2014
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 14, 2014 ........ I
2. Certification Classifications, March 14, 2014 ........................................................................... 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 14, 2014 ............................ VI - XI
12. Number of Facilities and Beds by County, March 14, 2014 ........................................ XII - XVI
13. Number of Certified Services by County, March 14, 2014 ....................................... XVII - XX
14. Number of Licensed Home Care Providers (HCP) by Classifications and County,
March 14, 2014 ....................................................................................................... XXI – XXIII
15. Number of Housing with Services Establishments by County, March 14, 2014 ..... XXIV-XXV
16. Number of Licensed Facilities and Beds by County, March 14, 2014………… XXVI-XXVII
FEDERAL HOSPITALS ...................................................................................................... XXVIII
ABBREVIATIONS........................................................................................................ XXIX-XXX
LICENSING AND CERTIFICATION INFORMATION FOR ALL
HEALTH CARE FACILITIES AND SERVICES...........................................................1 – 455 LISTING OF HEALTH CARE FACILITIES - Grouped by Type/Location Boarding Care Homes and Units ...........................................................................................456 Community Mental Health Centers .......................................................................................457 Comprehensive Outpatient Rehabilitation Facilities .............................................................457 End Stage Renal Disease Providers .......................................................................................458 Licensed Home Care Providers...................................................................................... 460-476 Certified Home Health Agencies .................................................................................. 477-478 Licensed Hospices..................................................................................................................479 Medicare Certified Hospices..................................................................................................480 Hospitals ........................................................................................................................ 481-482 Nursing Homes .............................................................................................................. 483-486 Outpatient Occupational Therapy Providers..........................................................................487 Outpatient Physical Therapy Providers .................................................................................487 Outpatient Speech Therapy Providers ........................................................................... 488-489 Outpatient Surgical Centers ...................................................................................................488 Portable X-Ray Suppliers ......................................................................................................490 Rural Health Clinics...............................................................................................................491 Supervised Living Facilities........................................................................................... 492-494 ALPHABETICAL LISTING OF LOCATIONS OF HEALTH CARE FACILITIES ......... 495-500 INDEX CONTAINING PAGE NUMBER FOR SPECIFIC FACILITY OR SERVICE ­
INDEX PAGES.................................................................................................................. 1 - 49 MINNESOTA DEPARTMENT OF HEALTH
DIVISION OF COMPLIANCE MONITORING
DIRECTORY OF LICENSED AND
CERTIFIED HEALTH CARE
FACILITIES & SERVICES
March 14, 2014
FOREWORD
The directory that follows contains a list of hospitals and related institutions licensed and/or certified as of March 14, 2014.
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 intellectually disabled,
adult mentally ill, chemically dependent, or physically handicapped. Services include provision of meals, lodging,
housekeeping services, health services, and other services provided by either staff or residents under supervision. Class A
facilities include homes for ambulatory and mobile persons who are capable of taking appropriate action for self-preservation
under emergency conditions as determined by program licensure provisions. Class B facilities include homes for ambulatory,
nonambulatory, mobile or nonmobile persons who are not mentally or physically capable of taking appropriate action for
self-preservation under emergency conditions as determined by program licensure provisions.
HOME CARE PROVIDER LICENSING LAW
Home care providers in Minnesota are licensed under the provisions of Sections 144A.43-144A.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.
In 2013 the Minnesota legislature passed changes to the home care law that streamline the four license classes (A, B, C and
F) into two types of licenses, Basic or Comprehensive, based on the level of services provided. Effective January 1, 2014,
temporary Basic or Comprehensive licenses are available for new license applicants. Starting July 1, 2014, and ending June
30, 2015, all home care providers licensed by MDH prior to January 1, 2014, will transition to the new set of requirements
upon their regular license renewal date. Services that may be provided under the new license types are:
Basic Home Care license. Home care services that can be provided with a basic home care license are assistive tasks
provided by licensed or unlicensed personnel that include: (1) assisting with dressing, self-feeding, oral hygiene, hair care,
grooming, toileting, and bathing; (2) providing standby assistance; (3) providing verbal or visual reminders to the client to
take regularly scheduled medication, which includes bringing the client previously set-up medication, medication in original
containers, or liquid or food to accompany the medication; (4) providing verbal or visual reminders to the client to perform
regularly scheduled treatments and exercises; (5) preparing modified diets ordered by a licensed health professional; and (6)
assisting with laundry, housekeeping, meal preparation, shopping, or other household chores and services if the provider is
also providing at least one of the activities in clauses (1) to (5).
Comprehensive Home Care license. Home care services that may be provided with a comprehensive home care license
include any of the basic home care services and one or more of the following: (1) services of an advanced practice nurse,
registered nurse, licensed practical nurse, physical therapist, respiratory therapist, occupational therapist, speech-language
pathologist, dietitian or nutritionist, or social worker; (2) tasks delegated to unlicensed personnel by a registered nurse or
assigned by a licensed health professional within the person's scope of practice; (3) medication management services; (4)
hands-on assistance with transfers and mobility; (5) assisting clients with eating when the clients have complicating eating
problems as identified in the client record or through an assessment such as difficulty swallowing, recurrent lung aspirations,
or requiring the use of a tube or parenteral or intravenous instruments to be fed; or (6) providing other complex or specialty
health care services..
HOME MANAGEMENT SERVICES
A provider performing only home management tasks must obtain a certificate of registration from the commissioner of
health. Home management services include at least two of the following services: housekeeping, meal preparation, and
shopping provided to a person who is unable to perform these activities due to illness, disability or physical condition.
HOUSING WITH SERVICES ESTABLISHMENTS
Housing with services establishments are registered under the provisions of Chapter 144D., Minnesota Statutes. A housing
with services establishment provides sleeping accommodations to one or more adult residents, at least 80 percent of which
are 55 years of age or older and offering or providing for a fee, one or more regularly scheduled health related services or
two or more regularly scheduled supportive services.
An establishment that meets all the requirements of this chapter except that fewer than 80 percent of the adult residents are
age 55 or older may, at its option, register as a housing with services establishment.
Housing with services establishments that provide Assisted Living Services must meet the requirements under the provisions
of Chapter 144G., Minnesota Statutes. “Assisted living” means a service or package of services advertised, marketed or
otherwise described, offered or promoted under the phrase “assisted living” and which is available only to individuals
residing in a registered housing with services establishment
HOSPICE PROVIDERS
Hospices are licensed under Minnesota Statutes, Section 144A.75, 144A.751-144A.756 and rules adopted thereunder.
A hospice provider means an individual, organization, association, corporation, unit of government, or other entity that
is regularly engaged in the delivery, directly or by contractual arrangement, of hospice services for a fee to terminally ill
hospice patients.
Residential hospice facility means a facility that resembles a single-family home located in a residential area that directly
provides 24-hour residential and support services in a home-like setting for hospice patients as an integral part of the
continuum of home care provided by a hospice.
I
DIRECTORY OF LICENSED AND CERTIFIED HEALTH CARE FACILITIES AND SERVICES
Classification and Bed Capacity: As of March 14, 2014 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 14, 2014
Licensing Classifications
Number of Facilities and Services
Hospitals
Bassinets
Psychiatric Hospitals
Nursing Homes
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
136
117
1
374
26
(7)
298
63
10
1,629
82
Number of Beds
16,458
1,849
20
29,672
1,617
(419)
5,032
N/A
303
N/A
N/A
TABLE 2
Certification Classifications, March 14, 2014
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
61
80
5
368
6
30
35
26
200
67
105
1
58
87
14
13,223
1,760
243
28,977
------­
------­
------­
360
15
205
28,588
933
1,761
71
------­
2,008
------­
------­
------­
-----­
------­
------­
------­
------­
Medicaid
Nursing Facilities I
Nursing Facilities II
Intermediate Care Facilities for Individuals with Intellectual Disabilities
Accreditation by Approved Accrediting Organization
Hospitals (Excluding Psychiatric Facilities)
TABLE 2A
Housing with Services Establishments
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 14, 2014
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
136
374
26
298
10
16,458
29,672
1,617
5,032
303
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 14, 2014
Type of Ownership
Hospital
Total Number
% of Total
Hosp.
Hosp.
Beds
Beds
Nonprofit
Hosp.
Public
Beds
Hosp.
Proprietary
Beds
Hosp.
Beds
1 – 24
30
524
22.1
3.2
21
378
8
136
1
10
25 – 49
52
1,801
38.2
10.9
32
1,107
18
625
2
69
50 - 99
24
1,742
17.6
10.6
22
1,567
0
0
2
175
100 - 299
17
3,182
12.5
19.3
15
2,919
2
263
0
0
300 +
13
9,209
9.6
56.0
12
9,209
1
0
0
0
136
16,458
100.0
100.0
102
15,180
29
1,024
5
254
TOTALS
III
TABLE 5
Nursing Homes and Units: Bed Range, Total Numbers and Percentages of Home and Beds by Ownership -­
March 14, 2014
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
.3
2
30
0
0
2
45
25 - 49
90
3,572
24.1
12.0
50
1,972
15
604
25
996
50 - 99
194
13,455
51.9
45.3
115
8,197
18
1,158
61
4,100
83
11,548
22.2
38.9
55
7,719
4
520
24
3,309
3
1,022
.8
3.4
1
330
1
341
1
351
374
29,672
100.0
100.0
223
18,248
38
2,623
113
8,801
100 - 299
300 +
TOTALS
TABLE 6
Nursing Homes and Units: Home and Beds by Ownership and Percentage of Change -- March 15, 2013 and
March 14, 2014
March 15, 2013
Nursing Home Units
Ownership
Homes and
Units
March 14, 2014
Beds
Homes and
Units
% of Change
Beds
Homes and
Units
Beds
Non Profit
226
19,140
223
18,248
-1.3
-4.9
Public
40
2,812
38
2,623
-5.3
-7.2
Subtotal, Non Profit
And Public
266
21,952
261
20,871
-1.9
-5.2
Proprietary
111
8,343
113
8,801
1.8
5.2
TOTALS
377
30,295
374
29,672
.80
-2.1
IV
TABLE 7
Boarding Care Homes and Units: Bed Range, Total Numbers and Percentages of Homes and Beds by Ownership -­
March 14, 2014
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
6
90
23.1
5.6
0
0
0
0
6
90
25 - 49
7
223
26.9
13.8
1
33
0
0
6
190
50 - 99
8
515
30.8
31.8
6
397
0
0
2
118
100 - 299
5
789
19.2
48.8
0
0
2
361
3
428
300 +
0
0
.0
.0
0
0
0
0
0
0
26
1,617
100.0
100.0
7
430
2
361
17
826
TOTALS
TABLE 8
Boarding Care Home Units: Home and Beds by Ownership and Percentage of Change -- March 15, 2013 and
March 14, 2014
March 15, 2013
March 14, 2014
% of Change
BCH
Ownership
Homes and
Units
Beds
Homes and
Units
Beds
Homes and
Units
Beds
Non Profit
9
445
7
430
-28.6
-3.5
Public
2
361
2
361
0.0
0.0
Subtotal, Non Profit
and Public
11
806
9
791
-22.2
-1.9
Proprietary
17
825
17
826
0
.12
TOTALS
28
1,631
26
1,617
-7.7
-.87
V
TABLE 9
Supervised Living Facility and Units: Bed Range, Total Numbers and Percentages of Facility and Beds by Ownership ­
March 14, 2014
Type of Ownership
SLF
Range
Total Number
% of Total
Homes
Beds
Homes
1 - 15
225
1,611
75.5
16 - 49
58
1,439
50 - 99
12
100 - 299
300 +
TOTALS
Nonprofit
Beds
Public
Proprietary
Homes
Beds
Homes
Beds
Homes
Beds
32.0
117
838
17
110
91
663
19.5
28.6
27
696
10
232
21
511
720
4.0
14.3
5
297
5
322
2
101
1
254
.3
5.0
0
0
1
254
0
0
2
1,008
.7
20.0
0
0
2
1,008
0
0
298
5,032
100.0
100.0
149
1,831
35
1,926
114
1,275
TABLE 10
Supervised Living Facilities and Units: Facilities and Beds by Ownership and Percentage of Change -- March 15, 2013
and March 14, 2014
March 15, 2013
March 15, 2014
% of Change
SLF
Ownership
Homes and
Units
Beds
Homes and
Units
Beds
Homes and
Units
Beds
Non Profit
148
1,869
149
1,831
.67
-2.1
35
1,920
35
1,926
0
.31
Subtotal, Non Profit
183
3,789
184
3,757
.54
-.85
Proprietary
122
1,344
114
1,275
-7.0
-5.4
TOTALS
305
5,133
298
5,032
-2.3
-2.0
Public
County
AITKIN
ANOKA
BECKER
BELTRAMI
BENTON
BIG STONE
BLUE EARTH
BROWN
CARLTON
CARVER
CASS
CHIPPEWA
CHISAGO
CLAY
CLEARWATER
COOK
COTTONWOOD
Hosp. Psych.
No. No.
Beds Beds
Bass.
No.
Beds
N.H.
No.
Beds
VI
Page
TABLE 11: Number of Licensed Facilities and Beds by County, March 14, 2014
B.C.H S.L.F-A S.L.F-B
No.
No.
No.
Beds
Beds
Beds
Other Outpat.
No.
Surg.
Beds
Fac.
1
0
1
2
0
0
0
0
25
0
6
119
0
0
0
0
2
0
2
6
0
4
4
1
546
0
74
531
0
58
70
175
1
0
1
4
0
0
1
0
87
0
16
324
0
0
9
0
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
109
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
102
0
20
312
0
14
20
0
3
0
2
3
0
1
2
0
67
0
13
212
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
96
0
0
0
0
1
0
1
2
0
1
0
0
30
0
6
156
0
6
0
0
1
0
1
3
0
1
2
0
61
0
12
217
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
Hosp. Psych.
No. No.
Beds Beds
Bass.
No.
Beds
N.H.
No.
Beds
VII
Page
TABLE 11: Number of Licensed Facilities and Beds by County, March 14, 2014
B.C.H S.L.F-A S.L.F-B
No.
No.
No.
Beds
Beds
Beds
Other Outpat.
No.
Surg.
Beds
Fac.
2
0
2
3
0
1
2
1
204
0
22
282
0
0
74
16
3
0
3
10
1
8
11
0
244
0
72
968
200
78
93
0
0
0
0
2
0
0
1
0
0
0
0
100
0
0
6
0
1
0
1
4
0
2
1
1
127
0
14
281
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
2
0
71
0
11
529
0
0
24
0
1
0
1
1
0
0
0
0
20
0
2
45
0
0
0
0
11
1
8
50
14
36
35
0
5441
20
621
6105
1029
508
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
65
0
0
0
0
1
0
1
4
0
1
4
1
136
0
20
388
0
6
128
16
1
3
0
1
0
0
0
0
0
23
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
Hosp. Psych.
No. No.
Beds Beds
Bass.
No.
Beds
N.H.
No.
Beds
VIII
Page
TABLE 11: Number of Licensed Facilities and Beds by County, March 14, 2014
B.C.H S.L.F-A S.L.F-B
No.
No.
No.
Beds
Beds
Beds
Other Outpat.
No.
Surg.
Beds
Fac.
1
0
1
2
0
0
0
0
15
0
0
116
0
0
0
0
1
0
1
2
0
1
1
0
49
0
11
104
0
8
2
0
2
0
2
2
0
0
1
0
32
0
6
136
0
0
6
0
1
0
1
2
0
0
1
0
25
0
1
128
0
0
5
0
1
0
1
1
0
0
0
0
15
0
3
36
0
0
0
0
1
0
0
3
0
0
0
0
24
0
0
142
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
52
0
0
0
0
1
0
1
4
0
0
3
0
57
0
16
211
0
0
32
0
2
0
2
3
0
0
1
0
115
0
14
295
0
0
6
0
1
0
1
3
0
0
0
0
35
0
4
194
0
0
0
0
2
0
2
3
0
0
0
0
82
0
13
262
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
Hosp. Psych.
No. No.
Beds Beds
Bass.
No.
Beds
N.H.
No.
Beds
IX
Page
TABLE 11: Number of Licensed Facilities and Beds by County, March 14, 2014
B.C.H S.L.F-A S.L.F-B
No.
No.
No.
Beds
Beds
Beds
Other Outpat.
No.
Surg.
Beds
Fac.
1
0
1
3
0
1
5
1
17
0
0
160
0
58
671
16
1
0
1
4
0
0
1
0
48
0
7
181
0
0
15
0
1
0
0
3
0
0
0
0
14
0
0
151
0
0
0
0
2
0
2
7
0
3
5
1
2120
0
97
612
0
53
46
16
2
0
2
9
0
2
2
1
133
0
13
657
0
66
15
16
1
0
1
2
0
0
0
0
99
0
10
110
0
0
0
0
2
0
1
2
0
1
2
0
40
0
5
91
0
26
6
0
1
0
1
2
0
1
1
0
44
0
12
150
0
21
7
0
2
0
2
6
0
0
1
0
92
0
17
341
0
0
6
0
1
0
1
3
0
0
0
0
34
0
4
161
0
0
0
0
7
0
4
30
6
21
32
0
1914
0
150
2955
242
203
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
251
26
0
18
0
1
0
1
5
0
1
0
0
35
0
6
256
0
10
0
0
1
0
1
5
0
2
1
0
49
0
10
373
0
36
6
0
1
0
1
3
0
0
1
0
28
0
5
186
0
0
6
0
1
0
1
3
0
0
0
0
25
0
7
149
0
0
0
0
0
1
0
0
0
0
0
0
0
0
7
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
Hosp. Psych.
No. No.
Beds Beds
Bass.
No.
Beds
N.H.
No.
Beds
X
Page
TABLE 11: Number of Licensed Facilities and Beds by County, March 14, 2014
B.C.H S.L.F-A S.L.F-B
No.
No.
No.
Beds
Beds
Beds
Other Outpat.
No.
Surg.
Beds
Fac.
8
0
7
17
1
6
9
0
1125
0
95
1316
54
74
95
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
1
0
0
3
0
1
0
0
20
0
0
120
0
13
0
0
5
0
5
7
0
1
2
0
592
0
62
447
0
18
43
0
1
0
1
3
0
2
2
0
43
0
16
191
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
93
19
0
0
0
2
0
2
2
0
0
0
0
71
0
18
130
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
145
0
0
0
0
2
0
2
6
0
5
2
0
183
0
35
631
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
80
0
0
0
0
1
0
1
4
0
1
0
0
99
0
14
369
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.
Beds
N.H.
No.
Beds
XI
Page
TABLE 11: Number of Licensed Facilities and Beds by County, March 14, 2014
B.C.H S.L.F-A S.L.F-B
No.
No.
No.
Beds
Beds
Beds
Other Outpat.
No.
Surg.
Beds
Fac.
2
0
2
7
0
1
2
1
104
0
30
480
0
40
18
16
2
0
2
3
0
2
2
0
55
0
7
173
0
66
15
0
136
1
117
374
26
127
183
10
16458
20
1849
29672
1617
1757
3275
303
0
0
63
TABLE 12: Number of Facilities and Beds by County, March 14, 2014
County
AITKIN
ANOKA
BECKER
BELTRAMI
BENTON
BIG STONE
BLUE EARTH
BROWN
CARLTON
CARVER
CASS
CHIPPEWA
CHISAGO
CLAY
CLEARWATER
COOK
COTTONWOOD
CROW WING
DAKOTA
Hosp.
No.
Beds
CAH
No.
Beds
Psych.
No.
Beds
SNF
No.
Beds
0
1
0
0
25
0
Page XII
SNF/NF
No.
Beds
NF 1
No.
Beds
NF 2 ICF/IID
No.
No.
Beds
Beds
0
2
0
0
0
0
119
0
0
0
2
0
1
0
6
0
0
5
531
0
175
0
531
0
0
65
1
0
0
0
4
0
0
1
87
0
0
0
324
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
109
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
65
0
0
312
0
0
8
0
3
0
0
3
0
0
1
0
50
0
0
212
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
96
0
0
0
0
1
0
0
2
0
0
1
0
25
0
0
156
0
0
6
1
0
0
0
3
0
0
2
61
0
0
0
217
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
282
0
0
0
3
0
0
2
9
0
0
10
230
0
0
37
931
0
0
90
TABLE 12: Number of Facilities and Beds by County, March 14, 2014
County
DODGE
DOUGLAS
FARIBAULT
FILLMORE
FREEBORN
GOODHUE
Hosp.
No.
Beds
CAH
No.
Beds
Psych.
No.
Beds
SNF
No.
Beds
0
0
0
0
0
0
HENNEPIN
HOUSTON
HUBBARD
ISANTI
ITASCA
JACKSON
KANABEC
KANDIYOHI
KITTSON
KOOCHICHING
LAC QUI PARLE
LAKE
SNF/NF
No.
Beds
NF 1
No.
Beds
NF 2 ICF/IID
No.
No.
Beds
Beds
0
2
0
0
1
0
100
0
0
6
2
0
0
0
4
0
0
3
143
0
0
0
281
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
61
0
0
0
336
0
0
32
1
1
0
0
7
0
0
2
21
0
0
529
0
0
24
0
1
0
0
1
0
0
0
0
20
0
0
45
0
0
0
50
GRANT
Page XIII
10
0
1
3
46
2
10
51
4987
0
20
189
5574
22
737
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
50
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
65
0
0
0
1
0
1
0
4
0
0
2
128
0
16
0
388
0
0
12
0
1
0
0
2
0
0
0
0
15
0
0
116
0
0
0
0
1
0
0
2
0
0
0
0
25
0
0
104
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
TABLE 12: Number of Facilities and Beds by County, March 14, 2014
County
LAKE OF THE WOODS
LESUEUR
LINCOLN
LYON
MAHNOMEN
MARSHALL
MARTIN
MCLEOD
MEEKER
MILLE LACS
MORRISON
MOWER
MURRAY
NICOLLET
NOBLES
NORMAN
OLMSTED
OTTER TAIL
PENNINGTON
Hosp.
No.
Beds
CAH
No.
Beds
Psych.
No.
Beds
SNF
No.
Beds
0
1
0
0
15
0
0
1
0
0
24
0
0
2
0
Page XIV
SNF/NF
No.
Beds
NF 1
No.
Beds
NF 2 ICF/IID
No.
No.
Beds
Beds
0
1
0
0
0
0
36
0
0
0
0
3
0
0
0
0
142
0
0
0
0
0
3
0
0
1
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
52
0
0
0
1
0
0
0
4
0
0
3
57
0
0
0
211
0
0
32
1
1
0
0
3
0
0
1
54
25
0
0
295
0
0
6
0
1
0
0
3
0
0
0
0
25
0
0
194
0
0
0
1
1
0
0
3
0
0
0
54
18
0
0
262
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
66
0
0
0
262
0
0
34
0
1
0
0
2
0
0
1
0
25
0
0
117
0
0
18
1
1
0
0
2
0
0
1
16
17
0
0
112
0
0
8
1
0
0
0
4
0
0
1
48
0
0
0
181
0
0
15
0
1
0
0
3
0
0
0
0
14
0
0
151
0
0
0
2
0
1
2
6
0
0
5
1954
0
16
34
578
0
0
41
2
1
0
0
8
0
0
2
96
25
0
0
551
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 14, 2014
County
PINE
PIPESTONE
POLK
POPE
RAMSEY
RED LAKE
Hosp.
No.
Beds
CAH
No.
Beds
Psych.
No.
Beds
SNF
No.
Beds
1
1
0
10
25
0
0
1
0
0
25
0
0
2
0
SNF/NF
No.
Beds
NF 1
No.
Beds
0
2
0
0
1
0
91
0
0
6
0
2
0
0
0
0
150
0
0
0
0
0
6
0
0
1
50
0
0
341
0
0
6
0
1
0
0
3
0
0
0
0
25
0
0
161
0
0
0
7
0
0
3
25
0
3
41
1867
0
0
181
2728
0
123
281
0
0
0
0
1
0
0
1
0
0
0
30
0
0
6
0
1
0
0
6
0
0
3
0
25
0
0
251
0
0
18
0
1
0
0
5
0
0
1
0
25
0
0
256
0
0
10
1
0
0
0
5
0
0
2
49
0
0
0
373
0
0
36
0
1
0
0
2
0
0
1
0
25
0
0
101
0
0
6
0
1
0
0
3
1
0
0
0
25
0
0
129
20
0
0
5
3
0
0
17
0
1
8
991
55
0
0
1316
0
54
47
0
REDWOOD
RENVILLE
RICE
ROCK
ROSEAU
SAINT LOUIS
SCOTT
SHERBURNE
SIBLEY
STEARNS
STEELE
STEVENS
SWIFT
Page XV
NF 2 ICF/IID
No.
No.
Beds
Beds
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
120
0
0
13
1
4
0
0
7
0
0
1
469
92
0
0
447
0
0
24
1
0
0
0
3
1
0
3
33
0
0
0
179
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
93
0
19
0
TABLE 12: Number of Facilities and Beds by County, March 14, 2014
County
TODD
TRAVERSE
WABASHA
WADENA
WASECA
WASHINGTON
Hosp.
No.
Beds
CAH
No.
Beds
Psych.
No.
Beds
SNF
No.
Beds
0
2
0
0
50
0
0
1
0
0
25
0
0
2
0
SNF/NF
No.
Beds
NF 1
No.
Beds
0
2
0
0
0
0
130
0
0
0
0
2
0
0
0
0
90
0
0
0
0
0
3
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
145
0
0
0
2
0
0
0
6
0
0
3
0
0
0
631
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
80
0
0
0
1
0
0
0
4
0
0
0
88
0
0
0
369
0
0
0
2
1
0
0
7
0
0
2
81
25
0
0
480
0
0
18
0
2
0
0
3
0
0
2
0
50
0
0
173
0
0
12
183
WATONWAN
WILKIN
WINONA
WRIGHT
YELLOW MEDICINE
Minnesota
Page XVI
NF 2 ICF/IID
No.
No.
Beds
Beds
61
80
5
11
360
4
15
205
13223
1760
243
443
28534
54
933
1761
TABLE 13: Number of Certified Services by County, March 14, 2014
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
ANOKA
5
3
0
0
5
0
4
1
0
ARIZONA
0
0
0
0
0
0
0
0
0
BECKER
2
0
0
0
2
0
1
0
0
BELTRAMI
2
0
0
0
2
0
0
1
0
BENTON
0
1
0
0
3
0
0
1
0
BIG STONE
1
0
0
0
2
0
0
0
1
BLUE EARTH
2
3
0
0
2
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
1
0
0
0
1
0
0
1
0
CLAY
1
0
0
0
0
0
0
0
2
CLEARWATER
0
0
0
0
1
0
0
1
3
COLORADO
0
0
0
0
0
0
0
0
0
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
2
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
14
0
4
34
1
21
8
0
HENNEPIN
TABLE 13: Number of Certified Services by County, March 14, 2014
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
1
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
1
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
2
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
0
0
0
0
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
2
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
0
0
1
0
0
MEEKER
1
0
0
0
1
0
0
1
1
MILLE LACS
1
0
0
0
1
0
0
1
2
MORRISON
1
0
1
0
2
0
0
2
4
MOWER
0
0
0
0
1
0
0
1
0
MURRAY
0
0
0
0
0
0
0
1
2
NEBRASKA
0
0
0
0
0
0
0
0
0
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
2
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
TABLE 13: Number of Certified Services by County, March 14, 2014
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.
OHIO
0
0
0
0
0
0
0
0
0
OLMSTED
2
1
0
1
7
0
0
3
0
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
1
0
1
0
2
0
0
1
2
POPE
0
0
0
0
2
0
0
1
1
13
3
1
0
28
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
2
0
0
0
3
0
1
2
0
ROCK
0
0
1
0
0
0
0
1
0
ROSEAU
1
0
0
0
1
0
0
1
0
SAINT LOUIS
4
2
2
0
12
0
2
3
0
SCOTT
2
0
0
0
1
0
0
0
0
SHERBURNE
2
0
0
0
2
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
8
0
5
2
5
STEELE
1
0
1
0
1
0
0
0
0
STEVENS
1
0
0
0
0
0
0
0
1
SWIFT
0
0
0
0
2
0
0
0
1
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
2
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
3
2
0
0
1
0
4
2
0
RAMSEY
TABLE 13: Number of Certified Services by County, March 14, 2014
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.
WATONWAN
0
0
0
0
1
0
0
0
0
WILKIN
0
0
0
0
1
0
0
1
0
WINONA
1
0
1
0
1
0
0
1
0
WISCONSIN
0
0
0
0
0
0
0
0
0
WRIGHT
1
1
0
0
2
0
0
0
0
YELLOW MEDICINE
1
0
0
0
3
0
0
0
1
105
39
14
6
200
1
58
67
87
Minnesota
Page XXI
TABLE 14: Number of Licensed Home Care Providers (HCP) by Classification and County, March 14, 2014
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
1
1
0
3
0
31
1
2
21
5
BECKER
5
0
0
4
1
BELTRAMI
4
0
0
12
1
BENTON
7
0
0
7
0
BIG STONE
2
0
0
2
0
BLUE EARTH
7
0
0
15
1
BROWN
8
2
0
8
0
CARLTON
6
1
1
12
1
CARVER
5
0
1
11
0
CASS
1
0
0
7
1
CHIPPEWA
1
0
0
3
1
CHISAGO
5
0
0
7
0
CLAY
2
0
0
9
1
CLEARWATER
2
0
0
2
1
COOK
1
0
0
0
0
COTTONWOOD
1
0
0
3
0
CROW WING
9
1
1
7
2
37
3
5
46
10
DODGE
0
0
0
3
0
DOUGLAS
3
0
0
15
0
FARIBAULT
1
0
0
4
0
FILLMORE
3
0
0
6
0
FREEBORN
2
0
0
8
1
GOODHUE
7
0
0
8
1
GRANT
1
0
0
1
0
237
25
12
139
34
1
0
0
2
0
ANOKA
DAKOTA
HENNEPIN
HOUSTON
Home Mgmt
Page XXII
TABLE 14: Number of Licensed Home Care Providers (HCP) by Classification and County, March 14, 2014
County
Class A
Class B
Class C
Class F
Home Mgmt
HUBBARD
0
1
1
3
0
IOWA
2
0
0
0
0
ISANTI
4
1
0
5
1
ITASCA
7
0
0
16
0
JACKSON
1
0
0
4
0
KANABEC
1
0
0
3
0
KANDIYOHI
5
2
0
9
6
KITTSON
1
0
0
2
0
KOOCHICHING
2
0
0
4
0
LAC QUI PARLE
3
0
0
2
0
LAKE
0
0
0
3
0
LAKE OF THE WOODS
1
0
0
0
0
LESUEUR
1
0
0
5
1
LINCOLN
2
0
0
0
0
LYON
4
0
0
5
1
MARSHALL
0
0
0
2
0
MARTIN
1
0
0
5
0
MCLEOD
2
0
0
7
0
MEEKER
3
0
0
3
0
MILLE LACS
3
0
0
5
0
MORRISON
5
0
0
6
0
MOWER
3
0
0
11
0
MURRAY
0
0
0
2
0
NICOLLET
2
0
0
7
1
NOBLES
2
0
0
3
1
NORMAN
0
0
0
3
0
NORTH DAKOTA
6
1
0
0
2
OLMSTED
24
1
0
15
5
OTTER TAIL
11
2
0
19
1
PENNINGTON
1
0
0
3
0
PINE
1
1
0
6
0
PIPESTONE
1
0
0
3
0
Page XXIII
TABLE 14: Number of Licensed Home Care Providers (HCP) by Classification and County, March 14, 2014
County
Class A
Class B
Class C
Class F
POLK
2
0
0
8
1
POPE
2
0
0
3
0
100
8
3
49
13
RED LAKE
0
0
0
1
0
REDWOOD
1
0
0
5
0
RENVILLE
4
0
0
5
0
RICE
5
1
1
18
0
ROCK
0
1
0
2
0
ROSEAU
3
0
0
3
0
18
0
0
38
6
SCOTT
9
2
1
14
3
SHERBURNE
4
0
0
4
1
SIBLEY
3
0
0
5
0
SOUTH DAKOTA
3
1
0
0
0
17
1
1
12
3
STEELE
3
0
1
11
1
STEVENS
0
0
0
1
0
SWIFT
2
0
0
1
0
TODD
2
1
0
2
1
WABASHA
2
0
0
2
0
WADENA
4
0
0
4
0
WASECA
0
0
0
4
1
19
3
1
30
3
WATONWAN
1
0
0
1
0
WILKIN
2
0
0
1
1
WINONA
5
0
0
6
0
WISCONSIN
3
0
0
0
1
WRIGHT
8
1
4
9
0
YELLOW MEDICINE
3
0
0
4
0
714
62
35
769
RAMSEY
SAINT LOUIS
STEARNS
WASHINGTON
Minnesota
Home Mgmt
115
TABLE 15: Number of HWS by County, March 14, 2014
County
HWS
No.
AITKIN
5
Page XXIV
County
HWS
No.
LINCOLN
4
ANOKA
41
LYON
8
BECKER
12
MARSHALL
3
BELTRAMI
17
MARTIN
6
BENTON
13
MCLEOD
15
4
MEEKER
12
BIG STONE
BLUE EARTH
19
MILLE LACS
8
BROWN
13
MORRISON
13
CARLTON
30
MOWER
14
CARVER
15
MURRAY
CASS
10
NICOLLET
CHIPPEWA
13
NOBLES
3
CHISAGO
11
NORMAN
6
CLAY
19
OLMSTED
36
4
11
CLEARWATER
3
OTTER TAIL
36
COTTONWOOD
6
PENNINGTON
3
PINE
6
PIPESTONE
5
CROW WING
DAKOTA
DODGE
DOUGLAS
FARIBAULT
26
122
5
POLK
12
27
POPE
7
5
RAMSEY
197
FILLMORE
10
RED LAKE
2
FREEBORN
10
REDWOOD
6
GOODHUE
15
RENVILLE
8
GRANT
HENNEPIN
2
RICE
31
713
ROCK
3
5
HOUSTON
5
ROSEAU
HUBBARD
8
SAINT LOUIS
89
ISANTI
6
SCOTT
18
ITASCA
27
SHERBURNE
13
JACKSON
5
SIBLEY
KANABEC
4
STEARNS
29
25
STEELE
11
KITTSON
2
STEVENS
4
KOOCHICHING
6
SWIFT
7
LAC QUI PARLE
3
TODD
6
LAKE
6
TRAVERSE
1
LAKE OF THE WOODS
1
WABASHA
6
LESUEUR
5
WADENA
6
KANDIYOHI
6
TABLE 15: Number of HWS by County, March 14, 2014
County
WASECA
WASHINGTON
HWS
No.
4
40
WATONWAN
2
WILKIN
3
WINONA
7
WRIGHT
17
YELLOW MEDICINE
Minnesota
6
2008
Page XXV
County
HWS
No.
Page XXVI
TABLE 16: Number of Licensed Facilities and Beds by County, March 14, 2014
Residential
Hospices
No.
Hospice
Beds
No.
County
===============================================
ANOKA
1
0
Residential
Hospices
No.
Hospice
Beds
No.
County
===============================================
KITTSON
1
0
BELTRAMI
1
0
0
LINCOLN
2
0
BENTON
1
0
1
0
LYON
1
1
1
MEEKER
2
1
0
MILLE LACS
1
1
0
MORRISON
2
2
0
MOWER
1
1
0
MURRAY
1
2
0
NOBLES
2
1
0
OLMSTED
3
1
0
OTTER TAIL
1
1
0
PIPESTONE
1
11
4
POLK
1
1
0
POPE
1
1
0
RAMSEY
7
2
0
0
0
0
REDWOOD
1
0
KANDIYOHI
0
0
0
KANABEC
0
0
28
HUBBARD
1
4
0
HENNEPIN
0
0
0
GOODHUE
1
8
0
FREEBORN
1
4
0
FARIBAULT
1
4
0
DOUGLAS
0
0
0
DAKOTA
0
0
0
CROW WING
0
0
0
CLEARWATER
0
0
5
CHISAGO
1
5
0
CARVER
0
0
0
BLUE EARTH
0
0
0
RENVILLE
1
0
0
TABLE 16: Number of Licensed Facilities and Beds by County, March 14, 2014
Residential
Hospices
No.
Hospice
Beds
No.
County
===============================================
RICE
2
0
0
ROCK
1
1
4
ROSEAU
1
0
0
SAINT LOUIS
3
2
12
SHERBURNE
1
0
0
STEARNS
4
1
8
STEELE
0
2
8
WADENA
2
0
0
WASHINGTON
2
2
8
WILKIN
1
0
0
WINONA
1
0
0
Minnesota
77
18
98
Page XXVII
Residential
Hospices
No.
Hospice
Beds
No.
County
===============================================
Page XXVIII
FEDERAL HOSPITALS *
County - Institution
City
Ownership
BELTRAMI - Red Lake Indian Hospital
Red Lake
Federal
CASS - Cass Lake Indian Hospital
Cass Lake
Federal
HENNEPIN - Veterans Administration Hospital
Minneapolis
Federal
PINE - Federal Correctional Institution
Sandstone
Federal
STEARNS - Veterans Administration Hospital
St. Cloud
Federal
OLMSTED – Federal Medical Center
Rochester
Federal
* Not covered by state licensing law.
ABBREVIATIONS
Amb. Surg. – Ambulatory Surgical Center
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-I – Temporary Comprehensive Home Care
HCP-J – Temporary Basic Home Care
HCP-FI – Comprehensive Home Care
HCP-FJ – Basic Home Care
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/IID – Intermediate Care Facility for Individuals with Intellectual Disabilities
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
Page XXIX
Page XXX
RESHPC – Residential Hospice
Rural Hlth. – Rural Health Clinic
SLF – Supervised Living Facility
SNF – Medicare Skilled Nursing Facility
SNF/NF – Medicare/Medicaid Facility
Minnesota Department of Health
Division of Compliance Monitoring
Page 1
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
AICOTA HEALTH CARE CENTER
Corp
Certification
AITKIN
Registration
******** -------------------------­
NH-75
SNF-NF-75
850 SECOND STREET NORTHWEST
AITKIN, MN 56431
PHONE: 218/927-2164
AICOTA HEALTH CARE CENTER INC
(00848)
FAX: 218/927-6436
Corp
MS. ALISON MATALAMAKI
HCP-F
HWSAL
850 2ND STREET NORTHWEST
AITKIN, MN 56431
PHONE: 218/927-2164
AITKIN COUNTY CARE
(24776)
FAX: 218/927-6436
NProf
MR. BARRY FOSS
HCP-B
503 NORTH MINNESOTA AVENUE
AITKIN, MN 56431
PHONE: 218/927-1383
AITKIN HEALTH SERVICES
(28463)
FAX: 218/927-1382
NProf
MS. BETH LEAF
NH-44
SNF-NF-44
301 MINNESOTA AVENUE SOUTH
AITKIN, MN 56431
PHONE: 218/927-5526
GOLDEN HORIZONS
(00002)
MR. SCOT ALLEN
FAX: 218/927-8210
Corp
HWSAL
HCP-F
518 SEVENTH AVE NE
AITKIN, MN 56431
PHONE: 218/927-9996
MARYHILL MANOR
(23660)
MR. CHUCK LANE
FAX: 218/927-7005
HWS
HRA
215 3RD ST SE
AITKIN, MN 56431
PHONE: 218/927-2151
RIVERWOOD CLINIC AITKIN
(23662)
FAX: 218/927-4159
MS. NANCY JOHNSON HOUG
RHC
Corp
200 BUNKER HILL DRIVE
AITKIN, MN 56431
PHONE: 218/927-2157
RIVERWOOD HEALTHCARE CENTER
(03734)
FAX: 218/927-4130
NProf
MR. MICHAEL HAGEN
BASS-6 HOSP-25
200 BUNKER HILL DRIVE
AITKIN, MN 56431
PHONE: 218/927-5501
AUSTINS 24 HOUR HOME CARE
(21927)
FAX: 218/927-5575
Part
MR. CHAD COOPER
HCP-A
250 HENRIETTA AVENUE SW
HILL CITY, MN 55748
PHONE: 218/403-0844
CHAPPYS GOLDEN SHORES
(29474)
FAX: 218/697-2573
Ind
MS. MICHELLE PAGAN
HCP-F
530 PARK AVENUE
HILL CITY, MN 55748
PHONE: 218/697-2705
(21006)
FAX: 218/697-2573
MS. THERESA OLSON
CAH-25
Minnesota Department of Health
Division of Compliance Monitoring
Page 2
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
AITKIN
(Cont.)* -------------------------­
HWSAL
Ind
CHAPPYS GOLDEN SHORES
Registration
530 PARK AVENUE
(21823)
HILL CITY, MN 55748
PHONE: 218/697-2705
FAX: 218/697-8145
MR. KEITH OLSON
HWSAL
Lim-Liab
NORTHLAND VILLAGE
22027 420TH STREET
(27287)
MCGREGOR, MN 55760
PHONE: 218/768-3356
FAX: 218/768-3379
MR. THOMAS RENIER
RHC
Corp
RIVERWOOD MCGREGOR CLINIC
2 EAST CENTER AVE PO BOX 340
(03736)
MCGREGOR, MN 55760
PHONE: 218/768-4011
FAX: 218/768-4818
MR. MICHAEL HAGEN
---------------------------**********
Lim-Liab
ARBOR OAKS SENIOR LIVING
ANOKA
******** -------------------------­
HCP-F
1640 155TH LANE NW
(29442)
ANDOVER, MN 55304
PHONE: 763/205-2348
MS. KELSEY CALLAHAN
FAX: /­
HWS
Lim-Liab
ARBOR OAKS SENIOR LIVING LLC
1640 155TH LANE NW
(29443)
ANDOVER, MN 55304
PHONE: 763/205-2248
MS. HOWIE GROFF
FAX: /­
HWSAL
Lim-Liab
CHERRYWOOD OF ANDOVER 1889
1889 139TH AVE NW
(29743)
ANDOVER, MN 55304
PHONE: 320/257-7445
FAX: 320/257-7447
MS. WENDY HULSEBUS
HWSAL
Lim-Liab
CHERRYWOOD OF ANDOVER 1899
1899 139TH AVE NW
(29744)
ANDOVER, MN 55304
PHONE: 320/257-7445
FAX: 320/257-7447
MS. WENDY HULSEBUS
HWSAL
Corp
CYPRESS MANOR
16770 WREN STREET NW
(25460)
ANDOVER, MN 55304
PHONE: 763/712-8363
FAX: 763/323-4811
Corp
GRACE NURSING CARE SERVICES IN
MR. JACOB NELSON
HCP-A
3863 173RD LANE NORTHWEST
(29412)
ANDOVER, MN 55304
PHONE: 763/221-1556
FAX: /­
MS. BARBARA JOHANEK
Minnesota Department of Health
Division of Compliance Monitoring
Page 3
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Ind
JUST FOR RACHEL HOME CARE
Certification
ANOKA
Registration
(Cont.)* -------------------------­
HCP-A
4954 170TH LANE NORTHWEST
(25672)
ANDOVER, MN 55304
PHONE: 763/286-3862
FAX: 763/427-7099
test
SUSAN ALIENE PETERSON
MS. ANGELA ELLIOTT
HCP-C
15518 XEON STREET NW
(29749)
ANDOVER, MN 55304
PHONE: 763/434-4252
THE FARMSTEAD
FAX: /-
MS. SUSAN PETERSON
NProf
HCP-F
13733 QUAY STREET
ANDOVER, MN 55304
PHONE: 763/172-7000
THE FARMSTEAD
(27961)
FAX: 763/712-7001
MS. NATALIE MORLAND
HWSAL
NProf
13733 QUAY STREET
ANDOVER, MN 55304
PHONE: 763/712-7000
ANOKA METRO REG TREATMENT CTR
(20547)
MS. SUSAN MINAR
FAX: 763/712-7001
State
OTHER-175 SLFB-29
PSY-175
3301 7TH AVE N
ANOKA, MN 55303
PHONE: 651/431-5252
ANOKA REHAB & LIVING CENTER
(00004)
MR. BRIAN TEUBER
FAX: 651/431-7701
NProf
NH-120
SNF-NF-120
3000 4TH AVENUE
ANOKA, MN 55303
PHONE: 763/528-6400
GOLDEN LIVINGCENTER TWIN RIVER
(00893)
FAX: 763/528-6402
Lim-Liab
MR. DENNIS DECOSTA
NH-56
SNF-NF-56
305 FREMONT ST
ANOKA, MN 55303
PHONE: 763/421-5660
RIVER OAKS OF ANOKA
(00866)
FAX: 763/421-6581
MR. ERNEST GERSHONE
HWSAL
Lim-Liab
910 WESTERN STREET
ANOKA, MN 55303
PHONE: 763/421-4011
THE CEDARS
(24353)
FAX: 763/422-8946
MR. FRANCIS LANG
HWSAL-O
Corp
701 POLK STREET
ANOKA, MN 55303
PHONE: 763/712-8363
THE ELMS
(24253)
FAX: 763/323-4811
MR. JACOB NELSON
HWSAL-O
Corp
2171 7TH AVENUE NORTH
ANOKA, MN 55303
PHONE: 763/712-8363
(20535)
FAX: 763/323-4811
MR. JACOB NELSON
Minnesota Department of Health
Division of Compliance Monitoring
Page 4
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
THE HOMSTEAD AT ANOKA
Certification
ANOKA
Registration
(Cont.)* -------------------------­
HWS-O
NProf
3002 4TH AVENUE NORTH
ANOKA, MN 55303
PHONE: 763/404-7378
THE MAPLES
(29856)
FAX: 763/404-7379
MR. DEAN MCDEVITT
HWSAL-O
Corp
2823 7TH AVE NORTH
ANOKA, MN 55303
PHONE: 763/712-8363
THE OAKS
(23690)
FAX: 763/323-4811
MR. JACOB NELSON
HWSAL
Corp
2201 7TH AVENUE NORTH
ANOKA, MN 55303
PHONE: 763/712-8363
THE PINES
(20534)
FAX: 763/323-4811
MR. JACOB NELSON
HWSAL-O
Corp
2153 7TH AVENUE NORTH
ANOKA, MN 55303
PHONE: 763/712-8363
THE WILLOWS
(20536)
MR. JACOB NELSON
FAX: 763/323-4811
HWSAL
Corp
2918 7TH AVENUE NORTH
ANOKA, MN 55303
PHONE: 763/712-8363
VOA HOME HEALTH AT ANOKA
(24668)
MR. JACOB NELSON
FAX: 763/323-4811
NProf
HCP-F
3002 4TH AVENUE NORTH
ANOKA, MN 55303
PHONE: 763/528-6590
WALKER METHODIST PLAZA
(29031)
FAX: 763/528-6501
NProf
MS. ANGIE ZIMMERMAN
HWSAL
HCP-F
131 MONROE STREET
ANOKA, MN 55303
PHONE: 763/422-4037
WHISPERING PINES ASSTD LIVING
(20443)
FAX: 763/422-8115
Corp
MR. LEE ENGLER
HCP-F
707 POLK STREET
ANOKA, MN 55303
PHONE: 763/712-8363
ANTHONY LOUIS CENTER
(20533)
FAX: 763/323-4811
Corp
MR. JACOB NELSON
SLFA-22
1000 PAUL PARKWAY
BLAINE, MN 55434
PHONE: 763/757-2906
BLAINE ASSISTED LIVING AND MEM
(01400)
FAX: 763/757-2059
Lim-Liab
MS. MELISSA BROGGER
HWSAL
HCP-F
10669 ULYSSES ST NE
BLAINE, MN 55449
PHONE: 763/754-7300
(23914)
FAX: 763/754-2561
MR. JASON GESCHWIND
Minnesota Department of Health
Division of Compliance Monitoring
Page
5
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
BLAINE WHITE PINE
Certification
ANOKA
Registration
(Cont.)* -------------------------­
HWSAL
HCP-F
12446 JAMESTOWN STREET NE
(26857)
BLAINE, MN 55449
PHONE: 763/754-1930
FAX: 763/754-1933
Lim-Liab
BRAINZ LLC
MS. RHONDA SCHILLINGER
HCP-A
10299 UNIVERSITY AVE NE STE102
(29603)
BLAINE, MN 55434
PHONE: 763/670-5000
FAX: /-
MR. PAULINUS FULTANG
Home Mgmt
Lim-Liab
COMFORT KEEPERS
9298 CENTRAL AVE NE STE 404
(28074)
BLAINE, MN 55434
PHONE: 763/786-1000
FAX: 763/786-9440
MS. BEV BERARD
Home Mgmt
Lim-Liab
COMFORT KEEPERS
9298 CENTRAL AVENUE NE STE 401
(29393)
BLAINE, MN 55434
PHONE: 763/786-1000
MR. TOM BERARD
FAX: /-
Lim-Liab
COMFORT KEEPERS
HCP-A
9298 CENTRAL AVE NE SUITE 401
(26035)
BLAINE, MN 55434
PHONE: 763/786-1000
MR. TOM BERARD
FAX: 763/786-9440
Lim-Liab
COMFORT KEEPERS 283 668 772
HCP-A
9298 CENTRAL AVE NE SUITE 401
(29428)
BLAINE, MN 55434
PHONE: 763/786-1000
FAX: /-
MR. TOM BERARD
HWSAL
Lim-Liab
EDGEWOOD BLAINE SENIOR LVG LLC
12450 CLOUD DRIVE NE
(29791)
BLAINE, MN 55449
PHONE: 218/230-5019
FAX: /-
MS LORI HANSON
Lim-Liab
EDGEWOOD BLAINE SENIOR LVG LLC
HCP-F
12450 CLOUD DRIVE NE
(29941)
BLAINE, MN 55449
PHONE: 218/230-5019
FRESENIUS MEDICAL CARE BLAINE
FAX: /-
MS. LORI HANSON
ESRD
Corp
12555 CENTRAL AVENUE NE
BLAINE, MN 55434
PHONE: 763/754-6774
HIGH LAND CARE INC
(28635)
FAX: 763/754-6334
Corp
MR. JOHN MARIETTI
HCP-A
10307 UNIVERSITY AVE NE
BLAINE, MN 55434
PHONE: 763/786-3439
(03139)
FAX: 763/783-3528
MS. MARILYN LOM
Minnesota Department of Health
Division of Compliance Monitoring
Page 6
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
HOME INSTEAD SENIOR CARE
Certification
ANOKA
Registration
(Cont.)* -------------------------­
HCP-A
10155 UNIVERSITY AVE NW # 100
(23591)
BLAINE, MN 55343
PHONE: 763/792-0041
FAX: /­
MR. DANIEL ARNOLD
Ind
KARENS SENIOR KARE
HCP-C
13204 JOHNSON STREET NE
(29570)
BLAINE, MN 55434
PHONE: 763/226-4622
MINNESOTA EYE LASER AND SURGER
FAX: /­
MS. KAREN PULLEN
Lim-Liab
Outpt Surg
Amb Surg
11091 ULYSSES STREET
BLAINE, MN 55434
PHONE: 952/888-5800
MSOCS BLAINE HOME
(27713)
FAX: 763/576-8881
State
MS. MAGGIE LINDSTROM
ICFIID-6
SLFB-6
12949 KENYON STREET NORTHEAST
BLAINE, MN 55449
PHONE: 763/755-0233
NORTH METRO SURGERY CENTER
(01644)
MS. GEORGENE ANDRIST
FAX: 763/755-0281
Lim-Liab
Outpt Surg
Amb Surg
11855 ULYSSES STREET SUITE 270
BLAINE, MN 554344182
PHONE: 763/755-6540
STERLING HOUSE OF BLAINE
(26537)
MS. JEANNIE FERNSTROM
FAX: 763/755-6516
Corp
HWSAL
HCP-F
1005 PAUL PARKWAY
BLAINE, MN 55434
PHONE: 763/755-2800
TRANSAMERICA CARE INC
(20412)
FAX: 763/755-6400
Corp
MS. JOELLA ANGER
HCP-A
11536 YANCY COURT NE
BLAINE, MN 55449
PHONE: 763/742-2225
YAHWEH HOME CARE
(28519)
FAX: 763/245-7276
Lim-Liab
MR. GEBI TUFAA
HCP-A
11465 TYLER STREET NORTHEAST
BLAINE, MN 55434
PHONE: 763/205-5027
ANGELS OF MERCY
(29282)
FAX: 763/568-7231
Corp
MS. TONJIA REED
HWSAL
HCP-A
6018 HALIFAX PLACE
BROOKLYN CENTER, MN 55429
PHONE: 763/432-9706
HAM LAKE PHYSICAL THERAPY
(25116)
FAX: 763/432-9708
MR. FOLUSO ALLISON
Out Pt Out Ot
Corp
18415 NE HWY 65
CEDAR, MN 55011
PHONE: 763/413-0880
(03772)
FAX: 763/413-0850
MR. MARK NETZINGER
Minnesota Department of Health
Division of Compliance Monitoring
Page 7
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
LOG HOME SENIOR CARE LLC
Certification
ANOKA
Registration
(Cont.)* -------------------------­
HCP-F
20165 CEDAR DRIVE NW
(29817)
CEDAR, MN 55011
PHONE: 763/753-5044
FAX: /­
MS. SHARON TUOTT
HWS
Lim-Liab
LOG HOME SENIOR CARE LLC
20165 CEDAR DRIVE NW
(29818)
CEDAR, MN 55011
PHONE: 763/753-5044
ADVANZED HOME HEALTH CARE
FAX: /­
MS. SHARON TUOTT
Lim-Liab
HCP-A
3831 BAKKEN BOULEVARD
COLUMBIA HEIGHTS, MN 55421
PHONE: 612/323-0315
ANGELS OF MERCY ASSISTED LIVIN
(29776)
FAX: 612/460-6079
Corp
MR. LIBAN MOHAMED
HCP-F
4427 MONROE STREET NE
COLUMBIA HEIGHTS, MN 55421
PHONE: 763/432-9706
COLUMBIA VILLAGE
(28129)
MR. FOLUSO ALLISON
FAX: 763/432-9708
HWS
NProf
1675 44TH AVENUE NE
COLUMBIA HEIGHTS, MN 55421
PHONE: 763/782-1606
COMPASSIONATE HOME HEALTH INC
(20787)
MS. SHIRLEY BARNES
FAX: 763/782-0857
Corp
HCP-A
4148 5TH STREET NE
COLUMBIA HEIGHTS, MN 55421
PHONE: 763/291-5125
CREST VIEW HOME CARE
(26735)
FAX: 763/782-8740
NProf
MR. MARK ONYENEMEZU
HCP-F
1515 44TH AVENUE NORTHEAST
COLUMBIA HEIGHTS, MN 55421
PHONE: 763/782-1605
CREST VIEW HOME HEALTH CARE
(20750)
FAX: 763/788-0012
NProf
MS. TWYLA KEENEY
HCP-A
HHA
1515 44TH AVENUE NORTHEAST
COLUMBIA HEIGHTS, MN 55421
PHONE: 763/782-1611
CREST VIEW LUTHERAN HOME
(03080)
FAX: 763/788-0012
NProf
MS. TWYLA KEENEY
NH-122
SNF-NF-122
4444 RESERVOIR BLVD NE
COLUMBIA HEIGHTS, MN 55421
PHONE: 763/782-1620
CREST VIEW ON 42ND
(00005)
FAX: 763/782-0857
MR. MATTHEW TOBALSKY
HWSAL
NProf
900 42ND AVENUE NE
COLUMBIA HEIGHTS, MN 55421
PHONE: 763/781-5873
(21871)
FAX: 763/781-5874
MS. TALIA ARAMALAY
Minnesota Department of Health
Division of Compliance Monitoring
Page
8
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
LIGHTHOUSE OF COLUMBIA HEIGHTS
Certification
ANOKA
Registration
(Cont.)* -------------------------­
HWSAL
HCP-F
3801 HART BOULEVARD NORTHEAST
(26853)
COLUMBIA HEIGHTS, MN 55421
PHONE: 763/210-6600
FAX: 763/210-6695
Part
MIRACLES 1ST LLP
MS. TAMMY KUCERA
HCP-F
5128 4TH STREET NE
(29835)
COLUMBIA HEIGHTS, MN 55421
PHONE: 612/227-7065
FAX: /-
MS. TEMEKA THEDFORD
HWS-O
Part
MIRACLES 1ST LLP
5128 4TH STREET NE
(29836)
COLUMBIA HEIGHTS, MN 55421
PHONE: 612/227-7065
FAX: /-
MS. TEMEKA THEDFORD
Corp
NEIGHBORS CARE HEALTH SERVICES
HCP-A
4937 JACKSON STREET NE
(29488)
COLUMBIA HEIGHTS, MN 55421
PHONE: 612/532-6406
PRO-HEALTH HOME CARE AGENCY LL
MR. RASHID ISSACK
FAX: /-
Lim-Liab
HCP-A
3989 CENTRAL AVE NE SUITE 510
COLUMBIA HEIGHTS, MN 55421
PHONE: 763/746-8155
ROYCE PLACE
(25163)
DR. ABDULWAHAB ASAMARAI
FAX: 763/746-8154
HWSAL
NProf
1515 44TH AVENUE NE
COLUMBIA HEIGHTS, MN 55421
PHONE: 763/706-2563
THE BOULEVARD
(20079)
FAX: 763/788-0012
MS. TALIA ARAMALAY
HWS
NProf
4458 RESERVOIR BLVD NORTHEAST
COLUMBIA HEIGHTS, MN 55421
PHONE: 763/782-1606
BETHESDA LUTHERAN COMM COT 5
(20078)
FAX: 763/782-0857
NProf
MS. SHIRLEY BARNES
ICFIID-12
SLFA-12
2483 109TH AVENUE NORTHWEST
COON RAPIDS, MN 55433
PHONE: 763/757-1574
BETHESDA LUTHERAN COMM COT 6
(01538)
FAX: 763/757-3473
NProf
MS. MONICA SCHMIDT
ICFIID-12
SLFA-12
2493 109TH AVENUE NORTHWEST
COON RAPIDS, MN 55433
PHONE: 763/757-1574
CAMILIA ROSE CARE CENTER LLC
(01253)
FAX: 763/757-3473
Lim-Liab
MS. MONICA SCHMIDT
NH-80
SNF-NF-80
11800 XEON BOULEVARD
COON RAPIDS, MN 55448
PHONE: 763/755-8400
(00757)
FAX: 763/755-8578
MR. GRANT BRANDON
Minnesota Department of Health
Division of Compliance Monitoring
Page 9
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
CAMILIA ROSE GROUP HOME
Certification
ANOKA
Registration
(Cont.)* -------------------------­
ICFIID-29
SLFB-29
11820 XEON BOULEVARD
(01141)
COON RAPIDS, MN 55448
PHONE: 763/754-2505
FAX: 763/755-3130
MS. MARY TJOSVOLD
ESRD
Corp
COON RAPIDS DIALYSIS UNIT
3960 COON RAPIDS BLVD # 309
(02316)
COON RAPIDS, MN 55103
PHONE: 763/421-8717
FAX: /­
MS. JENNIFER ELLEFSON
HWSAL
Corp
CREEKSIDE COTTAGE CATERED LIVI
1190 117TH AVENUE NW
(24666)
COON RAPIDS, MN 55448
PHONE: 763/862-5428
FAX: 763/754-6903
MS. MARY TJOSVOLD
HWSAL
Corp
DEMAR ASSOCIATES INC
11777 XEON BOULEVARD
(20134)
COON RAPIDS, MN 55448
PHONE: 763/862-5438
MS. MARY TJOSVOLD
FAX: 763/862-3846
HWSAL
Corp
EAGLE STREET CATERED LIVING
12009 EAGLE STREET
(20835)
COON RAPIDS, MN 55448
PHONE: 763/862-5428
MS. MARY TJOSVOLD
FAX: 763/862-1900
NProf
ECUMEN AT HOME
HCP-A
199 COON RAPIDS BVLD STE 111
(26983)
COON RAPIDS, MN 55433
PHONE: 763/755-9009
FAX: 763/862-8030
NProf
ECUMEN AT HOME
MS. KARI EVERSON
HCP-A
HHA
199 COON RAPIDS BLVD STE 111
(02135)
COON RAPIDS, MN 55433
PHONE: 763/755-9009
FAX: 763/862-8030
Lim-Liab
EPIPHANY ASSISTED LIVING LLC
MS. KARI EVERSON
HWSAL
HCP-F
10955 HANSON BOULEVARD NW
(21113)
COON RAPIDS, MN 55433
PHONE: 763/755-0320
FAX: 763/772-1070
MS. MARY MCCARTY
HWS
NProf
EPIPHANY PINES SENIOR HOUSING
1800 111TH AVE NW
(23423)
COON RAPIDS, MN 55433
PHONE: 763/755-9299
FAX: 763/862-4641
Lim-Liab
ESSENTIAL INDEPENDENCE LLC
MS. MARY MCCARTY
HCP-A
12860 AVOCERT STREET
(29679)
COON RAPIDS, MN 55448
PHONE: 763/227-4898
FAX: /­
MS. JODY BERKNER
Minnesota Department of Health
Division of Compliance Monitoring
Page 10
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
ANOKA
(Cont.)* -------------------------­
ESRD
Corp
FMC DIALYSIS SERVCES NO SUBURB
Registration
9144 SPRINGBROOK DRIVE
(02816)
COON RAPIDS, MN 55355
PHONE: 763/783-0103
FRESENIUS MED CARE COON RAPIDS
FAX: /­
MR. RICHARD PHIDD
ESRD
Corp
3465 NORTHDALE BOULEVARD
COON RAPIDS, MN 55448
PHONE: 763/421-1032
GENTLE CARE HOME HLTH SERVICES
(25769)
FAX: 763/421-1054
Lim-Liab
MR. JOHN MARIETTI
HCP-A
11672 BUTTERNUT STREET NW
COON RAPIDS, MN 55448
PHONE: 651/494-7453
GRACIOUS COMPANIONS LLC
(29208)
FAX: 651/846-6722
MS. MILA NAZARENKO
Home Mgmt
Lim-Liab
12564 GROUSE STREET NORTHWEST
COON RAPIDS, MN 55448
PHONE: 763/233-1023
GRACIOUS COMPANIONS LLC
(27401)
MS. REGINA KENNEY
FAX: 763/862-8420
Lim-Liab
HCP-B
12564 GROUSE STREET NORTHWEST
COON RAPIDS, MN 55448
PHONE: 763/233-1023
HOMESTEAD COON RAPIDS MEMORY
(28834)
MS. REGINA KENNEY
FAX: 763/862-8420
HWSAL
NProf
1770 113TH LANE
COON RAPIDS, MN 55433
PHONE: 763/754-3500
MARGARET PLACE LTD PARTNERSHI
(20478)
FAX: 763/754-3700
Part
MS. JENNIFER FRAZER-JOHN
HWS
HCP-F
1555 118TH LANE NW
COON RAPIDS, MN 55448
PHONE: 763/754-2505
MARY T HOME HEALTH
(20886)
FAX: 763/754-0332
Corp
MR. RANDY LEJA
HCP-A
HHA
1555 118TH LANE NORTHWEST
COON RAPIDS, MN 55448
PHONE: 763/862-5479
MARY T HOSPICE
(03136)
FAX: 763/755-3631
Corp
MR. RANDY LEJA
Hospice
HSPICE
1555 118TH LANE NW
COON RAPIDS, MN 55448
PHONE: 763/772-9963
MERCY HOSPITAL
(26345)
FAX: 763/754-0332
NProf
MR. RANDALL LEJA
BASS-38 HOSP-271
4050 COON RAPIDS BLVD
COON RAPIDS, MN 55433
PHONE: 763/236-8205
(00009)
FAX: 763/236-8124
MS. SARA CRIGER
HOSP-271
Minnesota Department of Health
Division of Compliance Monitoring
Page
11
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
MNGI ENDOSCOPY COON RAPIDS
Certification
ANOKA
Registration
(Cont.)* -------------------------­
Outpt Surg
Amb Surg
9145 SPRING BROOK DRIVE
(21075)
COON RAPIDS, MN 55433
PHONE: 612/871-1145
PARK RIVER ESTATES CARE CENTER
FAX: /­
DR. SCOTT KETOVER
Corp
NH-99
SNF-NF-99
9899 AVOCET ST NW
COON RAPIDS, MN 55433
PHONE: 763/757-2320
REHABCARE
(00010)
FAX: 763/757-6946
Corp
MR. THOMAS POLLOCK
HCP-A
300 COON RAPIDS BLVD STE 200
COON RAPIDS, MN 55433
PHONE: 763/767-0854
REHABCARE AGENCY MN
(27066)
FAX: 763/862-6533
MS. DENISE JUAREZ
Out Pt Out St Out Ot
Corp
300 COON RAPIDS BLVD SUITE 200
COON RAPIDS, MN 55433
PHONE: 763/767-0854
REM MN COMM SRVS INC ANOKA
(02199)
MS. KELLY HUNGASKI
FAX: 763/862-6533
Corp
ICFIID-6
SLFB-6
12011 KUMQUAT STREET NORTHWEST
COON RAPIDS, MN 55448
PHONE: 651/644-7680
SELECT SENIOR LIV COON RAPIDS
(01591)
MS. CONNIE MENNE
FAX: 651/644-6777
Lim-Liab
HCP-F
11350 MARTIN STREET
COON RAPIDS, MN 55433
PHONE: 763/767-1127
SELECT SENIOR LIVING OF COON R
(25728)
FAX: 763/862-6852
MS KELLY MYERS
HWSAL
Lim-Liab
11350 MARTIN STREET NW
COON RAPIDS, MN 55433
PHONE: 651/439-2414
THE HOMESTEAD AT COON RAPIDS
(25729)
FAX: 651/439-3254
NProf
MR. LANCE LEMIEUX
HWSAL
HCP-F
11372 ROBINSON DRIVE NORTHWEST
COON RAPIDS, MN 55433
PHONE: 763/754-3500
ANOKA PROFESSIONAL HM CARE LLC
(20532)
FAX: 763/754-3700
Lim-Liab
MS. JENNIFER FRAZER-JOHN
HCP-A
7388 SYMPHONY ST NE
FRIDLEY, MN 55432
PHONE: 763/568-4611
COMMUNITY OPTIONS
(29329)
FAX: 877/816-2063
Lim-Liab
MS. GWENDOLINE WANKA
SLFA-12
5384 NORTHEAST FIFTH STREET
FRIDLEY, MN 55421
PHONE: 763/572-0009
(01533)
FAX: 763/572-1295
MR. THOMAS ALF
Minnesota Department of Health
Division of Compliance Monitoring
Page 12
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
ANOKA
(Cont.)* -------------------------­
ESRD
Corp
EAST RIVER ROAD DIALYSIS
Registration
5301 EAST RIVER RD NE STE 117
(25501)
FRIDLEY, MN 55421
PHONE: 763/571-5556
FAX: 763/571-7882
MR. LAWRENCE BLAIR
HWSAL
Lim-Liab
FRIDLEY ASSISTED LIVING LLC
6352 CENTRAL AVENUE
(27981)
FRIDLEY, MN 55432
PHONE: 763/574-7366
FAX: 763/574-7362
Lim-Liab
GOLDEN LIVINGCENTER LYNWOOD
MS. RHONDA SCHILLNGER
NH-54
SNF-NF-54
5700 EAST RIVER ROAD
(00935)
FRIDLEY, MN 55432
PHONE: 763/571-3150
FAX: 763/571-2805
MS. SHANNA SWANSON
Out St Out Ot
Corp
METRO THERAPY SPECIAL CHILDREN
5155 EAST RIVER ROAD STE 403
(02799)
FRIDLEY, MN 55421
PHONE: 763/572-2519
MS. AUDREY CHAPUT
FAX: 763/572-2616
Lim-Liab
MN ORTHOPAEDIC SURG CTR LLC
Outpt Surg
Amb Surg
8290 UNIVERSITY AVE NE STE 100
(04305)
FRIDLEY, MN 55432
PHONE: 763/786-0461
MS. REBECCA ANDERSON
FAX: 763/786-0471
Corp
PRIDE N' LIVING HOME CARE INC
HCP-A
7691 CENTRAL AVENUE STE 102
(23218)
FRIDLEY, MN 55432
PHONE: 763/572-2390
FAX: 763/574-2459
Corp
SENIOR HELPERS
MRS. DEBRA RIMPSON
HCP-A
7362 UNIVERSITY AVE NE STE 210
(26976)
FRIDLEY, MN 55432
PHONE: 763/432-7037
FAX: 763/432-7059
Lim-Liab
THE LANDMARK OF FRIDLEY
MS. TRINA OGDEN
HCP-F
6490 CENTRAL AVENUE NE
(28954)
FRIDLEY, MN 55432
PHONE: 763/571-7355
THE LANDMARK OF FRIDLEY LLC
FAX: /­
MS. JEANNE JAECKELS
HWSAL
Lim-Liab
6490 CENTRAL AVENUE NORTHEAST
FRIDLEY, MN 55432
PHONE: 763/571-7355
UNITY HOSPITAL
(28887)
FAX: 763/571-7299
NProf
MR. ERIC SCHROEDER
BASS-36 HOSP-275
550 OSBORNE RD
FRIDLEY, MN 55432
PHONE: 763/236-5000
(00011)
FAX: 763/236-3774
MS. HELEN STRIKE
HOSP-260 PPS-P-15
Minnesota Department of Health
Division of Compliance Monitoring
Page 13
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
VILLAGE IN PINE RETIRMNT HOUSE
Certification
ANOKA
Registration
(Cont.)* -------------------------­
HWSAL
HCP-F
824 142ND AVENUE NE
(28200)
HAM LAKE, MN 55304
PHONE: 763/862-4900
FAX: 763/792-3839
MR. AKWEN MORCHO
Home Mgmt
Corp
A TIME FOR HELP INC
481 LINDEN LANE
(29137)
LINO LAKES, MN 55014
PHONE: 651/481-1991
FAX: 651/482-9008
Lim-Liab
COMPASSIONATE LUCYS SENIOR HOM
MS. SHIRLYN NICKELSON
HCP-A
695 OAK LANE
(29183)
LINO LAKES, MN 55014
PHONE: 651/784-7512
FAX: /­
MS. ELIZABETH TAMFU
Lim-Liab
LINO LAKES ASSISTED LIVING LLC
HWSAL
HCP-F
725 TOWN CENTER PARKWAY
(27529)
LINO LAKES, MN 55014
PHONE: 763/267-6183
MS. AMY KOEHNEN
FAX: 763/398-2294
Corp
YELLOW ROSE HOME CARE INC
HCP-A
1316 126TH AVENUE NORTHWEST
(27686)
MINNEAPOLIS, MN 55448
PHONE: 763/432-9117
MS. KAREN SKOGMAN
FAX: 763/432-9117
Lim-Liab
FUNDAMENTAL KIDS THERAPY LLC
HCP-A
145 221ST AVENUE NORTHWEST
(29241)
OAK GROVE, MN 55011
PHONE: 952/297-2460
CAREFREE HOME SERVICES INC
FAX: /­
MS. JULIE JOHNSON
Home Mgmt
Corp
7830 149TH LANE NW
RAMSEY, MN 55303
PHONE: 763/422-9713
DIGNITY HEALTHCARE SERVICES
(27857)
FAX: 763/421-3098
Lim-Liab
MR. MICHAEL BEACH
HCP-A
5676 154TH AVENUE NW
RAMSEY, MN 55303
PHONE: 651/283-9043
NEW MILLENNIUM HEALTH CARE
(29956)
FAX: 763/400-3731
MS. FLORENCE BASSA
HWS-O
Corp
7931 6TH STREET NORTHEAST
SPRING LAKE PARK, MN 55432
PHONE: 763/780-9933
OAK CREST SENIOR LIVING
(26489)
FAX: 763/795-8878
MR. JOHN ARNDT
HWSAL
ONProf
1639 COUNTY HWY 10 NORTHEAST
SPRING LAKE PARK, MN 55432
PHONE: 763/783-0150
(27156)
FAX: 763/783-0154
MS. ELIZABETH MEYER
Minnesota Department of Health
Division of Compliance Monitoring
Page
14
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
RELIEVE CARE INC
Corp
Certification
ANOKA
Registration
(Cont.)* -------------------------­
HCP-A
1310 81ST AVENUE NE
SPRING LAKE PARK, MN 55432
PHONE: 763/757-3207
COMPLETE HOME HEALTH SERVICES
(21806)
FAX: 763/780-3008
Lim-Liab
MS. LARA FATUNBI
HCP-A
HHA
4001 STINSON BLVD NE LL32
ST ANTHONY, MN 55421
PHONE: 612/788-2273
SUNRISE HEALTH SERVICES INC
(24785)
FAX: 612/886-1939
Corp
DR. SIRRI NOMO-ONGOLO
HCP-A
HHA
22350 SUNRISE ROAD NE
STACY, MN 55079
PHONE: 651/462-9331
(03763)
FAX: 651/462-5761
MS. SUSAN ANDERSON
---------------------------**********
DIAMOND WILLOW ASSISTED LIVING
BECKER
******** -------------------------­
HWSAL
Lim-Liab
1558 RANDOLPH ROAD
DETROIT LAKES, MN 56502
PHONE: 218/846-0825
DIAMOND WILLOW ASSISTED LIVING
(25380)
MS. BRENDA MARSHALL
FAX: 218/846-0828
HWSAL
Lim-Liab
1564 RANDOLPH ROAD
DETROIT LAKES, MN 56502
PHONE: 218/846-0147
EMMANUEL COMMUNITY
(25400)
MS. BRENDA MARSHALL
FAX: 218/846-0149
NProf
HCP-A
1415 MADISON AVENUE
DETROIT LAKES, MN 56501
PHONE: 218/847-4486
EMMANUEL COMMUNITY
(21130)
FAX: 218/847-4488
NProf
MS. JANET GREEN
HCP-F
1415 MADISON AVENUE
DETROIT LAKES, MN 56501
PHONE: 218/847-4486
EMMANUEL NURSING HOME
(22058)
FAX: 218/847-4488
Church
MS. ASHLEY MCNALLY
NH-112
SNF-NF-112
1415 MADISON AVE
DETROIT LAKES, MN 56501
PHONE: 218/847-4486
ESSENTIA HEALTH OAK CROSSING
(00013)
FAX: 218/847-4488
NProf
MS. JANET GREEN
NH-96
SNF-NF-96
1040 LINCOLN AVENUE
DETROIT LAKES, MN 56501
PHONE: 218/844-0700
(00907)
FAX: 218/844-0780
MS. CHRISTY BRINKMAN
Minnesota Department of Health
Division of Compliance Monitoring
Page
15
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
ESSENTIA HEALTH ST MARYS
Certification
BECKER
Registration
(Cont.)* -------------------------­
BASS-16 HOSP-87
HOSP-87
1027 WASHINGTON AVENUE
(00888)
DETROIT LAKES, MN 56501
PHONE: 218/847-0852
FAX: 218/847-7674
Corp
GOLDEN MANOR CORPORATION
MR. PETER JACOBSON
HCP-F
1159 GARNET BOULEVARD
(21056)
DETROIT LAKES, MN 56501
PHONE: 218/844-3300
FAX: 218/844-6029
MS. HEATHER CAMPBELL
HWSAL
Corp
GOLDEN MANOR MEMORY CARE
1159 GARNET BOULEVARD
(24138)
DETROIT LAKES, MN 56501
PHONE: 218/844-6028
FAX: 218/844-6029
MS. CINDY CAILLIER
HWSAL
Corp
GOLDEN MANOR OF DETROIT LAKES
1165 GARNET BOULEVARD
(23040)
DETROIT LAKES, MN 56501
PHONE: 218/844-3300
FAX: 218/844-3301
MS. CINDY CAILLIER
HWSAL
NProf
LAMPLIGHTER MANOR
1425 MADISON AVENUE
(20313)
DETROIT LAKES, MN 56501
PHONE: 218/847-7768
FAX: 218/847-5384
MS. KYLIE JOHNSON
HWSAL
NProf
LINCOLN PARK ASSISTED LIVING
208 OAK STREET
(21201)
DETROIT LAKES, MN 56501
PHONE: 218/844-0701
FAX: 218/847-0895
MS. TONYA CLEM
HWS
NProf
LINCOLN PARK SENIOR APARTMENT
207 PARK STREET
(21248)
DETROIT LAKES, MN 56501
PHONE: 218/844-0701
FAX: 218/847-0895
MAHUBE OTWA COM ACTION PTNRSHP
MR. RYAN HILL
Home Mgmt
NProf
1125 WEST RIVER ROAD PO 747
DETROIT LAKES, MN 565020747
PHONE: 218/847-1385
PARK MANOR ESTATES
(29250)
FAX: 218/847-1388
MS. KAREN LENIUS
HWS
Part
1035 ROOSEVELT AVENUE
DETROIT LAKES, MN 56501
PHONE: 218/847-2636
SANFORD DETROIT LAKES HOME DIA
(24593)
FAX: 218/844-2637
MS. CHRISTY ALTHOFF
ESRD
NProf
1245 WASHINGTON AVENUE
DETROIT LAKES, MN 565013905
PHONE: 218/846-2000
(28638)
FAX: 218/846-2005
MS. MARIA REGNIER
Minnesota Department of Health
Division of Compliance Monitoring
Page 16
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
BECKER
(Cont.)* -------------------------­
ESRD
NProf
SANFORD DIALYSIS DETROIT LAKES
Registration
114 EAST FRAZEE STREET
(20925)
DETROIT LAKES, MN 56501
PHONE: 218/847-0825
FAX: /­
MR. ROGER GILBERTSON
Corp
SANFORD HTH DL CLNC SAME DAY
Outpt Surg
Amb Surg
1245 WASHINGTON AVENUE
(27351)
DETROIT LAKES, MN 56501
PHONE: 218/846-2269
FAX: 218/846-7001
Church
ST MARYS HOME HEALTH
MS. BREANNA ADAMS
HCP-A
HHA
114 FRAZEE STREET E
(03707)
DETROIT LAKES, MN 56501
PHONE: 218/847-0808
FAX: 218/847-0850
Church
ST MARYS SR LVG SUPPORTIVE SER
MS. LINDA HESPE
HCP-F
1027 WASHINGTON AVE
(23436)
DETROIT LAKES, MN 56501
PHONE: 218/844-0701
MS. CHRISTY BRINKMAN
FAX: 218/874-0895
HWSAL
NProf
THE COTTAGE AND DAY SPA
1435 MADISON AVENUE
(25997)
DETROIT LAKES, MN 56501
PHONE: 218/844-8354
MS. MELODIE OELFKE
FAX: 218/844-9446
THE MADISON AT EMMANUEL COMMUN
HWSAL
NProf
1405 MADISON AVENUE
DETROIT LAKES, MN 56501
PHONE: 218/844-9420
WEST HOME
(23721)
FAX: 218/847-4488
NProf
MS. ASHLEY MCNALLY
ICFIID-9
SLFB-9
1118 WEST AVENUE
DETROIT LAKES, MN 56502
PHONE: 218/847-5642
WINCHESTER ON WASHINGTON
(01311)
FAX: 218/847-7176
MR. THOMAS REIFFENBERGER
HWS
NProf
1051 WASHINGTON AVENUE
DETROIT LAKES, MN 56501
PHONE: 218/844-0701
FRAZEE ASSISTED LIVING H C
(20241)
FAX: 218/847-0895
Lim-Liab
MS. TONYA CLEM
HWSAL
HCP-F
311 WEST MAPLE AVENUE
FRAZEE, MN 56544
PHONE: 218/334-4501
FRAZEE CARE CENTER
(20154)
FAX: 218/334-4500
Lim-Liab
MR. ANDY GREEN
NH-74
SNF-NF-74
219 WEST MAPLE AVE PO BOX 96
FRAZEE, MN 56544
PHONE: 218/334-4501
(00730)
FAX: 218/334-4500
MR. ANDREW HUHTA
Minnesota Department of Health
Division of Compliance Monitoring
Page
17
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
SUNNYSIDE CARE CENTER
Cnty
Certification
BECKER
Registration
(Cont.)* -------------------------­
HCP-A
16561 US HIGHWAY 10
LAKE PARK, MN 56554
PHONE: 218/238-5944
SUNNYSIDE CARE CENTER
(27036)
FAX: 218/238-6854
Cnty
MR. BLAINE GAMST
NH-42
SNF-NF-42
16561 US HWY 10
LAKE PARK, MN 56554
PHONE: 218/238-5944
NORTH STAR NURSING TEMPORARY A
(00016)
FAX: 218/238-6854
Corp
MS. DANIELLE OLSON
HCP-A
22119 480TH AVENUE PO BOX 306
OSAGE, MN 56570
PHONE: 218/573-2238
WHITE EARTH HOME HEALTH
(21664)
FAX: 218/573-3778
Tribal
MS. HEIDI DREWES
HCP-A
HHA
BOX 496 26246 CRANE ROAD
WHITE EARTH, MN 56591
PHONE: 218/983-3286
(02147)
MRS. JENNIFER STEVENS
FAX: 218/983-2734
---------------------------**********
A TOUCH OF HOME NORTH
Lim-Liab
BELTRAMI
******** -------------------------­
HCP-F
HWSAL
915 21ST STREET NORTHWEST
BEMIDJI, MN 56601
PHONE: 218/444-5878
AUTUMN HILLS HOME CARE
(26426)
MS. JODI LINDSEY
FAX: 218/444-5114
Corp
HCP-A
2528 PARK AVENUE NW
BEMIDJI, MN 56601
PHONE: 218/333-3854
AUTUMN HILLS OF BEMIDJI INC
(28743)
FAX: 218/333-3855
Corp
MR. DALE CLOOSE
HCP-F
HWSAL
2528 PARK AVENUE NORTHWEST
BEMIDJI, MN 56601
PHONE: 218/333-3854
BAKER PARK INC
(23983)
FAX: 218/333-3855
MS. SHELLEY CLOOSE
HWSAL
NProf
803 DEWEY AVENUE
BEMIDJI, MN 56601
PHONE: 218/751-7249
BELTRAMI COUNTY HEALTH & HUMAN
(20518)
FAX: 218/333-6303
Cnty
MR. CRAIG BOYER
HCP-A
HHA
616 AMERICA AVE NW SUITE 340
BEMIDJI, MN 56601
PHONE: 218/333-8100
(02007)
FAX: 218/333-8360
MS. LINDA YOURCZEK
Minnesota Department of Health
Division of Compliance Monitoring
Page
18
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
BIRCHHAVEN VILLAGE
Certification
BELTRAMI
Registration
(Cont.)* -------------------------­
HWS
Corp
1700 NORTON AVENUE NW
BEMIDJI, MN 56601
PHONE: 218/444-1700
CEDAR COTTAGE
(28606)
FAX: 218/444-1760
Corp
MR. NICK BERG
HCP-F
HWSAL
1711 DELTON AVENUE NORTHWEST
BEMIDJI, MN 56601
PHONE: 218/444-3047
COLLEENS CARING HANDS
(20923)
FAX: 218/444-7668
Corp
MS. KATHLEEN BIRCHEM
HCP-F
HWSAL
2525 BEMIDJI AVENUE NORTH
BEMIDJI, MN 56601
PHONE: 218/333-8852
COMM BEHAV HLTH HOSP BEMIDJI
(26834)
FAX: 218/444-9183
State
MS. COLLEEN HILL-KJOS
OTHER-16
PSY-16
800 BEMIDJI AVE NORTH
BEMIDJI, MN 56601
PHONE: 218/308-2400
GOLDPINE HOME
(25049)
MR. LARRY LAUDON
FAX: 218/333-6800
Corp
HWSAL
HCP-F
1700 30TH STREET NORTHWEST
BEMIDJI, MN 56601
PHONE: 218/444-4346
HAVENWOOD CARE CENTER
(20075)
MR. DUSTIN HOLLOWAY
FAX: 218/444-4083
Corp
NH-90
SNF-NF-90
1633 DELTON AVE
BEMIDJI, MN 56601
PHONE: 218/444-1745
LONG LAKE LOON LODGE
(00017)
FAX: 218/759-1744
MR. BRANDON BJERKE
HWS
Ind
7747 LOON LODGE LANE NE
BEMIDJI, MN 56601
PHONE: 218/586-2945
LONG LAKE LOON LODGE
(20285)
FAX: 218/586-4094
Ind
MS. AMY DELAP
HCP-F
7747 LOON LODGE LANE NORTHEAST
BEMIDJI, MN 56601
PHONE: 218/586-2945
NEILSON PLACE
(22011)
FAX: 218/586-4094
NProf
MS. AMY DELAP
SNF-NF-78
NH-78
1000 ANNE STREET NW
BEMIDJI, MN 56601
PHONE: 218/751-0220
NORTHWOODS CAREGIVERS
(00823)
FAX: 218/333-6514
MS. LINDA BARKLEY
Home Mgmt
NProf
616 AMERICA AVENUE NW STE 170
BEMIDJI, MN 56601
PHONE: 218/333-8264
(29730)
FAX: 218/333-8263
MS. CINDI JERNIGAN
Minnesota Department of Health
Division of Compliance Monitoring
Page
19
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
PROGRESSIVE HEALTH CARE OF BEM
Certification
BELTRAMI
Registration
(Cont.)* -------------------------­
HCP-A
405 BELTRAMI AVENUE
(21856)
BEMIDJI, MN 56601
PHONE: 218/444-6876
MR. PAUL IVERSON
FAX: 218/444-2747
NProf
SANFORD BEMIDJI HOME CARE
HCP-A
HHA
3807 GREENLEAF NW AVENUE
(02372)
BEMIDJI, MN 56601
PHONE: 218/333-5665
MS. CARRIE KRUMP
FAX: 218/333-5642
NProf
SANFORD BEMIDJI HOSPICE
Hospice
HSPICE
3525 PINE RIDGE AVENUE NW
(02417)
BEMIDJI, MN 56601
PHONE: 218/333-5665
MS. LOIS RYDEEN
FAX: 218/333-5642
NProf
SANFORD BEMIDJI MEDICAL CENTER
BASS-12 HOSP-118
1300 ANNE STREET NORTHWEST
(00821)
BEMIDJI, MN 56601
PHONE: 218/751-5430
HOSP-89 PPS-P-12 PPS-R-17 PPS­
R- PPS-P-
MR. DANIEL OLSON
FAX: 218/333-5880
ESRD
NProf
SANFORD DIALYSIS BEMIDJI
1300 ANNE STREET NORTHWEST
(03376)
BEMIDJI, MN 56601
PHONE: 218/751-5430
SANFORD HEALTH NEILSON PLACE
MS. MARIA REGNIER
FAX: /­
NProf
HCP-F
803 DEWEY AVENUE
BEMIDJI, MN 56601
PHONE: 218/751-0220
TAMARACK COURT
(26843)
FAX: 218/333-6514
Corp
MS. LINDA BARKLEY
HWSAL
HCP-F
1511 DELTON AVENUE NW
BEMIDJI, MN 56601
PHONE: 218/444-4999
TOUCH OF HOME
(26081)
FAX: 218/444-5603
Lim-Liab
MS. SHIRLEY DANIELSON
HWSAL
HCP-F
711 17TH STREET
BEMIDJI, MN 56601
PHONE: 218/444-2775
TRILLIUM
(21397)
FAX: 218/444-5114
MS. SHAWN VANANTWEPEN
HWSAL
NProf
930 ANNE STREET NW
BEMIDJI, MN 56601
PHONE: 218/333-6289
WINDSONG
(26844)
FAX: 218/333-5639
MS. LINDA BARKLEY
HWS
NProf
1010 ANNE STREET NW
BEMIDJI, MN 56601
PHONE: 218/333-6289
(27160)
FAX: 218/333-5639
MR. CRAIG BOYER
Minnesota Department of Health
Division of Compliance Monitoring
Page
20
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
GOOD SAM SOC BLACKDUCK SR LIV
Certification
BELTRAMI
Registration
(Cont.)* -------------------------­
HCP-F
HWSAL
152 MARGARET AVENUE NORTHWEST
(26635)
BLACKDUCK, MN 56630
PHONE: 218/835-3419
FAX: 218/835-6737
NProf
GOOD SAM SOCIETY BLACKDUCK
MS. ANGEL NORMANDIN
NH-32
SNF-NF-32
172 SUMMIT AVENUE WEST
(00021)
BLACKDUCK, MN 56630
PHONE: 218/835-3419
FAX: 218/835-6737
MS. ANGEL NORMANDIN
HWSAL
Corp
HERITAGE HOUSE OF BLACKDUCK
441 4TH STREET NE
(21164)
BLACKDUCK, MN 56630
PHONE: 218/835-4564
FAX: 218/835-5809
Corp
CORNERSTONE RESID OF KELLIHER
MS. SHIRLEY DANIELSON
HCP-F
HWSAL
280 MAIN STREET WEST
(25374)
KELLIHER, MN 56650
PHONE: 218/647-8258
MS. KARI SWANSON
FAX: 218/647-8483
Tribal
JOURDAIN PERPICH EXT CARE FAC
OTHER-
SNF-NF-47
24856 HOSPITAL DRIVE
(00355)
RED LAKE, MN 56671
PHONE: 218/679-3400
SANFORD DIALYSIS RED LAKE
MR. WILLIAM ECKBLAD
FAX: /­
ESRD
NProf
24760 HOSPITAL DRIVE BOX 249
RED LAKE, MN 56671
PHONE: 218/679-3117
MEADOWLAND ELDER CARE HOMES
(23621)
FAX: 218/679-4306
Corp
MS. MARIA BEGNIER
HCP-F
HWS
21368 GULL LAKE LOOP ROAD NE
TENSTRIKE, MN 56683
PHONE: 218/586-3740
MEADOWLAND ELDER CARE HOMES II
(21190)
FAX: 218/586-3746
MS. DONNA STEPHENS
HWSAL
Corp
21368 GULL LAKE LOOP ROAD NE
TENSTRIKE, MN 56683
PHONE: 218/586-3740
(21191)
FAX: 218/586-3746
MS. DONNA STEPHENS
---------------------------**********
FOLEY NURSING CENTER
Corp
BENTON
******** -------------------------­
NH-89
SNF-NF-89
253 PINE STREET
FOLEY, MN 56329
PHONE: 320/968-6201
(00629)
FAX: 320/968-7051
MR. STEVEN OELRICH
Minnesota Department of Health
Division of Compliance Monitoring
Page
21
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
HERITAGE HOME HEALTH
Corp
Certification
BENTON
Registration
(Cont.)* -------------------------­
HCP-F
152 NORMAN AVENUE SOUTH
FOLEY, MN 56329
PHONE: 320/968-7117
HERITAGE HOME HEALTH & HOSPICE
(26407)
FAX: 320/968-7316
Corp
MS. VIRGINIA PILLES
HCP-A
HHA
152 NORMAN AVENUE SOUTH
FOLEY, MN 56329
PHONE: 320/968-7117
HERITAGE PLACE
(02339)
FAX: 320/968-7316
MS. VIRGINIA PILLES, RN
HWS
Lim-Liab
120 NORMAN AVENUE SOUTH
FOLEY, MN 56329
PHONE: 320/968-6425
HERITAGE POINTE
(20153)
FAX: 320/968-7051
MS. KATHRYN OELRICH
HWSAL
Corp
104 NORMAN AVENUE SOUTH
FOLEY, MN 56329
PHONE: 320/968-6425
ALL GOOD HOME CARE INC
(26321)
MS. KATHY OELRICH
FAX: 320/968-7051
Corp
HCP-A
9250 LAKEWOOD SHORE RD NW
RICE, MN 56367
PHONE: 320/393-2406
COUNTRY MANOR EXTENDED SERV
(25865)
MR. MIKE ALLGOOD
FAX: 320/393-2455
NProf
HCP-A
HHA
520 FIRST STREET NE
SARTELL, MN 56377
PHONE: 320/253-3343
COUNTRY MANOR EXTENDED SVCS
(02226)
FAX: 320/240-0244
Lim-Liab
MS. TRACY MASTELLAR
HWSAL
HCP-F
520 1ST STREET NE
SARTELL, MN 56377
PHONE: 320/253-8450
COUNTRY MANOR HLTH & REHAB CTR
(20206)
FAX: 320/253-5922
Lim-Liab
MR. ANTHONY FENSTAD
NH-165
SNF-NF-165
520 FIRST STREET NORTHEAST
SARTELL, MN 56377
PHONE: 320/253-1920
THE COUNTRY VILLA
(00627)
FAX: 320/656-5922
MR. BRIAN KELM
HWSAL
Lim-Liab
520 FIRST ST NE
SARTELL, MN 56377
PHONE: 320/253-8450
ACCESS INFUSION HEALTHCARE LLC
(20559)
FAX: 320/656-5922
Lim-Liab
MR. ANTHONY FENSTAD
HCP-A
16 12TH STREET SOUTH
SAUK RAPIDS, MN 56379
PHONE: 320/492-5951
(25059)
FAX: 320/259-0440
MS. JANE YAGER
Minnesota Department of Health
Division of Compliance Monitoring
Page
22
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
CHERRYWOOD ADVANCED LIVING
Certification
BENTON
Registration
(Cont.)* -------------------------­
HCP-F
1685 4TH AVENUE NORTH
(27306)
SAUK RAPIDS, MN 56379
PHONE: 320/257-7445
FAX: 320/257-7447
Corp
GENERATIONS HOME CARE INC
MS. WENDY HULSEBUS
HCP-F
817 5TH AVE N
(26135)
SAUK RAPIDS, MN 56379
PHONE: 320/282-8047
FAX: 320/230-8811
NProf
GOOD SHEPHERD ASSISTED LIVING
MS. LORRIE WAITE
HCP-F
HCP
1115 4TH AVENUE NORTH
(24855)
SAUK RAPIDS, MN 56379
PHONE: 320/252-6525
FAX: 320/259-3463
MS. BARB REBISCHKE
HWSAL
NProf
GOOD SHEPHERD COTTAGES
307 11TH STREET NORTH
(23241)
SAUK RAPIDS, MN 56379
PHONE: 320/252-6525
MR. BRUCE GLANZER
FAX: 320/258-8675
GOOD SHEPHERD HOME HEALTH CARE
NProf
HCP-A
HHA
1115 FOURTH AVENUE NORTH
SAUK RAPIDS, MN 56379
PHONE: 320/252-6525
GOOD SHEPHERD HOMES INC
(02397)
MR. BRUCE GLANZER
FAX: 320/259-3463
HWSAL
NProf
1211 4TH AVENUE NORTH
SAUK RAPIDS, MN 56379
PHONE: 320/252-6525
GOOD SHEPHERD LUTHERAN HOME
(25644)
FAX: 320/259-3463
ONProf
MR. BRUCE GLANZER
NH-162
SNF-NF-162
1115 4TH AVE N
SAUK RAPIDS, MN 56379
PHONE: 320/252-6525
HEARTLAND HOME HLTH C&HOSPICE
(00023)
FAX: 320/259-3463
Lim-Liab
MR. BRUCE GLANZER
Hospice
HSPICE
1257 2ND STREET NORTH
SAUK RAPIDS, MN 56379
PHONE: 320/654-1136
JOURNEY HOME
(23078)
FAX: 320/654-6803
NProf
MS. LACEY MONNIER
SLFB-68
1485 10TH AVENUE NE
SAUK RAPIDS, MN 56379
PHONE: 320/229-3762
RIDGEVIEW PLACE
(25468)
FAX: 320/259-4565
MR. CRAIG BROMAN
HWSAL
Lim-Liab
1009 10TH AVENUE NORTHEAST
SAUK RAPIDS, MN 56379
PHONE: 320/251-5228
(20619)
FAX: 320/259-8964
MS. LAURA KOSKI
Minnesota Department of Health
Division of Compliance Monitoring
Page 23
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
RIDGEVIEW PLACE
Certification
BENTON
Registration
(Cont.)* -------------------------­
HCP-F
1009 10TH AVENUE NORTHEAST
(29660)
SAUK RAPIDS, MN 56379
PHONE: 320/251-5228
FAX: 320/259-8964
MS. LAURA KOSKI
HWSAL
NProf
SHEPHERD COURT APARTMENTS
330 13TH STREET NORTH
(20282)
SAUK RAPIDS, MN 56379
PHONE: 320/252-6525
FAX: 320/259-3479
MR. BRUCE GLANZER
HWSAL
NProf
SHEPHERD OAK APARTMENTS INC
310 13TH STREET NORTH
(25645)
SAUK RAPIDS, MN 56379
PHONE: 320/252-6525
FAX: 320/259-3463
MR. BRUCE GLANZER
HWSAL
NProf
SHEPHERD OAK WEST APARTMENTS I
220 13TH STREET NORTH
(25646)
SAUK RAPIDS, MN 56379
PHONE: 320/252-6525
MR. BRUCE GLANZER
FAX: 320/259-3463
Out Pt
Corp
SPINAL REHAB CLINIC
225 NORTH BENTON DRIVE
(03770)
SAUK RAPIDS, MN 56379
PHONE: 320/252-1884
STERLING HOUSE OF SAUK RAPIDS
MS. LYNETTE MCGRATH
FAX: /­
Corp
HWSAL
HCP-F
1325 SUMMIT AVENUE NORTH
SAUK RAPIDS, MN 56379
PHONE: 320/203-8142
SUPPORTING HAND INC
(20352)
FAX: 320/203-8207
Corp
MS. AMANDA CHRISTEN
HCP-A
1269 2ND STREET N SUITE 200
SAUK RAPIDS, MN 56379
PHONE: 320/240-6542
WAITE PROPERTIES LLC
(28722)
FAX: 320/251-2983
MS. ANDREA YOUNG
HWS
Lim-Liab
817 FIFTH AVENUE NORTH
SAUK RAPIDS, MN 56379
PHONE: 320/230-3422
WALGREENS INFUSION SERVICES
(26134)
FAX: 320/230-8811
Corp
MS. LORRIE WAITE
HCP-A
1000 S BENTON DRIVE STE 405
SAUK RAPIDS, MN 56379
PHONE: 320/252-5666
ST CLOUD CAREFREE LIVING LLC
(03638)
FAX: 320/252-5073
MS. BECKY VALDEZ
HWSAL
Lim-Liab
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 24
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
CLINTON CARE CENTER
Certification
BIG STONE
Registration
******** -------------------------­
HWS
HCP-F
322 CO HIGHWAY 6 PO BOX 379
(23174)
CLINTON, MN 56225
PHONE: 320/325-5414
FAX: 320/325-5416
NProf
ESSENTIA HEALTH GRACE HOME
MS. JENNA WIESE
NH-45
SNF-NF-45
116 WEST SECOND STREET
(00762)
GRACEVILLE, MN 56240
PHONE: 320/748-7261
FAX: 320/748-8238
MR. KEVIN GISH
RHC
NProf
ESSENTIA HLTH GRACEVILLE CLINI
115 WEST SECOND
(03819)
GRACEVILLE, MN 56240
PHONE: 320/324-7500
ESSENTIA HLTH GRACEVILLE HH
FAX: /­
MR. TODD HOWELL
Church
HCP-A
HHA
115 WEST SECOND STREET
GRACEVILLE, MN 56240
PHONE: 320/748-8211
ESSENTIA HLTH HOLY TRINITY HOS
(03589)
MR. JOHN CAMPION
FAX: 320/748-8247
NProf
BASS-0 HOSP-15
CAH-15
115 2ND ST W BOX 157
GRACEVILLE, MN 56240
PHONE: 320/748-8200
GRACE VILLAGE
(00027)
MR. JOHN CAMPION
FAX: 320/748-7240
HWSAL
ONProf
114 WEST 2ND STREET
GRACEVILLE, MN 56240
PHONE: 320/748-7220
FAIRWAY VIEW SENIOR COMMUNIT
(24236)
FAX: 320/748-7225
City
MR. JOHN CAMPION
HWSAL
HCP-F
215 LUNDELL AVENUE
ORTONVILLE, MN 56278
PHONE: 320/839-2397
LAKESIDE APARTMENTS
(23148)
FAX: 320/839-2398
MS. BONNIE DYBDAHL
HWS-O
Cnty
301 NORTHWEST FIRST STREET
ORTONVILLE, MN 56278
PHONE: 320/839-3304
MONARCH HEIGHTS
(23374)
FAX: 320/839-2320
NProf
MS. JODI HORMANN
ICFIID-12
SLFB-12
501 BURDICK AVENUE
ORTONVILLE, MN 56278
PHONE: 320/839-6139
NORTHRIDGE RESIDENCE
(01440)
FAX: 320/839-2060
City
MS. KRISTEN UNRUH
NH-64
SNF-NF-64
1075 ROY STREET
ORTONVILLE, MN 56278
PHONE: 320/839-6113
(00771)
FAX: 320/839-2985
MR. RICHARD ASH
Minnesota Department of Health
Division of Compliance Monitoring
Page
25
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
City
ORTONVILLE AREA HEALTH SER HHA
Certification
BIG STONE
Registration
(Cont.)* -------------------------­
HCP-A
HHA
450 EASTVOLD AVENUE
(02345)
ORTONVILLE, MN 56278
PHONE: 320/839-4020
FAX: 320/839-4105
City
ORTONVILLE AREA HEALTH SERVICE
MR. RICHARD ASH
BASS-4 HOSP-25
CAH-25
450 EASTVOLD AVE
(00029)
ORTONVILLE, MN 56278
PHONE: 320/839-2502
FAX: 320/839-4277
MR. RICHARD ASH
ESRD
NProf
SATELLITE DIALYSIS ORTONVILLE
450 EASTVOLD AVENUE
(23114)
ORTONVILLE, MN 56278
PHONE: 320/839-4070
FAX: 320/839-4071
MR. TIMOTHY JACKSON
---------------------------**********
SOUTHERN MINNESOTA HOMECARE LL
Lim-Liab
BLUE EARTH
******** -------------------------­
HCP-A
213 PARKWAY AVE
(26881)
EAGLE LAKE, MN 56024
PHONE: 507/257-2252
MS. BARBARA SONTAG
FAX: /-
Corp
CRYSTAL SEASONS LVG COMMUNITY
HCP-F
HWSAL
222 SOUTH MURPHY STREET
(26192)
LAKE CRYSTAL, MN 56055
PHONE: 507/726-2266
MS. SHARRY REED
FAX: 507/726-2276
NProf
ECUMEN LAKE CRYSTAL
HCP-F
HWSAL
511 WEST BLUE EARTH STREET
(20375)
LAKE CRYSTAL, MN 56055
PHONE: 507/726-6537
FAX: 507/726-2402
MS. LAURA TEMPLIIN
Home Mgmt
Corp
ELDER CARE SERVICES INC
1110 PARK ROAD
(20962)
MADISON LAKE, MN 56063
PHONE: 507/243-3603
FAX: 507/243-3375
Corp
ALLIANCE HEALTH SERVICES
MS. SHARON CHADER
HCP-A
HHA
600 RIVERFRONT DR SUITE 100
(03635)
MANKATO, MN 560012013
PHONE: 507/386-1666
AUTUMN GRACE
FAX: /-
MS. ALANA FIALA
Corp
HCP-F
118 RAVEN COURT
MANKATO, MN 56001
PHONE: 507/388-0645
(25816)
FAX: 507/388-5412
MS. HEATHER BASS
Minnesota Department of Health
Division of Compliance Monitoring
Page 26
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
BLUE EARTH
(Cont.)* -------------------------­
HWSAL
Corp
AUTUMN GRACE II
Registration
110 RAVEN COURT
(23858)
MANKATO, MN 56001
PHONE: 507/388-3660
FAX: 507/388-5412
MRS. HEATHER BASS
HWS-O
Corp
AUTUMN GRACE III
108 RAVEN COURT
(25966)
MANKATO, MN 56001
PHONE: 507/388-0640
FAX: 507/388-5412
COTTAGEWOOD SENIOR COMMUNITIES
MRS. HEATHER BASS
HWSAL
Lim-Liab
300 BUNTING LANE
(20394)
MANKATO, MN 56001
PHONE: 507/345-8787
FAX: 507/345-8870
Lim-Liab
COTTAGEWOOD SR CMTY MANKATO
MS. KIMBERLY ALINDER
HCP-F
300 BUNTING LANE
(29350)
MANKATO, MN 56001
PHONE: 507/345-8787
MR. MICHAEL PAGH
FAX: 507/345-8870
ESRD
Lim-Liab
DIALYSIS AT MANKATO CLINIC
1400 MADISON AVENUE SUITE 400
(28837)
MANKATO, MN 560015476
PHONE: 615/320-4458
MS. EMILY KOHEL
FAX: 877/259-3316
Corp
GRACE SENIOR SERVICES INC
HWSAL
HCP-A
118 RAVEN COURT
(23093)
MANKATO, MN 56001
PHONE: 507/388-3660
FAX: 507/388-5412
NProf
HARRY MEYERING CTR INC
MRS. HEATHER BASS
ICFIID-25
SLFB-25
109 HOMESTEAD ROAD
(01008)
MANKATO, MN 56001
PHONE: 507/387-8281
FAX: 507/625-9948
Corp
HILLCREST HEALTH CARE CENTER
MS. CAROL LEE
NH-100
SNF-NF-100
714 SOUTHBEND AVE
(00031)
MANKATO, MN 56001
PHONE: 507/387-3491
FAX: 507/387-6611
MS. AMY PORTER
ESRD
NProf
IMMANUEL ST JOSEPHS ESRD
1025 MARSH STREET PO BOX 8673
(02158)
MANKATO, MN 56002
PHONE: 507/345-2646
KCMG MANKATO LLC
FAX: /­
MR. JEROME CREST
Lim-Liab
HCP-F
100 DUBLIN ROAD
MANKATO, MN 56001
PHONE: 507/305-7080
(29566)
FAX: 507/385-7081
MR. MICHAEL LEWIS
Minnesota Department of Health
Division of Compliance Monitoring
Page 27
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
KEYSTONE SENIOR LIVING OF MANK
Certification
BLUE EARTH
Registration
(Cont.)* -------------------------­
HWSAL
Lim-Liab
100 DUBLIN ROAD
MANKATO, MN 56001
PHONE: 612/886-2035
LAURELS EDGE
(24718)
FAX: 612/886-2592
Corp
MR. MICHAEL LEWIS
HCP-F
HWSAL
77 STADIUM ROAD
MANKATO, MN 56001
PHONE: 507/387-2133
LAURELS PEAK REHAB CENTER
(20485)
FAX: 507/387-1135
Corp
MS. DAINIELLE FONTAINE
NH-65
SNF-NF-65
700 JAMES AVE
MANKATO, MN 56001
PHONE: 507/345-4631
MANKATO CLINIC ENDOSCOPY CTR
(00035)
FAX: 507/344-4835
Corp
MS. SUSAN KRATZKE
Outpt Surg
Amb Surg
1230 E MAIN STREET
MANKATO, MN 56002
PHONE: 507/625-1811
MANKATO SURGERY CENTER
(23204)
MR. RANDY FARROW
FAX: 507/388-3401
Lim-Liab
Outpt Surg
Amb Surg
1411 PREMIER DRIVE
MANKATO, MN 56001
PHONE: 507/388-6000
MAXFIELD PLACE
(21469)
MS. JOLEEN HARRISON, RN
FAX: 507/388-6913
HWS
NProf
324 MAXFIELD STREET
MANKATO, MN 56001
PHONE: 507/345-2055
MAYO CLINIC HEALTH SYS MANKATO
(28853)
FAX: 507/345-1392
NProf
MR. MICHAEL PARKER
BASS-26 HOSP-272
HOSP-272
1025 MARSH ST PO BOX 8673
MANKATO, MN 56002
PHONE: 507/385-2646
MAYO CLINIC HEALTH SYSTEM MANK
(00033)
FAX: 507/385-2908
NProf
MR. JEROME CREST
Hospice
HSPICE
1400 MADISON AVE SUITE 324
MANKATO, MN 56002
PHONE: 507/385-2618
OAKLAWN HEALTH CARE CENTER
(00219)
FAX: 507/385-5649
Corp
MS. SUSAN KLESATH
NH-77
SNF-NF-77
201 OAKLAWN AVE
MANKATO, MN 56001
PHONE: 507/388-2913
OFC BACK CARE CENTER
(00038)
FAX: 507/388-1235
MS. STACY KAY JOHNSON
Out Pt
NProf
1431 PREMIER DRIVE
MANKATO, MN 56001
PHONE: 507/386-6650
(27161)
FAX: 507/388-8372
MR. MARK MILLER
Minnesota Department of Health
Division of Compliance Monitoring
Page 28
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Part
OLD MAIN VILLAGE
Certification
BLUE EARTH
Registration
(Cont.)* -------------------------­
HWSAL
HCP-F
301 SOUTH FIFTH STREET
(26043)
MANKATO, MN 56001
PHONE: 507/388-4200
FAX: 507/388-5991
Lim-Liab
PAIN CENTERS OF MN MANKATO
MR. DAN PETERKA
Outpt Surg
Amb Surg
1400 MADISON AVENUE SUITE 402
(27290)
MANKATO, MN 56001
PHONE: 507/625-7246
FAX: 507/386-2599
NProf
PATHSTONE CROSSING
MR. VISHAL LAL
HCP-F
HWSAL
718 MOUND AVENUE
(20164)
MANKATO, MN 56001
PHONE: 507/345-4576
FAX: 507/385-4225
NProf
PATHSTONE HOME SERVICES
MS. SHELLY CORNISH
HCP-A
HHA
718 MOUND AVENUE
(02389)
MANKATO, MN 56001
PHONE: 507/345-4576
MS. KRISTI ZELLMANN
FAX: 507/385-4213
NProf
PATHSTONE LIVING
NH-69
SNF-NF-69
718 MOUND AVE
(00036)
MANKATO, MN 56001
PHONE: 507/345-4576
MS. JENNIFER PFEFFER
FAX: 507/385-4212
Out Pt Out St Out Ot
Ind
PEDIATRIC THERAPY SERVICES
309 HOLLY LANE
(03809)
MANKATO, MN 56001
PHONE: 507/388-5437
FAX: /­
MS. NANCY DOBSON
Corp
PEDIATRIC THERAPY SERVICES INC
HCP-A
150 ST ANDREWS COURT #310
(03360)
MANKATO, MN 56001
PHONE: 507/388-5437
FAX: 507/388-2108
MS. NANCY DOBSON
Out Pt
Corp
PHYS THER SPORTS MEDICINE CTR
1431 PREMIER DRIVE
(03813)
MANKATO, MN 56001
PHONE: 507/386-6700
PRAIRIES EDGE
FAX: /-
MR. BRIAN JON ELLINGWORTH
NProf
ICFIID-6
SLFB-6
152 COUGAR DRIVE
MANKATO, MN 56001
PHONE: 507/387-8281
PRIMROSE OF MANKATO
(23697)
FAX: 507/387-9948
Lim-Liab
MS. CAROL LEE
HWSAL
HCP-F
1360 ADAMS STREET
MANKATO, MN 56001
PHONE: 507/388-9292
(21208)
FAX: 507/388-9292
MR. MARK MCNEARY
Minnesota Department of Health
Division of Compliance Monitoring
Page
29
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
REM HEARTLAND INC CYPRESS
Corp
Certification
BLUE EARTH
Registration
(Cont.)* -------------------------­
ICFIID-11
SLFA-11
204 THOMAS DRIVE
MANKATO, MN 56001
PHONE: 507/387-3181
REM MANKATO INC BIRCH
(01536)
FAX: 507/387-3182
Corp
MS. CONNIE MENNE
ICFIID-12
SLFB-12
206 THOMAS DRIVE
MANKATO, MN 56001
PHONE: 507/387-3181
SCHOOL SISTERS OF NOTRE DAME
(01537)
FAX: 507/387-3182
NProf
MS. CONNIE MENNE
HCP-F
HWS
170 GOOD COUNSEL DRIVE
MANKATO, MN 56001
PHONE: 507/389-4200
STERLING HOUSE OF MANKATO
(23742)
FAX: 507/389-4108
Corp
MR. BILL WARD
HWSAL
HCP-F
100 TETON LANE
MANKATO, MN 56001
PHONE: 507/386-1779
THE LUTHERAN HOME CEDAR HAVEN
(20336)
MS. AIMEE MALLETTE
FAX: 507/386-1174
Church
HWSAL
HCP-F
630 REED STREET
MANKATO, MN 56001
PHONE: 507/625-1512
THE LUTHERAN HOME CEDAR HAVEN
(20185)
MS. MARIANN SNYDER
FAX: 507/388-6428
HWSAL
Church
640 REED STREET
MANKATO, MN 56001
PHONE: 507/625-1512
WATER'S EDGE
(20546)
FAX: 507/388-6428
Lim-Liab
MS. MARIANN SNYDER
HCP-F
800 AGENCY TRAIL
MANKATO, MN 56001
PHONE: 507/388-5582
WATER'S EDGE
(30109)
FAX: 507/388-5584
MS. BROOK OLSON
HWS
Lim-Liab
800 AGENCY TRAIL
MANKATO, MN 56001
PHONE: 507/388-5582
WE CARE HOME CARE
(30108)
FAX: 507/388-5584
Lim-Liab
MS. HEATHER BASS
HCP-A
530 RIVERFRONT DRIVE SUITE 240
MANKATO, MN 56001
PHONE: 507/414-5084
WILD ROSE NURSING SERVICES LLC
(29219)
FAX: 507/417-4327
Lim-Liab
MR. MOHAMED AHMED
HCP-A
1021 NORTH RIVERFRONT DRIVE
MANKATO, MN 56001
PHONE: 507/625-8938
(28517)
FAX: 507/625-9038
MR. PAUL HAGEN
Minnesota Department of Health
Division of Compliance Monitoring
Page 30
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
ECUMEN MAPLETON
Certification
BLUE EARTH
Registration
(Cont.)* -------------------------­
HCP-F
HWSAL
206 THIRD AVE NE
(20377)
MAPLETON, MN 56065
PHONE: 507/524-4990
FAX: 507/524-3239
MS. AMANDA BEAVENS
HWSAL
NProf
HERITAGE PLACE
303 TROENDLE STREET
(28389)
MAPLETON, MN 56065
PHONE: 507/524-3315
FAX: 507/524-4410
MS. ROXANNE GOSSON
RHC
Corp
MANKATO CLINIC MAPLETON FAM PR
305 MAIN STREET EAST
(27144)
MAPLETON, MN 56065
PHONE: 507/524-3835
MAPLETON COMMUNITY HOME
FAX: /­
MR. RANDALL FARROW
NProf
HCP-F
301 TROENDLE STREET SW
MAPLETON, MN 56065
PHONE: 507/524-3315
MAPLETON COMMUNITY HOME
(28390)
MS. ROXANNE GOSSON
FAX: 507/524-4410
NProf
NH-60
SNF-NF-60
301 TROENDLE ST
MAPLETON, MN 56065
PHONE: 507/524-3315
(00037)
MS. ROXANNE GOSSON
FAX: 507/524-4410
---------------------------**********
BRICKSTONE MANOR
Corp
BROWN
******** -------------------------­
HCP-F
HWSAL
104 BROWN STREET WEST
COMFREY, MN 56019
PHONE: 507/877-4600
BROWN COUNTY EVAL CENTER INC
(23856)
FAX: 507/877-6001
NProf
MR. DAVID ENGLIN
SLFB-16
510 NORTH FRONT
NEW ULM, MN 56073
PHONE: 507/359-2749
BROWN COUNTY PUBLIC HEALTH
(01641)
FAX: 507/354-7706
Cnty
MS. JILL WENZEL
HCP-A
HHA
1117 CENTER STREET PO BOX 543
NEW ULM, MN 56073
PHONE: 507/233-6820
GOLDEN HOME CARE PLUS INC
(02041)
FAX: 507/233-6819
Corp
MS. KAREN MORITZ
HCP-A
6 1/2 N MINNESOTA ST BOX 924
NEW ULM, MN 56073
PHONE: 507/359-2756
(03015)
FAX: 507/354-1260
MS. MARCY GULDEN
Minnesota Department of Health
Division of Compliance Monitoring
Page
31
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
MBW COMPANY INC
Corp
Certification
BROWN
Registration
(Cont.)* -------------------------­
HCP-A
1200 SOUTH BROADWAY
NEW ULM, MN 56073
PHONE: 507/233-3030
MBW ON RAYMOND
(03081)
FAX: 507/354-2168
Corp
MS. VICKI SIEVE
ICFIID-4
SLFA-4
1131 RAYMOND DRIVE
NEW ULM, MN 56073
PHONE: 507/233-3030
MBW ON TENTH
(01210)
FAX: 507/354-2168
Corp
MS. VICKI SIEVE
ICFIID-4
SLFB-4
1407 10TH NORTH STREET
NEW ULM, MN 56073
PHONE: 507/233-3030
NEW ULM MEDICAL CENTER
(01598)
FAX: 507/354-2168
NProf
MS. VICKI SIEVE
BASS-10 HOSP-62
CAH-25 PPS-P-10
1324 FIFTH STREET NORTH
NEW ULM, MN 56073
PHONE: 507/233-1000
NEW ULM MEDICAL CENTER
(00839)
MR. TOBY FREIER
FAX: 507/233-1575
NProf
SLFA-10
1324 5TH NORTH STREET
NEW ULM, MN 56073
PHONE: 507/217-5108
OAK HILLS LIVING CENTER
(24059)
MR. TOBY FREIER
FAX: 507/217-5575
NProf
HCP-A
HHA
1314 8TH STREET N
NEW ULM, MN 56073
PHONE: 507/233-0800
OAK HILLS LIVING CENTER
(25987)
FAX: 507/354-2751
NProf
MS. CANDAS SCHOUVIELLER
NH-94
SNF-NF-94
1314 8TH STREET NORTH
NEW ULM, MN 56073
PHONE: 507/233-0804
OAK HILLS LVNG CENTER ASST LI
(00434)
FAX: 507/354-2751
NProf
MS. CANDAS SCHOUVIELLER
HWSAL
HCP-F
1314 8TH NORTH STREET
NEW ULM, MN 56073
PHONE: 507/233-0804
OAK VIEW APARTMENTS INC
(21025)
FAX: 507/354-2751
MS. CANDAS SCHOUVIELLER
HWSAL
NProf
1316 8TH STREET NORTH
NEW ULM, MN 56073
PHONE: 507/359-2026
ORCHARD HILLS CATERED LIVING L
(23298)
FAX: 507/354-2751
MS. CANDAS SCHOUVIELLER
HWSAL
Corp
1223 KARL DRIVE
NEW ULM, MN 56073
PHONE: 507/354-2159
(23169)
FAX: 507/354-2179
MR. DEAN BLOEMKE
Minnesota Department of Health
Division of Compliance Monitoring
Page
32
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
BROWN
(Cont.)* -------------------------­
HWSAL
Lim-Liab
PRAIRIE SENIOR COTTAGES OF NEW
Registration
1308 BIRCHWOOD DRIVE
(21586)
NEW ULM, MN 56073
PHONE: 507/359-3420
FAX: 507/359-3421
Lim-Liab
PRAIRIE SR COTTAGES NEW ULM
MS. LINDA TAUER
HCP-F
HWSAL
1308 BIRCHWOOD DRIVE
(21584)
NEW ULM, MN 56073
PHONE: 507/359-3420
FAX: 507/359-3421
Lim-Liab
QUALITY LIFE HOME CARE LLC
MS. LINDA TAUER
HCP-A
64431 COUNTY ROAD 21
(28968)
NEW ULM, MN 56073
PHONE: 507/327-3195
FAX: /­
MR. MATTHEW SCHROEDER
Lim-Liab
QUALITY LIFE HOME CARE LLC
HCP-B
64431 COUNTY ROAD 21
(29135)
NEW ULM, MN 56073
PHONE: 507/327-3195
MR. MATTHEW SCHROEDER
FAX: 507/354-4503
ESRD
NProf
RENAL DIALYSIS FAC NEW ULM
1324 FIFTH STREET NORTH
(02576)
NEW ULM, MN 56073
PHONE: 507/359-5255
MR. JEROME CREST
FAX: /­
HWSAL
NProf
RIDGEWAY ON 23RD
720 23RD NORTH STREET
(23249)
NEW ULM, MN 56073
PHONE: 507/354-7000
FAX: 507/233-7410
MS. LORA GUTKNECHT
HWSAL
NProf
RIDGEWAY ON GERMAN
715 SOUTH GERMAN STREET
(20555)
NEW ULM, MN 56073
PHONE: 507/354-7400
FAX: 507/359-5711
ONProf
RIDGEWAY SENIOR LIVING
MS. KYLA FRANTA
HCP-F
715 SOUTH GERMAN STREET #100
(21355)
NEW ULM, MN 56073
PHONE: 507/354-7400
FAX: 507/359-5711
Corp
RIVERBLUFF HEALTH CARE INC
MR. PAUL ABZUG
HCP-A
48329 239TH STREET
(03894)
NEW ULM, MN 56073
PHONE: 507/947-3825
FAX: 507/947-3461
MR. DAVID STRENGE
CMHC
NProf
SIOUX TRAIL MENTAL HLTH CENTER
1407 SOUTH STATE
(02772)
NEW ULM, MN 56073
PHONE: 507/354-3181
FAX: /­
MR. PAUL KAPSCH
Minnesota Department of Health
Division of Compliance Monitoring
Page 33
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
WELCOME HOME HEALTH CARE
Certification
BROWN
Registration
(Cont.)* -------------------------­
HCP-F
1223 KARL DRIVE
(23650)
NEW ULM, MN 56073
PHONE: 507/354-2159
FAX: 507/354-2179
Corp
WELCOME HOME HEALTH CARE INC
MS. YVONNE SCHELL
HCP-F
2020 MEYER DRIVE
(29912)
NEW ULM, MN 56023
PHONE: 320/587-0005
FAX: /-
MR. ROMAN BLOEMKE
HWS
Corp
WOODSTONE SENIOR LIVING NEW UL
2020 MEYER DRIVE
(29913)
NEW ULM, MN 56073
PHONE: 320/587-0005
FAX: /-
COUNTRYSIDE RETIREMENT COMMUNI
MR. ROMAN BLOEMKE
HWSAL
NProf
1100 FIRST AVENUE SOUTH
(20030)
SLEEPY EYE, MN 56085
PHONE: 507/794-3200
MS. PAMELA ADAM
FAX: 507/794-3596
NProf
DIVINE PROVIDENCE COMM HOME
NH-58
SNF-NF-58
700 3RD AVE NW
(00040)
SLEEPY EYE, MN 56085
PHONE: 507/794-3011
MS. JAYNA GROEBNER
FAX: 507/794-3020
Lim-Liab
LEADING CHOICE HOME HELPERS
HCP-B
909 FIRST AVENUE SOUTH
(29680)
SLEEPY EYE, MN 56085
PHONE: 507/766-5150
SLEEPY EYE AREA HOME HEALTH
FAX: /-
MS. LINDA TAUER
NProf
HCP-F
1100 1ST AVENUE SOUTH
SLEEPY EYE, MN 56085
PHONE: 507/794-3594
SLEEPY EYE AREA HOME HEALTH IN
(21765)
FAX: 507/794-5914
NProf
MS. PAM ADAM
HCP-A
1100 FIRST AVENUE SOUTH
SLEEPY EYE, MN 56085
PHONE: 507/794-3594
SLEEPY EYE CARE CENTER
(20718)
FAX: 507/794-5914
Church
MS. PAM ADAM
NH-65
SNF-NF-65
1105 THIRD AVENUE SOUTHWEST
SLEEPY EYE, MN 56085
PHONE: 507/794-7995
SLEEPY EYE HOUSING AUTHORITY
(00776)
FAX: 507/794-3577
MS. PAMELA ADAM
HWS
HRA
ROSS PARK APARTMENTS
SLEEPY EYE, MN 56085
PHONE: 507/794-5101
(21072)
FAX: 507/794-5108
MS. NIKKI FISCHER
Minnesota Department of Health
Division of Compliance Monitoring
Page
34
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
City
SLEEPY EYE MEDICAL CENTER
Certification
BROWN
Registration
(Cont.)* -------------------------­
BASS-4 HOSP-16
CAH-16
400 4TH AVE NW
(00043)
SLEEPY EYE, MN 56085
PHONE: 507/794-8440
FAX: 507/794-5462
MR. BOB VAN MEETEREN
RHC
City
SLEEPY EYE MEDICAL CENTER
400 4TH AVENUE NORTHWEST
(22176)
SLEEPY EYE, MN 56085
PHONE: 507/794-3571
HOME CARE SERVICES
FAX: /-
MR. KEVIN SELLHEIM
NProf
HCP-A
201 SOUTH COUNTY ROAD 5
SPRINGFIELD, MN 56087
PHONE: 507/723-3243
HOME CARE SERVICES
(23595)
FAX: 507/723-8044
NProf
MR. JOSHUA JENSEN
HCP-F
201 SOUTH COUNTY ROAD 5
SPRINGFIELD, MN 56087
PHONE: 507/723-3243
MAYO CLINIC HEALTH SYSTEM S F
(22325)
MR. JOSHUA JENSEN
FAX: 507/723-8044
NProf
BASS-6 HOSP-24
CAH-24
625 JACKSON ST N
SPRINGFIELD, MN 56087
PHONE: 507/723-6201
ST JOHN LUTHERAN HOME
(00044)
MR. SCOTT THORESON
FAX: 507/723-6447
NProf
NH-95
SNF-NF-95
201 SOUTH COUNTY ROAD 5
SPRINGFIELD, MN 56087
PHONE: 507/723-3200
THE MAPLES AT ST JOHN
(00045)
FAX: 507/723-6429
MR. JOSHUA JENSEN
HWS
NProf
301 SOUTH COUNTY ROAD 5
SPRINGFIELD, MN 56087
PHONE: 507/723-3250
VISTA RIDGE MEMORY CARE SUITES
(25454)
FAX: 507/723-3264
MR. JOSHUA JENSEN
HWS
NProf
205 SOUTH COUNTY ROAD 5
SPRINGFIELD, MN 56087
PHONE: 507/723-3200
(23181)
FAX: 507/723-6429
---------------------------**********
LIGHTHOUSE OF CLOQUET & BARNUM
MR. JOSHUA JENSEN
CARLTON
HWSAL
Lim-Liab
3722 HORIZON DRIVE BLDG #3
BARNUM, MN 55707
PHONE: 218/878-7950
(21398)
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
---------------------------**********
Certification
CARLTON
(Cont.)* -------------------------­
HWSAL
Lim-Liab
LIGHTHOUSE OF CLOQUET & BARNUM
Registration
3730 HORIZON DRIVE
(23718)
BARNUM, MN 55707
PHONE: 218/878-7950
FAX: 218/878-7951
MR. TODD NOVACZYK
HWSAL
Lim-Liab
LIGHTHOUSE OF CLOQUET & BARNUM
3725 HORIZON DR BLDG 2
(22197)
BARNUM, MN 55707
PHONE: 218/878-7950
FAX: 218/345-8800
Corp
VISIONARY HOME CARE
MR. TODD NOVACZYK
HCP-A
3656 FRONT STREET
(28957)
BARNUM, MN 55707
PHONE: 218/389-3291
FAX: 218/389-9851
MS. MICHELLE GRAHAM
Home Mgmt
Corp
VISIONARY HOME CARE
3656 FRONT STREET
(25895)
BARNUM, MN 55707
PHONE: 218/389-6244
MS. JULIE BOGENHOLM
FAX: 218/389-9851
NProf
CARLTON PLACE
HWSAL
HCP-F
813 THIRD STREET
(21142)
CARLTON, MN 55718
PHONE: 218/384-8440
MS. CONSTANCE ANDERSON
FAX: 218/384-8442
State
COMMUNITY ADDICTION RECOVERY
SLFA-40
810 THIRD STREET SUITE 102
(21547)
CARLTON, MN 55718
PHONE: 218/384-7003
FAX: 218/384-7006
Church
INTERFAITH CARE CENTER
MS. MERALEE ROSASCO
NH-96
SNF-NF-96
811 THIRD STREET
(21170)
CARLTON, MN 55718
PHONE: 218/384-4258
FAX: 218/384-9820
Ind
LAURA BODIN
MS. CONSTANCE ANDERSON
HCP-A
1570 OLSONVILLE ROAD
(21517)
CARLTON, MN 55718
PHONE: 218/393-4843
PINE VIEW APARTMENTS
FAX: /-
MS. LAURA BODIN
HWS
NProf
800 THIRD STREET
CARLTON, MN 55718
PHONE: 218/384-8443
WOODLAND PINES HRA OF CARLTON
(21814)
FAX: 218/384-8442
MRS. CONSTANCE ANDERSON
HWS
HRA
201 SPRUCE AVENUE
CARLTON, MN 55718
PHONE: 218/879-3353
(21426)
FAX: 218/879-1437
MS. DEBRA SHAFF
Minnesota Department of Health
Division of Compliance Monitoring
Page
36
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
ASPEN ARMS
Certification
CARLTON
Registration
(Cont.)* -------------------------­
HWSAL
HRA
950 14TH STREET
CLOQUET, MN 55720
PHONE: 218/879-3353
COMMUNITY MEMORIAL HOSPITAL
(21159)
FAX: 218/879-1437
NProf
MS. DEBRA SHAFF
NH-44 BASS-6 HOSP-36
SNF-NF-44 CAH-25
512 SKYLINE BLVD
CLOQUET, MN 55720
PHONE: 218/879-4641
DIAMOND WILLOW ASSISTED LIVING
(00048)
FAX: 218/879-9167
MR. RICHARD BREUER
HWSAL
Lim-Liab
130 W NORTH ROAD
CLOQUET, MN 55720
PHONE: 218/878-1585
DIAMOND WILLOW ASSISTED LIVING
(24425)
FAX: 218/878-1588
MS. BRENDA MARSHALL
HWSAL
Lim-Liab
132 W NORTH ROAD
CLOQUET, MN 55720
PHONE: 218/878-1972
EVERGREEN KNOLL
(24426)
MS. BRENDA MARSHALL
FAX: 218/878-1588
HWSAL
Lim-Liab
1309 14TH STREET
CLOQUET, MN 55720
PHONE: 218/878-3302
EVERGREEN SENIOR LIVING
(24494)
MS. TERRI LANGEVIN
FAX: 218/878-3304
ONProf
HCP-F
1309 14TH STREET
CLOQUET, MN 55720
PHONE: 218/878-3302
FOND DU LAC ASSISTED LIVING RE
(21246)
FAX: 218/878-3304
MR. PAUL ABZUG
HWSAL
Tribal
1571 AIRPORT ROAD
CLOQUET, MN 55720
PHONE: 218/878-3848
FOND DU LAC HOME CARE PROGRAM
(27607)
FAX: 218/878-3843
Tribal
MR. CHUCK ELLS
HCP-A
1571 AIRPORT RD
CLOQUET, MN 55720
PHONE: 218/878-3836
GOLDEN YEARS CARE
(27376)
FAX: 218/878-3843
MRS. CAROL WUOLLET
HWS
Corp
1701 MAPLEWOOD AVENUE
CLOQUET, MN 55720
PHONE: 218/499-8444
GOLDEN YEARS CARE
(26904)
FAX: 218/499-8444
Corp
MS. JERI JOHNSON
HCP-A
1701 MAPLEWOOD AVENUE
CLOQUET, MN 55720
PHONE: 218/499-8444
(27163)
FAX: 218/499-8444
MS. JERI JOHNSON
Minnesota Department of Health
Division of Compliance Monitoring
Page 37
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
CARLTON
(Cont.)* -------------------------­
HWS
Part
LARSON COMMONS
Registration
810 CLOQUET AVENUE
(21832)
CLOQUET, MN 55720
PHONE: 218/879-3759
FAX: 218/879-8847
Lim-Liab
LIGHTHOUSE OF CLOQUET & BARNUM
MS. CINDY FLEEGEL
HCP-F
HWSAL
702 HORIZON CIRCLE
(21672)
CLOQUET, MN 55720
PHONE: 218/878-7950
FAX: 888/331-6005
MR. PAM ZEZULKA
HWS
Lim-Liab
LIGHTHOUSE OF CLOQUET & BARNUM
701 HORIZON CIRCLE
(24315)
CLOQUET, MN 55720
PHONE: 218/878-0085
FAX: 888/331-6005
MR. DAVE KELLER
HWSAL
Lim-Liab
LIGHTHOUSE OF CLOQUET & BARNUM
705 HORIZON CIRCLE
(24899)
CLOQUET, MN 55720
PHONE: 218/878-7950
MR. TODD NOVACZYK
FAX: 218/878-7951
HWSAL
Lim-Liab
LIGHTHOUSE OF CLOQUET & BARNUM
1909 TALL PINE LANE
(25969)
CLOQUET, MN 55720
PHONE: 218/878-0000
MR. TODD NOVACZYK
FAX: 218/878-1099
HWSAL
Lim-Liab
LIGHTHOUSE OF CLOQUET & BARNUM
706 HORIZON CIRCLE
(25970)
CLOQUET, MN 55720
PHONE: 218/878-7950
FAX: 218/878-7951
Ind
LINDA ROSE ENLUND
MR. TODD NOVACZYK
HCP-C
1534 BLUEBIRD AVENUE
(28081)
CLOQUET, MN 55720
PHONE: 218/590-2955
PLAINVIEW ESTATES
FAX: /­
MS. LINDA ENLUND
Corp
HWSAL
HCP-F
2507 FAIRVIEW AVENUE
CLOQUET, MN 55720
PHONE: 218/879-8230
SUPERIOR VIEW ASSISTED LVG
(25999)
FAX: 218/879-8223
Corp
MS. COLETA PARENTEAU
HCP-F
207 AVENUE C SUITE 220
CLOQUET, MN 55720
PHONE: 218/491-7838
VISIONARY HOME CARE
(23771)
FAX: 218/491-7840
Corp
MS. MINDY MORTLEY
HCP-B
1501 HIGHWAY 33 SOUTH
CLOQUET, MN 55720
PHONE: 218/389-6244
(26776)
FAX: 218/389-9851
MS. JULIE BOGENHOLM
Minnesota Department of Health
Division of Compliance Monitoring
Page 38
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
VILLA COURT
Certification
CARLTON
Registration
(Cont.)* -------------------------­
HWSAL
HCP-F
1220 VILLA COURT DRIVE
(26451)
CROMWELL, MN 55726
PHONE: 218/644-3331
FAX: 218/644-3505
Lim-Liab
VILLA HOME CARE LLC
MS. JULIE PETERSON
HCP-A
1220 VILLA COURT DRIVE
(27915)
CROMWELL, MN 55726
PHONE: 218/644-3331
FAX: 218/644-3505
MS. JULIE PETERSON
HWSAL
Corp
BARNES CARE
154 EAST HIGHWAY 61
(29535)
ESKO, MN 55733
PHONE: 218/879-2155
FAX: 218/879-2703
Corp
BARNES CARE INC
MR. BRANDON BARNES
HWSAL
HCP-F
58 WEST HIGHWAY 61
(23529)
ESKO, MN 55733
PHONE: 218/879-2635
MS. SHARLANE BARNES
FAX: 218/879-2939
HWSAL
Ind
BARNES CARE INC
56 WEST HIGHWAY 61
(26579)
ESKO, MN 55733
PHONE: 218/879-2635
MR. TERRY BARNES
FAX: 218/879-2939
Corp
PLAINVIEW ESTATES INC
HWSAL
HCP-F
46 THOMSON ROAD
(22142)
ESKO, MN 55733
PHONE: 218/879-8230
FAX: 218/879-8223
Lim-Liab
AUGUSTANA MERCY CARE CTR
MRS. COLETA PARENTEAU
NH-72
SNF-NF-72
710 SOUTH KENWOOD AVE
(00049)
MOOSE LAKE, MN 55767
PHONE: 218/351-9400
FAX: 218/351-9401
MR. STEVEN MORK
RHC
Corp
GATEWAY FAM HLTH CLINIC LTD
4570 COUNTY ROAD 61
(21127)
MOOSE LAKE, MN 55767
PHONE: 218/485-4491
KENWOOD PLACE
FAX: /-
MR. ERIC NIELSEN
HWS
NProf
4560 COUNTY HIGHWAY 61
MOOSE LAKE, MN 55767
PHONE: 218/351-9415
KENWOOD PLACE
(20329)
FAX: 218/351-9416
NProf
MR. STEVE MORK
HCP-F
710 SOUTH KENWOOD AVENUE
MOOSE LAKE, MN 55767
PHONE: 218/351-9415
(27537)
FAX: 218/351-9401
MR. STEVE MORK
Minnesota Department of Health
Division of Compliance Monitoring
Page
39
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
MERCY HOME HEALTH AGENCY
Dist
Certification
CARLTON
Registration
(Cont.)* -------------------------­
HCP-A
HHA
30 ARROWHEAD LANE
MOOSE LAKE, MN 55767
PHONE: 218/485-5506
MERCY HOSPITAL
(03714)
FAX: 218/485-5908
Dist
MR. JASON DOUGLAS
BASS-7 HOSP-31 HOSP-
CAH-25 CAH-
710 KENWOOD AVE S
MOOSE LAKE, MN 55767
PHONE: 218/485-4481
MN SEX OFFENDER PROGRAM
(27650)
FAX: 218/586-5654
State
MR. JASON DOUGLAS
SLFB-600
1111 HIGHWAY 73
MOOSE LAKE, MN 55767
PHONE: 218/485-5300
MSOCS MOOSE LAKE ICFMR GR HM
(01674)
FAX: 218/485-5316
State
MR. DAVID BORNUS
SLFB-6
ICFIID-6
305 FOURTH STREET PO BOX 495
MOOSE LAKE, MN 55767
PHONE: 218/485-4634
OAKVIEW RESIDENTIAL CARE
(01622)
MS. MIRANDA TRYTTEN
FAX: 218/485-4365
HWSAL
Corp
1200 TALBOT DRIVE
MOOSE LAKE, MN 55767
PHONE: 218/485-8779
OAKVIEW RESIDENTIAL CARE INC
(28089)
DR. SUSAN BENZIE
FAX: 218/485-8808
Corp
HWSAL
HCP-F
300 TALBOT DRIVE PO BOX 958
MOOSE LAKE, MN 55767
PHONE: 218/485-8779
OAKVIEW RESIDENTIAL CARE INC
(23530)
FAX: 218/485-8808
DR. SUSAN BENZIE
HWSAL
Corp
500 TALBOT DRIVE PO BOX 958
MOOSE LAKE, MN 55767
PHONE: 218/485-8779
SUNCREST ASSISTED LIVING
(23531)
FAX: 218/485-8808
NProf
DR. SUSAN BENZIE
HWSAL
HCP-F
2400 WASHINGTON AVENUE
SCANLON, MN 55720
PHONE: 218/878-1180
GARDEN TERRACE ASSISTED LIVING
(23227)
FAX: 218/878-1201
Corp
MS. ROXANE SCHMITZ
HWSAL
HCP-F
426 MASON DRIVE
WRENSHALL, MN 55797
PHONE: 218/384-4623
(24256)
FAX: 218/384-4508
---------------------------**********
MS. KELLY LAVEAU
CARVER
******** -------------------------­
Minnesota Department of Health
Division of Compliance Monitoring
Page 40
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
LICENSED CARE ON CALL
Certification
CARVER
Registration
(Cont.)* -------------------------­
HCP-A
215 CARVER CREEK PLACE
(27003)
CARVER, MN 55315
PHONE: 612/245-6797
FAX: 952/448-7378
Lim-Liab
ALERE WOMEN'S AND CHILDREN'S H
MRS. REBECCA BATHEJA
HCP-A
551 WEST 78TH STREET STE 207
(03016)
CHANHASSEN, MN 55317
PHONE: 770/767-8218
FAX: 770/916-1312
NProf
SUMMERWOOD OF CHANHASSEN
MS. JENNIFER EMMERICH
HCP-F
525 LAKE DRIVE
(28192)
CHANHASSEN, MN 55317
PHONE: 952/294-5500
FAX: 952/294-5501
MS. NATALIE MORLAND
HWSAL
NProf
SUMMERWOOD OF CHANHASSEN
525 LAKE DRIVE
(24077)
CHANHASSEN, MN 55317
PHONE: 952/294-5500
MR. MARK MEYER
FAX: 952/294-5501
NProf
AUBURN COURTS
HCP-F
501 NORTH OAK STREET
(24271)
CHASKA, MN 55318
PHONE: 952/448-9303
MS. TRACY COURNEYA
FAX: 952/361-0411
HWSAL
Church
AUBURN COURTS
501 OAK STREET NORTH
(20425)
CHASKA, MN 55318
PHONE: 952/361-0333
FAX: 952/361-0305
NProf
AUBURN MANOR
MS. SHEILA NIELAND-SNYDER
NH-61
SNF-NF-61
501 OAK STREET
(00335)
CHASKA, MN 55318
PHONE: 952/448-9303
FAX: 952/361-0305
Part
FOREVER LIFE HOME HEALTH CARE
MR. RICK KRANT
HCP-A
123 WEST THIRD STREET STE 1
(24761)
CHASKA, MN 55318
PHONE: 952/361-3052
FAX: 952/361-3053
Ind
GARDENS OF LOVE CARE HOME
MR. JEFF LEROY
HWSAL
HCP-F
112509 RAMSEY COURT
(26995)
CHASKA, MN 55318
PHONE: 952/479-7788
FAX: 952/479-7788
MS. GAYLE SWENSON
HWSAL
Corp
HIDDEN CREEK ASSISTED LIVING
112007 HIDDEN CREEK PLACE
(20396)
CHASKA, MN 55318
PHONE: 952/361-9338
FAX: /-
MR. JAMES BOONE
Minnesota Department of Health
Division of Compliance Monitoring
Page 41
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
CARVER
(Cont.)* -------------------------­
HWSAL
Corp
HIDDEN CREEK ASSISTED LIVING
Registration
112003 HIDDEN CREEK PLACE
(20528)
CHASKA, MN 55318
PHONE: 952/361-9338
FAX: /­
MR. JAMES BOONE
HWSAL
Corp
HIDDEN CREEK ASSISTED LIVING
112001 HIDDEN CREEK PLACE
(20397)
CHASKA, MN 55318
PHONE: 952/361-9338
FAX: /­
MR. JAMES BOONE
Corp
HIDDEN CREEK ASSISTED LIVING
HCP-F
112001 HIDDEN CREEK PLACE
(20816)
CHASKA, MN 55318
PHONE: 952/361-9338
FAX: 952/361-9335
MR. JAMES BOONE
HWSAL
Corp
HIDDEN CREEK ASSISTED LIVING
112005 HIDDEN CREEK PLACE
(20957)
CHASKA, MN 55318
PHONE: 952/361-9338
MR. JAMES BOONE
FAX: /­
NProf
MARIE STEINER KELTING HOSPICE
RES-HSPICE-5
9120 SHADY OAK DRIVE
(25976)
CHASKA, MN 55318
PHONE: 952/442-6030
MS. LISA HURT
FAX: 952/442-6542
Amb Surg
Lim-Liab
TWO TWELVE SURGERY CENTER
111 HUNDERTMARK ROAD STE 340
(28004)
CHASKA, MN 55318
PHONE: 952/556-2622
FAX: 952/556-2621
MR. AARON JOHNSON
HWS
Lim-Liab
BEE HIVE HOMES OF EXCELSIOR
6330 HAZELTINE BOULEVARD
(29623)
EXCELSIOR, MN 55331
PHONE: 952/474-4811
FAX: /-
MR. TYLER STEVENS
Lim-Liab
BEE HIVE HOMES OF MINNESOTA
HCP-F
6330 HAZELTINE BOULEVARD
(29622)
EXCELSIOR, MN 55331
PHONE: 952/474-4811
MR. TYLER STEVENS
FAX: /-
Ind
JANICE R SINNEN
HCP-C
16225 74TH STREET
(27877)
NEW GERMANY, MN 55367
PHONE: 952/353-2115
HARBOR AT PEACE VILLAGE
MS. JANICE SINNEN
FAX: /-
Corp
HCP-F
300 NORTH FAXON ROAD
NORWOOD YOUNG AMER, MN 55368
PHONE: 952/467-9683
(24555)
FAX: 952/467-9684
MS. LAURIE HILGERS
Minnesota Department of Health
Division of Compliance Monitoring
Page 42
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
HARBOR AT PEACE VILLAGE
Certification
CARVER
Registration
(Cont.)* -------------------------­
HWS
City
300 NORTH FAXON ROAD
NORWOOD YOUNG AMERIC, MN 55368
PHONE: 952/467-9683
MOUNT OLIVET ROLLING ACRES
(28522)
FAX: 952/467-9684
NProf
MS. LAURIE HILGERS
ICFIID-6
SLFB-6
129 MACKENTHUN LANE
NORWOOD YOUNG AMERIC, MN 55368
PHONE: 952/467-6484
AUGUSTANA EMERALD CREST OF VIC
(21000)
FAX: 866/380-3092
NProf
MR. BRUCE TORGERSON
HCP-F
8150 BAVARIA RD
VICTORIA, MN 55386
PHONE: 952/856-7510
AUGUSTANA EMERALD CREST OF VIC
(20815)
FAX: 952/856-7511
MS. MARGARET OWENS
HWSAL
NProf
8150 BAVARIA ROAD
VICTORIA, MN 55386
PHONE: 952/856-7522
BETHESDA LUTHERAN COM COT 4
(24028)
MS. MARGARET OWENS
FAX: 952/856-7527
NProf
ICFIID-6
SLFA-6
1521 82ND STREET
VICTORIA, MN 55386
PHONE: 952/443-2048
BETHESDA LUTHERAN COMM COT 1
(01541)
MS. MONICA SCHMIDT
FAX: 952/443-2371
NProf
ICFIID-12
SLFA-12
1501 82ND STREET
VICTORIA, MN 55386
PHONE: 952/443-2048
BETHESDA LUTHERAN COMM COT 2
(01254)
FAX: 952/443-2371
NProf
MS. MONICA SCHMIDT
ICFIID-12
SLFA-12
1531 82ND STREET
VICTORIA, MN 55386
PHONE: 952/443-2048
BETHESDA LUTHERAN COMM COT 3
(01539)
FAX: 952/443-2371
NProf
MS. MONICA SCHMIDT
ICFIID-11
SLFA-11
1511 82ND STREET
VICTORIA, MN 55386
PHONE: 952/443-2048
MOUNT OLIVET ROLLING ACRES
(01540)
FAX: 952/443-2371
Church
MS. MONICA SCHMIDT
ICFIID-34
SLFB-34
7200 ROLLING ACRES RD BOX 220
VICTORIA, MN 55386
PHONE: 952/474-5974
VICTORIA CARE CENTER LLC
(01022)
FAX: 952/474-3652
Lim-Liab
MR. BRUCE TORGERSON
HCP-F
1885 STEIGER LAKE LANE
VICTORIA, MN 55386
PHONE: 952/443-2735
(29015)
FAX: 952/443-2735
MS. TERESA GREGORY
Minnesota Department of Health
Division of Compliance Monitoring
Page
43
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
VICTORIA CARE CENTER LLC
Certification
CARVER
Registration
(Cont.)* -------------------------­
HWSAL
Lim-Liab
1885 STEIGER LAKE LANE
VICTORIA, MN 55386
PHONE: 952/443-2735
AUBURN HOME IN WACONIA
(29014)
FAX: 612/443-2735
NProf
MS. TERESA GREGORY
NH-37
SNF-NF-37
594 CHERRY DRIVE
WACONIA, MN 55387
PHONE: 952/442-2546
AUBURN MEADOWS
(00053)
FAX: 952/442-5504
MR. RICK KRANT
HWSAL
Corp
591 CHERRY DRIVE
WACONIA, MN 55318
PHONE: 952/361-5073
FMCNA WACONIA DIALYSIS
(28788)
FAX: 952/442-5504
MS. SHEILA NIELAND-SNYDER
ESRD
Corp
560 SOUTH MAPLE STREET SUITE 6
WACONIA, MN 55387
PHONE: 952/442-4605
GOOD SAM SOCIETY WACONIA
(26856)
MR. PATRICK HOWARD
FAX: 952/442-5902
NProf
NH-100
SNF-NF-100
333 FIFTH STREET WEST
WACONIA, MN 55387
PHONE: 952/442-5111
LIGHTHOUSE AT WACONIA
(00924)
MS. REBECCA BOLLIG
FAX: 952/442-6170
Lim-Liab
HWSAL
HCP-F
500 CHERRY STREET
WACONIA, MN 55387
PHONE: 952/442-1261
RIDGEVIEW HOME CARE SERVICES
(23848)
FAX: 952/856-3208
NProf
MR. VINCE BECKEL
HCP-A
HHA
501 SOUTH MAPLE STREET STE 1
WACONIA, MN 55387
PHONE: 952/442-6030
RIDGEVIEW HOME SUPPORT SERVICE
(02252)
FAX: 952/442-6542
NProf
MS. LISA HURT
HCP-A
501 SOUTH MAPLE ST STE 1
WACONIA, MN 55387
PHONE: 952/442-6030
RIDGEVIEW HOSPICE
(21112)
FAX: 952/442-6542
NProf
MS. LISA HURT
Hospice
HSPICE
500 SOUTH MAPLE STREET
WACONIA, MN 55387
PHONE: 952/442-6030
RIDGEVIEW MEDICAL CENTER
(03780)
FAX: 952/442-6524
NProf
MS. LISA HURT
BASS-20 HOSP-109
500 MAPLE ST S
WACONIA, MN 55387
PHONE: 952/442-2191
(00055)
FAX: 952/442-6543
MR. ROBERT STEVENS
HOSP-97 PPS-P-12
Minnesota Department of Health
Division of Compliance Monitoring
Page
44
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Church
