREET PLACE 313 NORTH DALE ST PAUL, MN 55103 PHONE: 612/332-6264 (24994) FAX: 612/332-2627 MR. RICHARD BRUSTAD Minnesota Department of Health Division of Compliance Monitoring Page 325 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Ind DALYCE ELLIOTT YOUNG Certification RAMSEY (Cont.)* -------------------------- HCP-C 1610 FERNWOOD ST (27878) ST PAUL, MN 55108 PHONE: 952/412-1614 FAX: MS. DALYCE YOUNG /- NProf DIANE AHRENS CRISIS RESIDENCE SLFA-16 1593 HEWITT AVENUE ST PAUL, MN 55104 PHONE: 651/645-9424 (01095) FAX: Corp DIVINE HEALTHCARE NETWORK MS. JENNIFER WEIGELT 651/645-3216 HCP-A HHA 856 UNIVERSITY AVENUE ST PAUL, MN 55104 PHONE: 651/665-9795 (03484) FAX: Lim-Liab DUNGARVIN BALBRIGGEN MR. ISAAC OBI 651/665-9796 SLFA-5 1270 EAST LARPENTEUR AVENUE ST PAUL, MN 55109 PHONE: 651/699-6050 (01182) FAX: Lim-Liab DUNGARVIN TIKVAH MS. NATALIE GRAF 651/699-7265 SLFA-6 1778 ROME AVENUE ST PAUL, MN 55116 PHONE: 651/699-6050 (01368) FAX: Corp EFFICIENT MEDICAL SERVICES INC MS. NATALIE GRAF 651/699-7265 HCP-A 577B UNIVERSITY AVE WEST ST PAUL, MN 55103 PHONE: 651/647-9717 (21483) FAX: Lim-Liab ENDLESS CARE LLC MR. AUGUSTINE AKPAN 651/644-9704 HCP-A 989 SMITH AVE ST PAUL, MN 55118 PHONE: 651/451-5911 (29178) FAX: NProf EPISCOPAL CHURCH HOME OF MN MS. TIFFANI BARBER 651/455-0088 BCH-50 NH-81 1879 FERONIA AVENUE ST PAUL, MN 55104 PHONE: 651/209-8519 (00486) FAX: NProf EPISCOPAL HOME CARE AND SERVIC MS. ANDREA KREBS 651/288-5087 HCP-A 490 EAST LYNNHURST AVENUE ST PAUL, MN 55104 PHONE: 651/632-8808 (27670) FAX: NProf EPISCOPAL HOME CARE AND SRVS MR. MIKE KAREL 651/288-4662 HCP-F 490 EAST LYNNHURST AVENUE ST PAUL, MN 55104 PHONE: 651/632-8808 (26962) FAX: 651/288-4662 MR. MIKE KAREL Registration NF2-50 SNF-NF-81 Minnesota Department of Health Division of Compliance Monitoring Page 326 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 ST PAUL, MN 55119 PHONE: 651/735-7259 (20272) FAX: MS. EYDIE SHYPULSKI 651/730-1667 HWSAL Corp ESSLINGS HOMES PLUS INC 2187 BONNIE LANE ST PAUL, MN 55119 PHONE: 651/735-7259 (20271) FAX: MS. EYDIE SHYPULSKI 651/730-1667 Corp EXPRESS HOME HEALTH CARE HCP-A 1148 ARCADE STREET ST PAUL, MN 55106 PHONE: 651/776-9910 (21956) FAX: MS. PA YANG 651/776-9181 Corp FIRST CHOICE HOME CARE INC HCP-A HHA 933 WHITE BEAR AVENUE NORTH ST PAUL, MN 55106 PHONE: 651/488-1680 (03253) FAX: MS. PANG THAO 651/487-4087 Lim-Liab FIRSTAT NURSING SERVICES HCP-A HHA 1885 UNIVERSITY AVE W STE 38 ST PAUL, MN 55104 PHONE: 651/288-0222 (22015) FAX: MS. DEANNA HAMMOND 651/288-0214 NProf FRANCISCAN HOME CARE HCP-A 1903 NORFOLK AVENUE ST PAUL, MN 55116 PHONE: 651/696-8425 (03288) FAX: MS. PAULA FISCHER 651/696-8434 NProf FRANCISCAN HOME HEALTH HCP-A HHA 2076 ST ANTHONY AVENUE ST PAUL, MN 55104 PHONE: 651/789-5030 (23112) FAX: 651/789-0078 MS. NANCY LARSON ESRD Corp FRESENIUS MEDICAL CARE MIDWAY 1690 UNIVERSITY AVE W # B-100 ST PAUL, MN 55104 PHONE: 651/917-0081 (23762) FAX: 651/917-0091 MS. CAROL MEREDITH ESRD Corp FRESENIUS MEDICAL OF ST PAUL 445 ETNA STREET SUITE 60 ST PAUL, MN 55106 PHONE: 651/251-3847 (23523) FAX: /- MS. LYNN HAMILTON Minnesota Department of Health Division of Compliance Monitoring Page 327 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 ST PAUL, MN 55101 PHONE: 651/229-3838 (00488) FAX: MS. MARGARET PERRYMAN 651/229-3999 Corp GOLDEN LIFE HOME HEALTH CARE HCP-A 161 ST ANTHONY AVENUE STE 927 ST PAUL, MN 55103 PHONE: 651/222-6245 (29281) FAX: MS. PAHOUA VANG 651/222-6242 Lim-Liab GOLDEN LIVINGCENTER LYNNHURST NH-72 SNF-NF-72 471 LYNNHURST AVENUE WEST ST PAUL, MN 55104 PHONE: 651/645-6453 (00945) FAX: MS. JULIE LUDWIG 651/659-0681 HWSAL-O HRA HAMLINE HI RISE 777 NORTH HAMLINE AVENUE ST PAUL, MN 55104 PHONE: 651/292-6035 (20541) FAX: MS. TERESA VAPLON 651/298-5666 HWS Corp HARRY & JEANETTE WEINBERG APAR 760 PERLMAN STREET ST PAUL, MN 55102 PHONE: 651/925-8000 (26377) FAX: MS. SARA ASCHENBRENER 651/925-8067 Corp HAYES RESIDENCE BCH-40 NF2-40 1620 RANDOLPH AVENUE ST PAUL, MN 55105 PHONE: 651/690-4458 (00928) FAX: MS. LAURA REYNOLDS 651/603-9009 Lim-Liab HEALTH AT HOME LLC HCP-A 141 ARUNDEL STREET #4 ST PAUL, MN 55102 PHONE: 651/323-8409 (28753) FAX: MS. JOAN NICHOLS /- Lim-Liab HEALTH FOUNDATIONS LLC 968 GRAND AVENUE ST PAUL, MN 55105 PHONE: 651/895-2520 (27753) FAX: NProf HEALTHEAST BETHESDA HOSPITAL MS. AMY JOHNSON - GRASS 651/330-3768 HOSP-254 HOSP-254 559 CAPITOL BOULEVARD ST PAUL, MN 55103 PHONE: 651/232-2000 (00976) FAX: 651/232-2118 MS. CATHERINE BARR Minnesota Department of Health Division of Compliance Monitoring Page 328 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf HEALTHEAST HOME CARE Certification RAMSEY Registration (Cont.)* -------------------------- HCP-A HHA 1700 UNIVERSITY AVENUE (02250) ST PAUL, MN 55104 PHONE: 651/232-2800 FAX: MS. NADINE PAITICH 651/232-2898 NProf HEALTHEAST HOSPICE Hospice HSPICE 45 WEST 10TH STREET ST PAUL, MN 55102 PHONE: 651/232-3312 (02353) FAX: MS. BETH SPOTTISWOODE 651/232-3494 HWSAL NProf HERITAGE APARTMENTS INC 1440 MIDWAY PARKWAY ST PAUL, MN 55108 PHONE: 651/632-5428 (20280) FAX: MS. JENNIFER VEITENHEIMER 651/632-5451 Lim-Liab HIGHLAND CHATEAU HCC NH-64 SNF-NF-64 2319 WEST SEVENTH STREET ST PAUL, MN 55116 PHONE: 651/251-3083 (00494) FAX: MS. ERIN HENNESSEY 651/698-0378 Lim-Liab HIGHLAND HOME CARE LLC HCP-A 1795 BAYARD AVENUE ST PAUL, MN 55116 PHONE: 651/249-3714 (26945) FAX: MR. MICHAEL RYAN /- ESRD Corp HIGHLAND PARK DIALYSIS 1559 WEST SEVENTH STREET ST PAUL, MN 55102 PHONE: 651/222-7139 (25766) FAX: MS. BECKY SKWIRA 651/224-3655 Corp HOME CARE GIVERS INC HCP-A 806 7TH STREET #200 ST PAUL, MN 55106 PHONE: 651/808-4044 (27359) FAX: MR. ARTEMIO ALVARADO /- NProf HOPE INTERNATIONAL HOME HEALTH HCP-A 220 S ROBERT ST STE 109 ST PAUL, MN 55107 PHONE: 651/222-3962 (27762) FAX: Corp HUMAN CARE INC MR. JAMES GBALA 651/222-3962 HCP-A 450 SYNDICATE STREET STE 380 ST PAUL, MN 55104 PHONE: 651/999-5733 (25211) FAX: NProf INTEGRATED HOME CARE MR. SIRAD OSMAN 651/999-5735 HCP-A HHA 475 ETNA STREET STE 3 ST PAUL, MN 55106 PHONE: 651/415-4663 (02303) FAX: 651/415-4010 MS. DENISE EDGETT Minnesota Department of Health Division of Compliance Monitoring Page 329 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab INVESTING IN BEHAVIORAL SERVIC Certification RAMSEY Registration (Cont.)* -------------------------- 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 ST PAUL, MN 55104 PHONE: 651/646-1026 (23247) FAX: 651/632-8807 MR. MARK LADWIG HWSAL Part KEYSTONE COMMUNITIES OF HIGHL 750 MISSISSIPPI RIVER BLVD ST PAUL, MN 55116 PHONE: 612/886-2035 (20168) FAX: 612/886-2592 MR. MICHAEL LEWIS HWS ONProf KIMBALL COURT 2610 UNIVERSITY AVE W STE 100 ST PAUL, MN 55104 PHONE: 651/789-6260 (26481) FAX: 651/789-6288 MS. JILL GARCIA HWS NProf KINGDOM PATHWAYS FREEDOM HOUSE 426 OXFORD STREET NORTH ST PAUL, MN 55433 PHONE: 651/387-8393 (24969) FAX: MS. LORIANNE MICHAUD /- HWS NProf KINGDOM PATHWAYS FREEDOM HOUSE 1038 AURORA AVENUE ST PAUL, MN 55104 PHONE: 651/387-8393 (24970) FAX: MS. LORIANNE MICHAUD /- HWS NProf LABLANCHE APARTMENTS 1366 WESTERN AVENUE ST PAUL, MN 55117 PHONE: 651/774-0011 (27422) FAX: 651/774-0606 MRS. DANIELLE FOX HWS NProf LABLANCHE APARTMENTS 1365 WESTERN AVENUE ST PAUL, MN 55117 PHONE: 651/774-0011 (27421) FAX: 651/774-0606 MRS. DANIELLE FOX HWS NProf LAMPLIGHTER VILLAGE 1551 ALBAMARLE STREET ST PAUL, MN 55117 PHONE: 651/774-0011 (27423) FAX: 651/774-0606 MRS. DANIELLE FOX HWS NProf LAMPLIGHTER VILLAGE 1512 WOODBRIDGE ST STE 202 ST PAUL, MN 55117 PHONE: 651/744-0011 (27766) FAX: /- MRS. DANIELLE FOX Minnesota Department of Health Division of Compliance Monitoring Page 330 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp LANDMARK SURGERY CENTER Certification RAMSEY Outpt Surg Registration (Cont.)* -------------------------Amb Surg 17 WEST EXCHANGE ST STE 222 (00430) ST PAUL, MN 55102 PHONE: 651/968-5468 FAX: MS. BECKIE HINES 651/968-5491 HWS NProf LAWSON ARMS APARTMENTS - 1032 1032 DULUTH STREET ST PAUL, MN 55106 PHONE: 651/774-0011 (26320) FAX: MRS. DANIELLE FOX 651/774-0606 Out Pt Out St Out Ot NProf LIFETRACK RESOURCES 709 UNIVERSITY AVENUE WEST ST PAUL, MN 55104 PHONE: 651/227-8471 (02090) FAX: MR. JOHN MOHR /- NProf LITTLE SISTERS OF THE POOR BCH-33 NH-40 NF2-33 SNF-NF-40 330 SOUTH EXCHANGE STREET ST PAUL, MN 55102 PHONE: 651/227-0336 (00763) FAX: SR. THERESA ROBERTSON 651/227-7321 Lim-Liab LIVE AT HOME PERSONAL CARE LLC HCP-B 1952 FREMONT AVENUE ST PAUL, MN 55119 PHONE: 651/605-0015 (29006) FAX: MS. ANGELIC VANG /- HWSAL NProf LYNGBLOMSTEN APARTMENTS 1455 ALMOND AVENUE ST PAUL, MN 55108 PHONE: 651/632-5422 (20250) FAX: MS. JILL HULT 651/632-5440 Church LYNGBLOMSTEN CARE CENTER NH-237 SNF-NF-237 1415 ALMOND AVENUE ST PAUL, MN 55108 PHONE: 651/646-2941 (00501) FAX: MR. JEFF HEINECKE 651/646-8360 Church LYNGBLOMSTEN SERVICES INC HCP-A 1415 ALMOND AVENUE ST PAUL, MN 55108 PHONE: 651/646-2941 (03381) FAX: MS. JANET BYRNES 651/646-8360 HWS NProf MARK GUNTER - 249 WESTERN 249 WESTERN AVENUE ST PAUL, MN 55102 PHONE: 651/774-0011 (25228) FAX: MRS. DANIELLE FOX 651/774-0606 Ind MARY ELLEN BRANDT HCP-A 1418 WOODBRIDGE STREET ST PAUL, MN 55117 PHONE: 651/487-5544 (22092) FAX: /- MS. MARY ELLEN BRANDT Minnesota Department of Health Division of Compliance Monitoring Page 331 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification RAMSEY (Cont.)* -------------------------HWS NProf MARY HALL Registration 438 MAIN STREET (27350) ST PAUL, MN 55102 PHONE: 651/647-2340 FAX: MS. MARY ANN SULLIVAN 651/222-2412 HWS NProf MAST APARTMENTS - 1384 ST PAUL 1384 ST PAUL AVENUE ST PAUL, MN 55116 PHONE: 651/774-0011 (27255) FAX: MRS. DANIELLE FOX 651/774-0606 Lim-Liab MATRXCARE LLC HCP-A 411 MAIN STREET SUITE 412 ST PAUL, MN 55102 PHONE: 651/269-2999 (25677) FAX: MR. GARY BAILEY /- Lim-Liab MAXIMUM HOMECARE SERVICES LLC HCP-A 1577 NEVADA AVENUE ST PAUL, MN 55106 PHONE: 651/353-8964 (26758) FAX: Corp METRO HOME HEALTH INC MS. MERCY ALO 651/330-2045 HCP-A 345 UNIVERSITY AVE W STE A ST PAUL, MN 551032091 PHONE: 651/647-4330 (25321) FAX: Corp MIDWAY HOME HEALTH CARE MR. SUNDAY OLAYINKA 651/647-1075 HCP-A HHA 1072 PAYNE AVENUE ST PAUL, MN 55130 PHONE: 651/793-6901 (21405) FAX: Corp MINNESOTA HOME HEALTH CARE INC MR. FONG LOR 651/776-5251 HCP-A 829 EAST 7TH STREET #1 ST PAUL, MN 55106 PHONE: 651/705-8833 (29179) FAX: Corp MINNESOTA NATIONAL HEALTH KARE MR. EUGENE BANKS 651/705-8834 HCP-A 23 EMPIRE DRIVE STE 123N ST PAUL, MN 55103 PHONE: 651/222-2787 (28271) FAX: Corp MN HOME CARE PROFESSIONALS MS. CATALINA LO 651/224-1057 HCP-B 625 SNELLING AVE N STE 1 ST PAUL, MN 55104 PHONE: 651/644-2188 (29180) FAX: 651/644-2198 MR. LYFONGE YANG HWSAL-O HRA MONTREAL NBBI 1085 MONTREAL AVE #1406 ST PAUL, MN 55116 PHONE: 651/292-6035 (24468) FAX: 651/298-5666 MS. TERESA VAPLON Minnesota Department of Health Division of Compliance Monitoring Page 332 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 ST PAUL, MN 55114 PHONE: 651/209-2950 (25616) FAX: Corp MOUNDS PARK RESIDENCE MR. LAWRENCE UBANI 651/917-2013 BCH-36 908 MOUND STREET ST PAUL, MN 55106 PHONE: 651/776-7170 (00998) FAX: Corp MY HOME HEALTH CARE INC MS. LAURA REYNOLDS 651/776-4196 HCP-A 569 DALE ST N STE 100 ST PAUL, MN 55103 PHONE: 651/488-3126 (21876) FAX: Church NEW HARMONY CARE CENTER MRS. MAI YER SOUNG 651/487-7637 SNF-NF-76 NH-76 135 GERANIUM AVENUE EAST ST PAUL, MN 55117 PHONE: 651/488-6658 (00492) FAX: Lim-Liab NEW LIVING LLC MR. TRENTON CARLSON 651/488-7587 HCP-A 2380 WYCLIFF STREET SUITE 200 ST PAUL, MN 55114 PHONE: 651/528-6346 (27649) FAX: Lim-Liab NORTHWEST HOME HEALTH CARE MRS. LENDER FOSTER 651/528-7056 HCP-A 1821 UNIVERSITY AVE W. SUITE 3 ST PAUL, MN 55104 PHONE: 651/493-3834 (24008) FAX: NProf OUR HOUSE OF MN INC I MR. SYLVESTER AMELETSE 651/493-3835 ICFMR-6 SLFA-6 1846 DAYTON AVENUE ST PAUL, MN 55104 PHONE: 651/646-1104 (01102) FAX: NProf OUR HOUSE OF MN INC II MR. DENNIS HOLMAN 651/646-1104 SLFA-6 ICFMR-6 1846 PORTLAND AVENUE ST PAUL, MN 55104 PHONE: 651/646-1104 (01173) FAX: NProf OUR LADY OF PEACE HOME MR. DENNIS HOLMAN 651/646-1104 NH-40 2076 ST ANTHONY AVENUE ST PAUL, MN 55104 PHONE: 651/646-2797 (00869) FAX: 651/646-7884 MR. JOE STANISLAV Minnesota Department of Health Division of Compliance Monitoring Page 333 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab PEACE OF MIND HOME HEALTH CARE Certification RAMSEY Registration (Cont.)* -------------------------- HCP-B 1653 WOODBRIDGE STREET (28754) ST PAUL, MN 55117 PHONE: 651/487-7528 FAX: Corp PEACEFUL LIVING SERVICES MS. MAI XIONG 651/489-0632 HCP-F HWSAL 1000 REANEY ST PAUL, MN 55106 PHONE: 651/493-1485 (24993) FAX: NProf PEOPLE INCORPORATED MS. BAO VANG 612/435-9881 HCP-A HHA 317 YORK AVENUE ST PAUL, MN 55130 PHONE: 651/774-0202 (02672) FAX: NProf PEOPLE INCORPORATED MS. KATIE O'BRIEN 651/774-5517 HCP-F 317 LAKE STREET NORTH ST PAUL, MN 55120 PHONE: 651/774-0011 (21945) FAX: MS. ERIKA ASHE 651/774-0606 HWS-O NProf PEOPLE INCORPORATED EDGEBROOK 2250 EDGEBROOK AVE ST PAUL, MN 55119 PHONE: 651/731-0821 (21907) FAX: MR. M. TIMOTHY BURKETT 651/209-6376 HWS-O NProf PEOPLE INCORPORATED LONDIN PLA 384 LONDIN PLACE ST PAUL, MN 55119 PHONE: 651/731-0821 (21902) FAX: MR. M. TIMOTHY BURKETT 651/209-6376 HWS-O NProf PEOPLE INCORPORATED RUTH HOUSE 246 RUTH STREET ST PAUL, MN 55119 PHONE: 651/731-0821 (21908) FAX: Part PHCSS LLP MR. M. TIMOTHY BURKETT 612/209-6376 HCP-A 293 COMO AVENUE UNIT 200 ST PAUL, MN 55103 PHONE: 651/487-3048 (27945) FAX: NProf PHOENIX AT DOUGLAS MS. PHUA YANG 651/487-3055 SLFB-6 ICFMR-6 1538 POINT DOUGLAS ST PAUL, MN 55119 PHONE: 651/227-7655 (23482) FAX: NProf PHOENIX AT FOSS MS. DARLENE SCOTT 651/227-6847 SLFB-6 ICFMR-6 1500 AMES ST PAUL, MN 55106 PHONE: 651/227-7655 (23483) FAX: 651/227-6847 MS. DARLENE SCOTT Minnesota Department of Health Division of Compliance Monitoring Page 334 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf PHOENIX AT VIKING Certification RAMSEY Registration (Cont.)* -------------------------- SLFB-6 ICFMR-6 645 VIKING DRIVE EAST (01195) ST PAUL, MN 55117 PHONE: 651/227-7655 FAX: MS. DARLENE SCOTT 651/227-6847 Out St Out Ot Corp PROFESSIONAL REHAB CONSULTANTS 1246 UNIVERSITY AVENUE WEST ST PAUL, MN 55104 PHONE: 651/293-3997 (02584) FAX: MS. MAREE COOK 651/224-0624 Home Mgmt Corp RAINBOW HOME HEALTHCARE INC 1417 ARCADE STREET ST PAUL, MN 55106 PHONE: 651/778-0562 (26839) FAX: MR. PAOGE VANG 651/778-9967 HWSAL NProf RAKHMA JOY HOME 123 SOUTH WHEELER ST PAUL, MN 55105 PHONE: 612/824-2345 (20115) FAX: MS. SUSAN ECKSTROM 612/824-3165 CMHC Cnty RAMSEY CO MENTAL HEALTH CTR 1919 UNIVERSITY AVE SUITE 200 ST PAUL, MN 55104 PHONE: 651/266-7920 (23090) FAX: MS. NANCY HOULTON /- Cy-Co RAMSEY COUNTY DETOX CENTER SLFB-50 402 UNIVERSITY AVENUE EAST ST PAUL, MN 55130 PHONE: 651/266-4009 (01571) FAX: MR. KIRK FOWLER 651/266-4539 HWSAL-O HRA RAVOUX HI RISE 280 RAVOUX STREET ST PAUL, MN 55103 PHONE: 651/292-6035 (20540) FAX: NProf REGIONS HOSPITAL MS. TERESA VAPLON 651/298-5666 BASS-26 HOSP-454 HOSP-438 PPS-R-16 640 JACKSON STREET ST PAUL, MN 55101 PHONE: 651/254-2191 (00527) FAX: Corp REM RAMSEY INC GOODRICH MR. BROCK NELSON 651/254-2194 SLFA-6 ICFMR-6 917 GOODRICH AVE ST PAUL, MN 55105 PHONE: 651/644-7680 (01055) FAX: Corp REM RAMSEY INC MISSISSIPPI MS. CONNIE MENNE 651/644-6777 SLFA-6 ICFMR-6 1866 MISSISSIPPI RIVER BLVD S ST PAUL, MN 55116 PHONE: 651/644-7680 (01056) FAX: 651/644-6777 MS. CONNIE MENNE Minnesota Department of Health Division of Compliance Monitoring Page 335 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp REM RAMSEY INC NEBRASKA Certification RAMSEY Registration (Cont.)* -------------------------- SLFA-6 ICFMR-6 2140 NEBRASKA AVENUE EAST (21032) ST PAUL, MN 55119 PHONE: 651/644-7680 FAX: MS. CONNIE MENNE 651/644-6777 Corp REM RAMSEY INC WYOMING SLFA-6 ICFMR-6 445 EAST WYOMING ST PAUL, MN 55107 PHONE: 651/644-7680 (01088) FAX: MS. CONNIE MENNE 651/644-6777 HWS NProf RENAISSANCE BOX 200 EAST 10TH STREET ST PAUL, MN 55101 PHONE: 651/224-4710 (28139) FAX: MRS. DANIELLE FOX /- Home Mgmt Ind ROSE HOME CARE HOME MANAGEMENT 1374 WESTMINSTER ST STE A205 ST PAUL, MN 55130 PHONE: 651/354-8940 (28596) FAX: MS. VALERIE CAGER /- Corp SAFETY CARE INC HCP-A HHA 933-A UNIVERSITY AVENUE ST PAUL, MN 55104 PHONE: 651/645-4537 (03351) FAX: MS. STELLA NWAIWU 651/645-4358 HWS Corp SCENIC HILLS ALTERNATIVE CARE 2170 SNOWSHOE LANE E ST PAUL, MN 55119 PHONE: 651/735-7259 (23158) FAX: MS. EYDIE SHYPULSKI 651/730-1667 HWS NProf SEABURY 1830 UNIVERSITY AVENUE WEST ST PAUL, MN 55104 PHONE: 651/379-5102 (26982) FAX: Corp SERENITY HOME HEALTH CARE SYST MS. KIRE MEYER-QUIST 651/209-8080 HCP-A 161 ST ANTHONY AVENUE STE 935 ST PAUL, MN 55103 PHONE: 651/493-4536 (26753) FAX: Part SHEPARD PARK HC MR. MOHAMED ALBERT 651/493-4868 HCP-F HWSAL 2235 ROCKWOOD AVENUE ST PAUL, MN 55116 PHONE: 651/699-2664 (20169) FAX: NProf SHIRLEY CHAPMAN SHOLOM HM EAST MS. HEATHER RADUENZ 651/699-9726 NH-92 SNF-NF-92 740 KAY AVENUE ST PAUL, MN 55102 PHONE: 651/328-2000 (00496) FAX: 651/328-2070 MS. JENNIFER BEVER Minnesota Department of Health Division of Compliance Monitoring Page 336 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification RAMSEY (Cont.)* -------------------------HWS NProf SIBLEY PARK - 211 Registration 211 EAST 7TH STREET (26449) ST PAUL, MN 55101 PHONE: 651/774-0011 FAX: MRS. DANIELLE FOX 651/774-0606 Corp ST ANTHONY PARK HOME NH-84 SNF-NF-84 2237 COMMONWEALTH AVENUE ST PAUL, MN 55108 PHONE: 651/632-3500 (00997) FAX: MR. JOHN BARKER 651/644-0792 NProf ST JOSEPHS HOSPITAL BASS-40 HOSP-401 HOSP-401 45 W 10TH STREET ST PAUL, MN 55102 PHONE: 651/232-3000 (00524) FAX: MR. SCOTT NORTH 651/232-3518 NProf ST MARYS HOSPICE Hospice HSPICE 2076 ST ANTHONY AVENUE ST PAUL, MN 55104 PHONE: 651/789-5030 (21131) FAX: MS. NANCY LARSON 651/789-0078 ESRD Corp ST PAUL CAPITOL DIALYS AT HOME 555 PARK STREET SUITE 110 ST PAUL, MN 55103 PHONE: 651/221-3437 (24071) FAX: MR. GARY BEIL /- ESRD Corp ST PAUL CAPITOL DIALYSIS 555 PARK STREET SUITE 230 ST PAUL, MN 55103 PHONE: 651/221-3318 (02105) FAX: MS. JILL MEYERSON-COCHLIN /- ESRD Corp ST PAUL DIALYSIS 555 PARK ST SUITE 180 ST PAUL, MN 55103 PHONE: 651/291-8855 (02183) FAX: MS. TAMMY FOLDEN /- HWS NProf ST PAUL RESIDENCE 902 HERSEY STREET ST PAUL, MN 55114 PHONE: 651/647-2325 (25394) FAX: MR. JAMES GILLHAM 651/603-0462 HWS NProf STRAUS LOFTS 350 SIBLEY STREET ST PAUL, MN 55101 PHONE: 651/774-0011 (27425) FAX: Lim-Liab SUMMIT HILL SENIOR LIVING MRS. DANIELLE FOX 651/774-0606 HCP-F 1870 OLD HUDSON ROAD ST PAUL, MN 55119 PHONE: 651/207-9064 (28604) FAX: 651/459-4783 MR. LANCE LEMIEUX Minnesota Department of Health Division of Compliance Monitoring Page 337 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification RAMSEY (Cont.)* -------------------------HWSAL Lim-Liab SUMMIT HILL SENIOR LIVING Registration 1870 OLD HUDSON ROAD (28605) ST PAUL, MN 55119 PHONE: 651/207-9064 FAX: MR. LANCE LEMIUEX 651/454-4783 ESRD Corp SUN RAY DIALYSIS UNIT 1744 OLD HUDSON ROAD ST PAUL, MN 55106 PHONE: 651/793-5191 (25767) FAX: MS. JENNY MCPHILLIPS /- Corp SUNLIGHT SENIOR LIVING HCP-F HWSAL 400 WESTERN AVENUE ST PAUL, MN 55103 PHONE: 651/714-5056 (27035) FAX: MS. LEE VANG 651/714-5059 HWSAL Lim-Liab SUNLIGHT SERVICES 281 CESAR CHAVEZ STREET ST PAUL, MN 55107 PHONE: 651/714-5056 (24453) FAX: Lim-Liab SUNLIGHT SERVICES LLC MS. LEE VANG 651/714-5059 HCP-F HWSAL 440 VIRGINIA STREET ST PAUL, MN 55103 PHONE: 651/312-1113 (23761) FAX: MS. LEE VANG 651/714-5059 HWSAL Lim-Liab SUNLIGHT SERVICES LLC 1105 HAZEL STREET ST PAUL, MN 55119 PHONE: 651/714-5056 (24717) FAX: Corp SUNSHINE HOME HEALTH CARE INC MS. LEE VANG 651/714-5059 HCP-A 1885 UNIVERSITY AVE W SUITE 36 ST PAUL, MN 55104 PHONE: 651/645-1449 (24346) FAX: Lim-Liab SUPPORTIVE LIVING SOLUTIONS MR. HASSAN ELMI 651/645-1437 HCP-A 2515 WABASH AVE ST PAUL, MN 55114 PHONE: 651/209-8490 (28464) FAX: Lim-Liab TAPESTRY MS. CARLEEN FLETTRE 651/209-8499 SLFA-3 SLFB-48 135 EAST COLORADO STREET ST PAUL, MN 55107 PHONE: 651/489-7740 (25565) FAX: 651/489-6458 MS. JENNIFER HATTERMAN HWSAL Part THE ALTON MEMORY CARE 1306 ALTON STREET ST PAUL, MN 55116 PHONE: 651/699-2480 (25829) FAX: 651/699-2386 MR. MIKE LORENZ Minnesota Department of Health Division of Compliance Monitoring Page 338 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp THE COOPERATING COMMUNITY PROG Certification RAMSEY Registration (Cont.)* -------------------------- 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 ST PAUL, MN 55102 PHONE: 651/222-7200 (00363) FAX: MS. LAURA REYNOLDS 651/224-0624 HWS NProf THE SALAVATION ARMY BOOTH BROW 1471 COMO AVENUE WEST ST PAUL, MN 55108 PHONE: 651/646-2601 (24600) FAX: MAJOR ARNEL RUPPEL 651/646-1655 Home Mgmt Lim-Liab TOUCHING HEARTS AT HOME ST PAU 550 SNELLING AVENUE S STE 103 ST PAUL, MN 55116 PHONE: 651/452-6825 (27544) FAX: Lim-Liab TWIN CITIES HOME HEALTH CARE A MR. JARROD PETERSON 651/236-8279 HCP-A 111 KELLOGG BLVD E # 227/228 ST PAUL, MN 55101 PHONE: 651/298-1086 (27855) FAX: Lim-Liab TWIN CITIES HSG W SRVCS LLC MR. R. LAMAR HUDSON 651/298-8711 HCP-F 413 CENTRAL AVENUE WEST ST PAUL, MN 55103 PHONE: 612/860-3694 (28876) FAX: MS. MOTI FELEMA 651/578-2269 HWS Lim-Liab TWIN CITIES HSG W SRVCS LLC 413 CENTRAL AVENUE WEST ST PAUL, MN 55103 PHONE: 612/860-3694 (28877) FAX: Lim-Liab TWIN TOWN TREATMENT CENTER MS. MOTI FELEMA 651/578-2269 SLFA-50 1706 UNIVERSITY AVENUE ST PAUL, MN 55104 PHONE: 651/645-3661 (01200) FAX: MR. STEVEN BRANCO 651/645-0959 HWS Corp TWINS CARE NURSING SERVICE INC 1730 GRAHAM AVENUE WEST ST PAUL, MN 55116 PHONE: 952/423-1204 (26922) FAX: Corp UNITED HOME HEALTHCARE INC MS. SHERRI WRIGHT 952/423-4113 HCP-A 161 ST ANTHONY AVENUE ST PAUL, MN 55103 PHONE: 651/489-4735 (27588) FAX: 651/489-4738 MR. NENG YANG Minnesota Department of Health Division of Compliance Monitoring Page 339 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf UNITED HOSPITAL Certification RAMSEY (Cont.)* -------------------------- BASS-40 HOSP-546 HOSP-15 333 NORTH SMITH AVENUE HOSP-515 PPS-P-15 PPS-R-16 HOSP15 (00525) ST PAUL, MN 55102 PHONE: 651/241-8816 Registration FAX: MR. TOM O'CONNOR 651/241-5189 ESRD Corp UNIVERSITY DIALYSIS RIVERSIDE 1045 WESTGATE DRIVE #90 ST PAUL, MN 55114 PHONE: 651/645-1847 (03881) FAX: MS. DENISE HORN 651/645-1890 Corp V-CARE HOME HEALTH INC HCP-A 1049 PAYNE AVENUE ST PAUL, MN 55130 PHONE: 651/793-7635 (28359) FAX: MS. SUE KIACHIATONG XIONG 651/793-7659 HWSAL-O HRA VALLEY HI RISE 261 UNIVERSITY AVENUE ST PAUL, MN 55101 PHONE: 651/292-6035 (24472) FAX: MS. TERESA VAPLON 651/298-5666 NProf VIETNAMESE MINNESOTANS ASSOCIA HCP-A 1030 UNIVERSITY AVENUE STE 130 ST PAUL, MN 55104 PHONE: 651/290-4791 (27589) FAX: MR. TINH TRAN 651/290-4785 NProf WILDER ASSISTED LIVNG PROGRAMS HCP-F 650 MARSHALL AVENUE ST PAUL, MN 55104 PHONE: 651/280-2298 (20812) FAX: MS. JOCELYN SCHOWALTER 651/224-6906 Corp WINGSPAN LIFE RESOURCES SLFA-6 ICFMR-6 2134 MARSHALL AVENUE ST PAUL, MN 55104 PHONE: 651/646-3846 (01287) FAX: 651/646-2347 MS. PATRICIA MOORE HWS NProf WOLKOWICZ PROPERTIES 981 NORTH ST ALBANS ST PAUL, MN 55103 PHONE: 651/774-0011 (27767) FAX: MRS. DANIELLE FOX /- HWS NProf WOODBRIDGE TERRACE APARTMENTS 208 WEST HOYT ST PAUL, MN 55117 PHONE: 651/774-0011 (25894) FAX: 651/774-0606 MRS. DANIELLE FOX HWSAL Part CENTRAL TOWERS 20 EAST EXCHANGE STREET ST PAUL 55101, MN 55101 PHONE: 651/215-4600 (20319) FAX: 651/298-9317 MR. FREDERICK BRUMM Minnesota Department of Health Division of Compliance Monitoring Page 340 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification RAMSEY (Cont.)* -------------------------Home Mgmt Corp ASIAN AMERICAN HOME HC SERVICE Registration 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 VADNAIS HEIGHTS, MN 55127 PHONE: 651/653-7444 (25585) FAX: MR. CHRISTIAN GLANCEY /- NProf PHOENIX AT CENTERVILLE SLFB-6 ICFMR-6 785 EAST COUNTY ROAD E VADNAIS HEIGHTS, MN 55127 PHONE: 651/227-7655 (01649) FAX: MS. DARLENE SCOTT 651/227-6847 NProf PHOENIX AT ENGLISH SLFB-6 ICFMR-6 1336 EAST COUNTY ROAD E VADNAIS HEIGHTS, MN 55110 PHONE: 651/227-7655 (01648) FAX: MS. DARLENE SCOTT 651/227-4847 NProf SPRINGHILL SLFB-4 ICFMR-4 531 SPRINGHILL ROAD VADNAIS HEIGHTS, MN 55127 PHONE: 651/429-5686 (01636) FAX: MR. JIM MARTIN 651/483-0775 Lim-Liab VINTAGE MOMENTS LLC HCP-F HWSAL 4559 BRAMBLEWOOD AVENUE VADNAIS HEIGHTS, MN 55127 PHONE: 651/653-4883 (25313) FAX: MS. KATHERINE MASON 651/653-4887 Lim-Liab ADVANCED MEDICAL HOME CARE LLC HCP-A 2074 EAST COUNTY ROAD E WHITE BEAR LAKE, MN 55110 PHONE: 612/267-6154 (29186) FAX: MR. MICHAEL AUGE /- Corp AXIS ON WHITE BEAR AVENUE SLFB-6 ICFMR-6 3516 WHITE BEAR AVENUE NORTH WHITE BEAR LAKE, MN 55110 PHONE: 651/779-4301 (22847) FAX: Corp CERENITY CARE CENTER WBL MS. DOROTHY WROBEL 651/777-0411 NH-187 SNF-NF-187 1891 FLORENCE STREET WHITE BEAR LAKE, MN 55110 PHONE: 651/232-1821 (00923) FAX: NProf CERENITY RESIDENCE OF WBL MR. GREGORY BAUMBERGER 651/232-1801 HCP-F HWSAL 4615 SECOND AVENUE WHITE BEAR LAKE, MN 55110 PHONE: 651/232-1868 (20170) FAX: 651/232-1801 MR. GREG BAUMBERGER Minnesota Department of Health Division of Compliance Monitoring Page 341 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab COMFORTS OF HOME CARE LLC Certification RAMSEY Registration (Cont.)* -------------------------- HCP-A 1245 GUN CLUB ROAD (24174) WHITE BEAR LAKE, MN 55110 PHONE: 651/407-7009 FAX: 651/407-6422 MS. GIGI CHOLLETT HWS Part LAKE SQUARE APARTMENTS 2250 6TH STREET WHITE BEAR LAKE, MN 55110 PHONE: 651/426-2876 (28972) FAX: 651/426-8490 NProf PHOENIX AT CASWELL MR. GERALD SOVELL SLFB-6 ICFMR-6 2168 - 12TH ST WHITE BEAR LAKE, MN 55110 PHONE: 651/227-7655 (23428) FAX: Corp VISION QUEST PROPERTY MANAGEME MS. DARLENE SCOTT 651/227-6847 HCP-A 5771 MEADOWVIEW DRIVE WHITE BEAR LAKE, MN 55110 PHONE: 651/428-0646 (28288) FAX: 651/777-2448 Corp VISITING ANGELS MR. CHARLES PETRICH HCP-A 2200 THIRD STREET WHITE BEAR LAKE, MN 55110 PHONE: 651/653-0110 (23261) FAX: 651/653-0115 MS. JENNIFER WEST Home Mgmt Corp VISITING ANGELS 2200 THIRD STREET WHITE BEAR LAKE, MN 55110 PHONE: 651/653-0110 (23353) FAX: 651/653-0115 Lim-Liab WHITE BEAR LAKE COH CARE LLC MS. JENNIFER WEST HWSAL HCP-F 1235 GUN CLUB ROAD WHITE BEAR LAKE, MN 55110 PHONE: 651/757-3800 (24613) FAX: 651/757-3820 Corp AXIS ON SENECA MS. RHONDA SHILLINGER SLFB-6 ICFMR-6 1586 SENECA TRAIL WHITE BEAR TOWNSHIP, MN 55110 PHONE: 651/426-3546 (01325) FAX: 651/426-8456 Corp REM RAMSEY INC PROSPECT MS. DOROTHY WROBEL ICFMR-6 SLFA-6 5474 PROSPECT AVENUE WHITE BEAR TOWNSHIP, MN 55110 PHONE: 651/644-7680 (01106) FAX: 651/644-6777 ---------------------------********** MS. CONNIE MENNE RED LAKE ******** -------------------------- Minnesota Department of Health Division of Compliance Monitoring Page 342 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification RED LAKE (Cont.)* -------------------------RHC NProf ESSENTIA HEALTH OKLEE CLINIC Registration GOVERNOR STREET & THIRD AVENUE (28618) OKLEE, MN 56742 PHONE: 218/796-4525 FAX: MS. PATRICIA WANGLER /- Lim-Liab FREEDOM LIVING CENTER LLC HCP-F HWSAL 306 TOUPIN STREET OKLEE, MN 56742 PHONE: 218/796-5001 (27165) FAX: Corp HILLCREST SENIOR LIVING MR. RICHARD DULKA 218/796-5003 NH-30 SNF-NF-30 311 BROADWAY AVENUE NE RED LAKE FALLS, MN 56750 PHONE: 218/253-2157 (00540) FAX: MR. TYLER AHLF - ACTING 218/253-4676 HWS HRA HOUSING AND REDEVELOPMENT AUTH 209 INTERNATIONAL DRIVE RED LAKE FALLS, MN 56750 PHONE: 218/253-2022 (21419) FAX: NProf NORTHWOOD HOME MS. MARY ANN BENOIT 218/253-2238 SLFB-6 ICFMR-6 418 SEVENTH STREET SOUTHWEST RED LAKE FALLS, MN 56750 PHONE: 218/253-4315 (01589) FAX: MS. DEB VIGNESS 218/253-4099 RHC NProf RIVERVIEW CLINIC 105 INTERNATIONAL DR SUITE 25 RED LAKE FALLS, MN 56750 PHONE: 218/253-4606 (28149) FAX: MR. WILLIAM BENNETT 218/253-4681 ---------------------------********** City PARKVIEW HOME REDWOOD ******** -------------------------- NH-30 SNF-NF-30 102 COUNTY STATE AID HWY 9 BELVIEW, MN 56214 PHONE: 507/938-4151 (00543) FAX: City PARKWOOD APARTMENTS MR. MICHAEL STORDAHL 507/938-4110 HCP-F HWSAL 505 SOUTH SECOND STREET BELVIEW, MN 56214 PHONE: 507/938-3020 (20318) FAX: City VALLEY VIEW MANOR MR. JAMES BROICH 507/938-3019 NH-55 SNF-NF-55 200 EAST NINTH AVENUE LAMBERTON, MN 56152 PHONE: 507/752-7346 (00731) FAX: 507/752-7348 MS. DAWN GIESE Minnesota Department of Health Division of Compliance Monitoring Page 343 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf GIL-MOR HAVEN Certification REDWOOD Registration (Cont.)* -------------------------- HCP-F HWS 90 THIRD STREET EAST (27387) MORGAN, MN 56266 PHONE: 507/249-3143 FAX: MR. JAMES BROICH 507/249-2310 NProf GIL-MOR MANOR NH-35 SNF-NF-35 96 THIRD STREET EAST MORGAN, MN 56266 PHONE: 507/249-3143 (00542) FAX: MR. ED TOLKKINEN 507/249-2310 NProf EASTWOOD HOME SLFB-6 ICFMR-6 101 FIREWOOD DRIVE REDWOOD FALLS, MN 56283 PHONE: 507/637-5212 (01588) FAX: MS. JUDY RICHARDS 507/637-5774 Corp GARNETTE GARDENS SENIOR LIVING HCP-F HWSAL 511 DEKALB STREET REDWOOD FALLS, MN 56283 PHONE: 507/644-8500 (23560) FAX: MS. NATALIE SEEHAUSEN 507/644-8521 NProf GOOD SAM SOCIETY REDWOOD FALLS NH-48 SNF-NF-48 200 DEKALB ST S REDWOOD FALLS, MN 56283 PHONE: 507/637-5711 (00063) FAX: MS. MICHELLE TOMLINSON 507/637-2132 NProf JOHNSON PARK PLACE HCP-F HWSAL 1011 EAST ELM STREET REDWOOD FALLS, MN 56283 PHONE: 507/627-8121 (20009) FAX: MS. MICHELLE TOMLINSON 507/627-8382 City REDWOOD AREA HOSP HOSPICE SER Hospice HSPICE 100 FALLWOOD ROAD REDWOOD FALLS, MN 56283 PHONE: 507/637-4500 (02499) FAX: MR. JOHN PEYERL 507/697-6000 City REDWOOD AREA HOSPITAL BASS-6 HOSP-25 CAH-25 100 FALLWOOD ROAD REDWOOD FALLS, MN 56283 PHONE: 507/637-4511 (00545) FAX: MR. KEITH MUETZEL-INTERIM CEO 507/697-6029 City REDWOOD AREA HOSPITAL HOME CAR HCP-A HHA 100 FALLWOOD ROAD REDWOOD FALLS, MN 56283 PHONE: 507/637-4500 (02405) FAX: 507/697-6000 MR. KEITH MUETZEL- INTERIM CEO ESRD Corp REDWOOD FALLS DIALYSIS CTR 100 FALLWOOD ROAD REDWOOD FALLS, MN 56283 PHONE: 507/823-4733 (03377) FAX: /- MS. NANCY SPERL Minnesota Department of Health Division of Compliance Monitoring Page 344 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: 507/637-5308 MS. ELIZABETH AIKEN HWS City SEASONS 400 VEDA DRIVE REDWOOD FALLS, MN 56283 PHONE: 507/627-2224 (27101) FAX: 507/627-2233 NProf WESTWOOD HOME MR. KEITH MUETZEL SLFB-6 ICFMR-6 921 EAST OAK STREET REDWOOD FALLS, MN 56283 PHONE: 507/637-3347 (01609) FAX: MS. JUDY RICHARDS 507/637-5189 Corp WOOD DALE HOME INC NH-50 SNF-NF-50 600 SUNRISE BOULEVARD REDWOOD FALLS, MN 56283 PHONE: 507/637-3587 (00749) FAX: 507/637-2546 Corp REVERE HOME MS. JUDITH SANDMANN BCH-26 300 SOUTH MAIN REVERE, MN 56166 PHONE: 651/257-8146 (00824) FAX: 651/257-9245 Lim-Liab GOLDEN LIVINGCENTER WABASSO MR. ROBERT CARDENAS NH-44 SNF-NF-44 660 MAPLE STREET WABASSO, MN 56293 PHONE: 507/342-5166 (00949) FAX: 507/342-5136 Lim-Liab COUNTRY VIEW SENIOR COMMUNITY MR. DRU FISCHGRABE HCP-F HWSAL 810 8TH STREET WALNUT GROVE, MN 56180 PHONE: 507/859-2133 (23778) FAX: 507/859-2143 MS. JEANNE JAECKELS RHC NProf SANFORD TRACY WALNUT GROVE CLC 830 EIGHTH STREET WALNUT GROVE, MN 56180 PHONE: 507/859-2157 (21357) FAX: /- MS. STACY BARSTAD ---------------------------********** Corp GLESENERS ASSISTED LIVING SERV RENVILLE HCP-F HWSAL-O 160 SOUTH MAIN STREET BIRD ISLAND, MN 55310 PHONE: 320/365-3823 (24783) FAX: 320/365-3361 ******** -------------------------- MR. MARK GLESENER Minnesota Department of Health Division of Compliance Monitoring Page 345 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: MR. MARK GLESENER 320/365-3361 NProf RENVILLE COUNTY COMM RES SLFA-10 ICFMR-10 831 GROVE AVENUE BIRD ISLAND, MN 55310 PHONE: 320/365-3881 (01312) FAX: MS. BEVERLY BURMAN 320/365-4533 Ind MATTHEW BRADLEY NELSON HCP-C 2202 BUFFALO RUN ROAD BUFFALO, MN 55313 PHONE: 320/309-1710 (28723) FAX: MR. MATTHEW NELSON /- NProf BUFFALO LAKE HEALTHCARE CTR NH-49 SNF-NF-49 703 WEST YELLOWSTONE TRAIL BUFFALO LAKE, MN 55314 PHONE: 320/833-5364 (00550) FAX: Corp JULIES HOME HEALTH CARE INC MR. MARK RUST 320/833-5526 HCP-A 114 CHURCH AVENUE WEST BUFFALO LAKE, MN 55314 PHONE: 320/833-6082 (25054) FAX: NProf WESTVIEW ESTATES MS. JULIE UFKES 320/833-5943 HCP-F HWSAL 703 W YELLOWSTONE TRAIL BUFFALO LAKE, MN 55314 PHONE: 320/833-5364 (20031) FAX: Corp FAIRFAX COMMUNITY HOME MR. MARK RUST 320/833-5526 NH-50 SNF-NF-50 300 TENTH AVENUE SE FAIRFAX, MN 55332 PHONE: 507/426-8241 (00847) FAX: Corp FAIRFAX COMMUNITY HOME HEALTH MS. JUDITH SANDMANN 507/426-7340 HCP-A 300 10TH AVE SE FAIRFAX, MN 55332 PHONE: 507/426-8241 (03554) FAX: MS. JUDITH SANDMANN 507/426-7340 HWS Corp FAIRFAX COMMUNITY HOME INC 300 TENTH AVENUE SOUTHEAST FAIRFAX, MN 55332 PHONE: 507/426-8241 (21143) FAX: Lim-Liab GOLDEN LIVINGCENTER FRANKLIN MS. JUDITH SANDMANN 507/426-7340 NH-46 SNF-NF-46 900 3RD STREET SOUTH FRANKLIN, MN 55333 PHONE: 507/557-2211 (00934) FAX: 507/557-2214 MR. DRU FISCHGRABE Minnesota Department of Health Division of Compliance Monitoring Page 346 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab PRAIRIE VIEW OF HECTOR Certification RENVILLE Registration (Cont.)* -------------------------- HCP-F HWSAL 1010 EAST ELM AVENUE (21943) HECTOR, MN 55342 PHONE: 320/848-2093 FAX: MS. ANDREA ANDERSON 320/848-2506 RHC Corp RENVILLE CTY HOSP CLNCS HECTOR 131 BIRCH AVENUE WEST HECTOR, MN 55342 PHONE: 320/848-6294 (03575) FAX: MS. KATHLEEN RYAN /- HWS City FAIRVIEW PLACE APARTMENTS 603 EAST FAIRVIEW AVENUE OLIVIA, MN 56277 PHONE: 320/523-1836 (20216) FAX: MS. JENNIFER EVENSON 320/523-1416 Lim-Liab GOLDEN LIVINGCENTER OLIVIA NH-57 SNF-NF-57 1003 WEST MAPLE OLIVIA, MN 56277 PHONE: 320/523-1652 (00939) FAX: MS. AMANDA GENTILLI 320/523-5734 NProf PARK VIEW VILLAGE HCP-F HWSAL 1204 WEST PARK AVENUE OLIVIA, MN 56277 PHONE: 320/523-1743 (21635) FAX: MS. PAM HOCKERT FREESE 320/523-1925 RHC Corp RENVILLE CO HOSP CLINIC OLIVIA 600 PARK AVENUE OLIVIA, MN 56277 PHONE: 320/523-1460 (03573) FAX: MS. KATHLEEN RYAN /- Cnty RENVILLE COUNTY HOSP & CLINCS BASS-6 HOSP-35 CAH-25 611 EAST FAIRVIEW OLIVIA, MN 56277 PHONE: 320/523-1261 (00558) FAX: MR. GLENN HAUGO 320/523-3458 Cnty RENVILLE COUNTY HOSPICE Hospice HSPICE 611 EAST FAIRVIEW AVENUE OLIVIA, MN 56277 PHONE: 320/523-1261 (03271) FAX: MS. MAUREEN STYLE 320/523-3571 Cnty RENVILLE COUNTY PHS HCP-A HHA 105 S FIFTH ST STE 119H OLIVIA, MN 56277 PHONE: 320/523-2570 (02120) FAX: MS. JILL BRUNS /- HWS NProf EAST RIDGE COURT 219 ELM AVENUE SOUTHEAST RENVILLE, MN 56284 PHONE: 320/329-3901 (22007) FAX: 320/329-3901 MR. JAMES INGERSOLL Minnesota Department of Health Division of Compliance Monitoring Page 347 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification RENVILLE (Cont.)* -------------------------HWS NProf MEADOWS ON MAIN Registration 611 MAIN STREET SO BOX 679 (20044) RENVILLE, MN 56284 PHONE: 320/329-3788 FAX: MR. JAMES INGERSOLL 320/329-3678 NProf RENVILLA HEALTH CENTER NH-48 SNF-NF-48 205 SOUTHEAST ELM AVENUE RENVILLE, MN 56284 PHONE: 320/329-8381 (00557) FAX: MR. JIM INGERSOLL 320/329-3678 RHC Corp RENVILLE COUNTY HOSP & CLINICS 420 NORTH MAIN STREET RENVILLE, MN 56284 PHONE: 320/329-8395 (03574) FAX: MS. KATHLEEN RYAN /- NProf RENVILLE HEALTH SERVICES HOMEC HCP-F 611 MAIN STREET SOUTH RENVILLE, MN 56284 PHONE: 320/329-3834 (20933) FAX: MR. JAMES INGERSOLL 320/329-3944 ---------------------------********** Lim-Liab CARING SOLUTIONS RICE ******** -------------------------- HCP-A 2741 120TH STREET EAST DUNDAS, MN 55019 PHONE: 507/664-9385 (28755) FAX: MR. PHILLIP LEVINE 507/645-9067 Amb Surg Corp CROSSROADS SURGERY CENTER 1575 20TH STREET NW FARIBAULT, MN 55021 PHONE: 507/209-6226 (24483) FAX: MS. HEATHER LARSON 507/209-6228 Ind DAWNS ELDER CARE HCP-C 2424 WOODLAND DRIVE FARIBAULT, MN 55021 PHONE: 507/333-5491 (23327) FAX: MS. DAWN CABALLERO /- HWSAL Lim-Liab DEACONESS TOWER 503 EAST DIVISION STREET FARIBAULT, MN 55021 PHONE: 507/332-5158 (20049) FAX: Lim-Liab DEACONESS TOWER MS. KAREN RUDA 507/332-5199 HCP-F 503 EAST DIVISION STREET FARIBAULT, MN 55021 PHONE: 507/332-5100 (03753) FAX: 507/332-5188 MS. KAREN RUDA Minnesota Department of Health Division of Compliance Monitoring Page 348 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Dist DISTRICT ONE HOSPITAL Certification RICE Registration (Cont.)* -------------------------- BASS-10 HOSP-49 HOSP-49 200 STATE AVENUE (00569) FARIBAULT, MN 55021 PHONE: 507/334-6451 FAX: MR. STEPHEN PRIBYL 507/332-4848 Dist FARIBAULT AREA HOSPICE Hospice HSPICE 200 STATE AVENUE FARIBAULT, MN 55021 PHONE: 507/332-4834 (02877) FAX: MS. LORI BILLMEYER 507/332-4829 Lim-Liab FARIBAULT CARE CENTER NH-55 SNF-NF-55 1738 HULETT AVENUE NORTH FARIBAULT, MN 55021 PHONE: 507/334-3918 (00989) FAX: MS. BRENDA SCHRUPP 507/332-2748 ESRD Corp FARIBAULT DIALYSIS UNIT 201 SO LYNDALE AVE SUITE F FARIBAULT, MN 55021 PHONE: 507/334-0306 (02810) FAX: MS. CARI DOCK /- Lim-Liab FARIBAULT SENIOR LIVING HCP-F HWSAL-O 843 FARIBAULT ROAD FARIBAULT, MN 55021 PHONE: 507/334-5009 (27967) FAX: MS. KAREN SMITH /- State FARIBAULT SOCS SLFB-6 ICFMR-6 1805 SHUMWAY AVENUE FARIBAULT, MN 55021 PHONE: 507/332-0495 (01642) FAX: Lim-Liab GUEST HOUSE OF FARIBAULT LLC MR. ROGER DENEEN 507/332-2166 HCP-A HWS 118 SIXTH STREET NORTHWEST FARIBAULT, MN 55021 PHONE: 507/334-8269 (22372) FAX: Ind HERITAGE HOUSE ELDER CARE MR. LEON SHERWOOD 507/331-7345 HCP-F HWSAL 1415 NORTHWEST 7TH STREET FARIBAULT, MN 55021 PHONE: 507/334-5111 (21721) FAX: 507/334-5111 MS. JULIE SPRONK HWS-O Corp HILLTOP HOME 4 THIRD AVENUE SW FARIBAULT, MN 55021 PHONE: 507/332-0547 (25128) FAX: 507/332-2335 MS. DEBORAH SONNEK HWSAL Corp IVY HILL SENIOR CARE 519 FIRST STREET SOUTHWEST FARIBAULT, MN 55021 PHONE: 507/332-8966 (20469) FAX: 507/384-3464 MS. SHIRLEY RAINEY Minnesota Department of Health Division of Compliance Monitoring Page 349 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp IVY HILL SENIOR CARE INC Certification RICE Registration (Cont.)