WESTVIEW ACRES GOOD SAM COM
Certification
CARVER
Registration
(Cont.)* -------------------------­
HCP-F
HWSAL
433 FIFTH STREET WEST
(20109)
WACONIA, MN 55387
PHONE: 952/442-5459
FAX: 952/442-1125
Church
ELIM HOME WATERTOWN
MS. REBECCA BOLLIG
NH-51
SNF-NF-51
409 JEFFERSON AVE SW BOX 638
(00051)
WATERTOWN, MN 55388
PHONE: 952/955-2691
FAX: 952/955-3799
MS. CORINNE ALLEN
Out Pt Out St Out Ot
Church
PRO REHAB
200 LEWIS AVENUE SO SUITE 210
(02532)
WATERTOWN, MN 55388
PHONE: 952/955-2242
FAX: 952/955-2010
Corp
WESTWOOD PLACE INC
MR. JEFFREY DAGEN
HCP-F
HWSAL
209 JEFFERSON AVENUE SOUTHWEST
(20063)
WATERTOWN, MN 55388
PHONE: 952/955-1399
MR. RICHARD GORRA
FAX: 952/955-1398
---------------------------**********
Corp
DIGNITY AND GRACE
CASS
******** -------------------------­
HCP-F
HWSAL
823 STATE HWY 371 NORTHWEST
(27107)
BACKUS, MN 56435
PHONE: 218/947-4445
FAX: 320/323-4455
MRS. MELANIE BURNS
Home Mgmt
Lim-Liab
HOME BUT NOT ALONE HOME CARE
1283 TRINITY PINES LANE NW
(29134)
BACKUS, MN 56435
PHONE: 218/947-3300
FAX: /­
MS. LINDA NELSON
ESRD
Corp
CASS LAKE DIALYSIS FACILITY
602 GRANT UTLEY ST PO BOX 757
(03600)
CASS LAKE, MN 56633
PHONE: 218/335-6671
FAX: /­
MS. JOAN ANDERSON
CAH-13
PHS
CASS LAKE INDIAN HLTH SERV HOS
425 7TH STREET NW
(22140)
CASS LAKE, MN 56633
PHONE: 218/335-3200
FAX: 218/335-3300
MS. NORINE SMITH
RHC
NProf
SANFORD HLTH CASS LAKE CLINIC
219 GRANT UTLEY AVENUE
(02840)
CASS LAKE, MN 56633
PHONE: 218/335-2559
FAX: /­
MS. MARY MILLER
Minnesota Department of Health
Division of Compliance Monitoring
Page 45
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
CASS
(Cont.)* -------------------------­
HWSAL
Corp
BIRCHVIEW GARDENS ASSISTED LIV
Registration
108 3RD STREET NORTH
(28209)
HACKENSACK, MN 56452
PHONE: 218/675-5424
FAX: 218/675-5184
Corp
BIRCHVIEW GARDENS ASSISTED LVG
MR. JOHN MCELFRESH
HCP-F
108 3RD STREET NORTH
(28208)
HACKENSACK, MN 56452
PHONE: 218/675-5424
FAX: 218/675-5184
MR. JOHN MCELFRESH
RHC
NProf
LONGVILLE LAKES CLINIC INC
180 JORDAN LANE
(27046)
LONGVILLE, MN 56655
PHONE: 218/363-3300
FAX: 218/363-2233
MS. THERESA SULLIVAN
RHC
NProf
LAKEWOOD CLINIC PILLAGER
653 PILLSBURY ST NO SUITE 1
(23695)
PILLAGER, MN 56473
PHONE: 218/746-4550
RIVERSIDE ASSISTED LIVING OF P
MR. TIM RICE
FAX: /­
HWSAL
Corp
885 MEADOWVIEW CIRCLE NORTH
PILLAGER, MN 56473
PHONE: 218/746-4400
RIVERSIDE ASST LVG OF PILLAGER
(27489)
MS. SHAUNA KAPSNER
FAX: 218/746-4444
Corp
HCP-F
885 MEADOW VIEW CIRCLE NORTH
PILLAGER, MN 56473
PHONE: 218/746-4400
BROOKSIDE
(27488)
FAX: 218/746-4444
Corp
MR. DAVE JOHNSON
HWSAL
HCP-F
2729 STATE 371 SOUTHWEST
PINE RIVER, MN 56474
PHONE: 218/587-3304
GOOD SAM SOCIETY PINE RIVER
(23041)
FAX: 218/587-3314
NProf
MS. MELANIE BURNS
NH-56
SNF-NF-56
518 JEFFERSON AVE BOX 29
PINE RIVER, MN 56474
PHONE: 218/587-4423
RIVERSIDE ASSISTED LIVING
(00058)
FAX: 218/587-2671
NProf
MS. KAREN PROSOSKI
HWSAL
HCP-F
2189 WHITE PINE POINT RD SW
PINE RIVER, MN 56474
PHONE: 218/587-4433
RIVERSIDE ASSISTED LIVING
(22165)
FAX: 218/587-3650
MR. MIKE DEUTH
HWSAL
NProf
2175 WHITE PINE POINT RD SW
PINE RIVER, MN 56474
PHONE: 218/587-4333
(25419)
FAX: 218/587-2155
MS. SANDRA GILBERTSON
Minnesota Department of Health
Division of Compliance Monitoring
Page 46
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
AMERICARE LODGES INC
Certification
CASS
Registration
(Cont.)* -------------------------­
HCP-F
HWSAL
6870 SCHULTZ DRIVE NORTHEAST
(21144)
REMER, MN 56672
PHONE: 218/566-4722
FAX: 218/566-3364
Cnty
CASS CO PUBLIC HEALTH
MRS. DEBRA ENGEN
HCP-A
HHA
BOX 40 400 MICHIGAN AVENUE
(02062)
WALKER, MN 56484
PHONE: 218/547-1340
FAX: 218/547-1448
Lim-Liab
GOLDEN LIVINGCENTER WALKER
MR. RENO WELLS
NH-40
SNF-NF-40
209 BIRCHWOOD AVE W
(00995)
WALKER, MN 56484
PHONE: 218/547-1855
FAX: 218/547-2266
MR. BRIAN LARSEN
HWSAL
Corp
MAY CREEK COTTAGES INC
299 10TH STREET SOUTH
(26255)
WALKER, MN 56484
PHONE: 218/547-4515
MS. ANN NOLAND
FAX: 218/547-7553
HWSAL
Corp
MAY CREEK COTTAGES INC
301 10TH STREET SOUTH
(26256)
WALKER, MN 56484
PHONE: 218/547-4515
MS. ANN NOLAND
FAX: 218/547-7553
Corp
MAY CREEK LODGE INC
HCP-F
HWSAL
303 10TH STREET SOUTH BOX 530
(20689)
WALKER, MN 56484
PHONE: 218/547-4515
FAX: 218/547-7553
MS. ANN NOLAND
RHC
NProf
SANFORD HEALTH WALKER CLINIC
614 MICHIGAN AVENUE
(20651)
WALKER, MN 56484
PHONE: 218/547-3938
FAX: /­
MS. MARY MILLER
---------------------------**********
City
CLARA CITY CARE CENTER
CHIPPEWA
******** -------------------------­
NH-66
SNF-NF-66
1012 DIVISION ST N
(00061)
CLARA CITY, MN 56222
PHONE: 320/847-2221
FAX: 320/847-3553
MR. MICHAEL STORDAHL
HWS
City
GRANITE RIDGE PLACE
500 SKYVIEW DRIVE
(20567)
GRANITE FALLS, MN 56241
PHONE: 320/564-3382
FAX: /­
MR. GEORGE GERLACH
Minnesota Department of Health
Division of Compliance Monitoring
Page 47
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
CHIPPEWA
(Cont.)* -------------------------­
HWSAL
Corp
HOMETOWN CARE PROVIDERS INC RI
Registration
640 CENTER AVENUE
(22068)
GRANITE FALLS, MN 56241
PHONE: 320/564-3308
FAX: /­
MS. TAMARA TAMMEN
Home Mgmt
Corp
AVENUES FOR CARE INC
101 SOUTH 1ST STREET SUITE 200
(27647)
MONTEVIDEO, MN 56265
PHONE: 320/269-2929
FAX: 320/269-2278
MS. SHELLY ELKINGTON
HWS
NProf
BROOKSIDE MANOR
804 BENSON ROAD
(21803)
MONTEVIDEO, MN 56265
PHONE: 320/269-6506
FAX: 320/269-6507
MR. JERRY TILDEN
HWS
Corp
BURNSDALE EXTENDED CARE
1418 BLACK OAK AVENUE
(21135)
MONTEVIDEO, MN 56265
PHONE: 320/226-6824
MS. TAMI DOREN KAMPER
FAX: 320/269-6304
HWS
Corp
BURNSDALE EXTENDED CARE
1318 BLACK OAK
(25963)
MONTEVIDEO, MN 56265
PHONE: 320/226-6824
MS. TAMI DORENKAMPER
FAX: 320/269-6304
HWS
Corp
BURNSDALE EXTENDED CARE
1320 BLACK OAK
(25964)
MONTEVIDEO, MN 56265
PHONE: 320/226-6824
FAX: 320/269-6304
Corp
BURNSDALE EXTENDED CARE
MS. TAMI DORENKAMPER
HCP-F
1418 BLACK OAK AVENUE
(28369)
MONTEVIDEO, MN 56265
PHONE: 320/269-6640
FAX: 320/226-6304
MS. TAMI DORENKAMPER
HWS
Corp
BURNSDALE EXTENDED CARE
1324 BLACK OAK
(29390)
MONTEVIDEO, MN 56265
PHONE: 320/226-6824
FAX: 320/269-6304
Cy-Co
CHIPPEWA CO MONTEVIDEO HOSP
MS. TAMI DORENKAMPER
BASS-6 HOSP-30
CAH-25
824 11TH ST N
(00060)
MONTEVIDEO, MN 56265
PHONE: 320/321-8100
MR. MARK PAULSON
FAX: 320/269-8186
CHIPPEWA COUNTY MONTEVIDEO HHC
Cy-Co
HCP-A
HHA
824 NORTH 11TH STREET
MONTEVIDEO, MN 56265
PHONE: 320/321-8506
(02374)
FAX: 320/269-8186
MR. MARK PAULSON
Minnesota Department of Health
Division of Compliance Monitoring
Page 48
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Church
COPPER GLEN
Certification
CHIPPEWA
Registration
(Cont.)* -------------------------­
HCP-F
HWSAL
801 13TH STREET NORTH
(20309)
MONTEVIDEO, MN 56265
PHONE: 320/321-8312
FAX: 320/269-6510
MR. JAMES FLAHERTY
HWSAL
Corp
HOME FRONT FIRST
224 NORTH 19TH STREET
(21051)
MONTEVIDEO, MN 56265
PHONE: 320/269-2930
FAX: 320/269-4700
MS. PAULA ROCHELEAU
HWSAL
Corp
HOME FRONT FIRST
216 NORTH 19TH STREET
(21835)
MONTEVIDEO, MN 56265
PHONE: 320/269-4881
FAX: 320/269-4700
Church
LUTHER HAVEN
MS. STACY WALZ
NH-90
SNF-NF-90
1109 HWY 7 E
(00062)
MONTEVIDEO, MN 56265
PHONE: 320/321-8312
MR. JIM FLAHERTY
FAX: 320/269-6510
HWSAL
Lim-Liab
MEADOW CREEK HOSPITALITY LLC
4000 CR 15 SOUTHWEST
(28185)
MONTEVIDEO, MN 56265
PHONE: 320/269-9000
MS. LUANNE GIBSON
FAX: 320/269-8008
ESRD
Corp
MONTEVIDEO DIALYSIS
824 NORTH ELEVENTH STREET
(02817)
MONTEVIDEO, MN 56265
PHONE: 320/269-7451
REM SW SERVICES MONTEVIDEO
FAX: /­
MS. BARB GRUBE
Corp
ICFIID-6
SLFA-6
585 GRAVEL ROAD
MONTEVIDEO, MN 56265
PHONE: 320/269-6479
ROSEWOOD
(01266)
FAX: 320/269-8559
MR. PATRICK MASYGA
HWSAL
Corp
1806 LINCOLN AVENUE
MONTEVIDEO, MN 56265
PHONE: 320/269-6870
VALIN SENIOR CARE LLC
(21524)
FAX: 320/269-6304
Lim-Liab
MS. STACY WALZ
HCP-F
HWSAL
5024 HIGHVIEW DRIVE SW
MONTEVIDEO, MN 56265
PHONE: 320/269-8117
(24410)
FAX: 320/269-8117
---------------------------**********
MS. LINDA DEGRISELLES
CHISAGO
******** -------------------------­
Minnesota Department of Health
Division of Compliance Monitoring
Page
49
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
HAZELDEN FOUNDATION
NProf
Certification
CHISAGO
Registration
(Cont.)* -------------------------­
SLFB-5
15251 PLEASANT VALLEY BOX 11
CENTER CITY, MN 55012
PHONE: 651/213-4217
AT HOME CARE OF PARMLY LIFEPOI
(00067)
FAX: 651/213-4344
NProf
MR. JOHN DRISCOLL
HCP-A
28210 OLD TOWNE ROAD
CHISAGO CITY, MN 55013
PHONE: 651/257-7337
ECUMEN CHISAGO CITY VINDAUGA V
(24763)
FAX: 651/257-7330
NProf
MS. DENISE OLSON
HCP-F
HWSAL
10910 282ND STREET
CHISAGO CITY, MN 55013
PHONE: 651/257-7332
FAIRVIEW LAKES HOMECARING HOSP
(21587)
FAX: 651/257-0579
NProf
MS. DENISE OLSON
HCP-A
HHA
11725 STINSON AVENUE
CHISAGO CITY, MN 55013
PHONE: 651/257-8850
FAIRVIEW LAKES HOMECARING HOSP
(02363)
MS. KAREN BROHAUGH
FAX: 651/257-8852
NProf
Hospice
HSPICE
11725 STINSON AVENUE
CHISAGO CITY, MN 55013
PHONE: 651/257-8850
ISABELLE'S HOUSE OF PARMLY LIF
(02760)
MS. KAREN BROHAUGH
FAX: 651/257-8852
HWSAL
NProf
28210 OLD TOWNE ROAD
CHISAGO CITY, MN 55013
PHONE: 651/257-7944
JUST LIKE HOME SENIOR CARE
(25276)
FAX: 651/257-0579
Corp
MS. DENISE OLSON
HCP-F
29288 OLD TOWN ROAD
CHISAGO CITY, MN 55013
PHONE: 651/257-3684
JUST LIKE HOME SENIOR CARE
(28154)
FAX: 251/257-3685
MS. DEBBIE GIBSON
HWSAL
Corp
29288 OLD TOWN ROAD
CHISAGO CITY, MN 55013
PHONE: 651/257-3684
LINNEA RESIDENTIAL HOME
(28155)
FAX: 651/257-3685
NProf
MS. DEBBIE GIBSON
ICFIID-12
SLFB-12
28770 OLD TOWNE RD PO BOX 450
CHISAGO CITY, MN 55013
PHONE: 651/257-2211
MARGARET'S HOUSE AT PARMLY LIF
(01282)
FAX: 651/257-9430
MR. SCOTT FOSS
HWSAL
NProf
28210 OLD TOWNE ROAD
CHISAGO CITY, MN 55013
PHONE: 651/257-7332
(20872)
FAX: 651/257-0579
MS. DENISE OLSON
Minnesota Department of Health
Division of Compliance Monitoring
Page
50
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
PARMLY LAKEVIEW INC
Certification
CHISAGO
Registration
(Cont.)* -------------------------­
HWS
NProf
10600 282ND STREET
CHISAGO CITY, MN 55013
PHONE: 651/257-0581
POINT PLEASANT HEIGHTS
(22023)
FAX: 651/257-0583
MS. CHRISTINE ZOYA
HWS
NProf
28600 FAIRWAY LANE
CHISAGO CITY, MN 55013
PHONE: 651/257-7332
THE MARGARET S PARMLY RES
(20132)
FAX: 651/851-4080
Church
MS. DENISE OLSON
NH-101
SNF-NF-101
28210 OLD TOWNE RD
CHISAGO CITY, MN 55013
PHONE: 651/257-0575
WINDY ACRES ASSISTED LVNG INC
(00065)
FAX: 651/257-0579
Corp
MR. FRANK ROBINSON
HWSAL
HCP-F
7040 LAKE BOULEVARD
FOREST LAKE, MN 55025
PHONE: 651/464-8337
THERAPEUTIC COMM RESIDENCE
(20401)
MR. GARY LANKEY
FAX: 651/464-8340
Corp
ICFIID-8
SLFA-8
28100 NEWBERRY TRAIL
LINDSTROM, MN 55045
PHONE: 651/257-1507
ECUMEN NORTH BRANCH
(01519)
MR. DANIEL MCNALLY
FAX: 651/257-1526
Church
NH-67
SNF-NF-67
5379 383RD ST
NORTH BRANCH, MN 55056
PHONE: 651/237-3006
ECUMEN NORTH BRANCH
(00066)
FAX: 651/674-5745
NProf
MR. NATHAN JOHNSON
HWSAL
HCP-F
5379 383RD STREET
NORTH BRANCH, MN 55056
PHONE: 651/237-3000
NORTH BRANCH GW LLC
(25212)
FAX: 651/237-3073
Lim-Liab
MS. MONICA NELSON
HWSAL
HCP-F
38610 14TH AVE
NORTH BRANCH, MN 55056
PHONE: 651/674-0068
ALL ABOUT CARING HOME CARE INC
(25046)
FAX: 651/317-2020
Corp
MS. RHONDA SCHILLINGER
HCP-A
170 SOUTH BREMER AVE PO #370
RUSH CITY, MN 55069
PHONE: 320/358-0987
GOLDEN LIVINGCENTER RUSH CITY
(24069)
FAX: 320/358-3422
Lim-Liab
MR. MARK JOHNSTON
NH-49
SNF-NF-49
650 BREMER AVENUE SOUTH
RUSH CITY, MN 55069
PHONE: 320/358-4765
(00994)
FAX: 320/358-4317
MR. RON HATTON
Minnesota Department of Health
Division of Compliance Monitoring
Page 51
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
CARDENAS FRIENDSHIP HOME
Certification
CHISAGO
Registration
(Cont.)* -------------------------­
HCP-F
17595 260TH STREET
(20968)
SHAFER, MN 55074
PHONE: 651/257-8146
FAX: 651/257-9246
Ind
CONNIE R DAVIS LPN
MR. ROBERT CARDENAS
HCP-A
1875 WEST RUSH DRIVE
(28181)
STANCHFIELD, MN 55080
PHONE: 763/670-7498
FAX: /-
MS. CONNIE DAVIS
HWS
NProf
EBENEZER LAKES SENIOR HOUSING
5430 MEADOW LANE
(26797)
WYOMING, MN 55092
PHONE: 651/982-6228
FAX: 651/466-0714
NProf
FAIRVIEW LAKES MEDICAL CENTER
MS. KARI WILSON
BASS-12 HOSP-61
HOSP-61
5200 FAIRVIEW BLVD
(00006)
WYOMING, MN 55092
PHONE: 651/982-7104
MR. STEVEN HOUSH
FAX: 651/982-7110
Lim-Liab
INFINITE HOMECARE LLC
HCP-A
26365 GOODVINE AVENUE
(29619)
WYOMING, MN 55092
PHONE: 651/272-5332
MS. SARAH LAMOUREA
FAX: 651/272-5332
NProf
MEADOWS ON FAIRVIEW
HCP-F
HWSAL
25565 FAIRVIEW AVENUE
(23170)
WYOMING, MN 55092
PHONE: 651/982-6228
FAX: 651/466-0714
MS. JILL NOKELBY
ESRD
Corp
WYOMING DIALYSIS
5657 257TH STREET
(03759)
WYOMING, MN 55092
PHONE: 651/462-0000
FAX: 651/462-0004
MS. DIANA SKOOG
---------------------------**********
CLAY
******** -------------------------­
RHC
Ind
BARNESVILLE AREA CLINIC
209 SECOND STREET SE BOX 279
(02509)
BARNESVILLE, MN 56514
PHONE: 218/354-2111
CLAYCO CARE CENTER
FAX: /­
DR. OWEN THOMPSON
Corp
NH-35
SNF-NF-35
600 FIFTH STREET SOUTHEAST
BARNESVILLE, MN 56514
PHONE: 218/354-2254
(00968)
FAX: 218/354-2153
MS. JESSICA RAAD
Minnesota Department of Health
Division of Compliance Monitoring
Page 52
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
GOLDEN MANOR OF BARNESVILLE
Certification
CLAY
Registration
(Cont.)* -------------------------­
HWSAL
Corp
1102 4TH AVE NE
BARNESVILLE, MN 56501
PHONE: 218/354-7200
HOUGE ESTATES CLAY COUNTY HRA
(21407)
FAX: 218/354-6079
MS. JENNIFER BERG
HWSAL
HRA
510 CENTER AVENUE EAST
DILWORTH, MN 56529
PHONE: 218/233-8883
MOORHEAD DIALYSIS
(21687)
FAX: 218/233-9491
MS. DARA LEE
ESRD
Lim-Liab
1710 CENTER AVENUE WEST
DILWORTH, MN 565291309
PHONE: 218/223-3354
SERENITY LIVING CENTER
(28926)
FAX: 218/233-3482
MS. CARI DOCK
HWSAL
Corp
1204 OAKVIEW DRIVE
DILWORTH, MN 56529
PHONE: 218/477-7254
SERENITY LIVING CENTER INC
(29276)
MS. ELAINE ANDERSON
FAX: 218/477-7255
Corp
HWSAL
HCP-F
1125 OAKVIEW DRIVE
DILWORTH, MN 56529
PHONE: 218/477-7254
HAWLEY MANOR
(24327)
MS. ELAINE ANDERSON
FAX: 218/477-7255
Corp
HWSAL
HCP-A
923 FIFTH STREET
HAWLEY, MN 56549
PHONE: 218/483-3337
HAWLEY RETIREMENT INC
(20225)
FAX: 218/483-3386
Corp
MS. KAY REYNOLDS
HCP-F
923 5TH STREET
HAWLEY, MN 56549
PHONE: 218/483-3337
ALLCARE HOME CARE INC
(28491)
FAX: 218/483-3386
MS. KAY REYNOLDS
Home Mgmt
Corp
200 5TH ST S STE 307
MOORHEAD, MN 56560
PHONE: 218/287-9148
ARBOR PARK LIVING CENTER
(25584)
FAX: 218/287-2943
Lim-Liab
MS. DAISY TRAUTMAN
HWSAL
HCP-F
2921 6TH AVENUE NORTH
MOORHEAD, MN 56560
PHONE: 218/359-9999
ARBOR PARK LIVING CENTER
(23403)
FAX: 218/359-0890
MS. SUSAN BALA
HWSAL
Lim-Liab
520 28TH STREET NORTH
MOORHEAD, MN 56560
PHONE: 218/359-9999
(26942)
FAX: 218/359-0890
MS. SUSAN BALA
Minnesota Department of Health
Division of Compliance Monitoring
Page 53
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
CLAY
(Cont.)* -------------------------­
HWSAL
Lim-Liab
ARBOR PARK LIVING CENTER LLC
Registration
2901 6TH AVENUE NORTH
(23767)
MOORHEAD, MN 56560
PHONE: 218/359-9999
FAX: 218/359-0890
MS. SUSAN BALA
HWS
Part
CARRIAGE HOUSE APARTMENTS
3412 VILLAGE GREEN BLVD
(23130)
MOORHEAD, MN 56560
PHONE: 218/236-6454
FAX: 218/233-3613
Cnty
CLAY COUNTY RECEIVING CENTER
MR. KENNETH TALLE
SLFB-10
715 NORTH 11TH STREET #203
(01666)
MOORHEAD, MN 56560
PHONE: 218/299-5220
FAX: 218/299-7205
Lim-Liab
COMPASSIONCARE
MS. KATHY MCKAY
HCP-F
100 NORTH 3RD STREET STE 100
(27792)
MOORHEAD, MN 56560
PHONE: 218/477-1008
MS. ALICIA WITHERSPOON
FAX: 218/477-1009
NProf
EVENTIDE FAIRMONT
HWSAL
HCP-F
801 SECOND AVENUE NORTH
(20101)
MOORHEAD, MN 56560
PHONE: 218/233-8022
MS. MELODEE FENNO
FAX: 218/233-9544
Church
EVENTIDE LUTHERAN HOME
NH-195
SNF-NF-195
1405 7TH STREET SOUTH
(00072)
MOORHEAD, MN 56560
PHONE: 218/233-7508
FAX: 218/233-3602
MS. MELISSA HEESCH
HWS
HRA
GATEWAY GARDENS
1817 1ST AVENUE NORTH
(27399)
MOORHEAD, MN 56560
PHONE: 218/233-8883
FAX: 218/233-9491
Lim-Liab
GOLDEN LIVINGCENTER MOORHEAD
MS. DARA LEE
NH-87
SNF-NF-87
2810 NORTH SECOND AVENUE
(00938)
MOORHEAD, MN 56560
PHONE: 218/233-7578
FAX: 218/233-8307
MR. SHANE ROCHE
HWSAL
Corp
LILAC HOMES CORPORATION
2615 PARKVIEW DRIVE
(28989)
MOORHEAD, MN 56560
PHONE: 218/443-2426
LINDEN TREE CIRCLE
FAX: /-
MR. WILLIAM NELSON
HWSAL
NProf
1400 7TH STREET SOUTH
MOORHEAD, MN 56560
PHONE: 218/233-7508
(21014)
FAX: 218/291-2228
MS. JULIE STAIGLE
Minnesota Department of Health
Division of Compliance Monitoring
Page 54
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
MOORHEAD MANOR
Corp
Certification
CLAY
Registration
(Cont.)* -------------------------­
HCP-F
HWS
1710 13TH AVENUE NORTH
MOORHEAD, MN 56560
PHONE: 218/236-6286
PARK VIEW TERRACE
(20192)
FAX: 218/477-0442
MS. SUSAN CHRISTIANSON
HWS
Part
100 3RD STREET NORTH
MOORHEAD, MN 56560
PHONE: 218/233-8548
RIVER POINTE OF MOORHEAD
(21739)
FAX: 218/233-2759
Lim-Liab
MR. BRANDON EISENBEIS
HCP-F
HWSAL
2401 SOUTH 11TH STREET
MOORHEAD, MN 56560
PHONE: 218/287-6900
THE EVERGREENS OF MOORHEAD
(26685)
FAX: 218/233-3234
MR. RON BERVIG
HWSAL
NProf
502 3RD AVENUE SOUTH
MOORHEAD, MN 56560
PHONE: 218/233-1535
THE EVERGREENS OF MOORHEAD
(25500)
MS. JENNA GREFF
FAX: 218/291-1162
NProf
HCP-F
HWSAL
512 THIRD AVENUE SOUTH
MOORHEAD, MN 56560
PHONE: 218/233-1535
VALLEYS FINEST HOME CARE LLC
(20314)
MS. JENNA GREFF
FAX: 218/291-1162
Lim-Liab
HCP-A
3805 SOUTH RIVERSHORE DRIVE
MOORHEAD, MN 56560
PHONE: 218/287-2254
SANFORD HEALTH ULEN CLINIC
(27922)
FAX: 218/233-4278
MR. BRAD NORDHOUGEN
RHC
NProf
108 VIKING AVENUE WEST
ULEN, MN 56585
PHONE: 218/596-8867
VIKING MANOR NURSING HOME
(03937)
FAX: 218/596-8112
City
MS. BETH ULSCHMID
NH-45
SNF-NF-45
317 1ST ST NW
ULEN, MN 56585
PHONE: 218/596-8847
VIKING MANOR NURSING HOME
(00075)
FAX: 218/596-8894
City
MR. TODD KJOS
HCP-F
HWSAL
317 1ST STREET NORTHWEST
ULEN, MN 56585
PHONE: 218/596-8847
(20249)
FAX: 218/596-8894
---------------------------**********
MR. TODD KJOS
CLEARWATER
******** -------------------------­
Minnesota Department of Health
Division of Compliance Monitoring
Page 55
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Cnty
CLEARWATER CO NSG SERVICE
Certification
CLEARWATER
Registration
(Cont.)* -------------------------­
HCP-A
HHA
212 MAIN AVENUE NORTH
(02006)
BAGLEY, MN 56621
PHONE: 218/694-6581
FAX: 218/694-6594
Cnty
CLEARWATER HOSPICE
MS. MARISSA HETLAND
Hospice
HSPICE
212 MAIN AVENUE NORTH
(03174)
BAGLEY, MN 56621
PHONE: 218/694-6581
FAX: 218/694-6594
CORNERSTONE NSG & REHAB CENTER
Corp
MS. MARISSA HETLAND
NH-43
SNF-NF-43
416 SEVENTH STREET NORTHEAST
(00974)
BAGLEY, MN 56621
PHONE: 218/694-6552
FAX: 218/694-6987
Corp
CORNERSTONE RES OF BAGLEY INC
MS. KARI SWANSON
HWSAL
HCP-F
30 SUNSET AVENUE SW
(26540)
BAGLEY, MN 56621
PHONE: 218/694-2701
MR. ALLEN POTVIN
FAX: 218/694-2718
RHC
NProf
ESSENTIA HEALTH BAGLEY CLINIC
121 CENTRAL STREET W
(22060)
BAGLEY, MN 56621
PHONE: 218/694-6281
MS. PATRICIA WANGLER
FAX: /­
NProf
PINE RIDGE RESIDENCE
SLFA-12 SLFB-3
ICFIID-15
503 HALLAN AVENUE BOX 29
(01012)
BAGLEY, MN 56621
PHONE: 218/694-6716
FAX: 218/694-3799
MR. DONALD BLOOFLAT
RHC
NProf
SANFORD BAGLEY CLINIC
123 4TH STREET NW
(21437)
BAGLEY, MN 56621
PHONE: 218/694-2384
SANFORD BAGLEY MEDICAL CENTER
FAX: /­
MR. KIRBY JOHNSON
NProf
BASS-4 HOSP-25
CAH-25
203 4TH ST NW
BAGLEY, MN 56621
PHONE: 218/694-6501
THE GARDEN PL ASSIST LVNG PLU
(00076)
FAX: 218/694-3528
Corp
MR. KIRBY JOHNSON
HWSAL
HCP-F
421 6TH STREET NE
BAGLEY, MN 56621
PHONE: 218/694-2378
GOOD SAM SOCIETY CLEARBROOK
(21640)
FAX: 218/694-2348
NProf
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
Minnesota Department of Health
Division of Compliance Monitoring
Page
56
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
CLEARWATER
(Cont.)* -------------------------­
Home Mgmt
Corp
HOME AT HEART CARE INC
Registration
221 3RD AVENUE SW PO BOX 183
(25734)
CLEARBROOK, MN 56634
PHONE: 218/776-3508
FAX: 218/776-3507
SANFORD BAGLEY CLEARBROOK CLNC
MR. BRUCE EMMEL
RHC
NProf
22 ELM STREET
(21436)
CLEARBROOK, MN 56634
PHONE: 218/776-3124
FAX: /­
MR. KIRBY JOHNSON
Ind
SERENITY ASSISTED LIVING
HCP-A
35501 231ST AVENUE
(29936)
SHEVLIN, MN 56676
PHONE: 218/785-2175
FAX: /-
MS. SUSAN GILBERTSON
HWS
Ind
SERENITY ASSISTED LIVING
35501 231ST AVENUE
(29937)
SHEVLIN, MN 56676
PHONE: 218/785-2175
MS. SUSAN GILBERTSON
FAX: /-
---------------------------**********
COOK CO NORTHSHORE HOSP &C CTR
Dist
COOK
******** -------------------------­
NH-37 BASS-2 HOSP-16
SNF-NF-37 CAH-16
515 5TH AVE W
(00080)
GRAND MARAIS, MN 55604
PHONE: 218/387-3040
MS. KIMBER WRAALSTAD
FAX: 218/387-3270
COOK CO NORTHSHORE HOSP HM HLT
Dist
HCP-A
HHA
515 5TH AVENUE WEST
(03138)
GRAND MARAIS, MN 55604
PHONE: 218/387-3280
FAX: 218/387-3297
MS. KIMBER WRAALSTAD
---------------------------**********
NProf
GOOD SAM SOCIETY MT LAKE
COTTONWOOD
NH-55
******** --------------------------
SNF-NF-55
745 BASINGER MEMORIAL DRIVE
(00755)
MOUNTAIN LAKE, MN 56159
PHONE: 507/427-2464
FAX: 507/427-3036
MR. TIM SWOBODA
HWS
HRA
LAKER APARTMENTS
1225 3RD AVENUE
(21751)
MOUNTAIN LAKE, MN 56159
PHONE: 507/427-2425
FAX: 507/427-2485
MS. WENDY FAST
RHC
NProf
SANFORD CLINIC MOUNTAIN LAKE
308 EIGHTH STREET
(03551)
MOUNTAIN LAKE, MN 56159
PHONE: 507/427-3332
FAX: /-
MS. LAURIE JENSEN
Minnesota Department of Health
Division of Compliance Monitoring
Page
57
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
THE LODGE OF MOUNTAIN LAKE
NProf
Certification
COTTONWOOD
Registration
(Cont.)* -------------------------­
HCP-F
603 SEVENTH AVENUE
MOUNTAIN LAKE, MN 56159
PHONE: 507/427-2464
THE LODGE OF MOUNTAIN LAKE
(21929)
FAX: 507/427-3036
MR. TIM SWOBODA
HWS
NProf
603 7TH AVENUE
MOUNTAIN LAKE, MN 56159
PHONE: 507/427-2465
GOOD SAM SOCIETY WESTBROOK
(29275)
FAX: 507/427-2465
NProf
MR. TIM SWOBODA
NH-40
SNF-NF-40
149 1ST AVE BOX 218
WESTBROOK, MN 56183
PHONE: 507/274-6155
PETERSON ESTATES
(00082)
FAX: 507/274-6207
MR. DAREN RIFE
HWS
NProf
1012 9TH STREET
WESTBROOK, MN 56183
PHONE: 507/274-6804
SANFORD CLINIC WESTBROOK
(23558)
MS. STACY BARSTAD
FAX: 507/274-5671
RHC
NProf
920 BELL AVENUE
WESTBROOK, MN 56183
PHONE: 507/274-6121
SANFORD WESTBROOK MEDICAL CTR
(20976)
MR. DANIEL REINER
FAX: 507/274-5630
NProf
HOSP-8
CAH-8
920 BELL AVE
WESTBROOK, MN 56183
PHONE: 507/274-6121
GOOD SAM SOC HM C OF SW MN
(00083)
FAX: 507/274-5671
NProf
MS. STACY BARSTAD
HCP-A
HHA
710 FULLER DRIVE #3
WINDOM, MN 56101
PHONE: 507/831-0734
GOOD SAM SOCIETY WINDOM
(03754)
FAX: 507/831-0736
NProf
MR. KEITH DUBOIS
NH-78
SNF-NF-78
705 6TH ST
WINDOM, MN 56101
PHONE: 507/831-1788
HOME FOR CREATIVE LIVING
(00085)
FAX: 507/831-0844
Corp
MS. NANCY WEPPLO
ICFIID-21
SLFB-21
108 NINTH STREET
WINDOM, MN 56101
PHONE: 507/831-5033
MIKKELSEN MANOR
(01194)
FAX: 507/831-2612
MR. DEVIN NELSON
HWSAL
NProf
725 FULLER DRIVE
WINDOM, MN 56101
PHONE: 507/831-1788
(20697)
FAX: 507/831-0846
MS. NANCY WEPPLO
Minnesota Department of Health
Division of Compliance Monitoring
Page 58
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
MIKKELSEN MANOR ASSTD LIVING
Certification
COTTONWOOD
Registration
(Cont.)* -------------------------­
HCP-F
725 FULLER DRIVE
(20710)
WINDOM, MN 56101
PHONE: 507/831-0745
FAX: 507/831-0846
MS. NANCY WEPPLO
HWSAL
Corp
PINE VIEW ASSISTED LIVING
750 FOURTH AVENUE
(20175)
WINDOM, MN 56101
PHONE: 507/831-5277
FAX: 507/831-5124
Corp
PINE VIEW ASSISTED LIVING
MS. PATRICE GOETTE
HCP-F
750 4TH AVENUE
(26908)
WINDOM, MN 56101
PHONE: 507/831-5277
FAX: 507/831-5124
MS. PATRICE GOETTE
HWS
NProf
REMICK RIDGE ESTATES
350 SIXTH AVENUE
(20010)
WINDOM, MN 56101
PHONE: 507/831-0745
MS. NANCY WEPPLO
FAX: 507/831-0845
Corp
RESIDENTIAL ADVANTAGES INC
ICFIID-12
SLFA-12
945 PROSPECT AVENUE
(01277)
WINDOM, MN 56101
PHONE: 507/831-3804
MR. D. BILL OLSON
FAX: 507/831-2436
RHC
NProf
SANFORD CLINIC WINDOM
591 2ND AVENUE NORTH
(21432)
WINDOM, MN 56101
PHONE: 507/831-2223
WINDOM AREA HOSPITAL
FAX: /­
MS. LAURIE JENSEN
City
BASS-6 HOSP-35
CAH-25
2150 HOSPITAL DRIVE
WINDOM, MN 56101
PHONE: 507/831-2400
(00796)
FAX: 507/831-5749
MS. GERRI BURMEISTER
---------------------------**********
BRAINERD LAKES SURGERY CTR
Lim-Liab
CROW WING
******** --------------------------
Outpt Surg
Amb Surg
13114 ISLE DRIVE
BAXTER, MN 56425
PHONE: 218/822-2400
COMM BEHAV HLTH HOSP BAXTER
(23092)
FAX: 218/822-2401
State
MS. SANDY BERRETH
OTHER-16
HOSP-16
14241 GRAND OAKS DRIVE
BAXTER, MN 56425
PHONE: 218/316-3102
(24037)
FAX: 218/829-9141
MR. RICHARD SLIETER
Minnesota Department of Health
Division of Compliance Monitoring
Page 59
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
DIAMOND WILLOW ASSISTED LIVING
Certification
CROW WING
Registration
(Cont.)* -------------------------­
HWSAL
Lim-Liab
14398 GRAND OAKS DRIVE
BAXTER, MN 56425
PHONE: 218/825-7162
DIAMOND WILLOW ASSISTED LIVING
(24428)
FAX: 218/825-7166
MS. BRENDA MARSHALL
HWSAL
Lim-Liab
14396 GRAND OAKS DRIVE
BAXTER, MN 56425
PHONE: 218/825-7034
GOOD NEIGHBOR HHC OF BRAINERD
(24427)
FAX: 218/825-7165
Corp
MS. BRENDA MARSHALL
HCP-A
HHA
14387 EDGEWOOD DRIVE
BAXTER, MN 56425
PHONE: 218/829-9238
MN HOME CARE
(02759)
FAX: 218/829-2144
Corp
MS. SHERRIE CHRISTENSEN
HCP-A
14775 EDGEWOOD DRIVE
BAXTER, MN 56425
PHONE: 218/963-8899
WELCOME HOME HEALTH CARE
(20912)
MRS. TERRIE GETTY
FAX: 218/963-9573
Corp
HWSAL
HCP-F
14211 FIREWOOD DRIVE
BAXTER, MN 56425
PHONE: 218/828-4770
ALMOND HOUSE
(22195)
MR. DEAN BLOEMKE
FAX: 218/828-4771
Corp
HWS
HCP-F
802 28TH ST SE
BRAINERD, MN 56401
PHONE: 218/822-3067
ALMOND HOUSE UNIT 2
(20574)
FAX: 218/822-3068
MS. CHARITY BITZER
HWSAL
Corp
804 SOUTHEAST 28TH STREET
BRAINERD, MN 56401
PHONE: 218/822-3067
ALMOND HOUSE UNIT 3
(20575)
FAX: 218/822-3068
MR. JAMES JOHNSON
HWSAL
Corp
814 28TH STREET SOUTHEAST
BRAINERD, MN 56401
PHONE: 218/822-3067
ALMOND HOUSE UNIT 4
(20581)
FAX: 218/822-3068
MR. JAMES JOHNSON
HWS
Corp
816 28TH STREET SOUTHEAST
BRAINERD, MN 56401
PHONE: 218/822-3067
ALMOST HOME
(20582)
FAX: 218/822-3068
MS CHARITY BITZER
HWS
Corp
710 SOUTHEAST 28TH STREET
BRAINERD, MN 56401
PHONE: 218/822-3067
(21680)
FAX: 218/822-3068
MS. CHARITY BITZER
Minnesota Department of Health
Division of Compliance Monitoring
Page 60
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
BARNABAS HEALTH CARE SERVICES
Certification
CROW WING
Registration
(Cont.)* -------------------------­
HCP-A
HHA
223 WASHINGTON STREET
(02992)
BRAINERD, MN 56401
PHONE: 218/829-0901
FAX: 218/829-4470
MS. BOBBIE DEBROS
HWSAL
Lim-Liab
BRAINERD CAREFREE LIVING LLC
2723 OAK STREET
(20187)
BRAINERD, MN 56401
PHONE: 218/829-8622
FAX: 218/829-4463
MR. MERLE SAMPSON
HWSAL-O
HRA
BRAINERD HRA
410 EAST RIVER ROAD
(20506)
BRAINERD, MN 56401
PHONE: 218/824-3421
FAX: 218/828-8817
MS. DIANA KLIBER
HWSAL
Corp
CENTRAL MINNESOTA SENIOR CARE
1008 10TH STREET SOUTH
(20683)
BRAINERD, MN 56401
PHONE: 320/441-7001
MS. DAWN FRERICKS
FAX: 320/235-8069
ESRD
NProf
CHRONIC DIALYSIS UNIT
2024 SOUTH SIXTH STREET
(02818)
BRAINERD, MN 56401
PHONE: 218/828-7532
MR. JOHN FROBENIUS
FAX: /­
State
COMMUNITY ADDICTION RECOVERY E
SLFA-0 SLFB-58
11600 STATE AVE
(01681)
BRAINERD, MN 56401
PHONE: 218/828-6167
CROW WING CO HLTH & SS DVSN
MR. HENRY FOX
FAX: /­
Cy-Co
HCP-A
204 LAUREL STREET SUITE 31
BRAINERD, MN 56401
PHONE: 218/824-1080
EDGEWOOD VISTA BRAINERD
(02010)
MS. GWEN ANDERSON
FAX: 218/824-1081
Lim-Liab
HWSAL
HCP-F
14890 BEAVER DAM ROAD
BRAINERD, MN 56401
PHONE: 218/828-3691
EDGEWOOD VISTA BRAINERD ALZHEI
(23750)
FAX: 218/829-5482
MR. PHILIP GISI
HWSAL
Lim-Liab
14890 BEAVER DAM ROAD
BRAINERD, MN 56401
PHONE: 218/828-3691
ESSENTIA HEALTH ST JOSEPHS MED
(23751)
FAX: 218/829-5482
Church
MR. PHILIP GISI
BASS-15 HOSP-162
523 NORTH THIRD STREET
BRAINERD, MN 56401
PHONE: 218/829-2861
(00093)
FAX: 218/828-3103
MR. ADAM REES
HOSP-140 PPS-P-22
Minnesota Department of Health
Division of Compliance Monitoring
Page
61
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
GOOD SAM SOCIETY BETHANY
NProf
Certification
CROW WING
Registration
(Cont.)* -------------------------­
NH-124
SNF-NF-124
804 WRIGHT ST
BRAINERD, MN 56401
PHONE: 218/829-1407
GOOD SAM SOCIETY BETHANY SR
(00087)
FAX: 218/829-0516
NProf
MR. RYAN CERNEY
HCP-F
HWSAL
1953 SEVENTH STREET SOUTH
BRAINERD, MN 56401
PHONE: 218/829-1407
GOOD SAM SOCIETY WOODLAND
(20129)
FAX: 218/829-0516
NProf
MR. MIKE DEUTH
NH-41
SNF-NF-41
100 BUFFALO HILLS LANE
BRAINERD, MN 56401
PHONE: 218/829-1429
GRATTAN PRIVATE DUTY NURSING I
(00956)
FAX: 218/829-4729
Corp
MS. JENNIFER GRAMS
HCP-A
8382 50TH AVENUE
BRAINERD, MN 56401
PHONE: 218/820-1326
HARMONY HOUSE OF BRAINERD (NO)
(28253)
MRS. STACI GRATTAN
FAX: 218/825-0144
HWSAL
NProf
218 NINTH STREET SOUTHWEST
BRAINERD, MN 56401
PHONE: 218/828-4142
HOME INSTEAD SENIOR CARE
(20415)
MS. BRIDGET BRITZ
FAX: 218/828-4580
Lim-Liab
HCP-B
108 SOUTH 6TH STREET SUITE 3
BRAINERD, MN 56401
PHONE: 218/824-0077
HOME INSTEAD SENIOR CARE
(27309)
FAX: 218/824-0079
MS. DEBORAH CRANNY
Home Mgmt
Lim-Liab
108 SOUTH 6TH STREET SUITE 3
BRAINERD, MN 56401
PHONE: 218/824-0077
LAKES AREA HOME CARE
(23696)
FAX: 218/824-0079
Lim-Liab
MS. DEBORAH CRANNY
HCP-C
7043 BROWNS LANE
BRAINERD, MN 56401
PHONE: 218/330-4671
LUTHERAN SOCIAL SERVICE
(27663)
FAX: 218/330-4671
MS. KATHI GALLUP
Home Mgmt
NProf
716 E STREET
BRAINERD, MN 56401
PHONE: 218/824-3740
MN SPECIALTY HEALTH SYSTEM
(23440)
FAX: 888/331-9217
State
MS. NANCY ROSEMORE
SLFB-16
11615 STATE AVENUE
BRAINERD, MN 56401
PHONE: 218/828-6129
(00089)
FAX: 218/828-2569
MS. DAWN BARNARD
Minnesota Department of Health
Division of Compliance Monitoring
Page 62
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
SAMARITAN HOUSE BIRCHWOOD
Certification
CROW WING
Registration
(Cont.)* -------------------------­
HWSAL
NProf
2509 GREENWOOD STREET
BRAINERD, MN 56401
PHONE: 218/855-6636
SAMARITAN HOUSE ELMWOOD
(24683)
FAX: 218/855-6649
MS. JENNIFER BERGSTROM
HWSAL
NProf
2517 GREENWOOD STREET
BRAINERD, MN 56401
PHONE: 218/855-6638
SAMARITAN HOUSE OAKWOOD
(24681)
FAX: 218/855-6647
MS. JENNIFER BERGSTROM
HWSAL
NProf
2501 GREENWOOD STREET
BRAINERD, MN 56401
PHONE: 218/855-6637
WOODLAND GOOD SAM ASSISTED LIV
(23489)
FAX: 218/855-6648
NProf
MS. JENNIFER BERGSTROM
HWSAL
HCP-F
200 BUFFALO HILLS LANE
BRAINERD, MN 56401
PHONE: 218/829-1429
CUYUNA REGIONAL MEDICAL CENTER
(20012)
MS. JENNIFER BERGSTROM
FAX: 218/829-4815
Dist
NH-117 BASS-7 HOSP-42
SNF-NF-117 CAH-25
320 EAST MAIN STREET
CROSBY, MN 56441
PHONE: 218/546-7000
HALLETT COTTAGES
(00091)
MR. JOHN SOLHEIM
FAX: 218/546-7268
HWSAL
NProf
350 4TH STREET NORTHEAST
CROSBY, MN 56441
PHONE: 218/546-6265
HALLETT COTTAGES
(25525)
FAX: 218/546-7269
Dist
MS. KRISTIN NEFF
HCP-F
500 HEARTWOOD DRIVE
CROSBY, MN 56441
PHONE: 218/545-8500
HEARTWOOD
(20479)
FAX: 218/545-8501
MS. KRISTIN NEFF
HWSAL
NProf
500 HEARTWOOD DRIVE
CROSBY, MN 56441
PHONE: 218/545-8500
HOMEHEALTH PARTNERSHIP
(26228)
FAX: 218/545-8501
Dist
MS. KRISTIN NEFF
HCP-A
HHA
500 HEARTWOOD DRIVE
CROSBY, MN 56441
PHONE: 218/546-2311
HOMEHEALTH PARTNERSHIP
(02256)
FAX: 218/546-4313
Dist
MR. JOHN SOLHEIM
Hospice
HSPICE
500 HEARTWOOD DRIVE
CROSBY, MN 56441
PHONE: 218/546-2311
(02994)
FAX: 218/546-4313
MR. JOHN SOLHEIM
Minnesota Department of Health
Division of Compliance Monitoring
Page 63
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
HOUSING AND REDEVELOPMENT AUTH
Certification
CROW WING
Registration
(Cont.)* -------------------------­
HWS-O
HRA
300 3RD AVENUE NORTHEAST
CROSBY, MN 564411642
PHONE: 218/546-5088
GOLDEN HORIZONS OF CROSSLAKE
(21705)
FAX: 218/546-5041
Corp
MR. DAVID KNEELAND
HCP-F
HWSAL
13631 EAST SHORE ROAD
CROSSLAKE, MN 56442
PHONE: 218/692-6650
RIVERWOOD HLTH CC GARRISON
(26009)
FAX: 218/692-6652
MS. WENDY CHRISTENSEN
RHC
NProf
27278 STATE HIGHWAY 18
GARRISON, MN 56450
PHONE: 320/525-3400
AIDE HOME HEALTH CARE
(25293)
FAX: 320/525-3439
Lim-Liab
MR. MICHAEL HAGEN
HCP-A
317 IRENE AVENUE PO BOX 1
IRONTON, MN 56455
PHONE: 218/546-6242
GOOD SAMARITAN SOC HC HOSPICE
(29558)
MS. DEBBIE ZETTERVALL
FAX: 218/772-0142
NProf
HCP-A
HHA
24090 SMILEY ROAD SUITE 200
NISSWA, MN 56468
PHONE: 218/963-9452
GOOD SAMARITAN SOCIETY HOSPICE
(23213)
MS. KAYLA FARR
FAX: 218/963-9746
NProf
Hospice
HSPICE
24090 SMILEY ROAD SUITE 200
NISSWA, MN 56468
PHONE: 218/963-9452
SENIOR CLASS CARE
(24551)
FAX: 218/963-9746
MS. KELLY BONDE
HWSAL
Lim-Liab
5307 HILLS CROSSING
NISSWA, MN 56468
PHONE: 218/961-5605
SENIOR CLASS HOME HEALTH CARE
(27831)
FAX: 218/961-4001
Lim-Liab
MS. ANGELA SANDELIN
HCP-A
5307 HILLS CROSSING
NISSWA, MN 56468
PHONE: 218/961-5605
HERITAGE HOUSE OF PEQUOT LAKES
(25179)
FAX: 218/961-4001
MS. ANGELA SANDELIN
HWSAL
Corp
5384 COUNTRY CARE LANE
PEQUOT LAKES, MN 56472
PHONE: 218/568-4673
SENIOR CLASS CARE
(20576)
FAX: 218/568-5785
MR. JAMES BIRCHEM
HWSAL
Lim-Liab
4451 EAST WOODMAN STREET
PEQUOT LAKES, MN 56472
PHONE: 218/568-5605
(26533)
FAX: 218/961-4001
MS. ANGELA SANDELIN
Minnesota Department of Health
Division of Compliance Monitoring
Page 64
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
APPLE VALLEY VILLA
Certification
DAKOTA
Registration
******** -------------------------­
HWSAL
HCP-F
14610 GARRETT AVENUE
(25804)
APPLE VALLEY, MN 55124
PHONE: 952/236-2600
FAX: 952/236-2670
NProf
AUGUSTANA HCC OF APPLE VALLEY
MS. ANDREA NYE
NH-178
SNF- SNF-NF-178
14650 GARRETT AVENUE
(00979)
APPLE VALLEY, MN 55124
PHONE: 952/236-2000
FAX: 952/236-2510
NProf
CENTENNIAL HOUSE OF APPLE VALY
MR. DAVID SHAW
HCP-F
14625 PENNOCK AVENUE
(24139)
APPLE VALLEY, MN 55124
PHONE: 952/891-2711
FAX: 952/891-4780
MS. JANIS RIVERS
HWSAL
Corp
COMMUNITY ASSISTED LIVING
13644 PILOT KNOB ROAD
(26838)
APPLE VALLEY, MN 55124
PHONE: 952/423-9778
MS. DONNA NOVAK
FAX: 952/423-5280
HWSAL
Corp
COMMUNITY ASSISTED LIVING INC
13628 PILOT KNOB ROAD
(28479)
APPLE VALLEY, MN 55124
PHONE: 952/440-3955
DAKOTA HOMEMAKING SERVICES INC
MS. DONNA NOVAK
FAX: /­
Home Mgmt
Corp
14530 PENNOCK AVENUE STE 101
APPLE VALLEY, MN 55124
PHONE: 952/997-7319
ECUMEN SEASONS AT APPLE VALLEY
(21218)
FAX: 952/997-2780
NProf
MS. SHARON BENTLEY
HWSAL
HCP-F
15359 FOUNDERS LANE
APPLE VALLEY, MN 55124
PHONE: 952/698-5300
HARALSON APARTMENTS
(27794)
FAX: 952/698-5302
MS. DENA MEYER
HWS
Part
15420 FOUNDERS LANE
APPLE VALLEY, MN 55124
PHONE: 612/332-6264
HOPE AND NEW LIFE HEALTH CARE
(24369)
FAX: 612/332-2627
NProf
MR. RICHARD BRUSTAD
HCP-A
15278 DUPONT PATH SUITE 2
APPLE VALLEY, MN 55124
PHONE: 651/338-2041
HOPE HEALTH CARE INC
(26764)
FAX: 952/953-3301
Corp
MS. MILLICENT WARRINGTON-SAWYE
HCP-A
15278 DUPONT PATH
APPLE VALLEY, MN 55124
PHONE: 952/322-4988
(20602)
FAX: 952/953-3301
MS. MILLICENT WARRINGTON
Minnesota Department of Health
Division of Compliance Monitoring
Page
65
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
DAKOTA
(Cont.)* -------------------------­
HWS
NProf
LIFE REBUILDERS
Registration
7269 146TH STREET WEST
(30145)
APPLE VALLEY, MN 55124
PHONE: 952/381-7197
FAX: /-
MR. ALLAN JUST
Corp
MOSAIC IN HOME
HCP-A
15766 COBBLESTONE LAKE PKWY
(29916)
APPLE VALLEY, MN 55124
PHONE: 952/567-9733
FAX: /­
MR. WILLIAM LAMBERT
Corp
NAGOMI INC
HCP-F
HWS
14424 LOWER GUTHRIE COURT
(25215)
APPLE VALLEY, MN 55124
PHONE: 952/431-3037
THE CENTENNIAL HOUSE OF APPLE
FAX: /-
MR. JAMES JEONG
HWSAL
NProf
14615 PENNOCK AVENUE
APPLE VALLEY, MN 55124
PHONE: 952/891-2711
THE TIMBERS
(20316)
MS. JANIS RIVERS
FAX: 952/891-4780
HWS
Lim-Liab
14018 PENNOCK AVENUE SOUTH
APPLE VALLEY, MN 55124
PHONE: 952/432-4070
THE TIMBERS
(28140)
MR. STEPHEN NORNES
FAX: 952/432-0019
Lim-Liab
HCP-F
14018 PENNOCK AVENUE SOUTH
APPLE VALLEY, MN 55124
PHONE: 952/432-4070
TWINS CARE NURSING SERVICE INC
(29080)
FAX: 952/432-0019
Corp
MR. LOU PALMER
HCP-A
7668 150TH ST SUITE 105
APPLE VALLEY, MN 55124
PHONE: 952/423-1204
TOUCHING HEARTS AT HOME
(25451)
FAX: 952/423-4113
Lim-Liab
MS. SHERRI WRIGHT
HCP-B
2626 E 82ND STREET SUITE 145
BLOOMINGTON, MN 55425
PHONE: 952/888-0321
A WOMANS WAY
(27204)
FAX: 952/854-1111
Corp
MR. WILLIAM WILKEN
SLFA-8
720 151ST STREET EAST
BURNSVILLE, MN 55306
PHONE: 952/894-7722
ACCESSIBLE SPACE INC WEST APTS
(25914)
FAX: 952/894-0882
MS. CAROL ACKLEY
HWS-O
NProf
1501 143RD STREET WEST
BURNSVILLE, MN 55306
PHONE: 651/645-7271
(28387)
FAX: 651/645-0541
MR. STEPHEN VANDERSCHAAF
Minnesota Department of Health
Division of Compliance Monitoring
Page 66
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
DAKOTA
(Cont.)* -------------------------­
HWSAL
Lim-Liab
ARBORS AT RIDGES
Registration
13897 COMMUNITY DRIVE
(29362)
BURNSVILLE, MN 55337
PHONE: 952/898-4005
FAX: /­
AUGUSTANA EMERALD CREST BURNSV
MS. BRITTANY PETERSON
Lim-Liab
HCP-F
451 EAST TRAVELERS TRAIL
(29326)
BURNSVILLE, MN 55337
PHONE: 952/890-2652
FAX: 952/882-7901
MS MARGARET OWENS
HWSAL
NProf
AUGUSTANA EMERALD CREST OF BUR
451 EAST TRAVELERS TRAIL
(20860)
BURNSVILLE, MN 55337
PHONE: 952/856-7522
FAX: 952/856-7527
MS. MARGARET OWENS
HWSAL
NProf
AUGUSTANA EMERALD CREST OF BUR
455 EAST TRAVELERS TRAIL
(20952)
BURNSVILLE, MN 55337
PHONE: 952/856-7522
MS. MARGARET OWENS
FAX: 952/856-7527
HWSAL
NProf
AUGUSTANA EMERALD CREST OF BUR
453 EAST TRAVELERS TRAIL
(20861)
BURNSVILLE, MN 55337
PHONE: 952/856-7522
MS. MARGARET OWENS
FAX: 952/856-7527
HWSAL
NProf
AUGUSTANA EMERALD CREST OF BUR
457 EAST TRAVELERS TRAIL
(21141)
BURNSVILLE, MN 55337
PHONE: 952/856-7522
FAX: 952/856-7527
MS. MARGARET OWENS
HWSAL
Lim-Liab
AUGUSTANA REGENT AT BURNSVILLE
14500 REGENT LANE
(23217)
BURNSVILLE, MN 55306
PHONE: 952/898-1910
FAX: 952/898-7257
Lim-Liab
AUGUSTANA REGENT AT BURNSVILLE
MS. VICKI TOBROXEN
HCP-F
14500 REGENT LANE
(23238)
BURNSVILLE, MN 55306
PHONE: 952/898-1910
FAX: 952/898-7257
Lim-Liab
BRIGHTSTAR NORTHERN DAKOTA CO
MS. VICKI TOBROXEN
HCP-A
2414 117TH STREET EAST
(29578)
BURNSVILLE, MN 55337
PHONE: 952/255-9355
BURNSVILLE CAREFREE LIVING LLC
FAX: /­
MS. SHANNON KLEMANN
HWSAL
Lim-Liab
600 EAST NICOLLET BLVD
BURNSVILLE, MN 55337
PHONE: 952/892-5559
(20191)
FAX: 952/892-1585
MS. KATIE BAUER
Minnesota Department of Health
Division of Compliance Monitoring
Page 67
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
DAKOTA
(Cont.)* -------------------------­
ESRD
Corp
BURNSVILLE DIALYSIS UNIT
Registration
501 E NICOLLET BLVD SUITE 150
(02427)
BURNSVILLE, MN 55337
PHONE: 952/892-1117
FAX: 952/892-6644
MS. KATHY WOLFE
HWS
Corp
CARDENAS FRIENDSHIP HOUSE
13808 COUNTY ROAD 5
(20980)
BURNSVILLE, MN 55337
PHONE: 612/670-1380
CARDENAS FRIENDSHIP HOUSE
FAX: /­
MR. ROBERT CARDENAS
HWS
Corp
912 KNOB HILL
BURNSVILLE, MN 55337
PHONE: 952/882-8056
EBENEZER RIDGE POINT APARTMENT
(20979)
FAX: 651/257-9245
MR. ROBERT CARDENAS
HWS
NProf
13800 COMMUNITY DRIVE
BURNSVILLE, MN 55337
PHONE: 952/898-1989
EBENEZER RIDGES GERIATRIC CC
(27920)
MS. DENISE BIERLE SVEC
FAX: 952/898-4028
NProf
SNF-NF-104
NH-104
13820 COMMUNITY DRIVE
BURNSVILLE, MN 55337
PHONE: 952/898-8400
FAIRVIEW RIDGES HOSPITAL
(00756)
MS. ERIN HILLIGAN
FAX: 952/898-8450
NProf
BASS-48 HOSP-150
HOSP-150
201 EAST NICOLLET BOULEVARD
BURNSVILLE, MN 55337
PHONE: 952/892-2211
HEALTHCARE RESOURCES
(00107)
FAX: 952/892-2107
Lim-Liab
MS. BETH KREHBIEL
HCP-A
14573 GRAND AVE
BURNSVILLE, MN 55306
PHONE: 952/432-4020
HOME INSTEAD SENIOR CARE
(24274)
FAX: 952/431-5978
MR. RON ERIKSMOEN
Home Mgmt
Lim-Liab
1600 EAST CLIFF ROAD
BURNSVILLE, MN 55337
PHONE: 952/882-9300
HOME INSTEAD SENIOR CARE
(26156)
FAX: 952/882-9301
Lim-Liab
MR. VITALY SALO
HCP-B
1600 EAST CLIFF ROAD
BURNSVILLE, MN 55337
PHONE: 952/882-9300
HOME INSTEAD SENIOR CARE
(26303)
FAX: 952/882-9301
Lim-Liab
MR. VITALY SALO
HCP-A
1601 HWY 13 E SUITE 108
BURNSVILLE, MN 55337
PHONE: 952/882-9300
(23616)
FAX: 952/882-9301
MR. VITALY SALO
Minnesota Department of Health
Division of Compliance Monitoring
Page 68
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
HOMEWATCH CAREGIVERS
Corp
Certification
DAKOTA
Registration
(Cont.)* -------------------------­
HCP-A
14500 BURNHAVEN DRIVE STE 150
BURNSVILLE, MN 55306
PHONE: 952/435-5557
LIVING WELL KENNELLY
(29403)
FAX: 952/435-3002
NProf
MR. MARK PONTLIANA
ICFIID-8
SLFA-8
12000 KENNELLY ROAD
BURNSVILLE, MN 55337
PHONE: 952/894-3044
MINNESOTA VALLEY SURGERY CTR
(01466)
FAX: 952/894-1926
Lim-Liab
MR. AARON ODEN
Outpt Surg
Amb Surg
1000 140TH STREET WEST
BURNSVILLE, MN 55337
PHONE: 952/232-1110
NAGOMI INC
(24147)
FAX: 952/232-1150
MS. SHARON RICHMOND
HWS
Corp
1209 131 STREET EAST
BURNSVILLE, MN 55337
PHONE: 612/968-7427
OPTIONS RESIDENTIAL INC
(27011)
FAX: 952/431-3037
MR. JAMES JEONG
HWS
Corp
1200 WEST BURNSVILLE PARKWAY
BURNSVILLE, MN 55337
PHONE: 952/564-3030
OPTIONS RESIDENTIAL INC
(27971)
FAX: 952/564-3038
MR. JAMES HAMMILL
HWS
Corp
12829 BRIAR COURT
BURNSVILLE, MN 55337
PHONE: 952/564-3030
OPTIONS RESIDENTIAL INC BRIAR
(27153)
FAX: 952/564-3038
MR. JAMES HAMMILL
HWS
Corp
12837 BRIAR COURT
BURNSVILLE, MN 55337
PHONE: 952/564-3030
OPTIONS RESIDENTIAL INC BRIAR
(27394)
FAX: 952/564-3038
MR. JAMES HAMMILL
HWS
Corp
12845 BRIAR CT
BURNSVILLE, MN 55337
PHONE: 952/564-3030
OWAKIHI INC
(27393)
FAX: 952/564-3038
MR. JAMES HAMMILL
HWS
Corp
13150 HARRIET AVENUE SOUTH
BURNSVILLE, MN 55337
PHONE: 651/450-6005
PEOPLE INC DAKOTA APARTMENT
(28349)
FAX: 651/450-5955
MS. SANDRA KINDEM
HWS
NProf
1012 WEST BURNSVILLE PARKWAY
BURNSVILLE, MN 55337
PHONE: 651/774-0011
(29605)
FAX: 651/454-5050
MS. HAYLEY CARLSON
Minnesota Department of Health
Division of Compliance Monitoring
Page 69
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
DAKOTA
(Cont.)* -------------------------­
HWS
NProf
PEOPLE INCORPORATED 1008
Registration
1008 W BURNSVILLE PARKWAY
(30093)
BURNSVILLE, MN 55337
PHONE: 952/895-0935
FAX: 952/736-9632
Ind
REGY HOME CARE SERVICES
MS. HAYLEY CARLSON
HCP-C
800 143RD STREET EAST
(29663)
BURNSVILLE, MN 55337
PHONE: 952/297-6934
FAX: /­
MR. PAUL ANOZIE
Corp
RELIABLE HOME CARE
HCP-A
1380 ECHO PARK TERRACE
(28659)
BURNSVILLE, MN 55337
PHONE: 952/393-7857
FAX: 952/888-8721
MS. DEBORAH OJOGWU
Lim-Liab
RIDGES SURGERY CENTER LLC
14101 FAIRVIEW DRIVE
(29969)
BURNSVILLE, MN 55337
PHONE: 205/545-2737
SENIOR HELPERS
FAX: /­
Lim-Liab
HCP-A
1500 MCANDREWS ROAD WEST SUITE
BURNSVILLE, MN 55337
PHONE: 952/892-8403
SYNERGY HOMECARE TWIN CITIES S
(25457)
MS. KRISTINE NENOVICH
FAX: 952/892-8405
Corp
HCP-B
13955 W PRESERVE BLVD STE 202
BURNSVILLE, MN 55337
PHONE: 952/697-4430
THE ARBORS AT RIDGES
(27612)
FAX: 952/697-4431
NProf
MR. OMAR RICHMOND
HWSAL
HCP-F
13810 COMMUNITY DRIVE
BURNSVILLE, MN 55337
PHONE: 952/898-3288
THE LODGE ON SUMMIT OAKS
(21489)
FAX: 952/898-2511
Lim-Liab
MS. BRITTANY PETERSON
HWSAL
HCP-F
1412 SUMMIT OAKS DR
BURNSVILLE, MN 55337
PHONE: 952/431-9120
THE RIVERS
(24877)
FAX: 952/431-9123
MR. GERALD MCGOWAN
HWSAL
Lim-Liab
11111 RIVER HILLS DRIVE
BURNSVILLE, MN 55337
PHONE: 952/890-8553
THE RIVERS
(21779)
FAX: 952/895-9887
Lim-Liab
MR. STEPHEN NORNES
HCP-F
11111 RIVER HILLS DRIVE
BURNSVILLE, MN 55337
PHONE: 952/890-8553
(29079)
FAX: 952/890-9320
MS. KATHY JOHNSON
Minnesota Department of Health
Division of Compliance Monitoring
Page
70
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
VALLEY RIDGE
Lim-Liab
Certification
DAKOTA
Registration
(Cont.)* -------------------------­
HCP-F
1921 BURNSVILLE PKWY W
BURNSVILLE, MN 55337
PHONE: 952/882-4000
VALLEY RIDGE
(29086)
FAX: 952/882-4001
MS. NATALIE MORLAND
HWSAL
Lim-Liab
1921 BURNSVILLE PARKWAY W
BURNSVILLE, MN 55337
PHONE: 952/882-4000
VISITING ANGELS
(28955)
FAX: 952/882-4001
MS. SANDRA ARCHER
Home Mgmt
Corp
14551 COUNTY ROAD 11 STE 135
BURNSVILLE, MN 55337
PHONE: 952/891-8000
VISITING ANGELS
(22145)
FAX: 952/891-8100
Corp
MR. DAN VLAISAVLJEVICH
HCP-A
14551 COUNTY ROAD 11 STE 135
BURNSVILLE, MN 55337
PHONE: 952/891-8000
A A CARE INC
(21703)
MR. DAN VLAISAVLJEVICH
FAX: 952/891-8100
Corp
HCP-A
1716 DAVENPORT CIRCLE
EAGAN, MN 55122
PHONE: 651/428-3002
ACCREDO HEALTH GROUP INC
(22021)
MR. SONG SEAK
FAX: 651/600-3111
Corp
HCP-A
2915 WATERS ROAD SUITE 109
EAGAN, MN 55121
PHONE: 651/681-0885
ALLIANCE ASSISTED LIVING SRVCS
(03256)
FAX: 651/681-0977
Corp
MS. JESSICA PERREIRA
HCP-F
2260 CLIFF ROAD
EAGAN, MN 55122
PHONE: 651/895-8030
ALLIANCE HEALTH SERVICES INC
(20982)
FAX: 651/895-8070
Corp
MS. ALANA FIALA
HCP-A
HHA
2260 CLIFF ROAD
EAGAN, MN 55122
PHONE: 651/895-8030
CARDENAS FRIENDSHIP HOUSE
(02838)
FAX: 651/895-8070
MS. ALANA FIALA
HWS
Corp
1226 WILDERNESS RUN ROAD
EAGAN, MN 55123
PHONE: 651/257-8146
CLARE BRIDGE OF EAGAN
(21118)
FAX: 651/257-9245
Corp
MR. ROBERT CARDENAS
HWSAL
HCP-F
1365 CRESTRIDGE LANE
EAGAN, MN 55123
PHONE: 651/686-5557
(20508)
FAX: 651/686-7778
MS. KRISTIN BURSEY
Minnesota Department of Health
Division of Compliance Monitoring
Page 71
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
COMFORCARE SENIOR SERVICES
Certification
DAKOTA
Registration
(Cont.)* -------------------------­
HCP-A
3080 LEXINGTON AVE S STE 108
(28629)
EAGAN, MN 55121
PHONE: 651/789-6800
FAX: 651/789-6801
MRS. MARTHA ENDRIZZI
ESRD
Corp
EAGAN DIALYSIS UNIT
2750 BLUEWATER ROAD SUITE 300
(22530)
EAGAN, MN 55121
PHONE: 651/688-0132
FAX: /­
MS. DEDE BLOOMQUIST
Lim-Liab
EVERYDAY LIVING LLC
HCP-F
1325 EAGANDALE COURT STE 120
(29863)
EAGAN, MN 55121
PHONE: 651/688-7173
FAX: 651/688-0525
Corp
INFUSCIENCE INC
MR. BLAKE ELLIOTT
HCP-A
2915 WATERS RD STE 110
(24884)
EAGAN, MN 55121
PHONE: 612/486-1960
MS. JAYNE JUSTICE
FAX: 612/486-1961
Ind
JANE M GRENDER
HCP-C
1875 NORTH RUBY COURT
(28379)
EAGAN, MN 55122
PHONE: 651/324-4503
JULIA DAY LLC
MS. JANE GRENDER
FAX: /­
Lim-Liab
HCP-A
2104 CEDAR GROVE TRAIL
EAGAN, MN 55122
PHONE: 651/686-4030
KCMG EAGAN LLC
(29155)
FAX: 651/686-4031
Lim-Liab
MR. DENNIS CARSTENS
HCP-F
3810 ALDER LANE
EAGAN, MN 55122
PHONE: 651/379-2410
KEYSTONE SENIOR LIVING OF EAGA
(29559)
FAX: 651/379-2431
MR. MICHAEL LEWIS
HWSAL
Lim-Liab
3810 ALDER LANE
EAGAN, MN 55122
PHONE: 612/886-2035
LINCOLN PLACE
(23505)
FAX: 612/886-2592
MR. MICHAEL LEWIS
HWS
NProf
1997 GOLD TRAIL
EAGAN, MN 55122
PHONE: 651/209-1681
LIVING WELL POPPLER
(27190)
FAX: 651/209-1684
NProf
MRS. RORY BURTON-FEENEY
SLFB-6
3020 POPPLER LANE
EAGAN, MN 55122
PHONE: 651/688-8035
(20857)
FAX: 651/688-8250
MS. JOSIE SCHNEIDER
Minnesota Department of Health
Division of Compliance Monitoring
Page 72
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
MNGI ENDOSCOPY EAGAN
Certification
DAKOTA
Registration
(Cont.)* -------------------------­
Outpt Surg
Amb Surg
1185 TOWN CTR DRIVE SUITE 200
(23392)
EAGAN, MN 55123
PHONE: 612/871-1145
FAX: /­
DR. SCOTT KETOVER
Corp
MVR HOMECARE INC
HCP-A
3435 WASHINGTON DRIVE #104
(23107)
EAGAN, MN 55122
PHONE: 651/994-9482
FAX: 651/305-6224
Corp
NEW CHALLENGES INC
MR. VLADIMIR STORCHAK
HCP-F
4670 SLATER ROAD
(25523)
EAGAN, MN 55122
PHONE: 651/454-0161
FAX: 651/379-4575
Lim-Liab
PEACEFUL MIND HOMES LLC
MS. LEANN METZMAKER
HWSAL
HCP-F
3808 BLACKHAWK RIDGE PLACE
(25900)
EAGAN, MN 55122
PHONE: 651/538-4499
MS. KAM AGGARWAL
FAX: 651/815-0420
HWS
NProf
PEOPLE INCORPORATED CEDARVALE
3916 CEDAR GROVE PARKWAY
(29761)
EAGAN, MN 55122
PHONE: 952/895-0935
MS. HAYLEY CARLSON
FAX: 952/736-9632
HWS
NProf
PEOPLE INCORPORATED DAKOTA APT
3924 CEDAR GROVE PARKWAY
(28276)
EAGAN, MN 55122
PHONE: 952/895-0935
FAX: 952/736-9632
MS. HAYLEY CARLSON
HWS
Corp
ROYAL OAKS APARTMENTS
3515 FEDERAL DRIVE
(30085)
EAGAN, MN 55122
PHONE: 651/454-0161
FAX: 651/379-4575
Lim-Liab
TENDER CARE
MS. LEEANN METZMAKER
HCP-A
3790 GREY DOVE LANE
(29661)
EAGAN, MN 55122
PHONE: 612/388-2786
FAX: 651/756-8939
ONProf
THE COMMONS ON MARICE
MS. CAROLE SCHRADER-BONDE
HWSAL
HCP-F
1380 MARICE DRIVE
(20662)
EAGAN, MN 55121
PHONE: 651/688-9999
FAX: 651/688-7888
ZACHARY HOME HEALTH CORPORATIO
Corp
MR. DAN PETERKA
HCP-A
680 SUMMER LANE
EAGAN, MN 55123
PHONE: 651/452-8174
(23615)
FAX: 651/994-7104
MR. VICTOR BANGURA
Minnesota Department of Health
Division of Compliance Monitoring
Page 73
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
DAKOTA
(Cont.)* -------------------------­
HWS
Lim-Liab
BISCHEL SPERLING LLC
Registration
808 SECOND ST
(29893)
FARMINGTON, MN 55024
PHONE: 651/302-4471
FAX: /­
MR. NATHAN TONNANCOUR
HWS
Corp
CENTENNIAL I
1321 CENTENNIAL DRIVE
(29533)
FARMINGTON, MN 55024
PHONE: 651/287-0956
FAX: 651/287-0957
MS. LONI AADALEN
HWS
Corp
CENTENNIAL II
1337 CENTENNIAL DRIVE
(29534)
FARMINGTON, MN 55024
PHONE: 651/287-0956
FAX: 651/287-0957
MS. LONI AADALEN
HWS
Corp
CENTENNIAL&HERITAGE PLACE APTS
1320 CENTENNIAL DRIVE
(29274)
FARMINGTON, MN 55024
PHONE: 651/287-0956
MR RUSSELL KENNEDY
FAX: 651/287-0957
HWSAL
Corp
COMMUNITY ASSISTED LIVING INC
912 FOURTH STREET
(22166)
FARMINGTON, MN 55024
PHONE: 651/460-6762
MS. DONNA NOVAK
FAX: 651/460-2217
HWSAL
Corp
COMMUNITY ASSISTED LIVING INC
911 HONEYSUCKLE LANE
(26001)
FARMINGTON, MN 55024
PHONE: 651/460-2902
FAX: 651/460-2217
NProf
FARMINGTON HEALTH SERVICES
MS. DONNA NOVAK
HCP-F
3410 WEST 213TH STREET
(21782)
FARMINGTON, MN 55024
PHONE: 651/460-1138
FAX: 651/252-2009
Lim-Liab
HEALING HANDS HOMECARE LLC
MS. ELIZABETH LETICH
HCP-A
18609 DULUTH STREET
(27805)
FARMINGTON, MN 55024
PHONE: 651/463-3040
PAULS PLACE
FAX: /­
MRS. REBEKAH SILVERTHORN
Lim-Liab
SLFA-6
22355 ALBATROSS CIRCLE
FARMINGTON, MN 55024
PHONE: 651/463-2608
RIVER VALLEY HOME CARE INC
(25956)
FAX: 651/463-7984
Corp
MS. VICKI NORTON
HCP-A
HHA
916 EIGHTH STREET
FARMINGTON, MN 55024
PHONE: 651/460-4201
(03533)
FAX: 651/460-4208
MS. RACHELLE PARISEAU
Minnesota Department of Health
Division of Compliance Monitoring
Page 74
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
RIVER VALLEY HOME CARE INC
Certification
DAKOTA
Registration
(Cont.)* -------------------------­
Home Mgmt
Corp
916 EIGHTH STREET
FARMINGTON, MN 55024
PHONE: 651/460-4201
TRINITY CARE CENTER
(20797)
FAX: 651/460-4208
NProf
MS. RACHELLE PARISEAU
NH-65
SNF-NF-65
3410 213TH STREET WEST
FARMINGTON, MN 55024
PHONE: 651/463-7818
TRINITY SUITES
(00101)
FAX: 651/460-1165
MS. ELIZABETH LETICH
HWSAL
NProf
205 11TH STREET
FARMINGTON, MN 55024
PHONE: 651/252-2073
TRINITY TERRACE
(28776)
FAX: 651/252-2077
MRS. ELIZABETH LETICH
HWSAL
NProf
3330 213TH STREET WEST
FARMINGTON, MN 55024
PHONE: 651/460-1104
AUGUSTANA HCC OF HASTINGS
(20413)
MRS. SHARON LILLA
FAX: 651/463-4941
NProf
NH-91
SNF-NF-91
930 WEST 16TH STREET
HASTINGS, MN 55033
PHONE: 651/437-6176
CRESTWOOD APARTMENTS
(00877)
MS. KAY EMERSON
FAX: 651/480-2120
HWS
Lim-Liab
600 WESTVIEW DRIVE
HASTINGS, MN 55033
PHONE: 651/437-1290
CRESTWOOD APARTMENTS
(30091)
FAX: 651/437-8465
MR. NATHAN TONNANCOUR
HWS
Lim-Liab
620 WESTVIEW DRIVE
HASTINGS, MN 55033
PHONE: 651/437-1290
DAKOTA CO RECEIVING CENTER
(30092)
FAX: 651/437-8465
NProf
MR. NATHAN TONNANCOUR
SLFB-27
1294 EAST 18TH ST BUILDING #1
HASTINGS, MN 55033
PHONE: 651/437-4209
GUILD EMPIRE HOUSE
(01406)
FAX: 651/438-4144
MR. RICK TERZICK
HWS
NProf
1344 FEATHERSTONE COURT
HASTINGS, MN 55033
PHONE: 651/291-0067
GUILD JUPITER PEAK LODGING
(28850)
FAX: 651/312-1222
MS. GRACE TANGERD SCHMITT
HWS
NProf
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
75
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
HENRY HAGEN RESIDENCE
Ind
Certification
DAKOTA
Registration
(Cont.)* -------------------------­
ICFIID-6
SLFA-6
19845 LILLEHEI AVENUE
HASTINGS, MN 55033
PHONE: 651/437-9363
MN VETERANS HOME HASTINGS
(01091)
FAX: 651/437-9363
State
MS. LAURA LEE REYNOLDS
BCH-200
1200 EAST 18TH STREET
HASTINGS, MN 55033
PHONE: 651/438-8579
NEW CHALLENGES INC - AFTON
(00788)
FAX: 651/437-2203
MR. ANDREW BURNSIDE
HWSAL
Corp
6880 ST CROIX TRAIL SOUTH
HASTINGS, MN 55033
PHONE: 651/454-0161
OAK RIDGE ASSTD LVNG HASTINGS
(28126)
FAX: 651/379-4575
NProf
MS. LEEANN METZMAKER
HWSAL
HCP-F
1128 BAHLS DRIVE
HASTINGS, MN 55033
PHONE: 651/438-0418
PARK RIDGE APTS OF HASTINGS
(21404)
MS. NATALIE BURNELL
FAX: 651/438-0419
NProf
HWSAL
HCP-F
901 WEST 16TH STREET
HASTINGS, MN 55033
PHONE: 651/480-6300
REGINA ASSISTED LIVING
(26858)
MS. TAMMY HASE
FAX: 651/480-6348
NProf
HWSAL
HCP-F
1175 NININGER ROAD
HASTINGS, MN 55033
PHONE: 651/480-4333
REGINA HOSPITAL
(20006)
FAX: 651/404-1286
NProf
MS. KARRIE TIPLER
BASS-12 HOSP-57
HOSP-43 PPS-P-14
1175 NININGER ROAD
HASTINGS, MN 55033
PHONE: 651/480-4100
REGINA SENIOR LIVING
(30086)
FAX: 651/480-6801
NProf
MR. MARK WILSON
NH-61
SNF-NF-61
1175 NININGER ROAD
HASTINGS, MN 55033
PHONE: 651/480-4333
RUTH HOMES INC
(00100)
FAX: 651/404-1286
Corp
MS. KARRIE TIPLER
HWSAL
HCP-F
1306 LINCOLN LANE
HASTINGS, MN 55033
PHONE: 651/437-4312
VALLEY MANOR APARTMENTS
(20237)
FAX: 651/437-6306
MS. JANE HAUSMAN
HWS
Lim-Liab
1110 BAHLS DRIVE
HASTINGS, MN 55033
PHONE: 651/437-1290
(30088)
FAX: 651/437-8465
MR. NATHAN TONNANCOUR
Minnesota Department of Health
Division of Compliance Monitoring
Page
76
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
DAKOTA
(Cont.)* -------------------------­
HWS
Lim-Liab
VALLEY MANOR APARTMENTS
Registration
1130 BAHLS DRIVE
(30090)
HASTINGS, MN 55033
PHONE: 651/437-1290
FAX: 651/437-8465
MR. NATHAN TONNANCOUR
HWS
Lim-Liab
VALLEY MANOR APARTMENTS
1120 BAHLS DRIVE
(30089)
HASTINGS, MN 55033
PHONE: 651/437-1290
FAX: 651/437-8465
Lim-Liab
ANIKA HOME CARE
MR. NATHAN TONNANCOUR
HCP-A
3144 78TH ST EAST
(27014)
INVER GROVE HEIGHTS, MN 55076
PHONE: 612/208-1491
FAX: 612/259-8127
Corp
CARECO APARTMENTS INC
MS. MARIA ROSSON
ICFIID-14
SLFA-14
6115 CARMEN AVENUE EAST
(01503)
INVER GROVE HEIGHTS, MN 55076
PHONE: 651/451-1756
MR. GARY NOBLE
FAX: 651/451-1803
Lim-Liab
COMFORT KEEPERS
HCP-A
1870 50TH STREET EAST STE 7
(27804)
INVER GROVE HEIGHTS, MN 55077
PHONE: 651/330-3071
MS. JOAN WURZER
FAX: 651/330-3721
Corp
GONDOLA GROUP INC
HWS
HCP-F
8615 BIRCH BLVD
(24603)
INVER GROVE HEIGHTS, MN 55076
PHONE: 952/270-6586
FAX: 651/322-4807
MS. DARLENE DAVIS
HWS
Corp
GONDOLA GROUP INC
2700 62ND STREET EAST
(25528)
INVER GROVE HEIGHTS, MN 55076
PHONE: 952/270-6586
GOOD SAM SOCIETY INVER GR HGTS
FAX: /-
MS. DARLENE DAVIS
NProf
NH-52
SNF-NF-52
1301 50TH ST E
INVER GROVE HEIGHTS, MN 55077
PHONE: 651/451-1853
INVER GROVE HEIGHTS WHITE PINE
(00022)
FAX: 651/451-7515
Lim-Liab
MS. PAMELA SCHULTZ
HWSAL
HCP-F
9056 BUCHANAN TRAIL
INVER GROVE HEIGHTS, MN 55077
PHONE: 651/306-9886
INVER GROVE HEIGHTS WP II LLC
(26132)
FAX: 651/306-9888
Lim-Liab
MS. RHONDA SCHILLINGER
HCP-F
9058 BUCHANAN TRAIL
INVER GROVE HEIGHTS, MN 55077
PHONE: 651/455-6549
(27377)
FAX: 651/455-6559
MS. RHONDA SCHILLINGER
Minnesota Department of Health
Division of Compliance Monitoring
Page
77
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
DAKOTA
(Cont.)* -------------------------­
HWSAL
Lim-Liab
INVER GROVE HEIGHTS WP II LLC
Registration
9058 BUCHANAN TRAIL
(27378)
INVER GROVE HEIGHTS, MN 55077
PHONE: 651/455-6549
FAX: 651/455-6559
Lim-Liab
INVERWOOD SENIOR LIVING
MS. RHONDA SCHILLINGER
HCP-F
HWSAL
7260 SOUTH ROBERT TRAIL
(26833)
INVER GROVE HEIGHTS, MN 55077
PHONE: 651/312-5800
FAX: 651/450-0159
NProf
LIVING WELL UPPER 55TH
MR. LANCE LEMIEUX
SLFB-6
1885 UPPER 55TH STREET EAST
(20938)
INVER GROVE HEIGHTS, MN 55077
PHONE: 651/552-8748
FAX: 651/552-8794
MS. JENNIFER HOLCK
HWS
Corp
OWAKIHI INC
1455 UPPER 55TH STREET EAST
(27375)
INVER GROVE HEIGHTS, MN 55077
PHONE: 651/450-6005
MS. SANDRA KINDEM
FAX: 651/451-5955
Ind
PAIGE MATEYKA
HCP-C
4890 ASHLEY LANE
(29681)
INVER GROVE HEIGHTS, MN 55077
PHONE: 651/890-2493
SPECTRUM COMMUNITY HEALTH INC
MS. PAIGE MATEYKA
FAX: /-
Corp
HCP-F
6205 CROSSMAN LANE
INVER GROVE HEIGHTS, MN 55076
PHONE: 651/451-0569
SPECTRUM COMMUNITY HEALTH INC
(21030)
FAX: 651/455-1179
Corp
MS. MARILYN HANSON
HCP-A
HHA
6205 CROSSMAN LANE
INVER GROVE HEIGHTS, MN 55076
PHONE: 651/451-0569
STERLING HOUSE INVER GROVE HGT
(02168)
FAX: 651/455-1179
Corp
MS. MARILYN HANSON
HWSAL
HCP-F
5891 CARMEN AVENUE
INVER GROVE HEIGHTS, MN 55076
PHONE: 651/306-0919
TIMBER HILLS
(20419)
FAX: 651/306-1020
NProf
MS. PAIGE BEACH
HCP-F
6307 BURNHAM CIRCLE
INVER GROVE HEIGHTS, MN 55076
PHONE: 651/552-2800
TIMBER HILLS - COMMONS/ARBOR
(27965)
FAX: 651/552-2801
MS. NATALIE MORLAND
HWSAL
NProf
6305 BURNHAM CIRCLE
INVER GROVE HEIGHTS, MN 55076
PHONE: 651/552-2800
(21981)
FAX: 651/552-2801
MR. BLAKE BOCHE
Minnesota Department of Health
Division of Compliance Monitoring
Page 78
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Ind
TOTAL CARE BODY AND HAIR
Certification
DAKOTA
Registration
(Cont.)* -------------------------­
HCP-C
6840 BENTON WAY
(20603)
INVER GROVE HEIGHTS, MN 55076
PHONE: 651/398-1193
FAX: 651/457-1636
WOODLYN HEIGHTS HEALTHCARE CTR
Corp
MS. EDITH LIVINGOOD
NH-99
SNF-NF-99
2060 UPPER 55TH STREET E
(00829)
INVER GROVE HEIGHTS, MN 55077
PHONE: 651/451-1881
FAX: 651/451-3378
MS. NICOLE BARCLAY
Home Mgmt
NProf
COMMON SENSE SERVICES
6415 CARMEN AVE
(03141)
INVER GROVE HTGS, MN 55076
PHONE: 651/552-0288
FAX: 651/552-0192
Corp
2 CARING HANDS
MS. NANCY LEE DAHLIN
HWSAL
HCP-F
20752 GEMINI TRAIL
(23850)
LAKEVILLE, MN 55044
PHONE: 952/985-6495
MS. ANN NOWRANG
FAX: 952/233-8871
Corp
CHARIS HOME HEALTH CARE INC
HCP-A
9405 207TH STREET WEST
(27587)
LAKEVILLE, MN 55044
PHONE: 952/201-9964
MRS. OMOLARA OLIHA
FAX: /-
Ind
CHARLOTTE L EAST
HCP-C
7992 GRINNELL WAY
(20954)
LAKEVILLE, MN 55044
PHONE: 952/953-4720
FAX: /-
MS. CHARLOTTE EAST
Lim-Liab
DIVINE CARE LLC
HCP-A
16125 HYLAND AVENUE
(25125)
LAKEVILLE, MN 55044
PHONE: 952/236-9202
FAX: 952/236-9202
Corp
EBENEZER HOME CARE
MRS FENTEZIA ZEWDIE
HCP-F
9850 163RD STREET WEST
(29050)
LAKEVILLE, MN 55044
PHONE: 952/435-7199
HOSPICE ADVANTAGE
FAX: /­
MS. KELLI THOMAS
Lim-Liab
Hospice
HSPICE
18472 KENYON AVE
LAKEVILLE, MN 55044
PHONE: 952/435-6828
ICELAND MANOR
(25486)
FAX: 952/435-6933
MS. JODY HOLEMAN-INTERIM
HWSAL
Corp
20541 ICELAND AVENUE
LAKEVILLE, MN 55044
PHONE: 952/985-6495
(25395)
FAX: 952/469-9751
MS. ANN NOWRANG
Minnesota Department of Health
Division of Compliance Monitoring
Page 79
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
INTEGRA HOME CARE
Certification
DAKOTA
Registration
(Cont.)* -------------------------­
HCP-A
HHA
20730 HOLYOKE AVE
(25579)
LAKEVILLE, MN 55044
PHONE: 952/985-0672
FAX: 952/985-0675
MR. DIMITRIY PAPKOV
HWSAL
Lim-Liab
KINGSLEY SHORES SENIOR LIVING
16880 KLAMATH TRAIL
(29470)
LAKEVILLE, MN 55044
PHONE: 952/435-8002
FAX: 952/922-9520
MS. JULIE WALTON
HWS
NProf
LIFE REBUILDERS
8540 210TH STREET
(30146)
LAKEVILLE, MN 55044
PHONE: 952/381-7197
FAX: /-
MR. ALLAN JUST
HWS
NProf
LIFE REBUILDERS
16288 GRIFFON TRAIL
(30143)
LAKEVILLE, MN 55044
PHONE: 952/381-7197
MR. ALLAN JUST
FAX: /-
HWS
NProf
LIFE REBUILDERS
20968 HOLT STREET WEST
(30144)
LAKEVILLE, MN 55044
PHONE: 952/381-7197
MR. ALLAN JUST
FAX: /­
State
MSOCS HERSHEY
ICFIID-6
SLFB-6
20685 HERSHEY AVENUE WEST
(01630)
LAKEVILLE, MN 55044
PHONE: 952/469-5122
FAX: 952/469-5753
State
MSOCS LAKEVILLE JONQUIL
MS. KAINANI BYE
ICFIID-6
SLFB-6
17041 JONQUIL AVENUE
(01654)
LAKEVILLE, MN 55044
PHONE: 952/435-2846
FAX: 952/435-2854
MS. NICOLE DENNIS
HWS-O
Corp
OPTIONS RESIDENTIAL INC HUGHES
20520 HUGHES AVENUE
(29785)
LAKEVILLE, MN 55044
PHONE: 651/815-7032
FAX: 952/564-3038
MR. JAMES HAMMILL
HWS
NProf
REDEMPTION MINISTRIES
8570 208TH STREET WEST
(30147)
LAKEVILLE, MN 55044
PHONE: 952/381-7197
FAX: /­
MR. ALLAN JUST
Home Mgmt
Lim-Liab
SENIOR CARE CONNECTIONS LLC
16577 IMPERIAL WAY
(29892)
LAKEVILLE, MN 55044
PHONE: 612/418-1822
FAX: /­
MS. LAUREL LARSON
Minnesota Department of Health
Division of Compliance Monitoring
Page
80
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
SERENITY RESIDENTIAL CARE LLC
Certification
DAKOTA
Registration
(Cont.)* -------------------------­
HWSAL
Lim-Liab
16752 HUNTINGTON PATH
LAKEVILLE, MN 55044
PHONE: 952/221-7346
SERENITY RESIDENTIAL CARE LLC
(29247)
FAX: 952/236-9536
Lim-Liab
MS. ALICIA NELSON
HCP-F
16752 HUNTINGTON PATH
LAKEVILLE, MN 55044
PHONE: 952/221-7346
SPYGLASS MANOR
(29248)
FAX: 952/236-9536
MS. ALICIA NELSON
HWSAL
Corp
7166 205TH STREET WEST
LAKEVILLE, MN 55044
PHONE: 952/985-6495
SUPERIOR HOME HEALTH CARE 1060
(27193)
FAX: 952/469-9751
Lim-Liab
MS. ANN NOWRANG
HCP-A
10603 165TH STREET WEST
LAKEVILLE, MN 55044
PHONE: 952/898-5400
SUPERIOR HOME HEALTH CARE INC
(28996)
MR. HOWARD JONES, JR
FAX: 952/898-5454
Corp
HCP-A
HHA
10603 165TH STREET WEST
LAKEVILLE, MN 55044
PHONE: 952/898-5400
THE FOUNTAINS AT HOSANNA!
(25570)
MS. DORI FINCH
FAX: 952/898-5454
HWSAL
Lim-Liab
9850 163RD STREET WEST
LAKEVILLE, MN 55044
PHONE: 952/435-7199
TRINITY HOME HEALTH CARE SERVI
(29049)
FAX: 952/236-4699
Lim-Liab
MS. KELLI THOMAS
HCP-A
17305 CEDAR AVE STE 220
LAKEVILLE, MN 55044
PHONE: 952/465-1959
TWIN CITY WOUND & OSTOMY ASSOC
(25834)
FAX: 952/236-0138
Corp
MS. ETYANE AYANA
HCP-A
9483 208TH STREET WEST
LAKEVILLE, MN 55044
PHONE: 952/985-0747
WALKER METHODIST HIGHVIEW HILL
(26657)
FAX: 952/985-0749
Lim-Liab
MS. JULIE ROSKAMP
HWSAL
HCP-F
20150 HIGHVIEW AVENUE
LAKEVILLE, MN 55044
PHONE: 952/985-9000
LILYDALE SENIOR LIVING
(26626)
FAX: 952/985-7271
Lim-Liab
MS. LORNA BACKHAUS
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
81
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
LILYDALE SENIOR LIVING
Certification
DAKOTA
Registration
(Cont.)* -------------------------­
HWSAL
Lim-Liab
949 SIBLEY MEMORIAL HWY
LILYDALE, MN 55118
PHONE: 651/767-9545
CORAM SPECIALTY INFUSION SERV
(29018)
FAX: 651/457-2844
Corp
MR. LANCE LEMIEUX
HCP-A
2345 WATERS DRIVE
MENDOTA HEIGHTS, MN 55120
PHONE: 651/452-5600
DUNGARVIN MINNESOTA LLC
(02446)
FAX: 651/452-6273
Lim-Liab
MS. RACHELLE SWANSON
HCP-F
1444 NORTHLAND DRIVE SUITE 100
MENDOTA HEIGHTS, MN 55120
PHONE: 651/699-6050
FAMILY CHOICE HOMECARE
(24782)
FAX: 651/699-7265
Corp
MS. KARIN STOCKWELL
HCP-A
2486 POND CIRCLE WEST
MENDOTA HEIGHTS, MN 55120
PHONE: 651/452-5298
FRIDLEY ASSISTED LIVING LLC
(21807)
MR. PAUL SCHNELL
FAX: 651/452-5298
Lim-Liab
HCP-F
750 MAIN ST STE 200
MENDOTA HEIGHTS, MN 55118
PHONE: 763/574-7366
HEART TO HOME INC
(27980)
MS. ASHLEY KLIPSTEIN
FAX: 763/574-7362
HWS
Corp
659 SOUTH FREEWAY ROAD
MENDOTA HEIGHTS, MN 55118
PHONE: 651/454-5250
HEART TO HOME INC
(25756)
FAX: 651/686-5295
MR. JOSHUA CESARO
HWS
Corp
2351 PAGEL ROAD
MENDOTA HEIGHTS, MN 55120
PHONE: 651/454-5250
HEART TO HOME INC
(26147)
FAX: 651/686-5295
Corp
MR. JOSH CESARO
HCP-F
659 SOUTH FREEWAY ROAD
MENDOTA HEIGHTS, MN 55118
PHONE: 651/454-5250
JOSEPH'S CHATEAU LLC
(25755)
FAX: 651/686-5295
MR. JOSHUA CESARO
HWS
Lim-Liab
1059 MARIE AVENUE WEST
MENDOTA HEIGHTS, MN 55118
PHONE: 651/815-9250
JOSEPHS CHATEAU
(28224)
FAX: 651/688-0088
Lim-Liab
DR. SHARON MOREY
HCP-F
1059 W MARIE AVENUE
MENDOTA HEIGHTS, MN 55118
PHONE: 651/815-9250
(28222)
FAX: 651/688-0088
MS. SHARON MOREY
Minnesota Department of Health
Division of Compliance Monitoring
Page
82
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
KALEB INC
Certification
DAKOTA
Registration
(Cont.)* -------------------------­
HCP-A
869 MENDAKOTA COURT
(21957)
MENDOTA HEIGHTS, MN 55120
PHONE: 651/905-9908
FAX: 651/905-9908
NProf
LIVING WELL CARMEN
MR. STEVEN WEINTRAUT
SLFB-6
915 CARMEN LANE
(21108)
MENDOTA HEIGHTS, MN 55118
PHONE: 651/405-0569
FAX: 651/405-0559
NProf
LIVING WELL DIANE
MS. LAURA PORRAS
ICFIID-6
SLFB-6
1668 DIANE ROAD
(01646)
MENDOTA HEIGHTS, MN 55118
PHONE: 651/686-7872
FAX: 651/686-6572
NProf
LIVING WELL MARY ADELE
MS. EMILY KAUFMANN
SLFB-6
1055 MARY ADELE AVENUE
(20941)
MENDOTA HEIGHTS, MN 55120
PHONE: 651/365-8707
MS. JODIE LEKO
FAX: 651/365-8708
NProf
LIVING WELL VICTORIA
ICFIID-12
SLFB-12
2031 SOUTH VICTORIA ROAD
(01359)
MENDOTA HEIGHTS, MN 55118
PHONE: 651/452-4295
MS. KATHERINE PILTINGSRUD
FAX: 651/452-4296
Lim-Liab
MARGARETS HOUSE
SLFA-10
2535 CONDON COURT
(21238)
MENDOTA HEIGHTS, MN 55120
PHONE: 651/686-0518
FAX: 651/686-0526
MS. JANET HAVEN-HALL
HWSAL
Lim-Liab
MENDOTA HEIGHTS WP LLC
745 SOUTH PLAZA DRIVE
(29408)
MENDOTA HEIGHTS, MN 55120
PHONE: 651/788-7010
FAX: 651/788-7129
Lim-Liab
MENDOTA HEIGHTS WP LLC
MS. RHONDA SCHILLINGER
HCP-F
745 SOUTH PLAZA DRIVE
(29407)
MENDOTA HEIGHTS, MN 55120
PHONE: 651/287-0265
FAX: 651/287-0266
Lim-Liab
QUALICARE SW TWIN CITIES
MS. RHONDA SCHILLINGER
HCP-A
2470 BRIDGEVIEW COURT
(29948)
MENDOTA HEIGHTS, MN 55120
PHONE: 651/605-0444
REGENCY HOME HEALTHCARE
FAX: /-
MR. KEVIN RYAN
HWSAL
Lim-Liab
664 FREEWAY ROAD NORTH
MENDOTA HEIGHTS, MN 55118
PHONE: 651/488-4655
(26593)
FAX: 651/488-4656
MS. JEAN JOHNSON
Minnesota Department of Health
Division of Compliance Monitoring
Page
83
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
City
NORTHFIELD CITY HOSPITAL & NSG
Certification
DAKOTA
Registration
(Cont.)* -------------------------­
NH-40 BASS-12 HOSP-37
SNF-NF-40 HOSP-37
2000 NORTH AVENUE
(00566)
NORTHFIELD, MN 55057
PHONE: 507/646-1001
FAX: 507/646-1392
MR. STEVE UNDERDAHL
HWSAL
Lim-Liab
CIMARRON ASSISTED LIVING
14673 CIMARRON AVENUE WEST
(27280)
ROSEMOUNT, MN 55068
PHONE: 651/322-8337
FAX: 651/344-8732
MR. DALLAS REDLIN
HWS
Corp
GONDOLA GROUP INC
4307 159TH COURT WEST
(25861)
ROSEMOUNT, MN 55068
PHONE: 952/270-6586
FAX: 651/322-4807
MS. DARLENE DAVIS
HWS
Lim-Liab
PEACEFUL MIND HOMES LLC
12591 SHANNON PARKWAY
(27389)
ROSEMOUNT, MN 55068
PHONE: 651/538-4499
MS. KAM AGGARWAL
FAX: 651/815-0420
Lim-Liab
REDLIN HOME SERVICES LLC
HCP-F
4260 153RD STREET WEST
(25498)
ROSEMOUNT, MN 55068
PHONE: 651/554-8334
FAX: 651/344-8660
MS. LORELIE REDLIN
HWSAL
Corp
ROSEMOUNT COURT
3710 145TH STREET WEST
(26024)
ROSEMOUNT, MN 55068
PHONE: 651/423-2016
FAX: 651/379-4575
MS. LEEANN METZMAKER
HWSAL
Lim-Liab
ROSEVIEW ASSISTED LIVING
14665 CHILI AVENUE WEST
(26047)
ROSEMOUNT, MN 55068
PHONE: 651/322-8337
FAX: 651/344-8732
MS. LORELIE REDLIN
Home Mgmt
Lim-Liab
SENIORS HELPING SENIORS
14542 COBALT AVENUE
(28741)
ROSEMOUNT, MN 55068
PHONE: 651/274-4285
EVERYDAY LIVING LLC 214
FAX: /­
MR. VICTOR FRICANO
HWS-O
Lim-Liab
214 4TH AVENUE NORTH
SOUTH SAINT PAUL, MN 55075
PHONE: 651/688-7173
HOME WITH YOU COMPNON CARE LLC
(29864)
FAX: 651/688-0525
MR. BLAKE ELLIOTT
Home Mgmt
Lim-Liab
3 APFELRIDGE COURT
SOUTH SAINT PAUL, MN 55075
PHONE: 651/262-3916
(28816)
FAX: 612/643-5172
MS. TONI WAKEM
Minnesota Department of Health
Division of Compliance Monitoring
Page 84
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
BRYANT AVE RESIDENCE
Certification
DAKOTA
Registration
(Cont.)* -------------------------­
ICFIID-13
SLFA-13
1120 BRYANT AVENUE
(01240)
SOUTH ST PAUL, MN 55075
PHONE: 651/450-6005
FAX: 651/451-5955
MR. PAUL MOHRBACHER
HWS
Lim-Liab
DSSY PROPERTIES
707 12TH AVE N
(29739)
SOUTH ST PAUL, MN 55075
PHONE: 651/457-0041
FAX: /­
MR. NATHAN TONNANCOUR
HWS
Lim-Liab
EVERYDAY LIVING 133 BUILDING
133 12TH AVENUE NORTH
(28274)
SOUTH ST PAUL, MN 55075
PHONE: 651/688-7173
FAX: /­
MR. BLAKE ELLIOTT
HWS-O
Lim-Liab
EVERYDAY LIVING LLC 202
202 6TH STREET SOUTH
(30068)
SOUTH ST PAUL, MN 55075
PHONE: 651/688-7173
MR. BLAKE ELLIOTT
FAX: 651/688-0525
HWS-O
Lim-Liab
EVERYDAY LIVING LLC 550
550 12TH AVENUE NORTH
(30066)
SOUTH ST PAUL, MN 55075
PHONE: 651/688-7173
MR. BLAKE ELLIOTT
FAX: 651/688-0525
NProf
LIVING WELL CONGRESS
SLFB-6
2207 CONGRESS
(20874)
SOUTH ST PAUL, MN 55075
PHONE: 651/450-2304
FAX: 651/450-2341
MR. NICK ROSS
HWSAL
Lim-Liab
RIVER HEIGHTS ASSISTED LIVING
744 19TH AVENUE NORTH
(21583)
SOUTH ST PAUL, MN 55075
PHONE: 651/326-6500
FAX: 651/326-6506
Lim-Liab
RIVER HEIGHTS ASSISTED LIVING
MR. PATRICK RAFFERTY
HCP-F
744 19TH AVENUE NORTH
(21008)
SOUTH ST PAUL, MN 55075
PHONE: 651/326-6500
FAX: 651/326-6506
Corp
SUMMIT AVENUE RESIDENCE
MR. PATRICK RAFFERTY
ICFIID-13
SLFA-13
920 SUMMIT AVENUE
(01331)
SOUTH ST PAUL, MN 55075
PHONE: 651/450-6005
FAX: 651/451-5955
MR. PAUL MOHRBACHER
HWS
Lim-Liab
WILLIS AVENUE APARTMENTS
1560 WILLIS AVENUE
(30130)
SOUTH ST PAUL, MN 55075
PHONE: 952/388-6082
FAX: /­
MR. NATHAN TONNANCOUR
Minnesota Department of Health
Division of Compliance Monitoring
Page
85
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Facility/Service
Owner
Licensure
---------------------------**********
COLONIAL COURT APARTMENTS
Certification
DAKOTA
Registration
(Cont.)* -------------------------­
HWS
Corp
1323 KRUSE STREET
WEST SAINT PAUL, MN 55118
PHONE: 651/287-0956
HMONG MINNESOTA HOME CARE INC
(27660)
FAX: 651/287-0957
MR. RUSSELL KENNEDY
Home Mgmt
Corp
1111 WATERLOO AVENUE
WEST SAINT PAUL, MN 55118
PHONE: 651/340-4790
WESTVIEW PARK APARTMENTS
(27501)
FAX: 651/340-4791
MS. BOUACHANH VUE
HWS
Corp
330 WESTVIEW DRIVE
WEST SAINT PAUL, MN 55118
PHONE: 651/450-1802
CHARLTON TERRACE APARTMENTS
(28194)
FAX: 651/450-7923
MS. KATHLEEN LAMMINEN
HWS
Lim-Liab
1492 CHARLTON STREET
WEST ST PAUL, MN 55118
PHONE: 651/451-3550
CHARLTON TERRACE APARTMENTS
(29757)
MR. NATHAN TONNANCOUR
FAX: 651/282-0039
HWS
Lim-Liab
212 W THOMPSON AVE
WEST ST PAUL, MN 55118
PHONE: 651/451-3550
CHARLTON TERRACE APARTMENTS
(29759)
MR. NATHAN TONNANCOUR
FAX: 651/282-0039
HWSAL
Lim-Liab
232 W THOMPSON AVE
WEST ST PAUL, MN 55118
PHONE: 651/451-3550
CLARE BRIDGE OF WEST ST PAUL
(29760)
FAX: 651/282-0039
Corp
MR. NATHAN TONNANCOUR
HWSAL
HCP-F
315 EAST THOMPSON AVENUE
WEST ST PAUL, MN 55118
PHONE: 612/453-1805
COLONIAL COURT APARTMENTS
(20511)
FAX: 612/453-1806
MS. PAGE BEACH
HWS
Corp
1333 KRUSE STREET
WEST ST PAUL, MN 55118
PHONE: 651/287-0956
COLONIAL COURT APARTMENTS
(28930)
FAX: 651/287-0957
MR. RUSS KENNEDY
HWS
Corp
1313 KRUSE STREET
WEST ST PAUL, MN 55118
PHONE: 651/287-0956
DARTS
(28500)
FAX: 651/287-0957
MR. RUSSELL KENNEDY
Home Mgmt
NProf
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 86
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
DAKOTA
(Cont.)* -------------------------­
HWS-O
Lim-Liab
DUNGARVIN COVINGTON COURT 374
Registration
374 EAST MARIE AVENUE
(27227)
WEST ST PAUL, MN 55118
PHONE: 651/699-6050
FAX: 651/699-7265
MS. KARIN STOCKWELL
HWS-O
Lim-Liab
DUNGARVIN COVINGTON COURT 376
376 EAST MARIE AVENUE
(27228)
WEST ST PAUL, MN 55118
PHONE: 651/699-6050
FMC WEST ST PAUL DIALYSIS
FAX: /­
MS. KARIN STOCKWELL
ESRD
Corp
1590 SOUTH ROBERT ST # 103
WEST ST PAUL, MN 55118
PHONE: 651/457-2232
GUILD CAROUSEL APARTMENTS
(26074)
FAX: 651/457-2450
MR. PATRICK HOWARD
HWS
NProf
1335 OAKDALE AVENUE
WEST ST PAUL, MN 55118
PHONE: 651/925-8481
GUILD HOLIDAY ACRES 1
(28283)
MS. GRACE SCHMITT
FAX: 651/312-1222
HWS
NProf
1762 OAKDALE AVENUE
WEST ST PAUL, MN 55118
PHONE: 651/925-8450
GUILD HOLIDAY ACRES 2
(28290)
MS. GRACE SCHMITT
FAX: 651/312-1222
HWS
NProf
1772 OAKDALE AVENUE
WEST ST PAUL, MN 55118
PHONE: 651/291-0067
GUILD HOLIDAY ACRES 3
(28347)
FAX: 651/312-1222
MS. GRACE SCHMITT
HWS
NProf
1802 OAKDALE AVENUE
WEST ST PAUL, MN 55118
PHONE: 651/291-0067
GUILD HOLIDAY ACRES 4
(29214)
FAX: 651/312-1222
MS. GRACE TANGJERD SCHMITT
HWS
NProf
1812 OAKDALE AVENUE
WEST ST PAUL, MN 55118
PHONE: 651/291-0067
LIVING WELL EAST EMERSON
(29277)
FAX: 651/312-1222
NProf
MS. GRACE TANGJERD SCHMITT
ICFIID-6
SLFB-6
41 EMERSON AVENUE EAST
WEST ST PAUL, MN 55118
PHONE: 651/450-1880
MCCLISH MANOR
(01633)
FAX: 651/450-2070
MS. HEIDI PIERSON
HWS
Corp
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 87
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: 651/451-0300
MS. LIZ HAGSTROM
Out Pt Out Ot
Corp
NOVACARE REHAB
60 EAST MARIE #105 2ND FLOOR
(03745)
WEST ST PAUL, MN 55118
PHONE: 651/451-6156
FAX: /­
MS. KELLY CASEY
HWS-O
Corp
OPTIONS RESIDENTIAL INC
851 DODD RD
(29797)
WEST ST PAUL, MN 55118
PHONE: 952/564-3030
FAX: 952/564-3038
MR. JAMES HAMMILL
HWS
Corp
OPTIONS RESIDENTIAL INC GABRIE
1167 SOUTH ROBERT STREET
(28505)
WEST ST PAUL, MN 55118
PHONE: 952/564-3030
MR. JAMES HAMMILL
FAX: 952/654-3038
NProf
PHOENIX SERVICE CORPORATION
HCP-A
330 MARIE AVE EAST
(21451)
WEST ST PAUL, MN 55118
PHONE: 651/227-5971
MS. DARLENE SCOTT
FAX: 651/227-6847
Corp
SOUTHVIEW ACRES HLTH CARE CTR
SNF-NF-241
NH-241
2000 OAKDALE AVENUE
(00102)
WEST ST PAUL, MN 55118
PHONE: 651/451-1821
FAX: 651/451-9538
Lim-Liab
SOUTHVIEW SENIOR LIVING
MR. THOMAS GOERITZ
HWSAL
HCP-F
1984 OAKDALE AVENUE
(24035)
WEST ST PAUL, MN 55118
PHONE: 651/554-4838
FAX: 651/455-0267
Corp
STERLING HOUSE OF WEST ST PAUL
MR. LANCE LEMIEUX
HWSAL
HCP-F
305 EAST THOMPSON
(20472)
WEST ST PAUL, MN 55117
PHONE: 651/453-1803
FAX: 651/453-1804
Lim-Liab
WALKER METH WESTWOOD RIDGE II
MS. KRISTIN BURSEY
SNF-37
NH-37
61 THOMPSON AVENUE WEST
(27996)
WEST ST PAUL, MN 55118
PHONE: 651/259-2701
FAX: 651/259-2724
WALKER METHODIST WESTWOOD RIDG
NProf
MS. BRENDA SCHRUPP
HWSAL
HCP-F
ONE THOMPSON AVENUE WEST
WEST ST PAUL, MN 55118
PHONE: 651/455-3999
(20448)
FAX: 651/455-5962
MR. MARK PEDERSON
Minnesota Department of Health
Division of Compliance Monitoring
Page
88
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
WALKER METHODIST WESTWOOD RIDG
Certification
DAKOTA
Registration
(Cont.)* -------------------------­
HWSAL
Lim-Liab
61 THOMPSON AVENUE WEST
(28949)
WEST ST PAUL, MN 55118
PHONE: 651/455-3999
FAX: 651/455-5962
MR. MARK PEDERSON
ESRD
Corp
WEST ST PAUL DIALYSIS UNIT
1555 LIVINGSTON AVENUE
(02728)
WEST ST PAUL, MN 55118
PHONE: 651/455-2995
FAX: /-
MS. BECKY SKWIRA
---------------------------**********
FAIRVIEW CARE CENTER
Cnty
DODGE
******** -------------------------­
NH-55
SNF-NF-55
702 10TH AVENUE NW PO BOX 10
DODGE CENTER, MN 55927
PHONE: 507/374-2578
CREST VIEW VILLA
(00103)
FAX: 507/374-2907
MS. JANE SHEERAN
HWS
City
305 4TH STREET NORTHEAST
HAYFIELD, MN 55940
PHONE: 507/477-3547
FIELD CREST CARE CENTER
(20885)
MS. LAVONNE BOULLION
FAX: 507/477-3268
City
NH-45
SNF-NF-45
318 SECOND STREET NORTHEAST
HAYFIELD, MN 55940
PHONE: 507/477-3266
FIELD CREST HOME CARE
(00104)
MS. CHERYL GUSTASON
FAX: 507/477-3268
City
HCP-F
HWSAL
318 SECOND STREET NE
HAYFIELD, MN 55940
PHONE: 507/477-3266
KASSON MSOCS
(23661)
FAX: 507/477-3268
State
MS. CHERYL GUSTASON
ICFIID-6
SLFB-6
1101 1ST AVENUE NORTHEAST
KASSON, MN 55944
PHONE: 507/634-4025
PRAIRIE MEADOWS SENIOR LIVING
(01640)
FAX: 507/634-7229
MS. ANNE O'BANION
HWSAL
Corp
800 5TH AVENUE
KASSON, MN 55944
PHONE: 507/634-9500
CHICOS BOARD & LODGE LLC
(24053)
FAX: 507/634-6854
Lim-Liab
MRS. COLETTE MILES
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 89
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: 507/527-2866
MS. MELISSA CHRISTIANSON
---------------------------**********
DOUGLAS
******** -------------------------­
HWS-O
HRA
ALEXANDRIA HOUSING AND REDEVEL
805 FILLMORE STREET
(29383)
ALEXANDRIA, MN 56308
PHONE: 320/762-1311
FAX: 320/762-8115
Church
BETHANY HOME
MR. JEFF HESS
NH-83
SNF-NF-83
1020 LARK ST
(00108)
ALEXANDRIA, MN 56308
PHONE: 320/762-1567
FAX: 320/762-6327
Church
BETHANY HOME HEALTH SERVICES
MR. PATRICK MCDONALD
HCP-F
1020 LARK STREET
(22032)
ALEXANDRIA, MN 56308
PHONE: 320/763-2180
MR. PATRICK MCDONALD
FAX: 320/759-6297
HWSAL
NProf
BETHEL MANOR II
906 ASH STREET
(22188)
ALEXANDRIA, MN 56308
PHONE: 320/763-7200
MS. WENDY HALBE
FAX: 320/763-7204
HWSAL
NProf
BETHEL MANOR INC
910 ASH STREET
(22033)
ALEXANDRIA, MN 56308
PHONE: 320/763-7200
FAX: 320/763-7204
Ind
BONNIES SENIOR HAVEN
MS. WENDY HALBE
HCP-F
HWSAL
1201 RIDGEVIEW TERRACE NE
(26278)
ALEXANDRIA, MN 56308
PHONE: 320/759-6599
FAX: 320/763-7853
MS. BONITA NIENABER
ESRD
NProf
CENTRACARE KIDNEY PROGRAM
111 17TH AVENUE EAST
(03875)
ALEXANDRIA, MN 56308
PHONE: 320/240-7808
COMM BEHAVIORAL HEALTH HOSP
FAX: /­
MS. CATHY SINDELIR
State
OTHER-16
HOSP-16
1610 8TH AVENUE EAST
ALEXANDRIA, MN 56308
PHONE: 320/335-6201
(23908)
FAX: 320/759-1002
MS. JENNIFER WESTRUM
Minnesota Department of Health
Division of Compliance Monitoring
Page 90
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
DOUGLAS
(Cont.)* -------------------------­
HWSAL
Lim-Liab
DIAMOND WILLOW ASSISTED LIVING
Registration
803 1/2 VICTOR STREET
(26045)
ALEXANDRIA, MN 56308
PHONE: 320/762-2067
FAX: 320/762-2649
MS. BRENDA MARSHALL
HWSAL
Lim-Liab
DIAMOND WILLOW ASSISTED LIVING
803 VICTOR STREET
(26046)
ALEXANDRIA, MN 56308
PHONE: 320/762-1448
FAX: 320/762-2608
Cnty
DOUGLAS CO PUB HEALTH HOSPICE
MS. BRENDA MARSHALL
Hospice
HSPICE
725 ELM STREET SUITE 1200
(02916)
ALEXANDRIA, MN 56308
PHONE: 320/763-6018
FAX: 320/763-4127
Cnty
DOUGLAS COUNTY HOSPITAL
MS. SANDRA TUBBS
BASS-14 HOSP-127
HOSP-127
111 17TH AVENUE EAST
(00111)
ALEXANDRIA, MN 56308
PHONE: 320/762-1511
MR. CARL VAAGENES
FAX: 320/762-6120
HWSAL
NProf
ECUMEN ALEXANDRIA COMMUNITY ME
1020 LARK STREET
(28777)
ALEXANDRIA, MN 56308
PHONE: 320/762-1567
MS. PATTI CAREY
FAX: 320/762-5316
Lim-Liab
EDGEWOOD VISTA ALEXANDRIA
HWSAL
HCP-F
1902 7TH AVENUE EAST
(21247)
ALEXANDRIA, MN 56308
PHONE: 320/759-2121
FAX: 320/759-2120
Lim-Liab
GOLDENRIDGE SENIOR CARE LLC
MR. PHILIP GISI
HWS
HCP-F
1203 STEGER ROAD NW
(26644)
ALEXANDRIA, MN 56308
PHONE: 320/762-2387
GRAND ARBOR
FAX: /­
MS. REBECCA SPRENGER
NProf
HWS
HCP-F
4403 PIONEER ROAD SE
ALEXANDRIA, MN 56308
PHONE: 320/763-1600
KNUTE NELSON
(28201)
FAX: 320/763-1603
NProf
MS. CARLI LINDEMANN
NH-108
SNF-NF-108
420 12TH AVENUE EAST
ALEXANDRIA, MN 56308
PHONE: 320/763-1163
KNUTE NELSON HOME CARE
(00113)
FAX: 320/763-7548
NProf
MS. ANGELA URMAN
HCP-A
HHA
1910 AGA DRIVE SUITE 100
ALEXANDRIA, MN 56308
PHONE: 320/759-1273
(24066)
FAX: 320/759-1275
MS. ANNE MAJOR
Minnesota Department of Health
Division of Compliance Monitoring
Page
91
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
KNUTE NELSON HOSPICE
NProf
Certification
DOUGLAS
Registration
(Cont.)* -------------------------­
Hospice
HSPICE
1910 AGA DRIVE SUITE 100
ALEXANDRIA, MN 56308
PHONE: 320/759-1270
LAKES AREA ASSISTED LIVING LLC
(28923)
FAX: 320/759-1271
MS. ANNE MAJOR
HWSAL
Lim-Liab
1313 CO RD 22 NW
ALEXANDRIA, MN 56308
PHONE: 320/759-5600
LAKES AREA ASSISTED LIVING LLC
(21766)
FAX: 320/763-3618
Lim-Liab
MR. KENT THOMSON
HCP-F
1313 COUNTY ROAD 22 NW
ALEXANDRIA, MN 56308
PHONE: 320/759-5600
LUTHERAN SOCIAL SERVICE OF MN
(23150)
FAX: 320/763-3618
NProf
MS. DIANE ZIEBELL
HCP-F
507 22ND AVENUE EAST SUITE 4
ALEXANDRIA, MN 56308
PHONE: 218/736-5431
MINNESOTA EYE INSTITUTE
(23561)
MS. BARB STENSLAND
FAX: 218/739-4807
Lim-Liab
Outpt Surg
Amb Surg
3401 SOUTH BROADWAY
ALEXANDRIA, MN 56308
PHONE: 320/759-2020
NELSON GABLES SENIOR CARE
(21815)
MS. PAMELA CARLSON
FAX: 320/759-2424
NProf
HWSAL
HCP-F
1220 NOKOMIS STREET
ALEXANDRIA, MN 56308
PHONE: 320/759-4600
PEACEFUL BLISS ASSISTD LVG LLC
(20056)
FAX: 320/763-5738
Lim-Liab
MS. CARLI LINDEMANN
HWSAL
HCP-F
90 EAST LAKE COWDRY ROAD NW
ALEXANDRIA, MN 56308
PHONE: 320/762-8345
PRAIRIE SENIOR COTTAGES ALEX
(26439)
FAX: 320/762-8341
Lim-Liab
MS. JUDY MCNUTT
HWS
HCP-F
812 MCKAY AVENUE
ALEXANDRIA, MN 56308
PHONE: 320/763-8244
PRAIRIE SENIOR COTTAGES OF ALE
(21280)
FAX: 320/763-8255
MS. KAYLA THOENNES
HWS
Lim-Liab
814 MCKAY AVENUE
ALEXANDRIA, MN 56308
PHONE: 320/763-8244
PRAIRIEWOOD HOME
(21281)
FAX: 320/763-8255
NProf
MRS. KAYLA THOENNES
ICFIID-6
SLFB-6
2736 LEHOMME DIEU HEIGHTS NE
ALEXANDRIA, MN 56308
PHONE: 320/763-4787
(01684)
FAX: 320/763-6520
MR. KEITH LUNDSETTER
Minnesota Department of Health
Division of Compliance Monitoring
Page 92
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
ROSEWOOD
Certification
DOUGLAS
Registration
(Cont.)* -------------------------­
ICFIID-6
SLFA-6
1007 HIGH STREET
(01214)
ALEXANDRIA, MN 56308
PHONE: 320/762-2479
FAX: 320/762-9784
NProf
SCENICWOOD
MR. KEITH LUNDSETTER
ICFIID-6
SLFA-6
1119 SCENIC HEIGHTS RD RT #8
(01215)
ALEXANDRIA, MN 56308
PHONE: 320/763-7308
FAX: 320/763-6520
Ind
SERENE HAVEN HOMECARE
MR. KEITH LUNDSETTER
HCP-A
1202 RIDGEVIEW TERRACE NE
(29397)
ALEXANDRIA, MN 56308
PHONE: 218/205-1361
FAX: 320/762-0295
MS. JESSICA BESKE
HWSAL
Ind
SERENE HAVEN HOMECARE
1202 RIDGEVIEW TERRACE
(29814)
ALEXANDRIA, MN 56308
PHONE: 218/205-1271
SHARONS SENIOR SERVICES INC
MS. LUANN HANSON
FAX: /­
HWSAL
Corp
2307 EAST GOLF COURSE ROAD NE
ALEXANDRIA, MN 56308
PHONE: 320/760-9193
SHARONS SENIOR SERVICES INC
(28117)
MS. VALERIE VONDERHARR
FAX: 320/762-2581
HWS
Corp
1441 ROSEWOOD LANE SOUTHEAST
ALEXANDRIA, MN 56308
PHONE: 320/759-2153
SHARONS SENIOR SERVICES INC
(23512)
FAX: 320/763-4874
Corp
MS. VALERIE VONDERHARR
HCP-F
1441 ROSEWOOD LANE SE
ALEXANDRIA, MN 56308
PHONE: 320/760-9193
WINDMILL PONDS ASSISTED LIVING
(23562)
FAX: 320/763-4874
MS. VALERIE VONDERHARR
HWSAL
Lim-Liab
715 VICTOR STREET
ALEXANDRIA, MN 56308
PHONE: 320/759-2132
WINDMILL PONDS ASSISTED LIVING
(21642)
FAX: 320/759-3192
Lim-Liab
MR. PATRICK RAFFERTY
HCP-F
715 VICTOR STREET
ALEXANDRIA, MN 56308
PHONE: 320/759-2132
WINONA SHORES
(21855)
FAX: 320/759-3192
MS. KATHY PATTON
HWSAL
NProf
1010 LARK STREET
ALEXANDRIA, MN 56308
PHONE: 320/763-1120
(22126)
FAX: 320/763-1121
MS. PATTI CAREY
Minnesota Department of Health
Division of Compliance Monitoring
Page
93
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
YOUR CHOICE HOME CARE LLP
Part
Certification
DOUGLAS
Registration
(Cont.)* -------------------------­
HCP-A
716 JEFFERSON
ALEXANDRIA, MN 56308
PHONE: 320/762-1501
BRANDONS ASSISTED LIVING
(24983)
FAX: 320/219-7388
Lim-Liab
MS. HEIDI ANDERSON
HCP-F
HWSAL
305 CENTRAL AVENUE SOUTH
BRANDON, MN 56315
PHONE: 320/524-2207
EVANSVILLE CARE CENTER
(27453)
FAX: 320/524-2245
Lim-Liab
MR. BRANDON BORGSTROM
NH-40
SNF-NF-40
649 STATE STREET NORTHWEST
EVANSVILLE, MN 56326
PHONE: 218/948-2219
EVANSVILLE SENIOR LIVING
(00110)
FAX: 218/948-2004
Lim-Liab
MR. BRANDON BORGSTROM
HWSAL
HCP-F
651 STATE STREET
EVANSVILLE, MN 56326
PHONE: 218/948-2346
RUSTIC CEDAR LIVING BLUE
(24481)
MR. BRANDON BORGSTROM
FAX: 320/834-5100
HWS
Lim-Liab
112 ALEXANDRIA STREET
EVANSVILLE, MN 56326
PHONE: 218/948-2219
RUSTIC CEDAR LIVING BROWN
(29405)
MR. BRANDON BORGSTROM
FAX: 218/948-2004
HWS-O
Lim-Liab
115 NELSON STREET NW
EVANSVILLE, MN 56326
PHONE: 218/948-2119
BRIDGEWELL ASSISTED LIVING
(29406)
FAX: 218/948-2004
MR. BRANDON BORGSTROM
HWSAL
NProf
410 WEST MAIN STREET
OSAKIS, MN 56360
PHONE: 320/859-2142
COMMUNITY MEMORIAL HOME
(25904)
FAX: 320/859-6293
NProf
MR. DAVID CARLSON
NH-50
SNF-NF-50
410 WEST MAIN STREET
OSAKIS, MN 56360
PHONE: 320/859-2142
TERRACE HEIGHTS ASSISTED LIVIN
(00109)
FAX: 320/859-3288
MR. DAVID CARLSON
HWSAL
NProf
410 WEST MAIN STREET
OSAKIS, MN 56360
PHONE: 320/859-2142
WEST VIEW/TERRACE HGHTS/BRIDGE
(20267)
FAX: 320/859-6293
NProf
MR. DAVID CARLSON
HWSAL
HCP-F
240 6TH AVENUE NORTH
OSAKIS, MN 56360
PHONE: 320/859-2142
(21663)
FAX: 320/859-6293
MR. DAVID CARLSON
Minnesota Department of Health
Division of Compliance Monitoring
Page 94
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
FRIENDSHIP COURT
Certification
FARIBAULT
Registration
******** -------------------------­
HWSAL
HCP-F
1228 SOUTH RICE STREET
(20457)
BLUE EARTH, MN 56013
PHONE: 507/526-6351
FAX: 507/526-7427
Corp
NICOLLET PLACE
MR. DONNIS MATTHEWS
HCP-F
HWSAL
311 SOUTH NICOLLET
(20008)
BLUE EARTH, MN 56013
PHONE: 507/526-3237
FAX: 507/526-3902
NProf
ST LUKES LUTHERAN CARE CENTER
MS. MARY BEYER
NH-112
SNF-NF-112
1219 SOUTH RAMSEY
(00116)
BLUE EARTH, MN 56013
PHONE: 507/526-6301
FAX: 507/526-7427
Dist
UNITED HANDS HOSPICE
MS. MARGARET BRANDT
Hospice
HSPICE
125 SOUTH MAIN STREET
(02964)
BLUE EARTH, MN 56013
PHONE: 507/526-7970
MR. JEFFREY LANG
FAX: 507/526-3285
Dist
UNITED HOSP DIST HOME HLTH SER
HCP-A
HHA
125 SOUTH MAIN STREET
(02804)
BLUE EARTH, MN 56013
PHONE: 507/526-7970
MS. MARY ELLEN RIGBY
FAX: 507/526-3621
Dist
UNITED HOSPITAL DISTRICT
BASS-4 HOSP-43
CAH-25
515 SOUTH MOORE ST PO BOX 160
(00117)
BLUE EARTH, MN 56013
PHONE: 507/526-7907
FAX: 507/526-3621
Corp
PARKVIEW CARE CTR WELLS INC
MR. JEFF LANG
NH-55
SNF-NF-55
55 TENTH STREET SOUTHEAST
(00784)
WELLS, MN 56097
PHONE: 507/553-3115
FAX: 507/553-6060
Church
THE SHEPHERDS INN
MR. ROBERT JOHANNSEN
HWSAL
HCP-F
46 FIRST AVENUE SOUTHWEST
(20042)
WELLS, MN 56097
PHONE: 507/553-6271
FAX: 507/553-6830
ADOLESCENT TRTMT CTR WINNEBAGO
Dist
MR. STEVEN LORENZ
SLFA-24
620 1ST AVENUE SOUTHWEST
WINNEBAGO, MN 56098
PHONE: 507/893-3885
PARKER OAKS COMMUNITIES INC
(01377)
FAX: 507/893-4223
Corp
MR. JEFFREY LANG
NH-35
SNF-NF-35
211 SIXTH STREET NORTHWEST
WINNEBAGO, MN 56098
PHONE: 507/893-3171
(00120)
FAX: 507/893-3174
MR. CHRISTOPHER KNOLL
Minnesota Department of Health
Division of Compliance Monitoring
Page 95
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
PARKER OAKS COMMUNITIES INC
Certification
FARIBAULT
Registration
(Cont.)* -------------------------­
HCP-F
HWSAL
211 SIXTH STREET NORTHWEST
(20270)
WINNEBAGO, MN 56098
PHONE: 507/893-3171
FAX: 507/893-3174
MR. CHRIS KNOLL
HWSAL
Corp
PATRIOT ASSISTED LIVING
550 CLEVELAND AVENUE
(28258)
WINNEBAGO, MN 56098
PHONE: 507/893-4999
FAX: /­
MS. DOROTHY BAKER
---------------------------**********
CHOSEN VALLEY APARTMENTS
FILLMORE
******** -------------------------­
HWS
NProf
428 JENSEN LANE SE
CHATFIELD, MN 55923
PHONE: 507/867-3416
CHOSEN VALLEY ASSISTED LIVING
(29309)
FAX: 507/867-3426
NProf
MR. CRAIG BACKEN
HCP-F
HWSAL
1260 WINONA STREET SE
CHATFIELD, MN 55923
PHONE: 507/867-3416
CHOSEN VALLEY CARE CENTER
(24105)
MR. CRAIG BACKEN
FAX: 507/867-3426
NProf
NH-78
SNF-NF-78
1102 LIBERTY STREET SOUTHEAST
CHATFIELD, MN 55923
PHONE: 507/867-4220
HARMONY COMMUNITY HEALTHCARE
(00750)
MR. CRAIG BACKEN
FAX: 507/867-0080
NProf
NH-43
SNF-NF-43
815 MAIN AVE S
HARMONY, MN 55939
PHONE: 507/886-6544
HERITAGE GROVE
(00125)
FAX: 507/886-6584
MR. TIMOTHY SAMUELSON
HWSAL
Lim-Liab
455 MAIN AVENUE NORTH
HARMONY, MN 55939
PHONE: 507/886-6515
GREEN LEA MANOR
(21518)
FAX: 507/886-6620
Corp
MS. KIM WORRALL
NH-51
SNF-NF-51
115 NORTH LYNDALE RR 2 BOX 49
MABEL, MN 55954
PHONE: 507/493-5436
THE MEADOWS OF MABEL
(00124)
FAX: 507/493-5461
Corp
MS. JULIE VETTLESON
HCP-F
HWSAL
610 EAST NEWBURG STREET
MABEL, MN 55954
PHONE: 507/493-5995
(23862)
FAX: 507/493-5555
MS. JULIE VETTLESON
Minnesota Department of Health
Division of Compliance Monitoring
Page 96
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
OSTRANDER ASSISTED LIVING
Certification
FILLMORE
Registration
(Cont.)* -------------------------­
HWSAL
HCP-F
309 MINNESOTA STREET
(23139)
OSTRANDER, MN 55961
PHONE: 507/657-2231
FAX: 507/657-2403
Corp
OSTRANDER CARE AND REHAB
MR. GRANT THAYER
NH-25
SNF-NF-25
305 MINNESOTA STREET
(00922)
OSTRANDER, MN 55961
PHONE: 507/657-2231
FAX: 507/657-2403
Cnty
FILLMORE COUNTY PHNS
MR. LLOYD SWALVE
HCP-A
HHA
902 HOUSTON ST NW
(02047)
PRESTON, MN 55965
PHONE: 507/765-3898
FAX: 507/765-2139
Lim-Liab
PARK LANE ESTATES
MS. LANTHA STEVENS
HWSAL
HCP-F
111 FILLMORE PLACE SOUTHEAST
(21250)
PRESTON, MN 55965
PHONE: 507/765-9986
MR. CHUCK LANE
FAX: 507/765-9987
NProf
PRESTON GOOD SAM SOC HC
HCP-A
HHA
200 ST PAUL STREET
(03380)
PRESTON, MN 55965
PHONE: 507/831-0745
MS. VICKIE LYNCH
FAX: 507/831-0846
HWSAL
Lim-Liab
TRADITIONS OF PRESTON
515 WASHINGTON STREET NW
(26354)
PRESTON, MN 55965
PHONE: 507/765-3837
FAX: 507/765-3838
NProf
BREMMER SUITES
MS. ANDREA ATWOOD
HWSAL
HCP-F
803 HOME STREET
(20418)
RUSHFORD, MN 55971
PHONE: 507/864-7714
FAX: 507/864-2842
Church
GOOD SHEPHERD LUTHERAN HOME
MRS. SAMANTHA COLBENSON
NH-75
SNF-NF-75
800 HOME STREET BOX 747
(00123)
RUSHFORD, MN 55971
PHONE: 507/864-7714
FAX: 507/864-2842
MR. TOM LINDH
Out Pt Out Ot
Part
THERAPY NETWORK
800 HOME STREET PO BOX 747
(02447)
RUSHFORD, MN 55971
PHONE: 507/454-3621
SPRING VALLEY CARE CENTER
FAX: /-
MR. ROBERT SCHRUPP
NProf
NH-50
SNF-NF-50
800 MEMORIAL DRIVE
SPRING VALLEY, MN 55975
PHONE: 507/346-7381
(00121)
FAX: 507/346-7619
MS. PENNY SOLBERG
Minnesota Department of Health
Division of Compliance Monitoring
Page 97
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
SPRING VALLEY ESTATES
NProf
Certification
FILLMORE
Registration
(Cont.)* -------------------------­
HCP-F
HWSAL
815 MEMORIAL DRIVE
SPRING VALLEY, MN 55975
PHONE: 507/346-1246
SPRING VALLEY HOME HEALTH AG
(21082)
FAX: 507/346-7619
NProf
MS. DEANNA VREEMAN
HCP-A
HHA
800 MEMORIAL DRIVE
SPRING VALLEY, MN 55975
PHONE: 507/346-7381
THE EVERGREENS
(02406)
FAX: 507/346-7619
MS. PENNY SOLBERG
HWS
NProf
820 MEMORIAL DRIVE
SPRING VALLEY, MN 55975
PHONE: 507/346-1246
(25275)
FAX: 507/346-7619
MS. DEANNA VREEMAN
---------------------------**********
BANCROFT CREEK ESTATES
FREEBORN
******** -------------------------­
HWS
NProf
75405 240TH STREET
ALBERT LEA, MN 56007
PHONE: 507/379-2739
BRIANS ELDER CARE INC
(29650)
MS. KATIE DAVIS
FAX: 507/379-5964
Corp
HCP-F
HWSAL
1201 SOUTHVIEW LANE
ALBERT LEA, MN 56007
PHONE: 507/373-9616
BROADWAY ASSISTED LIVING
(20323)
MR. BRIAN FREDRICKSON
FAX: 507/373-2703
Ind
BCH-9 HCP-F
HWSAL
512 SOUTH BROADWAY
ALBERT LEA, MN 56007
PHONE: 507/373-2909
EMBRACE HOME CARE LLC
(00132)
FAX: 507/373-2239
Lim-Liab
MRS. ANNABELLE FRAZIER
HCP-A
204 SOUTH WASHINGTON STE 100
ALBERT LEA, MN 56007
PHONE: 507/369-5701
FOUNTAIN LAKE TREATMENT CTR
(27834)
FAX: 507/369-5702
NProf
MS. PATTY MADRIGAL
SLFA-26 SLFB-32
408 FOUNTAIN STREET WEST
ALBERT LEA, MN 56007
PHONE: 507/377-6411
GOOD SAM SOCIETY ALBERT LEA
(01390)
FAX: 507/377-6443
NProf
MR. LARRY BLAIR
NH-114
SNF-NF-114
75507 240TH STREET
ALBERT LEA, MN 56007
PHONE: 507/373-0683
(00131)
FAX: 507/373-3229
MS. KATIE DAVIS
Minnesota Department of Health
Division of Compliance Monitoring
Page
98
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
GOOD SAM SOCIETY HIDDEN CREEK
Certification
FREEBORN
Registration
(Cont.)* --------------------------
HWSAL
HCP-F
75303 240TH STREET
(24246)
ALBERT LEA, MN 56007
PHONE: 507/379-2737
FAX: 507/379-5964
Part
JUST LIKE HOME PLACE LLP
MS. KATIE DAVIS
HCP-F
310 EAST CLARK STREET
(20205)
ALBERT LEA, MN 56007
PHONE: 507/373-0975
FAX: 507/377-6186
MR. ROLAND KEYESKI
HWSAL
Part
JUST LIKE HOME PLACE LLP
310 E CLARK
(23461)
ALBERT LEA, MN 56007
PHONE: 507/373-0975
FAX: 507/377-6186
Church
KNUTSON PLACE APARTMENTS
MR. ROLAND KEYESKI
HWS
HCP-F
801 LUTHER PLACE
(20016)
ALBERT LEA, MN 56007
PHONE: 507/373-8226
MR. SCOT SPATES
FAX: 507/379-9506
ESRD
NProf
MAYO DIALYSIS ALBERT LEA
1705 BROADWAY SOUTHEAST
(02118)
ALBERT LEA, MN 56007
PHONE: 507/373-2384
MAYO CLINIC HEALTH SYS ALBT LE
MR. TERRY MAXHIMER
FAX: /-
NProf
BASS-12 HOSP-77
HOSP-61 PPS-P-16
404 WEST FOUNTAIN STREET
ALBERT LEA, MN 56007
PHONE: 507/373-2384
MAYO CLINIC HEALTH SYS ALBT LE
(00920)
FAX: 507/377-6383
NProf
MR. STEPHEN WALDHOFF
Hospice
HSPICE
1705 SOUTHEAST BROADWAY
ALBERT LEA, MN 56007
PHONE: 507/377-6393
MAYO CLINIC HS ALBERT LEA
(03179)
FAX: 507/377-6451
NProf
MS. MARCIA SMITH
HCP-A
HHA
1705 SOUTHEAST BROADWAY
ALBERT LEA, MN 56007
PHONE: 507/377-6393
OAK PARK PLACE
(02263)
FAX: 507/377-6451
Lim-Liab
MS. MARCIA SMITH
HWSAL
HCP-F
1615 BRIDGE AVENUE
ALBERT LEA, MN 56007
PHONE: 507/373-5600
PRAIRIE SENIOR COTTAGES
(21154)
FAX: 507/373-1121
MR. SCOTT FRANK
HWSAL-O
Lim-Liab
1604 FOUNTAIN STREET
ALBERT LEA, MN 56007
PHONE: 507/379-9000
(29691)
FAX: 507/373-1880
MS. JULIE WOOD
Minnesota Department of Health
Division of Compliance Monitoring
Page 99
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
FREEBORN
(Cont.)* -------------------------­
HWSAL
Lim-Liab
PRAIRIE SENIOR COTTAGES
Registration
1602 FOUNTAIN STREET
(29690)
ALBERT LEA, MN 56007
PHONE: 507/379-9000
FAX: 507/373-1880
Lim-Liab
PRAIRIE SENIOR COTTAGES ALBERT
MS. JULIE WOOD
HCP-F
1604 FOUNTAIN STREET
(29689)
ALBERT LEA, MN 56007
PHONE: 507/379-9000
FAX: 507/373-1880
Corp
REM WOODVALE INC PLAINVIEW
MS. JULIE WOOD
ICFIID-32
SLFB-32
1204 PLAINVIEW LANE
(01307)
ALBERT LEA, MN 56007
PHONE: 507/373-7629
FAX: 507/373-7299
Church
ST JOHNS LUTHERAN HOME
MR. PATRICK MASYGA
NH-170
SNF-NF-170
901 LUTHER PLACE
(00138)
ALBERT LEA, MN 56007
PHONE: 507/373-8226
MR. SCOT SPATES
FAX: 507/379-9506
NProf
THORNE CREST RET CENTER
NH-52
SNF-NF-52
1201 GARFIELD AVENUE
(00833)
ALBERT LEA, MN 56007
PHONE: 507/373-2311
MS. SHANNA ECKBERG
FAX: 507/377-1216
NProf
THORNE CREST RETIREMENT CENTE
HCP-F
HWSAL
1201 GARFIELD AVENUE
(20111)
ALBERT LEA, MN 56007
PHONE: 507/373-2311
FAX: 507/377-1216
MS. SHANNA ECKBERG
Home Mgmt
Ind
JOANN JENSEN
79841 170TH STREET
(24939)
GLENVILLE, MN 56036
PHONE: 507/488-0122
FAX: /­
MS. JOANN JENSEN
---------------------------**********
ANGELS CARE CENTER
NProf
GOODHUE
NH-89
******** -------------------------­
SNF-NF-89
300 NORTH DOW STREET
CANNON FALLS, MN 55009
PHONE: 507/263-4658
MAYO CLINIC HEALTH SYS CF
(00758)
FAX: 507/263-4127
NProf
MS. KRISTI UMBERGER-INTERIM
BASS-4 HOSP-21
1116 WEST MILL STREET
CANNON FALLS, MN 55009
PHONE: 507/263-4221
(00140)
FAX: 507/263-7853
MR. WILLIAM PRIEST
CAH-21
Minnesota Department of Health
Division of Compliance Monitoring
Page 100
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
GOODHUE
(Cont.)* -------------------------­
HWSAL
Corp
THE VIEW I MCHAVEN INC
Registration
308 LARKSPUR LANE
(30097)
CANNON FALLS, MN 55009
PHONE: 507/298-4048
FAX: 507/263-2179
MR. LEON HANSON
HWSAL
Corp
THE VIEW II GAMACANN INC
315 LARKSPUR LANE
(30098)
CANNON FALLS, MN 55009
PHONE: 507/263-4781
FAX: 507/263-2179
MR. LEON HANSON
HWSAL
Corp
THE VIEW III MCHAVEN INC
319 LARKSPUR LANE
(30099)
CANNON FALLS, MN 55009
PHONE: 507/263-2217
FAX: 507/263-2179
MR. LEON HANSON
HWSAL
Lim-Liab
TWIN RIVERS SENIOR CAMPUS
900 MAIN STREET
(26730)
CANNON FALLS, MN 55009
PHONE: 507/263-3600
MS. MELISSA WOOSLEY
FAX: 507/263-6077
Church
GUNDERSON GARDENS
HWSAL
HCP-F
215 HUSETH STREET
(23397)
KENYON, MN 55946
PHONE: 507/789-7138
MR. TOM NIELSEN
FAX: 507/789-5679
Church
KENYON SUNSET HOME
SNF-NF-38
NH-38
127 GUNDERSON BOULEVARD
(00145)
KENYON, MN 55946
PHONE: 507/789-7104
FAX: 507/789-8843
Lim-Liab
NORTH RIDGE VIEW LLC
MS. CHELSEA UGLAND
HWSAL
HCP-F
101 NORTH RIDGE DRIVE
(27617)
KENYON, MN 55946
PHONE: 507/789-6184
FAX: 507/789-6184
Ind
RUTH FREDRICKSON CARES
MS. ALICE SYVERSON
HCP-A
715 HOME STREET BOX 16
(24834)
KENYON, MN 55946
PHONE: 507/789-6521
EVERGREEN PLACE
FAX: /-
MS. RUTH FREDRICKSON
ONProf
HWSAL
HCP-F
220 THIRD STREET NORTHWEST
PINE ISLAND, MN 55963
PHONE: 507/356-8585
PINE HAVEN CARE CENTER INC
(20321)
FAX: 507/356-8563
NProf
MR. STEVE ZILLER
SNF-NF-66
NH-66
210 NORTHWEST THIRD STREET
PINE ISLAND, MN 55963
PHONE: 507/356-8304
(00148)
FAX: 507/356-4400
MR. STEVEN ZILLER
Minnesota Department of Health
Division of Compliance Monitoring
Page 101
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
PINE HAVEN HOME HEALTH
NProf
Certification
GOODHUE
Registration
(Cont.)* -------------------------­
HCP-A
220 3RD STREET NORTHWEST
PINE ISLAND, MN 55963
PHONE: 507/356-8585
ACCRA HOME HEALTH INC
(27311)
FAX: 507/356-8563
NProf
MS. AMANDA METCALF
HCP-A
HHA
910 MAIN STREET #205
RED WING, MN 55066
PHONE: 651/388-1010
DEER CREST
(02048)
FAX: 651/388-1178
Lim-Liab
MR. JOHN DAHM
HCP-F
HWSAL
470 HEWITT BOULEVARD
RED WING, MN 55066
PHONE: 651/267-5444
HIAWATHA HOMECARE
(25182)
FAX: 651/267-5429
Corp
MS. JILL PRAHL
HCP-A
HHA
4920 MOUNDVIEW DR STE B
RED WING, MN 55066
PHONE: 651/388-2223
JORDAN TOWER I
(02923)
MS. KAREN SEIFERT
FAX: 651/388-2227
HWS
HRA
433 WEST FOURTH STREET
RED WING, MN 55066
PHONE: 651/301-7018
JORDAN TOWER II
(21039)
MR. RANDAL HEMMERLIN
FAX: 651/385-0551
HWS
HRA
440 WEST FIFTH STREET
RED WING, MN 55066
PHONE: 651/301-7018
LOVING RESIDENCE
(21040)
FAX: 651/385-0551
Lim-Liab
MR. RANDAL HEMMERLIN
HWSAL
HCP-F
1760 PERLICH AVENUE
RED WING, MN 55066
PHONE: 651/388-1650
MAYO CLINIC HLTH SYS RED WING
(20142)
FAX: 651/388-1684
NProf
MS. SANDRA MCDONALD
HCP-A
HHA
1407 WEST FOURTH ST
RED WING, MN 55066
PHONE: 651/385-3410
MAYO CLINIC HLTH SYS RED WING
(02301)
FAX: 651/385-3414
NProf
MS. NICHOLE GRUIS DIEKMANN
BASS-7 HOSP-50
HOSP-50
701 HEWITT BOULEVARD POB 95
RED WING, MN 55066
PHONE: 651/267-5000
MAYO CLINIC HLTH SYSTEM RED WI
(21423)
MR. STEPHEN GUDGELL
FAX: 651/267-5935
NProf
Hospice
HSPICE
1407 WEST FOURTH ST
RED WING, MN 55066
PHONE: 651/385-3410
(03130)
FAX: 651/385-3414
MS. NICHOLE GRUIS DIEKMANN
Minnesota Department of Health
Division of Compliance Monitoring
Page 102
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
POTTER RIDGE
Corp
Certification
GOODHUE
Registration
(Cont.)* -------------------------­
HWSAL
HCP-F
1971 NEAL STREET
RED WING, MN 55066
PHONE: 651/388-1546
RED WING DIALYSIS UNIT
(24048)
FAX: 651/388-1438
MR. DEAN BLOEMKE
ESRD
Corp
3028 NORTH SERVICE DRIVE
RED WING, MN 55066
PHONE: 651/388-7711
RED WING HEALTH CENTER
(02510)
FAX: 651/388-4311
Lim-Liab
MS. DEDE ERICKSON
NH-145
SNF-NF-145
1412 WEST 4TH STREET
RED WING, MN 55066
PHONE: 651/385-4800
REM RIVER BLUFFS PARK HEIGHTS
(00149)
FAX: 651/388-9502
Corp
MR. ANTHONY LINN
ICFIID-13
SLFB-13
2606 MALMQUIST AVENUE
RED WING, MN 55066
PHONE: 651/388-7158
SEMINARY HOME
(01511)
MS. JUANITA HAYES
FAX: 651/388-8243
NProf
NH-84
SNF-NF-84
906 COLLEGE AVENUE
RED WING, MN 55066
PHONE: 651/385-3434
ST BRIGID'S AT HI PARK
(00150)
MR. JACOB GOERING
FAX: 651/385-3420
Church
HCP-A
135 PIONEER ROAD
RED WING, MN 55066
PHONE: 651/388-1234
ST BRIGID'S AT HI-PARK
(03227)
FAX: 651/388-0347
MR. MICHAEL SCHULTZ
HWSAL
Church
135 PIONEER ROAD
RED WING, MN 55066
PHONE: 651/388-1234
ST BRIGIDS AT HI PARK
(20291)
FAX: 651/385-5481
Church
MR. MICHAEL SCHULTZ
NH-65
SNF-NF-65
213 PIONEER ROAD
RED WING, MN 55066
PHONE: 651/388-1234
VALENTINES ASSISTED LIVING LLC
(00787)
FAX: 651/388-0347
Lim-Liab
MR. JACOB GOERING
HWSAL
HCP-F
2557 EAGLE RIDGE DRIVE
RED WING, MN 55066
PHONE: 651/388-1650
VISITING ANGELS
(25435)
FAX: 651/388-1684
MS. SANDRA MCDONALD
Home Mgmt
Lim-Liab
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
103
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: 651/385-2225
NProf
RIVERVIEW SERVICES INC
MR. JAY ROESNER
ICFIID-11
SLFB-11
400 HILLCREST AVENUE NORTH
(01229)
WANAMINGO, MN 55983
PHONE: 507/824-2091
FAX: 507/824-2249
MS. NANCI ADAMS
HWSAL
NProf
THE BRIDGES OF ZUMBROTA
295 WEST 4TH STREET
(20583)
ZUMBROTA, MN 55992
PHONE: 507/732-8455
FAX: 507/732-8433
NProf
ZUMBROTA CARE CENTER
MS. SHANNON DONAHUE
NH-42
SNF-NF-42
433 MILL STREET
(00917)
ZUMBROTA, MN 55992
PHONE: 507/732-8402
MR. SCOTT JACKSON
FAX: 507/732-8432
ZUMBROTA CARE CENTER HOME CARE
NProf
HCP-F
433 MILL STREET
ZUMBROTA, MN 55992
PHONE: 507/732-8455
(22850)
MR. SCOTT JACKSON
FAX: 507/732-8433
---------------------------**********
ASHBY LIVING CENTER
GRANT
******** -------------------------­
HWSAL
Lim-Liab
112 IVERSON
ASHBY, MN 56309
PHONE: 218/747-2995
ASHBY LIVING CENTER
(28744)
FAX: 218/747-2996
Lim-Liab
MS. SUSAN BALA
HCP-F
112 IVERSON AVENUE
ASHBY, MN 56309
PHONE: 218/747-2995
BARRETT ASSISTED LIVING COMMUN
(29371)
FAX: 218/747-2996
Corp
MS. SUSAN BALA
HCP-A
800 SPRUCE AVENUE
BARRETT, MN 56311
PHONE: 320/528-2527
BARRETT ASSISTED LVG COM INC
(28985)
FAX: 320/528-2642
MS. JEANINE JUNKER
HWSAL
Corp
800 SPRUCE AVENUE
BARRETT, MN 56311
PHONE: 320/528-2371
(20428)
FAX: 320/528-2374
MR. VERNON JUNKER
Minnesota Department of Health
Division of Compliance Monitoring
Page 104
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
BARRETT CARE CENTER INC
Certification
GRANT
Registration
(Cont.)* -------------------------­
NH-45
SNF-NF-45
800 SPRUCE AVENUE
(00153)
BARRETT, MN 56311
PHONE: 320/528-2527
FAX: 320/528-2642
NProf
PRAIRIE RIDGE HOSP HLTH SERV
MS. JEANINE JUNKER
BASS-2 HOSP-20
CAH-20
930 FIRST STREET NORTHEAST
(00154)
ELBOW LAKE, MN 56531
PHONE: 218/685-4461
FAX: 218/685-6749
MR. TOM KOOIMAN
---------------------------**********
Corp
SYNERGY HOME CARE NE METRO
HENNEPIN
******** -------------------------­
HCP-B
9380 CENTRAL AVENUE NE STE 310
(29621)
BLAINE, MN 55434
PHONE: 763/772-7768
FAX: /-
MR. BRIAN MCDONALD
HWS
NProf
10731 FRANCE AVENUE SOUTH
10731 FRANCE AVENUE SOUTH
(29211)
BLOOMINGTON, MN 55431
PHONE: 612/724-7368
MR. CHRIS TRAILER
FAX: /-
HWS
NProf
1501 AMERICAN BOULEVARD
1501 AMERICAN BOULEVARD
(29027)
BLOOMINGTON, MN 55425
PHONE: 612/281-2550
MR. CHRIS TRAILER
FAX: /-
HWS
NProf
5277 W 82ND ST
5277 W 82ND ST
(30154)
BLOOMINGTON, MN 55437
PHONE: 612/267-0074
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
8601 NICOLLET AVENUE SOUTH
8601 NICOLLET AVENUE SOUTH
(27277)
BLOOMINGTON, MN 55420
PHONE: 612/703-2610
FAX: /-
MS. KRISTEN BROWN
HWS
NProf
8901 WENTWORTH AVE S
8901 WENTWORTH AVE S
(29793)
BLOOMINGTON, MN 55420
PHONE: 952/884-9418
9130 LYNDALE AVENUE SOUTH
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
9130 LYNDALE AVENUE SOUTH
BLOOMINGTON, MN 55429
PHONE: 612/618-0644
(28044)
FAX: 952/440-1074
MR. CHRIS TRAILER
Minnesota Department of Health
Division of Compliance Monitoring
Page 105
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------­
HWS
NProf
9150 LYNDALE AVENUE SOUTH
Registration
9150 LYNDALE AVENUE SOUTH
(28082)
BLOOMINGTON, MN 55420
PHONE: 612/618-0644
FAX: 952/440-1074
NProf
A+ HOME HEALTH CARE INC
MR. CHRIS TRAILER
HCP-A
8932 OLD CEDAR AVENUE SOUTH
(03413)
BLOOMINGTON, MN 55425
PHONE: 952/854-7760
FAX: 952/854-7842
MS. DONNA ROBB
Home Mgmt
Corp
ALL HOME HEALTH INC
2626 82ND ST E STE 180
(24067)
BLOOMINGTON, MN 55425
PHONE: 952/814-7400
FAX: 952/853-0966
Lim-Liab
AMAZING HOMECARE & NURSING
MR. MAC WALTERS
HCP-A
9031 PENN AVE SOUTH STE 100
(29963)
BLOOMINGTON, MN 55431
PHONE: 617/413-4952
AMELIE HOUSE
MS. REGINE NDIFOR-AJAGA
FAX: /­
HWSAL-O
Lim-Liab
1400 WEST 100TH STREET
BLOOMINGTON, MN 55431
PHONE: 952/746-7896
ASERACARE HOME HEALTH
(26939)
MR. JAMES HAMMILL
FAX: 952/746-7897
Lim-Liab
HCP-A
HHA
5001 AMERICAN BLVD SUITE 640
BLOOMINGTON, MN 55437
PHONE: 952/835-5314
ASERACARE HOSPICE
(23582)
FAX: 952/835-5441
Corp
MS. LISA HARREL
Hospice
HSPICE
5001 AMERICAN BLVD SUITE 655
BLOOMINGTON, MN 55437
PHONE: 952/943-0009
ASSISTED LVG IN HERITAGE HALL
(23584)
FAX: 952/943-1187
NProf
MS. MARY HARREL
HWSAL
HCP-F
11501 MASONIC HOME DRIVE
BLOOMINGTON, MN 55437
PHONE: 952/948-7956
BLOOMINGTON DIALYSIS UNIT TRC
(20126)
FAX: 952/948-7970
MS. SHELLY WIGGEN
ESRD
Corp
8591 LYNDALE AVENUE SOUTH
BLOOMINGTON, MN 55420
PHONE: 952/703-5888
BLOOMINGTON OUTREACH HOME
(20863)
FAX: 952/703-5889
NProf
MS. COURTNEY JENNE
ICFIID-6
SLFA-6
10633 KELL AVENUE SOUTH
BLOOMINGTON, MN 55437
PHONE: 763/754-2505
(01098)
FAX: 763/862-7723
MS. MARY TJOSVOLD
Minnesota Department of Health
Division of Compliance Monitoring
Page 106
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
BRECK HOME RESIDENTIAL CARE
Certification
HENNEPIN
Registration
(Cont.)* -------------------------­
HWSAL
HCP-F
312 WEST 95TH STREET
(23111)
BLOOMINGTON, MN 55420
PHONE: 612/702-8801
FAX: 952/881-2100
MS. JENNIFER MORGAN
HWSAL
Lim-Liab
BRECK HOME RESIDENTIAL CARE CE
318 WEST 95TH STREET
(24594)
BLOOMINGTON, MN 55420
PHONE: 612/702-8801
FAX: 952/881-2100
MS. JENNIFER MORGAN
HWS-O
Corp
CARDENAS FRIENDSHIP HOUSE
3608 WEST 84TH STREET
(20981)
BLOOMINGTON, MN 55431
PHONE: 612/670-1380
FAX: /­
MR. ROBERT CARDENAS
Corp
CARLSON DRAKE HOUSE
SLFA-12
5414 W OLD SHAKOPEE CIRCLE
(01508)
BLOOMINGTON, MN 55437
PHONE: 952/888-5611
MS. KIM OFFERDAHL-BROOKS