* -------------------------- HCP-F 519 FIRST STREET SOUTHWEST (03884) FARIBAULT, MN 55021 PHONE: 507/332-8966 FAX: MS. SHIRLEY RAINEY 507/384-3464 HWSAL Lim-Liab KEYSTONE COMMUNITIES FARIBAULT 828 FIRST STREET NORTHEAST FARIBAULT, MN 55021 PHONE: 612/886-2035 (21877) FAX: MR. MICHAEL LEWIS 612/886-2592 HWSAL-O Lim-Liab MAPLEWOOD HOMES OF FARIBAULT 428 NORTHWEST 5TH STREET FARIBAULT, MN 55021 PHONE: 507/334-4712 (27982) FAX: Lim-Liab MILESTONE SENIOR LIVING MR. JOHN WALLGREN 507/334-0083 HCP-F HWSAL 2500 14TH STREET NE FARIBAULT, MN 55021 PHONE: 507/331-2748 (25820) FAX: Corp OUR CIRCLE OF FRIENDS MS. JULIE HEIL 507/331-7087 HCP-F HWS-O 1663 GLYNVIEW TRAIL FARIBAULT, MN 55021 PHONE: 507/334-3722 (27158) FAX: Corp OUR CIRCLE OF FRIENDS /MAIN C MS. CHERYL GLENDE 507/334-9795 HCP-F HWS 1150 THIRD ST SW FARIBAULT, MN 55021 PHONE: 507/332-9731 (20400) FAX: MS. CHERYL GLENDE 507/333-4457 HWS-O Corp OUR HOUSE 1017 NORTHWEST 7TH STREET FARIBAULT, MN 55021 PHONE: 507/332-0547 (20095) FAX: Corp PLEASANT MANOR INC MS. DEBORAH SONNEK 507/332-0547 NH-65 SNF-NF-65 27 BRAND AVENUE FARIBAULT, MN 55021 PHONE: 507/334-2036 (00568) FAX: Corp PLEASANT VIEW ESTATES MS. BONNIE CAMPEAU 507/334-3558 HCP-F HWSAL 41 BRAND AVENUE FARIBAULT, MN 55021 PHONE: 507/333-5960 (24584) FAX: Cnty RICE COUNTY PHNS MS. JO MEILLIER 507/333-5974 HCP-A HHA 320 NORTHWEST 3RD ST FARIBAULT, MN 55021 PHONE: 507/332-6111 (02022) FAX: 507/332-5932 MRS. DIANE WINKELS Minnesota Department of Health Division of Compliance Monitoring Page 350 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp RISON HOMES INC Certification RICE Registration (Cont.)* -------------------------- HCP-F 314 CENTRAL AVENUE (20152) FARIBAULT, MN 55021 PHONE: 507/332-0547 FAX: MS. DEBORAH SONNEK 507/332-2335 HWS Corp RISON HOMES INC 1000 RAVINE STREET FARIBAULT, MN 55021 PHONE: 507/332-0547 (29042) FAX: MS. DEBORAH SONNEK /- Lim-Liab ST LUCAS CARE CENTER NH-109 SNF-NF-109 500 SOUTHEAST FIRST STREET FARIBAULT, MN 55021 PHONE: 507/332-5100 (00571) FAX: Corp STERLING HOUSE OF FARIBAULT MR. ERIC EVERSON 507/332-5188 HCP-F HWSAL 935 SPRING ROAD FARIBAULT, MN 55021 PHONE: 507/333-2559 (20398) FAX: MS. AIMEE MALLETTE 507/333-2557 HWSAL Lim-Liab THE VILLAGES OF LONSDALE 1000 BIRCH STREET NE LONSDALE, MN 55046 PHONE: 507/744-3453 (26754) FAX: Lim-Liab THE VILLAGES OF LONSDALE MS. MARILYN PINT 507/744-3951 HCP-F 1000 BIRCH STREET NORTHEAST LONSDALE, MN 55046 PHONE: 507/744-3453 (26772) FAX: MS. PATRICIA VINCENT 507/744-3951 HWS Corp MORRISTOWN 104 4TH STREET SW PO BOX 774 MORRISTOWN, MN 55052 PHONE: 507/332-0547 (20028) FAX: Lim-Liab PLUM HOME CARE LLC MS. DEBORAH SONNEK 507/332-2335 HCP-A 300 2ND STREET SOUTHEAST MORRISTOWN, MN 55052 PHONE: 507/685-2829 (28133) FAX: Lim-Liab THE PLUM HOUSE MS. ALYSSA WEBER 507/685-2830 HCP-F HWSAL 300 - 2ND ST SE MORRISTOWN, MN 55052 PHONE: 507/685-2829 (23434) FAX: 507/685-2830 MS. ALYSSA WEBER HWSAL Church CANNON VALLEY SUITES 900 CANNON VALLEY DRIVE NORTHFIELD, MN 55057 PHONE: 507/645-6007 (23183) FAX: 507/664-3490 MS. SHELLEY HOLDEN Minnesota Department of Health Division of Compliance Monitoring Page 351 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification RICE (Cont.)* -------------------------HWS NProf COTTAGE ON FOREST Registration 811 FOREST AVENUE (26073) NORTHFIELD, MN 55057 PHONE: 507/664-8805 FAX: MS. PATRICIA VINCENT 507/645-0942 HWSAL NProf EVERGREEN LODGE 912 CANNON VALLEY DRIVE WEST NORTHFIELD, MN 55057 PHONE: 507/645-6007 (25764) FAX: NProf HOME CARE LINK MS. SHELLEY HOLDEN 507/645-0117 HCP-A HHA 815 FOREST AVENUE NORTHFIELD, MN 55057 PHONE: 507/664-8863 (03105) FAX: NProf HOME COMPANION LINK MS. PATRICIA VINCENT 507/645-0942 HCP-B 815 FOREST AVENUE NORTHFIELD, MN 55057 PHONE: 507/664-8892 (27688) FAX: NProf LAURA BAKER SERVICES ASSOC MS. PATRICIA VINCENT 507/650-9227 SLFA-30 ICFMR-30 211 OAK STREET NORTHFIELD, MN 55057 PHONE: 507/645-8866 (01163) FAX: NProf MILLSTREAM COMMONS HOME CARE MR. MITCH DAVIDE 507/645-8869 HCP-F HWSAL 210 WEST EIGHTH STREET NORTHFIELD, MN 55057 PHONE: 507/650-0141 (24063) FAX: Church NORTHFIELD CARE CENTER INC MS. KATHY OLSON 507/650-9170 NH-42 SNF-NF-42 900 CANNON VALLEY DRIVE NORTHFIELD, MN 55057 PHONE: 507/645-9511 (00567) FAX: City NORTHFIELD CITY HOSPITAL & NSG MR. THOMAS NIELSEN 507/645-0117 NH-40 BASS-12 HOSP-37 SNF-NF-40 HOSP-37 2000 NORTH AVENUE NORTHFIELD, MN 55057 PHONE: 507/646-1001 (00566) FAX: City NORTHFIELD HOME CARE MR. MARK HENKE 507/646-1392 HCP-A HHA 2000 NORTH AVENUE NORTHFIELD, MN 55057 PHONE: 507/646-1457 (02208) FAX: City NORTHFIELD HOSPICE MR. MARK HENKE 507/646-1395 Hospice HSPICE 2000 NORTH AVENUE NORTHFIELD, MN 55057 PHONE: 507/646-1314 (02880) FAX: 507/646-6877 MS. SUSAN LOHMANN Minnesota Department of Health Division of Compliance Monitoring Page 352 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification RICE (Cont.)* -------------------------HWS Church NORTHFIELD MANOR INC Registration 901 CANNON VALLEY DRIVE (20097) NORTHFIELD, MN 55057 PHONE: 507/645-9090 FAX: MS. SHELLEY HOLDEN 507/645-0117 HWSAL Church NORTHFIELD PARKVIEW INC 910 CANNON VALLEY DRIVE NORTHFIELD, MN 55057 PHONE: 507/645-6007 (20096) FAX: Church NORTHFIELD PARKVIEW INC MS. SHELLEY HOLDEN 507/645-0117 HCP-F 910 CANNON VALLEY DRIVE NORTHFIELD, MN 55057 PHONE: 507/645-6007 (03339) FAX: MR. KYLE NORDINE 507/645-0117 HWSAL Church NORTHWOOD PINES 931 CANNON VALLEY DRIVE WEST NORTHFIELD, MN 55057 PHONE: 507/645-6007 (27563) FAX: NProf NRC HOME CARE MS. SHELLEY HOLDEN 507/645-0117 HCP-A 910 CANNON VALLEY DRIVE NORTHFIELD, MN 55057 PHONE: 507/645-6007 (25315) FAX: NProf REFLECTIONS HOME CARE MS. TINA SEARS 507/664-3490 HCP-F HWS 809 FOREST AVENUE NORTHFIELD, MN 55057 PHONE: 507/664-8809 (26343) FAX: NProf REFLECTIONS HOSPICE MS. PATRICIA VINCENT 507/650-7989 Hospice 809 FOREST AVENUE NORTHFIELD, MN 55057 PHONE: 507/664-8809 (26136) FAX: 507/645-0942 MS. PATRICIA VINCENT HWS NProf THE COTTAGE EAST 800 WEST FIFTH NORTHFIELD, MN 55057 PHONE: 507/664-8860 (20137) FAX: 507/645-0942 MS. PATRICIA VINCENT HWS NProf THE COTTAGE EAST 802 WEST FIFTH NORTHFIELD, MN 55057 PHONE: 507/664-8866 (20138) FAX: 507/645-0942 MS. PATRICIA VINCENT HWS NProf THE COTTAGE WEST 804 WEST FIFTH STREET NORTHFIELD, MN 55057 PHONE: 507/664-8860 (20342) FAX: 507/645-0942 MS. PATRICIA VINCENT Minnesota Department of Health Division of Compliance Monitoring Page 353 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification RICE (Cont.)* -------------------------HWS NProf THREE LINKS APARTMENTS Registration 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 NORTHFIELD, MN 55057 PHONE: 507/664-8800 (00564) FAX: MS. PATRICIA VINCENT 507/645-0942 HWS NProf THREE LINKS CARE CENTER/FELLOW 815 FOREST AVENUE NORTHFIELD, MN 55057 PHONE: 507/664-8800 (20136) FAX: Lim-Liab VALLEY VIEW OF NORTHFIELD MS. PATRICIA VINCENT 507/645-0942 HWSAL HCP-F 812 NORTH LINDEN STREET NORTHFIELD, MN 55057 PHONE: 507/645-4126 (20071) FAX: WEST HILLS LODGE WOMENS PROGRM MR. JOHN F BONNER 507/645-5948 NProf SLFA-6 1101 SPRING STREET SOUTH NORTHFIELD, MN 55057 PHONE: 507/645-6226 (27689) FAX: MS. JODY ANDERSON 507/645-7473 ---------------------------********** Church THE TUFF VILLAGE INC ROCK ******** -------------------------HWSAL HCP-F 301 COUNTY ROAD NO 6 HILLS, MN 56138 PHONE: 507/962-3500 (21200) FAX: Church TUFF MEMORIAL HOME MS. BONNIE HENGEVELD 507/962-3590 NH-50 SNF-NF-50 505 EAST FOURTH STREET HILLS, MN 56138 PHONE: 507/962-3275 (00576) FAX: MR. DANA DAHLQUIST 507/962-3277 HWSAL Church TUFF MEMORIAL HOME VISTE MANOR 500 EAST 4TH STREET HILLS, MN 56138 PHONE: 507/962-3500 (23857) FAX: NProf GOOD SAM SOCIETY HOME CARE MS. BONNIE HENGEVELD 507/962-3590 HCP-B 201 OAK DRIVE LUVERNE, MN 56156 PHONE: 507/283-1996 (25624) FAX: 507/283-1773 MR. PHIL SAMUELSON Minnesota Department of Health Division of Compliance Monitoring Page 354 Directory of Facilities and Services Facility/Service Owner Licensure Certification ROCK ---------------------------********** NProf GOOD SAM SOCIETY MARY JN BROWN Registration (Cont.)* -------------------------- BCH-4 NH-56 NF2-4 SNF-NF-56 110 SOUTH WALNUT AVENUE (00575) LUVERNE, MN 56156 PHONE: 507/283-2375 FAX: 507/283-2377 State MN VETERANS HOME - LUVERNE MR. PHILIP SAMUELSON NH-85 1300 NORTH KNISS PO BOX 539 LUVERNE, MN 56156 PHONE: 507/283-1100 (00411) FAX: 507/283-1127 NProf POPLAR CREEK ESTATES MR. CRAIG BARNESS - ACTING HCP-F 201 OAK DRIVE LUVERNE, MN 56156 PHONE: 507/283-1996 (23223) FAX: MR. PHILIP SAMUELSON 507/283-1773 Corp RES ADVANTAGES INC LUVERNE SLFB-6 ICFMR-6 107 SOUTH BLUE MOUND AVENUE LUVERNE, MN 56156 PHONE: 507/831-5033 (01345) FAX: 507/831-2612 MR. D. BILL OLSON NProf SANFORD LUVERNE HOSPICE 211 EAST MAIN STREET SUITE 101 LUVERNE, MN 56156 PHONE: 507/283-1805 (02825) FAX: 507/449-2011 ONProf SANFORD LUVERNE HOSPICE MS. TAMMY LOOSBROCK RES-HSPICE-4 217 NORTH OAKLEY LUVERNE, MN 56156 PHONE: 507/283-1805 (23479) FAX: 507/449-2011 NProf SANFORD LUVERNE MEDICAL CENTER MS. TAMMY LOOSBROCK BASS-5 HOSP-28 CAH-25 1600 NORTH KNISS AVENUE LUVERNE, MN 56156 PHONE: 507/283-2321 (00574) FAX: 507/283-2091 MS. TAMMY LOOSBROCK CMHC NProf SOUTHWESTERN MENTAL HEALTH CTR 216 E LUVERNE ST PO BOX 686 LUVERNE, MN 56156 PHONE: 507/283-9511 (02788) FAX: /- MR. SCOTT JOHNSON HWSAL NProf THE OAKS & POPLAR CREEK ESTATE 201 OAK DRIVE LUVERNE, MN 56156 PHONE: 507/283-1996 (20465) FAX: 507/283-1773 ---------------------------********** MR. PHILIP SAMUELSON ROSEAU ******** -------------------------- Minnesota Department of Health Division of Compliance Monitoring Page 355 Directory of Facilities and Services Facility/Service Owner Licensure Certification ROSEAU ---------------------------********** Corp COMPASSIONATE HOME CARE Registration (Cont.)* -------------------------- 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 GREENBUSH, MN 56726 PHONE: 218/782-2131 (27671) FAX: NProf LIFECARE GREENBUSH MANOR MS. SHANNON CARLSON 218/782-4005 BCH- NH-40 NF1-20 NF2- SNF-NF-20 19120 200TH STREET GREENBUSH, MN 56726 PHONE: 218/463-2500 (00578) FAX: MS. SUSAN LISELL 218/463-1266 HWSAL NProf LIFECARE MEDICAL CENTER GREENB 19120 200TH STREET GREENBUSH, MN 56726 PHONE: 218/782-2131 (27672) FAX: Corp AGELESS CARE INCORPORATED MS. CATHERINE HUSS 218/782-4005 HCP-A HWS 702 7TH STREET SOUTHWEST ROSEAU, MN 56751 PHONE: 218/463-3695 (24558) FAX: NProf LIFECARE HOME CARE & HOSPICE MS. KARIN LOVEN-KOTZ 218/464-3708 HCP-A HHA 715 DELMORE DRIVE ROSEAU, MN 56751 PHONE: 218/463-2500 (02143) FAX: NProf LIFECARE HOME CARE & HOSPICE MS. SUSAN LISELL 218/463-4755 Hospice HSPICE 715 DELMORE DRIVE ROSEAU, MN 56751 PHONE: 218/463-2500 (03637) FAX: NProf LIFECARE MEDICAL CENTER MS. SUSAN LISELL 218/463-4755 NH-60 BASS-7 HOSP-25 SNF-NF-60 CAH-25 715 DELMORE DRIVE ROSEAU, MN 56751 PHONE: 218/463-2500 (00579) FAX: MR. KEITH OKESON 218/463-1266 HWS Part NORTH STAR APARTMENTS 706 MAIN AVENUE SOUTH ROSEAU, MN 56751 PHONE: 218/463-3086 (20956) FAX: NProf OAK CREST SENIOR HOUSING MS. DEBBIE KOMPELIEN 218/463-2774 HCP-F HWSAL 201 10TH STREET SOUTHEAST ROSEAU, MN 56751 PHONE: 218/463-2006 (24166) FAX: 218/463-2031 MS. CHERYL GRAFSTROM Minnesota Department of Health Division of Compliance Monitoring Page 356 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf LAKEVIEW RETIREMENT RESIDENCE Certification ROSEAU Registration (Cont.)* -------------------------- 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 WARROAD, MN 56763 PHONE: 218/386-1235 (26877) FAX: MR. ROD KUTTER 218/386-3548 ---------------------------********** NProf DRCC AURORA SAINT LOUIS ******** -------------------------- SLFB-5 ICFMR-5 417 SOUTH MAIN STREET AURORA, MN 55705 PHONE: 218/229-3369 (01610) FAX: NProf ESSENTIA HEALTH NORTHERN PINES MR. MICHAEL MILLS 218/727-9555 NH-50 BASS-4 HOSP-16 SNF-NF-50 CAH-16 5211 HIGHWAY 110 AURORA, MN 55705 PHONE: 218/229-2211 (00604) FAX: IRONGATE APARTMENTS & TOWNHOME MS. LAURA ACKMAN 218/229-2042 HWSAL Cy-Co 310 EAST 4TH AVENUE NORTH AURORA, MN 55705 PHONE: 218/229-2886 (20881) FAX: MS. JANE YOUNGER 218/206-8673 HWSAL Corp CAREFREE LIVING OF BABBITT 1 CENTRAL BOULEVARD BABBITT, MN 55706 PHONE: 218/827-2273 (29103) FAX: MS. MARILYN HANSON 218/827-3447 HWSAL Corp CLAYRIDGE ASSISTED LIVING 100 VERMILION TRAIL PO BOX 906 BIWABIK, MN 55708 PHONE: 218/865-4588 (21987) FAX: MR. CLYDE SALMI 218/865-4671 HWSAL-O Corp ANDERSONS PINE GROVE HOME 5130 HIGHWAY 31 BROOKSTON, MN 55711 PHONE: 218/453-5554 (20045) FAX: Corp ANDERSONS PINE GROVE HOME MR. CHRIS BEAUCHAMP 218/453-1014 HCP-F 5130 HIGHWAY 31 BROOKSTON, MN 55711 PHONE: 218/453-5554 (03911) FAX: 218/453-1014 MR. CHRIS BEAUCHAMP Minnesota Department of Health Division of Compliance Monitoring Page 357 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp STONEHAVEN ASSISTED LIVING Certification SAINT LOUIS Registration (Cont.)* -------------------------- 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 BROOKSTON, MN 55711 PHONE: 218/453-5062 (28162) FAX: Corp THE LAMB HOUSE INC MS. JENNIFER JOHNSON 218/453-5064 HCP-F HWSAL 4878 HWY #31 PO BOX 322 BROOKSTON, MN 55711 PHONE: 218/453-5262 (21969) FAX: Corp WINTER HOMES INCORPORATED MRS. LAUREL LAMB 218/453-1023 SLFA-6 4982 PAUPORES ROAD BROOKSTON, MN 55711 PHONE: 218/879-2275 (01651) FAX: NProf CORNERSTONE VILLA MS. SHERRY WINTER 218/878-8366 SNF-NF-44 NH-44 1000 FOREST STREET BUHL, MN 55713 PHONE: 218/258-8742 (23242) FAX: MS. DEBRA DOUGHTY 218/258-8767 HWSAL Lim-Liab NORTHLAND ASSISTED LIVING 500 EAST MONROE DRIVE BUHL, MN 55713 PHONE: 218/258-8681 (26432) FAX: Church HERITAGE MANOR MRS. KARIE SIMPSON 218/258-8681 NH-85 SNF-NF-85 321 NORTHEAST SIXTH STREET CHISHOLM, MN 55719 PHONE: 218/254-5765 (00904) FAX: Corp HILLCREST TERRACE OF CHISHOLM MR. GEOFFREY RYAN 218/354-5767 HCP-F HWSAL 624 SW THIRD STREET BOX 552 CHISHOLM, MN 55719 PHONE: 218/263-4157 (20199) FAX: NProf LEGACY RANGE CENTER INC MR. RANDY SCHROETTER 218/263-4468 SLFB-6 ICFMR-6 112 9TH STREET NORTHWEST CHISHOLM, MN 55719 PHONE: 218/254-8745 (01062) FAX: Corp SERVING HANDS INC MS. SHELLEY ROBINSON 218/254-7343 HCP-F 601 EAST LAKE STREET CHISHOLM, MN 55719 PHONE: 218/254-7300 (25527) FAX: 218/254-2839 MR. TODD NELSON Minnesota Department of Health Division of Compliance Monitoring Page 358 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification SAINT LOUIS (Cont.)* -------------------------HWS Lim-Liab SERVING HANDS PROPERTIES LLC Registration 601 EAST LAKE STREET (25526) CHISHOLM, MN 55719 PHONE: 218/254-7300 FAX: MR. TODD NELSON 218/254-2839 Corp WENDIGO PINES ASSISTED LIVING HWSAL HCP-F 504 IRON DRIVE CHISHOLM, MN 55719 PHONE: 218/254-2750 (27162) FAX: MS. RAISA KOTULA 218/254-0164 HWSAL Corp COOK CAREFREE LIVING INC 151 4TH STREET SOUTHEAST COOK, MN 55723 PHONE: 218/666-0200 (27092) FAX: MR. MERLE SAMPSON 218/666-0203 Dist COOK HOSPITAL NH-28 BASS-2 HOSP-14 SNF-NF-28 CAH-14 10 SOUTHEAST FIFTH STREET COOK, MN 55723 PHONE: 218/666-5945 (00586) FAX: MR. ALLEN VOGT 218/666-6238 Ind BARBARA DAWN KUTSI HCP-A 8747 LAMBERT ROAD COTTON, MN 55724 PHONE: 218/393-2170 (21808) FAX: MS. BARBARA KUTSI /- Corp ADULT IN HOME CARE HCP-A 2308 SPRINGVALE COURT DULUTH, MN 55811 PHONE: 218/348-6888 (28220) FAX: MS. PATRICIA LUOMA /- NProf AFTENRO HOME BCH-54 NF2-54 510 WEST COLLEGE STREET DULUTH, MN 55811 PHONE: 218/728-6602 (00581) FAX: NProf BAYSHORE HEALTH CENTER MR. DONALD ALEXANDER 218/728-5452 NH-160 SNF-NF-160 1601 ST LOUIS AVENUE DULUTH, MN 55802 PHONE: 218/727-8651 (00589) FAX: NProf BENEDICTINE HEALTH CENTER MS. SUE KOIVISTO 218/727-1761 NH-120 SNF-NF-120 935 KENWOOD AVENUE DULUTH, MN 55811 PHONE: 218/723-6408 (00861) FAX: 218/723-6449 MS. KATIE REDIG HWSAL NProf BENET HALL 1001 KENWOOD AVENUE DULUTH, MN 55811 PHONE: 218/723-6733 (28244) FAX: 218/723-6548 MS. MARGARET WOLTERS Minnesota Department of Health Division of Compliance Monitoring Page 359 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf BENET HALL Certification SAINT LOUIS Registration (Cont.)* -------------------------- HCP-F 1001 KENWOOD AVENUE (28241) 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 DULUTH, MN 55811 PHONE: 218/625-6400 (00598) FAX: MS. JILL HESS 218/625-6452 HWSAL Lim-Liab DIAMOND WILLOW ASSISTED LIVING 6353 E SUPERIOR STREET DULUTH, MN 55804 PHONE: 218/525-8093 (28545) FAX: MS. BRENDA MARSHALL 218/525-8176 HWSAL Lim-Liab DIAMOND WILLOW ASSISTED LIVING 6355 E SUPERIOR STREET DULUTH, MN 55804 PHONE: 218/525-8177 (28546) FAX: NProf DRCC LAVERNE MS. BRENDA MARSHALL 218/525-8364 SLFA-6 ICFMR-6 1530 EAST SECOND STREET DULUTH, MN 55812 PHONE: 218/728-5891 (20994) FAX: Lim-Liab DULUTHCARE MR. MICHAEL MILLS 218/727-9555 HCP-A 802 GARFIELD AVENUE #101 DULUTH, MN 55802 PHONE: 218/727-2367 (28702) FAX: Corp E B I INCORPORATED MS. MARY JANE SHRADER 218/339-5313 SLFA-6 625 NORTH 56 AVENUE WEST DULUTH, MN 55807 PHONE: 218/624-3122 (01544) FAX: NProf ESSENTIA HEALTH DULUTH MS. SARAH HAMILTON 218/628-1699 HOSP-165 HOSP-121 PPS-R-44 PPS-R- 502 EAST SECOND STREET DULUTH, MN 55805 PHONE: 218/786-2646 (00596) FAX: Church ESSENTIA HEALTH ST MARYS MED MR. WILLIAM PALMER 218/786-5922 BASS-46 HOSP-380 407 EAST THIRD STREET DULUTH, MN 55805 PHONE: 218/786-4000 (00600) FAX: Lim-Liab FIVE STAR ASSISTED LIVING SERV MR. DANIEL MCGINTY 218/786-4888 HCP-F 11 EAST SUPERIOR ST SUITE 230 DULUTH, MN 55802 PHONE: 218/591-7541 (24424) FAX: 218/625-2338 MS. NATALIE ZELEZNIKAR HOSP-380 Minnesota Department of Health Division of Compliance Monitoring Page 360 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification SAINT LOUIS (Cont.)* -------------------------ESRD Corp FMC DIAL SERVS OF SPIRIT VALLE Registration 4700 MIKE COLALLILO DRIVE (21989) DULUTH, MN 55807 PHONE: 218/624-7787 FAX: MR. JOHN ROTH 218/624-7752 ESRD Corp FMC DIALYSIS SERVICES DULUTH 502 EAST 2ND ST DULUTH, MN 55805 PHONE: 218/720-1164 (02113) FAX: NProf FRANCISCAN HEALTH CENTER MS. PAM ELDSTAD 218/720-1463 NH-44 SNF-NF-44 3910 MINNESOTA AVENUE DULUTH, MN 55802 PHONE: 218/727-8933 (00865) FAX: Corp GARDEN HOUSE ESTATES LTD MR. ROBERT DAHL 218/727-6610 HCP-F HWSAL 1 RIVERSIDE DRIVE DULUTH, MN 55808 PHONE: 218/628-0271 (20837) FAX: Corp GENTIVA HEALTH SERVICES MR. DALE BREILAND 218/628-3981 HCP-A HHA 925 EAST SUPERIOR ST DULUTH, MN 55802 PHONE: 218/723-8999 (02426) FAX: MS. BETH ABRAHAMSON 218/723-8237 HWSAL Part GREYSOLON PLAZA 231 EAST SUPERIOR STREET DULUTH, MN 55802 PHONE: 218/722-7523 (20850) FAX: Lim-Liab HEARTHSTONE HOME CARE LLC MS. J. CARLA SCHNEIDER 218/727-4370 HCP-A HHA 11 EAST SUPERIOR STREET DULUTH, MN 55802 PHONE: 218/740-4290 (26728) FAX: 218/279-4412 MS. BRENDA MARSHALL Home Mgmt Lim-Liab HEARTLAND PCA LLC 1700 MALL DRIVE DULUTH, MN 55811 PHONE: 218/727-0990 (25708) FAX: 218/727-1179 MS. GWENDOLYN HARRIS HWSAL Corp HERITAGE HAVEN INC 3044 MORRIS THOMAS ROAD DULUTH, MN 55811 PHONE: 218/722-2415 (24250) FAX: 218/727-8850 MS. SUZANNE TAYLOR HWSAL Corp HERITAGE HAVEN INC 3040 MORRIS THOMAS ROAD DULUTH, MN 55811 PHONE: 218/722-2088 (25918) FAX: 218/727-8850 MS. SUZANNE TAYLOR Minnesota Department of Health Division of Compliance Monitoring Page 361 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp HERITAGE HAVEN INC Certification SAINT LOUIS Registration (Cont.)* -------------------------- HCP-F HWSAL 4512 LONDON ROAD (20035) DULUTH, MN 55804 PHONE: 218/590-5037 FAX: MS. SUZANNE TAYLOR 218/727-8850 HWSAL Corp HERITAGE HAVEN INC III 3042 MORRIS THOMAS ROAD DULUTH, MN 55811 PHONE: 218/722-2118 (25455) FAX: MS. SUZANNE TAYLOR 218/727-8850 HWSAL Corp HILLSIDE HOMES I 408 NORTH 8TH AVENUE EAST DULUTH, MN 55805 PHONE: 218/727-1999 (20888) FAX: MS. DIANE LINDSEY 218/720-6022 HWSAL Corp HILLSIDE HOMES II 412 NORTH 8TH AVENUE EAST DULUTH, MN 55805 PHONE: 218/733-9268 (20889) FAX: MS. DIANE LINDSEY 218/720-6022 Corp HILLSIDE HOMES OF DULUTH INC HCP-F 414 NORTH 8TH AVENUE EAST DULUTH, MN 55805 PHONE: 218/720-5890 (20350) FAX: MS. DIANE LINDSEY 218/720-6022 NProf HOME CARE SERV OPTIONS DULUTH HCP-F 50 EAST ST MARIE STREET DULUTH, MN 55803 PHONE: 218/724-5500 (20643) FAX: MS. DANIELLE LESMEISTER 218/724-5535 Lim-Liab HOME CARE SPECIALTY NURSES HCP-A 4198 SCHULTZ ROAD DULUTH, MN 55803 PHONE: 218/464-2324 (28685) FAX: MS. ANDREA REPPE 218/721-3771 Lim-Liab HOME INSTEAD SENIOR CARE HCP-A 315 EAST CENTRAL ENTRANCE DULUTH, MN 55811 PHONE: 218/727-8810 (23296) FAX: 218/727-3522 MS. MARY ANDREWS CMHC NProf HUMAN DEVELOPMENT CENTER 1401 EAST FIRST STREET DULUTH, MN 55805 PHONE: 218/728-4491 (02766) FAX: MR. ALLEN BROWN /- HWS Corp IINTERIM HEALTHCARE VENT CARE 4730 MATTERHORN CIRCLE DULUTH, MN 55811 PHONE: 218/722-0053 (22354) FAX: 218/722-0318 MR. STEVEN SCRIGNOLI Minnesota Department of Health Division of Compliance Monitoring Page 362 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp INTERIM HEALTHCARE Certification SAINT LOUIS Registration (Cont.)* -------------------------- HCP-F 227 W FIRST STREET STE 400 (20828) DULUTH, MN 55802 PHONE: 218/722-0053 FAX: Corp INTERIM HEALTHCARE MS. DIANE SMITH 218/722-0318 HCP-A HHA 227 WEST FIRST ST STE 400 DULUTH, MN 55802 PHONE: 218/722-0053 (02828) FAX: Lim-Liab KEYSTONE BLUFFS ASSISTED LIVG MS. DIANE SMITH 218/722-0318 HCP-F HWSAL 2528 TRINITY ROAD DULUTH, MN 55811 PHONE: 218/727-2800 (21036) FAX: MS. AMY ALTMAN 218/727-2850 HWS-O HRA KING MANOR 222 EAST SECOND STREET DULUTH, MN 55805 PHONE: 218/529-6300 (21169) FAX: MR. RICHARD BALL 218/529-6344 Home Mgmt Corp LAKE SUPERIOR CONCIERGE INC 5652 N CLOQUET ROAD DULUTH, MN 55810 PHONE: 218/310-6779 (25246) FAX: NProf LAKESHORE AT HOME MS. KIMBERLY SORENSEN 218/624-8727 HCP-A HHA 3900 LONDON ROAD DULUTH, MN 55804 PHONE: 218/625-7849 (02059) FAX: NProf LAKESHORE HOME CARE MS. CAROL HENNESSY 218/625-8274 HCP-F HWSAL 4000 LONDON ROAD DULUTH, MN 55804 PHONE: 218/625-7824 (24064) FAX: NProf LAKESHORE INC MS. RITA WALKER 218/625-7808 NH-60 SNF-NF-60 4002 LONDON ROAD DULUTH, MN 55804 PHONE: 218/525-1951 (00594) FAX: MR. JOHN KORZENDORFER 218/625-7808 HWS NProf LAKESHORE THE CREST 4004 LONDON ROAD DULUTH, MN 55804 PHONE: 218/625-7805 (25830) FAX: Corp LAKESIDE MANOR MS. ROXANNE STERNBERG 218/625-7808 HCP-F HWSAL 4831 LONDON ROAD DULUTH, MN 55804 PHONE: 218/525-2784 (20087) FAX: 218/525-3411 MR. THOMAS KOLAR Minnesota Department of Health Division of Compliance Monitoring Page 363 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp LAKEWALK SURGERY CENTER INC Certification SAINT LOUIS Registration (Cont.)* -------------------------- Outpt Surg Amb Surg 1420 LONDON ROAD SUITE 100 (20618) DULUTH, MN 55805 PHONE: 218/728-8505 FAX: Corp MCCARTHY MANOR INC MR. JOE MAJERUS 218/728-8557 HCP-F HWSAL 2221 NORTH ARLINGTON AVENUE DULUTH, MN 55811 PHONE: 218/722-1501 (20034) FAX: State MSOCS DULUTH ICFMR GR HM MR. JOHN HANSEN 218/722-5882 SLFB-6 ICFMR-6 1423 SWAN LAKE ROAD DULUTH, MN 55811 PHONE: 218/722-9449 (01650) FAX: Lim-Liab NORTHLAND ASSISTED LIVING MS. JESSICA OSLIN 218/279-2674 HCP-F 202 W SUPERIOR STREET STE 610 DULUTH, MN 55802 PHONE: 218/723-4040 (24908) FAX: Corp NURSES THAT CARE INC MS. KARIE SIMPSON 218/723-4048 HCP-A HHA 1932 LONDON ROAD DULUTH, MN 55812 PHONE: 218/724-2800 (03338) FAX: Corp PATHWAYS TO ACHIEVEMENT MS. DEBRA ADAMS-KOLTES 218/724-8200 HCP-F 114 SOUTH 20TH AVE W STE A DULUTH, MN 55806 PHONE: 218/721-4732 (26846) FAX: Corp PATHWAYS TO ACHIEVEMENT MS. BRENDA EHNES 218/491-7185 HCP-A HHA 114 SOUTH 20TH AVE W STE A DULUTH, MN 55806 PHONE: 218/721-4732 (23205) FAX: Lim-Liab PAVILION SURGERY CENTER LLC MS. BRENDA EHNES 218/491-7185 Outpt Surg Amb Surg 920 EAST FIRST ST SUITE 101 DULUTH, MN 55805 PHONE: 218/279-6200 (21063) FAX: 218/279-6205 MR. JAMES MUSTONEN HWSAL-O NProf PINE GROVE APARTMENTS 4082 HAINES ROAD DULUTH, MN 55811 PHONE: 651/645-7271 (24466) FAX: 651/645-0541 MR. STEPHEN VANDER SCHAAF HWSAL NProf PINES III ASSISTED LIVING 50 EAST ST MARIE STREET DULUTH, MN 55803 PHONE: 218/724-5500 (20866) FAX: 218/724-5535 MS. KIM BERNACKI Minnesota Department of Health Division of Compliance Monitoring Page 364 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification SAINT LOUIS (Cont.)* -------------------------Out Pt Out St Out Ot NProf POLINSKY MEDICAL REHAB CTR Registration 402 EAST 2ND STREET (26267) DULUTH, MN 55805 PHONE: 218/786-5410 FAX: MR. BILL SINGPIEL /- Lim-Liab PRIMROSE OF DULUTH HCP-F HWSAL 724 MAPLE GROVE ROAD DULUTH, MN 55811 PHONE: 218/724-4900 (21916) FAX: NProf RES TREATMENT & DETOX CTR MR. MARK MCNEARY 218/722-3760 SLFB-40 1402 EAST SUPERIOR STREET DULUTH, MN 55805 PHONE: 218/529-3426 (21125) FAX: Corp RIVER HILL ASSISTED LIVING INC MS. TINA SILVERNESS 218/529-3447 HCP-F HWSAL 126 98TH AVENUE WEST DULUTH, MN 55808 PHONE: 218/626-3322 (25393) FAX: NProf RSI HARTLEY MS. PATRICE STENHAMMER 218/626-1089 SLFB-6 ICFMR-6 707 WEST ARROWHEAD ROAD DULUTH, MN 55811 PHONE: 218/740-7606 (01448) FAX: Corp SENIOR FRIEND MR. JON NELSON 218/727-2893 HCP-F 301 W FIRST ST SUITE 309 DULUTH, MN 55802 PHONE: 218/727-1111 (21940) FAX: Corp SENIOR FRIEND ASSOCIATES INC MS. SANDI KIENZLE 218/720-6819 HCP-A HHA 301 WEST FIRST ST DULUTH, MN 55802 PHONE: 218/727-1111 (02390) FAX: Ind SEPTEMBER HOUSE MS. SANDI KIENZLE 218/720-6819 HCP-F HWS 2140 WOODLAND AVENUE DULUTH, MN 55803 PHONE: 218/728-9065 (03775) FAX: NProf SOLVAY HOUSE MS. SUZANNE VEDDER 218/728-4815 RES-HSPICE-12 18-HOSPICE-12 801 BAYLIS STREET DULUTH, MN 55811 PHONE: 218/529-3400 (25300) FAX: Lim-Liab SPIRIT VALLEY ASSISTED LIVING MS. SANDRA PAVELKA 218/529-3419 HCP-F HWSAL 102 NORTH 58TH AVENUE WEST DULUTH, MN 55807 PHONE: 218/628-2705 (24120) FAX: 218/628-7225 MR. CHARLES BELL Minnesota Department of Health Division of Compliance Monitoring Page 365 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification SAINT LOUIS (Cont.)* -------------------------HWSAL Lim-Liab SPIRIT VALLEY ASSISTED LIVING Registration 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 DULUTH, MN 55805 PHONE: 218/727-8831 (20183) FAX: Church ST ELIGIUS HEALTH CENTER MS. TRACI JASZCZAK 218/727-8833 NH-77 SNF-NF-77 7700 GRAND AVENUE DULUTH, MN 55807 PHONE: 218/628-2341 (00593) FAX: MS. MELODY KRATTENMAKER 218/628-0395 Home Mgmt Cnty ST LOUIS CO PUBLIC HEALTH & HS 320 WEST SECOND STREET DULUTH, MN 55802 PHONE: 218/726-2000 (02019) FAX: NProf ST LUKES HOME HEALTH SERVICES MR. RICHARD PINGRY 218/725-5186 HCP-A HHA 220 NORTH SIXTH AVENUE EAST DULUTH, MN 55805 PHONE: 218/249-6111 (02150) FAX: NProf ST LUKES HOSPICE DULUTH MS. LYNN NELSON 218/249-6166 Hospice HSPICE 220 NORTH SIXTH AVENUE EAST DULUTH, MN 55805 PHONE: 218/249-6111 (02753) FAX: NProf ST MARYS HOSPICE & PALLIATIVE MS. LYNN NELSON 218/249-2166 Hospice HSPICE 330 EAST 2ND STREET DULUTH, MN 55805 PHONE: 218/786-4020 (02562) FAX: NProf ST. LUKES HOSPITAL MS. SANDRA PAVELKA 218/786-4223 BASS-18 HOSP-267 HOSP-248 PPS-R-19 PPS-R- 915 EAST FIRST STREET DULUTH, MN 55805 PHONE: 218/249-5555 (00599) FAX: MR. JOHN STRANGE 218/249-2472 HWSAL-O NProf SUPERIOR VIEW APARTMENTS 1022 JUNCTION AVENUE DULUTH, MN 55812 PHONE: 651/645-7271 (24465) FAX: NProf THUNDERBIRD/WREN HOUSE MR. STEPHEN VANDER SCHAAF 651/645-0541 SLFA-21 229 NORTH FOURTH AVENUE WEST DULUTH, MN 55806 PHONE: 218/879-6731 (01358) FAX: 218/879-6734 MR. JIM MALLERY Minnesota Department of Health Division of Compliance Monitoring Page 366 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification SAINT LOUIS (Cont.)* -------------------------Home Mgmt Ind TOUCHING HEARTS AT HOME Registration 314 W SUPERIOR ST STE M275 (25226) DULUTH, MN 55802 PHONE: 218/724-4743 FAX: MS. SASCHA MANSSON 218/722-0227 Ind TRANSITIONAL SENIOR HOUSING HCP-F HWS 1609 PIEDMONT AVENUE DULUTH, MN 55811 PHONE: 218/727-5080 (20834) FAX: MR. BRUCE ROSERA 218/727-4330 HWS-O HRA TRI TOWERS 222 NORTH 2ND AVE EAST DULUTH, MN 55805 PHONE: 218/529-6355 (21864) FAX: MR. RICHARD BALL 218/529-6379 NProf VIEWCREST HEALTH CENTER NH-92 SNF-NF-92 3111 CHURCH STREET DULUTH, MN 55811 PHONE: 218/279-4203 (00602) FAX: MR. ROBERT DAHL 218/727-6460 Ind WENDY S. MARSHALL HCP-A 4837 DANIELS ROAD DULUTH, MN 55811 PHONE: 218/729-7393 (28237) FAX: MS. WENDY MARSHALL /- Corp WESLEY RESIDENCE OF DULUTH HCP-F HWSAL 5601 GRAND AVENUE DULUTH, MN 55807 PHONE: 218/628-2307 (20151) FAX: NProf WESTWOOD OF DULUTH MS. MARIA RUNYAN 218/628-6301 HCP-F HWS 925 KENWOOD AVENUE DULUTH, MN 55811 PHONE: 218/733-2238 (20935) FAX: NProf BOUNDARY WATERS CARE CENTER MR. DANA TCHIDA 218/279-7360 NH-58 SNF-NF-58 200 WEST CONAN STREET ELY, MN 55731 PHONE: 218/365-8400 (00587) FAX: NProf ELY BLOOMENSON COMM HOSPITAL MR. TIM MEYER 218/365-8777 BASS-3 HOSP-25 CAH-25 328 WEST CONAN STREET ELY, MN 55731 PHONE: 218/365-3271 (28259) FAX: NProf ELY BLOOMENSON HOSPITAL HHA MR. JOHN FOSSUM 218/365-8777 HCP-A HHA 328 WEST CONAN STREET ELY, MN 55731 PHONE: 218/365-8722 (02258) FAX: 218/365-8777 MR. JOHN FOSSUM Minnesota Department of Health Division of Compliance Monitoring Page 367 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification SAINT LOUIS (Cont.)* -------------------------HWSAL Lim-Liab ELY CAREFREE LIVING Registration 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 ELY, MN 55731 PHONE: 218/365-2261 (25889) FAX: MS. MARILYN HANSON 218/365-2214 HWSAL Lim-Liab ELY CAREFREE LIVING 200 SOUTH 2ND AVENUE WEST ELY, MN 55731 PHONE: 218/365-2261 (25890) FAX: MS. MARILYN HANSON 218/365-2214 HWSAL Corp SPECTRUM COMMUNITY HEALTH INC 1505 NORTH PIONEER RD ELY, MN 55731 PHONE: 218/741-3013 (23478) FAX: NProf EVELETH HEALTH SERVICES PARK MS. MARILYN HANSON 218/741-1448 NH-24 SNF-NF-24 227 MCKINLEY AVENUE EVELETH, MN 55734 PHONE: 218/744-1950 (00588) FAX: MS. PATTI BANKS 218/744-3868 ESRD Corp FMC DIALYSIS SERVICES EVELETH 233 MC KINLEY AVENUE EVELETH, MN 55734 PHONE: 218/744-3226 (02473) FAX: Corp SALMI HOMES INC MS. PAM ELDSTAD 218/744-3072 HCP-F 303 HAT TRICK AVENUE EVELETH, MN 55734 PHONE: 218/744-5907 (03739) FAX: NProf ST RAPHAELS HEALTH & REHAB MR. CLYDE SALMI 218/744-1024 HCP-F HWSAL 601 GRANT AVENUE EVELETH, MN 55734 PHONE: 218/744-9800 (20198) FAX: NProf ST RAPHAELS HEALTH & REHAB CTR MS. DAWN CHIABOTTI 218/744-9829 NH-76 SNF-NF-76 601 GRANT AVENUE EVELETH, MN 55734 PHONE: 218/744-9800 (00583) FAX: 218/744-9829 MS. DAWN CHIABOTTI HWSAL Corp WILLOWWOOD MEMORY CARE 303 HAT TRICK AVENUE EVELETH, MN 55734 PHONE: 218/744-5907 (20846) FAX: 218/744-1024 MR. CLYDE SALMI Minnesota Department of Health Division of Compliance Monitoring Page 368 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification SAINT LOUIS (Cont.)* -------------------------HWS Part RIVERVIEW MANOR Registration 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 GILBERT, MN 55741 PHONE: 218/741-0398 (23607) FAX: Lim-Liab DIRECTIONS FOR LIFE MS. RACHELLE HUFFMAN 218/741-8521 HCP-A 4897 MILLER TRUNK HWY STE 226 HERMANTOWN, MN 55811 PHONE: 218/722-1184 (28121) FAX: MS. CHRISTINE MEILACH 218/727-3677 HWSAL Lim-Liab EDGEWOOD VISTA ALZHEIMERS CARE 4175 WESTBERG ROAD HERMANTOWN, MN 55811 PHONE: 218/723-8905 (20853) FAX: Lim-Liab EDGEWOOD VISTA HERMANTOWN MR. PHILIP GISI 218/723-4051 HCP-F HWSAL 4195 WESTBERG ROAD HERMANTOWN, MN 55811 PHONE: 218/723-8905 (20852) FAX: MR. GARY BECKER 218/723-4051 HWSAL Lim-Liab EDGEWOOD VISTA SUITES 4125 WESTBERG ROAD HERMANTOWN, MN 55811 PHONE: 218/723-8905 (23990) FAX: Corp GOLDEN OAKS MR. PHILIP GISI 218/723-4051 HCP-F HWSAL 4067 REINKE ROAD HERMANTOWN, MN 55811 PHONE: 218/729-5014 (20156) FAX: 218/729-0319 MR. CHARLES MILLER HWSAL Corp INNOVATIVE ASSISTED LIVING 4268 LAVAQUE RD HERMANTOWN, MN 55811 PHONE: 218/491-7838 (24184) FAX: 218/491-7840 MR. ROB GANNUCCI HWSAL Corp INNOVATIVE ASSISTED LIVING 4266 LAVAQUE RD HERMANTOWN, MN 55811 PHONE: 218/491-7838 (23770) FAX: 218/491-7840 MR. TROY MEAD HWSAL Corp SUPERIOR VIEW ASSISTED LIVING 4264 LAVAQUE ROAD HERMANTOWN, MN 55811 PHONE: 218/491-7838 (26914) FAX: 218/491-7840 MR. TROY MEAD Minnesota Department of Health Division of Compliance Monitoring Page 369 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Ind ASPEN GROVE ALT SENIOR LIVING Certification SAINT LOUIS Registration (Cont.)* -------------------------- 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 HIBBING, MN 55746 PHONE: 218/263-7330 (27487) FAX: MS. BRENDA GARGANO /- Lim-Liab CHERISH HCP-A 302 EAST HOWARD STREET #230 HIBBING, MN 55746 PHONE: 218/263-8239 (28809) FAX: MS. TRACY SODERSTROM 218/262-5748 Home Mgmt Corp CHERISHED HOME MANAGEMENT 302 EAST HOWARD ST SUITE 230 HIBBING, MN 55746 PHONE: 218/263-9000 (27166) FAX: MS. KIMBERLY TYLER 218/600-1099 Home Mgmt NProf CTR FOR INDEPENDENT LVG NE MN 1309 EAST 40TH STREET HIBBING, MN 55746 PHONE: 218/262-6675 (29272) FAX: MS. KIM NYLANDER 218/262-6677 ESRD Corp FRESENIUS MED CARE OF HIBBING 750 EAST 34TH ST HIBBING, MN 55746 PHONE: 218/362-6623 (02115) FAX: MS. ANGIE HULBURT /- NProf GREENVIEW NORTH HCP-F HWSAL 3520 EAST 7TH AVENUE HIBBING, MN 55746 PHONE: 218/262-5139 (20403) FAX: MS. JANET KIESEL 218/262-4050 HWSAL NProf GREENVIEW SOUTH 3522 EAST SEVENTH AVENUE HIBBING, MN 55746 PHONE: 218/262-5139 (20092) FAX: NProf GUARDIAN ANGELS HEALTH & REHAB MS. JANET KIESEL 218/263-4050 NH-96 SNF-NF-96 1500 EAST THIRD AVENUE HIBBING, MN 55746 PHONE: 218/263-7583 (00858) FAX: Lim-Liab HEALTHLINE HOMECARE MR. GEOFFREY RYAN 218/231-8111 HCP-A HHA 1101 E 37TH STREET STE 27 HIBBING, MN 55746 PHONE: 218/262-6982 (02309) FAX: 218/262-1723 MS. VICTORIA KORYNTA Minnesota Department of Health Division of Compliance Monitoring Page 370 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 HIBBING, MN 55746 PHONE: 218/263-4157 (22146) FAX: MR. RANDY SCHROETTER 218/263-9032 HWSAL Corp HILLCREST ALICE - SOUTH 2314 2ND AVENUE EAST HIBBING, MN 55746 PHONE: 218/263-9220 (23553) FAX: MR. RANDY SCHROETTER 218/263-9580 HWSAL Corp HILLCREST OAKS 2413 1ST AVENUE EAST HIBBING, MN 55746 PHONE: 218/263-4157 (28478) FAX: MR. RANDY SCHROETTER 218/263-4468 HWSAL Corp HILLCREST PARKSIDE NORTH 2310 2ND AVENUE EAST HIBBING, MN 55746 PHONE: 218/263-9220 (25376) FAX: MR. RANDY SCHROETTER 218/263-5750 HWSAL Corp HILLCREST PARKSIDE SOUTH 2310 2ND AVENUE EAST HIBBING, MN 55746 PHONE: 218/263-8402 (25375) FAX: MR. RANDY SCHROETTER 218/263-5750 HWSAL Corp HILLCREST SUITES 1520 EAST HWY 37 HIBBING, MN 55746 PHONE: 218/263-3643 (24447) FAX: MR. RANDY SCHROETTER 218/263-5516 HWSAL Corp HILLCREST TERRACE OF HIBBING 1507 EAST 41ST STREET HIBBING, MN 55746 PHONE: 218/263-3641 (20200) FAX: ONProf NORTH STAR HOSPICE MR. RANDY SCHROETTER 218/263-7556 Hospice HSPICE 1101 EAST 37TH ST SUITE 27 HIBBING, MN 55746 PHONE: 218/262-6982 (03270) FAX: 218/262-1723 MS. PENNY CALGER HWS-O NProf PERPICH APARTMENTS 3203 - 3RD AVE W HIBBING, MN 55746 PHONE: 218/741-4714 (24880) FAX: 218/741-3080 MS. LAURA TOVAR Minnesota Department of Health Division of Compliance Monitoring Page 371 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf RANGE CENTER ASPENWOOD HOME Certification SAINT LOUIS Registration (Cont.)* -------------------------- 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 HIBBING, MN 55746 PHONE: 218/263-4573 (01315) FAX: Corp RECOVER HEALTH MS. SHELLEY ROBINSON 218/254-7343 HCP-A HHA 101 EAST HOWARD STREET HIBBING, MN 55746 PHONE: 218/262-5887 (02376) FAX: MR. GREG VON ARX 218/262-6228 HWS HRA SEVENTH AVENUE APARTMENTS 3230 EAST 7TH AVENUE APT 1-N HIBBING, MN 55746 PHONE: 218/263-3661 (20585) FAX: NProf UNIVERSITY MEDICAL CTR MESABI MS. ANITA PROVINZINO 218/262-4164 BASS-16 HOSP-175 HOSP-175 750 EAST 34TH STREET HIBBING, MN 55746 PHONE: 218/362-6730 (00859) FAX: MRS. DEBRA BOARDMAN 218/362-6619 HWSAL Lim-Liab NORTHLAND VILLAGE 421 KENNEDY MEMORIAL DRIVE HOYT LAKES, MN 55750 PHONE: 218/225-0176 (27970) FAX: Corp THE HUMMINGBIRD MS. KARIE SIMPSON 218/225-0179 HCP-F HWS 7704 COLE AVENUE MEADOWLANDS, MN 55765 PHONE: 218/427-2294 (26569) FAX: 218/427-1015 MR. MICHAEL LINDGREN HWSAL Lim-Liab DIAMOND WILLOW ASSISTED LIVING 8583 UNITY DRIVE MOUNTAIN IRON, MN 55768 PHONE: 218/741-1412 (24664) FAX: 218/741-1454 MS. BRENDA MARSHALL HWSAL Lim-Liab DIAMOND WILLOW ASSISTED LIVING 8585 UNITY DRIVE MOUNTAIN IRON, MN 55768 PHONE: 218/741-1450 (24665) FAX: 218/741-1453 MS. BRENDA MARSHALL HWSAL Lim-Liab DIAMOND WILLOW ASSISTED LIVING 913 OLD HWY 2 PROCTOR, MN 55810 PHONE: 218/624-9771 (23609) FAX: 218/624-9772 MS. BRENDA MARSHALL Minnesota Department of Health Division of Compliance Monitoring Page 372 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 PROCTOR, MN 55810 PHONE: 218/624-5034 (24122) FAX: MS. BRENDA MARSHALL 218/624-5375 HWSAL Lim-Liab DIAMOND WILLOW ASSISTED LIVING 923 OLD HWY 2 PROCTOR, MN 55810 PHONE: 218/624-0363 (24123) FAX: Lim-Liab DIAMOND WILLOW ASSISTED LIVING MS. BRENDA MARSHALL 218/624-0295 HCP-F HWSAL 915 OLD HIGHWAY 2 PROCTOR, MN 55810 PHONE: 218/591-7541 (23122) FAX: Corp GOLDEN OAKS ADV ASSIST LIVING MS. BRENDA MARSHALL 218/625-2338 HCP-F HWSAL 23 WATERVIEW DRIVE PROCTOR, MN 55810 PHONE: 218/740-0404 (25952) FAX: Corp GOLDEN HORIZONS MR. CHARLES MILLER 218/740-0337 HWSAL HCP-F 1232 BIRCH STREET NORTH TOWER, MN 55790 PHONE: 218/753-7788 (24173) FAX: 218/753-7792 MR. CHUCK LANE HWSAL Lim-Liab ALICE NETELL TOWER 550 THIRD AVENUE NORTH VIRGINIA, MN 55792 PHONE: 218/741-3650 (21519) FAX: 218/741-5978 MS. KRISTI HOEFER HWSAL Corp CHESTNUT GROVE EAST 1204 WEST CHESTNUT STREET VIRGINIA, MN 55792 PHONE: 218/749-6846 (21899) FAX: 218/749-6846 MR. RANDY SCHROETTER HWSAL Corp CHESTNUT GROVE NORTH 1204 WEST CHESTNUT STREET VIRGINIA, MN 55792 PHONE: 218/749-6846 (20288) FAX: 218/749-6846 MR. RANDY SCHROETTER HWSAL Corp CHESTNUT GROVE SOUTH 1204 WEST CHESTNUT STREET VIRGINIA, MN 55792 PHONE: 218/749-6847 (20287) FAX: 218/749-6846 MR. RANDY SCHROETTER Minnesota Department of Health Division of Compliance Monitoring Page 373 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 HWSAL HRA COLUMBIA APARTMENTS 600 3RD AVENUE NORTH VIRGINIA, MN 55792 PHONE: 218/735-6309 (21737) FAX: MS. DANA HILTUNEN 218/741-2610 NProf DONOVAN FRANK DETOX CENTER SLFA-20 SLFB-12 626 13TH STREET SOUTH VIRGINIA, MN 55792 PHONE: 218/741-4714 (20624) FAX: MS. JAYME COLLINS 218/741-3080 Lim-Liab EDGEWOOD VISTA VIRGINIA HCP-F HWSAL 705 NORTH 17TH STREET VIRGINIA, MN 55792 PHONE: 218/741-7106 (21353) FAX: MR. PHILIP GISI 218/741-5371 HWSAL Lim-Liab EDGEWOOD VISTA VIRGINIA - ALZ 605 NORTH 17TH STREET VIRGINIA, MN 55792 PHONE: 218/741-7106 (21354) FAX: MR. PHILIP GISI 218/741-7229 Lim-Liab ESSENTIA HEALTH VIRGINIA BASS-6 HOSP-83 NH-90 HOSP-67 PPS-R-16 SNF-NF-90 901 NINTH STREET NORTH VIRGINIA, MN 55792 PHONE: 218/741-3340 (00603) FAX: MR. DANIEL MILLBRIDGE 218/749-9427 Out Pt Out St Out Ot NProf IRON RANGE REHAB CENTER 901 NORTH 9TH STREET SUITE 100 VIRGINIA, MN 55792 PHONE: 218/749-9405 (02091) FAX: MR. HENRY TAMMINEN 218/749-9407 NProf MERRITT HOUSE SLFA-16 731 THIRD STREET SOUTH VIRGINIA, MN 55792 PHONE: 218/741-9630 (20793) FAX: MS. JAYME COLLINS 218/741-2640 State MSOCS VIRGINIA ICFMR GR HM SLFB-6 ICFMR-6 700 SOUTH SEVENTH AVENUE WEST VIRGINIA, MN 55792 PHONE: 218/741-8440 (01643) FAX: 218/742-3420 MS. BETTY PREBLE CMHC NProf RANGE MENTAL HEALTH CENTER 624 SOUTH 13TH ST PO BOX 1188 VIRGINIA, MN 55792 PHONE: 218/749-2881 (02777) FAX: /- MR. MILLER FRIESEN Minnesota Department of Health Division of Compliance Monitoring Page 374 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification SAINT LOUIS (Cont.)