FAX: 952/888-3741
Ind
CAROL BURNETT
HCP-C
6970 WEST 84TH STREET
(03115)
BLOOMINGTON, MN 55438
PHONE: 952/833-0030
CHU SURGERY CENTER LLC
MS. CAROL BURNETT
FAX: /­
Lim-Liab
Outpt Surg
Amb Surg
9117 LYNDALE AVE SOUTH
BLOOMINGTON, MN 55420
PHONE: 952/835-0965
DESTINY HOME CARE SERVICES
(25881)
FAX: 952/835-1092
MS. CARRIE JACOBS
HWSAL-O
Corp
8709 BRYANT AVENUE SOUTH
BLOOMINGTON, MN 55420
PHONE: 952/888-1405
DESTINY HOME CARE SERVICES
(27248)
FAX: 952/888-7724
MS. FAITH UDEH
HWS
Corp
8036 UPTON AVENUE SOUTH
BLOOMINGTON, MN 55431
PHONE: 952/888-7172
DESTINY HOME CARE SERVICES
(28028)
FAX: 952/888-7724
MS. FAITH UDEH
HWSAL-O
Corp
9907 WENTWORTH AVENUE SOUTH
BLOOMINGTON, MN 55420
PHONE: 952/888-7172
DESTINY HOME CARE SERVICES INC
(27249)
FAX: 952/888-7724
Corp
MS. FAITH UDEH
HCP-A
9907 WENTWORTH AVENUE SOUTH
BLOOMINGTON, MN 55420
PHONE: 952/888-7172
(24149)
FAX: 952/888-7724
MS. FAITH UDEH
Minnesota Department of Health
Division of Compliance Monitoring
Page 107
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Ind
DIANES PERSONAL SERVICE
Certification
HENNEPIN
Registration
(Cont.)* -------------------------­
HCP-C
213 SPRING VALLEY DRIVE
(29574)
BLOOMINGTON, MN 55420
PHONE: 952/943-1183
FAX: /­
MS. DIANE BURTON
ESRD
Corp
FMC SOUTHTOWN DIALYSIS
7901 XERXES AVE SOUTH #103
(25770)
BLOOMINGTON, MN 55431
PHONE: 952/881-6986
FAX: 952/881-0621
Corp
FOUNDERS RIDGE
MS. BEVERLY LEVY
HCP-F
6600 AUTO CLUB ROAD
(29092)
BLOOMINGTON, MN 55438
PHONE: 952/946-2000
FAX: 952/946-2001
MS. NATALIE MORLAND
HWS
NProf
FOUNDERS RIDGE
6600 AUTO CLUB ROAD
(28701)
BLOOMINGTON, MN 55438
PHONE: 952/946-2000
MS. LISA ALIPATE
FAX: 952/946-2001
HWS
NProf
FRIENDSHIP VILLAGE OF BLOOMING
8100 HIGHWOOD DRIVE
(20194)
BLOOMINGTON, MN 55438
PHONE: 952/831-7500
MR. RICK MEYER
FAX: 952/830-9893
NProf
FRIENDSHIP VILLAGE OF BLOOMING
HCP-A
8100 HIGHWOOD DRIVE
(03093)
BLOOMINGTON, MN 55438
PHONE: 952/831-7500
FAX: 952/830-9891
NProf
FRIENDSHIP VLGE OF BLOOMINGTON
MR. RONALD DONACIK
BCH-53 NH-66
SNF-66
8100 HIGHWOOD DRIVE
(00806)
BLOOMINGTON, MN 55438
PHONE: 952/831-7500
FAX: 952/830-9893
MR. RONALD DONACIK
HWSAL-O
NProf
GARFIELD COMMONS
9450 GARFIELD AVENUE SOUTH
(24489)
BLOOMINGTON, MN 55420
PHONE: 651/639-9799
FAX: 651/639-3699
MR. MICHAEL BJERKESETT
Home Mgmt
Lim-Liab
GENTLE CARE IN-HOME SVCS LLC
8720 GIRARD AVE SO
(27148)
BLOOMINGTON, MN 55420
PHONE: 612/749-7546
GOLDEN LIVINGCENTER BLOOMINGTN
FAX: /­
MS. RONDA GRISIM
Lim-Liab
NH-74
SNF-NF-74
9200 NICOLLET AVENUE SOUTH
BLOOMINGTON, MN 55420
PHONE: 952/881-8676
(00169)
FAX: 952/881-1050
MR. JOSEPH GUBBELS
Minnesota Department of Health
Division of Compliance Monitoring
Page 108
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
GUAVA HEALTHCARE
Certification
HENNEPIN
Registration
(Cont.)* -------------------------­
HCP-A
9897 LYNDALE AVENUE S STE 1
(28823)
BLOOMINGTON, MN 55420
PHONE: 612/280-7752
FAX: 888/483-7338
NProf
GUNDERSON PLACE
MRS. RACHEL LARSON
ICFIID-6
SLFB-6
9739 UTICA ROAD
(01627)
BLOOMINGTON, MN 55437
PHONE: 952/831-4155
FAX: 952/831-0407
NProf
HEALTHPARTNERS HOSPICE & PALLI
MS. CHRISTINE WAGNER
Hospice
HSPICE
8170 33RD AVENUE SOUTH
(02533)
BLOOMINGTON, MN 55425
PHONE: 952/883-6977
FAX: 952/883-6883
MS. MARY LOU IRVINE
Home Mgmt
Ind
HELP AT HOME SENIOR CARE
6813 WEST 83RD STREET TERRACE
(29901)
BLOOMINGTON, MN 55438
PHONE: 952/457-0275
MS. MARY ANN MOWATT
FAX: 952/942-7670
Corp
HOME LAB PARTNERS INC
HCP-A
2626 EAST 82ND STREET STE 101
(28280)
BLOOMINGTON, MN 55425
PHONE: 952/842-9000
MR. JOHN VALUSEK
FAX: 952/842-9001
Lim-Liab
HOMECARE RESOURCE LLC
HCP-A
2740 AMERICAN BLVD W STE 110
(21226)
BLOOMINGTON, MN 55431
PHONE: 952/854-6104
FAX: 952/854-6134
Corp
IN-HOME LAB CONNECTION INC
MS. CHARIE DEVOLITES
HCP-A
HHA
2626 EAST 82ND STREET STE 101
(21893)
BLOOMINGTON, MN 55425
PHONE: 952/842-9000
FAX: 952/842-9001
Corp
LCI IN HOME SERVICES
MS. KATHLEEN VALUSEK
HCP-A
7760 FRANCE AVENUE SOUTH #330
(29466)
BLOOMINGTON, MN 55435
PHONE: 952/922-8466
FAX: 952/942-8264
Lim-Liab
LIVE WELL AT HOME CARE
MR. ADE DEMEHIN
HCP-A
8040 ENSIGN ROAD
(28281)
BLOOMINGTON, MN 55438
PHONE: 612/701-9816
LYNDALE AVENUE APARTMENTS
FAX: /-
MR. JEFFREY WETMORE
HWS
NProf
9140 LYNDALE AVENUE SOUTH
BLOOMINGTON, MN 55420
PHONE: 612/618-0644
(27887)
FAX: 612/440-1074
MR. CHRIS TRAILER
Minnesota Department of Health
Division of Compliance Monitoring
Page
109
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
M & E NURSING SERVICES AND TRA
Certification
HENNEPIN
Registration
(Cont.)* -------------------------­
HCP-A
7900 INTERNATIONAL DR STE 300
(25239)
BLOOMINGTON, MN 55425
PHONE: 952/851-7883
FAX: 952/854-8437
Lim-Liab
MAINSTAY SENIOR CARE
DR. WINSTON SCHIMMING
HCP-B
8120 PENN AVENUE SOUTH #419
(28750)
BLOOMINGTON, MN 55431
PHONE: 952/452-8083
FAX: 510/443-1874
Lim-Liab
MARTIN LUTHER CARE CENTER
MS. JOAN CONNELLY
NH-137
SNF-NF-137
1401 EAST 100TH STREET
(00227)
BLOOMINGTON, MN 55425
PHONE: 952/948-5150
FAX: 952/698-3606
MS. JODY BARNEY
HWS
NProf
MASADA MANOR
9000 NICOLLET AVENUE SOUTH
(27609)
BLOOMINGTON, MN 55420
PHONE: 952/888-1270
MEADOW WOODS
MS. KRISTEN BROWN
FAX: /-
HWSAL
Part
1301 EAST 100TH STREET
BLOOMINGTON, MN 55425
PHONE: 952/888-1010
MEADOW WOODS HOME CARE
(20264)
MS. SUZANNE KONECNY
FAX: 952/881-4323
Part
HCP-F
1301 EAST 100TH STREET
BLOOMINGTON, MN 55425
PHONE: 952/948-5180
METROPOLITAN LIVING LLC
(25763)
FAX: 952/881-4323
Lim-Liab
MS. SUZIE KONECNY
HWSAL-O
HCP-F
9230 5TH AVENUE SOUTH
BLOOMINGTON, MN 55420
PHONE: 952/746-7896
MINNESOTA MASONIC HOME CARE CT
(26106)
FAX: 952/746-7897
NProf
MR. JAMES HAMMILL
NH-214
SNF-NF-214
11501 MASONIC HOME DRIVE
BLOOMINGTON, MN 55437
PHONE: 952/948-7000
MN EYE LASER & SURGERY CENTER
(00232)
FAX: 952/948-7970
Lim-Liab
MS. SHELLY WIGGIN
Outpt Surg
Amb Surg
9801 DUPONT AVE SO SUITE 100
BLOOMINGTON, MN 55431
PHONE: 952/567-6062
MNGI ENDOSCOPY BLOOMINGTON
(00301)
FAX: 952/567-6188
Corp
MS. MAGGIE LINDSTROM
Outpt Surg
Amb Surg
5705 W OLD SHAKOPEE RD STE 150
BLOOMINGTON, MN 55437
PHONE: 612/871-1145
(25898)
FAX: 651/641-0556
DR. SCOTT KETOVER
Minnesota Department of Health
Division of Compliance Monitoring
Page 110
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------­
XRAY
Corp
MOBILEX USA
Registration
8030 OLD CEDAR AVE S SUITE 226
(27065)
BLOOMINGTON, MN 554251203
PHONE: 952/854-4984
FAX: /­
MS. PATRICIA FALICE
State
MSOCS BLOOMINGTON
ICFIID-6
SLFB-6
8634 OAKLAND AVENUE
(01652)
BLOOMINGTON, MN 55420
PHONE: 952/881-5214
FAX: 952/881-5246
Corp
MTAI ALBERT PLACE
MS. CASSANDRA LABELLE
ICFIID-6
SLFA-6
9911 13TH AVENUE SOUTH
(01565)
BLOOMINGTON, MN 55425
PHONE: 763/754-2505
FAX: 763/862-7723
Corp
NERVANAS CARING HANDS INC
MS. MARY TJOSVOLD
HWS
HCP-F
8719 BLOOMINGTON AVENUE SOUTH
(26052)
BLOOMINGTON, MN 55425
PHONE: 612/220-7511
MS. NERVANA RAMNARAIN
FAX: 952/854-4633
HWSAL
NProf
NEWTON MANOR
10000 NEWTON AVENUE SOUTH
(21010)
BLOOMINGTON, MN 55431
PHONE: 952/948-3000
MR. DUANE LARSON
FAX: 952/948-3017
HWS
NProf
NICOLLET COURT
8909 WENTWORTH AVENUE SOUTH
(27613)
BLOOMINGTON, MN 55420
PHONE: 952/888-1270
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
NICOLLET COURT APARTMENTS
8917 WENTWORTH AVENUE SOUTH
(26890)
BLOOMINGTON, MN 55420
PHONE: 952/884-9418
FAX: /­
MR. CHRIS TRAILER
Lim-Liab
NINE MILE CREEK SENIOR LIVING
HWSAL
HCP-F
2301 VILLAGE LANE
(27108)
BLOOMINGTON, MN 55431
PHONE: 952/888-0731
FAX: 952/884-2191
MS. KAREN LARSON
Home Mgmt
Lim-Liab
NORTH STAR HEALTH SERVICES
8200 HUMBOLDT AVE S STE 3109
(29827)
BLOOMINGTON, MN 55431
PHONE: 612/414-0689
FAX: /­
MR. MOHAMED SULTAN AMAND
Lim-Liab
PAMPER ME FOOTCARE
HCP-A
10807 GOODRICH AVENUE SOUTH
(29159)
BLOOMINGTON, MN 55437
PHONE: 952/220-7527
FAX: /­
MS. TONYA CHABOYEA
Minnesota Department of Health
Division of Compliance Monitoring
Page 111
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
PREMIER DIAGNOSTIC IMAGING INC
Certification
HENNEPIN
Registration
(Cont.)* -------------------------­
XRAY
Corp
10800 LYNDALE AVE S STE 150
BLOOMINGTON, MN 55420
PHONE: 952/955-8010
PRESB HOMES OF BLOOMINGTON
(26595)
FAX: 952/345-0295
NProf
MS. KIM ALGOO
NH-98
SNF-NF-98
9889 PENN AVENUE SOUTH
BLOOMINGTON, MN 55431
PHONE: 952/948-3000
PRESBYTERIAN HOMES OF BLOOMING
(00189)
FAX: 952/948-3002
MS. MICHELLE SULLIVAN
HWSAL
NProf
9889 PENN AVENUE SOUTH
BLOOMINGTON, MN 55431
PHONE: 952/948-3000
PRESBYTERIAN HOMES OF BLOOMING
(24062)
FAX: 952/948-3017
NProf
MR. DUANE LARSON
HCP-F
9889 PENN AVENUE SOUTH
BLOOMINGTON, MN 55431
PHONE: 952/948-3000
PRESBYTERIAN HOMES OF BLOOMING
(27958)
MS. NATALIE MORLAND
FAX: 952/948-3017
HWSAL
NProf
10030 NEWTON AVENUE SOUTH
BLOOMINGTON, MN 55431
PHONE: 952/948-3000
PRNSC
(20127)
MR. DUANE LARSON
FAX: 952/948-3017
Lim-Liab
HCP-A
2740 AMERICAN BLVD W STE 100
BLOOMINGTON, MN 55431
PHONE: 952/858-8827
PRNSC LLC
(25662)
FAX: 952/858-8835
Lim-Liab
MS. CHARIE DEVOLITES
HCP-F
2740 AMERICAN BLVD W STE 100
BLOOMINGTON, MN 55431
PHONE: 952/858-8827
PROF PORTABLE X RAY INC
(25220)
FAX: 952/858-8835
MS. CHARIE DEVOLITES
XRAY
Corp
4801 W 81ST STREET STE 118
BLOOMINGTON, MN 55437
PHONE: 952/915-9779
PROF RESOURCE NETWORK HHC
(22086)
FAX: 952/915-9597
Corp
MS. SUE MCNAMEE
HCP-A
HHA
2740 AMERICAN BLVD W STE 100
BLOOMINGTON, MN 55431
PHONE: 952/858-8807
REM HENNEPIN BLOOMINGTON
(03633)
FAX: 952/858-8835
Corp
MS. CHARIE DEVOLITES
ICFIID-14
SLFA-14
9201 CEDAR AVENUE SOUTH
BLOOMINGTON, MN 55425
PHONE: 763/852-5325
(01360)
FAX: 763/852-5350
MS. CONNIE MENNE
Minnesota Department of Health
Division of Compliance Monitoring
Page 112
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------­
Home Mgmt
Corp
RIGHT AT HOME
Registration
2626 EAST 82ND STREET STE 150
(21258)
BLOOMINGTON, MN 55425
PHONE: 952/854-6122
FAX: 952/854-6162
Lim-Liab
RTS UNLIMITED HEALTHCARE SVCS
MR. PAUL BLOM
HCP-A
8816 EMERSON AVENUE SOUTH
(29132)
BLOOMINGTON, MN 55420
PHONE: 651/714-3839
FAX: 855/755-4401
Lim-Liab
SENIOR HOME HEALTH CARE LLC
MS. TONYA LOVE
HCP-A
HHA
7800 METRO PARKWAY SUITE 300
(28931)
BLOOMINGTON, MN 55425
PHONE: 612/388-5404
FAX: 866/622-5569
MR. JEYLANI HASHI
HWS
NProf
SIMPSON HOUSING SERVICES-CROS
8735 PORTLAND AVENUE SOUTH
(26698)
BLOOMINGTON, MN 55420
PHONE: 612/455-1077
MS. MOLLY HAGEN
FAX: /­
Corp
SOLBAKKEN
HWS
HCP-F
7733 WEST 99TH STREET CIRCLE
(20990)
BLOOMINGTON, MN 55438
PHONE: 952/943-8485
MS. MARY ADAMS
FAX: 952/943-2941
HWS
Corp
SOLBAKKEN INC
145 SPRING VALLEY DR
(20527)
BLOOMINGTON, MN 55420
PHONE: 952/943-8485
FAX: 952/943-2941
MS. MARY ADAMS
HWS
Corp
SOLBAKKEN INC
9969 NORD ROAD
(21101)
BLOOMINGTON, MN 55437
PHONE: 952/835-4645
FAX: 952/943-2941
MS. MARY ADAMS
HWSAL
Corp
THE JAMES INC
10549 BEARD AVENUE SOUTH
(28558)
BLOOMINGTON, MN 55431
PHONE: 952/831-4591
FAX: 952/831-3275
Corp
THE JAMES INC
MR. JAMES IMASUEN
HWSAL
HCP-F
4533 NORMANDALE HIGHLANDS D
(23991)
BLOOMINGTON, MN 55437
PHONE: 952/831-4591
FAX: 952/831-3275
MR. JAMES IMASUEN
Out Pt Out St Out Ot
Corp
THE THERAPY PLACE
900 WEST 94TH STREET
(03828)
BLOOMINGTON, MN 55420
PHONE: 952/885-0418
FAX: /­
MS. LYNN KOPFMAN
Minnesota Department of Health
Division of Compliance Monitoring
Page 113
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
THE WEALSHIRE OF BLOOMINGTON
Certification
HENNEPIN
Registration
(Cont.)* -------------------------­
HWSAL
HCP-F
10601 LYNDALE AVENUE SOUTH
(28128)
BLOOMINGTON, MN 55420
PHONE: 952/345-1900
FAX: 952/345-1906
Lim-Liab
TRIA ORTHOPAEDIC CTR LLC
MR. THOMAS WISKOW
Outpt Surg
Amb Surg
8100 NORTHLAND DRIVE
(23244)
BLOOMINGTON, MN 55431
PHONE: 952/806-5303
FAX: 952/831-1626
Lim-Liab
UTMOST CARE HEALTH SERVICES LL
MR. THEODORE WEGLEITNER
HCP-A
HHA
8200 HUMBOLDT AVENUE S STE 101
(25533)
BLOOMINGTON, MN 55431
PHONE: 952/486-1491
FAX: 952/681-2732
MS. BLESSING ANYIWE
HWSAL
Lim-Liab
WELCOME HOME RESIDENTIAL CARE
8466 KELL AVENUE SOUTH
(28782)
BLOOMINGTON, MN 55437
PHONE: 612/203-8899
MS. CHER KUECHLE
FAX: 952/929-2032
HWSAL
Corp
WEST BLOOMINGTON RESIDENCE
10441 JOHNSON AVENUE SOUTH
(24675)
BLOOMINGTON, MN 55437
PHONE: 763/550-1774
MS. MARCIA DOONER
FAX: 763/559-9155
NProf
WINGSPAN LIFE RESOURCES
ICFIID-6
SLFB-6
2209 91 1/2 STREET WEST
(01198)
BLOOMINGTON, MN 55431
PHONE: 651/646-3846
FAX: 651/646-2347
MS. PATRICIA MOORE
HWS
NProf
6307 SCOTT AVENUE NORTH
6307 SCOTT AVENUE NORTH
(28475)
BROOKLYN CENTER, MN 55429
PHONE: 651/528-5026
FAX: /­
MR. CHRIS TRAILER
Corp
ESTEEM NURSING CARE INC
HCP-A
3300 BASS LAKE ROAD STE 108
(21960)
BROOKLYN CENTER, MN 55429
PHONE: 763/503-2400
FAX: 763/503-2401
MR. EMMANUEL OKIDEGBE
HWSAL
Corp
3200
3200 63RD AVENUE NORTH
(29902)
BROOKLYN CENTER, MN 55429
PHONE: 651/631-2535
FAX: 651/631-2538
MS. ADESOLA OGUNDIPE
HWS
NProf
3513 47TH AVENUE NORTH
3513 47TH AVENUE NORTH
(26767)
BROOKLYN CENTER, MN 55422
PHONE: 612/522-3394
FAX: /­
MR. CHRIS TRAILER
Minnesota Department of Health
Division of Compliance Monitoring
Page 114
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------­
HWS
NProf
5211 XERXES AVENUE NORTH
Registration
5211 XERXES AVENUE NORTH
(28529)
BROOKLYN CENTER, MN 55430
PHONE: 612/558-1000
FAX: /­
MS. STACEY RAY
Corp
ABIDJAN HEALTHCARE INC
HCP-A
1301 72ND AVENUE NORTH
(27875)
BROOKLYN CENTER, MN 55430
PHONE: 763/208-5169
FAX: 763/432-0170
Lim-Liab
ABUNDANT LIFE HOME HEALTH CARE
MS. OYEMI ROBERTS
HCP-A
5901 BROOKLYN BLVD STE 110
(26471)
BROOKLYN CENTER, MN 55429
PHONE: 763/843-0735
FAX: 763/898-3521
MR. GEORGE MARSHALL
HWS
NProf
AFFIRMATION HOUSE
6007 NORTH GIRARD AVENUE
(27055)
BROOKLYN CENTER, MN 55430
PHONE: 612/204-8319
MS. STACY RAY
FAX: /­
HWSAL
Lim-Liab
AMAZING LOVE ASSISTED LIVING
2318 55TH AVENUE NORTH
(24365)
BROOKLYN CENTER, MN 55430
PHONE: 763/561-3434
MR. YEMMY OSONOWO
FAX: 763/561-3636
Corp
AMERICAN BEST HOME CARE
HCP-A
3300 COUNTY RD 10 SUITE 320C
(27873)
BROOKLYN CENTER, MN 55429
PHONE: 612/919-9523
AMERICAN FAMILY HOME CARE
FAX: /­
MR. SEGUN OLATAYO
HWS
Corp
5901 BROOKLYN BLVD SUITE 208
BROOKLYN CENTER, MN 55429
PHONE: 763/971-8888
AMERICAN FAMILY HOME CARE
(29904)
FAX: 763/971-8892
Corp
MS. LOVETH AMAYANVBO
HCP-A
5901 BROOKLYN BLVD SUITE 208
BROOKLYN CENTER, MN 55429
PHONE: 763/971-8888
ASIAN AMERICAN ELDERLY AL LLC
(24442)
FAX: 763/971-8892
Lim-Liab
MS. LOVETH AMAYANVBO
HWSAL
HCP-F
5313 62ND AVENUE NORTH
BROOKLYN CENTER, MN 55429
PHONE: 763/243-7701
BEARD AVENUE APARTMENTS
(24014)
FAX: 763/569-0127
MRS. CHAO VANG
HWS
NProf
6101 BEARD AVENUE NORTH
BROOKLYN CENTER, MN 55429
PHONE: 651/470-4017
(28179)
FAX: 763/712-1334
MR. CHRIS TRAILER
Minnesota Department of Health
Division of Compliance Monitoring
Page 115
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------­
HWSAL-O
Corp
BEST CARE GROUP
Registration
6213 CHOWEN AVENUE NORTH
(22356)
BROOKLYN CENTER, MN 55429
PHONE: 612/378-1040
FAX: 612/378-2850
Corp
BETHEL HOME CARE SERVICES
MS. NAZNEEN KHATOON
HCP-A
5901 BROOKLYN BLVD SUITE 107
(29858)
BROOKLYN CENTER, MN 55429
PHONE: 763/746-8566
FAX: 763/537-1688
Ind
BETHEL MANAGEMENT GROUP
MR. JOSEPH BOAKYE-DANQUAH
HCP-B
5901 BROOKLYN BLVD SUITE 107
(26044)
BROOKLYN CENTER, MN 55429
PHONE: 763/746-8566
FAX: 763/537-1688
Corp
BLESSING HOME HEALTH SERVICES
MR. JOSEPH BOAKYE-DANQUAH
HCP-A
6500 BROOKLYN BLVD STE 200
(25402)
BROOKLYN CENTER, MN 55429
PHONE: 763/568-7236
MS. NGOZI MBIBI
FAX: 763/568-7239
Part
BRIDGING LIFE HOME HEALTHCARE
HCP-A
6537 CHOWEN AVENUE NORTH
(29110)
BROOKLYN CENTER, MN 55429
PHONE: 612/987-7111
MR. MOMODOU CEESAY
FAX: 651/698-2303
NProf
BROOKLYN CENTER OUTREACH HOME
ICFIID-6
SLFA-6
507 69TH AVENUE NORTH
(01021)
BROOKLYN CENTER, MN 55430
PHONE: 763/561-9030
FAX: 763/561-0263
Lim-Liab
CARE ON WHEELS HOMECARE SERVIC
MS. MARY TJOSVOLD
HCP-A
3300 BASS LAKE ROAD SUITE 506
(29908)
BROOKLYN CENTER, MN 55429
PHONE: 763/566-3038
FAX: 763/566-3029
Lim-Liab
CAREVIEW HOME HEALTH LLC
MS. SHARLENE GETAWEH
HCP-A
6066 SHINGLE CREEK PKWY #154
(29632)
BROOKLYN CENTER, MN 55430
PHONE: 612/910-5473
FAX: 763/560-1014
MS. DARLA VANG
HWS
NProf
CENTER POINTE APARTMENTS
2936 NORTHWAY DRIVE
(25187)
BROOKLYN CENTER, MN 55430
PHONE: 763/561-9072
FAX: 763/561-3672
Lim-Liab
COMPASSIONATE CARE SERVICES
MR. CHRIS TRAILER
HCP-A
6066 SHINGLE CREEK PKWY #129
(29962)
BROOKLYN CENTER, MN 55430
PHONE: 612/987-2463
FAX: /-
MS. EDET AFONCHWI
Minnesota Department of Health
Division of Compliance Monitoring
Page
116
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------­
HWSAL
Lim-Liab
EARLE BROWN TERRACE
Registration
6100 SUMMIT DRIVE NORTH
(21671)
BROOKLYN CENTER, MN 55430
PHONE: 763/560-6829
FAX: 763/503-3819
Lim-Liab
EARLE BROWN TERRACE
MR. STEPHEN NORNES
HCP-F
6100 SUMMIT DRIVE NORTH
(29083)
BROOKLYN CENTER, MN 55430
PHONE: 763/560-6829
FAX: 763/560-5089
MR. TOM BLOOM
HWS
NProf
EDEN PARK APARTMENTS
6428 DOUGLAS DRIVE NORTH
(27534)
BROOKLYN CENTER, MN 55429
PHONE: 763/535-6092
FAX: 763/535-1302
Corp
FIRST CHOICE NURSING & HOMECAR
MR. CHRIS TRAILER
HCP-F
5701 SHINGLE CREEK PKWY #112
(26335)
BROOKLYN CENTER, MN 55430
PHONE: 763/503-9505
MR. JERRY HAVON
FAX: 763/503-2363
Corp
FIRST CHOICE NURSING AND HOME
HCP-A
5701 SHINGLE CREEK PKY STE 112
(22349)
BROOKLYN CENTER, MN 55430
PHONE: 763/503-9505
MR. JERRY HAVON
FAX: 763/503-2363
Corp
GOOD FAITH INC
HCP-A
6040 EARLE BROWN DR STE 260
(26601)
BROOKLYN CENTER, MN 55430
PHONE: 763/438-2936
FAX: 763/503-9451
GOODNESS AND MERCY HEALTH SERV
Corp
MR. MINIRU ALAWIYE
HCP-A
3808 61ST STREET N
BROOKLYN CENTER, MN 55429
PHONE: 651/631-2535
GOODNESS AND MERCY HLTH SVCS
(23419)
FAX: 651/631-2538
Corp
MS. ADESOLA OGUNDIPE
HWSAL
HCP-F
3808 61ST AVE N
BROOKLYN CENTER, MN 55429
PHONE: 651/631-2535
HAPPY FEET FOOTCARE INC
(27939)
FAX: 651/631-2538
Corp
MS. ADESOLA OGUNDIPE
HCP-A
6912 TOLEDO AVENUE NORTH
BROOKLYN CENTER, MN 55429
PHONE: 763/560-5136
HMONG SENIOR HEALTH CARE INC
(02914)
FAX: 763/560-5092
MS. JENNIFER RYAN
Home Mgmt
Corp
6206 BROOKLYN BOULEVARD
BROOKLYN CENTER, MN 55429
PHONE: 763/566-2889
(28455)
FAX: 763/526-2947
MR. JER YANG
Minnesota Department of Health
Division of Compliance Monitoring
Page
117
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
HOLISTIC ARRAY OF AUTHENTIC SE
Certification
HENNEPIN
Registration
(Cont.)* -------------------------­
HCP-A
3813 51ST AVENUE NORTH
(28019)
BROOKLYN CENTER, MN 55429
PHONE: 763/536-9768
FAX: 763/536-9768
Lim-Liab
INDEPENDENT HOME CARE AGENCY
MS. ELIZABETH NAMARRA
HCP-A
3300 COUNTY ROAD 10 STE 300E
(28566)
BROOKLYN CENTER, MN 55429
PHONE: 763/205-5763
FAX: 763/560-1014
NProf
LIVING WELL LYNDALE
MR. OLIVER WALKER
ICFIID-8
SLFB-8
5449 LYNDALE AVENUE NORTH
(01243)
BROOKLYN CENTER, MN 55430
PHONE: 763/560-2220
FAX: 763/560-7596
NProf
MARANATHA CARE CENTER
MR. ALI GOEPFERT
NH-97
SNF-NF-97
5409 69TH AVENUE NORTH
(00226)
BROOKLYN CENTER, MN 55429
PHONE: 763/549-9600
MS. ANNE O'CONNOR
FAX: 763/549-9636
NProf
MARANATHA PLACE
HCP-F
5401 69TH AVENUE NORTH
(27951)
BROOKLYN CENTER, MN 55429
PHONE: 763/549-9600
MS. NATALIE MORLAND
FAX: 763/549-9636
HWSAL
NProf
MARANATHA PLACE
5415 69TH AVENUE NORTH
(20024)
BROOKLYN CENTER, MN 55429
PHONE: 763/569-4500
FAX: 763/569-4576
Corp
MILES VENTS CARE
MRS. ANNE O'CONNOR
HCP-A
5701 SHINGLE CREEK PKWY #115
(26443)
BROOKLYN CENTER, MN 55430
PHONE: 763/205-5880
FAX: 763/205-5878
Corp
NEW LIFE HEALTH AND HOME CARE
MS. JULIANA IRETELE
HCP-A
5901 BROOKLYN BLVD SUITE 209
(27187)
BROOKLYN CENTER, MN 55429
PHONE: 763/227-2756
FAX: 763/227-2756
Ind
NEWAGE HOMECARE
MR. JEFFREY KARBEDEH
HCP-A
6812 SCOTT AVENUE NORTH
(29468)
BROOKLYN CENTER, MN 55429
PHONE: 763/300-9040
NGUFOR
FAX: /-
MS. LANKIA LARTEY
Ind
HCP-A
5901 BROOKLYN BLVD SUITE 101
BROOKLYN CENTER, MN 55429
PHONE: 763/208-4222
(28144)
FAX: 763/208-4191
MR. PATRICK NGUFOR
Minnesota Department of Health
Division of Compliance Monitoring
Page
118
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
NORTH RESIDENTIAL HOSPICE
Certification
HENNEPIN
Registration
(Cont.)* -------------------------­
RES-HSPICE-8
4201 58TH AVENUE NORTH
(01679)
BROOKLYN CENTER, MN 55429
PHONE: 763/581-9340
FAX: 763/581-9341
Corp
OLIDIA CARE INC
MS. LAURA WILSON
HCP-A
7243 MORGAN AVENUE NORTH
(25418)
BROOKLYN CENTER, MN 55430
PHONE: 612/703-6144
FAX: 763/503-7171
Corp
OPEN ARMS NURSING SERVICES INC
MR. OLIVIER NKWONKAM
HCP-A
3300 COUNTY ROAD 10 STE 320J
(28787)
BROOKLYN CENTER, MN 55429
PHONE: 763/244-1406
FAX: 763/390-0407
MR. MARBUE WATKINS
HWS-O
Lim-Liab
PLATEAU HEALTHCARE LLC
6424 JUNE AVENUE NORTH
(29267)
BROOKLYN CENTER, MN 55429
PHONE: 763/444-1361
MS. ALICIA THIELEN-BOUKARI
FAX: 763/444-1358
Ind
READY FOR YOU HOME HEALTH CARE
HCP-A
3300 BASS LAKE ROAD SUITE 211
(29540)
BROOKLYN CENTER, MN 55429
PHONE: 612/225-8107
MS. VERNEICE ABRAMS
FAX: /­
HWS
Lim-Liab
RIGHTWAY HOME CARE SERVICES
7082 BROOKLYN BOULEVARD
(27024)
BROOKLYN CENTER, MN 55429
PHONE: 763/432-9738
FAX: 763/208-5725
Corp
RIGHTWAY HOME CARE SERVICES IN
MRS. ABIOLA MUSTAPHA
HCP-F
7082 BROOKLYN BOULEVARD
(29336)
BROOKLYN CENTER, MN 55429
PHONE: 763/432-9738
FAX: 763/208-5725
Lim-Liab
RIGHTWAY HOME CARE SERVICES IN
MS. ABIOLA MUSTAPHA
HCP-A
7082 BROOKLYN BOULEVARD
(26948)
BROOKLYN CENTER, MN 55429
PHONE: 763/432-9738
FAX: 763/208-5725
MR. ADEBAYO MUSTAPHA
HWS
NProf
RIVERWOOD ESTATES
6417 WILLOW LANE
(26748)
BROOKLYN CENTER, MN 55430
PHONE: 612/204-8319
FAX: /­
MS. STACEY RAY
HWS
NProf
RIVERWOOD ESTATES
6425 WILLOW LANE NORTH
(26108)
BROOKLYN CENTER, MN 55430
PHONE: 612/204-8319
FAX: /­
MS. STACEY RAY
Minnesota Department of Health
Division of Compliance Monitoring
Page
119
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------­
HWS
NProf
RIVERWOOD ESTATES
Registration
215 65TH AVENUE NORTH
(26107)
BROOKLYN CENTER, MN 55430
PHONE: 612/204-8319
FAX: /­
MS. STACEY RAY
HWS
NProf
RIVERWOOD ESTATES
207 65TH AVENUE
(26665)
BROOKLYN CENTER, MN 55430
PHONE: 612/204-8319
FAX: /-
MS. STACEY RAY
HWS
NProf
RIVERWOOD ESTATES
6409 WILLOW LANE
(27289)
BROOKLYN CENTER, MN 55430
PHONE: 612/204-8319
FAX: /-
MS. STACEY RAY
HWS
NProf
RIVERWOOD ESTATES
201 65TH AVENUE NORTH
(26831)
BROOKLYN CENTER, MN 55430
PHONE: 612/204-8319
MS. STACEY RAY
FAX: /-
HWS
NProf
STERLING APARTMENTS
6640 NORTH HUMBOLDT AVENUE
(29557)
BROOKLYN CENTER, MN 55430
PHONE: 612/325-2500
MS. STACEY RAY
FAX: /-
HWS
NProf
STERLING APARTMENTS
6700 HUMBOLDT AVE N
(29789)
BROOKLYN CENTER, MN 55430
PHONE: 612/990-5599
FAX: /-
MS. STACEY RAY
HWS
NProf
STERLING APARTMENTS
1400 67TH AVE NORTH
(29849)
BROOKLYN CENTER, MN 55430
PHONE: 612/325-2500
FAX: /-
MS. STACEY RAY
HWS
NProf
STERLING SQUARE
1401 67TH AVENUE NORTH
(28151)
BROOKLYN CENTER, MN 55430
PHONE: 612/204-8319
FAX: /-
MS. STACEY RAY
HWS
Corp
THE CARING SISTERS HOME CARE S
5339 QUEEN AVENUE NORTH
(29360)
BROOKLYN CENTER, MN 55430
PHONE: 763/561-1294
FAX: 763/561-1297
MR. OLALEYE BECKLEY
HWS
NProf
THE CREST
6221 SHINGLE CREEK PARKWAY
(28893)
BROOKLYN CENTER, MN 55430
PHONE: 612/376-7661
FAX: /-
MR. CHRIS TRAILER
Minnesota Department of Health
Division of Compliance Monitoring
Page 120
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
THE PRAIRIE LODGE AT EARLE BRO
Certification
HENNEPIN
Registration
(Cont.)* -------------------------­
HCP-F
6001 EARLE BROWN DRIVE
(21399)
BROOKLYN CENTER, MN 55430
PHONE: 763/566-1495
FAX: 763/566-1625
MS. JANELLE MEYERS
HWSAL
NProf
THE PRAIRIE LODGE AT EARLE BRO
6001 EARLE BROWN DRIVE
(20315)
BROOKLYN CENTER, MN 55430
PHONE: 763/566-1495
FAX: 763/566-1625
MRS. JANELLE MEYERS
HWS
Lim-Liab
TLC HEALTHCARE SVS LLC
3300 COUNTY ROAD 10 STE 400I
(27799)
BROOKLYN CENTER, MN 55429
PHONE: 612/965-6819
FAX: 651/344-0850
Corp
TOLAD INC
MS. EMMY BRADFORD
HCP-F
7062 BROOKLYN BOULEVARD
(26275)
BROOKLYN CENTER, MN 55429
PHONE: 763/566-1744
MR. EMMANUEL COKER
FAX: 763/566-1755
HWSAL-O
Corp
ULTIMATE HOME CARE LOGAN HOUSE
5443 LOGAN AVENUE NORTH
(29624)
BROOKLYN CENTER, MN 55430
PHONE: 763/560-9890
MR. ALFRED APATA
FAX: 763/560-9891
Lim-Liab
VERACITY HEALTH SYSTEMS LLC
HCP-A
3300 COUNTY ROAD 10 #405
(28039)
BROOKLYN CENTER, MN 55429
PHONE: 763/208-1797
FAX: 651/344-0590
MR. MBUTAMBE AKPANG
HWS
Lim-Liab
XERXES AVE N LLC
5209 XERXES AVENUE NORTH
(29485)
BROOKLYN CENTER, MN 55430
PHONE: 612/558-1000
FAX: 763/444-1495
Corp
YOUR WAY HOME CARE INC
MS. JENNIFER WEISSMAN
HCP-A
3260 BASS LAKE ROAD STE C
(24406)
BROOKLYN CENTER, MN 55429
PHONE: 763/533-3135
FAX: 763/533-3178
MS. JUANITA SWAIN
HWS
NProf
2649 BROOKDALE LN N
2649 BROOKDALE LN N
(29934)
BROOKLYN PARK, MN 55444
PHONE: 763/245-3924
5833 HUNTINGTON PLACE
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
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 121
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------­
HWS
NProf
6628 WEST BROADWAY AVENUE NORT
Registration
6628 WEST BROADWAY AVENUE NORT
(27370)
BROOKLYN PARK, MN 55428
PHONE: 612/325-2500
FAX: 612/521-4606
MR. CHRIS TRAILER
HWS
NProf
7940 KYLE AVENUE NORTH
7940 KYLE AVENUE NORTH
(28493)
BROOKLYN PARK, MN 55443
PHONE: 612/387-9216
FAX: /-
MS. KRISTEN BROWN
HWS
NProf
8300 ZANE AVENUE NORTH
8300 ZANE AVENUE NORTH
(25346)
BROOKLYN PARK, MN 55443
PHONE: 612/325-2500
FAX: 612/521-4606
MR. CHRIS TRAILER
HWS
NProf
8308 ZANE AVENUE NORTH
8308 ZANE AVENUE NORTH
(25347)
BROOKLYN PARK, MN 55443
PHONE: 612/325-2500
MR. CHRIS TRAILER
FAX: 612/521-4606
HWS-O
Lim-Liab
ABUNDANT LIFE HOME HEALTH CARE
8633 EDINBROOK CROSSING UNIT 1
(26592)
BROOKLYN PARK, MN 55443
PHONE: 763/732-8391
MR. GEORGE MARSHALL
FAX: 763/898-3521
Corp
ACR HOME ON FALLGOLD
ICFIID-6
SLFB-6
9719 FALLGOLD PARKWAY
(20743)
BROOKLYN PARK, MN 55443
PHONE: 763/424-0352
FAX: 763/424-6544
Lim-Liab
AFFILIATED FAMILY AND SENIOR S
MR. GENE LEISTICO
HCP-A
8340 MINNETONKA BLVD APT 3
(25390)
BROOKLYN PARK, MN 55426
PHONE: 763/742-5722
FAX: 952/300-2660
MR. ALBASHA N HUME
HWS
Corp
AMAS INCORPORATED
4016 81ST AVENUE NORTH
(25609)
BROOKLYN PARK, MN 55443
PHONE: 763/315-2837
FAX: 763/424-6196
Corp
AMAS INCORPORATED
MS. JOANNE SIMON
HWS
HCP-F
3617 77TH AVENUE NORTH
(24324)
BROOKLYN PARK, MN 55443
PHONE: 763/315-2837
FAX: 763/424-6196
Lim-Liab
ANGEL CARE HOME HEALTH SERVICE
MR. DEEN AJIBOLA
HCP-B
6940 GEORGIA AVENUE NORTH
(29766)
BROOKLYN PARK, MN 55428
PHONE: 612/756-5580
FAX: /­
MS. LESLIE MORRIS
Minnesota Department of Health
Division of Compliance Monitoring
Page 122
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
ANGEL HEALTH SERVICES
Lim-Liab
Certification
HENNEPIN
Registration
(Cont.)* -------------------------­
HCP-A
2609 87TH TRAIL NORTH
BROOKLYN PARK, MN 55443
PHONE: 763/412-9921
ASSURED HOMES LLC
(28255)
FAX: 763/315-6586
Lim-Liab
MR. PHILIP UWAGWU
HCP-A
8650 TESSMAN CIRCLE NORTH
BROOKLYN PARK, MN 55445
PHONE: 952/212-0911
AUDRIE HOME HEALTH CARE LLC
(29773)
FAX: 612/435-0212
Lim-Liab
MR. AMOS OMBITO
HCP-A
7040 LAKELAND AVE NO STE 205
BROOKLYN PARK, MN 55428
PHONE: 763/560-9212
AUTUMN RIDGE APARTMENTS
(26484)
FAX: 763/560-9636
MS. AUDRIE PIERSON
HWS
NProf
6308 BOONE AVENUE NORTH
BROOKLYN PARK, MN 55428
PHONE: 763/533-8541
AUTUMN RIDGE APARTMENTS
(26413)
MR. CHRIS TRAILER
FAX: 763/531-0258
HWS
NProf
6304 BOONE AVENUE NORTH
BROOKLYN PARK, MN 55428
PHONE: 763/533-8541
AUTUMN RIDGE APARTMENTS
(26442)
MR. CHRIS TRAILER
FAX: 763/531-0258
HWS
NProf
6300 BOONE AVENUE NORTH
BROOKLYN PARK, MN 55428
PHONE: 763/533-8541
CARING MEADOWS
(26423)
FAX: 763/531-0258
MR. CHRIS TRAILER
HWSAL
Lim-Liab
7723 BROOKLYN BLVD SUITE 204
BROOKLYN PARK, MN 55443
PHONE: 763/208-9971
CARING NURSES LLC
(29536)
FAX: 763/270-0294
Lim-Liab
MR. ROBERT EDDY
HCP-A
7714 BROOKLYN BLVD SUITE 204
BROOKLYN PARK, MN 55443
PHONE: 763/566-4325
CARING NURSES LLC
(25432)
FAX: 763/566-4341
Lim-Liab
MS. JOSEPHINE GURLEY
HCP-F
7714 BROOKLYN BLVD #204
BROOKLYN PARK, MN 55443
PHONE: 763/566-4325
CARING NURSES LLC
(27460)
FAX: 763/566-4341
MR. ROBERT EDDY
HWS
Lim-Liab
4426 LADYSLIPPER AVENUE NORTH
BROOKLYN PARK, MN 55443
PHONE: 763/566-4325
(27459)
FAX: 763/566-4341
MS. JOSEPHINE SMITH
Minnesota Department of Health
Division of Compliance Monitoring
Page 123
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
COLORADO HOUSE
Certification
HENNEPIN
Registration
(Cont.)* -------------------------­
HWS
Lim-Liab
7509 COLORADO AVENUE NORTH
BROOKLYN PARK, MN 55443
PHONE: 763/493-5067
COMFORTABLE HOME HEALTH CARE L
(25822)
FAX: 763/493-5138
Lim-Liab
MR. FREDIE OGIUGO
HCP-A
6001 78TH AVE NORTH STE 206
BROOKLYN PARK, MN 55443
PHONE: 763/951-3382
DIVINE NURTURING HOMECARE SERV
(28256)
FAX: 763/951-3420
Corp
MRS. LA TONYA HOLIFIELD
HCP-A
7964 BROOKLYN BLVD STE 216
BROOKLYN PARK, MN 55445
PHONE: 763/390-2590
DUNGARVIN HUMBOLDT
(28018)
FAX: 763/494-3782
MS. NOELA SUHFOR
HWSAL-O
Lim-Liab
7727 HUMBOLDT AVENUE NORTH
BROOKLYN PARK, MN 55444
PHONE: 651/699-6050
DUNGARVIN HUMBOLDT
(24561)
MS. KARIN STOCKWELL
FAX: 651/699-7265
HWSAL-O
Lim-Liab
7731 HUMBOLDT AVENUE NORTH
BROOKLYN PARK, MN 55444
PHONE: 651/699-6050
DUNGARVIN HUMBOLDT
(24562)
MS. KARIN STOCKWELL
FAX: 651/699-7265
HWSAL-O
Lim-Liab
7719 HUMBOLDT AVENUE NORTH
BROOKLYN PARK, MN 55444
PHONE: 651/699-6050
DUNGARVIN HUMBOLDT
(24559)
FAX: 651/699-7265
MS. KARIN STOCKWELL
HWSAL-O
Lim-Liab
7723 HUMBOLDT AVENUE NORTH
BROOKLYN PARK, MN 55444
PHONE: 651/699-6050
ELIMARC HEALTH CARE NETWORK IN
(24560)
FAX: 651/699-7265
Corp
MS. KARIN STOCKWELL
HCP-A
3018 80TH CIRCLE NORTH
BROOKLYN PARK, MN 55444
PHONE: 763/585-6107
ELITE NURSING SERVICE INC
(25884)
FAX: 763/585-6107
Corp
MS. NKEM ANDERSON
HCP-A
5701 SHINGLE CREEK PKWY # 580
BROOKLYN PARK, MN 55430
PHONE: 763/421-3613
EMPIRE SYSTEMS HOME CARE INC
(26977)
FAX: 763/374-5451
Corp
MR. BANBAH DENNIS GARSINII
HCP-A
6248 LAKELAND AVENUE N STE 211
BROOKLYN PARK, MN 55428
PHONE: 763/245-1786
(29318)
FAX: 877/649-1831
MS. LEILANI FLEMISTER
Minnesota Department of Health
Division of Compliance Monitoring
Page 124
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------­
HWSAL-O
Lim-Liab
EMPOWERMENT HC IAN'S HOUSE
Registration
7825 MODERN ROAD
(28485)
BROOKLYN PARK, MN 55428
PHONE: 952/848-0935
FAX: 952/920-6929
MR. ROGER BONNY
HWSAL-O
Corp
EMPOWERMENT HC IYKES HOUSE
4400 82ND AVENUE NORTH
(25157)
BROOKLYN PARK, MN 55443
PHONE: 763/503-6806
FAX: /­
MR. ROGER BONNY
HWSAL-O
Lim-Liab
EMPOWERMENT HC KRISTEN'S HOUSE
8125 FRANCE AVENUE NORTH
(26577)
BROOKLYN PARK, MN 55443
PHONE: 952/848-0935
FAX: 952/920-6929
MR. ROGER BONNY
HWSAL-O
Lim-Liab
EMPOWERMENT HC RYLEE'S HOUSE
7517 69TH AVENUE NORTH
(26323)
BROOKLYN PARK, MN 55428
PHONE: 952/848-0935
MR. ROGER BONNY
FAX: 952/920-6929
EMPOWERMENT HC STANLEY'S HOUSE
HWSAL
Corp
7549 HAMPSHIRE AVENUE NORTH
(29209)
BROOKLYN PARK, MN 55428
PHONE: 763/432-7369
EMPOWERMENT HEALTHCARE
MR. ROGER DONNY
FAX: /­
Corp
HCP-F
6800 78TH AVENUE NORTH
BROOKLYN PARK, MN 55445
PHONE: 860/967-9340
EVENSONG MANOR
(29431)
FAX: 860/967-9340
Corp
MR. ROGER BONNY
HWS
HCP-F
6264 YUKON AVENUE NORTH
BROOKLYN PARK, MN 55428
PHONE: 763/537-4374
EVERGREEN APARTMENTS
(24202)
FAX: 763/537-4374
MS. MARY JANE CHAIGNOT
HWSAL-O
NProf
7108 WEST BROADWAY
BROOKLYN PARK, MN 55428
PHONE: 651/639-9799
FAIRHAVENS HOME CARE
(24488)
FAX: 651/639-3699
Part
MR. MICHAEL BJERKESETT
HCP-A
2608 87TH TRAIL NORTH
BROOKLYN PARK, MN 55443
PHONE: 763/222-4746
FIRST CHOICE NURSING & HOME CA
(25274)
FAX: 763/222-4747
MS. CHIZOBA OKAFOR
HWSAL-O
Corp
5231 91ST CRESCENT NORTH
BROOKLYN PARK, MN 55443
PHONE: 763/503-9505
(28880)
FAX: 763/503-2363
MR. JERRY HAVON
Minnesota Department of Health
Division of Compliance Monitoring
Page 125
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: 763/503-2363
Corp
GRANDMAS PLACE INC
MR. JERRY HAVON
HCP-F
HWS-O
7901 ZANE AVE N #7
(24787)
BROOKLYN PARK, MN 55443
PHONE: 763/560-2500
FAX: 763/561-0159
Lim-Liab
HARMONY LIVING HEALTH CARE SER
MR. RON HENDRICKSON
HCP-A
7420 UNITY AVE NORTH SUITE 203
(25474)
BROOKLYN PARK, MN 55443
PHONE: 763/432-7968
FAX: 763/432-7968
Lim-Liab
HARMONY LIVING HLTH CARE SRVCS
MR. ALEXANDER ONGOU
HWS
HCP-F
7509 COLFAX AVENUE NORTH
(25475)
BROOKLYN PARK, MN 55444
PHONE: 763/432-7968
MR. ALEXANDER ONGOU
FAX: 763/432-7968
Lim-Liab
HEALTHY LIVING HOME CARE
HCP-A
6245 CIRCLE NORTH
(29959)
BROOKLYN PARK, MN 55443
PHONE: 763/226-8255
MS. ANGELA MENSAH
FAX: 612/387-6850
Corp
HENNEPIN HOME HEALTH CARE INC
HCP-A
HHA
8590 EDINBURGH CENTER DRIVE
(03188)
BROOKLYN PARK, MN 55443
PHONE: 763/425-5959
FAX: 763/425-5929
NProf
HOMEWARD BOUND BROOKLYN PARK
MS. AMELIA MATA
ICFIID-32
SLFB-32
7839 BROOKLYN BOULEVARD
(01273)
BROOKLYN PARK, MN 55445
PHONE: 763/525-3186
FAX: 763/525-4084
Lim-Liab
HOPES RESIDENCE
MR. DON PRIEBE
HWSAL
HCP-F
6449 EDGEMONT BOULEVARD NORTH
(26435)
BROOKLYN PARK, MN 55428
PHONE: 763/208-4590
FAX: 763/208-4590
MS. ESTHER HAMMER
HWS
NProf
HUNTINGON PLACE APARTMENTS
5809 73RD AVENUE NORTH
(25401)
BROOKLYN PARK, MN 55429
PHONE: 612/204-8319
FAX: /-
MS. STACEY RAY
HWS
NProf
HUNTINGTON PLACE APARTMENTS
5849 73RD AVENUE NORTH
(26191)
BROOKLYN PARK, MN 55429
PHONE: 612/787-4016
FAX: /­
MS. STACEY RAY
Minnesota Department of Health
Division of Compliance Monitoring
Page
126
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------­
HWS
NProf
HUNTINGTON PLACE APARTMENTS
Registration
5817 73RD AVENUE NORTH
(26424)
BROOKLYN PARK, MN 55429
PHONE: 612/204-8319
MS. STACEY RAY
FAX: /­
HWS
NProf
HUNTINGTON PLACE APARTMENTS
5801 73RD AVENUE NORTH
(26190)
BROOKLYN PARK, MN 55429
PHONE: 612/204-8319
MS. STACEY RAY
FAX: /­
Corp
INTEGRATED NURSING & HLTH SVCS
HCP-A
HHA
7077 NORTHLAND CIRCLE STE 200
(20847)
BROOKLYN PARK, MN 55428
PHONE: 763/504-4559
MR. ROY BELFREY
FAX: 763/504-1185
NProf
J A WEDUM HOSPICE RESIDENCE
RES-HSPICE-12
18-HOSPICE-
9350 NOBLE PARKWAY
(26907)
BROOKLYN PARK, MN 55443
PHONE: 763/236-2950
MS. GAYLE MATTSON
FAX: 763/236-2975
Ind
JENNIFER BENSON
HCP-C
9137 WOODHALL CROSSING
(03845)
BROOKLYN PARK, MN 55443
PHONE: 612/978-5662
JIRANI CARE
MS. JENNIFER BENSON
FAX: /­
Lim-Liab
HCP-A
7714 BROOKLYN BLVD STE 200C
BROOKLYN PARK, MN 55443
PHONE: 763/560-0080
JOYOUS CARE & FAMILY PRESERVAT
(26936)
FAX: 763/560-0090
MR. WONLE QUEEGLAY
HWSAL
Corp
7566 BRUNSWICK AVENUE NORTH
BROOKLYN PARK, MN 55443
PHONE: 763/315-5912
JOYOUS CARE & FAMILY PRESERVAT
(29363)
MS. ELIZABETH MAFE
FAX: 763/315-5916
Corp
HCP-A
8525 EDINBROOK XING N #107 C&D
BROOKLYN PARK, MN 55443
PHONE: 763/315-5912
KENSINGTON PLACE APARTMENTS
(29365)
FAX: 763/315-5916
MS. JENNIFER NELSON
HWS
NProf
8316 ZANE AVENUE NORTH
BROOKLYN PARK, MN 55443
PHONE: 612/325-2500
KENSINGTON PLACE APARTMENTS
(27372)
FAX: 612/521-4606
MR. CHRIS TRAILER
HWS
NProf
8304 ZANE AVENUE NORTH
BROOKLYN PARK, MN 55443
PHONE: 612/325-2500
(27870)
FAX: 612/521-4606
MR. CHRIS TRAILER
Minnesota Department of Health
Division of Compliance Monitoring
Page 127
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------­
HWS
NProf
KENSINGTON PLACE APARTMENTS
Registration
8312 ZANE AVENUE NORTH
(27611)
BROOKLYN PARK, MN 55443
PHONE: 612/325-2500
FAX: /­
MR. CHRIS TRAILER
Lim-Liab
KIND HEARTS HEALTH CARE LLC
HCP-A
6020 65TH AVE N # 140
(29755)
BROOKLYN PARK, MN 55429
PHONE: 612/567-7944
FAX: 612/455-0820
NProf
LIVING WELL EDGEWOOD
MS. PAMELA CONDE
ICFIID-8
SLFB-8
6525 EDGEWOOD AVENUE NORTH
(01258)
BROOKLYN PARK, MN 55428
PHONE: 763/533-5104
FAX: 763/533-2630
Corp
MAINS'L SERVICES INC
MS. LYNN GRAY
HCP-A
7000 78TH AVENUE NORTH
(28651)
BROOKLYN PARK, MN 55445
PHONE: 763/494-4553
FAX: 763/416-9120
MS. TERESA WILLIAMS
HWS
NProf
MOONRAKER APARTMENTS
5505 BROOKDALE DRIVE NORTH
(27463)
BROOKLYN PARK, MN 55443
PHONE: 763/560-5228
FAX: 763/560-5279
MR. CHRIS TRAILER
HWS
NProf
MOONRAKER APARTMENTS
5517 BROOKDALE DRIVE NORTH
(25462)
BROOKLYN PARK, MN 55443
PHONE: 612/204-8319
FAX: /-
MS. STACEY RAY
HWS
NProf
MOONRAKER APARTMENTS
5509 BROOKDALE DRIVE NORTH
(27369)
BROOKLYN PARK, MN 55443
PHONE: 612/204-8319
FAX: /-
MS. STACEY RAY
HWS
NProf
MOONRAKER APARTMENTS
5513 BROOKDALE DRIVE NORTH
(27368)
BROOKLYN PARK, MN 55443
PHONE: 612/204-8319
MOONRAKER APARTMENTS
FAX: /-
MS. STACEY RAY
HWS
NProf
5501 BROOKDALE DRIVE NORTH
BROOKLYN PARK, MN 55443
PHONE: 763/560-5228
NEW MILLENNIUM HEALTH CARE
(27519)
FAX: 763/560-5279
MS. STACEY RAY
HWSAL-O
Corp
6264 SUNRISE TERRACE
BROOKLYN PARK, MN 55428
PHONE: 763/780-9933
(26479)
FAX: 763/795-8878
MR. JOHN ARNDT
Minnesota Department of Health
Division of Compliance Monitoring
Page 128
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
NEW MILLENNIUM HEALTH CARE
Certification
HENNEPIN
Registration
(Cont.)* -------------------------­
HCP-A
6264 SUNRISE TERRACE
(21361)
BROOKLYN PARK, MN 55428
PHONE: 763/780-9933
FAX: 763/795-8878
MR. JOHN ARNDT
HWSAL
Corp
OLU'S HOME INC
8117 NORTH COLLEGE PARK DRIVE
(29339)
BROOKLYN PARK, MN 55445
PHONE: 612/824-1142
FAX: 612/824-1142
MS. CANDICE ELLIS-CHAPMAN
HWSAL-O
Corp
PINNACLE SERVICES INC
8617 EDINBROOK CROSSING
(27023)
BROOKLYN PARK, MN 55443
PHONE: 763/657-0612
FAX: 763/657-0156
MS. JILL CIHLAR
HWS-O
Lim-Liab
PLATEAU HEALTHCARE LLC
1817 LARAMIE TRAIL
(27797)
BROOKLYN PARK, MN 55444
PHONE: 763/444-1361
MS. ALICIA THIELEN-BOUKARI
FAX: 763/444-1358
Lim-Liab
PLATEAU HEALTHCARE LLC
HCP-A
1817 LARAMIE TRAIL
(27310)
BROOKLYN PARK, MN 55444
PHONE: 763/444-1361
MS. ALICIA THIELEN-BOUKARI
FAX: 763/444-1358
HWS
NProf
POINT OF AMERICA
7845 NORTH YATES AVENUE
(28078)
BROOKLYN PARK, MN 55443
PHONE: 763/561-4122
FAX: 763/561-4123
Corp
PRUDENCE CARE AND PROFESSIONAL
MS. STACEY RAY
HCP-A
8300 RHODE ISLAND DRIVE NORTH
(29702)
BROOKLYN PARK, MN 55445
PHONE: 612/239-0264
FAX: 763/566-2874
MR. PAUL QUAYE
HWSAL
Lim-Liab
REGENT RESIDENCE
7601 REGENT AVENUE NORTH
(29422)
BROOKLYN PARK, MN 55443
PHONE: 763/566-4325
FAX: 763/566-4341
Corp
REM HENNEPIN INC LAKELAND
MR. ROBERT EDDY
ICFIID-6
SLFB-6
6816 65TH AVE NORTH
(01026)
BROOKLYN PARK, MN 55428
PHONE: 763/852-5325
FAX: 763/852-5350
MS. CONNIE MENNE
HWS
NProf
RIDGEBROOK
5860 73RD AVENUE NORTH
(27861)
BROOKLYN PARK, MN 55429
PHONE: 763/566-1577
FAX: /­
MR. CHRIS TRAILER
Minnesota Department of Health
Division of Compliance Monitoring
Page 129
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------­
HWS
NProf
RIDGEBROOK APARTMENTS
Registration
5880 73RD AVENUE NORTH
(28892)
BROOKLYN PARK, MN 55443
PHONE: 763/566-1577
SAINT THERESE AT OXBOW LAKE
FAX: /­
MR. CHRIS TRAILER
Lim-Liab
NH-64
SNF-NF-64
5200 OAK GROVE PARKWAY
BROOKLYN PARK, MN 55443
PHONE: 763/493-7000
SEFERTT HEALTH CARE
(27752)
FAX: 763/493-7001
MS. DINAH MARTIN
HWSAL
Lim-Liab
10031 HONEYSUCKLE AVE N
BROOKLYN PARK, MN 55443
PHONE: 651/278-1144
SEFERTT HEALTH CARE
(29764)
FAX: 763/657-7537
Lim-Liab
MR. MATTHEW AMUSAN
HCP-A
10031 HONEYSUCKLE AVENUE NORTH
BROOKLYN PARK, MN 55443
PHONE: 651/278-1144
SHINGLE CREEK OPTION
(28096)
MS. LOIS AMUSAN
FAX: 763/657-7537
NProf
ICFIID-15
SLFB-15
5624 73RD AVENUE NORTH
BROOKLYN PARK, MN 55429
PHONE: 763/560-5330
ST THERESE AT OXBOW LAKE
(01430)
MR. MICHAEL AMON
FAX: 763/566-8429
NProf
HWSAL
HCP-A
5200 OAK GROVE PARKWAY
BROOKLYN PARK, MN 55443
PHONE: 763/493-7000
THE CARING SISTERS HOME CARE S
(24510)
FAX: 763/493-7001
MS. DINAH MARTIN
HWSAL
Corp
3901 BURQUEST LANE NORTH
BROOKLYN PARK, MN 55429
PHONE: 763/537-7963
TOLAD INCORPORATED
(24802)
FAX: 952/426-4691
MR. OLALEYE BECKLEY
HWSAL
Corp
516 BROOKDALE DRIVE
BROOKLYN PARK, MN 55444
PHONE: 763/566-1744
TRADITION
(26250)
FAX: 763/566-1755
MR. EMMANUEL COKER
HWSAL
Lim-Liab
8500 TESSMAN FARM ROAD N
BROOKLYN PARK, MN 55428
PHONE: 763/416-7740
TRADITION
(25879)
FAX: 763/416-7745
Lim-Liab
MR. STEPHEN NORNES
HCP-F
8500 TESSMAN FARM ROAD
BROOKLYN PARK, MN 55445
PHONE: 763/416-7740
(29077)
FAX: 763/416-7745
MS. SARAH MCDONAGH
Minnesota Department of Health
Division of Compliance Monitoring
Page
130
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
TUTS BLESSING LLC
Certification
HENNEPIN
Registration
(Cont.)* -------------------------­
HCP-A
8617 EDINBROOK CROSSING #104
(26478)
BROOKLYN PARK, MN 55443
PHONE: 850/207-5322
ULTIMATE HOME CARE
FAX: /­
MS. MYRA MAGANA
Corp
HCP-F
7040 LAKELAND AVENUE N #208
BROOKLYN PARK, MN 55428
PHONE: 763/560-9890
ULTIMATE HOME CARE
(27151)
FAX: 763/560-9891
MR. ALFRED APATA
HWSAL
Corp
7601 ZANE AVENUE NORTH
BROOKLYN PARK, MN 55428
PHONE: 763/560-9890
ULTIMATE HOME CARE
(27152)
FAX: 763/560-9891
Corp
MR. ALFRED APATA
HCP-A
7040 LAKELAND AVE N #208B
BROOKLYN PARK, MN 55428
PHONE: 763/560-9890
ULTIMATE HOME CARE REGENT HOUS
(26575)
MR. ALFRED APATA
FAX: 763/560-9891
HWS
Corp
7508 SCOTT AVENUE NORTH
BROOKLYN PARK, MN 55443
PHONE: 763/560-9890
ULTRA CARE HOME HEALTH LLC
(30064)
MR. ALFRED APATA
FAX: 763/560-9891
Lim-Liab
HCP-A
7714 BROOKLYN BVD STE 108
BROOKLYN PARK, MN 55443
PHONE: 763/355-5408
WATCHFUL CAREGIVERS
(26488)
FAX: 763/355-5470
Lim-Liab
MS. DOROTHY OKECH
HCP-A
7710 BROOKLYN BLVD STE 204
BROOKLYN PARK, MN 55443
PHONE: 763/535-4326
WATERFORD ESTATES
(25398)
FAX: 763/537-9352
Lim-Liab
MRS. WOKIE HARMON-BELLA
HCP-B
7000 62ND AVENUE NORTH
BROOKLYN PARK, MN 55428
PHONE: 763/533-9389
WATERFORD MANOR
(28826)
FAX: 763/537-1761
Lim-Liab
MR. STEPHEN NORNES
HCP-F
6288 LOUISIANA COURT NORTH
BROOKLYN PARK, MN 55428
PHONE: 763/537-3382
WATERFORD MANOR
(29078)
FAX: 763/536-7679
MS. LISA TOMS
HWSAL
Lim-Liab
6288 LOUISIANA COURT NORTH
BROOKLYN PARK, MN 55428
PHONE: 763/537-3382
(21662)
FAX: 763/536-7679
MR. STEPHEN NORNES
Minnesota Department of Health
Division of Compliance Monitoring
Page 131
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
WEST BROADWAY APARTMENTS
Certification
HENNEPIN
Registration
(Cont.)* -------------------------­
HWS
NProf
6626 WEST BROADWAY AVENUE NORT
BROOKLYN PARK, MN 55428
PHONE: 612/325-2500
WEST BROADWAY APARTMENTS
(27464)
FAX: 612/810-7899
MR. CHRIS TRAILER
HWS
NProf
6624 WEST BROADWAY AVENUE NORT
BROOKLYN PARK, MN 55428
PHONE: 612/325-2500
CHAMPLIN GW LLC
(27590)
FAX: 612/521-4606
Lim-Liab
MR. CHRIS TRAILER
HCP-F
HWSAL
11469 JEFFERSON COURT NORTH
CHAMPLIN, MN 55316
PHONE: 763/433-2585
EMERITUS AT CHAMPLIN SHORES
(25047)
FAX: 763/235-3620
Corp
MS. RHONDA SCHILLINGER
HWSAL
HCP-F
119 EAST HAYDEN LAKE ROAD
CHAMPLIN, MN 55316
PHONE: 763/712-0118
FRESENIUS MED CARE OF CHAMPLIN
(22095)
MS. RENAE WITSCHEN
FAX: 763/712-0278
ESRD
Corp
12339 CHAMPLIN DRIVE
CHAMPLIN, MN 55316
PHONE: 763/421-1032
SOLACE HOME HEALTH AND HOSPICE
(23606)
MR. JOHN MARIETTI
FAX: 763/421-1054
Corp
HCP-A
11209 COMMERCE DRIVE NORTH
CHAMPLIN, MN 55316
PHONE: 763/273-7659
TRANSITIONS HOME CARE & SENIOR
(28095)
FAX: 763/323-1027
Corp
MR. MOHAMMED HUSSAIN
HCP-A
11030 DOUGLAS DRIVE NORTH
CHAMPLIN, MN 55316
PHONE: 763/200-5406
WIGGINS APARTMENTS
(23102)
FAX: 763/657-0253
MR. ALEX ONSOMU
HWSAL-O
NProf
206 EAST HAYDEN LAKE ROAD
CHAMPLIN, MN 55316
PHONE: 651/639-9799
1 1 CARING HANDS LLC
(24485)
FAX: 651/639-3699
MR. MICHAEL BJERKESETT
Home Mgmt
Lim-Liab
1466 LAKE DRIVE WEST
CHANHASSEN, MN 55317
PHONE: 952/400-6123
ROLLING ACRES HOME HEALTH
(29158)
FAX: 952/400-6122
NProf
MR. ANTHONY WILKERSON
HCP-A
18986 LAKE DRIVE EAST
CHANHASSEN, MN 55317
PHONE: 952/474-5974
(29357)
FAX: 952/474-3652
MR. BRUCE TORGERSON
Minnesota Department of Health
Division of Compliance Monitoring
Page
132
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Ind
SWEDISH HOME HEALTHCARE INC
Certification
HENNEPIN
Registration
(Cont.)* -------------------------­
HCP-C
949 CARRIAGE LANE
(28881)
CHASKA, MN 55318
PHONE: 612/702-5555
FAX: /­
MR. DAVID GILBERT
HWS
NProf
7017 36TH AVENUE NORTH
7017 36TH AVENUE NORTH
(29657)
CRYSTAL, MN 55427
PHONE: 952/925-3878
FAX: /-
MS. STACEY RAY
HWS
NProf
7025 36TH AVENUE NORTH
7025 36TH AVENUE NORTH
(29659)
CRYSTAL, MN 55427
PHONE: 952/925-3878
AMAZING LOVE ASSISTED LIVING
FAX: /-
MS. STACEY RAY
Lim-Liab
HCP-F
5724 BASS LAKE ROAD
CRYSTAL, MN 55429
PHONE: 763/561-3434
AMAZING LOVE ASSISTED LIVING
(24012)
MR. YEMMY OSONOWO
FAX: 763/561-3636
HWSAL
Lim-Liab
5724 BASS LAKE ROAD
CRYSTAL, MN 55429
PHONE: 763/561-3434
AMAZING LOVE HEALTHCARE SERVIC
(24780)
MR. YEMMY OSONOWO
FAX: 763/561-3636
Lim-Liab
HCP-A
5724 BASS LAKE ROAD
CRYSTAL, MN 55429
PHONE: 763/561-3434
CANA HOME HEALTH CARE SERVICES
(23687)
FAX: 763/561-3636
Corp
MR. YEMMY OSONOWO
HCP-A
6000 BASS LAKE ROAD
CRYSTAL, MN 55429
PHONE: 763/746-0396
CIP CITY LIGHTS
(29973)
FAX: 952/707-9684
NProf
MS. KATE ONYENEHO
ICFIID-6
SLFB-6
4303 COLORADO AVENUE
CRYSTAL, MN 55422
PHONE: 763/535-8282
CLINIQUE HEALTH CARE SERVICES
(01625)
FAX: 763/535-8282
Corp
MR. JOHN EVERETT
HCP-F
6000 BASS LAKE ROAD SUITE 204
CRYSTAL, MN 55429
PHONE: 763/503-4757
CLINIQUE HEALTHCARE SERVICES I
(28365)
FAX: 763/549-9952
Corp
MS. NNENNA ORJINTA
HCP-A
6000 BASS LAKE ROAD
CRYSTAL, MN 55429
PHONE: 763/503-4757
(25544)
FAX: 763/549-9952
MR. ANTHONY ORJINTA
Minnesota Department of Health
Division of Compliance Monitoring
Page 133
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
COMFORTCARE NURSING SERVICES I
Certification
HENNEPIN
Registration
(Cont.)* -------------------------­
HCP-A
7000 57TH AVENUE NORTH #108
(23068)
CRYSTAL, MN 55428
PHONE: 763/536-3050
FAX: 763/536-7919
NProf
CRYSTAL CARE CENTER
MS. SAYBA NGAIMA PHILIPS
NH-130
SNF-NF-130
3245 VERA CRUZ AVENUE NORTH
(00255)
CRYSTAL, MN 55422
PHONE: 763/535-6260
FAX: 763/535-7772
MR. DEAN MCDEVITT
HWS
NProf
CRYSTAL COURTS APARTMENTS
5940 WEST BROADWAY AVENUE
(28836)
CRYSTAL, MN 55428
PHONE: 952/941-2400
GRANDMA'S PLACE INC
FAX: /­
MS. STACEY RAY
HWS
Corp
5900 WEST BROADWAY AVE STE 6
CRYSTAL, MN 55428
PHONE: 763/560-2500
GRANDMA'S PLACE INC
(26760)
MR. RON HENDRICKSON
FAX: 763/561-0159
HWS
Corp
5920 WEST BROADWAY AVE
CRYSTAL, MN 55428
PHONE: 763/560-2500
GRANDMA'S PLACE INC
(26761)
MR. RON HENDRICKSON
FAX: 763/561-0159
HWS
Corp
5910 WEST BROADWAY AVENUE #5
CRYSTAL, MN 55428
PHONE: 763/560-2500
GREAT LAKES HOME CARE INC
(26763)
FAX: 763/561-0159
Corp
MR. RON HENDRICKSON
HCP-A
6000 BASS LAKE ROAD #104
CRYSTAL, MN 55429
PHONE: 763/537-6651
HEATHERS ESTATES
(28067)
FAX: 763/535-4288
Lim-Liab
MRS. MARY KIM EGERE
HCP-B
2900 NORTH DOUGLAS DRIVE
CRYSTAL, MN 55422
PHONE: 763/544-1220
HEATHERS MANOR
(28824)
FAX: 763/544-2310
Lim-Liab
MR. STEPHEN NORNES
HCP-F
3000 NORTH DOUGLAS DRIVE
CRYSTAL, MN 55422
PHONE: 763/544-6777
HEATHERS MANOR
(29082)
FAX: 763/513-5859
MS. JEANETTE RUTLEDGE
HWSAL
Lim-Liab
3000 NORTH DOUGLAS DRIVE
CRYSTAL, MN 55422
PHONE: 763/544-6777
(21623)
FAX: 763/513-5859
MR. STEPHEN NORNES
Minnesota Department of Health
Division of Compliance Monitoring
Page
134
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
INTEGRITAS HOMECARE LLC
Certification
HENNEPIN
Registration
(Cont.)* -------------------------­
HCP-A
6000 BASS LAKE ROAD #200
(28716)
CRYSTAL, MN 55429
PHONE: 612/414-5055
FAX: 763/746-9401
MR. DENNIS WALSH
HWS
NProf
LWV LODGE
3200 3204 DOUGLAS DRIVE N
(28410)
CRYSTAL, MN 55422
PHONE: 763/479-3555
FAX: 763/479-7130
MR. DUANE REYNOLDS
HWS
NProf
LWV LODGE III
3255-3257 DOUGLAS DRIVE NORTH
(27080)
CRYSTAL, MN 55422
PHONE: 763/479-3555
FAX: 763/479-2605
Lim-Liab
MAGIC HEALTHCARE PARTNERS
MS. MARY ROEHL
HCP-A
6000 BASS LAKE ROAD #207
(27687)
CRYSTAL, MN 55429
PHONE: 952/807-1685
MR. JONES BITANGE
FAX: 612/435-1378
NProf
OUTREACH RICE CREEK
ICFIID-4
SLFB-4
5402 FAIRVIEW AVENUE NORTH
(01562)
CRYSTAL, MN 55429
PHONE: 763/537-4550
MS. MARY TJOSVOLD
FAX: 763/537-2262
Corp
QUALITY HEALTH CARE SERVICES
HCP-A
5701 KENTUCKY AVE N STE 198
(28791)
CRYSTAL, MN 55428
PHONE: 763/533-1658
FAX: 763/533-1659
Corp
REM HENNEPIN INC CRYSTAL
MR. ZINNAH CHESSON
ICFIID-6
SLFB-6
3400 QUAIL AVE NORTH
(26137)
CRYSTAL, MN 55422
PHONE: 763/852-5325
FAX: 763/852-5350
Corp
SIMAC PROFESSIONAL BUSINESS SE
MS. CONNIE MENNE
HCP-A
6000 BASS LAKE ROAD
(26217)
CRYSTAL, MN 55429
PHONE: 763/205-3401
FAX: 763/204-3142
Lim-Liab
SWEET COMFORT HOME CARE
MS. SIMONE ACOLATSE
HCP-I
4737 ZANE AVE N
(30111)
CRYSTAL, MN 55429
PHONE: 612/424-8121
UNITED CARE GROUP INC
FAX: /-
MR. RYAN MCKEEN
Corp
HCP-A
5501 LAKELAND AVENUE
CRYSTAL, MN 55429
PHONE: 763/535-6451
(26573)
FAX: 763/535-2756
MS. ROBIN DUNLAP
Minnesota Department of Health
Division of Compliance Monitoring
Page 135
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------­
HWS
Lim-Liab
VERACITY HEALTH SYSTEMS LLC
Registration
6707 CORVALLIS AVENUE NORTH
(29324)
CRYSTAL, MN 55428
PHONE: 763/208-1797
FAX: 651/344-0590
Corp
N & V HELPFUL HEARTCARE INC
MR. MBUTAMBE AKPANG
HCP-A
6000 BASS LAKE RD SUITE 106
(25916)
CRYSTAL MN, MN 55429
PHONE: 763/442-0460
FAX: 206/666-2482
Corp
LAKE MINNETONKA CARE CENTER
MRS. VERA DIXON
NH-21
SNF-NF-21
20395 SUMMERVILLE ROAD
(00234)
DEEPHAVEN, MN 55331
PHONE: 952/474-4474
FAX: 952/474-4272
MR. JEFF SPRINKEL
HWSAL
Lim-Liab
SOJOURN SUITES LLC JAMES AVE
18900 JAMES AVENUE
(26002)
DEEPHAVEN, MN 55391
PHONE: 952/473-1810
MR. THOMAS PENN
FAX: 952/400-3542
Out Pt Out St Out Ot
Lim-Liab
AEGIS THERAPIES
431 PRAIRIE CENTER DRIVE
(29920)
EDEN PRAIRIE, MN 55344
PHONE: 763/226-0653
MS. MARY HANDT
FAX: 479/478-2613
Corp
AGING JOYFULLY
HWS
HCP-F
13050 PIONEER TRAIL
(24640)
EDEN PRAIRIE, MN 55347
PHONE: 952/942-2510
FAX: 952/942-7415
MS. JOY HANSEN
Home Mgmt
Lim-Liab
APPARENTCARE LLC
6995 MARIANN DRIVE
(26681)
EDEN PRAIRIE, MN 55346
PHONE: 952/215-7052
FAX: /­
MS. TRACY KEIBLER
Corp
BECKY'S PLACE INC
HCP-F
6391 DUCK LAKE ROAD
(28367)
EDEN PRAIRIE, MN 55346
PHONE: 612/719-2915
FAX: 952/906-9181
MS. BECKY DORR
HWSAL
Corp
BECKY'S PLACE INC
6391 DUCK LAKE ROAD
(28368)
EDEN PRAIRIE, MN 55387
PHONE: 612/719-2915
CASTLE RIDGE CARE CENTER
FAX: /-
MS. BECKY DORR
NProf
NH-60
SNF-NF-60
625 PRAIRIE CENTER DR
EDEN PRAIRIE, MN 55344
PHONE: 952/942-2100
(00973)
FAX: 952/942-2101
MR. JIM ANGELL
Minnesota Department of Health
Division of Compliance Monitoring
Page
136
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
CASTLE RIDGE MANOR HOUSE
Certification
HENNEPIN
Registration
(Cont.)* -------------------------­
HWSAL
NProf
615 PRAIRIE CENTER DRIVE
EDEN PRAIRIE, MN 55344
PHONE: 952/942-2100
CLARE BRIDGE OF EDEN PRAIRIE
(21183)
FAX: 952/942-2101
Corp
MR. JIM ANGELL
HCP-F
HWSAL
7513 MITCHELL ROAD
EDEN PRAIRIE, MN 55344
PHONE: 952/906-3800
DELTA HOME HEALTH CARE LLC
(20538)
FAX: 952/906-3888
Lim-Liab
MR. TROY MEAD
HCP-A
6520 EDENVALE BLVD STE 110
EDEN PRAIRIE, MN 55346
PHONE: 952/994-3260
EDEN PRAIRIE DIALYSIS
(29161)
FAX: 877/816-2063
MR. AHMED ISMAIL
ESRD
Corp
14852 SCENIC HGT RD BLDG B 255
EDEN PRAIRIE, MN 55344
PHONE: 952/934-2411
ELIM SHORES
(22098)
MS. TAMMY MESA
FAX: 952/934-3851
NProf
HWSAL
HCP-F
7900 TIMBER LAKE DRIVE
EDEN PRAIRIE, MN 55347
PHONE: 952/934-3005
GRISWOLD HOME CARE
(24915)
MS. CATHERINE SEIFERT
FAX: 952/934-0730
Corp
HCP-B
12100 SINGLETREE LANE STE 191
EDEN PRAIRIE, MN 55344
PHONE: 952/345-1472
LUANN'S PLACE LLC
(28856)
FAX: 952/516-5911
MR. BRIAN NAAS
HWS
Lim-Liab
6660 W 175TH AVENUE
EDEN PRAIRIE, MN 55346
PHONE: 952/334-9272
LUANN'S PLACE LLC
(25323)
FAX: 952/949-4914
Lim-Liab
MS. LUANN FEHN
HCP-F
6660 WEST 175TH AVENUE
EDEN PRAIRIE, MN 55346
PHONE: 952/334-9272
MANOR HOUSE
(26470)
FAX: 952/974-0936
NProf
MS. LUANN FEHN
HCP-F
625 PRAIRIE CENTER DRIVE
EDEN PRAIRIE, MN 55344
PHONE: 952/942-2100
MSOCS EDEN PRAIRIE CHATHAM WAY
(27962)
FAX: 952/942-2101
State
MS. NATALIE MORLAND
ICFIID-6
SLFB-6
6204 CHATHAM WAY
EDEN PRAIRIE, MN 55346
PHONE: 952/934-0995
(01657)
FAX: 952/934-1145
MS. ANDREA SEIFERT
Minnesota Department of Health
Division of Compliance Monitoring
Page 137
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
State
MSOCS EDEN PRAIRIE DELL ROAD
Certification
HENNEPIN
Registration
(Cont.)* -------------------------­
ICFIID-6
SLFB-6
7198 DELL ROAD
(01656)
EDEN PRAIRIE, MN 55346
PHONE: 952/934-0390
FAX: 952/934-0480
Corp
ON BELAY EDEN PRAIRIE
MS. ANDREA SEIFERT
SLFA-16
7170 BRYANT LAKE DRIVE
(26333)
EDEN PRAIRIE, MN 55344
PHONE: 952/224-5873
FAX: 952/224-5876
MS. MELISSA BROGGER
HWS
Lim-Liab
PIONEER ESTATES
8771 PRESERVE BLVD
(29888)
EDEN PRAIRIE, MN 55344
PHONE: 952/914-0934
FAX: 952/943-2563
Lim-Liab
PIONEER ESTATES EDEN PRAIRIE 2
MS. CHRISTINE ROWLAND
HCP-F
8771 PRESERVE BLVD
(29955)
EDEN PRAIRIE, MN 55344
PHONE: 952/942-1117
MS. CHRISTINE ROWLAND
FAX: 952/942-1118
Lim-Liab
PIONEER ESTATES OF EDEN PRAR
HWSAL
HCP-F
8751 PRESERVE BOULEVARD
(20455)
EDEN PRAIRIE, MN 55344
PHONE: 952/914-0934
MR. RICHARD ROWLAND
FAX: 952/943-2563
Corp
PRIDE INSTITUTE
SLFA-42
14400 MARTIN DRIVE
(01405)
EDEN PRAIRIE, MN 55344
PHONE: 952/934-7554
FAX: 952/934-8764
MR. RICK PLISZKA
HWS
Lim-Liab
SILVER LINING CARE HOMES LLC
6328 EDEN PRAIRIE ROAD
(29496)
EDEN PRAIRIE, MN 55346
PHONE: 612/710-1446
FAX: /­
MS. KELLY EVERSON
Lim-Liab
SILVER LINING CARE HOMES LLC
HCP-F
6328 EDEN PRAIRIE ROAD
(29495)
EDEN PRAIRIE, MN 55346
PHONE: 612/710-1446
SUMMIT PLACE ASSISTED LIVING
FAX: /­
MS. KELLY EVERSON
HWSAL
Lim-Liab
8501 FLYING CLOUD DRIVE
EDEN PRAIRIE, MN 55344
PHONE: 952/995-1000
SUMMIT PLACE INDEPENDENT LIVIN
(21963)
FAX: 952/995-1288
MS. CAROL HANSEN
HWS
Lim-Liab
8505 FLYING CLOUD DRIVE
EDEN PRAIRIE, MN 55344
PHONE: 952/995-1000
(21962)
FAX: 952/995-1288
MRS. CAROL HANSEN
Minnesota Department of Health
Division of Compliance Monitoring
Page
138
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
THE COLONY AT EDEN PRAIRIE
Certification
HENNEPIN
(Cont.)* -------------------------­
HWSAL
HCP-F
431 PRAIRIE CENTER DRIVE
(21648)
EDEN PRAIRIE, MN 55344
PHONE: 952/828-9500
FAX: 952/828-8195
Lim-Liab
THE COLONY AT EDEN PRAIRIE
MS. EMILY RINALDI
NH-25
SNF-NF-25
431 PRAIRIE CENTER DRIVE
(21549)
EDEN PRAIRIE, MN 55344
PHONE: 952/828-9500
FAX: 952/828-8195
Lim-Liab
ALLEVIACARE LLC
MS. EMILY RINALDI
HCP-A
5780 LINCOLN DRIVE STE 250
(26286)
EDINA, MN 55436
PHONE: 952/303-4725
FAX: 952/303-4802
Corp
ALLIED PROFESSIONALS INC
MS. JENELLE BOECKERMANN
HCP-A
3209 WEST 76TH STREET
(02925)
EDINA, MN 55435
PHONE: 952/832-5101
MS. PAT MULLIGAN
FAX: 952/832-0656
Corp
ALO HOME HEALTH CARE INC
HCP-A
7201 YORK AVENUE SOUTH STE 913
(29673)
EDINA, MN 55435
PHONE: 763/439-7550
MS. LAURA MILLER
FAX: /-
Lim-Liab
APLUS HEALTH CARE LLC
HCP-A
7760 FRANCE AVE S STE 1100
(30139)
EDINA, MN 55435
PHONE: 612/326-1206
FAX: 612/326-1206
Lim-Liab
BROOKDALE H H MINNESOTA
MR. ISSA MOHAMUD
HCP-A
HHA
3330 EDINBOROUGH WAY
(25254)
EDINA, MN 55435
PHONE: 952/933-1362
FAX: 952/933-2781
Lim-Liab
BROOKDALE HOSPICE MINNESOTA
MS. KATHLEEN AHERN
Hospice
HSPICE
3330 EDINBOROUGH WAY
(29308)
EDINA, MN 55435
PHONE: 952/831-0193
FAX: 952/831-0191
MS. KATHLEEN AHEM
Out Pt Out St Out Ot
Lim-Liab
BROOKDALE THERAPY EDINA
3330 EDINBOROUGH WAY
(25405)
EDINA, MN 55435
PHONE: 952/831-4024
CAPERNAUM PEDIATRIC THERAPY IN
FAX: /-
MR. ERIN BERNIER
Corp
HCP-A
7250 FRANCE AVENUE SOUTH
EDINA, MN 55435
PHONE: 612/922-2009
(02847)
FAX: 612/927-6201
Registration
MRS. BONNA OLSON
Minnesota Department of Health
Division of Compliance Monitoring
Page
139
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
CAREMINDERS HOME CARE
Certification
HENNEPIN
Registration
(Cont.)* -------------------------­
HCP-A
5100 EDINA INDUSTRIAL BLVD SUI
(27606)
EDINA, MN 55439
PHONE: 952/500-8750
FAX: 952/303-5329
Part
CENTENNIAL LAKES SURGERY CTR
MS. SHARICE ZACCARDI
Outpt Surg
Amb Surg
7373 FRANCE AVENUE SOUTH #404
(00379)
EDINA, MN 55435
PHONE: 952/832-9360
FAX: 952/832-5079
MR. ROB SIMMONS
HWS
NProf
CHALLET
4415 PARKLAWN COURT
(26893)
EDINA, MN 55435
PHONE: 952/941-2100
FAX: /-
MS. KRISTEN BROWN
Lim-Liab
CROSSTOWN SURGERY CENTER LLC
Outpt Surg
Amb Surg
4010 WEST 65TH STREET
(27380)
EDINA, MN 55435
PHONE: 952/456-7300
MR. AARON JOHNSON
FAX: 952/456-7399
Lim-Liab
CUSTOMCARE HOME HEALTH CARE LL
HCP-A
5265 EDINA INDUSTRIAL BLVD
(23437)
EDINA, MN 55439
PHONE: 952/914-0269
MR. CALVIN MILLER
FAX: 952/960-0239
Ind
DONNA MARIE NORGREN
HCP-C
5808 CHOWEN AVENUE SOUTH
(02907)
EDINA, MN 55410
PHONE: 952/920-4984
FAX: /­
MS. DONNA NORGREN
NProf
EDINA CARE & REHAB CENTER
NH-125
SNF-NF-125
6200 XERXES AVENUE SOUTH
(00740)
EDINA, MN 55423
PHONE: 952/925-8500
FAX: 952/925-8502
MR. TODD CARSEN
ESRD
Corp
EDINA DIALYSIS CENTER
6550 YORK AVENUE SO SUITE 100
(02534)
EDINA, MN 55435
PHONE: 952/925-9339
EDINA PARK PLAZA
FAX: /-
MS. CAROLINE DAVIS
Lim-Liab
HCP-F
3330 EDINBOROUGH WAY
EDINA, MN 55435
PHONE: 952/831-4084
EDINA PARK PLAZA
(26486)
FAX: 952/831-7171
MR. WILLIAM CURRIER
HWSAL
Lim-Liab
3330 EDINBOROUGH WAY
EDINA, MN 55435
PHONE: 952/831-4084
(20381)
FAX: 952/831-7171
MR. WILLIAM CURRIER
Minnesota Department of Health
Division of Compliance Monitoring
Page 140
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
EDINA SURGERY CENTER
Certification
HENNEPIN
Registration
(Cont.)* -------------------------­
Corp
6525 FRANCE AVE S STE 300A
EDINA, MN 55435
PHONE: 952/925-1765
ENGLISH ROSE SUITES
(22138)
FAX: 952/925-1579
MS. ORLA MCCLURE
HWSAL
Corp
609 BLAKE ROAD SOUTH
EDINA, MN 55343
PHONE: 952/983-0412
ENGLISH ROSE SUITES
(20426)
FAX: 952/253-2548
MS. JAYNE CLAIRMONT
HWSAL
Corp
7409 GLEASON ROAD
EDINA, MN 55439
PHONE: 952/983-0412
ENGLISH ROSE SUITES
(29502)
FAX: 952/253-2548
MS. TIFFANY GOMEZ
HWSAL
Corp
6201 LOCH MOOR DRIVE
EDINA, MN 55439
PHONE: 952/983-0412
ENGLISH ROSE SUITES BRAEMAR HI
(25762)
MS. JAYNE CLAIRMONT
FAX: 952/253-2548
HWSAL
Corp
6941 VALLEY VIEW ROAD
EDINA, MN 55439
PHONE: 952/983-0412
FAIRVIEW SOUTHDALE HOSPITAL
(21145)
MS. JAYNE CLAIRMONT
FAX: 952/253-2548
NProf
BASS-45 HOSP-390
HOSP-372 PPS-P-18
6401 FRANCE AVENUE SOUTH
EDINA, MN 55435
PHONE: 952/924-5100
HERITAGE OF EDINA INC
(00201)
FAX: 952/924-5382
Corp
MR. BRADLEY BEARD
HWSAL
HCP-F
3420 3434 3450 & 3456 HERITAGE
EDINA, MN 55435
PHONE: 952/920-9145
HOME INSTEAD SENIOR CARE
(20233)
FAX: 952/915-5411
MS. MARIA FIELD
Home Mgmt
Corp
4445 WEST 77TH ST STE 224
EDINA, MN 55435
PHONE: 952/929-5695
HOME INSTEAD SENIOR CARE
(03782)
FAX: 952/929-2032
Corp
MS. CHER KUECHLE
HCP-B
4445 WEST 77TH ST STE 121
EDINA, MN 55435
PHONE: 952/929-5695
HOME INSTEAD SENIOR CARE
(26849)
FAX: 952/929-2032
Corp
MS. CHER KUECHLE
HCP-A
4445 WEST 77TH STREET #121
EDINA, MN 55435
PHONE: 952/929-5695
(23590)
FAX: 952/929-2032
MRS. CHER KUECHLE
Minnesota Department of Health
Division of Compliance Monitoring
Page 141
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
HOMEWATCH CAREGIVERS
Corp
Certification
HENNEPIN
Registration
(Cont.)* -------------------------­
HCP-A
7242 METRO BOULEVARD #500
EDINA, MN 55439
PHONE: 952/657-5210
LIFESPRK
(28357)
FAX: 952/500-8791
Lim-Liab
MS. DEBORAH NELSON
HCP-A
4570 W 77TH STREET SUITE 350
EDINA, MN 55435
PHONE: 952/345-8770
LIFESPRK LLC
(23501)
FAX: 952/345-8771
Lim-Liab
MS. CAROLE OVERBY
HCP-F
4570 WEST 77TH STREET STE 350
EDINA, MN 55435
PHONE: 952/345-8770
MATRIX TEAM HOME CARE
(30082)
FAX: 952/345-8771
Corp
MR. JOEL THEISEN, RN
HCP-A
7550 FRANCE AVENUE SOUTH #210
EDINA, MN 55435
PHONE: 952/525-0505
MCCANNEL EYE SURGERY
(24015)
MR. BRUCE LAWRENCE
FAX: 952/525-0506
Lim-Liab
Outpt Surg
Amb Surg
3124 WEST 70TH STREET
EDINA, MN 55435
PHONE: 952/848-8338
MINNESOTA SURGERY CENTER LTD
(20911)
MS. NIKKI MADISON
FAX: 952/848-8302
Corp
Outpt Surg
Amb Surg
7400 FRANCE AVENUE SUITE 102
EDINA, MN 55435
PHONE: 952/835-8307
N C LITTLE MEMORIAL HOSPICE
(23072)
FAX: 763/537-6606
NProf
MS. MARSHA THIEL
RES-HSPICE-8 Hospice
7019 LYNMAR LANE
EDINA, MN 55435
PHONE: 952/928-9394
ORTHOPAEDIC INSTITUTE SURG CTR
(03721)
FAX: 952/925-3578
Lim-Liab
MR. ROBERT SOLHEIM
Outpt Surg
Amb Surg
8100 W 78TH STREET SUITE 220
EDINA, MN 55439
PHONE: 952/914-8418
PARKINSON'S SPECIALTY CARE
(22057)
FAX: 952/914-8401
MS. NANCY PAGE
HWSAL
Lim-Liab
6802 DOVRE DR
EDINA, MN 55436
PHONE: 952/988-9900
PERSONALIZED LIVING AT EDINA P
(23855)
FAX: 763/539-9155
Lim-Liab
MS. MARCIA DOONER
HCP-A
3330 EDINBOROUGH WAY
EDINA, MN 55435
PHONE: 952/831-4084
(28030)
FAX: 952/831-7171
MS. JAYNE RHODES
Minnesota Department of Health
Division of Compliance Monitoring
Page 142
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
PROMISE CARE INC
Certification
HENNEPIN
Registration
(Cont.)* -------------------------­
HCP-A
6545 FRANCE AVE S STE 501
(24821)
EDINA, MN 55435
PHONE: 952/942-5676
FAX: /­
MS. CAROLINE LINDEMAN
Corp
REM HENNEPIN INC WILLIAM
ICFIID-6
SLFB-6
5100 WILLIAM AVENUE
(01149)
EDINA, MN 55436
PHONE: 763/852-5325
FAX: 763/852-5350
NProf
RESTART INC
MS. CONNIE MENNE
HCP-F
5275 EDINA INDUSTRL BLVD #240
(25379)
EDINA, MN 55439
PHONE: 952/767-3350
FAX: 952/767-3351
MR. JAMES JASPER
HWS
Part
SOUTH HAVEN SENIOR COMMUNITY
3400 PARKLAWN AVENUE
(25247)
EDINA, MN 55435
PHONE: 952/831-3372
SUNRISE ASSISTED LIVING EDINA
MS. ELIZABETH HAGSTROM
FAX: /­
Lim-Liab
HCP-F
7128 FRANCE AVENUE SOUTH
EDINA, MN 55435
PHONE: 952/927-8000
SUNRISE ASSISTED LIVING OF EDI
(20814)
MR. STEPHEN WILSON
FAX: 952/927-6400
HWSAL
Lim-Liab
7128 FRANCE AVENUE SOUTH
EDINA, MN 55435
PHONE: 952/927-8000
THE WATERS OF EDINA
(21787)
FAX: 952/927-6400
MR. STEPHEN WILSON
HWSAL
Lim-Liab
6300 COLONIAL WAY
EDINA, MN 55436
PHONE: 952/358-5100
THE WATERS OF EDINA
(29647)
FAX: 952/358-5151
Lim-Liab
MR. KYLE DIDIER
HCP-F
6300 COLONIAL WAY
EDINA, MN 55436
PHONE: 952/358-5100
VERNON TERRACE
(29646)
FAX: 952/358-5151
MR. KYLE DIDIER
HWS
Lim-Liab
5250 VERNON AVENUE SOUTH
EDINA, MN 55436
PHONE: 952/925-5615
WALKER METHODIST CARE SUITES
(28216)
FAX: 952/925-1702
MS. JENNIFER KEMP
HWSAL
NProf
7400 YORK AVENUE SOUTH
EDINA, MN 55435
PHONE: 952/835-8351
(20444)
FAX: 952/835-7453
MR. JOHN HUHN
Minnesota Department of Health
Division of Compliance Monitoring
Page
143
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: 952/835-7453
Lim-Liab
YORK GARDENS
MR. RICK BUECHNER
HCP-F
HWSAL
3451 PARKLAWN
(27800)
EDINA, MN 55435
PHONE: 952/898-6700
FAX: 952/898-6701
Lim-Liab
ZEL SKIN & LASER SPECIALISTS
MS. NANCY WEYKER
Outpt Surg
Amb Surg
4100 WEST 50TH STREET
(24276)
EDINA, MN 55424
PHONE: 952/929-8888
FAX: 952/929-9669
Lim-Liab
ENCORE SENIOR HOME CARE
MS. SUSAN OLSON
HCP-A
350 HIGHWAY 7 SUITE 138
(26469)
EXCELSIOR, MN 55331
PHONE: 952/426-1371
MR. TYLER STEVENS
FAX: 952/405-6671
Lim-Liab
GOLDEN LIVINGCENTER EXCELSIOR
NH-56
SNF-NF-56
515 DIVISION STREET
(00988)
EXCELSIOR, MN 55331
PHONE: 952/474-5488
MS. AMANDA GENTILLI
FAX: 952/474-3864
Lim-Liab
HAPPY AT HOME SENIOR CARE
HCP-B
545 SECOND STREET #185
(29319)
EXCELSIOR, MN 55331
PHONE: 612/210-8945
FAX: /-
MS. KATHERINE LEITH
HWS
NProf
LAKEVIEW VILLA
723 WATER STREET
(27871)
EXCELSIOR, MN 55331
PHONE: 952/546-1415
FAX: 952/546-1435
MR. CHRIS TRAILER
HWS
NProf
1400 NORTH DOUGLAS DRIVE
1400 NORTH DOUGLAS DRIVE
(25564)
GOLDEN VALLEY, MN 55410
PHONE: 612/204-8319
FAX: /-
MS. STACEY RAY
HWS
NProf
1450 DOUGLAS DRIVE
1450 DOUGLAS DRIVE
(25399)
GOLDEN VALLEY, MN 55422
PHONE: 612/204-8319
1500 DOUGLAS DRIVE NORTH
FAX: /-
MS. STACEY RAY
HWS
NProf
1500 DOUGLAS DRIVE NORTH
GOLDEN VALLEY, MN 55422
PHONE: 763/545-8516
(27890)
FAX: 612/259-8154
MR. CHRIS TRAILER
Minnesota Department of Health
Division of Compliance Monitoring
Page 144
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------­
HWS
NProf
1600 DOUGLAS DRIVE NORTH
Registration
1600 DOUGLAS DRIVE NORTH
(28045)
GOLDEN VALLEY, MN 55422
PHONE: 763/545-8516
FAX: 612/259-8154
ABBOTT NORTHWESTERN COURAGE RE
NProf
MR. CHRIS TRAILER
NH-40
SNF-NF-40
3915 GOLDEN VALLEY ROAD
(00751)
GOLDEN VALLEY, MN 55422
PHONE: 763/588-0811
FAX: 763/230-1905
NProf
ABBOTT NORTHWESTERN HOSPITAL
MR. MATTHEW KINNE
HCP-A
HWS-O
3915 GOLDEN VALLEY ROAD
(03148)
GOLDEN VALLEY, MN 55422
PHONE: 763/520-0334
FAX: 763/520-1905
Lim-Liab
ADAGIO MANOR ASSISTED LIVING
MR. PATRICK TARNOWSKI
HCP-F
5230 CIRCLE DOWN
(28373)
GOLDEN VALLEY, MN 55416
PHONE: 952/374-4710
MS. LYNN DEICHERT
FAX: 763/568-7026
HWSAL
Lim-Liab
ADAGIO MANOR ASSISTED LIVING
5230 CIRCLE DOWN
(28372)
GOLDEN VALLEY, MN 55416
PHONE: 952/374-4710
MR. LYNN DEICHERT
FAX: 763/588-7026
Lim-Liab
ALLIANCE HHC & NURSING SERVICE
HCP-A
HHA
4725 OLSON MEMORIAL HWY # 200
(25403)
GOLDEN VALLEY, MN 55422
PHONE: 763/208-6295
FAX: 763/355-5459
Lim-Liab
ALLIANCE HOMECARE SERVICES LLC
MR. ROBIN NYANGENA
HCP-A
4725 OLSON MEMORIAL HWY, SUITE
(28029)
GOLDEN VALLEY, MN 55422
PHONE: 763/208-6295
FAX: 763/355-5459
Corp
CARE PLUS HOME HEALTH AGENCY I
MR ROBIN NYANGENA
HCP-A
HHA
4050 OLSON MEM HWY SUITE 165
(02387)
GOLDEN VALLEY, MN 55422
PHONE: 763/529-5520
FAX: 763/529-5521
Ind
CATHARINE A NISAM
MR. GUY PASQUALINI
HCP-C
5605 LINDSAY STREET
(27037)
GOLDEN VALLEY, MN 55422
PHONE: 763/546-7305
CHEZ VOUS HOME CARE LLC
FAX: /-
MS. CATHERINE NISAM
HWS-O
Lim-Liab
2925 REGENT AVENUE NORTH
GOLDEN VALLEY, MN 55422
PHONE: 612/220-8052
(29038)
FAX: 763/205-0924
MR. JOHN ARRELL
Minnesota Department of Health
Division of Compliance Monitoring
Page
145
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: 763/544-8032
Lim-Liab
COMPASSIONCARE
MS. PAULA SPARLING
HCP-A
620 MENDELSSOHN AVE SUITE 107
(29177)
GOLDEN VALLEY, MN 55427
PHONE: 763/512-2844
FAX: 763/541-4711
Corp
DAISY HOME CARE INC
MR. THOMAS SCHUETT
HCP-A
1710 DOUGLAS DRIVE #260 D
(27547)
GOLDEN VALLEY, MN 55422
PHONE: 763/253-4400
FAX: 763/253-4401
MR. CHARLES OMATO
ESRD
Corp
FMC DIALYSIS SERVCES GOLDN VAL
6155 DULUTH STREET
(02790)
GOLDEN VALLEY, MN 55422
PHONE: 763/544-0298
GENTLE TOUCH HLTH INITIATV LLC
MR. RICHARD PHIDD
FAX: /-
Lim-Liab
HCP-F
5000 GLENWOOD AVENUE SUITE 150
GOLDEN VALLEY, MN 55422
PHONE: 952/933-3333
GOLDEN VALLEY REHAB AND CC
(24214)
MS. LORI MCGUIRE
FAX: 952/933-8776
Corp
NH-164
SNF-NF-164
7505 COUNTRY CLUB DRIVE
GOLDEN VALLEY, MN 55427
PHONE: 763/450-6900
GOLDEN VALLEY RESIDENCE
(00112)
FAX: 763/545-2016
MS. KRISTINA GUINDON
HWSAL
Corp
1940 MAJOR LANE
GOLDEN VALLEY, MN 55422
PHONE: 763/521-4839
GOOD SAM SOCIETY HOME CARE
(24264)
FAX: 763/559-9155
NProf
MS. MARCIA HAMILTON-DOONER
HCP-A
HHA
1415 LILAC N DRIVE 190
GOLDEN VALLEY, MN 554224544
PHONE: 763/546-9020
HAMMER LEE
(23131)
FAX: 763/546-9023
NProf
MS. JAIME BERGREN-HANISH
SLFB-6
ICFIID-6
2825 LEE AVENUE NORTH
GOLDEN VALLEY, MN 55422
PHONE: 952/473-1261
HAWTHORNE HOUSE
(01607)
FAX: 952/473-8629
Corp
MS. LISBETH ARMSTRONG
HWSAL
HCP-F
6931 COUNTRY CLUB DRIVE
GOLDEN VALLEY, MN 55427
PHONE: 612/385-9200
(23104)
FAX: 763/205-1950
MS. SUSANTHI FERNANDO
Minnesota Department of Health
Division of Compliance Monitoring
Page 146
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------­
HWSAL
Corp
HAWTHORNE HOUSE INC
Registration
501 KELLY DRIVE
(24099)
GOLDEN VALLEY, MN 55427
PHONE: 612/385-9200
FAX: 763/205-1950
MS. SUSANTHI FERNANDO
HWSAL
Corp
HAWTHORNE HOUSE INC
1100 IDAHO AVENUE
(23395)
GOLDEN VALLEY, MN 55427
PHONE: 612/385-9200
FAX: 763/205-1950
MS. SUSANTHI FERNANDO
HWSAL
Corp
HAWTHORNE HOUSE INC
541 KELLY DRIVE
(24326)
GOLDEN VALLEY, MN 55427
PHONE: 612/385-9200
FAX: /­
MS. SUSANTHI FERNANDO
HWSAL
Corp
HAWTHORNE HOUSE INC
6909 COUNTRY CLUB DRIVE
(23667)
GOLDEN VALLEY, MN 55427
PHONE: 621/385-9200
MS. SUSANTHI FERNANDO
FAX: 763/205-1950
Church
HERITAGE HOUSE ASSISTED LIVING
HWSAL
HCP-F
5825 ST CROIX AVENUE
(20177)
GOLDEN VALLEY, MN 55422
PHONE: 763/732-1434
MR. GARY GARDEEN
FAX: 763/513-6644
Corp
HOME CARE PROFESSIONALS INC
HCP-A
800 BOONE AVE N STE 110
(25703)
GOLDEN VALLEY, MN 55427
PHONE: 763/417-8888
FAX: 763/417-9999
Corp
HOME HEALTH CARE INC
MR. DAVID OLSHANSKY
HHA
HCP-A
800 BOONE AVE N SUITE 200
(03337)
GOLDEN VALLEY, MN 55427
PHONE: 763/417-8888
FAX: 763/417-9999
Corp
IN HOME PERSONAL CARE HOME HEA
MR. DAVID OLSHANSKY
HCP-A
8441 WAYZATA BLVD STE 130
(03278)
GOLDEN VALLEY, MN 55426
PHONE: 763/546-1000
FAX: 763/546-1018
NProf
INTERNATIONAL HEALTH CARE SERV
MRS. ERIN GOVRIK
HHA
HCP-A
5801 DULUTH STREET SUITE 310
(02915)
GOLDEN VALLEY, MN 55422
PHONE: 763/591-1959
FAX: 763/591-0105
Corp
LA BONNE VIE INC
MR. MICHAEL TOBAK
HWSAL
HCP-F
6443 WESTCHESTER CIRCLE
(21395)
GOLDEN VALLEY, MN 55427
PHONE: 612/735-8480
FAX: /­
MS. TAMARA JUNTILLA
Minnesota Department of Health
Division of Compliance Monitoring
Page 147
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
LEGACY HOME HEALTH CARE INC
Certification
HENNEPIN
Registration
(Cont.)* -------------------------­
HCP-A
800 BOONE AVENUE N STE 195
(26206)
GOLDEN VALLEY, MN 55427
PHONE: 763/593-1000
FAX: 763/593-1001
Lim-Liab
MINNEAPOLIS EYE CENTER
MR. SASHA AKSELROD
Outpt Surg
Amb Surg
8401 GOLDEN VALLEY RD STE 340
(20729)
GOLDEN VALLEY, MN 55427
PHONE: 763/383-4150
FAX: 763/383-4151
MS. JENNIFER CORNELIUS
Out Pt
NProf
MPLS CLINIC OF NEUROLOGY
4225 GOLDEN VALLEY RD
(02163)
GOLDEN VALLEY, MN 55422
PHONE: 763/588-0661
MTAI GLADSON
FAX: /­
MS. MARILYN BALFANZ
Corp
ICFIID-6
SLFA-6
7350 RIDGEWAY ROAD
GOLDEN VALLEY, MN 55427
PHONE: 763/754-2505
MTAI SAND CREEK
(01564)
MS. MARY TJOSVOLD
FAX: 763/542-3285
Corp
ICFIID-5
SLFA-5
5555 WESTBROOK ROAD
GOLDEN VALLEY, MN 55422
PHONE: 763/545-7086
NEW DIRECTIONS RESIDENTIAL SER
(01561)
MR. STEVE LISTON
FAX: 763/545-4251
HWSAL
Corp
4740 GOLDEN VALLEY ROAD
GOLDEN VALLEY, MN 55427
PHONE: 612/545-5240
OASIS
(28249)
FAX: 612/545-5241
Corp
MS. TRENA ALLBRITTON
SLFA-16
6739 GOLDEN VALLEY ROAD
GOLDEN VALLEY, MN 55427
PHONE: 763/544-1447
PARKINSONS SPECIALTY HOME CARE
(01516)
FAX: 763/544-0833
Corp
MR. HUGH AYLWARD
HCP-A
1940 MAJOR DRIVE
GOLDEN VALLEY, MN 55422
PHONE: 763/550-1774
PINNACLE SERVICES BRAIRWOOD
(03650)
FAX: 763/559-9155
MS. MARCIA HAMILTON-COTTER
HWSAL-O
Corp
2580 QUAIL AVE N
GOLDEN VALLEY, MN 55442
PHONE: 763/205-5249
REGENCY HOSPITAL OF MPLS LLC
(26847)
FAX: 763/205-6978
Lim-Liab
MS. JILL CIHLAR
HOSP-92
HOSP-92
1300 HIDDEN LAKES PARKWAY
GOLDEN VALLEY, MN 55422
PHONE: 763/302-8301
(00158)
FAX: 763/521-3805
MR. JOHN ALLEN
Minnesota Department of Health
Division of Compliance Monitoring
Page
148
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
RELIABLE HUMAN SERVICES INC
Corp
Certification
HENNEPIN
Registration
(Cont.)* -------------------------­
HCP-A
1710 DOUGLAS DRIVE N STE 204
GOLDEN VALLEY, MN 55422
PHONE: 763/390-7695
REM HENNEPIN INC REGENT
(29112)
FAX: 763/219-8482
Corp
MR. CHRISTIAN KOLLEH
ICFIID-6
SLFA-6
3239 REGENT AVENUE NORTH
GOLDEN VALLEY, MN 55422
PHONE: 763/852-5325
SUMMIT HOME HEALTH CARE INC
(01274)
FAX: 763/852-5350
Corp
MS. CONNIE MENNE
HCP-A
HHA
800 BOONE AVE N STE 175
GOLDEN VALLEY, MN 55427
PHONE: 763/417-8888
SUNRISE OF GOLDEN VALLEY
(23370)
FAX: 763/417-9999
Corp
MR. MARK OLSHANSKY
HCP-F
4950 OLSON MEMORIAL HIGHWAY
GOLDEN VALLEY, MN 55422
PHONE: 763/522-4000
SUNRISE OF GOLDEN VALLEY
(23981)
MS. LISA CURRY
FAX: 763/522-6170
HWSAL
Part
4950 OLSON MEMORIAL HIGHWAY
GOLDEN VALLEY, MN 55422
PHONE: 763/522-4000
SUPREME HOME CARE PROVIDER & N
(23982)
MR. VINCE FOLEY
FAX: 763/522-6170
Lim-Liab
HCP-A
1710 DOUGLAS DRIVE N SUITE 277
GOLDEN VALLEY, MN 55422
PHONE: 763/710-9907
SYNERGY HOMECARE MINNEAPOLIS
(29701)
FAX: 763/710-9976
Lim-Liab
MR. HASSAN YUSUF
HCP-B
7575 GOLDEN VALLEY RD #378
GOLDEN VALLEY, MN 55427
PHONE: 763/746-2899
THE CARING SISTERS HOME CARE S
(26505)
FAX: 763/746-2898
MR. MITCHELL BLOOM
HWSAL
Corp
1375 OAK GROVE CIRCLE
GOLDEN VALLEY, MN 554224415
PHONE: 952/426-4690
WATCHFUL CAREGIVERS
(21932)
FAX: 952/426-4691
Lim-Liab
MR. OLALEYE BECKLEY
HWS
HCP-F
1405 NORTH LILAC DRIVE STE 123
GOLDEN VALLEY, MN 55422
PHONE: 763/535-4326
WOODSIDE TERRACE ASSISTED LIVI
(25630)
FAX: 763/537-9352
MS. WOKIE HARMON-BELLA
HWS
Church
5800 ST CROIX AVENUE
GOLDEN VALLEY, MN 55422
PHONE: 763/732-1434
(21715)
FAX: 763/513-6644
MR. GARY GARDEEN
Minnesota Department of Health
Division of Compliance Monitoring
Page 149
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------­
HWS
NProf
1220 CAMBRIDGE ST
Registration
1220 CAMBRIDGE ST
(27124)
HOPKINS, MN 55343
PHONE: 612/290-6680
FAX: /-
MR. CHRIS TRAILER
Home Mgmt
NProf
ACCRA CARE INC
1011 1ST STREET SOUTH #315
(26055)
HOPKINS, MN 55343
PHONE: 952/935-3515
FAX: 952/935-7112
MR. JOHN DAHM
HWSAL
NProf
AUGUSTANA CHAPEL VIEW APARTMEN
605 MINNETONKA MILLS ROAD
(20026)
HOPKINS, MN 55343
PHONE: 952/697-3877
FAX: 952/938-4092
NProf
AUGUSTANA CHAPEL VIEW CARE CTR
MS. KIM PEDERSON
NH-118
SNF-NF-118
615 MINNETONKA MILLS ROAD
(00727)
HOPKINS, MN 55343
PHONE: 952/938-2761
MS. MARY ROY
FAX: 952/938-4092
Out Pt Out St Out Ot
NProf
AUGUSTANA THERAPY SERVICES
34 TENTH AVENUE SOUTH
(21755)
HOPKINS, MN 55343
PHONE: 612/333-1551
MS. KRISTY HOEPNER
FAX: 612/338-5326
HWS
NProf
BRENTWOOD PARK APARTMENTS
619 ROBINWOOD LANE
(28010)
HOPKINS, MN 55305
PHONE: 612/204-8319
FAX: /-
MS. STACEY RAY
HWS
NProf
BRENTWOOD PARK APARTMENTS
1301 HIGHWAY 7
(27698)
HOPKINS, MN 55305
PHONE: 952/938-5163
FAX: 952/935-8501
Corp
CAREMAX INC
MR. CHRIS TRAILER
HCP-B
344 FIFTH AVENUE NORTH
(30140)
HOPKINS, MN 55343
PHONE: 763/614-9104
GOLDEN LIVINGCENTER HOPKINS
FAX: /­
MR. PATRICK JOHNSON
Lim-Liab
NH-138
SNF-NF-138
725 SECOND AVENUE SOUTH
HOPKINS, MN 55343
PHONE: 952/935-3338
GRACE HOMES - OAK RIDGE HOUSE
(00872)
FAX: 952/935-0032
MS. KIMBERLY LYON
HWS
Corp
601 OAK RIDGE ROAD
HOPKINS, MN 55305
PHONE: 952/303-4305
(28023)
FAX: 952/303-4121
MS. BETHANY BUCHANAN
Minnesota Department of Health
Division of Compliance Monitoring
Page
150
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
GRACE HOMES OAK RIDGE HOUSE
Certification
HENNEPIN
Registration
(Cont.)* -------------------------­
HCP-F
601 OAK RIDGE ROAD
(26529)
HOPKINS, MN 55305
PHONE: 952/303-4305
FAX: 952/303-4121
Lim-Liab
HOME CARE WITH A HEART LLC
MS. BETHANY BUCHANAN
HCP-C
739 2ND STREET NORTHEAST
(27237)
HOPKINS, MN 55343
PHONE: 952/922-3094
FAX: /­
MS. BONNIE LEVY
HWS
NProf
KNOLLWOOD APARTMENTS
1210 CAMBRIDGE STREET
(27052)
HOPKINS, MN 55343
PHONE: 612/204-8319
FAX: /-
MS. STACEY RAY
Ind
RENEE M GAU
HCP-C
5601 SMETANA DRIVE UNIT 415
(24242)
HOPKINS, MN 55305
PHONE: 952/240-0282
THE TERRACES OF ST THERESE SW
MS. RENEE GAU
FAX: /-
HWSAL
ONProf
901 FELTL COURT
HOPKINS, MN 55343
PHONE: 952/933-3333
THE TOWERS OF ST THERESE SW
(22139)
MS. LORI MCGUIRE
FAX: 952/933-8776
HWS
NProf
1011 FELTL COURT
HOPKINS, MN 55343
PHONE: 952/933-3333
NURSING EXCELLENCE CORP
(20217)
FAX: 952/933-8776
Lim-Liab
MS. LORI MCGUIRE
HCP-A
2112 BUDD ST NORTH
INDEPENDENCE, MN 55359
PHONE: 612/310-0655
LONG LAKE ASSISTED LIVING LLC
(25294)
FAX: 763/479-1088
Lim-Liab
MS. SANDRA SOMMERS
HWSAL
HCP-F
345 NORTH BROWN ROAD
LONG LAKE, MN 55356
PHONE: 952/473-2527
ORONO WOODLANDS
(23172)
FAX: 952/404-9701
NProf
MR. KEITH UNGER
ICFIID-6
SLFB-6
2100 6TH AVENUE NORTH BOX 507
LONG LAKE, MN 55356
PHONE: 952/473-0852
GOLDEN ELDERLY CARE SUITES COR
(01366)
FAX: 952/473-8428
Corp
MS. GLADYS MC CLENDON
HCP-A
8055 FERN LANE
LORETTO, MN 55357
PHONE: 763/447-7717
(27328)
FAX: 763/496-1403
MS. NANCY STRANDLUND
Minnesota Department of Health
Division of Compliance Monitoring
Page 151
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------­
Home Mgmt
Corp
1 GALAXY OF DIVINE CARING INC
Registration
13570 GROVE DRIVE SUITE 211
(29715)
MAPLE GROVE, MN 553114400
PHONE: 763/463-9313
FAX: 763/494-6709
Corp
ABUNDANCE HOMECARE
MS. NOELA SUHFOR
HCP-A
7018 EAST FISH LAKE ROAD
(29273)
MAPLE GROVE, MN 55311
PHONE: 763/315-1050
FAX: 763/315-1090
Lim-Liab
ARBOR LAKES SENIOR LIVING
MR. WILLIAM WALTERS
HCP-F
HWS
12001 80TH AVENUE NORTH
(27690)
MAPLE GROVE, MN 55369
PHONE: 763/575-7021
FAX: 651/575-7034
Ind
BETTY R JOHNSON
MR. BEN WELNA
HCP-C
6593 IVES LANE NORTH
(28538)
MAPLE GROVE, MN 55369
PHONE: 612/987-1488
MS. BETTY JOHSON
FAX: /­
Corp
BRIGHTSTAR HEALTHCARE OF WAYZA
HCP-A
7365 KIRKWOOD COURT N #345
(27083)
MAPLE GROVE, MN 55369
PHONE: 612/486-4400
MR. RICK GASS
FAX: 612/486-4010
Lim-Liab
BUTTERFLY BOUND CARE LLC
HCP-A
8925 ZANZIBAR LANE NORTH
(29834)
MAPLE GROVE, MN 55311
PHONE: 763/670-3715
CHEZ VOUS HOME CARE LLC
FAX: /­
MS. DOREEN KALEMA
Lim-Liab
HCP-A
11977 84TH PLACE N
MAPLE GROVE, MN 55369
PHONE: 612/220-8052
CHOICES BY DESIGN LLC
(26654)
FAX: 612/425-6806
Lim-Liab
MS. SEETA ARRELL
HCP-A
10650 COUNTY ROAD 81 STE 222A
MAPLE GROVE, MN 55369
PHONE: 763/493-5067
DUNGARVIN YOUGAL
(29338)
FAX: 763/493-5138
Lim-Liab
MR. FREDIE OGIUGO
SLFA-6
10203 94TH AVENUE
MAPLE GROVE, MN 55369
PHONE: 651/699-6050
FAIRVIEW MAPLE GROVE SURG CTR
(00245)
FAX: 651/699-7265
Lim-Liab
MS. NATALIE GRAF
Outpt Surg
Amb Surg
14500 99TH AVENUE NORTH
MAPLE GROVE, MN 55369
PHONE: 763/898-1400
(24347)
FAX: 763/898-1439
MS. HEATHER SHERIDAN
Minnesota Department of Health
Division of Compliance Monitoring
Page
152
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------­
ESRD
Corp
FRESENIUS MED CARE MAPLE GROVE
Registration
7365 KIRKWOOD COURT SUITE 135
(26279)
MAPLE GROVE, MN 55369
PHONE: 763/494-0316
FAX: 763/494-4201
MR. JOHN MARIETTI
HWSAL
Corp
GOLDEN POND
12270 87TH AVENUE NORTH
(27329)
MAPLE GROVE, MN 55369
PHONE: 763/447-7717
FAX: 763/496-1403
Lim-Liab
GOODLIFE HOMECARE LLC
MS. NANCY STRANDLUND
HCP-A
7206 YUMA LANE NORTH
(28254)
MAPLE GROVE, MN 55311
PHONE: 763/420-6280
FAX: 763/273-4768
NProf
HAMMER LAWNDALE
MR. MICHAEL GRAMS
ICFIID-6
SLFB-6
6688 LAWNDALE LANE NORTH
(01686)
MAPLE GROVE, MN 55311
PHONE: 952/473-1261
MS. LISBETH ARMSTRONG
FAX: 952/473-8629
Lim-Liab
HANNAHS HOME HLTH&CARE CNSLTG
HCP-A
17641 69TH PLACE NORTH
(29829)
MAPLE GROVE, MN 55311
PHONE: 763/957-0290
MS. HANNAH BLACK
FAX: 763/710-7989
Lim-Liab
HEALING TOUCH HOME CARE LLC
HCP-F
9823 102ND AVENUE NORTH
(29295)
MAPLE GROVE, MN 55369
PHONE: 952/688-7164
HOME INSTEAD SENIOR CARE
FAX: /-
MS. ESTHER WAKO
Home Mgmt
Corp
9684 63RD AVE N STE 106
MAPLE GROVE, MN 55369
PHONE: 763/544-5988
HOME INSTEAD SENIOR CARE #230
(21090)
FAX: 763/544-6012
Corp
MR. JOHN STUCK
HCP-B
9684 63RD AVE N SUITE #106
MAPLE GROVE, MN 55369
PHONE: 763/544-5988
HOME INSTEAD SENIOR CARE OF MI
(23593)
FAX: 763/544-6012
Corp
MS. KATHLEEN STUCK
HCP-A
9684 63RD AVENUE NORTH
MAPLE GROVE, MN 55369
PHONE: 763/544-5988
HOMEWARD BOUND INC
(27897)
FAX: 763/544-5988
NProf
MR. JOHN STUCK
HCP-A
6452 BLUEBIRD CIRCLE
MAPLE GROVE, MN 55369
PHONE: 763/746-4850
(24265)
FAX: 763/746-4850
MR. DONALD PRIEBE
Minnesota Department of Health
Division of Compliance Monitoring
Page 153
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
HOMEWARD BOUND MAPLE GROVE
NProf
Certification
HENNEPIN
Registration
(Cont.)* -------------------------­
ICFIID-6
SLFB-6
6769 EAST FISH LAKE ROAD
MAPLE GROVE, MN 55369
PHONE: 763/525-3186
KIDSPEAK LTD
(01585)
FAX: 763/525-4084
Corp
MR. DONALD PRIEBE
HCP-A
6936 GARLAND LANE NORTH
MAPLE GROVE, MN 55311
PHONE: 763/416-9313
LIVING WELL 75TH
(21545)
FAX: 763/416-4530
NProf
MRS. AMY CHOUINARD
ICFIID-6
SLFB-6
14850 75TH AVENUE NORTH
MAPLE GROVE, MN 55369
PHONE: 763/420-5848
MAPLE GROVE DIALYSIS UNIT
(01401)
FAX: 763/420-6121
MR. BENJAMIN LARSON
ESRD
Corp
15655 GROVE CIRCLE NORTH
MAPLE GROVE, MN 55369
PHONE: 763/420-2804
MAPLE GROVE HOSPITAL
(25897)
MS. CYNTHIA BARNHOUSE
FAX: 763/420-7162
NProf
BASS-36 HOSP-130
HOSP-130
9875 HOSPITAL DRIVE
MAPLE GROVE, MN 55369
PHONE: 763/581-1000
MINNESOTA SURGERY CENTER LTD
(25593)
MR. ANDY COCHRANE
FAX: 763/581-1555
Corp
Outpt Surg
Amb Surg
9550 UPLAND AVENUE NORTH
MAPLE GROVE, MN 55369
PHONE: 763/420-2981
NORTH MEMORIAL AMBU SURG
(25675)
FAX: 763/537-6666
Lim-Liab
MS. MARSHA THIEL
Outpt Surg
Amb Surg
9855 HOSPITAL DRIVE SUITE 175
MAPLE GROVE, MN 55369
PHONE: 763/581-9000
PRAIRIECARE
(25447)
FAX: 763/581-9001
Lim-Liab
MS. TRACI ALBERS
PSY-HOSP-20
PSY-20
12915 63RD AVENUE NORTH
MAPLE GROVE, MN 55369
PHONE: 763/383-5800
PRESTIGE HOMECARE
(27048)
DR. JOEL OBERSTAR
FAX: 952/826-8360
Lim-Liab
HCP-A
11670 FOUNTAINS DRIVE STE 200
MAPLE GROVE, MN 55369
PHONE: 763/445-2694
ROSE ARBOR
(29441)
FAX: 763/445-2695
MS. SOKUNTHEARI HANG
HWSAL
Corp
16500 92ND AVENUE NORTH
MAPLE GROVE, MN 55311
PHONE: 763/493-5910
(21387)
FAX: 763/420-5728
MS. SHELLEY MCDONALD
Minnesota Department of Health
Division of Compliance Monitoring
Page 154
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------­
HWS
Corp
SOLBAKKEN INC
Registration
18255 83RD AVENUE NORTH
(27896)
MAPLE GROVE, MN 55311
PHONE: 612/280-3394
FAX: 952/943-2941
Lim-Liab
THE GIVING TREE IN HOME SENIOR
MS. MARY ADAMS
HCP-A
17570 73RD AVENUE NORTH
(29824)
MAPLE GROVE, MN 55311
PHONE: 612/889-2429
FAX: /­
MR. MICHAEL O'CONNER
Corp
WILDFLOWER LODGE
HCP-F
HWSAL
9251 BLACK OAKS LANE NORTH
(21386)
MAPLE GROVE, MN 55311
PHONE: 763/493-5910
FAX: 763/420-5728
NProf
BRYANT HOUSE
MS. SHELLEY MCDONALD
HWS
HCP-F
5515 BRYANT STREET
(20106)
MAPLE PLAIN, MN 55359
PHONE: 763/479-3655
MR. ROBERT MUELLER
FAX: 763/479-3656
NProf
HAVEN HOMES OF MAPLE PLAIN
NH-67
SNF-NF-67
1520 WYMAN AVENUE PO BOX 369
(00950)
MAPLE PLAIN, MN 55359
PHONE: 763/479-1993
MR. ROBERT MUELLER
FAX: 763/479-3656
Lim-Liab
1-0 GRANNYS HELPFUL HANDS LLC
HCP-A
705 EAST LAKE STREET
(29190)
MINNEAPOLIS, MN 55407
PHONE: 612/824-1177
FAX: 763/390-7763
MS. RAYNELL FINN
HWS
NProf
1001 E 28TH STREET
1001 E 28TH STREET
(29712)
MINNEAPOLIS, MN 55407
PHONE: 612/221-1845
1005 15TH AVENUE SE
FAX: /-
MS. STACEY RAY
HWS
NProf
1005 15TH AVENUE SE
MINNEAPOLIS, MN 55414
PHONE: 612/204-8319
1115 MAIN STREET
(25056)
FAX: 612/375-9105
MS. STACEY RAY
HWS
NProf
1115 MAIN STREET NE
MINNEAPOLIS, MN 55413
PHONE: 763/571-3300
1215 KNOX AVENUE NORTH
(27135)
FAX: 763/571-4209
MR. CHRIS TRAILER
HWS
NProf
1215 KNOX AVENUE NORTH
MINNEAPOLIS, MN 55411
PHONE: 612/285-1009
(28768)
FAX: 612/285-1010
MR. CHRIS TRAILER
Minnesota Department of Health
Division of Compliance Monitoring
Page 155
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------­
HWS
NProf
1220 MAIN STREET
Registration
1220 MAIN STREET
(28472)
MINNEAPOLIS, MN 55413
PHONE: 612/623-1888
FAX: 612/623-1869
MR. CHRIS TRAILER
HWS
NProf
1220 MORGAN AVENUE NORTH
1220 MORGAN AVENUE NORTH
(26888)
MINNEAPOLIS, MN 55411
PHONE: 612/381-9399
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
1405 SE COMO AVENUE
1405 SE COMO AVENUE
(24937)
MINNEAPOLIS, MN 55414
PHONE: 612/204-8319
FAX: 612/375-9105
MS. STACEY RAY
HWS
NProf
1407 GOLDEN VALLEY ROAD
1407 GOLDEN VALLEY ROAD
(29270)
MINNEAPOLIS, MN 55411
PHONE: 612/703-1416
MS. STACEY RAY
FAX: /-
HWS
NProf
1409 SE COMO AVENUE
1409 SE COMO AVENUE
(24936)
MINNEAPOLIS, MN 55414
PHONE: 612/204-8319
FAX: 612/375-9105
MS. STACEY RAY
HWS
NProf
1429 LOGAN AVE N
1429 LOGAN AVE N
(29567)
MINNEAPOLIS, MN 55411
PHONE: 612/269-5744
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
15 WEST 22ND STREET LLC
15 WEST 22ND STREET
(25022)
MINNEAPOLIS, MN 55404
PHONE: 612/922-7925
FAX: 612/722-0884
MR. CHRIS TRAILER
HWS
NProf
1500 PARK AVENUE S
1500 PARK AVENUE S
(28176)
MINNEAPOLIS, MN 55404
PHONE: 612/886-2079
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
1501 11TH AVENUE SOUTH
1501 11TH AVENUE SOUTH
(29713)
MINNEAPOLIS, MN 55404
PHONE: 612/221-1845
FAX: /-
MS. STACEY RAY
HWS
NProf
1506 PARK AVE S
1506 PARK AVE S
(29342)
MINNEAPOLIS, MN 55404
PHONE: 612/701-6962
FAX: /­
MR. CHRIS TRAILER
Minnesota Department of Health
Division of Compliance Monitoring
Page 156
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
1527 LOGAN AVENUE NORTH
1527 LOGAN AVENUE NORTH
(28918)
MINNEAPOLIS, MN 55411
PHONE: 612/285-1009
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
1529 BRYANT AVENUE NORTH
1529 BRYANT AVENUE NORTH
(28569)
MINNEAPOLIS, MN 55411
PHONE: 612/285-1009
FAX: 612/454-2772
MR. CHRIS TRAILER
HWS
NProf
1600 PARK AVENUE SOUTH
1600 PARK AVENUE SOUTH
(28531)
MINNEAPOLIS, MN 55404
PHONE: 612/219-0234
FAX: 952/849-9410
MR. CHRIS TRAILER
HWS
NProf
1615 26TH AVENUE NORTH
1615 26TH AVENUE NORTH #6
(30050)
MINNEAPOLIS, MN 55411
PHONE: 763/218-2242
MS. MOLLY HAGEN
FAX: /-
HWS
NProf
1619 26TH AVE N
1619 26TH AVE N
(29794)
MINNEAPOLIS, MN 55411
PHONE: 612/293-9767
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
1621 TAYLOR STREET NE
1621 TAYLOR STREET NE
(25339)
MINNEAPOLIS, MN 55413
PHONE: 612/204-8319
FAX: /-
MS. STACEY RAY
HWS
NProf
1720 19TH AVENUE NE
1720 19TH AVENUE NE
(27860)
MINNEAPOLIS, MN 55408
PHONE: 612/508-8700
FAX: 612/823-0685
MR. CHRIS TRAILER
HWS
NProf
1807 LAKE STREET EAST
1807 LAKE STREET EAST
(28570)
MINNEAPOLIS, MN 55407
PHONE: 612/822-9999
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
1807 TALMAGE AVENUE SOUTHEAST
1807 TALMAGE AVENUE SOUTHEAST
(28363)
MINNEAPOLIS, MN 55414
PHONE: 612/801-8629
FAX: /­
MR. CHRIS TRAILER
Minnesota Department of Health
Division of Compliance Monitoring
Page 157
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------­
HWS
NProf
1810 3RD AVENUE SOUTH #101
Registration
1810 3RD AVENUE SOUTH #101
(28156)
MINNEAPOLIS, MN 55404
PHONE: 612/774-3339
FAX: /-
MS. STACEY RAY
HWS
NProf
1815 1ST AVENUE S
1815 1ST AVENUE S
(25023)
MINNEAPOLIS, MN 55403
PHONE: 612/922-7925
FAX: 612/722-0884
MR. CHRIS TRAILER
HWS
NProf
1818 PARK AVE S
1818 PARK AVE S
(29886)
MINNEAPOLIS, MN 55404
PHONE: 612/221-1845
FAX: 651/882-6311
MS. MARY GALLINI
HWS
NProf
1820 STEVENS AVENUE S
1820 STEVENS AVENUE S
(27017)
MINNEAPOLIS, MN 55404
PHONE: 612/870-8500
MR. CHRIS TRAILER
FAX: /-
HWS
NProf
1826 PENN AVENUE NORTH
1826 PENN AVENUE NORTH
(29525)
MINNEAPOLIS, MN 55411
PHONE: 612/275-0715
MS. STACEY RAY
FAX: /-
HWS
NProf
1828 COLUMBUS AVENUE S
1828 COLUMBUS AVENUE S
(26078)
MINNEAPOLIS, MN 55404
PHONE: 612/377-5650
FAX: 612/522-3479
MR. CHRIS TRAILER
HWS
NProf
1834 ULYSSES STREET NE
1834 ULYSSES STREET NE
(29204)
MINNEAPOLIS, MN 55418
PHONE: 612/414-1839
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
1911 11TH AVENUE SOUTH
1911 11TH AVENUE SOUTH
(25747)
MINNEAPOLIS, MN 55404
PHONE: 612/204-8319
FAX: /-
MS. STACEY RAY
HWS
NProf
1912 E 26TH STREET
1912 E 26TH STREET
(29872)
MINNEAPOLIS, MN 55404
PHONE: 952/215-7155
1912 STEVENS AVENUE SOUTH
FAX: /-
MS. STACEY RAY
HWS
NProf
1912 STEVENS AVENUE SOUTH
MINNEAPOLIS, MN 55403
PHONE: 952/297-6626
(28532)
FAX: 952/884-9851
MR. CHRIS TRAILER
Minnesota Department of Health
Division of Compliance Monitoring
Page 158
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------­
HWS
NProf
1913 STEVENS AVENUE SOUTH
Registration
1913 STEVENS AVENUE SOUTH
(27869)
MINNEAPOLIS, MN 55403
PHONE: 612/870-1870
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
1915 2ND AVENUE SOUTH
1915 2ND AVENUE SOUTH
(27390)
MINNEAPOLIS, MN 55403
PHONE: 612/204-8319
FAX: /-
MS. STACEY RAY
HWS
NProf
1924 EMERSON AVENUE SOUTH
1924 EMERSON AVENUE SOUTH
(25797)
MINNEAPOLIS, MN 55403
PHONE: 612/204-8319
FAX: /-
MS. STACEY RAY
HWS
NProf
1924 STEVENS AVENUE SOUTH
1924 STEVENS AVENUE SOUTH
(27863)
MINNEAPOLIS, MN 55403
PHONE: 612/870-1870
MR. CHRIS TRAILER
FAX: /-
HWS
NProf
1929 3RD AVENUE SOUTH
1929 3RD AVENUE SOUTH
(27710)
MINNEAPOLIS, MN 55404
PHONE: 612/204-8319
MS. STACEY RAY
FAX: /-
HWS
NProf
1939 OLIVER AVENUE NORTH
1939 OLIVER AVENUE NORTH
(29421)
MINNEAPOLIS, MN 55411
PHONE: 612/581-5207
FAX: /­
MR. CHRIS TRAILER
Corp
1ST CHOICE PCA SERVICES
HCP-A
226 COLFAX AVENUE N STE 102
(29156)
MINNEAPOLIS, MN 554051437
PHONE: 612/770-4177
FAX: 612/454-2664
Corp
1ST CHOICE PEDIATRIC HOME CARE
MS. TERRI LYNAS
HCP-A
226 COLFAX AVENUE NORTH #102
(03859)
MINNEAPOLIS, MN 55405
PHONE: 612/770-4177
FAX: 612/454-2664
MS. TERRI LYNAS
HWS
NProf
2010 RUSSELL AVENUE NORTH
2010 RUSSELL AVENUE NORTH
(28218)
MINNEAPOLIS, MN 55411
PHONE: 612/269-5744
2011 PILLSBURY AVENUE SOUTH
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
2011 PILLSBURY AVENUE SOUTH
MINNEAPOLIS, MN 55404
PHONE: 612/874-0311
(25838)
FAX: 612/874-0313
MR. CHRIS TRAILER
Minnesota Department of Health
Division of Compliance Monitoring
Page
159
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------­
HWS
NProf
2014 25TH AVE N
Registration
2014 25TH AVE N
(29573)
MINNEAPOLIS, MN 55411
PHONE: 612/568-5397
FAX: /­
MR. CHRIS TRAILER
HWS
NProf
2014 3RD AVENUE SOUTH
2014 3RD AVENUE SOUTH
(26889)
MINNEAPOLIS, MN 55404
PHONE: 612/922-7925
FAX: /-
MR. CHRIS TRAILER
HWS-O
NProf
2016 PORTLAND AVE S
2016 PORTLAND AVE S
(29795)
MINNEAPOLIS, MN 55404
PHONE: 763/568-4477
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
2017 PILLSBURY AVENUE SOUTH
2017 PILLSBURY AVENUE SOUTH
(27320)
MINNEAPOLIS, MN 55404
PHONE: 612/377-2792
MR. CHRIS TRAILER
FAX: /-
HWS
NProf
2020 OAKLAND AVENUE SOUTH
2020 OAKLAND AVENUE SOUTH
(28495)
MINNEAPOLIS, MN 55404
PHONE: 651/331-0914
MR. CHRIS TRAILER
FAX: /-
HWS
NProf
2029 WILLOW AVENUE NORTH
2029 WILLOW AVENUE NORTH
(28861)
MINNEAPOLIS, MN 55411
PHONE: 612/208-6434
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
2103 2ND AVENUE SOUTH
2103 2ND AVENUE SOUTH
(27597)
MINNEAPOLIS, MN 55404
PHONE: 612/874-0311
FAX: 612/874-0313
MR. CHRIS TRAILER
HWS
NProf
2114 LYNDALE AVE N
2114 LYNDALE AVE N
(29568)
MINNEAPOLIS, MN 55411
PHONE: 612/296-3114
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
2119 PILLSBURY AVENUE SOUTH
2119 PILLSBURY AVENUE SOUTH
(27595)
MINNEAPOLIS, MN 55404
PHONE: 612/872-2489
FAX: 612/872-2359
MR, CHRIS TRAILER
HWS
NProf
2200 BLAISDELL AVE
2200 BLAISDELL AVE
(27608)
MINNEAPOLIS, MN 55404
PHONE: 612/872-2489
FAX: /-
MR. CHRIS TRAILER
Minnesota Department of Health
Division of Compliance Monitoring
Page 160
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------­
HWS
NProf
2200 PILLSBURY AVENUE S
Registration
2200 PILLSBURY AVENUE S
(25024)
MINNEAPOLIS, MN 55404
PHONE: 612/922-7925
FAX: 612/722-0884
MR. CHRIS TRAILER
HWS
NProf
2212 ALDRICH AVE S
2212 ALDRICH AVE S
(30148)
MINNEAPOLIS, MN 55405
PHONE: 763/568-4477
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
2220 14TH AVENUE SOUTH
2220 14TH AVENUE SOUTH
(28473)
MINNEAPOLIS, MN 55404
PHONE: 651/343-8836
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
2221 BLAISDELL AVENUE SOUTH
2221 BLAISDELL AVENUE SOUTH
(27131)
MINNEAPOLIS, MN 55404
PHONE: 612/872-2489
MR. CHRIS TRAILER
FAX: 612/872-2359
HWS
NProf
225 OAK GROVE STREET
225 OAK GROVE STREET
(26898)
MINNEAPOLIS, MN 55403
PHONE: 612/871-3313
MR. CHRIS TRAILER
FAX: /-
HWS
NProf
227 OAK GROVE STREET
227 OAK GROVE STREET
(28130)
MINNEAPOLIS, MN 55403
PHONE: 612/871-3313
FAX: 612/871-9448
MR. CHRIS TRAILER
HWS
NProf
2312 BLAISDELL AVENUE SOUTH
2312 BLAISDELL AVENUE SOUTH
(27470)
MINNEAPOLIS, MN 55404
PHONE: 612/872-2489
FAX: 612/872-2359
MR. CHRIS TRAILER
HWS
NProf
233 26TH AVE NE
233 26TH AVE NE
(29935)
MINNEAPOLIS, MN 55418
PHONE: 612/481-1056
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
233 OAK GROVE
233 OAK GROVE
(28153)
MINNEAPOLIS, MN 55403
PHONE: 612/871-3313
24 HOUR CARE
FAX: /­
MS. STACEY RAY
Corp
HCP-A
2736 HENNEPIN AVE S STE 101
MINNEAPOLIS, MN 55408
PHONE: 612/871-4242
(26189)
FAX: 612/879-8374
MR. DAVID WOLFE
Minnesota Department of Health
Division of Compliance Monitoring
Page 161
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------­
HWS-O
Lim-Liab
2416 BLAISDELL AVE S APT #205
Registration
2416 BLAISDELL AVE S APT #205
(29734)
MINNEAPOLIS, MN 55404
PHONE: 651/209-8490
FAX: 651/209-8499
MR. RYAN DIEVENEY
HWS
NProf
2417 17TH AVENUE SOUTH
2417 17TH AVENUE SOUTH
(27954)
MINNEAPOLIS, MN 55407
PHONE: 612/722-8881
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
2525 BLAISDELL AVENUE SOUTH
2525 BLAISDELL AVENUE SOUTH
(25789)
MINNEAPOLIS, MN 55408
PHONE: 612/204-8319
FAX: /-
MS. STACEY RAY
HWS
NProf
2526 SOUTH 8TH STREET
2526 SOUTH EIGHTH STREET
(28189)
MINNEAPOLIS, MN 55454
PHONE: 952/469-3326
MS. STACEY RAY
FAX: /-
HWS
NProf
2533 BLAISDELL AVE S
2533 BLAISDELL AVE S
(29572)
MINNEAPOLIS, MN 55404
PHONE: 612/270-0960
MR. CHRIS TRAILER
FAX: /-
HWS
NProf
2537 EMERSON AVENUE SOUTH
2537 EMERSON AVENUE SOUTH
(27128)
MINNEAPOLIS, MN 55405
PHONE: 612/922-7925
FAX: 612/722-0885
MR. CHRIS TRAILER
HWS
NProf
2602 BLOOMINGTON AVENUE SOUTH
2602 BLOOMINGTON AVENUE SOUTH
(29374)
MINNEAPOLIS, MN 55407
PHONE: 612/990-7333
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
2609 16TH AVENUE SOUTH
2609 16TH AVENUE SOUTH
(28007)
MINNEAPOLIS, MN 55406
PHONE: 612/722-8881
FAX: 612/722-0904
MR. CHRIS TRAILER
HWS
NProf
2629 WEST 43RD STREET
2629 WEST 43RD STREET
(27269)
MINNEAPOLIS, MN 55410
PHONE: 952/941-2400
FAX: 952/941-2413
MR. CHRIS TRAILER
HWS
NProf
2631 COLUMBUS AVENUE SOUTH
2631 COLUMBUS AVENUE SOUTH
(27317)
MINNEAPOLIS, MN 55404
PHONE: 651/735-9758
FAX: /­
MR. CHRIS TRAILER
Minnesota Department of Health
Division of Compliance Monitoring
Page
162
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------­
HWS
NProf
2633 PLEASANT AVENUE SOUTH
Registration
2633 PLEASANT AVENUE SOUTH
(27711)
MINNEAPOLIS, MN 55408
PHONE: 612/204-8319
FAX: /­
MS STACEY RAY
HWS
NProf
2640 2ND AVENUE SOUTH
2640 2ND AVENUE SOUTH
(25953)
MINNEAPOLIS, MN 55404
PHONE: 612/388-5570
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
2640 BLAISDELL AVENUE S
2640 BLAISDELL AVENUE S
(25170)
MINNEAPOLIS, MN 55408
PHONE: 612/501-6355
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
2644 CHICAGO AVE S
2644 CHICAGO AVE S
(30152)
MINNEAPOLIS, MN 55407
PHONE: 612/296-1200
MR. CHRIS TRAILER
FAX: /-
HWS
NProf
2646 IRVING AVE N
2646 IRVING AVE N
(29796)
MINNEAPOLIS, MN 55411
PHONE: 612/293-9767
MR. CHRIS TRAILER
FAX: /-
HWS
NProf
2653 LYNDALE AVE N
2653 LYNDALE AVE N
(29870)
MINNEAPOLIS, MN 55412
PHONE: 612/210-2267
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
2700 GRAND AVENUE SOUTH
2700 GRAND AVENUE SOUTH
(25940)
MINNEAPOLIS, MN 55408
PHONE: 612/204-8319
FAX: /-
MS. STACEY RAY
HWS
NProf
2700 THIRD AVENUE SOUTH
2700 THIRD AVENUE SOUTH
(27482)
MINNEAPOLIS, MN 55404
PHONE: 612/501-6355
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
2701 S PARK AVENUE
2701 S PARK AVENUE
(30134)
MINNEAPOLIS, MN 55406
PHONE: 612/221-1845
FAX: /-
MS. STACEY RAY
HWS
NProf
2709 STEVENS AVENUE SOUTH
2709 STEVENS AVENUE SOUTH
(29026)
MINNEAPOLIS, MN 55408
PHONE: 651/235-6175
FAX: /-
MR. CHRIS TRAILER
Minnesota Department of Health
Division of Compliance Monitoring
Page
163
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------­
HWS
NProf
2718 CHICAGO AVENUE SOUTH
Registration
2718 CHICAGO AVENUE SOUTH
(28008)
MINNEAPOLIS, MN 55407
PHONE: 612/242-8758
FAX: 612/501-6355
MR. CHRIS TRAILER
HWS
NProf
2720 PILLSBURY AVENUE SOUTH
2720 PILLSBURY AVENUE SOUTH
(27477)
MINNEAPOLIS, MN 55408
PHONE: 612/872-2474
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
2726 BLOOMINGTON AVENUE SOUTH
2726 BLOOMINGTON AVENUE SOUTH
(28770)
MINNEAPOLIS, MN 55407
PHONE: 612/724-7368
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
2726 EMERSON AVE N
2726 EMERSON AVE N
(29804)
MINNEAPOLIS, MN 55411
PHONE: 612/293-9767
MR. CHRIS TRAILER
FAX: /-
HWS-O
Corp
2732 GRAND AVE #4
2732 GRAND AVE #4
(30094)
MINNEAPOLIS, MN 55408
PHONE: 612/554-3291
MS. LYNDA MERKENS
FAX: /-
HWS
NProf
2732 SECOND AVENUE SOUTH
2732 SECOND AVENUE SOUTH
(29373)
MINNEAPOLIS, MN 55408
PHONE: 612/874-1660
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
2740 PLEASANT AVENUE SOUTH
2740 PLEASANT AVENUE SOUTH
(29279)
MINNEAPOLIS, MN 55408
PHONE: 612/374-3339
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
2747 STEVENS AVE S
2747 STEVENS AVE S
(29869)
MINNEAPOLIS, MN 55408
PHONE: 612/874-1660
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
2800 PILLSBURY AVENUE SOUTH
2800 PILLSBURY AVENUE SOUTH
(28961)
MINNEAPOLIS, MN 55408
PHONE: 612/242-1809
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
2824 PARK AVE S
2824 PARK AVE S
(29933)
MINNEAPOLIS, MN 55407
PHONE: 612/483-1328
FAX: /-
MR. CHRIS TRAILER
Minnesota Department of Health
Division of Compliance Monitoring
Page
164
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------­
HWS
NProf
2920 12TH AVE S
Registration
2920 12TH AVE S
(29801)
MINNEAPOLIS, MN 55407
PHONE: 612/751-5496
FAX: /­
MR. CHRIS TRAILER
HWS
NProf
2934 CEDAR AVENUE S
2934 CEDAR AVENUE S
(28547)
MINNEAPOLIS, MN 55407
PHONE: 612/782-2489
FAX: 612/872-2359
MR. CHRIS TRAILER
HWS
NProf
3 WEST 34TH STREET
3 WEST 34TH STREET
(28656)
MINNEAPOLIS, MN 55408
PHONE: 612/293-9767
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
3007 IRVING AVENUE NORTH
3007 IRVING AVENUE NORTH
(29288)
MINNEAPOLIS, MN 55412
PHONE: 952/457-1149
MR. CHRIS TRAILER
FAX: /-
HWS
NProf
3010 15TH AVENUE SOUTH
3010 15TH AVENUE SOUTH
(27535)
MINNEAPOLIS, MN 55407
PHONE: 612/990-7333
FAX: 612/729-8404
MR. CHRIS TRAILER
HWS
NProf
3010 RUSSELL AVE N
3010 RUSSELL AVE N
(29658)
MINNEAPOLIS, MN 55411
PHONE: 952/239-2131
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
3014 31ST AVENUE SOUTH
3014 31ST AVENUE SOUTH
(26897)
MINNEAPOLIS, MN 55406
PHONE: 612/922-7925
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
3016 29TH AVENUE SOUTH
3016 29TH AVENUE SOUTH
(27610)
MINNEAPOLIS, MN 55406
PHONE: 612/598-3671
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
3020 31ST AVENUE SOUTH
3020 31ST AVENUE SOUTH
(26825)
MINNEAPOLIS, MN 55406
PHONE: 612/922-7925
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
3033 15TH AVENUE SOUTH
3033 15TH AVENUE SOUTH
(29449)
MINNEAPOLIS, MN 55407
PHONE: 612/990-7333
FAX: /-
MR. CHRIS TRAILER
Minnesota Department of Health
Division of Compliance Monitoring
Page
165
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------­
HWS
NProf
3103 PENN AVENUE NORTH
Registration
3103 PENN AVENUE NORTH
(29341)
MINNEAPOLIS, MN 55411
PHONE: 612/701-6962
FAX: /­
MR. CHRIS TRAILER
HWS
NProf
3105 GIRARD AVENUE NORTH
3105 GIRARD AVENUE NORTH
(27872)
MINNEAPOLIS, MN 55411
PHONE: 612/870-6294
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
3112 MINNEHAHA AVENUE S
3112 MINNEHAHA AVENUE S
(26958)
MINNEAPOLIS, MN 55406
PHONE: 952/925-3878
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
3117 15TH AVENUE SOUTH
3117 15TH AVENUE SOUTH
(25190)
MINNEAPOLIS, MN 55407
PHONE: 612/724-7368
FAX: 612/722-0904
MR. CHRIS TRAILER
HWS
NProf
3121 3RD AVENUE SOUTH
3121 3RD AVENUE SOUTH
(26733)
MINNEAPOLIS, MN 55408
PHONE: 612/275-2855
MR. CHRIS TRAILER
FAX: /-
HWS
NProf
3126 58TH STREET EAST
3126 58TH STREET EAST
(26959)
MINNEAPOLIS, MN 55417
PHONE: 612/861-3482
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
3132 PLEASANT AVENUE SOUTH
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
(29213)
MINNEAPOLIS, MN 55408
PHONE: 612/216-5040
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
3201 GIRARD AVENUE NORTH
3201 GIRARD AVENUE NORTH
(27867)
MINNEAPOLIS, MN 55412
PHONE: 612/521-1749
FAX: 612/521-1282
MR. CHRIS TRAILER
HWS
NProf
3207 GIRARD AVENUE N
3207 GIRARD AVENUE N
(29044)
MINNEAPOLIS, MN 55412
PHONE: 612/203-1769
FAX: /-
MR. CHRIS TRAILER
Minnesota Department of Health
Division of Compliance Monitoring
Page
166
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------­
HWS
NProf
3210 29TH AVENUE SOUTH
Registration
3210 29TH AVENUE SOUTH
(26826)
MINNEAPOLIS, MN 55406
PHONE: 612/810-9390
FAX: /­
MR. CHRIS TRAILER
HWS
NProf
3214 NORTH QUEEN AVENUE
3214 NORTH QUEEN AVENUE
(28655)
MINNEAPOLIS, MN 55412
PHONE: 612/618-0810
FAX: /-
MS STACEY RAY
HWS
NProf
3215 SIXTH STREET NORTH
3215 SIXTH STREET NORTH
(28927)
MINNEAPOLIS, MN 55411
PHONE: 612/221-1371
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
3230 PENN AVENUE NORTH
3230 PENN AVENUE NORTH
(29029)
MINNEAPOLIS, MN 55412
PHONE: 612/399-6370
MR. CHRIS TRAILER
FAX: /-
HWS
NProf
3232 BLAISDELL AVENUE SOUTH
3232 BLAISDELL AVENUE SOUTH
(26414)
MINNEAPOLIS, MN 55408
PHONE: 612/827-6284
MR. CHRIS TRAILER
FAX: /-
HWS
NProf
3245 3RD AVE S
3245 3RD AVE S
(29866)
MINNEAPOLIS, MN 55408
PHONE: 612/770-5224
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
327 UNIVERSITY AVENUE SE
327 UNIVERSITY AVENUE SE
(24906)
MINNEAPOLIS, MN 55414
PHONE: 612/204-8319
FAX: /-
MS STACEY RAY
HWS
NProf
3305 BRYANT AVENUE SOUTH
3305 BRYANT AVENUE SOUTH
(25231)
MINNEAPOLIS, MN 55404
PHONE: 612/204-8319
3309 S PILLSBURY AVENUE
FAX: /-
MS. STACEY RAY
HWS
NProf
3309 S PILLSBURY AVENUE
MINNEAPOLIS, MN 55408
PHONE: 612/369-2909
3310 NORTH PENN AVENUE
(30136)
FAX: 763/421-1927
MS. STACEY RAY
HWS
NProf
3310 NORTH PENN AVENUE
MINNEAPOLIS, MN 55412
PHONE: 612/204-8319
(27796)
FAX: 612/375-9105
MS STACEY RAY
Minnesota Department of Health
Division of Compliance Monitoring
Page 167
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------­
HWS
NProf
3311 FREMONT AVE N
Registration
3311 FREMONT AVE N
(30153)
MINNEAPOLIS, MN 55412
PHONE: 612/203-1769
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
3320 GRAND AVENUE S
3320 GRAND AVENUE S
(26896)
MINNEAPOLIS, MN 55409
PHONE: 612/266-8699
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
3320 LONGFELLOW AVENUE SOUTH
3320 LONGFELLOW AVENUE SOUTH
(26989)
MINNEAPOLIS, MN 55407
PHONE: 612/724-7368
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
3322 NORTH PENN AVENUE
3322 NORTH PENN AVENUE
(29526)
MINNEAPOLIS, MN 55412
PHONE: 763/222-8037
MS. STACEY RAY
FAX: /-
HWS
NProf
3330 ALDRICH AVENUE NORTH
3330 ALDRICH AVENUE NORTH
(28917)
MINNEAPOLIS, MN 55412
PHONE: 612/285-1009
MR. CHRIS TRAILER
FAX: /-
HWS
NProf
3413 PORTLAND AVENUE S
3413 PORTLAND AVENUE S
(25647)
MINNEAPOLIS, MN 55404
PHONE: 612/810-9390
FAX: 612/722-0885
MR. CHRIS TRAILER
HWS
NProf
3414 MINNEHAHA AVENUE SOUTH
3414 MINNEHAHA AVENUE SOUTH
(25026)
MINNEAPOLIS, MN 55406
PHONE: 612/922-7925
FAX: 612/722-0884
MR. CHRIS TRAILER
HWS
NProf
3416 3RD AVENUE SOUTH
3416 3RD AVENUE SOUTH
(28752)
MINNEAPOLIS, MN 55404
PHONE: 612/805-9342
FAX: 612/844-2669
MR. CHRIS TRAILER
HWS-O
NProf
3430 NORTHEAST TYLER STREET
3430 NORTHEAST TYLER STREET
(27536)
MINNEAPOLIS, MN 55418
PHONE: 612/204-8319
FAX: 612/375-9105
MS STACEY RAY
HWS
NProf
3450 MORGAN AVENUE NORTH
3450 MORGAN AVENUE NORTH
(29312)
MINNEAPOLIS, MN 55412
PHONE: 612/269-5744
FAX: /­
MR. CHRIS TRAILER
Minnesota Department of Health
Division of Compliance Monitoring
Page
168
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------­
HWS
NProf
3452 SOUTH EMERSON AVENUE
Registration
3452 SOUTH EMERSON AVENUE
(28525)
MINNEAPOLIS, MN 55408
PHONE: 952/925-3878
FAX: /­
MS. STACEY RAY
HWS
NProf
3455 SOUTH MINNEHAHA AVENUE
3455 SOUTH MINNEHAHA AVENUE
(26664)
MINNEAPOLIS, MN 55406
PHONE: 612/204-8319
FAX: /-
MS. STACEY RAY
HWS
NProf
3457 CENTRAL AVENUE NORTHEAST
3457 CENTRAL AVENUE NORTHEAST
(26583)
MINNEAPOLIS, MN 55418
PHONE: 612/204-8319
FAX: /-
MS. STACEY RAY
HWS
NProf
3457 MINNEHAHA AVENUE SOUTH
3457 MINNEHAHA AVENUE SOUTH
(26003)
MINNEAPOLIS, MN 55406
PHONE: 612/204-8319
MS. STACEY RAY
FAX: /-
HWS
NProf
3520 12TH AVENUE SOUTH
3520 12TH AVENUE SOUTH
(26895)
MINNEAPOLIS, MN 55409
PHONE: 612/270-7844
MR. CHRIS TRAILER
FAX: /-
HWS
NProf
3521 12TH AVENUE SOUTH
3521 12TH AVENUE SOUTH
(28360)
MINNEAPOLIS, MN 55409
PHONE: 612/270-7844
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
3534 PENN AVENUE NORTH
3534 PENN AVENUE NORTH
(27315)
MINNEAPOLIS, MN 55412
PHONE: 612/522-3394
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
3542 NORTH PENN AVENUE
3542 NORTH PENN AVENUE
(28158)
MINNEAPOLIS, MN 55412
PHONE: 612/522-3394
FAX: /-
MS. STACEY RAY
HWS
NProf
3545 12TH AVENUE SOUTH
3545 12TH AVENUE SOUTH
(26732)
MINNEAPOLIS, MN 55407
PHONE: 763/566-6591
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
3628 BLOOMINGTON AVENUE SOUTH
3628 BLOOMINGTON AVENUE SOUTH
(29068)
MINNEAPOLIS, MN 55407
PHONE: 612/285-1009
FAX: /-
MR. CHRIS TRAILER
Minnesota Department of Health
Division of Compliance Monitoring
Page
169
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------­
HWS
NProf
3643 PENN AVENUE NORTH
Registration
3643 PENN AVENUE NORTH
(26731)
MINNEAPOLIS, MN 55412
PHONE: 612/522-3394
FAX: /­
MR. CHRIS TRAILER
HWS
NProf
3654 BRYANT AVENUE SOUTH
3654 BRYANT AVENUE SOUTH
(27132)
MINNEAPOLIS, MN 55409
PHONE: 612/804-8730
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
3701 LAKE STREET WEST
3701 LAKE STREET WEST
(27864)
MINNEAPOLIS, MN 55404
PHONE: 952/925-3878
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
3708 LYNDALE AVENUE SOUTH
3708 LYNDALE AVENUE SOUTH
(27862)
MINNEAPOLIS, MN 55409
PHONE: 952/925-3878
FAX: 952/928-3832
MR. CHRIS TRAILER
HWS
NProf
3708 W 32ND ST
3708 W 32ND ST
(29867)
MINNEAPOLIS, MN 55416
PHONE: 612/922-3779
MR. CHRIS TRAILER
FAX: /-
HWS
NProf
3710 MINNEHAHA AVENUE SOUTH
3710 MINNEHAHA AVENUE SOUTH
(29140)
MINNEAPOLIS, MN 55406
PHONE: 612/799-7885
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
3712 LAKE ST E
3712 LAKE ST E
(29542)
MINNEAPOLIS, MN 55406
PHONE: 612/618-0971
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
3720 W 32ND ST
3720 W 32ND ST
(30151)
MINNEAPOLIS, MN 55416
PHONE: 612/922-3779
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
3736 SOUTH CEDAR AVENUE
3736 SOUTH CEDAR AVENUE
(25567)
MINNEAPOLIS, MN 55407
PHONE: 612/204-8319
FAX: /-
MS. STACEY RAY
HWS
NProf
3801 NICOLLET AVENUE SOUTH
3801 NICOLLET AVENUE SOUTH
(28494)
MINNEAPOLIS, MN 55409
PHONE: 612/701-9491
FAX: /-
MR. CHRIS TRAILER
Minnesota Department of Health
Division of Compliance Monitoring
Page 170
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------­
HWS
NProf
3806 6TH STREET NORTH
Registration
3806 6TH STREET NORTH
(27058)
MINNEAPOLIS, MN 55429
PHONE: 612/219-9762
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
3816 NICOLLET AVENUE SOUTH
3816 NICOLLET AVENUE SOUTH
(25025)
MINNEAPOLIS, MN 55409
PHONE: 612/922-7925
FAX: 612/722-0884
MR. CHRIS TRAILER
HWS
NProf
3823 COLUMBUS AVENUE SOUTH
3823 COLUMBUS AVENUE SOUTH
(29313)
MINNEAPOLIS, MN 55407
PHONE: 612/872-2310
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
3955 CEDAR AVENUE SOUTH
3955 CEDAR AVENUE SOUTH
(28119)
MINNEAPOLIS, MN 55407
PHONE: 612/710-2548
FAX: 952/474-3226
MR. CHRIS TRAILER
HWS
Corp
3RD AVE SOUTH APARTMENT
2101 3RD AVE SOUTH
(30116)
MINNEAPOLIS, MN 55404
PHONE: 612/444-2373
FAX: 612/326-9029
MR. JAMAL GELLE
HWS
NProf
4038 COLFAX AVENUE NORTH
4038 COLFAX AVENUE NORTH
(28678)
MINNEAPOLIS, MN 55412
PHONE: 612/308-2967
FAX: 612/746-6503
MR. CHRIS TRAILER
HWS
NProf
4046 ALDRICH AVE N
4046 ALDRICH AVE N
(29802)
MINNEAPOLIS, MN 55412
PHONE: 612/522-6924
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
4052 MINNEHAHA AVENUE SOUTH
4052 MINNEHAHA AVENUE SOUTH
(27614)
MINNEAPOLIS, MN 55406
PHONE: 612/325-5862
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
410 6TH STREET SE
410 6TH STREET SE
(25058)
MINNEAPOLIS, MN 55414
PHONE: 612/204-8319
4331 GIRARD AVENUE NORTH
FAX: /-
MS. STACEY RAY
HWS
NProf
4331 GIRARD AVENUE NORTH
MINNEAPOLIS, MN 55412
PHONE: 612/267-5530
(28361)
FAX: 612/234-4708
MR. CHRIS TRAILER
Minnesota Department of Health
Division of Compliance Monitoring
Page
171
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------­
HWS
NProf
4445 LAKE STREET EAST
Registration
4445 LAKE STREET EAST
(27127)
MINNEAPOLIS, MN 55406
PHONE: 612/922-7925
FAX: 612/722-0885
MR. CHRIS TRAILER
HWS
NProf
4521 MINNEHAHA AVE S
4521 MINNEHAHA AVE S
(29803)
MINNEAPOLIS, MN 55417
PHONE: /-
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
4604 BLOOMINGTON AVENUE SOUTH
4604 BLOOMINGTON AVENUE SOUTH
(28474)
MINNEAPOLIS, MN 55407
PHONE: 612/987-6115
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
4653 BRYANT AVENUE NORTH
4653 BRYANT AVENUE NORTH
(29520)
MINNEAPOLIS, MN 55412
PHONE: 612/203-1769
MR. CHRIS TRAILER
FAX: /-
HWS
NProf
4TH STREET RESIDENCE
432 4TH STREET SE
(28543)
MINNEAPOLIS, MN 55414
PHONE: 651/222-7587
MS. STACEY RAY
FAX: /-
HWS
NProf
507 RIDGEWOOD AVENUE
507 RIDGEWOOD AVENUE
(27615)
MINNEAPOLIS, MN 55403
PHONE: 612/325-5862
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
5255 IRVING AVE N
5255 IRVING AVE N
(30149)
MINNEAPOLIS, MN 55430
PHONE: 612/522-2556
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
5700 34TH AVENUE SOUTH
5700 34TH AVENUE SOUTH
(26642)
MINNEAPOLIS, MN 55417
PHONE: 612/669-7334
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
5710 BOSSEN TERRACE
5710 BOSSEN TERRACE
(28767)
MINNEAPOLIS, MN 55417
PHONE: 612/727-2589
FAX: 612/727-1143
MR. CHRIS TRAILER
HWS
NProf
5712 34TH AVENUE SOUTH
5712 34TH AVENUE SOUTH
(27057)
MINNEAPOLIS, MN 55417
PHONE: 612/669-7334
FAX: /-
MR. CHRIS TRAILER
Minnesota Department of Health
Division of Compliance Monitoring
Page 172
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------­
HWS
NProf
5717 31ST AVENUE SOUTH
Registration
5717 31ST AVENUE SOUTH
(28674)
MINNEAPOLIS, MN 55417
PHONE: 612/727-2589
FAX: 612/727-1143
MR. CHRIS TRAILER
HWS
NProf
5734 SANDER DRIVE
5734 SANDER DRIVE
(28769)
MINNEAPOLIS, MN 55417
PHONE: 612/618-0971
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
5737 SANDER DRIVE
5737 SANDER DRIVE
(29519)
MINNEAPOLIS, MN 55417
PHONE: 763/443-9648
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
5753 SANDER DRIVE
5753 SANDER DRIVE
(28504)
MINNEAPOLIS, MN 55417
PHONE: 612/285-1009
FAX: 612/285-1010
MR. CHRIS TRAILER
HWS
NProf
5754 33RD AVENUE SOUTH
5754 33RD AVENUE SOUTH
(28386)
MINNEAPOLIS, MN 55417
PHONE: 612/285-1009
FAX: 612/285-1010
MR. CHRIS TRAILER
HWS
NProf
5761 33RD AVENUE SOUTH
5761 33RD AVENUE SOUTH
(25839)
MINNEAPOLIS, MN 55417
PHONE: 612/598-4275
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
600 FRANKLIN AVE W
600 FRANKLIN AVE W
(29641)
MINNEAPOLIS, MN 55405
PHONE: 612/388-5424
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
601 28TH STREET WEST
601 28TH STREET WEST
(27886)
MINNEAPOLIS, MN 55408
PHONE: 612/822-9999
FAX: 952/445-2134
MR. CHRIS TRAILER
HWS
NProf
615 26TH AVE N
615 26TH AVE N
(30150)
MINNEAPOLIS, MN 55411
PHONE: 612/770-5224
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
617 19TH AVENUE SOUTH
617 19TH AVENUE SOUTH
(27062)
MINNEAPOLIS, MN 55454
PHONE: 612/333-9164
FAX: /­
MR. CHRIS TRAILER
Minnesota Department of Health
Division of Compliance Monitoring
Page 173
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------­
HWS
NProf
619 19TH AVENUE SOUTH
Registration
619 19TH AVENUE SOUTH
(27474)
MINNEAPOLIS, MN 55454
PHONE: 612/333-9164
FAX: 612/333-8185
MR. CHRIS TRAILER
HWS
NProf
621 19TH AVENUE SOUTH
621 19TH AVENUE SOUTH
(26892)
MINNEAPOLIS, MN 55454
PHONE: 612/333-9164
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
627 POLK STREET NE
627 POLK STREET NE
(24996)
MINNEAPOLIS, MN 55413
PHONE: 612/204-8319
FAX: 612/375-9105
MS. STACEY RAY
HWS
NProf
639 23RD AVENUE NE
639 23RD AVENUE NE
(30135)
MINNEAPOLIS, MN 55418
PHONE: 612/327-5144
MS. STACEY RAY
FAX: /-
HWS
NProf
646 22ND AVENUE NE
646 22ND AVENUE NE
(29792)
MINNEAPOLIS, MN 55418
PHONE: 612/327-5144
MS. STACEY RAY
FAX: /-
HWS
NProf
689 LOWRY AVENUE NORTHEAST
689 LOWRY AVENUE NORTHEAST
(28496)
MINNEAPOLIS, MN 55418
PHONE: 612/327-5144
FAX: /­
MR. CHRIS TRAILER
HWS-O
Lim-Liab
700 10TH AVENUE SE APT #1
700 10TH AVENUE SE APT #1
(29733)
MINNEAPOLIS, MN 55414
PHONE: 651/209-8490
FAX: 651/209-8499
MR. RYAN DIEVENEY
HWS-O
NProf
717 SE UNIVERSITY AVENUE
717 SE UNIVERSITY AVENUE
(27224)
MINNEAPOLIS, MN 55414
PHONE: 612/204-8319
FAX: /-
MS. STACEY RAY
HWS
NProf
725 SE 8TH AVENUE
725 SE 8TH AVENUE
(25668)
MINNEAPOLIS, MN 55414
PHONE: 612/204-8319
734 ALDRICH AVENUE NORTH
FAX: /-
MS. STACEY RAY
HWS
NProf
734 ALDRICH AVENUE NORTH
MINNEAPOLIS, MN 55411
PHONE: 612/664-8195
(27133)
FAX: 612/374-0190
MR. CHRIS TRAILER
Minnesota Department of Health
Division of Compliance Monitoring
Page 174
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------­
HWS
NProf
807 31ST AVE N
Registration
807 31ST AVE N
(29711)
MINNEAPOLIS, MN 55411
PHONE: 612/770-5224
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
812 35TH STREET WEST
812 35TH STREET WEST
(29514)
MINNEAPOLIS, MN 55408
PHONE: 651/964-3812
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
828 N UPTON AVENUE
828 N UPTON AVENUE
(29871)
MINNEAPOLIS, MN 55411
PHONE: 612/701-9491
FAX: /-
MS. STACEY RAY
HWS
NProf
901 MORGAN AVENUE NORTH
901 MORGAN AVENUE NORTH
(28919)
MINNEAPOLIS, MN 55411
PHONE: 612/285-1009
MR. CHRIS TRAILER
FAX: /-
HWS
NProf
906 S 7TH ST
906 S 7TH ST
(29642)
MINNEAPOLIS, MN 55415
PHONE: 612/872-6060
MR. CHRIS TRAILER
FAX: /-
HWS
NProf
913 22ND AVENUE NE
913 22ND AVENUE NE
(29524)
MINNEAPOLIS, MN 55418
PHONE: 763/434-0355
FAX: /-
MS. STACEY RAY
HWS
NProf
919 12TH AVE SE
919 12TH AVE SE
(29577)
MINNEAPOLIS, MN 55414
PHONE: 612/454-4499
FAX: 612/746-5502
MS. CARRIE MCNEIL
HWS
NProf
920 E 25TH ST
920 E 25TH ST
(29805)
MINNEAPOLIS, MN 55404
PHONE: 612/483-1328
A CHANCE TO GROW INC
FAX: /-
MR. CHRIS TRAILER
NProf
HCP-A
Out St Out Ot
1800 SECOND STREET NE
MINNEAPOLIS, MN 55418
PHONE: 612/789-1236
ABBOTT NORTHWESTERN HOSPITAL
(02476)
FAX: 612/706-5555
NProf
MR. BOB DEBOER
BASS-44 HOSP-952
800 EAST 28TH STREET
MINNEAPOLIS, MN 55407
PHONE: 612/863-4509
(00242)
FAX: 612/863-5667
DR. BEN BACHE-WIIG
HOSP-913 PPS-R-39
Minnesota Department of Health
Division of Compliance Monitoring
Page
175
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------­
HWS
NProf
AEON HOMES
Registration
1822 PARK AVENUE SOUTH
(25520)
MINNEAPOLIS, MN 55404
PHONE: 612/871-5800
FAX: 612/872-6815
NProf
AFRICAN FAMILIES DEVELOP NETWK
MR. ALAN ARTHUR
HCP-A
3207 CEDAR AVENUE SOUTH
(29772)
MINNEAPOLIS, MN 55407
PHONE: 612/724-0000
FAX: 612/844-2775
Corp
AFYA HOME HEALTH CARE
MR. DALAL AHMAD
HCP-A
1 E 19TH ST
(28997)
MINNEAPOLIS, MN 55403
PHONE: 612/242-6435
FAX: 612/234-4391
Lim-Liab
AGAPE HOME CARE PROVIDER
MR. LATEEF BILAL
HCP-B
2327 E FRANKLIN AVENUE SUITE 3
(29109)
MINNEAPOLIS, MN 55406
PHONE: 612/384-6513
MR. KIDIST GEMTA
FAX: 612/584-4934
Lim-Liab
ALDRICH BOARD AND CARE LLC
BCH-25
3101 ALDRICH AVENUE SOUTH
(00159)
MINNEAPOLIS, MN 55408
PHONE: 612/825-4488
MS. FAY YAEGER
FAX: 612/825-4489
Corp
ALL HOMECARING
HCP-A
HHA
3638 CENTRAL AVENUE NE
(02166)
MINNEAPOLIS, MN 55418
PHONE: 612/378-1474
FAX: 612/378-1570
MS. DONNA LIVERINGHOUSE
Home Mgmt
Lim-Liab
ALLEGIANCE ABILITY ASSISTANCE
2800 UNIVERSITY AVE SE STE 200
(28567)
MINNEAPOLIS, MN 55414
PHONE: 612/331-8811
FAX: 612/331-8814
Lim-Liab
ALLEGIANCE ABILITY ASSISTANCE
MR. RUSSELL WALETSKI
HCP-A
2800 UNIVERSITY AVE SE STE 200
(27853)
MINNEAPOLIS, MN 55414
PHONE: 612/331-8811
FAX: 612/331-8814
MS. KATHERINE WALETSKI
HWS
NProf
ALLIANCE ADDITION LLC
719 EAST 16TH STREET
(27493)
MINNEAPOLIS, MN 55404
PHONE: 612/287-1612
FAX: 612/287-1616
Corp
ALPHA HEALTHY CARE INC
MS. LOIS MUELLER
HCP-A
2 E FRANKLIN AVENUE SUITE 6
(29705)
MINNEAPOLIS, MN 55404
PHONE: 612/396-3762
FAX: /-
MR. ABDIRIZAK JAMA
Minnesota Department of Health
Division of Compliance Monitoring
Page 176
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
AMAZING GRACE HOME CARE
Corp
Certification
HENNEPIN
Registration
(Cont.)* -------------------------­
HCP-A
515 EAST GRANT STREET APT 311
MINNEAPOLIS, MN 55404
PHONE: 612/644-4490
AMER INDIAN COMM DEV COR
(29154)
FAX: 612/343-8618
NProf
MS. NNEKA OGBU
SLFB-50
1800 CHICAGO AVENUE SOUTH
MINNEAPOLIS, MN 55404
PHONE: 612/879-3562
ANDREW RESIDENCE
(01668)
FAX: 612/879-3604
Corp
MS. SHARLEE BENSON
BCH-212
NF2-212
1215 SOUTH NINTH STREET
MINNEAPOLIS, MN 55404
PHONE: 612/333-0111
ANGELS HOME HEALTHCARE INC
(00993)
FAX: 612/338-1734
Corp
MS. KAREN FOY
HCP-A
1825 LOWRY AVENUE NORTH
MINNEAPOLIS, MN 55411
PHONE: 763/607-5298
ANPA WASTE NUMPA
(29704)
MS. MAI HER
FAX: 612/522-7698
HWS
Lim-Liab
3146 CEDAR AVENUE
MINNEAPOLIS, MN 55407
PHONE: 651/789-6260
APPLEONE HOME CARE SERVICES
(27942)
MR. DEAN CROWELL
FAX: 651/789-6288
Corp
HCP-A
4167 LYNDALE AVENUE NORTH #313
MINNEAPOLIS, MN 55412
PHONE: 612/208-0789
ASI 28TH STREET
(29611)
FAX: 612/208-0793
MS. THERESA JORDAN
HWSAL
NProf
2749 11TH AVENUE SOUTH
MINNEAPOLIS, MN 55407
PHONE: 651/645-7271
ASI CAMDEN HOUSE
(25492)
FAX: 651/645-0541
MR. STEPHEN VANDER SCHAAF
HWSAL-O
NProf
500 49TH AVENUE NORTH
MINNEAPOLIS, MN 55430
PHONE: 651/645-7271
ASI CHICAGO HOUSE
(25491)
FAX: 651/645-0541
MR. STEPHEN VANDER SCHAAF
HWSAL
NProf
3710 CHICAGO AVENUE SOUTH
MINNEAPOLIS, MN 55407
PHONE: 651/645-7271
AT HOME LTD
(25490)
FAX: 651/645-0541
MR. STEPHEN VANDER SCHAAF
Home Mgmt
Corp
1622 PARK AVENUE SOUTH
MINNEAPOLIS, MN 55404
PHONE: 612/673-9594
(28999)
FAX: 612/673-9896
MR. RICKI JOHNSON
Minnesota Department of Health
Division of Compliance Monitoring
Page 177
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
AUGUSTANA APARTMENTS MPLS
Certification
HENNEPIN
Registration
(Cont.)* -------------------------­
HWSAL
NProf
1020 EAST 17TH STREET
MINNEAPOLIS, MN 55404
PHONE: 612/238-5260
AUGUSTANA APARTMENTS MPLS
(30131)
FAX: 612/343-8974
MS. JULIANNE FRIES
HWSAL
NProf
1425 10TH AVENUE SOUTH
MINNEAPOLIS, MN 55404
PHONE: 612/238-5260
AUGUSTANA APARTMENTS MPLS
(30132)
FAX: 612/343-8974
MS. JULIANNE FRIES
HWSAL
NProf
1509 10TH AVENUE SOUTH
MINNEAPOLIS, MN 55404
PHONE: 612/238-5260
AUGUSTANA APARTMENTS OF MINNEA
(30133)
FAX: 612/343-8974
MS. JULIANNE FRIES
HWSAL
NProf
1510 ELEVENTH AVENUE SOUTH
MINNEAPOLIS, MN 55404
PHONE: 612/238-5260
AUGUSTANA HCC OF MPLS
(20027)
MS. JULIANNE FRIES
FAX: 612/343-8974
NProf
SNF-NF-268
NH-268
1007 EAST 14TH STREET
MINNEAPOLIS, MN 55404
PHONE: 612/238-5000
AUGUSTANA HOME HEALTH CARE SER
(00164)
MS. JEAN COLE
FAX: 612/238-5240
NProf
HCP-F
901 4TH AVENUE NORTH
MINNEAPOLIS, MN 55405
PHONE: 612/843-0090
AUGUSTANA RESIDENTIAL CARE
(03383)
FAX: 612/377-3098
Lim-Liab
MS. KATIE STADTHER
HCP-F
1007 EAST 14TH STREET
MINNEAPOLIS, MN 55404
PHONE: 612/238-5126
AVENUES FOR HOMELESS YOUTH
(25859)
FAX: 612/238-5991
MS. MARY JO THORNE
HWS
NProf
1708 OAK PARK AVENUE
MINNEAPOLIS, MN 55411
PHONE: 612/522-1690
BATALO HOME HEALTH CARE LLC
(29037)
FAX: 612/522-1633
Lim-Liab
MS. DEBORAH LOON
HCP-A
8 EAST 27TH STREET
MINNEAPOLIS, MN 55408
PHONE: 612/345-4369
BAYWOOD HOME CARE
(29648)
FAX: 612/345-4393
Corp
MS. IFRAH YASSIN
HCP-A
6465 WAYZATA BLVD STE 150
MINNEAPOLIS, MN 55426
PHONE: 763/546-8899
(20973)
FAX: 763/595-0465
MS. DOROTHY MUFFETT
Minnesota Department of Health
Division of Compliance Monitoring
Page 178
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
BEECHWOOD INC
Certification
HENNEPIN
Registration
(Cont.)* -------------------------­
HCP-A
3901 CHICAGO AVENUE SOUTH
(27716)
MINNEAPOLIS, MN 55407
PHONE: 612/824-0415
FAX: 612/825-0789
NProf
BENEDICTINE HEALTH CTR OF MPLS
MS. LINDA WOODFORD
NH-95
SNF-NF-95
618 EAST 17TH STREET
(00960)
MINNEAPOLIS, MN 55404
PHONE: 612/879-2800
FAX: 612/879-2917
Corp
BEST CARE HOME HEALTH INC
MR. DAVE BRENNAN
HCP-F
3008 UNIVERSITY AVENUE SE
(20840)
MINNEAPOLIS, MN 55414
PHONE: 612/378-1040
FAX: 612/378-2850
Corp
BEST CARE HOME HEALTH INC
MS. NAZNEEN KHATOON
HCP-A
HHA
3008 UNIVERSITY AVE SOUTHEAST
(02802)
MINNEAPOLIS, MN 55414
PHONE: 612/378-1040
MS. NAZNEEN KHATOON
FAX: 612/378-2850
Corp
BETHANY CARE CENTER
BCH-10 NH-56
NF2-10 SNF-NF-56
2309 HAYES STREET NORTHEAST
(00167)
MINNEAPOLIS, MN 55418
PHONE: 612/781-2691
MR. JONATHON SONDEGAARD
FAX: 612/781-8835
HWS
Corp
BETHANY CARE CENTER
2309 HAYES STREET NORTHEAST
(26980)
MINNEAPOLIS, MN 55418
PHONE: 612/781-2691
FAX: 612/781-8835
Corp
BETHANY CARE CENTER
MR. JONATHON SONDERGAARD
HCP-F
2309 HAYES STREET NORTHEAST
(29076)
MINNEAPOLIS, MN 55418
PHONE: 612/781-2691
FAX: /­
MR. JONATHON SONDERGAARD
HWS
NProf
BETHESDA CHURCH APARTMENTS
1110 8TH STREET SOUTH
(28766)
MINNEAPOLIS, MN 55415
PHONE: 612/720-8799
BEYOND SPEECH
FAX: /­
MR. CHRIS TRAILER
Lim-Liab
HCP-A
4156 PLEASANT AVENUE
MINNEAPOLIS, MN 55409
PHONE: 612/594-6897
BILL KELLY HOUSE
(29162)
FAX: 612/466-2911
Corp
MS. LYNNE CONLEY
SLFA-16
3104 EAST 58TH STREET
MINNEAPOLIS, MN 55417
PHONE: 612/726-1502
(01507)
FAX: 612/726-1009
MS. KELLY ABBOTT
Minnesota Department of Health
Division of Compliance Monitoring
Page 179
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
BIRCHWOOD CARE HOME
Corp
Certification
HENNEPIN
Registration
(Cont.)* -------------------------­
BCH-60
NF2-60
715 WEST 31ST STREET
MINNEAPOLIS, MN 55408
PHONE: 612/823-7286
BOTTINEAU COMMONS
(00168)
MR. RANDAL HAGEMEYER
FAX: 612/823-0518
HWS
NProf
1808 UNIVERSITY AVENUE NE
MINNEAPOLIS, MN 55418
PHONE: 651/774-0011
BOTTINEAU LOFTS
(27452)
MRS. DANIELLE FOX
FAX: 651/774-0606
HWS
NProf
1929 2ND STREET NORTHEAST
MINNEAPOLIS, MN 55418
PHONE: 651/774-0011
BRISTOL PLACE HOME HEALTH SERV
(27451)
MRS. DANIELLE FOX
FAX: 651/774-0606
Corp
HCP-A
HHA
412 RIDGEWOOD AVE S STE A
MINNEAPOLIS, MN 55403
PHONE: 612/871-0805
BROADWAY APARTMENTS
(03184)
MS. JILL CULVER-RAMOS
FAX: 612/813-0158
HWS
NProf
759 WASHINGTON STREET NE
MINNEAPOLIS, MN 55413
PHONE: 612/834-0027
BROADWAY AVENUE
(25598)
MR. CHRIS TRAILER
FAX: 952/897-1153
HWS
NProf
2211 6TH STREET NORTH
MINNEAPOLIS, MN 55411
PHONE: 612/559-1824
BROTTS FAMILY CARE CENTER LLC
(27109)
FAX: 612/871-2295
Lim-Liab
MR. TOM BALSLEY
HWSAL-O
HCP-F
4659 LYNDALE AVENUE NORTH
MINNEAPOLIS, MN 55412
PHONE: 612/238-3104
BROWN KRAUSE MANOR
(26125)
FAX: 612/238-3509
MRS. JULIE BROTT
HWSAL-O
Corp
3633 CHICAGO AVENUE SOUTH
MINNEAPOLIS, MN 55407
PHONE: 612/821-8663
BRYANT SQUARE APARTMENTS
(23618)
FAX: 612/821-2827
MS. PAULETTE DUNCAN
HWS-O
Corp
3115 ALDRICH AVENUE SOUTH
MINNEAPOLIS, MN 55408
PHONE: 612/823-7286
BRYANT SQUARE HOME HEALTH CARE
(26430)
FAX: 612/823-0518
Corp
MR. RANDAL HAGEMEYER
HCP-F
3115 ALDRICH AVE SOUTH
MINNEAPOLIS, MN 55408
PHONE: 612/823-7286
(26429)
FAX: 612/823-0518
MR. RANDAL HAGEMEYER
Minnesota Department of Health
Division of Compliance Monitoring
Page 180
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------­
HWS
NProf
BURI MANOR
Registration
1515 S CHICAGO AVENUE
(28079)
MINNEAPOLIS, MN 55404
PHONE: 612/630-2264
FAX: /­
MS. STACEY RAY
Corp
BYWOOD EAST HEALTH CARE
BCH-101
NF2-101
3427 CENTRAL AVENUE NORTHEAST
(00176)
MINNEAPOLIS, MN 55418
PHONE: 612/788-9757
FAX: 612/789-6564
MR. RANDAL HAGEMEYER
HWS
NProf
BYWOOD EAST HEALTH CARE
3439 NE CENTRAL AVENUE
(26747)
MINNEAPOLIS, MN 55418
PHONE: 612/204-8319
CABRINI 311 NEWTON AVE N
FAX: /-
MS STACEY RAY
HWS
NProf
311 NEWTON AVE N
MINNEAPOLIS, MN 55405
PHONE: 612/454-4499
CABRINI 4200 1ST AVE SOUTH
(29851)
FAX: 612/746-5502
MS. CARRIE MCNEIL
HWS
NProf
4200 1ST AVE SOUTH
MINNEAPOLIS, MN 55409
PHONE: 612/454-4499
CABRINI 5731 33RD AVE SOUTH
(29850)
FAX: 612/746-5502
MS. CARRIE MCNEIL
HWS
NProf
5731 33RD AVE SOUTH
MINNEAPOLIS, MN 55417
PHONE: 612/454-4499
CABRINI PARTNERSHIP-1201 BROOK
(29728)
FAX: 612/746-5502
MS. CARRIE MCNEIL
HWS
NProf
1201 BROOK AVENUE SOUTHEAST
MINNEAPOLIS, MN 55414
PHONE: 612/454-4499
CABRINI PARTNERSHIP-1618 GLENW
(29030)
FAX: 612/746-5502
MS. CARRIE MCNEIL
HWS
NProf
1618 GLENWOOD AVENUE NORTH
MINNEAPOLIS, MN 55405
PHONE: 612/454-4499
CABRINI PARTNERSHIP-518 PENN
(29325)
FAX: 612/746-5502
MS. CARRIE MCNEIL
HWS
NProf
518 PENN AVENUE NORTH
MINNEAPOLIS, MN 55405
PHONE: 612/454-4499
CABRINI PARTNERSHIP-610 LOGAN
(29316)
FAX: 612/746-5502
MS. CARRIE MCNEIL
HWS
NProf
610 LOGAN AVENUE NORTH
MINNEAPOLIS, MN 55411
PHONE: 612/454-4499
(26824)
FAX: 612/746-5502
MS. CARRIE MCNEIL
Minnesota Department of Health
Division of Compliance Monitoring
Page
181
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
CAMDEN CARE CENTER
Lim-Liab
Certification
HENNEPIN
Registration
(Cont.)* -------------------------­
NH-87
SNF-NF-87
512 49TH AVENUE NORTH
MINNEAPOLIS, MN 55430
PHONE: 612/529-7747
CAPITAL HOME HEALTH CARE LLC
(00166)
FAX: 612/529-5643
Lim-Liab
MS. CATHERINE SCOVILLE
HCP-A
34 13TH AVE NE STE B004
MINNEAPOLIS, MN 55413
PHONE: 612/886-7411
CARE HOME HEALTH INC
(28840)
FAX: 612/315-5918
Corp
MR. MAHAD BASHIR
HCP-A
207 EAST LAKE STREET SUITE 201
MINNEAPOLIS, MN 55408
PHONE: 612/216-1511
CAREGVR SUPT PRG KOREAN SRV CT
(29767)
FAX: 612/465-6621
MR. ZAMZAM SHOODEH
Home Mgmt
NProf
630 CEDAR AVENUE SOUTH #B1
MINNEAPOLIS, MN 55454
PHONE: 612/342-1345
CATHOLIC ELDERCARE AT HOME
(23329)
MS. YOONJU PARK
FAX: 612/342-1341
NProf
HCP-A
817 NORTHEAST MAIN STREET
MINNEAPOLIS, MN 55413
PHONE: 612/379-1370
CATHOLIC ELDERCARE AT HOME
(03147)
MR. MICHAEL SHASKY
FAX: 612/362-2449
NProf
HCP-F
817 NORTHEAST MAIN STREET
MINNEAPOLIS, MN 55413
PHONE: 612/605-2513
CATHOLIC ELDERCARE ON MAIN
(21005)
FAX: 612/605-2504
NProf
MS. JANET CARLSON
NH-150
SNF-NF-150
817 MAIN STREET NORTHEAST
MINNEAPOLIS, MN 55413
PHONE: 612/379-1370
CHILDRENS HOME CARE & HOSPICE
(00984)
FAX: 612/362-2486
NProf
MS. KIMBERLY KING
Hospice
2525 CHICAGO AVENUE SOUTH
MINNEAPOLIS, MN 55404
PHONE: 612/813-6246
CHILDRENS HOME CARE & HOSPICE
(03189)
FAX: 612/813-6358
NProf
MS. LIZ LEIGHTON
HCP-A
HHA
2525 CHICAGO AVENUE SOUTH
MINNEAPOLIS, MN 55404
PHONE: 612/813-6246
CHILDRENS HOSP & CLINICS MINNE
(02142)
FAX: 612/813-6358
NProf
MS. LIZ LEIGHTON
BASS-171 HOSP-279
2525 CHICAGO AVENUE SOUTH
MINNEAPOLIS, MN 55404
PHONE: 612/813-6112
(00741)
FAX: 612/813-6807
MR. DAVID OVERMAN
HOSP-279
Minnesota Department of Health
Division of Compliance Monitoring
Page
182
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------­
Home Mgmt
Corp
CIRCLE OF LIFE HC ANISHINAABE
Registration
1433 E FRANKLIN AVE STE 16
(27760)
MINNEAPOLIS, MN 55404
PHONE: 612/871-2474
FAX: 612/870-3874
MS. PATRICIA YAGER
HWS
Part
CLARE APARTMENTS
929 CENTRAL AVENUE NE
(23957)
MINNEAPOLIS, MN 55413
PHONE: 612/236-9521
FAX: 612/236-9520
NProf
CLARE HOUSING
MR. LEE LEWIS
HCP-F
929 CENTRAL AVE NE
(23905)
MINNEAPOLIS, MN 55413
PHONE: 612/236-9514
FAX: 612/236-9510
MS. MICHELE BOYER
HWSAL
Part
CLARE MIDTOWN
3105 23RD AVENUE SOUTH
(27720)
MINNEAPOLIS, MN 55407
PHONE: 612/236-9521
MR. LEE LEWIS
FAX: /-
HWS
NProf
COLFAX VILLAS
3619 COLFAX AVENUE SOUTH
(26894)
MINNEAPOLIS, MN 55409
PHONE: 952/393-8280
MR. CHRIS TRAILER
FAX: /-
Lim-Liab
COMFORT SERVICES LLC
HCP-A
515 WEST LAKE ST STE C
(24998)
MINNEAPOLIS, MN 55408
PHONE: 612/822-1203
FAX: 612/871-2161
COMMUNITY INVOLVEMENT PROG HHS
NProf
MRS. FARDOWSA MOHAMED
HCP-A
HHA
1600 BROADWAY ST NE STE 1
(02783)
MINNEAPOLIS, MN 55413
PHONE: 612/362-4434
FAX: 612/547-0556
COMPASSIONATE NURSES NETWORK L
Lim-Liab
MS. MARSHA CLAIBORNE
HCP-A
1419 PENN AVENUE NORTH
(29857)
MINNEAPOLIS, MN 55411
PHONE: 612/522-5232
FAX: /-
MS. SAUNDRA MCKISSIC
HWS
NProf
CROMWELL COMMONS
10 E 15TH STREET
(29852)
MINNEAPOLIS, MN 55403
PHONE: 612/870-8893
FAX: 763/592-8236
CROWN MEDICAL HOME HEALTH AGEN
MS. MARY GALLINI
HWS-O
Corp
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 183
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
CRS PENN RE-ENTRY LLC
Certification
HENNEPIN
Registration
(Cont.)* -------------------------­
HWS
Lim-Liab
3003 PENN AVENUE NORTH
MINNEAPOLIS, MN 55411
PHONE: 763/566-2888
DERMAN SENIOR CARE
(26319)
FAX: 763/566-3949
Corp
MR. MARCELL GARRETSON
HCP-A
2529 NICOLETT AVENUE S STE 202
MINNEAPOLIS, MN 55404
PHONE: 321/438-9522
DIAMONDS HOME HEALTH CARE INC
(29612)
FAX: 763/529-7982
MR. DAHIR NUR
Home Mgmt
Corp
2740 MINNEHAHA AVE #146
MINNEAPOLIS, MN 55406
PHONE: 612/724-4254
DR THOMAS H JOHNSON HWS
(27646)
FAX: 612/722-2186
MS. SHUKRI YUSUF
HWS
Corp
5518/20 OLIVER AVENUE SOUTH
MINNEAPOLIS, MN 55419
PHONE: 612/285-8743
DR THOMAS H JOHNSON HWS
(26116)
MS. BETH BALENGER
FAX: 612/922-9276
HWS
Corp
2221 WEST 55TH STREET
MINNEAPOLIS, MN 55419
PHONE: 612/285-8743
DR THOMAS H JOHNSON HWS
(23749)
MS. BETH BALENGER
FAX: 612/922-9276
HWS
Corp
5543/45 PENN AVENUE SOUTH
MINNEAPOLIS, MN 55419
PHONE: 612/285-8743
DR THOMAS H JOHNSON'S HOUSE WI
(24377)
FAX: 612/922-9276
MS. BETH BALENGER
HWS
Corp
5515 - 5517 PENN AVENUE SO
MINNEAPOLIS, MN 55419
PHONE: 612/285-8743
EBENEZER CARE CENTER
(21508)
FAX: 612/922-9276
NProf
MS. BETH BALENGER
BCH-93 NH-34
NF2-93 SNF-NF-34
2545 PORTLAND AVENUE SOUTH
MINNEAPOLIS, MN 55404
PHONE: 612/879-2262
EBENEZER HOME CARE
(00191)
FAX: 612/879-2316
NProf
MR. JOEL PREVOST
HCP-F
2625 PARK AVENUE
MINNEAPOLIS, MN 55407
PHONE: 612/871-4574
EBENEZER PARK APARTMENTS
(27773)
FAX: 612/872-7368
MS. MARY BETH DAVIS
HWS
NProf
2700 PARK AVENUE
MINNEAPOLIS, MN 55407
PHONE: 612/879-2233
(20248)
FAX: 612/879-8111
MS. ANGELA MATTSON
Minnesota Department of Health
Division of Compliance Monitoring
Page 184
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------­
HWS
NProf
EBENEZER TOWER APARTMENTS
Registration
2523 PORTLAND AVENUE
(20227)
MINNEAPOLIS, MN 55404
PHONE: 612/879-2243
FAX: 612/879-1424
MS. PEGGY SCHULTE
HWSAL
Corp
EDEN HOMES INC
3714 BRYANT AVENUE NORTH
(29433)
MINNEAPOLIS, MN 55412
PHONE: 612/724-1593
FAX: /­
MR. RAMON VILLANUEVA
Corp
EDEN HOMES INC
HCP-F
4201 33RD AVENUE SOUTH
(29432)
MINNEAPOLIS, MN 55406
PHONE: 612/724-1593
FAX: /-
MS. FIDELA VILLANUEVA
NProf
EDEN RESIDENTIAL PROGRAM
SLFA-49
1025 PORTLAND AVENUE SOUTH
(01584)
MINNEAPOLIS, MN 55404
PHONE: 612/338-0723
MS. PAMELA LINDGREN
FAX: 612/338-3653
Home Mgmt
Corp
ELDERCARE SOLUTIONS INC
100 SOUTH 5TH STREET #1075
(26036)
MINNEAPOLIS, MN 55402
PHONE: 858/792-2897
MR. JOHN KIRIAZE
FAX: 858/792-2899
HWS
NProf
ELLIOT APARTMENTS
1819 - 25 ELLIOT AVENUE SOUTH
(28009)
MINNEAPOLIS, MN 55404
PHONE: 612/455-5130
FAX: 612/455-5101
Corp
ELLIOT CARE HOME INC
MS. RAHO WARSAME
BCH-15
NF2-15
1500 ELLIOT AVENUE SOUTH
(00195)
MINNEAPOLIS, MN 55404
PHONE: 612/339-2291
FAX: 612/339-2291
MR. MARK JEFFERIS
HWS
NProf
ELLIOT COURT APARTMENTS
1132 SOUTH EIGHTH STREET
(28020)
MINNEAPOLIS, MN 55404
PHONE: 612/204-8319
EMANUEL HOUSING LP
FAX: /­
MS. STACEY RAY
HWS
Part
822 SOUTH THIRD STREET
MINNEAPOLIS, MN 55415
PHONE: 612/287-1600
EVERYDAY LIVING LLC 3122
(28506)
FAX: 612/287-1616
MS. LOIS MUELLER
HWS-O
Lim-Liab
3122 23RD AVENUE SOUTH
MINNEAPOLIS, MN 55407
PHONE: 651/688-7173
(29865)
FAX: 651/688-0525
MR. BLAKE ELLIOTT
Minnesota Department of Health
Division of Compliance Monitoring
Page 185
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
EXCEPTIONAL HOME HEALTH
Certification
HENNEPIN
Registration
(Cont.)* -------------------------­
HCP-A
2110 W BROADWAY AVE
(26696)
MINNEAPOLIS, MN 55411
PHONE: 612/529-2886
FAX: 612/521-1926
NProf
FAIRVIEW HOME CARE AND HOSPICE
MS. TARA WATSON
HCP-A
HHA
2450 26TH AVENUE SOUTH
(02187)
MINNEAPOLIS, MN 55406
PHONE: 612/721-2491
FAX: 612/728-2400
Lim-Liab
FAIRVIEW HOME INFUSION
MS. KATHLEEN LUCAS
HCP-A
711 B KASOTA AVENUE
(21388)
MINNEAPOLIS, MN 55414
PHONE: 612/672-2233
FAX: 612/672-2234
NProf
FAIRVIEW HOSPICE
MS. LISA GANKSE
Hospice
HSPICE
2450 26TH AVENUE SOUTH
(02466)
MINNEAPOLIS, MN 55406
PHONE: 612/721-2491
MS. KATHLEEN LUCAS
FAX: 612/728-2400
NProf
FAIRVIEW UNIVERSITY TRANS SERV
NH-36
NF1-0 SNF-NF-36
2450 RIVERSIDE AVENUE SOUTH
(00259)
MINNEAPOLIS, MN 55454
PHONE: 612/273-4197
MS. SHARON JOHNSON
FAX: 612/273-7950
Corp
FAMILY CARE SERVICES INC
HCP-A
HHA
2500 MINNEHAHA AVE SOUTH
(21182)
MINNEAPOLIS, MN 55404
PHONE: 612/340-0733
FAX: 612/340-0032
Corp
FARMAL HOMES INC
MR. MUSTAFA MOHAMED
HCP-F
3501 27TH AVENUE SOUTH
(29687)
MINNEAPOLIS, MN 55406
PHONE: 612/229-3829
FAX: /­
MS. FARIDA FARAH
HWSAL-O
Corp
FARMAL HOMES INC
3501 27TH AVENUE SOUTH
(29688)
MINNEAPOLIS, MN 55406
PHONE: 612/229-3829
FIDELITY HEALTHCARE
FAX: /­
MR. AMAL HASSAN
Lim-Liab
HCP-A
333 WASHINGTON AVE N #300
MINNEAPOLIS, MN 55402
PHONE: 763/587-1879
FIRST EQUITY GROUP
(28563)
FAX: 612/349-2760
MRS. KARYN PIMENTEL
HWS
NProf
726 30TH AVENUE NORTH
MINNEAPOLIS, MN 55411
PHONE: 612/889-4202
(27266)
FAX: 952/856-5124
MS. MOLLY HAGEN
Minnesota Department of Health
Division of Compliance Monitoring
Page 186
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------­
ESRD
Corp
FMCNA PARK AVE DIALYSIS CENTER
Registration
2637 PARK AVENUE
(02409)
MINNEAPOLIS, MN 55407
PHONE: 612/872-1946
FAX: 612/872-4373
MS. JILL FRAKI
ESRD
Corp
FMCNA SOUTH MPLS DIALYSIS CTR
4310 NICOLLET AVENUE SOUTH
(03801)
MINNEAPOLIS, MN 55409
PHONE: 612/822-4411
FAX: 612/872-7770
Corp
FOCUSCARE INC
MS. LYNNE HAMILTON
HCP-B
2025 NICOLLET AVENUE S # 207
(29819)
MINNEAPOLIS, MN 55404
PHONE: 612/388-0751
FAX: 612/276-5744
MR. MOHAMED ELMI
HWS
NProf
FOLWELL PARK APARTMENTS
3753 GIRARD AVENUE NORTH
(27483)
MINNEAPOLIS, MN 55412
PHONE: 612/522-3394
MR. CHRIS TRAILER
FAX: 612/521-9714
HWS
NProf
FRANKLIN HOUSING COOP
2329 9TH STREET S
(28568)
MINNEAPOLIS, MN 55406
PHONE: 612/338-4574
MR. CHRIS TRAILER
FAX: 612/238-4579
HWS
NProf
FRANKLIN HOUSING COOPERATIVE
2300 EAST FRANKLIN AVENUE
(27868)
MINNEAPOLIS, MN 55406
PHONE: 612/338-4574
FAX: 612/338-4579
Corp
GATEWAY HOMECARE SERVICES
MR. CHRIS TRAILER
HCP-B
912 EAST 24TH STREET STE B207
(26807)
MINNEAPOLIS, MN 55404
PHONE: 612/871-1109
FAX: 612/874-3206
MR. AHMED ALI
HWS
NProf
GATEWAY LOFTS
2623 WEST BROADWAY AVE
(28476)
MINNEAPOLIS, MN 55411
PHONE: 612/721-6256
GENTLE HANDS HOME CARE LLC
FAX: /­
MR. CHRIS TRAILER
Lim-Liab
HCP-A
1519 EAST FRANKLIN AVENUE
MINNEAPOLIS, MN 55404
PHONE: 952/594-5389
GOLDEN LIVINGCENTER CHATEAU
(29543)
FAX: 877/816-2063
Lim-Liab
MR. MOHAMED AHMED
NH-69
SNF-NF-69
2106 SECOND AVENUE SOUTH
MINNEAPOLIS, MN 55404
PHONE: 612/874-1603
(00937)
FAX: 612/874-0213
MR. RYAN ONSTAD
Minnesota Department of Health
Division of Compliance Monitoring
Page 187
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
GOLDEN NEST LLC
Certification
HENNEPIN
Registration
(Cont.)* -------------------------­
HWS
Lim-Liab
1918 19TH AVENUE NORTHEAST
MINNEAPOLIS, MN 55418
PHONE: 651/755-2836
GOLDEN NEST LLC
(27473)
FAX: 612/861-7509
MS. HONGJOO LEE
HWSAL
Lim-Liab
2511 TAYLOR STREET NORTHEAST
MINNEAPOLIS, MN 55418
PHONE: 651/755-2836
GOLDEN NEST LLC
(29370)
FAX: 612/861-7509
Lim-Liab
MS. HONGJOO LEE
HCP-F
1918 19TH AVE NE
MINNEAPOLIS, MN 55418
PHONE: 651/755-2836
GRACE PLACE
(23665)
FAX: 612/861-7509
NProf
MR. HONGJOO LEE
HCP-F
630 CEDAR AVENUE SOUTH B-1
MINNEAPOLIS, MN 55454
PHONE: 612/332-3483
GRACE PLACE ASSISTED LIVING
(03860)
MS. YOONJU PARK
FAX: 612/342-1341
HWSAL
City
630 CEDAR AVE S #B-1
MINNEAPOLIS, MN 55454
PHONE: 612/342-1358
GRAND AVE REST HOME
(24891)
MS. MARY BOLER
FAX: 612/342-1337
Corp
BCH-20
NF2-20
3956 GRAND AVENUE SOUTH
MINNEAPOLIS, MN 55409
PHONE: 612/824-1434
GRANDMA'S PLACE INC
(00208)
FAX: 612/824-2219
MR. ALLEN SODERBECK
HWS
Corp
4100 THOMAS AVENUE NORTH #1
MINNEAPOLIS, MN 55412
PHONE: 763/560-2500
GREENWAY SURGERY CENTER
(24788)
FAX: 763/561-0159
MR. RON HENDRICKSON
Amb Surg
Lim-Liab
2020 EAST 28TH ST SUITE 100
MINNEAPOLIS, MN 554071453
PHONE: 612/728-7000
HARMONY HOUSE
(28356)
FAX: 612/728-2677
MS. JUDY GILSDORF-GRACIE
HWS
Lim-Liab
109 24TH STREET EAST
MINNEAPOLIS, MN 55404
PHONE: 612/872-1926
HENNEPIN COUNTY MEDICAL CTR
(23128)
FAX: 612/872-7757
NProf
MS. CARLEEN FLETTRE
BASS-65 HOSP-894
701 PARK AVENUE SOUTH
MINNEAPOLIS, MN 55415
PHONE: 612/873-2338
(00211)
FAX: 612/904-4271
DR. ARTHUR GONZALEZ
HOSP-765 PPS-P-102 PPS-R-27
Minnesota Department of Health
Division of Compliance Monitoring
Page 188
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------­
HWS
NProf
HIGHER GROUND
Registration
165 GLENWOOD AVENUE NORTH
(28661)
MINNEAPOLIS, MN 55405
PHONE: 612/204-8421
HOME DIALYSIS UNIT OF TRC INC
FAX: /­
MS. VICKIE FRANCZAK
ESRD
Corp
825 SO EIGHTH ST SUITE 1202
MINNEAPOLIS, MN 55404
PHONE: 612/347-4458
HOME HEALTH AGENCY
(21098)
FAX: 612/341-7944
Lim-Liab
MS. REGINA COPELAND
HCP-A
5201 BRYANT AVENUE N
MINNEAPOLIS, MN 55430
PHONE: 612/703-2901
HOPE COMMUNITY INC
(27750)
FAX: 763/205-2312
MR. JAMES SAYDEE
HWS
ONProf
2115 PORTLAND AVENUE SOUTH
MINNEAPOLIS, MN 55404
PHONE: 612/874-8867
HOPE HARBOR
(27418)
MS. MARY KEEFE
FAX: 612/874-8650
HWS
Part
53 GLENWOOD AVENUE
MINNEAPOLIS, MN 55403
PHONE: 612/659-0705
HORIZON HOMECARE SERVICES INC
(29094)
MS. LOUISE SIMONS
FAX: 612/659-0713
Corp
HCP-A
1007 EAST 24TH STREET STE 01
MINNEAPOLIS, MN 55404
PHONE: 612/808-8659
HOSPICE OF THE TWIN CITIES INC
(29662)
FAX: 612/808-5131
NProf
MR. ABDINASIR AZIZ
Hospice
HSPICE
2000 SUMMER STREET NE STE 100
MINNEAPOLIS, MN 55413
PHONE: 763/531-2424
INTEGRITY HOME HEALTH CO
(03001)
FAX: 763/531-2422
MS. PAMELA SCHAID
Home Mgmt
Corp
2100 PLYMOUTH AVE N STE 117
MINNEAPOLIS, MN 55411
PHONE: 612/827-1479
JONES HARRISON RES ASST LVG
(25422)
FAX: 612/827-1482
NProf
MS. CYNTHIA BUFFINGTON
HWSAL
HCP-F
3700 CEDAR LAKE AVENUE
MINNEAPOLIS, MN 55416
PHONE: 612/925-7170
JONES HARRISON RESIDENCE
(20654)
FAX: 612/225-1190
NProf
MRS. JOANN BUYTENDORP
NH-163
SNF-NF-163
3700 CEDAR LAKE AVENUE
MINNEAPOLIS, MN 55416
PHONE: 612/920-2030
(00216)
FAX: 612/920-2824
MS. JOANN BUYTENDORP
Minnesota Department of Health
Division of Compliance Monitoring
Page 189
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
JORGENSEN HOUSE
Certification
HENNEPIN
Registration
(Cont.)* -------------------------­
SLFA-6
3444 GIRARD AVENUE SOUTH
(01535)
MINNEAPOLIS, MN 55408
PHONE: 612/825-9856
MS. EMILY TALBOT
FAX: 612/825-1056
KEYSTONE COMMUNITIES MANAGEMEN
Lim-Liab
HCP-F
401 NORTH 3RD STREET SUITE 350
(27702)
MINNEAPOLIS, MN 55401
PHONE: 612/353-4931
FAX: 612/886-2592
MR. MICHAEL LEWIS
HWS-O
Part
KINGSLEY COMMONS
4550 HUMBOLDT AVENUE NORTH
(25129)
MINNEAPOLIS, MN 55412
PHONE: 651/588-2303
FAX: 651/291-1003
MS. ELIZABETH HAGSTROM
HWS
NProf
LASALLE COMMONS
1517 LASALLE AVENUE SOUTH
(27481)
MINNEAPOLIS, MN 55403
PHONE: 612/871-1666
MR. CHRIS TRAILER
FAX: 612/871-2187
HWS
NProf
LINDEN AVENUE APARTMENTS
1302 LINDEN AVENUE
(27884)
MINNEAPOLIS, MN 55403
PHONE: 612/599-2270
MR. CHRIS TRAILER
FAX: /­
HWS
Part
LINDQUIST APARTMENTS LP
1931 WEST BROADWAY SUITE 100
(29512)
MINNEAPOLIS, MN 55411
PHONE: 612/287-1612
FAX: 612/287-1616
Lim-Liab
LINKS HOME HEALTHCARE LLC
MS. LOIS MUELLER
HCP-A
620 16TH AVENUE SOUTH STE 45
(29111)
MINNEAPOLIS, MN 55454
PHONE: 612/226-0069
LIVING CHALLENGE
FAX: /­
MR. HAWA WARSAME
Corp
SLFA-6
701 EAST 57TH STREET
MINNEAPOLIS, MN 55417
PHONE: 952/922-8466
LOGAN APARTMENT
(01527)
FAX: 952/922-8463
MR. PRINCE ADE DEMEHIN
HWS
Corp
2938 LOGAN AVENUE NORTH
MINNEAPOLIS, MN 55411
PHONE: 612/444-2373
LOREN ON PARK
(30117)
FAX: 612/326-9029
MR. JAMAL GELLE
HWS
NProf
2625 PARK AVENUE
MINNEAPOLIS, MN 55407
PHONE: 612/871-4574
(28125)
FAX: 612/872-7368
MS. MARY BETH DAVIS
Minnesota Department of Health
Division of Compliance Monitoring
Page 190
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
LOVING HEART INC
Certification
HENNEPIN
Registration
(Cont.)* -------------------------­
HCP-A
3736 3RD AVENUE SOUTH
(29919)
MINNEAPOLIS, MN 55409
PHONE: 612/232-0120
FAX: /­
MR. TIMOTHY ADEDIRAN
HWSAL
HRA
LYNDALE MANOR
600 18TH AVENUE NORTH
(21515)
MINNEAPOLIS, MN 55411
PHONE: 612/344-2292
FAX: 612/302-7090
MS. MARY BOLER
HWSAL
NProf
MAIN STREET LODGE
909 MAIN STREET NORTHEAST
(20105)
MINNEAPOLIS, MN 55413
PHONE: 612/362-2450
FAX: 612/362-2449
MR. MICHAEL SHASKY
HWS
NProf
MANA HOLDING GROUP
644 VAN BUREN STREET NE
(29344)
MINNEAPOLIS, MN 55413
PHONE: 612/568-4101
MS. MOLLY HAGEN
FAX: 651/203-1830
Corp
MARIA HOME
ICFIID-6
SLFA-6
2809 31ST AVENUE SOUTH
(20721)
MINNEAPOLIS, MN 55406
PHONE: 612/871-0805
MR. DAN SCHNEIDER
FAX: 612/871-0455
Home Mgmt
Corp
METRO HOME HEALTH CARE SVCS IN
3438 SNELLING AVENUE SOUTH
(27880)
MINNEAPOLIS, MN 55406
PHONE: 612/871-6773
FAX: 612/871-6980
MR. ABDULKADIR WARSAME
HWS
Corp
MI CASA ON CENTRAL
3439 CENTRAL AVENUE NORTHEAST
(26290)
MINNEAPOLIS, MN 55418
PHONE: 612/788-9757
FAX: 612/789-6564
MR. LANCE GARRISON
HWS
Corp
MI CASA ON TYLER
3430 TYLER AVENUE NORTHEAST
(26289)
MINNEAPOLIS, MN 55418
PHONE: 612/788-9757
MIDWEST PROFESSIONAL SERVICES
FAX: /­
MR. LANCE GARRISON
Corp
HCP-A
HHA
801 PARK AVENUE
MINNEAPOLIS, MN 55404
PHONE: 612/343-3265
MILS HOME HEALTH CARE AGENCY
(24359)
MS. PAMELA ROCKLAGE
FAX: 612/343-3267
Corp
HCP-A
HHA
2010 EAST HENNEPIN AVENUE #051
MINNEAPOLIS, MN 55413
PHONE: 612/379-4027
(02993)
FAX: 612/379-3489
MR. DAVID BENNEROTTE
Minnesota Department of Health
Division of Compliance Monitoring
Page 191
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------­
ESRD
Corp
MINNEAPOLIS DIALYSIS UNIT
Registration
825 SO 8TH STREET SUITE SL42
(02100)
MINNEAPOLIS, MN 55404
PHONE: 612/347-5972
FAX: 612/347-5876
MR. DAVID LUHRING
ESRD
Corp
MINNEAPOLIS NE DIALYSIS
1049 10TH AVENUE SE
(21690)
MINNEAPOLIS, MN 55414
PHONE: 253/272-1916
FAX: /­
MS. CHERIE BRENNAN
HWSAL
HRA
MINNEAPOLIS PUBLIC HOUSING AUT
350 VAN WHITE MEMORIAL BLVD
(24321)
MINNEAPOLIS, MN 55405
PHONE: 612/344-2296
FAX: 612/377-6309
MS. MARY BOLER
ESRD
Corp
MINNEAPOLIS UPTOWN DIALYSIS
3601 LYNDALE AVE SOUTH
(25314)
MINNEAPOLIS, MN 55409
PHONE: 612/825-4583
MR. GREGORY CHATMAN
FAX: 612/825-4651
Lim-Liab
MINNEHAHA SENIOR LIVING
HWSAL
HCP-F
3733 23RD AVENUE SOUTH
(27808)
MINNEAPOLIS, MN 55407
PHONE: 612/238-0010
MRS. NIKI DWYER
FAX: 612/238-2799
Lim-Liab
MINNESOTA BIRTH CENTER
2606 CHICAGO AVENUE SOUTH
(28380)
MINNEAPOLIS, MN 55407
PHONE: 612/545-5311
FAX: 612/200-9925
MS. CHRISTIANA FITCH
XRAY
Lim-Liab
MINNESOTA MEDICAL IMAGING LLC
2110 NICOLLET AVENUE #103
(29429)
MINNEAPOLIS, MN 55404
PHONE: 612/354-3360
FAX: 612/315-4165
NProf
MINNESOTA TEEN CHALLENGE
DR. NEERAJ CHEPURI
BCH-53
1507 LOWRY AVENUE NORTHEAST
(00272)
MINNEAPOLIS, MN 55418
PHONE: 612/373-3366
FAX: 612/333-4111
MRS. WENDY LOWRY
HWS
NProf
MISSION INN
3122 MORGAN AVENUE NORTH
(29095)
MINNEAPOLIS, MN 55412
PHONE: 612/508-2512
MN VETERANS HOME MINNEAPOLIS
FAX: /­
MR. CHRIS TRAILER
State
BCH-161 NH-341
5101 MINNEHAHA AVENUE SOUTH
MINNEAPOLIS, MN 55417
PHONE: 612/548-5705
(00233)
FAX: 612/548-5711
MR. CRAIG BARNESS
SNF-NF-100
Minnesota Department of Health
Division of Compliance Monitoring
Page 192
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
MN VISITING NURSE AGENCY
Certification
HENNEPIN
Registration
(Cont.)* -------------------------­
HCP-A
HHA
2000 SUMMER ST NE STE 100
(02037)
MINNEAPOLIS, MN 55413
PHONE: 612/617-4600
FAX: 612/617-4782
Lim-Liab
MOORE BOARD AND CARE LLC
DR. JEN VAN LIEW
HCP-F
HWS
3552 CLINTON AVENUE SOUTH
(21618)
MINNEAPOLIS, MN 55408
PHONE: 612/822-8757
FAX: 612/822-1758
NProf
MOUNT OLIVET CAREVIEW HOME
MS. AZAH MOORE
NH-153
SNF-NF-153
5517 LYNDALE AVENUE SOUTH
(00178)
MINNEAPOLIS, MN 55419
PHONE: 612/827-5677
FAX: 612/821-3241
Church
MOUNT OLIVET HOME
MR. TIMOTHY HOKANSON
BCH-94
NF2-94
5517 LYNDALE AVENUE SOUTH
(00236)
MINNEAPOLIS, MN 55419
PHONE: 612/827-5677
MR. TIMOTHY HOKANSON
FAX: 612/821-3241
HWS
NProf
MUTUAL MANAGEMENT
608 20TH AVENUE SOUTH
(27374)
MINNEAPOLIS, MN 55454
PHONE: 612/339-9164
MS. MARY GALLINI
FAX: 612/333-8185
NProf
NANCY PAGE PROG OF PEOPLE INC
SLFA-16
245 SOUTH CLIFTON
(01338)
MINNEAPOLIS, MN 55403
PHONE: 612/870-3787
FAX: 612/870-3783
MS. JENNIFER WEIGELT
HWSAL
Corp
NEW DIRECTIONS RESIDENTIAL SER
3231 SIXTH STREET NORTH
(28250)
MINNEAPOLIS, MN 55411
PHONE: 612/545-5240
FAX: /­
MS. TRENA ALLBRITTON
HWS
Corp
NICOLLET APARTMENT
6141 NICOLLET AVENUE SOUTH
(30118)
MINNEAPOLIS, MN 55419
PHONE: 612/444-2373
FAX: 612/326-9029
MR. JAMAL GELLE
HWS
NProf
NICOLLET COMMONS
3230 NICOLLET AVENUE SOUTH
(25172)
MINNEAPOLIS, MN 55408
PHONE: 952/220-6967
NICOLLET SQUARE
FAX: /­
MR. CHRIS TRAILER
HWS
Part
3710 NICOLLET AVENUE
MINNEAPOLIS, MN 55409
PHONE: 651/789-6260
(27314)
FAX: 651/789-6288
MR DEAN CROWELL
Minnesota Department of Health
Division of Compliance Monitoring
Page 193
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
NORTH OAKS ON EMERSON
Certification
HENNEPIN
Registration
(Cont.)* -------------------------­
HWSAL
HCP-F
2929 EMERSON AVENUE NORTH
(20218)
MINNEAPOLIS, MN 55411
PHONE: 612/521-2929
FAX: 612/522-2921
Corp
OAK GROVE CARE CENTER INC
MR. DAVID USELMAN
HCP-F
1822 PARK AVENUE SOUTH
(25518)
MINNEAPOLIS, MN 55404
PHONE: 612/871-5800
FAX: 612/872-6815
Corp
OLU'S HOME INC
MS. SARA WILLIAMS
HCP-A
4013 PARK AVENUE SOUTH
(28291)
MINNEAPOLIS, MN 55407
PHONE: 612/824-1142
FAX: 612/824-1456
NProf
OUTREACH STEVENS
MS. GLORIA FREEMAN
ICFIID-6
SLFA-6
5240 QUEEN AVENUE NORTH
(20664)
MINNEAPOLIS, MN 55430
PHONE: 612/588-4825
FAX: 612/521-6654
MS. MARY TJOSVOLD
HWS
NProf
PAIGE HALL
727 SOUTH 5TH AVENUE
(25779)
MINNEAPOLIS, MN 55404
PHONE: 612/204-8319
MS. STACEY RAY
FAX: /-
HWS
ONProf
PARK AVENUE APARTMENTS
2418 PARK AVENUE
(26531)
MINNEAPOLIS, MN 55404
PHONE: 612/871-0221
FAX: 612/871-0354
MS. DAWN HORGAN
HWS
NProf
PARK AVENUE APARTMENTS
2809 PARK AVENUE S
(27866)
MINNEAPOLIS, MN 55407
PHONE: 952/405-7480
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
PARK PLAZA APARTMENTS
1315 OLSON HIGHWAY
(29848)
MINNEAPOLIS, MN 55405
PHONE: 612/377-3650
FAX: /-
MS. STACEY RAY
HWS
NProf
PARK TWO
214 15TH STREET WEST
(26900)
MINNEAPOLIS, MN 55403
PHONE: 612/871-6581
PARKER SKYVIEW
FAX: /­
MR. CHRIS TRAILER
HWSAL
City
1815 CENTRAL AVENUE NORTHEAST
MINNEAPOLIS, MN 55418
PHONE: 612/342-2266
(21761)
FAX: 612/781-3495
MS. MARY BOLER
Minnesota Department of Health
Division of Compliance Monitoring
Page 194
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
PASSION CARE
Certification
HENNEPIN
Registration
(Cont.)* -------------------------­
HCP-A
4347 4TH AVENUE SOUTH
(28038)
MINNEAPOLIS, MN 55409
PHONE: 612/823-3880
FAX: /­
MR. JOHNNIE LEE
HWSAL
Lim-Liab
PASSION CARE LLC
4347 4TH AVENUE SOUTH
(28172)
MINNEAPOLIS, MN 55409
PHONE: 612/823-3880
PEACEFUL CARE LLC
FAX: /­
MR. JOHNNIE LEE
Lim-Liab
HCP-A
5144 13TH AVE S
MINNEAPOLIS, MN 55417
PHONE: 612/701-6094
PENN OAK APARTMENTS
(28557)
FAX: 612/886-1835
MR. ROGER CREWS
HWS
NProf
3528 PENN AVENUE NORTH
MINNEAPOLIS, MN 55412
PHONE: 612/522-3394
PENTEC HEALTH INC
(27371)
MR. CHRIS TRAILER
FAX: 612/521-9714
Corp
HCP-A
100 SOUTH FIFTH STREET #1900
MINNEAPOLIS, MN 55402
PHONE: 800/223-4376
PEOPLE II
(29528)
MS. CHERYL MANN
FAX: 610/494-6148
NProf
ICFIID-6
SLFA-6
1380 WEST MINNEHAHA PARKWAY
MINNEAPOLIS, MN 55419
PHONE: 612/827-4671
PEOPLE INC EPILEPSY & MTL HLTH
(01556)
FAX: 612/827-1259
NProf
MS. GAYLE CARNEY
HWS-O
HCP-F
630 CEDAR AVENUE #201
MINNEAPOLIS, MN 55454
PHONE: 612/338-9035
PEOPLE INCORPORATED DSL
(21819)
FAX: 612/338-1160
NProf
MS. ANNMARIE FLORES
HWS-O
HCP-F
726 NORTHEAST 2ND STREET
MINNEAPOLIS, MN 55413
PHONE: 612/331-3525
PHILLIPS EYE INSTITUTE
(23646)
FAX: 612/331-3587
NProf
MS. HAYLEY CARLSON
HOSP-20
HOSP-20
2215 PARK AVENUE SOUTH
MINNEAPOLIS, MN 55404
PHONE: 612/775-8815
PINNACLE SERVICES - JACKSON SQ
(00231)
FAX: 612/775-9601
MS. JOAN ARBACH
HWSAL-O
Corp
2902 POLK STREET NORTHEAST
MINNEAPOLIS, MN 55418
PHONE: 612/208-1369
(26848)
FAX: 612/208-1369
MS. JILL CIHLAR
Minnesota Department of Health
Division of Compliance Monitoring
Page
195
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
PINNACLE SERVICES INC
Certification
HENNEPIN
Registration
(Cont.)* -------------------------­
HCP-A
724 CENTRAL AVE NE
(24508)
MINNEAPOLIS, MN 55414
PHONE: 612/977-3100
FAX: 612/977-3110
MS. JILL CIHLAR
HWS
NProf
POWDERHORN TERRACE
1212 POWDERHORN TERRACE
(29914)
MINNEAPOLIS, MN 55407
PHONE: 651/774-0011
FAX: 651/291-1082
MS. ANDREA GAGE
HWS-O
NProf
PPL GREENLEAF LLC
3627 PENN AVENUE NORTH
(30087)
MINNEAPOLIS, MN 55412
PHONE: 612/455-5100
FAX: 612/455-5101
MS. LESLIE ANGEL
HWS-O
Lim-Liab
PPL IRVING COMMONS LLC
3601 FREMONT AVENUE NORTH
(29486)
MINNEAPOLIS, MN 55412
PHONE: 612/455-5100
MS. LESLIE ANGEL
FAX: 612/455-5101
HWS
NProf
PROTON INVESTMENTS
1612 GOLDEN VALLEY ROAD
(29714)
MINNEAPOLIS, MN 55411
PHONE: 612/703-8035
MS. MOLLY HAGEN
FAX: 952/856-5124
NProf
PROVIDENCE PLACE
NH-190
SNF-NF-190
3720 23RD AVENUE SOUTH
(00096)
MINNEAPOLIS, MN 55407
PHONE: 612/724-5495
FAX: 612/729-6271
Part
QUALITY FOOTCARE
MR. JOEL KELSH
HCP-A
2010 EAST HENNEPIN AVE BOX 051
(24711)
MINNEAPOLIS, MN 55413
PHONE: 612/588-2696
FAX: 612/379-3489
NProf
RAKHMA PEACE HOME
MS. AMY KEMMETMUELLER
HWSAL
HCP-F
4953 ALDRICH AVENUE SOUTH
(20103)
MINNEAPOLIS, MN 55419
PHONE: 612/824-2345
FAX: 612/824-3165
MS. SUSAN ECKSTROM
HWS
NProf
REA-HAL PROPERTIES
1901 COLFAX AVENUE
(27889)
MINNEAPOLIS, MN 55403
PHONE: 612/868-6283
REDEEMER RESIDENCE INC
FAX: /­
MR. CHRIS TRAILER
Church
NH-129
SNF-NF-129
625 WEST 31ST STREET
MINNEAPOLIS, MN 55408
PHONE: 612/827-2555
(00160)
FAX: 612/827-0450
MR. DAN COLGAN
Minnesota Department of Health
Division of Compliance Monitoring
Page 196
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Facility/Service
Owner
Licensure
---------------------------**********
Corp
REENTRY HOUSE
Certification
HENNEPIN
Registration
(Cont.)* -------------------------­
SLFA-16
5812 LYNDALE AVENUE SOUTH
(01470)
MINNEAPOLIS, MN 55419
PHONE: 612/869-2411
FAX: 612/869-0313
Corp
REM HENNEPIN (PILLSBURY)
MS. FRAN LESICKO
ICFIID-21
SLFA-21
2311 PILLSBURY AVENUE SOUTH
(01029)
MINNEAPOLIS, MN 55404
PHONE: 763/852-5325
FAX: 952/591-0050
Corp
REM HENNEPIN INC (LYNDALE)
MS. CONNIE MENNE
ICFIID-10
SLFA-10
1307 6TH STREET SE
(21654)
MINNEAPOLIS, MN 55414
PHONE: 763/852-5325
FAX: 763/852-5350
Corp
REM HENNEPIN INC QUEEN
MS. CONNIE MENNE
ICFIID-6
SLFB-6
614 QUEEN AVENUE SOUTH
(01130)
MINNEAPOLIS, MN 55405
PHONE: 763/852-5325
FAX: 763/852-5350
MS. CONNIE MENNE
HWS
NProf
REMINGTON CAMPUS APARTMENTS
414 7TH AVENUE SOUTHEAST
(27275)
MINNEAPOLIS, MN 55414
PHONE: 612/378-0501
RESTART INC
MR. CHRIS TRAILER
FAX: /-
HWS-O
NProf
1111 SEVENTH STREET S APT #34
MINNEAPOLIS, MN 55415
PHONE: 612/664-0119
RESTART INC - 614
(21905)
FAX: 612/664-0140
MR. JAMES JASPER
HWS-O
NProf
614 8TH STREET SOUTHEAST
MINNEAPOLIS, MN 55414
PHONE: 612/379-9409
RESTART INC - ELLIOT
(25373)
FAX: 612/331-9175
MR. JAMES JASPER
HWS-O
NProf
4317 ELLIOT AVENUE SOUTH
MINNEAPOLIS, MN 55407
PHONE: 612/822-3506
RESTART INC - KATHY'S PLACE
(25370)
FAX: 612/824-2719
MR. JAMES JASPER
HWS-O
NProf
4525-B ALDRICH AVENUE SOUTH
MINNEAPOLIS, MN 55419
PHONE: 612/822-5372
RESTART INC - MINNEHAHA
(25372)
FAX: 612/827-4967
MR. JAMES JASPER
HWS-O
NProf
4652 MINNEHAHA AVENUE SOUTH
MINNEAPOLIS, MN 55406
PHONE: 612/729-1460
(25371)
FAX: 612/729-5059
MR. JAMES JASPER
Minnesota Department of Health
Division of Compliance Monitoring
Page 197
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
RIGHT AT HOME
Certification
HENNEPIN
Registration
(Cont.)* -------------------------­
HCP-A
1304 UNIVERSITY AVENUE NE #303
(26963)
MINNEAPOLIS, MN 55413
PHONE: 612/235-4130
FAX: 612/392-0023
MS. LYDIA JARMULOWICZ
HWS
NProf
RIPLEY GARDENS
310 QUEEN AVENUE NORTH
(25471)
MINNEAPOLIS, MN 55405
PHONE: 651/774-0011
FAX: 651/774-0606
Lim-Liab
RIVERSIDE ENDOSCOPY CENTER LLC
MRS. DANIELLE FOX
Outpt Surg
Amb Surg
606 24TH AVENUE SO SUITE 800
(21592)
MINNEAPOLIS, MN 55454
PHONE: 651/225-7999
FAX: 651/225-7997
MR. TOM NORDSTROM
HWS
NProf
RIVERSIDE PLAZA
1530 S 6TH ST (CHASE BLDG C)
(25903)
MINNEAPOLIS, MN 55454
PHONE: 612/204-8319
MS. STACEY RAY
FAX: /-
HWS
NProf
RIVERSIDE PLAZA
1515 SOUTH FOURTH STREET
(29000)
MINNEAPOLIS, MN 55454
PHONE: 612/338-8925
MS. STACEY RAY
FAX: /-
HWS
NProf
RIVERSIDE PLAZA
1601 SOUTH FOURTH STREET
(29138)
MINNEAPOLIS, MN 55454
PHONE: 612/204-8319
RIVERSIDE PLAZA BUILDING D
FAX: /-
MS. STACEY RAY
HWS
NProf
1630 SOUTH 6TH STREET
MINNEAPOLIS, MN 55454
PHONE: 612/204-8319
RIVERSIDE PLAZA BUILDING M
(25063)
FAX: 612/375-9105
MS. STACEY RAY
HWS
NProf
1615 SOUTH 4TH STREET
MINNEAPOLIS, MN 55454
PHONE: 612/204-8319
RIVERSIDE PROFESSIONAL HEALTH
(25064)
FAX: 612/375-9105
Part
MS. STACEY RAY
HCP-A
1929 SOUTH 5TH STREET #200
MINNEAPOLIS, MN 55454
PHONE: 612/359-9917
RIVERVILLAGE EAST
(27345)
FAX: 612/359-9917
MS. CHALI BEDASSO
HWSAL
NProf
2919 RANDOLPH STREET NORTHEAST
MINNEAPOLIS, MN 55418
PHONE: 612/605-2500
(23147)
FAX: 612/605-2504
MR. MICHAEL SHASKY
Minnesota Department of Health
Division of Compliance Monitoring
Page 198
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------­
HWS
NProf
RIVERVILLAGE NORTH
Registration
2921 RANDOLPH STREET NORTHEAST
(23036)
MINNEAPOLIS, MN 55418
PHONE: 612/605-2501
FAX: 612/605-2502
Lim-Liab
ROBIN HINTZ MA CCC-SLP LLC
MR. MICHAEL SHASKY
HCP-A
18 N 12TH ST PO BOX 50601
(28556)
MINNEAPOLIS, MN 55405
PHONE: 952/393-6412
FAX: 612/886-8654
MS. ROBIN HINTZ
HWS
NProf
RS EDEN
1828 CENTRAL AVENUE NORTHEAST
(22051)
MINNEAPOLIS, MN 55418
PHONE: 612/782-2999
FAX: 612/781-5723
MS. LOIS MUELLER
HWS
Lim-Liab
RS EDEN / DILLION APARTMENTS
3218 LYNDALE AVENUE NORTH
(25595)
MINNEAPOLIS, MN 55411
PHONE: 612/287-1600
MS. LOIS MUELLER
FAX: 612/287-1616
HWS
Lim-Liab
RS EDEN / DILLION APARTMENTS
3210 LYNDALE AVENUE NORTH
(25594)
MINNEAPOLIS, MN 55411
PHONE: 612/287-1600
MS. LOIS MUELLER
FAX: 612/287-1616
Home Mgmt
Ind
SENIOR SUPPORT AND CARE
4019 LINDEN HILLS BOULEVARD
(27382)
MINNEAPOLIS, MN 55410
PHONE: 612/669-7007
FAX: /­
MS. COLLEEN SARAT
Corp
SERENITY HEALTH CARE SERVICES
HCP-A
HHA
3355 HIAWATHA AVENUE S STE 110
(26946)
MINNEAPOLIS, MN 55406
PHONE: 614/736-3120
FAX: 614/985-1883
MR. TAHA ABDUREHMAN
HWS
Lim-Liab
SERENITY PLACE
2409 1ST AVENUE SOUTH
(24075)
MINNEAPOLIS, MN 55404
PHONE: 612/872-1926
FAX: 612/871-9202
MS. CARLEEN FLETTRE
HWS
NProf
SEWARD FLATS
2104 22ND AVENUE SOUTH
(27373)
MINNEAPOLIS, MN 55404
PHONE: 612/664-1764
SEWARD FLATS
FAX: /­
MR. CHRIS TRAILER
HWS
NProf
2019 21ST AVENUE SOUTH
MINNEAPOLIS, MN 55404
PHONE: 612/328-5101
(27956)
FAX: 612/664-1780
MR. CHRIS TRAILER
Minnesota Department of Health
Division of Compliance Monitoring
Page 199
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Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------­
HWS
NProf
SEWARD FLATS
Registration
2020 22ND AVENUE SOUTH
(28021)
MINNEAPOLIS, MN 55404
PHONE: 612/328-5101
SHABA HEALTH SERVICES CORP
FAX: /­
MR. CHRIS TRAILER
Corp
HCP-A
617 CEDAR AVENUE SOUTH #A
MINNEAPOLIS, MN 55454
PHONE: 612/867-9699
SHINGLE CREEK COMMONS
(28120)
FAX: 612/354-7152
MR. ABDULLAHI SHABA
HWS
NProf
4600 HUMBOLDT AVENUE NORTH
MINNEAPOLIS, MN 55412
PHONE: 612/588-2303
SHRINERS HOSPITAL FOR CHILDREN
(25160)
FAX: 651/291-1003
ONProf
MS. ELIZABETH HAGSTROM
HOSP-40
2025 EAST RIVER PARKWAY
MINNEAPOLIS, MN 55414
PHONE: 612/596-6100
SIFA CARE INC
(00256)
FAX: 612/339-7634
MR. CHARLES LOBECK
Home Mgmt
Corp
2736 LYNDALE AVE S #212
MINNEAPOLIS, MN 55408
PHONE: 612/870-1570
SIGNE BURCKHARDT MANOR
(25045)
FAX: 612/870-1571
MR. AHMED MOHAMUD
HWSAL
HRA
2533 FIRST AVENUE SOUTH
MINNEAPOLIS, MN 55404
PHONE: 612/821-2190
SIMPSON HOUSING SERVICES INC
(20278)
FAX: 612/872-4472
MS. MARY BOLER
HWS
NProf
706 1ST AVENUE NORTH
MINNEAPOLIS, MN 55403
PHONE: 612/376-7661
SLATER SQUARE
(29389)
FAX: 612/338-4862
MS. SARAH BROICH
HWS
NProf
1425 PORTLAND AVENUE SOUTH
MINNEAPOLIS, MN 55404
PHONE: 612/204-8319
SLATER SQUARE
(24934)
FAX: 612/375-9105
MS. STACEY RAY
HWS
NProf
1420 S PORTLAND AVENUE
MINNEAPOLIS, MN 55404
PHONE: 612/204-8319
SLATER SQUARE
(24793)
FAX: 612/375-9105
MS. STACEY RAY
HWS
NProf
1412 PORTLAND AVENUE
MINNEAPOLIS, MN 55404
PHONE: 612/204-8319
(24795)
FAX: 612/375-9105
MS. STACEY RAY
Minnesota Department of Health
Division of Compliance Monitoring
Page 200
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------­
HWS
NProf
SLATER SQUARE
Registration
1416 PORTLAND AVENUE SOUTH
(24794)
MINNEAPOLIS, MN 55404
PHONE: 612/204-8319
FAX: 612/375-9105
MS. STACEY RAY
HWS
NProf
SLATER SQUARE
1400 PORTLAND AVE S
(24896)
MINNEAPOLIS, MN 55404
PHONE: 612/204-8319
FAX: /­
MS. STACEY RAY
Corp
SOUTHSIDE CARE CENTER
BCH-17
NF2-17
2644 ALDRICH AVENUE SOUTH
(00780)
MINNEAPOLIS, MN 55408
PHONE: 612/872-4233
FAX: 612/872-0005
Lim-Liab
SPECIALTY CARE GROUP
MR. MARK ANDERSON
HCP-A
2113 GIRARD AVE S STE 2
(27391)
MINNEAPOLIS, MN 55405
PHONE: 612/925-5008
MS. DANICA DOBEK
FAX: 612/294-7997
NProf
ST OLAF RESIDENCE
NH-80
SNF-NF-80
2912 FREMONT AVENUE NORTH
(00260)
MINNEAPOLIS, MN 55411
PHONE: 612/522-6561
MR. DAVID USELMAN
FAX: 612/522-2921
HWS
NProf
STEVENS COMMUNITY APARTMENTS
1900 THIRD AVENUE SOUTH
(28673)
MINNEAPOLIS, MN 55404
PHONE: 612/870-8010
FAX: 612/870-0289
MR. CHRIS TRAILER
HWS
NProf
STRADFORD FLATS
16 EAST 15TH STREET
(29349)
MINNEAPOLIS, MN 55403
PHONE: 612/870-8893
FAX: 612/789-9508
MS. MARY GALLINI
HWS
NProf
STRATFORD FLATS
22 EAST 15TH ST
(27479)
MINNEAPOLIS, MN 55403
PHONE: 612/664-1764
SU CASA HOME CARE
FAX: /­
MR. CHRIS TRAILER
Corp
HCP-F
3427 CENTRAL AVENUE NE
MINNEAPOLIS, MN 55418
PHONE: 612/788-9757
SUMMIT HEALTHCARE INC
(26288)
FAX: 612/789-6564
Corp
MR. RANDAL HAGEMEYER
HCP-B
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 201
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: 612/872-7757
MS. CARLEEN FLETTRE
HWS
Lim-Liab
SVENDAHL PROPERTIES
3540 11TH AVENUE SOUTH
(27056)
MINNEAPOLIS, MN 554072140
PHONE: 612/353-7856
FAX: /­
MS. JENNIFER WEISSMAN
Lim-Liab
SYNERGY HOME CARE MSP METRO
HCP-A
3433 BROADWAY ST NE STE 185
(26669)
MINNEAPOLIS, MN 55413
PHONE: 612/455-2585
FAX: 612/455-3967
Lim-Liab
SYSKON HOME HEALTH CARE LLC
MR. JAMES ZENK
HCP-A
323 2ND STREET NE
(28384)
MINNEAPOLIS, MN 55413
PHONE: 952/278-0620
MR. JC VAIANA
FAX: /­
Home Mgmt
Corp
TENDER LOVING CARE COMPANIONS
4858 FREMONT AVE SOUTH
(29938)
MINNEAPOLIS, MN 55419
PHONE: 612/824-7508
MR. JAMES JOHNSON
FAX: /-
HWS
NProf
THE BALMORAL
1005 SOUTH PORTLAND AVENUE
(26597)
MINNEAPOLIS, MN 55404
PHONE: 612/204-8319
FAX: /-
MS. STACEY RAY
HWS
NProf
THE BARRINGTON
911 SOUTH PARK AVENUE
(26596)
MINNEAPOLIS, MN 55404
PHONE: 612/204-8319
FAX: 612/375-9105
MS. STACEY RAY
HWS
NProf
THE BELMONT APARTMENTS
1000 FRANKLIN AVENUE WEST
(26899)
MINNEAPOLIS, MN 55405
PHONE: 612/870-1547
FAX: /­
MR. CHRIS TRAILER
HWS
Part
THE CONTINENTAL
66 SOUTH 12TH STREET
(27549)
MINNEAPOLIS, MN 55403
PHONE: 612/339-4557
FAX: 612/339-6374
MR. CHRIS NIMMER
HWS
NProf
THE COYLE
1801 SOUTH LASALLE AVENUE
(29139)
MINNEAPOLIS, MN 55403
PHONE: 612/376-7661
FAX: /­
MS. STACEY RAY
Minnesota Department of Health
Division of Compliance Monitoring
Page 202
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Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------­
Out Pt Out St Out Ot
ONProf
THE FAMILY PARTNERSHIP
Registration
1501 XERXES AVENUE NORTH
(28437)
MINNEAPOLIS, MN 55411
PHONE: 612/341-1622
FAX: 612/339-9150
MS. MOLLY GREENMAN
HWS
NProf
THE JOURDAIN
2006 PORTLAND AVE S
(24897)
MINNEAPOLIS, MN 55404
PHONE: 612/204-8319
FAX: /­
MS. STACEY RAY
Lim-Liab
THE KENWOOD RETIREMENT COM
HCP-F
HWSAL
825 SUMMIT AVENUE
(20341)
MINNEAPOLIS, MN 55403
PHONE: 612/374-8100
FAX: 612/377-3600
NProf
THE SALVATION ARMY HARB LIGHT
MRS. JENNIFER VOLKENANT
SLFA-44
1010 CURRIE AVENUE NORTH
(01601)
MINNEAPOLIS, MN 55403
PHONE: 612/767-3100
MS. CAMILLA SHIMONEK
FAX: 612/338-4717
Corp
THE STANTON HOUSE INC
HCP-F
3354 JAMES AVENUE NORTH
(26409)
MINNEAPOLIS, MN 55412
PHONE: 612/521-9543
MS. NIKIA ROSS
FAX: 612/886-1310
HWSAL
Corp
THE STANTON HOUSE INC
3354 JAMES AVE N
(25977)
MINNEAPOLIS, MN 55412
PHONE: 612/521-9543
FAX: 612/886-1310
Lim-Liab
THE VILLA AT BRYN MAWR
MS. NIKIA ROSS
NH-112
SNF-NF-112
275 PENN AVE NORTH
(00175)
MINNEAPOLIS, MN 55405
PHONE: 612/377-4723
FAX: 612/377-0294
MS. PAT VOELKER
HWS
NProf
THE WELLSTONE
620 FRANKLIN AVENUE EAST
(26446)
MINNEAPOLIS, MN 55404
PHONE: 612/435-1686
THIRD AVENUE NBBI
FAX: /­
MR. CHRIS TRAILER
HWSAL-O
HRA
1001 WASHINGTON AVENUE NORTH
MINNEAPOLIS, MN 55401
PHONE: 612/342-1453
THOMAS T FENNEY MANOR
(24487)
FAX: 612/342-1407
MS. MARY BOLER
HWSAL
Corp
901 4TH AVENUE NORTH
MINNEAPOLIS, MN 55404
PHONE: 612/843-0090
(28487)
FAX: 612/377-6688
MS. MARY BOLER
Minnesota Department of Health
Division of Compliance Monitoring
Page 203
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
THREE THIRTY FIVE RIDGEWOOD
Certification
HENNEPIN
Registration
(Cont.)* -------------------------­
ICFIID-6
SLFA-6
335 RIDGEWOOD AVENUE
(01375)
MINNEAPOLIS, MN 55403
PHONE: 612/871-0805
FAX: 612/871-0455
MR. DAN SCHNEIDER
HWS
Part
TOUCHSTONE COMMUNITY LP
2308 SNELLING AVENUE
(29434)
MINNEAPOLIS, MN 55404
PHONE: 612/455-5100
FAX: 612/455-5101
NProf
TURNING POINT INC
MS. LESLIE ANGEL
SLFA-24
1500 GOLDEN VALLEY ROAD
(01678)
MINNEAPOLIS, MN 55411
PHONE: 612/520-4004
FAX: 612/520-0047
Lim-Liab
TWIN CITY HOME HEALTHCARE LLC
MS. ELIZABETH REED
HCP-A
620 16TH AVENUE S SUITE 45
(28032)
MINNEAPOLIS, MN 55454
PHONE: 612/232-3297
MR. AHMED ABDULLAHI
FAX: 612/326-9313
Home Mgmt
Corp
TWINS HOME HEALTH CARE INC
2533 24TH AVENUE SOUTH
(27759)
MINNEAPOLIS, MN 55406
PHONE: 612/465-0408
MR. ABDIRAHMAN DHUNKAL
FAX: 612/339-5901
ESRD
NProf
UMMC FAIRVIEW RENAL DIALYSIS
2450 RIVERSIDE AVE STE 2300
(02098)
MINNEAPOLIS, MN 55455
PHONE: 612/626-5300
UNITED HOME HEALTHCARE SERVICE
FAX: /­
MR. MICHEAL FLYNN
Corp
HCP-A
3040 4TH AVE SOUTH SUITE 5C
MINNEAPOLIS, MN 55408
PHONE: 612/315-2656
UNITY HEALTH CARE
(27712)
FAX: 612/315-2657
Corp
MS. MOHAMED KODAH
HCP-F
2221 WEST 55TH STREET
MINNEAPOLIS, MN 55419
PHONE: 612/285-8743
UNITY HEALTHCARE INC
(23694)
FAX: 612/922-9276
Corp
MS. PAULETTE WILSON
HCP-A
2221 WEST 55TH ST
MINNEAPOLIS, MN 55419
PHONE: 612/285-8743
UNITY PLACE
(25195)
FAX: 612/922-9276
MS. PAULETTE WILSON
HWS
Lim-Liab
2611 CENTRAL AVENUE NE
MINNEAPOLIS, MN 55418
PHONE: 612/872-1926
(25496)
FAX: 612/872-7757
MS. CARLEEN FLETTRE
Minnesota Department of Health
Division of Compliance Monitoring
Page
204
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Facility/Service
Owner
Licensure
---------------------------**********
NProf
UNIVERSITY OF MN MED CTR
Certification
HENNEPIN
Registration
(Cont.)* -------------------------­
BASS-168 HOSP-1700
HOSP-1525 PPS-P-145 PPS-R-30
2450 RIVERSIDE AVENUE
(00200)
MINNEAPOLIS, MN 55454
PHONE: 612/273-6000
FAX: 612/273-4051
MS. CAROLYN WILSON
HWS
NProf
URBAN HOMEWORKS
3030 OAKLAND AVENUE S
(29885)
MINNEAPOLIS, MN 55407
PHONE: 612/724-9002
FAX: 612/722-2214
MR. TOM BALSLEY
HWS
NProf
URBAN HOMEWORKS
620 23RD AVENUE NORTH
(29480)
MINNEAPOLIS, MN 55411
PHONE: 612/724-9002
FAX: 612/722-2214
MS. MOLLY HAGEN
HWS-O
Lim-Liab
V K ARRIGONI WEST
508 SOUTHEAST UNIVERSITY AVE
(21730)
MINNEAPOLIS, MN 55414
PHONE: 612/331-6582
MR. JOE CUOCO
FAX: 612/331-8672
HWS
NProf
VENTURA FLATS
1818 14TH AVENUE SOUTH
(25186)
MINNEAPOLIS, MN 55404
PHONE: 612/871-6370
VITALITY RESIDENTIAL LLC
MR. CHRIS TRAILER
FAX: /-
HWS
NProf
812 21ST AVENUE NORTH
MINNEAPOLIS, MN 55411
PHONE: 571/286-1852
VOLUNTEERS OF AMERICA OF MN
(29315)
FAX: 952/856-5124
NProf
MS. MOLLY HAGEN
HCP-F
7625 METRO BLVD
MINNEAPOLIS, MN 55439
PHONE: 952/945-4144
WALKER HOME SERVICES
(03712)
FAX: 952/945-4106
NProf
MS. ANNA PETERSMEYER
HCP-F
3737 BRYANT AVENUE SOUTH
MINNEAPOLIS, MN 55409
PHONE: 612/827-8363
WALKER METHODIST HEALTH CTR
(02260)
FAX: 612/827-8458
NProf
MS. ANNELIESE PETERSON
NH-330
NF1-22 SNF-NF-308
3737 BRYANT AVENUE SOUTH
MINNEAPOLIS, MN 55409
PHONE: 612/827-5931
WALKER METHODIST PLACE
(00276)
FAX: 612/827-8458
MS. BROOKE VIEGUT
HWSAL
NProf
3701 BRYANT AVENUE SOUTH
MINNEAPOLIS, MN 55409
PHONE: 612/827-8500
(20447)
FAX: 612/827-8535
MR. CHRIS ORR
Minnesota Department of Health
Division of Compliance Monitoring
Page 205
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------­
HWS
NProf
WESTPORT PROPERTIES
Registration
2200 BRYANT AVENUE SOUTH
(25191)
MINNEAPOLIS, MN 55405
PHONE: 612/290-0874
FAX: 612/929-0422
MR. CHRIS TRAILER
HWS
NProf
WEXFORD COMMONS
208 WEST 62ND STREET
(28634)
MINNEAPOLIS, MN 55419
PHONE: 952/473-5750
FAX: 612/869-8093
MR. CHRIS TRAILER
HWS
NProf
WEXFORD COMMONS
206 WEST 62ND STREET
(28135)
MINNEAPOLIS, MN 55419
PHONE: 612/866-4444
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
WEXFORD COMMONS
218 62ND STREET WEST
(27469)
MINNEAPOLIS, MN 55419
PHONE: 612/866-4444
MR. CHRIS TRAILER
FAX: 612/866-5994
HWS
NProf
WEXFORD COMMONS
216 WEST 62ND STREET
(27468)
MINNEAPOLIS, MN 55419
PHONE: 612/866-4444
MR. CHRIS TRAILER
FAX: 612/866-5994
Lim-Liab
WHITTIER PLACE
HWS
HCP-F
2405 FIRST AVENUE SOUTH
(21707)
MINNEAPOLIS, MN 55404
PHONE: 612/872-1926
FAX: 612/872-7757
MS. CARLEEN FLETTRE
HWS
Lim-Liab
WILSON REAL ESTATE
4920 28TH AVENUE SOUTH
(29102)
MINNEAPOLIS, MN 55417
PHONE: 612/710-2548
ZUMBRO HOUSE - SANDER
FAX: /­
MS. JENNIFER WEISSMAN
HWS-O
Corp
5740 SANDER DRIVE
MINNEAPOLIS, MN 55417
PHONE: 651/264-1000
ZUMBRO HOUSE - SANDER #2
(28732)
FAX: 651/264-1002
MR. CHRISTOPHER ONKEN
HWS-O
Corp
5753 SANDER DRIVE
MINNEAPOLIS, MN 55417
PHONE: 651/264-1000
ZUMBRO HOUSE BOSSEN
(28819)
FAX: 651/264-1002
MR. CHRISTOPHER ONKEN
HWS-O
Corp
5753 BOSSEN TERRACE
MINNEAPOLIS, MN 55417
PHONE: 651/264-1000
(29571)
FAX: 651/264-1002
MR. CHRISTOPHER ONKEN
Minnesota Department of Health
Division of Compliance Monitoring
Page
206
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
ASSISTING HANDS OF MINNEAPOLIS
Certification
HENNEPIN
Registration
(Cont.)* -------------------------­
HCP-A
15612 HIGHWAY 7 STE 210
(29882)
MINNETONKA, MN 55345
PHONE: 952/955-9880
FAX: 888/483-7250
AUGUSTANA EMERALD CREST MNTONK
Lim-Liab
MR. KALEB VOLD
HCP-F
13401 LAKE STREET EXTENSION
(29328)
MINNETONKA, MN 55305
PHONE: 952/933-9903
FAX: 952/933-1157
MS. MARGARET OWENS
HWSAL
NProf
AUGUSTANA EMERALD CREST OF MIN
13417 LAKE STREET EXTENSION
(20705)
MINNETONKA, MN 55305
PHONE: 952/856-7522
FAX: 952/933-1157
MS. MARGARET OWENS
HWSAL
NProf
AUGUSTANA EMERALD CREST OF MIN
13401 LAKE STREET EXTENSION
(20563)
MINNETONKA, MN 55305
PHONE: 952/856-7522
MS. MARGARET OWENS
FAX: 952/933-1157
HWSAL
NProf
AUGUSTANA EMERALD CREST OF MIN
13409 LAKE STREET EXTENSION
(20564)
MINNETONKA, MN 55305
PHONE: 952/856-7522
MS. MARGARET OWENS
FAX: 952/933-1157
Corp
BAYADA PEDIATRICS
HCP-A
HHA
10400 YELLOW CIRCLE DR STE 401
(02349)
MINNETONKA, MN 55343
PHONE: 952/935-5581
FAX: /­
MS. RACHEL BAILEY
NProf
BEACON HILL
HCP-F
5300 BEACON HILL ROAD
(27950)
MINNETONKA, MN 55345
PHONE: 952/988-8800
FAX: 952/988-8815
Corp
CARE FULLY SENIOR HOME CARE
MS. NATALIE MORLAND
HCP-B
5044 BIRCH ROAD
(29620)
MINNETONKA, MN 55345
PHONE: 954/914-9232
FAX: /-
MS. JENNIFER PERSAUD
Out Pt Out St Out Ot
NProf
CHILDRENS HC MPLS AMB & REHAB
5950 CLEARWATER DRIVE STE 500
(03491)
MINNETONKA, MN 55343
PHONE: 952/930-8630
CHILDRENS HEALTH CARE SERVICES
FAX: /-
MS. BROOK WHEELER
NProf
Outpt Surg
Amb Surg
6050 CLEARWATER DRIVE
MINNETONKA, MN 55343
PHONE: 952/930-8600
(01665)
FAX: 952/930-8650
MS. GLORIA DRAKE
Minnesota Department of Health
Division of Compliance Monitoring
Page
207
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
COMFORCARE SENIOR SERVICES-MIN
Certification
HENNEPIN
Registration
(Cont.)* -------------------------­
HCP-A
14550 EXCELSIOR BLVD STE 203
(27049)
MINNETONKA, MN 55345
PHONE: 952/767-1687
FAX: 952/935-4030
MR. TERRY GRATHEN
HWSAL
NProf
ELDER HOMESTEAD
11400 FOURTH STREET NORTH
(20104)
MINNETONKA, MN 55343
PHONE: 952/283-2600
FAX: 952/283-2606
Lim-Liab
FREEDOM POINTE MINNETONKA
MS. TARYN BARTZ
HCP-F
HWSAL
500 CARLSON PARKWAY
(20677)
MINNETONKA, MN 55305
PHONE: 952/473-3330
FAX: 952/473-7555
Lim-Liab
GENTLE TOUCH HEALTH INITIATIVE
MS. DONNA FLAATA
HCP-F
5300 WOODHILL ROAD
(28262)
MINNETONKA, MN 55345
PHONE: 952/345-4404
MR. MARK MOILANEN
FAX: 952/345-4402
NProf
GIANNA HOMES SURSUM CORDA
HWS
HCP-F
4605 FAIRHILLS ROAD EAST
(20897)
MINNETONKA, MN 55345
PHONE: 952/988-0953
MS. ANNE HANSEN
FAX: 952/988-6935
Corp
GRISWOLD HOME CARE
HCP-B
15612 HIGHWAY 7 SUITE 239
(28822)
MINNETONKA, MN 55345
PHONE: 952/938-2666
FAX: 952/516-5915
NProf
HAMMER LAKESIDE
MR. PATRICK RUSSELL
ICFIID-6
SLFB-6
5209 MICHAELE LANE
(01594)
MINNETONKA, MN 55345
PHONE: 952/473-1261
FAX: 952/473-8629
Corp
HEALTH CORPS
MS. LISBETH ARMSTRONG
HCP-F
5900 GREEN OAK DRIVE STE 200
(21881)
MINNETONKA, MN 55343
PHONE: 952/926-9808
FAX: 952/926-4002
Corp
HEALTH CORPS
MR. GREG VON ARX
HCP-A
5900 GREEN OAK DR STE 200
(21882)
MINNETONKA, MN 55343
PHONE: 952/926-9808
FAX: 952/926-4002
Lim-Liab
HOMECARE TOUCH
MR. GREG VON ARX
HCP-B
5645 GREEN CIRCLE DR STE 114
(29927)
MINNETONKA, MN 55343
PHONE: 651/503-0386
FAX: /-
MR. SIYAMAK RAHMANI
Minnesota Department of Health
Division of Compliance Monitoring
Page 208
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
(26901)
MINNETONKA, MN 55305
PHONE: 952/546-0616
FAX: 952/593-1778
MS. JUDY HALPER
HWSAL
Lim-Liab
LEGACY CARE HOME II
14814 CROWN DRIVE
(27968)
MINNETONKA, MN 55345
PHONE: 612/597-3153
FAX: 952/938-5401
Lim-Liab
LEGACY CARE HOME LLC
MS. MICHELLE NASH
HWSAL
HCP-F
14900 CROWN DR
(25364)
MINNETONKA, MN 55345
PHONE: 612/597-3153
MS. MICHELLE NASH
FAX: 952/938-5401
Lim-Liab
MINNESOTA EYE LASER & SURGERY
10709 WAYZATA BLVD SUITE 100
(29777)
MINNETONKA, MN 553051530
PHONE: 763/553-1142
MS. MAGGIE LINDSTROM
FAX: 763/553-1137
Corp
MINNETONKA ASSISTED LIVING
HCP-F
14505 MINNETONKA DRIVE
(23866)
MINNETONKA, MN 55345
PHONE: 952/988-0011
FAX: 952/988-0051
Lim-Liab
MINNETONKA ASSISTED LIVING
MR. JONATHAN FENTON
HWSAL
HCP-F
14667 LAKE STREET EXTENSION
(26276)
MINNETONKA, MN 55345
PHONE: 952/405-6960
FAX: 952/456-6466
MR. ABRAHAM SCHWAGER
HWSAL
Corp
MINNETONKA ASSISTED LIVING COM
14505 MINNETONKA DRIVE
(20107)
MINNETONKA, MN 55345
PHONE: 952/988-0011
FAX: 952/988-0151
MS. RENAE WITSCHEN
HWSAL
Lim-Liab
MINNETONKA CARE RESIDENCE
4328 WILLISTON ROAD
(28484)
MINNETONKA, MN 55345
PHONE: 763/550-1774
FAX: 763/559-9155
MS. MARCIA HAMILTON-COTTER
ESRD
Corp
MINNETONKA DIALYSIS UNIT
17809 HUTCHINS DRIVE
(03583)
MINNETONKA, MN 55345
PHONE: 952/470-9944
FAX: /­
MS. BARBARA LAWRENZ
Minnesota Department of Health
Division of Compliance Monitoring
Page 209
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
MORNING GLORY HOMES INC
Corp
Certification
HENNEPIN
Registration
(Cont.)* -------------------------­
HCP-F
18626 CLEARVIEW DRIVE
MINNETONKA, MN 55345
PHONE: 952/294-8121
MORNING GLORY HOMES INC
(29503)
FAX: 952/294-8121
MR. KENNETH KOHN
HWSAL
Corp
18626 CLEARVIEW DRIVE
MINNETONKA, MN 55345
PHONE: 952/294-8121
MY RETIREMENT HOUSE INC
(29504)
FAX: 952/294-8121
Corp
MR. KENNETH KOHN
HCP-A
11705 LIVE OAK DRIVE
MINNETONKA, MN 55305
PHONE: 952/546-0100
MY RETIREMENT HOUSE INC
(27494)
FAX: 952/591-7663
MR. JAY SHAHIDI
HWSAL
Corp
11705 LIVE OAK DRIVE
MINNETONKA, MN 55305
PHONE: 952/546-0100
MY RETIREMENT HOUSE INC
(27858)
MR. MEHR SHAHIDI
FAX: 952/591-7663
Corp
HCP-F
11705 LIVE OAK DRIVE
MINNETONKA, MN 55305
PHONE: 952/546-0100
MY RETIREMENT HOUSE INC
(26828)
MR. MEHR SHAHIDI
FAX: 952/591-7663
HWSAL
Corp
2304 RIVENDELL LANE
MINNETONKA, MN 55305
PHONE: 952/546-0100
NIGHTINGALE HOME HEALTH CARE
(29816)
FAX: 952/591-7663
Corp
MR. MEHR SHAHIDI
HCP-A
HHA
10550 WAYZATA BLVD STE 1
MINNETONKA, MN 55305
PHONE: 763/545-3131
NURTURING CARE
(23521)
FAX: 866/878-0094
MR. PAT O'NEIL
HWSAL
Corp
4441 HUNTER RIDGE
MINNETONKA, MN 55345
PHONE: 952/688-1106
PAMELA J COLEMAN
(24965)
FAX: 763/201-7821
MS. TINA HAUGSTAD
Home Mgmt
Ind
10501 CEDAR LAKE ROAD #319
MINNETONKA, MN 55305
PHONE: 612/816-8818
PEDIATECH NURSING
(29471)
FAX: 763/541-1774
Lim-Liab
MS. PAMELA COLEMAN
HCP-A
601 CARLSON PARKWAY STE 1050
MINNETONKA, MN 55305
PHONE: 952/449-5282
(27859)
FAX: 952/449-5283
MS. LARRAINE O'MALLEY
Minnesota Department of Health
Division of Compliance Monitoring
Page 210
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------­
HWSAL
NProf
PHS/BEACON HILL INC
Registration
5300 BEACON HILL ROAD
(20025)
MINNETONKA, MN 55345
PHONE: 952/988-8800
FAX: 952/988-8815
MS. KAREN CASPER- ROBESON
HWSAL
NProf
RAKHMA GRACE HOME
5126 MAYVIEW ROAD
(20102)
MINNETONKA, MN 55345
PHONE: 612/824-2345
FAX: 612/824-3165
Corp
RECOVER HEALTH
MS. SUSAN ECKSTROM
HCP-A
HHA
5900 GREEN OAK DR STE 200
(02478)
MINNETONKA, MN 55343
PHONE: 952/926-9808
FAX: 952/926-4002
Corp
REM HENNEPIN (MINNETONKA)
MR. GREG VON ARX
ICFIID-15
SLFA-15
21 WESTWOOD ROAD
(01403)
MINNETONKA, MN 55305
PHONE: 763/852-5325
MS. CONNIE MENNE
FAX: 763/852-5350
Out Pt Out St Out Ot
NProf
ST DAVIDS CHILD DEV FAMILY SRV
3395 PLYMOUTH ROAD
(03487)
MINNETONKA, MN 55305
PHONE: 952/939-0396
ST JOHN HOME CARE
MS. BEA BROGAARD
FAX: /­
Lim-Liab
HCP-A
1502 ARCHWOOD ROAD
MINNETONKA, MN 55305
PHONE: 612/245-3474
ST JOHN HOME CARE LLC
(27997)
FAX: 952/545-6411
Lim-Liab
MS. MOPELOLA AKINLOYE
HWS
HCP-F
1502 ARCHWOOD ROAD
MINNETONKA, MN 55305
PHONE: 952/300-1067
STEVENS RESIDENCE
(27697)
FAX: 952/545-6411
MS. MOPELOLA AKINLOYE
HWSAL
Lim-Liab
3704 CARDINAL ROAD
MINNETONKA, MN 55345
PHONE: 952/930-9144
SUNRISE OF MINNETONKA
(20517)
FAX: 952/930-9184
MS. ANNE FINSTAD
HWSAL
Part
18605 OLD EXCELSIOR BLVD
MINNETONKA, MN 55345
PHONE: 952/474-9155
SUNRISE OF MINNETONKA
(24010)
FAX: 952/474-9171
Corp
MS. YOUNG BEBUS
HCP-F
18605 OLD EXCELSIOR BLVD
MINNETONKA, MN 55345
PHONE: 952/474-9155
(24011)
FAX: 952/474-9171
MR. YOUNG BEBUS
Minnesota Department of Health
Division of Compliance Monitoring
Page 211
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------­
HWSAL
Lim-Liab
THE GLENN BY ST THERESE SOUTHW
Registration
5300 WOODHILL ROAD
(28261)
MINNETONKA, MN 55345
PHONE: 952/345-4404
FAX: 952/345-4402
Lim-Liab
TLC AGENCIES LLC
MR. DONALD FLACK
HCP-A
15830 LAKE STREET EXTENSION
(28093)
MINNETONKA, MN 55345
PHONE: 651/307-0249
UNICARE HEALTH SERVICES LLC
FAX: /­
MR. AUGUSTINE FALLAH
Lim-Liab
HCP-A
6142 CREEKVIEW TRL
MINNETONKA, MN 55345
PHONE: 763/438-6593
VOA HOME HEALTH AT ELDER HOMES
(29160)
FAX: 404/254-1831
NProf
MR. OSMAN DIRIE
HCP-A
11400 4TH STREET NORTH
MINNETONKA, MN 55343
PHONE: 952/933-1752
VOA HOME HLTH AT ELDER HMSTED
(23745)
MS. TARYN BARTZ
FAX: 952/933-0730
NProf
HCP-F
11400 4TH STREET NORTH
MINNETONKA, MN 55343
PHONE: 952/283-2600
WESTRIDGE SENIOR HOUSING INC
(23500)
MS. TARYN BARTZ
FAX: 952/283-2606
HWS
NProf
11201 FAIRFIELD ROAD
MINNETONKA, MN 55305
PHONE: 952/512-0547
WOODLAND HILLS RES CRE HME INC
(28076)
FAX: 952/512-1563
Corp
MS. PEGGY HARNDEN
HWS
HCP-F
16624 ELM DRIVE
MINNETONKA, MN 55345
PHONE: 952/681-7791
WOODLAND HILLS RESIDENTIAL CAR
(23610)
FAX: 952/933-3754
MR. COREY HUSON
HWS
Corp
5215 ROGERS DRIVE
MINNETONKA, MN 55343
PHONE: 952/933-9749
LOVING CARE BY MARTHA
(24824)
FAX: 952/933-3754
Ind
MRS. TRACY HUSON
HCP-A
6251 WESTEDGE BOULEVARD
MOUND, MN 55364
PHONE: 952/472-1756
SOJOURN SUITES LLC
(25311)
FAX: 952/472-1756
MS. MARTHA ASHBAUGH
HWSAL
Lim-Liab
2895 WESTEDGE BLVD
MOUND, MN 55364
PHONE: 952/472-6642
(24342)
FAX: 952/400-3542
MR. THOMAS PENN
Minnesota Department of Health
Division of Compliance Monitoring
Page 212
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
SOJOURN SUITES LLC HALSTEAD
Certification
HENNEPIN
Registration
(Cont.)* -------------------------­
HWS
Lim-Liab
2670 HALSTEAD LANE
MOUND, MN 55364
PHONE: 612/790-9292
SOJOURN SUITES LYNWOOD
(29876)
FAX: 952/400-3542
MR. TOM PENN
HWSAL-O
Lim-Liab
5724 LYNWOOD BOULEVARD
MOUND, MN 55364
PHONE: 952/473-1810
TRANQUIL LIVING
(27232)
FAX: 952/400-3542
Corp
MR. THOMAS PENN
HCP-A
4784 NORTHERN ROAD
MOUND, MN 55364
PHONE: 952/361-0080
3K'S HOMECARE LLC
(21554)
FAX: 952/448-1996
Lim-Liab
MR. BRYANT SLOSS
HCP-A
7600 BASS LAKE ROAD STE 101
NEW HOPE, MN 55428
PHONE: 763/544-3148
ASSISTED LIVING AT NORTH RIDGE
(24828)
FAX: 763/544-3149
MS. NORLANE SLOAN
HWSAL
Lim-Liab
5500 BOONE AVENUE NORTH
NEW HOPE, MN 55428
PHONE: 763/592-4000
BASS LAKE APARTMENTS
(20257)
FAX: 763/592-4099
MS. PAULA CASTLE
HWS-O
NProf
7610 BASS LAKE ROAD
NEW HOPE, MN 55428
PHONE: 612/455-5100
BASS LAKE COURT TOWNHOMES
(29294)
FAX: 612/455-5101
MS. LESLIE ANGEL
HWS-O
NProf
7360 BASS LAKE ROAD
NEW HOPE, MN 55428
PHONE: 612/455-5131
BASS LAKE COURT TOWNHOMES
(24492)
FAX: 612/455-5101
MS. LESLIE ANGEL
HWS-O
NProf
7378 BASS LAKE ROAD
NEW HOPE, MN 55428
PHONE: 612/455-5131
BASS LAKE TOWNHOMES
(26524)
FAX: 612/455-5101
MS. LESLIE ANGEL
HWS-O
NProf
7302 BASS LAKE ROAD
NEW HOPE, MN 55428
PHONE: 612/455-5131
BRIDGE INVESTMENTS
(23642)
FAX: 612/455-5101
MS. LESLIE ANGEL
HWS
NProf
7335 62ND AVENUE NORTH
NEW HOPE, MN 55428
PHONE: 952/890-7727
(27265)
FAX: 952/897-8097
MS. MOLLY HAGEN
Minnesota Department of Health
Division of Compliance Monitoring
Page 213
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------­
Out Pt Out St Out Ot
Corp
CAPERNAUM PEDIATRIC THERAPY
Registration
9220 BASS LAKE ROAD SUITE 260
(03719)
NEW HOPE, MN 55428
PHONE: 763/533-0363
FAX: 763/533-0842
MS. BONNA OLSON
HWSAL
Corp
EMPOWERMENT HC BENS HOUSE
5337 OREGON AVENUE NORTH
(28278)
NEW HOPE, MN 55428
PHONE: 763/205-2691
FAX: /-
MR. ROGER BONNY
NProf
GOOD SAM SOCIETY AMBASSADOR
NH-85
SNF-NF-85
8100 MEDICINE LAKE ROAD
(00898)
NEW HOPE, MN 55427
PHONE: 763/544-4171
FAX: 763/591-7191
Lim-Liab
HOME HEALTH AT NORTH RIDGE
MS. MARIE BARTA
HCP-A
5500 BOONE AVENUE NORTH
(02852)
NEW HOPE, MN 55428
PHONE: 763/592-3000
MS. PAULA CASTLE
FAX: 763/592-4099
Lim-Liab
KING DAVID RESIDENCE
HCP-F
7601 36TH AVENUE NORTH STE 210
(29655)
NEW HOPE, MN 55427
PHONE: 763/710-9793
MS. AYESHA BOBRAY
FAX: 763/951-3812
HWS
Lim-Liab
KING DAVID RESIDENCES
7601 36TH AVENUE NORTH STE 210
(30084)
NEW HOPE, MN 55427
PHONE: 763/710-9793
FAX: 763/951-3812
MS. JOYCE SMITH
Home Mgmt
Lim-Liab
KING DAVID RESIDENCES
7601 36TH AVE N #210
(29153)
NEW HOPE, MN 55427
PHONE: 763/710-9793
FAX: 763/951-3812
Lim-Liab
KING DAVID RESIDENCES
MS. AYESHA BOBRAY
HCP-A
7601 36TH AVENUE NORTH STE 210
(29823)
NEW HOPE, MN 55427
PHONE: 763/710-9793
FAX: 763/951-3812
Corp
LIFE HEALTH CARE INC
MS. JOYCE SMITH
HCP-A
2738 WINNETKA AVENUE N #150N
(29541)
NEW HOPE, MN 55427
PHONE: 763/546-1489
FAX: 763/546-1513
Lim-Liab
LINKEDIN HOME HEALTH CARE LLC
MR. DANIEL GBOEAH
HCP-A
2738 WINNETKA AVE N STE 150M1
(29604)
NEW HOPE, MN 55427
PHONE: 763/464-9951
FAX: /­
MR. WILLIAM DAVIS
Minnesota Department of Health
Division of Compliance Monitoring
Page
214
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
MTAI MINNEHAHA CREEK
Certification
HENNEPIN
Registration
(Cont.)* -------------------------­
ICFIID-5
SLFA-5
8949 48TH AVENUE NORTH
(01563)
NEW HOPE, MN 55428
PHONE: 763/537-9220
FAX: 763/537-6416
Corp
N & V HELPFUL HEART CARE INC
MS. MARY TJOSVOLD
HCP-F
6024 WINNETKA AVENUE NORTH
(29409)
NEW HOPE, MN 55428
PHONE: 763/442-0460
FAX: 206/666-2482
MS. VERA DIXON
HWSAL
Corp
N & V HELPFUL HEART CARE INC
6024 WINNETKA AVENUE NORTH
(29410)
NEW HOPE, MN 55428
PHONE: 763/442-0460
FAX: 206/666-2482
MS. VERA DIXON
ESRD
Corp
NEW HOPE DIALYSIS CENTER
5640 INTERNATIONAL PKWY
(24101)
NEW HOPE, MN 55428
PHONE: 763/537-0300
MS. FRAN SOCASH
FAX: 763/537-0340
HWSAL
NProf
NORTH PARK PLAZA APARTMENTS
8201 45TH AVENUE NORTH
(21616)
NEW HOPE, MN 55428
PHONE: 651/699-6050
MS. ANNA PETERSMEYER
FAX: 763/535-3286
Lim-Liab
NORTH RIDGE HEALTH AND REHAB
NH-351
SNF-NF-351
5430 BOONE AVENUE NORTH
(00238)
NEW HOPE, MN 55428
PHONE: 763/592-2610
FAX: 763/592-2999
MS. KIM PEDERSON
HWS
NProf
NORTHUMBERLAND
4220 WINNETKA AVENUE NORTH
(28530)
NEW HOPE, MN 55428
PHONE: 763/535-0324
FAX: /­
MS. STACEY RAY
HWS
NProf
NORTHUMBERLAND APARTMENTS
4224 WINNETKA AVENUE NORTH
(28477)
NEW HOPE, MN 55428
PHONE: 763/535-0324
NURTURING CARE
FAX: /­
MS. STACEY RAY
Corp
HCP-F
7760 48 AVENUE NORTH
NEW HOPE, MN 55428
PHONE: 952/688-1106
RELIABLE HOMECARE
(24964)
FAX: 763/201-7821
Lim-Liab
MS. TINA HAUGSTAD
HCP-A
4113 JORDAN AVENUE NORTH
NEW HOPE, MN 55427
PHONE: 763/218-4147
(29414)
FAX: 888/411-6807
MR. MICHAEL PADMORE
Minnesota Department of Health
Division of Compliance Monitoring
Page 215
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
ST THERESE AT HOME SOLUTIONS
Certification
HENNEPIN
Registration
(Cont.)* -------------------------­
Home Mgmt
Lim-Liab
8000 BASS LAKE ROAD
NEW HOPE, MN 55428
PHONE: 952/292-5801
ST THERESE HOME
(24373)
FAX: 952/224-0991
NProf
MS. KRISTIN KOPP
NH-258
SNF-NF-258
8000 BASS LAKE ROAD
NEW HOPE, MN 55428
PHONE: 763/531-5085
ST THERESE RESIDENCE
(00261)
FAX: 763/531-5475
MS. BARB RODE-INTERIM
HWSAL
NProf
8008 BASS LAKE ROAD
NEW HOPE, MN 55428
PHONE: 763/531-5400
ST THERESE RESIDENCE NURSING
(20141)
FAX: 763/531-5468
NProf
MS. SUSAN BRENDEFUR
HCP-A
8008 BASS LAKE ROAD
NEW HOPE, MN 55428
PHONE: 763/531-5400
THE CARING SISTERS HOME CARE S
(03020)
MS. SUSAN BRENDEFUR
FAX: 763/531-5468
HWS
Corp
2916 WINNETKA AVENUE NORTH
NEW HOPE, MN 55427
PHONE: 763/533-6822
TJ HEALTH SERVICES LLP
(29359)
MR. OLALEYE BECKLEY
FAX: 952/426-4691
Part
HCP-A
8015 36TH AVE N #319
NEW HOPE, MN 55427
PHONE: 612/644-5769
TOTALCARE ASSISTED LIVING SERV
(29150)
FAX: 763/546-1828
Corp
MR. JAMES FLAH
HCP-F
2730 WINNETKA AVENUE NORTH
NEW HOPE, MN 55428
PHONE: 763/205-1702
TOTALCARE ASSISTED LIVING SERV
(24859)
FAX: 763/205-1703
MS. ESTHER CHUNG
HWSAL
Lim-Liab
2730 WINNETKA AVENUE NORTH
NEW HOPE, MN 55428
PHONE: 763/205-7102
TOUCHSTONE ASSISTED LIVING APA
(25459)
FAX: 763/205-1703
MRS. NNENNA ANYAOGU
HWSAL-O
NProf
7376 BASS LAKE ROAD
NEW HOPE, MN 55428
PHONE: 763/536-8134
TOUCHSTONE ASSISTED LIVNG APTS
(23487)
FAX: 763/536-8893
NProf
MS. MARTHA LANTZ
HCP-F
7376 BASS LAKE ROAD
NEW HOPE, MN 55428
PHONE: 612/874-6409
(23337)
FAX: 612/874-0157
MS. MARTHA LANTZ
Minnesota Department of Health
Division of Compliance Monitoring
Page
216
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
EBENEZER HOME CARE
Corp
Certification
HENNEPIN
Registration
(Cont.)* -------------------------­
HCP-F
875 WAYZATA BOULEVARD
ORONO, MN 55391
PHONE: 952/473-6655
TRAILS OF ORONO
(28636)
FAX: 952/473-6677
MS. CHERYL KLINKHAMMER
HWSAL
Lim-Liab
875 WAYZATA BOULEVARD
ORONO, MN 55391
PHONE: 952/473-6655
BENEDICTINE SR LIV STEEPLE PTE
(28637)
FAX: 952/473-6677
NProf
MS. CHERYL KLINKHAMMER
HCP-F
HWSAL
625 CENTRAL AVENUE
OSSEO, MN 55369
PHONE: 763/425-4440
COMFORT KEEPERS
(20531)
FAX: 763/391-0747
Lim-Liab
MS. STEPHANIE RITTER
HCP-A
535 CENTRAL AVENUE
OSSEO, MN 55369
PHONE: 763/273-4207
OSSEO GARDENS ASSISTED LIVING
(23394)
MS. KELLY LINDELL
FAX: 763/273-4209
HWSAL
Lim-Liab
525 SECOND STREET SOUTHEAST
OSSEO, MN 55369
PHONE: 763/315-4869
THE VILLA OF OSSEO
(21206)
MR. CHARLES PETRICH
FAX: 763/315-0050
Lim-Liab
BCH-115
NF2-115
501 SECOND STREET SOUTHEAST
OSSEO, MN 55369
PHONE: 763/425-3939
CARE HOME PARTNERS
(00733)
FAX: 763/424-2777
Corp
MR. THOMAS PAUL
HCP-A
6055 NATHAN LANE NORTH STE 200
PLYMOUTH, MN 55442
PHONE: 763/248-7609
CARE HOME PARTNERS
(29706)
FAX: 763/248-7631
Corp
MR. TIM WEIPPERT
HCP-F
6055 NATHAN LANE NORTH STE 200
PLYMOUTH, MN 55442
PHONE: 763/248-7609
CLARE BRIDGE OF PLYMOUTH
(29707)
FAX: 763/248-7631
Corp
MR. TIM WEIPPERT
HWSAL
HCP-F
15855 22ND AVENUE NORTH
PLYMOUTH, MN 55447
PHONE: 763/476-8200
CORNERSTONE ASSISTED LIVING
(20537)
FAX: 763/476-5900
NProf
MS. KRISTI KELLER-SMITH
HWSAL
HCP-F
3750 LAWNDALE LANE NORTH
PLYMOUTH, MN 55446
PHONE: 763/550-0333
(23083)
FAX: 763/390-1888
MS. DIANE LYNCH
Minnesota Department of Health
Division of Compliance Monitoring
Page 217
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
DUNGARVIN CHAI
Lim-Liab
Certification
HENNEPIN
Registration
(Cont.)* -------------------------­
SLFA-6
1210 OAKVIEW LANE NORTH
PLYMOUTH, MN 55441
PHONE: 651/699-6050
GIANNA HOMES GLADYS PLACE LLC
(01211)
FAX: 651/699-7265
Lim-Liab
MS. NATALIE GRAF
HCP-F
10210 28TH AVENUE NORTH
PLYMOUTH, MN 55441
PHONE: 952/988-0953
GIANNA HOMES GLADYS PLACE LLC
(30017)
FAX: 952/988-6935
MS. ANNE MARIE HANSEN
HWSAL
Lim-Liab
10210 28TH AVENUE NORTH
PLYMOUTH, MN 55441
PHONE: 952/988-0953
HAMMER KENTUCKY
(30018)
FAX: 952/988-6935
NProf
MS. ANNE MARIE HANSEN
ICFIID-6
SLFA-6
18115 30TH AVE N
PLYMOUTH, MN 55447
PHONE: 952/473-1261
HAMMER MCGLINCH
(01581)
MS. LISBETH ARMSTRONG
FAX: 952/473-8629
NProf
ICFIID-6
SLFB-6
18300 26TH AVE N
PLYMOUTH, MN 55447
PHONE: 952/473-1261
HAZELDEN CTR FOR YOUTH & FAMIL
(01669)
MS. LISBETH ARMSTRONG
FAX: 952/473-8629
NProf
SLFB-6
11505 36TH AVENUE NORTH
PLYMOUTH, MN 55441
PHONE: 651/213-4217
HOME CARE SOLUTIONS
(01367)
FAX: 651/213-4738
Corp
MR. JIM STEINHAGEN
HCP-A
3390 ANNAPOLIS LANE SUITE A
PLYMOUTH, MN 55447
PHONE: 763/231-9000
HOMEWARD BOUND PLYMOUTH
(03628)
FAX: 763/231-9004
NProf
MS. TAMARA SULLIVAN
ICFIID-6
SLFB-6
13522 SUNSET TRAIL
PLYMOUTH, MN 55441
PHONE: 763/746-4850
ILBNC SPECIAL PROCEDURES
(01583)
FAX: 763/528-8048
Corp
MS. CHERYL FOLEY
Outpt Surg
Amb Surg
15700 37TH AVE NO SUITE 210
PLYMOUTH, MN 55446
PHONE: 952/814-6644
JOYFUL COMPANIONS HOME CARE
(23976)
FAX: 952/814-6744
MR. MICHAEL BUTLER
Home Mgmt
Corp
10700 OLD CTY ROAD 15 STE 290
PLYMOUTH, MN 55441
PHONE: 763/544-0401
(25429)
FAX: 763/746-8156
MS. JERI GORT
Minnesota Department of Health
Division of Compliance Monitoring
Page
218
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------­
Home Mgmt
Ind
MIRIAM PARADA SERBER & DAVID W
Registration
9709 27TH AVENUE NORTH
(27948)
PLYMOUTH, MN 55441
PHONE: 612/284-1936
FAX: /­
MS. MIRIAM SERBER
NProf
MISSION DETOX CENTER
SLFB-21
3409 EAST MEDICINE LAKE BLVD
(01384)
PLYMOUTH, MN 55441
PHONE: 763/559-1402
FAX: 763/559-2559
NProf
MISSION NURSING HOME
MR. BRIAN ZIRBES
NH-97
SNF-NF-97
3401 EAST MEDICINE LAKE BLVD
(00235)
PLYMOUTH, MN 55441
PHONE: 763/559-3123
FAX: 763/559-0604
Corp
MNGI ENDOSCOPY PLYMOUTH
MR. TIMOTHY MEYER
Outpt Surg
Amb Surg
15700 37TH AVE NO SUITE 300
(21575)
PLYMOUTH, MN 55446
PHONE: 612/871-1145
DR. SCOTT KETOVER
FAX: 612/870-5525
Corp
ON BELAY HOUSE
SLFA-20
115 FORESTVIEW LANE NORTH
(01293)
PLYMOUTH, MN 55441
PHONE: 763/546-8008
MS. MELISSA BROGGER
FAX: 763/546-7674
NProf
OUTREACH PLYMOUTH HOME EAST
ICFIID-6
SLFB-6
11550 52ND AVENUE NORTH
(01471)
PLYMOUTH, MN 55442
PHONE: 763/208-4889
FAX: 763/208-4890
NProf
OUTREACH PLYMOUTH HOME WEST
MS. MARY TJOSVOLD
ICFIID-6
SLFA-6
2735 OLIVE LANE NORTH
(01301)
PLYMOUTH, MN 55447
PHONE: 763/473-7182
FAX: 763/473-0072
PRESBYTERIAN HOMES SUMMERWOOD
MS. MARY TJOSVOLD
HWSAL
NProf
16205 36TH AVENUE NORTH
PLYMOUTH, MN 55446
PHONE: 763/383-8888
PRO MEDICAL SERVICES INC
(21983)
FAX: 763/383-0032
Corp
MS. SHELLI BAKKEN
HCP-A
4190 VINEWOOD LANE NORTH #111
PLYMOUTH, MN 55442
PHONE: 763/390-2561
PRO MEDICAL STAFFING INC
(27879)
FAX: 763/494-6664
MS. NOELA SUHFOR
Home Mgmt
Corp
4190 VINEWOOD LANE NORTH #111
PLYMOUTH, MN 554421771
PHONE: 763/420-3183
(29653)
FAX: 763/494-6664
MS. NOELA SUHFOR
Minnesota Department of Health
Division of Compliance Monitoring
Page 219
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
RIGHT AT HOME
Certification
HENNEPIN
Registration
(Cont.)* -------------------------­
HCP-B
3140 HARBOR LANE #220
(25545)
PLYMOUTH, MN 55447
PHONE: 763/559-9733
FAX: 888/896-9894
MS. KIM STENDER
Home Mgmt
Corp
SENIORS CHOICE AT HOME
9909 S SHORE DRIVE SUITE 1A
(03542)
PLYMOUTH, MN 55441
PHONE: 763/546-1599
FAX: 763/546-2271
MR. JAMES AGRIMSON
Home Mgmt
Lim-Liab
SENIORS HELPING SENIORS
14565 41ST AVENUE NORTH
(28740)
PLYMOUTH, MN 55446
PHONE: 763/694-0165
FAX: 763/694-0165
Lim-Liab
SUMMERWOOD OF PLYMOUTH
MS. CHERI NISPEL
HCP-F
16205 36TH AVENUE NORTH
(27963)
PLYMOUTH, MN 55446
PHONE: 763/383-8888
MS. NATALIE MORLAND
FAX: 763/383-0032
Lim-Liab
TFF CARE LLC
HCP-F
3675 PLYMOUTH BLVD #100
(20297)
PLYMOUTH, MN 55446
PHONE: 763/231-3500
MS. LUCINDA GARDNER
FAX: 763/231-3519
Lim-Liab
THE WATERS OF PLYMOUTH
HCP-F
11305 HIGHWAY 55
(29555)
PLYMOUTH, MN 55441
PHONE: 952/358-5100
FAX: 952/358-5151
MR. KYLE DIDIER
HWSAL
Lim-Liab
THE WATERS OF PLYMOUTH
11305 HIGHWAY 55
(29556)
PLYMOUTH, MN 55441
PHONE: 952/358-5100
FAX: 952/358-5151
NProf
WESTHEALTH INC
MR. KYLE DIDIER
Outpt Surg
Amb Surg
2855 CAMPUS DRIVE STE 465
(00417)
PLYMOUTH, MN 55441
PHONE: 763/577-7125
FAX: 763/577-7130
MS. JENNIFER STANEK
HWS
NProf
420 73RD STREET EAST
420 73RD STREET EAST
(29199)
RICHFIELD, MN 55423
PHONE: 612/799-7885
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
6421 E PLEASANT AVENUE SOUTH
6421 E PLEASANT AVENUE SOUTH
(25667)
RICHFIELD, MN 55423
PHONE: 612/204-8319
FAX: /­
MS. STACEY RAY
Minnesota Department of Health
Division of Compliance Monitoring
Page 220
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------­
HWS
NProf
6429 PLEASANT AVENUE SOUTH
Registration
6429 PLEASANT AVENUE SOUTH
(27591)
RICHFIELD, MN 55423
PHONE: 612/722-7714
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
6526 OLIVER AVENUE SOUTH
6526 OLIVER AVENUE SOUTH
(27318)
RICHFIELD, MN 55423
PHONE: 952/941-2400
FAX: 952/941-2413
MR. CHRIS TRAILER
HWS
NProf
6601 5TH AVENUE SOUTH
6601 5TH AVENUE SOUTH
(25666)
RICHFIELD, MN 55423
PHONE: 612/204-8319
FAX: /-
MS. STACEY RAY
HWS
NProf
6730 CEDAR AVE S
6730 CEDAR AVE S
(29868)
RICHFIELD, MN 55423
PHONE: 612/866-7560
MR. CHRIS TRAILER
FAX: /-
HWS
NProf
7145 CHICAGO AVENUE SOUTH
7145 CHICAGO AVENUE SOUTH
(28860)
RICHFIELD, MN 55423
PHONE: 752/297-6626
MR. CHRIS TRAILER
FAX: /-
HWS
NProf
7600 CEDAR AVENUE SOUTH
7600 CEDAR AVENUE SOUTH
(25597)
RICHFIELD, MN 55423
PHONE: 612/834-0027
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
7601 18TH AVENUE SOUTH
7601 18TH AVENUE SOUTH
(25625)
RICHFIELD, MN 55423
PHONE: 612/834-0027
FAX: 952/897-1153
MR. CHRIS TRAILER
HWS
NProf
7625 18TH AVENUE SOUTH
7625 18TH AVENUE SOUTH
(27025)
RICHFIELD, MN 55423
PHONE: 612/204-8319
FAX: /-
MS. STACEY RAY
NProf
AVINITY HOME CARE
HCP-F
7645 LYNDALE AVENUE SOUTH #110
(20226)
RICHFIELD, MN 55423
PHONE: 612/243-4583
FAX: 612/861-2149
Ind
BRENDA JOHNSON
MS. BARBARA KUHLMAN
HCP-C
7145 OAKLAND AVENUE SOUTH
(03303)
RICHFIELD, MN 55423
PHONE: 612/861-3398
FAX: /­
MS. BRENDA JOHNSON
Minnesota Department of Health
Division of Compliance Monitoring
Page 221
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------­
HWSAL
Lim-Liab
CHEZ VOUS HOME CARE LLC
Registration
7620 NICOLLET AVENUE SOUTH
(26655)
RICHFIELD, MN 55423
PHONE: 612/220-8052
FAX: 612/259-7440
MR. JOHN ARRELL
HWS
NProf
CROSSROADS AT PENN
7610 PENN AVENUE SOUTH
(27019)
RICHFIELD, MN 55423
PHONE: 612/204-8319
FAX: /-
MS. STACEY RAY
HWS
NProf
CROSSROADS AT PENN
7720 PENN AVENUE SOUTH
(26445)
RICHFIELD, MN 55423
PHONE: 612/866-9987
FAX: 612/866-4937
MR. CHRIS TRAILER
HWS
NProf
CROSSROADS AT PENN
7700 PENN AVENUE SOUTH
(27122)
RICHFIELD, MN 55423
PHONE: 612/204-8319
MS. STACEY RAY
FAX: /-
HWS
NProf
CROSSROADS AT PENN
7600 SOUTH PENN AVENUE
(28152)
RICHFIELD, MN 55423
PHONE: 612/866-7628
MS. STACEY RAY
FAX: /-
HWS
NProf
CROSSROADS AT PENN
7710 SOUTH PENN AVENUE
(28188)
RICHFIELD, MN 55423
PHONE: 612/204-8319
FAX: /­
MS. STACEY RAY
Corp
CRYSTAL CARE HOME HLTH SRV INC
HCP-A
HHA
6461 LYNDALE AVENUE SOUTH
(20616)
RICHFIELD, MN 55423
PHONE: 612/861-4272
FAX: 612/605-0078
NProf
CSSC HOME CARE SERVICES
MS. SALLY KNUTSON
HCP-B
6632 PENN AVENUE SOUTH
(29538)
RICHFIELD, MN 55423
PHONE: 612/529-2602
FAX: 612/465-2733
MS. YI LI YOU
Out Pt Out St Out Ot
NProf
FRASER COMMUNITY SERVICES
2400 WEST 64TH STREET
(02508)
RICHFIELD, MN 55423
PHONE: 612/861-1688
GOLDEN NEST LLC
FAX: /­
MS. DIANE CROSS
HWSAL
Lim-Liab
6733 EMERSON AVENUE SOUTH
RICHFIELD, MN 55423
PHONE: 612/861-7509
(23666)
FAX: 612/861-7509
MS. JUNGHEE YUN
Minnesota Department of Health
Division of Compliance Monitoring
Page 222
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
GRACE HOME HEALTH CARE LLC
Certification
HENNEPIN
Registration
(Cont.)* -------------------------­
HCP-J
1520 E 66TH ST SUITE #3
(30161)
RICHFIELD, MN 55423
PHONE: 612/298-0609
FAX: /­
MS. HAMDI AFYARE
Lim-Liab
HELPING HANDS GROUP HOME
HCP-A
6711 14TH AVENUE SOUTH
(29152)
RICHFIELD, MN 55423
PHONE: 952/688-2345
FAX: /­
MS. TINA BONKAT
HWSAL
Lim-Liab
HELPING HANDS GROUP HOME
6711 14TH AVENUE SOUTH
(29151)
RICHFIELD, MN 55423
PHONE: 952/688-2345
FAX: /-
MS. TINA BONKAT
HWS
NProf
HUB APARTMENTS
200 65TH STREET WEST
(27125)
RICHFIELD, MN 55423
PHONE: 952/473-5750
MR. CHRIS TRAILER
FAX: 612/869-8093
Ind
JUDITH A BEYER
HCP-C
7221 HARRIET AVENUE SOUTH
(02944)
RICHFIELD, MN 55423
PHONE: 612/866-0805
MS. JUDITH BEYER
FAX: /­
Home Mgmt
Lim-Liab
KANG LE HOME HEALTH CARE
6632 PENN AVE S STE 201
(30169)
RICHFIELD, MN 55423
PHONE: 612/207-6825
LYNDALE GARDEN
FAX: /-
MR. HUAN GAO
HWS
NProf
6301 LYNDALE AVENUE SOUTH
RICHFIELD, MN 55423
PHONE: 612/866-8652
LYNDALE GARDENS
(25596)
FAX: 612/869-8093
MR. CHRIS TRAILER
HWS
NProf
6335 LYNDALE AVENUE SOUTH
RICHFIELD, MN 55423
PHONE: 612/866-8652
LYNDALE GARDENS
(27319)
FAX: 612/869-8093
MR. CHRIS TRAILER
HWS
NProf
6325 LYNDALE AVENUE SOUTH
RICHFIELD, MN 55423
PHONE: 612/866-8652
LYNDALE GARDENS APARTMENTS
(26110)
FAX: 612/869-8093
MR. CHRIS TRAILER
HWS
NProf
6315 LYNDALE AVENUE SOUTH
RICHFIELD, MN 55423
PHONE: 612/866-8652
(26128)
FAX: 612/869-8093
MR. CHRIS TRAILER
Minnesota Department of Health
Division of Compliance Monitoring
Page 223
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------­
HWS
NProf
LYNWOOD COMMONS
Registration
7435 LYNDALE AVENUE SOUTH
(26282)
RICHFIELD, MN 55423
PHONE: 612/866-2527
FAX: 612/866-2529
MR. CHRIS TRAILER
HWS
NProf
LYNWOOD COMMONS
7515 LYNDALE AVENUE SOUTH
(27271)
RICHFIELD, MN 55423
PHONE: 612/866-2527
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
LYNWOOD COMMONS
7501 LYNDALE AVENUE SOUTH
(27270)
RICHFIELD, MN 55423
PHONE: 612/866-2527
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
LYNWOOD COMMONS
7521 LYNDALE AVENUE SOUTH
(27272)
RICHFIELD, MN 55423
PHONE: 612/866-2527
MR. CHRIS TRAILER
FAX: /-
HWS
NProf
LYNWOOD COMMONS
7445 LYNDALE AVE SOUTH
(27865)
RICHFIELD, MN 55423
PHONE: 612/866-2527
MAINSTREET VILLAGE
MR. CHRIS TRAILER
FAX: /-
HWSAL
NProf
7601 LYNDALE AVENUE SOUTH
RICHFIELD, MN 55423
PHONE: 612/869-6584
MARKET PLAZA HOUSING LTD PARTN
(21184)
FAX: 612/869-6843
MS. BARBARA KULMAN
HWSAL
Part
6501 WOODLAKE DRIVE
RICHFIELD, MN 55423
PHONE: 612/861-1186
PENN AVENUE APARTMENTS
(20869)
FAX: 612/861-1779
MS. ANNE JANDA
HWS
NProf
7420 PENN AVENUE SOUTH
RICHFIELD, MN 55423
PHONE: 952/473-5750
PROGRESS VALLEY II
(27126)
FAX: 612/869-8093
NProf
MR. CHRIS TRAILER
SLFA-24
308 EAST 78TH STREET
RICHFIELD, MN 55423
PHONE: 612/869-3223
REM HENNEPIN INC MINNEHAHA
(01237)
FAX: 612/861-7060
Corp
MS. SUSANNE LAMBERT
ICFIID-6
SLFA-6
7101 12TH AVENUE SOUTH
RICHFIELD, MN 55423
PHONE: 763/852-5325
(01132)
FAX: 763/852-5350
MS. CONNIE MENNE
Minnesota Department of Health
Division of Compliance Monitoring
Page
224
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Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------­
ESRD
Corp
RICHFIELD DIALYSIS
Registration
6601 LYNDALE AVE S STE 150
(24100)
RICHFIELD, MN 55423
PHONE: 612/869-2118
FAX: 612/869-2219
Corp
RICHFIELD HEALTH CENTER
MS. VAL RILEY
NH-118
SNF-NF-118
7727 PORTLAND AVENUE SOUTH
(00253)
RICHFIELD, MN 55423
PHONE: 612/861-1691
FAX: 612/861-0186
Lim-Liab
RICHFIELD SENIOR SUITES LLC
MS. LYNN SAUERER
HCP-F
HWSAL
6808 THIRD AVENUE SOUTH
(20052)
RICHFIELD, MN 55423
PHONE: 612/866-3961
FAX: 612/866-9303
Ind
SHARON OJILE HOMECARE
MS. LAVONNE SEEMANN
HCP-C
7233 HARRIET AVENUE
(03070)
RICHFIELD, MN 55423
PHONE: 612/869-1180
MS. SHARON OJILE
FAX: /­
HWSAL
Lim-Liab
THE PINES
400 WEST 67TH STREET
(21780)
RICHFIELD, MN 55423
PHONE: 612/861-3331
FAX: 612/259-2889
MS. MARY JO THORNE
HWS
NProf
3711 WEST BROADWAY AVENUE NORT
3711 WEST BROADWAY AVENUE NORT
(28658)
ROBBINSDALE, MN 55411
PHONE: 763/521-4457
FAX: /­
MR. CHRIS TRAILER
HWS
NProf
3719 WEST BROADWAY
3719 WEST BROADWAY
(28240)
ROBBINSDALE, MN 55422
PHONE: 612/860-2550
FAX: /­
MS. STACEY RAY
HWS
NProf
3725 WEST BROADWAY AVENUE NORT
3725 WEST BROADWAY AVENUE NORT
(29025)
ROBBINSDALE, MN 55426
PHONE: 763/521-4457
FAX: /­
MR. CHRIS TRAILER
HWS
NProf
3731 WEST BROADWAY
3731 WEST BROADWAY
(28471)
ROBBINSDALE, MN 55426
PHONE: 612/860-2550
FAX: /­
MS. STACEY RAY
HWS-O
NProf
3737 WEST BROADWAY
3737 WEST BROADWAY
(28526)
ROBBINSDALE, MN 55422
PHONE: 612/860-2550
FAX: /­
MS. STACEY RAY
Minnesota Department of Health
Division of Compliance Monitoring
Page 225
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Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------­
HWS
NProf
3759 WEST BROADWAY AVENUE NORT
Registration
3759 WEST BROADWAY AVENUE NORT
(27957)
ROBBINSDALE, MN 55422
PHONE: 763/521-4457
FAX: 815/846-1827
MR. CHRIS TRAILER
HWS
NProf
3848 WEST BROADWAY AVENUE NORT
3848 WEST BROADWAY AVENUE NORT
(27016)
ROBBINSDALE, MN 55422
PHONE: 612/290-6680
ACR HOME ON ROBIN
FAX: /­
MR. CHRIS TRAILER
Corp
ICFIID-5
SLFB-5
4404 ROBIN AVENUE
ROBBINSDALE, MN 55422
PHONE: 763/535-1022
COPPERFIELD HILL - THE LODGE
(01628)
FAX: 763/535-2107
MR. GENE LEISTICO
HWSAL
Part
4020 LAKELAND AVENUE NORTH
ROBBINSDALE, MN 55422
PHONE: 763/533-1268
COPPERFIELD HILL - THE MANOR
(29966)
MS. LUCINDA GARDNER
FAX: 763/277-1015
HWSAL
Part
4200 40TH AVENUE NORTH
ROBBINSDALE, MN 55422
PHONE: 763/277-1001
FRESENIUS MED CARE ROBBINSDALE
(21574)
MS. LUCINDA GARDNER
FAX: 763/277-1015
ESRD
Corp
4094 LAKELAND AVENUE NORTH
ROBBINSDALE, MN 554222236
PHONE: 763/533-3759
GERIATRIC SERVICES OF MN
(27801)
FAX: 763/533-1025
Corp
MR. DAVID LUHRING
HCP-A
3366 OAKDALE AVENUE N STE 551
ROBBINSDALE, MN 55422
PHONE: 763/587-7737
GOOD SAM SOCTY SPEC CARE COMM
(26130)
FAX: 763/587-7069
NProf
MS. KATHIE SURMA
NH-96
SNF-NF-96
3815 WEST BROADWAY
ROBBINSDALE, MN 55422
PHONE: 651/767-9409
LIVING WELL 3801
(00890)
FAX: 612/673-6270
NProf
MS. SHARON ST. MARY
ICFIID-9
SLFB-9
3801 WEST BROADWAY
ROBBINSDALE, MN 55422
PHONE: 763/522-7556
LIVING WELL 3807
(01379)
FAX: 763/522-4573
NProf
MR. ADAM FEFFERMAN
ICFIID-9
SLFB-9
3807 WEST BROADWAY
ROBBINSDALE, MN 55422
PHONE: 763/521-1076
(01475)
FAX: 763/521-0785
MR. CHRIS DOMIER
Minnesota Department of Health
Division of Compliance Monitoring
Page
226
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Facility/Service
Owner
Licensure
---------------------------**********
NProf
LIVING WELL FRANCE
Certification
HENNEPIN
Registration
(Cont.)* -------------------------­
ICFIID-6
SLFB-6
2759 FRANCE AVENUE NORTH
(01290)
ROBBINSDALE, MN 55422
PHONE: 763/521-0387
MR. MATT JONES
FAX: 763/521-2294
HWS
Lim-Liab
MEADOW VIEW PROPERTIES
3813 QUAIL AVENUE NORTH
(29345)
ROBBINSDALE, MN 55422
PHONE: 612/388-5570
MS. JENNIFER WEISSMAN
FAX: /-
NProf
NORTH MEMORIAL HOME HLTH HOSPC
HCP-A
HHA
3500 FRANCE AVENUE N STE 101
(02049)
ROBBINSDALE, MN 55422
PHONE: 763/587-9392
MS. LAURA WILSON
FAX: 763/581-9341
NProf
NORTH MEMORIAL HOME HLTH HOSPC
Hospice
HSPICE
3500 FRANCE AVE NORTH #101
(02386)
ROBBINSDALE, MN 55422
PHONE: 763/581-9340
MS. LAURA WILSON
FAX: 763/581-9341
NProf
NORTH MEMORIAL MEDICAL CENTER
BASS-42 HOSP-518
HOSP-474 PPS-P-26 PPS-R-18
3300 OAKDALE NORTH
(00240)
ROBBINSDALE, MN 55422
PHONE: 763/520-5200
MR. LOREN TAYLOR
FAX: 763/520-5006
ESRD
NProf
ROBBINSDALE DIALYSIS
3461 WEST BROADWAY AVENUE
(27847)
ROBBINSDALE, MN 554222955
PHONE: 763/521-4865
FAX: 763/522-6754
Corp
ROBBINSDALE REHAB & CARE CTR
MS. TRACEY TRACY
NH-75
SNF-NF-75
3130 GRIMES AVENUE NORTH
(00122)
ROBBINSDALE, MN 55422
PHONE: 763/588-0771
FAX: 763/588-8252
MS. KATHLEEN PANKRATZ
HWS
NProf
ROBBINWOOD APARTMENTS
3852 WEST BROADWAY AVENUE NORT
(27316)
ROBBINSDALE, MN 55422
PHONE: 952/925-3878
FAX: 952/928-3832
MR. CHRIS TRAILER
HWS
NProf
ROBINWOOD APARTMENTS
3854 WEST BROADWAY
(27562)
ROBBINSDALE, MN 55422
PHONE: 612/204-8319
FAX: 612/375-9105
MS. STACEY RAY
HWS-O
NProf
ROBINWOOD APARTMENTS
3850 WEST BROADWAY
(27180)
ROBBINSDALE, MN 55422
PHONE: 612/204-8319
FAX: /­
MS. STACEY RAY
Minnesota Department of Health
Division of Compliance Monitoring
Page 227
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
DIAMONDCREST SENIOR LIVING
Certification
HENNEPIN
Registration
(Cont.)* -------------------------­
HWSAL
Lim-Liab
20500 SOUTH DIAMOND LAKE ROAD
ROGERS, MN 55374
PHONE: 763/428-8181
NOVACARE REHABILITATION
(23988)
FAX: 763/428-1697
MS. EMILY SCHMAUS
Out Pt Out St Out Ot
Corp
21395 JOHN MILLESS DRIVE
ROGERS, MN 55374
PHONE: 763/428-2589
THE WELLSTEAD OF ROGERS
(03769)
FAX: 763/428-4672
Lim-Liab
MR. DONN BERKELAND
HCP-F
HWS
20600 SOUTH DIAMOND LAKE ROAD
ROGERS, MN 55374
PHONE: 763/428-1981
SOJOURN SUITES LLC
(20700)
FAX: 763/428-3792
MS. EMILY SCHMAUS
HWSAL
Lim-Liab
5845 COUNTRY CLUB ROAD
SHOREWOOD, MN 55331
PHONE: 952/470-2216
LAKE MINNETONKA SHORES-COURT
(22590)
MR. THOMAS PENN
FAX: 952/400-3542
HWS
NProf
4501 SHORELINE DRIVE
SPRING PARK, MN 55384
PHONE: 952/471-4000
LAKE MINNETONKA SHORES
(24845)
MS. MARY WEIS
FAX: 952/471-4309
NProf
NH-145
SNF-NF-145
4527 SHORELINE DRIVE
SPRING PARK, MN 55384
PHONE: 952/471-4000
LAKE MINNETONKA SHORES
(00271)
FAX: 952/471-6084
Lim-Liab
MS. LYDIA BUETOW
HCP-F
4527 SHORELINE DRIVE
SPRING PARK, MN 55384
PHONE: 952/471-4001
LAKE MINNETONKA SHORES-COMMON
(27953)
FAX: 952/471-6084
MS. NATALIE MORLAND
HWSAL
NProf
4559 SHORELINE DRIVE
SPRING PARK, MN 55384
PHONE: 952/471-4000
LAKE MINNETONKA SHORES-VILLA T
(20219)
FAX: 952/471-4309
MS. MARY WEIS
HWS
NProf
4523 SHORELINE DRIVE
SPRING PARK, MN 55384
PHONE: 952/471-4001
PROVIDENT HOME HEALTHCARE
(24844)
FAX: 952/471-4309
Corp
MS. MARY WEIS
HCP-A
2817 ANTHONY LANE S STE 301
ST ANTHONY, MN 55418
PHONE: 612/238-4688
(26906)
FAX: 612/238-4689
MS. RAMONA ERICKSON
Minnesota Department of Health
Division of Compliance Monitoring
Page 228
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
THE LEGACY OF ST ANTHONY
Certification
HENNEPIN
Registration
(Cont.)* -------------------------­
HCP-F
2540 KENZIE TERRACE
(29718)
ST ANTHONY, MN 55418
PHONE: 612/843-3700
FAX: /­
MS. MELISSA JURGENS
HWSAL
Lim-Liab
THE LEGACY OF ST ANTHONY
2540 KENZIE TERRACE
(29719)
ST ANTHONY, MN 55418
PHONE: 612/843-3700
FAX: /-
MS. MICHELE GRANDNER
HWS
NProf
2700 RHODE ISLAND
2700 RHODE ISLAND
(28157)
ST LOUIS PARK, MN 55426
PHONE: 952/925-3878
FAX: 952/928-3832
MS. STACEY RAY
HWS
NProf
2704 LOUISIANA COURT
2704 LOUISIANA COURT
(25968)
ST LOUIS PARK, MN 55436
PHONE: 952/925-4402
FAX: 952/925-4590
MR. CHRIS TRAILER
HWS
NProf
2741 LOUISIANA COURT
2741 LOUISIANA COURT
(25967)
ST LOUIS PARK, MN 55436
PHONE: 952/925-4402
FAX: 952/925-4590
MR. CHRIS TRAILER
HWS
NProf
2754 LOUISIANA COURT
2754 LOUISIANA COURT
(29649)
ST LOUIS PARK, MN 55426
PHONE: 952/925-4402
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
3520 AQUILA CIRCLE
3520 AQUILA CIRCLE
(28528)
ST LOUIS PARK, MN 55426
PHONE: 952/925-3878
FAX: /-
MS. STACEY RAY
HWS
NProf
3528 AQUILA CIRCLE
3528 AQUILA CIRCLE
(28527)
ST LOUIS PARK, MN 55426
PHONE: 952/925-3878
FAX: /-
MS. STACEY RAY
HWS
NProf
3536 AQUILA CIRCLE
3536 AQUILA CIRCLE
(28502)
ST LOUIS PARK, MN 55426
PHONE: 952/925-3878
FAX: 952/928-3832
MS. STACEY RAY
HWS
NProf
8817 35TH STREET WEST
8817 35TH STREET WEST
(27279)
ST LOUIS PARK, MN 55426
PHONE: 952/925-3878
FAX: /­
MR. CHRIS TRAILER
Minnesota Department of Health
Division of Compliance Monitoring
Page 229
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
ACCEL HEALTH SERVICES INC
Certification
HENNEPIN
Registration
(Cont.)* -------------------------­
HCP-A
HHA
1660 S HIGHWAY 100 STE 412
(23488)
ST LOUIS PARK, MN 55416
PHONE: 952/513-7098
FAX: 952/513-7142
Corp
ADULT HELP & COMPANION CARE
MR. SIYAD ABDULLAHI
HCP-B
4584 CEDAR LAKE RD SUITE 5
(03855)
ST LOUIS PARK, MN 55416
PHONE: 612/708-1079
FAX: 952/377-0411
Lim-Liab
AROUND THE CLOCK HOME CARE
MR. CHRISTIAN RIVARD
HCP-A
HHA
2257 LOUISIANA AVENUE SOUTH
(21115)
ST LOUIS PARK, MN 55426
PHONE: 952/848-0935
FAX: 952/920-6929
Lim-Liab
AROUND THE CLOCK HOME CARE LLC
MR. EVARISTUS EJIMADU
HCP-F
2257 LOUISIANA AVENUE SOUTH
(24648)
ST LOUIS PARK, MN 55426
PHONE: 958/848-0935
MR. EVARISTUS EJIMADU
FAX: 952/920-6929
HWS
NProf
BAYCLIFF
1436 COLORADO AVENUE SOUTH
(27721)
ST LOUIS PARK, MN 55416
PHONE: 952/546-1415
MR. CHRIS TRAILER
FAX: 952/546-1435
Lim-Liab
BRIGHTON HOSPICE
Hospice
5775 WAYZATA BLVD SUITE 980
(29960)
ST LOUIS PARK, MN 55416
PHONE: 320/272-8090
FAX: 801/930-5273
Lim-Liab
BRIGHTSTAR
MS. ERIN BENNETT
HCP-A
4601 EXCELSIOR BLVD STE 400
(29454)
ST LOUIS PARK, MN 55416
PHONE: 952/300-3698
FAX: 952/681-7339
Lim-Liab
CARE WITH HEART HOME SERVICES
MR. KYLE PLATH
HCP-A
2257 LOUISIANA AVE S STE 101
(28046)
ST LOUIS PARK, MN 55426
PHONE: 952/836-6862
FAX: /­
MS. RACHEL LORENZEN
Lim-Liab
CENTER FOR DIAGNOSTIC IMAGING
Outpt Surg
Amb Surg
5775 WAYZATA BLVD SUITE 190
(21792)
ST LOUIS PARK, MN 55416
PHONE: 952/525-6328
FAX: 952/543-6524
MR. ROBERT CHERNEY
HWS
NProf
COLORADO COURT
1410 COLORADO AVE
(27594)
ST LOUIS PARK, MN 55416
PHONE: 952/546-1415
FAX: /­
MR. CHRIS TRAILER
Minnesota Department of Health
Division of Compliance Monitoring
Page 230
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------­
ESRD
Corp
FRESENIUS MED CARE ST LOUIS PK
Registration
5680 36TH STREET WEST
(27143)
ST LOUIS PARK, MN 55416
PHONE: 952/926-0959
FAX: 952/926-3694
Lim-Liab
GOLDEN LIVINGCNTR ST LOUIS PK
MR. JOHN MARIETTI
NH-208
SNF-NF-208
3201 VIRGINIA AVENUE SOUTH
(00943)
ST LOUIS PARK, MN 55426
PHONE: 952/935-0333
MR. TIMOTHY JOHNSON
FAX: 952/935-6747
Lim-Liab
HOME CARE ASSISTANCE
HCP-B
4430 EXCELSIOR BOULEVARD
(27533)
ST LOUIS PARK, MN 55416
PHONE: 952/236-7527
FAX: 952/236-7539
Lim-Liab
HOME CARE ASSISTANCE OF MINNEA
MS. DENISE SCHAEFER
HCP-A
4430 EXCELSIOR BOULEVARD
(27714)
ST LOUIS PARK, MN 55416
PHONE: 952/236-7527
MS. DENISE SCHAEFER
FAX: 952/236-7527
Corp
INTREPID USA HEALTHCARE SERVS
HCP-F
5775 WAYZATA BLVD SUITE 540
(20786)
ST LOUIS PARK, MN 55416
PHONE: 952/513-5400
MS. PAULETTE DUNCAN
FAX: 952/513-5444
Corp
INTREPID USA HEALTHCARE SRVCS
HCP-A
HHA
5775 WAYZATA BLVD, SUITE 540
(02233)
ST LOUIS PARK, MN 554161222
PHONE: 952/513-5400
MS. PEGGY KAPPES
FAX: 952/513-5444
HWS
NProf
KNOLLWOOD PLACE APARTMENTS
3630 PHILLIPS PARKWAY
(20232)
ST LOUIS PARK, MN 55426
PHONE: 952/939-1601
FAX: 952/933-1485
Corp
LIVING LIFE HOME CARE
MR. CHRIS ORR
HCP-A
4501 MINNETONKA BLVD
(26152)
ST LOUIS PARK, MN 55416
PHONE: 612/435-7140
FAX: 612/435-7141
MR. WILLIAM KREBS
HWS
NProf
LOUISIANA COURT APARTMENTS
2742 LOUISIANA COURT
(27123)
ST LOUIS PARK, MN 55426
PHONE: 612/204-8319
MENORAH PLAZA APARTMENTS
FAX: /-
MS. STACEY RAY
HWS
NProf
4925 MINNETONKA BOULEVARD
ST LOUIS PARK, MN 55416
PHONE: 952/653-3680
(20195)
FAX: 952/653-3689
MS. SARA ASCHENBRENER
Minnesota Department of Health
Division of Compliance Monitoring
Page
231
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Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------­
HWS
NProf
MENORAH WEST APARTMENTS
Registration
3600 PHILLIPS PARKWAY
(21774)
ST LOUIS PARK, MN 55426
PHONE: 952/653-3680
FAX: 952/653-3689