* -------------------------HWSAL Corp SPECTRUM COMMUNITY HEALTH INC Registration 712 NINTH STREET SOUTH (23260) VIRGINIA, MN 55792 PHONE: 218/741-3013 FAX: MS. MARILYN HANSON 218/741-1448 NProf ST MICHAELS HLTH & REHAB CTR NH-96 SNF-NF-96 1201 8TH STREET SOUTH VIRGINIA, MN 55792 PHONE: 218/748-7800 (00582) FAX: MS. CHERYL HIGH 218/748-7890 HWSAL HRA THE ROUCHLEAU 602 THIRD AVENUE NORTH VIRGINIA, MN 55792 PHONE: 218/749-5898 (21736) FAX: MR. JAMES PASKE 218/741-2610 ---------------------------********** SCOTT ******** -------------------------HWS Corp GOPHER TRANS & HOUSING CO 302 S ELM STREET BELLE PLAINE, MN 56011 PHONE: 507/334-1983 (28991) FAX: MR. SIMON ZELLER /- Lim-Liab KINGSWAY HOME CARE HCP-A HWSAL 815 WEST MAIN STREET BELLE PLAINE, MN 56011 PHONE: 952/873-5900 (26037) FAX: Lim-Liab KINGSWAY MINISTRIES LLC MR. KARL KEUP 952/873-5901 HCP-F 815 WEST MAIN STREET BELLE PLAINE, MN 56011 PHONE: 952/873-5900 (27757) FAX: NProf LUTHERAN HOME MR. KARL KEUP 952/873-5901 NH-97 SNF-NF-97 611 WEST MAIN STREET BELLE PLAINE, MN 56011 PHONE: 952/873-2215 (00605) FAX: Church THE LUTHERAN HOME HOPE RES MS. MARIANN WIEBUSCH 952/873-2120 ICFMR-52 SLFB-52 611 WEST MAIN STREET BELLE PLAINE, MN 56011 PHONE: 952/873-2143 (01682) FAX: 952/873-2147 MS. DEBRA WILBRIGHT Home Mgmt Lim-Liab GENTLE CARE IN-HOME SVCS LLC 1910 E 86TH ST #234 BLOOMINGTON, MN 55425 PHONE: 612/998-8725 (27148) FAX: 952/890-5013 MS. RONDA GRISIM Minnesota Department of Health Division of Compliance Monitoring Page 375 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp THE LODGE ON NATCHEZ Certification SCOTT Registration (Cont.)* -------------------------- HCP-F HWSAL 27890 NATCHEZ AVENUE (21486) ELKO, MN 55020 PHONE: 952/652-9120 FAX: MR. GERALD MCGOWAN 952/652-9121 Lim-Liab OAK TERRACE SENIOR HOUSING OF HCP-F 622 ABERDEEN AVENUE JORDAN, MN 55352 PHONE: 952/492-5559 (28511) FAX: MR. DREW HOOD /- HWSAL Lim-Liab OAK TERRACE SENIOR HOUSING OF 622 ABERDEEN AVENUE JORDAN, MN 55352 PHONE: 952/492-5559 (28513) FAX: MR. DREW HOOD 952/492-4621 Lim-Liab VALLEYVIEW OF JORDAN LLC HCP-F HWSAL 4061 WEST 173RD STREET JORDAN, MN 55352 PHONE: 952/492-6160 (20964) FAX: MRS. ALAINA GAST 952/492-6860 Lim-Liab HEART TO HANDS HOME CARE LLC HCP-A 24365 WEST CEDAR LAKE DRIVE NEW PRAGUE, MN 56071 PHONE: 952/212-4709 (28134) FAX: MS. JULIE THOMPSON 952/314-8484 Corp MALA STRANA ASSISTED LIVING HWSAL HCP-F 999 COLUMBUS AVE N NEW PRAGUE, MN 56071 PHONE: 952/758-2511 (21822) FAX: MS. MARY WHITMER 952/758-0171 Corp MALA STRANA HEALTH CARE CTR SNF-NF-90 NH-90 1001 COLUMBUS AVENUE NORTH NEW PRAGUE, MN 56071 PHONE: 952/758-2511 (00811) FAX: MS. HOLLY KRANZ 952/758-2514 NProf MCHS - NEW PRAGUE BASS-6 HOSP-49 301 SECOND STREET NORTHEAST NEW PRAGUE, MN 56071 PHONE: 952/758-8101 (00607) FAX: MS. MARY KLIMP 952/758-2166 Corp ALWAYS CARING HCP-A 3429 WILDS RIDGE NW PRIOR LAKE, MN 55372 PHONE: 612/812-2349 (29191) FAX: MS. CHARIE DEVOLITES /- Lim-Liab ASSISTING HANDS OF MINNEAPOLIS HCP-B 4085 PLEASANT STREET SOUTHEAST PRIOR LAKE, MN 55372 PHONE: 651/503-0025 (28994) FAX: /- MR. KALEB VOLD CAH-25 Minnesota Department of Health Division of Compliance Monitoring Page 376 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp ASSURED CARE Certification SCOTT Registration (Cont.)* -------------------------- HCP-F 14211 FISHER AVENUE NORTHEAST (27091) PRIOR LAKE, MN 55372 PHONE: 952/829-1251 FAX: MS. JOAN COLEMAN 952/314-1527 HWSAL Corp ASSURED CARE 14211 FISHER AVENUE NORTHEAST PRIOR LAKE, MN 55372 PHONE: 952/829-1251 (28731) FAX: MS. JOAN COLEMAN 952/314-1527 Corp ASSURED CARE HCP-A 14211 FISHER AVENUE NORTHEAST PRIOR LAKE, MN 55375 PHONE: 952/829-1251 (29064) FAX: MS. JOAN COLEMAN 952/314-1527 Corp COMMUNITY ASSISTED LIVING INC HCP-F 16670 FRANKLIN TRAIL SE #120A PRIOR LAKE, MN 55372 PHONE: 952/440-3955 (20823) FAX: MS. BARBARA CEBALLOS 952/440-3956 Corp COMMUNITY HOME HEALTH INC HCP-A HHA 16670 FRANKLIN TRAIL SE #120A PRIOR LAKE, MN 55372 PHONE: 952/440-3955 (03422) FAX: MS. BARBARA CEBALLOS 952/440-3956 HWS Lim-Liab KEYSTONE COMMUNITIES OF PRIOR 4685 PARK NICOLLET AVENUE PRIOR LAKE, MN 55372 PHONE: 612/886-2035 (22094) FAX: MR. MICHAEL J. LEWIS 612/886-2592 HWSAL NProf MCKENNA CROSSING 13810 SHEPHERDS PATH NW PRIOR LAKE, MN 55379 PHONE: 952/230-3300 (25285) FAX: MRS. MELISSA KIRCHHOFF 952/230-3301 NProf MCKENNA CROSSING HCP-F 13810 SHEPHERDS PATH PRIOR LAKE, MN 55379 PHONE: 952/230-3300 (29091) FAX: MS. NATALIE MORLAND 952/230-3301 Ind WHITE CROSS HOME & RESIDENTIAL HCP-A 15870 FRANKLIN TRL SUITE 6 PRIOR LAKE, MN 55372 PHONE: 612/462-7984 (29176) FAX: MR. HANS MBANGOWAH /- HWS Lim-Liab ANN'S HOME 4370 WEST 131ST STREET SAVAGE, MN 55378 PHONE: 952/808-5100 (29066) FAX: /- MS. CHRISTY ALMEN Minnesota Department of Health Division of Compliance Monitoring Page 377 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab ANN'S HOME Certification SCOTT Registration (Cont.)* -------------------------- HCP-F 4370 WEST 131ST STREET (29065) SAVAGE, MN 55378 PHONE: 952/808-5100 FAX: MS. CHRISTY ALMEN /- Home Mgmt Corp CREEKRIDGE CONCIERGE 14079 RIDGE POINT COURT SAVAGE, MN 55378 PHONE: 651/260-6024 (27010) FAX: MS. HOLLY FELLOWS 952/403-6377 Home Mgmt Corp CUSTOM CLEANING SERVICES INC 4323 WEST 127TH STREET SAVAGE, MN 55378 PHONE: 952/451-1294 (28916) FAX: MS. NAOMI BOERBOOM /- Lim-Liab SARAHCARE ADULT DAY SVCS HCP-A 4833 W 123RD STREET SAVAGE, MN 55378 PHONE: 952/465-0555 (25260) FAX: MS. DEBORAH DELANEY 952/465-0556 ESRD Corp SCOTT COUNTY DIALYSIS 7456 SOUTH PARK DRIVE SAVAGE, MN 55378 PHONE: 612/347-5864 (24585) FAX: MS. KATHY WOLFE /- Ind THE SENIORS FRIEND LLC HCP-C 15205 SPRING BROOK TERRACE SAVAGE, MN 55378 PHONE: 952/388-9240 (27353) FAX: MS. BRENDA RODGERS /- Lim-Liab ALL FAMILY HOME CARE LLC HCP-A 9105 PRESERVE TRAIL SHAKOPEE, MN 55379 PHONE: 612/751-1743 (26744) FAX: MR. STEPHEN GOWDY /- HWSAL NProf AUGUSTANA EMERALD CREST OF SHA 1855 10TH AVENUE WEST SHAKOPEE, MN 55379 PHONE: 952/856-7522 (21389) FAX: 952/856-7527 MS. MARGARET OWENS HWSAL Corp COMMUNITY ASSISTED LIVING INC 1205 SIXTH AVENUE WEST SHAKOPEE, MN 55379 PHONE: 952/403-5163 (21887) FAX: 952/403-0261 MS. DONNA NOVAK HWSAL Corp COMMUNITY ASSISTED LIVING INC 915 FULLER STREET SHAKOPEE, MN 55379 PHONE: 952/445-8708 (22164) FAX: 952/403-0261 MS. DONNA NOVAK Minnesota Department of Health Division of Compliance Monitoring Page 378 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp DELPHI Certification SCOTT Registration (Cont.)* -------------------------- SLFA-9 ICFMR-9 1411 EAST SHAKOPEE AVENUE (01228) SHAKOPEE, MN 55379 PHONE: 952/445-1680 FAX: 952/403-6420 MS. BETSY NELSON-CALLAHAN ESRD Corp FMCNA SHAKOPEE DIALYSIS CENTER 1515 ST FRANCIS AVENUE #150 SHAKOPEE, MN 55374 PHONE: 952/403-1038 (03935) FAX: 952/403-1054 Lim-Liab HEALING TOUCH HOMECARE LLC MR. JOHN MARIETTI HCP-A 1647 LIBERTY STREET SHAKOPEE, MN 55379 PHONE: 952/688-7164 (29007) FAX: MS. ESTHER WAKO 763/205-1702 Home Mgmt ONProf MY BROTHERS KEEPER 136 S HOLMES STREET SHAKOPEE, MN 55379 PHONE: 952/496-0157 (27457) FAX: 952/496-0183 Corp SHAKOPEE FRIENDSHIP MANOR MS. GAY DELEEUW NH-80 SNF-NF-80 1340 THIRD AVENUE WEST SHAKOPEE, MN 55379 PHONE: 952/445-4155 (00820) FAX: 952/445-9367 Church ST FRANCIS REGIONAL MED CENTER MR. BRUCE SALMELA BASS-16 HOSP-93 HOSP-93 1455 ST FRANCIS AVENUE SHAKOPEE, MN 55379 PHONE: 952/403-3000 (00458) FAX: 952/403-3820 Church ST GERTRUDES HLTH & REHAB CTR MR. MIKE BAUMGARTNER NH-105 SNF-NF-105 1850 SARAZIN STREET SHAKOPEE, MN 55379 PHONE: 952/233-4400 (00459) FAX: 952/233-4476 NProf THE GARDENS AT ST GERTRUDES MR. LEE LARSON HWSAL HCP-F 1850 SARAZIN STREET SHAKOPEE, MN 55379 PHONE: 952/233-4400 (23871) FAX: 952/233-4476 Corp THE JAMES INC MR. LEE LARSON HCP-A 6965 EDINGTON CIRCLE SHAKOPEE, MN 55379 PHONE: 952/233-5376 (23727) FAX: 952/233-3754 ---------------------------********** MR. JAMES IMASUEN SHERBURNE ******** -------------------------- Minnesota Department of Health Division of Compliance Monitoring Page 379 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 KIDNEY PROGRAM 16830 198TH AVENUE NW BIG LAKE, MN 55309 PHONE: 763/263-7300 (03880) FAX: MS. LAURIE BRAUN 763/263-7334 HWSAL Lim-Liab CHERRYWOOD ADVANCED LIVING LLC 171 HENRY ROAD BIG LAKE, MN 55309 PHONE: 320/257-7445 (28114) FAX: MS. WENDY HULSEBUS 320/257-7447 HWSAL Lim-Liab CHERRYWOOD OF BIG LAKE 177 HENRY ROAD BIG LAKE, MN 55309 PHONE: 320/257-7445 (28113) FAX: NProf DCI POWELL CIRCLE MS. WENDY HULSEBUS 320/257-7447 SLFB-6 ICFMR-6 150 POWELL CIRCLE WEST BIG LAKE, MN 55309 PHONE: 763/263-6503 (01411) FAX: Corp SENIOR HELPERS MS. JULIE MANWORREN 763/263-7052 HCP-A 171 LAKE STREET NORTH BIG LAKE, MN 55371 PHONE: 763/262-9966 (24954) FAX: Ind 1ST CHOICE PEDIATRIC HOME CARE MR. DENNIS EICHINGER 763/262-9967 HCP-A 11250 192ND AVENUE NORTHWEST ELK RIVER, MN 55330 PHONE: 612/770-4177 (03859) FAX: Lim-Liab ACCURATE HOME CARE LLC MS. TERRI LYNAS 612/454-2664 HCP-A 19021 FREEPORT ST SUITE 400 ELK RIVER, MN 55330 PHONE: 763/633-3800 (21487) FAX: MS. AMY NELSON 763/633-3808 Home Mgmt Corp AVALON HOME CARE INC 20132 ULYSSES STREET NW ELK RIVER, MN 55330 PHONE: 763/753-8658 (28053) FAX: NProf GUARDIAN ANGELS BY THE LAKE MS. REBEKAH JUDISCH 763/753-4314 HWSAL HCP-F 13439 185TH LANE NW ELK RIVER, MN 55330 PHONE: 763/241-7682 (21673) FAX: 763/274-1349 MS. ANNETTE GREELY Minnesota Department of Health Division of Compliance Monitoring Page 380 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Church GUARDIAN ANGELS CARE CENTER Certification SHERBURNE Registration (Cont.)* -------------------------- NH-120 SNF-NF-120 400 EVANS AVENUE (00611) ELK RIVER, MN 55330 PHONE: 763/241-4405 FAX: NProf GUARDIAN ANGELS ELIM HOME CARE MR. DANIEL FAIR 763/241-4444 HCP-A HHA 403 MAIN STREET ELK RIVER, MN 55330 PHONE: 763/241-0654 (02670) FAX: NProf GUARDIAN ANGELS ELIM HOSPICE MR. GARY HJELMSTAD 763/241-0274 Hospice HSPICE 403 MAIN STREET ELK RIVER, MN 55330 PHONE: 763/241-0654 (23764) FAX: Lim-Liab HAPPY HEARTS HOME HEALTH AGENC MS. LINDA OLSON 763/241-0274 HCP-A 19309 UPLAND STREET NORTHWEST ELK RIVER, MN 55330 PHONE: 763/706-7300 (26510) FAX: NProf LAVINE PLACE MS. CYNTHIA ANDERSON 763/241-0196 SLFB-6 ICFMR-6 11754 191 1/2 AVENUE NORTHWEST ELK RIVER, MN 55330 PHONE: 763/441-0960 (01631) FAX: NProf MACGREGOR PLACE MS. WENDY FOSS 763/441-3205 SLFB-6 ICFMR-6 497 GATES AVENUE ELK RIVER, MN 55330 PHONE: 763/441-6514 (01632) FAX: 763/441-3109 MR. GEORGE KLAUSER HWS Church BENEDICT VILLAGE 2000 15TH AVE SE ST CLOUD, MN 56304 PHONE: 320/252-0010 (22055) FAX: 320/203-2784 MS. CHERYL ANDERSON HWSAL Church BENEDICT COURT 1980 15TH AVENUE SOUTHEAST ST CLOUD, MN 56304 PHONE: 320/252-0010 (20145) FAX: 320/229-8309 MS. PAM RICHARDT HWSAL Church BENEDICT HOMES 1340 MINNESOTA BLVD SOUTHEAST ST CLOUD, MN 56304 PHONE: 320/252-0010 (20286) FAX: 320/229-8309 MS. PAM RICHARDT HWS Church BENET PLACE 1420 MINNESOTA BLVD SE ST CLOUD, MN 56304 PHONE: 320/252-2557 (22065) FAX: 320/259-6605 MS. LORI NORHEIM Minnesota Department of Health Division of Compliance Monitoring Page 381 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification SHERBURNE (Cont.)* -------------------------HWS Church BENET PLACE SOUTH Registration 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 ST CLOUD, MN 56304 PHONE: 320/251-9120 (21937) FAX: 320/251-4336 Church ST BENEDICTS SENIOR COMMUNITY MR. DARWIN SCHWANTES HCP-F 1810 MINNESOTA BOULEVARD SE ST CLOUD, MN 56304 PHONE: 320/252-0010 (20711) FAX: Church ST BENEDICTS SENIOR COMMUNITY MS. ROBIN THEIS 320/654-2351 NH-197 SNF-2 SNF-NF-195 1810 MINNESOTA BOULEVARD SE ST CLOUD, MN 56304 PHONE: 320/252-0010 (00774) FAX: 320/654-2351 Church ST SCHOLASTICA CONVENT MS. CHRISTINE BAKKE HWSAL HCP-F 1845 20TH AVE SE ST CLOUD, MN 56304 PHONE: 320/251-2225 (23095) FAX: 320/251-1455 Corp TALAHI CARE CENTER SR. KARA HENNES NH-77 SNF-NF-77 1717 UNIVERSITY DRIVE SE ST CLOUD, MN 56304 PHONE: 320/251-9120 (00614) FAX: 320/251-4336 Lim-Liab TALAHI HOME HEALTH MR. DARWIN SCHWANTES HCP-F 1717 UNIVERSITY DRIVE SE ST CLOUD, MN 56304 PHONE: 320/251-9120 (20550) FAX: 320/251-4336 Corp SELECT HOME CARE SERVICES INC MR. DARWIN SCHWATES HCP-A 13357 5TH AVENUE SOUTH ZIMMERMAN, MN 55398 PHONE: 763/856-4237 (28925) FAX: 763/856-5734 MS. ANNA GREEN ---------------------------********** Corp GOLDEN HEARTS INC SIBLEY HWSAL HCP-F 602 MARION DRIVE ARLINGTON, MN 55307 PHONE: 507/964-2111 (20902) FAX: 507/964-5165 ******** -------------------------- MS. LAURA KICKER Minnesota Department of Health Division of Compliance Monitoring Page 382 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf GOOD SAM SOCIETY ARLINGTON Certification SIBLEY Registration (Cont.)* -------------------------- NH-45 SNF-NF-45 411 SEVENTH AVENUE NW (00617) ARLINGTON, MN 55307 PHONE: 507/964-2251 FAX: MS. LORI BUSSLER-INTERIM 507/964-2255 NProf GOOD SAMARITAN SOCIETY FAIRVI HCP-F HWSAL 409 7TH AVENUE NW ARLINGTON, MN 55307 PHONE: 507/964-5156 (25120) FAX: MR. GERALD BERGLIN 507/964-5110 NProf HIGH ISLAND CREEK RES SLFA-15 ICFMR-15 708 CHESTNUT DRIVE ARLINGTON, MN 55307 PHONE: 507/964-5984 (01313) FAX: MS. SUSAN BIENFANG /- City SIBLEY MEDICAL CENTER HOSP-20 CAH-20 601 WEST CHANDLER ARLINGTON, MN 55307 PHONE: 507/964-2271 (00618) FAX: MR. TODD SANDBERG 507/964-8490 RHC NProf SIBLEY MEDICAL CLINIC 607 WEST CHANDLER ARLINGTON, MN 55307 PHONE: 507/964-2285 (22177) FAX: DR. JOHN VENER /- City SIBLEY MEDICAL CNTR HOME CARE HCP-A HHA 601 WEST CHANDLER ARLINGTON, MN 55307 PHONE: 507/964-2271 (03336) FAX: MR. TODD SANDBERG 507/964-5256 HWSAL Lim-Liab HAPPY HEARTS HHA LLC 19309 UPLAND STREET NORTHWEST ELK RIVER, MN 55330 PHONE: 763/706-7300 (28833) FAX: Lim-Liab OAK TERRACE HEALTH CARE CENTER MS. CYNTHIA ANDERSON 763/355-9159 NH-48 SNF-NF-48 640 THIRD STREET GAYLORD, MN 55334 PHONE: 507/237-2911 (00619) FAX: Lim-Liab OAK TERRACE HEALTH CENTER OF G MS. DEBORAH BARNES 507/237-5744 HCP-A 640 - 3RD STREET GAYLORD, MN 55334 PHONE: 507/237-2911 (27233) FAX: Lim-Liab OAK TERRACE SENIOR HOUSING OF MS. VICKIE HOLTZ 507/237-5744 HCP-F 638 - 3RD STREET GAYLORD, MN 55334 PHONE: 507/237-2911 (20214) FAX: 507/237-5744 MR. DENNIS HOOD Minnesota Department of Health Division of Compliance Monitoring Page 383 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification SIBLEY (Cont.)* -------------------------HWSAL Lim-Liab OAK TERRACE SENIOR HOUSING OF Registration 638 THIRD STREET (22115) GAYLORD, MN 55334 PHONE: 507/237-2911 FAX: 507/237-5744 Cnty SIBLEY COUNTY PH & HUMAN SERVS MS. CINDY GERHOLZ HCP-A HHA 111 EIGHTH STREET PO BOX 237 GAYLORD, MN 55334 PHONE: 507/237-4000 (02095) FAX: 507/237-4031 MS. VICKI STOCK RHC NProf SIBLEY MEDICAL CLINIC 315 4TH STREET GAYLORD, MN 55334 PHONE: 507/237-5523 (22178) FAX: DR. JOHN VENER /- Lim-Liab SOUTHVIEW LIVING CENTER LLC HCP-F HWSAL 555 EAST 12TH STREET GIBBON, MN 55335 PHONE: 507/834-6510 (22547) FAX: 507/834-6511 MS. MAVIS PAUTZ RHC Cnty SIBLEY MED CTR HENDERSON 505 MAIN STREET HENDERSON, MN 56044 PHONE: 507/248-3433 (23978) FAX: /- MR. JASON DOUGLAS NProf GOOD SAM SOCIETY WINTHROP NH-37 SNF-NF-37 506 HIGH STREET WINTHROP, MN 55396 PHONE: 507/647-5391 (00961) FAX: 507/647-2035 MS. LORI BUSSLER RHC NProf SIBLEY MEDICAL CLINIC 223 NORTH CARVER WINTHROP, MN 55396 PHONE: 507/647-5318 (22179) FAX: /- DR. JOHN VENER ---------------------------********** NProf ALBANY AREA HOME HEALTH STEARNS ******** -------------------------- HCP-A 161 4TH STREET SUITE B ALBANY, MN 563078356 PHONE: 320/845-2440 (28603) FAX: 320/845-2449 MS. SUE HEITKAMP RHC NProf ALBANY AREA HOSP ALBANY CLINIC 320 THIRD AVENUE NORTH ALBANY, MN 56307 PHONE: 320/845-2157 (03527) FAX: /- MS. SANDRA DAY Minnesota Department of Health Division of Compliance Monitoring Page 384 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf ALBANY AREA HOSPICE Certification STEARNS Registration (Cont.)* -------------------------- Hospice 161 4TH STREET SUITE B (28602) ALBANY, MN 563078356 PHONE: 320/845-2440 FAX: MS. MARGARET NELSON 320/845-2449 Church ALBANY AREA HOSPITAL & MED CTR BASS-2 HOSP-17 CAH-17 300 THIRD AVENUE ALBANY, MN 56307 PHONE: 320/845-2121 (00622) FAX: MS. SANDRA DAY 320/845-6127 HWS NProf MERCY MANOR II 332 GOLF VIEW DRIVE ALBANY, MN 56307 PHONE: 320/845-2969 (24638) FAX: MR. JOHN HOEFS 320/845-7006 HWS NProf MERCY MANOR INC 334 GOLF VIEW DRIVE ALBANY, MN 56307 PHONE: 320/845-2969 (21556) FAX: MR. JOHN HOEFS 320/845-7006 NProf MOTHER OF MERCY CAMPUS CARE HCP-F HWSAL 230 CHURCH AVENUE PO BOX 676 ALBANY, MN 56307 PHONE: 320/845-2195 (20265) FAX: MR. JOHN HOEFS 320/845-7092 NProf MOTHER OF MERCY CAMPUS OF CARE NH-76 SNF-NF-76 230 CHURCH STREET BOX 676 ALBANY, MN 56307 PHONE: 320/845-2195 (00634) FAX: MR. JOHN HOEFS 320/845-7092 RHC NProf ALBANY AREA HOSP AVON CLINIC 108 STRATFORD STREET AVON, MN 56310 PHONE: 320/356-7602 (03524) FAX: MR. LARRY NOVAKOSKE /- NProf BELGRADE NURSING HOME SNF-NF-49 NH-49 103 SCHOOL ST - PO BOX 340 BELGRADE, MN 563120340 PHONE: 320/254-8215 (00626) FAX: MR. PHILIP LORD 320/254-8238 RHC NProf BROOTEN MEDICAL CENTER 111 PLEASANT AVENUE, PO BOX 69 BROOTEN, MN 56316 PHONE: 320/346-2272 (28052) FAX: NProf ASSUMPTION HEALTH SERVICES MS. RACHEL WAGNER 320/346-2273 HCP-F HWS 615 NORTH FIRST STREET COLD SPRING, MN 56320 PHONE: 320/685-4110 (20324) FAX: 320/685-3401 MS. JAN LUTHENS Minnesota Department of Health Division of Compliance Monitoring Page 385 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: NProf ASSUMPTION HOME CARE MS. JAN LUTHENS 320/685-7044 HCP-A HHA 615 NORTH FIRST STREET COLD SPRING, MN 56320 PHONE: 320/685-4110 (26118) FAX: MS. HEIDI HOPPE 320/685-3401 HWS NProf JOHN PAUL APARTMENTS 200 EIGHTH AVENUE NORTH COLD SPRING, MN 56320 PHONE: 320/685-4429 (21670) FAX: MS. LAURA SAKRY 320/685-7300 HWS-O Part SPRINGHAVEN/PINEWEST II LP 308 11 1/2 AVENUE SOUTH COLD SPRING, MN 56320 PHONE: 320/685-9803 (26591) FAX: MS. JOLEEN PFAV 320/685-3535 HWS Part SPRINGHAVEN/PINEWEST II LP 308 11 1/2 AVENUE SOUTH COLD SPRING, MN 56320 PHONE: 320/685-9803 (26971) FAX: MS. JOLEEN PFAU 320/685-3535 HWSAL Lim-Liab HYATT HOUSE LLC 231 WASHINGTON STREET HOLDINGFORD, MN 56340 PHONE: 320/746-9902 (28686) FAX: MS. ANNETTE JUNES 320/746-9912 HWSAL Corp HERITAGE HOUSE OF KIMBALL 260 MAGNUS JOHNSON STREET N KIMBALL, MN 55353 PHONE: 320/398-8643 (22788) FAX: NProf CENTRACARE - MELROSE PARK VIEW MR. JAMES BIRCHEM 320/398-8645 HCP-F HWSAL 125 NORTH 5TH AVE WEST MELROSE, MN 56352 PHONE: 320/256-1808 (23480) FAX: NProf CENTRACARE HEALTH SYS MELROSE MS. BERTHA HARTUNG 320/256-4949 NH-75 BASS-6 HOSP-28 SNF-NF-75 CAH-25 525 MAIN STREET WEST MELROSE, MN 56352 PHONE: 320/256-4231 (00633) FAX: CENTRACARE HEALTH SYSM-MELROSE 320/256-4949 MR. GERRY GILBERTSON RHC NProf 525 WEST MAIN STREET MELROSE, MN 56352 PHONE: 320/256-4228 (27995) FAX: 320/256-7106 MS. JULIA DRAXTEN Minnesota Department of Health Division of Compliance Monitoring Page 386 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Ind JOANN TSCHIDA Certification STEARNS Registration (Cont.)* -------------------------- HCP-C 43466 SUNSET BEACH ROAD (27364) MELROSE, MN 56352 PHONE: 320/836-2327 FAX: MS. JOANN TSCHIDA /- HWS Lim-Liab OAK RIDGE MANOR 20 NORTH NINTH AVE EAST MELROSE, MN 56352 PHONE: 320/493-1710 (21996) FAX: MS. LISA MARVIN 320/255-5128 HWS HRA ROSE VIEW MANOR 16 FIRST STREET SE MELROSE, MN 56352 PHONE: 320/256-4600 (21988) FAX: MR. MELVIN ROEHRL /- HWS Dist 700 STEARNS PLACE 701 STEARNS AVENUE PAYNESVILLE, MN 56362 PHONE: 320/243-7100 (24204) FAX: Dist PAYNESVILLE AREA HOSPITAL MS. BEVERLY MUELLER 320/243-7930 NH-52 BASS-6 HOSP-30 SNF-NF-52 CAH-25 200 FIRST STREET WEST PAYNESVILLE, MN 56362 PHONE: 320/243-4212 (00636) FAX: Dist WASHBURNE COURT MR. DENNIS MILEY 320/243-7912 HCP-F HWSAL 311 WASHBURNE AVENUE PAYNESVILLE, MN 56362 PHONE: 320/243-7451 (00631) FAX: MS. BEVERLY MUELLER 320/243-3764 HWSAL Lim-Liab CHERRYWOOD OF RICHMOND 150 BARRY AVENUE NW RICHMOND, MN 56368 PHONE: 320/257-7445 (27307) FAX: MS. WENDY HULSEBUS 320/257-7447 HWSAL Lim-Liab CHERRYWOOD OF RICHMOND 140 BARRY AVENUE NW RICHMOND, MN 56368 PHONE: 320/257-7445 (27308) FAX: Corp TADD'S LIGHTHOUSE INC MS. WENDY HULSEBUS 320/257-7447 HCP-A 651 4TH STREET NORTHWEST RICHMOND, MN 56368 PHONE: 612/702-0089 (27344) FAX: Corp BAYADA PEDIATRICS MR. JACOB COMEE 480/275-3872 HCP-A HHA 2351 CONNECTICUT AVE STE 320 SARTELL, MN 56377 PHONE: 320/251-0668 (27706) FAX: 320/251-0680 MS. MAURIETTA SURETH Minnesota Department of Health Division of Compliance Monitoring Page 387 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 Corp HEALTHNORTH HOME CARE INC HCP-A 165 19TH STREET SOUTH STE 114 SARTELL, MN 56377 PHONE: 320/260-5280 (26011) FAX: MR. JAY JOHNSON 320/654-1668 Out Pt Out Ot Corp NOVACARE REHABILITATION 2251 CONNECTICUT AVENUE SARTELL, MN 55377 PHONE: 763/295-6878 (03724) FAX: MS. LISA LAUBACH /- HWSAL Corp THE LEGENDS AT HERITAGE PLACE 673 BRIANNA DRIVE SARTELL, MN 56377 PHONE: 320/281-3343 (26365) FAX: MR. DEAN BLOEMKE 320/587-0005 HWSAL Corp THE LEGENDS AT HERITAGE PLACE 677 BRIANNA DRIVE SARTELL, MN 56377 PHONE: 320/281-3343 (26585) FAX: Corp WELCOME HOME HEALTH CARE INC MR. DEAN BLOEMKE 320/587-0005 HCP-F 677 BRIANNA DRIVE SARTELL, MN 56377 PHONE: 320/281-3343 (28073) FAX: MS. BRENDA COLLOW 320/281-3511 Home Mgmt Corp ALTERNATIVE SENIOR CARE INC 601 SINCLAIR LEWIS AVENUE SAUK CENTRE, MN 56378 PHONE: 320/352-3350 (23973) FAX: Corp ALTERNATIVE SENIOR CARE INC MS. CYNTHIA KARASCH 320/323-4398 HCP-B 601 SINCLAIR LEWIS AVENUE SAUK CENTRE, MN 56378 PHONE: 320/352-3350 (26947) FAX: Lim-Liab CEDAR COVE ASSISTED LIVING MS. CYNTHIA KARASCH 320/323-4398 HCP-F 21596 CEDAR LAKE ROAD SAUK CENTRE, MN 56378 PHONE: 320/732-1939 (28802) FAX: 320/732-1087 MS. TAMMY BRUDER HWSAL Lim-Liab CEDAR COVE ASSISTED LIVING 21596 CEDAR LAKE ROAD SAUK CENTRE, MN 56378 PHONE: 320/732-1939 (28803) FAX: 320/732-1087 MS. TAMMY BRUDER Minnesota Department of Health Division of Compliance Monitoring Page 388 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification STEARNS (Cont.)* -------------------------RHC Corp CENTRACARE CLINIC-SAUK CENTRE Registration 433 ELM STREET NORTH (27960) SAUK CENTRE, MN 56378 PHONE: 320/352-6591 FAX: NProf CENTRACARE HEALTH SYSTEM MS. MICHELE FISCHER 320/352-5164 NH-60 BASS-8 HOSP-28 SNF-NF-60 CAH-25 425 NORTH ELM STREET SAUK CENTRE, MN 56378 PHONE: 320/352-2221 (00640) FAX: MR. DELANO CHRISTIANSON 320/352-5150 HWSAL Lim-Liab FAIRWAY PINES SENIOR LVG COMM 606 MAIN STREET NORTH SAUK CENTRE, MN 56378 PHONE: 320/351-4900 (29188) FAX: Lim-Liab FAIRWAY PINES SENIOR LVG COMM MS. NATASHA SUELFLOW 320/351-4903 HCP-F 606 MAIN STREET NORTH SAUK CENTRE, MN 56378 PHONE: 320/351-4900 (26205) FAX: Corp GETTY STREET ASSISTED LIVING MS. JILL NIEHAUS 320/351-4903 HCP-F HWSAL 1214 GETTY STREET SOUTH SAUK CENTRE, MN 56378 PHONE: 320/351-4333 (24072) FAX: MS. MARY JO MARTHALER 320/351-4335 HWS HRA RIVERVIEW MANOR/SAUK CENTRE HR 407 NORTH 1ST STREET SAUK CENTRE, MN 56378 PHONE: 320/352-2311 (21153) FAX: City ST MICHAELS HOSPICE MS. JULIE SIEBEN 320/352-2726 Hospice HSPICE 425 NORTH ELM STREET SAUK CENTRE, MN 56378 PHONE: 320/352-2221 (02575) FAX: City ST MIKE HOSP SAUK CT HOME CARE MS. MONICA BLASKE 320/351-1728 HCP-A HHA 425 NORTH ELM STREET SAUK CENTRE, MN 56378 PHONE: 320/352-2221 (02517) FAX: NProf QUIET OAKS HOSPICE HOUSE MR. DEL CHRISTIANSON 320/351-1728 RES-HSPICE-8 Hospice 5537 GALAXY ROAD ST AUGUSTA, MN 56301 PHONE: 320/255-5433 (26154) FAX: Lim-Liab ARISE HOME HEALTH CARE MR. JOSEPH BAUER 320/240-7962 HCP-A 2907 CLEARWATER ROAD ST CLOUD, MN 56301 PHONE: 320/230-6348 (24350) FAX: 320/259-1368 MR. JAY VACHAL Minnesota Department of Health Division of Compliance Monitoring Page 389 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification STEARNS (Cont.)* -------------------------Home Mgmt Corp ARISE HOME HEALTH CARE Registration 2907 CLEARWATER ROAD (25428) ST CLOUD, MN 56301 PHONE: 320/230-6348 FAX: MS. SUE CHRISTENSEN 320/259-1368 ESRD NProf CENTRACARE KIDNEY PROGRAM 48 29TH AVENUE NORTH ST CLOUD, MN 56303 PHONE: 320/251-2700 (21825) FAX: MR. DAVID WALZ 320/202-7126 ESRD NProf CENTRACARE KIDNEY PROGRAM PLAZ 1900 CENTRACARE CIRCLE STE 500 ST CLOUD, MN 56303 PHONE: 320/240-7808 (02410) FAX: MS. CATHY SINDELIR 320/240-7840 Amb Surg ONProf CENTRACARE SURGERY CTR LLC 1900 CENTRACARE CIRCLE ST CLOUD, MN 56303 PHONE: 320/229-4997 (24819) FAX: MS. DIANE BUSCHENA-BRENNA 320/229-5198 CMHC NProf CENTRAL MN MENTAL HLTH CENTER 1321 NORTH 13TH STREET ST CLOUD, MN 56303 PHONE: 320/252-5010 (02771) FAX: DR. CHARLES JOHNSTON, JR. /- HWSAL Part CHERRYWOOD OF BIG LAKE 1030 1030 VOYAGEUR STREET ST CLOUD, MN 56301 PHONE: 320/257-7445 (28983) FAX: MS. WENDY HULSEBUS 320/257-7447 HWSAL Part CHERRYWOOD OF BIG LAKE 1036 1036 VOYAGEUR STREET ST CLOUD, MN 56301 PHONE: 320/257-7445 (28982) FAX: NProf CTRL MN RECEIVING AND REFERRAL MS. WENDY HULSEBUS 320/257-7447 SLFB-19 1321 NORTH 13TH STREET ST CLOUD, MN 56303 PHONE: 320/252-5010 (01638) FAX: NProf FOCUS XII HALFWAY HOUSE MS. LORI SCHMIDT 320/203-1855 SLFA-18 3220 EIGHTH STREET NORTH ST CLOUD, MN 56303 PHONE: 320/252-5010 (01178) FAX: Corp GOODCARELAND INC MS. LORI SCHMIDT 320/203-1855 HCP-A 3533 17TH AVENUE SOUTH ST CLOUD, MN 563019664 PHONE: 320/203-7558 (26567) FAX: 320/203-7558 MRS. SAMIAT GAZAL Minnesota Department of Health Division of Compliance Monitoring Page 390 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab HEARTLAND HOME HLTH C&HOSPICE Certification STEARNS Hospice Registration (Cont.)* -------------------------HSPICE 605 FRANKLIN AVENUE NE (23078) ST CLOUD, MN 56304 PHONE: 320/654-1136 FAX: Ind MARY CLARE OLSON AGENCY MS. LACEY MONNIER 320/654-6803 HCP-A 5417 GARDEN HILLS LANE ST CLOUD, MN 56301 PHONE: 320/259-8957 (21207) FAX: Corp MEDICAL SOLUTIONS HOME CARE IN MS. MARY OLSON 320/259-8957 HCP-A 2233 ROOSEVELT ROAD SUITE 1 ST CLOUD, MN 56301 PHONE: 320/258-3733 (27327) FAX: Corp MIDSOTA SURGICAL SUITES PA MR. STEVEN DUNCAN 320/217-6102 Outpt Surg Amb Surg 3701 - 12TH ST STE 101 ST CLOUD, MN 56303 PHONE: 320/253-7257 (00008) FAX: MR. ENNIS ARNTSON 320/251-2939 HWSAL-O NProf QUARRY HEIGHTS APARTMENTS 2051 QUARRY ROAD ST CLOUD, MN 56301 PHONE: 651/645-7271 (24464) FAX: Corp RECOVER HEALTH MR. STEPHEN VANDER SCHAAF 651/645-0541 HCP-A HHA 3400 1ST STREET N ST CLOUD, MN 56303 PHONE: 320/259-7045 (02312) FAX: Corp REM CENTRAL LAKES INC FERNWOOD MS. JENNIFER BALLANTINE 320/259-7044 SLFB-24 ICFMR-24 1775 ROOSEVELT ROAD ST CLOUD, MN 56301 PHONE: 320/259-6022 (01514) FAX: MS. JUANITA HAYES 320/259-6076 HWSAL Lim-Liab SKYLIGHT GARDENS 501 1ST STREET NORTH ST CLOUD, MN 56303 PHONE: 320/259-4584 (20347) FAX: MS. MICHELLE MACE 320/259-6159 Out Ot Corp SPOT REHABILITATION INC 2835 WEST ST GERMAIN ST #300 ST CLOUD, MN 56301 PHONE: 320/259-4151 (02786) FAX: Corp SPOT REHABILITATION INC MS. ELIZABETH STIENESSEN 320/259-5707 HCP-A HHA 2835 WEST ST GERMAIN ST #300 ST CLOUD, MN 56301 PHONE: 320/259-4151 (03058) FAX: 320/259-5707 MS. ELIZABETH STIENESSEN Minnesota Department of Health Division of Compliance Monitoring Page 391 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab ST CLOUD CTR OPHTHALMIC SURG Certification STEARNS Registration (Cont.)* -------------------------Amb Surg Outpt Surg 2055 15TH STREET NORTH SUITE B (21628) ST CLOUD, MN 56303 PHONE: 320/258-6620 FAX: MS. SALLY JOHNSON 320/258-6622 Church ST CLOUD HOSPITAL BASS-40 HOSP-489 HOSP-469 PPS-R-20 1406 SIXTH AVENUE NORTH ST CLOUD, MN 56303 PHONE: 320/255-5661 (00639) FAX: MR. CRAIG BROMAN 320/656-7099 NProf ST CLOUD HOSPITAL HC SERVICES HHA HCP-A 48 NORTH 29TH AVE SUITE 15 ST CLOUD, MN 56303 PHONE: 320/259-9375 (02185) FAX: MS. GAIL OLSON 320/240-3266 NProf ST CLOUD HOSPITAL HOSPICE HSPICE Hospice 48 NORTH 29TH AVENUE SUITE 15 ST CLOUD, MN 56303 PHONE: 320/259-9375 (02255) FAX: MS. GAIL OLSON 320/240-3266 Part ST CLOUD SURGERY CTR Amb Surg Outpt Surg 1526 NORTHWAY DRIVE ST CLOUD, MN 56303 PHONE: 320/251-8385 (00837) FAX: MS. JEANETTE STACK 320/251-3202 Corp VISITING ANGELS HCP-A 1705 WEST ST GERMAIN STREET ST CLOUD, MN 56301 PHONE: 320/230-1140 (28912) FAX: MR. ANDREW TRELSTAD 320/230-1141 Corp ARLINGTON PLACE HCP-F HWSAL 21 16TH AVENUE SOUTHEAST ST JOSEPH, MN 56374 PHONE: 320/363-1313 (20617) FAX: MS. PAT FLICKER 320/363-1021 Corp COMFORT KEEPERS HCP-A 50 10TH AVENUE SOUTH WAITE PARK, MN 56387 PHONE: 320/230-9939 (23629) FAX: MS. SUE THORSON 320/230-9941 Corp HOME INSTEAD SENIOR CARE HCP-A 406 GREAT OAK DRIVE WAITE PARK, MN 56387 PHONE: 320/258-3055 (28492) FAX: MR. DANIEL ARNOLD /- HWSAL Part PARK GARDENS APARTMENTS 114 - 1ST ST N WAITE PARK, MN 56387 PHONE: 320/252-7224 (24102) FAX: 320/252-5629 MR. HOWARD GROFF Minnesota Department of Health Division of Compliance Monitoring Page 392 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab SAVING GRACE HOME HEALTH LLC Certification STEARNS Registration (Cont.)* -------------------------- HCP-A HHA 54 10TH AVENUE SOUTH (27693) WAITE PARK, MN 56387 PHONE: 320/257-6013 FAX: Part STERLING PARK COMMONS MS. SUSAN THORSON 320/230-9941 HWSAL HCP-F 35 1ST AVENUE NORTH WAITE PARK, MN 56387 PHONE: 320/252-9595 (20596) FAX: Corp STERLING PARK HCC MR. FRED STRUZYK 320/252-5629 NH-60 SNF-NF-60 142 NORTH FIRST STREET WAITE PARK, MN 56387 PHONE: 320/252-9595 (00643) FAX: Lim-Liab TLA FOSTER CARE LLC MS. HEATHER POTTER 320/252-9216 HWSAL HCP-F 705 2ND AVENUE SOUTH WAITE PARK, MN 56387 PHONE: 320/230-6613 (25193) FAX: MS. AMBER TOBIN 320/240-2890 ---------------------------********** NProf HEATHER HAUS STEELE ******** -------------------------HWSAL HCP-F 223 4TH STREET NW BLOOMING PRAIRIE, MN 55917 PHONE: 507/583-7399 (27084) FAX: NProf PRAIRIE MANOR CARE CENTER MS. SUSAN JOHNSON 507/583-2401 SNF-NF-56 NH-56 220 THIRD STREET NORTHWEST BLOOMING PRAIRIE, MN 55917 PHONE: 507/583-4434 (00650) FAX: Lim-Liab WHISPERING OAK PROPERTIES LLC MS. SUSAN JOHNSON 507/583-2401 HWSAL HCP-F 903 CALVERLY COURT ELLENDALE, MN 56026 PHONE: 507/684-3026 (24982) FAX: MS. MARYANN SCHLAAK 505/684-3194 Home Mgmt Corp ALL GENERATIONS HOME CARE INC 135 W MAIN STREET SUITE G OWATONNA, MN 55060 PHONE: 507/214-8007 (25452) FAX: Corp CASCADE CARE SERVICES INC MS. LORI MORTENSEN 507/214-8010 HCP-A 2311 - 44TH AVE SE OWATONNA, MN 55060 PHONE: 507/214-2800 (23577) FAX: 507/451-0690 MS. RITA DORNQUAST Minnesota Department of Health Division of Compliance Monitoring Page 393 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp CLARE BRIDGE OF OWATONNA Certification STEELE Registration (Cont.)* -------------------------- HCP-F HWSAL 364 CEDARDALE DRIVE SE (20851) OWATONNA, MN 55060 PHONE: 507/446-8600 FAX: MS. SANDRA ARCHER 507/446-8601 NProf COUNTRYSIDE CATERED SR LIVING HCP-F HWSAL 650 EL DORADO STREET OWATONNA, MN 55060 PHONE: 507/446-8334 (24682) FAX: MR. JAMES GROSS 507/446-4059 NProf HOSPICE OF OWATONNA HOSPITAL RES-HSPICE-8 18-HOSPICE- 2350 26TH STREET NW OWATONNA, MN 55060 PHONE: 651/635-9173 (02836) FAX: MS. GLORIA CADE 651/628-2999 Ind JULIE SUMMY HCP-C 1802 NORTH CEDAR OWATONNA, MN 55060 PHONE: 507/451-3410 (21579) FAX: MS. JULIE SUMMY /- ESRD NProf MAYO DIALYSIS OWATONNA 2200 NORTHWEST 26TH STREET OWATONNA, MN 55060 PHONE: 507/455-0520 (02827) FAX: MR. BRIAN SCHNIEPP /- Lim-Liab OWATONNA CARE CENTER NH-55 NF1-12 SNF-NF-43 201 SW 18TH ST OWATONNA, MN 55060 PHONE: 507/451-6800 (00649) FAX: NProf OWATONNA HOSPITAL MS. BRENDA SCHRUPP 507/451-6087 BASS-16 HOSP-43 HOSP-33 PPS-P-10 2250 26TH STREET NORTHWEST OWATONNA, MN 55060 PHONE: 507/977-2323 (00986) FAX: NProf PARK PLACE SENIOR LIVING MR. DAVID ALBRECHT 507/977-2335 HCP-F HWSAL 125 EAST PARK STREET OWATONNA, MN 55060 PHONE: 507/451-0808 (21085) FAX: Corp RAINBOW RESIDENCE MS. TERRY SCHNEIDER 507/446-8116 SLFB-16 ICFMR-16 285 CEDARDALE DRIVE OWATONNA, MN 55060 PHONE: 507/451-5327 (01408) FAX: Corp REM WOODVALE INC (MAPLE CREEK) MR. JAMES KARKHOFF 507/451-5354 SLFB-6 ICFMR-6 2397 HADDONSTONE LANE NE OWATONNA, MN 55060 PHONE: 507/433-7301 (26923) FAX: 507/433-4597 MR. PATRICK MASYGA Minnesota Department of Health Division of Compliance Monitoring Page 394 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp REM WOODVALE INC ADAMS Certification STEELE Registration (Cont.)* -------------------------- SLFA-6 ICFMR-6 592 ADAMS AVENUE (01439) OWATONNA, MN 55060 PHONE: 507/451-1296 FAX: MR. PATRICK MASYGA 507/451-1349 Corp ROYAL HOME CARE AGENCY INC HCP-A 660 BRIDGE STREET OWATONNA, MN 55060 PHONE: 507/214-2781 (25273) FAX: CFO OLAD AHMED 507/214-2586 CMHC NProf SO CENTRAL HUMAN RELATIONS CTR 610 FLORENCE AVENUE OWATONNA, MN 55060 PHONE: 507/451-2630 (02770) FAX: MR. ROBERT STEELE /- Cnty STEELE COUNTY COMMUNITIES FOR NH-108 SNF-NF-108 1409 SOUTH CEDAR AVENUE OWATONNA, MN 55060 PHONE: 507/444-4200 (00644) FAX: Cnty STEELE COUNTY PHNS MS. TERRY SCHNEIDER 507/449-4944 HCP-A HHA BOX 890 635 FLORENCE AVENUE OWATONNA, MN 55060 PHONE: 507/444-7650 (02043) FAX: Corp STERLING HOUSE OF OWATONNA MS. DEE ANN PETTYJOHN 507/444-7668 HCP-F HWSAL 334 CEDARDALE DRIVE OWATONNA, MN 55060 PHONE: 507/451-6914 (20332) FAX: NProf THE BROOKS ON ST PAUL MS. SANDRA ARCHER 507/451-7083 HCP-F HWSAL 2480 ST PAUL ROAD OWATONNA, MN 55060 PHONE: 507/446-0611 (20975) FAX: Lim-Liab TRADITIONS OF OWATONNA MR. JAMES GROSS 507/446-5858 HCP-F HWSAL 195 24TH PLACE NW OWATONNA, MN 55060 PHONE: 507/455-0700 (24247) FAX: Lim-Liab TRADITIONS OF OWATONNA II LLC MS. DEIDRA BURKE 507/451-5414 HCP-F HWSAL 150 24TH STREET NE OWATONNA, MN 55060 PHONE: 507/451-0433 (25424) FAX: 507/451-3453 MS. DEIDRA BURKE HWSAL Lim-Liab VALLEYVIEW OF OWATONNA LLC 1212 WEST FRONTAGE ROAD I-35 OWATONNA, MN 55060 PHONE: 507/451-0722 (25302) FAX: 507/455-3731 MS. JEAN PURRIER Minnesota Department of Health Division of Compliance Monitoring Page 395 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab VALLEYVIEW OF OWATONNA LLC Certification STEELE Registration (Cont.)* -------------------------- 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 OWATONNA, MN 55060 PHONE: 507/451-1124 (27787) FAX: MR. BRYCE WAHL /- NProf WEST HILLS LODGE SLFA-15 545 FLORENCE AVENUE OWATONNA, MN 55060 PHONE: 507/451-1172 (01206) FAX: MS. JODY ANDERSON 507/451-5701 ---------------------------********** STEVENS RHC NProf ESSENTIA HEALTH CHOKIO CLINIC ******** -------------------------- 101 MAIN STREET CHOKIO, MN 56221 PHONE: 320/324-7500 (03720) FAX: MR. TODD HOWELL /- RHC NProf ESSENTIA HLTH GRACEVILLE CLINI 115 WEST SECOND GRACEVILLE, MN 56240 PHONE: 320/324-7500 (03819) FAX: MR. TODD HOWELL /- HWS-O HRA GRANDVIEW APARTMENTS 100 SOUTH COLUMBIA AVENUE MORRIS, MN 56267 PHONE: 320/589-3142 (20298) FAX: NProf HOME CARE SERVICE OPTIONS MS. MELANIE FOHL 320/589-3008 HCP-F 1100 COURT DRIVE MORRIS, MN 56267 PHONE: 320/589-4663 (26184) FAX: MS. DANIELLE LESMEISTER 320/585-6162 HWS Corp LEGACY HOMES 4 SOUTH COURT MORRIS, MN 56267 PHONE: 320/589-0246 (26687) FAX: NProf RAVENWOOD HOME MS. LISA DENZER 320/589-7196 ICFMR-6 SLFB-6 605 WEST SIXTH STREET MORRIS, MN 56267 PHONE: 320/589-2057 (01662) FAX: 320/589-0462 MS. JUDY RICHARDS Minnesota Department of Health Division of Compliance Monitoring Page 396 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification STEVENS (Cont.)