MS. SARA ASCHENBRENER
CORF
Lim-Liab
MN MEDICAL & REHAB SERVS LLC
4330 SOUTH CEDAR LAKE ROAD
(21768)
ST LOUIS PARK, MN 55416
PHONE: 952/381-3434
FAX: /-
MORNING STAR WOMENS HEALTH AND
MR. MELVIN GRAF
Corp
6111 EXCELSIOR BOULEVARD
ST LOUIS PARK, MN 55416
PHONE: 612/922-4784
PARK HEALTH & REHAB CENTER
(27774)
FAX: 952/564-3262
Corp
MS. PAULA FEIGAL
NH-81
SNF-NF-81
4415 WEST 36 1/2 STREET
ST LOUIS PARK, MN 55416
PHONE: 952/927-9717
PARK NICOLLET METHODIST HC
(00129)
MS. KRISTIE JOHNSRUD
FAX: 952/927-7687
NProf
HCP-A
HHA
6500 EXCELSIOR BOULEVARD
ST LOUIS PARK, MN 55426
PHONE: 952/993-6087
PARK NICOLLET METHODIST HOSP
(02229)
MS. PATRICIA BETLACH
FAX: 952/993-5081
NProf
BASS-50 HOSP-426
HOSP-417 PPS-R-9
6500 EXCELSIOR BLVD PO BOX 650
ST LOUIS PARK, MN 55440
PHONE: 952/993-5000
PARK NICOLLET METHODIST HOSP
(00230)
FAX: 952/993-5936
NProf
MS. KATHERINE TARVESTAD
Hospice
HSPICE
6500 EXCELSIOR BOULEVARD
ST LOUIS PARK, MN 55426
PHONE: 952/993-6087
PARKSHORE SENIOR CAMPUS LLC
(02422)
FAX: 952/993-5081
MS. PATRICIA BETLACH
HWSAL
Lim-Liab
3633 PARK CENTER BOULEVARD
ST LOUIS PARK, MN 55416
PHONE: 952/925-6231
PARKSHORE SENIOR CAMPUS LLC
(20427)
FAX: 952/926-6823
MR. MICHAEL GOULD
HWS
Lim-Liab
3663 PARK CENTER BOULEVARD
ST LOUIS PARK, MN 55416
PHONE: 952/925-6231
PPL - PROJECT FOR PRIDE IN LIV
(20868)
FAX: 952/926-6823
MR. MICHAEL GOULD
HWS
NProf
2722 LOUISIANA COURT
ST LOUIS PARK, MN 55426
PHONE: 612/455-5132
(28663)
FAX: 612/455-5101
MS. BARBARA MCCORMICK
Minnesota Department of Health
Division of Compliance Monitoring
Page
232
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------­
HWS
NProf
PPL - PROJECT FOR PRIDE IN LIV
Registration
2705 LOUISIANA COURT
(28665)
ST LOUIS PARK, MN 55426
PHONE: 612/455-5132
FAX: 612/455-5101
MS. BARBARA MCCORMICK
HWS
NProf
PPS - PROJECT FOR PRIDE IN LIV
2711 LOUISIANA COURT
(28664)
ST LOUIS PARK, MN 55426
PHONE: 612/455-5132
FAX: 612/455-5101
MS. BARBARA MCCORMICK
HWS
NProf
RHODE ISLAND CHATEAU
2712 RHODE ISLAND AVENUE SOUTH
(27278)
ST LOUIS PARK, MN 55426
PHONE: 952/925-3878
FAX: /-
MR. CHRIS TRAILER
HWSAL
Lim-Liab
ROITENBERG FAMILY ASSISTED LIV
3610 PHILLIPS PARKWAY SOUTH
(21691)
ST LOUIS PARK, MN 55426
PHONE: 952/908-1700
MS. SARA ASCHENBRENER
FAX: 952/908-1777
Corp
SAMAD COMFORT CARE CORP
HCP-A
2606 YOSEMITE AVENUE SOUTH
(29400)
ST LOUIS PARK, MN 55416
PHONE: 651/348-8168
MR. ALI WARSAME
FAX: 651/348-8158
HWS
Lim-Liab
SELA GROUP 3559
3559 HUNTINGTON AVENUE
(29667)
ST LOUIS PARK, MN 55416
PHONE: 952/925-3878
FAX: /-
MS. JENNIFER WEISSMAN
HWS
Lim-Liab
SELA INVESTMENTS 10100
10100 MINNETONKA BOULEVARD
(29669)
ST LOUIS PARK, MN 55416
PHONE: 952/925-3878
FAX: /-
MS. JENNIFER WEISSMAN
HWS
Lim-Liab
SELA INVESTMENTS 2727
HWS
2727 RHODE ISLAND
(29670)
ST LOUIS PARK, MN 55416
PHONE: 952/925-3878
FAX: /-
MS. JENNIFER WEISSMAN
HWS
Lim-Liab
SELA INVESTMENTS 8008
8008 WEST 28TH STREET
(29668)
ST LOUIS PARK, MN 55416
PHONE: 952/925-3878
SHOLOM COMM ALLIANCE HOME HLTH
FAX: /-
MS. JENNIFER WEISSMAN
NProf
HCP-F
3620 PHILLIPS PARKWAY
ST LOUIS PARK, MN 55426
PHONE: 952/939-1515
(21400)
FAX: 952/939-1662
MS. LISA ABICHT-SWENSEN
Minnesota Department of Health
Division of Compliance Monitoring
Page
233
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Facility/Service
Owner
Licensure
---------------------------**********
SHOLOM HOME WEST
NProf
Certification
HENNEPIN
Registration
(Cont.)* -------------------------­
NH-179
SNF-NF-179
3620 PHILLIPS PARKWAY SOUTH
ST LOUIS PARK, MN 55426
PHONE: 952/935-6311
SHOLOM HOSPICE
(00380)
FAX: 952/935-2701
NProf
MR. TIMOTHY MEYER
Hospice
HSPICE
3630 PHILLIPS PARKWAY
ST LOUIS PARK, MN 55426
PHONE: 651/328-2091
SILVERCARE LLC
(25996)
FAX: 952/328-2077
Lim-Liab
MS. LISA ABIGHT-SWENSEN
HCP-F
5402 PARKDALE SUITE 301
ST LOUIS PARK, MN 55416
PHONE: 952/922-9540
ST JOHN HOME CARE LLC
(29469)
FAX: 952/922-9520
MS. ARGARET GREIN
HWSAL
Lim-Liab
265 SHELARD PARKWAY
ST LOUIS PARK, MN 55305
PHONE: 612/245-3474
ST LOUIS PARK DIALYSIS CENTER
(28879)
MR. MOPELOLA AKINLOYE
FAX: 952/545-6411
ESRD
Corp
3505 LOUISIANA AVENUE SOUTH
ST LOUIS PARK, MN 55426
PHONE: 952/285-1400
ST THERESE AT HOME SOLUTIONS L
(02112)
MS. CHERYL KENSOK
FAX: 952/285-1406
Lim-Liab
HCP-A
1660 HWY 100 S STE 103
ST LOUIS PARK, MN 554161524
PHONE: 763/531-5000
STABILITY HOME HEALTHCARE
(27008)
FAX: 952/224-0991
Lim-Liab
MS. AMY TAYLOR-GREENGARD
HCP-A
9021 STANLEN ROAD
ST LOUIS PARK, MN 55426
PHONE: 612/309-6414
TEXAS TERRACE CARE CENTER
(28958)
FAX: 952/544-9379
Corp
MS. RAVI SEELEY
NH-118
SNF-NF-118
7900 WEST 28TH STREET
ST LOUIS PARK, MN 55426
PHONE: 952/920-8380
THE CARING SISTERS HOME CARE
(00144)
FAX: 952/920-7866
Corp
MS. JENNIFER KUHN
HCP-F
2833 YOSEMITE AVENUE SOUTH
ST LOUIS PARK, MN 55416
PHONE: 952/426-4690
THE CARING SISTERS HOME CARE S
(20820)
FAX: 952/426-4691
MS. EDITH NGANG
HWSAL
Corp
2852 YOSEMITE AVENUE SOUTH
ST LOUIS PARK, MN 55416
PHONE: 612/990-2592
(23620)
FAX: 952/426-4691
MR. OLALEYE BECKLEY
Minnesota Department of Health
Division of Compliance Monitoring
Page 234
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Facility/Service
Owner
Licensure
---------------------------**********
Corp
THE CARING SISTERS HOME CARE S
Certification
HENNEPIN
Registration
(Cont.)* -------------------------­
HCP-A
2833 YOSEMITE AVENUE SOUTH
(24617)
ST LOUIS PARK, MN 55416
PHONE: 952/426-4690
FAX: 952/426-4691
MS. EDITH NGANG
HWSAL
Corp
THE CARING SISTERS HOME CARE S
2833 YOSEMITE AVENUE SOUTH
(24801)
ST LOUIS PARK, MN 55416
PHONE: 612/990-2592
FAX: 952/426-4691
Lim-Liab
THE VILLA AT ST LOUIS PARK
MR. OLALEYE BECKLEY
NH-105
SNF-NF-105
7500 WEST 22ND STREET
(00278)
ST LOUIS PARK, MN 55426
PHONE: 952/546-4261
FAX: 952/546-7164
NProf
THE WAYSIDE HOUSE INC
MS. HEATHER HEIJERMAN
SLFA-41
3705 PARK CENTER BOULEVARD
(01647)
ST LOUIS PARK, MN 55416
PHONE: 952/926-5626
MS. CHERYL JENSEN-INTERIM
FAX: 952/926-9713
HWSAL
Lim-Liab
TOWER LIGHT
3601 WOODDALE AVENUE SOUTH
(28790)
ST LOUIS PARK, MN 55416
PHONE: 952/881-6322
MS. ANNE (ANNIE) WESTALL
FAX: 763/252-9264
Lim-Liab
TOWER LIGHT
HCP-F
3601 WOODDALE AVENUE SOUTH
(28789)
ST LOUIS PARK, MN 55416
PHONE: 952/881-6322
FAX: /­
MS. ANNE WESTALL
HWS
Lim-Liab
UNITED ASSISTED HEALTH LLC
4810 HIGHWAY 7 APT 307
(28841)
ST LOUIS PARK, MN 55416
PHONE: 612/644-9309
FAX: 877/816-2063
MS. ASHA ALI
HWS
NProf
VICTORIA LAKE APARTMENTS
8400 MINNETONKA BOULEVARD
(26891)
ST LOUIS PARK, MN 55426
PHONE: 612/454-1600
VISITING ANGELS
FAX: /­
MR. CHRIS TRAILER
Home Mgmt
Corp
5871 CEDAR LAKE ROAD #101
ST LOUIS PARK, MN 55416
PHONE: 952/544-6300
VISITING ANGELS
(21494)
FAX: 952/544-6222
Corp
MR. DAN VLAISAVLJEVICH
HCP-A
5871 CEDAR LAKE RD STE 101
ST LOUIS PARK, MN 55416
PHONE: 952/544-6300
(21550)
FAX: 952/544-6222
MR. DAN VLAISAVLJEVICH
Minnesota Department of Health
Division of Compliance Monitoring
Page 235
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
WESTWOOD HILLS DIALYSIS
Certification
HENNEPIN
Registration
(Cont.)* -------------------------­
ESRD
Corp
7525 WAYZATA BOULEVARD
ST LOUIS PARK, MN 55426
PHONE: 952/546-1401
YMG HOME CARE SERVICES INC
(25768)
FAX: 952/544-0583
MS. DEANNA ERICKSON
Home Mgmt
Corp
5811 CEDAR LAKE ROAD
ST LOUIS PARK, MN 55416
PHONE: 952/412-3545
SOJOURN AT HOME LLC
(29157)
FAX: 952/930-1152
Lim-Liab
MR. YAKOV GITERMAN
HCP-B
4270 CIRCLE ROAD
TONKA BAY, MN 55331
PHONE: 612/790-9292
SOJOURN SUITES LLC
(28267)
FAX: 952/400-3542
Lim-Liab
MR. THOMAS PENN
HCP-F
4270 CIRCLE ROAD
TONKA BAY, MN 55331
PHONE: 612/790-9292
B HOME BY ENGLISH ROSE SUITES
(26695)
MR. THOMAS PENN
FAX: 952/400-3542
Corp
HCP-A
1708 PONDVIEW TERRACE
WAYZATA, MN 55391
PHONE: 952/983-0412
ENGLISH ROSE SUITES
(28562)
MS. VICKI MARTINI
FAX: 952/253-2548
HWSAL
Corp
1708 PONDVIEW TERRACE
WAYZATA, MN 55391
PHONE: 952/983-0412
ENGLISH ROSE SUITES
(23614)
FAX: 952/253-2548
Corp
MS. JAYNE CLAIRMONT
HCP-F
1708 PONDVIEW TERRACE
WAYZATA, MN 55391
PHONE: 952/983-0412
FOLKESTONE GABLES
(20905)
FAX: 952/253-2548
NProf
MS. TIFFANY GOMEZ
NH-30
100 PROMENADE AVENUE
WAYZATA, MN 55391
PHONE: 952/249-2500
FOLKESTONE NORTH
(28617)
FAX: 952/249-2501
MR. MARK PEDERSON
HWS
NProf
100 PROMENADE AVE
WAYZATA, MN 55391
PHONE: 952/249-2400
FOLKESTONE WEST
(29889)
FAX: 952/249-2401
MR. MARK PEDERSON
HWS
NProf
101 PROMENADE AVE
WAYZATA, MN 55391
PHONE: 952/249-2400
(29891)
FAX: 952/249-2401
MR. MARK PEDERSON
Minnesota Department of Health
Division of Compliance Monitoring
Page
236
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
GOLDEN LIVING COMM REFLECTIONS
Lim-Liab
Certification
HENNEPIN
Registration
(Cont.)* -------------------------­
HCP-F
HWSAL
15409 WAYZATA BOULEVARD
WAYZATA, MN 55391
PHONE: 952/473-5466
GOLDEN LVGCTR HILLCRST WAYZATA
(21126)
FAX: 952/473-6842
Lim-Liab
MS. ALLISON MURKOWSKI
NH-84
SNF-84
15409 WAYZATA BOULEVARD
WAYZATA, MN 55391
PHONE: 952/473-5466
HAMMER CARLSON
(00213)
FAX: 952/473-6842
NProf
MS. ALLISON MURKOWSKI
ICFIID-6
SLFB-6
16325 COUNTY ROAD 15
WAYZATA, MN 55391
PHONE: 952/473-1261
HAMMER RIDGEVIEW
(20875)
FAX: 952/473-8629
NProf
MS. LISBETH ARMSTRONG
ICFIID-6
SLFB-6
401 RIDGEVIEW DRIVE
WAYZATA, MN 55391
PHONE: 952/473-1261
HAMMER SHERIDAN
(04306)
MS. LISBETH ARMSTRONG
FAX: 952/473-8629
NProf
ICFIID-6
SLFB-6
2412 SHERIDAN HILLS CURVE
WAYZATA, MN 55391
PHONE: 952/473-1261
MERIDIAN MANOR
(21172)
MS. LISBETH ARMSTRONG
FAX: 952/473-8629
Lim-Liab
HCP-F
163 WEST WAYZATA BOULEVARD
WAYZATA, MN 55391
PHONE: 952/473-3700
MERIDIAN MANOR
(29081)
FAX: 952/404-1540
MS. KIT KILBANE
HWSAL
Lim-Liab
163 WEST WAYZATA BOULEVARD
WAYZATA, MN 55391
PHONE: 952/473-3200
SHADYWAY GROUP HOME
(21781)
FAX: 952/404-1540
NProf
MR. STEPHEN NORNES
ICFIID-6
SLFA-6
522 SHADYWAY ROAD
WAYZATA, MN 55391
PHONE: 952/475-1621
VISITING ANGELS
(01213)
FAX: 952/475-0089
Corp
MS. LISA SCHEINOST
HCP-A
901 TWELVE OAKS CENTER STE 914
WAYZATA, MN 55391
PHONE: 952/935-0789
(21675)
FAX: 952/935-0778
---------------------------**********
MR. GARY DEVEAU
HOUSTON
******** -------------------------­
Minnesota Department of Health
Division of Compliance Monitoring
Page 237
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
CALEDONIA CARE AND REHAB
Corp
Certification
HOUSTON
Registration
(Cont.)* -------------------------­
NH-50
SNF-NF-50
425 BADGER ST N
CALEDONIA, MN 55921
PHONE: 507/725-3351
CALEDONIA CARE AND REHAB BUCK
(00073)
FAX: 507/725-5142
MS. MARIAN RAUK
HWSAL
Corp
505 NORTH BADGER STREET
CALEDONIA, MN 55921
PHONE: 507/725-2380
HOUSTON CTY PUB HLTH NURSNG SV
(20033)
FAX: 507/725-5142
Cnty
MRS. MARION RAUK
HCP-A
HHA
611 VISTA DRIVE SUITE 1
CALEDONIA, MN 55921
PHONE: 507/725-5810
ROSEVIEW COURT CARE AGENCY
(02013)
FAX: 507/725-2150
Corp
MS. MARY MARCHEL
HWSAL
HCP-F
425 NORTH BADGER STREET
CALEDONIA, MN 55921
PHONE: 507/725-2380
ABLE INC HOUSTON
(20196)
MRS. MARIAN RAUK
FAX: 507/725-5142
NProf
ICFIID-6
SLFB-6
105 WEST ELM STREET BOX 245
HOUSTON, MN 55943
PHONE: 507/896-3040
HERITAGE COURT
(01611)
MS. GAIL MEYER
FAX: 507/896-2439
HWS
NProf
110 HENDERSON STREET
HOUSTON, MN 55943
PHONE: 507/896-3125
VALLEY VIEW HEALTHCARE & REHAB
(20339)
FAX: 507/896-3289
NProf
MRS. DEBORAH BARNES
NH-45
SNF-NF-45
510 EAST CEDAR STREET
HOUSTON, MN 55943
PHONE: 507/896-3125
ABLE INC LACRESCENT
(00286)
FAX: 507/896-3289
NProf
MS. DEBORAH BARNES
ICFIID-15
SLFB-15
1700 LANCER BOULEVARD
LA CRESCENT, MN 55947
PHONE: 507/895-8111
CLARA HOUSE
(01419)
FAX: 507/895-4505
MS. GAIL MEYER
HWSAL
Lim-Liab
333 SOUTH 2ND STREET
LA CRESCENT, MN 55947
PHONE: 507/895-6447
GOLDEN LIVINGCENTER LACRESNT
(29352)
FAX: 507/895-6065
Lim-Liab
MS. JANETTE VANDEZANDE
NH-45
SNF-NF-45
101 SOUTH HILL STREET
LA CRESCENT, MN 55947
PHONE: 507/895-4445
(00936)
FAX: 507/895-6461
MS. KAITLIN THOMAS
Minnesota Department of Health
Division of Compliance Monitoring
Page
238
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
SPRING GROVE ASSISTED LIV LLC
Certification
HOUSTON
Registration
(Cont.)* -------------------------­
HCP-F
HWSAL
130 5TH AVENUE SE
(23911)
SPRING GROVE, MN 55974
PHONE: 507/498-4000
FAX: 507/498-4001
NProf
TWEETEN LUTHERAN HEALTH C C
MS. CAROL NERSTAD
NH-50
SNF-NF-50
125 FIFTH AVENUE SOUTHEAST
(00285)
SPRING GROVE, MN 55974
PHONE: 507/498-3211
FAX: 507/498-3228
MS. MICHELLE BORRESON
---------------------------**********
Ind
LAURA THERESA JULIUS
HUBBARD
******** -------------------------­
HCP-C
31115 200TH STREET
(21134)
AKELEY, MN 56433
PHONE: 651/226-2984
FAX: /­
MS. LAURA JULIUS
Ind
PLEASANT AKERS
HCP-F
23673 291ST AVENUE
(29435)
AKELEY, MN 56433
PHONE: 218/652-3005
MS. LINDA AKER
FAX: /­
HWS
Lim-Liab
PLEASANT AKERS
23673 291ST AVENUE
(29436)
AKELEY, MN 56433
PHONE: 218/652-3005
PINE MANORS INC
MS. LINDA AKER
FAX: /­
Corp
SLFA-28 SLFB-8
22195 STATE 34
NEVIS, MN 56467
PHONE: 218/732-4337
CARE AGE COUNTRY HOME
(01578)
FAX: 218/732-0399
Part
MS. RACHEL MUELLER
HCP-F
HWSAL
18846 EAGLE BEND ROAD
PARK RAPIDS, MN 56470
PHONE: 218/732-3721
DIAMOND WILLOW ASSISTED LIVING
(20086)
FAX: 218/732-1208
MR. CHRIS NIEMEYER
HWSAL
Lim-Liab
911 CROCUS HILL STREET
PARK RAPIDS, MN 56470
PHONE: 218/732-1671
DIAMOND WILLOW ASSISTED LIVING
(25122)
FAX: 218/732-2666
MS. BRENDA MARSHALL
HWSAL
Lim-Liab
909 CROCUS HILL STREET
PARK RAPIDS, MN 56470
PHONE: 218/732-2663
(25123)
FAX: 218/732-2666
MS. BRENDA MARSHALL
Minnesota Department of Health
Division of Compliance Monitoring
Page 239
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HUBBARD
(Cont.)* -------------------------­
HWSAL
Cnty
HERITAGE COTTAGE ON 5TH
Registration
615 WEST SIXTH STREET
(26535)
PARK RAPIDS, MN 56470
PHONE: 218/237-8345
FAX: 218/237-8348
MR. KURT HANSEN
HWSAL
Cnty
HERITAGE COTTAGE ON 6TH
611 WEST SIXTH STREET
(26536)
PARK RAPIDS, MN 56470
PHONE: 218/237-8345
FAX: 218/237-8348
Cnty
HERITAGE LIVING CENTER
MR. KURT HANSEN
NH-64
SNF-NF-64
619 WEST SIXTH STREET
(00288)
PARK RAPIDS, MN 56470
PHONE: 218/732-3329
FAX: 218/732-9125
Cnty
HERITAGE MANOR
MR. KURT HANSEN
HWSAL
HCP-F
602 FAIR AVENUE
(21235)
PARK RAPIDS, MN 56470
PHONE: 218/237-7275
MR. KURT HANSEN
FAX: 218/237-1210
Lim-Liab
MANY LAKES HOME CARE LLC
HCP-B
23095 GUNNER DRIVE
(26684)
PARK RAPIDS, MN 56470
PHONE: 218/732-9394
MS. HEIDI NEUER
FAX: 866/381-4612
ESRD
Lim-Liab
PARK RAPIDS DIALYSIS
110 7TH STREET WEST
(29375)
PARK RAPIDS, MN 56470
PHONE: 651/320-4214
FAX: 218/735-4598
MS. TINA NEWLING
Out Pt Out St Out Ot
Corp
PARK RAPIDS PT AND REHAB
200 SOUTH MAIN STREET
(03572)
PARK RAPIDS, MN 56470
PHONE: 218/732-0868
FAX: /-
MR. STEVEN JENSEN
HWS
NProf
PARK VILLA APARTMENTS
607 WEST 7TH STREET
(21679)
PARK RAPIDS, MN 56470
PHONE: 218/237-7275
ST JOSEPHS AREA HLTH SERVICES
FAX: /­
MR. KURT HANSEN
Church
BASS-10 HOSP-50
CAH-25
600 PLEASANT AVE
PARK RAPIDS, MN 56470
PHONE: 218/732-3311
ST JOSEPHS AREA HLTH SERVICES
(00287)
FAX: 218/732-1368
Church
MR. BEN KOPPELMAN
Hospice
HSPICE
323 MAIN AVE S
PARK RAPIDS, MN 56470
PHONE: 218/732-4552
(03458)
FAX: 218/732-1273
MR. BEN KOPPELMAN
Minnesota Department of Health
Division of Compliance Monitoring
Page 240
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
ELMHURST COMMONS
Certification
ISANTI
Registration
******** -------------------------­
HWSAL
HCP-F
400 3RD STREET SOUTHWEST
(24848)
BRAHAM, MN 55006
PHONE: 651/428-0646
FAX: 651/486-7814
Ind
HEART TO HEART CARE TEAM
MR. CHUCK PETRICH
HCP-B
623 HORSESHOE LANE
(29765)
BRAHAM, MN 55006
PHONE: 763/843-0737
FAX: /­
MS. TERESA NEWTON
NProf
CAMBRIDGE MED CTR DELLWOOD
SLFA-11
701 DELLWOOD STREET
(23586)
CAMBRIDGE, MN 55008
PHONE: 763/688-7952
FAX: 763/689-7781
NProf
CAMBRIDGE MEDICAL CENTER
MR. SCOTT TENNAPEL
BASS-15 HOSP-86
HOSP-72 PPS-P-14
701 SOUTH DELLWOOD AVENUE
(00295)
CAMBRIDGE, MN 55008
PHONE: 763/689-7700
MR. GARY SHAW
FAX: 763/688-7941
Corp
CARSTEN'S HARBOUR INC
HCP-A
653 MAIN STREET NORTH
(29630)
CAMBRIDGE, MN 55008
PHONE: 763/552-1340
MR. J. SCOTT KENT
FAX: 763/552-1341
Corp
CARSTENS HARBOUR INC
HCP-F
653 MAIN STREET NORTH
(21284)
CAMBRIDGE, MN 55008
PHONE: 763/552-1340
FAX: 866/265-7173
MR. J. SCOTT KENT
ESRD
NProf
CENTRACARE CAMBRIDGE DIALYSIS
520 11TH AVE SW SOUTH BLDG
(25908)
CAMBRIDGE, MN 55008
PHONE: 763/691-1333
FAX: 763/691-0999
ONProf
GRACEPOINTE CROSS GABLES EAST
MS. CATHY SINDELIR
NH-90
SNF-NF-90
548 FIRST AVENUE WEST
(00292)
CAMBRIDGE, MN 55008
PHONE: 763/689-2323
FAX: 763/689-9450
NProf
GRACEPOINTE CROSS GABLES WEST
MS. BRANDI BARTHEL
NH-140
SNF-NF-140
135 FERN STREET NORTH
(00294)
CAMBRIDGE, MN 55008
PHONE: 763/689-1474
FAX: 763/691-2200
GRACEPOINTE CRSING THE COMMONS
NProf
MS. LAURIE SYKES
HWSAL
HCP-F
1545 RIVERHILLS PKWAY NW
CAMBRIDGE, MN 55008
PHONE: 763/689-1474
(20709)
FAX: 763/689-6629
MR. TODD KLEIN
Minnesota Department of Health
Division of Compliance Monitoring
Page
241
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
HEALTH DIMENSIONS REHAB INC
Certification
ISANTI
Registration
(Cont.)* -------------------------­
Out Pt Out St Out Ot
Corp
1994 EAST RUM RIVER DRIVE SO
CAMBRIDGE, MN 55008
PHONE: 763/689-5385
HEALTH DIMENSIONS REHABILITATI
(02443)
FAX: 763/689-5558
Corp
MR. MARK ESSLING
HCP-A
1994 EAST RUM RIVER DRIVE SO
CAMBRIDGE, MN 55008
PHONE: 763/689-5385
LIVING WELL CENTRAL
(03104)
FAX: 763/689-5558
NProf
MR. MARK ESSLING
ICFIID-6
SLFB-6
1555 CENTRAL AVENUE SOUTHWEST
CAMBRIDGE, MN 55008
PHONE: 763/689-3794
MN SPECIALTY HEALTH SYSTEM
(01371)
FAX: 763/444-7011
State
MS. ERICA COURNOYER
SLFB-16
1425 EAST RUM RIVER DRIVE SO
CAMBRIDGE, MN 55008
PHONE: 763/689-7169
THE HAVEN HOUSE INC/CARSTEN'S
(28559)
MR. STEVE JENSEN
FAX: 763/689-7216
HWSAL
Corp
653 MAIN STREET NORTH
CAMBRIDGE, MN 55008
PHONE: 763/552-1340
VISITING ANGELS
(27286)
MR. J. SCOTT KENT
FAX: 866/265-7173
Lim-Liab
HCP-A
200 3RD AVENUE NE STE 100
CAMBRIDGE, MN 55008
PHONE: 763/552-4043
VISITING ANGELS
(26546)
FAX: 763/689-6681
MS. KAREN CARLSON
Home Mgmt
Lim-Liab
200 3RD AVE NE STE 100
CAMBRIDGE, MN 55008
PHONE: 763/552-4043
PRAIRIE SR COTTAGES OF ISANTI
(26618)
FAX: 763/689-6681
Lim-Liab
MR. GEORGE CARLSON
HWSAL
HCP-F
706 6TH AVENUE NE
ISANTI, MN 55040
PHONE: 763/444-4626
SOLBAKKEN INC
(28490)
FAX: 763/444-0177
MR. DUSTIN LEE
HWS
Corp
5101 289TH AVENUE NORTHWEST
ISANTI, MN 55040
PHONE: 952/943-8485
BRASK HAVEN INC
(22198)
FAX: 952/943-2941
Corp
MS. MARY ADAMS
HWSAL
HCP-F
31274 JULLIARD STREET NE
NORTH BRANCH, MN 55056
PHONE: 651/674-7433
(20809)
FAX: 651/237-0563
MS. JODI BRASK
Minnesota Department of Health
Division of Compliance Monitoring
Page 242
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
CARE PARTNER SERVICES
Certification
ISANTI
Registration
(Cont.)* -------------------------­
HCP-A
37350 VERDIN STREET NW
(28797)
STANCHFIELD, MN 55080
PHONE: 763/689-0638
FAX: /-
MS. JULAINE ZIEMKE
---------------------------**********
BIGFORK VALLEY COMMUNITIES
Dist
ITASCA
******** -------------------------­
NH-40
SNF-NF-40
258 PINE TREE DR PO BOX 258
BIGFORK, MN 56628
PHONE: 218/743-4117
BIGFORK VALLEY HOME CARE
(00834)
FAX: 218/743-4160
Dist
MR. MIKE ANDERSON
HCP-A
HHA
258 PINE TREE DRIVE
BIGFORK, MN 56628
PHONE: 218/743-1004
BIGFORK VALLEY HOSPITAL
(03846)
FAX: 218/743-3559
Dist
MR. MIKE ANDERSON
BASS-4 HOSP-20
CAH-20
258 PINE TREE DRIVE
BIGFORK, MN 56628
PHONE: 218/743-3177
BIGFORK VALLEY VILLA
(00300)
MR. DANIEL ODEGAARD
FAX: 218/743-3559
HWSAL
Dist
258 PINE TREE DR
BIGFORK, MN 56628
PHONE: 218/743-1000
BIGFORK VALLEY VILLA ASST LVG
(20243)
MR. H DANIEL ODEGAARD
FAX: 218/743-3559
Dist
HCP-F
258 PINE TREE DRIVE
BIGFORK, MN 56628
PHONE: 218/743-1004
EDGEWOOD CARE INC
(23171)
FAX: 218/743-4160
Corp
MR. DANIEL ODEGAARD
HCP-F
HWSAL
102 10TH AVE PO BOX 39
BOVEY, MN 55709
PHONE: 218/245-3550
SCENIC VISTA INC
(24649)
FAX: 218/245-3551
MR. PETER GIVING
HWSAL
Corp
40893 SCENIC HIGHWAY
BOVEY, MN 55709
PHONE: 218/245-1010
SCENIC VISTA INC
(29875)
FAX: 218/245-1010
Corp
MR. DAVID TAPLIN
HCP-F
40893 SCENIC HIGHWAY
BOVEY, MN 55709
PHONE: 218/245-1010
(29874)
FAX: 218/245-1010
MR. DAVID TAPLIN
Minnesota Department of Health
Division of Compliance Monitoring
Page
243
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
AUTUMN LANE
Corp
Certification
ITASCA
Registration
(Cont.)* -------------------------­
HCP-F
36858 PINCHERRY ROAD
COHASSET, MN 55721
PHONE: 218/328-0225
AUTUMN LANE INC
(26859)
FAX: 218/328-6105
MS. LEANNE BRENDEN
HWSAL
Corp
36858 PINCHERRY RD
COHASSET, MN 55721
PHONE: 218/328-0225
MAPLE WOODS ASTD LIVING AND HC
(23725)
FAX: 218/328-6105
Corp
MS. LEANNE BRENDEN
HCP-A
HWSAL
40170 COUNTY ROAD 257
COHASSET, MN 55721
PHONE: 218/244-9458
SUGAR BROOK VILLA INC
(26072)
FAX: 218/999-5657
Corp
MR. DEAN DICKSON
HWSAL
HCP-F
20868 SUGAR HILLS ROAD
COHASSET, MN 55721
PHONE: 218/326-5730
HOME AND COMFORT INC
(23715)
MS. BARBARA GRENIGER
FAX: 218/326-5713
Corp
HWSAL
HCP-F
500 POWELL AVE PO BOX 719
COLERAINE, MN 55722
PHONE: 218/245-0012
COMSTOCK COURT
(21439)
MS. BETHEL WILCOWSKI
FAX: 218/245-0293
HWS
NProf
35 10TH AVE NE
DEER RIVER, MN 56636
PHONE: 218/246-3015
DEER RIVER HEALTH CARE CENTER
(20220)
FAX: 218/246-3013
NProf
MR. JEFFRY STAMPOHAR
NH-32 BASS-6 HOSP-20
SNF-NF-32 CAH-20
115 10TH AVENUE NORTHEAST
DEER RIVER, MN 56636
PHONE: 218/246-2900
DEER RIVER HOME CARE
(00296)
FAX: 218/246-3013
NProf
MR. JEFFRY STAMPOHAR
HCP-A
HHA
115 10TH AVENUE NORTHEAST
DEER RIVER, MN 56636
PHONE: 218/246-3012
4U HOME HEALTH CARE
(02403)
FAX: 218/246-3054
Corp
MR. JEFFRY STAMPOHAR
HCP-A
1107 - 4TH STREET NW
GRAND RAPIDS, MN 55744
PHONE: 218/326-0095
ACCESS SERVICES INCORPORATED
(27332)
FAX: 218/326-0095
Corp
MRS. CARLA HENNING
HCP-F
400 WITTMAN DRIVE SUITE B
GRAND RAPIDS, MN 55744
PHONE: 218/326-0004
(21658)
FAX: 218/326-4770
MS. DARLENE COLLINS
Minnesota Department of Health
Division of Compliance Monitoring
Page 244
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
CRYSTAL LAKE HOME
Corp
Certification
ITASCA
Registration
(Cont.)* -------------------------­
HWSAL
HCP-F
102 NE 14TH STREET
GRAND RAPIDS, MN 55744
PHONE: 218/327-0312
DIAMOND WILLOW ASSISTED LIVING
(23124)
FAX: 218/327-0312
MS. PAMELA FRIESEN
HWSAL
Lim-Liab
949 1/2 SW 11TH AVE
GRAND RAPIDS, MN 55744
PHONE: 218/327-9460
DIAMOND WILLOW ASSISTING LIVIN
(24816)
FAX: 218/327-9407
MS. BRENDA MARSHALL
HWSAL
Lim-Liab
949 SW 11TH AVE
GRAND RAPIDS, MN 55744
PHONE: 218/327-9406
EVERGREEN TERRACE
(24815)
FAX: 218/327-9408
Lim-Liab
MS. BRENDA MARSHALL
NH-109
SNF-NF-109
2801 SOUTH HIGHWAY 169
GRAND RAPIDS, MN 55744
PHONE: 218/326-3431
FMC DIALYSIS SRVCS GR RAPIDS
(00299)
MS. KATHERINE HOLLAND
FAX: 218/327-3217
ESRD
Corp
410 SOUTHWEST FIRST AVENUE
GRAND RAPIDS, MN 55744
PHONE: 218/327-1930
GARDEN COURT CHATEAU
(03802)
MS. LINDA SARNE
FAX: 218/327-1912
Lim-Liab
HWSAL
HCP-F
2501 COUNTY ROAD 76
GRAND RAPIDS, MN 55744
PHONE: 218/999-5998
GRAND ITASCA CLINIC & HOSP
(24912)
FAX: 218/999-5996
NProf
MS. JULIE MANLEY-HARTJE
BASS-10 HOSP-64
HOSP-50 PPS-R-14
1601 GOLF COURSE ROAD
GRAND RAPIDS, MN 55744
PHONE: 218/326-3401
GRAND ITASCA CLINIC & HOSP HC
(00297)
FAX: 218/999-1461
NProf
MR. MICHAEL YOUSO
HCP-A
HHA
111 SE 3RD STREET
GRAND RAPIDS, MN 55744
PHONE: 218/326-1055
GRAND MANOR
(02975)
FAX: 218/999-1052
MR. TODD CORTESE
HWS
Corp
215 SOUTHWEST 13TH STREET
GRAND RAPIDS, MN 55744
PHONE: 218/326-5314
GRAND MANOR II
(21146)
FAX: 218/326-9811
MS. DARLENE COLLINS
HWS
Corp
227 SOUTHWEST 13TH STREET
GRAND RAPIDS, MN 55744
PHONE: 218/326-5314
(21147)
FAX: 218/326-9811
MS. DARLENE COLLINS
Minnesota Department of Health
Division of Compliance Monitoring
Page 245
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
GRAND MANOR III
Certification
ITASCA
Registration
(Cont.)* -------------------------­
HWS
Corp
1115 SOUTHWEST 2ND AVENUE
GRAND RAPIDS, MN 55744
PHONE: 218/326-5314
GRAND VILLAGE
(21148)
FAX: 218/326-9811
Cnty
MS. DARLENE COLLINS
NH-119
SNF-NF-119
923 HALE LAKE POINTE
GRAND RAPIDS, MN 55744
PHONE: 218/326-0543
LAKEWOOD SURGERY CENTER
(00298)
FAX: 218/327-2405
Lim-Liab
MS. SHAWNA JOKINEN
Outpt Surg
Amb Surg
1542 GOLF COURSE RD SUITE 105
GRAND RAPIDS, MN 55744
PHONE: 218/326-3937
MANOR HOUSE SENIOR LIVING
(23863)
FAX: 218/326-3955
Lim-Liab
MR. MARK RIEHLE
HCP-F
722 NORTH POKEGAMA AVENUE
GRAND RAPIDS, MN 55744
PHONE: 218/326-3469
MANOR HOUSE SENIOR LIVING
(26123)
MS. KIMBERLY KORPI
FAX: 320/327-6013
HWSAL
Lim-Liab
722 NORTH POKEGAMA AVENUE
GRAND RAPIDS, MN 55744
PHONE: 218/326-3469
MCKINNEY LAKE HOUSE
(20077)
MR. PATRICK RAFFERTY
FAX: 218/327-6013
Corp
HWSAL
HCP-F
2304 MCKINNEY LAKE ROAD
GRAND RAPIDS, MN 55744
PHONE: 218/326-2226
MOSES RESIDENCE
(23682)
FAX: 218/326-2226
MS. CHERYL HEIKKILA
HWSAL-O
NProf
220 17TH STREET NW
GRAND RAPIDS, MN 55744
PHONE: 651/645-7271
NORTH COUNTRY CARE
(24458)
FAX: 651/645-0541
Corp
MR. STEPHEN VANDER SCHAAF
HWS
HCP-F
1212 GUNN ROAD
GRAND RAPIDS, MN 55744
PHONE: 218/242-0816
NORTH COUNTRY CARE INC
(21748)
FAX: 218/999-0100
MRS. JENNIFER ALTENHOFEN
HWS
Corp
1132 GUNN ROAD
GRAND RAPIDS, MN 55744
PHONE: 218/327-9595
NORTH COUNTRY CARE INC
(23126)
FAX: 218/999-0100
MRS. JENNIFER ALTENHOFEN
HWS
Corp
1200 GUNN ROAD
GRAND RAPIDS, MN 55744
PHONE: 218/327-1919
(29322)
FAX: 218/999-0100
MS. JENNIFER ALTENHOFEN
Minnesota Department of Health
Division of Compliance Monitoring
Page 246
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
ITASCA
(Cont.)* -------------------------­
CMHC
NProf
NORTHLAND COUNSELING CENTER
Registration
215 SOUTHEAST SECOND AVENUE
(02776)
GRAND RAPIDS, MN 55744
PHONE: 218/326-1274
NORTHLAND RECOVERY CENTER
FAX: /-
MR. SYD EWENS
NProf
SLFB-24
1215 SEVENTH AVENUE SOUTHEAST
GRAND RAPIDS, MN 55744
PHONE: 218/313-1312
OAK HILL ASSISTED LIVING
(01608)
FAX: 218/327-1932
MS. COLLEEN MACKEY
HWS
Corp
1971 1ST AVENUE NE
GRAND RAPIDS, MN 55744
PHONE: 218/327-0312
PLEASANT SEASONS
(30081)
FAX: 218/327-0312
Lim-Liab
MR. KEITH FRIESEN
HWSAL
HCP-F
2815 HWY 169 S
GRAND RAPIDS, MN 55744
PHONE: 218/326-8567
RADTKE PHYSICAL THERAPY
(21909)
MS. KATHY HOLLAND
FAX: 218/327-2734
Out Pt
Part
1542 GOLF COURSE ROAD SUITE 4
GRAND RAPIDS, MN 55744
PHONE: 218/326-3300
RECOVER HEALTH
(20672)
MR. MICHAEL RADTKE
FAX: 218/326-3400
Corp
HCP-A
HHA
400 WITTMAN DRIVE SUITE B
GRAND RAPIDS, MN 55744
PHONE: 952/358-3278
RIVER GRAND
(03932)
FAX: 952/926-9808
Lim-Liab
MRS. JENNIFER ANDERSON
HCP-F
355 RIVER ROAD
GRAND RAPIDS, MN 55744
PHONE: 218/999-5333
RIVER GRAND INC
(29046)
FAX: 218/999-5833
MS. MINDY NUHRING
HWSAL
Corp
355 RIVER ROAD
GRAND RAPIDS, MN 55744
PHONE: 218/999-5333
THE ROCK HHC INC
(28963)
FAX: 218/999-5833
Corp
MS. ROCHELLE LANGLOIS
HCP-A
1415 EAST US HIGHWAY 169
GRAND RAPIDS, MN 55744
PHONE: 218/327-8294
TLC SERENITY HOME
(26864)
FAX: 888/291-6818
Lim-Liab
MRS. KATHLEEN CETWINSKI
HCP-F
1314 SOUTHEAST 4TH AVENUE
GRAND RAPIDS, MN 55744
PHONE: 218/327-9222
(25126)
FAX: 218/326-1560
MS. TERESA LINN
Minnesota Department of Health
Division of Compliance Monitoring
Page 247
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
ITASCA
(Cont.)* -------------------------­
HWSAL
Lim-Liab
TLC SERENITY HOME II
Registration
1314 SOUTHEAST 4TH AVENUE
(26534)
GRAND RAPIDS, MN 55744
PHONE: 218/326-0049
FAX: 218/326-1560
Corp
WHISPERING PINES ASSISTED LVG
MS. TERESA LINN
HCP-F
HWSAL
20371 WENDIGO PARK ROAD
(21725)
GRAND RAPIDS, MN 55744
PHONE: 218/326-6900
FAX: 218/326-2783
MS. JESSICA RAAD
HWSAL
Corp
HILLCREST NASHWAUK
570 PLATT AVENUE EAST
(26487)
NASHWAUK, MN 55769
PHONE: 218/263-4157
FAX: 218/263-4468
MR. RANDY SCHROETTER
---------------------------**********
Corp
LAKEVIEW ASSISTED LIVING
JACKSON
******** -------------------------­
HCP-F
HWSAL
941 COUNTY ROAD 9
(25317)
HERON LAKE, MN 56137
PHONE: 507/793-2349
MS. PATRICE GOETTE
FAX: 507/793-2348
Cnty
COTTONWOOD JACKSON COMM H S
HCP-A
HHA
402 WHITE STREET STE 201
(02101)
JACKSON, MN 56143
PHONE: 507/847-2366
MS. PATRICIA STEWART
FAX: 507/847-2881
XRAY
Lim-Liab
FIREFLY IMAGING SERVICES LLC
606 2ND STREET
(29323)
JACKSON, MN 561431646
PHONE: 507/841-0411
FAX: /-
MR. TROY RASMUSSEN
NProf
GOOD SAM SOCIETY JACKSON
NH-63
SNF-NF-63
601 WEST STREET
(00303)
JACKSON, MN 56143
PHONE: 507/847-3100
FAX: 507/847-2119
MR. GORDON HORMANN
Out Pt Out Ot
Ind
PRAIRIE REHABILITATION SERVS
816 3RD STREET
(23594)
JACKSON, MN 56143
PHONE: 507/372-2232
FAX: /-
MR. TROY VANORMAN
RHC
NProf
SANFORD CLINIC JACKSON
1430 NORTH HIGHWAY
(03494)
JACKSON, MN 56143
PHONE: 507/847-2200
FAX: /­
MR. DAVID HOVE
Minnesota Department of Health
Division of Compliance Monitoring
Page 248
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
SANFORD JACKSON MEDICAL CENTER
Certification
JACKSON
Registration
(Cont.)* -------------------------­
HOSP-20
CAH-20
1430 NORTH HIGHWAY
(00305)
JACKSON, MN 56143
PHONE: 507/847-2420
FAX: 507/847-3728
NProf
THE PINES
MS. MARY RUYTER
HCP-F
HWSAL
1508 NORTH HIGHWAY
(20041)
JACKSON, MN 56143
PHONE: 507/847-5762
FAX: 507/847-5763
Corp
COLONIAL MANOR NURSING HOME
MR. GORDON HORMANN
NH-37
SNF-NF-37
403 COLONIAL AVENUE
(00302)
LAKEFIELD, MN 56150
PHONE: 507/662-6646
FAX: 507/662-5531
MS. PATRICE GOETTE
HWSAL
Corp
DOMAN ROSE PLACE
220 MILWAUKEE STREET
(20084)
LAKEFIELD, MN 56150
PHONE: 507/662-6433
MS. BRENDA MEYER
FAX: 507/662-5364
Corp
DOMAN ROSE PLACE
HCP-F
220 MILWAUKEE STREET
(25743)
LAKEFIELD, MN 56150
PHONE: 507/662-5236
MS. PAMELA KAREN
FAX: 507/662-5126
HWSAL
Corp
ROSEWOOD VILLA
224 MILWAUKEE STREET
(23401)
LAKEFIELD, MN 56150
PHONE: 507/662-6433
FAX: 507/662-5542
MS. BRENDA MEYER
RHC
NProf
SANFORD CLINIC LAKEFIELD
209 MAIN STREET PO BOX 546
(03730)
LAKEFIELD, MN 56150
PHONE: 507/662-6611
VALLEY VIEW ASSISTED LIVING
FAX: /­
MR. DAVID HOVE
HWSAL
Corp
1005 MILWAUKEE STREET
LAKEFIELD, MN 56150
PHONE: 507/662-5330
VALLEY VIEW ASSISTED LIVING
(23658)
FAX: 507/662-5679
Corp
MS. PATRICE GOETTE
HCP-F
1005 MILWAUKEE STREET
LAKEFIELD, MN 56150
PHONE: 507/662-5330
(23656)
FAX: 507/662-5679
---------------------------**********
MS. PATRICE GOETTE
KANABEC
******** -------------------------­
Minnesota Department of Health
Division of Compliance Monitoring
Page
249
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
BENEDICTINE LIVING COMMUNITY O
Certification
KANABEC
Registration
(Cont.)* -------------------------­
HWSAL
NProf
101 NINTH STREET
MORA, MN 55051
PHONE: 320/679-2576
BENEDICTINE LVG COMM OF MORA
(20246)
FAX: 320/679-8358
NProf
MR. JACK L'HEUREUX
HCP-F
101 NINTH STREET
MORA, MN 55051
PHONE: 320/679-2576
EASTWOOD SENIOR LVG HOME CARE
(03022)
FAX: 320/679-8358
NProf
MR. JACK L'HEUREUX
HCP-F
HWSAL
170 VALHALLA CIRCLE
MORA, MN 55051
PHONE: 320/679-2916
FIRSTLIGHT HEALTH SYSTEM
(27518)
FAX: 320/679-4336
Cnty
MR. STEVE MORK
BASS-8 HOSP-49
CAH-25
301 S HWY 65
MORA, MN 55051
PHONE: 320/225-3315
FMCNA MORA DIALYSIS CENTER
(00308)
MR. RANDY ULSETH
FAX: 320/225-3320
ESRD
Corp
820 HOWE AVENUE SUITE 104
MORA, MN 55051
PHONE: 320/679-1250
KANABEC CO PUBLIC HLTH HOSPICE
(03556)
MS. SARAH PARKER
FAX: 320/670-1154
Cnty
Hospice
HSPICE
905 E FOREST AVENUE SUITE 127
MORA, MN 55051
PHONE: 320/679-6330
KANABEC COUNTY PHNS
(03844)
FAX: 320/679-6333
Cnty
MS. WENDY THOMPSON
HCP-A
HHA
905 E FOREST AVENUE
MORA, MN 55051
PHONE: 320/679-6330
SCANDIA HOUSE OF MORA
(02216)
FAX: 320/679-6333
MS. WENDY THOMPSON
HWSAL
Lim-Liab
973 MAPLE AVENUE EAST
MORA, MN 55051
PHONE: 320/679-3260
ST CLARE LVG COMMUNITY OF MORA
(26502)
FAX: 320/679-3220
NProf
MR. KENNETH BERGSTROM
NH-65
SNF-NF-65
110 NORTH 7TH STREET
MORA, MN 55051
PHONE: 320/679-1411
SIGNE AND OLIVIAS LLC
(00814)
FAX: 320/679-8350
Lim-Liab
MR. JACK L'HEUREUX
HWSAL
HCP-F
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 250
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
ATWATER HOUSE
NProf
Certification
KANDIYOHI
Registration
******** -------------------------­
ICFIID-6
SLFA-6
110 5TH STREET NORTH
ATWATER, MN 56209
PHONE: 320/235-5897
SUNNYVIEW
(01110)
FAX: 320/231-0633
MS. CATHERINE JOHNSON
HWSAL
Corp
316 SUNRISE LANE
ATWATER, MN 56209
PHONE: 320/441-7001
SUNNYVIEW II
(20569)
FAX: 320/235-8069
MS. DAWN FRERICKS
HWSAL
Corp
314 SUNRISE LANE
ATWATER, MN 56209
PHONE: 320/441-7001
CENTRAL MINNESOTA SENIOR CARE
(21369)
FAX: 320/235-8069
MS. DAWN FRERICKS
HWSAL
Corp
270 WEST MILKY WAY AVENUE
LAKE LILLIAN, MN 56253
PHONE: 320/441-7001
BENEDICTINE LIVING COMMUNITY O
(23210)
MS. DAWN FRERICKS
FAX: 320/235-8069
HWSAL
NProf
102 GLENOAKS DRIVE
NEW LONDON, MN 56273
PHONE: 320/354-2121
BENEDICTINE LNG COM NEW LONDON
(20303)
MR. JIM LAINE
FAX: 320/354-2060
NProf
NH-62
SNF-NF-62
100 GLEN OAKS DRIVE
NEW LONDON, MN 56273
PHONE: 320/354-2231
BENEDICTINE LVG COM NEW LONDON
(00314)
FAX: 320/354-2060
NProf
MR. JAMES LAINE
HCP-F
100 GLENOAKS DRIVE
NEW LONDON, MN 56273
PHONE: 320/354-2231
BENEDICTINE LVG COM VILLAGE AP
(21021)
FAX: 320/354-2060
MR. JAMES LAINE
HWS
NProf
104 GLENOAKS DRIVE
NEW LONDON, MN 56273
PHONE: 320/354-6054
LAKE REGION HOME HEALTH
(29292)
FAX: 320/354-2060
Corp
MR. JAMES LAINE
HCP-A
HHA
220 MAIN STREET NORTH
NEW LONDON, MN 56273
PHONE: 320/354-5858
TOUCHING HEARTS AT HOME
(02204)
FAX: 320/354-2179
MS. KIMBERLY WESTBERG OLSON
Home Mgmt
Corp
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 251
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
TOUCHING HEARTS AT HOME
Corp
Certification
KANDIYOHI
Registration
(Cont.)* -------------------------­
HCP-B
14 4TH AVENUE SE PO BOX 52
NEW LONDON, MN 56273
PHONE: 320/354-4663
CENTRAL MINNESOTA SENIOR CARE
(29742)
FAX: 320/354-4664
MS. LINDA MADSEN
HWSAL
Corp
403 CARDINAL DRIVE
PRINSBURG, MN 56281
PHONE: 320/441-7001
COUNTRY LVNG MANAGEMENT CO
(23208)
FAX: 320/235-8069
Corp
MS. DAWN FRERICKS
HCP-F
12335 13TH STREET NORTHWEST
SPICER, MN 56288
PHONE: 320/269-9000
LAKEWOOD HOME
(28183)
FAX: 320/269-8008
NProf
MS. LUANNE GIBSON
ICFIID-6
SLFB-6
256 LAKE AVENUE NORTH
SPICER, MN 56288
PHONE: 320/796-6999
CENTRAL MINNESOTA SENIOR CARE
(01542)
MS. KAREN ROSMAN-BANGASSER
FAX: 320/796-6522
HWSAL-O
Corp
403 CENTRAL AVE
SUNBURG, MN 56289
PHONE: 320/441-7001
MIRIAM MANOR
(24351)
MS. DAWN FRERICKS
FAX: 320/235-8069
HWSAL
Corp
403 CENTRAL AVENUE
SUNBURG, MN 56289
PHONE: 320/366-3934
BETHESDA
(23209)
FAX: 320/235-8069
MS. DAWN FRERICKS
HWS
NProf
901 SE WILLMAR AVENUE
WILLMAR, MN 56201
PHONE: 320/235-9532
BETHESDA HERITAGE CENTER
(27748)
FAX: 320/235-7909
NProf
MS. MICHELLE HAEFNER
NH-125
SNF-NF-125
1012 EAST THIRD STREET
WILLMAR, MN 56201
PHONE: 320/235-3924
BETHESDA HOME HEALTH
(00312)
FAX: 320/231-3399
Church
MS. ASHLEY BORMANN
HCP-A
HHA
901 WILLMAR AVENUE SUITE 2
WILLMAR, MN 56201
PHONE: 320/235-8364
BETHESDA NH PLEASANTVIEW
(02926)
FAX: 320/235-6968
NProf
MS. NANCY DEITER
NH-123
SNF-NF-123
901 SOUTHEAST WILLMAR AVENUE
WILLMAR, MN 56201
PHONE: 320/235-9532
(00792)
FAX: 320/235-7909
MR. BRANDON PIETSCH
Minnesota Department of Health
Division of Compliance Monitoring
Page 252
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
CENTRAL MINNESOTA SENIOR CARE
Corp
Certification
KANDIYOHI
Registration
(Cont.)* -------------------------­
HCP-A
1004 1ST ST S STE 1
WILLMAR, MN 56201
PHONE: 320/441-7001
CENTRAL MINNESOTA SENIOR CARE
(03399)
FAX: 320/235-8069
MS. DAWN KRERICKS
HWSAL
Corp
2323 GORTON AVENUE NORTHWEST
WILLMAR, MN 56201
PHONE: 320/441-7001
CENTRAL MINNESOTA SENIOR CARE
(20166)
FAX: 320/235-8069
MS. DAWN FRERICKS
HWSAL
Corp
1409 BECKER AVENUE SE
WILLMAR, MN 56201
PHONE: 320/441-7001
CENTRAL MINNESOTA SENIOR CARE
(24178)
FAX: 320/235-8069
MS. DEBRA OLESON
HWSAL
Corp
2323 GORTON AVENUE NORTHWEST
WILLMAR, MN 56201
PHONE: 320/441-7001
CENTRAL MN SENIOR CARE INC
(20430)
MS. DAWN FRERICKS
FAX: 320/235-8069
Home Mgmt
Corp
1004 4TH ST S STE 1
WILLMAR, MN 56201
PHONE: 320/441-7001
CENTRAL MN SENIOR CARE INC
(21061)
MS. DAWN FRERICKS
FAX: 320/235-8069
Corp
HCP-F
1004 1ST ST S STE 1
WILLMAR, MN 56201
PHONE: 320/441-7001
CHILD& ADOL BEHAV HLTH (CABHS)
(20855)
FAX: 320/235-8069
State
MS. DEBRA SHRIVER
OTHER-16
PSY-16
1701 TECHNOLOGY DRIVE NE
WILLMAR, MN 56201
PHONE: 320/231-5421
COMMUNITY ADDICTION WILLMAR
(00318)
FAX: 218/231-5901
State
MR. MARK KRAGENBRING
SLFB-90
1801 TECHNOLOGY DRIVE NE
WILLMAR, MN 56201
PHONE: 320/231-5356
COMPASSIONATE CARE INC
(26528)
FAX: 651/431-7701
Corp
MR. SCOTT PAUL
HCP-B
601 4TH STREET SOUTHWEST
WILLMAR, MN 56201
PHONE: 320/231-9868
COMPASSIONATE COTTAGE LLC
(27923)
FAX: 320/231-9871
MS. BEVERLY WERDER
HWS
Lim-Liab
1000 COTTONWOOD DRIVE NE
WILLMAR, MN 56201
PHONE: 320/905-3593
(25626)
FAX: 320/441-2010
MS. BEVERLY WERDER
Minnesota Department of Health
Division of Compliance Monitoring
Page 253
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
COMPASSIONATE COTTAGE LLC
Lim-Liab
Certification
KANDIYOHI
Registration
(Cont.)* -------------------------­
HCP-F
601 SW 4TH STREET
WILLMAR, MN 56201
PHONE: 320/231-9868
COPPERLEAF SENIOR LIVING
(25627)
FAX: 320/231-9871
Lim-Liab
MS. BEVERLY WERDER
HCP-F
1550 FIRST STREET NORTH
WILLMAR, MN 56201
PHONE: 320/222-5000
COPPERLEAF SENIOR LIVING
(26122)
FAX: 320/344-1504
MR. PATRICK RAFFERTY
HWSAL
Lim-Liab
1550 FIRST STREET NORTH
WILLMAR, MN 56201
PHONE: 320/222-5000
DIVINE HOME CARE INC
(26121)
FAX: 320/222-5001
Corp
MR. PATRICK RAFFERTY
HCP-A
HHA
322 SOUTHWEST 2ND STREET
WILLMAR, MN 56201
PHONE: 320/231-9757
DIVINE HOME CARE INC
(22025)
MS. PAMELA BREDE
FAX: 320/231-9795
Home Mgmt
Corp
322 SW SECOND STREET
WILLMAR, MN 56201
PHONE: 320/231-9757
DIVINE HOSPICE CARE
(23168)
MS. PAMELA BREDE
FAX: 320/231-9795
Corp
Hospice
322 2ND STREET SW
WILLMAR, MN 56201
PHONE: 320/231-9757
DIVINE HOUSE INC
(29550)
FAX: 320/231-9795
Corp
MS. PAMELA BREDE
HCP-F
328 5TH STREET SOUTHWEST
WILLMAR, MN 56201
PHONE: 320/231-2738
DIVINE HOUSE INC
(20854)
FAX: 320/231-3276
MS. DEBRA SHRIVER
Home Mgmt
Corp
328 FIFTH STREET SOUTHWEST
WILLMAR, MN 56201
PHONE: 320/231-2738
DIVINE HOUSE INC/VALLEY QUEST
(21062)
FAX: 320/231-3276
MS. DEBRA SHRIVER
HWS-O
Corp
1300 7 1/2 STREET SW
WILLMAR, MN 56201
PHONE: 320/231-2738
DIVINE HOUSE INC/VALLEYBROOK H
(20764)
FAX: 320/231-3276
MS. DEBRA SHRIVER
HWSAL
Corp
505 - 33RD ST NW
WILLMAR, MN 56201
PHONE: 320/441-7001
(21124)
FAX: 320/235-8069
MS. DEB OELSON
Minnesota Department of Health
Division of Compliance Monitoring
Page 254
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
FAMILY SURGERY CENTER LLC
Lim-Liab
Certification
KANDIYOHI
Registration
(Cont.)* -------------------------­
Outpt Surg
Amb Surg
1801 19TH AVENUE SW
WILLMAR, MN 56201
PHONE: 320/235-7700
FOURTH AVENUE HOMES INC
(23189)
FAX: 320/235-7701
MS. KENDRA VAN METER
Home Mgmt
Corp
312 4TH STREET SOUTHWEST
WILLMAR, MN 56201
PHONE: 320/231-2738
HIGHLAND APARTMENTS
(29361)
FAX: 320/231-3276
MS. BRENDA STREICH
HWSAL-O
HRA
115 EAST BECKER AVENUE
WILLMAR, MN 56201
PHONE: 320/231-0887
ISLAND VIEW MANOR INC
(21839)
FAX: 320/235-8260
MS. NIKKI ILGEN
HWSAL
Corp
700 NORTH HIGHWAY #71
WILLMAR, MN 56201
PHONE: 320/441-7001
LAKE PLACE I APARTMENTS
(20333)
MS. DEBRA OLESON
FAX: 320/235-8069
HWS-O
Part
1420 LAKE AVE NW
WILLMAR, MN 56201
PHONE: 320/235-0742
LAKE PLACE II APARTMENTS
(21193)
MR. DOUG WESTROM
FAX: 320/235-0759
HWS-O
Part
1421 LAKE AVENUE NW
WILLMAR, MN 56201
PHONE: 320/235-0742
LAKEVIEW APARTMENTS
(21194)
FAX: 320/235-0759
MR. DOUG WESTROM
HWSAL-O
HRA
300 SEVENTH STREET NW
WILLMAR, MN 56201
PHONE: 320/235-8637
MN SPECIALTY HEALTH SYSTEM
(21840)
FAX: 320/235-8260
State
MS. GABRIELA CARRANZA
SLFB-16
1208 OLENA AVE SE
WILLMAR, MN 56201
PHONE: 320/235-0900
PRAIRIE SENIOR COTTAGES OF WI
(25363)
FAX: 320/214-3335
MS. MARY THALBERG
HWSAL
Lim-Liab
1701 19TH AVENUE SOUTHWEST
WILLMAR, MN 56201
PHONE: 320/235-6022
PRAIRIE SR COTTAGES WILLMAR
(20738)
FAX: 320/235-6029
Lim-Liab
MS. BECKY HOLMGREN
HWSAL
HCP-F
1705 19TH AVENUE SW
WILLMAR, MN 56201
PHONE: 320/235-6022
(20579)
FAX: 320/235-6029
MS. BECKY HOLMGREN
Minnesota Department of Health
Division of Compliance Monitoring
Page
255
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
QUALITY QUEST HEALTH CARE INC
Corp
Certification
KANDIYOHI
Registration
(Cont.)* -------------------------­
HCP-A
HHA
1010 BENSON AVE SW
WILLMAR, MN 56201
PHONE: 320/235-5440
RICE CARE CENTER
(03362)
FAX: 320/214-7371
City
MS. RACHEL ANDERSON
NH-78
SNF-NF-78
1801 SOUTHWEST WILLMAR AVENUE
WILLMAR, MN 56201
PHONE: 320/214-2700
RICE HOSPICE PROGRAM
(00313)
FAX: 320/214-2765
City
MR. TROY BARRICK
Hospice
HSPICE
301 BECKER AVENUE SOUTHWEST
WILLMAR, MN 56201
PHONE: 320/231-4450
RICE MEMORIAL HOSPITAL
(02407)
FAX: 320/231-4875
City
MS. MARY BETH POTTER
BASS-20 HOSP-136
HOSP-128 PPS-P-8
301 BECKER AVENUE SOUTHWEST
WILLMAR, MN 56201
PHONE: 320/231-4227
RICE MEMORIAL HOSPITAL ESRD
(00316)
MR. MICHAEL SCHRAMM
FAX: 320/231-4869
ESRD
City
301 BECKER AVENUE SOUTHWEST
WILLMAR, MN 56201
PHONE: 320/231-4235
SAMAH HOME HEALTH CARE
(02116)
MR. HANS DAHL
FAX: 320/231-4873
Home Mgmt
Lim-Liab
330 SW 4TH STREET SUITE 9-B
WILLMAR, MN 56201
PHONE: 320/262-3657
STERLING HOUSE WILLMAR
(29280)
FAX: 320/272-2915
Corp
MR. JAWAD ZAKIR
HWSAL
HCP-F
1501 - 19TH AVENUE SOUTHWEST
WILLMAR, MN 56201
PHONE: 320/235-1024
SUNRISE VILLAGE
(20351)
FAX: 320/235-1108
NProf
MS. WENDY HABERMAN
HWSAL
HCP-F
1125 NINTH STREET SOUTHEAST
WILLMAR, MN 56201
PHONE: 320/235-1602
WILLMAR SURGERY CENTER LLP
(20208)
FAX: 320/235-4517
Part
MS. PAM HOCKERT-FREESE
Outpt Surg
Amb Surg
1320 SOUTH FIRST ST PO BOX 773
WILLMAR, MN 56201
PHONE: 320/235-6506
WOODLAND CENTERS
(00289)
FAX: 320/235-7069
NProf
MR. TERRY TONE
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 256
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
KANDIYOHI
(Cont.)* -------------------------­
CMHC
NProf
WOODLAND CENTERS
Registration
1125 SE SIXTH ST PO BOX 787
(02778)
WILLMAR, MN 56201
PHONE: 320/235-4613
FAX: /-
DR. EUGENE BONYNGE
---------------------------**********
NProf
KITTSON COUNTY HOSPICE INC
KITTSON
******** -------------------------­
Hospice
BOX 581
(02878)
HALLOCK, MN 56728
PHONE: 218/843-3612
MS. TERESA CLAY
FAX: 218/843-2311
RHC
NProf
KITTSON MEMORIAL CLINIC
1010 SOUTH BIRCH BOX 700
(03134)
HALLOCK, MN 56728
PHONE: 218/843-3612
MR. TODD CHRISTENSEN
FAX: /-
NProf
KITTSON MEMORIAL HOME HLTHCARE
HCP-A
HHA
1010 SOUTH BIRCH PO BOX 430
(02155)
HALLOCK, MN 56728
PHONE: 218/843-3662
MR. TODD CHRISTENSEN
FAX: 218/843-2487
NProf
KITTSON MEMORIAL HOSPITAL
NH-70 BASS-0 HOSP-15
SNF-NF-70 CAH-15
1010 SOUTH BIRCH
(00321)
HALLOCK, MN 56728
PHONE: 218/843-3612
MR. TODD CHRISTENSEN
FAX: 218/843-2311
NProf
RIVERS EDGE
HCP-F
HWSAL
513 10TH STREET SOUTHEAST
(25470)
HALLOCK, MN 56728
PHONE: 218/843-8812
FAX: 218/843-2487
Corp
KARLSTAD HEALTHCARE CTR INC
MS. CINDY URBANIAK
NH-46
SNF-NF-46
304 WASHINGTON AVENUE WEST
(00830)
KARLSTAD, MN 56732
PHONE: 218/436-2161
FAX: 218/436-3564
MS. BECKY BEITO-INTERIM
RHC
NProf
KITTSON MEM CLINIC OF KARLSTAD
205 ROOSEVELT AVE W PO BOX 199
(22061)
KARLSTAD, MN 56732
PHONE: 218/843-3612
THE MEADOWS
FAX: /­
MR. RICHARD FAILING
Lim-Liab
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 257
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
DECKER'S FAMILY CARE INC/PAPER
Certification
KOOCHICHING
Registration
(Cont.)* -------------------------­
HWSAL
Corp
4143 HIGHWAY 11
INTERNATIONAL FALLS, MN 56649
PHONE: 218/373-0272
GOOD SAM SOCIETY INTL FALLS
(22352)
FAX: 218/286-5312
NProf
MR. JOHN DECKER
NH-54
SNF-NF-54
2201 KEENAN DRIVE
INTERNATIONAL FALLS, MN 56649
PHONE: 218/283-8313
GOOD SAM SOCIETY NORTHWINDS AL
(00322)
FAX: 218/283-9497
NProf
MR. ADAM COE
HCP-F
2101 KEENAN DRIVE
INTERNATIONAL FALLS, MN 56649
PHONE: 218/285-9563
GOOD SAMARITAN HC INTL FALLS
(29497)
FAX: 218/283-8361
NProf
MR. ADAM COE
HCP-A
HHA
2221 KEENAN DRIVE
INTERNATIONAL FALLS, MN 56649
PHONE: 218/283-4319
GOOD SAMARITAN SOCIETY - RIVER
(24363)
MR. KEITH DUBOIS
FAX: 218/283-3219
HWS
NProf
1406 HIGHWAY 71
INTERNATIONAL FALLS, MN 56649
PHONE: 218/285-9563
GOOD SAMARITAN SOCIETY NORTHWI
(20466)
MR. ADAM COE
FAX: 218/283-8361
HWSAL
NProf
2101 KEENAN DRIVE
INTERNATIONAL FALLS, MN 56649
PHONE: 218/285-9563
KOOCHICHING COUNTY HEALTH DEPT
(29498)
FAX: 218/283-8361
Cnty
MR. ADAM COE
HCP-A
1000 FIFTH STREET
INTERNATIONAL FALLS, MN 56649
PHONE: 218/283-7070
RAINY LAKE MEDICAL CENTER
(02126)
FAX: 218/283-7050
NProf
MS. SUSAN CONGRAVE
BASS-11 HOSP-49
CAH-25
1400 HIGHWAY 71
INTERNATIONAL FALLS, MN 56649
PHONE: 218/283-4481
RAINY LAKE MEDICAL CENTER RHC
(00323)
FAX: 218/283-2281
MR. BOB HALEY
Corp
1400 HIGHWAY 71
INTERNATIONAL FALLS, MN 56649
PHONE: 218/283-4481
RIDGEVIEW LLC
(29921)
FAX: 218/283-2281
Lim-Liab
MR. BOB HALEY
HWSAL
HCP-F
2020 RIDGEVIEW DRIVE
INTERNATIONAL FALLS, MN 56649
PHONE: 218/283-2806
(23979)
FAX: 218/283-2177
MS. DONNA TAYLOR
Minnesota Department of Health
Division of Compliance Monitoring
Page
258
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
KOOCHICHING
(Cont.)* -------------------------­
RHC
City
LITTLEFORK MEDICAL CENTER
Registration
PO BOX N
(03502)
LITTLEFORK, MN 56653
PHONE: 218/278-6634
MS. KIMBERLY PERKINS
FAX: /-
City
LITTLEFORK MEDICAL CENTER
NH-50
SNF-NF-50
BOX N 900 MAIN STREET
(00324)
LITTLEFORK, MN 56653
PHONE: 218/278-6634
MR. MICHAEL ANDERSON
FAX: 218/278-6637
City
LITTLEFORK MEDICAL CENTER
HCP-F
HWSAL
912 MAIN STREET
(21857)
LITTLEFORK, MN 56653
PHONE: 218/278-6634
MR. MICHAEL ANDERSON
FAX: 218/278-6637
City
PINEVIEW RECOVERY CENTER
SLFA-8 SLFB-2
912 MAIN STREET
(01653)
LITTLEFORK, MN 56653
PHONE: 218/278-6634
MS. KIMBERLY PERKINS
FAX: 218/278-6637
Corp
DECKERS FAMILY CARE INC
HCP-F
HWSAL
3443 PINE STREET
(20001)
RANIER, MN 56668
PHONE: 218/286-5633
MR. JOHN DECKER
FAX: 218/286-5312
---------------------------**********
LAC QUI PARLE
******** -------------------------­
RHC
Dist
JOHNSON MEMORIAL BOYD CLINIC
115 3RD STREET
(21827)
BOYD, MN 56218
PHONE: 320/769-4323
FAX: /­
MS. MELISSA STRUXNESS
RHC
Dist
DAWSON CLINIC
1272 WALNUT STREET
(02999)
DAWSON, MN 56232
PHONE: 320/769-4393
DAWSON ICFMR
FAX: /­
MS. KATHY JOHNSON
Corp
ICFIID-6
SLFB-6
100 CIRCLE DR & NORTH 4TH ST
DAWSON, MN 56232
PHONE: 320/769-4444
JOHNSON MEMORIAL ASSISTED LIVI
(01590)
FAX: 320/231-3276
Dist
MS. BRENDA STREICH
HCP-F
HWSAL
1255 WALNUT STREET
DAWSON, MN 56232
PHONE: 320/769-2144
(22054)
FAX: 320/769-4670
MS. KATHY JOHNSON
Minnesota Department of Health
Division of Compliance Monitoring
Page
259
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Dist
JOHNSON MEMORIAL HOME CARE
Certification
LAC QUI PARLE
Registration
(Cont.)* -------------------------­
HCP-A
HHA
1294 CHESTNUT ST
(02730)
DAWSON, MN 56232
PHONE: 320/769-4323
MS. KATHY JOHNSON
FAX: 320/769-4313
Dist
JOHNSON MEMORIAL HOSP & HOME
NH-56 BASS-4 HOSP-20
SNF-NF-56 CAH-23
1282 WALNUT STREET
(00326)
DAWSON, MN 56232
PHONE: 320/769-4323
MS. KATHY JOHNSON
FAX: 320/769-2972
Lim-Liab
SONSHINE HOME HEALTH CARE LLC
HCP-A
1313 SPRUCE STREET
(26729)
DAWSON, MN 56232
PHONE: 320/769-2669
MS. CARMEN KELLEN
FAX: 320/769-2989
Lim-Liab
GRACE HAVEN ASSISTED LIVING
HCP-F
HWSAL
301 3RD STREET EAST
(28354)
MADISON, MN 56256
PHONE: 320/598-7557
MS. JENNIFER GILYARD
FAX: 320/598-7558
HWS
NProf
HILLTOP RESIDENCE INC
915 1ST AVENUE
(21699)
MADISON, MN 56256
PHONE: 320/598-3129
MR. STEVEN MOBURG
FAX: 320/598-3923
RHC
NProf
LAC QUI PARLE CLINIC MADISON
900 SECOND AVENUE
(03513)
MADISON, MN 56256
PHONE: 320/598-7551
MADISON HOSPITAL
FAX: /­
MR. DALLAS REESE
NProf
BASS-2 HOSP-12
CAH-12
820 THIRD AVENUE
MADISON, MN 56256
PHONE: 320/598-7536
MADISON HOSPITAL HHA
(00328)
FAX: 320/598-3923
NProf
MR. STEVE MOBURG
HCP-A
HHA
900 SECOND AVENUE
MADISON, MN 56256
PHONE: 320/598-7556
MADISON LUTHERAN HOME
(02173)
MS. SHERRY DEYO
FAX: 320/598-7387
NProf
NH-80
SNF-NF-80
900 SECOND AVENUE
MADISON, MN 56256
PHONE: 320/598-7536
(00329)
FAX: 320/598-3923
---------------------------**********
MS. KATHY JOHNSON
LAKE
******** -------------------------­
Minnesota Department of Health
Division of Compliance Monitoring
Page
260
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
State
MN VETERANS HOME SILVER BAY
Certification
LAKE
Registration
(Cont.)* -------------------------­
NH-83
45 BANKS BOULEVARD
(00381)
SILVER BAY, MN 55614
PHONE: 218/226-6300
FAX: 218/226-6302
MS. CAROL GILBERTSON
HWSAL
Corp
SILVER BAY CAREFREE LIVING INC
36 BELL CIRCLE
(27604)
SILVER BAY, MN 55614
PHONE: 218/226-3524
FAX: 218/226-3212
Lim-Liab
BARROSS COTTAGE
MR. MERLE SAMPSON
HCP-F
401 SOUTH AVENUE
(27999)
TWO HARBORS, MN 55616
PHONE: 218/834-8018
FAX: 218/834-8019
MS. CYNTHIA STORY
HWSAL
Lim-Liab
BARROSS COTTAGE
401 SOUTH AVENUE
(20987)
TWO HARBORS, MN 55616
PHONE: 218/834-8018
MS. CYNTHIA STORY
FAX: 218/834-8019
HWS
Lim-Liab
BARROSS COTTAGE II LLC
806 13TH AVENUE
(29942)
TWO HARBORS, MN 55616
PHONE: 218/590-3852
MS. CYNTHIA STORY
FAX: 218/834-8019
Lim-Liab
BARROSS MANOR
HWSAL
HCP-F
414 FIRST AVENUE
(20053)
TWO HARBORS, MN 55616
PHONE: 218/834-6174
FAX: 218/834-4015
NProf
DULUTH REG CARE CTR THALASSIC
MS. CORTNEY BUCHHOLZ
ICFIID-5
SLFB-5
1815 HIGHWAY 61 EAST
(01587)
TWO HARBORS, MN 55616
PHONE: 218/834-5657
FAX: 218/727-9555
NProf
ECUMEN SCENIC SHORES
MR. MICHAEL MILLS
NH-45
SNF-NF-45
402 13TH AVENUE
(00844)
TWO HARBORS, MN 55616
PHONE: 218/834-8374
FAX: 218/834-8439
ECUMEN TWO HARBORS SCENIC SHOR
NProf
MR. BLAINE GAMST
HWS
HCP-F
409 13TH AVENUE
TWO HARBORS, MN 55616
PHONE: 218/834-0849
LAKE VIEW MEMORIAL HOSPITAL
(21265)
FAX: 218/834-0850
NProf
MS. JULIE LUCHSINGER
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 261
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
SAFE HARBOR BOARD & LODGE INC
Certification
LAKE
Registration
(Cont.)* -------------------------­
HWS
Corp
426 1ST AVENUE
TWO HARBORS, MN 55616
PHONE: 218/834-5501
(24905)
FAX: 218/834-5501
MRS. HEIDI LYNN-HOLBECK
---------------------------**********
LAKEWOOD CARE CENTER
Church
LAKE OF THE WOODS
******** -------------------------­
NH-36
SNF-NF-36
600 MAIN AVENUE SOUTH
BAUDETTE, MN 56623
PHONE: 218/634-3488
LAKEWOOD HEALTH CENTER
(21104)
FAX: 218/634-3416
Church
MR. JASON BREUER
BASS-3 HOSP-15
CAH-15
600 SOUTH MAIN
BAUDETTE, MN 56623
PHONE: 218/634-2120
LAKEWOOD HEALTH CENTER CLINIC
(00333)
FAX: 218/634-3416
MR. JASON BREUER
RHC
NProf
600 MAIN AVENUE SOUTH
BAUDETTE, MN 56623
PHONE: 218/634-2120
LAKEWOOD NURSING SERVICE
(27146)
MS. SHAR RAY FEICKERT
FAX: 218/634-1094
NProf
HCP-A
600 MAIN AVENUE SOUTH
BAUDETTE, MN 56623
PHONE: 218/634-1795
PARKERS ARC
(02138)
MS. MICHELLE BROWN
FAX: 218/634-3490
HWSAL
Church
600 MAIN AVENUE SOUTH
BAUDETTE, MN 56623
PHONE: 218/634-3407
(20421)
FAX: 218/634-3416
MR. JASON BREUER
---------------------------**********
CENTRAL HEALTH CARE
Corp
LESUEUR
******** -------------------------­
NH-54
SNF-NF-54
444 NORTH CORDOVA
LE CENTER, MN 56057
PHONE: 507/357-2275
ECUMEN LECENTER
(00800)
FAX: 507/357-4346
NProf
MR. KARL PELOVSKY
HCP-F
HWSAL
175 EAST DERRYNANE ST
LE CENTER, MN 56057
PHONE: 507/357-4104
HORIZON PLACE
(20376)
FAX: 507/357-4937
Corp
MS. CHRISTI CARTER
HCP-F
HWSAL
510 COMMERCE DRIVE
LE CENTER, MN 56057
PHONE: 507/357-2262
(27214)
FAX: 507/357-6299
MS. NANCY PETERSON
Minnesota Department of Health
Division of Compliance Monitoring
Page
262
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
Lim-Liab
LESUEUR ASSISTED LIVING LLC
MS. CINDY SHAUGHNESSY
HCP-F
HWSAL
105 PLUM RUN ROAD
(23904)
LE SUEUR, MN 56058
PHONE: 507/665-2499
FAX: 507/665-2637
NProf
MINNESOTA VALLEY HLTH CTR INC
MR. JASON GESCHWIND
NH-55 HOSP-24
SNF-NF-55 CAH-24
621 SOUTH FOURTH STREET
(00336)
LE SUEUR, MN 56058
PHONE: 507/665-3375
FAX: 507/665-2191
MR. ROBERT BROEDER
Home Mgmt
NProf
AGING SERVICES FOR COMMUNITIES
212 1ST ST S PO BOX 7
(23985)
MONTGOMERY, MN 56069
PHONE: 507/364-5663
MS. SHELLY BARNETT
FAX: 507/364-5454
Lim-Liab
TRADITIONS OF MONTGOMERY LLC
HCP-F
HWSAL
399 LEXINGTON AVENUE NW
(26604)
MONTGOMERY, MN 56069
PHONE: 507/364-5585
MS. LISA KROHN
FAX: 507/583-0011
NProf
GOOD SAM SOCIETY WATERVILLE
NH-33
SNF-NF-33
205 FIRST STREET NORTH
(00962)
WATERVILLE, MN 56096
PHONE: 507/362-4245
FAX: 507/362-8631
Lim-Liab
WATERVILLE ASSISTED LIVING LLC
MS. TERESA HILDEBRANDT
HCP-F
HWS
117 PAQUIN STREET EAST
(25965)
WATERVILLE, MN 56096
PHONE: 507/362-4155
FAX: 507/583-0011
MRS. LISA KROHN
---------------------------**********
NProf
GOOD SHEPHERD HOSPICE
LINCOLN
******** -------------------------­
Hospice
HSPICE
503 EAST LINCOLN STREET
(03298)
HENDRICKS, MN 56136
PHONE: 507/275-3134
FAX: 507/275-3104
MR. JEFF GOLLAHER
RHC
Ind
HENDRICKS CLINIC
501 EAST LINCOLN STREET
(03493)
HENDRICKS, MN 56136
PHONE: 507/275-3134
FAX: /­
MR. JEFFREY GOLLAHER
Minnesota Department of Health
Division of Compliance Monitoring
Page
263
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
HENDRICKS COMM HOSP
NProf
Certification
LINCOLN
Registration
(Cont.)* -------------------------­
NH-58 HOSP-24
SNF-NF-58 CAH-24
503 EAST LINCOLN STREET
HENDRICKS, MN 56136
PHONE: 507/275-3134
HENDRICKS COMMUNITY HOSP HHA
(00340)
FAX: 507/275-3104
NProf
MR. JEFF GOLLAHER
HCP-A
HHA
503 EAST LINCOLN STREET
HENDRICKS, MN 56136
PHONE: 507/275-3134
LINCOLN LANE VILLA
(02241)
FAX: 507/275-3104
MR. JEFF GOLLAHER
HWS
NProf
503 E LINCOLN ST PO BOX 106
HENDRICKS, MN 56136
PHONE: 507/275-3134
DIVINE PROVIDENCE HEALTH CENTR
(21339)
FAX: 507/275-3134
NProf
MRS. DAWN POPOWSKI
NH-25
SNF-NF-25
312 EAST GEORGE STREET
IVANHOE, MN 56142
PHONE: 507/694-1414
IVANHOE MEDICAL CENTER
(00339)
MR. GREG WILSON
FAX: 507/694-1191
RHC
NProf
366 EAST GEORGE STREET
IVANHOE, MN 56142
PHONE: 507/694-1100
HOMESTEAD PLACE
(28186)
MR. JEFF GOLLAHER
FAX: 507/694-1440
HWSAL
Corp
501 MORK STREET
LAKE BENTON, MN 56149
PHONE: 320/441-7001
HOMESTEAD PLACE
(20824)
FAX: 320/235-8069
MS. DEBRA OLESON
HWSAL
Corp
503 MORK STREET
LAKE BENTON, MN 56149
PHONE: 320/441-7001
DANEBOD VILLAGE HOME
(20825)
FAX: 320/235-8069
MS. DEBRA OLESON
HWS
NProf
404 DANEBOD VILLAGE DRIVE
TYLER, MN 56178
PHONE: 507/247-3200
REM SOUTHWEST SERV INC (TYLER)
(22008)
FAX: 507/247-4202
Corp
MS. LISA KING
ICFIID-10
SLFB-10
303 HIGHLAND COURT
TYLER, MN 56178
PHONE: 507/537-5568
RIDGEVIEW HOSPICE
(01247)
FAX: 507/537-1450
NProf
MR. PATRICK MASYGA
Hospice
HSPICE
240 WILLOW STREET
TYLER, MN 56178
PHONE: 507/247-5521
(03400)
FAX: 507/247-5972
MR. DALE KRUGER
Minnesota Department of Health
Division of Compliance Monitoring
Page
264
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
TYLER HEALTHCARE CENTER INC
Certification
LINCOLN
Registration
(Cont.)* -------------------------­
NH-38 BASS-1 HOSP-20
SNF-NF-38 CAH-20
240 WILLOW STREET
(00338)
TYLER, MN 56178
PHONE: 507/247-5521
FAX: 507/247-5972
NProf
TYLER HOME CARE
MR. DALE KRUGER
HCP-A
HHA
240 WILLOW STREET
(02360)
TYLER, MN 56178
PHONE: 507/247-5973
FAX: 507/247-2392
MR. DALE KRUGER
RHC
NProf
TYLER MEDICAL CLINIC
240 WILLOW STREET
(02722)
TYLER, MN 56178
PHONE: 507/247-5921
FAX: /­
MR. DALE KRUGER
---------------------------**********
COLONIAL MANOR OF BALATON
Corp
LYON
******** -------------------------­
NH-33
SNF-NF-33
551 US HIGHWAY 14
BALATON, MN 56115
PHONE: 507/734-3511
LAKEVIEW SENIOR HOUSING
(00982)
MS. CAROL KVIDT
FAX: 507/734-2337
HWS
City
651 HIGHWAY 14 EAST
BALATON, MN 56115
PHONE: 507/734-6828
LAKEVIEW SENIOR HOUSING
(22353)
MS. LORI HENKEL
FAX: 507/734-6830
Corp
HCP-F
651 HIGHWAY 14 EAST
BALATON, MN 56115
PHONE: 507/734-6828
SANFORD CLINIC BALATON
(23188)
FAX: 507/734-6830
MS. LORI HENKEL
RHC
NProf
HIGHWAY 14E
BALATON, MN 56115
PHONE: 507/629-3200
FIELDCREST ASSISTED LIVING
(21356)
FAX: 507/629-3202
Corp
MR. DANIEL REINER
HCP-F
HWSAL
80 EAST VERMILLION STREET
COTTONWOOD, MN 56229
PHONE: 507/423-6691
AVERA MARSHALL REG MED CENTER
(20524)
FAX: 507/423-6470
NProf
MR. JERRY J BOERBOOM
NH-76 BASS-8 HOSP-49
300 SOUTH BRUCE STREET
MARSHALL, MN 56258
PHONE: 507/537-9160
(00343)
FAX: 507/537-9053
MS. MARY MAERTENS
SNF-NF-76 CAH-25 PPS-P-10
Minnesota Department of Health
Division of Compliance Monitoring
Page 265
Directory of Facilities and Services
Facility/Service
Owner
Licensure
Certification
LYON
---------------------------**********
(Cont.)* -------------------------­
HWSAL
Lim-Liab
BOULDER ESTATES
Registration
601 VILLAGE DRIVE
(20507)
MARSHALL, MN 56258
PHONE: 507/532-3834
FAX: 507/537-2490
NProf
BRENTWOOD HOME
MR. JAMES CARR
SLFA-10
1012 ESTHER LANE
(27145)
MARSHALL, MN 56285
PHONE: 507/532-8998
FAX: 507/532-3049
MS. CLAUDIA CRAVENS
HWSAL
Corp
CENTRAL MINNESOTA SENIOR CARE/
1232 PATRICA COURT EAST
(20570)
MARSHALL, MN 56258
PHONE: 320/441-7001
FAX: 320/235-8069
MS. DEBRA OLESON
HWS
Lim-Liab
HERITAGE POINTE SENIOR LIVING
207 NORTH 4TH STREET
(29446)
MARSHALL, MN 56258
PHONE: 507/337-4330
MS. BETSY JO KACK
FAX: /­
Lim-Liab
HERITAGE POINTE SENIOR LIVING
HCP-F
207 NORTH 4TH STREET
(29444)
MARSHALL, MN 56258
PHONE: 507/337-4330
MS. BETSY JO KACK
FAX: /­
HWS
Lim-Liab
HILL STREET PLACE
401 SOUTH HILL STREET
(26126)
MARSHALL, MN 56258
PHONE: 507/537-9234
FAX: 507/537-9254
MR. JAMES CARR
ESRD
Corp
MARSHALL DIALYSIS CTR DAVITA
300 SOUTH BRUCE STREET
(02535)
MARSHALL, MN 56258
PHONE: 507/537-9348
PRAIRIE HOME COMMUNITY CARE
FAX: /-
MS. SHERRY DANIELS
NProf
HCP-A
408 EAST MAIN ST STE 8
MARSHALL, MN 56258
PHONE: 507/337-0080
PRAIRIE HOME HOSPICE
(29940)
FAX: 507/337-0081
NProf
MS. PAT MELLENTHIN
RES-HSPICE-5
1107 SKYLINE CIRCLE
MARSHALL, MN 56258
PHONE: 507/537-9247
PRAIRIE HOME HOSPICE
(22089)
MS. PAT MELLENTHIN
FAX: 507/537-9258
NProf
Hospice
HSPICE
408 EAST MAIN STREET #8
MARSHALL, MN 56258
PHONE: 507/337-0080
(02384)
FAX: 507/337-0081
MS. PAT MELLENTHIN
Minnesota Department of Health
Division of Compliance Monitoring
Page 266
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
PROJECT TURNABOUT HALFWAY HSE
Certification
LYON
Registration
(Cont.)* -------------------------­
SLFA-24
1220 BIRCH STREET
(01617)
MARSHALL, MN 56258
PHONE: 507/532-3008
FAX: 507/532-3058
Corp
REM SOUTHWEST SRVS MARSHALL A
MR. MICHAEL SCHIKS
ICFIID-6
SLFA-6
1003 NORTH FOURTH STREET
(01042)
MARSHALL, MN 56258
PHONE: 507/537-1459
FAX: 507/537-1450
Corp
REM SOUTHWEST SRVS MARSHALL B
MR. PATRICK MASYGA
ICFIID-6
SLFA-6
1005 NORTH FOURTH STREET
(01615)
MARSHALL, MN 56258
PHONE: 507/537-1459
FAX: 507/537-1450
Corp
REM SOUTHWEST SRVS MARSHALL C
MR. PATRICK MASYGA
ICFIID-6
SLFB-6
1007 NORTH FOURTH STREET
(01616)
MARSHALL, MN 56258
PHONE: 507/537-1459
MR. PATRICK MASYGA
FAX: 507/537-1450
Corp
SOUTHWEST MINNESOTA SURG CTR
Outpt Surg
Amb Surg
1401 NWAKAMA STREET
(25540)
MARSHALL, MN 56258
PHONE: 507/929-7696
MS. MEGAN JOHNSON
FAX: 507/393-7697
Lim-Liab
STEPPING STONE HOME HEALTH CAR
HCP-F
601 VILLAGE DRIVE
(26940)
MARSHALL, MN 56258
PHONE: 507/537-2413
FAX: 507/537-2430
Lim-Liab
TOUCHING HEARTS HOME CARE
MR. JIM KNUDSON
HCP-A
1210 EAST COLLEGE DR SUITE 800
(24577)
MARSHALL, MN 56258
PHONE: 507/337-1101
FAX: 507/337-1102
MS. DEBORA BLOMME
CMHC
NProf
WESTERN HUMAN DEVELOPMENT CTR
1106 EAST COLLEGE DRIVE
(02768)
MARSHALL, MN 56258
PHONE: 507/532-3236
MADISON AVENUE APARTMENTS
FAX: /­
DR. JOSEPH STEGER
Part
HWSAL
HCP-F
700 NORTH MADISON STREET
MINNEOTA, MN 56264
PHONE: 507/872-5300
MINNEOTA MANOR HCC
(20238)
FAX: 507/872-5359
Corp
MS. KATHY JOHNSON
NH-67
SNF-NF-67
700 NORTH MONROE STREET
MINNEOTA, MN 56264
PHONE: 507/872-5300
(00887)
FAX: 507/872-5359
MS. KATHY JOHNSON
Minnesota Department of Health
Division of Compliance Monitoring
Page
267
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
TOWN AND COUNTRY HHC
Certification
LYON
Registration
(Cont.)* -------------------------­
HCP-A
HHA
700 NORTH MONROE STREET
(02412)
MINNEOTA, MN 56264
PHONE: 507/872-5300
FAX: 507/872-5359
MS. KATHY JOHNSON
HWS
NProf
O BRIEN COURT
410 STATE STREET
(20304)
TRACY, MN 56175
PHONE: 507/629-3449
FAX: /­
MS. CINDY SWENHAUGEN
Corp
PRAIRIE VIEW HEALTHCARE CENTER
NH-55
SNF-NF-55
250 FIFTH STREET EAST
(00342)
TRACY, MN 56175
PHONE: 507/629-3331
FAX: 507/629-3086
MR. JASON SWANSON
RHC
NProf
SANFORD CLINIC TRACY
251 FIFTH STREET EAST
(03335)
TRACY, MN 56175
PHONE: 507/629-3520
MR. DANIEL REINER
FAX: /­
NProf
SANFORD TRACY MEDICAL CENTER
HOSP-25
CAH-25
251 FIFTH STREET EAST
(00344)
TRACY, MN 56175
PHONE: 507/629-3200
MS. STACY BARSTAD
FAX: 507/629-3202
Lim-Liab
SHETEK HOME CARE
HCP-A
HHA
251 FIFTH STREET EAST
(02748)
TRACY, MN 56175
PHONE: 507/212-4155
FAX: 507/212-4144
MS. MARIANNE BOERBOOM
Home Mgmt
Lim-Liab
SWEET HOME HOME CARE LLC
124 3RD STREET SUITE 2
(29402)
TRACY, MN 56175
PHONE: 701/318-2814
FAX: 507/212-0202
MS. SHERREIEA REINER
---------------------------**********
MAHNOMEN
******** -------------------------­
RHC
NProf
ESSENTIA ST MARY'S MAHNOMEN CL
117 NORTH MAIN STREET
(29394)
MAHNOMEN, MN 56557
PHONE: 218/936-5616
MAHNOMEN HEALTH CENTER
FAX: /-
MR. PETER JACOBSON
Cy-Co
NH-48 HOSP-18
414 WEST JEFFERSON
MAHNOMEN, MN 56557
PHONE: 218/935-2511
(00353)
FAX: 218/935-2370
MS. SUSAN KLASSEN
SNF-NF-48 CAH-15
Minnesota Department of Health
Division of Compliance Monitoring
Page
268
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
MAHNOMEN
(Cont.)* -------------------------­
RHC
NProf
SANFORD HEALTH MAHNOMEN CLINIC
Registration
414 WEST JEFFERSON PO BOX 396
(03424)
MAHNOMEN, MN 56557
PHONE: 218/935-2514
FAX: /-
MS. CHARLOTTE WHITTEY
---------------------------**********
Lim-Liab
TAMARAC SENIOR LIVNG COMMUNITY
MARSHALL
******** -------------------------­
HCP-F
HWSAL
900 LINCOLN AVENUE
(23935)
STEPHEN, MN 56757
PHONE: 218/478-2850
FAX: 218/478-2852
NProf
GOOD SAM SOCIETY WARREN
MR. JARED FERGUSON
NH-52
SNF-NF-52
410 SOUTH MCKINLEY STREET
(00356)
WARREN, MN 56762
PHONE: 218/745-5282
FAX: 218/745-6434
MR. TIMOTHY BYRNE
HWS
NProf
GOOD SAMARITAN APARTMENTS
434 SOUTH MCKINLEY STREET
(23993)
WARREN, MN 56762
PHONE: 218/745-5282
MR. TIMOTHY BYRNE
FAX: 218/745-6434
NProf
GOOD SAMARITAN SOCIETY WARREN
HCP-F
410 SOUTH MCKINLEY STREET
(29838)
WARREN, MN 56762
PHONE: 218/745-5282
MR. TIM BYRNE
FAX: 218/745-6434
HWS
NProf
NORTH STAR ASSISTED LIVING WAR
410 SOUTH MCKINLEY STREET
(29839)
WARREN, MN 56762
PHONE: 218/745-5282
FAX: 218/745-6434
NProf
NORTH VALLEY HEALTH CENTER
MR. TIM BYRNE
HOSP-20
CAH-20
109 SOUTH MINNESOTA STREET
(00871)
WARREN, MN 56762
PHONE: 218/745-4211
FAX: 218/745-4215
MS. ASHLEY KING
RHC
NProf
NORTH VALLEY HLTH CTR CLINIC
300 WEST GOOD SAMARITAN DRIVE
(03790)
WARREN, MN 567621412
PHONE: 218/745-4211
FAX: /-
MS. ASHLEY KING
---------------------------**********
GOLDFINCH ESTATES
Lim-Liab
MARTIN
******** -------------------------­
HCP-F
HWSAL
850 GOLDFINCH STREET
FAIRMONT, MN 56031
PHONE: 507/235-9405
(23692)
FAX: 507/238-4163
MR. PATRICK RAFFERTY
Minnesota Department of Health
Division of Compliance Monitoring
Page 269
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
HUMAN SERVICES OF FARIBAULT &
Cnty
Certification
MARTIN
Registration
(Cont.)* -------------------------­
HCP-A
115 WEST 1ST STREET
FAIRMONT, MN 56031
PHONE: 507/238-4757
INGLESIDE
(21571)
FAX: 507/238-1574
Corp
MS. KATHY WERNER
HCP-F
HWSAL
2811 ROLAND AVENUE
FAIRMONT, MN 56031
PHONE: 507/238-9654
LAKEVIEW METHODIST HCC
(20004)
FAX: 507/238-1442
NProf
MR. ERIC WORKE
NH-85
SNF-NF-85
610 SUMMIT DRIVE
FAIRMONT, MN 56031
PHONE: 507/235-6606
MAPLEWOOD RESIDENCE INC
(00360)
FAX: 507/235-3995
MS. PAULETTE LEHR-INTERIM
HWS
NProf
620 SUMMIT DRIVE
FAIRMONT, MN 56031
PHONE: 507/235-3443
MAYO CLINIC HEALTH SYS FAIRMNT
(23768)
MR. ROBERT LAKE
FAX: 507/235-3995
NProf
BASS-16 HOSP-57 NH-40
HOSP-57 SNF-NF-40
800 MEDICAL CTR DRIVE PO 800
FAIRMONT, MN 56031
PHONE: 507/238-8101
MAYO DIALYSIS FAIRMONT
(00359)
MR. ROBERT BARTINGALE
FAX: 507/238-8686
ESRD
NProf
835 JOHNSON STREET
FAIRMONT, MN 56031
PHONE: 507/238-8100
REM HEARTLAND INC AMBER
(23115)
FAX: 507/238-8686
Corp
MS. DAWN TWEED
ICFIID-14
SLFB-14
107 DOROTHY STREET
FAIRMONT, MN 56031
PHONE: 507/238-4751
REM HEARTLAND INC BUDD
(01205)
FAX: 507/238-4753
Corp
MS. CONNIE MENNE
ICFIID-12
SLFB-12
111 DOROTHY STREET
FAIRMONT, MN 56031
PHONE: 507/238-4751
SO CENTRAL SURGICAL CTR LLC
(01427)
FAX: 507/238-4753
Lim-Liab
MS. CONNIE MENNE
Outpt Surg
Amb Surg
717 SOUTH STATE ST SUITE 1000
FAIRMONT, MN 56031
PHONE: 507/235-3939
WOODLAND MANOR
(20623)
FAX: 855/363-7929
NProf
MR. RYAN BALDWIN
HWSAL
HCP-F
610 SUMMIT DRIVE
FAIRMONT, MN 56031
PHONE: 507/235-6606
(20996)
FAX: 507/235-3995
MR. ROBERT LAKE
Minnesota Department of Health
Division of Compliance Monitoring
Page
270
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
COMM OPTIONS AND RESOURCES I
NProf
Certification
MARTIN
Registration
(Cont.)* -------------------------­
ICFIID-6
SLFB-6
332 FOX LAKE AVE PO BOX 333
SHERBURN, MN 56171
PHONE: 507/764-4612
TEMPERANCE LAKE RIDGE
(01045)
FAX: 507/764-4067
Lim-Liab
MS. JUDY MARTENS
HCP-F
HWSAL
410 FOX LAKE AVENUE
SHERBURN, MN 56171
PHONE: 507/764-4977
TRIMONT HEALTH CARE CENTER
(21944)
FAX: 507/764-2592
City
MS. JEANNE JAECKELS
NH-36
SNF-NF-36
303 BROADWAY AVENUE SOUTH
TRIMONT, MN 56176
PHONE: 507/639-2381
TRUMAN SENIOR LIVING
(00365)
FAX: 507/639-2142
Corp
MS. CINDY VERSCHELDE
SNF-NF-50
NH-50
400 NORTH FOURTH AVENUE EAST
TRUMAN, MN 56088
PHONE: 507/776-2031
TRUMAN SENIOR LIVING INC
(00361)
MS. LORNA CRAIG-PAULSON
FAX: 507/776-2032
Corp
HCP-F
HWSAL
400 NORTH 4TH AVENUE EAST
TRUMAN, MN 56088
PHONE: 507/776-2031
(22125)
MS. LORNA CRAIG PAULSON
FAX: 507/776-2032
---------------------------**********
SHADE TREE RETIREMENT CENTER
MCLEOD
******** -------------------------­
HWSAL
Corp
115 FOURTH AVE SO PO BOX 35
BROWNTON, MN 55312
PHONE: 320/328-5949
DOMINION HOME HEALTH SERVICES
(20268)
FAX: 320/328-5995
Corp
MS. DEBRA OLESON
HCP-A
1205 10TH STREET EAST
GLENCOE, MN 55336
PHONE: 320/864-9926
GLENCOE REGIONAL HEALTH SRVCS
(28070)
FAX: 888/206-4549
NProf
MS. MARIAM AJAYI
NH-110 BASS-8 HOSP-49
1805 HENNEPIN AVENUE NORTH
GLENCOE, MN 55336
PHONE: 320/864-3121
GRAND MEADOWS
(00351)
FAX: 320/864-7887
Lim-Liab
MR. JON BRABAND
HCP-F
1420 PRAIRIE AVENUE
GLENCOE, MN 55336
PHONE: 320/864-5577
(29045)
FAX: 320/864-5350
MS. PATRICIA ISAACSON
SNF-NF-110 CAH-25
Minnesota Department of Health
Division of Compliance Monitoring
Page 271
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
MCLEOD
(Cont.)* -------------------------­
HWSAL
Corp
GRAND MEADOWS INC
Registration
1420 PRAIRIE AVENUE
(28964)
GLENCOE, MN 55336
PHONE: 320/864-5577
FAX: 320/864-5350
Lim-Liab
GUARDIAN IN HM HEALTH & SECRTY
MS. PATRICIA ISAACSON
HCP-A
2071 10TH STREET EAST
(26619)
GLENCOE, MN 55336
PHONE: 320/864-6544
FAX: 320/864-6541
MS. SONYA BORG
HWS
NProf
ORCHARD ESTATES
1900 FORD AVENUE NORTH
(20002)
GLENCOE, MN 55336
PHONE: 320/864-7798
FAX: 320/864-7887
MS. NANCY ELLEFSON
HWSAL
Corp
BIRCHWOOD HOUSE
710 PARK ISLAND DRIVE
(29202)
HUTCHINSON, MN 55350
PHONE: 320/587-7737
MS. MARK AUSTIN
FAX: 320/234-7950
Corp
CEDAR CREST ESTATE
HWSAL
HCP-F
225 SHADY RIDGE ROAD
(20040)
HUTCHINSON, MN 55350
PHONE: 320/587-7077
MS. ROSALIND EWALD
FAX: 320/327-0147
HWSAL
NProf
ECUMEN HUTCHINSON THE PINES
1015 CENTURY AVE SW
(23788)
HUTCHINSON, MN 55350
PHONE: 320/234-0865
FAX: 320/234-8306
NProf
ECUMEN OAKS
MRS. BERIT SPORS
HWSAL
HCP-F
945 CENTURY AVENUE SW
(20784)
HUTCHINSON, MN 55350
PHONE: 320/234-9791
FAX: 320/234-6008
MRS. BERIT SPORS
ESRD
Corp
FMC DIALYSIS SRVS HUTCHINSON
1095 HIGHWAY 15 SOUTH
(03327)
HUTCHINSON, MN 55350
PHONE: 320/234-4940
HARMONY RIVER LIVING CENTER
FAX: /-
MR. JOHN MARIETTI
NProf
HWSAL-O
HCP-F
1555 SHERWOOD STREET SOUTHEAST
HUTCHINSON, MN 55350
PHONE: 320/484-6000
HARMONY RIVER LIVING CENTER
(28986)
FAX: 320/234-5002
NProf
MS. LINDA KRENTZ
NH-120
SNF-NF-120
1555 SHERWOOD STREET SOUTHEAST
HUTCHINSON, MN 55350
PHONE: 320/484-6000
(00348)
FAX: 320/484-6001
MS. LINDA KRENTZ
Minnesota Department of Health
Division of Compliance Monitoring
Page
272
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
HUTCHINSON HEALTH
Certification
MCLEOD
Registration
(Cont.)* -------------------------­
BASS-6 HOSP-66
HOSP-54 PPS-P-12
1095 HIGHWAY 15 SOUTH
(00350)
HUTCHINSON, MN 55350
PHONE: 320/234-5000
FAX: 320/587-3340
DR. STEVEN MULDER
HWSAL
Lim-Liab
PRAIRIE SENIOR COTTAGES OF HUT
1320 BRADFORD STREET
(20737)
HUTCHINSON, MN 55350
PHONE: 320/587-5508
FAX: 320/587-7491
Lim-Liab
PRAIRIE SR COTTAGES HUTCHINSON
MR. JOHN PETERSON
HCP-F
HWSAL
1310 BRADFORD STREET
(20745)
HUTCHINSON, MN 55350
PHONE: 320/587-5508
FAX: 320/587-7491
MR. JOHN PETERSON
HWS
NProf
PRINCE OF PEACE RETIREMENT LIV
301 GLEN STREET SOUTHWEST
(20080)
HUTCHINSON, MN 55350
PHONE: 320/234-7588
MS. MERLINE DUERING
FAX: 320/234-6355
Corp
REGIONAL EYE SURGERY CTR INC
Outpt Surg
Amb Surg
1455 MONTREAL ST SE PO BOX 699
(24516)
HUTCHINSON, MN 55350
PHONE: 320/234-6660
MS. KIMBERLY MACKERETH
FAX: 320/234-3570
Corp
WELCOME HOME HEALTH CARE INC
HCP-F
1025 DALE STREET SW
(29910)
HUTCHINSON, MN 55350
PHONE: 320/587-0005
FAX: /­
MR. ROMAN BLOEMKE
HWSAL
Corp
WOODSTONE SENIOR LIVING HUTCH
1025 DALE STREET SW
(29911)
HUTCHINSON, MN 55350
PHONE: 320/587-0005
CEDAR CREST OF SILVER LAKE
FAX: /­
MR. ROMAN BLOEMKE
HWSAL
Lim-Liab
1401 MAIN STREET WEST
SILVER LAKE, MN 55381
PHONE: 320/327-6577
BENEDICTINE LV COMM OF WINSTED
(26903)
FAX: 320/587-7077
NProf
MS. ROSALIND EWALD
HWSAL
HCP-F
215 LINDEN AVENUE WEST
WINSTED, MN 55395
PHONE: 320/485-3130
BENEDICTINE LVG COMM WINSTED
(24030)
FAX: 320/485-4241
NProf
MS. ANGELA TORNMANEN
NH-65
SNF-NF-65
551 4TH ST NORTH
WINSTED, MN 55395
PHONE: 320/485-2151
(00352)
FAX: 320/485-4241
MS. DENISE BECKER
Minnesota Department of Health
Division of Compliance Monitoring
Page
273
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
MCLEOD
(Cont.)* -------------------------­
HWSAL
NProf
GARDEN HOUSE AT ST MARYS
Registration
300 FAIRLAWN AVENUE WEST
(28112)
WINSTED, MN 55395
PHONE: 320/485-2151
FAX: 320/485-4241
NProf
OUTREACH TRILLIUM WEST
MRS. CHRISTINA HAUPT
ICFIID-6
SLFB-6
306 WESTGATE DRIVE PO BOX 246
(01614)
WINSTED, MN 55395
PHONE: 320/485-3759
FAX: 320/485-4738
MS. MARY TJOSVOLD
---------------------------**********
MEEKER
******** -------------------------­
HWSAL
Lim-Liab
CEDAR CREST OF COSMOS
130 NEPTUNE STREET NORTH
(22174)
COSMOS, MN 56228
PHONE: 320/877-9100
FAX: 320/587-4299
Lim-Liab
LAKEVIEW RANCH HEALTHCARE LLC
MS. ROSALIND EWALD
Hospice
69531 213TH STREET
(26416)
DARWIN, MN 55324
PHONE: 320/275-4611
MS. JUDY BERRY
FAX: 320/275-4030
Lim-Liab
LAKEVIEW RANCH HEALTHCARE LLC
HCP-A
69531 213TH STREET
(26341)
DARWIN, MN 55324
PHONE: 320/275-4027
MS. JUDY BERRY
FAX: 320/275-4028
Corp
LAKEVIEW RANCH INC
HCP-F
HWS
69531 213TH STREET
(20829)
DARWIN, MN 55324
PHONE: 320/275-4027
FAX: 320/275-4028
MS. JUDY BERRY
RHC
NProf
DASSEL MEDICAL CENTER
460 FIFTH STREET N BOX 367
(02801)
DASSEL, MN 55325
PHONE: 320/275-3358
LAKESIDE APARTMENTS
FAX: /­
DR. STEVEN MULDER
HWSAL
NProf
441 WILLIAM AVENUE EAST
DASSEL, MN 55325
PHONE: 320/275-3308
LAKESIDE ASSISTED LIVING
(20568)
FAX: 320/275-3433
Lim-Liab
MR. WILLIAM WARD
HCP-F
441 WILLIAM AVENUE EAST
DASSEL, MN 55325
PHONE: 320/275-3308
(26188)
FAX: 320/275-3433
MR. WILLIAM WARD
Minnesota Department of Health
Division of Compliance Monitoring
Page 274
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
LAKESIDE HEALTH CARE CENTER
Lim-Liab
Certification
MEEKER
Registration
(Cont.)* -------------------------­
NH-54
SNF-NF-54
439 WILLIAM AVE E PO BOX 383
DASSEL, MN 55325
PHONE: 320/275-3308
LAKEVIEW RANCH INC
(00773)
FAX: 320/275-3433
MR. WILLIAM WARD
HWS
Corp
22851 MINNESOTA HIGHWAY 15
DASSEL, MN 55325
PHONE: 320/275-4027
CHERYL'S NURSING POOL INC
(22067)
FAX: 320/275-4028
Corp
MS. JUDY BERRY
HCP-A
209 STATE STREET NORTH
EDEN VALLEY, MN 55329
PHONE: 320/453-7007
BETHANY ASSISTED LIVING IN LIT
(29453)
FAX: 320/453-7004
MS. CHERYL ELLIOTT
HWSAL
Church
203 NORTH ARMSTRONG AVE
LITCHFIELD, MN 55355
PHONE: 320/693-2430
CENTRACARE LITCHFIELD DIALYSIS
(23748)
MS. REBECCA WARPULA
FAX: 320/373-6610
ESRD
NProf
520 US HIGHWAY 12 EAST
LITCHFIELD, MN 55355
PHONE: 320/693-7777
ECUMEN LITCHFIELD SR HSG SERVS
(25910)
MS. CATHY SINDELIR
FAX: 320/693-1555
NProf
HCP-F
203 NORTH ARMSTRONG AVENUE
LITCHFIELD, MN 55355
PHONE: 320/693-2430
ECUMEN OF LITCHFIELD HC & HSPC
(21203)
FAX: 320/373-6610
NProf
MR. CRAIG SMITH
Hospice
HSPICE
218 NORTH HOLCOMBE
LITCHFIELD, MN 55355
PHONE: 320/693-7367
ECUMEN OF LITCHFIELD HOME CARE
(03129)
FAX: 320/693-0433
NProf
MR. CRAIG SMITH
HCP-A
HHA
218 N HOLCOMBE AVE
LITCHFIELD, MN 55355
PHONE: 320/693-7367
EMMANUEL HOME
(02364)
FAX: 320/693-0433
Church
MS. SANDRA DOUGHERTY
NH-90
SNF-NF-90
600 SOUTH DAVIS AVENUE
LITCHFIELD, MN 55355
PHONE: 320/693-2472
EMMAUS PLACE
(00775)
FAX: 320/693-2242
MR. CRAIG SMITH
HWS
Church
200 NORTH HOLCOMBE
LITCHFIELD, MN 55355
PHONE: 320/693-2430
(20586)
FAX: 320/373-6610
MS. REBECCA WARPULA
Minnesota Department of Health
Division of Compliance Monitoring
Page
275
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
GLORIA DEI MANOR
Certification
MEEKER
Registration
(Cont.)* -------------------------­
HWS
NProf
218 NORTH HOLCOMBE AVENUE
LITCHFIELD, MN 55355
PHONE: 320/693-2430
HOUSING REDEVELOPMENT LITCHFIE
(20108)
FAX: 320/373-6610
MS. REBECCA WARPULA
HWS
HRA
122 WEST FOURTH STREET
LITCHFIELD, MN 55355
PHONE: 320/693-2104
MEEKER MEM HOSP
(20584)
FAX: 320/593-8199
Cnty
MS. PAT BRAATEN
BASS-4 HOSP-35
CAH-25 PPS-P-10
612 SOUTH SIBLEY AVENUE
LITCHFIELD, MN 55355
PHONE: 320/693-3242
HILLTOP HEALTH CARE CENTER
(00370)
FAX: 320/693-4567
Lim-Liab
MR. KYLE RASMUSSEN
NH-50
SNF-NF-50
410 LUELLA STREET
WATKINS, MN 55389
PHONE: 320/764-2300
WATKINS AREA HOMES
(00798)
MR. FRED STRUZYK
FAX: 320/764-2665
HWSAL
NProf
150 3RD STREET SOUTH
WATKINS, MN 55389
PHONE: 320/764-5600
WATKINS AREA HOMES
(21229)
MS. JOLEEN PFAU
FAX: 320/764-5601
HWSAL
NProf
181 3RD STREET SOUTH
WATKINS, MN 55389
PHONE: 320/764-5600
WATKINS AREA HOMES
(21231)
FAX: 320/764-5601
MS. JOLEEN PFAU
HWSAL
NProf
161 3RD STREET SOUTH
WATKINS, MN 55389
PHONE: 320/764-5600
WATKINS AREA HOMES II / ST ANT
(21230)
FAX: 320/764-5601
MS. JOLEEN PFAU
HWS-O
NProf
131 CHURCH STREET
WATKINS, MN 55389
PHONE: 320/764-5600
(21232)
FAX: 320/764-5601
MS. JOLEEN PFAU
---------------------------**********
SCANDIA SENIOR CARE LLC
Lim-Liab
MILLE LACS
********
-------------------------­
HCP-A
15622 135TH STREET
FORESTON, MN 56330
PHONE: 320/294-5335
(25867)
FAX: 320/294-5336
MR. KENNETH BERGSTROM
Minnesota Department of Health
Division of Compliance Monitoring
Page 276
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
MILLE LACS FAMILY CLINIC ISLE
Certification
MILLE LACS
Registration
(Cont.)* -------------------------­
RHC
NProf
375 WEST ISLE ST
ISLE, MN 56342
PHONE: 320/676-3661
SCANDIA HOUSE OF ISLE
(02461)
FAX: 320/676-3672
MR. WILLIAM NELSON
HWSAL
Lim-Liab
540 EAST ISLE STREET
ISLE, MN 56342
PHONE: 320/676-3260
COUNTRY MEADOWS
(28438)
FAX: 320/676-3230
NProf
MR. KENNETH BERGSTROM
HCP-F
HWSAL
740 2ND STREET SE
MILACA, MN 56353
PHONE: 320/983-6386
ELIM HOME - MILACA
(24336)
FAX: 320/983-6824
Church
MS. LAURA BROBERG
NH-92
SNF-NF-92
730 SECOND ST SE PO BOX 157
MILACA, MN 56353
PHONE: 320/983-2185
HERITAGE HOUSE OF MILACA
(00376)
MS. LAURA BROBERG
FAX: 320/983-2190
Ind
HWSAL
HCP-F
115 9TH ST NW SUITE 120
MILACA, MN 56353
PHONE: 320/982-7000
MILLE LACS BAND OF OJIBWE PUBL
(23743)
MS. LORI CARLSON
FAX: 320/982-7001
Tribal
HCP-A
17230 NOOPIMING DRIVE
ONAMIA, MN 56359
PHONE: 320/532-7775
MILLE LACS FAMILY CLNC ONAMIA
(25702)
FAX: 320/532-7524
MS. LISA BLAHOSKY
RHC
NProf
200 NORTH ELM STREET
ONAMIA, MN 56359
PHONE: 320/532-3154
MILLE LACS HEALTH SYSTEM
(02459)
FAX: 320/532-3111
NProf
MR. WILLIAM NELSON
NH-57 BASS-3 HOSP-28
SNF-NF-57 CAH-18 PPS-P-10
200 NORTH ELM STREET
ONAMIA, MN 56359
PHONE: 320/532-2585
MILLE LACS HLTH SYS HOSPICE
(00374)
MR. WILLIAM NELSON
FAX: 320/532-2889
NProf
Hospice
HSPICE
200 ELM STREET NORTH
ONAMIA, MN 56359
PHONE: 320/532-2800
MILLE LACS HOME CARE
(03598)
MS. NICOLE NARVESON
FAX: 320/532-4325
NProf
HCP-A
HHA
200 ELM ST NORTH
ONAMIA, MN 56359
PHONE: 320/532-2800
(02323)
FAX: 320/532-4325
MR. WILLIAM NELSON
Minnesota Department of Health
Division of Compliance Monitoring
Page 277
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
ONAMIA AREA ASSISTED LIVING
Certification
MILLE LACS
Registration
(Cont.)* -------------------------­
HCP-F
HWSAL
206 NORTH ELM STREET
(24552)
ONAMIA, MN 56359
PHONE: 320/532-2000
FAX: 320/532-2071
MR. KERMIT HOLL
HWS
NProf
BELLE HAVEN TOWNHOMES
101 18TH AVENUE NORTH
(24251)
PRINCETON, MN 55371
PHONE: 763/389-5080
FAX: 763/631-1997
NProf
CALEY HOUSE ASSISTED LIVING
MS. LOIS MUELLER
HCP-F
HWSAL
104 SOUTH EIGHTH AVENUE
(21649)
PRINCETON, MN 55371
PHONE: 763/389-0424
FAX: 763/389-0436
MR. TODD LUNDEEN
ESRD
NProf
CENTRACARE KIDNEY PROGRAM
112 SOUTH RUM RIVER DRIVE #10
(21067)
PRINCETON, MN 55371
PHONE: 763/389-2048
MS. CATHY SINDELIR
FAX: 763/389-2325
Church
ELIM HOME
NH-113
SNF-NF-113
701 FIRST STREET
(00375)
PRINCETON, MN 55371
PHONE: 763/389-1171
MR. TODD LUNDEEN
FAX: 763/389-0432
NProf
FAIRVIEW NORTHLAND REG HOSP
BASS-10 HOSP-54
HOSP-54
911 NORTHLAND DRIVE
(00408)
PRINCETON, MN 55371
PHONE: 763/389-1313
FAX: 763/389-6306
Lim-Liab
STERLING POINTE SENIOR LVG LLC
MR. JOHN HERMAN
HCP-F
HWSAL
1250 NORTHLAND DRIVE
(28071)
PRINCETON, MN 55371
PHONE: 763/389-8655
FAX: /­
MS. MARNI GUSTAFSON
HWS
NProf
WOMEN'S TRANSITIONAL HOUSING
1213 11TH AVENUE NORTH
(27496)
PRINCETON, MN 55371
PHONE: 763/389-5080
FAX: 763/631-9117
---------------------------**********
MS, JANA ENGH
MORRISON
RHC
NProf
MILLE LACS FAMILY CLINIC
26362 370TH AVENUE
(23611)
HILLMAN, MN 56338
PHONE: 320/277-3682
FAX: /-
******** -------------------------­
MR. DANIEL REINER
Minnesota Department of Health
Division of Compliance Monitoring
Page 278
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
BRIDGEWAY ESTATES
Corp
Certification
MORRISON
Registration
(Cont.)* -------------------------­
HWSAL
HCP-F
103 12TH STREET NE
LITTLE FALLS, MN 56345
PHONE: 320/632-2089
CENTRACARE KIDNEY PROGRAM LITT
(21656)
FAX: 320/632-2097
MR. SCOT ALLEN
ESRD
NProf
808 THIRD STREET SE SUITE 330
LITTLE FALLS, MN 56345
PHONE: 320/631-5656
CENTRAL MINNESOTA SENIOR CARE
(02119)
FAX: 320/632-0479
MS. AMANDA MCARDELL
HWSAL
Corp
315 SIXTH STREET SOUTHWEST
LITTLE FALLS, MN 56345
PHONE: 320/441-7001
COMFORT KEEPERS
(20317)
FAX: 320/235-8069
Lim-Liab
MS. DAWN FRERICKS
HCP-A
211 1ST STREET NORTHEAST
LITTLE FALLS, MN 56345
PHONE: 320/632-0924
DIAMOND WILLOW ASSISTED LIVING
(27578)
MR. JAY VASEK
FAX: 320/632-0918
HWSAL
Lim-Liab
1405 5TH AVENUE NE
LITTLE FALLS, MN 56345
PHONE: 320/616-2848
DIAMOND WILLOW ASSISTED LIVING
(25705)
MS. BRENDA MARSHALL
FAX: 320/616-2910
HWSAL
Lim-Liab
1401 5TH AVE NE
LITTLE FALLS, MN 56345
PHONE: 320/616-2845
HARMONY HOUSE OF LITTLE FALLS
(25706)
FAX: 320/616-2910
MS. BRENDA MARSHALL
HWSAL
NProf
1201 HILTON ROAD
LITTLE FALLS, MN 56345
PHONE: 320/632-9449
HIGHLAND SENIOR LVG COMMUNITY
(23236)
FAX: 320/632-2913
Lim-Liab
MS. BRIDGET BRITZ
HWSAL
HCP-F
1012 3RD AVENUE NE
LITTLE FALLS, MN 56345
PHONE: 320/632-1880
LITTLE FALLS CARE CENTER
(27367)
FAX: 320/414-0353
NProf
MS. TINA THEISEN
NH-55
SNF-NF-55
1200 FIRST AVENUE NE
LITTLE FALLS, MN 56345
PHONE: 320/632-9211
MINNESOTA HERITAGE HOUSE
(00382)
FAX: 320/632-2097
Corp
MR. SCOT ALLEN
HCP-F
920 SOUTHEAST FOURTH STREET
LITTLE FALLS, MN 56345
PHONE: 320/631-4104
(21049)
FAX: 320/631-4106
MR. JAMES BIRCHEM
Minnesota Department of Health
Division of Compliance Monitoring
Page 279
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Cnty
MORRISON CO PUBLIC HEALTH
Certification
MORRISON
Registration
(Cont.)* -------------------------­
HCP-A
200 EAST BROADWAY
(02031)
LITTLE FALLS, MN 56345
PHONE: 320/632-6664
FAX: 320/632-0392
MS. BONNIE PAULSEN
CMHC
ONProf
NORTHERN PINES MENTAL HLTH CTR
PO BOX 367 ROUTE 5 BOX 257
(02769)
LITTLE FALLS, MN 56345
PHONE: 320/632-6647
NOUIS HOME CARE INC
FAX: /­
MR. JOHN PETERSON
HWSAL-O
Corp
308 1ST STREET SOUTHEAST
LITTLE FALLS, MN 56345
PHONE: 320/632-3868
ST CAMILLUS PLACE
(28501)
FAX: 320/632-4315
NProf
MR. LEROY NOUIS
ICFIID-14
SLFB-14
1100 SOUTHEAST 4TH STREET
LITTLE FALLS, MN 56345
PHONE: 320/631-5020
ST GABRIELS HOSPITAL
(01478)
MS. LISA THIELMAN
FAX: 320/631-5025
Church
BASS-10 HOSP-49
CAH-25
815 SOUTHEAST SECOND STREET
LITTLE FALLS, MN 56345
PHONE: 320/631-5600
ST OTTOS CARE CENTER
(00383)
MR. JOSEPH MESSMER
FAX: 320/631-5680
Corp
NH-93
SNF-NF-93
920 SOUTHEAST FOURTH STREET
LITTLE FALLS, MN 56345
PHONE: 320/632-9281
TRINITY HOME HEALTH CARE INC
(00817)
FAX: 320/631-4106
Corp
MR. BRIAN BERNANDER
HCP-A
308 1ST STREET SOUTHEAST
LITTLE FALLS, MN 56345
PHONE: 320/632-3868
UNITY FAMILY HOME CARE HOSPICE
(28378)
FAX: 320/632-4315
ONProf
MR. LEROY NOUIS
HCP-A
HHA
815 SOUTHEAST SECOND STREET
LITTLE FALLS, MN 56345
PHONE: 320/631-5575
UNITY FAMILY HOSPICE
(02813)
FAX: 320/631-1650
ONProf
MS. LAURA SCHERER
Hospice
HSPICE
815 SOUTHEAST SECOND STREET
LITTLE FALLS, MN 56345
PHONE: 320/631-5575
HARMONY HOUSE OF MOTLEY I
(03097)
FAX: 320/631-1650
MS. LAURA SCHERER
HWSAL
NProf
900 EASTWOOD LANE SOUTH
MOTLEY, MN 56466
PHONE: 218/352-6941
(20572)
FAX: 218/352-6942
MS. BRIDGET BRITZ
Minnesota Department of Health
Division of Compliance Monitoring
Page 280
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
MORRISON
(Cont.)* -------------------------­
HWSAL
NProf
HARMONY HOUSE OF MOTLEY III
Registration
908 EASTWOOD LANE SO SUITE 1
(20971)
MOTLEY, MN 56466
PHONE: 218/352-6941
FAX: 218/352-6942
MS. BRIDGET BRITZ
RHC
NProf
LAKEWOOD CLINIC MOTLEY
1233 HIGHWAY 10
(22117)
MOTLEY, MN 56466
PHONE: 320/352-6911
FAX: /-
MR. TIMOTHY RICE
RHC
NProf
FAMILY MEDICAL CENTER
200 SOUTH FIRST AVENUE
(27043)
PIERZ, MN 56364
PHONE: 320/468-2536
FAX: 320/468-2728
NProf
HARMONY HOUSE
MR. DENNIS DVORAK
HCP-F
26814 143RD ST PO BOX 220
(20767)
PIERZ, MN 56364
PHONE: 320/468-6451
MS. BRIDGET BRITZ
FAX: 320/468-6463
HWSAL
NProf
HARMONY HOUSE
26886 143RD STREET
(20172)
PIERZ, MN 56364
PHONE: 320/468-2811
MS. BRIDGET BRITZ
FAX: 320/468-6863
NProf
HORIZON HEALTH HOSPICE
Hospice
HSPICE
26814 143RD STREET
(28959)
PIERZ, MN 56364
PHONE: 320/468-6451
FAX: 320/468-6452
NProf
HORIZON HEALTH INC
MS. PAT POSTER
HCP-A
HHA
26814 143RD STREET PO BOX 220
(03347)
PIERZ, MN 56364
PHONE: 320/468-6451
FAX: 320/468-6452
Corp
PIERZ MEADOW PONDS INC
MS. BRIDGET BRITZ
HWSAL
HCP-F
305 RONALD AVENUE
(23849)
PIERZ, MN 56364
PHONE: 320/468-2951
FAX: 320/468-2955
Corp
PIERZ VILLA INC
MRS. DENISE KARST
NH-50
SNF-NF-50
119 FAUST STREET SOUTHEAST
(00384)
PIERZ, MN 56364
PHONE: 320/468-6405
FAX: 320/468-0088
MS. KIM ROCHELEAU
HWSAL
Lim-Liab
AMAZING DAYS CARE CENTER LLC
7807 EMERALD ROAD
(29391)
RANDALL, MN 56475
PHONE: 320/749-2787
FAX: /­
MS. PENNY POLING
Minnesota Department of Health
Division of Compliance Monitoring
Page
281
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
MORRISON
(Cont.)* -------------------------­
RHC
NProf
RANDALL LAKES AREA CLINIC
Registration
250 WHITE OAK DRIVE
(27045)
RANDALL, MN 56475
PHONE: 320/749-2877
RIVERSIDE ASSISTED LIVING
FAX: /­
MR. DENNIS DVORAK
Corp
HCP-F
HWSAL
812 CENTRE STREET EAST
ROYALTON, MN 56373
PHONE: 320/584-6484
(24459)
FAX: 320/584-5003
MRS. PAULA ROCHELEAU
---------------------------**********
ADAMS HEALTH CARE CENTER
City
MOWER
******** -------------------------­
NH-54
SNF-NF-54
810 WEST MAIN STREET
ADAMS, MN 55909
PHONE: 507/582-3263
ADAMS HOME HEALTH AGENCY
(00754)
FAX: 507/582-7793
City
MS. GEORGETTE HINKLE
HCP-F
810 WEST MAIN
ADAMS, MN 55909
PHONE: 507/582-7704
ADAMS HOME HEALTH CARE
(26961)
MS. GEORGETTE HINKLE
FAX: 507/582-3275
City
HCP-A
HWSAL
810 WEST MAIN STREET
ADAMS, MN 55909
PHONE: 507/582-7704
CROSS HOME
(02812)
MS. GEORGETTE HINKLE
FAX: 507/582-3275
NProf
ICFIID-4
SLFB-4
302 1ST STREET
ADAMS, MN 55909
PHONE: 507/324-3725
AUSTIN MSOCS
(01417)
FAX: 507/582-3221
State
MS. ANN LAZZARA
ICFIID-6
SLFB-6
1000 12TH STREET SOUTHWEST
AUSTIN, MN 55912
PHONE: 507/433-9027
CEDARS OF AUSTIN
(01639)
FAX: 507/433-9046
Part
MR. PAUL MCINTYRE
HCP-F
HWSAL
700 FIRST DRIVE NORTHWEST
AUSTIN, MN 55912
PHONE: 507/437-3246
GLENDALOUGH OF AUSTIN INC
(20189)
FAX: 507/437-3248
NProf
MS. LUCINDA GARDNER
ICFIID-6
SLFB-6
1409 12TH AVENUE NORTHWEST
AUSTIN, MN 55912
PHONE: 507/433-6499
(01645)
FAX: 507/334-4394
MR. RUSS KENNEDY
Minnesota Department of Health
Division of Compliance Monitoring
Page
282
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
GOOD SAM SOCIETY COMFORCARE
NProf
Certification
MOWER
Registration
(Cont.)* -------------------------­
NH-45
SNF-NF-45
1201 17TH STREET NE
AUSTIN, MN 55912
PHONE: 507/437-4526
KINGSLEY HOUSE
(00967)
FAX: 507/437-9024
Part
MS. SARA FALK
HCP-F
HWS
206 1ST STREET SOUTHWEST
AUSTIN, MN 55912
PHONE: 507/437-7681
KSMS OUR HOUSE LLC
(20752)
FAX: 507/434-2139
Lim-Liab
MR. JEFF BRADLEY
HCP-F
HWSAL
204 14TH STREET NORTHWEST
AUSTIN, MN 55912
PHONE: 507/437-2179
MAYO CLINIC HEALTH SYS AUSTIN
(20449)
FAX: 507/437-2310
NProf
MR. RANDY KLEIN
Hospice
HSPICE
408 NORTHWEST FOURTH AVENUE
AUSTIN, MN 55912
PHONE: 507/434-1415
MAYO CLINIC HEALTH SYS AUSTIN
(03409)
MS. MARCIA SMITH
FAX: 507/434-1276
NProf
BASS-10 HOSP-82
HOSP-66 PPS-P-16
1000 FIRST DRIVE NORTHWEST
AUSTIN, MN 55912
PHONE: 507/433-7351
NURSE CARE FOR EVERY SEASON OF
(00395)
MR. ADAM REES
FAX: 507/434-1992
Lim-Liab
HCP-A
2005 D OAK TREE LANE
AUSTIN, MN 55912
PHONE: 507/884-6025
OUR HOUSE SENIOR LIVING
(28756)
FAX: 507/396-2076
MS. NANCY JOHNSON
HWSAL
Lim-Liab
1313 15TH AVENUE NW
AUSTIN, MN 55912
PHONE: 507/437-3373
OUR HOUSE SENIOR LIVING
(24097)
FAX: 507/437-3383
MR. RANDY KLEIN
HWSAL
Lim-Liab
1401 15TH AVENUE NW
AUSTIN, MN 55912
PHONE: 507/396-0085
PRIMROSE LEASE MANAGEMENT LLC
(21746)
FAX: 507/396-0087
Lim-Liab
MR. RANDY KLEIN
HWSAL
HCP-F
1701 22ND AVE SW
AUSTIN, MN 55912
PHONE: 507/434-0600
REFLECTIONS ASSISTED LIVING
(21689)
FAX: 507/434-0041
Corp
MR. MARK MCNEARY
HWSAL
HCP-F
300 SECOND STREET SW
AUSTIN, MN 55912
PHONE: 507/440-6564
(25944)
FAX: 507/437-2393
MR. GARY CORCORAN
Minnesota Department of Health
Division of Compliance Monitoring
Page 283
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
REM WOODVALE INC CEDAR I
Corp
Certification
MOWER
Registration
(Cont.)* -------------------------­
ICFIID-8
SLFA-8
310 3RD STREET SOUTHEAST
AUSTIN, MN 55912
PHONE: 507/433-7301
REM WOODVALE INC CEDAR IV
(01276)
FAX: 507/433-4597
Corp
MR. PATRICK MASYGA
ICFIID-6
SLFB-6
1710 22ND AVENUE SOUTHWEST
AUSTIN, MN 55912
PHONE: 507/433-7301
SACRED HEART ASSISTED LIVING A
(01306)
FAX: 507/433-4597
MR. PATRICK MASYGA
HWSAL
NProf
1202 12TH STREET SOUTHWEST
AUSTIN, MN 55912
PHONE: 507/433-1905
SACRED HEART CARE CENTER INC
(20386)
FAX: 507/434-9572
NProf
MS. REBECCA MATHEWS-HALVERSON
NH-59
SNF-NF-59
1200 TWELFTH STREET SOUTHWEST
AUSTIN, MN 55912
PHONE: 507/433-1808
SACRED HEART HOME HEALTH CARE
(00393)
MS. REBECCA MATHEWS-HALVERSON
FAX: 507/433-9572
NProf
HCP-A
HHA
1200 12TH STREET SOUTHWEST
AUSTIN, MN 55912
PHONE: 507/433-1905
ST MARKS HERITAGE COMMUNITY
(02231)
MS. REBECCA MATHEWS HALVERSON
FAX: 507/433-8012
Church
HWSAL
HCP-F
400 SOUTHWEST 15TH AVENUE
AUSTIN, MN 55912
PHONE: 507/437-4594
ST MARKS LUTHERAN HOME
(20978)
FAX: 507/396-0534
Church
MR. CHRIS SCHULZ
NH-61
SNF-NF-61
400 15TH AVENUE SOUTHWEST
AUSTIN, MN 55912
PHONE: 507/437-4594
THE CARLSON HOME OF AUSTIN INC
(00394)
FAX: 507/434-7201
Corp
MR. CHRIS SCHULZ
HWSAL
HCP-F
300 FIRST AVENUE NORTHWEST
AUSTIN, MN 55912
PHONE: 507/433-8357
WHISPERING PINES RANCH
(20073)
FAX: 507/433-9368
Corp
MR. RICHARD CARLSON
HWSAL
HCP-F
1916 4TH STREET SOUTHEAST
AUSTIN, MN 55912
PHONE: 507/433-1117
MEADOW MANOR
(25430)
FAX: 507/434-4129
Corp
MS. REBECCA MURAS
NH-43
SNF-NF-43
210 EAST GRAND AVENUE
GRAND MEADOW, MN 55936
PHONE: 507/754-5212
(00390)
FAX: 507/754-5222
MS. JAMES INGERSOLL
Minnesota Department of Health
Division of Compliance Monitoring
Page 284
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
THE MEADOWS
Corp
Certification
MOWER
Registration
(Cont.)* -------------------------­
HCP-F
HWSAL
117 SECOND STREET SOUTHEAST
GRAND MEADOW, MN 55936
PHONE: 507/754-4000
KARLYN HOME
(21007)
FAX: 507/754-5227
NProf
MS. COYETTE GREGERSON-GILES
ICFIID-4
SLFB-4
198 PENNY LANE
LEROY, MN 55951
PHONE: 507/324-3725
WILDWOOD GROVE
(26373)
FAX: 507/324-3728
City
MS. ANN LAZZARA
HCP-F
HWSAL
410 EAST MAIN STREET
LEROY, MN 55951
PHONE: 507/324-9515
(21165)
FAX: 507/324-5355
MS. MARY JEAN HARRINGTON
---------------------------**********
MAPLE LAWN NURSING HOME
NProf
MURRAY
******** -------------------------­
NH-62
SNF-NF-62
400 SEVENTH STREET
FULDA, MN 56131
PHONE: 507/425-2571
MAPLEVIEW ESTATES
(00396)
MR. ARLAN SWANSON
FAX: 507/425-2572
HWS
NProf
700 MAPLE LANE
FULDA, MN 56131
PHONE: 507/425-2572
MAPLEWOOD COURT ASST LVNG
(20997)
MR. ARLAN SWANSON
FAX: 507/425-2572
NProf
HCP-F
HWSAL
310 7TH ST NE
FULDA, MN 56131
PHONE: 507/425-9900
MURRAY COUNTY CLINIC FULDA
(23225)
FAX: 507/425-9900
MR. ARLAN SWANSON
RHC
Cnty
119 NORTH ST PAUL AVENUE
FULDA, MN 56131
PHONE: 507/425-2300
GOLDEN LIVINGCENTER SLAYTON
(26186)
FAX: 507/836-6700
Lim-Liab
MS. RENEE LOGAN
NH-55
SNF-NF-55
2957 REDWOOD AVENUE SOUTH
SLAYTON, MN 56172
PHONE: 507/836-6135
HOSPICE OF MURRAY COUNTY INC
(00915)
FAX: 507/836-8746
NProf
MS. THERESA PRIDAL
Hospice
HSPICE
36 PARK DRIVE PO BOX 86
SLAYTON, MN 56172
PHONE: 507/836-8114
(02669)
FAX: 507/836-6462
MR. NATHAN SCHUNKE
Minnesota Department of Health
Division of Compliance Monitoring
Page 285
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
LINDENWOOD ASSISTED LIVING
Certification
MURRAY
Registration
(Cont.)* -------------------------­
HCP-F
HWSAL
2409 LINDEN AVE
(20735)
SLAYTON, MN 56172
PHONE: 507/836-1055
FAX: 507/836-1075
MR. RICHARD HOLMBERG
RHC
Cnty
MURRAY COUNTY CLINIC
2040 JUNIPER AVENUE
(03733)
SLAYTON, MN 56172
PHONE: 507/836-6153
FAX: /-
MR. JOHN OLSON
Cnty
MURRAY COUNTY MEM HOSP
BASS-2 HOSP-25
CAH-25
2042 JUNIPER AVENUE
(00397)
SLAYTON, MN 56172
PHONE: 507/836-6111
FAX: 507/836-6700
NProf
OUR HOUSE OF MURRAY COUNTY
MR. MELDON SNOW
RES-HSPICE-4
36 PARK DRIVE PO BOX 86
(20283)
SLAYTON, MN 56172
PHONE: 507/836-8114
MR. NATHAN SCHUNKE
FAX: 507/836-6462
Corp
PRAIRIE VIEW INC
ICFIID-18
SLFB-18
2220 TWENTY-SEVENTH STREET
(01520)
SLAYTON, MN 56172
PHONE: 507/836-8955
MR. LOUIS NELSON
FAX: 507/836-8957
HWS
Cnty
SUNRISE TERRACE
2121 IRONWOOD AVENUE
(20669)
SLAYTON, MN 56172
PHONE: 507/836-8980
FAX: /­
MS. CAROL VELDHUISEN
---------------------------**********
BRIE ERRANDS
NICOLLET
******** -------------------------­
Home Mgmt
Ind
617 MAIN STREET
COURTLAND, MN 56021
PHONE: 507/276-6500
GOOD SAMARITAN SOCIETY LAFAYET
(29967)
FAX: 507/359-1023
NProf
MS. BRENNA THOMPSON
HCP-F
HWSAL
251 SEVENTH STREET
LAFAYETTE, MN 56054
PHONE: 507/228-8238
MONARCH MEADOWS
(21059)
FAX: 507/228-8389
Lim-Liab
MS. LORI BUSSLER
HCP-F
HWSAL
2135 LOR RAY DRIVE
NORTH MANKATO, MN 56003
PHONE: 507/344-0059
(20554)
FAX: 507/344-1504
MR. PATRICK RAFFERTY
Minnesota Department of Health
Division of Compliance Monitoring
Page 286
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
NICOLLET
(Cont.)* -------------------------­
HWS
HRA
NORTH MANKATO HOUSING & REDEVE
Registration
615 NICOLLET AVENUE
(21094)
NORTH MANKATO, MN 56003
PHONE: 507/388-3202
FAX: 507/388-1054
Lim-Liab
OAK TERRACE ASSISTED LIVING O
MR. JIM ROVNEY
HCP-F
HWSAL
1575 HOOVER DRIVE
(20970)
NORTH MANKATO, MN 56003
PHONE: 507/387-2037
FAX: 507/387-6011
MR. DENNIS HOOD
HWS
Lim-Liab
OAK TERRACE WEST
1570 TOWER BLVD
(22081)
NORTH MANKATO, MN 56003
PHONE: 507/387-2037
FAX: 507/387-6011
NProf
THERESE K SEXTON HOME SOUTH
MR. DENNIS HOOD
ICFIID-8
SLFB-8
2050 HAUGHTON AVENUE
(01454)
NORTH MANKATO, MN 56003
PHONE: 507/345-8590
MR. STEVE SCHOENER
FAX: 507/345-3771
NProf
BENEDICTINE LIVING COMMUNITY
NH-79
SNF-NF-79
1907 KLEIN STREET
(00399)
ST PETER, MN 56082
PHONE: 507/934-2203
MS. LINDA NELSEN
FAX: 507/934-8392
NProf
BENEDICTINE SR LVG COMM ST PTR
HWSAL
HCP-F
1906 NORTH SUNRISE DRIVE
(28206)
ST PETER, MN 56082
PHONE: 507/934-8817
FAX: 507/934-0214
State
COMM ADDICTION REC ENTERPRISE
MS. JANE ANDERSON
SLFB-36
1703 CSAH 15
(24618)
ST PETER, MN 56082
PHONE: 507/933-5033
FAX: /­
MR. DOUGLAS PANSER
State
COMM BEHAVIORAL HEALTH HOSP
OTHER-16
HOSP-16
2000 KLEIN STREET
(24230)
ST PETER, MN 56082
PHONE: 507/933-5001
ECUMEN PRAIRIE HILL
FAX: /-
MR. CHRISTOPER SCHIFFER
NProf
HWSAL
HCP-F
1305 MARSHALL STREET
ST PETER, MN 56082
PHONE: 507/934-2200
ECUMEN SAND PRAIRIE
(27944)
FAX: 507/934-5346
NProf
MS. BERIT SPORS
HWSAL
HCP-F
700 KNIGHT STREET
ST PETER, MN 56082
PHONE: 507/931-4375
(20719)
FAX: 507/934-5346
MS. MARY OLSON
Minnesota Department of Health
Division of Compliance Monitoring
Page
287
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
FORENSIC SERVICES
State
Certification
NICOLLET
Registration
(Cont.)* -------------------------­
SLFA-58 SLFB-350
100 FREEMAN DRIVE
ST PETER, MN 56082
PHONE: 507/985-3128
GOOD SAM SOC HM CARE ST PETER
(01418)
FAX: 507/985-3366
NProf
MS. CAROL OLSON
HHA
HCP-A
221 WEST PARK ROW
ST PETER, MN 56082
PHONE: 507/931-0949
GOOD SAM SOCIETY ST PETER
(23185)
FAX: 507/931-0110
NProf
MS. CASSANDRA HRDLICKA
NH-33
SNF-NF-33
830 NORTH SUNRISE DRIVE
ST PETER, MN 56082
PHONE: 507/931-9021
GOOD SAMARITAN SOCIETY-HERITAG
(00400)
FAX: 507/931-9043
MS. TERESA HILDEBRANDT
HWS
NProf
1302 TRAVERSE ROAD
ST PETER, MN 56082
PHONE: 507/931-8545
MSOP - GREEN ACRES
(20916)
MS. TERESA HILDEBRANDT
FAX: 507/931-2123
State
SLFB-23
100 FREEMAN DRIVE
ST PETER, MN 56082
PHONE: 651/431-5874
MSOP - PEXTON/SHANTZ
(27850)
MR. DAVID BORNUS
FAX: 651/431-7404
State
SLFB-254
100 FREEMAN DRIVE
ST PETER, MN 56082
PHONE: 651/431-5874
NICOLLET COUNTY PUBLIC HEALTH
(27851)
FAX: 651/431-7404
Cnty
MR. DAVID BORNUS
HCP-A
501 SOUTH MINNESOTA AVENUE
ST PETER, MN 56082
PHONE: 507/934-0459
PHEASANTS RIDGE ASSISTED LIVNG
(02055)
FAX: 507/934-0437
Lim-Liab
MS. MARY HILDEBRANDT
HWSAL
HCP-F
1807 SUNRISE DRIVE
ST PETER, MN 56082
PHONE: 507/931-0966
RIVERS EDGE HOSPITAL & CLINIC
(24372)
FAX: 507/934-8946
City
MRS. NICKI REHNELT
BASS- HOSP-17
1900 NORTH SUNRISE DRIVE
ST PETER, MN 56082
PHONE: 507/934-7602
SO PSYCHIATRIC NF - ST PETER
(23299)
FAX: 507/934-7651
State
MR. GEORGE ROHRICH
NH-48
100 FREEMAN DRIVE
ST PETER, MN 56082
PHONE: 507/985-2365
(25494)
FAX: 651/431-7658
MS. MICHELLE CHALIN
CAH-17
Minnesota Department of Health
Division of Compliance Monitoring
Page 288
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
ST PETER HRA PARKVIEW MANOR
Certification
NICOLLET
Registration
(Cont.)* -------------------------­
HWS
HRA
1010 SOUTH FOURTH STREET
ST PETER, MN 56082
PHONE: 507/931-2236
(21283)
FAX: 507/934-1731
MS. SHANNON LLOYD
---------------------------**********
ADRIAN CARE CENTER
Corp
NOBLES
******** -------------------------­
NH-30
SNF-NF-30
603 LOUISIANA AVENUE
ADRIAN, MN 56110
PHONE: 507/483-2580
ADRIAN COUNTRY LIVING COTTAGES
(00405)
FAX: 507/483-2610
City
MR. DOROTHY BAKER
HCP-F
HWSAL
200 WEST 7TH STREET
ADRIAN, MN 56110
PHONE: 507/483-2511
PARKVIEW MANOR NURSING HOME
(27386)
FAX: 507/483-2445
City
MR. ALAN OERTLI
NH-37
SNF-NF-37
308 SHERMAN AVENUE
ELLSWORTH, MN 56129
PHONE: 507/967-2482
AVERA MED GROUP WORTHINGTON
(00406)
MR. MICHAEL WERNER
FAX: 507/967-2141
NProf
1216 RYANS ROAD
WORTHINGTON, MN 56187
PHONE: 507/372-6522
C C S INC RIDGEWOOD
(28628)
MR. RYAN VANDENBOSCH
FAX: 507/372-6523
NProf
ICFIID-15
SLFB-15
1381 KNOLLWOOD DRIVE
WORTHINGTON, MN 56187
PHONE: 507/376-6095
CARING & COMPASSIONATE HC AGY
(01278)
FAX: 507/376-5117
Lim-Liab
MS. PATRICIA COWDIN
Hospice
921 4TH AVENUE SUITE 6
WORTHINGTON, MN 56187
PHONE: 507/343-0077
CARING & COMPASSIONATE HEALTH
(29343)
FAX: 507/343-1002
Lim-Liab
MS. REMONA BROWN
HCP-A
HHA
921 4TH AVENUE SUITE 6
WORTHINGTON, MN 56187
PHONE: 507/343-0077
COMPASSIONATE CARE HOSPICE
(28175)
FAX: 507/343-0076
Lim-Liab
MS. REMONA BROWN
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 289
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: 507/376-9536
ECUMEN WORTHINGTON THE MEADOWS
MS. BARBARA ATCHISON
HWSAL
NProf
1801 COLLEGEWAY
(20011)
WORTHINGTON, MN 56187
PHONE: 507/372-7838
FAX: 507/343-0201
ECUMEN WORTHINGTON THE MEADOWS
NProf
MS. NANCY GARVIN
HCP-F
1801 COLLEGEWAY
(03709)
WORTHINGTON, MN 56187
PHONE: 507/372-7838
FAX: 507/372-7804
Corp
GOLDEN HORIZON
MS. NANCY GARVIN
HWSAL
HCP-F
1790 COLLEGEWAY
(23234)
WORTHINGTON, MN 56187
PHONE: 507/376-3111
MR. CHUCK LANE
FAX: 507/376-3399
NProf
SANFORD WORTHINGTON HOME CARE
HCP-A
HHA
1018 SIXTH AVENUE
(02314)
WORTHINGTON, MN 56187
PHONE: 507/372-3139
MR. MICHAEL HAMMER
FAX: 507/372-3177
SANFORD WORTHINGTON MED CENTER
ESRD
City
1018 SIXTH AVENUE
(02243)
WORTHINGTON, MN 56187
PHONE: 507/372-2941
FAX: 507/372-3379
SANFORD WORTHINGTON MEDICAL CE
NProf
MR. RANDY ANDERSON - INTERIM
BASS-7 HOSP-48
HOSP-48
1018 SIXTH AVENUE
WORTHINGTON, MN 56187
PHONE: 507/372-2941
SOUTH SHORE CARE CENTER
(00412)
FAX: 507/372-3240
Corp
MR. MICHAEL HAMMER
NH-64
SNF-NF-64
1307 S SHORE DR PO BOX 69
WORTHINGTON, MN 56187
PHONE: 507/376-3175
SUNSET COTTAGE
(00885)
MS. BARBARA ATCHISON
FAX: 507/376-9042
NProf
RES-HSPICE-4
1935 WOODLAND COURT
WORTHINGTON, MN 56187
PHONE: 507/372-7770
SW MN OPPORTUNITY COUNCIL INC
(21952)
FAX: 507/372-7778
MS. LOIS SCHULLER
Home Mgmt
NProf
1106 3RD AVENUE
WORTHINGTON, MN 56187
PHONE: 507/376-4195
(03689)
FAX: 507/376-3636
MR. NEAL STEFFL
Minnesota Department of Health
Division of Compliance Monitoring
Page 290
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Facility/Service
Owner
Licensure
---------------------------**********
Church
BENEDICTINE SUPPORTIVE SRVCS
Certification
NORMAN
Registration
******** -------------------------­
HCP-F
201 9TH STREET WEST SUITE 2
(26532)
ADA, MN 56510
PHONE: 218/784-5500
FAX: 218/784-5245
NProf
BRIDGES CARE COMMUNITY
MR. TYLER HOEMBERG
NH-49
SNF-NF-49
201 9TH STREET WEST
(00413)
ADA, MN 56510
PHONE: 218/784-5500
FAX: 218/784-5245
MR. TYLER HOEMBERG
RHC
NProf
ESSENTIA HEALTH - ADA CLINIC
201 9TH STREET WEST
(02794)
ADA, MN 56510
PHONE: 218/784-2727
ESSENTIA HEALTH ADA
FAX: /­
MR. RYAN HILL
NProf
HOSP-14
CAH-14
201 9TH STREET WEST
ADA, MN 56510
PHONE: 218/784-5000
MISSION COURT
(26485)
MR. DANIEL ROHRBACH
FAX: 218/784-3855
HWSAL-O
NProf
201 9TH STREET WEST SUITE 3
ADA, MN 56510
PHONE: 218/784-5001
SUMMERFIELD PLACE OF ADA
(29451)
MR. TYLER HOEMBERG
FAX: 218/784-5020
HWS
NProf
100 1ST STREET EAST
ADA, MN 56510
PHONE: 218/637-6093
VALLEY VIEW MANOR
(23159)
FAX: 218/637-6094
MRS. MIRIAM BUCHANAN
HWS
Part
705 WEST MAIN STREET
ADA, MN 56510
PHONE: 218/784-7246
HALSTAD LIVING CENTER
(21569)
FAX: 218/784-2246
Church
MR. ROB LUCAS
HCP-F
133 4TH AVENUE EAST
HALSTAD, MN 56548
PHONE: 218/456-2105
HALSTAD LIVING CENTER
(20733)
FAX: 218/456-2290
Church
MR. DWIGHT FUGLIE
NH-44
SNF-NF-44
133 FOURTH AVENUE EAST
HALSTAD, MN 56548
PHONE: 218/456-2105
HERITAGE HOUSE
(00764)
FAX: 218/456-2290
MS. ANGELA NELSON
HWS
NProf
201 4TH AVENUE EAST
HALSTAD, MN 56548
PHONE: 218/456-2105
(20732)
FAX: 218/456-2290
MS. LORI MERKLE
Minnesota Department of Health
Division of Compliance Monitoring
Page
291
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
NORMAN
(Cont.)* -------------------------­
RHC
NProf
SANFORD HEALTH HALSTAD CLINIC
Registration
445 1ST STREET EAST
(02747)
HALSTAD, MN 56548
PHONE: 218/456-2158
FAX: /­
DR. WALLACE RADTKE
Church
LINCOLN TERRACE
HCP-F
205 3RD STREET NW
(20734)
TWIN VALLEY, MN 56584
PHONE: 218/584-5181
FAX: 218/584-8592
MS. SHARI SCHREINER
HWSAL
Church
LINCOLN TERRACE
205 THIRD STREET NW PO BOX 480
(20349)
TWIN VALLEY, MN 56584
PHONE: 218/584-5183
FAX: 218/584-8592
MRS. SHARI SCHREINER
HWS
NProf
NORMANDY APARTMENTS
201 3RD STREET NW PO BOX 480
(20725)
TWIN VALLEY, MN 56584
PHONE: 218/584-5181
MRS. SHARI SCHREINER
FAX: 218/584-5304
RHC
NProf
SANFORD HLTH TWIN VALLEY CLINI
501 2ND STREET NW
(03938)
TWIN VALLEY, MN 56584
PHONE: 218/584-5142
TWIN VALLEY LIVING CENTER
MR. MARK DUNCAN
FAX: /­
Church
NH-58
SNF-NF-58
208 OPPEGARD AVE NW PO BOX 480
TWIN VALLEY, MN 565840480
PHONE: 218/584-5181
(00414)
FAX: 218/584-5304
MS. SHARI SCHREINER
---------------------------**********
ARBOR GARDENS
Lim-Liab
OLMSTED
******** -------------------------­
HCP-F
HWSAL
535 CANYON DRIVE NW
EYOTA, MN 55934
PHONE: 507/545-3999
SUNSET HOMES ASSISTED LIVING I
(21810)
FAX: 507/545-3948
MR. DONALD RADEMACHER
HWSAL
Corp
11237 11TH AVENUE NORTHWEST
ORONOCO, MN 55960
PHONE: 507/367-4438
1050 PLUMMER PLACE LLC
(27053)
FAX: 507/206-4858
Lim-Liab
MR. JOSEPH MABURURU
HCP-F
HWSAL
1050 PLUMMER CIRCLE
ROCHESTER, MN 55902
PHONE: 507/424-3384
(24850)
FAX: 507/206-3225
MS. ALICE SYVERSON
Minnesota Department of Health
Division of Compliance Monitoring
Page
292
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
ADVANCE HOME HEALTH CARE LLC
Certification
OLMSTED
Registration
(Cont.)* -------------------------­
Home Mgmt
Lim-Liab
4439 SURREY LANE NORTHWEST
ROCHESTER, MN 55901
PHONE: 507/206-0384
ADVANCE HOME HEALTH CARE LLC
(29115)
FAX: 507/206-0384
Lim-Liab
MR. ABDINUR ABDI
HCP-A
4439 SURREY LANE NW
ROCHESTER, MN 55901
PHONE: 507/206-0384
ALLENDALE HOUSE
(29859)
FAX: 507/206-0384
NProf
MR. ABDINUR ABDI
ICFIID-6
SLFB-6
2847 19TH AVENUE NORTHWEST
ROCHESTER, MN 55901
PHONE: 507/288-7195
ALWAYS CARING
(01667)
FAX: 507/288-4522
Corp
MS. LINDA DRIESSEN
HCP-A
1652 GREENVIEW DR SW STE 160
ROCHESTER, MN 55902
PHONE: 507/272-4059
ARBOR TERRACE
(29191)
MS. CHARIE DEVOLITES
FAX: 507/292-9999
HWS
NProf
700 NORTHWEST SECOND AVENUE
ROCHESTER, MN 55901
PHONE: 507/288-4883
ARBOR TERRACE
(20146)
MS. SUSAN KNUTSON
FAX: 507/424-5455
NProf
HCP-F
700 NORTHWEST 2ND AVENUE
ROCHESTER, MN 55901
PHONE: 507/288-4883
BOSTROM TERRACE
(20864)
FAX: 507/424-4074
MS. SUSAN KNUTSON
HWSAL-O
NProf
1680 EASTWOOD ROAD SE
ROCHESTER, MN 55904
PHONE: 651/645-7271
CASTLEVIEW APARTMENTS
(24486)
FAX: 651/645-0541
MR. STEPHEN VANDER SCHAAF
HWS
NProf
120 NORTH BROADWAY
ROCHESTER, MN 55906
PHONE: 507/288-3663
CHARTER HOUSE
(25732)
FAX: 507/281-8348
NProf
MAJOR JIM FRYE
NH-32
SNF-32
211 NORTHWEST SECOND STREET
ROCHESTER, MN 55901
PHONE: 507/266-7373
CHARTER HOUSE INC
(00193)
FAX: 507/266-6827
NProf
MR. TONY ENQUIST
HWSAL
HCP-F
211 SECOND STREET NORTHWEST
ROCHESTER, MN 55901
PHONE: 507/266-7849
(20068)
FAX: 507/266-6681
MR. TONY ENQUIST
Minnesota Department of Health
Division of Compliance Monitoring
Page 293
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
CHARTERHOUSE HHA
Certification
OLMSTED
Registration
(Cont.)* -------------------------­
HCP-A
HHA
211 NORTHWEST SECOND STREET
(02324)
ROCHESTER, MN 55901
PHONE: 507/266-7849
FAX: 507/266-2101
NProf
CHOICE HOME CARE INC
MR. MARK A. (TONY) ENQUIST
HCP-A
HHA
2200 SECOND ST SW
(03737)
ROCHESTER, MN 55902
PHONE: 507/285-3912
FAX: 507/285-0898
Corp
CNS HOME HEALTH CARE
MS. VICTORIA DALLE MOLLE
HCP-A
HHA
3143 SUPERIOR DRIVE NW STE A
(21066)
ROCHESTER, MN 559012970
PHONE: 507/289-2411
FAX: 507/529-0360
Corp
COMFORT HEALTH
MR. JEFFREY SEVERSON
HCP-F
2746 SUPERIOR DRIVE NW STE 200
(21496)
ROCHESTER, MN 55901
PHONE: 507/281-2332
MR. CHRISTOPHER BLUM
FAX: 507/281-2632
Corp
COMFORT HEALTH
HCP-A
HHA
2746 SUPERIOR DR NW SUITE 200
(02238)
ROCHESTER, MN 55901
PHONE: 507/281-2332
MR. CHRISTOPHER BLUM
FAX: 507/281-2632
COMM BEHAV HLTH HOSP ROCHESTER
State
OTHER-16
PSY-16
251 WOOD LAKE DRIVE SE
(24231)
ROCHESTER, MN 55904
PHONE: 507/206-2561
FAX: /­
COTTAGEWOOD SENIOR COMMUNITIES
MS. LISA CASTELLO
HWSAL
Lim-Liab
4150-4156 55TH STREET NW
(21241)
ROCHESTER, MN 55901
PHONE: 507/286-8528
FAX: 507/286-8527
COTTAGEWOOD SENIOR COMMUNITIES
MS. ALICIA ADAMS
HWSAL
Lim-Liab
4210-4216 55TH ST NORTHWEST
(20120)
ROCHESTER, MN 55901
PHONE: 507/286-8528
FAX: 507/286-8527
COTTAGEWOOD SENIOR COMMUNITIES
MS. ALICIA ADAMS
HWSAL
Lim-Liab
4140-4146 55TH ST NORTHWEST
(20504)
ROCHESTER, MN 55901
PHONE: 507/286-8528
FAX: 507/286-8527
COTTAGEWOOD SENIOR COMMUNITIES
MS. ALICIA ADAMS
HWSAL
Lim-Liab
4310-4316 55TH ST NORTHWEST
ROCHESTER, MN 55901
PHONE: 507/286-8528
(20391)
FAX: 507/286-8527
MS. ALICIA ADAMS
Minnesota Department of Health
Division of Compliance Monitoring
Page 294
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Facility/Service
Owner
Licensure
---------------------------**********
COTTAGEWOOD SENIOR COMMUNITIES
Certification
OLMSTED
Registration
(Cont.)* -------------------------­
HWSAL
Lim-Liab
4320-4326 55TH ST NORTHWEST
(20392)
ROCHESTER, MN 55901
PHONE: 507/286-8528
MS. ALICIA ADAMS
FAX:
507/286-8527
COTTAGEWOOD SENIOR COMMUNITIES
HWSAL
Lim-Liab
4330-4336 55TH ST NORTHWEST
(20393)
ROCHESTER, MN 55901
PHONE: 507/286-8528
MS. ALICIA ADAMS
FAX:
507/286-8527
COTTAGEWOOD SENIOR COMMUNITIES
HWSAL
Lim-Liab
4240-4246 55TH STREET NW
(21242)
ROCHESTER, MN 55901
PHONE: 507/286-8528
MS. ALICIA ADAMS
FAX:
507/286-8527
COTTAGEWOOD SENIOR COMMUNITIES
HWSAL
Lim-Liab
4230-4236 55TH ST NORTHWEST
(20496)
ROCHESTER, MN 55901
PHONE: 507/286-8528
MS. ALICIA ADAMS
FAX:
507/286-8527
COTTAGEWOOD SENIOR COMMUNITIES
HWSAL
Lim-Liab
4130-4136 55TH ST NW (CTG 9)
(20498)
ROCHESTER, MN 55901
PHONE: 507/286-8528
MS. ALICIA ADAMS
FAX:
507/286-8527
COTTAGEWOOD SR CMTY ROCHESTER
Lim-Liab
HCP-F
4220 55TH STREET NW
(29354)
ROCHESTER, MN 55901
PHONE: 507/286-8528
FAX:
507/286-8527
Lim-Liab
DIVINE TOUCH HOME HEALTH CARE MS. ALICIA ADAMS
HCP-A
1312 7TH STREET NW STE 209
(28116)
ROCHESTER, MN 55901
PHONE: 507/272-1049
EXCELLENT CARE SERVICES INC
FAX:
/­
MR. SYLVESTER NGENE
Corp
HCP-A
329 ELTON HILLS DRIVE NW
ROCHESTER, MN 55901
PHONE: 507/289-0338
EXTENDED HAND HOME CARE
(24797)
FAX:
507/289-7484
Lim-Liab
MR. ABIODUN AKINBOLU
HCP-A
808 33RD STREET NORTHWEST
ROCHESTER, MN 55901
PHONE: 507/424-0404
EXTENDED HAND HOME CARE LLC
(26050)
FAX:
507/316-0615
MR. DAVID ROWLAND
Home Mgmt
Lim-Liab
808 33RD STREET NORTHWEST
ROCHESTER, MN 55901
PHONE: 507/424-0404
(25699)
FAX:
507/316-0615
MS. SARAH ROWLAND
Minnesota Department of Health
Division of Compliance Monitoring
Page
295
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
FAMILY SERVICE ROCHESTER INC
Certification
OLMSTED
Registration
(Cont.)* -------------------------­
Home Mgmt
NProf
1110 6TH STREET NW
ROCHESTER, MN 55901
PHONE: 507/287-2010
GLOBAL HOME HEALTH CARE INC
(02886)
FAX: 507/287-7805
Corp
MR. BRAD LOHRBACH
HCP-A
1032 15TH AVE SE
ROCHESTER, MN 55904
PHONE: 507/282-6466
GOLDEN LIVINGCENTER ROCH EAST
(21537)
FAX: 507/292-6694
Lim-Liab
MR. MARK ADAFIN
NH-116
SNF-NF-116
501 EIGHTH AVE SOUTHEAST
ROCHESTER, MN 55904
PHONE: 507/288-6514
GOLDEN LIVINGCNTR ROCHESTER W
(00953)
FAX: 507/288-6686
Lim-Liab
MR. SHANE ROCHE
NH-54
SNF-NF-54
2215 HIGHWAY 52 NORTH
ROCHESTER, MN 55901
PHONE: 507/288-1818
HEARTLAND HOME HEALTH CARE AND
(00941)
MS. JANA CATES
FAX: 507/288-5502
Lim-Liab
Hospice
HSPICE
3143 SUPERIOR DR NW STE B
ROCHESTER, MN 55901
PHONE: 507/292-1170
HIGH POINTE I APARTMENTS
(23773)
MS. LAURICE HILLMAN-INTERIM
FAX: 507/292-1169
HWS
NProf
1800 HIGH POINTE LANE NW
ROCHESTER, MN 55901
PHONE: 507/282-8385
HIGH POINTE II APARTMENTS
(29810)
FAX: 507/282-8473
MS. CHRISTINE KERN
HWS
NProf
1830 HIGH POINTE LANE NW
ROCHESTER, MN 55901
PHONE: 507/282-8385
HOME INSTEAD SENIOR CARE
(29762)
FAX: 507/282-8473
MS. CHRISTINE KERN
Home Mgmt
Lim-Liab
304 6TH STREET SOUTHWEST
ROCHESTER, MN 55902
PHONE: 507/285-1700
HOME INSTEAD SENIOR CARE
(22018)
FAX: 507/536-4056
Lim-Liab
MR. JOHN PACCHETTI
HCP-A
304 6TH STREET SW
ROCHESTER, MN 55902
PHONE: 507/285-1700
HOME INSTEAD SENIOR CARE
(24370)
FAX: 507/536-4056
Lim-Liab
MR&MS JOHN AND SARAH PACCHETTI
HCP-B
304 6TH STREET SOUTHWEST
ROCHESTER, MN 55902
PHONE: 507/285-1700
(26860)
FAX: 507/536-4056
MR. JOHN PACCHETTI
Minnesota Department of Health
Division of Compliance Monitoring
Page
296
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
INTERNATIONAL QUALITY HOMECARE
Certification
OLMSTED
Registration
(Cont.)* -------------------------­
HCP-A
HHA
3261 19TH ST NW
(20865)
ROCHESTER, MN 55901
PHONE: 507/252-8117
FAX: /­
DR. ADERONKE MORDI
HWS
Lim-Liab
KAHLER INN AND SUITES
9 THIRD AVENUE NW
(29684)
ROCHESTER, MN 55901
PHONE: 507/285-9200
FAX: /-
MS. SARA ROMEO
Lim-Liab
KAHLER MARR IN ROOM HOME CARE
HCP-A
20 SECOND AVENUE SOUTHWEST
(29682)
ROCHESTER, MN 55901
PHONE: 507/280-6200
FAX: /-
MS. SARA ROMEO
HWSAL
NProf
KENOSHA DRIVE APARTMENTS
3461 KENOSHA DRIVE NW
(27313)
ROCHESTER, MN 55901
PHONE: 651/645-7271
MR. STEPHEN VANDER SCHAAF
FAX: 651/645-0541
NProf
MADONNA MEADOWS
HWSAL
HCP-F
3035 SALEM MEADOWS DRIVE SW
(20566)
ROCHESTER, MN 55902
PHONE: 507/252-5400
MR. MARK CAIRNS
FAX: 507/252-5500
HWSAL
NProf
MADONNA TOWERS OF ROCHESTER
4001 19TH AVENUE NORTHWEST
(20211)
ROCHESTER, MN 55901
PHONE: 507/288-3911
FAX: 507/288-0393
MADONNA TOWERS OF ROCHESTER IC
Church
MR. MARK NOBLE
NH-62
SNF-2 SNF-NF-60
4001 19TH AVENUE NORTHWEST
(00419)
ROCHESTER, MN 55901
PHONE: 507/288-3911
FAX: 507/288-0393
MADONNA TOWERS OF ROCHESTER IN
NProf
MR. MARK NOBLE
HCP-A
4001 19TH AVENUE NORTHWEST
ROCHESTER, MN 55901
PHONE: 507/288-3911
MAPLE MANOR HEALTHCARE & REHAB
(03299)
FAX: 507/288-0393
Corp
MR. MARK NOBLE
NH-81
SNF-NF-81
1875 19TH STREET NORTHWEST
ROCHESTER, MN 55901
PHONE: 507/282-9449
MAYO CLINIC HOSPICE
(00916)
FAX: 507/287-0552
NProf
MR. PATRICK BLUM
Hospice
HSPICE
200 FIRST STREET SOUTHWEST
ROCHESTER, MN 55905
PHONE: 507/284-4002
(02504)
FAX: 507/284-0220
MR. CHRISTOPHER BRENT
Minnesota Department of Health
Division of Compliance Monitoring
Page
297
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
MAYO CLINIC HOSPITAL ROCHESTER
Certification
OLMSTED
Registration
(Cont.)* -------------------------­
BASS-81 HOSP-2059
HOSP-1893 PPS-P-108 PPS-R-38
1216 SECOND STREET SOUTHWEST
(00428)
ROCHESTER, MN 55902
PHONE: 507/255-5123
FAX: 507/255-3125
MS. B. LYNN FREDERICK
NProf
MAYO CLINIC METHODIST HOSPITAL
201 WEST CENTER STREET
(00423)
ROCHESTER, MN 55902
PHONE: 507/255-5123
FAX: 507/255-3125
NProf
MAYO CLINIC REHABILITATION SER
MS. LYNN FREDERICK
HCP-A
200 FIRST STREET SW
(27662)
ROCHESTER, MN 55905
PHONE: 507/266-2809
FAX: 507/284-3431
MS. ARLEEN DERYNCK
ESRD
NProf
MAYO DIALYSIS ROCHESTER METH
201 CENTER STREET WEST
(02106)
ROCHESTER, MN 55902
PHONE: 507/284-2511
MR. BRAD WICK
FAX: 507/886-6584
ESRD
NProf
MAYO DIALYSIS ROCHESTER NE
3041 STONEHEDGE DRIVE NE
(23151)
ROCHESTER, MN 55906
PHONE: 507/538-8580
MR. BRADLEY WICK
FAX: 507/266-7891
XRAY
NProf
MAYO FOUNDATION
200 FIRST STREET SOUTHWEST
(03774)
ROCHESTER, MN 55905
PHONE: 507/284-2511
FAX: /­
MR. SCOTT SEINOLA
HWSAL
Lim-Liab
MEADOW LAKES SENIOR LIVING
22 45TH AVENUE NORTHWEST
(21129)
ROCHESTER, MN 55901
PHONE: 507/252-5069
FAX: 507/536-4539
NProf
OLMSTED MEDICAL CENTER
MS. JANET SWANSON
BASS-16 HOSP-61
1650 FOURTH STREET SOUTHEAST
(00422)
ROCHESTER, MN 55904
PHONE: 507/287-2761
FAX: 507/287-2779
OXFORD PROPERTY MANAGEMENT LLC
Lim-Liab
MR. TIM WEIR
HCP-F
421 1ST AVENUE SW SUITE 303
(28279)
ROCHESTER, MN 55902
PHONE: 507/285-3282
FAX: /­
MS. KIM WORRALL
Lim-Liab
PRIMETIME LIVINN
HCP-A
105 NORTH BROADWAY
(27063)
ROCHESTER, MN 55901
PHONE: 507/261-1194
FAX: /­
MS. AISHA KASSIM
HOSP-61
Minnesota Department of Health
Division of Compliance Monitoring
Page 298
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
OLMSTED
(Cont.)* -------------------------­
HWS
Lim-Liab
PRIMETIME LIVINN
Registration
105 NORTH BROADWAY
(28289)
ROCHESTER, MN 55901
PHONE: 507/261-1194
FAX: /­
MS. AISHA KASSIM
Corp
REM RIVER BLUFFS (PINEWOOD)
SLFB-6
2631 PINEWOOD RIDGE DRIVE SE
(29700)
ROCHESTER, MN 55904
PHONE: 507/287-6824
FAX: 507/282-9563
Corp
REM RIVER BLUFFS (WILLOW CR B)
MR. PAT MASYGA
ICFIID-6
SLFB-6
2206 11TH AVENUE SOUTHEAST
(01464)
ROCHESTER, MN 55904
PHONE: 507/287-6824
FAX: 507/282-9563
Corp
REM RIVER BLUFFS ROCHESTER NW
MS. JUANITA HAYES
ICFIID-11
SLFA-11
2509 55TH STREET NORTHWEST
(01322)
ROCHESTER, MN 55901
PHONE: 507/287-6824
MS. JUANITA HAYES
FAX: 507/282-9563
Corp
REM RIVER BLUFFS ROCHESTER SE
ICFIID-12
SLFA-12
1631 19TH AVE SE
(01320)
ROCHESTER, MN 55904
PHONE: 507/287-6824
MS. JUANITA HAYES
FAX: 507/282-9563
ROBLAND HOME HEALTH CARE CORPO
Corp
HCP-A
HHA
1500 1ST AVENUE NE SUITE 111C
(26391)
ROCHESTER, MN 55906
PHONE: 507/252-4619
FAX: 866/597-0950
MR. OMAR HASSAN
HWS
Lim-Liab
ROCHESTER MARRIOTT
101 FIRST AVENUE SOUTHWEST
(29686)
ROCHESTER, MN 55902
PHONE: 507/280-6000
FAX: /­
MS. SARA ROMEO
State
ROCHESTER MSOCS
ICFIID-6
SLFB-6
448 17TH STREET SOUTHWEST
(01635)
ROCHESTER, MN 55902
PHONE: 507/280-5551
FAX: 507/280-5552
MS. ANNE O'BANION
HWS
Lim-Liab
ROCHESTER RESIDENCE INN
441 WEST CENTER STREET
(29685)
ROCHESTER, MN 55902
PHONE: 507/292-1400
SAMARITAN BETHANY HM ON EIGHTH
FAX: /­
MS. SARA ROMEO
NProf
NH-182
SNF-NF-182
24 8TH STREET NORTHWEST
ROCHESTER, MN 55901
PHONE: 507/289-4031
(00427)
FAX: 507/289-6001
MS. KYLA JACOBS
Minnesota Department of Health
Division of Compliance Monitoring
Page
299
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
OLMSTED
Registration
(Cont.)* -------------------------­
NProf
SEASONS HOSPICE
1696 GREENVIEW DRIVE SOUTHWEST
(03427)
ROCHESTER, MN 55902
PHONE: 507/285-1930
MS. BEVERLY HAYNES
FAX: 507/282-2737
NProf
SEASONS HOSPICE
RES-HSPICE-8
5650 WEATHERHILL ROAD SW
(23506)
ROCHESTER, MN 55902
PHONE: 507/285-1930
FAX: 507/282-2737
Lim-Liab
SHALOM ESTATE LLC
MS. BEVERLY HAYNES
HCP-F
HWSAL
2070 CENTURY HILLS DRIVE NE
(22020)
ROCHESTER, MN 55906
PHONE: 507/281-9700
FAX: 507/206-3225
Corp
SHIFFO HOME HEALTH CARE CORPOR
MS. ALICE MAE SYVERSON
HCP-A
12 ELTON HILLS DRIVE NW #207
(22189)
ROCHESTER, MN 55901
PHONE: 507/289-5801
MS. HAMDI ADEN
FAX: 507/289-5885
Lim-Liab
SHIRAZ ASSISTED LIVING LLC
HCP-F
2320 48TH STREET NE
(28552)
ROCHESTER, MN 55906
PHONE: 507/271-2945
MR. AMIR TAHERKHANCHI
FAX: 507/536-9700
SHOREWOOD COMMONS ASSISTED LIV
HWSAL
Lim-Liab
2115 2ND STREET SOUTHWEST
ROCHESTER, MN 55902
PHONE: 507/252-9110
SHOREWOOD PLACE
(20686)
FAX: 507/286-9237
MR. ERIC HUNTOON
HWS
ONProf
2205 SECOND STREET SW
ROCHESTER, MN 55902
PHONE: 507/252-9110
SMART CHOICE HEALTH CARE
(21645)
FAX: 507/286-9237
Corp
MR. ERIC HUNTOON
HCP-A
208 NORTH BROADWAY
ROCHESTER, MN 55906
PHONE: 507/258-5050
SOUTHEASTERN MN CTR FOR INDEPE
(29774)
FAX: 507/258-5050
MR. ABDIKADIR AHMED
Home Mgmt
NProf
2200 SECOND STREET SOUTHWEST
ROCHESTER, MN 55902
PHONE: 507/285-1815
STANLEY JONES & ASSOCIATES
(29531)
FAX: 507/288-8070
Corp
MS. VICTORIA DALLE MOLLE
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 300
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
(28970)
ROCHESTER, MN 55906
PHONE: 507/529-7999
FAX: 507/289-2117
Corp
SUNRISE COTTAGE OF ROCHESTER
MR. ABDISALAN SABRIYE
HCP-F
4220 55TH ST NW
(22509)
ROCHESTER, MN 55901
PHONE: 507/286-8528
FAX: 507/286-8527
Corp
SUNSET HOMES ASSISTED LIVING
MS. ALICIA ADAMS
HWSAL
HCP-F
3686 KENOSHA DRIVE NORTHWEST
(26018)
ROCHESTER, MN 55902
PHONE: 507/206-4856
MR. JOSEPH MABURURU
FAX: 507/206-4858
Corp
THE GABLES
SLFA-30
604 FIFTH STREET SOUTHWEST
(01449)
ROCHESTER, MN 55902
PHONE: 507/282-2500
MS. NANCY STOFFERAHN
FAX: 507/282-6036
HWS
Lim-Liab
THE KAHLER GRAND HOTEL
20 SECOND AVENUE SOUTHWEST
(29683)
ROCHESTER, MN 55901
PHONE: 507/280-6200
VISITING ANGELS
FAX: /­
MS. SARA ROMEO
Lim-Liab
HCP-A
302 ELTON HILLS DR NW STE 200
ROCHESTER, MN 55901
PHONE: 507/289-1147
VOA HOME HEALTH AT ROCHESTER
(26975)
FAX: 507/289-7247
NProf
MR. JOSEPH SEDELMEYER
HWSAL
HCP-A
1900 BALLINGTON BLVD NW
ROCHESTER, MN 55901
PHONE: 507/535-2000
VOA HOME HEALTH AT ROCHESTER
(24676)
FAX: 507/535-2001
NProf
MR. MARK ROBINSON
HCP-F
1900 BALLINGTON BOULEVARD
ROCHESTER, MN 55901
PHONE: 507/535-2000
WILLOWS & WATERS SR LVG INC
(25044)
FAX: 507/535-2001
Corp
MR. MARK ROBINSON
HWSAL-O
HCP-F
707 UPPER MEADOW LANE NW
ROCHESTER, MN 55901
PHONE: 507/288-0593
(28043)
FAX: 651/286-3108
MS. APRIL CHRISTENSEN
Minnesota Department of Health
Division of Compliance Monitoring
Page 301
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
ZUMBRO VALLEY CONNEC REFER UNI
Certification
OLMSTED
Registration
(Cont.)* -------------------------­
SLFB-22
343 WOOD LAKE DRIVE SE
(25343)
ROCHESTER, MN 55904
PHONE: 507/535-5680
FAX: 507/535-5785
NProf
ROOT RIVER ESTATES HOME CARE S
MR. DAVID COOK
HCP-F
HWSAL
110 NORTHEAST FOURTH STREET
(20604)
STEWARTVILLE, MN 55976
PHONE: 507/533-1378
FAX: 507/533-1384
MR. EUGENE GUSTASON
HWSAL
NProf
STEWARTVILLA APARTMENTS
125 SECOND AVENUE NORTHEAST
(21424)
STEWARTVILLE, MN 55976
PHONE: 507/533-1378
FAX: 507/533-1384
NProf
STEWARTVILLE CARE CENTER
MR. EUGENE GUSTASON
NH-85
SNF-NF-85
120 FOURTH STREET NORTHEAST
(00429)
STEWARTVILLE, MN 55976
PHONE: 507/533-4288
MR. EUGENE GUSTASON
FAX: 507/533-1384
NProf
STEWARTVILLE HOME CARE SERVICE
HCP-A
110 FOURTH STREET NE
(03939)
STEWARTVILLE, MN 55976
PHONE: 507/533-1375
MR. EUGENE GUSTASON
FAX: 507/533-1909
HWSAL
NProf
STEWARTVILLE SENIOR CAMPUS COT
119 2ND AVENUE NORTHEAST
(25127)
STEWARTVILLE, MN 55976
PHONE: 507/533-1378
FAX: 507/533-1384
MR. EUGENE GUSTASON
---------------------------**********
NProf
GOOD SAM SOCIETY BATTLE LAKE
OTTER TAIL
NH-55
******** -------------------------­
SNF-NF-55
105 GLENHAVEN DRIVE
(00146)
BATTLE LAKE, MN 56515
PHONE: 218/864-5231
FAX: 218/864-5498
MR. JAMES WOLF
Home Mgmt
Ind
HELPING HANDS
27440 TIMBER HILLS RD
(25825)
BATTLE LAKE, MN 56515
PHONE: 218/371-7185
LAKEVIEW SENIOR LIVING APTS
FAX: /-
MS. LISA LIEN
NProf
HCP-F
HWSAL
605 NORTH LAKE AVENUE
BATTLE LAKE, MN 56515
PHONE: 218/862-5230
(25117)
FAX: 218/862-5240
MR. JAMES WOLF
Minnesota Department of Health
Division of Compliance Monitoring
Page
302
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
ACCRA HOME CARE INC
Certification
OTTER TAIL
Registration
(Cont.)* -------------------------­
HCP-F
225 WEST CAVOUR AVENUE STE D
(28092)
FERGUS FALLS, MN 56537
PHONE: 218/736-0246
FAX: 218/736-0265
NProf
ACCRA HOME CARE INC
MS. SUSAN MORGAN
HCP-A
HHA
225 WEST CAVOUR AVENUE SUITE D
(03084)
FERGUS FALLS, MN 56537
PHONE: 218/736-0246
FAX: 218/736-0265
NProf
ACCRA HOME CARE INC
MR. JOHN DAHM
HCP-B
225 WEST CAVOUR AVENUE STE D
(28091)
FERGUS FALLS, MN 56537
PHONE: 218/736-0246
FAX: 218/736-0265
MR. JOHN DAHM
HWSAL
NProf
ALCOTT MANOR
418 EAST ALCOTT AVENUE
(21425)
FERGUS FALLS, MN 56537
PHONE: 218/998-7400
MR. JOHN ZWIERS
FAX: 218/998-7362
NProf
ARLINGTON HOME
ICFIID-5
SLFB-5
1505 SOUTH ARLINGTON
(01222)
FERGUS FALLS, MN 56537
PHONE: 218/739-2045
MS. NICOLLE TOSO
FAX: 218/736-0089
NProf
BROEN MEMORIAL HOME
NH-107
SNF-NF-107
824 SOUTH SHERIDAN
(00862)
FERGUS FALLS, MN 56537
PHONE: 218/998-7300
FAX: 218/998-7350
Corp
CK HOME HEALTH CARE INC
MS. ANDREA ZETAH
HCP-A
106 FOURTH AVENUE N
(21606)
FERGUS FALLS, MN 56537
PHONE: 218/998-3778
FAX: 218/998-3187
State
COMM ADDICTION RECOVERY ENTERP
MS. MICHELLE SALWEI
SLFA-60
1174 WESTERN AVENUE
(26316)
FERGUS FALLS, MN 56537
PHONE: 218/736-1824
FAX: /­
MR. TERRY BEDARD
State
COMM BEHAV HOSP FERGUS FALLS
OTHER-16
HOSP-16
1801 WEST ALCOTT
(24073)
FERGUS FALLS, MN 56537
PHONE: 218/332-5001
FAX: 218/739-1329
MS. BRENDA SCHLESKE
ESRD
Corp
FERGUS FALLS DIALYSIS CENTER
907 SOUTH MILL STREET
(02117)
FERGUS FALLS, MN 56537
PHONE: 218/739-6197
FAX: /­
MR. JERRY GUSTAFSON
Minnesota Department of Health
Division of Compliance Monitoring
Page 303
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
OTTER TAIL
(Cont.)* -------------------------­
HWSAL
Corp
GOLDEN MANOR OF FERGUS FALLS
Registration
124 WEST ORIOLE DRIVE
(21055)
FERGUS FALLS, MN 56537
PHONE: 218/739-1119
FAX: 218/354-6079
Part
HARMONY HOME HEALTH CARE
MRS. JENNIFER BERG
HCP-A
25483 COUNTY HIGHWAY 27
(23813)
FERGUS FALLS, MN 56537
PHONE: 218/998-3750
FAX: 218/998-3965
Corp
KESSEL GROUP HOME INC
MRS. DANIELLE SCHUETZLE
ICFIID-6
SLFA-6
24641 W RIVERS BEND RD BOX 743
(01212)
FERGUS FALLS, MN 56537
PHONE: 218/736-6612
FAX: 218/736-6612
NProf
LAKE REGION HEALTHCARE CORP
MR. THEODORE KESSEL
BASS-10 HOSP-108
HOSP-80 PPS-P-14 PPS-R-14
712 SOUTH CASCADE
(00437)
FERGUS FALLS, MN 56537
PHONE: 218/736-8190
MR. EDWARD MEHL
FAX: 218/736-8765
NProf
LAKELAND HOMECARE
HCP-A
HHA
805 E CHANNING AVE
(02334)
FERGUS FALLS, MN 56537
PHONE: 218/998-1400
MS. REBECCA ODDEN
FAX: 218/998-7350
NProf
LAKELAND HOSPICE
Hospice
HSPICE
805 EAST CHANNING
(03077)
FERGUS FALLS, MN 56537
PHONE: 218/998-1400
FAX: 218/998-7350
MR. JOHN ZWIERS
CMHC
NProf
LAKELAND MENTAL HEALTH CTR
21081 COUNTY HWY 1
(02779)
FERGUS FALLS, MN 56537
PHONE: 218/736-6987
FAX: /­
MS. CLAIR PRODY
NProf
LUTHERAN BRETHREN HOME CARE
HCP-F
418 EAST ALCOTT
(21591)
FERGUS FALLS, MN 56537
PHONE: 218/998-7400
FAX: 218/998-7362
LUTHERAN BRETHREN WOODLAND LOD
MR. JOHN ZWIERS
HWSAL
NProf
394 WOODLAND DRIVE
FERGUS FALLS, MN 56537
PHONE: 218/998-6100
MN VETERANS HOME FERGUS FALLS
(29358)
FAX: 218/998-7362
State
MR. JOHN ZWIERS
NH-106
1821 NORTH PARK
FERGUS FALLS, MN 56537
PHONE: 218/736-0400
(00531)
FAX: 218/739-7686
MR. JON SKILLINGSTAD
Minnesota Department of Health
Division of Compliance Monitoring
Page 304
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
NEW DIMENSIONS HHC INC
Certification
OTTER TAIL
Registration
(Cont.)* -------------------------­
HCP-A
HHA
312 N TOWER ROAD
(03314)
FERGUS FALLS, MN 56538
PHONE: 218/739-5856
FAX: 218/736-6330
Lim-Liab
PARK GARDENS OF FERGUS FALLS
MS. WENDY ERLANDSON
HCP-F
HWSAL
215 EAST SKOGMO BLVD
(24507)
FERGUS FALLS, MN 56537
PHONE: 218/998-4444
FAX: 218/998-4476
Church
PIONEER CARE CENTER
MR. THOMAS STEVENS
NH-105
SNF-NF-105
1131 SOUTH MABELLE AVENUE
(00443)
FERGUS FALLS, MN 56537
PHONE: 218/998-1500
FAX: 218/998-1580
Church
PIONEER HOME INC - CARE SUITES
MR. NATHAN JOHNSON
HWS
HCP-F
1006 SOUTH SHERIDAN
(20076)
FERGUS FALLS, MN 56537
PHONE: 218/998-1518
FAX: 218/998-1580
MR. NATHAN JOHNSON
HWS
Church
PIONEER POINTE
411 EVERETT AVENUE EAST
(20450)
FERGUS FALLS, MN 56537
PHONE: 218/739-7703
FAX: 218/739-7707
MR. NATHAN JOHNSON
HWSAL
Church
PIONEER SENIOR COTTAGES
1325 MABELLE AVENUE
(21214)
FERGUS FALLS, MN 56537
PHONE: 218/998-9970
FAX: 218/998-9972
MR. NATHAN JOHNSON
HWSAL
Church
PIONEER SENIOR COTTAGES
1327 MABELLE AVENUE SOUTH
(21213)
FERGUS FALLS, MN 56537
PHONE: 218/998-9970
FAX: 218/998-9972
MR. NATHAN JOHNSON
HWSAL
Church
PIONEER SENIOR COTTAGES II
1315 MABELLE AVENUE SOUTH
(21567)
FERGUS FALLS, MN 56537
PHONE: 218/998-9974
FAX: 218/998-9976
MR. NATHAN JOHNSON
HWSAL
Church
PIONEER SENIOR COTTAGES II
1317 MABELLE AVENUE SOUTH
(21568)
FERGUS FALLS, MN 56537
PHONE: 218/998-9974
FAX: 218/998-9976
MR. NATHAN JOHNSON
HWSAL
Church
PIONEER SENIOR COTTAGES III
1307 MABELLE AVENUE SOUTH
(23153)
FERGUS FALLS, MN 56537
PHONE: 218/998-9980
FAX: /­
MR. NATHAN JOHNSON
Minnesota Department of Health
Division of Compliance Monitoring
Page 305
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
OTTER TAIL
(Cont.)* -------------------------­
HWSAL
Church
PIONEER SENIOR COTTAGES III
Registration
1305 MABELLE AVENUE SOUTH
(23152)
FERGUS FALLS, MN 56537
PHONE: 218/998-9980
FAX: /-
MR. NATHAN JOHNSON
NProf
PRODUCTIVE ALTERNATIVES INC
SLFB-10
1017 NORTH TOWER ROAD
(23998)
FERGUS FALLS, MN 56537
PHONE: 218/998-5649
FAX: 218/736-2541
MR. BOB JOHNSON
HWS
Part
RIVER BEND APARTMENTS
222 NORTH WHITFORD STREET
(21758)
FERGUS FALLS, MN 56537
PHONE: 218/736-2557
FAX: 218/998-3665
MS. BARB SCHULTZ
HWSAL
HRA
RIVERVIEW HEIGHTS HIGHRISE
205 NORTH SHERIDAN AVENUE
(20036)
FERGUS FALLS, MN 56537
PHONE: 218/739-6522
MR. JEFFREY GAFFANEY
FAX: 218/739-0975
HWS
NProf
SHERIDAN HOUSE
808 SOUTH SHERIDAN
(22541)
FERGUS FALLS, MN 56537
PHONE: 218/998-7400
MR. JOHN ZWIERS
FAX: 218/998-7362
Corp
SYNSTELIEN COMMUNITY SERVICES
HCP-A
128 EAST MEADOWLARK LANE
(25892)
FERGUS FALLS, MN 56537
PHONE: 218/736-7322
FAX: 218/739-1090
NProf
THE MILL STREET RESIDENCE
MR. DARYL SYNSTELIEN
HWSAL
HCP-F
802 SOUTH MILL STREET
(20037)
FERGUS FALLS, MN 56537
PHONE: 218/739-2900
FAX: 218/739-2192
Ind
TLC HOME CARE
MR. MICHAEL SIEMS
HCP-B
1321 NICOLE COURT
(27366)
FERGUS FALLS, MN 56537
PHONE: 218/205-1262
VALKOMMEN-HEM INN
FAX: /­
MS. TERRI KASEMAN
Ind
HWSAL-O
HCP-F
328 14TH STREET EAST
FERGUS FALLS, MN 56537
PHONE: 218/998-3712
GOLDEN LIVINGCENTER HENNING
(26941)
FAX: 218/998-3010
Lim-Liab
MS. EUNICE MATSON
NH-42
SNF-NF-42
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
306
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Facility/Service
Owner
Licensure
---------------------------**********
Ind
OUR HOME YOUR HOME
Certification
OTTER TAIL
Registration
(Cont.)* -------------------------­
HWSAL
HCP-F
609 FRONT STREET
(21050)
HENNING, MN 56551
PHONE: 218/583-4428
FAX: 218/583-2504
MS. JODY LOHSE
RHC
NProf
TRI COUNTY HC HENNING CLINIC
401 DOUGLAS AVENUE
(03504)
HENNING, MN 56551
PHONE: 218/583-2953
FAX: /-
MR. DENNIS MILEY
City
WILLOW CREEK SENIOR COMMUNITY
HCP-F
HWSAL
500 WILLOW CREEK DRIVE
(23334)
HENNING, MN 56551
PHONE: 218/548-6683
FAX: 218/548-6684
Church
ELDERS HOME INC
MS. GINA ELLINGSON
NH-51
SNF-NF-51
SOUTH TOUSLEY PO BOX 188
(00432)
NEW YORK MILLS, MN 56567
PHONE: 218/385-2005
MR. CAL ANDERSON
FAX: 218/385-4170
Ind
HOME SWEET HOME ASSISTED LVNG
HWSAL
HCP-F
412 HUMMINGBIRD LANE
(27030)
NEW YORK MILLS, MN 56567
PHONE: 218/385-2660
MRS. MICHELLE STEINBACH
FAX: 218/385-2667
HWS
Part
KALEVA APARTMENTS
205 WALKER AVENUE N
(29884)
NEW YORK MILLS, MN 56567
PHONE: 218/385-3273
FAX: 218/385-3288
Lim-Liab
LAKE COUNTRY HOME CARE
MS. MEGAN GOODMUNDSON
HCP-A
95 MILLER ST STE E
(26683)
NEW YORK MILLS, MN 56567
PHONE: 218/385-3422
FAX: 218/385-3506
Corp
TENDER HEARTS HOME CARE
MS. ADELE LAUSTEN
HCP-A
407 CARLUND PARKWAY
(21941)
NEW YORK MILLS, MN 56567
PHONE: 877/362-9784
FAX: 218/385-3583
Lim-Liab
PRESCRIPTION HOME CARE LLC
MS. KERRIE STEINBACH
HCP-A
36144 RUSH LAKE LOOP
(29284)
OTTER TAIL, MN 56571
PHONE: 612/810-0997
FAX: /-
MS. ANA KNIGHT
RHC
NProf
TRI COUNTY HC OTTERTAIL CLINIC
232 HIGHWAY 78 N PO BOX 129
(27821)
OTTERTAIL, MN 56571
PHONE: 218/367-6262
FAX: /-
MR. JOEL BEISWENGER
Minnesota Department of Health
Division of Compliance Monitoring
Page 307
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
ST WILLIAMS FOSTER CARE MCCOR
Certification
OTTER TAIL
Registration
(Cont.)* -------------------------­
HWSAL
HCP-F
122 NORTH MCCORNELL
(20188)
PARKERS PRAIRIE, MN 56361
PHONE: 218/338-4671
FAX: 218/338-5917
NProf
ST WILLIAMS LIVING CENTER
MR. TIM KELLY
NH-55
SNF-NF-55
212 WEST SOO STREET BOX 30
(00444)
PARKERS PRAIRIE, MN 56361
PHONE: 218/338-4671
FAX: 218/338-5917
Corp
LILAC HOMES ASSISTED LIVING
MR. TIM KELLY
HCP-F
24806 LABRADOR BEACH ROAD
(28988)
PELICAN RAPIDS, MN 56572
PHONE: 218/512-2008
FAX: 218/512-2018
MR. WILLIAM NELSON
HWS
Part
MILL POND VIEW APARTMENTS
101 EAST MILL AVENUE
(21757)
PELICAN RAPIDS, MN 56572
PHONE: 218/863-5085
MS. MARGARET FARRIS
FAX: 218/863-5086
Dist
PELICAN VALLEY HEALTH CENTER
NH-40
SNF-NF-40
211 EAST MILL AVENUE
(00442)
PELICAN RAPIDS, MN 56572
PHONE: 218/863-2991
MS. BARBARA GARRITY
FAX: 218/863-5255
Dist
RIVERFRONT MANOR
HCP-F
215 EAST MILL AVENUE
(21613)
PELICAN RAPIDS, MN 56572
PHONE: 218/863-1133
FAX: 218/863-4860
MS. BARBARA GARRITY
HWSAL
Dist
RIVERFRONT MANOR
215 EAST MILL AVENUE
(21612)
PELICAN RAPIDS, MN 56572
PHONE: 218/863-1133
FAX: 218/863-4860
Dist
RIVERFRONT ON MAIN
MS. BARBARA GARRITY
HCP-F
119 NORTH BROADWAY
(28600)
PELICAN RAPIDS, MN 56572
PHONE: 218/863-2401
FAX: 218/863-5049
MS. BARBARA GARRITY
HWSAL
Dist
RIVERFRONT ON MAIN
119 NORTH BROADWAY
(28601)
PELICAN RAPIDS, MN 56572
PHONE: 218/863-2401
FAX: 218/863-5049
MS. BARBARA GARRITY
RHC
NProf
SANFORD HLTH PELICN RPDS CLINC
211 EAST MILL STREET
(23220)
PELICAN RAPIDS, MN 56572
PHONE: 701/234-6207
FAX: /­
MS. LISA CARLSON
Minnesota Department of Health
Division of Compliance Monitoring
Page
308
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
7TH HEAVEN ASSISTED LIVING LLC
Certification
OTTER TAIL
Registration
(Cont.)* -------------------------­
HWSAL
HCP-F
210 7TH AVENUE SOUTHEAST
(29022)
PERHAM, MN 56573
PHONE: 218/346-7077
FAX: 218/346-7099
MRS. JULIE REITMEYER
HWS
Dist
BRIARWOOD
630 FIFTH STREET SOUTHWEST
(20557)
PERHAM, MN 56573
PHONE: 218/347-1865
FAX: 218/347-1866
Dist
PERHAM HEALTH
MR. CHARLES HOFIUS
BASS-3 HOSP-25
CAH-25
1000 CONEY STREET WEST
(28377)
PERHAM, MN 56573
PHONE: 218/347-4500
FAX: 218/347-4540
Dist
PERHAM LIVING
MR. CHARLES HOFIUS
HCP-F
735 3RD STREET SOUTHWEST
(28907)
PERHAM, MN 56573
PHONE: 218/347-1800
MR. CHUCK HOFIUS
FAX: 218/347-1862
Dist
PERHAM LIVING
NH-96
SNF-NF-96
735 3RD STREET SOUTHWEST
(00438)
PERHAM, MN 56573
PHONE: 218/346-4500
MS. KATIE LUNDMARK
FAX: 218/346-4540
Dist
PERHAM LIVING HOME CARE
HCP-A
HHA
735 3RD STREET SOUTHWEST
(03870)
PERHAM, MN 56573
PHONE: 218/347-1880
FAX: 218/347-1885
Corp
PRAIRIE VIEW ASSISTED LIVING
MR. CHUCK HOFIUS
HCP-A
821 7TH AVENUE SOUTHWEST
(28894)
PERHAM, MN 56573
PHONE: 218/346-3080
FAX: 218/346-2700
MS. KARI HONER
HWSAL
Corp
PRAIRIE VIEW ASSISTED LIVING I
825 7TH AVENUE SOUTHWEST
(27188)
PERHAM, MN 56573
PHONE: 218/346-3167
FAX: 218/298-1140
Corp
PRAIRIE VIEW ASSISTED LVNG INC
MS. KARI HONER
HWSAL
HCP-F
821 7TH AVENUE SOUTHWEST
(24511)
PERHAM, MN 56573
PHONE: 218/346-3080
FAX: 218/346-2700
Lim-Liab
SOME PLACE SPECIAL
MS. KARI HONER
HWSAL
HCP-F
449 WEST MAIN
(24471)
PERHAM, MN 56573
PHONE: 218/346-2431
FAX: /-
MS. JESSICA JOHNSON
Minnesota Department of Health
Division of Compliance Monitoring
Page 309
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
OTTER TAIL
(Cont.)* -------------------------­
HWS
Dist
ST JAMES MANOR
Registration
415 EIGHTH AVENUE SW
(22350)
PERHAM, MN 56573
PHONE: 218/347-1854
FAX: 218/347-1864
MS. DEBBIE ANDERSON
HWSAL
Corp
THE THOMAS HOUSE II
738 THIRD AVENUE SW
(23404)
PERHAM, MN 56573
PHONE: 218/346-3064
FAX: /­
MS. LISA NELSON
Corp
THE THOMAS HOUSE INC
HCP-F
HWSAL
701 3RD AVENUE SOUTHWEST
(21578)
PERHAM, MN 56573
PHONE: 218/346-3064
FAX: /­
MS. LISA NELSON
HWSAL
Corp
THOMAS HOUSE III
812 4TH AVENUE SOUTHWEST
(28779)
PERHAM, MN 56573
PHONE: 218/346-3266
VERGAS ASSISTED LIVING
MS. LISA NELSON
FAX: /­
HWSAL
Lim-Liab
405 EAST FRAZEE AVENUE
VERGAS, MN 56587
PHONE: 218/342-2741
(20135)
MS. JAN RIEWER
FAX: 218/342-2779
---------------------------**********
INTER CO NURSING SERVICE
Cnty
PENNINGTON
******** -------------------------­
HCP-A
HHA
318 NORTH KNIGHT AVENUE
THIEF RIVER FALLS, MN 56701
PHONE: 218/681-0876
MINNESOTA GREENLEAF
(02124)
FAX: 218/683-7099
Lim-Liab
MS. ANITA CARDINAL
HCP-F
HWSAL
1006 GREENWOOD STREET EAST
THIEF RIVER FALLS, MN 56701
PHONE: 218/681-1685
OAK PARK SENIOR LIVING
(23224)
FAX: 218/681-4014
Corp
MS. CHELSEY SWATZKE
HCP-F
HWSAL
121 BAKEN STREET
THIEF RIVER FALLS, MN 56701
PHONE: 218/681-1675
OAKLAND PARK COMMUNITIES INC
(22082)
FAX: 218/681-1037
Corp
MR. JIM BIRCHEM
NH-40
SNF-NF-40
123 BAKEN STREET
THIEF RIVER FALLS, MN 56701
PHONE: 218/681-1675
(00449)
FAX: 218/681-1037
MR. TYLER WALTER AHLF
Minnesota Department of Health
Division of Compliance Monitoring
Page
310
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
PENNINGTON
(Cont.)* -------------------------­
ESRD
NProf
SANFORD DIALYSIS THIEF RVR FLS
Registration
120 LABREE AVENUE SOUTH
(26854)
THIEF RIVER FALLS, MN 567012819
PHONE: 218/681-4240
SANFORD MED CTR THIEF RVR FALL
FAX: /­
MS. MARIA REGNIER
NProf
BASS-10 HOSP-99
CAH-25 PPS-P-10
120 LABREE AVENUE SOUTH
THIEF RIVER FALLS, MN 56701
PHONE: 218/681-4240
THIEF RIVER CARE CENTER
(24712)
FAX: 218/683-4511
NProf
MR. BRIAN CARLSON
NH-70
SNF-NF-70
2001 EASTWOOD DRIVE
THIEF RIVER FALLS, MN 56701
PHONE: 218/683-8100
VALLEY HOME
(00448)
FAX: 218/683-8130
NProf
MS. MICHELE HALVORSON
HCP-F
HWSAL
523 ARNOLD AVENUE SOUTH
THIEF RIVER FALLS, MN 56701
PHONE: 218/681-3286
(00450)
MS. LYNN GELLER
FAX: 218/681-3287
---------------------------**********
COUNTRY HOME COMFORTS
Lim-Liab
PINE
******** -------------------------­
HCP-F
2656 RAINBOW STREET
BROOK PARK, MN 55007
PHONE: 320/679-2847
COUNTRY HOME COMFORTS LLC
(26778)
MS. BARBARA STEINER
FAX: 651/679-8934
HWSAL
Lim-Liab
2656 RAINBOW STREET
BROOK PARK, MN 55007
PHONE: 320/679-2847
ELDERWOOD OF HINCKLEY
(26768)
FAX: 320/679-8934
MS. BARBARA STEINER
HWSAL
Lim-Liab
710 SPRING LANE
HINCKLEY, MN 55037
PHONE: 320/384-7373
ELDERWOOD OF HINCKLEY
(23986)
FAX: 320/384-0700
Lim-Liab
MR. RONALD AUSMUS
HCP-F
25269 CROSS LAKE ROAD
HINCKLEY, MN 55037
PHONE: 320/384-7373
FIRSTLIGHT HINCKLEY
(27972)
FAX: 320/384-0700
MR. RONALD AUSMUS
RHC
Cnty
620 SANDY LANE ROAD
HINCKLEY, MN 55037
PHONE: 320/629-7505
(28051)
FAX: 320/629-2202
MR. RANDY ULSETH
Minnesota Department of Health
Division of Compliance Monitoring
Page 311
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
PINE
(Cont.)* -------------------------­
RHC
Corp
GATEWAY FAMILY HEALTH CLINIC
Registration
206 MAIN STREET E PO BOX 309
(23052)
HINCKLEY, MN 55037
PHONE: 320/384-6618
FAX: /­
COMMUNITY SUPPORTS PROGRAMMING
MR. WILLIAM PALMER
Lim-Liab
HCP-B
500 3RD AVENUE SUITE 2
(24826)
PINE CITY, MN 55063
PHONE: 320/629-6674
FAX: 320/629-6630
Corp
EDGEWATER ASSISTED LIVING
MS. TINA MAY
HCP-F
HWSAL
14856 EDGEWATER ROAD NE
(23691)
PINE CITY, MN 55063
PHONE: 320/629-1447
FAX: 320/629-2318
MS. DEBRA ERICKSON
RHC
Cnty
FIRSTLIGHT PINE CITY
1425 MAIN STREET NORTH
(28050)
PINE CITY, MN 55063
PHONE: 320/629-7505
MR. RANDY ULSETH
FAX: 320/629-2202
Corp
GOLDEN HORIZONS INC
HWSAL
HCP-F
1305 EIGHTH STREET SW
(22193)
PINE CITY, MN 55063
PHONE: 320/629-7272
MR. CHUCK LANE
FAX: 320/629-5388
Corp
LAKESIDE MEDICAL CENTER
HOSP-10 NH-46
HOSP-10 SNF-NF-46
129 EAST SIXTH AVENUE
(00451)
PINE CITY, MN 55063
PHONE: 320/629-2542
FAX: 320/629-1093
Corp
LAKESIDE MEDICAL CENTER
MR. MAX BLAUFUSS
HWSAL
HCP-F
129 SIXTH AVENUE SE
(23417)
PINE CITY, MN 55063
PHONE: 320/629-2542
FAX: 320/629-1093
Lim-Liab
MEADOW CREEK
MR. MAX BLAUFUSS
SLFA-26 SLFB-0
PO BOX 74 17305 MEADOW CRK LN
(01637)
PINE CITY, MN 55063
PHONE: 763/444-4838
FAX: 763/444-6007
Lim-Liab
SILVER LININGS HOME HEALTH CAR
MS. SHELLEY SKARDA
HCP-A
24801 ROSEWOOD LANE
(29717)
PINE CITY, MN 55063
PHONE: 320/224-9595
SIXTH AVENUE RESIDENCE
FAX: /­
MS. JACLYN ANDERSON
State
ICFIID-6
SLFB-6
215 SIXTH AVENUE EAST
PINE CITY, MN 55063
PHONE: 320/629-2116
(01619)
FAX: 320/629-2252
MS. MIRANDA TRYTTEN
Minnesota Department of Health
Division of Compliance Monitoring
Page
312
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
SOPHIES MANOR ASSISTED LIVING
Certification
PINE
Registration
(Cont.)* -------------------------­
HCP-F
HWSAL
17500 RANCH DRIVE
(24653)
PINE CITY, MN 55063
PHONE: 320/629-2064
FAX: 320/629-4918
MS. CYNTHIA SHERRILL
ESRD
Corp
TRC PINE CITY
129 EAST SIXTH AVENUE
(02432)
PINE CITY, MN 55603
PHONE: 763/444-7245
FAX: /­
MR. BRAD NYE
NProf
ESSENTIA HEALTH - SANDSTONE
NH-45
SNF-NF-45
109 COURT AVENUE SOUTH
(00452)
SANDSTONE, MN 55072
PHONE: 320/245-5668
FAX: 320/245-3220
NProf
ESSENTIA HEALTH SANDSTONE
MS. JAMIE PARO
BASS-5 HOSP-30
CAH-25
109 COURT AVENUE SOUTH
(00453)
SANDSTONE, MN 55072
PHONE: 320/245-2212
MR. JAMES KOPPEN
FAX: 320/245-5243
RHC
Corp
GATEWAY FAMILY CLINIC
204 LUNDORFF DRIVE
(21128)
SANDSTONE, MN 55072
PHONE: 320/245-2250
MR. WILLIAM PALMER
FAX: /­
---------------------------**********
EDGEBROOK CARE CENTER
NProf
PIPESTONE
******** -------------------------­
NH-56
SNF-NF-56
505 TROSKY ROAD WEST
EDGERTON, MN 56128
PHONE: 507/442-7121
EDGEBROOK ESTATES
(00454)
FAX: 507/442-3952
MR. PHILIP SAMUELSON
HWS
NProf
505 TROSKY ROAD WEST
EDGERTON, MN 56128
PHONE: 507/442-7121
EDGEBROOK ESTATES ASSISTED LIV
(20552)
FAX: 507/442-3952
NProf
MR. PHILIP SAMUELSON
HCP-F
HWSAL
301 5TH AVENUE NORTH
EDGERTON, MN 56128
PHONE: 507/442-5080
JASPER SUNRISE VILLAGE
(23870)
FAX: 507/442-5101
City
MR. PHILIP SAMUELSON
HCP-F
HWSAL
100 ROBERT AVE N SUITE 100
JASPER, MN 56144
PHONE: 507/348-8620
(20083)
FAX: 507/348-6100
MS. LAUREL YKEMA
Minnesota Department of Health
Division of Compliance Monitoring
Page
313
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
FALLS LANDING ASSISTED LIVING
Corp
Certification
PIPESTONE
Registration
(Cont.)* -------------------------­
HCP-F
HWSAL
1101 NORTH HIAWATHA
PIPESTONE, MN 56164
PHONE: 507/562-6648
GOOD SAM SOCIETY PIPESTONE
(23333)
FAX: 507/562-6650
NProf
MR. MIKE LUDOLPH
NH-94
SNF-NF-94
1311 NORTH HIAWATHA
PIPESTONE, MN 56164
PHONE: 507/825-5428
PIPESTONE CO HOME HEALTH AGNCY
(00455)
FAX: 507/825-5117
Cnty
MR. JOSHUA HOFMEYER
HCP-A
HHA
916 - 4TH AVENUE SW
PIPESTONE, MN 56164
PHONE: 507/825-6024
PIPESTONE COUNTY HOSPICE
(02046)
FAX: 507/825-6145
Cnty
MR. BRADLEY BURRIS
Hospice
HSPICE
916 4TH AVENUE SOUTHWEST
PIPESTONE, MN 56164
PHONE: 507/825-6024
PIPESTONE COUNTY HOSPICE RESID
(24107)
MR. BRADLEY BURRIS
FAX: 507/825-6145
Cnty
RES-HSPICE-4
309 10TH STREET SW
PIPESTONE, MN 56164
PHONE: 507/825-6024
PIPESTONE COUNTY MED CTR
(24029)
MR. BRADLEY BURRIS
FAX: 507/825-6145
Cnty
BASS-12 HOSP-44
CAH-25
916 4TH AVENUE SOUTHWEST
PIPESTONE, MN 56164
PHONE: 507/825-5811
PIPESTONE DIALYSIS FACILITY
(00456)
FAX: 507/825-5733
MR. BRADLEY BURRIS
ESRD
Corp
916 4TH AVENUE SOUTHWEST
PIPESTONE, MN 56164
PHONE: 507/825-6623
RIDGE VIEW ESTATES
(03936)
FAX: 507/825-6627
MS. SHERRY DANIELS
HWS
NProf
903 SECOND AVENUE SOUTHEAST
PIPESTONE, MN 56164
PHONE: 507/825-4885
NEW LIFE TREATMENT CENTER
(20656)
FAX: 507/562-1355
NProf
MR. PHILIP SAMUELSON
SLFA-21 SLFB-7
130 DAKOTA STREET
WOODSTOCK, MN 56186
PHONE: 507/777-4321
(01241)
FAX: 507/777-4284
---------------------------**********
MR. GARY AMBROSE
POLK
******** -------------------------­
Minnesota Department of Health
Division of Compliance Monitoring
Page 314
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
POLK
(Cont.)* -------------------------­
ESRD
NProf
ALTRU HLTH SYS RENAL DIALYSIS
Registration
400 SOUTH MINNESOTA
(28507)
CROOKSTON, MN 56716
PHONE: 701/780-5877
FAX: 701/780-5852
MS. COLLETTE GREEK
HWSAL-O
HRA
CROOKSTON HOUSING & ECONOMIC D
110 SARGENT STREET
(20389)
CROOKSTON, MN 56716
PHONE: 218/281-5334
FAX: 218/281-6214
MS. LISA STREET
HWS
Church
GOOD SHEPHERD HALL
620 SUMMIT AVENUE
(22009)
CROOKSTON, MN 56716
PHONE: 218/281-4218
FAX: 218/281-2690
MS. JUDY HULST
Home Mgmt
Corp
INDEPENDENCE PLUS INC
27885 170TH AVENUE SW
(20730)
CROOKSTON, MN 56716
PHONE: 218/281-3506
MS. RUBY BARANSKI
FAX: 218/281-9929
CMHC
NProf
NORTHWESTERN MENTAL HLTH CTR
PO BOX 603, 603 BRUCE STREET
(02787)
CROOKSTON, MN 56716
PHONE: 218/281-3940
RIVERVIEW CLINIC
MS. SHAUNA REITMEIER
FAX: /-
RHC
NProf
323 SOUTH MINNESOTA STREET
CROOKSTON, MN 56716
PHONE: 218/281-9200
RIVERVIEW HOME CARE
(28147)
FAX: 218/281-9509
NProf
MR. WILLIAM BENNETT
HCP-A
HHA
721 SOUTH MINNESOTA
CROOKSTON, MN 56716
PHONE: 218/281-9478
RIVERVIEW HOSPITAL & NSG HOME
(02497)
FAX: 218/281-9248
NProf
MS. CARRIE MICHALSKI
NH-24 BASS-10 HOSP-49
SNF-NF-24 CAH-25
323 SOUTH MINNESOTA
CROOKSTON, MN 56716
PHONE: 218/281-9200
VILLA ST VINCENT
(00470)
FAX: 218/281-9222
Church
MR. JOHN MIELKE
NH-104
SNF-NF-104
516 WALSH STREET
CROOKSTON, MN 56716
PHONE: 218/281-3424
VILLA ST VINCENT INC
(00815)
FAX: 218/281-4755
Church
MS. JUDITH HULST
HWS
HCP-F
516 WALSH STREET
CROOKSTON, MN 56716
PHONE: 218/281-9700
(20007)
FAX: 218/281-4755
MRS. JUDITH HULST
Minnesota Department of Health
Division of Compliance Monitoring
Page 315
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
EDGEWOOD VISTA
Corp
Certification
POLK
Registration
(Cont.)* -------------------------­
HWSAL
HCP-F
608 FIFTH AVENUE NORTHWEST
EAST GRAND FORKS, MN 56721
PHONE: 218/773-6648
GOOD SAM SOC HERITAGE GROVE
(20454)
FAX: 218/773-1543
NProf
MS. TAMMIE RADERMACHER
HCP-F
2122 RIVER ROAD NORTHWEST
EAST GRAND FORKS, MN 56721
PHONE: 218/773-7484
GOOD SAMARITAN SOCIETY HERITAG
(20627)
FAX: 218/773-6041
MR. TIM BYRNE
HWSAL
NProf
2122 RIVER ROAD NORTHWEST
EAST GRAND FORKS, MN 56721
PHONE: 218/773-7484
REM NORTHSTAR (RED RIVER WEST)
(24554)
FAX: 218/773-6041
Corp
MR. TIM BYRNE
ICFIID-6
SLFB-6
2138 NINTH AVENUE NORTHWEST
EAST GRAND FORKS, MN 56721
PHONE: 218/281-5113
CROSSROADS APARTMENTS
(01458)
MR. PATRICK MASYGA
FAX: 218/281-7468
HWSAL
NProf
22842 347TH STREET SE
ERSKINE, MN 56535
PHONE: 218/687-4702
PIONEER MEMORIAL CARE CENTER
(23371)
MS. MELISSA CHISHOLM
FAX: 218/687-4703
NProf
NH-68
SNF-NF-68
23028 - 347TH STREET SE
ERSKINE, MN 56535
PHONE: 218/687-2365
THE COUNTRY PLACE APARTMENTS
(00469)
FAX: 218/687-2047
NProf
MS. MARLENE MCGUIRE
HWSAL
HCP-F
23110 347TH STREET SE
ERSKINE, MN 56535
PHONE: 218/687-2288
FAIR MEADOW ASSISTED LIVING
(20593)
FAX: 218/687-3278
City
MS. MELISSA CHISHOLM
HCP-F
300 GARFIELD AVE SE PO BOX 8
FERTILE, MN 56540
PHONE: 218/945-6194
FAIR MEADOW ASSISTED LIVING
(29651)
FAX: 218/945-6459
MS. JENNIFER DEROSIER
HWS
City
300 GARFIELD AVE SE PO BOX 8
FERTILE, MN 56540
PHONE: 218/945-6194
FAIR MEADOW NURSING HOME
(29652)
FAX: 218/945-6459
City
MS. JENNIFER DEROSIER
NH-50
SNF-NF-50
BOX 8 300 GARFIELD AVENUE SE
FERTILE, MN 56540
PHONE: 218/945-6194
(00460)
FAX: 218/945-6459
MR. BARRY ROBERTSON
Minnesota Department of Health
Division of Compliance Monitoring
Page
316
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
RIVERVIEW CLINIC
Certification
POLK
Registration
(Cont.)* -------------------------­
RHC
NProf
306 NORTH MILL STREET
FERTILE, MN 56540
PHONE: 218/945-6695
CORNERSTONE RESIDENCE
(28148)
FAX: 218/945-6693
Corp
MR. WILLIAM BENNETT
HCP-F
HWSAL
115 1ST STREET EAST
FOSSTON, MN 56542
PHONE: 218/435-6333
ESSENTIA HEALTH FOSSTON
(23400)
FAX: 218/435-6336
NProf
MS. JUDY POTVIN
NH-50 BASS-7 HOSP-43
SNF-NF-50 CAH-25
900 HILLIGOSS BLVD SOUTHEAST
FOSSTON, MN 56542
PHONE: 218/435-1133
ESSENTIA HEALTH FOSSTON HM HTH
(00461)
FAX: 218/435-1134
NProf
MR. KEVIN GISH
HCP-A
HHA
900 HILLIGOSS BLVD SOUTHEAST
FOSSTON, MN 56542
PHONE: 218/435-1133
FIRST CARE HOSPICE
(02366)
MR. KEVIN GISH
FAX: 218/435-1134
NProf
Hospice
HSPICE
900 HILLIGOSS BLVD SOUTHEAST
FOSSTON, MN 56542
PHONE: 218/435-1133
MIDWAY CARE CENTER INC
(03716)
MR. KEVIN GISH
FAX: 218/435-1134
HWSAL
Corp
114 SECOND STREET NORTHEAST
FOSSTON, MN 56542
PHONE: 218/435-1272
PRAIRIE PINES COMMUNITY
(27388)
FAX: 218/435-6336
NProf
MR. ALLEN POTVIN
HCP-F
HWSAL
903 PRAIRIE PINES DRIVE
FOSSTON, MN 56542
PHONE: 218/435-1337
MCINTOSH SENIOR LIVING
(23659)
FAX: 218/435-1540
NProf
MR. KEVIN GISH
NH-45
SNF-NF-45
600 RIVERSIDE AVENUE NORTHEAST
MCINTOSH, MN 56556
PHONE: 218/563-2715
POPLAR MEADOWS OF MCINTOSH
(00467)
FAX: 218/563-2395
City
MS. SHARLENE KNUTSON
HCP-F
HWS
325 SCOTS AVENUE SE
MCINTOSH, MN 56556
PHONE: 218/563-2436
(22355)
FAX: 218/563-6100
---------------------------**********
MS. JULIE KLINKE
POPE
******** -------------------------­
Minnesota Department of Health
Division of Compliance Monitoring
Page
317
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
POPE
(Cont.)* -------------------------­
HWS
Corp
CENTRAL MINNESOTA SENIOR CARE
Registration
515 6TH AVENUE PARKCREST
(27708)
GLENWOOD, MN 56334
PHONE: 320/441-7001
FAX: 320/235-8069
Dist
GLACIAL RIDGE HOME CARE
MS. DEBRA OLESON
HCP-A
HHA
220 FIRST STREET SE
(02369)
GLENWOOD, MN 56334
PHONE: 320/634-2221
FAX: 320/634-2006
Dist
GLACIAL RIDGE HOSPICE
MS. TERRI ANDERSON
Hospice
HSPICE
10 FOURTH AVENUE SOUTHEAST
(02298)
GLENWOOD, MN 56334
PHONE: 320/634-2221
FAX: 320/634-2006
Dist
GLACIAL RIDGE HOSPITAL
MS. TERRI ANDERSON
BASS-4 HOSP-34
CAH-25
10 FOURTH AVENUE SOUTHEAST
(00473)
GLENWOOD, MN 56334
PHONE: 320/634-4521
MR. KIRK STENSRUD
FAX: 320/634-2269
HWS
Corp
GLEN HAVEN MANOR
507 SOUTHEAST 5TH STREET
(24175)
GLENWOOD, MN 56334
PHONE: 320/634-0201
MS. DEBRA OLESON
FAX: 320/235-8069
HWS
Corp
GLEN VIEW APARTMENTS
501 5TH STREET SOUTHEAST
(24177)
GLENWOOD, MN 56334
PHONE: 320/441-7001
FAX: 320/231-8069
Corp
GLENWOOD ESTATES
MS. DEBRA OLESON
HCP-F
500 NORTH FRANKLIN STREET
(22168)
GLENWOOD, MN 56334
PHONE: 320/634-0022
FAX: 320/634-0052
MS. KAREN HOLTE
HWSAL
Corp
GLENWOOD ESTATES
500 FRANKLIN STREET N
(22169)
GLENWOOD, MN 56334
PHONE: 320/634-0022
FAX: 320/634-0052
MS. KAREN HOLTE
RHC
Dist
GLENWOOD MEDICAL CENTER
417 SOUTH FRANKLIN
(24009)
GLENWOOD, MN 56334
PHONE: 320/634-5157
GLENWOOD VILLAGE CARE CENTER
FAX: /­
MR. KIRK STENSRUD
Church
NH-64
SNF-NF-64
719 SOUTHEAST SECOND STREET
GLENWOOD, MN 56334
PHONE: 320/634-5131
(00474)
FAX: 320/634-5777
MS. MARY KRUEGER
Minnesota Department of Health
Division of Compliance Monitoring
Page 318
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
GOOD SAM SOCIETY GLNWD LKVIEW
Certification
POPE
Registration
(Cont.)* -------------------------­
NH-32
SNF-NF-32
515 FRANKLIN STREET SOUTH
(00969)
GLENWOOD, MN 56334
PHONE: 320/634-4553
FAX: 320/634-5109
MR. WILLIAM BREWER
HWSAL
NProf
PARKVIEW COURT
300 8TH AVENUE SOUTHEAST
(20017)
GLENWOOD, MN 56334
PHONE: 320/634-5131
FAX: 320/634-5818
Church
PARKVIEW COURT ASSISTED LIVING
MS. MARY KRUEGER
HCP-F
300 SE 8TH AVENUE
(23780)
GLENWOOD, MN 56334
PHONE: 320/634-5131
FAX: 320/634-5777
MS. MARY KRUEGER
HWSAL
Corp
CENTRAL MN SENIOR CARE TOUCH O
300 JOHN STREET
(25021)
STARBUCK, MN 56381
PHONE: 320/441-7001
MS. DEBRA OLESON
FAX: 320/235-8069
NProf
HOLLY RIDGE MANOR
HCP-F
HWSAL
500 HOLLY RIDGE DRIVE
(21570)
STARBUCK, MN 56381
PHONE: 320/239-4775
MS. CYNTHIA IVERSON-INTERIM
FAX: 320/239-2339
NProf
MINNEWASKA COMMUNITY HLTH SERV
NH-65
SNF-NF-65
605 MAIN STREET
(00477)
STARBUCK, MN 56381
PHONE: 320/239-2217
FAX: 320/239-7144
NProf
MINNEWASKA HOME CARE
MR. JAMES BROICH
HCP-A
HHA
605 MAIN STREET PO BOX 40
(03853)
STARBUCK, MN 563810040
PHONE: 320/239-7159
FAX: 320/239-7263
MS. CYNTHIA IVERSON-INTERIM
---------------------------**********
Corp
ACR HOME ON CUMMINGS
RAMSEY
******** -------------------------­
ICFIID-4
SLFB-4
1385 CUMMINGS LANE
(01378)
ARDEN HILLS, MN 55112
PHONE: 651/636-7537
FAX: 651/697-1724
MR. GENE LEISTICO
ESRD
Corp
ARDEN HILLS DIALYSIS UNIT
3900 NORTHWOOD DRIVE SUITE 110
(02442)
ARDEN HILLS, MN 55112
PHONE: 651/483-3159
FAX: /­
MS. ROSANNA NELSON
Minnesota Department of Health
Division of Compliance Monitoring
Page
319
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
JOHANNA SHORES
Certification
RAMSEY
Registration
(Cont.)* -------------------------­
HCP-F
3220 LAKE JOHANNA BOULEVARD
(27964)
ARDEN HILLS, MN 55112
PHONE: 651/631-6027
FAX: 651/631-6057
JOHANNA SHORES COMMONS AND ARB
MS. NATALIE MORLAND
HWSAL
NProf
3200 LAKE JOHANNA BOULEVARD
(20113)
ARDEN HILLS, MN 55112
PHONE: 651/631-6063
FAX: 651/631-6048
NProf
PHOENIX AT JANET COURT
MS. JANEL MILLER
ICFIID-6
SLFB-6
1769 JANET COURT
(23588)
ARDEN HILLS, MN 55112
PHONE: 651/227-7655
FAX: 651/227-6847
NProf
PRESBY HOMES OF ARDEN HILLS
MS. DARLENE SCOTT
NH-208
SNF-NF-208
3220 LAKE JOHANNA BOULEVARD
(00975)
ARDEN HILLS, MN 55112
PHONE: 651/631-6000
MS. MARIA GARRITY
FAX: 651/631-6036
HWS
NProf
396 LABORE ROAD
396 LABORE ROAD
(28854)
LITTLE CANADA, MN 55117
PHONE: 651/256-1226
MR. MATT LEWIS
FAX: /-
HWS
NProf
GARDEN TERRACE
2874 MARKET PLACE DRIVE
(20362)
LITTLE CANADA, MN 55117
PHONE: 651/481-9028
LIFESPAN HOME CARE SERVICES IN
FAX: /-
MS. ELIZABETH HAGSTROM
Corp
HCP-A
93 W LITTLE CANADA RD STE 103
LITTLE CANADA, MN 55117
PHONE: 651/765-6034
NORTHEAST RESIDENCE II
(23141)
FAX: 651/765-2873
NProf
MS. AKPENE ASEMPA
ICFIID-6
SLFB-6
410 EAST LITTLE CANADA ROAD
LITTLE CANADA, MN 55117
PHONE: 651/765-0238
PEOPLE INC MONTREAL CTS
(20896)
FAX: 651/765-0426
NProf
MS. CORRINE SCHMIDT
HWS-O
HCP-F
425 LABORE ROAD UNIT 108
LITTLE CANADA, MN 55117
PHONE: 651/490-3130
REGENCY HOME HEALTHCARE
(26039)
FAX: 651/490-3148
Lim-Liab
MS. HAYLEY CARLSON
HCP-F
2980 RICE STREET
LITTLE CANADA, MN 55113
PHONE: 651/488-4655
(26594)
FAX: 651/488-4656
MS. JEAN JOHNSON
Minnesota Department of Health
Division of Compliance Monitoring
Page 320
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
REGENCY HOME HEALTHCARE SRVCS
Certification
RAMSEY
Registration
(Cont.)* -------------------------­
HCP-A
HHA
2980 RICE STREET
(22064)
LITTLE CANADA, MN 55113
PHONE: 651/488-4655
FAX: 651/488-4656
MS. JEAN JOHNSON
HWS
NProf
1881 FURNESS STREET
1881 FURNESS STREET
(28734)
MAPLEWOOD, MN 55109
PHONE: 651/256-1226
BRIGHTSTAR HEALTHCARE
FAX: /­
MR. MATT LEWIS
Lim-Liab
HCP-A
2395 ARIEL STREET SUITE B
MAPLEWOOD, MN 55109
PHONE: 651/770-8427
CHILDREN'S THERAPLAY LLC
(26209)
FAX: 651/770-4845
Lim-Liab
MS. CAROL HOUGHTBY
HCP-A
2399 ARIEL STREET NORTH
MAPLEWOOD, MN 55109
PHONE: 651/773-0354
COMMUNITY FOUNDATIONS
(03297)
MS. MAGGIE LESHER
FAX: 651/773-0371
NProf
SLFA-16
1096 GERVAIS AVENUE
MAPLEWOOD, MN 55109
PHONE: 651/221-9880
COVENTRY SENIOR LIVING OF MAPL
(01549)
MR. TERRY SCHNEIDER
FAX: 651/225-1545
HWSAL
Lim-Liab
1870 EAST SHORE DRIVE
MAPLEWOOD, MN 55109
PHONE: 651/777-7784
ECUMEN LAKEVIEW COMMONS
(29004)
FAX: 651/344-0622
NProf
MS. BARBARA RUPPE
HCP-F
1200 NORTH LAKEWOOD DRIVE
MAPLEWOOD, MN 55119
PHONE: 651/770-1111
ECUMEN LAKEVIEW COMMONS
(21972)
FAX: 651/773-7399
MS. GLORY HILL
HWSAL
NProf
1200 NORTH LAKEWOOD DRIVE
MAPLEWOOD, MN 55119
PHONE: 651/770-1111
ECUMEN SEASONS AT MAPLEWOOD
(20114)
FAX: 651/773-7399
MS. GLORY HILL
HWSAL
NProf
1670 LEGACY PARKWAY EAST
MAPLEWOOD, MN 55109
PHONE: 651/756-1859
ECUMEN SEASONS AT MAPLEWOOD
(27398)
FAX: 651/756-1754
NProf
MR. JOSEPH SIGNORE
HCP-F
1670 LEGACY PARKWAY EAST
MAPLEWOOD, MN 55109
PHONE: 651/756-1859
(27397)
FAX: 651/756-1754
MR. JOSEPH SIGNORE
Minnesota Department of Health
Division of Compliance Monitoring
Page
321
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
RAMSEY
(Cont.)* -------------------------­
HWSAL
Corp
ESSLING'S HOMES PLUS INC
Registration
1729 GERVAIS AVENUE
(24754)
MAPLEWOOD, MN 55109
PHONE: 651/735-7259
FAX: 651/730-1667
MS. EYDIE SHYPULSKI
HWSAL-O
Corp
ESSLINGS HOMES PLUS INC
1747 GERVAIS AVENUE
(25241)
MAPLEWOOD, MN 55109
PHONE: 651/735-7259
FAX: 651/730-1667
MR. ANTHONY EHRNRITER
ESRD
Corp
FMC MAPLEWOOD HEIGHTS
2017 WOODLYN HEIGHTS
(25765)
MAPLEWOOD, MN 55109
PHONE: 651/748-5774
FAX: /­
MR. PATRICK HOWARD
NProf
FURNESS HOUSE
ICFIID-6
SLFB-6
1866 FURNESS STREET
(01604)
MAPLEWOOD, MN 55109
PHONE: 651/227-7655
MS. DARLENE SCOTT
FAX: 651/227-6847
NProf
GOOD SAM SOCIETY MAPLEWOOD
NH-96
SNF-NF-96
550 EAST ROSELAWN AVENUE
(00900)
MAPLEWOOD, MN 55117
PHONE: 651/774-9765
MS. SUSAN JENSEN
FAX: 651/793-3353
NProf
HEALTHEAST ST JOHNS HOSPITAL
BASS-44 HOSP-184
HOSP-184
1575 BEAM AVENUE
(00224)
MAPLEWOOD, MN 55109
PHONE: 651/232-7000
FAX: 651/232-7240
HEALTHEAST SURG CTR MAPLEWOOD
Lim-Liab
MR. SCOTT NORTH
Outpt Surg
Amb Surg
1655 BEAM AVENUE
MAPLEWOOD, MN 55109
PHONE: 651/232-7780
HOME HELPERS OF THE TWIN CITIE
(00980)
FAX: 651/232-7786
Corp
MR. BRUNY FULLERTON
HCP-B
2515 WHITE BEAR AVENUE A-8-129
MAPLEWOOD, MN 55109
PHONE: 612/518-5741
HOME INSTEAD SENIOR CARE #150
(28757)
FAX: 651/484-4687
Corp
MS. JENNIFER OLESEN
HCP-B
2480 WHITE BEAR AVE
MAPLEWOOD, MN 55109
PHONE: 651/747-8722
HOME INSTEAD SENIOR CARE #150
(23592)
FAX: 651/747-8726
MS. KENDRA PHILLIPS
Home Mgmt
Corp
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 322
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
HOWARD HOUSE
Certification
RAMSEY
Registration
(Cont.)* -------------------------­
ICFIID-6
SLFB-6
1685 HOWARD STREET NORTH
(01603)
MAPLEWOOD, MN 55109
PHONE: 651/227-7655
FAX: 651/227-6847
NProf
LIVING WELL BROOKVIEW
MS. DARLENE SCOTT
ICFIID-6
SLFB-6
2675 BROOKVIEW DRIVE EAST
(01600)
MAPLEWOOD, MN 55119
PHONE: 651/731-1602
FAX: 651/731-9120
NProf
LIVING WELL COPE
MS. LYNDSEY THOMAS
ICFIID-6
SLFB-6
1362 EAST COPE AVENUE
(01599)
MAPLEWOOD, MN 55109
PHONE: 651/483-9596
FAX: 651/483-4139
NProf
LIVING WELL LARPENTEUR
MS. COLLEEN MUTZABAUGH
ICFIID-6
SLFB-6
1951 LARPENTEUR AVENUE EAST
(01595)
MAPLEWOOD, MN 55109
PHONE: 651/770-7120
MS. HANNAH PALBICKI
FAX: 651/770-7130
NProf
LIVING WELL MARYLAND
SLFB-6
2355 MARYLAND AVENUE EAST
(20783)
MAPLEWOOD, MN 55119
PHONE: 651/773-4074
MS. LORI TRAYNOR
FAX: 651/773-3314
NProf
MAPLEWOOD CARE CENTER
NH-149
SNF-NF-149
1900 SHERREN AVENUE
(00520)
MAPLEWOOD, MN 55109
PHONE: 651/770-1365
FAX: 651/770-1646
MR. DOUG DOLINSKY
HWSAL
Corp
MAPLEWOOD CARE RESIDENCE
2338 OVERLOOK CIRCLE
(25791)
MAPLEWOOD, MN 55119
PHONE: 763/550-1774
FAX: /­
MS. MARCIA DOONER
ESRD
Corp
MAPLEWOOD DIALYSIS CENTER
2785 WHITE BEAR AVE SUITE 201
(02844)
MAPLEWOOD, MN 55109
PHONE: 651/779-2222
MAPLEWOOD GW LLC
FAX: /­
MS. DENISE TURNBULL
Lim-Liab
HWSAL
HCP-F
2300 HAZELWOOD STREET
MAPLEWOOD, MN 55109
PHONE: 651/777-3316
METRO NURSING SERVICES LLC
(25824)
FAX: 651/773-7580
MS. RHONDA SCHILLINGER
HWS-O
Lim-Liab
1312 BURKE CIRCLE EAST
MAPLEWOOD,
PHONE: 651/230-9300
(29837)
FAX: 651/756-1696
MR. ABDI GONJOBE
Minnesota Department of Health
Division of Compliance Monitoring
Page 323
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
METRO NURSING SERVICES LLC
Certification
RAMSEY
Registration
(Cont.)* -------------------------­
HCP-F
1312 BURKE CIRCLE EAST
(27530)
MAPLEWOOD, MN 55109
PHONE: 651/230-9300
FAX: 651/756-1696
Lim-Liab
MN EYE LASER & SURG CTRS LLC
MR. ABDI GONJOBE
Outpt Surg
Amb Surg
1965 11TH AVENUE EAST
(20703)
MAPLEWOOD, MN 55109
PHONE: 651/748-4400
FAX: 651/748-4401
Lim-Liab
MNGI ENDOSCOPY MAPLEWOOD
MS. MAGGIE LINDSTROM
Outpt Surg
Amb Surg
1997 SLOAN PLACE
(04308)
MAPLEWOOD, MN 55117
PHONE: 612/871-1145
FAX: /-
DR. SCOTT KETOVER
NProf
PHOENIX AT CARVER
ICFIID-6
SLFB-6
2465 CARVER AVE
(23589)
MAPLEWOOD, MN 55119
PHONE: 651/227-7655
MS. DARLENE SCOTT
FAX: 651/227-6847
Lim-Liab
PREMIUM CHOICE CARE
HCP-A
1187 LEALAND ROAD
(29798)
MAPLEWOOD, MN 55109
PHONE: 651/772-3357
MS. VIVIAN IGWACHO
FAX: /-
NProf
RAJWOOD
ICFIID-4
SLFA-4
2951 BARTELMY LANE
(01572)
MAPLEWOOD, MN 55109
PHONE: 651/429-5686
FAX: 651/483-9500
Cnty
RAMSEY COUNTY CARE CENTER
MR. ROBERT LANE
NH-178
SNF-NF-178
2000 WHITE BEAR AVENUE
(00846)
MAPLEWOOD, MN 55109
PHONE: 651/777-7486
FAX: 651/777-1426
REGENCY HOME HEALTHCARE SERVIC
MR. STEVEN FRITZKE
HWS-O
Lim-Liab
2473 IDAHO AVENUE
MAPLEWOOD, MN 55119
PHONE: 651/294-8941
REM RAMSEY INC (LAKEWOOD)
(27793)
FAX: 651/294-8942
Corp
MS. JEAN JOHNSON
ICFIID-5
SLFA-5
975 LAKEWOOD DRIVE SOUTH
MAPLEWOOD, MN 55119
PHONE: 651/644-7680
REM RAMSEY INC (MAYHILL)
(28182)
FAX: 651/644-6777
Corp
MS. CONNIE MENNE
ICFIID-5
SLFA-5
797 MAYHILL DRIVE
MAPLEWOOD, MN 551193828
PHONE: 651/644-7680
(26750)
FAX: 651/644-6777
MS. CONNIE MENNE
Minnesota Department of Health
Division of Compliance Monitoring
Page
324
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
RICHANGEL CARE INCORPORATED
Corp
Certification
RAMSEY
Registration
(Cont.)* -------------------------­
HCP-A
2321 HIGHWOOD AVENUE EAST
MAPLEWOOD, MN 55119
PHONE: 651/207-8672
ROXANNE TARNOWSKI
(29149)
FAX: 651/714-9152
Ind
MS. ANGELA IKERI
HCP-C
2072 CHAMBERS STREET
MAPLEWOOD, MN 55109
PHONE: 651/481-7811
SUNLIGHT SERVICES
(28136)
FAX: 651/587-0092
MS. ROXANNE TARNOWSKI
HWSAL
Lim-Liab
1243 SKILLMAN AVENUE
MAPLEWOOD, MN 55109
PHONE: 651/714-5056
THE SHORES HOME CARE
(26492)
FAX: 651/714-5059
Lim-Liab
MS. LEE VANG
HCP-F
1870 EAST SHORE DRIVE
MAPLEWOOD, MN 55109
PHONE: 651/777-7784
VOA HOME HEALTH AT MAPLEWOOD
(29005)
MS. BARBARA RUPPE
FAX: 651/344-0622
NProf
HCP-F
1890 SHERREN AVENUE EAST
MAPLEWOOD, MN 55109
PHONE: 651/770-3959
WALKER METHODIST HAZEL RIDGE
(21091)
MR. DOUG DOLINSKY
FAX: 651/770-5779
NProf
HCP-F
2730 HAZELWOOD STREET
MAPLEWOOD, MN 55109
PHONE: 651/779-9779
WALKER METHODIST HAZEL RIDGE
(26375)
FAX: 651/779-1827
MS. PEGGY ARNE
HWS
NProf
2730 HAZELWOOD STREET
MAPLEWOOD, MN 55109
PHONE: 651/779-9779
MIDWEST MEDICAL HOLDINGS LLC
(20445)
FAX: 651/779-1827
Lim-Liab
MS. PEGGY ARNE
HCP-A
8400 CORAL SEA ST SUITE 100
MOUNDS VIEW, MN 55112
PHONE: 763/780-1500
SCENIC HILLS ALTERNATIVE CARE
(02851)
FAX: 763/780-1515
MR. LARRY LINDBERG
HWSAL-O
Corp
2519 COUNTY ROAD I
MOUNDS VIEW, MN 55112
PHONE: 651/735-7259
SCENIC HILLS ALTERNATIVE CARE
(27182)
FAX: 651/730-1667
MS. EYDIE SHYPULSKI
HWS-O
Corp
2517 COUNTY ROAD I
MOUNDS VIEW, MN 55112
PHONE: 651/735-7259
(27183)
FAX: 651/730-1167
MR. TONEY EHRNRITER
Minnesota Department of Health
Division of Compliance Monitoring
Page 325
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
RAMSEY
(Cont.)* -------------------------­
HWS
NProf
SILVER LAKE COMMONS
Registration
2657 HIGHWAY 10
(29847)
MOUNDS VIEW, MN 55112
PHONE: 651/774-0011
FAX: 651/291-1082
MS. JODI NOTTGER
HWSAL
Corp
THE SAMARITAN COMMONS 1 AT MOU
7355 PARKVIEW TERRACE
(26317)
MOUNDS VIEW, MN 55112
PHONE: 651/659-0208
FAX: 651/659-0161
MR. MICHAEL ADERINKOMI
Home Mgmt
Corp
TOUCHING HEARTS AT HOME
2704 NORTHEAST CO HWY 10
(27809)
MOUNDS VIEW, MN 55112
PHONE: 763/780-0075
FAX: 763/780-6996
Corp
AXIS ON ST MICHAEL
MR. ROBERT LARSON
ICFIID-6
SLFB-6
5533 ST MICHAEL STREET
(23393)
MOUNDSVIEW, MN 55112
PHONE: 763/717-4967
MS. DOROTHY WROBEL
FAX: 763/780-9207
HWSAL-O
NProf
MOUNDS VIEW GABLES
2670 COUNTY ROAD I
(24474)
MOUNDSVIEW, MN 55112
PHONE: 651/639-9799
MR. MICHAEL BJERKESETT
FAX: 651/639-3699
NProf
PHOENIX AT LUDDEN
ICFIID-6
SLFB-6
7717 LONG LAKE RD
(23427)
MOUNDSVIEW, MN 55112
PHONE: 651/227-7655
FAX: 651/227-6847
MS. DARLENE SCOTT
HWS
NProf
THE SANDS
5445 JACKSON DRIVE
(27585)
MOUNDSVIEW, MN 55112
PHONE: 651/225-8963
FAX: /­
MRS. DANIELLE FOX
Ind
ABLE SPEECH LANGUAGE SERVICES
HCP-A
1784 CANYON LANE
(29922)
NEW BRIGHTON, MN 55112
PHONE: 612/251-6021
ACR HOME ON REDWOOD
FAX: /­
MS. REBECCA LULAI
Corp
ICFIID-4
SLFB-4
862 REDWOOD LANE
NEW BRIGHTON, MN 55112
PHONE: 651/635-9060
BEACON HAVEN
(01573)
FAX: 651/635-4392
NProf
MR. GENE LEISTICO
NH-6
1200 LONG LAKE ROAD
NEW BRIGHTON, MN 55112
PHONE: 651/379-0100
(23554)
FAX: 651/379-0601
MS. ELIZABETH HARNED
Minnesota Department of Health
Division of Compliance Monitoring
Page 326
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Church
BENEDICTINE HLTH CTR INNSBRUCK
Certification
RAMSEY
Registration
(Cont.)* -------------------------­
NH-105
SNF-NF-105
1101 BLACK OAK DRIVE
(00940)
NEW BRIGHTON, MN 55112
PHONE: 651/633-1686
FAX: 651/633-5267
Corp
CHRISTINE PROFESSIONAL HEALTH
MS. SUSAN AGER
HCP-A
888 W CTY RD D STE 103
(25194)
NEW BRIGHTON, MN 55112
PHONE: 763/464-4072
FAX: 763/784-2039
Lim-Liab
CRYSTAL BLUE
MR. MIKE OHENZUWA
HCP-A
151 SILVER LAKE ROAD SUITE 5
(29633)
NEW BRIGHTON, MN 55112
PHONE: 612/203-8160
FAX: /­
MR. MOHAMUD AHMED
ESRD
Corp
FMCNA NEW BRIGHTON DIAL CTR
550 COUNTY ROAD D SUITE 7
(04296)
NEW BRIGHTON, MN 55112
PHONE: 651/631-0885
MS. LYNNE HAMILTON
FAX: 651/631-1878
Corp
HEALTH AND REHAB NEW BRIGHTON
NH-100
SNF-NF-100
825 FIRST AVENUE NORTHWEST
(00114)
NEW BRIGHTON, MN 55112
PHONE: 651/633-7875
MS. SANDRA LARSON
FAX: 651/628-9335
MEADOWOOD SHORES SENIOR HOUSIN
HWS
Part
2100 SILVER LAKE ROAD
NEW BRIGHTON, MN 55112
PHONE: 651/604-2900
MERWIN IV & SPECIALTY PHARMACY
(21728)
FAX: 651/582-0499
Lim-Liab
MR. MICHAEL GOULD
HCP-A
1811 OLD HIGHWAY 8 NW SUITE C
NEW BRIGHTON, MN 55112
PHONE: 651/540-6290
MINNESOTA VASCULAR SUR CTR LLC
(26757)
FAX: 651/540-6281
Lim-Liab
MS. RUTH VERCHEK
Outpt Surg
Amb Surg
600 COUNTY ROAD D SUITE 2
NEW BRIGHTON, MN 55112
PHONE: 763/432-4300
NEW BRIGHTON CARE CENTER
(24767)
FAX: 763/432-4301
Corp
MR. TROY ROOVERS
NH-57
SNF-NF-57
805 SIXTH AVENUE NORTHWEST
NEW BRIGHTON, MN 55112
PHONE: 651/633-7200
NEW BRIGHTON SENIOR ASSISTED L
(00507)
FAX: 651/287-7883
MR. MICHAEL CHIES
HWSAL
Part
2700 RICE CREEK ROAD
NEW BRIGHTON, MN 55112
PHONE: 651/633-6484
(20231)
FAX: 651/633-8702
MR. MICHAEL GOULD
Minnesota Department of Health
Division of Compliance Monitoring
Page
327
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
SENIOR SUITES OF NEW BRIGHTON
Corp
Certification
RAMSEY
Registration
(Cont.)* -------------------------­
HWSAL
HCP-F
805 6TH AVENUE NORTHWEST
NEW BRIGHTON, MN 55112
PHONE: 651/633-7200
SILVER OAKS
(21383)
FAX: 651/287-7883
Corp
MR. MICHAEL CHIES
ICFIID-4
SLFA-4
3277 RICE CREEK ROAD
NEW BRIGHTON, MN 55112
PHONE: 651/636-0546
THORNDALE APARTMENTS
(01586)
FAX: 651/636-4530
MS. SANDRA QUINN
HWSAL-O
NProf
1050 THORNDALE AVENUE
NEW BRIGHTON, MN 55112
PHONE: 651/639-9799
VISITING ANGELS
(24473)
FAX: 651/639-3699
Corp
MR. MICHAEL BJERKESETT
HCP-A
151 SILVER LAKE ROAD STE 207
NEW BRIGHTON, MN 55112
PHONE: 651/633-4487
CLARE BRIDGE OF NORTH OAKS
(26712)
MS. CAROLYN THOMPSON
FAX: 651/633-6225
Corp
HWSAL
HCP-F
300 VILLAGE CENTER DRIVE
NORTH OAKS, MN 55127
PHONE: 651/482-8111
PRESBYTERIAN HOMES NORTH OAKS
(20539)
MS. LORI HANSON
FAX: 651/482-8333
Church
NH-60
SNF-NF-60
5919 CENTERVILLE ROAD
NORTH OAKS, MN 55127
PHONE: 651/765-4000
WAVERLY GARDENS
(23579)
FAX: 651/765-4001
NProf
MS. JULIE THOMPSON
HCP-F
5919 CENTERVILLE ROAD
NORTH OAKS, MN 55127
PHONE: 651/765-4000
WAVERLY GARDENS
(28191)
FAX: 651/765-4001
MS. NATALIE MORLAND
HWSAL
NProf
5919 CENTERVILLE ROAD
NORTH OAKS, MN 55127
PHONE: 651/765-4000
BEST HOME CARE LLC
(24195)
FAX: 651/765-4001
MR. DANIEL ERICKSON
Home Mgmt
Lim-Liab
2562 - 7TH AVE STE 201
NORTH ST PAUL, MN 55109
PHONE: 651/330-2550
CEDARVIEW COMMONS
(26538)
FAX: 763/592-8262
MR. ANDRE BEST
HWS
NProf
2375 SEVENS STREET
NORTH ST PAUL, MN 55109
PHONE: 651/774-0011
(29906)
FAX: 651/291-1082
MS. JODI NOTTGER
Minnesota Department of Health
Division of Compliance Monitoring
Page
328
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Part
FOOTWORKS
Certification
RAMSEY
Registration
(Cont.)* -------------------------­
HCP-A
2480 SHRYER AVENUE EAST
(03096)
NORTH ST PAUL, MN 55109
PHONE: 651/501-0624
FAX: 651/779-2352
Corp
HEALTHSTAR HOME HEALTH
MS. MICHELLE O'HEARN
HCP-A
HHA
2586 7TH AVENUE EAST STE 302
(21714)
NORTH ST PAUL, MN 55109
PHONE: 651/633-7300
FAX: 651/633-7301
Corp
REM RAMSEY INC (NORTH OAKS)
MS. GERI WAGNER
ICFIID-5
SLFB-5
2570 HOLLOWAY AVENUE EAST
(01344)
NORTH ST PAUL, MN 55109
PHONE: 651/644-7680
FAX: 651/644-6777
MS. CONNIE MENNE
HWS
ONProf
195 W LARPENTEUR AVE
195 W LARPENTEUR AVE
(29501)
ROSEVILLE, MN 55113
PHONE: 651/256-1226
ABC HOME HEALTH CARE PLUS LLC
MR. MATT LEWIS
FAX: /-
Lim-Liab
HCP-A
2355 HIGHWAY 36 WEST SUITE 400
ROSEVILLE, MN 55113
PHONE: 612/326-9377
ACR AT HOME COMPANION CARE
(30100)
MR. ABDIHAKIM HASSAN
FAX: 612/326-9377
Lim-Liab
HCP-B
2437 RICE STREET
ROSEVILLE, MN 55113
PHONE: 651/294-4799
ACR AT HOME HEALTHCARE LLC
(27192)
FAX: 651/484-5863
Lim-Liab
MR. GENE LEISTICO
HCP-A
2437 RICE STREET
ROSEVILLE, MN 55113
PHONE: 651/294-4799
ACR HOME ON LYDIA WEST
(21710)
FAX: 651/484-5863
Corp
MR. GENE LEISTICO
ICFIID-4
SLFB-4
2528 LYDIA AVENUE WEST
ROSEVILLE, MN 55113
PHONE: 651/636-7172
ACR ON DALE COURT
(01576)
FAX: 651/636-7205
Corp
MR. GENE LEISTICO
ICFIID-4
SLFB-4
1822 DALE COURT
ROSEVILLE, MN 55113
PHONE: 651/488-1088
AEON - SIENNA GREEN
(24142)
FAX: 651/488-1544
MR. GENE LEISTICO
HWS
NProf
2235 N SNELLING AVE
ROSEVILLE, MN 55130
PHONE: 651/631-1400
(27584)
FAX: 651/774-0606
MR. GEOFFREY MEYER
Minnesota Department of Health
Division of Compliance Monitoring
Page 329
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
AEON - SIENNA GREEN II
Certification
RAMSEY
Registration
(Cont.)* -------------------------­
HWS
NProf
2245 NORTH SNELLING AVENUE
ROSEVILLE, MN 55113
PHONE: 651/631-1400
ARTHURS RESIDENTIAL CARE
(27583)
FAX: 651/774-0606
Lim-Liab
MRS. DANIELLE FOX
HCP-F
HWSAL
1854 ALTA VISTA DRIVE
ROSEVILLE, MN 55113
PHONE: 651/294-4798
ARTHURS RESIDENTIAL CARE ON EM
(24818)
FAX: 651/484-5863
MR. GENE LEISTICO
HWSAL
Lim-Liab
3310 EMMERT STREET
ROSEVILLE, MN 55126
PHONE: 651/294-4798
AXIS ON BELMONT
(27856)
FAX: 651/484-5863
Corp
MR. JAMES NELSON
ICFIID-4
SLFB-4
692 BELMONT LANE W
ROSEVILLE, MN 55113
PHONE: 651/489-4630
AXIS ON ELDRIDGE
(23246)
MS. JENNIFER MAGISTAD
FAX: 651/489-4336
Corp
ICFIID-6
SLFB-6
651 ELDRIDGE AVENUE WEST
ROSEVILLE, MN 55113
PHONE: 651/488-2237
CHERRYWOOD POINT OF ROSEVILLE
(22846)
MS. DOROTHY WROBEL
FAX: 651/489-9520
HWS
Lim-Liab
2996 CLEVELAND AVENUE N
ROSEVILLE, MN 55113
PHONE: 651/633-0044
EAGLE CREST ARBOR
(28965)
FAX: 651/633-4038
MS. BARBARA MEKENYE
HWSAL
NProf
2955 LINCOLN DRIVE
ROSEVILLE, MN 55113
PHONE: 651/628-3000
EAGLE CREST COMMONS
(24032)
FAX: 651/628-3014
MS. SUSANNE HEINS
HWSAL
NProf
2945 LINCOLN DRIVE
ROSEVILLE, MN 55113
PHONE: 651/628-3001
EAGLECREST SENIOR HOUSING LLC
(20065)
FAX: 651/628-3014
Lim-Liab
MS. SUSANNE HEINS
HCP-F
2945 LINCOLN DRIVE
ROSEVILLE, MN 55113
PHONE: 651/628-3000
EBENEZER HOME CARE
(27952)
FAX: 651/628-3014
NProf
MS. NATALIE MORLAND
HCP-F
2996 CLEVELAND AVENUE NORTH
ROSEVILLE, MN 55113
PHONE: 651/633-0044
(29331)
FAX: 651/633-4038
MS. BARBARA MCKENYE
Minnesota Department of Health
Division of Compliance Monitoring
Page 330
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
RAMSEY
(Cont.)* -------------------------­
ESRD
Corp
FMC DIALYSIS SERVCES ROSEVILLE
Registration
2045 RICE STREET
(03522)
ROSEVILLE, MN 55113
PHONE: 651/489-3312
GENTIVA HEALTH SERVICES
FAX: /­
MR. RICHARD PHIDD
Corp
HCP-A
HHA
1970 OAKCREST AVENUE
ROSEVILLE, MN 55113
PHONE: 651/636-6330
GOLDEN LIVING COMM LAKE RIDGE
(02215)
FAX: 651/636-6229
Lim-Liab
MS. JENNIFER JACKSON
HCP-F
HWSAL
2727 NORTH VICTORIA
ROSEVILLE, MN 55113
PHONE: 651/483-5431
GOLDEN LIVINGCENTER LAKE RIDGE
(25214)
FAX: 651/486-2461
Lim-Liab
MRS. JILL ACOSTA
NH-175
SNF-NF-175
2727 NORTH VICTORIA
ROSEVILLE, MN 55113
PHONE: 651/483-5431
GOOD SAMARITAN HOME CARE
(00497)
MS. DIANE WILLETTE
FAX: 651/486-2461
NProf
HCP-A
HHA
563 COUNTY ROAD B WEST
ROSEVILLE, MN 55113
PHONE: 651/488-7680
GOOD SAMARITAN SOCIETY - HERIT
(03140)
MS. MARY JO ACKERMAN
FAX: 651/488-7687
HWS
NProf
563 COUNTY RD B W
ROSEVILLE, MN 55113
PHONE: 651/489-3293
HEARTLAND HOME HC AND HOSPICE
(23462)
FAX: 651/489-0603
Lim-Liab
MS. LAUREN PAHNKE
Hospice
HSPICE
2685 LONG LAKE ROAD SUITE 105
ROSEVILLE, MN 55113
PHONE: 651/633-6522
HEARTLAND HOME HC AND HOSPICE
(02970)
FAX: 651/638-8499
Lim-Liab
MS. SANDRA MAYNARD
HCP-A
HHA
2685 LONG LAKE ROAD SUITE 105
ROSEVILLE, MN 55113
PHONE: 651/633-6522
INTERIM HC OF THE TWIN CITIES
(02165)
FAX: 651/633-5733
Corp
MS. MARGERY BERTRAM
HCP-A
HHA
2833 NORTH FAIRVIEW AVENUE
ROSEVILLE, MN 55113
PHONE: 651/917-3634
INTERIM HEALTHCARE
(21158)
FAX: 651/917-3620
Corp
MR. THOMAS GEARY
Hospice
HSPICE
2833 FAIRVIEW AVENUE NORTH
ROSEVILLE, MN 55113
PHONE: 651/917-3624
(28285)
FAX: 651/917-3620
MR. THOMAS GEARY
Minnesota Department of Health
Division of Compliance Monitoring
Page
331
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
INTERIM HOME STYLE SERVICES
Certification
RAMSEY
Registration
(Cont.)* -------------------------­
HCP-A
2833 NORTH FAIRVIEW AVENUE
(23076)
ROSEVILLE, MN 55113
PHONE: 651/917-3634
FAX: 651/917-3620
Corp
INTREPID USA HEALTHCARE SERVS
MR. THOMAS GEARY
HCP-A
HHA
2778 CLEVELAND AVENUE NORTH
(02232)
ROSEVILLE, MN 551131127
PHONE: 651/638-7800
FAX: 651/638-7801
Corp
INTREPID USA HOSPICE
MS. PEGGY KAPPES
Hospice
2778 CLEVELAND AVENUE NORTH
(29833)
ROSEVILLE, MN 551131127
PHONE: 651/633-6404
FAX: 651/633-6729
Lim-Liab
KCMG ROSEVILLE LLC
MS. DENISE DEVINNEY
HCP-F
2750 N VICTORIA STREET
(29562)
ROSEVILLE, MN 55113
PHONE: 651/482-1611
MR. MICHAEL LEWIS
FAX: 651/482-0429
HWSAL
Part
KEYSTONE SENIOR LIVING OF ROSE
2750 NORTH VICTORIA STREET
(20022)
ROSEVILLE, MN 55113
PHONE: 612/886-2035
MR. MICHAEL LEWIS
FAX: 612/886-2592
NProf
LANGTON PLACE
NH-119
SNF-119
1910 WEST COUNTY ROAD D
(00284)
ROSEVILLE, MN 55112
PHONE: 651/631-6232
FAX: 651/631-6231
Corp
MINNESOTA SENIOR CARE INC
MR. MATHEW BEDARD
HCP-B
2353 RICE ST STE 112
(25623)
ROSEVILLE, MN 55113
PHONE: 651/493-8837
FAX: 651/493-8910
Lim-Liab
OAK ACRES LLC
MS. KAO LOR
HWSAL
HCP-F
2201 ACORN ROAD
(27150)
ROSEVILLE, MN 55113
PHONE: 651/697-1405
PEDIATRIC HOME SERVICE
FAX: /-
MR. ART MUELLER
Corp
HCP-A
2800 CLEVELAND AVENUE NORTH
ROSEVILLE, MN 55113
PHONE: 651/642-1825
PRESBYTERIAN ASSTD LIVING HC
(03693)
FAX: 651/638-0680
NProf
MS. CAMEO ZEHNDER
HCP-F
2845 HAMLINE AVE N
ROSEVILLE, MN 55113
PHONE: 651/631-6197
(20898)
FAX: 651/631-6108
MS. NATALIE MORLAND
Minnesota Department of Health
Division of Compliance Monitoring
Page 332
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
PRESBYTERIAN HOMES HOME CARE
Certification
RAMSEY
Registration
(Cont.)* -------------------------­
HCP-A
HHA
1910 WEST COUNTY ROAD D
(02133)
ROSEVILLE, MN 55112
PHONE: 651/746-8200
FAX: 651/631-6343
NProf
PRESBYTERIAN HOMES HOSPICE INC
MS. REBECCA CONWAY
Hospice
HSPICE
2845 HAMLINE AVENUE NORTH
(25425)
ROSEVILLE, MN 55113
PHONE: 651/631-6123
FAX: 651/631-6343
REGENCY HOME HEALTHCARE SERVIC
MS. REBECCA CONWAY
HWS-O
Lim-Liab
320 ELMER STREET
(23154)
ROSEVILLE, MN 55113
PHONE: 651/488-4655
FAX: 651/488-4656
Corp
ROSE OF SHARON MANOR
MS. JEAN JOHNSON
NH-63
SNF-NF-63
1000 LOVELL AVENUE
(00126)
ROSEVILLE, MN 55113
PHONE: 651/484-3378
MS. CHERIE CAMUEL
FAX: 651/484-8982
HWSAL-O
NProf
ROSELAWN VILLAGE APARTMENTS
1074 ROSELAWN AVENUE WEST
(24470)
ROSEVILLE, MN 55113
PHONE: 651/645-7271
MR. STEPHEN VANDER SCHAAF
FAX: 651/645-0541
HWS
NProf
SIENNA GREEN II
2275 SNELLING AVENUE NORTH
(28818)
ROSEVILLE, MN 55113
PHONE: 651/341-3148
SUNRISE ASSISTED LIVING ROSEVI
FAX: /­
MS. DANIELLE FOX
HWSAL
Lim-Liab
2555 SNELLING AVENUE NORTH
ROSEVILLE, MN 55113
PHONE: 651/636-4800
SUNRISE ASSTD LIV OF ROSEVILLE
(21410)
FAX: 651/636-4809
Lim-Liab
MS. DEBRA WATSON
HCP-F
2555 SNELLING AVENUE NORTH
ROSEVILLE, MN 55113
PHONE: 651/636-4800
THE FRIENDSHIP HOME COMMUNITY
(22361)
FAX: 651/646-4809
Corp
MS. DEBRA WATSON
HWSAL
HCP-F
947 LYDIA DRIVE WEST
ROSEVILLE, MN 55113
PHONE: 651/398-2294
THE FRIENDSHIP HOME COMMUNITY
(24337)
FAX: 651/528-6216
MRS. VICTORIA JOHANSSON
HWSAL
Corp
500 ROSELAWN AVENUE W
ROSEVILLE, MN 55113
PHONE: 651/398-2294
(26201)
FAX: 651/528-6216
MS. VICTORIA JOHANSSON
Minnesota Department of Health
Division of Compliance Monitoring
Page
333
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
TLC HM CARE OF THE TWIN CITIES
Certification
RAMSEY
(Cont.)* -------------------------­
HCP-A
HHA
1255 WEST LARPENTEUR AVENUE
(03235)
ROSEVILLE, MN 55113
PHONE: 651/647-0017
FAX: 651/647-3423
Corp
TRUSTED HEALTHCARE SERVICES IN
MR. SOLOMON MULUGETA
HCP-B
2353 RICE STREET STE 240
(28287)
ROSEVILLE, MN 55113
PHONE: 651/329-7598
TRUSTED HEALTHCARE SERVICES IN
FAX: /-
MR. WALTER DOBGIMA
Corp
HCP-A
2353 RICE STREET SUITE 105
ROSEVILLE, MN 55113
PHONE: 651/329-7598
WALGREENS INFUSION SERVICES
(29364)
FAX: 651/486-6253
Corp
MR. WALTER DOBGIMA
HCP-A
2750 ARTHUR STREET
ROSEVILLE, MN 55113
PHONE: 651/635-9272
WELLBEING HOME CARE LLC
(20892)
MR. MICHAEL FELISH
FAX: 651/635-9174
Lim-Liab
HCP-A
1990 BRENNER AVENUE
ROSEVILLE, MN 55113
PHONE: 651/216-1759
ACR HOME ON DAWN
(29382)
MR. DOMINIC ANYANWU
FAX: 651/621-3023
Corp
ICFIID-4
SLFB-4
191 DAWN AVENUE
SHOREVIEW, MN 55126
PHONE: 651/486-0380
AXIS ON GLENHILL
(01620)
FAX: 651/486-7767
Corp
MR. GENE LEISTICO
ICFIID-4
SLFB-4
1083 GLENHILL ROAD
SHOREVIEW, MN 55126
PHONE: 651/482-0562
BAYADA HOME HEALTH CARE INC
(22370)
FAX: 651/482-0482
Corp
MS. DOROTHY WROBEL
HCP-A
HHA
3490 LEXINGTON AVE N SUITE 310
SHOREVIEW, MN 55126
PHONE: 651/482-8400
COMMUNITIES OF CARE
(27763)
FAX: 651/482-8300
Corp
MS. ROCHELLE NELSON WODARZ
HCP-A
500 W HIGHWAY 96 STE 100
SHOREVIEW, MN 55126
PHONE: 651/482-0549
DUNGARVIN CAMARA
(20862)
FAX: 651/482-0280
Lim-Liab
MS. JOAN VAUGHN
SLFA-5
3989 VIRGINIA CIRCLE
SHOREVIEW, MN 55126
PHONE: 651/699-6050
(24104)
FAX: 651/699-7265
MS. NATALIE GRAF
Registration
Minnesota Department of Health
Division of Compliance Monitoring
Page 334
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: 651/481-7040
Cnty
LAKE OWASSO RESIDENCE
MS. JENNIFER SARGENT
ICFIID-64
SLFB-64
210 OWASSO BOULEVARD NORTH
(00831)
SHOREVIEW, MN 55126
PHONE: 651/765-7704
FAX: 651/765-7722
MS. DANA CASTONGUAY
Out Pt Out St Out Ot
NProf
PHOENIX SERVICE CORPORATION
1045 TOMLYN AVENUE
(02524)
SHOREVIEW, MN 55127
PHONE: 651/227-7655
REM RAMSEY INC HODGSON
FAX: /­
MS. JUDITH DOUGLAS
Corp
ICFIID-6
SLFA-6
5091 HODGSON ROAD
SHOREVIEW, MN 55126
PHONE: 651/644-7680
SCANDIA SHORES
(01370)
MS. MICHELLE SCHOPPER
FAX: 651/644-6777
HWS
NProf
418 HIGHWAY 96
SHOREVIEW, MN 55126
PHONE: 651/415-9793
SHOREVIEW SENIOR LIVING
(28056)
MS. NANCY KETCHEL
FAX: 651/483-6002
HWS
Lim-Liab
4710 CUMBERLAND STREET
SHOREVIEW, MN 55126
PHONE: 651/484-9822
SHOREVIEW SENIOR LIVING
(28875)
FAX: 651/454-4783
Lim-Liab
MR. LANCE LEMIUEX
HCP-F
4710 CUMBERLAND STREET
SHOREVIEW, MN 55126
PHONE: 651/484-9822
SPEAK RIGHT NOW LLC
(28874)
FAX: 651/486-6270
Lim-Liab
MR. LANCE LEMIEUX
HCP-A
439 CAROL LANE
SHOREVIEW, MN 55126
PHONE: 612/308-6132
ST THERESE AT ST ODILIA
(28275)
FAX: 651/414-9339
NProf
MS. JENNIFER ELTON
HCP-A
3500 VIVIAN AVENUE
SHOREVIEW, MN 55126
PHONE: 651/842-6780
ST THERESE HOME INC
(28348)
FAX: 651/842-6653
MS. JOLENE BAKER
HWS
NProf
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 335
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Part
CHANDLER PLACE HOME HLTH CARE
Certification
RAMSEY
Registration
(Cont.)* -------------------------­
HWSAL
HCP-F
3701 CHANDLER DRIVE
(20047)
ST ANTHONY, MN 55421
PHONE: 612/788-7321
FAX: 612/913-5370
MR. JOHN GOODMAN
HWSAL
Part
PEARL GARDEN
3700 FOSS ROAD NORTHEAST
(20451)
ST ANTHONY, MN 55421
PHONE: 612/788-9673
FAX: 612/789-2173
Part
ST ANTHONY HEALTH CENTER
MR. JOHN GOODMAN
NH-150
SNF-NF-150
3700 FOSS ROAD NORTHEAST
(00522)
ST ANTHONY, MN 55421
PHONE: 612/788-9673
FAX: 612/788-0104
Corp
1 BEST CARE INC
MS. MARCIA LINDIG
HCP-A
2161 UNIVERSITY AVENUE W #202
(29464)
ST PAUL, MN 55114
PHONE: 651/294-3047
FAX: 651/647-4352
MR. OGBONNA IWU
HWS
NProf
1019 ARCADE ST
1019 ARCADE ST
(29928)
ST PAUL, MN 55106
PHONE: 651/256-1226
MR. MATT LEWIS
FAX: /-
HWS
NProf
1086 YORK AVE
1086 YORK AVE
(30095)
ST PAUL, MN 55106
PHONE: 651/256-1226
FAX: /-
MR. MATT LEWIS
HWS
NProf
1161 SAINT CLAIR AVENUE
1161 SAINT CLAIR AVENUE
(27254)
ST PAUL, MN 55105
PHONE: 651/774-0011
FAX: 651/774-0606
MRS. DANIELLE FOX
HWS
NProf
1177 EDGERTON AVE
1177 EDGERTON AVE
(29929)
ST PAUL, MN 55130
PHONE: 651/256-1226
1325 WESTERN AVENUE NORTH
FAX: /-
MR. MATT LEWIS
HWS-O
NProf
1325 WESTERN AVENUE NORTH
ST PAUL, MN 55117
PHONE: 651/774-0011
1339 SHERBURNE
(27257)
FAX: 651/774-0606
MRS. DANIELLE FOX
HWS
NProf
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
336
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
NProf
1345 WESTERN AVENUE N
1345 WESTERN AVENUE N
(28264)
ST PAUL, MN 55117
PHONE: 651/256-1226
FAX: /-
MR. MATT LEWIS
HWS
NProf
1350 MARYLAND AVENUE EAST
1350 MARYLAND AVENUE EAST
(27599)
ST PAUL, MN 55106
PHONE: 651/256-1226
FAX: /-
MRS. DANIELLE FOX
HWS
NProf
1360 WESTERN AVENUE N
1360 WESTERN AVENUE N
(28265)
ST PAUL, MN 55117
PHONE: 651/256-1226
MR. MATT LEWIS
FAX: /-
HWS
NProf
1361 CONWAY STREET
1361 CONWAY STREET
(28873)
ST PAUL, MN 55106
PHONE: 651/451-9034
MS. STACEY RAY
FAX: /-
HWS
NProf
1376 EAST 3RD STREET
1376 EAST 3RD STREET
(28872)
ST PAUL, MN 55106
PHONE: 651/451-9034
FAX: /-
MS. STACEY RAY
HWS
NProf
1455 MINNEHAHA
1455 MINNEHAHA AVENUE
(28735)
ST PAUL, MN 55106
PHONE: 651/774-0011
FAX: /-
MS. DANIELLE FOX
HWS
NProf
150 URBAN PL
150 URBAN PL
(29625)
ST PAUL, MN 55106
PHONE: 651/256-1226
FAX: /-
MR. MATT LEWIS
HWS
NProf
1509 ALBEMARLE STREET
1509 ALBEMARLE STREE
(27810)
ST PAUL, MN 55717
PHONE: 651/256-1226
FAX: /-
MR. MATT LEWIS
HWS
NProf
1529 ADRIAN STREET
1529 ADRIAN STREET
(28867)
ST PAUL, MN 55102
PHONE: 651/451-9034
FAX: /-
MS. STACEY RAY
Minnesota Department of Health
Division of Compliance Monitoring
Page 337
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
RAMSEY
(Cont.)* -------------------------­
HWS
NProf
1533 WOODBRIDGE STREET
Registration
1533 WOODBRIDGE STREET
(27555)
ST PAUL, MN 55117
PHONE: 651/256-1226
FAX: /-
MR. MATT LEWIS
HWS
NProf
1541 ALBEMARLE
1541 ALBEMARLE STREET
(27263)
ST PAUL, MN 55117
PHONE: 651/774-0011
FAX: 651/774-0606
MRS. DANIELLE FOX
HWS
NProf
1542 MARION STREET
1542 MARION STREET
(29048)
ST PAUL, MN 55117
PHONE: 651/738-8778
FAX: /-
MS. DANIELLE FOX
HWS
NProf
1552 WOODBRIDGE STREET
1552 WOODBRIDGE STREET
(28382)
ST PAUL, MN 55117
PHONE: 651/256-1226
MR. MATT LEWIS
FAX: /-
HWS
NProf
1564 ENGLISH STREET
1564 ENGLISH STREET
(27603)
ST PAUL, MN 55106
PHONE: 651/256-1226
MR. MATT LEWIS
FAX: /-
HWS
NProf
1595 RICE STREET
1595 RICE STREET
(25917)
ST PAUL, MN 55117
PHONE: 651/774-0011
FAX: 651/774-0606
MRS. DANIELLE FOX
HWS
NProf
1599 SAINT ANTHONY AVENUE
1599 SAINT ANTHONY AVENUE
(29518)
ST PAUL, MN 55104
PHONE: 612/701-6037
FAX: /-
MS. STACEY RAY
HWS
NProf
1601 ENGLISH STREET
1601 ENGLISH STREET
(28869)
ST PAUL, MN 55106
PHONE: 651/451-9034
1617 SHERBURNE AVENUE
FAX: /-
MS. STACEY RAY
HWS
NProf
1617 SHERBURNE AVENUE
ST PAUL, MN 55104
PHONE: 651/774-0011
1625 SHERBURNE AVENUE
(29799)
FAX: 651/291-1082
MS. JODI NOTTGER
HWS
NProf
1625 SHERBURNE AVENUE
ST PAUL, MN 55104
PHONE: 651/774-0011
(29905)
FAX: 651/291-1082
MS. JODI NOTTGER
Minnesota Department of Health
Division of Compliance Monitoring
Page
338
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
RAMSEY
(Cont.)* -------------------------­
HWS
NProf
1642 CHARLES AVENUE
Registration
1642 CHARLES AVENUE
(28598)
ST PAUL, MN 55104
PHONE: 651/256-1226
FAX: /­
MR. MATT LEWIS
HWS
NProf
1693 SHERBURN
1693 SHERBURNE AVENUE
(28737)
ST PAUL, MN 55104
PHONE: 651/774-0011
FAX: /-
MS. DANIELLE FOX
HWS
NProf
175 N VICTORIA STREET
175 N VICTORIA STREET
(29946)
ST PAUL, MN 55104
PHONE: 612/730-1818
FAX: /-
MS. STACEY RAY
HWS
NProf
1757 THOMAS AVENUE
1757 THOMAS AVENUE
(29800)
ST PAUL, MN 55104
PHONE: 651/774-0011
FAX: 651/291-1082
MS. JODI NOTTGER
HWS
NProf
1845 OLD HUDSON ROAD
1845 OLD HUDSON ROAD
(28870)
ST PAUL, MN 55119
PHONE: 651/451-9034
MS. STACEY RAY
FAX: /-
HWS
ONProf
1849 EAST 7TH STREET
1849 EAST 7TH STREET
(27554)
ST PAUL, MN 55119
PHONE: 651/256-1226
FAX: /-
MR. MATT LEWIS
HWS
NProf
1855 EAST 7TH STREET
1855 EAST 7TH STREET
(27602)
ST PAUL, MN 55119
PHONE: 651/256-1226
FAX: /-
MR. MATT LEWIS
HWS
NProf
200 S WINTHROP STREET
200 S WINTHROP STREET
(28022)
ST PAUL, MN 55119
PHONE: 651/256-1226
FAX: /-
MR. MATT LEWIS
HWS
NProf
222 FRANK STREET
222 FRANK STREET
(28898)
ST PAUL, MN 55106
PHONE: 651/256-1226
FAX: /-
MR. MATT LEWIS
HWS
NProf
2236 LOWER AFTON ROAD
2236 LOWER AFTON ROAD
(28499)
ST PAUL, MN 55119
PHONE: 651/256-1226
FAX: /-
MR. MATT LEWIS
Minnesota Department of Health
Division of Compliance Monitoring
Page
339
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
RAMSEY
(Cont.)* -------------------------­
HWS
NProf
249 WESTERN AVENUE SOUTH
Registration
249 WESTERN AVENUE SOUTH
(27556)
ST PAUL, MN 55102
PHONE: 651/256-1226
FAX: /­
MR. MATT LEWIS
HWS
NProf
293 DAYTON AVE
293 DAYTON AVE
(29957)
ST PAUL, MN 55102
PHONE: 651/256-1226
FAX: /-
MR. MATT LEWIS
HWS
NProf
296 BATES
296 BATES AVENUE
(28736)
ST PAUL, MN 55106
PHONE: 651/774-0011
FAX: /-
MS. DANIELLE FOX
HWS
NProf
330 MAGNOLIA AVENUE EAST
330 MAGNOLIA AVENUE EAST
(27600)
ST PAUL, MN 55130
PHONE: 651/256-1226
MRS. DANIELLE FOX
FAX: /-
HWS
NProf
334 MAGNOLIA AVENUE EAST
334 MAGNOLIA AVENUE EAST
(27601)
ST PAUL, MN 55130
PHONE: 651/256-1226
MRS. DANIELLE FOX
FAX: /-
HWS
NProf
342 FULLER AVENUE
342 FULLER AVENUE
(29028)
ST PAUL, MN 55103
PHONE: 651/256-1226
FAX: /-
MR. MATT LEWIS
HWS
NProf
360 COTTAGE AVENUE
360 COTTAGE AVENUE
(28263)
ST PAUL, MN 55117
PHONE: 651/256-1226
FAX: /-
MR. MATT LEWIS
HWS
NProf
390 WEST COTTAGE AVENUE
390 WEST COTTAGE AVENUE
(28015)
ST PAUL, MN 55117
PHONE: 651/256-1226
FAX: /-
MR. MATT LEWIS
HWS
NProf
395 LUELLA STREET
395 LUELLA STREET
(28381)
ST PAUL, MN 55119
PHONE: 651/256-1226
FAX: /-
MR. MATT LEWIS
HWS
NProf
419 FRONT AVENUE
419 FRONT AVENUE
(27919)
ST PAUL, MN 55117
PHONE: 651/256-1226
FAX: /-
MR. MATT LEWIS
Minnesota Department of Health
Division of Compliance Monitoring
Page
340
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
RAMSEY
(Cont.)* -------------------------­
HWS
NProf
446 ENGLISH STREET
Registration
446 ENGLISH STREET
(30137)
ST PAUL, MN 55106
PHONE: 651/451-9034
FAX: /­
MS. STACEY RAY
HWS
NProf
461 MARYLAND AVE W
461 MARYLAND AVE W
(29811)
ST PAUL, MN 55117
PHONE: /-
FAX: /-
MR. MATT LEWIS
HWS
NProf
500 SHERBURNE AVE
500 SHERBURNE AVE
(28897)
ST PAUL, MN 55104
PHONE: 651/256-1226
FAX: /-
MR. MATT LEWIS
HWS
NProf
508/510 HUMBOLDT APARTMENTS
508/510 HUMBOLDT APARTMENTS
(20484)
ST PAUL, MN 55107
PHONE: 651/280-2250
FAX: 651/220-1737
MR. STEVE SPAULDING
HWS
Lim-Liab
516 HUMBOLDT APARTMENTS
516 HUMBOLDT AVENUE
(20483)
ST PAUL, MN 55107
PHONE: 651/964-6759
FAX: 651/220-1737
MS. DEB ALM
HWS
NProf
542 LINCOLN AVE
542 LINCOLN AVE
(29732)
ST PAUL, MN 55102
PHONE: 651/256-1226
FAX: /-
MR. MATT LEWIS
HWS
Lim-Liab
554 CHARLES AVENUE
554 CHARLES AVENUE
(28990)
ST PAUL, MN 55104
PHONE: 651/222-7721
FAX: /-
MS. DORA JONES
HWS
NProf
556 JENKS AVE
556 JENKS AVE
(29930)
ST PAUL, MN 55116
PHONE: 651/256-1226
FAX: /-
MR. MATT LEWIS
HWS
NProf
590 MENDOTA STREET
590 MENDOTA STREET
(28784)
ST PAUL, MN 55106
PHONE: 651/226-1226
FAX: /-
MR. MATT LEWIS
HWS
NProf
627 AURORA AVENUE WEST
627 AURORA AVENUE WEST
(28839)
ST PAUL, MN 55104
PHONE: 651/256-1226
FAX: /-
MR. MATT LEWIS
Minnesota Department of Health
Division of Compliance Monitoring
Page
341
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
RAMSEY
(Cont.)* -------------------------­
HWS
NProf
642 FRONT AVENUE
Registration
642 FRONT AVENUE
(28498)
ST PAUL, MN 55103
PHONE: 651/256-1226
FAX: /­
MR. MATT LEWIS
HWS
NProf
659 DAYTON AVENUE
659 DAYTON AVENUE
(27811)
ST PAUL, MN 55704
PHONE: 651/256-1226
FAX: /-
MR. MATT LEWIS
HWS
NProf
670 STRYKER AVE
670 STRYKER AVE
(29626)
ST PAUL, MN 55107
PHONE: 651/256-1226
FAX: /-
MR. MATT LEWIS
HWS
NProf
705 SOUTH SNELLING AVENUE
705 SOUTH SNELLING AVENUE
(27812)
ST PAUL, MN 55116
PHONE: 651/256-1226
MR. MATT LEWIS
FAX: /-
HWS
NProf
76 WEST STEVENS
76 WEST STEVENS
(27261)
ST PAUL, MN 55107
PHONE: 651/774-0011
FAX: 651/774-0606
MRS. DANIELLE FOX
HWS
NProf
8 FOURTH STREET EAST
8 FOURTH STREET EAST
(27966)
ST PAUL, MN 55101
PHONE: 651/256-1226
FAX: /-
MR. MATT LEWIS
HWS
NProf
828 NORTH HAZEL ST
828 NORTH HAZEL ST
(29813)
ST PAUL, MN 55119
PHONE: 651/256-1226
FAX: /-
MR. MATT LEWIS
HWS
NProf
854 SIMCOE AVE
854 SIMCOE AVE
(30096)
ST PAUL, MN 55117
PHONE: 651/256-1226
FAX: /-
MR. MATT LEWIS
HWS
NProf
904 RICE STREET-TAB PROPERTIES
904 RICE STREET
(27256)
ST PAUL, MN 55117
PHONE: 651/774-0011
FAX: 651/774-0606
MRS. DANIELLE FOX
HWS
NProf
926 ARCADE STREET
926 ARCADE STREET
(29947)
ST PAUL, MN 55106
PHONE: 612/701-9491
FAX: /-
MS. STACEY RAY
Minnesota Department of Health
Division of Compliance Monitoring
Page
342
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
A&A RELIABLE HOME HEALTH CARE
Lim-Liab
Certification
RAMSEY
(Cont.)* -------------------------­
HCP-A
1821 UNIVERSITY AVE STE S-295
ST PAUL, MN 55104
PHONE: 651/470-0845
ABBEYCARE INC
(29141)
FAX: 651/493-2930
Corp
MR. ABRAHAM DALU
HCP-A
1148 GRAND AVENUE
ST PAUL, MN 55105
PHONE: 651/690-5352
ABC CARE INC
(03799)
FAX: 651/209-8065
Corp
MS. LILIYA GOKHBERG
HCP-A
1321 PAYNE AVENUE
ST PAUL, MN 55130
PHONE: 651/771-8507
ACCESSIBLE SPACE ASI METRO 1
(28124)
FAX: 651/771-2421
NProf
MS. GLORIA WONG
HCP-F
2550 UNIVERSITY AVE W ST 330N
ST PAUL, MN 55114
PHONE: 651/645-7271
ACCESSIBLE SPACE ASI METRO 2
(24380)
MR. STEPHEN VANDERSCHAAF
FAX: 651/645-0541
NProf
HCP-F
2550 UNIVERSITY AVE W STE 330N
ST PAUL, MN 55114
PHONE: 651/645-7271
ACCESSIBLE SPACE ASI METRO 3
(24381)
MR. STEPHEN VANDERSCHAAF
FAX: 651/645-0541
NProf
HCP-F
2550 UNIVERSITY AVE W STE 330N
ST PAUL, MN 55114
PHONE: 651/645-7271
ACCESSIBLE SPACE INC ASI NORTH
(24382)
FAX: 651/645-0541
NProf
MR. STEPHEN VANDERSCHAAF
HCP-F
2550 UNIVERSITY AVE W STE 330N
ST PAUL, MN 55114
PHONE: 651/645-7271
ACCESSIBLE SPACE INC ASI SOUTH
(24379)
FAX: 651/645-0541
NProf
MR. STEPHEN VANDERSCHAAF
HCP-F
2550 UNIVERSITY AVE W STE 330N
ST PAUL, MN 55114
PHONE: 507/206-5168
ADVANTAGE HOME CARE SERVS INC
(27312)
FAX: 507/206-5169
Corp
MR. STEPHEN VANDER SCHAAF
HCP-A
HHA
780 UNIVERSITY AVENUE WEST
ST PAUL, MN 55104
PHONE: 651/645-9011
ALLINA HM C HSPCE & PALLITV CA
(03402)
FAX: 651/644-5595
NProf
MS. BLESSING ANYANWU
Hospice
HSPICE
1055 WESTGATE DRIVE SUITE 100
ST PAUL, MN 55114
PHONE: 612/262-7021
(02441)
FAX: 612/628-2999
MS. GLORIA CADE
Registration
Minnesota Department of Health
Division of Compliance Monitoring
Page
343
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
ALLINA HM C HSPCE & PALLITV CA
Certification
RAMSEY
Registration
(Cont.)* -------------------------­
HCP-A
HHA
1055 WESTGATE DRIVE
(23627)
ST PAUL, MN 55114
PHONE: 651/635-9173
FAX: 651/628-2999
MR. MICHAEL BARTZ
HWS
ONProf
AMERICAN HOUSE
352 WACOUTA
(26482)
ST PAUL, MN 55101
PHONE: 651/789-6260
FAX: 651/789-6288
State
AMRTC COMO COMMUNITY UNIT
MR. DEAN CROWELL
SLFA-16
690 COMO AVENUE
(04307)
ST PAUL, MN 55103
PHONE: 651/558-2267
FAX: 651/558-2230
Corp
AMY JOHNSON RESIDENCE
MS. KATHRYN SCHESSO
BCH-25 HCP-A
HWSAL-O
89 VIRGINIA STREET
(00777)
ST PAUL, MN 55102
PHONE: 651/224-3363
MS. DONETTA JOHNSON
FAX: 651/290-2600
Ind
ANOINTED HOME CARE AGENCY
HCP-A
1651 CUMBERLAND STREET APT 1
(29136)
ST PAUL, MN 55117
PHONE: 612/327-5699
APRIA HEALTHCARE LLC
MS. IPYANA ANYELWISYE
FAX: /-
Lim-Liab
HCP-A
1645 ENERGY PARK DRIVE
ST PAUL, MN 55108
PHONE: 651/523-8888
ASI METRO 4
(03501)
FAX: 651/523-8850
NProf
MS. PATRICIA MAHON
HCP-F
2550 UNIVERSITY AVE STE 330N
ST PAUL, MN 55114
PHONE: 651/645-7271
ASIAN AMERICAN ELDERLY ASSISTE
(25489)
FAX: 651/645-0541
MR. STEPHEN VANDERSCHAAF
HWSAL
Lim-Liab
2113 MINNEHAHA AVE E
ST PAUL, MN 55119
PHONE: 763/569-0127
ASIAN AMERICAN HOME H C SERVIC
(24886)
FAX: 763/569-0127
MRS. CHAO VANG
Home Mgmt
Corp
995 UNIVERSITY AVE W SUITE 230
ST PAUL, MN 55104
PHONE: 651/641-8660
ASIAN AMERICAN HOME HEALTH CAR
(30138)
FAX: 651/641-8652
Corp
MR. WILLIAM VANG
HCP-A
995 W UNIVERSITY AVE STE 230
ST PAUL, MN 55104
PHONE: 651/641-8660
(27701)
FAX: 651/641-8652
MR. WILLIAM VANG
Minnesota Department of Health
Division of Compliance Monitoring
Page 344
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
RAMSEY
(Cont.)* -------------------------­
Home Mgmt
Corp
ASIAN COMMUNITY SPECIAL SRSVCS
Registration
531 VAN BUREN
(28967)
ST PAUL, MN 55103
PHONE: 651/487-3222
FAX: 651/489-8990
Corp
ASIAN HOME CARE INC
MS. CHAO YANG
HCP-A
519 UNIVERSITY AVE WEST #100
(21585)
ST PAUL, MN 55103
PHONE: 651/999-0268
FAX: 651/999-0269
NProf
ASPEN MEDICAL GROUP UNIVERSITY
MS. MAI XIONG
Outpt Surg
Amb Surg
2635 UNIVERSITY AVENUE STE 100
(25404)
ST PAUL, MN 55114
PHONE: 651/241-3900
FAX: 651/241-9285
Corp
ATT HOME CARE INC
MS. MICHELE BARTON
HCP-A
1563 WHITE BEAR AVE N #102
(29654)
ST PAUL, MN 55106
PHONE: 651/600-3538
MR. MICHAEL NGUYEN
FAX: 651/646-8910
Home Mgmt
Corp
ATT HOME HEALTH CARE INC
1543 COMO AVENUE STE 101
(27802)
ST PAUL, MN 55108
PHONE: 651/646-8771
MR. MICHAEL NGUYEN
FAX: 651/646-8910
Corp
BATTLE CREEK CARE HOME
HCP-F
45 BATTLE CREEK ROAD
(30128)
ST PAUL, MN 55119
PHONE: 651/494-8101
FAX: 651/714-8261
MS. GAILANN NEHOTTE
HWSAL
Corp
BATTLE CREEK CARE HOME
45 BATTLE CREEK ROAD
(30129)
ST PAUL, MN 55119
PHONE: 651/494-8101
FAX: 651/714-8261
MS. GAILANN NEHOTTE
HWSAL
NProf
BENTSON FAMILY ASSISTED LIVING
730 KAY AVENUE
(26406)
ST PAUL, MN 55102
PHONE: 651/328-2000
FAX: 651/328-2070
Lim-Liab
BETHEL CARE CENTER
MS. JENNIFER BEVER
NH-131
SNF-NF-131
420 MARSHALL AVENUE
(00913)
ST PAUL, MN 55102
PHONE: 651/224-2368
FAX: 651/224-0140
Lim-Liab
BRIDGE CARE LLC
MS. JENNIFER SCHOENECKER
HCP-A
955 AURORA AVENUE
(29971)
ST PAUL, MN 55104
PHONE: 612/757-0974
FAX: /­
MR. SAMAKAB HAJIHUSSEIN
Minnesota Department of Health
Division of Compliance Monitoring
Page
345
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
CAPITAL CARE SERVICES LLC
Certification
RAMSEY
(Cont.)* -------------------------­
HCP-A
2324 UNIVERSITY AVE SUITE 106
(28987)
ST PAUL, MN 55114
PHONE: 651/683-2086
FAX: 651/683-2147
NProf
CAPITOL VIEW TRANSITIONAL CARE
MS. JOYANN SWEENY
NH-32
SNF-32
640 JACKSON STREET
(00498)
ST PAUL, MN 55101
PHONE: 651/254-0400
FAX: 651/254-0422
Lim-Liab
CARE PLANNERS HOME HEALTH CARE
MS. MICHELLE MANGAN
HCP-A
1919 UNIVERSITY AVE STE 114
(27330)
ST PAUL, MN 55104
PHONE: 651/645-1070
FAX: 651/645-9884
Corp
CAREFOCUS CORPORATION
MS. ELIN OHLSSON
HCP-A
HHA
2429 UNIVERSITY AVE WEST #200
(02837)
ST PAUL, MN 55114
PHONE: 651/925-5598
MR. ADEWALE KOLEOSHO
FAX: 651/925-5599
Corp
CAREMATE HOME HEALTH CARE INC
HCP-A
HHA
2236 MARSHALL AVENUE
(03323)
ST PAUL, MN 55104
PHONE: 651/659-0208
MR. MICHAEL ADERINKOMI
FAX: 651/659-0161
Corp
CAREMATE HOME HEALTH CARE INC
HCP-F
2236 MARSHALL AVENUE
(26318)
ST PAUL, MN 551045799
PHONE: 651/659-0208
FAX: 651/659-0161
Corp
CARING MATTERS HOME CARE 022
MR. MICHAEL ADERINKOMI
HCP-B
1930 JADE LANE # 102
(29923)
ST PAUL, MN 55122
PHONE: 651/795-9742
CARING PROFESSIONALS HOMECARE
FAX: /-
MR. MESFIN MULUGETA
Lim-Liab
HCP-A
HHA
2356 UNIVERSITY AV W SUITE 220
ST PAUL, MN 55114
PHONE: 651/789-2299
CARINGHANDS HOME HEALTH CARE I
(25299)
FAX: 651/306-1359
Corp
MS. JENNIFER HEUSINKVELD
HCP-A
2233 UNIVERSITY AVE W STE 330
ST PAUL, MN 55114
PHONE: 651/207-8245
CARONDELET VILLAGE
(27815)
FAX: 651/493-6975
Lim-Liab
MR. JOHN KWAME AWUKU
HCP-F
525 FAIRVIEW AVENUE SOUTH
ST PAUL, MN 55105
PHONE: 651/690-7081
(29085)
FAX: 651/695-5001
Registration
MS. NATALIE MORLAND
Minnesota Department of Health
Division of Compliance Monitoring
Page 346
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
CARONDELET VILLAGE BETHANY COM
Certification
RAMSEY
Registration
(Cont.)* -------------------------­
HWSAL
Lim-Liab
525 FAIRVIEW AVENUE SOUTH
ST PAUL, MN 55116
PHONE: 651/695-5000
CARONDELET VILLAGE CARE CENTER
(28388)
FAX: 651/695-5001
NProf
MS. LISA KALLA
NH-45
SNF-NF-45
525 FAIRVIEW AVENUE SOUTH
ST PAUL, MN 55116
PHONE: 651/695-5000
CATHOLIC CHARITIES CAREGIVER S
(27189)
FAX: 651/695-5001
MS. LISA ANN KALLA
Home Mgmt
NProf
1276 UNIVERSITY AVE
ST PAUL, MN 55104
PHONE: 651/641-3178
CEDAR PARK APARTMENTS - 1266
(23257)
FAX: 651/641-1005
MS. PATRICIA MCARDLE
HWS
NProf
1266 HAZELWOOD STREET
ST PAUL, MN 55106
PHONE: 651/774-0011
CEDAR PARK APARTMENTS - 1286
(25843)
MRS. DANIELLE FOX
FAX: 651/774-0606
HWS
NProf
1286 HAZELWOOD STREET
ST PAUL, MN 55106
PHONE: 651/774-0011
CEDAR PARK ARARTMENTS - 1288
(25842)
MRS. DANIELLE FOX
FAX: 651/774-0606
HWS
NProf
1288 HAZELWOOD STREET
ST PAUL, MN 55106
PHONE: 651/774-0011
CENTRAL TOWERS
(25844)
FAX: 651/774-0606
Part
MRS. DANIELLE FOX
HCP-F
20 EAST EXCHANGE STREET
ST PAUL, MN 55101
PHONE: 651/215-4600
CENTRAL TOWERS
(27959)
FAX: 651/298-9317
MS. NATALIE MORLAND
HWSAL
Part
20 EAST EXCHANGE STREET
ST PAUL, MN 55101
PHONE: 651/215-4600
CERENITY CARE CTR MARIAN
(20319)
FAX: 651/298-9317
NProf
MS. OLUYINKA AJOSE
NH-90
SNF-NF-90
200 EARL STREET
ST PAUL, MN 55106
PHONE: 651/793-2100
CERENITY CARE CTR ON HUMBOLDT
(00354)
FAX: 651/771-4509
NProf
MR. JEFFREY THORNE
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 347
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
CERENITY CC MARIAN ST PAUL
Certification
RAMSEY
Registration
(Cont.)* -------------------------­
HWSAL
HCP-F
200 EARL STREET
(20167)
ST PAUL, MN 55106
PHONE: 651/793-2100
FAX: 651/771-4509
Corp
CERENITY HEALTH INC
MR. JEFFREY THORNE
HCP-B
377 UNIVERSITY AVENUE # C
(29677)
ST PAUL, MN 55103
PHONE: 651/321-4046
FAX: 651/435-9881
NProf
CERENITY RES ON HUMBOLDT
MS. MAI MOUA
HCP-F
HWSAL
514 HUMBOLDT AVENUE
(20269)
ST PAUL, MN 55107
PHONE: 651/220-1700
FAX: 651/220-1724
NProf
CERENITY RES ON HUMBOLDT
MR. TED SCHMIDT
NH-30
SNF-30
514 HUMBOLDT AVENUE
(00891)
ST PAUL, MN 55107
PHONE: 651/220-1700
FAX: 651/220-1724
MR. TED SCHMIDT
HWSAL
ONProf
CERENITY RESIDENCE - MARIAN OF
225 FRANK STREET
(21947)
ST PAUL, MN 55106
PHONE: 651/793-2100
FAX: 651/771-4509
MR. JEFFREY THORNE
HWS
NProf
COMO VILLA ESTATES
837 COMO AVENUE
(27427)
ST PAUL, MN 55103
PHONE: 651/774-0011
FAX: 651/774-0606
MRS. DANIELLE FOX
Home Mgmt
ONProf
CONGREGATE HOUSING SERVS PROG
555 WABASHA STREET N STE 400
(03538)
ST PAUL, MN 55102
PHONE: 651/292-6035
FAX: 651/298-5666
MS. TERESA VAPLON
HWS
NProf
CORNELIA HOUSE
1840 UNIVERSITY AVENUE WEST
(26979)
ST PAUL, MN 55104
PHONE: 651/288-3931
FAX: 651/288-5084
MS. JULIE NIEWALD
HWS-O
NProf
CROSSING HOME
1565 ALBERTMERLE STREET
(28497)
ST PAUL, MN 55117
PHONE: 651/222-8553
CRS GROTTO REENTRY LLC
FAX: /-
MR. JOHN HENDERSON
HWS
NProf
450 GROTTO STREET NORTH
ST PAUL, MN 55104
PHONE: 763/566-2888
(26964)
FAX: 763/566-3949
MR. MARCELL GARRETSON
Minnesota Department of Health
Division of Compliance Monitoring
Page
348
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
RAMSEY
(Cont.)* -------------------------­
HWS
Lim-Liab
DALE STREET PLACE
Registration
313 NORTH DALE
(24994)
ST PAUL, MN 55103
PHONE: 612/332-6264
FAX: 612/332-2627
Ind
DALYCE ELLIOTT YOUNG
MR. RICHARD BRUSTAD
HCP-C
1610 FERNWOOD ST
(27878)
ST PAUL, MN 55108
PHONE: 952/412-1614
FAX: /­
MS. DALYCE YOUNG
HWSAL
Lim-Liab
DELLWOOD GARDENS
753 EAST SEVENTH STREET
(29953)
ST PAUL, MN 55106
PHONE: 612/300-8400
FAX: /-
MS. SIA LO
Lim-Liab
DELLWOOD GARDENS
HCP-F
753 EAST SEVENTH STREET
(29952)
ST PAUL, MN 55106
PHONE: 612/300-8400
DIANE AHRENS CRISIS RESIDENCE
MS. SIA LO
FAX: /-
NProf
SLFA-16
1593 HEWITT AVENUE
ST PAUL, MN 55104
PHONE: 651/645-9424
DIVINE HEALTHCARE NETWORK
(01095)
MS. JENNIFER WEIGELT
FAX: 651/645-3216
Corp
HCP-A
HHA
856 UNIVERSITY AVENUE
ST PAUL, MN 55104
PHONE: 651/665-9795
DUNGARVIN BALBRIGGEN
(03484)
FAX: 651/665-9796
Lim-Liab
MR. ISAAC OBI
SLFA-5
1270 EAST LARPENTEUR AVENUE
ST PAUL, MN 55109
PHONE: 651/699-6050
DUNGARVIN TIKVAH
(01182)
FAX: 651/699-7265
Lim-Liab
MS. NATALIE GRAF
SLFA-6
1778 ROME AVENUE
ST PAUL, MN 55116
PHONE: 651/699-6050
ENDLESS CARE LLC
(01368)
FAX: 651/699-7265
Lim-Liab
MS. NATALIE GRAF
HCP-A
989 SMITH AVE
ST PAUL, MN 55118
PHONE: 651/451-5911
EPISCOPAL CHURCH HOME OF MN
(29178)
FAX: 651/455-0088
NProf
MS. TIFFANI BARBER
BCH-50 NH-81
1879 FERONIA AVENUE
ST PAUL, MN 55104
PHONE: 651/209-8519
(00486)
FAX: 651/288-5087
MS. ANDREA KREBS
NF2-50 SNF-NF-81
Minnesota Department of Health
Division of Compliance Monitoring
Page
349
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
EPISCOPAL HOME CARE AND SERVIC
NProf
Certification
RAMSEY
Registration
(Cont.)* -------------------------­
HCP-A
490 EAST LYNNHURST AVENUE
ST PAUL, MN 55104
PHONE: 651/632-8808
EPISCOPAL HOME CARE AND SRVS
(27670)
FAX: 651/288-4662
NProf
COO MIKE KAREL
HCP-F
490 EAST LYNNHURST AVENUE
ST PAUL, MN 55104
PHONE: 651/632-8808
EQUITY SERVICES OF ST PAUL
(26962)
FAX: 651/288-4662
NProf
MR. MIKE KAREL
HCP-A
HHA
1169 RICE STREET
ST PAUL, MN 55117
PHONE: 651/489-4656
ESSLINGS HOMES PLUS INC
(02531)
FAX: 651/489-4811
MR. BRUCE LARSON
HWSAL
Corp
2188 BONNIE LANE
ST PAUL, MN 55119
PHONE: 651/735-7259
ESSLINGS HOMES PLUS INC
(20272)
MS. EYDIE SHYPULSKI
FAX: 651/730-1667
HWSAL
Corp
2187 BONNIE LANE
ST PAUL, MN 55119
PHONE: 651/735-7259
EXPRESS HOME HEALTH CARE
(20271)
MS. TONEY EHRNRITER
FAX: 651/730-1667
Corp
HCP-A
1148 ARCADE STREET
ST PAUL, MN 55106
PHONE: 651/776-9910
FAMILY FIRST HEALTHCARE INC
(21956)
FAX: 651/776-9181
Corp
MS. PA YANG
HCP-A
1821 UNIVERSITY AVE W # S 149
ST PAUL, MN 55104
PHONE: 651/917-5519
FIRST CHOICE HOME CARE INC
(29731)
FAX: 651/917-4026
Corp
MR. PROSPER DZAMESHIE
HCP-A
HHA
933 WHITE BEAR AVENUE NORTH
ST PAUL, MN 55106
PHONE: 651/488-1680
FIRSTAT NURSING SERVICES
(03253)
FAX: 651/487-4087
Lim-Liab
MS. PANG THAO
HCP-A
HHA
1885 UNIVERSITY AVE W STE 350
ST PAUL, MN 55104
PHONE: 651/288-0222
FRANCISCAN HOME CARE
(22015)
FAX: 651/288-0214
NProf
MS. DEANNA HAMMOND
HCP-A
2076 ST ANTHONY AVE
ST PAUL, MN 55104
PHONE: 651/696-8425
(03288)
FAX: 651/696-8434
MS. PAULA FISCHER
Minnesota Department of Health
Division of Compliance Monitoring
Page 350
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
RAMSEY
(Cont.)* -------------------------­
ESRD
Corp
FRESENIUS MEDICAL CARE MIDWAY
Registration
1690 UNIVERSITY AVE W # B-100
(23762)
ST PAUL, MN 55104
PHONE: 651/917-0081
FAX: 651/917-0091
MS. CAROL MEREDITH
ESRD
Corp
FRESENIUS MEDICAL OF ST PAUL
445 ETNA STREET SUITE 60
(23523)
ST PAUL, MN 55106
PHONE: 651/251-3847
GALTIER HEALTH CENTER
FAX: /­
MS. LYNN HAMILTON
Corp
NH-112
SNF-NF-112
445 GALTIER AVENUE
ST PAUL, MN 55103
PHONE: 651/224-1848
GENTLE CARE INC
(00480)
FAX: 651/224-9613
MR. THOMAS THOMPSON
Home Mgmt
Corp
325 CEDAR STREET #305
ST PAUL, MN 55101
PHONE: 651/621-5693
GILLETTE CHILDRENS SPEC HOSP
(29171)
MR. OMAR SAYID-AHMED
FAX: 800/345-4208
NProf
HOSP-60
HOSP-60
200 UNIVERSITY AVENUE EAST
ST PAUL, MN 55101
PHONE: 651/229-3838
GOLDEN LIFE HOME HEALTH CARE
(00488)
MS. BARBARA JOERS
FAX: 651/229-3999
Corp
HCP-A
161 ST ANTHONY AVENUE STE 927
ST PAUL, MN 55103
PHONE: 651/222-6245
GOLDEN LIVINGCENTER LYNNHURST
(29281)
FAX: 651/222-6242
Lim-Liab
MS. PAHOUA VANG
NH-72
SNF-NF-72
471 LYNNHURST AVENUE WEST
ST PAUL, MN 55104
PHONE: 651/645-6453
GREEN HOUSE RECOVERY CENTER
(00945)
FAX: 651/659-0681
MR. MICHAEL CARLSON
HWS
NProf
680 GREENBRIER
ST PAUL, MN 55106
PHONE: 651/776-2116
HAMLINE HI RISE
(29873)
FAX: 651/774-5827
MR. STEPHEN MOWRY
HWSAL-O
HRA
777 NORTH HAMLINE AVENUE
ST PAUL, MN 55104
PHONE: 651/292-6035
HARRY & JEANETTE WEINBERG APAR
(20541)
FAX: 651/298-5666
MS. TERESA VAPLON
HWS
Corp
760 PERLMAN STREET
ST PAUL, MN 55102
PHONE: 651/925-8000
(26377)
FAX: 651/925-8067
MS. SARA ASCHENBRENER
Minnesota Department of Health
Division of Compliance Monitoring
Page 351
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
HAYES RESIDENCE
Certification
RAMSEY
Registration
(Cont.)* -------------------------­
BCH-40
NF2-40
1620 RANDOLPH AVENUE
(00928)
ST PAUL, MN 55105
PHONE: 651/690-4458
FAX: 651/690-2787
Lim-Liab
HEALTH AT HOME LLC
MS. LAURA REYNOLDS
HCP-A
141 ARUNDEL STREET #4
(28753)
ST PAUL, MN 55102
PHONE: 651/788-0327
HEALTH FOUNDATIONS LLC
FAX: /­
MS. JOAN NICHOLS
Lim-Liab
968 GRAND AVENUE
ST PAUL, MN 55105
PHONE: 651/895-2520
HEALTHEAST BETHESDA HOSPITAL
(27753)
FAX: 651/330-3768
NProf
MS. AMY JOHNSON - GRASS
HOSP-254
HOSP-254
559 CAPITOL BOULEVARD
ST PAUL, MN 55103
PHONE: 651/232-2000
HEALTHEAST HOME CARE
(00976)
MS. CATHERINE BARR
FAX: 651/232-2118
NProf
HCP-A
HHA
1700 UNIVERSITY AVENUE
ST PAUL, MN 55104
PHONE: 651/232-2800
HEALTHEAST HOSPICE
(02250)
MS. NADINE PAITICH
FAX: 651/232-2898
NProf
Hospice
HSPICE
45 WEST 10TH STREET
ST PAUL, MN 55102
PHONE: 651/232-3312
HEALTHMAX HOME HEALTH SERVICES
(02353)
FAX: 651/232-3494
Lim-Liab
MS. MICKI SCHAEFER
HCP-A
HHA
1821 UNIVERSITY AVE W STE S165
ST PAUL, MN 55104
PHONE: 651/665-0000
HERITAGE APARTMENTS INC
(25988)
FAX: 612/677-3947
MR. YOSSEPH ISAAK
HWSAL
NProf
1440 MIDWAY PARKWAY
ST PAUL, MN 55108
PHONE: 651/632-5428
HERITAGE HOME HEALTH CARE INC
(20280)
FAX: 651/632-5451
MS. JENNIFER VEITENHEIMER
Home Mgmt
Corp
635 IVY AVENUE EAST
ST PAUL, MN 55130
PHONE: 651/771-2420
HIGHLAND CHATEAU HCC
(29699)
FAX: 651/771-2420
Lim-Liab
MS. GLORIA WONG
NH-64
SNF-NF-64
2319 WEST SEVENTH STREET
ST PAUL, MN 55116
PHONE: 651/251-3083
(00494)
FAX: 651/698-0378
MS. ERIN SHVETZOFF HENNESSEY
Minnesota Department of Health
Division of Compliance Monitoring
Page 352
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
HIGHLAND HOME CARE LLC
Certification
RAMSEY
Registration
(Cont.)* -------------------------­
HCP-A
1795 BAYARD AVENUE
(26945)
ST PAUL, MN 55116
PHONE: 651/249-3714
FAX: /­
MR. MICHAEL RYAN
ESRD
Corp
HIGHLAND PARK DIALYSIS
1559 WEST SEVENTH STREET
(25766)
ST PAUL, MN 55102
PHONE: 651/222-7139
FAX: 651/224-3655
Corp
HOME PCA SERVICE INC
MS. BECKY SKWIRA
HCP-A
995 UNIVERSITY AVENUE #212
(29376)
ST PAUL, MN 55104
PHONE: 763/772-8140
FAX: 651/644-5246
Lim-Liab
HOMEWATCH CAREGIVERS ST PAUL
MR. LEE THAO
HCP-A
555 PARK STREET SUITE 440
(29907)
ST PAUL, MN 55103
PHONE: 651/955-8793
MS. REBECCA MARTIN
FAX: /-
NProf
INTEGRATED HOME CARE
HCP-A
HHA
475 ETNA STREET STE 3
(02303)
ST PAUL, MN 55106
PHONE: 651/415-4663
MS. DENISE EDGETT
FAX: 651/415-4010
HWSAL
NProf
IRIS PARK COMMONS
1850 UNIVERSITY AVENUE WEST
(23247)
ST PAUL, MN 55104
PHONE: 651/646-1026
FAX: 651/632-8807
Lim-Liab
KCMG HIGHLAND PARK LLC
MR. MARK LADWIG
HCP-F
750 MISSISSIPPI BOULEVARD
(29564)
ST PAUL, MN 55116
PHONE: 651/698-1111
FAX: 651/698-8688
MR. MICHAEL LEWIS
HWSAL
Part
KEYSTONE SENIOR LIVING OF HIGH
750 MISSISSIPPI RIVER BLVD
(20168)
ST PAUL, MN 55116
PHONE: 612/886-2035
FAX: 612/886-2592
MR. MICHAEL LEWIS
HWS
ONProf
KIMBALL COURT
2610 UNIVERSITY AVE W STE 100
(26481)
ST PAUL, MN 55104
PHONE: 651/789-6260
FAX: 651/789-6288
KINGDOM PATHWAYS FREEDOM HOUSE
MR. DEAN CROWELL
HWS
NProf
426 OXFORD STREET NORTH
(24969)
ST PAUL, MN 55433
PHONE: 651/387-8393
FAX: /­
MS. LORIANNE MICHAUD
Minnesota Department of Health
Division of Compliance Monitoring
Page 353
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
KINGDOM PATHWAYS FREEDOM HOUSE
Certification
RAMSEY
Registration
(Cont.)* -------------------------­
HWS
NProf
1038 AURORA AVENUE
(24970)
ST PAUL, MN 55104
PHONE: 651/387-8393
FAX: /­
MS. LORIANNE MICHAUD
Ind
KRISTI LOUISE BRUBER
HCP-C
592 CONCORD STREET
(29825)
ST PAUL, MN 55107
PHONE: 651/485-3081
FAX: /-
MS. KRISTI BRUBER
HWS
NProf
LABLANCHE APARTMENTS
1366 WESTERN AVENUE
(27422)
ST PAUL, MN 55117
PHONE: 651/774-0011
FAX: 651/774-0606
MRS. DANIELLE FOX
HWS
NProf
LABLANCHE APARTMENTS
1365 WESTERN AVENUE
(27421)
ST PAUL, MN 55117
PHONE: 651/774-0011
MRS. DANIELLE FOX
FAX: 651/774-0606
HWS
NProf
LAMPLIGHTER VILLAGE
1551 ALBAMARLE STREET
(27423)
ST PAUL, MN 55117
PHONE: 651/774-0011
MRS. DANIELLE FOX
FAX: 651/774-0606
HWS
NProf
LAMPLIGHTER VILLAGE
1512 WOODBRIDGE ST STE 202
(27766)
ST PAUL, MN 55117
PHONE: 651/744-0011
FAX: /­
MRS. DANIELLE FOX
Corp
LANDMARK SURGERY CENTER
Outpt Surg
Amb Surg
17 WEST EXCHANGE ST STE 222
(00430)
ST PAUL, MN 55102
PHONE: 651/968-5468
FAX: 651/968-5491
Lim-Liab
LATITUDES TREATMENT CENTER LLC
MS. BECKIE HINES
SLFA-20
1609 JACKSON STREET
(29465)
ST PAUL, MN 55117
PHONE: 651/488-5618
FAX: 651/488-5658
MR. STEVE BRANCO
HWS
NProf
LAWSON ARMS APARTMENTS - 1032
1032 DULUTH STREET
(26320)
ST PAUL, MN 55106
PHONE: 651/774-0011
FAX: 651/774-0606
MRS. DANIELLE FOX
Out Pt Out St Out Ot
NProf
LIFETRACK RESOURCES
709 UNIVERSITY AVENUE WEST
(02090)
ST PAUL, MN 55104
PHONE: 651/227-8471
FAX: /­
MR. JOHN MOHR
Minnesota Department of Health
Division of Compliance Monitoring
Page
354
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
LITTLE SISTERS OF THE POOR
Certification
RAMSEY
Registration
(Cont.)* -------------------------­
BCH-33 NH-40
NF2-33 SNF-NF-40
330 SOUTH EXCHANGE STREET
(00763)
ST PAUL, MN 55102
PHONE: 651/227-0336
FAX: 651/227-7321
SISTER MARY ELIZABETH ANDERSON
HWSAL
NProf
LYNGBLOMSTEN APARTMENTS
1455 ALMOND AVENUE
(20250)
ST PAUL, MN 55108
PHONE: 651/632-5422
FAX: 651/632-5440
Church
LYNGBLOMSTEN CARE CENTER
MS. JILL HULT
NH-237
SNF-NF-237
1415 ALMOND AVENUE
(00501)
ST PAUL, MN 55108
PHONE: 651/646-2941
FAX: 651/646-8360
Church
LYNGBLOMSTEN SERVICES INC
MR. JEFF HEINECKE
HCP-A
1415 ALMOND AVENUE
(03381)
ST PAUL, MN 55108
PHONE: 651/646-2941
MS. JANET BYRNES
FAX: 651/646-8360
HWS
NProf
MARK GUNTER - 249 WESTERN
249 WESTERN AVENUE
(25228)
ST PAUL, MN 55102
PHONE: 651/774-0011
MRS. DANIELLE FOX
FAX: 651/774-0606
Ind
MARY ELLEN BRANDT
HCP-A
1418 WOODBRIDGE STREET
(22092)
ST PAUL, MN 55117
PHONE: 651/487-5544
FAX: /­
MS. MARY ELLEN BRANDT
HWS
NProf
MARY HALL
438 MAIN STREET
(27350)
ST PAUL, MN 55102
PHONE: 651/647-2340
FAX: 651/222-2412
MS. MARY ANN SULLIVAN
HWS
NProf
MAST APARTMENTS - 1384 ST PAUL
1384 ST PAUL AVENUE
(27255)
ST PAUL, MN 55116
PHONE: 651/774-0011
FAX: 651/774-0606
Lim-Liab
MATRXCARE LLC
MRS. DANIELLE FOX
HCP-A
411 MAIN STREET SUITE 412
(25677)
ST PAUL, MN 55102
PHONE: 651/269-2999
MAXIMUM HOMECARE SERVICES LLC
FAX: /­
MR. GARY BAILEY
Lim-Liab
HCP-A
1577 NEVADA AVENUE
ST PAUL, MN 55106
PHONE: 651/353-8964
(26758)
FAX: 651/330-2045
MS. MERCY ALO
Minnesota Department of Health
Division of Compliance Monitoring
Page
355
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
METRO HEALTH CARE SERVICES LLC
Lim-Liab
Certification
RAMSEY
Registration
(Cont.)* -------------------------­
HCP-A
763 MILTON STREET N
ST PAUL, MN 55104
PHONE: 651/230-9300
METRO HOME HEALTH INC
(27039)
FAX: 651/756-1696
Corp
MR. ABDI GONJOBE
HCP-A
345 UNIVERSITY AVE W STE A
ST PAUL, MN 551032091
PHONE: 651/647-0647
MIDWAY HOME HEALTH CARE
(25321)
FAX: 651/647-1075
Corp
MR. SUNDAY OLAYINKA
HCP-A
HHA
1072 PAYNE AVENUE
ST PAUL, MN 55130
PHONE: 651/793-6901
MINNESOTA HOME HEALTH CARE INC
(21405)
FAX: 651/776-5251
Corp
MR. FONG LOR
HCP-A
829 EAST 7TH STREET #1
ST PAUL, MN 55106
PHONE: 651/705-8833
MN HOME CARE PROFESSIONALS
(29179)
MR. EUGENE BANKS
FAX: 651/705-8834
Corp
HCP-B
625 SNELLING AVE N STE 1
ST PAUL, MN 55104
PHONE: 651/644-2188
MONTREAL NBBI
(29180)
MR. LYFONGE YANG
FAX: 651/644-2198
HWSAL-O
HRA
1085 MONTREAL AVE #1406
ST PAUL, MN 55116
PHONE: 651/292-6035
MORNING STAR HEALTHCARE SERVIC
(24468)
FAX: 651/298-5666
Corp
MS. TERESA VAPLON
HCP-A
2147 UNIVERSITY AVE WEST #206
ST PAUL, MN 55114
PHONE: 651/209-2950
MORNING STAR HEALTHCARE SERVIC
(24798)
FAX: 651/917-2013
MR. LAWRENCE UBANI
HWS
Lim-Liab
2147 UNIVERSITY AVENUE W
ST PAUL, MN 55114
PHONE: 651/209-2950