* -------------------------ESRD NProf SANFORD DIALYSIS MORRIS Registration 400 EAST 1ST STREET (21529) MORRIS, MN 56267 PHONE: 320/589-2832 FAX: MS. WANDA BORCHERT /- HWSAL NProf SKYVIEW COURT 1000 COURT DRIVE MORRIS, MN 56267 PHONE: 320/589-0245 (20374) FAX: MS. DANIELLE LESMEISTER 320/589-3929 HWSAL NProf SKYVIEW PLAZA 1100 COURT DRIVE MORRIS, MN 56267 PHONE: 320/585-4582 (26356) FAX: NProf STEVENS COMMUNITY MED CENTER MS. DANIELLE LESMEISTER 320/585-6162 BASS-5 HOSP-54 CAH-25 400 EAST FIRST STREET MORRIS, MN 56267 PHONE: 320/589-1313 (00653) FAX: MR. JOHN RAU 320/589-1065 HWS NProf STEVENS COMMUNITY MEDICAL CENT 409 EAST FIRST STREET MORRIS, MN 56267 PHONE: 320/585-5133 (21272) FAX: NProf WEST WIND VILLAGE MS. KRISTI ABLER 320/589-7648 NH-88 SNF-NF-88 1001 SCOTTS AVENUE MORRIS, MN 56267 PHONE: 320/589-1133 (00654) FAX: MR. MICHAEL SYLTIE 320/589-7955 ---------------------------********** SWIFT ******** -------------------------HWS City APPLE RIDGE ESTATES 100 SOUTH BARDUSON STREET APPLETON, MN 56208 PHONE: 320/289-1163 (23626) FAX: City APPLETON AREA HEALTH SERVICES MS. KATHY JOHNSON 320/289-1578 HCP-A HHA 120 S BARDUSON STREET, STE 203 APPLETON, MN 56208 PHONE: 320/289-2422 (02903) FAX: Dist APPLETON MUNICIPAL HOSPITAL MR JEFFREY COOK 320/289-1797 NH-53 BASS-1 HOSP-15 30 SOUTH BEHL STREET APPLETON, MN 56208 PHONE: 320/289-2422 (00655) FAX: 320/289-1585 MR. JEFFREY COOK SNF-NF-53 CAH-15 Minnesota Department of Health Division of Compliance Monitoring Page 397 Directory of Facilities and Services Facility/Service Owner Licensure Certification SWIFT ---------------------------********** (Cont.)* -------------------------HWSAL Corp CENTRAL MINNESOTA SENIOR CARE Registration 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 BENSON, MN 56215 PHONE: 320/441-7001 (20543) FAX: 320/235-8069 MS. DEBRA OLESON HWSAL Corp CENTRAL MINNESOTA SENIOR CARE 416 13TH STREET SOUTH BENSON, MN 56215 PHONE: 320/441-7001 (20542) FAX: Lim-Liab GOLDEN LIVINGCENTER MEADOW LN MS. DAWN FRERICKS 320/235-8069 BCH-19 NH-43 NF2-19 SNF-NF-43 2209 UTAH AVENUE BENSON, MN 56215 PHONE: 320/843-2225 (00930) FAX: 320/843-2496 MS. BROOK DILLON HWSAL City PARK VIEW MANOR 300 13TH STREET NORTH BENSON, MN 56215 PHONE: 320/842-8481 (20562) FAX: 320/843-3018 Dist SWIFT COUNTY BENSON HOSPITAL MS. MICHELLE BOUTA BASS-4 HOSP-31 CAH-25 1815 WISCONSIN AVENUE BENSON, MN 56215 PHONE: 320/843-4232 (00659) FAX: 320/843-4172 Cy-Co SWIFT CTY BENSON HOSP HH CARE MR. FRANK LAWATSCH HCP-A HHA 2125 MINNESOTA AVENUE BENSON, MN 56215 PHONE: 320/843-1349 (02398) FAX: 320/843-1345 MR. FRANK LAWATSCH HWSAL City WESTWOOD MANOR 2000 HALL AVENUE BENSON, MN 56215 PHONE: 320/842-8481 (20561) FAX: 320/843-3018 MS. MICHELLE BOUTA HWSAL Corp GREEN GABLES ASSISTED LIVING 116 SCHAFF STREET MURDOCK, MN 56271 PHONE: 320/875-4742 (20805) FAX: 320/875-4555 ---------------------------********** MS. TAMARA TAMMEN TODD ******** -------------------------- Minnesota Department of Health Division of Compliance Monitoring Page 398 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification TODD (Cont.)* -------------------------RHC NProf BERTHA MEDICAL CENTER Registration 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 BROWERVILLE, MN 56438 PHONE: 320/594-2231 (21830) FAX: MR. TIM RICE /- NProf CENTRAL TODD CO CARE CENTER NH-66 SNF-NF-66 406 EAST HIGHWAY 71 PO BOX 38 CLARISSA, MN 56440 PHONE: 218/756-3636 (00761) FAX: MR. JASON POLOVICK 218/756-2276 NProf CENTRAL TODD CO CC H C & APTS HCP-F HWSAL 406 EAST HIGHWAY 71 CLARISSA, MN 56440 PHONE: 218/756-3636 (20202) FAX: MR. JASON POLOVICK 218/756-2276 NProf CENTRAL TODD COUNTY HOME CARE HCP-A HHA 406 HIGHWAY 71 EAST CLARISSA, MN 56440 PHONE: 218/756-3636 (27816) FAX: MR. JASON POLOVICK 218/756-3639 Corp ALISHAS CARE CENTER 12550 COUNTY ROAD 38 EAGLE BEND, MN 56446 PHONE: 320/732-8162 (28456) FAX: MS. AMY CLASEMAN 320/732-8162 RHC NProf LAKEWOOD CLINIC EAGLE BEND 815 HIGHWAY 71 EAGLE BEND, MN 56446 PHONE: 218/738-2804 (21828) FAX: MR. TIMOTHY RICE /- RHC NProf LONG PRAIRIE HOSP EAGLE VALLEY 815 HIGHWAY 71 SOUTH EAGLE BEND, MN 56446 PHONE: 218/738-2804 (03505) FAX: EAGLES CROSSING HOME MANAGEMNT MS. TONI TEBBEN 218/738-5263 Home Mgmt Ind 103 SPRUCE STREET PO BOX 87 GREY EAGLE, MN 56336 PHONE: 320/285-3128 (28049) FAX: NProf CENTRACARE HEALTH SYSTEM-LONG MS. DIANE KRAMER 320/285-3128 NH-70 BASS-10 HOSP-34 20 NINTH STREET SOUTHEAST LONG PRAIRIE, MN 56347 PHONE: 320/732-2141 (00778) FAX: 320/732-3802 MR. DANIEL SWENSON SNF-NF-70 CAH-25 Minnesota Department of Health Division of Compliance Monitoring Page 399 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification TODD (Cont.)* -------------------------RHC NProf CENTRACARE HLTH SYSTEM LONG PR Registration 24 9TH STREET SE (23867) LONG PRAIRIE, MN 56347 PHONE: 320/732-2131 FAX: MR. DAN SWENSON /- Part R & M HOME CARE HCP-B 410 4TH STREET SOUTH LONG PRAIRIE, MN 56347 PHONE: 320/732-1075 (28594) FAX: Cnty TODD COUNTY PHNS MS. AMBER MARTINEZ 320/360-9379 HCP-A HHA 119 THIRD STREET SOUTH LONG PRAIRIE, MN 56347 PHONE: 320/732-4440 (02033) FAX: Corp VALLEY VIEW ESTATES MS. CHERYL SCHNEIDER 320/732-4445 HWSAL HCP-F 1104 4TH AVENUE NORTHEAST LONG PRAIRIE, MN 56347 PHONE: 320/732-3516 (20675) FAX: NProf LAKEWOOD HEALTH SYSTEM MR. PETE WARNES 320/732-7018 BASS-8 HOSP-37 CAH-25 PPS-P-10 49725 COUNTY ROAD 83 STAPLES, MN 56479 PHONE: 218/894-1515 (24633) FAX: MR. TIM RICE 218/894-8355 HWS NProf LAKEWOOD MANOR 222 FIFTH STREET NE STAPLES, MN 56479 PHONE: 218/894-2124 (20201) FAX: MR. TIM RICE 218/894-3067 ---------------------------********** NProf BROWNS VALLEY HEALTH CENTER TRAVERSE NH-41 ******** -------------------------SNF-NF-41 114 JEFFERSON STREET SOUTH BROWNS VALLEY, MN 56219 PHONE: 320/695-2165 (00668) FAX: MS. CLAUDIA WARD 320/695-2166 HWS NProf PRAIRIEVIEW PLACE 305 SEVENTH STREET SOUTH WHEATON, MN 56296 PHONE: 320/563-8600 (20456) FAX: SANFORD MEDICAL CENTER WHEATON MS. CHELSY STATTELMAN 320/460-0257 NProf BASS-4 HOSP-25 401 12TH STREET NORTH WHEATON, MN 56296 PHONE: 320/563-8226 (00670) FAX: 320/563-8012 MS. JOANN FOLTZ CAH-25 Minnesota Department of Health Division of Compliance Monitoring Page 400 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-49 SNF-NF-49 303 SEVENTH STREET SOUTH WHEATON, MN 56296 PHONE: 320/563-8124 (00669) FAX: MS. CHELSY STATTELMAN 320/563-4133 ---------------------------********** Corp HIGH STREET HOUSE WABASHA ******** -------------------------- HCP-F 317 NORTH HIGH STREET LAKE CITY, MN 55041 PHONE: 651/345-5000 (21471) FAX: MS. CHERYL SPRICK 651/388-1178 HWS HRA LAKE PEPIN PLAZA 221 NORTH FRANKLIN STREET LAKE CITY, MN 55041 PHONE: 651/565-2638 (28595) FAX: NProf MAYO CLINIC HEALTH SYS L C MS. KAREN DUCHARME 651/565-2638 BASS-5 HOSP-18 CAH-18 500 WEST GRANT STREET LAKE CITY, MN 55041 PHONE: 651/345-3321 (20693) FAX: NProf MAYO CLINIC HEALTH SYS L C MS. CHERI KRAMER 651/345-1182 NH-90 SNF-NF-90 500 WEST GRANT STREET LAKE CITY, MN 55041 PHONE: 651/345-3321 (00770) FAX: Corp RIVER OAKS HEALTH CARE CTR INC MR. JACOB SUCKOW 651/345-1167 BCH-38 815 NORTH HIGH STREET LAKE CITY, MN 55041 PHONE: 651/345-2713 (00970) FAX: MS. DIANE HOLST 651/345-5336 HWSAL NProf SERVICE MANAGEMENT GROUP, INC. 317 NORTH HIGH STREET LAKE CITY, MN 55041 PHONE: 651/345-5000 (29088) FAX: Lim-Liab WINDCLIFF SENIOR CARE MR. JOHN DAHM 651/388-1178 HCP-F 71668 302ND AVENUE LAKE CITY, MN 55041 PHONE: 651/345-4270 (28851) FAX: 651/345-4270 MS. SYLVIA BROWN Minnesota Department of Health Division of Compliance Monitoring Page 401 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification WABASHA (Cont.)* -------------------------HWS Lim-Liab WINDCLIFF SENIOR CARE Registration 71668 302ND AVENUE (28852) LAKE CITY, MN 55041 PHONE: 651/345-4270 FAX: 651/345-4270 Ind HELEN PATRICIA PETER MS. SYLVIA BROWN HCP-C 124 FIRST AVENUE SOUTH MAZEPPA, MN 55956 PHONE: 507/250-6021 (25543) FAX: /- MS. HELEN PETER NProf GREEN PRAIRIE PLACE HCP-A HWS 810 SECOND AVENUE NORTHWEST PLAINVIEW, MN 55964 PHONE: 507/534-4204 (20292) FAX: MS. PAULA LEWIS 507/534-2778 Church ST ISIDORE HLTH CTR OF GRWD PR NH-53 SNF-NF-53 800 SECOND AVENUE NORTHWEST PLAINVIEW, MN 55964 PHONE: 507/534-3191 (00672) FAX: 507/534-2778 MS. PAULA LEWIS ESRD NProf MAYO DIALYSIS WABASHA 1200 FIFTH GRANT BOULEVARD WABASHA, MN 55981 PHONE: 651/565-4598 (02756) FAX: /- MR. BRIAN SCHNIEPP NProf ST ELIZABETH HOME HEALTH CARE HHA HCP-A 1200 GRANT BLVD WEST WABASHA, MN 55981 PHONE: 651/565-5577 (03474) FAX: 651/565-5630 MR. JAMES ROOT HWSAL Church ST ELIZABETH HOSPITAL OF WABAS 1200 FIFTH GRANT BLVD WEST WABASHA, MN 55981 PHONE: 651/565-4531 (20255) FAX: 651/565-2482 Church ST ELIZABETHS MEDICAL CENTER MR. THOMAS CROWLEY NH-100 BASS-4 HOSP-31 SNF-NF-100 CAH-25 1200 GRANT BOULEVARD WEST WABASHA, MN 55981 PHONE: 651/565-4531 (00675) FAX: 651/565-2482 MR. TOM CROWLEY ---------------------------********** City GREEN PINE ACRES NURSING HOME WADENA NH-65 SNF-NF-65 427 MAIN STREET NORTHEAST MENAHGA, MN 56464 PHONE: 218/564-4101 (00678) FAX: 218/564-5309 ******** -------------------------- MS. CLAIR ERICKSON Minnesota Department of Health Division of Compliance Monitoring Page 402 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** City MENAGHA HOME HEALTH Certification WADENA Registration (Cont.)* -------------------------- HCP-F 427 MAIN STREET NE PO BOX 130 (03629) MENAHGA, MN 56464 PHONE: 218/564-4101 FAX: MS. CLAIR ERICKSON 218/564-4101 Ind ROSE HAVEN HCP-F 37 6TH STREET SE MENAHGA, MN 56464 PHONE: 218/564-4268 (29269) FAX: MS. MARIE HENDRICKSON 218/564-5449 HWSAL Ind ROSE HAVEN 37 6TH STREET SOUTHEAST MENAHGA, MN 56464 PHONE: 218/564-4268 (29268) FAX: MR. RUSSELL HENDRICKSON 218/564-5449 HWSAL City WOOD SIDE MANOR 501 MAIN STREET NE MENAHGA, MN 56464 PHONE: 218/564-4101 (20240) FAX: MS. CLAIR ERICKSON 218/564-5309 Corp CARING HANDS HOME CARE HCP-A HHA 113 MINNESOTA AVE W PO BOX 19 SEBEKA, MN 56477 PHONE: 218/837-5572 (03311) FAX: MS. PATRICIA JOHNSON 218/837-6155 HWSAL Corp HERITAGE HOUSE OF SEBEKA 1005 WELLS AVENUE WEST SEBEKA, MN 56477 PHONE: 218/837-6406 (21152) FAX: MR. JAMES BIRCHEM /- RHC NProf SEBEKA MEDICAL CLINIC 102 MINNESOTA AVENUE EAST SEBEKA, MN 56477 PHONE: 218/837-5333 (03503) FAX: MS. MAUREEN IDEKER /- Corp AFFIRMATIONS HOME CARE HCP-A 1510 6TH STREET NORTHEAST STAPLES, MN 56479 PHONE: 218/894-1409 (28391) FAX: 218/894-0566 MS. SANDRA RADDOHL ESRD NProf CENTRACARE DIALYSIS LAKEWOOD 401 EAST PRAIRIE AVENUE STAPLES, MN 56479 PHONE: 320/240-7808 (22194) FAX: MR. STEVE LARAWAY /- RHC NProf LAKEWOOD CLINIC STAPLES 49725 COUNTY 83 STAPLES, MN 56479 PHONE: 218/894-1033 (21829) FAX: /- MR. TIM RICE Minnesota Department of Health Division of Compliance Monitoring Page 403 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf LAKEWOOD HEALTH SYSTEM Certification WADENA Registration (Cont.)* -------------------------- NH-100 SNF-NF-100 401 PRAIRIE AVENUE NE (00667) STAPLES, MN 56479 PHONE: 218/894-1515 FAX: NProf LAKEWOOD HEALTH SYSTEM HOSPICE MR. TIM RICE 218/894-8355 Hospice HSPICE 401 PRAIRIE AVENUE NE STAPLES, MN 56479 PHONE: 218/894-8080 (03591) FAX: NProf LAKEWOOD HLTH SYS HM C & HSPCE MR. TIM RICE 218/894-8099 HCP-A HHA 401 PRAIRIE AVENUE NE STAPLES, MN 56479 PHONE: 218/894-8080 (02198) FAX: Corp LAKEWOOD PINES SENIOR HOUSING MR. TIM RICE 218/894-8099 HCP-F HWS 1702 AIRPORT RD NW STAPLES, MN 56479 PHONE: 218/894-4460 (20936) FAX: NProf BELL HILL RECOVERY CENTER MS. BONNIE JOHNSON 218/894-4453 SLFA-20 ROUTE 2 PO BOX 206 WADENA, MN 56482 PHONE: 218/631-3610 (01546) FAX: Ind COMFORT CARE COTTAGES MR. ROSS OLSON 218/631-3917 HCP-F HWSAL 1232 JEFFERSON STREET SOUTH WADENA, MN 56482 PHONE: 218/631-4873 (20221) FAX: MR. ADRIAN ERICKSON 218/632-5924 HWS Corp FAIR OAKS APARTMENTS 131 SHADY LANE DRIVE WADENA, MN 56482 PHONE: 218/631-1163 (20222) FAX: ONProf FAIR OAKS LODGE MS. ROBERTA CLINE 218/631-1528 NH-75 SNF-NF-75 201 SHADY LANE DRIVE WADENA, MN 56482 PHONE: 218/631-1391 (00679) FAX: ONProf LEGACY HOME HEALTH AND HOSPICE MS. RICHARD BLANCHARD 218/632-5028 Hospice HSPICE 201 SHADY LANE DRIVE WADENA, MN 56482 PHONE: 218/631-7480 (03306) FAX: ONProf LEGACY HOME HEALTH AND HOSPICE MR. DAN PETERSON 218/631-7588 HCP-A HHA 201 SHADY LANE DRIVE WADENA, MN 56482 PHONE: 218/631-7480 (02415) FAX: 218/631-7588 MS. AUSTIN BLILIE Minnesota Department of Health Division of Compliance Monitoring Page 404 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** ONProf LSS OF WADENA LLC Certification WADENA Registration (Cont.)* -------------------------- HCP-A 201 SHADY LANE DRIVE (03632) WADENA, MN 56482 PHONE: 218/631-1391 FAX: MS. ROBERTA CLINE 218/632-5028 HWS ONProf LSS OF WADENA LLC 201 SHADY LANE DRIVE WADENA, MN 56482 PHONE: 218/631-1163 (23513) FAX: MS. ROBERTA CLINE 218/631-1528 State MN SPECIALTY HEALTH SYSTEM SLFB-16 240 SHADY LANE DR PO BOX 430 WADENA, MN 56482 PHONE: 218/319-6001 (23896) FAX: MS. PAULA HALVERSON 218/632-6583 Corp OAKRIDGE HOMES OF WADENA SLFB-16 ICFMR-16 739 SUNNYBROOK ROAD WADENA, MN 56482 PHONE: 218/631-4133 (01474) FAX: MS. SHELLI FARONE 218/631-4134 NProf TRI COUNTY HOSPITAL BASS-6 HOSP-49 CAH-25 415 JEFFERSON STREET NORTH WADENA, MN 56482 PHONE: 218/631-7489 (00680) FAX: MR. DENNIS MILEY 218/631-7503 RHC NProf WADENA MEDICAL CENTER 4 NORTHWEST DEERWOOD AVENUE WADENA, MN 56482 PHONE: 218/631-1100 (27822) FAX: MR. JOEL BEISWENGER /- ---------------------------********** City JANESVILLE NURSING HOME WASECA ******** -------------------------- NH-45 SNF-NF-45 102 EAST NORTH STREET JANESVILLE, MN 56048 PHONE: 507/231-5113 (00681) FAX: NProf ECUMEN NEW RICHLAND MR. R. PETER MADEL III 507/231-6310 HCP-F HWSAL 113 FIRST STREET SOUTHWEST NEW RICHLAND, MN 56072 PHONE: 507/463-3565 (20378) FAX: City NEW RICHLAND CARE CTR MS. AMANDA BEAVENS 507/463-3197 NH-50 SNF-NF-50 312 1ST STREET NE P O BOX 477 NEW RICHLAND, MN 56072 PHONE: 507/465-3292 (00748) FAX: 507/465-3403 MS. LYN SEBENALER Minnesota Department of Health Division of Compliance Monitoring Page 405 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp COLONY COURT Certification WASECA Registration (Cont.)* -------------------------- 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 MEMORY CARE & CAR 500 22ND AVENUE NORTHWEST WASECA, MN 56093 PHONE: 507/835-8227 (28411) FAX: Corp LAKE SHORE INN NURSING HOME MR. ERIC WORKE 507/835-5734 NH-65 SNF-NF-65 108 8TH STREET NORTHWEST WASECA, MN 56093 PHONE: 507/835-2800 (00682) FAX: Lim-Liab LATHAM PLACE MR. MICHAEL CORCHRAN 507/833-1391 HCP-F HWSAL 105 NORTHWEST 8TH STREET WASECA, MN 56093 PHONE: 507/833-0903 (23728) FAX: NProf MAYO CLINIC HEALTH SYS WASECA MR. MICHAEL CORCHRAN 507/833-1391 HOSP-35 CAH-25 501 NORTH STATE STREET WASECA, MN 56093 PHONE: 507/781-8256 (00908) FAX: Cnty WASECA COUNTY PUBLIC HEALTH SE MR. JEFFREY CARLSON 507/781-8945 HCP-A 299 JOHNSON AVENUE SW WASECA, MN 56093 PHONE: 507/835-0685 (02934) FAX: MS. CHERYL LEWER 507/835-0687 ---------------------------********** WASHINGTON ******** -------------------------HWS Lim-Liab AFTON CARE 13115 50TH STREET SOUTH AFTON, MN 55001 PHONE: 651/436-4047 (27467) FAX: Lim-Liab AFTON CARE ST CROIX MS. JENNIFER BURTON 651/436-4048 HCP-F 15890 31ST STREET SOUTH AFTON, MN 55001 PHONE: 651/436-8757 (27465) FAX: 651/436-1159 MS. JENNIFER BURTON HWS Lim-Liab AFTON CARE ST CROIX 15890 31ST STREET SOUTH AFTON, MN 55001 PHONE: 651/436-8757 (27466) FAX: 651/436-1159 MS. JENNIFER BURTON Minnesota Department of Health Division of Compliance Monitoring Page 406 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification WASHINGTON (Cont.)* -------------------------HWSAL NProf CROIXDALE Registration 750 HIGHWAY 95 NORTH (00686) BAYPORT, MN 55003 PHONE: 651/275-4800 FAX: MS. RENE ROESER 651/275-4801 NProf CROIXDALE HCP-F 750 HIGHWAY 95 NORTH BAYPORT, MN 55003 PHONE: 651/275-4800 (28164) FAX: MS. NATALIE MORLAND 651/275-4801 HWS Lim-Liab BETTY'S HOME 7882 JORGENSEN AVENUE COTTAGE GROVE, MN 55016 PHONE: 651/458-0343 (27491) FAX: MR. ALFREDO LAUS 651/458-0343 Lim-Liab BETTYS HOME HCP-F 7882 JORGENSEN AVENUE COTTAGE GROVE, MN 55016 PHONE: 651/458-0343 (27490) FAX: MR. ALFREDO LAUS 651/459-2182 ESRD Corp COTTAGE GROVE DIALYSIS 8800 E POINT DOUGLAS RD #100 COTTAGE GROVE, MN 55016 PHONE: 612/347-3431 (24580) FAX: MS. DENISE TURNBULL /- Lim-Liab COTTAGE GROVE WHITE PINE HCP-F HWSAL 6900 EAST POINT DOUGLAS ROAD S COTTAGE GROVE, MN 55016 PHONE: 651/458-9455 (26133) FAX: MS. RHONDA SCHILLINGER 651/458-9457 Lim-Liab COTTAGE GROVE WP II LLC HCP-F HWSAL 6950 EAST POINT DOUGLAS ROAD S COTTAGE GROVE, MN 55016 PHONE: 651/459-2870 (27918) FAX: MS. RHONDA SCHILLINGER 651/459-2891 Lim-Liab ICARE HEALTH PRO LLC HCP-A 8458 IVYWOOD AVE. S. COTTAGE GROVE, MN 55016 PHONE: 651/459-1219 (28228) FAX: MS. ZAIDA LUMIBAO /- Corp INSPIRED CARE SERVICES HCP-A 6620 WILDFLOWER DR S COTTAGE GROVE, MN 55016 PHONE: 651/210-7023 (28480) FAX: MS. DYNESE DIGGS /- Lim-Liab LOVING CARE COTTAGE LLC HCP-F HWSAL 7740 HADLEY AVENUE COTTAGE GROVE, MN 55016 PHONE: 651/459-2779 (22037) FAX: 651/458-0916 MS. HEIDI CUNNINGHAM Minnesota Department of Health Division of Compliance Monitoring Page 407 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification WASHINGTON (Cont.)* -------------------------HWSAL NProf NORRIS SQUARE Registration 8200 HADLEY AVENUE SOUTH (25676) COTTAGE GROVE, MN 55016 PHONE: 651/769-6602 FAX: MR. DAN STRITTMATER 651/769-6601 NProf NORRIS SQUARE HCP-F 8200 HADLEY AVENUE SOUTH COTTAGE GROVE, MN 55016 PHONE: 651/769-6600 (27946) FAX: MS. NATALIE MORLAND 651/769-6601 HWSAL Corp TRIPLE ANGELS HEALTHCARE 7957 80TH STREET S COTTAGE GROVE, MN 55016 PHONE: 651/458-9401 (25286) FAX: MS. ADENIKE OGUNRINDE /- Corp TRIPLE ANGELS HEALTHCARE CO HCP-F 7957 80TH STREET S COTTAGE GROVE, MN 55016 PHONE: 651/458-9401 (25202) FAX: MS. ADENIKE AGUNRINDE 651/458-9402 NProf BIRCHWOOD ARBORS HCP-F HWSAL 750 NORTHEAST FIRST STREET FOREST LAKE, MN 55025 PHONE: 651/466-1000 (21920) FAX: MS. DIANE WILLETTE 651/466-1100 NProf BIRCHWOOD HEALTH CARE CENTER NH-110 SNF-NF-110 604 NORTHEAST FIRST STREET FOREST LAKE, MN 55025 PHONE: 651/464-5600 (00853) FAX: MS. DIANE WILLETTE 651/464-0992 Lim-Liab ELDER HAVEN HOMES LLC HCP-F HWSAL 367 SOUTHWEST 4TH STREET FOREST LAKE, MN 55025 PHONE: 651/464-0899 (21186) FAX: MS. BRENDA WARD 651/464-3861 ESRD Corp FOREST LAKE DIALYSIS 1068 SOUTH LAKE STREET #110 FOREST LAKE, MN 55025 PHONE: 651/982-9212 (03759) FAX: MS. DIANA SKOOG /- Corp FOREST LAKE HOMECARE HCP-A 19830 FOREST ROAD NORTH #105 FOREST LAKE, MN 55025 PHONE: 651/272-5195 (29001) FAX: Lim-Liab LIFES ALTERNATIVES HOME CARE L MR. PAUL KREGER 651/395-2934 HCP-A 8503 178TH LANE FOREST LAKE, MN 55025 PHONE: 651/464-6167 (25121) FAX: 651/464-6998 MS. COLLEEN ORDE Minnesota Department of Health Division of Compliance Monitoring Page 408 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification WASHINGTON (Cont.)* -------------------------Out Pt Lim-Liab OTTOMEYER CLINICS PLLC Registration 967 SOUTH LAKE STREET (23901) FOREST LAKE, MN 55025 PHONE: 651/464-1113 FAX: DR. RICHARD HASTINGS 651/464-0853 Corp WINDY ACRES ASSISTED LVNG INC HWSAL HCP-F 7040 LAKE BOULEVARD FOREST LAKE, MN 55025 PHONE: 651/464-8337 (20401) FAX: MR. GARY LANKEY 651/464-8340 Lim-Liab HUGO GW LLC HCP-F HWSAL 5607 NORTH 150TH STREET HUGO, MN 55038 PHONE: 651/653-3282 (23369) FAX: MS. RHONDA SCHILLINGER 651/407-5173 Corp ACTI-KARE RESPONSIVE IN-HOME C HCP-A 2923 JONQUIL TRAIL NORTH LAKE ELMO, MN 55042 PHONE: 651/493-1251 (28758) FAX: MS. JILL PATERSON /- Corp ALWAYS BEST CARE OF ST CROIX HCP-B 2461 MENDEL AVENUE NORTH LAKE ELMO, MN 55042 PHONE: 651/485-5382 (28142) FAX: Lim-Liab BRIGHTSTAR OF ST CROIX VALLEY MS. LAURIE CHERRY 651/777-3614 HCP-A 8951 HIGHWAY 5 LAKE ELMO, MN 55042 PHONE: 651/234-0044 (27924) FAX: Lim-Liab HIGH POINTE SURGERY CENTER MS. SINI STJERNSWARD ROSS 651/234-0046 Outpt Surg Amb Surg 8650 HUDSON BLVD STE 235 LAKE ELMO, MN 55042 PHONE: 651/702-7400 (00028) FAX: Part WILLOW HAVEN MS. TRACI ALBERS 651/702-7414 SLFA-13 3819 LAVERNE AVE NO PO BOX 258 LAKE ELMO, MN 55042 PHONE: 651/770-2224 (01523) FAX: MS. TRACY KLEIN 651/773-6501 HWSAL Corp SCENIC HILLS ALTERNATIVE CARE 1990 QUEENS AVENUE LAKE ST CROIX BEACH, MN 55043 PHONE: 651/735-7259 (26943) FAX: Lim-Liab COVENTRY SENIOR LIVING MS. EYDIE SHYPULSKI 651/730-1667 HCP-F 720 MAHTOMEDI AVENUE MAHTOMEDI, MN 55115 PHONE: 651/528-8442 (28352) FAX: 651/756-8240 MS. LUCY BOXRUD Minnesota Department of Health Division of Compliance Monitoring Page 409 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification WASHINGTON (Cont.)* -------------------------HWSAL Lim-Liab COVENTRY SENIOR LIVING Registration 720 MAHTOMEDI AVENUE (28353) MAHTOMEDI, MN 55115 PHONE: 651/528-8442 FAX: Lim-Liab NEW PERSPECTIVE MAHTOMEDI MR. DALE ARMITAGE 651/756-8240 HWS HCP-F 113 EAST AVENUE MAHTOMEDI, MN 55115 PHONE: 651/407-9076 (20050) FAX: MR. TODD NOVACZYK 651/653-9747 HWS Lim-Liab NEW PERSPECTIVE MAHTOMEDI LLC 111 EAST AVENUE MAHTOMEDI, MN 55115 PHONE: 651/407-9076 (20051) FAX: MR. RYAN NOVACYZK 651/653-9747 HWSAL NProf ST ANDREWS VILLAGE 240 EAST AVENUE MAHTOMEDI, MN 55115 PHONE: 651/762-4100 (21177) FAX: NProf PHOENIX AT NEWPORT MS. JAN PALMER 651/762-4135 SLFB-6 ICFMR-6 351 14TH STREET NEWPORT, MN 55055 PHONE: 651/227-7655 (23519) FAX: Corp APOLLO HOMES INC MS. DARLENE SCOTT 651/227-6847 HCP-A 5871 OXBORO AVENUE NORTH OAK PARK HEIGHTS, MN 55082 PHONE: 651/351-0474 (23984) FAX: MS. JILL MARKOE 651/351-0228 HWSAL NProf BOUTWELLS LANDING 5610 NORWICH PARKWAY OAK PARK HEIGHTS, MN 55082 PHONE: 651/275-5000 (21362) FAX: NProf BOUTWELLS LANDING MR. GREG CARLSON 651/275-5005 HCP-F 5600 NORWICH PARKWAY OAK PARK HEIGHTS, MN 55082 PHONE: 651/275-5000 (28193) FAX: Lim-Liab GABLES OF BOUTWELLS LANDING MS. NATALIE MORLAND 651/275-5005 NH-108 SNF-NF-108 13575 58TH STREET OAK PARK HEIGHTS, MN 55082 PHONE: 651/430-7200 (25613) FAX: Lim-Liab OAK PARK SENIOR LIVING MS. LAURA COGNETTA 651/430-7201 HCP-F 13936 LOWER 59TH STREET N OAK PARK HEIGHTS, MN 55082 PHONE: 651/454-4801 (28226) FAX: 651/454-4783 MS. SARA MILLIGAN Minnesota Department of Health Division of Compliance Monitoring Page 410 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification WASHINGTON (Cont.)* -------------------------HWSAL Lim-Liab OAK PARK SENIOR LIVING Registration 13936 LOWER 59TH STREET N (28227) OAK PARK HEIGHTS, MN 55082 PHONE: 651/454-4801 FAX: MS. SARAH MILLIGAN 651/454-4783 Corp OAK RIDGE PLACE HCP-F HWSAL 6060 OXBORO AVENUE NORTH OAK PARK HEIGHTS, MN 55082 PHONE: 651/439-8034 (20599) FAX: MR. WILLIAM HENDERSON 651/439-8305 HWSAL-O Lim-Liab OXBORO HOME 5883 OXBORO AVENUE NORTH OAK PARK HEIGHTS, MN 55082 PHONE: 651/983-1651 (27921) FAX: MS. IRENE PREGL /- HWS-O Lim-Liab OXBORO HOME 5881 OXBORO AVENUE NORTH OAK PARK HEIGHTS, MN 55082 PHONE: 651/342-0538 (28282) FAX: MS. IRENE PREGL 651/342-0548 NProf HEALTHEAST PILLARS RES-HSPICE-8 18-HOSPICE-8 6025 UPPER 35TH STREET OAKDALE, MN 55128 PHONE: 651/748-0330 (04309) FAX: MS. BETH SPOTTISWOODE 651/777-3324 HWSAL NProf OAK MEADOWS 8131 FOURTH STREET NORTH OAKDALE, MN 55128 PHONE: 651/578-0676 (20462) FAX: MS. CONNIE DOW 651/578-1431 Corp SCENIC HILLS ALTERNATIVE CARE HCP-F 6230 10TH ST STE 330 OAKDALE, MN 55128 PHONE: 651/735-7259 (26210) FAX: MS. BRIDGET ESSLING LOCKBAUM 651/730-1667 Lim-Liab ST CROIX HOSPICE Hospice HSPICE 7200 HUDSON BOULEVARD STE 100 OAKDALE, MN 55128 PHONE: 651/735-3656 (26361) FAX: MS. TAMARA TASCHNER 651/735-0126 Home Mgmt Ind TERESA SOTO HOME CARE SENIORS 2084 HOMESTEAD AVENUE NORTH OAKDALE, MN 55128 PHONE: 612/817-4577 (28817) FAX: MS. TERESA SOTO /- Ind NANCY ISCHER HCP-C 7860 64TH STREET PINE SPRINGS, MN 55115 PHONE: 651/779-8334 (24132) FAX: /- MS. NANCY ISCHER Minnesota Department of Health Division of Compliance Monitoring Page 411 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp FOREVER CARES INC Certification WASHINGTON Registration (Cont.)* -------------------------- HCP-B 21859 OLDFIELD AVE PO BOX 267 (28631) SCANDIA, MN 55073 PHONE: 651/983-3047 FAX: MS. BETTY JANU 651/433-3052 Lim-Liab REBECCAS RESIDENCE SLFA-10 21077 PENROSE AVENUE NORTH SCANDIA, MN 55073 PHONE: 651/433-5839 (22017) FAX: MS. JANET HAVEN-HALL 651/433-5921 HWSAL Corp SCANDIA ELDERCARE 13640 205TH STREET NORTH SCANDIA, MN 55073 PHONE: 651/433-5705 (28561) FAX: MS. DIANE THOM 651/433-4731 Corp SCANDIA ELDERCARE HCP-F 13640 205TH STREET NORTH SCANDIA, MN 55073 PHONE: 651/433-5705 (28560) FAX: MS. DIANE THOM 651/433-4731 Ind ALTERNATIVE HOME CARE SOLUTION HCP-A 1648 DIXON DRIVE ST PAUL PARK, MN 55071 PHONE: 651/214-2044 (26667) FAX: MS. FRANCES ZOGAA /- Corp REM MN COMM SVS INC PARK PLACE SLFA-6 ICFMR-6 901 2ND STREET ST PAUL PARK, MN 55071 PHONE: 651/644-7680 (01125) FAX: MS. CONNIE MENNE 651/644-6777 HWS Ind THE MILTON HOME 1305 6TH STREET ST PAUL PARK, MN 55071 PHONE: 651/769-2286 (29100) FAX: MS. MARY MILTON /- Lim-Liab ASSOCIATED EYE CARE AMB SURG Outpt Surg Amb Surg 2950 CURVE CREST BOULEVARD STILLWATER, MN 55082 PHONE: 651/275-3002 (23898) FAX: MR. MARK FISHER 651/275-3027 Lim-Liab CEDAR RIDGE SLFA-25 SLFB-9 11400 JULIANNE AVENUE NORTH STILLWATER, MN 55082 PHONE: 651/426-3300 (01660) FAX: 651/426-0149 MR. DEAN GILBERTSON Out Pt Out St Out Ot NProf COURAGE ST CROIX 1460 CURVE CREST BOULEVARD STILLWATER, MN 55082 PHONE: 651/439-8283 (02471) FAX: /- MR. PETER POLGA Minnesota Department of Health Division of Compliance Monitoring Page 412 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab GOLDEN LIVINGCENTER GREELEY Certification WASHINGTON Registration (Cont.)* -------------------------- NH-70 SNF-NF-70 313 SOUTH GREELEY STREET (00947) STILLWATER, MN 55082 PHONE: 651/439-5775 FAX: Lim-Liab GOLDEN LIVINGCENTER LINDEN MS. MERILEE JOHNSON-INTERIM 651/439-1936 NH-67 SNF-NF-67 105 WEST LINDEN STREET STILLWATER, MN 55082 PHONE: 651/439-5004 (00948) FAX: NProf GOOD SAM SOCIETY STILLWATER MS. MERILEE JOHNSON-INTERIM 651/430-2127 NH-99 SNF-NF-99 1119 OWENS STREET NORTH STILLWATER, MN 55082 PHONE: 651/439-7180 (00903) FAX: MR. NATHAN PEARSON 651/439-4502 HWS NProf GREENBRIER APARTMENTS - CANVAS 14847 60TH STREET N STILLWATER, MN 55082 PHONE: 651/430-8820 (28536) FAX: MR. MARK KUPPE 651/430-8430 HWS NProf GREENBRIER APARTMENTS CANVAS T 14843 60TH STREET NORTH STILLWATER, MN 55082 PHONE: 651/439-7812 (28554) FAX: MR. MARK KUPPE 651/430-8430 HWS-O NProf HOME FREE 6450 PANAMA AVENUE STILLWATER, MN 55082 PHONE: 651/777-5222 (23909) FAX: Lim-Liab KING OF KINGS HOME HEALTH CARE MR. JOHN SAVEREIDE 651/251-5111 HCP-A 200 SOUTH 3RD ST STE 200 STILLWATER, MN 55082 PHONE: 651/329-4047 (28272) FAX: NProf LAKEVIEW HOMECARE MRS. NICOLE MCKEE 651/351-0503 HCP-A HHA 1715 TOWER DRIVE WEST STE 330 STILLWATER, MN 55082 PHONE: 651/430-3320 (03154) FAX: NProf LAKEVIEW HOMECARE AND HOSPICE MRS. STEPHANIE LARSON 651/430-8505 HCP-F 1715 TOWER DRIVE W STE 330 STILLWATER, MN 55082 PHONE: 651/430-3320 (21236) FAX: NProf LAKEVIEW HOSPICE MS. STEPHANIE LARSON 651/430-8505 Hospice HSPICE 1715 TOWER DRIVE WEST STE 330 STILLWATER, MN 55082 PHONE: 651/430-3320 (03223) FAX: 651/430-8505 MS. BRUNY FULLERTON Minnesota Department of Health Division of Compliance Monitoring Page 413 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf LAKEVIEW MEMORIAL HOSPITAL Certification WASHINGTON Registration (Cont.)* -------------------------- BASS-15 HOSP-97 HOSP-97 927 WEST CHURCHILL STREET (00689) STILLWATER, MN 55082 PHONE: 651/430-4648 FAX: MR. CURT GEISSLER 651/430-4512 Corp ONTRACK HOME CARE INC HCP-A 13955 NORTH 26TH STREET STILLWATER, MN 55082 PHONE: 651/439-3790 (27846) FAX: MS. RUTH MONZEL 651/439-3790 Corp PROJECT CARING RES ASSTD LVG HCP-F HWSAL 14410 21ST STREET NORTH STILLWATER, MN 55082 PHONE: 651/485-0860 (26164) FAX: MS. JACQUELINE FITZGERALD 651/436-7545 Corp REM MN COMM SVS INC NORTHBROOK SLFA-6 ICFMR-6 5224 NORTHBROOK BLVD NORTH STILLWATER, MN 55082 PHONE: 651/644-7680 (01131) FAX: MS. CONNIE MENNE 651/644-6777 ESRD Corp RIVER CITY DIALYSIS 1970 NORTHWESTERN AVENUE NORTH STILLWATER, MN 55082 PHONE: 651/430-0067 (02843) FAX: MS. TRISHA RHOADS 651/430-0140 Lim-Liab A&A RELIABLE HOME HEALTH CARE HCP-A 1388 INTERLACHEN CIRCLE WOODBURY, MN 55125 PHONE: 651/470-0845 (29141) FAX: MR. ABRAHAM DALU /- HWSAL Corp AKASHA INC 3592 RAE LANE WOODBURY, MN 55125 PHONE: 912/968-8078 (28671) FAX: MS. MARIA PETERSON /- Corp AKASHA INC HCP-A 3592 RAE LANE WOODBURY, MN 55125 PHONE: 612/968-8078 (28669) FAX: MS. MARIA PETERSON /- HWSAL Corp AKASHA INC 3566 RAE LANE WOODBURY, MN 55125 PHONE: 612/968-8078 (28670) FAX: MS. MARIA PETERSON /- Corp BANGEM HOME HEALTH HCP-A 8593 SAVANNA OAKS LANE WOODBURY, MN 55125 PHONE: 651/731-9970 (24183) FAX: 651/730-1664 MR. WILSON EKINDE Minnesota Department of Health Division of Compliance Monitoring Page 414 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp COLBY LAKE CARE HOME INC Certification WASHINGTON Registration (Cont.)* -------------------------- HCP-F HWS 9377 NEWCASTLE ROAD (26643) WOODBURY, MN 55125 PHONE: 651/230-5088 FAX: Lim-Liab COMFORT KEEPERS MS. VIJWANTIE SIRJU 651/731-7814 HCP-A 8362 TAMARACK VILLAGE #119-230 WOODBURY, MN 55125 PHONE: 651/779-7740 (22026) FAX: Corp COMMUNITY LIVING OPTIONS INC MS. JAN LEVINE 651/779-0098 HCP-F HWSAL 6617 STRATFORD ROAD WOODBURY, MN 55125 PHONE: 763/856-4866 (28270) FAX: Lim-Liab FAITH HOME CARE LLC MR. JEFF FELTZ 763/856-5732 HCP-F HWS 10910 THORNE RIDGE WOODBURY, MN 55129 PHONE: 651/436-5452 (26620) FAX: Lim-Liab GOLDEN NEST LLC MS. MARCIA ROBERTS 651/436-2412 HCP-F 2769 EAGLE VALLEY DRIVE WOODBURY, MN 55129 PHONE: 651/755-2836 (23665) FAX: NProf HEALTHEAST WOODWINDS HOSPITAL MR. HONGJOO LEE 612/861-7509 BASS-20 HOSP-86 HOSP-86 1925 WOODWINDS DRIVE WOODBURY, MN 55125 PHONE: 651/232-6880 (04278) FAX: HOMETOWN SENIOR LIVING WEDGEWO MR. THOMAS SCHMITT 651/232-6888 HWSAL Corp 3610 MOUNT VERNON COURT WOODBURY, MN 55129 PHONE: 651/714-7099 (28204) FAX: Corp HOMETOWN SENIOR LIVING-BELMONT MS. MARY HENDRICKS 651/714-7188 HCP-F HWSAL 1265 BELMONT DRIVE WOODBURY, MN 55125 PHONE: 651/207-5999 (26862) FAX: Ind HONG FU HOME HEALTH CARE MS. MARY HENDRICKS 651/207-5917 HCP-A 10164 WATERFRONT DR WOODBURY, MN 55129 PHONE: 651/578-7851 (29181) FAX: Part MIDWEST SURGERY CENTER MR. ZHIYING YU 651/730-2064 Outpt Surg Amb Surg 2080 WOODWINDS DRIVE STE 200 WOODBURY, MN 55125 PHONE: 651/642-9199 (21791) FAX: 651/642-9837 MR. H. JOSEPH DRANNEN Minnesota Department of Health Division of Compliance Monitoring Page 415 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab MINNESOTA AT HOME HEALTHCARE Certification WASHINGTON Registration (Cont.)* -------------------------- HCP-A 253 PENDRYN HILL CIRCLE (28630) WOODBURY, MN 55125 PHONE: 651/330-1970 FAX: MS. KEISHA PERRENOUD 651/330-1970 Corp MZW INC HCP-A 2914 MEADOW BROOK BAY WOODBURY, MN 55125 PHONE: 651/340-1505 (29002) FAX: MR. CHARLES WHITE /- Out Pt Out St Out Ot Corp NOVA CARE OUTPATIENT REHAB DIV 1000 RADIO DRIVE STE 110 WOODBURY, MN 55125 PHONE: 651/702-0555 (02793) FAX: MR. THOMAS COPLIN /- Lim-Liab PLATINUM HOMECARE LLC HCP-A 1976 WOODDALE DRIVE SUITE 2C WOODBURY, MN 55125 PHONE: 651/294-0051 (27009) FAX: Lim-Liab PRELUDE HOME & SERVICES LLC MS. CAROL TONER 651/294-3668 HCP-F HWSAL 10020 RALEIGH ROAD WOODBURY, MN 55129 PHONE: 651/501-6513 (27917) FAX: Lim-Liab SAGEWOOD LLC MS. JANELLE JOHNSON 651/501-6600 HCP-F 6281 OAKWOOD ROAD WOODBURY, MN 55125 PHONE: 651/200-3082 (28374) FAX: MS. LISA ZUNIGA 651/200-3084 HWSAL Lim-Liab SAGEWOOD LLC 6281 OAKWOOD ROAD WOODBURY, MN 55125 PHONE: 651/200-3082 (28375) FAX: Corp SENIORS CARING COMPANIONS INC MS. JEANETTE ROMERO 651/200-3084 HCP-A 10246 GRAND OAKS TRAIL WOODBURY, MN 55129 PHONE: 651/770-2288 (23102) FAX: MS. PAULA CARTER 651/770-0222 HWSAL NProf STONECREST 8725 PROMENADE LANE WOODBURY, MN 55125 PHONE: 651/264-3200 (25310) FAX: NProf STONECREST MS. STACY CARLSRUD 651/264-3334 HCP-F 8725 PROMENADE LANE WOODBURY, MN 55125 PHONE: 651/264-3200 (27949) FAX: 651/264-3334 MS. NATALIE MORLAND Minnesota Department of Health Division of Compliance Monitoring Page 416 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp SYNERGY HOME CARE Certification WASHINGTON Registration (Cont.)* -------------------------- HCP-B 7616 CURRELL BLVD SUITE 200 (26376) WOODBURY, MN 55125 PHONE: 651/209-6360 FAX: 866/941-5649 Lim-Liab WICARE SERVICES MS. ANGELA NELSON HCP-A 2602 COPPER CLIFF TRAIL WOODBURY, MN 55125 PHONE: 651/738-4890 (26425) FAX: 651/735-3022 Corp WOODBURY AMBULATORY SURG CENTE MS. DOROTHY MICHORI Outpt Surg Amb Surg 8675 VALLEY CREEK RD STE 300 WOODBURY, MN 55125 PHONE: 651/241-3450 (20726) FAX: MS. BECKIE HINES 651/241-3453 ESRD Corp WOODBURY DIALYSIS 1850 - 3 WEIR DRIVE WOODBURY, MN 55125 PHONE: 651/730-4522 (03523) FAX: /- MS. COLLEEN LAPINSKI NProf WOODBURY ESTATES HCP-F 2825 WOODLANE DRIVE WOODBURY, MN 55125 PHONE: 651/714-1000 (21116) FAX: 651/714-1003 MR. JOEL ULLAND HWSAL Lim-Liab WOODBURY ESTATES 2825 WOODLANE DRIVE WOODBURY, MN 55125 PHONE: 651/714-1000 (20551) FAX: 651/714-1003 NProf WOODBURY HEALTH CARE CENTER MR. RICHARD MARTIN NH-182 SNF-NF-182 7012 LAKE ROAD WOODBURY, MN 55125 PHONE: 651/287-6506 (00803) FAX: 651/735-0075 NProf WOODBURY VILLA MR. GREG ANDERSON HCP-F HWSAL 7008 LAKE ROAD WOODBURY, MN 551252499 PHONE: 651/735-4000 (21870) FAX: 651/731-5585 Corp ZUMBRO HOUSE INC MR. DAVID JONES HCP-F 1103 WEIR DRIVE #100 WOODBURY, MN 55125 PHONE: 651/264-1003 (28733) FAX: 651/264-1002 ---------------------------********** MR. CHRISTOPHER ONKEN WATONWAN ******** -------------------------- Minnesota Department of Health Division of Compliance Monitoring Page 417 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Church LUTHER MEMORIAL HOME Certification WATONWAN Registration (Cont.)* -------------------------- NH-71 SNF-NF-71 221 SIXTH STREET SOUTHWEST (00695) MADELIA, MN 56062 PHONE: 507/642-3271 FAX: 507/642-8676 NProf MADELIA COMMUNITY HOSP HM CARE MS. DAWN CAMPBELL HCP-A HHA 121 DREW AVENUE SOUTHEAST MADELIA, MN 56062 PHONE: 507/642-3255 (02340) FAX: 507/642-3534 NProf MADELIA COMMUNITY HOSPITAL MS. CANDACE FENSKE BASS-7 HOSP-25 CAH-25 121 DREW AVENUE SOUTHEAST MADELIA, MN 56062 PHONE: 507/642-3255 (00696) FAX: Corp REM HEARTLAND INC MADELIA MS. CANDACE FENSKE 507/642-8516 SLFB-13 ICFMR-13 226 DREW AVENUE SOUTHEAST MADELIA, MN 56062 PHONE: 507/642-3153 (01455) FAX: 507/642-3260 NProf GOOD SAM SOCIETY BRANDT RIDGE MS. CONNIE MENNE HCP-F HWSAL 1102 - 2ND STREET SOUTH ST JAMES, MN 56081 PHONE: 507/375-6120 (25414) FAX: 507/375-5779 NProf GOOD SAM SOCIETY ST JAMES MR. TIM SWOBODA NH-55 SNF-NF-55 1000 SOUTH SECOND STREET ST JAMES, MN 56081 PHONE: 507/375-3286 (00697) FAX: 507/375-3288 NProf MAYO CLINIC HEALTH SYS ST JAME MR. TIMOTHY SWOBODA BASS-6 HOSP-25 CAH-25 1101 MOULTON & PARSONS DR ST JAMES, MN 56081 PHONE: 507/375-3261 (00698) FAX: 507/375-8605 MR. RYAN SMITH HWS NProf PRAIRIE VIEW CONGREGATE APARTM 1101 SECOND STREET SOUTH ST JAMES, MN 56081 PHONE: 507/375-5150 (21033) FAX: 507/375-3218 ---------------------------********** MR. TIM SWOBODA WILKIN HWSAL Corp PIONEER RETIREMENT COMMUNITY 521 OAK STREET BRECKENRIDGE, MN 56520 PHONE: 218/643-9572 (24441) FAX: 218/643-9573 ******** -------------------------- MR. JOHN RICHARDS Minnesota Department of Health Division of Compliance Monitoring Page 418 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: 218/643-9573 NProf RIVEREDGE HOSPICE ST FRANCIS MR. JOHN RICHARDS Hospice HSPICE 1110 HWY 75 NORTH SUITE A BRECKENRIDGE, MN 56520 PHONE: 218/643-2275 (02418) FAX: 218/643-2274 Church ST FRANCIS HEALTHCARE CAMPUS MS. TAMERA ALTHOFF BASS-8 HOSP-25 CAH-25 2400 ST FRANCIS DRIVE BRECKENRIDGE, MN 56520 PHONE: 218/643-3000 (00700) FAX: Church ST FRANCIS HOME MR. DAVID NELSON 218/643-0850 NH-120 SNF-NF-120 2400 ST FRANCIS DRIVE BRECKENRIDGE, MN 56520 PHONE: 218/643-3000 (00818) FAX: 218/643-0850 NProf ST FRANCIS HOME HEALTH CARE MR. DAVID NELSON HCP-A HHA 1110 HWY 75 NORTH SUITE A BRECKENRIDGE, MN 56520 PHONE: 218/643-2275 (02371) FAX: 218/643-2274 Corp TWIN TOWN VILLA MS. TAMERA ALTHOFF HCP-F HWSAL 615 DURUM DRIVE BRECKENRIDGE, MN 56520 PHONE: 218/643-9542 (24375) FAX: 218/643-9543 MR. DEAN BLOEMKE Home Mgmt Cnty WILKIN COUNTY PUBLIC HEALTH 300 5TH STREET SOUTH BRECKENRIDGE, MN 56520 PHONE: 218/643-7122 (24318) FAX: 218/643-7166 Corp KAYCEE'S HOME CARE INC MS. DEBRA JACOBS HCP-A 507 WEST MAIN AVENUE ROTHSAY, MN 56579 PHONE: 218/731-4062 (23373) FAX: 218/867-2733 MS. DOROTHY FIEDLER ---------------------------********** Part LEWISTON VILLA NURSING HOME WINONA NH-42 SNF-NF-42 505 EAST MAIN STREET LEWISTON, MN 55952 PHONE: 507/523-2123 (00964) FAX: 507/523-3699 ******** -------------------------- MS. JODI BARTON Minnesota Department of Health Division of Compliance Monitoring Page 419 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp SPELTZ ESTATES ASSIST LIV INC Certification WINONA Registration (Cont.)* -------------------------- HCP-F HWSAL 232 FREMONT ST S STE 11 (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 ST CHARLES, MN 55972 PHONE: 507/932-3283 (00942) FAX: MS. NICOLE BARCLAY 507/932-4756 Corp ST CHARLES ASSISTED LIVING IN HCP-F HWSAL 402 WEST FOURTH STREET ST CHARLES, MN 55972 PHONE: 507/932-4062 (21667) FAX: MR. LINUS SOPPA 507/932-3803 Lim-Liab KIND LLC HCP-A 210 CENTER ST SE UTICA, MN 55979 PHONE: 507/932-5923 (29203) FAX: MS. LYNETTE KERCE /- HWSAL NProf ADITH MILLER MANOR 885 MANKATO AVENUE WINONA, MN 55987 PHONE: 507/454-0179 (20147) FAX: MS. CHERYL KRAGE 507/457-4158 Corp BOURNE MEDICAL SERVICE HCP-A 163 WALNUT STREET WINONA, MN 55987 PHONE: 507/452-1313 (03683) FAX: MR. STEPHEN FLAD 507/454-5717 NProf CALLISTA COURT HCP-A HWSAL 1455 WEST BROADWAY WINONA, MN 55987 PHONE: 507/457-0280 (20549) FAX: MS. SUE WILBER 507/494-5117 ESRD NProf COMMUNITY MEM HOSP ESRD UNIT 855 MANKATO AVE WINONA, MN 55987 PHONE: 507/454-3650 (02111) FAX: MS. SARA GABRICK 507/964-2941 CMHC NProf HIAWATHA VALLEY MNTL HLTH CTR 111 RIVERFRONT PO BOX 619 WINONA, MN 55987 PHONE: 507/454-4341 (02773) FAX: MR. MICHAEL EMAN /- NProf HOME AND COMMUNITY OPTIONS INC SLFA-6 174 EDWARD STREET WINONA, MN 55987 PHONE: 507/452-1021 (01134) FAX: 507/452-1504 MS. SUZANNE HORSTMAN - ACTING Minnesota Department of Health Division of Compliance Monitoring Page 420 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: MS. MARY MILLER-HYLAND 507/457-4595 NProf MANOR LIVNG HC & WATKINS MANO HCP-F HWSAL 175 EAST WABASHA WINONA, MN 55987 PHONE: 507/494-7400 (20822) FAX: MS. CHERYL KRAGE 507/494-7490 Lim-Liab OPTIONS PLUS HOME CARE LLC HCP-A 1459 W 5TH ST WINONA, MN 55987 PHONE: 507/474-1509 (25827) FAX: MS. JENNI ZIMMERMAN 507/474-2509 Corp QUALITY LIVING HOME HEALTH CAR HCP-A 164 EAST 4TH STREET STE 4 WINONA, MN 55987 PHONE: 507/454-6800 (21081) FAX: MR. GARY POBLOCKI 507/454-6803 HWSAL NProf ROGER METZ MANOR 875 MANKATO AVENUE WINONA, MN 55987 PHONE: 507/452-7636 (20424) FAX: MS. CHERYL KRAGE 507/457-4158 Church SAINT ANNE EXTENDED HEALTHCARE NH-109 SNF-NF-109 1347 WEST BROADWAY WINONA, MN 55987 PHONE: 507/454-3621 (00955) FAX: MR. RAND GETTLER 507/452-2556 NProf SAUER HEALTH CARE NH-71 SNF-NF-71 1635 WEST SERVICE DRIVE WINONA, MN 55987 PHONE: 507/454-5540 (00705) FAX: MS. SARA BLAIR 507/454-1647 Corp STERLING HOUSE WINONA HCP-F HWSAL 835 EAST BELLEVIEW STREET WINONA, MN 55987 PHONE: 507/454-3090 (20328) FAX: MS. REBECCA SOBOLIK 507/454-5466 Lim-Liab SUGAR LOAF SENIOR LIVING HCP-F 765 MENARD ROAD WINONA, MN 55987 PHONE: 507/452-1277 (28895) FAX: MS. JEANNE JAECKELS /- HWSAL Lim-Liab SUGAR LOAF SENIOR LIVING 765 MENARD ROAD WINONA, MN 55987 PHONE: 507/452-1277 (28896) FAX: /- MS. JEANNE JAECKELS Minnesota Department of Health Division of Compliance Monitoring Page 421 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf WINONA AREA HOSPICE Certification WINONA Registration (Cont.)* -------------------------- Hospice HSPICE 175 EAST WABASHA STREET (02881) WINONA, MN 55987 PHONE: 507/457-4468 FAX: Cnty WINONA CO PUBLIC HLTH NRSG SER MS. MARY MILLER-HYLAND 507/457-4168 HHA HCP-A 202 WEST THIRD STREET WINONA, MN 55987 PHONE: 507/457-6500 (02065) FAX: NProf WINONA HEALTH HOME CARE MS. SUSAN BLAISDELL 507/457-9381 HCP-A HHA 175 EAST WABASHA STREET WINONA, MN 55987 PHONE: 507/457-4468 (02254) FAX: NProf WINONA HEALTH SERVICES MS. MARY MILLER-HYLAND 507/457-4168 BASS-14 HOSP-99 HOSP-88 PPS-P-11 855 MANKATO AVENUE WINONA, MN 55987 PHONE: 507/454-3650 (00701) FAX: MS. RACHEL SCHULTZ 507/457-4159 ---------------------------********** NProf ANNANDALE CARE CENTER WRIGHT ******** -------------------------SNF-NF-60 NH-60 500 PARK STREET EAST ANNANDALE, MN 55302 PHONE: 320/274-3737 (00951) FAX: MS. DEBRA REITMEIER 320/274-3631 HWSAL NProf CENTENNIAL VILLA 600 PARK STREET EAST ANNANDALE, MN 55302 PHONE: 320/274-5031 (20074) FAX: MS. DEBORAH FLYGARE 320/274-1330 HWSAL NProf CENTENNIAL VILLA ASSISTED LIVI 500 PARK STREET EAST ANNANDALE, MN 55302 PHONE: 320/274-5031 (25919) FAX: NProf CENTENNIAL VILLA ASSISTED LVN MS. DEBORAH FLYGARE 320/274-1330 HCP-F HWSAL 660 PARK STREET EAST ANNANDALE, MN 55302 PHONE: 320/274-5031 (20856) FAX: State COMM BEHAV HLTH HOSP ANNANDALE MS. DEB FLYGARE 320/274-1330 OTHER-16 HOSP-16 400 ANNANDALE BOULEVARD ANNANDALE, MN 55302 PHONE: 651/259-3850 (24145) FAX: 320/274-7018 MS. PAM BAJARI Minnesota Department of Health Division of Compliance Monitoring Page 422 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf BUFFALO HOSPITAL Certification WRIGHT Registration (Cont.)* -------------------------- BASS-18 HOSP-65 HOSP-65 303 CATLIN STREET (00860) BUFFALO, MN 55313 PHONE: 763/682-1212 FAX: MS. JENNIFER MYSTER 763/684-7910 NProf DCI DOUGLAS SLFB-6 ICFMR-6 303 DOUGLAS DRIVE BUFFALO, MN 55313 PHONE: 763/682-4588 (01179) FAX: MS. JULIE MANWORREN 763/682-9650 Out Pt Out St Corp EXCEL PHYSICAL THERAPY 300 CATLIN STREET BUFFALO, MN 55313 PHONE: 763/682-2202 (03893) FAX: MR. VIRGIL MICHAELIS /- ESRD Corp FMC DIALYSIS SERVICES BUFFALO 104 MARTY DRIVE BUFFALO, MN 55313 PHONE: 763/682-0211 (03717) FAX: MR. JOHN MARIETTI /- HWS Corp GRANDMAS PLACE PARK LANE 609 MONTROSE BLVD BUFFALO, MN 55313 PHONE: 763/560-2500 (28131) FAX: MR. RON HENDRICKSON 763/561-0159 Ind KIMBERLY HAGLUND HCP-C 672 BARTON AVENUE NW BUFFALO, MN 55313 PHONE: 612/616-5891 (25985) FAX: MS. KIMBERLY HAGLUND /- NProf LAKE RIDGE CARE CTR OF BUFFALO NH-62 SNF-NF-62 310 LAKE BOULEVARD BUFFALO, MN 55313 PHONE: 763/682-1434 (00714) FAX: NProf LAKE RIDGE MANOR MR. JASON NELSON 763/682-6419 HCP-F HWSAL 310 LAKE BOULEVARD SO BUFFALO, MN 55313 PHONE: 763/404-4617 (20186) FAX: NProf PARK TERRACE ASSTD LVG & MEM C MR. JASON NELSON 763/682-4464 HCP-F HWSAL 613 MONTROSE BOULEVARD BUFFALO, MN 55313 PHONE: 763/684-4866 (25448) FAX: Church PARK VIEW CARE CENTER MS. ANN DIRKS 763/682-6855 NH-124 SNF-NF-124 200 PARK LANE BUFFALO, MN 55313 PHONE: 763/682-1131 (00719) FAX: 763/684-1044 MS. ANN DIRKS Minnesota Department of Health Division of Compliance Monitoring Page 423 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp REM SO CENTRAL SERVS (BUFFALO) Certification WRIGHT Registration (Cont.)* -------------------------- 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 BUFFALO, MN 55313 PHONE: 612/702-9338 (25925) FAX: MS. STEPHANIE SALONEK /- HWSAL Lim-Liab SUNRISE ASSISTED LIVING OF BUF 201 FIRST STREET NORTHEAST BUFFALO, MN 55313 PHONE: 763/682-5489 (20395) FAX: MR. COREY TREMBATH 763/684-4809 HWSAL Lim-Liab SUNRISE COTTAGES OF BUFFALO 415-421 EIGHTH ST NORTHWEST BUFFALO, MN 55313 PHONE: 763/682-9366 (20123) FAX: MS. ANDREA KYLLONEN 763/682-6569 HWSAL Lim-Liab SUNRISE COTTAGES OF BUFFALO 407-413 EIGHTH ST NORTHWEST BUFFALO, MN 55313 PHONE: 763/682-9366 (20122) FAX: Corp SUNRISE COTTAGES OF BUFFALO MS. ANDREA KYLLONEN 763/682-6569 HCP-F 407 EIGHTH STREET NORTHWEST BUFFALO, MN 55313 PHONE: 763/682-9366 (26623) FAX: Corp SUNRISE OF BUFFALO MS. ANDREA KYLLONEN 763/682-6569 HCP-F 201 FIRST STREET NE BUFFALO, MN 55313 PHONE: 763/682-5489 (22360) FAX: ONProf BROOKRIDGE MS. ANNELIESE PETERSON 763/684-4809 HCP-F HWSAL 180 SUNSET AVENUE COKATO, MN 55321 PHONE: 320/286-3196 (20830) FAX: NProf COKATO MANOR MS. NANCY STRATMAN 320/286-3163 NH-56 SNF-NF-56 182 SUNSET AVENUE COKATO, MN 55321 PHONE: 320/286-2158 (00712) FAX: ONProf COKATO MANOR COMPANION CARE MS. NANCY STRATMAN 320/286-2031 HCP-A 600 THIRD STREET SE COKATO, MN 55321 PHONE: 320/286-3049 (26004) FAX: 320/286-2307 MS. NANCY STRATMAN Minnesota Department of Health Division of Compliance Monitoring Page 424 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** ONProf COKATO MANOR HOME HEALTH Certification WRIGHT Registration (Cont.)* -------------------------- HCP-A HHA 511 COKATO STREET NW (03746) COKATO, MN 55321 PHONE: 320/286-3049 FAX: MS. NANCY STRATMAN 320/286-2307 HWS ONProf EDGEWOOD GABLES 600 EAST THIRD STREET COKATO, MN 55321 PHONE: 320/286-3120 (20523) FAX: MS. NANCY STRATMAN 320/286-0043 HWSAL ONProf HERITAGE PLACE 182 SUNSET AVENUE COKATO, MN 55321 PHONE: 320/286-2158 (20343) FAX: MS. NANCY STRATMAN 320/286-2031 Part ASSISTED INDEPENDENCE LLP HCP-B 1220 NORTHWOOD DRIVE DELANO, MN 55328 PHONE: 763/300-1397 (28924) FAX: MS. CYNTHIA KOCINA /- Ind DEBRA L HADDEN HCP-C PO BOX 1012 DELANO, MN 55328 PHONE: 612/702-5995 (29278) FAX: MS. DEBRA HADDEN /- Lim-Liab GOLDEN LIVINGCENTER DELANO NH-54 SNF-NF-54 433 COUNTY ROAD 30 DELANO, MN 55328 PHONE: 763/972-2987 (00933) FAX: MR. ALEXANDER COLBORN 763/972-2457 Lim-Liab THE LEGACY OF DELANO HCP-F 1350 ST PETER AVENUE EAST DELANO, MN 55328 PHONE: 763/972-2333 (26590) FAX: MS. KELLI HALLSTROM 763/972-5900 HWSAL Lim-Liab THE LEGACY OF DELANO 1350 ST PETER AVENUE EAST DELANO, MN 55328 PHONE: 763/972-2333 (29189) FAX: MS. KELLI HALLSTROM 763/972-5900 NProf GOOD SAM SOCIETY HOWARD LAKE NH-38 SNF-NF-38 413 -13TH AVENUE HOWARD LAKE, MN 55349 PHONE: 320/543-3800 (00019) FAX: MS. LAURA RINDFLEISCH 320/543-2305 Ind NANCY J LOEBERTMANN HCP-C 1010 SHORELINE DRIVE HOWARD LAKE, MN 55349 PHONE: 320/543-3603 (25986) FAX: /- MS. NANCY LOEBERTMANN Minnesota Department of Health Division of Compliance Monitoring Page 425 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Corp SUGAR LAKE SUPPORTED LIVING SE Certification WRIGHT Registration (Cont.)* -------------------------- HCP-A 6523 117TH STREET NW (21604) MAPLE LAKE, MN 55358 PHONE: 320/963-7571 FAX: Dist NEW RIVER MEDICAL CENTER MR. MICHAEL HILGERT 320/963-7572 NH-89 BASS-12 HOSP-39 SNF-NF-89 CAH-25 PPS-R-10 1013 HART BOULEVARD MONTICELLO, MN 55362 PHONE: 763/293-2945 (00717) FAX: MS. MARY ELLEN WELLS 763/271-2299 HWSAL Church ST BENEDICTS SEN COM THE COURT 1301 EAST 7TH STREET MONTICELLO, MN 55362 PHONE: 763/295-4058 (20806) FAX: MS. SANDY HAGGERTY 763/295-5384 HWS Church ST BENEDICTS SR COMM VILLAGE 1305 EAST SEVENTH STREET MONTICELLO, MN 55362 PHONE: 763/295-4058 (22056) FAX: Corp THERES NO PLACE LIKE HOME INC MS. SANDY HAGGERTY 763/295-5384 HCP-B 4134 DEEGAN COURT SUITE 50 MONTICELLO, MN 55362 PHONE: 763/295-1140 (27517) FAX: Lim-Liab CARING HEARTS AT HOME LLC MR. JEFF DUNNIGAN 763/295-1141 HCP-A 2000 BALSAM LANE ROCKFORD, MN 55373 PHONE: 763/276-1316 (28793) FAX: Ind PEDIATRIC SPEECH & LANGUAGE MS. KATHLEEN TURNER 763/717-8614 HCP-A 7006 GREENWOOD CT ROCKFORD, MN 55373 PHONE: 612/961-8310 (25224) FAX: Lim-Liab PROVISIONAL HOME HEALTH LLC MS. AMY PEDERSON 612/234-4617 HCP-A 4110 MAPLE HURST DRIVE SOUTH ROCKFORD, MN 55373 PHONE: 763/575-7281 (28083) FAX: Lim-Liab ANNMAR HOME HELP LLC MS. KRISTINE CARR 763/575-7281 HCP-A 4981 LANSING AVENUE NE SAINT MICHAEL, MN 55376 PHONE: 763/954-0035 (29207) FAX: Lim-Liab SERENITY CHOICE HOMECARE MS. ANN WOJCIK 763/497-7985 HCP-A 33459 CSAH 19 SOUTH HAVEN, MN 55382 PHONE: 320/398-8335 (27648) FAX: 320/398-8335 MS. SARAH KNUTSON Minnesota Department of Health Division of Compliance Monitoring Page 426 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Lim-Liab THE LEGACY OF ST MICHAEL Certification WRIGHT Registration (Cont.)* -------------------------- HCP-F 4400 LANGE AVENUE NORTHEAST (27112) ST MICHAEL, MN 55376 PHONE: 763/497-0171 FAX: MR. RICK HUNTINGTON 763/497-7120 HWSAL Lim-Liab THE LEGACY OF ST MICHAEL 4400 LANGE AVENUE NORTHEAST ST MICHAEL, MN 55376 PHONE: 763/497-0171 (29185) FAX: Lim-Liab NEW BEGINNINGS AT WAVERLY LLC MR. RICK HUNTINGTON 763/497-7120 SLFA-40 109 NORTH SHORE DRIVE WAVERLY, MN 55390 PHONE: 763/658-5800 (01497) FAX: Ind SUNSHINE HOME CARE MR. CLELLAND GILCHRIST 763/658-4128 HCP-C 800 NORTH SHORE DRIVE WAVERLY, MN 55390 PHONE: 763/658-7045 (27013) FAX: MS. RENEE CHASE 763/658-7046 ---------------------------********** Corp REM CANBY SENIOR SERVICES YELLOW MEDICINE ******** -------------------------- HCP-F 125 - 1ST STREET EAST CANBY, MN 56220 PHONE: 507/223-5633 (21212) FAX: MR. PAT MASYGA 507/223-5659 HWS Corp REM SOUTHWEST SERVICES INC SUN 909 NORTH RING AVENUE CANBY, MN 56220 PHONE: 507/223-5633 (23757) FAX: MR. PAT MASYGA 507/223-5659 HWS Corp REM SOUTHWEST SERVICES INC SUN 913 NORTH RING AVENUE CANBY, MN 56220 PHONE: 507/223-5633 (23758) FAX: Corp REM SOUTHWEST SRVS CANBY A MR. PAT MASYGA 507/223-5659 SLFA-6 ICFMR-6 1201 HAARFAGER AVE N CANBY, MN 56220 PHONE: 507/223-7271 (01081) FAX: Corp REM SOUTHWEST SRVS CANBY B MR. PATRICK MASYGA 507/223-5659 SLFB-6 ICFMR-6 1205 HAARFAGER AVE N CANBY, MN 56220 PHONE: 507/223-7271 (01659) FAX: 507/223-5659 MR. PATRICK MASYGA Minnesota Department of Health Division of Compliance Monitoring Page 427 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** Certification YELLOW MEDICINE (Cont.)* -------------------------ESRD NProf SANFORD CANBY DIALYSIS UNIT Registration 112 ST OLAF AVENUE SOUTH (04244) CANBY, MN 56220 PHONE: 507/223-7277 FAX: MR. ROBERT SALMON 507/223-7465 NProf SANFORD CANBY MED CENTER HHA HCP-A 213 ST OLAF AVE N STE B CANBY, MN 56220 PHONE: 507/223-7277 (02240) FAX: MS. LORI SISK /- NProf SANFORD CANBY MEDICAL CENTER NH-68 BASS-4 HOSP-25 SNF-NF-68 CAH-25 112 ST OLAF AVENUE SOUTH CANBY, MN 56220 PHONE: 507/223-7277 (00722) FAX: MR. ROBERT SALMON 507/223-7430 NProf SANFORD CANBY MEDICAL CENTER HCP-F 112 ST OLAF AVENUE SOUTH CANBY, MN 56220 PHONE: 507/223-7277 (23624) FAX: MS. NANCY SALMON 507/223-7886 RHC NProf SANFORD CLINIC CANBY 112 ST OLAF AVENUE CANBY, MN 56220 PHONE: 507/223-7221 (02775) FAX: MR. 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STEPHANIE BROCK Minnesota Department of Health Division of Compliance Monitoring Page 428 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** City GRANITE FALLS MUN HOSP HHA Certification YELLOW MEDICINE Registration (Cont.)* -------------------------- HCP-A HHA 345 TENTH AVENUE (02200) GRANITE FALLS, MN 56241 PHONE: 320/564-6226 FAX: MR. GEORGE GERLACH 320/564-1265 HWS Part HENRY HILL APARTMENTS 150 7TH AVENUE GRANITE FALLS, MN 56241 PHONE: 320/564-4030 (22006) FAX: HOMETOWN CRE PROVDR INC RVRSDE MS. BECKY LEWISON 320/564-4637 Corp HCP-F 640 CENTER AVE GRANITE FALLS, MN 56241 PHONE: 320/564-3308 (23491) 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 GRANITE FALLS, MN 56241 PHONE: 320/564-3111 (00725) FAX: NProf PROJECT TURNABOUT MR. GEORGE GERLACH 320/313-3396 SLFA-60 SLFB-9 660 18TH STREET GRANITE FALLS, MN 56241 PHONE: 320/564-4911 (21953) FAX: MR. MICHAEL SCHIKS 320/564-3122 ---------------------------********** Corp HELPING HANDS HOME CARE OF MIN IOWA ******** -------------------------- HCP-A 2244 490TH STREET NORTHWOOD, IA 50459 PHONE: 507/993-7500 (24054) FAX: MRS. SHELLEE WRIGHT 888/691-4965 ---------------------------********** Corp HOME INSTEAD SENIOR CARE NORTH DAKOTA ******** -------------------------- HCP-B 505 N BROADWAY STE 204 FARGO, ND 58102 PHONE: 701/478-1010 (22134) FAX: MS. ARLETTE PRESTON 701/478-1008 Home Mgmt Corp HOME INSTEAD SENIOR CARE 505 N BROADWAY STE 204 FARGO, ND 58102 PHONE: 701/478-1010 (25316) FAX: NProf HOSPICE OF THE RED RIVER VALLE MS. ARLETTE PRESTON 701/478-1008 Hospice 1701 38TH STREET S SUITE 101 FARGO, ND 58103 PHONE: 701/356-1500 (03040) FAX: 701/356-1591 MS. WANDA POEHLS Minnesota Department of Health Division of Compliance Monitoring Page 429 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf PRAIRIELAND HOME CARE Certification NORTH DAKOTA Registration (Cont.)* -------------------------- HCP-A HCP 1102 PAGE DRIVE SW (03350) FARGO, ND 58103 PHONE: 701/232-1245 FAX: 701/232-0813 NProf SANFORD HOME CARE MR. ROBERT LESMANN HCP-A HCP 1711 SOUTH UNIVERSITY DRIVE FARGO, ND 58103 PHONE: 701/234-4900 (03255) FAX: 701/234-4899 MS. MARCIA SJULSTAD Home Mgmt Corp SPECTRUM HOME CARE 2108 S UNIVERSITY UNIT 106-B FARGO, ND 58103 PHONE: 701/293-8172 (20859) FAX: NProf ALTRU HOME SERVICES MR. GREG WENTZ 701/293-0113 HCP-A HCP 1380 S COLUMBIA RD GRAND FORKS, ND 58201 PHONE: 701/780-5880 (03113) FAX: 701/780-5849 NProf ALTRU HOME SERVICES HOSPICE MS. 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LOIS SCHULLER Minnesota Department of Health Division of Compliance Monitoring Page 430 Directory of Facilities and Services Facility/Service Owner Licensure ---------------------------********** NProf SANFORD VISITING NURSES ASSOCI Certification SOUTH DAKOTA Registration (Cont.)* -------------------------- HCP-A 2710 WEST 12TH STREET (21079) SIOUX FALLS, SD 57104 PHONE: 605/328-5900 FAX: MS. LOIS SCHULLER 605/328-5963 NProf COTEAU DES PRAIRIES HOSPITAL H HCP-A HCP 205 ORCHARD DRIVE SISSETON, SD 57262 PHONE: 605/698-4664 (03653) FAX: MRS. JESSICA MOEN 605/698-4613 ---------------------------********** Lim-Liab PEACEFUL LIVING LLC WISCONSIN ******** -------------------------- HCP-A 1200 HOSFORD ST STE 107 HUDSON, WI 54016 PHONE: 715/386-7071 (24968) FAX: MS. BECKIE KANE 715/386-0873 NProf GUNDERSEN LUTHERAN HOSPICE Hospice 1900 SOUTH AVENUE LACROSSE, WI 54601 PHONE: 608/775-8435 (21826) FAX: MS. 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AROUND THE CLOCK HOME CARE MORA KANABEC COUNTY PHNS INTREPID USA HEALTHCARE SRVCS NEW LONDON LAKE REGION HOME HEALTH NEW ULM BROWN COUNTY PUBLIC HEALTH ACCEL HEALTH SERVICES INC PARK NICOLLET METHODIST HC ST PAUL ADVANTAGE HOME CARE SERVS INC OAK HILLS LIVING CENTER ALLINA HM C HSPCE & PALLITV CA NISSWA GOOD SAMARITAN SOC HC HOSPICE CAREFOCUS CORPORATION NORTH ST PAUL HEALTHSTAR HOME HEALTH CAREMATE HOME HEALTH CARE INC NORTHFIELD HOME CARE LINK CARING PROFESSIONALS HOMECARE NORTHFIELD HOME CARE DIVINE HEALTHCARE NETWORK OLIVIA RENVILLE COUNTY PHS EQUITY SERVICES OF ST PAUL ONAMIA MILLE LACS HOME CARE FIRST CHOICE HOME CARE INC ORTONVILLE ORTONVILLE AREA HEALTH SER HHA FIRSTAT NURSING SERVICES OWATONNA STEELE COUNTY PHNS FRANCISCAN HOME HEALTH PERHAM PERHAM LIVING HOME CARE HEALTHEAST HOME CARE PIERZ HORIZON HEALTH INC INTEGRATED HOME CARE PIPESTONE PIPESTONE CO HOME HEALTH AGNCY MIDWAY HOME HEALTH CARE PRESTON FILLMORE COUNTY PHNS PEOPLE INCORPORATED SAFETY CARE INC PRESTON GOOD SAM SOC HC PRIOR LAKE COMMUNITY HOME HEALTH INC ST PETER RED WING ACCRA HOME HEALTH INC STACY SUNRISE HEALTH SERVICES INC HIAWATHA HOMECARE STAPLES LAKEWOOD HLTH SYS HM C & HSPCE MAYO CLINIC HLTH SYS RED WING STARBUCK MINNEWASKA HOME CARE REDWOOD AREA HOSPITAL HOME CAR STILLWATER LAKEVIEW HOMECARE RICHFIELD CRYSTAL CARE HOME HLTH SRV INC THIEF RIVER FALLS INTER CO NURSING SERVICE ROBBINSDALE NORTH MEMORIAL HOME HLTH HOSPC TRACY SHETEK HOME CARE ROCHESTER CHARTERHOUSE HHA TYLER TYLER HOME CARE CHOICE HOME CARE INC WABASHA ST ELIZABETH HOME HEALTH CARE CNS HOME HEALTH CARE WACONIA RIDGEVIEW HOME CARE SERVICES COMFORT HEALTH WADENA LEGACY HOME HEALTH AND HOSPICE INTERNATIONAL QUALITY HOMECARE WAITE PARK SAVING GRACE HOME HEALTH LLC ROBLAND HOME HEALTH CARE CORPO WALKER CASS CO PUBLIC HEALTH SERVICES STANLEY JONES & ASSOCIATES WHITE EARTH WHITE EARTH HOME HEALTH ROSEAU LIFECARE HOME CARE & HOSPICE WILLMAR BETHESDA HOME HEALTH ROSEVILLE GENTIVA HEALTH SERVICES DIVINE HOME CARE INC GOOD SAMARITAN HOME CARE QUALITY QUEST HEALTH CARE INC REDWOOD FALLS HEARTLAND HOME HC AND HOSPICE WINDOM GOOD SAM SOC HM C OF SW MN INTERIM HC OF THE TWIN CITIES WINONA WINONA CO PUBLIC HLTH NRSG SER WINONA HEALTH HOME CARE INTREPID USA HEALTHCARE SERVS PRESBYTERIAN HOMES HOME CARE TLC HM CARE OF THE TWIN CITIES SARTELL GOOD SAM SOC HM C OF SW MN BAYADA PEDIATRICS 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 SHOREVIEW BAYADA HOME HEALTH CARE INC SPRING VALLEY SPRING VALLEY HOME HEALTH AG ST ANTHONY COMPLETE HOME HEALTH SERVICES WORTHINGTON SANFORD WORTHINGTON HOME CARE Page 453 LOCATION LICENSED HOSPICE HOSPICE ===================================================================== LOCATION LICENSED HOSPICE HOSPICE ===================================================================== ALBANY ALBANY AREA HOSPICE D RED WING MAYO CLINIC HLTH SYS IN REDWIN D ALBERT LEA MAYO CLINIC HEALTH SYS ALBT LE 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FARIBAULT AREA HOSPICE FERGUS FALLS LAKELAND HOSPICE FOSSTON FIRST CARE HOSPICE GLENWOOD GLACIAL RIDGE HOSPICE HENDRICKS GOOD SHEPHERD HOSPICE HIBBING NORTH STAR HOSPICE HUTCHINSON CONNECTCARE LAKEVILLE HOSPICE ADVANTAGE LITCHFIELD ECUMEN OF LITCHFIELD HC & HSPC LITTLE FALLS UNITY FAMILY HOSPICE LUVERNE SANFORD LUVERNE HOSPICE MANKATO MAYO CLINIC HEALTH SYSTEM MANK MARSHALL PRAIRIE HOME HOSPICE MINNEAPOLIS 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 PIERZ HORIZON HEALTH HOSPICE PIPESTONE PIPESTONE COUNTY HOSPICE PLYMOUTH HOSPICE OF THE TWIN CITIES INC RED WING MAYO CLINIC HLTH SYS IN REDWIN REDWOOD FALLS REDWOOD AREA HOSP HOSPICE SER ROBBINSDALE NORTH MEMORIAL HOME HLTH HOSPC ROCHESTER HEARTLAND HOME HEALTH CARE AND MAYO CLINIC HOSPICE SEASONS HOSPICE ROSEAU LIFECARE HOME CARE & 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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 PINE CITY LAKESIDE MEDICAL CENTER FERGUS FALLS LAKE REGION HEALTHCARE CORP PIPESTONE PIPESTONE CO MED C & ASHTON CC FOSSTON ESSENTIA HEALTH FOSSTON PRINCETON FAIRVIEW NORTHLAND REG HOSP Y FRIDLEY UNITY HOSPITAL RED WING MAYO CLINIC HLTH SYS RED WING Y GLENCOE GLENCOE REGIONAL HEALTH SRVCS REDWOOD FALLS REDWOOD AREA HOSPITAL GLENWOOD GLACIAL RIDGE HOSPITAL ROBBINSDALE NORTH MEMORIAL MEDICAL CENTER Y GRACEVILLE ESSENTIA HLTH HOLY TRINITY HOS ROCHESTER MAYO CLINIC METHODIST HOSPITAL Y GRAND MARAIS COOK CO NORTHSHORE HOSP &C CTR MAYO CLINIC-ST MARY'S HOSPITAL Y GRAND RAPIDS GRAND ITASCA CLINIC & HOSP GRANITE FALLS MUNICIPAL HOSP & GRANITE MANOR ROSEAU LIFECARE MEDICAL CENTER HALLOCK KITTSON MEMORIAL HOSPITAL SANDSTONE ESSENTIA HEALTH SANDSTONE HASTINGS REGINA MEDICAL CENTER SAUK CENTRE CENTRACARE HEALTH SYSTEM HENDRICKS HENDRICKS COMM HOSP SHAKOPEE ST FRANCIS REGIONAL MED CENTER HIBBING UNIVERSITY MEDICAL CTR MESABI SLAYTON MURRAY COUNTY MEM HOSP Y Y Y OLMSTED MEDICAL CENTER Y Y Y Y Y Page 456 LOCATION HOSPITAL JCAHO ================================================================== 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 ESSENTIA HEALTH VIRGINIA 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 MEDICAL CENTER Y Y Y Y Y Y Y LOCATION HOSPITAL JCAHO ================================================================== Page 457 LOCATION NURSING HOME ===================================================================== LOCATION NURSING HOME ===================================================================== ADA BRIDGES CARE COMMUNITY BUHL CORNERSTONE VILLA ADAMS ADAMS HEALTH CARE CENTER BURNSVILLE EBENEZER RIDGES GERIATRIC CC ADRIAN ADRIAN CARE CENTER CALEDONIA CALEDONIA CARE AND REHAB AITKIN AICOTA HEALTH CARE CENTER CAMBRIDGE GRACEPOINTE CROSS GABLES EAST AITKIN HEALTH SERVICES GRACEPOINTE CROSS GABLES WEST ALBANY MOTHER OF MERCY CAMPUS OF CARE CANBY SANFORD CANBY MEDICAL CENTER ALBERT LEA GOOD SAM SOCIETY ALBERT LEA CANNON FALLS ANGELS CARE CENTER ST JOHNS LUTHERAN HOME CARLTON INTERFAITH CARE CENTER THORNE CREST RET CENTER CHASKA AUBURN MANOR BETHANY HOME CHATFIELD CHOSEN VALLEY CARE CENTER ALEXANDRIA KNUTE NELSON CHISAGO CITY THE MARGARET S PARMLY RES ANNANDALE ANNANDALE CARE CENTER CHISHOLM HERITAGE MANOR ANOKA ANOKA CARE CENTER CLARA CITY CLARA CITY CARE CENTER GOLDEN LIVINGCENTER TWIN RIVER CLARISSA CENTRAL TODD CO CARE CENTER APPLE VALLEY AUGUSTANA HCC OF APPLE VALLEY CLARKFIELD CLARKFIELD CARE CENTER APPLETON APPLETON MUNICIPAL HOSPITAL CLEARBROOK GOOD SAM SOCIETY CLEARBROOK ARDEN HILLS PRESBY HOMES OF ARDEN HILLS CLOQUET COMMUNITY MEMORIAL HOSPITAL ARLINGTON GOOD SAM SOCIETY ARLINGTON COKATO COKATO MANOR AURORA ESSENTIA HEALTH NORTHERN PINES COLD SPRING ASSUMPTION HOME AUSTIN GOOD SAM SOCIETY COMFORCARE COLUMBIA HEIGHTS CREST VIEW LUTHERAN HOME SACRED HEART CARE CENTER INC COOK COOK HOSPITAL ST MARKS LUTHERAN HOME COON RAPIDS CAMILIA ROSE CARE CENTER LLC BAGLEY CORNERSTONE NSG & REHAB CENTER BALATON COLONIAL MANOR OF BALATON BARNESVILLE CLAYCO CARE CENTER BARRETT BARRETT CARE CENTER INC CROSBY CUYUNA REGIONAL MEDICAL CENTER BATTLE LAKE GOOD SAM SOCIETY BATTLE LAKE CRYSTAL CRYSTAL CARE CENTER BAUDETTE LAKEWOOD CARE CENTER DASSEL LAKESIDE HEALTH CARE CENTER BELGRADE BELGRADE NURSING HOME DAWSON JOHNSON MEMORIAL HOSP & HOME BELLE PLAINE LUTHERAN HOME DEEPHAVEN LAKE MINNETONKA CARE CENTER BELVIEW PARKVIEW HOME DEER RIVER DEER RIVER HEALTH CARE CENTER BEMIDJI HAVENWOOD CARE CENTER DELANO GOLDEN LIVINGCENTER DELANO NEILSON PLACE DETROIT LAKES EMMANUEL NURSING HOME PARK RIVER ESTATES CARE CENTER CROOKSTON RIVERVIEW HOSPITAL & NSG HOME VILLA ST VINCENT BENSON GOLDEN LIVINGCENTER MEADOW LN BIGFORK BIGFORK VALLEY COMMUNITIES DODGE CENTER 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PIONEER MEMORIAL CARE CENTER PARK VIEW CARE CENTER EVANSVILLE EVANSVILLE CARE CENTER BUFFALO LAKE HEALTHCARE CTR EVELETH EVELETH HEALTH SERVICES PARK BUFFALO LAKE Page 458 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 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BAGLEY CLEARBROOK CLNC SLEEPY EYE SLEEPY EYE MEDICAL CENTER CROOKSTON RIVERVIEW CLINIC STAPLES LAKEWOOD CLINIC STAPLES DASSEL DASSEL MEDICAL CENTER TRACY SANFORD CLINIC TRACY DAWSON DAWSON CLINIC TWIN VALLEY SANFORD HLTH TWIN VALLEY CLINI EAGLE BEND LAKEWOOD CLINIC EAGLE BEND TYLER TYLER MEDICAL CLINIC LONG PRAIRIE HOSP EAGLE VALLEY ULEN SANFORD HEALTH ULEN CLINIC FERTILE RIVERVIEW CLINIC WADENA WADENA MEDICAL CENTER FULDA MURRAY COUNTY CLINIC FULDA WALKER SANFORD HEALTH WALKER CLINIC GARRISON RIVERWOOD HLTH CC GARRISON WALNUT GROVE SANFORD TRACY WALNUT GROVE CLC GAYLORD SIBLEY MEDICAL CLINIC WARREN NORTH VALLEY HLTH CTR CLINIC GLENWOOD GLENWOOD MEDICAL CENTER WESTBROOK SANFORD CLINIC WESTBROOK GRACEVILLE ESSENTIA HLTH GRACEVILLE CLINI WHEATON SANFORD WHEATON HALLOCK KITTSON MEMORIAL CLINIC WINDOM SANFORD CLINIC WINDOM HALSTAD SANFORD HEALTH HALSTAD CLINIC WINTHROP SIBLEY MEDICAL 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 FIRSTLIGHT HINCKLEY GATEWAY FAMILY HEALTH CLINIC ISLE MILLE LACS FAMILY CLINIC ISLE IVANHOE IVANHOE MEDICAL CENTER 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 Page 466 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 CAMILIA ROSE GROUP HOME 34 35 COMMUNITY LIVING INC COTTAGE 5 34 34 COMMUNITY LIVING INC COTTAGE 6 34 PRAIRIEWOOD HOME 34 REM MN COMM SRVS INC ANOKA 34 ROSEWOOD 34 GLENMORE RECOVERY CENTER 32 35 SCENICWOOD 34 REM NORTHSTAR (JOHNSON PLACE) 34 ANOKA ANOKA METRO REG TREATMENT CTR 35 CIP CITY LIGHTS 34 ARDEN HILLS ACR HOME ON CUMMINGS 34 OUTREACH RICE CREEK 34 PHOENIX AT JANET COURT 34 REM HENNEPIN INC CRYSTAL 34 ARLINGTON HIGH ISLAND CREEK RES 34 DAWSON DAWSON ICFMR 34 ATWATER ATWATER HOUSE 34 DETROIT LAKES WEST HOME 34 AURORA DRCC AURORA 34 DULUTH DRCC LAVERNE 34 AUSTIN AUSTIN MSOCS 34 E B I INCORPORATED 34 GLENDALOUGH OF AUSTIN INC 34 MSOCS DULUTH ICFMR GR HM 34 REM WOODVALE INC CEDAR I 34 RES TREATMENT & DETOX CTR 35 32 REM WOODVALE INC CEDAR IV 34 RSI HARTLEY 34 PINE RIDGE RESIDENCE 34 THUNDERBIRD/WREN HOUSE 35 34 ALEXANDRIA BAGLEY COON RAPIDS CROOKSTON CRYSTAL 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 MN SPECIALTY HEALTH SYSTEM 34 RANGE CENTER MAPLEVIEW HOME 34 REM SOUTHWEST SRVS CANBY A 34 HOUSTON ABLE INC HOUSTON 34 REM SOUTHWEST SRVS CANBY B 34 INVER GROVE HEIGHTS CARECO APARTMENTS INC 34 CARLTON COMMUNITY ADDICTION RECOVERY 35 DCI UPPER 55TH STREET 34 CENTER CITY HAZELDEN FOUNDATION 35 KARLSTAD LSS GRANVILLE ICF-MR 34 CHISAGO CITY LINNEA RESIDENTIAL HOME 34 KASSON KASSON MSOCS 34 CHISHOLM LEGACY RANGE CENTER INC 34 LACRESCENT ABLE INC LACRESCENT 34 BLOOMINGTON BRAINERD BROOKLYN CENTER BROOKLYN PARK BURNSVILLE CAMBRIDGE CANBY FAIRMONT HIBBING Page 467 LOCATION SUPERVISED LIVING FACILITY DHS lic LOCATION SUPERVISED LIVING FACILITY DHS lic ======================================================================= ======================================================================= REM HENNEPIN INC (LYNDALE) 34 34 REM HENNEPIN INC QUEEN 34 34 THE SALVATION ARMY HARB LIGHT 35 KARLYN HOME 34 THREE THIRTY FIVE RIDGEWOOD 34 LINDSTROM THERAPEUTIC COMM RESIDENCE 34 TURNING POINT INC 35 LITTLE CANADA NORTHEAST RESIDENCE II 34 TURNING POINT INC 35 REM RAMSEY INC SEXTANT 34 HAMMER LAKESIDE 34 LITTLE FALLS ST CAMILLUS PLACE 34 REM HENNEPIN (MINNETONKA) 34 LITTLEFORK PINEVIEW RECOVERY CENTER 35 MONTEVIDEO REM SW SERVICES MONTEVIDEO 34 LONG LAKE ORONO WOODLANDS 34 MOORHEAD CLAY COUNTY RECEIVING CENTER 35 32 LUVERNE RES ADVANTAGES INC LUVERNE 34 MOOSE LAKE MN SEX OFFENDER PROGRAM 36 MADELIA REM HEARTLAND INC MADELIA 34 MSOCS MOOSE LAKE ICFMR GR HM 34 MANKATO HARRY MEYERING CTR INC 34 MORRIS RAVENWOOD HOME 34 PRAIRIES EDGE 34 MOUNDSVIEW AXIS ON ST MICHAEL 34 REM HEARTLAND INC CYPRESS 34 PHOENIX AT LUDDEN 34 REM MANKATO INC BIRCH 34 NEVIS PINE MANORS INC 35 32 DCI 75TH 34 NEW BRIGHTON ACR HOME ON REDWOOD 34 SILVER OAKS 34 LAKE ELMO WILLOW HAVEN 36 LAKEVILLE MSOCS HERSHEY MSOCS LAKEVILLE JONQUIL LEROY MAPLE GROVE MAPLEWOOD MARSHALL MENDOTA HEIGHTS MINNEAPOLIS MINNEAPOLIS MINNETONKA DUNGARVIN YOUGAL 34 HAMMER LAWNDALE 34 NEW HOPE MTAI MINNEHAHA CREEK 34 HOMEWARD BOUND MAPLE GROVE 34 NEW ULM BROWN COUNTY EVAL CENTER INC 32 35 COMMUNITY FOUNDATIONS 36 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 NORTH ST PAUL REM RAMSEY INC (NORTH OAKS) 34 HOWARD HOUSE 34 NORTHFIELD LAURA BAKER SERVICES ASSOC 34 PHOENIX AT CARVER 34 WEST HILLS LODGE WOMENS PROGRM 35 RAJWOOD 34 NORWOOD YOUNG AMERI MOUNT OLIVET ROLLING ACRES REM RAMSEY INC (LAKEWOOD) 34 ORTONVILLE MONARCH HEIGHTS 34 REM RAMSEY INC (MAYHILL) 34 OWATONNA RAINBOW RESIDENCE 34 BRENTWOOD HOME 36 REM WOODVALE INC (MAPLE CREEK) 34 PROJECT TURNABOUT HALFWAY HSE 35 REM WOODVALE INC ADAMS 34 REM SOUTHWEST SRVS MARSHALL A 34 WEST HILLS LODGE 35 REM SOUTHWEST SRVS MARSHALL B 34 MEADOW CREEK 32 31 REM SOUTHWEST SRVS MARSHALL C 34 SIXTH AVENUE RESIDENCE 34 DCI CARMEN 34 PIPESTONE HIAWATHA MANOR 34 DCI DAKOTA ADULTS 34 PLYMOUTH DUNGARVIN CHAI 34 DCI DIANE 34 HAMMER KENTUCKY 34 DCI MARY ADELE 34 HAMMER MCGLINCH 34 MARGARETS HOUSE 31 HAZELDEN CTR FOR YOUTH & FAMIL 35 AMER INDIAN COMM DEV COR 35 HOMEWARD BOUND PLYMOUTH 34 BILL KELLY HOUSE 36 MISSION DETOX CENTER 35 32 EDEN RESIDENTIAL PROGRAM 35 ON BELAY HOUSE 35 JORGENSEN HOUSE 34 OUTREACH PLYMOUTH HOME EAST 34 LIVING CHALLENGE 34 OUTREACH PLYMOUTH HOME WEST 34 MARIA HOME 34 RED LAKE FALLS NORTHWOOD HOME 34 NANCY PAGE PROG OF PEOPLE INC 36 RED WING REM RIVER BLUFFS PARK HEIGHTS 34 OUTREACH STEVENS 34 VASA CHILDRENS HOME 34 PEOPLE II 34 EASTWOOD HOME 34 REENTRY HOUSE 36 REDWOOD FALLS MSOCS 34 REM HENNEPIN (PILLSBURY) 34 WESTWOOD HOME 34 PINE CITY REDWOOD FALLS 34 Page 468 LOCATION SUPERVISED LIVING FACILITY DHS lic LOCATION SUPERVISED LIVING FACILITY DHS lic ======================================================================= ======================================================================= RICHFIELD ROBBINSDALE PROGRESS VALLEY II 31 ST PAUL PARK REM MN COMM SVS INC PARK PLACE 34 REM HENNEPIN INC MINNEHAHA 34 ST PETER COMM ADDICTION REC ENTERPRISE 35 ACR HOME ON ROBIN 34 FORENSIC SERVICES 36 DCI 3801 BROADWAY 34 MSOP - GREEN ACRES DCI 3807 BROADWAY 34 MSOP - PEXTON/SHANTZ DCI FRANCE 34 ALLENDALE HOUSE 34 REM RIVER BLUFFS (WILLOW CR B) 34 REM RIVER BLUFFS ROCHESTER NW 34 REM RIVER BLUFFS ROCHESTER SE CEDAR RIDGE 32 35 REM MN COMM SVS INC NORTHBROOK 34 THIEF RIVER FALLS GLENMORE THIEF RIVER FALLS 35 TWO HARBORS DULUTH REG CARE CTR THALASSIC 34 34 TYLER REM SOUTHWEST SERV INC (TYLER) 34 ROCHESTER MSOCS 34 VADNAIS HEIGHTS PHOENIX AT CENTERVILLE 34 THE GABLES 35 PHOENIX AT ENGLISH 34 ZUMBRO VALLEY CONNEC REFER UNI 32 SPRINGHILL 34 ACR HOME ON LYDIA WEST 34 COMMUNITY LIVING INC COTTAGE 1 34 ACR ON DALE COURT 34 COMMUNITY LIVING INC COTTAGE 2 34 AXIS ON BELMONT 34 COMMUNITY LIVING INC COTTAGE 3 34 AXIS ON ELDRIDGE 34 COMMUNITY LIVING INC COTTAGE 4 34 SAUK RAPIDS JOURNEY HOME 35 MOUNT OLIVET ROLLING ACRES 34 SCANDIA REBECCAS RESIDENCE 35 DONOVAN FRANK DETOX CENTER 35 SHAKOPEE DELPHI 34 MERRITT HOUSE 36 SHERBURN COMM OPTIONS AND RESOURCES I 34 MSOCS VIRGINIA ICFMR GR HM 34 SHOREVIEW ACR HOME ON DAWN 34 BELL HILL RECOVERY CENTER 35 AXIS ON GLENHILL 34 MN SPECIALTY HEALTH SYSTEM 36 DUNGARVIN CAMARA 34 OAKRIDGE HOMES OF WADENA 34 LAKE OWASSO RESIDENCE 34 WANAMINGO RIVERVIEW SERVICES INC 34 REM RAMSEY INC HODGSON 34 WAVERLY NEW BEGINNINGS AT WAVERLY LLC 35 SLAYTON PRAIRIE VIEW INC 34 WAYZATA HAMMER CARLSON 34 SOUTH ST PAUL BRYANT AVE RESIDENCE 34 HAMMER RIDGEVIEW 34 DCI CONGRESS 34 HAMMER SHERIDAN 34 ROCHESTER ROSEVILLE STILLWATER VICTORIA VIRGINIA WADENA SUMMIT AVENUE RESIDENCE 34 SHADYWAY GROUP HOME 34 SPICER LAKEWOOD HOME 34 WEST ST PAUL DCI EMERSON 34 ST CLOUD CTRL MN RECEIVING AND REFERRAL 32 35 36 WHITE BEAR LAKE AXIS ON WHITE BEAR AVENUE 34 FOCUS XII HALFWAY HOUSE 31 PHOENIX AT CASWELL 34 REM CENTRAL LAKES INC FERNWOOD 34 ST LOUIS PARK THE WAYSIDE HOUSE INC 35 ST PAUL AMRTC COMO COMMUNITY UNIT 36 DIANE AHRENS CRISIS RESIDENCE WHITE BEAR TOWNSHIP AXIS ON SENECA 34 REM RAMSEY INC PROSPECT 34 COMMUNITY ADDICTION WILLMAR 35 36 MN SPECIALTY HEALTH SYSTEM 36 DUNGARVIN BALBRIGGEN 34 WOODLAND CENTERS 35 36 DUNGARVIN TIKVAH 34 HOME FOR CREATIVE LIVING 34 OUR HOUSE OF MN INC I 34 RESIDENTIAL ADVANTAGES INC 34 OUR HOUSE OF MN INC II 34 WINNEBAGO ADOLESCENT TRTMT CTR WINNEBAGO 35 PHOENIX AT DOUGLAS 34 WINONA HOME AND COMMUNITY OPTIONS INC 34 PHOENIX AT FOSS 34 WINSTED OUTREACH TRILLIUM WEST 34 PHOENIX AT VIKING 34 WOODSTOCK NEW LIFE TREATMENT CENTER 35 32 RAMSEY COUNTY DETOX CENTER 32 WORTHINGTON C C S INC RIDGEWOOD 34 REM RAMSEY INC GOODRICH 34 REM RAMSEY INC MISSISSIPPI 34 REM RAMSEY INC NEBRASKA 34 REM RAMSEY INC WYOMING 34 TAPESTRY 35 TWIN TOWN TREATMENT CENTER 31 WINGSPAN LIFE RESOURCES 34 WILLMAR WINDOM Page 469 MINNESOTA DEPARTMENT OF HEALTH Division of Compliance Monitoring Alphabetical Listing of Location of Care Facilities - March 15, 2013 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 470 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 Dundas Clay Dodge Stevens St. Louis Rice 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 Page 471 TOWN COUNTY TOWN COUNTY Garrison Gaylord Gibbon Glencoe Glenville Glenwood Glyndon Golden Valley Goodhue Graceville Granada Grand Marais Grand Meadow Grand Rapids Granite Falls Greenbush Greenfield Grey Eagle Grygla Crow Wing Sibley Sibley McLeod Freeborn Pope Clay Hennepin Goodhue Big Stone Martin Cook Mower Itasca Yellow Medicine Roseau Hennepin Todd Marshall Hopkins Houston Howard Lake Hugo Hutchinson Hennepin Houston Wright 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 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 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 Lily Dale Lindstrom Lino Lakes Litchfield Little Canada Houston Nicollet Lincoln Goodhue/Wabasha Blue Earth Washington Becker Jackson Dakota Redwood LeSueur Mower McLeod LeSueur Winona Anoka Dakota Chisago Anoka Meeker Ramsey Page 472 TOWN COUNTY TOWN COUNTY Little Falls Littlefork Long Lake Long Prairie Lonsdale Loretto Luverne Morrison Koochiching Hennepin Todd Rice Wright Rock Motley Mound Mountain Iron Mountain Lake 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 Douglas Oak Park Heights Oakdale Ogilvie Oklee Olivia Onamia Orono Ortonville Osage Osakis Osseo Ostrander Owatonna Washington Washington Kanabec Red Lake Falls Renville Mille Lacs Hennepin Big Stone Becker Douglas Hennepin Fillmore Steele Park Rapids Parkers Prairie Paynesville Pelican Rapids Hubbard Otter Tail Stearns Otter Tail 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 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 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 473 TOWN COUNTY TOWN COUNTY Pequot Lakes Perham Pierz Pillager Pine City Pine Island Pine River Pine Springs Pipestone Plainview Plymouth Preston Princeton Prior Lake Proctor Crow Wing Otter Tail Morrison Cass Pine Goodhue Cass Washington Pipestone Wabasha Hennepin Fillmore Mille Lacs Scott St. Louis Benton/Stearns/Sherburne 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. Anthony Village St. Augusta St. Bonifacius St. Charles Ramsey Stearns Hennepin Winona St. Cloud St. Francis St. James St. Louis Park St. Michael St. Paul St. Peter Saginaw Sandstone Sargeant Sartell Sauk Centre Sauk Rapids Savage Scandia 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 Anoka Watonwan Hennepin Wright Ramsey Nicollet St. Louis Pine Mower Benton Stearns Benton Scott Washington 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 Taunton Thief River Falls Lyon Pennington Page 474 TOWN COUNTY TOWN COUNTY Togo Tonka Bay Tower Tracy Trimont Truman Twin Valley Two Harbors Tyler Itasca Hennepin St. Louis Lyon Martin Martin Norman Lake Lincoln Winnebago Winona Winsted Winthrop Woodbury Woodstock Worthington Wrenshall Wykoff Wyoming Faribault Winona McLeod Sibley Washington Pipestone Nobles Carlton Fillmore Washington Ulen Utica Clay Winona 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 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 Minnesota Department of Health Division of Compliance Monitoring Index For Directory of Facilities and Services FACILITY NAME COUNTY PAGE# 1-1 CARING HANDS LLC HENNEPIN 1005 15TH AVENUE SE HENNEPIN 1050 PLUMMER PLACE LLC OLMSTED 10731 FRANCE AVENUE SOUTH HENNEPIN 97 1115 MAIN STREET HENNEPIN 1161 SAINT CLAIR AVENUE RAMSEY 1220 CAMBRIDGE ST HENNEPIN 1220 CLASSIC CITY APARTMENTS HENNEPIN 1220 MORGAN AVENUE NORTH HENNEPIN 1325 WESTERN AVENUE NORTH Index Page 1 FACILITY NAME COUNTY PAGE# 124 1810 3RD AVENUE SOUTH #101 HENNEPIN 147 146 1815 1ST AVENUE S LLC HENNEPIN 147 271 1818 BRYANT AVENUE NORTH HENNEPIN 147 1820 STEVENS AVENUE HENNEPIN 148 146 1828 COLUMBUS AVENUE HENNEPIN 148 314 1845 OLD HUDSON ROAD RAMSEY 316 140 1849 EAST 7TH STREET RAMSEY 316 146 1855 EAST 7TH STREET RAMSEY 317 146 1881 FURNESS STREET RAMSEY 299 RAMSEY 314 1911 11TH AVENUE SOUTH HENNEPIN 148 1339 SHERBURNE RAMSEY 314 1912 STEVENS AVE SOUTH HENNEPIN 148 1340 WESTERN RAMSEY 315 1913 STEVENS AVENUE SOUTH #3 HENNEPIN 148 1345 WESTERN AVENUE N RAMSEY 315 1915 2ND AVENUE SOUTH HENNEPIN 148 1350 MARYLAND AVENUE EAST RAMSEY 315 1924 EMERSON AVENUE SOUTH HENNEPIN 148 1360 WESTERN AVENUE N RAMSEY 315 1924 STEVENS AVENUE SOUTH HENNEPIN 148 1361 CONWAY STREET RAMSEY 315 1929 3RD AVENUE SOUTH HENNEPIN 148 1376 EAST 3RD STREET RAMSEY 315 1ST CHOICE PCA SERVICES HENNEPIN 148 1400 NORTH DOUGLAS DRIVE HENNEPIN 134 1ST CHOICE PEDIATRIC HOME CARE SHERBURNE 379 1405 SE COMO AVENUE HENNEPIN 146 2 