MOUNDS PARK RESIDENCE
(25616)
FAX: 651/917-2013
Corp
MR. LAWRENCE UBANI
BCH-36
908 MOUND STREET
ST PAUL, MN 55106
PHONE: 651/776-7170
MULTICULTURAL HOME CARE LLC
(00998)
FAX: 651/776-4196
Lim-Liab
MS. LAURA REYNOLDS
HCP-A
1821 UNIVERSITY AVENUE W #N181
ST PAUL, MN 55104
PHONE: 651/756-1068
(29398)
FAX: 651/756-1082
MR. ABDIRASHID ALI
Minnesota Department of Health
Division of Compliance Monitoring
Page 356
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
MY HOME HEALTH CARE INC
Corp
Certification
RAMSEY
Registration
(Cont.)* -------------------------­
HCP-A
569 DALE ST N STE 100
ST PAUL, MN 55103
PHONE: 651/488-3126
NATIONAL HOME HEALTHCARE INC
(21876)
FAX: 651/487-7637
Corp
MRS. MAI YER SOUNG
HCP-A
2233 UNIVERSITY AVE WEST #200
ST PAUL, MN 55114
PHONE: 612/294-6540
NEILL NBBI
(29113)
FAX: 612/284-8580
MR. YASSIN IBRAHIM
HWSAL-O
HRA
325 LAUREL AVENUE
ST PAUL, MN 55102
PHONE: 651/292-6035
NEW HARMONY CARE CENTER
(24469)
FAX: 651/298-5666
Church
MS. TERESA VAPLON
NH-76
SNF-NF-76
135 GERANIUM AVENUE EAST
ST PAUL, MN 55117
PHONE: 651/488-6658
NORTHWEST HOME HEALTH CARE
(00492)
MR. TRENTON CARLSON
FAX: 651/488-7587
Lim-Liab
HCP-A
1821 UNIVERSITY AVE W. SUITE 3
ST PAUL, MN 55104
PHONE: 651/493-3834
OUR HOUSE OF MN INC I
(24008)
MR. SYLVESTER AMELETSE
FAX: 651/493-3835
NProf
ICFIID-6
SLFA-6
1846 DAYTON AVENUE
ST PAUL, MN 55104
PHONE: 651/646-1104
OUR HOUSE OF MN INC II
(01102)
FAX: 651/646-1104
NProf
MR. DENNIS HOLMAN
ICFIID-6
SLFA-6
1846 PORTLAND AVENUE
ST PAUL, MN 55104
PHONE: 651/646-1104
OUR LADY OF PEACE HOME
(01173)
FAX: 651/646-1104
NProf
MR. DENNIS HOLMAN
NH-40
2076 ST ANTHONY AVENUE
ST PAUL, MN 55104
PHONE: 651/646-2797
OUR LADY OF PEACE HOME CARE
(00869)
FAX: 651/646-7884
NProf
MR. JOE STANISLAV
HCP-A
HHA
2076 ST ANTHONY AVENUE
ST PAUL, MN 55104
PHONE: 651/789-5030
OUR LADY OF PEACE HOSPICE
(23112)
FAX: 651/789-0078
NProf
MS. NANCY LARSON
Hospice
HSPICE
2076 ST ANTHONY AVENUE
ST PAUL, MN 55104
PHONE: 651/789-5030
(21131)
FAX: 651/789-0078
MS. NANCY LARSON
Minnesota Department of Health
Division of Compliance Monitoring
Page 357
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
RAMSEY
(Cont.)* -------------------------­
HWS
NProf
PARK VISTA APARTMENTS
Registration
1453 ARKWRIGHT STREET
(29756)
ST PAUL, MN 55130
PHONE: 651/774-0011
FAX: 651/291-1082
MS. DANIELLE FOX
HWS
NProf
PARK VISTA APARTMENTS
1457 ARKWRIGHT STREET
(29958)
ST PAUL, MN 55130
PHONE: 651/225-8963
FAX: 651/291-1082
MS. JODI NOTTGER
HWS
NProf
PARK VISTA APARTMENTS
387 ARLINGTON AVENUE EAST
(29314)
ST PAUL, MN 55130
PHONE: 651/774-0011
FAX: 651/774-0606
Corp
PEACE OF MIND HOME CARE SERVIC
MS. DANIELLE FOX
HCP-A
1260 LARPENTEUR AVE W #419
(29317)
ST PAUL, MN 55113
PHONE: 612/222-1889
MS. LINDA DAVIS
FAX: /­
Corp
PEACEFUL LIVING SERVICES
HWSAL
HCP-F
1000 REANEY
(24993)
ST PAUL, MN 55106
PHONE: 651/493-1485
MS. BAO VANG
FAX: 612/435-9881
NProf
PEOPLE INCORPORATED
HCP-A
HHA
317 YORK AVENUE
(02672)
ST PAUL, MN 55130
PHONE: 651/774-0202
FAX: 651/774-5517
NProf
PEOPLE INCORPORATED
MS. KATIE O'BRIEN
HCP-F
2060 CENTRE POINT BLVD SUITE 3
(21945)
ST PAUL, MN 55120
PHONE: 651/774-0011
FAX: 651/774-0606
MR. SCOTT HINCHEE
HWS-O
NProf
PEOPLE INCORPORATED EDGEBROOK
2250 EDGEBROOK AVE
(21907)
ST PAUL, MN 55119
PHONE: 651/731-0821
FAX: 651/209-6376
MS. HAYLEY CARLSON
HWS-O
NProf
PEOPLE INCORPORATED LONDIN PLA
384 LONDIN PLACE
(21902)
ST PAUL, MN 55119
PHONE: 651/731-0821
FAX: 651/209-6376
PEOPLE INCORPORATED RUTH HOUSE
MS. HAYLEY CARLSON
HWS-O
NProf
246 RUTH STREET
ST PAUL, MN 55119
PHONE: 651/731-0821
(21908)
FAX: 612/209-6376
MS. HAYLEY CARLSON
Minnesota Department of Health
Division of Compliance Monitoring
Page 358
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
PHOENIX AT DOUGLAS
Certification
RAMSEY
Registration
(Cont.)* -------------------------­
ICFIID-6
SLFB-6
1538 POINT DOUGLAS
(23482)
ST PAUL, MN 55119
PHONE: 651/227-7655
FAX: 651/227-6847
NProf
PHOENIX AT FOSS
MS. DARLENE SCOTT
ICFIID-6
SLFB-6
1500 AMES
(23483)
ST PAUL, MN 55106
PHONE: 651/227-7655
FAX: 651/227-6847
NProf
PHOENIX AT VIKING
MS. DARLENE SCOTT
ICFIID-6
SLFB-6
645 VIKING DRIVE EAST
(01195)
ST PAUL, MN 55117
PHONE: 651/227-7655
FAX: 651/227-6847
Corp
PREMIER HEALTH HOMES INC
MS. DARLENE SCOTT
HCP-A
853 FRY STREET
(29924)
ST PAUL, MN 55104
PHONE: 651/307-9898
MR. LIIBAAN FARAH
FAX: /­
PROFESSIONAL REHAB CONSULTANTS
Out St Out Ot
Corp
1246 UNIVERSITY AVENUE WEST
(02584)
ST PAUL, MN 55104
PHONE: 651/293-3997
MS. MAREE COOK
FAX: 651/224-0624
Home Mgmt
Corp
RAINBOW HOME HEALTHCARE INC
1417 ARCADE STREET
(26839)
ST PAUL, MN 55106
PHONE: 651/778-0562
FAX: 651/778-9967
MR. PAOGE VANG
HWSAL
NProf
RAKHMA JOY HOME
123 SOUTH WHEELER
(20115)
ST PAUL, MN 55105
PHONE: 612/824-2345
FAX: 612/824-3165
MS. SUSAN ECKSTROM
CMHC
Cnty
RAMSEY CO MENTAL HEALTH CTR
1919 UNIVERSITY AVE SUITE 200
(23090)
ST PAUL, MN 55104
PHONE: 651/266-7920
RAMSEY COUNTY DETOX CENTER
FAX: /­
MS. NANCY HOULTON
Cy-Co
SLFB-50
402 UNIVERSITY AVENUE EAST
ST PAUL, MN 55130
PHONE: 651/266-4009
RAVOUX HI RISE
(01571)
FAX: 651/266-4539
MS. ALYSSA SHOEMAKER
HWSAL-O
HRA
280 RAVOUX STREET
ST PAUL, MN 55103
PHONE: 651/292-6035
(20540)
FAX: 651/298-5666
MS. TERESA VAPLON
Minnesota Department of Health
Division of Compliance Monitoring
Page 359
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
REGIONS HOSPITAL
Certification
RAMSEY
Registration
(Cont.)* -------------------------­
BASS-26 HOSP-454
HOSP-438 PPS-R-16
640 JACKSON STREET
(00527)
ST PAUL, MN 55101
PHONE: 651/254-2191
FAX: 651/254-2194
MR. BROCK NELSON
HWSAL
Lim-Liab
RELIANCE HEALTHCARE
2353 RICE STREET SUITE 200
(29779)
ST PAUL, MN 55113
PHONE: 651/340-4871
FAX: /­
MR. EVARISTUS BOH
Corp
REM RAMSEY INC GOODRICH
ICFIID-6
SLFA-6
917 GOODRICH AVE
(01055)
ST PAUL, MN 55105
PHONE: 651/644-7680
FAX: 651/644-6777
Corp
REM RAMSEY INC MISSISSIPPI
MS. CONNIE MENNE
ICFIID-6
SLFA-6
1866 MISSISSIPPI RIVER BLVD S
(01056)
ST PAUL, MN 55116
PHONE: 651/644-7680
MS. CONNIE MENNE
FAX: 651/644-6777
Corp
REM RAMSEY INC NEBRASKA
ICFIID-6
SLFA-6
2140 NEBRASKA AVENUE EAST
(21032)
ST PAUL, MN 55119
PHONE: 651/644-7680
MS. CONNIE MENNE
FAX: 651/644-6777
HWS
NProf
RENAISSANCE BOX
200 EAST 10TH STREET
(28139)
ST PAUL, MN 55101
PHONE: 651/224-4710
FAX: /­
ROSE HOME CARE HOME MANAGEMENT
MRS. DANIELLE FOX
Home Mgmt
Ind
1374 WESTMINSTER ST STE A205
(28596)
ST PAUL, MN 55130
PHONE: 651/354-8940
SAFETY CARE INC
FAX: /­
MS. VALERIE CAGER
Corp
HCP-A
HHA
933-A UNIVERSITY AVENUE
ST PAUL, MN 55104
PHONE: 651/645-4537
SCENIC HILLS ALTERNATIVE CARE
(03351)
FAX: 651/645-4358
MS. STELLA NWAIWU
HWS
Corp
2170 SNOWSHOE LANE E
ST PAUL, MN 55119
PHONE: 651/735-7259
SEABURY
(23158)
FAX: 651/730-1667
MR. ANTHONY EHRNRITER
HWS
NProf
1830 UNIVERSITY AVENUE WEST
ST PAUL, MN 55104
PHONE: 651/379-5102
(26982)
FAX: 651/209-8080
MS. KIRE MEYER-QUIST
Minnesota Department of Health
Division of Compliance Monitoring
Page 360
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
SERENITY HOME HEALTH CARE SYST
Certification
RAMSEY
Registration
(Cont.)* -------------------------­
HCP-A
161 ST ANTHONY AVENUE STE 935
(26753)
ST PAUL, MN 55103
PHONE: 651/493-4536
FAX: 651/493-4868
Part
SHEPARD PARK HC
MR. MOHAMED ALBERT
HCP-F
HWSAL
2235 ROCKWOOD AVENUE
(20169)
ST PAUL, MN 55116
PHONE: 651/699-2664
FAX: 651/699-9726
NProf
SHIRLEY CHAPMAN SHOLOM HM EAST
MS. LISA MOE
NH-92
SNF-NF-92
740 KAY AVENUE
(00496)
ST PAUL, MN 55102
PHONE: 651/328-2000
FAX: 651/328-2070
NProf
SHOLOM HOME CARE
MS. DEBORAH ROSE
HCP-A
HHA
740 KAY AVENUE
(27031)
ST PAUL, MN 551026014
PHONE: 952/939-1515
MS. LISA ABICHT-SWENSEN
FAX: 952/939-1662
HWS
NProf
SIBLEY PARK - 211
211 EAST 7TH STREET
(26449)
ST PAUL, MN 55101
PHONE: 651/774-0011
MRS. DANIELLE FOX
FAX: 651/774-0606
Corp
ST ANTHONY PARK HOME
NH-84
SNF-NF-84
2237 COMMONWEALTH AVENUE
(00997)
ST PAUL, MN 55108
PHONE: 651/632-3500
FAX: 651/644-0792
NProf
ST JOSEPHS HOSPITAL
MR. JOHN BARKER
BASS-40 HOSP-401
HOSP-401
45 W 10TH STREET
(00524)
ST PAUL, MN 55102
PHONE: 651/232-7707
FAX: 651/232-3518
MR. SCOTT NORTH
ESRD
Corp
ST PAUL CAPITOL DIALYS AT HOME
555 PARK STREET SUITE 110
(24071)
ST PAUL, MN 55103
PHONE: 651/221-3437
MR. GARY BEIL
FAX: /-
ESRD
Corp
ST PAUL CAPITOL DIALYSIS
555 PARK STREET SUITE 230
(02105)
ST PAUL, MN 55103
PHONE: 651/221-3318
MS. JILL MEYERSON-COCHLIN
FAX: /-
ESRD
Corp
ST PAUL DIALYSIS
555 PARK ST SUITE 180
(02183)
ST PAUL, MN 55103
PHONE: 651/291-8855
FAX: /-
MS. TAMMY FOLDEN
Minnesota Department of Health
Division of Compliance Monitoring
Page 361
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
RAMSEY
(Cont.)* -------------------------­
HWS
NProf
ST PAUL RESIDENCE
Registration
902 HERSEY STREET
(25394)
ST PAUL, MN 55114
PHONE: 651/647-2325
FAX: 651/603-0462
MR. JAMES GILLHAM
HWS
NProf
STRAUS LOFTS
350 SIBLEY STREET
(27425)
ST PAUL, MN 55101
PHONE: 651/774-0011
FAX: 651/774-0606
Lim-Liab
SUMMIT HILL SENIOR LIVING
MRS. DANIELLE FOX
HCP-F
1824 OLD HUDSON ROAD
(28604)
ST PAUL, MN 55119
PHONE: 651/451-4446
FAX: 651/459-4783
MR. LANCE LEMIEUX
HWSAL
Lim-Liab
SUMMIT HILL SENIOR LIVING
1824 OLD HUDSON ROAD
(28605)
ST PAUL, MN 55119
PHONE: 651/207-9064
MR. LANCE LEMIUEX
FAX: 651/454-4783
ESRD
Corp
SUN RAY DIALYSIS UNIT
1744 OLD HUDSON ROAD
(25767)
ST PAUL, MN 55106
PHONE: 651/793-5191
SUNLIGHT SENIOR LIVING
MS. JENNY MCPHILLIPS
FAX: /­
Corp
HWSAL
HCP-F
400 WESTERN AVENUE
ST PAUL, MN 55103
PHONE: 651/714-5056
SUNLIGHT SERVICES
(27035)
FAX: 651/714-5059
MS. LEE VANG
HWSAL
Lim-Liab
281 CESAR CHAVEZ STREET
ST PAUL, MN 55107
PHONE: 651/714-5056
SUNLIGHT SERVICES LLC
(24453)
FAX: 651/714-5059
Lim-Liab
MS. LEE VANG
HWSAL
HCP-F
440 VIRGINIA STREET
ST PAUL, MN 55103
PHONE: 651/714-5056
SUNLIGHT SERVICES LLC
(23761)
FAX: 651/714-5059
MS. LEE VANG
HWSAL
Lim-Liab
1105 HAZEL STREET
ST PAUL, MN 55119
PHONE: 651/714-5056
SUPPORTIVE LIVING SOLUTIONS
(24717)
FAX: 651/714-5059
Lim-Liab
MS. LEE VANG
HCP-A
2515 WABASH AVE
ST PAUL, MN 55114
PHONE: 651/209-8490
(28464)
FAX: 651/209-8499
MS. CARLEEN FLETTRE
Minnesota Department of Health
Division of Compliance Monitoring
Page
362
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
SYMPHONY SENIOR SERVICES INC
Certification
RAMSEY
Registration
(Cont.)* -------------------------­
HCP-A
1597 HARTFORD AVENUE
(29781)
ST PAUL, MN 55116
PHONE: 612/751-5287
TAPESTRY
MR. JAMES MILEY
FAX: /-
Lim-Liab
SLFA-3 SLFB-48
135 EAST COLORADO STREET
ST PAUL, MN 55107
PHONE: 651/489-7740
THE ALTON MEMORY CARE
(25565)
FAX: 651/489-6458
MS. JENNIFER HATTERMAN
HWSAL
Part
1306 ALTON STREET
ST PAUL, MN 55116
PHONE: 651/699-2480
THE QUINLAN HOME
(25829)
FAX: 651/699-2386
Corp
MR. MIKE LORENZ
BCH-58
391 PLEASANT AVENUE
ST PAUL, MN 55102
PHONE: 651/222-7200
THE SALAVATION ARMY BOOTH BROW
(00363)
MS. LAURA REYNOLDS
FAX: 651/224-0624
HWS
NProf
1471 COMO AVENUE WEST
ST PAUL, MN 55108
PHONE: 651/646-2601
TOUCHING HEARTS AT HOME ST PAU
(24600)
MAJOR ARNEL RUPPEL
FAX: 651/646-1655
Home Mgmt
Lim-Liab
550 SNELLING AVENUE S STE 103
ST PAUL, MN 55116
PHONE: 651/452-6825
TWIN TOWN TREATMENT CENTER
(27544)
FAX: 651/236-8279
Lim-Liab
MR. JARROD PETERSON
SLFA-50
1706 UNIVERSITY AVENUE
ST PAUL, MN 55104
PHONE: 651/645-3661
TWINS CARE NURSING SERVICE INC
(01200)
FAX: 651/645-0959
MR. DEAN GILBERTSON
HWS
Corp
1730 GRAHAM AVENUE WEST
ST PAUL, MN 55116
PHONE: 952/423-1204
UNITED HOME HEALTHCARE INC
(26922)
FAX: 952/423-4113
Corp
MS. SHERRI WRIGHT
HCP-A
161 ST ANTHONY AVENUE STE 818
ST PAUL, MN 55103
PHONE: 651/489-4735
UNITED HOSPITAL
(27588)
FAX: 651/489-4738
NProf
MR. NENG YANG
BASS-40 HOSP-546 HOSP-15
333 NORTH SMITH AVENUE
ST PAUL, MN 55102
PHONE: 651/241-8000
(00525)
FAX: 651/241-5189
MR. TOM O'CONNOR
HOSP-515 PPS-P-15 PPS-R-16
HOSP-15
Minnesota Department of Health
Division of Compliance Monitoring
Page
363
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
RAMSEY
(Cont.)* -------------------------­
ESRD
Corp
UNIVERSITY DIALYSIS RIVERSIDE
Registration
1045 WESTGATE DRIVE #90
(03881)
ST PAUL, MN 55114
PHONE: 651/645-1847
FAX: 651/645-1890
Corp
V-CARE HOME HEALTH INC
MS. DENISE HORN
HCP-A
1049 PAYNE AVENUE
(28359)
ST PAUL, MN 55130
PHONE: 651/793-7635
FAX: 651/793-7659
MS. SUE KIACHIATONG XIONG
HWSAL-O
HRA
VALLEY HI RISE
261 UNIVERSITY AVENUE
(24472)
ST PAUL, MN 55101
PHONE: 651/292-6035
FAX: 651/298-5666
NProf
VIETNAMESE MINNESOTANS ASSOCIA
MS. TERESA VAPLON
HCP-A
1030 UNIVERSITY AVENUE STE 130
(27589)
ST PAUL, MN 55104
PHONE: 651/290-4791
MR. TINH TRAN
FAX: 651/290-4785
Corp
VIZION ONE INC
HCP-A
HHA
1821 UNIVERSITY AVE SUITE S126
(27916)
ST PAUL, MN 55104
PHONE: 763/200-9237
MS. SARAH FRIE
FAX: 763/400-4899
Ind
WEST ASIA CARE
HCP-A
1301 TOPIC LANE
(29831)
ST PAUL, MN 55106
PHONE: 651/487-8610
FAX: 651/487-7837
NProf
WILDER ASSISTED LIVNG PROGRAMS
MR. HENRY YANG
HCP-F
650 MARSHALL AVENUE
(20812)
ST PAUL, MN 55104
PHONE: 651/280-2500
FAX: 651/224-6906
Corp
WINGSPAN LIFE RESOURCES
MS. JOCELYN SCHOWALTER
ICFIID-6
SLFA-6
2134 MARSHALL AVENUE
(01287)
ST PAUL, MN 55104
PHONE: 651/646-3846
FAX: 651/646-2347
MS. PATRICIA MOORE
HWS
NProf
WOLKOWICZ PROPERTIES
981 NORTH ST ALBANS
(27767)
ST PAUL, MN 55103
PHONE: 651/774-0011
FAX: /-
WOODBRIDGE TERRACE APARTMENTS
MRS. DANIELLE FOX
HWS
NProf
208 WEST HOYT
ST PAUL, MN 55117
PHONE: 651/774-0011
(25894)
FAX: 651/774-0606
MRS. DANIELLE FOX
Minnesota Department of Health
Division of Compliance Monitoring
Page 364
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
RAMSEY
(Cont.)* -------------------------­
HWS
ONProf
1053 COUNTY ROAD D
Registration
1053 COUNTY ROAD D
(29500)
VADNAIS HEIGHTS, MN 55109
PHONE: 651/256-1226
FAX: /­
MR. MATT LEWIS
HWS-O
Ind
CHRISTIAN GLANCEY
4021 ELMWOOD STREET
(25585)
VADNAIS HEIGHTS, MN 55127
PHONE: 651/653-7444
HEARTS HOME CARE LLC
FAX: /­
MR. CHRISTIAN GLANCEY
Lim-Liab
HCP-A
3537 ARCADE STREET
VADNAIS HEIGHTS, MN 55127
PHONE: 651/353-6440
PHOENIX AT CENTERVILLE
(29909)
FAX: 651/212-7948
NProf
MR. OGBITSE ATAKE
ICFIID-6
SLFB-6
785 EAST COUNTY ROAD E
VADNAIS HEIGHTS, MN 55127
PHONE: 651/227-7655
PHOENIX AT ENGLISH
(01649)
MS. DARLENE SCOTT
FAX: 651/227-6847
NProf
ICFIID-6
SLFB-6
1336 EAST COUNTY ROAD E
VADNAIS HEIGHTS, MN 55110
PHONE: 651/227-7655
PINNACLE HOME HEALTH CARE LLC
(01648)
MS. DARLENE SCOTT
FAX: 651/227-6847
Lim-Liab
HCP-A
3580 ARCADE STREET
VADNAIS HEIGHTS, MN 55127
PHONE: 651/968-5200
SPRINGHILL
(29676)
FAX: 651/730-3601
NProf
MR. ADAM BERRY
ICFIID-4
SLFB-4
531 SPRINGHILL ROAD
VADNAIS HEIGHTS, MN 55127
PHONE: 651/429-5686
SUMMIT RECOVERY SUITES
(01636)
FAX: 651/483-0775
MR. JIM MARTIN
HWS
Corp
3580 ARCADE STREET
VADNAIS HEIGHTS, MN 55127
PHONE: 651/968-5200
VADNAIS HEIGHTS SURGERY CENTER
(29939)
FAX: 651/730-3601
MR. ADAM BERRY
Corp
3580 ARCADE STREET SUITE 200
VADNAIS HEIGHTS, MN 55127
PHONE: 651/968-5200
VINTAGE MOMENTS LLC
(29320)
FAX: 651/730-3601
Lim-Liab
MS. BECKIE HINES
HWSAL
HCP-F
4559 BRAMBLEWOOD AVENUE
VADNAIS HEIGHTS, MN 55127
PHONE: 651/653-4883
(25313)
FAX: 651/653-4887
MS. KATHERINE MASON
Minnesota Department of Health
Division of Compliance Monitoring
Page
365
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
RAMSEY
(Cont.)* -------------------------­
HWS-O
NProf
4030 BELLAIRE AVENUE
Registration
4030 BELLAIRE AVENUE
(29530)
WHITE BEAR LAKE, MN 55110
PHONE: 651/774-0011
FAX: /­
MR. GEOFFREY MEYER
Lim-Liab
ADVANCED MEDICAL HOME CARE LLC
HCP-A
2074 EAST COUNTY ROAD E
(29186)
WHITE BEAR LAKE, MN 55110
PHONE: 612/267-6154
AXIS ON WHITE BEAR AVENUE
FAX: /­
MR. MICHAEL AUGE
Corp
ICFIID-6
SLFB-6
3516 WHITE BEAR AVENUE NORTH
WHITE BEAR LAKE, MN 55110
PHONE: 651/779-4301
CERENITY CARE CENTER WBL
(22847)
FAX: 651/777-0411
Corp
MS. DOROTHY WROBEL
NH-138
SNF-NF-138
1891 FLORENCE STREET
WHITE BEAR LAKE, MN 55110
PHONE: 651/232-1821
CERENITY RESIDENCE OF WBL
(00923)
MR. GREGORY BAUMBERGER
FAX: 651/232-1801
NProf
HWSAL
HCP-F
4615 SECOND AVENUE
WHITE BEAR LAKE, MN 55110
PHONE: 651/232-1868
LAKE SQUARE APARTMENTS
(20170)
MR. GREG BAUMBERGER
FAX: 651/288-7960
HWS
Part
2250 6TH STREET
WHITE BEAR LAKE, MN 55110
PHONE: 651/426-2876
PHOENIX AT CASWELL
(28972)
FAX: 651/426-8490
NProf
MR. GERALD SOVELL
ICFIID-6
SLFB-6
2168 - 12TH ST
WHITE BEAR LAKE, MN 55110
PHONE: 651/227-7655
VISION QUEST PROPERTY MANAGEME
(23428)
FAX: 651/227-6847
Corp
MS. DARLENE SCOTT
HCP-A
5771 MEADOWVIEW DRIVE
WHITE BEAR LAKE, MN 55110
PHONE: 651/428-0646
WHITE BEAR LAKE COH CARE LLC
(28288)
FAX: 651/486-7814
Lim-Liab
MR. CHARLES PETRICH
HWSAL
HCP-F
1235 GUN CLUB ROAD
WHITE BEAR LAKE, MN 55110
PHONE: 651/757-3800
AXIS ON SENECA
(24613)
FAX: 651/757-3820
Corp
MS. RHONDA SHILLINGER
ICFIID-6
SLFB-6
1586 SENECA TRAIL
WHITE BEAR TOWNSHIP, MN 55110
PHONE: 651/426-3546
(01325)
FAX: 651/426-8456
MS. DOROTHY WROBEL
Minnesota Department of Health
Division of Compliance Monitoring
Page 366
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
REM RAMSEY INC PROSPECT
Certification
RAMSEY
Registration
(Cont.)* -------------------------­
ICFIID-6
SLFA-6
5474 PROSPECT AVENUE
(01106)
WHITE BEAR TOWNSHIP, MN 55110
PHONE: 651/644-7680
FAX: 651/644-6777
MS. CONNIE MENNE
---------------------------**********
RED LAKE
******** -------------------------­
RHC
NProf
ESSENTIA HEALTH OKLEE CLINIC
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
(27165)
OKLEE, MN 56742
PHONE: 218/796-5001
FAX: 218/796-5003
Corp
HILLCREST SENIOR LIVING
MR. RICHARD DULKA
NH-30
SNF-NF-30
311 BROADWAY AVENUE NE
(00540)
RED LAKE FALLS, MN 56750
PHONE: 218/253-2157
MR. NICOLAI BERG
FAX: 218/253-4676
HOUSING AND REDEVELOPMENT AUTH
HWS
HRA
209 INTERNATIONAL DRIVE
RED LAKE FALLS, MN 56750
PHONE: 218/253-2022
NORTHWOOD HOME
(21419)
MR. STEVE ERICKSON
FAX: 218/253-2238
NProf
ICFIID-6
SLFB-6
418 SEVENTH STREET SOUTHWEST
RED LAKE FALLS, MN 56750
PHONE: 218/253-4315
RIVERVIEW CLINIC
(01589)
FAX: 218/253-4099
MS. DEB VIGNESS
RHC
NProf
105 INTERNATIONAL DR SUITE 25
RED LAKE FALLS, MN 56750
PHONE: 218/253-4606
(28149)
FAX: 218/253-4681
MR. WILLIAM BENNETT
---------------------------**********
PARKVIEW HOME
City
REDWOOD
******** -------------------------­
NH-30
SNF-NF-30
102 COUNTY STATE AID HWY 9
BELVIEW, MN 56214
PHONE: 507/938-4151
PARKWOOD APARTMENTS
(00543)
FAX: 507/938-4110
City
MR. MICHAEL STORDAHL
HCP-F
HWSAL
505 SOUTH SECOND STREET
BELVIEW, MN 56214
PHONE: 507/938-3020
(20318)
FAX: 507/938-4110
MR. JAMES BROICH
Minnesota Department of Health
Division of Compliance Monitoring
Page
367
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
City
VALLEY VIEW MANOR
Certification
REDWOOD
Registration
(Cont.)* -------------------------­
NH-55
SNF-NF-55
200 EAST NINTH AVENUE
(00731)
LAMBERTON, MN 56152
PHONE: 507/752-7346
FAX: 507/752-7348
NProf
GIL-MOR HAVEN
MS. DAWN GIESE
HCP-F
HWS
90 THIRD STREET EAST
(27387)
MORGAN, MN 56266
PHONE: 507/249-3143
FAX: 507/249-2310
NProf
GIL-MOR MANOR
MR. JAMES BROICH
NH-35
SNF-NF-35
96 THIRD STREET EAST
(00542)
MORGAN, MN 56266
PHONE: 507/249-3143
FAX: 507/249-2310
NProf
EASTWOOD HOME
MS. TERRIE FRANK
ICFIID-6
SLFB-6
101 FIREWOOD DRIVE
(01588)
REDWOOD FALLS, MN 56283
PHONE: 507/637-5212
MS. JUDY RICHARDS
FAX: 507/637-5774
Lim-Liab
GARNETTE GARDENS SENIOR LIVING
HWSAL
HCP-F
511 DEKALB STREET
(23560)
REDWOOD FALLS, MN 56283
PHONE: 507/644-8500
MR. PATRICK RAFFERTY
FAX: 507/644-8521
NProf
GOOD SAM SOCIETY REDWOOD FALLS
NH-37
SNF-NF-37
200 DEKALB ST S
(00063)
REDWOOD FALLS, MN 56283
PHONE: 507/637-5711
FAX: 507/637-2132
NProf
JOHNSON PARK PLACE
MR. GEORGE PAULSON
HWSAL
HCP-F
1011 EAST ELM STREET
(20009)
REDWOOD FALLS, MN 56283
PHONE: 507/627-8121
FAX: 507/627-8382
City
REDWOOD AREA HOSP HOSPICE SER
MR. GEOREG PAULSON
Hospice
HSPICE
100 FALLWOOD ROAD
(02499)
REDWOOD FALLS, MN 56283
PHONE: 507/637-4500
FAX: 507/697-6029
City
REDWOOD AREA HOSPITAL
MR. BRYAN LYDICK
BASS-6 HOSP-25
CAH-25
100 FALLWOOD ROAD
(00545)
REDWOOD FALLS, MN 56283
PHONE: 507/637-4500
FAX: 507/637-6000
REDWOOD AREA HOSPITAL HOME CAR
City
MR. BRYAN LYDICK
HCP-A
HHA
100 FALLWOOD ROAD
REDWOOD FALLS, MN 56283
PHONE: 507/637-4500
(02405)
FAX: 507/697-6000
MR. BRYAN LYDICK- CEO
Minnesota Department of Health
Division of Compliance Monitoring
Page
368
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
REDWOOD
(Cont.)* -------------------------­
ESRD
Corp
REDWOOD FALLS DIALYSIS CTR
Registration
100 FALLWOOD ROAD
(03377)
REDWOOD FALLS, MN 56283
PHONE: 507/823-4733
FAX: /­
MS. NANCY SPERL
State
REDWOOD FALLS MSOCS
ICFIID-6
SLFB-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
(27101)
REDWOOD FALLS, MN 56283
PHONE: 507/627-2224
FAX: 507/627-2233
NProf
WESTWOOD HOME
MR. KEITH MUETZEL
ICFIID-6
SLFB-6
921 EAST OAK STREET
(01609)
REDWOOD FALLS, MN 56283
PHONE: 507/637-3347
MS. JUDY RICHARDS
FAX: 507/637-5189
Corp
WOOD DALE HOME INC
NH-50
SNF-NF-50
600 SUNRISE BOULEVARD
(00749)
REDWOOD FALLS, MN 56283
PHONE: 507/637-3587
MS. JUDITH SANDMANN
FAX: 507/637-2546
Corp
REVERE HOME
BCH-26
300 SOUTH MAIN
(00824)
REVERE, MN 56166
PHONE: 651/257-8146
FAX: 651/257-9245
Lim-Liab
GOLDEN LIVINGCENTER WABASSO
MR. ROBERT CARDENAS
NH-44
SNF-NF-44
660 MAPLE STREET
(00949)
WABASSO, MN 56293
PHONE: 507/342-5166
FAX: 507/342-5136
Lim-Liab
COUNTRY VIEW SENIOR COMMUNITY
MR. DRU FISCHGRABE
HCP-F
HWSAL
810 8TH STREET
(23778)
WALNUT GROVE, MN 56180
PHONE: 507/859-2133
FAX: 507/859-2143
SANFORD TRACY WALNUT GROVE CLC
MS. JEANNE JAECKELS
RHC
NProf
830 EIGHTH STREET
(21357)
WALNUT GROVE, MN 56180
PHONE: 507/859-2157
FAX: /-
---------------------------**********
MS. STACY BARSTAD
RENVILLE
******** -------------------------­
Minnesota Department of Health
Division of Compliance Monitoring
Page
369
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
GLESENERS ASSISTED LIVING SERV
Corp
Certification
RENVILLE
Registration
(Cont.)* -------------------------­
HWSAL-O
HCP-F
160 SOUTH MAIN STREET
BIRD ISLAND, MN 55310
PHONE: 320/365-3823
GLESENERS HOME CARE SERVICES
(24783)
FAX: 320/365-3361
Corp
MR. MARK GLESENER
HCP-A
160 S MAIN STREET - PO BOX 140
BIRD ISLAND, MN 55310
PHONE: 320/365-3823
RENVILLE COUNTY COMM RES
(27975)
FAX: 320/365-3361
NProf
MR. MARK GLESENER
ICFIID-10
SLFA-10
831 GROVE AVENUE
BIRD ISLAND, MN 55310
PHONE: 320/365-3881
BUFFALO LAKE HEALTHCARE CTR
(01312)
FAX: 320/365-4533
NProf
MS. BEVERLY BURMAN
NH-49
SNF-NF-49
703 WEST YELLOWSTONE TRAIL
BUFFALO LAKE, MN 55314
PHONE: 320/833-5364
JULIES HOME HEALTH CARE INC
(00550)
MR. MARK RUST
FAX: 320/833-5526
Corp
HCP-A
114 CHURCH AVENUE WEST
BUFFALO LAKE, MN 55314
PHONE: 320/833-6082
WESTVIEW ESTATES
(25054)
MS. JULIE UFKES
FAX: 320/833-5943
NProf
HWSAL
HCP-F
703 W YELLOWSTONE TRAIL
BUFFALO LAKE, MN 55314
PHONE: 320/833-5364
FAIRFAX COMMUNITY HOME
(20031)
FAX: 320/833-5526
Corp
MR. MARK RUST
NH-50
SNF-NF-50
300 TENTH AVENUE SE
FAIRFAX, MN 55332
PHONE: 507/426-8241
FAIRFAX COMMUNITY HOME HEALTH
(00847)
FAX: 507/426-7340
Corp
MS. JUDITH SANDMANN
HCP-A
300 10TH AVE SE
FAIRFAX, MN 55332
PHONE: 507/426-8241
FAIRFAX COMMUNITY HOME INC
(03554)
FAX: 507/426-7340
MS. JUDITH SANDMANN
HWS
Corp
300 TENTH AVENUE SOUTHEAST
FAIRFAX, MN 55332
PHONE: 507/426-8241
GOLDEN LIVINGCENTER FRANKLIN
(21143)
FAX: 507/426-7340
Lim-Liab
MS. JUDITH SANDMANN
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
370
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
PRAIRIE VIEW OF HECTOR
Certification
RENVILLE
Registration
(Cont.)* -------------------------­
HWSAL
HCP-F
1010 EAST ELM AVENUE
(21943)
HECTOR, MN 55342
PHONE: 320/848-2093
FAX: 320/848-2506
MR. DEAN BLOEMKE
RHC
Corp
RENVILLE CTY HOSP CLNCS HECTOR
131 BIRCH AVENUE WEST
(03575)
HECTOR, MN 55342
PHONE: 320/848-6294
FAX: /­
MS. KATHLEEN RYAN
HWS
City
FAIRVIEW PLACE APARTMENTS
603 EAST FAIRVIEW AVENUE
(20216)
OLIVIA, MN 56277
PHONE: 320/523-1836
FAX: 320/523-1416
Lim-Liab
GOLDEN LIVINGCENTER OLIVIA
MS. JENNIFER EVENSON
NH-57
SNF-NF-57
1003 WEST MAPLE
(00939)
OLIVIA, MN 56277
PHONE: 320/523-1652
MS. AMANDA GENTILLI
FAX: 320/523-5734
NProf
PARK VIEW VILLAGE
HWSAL
HCP-F
1204 WEST PARK AVENUE
(21635)
OLIVIA, MN 56277
PHONE: 320/523-1743
MS. PAM HOCKERT FREESE
FAX: 320/523-1925
RHC
Corp
RENVILLE CO HOSP CLINIC OLIVIA
600 PARK AVENUE
(03573)
OLIVIA, MN 56277
PHONE: 320/523-1460
RENVILLE COUNTY HOSP & CLINCS
FAX: /­
MS. KATHLEEN RYAN
Cnty
BASS-6 HOSP-35
CAH-25
611 EAST FAIRVIEW
OLIVIA, MN 56277
PHONE: 320/523-1261
RENVILLE COUNTY HOSPICE
(00558)
FAX: 320/523-3458
Cnty
MR. GLENN HAUGO
Hospice
HSPICE
611 EAST FAIRVIEW AVENUE
OLIVIA, MN 56277
PHONE: 320/523-1261
RENVILLE COUNTY PHS
(03271)
FAX: 320/523-3571
Cnty
MS. MAUREEN STYLE
HCP-A
HHA
105 S FIFTH ST STE 119H
OLIVIA, MN 56277
PHONE: 320/523-2570
EAST RIDGE COURT
(02120)
FAX: 320/523-3749
MS. JILL BRUNS
HWS
NProf
219 ELM AVENUE SOUTHEAST
RENVILLE, MN 56284
PHONE: 320/329-3901
(22007)
FAX: 320/329-3901
MS. CAMI PETERSON-DEVRIES
Minnesota Department of Health
Division of Compliance Monitoring
Page 371
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: 320/329-3678
NProf
RENVILLA HEALTH CENTER
MS. CAMI PETERSON-DEVRIES
NH-54
SNF-NF-54
205 SOUTHEAST ELM AVENUE
(00557)
RENVILLE, MN 56284
PHONE: 320/329-8381
FAX: 320/329-3678
MS. CAMILLA PETERSON-DEVRIES
RHC
Corp
RENVILLE COUNTY HOSP & CLINICS
420 NORTH MAIN STREET
(03574)
RENVILLE, MN 56284
PHONE: 320/329-8395
FAX: /-
MS. KATHLEEN RYAN
NProf
RENVILLE HEALTH SERVICES HOMEC
HCP-F
611 MAIN STREET SOUTH
(20933)
RENVILLE, MN 56284
PHONE: 320/329-3834
MS. CAMI PETERON-DEVRIES
FAX: 320/329-3944
---------------------------**********
RICE
******** -------------------------Amb Surg
Corp
CROSSROADS SURGERY CENTER
1575 20TH STREET NW #203
(24483)
FARIBAULT, MN 55021
PHONE: 507/209-6226
MS. HEATHER LARSON
FAX: 507/209-6228
Ind
DAWNS ELDER CARE
HCP-C
2424 WOODLAND DRIVE
(23327)
FARIBAULT, MN 55021
PHONE: 507/333-5491
DEACONESS TOWER
FAX: /­
MS. DAWN CABALLERO
Lim-Liab
HCP-F
503 EAST DIVISION STREET
FARIBAULT, MN 55021
PHONE: 507/332-5158
DEACONESS TOWER ASSISTED LIVIN
(03753)
FAX: 507/332-5199
MR. ERIC EVERSON
HWSAL
Lim-Liab
503 EAST DIVISION STREET
FARIBAULT, MN 55021
PHONE: 507/332-5158
DISTRICT ONE HOSPITAL
(20049)
FAX: 507/332-5199
Dist
MS. SHARON THOLE
BASS-10 HOSP-49
200 STATE AVENUE
FARIBAULT, MN 55021
PHONE: 507/334-6451
(00569)
FAX: 507/332-4848
MR. STEPHEN PRIBYL
HOSP-49
Minnesota Department of Health
Division of Compliance Monitoring
Page 372
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Dist
FARIBAULT AREA HOSPICE
Certification
RICE
Registration
(Cont.)* -------------------------­
Hospice
HSPICE
200 STATE AVENUE
(02877)
FARIBAULT, MN 55021
PHONE: 507/332-4834
FAX: 507/332-4829
Lim-Liab
FARIBAULT CARE CENTER
MS. LORI BILLMEYER
NH-55
SNF-NF-55
1738 HULETT AVENUE NORTH
(00989)
FARIBAULT, MN 55021
PHONE: 507/334-3918
FAX: 507/332-2748
MS. SHELLEY SOLBERG
ESRD
Corp
FARIBAULT DIALYSIS UNIT
201 SO LYNDALE AVE SUITE F
(02810)
FARIBAULT, MN 55021
PHONE: 507/334-0306
FARIBAULT SENIOR LIVING
FAX: /­
MS. CARI DOCK
Lim-Liab
HWSAL
HCP-F
843 FARIBAULT ROAD
FARIBAULT, MN 55021
PHONE: 507/331-6510
FARIBAULT SOCS
(27967)
MS. CALISTA VOS
FAX: 507/331-7252
State
ICFIID-6
SLFB-6
1805 SHUMWAY AVENUE
FARIBAULT, MN 55021
PHONE: 507/332-0495
GUEST HOUSE OF FARIBAULT LLC
(01642)
MR. JAMIE KEENAN
FAX: 507/332-2166
Lim-Liab
HWS
HCP-A
118 SIXTH STREET NORTHWEST
FARIBAULT, MN 55021
PHONE: 507/334-8269
HERITAGE HOUSE ELDER CARE
(22372)
FAX: 507/331-7345
Lim-Liab
MR. LEON SHERWOOD
HWSAL
HCP-F
1415 NORTHWEST 7TH STREET
FARIBAULT, MN 55021
PHONE: 507/334-5111
HILLTOP HOME
(21721)
FAX: 507/334-5111
MS. JODI BONGERS
HWS
Corp
4 THIRD AVENUE SW
FARIBAULT, MN 55021
PHONE: 507/332-0547
IVY HILL SENIOR CARE
(25128)
FAX: 507/332-2335
MS. DEBORAH SONNEK
HWSAL
Corp
519 FIRST STREET SOUTHWEST
FARIBAULT, MN 55021
PHONE: 507/332-8966
IVY HILL SENIOR CARE INC
(20469)
FAX: 507/384-3464
Corp
MS. KATHRYN PIPER
HCP-F
519 FIRST STREET SOUTHWEST
FARIBAULT, MN 55021
PHONE: 507/332-8966
(03884)
FAX: 507/384-3464
MR. DENNIS PIPER
Minnesota Department of Health
Division of Compliance Monitoring
Page
373
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
KCMG FARIBAULT LLC
Lim-Liab
Certification
RICE
Registration
(Cont.)* -------------------------­
HCP-F
828 FIRST STREET NE
FARIBAULT, MN 55021
PHONE: 507/332-2555
KEYSTONE SENIOR LIVING OF FARI
(29560)
FAX: 507/332-9010
MR. MICHAEL LEWIS
HWSAL
Lim-Liab
828 FIRST STREET NORTHEAST
FARIBAULT, MN 55021
PHONE: 612/886-2035
MAPLEWOOD HOMES
(21877)
FAX: 612/886-2592
Corp
MR. MICHAEL LEWIS
HCP-F
HWS-O
326 NW 7TH STREET
FARIBAULT, MN 55021
PHONE: 507/334-4712
MAPLEWOOD HOMES OF FARIBAULT
(22003)
FAX: 507/334-0083
MR. JOHN WALLGREN
HWSAL-O
Corp
428 NORTHWEST 5TH STREET
FARIBAULT, MN 55021
PHONE: 507/334-4712
MILESTONE SENIOR LIVING
(27982)
MR. JOHN WALLGREN
FAX: 507/334-0083
Lim-Liab
HWSAL
HCP-F
2500 14TH STREET NE
FARIBAULT, MN 55021
PHONE: 507/331-2748
OUR CIRCLE OF FRIENDS
(25820)
MS. JULIE HEIL
FAX: 507/331-7087
Corp
HWS-O
HCP-F
1663 GLYNVIEW TRAIL
FARIBAULT, MN 55021
PHONE: 507/334-3722
OUR CIRCLE OF FRIENDS /MAIN C
(27158)
FAX: 507/334-9795
Corp
MS. CHERYL GLENDE
HWS
HCP-F
1150 THIRD ST SW
FARIBAULT, MN 55021
PHONE: 507/332-9731
OUR HOUSE
(20400)
FAX: 507/334-9795
MS. CHERYL GLENDE
HWS-O
Corp
1017 NORTHWEST 7TH STREET
FARIBAULT, MN 55021
PHONE: 507/332-0547
PLEASANT MANOR INC
(20095)
FAX: 507/332-0547
Corp
MS. DEBORAH SONNEK
NH-65
SNF-NF-65
27 BRAND AVENUE
FARIBAULT, MN 55021
PHONE: 507/334-2036
PLEASANT VIEW ESTATES
(00568)
FAX: 507/334-3558
Corp
MS. BONNIE CAMPEAU
HWSAL
HCP-F
41 BRAND AVENUE
FARIBAULT, MN 55021
PHONE: 507/333-5960
(24584)
FAX: 507/333-5974
MS. BONNIE CAMPEAU
Minnesota Department of Health
Division of Compliance Monitoring
Page 374
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
RICE COUNTY PHNS
Cnty
Certification
RICE
Registration
(Cont.)* -------------------------­
HCP-A
HHA
320 NORTHWEST 3RD ST STE 1
FARIBAULT, MN 55021
PHONE: 507/332-6111
RISON HOMES INC
(02022)
FAX: 507/332-5932
Corp
MRS. DIANE WINKELS
HCP-F
314 CENTRAL AVENUE
FARIBAULT, MN 55021
PHONE: 507/332-0547
ST LUCAS CARE CENTER
(20152)
FAX: 507/332-2335
Lim-Liab
MS. DEBORAH SONNEK
NH-109
SNF-NF-109
500 SOUTHEAST FIRST STREET
FARIBAULT, MN 55021
PHONE: 507/332-5100
STERLING HOUSE OF FARIBAULT
(00571)
FAX: 507/332-5188
Corp
MS. JILL ACOSTA
HWSAL
HCP-F
935 SPRING ROAD
FARIBAULT, MN 55021
PHONE: 507/333-2559
THE VILLAGES OF LONSDALE
(20398)
MS. MARY SPITZACK
FAX: 507/333-2557
Lim-Liab
HCP-F
1000 BIRCH STREET NORTHEAST
LONSDALE, MN 55046
PHONE: 507/744-3453
THE VILLAGES OF LONSDALE
(26772)
MS. PATRICIA VINCENT
FAX: 507/744-3951
HWSAL
Lim-Liab
1000 BIRCH STREET NE
LONSDALE, MN 55046
PHONE: 507/744-3453
MORRISTOWN
(26754)
FAX: 507/744-3951
MS. MARILYN PINT
HWS
Corp
104 4TH STREET SW PO BOX 774
MORRISTOWN, MN 55052
PHONE: 507/332-0547
THE PLUM HOUSE
(20028)
FAX: 507/332-2335
Lim-Liab
MS. DEBORAH SONNEK
HWSAL
HCP-F
300 - 2ND ST SE
MORRISTOWN, MN 55052
PHONE: 507/685-2829
CANNON VALLEY SUITES
(23434)
FAX: 507/685-2830
MS. ALYSSA WEBER
HWSAL
Church
900 CANNON VALLEY DRIVE
NORTHFIELD, MN 55057
PHONE: 507/645-6007
COTTAGE ON FOREST
(23183)
FAX: 507/664-3490
MS. SHELLEY HOLDEN
HWS
NProf
811 FOREST AVENUE
NORTHFIELD, MN 55057
PHONE: 507/664-8805
(26073)
FAX: 507/645-0942
MS. PATRICIA VINCENT
Minnesota Department of Health
Division of Compliance Monitoring
Page 375
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
EVERGREEN LODGE
Certification
RICE
Registration
(Cont.)* -------------------------­
HWSAL
NProf
912 CANNON VALLEY DRIVE WEST
NORTHFIELD, MN 55057
PHONE: 507/645-6007
HOME CARE LINK
(25764)
FAX: 507/664-3490
NProf
MS. SHELLEY HOLDEN
HCP-A
HHA
815 FOREST AVENUE
NORTHFIELD, MN 55057
PHONE: 507/664-8863
HOME COMPANION LINK
(03105)
FAX: 507/645-0942
NProf
MS. PATRICIA VINCENT
HCP-B
815 FOREST AVENUE
NORTHFIELD, MN 55057
PHONE: 507/664-8892
LAURA BAKER SERVICES ASSOC
(27688)
FAX: 507/650-9227
NProf
MS. PATRICIA VINCENT
ICFIID-30
SLFA-30
211 OAK STREET
NORTHFIELD, MN 55057
PHONE: 507/645-8866
MILLSTREAM COMMONS HOME CARE
(01163)
MR. MITCH DAVIDE
FAX: 507/645-8869
NProf
HWSAL
HCP-F
210 WEST EIGHTH STREET
NORTHFIELD, MN 55057
PHONE: 507/650-0141
NORTHFIELD CARE CENTER INC
(24063)
MS. KATHY OLSON
FAX: 507/650-9170
Church
NH-42
SNF-NF-42
900 CANNON VALLEY DRIVE
NORTHFIELD, MN 55057
PHONE: 507/664-3474
NORTHFIELD DIALYSIS
(00567)
FAX: 507/645-0117
MR. THOMAS NIELSEN
ESRD
Corp
2004 JEFFERSON ROAD
NORTHFIELD, MN 55057
PHONE: 507/645-6762
NORTHFIELD HOME CARE
(29575)
FAX: 507/645-2372
City
MS. DANETTE KASPER
HCP-A
HHA
706 DIVISION STREET
NORTHFIELD, MN 55057
PHONE: 507/646-1457
NORTHFIELD HOSPICE
(02208)
FAX: 507/646-1395
City
MR. STEVE UNDERDAHL
Hospice
HSPICE
2000 NORTH AVENUE
NORTHFIELD, MN 55057
PHONE: 507/646-1314
NORTHFIELD MANOR INC
(02880)
FAX: 507/646-6877
MS. KATHY BLOMQUIST
HWS
Church
901 CANNON VALLEY DRIVE
NORTHFIELD, MN 55057
PHONE: 507/645-9090
(20097)
FAX: 507/664-3490
MS. SHELLEY HOLDEN
Minnesota Department of Health
Division of Compliance Monitoring
Page 376
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NORTHFIELD PARKVIEW INC
Certification
RICE
Registration
(Cont.)* -------------------------­
HWSAL
Church
910 CANNON VALLEY DRIVE
NORTHFIELD, MN 55057
PHONE: 507/645-6007
NORTHFIELD PARKVIEW INC
(20096)
FAX: 507/664-3490
Church
MS. SHELLEY HOLDEN
HCP-F
910 CANNON VALLEY DRIVE
NORTHFIELD, MN 55057
PHONE: 507/645-6007
NORTHWOOD PINES
(03339)
FAX: 507/664-3490
MR. KYLE NORDINE
HWSAL
Church
931 CANNON VALLEY DRIVE WEST
NORTHFIELD, MN 55057
PHONE: 507/645-6007
NRC HOME CARE
(27563)
FAX: 507/664-3490
NProf
MS. SHELLEY HOLDEN
HCP-A
910 CANNON VALLEY DRIVE
NORTHFIELD, MN 55057
PHONE: 507/645-6007
REFLECTIONS HOME CARE
(25315)
MS. SHELLEY HOLDEN
FAX: 507/664-3490
NProf
HWS
HCP-F
809 FOREST AVENUE
NORTHFIELD, MN 55057
PHONE: 507/664-8809
THE COTTAGE EAST
(26343)
MS. PATRICIA VINCENT
FAX: 507/650-7989
HWS
NProf
800-802 WEST FIFTH
NORTHFIELD, MN 55057
PHONE: 507/664-8860
THE COTTAGE WEST
(20137)
FAX: 507/645-0942
MS. PATRICIA VINCENT
HWS
NProf
804 WEST FIFTH STREET
NORTHFIELD, MN 55057
PHONE: 507/664-8860
THREE LINKS APARTMENTS
(20342)
FAX: 507/645-0942
MS. PATRICIA VINCENT
HWS
NProf
805 FOREST AVENUE
NORTHFIELD, MN 55057
PHONE: 507/664-8800
THREE LINKS CARE CENTER
(20139)
FAX: 507/645-0942
NProf
MS. PATRICIA VINCENT
NH-102
SNF-NF-102
815 FOREST AVENUE
NORTHFIELD, MN 55057
PHONE: 507/664-8800
THREE LINKS CARE CENTER/FELLOW
(00564)
FAX: 507/645-0942
MS. PATRICIA VINCENT
HWS
NProf
815 FOREST AVENUE
NORTHFIELD, MN 55057
PHONE: 507/664-8800
(20136)
FAX: 507/645-0942
MS. PATRICIA VINCENT
Minnesota Department of Health
Division of Compliance Monitoring
Page 377
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
VALLEY VIEW OF NORTHFIELD
Certification
RICE
Registration
(Cont.)* -------------------------­
HWSAL
HCP-F
812 NORTH LINDEN STREET
(20071)
NORTHFIELD, MN 55057
PHONE: 507/645-4126
FAX: 507/645-5948
WEST HILLS LODGE WOMENS PROGRM
NProf
MR. JOHN F BONNER
SLFA-6
1101 SPRING STREET SOUTH
NORTHFIELD, MN 55057
PHONE: 507/645-6226
(27689)
FAX: 507/645-7473
MS. JODY ANDERSON
---------------------------**********
THE TUFF VILLAGE
Church
ROCK
******** -------------------------­
HCP-F
HWSAL
301 COUNTY ROAD NO 6
HILLS, MN 56138
PHONE: 507/962-3500
TUFF MEMORIAL HOME
(21200)
FAX: 507/962-3590
Church
MS. BONNIE HENGEVELD
NH-50
SNF-NF-50
505 EAST FOURTH STREET
HILLS, MN 56138
PHONE: 507/962-3275
TUFF MEMORIAL HOME VISTE MANOR
(00576)
MR. DANA DAHLQUIST
FAX: 507/962-3277
HWSAL
Church
500 EAST 4TH STREET
HILLS, MN 56138
PHONE: 507/962-3500
GOOD SAM SOCIETY HOME CARE
(23857)
MS. BONNIE HENGEVELD
FAX: 507/962-3590
NProf
HCP-B
201 OAK DRIVE
LUVERNE, MN 56156
PHONE: 507/283-1996
GOOD SAM SOCIETY MARY JN BROWN
(25624)
FAX: 507/283-1773
NProf
MR. PHIL SAMUELSON
SNF-NF-51
NH-51
110 SOUTH WALNUT AVENUE
LUVERNE, MN 56156
PHONE: 507/283-2375
MN VETERANS HOME - LUVERNE
(00575)
FAX: 507/283-2377
State
MR. PHILIP SAMUELSON
NH-85
1300 NORTH KNISS PO BOX 539
LUVERNE, MN 56156
PHONE: 507/283-1100
POPLAR CREEK ESTATES
(00411)
FAX: 507/283-1127
NProf
MR. LUKE SCHRYVERS
HCP-F
201 OAK DRIVE
LUVERNE, MN 56156
PHONE: 507/283-1996
(23223)
FAX: 507/283-1773
MR. PHILIP SAMUELSON
Minnesota Department of Health
Division of Compliance Monitoring
Page 378
Directory of Facilities and Services
Facility/Service
Owner
Licensure
Certification
ROCK
---------------------------**********
Corp
RES ADVANTAGES INC LUVERNE
Registration
(Cont.)* -------------------------­
ICFIID-6
SLFB-6
107 SOUTH BLUE MOUND AVENUE
(01345)
LUVERNE, MN 56156
PHONE: 507/831-5033
FAX: 507/831-2612
MR. D. BILL OLSON
NProf
SANFORD LUVERNE HOSPICE
211 EAST MAIN STREET SUITE 101
(02825)
LUVERNE, MN 56156
PHONE: 507/283-1805
FAX: 507/449-2011
ONProf
SANFORD LUVERNE HOSPICE
MS. TAMMY LOOSBROCK
RES-HSPICE-4
217 NORTH OAKLEY
(23479)
LUVERNE, MN 56156
PHONE: 507/283-1805
FAX: 507/449-2011
NProf
SANFORD LUVERNE MEDICAL CENTER
MS. TAMMY LOOSBROCK
BASS-5 HOSP-28
CAH-25
1600 NORTH KNISS AVENUE
(00574)
LUVERNE, MN 56156
PHONE: 507/283-2321
MS. TAMMY LOOSBROCK
FAX: 507/283-2091
SOUTHWESTERN MENTAL HEALTH CTR
CMHC
NProf
216 E LUVERNE ST PO BOX 686
(02788)
LUVERNE, MN 56156
PHONE: 507/283-9511
THE OAKS & POPLAR CREEK ESTATE
MR. SCOTT JOHNSON
FAX: /-
HWSAL
NProf
201 OAK DRIVE
LUVERNE, MN 56156
PHONE: 507/283-1996
(20465)
FAX: 507/283-1773
MR. PHILIP SAMUELSON
---------------------------**********
COMPASSIONATE HOME CARE
Corp
ROSEAU
******** -------------------------­
HCP-A
14818 COUNTY ROAD 4
GREENBUSH, MN 56726
PHONE: 218/782-4146
LIFECARE GREENBUSH MANOR
(25298)
FAX: 218/782-4191
NProf
MS. SARA EEG
HCP-F
19120 200TH STREET
GREENBUSH, MN 56726
PHONE: 218/782-2131
LIFECARE GREENBUSH MANOR
(27671)
FAX: 218/782-4005
NProf
MS. SUSAN LISELL
NH-40
NF1-20 SNF-NF-20
19120 200TH STREET
GREENBUSH, MN 56726
PHONE: 218/463-2500
(00578)
FAX: 218/463-1266
MS. SUSAN LISELL
Minnesota Department of Health
Division of Compliance Monitoring
Page
379
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
LIFECARE MEDICAL CENTER GREENB
Certification
ROSEAU
Registration
(Cont.)* -------------------------­
HWSAL
NProf
19120 200TH STREET
GREENBUSH, MN 56726
PHONE: 218/782-6138
AGELESS CARE INCORPORATED
(27672)
FAX: 218/782-4010
Corp
MS. CATHERINE HUSS
HCP-A
HWS
702 7TH STREET SOUTHWEST
ROSEAU, MN 56751
PHONE: 218/463-3695
ALTRU RENAL DIALYSIS
(24558)
FAX: 218/464-3708
MS. KARIN LOVEN-KOTZ
ESRD
NProf
711 DELMORE DRIVE
ROSEAU, MN 56751
PHONE: 701/780-5877
LIFECARE HOME CARE & HOSPICE
(28247)
FAX: 701/780-5852
NProf
MS. COLETTE GREEK
HCP-A
HHA
715 DELMORE DRIVE
ROSEAU, MN 56751
PHONE: 218/463-2500
LIFECARE HOME CARE & HOSPICE
(02143)
MS. SUSAN LISELL
FAX: 218/463-4755
NProf
Hospice
HSPICE
715 DELMORE DRIVE
ROSEAU, MN 56751
PHONE: 218/463-2500
LIFECARE MEDICAL CENTER
(03637)
MS. SUSAN LISELL
FAX: 218/463-4755
NProf
NH-60 BASS-7 HOSP-25
SNF-NF-60 CAH-25
715 DELMORE DRIVE
ROSEAU, MN 56751
PHONE: 218/463-2500
NORTH STAR APARTMENTS
(00579)
FAX: 218/463-1266
MR. KEITH OKESON
HWS
Part
706 MAIN AVENUE SOUTH
ROSEAU, MN 56751
PHONE: 218/463-3086
OAK CREST SENIOR HOUSING
(20956)
FAX: 218/463-2774
NProf
MS. DEBBIE KOMPELIEN
HWSAL
HCP-F
201 10TH STREET SOUTHEAST
ROSEAU, MN 56751
PHONE: 218/463-2006
LAKEVIEW RETIREMENT RESIDENCE
(24166)
FAX: 218/463-2031
NProf
MS. CHERYL GRAFSTROM
HWSAL
HCP-F
1401 LAKE STREET NORTHWEST
WARROAD, MN 56763
PHONE: 218/386-1235
WARROAD CARE CENTER
(20747)
FAX: 218/386-3548
NProf
MR. ROD KUTTER
NH-49
SNF-NF-49
1401 LAKE STREET NW
WARROAD, MN 56763
PHONE: 218/386-1235
(26877)
FAX: 218/386-3548
MS. EMILY STRAW
Minnesota Department of Health
Division of Compliance Monitoring
Page 380
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
DRCC AURORA
NProf
Certification
SAINT LOUIS
Registration
******** -------------------------­
ICFIID-5
SLFB-5
417 SOUTH MAIN STREET
AURORA, MN 55705
PHONE: 218/229-3369
ESSENTIA HEALTH NORTHERN PINES
(01610)
FAX: 218/727-9555
NProf
MR. MICHAEL MILLS
NH-50 BASS-4 HOSP-16
SNF-NF-50 CAH-16
5211 HIGHWAY 110
AURORA, MN 55705
PHONE: 218/229-2211
CAREFREE LIVING OF BABBITT
(00604)
FAX: 218/229-2042
MS. LAURA ACKMAN
HWSAL
Corp
1 CENTRAL BOULEVARD
BABBITT, MN 55706
PHONE: 218/827-2273
CLAYRIDGE ASSISTED LIVING
(29103)
FAX: 218/827-3447
MS. MARILYN HANSON
HWSAL
Corp
100 VERMILION TRAIL PO BOX 906
BIWABIK, MN 55708
PHONE: 218/865-4588
ANDERSONS PINE GROVE HOME
(21987)
MR. CLYDE SALMI
FAX: 218/865-4671
Corp
HCP-F
5130 HIGHWAY 31
BROOKSTON, MN 55711
PHONE: 218/453-5554
BROOKE MANOR INC
(03911)
MR. CHRIS BEAUCHAMP
FAX: 218/453-1014
Corp
HWSAL
HCP-F
4878 HWY 31
BROOKSTON, MN 55711
PHONE: 218/453-5262
STONEHAVEN ASSISTED LIVING
(21969)
FAX: 218/453-1023
MRS. VIRGINIA TUOMINEN
HWSAL
Corp
8783 2ND STREET S PO BOX 367
BROOKSTON, MN 55711
PHONE: 218/453-5062
STONEHAVEN ASSISTED LIVING
(28162)
FAX: 218/453-5064
Corp
MS. JENNIFER JOHNSON
HCP-F
8783 2ND STREET S PO BOX 367
BROOKSTON, MN 55711
PHONE: 218/453-5062
WINTER HOMES INCORPORATED
(28161)
FAX: 218/453-5064
Corp
MS. JENNIFER JOHNSON
SLFA-6
4982 PAUPORES ROAD
BROOKSTON, MN 55711
PHONE: 218/879-2275
CORNERSTONE VILLA
(01651)
FAX: 218/878-8366
NProf
MS. SHERRY WINTER
NH-44
SNF-NF-44
1000 FOREST STREET
BUHL, MN 55713
PHONE: 218/258-8742
(23242)
FAX: 218/258-8767
MS. DEBRA DOUGHTY
Minnesota Department of Health
Division of Compliance Monitoring
Page
381
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
SAINT LOUIS
(Cont.)* -------------------------­
HWSAL
Lim-Liab
NORTHLAND ASSISTED LIVING LLC
Registration
500 EAST MONROE DRIVE
(26432)
BUHL, MN 55713
PHONE: 218/258-8681
FAX: 218/258-8682
Corp
ASPEN GROVE ASSISTED LIVING
MR. THOMAS RENIER
HCP-F
HWSAL
504 IRON DRIVE
(27162)
CHISHOLM, MN 55719
PHONE: 218/254-2750
FAX: 218/254-0164
Church
HERITAGE MANOR
MS. BRENDA GARGANO
NH-78
SNF-NF-78
321 NORTHEAST SIXTH STREET
(00904)
CHISHOLM, MN 55719
PHONE: 218/254-5765
FAX: 218/354-5767
Corp
HILLCREST TERRACE OF CHISHOLM
MR. GEOFFREY RYAN
HWSAL
HCP-F
624 SW THIRD STREET BOX 552
(20199)
CHISHOLM, MN 55719
PHONE: 218/263-4157
MR. RANDY SCHROETTER
FAX: 218/263-4468
NProf
LEGACY RANGE CENTER INC
ICFIID-6
SLFB-6
112 9TH STREET NORTHWEST
(01062)
CHISHOLM, MN 55719
PHONE: 218/254-8745
MS. SHELLEY ROBINSON
FAX: 218/254-7343
Corp
SERVING HANDS INC
HCP-F
601 EAST LAKE STREET
(25527)
CHISHOLM, MN 55719
PHONE: 218/254-7300
FAX: 218/254-2839
MR. TODD NELSON
HWS
Lim-Liab
SERVING HANDS PROPERTIES LLC
601 EAST LAKE STREET
(25526)
CHISHOLM, MN 55719
PHONE: 218/254-7300
FAX: 218/254-2839
MR. TODD NELSON
HWSAL
Corp
COOK CAREFREE LIVING INC
151 4TH STREET SOUTHEAST
(27092)
COOK, MN 55723
PHONE: 218/666-0200
FAX: 218/666-0203
Dist
COOK HOSPITAL
MR. MERLE SAMPSON
NH-28 BASS-2 HOSP-14
10 SOUTHEAST FIFTH STREET
(00586)
COOK, MN 55723
PHONE: 218/666-5945
FAX: 218/666-6238
Ind
BARBARA DAWN KUTSI
MR. ALLEN VOGT
HCP-A
8747 LAMBERT ROAD
(21808)
COTTON, MN 55724
PHONE: 218/393-2170
FAX: /-
MS. BARBARA KUTSI
SNF-NF-28 CAH-14
Minnesota Department of Health
Division of Compliance Monitoring
Page 382
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
ACCENTUCARE INC
Certification
SAINT LOUIS
Registration
(Cont.)* -------------------------­
HCP-A
2308 SPRINGVALE COURT
(28220)
DULUTH, MN 55811
PHONE: 218/348-6888
ACCRA HOME HEALTH-DULUTH
FAX: /­
MS. PATRICIA LUOMA
Corp
HCP-A
HHA
1932 LONDON ROAD
DULUTH, MN 55812
PHONE: 218/724-2800
AFTENRO HOME
(03338)
FAX: 218/724-8200
NProf
MR. JOHN DAHM
BCH-54
NF2-54
510 WEST COLLEGE STREET
DULUTH, MN 55811
PHONE: 218/728-6602
BAYSHORE RESIDENCE & REHAB CTR
(00581)
FAX: 218/728-5452
Lim-Liab
MS. ROBERTA CLINE
NH-140
SNF-NF-140
1601 ST LOUIS AVENUE
DULUTH, MN 55802
PHONE: 218/727-8651
BENEDICTINE HEALTH CENTER
(00589)
MR. MICHAEL BOSLEY
FAX: 218/727-1761
NProf
NH-120
SNF-NF-120
935 KENWOOD AVENUE
DULUTH, MN 55811
PHONE: 218/723-6408
BENET HALL
(00861)
MS. KATIE REDIG
FAX: 218/723-6449
NProf
HCP-F
1001 KENWOOD AVENUE
DULUTH, MN 55811
PHONE: 218/723-6733
BENET HALL
(28241)
FAX: 218/723-6548
MS. SANDRA PAVELKA
HWSAL
ONProf
1001 KENWOOD AVENUE
DULUTH, MN 55811
PHONE: 218/625-4826
CHRIS JENSEN HLTH & REHAB CTR
(28244)
FAX: 218/723-6548
Lim-Liab
MS. MARGARET WOLTERS
NH-170
SNF-NF-170
2501 RICE LAKE ROAD
DULUTH, MN 55811
PHONE: 218/625-6400
DIAMOND WILLOW ASSISTED LIVING
(00598)
FAX: 218/625-6452
MR. DON BABBITT
HWSAL
Lim-Liab
6353 E SUPERIOR STREET
DULUTH, MN 55804
PHONE: 218/525-8093
DIAMOND WILLOW ASSISTED LIVING
(28545)
FAX: 218/525-8176
MS. BRENDA MARSHALL
HWSAL
Lim-Liab
6355 E SUPERIOR STREET
DULUTH, MN 55804
PHONE: 218/525-8177
(28546)
FAX: 218/525-8364
MS. BRENDA MARSHALL
Minnesota Department of Health
Division of Compliance Monitoring
Page 383
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
DRCC LAVERNE
NProf
Certification
SAINT LOUIS
Registration
(Cont.)* -------------------------­
ICFIID-6
SLFA-6
1530 EAST SECOND STREET
DULUTH, MN 55812
PHONE: 218/728-5891
E B I INCORPORATED
(20994)
FAX: 218/727-9555
Corp
MR. MICHAEL MILLS
SLFA-6
625 NORTH 56 AVENUE WEST
DULUTH, MN 55807
PHONE: 218/624-3122
ECUMEN DULUTH THE SHORES
(01544)
FAX: 218/628-1699
NProf
MS. SARAH HAMILTON
HCP-F
HWSAL
4000 LONDON ROAD
DULUTH, MN 55804
PHONE: 218/625-8280
ESSENTIA HEALTH DULUTH
(24064)
FAX: 218/625-7808
NProf
MS. RITA WALKER
HOSP-165
HOSP-121 PPS-R-44 PPS-R-
502 EAST SECOND STREET
DULUTH, MN 55805
PHONE: 218/786-2646
ESSENTIA HEALTH ST MARYS HOSPI
(00596)
MR. WILLIAM PALMER
FAX: 218/786-5922
NProf
Hospice
HSPICE
330 EAST 2ND STREET
DULUTH, MN 55805
PHONE: 218/786-4020
ESSENTIA HEALTH ST MARYS MED
(02562)
MS. SANDRA PAVELKA
FAX: 218/786-4223
NProf
BASS-46 HOSP-380
HOSP-380
407 EAST THIRD STREET
DULUTH, MN 55805
PHONE: 218/786-4000
FIVE STAR ASSISTED LIVING SERV
(00600)
FAX: 218/786-4888
Lim-Liab
MR. JAMES GARVEY
HCP-F
11 EAST SUPERIOR ST SUITE 230
DULUTH, MN 55802
PHONE: 218/591-7541
FMC DIAL SERVS OF SPIRIT VALLE
(24424)
FAX: 218/625-2338
MS. NATALIE ZELEZNIKAR
ESRD
Corp
4700 MIKE COLALLILO DRIVE
DULUTH, MN 55807
PHONE: 218/624-7787
FMC DIALYSIS SERVICES DULUTH
(21989)
FAX: 218/624-7752
MR. JOHN ROTH
ESRD
Corp
502 EAST 2ND ST
DULUTH, MN 55805
PHONE: 218/720-1164
FRANCISCAN HEALTH CENTER
(02113)
FAX: 218/720-1463
NProf
MS. PAM ELDSTAD
NH-44
SNF-NF-44
3910 MINNESOTA AVENUE
DULUTH, MN 55802
PHONE: 218/302-6988
(00865)
FAX: 218/727-6610
MS. DEBORAH DEGRIO
Minnesota Department of Health
Division of Compliance Monitoring
Page 384
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
GARDEN HOUSE ESTATES LTD
Corp
Certification
SAINT LOUIS
Registration
(Cont.)* -------------------------­
HWSAL
HCP-F
1 RIVERSIDE DRIVE
DULUTH, MN 55808
PHONE: 218/628-0271
GENTIVA HEALTH SERVICES
(20837)
FAX: 218/628-3981
Corp
MR. DALE BREILAND
HCP-A
HHA
925 EAST SUPERIOR ST STE 104
DULUTH, MN 55802
PHONE: 218/723-8999
GREYSOLON PLAZA
(02426)
FAX: 218/723-8237
MS. RACHEL RHODES
HWSAL
Part
231 EAST SUPERIOR STREET
DULUTH, MN 55802
PHONE: 218/722-3131
HEARTHSTONE HOME CARE LLC
(20850)
FAX: 218/733-5750
Lim-Liab
MR. NICK CAPRA
HCP-A
HHA
2701 W SUPERIOR ST SUITE 101
DULUTH, MN 55802
PHONE: 218/740-4290
HEARTLAND PCA LLC
(26728)
MS. BRENDA MARSHALL
FAX: 218/279-4412
Home Mgmt
Lim-Liab
1700 MALL DRIVE
DULUTH, MN 55811
PHONE: 218/727-0990
HERITAGE HAVEN INC
(25708)
MS. GWENDOLYN HARRIS
FAX: 218/727-1179
HWSAL
Corp
3040 MORRIS THOMAS ROAD
DULUTH, MN 55811
PHONE: 218/722-2088
HERITAGE HAVEN INC
(25918)
FAX: 218/727-8850
Corp
MS. SUZANNE TAYLOR
HWSAL
HCP-F
4512 LONDON ROAD
DULUTH, MN 55804
PHONE: 218/590-5037
HERITAGE HAVEN INC
(20035)
FAX: 218/727-8850
MS. SUZANNE TAYLOR
HWSAL
Corp
3044 MORRIS THOMAS ROAD
DULUTH, MN 55811
PHONE: 218/722-2415
HERITAGE HAVEN INC III
(24250)
FAX: 218/727-8850
MS. SUZANNE TAYLOR
HWSAL
Corp
3042 MORRIS THOMAS ROAD
DULUTH, MN 55811
PHONE: 218/722-2118
HILLSIDE HOMES I
(25455)
FAX: 218/727-8850
MS. SUZANNE TAYLOR
HWSAL
Corp
408 NORTH 8TH AVENUE EAST
DULUTH, MN 55805
PHONE: 218/727-1999
(20888)
FAX: 218/720-6022
MS. DIANE LINDSEY
Minnesota Department of Health
Division of Compliance Monitoring
Page 385
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
SAINT LOUIS
(Cont.)* -------------------------­
HWSAL
Corp
HILLSIDE HOMES II
Registration
412 NORTH 8TH AVENUE EAST
(20889)
DULUTH, MN 55805
PHONE: 218/733-9268
FAX: 218/720-6022
Corp
HILLSIDE HOMES OF DULUTH INC
MS. DIANE LINDSEY
HCP-F
414 NORTH 8TH AVENUE EAST
(20350)
DULUTH, MN 55805
PHONE: 218/720-5890
FAX: 218/720-6022
Lim-Liab
HOME INSTEAD SENIOR CARE
MS. DIANE LINDSEY
HCP-A
315 EAST CENTRAL ENTRANCE
(23296)
DULUTH, MN 55811
PHONE: 218/727-8810
FAX: 218/727-3522
MS. MARY ANDREWS
CMHC
NProf
HUMAN DEVELOPMENT CENTER
1401 EAST FIRST STREET
(02766)
DULUTH, MN 55805
PHONE: 218/728-4491
INTERIM HEALTHCARE
MR. ALLEN BROWN
FAX: /­
Corp
HCP-A
HHA
227 WEST FIRST ST STE 400
DULUTH, MN 55802
PHONE: 218/722-0053
INTERIM HEALTHCARE
(02828)
MS. DIANE SMITH
FAX: 218/722-0318
Corp
HCP-F
227 W FIRST STREET STE 400
DULUTH, MN 55802
PHONE: 218/722-0053
INTERIM HEALTHCARE VENT CARE R
(20828)
FAX: 218/722-0318
MS. DIANE SMITH
HWS-O
Corp
4730 MATTERHORN CIRCLE
DULUTH, MN 55811
PHONE: 218/722-0053
KEYSTONE BLUFFS ASSISTED LIVG
(22354)
FAX: 218/722-0318
Lim-Liab
MR. STEVEN SCRIGNOLI
HCP-F
2528 TRINITY ROAD
DULUTH, MN 55811
PHONE: 218/727-2800
KEYSTONE BLUFFS ASSISTED LIVG
(21036)
FAX: 218/727-2850
MS. AMY ALTMAN
HWSAL
Lim-Liab
2528 TRINITY ROAD
DULUTH, MN 55811
PHONE: 218/727-2800
KING MANOR
(29456)
FAX: 218/727-2850
MS. AMY ALTMAN
HWS-O
HRA
222 EAST SECOND STREET
DULUTH, MN 55805
PHONE: 218/529-6300
(21169)
FAX: 218/529-6344
MR. RICHARD BALL
Minnesota Department of Health
Division of Compliance Monitoring
Page 386
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
SAINT LOUIS
(Cont.)* -------------------------­
Home Mgmt
Corp
LAKE SUPERIOR CONCIERGE INC
Registration
5652 N CLOQUET ROAD
(25246)
DULUTH, MN 55810
PHONE: 218/310-6779
FAX: 218/624-8727
NProf
LAKESHORE AT HOME
MS. KIMBERLY SORENSEN
HCP-A
HHA
3900 LONDON ROAD
(02059)
DULUTH, MN 558042241
PHONE: 218/625-7848
FAX: 218/625-8274
NProf
LAKESHORE INC
MS. KARI EVERSON
NH-60
SNF-NF-60
4002 LONDON ROAD
(00594)
DULUTH, MN 55804
PHONE: 218/525-1951
FAX: 218/625-7808
Corp
LAKESIDE MANOR
MR. JOHN KORZENDORFER
HWSAL
HCP-F
4831 LONDON ROAD
(20087)
DULUTH, MN 55804
PHONE: 218/525-2784
MR. THOMAS KOLAR
FAX: 218/525-3411
Corp
LAKEWALK SURGERY CENTER INC
Outpt Surg
Amb Surg
1420 LONDON ROAD SUITE 100
(20618)
DULUTH, MN 55805
PHONE: 218/728-8505
MR. JOE MAJERUS
FAX: 218/728-8557
Corp
LIFESTONE HEALTH CARE INC
HCP-A
2214 SPRINGVALE RD
(29862)
DULUTH, MN 55811
PHONE: 218/269-6579
FAX: /-
MS. CHIAMAKA ENEMUOH
HWSAL
Corp
LIFESTONE HEALTH CARE INC
2214 SPRINGVALE ROAD
(29903)
DULUTH, MN 55806
PHONE: 218/269-6579
FAX: /­
MS. CHIAMAKA ENEMUOH
Corp
MCCARTHY MANOR INC
HWSAL
HCP-F
2221 NORTH ARLINGTON AVENUE
(20034)
DULUTH, MN 55811
PHONE: 218/722-1501
FAX: 218/722-5882
MORNING STAR WOMENS HEALTH AND
MR. JOHN HANSEN
Corp
1730 EAST SUPERIOR STREET
DULUTH, MN 55812
PHONE: 218/722-2700
MSOCS SWAN LAKE ICFMR
(29855)
FAX: 218/728-4215
State
MS. PAULA FEIGAL
ICFIID-6
SLFB-6
1423 SWAN LAKE ROAD
DULUTH, MN 55811
PHONE: 218/722-9449
(01650)
FAX: 218/279-2674
MS. JESSICA OSLIN
Minnesota Department of Health
Division of Compliance Monitoring
Page
387
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NORTHLAND ASSISTED LIVING
Lim-Liab
Certification
SAINT LOUIS
Registration
(Cont.)* -------------------------­
HCP-F
202 W SUPERIOR STREET STE 610
DULUTH, MN 55802
PHONE: 218/723-4040
PATHWAYS TO ACHIEVEMENT
(24908)
FAX: 218/723-4048
Corp
MS. CAROL CHIPMAN
HCP-A
HHA
114 SOUTH 20TH AVE W STE A
DULUTH, MN 55806
PHONE: 218/721-4732
PAVILION SURGERY CENTER LLC
(23205)
FAX: 218/491-7185
Lim-Liab
MS. BRENDA EHNES
Outpt Surg
Amb Surg
920 EAST FIRST ST SUITE 101
DULUTH, MN 55805
PHONE: 218/279-6200
PINE GROVE APARTMENTS
(21063)
FAX: 218/279-6205
MS. ESTHER LINDEMAN
HWSAL-O
NProf
4082 HAINES ROAD
DULUTH, MN 55811
PHONE: 651/645-7271
PINES HOMECARE SERVICES LLC
(24466)
MR. STEPHEN VANDER SCHAAF
FAX: 651/645-0541
Lim-Liab
HCP-F
50 EAST ST MARIE STREET
DULUTH, MN 55803
PHONE: 218/724-5500
PINES III ASSISTED LIVING
(20643)
MS. DANIELLE LESMEISTER
FAX: 218/724-5535
HWSAL
NProf
50 EAST ST MARIE STREET
DULUTH, MN 55803
PHONE: 218/724-5500
POLINSKY MEDICAL REHAB CTR
(20866)
FAX: 218/724-5535
MS. ASHLEY ANDERSON
Out Pt Out St Out Ot
NProf
530 EAST 2ND STREET
DULUTH, MN 55805
PHONE: 218/786-5366
PRIMROSE OF DULUTH
(26267)
FAX: 218/786-5922
Lim-Liab
MS. MARCIA JOHNSON
HWSAL
HCP-F
724 MAPLE GROVE ROAD
DULUTH, MN 55811
PHONE: 218/724-4900
RES TREATMENT & DETOX CTR
(21916)
FAX: 218/722-3760
NProf
MR. MARK MCNEARY
SLFB-40
1402 EAST SUPERIOR STREET
DULUTH, MN 55805
PHONE: 218/529-3426
RIVER HILL ASSISTED LIVING INC
(21125)
FAX: 218/529-3447
Corp
MS. TINA SILVERNESS
HWSAL
HCP-F
126 98TH AVENUE WEST
DULUTH, MN 55808
PHONE: 218/626-3322
(25393)
FAX: 218/626-1089
MS. PATRICE STENHAMMER
Minnesota Department of Health
Division of Compliance Monitoring
Page
388
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
RSI HARTLEY
NProf
Certification
SAINT LOUIS
Registration
(Cont.)* --------------------------
ICFIID-6
SLFB-6
707 WEST ARROWHEAD ROAD
DULUTH, MN 55811
PHONE: 218/740-7606
SENIOR FRIEND
(01448)
FAX: 218/727-2893
Corp
MR. JON NELSON
HCP-F
301 W FIRST ST SUITE 309
DULUTH, MN 55802
PHONE: 218/727-1111
SENIOR FRIEND ASSOCIATES INC
(21940)
FAX: 218/720-6819
Corp
MS. SANDI KIENZLE
HCP-A
HHA
301 WEST FIRST ST
DULUTH, MN 55802
PHONE: 218/727-1111
SEPTEMBER HOUSE
(02390)
FAX: 218/720-6819
Ind
MS. SANDI KIENZLE
HWS
HCP-F
2140 WOODLAND AVENUE
DULUTH, MN 55803
PHONE: 218/728-9065
SOLVAY HOUSE
(03775)
MS. SUZANNE VEDDER
FAX: 218/728-4815
NProf
RES-HSPICE-12
18-HOSPICE-12
801 BAYLIS STREET
DULUTH, MN 55811
PHONE: 218/529-3400
SPIRIT VALLEY ASSISTED LIVING
(25300)
MS. SANDRA PAVELKA
FAX: 218/529-3419
Lim-Liab
HWSAL
HCP-F
102 NORTH 58TH AVENUE WEST
DULUTH, MN 55807
PHONE: 218/628-2705
SPIRIT VALLEY ASSISTED LIVING
(24120)
FAX: 218/628-7225
MR. CHARLES BELL
HWSAL
Lim-Liab
101 NORTH 58TH AVENUE WEST
DULUTH, MN 55807
PHONE: 218/628-2705
ST ANNS RESIDENCE
(24431)
FAX: 218/628-7225
NProf
MR. CHARLES BELL
HWSAL
HCP-F
330 EAST THIRD STREET
DULUTH, MN 55805
PHONE: 218/727-8831
ST ELIGIUS HEALTH CENTER
(20183)
FAX: 218/727-8833
Church
MS. TRACI JASZCZAK
NH-77
SNF-NF-77
7700 GRAND AVENUE
DULUTH, MN 55807
PHONE: 218/628-2341
ST LOUIS CO PUBLIC HEALTH & HS
(00593)
FAX: 218/628-0395
MS. MELODY KRATTENMAKER
Home Mgmt
Cnty
320 WEST SECOND STREET
DULUTH, MN 55802
PHONE: 218/726-2000
(02019)
FAX: 218/725-5186
MR. RICHARD PINGRY
Minnesota Department of Health
Division of Compliance Monitoring
Page
389
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
ST LUKES HOME HEALTH SERVICES
NProf
Certification
SAINT LOUIS
Registration
(Cont.)* -------------------------­
HCP-A
HHA
220 NORTH SIXTH AVENUE EAST
DULUTH, MN 55805
PHONE: 218/249-6111
ST LUKES HOSPICE DULUTH
(02150)
FAX: 218/249-6166
NProf
MS. LYNN NELSON
Hospice
HSPICE
220 NORTH SIXTH AVENUE EAST
DULUTH, MN 55805
PHONE: 218/249-6111
ST LUKES HOSPITAL
(02753)
FAX: 218/249-6166
NProf
MS. LYNN NELSON
BASS-18 HOSP-267
HOSP-248 PPS-R-19 PPS-R-
915 EAST FIRST STREET
DULUTH, MN 55805
PHONE: 218/249-5555
SUPERIOR VIEW APARTMENTS
(00599)
FAX: 218/249-2472
MR. JOHN STRANGE
HWSAL-O
NProf
1022 JUNCTION AVENUE
DULUTH, MN 55812
PHONE: 651/645-7271
THE CREST AT LAKESHORE
(24465)
MR. STEPHEN VANDER SCHAAF
FAX: 651/645-0541
HWS
NProf
4004 LONDON ROAD
DULUTH, MN 55804
PHONE: 218/625-7805
THUNDERBIRD/WREN HOUSE
(25830)
MS. ROXANNE STERNBERG
FAX: 218/625-7808
NProf
SLFA-20
229 NORTH FOURTH AVENUE WEST
DULUTH, MN 55806
PHONE: 218/879-6731
TOUCHING HEARTS AT HOME
(01358)
FAX: 218/879-6734
MR. JIM MALLERY
Home Mgmt
Ind
314 W SUPERIOR ST STE M275
DULUTH, MN 55802
PHONE: 218/724-4743
TRANSITIONAL SENIOR HOUSING
(25226)
FAX: 218/722-0227
Ind
MS. SASCHA MANSSON
HWS
HCP-F
1609 PIEDMONT AVENUE
DULUTH, MN 55811
PHONE: 218/727-5080
TRI TOWERS
(20834)
FAX: 218/727-4330
MR. BRUCE ROSERA
HWS-O
HRA
222 NORTH 2ND AVE EAST
DULUTH, MN 55805
PHONE: 218/529-6300
TRILLIUM ELDER CARE INC
(21864)
FAX: 218/529-6344
Corp
MR. RICHARD BALL
HCP-A
4629 AIRPARK BOULEVARD
DULUTH, MN 55811
PHONE: 218/722-5009
(29467)
FAX: 218/722-7219
MS. ANGELA GUSTAFSON
Minnesota Department of Health
Division of Compliance Monitoring
Page
390
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
UNIVERSAL PEDIATRIC SERV INC
Corp
Certification
SAINT LOUIS
Registration
(Cont.)* -------------------------­
HCP-A
HHA
306 WEST MICHIGAN ST STE 301
DULUTH, MN 55802
PHONE: 218/733-3485
VIEWCREST HEALTH CENTER
(02856)
FAX: 218/722-1567
NProf
MS. CHRISTINE LESEMANN
NH-92
SNF-NF-92
3111 CHURCH STREET
DULUTH, MN 55811
PHONE: 218/279-4203
WESLEY RESIDENCE OF DULUTH
(00602)
FAX: 218/727-6460
Corp
MR. ROBERT DAHL
HCP-F
HWSAL
5601 GRAND AVENUE
DULUTH, MN 55807
PHONE: 218/628-2307
WESTWOOD OF DULUTH
(20151)
FAX: 218/628-6301
NProf
MS. ANGELA DEGERSTROM
HWS
HCP-F
925 KENWOOD AVENUE
DULUTH, MN 55811
PHONE: 218/733-2238
BOUNDARY WATERS CARE CENTER
(20935)
MR. DANA TCHIDA
FAX: 218/279-7360
NProf
NH-40
SNF-NF-40
200 WEST CONAN STREET
ELY, MN 55731
PHONE: 218/365-8705
ELY BLOOMENSON COMM HOSPITAL
(00587)
MS. LYNN HICKEY
FAX: 218/365-8777
NProf
BASS-3 HOSP-25
CAH-25
328 WEST CONAN STREET
ELY, MN 55731
PHONE: 218/365-3271
ELY BLOOMENSON HOSPITAL HHA
(28259)
FAX: 218/365-8777
NProf
MR. JOHN FOSSUM
HCP-A
HHA
328 WEST CONAN STREET
ELY, MN 55731
PHONE: 218/365-8722
ELY CAREFREE LIVING
(02258)
FAX: 218/365-8777
MS. BECKY GAULKE
HWSAL
Lim-Liab
140 SOUTH 2ND AVENUE WEST
ELY, MN 55731
PHONE: 218/365-2261
ELY CAREFREE LIVING
(25891)
FAX: 218/365-2214
MS. MARILYN HANSON
HWSAL
Lim-Liab
100 SOUTH 2ND AVENUE WEST
ELY, MN 55731
PHONE: 218/365-2261
ELY CAREFREE LIVING
(25889)
FAX: 218/365-2214
MS. MARILYN HANSON
HWSAL
Lim-Liab
200 SOUTH 2ND AVENUE WEST
ELY, MN 55731
PHONE: 218/365-2261
(25890)
FAX: 218/365-2214
MS. MARILYN HANSON
Minnesota Department of Health
Division of Compliance Monitoring
Page 391
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
SPECTRUM COMMUNITY HEALTH INC
Certification
SAINT LOUIS
Registration
(Cont.)* -------------------------­
HWSAL
Corp
1505 NORTH PIONEER RD
ELY, MN 55731
PHONE: 218/741-3013
FITZGERALD NH AND REHAB
(23478)
FAX: 218/741-1448
Corp
MS. MARILYN HANSON
NH-24
SNF-NF-24
227 MCKINLEY AVENUE
EVELETH, MN 55734
PHONE: 218/744-7570
FMC DIALYSIS SERVICES EVELETH
(00588)
FAX: 218/744-7573
MS. PATTI BANKS
ESRD
Corp
233 MC KINLEY AVENUE
EVELETH, MN 55734
PHONE: 218/744-3226
SALMI HOMES INC
(02473)
FAX: 218/744-3072
Corp
MS. PAM ELDSTAD
HCP-F
303 HAT TRICK AVENUE
EVELETH, MN 55734
PHONE: 218/744-5907
ST RAPHAELS HEALTH & REHAB
(03739)
MR. CLYDE SALMI
FAX: 218/744-1024
NProf
HWSAL
HCP-F
601 GRANT AVENUE
EVELETH, MN 55734
PHONE: 218/744-9800
ST RAPHAELS HEALTH & REHAB CTR
(20198)
MS. DAWN CHIABOTTI
FAX: 218/744-9829
NProf
NH-76
SNF-NF-76
601 GRANT AVENUE
EVELETH, MN 55734
PHONE: 218/744-9800
WILLOWWOOD MEMORY CARE
(00583)
FAX: 218/744-9829
MR. DAVID VANDERGON
HWSAL
Corp
303 HAT TRICK AVENUE
EVELETH, MN 55734
PHONE: 218/744-5907
RIVERVIEW MANOR
(20846)
FAX: 218/744-1024
MR. CLYDE SALMI
HWS
Part
328 EAST 11TH AVENUE
FLOODWOOD, MN 55736
PHONE: 218/476-2738
BROADVIEW MANOR
(23094)
FAX: 218/721-2377
MS. SHIRLEY JOHNSON
HWSAL
HRA
120 OHIO AVE WEST
GILBERT, MN 55741
PHONE: 218/741-0398
EDGEWOOD VISTA ALZHEIMERS CARE
(23607)
FAX: 218/741-8521
MS. RACHELLE HUFFMAN
HWSAL
Lim-Liab
4175 WESTBERG ROAD
HERMANTOWN, MN 55811
PHONE: 218/723-8905
(20853)
FAX: 218/723-4051
MR. PHILIP GISI
Minnesota Department of Health
Division of Compliance Monitoring
Page 392
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
EDGEWOOD VISTA HERMANTOWN
Certification
SAINT LOUIS
Registration
(Cont.)* -------------------------­
HWSAL
HCP-F
4195 WESTBERG ROAD
(20852)
HERMANTOWN, MN 55811
PHONE: 218/723-8905
FAX: 218/723-4051
MR. GARY BECKER
HWSAL
Lim-Liab
EDGEWOOD VISTA SUITES
4125 WESTBERG ROAD
(23990)
HERMANTOWN, MN 55811
PHONE: 218/723-8905
FAX: 218/723-4051
Corp
GOLDEN OAKS
MR. PHILIP GISI
HCP-F
HWSAL
4067 REINKE ROAD
(20156)
HERMANTOWN, MN 55811
PHONE: 218/729-5014
FAX: 218/729-0319
MR. CHARLES MILLER
HWSAL
Corp
INNOVATIVE ASSISTED LIVING
4266 LAVAQUE RD
(23770)
HERMANTOWN, MN 55811
PHONE: 218/491-7838
MR. ROB GANNUCCI
FAX: 218/491-7840
HWSAL
Corp
INNOVATIVE ASSISTED LIVING
4268 LAVAQUE RD
(24184)
HERMANTOWN, MN 55811
PHONE: 218/491-7838
MR. ROB GANNUCCI
FAX: 218/491-7840
HWSAL
Corp
SUPERIOR VIEW ASSISTED LIVING
4264 LAVAQUE ROAD
(26914)
HERMANTOWN, MN 55811
PHONE: 218/491-7838
FAX: 218/491-7840
Ind
ASPEN GROVE ALT SENIOR LIVING
MR. ROB GANNUCCI
HCP-F
522 ASPEN GROVE
(27486)
HIBBING, MN 55746
PHONE: 218/263-7330
FAX: /­
MS. BRENDA GARGANO
HWSAL
Ind
ASPEN GROVE ALTERNATIVE SENIOR
522 ASPEN GROVE
(27487)
HIBBING, MN 55746
PHONE: 218/263-7330
CHERISH
FAX: /­
MS. BRENDA GARGANO
Lim-Liab
HCP-A
302 EAST HOWARD STREET #230
HIBBING, MN 55746
PHONE: 218/263-8239
CHERISHED HOME MANAGEMENT
(28809)
FAX: 218/262-5748
MS. TRACY SODERSTROM
Home Mgmt
Lim-Liab
302 EAST HOWARD ST SUITE 230
HIBBING, MN 55746
PHONE: 218/263-9000
(27166)
FAX: 218/263-8336
MS. KIMBERLY TYLER
Minnesota Department of Health
Division of Compliance Monitoring
Page
393
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
SAINT LOUIS
(Cont.)* --------------------------
Home Mgmt
NProf
CTR FOR INDEPENDENT LVG NE MN
Registration
1309 EAST 40TH STREET
(29272)
HIBBING, MN 55746
PHONE: 218/262-6675
FAX: 218/262-6677
MS. KIM NYLANDER
ESRD
Corp
FRESENIUS MED CARE OF HIBBING
750 EAST 34TH ST
(02115)
HIBBING, MN 55746
PHONE: 218/362-6623
GREENVIEW NORTH
FAX: /­
MS. ANGIE HULBURT
NProf
HCP-F
HWSAL
3520 EAST 7TH AVENUE
HIBBING, MN 55746
PHONE: 218/263-3629
GREENVIEW SOUTH
(20403)
FAX: 218/262-4050
MS. PAM DIXON
HWSAL
NProf
3522 EAST SEVENTH AVENUE
HIBBING, MN 55746
PHONE: 218/263-3629
GUARDIAN ANGELS HEALTH & REHAB
(20092)
MS. PAM DIXON
FAX: 218/263-4050
NProf
NH-96
SNF-NF-96
1500 EAST THIRD AVENUE
HIBBING, MN 55746
PHONE: 218/231-8100
HEALTHLINE HOMECARE
(00858)
MR. GEOFFREY RYAN
FAX: 218/231-8102
Lim-Liab
HCP-A
HHA
1101 E 37TH STREET STE 27
HIBBING, MN 55746
PHONE: 218/262-6982
HILLCREST ADAMS
(02309)
FAX: 218/262-1723
MR. DAVID HOHL
HWSAL
Corp
2229 THIRD AVENUE EAST
HIBBING, MN 55746
PHONE: 218/263-4157
HILLCREST ALICE - NORTH
(20529)
FAX: 218/263-9032
MR. RANDY SCHROETTER
HWSAL
Corp
2314 2ND AVENUE EAST
HIBBING, MN 55746
PHONE: 218/263-4157
HILLCREST ALICE - SOUTH
(22146)
FAX: 218/263-9032
MR. RANDY SCHROETTER
HWSAL
Corp
2314 2ND AVENUE EAST
HIBBING, MN 55746
PHONE: 218/263-9220
HILLCREST OAKS
(23553)
FAX: 218/263-9580
MR. RANDY SCHROETTER
HWSAL
Corp
2413 1ST AVENUE EAST
HIBBING, MN 55746
PHONE: 218/263-4157
(28478)
FAX: 218/263-4468
MR. RANDY SCHROETTER
Minnesota Department of Health
Division of Compliance Monitoring
Page 394
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
HILLCREST PARKSIDE NORTH
Certification
SAINT LOUIS
Registration
(Cont.)* -------------------------­
HWSAL
Corp
2313 3RD AVENUE EAST
HIBBING, MN 55746
PHONE: 218/263-9220
HILLCREST PARKSIDE SOUTH
(25376)
FAX: 218/263-5750
MR. RANDY SCHROETTER
HWSAL
Corp
2313 3RD AVENUE EAST
HIBBING, MN 55746
PHONE: 218/263-8402
HILLCREST SUITES
(25375)
FAX: 218/263-5750
MR. RANDY SCHROETTER
HWSAL
Corp
1520 EAST HWY 37
HIBBING, MN 55746
PHONE: 218/263-3643
HILLCREST TERRACE OF HIBBING
(24447)
FAX: 218/263-5516
MR. RANDY SCHROETTER
HWSAL
Corp
1507 EAST 41ST STREET
HIBBING, MN 55746
PHONE: 218/263-3641
NORTH STAR HOSPICE
(20200)
MR. RANDY SCHROETTER
FAX: 218/263-7556
ONProf
HSPICE
Hospice
1101 EAST 37TH ST SUITE 27
HIBBING, MN 55746
PHONE: 218/262-6982
PERPICH APARTMENTS
(03270)
MR. DAVID HOHL
FAX: 218/262-1723
HWS
NProf
3203 - 3RD AVE W
HIBBING, MN 55746
PHONE: 218/741-4714
RANGE CENTER ASPENWOOD HOME
(24880)
FAX: 218/741-3080
NProf
MR. DARIK BUCHAR
ICFIID-6
SLFB-6
1820 EAST 39TH STREET
HIBBING, MN 55746
PHONE: 218/263-9079
RANGE CENTER MAPLEVIEW HOME
(01629)
FAX: 218/254-7343
NProf
MS. SHELLEY ROBINSON
ICFIID-6
SLFB-6
506 WEST 47TH STREET
HIBBING, MN 55746
PHONE: 218/263-4573
RECOVER HEALTH
(01315)
FAX: 218/254-7343
Corp
MS. SHELLEY ROBINSON
HHA
HCP-A
101 EAST HOWARD STREET
HIBBING, MN 55746
PHONE: 952/358-3278
SEVENTH AVENUE APARTMENTS
(02376)
FAX: 952/926-4002
MRS. JENNIFER ANDERSON
HWS
HRA
3230 EAST 7TH AVENUE APT 1-N
HIBBING, MN 55746
PHONE: 218/263-3661
(20585)
FAX: 218/262-4164
MS. ANITA PROVINZINO
Minnesota Department of Health
Division of Compliance Monitoring
Page
395
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
UNIVERSITY MEDICAL CTR MESABI
NProf
Certification
SAINT LOUIS
Registration
(Cont.)* -------------------------­
BASS-16 HOSP-175
HOSP-175
750 EAST 34TH STREET
HIBBING, MN 55746
PHONE: 218/362-6730
NORTHLAND VILLAGE
(00859)
FAX: 218/362-6619
MRS. DEBRA BOARDMAN
HWSAL
Lim-Liab
421 KENNEDY MEMORIAL DRIVE
HOYT LAKES, MN 55750
PHONE: 218/225-0176
THE HUMMINGBIRD
(27970)
FAX: 218/225-0179
Corp
MR. THOMAS RENIER
HCP-F
HWS
7704 COLE AVENUE
MEADOWLANDS, MN 55765
PHONE: 218/427-2294
DIAMOND WILLOW ASSISTED LIVING
(26569)
FAX: 218/427-1015
MR. MICHAEL LINDGREN
HWSAL
Lim-Liab
8583 UNITY DRIVE
MOUNTAIN IRON, MN 55768
PHONE: 218/741-1412
DIAMOND WILLOW ASSISTED LIVING
(24664)
MS. BRENDA MARSHALL
FAX: 218/741-1454
HWSAL
Lim-Liab
8585 UNITY DRIVE
MOUNTAIN IRON, MN 55768
PHONE: 218/741-1450
ORR CAREFREE LIVING INC
(24665)
MS. BRENDA MARSHALL
FAX: 218/741-1453
HWSAL
Corp
4576 LAKE STREET
ORR, MN 55771
PHONE: 218/757-3200
DIAMOND WILLOW ASSISTED LIVING
(30120)
FAX: 218/757-0060
MS. MARILYN HANSON
HWSAL
Lim-Liab
921 OLD HWY 2
PROCTOR, MN 55810
PHONE: 218/624-5034
DIAMOND WILLOW ASSISTED LIVING
(24122)
FAX: 218/624-5375
Lim-Liab
MS. BRENDA MARSHALL
HWSAL
HCP-F
915 OLD HIGHWAY 2
PROCTOR, MN 55810
PHONE: 218/591-7541
DIAMOND WILLOW ASSISTED LIVING
(23122)
FAX: 218/625-2338
MS. BRENDA MARSHALL
HWSAL
Lim-Liab
913 OLD HWY 2
PROCTOR, MN 55810
PHONE: 218/624-9771
DIAMOND WILLOW ASSISTED LIVING
(23609)
FAX: 218/624-9772
MS. BRENDA MARSHALL
HWSAL
Lim-Liab
919 OLD HWY 2
PROCTOR, MN 55810
PHONE: 218/624-5102
(24121)
FAX: 218/624-6028
MS. BRENDA MARSHALL
Minnesota Department of Health
Division of Compliance Monitoring
Page 396
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
DIAMOND WILLOW ASSISTED LIVING
Certification
SAINT LOUIS
Registration
(Cont.)* -------------------------­
HWSAL
Lim-Liab
923 OLD HWY 2
PROCTOR, MN 55810
PHONE: 218/624-0363
GOLDEN OAKS ADV ASSIST LIVING
(24123)
FAX: 218/624-0295
Corp
MS. BRENDA MARSHALL
HCP-F
HWSAL
23 WATERVIEW DRIVE
PROCTOR, MN 55810
PHONE: 218/740-0404
GOLDEN HORIZONS
(25952)
FAX: 218/740-0337
Corp
MR. CHARLES MILLER
HCP-F
HWSAL
1232 BIRCH STREET NORTH
TOWER, MN 55790
PHONE: 218/753-7788
ALICE NETELL TOWER
(24173)
FAX: 218/753-7792
MS. LYNN NIKUNEN
HWSAL
Lim-Liab
550 THIRD AVENUE NORTH
VIRGINIA, MN 55792
PHONE: 218/741-3650
CHESTNUT GROVE NORTH
(21519)
MS. KRISTI HOEFER
FAX: 218/741-5978
HWSAL
Corp
1204 WEST CHESTNUT STREET
VIRGINIA, MN 55792
PHONE: 218/749-6846
CHESTNUT GROVE WEST
(20288)
MR. RANDY SCHROETTER
FAX: 218/749-6846
HWSAL
Corp
1204 WEST CHESTNUT STREET
VIRGINIA, MN 55792
PHONE: 218/749-6846
COLUMBIA APARTMENTS
(21898)
FAX: 218/749-6846
MR. RANDY SCHROETTER
HWSAL
HRA
600 3RD AVENUE NORTH
VIRGINIA, MN 55792
PHONE: 218/749-5898
DONOVAN FRANK DETOX CENTER
(21737)
FAX: 218/741-2610
NProf
MS. DANA HILTUNEN
SLFA-20 SLFB-14
626 13TH STREET SOUTH
VIRGINIA, MN 55792
PHONE: 218/741-9120
EDGEWOOD VISTA VIRGINIA
(20624)
FAX: 218/741-3170
Lim-Liab
MS. LAURA TOVAR
HWSAL
HCP-F
705 NORTH 17TH STREET
VIRGINIA, MN 55792
PHONE: 218/741-7106
EDGEWOOD VISTA VIRGINIA - ALZ
(21353)
FAX: 218/741-5371
MR. PHILIP GISI
HWSAL
Lim-Liab
605 NORTH 17TH STREET
VIRGINIA, MN 55792
PHONE: 218/741-7106
(21354)
FAX: 218/741-7229
MR. PHILIP GISI
Minnesota Department of Health
Division of Compliance Monitoring
Page 397
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
ESSENTIA HEALTH VIRGINIA
Certification
SAINT LOUIS
Registration
(Cont.)* -------------------------­
BASS-6 HOSP-83 NH-90
HOSP-67 PPS-R-16 SNF-NF-90
901 NINTH STREET NORTH
(00603)
VIRGINIA, MN 55792
PHONE: 218/741-3340
FAX: 218/749-9427
MR. DANIEL MILBRIDGE
Out Pt Out St Out Ot
NProf
IRON RANGE REHAB CENTER
901 NORTH 9TH STREET SUITE 100
(02091)
VIRGINIA, MN 55792
PHONE: 218/749-9405
FAX: 218/749-9407
NProf
MERRITT HOUSE
MR. HENRY TAMMINEN
SLFA-16
731 THIRD STREET SOUTH
(20793)
VIRGINIA, MN 55792
PHONE: 218/741-9630
FAX: 218/741-2640
MSOCS VIRGINIA ICFMR GR HM
State
MS. LAURA TOVAR
ICFIID-6
SLFB-6
700 SOUTH SEVENTH AVENUE WEST
(01643)
VIRGINIA, MN 55792
PHONE: 218/741-8440
MS. BETTY PREBLE
FAX: 218/742-3420
CMHC
NProf
RANGE MENTAL HEALTH CENTER
624 SOUTH 13TH ST PO BOX 1188
(02777)
VIRGINIA, MN 55792
PHONE: 218/749-2881
MR. MILLER FRIESEN
FAX: /-
HWSAL
Corp
SPECTRUM COMMUNITY HEALTH INC
712 NINTH STREET SOUTH
(23260)
VIRGINIA, MN 55792
PHONE: 218/741-3013
FAX: 218/741-1448
NProf
ST MICHAELS HLTH & REHAB CTR
MS. MARILYN HANSON
NH-87
SNF-NF-87
1201 8TH STREET SOUTH
(00582)
VIRGINIA, MN 55792
PHONE: 218/748-7800
FAX: 218/748-7890
MS. CHERYL HIGH
HWSAL
HRA
THE ROUCHLEAU
602 THIRD AVENUE NORTH
(21736)
VIRGINIA, MN 55792
PHONE: 218/749-5898
FAX: 218/741-2610
---------------------------**********
GOPHER TRANSPORTATION AND HOUS
MS. DANA HILTUNEN
SCOTT
HWS
Corp
302 S ELM STREET
(28991)
BELLE PLAINE, MN 56011
PHONE: 507/334-1983
FAX: /-
******** -------------------------­
MS. ERIN ZELLER
Minnesota Department of Health
Division of Compliance Monitoring
Page
398
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
KINGSWAY HOME CARE
Lim-Liab
Certification
SCOTT
Registration
(Cont.)* -------------------------­
HWSAL
HCP-A
815 WEST MAIN STREET
BELLE PLAINE, MN 56011
PHONE: 952/873-5900
KINGSWAY MINISTRIES LLC
(26037)
FAX: 952/873-5901
Lim-Liab
MR. KARL KEUP
HCP-F
815 WEST MAIN STREET
BELLE PLAINE, MN 56011
PHONE: 952/873-5900
LUTHERAN HOME
(27757)
FAX: 952/873-5901
NProf
MR. KARL KEUP
NH-97
SNF-NF-97
611 WEST MAIN STREET
BELLE PLAINE, MN 56011
PHONE: 952/873-2215
THE LUTHERAN HOME HOPE RES
(00605)
FAX: 952/873-2120
Church
MS. MARIANN WIEBUSCH
ICFIID-52
SLFB-52
611 WEST MAIN STREET
BELLE PLAINE, MN 56011
PHONE: 952/873-2143
THE LODGE ON NATCHEZ
(01682)
MS. DEBRA WILBRIGHT
FAX: 952/873-2147
Corp
HWSAL
HCP-F
27890 NATCHEZ AVENUE
ELKO NEW MARKET, MN 55020
PHONE: 952/652-9120
OAK TERRACE SENIOR HOUSING OF
(21486)
MR. GERALD MCGOWAN
FAX: 952/652-9121
Lim-Liab
HCP-F
622 ABERDEEN AVENUE
JORDAN, MN 55352
PHONE: 952/492-4601
OAK TERRACE SENIOR HOUSING OF
(28511)
FAX: 952/492-4621
MR. DREW HOOD
HWSAL
Lim-Liab
622 ABERDEEN AVENUE
JORDAN, MN 55352
PHONE: 952/492-5559
VALLEYVIEW OF JORDAN LLC
(28513)
FAX: 952/492-4621
Lim-Liab
MR. DREW HOOD
HWSAL
HCP-F
4061 WEST 173RD STREET
JORDAN, MN 55352
PHONE: 952/492-6160
HEART TO HANDS HOME CARE LLC
(20964)
FAX: 952/492-6860
Lim-Liab
MRS. ALAINA GAST
HCP-A
24365 WEST CEDAR LAKE DRIVE
NEW PRAGUE, MN 56071
PHONE: 952/212-4709
MALA STRANA ASSISTED LIVING
(28134)
FAX: 952/314-8484
Corp
MS. JULIE THOMPSON
HWSAL
HCP-F
999 COLUMBUS AVE N
NEW PRAGUE, MN 56071
PHONE: 952/758-2511
(21822)
FAX: 952/758-0171
MS. MARY WHITMER
Minnesota Department of Health
Division of Compliance Monitoring
Page
399
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
MALA STRANA HEALTH CARE CTR
Certification
SCOTT
Registration
(Cont.)* -------------------------­
NH-90
SNF-NF-90
1001 COLUMBUS AVENUE NORTH
(00811)
NEW PRAGUE, MN 56071
PHONE: 952/758-2511
FAX: 952/758-2514
NProf
MCHS - NEW PRAGUE
MS. MIKENZI HEBEL
BASS-6 HOSP-49
CAH-25
301 SECOND STREET NORTHEAST
(00607)
NEW PRAGUE, MN 56071
PHONE: 952/758-8101
FAX: 952/758-2166
Corp
ALWAYS CARING INC
MS. MARY KLIMP
HCP-F
3429 WILDS RIDGE NW
(29487)
PRIOR LAKE, MN 55372
PHONE: 612/812-2349
ASSISTING HANDS OF MINNEAPOLIS
FAX: /-
MS. CHARIE DEVOLITES
Lim-Liab
HCP-B
4085 PLEASANT STREET SOUTHEAST
PRIOR LAKE, MN 55372
PHONE: 952/955-9881
ASSURED CARE
(28994)
MR. KALEB VOLD
FAX: 888/483-7250
Corp
HCP-F
14211 FISHER AVENUE NORTHEAST
PRIOR LAKE, MN 55372
PHONE: 952/250-9410
ASSURED CARE
(27091)
MS. JOAN COLEMAN
FAX: 952/314-1527
Corp
HCP-A
14211 FISHER AVENUE NORTHEAST
PRIOR LAKE, MN 55372
PHONE: 952/250-9410
ASSURED CARE
(29064)
FAX: 952/314-1527
MS. JOAN COLEMAN
HWSAL
Corp
14211 FISHER AVENUE NORTHEAST
PRIOR LAKE, MN 55372
PHONE: 952/829-1251
COMMUNITY ASSISTED LIVING INC
(28731)
FAX: 952/314-1527
Corp
MS. JOAN COLEMAN
HCP-F
16670 FRANKLIN TRAIL SE #120A
PRIOR LAKE, MN 55372
PHONE: 952/440-3955
COMMUNITY HOME HEALTH INC
(20823)
FAX: 952/440-3956
Corp
MS. BARBARA CEBALLOS
HCP-A
HHA
16670 FRANKLIN TRAIL SE #120A
PRIOR LAKE, MN 55372
PHONE: 952/440-3955
KCMG PRIOR LAKE LLC
(03422)
FAX: 952/440-3956
Lim-Liab
MS. BARBARA CEBALLOS
HCP-F
4685 PARK NICOLLET AVENUE
PRIOR LAKE, MN 55372
PHONE: 952/226-9200
(29561)
FAX: 952/226-9201
MR. MICHAEL LEWIS
Minnesota Department of Health
Division of Compliance Monitoring
Page 400
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
SCOTT
(Cont.)* -------------------------­
HWS
Lim-Liab
KEYSTONE SENIOR LIVING OF PRIO
Registration
4685 PARK NICOLLET AVENUE
(22094)
PRIOR LAKE, MN 55372
PHONE: 952/226-9200
FAX: 952/226-9201
MR. MICHAEL J. LEWIS
HWSAL
NProf
MCKENNA CROSSING
13810 SHEPHERDS PATH NW
(25285)
PRIOR LAKE, MN 55379
PHONE: 952/230-3300
FAX: 952/230-3301
NProf
MCKENNA CROSSING
MRS. MELISSA KIRCHHOFF
HCP-F
13810 SHEPHERDS PATH
(29091)
PRIOR LAKE, MN 55379
PHONE: 952/230-3300
FAX: 952/230-3301
Ind
WHITE CROSS HOME & RESIDENTIAL
MS. NATALIE MORLAND
HCP-A
15870 FRANKLIN TRL SUITE 6
(29176)
PRIOR LAKE, MN 55372
PHONE: 612/462-7984
MR. HANS MBANGOWAH
FAX: /­
HWS
Lim-Liab
ANN'S HOME
4370 WEST 131ST STREET
(29066)
SAVAGE, MN 55378
PHONE: 952/808-5100
MS. CHRISTY ALMEN
FAX: /­
Lim-Liab
ANN'S HOME
HCP-F
4370 WEST 131ST STREET
(29065)
SAVAGE, MN 55378
PHONE: 952/808-5100
FAX: /­
MS. CHRISTY ALMEN
HWS
Corp
CARRIAGE MANOR APARTMENTS
4142 126TH STREET WEST
(29674)
SAVAGE, MN 55378
PHONE: 507/491-6964
FAX: 507/333-2307
MS. ERIN ZELLER
Home Mgmt
Corp
CREEKRIDGE CONCIERGE
14079 RIDGE POINT COURT
(27010)
SAVAGE, MN 55378
PHONE: 651/260-6024
FAX: 952/403-6377
MS. HOLLY FELLOWS
Home Mgmt
NProf
METROPOLITAN COMMUNITY SVCS
13524 HILLSBORO AVENUE
(29521)
SAVAGE, MN 55378
PHONE: 612/799-3591
FAX: 612/294-6780
Corp
NOKOMIS CARE SERVICES INC
MS. LANA BARSKIY
HCP-J
12400 PRINCETON AVE S STE B
(30106)
SAVAGE, MN 55378
PHONE: 855/665-6647
FAX: /­
MR. JEFFREY RUDOLPH
Minnesota Department of Health
Division of Compliance Monitoring
Page 401
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
SCOTT
(Cont.)* -------------------------­
ESRD
Corp
SCOTT COUNTY DIALYSIS
Registration
7456 SOUTH PARK DRIVE
(24585)
SAVAGE, MN 55378
PHONE: 612/347-5864
FAX: /­
MS. KATHY WOLFE
Ind
THE SENIORS FRIEND LLC
HCP-C
15205 SPRING BROOK TERRACE
(27353)
SAVAGE, MN 55378
PHONE: 952/388-9240
FAX: /­
MS. BRENDA MAYBERY
Lim-Liab
TOUCHING LIVES ADULT DAY SERVI
HCP-A
4833 W 123RD STREET
(25260)
SAVAGE, MN 55378
PHONE: 952/465-0555
FAX: 952/465-0556
Lim-Liab
TOUCHING LIVES ADULT DAY SERVS
MS. DEBORAH DELANEY
HCP-B
4833 WEST 123RD STREET
(29505)
SAVAGE, MN 55378
PHONE: 952/465-0555
MS. DEBORAH DELANEY
FAX: 952/465-0556
HWS
NProf
VILLAGE COMMONS
14125 VIRGINIA AVENUE
(29455)
SAVAGE, MN 55378
PHONE: 952/402-9872
MS. JENNIFER ROMERO
FAX: 952/402-9815
Lim-Liab
ALL SAINTS SR LVG OF SHAKOPEE
HCP-F
1880 INDEPENDENCE DRIVE
(29508)
SHAKOPEE, MN 55379
PHONE: 952/233-7351
FAX: /­
MS. KELLI HALLSTROM
HWS
Lim-Liab
ALL SAINTS SR LVG OF SHAKOPEE
1880 INDEPENDENCE DRIVE
(29576)
SHAKOPEE, MN 55379
PHONE: 952/233-7351
FAX: /-
MS. KELLI HALLSTROM
HWSAL
NProf
AUGUSTANA EMERALD CREST OF SHA
1855 10TH AVENUE WEST
(21389)
SHAKOPEE, MN 55379
PHONE: 952/856-7522
FAX: 952/856-7527
AUGUSTANA EMERALD CREST SHAKOP
Lim-Liab
MS. MARGARET OWENS
HCP-F
1855 10TH AVENUE WEST
SHAKOPEE, MN 55379
PHONE: 952/233-8811
COMMUNITY ASSISTED LIVING INC
(29327)
FAX: 952/233-8855
MS. MARGARET OWENS
HWSAL
Corp
1205 SIXTH AVENUE WEST
SHAKOPEE, MN 55379
PHONE: 952/403-5163
(21887)
FAX: 952/403-0261
MS. DONNA NOVAK
Minnesota Department of Health
Division of Compliance Monitoring
Page 402
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
COMMUNITY ASSISTED LIVING INC
Certification
SCOTT
Registration
(Cont.)* -------------------------­
HWSAL
Corp
915 FULLER STREET
SHAKOPEE, MN 55379
PHONE: 952/445-8708
COUNTRY VILLAGE APARTMENTS
(22164)
FAX: 952/403-0261
MS. DONNA NOVAK
HWS
Corp
1265 MARSCHALL ROAD
SHAKOPEE, MN 55379
PHONE: 507/491-6964
DELPHI
(29675)
FAX: 507/333-2307
Corp
MS. ERIN ZELLER
ICFIID-9
SLFA-9
1411 EAST SHAKOPEE AVENUE
SHAKOPEE, MN 55379
PHONE: 952/445-1680
FMCNA SHAKOPEE DIALYSIS CENTER
(01228)
FAX: 952/403-6420
MS. BETSY NELSON-CALLAHAN
ESRD
Corp
1515 ST FRANCIS AVENUE #150
SHAKOPEE, MN 55374
PHONE: 952/403-1038
ITS WE CARE INC
(03935)
MR. JOHN MARIETTI
FAX: 952/403-1054
Corp
HCP-A
1854 PENSTEMON LANE
SHAKOPEE, MN 55379
PHONE: 651/808-8049
MY BROTHERS KEEPER
(29780)
MS. KRISTINA MUSA
FAX: 952/657-5800
Home Mgmt
ONProf
136 S HOLMES STREET
SHAKOPEE, MN 55379
PHONE: 952/496-0157
SHAKOPEE FRIENDSHIP MANOR
(27457)
FAX: 952/496-0183
Corp
MS. GAY DELEEUW
NH-80
SNF-NF-80
1340 THIRD AVENUE WEST
SHAKOPEE, MN 55379
PHONE: 952/445-4155
ST FRANCIS REGIONAL MED CENTER
(00820)
FAX: 952/445-9367
Church
MR. BRUCE SALMELA
BASS-16 HOSP-93
HOSP-93
1455 ST FRANCIS AVENUE
SHAKOPEE, MN 55379
PHONE: 952/403-3000
ST GERTRUDES HLTH & REHAB CTR
(00458)
FAX: 952/403-3820
Church
MS. DEB RYAN
NH-105
SNF-NF-105
1850 SARAZIN STREET
SHAKOPEE, MN 55379
PHONE: 952/233-4400
THE GARDENS AT ST GERTRUDES
(00459)
FAX: 952/233-4476
NProf
MR. LEE LARSON
HWSAL
HCP-F
1850 SARAZIN STREET
SHAKOPEE, MN 55379
PHONE: 952/233-4400
(23871)
FAX: 952/233-4476
MR. LEE LARSON
Minnesota Department of Health
Division of Compliance Monitoring
Page 403
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
THE JAMES INC
Certification
SCOTT
Registration
(Cont.)* -------------------------­
HCP-A
6965 EDINGTON CIRCLE
(23727)
SHAKOPEE, MN 55379
PHONE: 952/233-5376
FAX: 952/233-3754
Lim-Liab
TRUSTED HOME CARE LLC
MR. JAMES IMASUEN
HCP-A
100 SOUTH FULLER STREET # 105
(27121)
SHAKOPEE, MN 55379
PHONE: 952/378-1592
FAX: 952/445-2250
MR. CHARLES WELTER
---------------------------**********
SHERBURNE
******** -------------------------­
HWSAL
Lim-Liab
SHEPHERD OF GRACE LLC
11175 - 27TH AVE SE
(24881)
BECKER, MN 55308
PHONE: 763/262-8000
FAX: 763/262-8001
MR. BRUCE GLANZER
ESRD
NProf
CENTRA CARE KIDNEY PROGRAM
16830 198TH AVENUE NW
(03880)
BIG LAKE, MN 55309
PHONE: 763/263-7300
MS. LAURIE BRAUN
FAX: 763/263-7334
HWSAL
Lim-Liab
CHERRYWOOD OF BIG LAKE 171
171 HENRY ROAD
(28114)
BIG LAKE, MN 55309
PHONE: 320/257-7445
MS. WENDY HULSEBUS
FAX: 320/257-7447
HWSAL
Lim-Liab
CHERRYWOOD OF BIG LAKE 177
177 HENRY ROAD
(28113)
BIG LAKE, MN 55309
PHONE: 320/257-7445
FAX: 320/257-7447
NProf
LIVING WELL POWELL
MS. WENDY HULSEBUS
ICFIID-6
SLFB-6
150 POWELL CIRCLE WEST
(01411)
BIG LAKE, MN 55309
PHONE: 763/263-6503
FAX: 763/263-7052
MS. JULIE OACHS
HWS-O
Ind
MAJESTIC VISIONS 810
810 LAKE STREET NORTH
(29692)
BIG LAKE, MN 55309
PHONE: 763/263-6076
FAX: /­
MS. BECKY GAUL
HWS-O
Ind
MAJESTIC VISIONS 820
820 LAKE STREET NORTH
(29693)
BIG LAKE, MN 55309
PHONE: 763/262-0583
FAX: /­
MS. BECKY GAUL
Minnesota Department of Health
Division of Compliance Monitoring
Page 404
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
SENIOR HELPERS
Corp
Certification
SHERBURNE
Registration
(Cont.)* -------------------------­
HCP-A
171 LAKE STREET NORTH
BIG LAKE, MN 55371
PHONE: 763/262-9966
ACCURATE HOME CARE LLC
(24954)
FAX: 763/262-9967
Lim-Liab
MR. DENNIS EICHINGER
HCP-A
HHA
19021 FREEPORT ST SUITE 400
ELK RIVER, MN 55330
PHONE: 763/633-3800
AVALON HOME CARE INC
(21487)
FAX: 763/633-3808
MS. AMY NELSON
Home Mgmt
Corp
20132 ULYSSES STREET NW
ELK RIVER, MN 55330
PHONE: 763/753-8658
CENTRAL MINNESOTA REG DIALYSIS
(28053)
FAX: 763/753-4314
MS. REBEKAH JUDISCH
ESRD
Corp
17315 ZANE STREET
ELK RIVER, MN 55330
PHONE: 763/241-6832
GUARDIAN ANGELS BY THE LAKE
(21096)
MR. JOHN MARIETTI
FAX: 763/441-3905
NProf
HWSAL
HCP-F
13439 185TH LANE NW
ELK RIVER, MN 55330
PHONE: 763/241-7682
GUARDIAN ANGELS CARE CENTER
(21673)
MS. ANNETTE GREELY
FAX: 763/274-1349
Church
NH-120
SNF-NF-120
400 EVANS AVENUE
ELK RIVER, MN 55330
PHONE: 763/241-4405
GUARDIAN ANGELS ELIM HOME CARE
(00611)
FAX: 763/241-4444
NProf
MR. DANIEL FAIR
HCP-A
HHA
403 MAIN STREET
ELK RIVER, MN 55330
PHONE: 763/241-0654
GUARDIAN ANGELS ELIM HOSPICE
(02670)
FAX: 763/241-0274
NProf
MS. ANDREA JUNG
Hospice
HSPICE
403 MAIN STREET
ELK RIVER, MN 55330
PHONE: 763/241-0654
HAPPY HEARTS HOME HEALTH AGENC
(23764)
FAX: 763/241-0274
Lim-Liab
MS. LINDA OLSON
HCP-A
21401 HWY 169
ELK RIVER, MN 55330
PHONE: 763/706-7300
LAVINE PLACE
(26510)
FAX: 763/241-9185
NProf
MS. CYNTHIA ANDERSON
ICFIID-6
SLFB-6
11754 191 1/2 AVENUE NORTHWEST
ELK RIVER, MN 55330
PHONE: 763/441-0960
(01631)
FAX: 763/441-3205
MS. WENDY FOSS
Minnesota Department of Health
Division of Compliance Monitoring
Page
405
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
MACGREGOR PLACE
NProf
Certification
SHERBURNE
Registration
(Cont.)* -------------------------­
ICFIID-6
SLFB-6
497 GATES AVENUE
ELK RIVER, MN 55330
PHONE: 763/441-6514
BENEDICT VILLAGE
(01632)
FAX: 763/441-3109
MS. SHILOH BISBEE
HWS
Church
2000 15TH AVE SE
ST CLOUD, MN 56304
PHONE: 320/252-0010
BENEDICT COURT
(22055)
FAX: 320/203-2784
MS. CHERYL ANDERSON
HWSAL
Church
1980 15TH AVENUE SOUTHEAST
ST CLOUD, MN 56304
PHONE: 320/252-0010
BENEDICT HOMES
(20145)
FAX: 320/229-8309
MS. PAM RICHARDT
HWSAL
Church
1340 MINNESOTA BLVD SOUTHEAST
ST CLOUD, MN 56304
PHONE: 320/252-0010
BENET PLACE
(20286)
MS. PAM RICHARDT
FAX: 320/229-8309
HWS
Church
1420 MINNESOTA BLVD SE
ST CLOUD, MN 56304
PHONE: 320/252-2557
BENET PLACE SOUTH
(22065)
MS. LORI NORHEIM
FAX: 320/259-6605
HWS
Church
1975 15TH AVE SE
ST CLOUD, MN 56304
PHONE: 320/252-2557
ST BENEDICTS SENIOR COMMUNITY
(22066)
FAX: 320/259-6605
Church
MS. LORI NORHEIM
HCP-F
1810 MINNESOTA BOULEVARD SE
ST CLOUD, MN 56304
PHONE: 320/252-0010
ST BENEDICTS SENIOR COMMUNITY
(20711)
FAX: 320/654-2351
Church
MS. ROBIN THEIS
NH-197
SNF-2 SNF-NF-195
1810 MINNESOTA BOULEVARD SE
ST CLOUD, MN 56304
PHONE: 320/252-0010
ST SCHOLASTICA CONVENT
(00774)
FAX: 320/654-2345
Church
MS. CHRISTINE BAKKE
HWSAL
HCP-F
1845 20TH AVE SE
ST CLOUD, MN 56304
PHONE: 320/251-2225
TALAHI NURSING & REHAB CENTER
(23095)
FAX: 320/251-1455
Lim-Liab
SR. DEB BAKKEN
NH-77
SNF-NF-77
1717 UNIVERSITY DRIVE SE
ST CLOUD, MN 56304
PHONE: 320/251-9120
(00614)
FAX: 320/251-4336
MR. RAYMOND DYKHUIZEN
Minnesota Department of Health
Division of Compliance Monitoring
Page
406
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
SHERBURNE
(Cont.)* -------------------------­
HWSAL
Lim-Liab
TALAHI NURSING AND REHAB CTR
Registration
1717 UNIVERSITY DRIVE SE
(21937)
ST CLOUD, MN 56304
PHONE: 320/251-9120
FAX: 320/251-4336
Lim-Liab
TALAHI NURSING AND REHAB CTR
MS. HOLLY HACKETT
HCP-F
1717 UNIVERSITY DRIVE SE
(20550)
ST CLOUD, MN 56304
PHONE: 320/251-9120
FAX: 320/251-4336
MS. HOLLY HACKETT
---------------------------**********
Corp
GOLDEN HEARTS INC
SIBLEY
******** -------------------------­
HCP-F
HWSAL
602 MARION DRIVE
(20902)
ARLINGTON, MN 55307
PHONE: 507/964-2111
FAX: 507/964-5165
NProf
GOOD SAM SOCIETY ARLINGTON
MS. LAURA KICKER
NH-35
SNF-NF-35
411 SEVENTH AVENUE NW
(00617)
ARLINGTON, MN 55307
PHONE: 507/964-2251
MR. DONALD ALEXANDER
FAX: 507/964-2255
NProf
GOOD SAMARITAN SOCIETY FAIRVI
HCP-F
HWSAL
409 7TH AVENUE NW
(25120)
ARLINGTON, MN 55307
PHONE: 507/964-5156
MR. DAVE SORBEL
FAX: 507/964-2255
NProf
HIGH ISLAND CREEK RES
ICFIID-13
SLFA-13
708 CHESTNUT DRIVE
(01313)
ARLINGTON, MN 55307
PHONE: 507/964-5984
FAX: 507/964-5661
NProf
RIDGEVIEW SIBLEY MEDICAL CTR
MS. SUSAN BIENFANG
HOSP-20
CAH-20
601 WEST CHANDLER
(00618)
ARLINGTON, MN 55307
PHONE: 507/964-2271
FAX: 507/964-8495
MR. TODD SANDBERG
RHC
NProf
SIBLEY MEDICAL CLINIC ARLINGTO
607 WEST CHANDLER
(22177)
ARLINGTON, MN 55307
PHONE: 507/964-2285
SIBLEY MEDICAL CNTR HOME CARE
FAX: /­
DR. JOHN VENER
City
HCP-A
HHA
601 WEST CHANDLER
ARLINGTON, MN 55307
PHONE: 507/964-2271
(03336)
FAX: 507/964-5256
MR. TODD SANDBERG
Minnesota Department of Health
Division of Compliance Monitoring
Page 407
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
SIBLEY
(Cont.)* -------------------------­
HWSAL
Lim-Liab
HAPPY HEARTS HHA LLC
Registration
19309 UPLAND STREET NORTHWEST
(28833)
ELK RIVER, MN 55330
PHONE: 763/706-7300
FAX: 763/355-9159
Lim-Liab
OAK TERRACE HEALTH CARE CENTER
MS. CYNTHIA ANDERSON
NH-48
SNF-NF-48
640 THIRD STREET
(00619)
GAYLORD, MN 55334
PHONE: 507/237-2911
FAX: 507/237-5744
Lim-Liab
OAK TERRACE HEALTH CENTER OF G
MS. DEBORAH BARNES
HCP-A
640 - 3RD STREET
(27233)
GAYLORD, MN 55334
PHONE: 507/237-2911
FAX: 507/237-5744
Lim-Liab
OAK TERRACE SENIOR HOUSING OF
MS. VICKIE HOLTZ
HCP-F
638 - 3RD STREET
(20214)
GAYLORD, MN 55334
PHONE: 507/387-2037
MR. DENNIS HOOD
FAX: 507/387-6011
HWSAL
Lim-Liab
OAK TERRACE SENIOR HOUSING OF
638 THIRD STREET
(22115)
GAYLORD, MN 55334
PHONE: 507/237-2911
MS. CINDY GERHOLZ
FAX: 507/237-5744
Cnty
SIBLEY COUNTY PH & HUMAN SERVS
HCP-A
HHA
111 EIGHTH STREET PO BOX 237
(02095)
GAYLORD, MN 55334
PHONE: 507/237-4000
FAX: 507/237-4031
MS. VICKI STOCK
RHC
NProf
SIBLEY MEDICAL CLINIC GAYLORD
315 4TH STREET
(22178)
GAYLORD, MN 55334
PHONE: 507/237-5523
FAX: /­
DR. JOHN VENER
Lim-Liab
SOUTHVIEW LIVING CENTER LLC
HWSAL
HCP-F
555 EAST 12TH STREET
(22547)
GIBBON, MN 55335
PHONE: 507/834-6510
FAX: 507/834-6511
MS. MAVIS PAUTZ
RHC
Cnty
SIBLEY MED CTR HENDERSON
505 MAIN STREET
(23978)
HENDERSON, MN 56044
PHONE: 507/248-3433
GOOD SAM SOCIETY WINTHROP
FAX: /-
MR. JASON DOUGLAS
NProf
NH-37
SNF-NF-37
506 HIGH STREET
WINTHROP, MN 55396
PHONE: 507/647-5391
(00961)
FAX: 507/647-2035
MS. MICHELLE TOMLINSON
Minnesota Department of Health
Division of Compliance Monitoring
Page
408
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
SIBLEY
(Cont.)* -------------------------­
RHC
NProf
SIBLEY MEDICAL CLINIC WINTRHOP
Registration
223 NORTH CARVER
(22179)
WINTHROP, MN 55396
PHONE: 507/647-5318
FAX: /­
DR. JOHN VENER
HWSAL
NProf
THE LODGE OF WINTHROP
204 SOUTH COUNTY ROAD 33
(29861)
WINTHROP, MN 55396
PHONE: 507/647-5391
FAX: 507/647-2035
NProf
THE LODGE OF WINTHROP
MS. LORI BUSSLER
HCP-F
204 SOUTH COUNTY ROAD 33
(29860)
WINTHROP, MN 55396
PHONE: 507/647-5391
FAX: 507/647-2035
MS. LORI BUSSLER
---------------------------**********
NProf
ALBANY AREA HOME HEALTH
STEARNS
HCP-A
******** -------------------------­
HHA
161 4TH STREET SUITE B
(28603)
ALBANY, MN 563078356
PHONE: 320/845-2440
MS. SUE HEITKAMP
FAX: 320/845-2449
RHC
NProf
ALBANY AREA HOSP ALBANY CLINIC
320 THIRD AVENUE NORTH
(03527)
ALBANY, MN 56307
PHONE: 320/845-2157
ALBANY AREA HOSPICE
MS. SANDRA DAY
FAX: /­
NProf
Hospice
161 4TH STREET SUITE B
ALBANY, MN 563078356
PHONE: 320/845-2440
ALBANY AREA HOSPITAL & MED CTR
(28602)
FAX: 320/845-2449
Church
MS. SUE HEITKAMP
BASS-2 HOSP-17
CAH-17
300 THIRD AVENUE
ALBANY, MN 56307
PHONE: 320/845-2121
MERCY MANOR II
(00622)
FAX: 320/845-6127
MS. SANDRA DAY
HWS
NProf
332 GOLF VIEW DRIVE
ALBANY, MN 56307
PHONE: 320/845-2969
MERCY MANOR INC
(24638)
FAX: 320/845-7006
MR. JOHN HOEFS
HWS
NProf
334 GOLF VIEW DRIVE
ALBANY, MN 56307
PHONE: 320/845-2969
(21556)
FAX: 320/845-7006
MR. JOHN HOEFS
Minnesota Department of Health
Division of Compliance Monitoring
Page
409
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
MOTHER OF MERCY CAMPUS CARE
Certification
STEARNS
Registration
(Cont.)* -------------------------­
HWSAL
HCP-F
230 CHURCH AVENUE PO BOX 676
(20265)
ALBANY, MN 56307
PHONE: 320/845-2195
FAX: 320/845-7092
NProf
MOTHER OF MERCY CAMPUS OF CARE
MR. JOHN HOEFS
NH-76
SNF-NF-76
230 CHURCH STREET BOX 676
(00634)
ALBANY, MN 56307
PHONE: 320/845-2195
FAX: 320/845-7092
MR. JOHN HOEFS
RHC
NProf
ALBANY AREA HOSP AVON CLINIC
108 STRATFORD STREET
(03524)
AVON, MN 56310
PHONE: 320/356-7602
BELGRADE NURSING HOME
FAX: /­
MR. LARRY NOVAKOSKE
NProf
NH-49
SNF-NF-49
103 SCHOOL ST - PO BOX 340
BELGRADE, MN 563120340
PHONE: 320/254-8215
BROOTEN MEDICAL CENTER
(00626)
MR. PHILIP LORD
FAX: 320/254-8238
RHC
NProf
111 PLEASANT AVENUE, PO BOX 69
BROOTEN, MN 56316
PHONE: 320/346-2272
ASSUMPTION HEALTH SERVICES
(28052)
MS. RACHEL WAGNER
FAX: 320/346-2273
NProf
HWS
HCP-F
615 NORTH FIRST STREET
COLD SPRING, MN 56320
PHONE: 320/685-4110
ASSUMPTION HOME
(20324)
FAX: 320/685-3401
Church
MS. JAN LUTHENS
NH-82
SNF-NF-82
715 NORTH FIRST STREET
COLD SPRING, MN 56320
PHONE: 320/685-3693
ASSUMPTION HOME CARE
(00624)
FAX: 320/685-7044
NProf
MS. JAN LUTHENS
HCP-A
HHA
615 NORTH FIRST STREET
COLD SPRING, MN 56320
PHONE: 320/685-4110
JOHN PAUL APARTMENTS
(26118)
FAX: 320/685-3401
MS. HEIDI HOPPE
HWS
NProf
200 EIGHTH AVENUE NORTH
COLD SPRING, MN 56320
PHONE: 320/685-4429
SPRINGHAVEN/PINEWEST II LP
(21670)
FAX: 320/685-7300
MS. LAURA SAKRY
HWS-O
Part
308 11 1/2 AVENUE SOUTH
COLD SPRING, MN 56320
PHONE: 320/685-9803
(26591)
FAX: 320/685-3535
MS. JOLEEN PFAV
Minnesota Department of Health
Division of Compliance Monitoring
Page 410
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
STEARNS
(Cont.)* -------------------------­
HWSAL
Lim-Liab
HYATT HOUSE LLC
Registration
231 WASHINGTON ST - PO BOX 10
(28686)
HOLDINGFORD, MN 56340
PHONE: 320/746-9902
MS. ANNETTE JUNES
FAX: 320/746-9912
Lim-Liab
HYATT HOUSE LLC
HCP-F
231 WASHINGTON ST PO BOX 10
(24162)
HOLDINGFORD, MN 56340
PHONE: 320/746-9902
MS. ANNETTE JUNES
FAX: 320/746-9912
HWSAL
Corp
HERITAGE HOUSE OF KIMBALL
260 MAGNUS JOHNSON STREET N
(22788)
KIMBALL, MN 55353
PHONE: 320/398-8643
MR. JAMES BIRCHEM
FAX: 320/398-8645
NProf
CENTRACARE - MELROSE PARK VIEW
HWSAL
HCP-F
125 NORTH 5TH AVE WEST
(23480)
MELROSE, MN 56352
PHONE: 320/256-1808
MS. BERTHA HARTUNG
FAX: 320/256-4949
NProf
CENTRACARE HEALTH SYS MELROSE
NH-75 BASS-6 HOSP-28
SNF-NF-75 CAH-25
525 MAIN STREET WEST
(00633)
MELROSE, MN 56352
PHONE: 320/256-4231
MR. GERRY GILBERTSON
FAX: 320/256-4949
CENTRACARE HEALTH SYSM-MELROSE
RHC
NProf
525 WEST MAIN STREET
(27995)
MELROSE, MN 56352
PHONE: 320/256-4228
FAX: 320/256-7106
Ind
JOANN TSCHIDA
MS. JULIA DRAXTEN
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
(21996)
MELROSE, MN 56352
PHONE: 320/493-1710
FAX: 320/255-5128
MS. LISA MARVIN
HWS
HRA
ROSE VIEW MANOR
16 FIRST STREET SE
(21988)
MELROSE, MN 56352
PHONE: 320/256-4600
CENTRACARE HEALTH PAYNESVILLE
FAX: /­
MR. MELVIN ROEHRL
Lim-Liab
NH-52 BASS-6 HOSP-30
200 WEST FIRST STREET
PAYNESVILLE, MN 56362
PHONE: 320/243-3767
(00636)
FAX: 320/243-6707
MR. DENNIS MILEY
SNF-NF-52 CAH-25
Minnesota Department of Health
Division of Compliance Monitoring
Page 411
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
STEARNS
(Cont.)* -------------------------­
HWSAL
Lim-Liab
STEARNS PLACE
Registration
701 STEARNS AVENUE
(24204)
PAYNESVILLE, MN 56362
PHONE: 320/243-7100
FAX: 320/243-7930
Lim-Liab
WASHBURNE COURT
MS. BEVERLY MUELLER
HCP-F
HWSAL
311 WASHBURNE AVENUE
(00631)
PAYNESVILLE, MN 56362
PHONE: 320/243-7451
FAX: 320/243-3764
MS. BEVERLY MUELLER
HWSAL
Lim-Liab
CHERRYWOOD OF RICHMOND
150 BARRY AVENUE NW
(27307)
RICHMOND, MN 56368
PHONE: 320/257-7445
FAX: 320/257-7447
MS. WENDY HULSEBUS
HWSAL
Lim-Liab
CHERRYWOOD OF RICHMOND
140 BARRY AVENUE NW
(27308)
RICHMOND, MN 56368
PHONE: 320/257-7445
MS. WENDY HULSEBUS
FAX: 320/257-7447
Corp
TADD'S LIGHTHOUSE INC
HCP-A
651 4TH STREET NORTHWEST
(27344)
RICHMOND, MN 56368
PHONE: 612/702-0089
MR. JACOB COMEE
FAX: 480/275-3872
Lim-Liab
CENTRAL MN SURGICAL CENTER LLC
Outpt Surg
Amb Surg
2000 23RD STREET SOUTH #305
(26837)
SARTELL, MN 56377
PHONE: 320/229-7955
FAX: 320/229-7944
Corp
HEALTHNORTH HOME CARE INC
MR. TODD LOGAN
HCP-A
165 19TH STREET SOUTH STE 114
(26011)
SARTELL, MN 56377
PHONE: 320/260-5280
FAX: 320/654-1668
MR. JAY JOHNSON
Out Pt Out Ot
Corp
NOVACARE REHABILITATION
2251 CONNECTICUT AVENUE
(03724)
SARTELL, MN 55377
PHONE: 763/295-6878
THE LEGENDS AT HERITAGE PLACE
FAX: /­
MS. LISA LAUBACH
HWSAL
Corp
673 BRIANNA DRIVE
SARTELL, MN 56377
PHONE: 320/281-3343
THE LEGENDS AT HERITAGE PLACE
(26365)
FAX: 320/587-0005
MR. DEAN BLOEMKE
HWSAL
Corp
677 BRIANNA DRIVE
SARTELL, MN 56377
PHONE: 320/281-3343
(26585)
FAX: 320/587-0005
MR. DEAN BLOEMKE
Minnesota Department of Health
Division of Compliance Monitoring
Page
412
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
WELCOME HOME HEALTH CARE INC
Corp
Certification
STEARNS
Registration
(Cont.)* -------------------------­
HCP-F
677 BRIANNA DRIVE
SARTELL, MN 56377
PHONE: 320/281-3343
ALTERNATIVE SENIOR CARE INC
(28073)
FAX: 320/281-3511
MR. JACOB WORK
Home Mgmt
Corp
601 SINCLAIR LEWIS AVENUE
SAUK CENTRE, MN 56378
PHONE: 320/352-3350
ALTERNATIVE SENIOR CARE INC
(23973)
FAX: 320/323-4398
Corp
MS. CYNTHIA KARASCH
HCP-B
601 SINCLAIR LEWIS AVENUE
SAUK CENTRE, MN 56378
PHONE: 320/352-3350
CEDAR COVE ASSISTED LIVING
(26947)
FAX: 320/323-4398
Lim-Liab
MS. CYNTHIA KARASCH
HCP-F
21596 CEDAR LAKE ROAD
SAUK CENTRE, MN 56378
PHONE: 320/732-1939
CENTRACARE CLINIC-SAUK CENTRE
(28802)
MS. TAMMY BRUDER
FAX: 320/732-1087
RHC
Corp
433 ELM STREET NORTH
SAUK CENTRE, MN 56378
PHONE: 320/352-6591
CENTRACARE HEALTH SYSTEM
(27960)
MS. MICHELE FISCHER
FAX: 320/352-5164
NProf
NH-60 BASS-8 HOSP-28
SNF-NF-60 CAH-25
425 NORTH ELM STREET
SAUK CENTRE, MN 56378
PHONE: 320/352-2221
CENTRACARE HTH SYM SAUK CTR HC
(00640)
FAX: 320/352-5150
NProf
MR. DELANO CHRISTIANSON
HCP-A
HHA
425 ELM ST N
SAUK CENTRE, MN 56378
PHONE: 320/352-2221
CENTRACARE SAUK CENTRE HOSPICE
(02517)
FAX: 320/351-1728
NProf
MS. MONICA BLASKE
Hospice
HSPICE
425 NORTH ELM STREET
SAUK CENTRE, MN 56378
PHONE: 320/352-2221
FAIRWAY PINES SENIOR LIVING CO
(02575)
FAX: 320/351-1728
MS. MONICA BLASKE
HWSAL
Lim-Liab
606 MAIN STREET NORTH
SAUK CENTRE, MN 56378
PHONE: 320/351-4900
FAIRWAY PINES SENIOR LVG COMM
(29188)
FAX: 320/351-4903
Lim-Liab
MS. JILL NIEHAUS
HCP-F
606 MAIN STREET NORTH
SAUK CENTRE, MN 56378
PHONE: 320/351-4900
(26205)
FAX: 320/351-4903
MS. JILL NIEHAUS
Minnesota Department of Health
Division of Compliance Monitoring
Page 413
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
GETTY STREET ASSISTED LIVING
Certification
STEARNS
Registration
(Cont.)* -------------------------­
HWSAL
HCP-F
1214 GETTY STREET SOUTH
(24072)
SAUK CENTRE, MN 56378
PHONE: 320/351-4333
FAX: 320/351-4335
MS. MARY JO MARTHALER
HWS
HRA
RIVERVIEW MANOR/SAUK CENTRE HR
407 NORTH 1ST STREET
(21153)
SAUK CENTRE, MN 56378
PHONE: 320/352-2311
FAX: 320/352-2726
MS. JULIE SIEBEN
Home Mgmt
Lim-Liab
CONTENT SENIOR CARE LLC
5976 COUNTY ROAD 141
(29696)
ST AUGUSTA, MN 56301
PHONE: 320/250-9887
FAX: /­
MS. ANDREA MADER
NProf
QUIET OAKS HOSPICE HOUSE
RES-HSPICE-8 Hospice
5537 GALAXY ROAD
(26154)
ST AUGUSTA, MN 56301
PHONE: 320/255-5433
MR. JOSEPH BAUER
FAX: 320/240-7962
Home Mgmt
Corp
ARISE HOME HEALTH CARE
2907 CLEARWATER ROAD
(25428)
ST CLOUD, MN 56301
PHONE: 320/281-2301
MS. SUE CHRISTENSEN
FAX: 320/281-2312
Lim-Liab
ARISE HOME HEALTH CARE
HCP-A
2907 CLEARWATER ROAD
(24350)
ST CLOUD, MN 56301
PHONE: 320/230-6348
FAX: 320/281-2310
MR. JAY VACHAL
ESRD
NProf
CENTRACARE KIDNEY PROGRAM
48 29TH AVENUE NORTH
(21825)
ST CLOUD, MN 56303
PHONE: 320/251-2700
FAX: 320/202-7126
MR. DAVID WALZ
ESRD
NProf
CENTRACARE KIDNEY PROGRAM PLAZ
1900 CENTRACARE CIRCLE STE 500
(02410)
ST CLOUD, MN 56303
PHONE: 320/240-7808
FAX: 320/240-7840
Lim-Liab
CENTRACARE SURGERY CTR LLC
MS. CATHY SINDELIR
Amb Surg
1900 CENTRACARE CIRCLE
(24819)
ST CLOUD, MN 56303
PHONE: 320/229-4997
FAX: 320/229-5198
NProf
CENTRAL MN MENTAL HLTH CENTER
MS. DIANE BUSCHENA-BRENNA
CMHC
1321 NORTH 13TH STREET
(02771)
ST CLOUD, MN 56303
PHONE: 320/252-5010
FAX: /-
DR. CHARLES JOHNSTON, JR.
Minnesota Department of Health
Division of Compliance Monitoring
Page
414
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
CHERRYWOOD OF ST CLOUD 1030
Certification
STEARNS
Registration
(Cont.)* -------------------------­
HWSAL
Part
1030 VOYAGEUR STREET
ST CLOUD, MN 56301
PHONE: 320/257-7445
CHERRYWOOD OF ST CLOUD1036
(28983)
FAX: 320/257-7447
MS. WENDY HULSEBUS
HWSAL
Part
1036 VOYAGEUR STREET
ST CLOUD, MN 56303
PHONE: 320/257-7445
CTRL MN RECEIVING AND REFERRAL
(28982)
FAX: 320/257-7447
NProf
MS. WENDY HULSEBUS
SLFB-19
1321 NORTH 13TH STREET
ST CLOUD, MN 56303
PHONE: 320/252-5010
FOCUS XII HALFWAY HOUSE
(01638)
FAX: 320/203-1855
NProf
MS. LORI SCHMIDT
SLFA-18
3220 EIGHTH STREET NORTH
ST CLOUD, MN 56303
PHONE: 320/252-2425
HOME HEALTHCARE AGENCY
(01178)
MS. LORI SCHMIDT
FAX: 320/203-1855
Corp
HCP-A
2241 ROOSEVELT ROAD SUITE 7
ST CLOUD, MN 56301
PHONE: 952/388-7128
MARY CLARE OLSON AGENCY
(28878)
MR. TUBTSHWM YANG
FAX: 508/749-7128
Ind
HCP-A
5417 GARDEN HILLS LANE
ST CLOUD, MN 56301
PHONE: 320/259-8957
MEDICAL SOLUTIONS HOME CARE IN
(21207)
FAX: 320/259-8957
Corp
MS. MARY OLSON
HCP-A
2233 ROOSEVELT ROAD SUITE 1
ST CLOUD, MN 56301
PHONE: 320/258-3733
MIDSOTA SURGICAL SUITES PA
(27327)
FAX: 320/215-0030
Corp
MR. STEVEN DUNCAN
Outpt Surg
Amb Surg
3701 12TH STREET SUITE 101
ST CLOUD, MN 56303
PHONE: 320/253-7257
QUARRY HEIGHTS APARTMENTS
(00008)
FAX: 320/251-2939
MR. ENNIS ARNTSON
HWSAL-O
NProf
2051 QUARRY ROAD
ST CLOUD, MN 56301
PHONE: 651/645-7271
RECOVER HEALTH
(24464)
FAX: 651/645-0541
Corp
MR. STEPHEN VANDER SCHAAF
HCP-A
HHA
3400 1ST STREET N
ST CLOUD, MN 56303
PHONE: 320/259-7045
(02312)
FAX: 320/259-7044
MS. JENNIFER ANDERSON
Minnesota Department of Health
Division of Compliance Monitoring
Page
415
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
REM CENTRAL LAKES INC FERNWOOD
Corp
Certification
STEARNS
Registration
(Cont.)* -------------------------­
ICFIID-24
SLFB-24
1775 ROOSEVELT ROAD
ST CLOUD, MN 56301
PHONE: 320/259-6022
SKYLIGHT GARDENS
(01514)
FAX: 320/259-6076
MR. PATRICK MASYGA
HWSAL
Lim-Liab
501 1ST STREET NORTH
ST CLOUD, MN 56303
PHONE: 320/259-4584
SPOT REHABILITATION INC
(20347)
FAX: 320/259-6159
MS. MICHELLE MACE
Out Ot
Corp
2835 WEST ST GERMAIN ST #300
ST CLOUD, MN 56301
PHONE: 320/259-4151
SPOT REHABILITATION INC
(02786)
FAX: 320/259-5707
Corp
MS. ELIZABETH STIENESSEN
HCP-A
HHA
2835 WEST ST GERMAIN ST #300
ST CLOUD, MN 56301
PHONE: 320/259-4151
ST CLOUD CTR OPHTHALMIC SURG
(03058)
MS. ROBBIE HOLEN
FAX: 320/259-5707
Lim-Liab
Outpt Surg
Amb Surg
2055 15TH STREET NORTH SUITE B
ST CLOUD, MN 56303
PHONE: 320/258-6620
ST CLOUD HOSPITAL
(21628)
MS. SALLY JOHNSON
FAX: 320/258-6622
Church
BASS-40 HOSP-489
HOSP-469 PPS-R-20
1406 SIXTH AVENUE NORTH
ST CLOUD, MN 56303
PHONE: 320/255-5661
ST CLOUD HOSPITAL HC SERVICES
(00639)
FAX: 320/656-7099
NProf
MR. CRAIG BROMAN
HCP-A
HHA
2035 15TH STREET NO SUITE 110
ST CLOUD, MN 56303
PHONE: 320/259-9375
ST CLOUD HOSPITAL HOSPICE
(02185)
FAX: 320/240-3266
NProf
MS. GAIL OLSON
Hospice
HSPICE
2035 15TH STREET NORTH STE 110
ST CLOUD, MN 56303
PHONE: 320/259-9375
ST CLOUD SURGERY CTR
(02255)
FAX: 320/240-3266
Part
MS. GAIL OLSON
Outpt Surg
Amb Surg
1526 NORTHWAY DRIVE
ST CLOUD, MN 56303
PHONE: 320/251-8385
VISITING ANGELS
(00837)
FAX: 320/251-3202
Corp
MS. JEANETTE STACK
HCP-A
1705 WEST ST GERMAIN STREET
ST CLOUD, MN 56301
PHONE: 320/230-1140
(28912)
FAX: 320/230-1141
MR. ANDREW TRELSTAD
Minnesota Department of Health
Division of Compliance Monitoring
Page
416
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
ARLINGTON PLACE
Certification
STEARNS
Registration
(Cont.)* -------------------------­
HWSAL
HCP-F
21 16TH AVENUE SOUTHEAST
(20617)
ST JOSEPH, MN 56374
PHONE: 320/363-1313
FAX: 320/363-1021
MS. KAREN HENNESSY
HWSAL
Lim-Liab
MILL STREAM VILLAGE
308 COLLEGE CIRCLE
(29754)
ST JOSEPH, MN 56374
PHONE: 320/363-7656
FAX: /­
MR. PETER GILLITZER
Corp
BAYADA PEDIATRICS
HCP-A
HHA
110 SECOND STREET S SUITE 306
(27706)
WAITE PARK, MN 56387
PHONE: 320/251-0668
FAX: 320/251-0680
Corp
COMFORT KEEPERS
MS. MAURIETTA SURETH
HCP-A
50 10TH AVENUE SOUTH
(23629)
WAITE PARK, MN 56387
PHONE: 320/230-9939
MS. SUE THORSON
FAX: 320/230-9941
Corp
HOME INSTEAD SENIOR CARE
HCP-A
406 GREAT OAK DRIVE
(28492)
WAITE PARK, MN 56387
PHONE: 320/258-3055
PARK GARDENS APARTMENTS
MR. DANIEL ARNOLD
FAX: /­
HWSAL
Lim-Liab
114 NORTH FIRST STREET
WAITE PARK, MN 56387
PHONE: 320/252-7224
SAVING GRACE HOME HEALTH LLC
(24102)
FAX: 320/252-5629
Lim-Liab
MS. HEATHER POTTER
HCP-A
HHA
54 10TH AVENUE SOUTH
WAITE PARK, MN 56387
PHONE: 320/257-6013
STERLING PARK COMMONS
(27693)
FAX: 320/230-9941
Lim-Liab
MS. SUSAN THORSON
HWSAL
HCP-F
35 1ST AVENUE NORTH
WAITE PARK, MN 56387
PHONE: 320/252-9595
STERLING PARK HCC
(20596)
FAX: 320/252-5629
Corp
MS. HEATHER POTTER
NH-53
SNF-NF-53
142 NORTH FIRST STREET
WAITE PARK, MN 56387
PHONE: 320/252-9595
TLA FOSTER CARE LLC
(00643)
FAX: 320/252-9216
Lim-Liab
MS. HEATHER POTTER
HWSAL
HCP-F
705 2ND AVENUE SOUTH
WAITE PARK, MN 56387
PHONE: 320/230-6613
(25193)
FAX: 320/240-2890
MS. AMBER TOBIN
Minnesota Department of Health
Division of Compliance Monitoring
Page 417
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
HEATHER HAUS
Certification
STEELE
Registration
******** -------------------------­
HWSAL
HCP-F
223 4TH STREET NW
(27084)
BLOOMING PRAIRIE, MN 55917
PHONE: 507/583-7399
FAX: 507/583-2401
NProf
PRAIRIE MANOR CARE CENTER
MR. JAMES BROICH
NH-56
SNF-NF-56
220 THIRD STREET NORTHWEST
(00650)
BLOOMING PRAIRIE, MN 55917
PHONE: 507/583-4434
FAX: 507/583-2401
Lim-Liab
WHISPERING OAK PROPERTIES LLC
MR. JAMES BROICH
HCP-F
HWSAL
903 CALVERLY COURT
(24982)
ELLENDALE, MN 56026
PHONE: 507/684-3026
FAX: 505/684-3194
Lim-Liab
MEDFORD SENIOR CARE LLC
MS. MARYANN SCHLAAK
HCP-F
108 THIRD STREET NE
(29745)
MEDFORD, MN 55049
PHONE: 507/214-3344
MS. JULIE SPRONK
FAX: /­
HWSAL
Lim-Liab
MEDFORD SENIOR CARE LLC
108 THIRD STREET NE
(29746)
MEDFORD, MN 55049
PHONE: 507/214-3344
ALL GENERATIONS HOME CARE INC
MS. JULIE SPRONK
FAX: /­
Home Mgmt
Corp
135 W MAIN STREET SUITE G
OWATONNA, MN 55060
PHONE: 507/214-8007
CASCADE CARE SERVICES INC
(25452)
FAX: 507/214-8010
Corp
MS. LORI MORTENSEN
HCP-A
2311 - 44TH AVE SE
OWATONNA, MN 55060
PHONE: 507/214-2800
CEDARDALE HOMES, INC.