CARING HANDS DAKOTA 73 1407 GOLDEN VALLEY ROAD HENNEPIN 146 200 S WINTHROP STREET RAMSEY 317 1409 SE COMO AVENUE HENNEPIN 146 2010 RUSSELL AVENUE NORTH HENNEPIN 149 1450 DOUGLAS DRIVE HENNEPIN 134 2014 3RD AVENUE SOUTH HENNEPIN 149 1455 MINNEHAHA RAMSEY 315 2017 PILLSBURY AVENUE SOUTH HENNEPIN 149 15 WEST 22ND STREET LLC HENNEPIN 146 2020 OAKLAND AVENUE SOUTH HENNEPIN 149 1500 DOUGLAS DRIVE NORTH HENNEPIN 134 2029 WILLOW AVENUE NORTH HENNEPIN 149 1500 PARK AVENUE HENNEPIN 146 2103 2ND AVENUE SOUTH HENNEPIN 149 1501 AMERICAN BOULEVARD HENNEPIN 97 2114 FOURTH STREET NE #2 HENNEPIN 149 1509 ALBEMARLE STREET RAMSEY 315 2119 PILLSBURY AVENUE SOUTH HENNEPIN 149 1522 LASALLE AVENUE SOUTH HENNEPIN 147 2200 BLAISDELL AVE HENNEPIN 149 1529 ADRIAN STREET RAMSEY 315 2200 PILLSBURY AVENUE S LLC HENNEPIN 149 1529 BRYANT AVENUE NORTH HENNEPIN 147 222 FRANK STREET RAMSEY 317 1533 WOODBRIDGE STREET RAMSEY 315 2220 14TH AVENUE SOUTH HENNEPIN 150 1541 ALBEMARLE RAMSEY 316 2221 BLAISDELL AVENUE SOUTH HENNEPIN 150 1542 MARION STREET RAMSEY 316 2236 LOWER AFTON ROAD RAMSEY 317 1552 WOODBRIDGE STREET RAMSEY 316 225 OAK GROVE STREET HENNEPIN 150 1564 ENGLISH STREET RAMSEY 316 2312 BLAISDELL AVENUE SOUTH HENNEPIN 150 1595 RICE STREET RAMSEY 316 233 OAK GROVE HENNEPIN 150 1600 DOUGLAS DRIVE NORTH HENNEPIN 135 24 HOUR CARE HENNEPIN 150 1600 PARK AVENUE SOUTH HENNEPIN 147 24/7 HEALTHCARE PRO HENNEPIN 129 1601 ENGLISH STREET RAMSEY 316 249 WESTERN AVENUE SOUTH RAMSEY 317 1621 TAYLOR STREET NE HENNEPIN 147 2525 BLAISDELL AVENUE SOUTH HENNEPIN 150 1642 CHARLES AVENUE RAMSEY 316 2526 SOUTH 8TH STREET HENNEPIN 150 1693 SHERBURN RAMSEY 316 2537 EMERSON AVENUE SOUTH HENNEPIN 150 1720 19TH AVENUE NE HENNEPIN 147 2629 WEST 43RD STREET HENNEPIN 150 1807 EAST LAKE STREET HENNEPIN 147 2631 COLUMBUS AVENUE SOUTH HENNEPIN 151 1807 TALMAGE AVENUE SOUTHEAST HENNEPIN 147 2633 PLEASANT AVENUE SOUTH HENNEPIN 151 Minnesota Department of Health Division of Compliance Monitoring Index For Directory of Facilities and Services FACILITY NAME COUNTY 2640 2ND AVENUE SOUTH HENNEPIN 2640 BLAISDELL AVENUE HENNEPIN 2700 GRAND AVENUE SOUTH HENNEPIN 2700 RHODE ISLAND HENNEPIN 2700 THIRD AVENUE SOUTH PAGE# Index Page 2 FACILITY NAME COUNTY PAGE# 151 3513 47TH AVENUE NORTH HENNEPIN 106 151 3520 12TH AVENUE SOUTH HENNEPIN 155 151 3520 AQUILA CIRCLE HENNEPIN 210 210 3528 AQUILA CIRCLE HENNEPIN 210 HENNEPIN 151 3534 PENN AVENUE NORTH HENNEPIN 155 2718 CHICAGO AVENUE SOUTH HENNEPIN 151 3536 AQUITA CIRCLE HENNEPIN 210 2720 PILLSBURY AVENUE SOUTH HENNEPIN 151 3542 NORTH PENN AVENUE HENNEPIN 155 2740 PLEASANT AVENUE SOUTH HENNEPIN 151 3545 12TH AVENUE SOUTH HENNEPIN 155 2801 66TH AVENUE NORTH HENNEPIN 106 360 COTTAGE AVENUE RAMSEY 317 296 BATES RAMSEY 317 3643 PENN AVENUE NORTH HENNEPIN 155 3 WEST 34TH STREET HENNEPIN 151 3654 BRYANT AVENUE SOUTH HENNEPIN 155 3007 IRVING AVENUE NORTH HENNEPIN 152 3701 WEST LAKE STREET HENNEPIN 155 3010 15TH AVENUE SOUTH HENNEPIN 152 3708 LYNDALE AVENUE SOUTH HENNEPIN 155 3014 31ST AVENUE SOUTH HENNEPIN 152 3710 MINNEHAHA AVENUE SOUTH HENNEPIN 156 3016 29TH AVENUE SOUTH HENNEPIN 152 3711 WEST BROADWAY AVENUE NORT HENNEPIN 206 3020 31ST AVENUE SOUTH HENNEPIN 152 3719 WEST BROADWAY HENNEPIN 206 3105 GIRARD AVENUE NORTH #1 HENNEPIN 152 3725 WEST BROADWAY HENNEPIN 207 3112 MINNEHAHA AVENUE HENNEPIN 152 3731 WEST BROADWAY HENNEPIN 207 3117 15TH AVENUE SOUTH HENNEPIN 152 3736 SOUTH CEDAR AVENUE HENNEPIN 156 3121 3RD AVENUE SOUTH HENNEPIN 152 3737 WEST BROADWAY HENNEPIN 207 3126 58TH STREET EAST HENNEPIN 152 3759 WEST BROADWAY AVENUE HENNEPIN 207 3132 PLEASANT AVENUE SOUTH HENNEPIN 153 3801 NICOLLET AVENUE SOUTH HENNEPIN 156 3139 THIRD AVENUE SOUTH HENNEPIN 153 3806 6TH STREET NORTH HENNEPIN 156 3201 GIRARD AVENUE NORTH HENNEPIN 153 3816 NICOLLET AVENUE S LLC HENNEPIN 156 3210 29TH AVENUE SOUTH HENNEPIN 153 3848 WEST BROADWAY HENNEPIN 207 3214 NORTH QUEEN AVENUE HENNEPIN 153 390 WEST COTTAGE AVENUE RAMSEY 318 3215 SIXTH STREET NORTH HENNEPIN 153 395 LUELLA STREET RAMSEY 314 3232 BLAISDELL AVENUE SOUTH HENNEPIN 153 396 LABORE ROAD RAMSEY 299 327 UNIVERSITY AVENUE SE HENNEPIN 153 4038 COLFAX AVENUE NORTH #2 HENNEPIN 156 330 8TH STREET SOUTHEAST HENNEPIN 153 4052 MINNEHAHA AVENUE HENNEPIN 156 330 MAGNOLIA AVENUE EAST RAMSEY 317 410 6TH STREET SE HENNEPIN 156 3305 BRYANT AVENUE SOUTH HENNEPIN 153 4126 QUEEN AVENUE NORTH HENNEPIN 156 3310 NORTH PENN AVENUE HENNEPIN 154 416 20TH AVENUE NE UNIT #1 HENNEPIN 156 3320 GRAND AVENUE HENNEPIN 154 419 FRONT AVENUE RAMSEY 318 3320 LONGFELLOW AVENUE SOUTH HENNEPIN 154 420 EAST 73RD STREET HENNEPIN 202 334 MAGNOLIA AVENUE EAST RAMSEY 317 4331 GIRARD AVENUE NORTH HENNEPIN 157 3351 PARK AVENUE SOUTH HENNEPIN 154 4445 EAST LAKE STREET HENNEPIN 157 3413 PORTLAND AVENUE S HENNEPIN 154 4604 BLOOMINGTON AVENUE SOUTH HENNEPIN 157 3414 MINNEHAHA AVE LLC HENNEPIN 154 4TH STREET RESIDENCE HENNEPIN 157 3416 3RD AVENUE SOUTH HENNEPIN 154 4U HOME HEALTH CARE ITASCA 225 342 FULLER AVENUE RAMSEY 317 500 SHERBURNE AVE RAMSEY 318 3430 NORTHEAST TYLER STREET HENNEPIN 154 507 RIDGEWOOD AVENUE HENNEPIN 157 3452 SOUTH EMERSON AVENUE HENNEPIN 154 508/510 HUMBOLDT APARTMENTS RAMSEY 318 3455 SOUTH MINNEHAHA AVENUE HENNEPIN 154 516 HUMBOLDT APARTMENTS RAMSEY 318 3457 CENTRAL AVENUE NORTHEAST HENNEPIN 155 5211 XERXES AVENUE NORTH HENNEPIN 106 3457 MINNEHAHA AVENUE SOUTH HENNEPIN 155 554 CHARLES AVENUE RAMSEY 318 Minnesota Department of Health Division of Compliance Monitoring Index For Directory of Facilities and Services FACILITY NAME COUNTY 5700 34TH AVENUE HENNEPIN 5712 34TH AVENUE SOUTH HENNEPIN 5753 BOSSEN TERRACE HENNEPIN 5761 33RD AVENUE SOUTH HENNEPIN 5833 - HUNTINGTON PLACE PAGE# Index Page 3 FACILITY NAME COUNTY 157 A+ HOME HEALTH CARE INC HENNEPIN 97 157 A1 DIRECT CARE INC HENNEPIN 159 157 ABBEYCARE INC RAMSEY 319 157 ABBOTT NORTHWESTERN HOSPITAL HENNEPIN 159 HENNEPIN 112 ABC CARE INC RAMSEY 319 590 MENDOTA STREET RAMSEY 318 ABIDJAN HEALTHCARE INC HENNEPIN 106 601 WEST 28TH STREET HENNEPIN 157 ABLE INC HOUSTON HOUSTON 218 617 19TH AVENUE SOUTH HENNEPIN 158 ABLE INC LACRESCENT HOUSTON 219 619 19TH AVENUE SOUTH HENNEPIN 158 ABUNDANCE HOMECARE HENNEPIN 142 621 19TH AVENUE SOUTH HENNEPIN 158 ABUNDANT LIFE HOME HEALTH CARE HENNEPIN 106 627 AURORA AVENUE WEST RAMSEY 318 ABUNDANT LIFE HOME HEALTH CARE HENNEPIN 113 627 POLK STREET NE HENNEPIN 158 ACCEL HEALTH SERVICES INC HENNEPIN 210 6307 SCOTT AVENUE NORTH HENNEPIN 106 ACCENT HOME CARE LLC DAKOTA 78 642 FRONT AVENUE RAMSEY 318 ACCESS HEALTH CARE ITASCA 225 6421 E PLEASANT AVENUE SOUTH HENNEPIN 202 ACCESS INFUSION HEALTHCARE LLC BENTON 20 6429 PLEASANT AVENUE HENNEPIN 202 ACCESS SERVICES INCORPORATED ITASCA 225 6526 OLIVER AVENUE SOUTH HENNEPIN 202 ACCESSIBLE SPACE ASI METRO 1 RAMSEY 319 659 DAYTON AVENUE RAMSEY 318 ACCESSIBLE SPACE ASI METRO 2 RAMSEY 319 6601 5TH AVENUE SOUTH HENNEPIN 202 ACCESSIBLE SPACE ASI METRO 3 RAMSEY 319 6628 WEST BROADWAY HENNEPIN 113 ACCESSIBLE SPACE INC ASI NORTH RAMSEY 319 689 LOWRY AVENUE NORTHEAST HENNEPIN 158 ACCESSIBLE SPACE INC ASI SOUTH RAMSEY 320 700 STEARNS PLACE STEARNS 386 ACCESSIBLE SPACE INC WEST APT DAKOTA 63 705 SOUTH SNELLING AVENUE RAMSEY 319 ACCRA CARE INC HENNEPIN 140 717 SE UNIVERSITY AVENUE HENNEPIN 158 ACCRA HOME CARE INC OTTER TAIL 281 725 LYNDALE AVENUE NORTH HENNEPIN 158 ACCRA HOME CARE INC OTTER TAIL 280 725 SE 8TH AVENUE HENNEPIN 158 ACCRA HOME CARE INC OTTER TAIL 281 734 ALDRICH AVENUE NORTH HENNEPIN 158 ACCRA HOME HEALTH INC GOODHUE 76 WEST STEVENS RAMSEY 319 ACCREDO HEALTH GROUP INC DAKOTA 7600 CEDAR AVENUE SOUTH HENNEPIN 202 ACCURATE HOME CARE LLC SHERBURNE 379 7601 18TH AVENUE S HENNEPIN 202 ACR AT HOME COMPANION CARE RAMSEY 307 7625 18TH AVENUE SOUTH HENNEPIN 202 ACR AT HOME HEALTHCARE LLC RAMSEY 307 7940 KYLE AVENUE NORTH HENNEPIN 113 ACR HOME ON CUMMINGS RAMSEY 298 7TH HEAVEN ASSISTED LIVING LLC OTTER TAIL 287 ACR HOME ON DAWN RAMSEY 312 8 FOURTH STREET EAST RAMSEY 319 ACR HOME ON FALLGOLD HENNEPIN 113 8601 NICOLLET AVENUE SOUTH HENNEPIN 97 ACR HOME ON LYDIA WEST RAMSEY 307 8817 WEST 35TH STREET HENNEPIN 210 ACR HOME ON REDWOOD RAMSEY 305 904 RICE STREET-TAB PROPERTIES RAMSEY 319 ACR HOME ON ROBIN HENNEPIN 207 A A CARE INC DAKOTA 67 ACR ON DALE COURT RAMSEY 308 A CARING HEART SENIOR SUPPORT ANOKA ACTI-KARE RESPONSIVE IN-HOME C WASHINGTON 408 A CHANCE TO GROW INC HENNEPIN 158 ADAMS HEALTH CARE CENTER MOWER 261 A TIME FOR HELP INC ANOKA 11 ADAMS HOME HEALTH AGENCY MOWER 261 A TIME FOR HELP INC ANOKA 11 ADAMS HOME HEALTH CARE MOWER 261 A TO Z SOCIAL SERVICES INC ANOKA 11 ADITH MILLER MANOR WINONA 419 A TOUCH OF HOME NORTH BELTRAMI 15 ADOLESCENT TRTMT CTR WINNEBAGO FARIBAULT A WOMANS WAY DAKOTA 63 ADRIAN CARE CENTER NOBLES 268 A&A RELIABLE HOME HEALTH CARE WASHINGTON ADRIAN COUNTRY LIVING COTTAGES NOBLES 268 2 413 PAGE# 93 67 88 Minnesota Department of Health Division of Compliance Monitoring Index For Directory of Facilities and Services FACILITY NAME COUNTY ADULT HELP & COMPANION CARE HENNEPIN ADULT IN HOME CARE SAINT LOUIS ADVANCE HOME HEALTH CARE LLC OLMSTED ADVANCED MEDICAL HOME CARE LLC RAMSEY ADVANTAGE HOME CARE SERVS INC PAGE# Index Page 4 FACILITY NAME COUNTY PAGE# 211 ALL LOVE INC HENNEPIN 107 358 ALL NATIONS HOME HEALTH CARE HENNEPIN 159 271 ALLCARE HOME CARE INC CLAY 340 ALLEGIANCE ABILITY ASSISTANCE HENNEPIN 159 RAMSEY 320 ALLEGIANCE ABILITY ASSISTANCE HENNEPIN 159 AEON - SIENNA GREEN RAMSEY 308 ALLENDALE HOUSE OLMSTED 272 AEON - SIENNA GREEN II RAMSEY 308 ALLEVIACARE LLC HENNEPIN 129 AEON HOMES HENNEPIN 159 ALLIANCE ADDITION LLC HENNEPIN 160 AFFILIATED FAMILY AND SENIOR S HENNEPIN 113 ALLIANCE ASSISTED LIVING SRVCS DAKOTA 67 AFFIRMATION HOUSE HENNEPIN 107 ALLIANCE HEALTH SERVICES BLUE EARTH 23 AFFIRMATIONS HOME CARE WADENA 402 ALLIANCE HEALTH SERVICES INC DAKOTA 67 AFTENRO HOME SAINT LOUIS 358 ALLIANCE HHC & NURSING SERVICE HENNEPIN 135 AFTON CARE WASHINGTON 405 ALLIANCE HOMECARE SERVICES LLC HENNEPIN 135 AFTON CARE ST CROIX WASHINGTON 405 ALLIANCE HOUSING HENNEPIN 160 AFTON CARE ST CROIX WASHINGTON 405 ALLIED PROFESSIONALS INC HENNEPIN 129 AFYA HOME HEALTH CARE HENNEPIN 159 ALLINA HM C HSPCE & PALLITV CA RAMSEY 320 AGABI HEALTH CARE SERVICES ANOKA 11 ALLINA HM C HSPCE & PALLITV CA RAMSEY 320 AGAPE HOME CARE PROVIDER HENNEPIN 159 ALMOND HOUSE CROW WING 57 AGAPE SENIOR KARE HENNEPIN 97 ALMOND HOUSE UNIT 2 CROW WING 57 AGELESS CARE INCORPORATED ROSEAU 355 ALMOND HOUSE UNIT 3 CROW WING 57 AGING JOYFULLY HENNEPIN 126 ALMOND HOUSE UNIT 4 CROW WING 57 AGING SERVICES FOR COMMUNITIES LESUEUR 243 ALMOST HOME CROW WING 57 AICOTA HEALTH CARE CENTER AITKIN 1 ALTERNATIVE HOME CARE SOLUTION WASHINGTON 411 AICOTA HEALTH CARE CENTER INC AITKIN 1 ALTERNATIVE SENIOR CARE INC STEARNS 387 AIDE HOME CARE CROW WING 61 ALTERNATIVE SENIOR CARE INC STEARNS 387 AITKIN COUNTY CARE AITKIN 1 ALTRU HOME SERVICES NORTH DAKOTA 429 AITKIN HEALTH SERVICES AITKIN 1 ALTRU HOME SERVICES HOSPICE NORTH DAKOTA 429 AKASHA INC WASHINGTON 413 ALWAYS BEST CARE OF ST CROIX WASHINGTON 408 AKASHA INC WASHINGTON 413 ALWAYS CARING SCOTT 375 AKASHA INC WASHINGTON 413 AMAS INCORPORATED HENNEPIN 113 ALBANY AREA HOME HEALTH STEARNS 383 AMAS INCORPORATED HENNEPIN 113 ALBANY AREA HOSP ALBANY CLINIC STEARNS 383 AMAZING GRACE HOME CARE HENNEPIN 160 ALBANY AREA HOSP AVON CLINIC STEARNS 384 AMAZING LOVE ASSISTED LIVING HENNEPIN 124 ALBANY AREA HOSPICE STEARNS 384 AMAZING LOVE ASSISTED LIVING HENNEPIN 124 ALBANY AREA HOSPITAL & MED CTR STEARNS 384 AMAZING LOVE ASSISTED LIVING HENNEPIN 107 ALCOTT MANOR OTTER TAIL 281 AMAZING LOVE HEALTHCARE SERVIC HENNEPIN 124 ALDRICH BOARD AND CARE LLC HENNEPIN 159 AMBITION 24 HOME HEALTH KANDIYOHI 232 ALERE WOMEN'S AND CHILDREN'S H CARVER AMELIE HOUSE HENNEPIN 97 ALICE NETELL TOWER SAINT LOUIS 372 AMER INDIAN COMM DEV COR HENNEPIN 160 ALISHAS CARE CENTER TODD 398 AMERICAN BEST HOME CARE ANOKA ALL ABOUT CARING HOME CARE INC CHISAGO AMERICAN FAMILY HOME CARE HENNEPIN 107 ALL FAMILY HOME CARE LLC SCOTT 377 AMERICAN HOUSE RAMSEY 320 ALL GENERATIONS HOME CARE INC STEELE 392 AMERICAN UNITED CARE LLC HENNEPIN 160 ALL GOOD HOME CARE INC BENTON 19 AMERICARE LODGES INC CASS ALL HOME HEALTH INC HENNEPIN 97 AMOR HOME CARE SERVICES LLC RAMSEY 305 ALL HOMECARING HENNEPIN 159 AMRTC COMO COMMUNITY UNIT RAMSEY 320 37 48 50 2 43 Minnesota Department of Health Division of Compliance Monitoring Index For Directory of Facilities and Services FACILITY NAME COUNTY AMY JOHNSON RESIDENCE RAMSEY ANDERSONS PINE GROVE HOME SAINT LOUIS ANDERSONS PINE GROVE HOME SAINT LOUIS ANDREW RESIDENCE HENNEPIN ANGEL HEALTH SERVICES PAGE# Index Page 5 FACILITY NAME COUNTY PAGE# 320 ASI 28TH STREET HENNEPIN 160 356 ASI CAMDEN HOUSE HENNEPIN 161 356 ASI CHICAGO HOUSE HENNEPIN 161 160 ASI METRO 4 RAMSEY 320 HENNEPIN 113 ASIAN AMERICAN ELDERLY AL LLC HENNEPIN 107 ANGELS CARE CENTER GOODHUE 92 ASIAN AMERICAN ELDERLY ASSISTE RAMSEY 321 ANGELS OF MERCY HENNEPIN 160 ASIAN AMERICAN HOME HC SERVICE RAMSEY 340 ANGELS OF MERCY ASSISTED LIVIN ANOKA 5 ASIAN AMERICAN HOME HEALTH CAR RAMSEY 321 ANIKA HOME CARE DAKOTA 71 ASIAN COMMUNITY SPECIAL SRSVCS RAMSEY 321 ANN'S HOME SCOTT 377 ASIAN HOME CARE INC RAMSEY 321 ANN'S HOME SCOTT 376 ASPEN ARMS CARLTON 33 ANNANDALE CARE CENTER WRIGHT 421 ASPEN GROVE ALT SENIOR LIVING SAINT LOUIS 369 ANNMAR HOME HELP LLC WRIGHT 425 ASPEN GROVE ALTERNATIVE SENIOR SAINT LOUIS 369 ANOINTED HOME CARE AGENCY RAMSEY 320 ASPEN MEDICAL GROUP UNIVERSITY RAMSEY 321 ANOKA CARE CENTER ANOKA 2 ASSISTED INDEPENDENCE LLP WRIGHT 424 ANOKA METRO REG TREATMENT CTR ANOKA 3 ASSISTED LVG IN HERITAGE HALL HENNEPIN ANPA WASTE NUMPA HENNEPIN ASSISTING HANDS OF MINNEAPOLIS SCOTT 375 ANTHONY LOUIS CENTER ANOKA ASSOCIATED EYE CARE AMB SURG WASHINGTON 411 APOLLO HOMES INC WASHINGTON 409 ASSUMPTION HEALTH SERVICES STEARNS 384 APPARENTCARE LLC HENNEPIN 127 ASSUMPTION HOME STEARNS 385 APPLE RIDGE ESTATES SWIFT 396 ASSUMPTION HOME CARE STEARNS 385 APPLE VALLEY VILLA DAKOTA 61 ASSURED CARE SCOTT 376 APPLETON AREA HEALTH SERVICES SWIFT 396 ASSURED CARE SCOTT 376 APPLETON MUNICIPAL HOSPITAL SWIFT 396 ASSURED CARE SCOTT 376 APRIA HEALTHCARE INC RAMSEY 320 AT HOME CARE OF PARMLY LIFEPOI CHISAGO ARBOR GARDENS OLMSTED 271 AT HOME HEALTH CARE INC ANOKA ARBOR LAKES SENIOR LIVING HENNEPIN 142 AT HOME LTD HENNEPIN 161 ARBOR PARK LIVING CENTER CLAY 50 ATT HOME HEALTH CARE INC RAMSEY 321 ARBOR PARK LIVING CENTER CLAY 50 ATWATER HOUSE KANDIYOHI 231 ARBOR PARK LIVING CENTER LLC CLAY 50 AUBURN COURTS CARVER 38 ARBOR TERRACE OLMSTED 272 AUBURN COURTS CARVER 38 ARBOR TERRACE OLMSTED 272 AUBURN HOME IN WACONIA CARVER 40 ARDEN HILLS DIALYSIS UNIT RAMSEY 298 AUBURN MANOR CARVER 38 ARISE HOME HEALTH CARE STEARNS 388 AUBURN MEADOWS CARVER 40 ARISE HOME HEALTH CARE STEARNS 389 AUDRIE HOME HEALTH CARE LLC HENNEPIN 113 ARLINGTON HOME OTTER TAIL 281 AUGUSTANA APARTMENTS OF MINNEA HENNEPIN 161 ARLINGTON PLACE STEARNS 391 AUGUSTANA CHAPEL VIEW APARTMEN HENNEPIN 140 ARMADILLO FLATS LLC HENNEPIN 160 AUGUSTANA CHAPEL VIEW CARE CTR HENNEPIN 140 ARMS OF COMPASSION HOME CARE HENNEPIN 135 AUGUSTANA EMERALD CREST OF BUR DAKOTA 63 AROUND THE CLOCK HOME CARE HENNEPIN 211 AUGUSTANA EMERALD CREST OF BUR DAKOTA 63 AROUND THE CLOCK HOME CARE LLC HENNEPIN 211 AUGUSTANA EMERALD CREST OF BUR DAKOTA 63 ARTHURS RESIDENTIAL CARE RAMSEY 308 AUGUSTANA EMERALD CREST OF BUR DAKOTA 63 ARTHURS RESIDENTIAL CARE RAMSEY 308 AUGUSTANA EMERALD CREST OF MIN HENNEPIN 190 ASERACARE HOME HEALTH HENNEPIN 98 AUGUSTANA EMERALD CREST OF MIN HENNEPIN 190 ASERACARE HOSPICE HENNEPIN 98 AUGUSTANA EMERALD CREST OF MIN HENNEPIN 190 ASHBY LIVING CENTER INC GRANT 96 AUGUSTANA EMERALD CREST OF SHA SCOTT 377 160 4 98 46 6 Minnesota Department of Health Division of Compliance Monitoring Index For Directory of Facilities and Services FACILITY NAME COUNTY AUGUSTANA EMERALD CREST OF VIC CARVER AUGUSTANA EMERALD CREST OF VIC CARVER AUGUSTANA HCC OF APPLE VALLEY DAKOTA AUGUSTANA HCC OF HASTINGS DAKOTA AUGUSTANA HCC OF MPLS HENNEPIN AUGUSTANA HOME HEALTH CARE SER HENNEPIN AUGUSTANA MERCY CARE CTR CARLTON AUGUSTANA REGENT AT BURNSVILLE DAKOTA AUGUSTANA REGENT AT BURNSVILLE DAKOTA AUGUSTANA RESIDENTIAL CARE HENNEPIN AUGUSTANA THERAPY SERVICES HENNEPIN AUSTIN MSOCS MOWER AUTUMN GRACE BLUE EARTH AUTUMN GRACE II BLUE EARTH AUTUMN HILLS HOME CARE PAGE# Index Page 6 FACILITY NAME COUNTY PAGE# 39 BARROSS MANOR LAKE 241 39 BASS LAKE APARTMENTS HENNEPIN 195 61 BASS LAKE COURT TOWNHOMES HENNEPIN 196 70 BASS LAKE COURT TOWNHOMES HENNEPIN 196 161 BASS LAKE TOWNHOMES HENNEPIN 196 161 BAYADA HOME HEALTH CARE INC RAMSEY 312 36 BAYADA PEDIATRICS STEARNS 386 64 BAYADA PEDIATRICS HENNEPIN 190 64 BAYCLIFF HENNEPIN 211 161 BAYSHORE HEALTH CENTER SAINT LOUIS 358 140 BAYWOOD HOME CARE HENNEPIN 162 262 BEACON HAVEN RAMSEY 305 23 BEACON HILL HENNEPIN 190 23 BEARD AVENUE APARTMENTS HENNEPIN 107 BELTRAMI 15 BECKY'S PLACE INC HENNEPIN 127 AUTUMN HILLS OF BEMIDJI INC BELTRAMI 15 BECKYS PLACE INC HENNEPIN 127 AUTUMN LANE ITASCA 224 BEECHWOOD INC HENNEPIN 162 AUTUMN LANE INC ITASCA 224 BEECHWOOD INC HENNEPIN 162 AUTUMN RIDGE APARTMENTS HENNEPIN 114 BELGRADE NURSING HOME STEARNS 384 AUTUMN RIDGE APARTMENTS HENNEPIN 114 BELL HILL RECOVERY CENTER WADENA 403 AUTUMN RIDGE APARTMENTS HENNEPIN 113 BELLE HAVEN TOWNHOMES LP MILLE LACS 257 AVALON HOME CARE INC SHERBURNE 379 BELTRAMI COUNTY HEALTH & HUMAN BELTRAMI 16 AVENUE FOR HOME CARE INC HENNEPIN 161 BEN'S HOUSE HENNEPIN 196 AVENUES FOR CARE INC CHIPPEWA 44 BENEDICT COURT SHERBURNE 380 AVENUES FOR HOMELESS YOUTH HENNEPIN 161 BENEDICT HOMES SHERBURNE 380 AVERA MARSHALL REG MED CENTER LYON 246 BENEDICT VILLAGE SHERBURNE 380 AXIS ON BELMONT RAMSEY 308 BENEDICTINE HEALTH CENTER SAINT LOUIS 358 AXIS ON ELDRIDGE RAMSEY 308 BENEDICTINE HEALTH CTR OF MPLS HENNEPIN 162 AXIS ON GLENHILL RAMSEY 312 BENEDICTINE HLTH CTR INNSBRUCK RAMSEY 305 AXIS ON SENECA RAMSEY 341 BENEDICTINE LIVING COMMUNITY NICOLLET 266 AXIS ON ST MICHAEL RAMSEY 305 BENEDICTINE LIVING COMMUNITY O KANABEC 230 AXIS ON WHITE BEAR AVENUE RAMSEY 340 BENEDICTINE LIVING COMMUNITY O KANDIYOHI 231 B HOME BY ENGLISH ROSE SUITES HENNEPIN 216 BENEDICTINE LNG COM NEW LONDON KANDIYOHI 231 BAKER PARK INC BELTRAMI 16 BENEDICTINE LV COMM OF WINSTED MCLEOD 253 BANADIR HOME HEALTH CARE HENNEPIN 161 BENEDICTINE LVG COM NEW LONDON KANDIYOHI 231 BANGEM HOME HEALTH WASHINGTON 413 BENEDICTINE LVG COM VILLAGE AP KANDIYOHI 231 BARBARA DAWN KUTSI SAINT LOUIS 358 BENEDICTINE LVG COMM OF MORA KANABEC 230 BARNABAS HEALTH CARE SERVICES CROW WING 57 BENEDICTINE LVG COMM OF MORA KANABEC 230 BARNES CARE INC CARLTON 35 BENEDICTINE LVG COMM WINSTED MCLEOD 253 BARNES CARE INC CARLTON 35 BENEDICTINE SR LIV STEEPLE PTE HENNEPIN 198 BARNESVILLE AREA CLINIC CLAY 49 BENEDICTINE SR LVG COMM ST PTR NICOLLET 266 BARRETT ASSISTED LVG COM INC GRANT 96 BENET HALL SAINT LOUIS 358 BARRETT ASSISTED LVG COMMUNITY GRANT 96 BENET HALL SAINT LOUIS 359 BARRETT CARE CENTER INC GRANT 96 BENET PLACE SHERBURNE 380 BARROSS COTTAGE LAKE 241 BENET PLACE SOUTH SHERBURNE 381 BARROSS COTTAGE LAKE 241 BENTSON FAMILY ASSISTED LIVING RAMSEY 321 Minnesota Department of Health Division of Compliance Monitoring Index For Directory of Facilities and Services FACILITY NAME COUNTY BERKSHIRE RESIDENCE HENNEPIN BERTHA MEDICAL CENTER TODD BEST CARE GROUP HENNEPIN BEST CARE HOME HEALTH INC HENNEPIN BEST CARE HOME HEALTH INC PAGE# Index Page 7 FACILITY NAME COUNTY PAGE# 199 BOSSEN PARK APTS HENNEPIN 163 398 BOSSEN PARK LP HENNEPIN 163 107 BOSTROM TERRACE OLMSTED 272 162 BOTTINEAU COMMONS HENNEPIN 163 HENNEPIN 162 BOTTINEAU LOFTS HENNEPIN 163 BEST HOME CARE LLC RAMSEY 307 BOULDER ESTATES LYON 246 BETHANY ASSISTED LIVING MEEKER 254 BOUNDARY WATERS CARE CENTER SAINT LOUIS 366 BETHANY CARE CENTER HENNEPIN 162 BOURNE MEDICAL SERVICE WINONA 419 BETHANY CARE CENTER HENNEPIN 162 BOUTWELLS LANDING WASHINGTON 409 BETHANY CARE CENTER HENNEPIN 162 BOUTWELLS LANDING WASHINGTON 409 BETHANY HOME DOUGLAS 83 BRAINERD CAREFREE LIVING LLC CROW WING 57 BETHANY HOME HEALTH SERVICES DOUGLAS 83 BRAINERD HRA CROW WING 57 BETHEL CARE CENTER RAMSEY 321 BRAINERD LAKES SURGERY CTR CROW WING BETHEL MANAGEMENT GROUP HENNEPIN 107 BRASK HAVEN INC ISANTI BETHEL MANOR DOUGLAS 83 BRECK HOME RESIDENTIAL CARE HENNEPIN 98 BETHEL MANOR II DOUGLAS 83 BRECK HOME RESIDENTIAL CARE CE HENNEPIN 98 BETHESDA KANDIYOHI 232 BREMMER SUITES FILLMORE 90 BETHESDA CHURCH APARTMENTS HENNEPIN 162 BRENDAS HEALTHCARE INC HENNEPIN 203 BETHESDA HERITAGE CENTER KANDIYOHI 232 BRENTWOOD HOME LYON 246 BETHESDA HOME HEALTH KANDIYOHI 232 BRENTWOOD PARK APARTMENTS HENNEPIN 141 BETHESDA NH PLEASANTVIEW KANDIYOHI 232 BRENTWOOD PARK APARTMENTS HENNEPIN 140 BETTER LIFE CARE LLC RAMSEY 321 BRIANS ELDER CARE INC FREEBORN 90 BETTY R JOHNSON HENNEPIN 142 BRIARWOOD OTTER TAIL 287 BETTY'S HOME WASHINGTON 406 BRICKSTONE MANOR BROWN BETTYS HOME WASHINGTON 406 BRIDGE INVESTMENTS HENNEPIN 196 BEYOND SPEECH HENNEPIN 163 BRIDGES CARE COMMUNITY NORMAN 270 BIGFORK VALLEY COMMUNITIES ITASCA 223 BRIDGES CARE COMMUNITY NORMAN 270 BIGFORK VALLEY HOME CARE ITASCA 223 BRIDGEWAY ESTATES MORRISON 258 BIGFORK VALLEY HOSPITAL ITASCA 223 BRIDGEWELL ASSISTED LIVING DOUGLAS 87 BIGFORK VALLEY VILLA ITASCA 223 BRIDGING LIFE HOME HEALTHCARE HENNEPIN 107 BIGFORK VALLEY VILLA ASST LVG ITASCA 224 BRIGHT STARS CARE CENTER HENNEPIN 163 BILL KELLY HOUSE HENNEPIN 163 BRIGHTENING CONNECTIONS LLC RAMSEY 321 BIRCHHAVEN VILLAGE BELTRAMI 16 BRIGHTSTAR HEALTHCARE RAMSEY 300 BIRCHVIEW GARDENS ASSISTED LIV CASS 42 BRIGHTSTAR HEALTHCARE OF WAYZA HENNEPIN 143 BIRCHVIEW GARDENS ASSISTED LVG CASS 42 BRIGHTSTAR OF ST CROIX VALLEY WASHINGTON 408 BIRCHWOOD ARBORS WASHINGTON 407 BRIGHTSTAR SOUTH WEST MINNEAPO HENNEPIN 211 BIRCHWOOD CARE HOME HENNEPIN 163 BRISTOL PLACE HOME HEALTH SERV HENNEPIN 163 BIRCHWOOD HEALTH CARE CENTER WASHINGTON 407 BROADVIEW MANOR SAINT LOUIS 368 BIRCHWOOD HOUSE MCLEOD 251 BROADWAY APARTMENTS HENNEPIN 163 BLAINE ASSISTED LIVING AND MEM ANOKA 4 BROADWAY ASSISTED LIVING FREEBORN 91 BLAINE WHITE PINE ANOKA 4 BROADWAY AVENUE HENNEPIN 164 BLAISDELL PLACE HENNEPIN 135 BROEN MEMORIAL HOME OTTER TAIL 281 BLESSING HOME HEALTH SERVICES HENNEPIN 107 BROOKLYN CENTER OUTREACH HOME HENNEPIN 108 BLOOMINGTON DIALYSIS UNIT TRC HENNEPIN 98 BROOKRIDGE WRIGHT 423 BLOOMINGTON OUTREACH HOME HENNEPIN 98 BROOKSIDE CASS 43 BONNIES SENIOR HAVEN DOUGLAS 83 BROOKSIDE MANOR CHIPPEWA 44 56 223 28 Minnesota Department of Health Division of Compliance Monitoring Index For Directory of Facilities and Services FACILITY NAME COUNTY BROOTEN MEDICAL CENTER STEARNS BROWN COUNTY EVAL CENTER INC BROWN BROWN COUNTY PUBLIC HEALTH BROWN BROWN KRAUSE MANOR HENNEPIN BROWNS VALLEY HEALTH CENTER TRAVERSE BRYANT AVE RESIDENCE DAKOTA BRYANT HOUSE HENNEPIN BRYANT SQUARE APARTMENTS HENNEPIN BRYANT SQUARE HOME HEALTH CARE HENNEPIN BRYN MAWR HEALTH CARE CENTER PAGE# Index Page 8 FACILITY NAME COUNTY CARDENAS FRIENDSHIP HOUSE HENNEPIN 98 28 CARE AGE COUNTRY HOME HUBBARD 219 28 CARE FOR LESS HENNEPIN 211 164 CARE FOR LESS RAMSEY 322 399 CARE PARTNER SERVICES ISANTI 223 CARE PLANNERS HOME HEALTH CARE RAMSEY 322 145 CARE PLUS HOME HEALTH AGENCY I HENNEPIN 135 164 CARE WITH HEART HOME SERVICES RAMSEY 322 129 CARECO APARTMENTS INC DAKOTA 71 HENNEPIN 164 CAREFOCUS CORPORATION RAMSEY 322 BUFFALO HOSPITAL WRIGHT 422 CAREFREE HOME SERVICES INC ANOKA BUFFALO LAKE HEALTHCARE CTR RENVILLE 345 CAREFREE LIVING OF BABBITT SAINT LOUIS 356 BURI MANOR HENNEPIN 164 CAREGVR SUPT PRG KOREAN SRV CT HENNEPIN 165 BURNSDALE EXTENDED CARE CHIPPEWA 45 CAREMATE HOME HEALTH CARE INC RAMSEY 322 BURNSDALE EXTENDED CARE CHIPPEWA 45 CAREMATE HOME HEALTH CARE INC RAMSEY 322 BURNSDALE EXTENDED CARE CHIPPEWA 45 CAREMINDERS HOME CARE HENNEPIN 129 BURNSDALE EXTENDED CARE CHIPPEWA 45 CARING & COMPASSIONATE HEALTH NOBLES 268 BURNSVILLE CAREFREE LIVING LLC DAKOTA 64 CARING HANDS HOME CARE WADENA 402 BURNSVILLE DIALYSIS UNIT DAKOTA 64 CARING HEARTS AT HOME LLC WRIGHT 425 BYCHOICE HOME CARE SRVS LLC HENNEPIN 143 CARING NURSES LLC HENNEPIN 114 BYWOOD EAST HEALTH CARE HENNEPIN 164 CARING NURSES LLC HENNEPIN 114 BYWOOD EAST HEALTH CARE HENNEPIN 164 CARING NURSES LLC HENNEPIN 114 C C S INC RIDGEWOOD NOBLES 268 CARING PROFESSIONALS HOMECARE RAMSEY 322 C K HOME HEALTH CARE INC OTTER TAIL 281 CARING SOLUTIONS RICE 347 CABRINI PARTNERSHIP HENNEPIN 164 CARINGHANDS HOME HEALTH CARE I RAMSEY 322 CABRINI PARTNERSHIP HENNEPIN 164 CARLSON DRAKE HOUSE HENNEPIN 98 CALEDONIA CARE AND REHAB HOUSTON 218 CARLTON PLACE CARLTON 33 CALEDONIA CARE AND REHAB BUCK HOUSTON 218 CAROL BURNETT HENNEPIN CALEY HOUSE ASSISTED LIVING MILLE LACS 257 CARONDELET VILLAGE RAMSEY 323 CALLCO SERVICES LLC HENNEPIN 164 CARONDELET VILLAGE BETHANY COM RAMSEY 323 CALLISTA COURT WINONA 419 CARONDELET VILLAGE CARE CENTER RAMSEY 323 CAMBRIDGE MED CTR DELLWOOD ISANTI 221 CARRIAGE HOUSE APARTMENTS CLAY CAMBRIDGE MEDICAL CENTER ISANTI 221 CARSTENS HARBOUR INC ISANTI 221 CAMDEN CARE CENTER HENNEPIN 165 CASCADE CARE SERVICES INC STEELE 392 CAMILIA ROSE CARE CENTER LLC ANOKA 7 CASS CO PUBLIC HEALTH SERVICES CASS 43 CAMILIA ROSE GROUP HOME ANOKA 7 CASS LAKE DIALYSIS FACILITY CASS 42 CANNON VALLEY SUITES RICE 350 CASS LAKE INDIAN HLTH SERV HOS CASS 42 CAPERNAUM PEDIATRIC THERAPY HENNEPIN 196 CASTLE RIDGE CARE CENTER HENNEPIN 127 CAPERNAUM PEDIATRIC THERAPY IN HENNEPIN 129 CASTLE RIDGE MANOR HOUSE HENNEPIN 127 CAPITAL CARE SERVICES LLC RAMSEY 322 CASTLEVIEW APARTMENTS OLMSTED 272 CAPITAL HOME HEALTH CARE LLC HENNEPIN 165 CATHARINE A NISAM HENNEPIN 135 CAPITOL VIEW TRANSITIONAL CARE RAMSEY 322 CATHOLIC CHARITIES HENNEPIN 165 CARDENAS FRIENDSHIP HOME CHISAGO 48 CATHOLIC CHARITIES CAREGIVER S RAMSEY 323 CARDENAS FRIENDSHIP HOUSE DAKOTA 64 CATHOLIC ELDERCARE AT HOME HENNEPIN 165 CARDENAS FRIENDSHIP HOUSE DAKOTA 64 CATHOLIC ELDERCARE AT HOME HENNEPIN 165 CARDENAS FRIENDSHIP HOUSE DAKOTA 67 CATHOLIC ELDERCARE ON MAIN HENNEPIN 165 384 78 PAGE# 12 98 50 Minnesota Department of Health Division of Compliance Monitoring Index For Directory of Facilities and Services FACILITY NAME COUNTY CBD HOME CARE INC HENNEPIN CDS HOMEMAKING PLUS OTTER TAIL CEDAR COTTAGE BELTRAMI CEDAR COVE ASSISTED LIVING STEARNS CEDAR COVE ASSISTED LIVING PAGE# Index Page 9 FACILITY NAME COUNTY PAGE# 143 CENTRAL MINNESOTA SENIOR CARE KANDIYOHI 233 287 CENTRAL MINNESOTA SENIOR CARE KANDIYOHI 232 16 CENTRAL MINNESOTA SENIOR CARE KANDIYOHI 233 387 CENTRAL MINNESOTA SENIOR CARE MORRISON 258 STEARNS 387 CENTRAL MINNESOTA SENIOR CARE CROW WING CEDAR CREST ESTATE MCLEOD 251 CENTRAL MINNESOTA SENIOR CARE/ LYON 246 CEDAR CREST OF COSMOS MEEKER 253 CENTRAL MN MENTAL HLTH CENTER STEARNS 389 CEDAR CREST OF SILVER LAKE MCLEOD 253 CENTRAL MN SENIOR CARE INC KANDIYOHI 233 CEDAR PARK APARTMENTS - 1266 RAMSEY 323 CENTRAL MN SENIOR CARE INC KANDIYOHI 233 CEDAR PARK APARTMENTS - 1286 RAMSEY 323 CENTRAL MN SENIOR CARE INC A KANDIYOHI 233 CEDAR PARK ARARTMENTS - 1288 RAMSEY 323 CENTRAL MN SENIOR CARE INC B KANDIYOHI 233 CEDAR RIDGE WASHINGTON 411 CENTRAL MN SENIOR CARE TOUCH O POPE 297 CEDARS OF AUSTIN MOWER 262 CENTRAL MN SURGICAL CENTER LLC STEARNS 387 CENTENNIAL HOUSE OF APPLE VALY DAKOTA 62 CENTRAL NEIGHBORHOOD APARTMENT HENNEPIN 165 CENTENNIAL LAKES SURGERY CTR HENNEPIN 129 CENTRAL TODD CO CARE CENTER TODD 398 CENTENNIAL VILLA WRIGHT 421 CENTRAL TODD CO CC H C & APTS TODD 398 CENTENNIAL VILLA ASSISTED LIVI WRIGHT 421 CENTRAL TODD COUNTY HOME CARE TODD 398 CENTENNIAL VILLA ASSISTED LVN WRIGHT 421 CENTRAL TOWERS RAMSEY 339 CENTENNIAL&HERITAGE PLACE APTS DAKOTA 69 CENTRAL TOWERS RAMSEY 323 CENTER FOR DIAGNOSTIC IMAGING HENNEPIN 211 CERENITY CARE CENTER WBL RAMSEY 340 CENTER POINTE APARTMENTS HENNEPIN 108 CERENITY CARE CTR MARIAN RAMSEY 323 CENTRA CARE KIDNEY PROGRAM SHERBURNE 379 CERENITY CARE CTR ON HUMBOLDT RAMSEY 323 CENTRACARE - MELROSE PARK VIEW STEARNS 385 CERENITY CC MARIAN ST PAUL RAMSEY 324 CENTRACARE CAMBRIDGE DIALYSIS ISANTI 221 CERENITY RES ON HUMBOLDT RAMSEY 324 CENTRACARE CLINIC-SAUK CENTRE STEARNS 388 CERENITY RES ON HUMBOLDT RAMSEY 324 CENTRACARE DIALYSIS LAKEWOOD WADENA 402 CERENITY RESIDENCE - MARIAN OF RAMSEY 324 CENTRACARE HEALTH SYS MELROSE STEARNS 385 CERENITY RESIDENCE OF WBL RAMSEY 340 CENTRACARE HEALTH SYSM-MELROSE STEARNS 385 CHALLET HENNEPIN 130 CENTRACARE HEALTH SYSTEM STEARNS 388 CHAMPLIN GW LLC HENNEPIN 123 CENTRACARE HEALTH SYSTEM-LONG TODD 398 CHAMPLIN SHORES ASSIST LIVING HENNEPIN 123 CENTRACARE HLTH SYSTEM LONG PR TODD 399 CHANDLER PLACE HOME HLTH CARE RAMSEY 314 CENTRACARE KIDNEY PROGRAM DOUGLAS 83 CHAPPYS GOLDEN SHORES AITKIN CENTRACARE KIDNEY PROGRAM MILLE LACS 257 CHAPPYS GOLDEN SHORES AITKIN CENTRACARE KIDNEY PROGRAM STEARNS 389 CHARIS HOME HEALTH CARE INC DAKOTA CENTRACARE KIDNEY PROGRAM LITT MORRISON 258 CHARLOTTE L EAST DAKOTA CENTRACARE KIDNEY PROGRAM PLAZ STEARNS 389 CHARTER HOUSE OLMSTED 272 CENTRACARE LITCHFIELD DIALYSIS MEEKER 254 CHARTER HOUSE INC OLMSTED 272 CENTRACARE SURGERY CTR LLC STEARNS 389 CHARTERHOUSE HHA OLMSTED 272 CENTRAL HEALTH CARE LESUEUR 242 CHASKA PLAZA SURGERY CENTER CARVER CENTRAL MINNESOTA REG DIALYSIS MILLE LACS 257 CHERISH SAINT LOUIS 369 CENTRAL MINNESOTA SENIOR CARE KANDIYOHI 232 CHERISHED HOME MANAGEMENT SAINT LOUIS 369 CENTRAL MINNESOTA SENIOR CARE SWIFT 397 CHERRYWOOD ADVANCED LIVING BENTON CENTRAL MINNESOTA SENIOR CARE SWIFT 397 CHERRYWOOD ADVANCED LIVING LLC SHERBURNE 379 CENTRAL MINNESOTA SENIOR CARE KANDIYOHI 231 CHERRYWOOD OF BIG LAKE SHERBURNE 379 CENTRAL MINNESOTA SENIOR CARE SWIFT 397 CHERRYWOOD OF BIG LAKE 1030 STEARNS 389 CENTRAL MINNESOTA SENIOR CARE POPE 296 CHERRYWOOD OF BIG LAKE 1036 STEARNS 389 57 1 1 73 73 38 20 Minnesota Department of Health Division of Compliance Monitoring Index For Directory of Facilities and Services FACILITY NAME COUNTY CHERRYWOOD OF RICHMOND STEARNS CHERRYWOOD OF RICHMOND STEARNS CHERRYWOOD POINT OF ROSEVILLE RAMSEY CHESTNUT GROVE EAST SAINT LOUIS CHESTNUT GROVE NORTH PAGE# Index Page 10 FACILITY NAME COUNTY PAGE# 386 CLARE MIDTOWN HENNEPIN 166 386 CLARKFIELD CARE CENTER YELLOW MEDICINE 427 308 CLARKFIELD HOME HEALTH AGENCY YELLOW MEDICINE 427 372 CLARKFIELD HOUSING & REDEVELOP YELLOW MEDICINE 427 SAINT LOUIS 372 CLAY COUNTY RECEIVING CENTER CLAY 50 CHESTNUT GROVE SOUTH SAINT LOUIS 372 CLAYCO CARE CENTER CLAY 49 CHESTNUT GROVE WEST SAINT LOUIS 373 CLAYRIDGE ASSISTED LIVING SAINT LOUIS CHEZ VOUS HOME CARE LLC HENNEPIN 203 CLEARWATER CO NSG SERVICE CLEARWATER 52 CHEZ VOUS HOME CARE LLC HENNEPIN 135 CLEARWATER HOSPICE CLEARWATER 52 CHEZ VOUS HOME CARE LLC HENNEPIN 203 CLINIQUE HEALTH CARE SERVICES HENNEPIN 124 CHICOS BOARD AND LODGE DODGE 82 CLINIQUE HEALTHCARE SERVICES I HENNEPIN 124 CHILD& ADOL BEHAV HLTH (CABHS) KANDIYOHI 233 CLINTON CARE CENTER BIG STONE 22 CHILDREN'S THERAPLAY LLC RAMSEY 300 CNS HOME HEALTH CARE OLMSTED 272 CHILDRENS HC MPLS AMB & REHAB HENNEPIN 190 CODE CARE LLC HENNEPIN 114 CHILDRENS HEALTH CARE SERVICES HENNEPIN 191 COKATO MANOR WRIGHT 423 CHILDRENS HOME CARE & HOSPICE HENNEPIN 165 COKATO MANOR COMPANION CARE WRIGHT 423 CHILDRENS HOME CARE & HOSPICE HENNEPIN 165 COKATO MANOR HOME HEALTH WRIGHT 424 CHILDRENS HOSP & CLINICS MINNE HENNEPIN 166 COLBY LAKE CARE HOME INC WASHINGTON 414 CHIPPEWA CO MONTEVIDEO HOSP CHIPPEWA 45 COLFAX VILLAS HENNEPIN 166 CHIPPEWA COUNTY MONTEVIDEO HHC CHIPPEWA 45 COLLEENS CARING HANDS BELTRAMI 16 CHOICE HOME CARE INC OLMSTED 272 COLONIAL ACRES HEALTH CARE CTR HENNEPIN 136 CHOICE HOUSE HENNEPIN 114 COLONIAL COURT APARTMENTS DAKOTA 79 CHOSEN VALLEY ASSISTED LIVING FILLMORE 88 COLONIAL COURT APARTMENTS DAKOTA 79 CHOSEN VALLEY CARE CENTER FILLMORE 89 COLONIAL COURT APARTMENTS DAKOTA 79 CHRIS JENSEN HLTH & REHAB CTR SAINT LOUIS 359 COLONIAL MANOR NURSING HOME JACKSON 229 CHRISTIAN GLANCEY RAMSEY 340 COLONIAL MANOR OF BALATON LYON 245 CHRISTINE PROFESSIONAL HEALTH RAMSEY 305 COLONY COURT WASECA 405 CHRONIC DIALYSIS UNIT CROW WING 57 COLONY COURT MEMORY CARE & CAR WASECA 405 CHU SURGERY CENTER LLC HENNEPIN 99 COLORADO COURT HENNEPIN 211 CIMARRON ASSISTED LIVING DAKOTA 77 COLUMBIA APARTMENTS SAINT LOUIS 373 CIP CITY LIGHTS HENNEPIN 124 COLUMBIA VILLAGE ANOKA CIRCLE DOWN ASSISTED LIVING HENNEPIN 135 COMFORCARE SENIOR SERVICES DAKOTA CIRCLE DOWN ASSISTED LIVING HENNEPIN 135 COMFORCARE SENIOR SERVICES HENNEPIN 130 CIRCLE DRIVE MANOR ASST LVNG DODGE COMFORCARE SENIOR SERVICES-MIN HENNEPIN 191 CIRCLE OF LIFE HC ANISHINAABE HENNEPIN 166 COMFORT CARE COTTAGES WADENA 403 CLADDAGH HOUSE INC HOUSTON 219 COMFORT HEALTH OLMSTED 273 CLARA CITY CARE CENTER CHIPPEWA 44 COMFORT HEALTH CARE HENNEPIN 114 CLARA CITY CARE CENTER CHIPPEWA 44 COMFORT HOME HEALTH CARE OLMSTED 273 CLARE APARTMENTS HENNEPIN 166 COMFORT KEEPERS HENNEPIN 134 CLARE BRIDGE OF EAGAN DAKOTA 67 COMFORT KEEPERS PIPESTONE 292 CLARE BRIDGE OF EDEN PRAIRIE HENNEPIN 127 COMFORT KEEPERS MORRISON 258 CLARE BRIDGE OF NORTH OAKS RAMSEY 306 COMFORT KEEPERS ANOKA CLARE BRIDGE OF OWATONNA STEELE 393 COMFORT KEEPERS HENNEPIN 199 CLARE BRIDGE OF PLYMOUTH HENNEPIN 199 COMFORT KEEPERS STEARNS 391 CLARE BRIDGE OF WEST ST PAUL DAKOTA 79 COMFORT KEEPERS WASHINGTON 414 CLARE HOUSING HENNEPIN 166 COMFORT KEEPERS ANOKA 83 356 5 67 4 4 Minnesota Department of Health Division of Compliance Monitoring Index For Directory of Facilities and Services FACILITY NAME COUNTY COMFORT KEEPERS HENNEPIN COMFORT KEEPERS DAKOTA COMFORT SERVICES LLC HENNEPIN COMFORTABLE HOME HEALTH CARE L HENNEPIN COMFORTCARE NURSING SERVICES I PAGE# Index Page 11 FACILITY NAME COUNTY COMPASSIONATE CARE INC KANDIYOHI 233 71 COMPASSIONATE COTTAGE LLC KANDIYOHI 234 166 COMPASSIONATE COTTAGE LLC KANDIYOHI 233 114 COMPASSIONATE HOME CARE ROSEAU 355 HENNEPIN 124 COMPASSIONATE HOME HEALTH INC ANOKA 6 COMFORTS OF HOME CARE LLC RAMSEY 341 COMPASSIONATE LUCYS SENIOR HOM ANOKA 11 COMM ADDICTION REC ENTERPRISE NICOLLET 266 COMPASSIONCARE HENNEPIN COMM ADDICTION RECOVERY ENTERP OTTER TAIL 281 COMPASSIONCARE CLAY COMM BEHAV HLTH HOSP ANNANDALE WRIGHT 421 COMPLETE HOME HEALTH SERVICES HENNEPIN 210 COMM BEHAV HLTH HOSP BAXTER CROW WING 56 COMPREHENSIVE HOME CARE INC HENNEPIN 166 COMM BEHAV HLTH HOSP BEMIDJI BELTRAMI 16 COMSTOCK COURT ITASCA 224 COMM BEHAV HLTH HOSP ROCHESTER OLMSTED 273 CONGREGATE HOUSING SERVS PROG RAMSEY 324 COMM BEHAV HOSP FERGUS FALLS OTTER TAIL 281 CONNECTCARE MCLEOD 251 COMM BEHAVIORAL HEALTH HOSP DOUGLAS 83 CONNECTCARE MCLEOD 252 COMM BEHAVIORAL HEALTH HOSP NICOLLET 266 CONNIE R DAVIS LPN ISANTI 223 COMM OPTIONS AND RESOURCES I MARTIN 250 COOK CAREFREE LIVING INC SAINT LOUIS 358 COMMON SENSE SERVICES DAKOTA 73 COOK CO NORTHSHORE HOSP &C CTR COOK COMMUNITIES OF CARE RAMSEY 312 COOK CO NORTHSHORE HOSP HM HLT COOK COMMUNITY ADDICTION RECOVERY CARLTON 33 COOK HOSPITAL SAINT LOUIS COMMUNITY ADDICTION RECOVERY E CROW WING 58 COON RAPIDS DIALYSIS UNIT ANOKA COMMUNITY ADDICTION WILLMAR KANDIYOHI COPPER GLEN CHIPPEWA 45 COMMUNITY ASSISTED LIVING DAKOTA COPPERFIELD HILL - THE MANOR HENNEPIN 207 COMMUNITY ASSISTED LIVING INC SCOTT 377 COPPERFIELD HILL PHASE II HENNEPIN 207 COMMUNITY ASSISTED LIVING INC DAKOTA 69 COPPERLEAF SENIOR LIVING KANDIYOHI 234 COMMUNITY ASSISTED LIVING INC DAKOTA 69 COPPERLEAF SENIOR LIVING KANDIYOHI 234 COMMUNITY ASSISTED LIVING INC SCOTT 376 CORAM SPECIALTY INFUSION SERV DAKOTA 76 COMMUNITY ASSISTED LIVING INC SCOTT 377 CORNELIA HOUSE RAMSEY 324 COMMUNITY ASSISTED LIVING INC DAKOTA 62 CORNERSTONE ASSISTED LIVING HENNEPIN 199 COMMUNITY FOUNDATIONS RAMSEY 300 CORNERSTONE NSG & REHAB CENTER CLEARWATER 52 COMMUNITY HEALTHCARE SERVICE DAKOTA 62 CORNERSTONE RES OF BAGLEY INC CLEARWATER 52 COMMUNITY HOME HEALTH INC SCOTT 376 CORNERSTONE RESID OF KELLIHER BELTRAMI 18 COMMUNITY INVOLVEMENT PROG HHS HENNEPIN 166 CORNERSTONE RESIDENCE POLK 295 COMMUNITY LIVING INC COTTAGE 1 CARVER 40 CORNERSTONE VILLA SAINT LOUIS 357 COMMUNITY LIVING INC COTTAGE 2 CARVER 40 COTEAU DES PRAIRIES HOSPITAL H SOUTH DAKOTA 430 COMMUNITY LIVING INC COTTAGE 3 CARVER 40 COTTAGE GROVE DIALYSIS WASHINGTON 406 COMMUNITY LIVING INC COTTAGE 4 CARVER 40 COTTAGE GROVE WHITE PINE WASHINGTON 406 COMMUNITY LIVING INC COTTAGE 5 ANOKA 7 COTTAGE GROVE WP II LLC WASHINGTON 406 COMMUNITY LIVING INC COTTAGE 6 ANOKA 7 COTTAGE ON FOREST RICE 351 COMMUNITY LIVING OPTIONS INC WASHINGTON 414 COTTONWOOD JACKSON COMM H S JACKSON 228 COMMUNITY MEM HOSP ESRD UNIT WINONA 419 COUNTRY HOME COMFORTS PINE 289 COMMUNITY MEMORIAL HOME DOUGLAS 87 COUNTRY HOME COMFORTS LLC KANABEC 229 COMMUNITY MEMORIAL HOSPITAL CARLTON 33 COUNTRY LVNG MANAGEMENT CO KANDIYOHI 232 COMMUNITY OPTIONS ANOKA 10 COUNTRY MANOR EXTENDED SERV BENTON 19 COMMUNITY SUPPORTS PROGRAMMING PINE 290 COUNTRY MANOR EXTENDED SVCS BENTON 19 COMO VILLA ESTATES RAMSEY 324 COUNTRY MANOR HLTH & REHAB CTR BENTON COMPASSIONATE CARE HOSPICE NOBLES 268 COUNTRY MEADOWS MILLE LACS 199 233 62 PAGE# 136 50 53 54 358 7 19 256 Minnesota Department of Health Division of Compliance Monitoring Index For Directory of Facilities and Services FACILITY NAME COUNTY COUNTRY VIEW SENIOR COMMUNITY REDWOOD COUNTRYSIDE CATERED SR LIVING STEELE COUNTRYSIDE RETIREMENT COMMUNI BROWN COURAGE CENTER HENNEPIN COURAGE CENTER OUTPATIENT SRVS PAGE# Index Page 12 FACILITY NAME COUNTY 344 CUYUNA REGIONAL MEDICAL CENTER CROW WING 393 CYPRESS MANOR ANOKA DAISY HOME CARE INC HENNEPIN 136 DAKOTA CO RECEIVING CENTER DAKOTA HENNEPIN 136 DAKOTA HOMEMAKING SERVICES INC DAKOTA 62 COURAGE RESIDENCE HENNEPIN 136 DALE STREET PLACE RAMSEY 324 COURAGE ST CROIX WASHINGTON 411 DALYCE ELLIOTT YOUNG RAMSEY 325 COVENANT HOME HEALTH CARE LLC ANOKA DANEBOD VILLAGE HOME LINCOLN 244 COVENANTCARE AT HOME HENNEPIN 136 DARTS DAKOTA 79 COVENTRY SENIOR LIVING WASHINGTON 408 DASSEL MEDICAL CENTER MEEKER 254 COVENTRY SENIOR LIVING WASHINGTON 409 DAWNS ELDER CARE RICE 347 CREEKRIDGE CONCIERGE SCOTT 377 DAWS APARTMENTS LLC HENNEPIN 204 CREEKSIDE COTTAGE CATERED LIVI ANOKA 7 DAWSON CLINIC LAC QUI PARLE 239 CREST VIEW HOME CARE ANOKA 6 DAWSON ICFMR LAC QUI PARLE 239 CREST VIEW HOME HEALTH CARE ANOKA 6 DCI 3801 BROADWAY HENNEPIN 207 CREST VIEW LUTHERAN HOME ANOKA 6 DCI 3807 BROADWAY HENNEPIN 207 CREST VIEW ON 42ND ANOKA 6 DCI 75TH HENNEPIN 143 CREST VIEW VILLA DODGE DCI BROOKVIEW RAMSEY 300 CROIXDALE WASHINGTON 406 DCI CARMEN DAKOTA 76 CROIXDALE WASHINGTON 406 DCI CENTRAL ISANTI CROOKSTON HOUSING & ECONOMIC D POLK 293 DCI CONGRESS DAKOTA 78 CROSS HOME MOWER 262 DCI COPE RAMSEY 300 CROSSING HOME RAMSEY 324 DCI DAKOTA ADULTS DAKOTA 76 CROSSROADS APARTMENTS POLK 295 DCI DIANE DAKOTA 76 CROSSROADS AT PENN HENNEPIN 203 DCI DOUGLAS WRIGHT 422 CROSSROADS AT PENN HENNEPIN 203 DCI EDGEWOOD HENNEPIN 114 CROSSROADS AT PENN HENNEPIN 203 DCI EMERSON DAKOTA CROSSROADS AT PENN HENNEPIN 203 DCI FRANCE HENNEPIN CROSSROADS AT PENN HENNEPIN 203 DCI KENNELLY DAKOTA 64 CROSSROADS CARE CENTER NOBLES 269 DCI LARPENTEUR RAMSEY 300 CROSSROADS SURGERY CENTER RICE 347 DCI LYNDALE HENNEPIN 108 CROSSTOWN SURGERY CENTER LLC HENNEPIN 130 DCI MARY ADELE DAKOTA 76 CROW WING COUNTY HEALTH DEPT CROW WING DCI MARYLAND RAMSEY 300 CROWN MEDICAL HOME HEALTH AGEN HENNEPIN 166 DCI POPPLER DAKOTA 68 CRS GROTTO REENTRY LLC RAMSEY 324 DCI POWELL CIRCLE SHERBURNE CRS PENN RE-ENTRY LLC HENNEPIN 167 DCI UPPER 55TH STREET DAKOTA CRYSTAL CARE CENTER HENNEPIN 124 DEACONESS TOWER RICE 347 CRYSTAL CARE HOME HLTH SRV INC HENNEPIN 203 DEACONESS TOWER RICE 347 CRYSTAL CARE SUPPORT SERVICES HENNEPIN 203 DEBRA L HADDEN WRIGHT 424 CRYSTAL COURTS APARTMENTS HENNEPIN 124 DECKER'S FAMILY CARE INC/PAPER KOOCHICHING 238 CRYSTAL LAKE HOME ITASCA 225 DECKERS FAMILY CARE INC KOOCHICHING 239 CRYSTAL SEASONS LVG COMMUNITY BLUE EARTH DEER CREST GOODHUE CTR FOR INDEPENDENT LVG NE MN SAINT LOUIS 369 DEER RIVER HEALTH CARE CENTER ITASCA 224 CTRL MN RECEIVING AND REFERRAL STEARNS 389 DEER RIVER HOME CARE ITASCA 224 CUSTOM CLEANING SERVICES INC SCOTT 377 DELPHI SCOTT 378 CUSTOMCARE HOME HEALTH CARE LL HENNEPIN 127 DELTA HOME HEALTH CARE LLC HENNEPIN 127 31 7 82 58 23 PAGE# 60 2 136 70 222 80 208 379 72 94 Minnesota Department of Health Division of Compliance Monitoring Index For Directory of Facilities and Services FACILITY NAME COUNTY DEMAR ASSOCIATES INC ANOKA DESTINY HOME CARE SERVICES HENNEPIN DESTINY HOME CARE SERVICES HENNEPIN DESTINY HOME CARE SERVICES HENNEPIN DESTINY HOME CARE SERVICES INC HENNEPIN DIAMOND WILLOW ASSISTED LIVING SAINT LOUIS DIAMOND WILLOW ASSISTED LIVING SAINT LOUIS DIAMOND WILLOW ASSISTED LIVING SAINT LOUIS DIAMOND WILLOW ASSISTED LIVING SAINT LOUIS DIAMOND WILLOW ASSISTED LIVING PAGE# Index Page 13 FACILITY NAME COUNTY PAGE# DIVINE LOVE HOME CARE SERVICES HENNEPIN 115 99 DIVINE NURTURING HOMECARE SERV HENNEPIN 115 99 DIVINE PROVIDENCE COMM HOME BROWN 31 99 DIVINE PROVIDENCE HEALTH CENTR LINCOLN 244 99 DIVINE RESULTS HOME CARE INC HENNEPIN 217 372 DIVINE TOUCH HOME HEALTH CARE OLMSTED 273 372 DOMAN ROSE PLACE JACKSON 229 372 DOMAN ROSE PLACE JACKSON 229 372 DOMINION HOME HEALTH SERVICES MCLEOD 251 SAINT LOUIS 359 DONNA MARIE NORGREN HENNEPIN 130 DIAMOND WILLOW ASSISTED LIVING SAINT LOUIS 359 DONOVAN FRANK DETOX CENTER SAINT LOUIS 373 DIAMOND WILLOW ASSISTED LIVING HUBBARD 220 DOUGLAS CO PUB HEALTH HOSPICE DOUGLAS DIAMOND WILLOW ASSISTED LIVING CROW WING 56 DOUGLAS COUNTY HOSPITAL DOUGLAS 84 DIAMOND WILLOW ASSISTED LIVING CARLTON 33 DR THOMAS H JOHNSON HWS HENNEPIN 167 DIAMOND WILLOW ASSISTED LIVING DOUGLAS 84 DR THOMAS H JOHNSON HWS HENNEPIN 167 DIAMOND WILLOW ASSISTED LIVING DOUGLAS 83 DR THOMAS H JOHNSON HWS HENNEPIN 167 DIAMOND WILLOW ASSISTED LIVING HUBBARD 220 DR THOMAS H JOHNSON'S HOUSE HENNEPIN 167 DIAMOND WILLOW ASSISTED LIVING ITASCA 225 DRCC AURORA SAINT LOUIS 356 DIAMOND WILLOW ASSISTED LIVING BECKER 12 DRCC LAVERNE SAINT LOUIS 359 DIAMOND WILLOW ASSISTED LIVING MORRISON 259 DULUTH REG CARE CTR THALASSIC LAKE 241 DIAMOND WILLOW ASSISTED LIVING MORRISON 258 DULUTHCARE SAINT LOUIS 359 DIAMOND WILLOW ASSISTED LIVING SAINT LOUIS 371 DUNGARVIN BALBRIGGEN RAMSEY 325 DIAMOND WILLOW ASSISTED LIVING CARLTON 33 DUNGARVIN CAMARA RAMSEY 312 DIAMOND WILLOW ASSISTED LIVING CROW WING 56 DUNGARVIN CHAI HENNEPIN 199 DIAMOND WILLOW ASSISTED LIVING SAINT LOUIS DUNGARVIN MINNESOTA LLC DAKOTA 76 DIAMOND WILLOW ASSISTED LIVING BECKER 12 DUNGARVIN TIKVAH RAMSEY 325 DIAMOND WILLOW ASSISTED LIVING SAINT LOUIS 371 DUNGARVIN YOUGAL HENNEPIN 143 DIAMOND WILLOW ASSISTING LIVIN ITASCA 225 DUNGARVIN/COVINGTON COURT 374 DAKOTA 80 DIAMONDCREST SENIOR LIVING HENNEPIN 209 DUNGARVIN/COVINGTON COURT 376 DAKOTA 80 DIAMONDS HOME HEALTH CARE INC HENNEPIN 167 DUNGARVIN/HUMBOLDT HENNEPIN 115 DIANE AHRENS CRISIS RESIDENCE RAMSEY 325 DUNGARVIN/HUMBOLDT HENNEPIN 115 DIGNITY AND GRACE CASS 42 DUNGARVIN/HUMBOLDT HENNEPIN 115 DIRECTIONS FOR LIFE SAINT LOUIS 368 DUNGARVIN/HUMBOLDT HENNEPIN 115 DISTRICT ONE HOSPITAL RICE 348 E B I INCORPORATED SAINT LOUIS 359 DIVERSEY HOME CARE LLC HENNEPIN 143 EAGAN DIALYSIS UNIT DAKOTA 68 DIVERSIFIED PROPERTIES HENNEPIN 167 EAGLE CREST ARBOR RAMSEY 308 DIVERSIFIED PROPERTIES HENNEPIN 167 EAGLE CREST COMMONS RAMSEY 308 DIVERSIFIED PROPERTY MANAGEMEN HENNEPIN 167 EAGLE STREET CATERED LIVING ANOKA DIVINE CARE LLC DAKOTA 74 EAGLECREST RAMSEY 309 DIVINE HEALTHCARE NETWORK RAMSEY 325 EAGLES CROSSING HOME MANAGEMNT TODD 398 DIVINE HOME CARE INC KANDIYOHI 234 EARLE BROWN TERRACE HENNEPIN 108 DIVINE HOME CARE INC KANDIYOHI 234 EARLE BROWN TERRACE HENNEPIN 108 DIVINE HOUSE INC KANDIYOHI 234 EAST RIDGE COURT RENVILLE 346 DIVINE HOUSE INC KANDIYOHI 234 EAST RIVER ROAD DIALYSIS ANOKA DIVINE HOUSE INC/VALLEY QUEST KANDIYOHI 234 EASTWOOD HOME REDWOOD 343 DIVINE HOUSE INC/VALLEYBROOK H KANDIYOHI 234 EASTWOOD SENIOR LVG HOME CARE KANABEC 230 7 371 84 7 10 Minnesota Department of Health Division of Compliance Monitoring Index For Directory of Facilities and Services FACILITY NAME COUNTY EASY LIVING ELDER CARE INC WISCONSIN EBENEZER CARE CENTER HENNEPIN EBENEZER HOME CARE HENNEPIN EBENEZER HOME CARE HENNEPIN EBENEZER HOME CARE DAKOTA EBENEZER LAKES SENIOR HOUSING CHISAGO EBENEZER PARK APARTMENTS HENNEPIN EBENEZER RIDGE POINT APARTMENT DAKOTA EBENEZER RIDGES GERIATRIC CC DAKOTA EBENEZER TOWER APARTMENTS HENNEPIN ECUMEN AT HOME RAMSEY ECUMEN BETHANY COMMUNITY MEMOR DOUGLAS ECUMEN HOME CARE RAMSEY ECUMEN LAKE CRYSTAL BLUE EARTH ECUMEN LAKEVIEW COMMONS RAMSEY ECUMEN LECENTER LESUEUR ECUMEN LITCHFIELD SR HSG SERVS MEEKER ECUMEN MAPLETON BLUE EARTH ECUMEN NEW RICHLAND WASECA ECUMEN NORTH BRANCH CHISAGO ECUMEN NORTH BRANCH CHISAGO ECUMEN OAKS MCLEOD ECUMEN OF LITCHFIELD HC & HSPC MEEKER ECUMEN OF LITCHFIELD HOME CARE MEEKER ECUMEN PINES PAGE# Index Page 14 FACILITY NAME COUNTY 430 EDGEWOOD VISTA SUITES SAINT LOUIS 368 167 EDGEWOOD VISTA VIRGINIA SAINT LOUIS 373 168 EDGEWOOD VISTA VIRGINIA - ALZ SAINT LOUIS 373 198 EDINA CARE & REHAB CENTER HENNEPIN 130 74 EDINA DIALYSIS CENTER HENNEPIN 130 48 EDINA PARK PLAZA HENNEPIN 130 168 EDINA PARK PLAZA HENNEPIN 130 64 EDINA SURGERY CENTER HENNEPIN 130 64 EFFICIENT MEDICAL SERVICES INC RAMSEY 325 168 ELDER CARE SERVICES INC BLUE EARTH 312 ELDER HAVEN WASHINGTON 407 ELDER HOMESTEAD HENNEPIN 191 ELDERCARE SOLUTIONS INC HENNEPIN 168 ELDERS HOME INC OTTER TAIL 285 300 ELDERWOOD OF HINCKLEY PINE 290 243 ELDERWOOD OF HINCKLEY PINE 290 254 ELIM HOME MILLE LACS 257 ELIM HOME - MILACA MILLE LACS 256 ELIM HOME WATERTOWN CARVER 48 ELIM SHORES HENNEPIN 127 48 ELIMARC HEALTH CARE NETWORK IN HENNEPIN 115 252 ELITE NURSING SERVICE INC ANOKA 255 ELLIOT APARTMENTS HENNEPIN 168 255 ELLIOT CARE HOME INC HENNEPIN 168 MCLEOD 252 ELLIOT COURT APARTMENTS HENNEPIN 168 ECUMEN PRAIRIE HILL NICOLLET 267 ELMHURST COMMONS ISANTI 221 ECUMEN SAND PRAIRIE NICOLLET 267 ELY BLOOMENSON COMM HOSPITAL SAINT LOUIS 366 ECUMEN SCENIC SHORES LAKE 241 ELY BLOOMENSON HOSPITAL HHA SAINT LOUIS 366 ECUMEN SCENIC SHORES ASST LVG LAKE 241 ELY CAREFREE LIVING SAINT LOUIS 367 ECUMEN SEASONS AT MAPLEWOOD RAMSEY 300 ELY CAREFREE LIVING SAINT LOUIS 367 EDELWEISS HOME HEALTH CARE HENNEPIN 143 ELY CAREFREE LIVING SAINT LOUIS 367 EDEN PARK APARTMENTS HENNEPIN 108 EMANUEL HOUSING LP HENNEPIN 168 EDEN PRAIRIE DIALYSIS HENNEPIN 127 EMBRACE HOME CARE LLC FREEBORN 91 EDEN RESIDENTIAL PROGRAM HENNEPIN 168 EMMANUEL COMMUNITY BECKER 13 EDGEBROOK CARE CENTER PIPESTONE 291 EMMANUEL COMMUNITY BECKER 12 EDGEBROOK ESTATES PIPESTONE 291 EMMANUEL HOME MEEKER 255 EDGEBROOK ESTATES ASSISTED LIV PIPESTONE 292 EMMANUEL NURSING HOME BECKER 13 EDGEWATER ASSISTED LIVING PINE 290 EMMAUS PLACE MEEKER 255 EDGEWOOD CARE INC ITASCA 224 ENCORE SENIOR HOME CARE HENNEPIN 134 EDGEWOOD GABLES WRIGHT 424 ENDLESS CARE LLC RAMSEY 325 EDGEWOOD VISTA POLK 294 ENGLISH ROSE SUITES HENNEPIN 217 EDGEWOOD VISTA ALEXANDRIA DOUGLAS 84 ENGLISH ROSE SUITES HENNEPIN 131 EDGEWOOD VISTA ALZHEIMERS CARE SAINT LOUIS 368 ENGLISH ROSE SUITES HENNEPIN 217 EDGEWOOD VISTA BRAINERD CROW WING 58 ENGLISH ROSE SUITES HENNEPIN 130 EDGEWOOD VISTA BRAINERD ALZHEI CROW WING 58 ENGLISH ROSE SUITES BRAEMAR HI HENNEPIN 131 EDGEWOOD VISTA HERMANTOWN SAINT LOUIS 368 EPIPHANY ASSISTED LIVING LLC ANOKA 84 312 23 27 404 PAGE# 23 41 7 8 Minnesota Department of Health Division of Compliance Monitoring Index For Directory of Facilities and Services FACILITY NAME COUNTY EPIPHANY PINES SENIOR HOUSING ANOKA EPISCOPAL CHURCH HOME OF MN RAMSEY EPISCOPAL HOME CARE AND SERVIC RAMSEY EPISCOPAL HOME CARE AND SRVS RAMSEY EQUITY SERVICES OF ST PAUL PAGE# Index Page 15 FACILITY NAME COUNTY PAGE# EXCEL PHYSICAL THERAPY WRIGHT 422 325 EXCELLENT CARE SERVICES INC OLMSTED 273 325 EXCEPTIONAL HOME HEALTH HENNEPIN 168 325 EXPRESS HOME HEALTH CARE RAMSEY 326 RAMSEY 326 EXTENDED HAND HOME CARE OLMSTED 273 EREYNA HAUGEN HENNEPIN 210 EXTENDED HAND HOME CARE LLC OLMSTED 273 ESSENTIA HEALTH - ADA CLINIC NORMAN 270 FAIR MEADOW NURSING HOME POLK 295 ESSENTIA HEALTH - SANDSTONE PINE 291 FAIR OAKS APARTMENTS WADENA 403 ESSENTIA HEALTH ADA NORMAN 270 FAIR OAKS LODGE WADENA 403 ESSENTIA HEALTH BAGLEY CLINIC CLEARWATER FAIRFAX COMMUNITY HOME RENVILLE 345 ESSENTIA HEALTH CHOKIO CLINIC STEVENS 395 FAIRFAX COMMUNITY HOME HEALTH RENVILLE 345 ESSENTIA HEALTH DULUTH SAINT LOUIS 359 FAIRFAX COMMUNITY HOME INC RENVILLE 345 ESSENTIA HEALTH FOSSTON POLK 295 FAIRVIEW CARE CENTER DODGE ESSENTIA HEALTH FOSSTON HM HTH POLK 295 FAIRVIEW HOME CARE AND HOSPICE HENNEPIN 169 ESSENTIA HEALTH GRACE HOME BIG STONE FAIRVIEW HOME INFUSION HENNEPIN 169 ESSENTIA HEALTH NORTHERN PINES SAINT LOUIS FAIRVIEW HOSPICE HENNEPIN 169 ESSENTIA HEALTH OAK CROSSING BECKER 13 FAIRVIEW LAKES HOMECARING HOSP CHISAGO 46 ESSENTIA HEALTH OKLEE CLINIC RED LAKE 342 FAIRVIEW LAKES HOMECARING HOSP CHISAGO 46 ESSENTIA HEALTH SANDSTONE PINE 291 FAIRVIEW LAKES MEDICAL CENTER CHISAGO 49 ESSENTIA HEALTH ST JOSEPHS MED CROW WING 58 FAIRVIEW MAPLE GROVE SURG CTR HENNEPIN 143 ESSENTIA HEALTH ST MARYS BECKER 13 FAIRVIEW NORTHLAND REG HOSP MILLE LACS 258 ESSENTIA HEALTH ST MARYS MED SAINT LOUIS 359 FAIRVIEW PLACE APARTMENTS RENVILLE 346 ESSENTIA HEALTH VIRGINIA SAINT LOUIS 373 FAIRVIEW RIDGES HOSPITAL DAKOTA ESSENTIA HLTH GRACEVILLE CLINI STEVENS 395 FAIRVIEW SOUTHDALE HOSPITAL HENNEPIN ESSENTIA HLTH GRACEVILLE HH BIG STONE 22 FAIRVIEW UNIVERSITY TRANS SERV HENNEPIN 169 ESSENTIA HLTH HOLY TRINITY HOS BIG STONE 22 FAIRWAY PINES SENIOR LVG COMM STEARNS 388 ESSLINGS HOMES PLUS INC RAMSEY 301 FAIRWAY PINES SENIOR LVG COMM STEARNS 388 ESSLINGS HOMES PLUS INC RAMSEY 300 FAIRWAY VIEW SENIOR COMMUNIT BIG STONE ESSLINGS HOMES PLUS INC RAMSEY 326 FAITH HOME CARE LLC WASHINGTON ESSLINGS HOMES PLUS INC RAMSEY 326 FAITH HOME CARE LLC DAKOTA ESTEEM NURSING CARE INC HENNEPIN 115 FALLS LANDING ASSISTED LIVING PIPESTONE 292 ESTEEM NURSING CARE INC HENNEPIN 106 FAMILY CARE SERVICES INC HENNEPIN 169 EVANSVILLE CARE CENTER DOUGLAS 86 FAMILY CHOICE HOMECARE DAKOTA EVANSVILLE SENIOR LIVING DOUGLAS 86 FAMILY MEDICAL CENTER MORRISON 260 EVELETH HEALTH SERVICES PARK SAINT LOUIS 367 FAMILY SERVICE ROCHESTER INC OLMSTED 273 EVENSONG MANOR HENNEPIN 115 FAMILY SURGERY CENTER LLC KANDIYOHI 234 EVENTIDE FAIRMONT CLAY 50 FARIBAULT AREA HOSPICE RICE 348 EVENTIDE LUTHERAN HOME CLAY 51 FARIBAULT CARE CENTER RICE 348 EVENTIDE SUITES COTTONWOOD 54 FARIBAULT DIALYSIS UNIT RICE 348 EVERGREEN APARTMENTS HENNEPIN 115 FARIBAULT SENIOR LIVING RICE 348 EVERGREEN KNOLL CARLTON 34 FARIBAULT SOCS RICE 348 EVERGREEN LODGE RICE 351 FARMINGTON HEALTH SERVICES DAKOTA EVERGREEN PLACE GOODHUE 93 FERGUS FALLS DIALYSIS CENTER OTTER TAIL 281 EVERGREEN SENIOR LIVING CARLTON 34 FIDELITY HEALTHCARE HENNEPIN 169 EVERGREEN TERRACE ITASCA 225 FIELD CREST CARE CENTER DODGE 82 EVERYDAY LIVING 133 BUILDING DAKOTA 78 FIELD CREST HOME CARE DODGE 82 8 53 22 356 82 64 131 22 414 78 76 69 Minnesota Department of Health Division of Compliance Monitoring Index For Directory of Facilities and Services FACILITY NAME COUNTY FIELDCREST ASSISTED LIVING LYON FILLMORE COUNTY PHNS FILLMORE FIRST CARE HOSPICE POLK FIRST CHOICE HOME CARE INC RAMSEY FIRST CHOICE NURSING & HOME CA PAGE# Index Page 16 FACILITY NAME COUNTY FRANCISCAN HEALTH CENTER SAINT LOUIS 360 FRANCISCAN HOME CARE RAMSEY 326 296 FRANCISCAN HOME HEALTH RAMSEY 326 326 FRANKLIN CO-OP HENNEPIN 170 HENNEPIN 116 FRANKLIN FAMILY HOME HEALTH AG HENNEPIN 170 FIRST CHOICE NURSING & HOMECAR HENNEPIN 116 FRANKLIN HOUSING COOPERATIVE HENNEPIN 170 FIRST CHOICE NURSING & HOMECAR HENNEPIN 108 FRASER COMMUNITY SERVICES HENNEPIN 204 FIRST CHOICE NURSING AND HOME HENNEPIN 108 FRAZEE ASSISTED LIVING H C BECKER 15 FIRST EQUITY GROUP HENNEPIN 169 FRAZEE CARE CENTER BECKER 15 FIRSTAT NURSING SERVICES RAMSEY 326 FREEDOM LIVING CENTER LLC RED LAKE 342 FIRSTLIGHT HEALTH SYSTEM KANABEC 230 FREEDOM POINTE MINNETONKA HENNEPIN 191 FIRSTLIGHT HINCKLEY PINE 290 FREMONT COURT HENNEPIN 99 FIRSTLIGHT PINE CITY PINE 290 FRESENIUS MED CARE COON RAPIDS ANOKA FIVE STAR ASSISTED LIVING SERV SAINT LOUIS 359 FRESENIUS MED CARE MAPLE GROVE HENNEPIN 143 FMC DIAL SERVS OF SPIRIT VALLE SAINT LOUIS 360 FRESENIUS MED CARE OF CHAMPLIN HENNEPIN 123 FMC DIALYSIS SERVCES GOLDN VAL HENNEPIN 136 FRESENIUS MED CARE OF HIBBING SAINT LOUIS 369 FMC DIALYSIS SERVCES NO SUBURB ANOKA FRESENIUS MED CARE ROBBINSDALE HENNEPIN 208 FMC DIALYSIS SERVCES ROSEVILLE RAMSEY 309 FRESENIUS MED CARE ST LOUIS PK HENNEPIN 211 FMC DIALYSIS SERVICES BUFFALO WRIGHT 422 FRESENIUS MEDICAL CARE MIDWAY RAMSEY 326 FMC DIALYSIS SERVICES DULUTH SAINT LOUIS 360 FRESENIUS MEDICAL OF ST PAUL RAMSEY 326 FMC DIALYSIS SERVICES EVELETH SAINT LOUIS 367 FRIDLEY ASSISTED LIVING LLC DAKOTA 76 FMC DIALYSIS SRVCS GR RAPIDS ITASCA 225 FRIDLEY ASSISTED LIVING LLC ANOKA 10 FMC DIALYSIS SRVS HUTCHINSON MCLEOD 252 FRIENDSHIP COURT FARIBAULT 87 FMC MAPLEWOOD HEIGHTS RAMSEY 301 FRIENDSHIP VILLAGE OF BLOOMING HENNEPIN 100 FMC SOUTHTOWN DIALYSIS HENNEPIN 99 FRIENDSHIP VILLAGE OF BLOOMING HENNEPIN 99 FMC WEST ST PAUL DIALYSIS DAKOTA 80 FRIENDSHIP VLGE OF BLOOMINGTON HENNEPIN 100 FMCNA MORA DIALYSIS CENTER KANABEC 230 FUNDAMENTAL KIDS THERAPY LLC ANOKA FMCNA NEW BRIGHTON DIAL CTR RAMSEY 305 FURNESS HOUSE RAMSEY 301 FMCNA PARK AVE DIALYSIS CENTER HENNEPIN 169 GABLES OF BOUTWELLS LANDING WASHINGTON 409 FMCNA SHAKOPEE DIALYSIS CENTER SCOTT 378 GABRIEL PRIORITY CARE RAMSEY 301 FMCNA SOUTH MPLS DIALYSIS CTR HENNEPIN 169 GALTIER HEALTH CENTER RAMSEY 327 FMCNA WACONIA DIALYSIS CARVER 40 GARDEN COURT CHATEAU ITASCA 225 FOCUS XII HALFWAY HOUSE STEARNS 389 GARDEN HOUSE AT ST MARYS MCLEOD 253 FOLEY NURSING CENTER BENTON 19 GARDEN HOUSE ESTATES LTD SAINT LOUIS 360 FOLWELL PARK APARTMENTS HENNEPIN 169 GARDEN TERRACE RAMSEY 299 FOND DU LAC ASSISTED LIVING RE CARLTON 34 GARDEN TERRACE ASSISTED LIVING CARLTON 37 FOND DU LAC HOME CARE PROGRAM CARLTON 34 GARDENS OF LOVE CARE HOME CARVER 38 FOOTWORKS RAMSEY 307 GARFIELD COMMONS HENNEPIN 100 FORENSIC SERVICES NICOLLET 267 GARNETTE GARDENS SENIOR LIVING REDWOOD 343 FOREST LAKE DIALYSIS WASHINGTON 407 GATEWAY COMMONS HENNEPIN 108 FOREST LAKE HOMECARE WASHINGTON 407 GATEWAY FAM HLTH CLINIC LTD CARLTON 36 FOREVER CARES INC WASHINGTON 411 GATEWAY FAMILY CLINIC PINE 291 FOREVER LIFE HOME HEALTH CARE CARVER 38 GATEWAY FAMILY HEALTH CLINIC PINE 290 FOUNDERS RIDGE HENNEPIN 99 GATEWAY GARDENS CLAY 51 FOUNDERS RIDGE HENNEPIN 99 GATEWAY HOMECARE SERVICES HENNEPIN 170 FOUNTAIN LAKE TREATMENT CTR FREEBORN 91 GATEWAY LOFTS HENNEPIN 170 245 89 8 PAGE# 8 12 Minnesota Department of Health Division of Compliance Monitoring Index For Directory of Facilities and Services FACILITY NAME COUNTY PAGE# GENERATIONS HOME CARE INC BENTON 20 GENTIVA HEALTH SERVICES RAMSEY GENTIVA HEALTH SERVICES SAINT LOUIS GENTLE CARE HOME HLTH SERVICES ANOKA GENTLE CARE IN-HOME SVCS LLC SCOTT GENTLE CARE INC HENNEPIN GENTLE CARE INC HENNEPIN GENTLE TOUCH HEALTH INITIATIVE HENNEPIN GENTLE TOUCH HLTH INITIATV LLC HENNEPIN GERIATRIC SERVICES OF MN Index Page 17 FACILITY NAME COUNTY GOLDEN HORIZONS INC PINE 309 GOLDEN HORIZONS OF CROSSLAKE CROW WING 360 GOLDEN LIFE HOME HEALTH CARE RAMSEY 327 8 GOLDEN LIVING COMM LAKE RIDGE RAMSEY 309 374 GOLDEN LIVING COMM REFLECTIONS HENNEPIN 217 211 GOLDEN LIVING COMMNTY MOORHEAD CLAY 212 GOLDEN LIVINGCENTER BLOOMINGTN HENNEPIN 100 191 GOLDEN LIVINGCENTER CHATEAU HENNEPIN 171 136 GOLDEN LIVINGCENTER DELANO WRIGHT 424 HENNEPIN 208 GOLDEN LIVINGCENTER EXCELSIOR HENNEPIN 134 GETTY STREET ASSISTED LIVING STEARNS 388 GOLDEN LIVINGCENTER FRANKLIN RENVILLE 345 GIANNA HOMES SURSUM CORDA HENNEPIN 191 GOLDEN LIVINGCENTER GREELEY WASHINGTON 412 GIDEONS ARMY HENNEPIN 131 GOLDEN LIVINGCENTER HENNING OTTER TAIL 284 GIL-MOR HAVEN REDWOOD 343 GOLDEN LIVINGCENTER HOPKINS HENNEPIN 141 GIL-MOR MANOR REDWOOD 343 GOLDEN LIVINGCENTER LACRESNT HOUSTON 219 GILLETTE CHILDRENS SPEC HOSP RAMSEY 327 GOLDEN LIVINGCENTER LAKE RIDGE RAMSEY 309 GLACIAL RIDGE HOME CARE POPE 296 GOLDEN LIVINGCENTER LINDEN WASHINGTON 412 GLACIAL RIDGE HOSPICE POPE 296 GOLDEN LIVINGCENTER LYNNHURST RAMSEY 327 GLACIAL RIDGE HOSPITAL POPE 296 GOLDEN LIVINGCENTER LYNWOOD ANOKA 10 GLEN HAVEN MANOR POPE 297 GOLDEN LIVINGCENTER MEADOW LN SWIFT 397 GLEN VIEW APARTMENTS POPE 297 GOLDEN LIVINGCENTER MOORHEAD CLAY 51 GLENCOE REGIONAL HEALTH SRVCS MCLEOD 251 GOLDEN LIVINGCENTER OLIVIA RENVILLE 346 GLENDALOUGH OF AUSTIN INC MOWER 262 GOLDEN LIVINGCENTER ROCH EAST OLMSTED 273 GLENMORE RECOVERY CENTER POLK 293 GOLDEN LIVINGCENTER RUSH CITY CHISAGO 48 GLENMORE THIEF RIVER FALLS PENNINGTON 288 GOLDEN LIVINGCENTER SLAYTON MURRAY 265 GLENWOOD ESTATES POPE 297 GOLDEN LIVINGCENTER TWIN RIVER ANOKA GLENWOOD ESTATES POPE 297 GOLDEN LIVINGCENTER WABASSO REDWOOD GLENWOOD MEDICAL CENTER POPE 297 GOLDEN LIVINGCENTER WALKER CASS GLENWOOD VILLAGE CARE CENTER POPE 297 GOLDEN LIVINGCENTER WHITEWATER WINONA 419 GLESENERS ASSISTED LIVING SERV RENVILLE 344 GOLDEN LIVINGCNTR ROCHESTER W OLMSTED 274 GLESENERS HOME CARE SERVICES RENVILLE 345 GOLDEN LIVINGCNTR ST LOUIS PK HENNEPIN 212 GLOBAL HOME HEALTH CARE INC OLMSTED 273 GOLDEN LVGCTR HILLCRST WAYZATA HENNEPIN 217 GLORIA DEI MANOR MEEKER 255 GOLDEN MANOR CORPORATION BECKER 13 GOFF HOLDINGS INC HENNEPIN 170 GOLDEN MANOR MEMORY CARE BECKER 13 GOFF HOLDINGS LLC HENNEPIN 170 GOLDEN MANOR OF BARNESVILLE CLAY 49 GOFF HOLDINGS LLC HENNEPIN 170 GOLDEN MANOR OF DETROIT LAKES BECKER 13 GOFF HOLDINGS LLC HENNEPIN 171 GOLDEN MANOR OF FERGUS FALLS OTTER TAIL 281 GOFF HOLDINGS LLC HENNEPIN 171 GOLDEN NEST LLC HENNEPIN 171 GOFF HOLDINGS LLC HENNEPIN 170 GOLDEN NEST LLC HENNEPIN 204 GOFF HOLDINGS LLC HENNEPIN 170 GOLDEN NEST LLC WASHINGTON 414 GOLDEN ELDERLY CARE SUITES COR HENNEPIN 142 GOLDEN OAKS SAINT LOUIS 368 GOLDEN HEARTS INC SIBLEY 381 GOLDEN OAKS ADV ASSIST LIVING SAINT LOUIS 372 GOLDEN HOME CARE PLUS INC BROWN 28 GOLDEN POND HENNEPIN 143 GOLDEN HORIZON NOBLES 269 GOLDEN VALLEY REHAB AND CC HENNEPIN 136 GOLDEN HORIZONS AITKIN GOLDEN VALLEY RESIDENCE HENNEPIN 137 GOLDEN HORIZONS SAINT LOUIS GOLDENRIDGE SENIOR CARE LLC DOUGLAS 84 1 372 PAGE# 290 60 51 3 344 43 Minnesota Department of Health Division of Compliance Monitoring Index For Directory of Facilities and Services FACILITY NAME COUNTY GOLDFINCH ESTATES MARTIN GOLDPINE HOME BELTRAMI GONDOLA GROUP INC DAKOTA GONDOLA GROUP INC DAKOTA GOOD FAITH INC HENNEPIN GOOD NEIGHBOR HHC OF BRAINERD CROW WING GOOD SAM SOC HM C OF SW MN NICOLLET GOOD SAM SOC BLACKDUCK SR LIV BELTRAMI GOOD SAM SOC HERITAGE GROVE POLK GOOD SAM SOC HM C OF SW MN PAGE# Index Page 18 FACILITY NAME COUNTY 249 GOOD SAMARITAN APARTMENTS MARSHALL 248 16 GOOD SAMARITAN HC INTL FALLS KOOCHICHING 238 72 GOOD SAMARITAN HOME CARE RAMSEY 309 72 GOOD SAMARITAN SOC HC HOSPICE CROW WING 108 GOOD SAMARITAN SOCIETY FAIRVI SIBLEY 382 56 GOOD SAMARITAN SOCIETY - HERIT RAMSEY 309 267 GOOD SAMARITAN SOCIETY - PELIC OTTER TAIL 286 18 GOOD SAMARITAN SOCIETY - RIVER KOOCHICHING 238 294 GOOD SAMARITAN SOCIETY HERITAG POLK 295 COTTONWOOD 55 GOOD SAMARITAN SOCIETY HOME CA NORTH DAKOTA 429 GOOD SAM SOCIETY ALBERT LEA FREEBORN 91 GOOD SAMARITAN SOCIETY LAFAYET NICOLLET 266 GOOD SAM SOCIETY AMBASSADOR HENNEPIN 196 GOOD SAMARITAN SOCIETY PELICAN OTTER TAIL 286 GOOD SAM SOCIETY ARLINGTON SIBLEY 382 GOOD SAMARITAN SOCIETY-HERITAG NICOLLET 267 GOOD SAM SOCIETY BATTLE LAKE OTTER TAIL 280 GOOD SAMARITAN SOCIETY-HOSPICE CROW WING 61 GOOD SAM SOCIETY BETHANY CROW WING 58 GOOD SHEPHERD ASSISTED LIVING BENTON 20 GOOD SAM SOCIETY BETHANY SR CROW WING 58 GOOD SHEPHERD COTTAGES BENTON 20 GOOD SAM SOCIETY BLACKDUCK BELTRAMI 18 GOOD SHEPHERD HALL POLK GOOD SAM SOCIETY BRANDT RIDGE WATONWAN GOOD SHEPHERD HOME HEALTH CARE BENTON 20 GOOD SAM SOCIETY CLEARBROOK CLEARWATER GOOD SHEPHERD HOMES INC BENTON 20 GOOD SAM SOCIETY COMFORCARE MOWER 262 GOOD SHEPHERD HOSPICE LINCOLN 244 GOOD SAM SOCIETY GLNWD LKVIEW POPE 297 GOOD SHEPHERD LUTHERAN HOME BENTON 20 GOOD SAM SOCIETY HIDDEN CREEK FREEBORN 91 GOOD SHEPHERD LUTHERAN HOME FILLMORE 90 GOOD SAM SOCIETY HOFFMAN GRANT 97 GOODCARELAND INC STEARNS 389 GOOD SAM SOCIETY HOME CARE ROCK 353 GOODHEART HOME HEALTH CARE INC HENNEPIN 199 GOOD SAM SOCIETY HOME CARE HENNEPIN 137 GOODLIFE HOMECARE LLC HENNEPIN 144 GOOD SAM SOCIETY HOWARD LAKE WRIGHT 424 GOODNESS AND MERCY HEALTH SERV HENNEPIN 109 GOOD SAM SOCIETY INTL FALLS KOOCHICHING 238 GOODNESS AND MERCY HEALTH SVCS HENNEPIN 109 GOOD SAM SOCIETY INVER GR HGTS DAKOTA GOODNESS AND MERCY HLTH SVCS HENNEPIN 109 GOOD SAM SOCIETY JACKSON JACKSON 228 GOPHER TRANS & HOUSING CO SCOTT 374 GOOD SAM SOCIETY MAPLEWOOD RAMSEY 301 GRACE HAVEN ASSISTED LIVING LAC QUI PARLE 240 GOOD SAM SOCIETY MARY JN BROWN ROCK 354 GRACE HOMES OAK RIDGE HOUSE HENNEPIN 141 GOOD SAM SOCIETY MT LAKE COTTONWOOD 54 GRACE HOMES OAK RIDGE HOUSE HENNEPIN 141 GOOD SAM SOCIETY PINE RIVER CASS 43 GRACE PLACE HENNEPIN 171 GOOD SAM SOCIETY PIPESTONE PIPESTONE 292 GRACE PLACE ASSISTED LIVING HENNEPIN 171 GOOD SAM SOCIETY REDWOOD FALLS REDWOOD 343 GRACE SENIOR SERVICES INC BLUE EARTH 24 GOOD SAM SOCIETY ST JAMES WATONWAN 417 GRACE VILLAGE BIG STONE 22 GOOD SAM SOCIETY ST PETER NICOLLET 267 GRACEFUL AGING HEALTH CARE INC HENNEPIN 116 GOOD SAM SOCIETY STILLWATER WASHINGTON 412 GRACEPOINTE CROSS GABLES EAST ISANTI 222 GOOD SAM SOCIETY WACONIA CARVER 41 GRACEPOINTE CROSS GABLES WEST ISANTI 222 GOOD SAM SOCIETY WARREN MARSHALL 248 GRACEPOINTE CRSING THE COMMONS ISANTI 222 GOOD SAM SOCIETY WATERVILLE LESUEUR 243 GRACIOUS COMPANIONS LLC ANOKA 8 GOOD SAM SOCIETY WESTBROOK COTTONWOOD 54 GRACIOUS COMPANIONS LLC ANOKA 8 GOOD SAM SOCIETY WINDOM COTTONWOOD 55 GRAND ARBOR DOUGLAS 84 GOOD SAM SOCIETY WINTHROP SIBLEY GRAND AVE REST HOME HENNEPIN 171 GOOD SAM SOCIETY WOODLAND CROW WING GRAND ITASCA CLINIC & HOSP ITASCA 225 GOOD SAM SOCTY SPEC CARE COMM HENNEPIN GRAND ITASCA CLINIC & HOSP HC ITASCA 226 417 53 72 383 58 208 PAGE# 61 293 Minnesota Department of Health Division of Compliance Monitoring Index For Directory of Facilities and Services FACILITY NAME COUNTY GRAND MANOR ITASCA GRAND MANOR II ITASCA GRAND MANOR III ITASCA GRAND MEADOWS MCLEOD GRAND MEADOWS INC PAGE# Index Page 19 FACILITY NAME COUNTY PAGE# 226 GUILD JUPITER PEAK LODGING DAKOTA 226 GUNDERSEN LUTHERAN HOSPICE WISCONSIN 226 GUNDERSON GARDENS GOODHUE 93 251 GUNDERSON PLACE HENNEPIN 100 MCLEOD 251 HALLETT COTTAGES CROW WING 60 GRAND VILLAGE ITASCA 226 HALLETT COTTAGES CROW WING 60 GRANDMA'S PLACE INC HENNEPIN 171 HALSTAD LIVING CENTER NORMAN 270 GRANDMA'S PLACE INC HENNEPIN 125 HALSTAD LIVING CENTER NORMAN 270 GRANDMA'S PLACE INC HENNEPIN 125 HAM LAKE PHYSICAL THERAPY ANOKA GRANDMA'S PLACE INC HENNEPIN 125 HAMLINE HI RISE RAMSEY 327 GRANDMAS PLACE INC HENNEPIN 116 HAMMER CARLSON HENNEPIN 217 GRANDMAS PLACE PARK LANE WRIGHT 422 HAMMER KENTUCKY HENNEPIN 199 GRANDVIEW APARTMENTS STEVENS 395 HAMMER LAKESIDE HENNEPIN 191 GRANITE FALLS MUN HOSP HHA YELLOW MEDICINE 428 HAMMER LAWNDALE HENNEPIN 144 GRANITE RIDGE PLACE CHIPPEWA 44 HAMMER LEE HENNEPIN 137 GRANNYS HELPFUL HANDS LLC HENNEPIN 171 HAMMER MCGLINCH HENNEPIN 199 GRAPHIC RELIEF LLC HENNEPIN 144 HAMMER RIDGEVIEW HENNEPIN 217 GRATTAN PRIVATE DUTY NURSING I CROW WING 58 HAMMER SHERIDAN HENNEPIN 217 GREAT LAKES HOME CARE INC HENNEPIN 125 HANNAH HOME LLC HENNEPIN 116 GREEN GABLES ASSISTED LIVING SWIFT 397 HAPPY FEET FOOTCARE INC HENNEPIN 109 GREEN LEA MANOR FILLMORE 89 HAPPY HEARTS HHA LLC SIBLEY 382 GREEN PINE ACRES NURSING HOME WADENA 401 HAPPY HEARTS HOME HEALTH AGENC SHERBURNE 380 GREEN PRAIRIE PLACE WABASHA 401 HARALSON APARTMENTS DAKOTA 62 GREENBRIER APARTMENTS - CANVAS WASHINGTON 412 HARBOR AT PEACE VILLAGE CARVER 39 GREENBRIER APARTMENTS CANVAS T WASHINGTON 412 HARBOR AT PEACE VILLAGE CARVER 39 GREENVIEW NORTH SAINT LOUIS 369 HARMONY COMMUNITY HLTHCARE INC FILLMORE 89 GREENVIEW SOUTH SAINT LOUIS 369 HARMONY HOME HEALTH CARE OTTER TAIL 282 GREENWAY SURGERY CENTER HENNEPIN 171 HARMONY HOUSE MORRISON 260 GREYSOLON PLAZA SAINT LOUIS 360 HARMONY HOUSE MORRISON 260 GRISWOLD HOME CARE HENNEPIN 191 HARMONY HOUSE HENNEPIN 172 GRISWOLD HOME CARE HENNEPIN 128 HARMONY HOUSE OF BRAINERD NO CROW WING GUARDIAN ANGELS BY THE LAKE SHERBURNE 379 HARMONY HOUSE OF LITTLE FALLS MORRISON 259 GUARDIAN ANGELS CARE CENTER SHERBURNE 380 HARMONY HOUSE OF MOTLEY I MORRISON 260 GUARDIAN ANGELS ELIM HOME CARE SHERBURNE 380 HARMONY HOUSE OF MOTLEY III MORRISON 260 GUARDIAN ANGELS ELIM HOSPICE SHERBURNE 380 HARMONY LIVING HEALTH CARE SER HENNEPIN 116 GUARDIAN ANGELS HEALTH & REHAB SAINT LOUIS 369 HARMONY LIVING HLTH CARE SRVCS HENNEPIN 116 GUARDIAN HOME HEALTH CARE LLC HENNEPIN 116 HARMONY RIVER LIVING CENTER MCLEOD 252 GUARDIAN IN HM HEALTH & SECRTY MCLEOD 251 HARMONY RIVER LIVING CENTER MCLEOD 252 GUAVA HEALTHCARE HENNEPIN 100 HARRY & JEANETTE WEINBERG APAR RAMSEY 327 GUEST HOUSE OF FARIBAULT LLC RICE 348 HARRY MEYERING CTR INC BLUE EARTH GUILD CAROUSEL APARTMENTS DAKOTA 80 HAVEN HOMES OF MAPLE PLAIN HENNEPIN 145 GUILD EMPIRE HOUSE DAKOTA 70 HAVENWOOD CARE CENTER BELTRAMI 16 GUILD HOLIDAY ACRES 1 DAKOTA 80 HAWLEY MANOR CLAY 50 GUILD HOLIDAY ACRES 2 DAKOTA 80 HAWLEY RETIREMENT INC CLAY 50 GUILD HOLIDAY ACRES 3 DAKOTA 80 HAWTHORNE HOUSE HENNEPIN 137 GUILD HOLIDAY ACRES 4 DAKOTA 80 HAWTHORNE HOUSE INC HENNEPIN 137 70 430 5 58 24 Minnesota Department of Health Division of Compliance Monitoring Index For Directory of Facilities and Services FACILITY NAME COUNTY HAWTHORNE HOUSE INC HENNEPIN HAWTHORNE HOUSE INC HENNEPIN HAWTHORNE HOUSE INC HENNEPIN HAYES RESIDENCE RAMSEY HAZELDEN CTR FOR YOUTH & FAMIL PAGE# Index Page 20 FACILITY NAME COUNTY PAGE# 137 HEATHERS MANOR HENNEPIN 125 137 HELEN PATRICIA PETER WABASHA 401 137 HELPING ANGELS HOME CARE INC HENNEPIN 172 327 HELPING HANDS OTTER TAIL 288 HENNEPIN 200 HELPING HANDS GROUP HOME HENNEPIN 204 HAZELDEN FOUNDATION CHISAGO 46 HELPING HANDS GROUP HOME HENNEPIN 204 HEALING HANDS HOMECARE LLC DAKOTA 69 HELPING HANDS HOME CARE OF MIN IOWA 428 HEALING TOUCH HOME CARE LLC HENNEPIN 144 HELPING HANDS IN HOME SERVICES DOUGLAS 87 HEALING TOUCH HOMECARE LLC SCOTT 378 HELPING HANDS RESPITE CARE CARLTON 36 HEALTH AND REHAB NEW BRIGHTON RAMSEY 306 HENDRICKS CLINIC LINCOLN 244 HEALTH AT HOME LLC RAMSEY 327 HENDRICKS COMM HOSP LINCOLN 244 HEALTH CORPS HENNEPIN 191 HENDRICKS COMMUNITY HOSP HHA LINCOLN 244 HEALTH CORPS HENNEPIN 191 HENNEPIN COUNTY MEDICAL CTR HENNEPIN 172 HEALTH DIMENSIONS REHAB INC ISANTI 222 HENNEPIN HOME HEALTH CARE INC HENNEPIN 116 HEALTH DIMENSIONS REHABILITATI ISANTI 222 HENNING MEDICAL CLINIC OTTER TAIL 285 HEALTH FOUNDATIONS LLC RAMSEY 327 HENRY HAGEN RESIDENCE DAKOTA HEALTHCARE RESOURCES DAKOTA 65 HENRY HILL APARTMENTS YELLOW MEDICINE 428 HEALTHEAST BETHESDA HOSPITAL RAMSEY 327 HERITAGE APARTMENTS INC RAMSEY 328 HEALTHEAST HOME CARE RAMSEY 328 HERITAGE COTTAGE ON 5TH HUBBARD 220 HEALTHEAST HOSPICE RAMSEY 328 HERITAGE COTTAGE ON 6TH HUBBARD 220 HEALTHEAST PILLARS WASHINGTON 410 HERITAGE COURT HOUSTON 218 HEALTHEAST ST JOHNS HOSPITAL RAMSEY 301 HERITAGE GROVE FILLMORE 89 HEALTHEAST SURG CTR MAPLEWOOD RAMSEY 301 HERITAGE HAVEN INC SAINT LOUIS 361 HEALTHEAST WOODWINDS HOSPITAL WASHINGTON 414 HERITAGE HAVEN INC SAINT LOUIS 360 HEALTHLINE HOMECARE SAINT LOUIS 369 HERITAGE HAVEN INC SAINT LOUIS 360 HEALTHMAX HOME HEALTH SERVICES HENNEPIN 172 HERITAGE HAVEN INC III SAINT LOUIS 361 HEALTHNORTH HOME CARE INC STEARNS 387 HERITAGE HOME HEALTH BENTON HEALTHPARTNERS HOSPICE & PALLI HENNEPIN 100 HERITAGE HOME HEALTH & HOSPICE BENTON 19 HEALTHSTAR HOME HEALTH RAMSEY 307 HERITAGE HOUSE NORMAN 270 HEALTHTOUCH HOME CARE INC HENNEPIN 217 HERITAGE HOUSE ASSISTED LIVING HENNEPIN 137 HEALTHY HANDS AND FOOT CARE CHISAGO 48 HERITAGE HOUSE ELDER CARE RICE 348 HEART TO HANDS HOME CARE LLC SCOTT HERITAGE HOUSE OF BLACKDUCK BELTRAMI 18 HEART TO HOME INC DAKOTA 76 HERITAGE HOUSE OF KIMBALL STEARNS 385 HEART TO HOME INC DAKOTA 77 HERITAGE HOUSE OF MILACA MILLE LACS 256 HEART TO HOME INC DAKOTA 76 HERITAGE HOUSE OF PEQUOT LAKES CROW WING HEARTHSTONE HOME CARE LLC SAINT LOUIS 360 HERITAGE HOUSE OF SEBEKA WADENA 402 HEARTLAND ASSISTED LIVING HENNEPIN 126 HERITAGE LIVING CENTER HUBBARD 220 HEARTLAND HOME HC AND HOSPICE RAMSEY 309 HERITAGE MANOR HUBBARD 220 HEARTLAND HOME HC AND HOSPICE RAMSEY 309 HERITAGE MANOR SAINT LOUIS 357 HEARTLAND HOME HEALTH CARE AND OLMSTED 274 HERITAGE OF EDINA INC HENNEPIN 131 HEARTLAND HOME HLTH C&HOSPICE STEARNS 390 HERITAGE PLACE BENTON 19 HEARTLAND PCA LLC SAINT LOUIS 360 HERITAGE PLACE BLUE EARTH 28 HEARTWOOD CROW WING 60 HERITAGE PLACE WRIGHT 424 HEATHER HAUS STEELE 392 HERITAGE POINTE BENTON 19 HEATHERS ESTATES HENNEPIN 125 HIAWATHA COURT HENNEPIN 141 HEATHERS MANOR HENNEPIN 125 HIAWATHA HOMECARE GOODHUE 94 375 71 19 61 Minnesota Department of Health Division of Compliance Monitoring Index For Directory of Facilities and Services FACILITY NAME COUNTY HIAWATHA MANOR PIPESTONE HIAWATHA VALLEY MNTL HLTH CTR WINONA HIDDEN CREEK ASSISTED LIVING CARVER HIDDEN CREEK ASSISTED LIVING CARVER HIDDEN CREEK ASSISTED LIVING PAGE# Index Page 21 FACILITY NAME COUNTY PAGE# 292 HOME CARE CONNECTIONS INC HENNEPIN 217 419 HOME CARE GIVERS INC RAMSEY 328 38 HOME CARE LINK RICE 351 38 HOME CARE PROFESSIONALS INC HENNEPIN 137 CARVER 38 HOME CARE RELIANCE LLC HENNEPIN 131 HIDDEN CREEK ASSISTED LIVING CARVER 39 HOME CARE SERV OPTIONS DULUTH SAINT LOUIS 361 HIDDEN CREEK ASSISTED LIVING CARVER 39 HOME CARE SERVICE OPTIONS STEVENS 395 HIGH ISLAND CREEK RES SIBLEY 382 HOME CARE SERVICES BROWN HIGH LAND CARE INC ANOKA 4 HOME CARE SERVICES OF SOUTH DA PIPESTONE HIGH POINTE SURGERY CENTER WASHINGTON 408 HOME CARE SERVICES ST JOHN LUT BROWN HIGH STREET HOUSE WABASHA 400 HOME CARE SOLUTIONS HENNEPIN 200 HIGHER GROUND HENNEPIN 172 HOME CARE SPECIALTY NURSES SAINT LOUIS 361 HIGHLAND APARTMENTS KANDIYOHI 235 HOME CARE UTOPIA HENNEPIN 131 HIGHLAND CHATEAU HCC RAMSEY 328 HOME CARE WITH A HEART LLC HENNEPIN 141 HIGHLAND HOME CARE LLC RAMSEY 328 HOME COMPANION LINK RICE 351 HIGHLAND PARK DIALYSIS RAMSEY 328 HOME DIALYSIS UNIT OF TRC INC HENNEPIN 172 HIGHLAND SENIOR LVG COMMUNITY MORRISON 259 HOME FOR CREATIVE LIVING COTTONWOOD 55 HILL STREET PLACE LYON 246 HOME FREE WASHINGTON 412 HILLCREST ADAMS SAINT LOUIS 370 HOME FRONT FIRST CHIPPEWA HILLCREST ALICE - NORTH SAINT LOUIS 370 HOME FRONT FIRST CHIPPEWA 45 HILLCREST ALICE - SOUTH SAINT LOUIS 370 HOME HEALTH AGENCY HENNEPIN 172 HILLCREST HEALTH CARE CENTER BLUE EARTH 24 HOME HEALTH CARE AGENCY ANOKA HILLCREST NASHWAUK ITASCA 228 HOME HEALTH CARE INC HENNEPIN 138 HILLCREST OAKS SAINT LOUIS 370 HOME HELPERS OF THE TWIN CITIE RAMSEY 301 HILLCREST PARKSIDE NORTH SAINT LOUIS 370 HOME INSTEAD SENIOR CARE STEARNS 391 HILLCREST PARKSIDE SOUTH SAINT LOUIS 370 HOME INSTEAD SENIOR CARE HENNEPIN 131 HILLCREST SENIOR LIVING RED LAKE 342 HOME INSTEAD SENIOR CARE NORTH DAKOTA 428 HILLCREST SUITES SAINT LOUIS 370 HOME INSTEAD SENIOR CARE HENNEPIN 144 HILLCREST TERRACE OF CHISHOLM SAINT LOUIS 357 HOME INSTEAD SENIOR CARE OLMSTED 274 HILLCREST TERRACE OF HIBBING SAINT LOUIS 370 HOME INSTEAD SENIOR CARE SAINT LOUIS 361 HILLSIDE HOMES I SAINT LOUIS 361 HOME INSTEAD SENIOR CARE ANOKA HILLSIDE HOMES II SAINT LOUIS 361 HOME INSTEAD SENIOR CARE CROW WING HILLSIDE HOMES OF DULUTH INC SAINT LOUIS 361 HOME INSTEAD SENIOR CARE NORTH DAKOTA 428 HILLTOP HEALTH CARE CENTER MEEKER 255 HOME INSTEAD SENIOR CARE HENNEPIN 131 HILLTOP HOME RICE 348 HOME INSTEAD SENIOR CARE OLMSTED 274 HILLTOP RESIDENCE INC LAC QUI PARLE 240 HOME INSTEAD SENIOR CARE CROW WING 59 HMONG MINNESOTA HOME CARE INC DAKOTA 79 HOME INSTEAD SENIOR CARE DAKOTA 65 HMONG SENIOR HEALTH CARE INC HENNEPIN 109 HOME INSTEAD SENIOR CARE HENNEPIN HOLISTIC ARRAY OF AUTHENTIC SE HENNEPIN 109 HOME INSTEAD SENIOR CARE DAKOTA HOLLY RIDGE MANOR POPE 298 HOME INSTEAD SENIOR CARE OLMSTED 274 HOME AND COMFORT INC ITASCA 224 HOME INSTEAD SENIOR CARE #150 RAMSEY 301 HOME AND COMMUNITY OPTIONS INC WINONA 419 HOME INSTEAD SENIOR CARE #150 RAMSEY 301 HOME AT HEART CARE INC CLEARWATER 53 HOME INSTEAD SENIOR CARE #230 HENNEPIN 144 HOME BUT NOT ALONE HOME CARE CASS 42 HOME INSTEAD SENIOR CARE LICEN DAKOTA HOME CARE ASSISTANCE HENNEPIN 212 HOME INSTEAD SR CARE OF MPLS HENNEPIN 144 HOME CARE ASSISTANCE OF MINNEA HENNEPIN 212 HOME LAB PARTNERS INC HENNEPIN 100 31 292 31 45 10 4 59 131 65 65 Minnesota Department of Health Division of Compliance Monitoring Index For Directory of Facilities and Services FACILITY NAME COUNTY HOME SWEET HOME ASSISTED LVNG OTTER TAIL HOME WITH YOU COMPNON CARE LLC DAKOTA HOMECARE RESOURCE LLC HENNEPIN HOMECARE SERVICES OF SD INC SOUTH DAKOTA HOMEHEALTH PARTNERSHIP CROW WING HOMEHEALTH PARTNERSHIP CROW WING HOMESTEAD COON RAPIDS MEMORY ANOKA HOMESTEAD PLACE LINCOLN HOMETOWN CARE PROVIDERS INC RI CHIPPEWA HOMETOWN CRE PROVDR INC RVRSDE YELLOW MEDICINE HOMETOWN SENIOR LIVING WEDGEWO WASHINGTON HOMETOWN SENIOR LIVING-BELMONT WASHINGTON HOMEWARD BOUND BROOKLYN PARK HENNEPIN HOMEWARD BOUND INC HENNEPIN HOMEWARD BOUND MAPLE GROVE PAGE# Index Page 22 FACILITY NAME COUNTY PAGE# HUNTINGON PLACE APARTMENTS HENNEPIN 117 78 HUNTINGTON PLACE APARTMENTS HENNEPIN 117 100 HUNTINGTON PLACE APARTMENTS HENNEPIN 117 429 HUNTINGTON PLACE APARTMENTS HENNEPIN 117 60 HUTCH H & R AUTHORITY PARK TOW MCLEOD 252 60 HUTCHINSON HEALTH MCLEOD 252 8 HYATT HOUSE LLC STEARNS 385 244 HYATT HOUSE LLC HUBBARD 220 44 HYATT HOUSE LLC HUBBARD 220 428 IAN'S HOUSE HENNEPIN 117 414 ICARE HEALTH PRO LLC WASHINGTON 406 414 ICELAND MANOR DAKOTA 116 IINTERIM HEALTHCARE VENT CARE SAINT LOUIS 361 144 ILBNC SPECIAL PROCEDURES HENNEPIN 200 HENNEPIN 144 IMMANUEL ST JOSEPHS ESRD BLUE EARTH HOMEWARD BOUND PLYMOUTH HENNEPIN 200 IN CHARGE HOME HEALTHCARE SERV HENNEPIN 109 HOMEWATCH CAREGIVERS HENNEPIN 132 IN HOME PERSONAL CARE HOME HEA HENNEPIN 138 HOMEWELL SENIOR CARE HENNEPIN 100 IN-HOME LAB CONNECTION INC HENNEPIN 101 HOMLIFE HEALTHCARE HENNEPIN 172 INDEPENDENCE PLUS INC POLK 293 HONG FU HOME HEALTH CARE WASHINGTON 414 INDEPENDENT HOME CARE AGENCY HENNEPIN 109 HOPE AND NEW LIFE HEALTH CARE DAKOTA INFUSCIENCE INC DAKOTA 68 HOPE COMMUNITY INC HENNEPIN 172 INGLESIDE MARTIN 249 HOPE HARBOR HENNEPIN 172 INNOVATIVE ASSISTED LIVING SAINT LOUIS 368 HOPE HEALTH CARE INC DAKOTA 62 INNOVATIVE ASSISTED LIVING SAINT LOUIS 368 HOPE INTERNATIONAL HOME HEALTH RAMSEY 328 INNOVATIVE SENIOR CARE HH HENNEPIN 132 HOPECARE PCA INC HENNEPIN 117 INNOVATIVE SR CARE EDINA PK PL HENNEPIN 132 HOPES RESIDENCE HENNEPIN 117 INNOVATIVE SR CARE FREEDOM HENNEPIN 192 HORIZON HEALTH HOSPICE MORRISON 261 INNOVATIVE THERAPY LLC HENNEPIN 200 HORIZON HEALTH INC MORRISON 261 INSPIRED CARE SERVICES WASHINGTON 406 HORIZON PLACE LESUEUR 242 INTEGRA HOME CARE DAKOTA 74 HOSPICE ADVANTAGE DAKOTA 74 INTEGRATED HOME CARE RAMSEY 328 HOSPICE OF MURRAY COUNTY INC MURRAY 265 INTEGRATED NURSING & HLTH SVCS HENNEPIN 117 HOSPICE OF OWATONNA HOSPITAL STEELE 393 INTEGRITAS HOMECARE LLC HENNEPIN 125 HOSPICE OF THE RED RIVER VALLE NORTH DAKOTA 428 INTEGRITY HOME HEALTH CO HENNEPIN 173 HOSPICE OF THE TWIN CITIES INC HENNEPIN 200 INTER CO NURSING SERVICE PENNINGTON 289 HOUGE ESTATES/CLAY COUNTY HRA CLAY INTERFAITH CARE CENTER CARLTON 33 HOUSING AND REDEVELOPMENT AUTH RED LAKE INTERIM HC OF THE TWIN CITIES RAMSEY 309 HOUSING AND REDEVELOPMENT AUTH CROW WING 60 INTERIM HEALTHCARE RAMSEY 310 HOUSING REDEVELOPMENT LITCHFIE MEEKER 255 INTERIM HEALTHCARE SAINT LOUIS 362 HOUSTON CTY PUB HLTH NURSNG SV HOUSTON 218 INTERIM HEALTHCARE SAINT LOUIS 362 HOWARD HOUSE RAMSEY 302 INTERIM HOME STYLE SERVICES RAMSEY 310 HUB APARTMENTS HENNEPIN 204 INTERNATIONAL HEALTH CARE SERV HENNEPIN 138 HUGO GW LLC WASHINGTON 408 INTERNATIONAL QUALITY HOMECARE OLMSTED 274 HUMAN CARE INC RAMSEY 328 INTREPID USA HEALTHCARE SERVS HENNEPIN 212 HUMAN DEVELOPMENT CENTER SAINT LOUIS 361 INTREPID USA HEALTHCARE SERVS RAMSEY 310 HUMAN SERVICES OF FARIBAULT & MARTIN 249 INTREPID USA HEALTHCARE SRVCS HENNEPIN 212 285 62 49 342 74 24 Minnesota Department of Health Division of Compliance Monitoring Index For Directory of Facilities and Services FACILITY NAME COUNTY PAGE# INVER GROVE HEIGHTS WHITE PINE DAKOTA INVER GROVE HEIGHTS WP II LLC DAKOTA INVER GROVE HEIGHTS WP II LLC DAKOTA INVERWOOD SENIOR LIVING DAKOTA INVESTING IN BEHAVIORAL SERVIC RAMSEY IRIS PARK COMMONS RAMSEY IRON RANGE REHAB CENTER SAINT LOUIS IRONGATE APARTMENTS & TOWNHOME SAINT LOUIS ISABELLE'S HOUSE OF PARMLY LIF CHISAGO ISLAND VIEW MANOR INC KANDIYOHI IVANHOE MEDICAL CENTER LINCOLN IVY HILL SENIOR CARE RICE IVY HILL SENIOR CARE INC RICE IYKES HOUSE HENNEPIN J A WEDUM HOSPICE RESIDENCE HENNEPIN JANE M GRENDER DAKOTA 68 JANESVILLE NURSING HOME WASECA 404 JANICE R SINNEN CARVER JASPER SUNRISE VILLAGE PIPESTONE JDR PROPERTIES Index Page 23 FACILITY NAME COUNTY 72 JUST LIKE HOME PLACE LLP FREEBORN 91 72 JUST LIKE HOME PLACE LLP FREEBORN 91 72 JUST LIKE HOME SENIOR CARE CHISAGO 47 72 JUST LIKE HOME SENIOR CARE CHISAGO 47 329 KALEB INC DAKOTA 329 KANABEC CO PUBLIC HLTH HOSPICE KANABEC 230 373 KANABEC COUNTY PHNS KANABEC 230 356 KANG LE HOME HEALTH CARE HENNEPIN 204 KARLSTAD HEALTHCARE CTR INC KITTSON 237 235 KARLYN HOME MOWER 264 244 KASSON MSOCS DODGE 82 348 KATHERINE MORROW INC GOODHUE 94 349 KAYCEE'S HOME CARE INC WILKIN 418 117 KENOSHA DRIVE APARTMENTS OLMSTED 274 117 KENSINGTON HENNEPIN 118 KENSINGTON PLACE HENNEPIN 118 KENSINGTON PLACE APARTMENTS HENNEPIN 118 KENWOOD HERITAGE LIVING MOWER 262 292 KENWOOD PLACE CARLTON 36 HENNEPIN 173 KENWOOD PLACE CARLTON 36 JENNIFER BENSON HENNEPIN 118 KENYON SUNSET HOME GOODHUE 93 JEREMY LARSON HENNEPIN 173 KESSEL GROUP HOME INC OTTER TAIL 282 JEWISH FAMILY & CHILDRENS SVS HENNEPIN 192 KEYSTONE BLUFFS ASSISTED LIVG SAINT LOUIS 362 JIRANI CARE HENNEPIN 118 KEYSTONE COMMUNITIES FARIBAULT RICE 349 JOANN JENSEN FREEBORN KEYSTONE COMMUNITIES MANAGEMEN HENNEPIN 173 JOANN TSCHIDA STEARNS 386 KEYSTONE COMMUNITIES OF HIGHL RAMSEY 329 JOHANNA SHORES COMMONS AND ARB RAMSEY 298 KEYSTONE COMMUNITIES OF EAGAN DAKOTA 68 JOHN PAUL APARTMENTS STEARNS 385 KEYSTONE COMMUNITIES OF MANKAT BLUE EARTH JOHNSON MEMORIAL BOYD CLINIC LAC QUI PARLE 239 KEYSTONE COMMUNITIES OF PRIOR SCOTT 376 JOHNSON MEMORIAL HOME CARE LAC QUI PARLE 239 KEYSTONE COMMUNITIES OF ROSEVI RAMSEY 310 JOHNSON MEMORIAL HOSP & HOME LAC QUI PARLE 239 KIDS ABILITIES RAMSEY 313 JOHNSON PARK PLACE REDWOOD 343 KIDSPEAK LTD HENNEPIN 144 JONES HARRISON RES ASST LVG HENNEPIN 173 KIMBALL COURT RAMSEY 329 JONES HARRISON RESIDENCE HENNEPIN 173 KIMBERLY HAGLUND WRIGHT 422 JORDAN TOWER I GOODHUE 94 KIND LLC WINONA 419 JORDAN TOWER II GOODHUE 94 KING MANOR SAINT LOUIS 362 JORGENSEN HOUSE HENNEPIN 173 KING OF KINGS HOME HEALTH CARE WASHINGTON 412 JOSEPH'S CHATEAU LLC DAKOTA 77 KINGDOM PATHWAYS FREEDOM HOUSE RAMSEY 329 JOSEPHS CHATEAU DAKOTA 77 KINGDOM PATHWAYS FREEDOM HOUSE RAMSEY 329 JOURDAIN PERPICH EXT CARE FAC BELTRAMI 18 KINGSLEY COMMONS HENNEPIN 173 JOURNEY HOME BENTON 20 KINGSLEY HOUSE MOWER 262 JUDITH A BEYER HENNEPIN KINGSWAY HOME CARE SCOTT 374 JULIA DAY LLC DAKOTA 68 KINGSWAY MINISTRIES LLC SCOTT 374 JULIE SUMMY STEELE 393 KITTSON COUNTY HOSPICE INC KITTSON 237 JULIES HOME HEALTH CARE INC RENVILLE 345 KITTSON MEM CLINIC OF KARLSTAD KITTSON 237 JUST FOR RACHEL HOME CARE ANOKA KITTSON MEMORIAL CLINIC KITTSON 237 47 39 92 204 2 PAGE# 77 24 Minnesota Department of Health Division of Compliance Monitoring Index For Directory of Facilities and Services FACILITY NAME COUNTY KITTSON MEMORIAL HOME HLTHCARE KITTSON KITTSON MEMORIAL HOSPITAL KITTSON KNOLLWOOD APARTMENTS HENNEPIN KNOLLWOOD PLACE APARTMENTS HENNEPIN KNUTE NELSON DOUGLAS KNUTE NELSON HOME CARE DOUGLAS KNUTE NELSON HOSPICE DOUGLAS KNUTSON PLACE APARTMENTS FREEBORN KOOCHICHING COUNTY HEALTH DEPT KOOCHICHING KRISTEN'S HOUSE PAGE# Index Page 24 FACILITY NAME COUNTY PAGE# 237 LAKES AREA ASSISTED LIVING LLC DOUGLAS 85 237 LAKES AREA HOME CARE CROW WING 59 141 LAKESHORE AT HOME SAINT LOUIS 362 212 LAKESHORE HOME CARE SAINT LOUIS 362 84 LAKESHORE INC SAINT LOUIS 362 84 LAKESHORE THE CREST SAINT LOUIS 362 84 LAKESIDE APARTMENTS BIG STONE 91 LAKESIDE APARTMENTS MEEKER 254 238 LAKESIDE ASSISTED LIVING MEEKER 254 HENNEPIN 118 LAKESIDE HEALTH CARE CENTER MEEKER 254 KSMS OUR HOUSE LLC MOWER 262 LAKESIDE MANOR SAINT LOUIS 362 LA BONNE VIE INC HENNEPIN 138 LAKESIDE MEDICAL CENTER PINE 290 LABLANCHE APARTMENTS RAMSEY 329 LAKESIDE MEDICAL CENTER PINE 290 LABLANCHE APARTMENTS RAMSEY 329 LAKEVIEW APARTMENTS KANDIYOHI 235 LAC QUI PARLE CLINIC MADISON LAC QUI PARLE 240 LAKEVIEW ASSISTED LIVING JACKSON 228 LAKE MINNETONKA SHORES- COURT HENNEPIN 209 LAKEVIEW COMMONS RAMSEY 302 LAKE COUNTRY ASSISTED LVG INC DOUGLAS 86 LAKEVIEW HOMECARE WASHINGTON 412 LAKE COUNTRY HOME CARE OTTER TAIL 285 LAKEVIEW HOMECARE AND HOSPICE WASHINGTON 412 LAKE MINNETONKA CARE CENTER HENNEPIN 126 LAKEVIEW HOSPICE WASHINGTON 412 LAKE MINNETONKA SHORES HENNEPIN 209 LAKEVIEW MEMORIAL HOSPITAL WASHINGTON 413 LAKE MINNETONKA SHORES HENNEPIN 209 LAKEVIEW METHODIST HCC MARTIN 249 LAKE MINNETONKA SHORES- COMMON HENNEPIN 209 LAKEVIEW RANCH HEALTHCARE LLC MEEKER 253 LAKE MINNETONKA SHORES-VILLA T HENNEPIN 209 LAKEVIEW RANCH HEALTHCARE LLC MEEKER 254 LAKE OWASSO RESIDENCE RAMSEY 313 LAKEVIEW RANCH INC MEEKER 254 LAKE PEPIN PLAZA WABASHA 400 LAKEVIEW RANCH INC MEEKER 254 LAKE PLACE I APARTMENTS KANDIYOHI 235 LAKEVIEW RETIREMENT RESIDENCE ROSEAU 356 LAKE PLACE II APARTMENTS KANDIYOHI 235 LAKEVIEW SENIOR HOUSING LYON 245 LAKE REGION HEALTHCARE CORP OTTER TAIL 282 LAKEVIEW SENIOR HOUSING LYON 245 LAKE REGION HOME HEALTH KANDIYOHI 231 LAKEVIEW SENIOR LIVING APTS OTTER TAIL 280 LAKE RIDGE CARE CTR OF BUFFALO WRIGHT 422 LAKEVIEW VILLA HENNEPIN 134 LAKE RIDGE MANOR WRIGHT 422 LAKEWALK SURGERY CENTER INC SAINT LOUIS 363 LAKE SHORE INN NURSING HOME WASECA 405 LAKEWOOD CARE CENTER LAKE OF THE WOODS 242 LAKE SONG ASSISTED LIVING MILLE LACS 256 LAKEWOOD CLINIC BROWERVILLE TODD 398 LAKE SQUARE APARTMENTS RAMSEY 341 LAKEWOOD CLINIC EAGLE BEND TODD 398 LAKE SUPERIOR CONCIERGE INC SAINT LOUIS 362 LAKEWOOD CLINIC MOTLEY MORRISON 260 LAKE VIEW COTTAGE III LAKE 241 LAKEWOOD CLINIC PILLAGER CASS LAKE VIEW COTTAGE IV LAKE 241 LAKEWOOD CLINIC STAPLES WADENA LAKE VIEW MEM HOSP HOME CARE LAKE 241 LAKEWOOD HEALTH CENTER LAKE OF THE WOODS 242 LAKE VIEW MEMORIAL HOSPITAL LAKE 241 LAKEWOOD HEALTH CENTER LAKE OF THE WOODS 242 LAKE WINONA MANOR WINONA 420 LAKEWOOD HEALTH CENTER CLINIC LAKE OF THE WOODS 242 LAKELAND APARTMENTS OTTER TAIL 287 LAKEWOOD HEALTH SYSTEM TODD 399 LAKELAND HOMECARE OTTER TAIL 282 LAKEWOOD HEALTH SYSTEM WADENA 403 LAKELAND HOSPICE OTTER TAIL 282 LAKEWOOD HEALTH SYSTEM HOSPICE WADENA 403 LAKELAND MENTAL HEALTH CTR OTTER TAIL 282 LAKEWOOD HLTH SYS HM C & HSPCE WADENA 403 LAKER APARTMENTS COTTONWOOD 54 LAKEWOOD HOME KANDIYOHI 232 LAKES AREA ASSISTED LIVING LLC DOUGLAS 85 LAKEWOOD HOSPICE LAKE OF THE WOODS 242 22 42 402 Minnesota Department of Health Division of Compliance Monitoring Index For Directory of Facilities and Services FACILITY NAME COUNTY LAKEWOOD MANOR TODD LAKEWOOD PINES SENIOR HOUSING WADENA LAKEWOOD SURGERY CENTER ITASCA LAMPLIGHTER MANOR BECKER LAMPLIGHTER VILLAGE PAGE# Index Page 25 FACILITY NAME COUNTY PAGE# 399 LIGHTHOUSE OF CLOQUET & BARNUM CARLTON 34 403 LIGHTHOUSE OF CLOQUET & BARNUM CARLTON 32 226 LIGHTHOUSE OF CLOQUET & BARNUM CARLTON 32 13 LIGHTHOUSE OF CLOQUET & BARNUM CARLTON 32 RAMSEY 329 LIGHTHOUSE OF CLOQUET & BARNUM CARLTON 34 LAMPLIGHTER VILLAGE RAMSEY 329 LIGHTHOUSE OF COLUMBIA HEIGHTS ANOKA LANDMARK SURGERY CENTER RAMSEY 330 LILAC HOME CARE LLC OTTER TAIL 286 LANGTON PLACE RAMSEY 310 LILAC HOMES ASSISTED LIVING OTTER TAIL 286 LARSON COMMONS CARLTON 34 LILAC HOMES CORPORATION CLAY LASALLE COMMONS HENNEPIN 173 LILI GROUP INC HENNEPIN LATHAM PLACE WASECA 405 LILLIAN GRACE BLUE EARTH 24 LAURA BAKER SERVICES ASSOC RICE 351 LILYDALE SENIOR LIVING DAKOTA 75 LAURA BODIN CARLTON 33 LILYDALE SENIOR LIVING DAKOTA 75 LAURA THERESA JULIUS HUBBARD 219 LINCOLN LANE VILLA LINCOLN 244 LAURELS EDGE BLUE EARTH 24 LINCOLN PARK ASSISTED LIVING BECKER 13 LAURELS PEAK REHAB CENTER BLUE EARTH 24 LINCOLN PARK SENIOR APARTMENT BECKER 13 LAVINE PLACE SHERBURNE 380 LINCOLN PLACE DAKOTA 68 LAWSON ARMS APARTMENTS - 1032 RAMSEY 330 LINCOLN TERRACE NORMAN 271 LE MIEUX NURSING SERVICES LLC HENNEPIN 123 LINCOLN TERRACE NORMAN 271 LEGACY HOMES STEVENS 395 LINDA ROSE ENLUND CARLTON 35 LEGACY CARE HOME II HENNEPIN 192 LINDEN AVENUE APARTMENTS HENNEPIN 174 LEGACY CARE HOME LLC HENNEPIN 192 LINDEN TREE CIRCLE CLAY LEGACY HOME HEALTH AND HOSPICE WADENA 403 LINDENWOOD ASSISTED LIVING MURRAY 265 LEGACY HOME HEALTH AND HOSPICE WADENA 403 LINKS HOME HEALTHCARE LLC HENNEPIN 174 LEGACY HOME HEALTH CARE INC HENNEPIN 138 LINNEA RESIDENTIAL HOME CHISAGO 47 LEGACY RANGE CENTER INC SAINT LOUIS 357 LINO LAKES ASSISTED LIVING LLC ANOKA 11 LEISURE COTTAGE LESUEUR 243 LITTLE SISTERS OF THE POOR RAMSEY 330 LESUEUR ASSISTED LIVING LLC LESUEUR 243 LITTLEFORK MEDICAL CENTER KOOCHICHING 238 LESUEUR COUNTY PUBLIC HEALTH LESUEUR 243 LITTLEFORK MEDICAL CENTER KOOCHICHING 238 LEWISTON VILLA NURSING HOME WINONA 418 LITTLEFORK MEDICAL CENTER KOOCHICHING 238 LICENSED CARE ON CALL CARVER 37 LIVE AT HOME PERSONAL CARE LLC RAMSEY 330 LIFECARE GREENBUSH MANOR ROSEAU 355 LIVE WELL AT HOME CARE HENNEPIN 101 LIFECARE GREENBUSH MANOR ROSEAU 355 LIVING CHALLENGE HENNEPIN 174 LIFECARE HOME CARE & HOSPICE ROSEAU 355 LIVING LIFE HOME CARE HENNEPIN 212 LIFECARE HOME CARE & HOSPICE ROSEAU 355 LONG LAKE ASSISTED LIVING LLC HENNEPIN 142 LIFECARE MEDICAL CENTER ROSEAU 355 LONG LAKE LOON LODGE BELTRAMI 16 LIFECARE MEDICAL CENTER GREENB ROSEAU 355 LONG LAKE LOON LODGE BELTRAMI 16 LIFELINE SENIOR SERVICE LLC HENNEPIN 173 LONG PRAIRIE HOSP EAGLE VALLEY TODD 398 LIFES ALTERNATIVES HOME CARE L WASHINGTON 407 LONGVILLE LAKES CLINIC INC CASS 42 LIFESPAN HOME CARE SERVICES RAMSEY 299 LOREN ON PARK HENNEPIN 174 LIFESPRK HENNEPIN 132 LOUISIANA COURT APARTMENTS HENNEPIN 212 LIFETRACK RESOURCES RAMSEY 330 LOVING CARE BY MARTHA HENNEPIN 195 LIGHTHOUSE AT WACONIA CARVER 41 LOVING CARE COTTAGE LLC WASHINGTON 406 LIGHTHOUSE OF CLOQUET & BARNU CARLTON 34 LOVING RESIDENCE GOODHUE LIGHTHOUSE OF CLOQUET & BARNUM CARLTON 34 LSS GRANVILLE ICF-MR KITTSON 237 LIGHTHOUSE OF CLOQUET & BARNUM CARLTON 34 LSS OF WADENA LLC WADENA 404 6 51 212 51 94 Minnesota Department of Health Division of Compliance Monitoring Index For Directory of Facilities and Services FACILITY NAME COUNTY PAGE# LSS OF WADENA LLC WADENA LUANN'S PLACE LLC HENNEPIN LUANNS PLACE LLC HENNEPIN LUTHER HAVEN CHIPPEWA 45 LUTHER MEMORIAL HOME WATONWAN LUTHERAN BRETHREN HOME CARE OTTER TAIL LUTHERAN CARE CENTER MORRISON LUTHERAN HOME SCOTT LUTHERAN SOCIAL SERVICE CROW WING LUTHERAN SOCIAL SERVICE OF MN OTTER TAIL 282 LUTHERAN SOCIAL SERVICE OF MN CROW WING 59 LWV LODGE HENNEPIN LWV LODGE III HENNEPIN LYNDALE AVENUE APARTMENTS HENNEPIN LYNDALE AVENUE PROPERTIES Index Page 26 FACILITY NAME COUNTY PAGE# 404 MAINSTREET VILLAGE HENNEPIN 205 128 MALA STRANA ASSISTED LIVING SCOTT 375 128 MALA STRANA HEALTH CARE CTR SCOTT 375 MANKATO CLINIC ENDOSCOPY CTR BLUE EARTH 24 417 MANKATO CLINIC MAPLETON FAM PR BLUE EARTH 28 282 MANKATO SURGERY CENTER BLUE EARTH 24 259 MANOR HOUSE HENNEPIN 128 374 MANOR HOUSE SENIOR LIVING ITASCA 226 59 MANOR HOUSE SENIOR LIVING ITASCA 226 MANOR LIVNG HC & WATKINS MANO WINONA 420 MANY LAKES HOME CARES LLC HUBBARD 220 125 MAPLE GROVE DIALYSIS UNIT HENNEPIN 145 125 MAPLE GROVE HOSPITAL HENNEPIN 145 101 MAPLE LAWN NURSING HOME MURRAY 264 HENNEPIN 101 MAPLE MANOR HEALTHCARE & REHAB OLMSTED 275 LYNDALE GARDEN HENNEPIN 204 MAPLE WOODS ASTD LIVING AND HC ITASCA 224 LYNDALE GARDENS HENNEPIN 204 MAPLETON COMMUNITY HOME BLUE EARTH LYNDALE GARDENS HENNEPIN 205 MAPLETON COMMUNITY HOME BLUE EARTH LYNDALE GARDENS APARTMENTS HENNEPIN 205 MAPLEVIEW ESTATES MURRAY 264 LYNDALE MANOR HENNEPIN 174 MAPLEWOOD CARE CENTER RAMSEY 302 LYNGBLOMSTEN APARTMENTS RAMSEY 330 MAPLEWOOD CARE RESIDENCE RAMSEY 302 LYNGBLOMSTEN CARE CENTER RAMSEY 330 MAPLEWOOD COURT ASST LVNG MURRAY 265 LYNGBLOMSTEN SERVICES INC RAMSEY 330 MAPLEWOOD DIALYSIS CENTER RAMSEY 302 LYNWOOD COMMONS HENNEPIN 205 MAPLEWOOD GW LLC RAMSEY 302 LYNWOOD COMMONS HENNEPIN 205 MAPLEWOOD HOMES OF FARIBAULT RICE 349 LYNWOOD COMMONS HENNEPIN 205 MAPLEWOOD RESIDENCE INC MARTIN 249 LYNWOOD COMMONS HENNEPIN 205 MARANATHA CARE CENTER HENNEPIN 109 LYNWOOD COMMONS HENNEPIN 205 MARANATHA PLACE HENNEPIN 110 M & E NURSING SERVICES AND TRA HENNEPIN 101 MARANATHA PLACE HENNEPIN 109 MACGREGOR PLACE SHERBURNE 380 MARGARET PLACE LTD PARTNERSHI ANOKA MADELIA COMMUNITY HOSP HM CARE WATONWAN 417 MARGARETS HOUSE CHISAGO 47 MADELIA COMMUNITY HOSPITAL WATONWAN 417 MARGARETS HOUSE DAKOTA 77 MADISON AVENUE APARTMENTS LYON 247 MARIA HOME HENNEPIN MADISON HOSPITAL LAC QUI PARLE 240 MARIE STEINER KELTING HOSPICE CARVER MADISON HOSPITAL HHA LAC QUI PARLE 240 MARIYA HOME CARE INC HENNEPIN 174 MADISON LUTHERAN HOME LAC QUI PARLE 240 MARK GUNTER - 249 WESTERN RAMSEY 330 MADONNA MEADOWS OLMSTED 274 MARKET PLAZA HOUSING LTD PARTN HENNEPIN 205 MADONNA TOWERS OF ROCHESTER OLMSTED 274 MARSHALL DIALYSIS CTR DAVITA LYON 246 MADONNA TOWERS OF ROCHESTER IC OLMSTED 274 MARTIN LUTHER CARE CENTER HENNEPIN 101 MADONNA TOWERS OF ROCHESTER IN OLMSTED 275 MARY CLARE OLSON AGENCY STEARNS 390 MAGIC HEALTHCARE PARTNERS HENNEPIN 126 MARY ELLEN BRANDT RAMSEY 330 MAHNOMEN HEALTH CENTER MAHNOMEN 248 MARY HALL RAMSEY 331 MAHUBE OTWA COM ACTION PTNRSHP BECKER MARY T HOME HEALTH ANOKA MAIN STREET LODGE HENNEPIN 174 MARY T HOSPICE CHISAGO MAINS'L SERVICES INC HENNEPIN 118 MARYHILL MANOR AITKIN MAINSTAY SENIOR CARE HENNEPIN 101 MASADA MANOR HENNEPIN 14 28 28 8 174 39 8 47 1 101 Minnesota Department of Health Division of Compliance Monitoring Index For Directory of Facilities and Services FACILITY NAME COUNTY MAST APARTMENTS - 1384 ST PAUL RAMSEY MATRIX TEAM HOME CARE HENNEPIN MATRXCARE LLC RAMSEY MATTHEW BRADLEY NELSON RENVILLE MAXFIELD PLACE BLUE EARTH MAXIMUM HOMECARE SERVICES LLC RAMSEY MAY CREEK COTTAGES INC CASS MAY CREEK COTTAGES INC CASS MAY CREEK LODGE INC CASS MAY HEALTH CARE INC PAGE# Index Page 27 FACILITY NAME COUNTY 331 MCHS - NEW PRAGUE SCOTT 375 132 MCINTOSH SENIOR LIVING POLK 296 331 MCKENNA CROSSING SCOTT 376 345 MCKENNA CROSSING SCOTT 376 MCKINNEY LAKE HOUSE ITASCA 226 MEADOW CREEK PINE 291 43 MEADOW CREEK HOSPITALITY LLC CHIPPEWA 46 43 MEADOW LAKES SENIOR LIVING OLMSTED 275 44 MEADOW MANOR MOWER 264 HENNEPIN 110 MEADOW WOODS HENNEPIN 101 MAYO DIALYSIS ALBERT LEA FREEBORN 91 MEADOW WOODS HOME CARE HENNEPIN 101 MAYO CLINIC HEALTH SYS ALBT LE FREEBORN 91 MEADOWLAND ELDER CARE HOMES BELTRAMI 18 MAYO CLINIC HEALTH SYS ALBT LE FREEBORN 92 MEADOWLAND ELDER CARE HOMES II BELTRAMI MAYO CLINIC HEALTH SYS AUSTIN MOWER 262 MEADOWOOD SHORES SENIOR HOUSIN RAMSEY MAYO CLINIC HEALTH SYS AUSTIN MOWER 262 MEADOWS ON FAIRVIEW CHISAGO 49 MAYO CLINIC HEALTH SYS CF GOODHUE MEADOWS ON MAIN RENVILLE 347 MAYO CLINIC HEALTH SYS FAIRMNT MARTIN 249 MEDICAL SOLUTIONS HOME CARE IN STEARNS 390 MAYO CLINIC HEALTH SYS L C WABASHA 400 MEEKER MEM HOSP MEEKER 255 MAYO CLINIC HEALTH SYS L C WABASHA 400 MENAGHA HOME HEALTH WADENA 402 MAYO CLINIC HEALTH SYS MANKATO BLUE EARTH 25 MENORAH PLAZA APARTMENTS HENNEPIN 213 MAYO CLINIC HEALTH SYS ST JAME WATONWAN 417 MENORAH WEST APARTMENTS HENNEPIN 213 MAYO CLINIC HEALTH SYS WASECA WASECA 405 MERCY HOME HEALTH AGENCY CARLTON 36 MAYO CLINIC HEALTH SYSTEM - FR WISCONSIN 430 MERCY HOSPITAL ANOKA MAYO CLINIC HEALTH SYSTEM MANK BLUE EARTH 25 MERCY HOSPITAL CARLTON MAYO CLINIC HEALTH SYSTEM S F BROWN 32 MERCY MANOR II STEARNS 384 MAYO CLINIC HLTH SYS FRANCSCN WISCONSIN MERCY MANOR INC STEARNS 384 MAYO CLINIC HLTH SYS IN REDWIN GOODHUE 94 MERIDIAN MANOR HENNEPIN 218 MAYO CLINIC HLTH SYS RED WING GOODHUE 94 MERIDIAN MANOR HENNEPIN 218 MAYO CLINIC HLTH SYS RED WING GOODHUE 94 MERIDIAN SERVICES INC HENNEPIN 138 MAYO CLINIC HOSPICE OLMSTED MERRITT HOUSE SAINT LOUIS 373 MAYO CLINIC HS ALBERT LEA FREEBORN 92 MERWIN IV & SPECIALTY PHARMACY HENNEPIN 196 MAYO CLINIC METHODIST HOSPITAL OLMSTED 275 METRO AREA CARE PROVIDERS INC HENNEPIN 174 MAYO CLINIC REHABILITATION SER OLMSTED 275 METRO HOME HEALTH CARE SVCS IN HENNEPIN 174 MAYO CLINIC-ST MARY'S HOSPITAL OLMSTED 275 METRO HOME HEALTH INC RAMSEY 331 MAYO DIALYSIS FAIRMONT MARTIN 249 METRO NURSING SERVICES RAMSEY 302 MAYO DIALYSIS OWATONNA STEELE 393 METRO NURSING SERVICES LLC RAMSEY 302 MAYO DIALYSIS ROCHESTER METH OLMSTED 275 METRO THERAPY SPECIAL CHILDREN ANOKA MAYO DIALYSIS ROCHESTER NE CLI OLMSTED 275 METROPOLITAN CARE INC HENNEPIN 118 MAYO DIALYSIS WABASHA WABASHA 401 METROPOLITAN CARE INC HENNEPIN 118 MAYO FOUNDATION OLMSTED 275 METROPOLITAN LIVING LLC HENNEPIN 102 MBW COMPANY INC BROWN 28 MI CASA ON CENTRAL HENNEPIN 175 MBW ON RAYMOND BROWN 29 MI CASA ON TYLER HENNEPIN 175 MBW ON TENTH BROWN 29 MIDSOTA SURGICAL SUITES PA STEARNS 390 MCCANNEL EYE SURGERY HENNEPIN 132 MIDWAY CARE CENTER INC POLK 296 MCCARTHY MANOR INC SAINT LOUIS 363 MIDWAY HOME HEALTH CARE RAMSEY 331 MCCLISH MANOR DAKOTA MIDWEST COMMUNITY RESIDENTIAL OTTER TAIL 280 25 331 93 430 275 80 PAGE# 18 306 9 36 10 Minnesota Department of Health Division of Compliance Monitoring Index For Directory of Facilities and Services FACILITY NAME COUNTY MIDWEST MEDICAL HOLDINGS LLC RAMSEY MIDWEST PROFESSIONAL SERVICES HENNEPIN MIDWEST SURGERY CENTER WASHINGTON MIKKELSEN MANOR COTTONWOOD MIKKELSEN MANOR ASSTD LIVING COTTONWOOD MILES VENTS CARE HENNEPIN MILESTONE SENIOR LIVING RICE MILL POND VIEW APARTMENTS OTTER TAIL MILLE LACS BAND OF OJIBWE PUBL MILLE LACS MILLE LACS FAMILY CLINIC PAGE# Index Page 28 FACILITY NAME COUNTY PAGE# 304 MINNEWASKA COMMUNITY HLTH SERV POPE 298 175 MINNEWASKA HOME CARE POPE 298 414 MIRIAM MANOR KANDIYOHI 232 55 MIRIAM PARADA SERBER & DAVID W HENNEPIN 141 55 MISSION DETOX CENTER HENNEPIN 200 110 MISSION INN MN HENNEPIN 176 349 MISSION NURSING HOME HENNEPIN 200 286 MN EYE LASER & SURG CTRS LLC RAMSEY 302 257 MN EYE LASER & SURGERY CENTER HENNEPIN 102 MORRISON 258 MN HOME CARE CROW WING MILLE LACS FAMILY CLINIC ISLE MILLE LACS 256 MN HOME CARE PROFESSIONALS RAMSEY 331 MILLE LACS FAMILY CLNC ONAMIA MILLE LACS 257 MN MASONIC HOME NORTH RIDGE AP HENNEPIN 196 MILLE LACS HEALTH SYSTEM MILLE LACS 257 MN MEDICAL & REHAB SERVS LLC HENNEPIN 213 MILLE LACS HLTH SYS HOSPICE MILLE LACS 257 MN ORTHOPAEDIC SURG CTR LLC ANOKA MILLE LACS HOME CARE MILLE LACS 257 MN SEX OFFENDER PROGRAM CARLTON 36 MILLSTREAM COMMONS HOME CARE RICE 351 MN SPECIALTY HEALTH SYSTEM WADENA 404 MILS HOME HEALTH CARE AGENCY HENNEPIN 175 MN SPECIALTY HEALTH SYSTEM KANDIYOHI 235 MINNEAPOLIS DIALYSIS UNIT HENNEPIN 175 MN SPECIALTY HEALTH SYSTEM ISANTI 222 MINNEAPOLIS EYE CENTER HENNEPIN 138 MN SPECIALTY HEALTH SYSTEM CROW WING MINNEAPOLIS NE DIALYSIS HENNEPIN 175 MN VETERANS HOME - LUVERNE ROCK 354 MINNEAPOLIS PUBLIC HOUSING AUT HENNEPIN 175 MN VETERANS HOME FERGUS FALLS OTTER TAIL 282 MINNEAPOLIS UPTOWN DIALYSIS HENNEPIN 175 MN VETERANS HOME HASTINGS DAKOTA MINNEOTA MANOR HCC LYON 247 MN VETERANS HOME MINNEAPOLIS HENNEPIN 176 MINNESOTA AT HOME HEALTHCARE WASHINGTON 415 MN VETERANS HOME SILVER BAY LAKE 240 MINNESOTA BIRTH CENTER HENNEPIN 175 MN VISITING NURSE AGENCY HENNEPIN 176 MINNESOTA EYE INSTITUTE DOUGLAS 85 MNGI ENDOSCOPY MAPLEWOOD RAMSEY 302 MINNESOTA EYE LASER AND SURGER ANOKA 5 MNGI ENDOSCOPY BLOOMINGTON HENNEPIN 102 MINNESOTA GREENLEAF PENNINGTON 289 MNGI ENDOSCOPY COON RAPIDS ANOKA MINNESOTA HERITAGE HOUSE MORRISON 259 MNGI ENDOSCOPY EAGAN DAKOTA MINNESOTA HOME HEALTH CARE INC RAMSEY 331 MNGI ENDOSCOPY PLYMOUTH HENNEPIN 200 MINNESOTA LIFE CARE SERVICES HENNEPIN 110 MOBILEX USA HENNEPIN 102 MINNESOTA MASONIC HOME CARE CT HENNEPIN 102 MONARCH HEIGHTS BIG STONE 22 MINNESOTA NATIONAL HEALTH KARE RAMSEY 331 MONARCH MEADOWS NICOLLET 266 MINNESOTA SENIOR CARE INC RAMSEY 310 MONTEVIDEO DIALYSIS CHIPPEWA 46 MINNESOTA SURGERY CENTER LTD HENNEPIN 145 MONTREAL CTS APTS - PEOPLE INC RAMSEY 299 MINNESOTA SURGERY CENTER LTD HENNEPIN 132 MONTREAL NBBI RAMSEY 331 MINNESOTA TEEN CHALLENGE HENNEPIN 175 MOONRAKER APARTMENTS HENNEPIN 119 MINNESOTA VALLEY HLTH CTR INC LESUEUR 243 MOONRAKER APARTMENTS HENNEPIN 119 MINNESOTA VALLEY SURGERY CTR DAKOTA 65 MOONRAKER APARTMENTS HENNEPIN 119 MINNESOTA VASCULAR SUR CTR LLC RAMSEY 306 MOONRAKER APARTMENTS HENNEPIN 119 MINNETONKA ASSISTED LIVING HENNEPIN 192 MOONRAKER APARTMENTS HENNEPIN 118 MINNETONKA ASSISTED LIVING HENNEPIN 192 MOORE BOARD AND CARE INC HENNEPIN 176 MINNETONKA ASSISTED LIVING COM HENNEPIN 192 MOORHEAD MANOR CLAY MINNETONKA CARE RESIDENCE HENNEPIN 192 MORNING STAR HEALTHCARE SERVIC RAMSEY 332 MINNETONKA CARE RESIDENCE HENNEPIN 192 MORNING STAR HEALTHCARE SERVIC RAMSEY 332 MINNETONKA DIALYSIS UNIT HENNEPIN 192 MORNING STAR WOMENS HEALTH AND HENNEPIN 213 56 10 59 71 9 68 51 Minnesota Department of Health Division of Compliance Monitoring Index For Directory of Facilities and Services FACILITY NAME COUNTY MORRISON CO PUBLIC HEALTH MORRISON MORRISTOWN RICE MOSES RESIDENCE ITASCA MOTHER OF MERCY CAMPUS CARE STEARNS MOTHER OF MERCY CAMPUS OF CARE PAGE# Index Page 29 FACILITY NAME COUNTY PAGE# 259 NANCY J LOEBERTMANN WRIGHT 424 350 NANCY PAGE PROG OF PEOPLE INC HENNEPIN 176 226 NAOME HOME HEALTH CARE HENNEPIN 123 384 NATIONAL HOME HEALTHCARE INC HENNEPIN 176 STEARNS 384 NATURE'S POINT ASSISTED LIVING SHERBURNE 381 MOUNDS PARK RESIDENCE RAMSEY 332 NEILL NBBI RAMSEY 314 MOUNDS VIEW GABLES RAMSEY 305 NEILSON PLACE BELTRAMI MOUNT CARMEL MANOR DAKOTA NELS INTL SERVICES LLC RAMSEY MOUNT OLIVET CAREVIEW HOME HENNEPIN 176 NELSON GABLES SENIOR CARE DOUGLAS 85 MOUNT OLIVET HOME HENNEPIN 176 NERVANAS CARING HANDS INC HENNEPIN 102 MOUNT OLIVET HOME HEALTH CARVER 37 NEW BEGINNINGS AT WAVERLY LLC WRIGHT 426 MOUNT OLIVET ROLLING ACRES CARVER 40 NEW BRIGHTON CARE CENTER RAMSEY 306 MOUNT OLIVET ROLLING ACRES CARVER 39 NEW BRIGHTON SENIOR ASSISTED L RAMSEY 306 MPLS CLINIC OF NEUROLOGY HENNEPIN NEW CHALLENGES INC DAKOTA 68 MSOCS BLAINE HOME ANOKA NEW CHALLENGES INC AFTON DAKOTA MSOCS BLOOMINGTON HENNEPIN 102 NEW DIMENSIONS HHC INC OTTER TAIL 282 MSOCS DULUTH ICFMR GR HM SAINT LOUIS 363 NEW DIMENSIONS HOME HEALTH CAR OTTER TAIL 283 MSOCS EDEN PRAIRIE CHATHAM WAY HENNEPIN 128 NEW DIRECTIONS RESIDENTIAL SER HENNEPIN 176 MSOCS EDEN PRAIRIE DELL ROAD HENNEPIN 128 NEW DIRECTIONS RESIDENTIAL SER HENNEPIN 139 MSOCS HERSHEY DAKOTA 74 NEW DIRECTIONS RESIDENTIAL SER HENNEPIN 146 MSOCS LAKEVILLE JONQUIL DAKOTA 74 NEW HARMONY CARE CENTER RAMSEY 332 MSOCS MOOSE LAKE ICFMR GR HM CARLTON 36 NEW HOPE DIALYSIS CENTER HENNEPIN 197 MSOCS VIRGINIA ICFMR GR HM SAINT LOUIS 373 NEW LIFE HEALTH AND HOME CARE HENNEPIN 110 MSOP - GREEN ACRES NICOLLET 267 NEW LIFE TREATMENT CENTER PIPESTONE 293 MSOP - PEXTON/SHANTZ NICOLLET 267 NEW LIVING LLC RAMSEY 332 MTAI ALBERT PLACE HENNEPIN 102 NEW MILLENNIUM HEALTH CARE HENNEPIN 119 MTAI GLADSON HENNEPIN 138 NEW MILLENNIUM HEALTH CARE ANOKA MTAI MINNEHAHA CREEK HENNEPIN 196 NEW MILLENNIUM HEALTH CARE HENNEPIN 119 MTAI SAND CREEK HENNEPIN 138 NEW PERSPECTIVE MAHTOMEDI WASHINGTON 409 MUNICIPAL HOSP & GRANITE MANOR YELLOW MEDICINE 428 NEW PERSPECTIVE MAHTOMEDI LLC WASHINGTON 409 MURRAY COUNTY CLINIC MURRAY 265 NEW RICHLAND CARE CTR WASECA 404 MURRAY COUNTY CLINIC FULDA MURRAY 265 NEW RIVER MEDICAL CENTER WRIGHT 425 MURRAY COUNTY MEM HOSP MURRAY 265 NEW ULM MEDICAL CENTER BROWN 29 MUTUAL MANAGEMENT HENNEPIN 176 NEW ULM MEDICAL CENTER BROWN 29 MVR HOME CARE INC DAKOTA NEWTON MANOR HENNEPIN 102 MY BROTHERS KEEPER SCOTT 378 NGUFOR HENNEPIN 110 MY HOME HEALTH CARE INC RAMSEY 332 NICOLLET COMMONS LLC HENNEPIN 177 MY RETIREMENT HOUSE INC HENNEPIN 193 NICOLLET COUNTY PUBLIC HEALTH NICOLLET 267 MY RETIREMENT HOUSE INC HENNEPIN 193 NICOLLET COURT HENNEPIN 102 MY RETIREMENT HOUSE INC HENNEPIN 193 NICOLLET COURT APARTMENTS HENNEPIN 103 MZW INC WASHINGTON 415 NICOLLET PLACE FARIBAULT 87 N & V HELPFUL HEARTCARE INC HENNEPIN 110 NICOLLET SQUARE HENNEPIN 177 N C LITTLE MEMORIAL HOSPICE HENNEPIN 132 NIGHTINGALE HOME HEALTH CARE HENNEPIN 193 NAGOMI INC DAKOTA 65 NIGHTINGALE HOSPICE CARE OF MN HENNEPIN 193 NAGOMI INC DAKOTA 62 NIMENS ESPEGARD APARTMENTS POLK 293 NANCY ISCHER WASHINGTON 410 NINE MILE CREEK SENIOR LIVING HENNEPIN 103 81 138 5 68 17 314 67 12 Minnesota Department of Health Division of Compliance Monitoring Index For Directory of Facilities and Services FACILITY NAME COUNTY NORMANDY APARTMENTS NORMAN NORRIS SQUARE WASHINGTON NORRIS SQUARE WASHINGTON NORTH BRANCH GW LLC CHISAGO NORTH COUNTRY CARE PAGE# Index Page 30 FACILITY NAME COUNTY 271 NOUIS HOME CARE INC MORRISON 259 407 NOVA CARE OUTPATIENT REHAB DIV WASHINGTON 415 407 NOVACARE REHAB DAKOTA 81 48 NOVACARE REHABILITATION ANOKA 10 ITASCA 227 NOVACARE REHABILITATION STEARNS 387 NORTH COUNTRY CARE INC ITASCA 227 NRC HOME CARE RICE 352 NORTH MANKATO HOUSING & REDEVE NICOLLET 266 NURSE CARE EVERY SEASON LIFE MOWER 263 NORTH MEMORIAL AMBU SURG HENNEPIN 145 NURSES THAT CARE INC SAINT LOUIS 363 NORTH MEMORIAL HOME HLTH HOSPC HENNEPIN 208 NURSING EXCELLENCE CORP ANOKA NORTH MEMORIAL HOME HLTH HOSPC HENNEPIN 208 NURTURING CARE HENNEPIN 197 NORTH MEMORIAL MEDICAL CENTER HENNEPIN 208 NURTURING CARE HENNEPIN 193 NORTH METRO SURGERY CENTER ANOKA 5 O BRIEN COURT LYON 247 NORTH OAKS ON EMERSON HENNEPIN 177 OAK ACRES LLC RAMSEY 310 NORTH PARK PLAZA APARTMENTS HENNEPIN 197 OAK CREST SENIOR HOUSING ROSEAU 355 NORTH RESIDENTIAL HOSPICE HENNEPIN 110 OAK CREST SENIOR LIVING ANOKA NORTH RIDGE CARE CENTER HENNEPIN 197 OAK GROVE APARTMENTS HENNEPIN 177 NORTH RIDGE CONGREGATE HOUSING HENNEPIN 197 OAK GROVE CARE CENTER INC HENNEPIN 177 NORTH RIDGE VIEW LLC GOODHUE 93 OAK HILLS LIVING CENTER BROWN 29 NORTH STAR APARTMENTS ROSEAU 355 OAK HILLS LIVING CENTER BROWN 29 NORTH STAR HOSPICE SAINT LOUIS 370 OAK HILLS LVNG CENTER ASST LI BROWN NORTH STAR NURSING TEMPORARY A BECKER OAK MEADOWS WASHINGTON NORTH VALLEY HEALTH CENTER MARSHALL 249 OAK PARK PLACE FREEBORN NORTH VALLEY HLTH CTR CLINIC MARSHALL 249 OAK PARK SENIOR LIVING WASHINGTON 410 NORTHEAST RESIDENCE II RAMSEY 299 OAK PARK SENIOR LIVING PENNINGTON 289 NORTHERN PINES MENTAL HLTH CTR MORRISON 259 OAK PARK SENIOR LIVING WASHINGTON 409 NORTHFIELD CARE CENTER INC RICE 351 OAK RIDGE ASSTD LVNG HASTINGS DAKOTA NORTHFIELD CITY HOSPITAL & NSG RICE 351 OAK RIDGE MANOR STEARNS 386 NORTHFIELD HOME CARE RICE 351 OAK RIDGE PLACE WASHINGTON 410 NORTHFIELD HOSPICE RICE 351 OAK TERRACE ASSISTED LIVING O NICOLLET 266 NORTHFIELD MANOR INC RICE 352 OAK TERRACE HEALTH CARE CENTER SIBLEY 382 NORTHFIELD PARKVIEW INC RICE 352 OAK TERRACE HEALTH CENTER OF G SIBLEY 382 NORTHFIELD PARKVIEW INC RICE 352 OAK TERRACE SENIOR HOUSING OF SIBLEY 382 NORTHLAND ASSISTED LIVING SAINT LOUIS 357 OAK TERRACE SENIOR HOUSING OF SCOTT 375 NORTHLAND ASSISTED LIVING SAINT LOUIS 363 OAK TERRACE SENIOR HOUSING OF SCOTT 375 NORTHLAND ASSISTED LIVING AITKIN 2 OAK TERRACE SENIOR HOUSING OF SIBLEY 383 NORTHLAND COUNSELING CENTER ITASCA 227 OAK TERRACE WEST NICOLLET 266 NORTHLAND RECOVERY CENTER ITASCA 227 OAK VIEW APARTMENTS INC BROWN NORTHLAND VILLAGE SAINT LOUIS 371 OAKLAND PARK COMMUNITIES INC PENNINGTON 289 NORTHOME HEALTHCARE CENTER INC KOOCHICHING 239 OAKLAWN HEALTH CARE CENTER BLUE EARTH 25 NORTHRIDGE RESIDENCE BIG STONE 22 OAKRIDGE HOMES OF WADENA WADENA 404 NORTHUMBERLAND HENNEPIN 197 OAKVIEW RESIDENTIAL CARE CARLTON 37 NORTHUMBERLAND APARTMENTS HENNEPIN 197 OAKVIEW RESIDENTIAL CARE INC CARLTON 37 NORTHWEST HOME HEALTH CARE RAMSEY 332 OAKVIEW RESIDENTIAL CARE INC CARLTON 37 NORTHWESTERN MENTAL HLTH CTR POLK 294 OASIS HENNEPIN 139 NORTHWOOD HOME RED LAKE 342 OFC BACK CARE CENTER BLUE EARTH 25 NORTHWOOD PINES RICE 352 OLD MAIN VILLAGE BLUE EARTH 25 15 PAGE# 12 12 29 410 92 71 29 Minnesota Department of Health Division of Compliance Monitoring Index For Directory of Facilities and Services FACILITY NAME COUNTY OLIDIA CARE INC HENNEPIN OLMSTED MEDICAL CENTER OLMSTED OLUS HOME INC HENNEPIN OMETTA VENT CARE SERVICES INC HENNEPIN ON BELAY HOUSE PAGE# Index Page 31 FACILITY NAME COUNTY PAGE# 110 OXBORO HOME WASHINGTON 410 276 OXFORD PROPERTY MANAGEMENT LLC OLMSTED 276 177 PAIGE HALL HENNEPIN 177 200 PAIN CENTERS OF MN MANKATO BLUE EARTH HENNEPIN 201 PAMPER ME FOOTCARE HENNEPIN 103 ON TIME HEALTH SERVICES HENNEPIN 119 PARK AVENUE APARTMENTS HENNEPIN 177 ON-BELAY EDEN PRAIRIE HENNEPIN 128 PARK AVENUE APARTMENTS HENNEPIN 177 ONTRACK HOME CARE INC WASHINGTON 413 PARK GARDENS APARTMENTS STEARNS 391 OPEN ARMS NURSING SERVICES INC HENNEPIN 110 PARK GARDENS OF FERGUS FALLS OTTER TAIL 283 OPTIONS PLUS HOME CARE LLC WINONA 420 PARK HEALTH & REHAB CENTER HENNEPIN 213 OPTIONS RESIDENTIAL INC DAKOTA 65 PARK LANE ESTATES FILLMORE 89 OPTIONS RESIDENTIAL INC DAKOTA 65 PARK MANOR ESTATES BECKER 14 OPTIONS RESIDENTIAL INC BRIAR DAKOTA 65 PARK NICOLLET METHODIST HC HENNEPIN 213 OPTIONS RESIDENTIAL INC BRIAR DAKOTA 65 PARK NICOLLET METHODIST HOSP HENNEPIN 213 OPTIONS RESIDENTIAL INC/GABRIE DAKOTA 81 PARK NICOLLET METHODIST HOSP HENNEPIN 213 ORCHARD ESTATES MCLEOD 251 PARK PLACE SENIOR LIVING STEELE 393 ORCHARD HILLS CATERED LIVING L BROWN 29 PARK RAPIDS PT AND REHAB HUBBARD 220 ORONO WOODLANDS HENNEPIN 142 PARK RESIDENCE HENNEPIN 178 ORTHOPAEDIC INSTITUTE SURG CTR HENNEPIN 132 PARK RIDGE APTS OF HASTINGS DAKOTA ORTONVILLE AREA HEALTH SER HHA BIG STONE 22 PARK RIVER ESTATES CARE CENTER ANOKA ORTONVILLE AREA HEALTH SERVICE BIG STONE 23 PARK TERRACE ASSTD LVG & MEM C WRIGHT 422 OSSEO GARDENS HENNEPIN 199 PARK TWO HENNEPIN 178 OSTRANDER ASSISTED LIVING FILLMORE 89 PARK VIEW CARE CENTER WRIGHT 422 OSTRANDER CARE AND REHAB FILLMORE 89 PARK VIEW MANOR SWIFT 397 OTTERTAIL AREA MEDICAL CLINIC OTTER TAIL 285 PARK VIEW TERRACE CLAY OTTOMEYER CLINICS PLLC WASHINGTON 408 PARK VIEW VILLAGE RENVILLE 346 OUR CIRCLE OF FRIENDS RICE 349 PARK VILLA APARTMENTS HUBBARD 221 OUR CIRCLE OF FRIENDS /MAIN C RICE 349 PARKER OAKS COMMUNITIES INC FARIBAULT 88 OUR HOME YOUR HOME OTTER TAIL 285 PARKER OAKS COMMUNITIES INC FARIBAULT 88 OUR HOUSE RICE 349 PARKER SKYVIEW HENNEPIN 178 OUR HOUSE OF MN INC I RAMSEY 332 PARKERS ARC LAKE OF THE WOODS 242 OUR HOUSE OF MN INC II RAMSEY 332 PARKINSON'S SPECIALTY CARE HENNEPIN 132 OUR HOUSE OF MURRAY COUNTY MURRAY 265 PARKINSONS SPECIALTY HOME CARE HENNEPIN 139 OUR HOUSE SENIOR LIVING MOWER 263 PARKSHORE SENIOR CAMPUS LLC HENNEPIN 213 OUR HOUSE SENIOR LIVING MOWER 263 PARKSHORE SENIOR CAMPUS LLC HENNEPIN 213 OUR LADY OF PEACE HOME RAMSEY 332 PARKVIEW CARE CTR WELLS INC FARIBAULT 88 OUTREACH PLYMOUTH HOME EAST HENNEPIN 201 PARKVIEW COURT POPE 297 OUTREACH PLYMOUTH HOME WEST HENNEPIN 201 PARKVIEW COURT ASSISTED LIVING POPE 297 OUTREACH RICE CREEK HENNEPIN 126 PARKVIEW HOME REDWOOD 342 OUTREACH STEVENS HENNEPIN 177 PARKVIEW MANOR NURSING HOME NOBLES 268 OUTREACH TRILLIUM WEST MCLEOD 253 PARKWOOD APARTMENTS REDWOOD 342 OWAKIHI INC DAKOTA 72 PARMLY LAKEVIEW APARTMENTS CHISAGO 47 OWAKIHI INC DAKOTA 66 PASSION CARE HENNEPIN 178 OWATONNA CARE CENTER STEELE 393 PASSION CARE HENNEPIN 178 OWATONNA HOSPITAL STEELE 393 PATHSTONE CROSSING BLUE EARTH 25 OXBORO HOME WASHINGTON 410 PATHSTONE HOME SERVICES BLUE EARTH 25 25 71 9 51 Minnesota Department of Health Division of Compliance Monitoring Index For Directory of Facilities and Services FACILITY NAME COUNTY PAGE# PATHSTONE LIVING BLUE EARTH PATHWAYS TO ACHIEVEMENT SAINT LOUIS PATHWAYS TO ACHIEVEMENT SAINT LOUIS PATRIOT ASSISTED LIVING FARIBAULT PAULS PLACE DAKOTA PAVILION SURGERY CENTER LLC SAINT LOUIS PAYNESVILLE AREA HOSPITAL STEARNS PEACE OF MIND HOME HEALTH CARE RAMSEY PEACEFUL BLISS ASSISTD LVG LLC DOUGLAS 85 PEACEFUL CARE LLC HENNEPIN PEACEFUL LIVING LLC Index Page 32 FACILITY NAME COUNTY PAGE# 25 PHOENIX AT DOUGLAS RAMSEY 333 363 PHOENIX AT ENGLISH RAMSEY 340 363 PHOENIX AT FOSS RAMSEY 333 88 PHOENIX AT JANET COURT RAMSEY 298 70 PHOENIX AT NEWPORT WASHINGTON 409 363 PHOENIX AT VIKING RAMSEY 334 386 PHOENIX SERVICE CORPORATION RAMSEY 313 333 PHOENIX SERVICE CORPORATION DAKOTA PHS/BEACON HILL INC HENNEPIN 178 PHYS THER SPORTS MEDICINE CTR BLUE EARTH WISCONSIN 430 PHYSICIAN SYSTEMS INC HENNEPIN 133 PEACEFUL LIVING SERVICES RAMSEY 333 PIERZ MEADOW PONDS INC MORRISON 261 PEACEFUL MIND HOMES LLC DAKOTA 69 PIERZ VILLA INC MORRISON 261 PEACEFUL MIND HOMES LLC DAKOTA 77 PINE GROVE APARTMENTS SAINT LOUIS 363 PEARL GARDEN RAMSEY 314 PINE HAVEN CARE CENTER INC GOODHUE 93 PEDIATECH NURSING HENNEPIN 193 PINE HAVEN HOME HEALTH GOODHUE 93 PEDIATRIC HOME SERVICE RAMSEY 310 PINE MANORS INC HUBBARD 219 PEDIATRIC SPEECH & LANGUAGE WRIGHT 425 PINE RIDGE RESIDENCE CLEARWATER 53 PEDIATRIC THERAPY SERVICES BLUE EARTH 26 PINE VIEW APARTMENTS CARLTON 33 PEDIATRIC THERAPY SERVICES INC BLUE EARTH 26 PINE VIEW ASSISTED LIVING COTTONWOOD 55 PELICAN VALLEY HEALTH CENTER OTTER TAIL 286 PINE VIEW ASSISTED LIVING COTTONWOOD 55 PENN AVENUE APARTMENTS HENNEPIN 205 PINES III ASSISTED LIVING SAINT LOUIS 363 PENN OAK APARTMENTS HENNEPIN 178 PINEVIEW RECOVERY CENTER KOOCHICHING 239 PEOPLE II HENNEPIN 178 PINNACLE SERVICES - JACKSON SQ HENNEPIN 179 PEOPLE INC EPILEPSY SERVICES HENNEPIN 178 PINNACLE SERVICES BRAIRWOOD HENNEPIN 139 PEOPLE INCORPORATED RAMSEY 333 PINNACLE SERVICES INC HENNEPIN 179 PEOPLE INCORPORATED RAMSEY 333 PINNACLE SERVICES INC HENNEPIN 119 PEOPLE INCORPORATED DAKOTA 69 PIONEER CARE CENTER OTTER TAIL 283 PEOPLE INCORPORATED DSL HENNEPIN 178 PIONEER ESTATES OF EDEN PRAR HENNEPIN 128 PEOPLE INCORPORATED EDGEBROOK RAMSEY 333 PIONEER HOME INC - CARE SUITES OTTER TAIL 283 PEOPLE INCORPORATED LONDIN PLA RAMSEY 333 PIONEER MEMORIAL CARE CENTER POLK 295 PEOPLE INCORPORATED RUTH HOUSE RAMSEY 333 PIONEER POINTE OTTER TAIL 283 PERHAM HEALTH OTTER TAIL 287 PIONEER RETIREMENT COMMUNITY WILKIN 418 PERHAM LIVING OTTER TAIL 287 PIONEER RETIREMENT COMMUNITY WILKIN 417 PERHAM LIVING OTTER TAIL 287 PIONEER SENIOR COTTAGES OTTER TAIL 283 PERHAM LIVING HOME CARE OTTER TAIL 287 PIONEER SENIOR COTTAGES OTTER TAIL 283 PERPICH APARTMENTS SAINT LOUIS 370 PIONEER SENIOR COTTAGES II OTTER TAIL 283 PERSONALIZED LIVING AT EDINA P HENNEPIN 133 PIONEER SENIOR COTTAGES II OTTER TAIL 283 PETERSON ESTATES COTTONWOOD 54 PIONEER SENIOR COTTAGES III OTTER TAIL 284 PHCSS LLP RAMSEY 333 PIONEER SENIOR COTTAGES III OTTER TAIL 283 PHEASANTS RIDGE ASSISTED LIVNG NICOLLET 267 PIPESTONE CO HOME HEALTH AGNCY PIPESTONE 292 PHILLIPS EYE INSTITUTE HENNEPIN 179 PIPESTONE CO MED C & ASHTON CC PIPESTONE 292 PHOENIX AT LUDDEN RAMSEY 305 PIPESTONE COUNTY HOSPICE PIPESTONE 292 PHOENIX AT CARVER RAMSEY 303 PIPESTONE COUNTY HOSPICE RESID PIPESTONE 293 PHOENIX AT CASWELL RAMSEY 341 PIPESTONE DIALYSIS FACILITY PIPESTONE 293 PHOENIX AT CENTERVILLE RAMSEY 340 PLAINVIEW ESTATES CARLTON 81 193 26 35 Minnesota Department of Health Division of Compliance Monitoring Index For Directory of Facilities and Services FACILITY NAME COUNTY PAGE# PLAINVIEW ESTATES INC CARLTON 36 PLATEAU HEALTHCARE LLC HENNEPIN PLATEAU HEALTHCARE LLC HENNEPIN PLATEAU HEALTHCARE LLC HENNEPIN PLATINUM HOMECARE LLC Index Page 33 FACILITY NAME COUNTY PAGE# PRECIOUS HOME CARE SERVICES IN HENNEPIN 120 119 PRELUDE HOME & SERVICES LLC WASHINGTON 415 119 PREMIER DIAGNOSTIC IMAGING INC HENNEPIN 103 111 PRESB HOMES OF BLOOMINGTON HENNEPIN 103 WASHINGTON 415 PRESBY HOMES OF ARDEN HILLS RAMSEY 298 PLEASANT MANOR INC RICE 349 PRESBYTERIAN ASSTD LIVING HC RAMSEY 310 PLEASANT SEASONS ITASCA 227 PRESBYTERIAN HOMES HOME CARE RAMSEY 310 PLEASANT VIEW ESTATES RICE 349 PRESBYTERIAN HOMES HOSPICE INC RAMSEY 311 PLUM HOME CARE LLC RICE 350 PRESBYTERIAN HOMES NORTH OAKS RAMSEY 307 POINT OF AMERICA HENNEPIN 120 PRESBYTERIAN HOMES OF ARDEN HI RAMSEY 298 POINT PLEASANT HEIGHTS CHISAGO 47 PRESBYTERIAN HOMES OF BLOOMING HENNEPIN 103 POLINSKY MEDICAL REHAB CTR SAINT LOUIS 364 PRESBYTERIAN HOMES OF BLOOMING HENNEPIN 103 POPLAR CREEK ESTATES ROCK 354 PRESBYTERIAN HOMES OF BLOOMING HENNEPIN 103 POPLAR MEADOWS OF MCINTOSH POLK 296 PRESBYTERIAN HOMES OF INVER GR DAKOTA POTTER RIDGE GOODHUE PRESBYTERIAN HOMES SUMMERWOOD HENNEPIN 201 PRAIRIE HOME HOSPICE LYON 246 PRESCRIPTION HOME CARE LLC OTTER TAIL 285 PRAIRIE HOME HOSPICE LYON 246 PRESTIGE LIVING HOME CARE LLC HENNEPIN 103 PRAIRIE MANOR CARE CENTER STEELE 392 PRESTON GOOD SAM SOC HC FILLMORE 89 PRAIRIE MEADOWS ASSISTED LIVIN LAC QUI PARLE 239 PRIDE INSTITUTE HENNEPIN 128 PRAIRIE MEADOWS SENIOR LIVING DODGE 82 PRIDE N'LIVING HOME CARE INC ANOKA 10 PRAIRIE PARK PLACE CHIPPEWA 44 PRIDE N'LIVING HOME CARE INC ANOKA 10 PRAIRIE PINES COMMUNITY POLK 296 PRIME TIME ESSENTIAL CARE LLC OLMSTED 276 PRAIRIE REHABILITATION SERVS JACKSON 228 PRIMETIME LIVINN SUITES OLMSTED 276 PRAIRIE RIDGE HOSP HLTH SERV GRANT 97 PRIMROSE LEASE MANAGEMENT LLC MOWER 263 PRAIRIE RIVER HOME CARE INC BLUE EARTH 26 PRIMROSE OF DULUTH SAINT LOUIS 364 PRAIRIE SENIOR COTTAGES ALEX DOUGLAS 85 PRIMROSE OF MANKATO BLUE EARTH 26 PRAIRIE SENIOR COTTAGES OF WI KANDIYOHI 235 PRINCE OF PEACE RETIREMENT LIV MCLEOD 253 PRAIRIE SENIOR COTTAGES OF ALE DOUGLAS PRNSC
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