(23577)
FAX: 507/451-0690
Corp
MS. RITA DORNQUAST
ICFIID-16
SLFB-16
285 CEDARDALE DRIVE
OWATONNA, MN 55060
PHONE: 507/451-5327
CLARE BRIDGE OF OWATONNA
(01408)
FAX: 507/451-5354
Corp
MR. MICHAEL FULLER
HWSAL
HCP-F
364 CEDARDALE DRIVE SE
OWATONNA, MN 55060
PHONE: 507/446-8600
COUNTRYSIDE CATERED SR LIVING
(20851)
FAX: 507/446-8601
NProf
MS. SHAWN MCNULTY
HWSAL
HCP-F
650 EL DORADO STREET
OWATONNA, MN 55060
PHONE: 507/446-8334
(24682)
FAX: 507/446-4059
MR. JAMES GROSS
Minnesota Department of Health
Division of Compliance Monitoring
Page
418
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
HOSPICE OF OWATONNA HOSPITAL
Certification
STEELE
Registration
(Cont.)* -------------------------­
RES-HSPICE-8
18-HOSPICE-
2350 26TH STREET NW
(02836)
OWATONNA, MN 55060
PHONE: 651/635-9173
FAX: 651/628-2999
Ind
JULIE SUMMY
MS. GLORIA CADE
HCP-C
1802 NORTH CEDAR
(21579)
OWATONNA, MN 55060
PHONE: 507/451-3410
FAX: /­
MS. JULIE SUMMY
Cnty
KODA LIVING COMMUNITY
NH-80
SNF-NF-80
2255 30TH STREET NW
(00644)
OWATONNA, MN 55060
PHONE: 507/444-4200
FAX: 507/449-4944
MR. MICHAEL SCHULTZ
ESRD
NProf
MAYO DIALYSIS OWATONNA
2200 NORTHWEST 26TH STREET
(02827)
OWATONNA, MN 55060
PHONE: 507/455-0520
MR. BRIAN SCHNIEPP
FAX: /­
Lim-Liab
OWATONNA CARE CENTER
NH-55
NF1-12 SNF-NF-43
201 SW 18TH ST
(00649)
OWATONNA, MN 55060
PHONE: 507/451-6800
MS. BRIANNE WOLTERS
FAX: 507/451-6087
NProf
OWATONNA HOSPITAL
BASS-16 HOSP-43
HOSP-33 PPS-P-10
2250 26TH STREET NORTHWEST
(00986)
OWATONNA, MN 55060
PHONE: 507/977-2323
FAX: 507/977-2335
NProf
PARK PLACE SENIOR LIVING
MR. DAVID ALBRECHT
HWSAL
HCP-F
125 EAST PARK STREET
(21085)
OWATONNA, MN 55060
PHONE: 507/451-0808
FAX: 507/446-8116
Corp
REM WOODVALE INC (MAPLE CREEK)
MR. MICHAEL SCHULTZ
ICFIID-6
SLFB-6
2397 HADDONSTONE LANE NE
(26923)
OWATONNA, MN 55060
PHONE: 507/433-7301
MR. PATRICK MASYGA
FAX: 507/433-4597
Corp
REM WOODVALE INC ADAMS
ICFIID-6
SLFA-6
592 ADAMS AVENUE
(01439)
OWATONNA, MN 55060
PHONE: 507/451-1296
FAX: 507/451-1349
MR. PATRICK MASYGA
CMHC
NProf
SO CENTRAL HUMAN RELATIONS CTR
610 FLORENCE AVENUE
(02770)
OWATONNA, MN 55060
PHONE: 507/451-2630
FAX: /-
MR. ROBERT STEELE
Minnesota Department of Health
Division of Compliance Monitoring
Page
419
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
STEELE COUNTY PHNS
Cnty
Certification
STEELE
Registration
(Cont.)* -------------------------­
HCP-A
HHA
BOX 890 635 FLORENCE AVENUE
OWATONNA, MN 55060
PHONE: 507/444-7650
STERLING HOUSE OF OWATONNA
(02043)
FAX: 507/444-7668
Corp
MS. AMBER AASETH-INTERIM
HCP-F
HWSAL
334 CEDARDALE DRIVE
OWATONNA, MN 55060
PHONE: 507/451-6914
THE BROOKS ON ST PAUL
(20332)
FAX: 507/451-7083
NProf
MS. SHAWN MCNULTY
HCP-F
HWSAL
2480 ST PAUL ROAD
OWATONNA, MN 55060
PHONE: 507/446-5855
TRADITIONS OF OWATONNA
(20975)
FAX: 507/446-5858
Lim-Liab
MR. JAMES GROSS
HCP-F
HWSAL
195 24TH PLACE NW
OWATONNA, MN 55060
PHONE: 507/455-0700
TRADITIONS OF OWATONNA II LLC
(24247)
MS. DEIDRA BURKE
FAX: 507/583-0011
Lim-Liab
HCP-F
HWSAL
150 24TH STREET NE
OWATONNA, MN 55060
PHONE: 507/451-0433
VALLEYVIEW OF OWATONNA LLC
(25424)
MS. DEIDRA BURKE
FAX: 507/583-0011
HWSAL
Lim-Liab
1212 WEST FRONTAGE ROAD I-35
OWATONNA, MN 55060
PHONE: 507/451-0722
VALLEYVIEW OF OWATONNA LLC
(25302)
FAX: 507/455-3731
Lim-Liab
MS. KRISTIN SURDY
HCP-F
1212 FRONTAGE ROAD/N I35
OWATONNA, MN 55060
PHONE: 507/451-0722
VISITING ANGELS
(25301)
FAX: 507/455-3731
Lim-Liab
MS. KRISTIN SURDY
HCP-A
577 STATE AVENUE #3
OWATONNA, MN 55060
PHONE: 507/451-1124
WEST HILLS LODGE
(27787)
FAX: 507/451-1930
NProf
MR. BRYCE WAHL
SLFA-15
545 FLORENCE AVENUE
OWATONNA, MN 55060
PHONE: 507/451-1172
(01206)
FAX: 507/451-5701
---------------------------**********
MS. JODY ANDERSON
STEVENS
******** -------------------------­
Minnesota Department of Health
Division of Compliance Monitoring
Page 420
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
STEVENS
(Cont.)* -------------------------­
RHC
NProf
ESSENTIA HEALTH CHOKIO CLINIC
Registration
101 MAIN STREET
(03720)
CHOKIO, MN 56221
PHONE: 320/324-7500
FAX: /­
MR. TODD HOWELL
HWS-O
HRA
GRANDVIEW APARTMENTS
100 SOUTH COLUMBIA AVENUE
(20298)
MORRIS, MN 56267
PHONE: 320/589-3142
FAX: 320/589-3008
NProf
HOME CARE SERVICE OPTIONS
MS. MELANIE FOHL
HCP-F
1100 COURT DRIVE
(26184)
MORRIS, MN 56267
PHONE: 320/589-4663
FAX: 320/585-6162
NProf
RAVENWOOD HOME
MS. DANIELLE LESMEISTER
ICFIID-6
SLFB-6
605 WEST SIXTH STREET
(01662)
MORRIS, MN 56267
PHONE: 320/589-2057
MS. JUDY RICHARDS
FAX: 320/589-0462
ESRD
NProf
SANFORD DIALYSIS MORRIS
400 EAST 1ST STREET
(21529)
MORRIS, MN 56267
PHONE: 320/589-2832
SKYVIEW COURT
MS. WANDA BORCHERT
FAX: /-
HWSAL
NProf
1000 COURT DRIVE
MORRIS, MN 56267
PHONE: 320/589-0245
SKYVIEW PLAZA
(20374)
FAX: 320/589-3929
MS. DANIELLE LESMEISTER
HWSAL
NProf
1100 COURT DRIVE
MORRIS, MN 56267
PHONE: 320/585-4582
STEVENS COMMUNITY MED CENTER
(26356)
FAX: 320/585-6162
NProf
MS. DANIELLE LESMEISTER
BASS-5 HOSP-54
CAH-25
400 EAST FIRST STREET
MORRIS, MN 56267
PHONE: 320/589-1313
STEVENS COMMUNITY MEDICAL CENT
(00653)
FAX: 320/589-1065
MR. JOHN RAU
HWS
NProf
409 EAST FIRST STREET
MORRIS, MN 56267
PHONE: 320/585-5133
WEST WIND VILLAGE
(21272)
FAX: 320/589-7648
NProf
MS. KRISTI ABLER
NH-88
SNF-NF-88
1001 SCOTTS AVENUE
MORRIS, MN 56267
PHONE: 320/589-1133
(00654)
FAX: 320/589-7955
MR. MICHAEL SYLTIE
Minnesota Department of Health
Division of Compliance Monitoring
Page 421
Directory of Facilities and Services
Facility/Service
Owner
Licensure
Certification
SWIFT
---------------------------**********
APPLE RIDGE ESTATES
Registration
******** -------------------------­
HWS
City
100 SOUTH BARDUSON STREET
APPLETON, MN 56208
PHONE: 320/289-1163
APPLETON AREA HEALTH SERVICES
(23626)
FAX: 320/289-1578
City
MR. JEFFREY COOK
HCP-A
HHA
120 S BARDUSON STREET STE 203
APPLETON, MN 56208
PHONE: 320/289-2422
APPLETON MUN HOSPITAL & NH
(02903)
FAX: 320/289-1578
MR. JEFFREY COOK
RHC
City
30 SOUTH BEHL STREET
APPLETON, MN 56208
PHONE: 320/289-1580
APPLETON MUNICIPAL HOSPITAL
(29114)
FAX: 320/289-1585
City
MR. JEFFREY COOK
NH-50 BASS-1 HOSP-15
SNF-NF-50 CAH-15
30 SOUTH BEHL STREET
APPLETON, MN 56208
PHONE: 320/289-2422
CENTRAL MINNESOTA SENIOR CARE
(00655)
MR. JEFFREY COOK
FAX: 320/289-2764
HWSAL
Corp
416 13TH STREET SOUTH
BENSON, MN 56215
PHONE: 320/441-7001
CENTRAL MINNESOTA SENIOR CARE
(20542)
MS. DAWN FRERICKS
FAX: 320/235-8069
HWSAL
Corp
287 HIGHWAY 29 NORTH
BENSON, MN 56215
PHONE: 320/441-7001
CENTRAL MINNESOTA SENIOR CARE
(20357)
FAX: 320/235-8069
MS. DEBRA OLESON
HWSAL
Corp
414 13TH STREET SOUTH
BENSON, MN 56215
PHONE: 320/441-7001
GOLDEN LIVINGCENTER MEADOW LN
(20543)
FAX: 320/235-8069
Lim-Liab
MS. DEBRA OLESON
BCH-19 NH-43
NF2-19 SNF-NF-43
2209 UTAH AVENUE
BENSON, MN 56215
PHONE: 320/843-2225
PARK VIEW MANOR
(00930)
MS. BROOKE DILLON
FAX: 320/843-2496
HWSAL
HRA
300 13TH STREET NORTH
BENSON, MN 56215
PHONE: 320/842-8481
SWIFT COUNTY BENSON HOSPITAL
(20562)
FAX: 320/843-3018
Dist
MS. MICHELLE BOUTA
BASS-4 HOSP-31
1815 WISCONSIN AVENUE
BENSON, MN 56215
PHONE: 320/843-4232
(00659)
FAX: 320/843-4172
MR. FRANK LAWATSCH
CAH-25
Minnesota Department of Health
Division of Compliance Monitoring
Page 422
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Cy-Co
SWIFT CTY BENSON HOSP HH CARE
Certification
SWIFT
Registration
(Cont.)* -------------------------­
HCP-A
HHA
2125 MINNESOTA AVENUE
(02398)
BENSON, MN 56215
PHONE: 320/843-1349
FAX: 320/843-1345
MR. FRANK LAWATSCH
HWSAL
HRA
WESTWOOD MANOR
2000 HALL AVENUE
(20561)
BENSON, MN 56215
PHONE: 320/842-8481
FAX: 320/843-3018
Lim-Liab
GABRIEL HOUSE LLC
MS. MICHELLE BOUTA
HCP-F
116 SCHAAF STREET
(29828)
MURDOCK, MN 56271
PHONE: 320/875-4515
FAX: 320/875-4515
MS. LINDA AHRNDT
HWSAL
Lim-Liab
GABRIEL HOUSE LLC
116 SCHAAF STREET
(29532)
MURDOCK, MN 56271
PHONE: 320/693-9309
MS. LINDA AHRNDT
FAX: /­
---------------------------**********
TODD
******** -------------------------­
RHC
NProf
TRI COUNTY HC BERTHA CLINIC
PO BOX 67 FIRST STREET NORTH
(03181)
BERTHA, MN 56437
PHONE: 218/924-2250
MS. MAUREEN IDEKER
FAX: /-
RHC
NProf
LAKEWOOD CLINIC BROWERVILLE
30535 241ST AVENUE
(21830)
BROWERVILLE, MN 56438
PHONE: 320/594-2231
CENTRAL TODD CO CARE CENTER
FAX: /-
MR. TIM RICE
NProf
NH-60
SNF-NF-60
406 EAST HIGHWAY 71 PO BOX 38
CLARISSA, MN 56440
PHONE: 218/756-3636
CENTRAL TODD CO CC H C & APTS
(00761)
FAX: 218/756-2276
NProf
MR. JASON POLOVICK
HCP-F
HWSAL
406 EAST HIGHWAY 71
CLARISSA, MN 56440
PHONE: 218/756-3636
CENTRAL TODD COLONIAL TERRACE
(20202)
FAX: 218/756-2276
MR. JASON POLOVICK
HWSAL
NProf
407 HIGHWAY 71 EAST
CLARISSA, MN 56440
PHONE: 218/756-3636
(29643)
FAX: 218/756-2276
MR. JASON POLOVICK
Minnesota Department of Health
Division of Compliance Monitoring
Page 423
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
CENTRAL TODD COUNTY HOME CARE
Certification
TODD
Registration
(Cont.)* -------------------------­
HCP-A
HHA
406 HIGHWAY 71 EAST
(27816)
CLARISSA, MN 56440
PHONE: 218/756-3636
FAX: 218/756-3639
MR. JASON POLOVICK
NProf
ALISHAS CARE CENTER
12550 COUNTY ROAD 38
(28456)
EAGLE BEND, MN 56446
PHONE: 320/732-8162
FAX: 320/732-8161
MS. AMY CLASEMAN
RHC
NProf
LAKEWOOD CLINIC EAGLE BEND
815 HIGHWAY 71
(21828)
EAGLE BEND, MN 56446
PHONE: 218/738-2804
FAX: /-
MR. TIMOTHY RICE
RHC
NProf
LONG PRAIRIE HOSP EAGLE VALLEY
815 HIGHWAY 71 SOUTH
(03505)
EAGLE BEND, MN 56446
PHONE: 218/738-2804
MS. TONI TEBBEN
FAX: 218/738-5263
EAGLES CROSSING HOME MANAGEMNT
Home Mgmt
Ind
103 SPRUCE STREET PO BOX 87
(28049)
GREY EAGLE, MN 56336
PHONE: 320/285-3128
MS. DIANE KRAMER
FAX: 320/285-3128
NProf
CENTRACARE HEALTH SYSTEM-LONG
NH-70 BASS-10 HOSP-34
SNF-NF-70 CAH-25
20 NINTH STREET SOUTHEAST
(00778)
LONG PRAIRIE, MN 56347
PHONE: 320/732-2141
FAX: 320/732-3802
MR. DANIEL SWENSON
RHC
NProf
CENTRACARE HLTH SYSTEM LONG PR
24 9TH STREET SE
(23867)
LONG PRAIRIE, MN 56347
PHONE: 320/732-2131
R & M HOME CARE
FAX: /­
MR. DAN SWENSON
Part
HCP-B
410 4TH STREET SOUTH
LONG PRAIRIE, MN 56347
PHONE: 320/732-1075
TODD COUNTY PHNS
(28594)
FAX: 320/360-9379
Cnty
MS. AMBER MARTINEZ
HCP-A
HHA
119 THIRD STREET SOUTH, STE 2
LONG PRAIRIE, MN 56347
PHONE: 320/732-4440
VALLEY VIEW ESTATES
(02033)
FAX: 320/732-4445
Ind
MS. CHERYL SCHNEIDER
HWSAL
HCP-F
1104 4TH AVENUE NORTHEAST
LONG PRAIRIE, MN 56347
PHONE: 320/732-3516
(20675)
FAX: 320/732-7018
MS. SHEILA TOWLE
Minnesota Department of Health
Division of Compliance Monitoring
Page 424
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
TODD
(Cont.)* -------------------------­
HWSAL
Lim-Liab
CEDAR COVE ASSISTED LIVING
Registration
21596 CEDAR LAKE ROAD
(28803)
SAUK CENTRE, MN 56378
PHONE: 320/732-1939
FAX: 320/732-1087
NProf
LAKEWOOD HEALTH SYSTEM
MS. TAMMY BRUDER
BASS-8 HOSP-37
CAH-25 PPS-P-10
49725 COUNTY ROAD 83
(24633)
STAPLES, MN 56479
PHONE: 218/894-1515
FAX: 218/894-8355
MR. TIM RICE
HWS
NProf
LAKEWOOD MANOR
222 FIFTH STREET NE
(20201)
STAPLES, MN 56479
PHONE: 218/894-2124
FAX: 218/894-3067
MR. TIM RICE
HWSAL-O
HRA
STAPLES HRA
615 FOURTH STREET NORTHEAST
(30016)
STAPLES, MN 56479
PHONE: 218/894-2301
MS. BOBBI BLANCHARD
FAX: 218/894-0072
---------------------------**********
TRAVERSE
******** -------------------------­
Corp
BROWNS VALLEY CLINIC
404 WEST BROADWAY
(29981)
BROWNS VALLEY, MN 56219
PHONE: 320/695-2526
MR. DAN ELLIS
FAX: /­
NProf
BROWNS VALLEY HEALTH CENTER
NH-41
SNF-NF-41
114 JEFFERSON STREET SOUTH
(00668)
BROWNS VALLEY, MN 56219
PHONE: 320/695-2165
FAX: 320/695-2166
MS. CLAUDIA WARD
HWS
NProf
PRAIRIEVIEW PLACE
305 SEVENTH STREET SOUTH
(20456)
WHEATON, MN 56296
PHONE: 320/563-8600
FAX: 320/563-4133
SANFORD MEDICAL CENTER WHEATON
NProf
MS. CHELSY STATTELMAN
BASS-4 HOSP-25
CAH-25
401 12TH STREET NORTH
(00670)
WHEATON, MN 56296
PHONE: 320/563-8226
FAX: 320/563-8012
MS. JOANN FOLTZ
RHC
City
SANFORD WHEATON
401 12TH STREET NORTH
(23605)
WHEATON, MN 56296
PHONE: 320/563-8226
FAX: /-
MS. JOANN FOLTZ
Minnesota Department of Health
Division of Compliance Monitoring
Page 425
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
TRAVERSE CARE CENTER
Lim-Liab
Certification
TRAVERSE
Registration
(Cont.)* -------------------------­
NH-49
SNF-NF-49
303 SEVENTH STREET SOUTH
WHEATON, MN 56296
PHONE: 320/563-8124
(00669)
FAX: 320/563-4133
MS. CHELSY STATTELMAN
---------------------------**********
NURTURING HANDS LLC
Lim-Liab
WABASHA
******** -------------------------­
HCP-F
420 EAST KENDALL STREET
KELLOGG, MN 55945
PHONE: 507/421-1522
NURTURING HANDS LLC
(29768)
FAX: 507/767-2281
MS. LORI HALEY
HWSAL-O
Lim-Liab
420 EAST KENDALL STREET
KELLOGG, MN 55945
PHONE: 507/421-1522
LAKE PEPIN PLAZA
(29769)
FAX: 507/767-2281
MS. LORI HALEY
HWS
HRA
221 NORTH FRANKLIN STREET
LAKE CITY, MN 55041
PHONE: 651/565-2638
MAYO CLINIC HEALTH SYS L C
(28595)
MS. KAREN DUCHARME
FAX: 651/565-2638
NProf
NH-90
SNF-NF-90
500 WEST GRANT STREET
LAKE CITY, MN 55041
PHONE: 651/345-3321
MAYO CLINIC HEALTH SYS L C
(00770)
MR. JACOB SUCKOW
FAX: 651/345-1167
NProf
BASS-5 HOSP-18
CAH-18
500 WEST GRANT STREET
LAKE CITY, MN 55041
PHONE: 651/345-1114
RIVER OAKS HEALTH CARE CTR INC
(20693)
FAX: 651/345-1182
Corp
MS. CHERI KRAMER
BCH-38
815 NORTH HIGH STREET
LAKE CITY, MN 55041
PHONE: 651/345-2713
SERVICE MANAGEMENT GROUP INC
(00970)
FAX: 651/345-5336
MS. DIANE HOLST
HWSAL
NProf
317 NORTH HIGH STREET
LAKE CITY, MN 55041
PHONE: 651/345-5000
WINDCLIFF SENIOR CARE
(29088)
FAX: 651/388-1178
Lim-Liab
MR. JOHN DAHM
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 426
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
NProf
GREEN PRAIRIE PLACE
MS. SYLVIA BROWN
HCP-A
HWS
810 SECOND AVENUE NORTHWEST
(20292)
PLAINVIEW, MN 55964
PHONE: 507/534-4204
FAX: 507/534-2778
Church
ST ISIDORE HLTH CTR OF GRWD PR
MS. PAULA LEWIS
NH-53
SNF-NF-53
800 SECOND AVENUE NORTHWEST
(00672)
PLAINVIEW, MN 55964
PHONE: 507/534-3191
FAX: 507/534-2778
MS. PAULA LEWIS
ESRD
NProf
MAYO DIALYSIS WABASHA
1200 FIFTH GRANT BOULEVARD
(02756)
WABASHA, MN 55981
PHONE: 651/565-4598
ST ELIZABETH HOME HEALTH CARE
MR. BRIAN SCHNIEPP
FAX: /-
NProf
HCP-A
HHA
1200 GRANT BLVD WEST
WABASHA, MN 55981
PHONE: 651/565-5577
ST ELIZABETH HOSPITAL OF WABAS
(03474)
MR. JAMES ROOT
FAX: 651/565-5630
HWSAL
Church
1200 FIFTH GRANT BLVD WEST
WABASHA, MN 55981
PHONE: 651/565-4531
ST ELIZABETHS MEDICAL CENTER
(20255)
FAX: 651/565-2482
Church
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
---------------------------**********
GREEN PINE ACRES NURSING HOME
City
WADENA
NH-65
SNF-NF-65
427 MAIN STREET NORTHEAST
MENAHGA, MN 56464
PHONE: 218/564-4101
MENAGHA HOME HEALTH
(00678)
FAX: 218/564-5309
City
MS. CLAIR ERICKSON
HCP-F
427 MAIN STREET NE PO BOX 130
MENAHGA, MN 56464
PHONE: 218/564-4101
(03629)
FAX: 218/564-4101
******** -------------------------­
MS. CLAIR ERICKSON
Minnesota Department of Health
Division of Compliance Monitoring
Page 427
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
WADENA
(Cont.)* -------------------------­
HWSAL
Ind
ROSE HAVEN
Registration
37 6TH STREET SOUTHEAST
(29268)
MENAHGA, MN 56464
PHONE: 218/564-4268
FAX: 218/564-5449
Corp
ROSE HAVEN ASSISTED LIVING INC
MR. RUSSELL HENDRICKSON
HCP-F
37 6TH STREET SE
(29269)
MENAHGA, MN 56464
PHONE: 218/564-4268
FAX: 218/564-5449
MR. RUSSELL HENDRICKSON
HWSAL
City
WOOD SIDE MANOR
501 MAIN STREET NE
(20240)
MENAHGA, MN 56464
PHONE: 218/564-4101
FAX: 218/564-5309
Corp
CARING HANDS HOME CARE
MS. CLAIR ERICKSON
HCP-A
HHA
113 MINNESOTA AVE W PO BOX 19
(03311)
SEBEKA, MN 56477
PHONE: 218/837-5572
MS. PATRICIA JOHNSON
FAX: 218/837-6155
HWSAL
Corp
HERITAGE HOUSE OF SEBEKA
1005 WELLS AVENUE WEST
(21152)
SEBEKA, MN 56477
PHONE: 218/837-6406
MR. JAMES BIRCHEM
FAX: 218/837-6436
RHC
NProf
TRI COUNTY HC SEBEKA CLINIC
106 MINNESOTA AVENUE EAST
(03503)
SEBEKA, MN 56477
PHONE: 218/837-5333
FAX: /-
MS. MAUREEN IDEKER
ESRD
NProf
CENTRACARE DIALYSIS LAKEWOOD
401 EAST PRAIRIE AVENUE
(22194)
STAPLES, MN 56479
PHONE: 320/240-7808
FAX: /-
MR. STEVE LARAWAY
RHC
NProf
LAKEWOOD CLINIC STAPLES
49725 COUNTY 83
(21829)
STAPLES, MN 56479
PHONE: 218/894-1033
LAKEWOOD HEALTH SYSTEM
FAX: /-
MR. TIM RICE
NProf
NH-100
SNF-NF-100
401 PRAIRIE AVENUE NE
STAPLES, MN 56479
PHONE: 218/894-1515
LAKEWOOD HEALTH SYSTEM HOSPICE
(00667)
FAX: 218/894-8355
NProf
MR. TIM RICE
Hospice
HSPICE
401 PRAIRIE AVENUE NE
STAPLES, MN 56479
PHONE: 218/894-8080
(03591)
FAX: 218/894-8099
MR. TIM RICE
Minnesota Department of Health
Division of Compliance Monitoring
Page 428
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
LAKEWOOD HLTH SYS HM C & HSPCE
NProf
Certification
WADENA
Registration
(Cont.)* --------------------------
HCP-A
HHA
401 PRAIRIE AVENUE NE
STAPLES, MN 56479
PHONE: 218/894-8080
LAKEWOOD PINES SENIOR HOUSING
(02198)
FAX: 218/894-8099
Corp
MR. TIM RICE
HCP-F
HWS
1702 AIRPORT RD NW
STAPLES, MN 56479
PHONE: 218/894-4460
BELL HILL RECOVERY CENTER
(20936)
FAX: 218/894-4453
NProf
MS. BONNIE JOHNSON
SLFA-20
ROUTE 2 PO BOX 206
WADENA, MN 56482
PHONE: 218/631-3610
COMFORT CARE COTTAGES
(01546)
FAX: 218/631-3917
Ind
MR. ROSS OLSON
HWSAL
HCP-F
1232 JEFFERSON STREET SOUTH
WADENA, MN 56482
PHONE: 218/631-4873
FAIR OAKS LODGE
(20221)
MR. ADRIAN ERICKSON
FAX: 218/632-5924
ONProf
NH-75
SNF-NF-75
201 SHADY LANE DRIVE
WADENA, MN 56482
PHONE: 218/632-1302
LEGACY HOME HEALTH AND HOSPICE
(00679)
MS. RICHARD BLANCHARD
FAX: 218/632-5028
ONProf
Hospice
HSPICE
201 SHADY LANE DRIVE
WADENA, MN 56482
PHONE: 218/632-1335
LEGACY HOME HEALTH AND HOSPICE
(03306)
FAX: 218/632-1336
ONProf
MR. DAN PETERSON
HCP-A
HHA
201 SHADY LANE DRIVE
WADENA, MN 56482
PHONE: 218/632-1335
LSS OF WADENA LLC
(02415)
FAX: 218/632-1336
MR, DANIEL PETERSON
HWS
ONProf
201 SHADY LANE DRIVE
WADENA, MN 56482
PHONE: 218/631-1163
LSS OF WADENA LLC
(23513)
FAX: 218/631-1528
ONProf
MR. RICHARD BLANCHARD
HCP-A
201 SHADY LANE DRIVE
WADENA, MN 56482
PHONE: 218/631-1391
MN SPECIALTY HEALTH SYSTEM
(03632)
FAX: 218/632-5028
State
MR. RICHARD BLANCHARD
SLFB-16
240 SHADY LANE DR PO BOX 430
WADENA, MN 56482
PHONE: 218/319-6001
(23896)
FAX: 218/632-6583
MS. LEAH PRUSSIA
Minnesota Department of Health
Division of Compliance Monitoring
Page
429
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
OAKRIDGE HOMES OF WADENA
Certification
WADENA
Registration
(Cont.)* -------------------------­
ICFIID-16
SLFB-16
739 SUNNYBROOK ROAD
(01474)
WADENA, MN 56482
PHONE: 218/631-4133
FAX: 218/631-4134
MS. SHELLI FARONE
RHC
NProf
TRI COUNTY HC WADENA CLINIC
4 NORTHWEST DEERWOOD AVENUE
(27822)
WADENA, MN 56482
PHONE: 218/631-1100
FAX: /-
MR. JOEL BEISWENGER
NProf
TRI COUNTY HOSPITAL
BASS-6 HOSP-49
CAH-25
415 JEFFERSON STREET NORTH
(00680)
WADENA, MN 56482
PHONE: 218/631-7489
FAX: 218/631-7503
MR. DENNIS MILEY
---------------------------**********
City
JANESVILLE NURSING HOME
WASECA
******** -------------------------­
SNF-NF-40
NH-40
102 EAST NORTH STREET
(00681)
JANESVILLE, MN 56048
PHONE: 507/231-5113
MR. R. PETER MADEL III
FAX: 507/231-6310
NProf
ECUMEN NEW RICHLAND
HCP-F
HWSAL
113 FIRST STREET SOUTHWEST
(20378)
NEW RICHLAND, MN 56072
PHONE: 507/463-3565
MS. KELLY HANSON
FAX: 507/463-3197
City
NEW RICHLAND CARE CTR
NH-50
SNF-NF-50
312 1ST STREET NE P O BOX 477
(00748)
NEW RICHLAND, MN 56072
PHONE: 507/465-3292
FAX: 507/465-3403
Corp
COLONY COURT
MS. LYN SEBENALER
HCP-F
HWSAL
200 22ND AVENUE NORTHEAST
(20207)
WASECA, MN 56093
PHONE: 507/835-8227
FAX: 507/835-5734
Corp
COLONY COURT
MR. ERIC WORKE
HCP-F
500 22ND AVENUW NW
(30003)
WASECA, MN 56093
PHONE: 507/201-3000
FAX: 507/201-3001
COLONY COURT MEMORY CARE & CAR
MR. ERIC WORKE
HWSAL
Corp
500 22ND AVENUE NORTHWEST
WASECA, MN 56093
PHONE: 507/201-3000
(28411)
FAX: 507/835-5734
MR. ERIC WORKE
Minnesota Department of Health
Division of Compliance Monitoring
Page
430
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
WASECA
(Cont.)* -------------------------­
Home Mgmt
Lim-Liab
FRAMEWORK FOR THE LONG-LIVED
Registration
412 5TH STREET NE
(29450)
WASECA, MN 56093
PHONE: /­
LAKE SHORE INN NURSING HOME
FAX: /­
MS. THERESA WELNA
Corp
NH-55
SNF-NF-55
108 8TH STREET NORTHWEST
WASECA, MN 56093
PHONE: 507/835-2800
LATHAM PLACE
(00682)
FAX: 507/833-1391
Lim-Liab
MR. MICHAEL CORCHRAN
HCP-F
HWSAL
105 NORTHWEST 8TH STREET
WASECA, MN 56093
PHONE: 507/833-0903
MAYO CLINIC HEALTH SYS WASECA
(23728)
FAX: 507/833-1391
NProf
MR. MICHAEL CORCHRAN
HOSP-35
CAH-25
501 NORTH STATE STREET
WASECA, MN 56093
PHONE: 507/781-8256
(00908)
MR. JEFFREY CARLSON
FAX: 507/781-8945
---------------------------**********
AFTON CARE
WASHINGTON
******** -------------------------­
HWS
Lim-Liab
13115 50TH STREET SOUTH
AFTON, MN 55001
PHONE: 651/436-4047
AFTON CARE SENIOR HOMES
(27467)
MS. ELLEN TRIEMERT
FAX: 651/436-4048
Lim-Liab
HCP-F
15890 31ST STREET SOUTH
AFTON, MN 55001
PHONE: 651/436-8757
AFTON CARE ST CROIX
(27465)
FAX: 651/436-1159
MS. JENNIFER BURTON
HWS
Lim-Liab
15890 31ST STREET SOUTH
AFTON, MN 55001
PHONE: 651/436-8757
BUURTZORG MINNESOTA
(27466)
FAX: 651/436-1159
Lim-Liab
MS. JENNIFER BURTON
HCP-A
972 INSPIRATION PARKWAY NORTH
BAYPORT, MN 55003
PHONE: 651/605-1400
CROIXDALE
(29716)
FAX: 651/689-8840
MS. MICHELLE MICHELS
HWSAL
NProf
750 HIGHWAY 95 NORTH
BAYPORT, MN 55003
PHONE: 651/275-4800
(00686)
FAX: 651/275-4801
MS. RENE ROESER
Minnesota Department of Health
Division of Compliance Monitoring
Page
431
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
CROIXDALE
Certification
WASHINGTON
Registration
(Cont.)* -------------------------­
HCP-F
750 HIGHWAY 95 NORTH
(28164)
BAYPORT, MN 55003
PHONE: 651/275-4800
FAX: 651/275-4801
MS. NATALIE MORLAND
HWS
Lim-Liab
BETTYS HOME
7882 JORGENSEN AVENUE
(27491)
COTTAGE GROVE, MN 55016
PHONE: 651/458-0343
FAX: 651/458-0343
Lim-Liab
BETTYS HOME
MR. ALFREDO LAUS
HCP-F
7882 JORGENSEN AVENUE
(27490)
COTTAGE GROVE, MN 55016
PHONE: 651/458-0343
FAX: 651/459-3940
MR. ALFREDO LAUS
ESRD
Corp
COTTAGE GROVE DIALYSIS
8800 E POINT DOUGLAS RD #100
(24580)
COTTAGE GROVE, MN 55016
PHONE: 612/347-3431
MS. DENISE TURNBULL
FAX: /­
Lim-Liab
COTTAGE GROVE WHITE PINE
HWSAL
HCP-F
6900 EAST POINT DOUGLAS ROAD S
(26133)
COTTAGE GROVE, MN 55016
PHONE: 651/458-9455
MS. RHONDA SCHILLINGER
FAX: 651/458-9457
Lim-Liab
COTTAGE GROVE WP II LLC
HWSAL
HCP-F
6950 EAST POINT DOUGLAS ROAD S
(27918)
COTTAGE GROVE, MN 55016
PHONE: 651/459-2870
FAX: 651/459-2891
Corp
HOME CARE SERVICE PROVIDERS
MS. RHONDA SCHILLINGER
HCP-A
9635 HAMLET AVENUE
(29961)
COTTAGE GROVE, MN 55016
PHONE: 651/354-7290
FAX: 651/772-3600
Lim-Liab
ICARE HEALTH PRO LLC
MR. PAUL AKHALU
HCP-A
8458 IVYWOOD AVE S
(28228)
COTTAGE GROVE, MN 55016
PHONE: 651/278-4286
LOVING CARE COTTAGE LLC
FAX: /­
MS. ZAIDA LUMIBAO
Lim-Liab
HWSAL
HCP-F
7740 HADLEY AVENUE
COTTAGE GROVE, MN 55016
PHONE: 651/459-2779
NORRIS SQUARE
(22037)
FAX: 651/458-0916
NProf
MS. HEIDI CUNNINGHAM
HCP-F
8200 HADLEY AVENUE SOUTH
COTTAGE GROVE, MN 55016
PHONE: 651/769-6600
(27946)
FAX: 651/769-6601
MS. NATALIE MORLAND
Minnesota Department of Health
Division of Compliance Monitoring
Page 432
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: 651/769-6601
MR. DAN STRITTMATER
HWS
Corp
TRIPLE ANGELS HEALTHCARE
7750 HINTON AVE S UNIT 1
(29931)
COTTAGE GROVE, MN 55016
PHONE: 651/795-8290
FAX: 651/458-9402
MR. ADENIKE OGUNRIDE
HWSAL
Corp
TRIPLE ANGELS HEALTHCARE
7957 80TH STREET S
(25286)
COTTAGE GROVE, MN 55016
PHONE: 651/458-9401
TRIPLE ANGELS HEALTHCARE CO
FAX: /­
MS. ADENIKE OGUNRINDE
Corp
HCP-F
7957 80TH STREET S
COTTAGE GROVE, MN 55016
PHONE: 651/458-9401
BIRCHWOOD ARBORS
(25202)
MS. ADENIKE AGUNRINDE
FAX: 651/458-9402
NProf
HWSAL
HCP-F
750 NORTHEAST FIRST STREET
FOREST LAKE, MN 55025
PHONE: 651/466-1000
BIRCHWOOD HEALTH CARE CENTER
(21920)
MR. TYLER DONAHUE
FAX: 651/466-1100
NProf
NH-110
SNF-NF-110
604 NORTHEAST FIRST STREET
FOREST LAKE, MN 55025
PHONE: 651/466-1022
ELDER HAVEN
(00853)
FAX: 651/464-0992
Lim-Liab
MR. TYLER DONAHUE
HWSAL
HCP-F
367 SOUTHWEST 4TH STREET
FOREST LAKE, MN 55025
PHONE: 651/464-0899
FOREST LAKE HOMECARE INC
(21186)
FAX: 651/464-3861
Corp
MS. BRENDA WARD
HCP-A
45 SEVENTH AVENUE SW
FOREST LAKE, MN 55025
PHONE: 651/272-5195
OTTOMEYER CLINICS PLLC
(29001)
FAX: 651/395-2934
MR. PAUL KREGER
Out Pt
Lim-Liab
967 SOUTH LAKE STREET
FOREST LAKE, MN 55025
PHONE: 651/464-1113
APOLLO HOMES INC
(23901)
FAX: 651/464-0853
Corp
DR. RICHARD HASTINGS
HCP-A
12300 HEATHER AVENUE NORTH
HUGO, MN 55038
PHONE: 651/351-0474
(23984)
FAX: 651/351-0228
MS. JILL MARKOE
Minnesota Department of Health
Division of Compliance Monitoring
Page
433
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
HUGO GW LLC
Lim-Liab
Certification
WASHINGTON
Registration
(Cont.)* -------------------------­
HWSAL
HCP-F
5607 NORTH 150TH STREET
HUGO, MN 55038
PHONE: 651/653-3282
ACTI-KARE RESPONSIVE IN-HOME C
(23369)
FAX: 651/407-5173
Corp
MS. RHONDA SCHILLINGER
HCP-A
8997 HIGHWAY 5
LAKE ELMO, MN 55042
PHONE: 651/493-1251
ACTI-KARE RESPONSIVE IN-HOME C
(28758)
FAX: 651/493-6696
MS. JILL PATERSON
Home Mgmt
Corp
8997 HIGHWAY 5
LAKE ELMO, MN 55042
PHONE: 651/493-1251
ACTI-KARE RESPONSIVE IN-HOME C
(29537)
FAX: 651/493-6696
Corp
MS. JILL PATERSON
HCP-B
8997 HIGHWAY 5
LAKE ELMO, MN 55042
PHONE: 651/493-1251
ALWAYS BEST CARE OF ST CROIX
(29991)
MS. JULI WALL
FAX: 651/493-6696
Corp
HCP-B
2461 MENDEL AVENUE NORTH
LAKE ELMO, MN 55042
PHONE: 651/485-5382
BRIGHTSTAR OF ST CROIX VALLEY
(28142)
MS. LAURIE CHERRY
FAX: 651/777-3614
Lim-Liab
HCP-A
8951 HIGHWAY 5
LAKE ELMO, MN 55042
PHONE: 651/234-0044
HIGH POINTE SURGERY CENTER
(27924)
FAX: 651/234-0046
Lim-Liab
MS. HEIDI TRULEN
Outpt Surg
Amb Surg
8650 HUDSON BLVD STE 235
LAKE ELMO, MN 55042
PHONE: 651/702-7400
WILLOW HAVEN
(00028)
FAX: 651/702-7414
Part
MS. TRACI ALBERS
SLFA-13
3819 LAVERNE AVE NO PO BOX 258
LAKE ELMO, MN 55042
PHONE: 651/770-2224
SCENIC HILLS ALTERNATIVE CARE
(01523)
FAX: 651/773-6501
MS. TRACY KLEIN
HWSAL
Corp
1990 QUEENS AVENUE
LAKE ST CROIX BEACH, MN 55043
PHONE: 651/735-7259
COVENTRY SENIOR LIVING
(26943)
FAX: 651/730-1667
Lim-Liab
MS. EYDIE SHYPULSKI
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
434
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
COVENTRY SENIOR LIVING
Certification
WASHINGTON
Registration
(Cont.)* -------------------------­
HWSAL
Lim-Liab
720 MAHTOMEDI AVENUE
MAHTOMEDI, MN 55115
PHONE: 651/528-8442
NEW PERSPECTIVE MAHTOMEDI
(28353)
FAX: 651/756-8240
Lim-Liab
MS. KAREN LARSON
HCP-F
HWS
113 EAST AVENUE
MAHTOMEDI, MN 55115
PHONE: 651/407-9076
NEW PERSPECTIVE MAHTOMEDI LLC
(20050)
FAX: 651/653-9747
MR. TODD NOVACZYK
HWS
Lim-Liab
111 EAST AVENUE
MAHTOMEDI, MN 55115
PHONE: 651/407-9076
ST ANDREWS VILLAGE
(20051)
FAX: 651/653-9747
MR. RYAN NOVACYZK
HWSAL
NProf
240 EAST AVENUE
MAHTOMEDI, MN 55115
PHONE: 651/762-4100
PHOENIX AT NEWPORT
(21177)
MS. JAN PALMER
FAX: 651/762-4135
NProf
ICFIID-6
SLFB-6
351 14TH STREET
NEWPORT, MN 55055
PHONE: 651/227-7655
BOUTWELLS LANDING
(23519)
MS. DARLENE SCOTT
FAX: 651/227-6847
HWSAL
NProf
5610 NORWICH PARKWAY
OAK PARK HEIGHTS, MN 55082
PHONE: 651/275-5000
BOUTWELLS LANDING
(21362)
FAX: 651/275-5005
Lim-Liab
MR. GREG CARLSON
HCP-F
5600 NORWICH PARKWAY
OAK PARK HEIGHTS, MN 55082
PHONE: 651/275-5000
GABLES OF BOUTWELLS LANDING
(28193)
FAX: 651/275-5005
Lim-Liab
MS. NATALIE MORLAND
NH-108
SNF-NF-108
13575 58TH STREET
OAK PARK HEIGHTS, MN 55082
PHONE: 651/430-7200
OAK PARK SENIOR LIVING
(25613)
FAX: 651/430-7201
MS. LAURA COGNETTA
HWSAL
Lim-Liab
13936 LOWER 59TH STREET N
OAK PARK HEIGHTS, MN 55082
PHONE: 651/454-4801
OAK PARK SENIOR LIVING
(28227)
FAX: 651/454-4783
Lim-Liab
MS. SARAH MILLIGAN
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 435
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
OAK RIDGE PLACE
Certification
WASHINGTON
Registration
(Cont.)* -------------------------­
HWSAL
HCP-F
6060 OXBORO AVENUE NORTH
(20599)
OAK PARK HEIGHTS, MN 55082
PHONE: 651/439-8034
FAX: 651/439-8305
MR. WILLIAM HENDERSON
HWSAL-O
Lim-Liab
OXBORO HOME
5883 OXBORO AVENUE NORTH
(27921)
OAK PARK HEIGHTS, MN 55082
PHONE: 651/342-0538
FAX: /­
MS. IRENE PREGL
HWS-O
Lim-Liab
OXBORO HOME
5881 OXBORO AVENUE NORTH
(28282)
OAK PARK HEIGHTS, MN 55082
PHONE: 651/342-0538
FAX: 651/342-0548
Lim-Liab
PEACEFUL LIVING LLC
MS. IRENE PREGL
HCP-F
5873 OXBORO AVENUE NORTH
(29416)
OAK PARK HEIGHTS, MN 55082
PHONE: 715/386-7071
MS. IRENE PREGL
FAX: 715/386-0873
HWS-O
Lim-Liab
PEACEFUL LIVING LLC
5873 OXBORO AVENUE NORTH
(29417)
OAK PARK HEIGHTS, MN 55082
PHONE: 715/386-7071
MS. IRENE PREGL
FAX: 715/386-0873
Home Mgmt
Corp
ABC CARE INC
7089 10TH STREET NORTH
(29698)
OAKDALE, MN 55128
PHONE: 651/771-2420
FAX: 651/771-2420
Corp
ABRO HOME CARE INC
MS. GLORIA WONG
HCP-A
1550 GRANADA AVENUE N #101
(29990)
OAKDALE, MN 55128
PHONE: 651/214-7867
HEALTHEAST PILLARS
FAX: /­
MR. EMMANUEL ABROKWAH
NProf
RES-HSPICE-8
18-HOSPICE-8
6025 UPPER 35TH STREET
OAKDALE, MN 55128
PHONE: 651/748-0330
OAK MEADOWS
(04309)
FAX: 651/777-3324
MS. MICKI SCHAEFER
HWSAL
NProf
8131 FOURTH STREET NORTH
OAKDALE, MN 55128
PHONE: 651/578-0676
SCENIC HILLS ALTERNATIVE CARE
(20462)
FAX: 651/578-1431
Corp
MS. CONNIE DOW
HCP-F
6230 10TH ST STE 330
OAKDALE, MN 55128
PHONE: 651/735-7259
(26210)
FAX: 651/730-1667
MR. ANTHONY EHRNRITER
Minnesota Department of Health
Division of Compliance Monitoring
Page
436
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
ST CROIX HOSPICE
Certification
WASHINGTON
Registration
(Cont.)* -------------------------­
Hospice
HSPICE
7200 HUDSON BOULEVARD STE 230
(26361)
OAKDALE, MN 55128
PHONE: 651/735-3656
FAX: 651/735-0126
MR. HEATH BARTNESS
Home Mgmt
Corp
VISITING ANGELS
3030 GRANADA AVE N STE A
(23353)
OAKDALE, MN 55128
PHONE: 651/653-0110
FAX: 651/653-0115
Corp
VISITING ANGELS
MS. JENNIFER WEST
HCP-A
3030 GRANADA AVE N STE A
(23261)
OAKDALE, MN 55128
PHONE: 651/653-0110
FAX: 651/653-0115
Ind
NANCY ISCHER
MS. JENNIFER WEST
HCP-C
7860 64TH STREET
(24132)
PINE SPRINGS, MN 55115
PHONE: 651/246-2740
MS. NANCY ISCHER
FAX: /-
Corp
FOREVER CARES INC
HCP-B
21859 OLDFIELD AVE PO BOX 267
(28631)
SCANDIA, MN 55073
PHONE: 651/983-3047
MS. BETTY JANU
FAX: 651/433-3052
Lim-Liab
REBECCAS RESIDENCE
SLFA-10
21077 PENROSE AVENUE NORTH
(22017)
SCANDIA, MN 55073
PHONE: 651/433-5839
FAX: 651/433-5921
Ind
ALTERNATIVE HOME CARE SOLUTION
MS. JANET HAVEN-HALL
HCP-A
1648 DIXON DRIVE
(26667)
ST PAUL PARK, MN 55071
PHONE: 651/214-2044
FAX: /-
MS. FRANCES ZOGAA
Corp
REM MN COMM SVS INC PARK PLACE
ICFIID-6
SLFA-6
901 2ND STREET
(01125)
ST PAUL PARK, MN 55071
PHONE: 651/644-7680
FAX: 651/644-6777
MS. CONNIE MENNE
HWS
Ind
THE MILTON HOME
1305 6TH STREET
(29100)
ST PAUL PARK, MN 55071
PHONE: 651/769-2286
ASSOCIATED EYE CARE AMB SURG
FAX: /-
MS. MARY MILTON
Lim-Liab
Outpt Surg
Amb Surg
2950 CURVE CREST BOULEVARD
STILLWATER, MN 55082
PHONE: 651/275-3002
(23898)
FAX: 651/275-3027
MR. MARK FISHER
Minnesota Department of Health
Division of Compliance Monitoring
Page 437
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
CEDAR RIDGE
Lim-Liab
Certification
WASHINGTON
Registration
(Cont.)* -------------------------­
SLFA-25 SLFB-9
11400 JULIANNE AVENUE NORTH
STILLWATER, MN 55082
PHONE: 651/426-3300
GOLDEN LIVINGCENTER GREELEY
(01660)
FAX: 651/426-0149
Lim-Liab
MRS. LORI ROLFSMEIER
NH-70
SNF-NF-70
313 SOUTH GREELEY STREET
STILLWATER, MN 55082
PHONE: 651/439-5775
GOLDEN LIVINGCENTER LINDEN
(00947)
FAX: 651/439-1936
Lim-Liab
MR. CHAD DANIEL KETCHAM
NH-67
SNF-NF-67
105 WEST LINDEN STREET
STILLWATER, MN 55082
PHONE: 651/439-5004
GOOD SAM SOCIETY STILLWATER
(00948)
FAX: 651/430-2127
NProf
MS. JULIE LUDWIG
NH-94
SNF-NF-94
1119 OWENS STREET NORTH
STILLWATER, MN 55082
PHONE: 651/439-7180
GREENBRIER APARTMENTS - CANVAS
(00903)
MR. NATHAN PEARSON
FAX: 651/439-4502
HWS
NProf
14847 60TH STREET N
STILLWATER, MN 55082
PHONE: 651/430-8820
GREENBRIER APARTMENTS CANVAS T
(28536)
MR. MARK KUPPE
FAX: 651/430-8430
HWS
NProf
14843 60TH STREET NORTH
STILLWATER, MN 55082
PHONE: 651/439-7812
HOME FREE
(28554)
FAX: 651/430-8430
MR. MARK KUPPE
HWS-O
NProf
6450 PANAMA AVENUE
STILLWATER, MN 55082
PHONE: 651/777-5222
KING OF KINGS HOME HEALTH CARE
(23909)
FAX: 651/251-5111
Lim-Liab
MR. JOHN SAVEREIDE
HCP-A
200 SOUTH 3RD ST STE 200
STILLWATER, MN 55082
PHONE: 651/329-4047
LAKEVIEW HOMECARE
(28272)
FAX: 800/934-0257
NProf
MRS. NICOLE MCKEE
HCP-A
HHA
1715 TOWER DRIVE WEST STE 330
STILLWATER, MN 55082
PHONE: 651/430-3320
LAKEVIEW HOMECARE AND HOSPICE
(03154)
FAX: 651/430-8505
NProf
MRS. STEPHANIE LARSON
HCP-F
1715 TOWER DRIVE W STE 330
STILLWATER, MN 55082
PHONE: 651/430-3320
(21236)
FAX: 651/430-8505
MS. STEPHANIE LARSON
Minnesota Department of Health
Division of Compliance Monitoring
Page 438
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
LAKEVIEW HOSPICE
Certification
WASHINGTON
Registration
(Cont.)* --------------------------
Hospice
HSPICE
1715 TOWER DRIVE WEST STE 330
(03223)
STILLWATER, MN 55082
PHONE: 651/430-3320
FAX: 651/430-8505
NProf
LAKEVIEW MEMORIAL HOSPITAL
MS. BRUNY FULLERTON
BASS-15 HOSP-97
HOSP-97
927 WEST CHURCHILL STREET
(00689)
STILLWATER, MN 55082
PHONE: 651/430-4648
FAX: 651/430-4512
Corp
ONTRACK HOME CARE INC
MR. CURT GEISSLER
HCP-A
13955 NORTH 26TH STREET
(27846)
STILLWATER, MN 55082
PHONE: 651/439-3790
FAX: 651/439-3790
Corp
PROJECT CARING RES ASSTD LVG
MS. RUTH MONZEL
HWSAL
HCP-F
14410 21ST STREET NORTH
(26164)
STILLWATER, MN 55082
PHONE: 651/485-0860
MS. JACQUELINE FITZGERALD
FAX: 651/481-0426
REM MN COMM SVS INC NORTHBROOK
Corp
ICFIID-6
SLFA-6
5224 NORTHBROOK BLVD NORTH
(01131)
STILLWATER, MN 55082
PHONE: 651/644-7680
MS. CONNIE MENNE
FAX: 651/644-6777
ESRD
Corp
RIVER CITY DIALYSIS
1970 NORTHWESTERN AVENUE NORTH
STILLWATER, MN 55082
PHONE: 651/430-0067
SENIOR HELPERS
(02843)
FAX: 651/430-0140
Lim-Liab
MS. TRISHA RHOADS
HCP-A
105 NEW ENGLAND PLACE, STE 230
STILLWATER, MN 55082
PHONE: 952/392-1999
CLIENT CENTERED HOME CARE
(24827)
FAX: 952/392-1998
Ind
MS. KAREN LILYQUIST
HCP-A
3227 OAK VIEW DRIVE
WOODBURY, MN 55129
PHONE: 651/337-1204
COLBY LAKE CARE HOME INC
(29972)
FAX: 651/337-1347
Corp
MR. ABDURAHMAN WARSAME
HWSAL
HCP-F
9377 NEWCASTLE ROAD
WOODBURY, MN 55125
PHONE: 651/230-5088
COMFORT KEEPERS
(26643)
FAX: 651/731-7814
Lim-Liab
MS. VIJWANTIE SIRJU
HCP-A
8362 TAMARACK VILLAGE #119-230
WOODBURY, MN 55125
PHONE: 651/779-7740
(22026)
FAX: 651/779-0098
MS. JAN LEVINE
Minnesota Department of Health
Division of Compliance Monitoring
Page 439
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
COMMUNITY LIVING OPTIONS INC
Certification
WASHINGTON
Registration
(Cont.)* -------------------------­
HWSAL
HCP-F
6617 STRATFORD ROAD
(28270)
WOODBURY, MN 55125
PHONE: 763/856-4866
FAX: 763/856-5732
Lim-Liab
FAITH HOME CARE LLC
MR. JEFF FELTZ
HCP-F
HWS
10910 THORNE RIDGE
(26620)
WOODBURY, MN 55129
PHONE: 651/436-5452
FAX: 651/436-2412
NProf
HEALTHEAST WOODWINDS HOSPITAL
MS. MARCIA ROBERTS
BASS-20 HOSP-86
HOSP-86
1925 WOODWINDS DRIVE
(04278)
WOODBURY, MN 55125
PHONE: 651/232-6880
FAX: 651/232-6888
HOMETOWN SENIOR LIVING WEDGEWO
MR. SCOTT NORTH
HWSAL
Corp
3610 MOUNT VERNON COURT
(28204)
WOODBURY, MN 55129
PHONE: 651/714-7099
MS. MARY HENDRICKS
FAX: 651/714-7188
Corp
HOMETOWN SENIOR LIVING-BELMONT
HWSAL
HCP-F
1265 BELMONT DRIVE
(26862)
WOODBURY, MN 55125
PHONE: 651/207-5999
MS. MARY HENDRICKS
FAX: 651/207-5917
Ind
HONG FU HOME HEALTH CARE
HCP-A
10164 WATERFRONT DR
(29181)
WOODBURY, MN 55129
PHONE: 651/578-7851
FAX: 651/730-2064
Part
MIDWEST SURGERY CENTER
MR. ZHIYING YU
Outpt Surg
Amb Surg
2080 WOODWINDS DRIVE STE 200
(21791)
WOODBURY, MN 55125
PHONE: 651/642-9199
FAX: 651/645-3346
MR. H. JOSEPH DRANNEN
Out Pt Out St Out Ot
Corp
NOVA CARE OUTPATIENT REHAB DIV
1000 RADIO DRIVE STE 110
(02793)
WOODBURY, MN 55125
PHONE: 651/702-0555
PRELUDE HOME & SERVICES LLC
FAX: /­
MR. THOMAS COPLIN
Lim-Liab
HWSAL
HCP-F
10020 RALEIGH ROAD
WOODBURY, MN 55129
PHONE: 651/501-6507
RELIANCE HEALTHCARE
(27917)
FAX: 651/501-6600
Lim-Liab
MR. DAVID SMITH
HCP-A
11108 CRESTHAVEN TRAIL
WOODBURY, MN 55129
PHONE: 612/237-7876
(29413)
FAX: 651/337-2486
MR. EVARISTUS BOH
Minnesota Department of Health
Division of Compliance Monitoring
Page 440
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
WASHINGTON
(Cont.)* -------------------------­
HWSAL
Lim-Liab
SAGEWOOD LLC
Registration
6281 OAKWOOD ROAD
(28375)
WOODBURY, MN 55125
PHONE: 651/200-3082
FAX: 651/200-3084
Lim-Liab
SAGEWOOD LLC
MS. JEANETTE ROMERO
HCP-F
6281 OAKWOOD ROAD
(28374)
WOODBURY, MN 55125
PHONE: 651/200-3082
FAX: 651/200-3084
MS. LISA ZUNIGA
HWSAL
NProf
STONECREST
8725 PROMENADE LANE
(25310)
WOODBURY, MN 55125
PHONE: 651/264-3200
FAX: 651/264-3329
NProf
STONECREST
MS. STACY CARLSRUD
HCP-F
8725 PROMENADE LANE
(27949)
WOODBURY, MN 55125
PHONE: 651/264-3200
MS. NATALIE MORLAND
FAX: 651/264-3334
Lim-Liab
WICARE SERVICES
HCP-A
2602 COPPER CLIFF TRAIL
(26425)
WOODBURY, MN 55125
PHONE: 651/738-4890
MS. DOROTHY MICHORI
FAX: 651/735-3022
WOODBURY AMBULATORY SURG CENTE
Corp
Outpt Surg
Amb Surg
8675 VALLEY CREEK RD STE 300
(20726)
WOODBURY, MN 55125
PHONE: 651/241-3450
FAX: 651/241-3453
MS. BECKIE HINES
ESRD
Corp
WOODBURY DIALYSIS
1850 - 3 WEIR DRIVE
(03523)
WOODBURY, MN 55125
PHONE: 651/730-4522
WOODBURY ESTATES
FAX: /-
MS. COLLEEN LAPINSKI
NProf
HCP-F
2825 WOODLANE DRIVE
WOODBURY, MN 55125
PHONE: 651/714-1000
WOODBURY ESTATES
(21116)
FAX: 651/714-1003
MR. JOEL ULLAND
HWSAL
Lim-Liab
2825 WOODLANE DRIVE
WOODBURY, MN 55125
PHONE: 651/714-1000
WOODBURY HEALTH CARE CENTER
(20551)
FAX: 651/714-1003
NProf
MR. RICHARD MARTIN
NH-182
SNF-NF-182
7012 LAKE ROAD
WOODBURY, MN 55125
PHONE: 651/287-6506
(00803)
FAX: 651/735-0075
MR. ALLAN TODD BARR
Minnesota Department of Health
Division of Compliance Monitoring
Page 441
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
WOODBURY VILLA
NProf
Certification
WASHINGTON
Registration
(Cont.)* -------------------------­
HCP-F
HWSAL
7008 LAKE ROAD
WOODBURY, MN 551252499
PHONE: 651/735-4000
ZUMBRO HOUSE INC
(21870)
FAX: 651/731-5585
Corp
MR. DAVID JONES
HCP-F
525 COMMONS DRIVE
WOODBURY, MN 55125
PHONE: 651/264-1003
(28733)
FAX: 651/264-1002
MR. CHRISTOPHER ONKEN
---------------------------**********
LUTHER MEMORIAL HOME
Church
WATONWAN
******** -------------------------­
NH-71
SNF-NF-71
221 SIXTH STREET SOUTHWEST
MADELIA, MN 56062
PHONE: 507/642-3271
MADELIA COMMUNITY HOSP HM CARE
(00695)
FAX: 507/642-8676
NProf
MS. DAWN CAMPBELL
HCP-A
HHA
121 DREW AVENUE SOUTHEAST
MADELIA, MN 56062
PHONE: 507/642-3255
MADELIA COMMUNITY HOSPITAL
(02340)
MRS. CANDACE FENSKE
FAX: 507/642-3534
NProf
BASS-7 HOSP-25
CAH-25
121 DREW AVENUE SOUTHEAST
MADELIA, MN 56062
PHONE: 507/642-3255
REM HEARTLAND INC MADELIA
(00696)
MS. CANDACE FENSKE
FAX: 507/642-8516
Corp
ICFIID-13
SLFB-13
226 DREW AVENUE SOUTHEAST
MADELIA, MN 56062
PHONE: 507/238-4751
GOOD SAM SOCIETY BRANDT RIDGE
(01455)
FAX: 507/238-4753
NProf
MS. CONNIE MENNE
HCP-F
HWSAL
1102 - 2ND STREET SOUTH
ST JAMES, MN 56081
PHONE: 507/375-6120
GOOD SAM SOCIETY ST JAMES
(25414)
FAX: 507/375-5779
NProf
MR. TIM SWOBODA
NH-55
SNF-NF-55
1000 SOUTH SECOND STREET
ST JAMES, MN 56081
PHONE: 507/375-3286
GOOD SAMARITAN SOCIETY - PRAIR
(00697)
FAX: 507/375-3288
MR. TIMOTHY SWOBODA
HWS
NProf
1101 SECOND STREET SOUTH
ST JAMES, MN 56081
PHONE: 507/375-5150
(21033)
FAX: 507/375-3218
MR. TIM SWOBODA
Minnesota Department of Health
Division of Compliance Monitoring
Page 442
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
MAYO CLINIC HEALTH SYS ST JAME
NProf
Certification
WATONWAN
Registration
(Cont.)* --------------------------
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
---------------------------**********
PIONEER RETIREMENT COMMUNITY
WILKIN
******** -------------------------­
HWSAL
Corp
521 OAK STREET
BRECKENRIDGE, MN 56520
PHONE: 218/643-9572
PIONEER RETIREMENT COMMUNITY
(24441)
FAX: 218/643-9573
MR. NATHATN JOHNSON
HWSAL
Corp
519 OAK STREET
BRECKENRIDGE, MN 56520
PHONE: 218/643-9572
RIVEREDGE HOSPICE ST FRANCIS
(24440)
FAX: 218/643-9573
NProf
MR. NATHAN JOHNSON
Hospice
HSPICE
1110 HWY 75 NORTH SUITE A
BRECKENRIDGE, MN 56520
PHONE: 218/643-2275
ST FRANCIS HOME
(02418)
MS. TAMERA ALTHOFF
FAX: 218/643-2274
Church
NH-80
SNF-NF-80
2400 ST FRANCIS DRIVE
BRECKENRIDGE, MN 56520
PHONE: 218/643-3000
ST FRANCIS HOME HEALTH CARE
(00818)
MR. DAVID NELSON
FAX: 218/643-0850
NProf
HCP-A
HHA
1110 HWY 75 NORTH SUITE A
BRECKENRIDGE, MN 56520
PHONE: 218/643-2275
ST FRANCIS MEDICAL CENTER
(02371)
FAX: 218/643-2274
Church
MS. TAMERA ALTHOFF
BASS-8 HOSP-25
CAH-25
2400 ST FRANCIS DRIVE
BRECKENRIDGE, MN 56520
PHONE: 218/643-3000
TWIN TOWN VILLA
(00700)
FAX: 218/643-0850
Corp
MR. DAVID NELSON
HCP-F
HWSAL
615 DURUM DRIVE
BRECKENRIDGE, MN 56520
PHONE: 218/643-9542
WILKIN COUNTY PUBLIC HEALTH
(24375)
FAX: 218/643-9543
MR. DEAN BLOEMKE
Home Mgmt
Cnty
300 5TH STREET SOUTH
BRECKENRIDGE, MN 56520
PHONE: 218/643-7122
(24318)
FAX: 218/643-7166
MS. DEBRA JACOBS
Minnesota Department of Health
Division of Compliance Monitoring
Page 443
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
KAYCEE'S HOME CARE INC
Certification
WILKIN
Registration
(Cont.)* -------------------------­
HCP-A
507 WEST MAIN AVENUE
(23373)
ROTHSAY, MN 56579
PHONE: 218/731-4062
FAX: 218/867-2733
MS. DOROTHY FIEDLER
---------------------------**********
Corp
SPELTZ ESTATES ASSIST LIV INC
WINONA
******** -------------------------­
HCP-F
HWSAL
232 FREMONT ST S STE 11
(23457)
LEWISTON, MN 55952
PHONE: 507/523-2252
FAX: 507/523-2929
Lim-Liab
GOLDEN LIVINGCENTER WHITEWATER
MS. MICHELE SPELTZ
NH-55
SNF-NF-55
525 BLUFF AVENUE
(00942)
ST CHARLES, MN 55972
PHONE: 507/932-3283
FAX: 507/932-4756
Corp
ST CHARLES ASSISTED LIVING IN
MS. DENA OTTO
HCP-F
HWSAL
402 WEST FOURTH STREET
(21667)
ST CHARLES, MN 55972
PHONE: 507/932-4062
MR. LINUS SOPPA
FAX: 507/932-3803
Lim-Liab
KIND LLC
HCP-A
210 CENTER ST SE
(29203)
UTICA, MN 55979
PHONE: 507/932-5923
ADITH MILLER MANOR
MS. LYNETTE KERCE
FAX: /­
HWSAL
NProf
885 MANKATO AVENUE
WINONA, MN 55987
PHONE: 507/454-0179
BOURNE MEDICAL SERVICE
(20147)
FAX: 507/457-4158
Corp
MS. CHERYL KRAGE
HCP-A
163 WALNUT STREET
WINONA, MN 55987
PHONE: 507/452-1313
CALLISTA COURT
(03683)
FAX: 507/454-5717
NProf
MR. STEPHEN FLAD
HCP-F
1455 WEST BROADWAY
WINONA, MN 55987
PHONE: 507/457-0280
COMMUNITY MEM HOSP ESRD UNIT
(29387)
FAX: 507/494-5117
MS. JODI BARTON
ESRD
NProf
855 MANKATO AVE
WINONA, MN 55987
PHONE: 507/454-3650
(02111)
FAX: 507/964-2941
MS. SARA GABRICK
Minnesota Department of Health
Division of Compliance Monitoring
Page 444
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
WINONA
(Cont.)* -------------------------­
CMHC
NProf
HIAWATHA VALLEY MNTL HLTH CTR
Registration
111 RIVERFRONT PO BOX 619
(02773)
WINONA, MN 55987
PHONE: 507/454-4341
FAX: /-
MR. MICHAEL EMAN
NProf
HOME AND COMMUNITY OPTIONS INC
SLFA-6
174 EDWARD STREET
(01134)
WINONA, MN 55987
PHONE: 507/452-1021
FAX: 507/452-1504
NProf
LAKE WINONA MANOR
MS. SUZANNE HORSTMAN - ACTING
NH-134
SNF-NF-134
865 MANKATO AVENUE
(20873)
WINONA, MN 55987
PHONE: 507/457-4366
FAX: 507/457-4595
Lim-Liab
OPTIONS PLUS HOME CARE LLC
MS. MARY MILLER-HYLAND
HCP-A
51 W 4TH ST SUITE #2
(25827)
WINONA, MN 55987
PHONE: 507/474-1509
MS. JENNI ZIMMERMAN
FAX: 507/474-2509
Corp
QUALITY LIVING HOME HEALTH CAR
HCP-A
164 EAST 4TH STREET STE 4
(21081)
WINONA, MN 55987
PHONE: 507/454-6800
MR. GARY POBLOCKI
FAX: 507/454-6803
HWSAL
NProf
ROGER METZ MANOR
875 MANKATO AVENUE
(20424)
WINONA, MN 55987
PHONE: 507/452-7636
FAX: 507/457-4158
Church
SAINT ANNE EXTENDED HEALTHCARE
MS. CHERYL KRAGE
NH-109
SNF-NF-109
1347 WEST BROADWAY
(00955)
WINONA, MN 55987
PHONE: 507/454-3621
FAX: 507/452-2556
NProf
SAUER HEALTH CARE
MS. JODI BARTON
NH-71
SNF-NF-71
1635 WEST SERVICE DRIVE
(00705)
WINONA, MN 55987
PHONE: 507/454-5540
FAX: 507/454-1647
Corp
STERLING HOUSE WINONA
MS. SARA BLAIR
HWSAL
HCP-F
835 EAST BELLEVIEW STREET
(20328)
WINONA, MN 55987
PHONE: 507/454-3090
FAX: 507/454-5466
MS. REBECCA SOBOLIK
HWSAL
Lim-Liab
SUGAR LOAF SENIOR LIVING
765 MENARD ROAD
(28896)
WINONA, MN 55987
PHONE: 507/452-1277
FAX: /­
MS. JEANNE JAECKELS
Minnesota Department of Health
Division of Compliance Monitoring
Page
445
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
SUGAR LOAF SENIOR LIVING
Certification
WINONA
Registration
(Cont.)* -------------------------­
HCP-F
765 MENARD ROAD
(28895)
WINONA, MN 55987
PHONE: 507/452-1277
WINONA AREA HOSPICE
FAX: /­
MS. JEANNE JAECKELS
NProf
Hospice
HSPICE
175 EAST WABASHA STREET
WINONA, MN 55987
PHONE: 507/457-4468
WINONA HEALTH HOME CARE
(02881)
FAX: 507/457-4168
NProf
MS. MARY MILLER-HYLAND
HCP-A
HHA
175 EAST WABASHA STREET
WINONA, MN 55987
PHONE: 507/457-4468
WINONA HEALTH SENIOR LVG AT WA
(02254)
FAX: 507/457-4168
NProf
MS. MARY MILLER-HYLAND
HCP-F
HWSAL
175 EAST WABASHA
WINONA, MN 55987
PHONE: 507/494-7400
WINONA HEALTH SERVICES
(20822)
MS. CHERYL KRAGE
FAX: 507/494-7490
NProf
BASS-14 HOSP-99
HOSP-88 PPS-P-11
855 MANKATO AVENUE
WINONA, MN 55987
PHONE: 507/454-3650
(00701)
MS. RACHEL SCHULTZ
FAX: 507/457-4159
---------------------------**********
ANNANDALE CARE CENTER
NProf
WRIGHT
******** -------------------------­
NH-60
SNF-NF-60
500 PARK STREET EAST
ANNANDALE, MN 55302
PHONE: 320/274-3737
CENTENNIAL VILLA
(00951)
FAX: 320/274-3631
MS. DEBRA REITMEIER
HWSAL
NProf
600 PARK STREET EAST
ANNANDALE, MN 55302
PHONE: 320/274-5031
CENTENNIAL VILLA ASSISTED LIVI
(20074)
FAX: 320/274-1330
MS. DEBORAH FLYGARE
HWSAL
NProf
500 PARK STREET EAST
ANNANDALE, MN 55302
PHONE: 320/274-5031
CENTENNIAL VILLA ASSISTED LVN
(25919)
FAX: 320/274-1330
NProf
MS. DEBORAH FLYGARE
HCP-F
HWSAL
660 PARK STREET EAST
ANNANDALE, MN 55302
PHONE: 320/274-3737
(20856)
FAX: 320/274-1330
MS. DEB FLYGARE
Minnesota Department of Health
Division of Compliance Monitoring
Page 446
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
COMM BEHAV HLTH HOSP ANNANDALE
State
Certification
WRIGHT
Registration
(Cont.)* -------------------------­
OTHER-16
HOSP-16
400 ANNANDALE BOULEVARD
(24145)
ANNANDALE, MN 55302
PHONE: 651/259-3850
FAX: 320/274-7018
NProf
BUFFALO HOSPITAL
MS. PAM BAJARI
BASS-18 HOSP-65
HOSP-65
303 CATLIN STREET
(00860)
BUFFALO, MN 55313
PHONE: 763/682-1212
FAX: 763/684-7910
COTTAGEWOOD SENIOR COMMUNITIES
MS. JENNIFER MYSTER
HWSAL
Lim-Liab
201 FIRST STREET NORTHEAST
(20395)
BUFFALO, MN 55313
PHONE: 763/682-5489
FAX: 763/684-4809
COTTAGEWOOD SENIOR COMMUNITIES
MR. COREY TREMBATH
HWSAL
Lim-Liab
415-421 EIGHTH ST NORTHWEST
(20123)
BUFFALO, MN 55313
PHONE: 763/682-9366
MS. ANDREA KYLLONEN
FAX: 763/682-6569
COTTAGEWOOD SENIOR COMMUNITIES
HWSAL
Lim-Liab
407-413 EIGHTH ST NORTHWEST
(20122)
BUFFALO, MN 55313
PHONE: 763/682-9366
MS. ANDREA KYLLONEN
FAX: 763/682-6569
COTTAGEWOOD SR CMTY OF BUFFALO
Lim-Liab
HCP-F
407 EIGTH STREET NORTHWEST
(29351)
BUFFALO, MN 55313
PHONE: 763/682-9366
FAX: 763/682-6569
COTTAGEWOOD SR COMMONS-BUFFALO
Lim-Liab
MR. MICHAEL PAGH
HCP-F
201 FIRST STREET NE
(29353)
BUFFALO, MN 55313
PHONE: 763/682-5489
FAX: 763/684-4809
MR. COREY TREMBATH
Out Pt Out St
Corp
EXCEL PHYSICAL THERAPY
300 CATLIN STREET
(03893)
BUFFALO, MN 55313
PHONE: 763/682-2202
FAX: /­
MR. VIRGIL MICHAELIS
ESRD
Corp
FMC DIALYSIS SERVICES BUFFALO
104 MARTY DRIVE
(03717)
BUFFALO, MN 55313
PHONE: 763/682-0211
GRANDMAS PLACE PARK LANE
FAX: /-
MR. JOHN MARIETTI
HWS
Corp
609 MONTROSE BLVD
BUFFALO, MN 55313
PHONE: 763/560-2500
(28131)
FAX: 763/561-0159
MR. RON HENDRICKSON
Minnesota Department of Health
Division of Compliance Monitoring
Page 447
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Ind
KIMBERLY HAGLUND
Certification
WRIGHT
Registration
(Cont.)* -------------------------­
HCP-C
672 BARTON AVENUE NW
(25985)
BUFFALO, MN 55313
PHONE: 612/616-5891
FAX: /-
MS. KIMBERLY HAGLUND
NProf
LAKE RIDGE CARE CTR OF BUFFALO
NH-62
SNF-NF-62
310 LAKE BOULEVARD
(00714)
BUFFALO, MN 55313
PHONE: 763/682-1434
FAX: 763/682-6419
NProf
LAKE RIDGE MANOR
MR. JASON NELSON
HCP-F
HWSAL
310 LAKE BOULEVARD SO
(20186)
BUFFALO, MN 55313
PHONE: 763/404-4617
FAX: 763/682-4464
NProf
LIVING WELL DOUGLAS
MR. JASON NELSON
ICFIID-6
SLFB-6
303 DOUGLAS DRIVE
(01179)
BUFFALO, MN 55313
PHONE: 763/682-4588
MS. THERESA MILLER
FAX: 763/682-9650
NProf
PARK TERRACE ASSTD LVG & MEM C
HWSAL
HCP-F
613 MONTROSE BOULEVARD
(25448)
BUFFALO, MN 55313
PHONE: 763/684-4866
MS. ANN DIRKS
FAX: 763/682-6855
Church
PARK VIEW CARE CENTER
NH-124
SNF-NF-124
200 PARK LANE
(00719)
BUFFALO, MN 55313
PHONE: 763/682-1131
FAX: 763/684-1044
Corp
PRAIRIE RIVER HOME CARE INC
MS. ANN DIRKS
HCP-A
HHA
25-1ST AVENUE NE - SUITE 100
(03190)
BUFFALO, MN 55313
PHONE: 763/682-3005
FAX: 763/682-3006
Corp
REM SO CENTRAL SERVS (BUFFALO)
MS. JUDY FIGGE
ICFIID-12
SLFB-12
914 THIRD AVENUE NORTHEAST
(01487)
BUFFALO, MN 55313
PHONE: 763/682-3142
FAX: 763/682-9722
Ind
STEPHANIE LYNN SALONEK
MR. PATRICK MASYGA
HCP-C
1611 GRIFFING PARK ROAD
(25925)
BUFFALO, MN 55313
PHONE: 612/702-9338
BROOKRIDGE
FAX: /-
MS. STEPHANIE SALONEK
ONProf
HWSAL
HCP-F
180 SUNSET AVENUE
COKATO, MN 55321
PHONE: 320/286-3196
(20830)
FAX: 320/286-3163
MS. NANCY STRATMAN
Minnesota Department of Health
Division of Compliance Monitoring
Page
448
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
COKATO MANOR
Certification
WRIGHT
Registration
(Cont.)* -------------------------­
NH-56
SNF-NF-56
182 SUNSET AVENUE
(00712)
COKATO, MN 55321
PHONE: 320/286-2158
FAX: 320/286-2031
ONProf
COKATO MANOR HOME HEALTH
MR. TOM OPATZ-INTERIM
HCP-A
HHA
511 COKATO STREET NW
(03746)
COKATO, MN 55321
PHONE: 320/286-3049
FAX: 320/286-2307
MR. TOM OPATZ
HWS
ONProf
EDGEWOOD GABLES
600 EAST THIRD STREET SE
(20523)
COKATO, MN 55321
PHONE: 320/286-3120
FAX: 320/286-0043
MS. NANCY STRATMAN
HWSAL
ONProf
HERITAGE PLACE
182 SUNSET AVENUE
(20343)
COKATO, MN 55321
PHONE: 320/286-2158
MS. NANCY STRATMAN
FAX: 320/286-2031
Ind
DEBRA L HADDEN
HCP-C
PO BOX 1012
(29278)
DELANO, MN 55328
PHONE: 612/702-5995
GOLDEN LIVINGCENTER DELANO
MS. DEBRA HADDEN
FAX: /­
Lim-Liab
NH-54
SNF-NF-54
433 COUNTY ROAD 30
DELANO, MN 55328
PHONE: 763/972-2987
THE LEGACY OF DELANO
(00933)
FAX: 763/972-2457
MR. ALEXANDER COLBORN
HWSAL
Lim-Liab
1350 ST PETER AVENUE EAST
DELANO, MN 55328
PHONE: 763/972-2333
THE LEGACY OF DELANO
(29189)
FAX: 763/972-5900
Lim-Liab
MS. ELIZABETH KUHLMAN
HCP-F
1350 ST PETER AVENUE EAST
DELANO, MN 55328
PHONE: 763/972-2333
CALM CARE
(26590)
FAX: 763/972-5900
Corp
MS. BETH KUHLMAN
HCP-A
6494 28TH STREET SW
HOWARD LAKE, MN 55349
PHONE: 612/490-2849
GOOD SAM SOCIETY HOWARD LAKE
(29703)
FAX: 320/543-2628
NProf
MS. JULENE HIRSCH
NH-35
SNF-NF-35
413 -13TH AVENUE
HOWARD LAKE, MN 55349
PHONE: 320/543-3800
(00019)
FAX: 320/543-2305
MS. LAURA SALONEK
Minnesota Department of Health
Division of Compliance Monitoring
Page
449
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Ind
NANCY J LOEBERTMANN
Certification
WRIGHT
Registration
(Cont.)* -------------------------­
HCP-C
1010 SHORELINE DRIVE
(25986)
HOWARD LAKE, MN 55349
PHONE: 320/543-3603
FAX: /­
MS. NANCY LOEBERTMANN
NProf
THE LODGE OF HOWARD LAKE
HCP-F
445 EAST FIRST STREET
(29925)
HOWARD LAKE, MN 55349
PHONE: 320/543-4400
FAX: /-
MS. LAURA SALONEK
HWSAL
ONProf
THE LODGE OF HOWARD LAKE
445 EAST FIRST STREET
(29926)
HOWARD LAKE, MN 55349
PHONE: 320/543-4400
FAX: /-
MS. LAURA SALONEKA
Corp
SUGAR LAKE SUPPORTED LIVING SE
HCP-A
6523 117TH STREET NW
(21604)
MAPLE LAKE, MN 55358
PHONE: 320/963-7571
MR. MICHAEL HILGERT
FAX: 320/963-7572
Lim-Liab
CENTRACARE HEALTH - MONTICELLO
NH-89 BASS-12 HOSP-39
SNF-NF-89 CAH-25 PPS-R-10
1013 HART BOULEVARD
(00717)
MONTICELLO, MN 55362
PHONE: 763/295-2945
MS. MARY ELLEN WELLS
FAX: 763/271-2299
HWSAL
Church
ST BENEDICTS SEN COM THE COURT
1301 EAST 7TH STREET
(20806)
MONTICELLO, MN 55362
PHONE: 763/295-4058
FAX: 763/295-5384
MS. SANDY HAGGERTY
HWS
Church
ST BENEDICTS SR COMM VILLAGE
1305 EAST SEVENTH STREET
(22056)
MONTICELLO, MN 55362
PHONE: 763/295-4058
FAX: 763/295-5384
Corp
THERES NO PLACE LIKE HOME INC
MS. SANDY HAGGERTY
HCP-B
4134 DEEGAN COURT SUITE 50
(27517)
MONTICELLO, MN 55362
PHONE: 763/295-1140
FAX: 763/295-1141
Lim-Liab
CARING HEARTS AT HOME LLC
MR. JEFF DUNNIGAN
HCP-A
2000 BALSAM LANE
(28793)
ROCKFORD, MN 55373
PHONE: 612/272-4114
PEDIATRIC SPEECH & LANGUAGE
FAX: /-
MS. KATHLEEN TURNER
Ind
HCP-A
7006 GREENWOOD CT
ROCKFORD, MN 55373
PHONE: 612/961-8310
(25224)
FAX: 612/234-4617
MS. AMY PEDERSON
Minnesota Department of Health
Division of Compliance Monitoring
Page 450
Directory of Facilities and Services
Facility/Service
Owner
Licensure
WRIGHT
---------------------------**********
PROVISIONAL HOME HEALTH LLC
Lim-Liab
Certification
Registration
(Cont.)* -------------------------­
HCP-A
4110 MAPLE HURST DRIVE SOUTH
ROCKFORD, MN 55373
PHONE: 763/575-7281
ANNMAR HOME HEALTH, LLC
(28083)
FAX: 763/575-7281
Lim-Liab
MS. KRISTINE CARR
HCP-A
4981 LANSING AVENUE NE
ST MICHAEL, MN 55376
PHONE: 763/954-0035
THE LEGACY OF ST MICHAEL
(29207)
FAX: 866/571-0780
Lim-Liab
MS. ANN WOJCIK
HCP-F
4400 LANGE AVENUE NORTHEAST
ST MICHAEL, MN 55376
PHONE: 763/497-0171
THE LEGACY OF ST MICHAEL
(27112)
FAX: 763/497-7120
MR. RICK HUNTINGTON
HWSAL
Lim-Liab
4400 LANGE AVENUE NORTHEAST
ST MICHAEL, MN 55376
PHONE: 763/497-0171
NEW BEGINNINGS AT WAVERLY LLC
(29185)
MR. RICK HUNTINGTON
FAX: 763/497-7120
Lim-Liab
SLFA-40
109 NORTH SHORE DRIVE
WAVERLY, MN 55390
PHONE: 763/658-5800
(01497)
MR. CLELLAND GILCHRIST
FAX: 763/658-4128
---------------------------**********
REM CANBY SENIOR SERVICES
Corp
YELLOW MEDICINE
******** -------------------------­
HCP-F
125 - 1ST STREET EAST
CANBY, MN 56220
PHONE: 507/223-5633
REM SOUTHWEST SERVICES INC SUN
(21212)
FAX: 507/223-5659
MR. PAT MASYGA
HWS
Corp
913 NORTH RING AVENUE
CANBY, MN 56220
PHONE: 507/223-5633
REM SOUTHWEST SERVICES INC SUN
(23758)
FAX: 507/223-5659
MR. PAT MASYGA
HWS
Corp
909 NORTH RING AVENUE
CANBY, MN 56220
PHONE: 507/223-5633
REM SOUTHWEST SRVS CANBY A
(23757)
FAX: 507/223-5659
Corp
MR. PAT MASYGA
ICFIID-6
SLFA-6
1201 HAARFAGER AVE N
CANBY, MN 56220
PHONE: 507/223-7271
(01081)
FAX: 507/223-5659
MR. PATRICK MASYGA
Minnesota Department of Health
Division of Compliance Monitoring
Page
451
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
REM SOUTHWEST SRVS CANBY B
Certification
YELLOW MEDICINE
Registration
(Cont.)* -------------------------­
ICFIID-6
SLFB-6
1205 HAARFAGER AVE N
(01659)
CANBY, MN 56220
PHONE: 507/223-7271
FAX: 507/223-5659
MR. PATRICK MASYGA
ESRD
NProf
SANFORD CANBY DIALYSIS UNIT
112 ST OLAF AVENUE SOUTH
(04244)
CANBY, MN 56220
PHONE: 507/223-7277
FAX: 507/223-7465
NProf
SANFORD CANBY MED CENTER
MR. ROBERT SALMON
HCP-A
HHA
213 ST OLAF AVE N STE B
(02240)
CANBY, MN 56220
PHONE: 507/223-7277
FAX: /-
MS. BRENDA KNUTSON
NProf
SANFORD CANBY MEDICAL CENTER
HCP-F
112 ST OLAF AVENUE SOUTH
(23624)
CANBY, MN 56220
PHONE: 507/223-7277
MS. NANCY SALMON
FAX: 507/223-7886
NProf
SANFORD CANBY MEDICAL CENTER
NH-68 BASS-4 HOSP-25
SNF-NF-68 CAH-25
112 ST OLAF AVENUE SOUTH
(00722)
CANBY, MN 56220
PHONE: 507/223-7277
MS. LORI SISK
FAX: 507/223-5877
RHC
NProf
SANFORD CLINIC CANBY
112 ST OLAF AVENUE
(02775)
CANBY, MN 56220
PHONE: 507/223-7221
FAX: /­
MR. ROBERT SALMON
Ind
SERENITY HOUSE
HWSAL
HCP-F
310 HAARFAGER AVENUE SOUTH
(23202)
CANBY, MN 56220
PHONE: 507/223-5269
SYLVAN PLACE
FAX: /-
MS. JOANN HANSEN
HWSAL
NProf
212 ST OLAF AVENUE SOUTH
CANBY, MN 56220
PHONE: 507/223-7277
CLARKFIELD CARE CENTER
(23511)
FAX: 507/223-5877
City
MS. NANCY SALMON
NH-48
SNF-NF-48
805 FIFTH STREET
CLARKFIELD, MN 56223
PHONE: 320/669-7561
CLARKFIELD HOME HEALTH AGENCY
(00842)
FAX: 320/669-7409
City
MR. MURRAY FINGER
HCP-A
HHA
1012 12TH AVENUE SUITE 201
CLARKFIELD, MN 56223
PHONE: 320/669-7229
(02302)
FAX: 320/669-7229
MR. MURRAY FINGER
Minnesota Department of Health
Division of Compliance Monitoring
Page
452
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
YELLOW MEDICINE
(Cont.)* -------------------------­
HWSAL
HRA
CLARKFIELD HOUSING & REDEVELOP
Registration
1012 12TH AVENUE
(20928)
CLARKFIELD, MN 56223
PHONE: 320/669-4648
FAX: 320/669-4648
City
GRANITE FALLS MUN HOSP HHA
MS. STEPHANIE BROCK
HCP-A
HHA
345 TENTH AVENUE
(02200)
GRANITE FALLS, MN 56241
PHONE: 320/564-6226
FAX: 320/564-1265
MR. GEORGE GERLACH
HWS
Part
HENRY HILL APARTMENTS
150 7TH AVENUE
(22006)
GRANITE FALLS, MN 56241
PHONE: 320/564-4030
FAX: 320/564-4637
HOMETOWN CRE PROVDR INC RVRSDE
Corp
MS. BECKY LEWISON
HCP-F
640 CENTER AVE
GRANITE FALLS, MN 56241
PHONE: 320/564-3308
MUNICIPAL HOSP & GRANITE MANOR
(23491)
MS. TAMARA TAMMEN
FAX: 320/564-4870
City
NH-57 BASS-3 HOSP-30
SNF-NF-57 CAH-25
345 TENTH AVENUE
GRANITE FALLS, MN 56241
PHONE: 320/564-3111
PROJECT TURNABOUT
(00725)
MR. GEORGE GERLACH
FAX: 320/313-3396
NProf
SLFA-60 SLFB-9
660 18TH STREET
GRANITE FALLS, MN 56241
PHONE: 320/564-4911
(21953)
FAX: 320/564-3122
MR. MICHAEL SCHIKS
---------------------------**********
HELPING HANDS HOME CARE OF MIN
Corp
IOWA
******** -------------------------­
HCP-A
2244 490TH STREET
NORTHWOOD, IA 50459
PHONE: 507/993-7500
ULTIMATE NURSING SERVICES
(24054)
FAX: 888/691-4965
Corp
MRS. SHELLEE WRIGHT
HCP-A
702 PARK STREET PO BOX 158
SHELDON, IA 51201
PHONE: 712/324-4012
(29775)
FAX: 712/324-4091
MS. TRACY GORTER
---------------------------**********
COMFORT KEEPERS
Lim-Liab
NORTH DAKOTA
HCP-A
3105 NORTH BROADWAY STE 4
FARGO, ND 58102
PHONE: 701/237-0004
(23729)
FAX: 701/237-0029
MR. JOEL PETERSON
******** -------------------------­
Minnesota Department of Health
Division of Compliance Monitoring
Page
453
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
HOME INSTEAD SENIOR CARE
Corp
Certification
NORTH DAKOTA
Registration
(Cont.)* -------------------------­
HCP-B
505 N BROADWAY STE 204
FARGO, ND 58102
PHONE: 701/478-1010
HOME INSTEAD SENIOR CARE
(22134)
FAX: 701/478-1008
MS. ARLETTE PRESTON
Home Mgmt
Corp
505 N BROADWAY STE 204
FARGO, ND 58102
PHONE: 701/478-1010
HOSPICE OF THE RED RIVER VALLE
(25316)
FAX: 701/478-1008
NProf
MS. ARLETTE PRESTON
Hospice
1701 38TH STREET S SUITE 101
FARGO, ND 58103
PHONE: 701/356-1500
PRAIRIELAND HOME CARE
(03040)
FAX: 701/356-1591
NProf
MR. KEVIN RROVOST
HCP-A
HCP
1102 PAGE DRIVE SW
FARGO, ND 58103
PHONE: 701/232-1245
SANFORD HOME CARE
(03350)
MR. ROBERT LESMANN
FAX: 701/232-0813
NProf
HCP-A
HCP
1711 SOUTH UNIVERSITY DRIVE
FARGO, ND 58103
PHONE: 701/234-4900
SPECTRUM HOME CARE
(03255)
MS. MARY KAY HERRMANN
FAX: 701/234-4899
Home Mgmt
Corp
2108 S UNIVERSITY UNIT 106-B
FARGO, ND 58103
PHONE: 701/293-8172
ALTRU'S HOME HEALTH
(20859)
FAX: 701/293-0113
NProf
MR. GREG WENTZ
HCP-A
HCP
1380 S COLUMBIA RD
GRAND FORKS, ND 58201
PHONE: 701/780-5880
ALTRU'S HOSPICE
(03113)
FAX: 701/780-5849
NProf
MRS. KARI JENSEN
Hospice
1380 SOUTH COLUMBIA ROAD
GRAND FORKS, ND 58206
PHONE: 701/780-5880
GOOD SAMARITAN SOCIETY HOME CA
(03224)
FAX: 701/780-1875
NProf
MS. KARI JENSEN
HCP-A
501 EAST FRONT STREET
LARIMORE, ND 58251
PHONE: 701/343-6244
ST CATHERINE'S HOME CARE
(22766)
FAX: 701/343-2255
NProf
MS. CARMEN TRONSON
HCP-A
1307 NORTH 7TH STREET
WAHPETON, ND 58075
PHONE: 701/642-6667
(20648)
FAX: 701/642-2485
MS. EMMY TRETTER
Minnesota Department of Health
Division of Compliance Monitoring
Page 454
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
HOME CARE SERVICES OF SOUTH DA
Corp
Certification
SOUTH DAKOTA
Registration
******** -------------------------­
HCP-A
316 SOUTH COTEAU
PIERRE, SD 57501
PHONE: 605/224-2273
HOMECARE SERVICES OF SD INC
(26727)
FAX: 605/224-9006
Corp
MR. ROBERT BOEHMER
HCP-B
431 SOUTH PIERRE
PIERRE, SD 57501
PHONE: 605/224-2273
SANFORD HOSPICE
(03396)
FAX: 605/224-9006
NProf
MR. ROBERT BOEHMER
Hospice
2710 WEST 12TH STREET
SIOUX FALLS, SD 57104
PHONE: 605/312-5500
SANFORD VISITING NURSES ASSOCI
(03300)
FAX: 605/312-5501
NProf
MS. LOIS SCHULLER
HCP-A
2710 WEST 12TH STREET
SIOUX FALLS, SD 57104
PHONE: 605/328-5900
COTEAU DES PRAIRIES HOSPITAL H
(21079)
MS. LOIS SCHULLER
FAX: 605/328-5963
NProf
HCP-A
HCP
205 ORCHARD DRIVE
SISSETON, SD 57262
PHONE: 605/698-4664
(03653)
MRS. JESSICA MOEN
FAX: 605/698-4613
---------------------------**********
COMFORT KEEPERS
Corp
WISCONSIN
******** -------------------------­
HCP-A
2424 MONETARY BLVD, #012
HUDSON, WI 54016
PHONE: 715/381-6730
GUNDERSEN LUTHERAN HOSPICE
(30005)
FAX: 715/381-6734
NProf
MS. LINDA SHURDEN
Hospice
1900 SOUTH AVENUE
LACROSSE, WI 54601
PHONE: 608/775-8435
MAYO CLINIC HEALTH SYSTEM - FR
(21826)
FAX: 608/775-8440
NProf
MS. WANEETA EVERSON
HCP-A
700
LACROSSE, WI 54601
PHONE: 608/392-9790
MAYO CLINIC HLTH SYS FRANCSCN
(02936)
FAX: 608/791-9548
Corp
MS. CHERISTI COGNETTA RIEKE
Hospice
212 SOUTH 11TH STREET
LACROSSE, WI 54601
PHONE: 608/392-9790
(28013)
FAX: 608/791-9548
MS. CHERISTI COGNETTA-RICKE
Minnesota Department of Health
Division of Compliance Monitoring
Page
455
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
WISCONSIN
(Cont.)* -------------------------­
Home Mgmt
Lim-Liab
EASY LIVING ELDER CARE LLC
N8140 950TH STREET
(28866)
RIVER FALLS, WI 54022
PHONE: 715/222-3180
TREVOR HILLSTROM
FAX: /­
MS. ELLEN JENSEN
Ind
HCP-A
4601 S SAM ANDERSON ROAD
SOUTH RANGE, WI 54874
PHONE: 218/390-1049
(28902)
FAX: 218/390-1049
Registration
MR. TREVOR HILLSTROM
Page 456
LOCATION
BOARDING CARE HOME
=====================================================================
ALBERT LEA
BROADWAY ASSISTED LIVING
BENSON
GOLDEN LIVINGCENTER MEADOW LN
BLOOMINGTON
FRIENDSHIP VLGE OF BLOOMINGTON
DULUTH
AFTENRO HOME
HASTINGS
MN VETERANS HOME HASTINGS
LAKE CITY
RIVER OAKS HEALTH CARE CTR INC
MINNEAPOLIS
ALDRICH BOARD AND CARE LLC
ANDREW RESIDENCE
BETHANY CARE CENTER
BIRCHWOOD CARE HOME
BYWOOD EAST HEALTH CARE
EBENEZER CARE CENTER
ELLIOT CARE HOME INC
GRAND AVE REST HOME
MINNESOTA TEEN CHALLENGE
MN VETERANS HOME MINNEAPOLIS
MOUNT OLIVET HOME
SOUTHSIDE CARE CENTER
OSSEO
THE VILLA OF OSSEO
REVERE
REVERE HOME
ST PAUL
AMY JOHNSON RESIDENCE
EPISCOPAL CHURCH HOME OF MN
HAYES RESIDENCE
LITTLE SISTERS OF THE POOR
MOUNDS PARK RESIDENCE
THE QUINLAN HOME
LOCATION
BOARDING CARE HOME
=====================================================================
Page 457
LOCATION
COMMUNITY MENTAL HEALTH CENTER
LOCATION
COMPREHENSIVE OUTPATIENT REHAB. FACILITY
===================================================================== =======================================================================
CROOKSTON
NORTHWESTERN MENTAL HLTH CTR
DULUTH
HUMAN DEVELOPMENT CENTER
FERGUS FALLS
LAKELAND MENTAL HEALTH CTR
GRAND RAPIDS
NORTHLAND COUNSELING CENTER
LITTLE FALLS
NORTHERN PINES MENTAL HLTH CTR
LUVERNE
SOUTHWESTERN MENTAL HEALTH CTR
MARSHALL
WESTERN HUMAN DEVELOPMENT CTR
NEW ULM
SIOUX TRAIL MENTAL HLTH CENTER
OWATONNA
SO CENTRAL HUMAN RELATIONS CTR
ST CLOUD
CENTRAL MN MENTAL HLTH CENTER
ST PAUL
RAMSEY CO MENTAL HEALTH CTR
VIRGINIA
RANGE MENTAL HEALTH CENTER
WILLMAR
WOODLAND CENTERS
WINONA
HIAWATHA VALLEY MNTL HLTH CTR
ST LOUIS PARK
MN MEDICAL & REHAB SERVS LLC
Page 458
LOCATION
END STAGE RENAL DISEASE SUPPLIER
LOCATION
END STAGE RENAL DISEASE SUPPLIER
======================================================================= ======================================================================
ALBERT LEA
MAYO DIALYSIS ALBERT LEA
ALEXANDRIA
CENTRACARE KIDNEY PROGRAM
MINNEAPOLIS
ARDEN HILLS
ARDEN HILLS DIALYSIS UNIT
MINNETONKA
MINNETONKA DIALYSIS UNIT
BEMIDJI
SANFORD DIALYSIS BEMIDJI
MONTEVIDEO
MONTEVIDEO DIALYSIS
BIG LAKE
CENTRA CARE KIDNEY PROGRAM
MORA
FMCNA MORA DIALYSIS CENTER
BLAINE
FRESENIUS MEDICAL CARE BLAINE
MORRIS
SANFORD DIALYSIS MORRIS
BLOOMINGTON
BLOOMINGTON DIALYSIS UNIT TRC
NEW BRIGHTON
FMCNA NEW BRIGHTON DIAL CTR
FMC SOUTHTOWN DIALYSIS
NEW HOPE
NEW HOPE DIALYSIS CENTER
BRAINERD
CHRONIC DIALYSIS UNIT
NEW ULM
RENAL DIALYSIS FAC NEW ULM
BUFFALO
FMC DIALYSIS SERVICES BUFFALO
NORTHFIELD
NORTHFIELD DIALYSIS
BURNSVILLE
BURNSVILLE DIALYSIS UNIT
ORTONVILLE
SATELLITE DIALYSIS ORTONVILLE
CAMBRIDGE
CENTRACARE CAMBRIDGE DIALYSIS
OWATONNA
MAYO DIALYSIS OWATONNA
CANBY
SANFORD CANBY DIALYSIS UNIT
PARK RAPIDS
PARK RAPIDS DIALYSIS
CASS LAKE
CASS LAKE DIALYSIS FACILITY
PINE CITY
TRC PINE CITY
CHAMPLIN
FRESENIUS MED CARE OF CHAMPLIN
PIPESTONE
PIPESTONE DIALYSIS FACILITY
COON RAPIDS
COON RAPIDS DIALYSIS UNIT
PRINCETON
CENTRACARE KIDNEY PROGRAM
FMC DIALYSIS SERVCES NO SUBURB
RED LAKE
SANFORD DIALYSIS RED LAKE
FRESENIUS MED CARE COON RAPIDS
RED WING
RED WING DIALYSIS UNIT
COTTAGE GROVE
COTTAGE GROVE DIALYSIS
REDWOOD FALLS
REDWOOD FALLS DIALYSIS CTR
CROOKSTON
ALTRU HLTH SYS RENAL DIALYSIS
RICHFIELD
RICHFIELD DIALYSIS
DETROIT LAKES
SANFORD DETROIT LAKES HOME DIA
ROBBINSDALE
FRESENIUS MED CARE ROBBINSDALE
UMMC FAIRVIEW RENAL DIALYSIS
SANFORD DIALYSIS DETROIT LAKES
DILWORTH
MOORHEAD DIALYSIS
DULUTH
FMC DIAL SERVS OF SPIRIT VALLE
MINNEAPOLIS UPTOWN DIALYSIS
ROBBINSDALE DIALYSIS
ROCHESTER
MAYO DIALYSIS ROCHESTER METH
MAYO DIALYSIS ROCHESTER NE
FMC DIALYSIS SERVICES DULUTH
ROSEAU
ALTRU RENAL DIALYSIS
EAGAN
EAGAN DIALYSIS UNIT
ROSEVILLE
FMC DIALYSIS SERVCES ROSEVILLE
EDEN PRAIRIE
EDEN PRAIRIE DIALYSIS
SAVAGE
SCOTT COUNTY DIALYSIS
EDINA
EDINA DIALYSIS CENTER
SHAKOPEE
FMCNA SHAKOPEE DIALYSIS CENTER
ELK RIVER
CENTRAL MINNESOTA REG DIALYSIS
ST CLOUD
CENTRACARE KIDNEY PROGRAM
EVELETH
FMC DIALYSIS SERVICES EVELETH
FAIRMONT
MAYO DIALYSIS FAIRMONT
FARIBAULT
FARIBAULT DIALYSIS UNIT
FERGUS FALLS
FERGUS FALLS DIALYSIS CENTER
FRIDLEY
EAST RIVER ROAD DIALYSIS
GOLDEN VALLEY
FMC DIALYSIS SERVCES GOLDN VAL
FRESENIUS MEDICAL OF ST PAUL
GRAND RAPIDS
FMC DIALYSIS SRVCS GR RAPIDS
HIGHLAND PARK DIALYSIS
HIBBING
FRESENIUS MED CARE OF HIBBING
ST PAUL CAPITOL DIALYS AT HOME
HUTCHINSON
FMC DIALYSIS SRVS HUTCHINSON
ST PAUL CAPITOL DIALYSIS
LITCHFIELD
CENTRACARE LITCHFIELD DIALYSIS
ST PAUL DIALYSIS
LITTLE FALLS
CENTRACARE KIDNEY PROGRAM LITT
SUN RAY DIALYSIS UNIT
MANKATO
DIALYSIS AT MANKATO CLINIC
CENTRACARE KIDNEY PROGRAM PLAZ
ST LOUIS PARK
FRESENIUS MED CARE ST LOUIS PK
ST LOUIS PARK DIALYSIS CENTER
WESTWOOD HILLS DIALYSIS
ST PAUL
FRESENIUS MEDICAL CARE MIDWAY
UNIVERSITY DIALYSIS RIVERSIDE
IMMANUEL ST JOSEPHS ESRD
STAPLES
CENTRACARE DIALYSIS LAKEWOOD
FRESENIUS MED CARE MAPLE GROVE
STILLWATER
RIVER CITY DIALYSIS
MAPLE GROVE DIALYSIS UNIT
THIEF RIVER FALLS
SANFORD DIALYSIS THIEF RVR FLS
FMC MAPLEWOOD HEIGHTS
WABASHA
MAYO DIALYSIS WABASHA
MAPLEWOOD DIALYSIS CENTER
WACONIA
FMCNA WACONIA DIALYSIS
MARSHALL
MARSHALL DIALYSIS CTR DAVITA
WEST ST PAUL
FMC WEST ST PAUL DIALYSIS
MINNEAPOLIS
FMCNA PARK AVE DIALYSIS CENTER
MAPLE GROVE
MAPLEWOOD
WEST ST PAUL DIALYSIS UNIT
FMCNA SOUTH MPLS DIALYSIS CTR
WILLMAR
RICE MEMORIAL HOSPITAL ESRD
HOME DIALYSIS UNIT OF TRC INC
WINONA
COMMUNITY MEM HOSP ESRD UNIT
MINNEAPOLIS DIALYSIS UNIT
WOODBURY
WOODBURY DIALYSIS
MINNEAPOLIS NE DIALYSIS
WORTHINGTON
SANFORD WORTHINGTON MED CENTER
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WYOMING DIALYSIS
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LICENSED HOME CARE PROVIDER
HCP
LOCATION
LICENSED HOME CARE PROVIDER
HCP
================================================================== ==================================================================
ADA
BENEDICTINE SUPPORTIVE SRVCS
F
MOSAIC IN HOME
A
ADAMS
ADAMS HOME HEALTH AGENCY
F
NAGOMI INC
F
ADAMS HOME HEALTH CARE
A
THE TIMBERS
F
F
TWINS CARE NURSING SERVICE INC
A
APPLETON AREA HEALTH SERVICES
A
ADRIAN
ADRIAN COUNTRY LIVING COTTAGES
APPLE VALLEY
AFTON
AFTON CARE SENIOR HOMES
F
APPLETON
AITKIN
AICOTA HEALTH CARE CENTER INC
F
ARDEN HILLS
JOHANNA SHORES
F
AITKIN COUNTY CARE
B
ARLINGTON
GOLDEN HEARTS INC
F
GOLDEN HORIZONS
F
GOOD SAMARITAN SOCIETY FAIRVI
F
LAURA THERESA JULIUS
C
SIBLEY MEDICAL CNTR HOME CARE
A
ASHBY LIVING CENTER
F
CEDARS OF AUSTIN
F
AKELEY
ALBANY
ALBERT LEA
PLEASANT AKERS
F
ASHBY
ALBANY AREA HOME HEALTH
A
AUSTIN
MOTHER OF MERCY CAMPUS CARE
F
KINGSLEY HOUSE
F
BRIANS ELDER CARE INC
F
KSMS OUR HOUSE LLC
F
BROADWAY ASSISTED LIVING
F
NURSE CARE FOR EVERY SEASON OF
A
EMBRACE HOME CARE LLC
A
PRIMROSE LEASE MANAGEMENT LLC
F
GOOD SAM SOCIETY HIDDEN CREEK
F
REFLECTIONS ASSISTED LIVING
F
JUST LIKE HOME PLACE LLP
F
SACRED HEART HOME HEALTH CARE
A
KNUTSON PLACE APARTMENTS
F
ST MARKS HERITAGE COMMUNITY
F
MAYO CLINIC HS ALBERT LEA
A
THE CARLSON HOME OF AUSTIN INC
F
OAK PARK PLACE
F
WHISPERING PINES RANCH
F
DIGNITY AND GRACE
F
HOME BUT NOT ALONE HOME CARE
M
CLEARWATER CO NSG SERVICE
A
BACKUS
PRAIRIE SENIOR COTTAGES ALBERT
F
THORNE CREST RETIREMENT CENTE
F
BETHANY HOME HEALTH SERVICES
F
BONNIES SENIOR HAVEN
F
CORNERSTONE RES OF BAGLEY INC
F
EDGEWOOD VISTA ALEXANDRIA
F
THE GARDEN PL ASSIST LVNG PLU
F
GOLDENRIDGE SENIOR CARE LLC
F
BALATON
LAKEVIEW SENIOR HOUSING
F
GRAND ARBOR
F
BARNUM
VISIONARY HOME CARE
M
KNUTE NELSON HOME CARE
A
VISIONARY HOME CARE
A
LAKES AREA ASSISTED LIVING LLC
F
BARRETT
BARRETT ASSISTED LIVING COMMUN
A
LUTHERAN SOCIAL SERVICE OF MN
F
BATTLE LAKE
HELPING HANDS
M
NELSON GABLES SENIOR CARE
F
LAKEVIEW SENIOR LIVING APTS
F
PEACEFUL BLISS ASSISTD LVG LLC
F
BAUDETTE
LAKEWOOD NURSING SERVICE
A
PRAIRIE SENIOR COTTAGES ALEX
F
BAXTER
GOOD NEIGHBOR HHC OF BRAINERD
A
SERENE HAVEN HOMECARE
A
MN HOME CARE
A
SHARONS SENIOR SERVICES INC
F
WELCOME HOME HEALTH CARE
F
WINDMILL PONDS ASSISTED LIVING
F
BUURTZORG MINNESOTA
A
YOUR CHOICE HOME CARE LLP
A
CROIXDALE
F
ARBOR OAKS SENIOR LIVING
F
KINGSWAY HOME CARE
A
GRACE NURSING CARE SERVICES IN
A
KINGSWAY MINISTRIES LLC
F
JUST FOR RACHEL HOME CARE
A
BELVIEW
PARKWOOD APARTMENTS
F
SUSAN ALIENE PETERSON
C
BEMIDJI
A TOUCH OF HOME NORTH
F
THE FARMSTEAD
F
AUTUMN HILLS HOME CARE
A
ANNANDALE
CENTENNIAL VILLA ASSISTED LVN
F
AUTUMN HILLS OF BEMIDJI INC
F
ANOKA
VOA HOME HEALTH AT ANOKA
F
BELTRAMI COUNTY HEALTH & HUMAN
A
WALKER METHODIST PLAZA
F
CEDAR COTTAGE
F
WHISPERING PINES ASSTD LIVING
F
COLLEENS CARING HANDS
F
APPLE VALLEY VILLA
F
GOLDPINE HOME
F
CENTENNIAL HOUSE OF APPLE VALY
F
LONG LAKE LOON LODGE
F
DAKOTA HOMEMAKING SERVICES INC
M
NORTHWOODS CAREGIVERS
M
ECUMEN SEASONS AT APPLE VALLEY
F
PROGRESSIVE HEALTH CARE OF BEM
A
HOPE AND NEW LIFE HEALTH CARE
A
SANFORD BEMIDJI HOME CARE
A
HOPE HEALTH CARE INC
A
SANFORD HEALTH NEILSON PLACE
F
ALEXANDRIA
ANDOVER
APPLE VALLEY
BAGLEY
BAYPORT
BELLE PLAINE
Page 461
LOCATION
LICENSED HOME CARE PROVIDER
HCP
LOCATION
LICENSED HOME CARE PROVIDER
HCP
================================================================== ==================================================================
TAMARACK COURT
F
PRESBYTERIAN HOMES OF BLOOMING
F
TOUCH OF HOME
F
PRNSC
A
BENSON
SWIFT CTY BENSON HOSP HH CARE
A
PRNSC LLC
F
BIG LAKE
SENIOR HELPERS
A
PROF RESOURCE NETWORK HHC
A
BIGFORK VALLEY HOME CARE
A
RIGHT AT HOME
M
BIGFORK VALLEY VILLA ASST LVG
F
RTS UNLIMITED HEALTHCARE SVCS
A
GLESENERS ASSISTED LIVING SERV
F
SENIOR HOME HEALTH CARE LLC
A
GLESENERS HOME CARE SERVICES
A
SOLBAKKEN
F
BLACKDUCK
GOOD SAM SOC BLACKDUCK SR LIV
F
THE JAMES INC
F
BLAINE
BLAINE ASSISTED LIVING AND MEM
F
THE WEALSHIRE OF BLOOMINGTON
F
BLAINE WHITE PINE
F
TOUCHING HEARTS AT HOME
B
BRAINZ LLC
A
UTMOST CARE HEALTH SERVICES LL
A
COMFORT KEEPERS
M
FRIENDSHIP COURT
F
COMFORT KEEPERS
M
NICOLLET PLACE
F
COMFORT KEEPERS
A
UNITED HOSP DIST HOME HLTH SER
A
EDGEWOOD CARE INC
F
SCENIC VISTA INC
F
ELMHURST COMMONS
F
HEART TO HEART CARE TEAM
B
ALMOND HOUSE
F
A
BEMIDJI
BIGFORK
BIRD ISLAND
COMFORT KEEPERS 283 668 772
A
EDGEWOOD BLAINE SENIOR LVG LLC
F
HIGH LAND CARE INC
A
HOME INSTEAD SENIOR CARE
A
KARENS SENIOR KARE
C
BLOOMINGTON
BLUE EARTH
BOVEY
BRAHAM
BRAINERD
F
BARNABAS HEALTH CARE SERVICES
SYNERGY HOME CARE NE METRO
B
CROW WING CO HLTH & SS DVSN
A
TRANSAMERICA CARE INC
A
EDGEWOOD VISTA BRAINERD
F
YAHWEH HOME CARE
A
GOOD SAM SOCIETY BETHANY SR
F
BLOOMING PRAIRIE
HEATHER HAUS
F
GRATTAN PRIVATE DUTY NURSING I
A
BLOOMINGTON
A+ HOME HEALTH CARE INC
A
HOME INSTEAD SENIOR CARE
M
ALL HOME HEALTH INC
M
HOME INSTEAD SENIOR CARE
B
AMAZING HOMECARE & NURSING
A
LAKES AREA HOME CARE
C
ASERACARE HOME HEALTH
A
LUTHERAN SOCIAL SERVICE
M
ASSISTED LVG IN HERITAGE HALL
F
WOODLAND GOOD SAM ASSISTED LIV
F
BRECK HOME RESIDENTIAL CARE
F
BRANDON
BRANDONS ASSISTED LIVING
F
CAROL BURNETT
C
BRECKENRIDGE
ST FRANCIS HOME HEALTH CARE
A
F
STERLING HOUSE OF BLAINE
DESTINY HOME CARE SERVICES INC
A
TWIN TOWN VILLA
DIANES PERSONAL SERVICE
C
WILKIN COUNTY PUBLIC HEALTH
M
FOUNDERS RIDGE
F
BROOK PARK
COUNTRY HOME COMFORTS
F
FRIENDSHIP VILLAGE OF BLOOMING
A
BROOKLYN CENTER
ESTEEM NURSING CARE INC
A
GENTLE CARE IN-HOME SVCS LLC
M
BROOKLYN CENTER
ABIDJAN HEALTHCARE INC
A
GUAVA HEALTHCARE
A
ABUNDANT LIFE HOME HEALTH CARE
A
HELP AT HOME SENIOR CARE
M
AMERICAN BEST HOME CARE
A
HOME LAB PARTNERS INC
A
AMERICAN FAMILY HOME CARE
A
HOMECARE RESOURCE LLC
A
ANGELS OF MERCY
A
IN-HOME LAB CONNECTION INC
A
ASIAN AMERICAN ELDERLY AL LLC
F
LCI IN HOME SERVICES
A
BETHEL HOME CARE SERVICES
A
LIVE WELL AT HOME CARE
A
BETHEL MANAGEMENT GROUP
B
M & E NURSING SERVICES AND TRA
A
BLESSING HOME HEALTH SERVICES
A
MAINSTAY SENIOR CARE
B
BRIDGING LIFE HOME HEALTHCARE
A
MEADOW WOODS HOME CARE
F
CARE ON WHEELS HOMECARE SERVIC
A
METROPOLITAN LIVING LLC
F
CAREVIEW HOME HEALTH LLC
A
NERVANAS CARING HANDS INC
F
COMPASSIONATE CARE SERVICES
A
NINE MILE CREEK SENIOR LIVING
F
EARLE BROWN TERRACE
F
NORTH STAR HEALTH SERVICES
M
FIRST CHOICE NURSING & HOMECAR
F
PAMPER ME FOOTCARE
A
FIRST CHOICE NURSING AND HOME
A
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LICENSED HOME CARE PROVIDER
HCP
LOCATION
LICENSED HOME CARE PROVIDER
HCP
================================================================== ==================================================================
BROOKLYN CENTER
BROOKLYN PARK
GOOD FAITH INC
A
PLATEAU HEALTHCARE LLC
A
GOODNESS AND MERCY HEALTH SERV
A
PRUDENCE CARE AND PROFESSIONAL
A
GOODNESS AND MERCY HLTH SVCS
F
SEFERTT HEALTH CARE
A
HAPPY FEET FOOTCARE INC
A
ST THERESE AT OXBOW LAKE
A
HMONG SENIOR HEALTH CARE INC
M
TRADITION
F
HOLISTIC ARRAY OF AUTHENTIC SE
A
TUTS BLESSING LLC
A
INDEPENDENT HOME CARE AGENCY
A
ULTIMATE HOME CARE
A
MARANATHA PLACE
F
ULTIMATE HOME CARE
F
MILES VENTS CARE
A
ULTRA CARE HOME HEALTH LLC
A
NEW LIFE HEALTH AND HOME CARE
A
WATCHFUL CAREGIVERS
A
NEWAGE HOMECARE
A
WATERFORD ESTATES
B
NGUFOR
A
WATERFORD MANOR
F
NORTH RESIDENTIAL HOSPICE
X
ANDERSONS PINE GROVE HOME
F
OLIDIA CARE INC
A
BROOKE MANOR INC
F
OPEN ARMS NURSING SERVICES INC
A
STONEHAVEN ASSISTED LIVING
F
COTTAGEWOOD SR CMTY OF BUFFALO
F
BROOKLYN PARK
BROOKSTON
READY FOR YOU HOME HEALTH CARE
A
RIGHTWAY HOME CARE SERVICES IN
F
COTTAGEWOOD SR COMMONS-BUFFALO
F
RIGHTWAY HOME CARE SERVICES IN
A
KIMBERLY HAGLUND
C
THE PRAIRIE LODGE AT EARLE BRO
F
LAKE RIDGE MANOR
F
TOLAD INC
F
PARK TERRACE ASSTD LVG & MEM C
F
VERACITY HEALTH SYSTEMS LLC
A
PRAIRIE RIVER HOME CARE INC
A
YOUR WAY HOME CARE INC
A
STEPHANIE LYNN SALONEK
C
AFFILIATED FAMILY AND SENIOR S
A
JULIES HOME HEALTH CARE INC
A
AMAS INCORPORATED
F
WESTVIEW ESTATES
F
ANGEL CARE HOME HEALTH SERVICE
B
AUGUSTANA EMERALD CREST BURNSV
F
ANGEL HEALTH SERVICES
A
AUGUSTANA REGENT AT BURNSVILLE
F
ASSURED HOMES LLC
A
BRIGHTSTAR NORTHERN DAKOTA CO
A
AUDRIE HOME HEALTH CARE LLC
A
HEALTHCARE RESOURCES
A
CARING NURSES LLC
A
HOME INSTEAD SENIOR CARE
A
CARING NURSES LLC
F
HOME INSTEAD SENIOR CARE
M
COMFORTABLE HOME HEALTH CARE L
A
HOME INSTEAD SENIOR CARE
B
DIVINE NURTURING HOMECARE SERV
A
HOMEWATCH CAREGIVERS
A
ELIMARC HEALTH CARE NETWORK IN
A
REGY HOME CARE SERVICES
C
ELITE NURSING SERVICE INC
A
RELIABLE HOME CARE
A
EMPIRE SYSTEMS HOME CARE INC
A
SENIOR HELPERS
A
EMPOWERMENT HEALTHCARE
F
SYNERGY HOMECARE TWIN CITIES S
B
EVENSONG MANOR
F
THE ARBORS AT RIDGES
F
FAIRHAVENS HOME CARE
A
THE LODGE ON SUMMIT OAKS
F
GRANDMAS PLACE INC
F
THE RIVERS
F
HARMONY LIVING HEALTH CARE SER
A
VALLEY RIDGE
F
HARMONY LIVING HLTH CARE SRVCS
F
VISITING ANGELS
A
HEALTHY LIVING HOME CARE
A
VISITING ANGELS
M
HENNEPIN HOME HEALTH CARE INC
A
HOUSTON CTY PUB HLTH NURSNG SV
A
HOPES RESIDENCE
F
ROSEVIEW COURT CARE AGENCY
F
CARSTEN'S HARBOUR INC
A
BUFFALO
BUFFALO LAKE
BURNSVILLE
CALEDONIA
INTEGRATED NURSING & HLTH SVCS
A
J A WEDUM HOSPICE RESIDENCE
X
CARSTENS HARBOUR INC
F
JENNIFER BENSON
C
GRACEPOINTE CRSING THE COMMONS
F
JIRANI CARE
A
HEALTH DIMENSIONS REHABILITATI
A
JOYOUS CARE & FAMILY PRESERVAT
A
VISITING ANGELS
A
KIND HEARTS HEALTH CARE LLC
A
VISITING ANGELS
M
MAINS'L SERVICES INC
A
REM CANBY SENIOR SERVICES
F
NEW MILLENNIUM HEALTH CARE
A
SANFORD CANBY MED CENTER
A
CAMBRIDGE
CANBY
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LICENSED HOME CARE PROVIDER
HCP
LOCATION
LICENSED HOME CARE PROVIDER
HCP
================================================================== ==================================================================
CANBY
CARLTON
SANFORD CANBY MEDICAL CENTER
F
CREST VIEW HOME CARE
F
SERENITY HOUSE
F
CREST VIEW HOME HEALTH CARE
A
CARLTON PLACE
F
LIGHTHOUSE OF COLUMBIA HEIGHTS
F
LAURA BODIN
A
MIRACLES 1ST LLP
F
A
COLUMBIA HEIGHTS
CARVER
LICENSED CARE ON CALL
A
NEIGHBORS CARE HEALTH SERVICES
CEDAR
LOG HOME SENIOR CARE LLC
F
PRO-HEALTH HOME CARE AGENCY LL
A
CHAMPLIN
CHAMPLIN GW LLC
F
COMFREY
BRICKSTONE MANOR
F
EMERITUS AT CHAMPLIN SHORES
F
COON RAPIDS
ECUMEN AT HOME
A
SOLACE HOME HEALTH AND HOSPICE
A
ECUMEN AT HOME
A
TRANSITIONS HOME CARE & SENIOR
A
EPIPHANY ASSISTED LIVING LLC
F
1 1 CARING HANDS LLC
M
ESSENTIAL INDEPENDENCE LLC
A
ALERE WOMEN'S AND CHILDREN'S H
A
GENTLE CARE HOME HLTH SERVICES
A
ROLLING ACRES HOME HEALTH
A
GRACIOUS COMPANIONS LLC
B
SUMMERWOOD OF CHANHASSEN
F
GRACIOUS COMPANIONS LLC
M
AUBURN COURTS
F
MARGARET PLACE LTD PARTNERSHI
F
FOREVER LIFE HOME HEALTH CARE
A
MARY T HOME HEALTH
A
GARDENS OF LOVE CARE HOME
F
REHABCARE
A
HIDDEN CREEK ASSISTED LIVING
F
SELECT SENIOR LIV COON RAPIDS
F
MARIE STEINER KELTING HOSPICE
X
THE HOMESTEAD AT COON RAPIDS
F
SWEDISH HOME HEALTHCARE INC
C
BETTYS HOME
F
F
COTTAGE GROVE WHITE PINE
F
AT HOME CARE OF PARMLY LIFEPOI
A
COTTAGE GROVE WP II LLC
F
ECUMEN CHISAGO CITY VINDAUGA V
F
HOME CARE SERVICE PROVIDERS
A
FAIRVIEW LAKES HOMECARING HOSP
A
ICARE HEALTH PRO LLC
A
JUST LIKE HOME SENIOR CARE
F
LOVING CARE COTTAGE LLC
F
ASPEN GROVE ASSISTED LIVING
F
NORRIS SQUARE
F
F
TRIPLE ANGELS HEALTHCARE CO
F
BARBARA DAWN KUTSI
A
CHANHASSEN
CHASKA
CHATFIELD
CHISAGO CITY
CHISHOLM
CHOSEN VALLEY ASSISTED LIVING
HILLCREST TERRACE OF CHISHOLM
COTTAGE GROVE
SERVING HANDS INC
F
COTTON
CENTRAL TODD CO CC H C & APTS
F
COTTONWOOD
FIELDCREST ASSISTED LIVING
F
CENTRAL TODD COUNTY HOME CARE
A
COURTLAND
BRIE ERRANDS
M
CLARKFIELD
CLARKFIELD HOME HEALTH AGENCY
A
CROMWELL
VILLA COURT
F
CLEARBROOK
HOME AT HEART CARE INC
M
VILLA HOME CARE LLC
A
CLINTON
CLINTON CARE CENTER
F
INDEPENDENCE PLUS INC
M
CLOQUET
EVERGREEN SENIOR LIVING
F
RIVERVIEW HOME CARE
A
FOND DU LAC HOME CARE PROGRAM
A
VILLA ST VINCENT INC
F
GOLDEN YEARS CARE
A
HALLETT COTTAGES
F
LIGHTHOUSE OF CLOQUET & BARNUM
F
HOMEHEALTH PARTNERSHIP
A
GOLDEN HORIZONS OF CROSSLAKE
F
AMAZING LOVE ASSISTED LIVING
F
CLARISSA
COHASSET
COKATO
COLD SPRING
COLERAINE
COLUMBIA HEIGHTS
CROOKSTON
CROSBY
LINDA ROSE ENLUND
C
CROSSLAKE
PLAINVIEW ESTATES
F
CRYSTAL
SUPERIOR VIEW ASSISTED LVG
F
AMAZING LOVE HEALTHCARE SERVIC
A
VISIONARY HOME CARE
B
CANA HOME HEALTH CARE SERVICES
A
AUTUMN LANE
F
CLINIQUE HEALTH CARE SERVICES
F
MAPLE WOODS ASTD LIVING AND HC
A
CLINIQUE HEALTHCARE SERVICES I
A
SUGAR BROOK VILLA INC
F
COMFORTCARE NURSING SERVICES I
A
BROOKRIDGE
F
GREAT LAKES HOME CARE INC
A
COKATO MANOR HOME HEALTH
A
HEATHERS ESTATES
B
ASSUMPTION HEALTH SERVICES
F
HEATHERS MANOR
F
ASSUMPTION HOME CARE
A
INTEGRITAS HOMECARE LLC
A
F
MAGIC HEALTHCARE PARTNERS
A
ADVANZED HOME HEALTH CARE
A
QUALITY HEALTH CARE SERVICES
A
ANGELS OF MERCY ASSISTED LIVIN
F
SIMAC PROFESSIONAL BUSINESS SE
A
COMPASSIONATE HOME HEALTH INC
A
SWEET COMFORT HOME CARE
I
HOME AND COMFORT INC
Page 464
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LICENSED HOME CARE PROVIDER
HCP
LOCATION
LICENSED HOME CARE PROVIDER
HCP
================================================================== ==================================================================
CRYSTAL
UNITED CARE GROUP INC
A
TRANSITIONAL SENIOR HOUSING
F
CRYSTAL MN
N & V HELPFUL HEARTCARE INC
A
TRILLIUM ELDER CARE INC
A
DARWIN
LAKEVIEW RANCH HEALTHCARE LLC
A
UNIVERSAL PEDIATRIC SERV INC
A
F
WESLEY RESIDENCE OF DULUTH
F
WESTWOOD OF DULUTH
F
A A CARE INC
A
LAKEVIEW RANCH INC
DULUTH
DASSEL
LAKESIDE ASSISTED LIVING
F
DAWSON
JOHNSON MEMORIAL ASSISTED LIVI
F
JOHNSON MEMORIAL HOME CARE
A
ACCREDO HEALTH GROUP INC
A
SONSHINE HOME HEALTH CARE LLC
A
ALLIANCE ASSISTED LIVING SRVCS
F
DEER RIVER
DEER RIVER HOME CARE
A
ALLIANCE HEALTH SERVICES INC
A
DELANO
DEBRA L HADDEN
C
CLARE BRIDGE OF EAGAN
F
THE LEGACY OF DELANO
F
COMFORCARE SENIOR SERVICES
A
EMMANUEL COMMUNITY
A
EVERYDAY LIVING LLC
F
EMMANUEL COMMUNITY
F
INFUSCIENCE INC
A
GOLDEN MANOR CORPORATION
F
JANE M GRENDER
C
MAHUBE OTWA COM ACTION PTNRSHP
M
JULIA DAY LLC
A
ST MARYS HOME HEALTH
A
KCMG EAGAN LLC
F
ST MARYS SR LVG SUPPORTIVE SER
F
MVR HOMECARE INC
A
DILWORTH
SERENITY LIVING CENTER INC
F
NEW CHALLENGES INC
F
DULUTH
ACCENTUCARE INC
A
PEACEFUL MIND HOMES LLC
F
ACCRA HOME HEALTH-DULUTH
A
TENDER CARE
A
F
THE COMMONS ON MARICE
F
ECUMEN DULUTH THE SHORES
F
ZACHARY HOME HEALTH CORPORATIO
A
FIVE STAR ASSISTED LIVING SERV
F
EAGLE LAKE
SOUTHERN MINNESOTA HOMECARE LL
A
GARDEN HOUSE ESTATES LTD
F
EAST GRAND FORKS
EDGEWOOD VISTA
F
GENTIVA HEALTH SERVICES
A
GOOD SAM SOC HERITAGE GROVE
F
HEARTHSTONE HOME CARE LLC
A
AGING JOYFULLY
F
M
DETROIT LAKES
BENET HALL
EAGAN
EDEN PRAIRIE
HEARTLAND PCA LLC
M
APPARENTCARE LLC
HERITAGE HAVEN INC
F
BECKY'S PLACE INC
F
HILLSIDE HOMES OF DULUTH INC
F
CLARE BRIDGE OF EDEN PRAIRIE
F
HOME INSTEAD SENIOR CARE
A
DELTA HOME HEALTH CARE LLC
A
INTERIM HEALTHCARE
A
ELIM SHORES
F
INTERIM HEALTHCARE
F
GRISWOLD HOME CARE
B
KEYSTONE BLUFFS ASSISTED LIVG
F
LUANN'S PLACE LLC
F
LAKE SUPERIOR CONCIERGE INC
M
MANOR HOUSE
F
LAKESHORE AT HOME
A
PIONEER ESTATES EDEN PRAIRIE 2
F
LAKESIDE MANOR
F
PIONEER ESTATES OF EDEN PRAR
F
LIFESTONE HEALTH CARE INC
A
SILVER LINING CARE HOMES LLC
F
MCCARTHY MANOR INC
F
THE COLONY AT EDEN PRAIRIE
F
CHERYL'S NURSING POOL INC
A
NORTHLAND ASSISTED LIVING
F
EDEN VALLEY
PATHWAYS TO ACHIEVEMENT
A
EDGERTON
EDGEBROOK ESTATES ASSISTED LIV
F
PINES HOMECARE SERVICES LLC
F
EDINA
ALLEVIACARE LLC
A
PRIMROSE OF DULUTH
F
ALLIED PROFESSIONALS INC
A
RIVER HILL ASSISTED LIVING INC
F
ALO HOME HEALTH CARE INC
A
SENIOR FRIEND
F
APLUS HEALTH CARE LLC
A
SENIOR FRIEND ASSOCIATES INC
A
BROOKDALE H H MINNESOTA
A
SEPTEMBER HOUSE
F
CAPERNAUM PEDIATRIC THERAPY IN
A
SOLVAY HOUSE
X
CAREMINDERS HOME CARE
A
SPIRIT VALLEY ASSISTED LIVING
F
CUSTOMCARE HOME HEALTH CARE LL
A
ST ANNS RESIDENCE
F
DONNA MARIE NORGREN
C
ST LOUIS CO PUBLIC HEALTH & HS
M
EDINA PARK PLAZA
F
ST LUKES HOME HEALTH SERVICES
A
HERITAGE OF EDINA INC
F
TOUCHING HEARTS AT HOME
M
HOME INSTEAD SENIOR CARE
A
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LICENSED HOME CARE PROVIDER
HCP
LOCATION
LICENSED HOME CARE PROVIDER
HCP
================================================================== ==================================================================
HOME INSTEAD SENIOR CARE
B
OUR CIRCLE OF FRIENDS
F
HOME INSTEAD SENIOR CARE
M
OUR CIRCLE OF FRIENDS /MAIN C
F
HOMEWATCH CAREGIVERS
A
PLEASANT VIEW ESTATES
F
LIFESPRK
A
RICE COUNTY PHNS
A
LIFESPRK LLC
F
RISON HOMES INC
F
MATRIX TEAM HOME CARE
A
STERLING HOUSE OF FARIBAULT
F
N C LITTLE MEMORIAL HOSPICE
X
FARMINGTON HEALTH SERVICES
F
PERSONALIZED LIVING AT EDINA P
A
HEALING HANDS HOMECARE LLC
A
PROMISE CARE INC
A
RIVER VALLEY HOME CARE INC
A
RESTART INC
F
RIVER VALLEY HOME CARE INC
M
SUNRISE ASSISTED LIVING EDINA
F
ACCRA HOME CARE INC
A
THE WATERS OF EDINA
F
ACCRA HOME CARE INC
B
WALKER METHODIST CARE SUITES
F
ACCRA HOME CARE INC
F
YORK GARDENS
F
CK HOME HEALTH CARE INC
A
ACCURATE HOME CARE LLC
A
HARMONY HOME HEALTH CARE
A
AVALON HOME CARE INC
M
LAKELAND HOMECARE
A
GUARDIAN ANGELS BY THE LAKE
F
LUTHERAN BRETHREN HOME CARE
F
GUARDIAN ANGELS ELIM HOME CARE
A
NEW DIMENSIONS HHC INC
A
HAPPY HEARTS HOME HEALTH AGENC
A
PARK GARDENS OF FERGUS FALLS
F
ELKO NEW MARKET
THE LODGE ON NATCHEZ
F
PIONEER HOME INC - CARE SUITES
F
ELLENDALE
WHISPERING OAK PROPERTIES LLC
F
SYNSTELIEN COMMUNITY SERVICES
A
ELY
ELY BLOOMENSON HOSPITAL HHA
A
THE MILL STREET RESIDENCE
F
ERSKINE
THE COUNTRY PLACE APARTMENTS
F
TLC HOME CARE
B
ESKO
BARNES CARE INC
F
VALKOMMEN-HEM INN
F
PLAINVIEW ESTATES INC
F
FERTILE
FAIR MEADOW ASSISTED LIVING
F
EVANSVILLE
EVANSVILLE SENIOR LIVING
F
FOLEY
HERITAGE HOME HEALTH
F
EVELETH
SALMI HOMES INC
F
HERITAGE HOME HEALTH & HOSPICE
A
ST RAPHAELS HEALTH & REHAB
F
BIRCHWOOD ARBORS
F
BEE HIVE HOMES OF MINNESOTA
F
ELDER HAVEN
F
ENCORE SENIOR HOME CARE
A
FOREST LAKE HOMECARE INC
A
HAPPY AT HOME SENIOR CARE
B
WINDY ACRES ASSISTED LVNG INC
F
EYOTA
ARBOR GARDENS
F
FORESTON
SCANDIA SENIOR CARE LLC
A
FAIRFAX
FAIRFAX COMMUNITY HOME HEALTH
A
FOSSTON
CORNERSTONE RESIDENCE
F
FAIRMONT
GOLDFINCH ESTATES
F
ESSENTIA HEALTH FOSSTON HM HTH
A
HUMAN SERVICES OF FARIBAULT &
A
PRAIRIE PINES COMMUNITY
F
INGLESIDE
F
FRAZEE
FRAZEE ASSISTED LIVING H C
F
WOODLAND MANOR
F
FRIDLEY
ANOKA PROFESSIONAL HM CARE LLC
A
A
PRIDE N' LIVING HOME CARE INC
A
HOME INSTEAD SENIOR CARE
M
SENIOR HELPERS
A
HOME INSTEAD SENIOR CARE
B
THE LANDMARK OF FRIDLEY
F
PRAIRIELAND HOME CARE
A
FULDA
MAPLEWOOD COURT ASST LVNG
F
SANFORD HOME CARE
A
GAYLORD
OAK TERRACE HEALTH CENTER OF G
A
SPECTRUM HOME CARE
M
OAK TERRACE SENIOR HOUSING OF
F
DAWNS ELDER CARE
C
SIBLEY COUNTY PH & HUMAN SERVS
A
DEACONESS TOWER
F
GIBBON
SOUTHVIEW LIVING CENTER LLC
F
FARIBAULT SENIOR LIVING
F
GLENCOE
DOMINION HOME HEALTH SERVICES
A
GUEST HOUSE OF FARIBAULT LLC
A
GRAND MEADOWS
F
HERITAGE HOUSE ELDER CARE
F
GUARDIAN IN HM HEALTH & SECRTY
A
IVY HILL SENIOR CARE INC
F
GLENVILLE
JOANN JENSEN
M
KCMG FARIBAULT LLC
F
GLENWOOD
GLACIAL RIDGE HOME CARE
A
MAPLEWOOD HOMES
F
GLENWOOD ESTATES
F
MILESTONE SENIOR LIVING
F
PARKVIEW COURT ASSISTED LIVING
F
EDINA
ELK RIVER
EXCELSIOR
FARGO
FARIBAULT
COMFORT KEEPERS
FARIBAULT
FARMINGTON
FERGUS FALLS
FOREST LAKE
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LICENSED HOME CARE PROVIDER
HCP
LOCATION
LICENSED HOME CARE PROVIDER
HCP
================================================================== ==================================================================
GOLDEN VALLEY
ABBOTT NORTHWESTERN HOSPITAL
A
HAM LAKE
VILLAGE IN PINE RETIRMNT HOUSE
F
ADAGIO MANOR ASSISTED LIVING
F
HASTINGS
OAK RIDGE ASSTD LVNG HASTINGS
F
ALLIANCE HHC & NURSING SERVICE
A
PARK RIDGE APTS OF HASTINGS
F
ALLIANCE HOMECARE SERVICES LLC
A
REGINA ASSISTED LIVING
F
CARE PLUS HOME HEALTH AGENCY I
A
RUTH HOMES INC
F
CATHARINE A NISAM
C
HAWLEY MANOR
A
COMPASSIONCARE
A
HAWLEY RETIREMENT INC
F
DAISY HOME CARE INC
A
HAYFIELD
FIELD CREST HOME CARE
F
GENTLE TOUCH HLTH INITIATV LLC
F
HECTOR
PRAIRIE VIEW OF HECTOR
F
GOOD SAM SOCIETY HOME CARE
A
HENDRICKS
HENDRICKS COMMUNITY HOSP HHA
A
HAWTHORNE HOUSE
F
HENNING
OUR HOME YOUR HOME
F
HERITAGE HOUSE ASSISTED LIVING
F
WILLOW CREEK SENIOR COMMUNITY
F
HOME CARE PROFESSIONALS INC
A
EDGEWOOD VISTA HERMANTOWN
F
HOME HEALTH CARE INC
A
GOLDEN OAKS
F
IN HOME PERSONAL CARE HOME HEA
A
HERON LAKE
LAKEVIEW ASSISTED LIVING
F
INTERNATIONAL HEALTH CARE SERV
A
HIBBING
ASPEN GROVE ALT SENIOR LIVING
F
LA BONNE VIE INC
F
CHERISH
A
LEGACY HOME HEALTH CARE INC
A
CHERISHED HOME MANAGEMENT
M
PARKINSONS SPECIALTY HOME CARE
A
CTR FOR INDEPENDENT LVG NE MN
M
RELIABLE HUMAN SERVICES INC
A
GREENVIEW NORTH
F
SUMMIT HOME HEALTH CARE INC
A
HEALTHLINE HOMECARE
A
SUNRISE OF GOLDEN VALLEY
F
RECOVER HEALTH
A
SUPREME HOME CARE PROVIDER & N
A
AUSTINS 24 HOUR HOME CARE
A
SYNERGY HOMECARE MINNEAPOLIS
B
CHAPPYS GOLDEN SHORES
F
WATCHFUL CAREGIVERS
F
HILLS
THE TUFF VILLAGE
F
GRACEVILLE
ESSENTIA HLTH GRACEVILLE HH
A
HINCKLEY
ELDERWOOD OF HINCKLEY
F
GRAND FORKS
ALTRU'S HOME HEALTH
A
HOLDINGFORD
HYATT HOUSE LLC
F
GRAND MARAIS
COOK CO NORTHSHORE HOSP HM HLT
A
HOPKINS
ACCRA CARE INC
M
GRAND MEADOW
THE MEADOWS
F
CAREMAX INC
B
GRAND RAPIDS
4U HOME HEALTH CARE
A
GRACE HOMES OAK RIDGE HOUSE
F
ACCESS SERVICES INCORPORATED
F
HOME CARE WITH A HEART LLC
C
CRYSTAL LAKE HOME
F
RENEE M GAU
C
GARDEN COURT CHATEAU
F
CALM CARE
A
GRAND ITASCA CLINIC & HOSP HC
A
NANCY J LOEBERTMANN
C
MANOR HOUSE SENIOR LIVING
F
THE LODGE OF HOWARD LAKE
F
MCKINNEY LAKE HOUSE
F
HUDSON
COMFORT KEEPERS
A
NORTH COUNTRY CARE
F
HUGO
APOLLO HOMES INC
A
PLEASANT SEASONS
F
HUGO GW LLC
F
RECOVER HEALTH
A
CEDAR CREST ESTATE
F
RIVER GRAND
F
ECUMEN OAKS
F
THE ROCK HHC INC
A
HARMONY RIVER LIVING CENTER
F
TLC SERENITY HOME
F
PRAIRIE SR COTTAGES HUTCHINSON
F
WHISPERING PINES ASSISTED LVG
F
WELCOME HOME HEALTH CARE INC
F
GRANITE FALLS MUN HOSP HHA
A
INDEPENDENCE
NURSING EXCELLENCE CORP
A
HOMETOWN CRE PROVDR INC RVRSDE
F
INTERNATIONAL FALLS
GOOD SAM SOCIETY NORTHWINDS AL
F
COMPASSIONATE HOME CARE
A
GOOD SAMARITAN HC INTL FALLS
A
LIFECARE GREENBUSH MANOR
F
KOOCHICHING COUNTY HEALTH DEPT
A
GREY EAGLE
EAGLES CROSSING HOME MANAGEMNT
M
RIDGEVIEW LLC
F
HACKENSACK
BIRCHVIEW GARDENS ASSISTED LVG
F
ANIKA HOME CARE
A
HALLOCK
KITTSON MEMORIAL HOME HLTHCARE
A
COMFORT KEEPERS
A
RIVERS EDGE
F
GONDOLA GROUP INC
F
HALSTAD LIVING CENTER
F
INVER GROVE HEIGHTS WHITE PINE
F
GRANITE FALLS
GREENBUSH
HALSTAD
HAWLEY
HERMANTOWN
HILL CITY
HOWARD LAKE
HUTCHINSON
INVER GROVE HEIGHTS
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LICENSED HOME CARE PROVIDER
HCP
LOCATION
LICENSED HOME CARE PROVIDER
HCP
================================================================== ==================================================================
INVER GROVE HEIGHTS WP II LLC
F
LE SUEUR
LESUEUR ASSISTED LIVING LLC
F
INVERWOOD SENIOR LIVING
F
LEROY
WILDWOOD GROVE
F
PAIGE MATEYKA
C
LEWISTON
SPELTZ ESTATES ASSIST LIV INC
F
SPECTRUM COMMUNITY HEALTH INC
A
LILYDALE
LILYDALE SENIOR LIVING
F
SPECTRUM COMMUNITY HEALTH INC
F
LINO LAKES
A TIME FOR HELP INC
M
STERLING HOUSE INVER GROVE HGT
F
COMPASSIONATE LUCYS SENIOR HOM
A
TIMBER HILLS
F
LINO LAKES ASSISTED LIVING LLC
F
TOTAL CARE BODY AND HAIR
C
ECUMEN LITCHFIELD SR HSG SERVS
F
INVER GROVE HTGS
COMMON SENSE SERVICES
M
ECUMEN OF LITCHFIELD HOME CARE
A
IRONTON
AIDE HOME HEALTH CARE
A
LIFESPAN HOME CARE SERVICES IN
A
ISANTI
PRAIRIE SR COTTAGES OF ISANTI
F
PEOPLE INC MONTREAL CTS
F
JACKSON
COTTONWOOD JACKSON COMM H S
A
REGENCY HOME HEALTHCARE
F
THE PINES
F
REGENCY HOME HEALTHCARE SRVCS
A
JASPER
JASPER SUNRISE VILLAGE
F
BRIDGEWAY ESTATES
F
JORDAN
OAK TERRACE SENIOR HOUSING OF
F
COMFORT KEEPERS
A
VALLEYVIEW OF JORDAN LLC
F
HIGHLAND SENIOR LVG COMMUNITY
F
KARLSTAD
THE MEADOWS
F
MINNESOTA HERITAGE HOUSE
F
KELLIHER
CORNERSTONE RESID OF KELLIHER
F
MORRISON CO PUBLIC HEALTH
A
KELLOGG
NURTURING HANDS LLC
F
TRINITY HOME HEALTH CARE INC
A
KENYON
GUNDERSON GARDENS
F
UNITY FAMILY HOME CARE HOSPICE
A
LITTLEFORK MEDICAL CENTER
F
INVER GROVE HEIGHTS
LITCHFIELD
LITTLE CANADA
LITTLE FALLS
NORTH RIDGE VIEW LLC
F
LITTLEFORK
RUTH FREDRICKSON CARES
A
LONG LAKE
LONG LAKE ASSISTED LIVING LLC
F
LACROSSE
MAYO CLINIC HEALTH SYSTEM - FR
A
LONG PRAIRIE
R & M HOME CARE
B
LAFAYETTE
GOOD SAMARITAN SOCIETY LAFAYET
F
TODD COUNTY PHNS
A
LAKE CITY
WINDCLIFF SENIOR CARE
F
VALLEY VIEW ESTATES
F
LAKE CRYSTAL
CRYSTAL SEASONS LVG COMMUNITY
F
LONSDALE
THE VILLAGES OF LONSDALE
F
ECUMEN LAKE CRYSTAL
F
LORETTO
GOLDEN ELDERLY CARE SUITES COR
A
ACTI-KARE RESPONSIVE IN-HOME C
A
LUVERNE
GOOD SAM SOCIETY HOME CARE
B
ACTI-KARE RESPONSIVE IN-HOME C
B
POPLAR CREEK ESTATES
F
ACTI-KARE RESPONSIVE IN-HOME C
M
SANFORD LUVERNE HOSPICE
X
ALWAYS BEST CARE OF ST CROIX
B
MABEL
THE MEADOWS OF MABEL
F
BRIGHTSTAR OF ST CROIX VALLEY
A
MADELIA
MADELIA COMMUNITY HOSP HM CARE
A
LAKE PARK
SUNNYSIDE CARE CENTER
A
MADISON
GRACE HAVEN ASSISTED LIVING
F
LAKEFIELD
DOMAN ROSE PLACE
F
MADISON HOSPITAL HHA
A
VALLEY VIEW ASSISTED LIVING
F
MADISON LAKE
ELDER CARE SERVICES INC
M
2 CARING HANDS
F
MAHTOMEDI
COVENTRY SENIOR LIVING
F
CHARIS HOME HEALTH CARE INC
A
NEW PERSPECTIVE MAHTOMEDI
F
ALLIANCE HEALTH SERVICES
A
LAKE ELMO
LAKEVILLE
CHARLOTTE L EAST
C
DIVINE CARE LLC
A
AUTUMN GRACE
F
EBENEZER HOME CARE
F
COTTAGEWOOD SR CMTY MANKATO
F
INTEGRA HOME CARE
A
GRACE SENIOR SERVICES INC
A
SENIOR CARE CONNECTIONS LLC
M
KCMG MANKATO LLC
F
SERENITY RESIDENTIAL CARE LLC
F
LAURELS EDGE
F
SUPERIOR HOME HEALTH CARE 1060
A
OLD MAIN VILLAGE
F
SUPERIOR HOME HEALTH CARE INC
A
PATHSTONE CROSSING
F
TRINITY HOME HEALTH CARE SERVI
A
PATHSTONE HOME SERVICES
A
TWIN CITY WOUND & OSTOMY ASSOC
A
PEDIATRIC THERAPY SERVICES INC
A
WALKER METHODIST HIGHVIEW HILL
F
PRIMROSE OF MANKATO
F
F
MANKATO
LARIMORE
GOOD SAMARITAN SOCIETY HOME CA
A
SCHOOL SISTERS OF NOTRE DAME
LE CENTER
ECUMEN LECENTER
F
STERLING HOUSE OF MANKATO
F
HORIZON PLACE
F
THE LUTHERAN HOME CEDAR HAVEN
F
LESUEUR COUNTY PUBLIC HEALTH
A
WATER'S EDGE
F
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LICENSED HOME CARE PROVIDER
HCP
LOCATION
LICENSED HOME CARE PROVIDER
HCP
================================================================== ==================================================================
MANKATO
MAPLE GROVE
WE CARE HOME CARE
A
CORAM SPECIALTY INFUSION SERV
A
WILD ROSE NURSING SERVICES LLC
A
MENDOTA HEIGHTS
DUNGARVIN MINNESOTA LLC
F
1 GALAXY OF DIVINE CARING INC
M
FAMILY CHOICE HOMECARE
A
ABUNDANCE HOMECARE
A
FRIDLEY ASSISTED LIVING LLC
F
ARBOR LAKES SENIOR LIVING
F
HEART TO HOME INC
F
BETTY R JOHNSON
C
JOSEPHS CHATEAU
F
BRIGHTSTAR HEALTHCARE OF WAYZA
A
KALEB INC
A
BUTTERFLY BOUND CARE LLC
A
MENDOTA HEIGHTS WP LLC
F
CHEZ VOUS HOME CARE LLC
A
QUALICARE SW TWIN CITIES
A
COUNTRY MEADOWS
F
HERITAGE HOUSE OF MILACA
F
1-0 GRANNYS HELPFUL HANDS LLC
A
CHOICES BY DESIGN LLC
MILACA
A
GOODLIFE HOMECARE LLC
A
HANNAHS HOME HLTH&CARE CNSLTG
A
HEALING TOUCH HOME CARE LLC
F
1ST CHOICE PCA SERVICES
A
HOME INSTEAD SENIOR CARE
M
1ST CHOICE PEDIATRIC HOME CARE
A
HOME INSTEAD SENIOR CARE #230
B
24 HOUR CARE
A
HOME INSTEAD SENIOR CARE OF MI
A
A CHANCE TO GROW INC
A
HOMEWARD BOUND INC
A
AFRICAN FAMILIES DEVELOP NETWK
A
KIDSPEAK LTD
A
AFYA HOME HEALTH CARE
A
PRESTIGE HOMECARE
A
AGAPE HOME CARE PROVIDER
B
THE GIVING TREE IN HOME SENIOR
A
ALL HOMECARING
A
WILDFLOWER LODGE
F
ALLEGIANCE ABILITY ASSISTANCE
M
A
MINNEAPOLIS
MAPLE LAKE
SUGAR LAKE SUPPORTED LIVING SE
A
ALLEGIANCE ABILITY ASSISTANCE
MAPLE PLAIN
BRYANT HOUSE
F
ALPHA HEALTHY CARE INC
A
MAPLETON
ECUMEN MAPLETON
F
AMAZING GRACE HOME CARE
A
MAPLETON COMMUNITY HOME
F
ANGELS HOME HEALTHCARE INC
A
BRIGHTSTAR HEALTHCARE
A
APPLEONE HOME CARE SERVICES
A
A
AT HOME LTD
M
ECUMEN LAKEVIEW COMMONS
F
AUGUSTANA HOME HEALTH CARE SER
F
ECUMEN SEASONS AT MAPLEWOOD
F
AUGUSTANA RESIDENTIAL CARE
F
HOME HELPERS OF THE TWIN CITIE
B
BATALO HOME HEALTH CARE LLC
A
HOME INSTEAD SENIOR CARE #150
B
BAYWOOD HOME CARE
A
HOME INSTEAD SENIOR CARE #150
M
BEECHWOOD INC
A
MAPLEWOOD GW LLC
F
BEST CARE HOME HEALTH INC
A
METRO NURSING SERVICES LLC
F
BEST CARE HOME HEALTH INC
F
PREMIUM CHOICE CARE
A
BETHANY CARE CENTER
F
RICHANGEL CARE INCORPORATED
A
BEYOND SPEECH
A
ROXANNE TARNOWSKI
C
BRISTOL PLACE HOME HEALTH SERV
A
THE SHORES HOME CARE
F
BROTTS FAMILY CARE CENTER LLC
F
VOA HOME HEALTH AT MAPLEWOOD
F
BRYANT SQUARE HOME HEALTH CARE
F
WALKER METHODIST HAZEL RIDGE
F
CAPITAL HOME HEALTH CARE LLC
A
HERITAGE POINTE SENIOR LIVING
F
CARE HOME HEALTH INC
A
PRAIRIE HOME COMMUNITY CARE
A
CAREGVR SUPT PRG KOREAN SRV CT
M
PRAIRIE HOME HOSPICE
X
CATHOLIC ELDERCARE AT HOME
A
STEPPING STONE HOME HEALTH CAR
F
CATHOLIC ELDERCARE AT HOME
F
TOUCHING HEARTS HOME CARE
A
CHILDRENS HOME CARE & HOSPICE
A
MCINTOSH
POPLAR MEADOWS OF MCINTOSH
F
CIRCLE OF LIFE HC ANISHINAABE
M
MEADOWLANDS
THE HUMMINGBIRD
F
CLARE HOUSING
F
MEDFORD
MEDFORD SENIOR CARE LLC
F
COMFORT SERVICES LLC
A
MELROSE
CENTRACARE - MELROSE PARK VIEW
F
COMMUNITY INVOLVEMENT PROG HHS
A
C
COMPASSIONATE NURSES NETWORK L
A
MENAGHA HOME HEALTH
F
DERMAN SENIOR CARE
A
ROSE HAVEN ASSISTED LIVING INC
F
DIAMONDS HOME HEALTH CARE INC
M
MAPLEWOOD
CHILDREN'S THERAPLAY LLC
MARSHALL
JOANN TSCHIDA
MENAHGA
Page 469
LOCATION
LICENSED HOME CARE PROVIDER
HCP
LOCATION
LICENSED HOME CARE PROVIDER
HCP
================================================================== ==================================================================
MINNEAPOLIS
EBENEZER HOME CARE
F
THE STANTON HOUSE INC
F
EDEN HOMES INC
F
MINNEAPOLIS
TWIN CITY HOME HEALTHCARE LLC
A
ELDERCARE SOLUTIONS INC
M
TWINS HOME HEALTH CARE INC
M
EXCEPTIONAL HOME HEALTH
A
UNITED HOME HEALTHCARE SERVICE
A
FAIRVIEW HOME CARE AND HOSPICE
A
UNITY HEALTH CARE
F
FAIRVIEW HOME INFUSION
A
UNITY HEALTHCARE INC
A
FAMILY CARE SERVICES INC
A
VOLUNTEERS OF AMERICA OF MN
F
FARMAL HOMES INC
F
WALKER HOME SERVICES
F
FIDELITY HEALTHCARE
A
WHITTIER PLACE
F
FOCUSCARE INC
B
YELLOW ROSE HOME CARE INC
A
GATEWAY HOMECARE SERVICES
B
MADISON AVENUE APARTMENTS
F
GENTLE HANDS HOME CARE LLC
A
TOWN AND COUNTRY HHC
A
GOLDEN NEST LLC
F
ASSISTING HANDS OF MINNEAPOLIS
A
GRACE PLACE
F
AUGUSTANA EMERALD CREST MNTONK
F
HOME HEALTH AGENCY
A
BAYADA PEDIATRICS
A
HORIZON HOMECARE SERVICES INC
A
BEACON HILL
F
INTEGRITY HOME HEALTH CO
M
CARE FULLY SENIOR HOME CARE
B
JONES HARRISON RES ASST LVG
F
COMFORCARE SENIOR SERVICES-MIN
A
KEYSTONE COMMUNITIES MANAGEMEN
F
FREEDOM POINTE MINNETONKA
F
LINKS HOME HEALTHCARE LLC
A
GENTLE TOUCH HEALTH INITIATIVE
F
LOVING HEART INC
A
GIANNA HOMES SURSUM CORDA
F
METRO HOME HEALTH CARE SVCS IN
M
GRISWOLD HOME CARE
B
MIDWEST PROFESSIONAL SERVICES
A
HEALTH CORPS
F
MILS HOME HEALTH CARE AGENCY
A
HEALTH CORPS
A
MINNEHAHA SENIOR LIVING
F
HOMECARE TOUCH
B
MN VISITING NURSE AGENCY
A
JEWISH FAMILY & CHILDRENS SVS
B
MOORE BOARD AND CARE LLC
F
LEGACY CARE HOME LLC
F
NORTH OAKS ON EMERSON
F
MINNETONKA ASSISTED LIVING
F
OAK GROVE CARE CENTER INC
F
MINNETONKA ASSISTED LIVING
F
OLU'S HOME INC
A
MORNING GLORY HOMES INC
F
PASSION CARE
A
MY RETIREMENT HOUSE INC
F
PEACEFUL CARE LLC
A
MY RETIREMENT HOUSE INC
A
PENTEC HEALTH INC
A
NIGHTINGALE HOME HEALTH CARE
A
PEOPLE INC EPILEPSY & MTL HLTH
F
PAMELA J COLEMAN
M
PEOPLE INCORPORATED DSL
F
PEDIATECH NURSING
A
PINNACLE SERVICES INC
A
RECOVER HEALTH
A
QUALITY FOOTCARE
A
ST JOHN HOME CARE
A
RAKHMA PEACE HOME
F
ST JOHN HOME CARE LLC
F
RIGHT AT HOME
A
SUNRISE OF MINNETONKA
F
RIVERSIDE PROFESSIONAL HEALTH
A
TLC AGENCIES LLC
A
ROBIN HINTZ MA CCC-SLP LLC
A
UNICARE HEALTH SERVICES LLC
A
SENIOR SUPPORT AND CARE
M
VOA HOME HEALTH AT ELDER HOMES
A
SERENITY HEALTH CARE SERVICES
A
VOA HOME HLTH AT ELDER HMSTED
F
SHABA HEALTH SERVICES CORP
A
WOODLAND HILLS RES CRE HME INC
F
AVENUES FOR CARE INC
M
MINNEOTA
MINNETONKA
SIFA CARE INC
M
SPECIALTY CARE GROUP
A
BURNSDALE EXTENDED CARE
F
SU CASA HOME CARE
F
CHIPPEWA COUNTY MONTEVIDEO HHC
A
SUMMIT HEALTHCARE INC
B
COPPER GLEN
F
SYNERGY HOME CARE MSP METRO
A
VALIN SENIOR CARE LLC
F
SYSKON HOME HEALTH CARE LLC
A
AGING SERVICES FOR COMMUNITIES
M
TRADITIONS OF MONTGOMERY LLC
F
THERES NO PLACE LIKE HOME INC
B
TENDER LOVING CARE COMPANIONS
M
THE KENWOOD RETIREMENT COM
F
MONTEVIDEO
MONTGOMERY
MONTICELLO
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ALLCARE HOME CARE INC
M
BROWN COUNTY PUBLIC HEALTH
A
ARBOR PARK LIVING CENTER
F
GOLDEN HOME CARE PLUS INC
A
COMPASSIONCARE
F
MBW COMPANY INC
A
EVENTIDE FAIRMONT
F
OAK HILLS LIVING CENTER
A
MOORHEAD MANOR
F
OAK HILLS LVNG CENTER ASST LI
F
RIVER POINTE OF MOORHEAD
F
PRAIRIE SR COTTAGES NEW ULM
F
THE EVERGREENS OF MOORHEAD
F
QUALITY LIFE HOME CARE LLC
A
VALLEYS FINEST HOME CARE LLC
A
QUALITY LIFE HOME CARE LLC
B
KENWOOD PLACE
F
RIDGEWAY SENIOR LIVING
F
MERCY HOME HEALTH AGENCY
A
RIVERBLUFF HEALTH CARE INC
A
OAKVIEW RESIDENTIAL CARE INC
F
WELCOME HOME HEALTH CARE
F
BENEDICTINE LVG COMM OF MORA
F
WELCOME HOME HEALTH CARE INC
F
EASTWOOD SENIOR LVG HOME CARE
F
HOME SWEET HOME ASSISTED LVNG
F
KANABEC COUNTY PHNS
A
LAKE COUNTRY HOME CARE
A
MORGAN
GIL-MOR HAVEN
F
TENDER HEARTS HOME CARE
A
MORRIS
HOME CARE SERVICE OPTIONS
F
GOOD SAMARITAN SOC HC HOSPICE
A
MORRISTOWN
THE PLUM HOUSE
F
SENIOR CLASS HOME HEALTH CARE
A
MOUND
LOVING CARE BY MARTHA
A
BRASK HAVEN INC
F
TRANQUIL LIVING
A
ECUMEN NORTH BRANCH
F
MIDWEST MEDICAL HOLDINGS LLC
A
NORTH BRANCH GW LLC
F
MONARCH MEADOWS
F
OAK TERRACE ASSISTED LIVING O
F
CLARE BRIDGE OF NORTH OAKS
F
WAVERLY GARDENS
F
BEST HOME CARE LLC
M
MOORHEAD
MOOSE LAKE
MORA
MOUNDS VIEW
TOUCHING HEARTS AT HOME
M
NEW ULM
NEW YORK MILLS
NISSWA
NORTH BRANCH
NORTH MANKATO
MOUNTAIN LAKE
THE LODGE OF MOUNTAIN LAKE
F
MURDOCK
GABRIEL HOUSE LLC
F
NEW BRIGHTON
ABLE SPEECH LANGUAGE SERVICES
A
CHRISTINE PROFESSIONAL HEALTH
A
CRYSTAL BLUE
A
FOOTWORKS
A
MERWIN IV & SPECIALTY PHARMACY
A
HEALTHSTAR HOME HEALTH
A
SENIOR SUITES OF NEW BRIGHTON
F
HOME CARE LINK
A
VISITING ANGELS
A
HOME COMPANION LINK
B
NEW GERMANY
JANICE R SINNEN
C
MILLSTREAM COMMONS HOME CARE
F
NEW HOPE
3K'S HOMECARE LLC
A
NORTHFIELD HOME CARE
A
HOME HEALTH AT NORTH RIDGE
A
NORTHFIELD PARKVIEW INC
F
KING DAVID RESIDENCE
F
NRC HOME CARE
A
KING DAVID RESIDENCES
M
REFLECTIONS HOME CARE
F
KING DAVID RESIDENCES
A
VALLEY VIEW OF NORTHFIELD
F
LIFE HEALTH CARE INC
A
NORTHWOOD
HELPING HANDS HOME CARE OF MIN
A
LINKEDIN HOME HEALTH CARE LLC
A
NORWOOD YOUNG AMER HARBOR AT PEACE VILLAGE
F
N & V HELPFUL HEART CARE INC
F
OAK GROVE
FUNDAMENTAL KIDS THERAPY LLC
A
NURTURING CARE
F
OAK PARK HEIGHTS
BOUTWELLS LANDING
F
RELIABLE HOMECARE
A
OAK PARK SENIOR LIVING
F
ST THERESE AT HOME SOLUTIONS
M
OAK RIDGE PLACE
F
ST THERESE RESIDENCE NURSING
A
PEACEFUL LIVING LLC
F
TJ HEALTH SERVICES LLP
A
ABC CARE INC
M
A
NEW LONDON
NEW PRAGUE
NEW RICHLAND
NORTH OAKS
NORTH ST PAUL
NORTHFIELD
OAKDALE
TOTALCARE ASSISTED LIVING SERV
F
ABRO HOME CARE INC
TOUCHSTONE ASSISTED LIVNG APTS
F
HEALTHEAST PILLARS
X
BENEDICTINE LVG COM NEW LONDON
F
SCENIC HILLS ALTERNATIVE CARE
F
LAKE REGION HOME HEALTH
A
VISITING ANGELS
A
TOUCHING HEARTS AT HOME
M
VISITING ANGELS
M
TOUCHING HEARTS AT HOME
B
OGILVIE
SIGNE AND OLIVIAS LLC
F
HEART TO HANDS HOME CARE LLC
A
OKLEE
FREEDOM LIVING CENTER LLC
F
MALA STRANA ASSISTED LIVING
F
OLIVIA
PARK VIEW VILLAGE
F
ECUMEN NEW RICHLAND
F
RENVILLE COUNTY PHS
A
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MILLE LACS BAND OF OJIBWE PUBL
A
PINE CITY
SOPHIES MANOR ASSISTED LIVING
F
MILLE LACS HOME CARE
A
PINE ISLAND
EVERGREEN PLACE
F
ONAMIA AREA ASSISTED LIVING
F
PINE HAVEN HOME HEALTH
A
ORONO
EBENEZER HOME CARE
F
BROOKSIDE
F
ORTONVILLE
FAIRWAY VIEW SENIOR COMMUNIT
F
RIVERSIDE ASSISTED LIVING
F
ORTONVILLE AREA HEALTH SER HHA
A
PINE SPRINGS
NANCY ISCHER
C
OSAGE
NORTH STAR NURSING TEMPORARY A
A
PIPESTONE
FALLS LANDING ASSISTED LIVING
F
OSAKIS
WEST VIEW/TERRACE HGHTS/BRIDGE
F
PIPESTONE CO HOME HEALTH AGNCY
A
OSSEO
BENEDICTINE SR LIV STEEPLE PTE
F
PIPESTONE COUNTY HOSPICE RESID
X
GREEN PRAIRIE PLACE
A
CARE HOME PARTNERS
A
ONAMIA
PINE RIVER
COMFORT KEEPERS
A
PLAINVIEW
OSTRANDER
OSTRANDER ASSISTED LIVING
F
PLYMOUTH
OTTER TAIL
PRESCRIPTION HOME CARE LLC
A
CARE HOME PARTNERS
F
OWATONNA
ALL GENERATIONS HOME CARE INC
M
CLARE BRIDGE OF PLYMOUTH
F
CASCADE CARE SERVICES INC
A
CORNERSTONE ASSISTED LIVING
F
CLARE BRIDGE OF OWATONNA
F
GIANNA HOMES GLADYS PLACE LLC
F
COUNTRYSIDE CATERED SR LIVING
F
HOME CARE SOLUTIONS
A
HOSPICE OF OWATONNA HOSPITAL
X
JOYFUL COMPANIONS HOME CARE
M
JULIE SUMMY
C
MIRIAM PARADA SERBER & DAVID W
M
PARK PLACE SENIOR LIVING
F
PRO MEDICAL SERVICES INC
A
STEELE COUNTY PHNS
A
PRO MEDICAL STAFFING INC
M
STERLING HOUSE OF OWATONNA
F
RIGHT AT HOME
B
THE BROOKS ON ST PAUL
F
SENIORS CHOICE AT HOME
M
TRADITIONS OF OWATONNA
F
SENIORS HELPING SENIORS
M
TRADITIONS OF OWATONNA II LLC
F
SUMMERWOOD OF PLYMOUTH
F
VALLEYVIEW OF OWATONNA LLC
F
TFF CARE LLC
F
VISITING ANGELS
A
THE WATERS OF PLYMOUTH
F
FILLMORE COUNTY PHNS
A
PARK RAPIDS
PRESTON
CARE AGE COUNTRY HOME
F
HERITAGE MANOR
F
PARK LANE ESTATES
F
MANY LAKES HOME CARE LLC
B
PRESTON GOOD SAM SOC HC
A
PARKERS PRAIRIE
ST WILLIAMS FOSTER CARE MCCOR
F
CALEY HOUSE ASSISTED LIVING
F
PAYNESVILLE
WASHBURNE COURT
F
STERLING POINTE SENIOR LVG LLC
F
PELICAN RAPIDS
LILAC HOMES ASSISTED LIVING
F
ALWAYS CARING INC
F
B
PERHAM
PIERZ
PRIOR LAKE
RIVERFRONT MANOR
F
ASSISTING HANDS OF MINNEAPOLIS
RIVERFRONT ON MAIN
F
ASSURED CARE
A
7TH HEAVEN ASSISTED LIVING LLC
F
ASSURED CARE
F
PERHAM LIVING
F
COMMUNITY ASSISTED LIVING INC
F
PERHAM LIVING HOME CARE
A
COMMUNITY HOME HEALTH INC
A
A
KCMG PRIOR LAKE LLC
F
PRAIRIE VIEW ASSISTED LVNG INC
F
MCKENNA CROSSING
F
SOME PLACE SPECIAL
F
WHITE CROSS HOME & RESIDENTIAL
A
THE THOMAS HOUSE INC
F
DIAMOND WILLOW ASSISTED LIVING
F
HOME CARE SERVICES OF SOUTH DA
A
GOLDEN OAKS ADV ASSIST LIVING
F
HOMECARE SERVICES OF SD INC
B
CAREFREE HOME SERVICES INC
M
DIGNITY HEALTHCARE SERVICES
A
PRAIRIE VIEW ASSISTED LIVING
PIERRE
PRINCETON
PROCTOR
RAMSEY
HARMONY HOUSE
F
HORIZON HEALTH INC
A
RANIER
DECKERS FAMILY CARE INC
F
PIERZ MEADOW PONDS INC
F
RED WING
ACCRA HOME HEALTH INC
A
PILLAGER
RIVERSIDE ASST LVG OF PILLAGER
F
DEER CREST
F
PINE CITY
COMMUNITY SUPPORTS PROGRAMMING
B
HIAWATHA HOMECARE
A
F
F
LOVING RESIDENCE
GOLDEN HORIZONS INC
F
MAYO CLINIC HLTH SYS RED WING
A
LAKESIDE MEDICAL CENTER
F
POTTER RIDGE
F
SILVER LININGS HOME HEALTH CAR
A
ST BRIGID'S AT HI PARK
A
EDGEWATER ASSISTED LIVING
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VALENTINES ASSISTED LIVING LLC
F
SEASONS HOSPICE
X
VISITING ANGELS
M
SHALOM ESTATE LLC
F
VISITING ANGELS
A
SHIFFO HOME HEALTH CARE CORPOR
A
GARNETTE GARDENS SENIOR LIVING
F
SHIRAZ ASSISTED LIVING LLC
F
JOHNSON PARK PLACE
F
SMART CHOICE HEALTH CARE
A
REDWOOD AREA HOSPITAL HOME CAR
A
SOUTHEASTERN MN CTR FOR INDEPE
M
REMER
AMERICARE LODGES INC
F
STANLEY JONES & ASSOCIATES
A
RENVILLE
RENVILLE HEALTH SERVICES HOMEC
F
SUN HOME HEALTH CARE INC
A
RICE
ALL GOOD HOME CARE INC
A
SUNRISE COTTAGE OF ROCHESTER
F
RICHFIELD
AVINITY HOME CARE
F
SUNSET HOMES ASSISTED LIVING
F
BRENDA JOHNSON
C
VISITING ANGELS
A
CRYSTAL CARE HOME HLTH SRV INC
A
VOA HOME HEALTH AT ROCHESTER
A
CSSC HOME CARE SERVICES
B
VOA HOME HEALTH AT ROCHESTER
F
GRACE HOME HEALTH CARE LLC
J
WILLOWS & WATERS SR LVG INC
F
HELPING HANDS GROUP HOME
A
CARING HEARTS AT HOME LLC
A
A
RED WING
REDWOOD FALLS
ROCHESTER
ROCKFORD
JUDITH A BEYER
C
PEDIATRIC SPEECH & LANGUAGE
KANG LE HOME HEALTH CARE
M
PROVISIONAL HOME HEALTH LLC
A
RICHFIELD SENIOR SUITES LLC
F
ROGERS
THE WELLSTEAD OF ROGERS
F
SHARON OJILE HOMECARE
C
ROSEAU
AGELESS CARE INCORPORATED
A
RICHMOND
TADD'S LIGHTHOUSE INC
A
LIFECARE HOME CARE & HOSPICE
A
RIVER FALLS
EASY LIVING ELDER CARE LLC
M
OAK CREST SENIOR HOUSING
F
REDLIN HOME SERVICES LLC
F
SENIORS HELPING SENIORS
M
ABC HOME HEALTH CARE PLUS LLC
A
ROBBINSDALE
ROCHESTER
ROSEMOUNT
GERIATRIC SERVICES OF MN
A
NORTH MEMORIAL HOME HLTH HOSPC
A
1050 PLUMMER PLACE LLC
F
ADVANCE HOME HEALTH CARE LLC
M
ACR AT HOME COMPANION CARE
B
ADVANCE HOME HEALTH CARE LLC
A
ACR AT HOME HEALTHCARE LLC
A
ALWAYS CARING
A
ARTHURS RESIDENTIAL CARE
F
ARBOR TERRACE
F
EAGLECREST SENIOR HOUSING LLC
F
CHARTER HOUSE INC
F
EBENEZER HOME CARE
F
CHARTERHOUSE HHA
A
GENTIVA HEALTH SERVICES
A
CHOICE HOME CARE INC
A
GOLDEN LIVING COMM LAKE RIDGE
F
CNS HOME HEALTH CARE
A
GOOD SAMARITAN HOME CARE
A
COMFORT HEALTH
A
HEARTLAND HOME HC AND HOSPICE
A
COMFORT HEALTH
F
INTERIM HC OF THE TWIN CITIES
A
COTTAGEWOOD SR CMTY ROCHESTER
F
INTERIM HOME STYLE SERVICES
A
DIVINE TOUCH HOME HEALTH CARE
A
INTREPID USA HEALTHCARE SERVS
A
EXCELLENT CARE SERVICES INC
A
KCMG ROSEVILLE LLC
F
EXTENDED HAND HOME CARE
A
MINNESOTA SENIOR CARE INC
B
EXTENDED HAND HOME CARE LLC
M
OAK ACRES LLC
F
FAMILY SERVICE ROCHESTER INC
M
PEDIATRIC HOME SERVICE
A
GLOBAL HOME HEALTH CARE INC
A
PRESBYTERIAN ASSTD LIVING HC
F
HOME INSTEAD SENIOR CARE
M
PRESBYTERIAN HOMES HOME CARE
A
HOME INSTEAD SENIOR CARE
A
SUNRISE ASSTD LIV OF ROSEVILLE
F
B
THE FRIENDSHIP HOME COMMUNITY
F
INTERNATIONAL QUALITY HOMECARE
A
TLC HM CARE OF THE TWIN CITIES
A
KAHLER MARR IN ROOM HOME CARE
A
TRUSTED HEALTHCARE SERVICES IN
B
MADONNA MEADOWS
F
TRUSTED HEALTHCARE SERVICES IN
A
MADONNA TOWERS OF ROCHESTER IN
A
WALGREENS INFUSION SERVICES
A
MAYO CLINIC REHABILITATION SER
A
WELLBEING HOME CARE LLC
A
KAYCEE'S HOME CARE INC
A
HOME INSTEAD SENIOR CARE
ROSEVILLE
OXFORD PROPERTY MANAGEMENT LLC
F
ROTHSAY
PRIMETIME LIVINN
A
ROYALTON
RIVERSIDE ASSISTED LIVING
F
ROBLAND HOME HEALTH CARE CORPO
A
RUSH CITY
ALL ABOUT CARING HOME CARE INC
A
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LOCATION
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HCP
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RUSHFORD
BREMMER SUITES
F
SARTELL
COUNTRY MANOR EXTENDED SERV
A
COUNTRY MANOR EXTENDED SVCS
F
HEALTHNORTH HOME CARE INC
SLEEPY EYE AREA HOME HEALTH
F
SLEEPY EYE AREA HOME HEALTH IN
A
SOUTH RANGE
TREVOR HILLSTROM
A
A
SOUTH SAINT PAUL
HOME WITH YOU COMPNON CARE LLC
M
WELCOME HOME HEALTH CARE INC
F
SOUTH ST PAUL
RIVER HEIGHTS ASSISTED LIVING
F
ALTERNATIVE SENIOR CARE INC
M
SPICER
COUNTRY LVNG MANAGEMENT CO
F
ALTERNATIVE SENIOR CARE INC
B
SPRING GROVE
SPRING GROVE ASSISTED LIV LLC
F
CEDAR COVE ASSISTED LIVING
F
SPRING LAKE PARK
RELIEVE CARE INC
A
CENTRACARE HTH SYM SAUK CTR HC
A
SPRING PARK
LAKE MINNETONKA SHORES
F
FAIRWAY PINES SENIOR LVG COMM
F
SPRING VALLEY
SPRING VALLEY ESTATES
F
GETTY STREET ASSISTED LIVING
F
SPRING VALLEY HOME HEALTH AG
A
ACCESS INFUSION HEALTHCARE LLC
A
HOME CARE SERVICES
F
CHERRYWOOD ADVANCED LIVING
F
HOME CARE SERVICES
A
GENERATIONS HOME CARE INC
F
CHANDLER PLACE HOME HLTH CARE
F
GOOD SHEPHERD ASSISTED LIVING
F
COMPLETE HOME HEALTH SERVICES
A
GOOD SHEPHERD HOME HEALTH CARE
A
PROVIDENT HOME HEALTHCARE
A
RIDGEVIEW PLACE
F
THE LEGACY OF ST ANTHONY
F
STERLING HOUSE OF SAUK RAPIDS
F
CONTENT SENIOR CARE LLC
M
SUPPORTING HAND INC
A
QUIET OAKS HOSPICE HOUSE
X
WALGREENS INFUSION SERVICES
A
ST CHARLES
ST CHARLES ASSISTED LIVING IN
F
ANN'S HOME
F
ST CLOUD
ARISE HOME HEALTH CARE
A
CREEKRIDGE CONCIERGE
M
ARISE HOME HEALTH CARE
M
METROPOLITAN COMMUNITY SVCS
M
HOME HEALTHCARE AGENCY
A
NOKOMIS CARE SERVICES INC
J
MARY CLARE OLSON AGENCY
A
THE SENIORS FRIEND LLC
C
MEDICAL SOLUTIONS HOME CARE IN
A
TOUCHING LIVES ADULT DAY SERVI
A
RECOVER HEALTH
A
TOUCHING LIVES ADULT DAY SERVS
B
SPOT REHABILITATION INC
A
SCANDIA
FOREVER CARES INC
B
ST BENEDICTS SENIOR COMMUNITY
F
SCANLON
SUNCREST ASSISTED LIVING
F
ST CLOUD HOSPITAL HC SERVICES
A
SEBEKA
CARING HANDS HOME CARE
A
ST SCHOLASTICA CONVENT
F
SHAFER
CARDENAS FRIENDSHIP HOME
F
TALAHI NURSING AND REHAB CTR
F
SHAKOPEE
ALL SAINTS SR LVG OF SHAKOPEE
F
VISITING ANGELS
A
AUGUSTANA EMERALD CREST SHAKOP
F
ST JAMES
GOOD SAM SOCIETY BRANDT RIDGE
F
ITS WE CARE INC
A
ST JOSEPH
ARLINGTON PLACE
F
MY BROTHERS KEEPER
M
ST LOUIS PARK
ACCEL HEALTH SERVICES INC
A
THE GARDENS AT ST GERTRUDES
F
ADULT HELP & COMPANION CARE
B
THE JAMES INC
A
AROUND THE CLOCK HOME CARE
A
TRUSTED HOME CARE LLC
A
AROUND THE CLOCK HOME CARE LLC
F
SHELDON
ULTIMATE NURSING SERVICES
A
BRIGHTSTAR
A
SHERBURN
TEMPERANCE LAKE RIDGE
F
CARE WITH HEART HOME SERVICES
A
SHEVLIN
SERENITY ASSISTED LIVING
A
HOME CARE ASSISTANCE
B
SHOREVIEW
BAYADA HOME HEALTH CARE INC
A
HOME CARE ASSISTANCE OF MINNEA
A
COMMUNITIES OF CARE
A
INTREPID USA HEALTHCARE SERVS
F
KIDS ABILITIES
A
INTREPID USA HEALTHCARE SRVCS
A
SHOREVIEW SENIOR LIVING
F
LIVING LIFE HOME CARE
A
SPEAK RIGHT NOW LLC
A
PARK NICOLLET METHODIST HC
A
ST THERESE AT ST ODILIA
A
SAMAD COMFORT CARE CORP
A
SIOUX FALLS
SANFORD VISITING NURSES ASSOCI
A
SHOLOM COMM ALLIANCE HOME HLTH
F
SISSETON
COTEAU DES PRAIRIES HOSPITAL H
A
SILVERCARE LLC
F
SLAYTON
LINDENWOOD ASSISTED LIVING
F
ST THERESE AT HOME SOLUTIONS L
A
OUR HOUSE OF MURRAY COUNTY
X
STABILITY HOME HEALTHCARE
A
LEADING CHOICE HOME HELPERS
B
THE CARING SISTERS HOME CARE
F
SAUK CENTRE
SAUK RAPIDS
SAVAGE
SLEEPY EYE
SLEEPY EYE
SPRINGFIELD
ST ANTHONY
ST AUGUSTA
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LOCATION
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HCP
================================================================== ==================================================================
ST LOUIS PARK
ST MICHAEL
ST PAUL
THE CARING SISTERS HOME CARE S
A
EXPRESS HOME HEALTH CARE
A
TOWER LIGHT
F
FAMILY FIRST HEALTHCARE INC
A
VISITING ANGELS
M
FIRST CHOICE HOME CARE INC
A
VISITING ANGELS
A
FIRSTAT NURSING SERVICES
A
YMG HOME CARE SERVICES INC
M
FRANCISCAN HOME CARE
A
ANNMAR HOME HEALTH, LLC
A
GENTLE CARE INC
M
THE LEGACY OF ST MICHAEL
F
GOLDEN LIFE HOME HEALTH CARE
A
1 BEST CARE INC
A
HEALTH AT HOME LLC
A
A&A RELIABLE HOME HEALTH CARE
A
HEALTHEAST HOME CARE
A
ABBEYCARE INC
A
HEALTHMAX HOME HEALTH SERVICES
A
ABC CARE INC
A
HERITAGE HOME HEALTH CARE INC
M
ACCESSIBLE SPACE ASI METRO 1
F
HIGHLAND HOME CARE LLC
A
ACCESSIBLE SPACE ASI METRO 2
F
HOME PCA SERVICE INC
A
ACCESSIBLE SPACE ASI METRO 3
F
HOMEWATCH CAREGIVERS ST PAUL
A
ACCESSIBLE SPACE INC ASI NORTH
F
INTEGRATED HOME CARE
A
ACCESSIBLE SPACE INC ASI SOUTH
F
KCMG HIGHLAND PARK LLC
F
ADVANTAGE HOME CARE SERVS INC
A
KRISTI LOUISE BRUBER
C
ALLINA HM C HSPCE & PALLITV CA
A
LYNGBLOMSTEN SERVICES INC
A
AMY JOHNSON RESIDENCE
A
MARY ELLEN BRANDT
A
ANOINTED HOME CARE AGENCY
A
MATRXCARE LLC
A
APRIA HEALTHCARE LLC
A
MAXIMUM HOMECARE SERVICES LLC
A
ASI METRO 4
F
METRO HEALTH CARE SERVICES LLC
A
ASIAN AMERICAN HOME H C SERVIC
M
METRO HOME HEALTH INC
A
ASIAN AMERICAN HOME HEALTH CAR
A
MIDWAY HOME HEALTH CARE
A
ASIAN COMMUNITY SPECIAL SRSVCS
M
MINNESOTA HOME HEALTH CARE INC
A
ASIAN HOME CARE INC
A
MN HOME CARE PROFESSIONALS
B
ATT HOME CARE INC
A
MORNING STAR HEALTHCARE SERVIC
A
ATT HOME HEALTH CARE INC
M
MULTICULTURAL HOME CARE LLC
A
BATTLE CREEK CARE HOME
F
MY HOME HEALTH CARE INC
A
BRIDGE CARE LLC
A
NATIONAL HOME HEALTHCARE INC
A
CAPITAL CARE SERVICES LLC
A
NORTHWEST HOME HEALTH CARE
A
CARE PLANNERS HOME HEALTH CARE
A
OUR LADY OF PEACE HOME CARE
A
A
PEACE OF MIND HOME CARE SERVIC
A
CAREMATE HOME HEALTH CARE INC
A
PEACEFUL LIVING SERVICES
F
CAREMATE HOME HEALTH CARE INC
F
PEOPLE INCORPORATED
A
CARING MATTERS HOME CARE 022
B
PEOPLE INCORPORATED
F
CARING PROFESSIONALS HOMECARE
A
PREMIER HEALTH HOMES INC
A
CARINGHANDS HOME HEALTH CARE I
A
RAINBOW HOME HEALTHCARE INC
M
CARONDELET VILLAGE
F
ROSE HOME CARE HOME MANAGEMENT
M
CATHOLIC CHARITIES CAREGIVER S
M
SAFETY CARE INC
A
CENTRAL TOWERS
F
SERENITY HOME HEALTH CARE SYST
A
CERENITY CC MARIAN ST PAUL
F
SHEPARD PARK HC
F
CERENITY HEALTH INC
B
SHOLOM HOME CARE
A
CERENITY RES ON HUMBOLDT
F
SUMMIT HILL SENIOR LIVING
F
CONGREGATE HOUSING SERVS PROG
M
SUNLIGHT SENIOR LIVING
F
DALYCE ELLIOTT YOUNG
C
SUNLIGHT SERVICES LLC
F
DELLWOOD GARDENS
F
SUPPORTIVE LIVING SOLUTIONS
A
DIVINE HEALTHCARE NETWORK
A
SYMPHONY SENIOR SERVICES INC
A
ENDLESS CARE LLC
A
TOUCHING HEARTS AT HOME ST PAU
M
EPISCOPAL HOME CARE AND SERVIC
A
UNITED HOME HEALTHCARE INC
A
EPISCOPAL HOME CARE AND SRVS
F
V-CARE HOME HEALTH INC
A
EQUITY SERVICES OF ST PAUL
A
VIETNAMESE MINNESOTANS ASSOCIA
A
CAREFOCUS CORPORATION
ST PAUL
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LICENSED HOME CARE PROVIDER
HCP
LOCATION
LICENSED HOME CARE PROVIDER
HCP
================================================================== ==================================================================
VIZION ONE INC
A
RIDGEVIEW HOME CARE SERVICES
A
WEST ASIA CARE
A
RIDGEVIEW HOME SUPPORT SERVICE
A
WILDER ASSISTED LIVNG PROGRAMS
F
WESTVIEW ACRES GOOD SAM COM
F
ST PAUL PARK
ALTERNATIVE HOME CARE SOLUTION
A
COMFORT CARE COTTAGES
F
ST PETER
BENEDICTINE SR LVG COMM ST PTR
F
LEGACY HOME HEALTH AND HOSPICE
A
ECUMEN PRAIRIE HILL
F
LSS OF WADENA LLC
A
ECUMEN SAND PRAIRIE
F
WAHPETON
ST CATHERINE'S HOME CARE
A
GOOD SAM SOC HM CARE ST PETER
A
WAITE PARK
BAYADA PEDIATRICS
A
NICOLLET COUNTY PUBLIC HEALTH
A
COMFORT KEEPERS
A
PHEASANTS RIDGE ASSISTED LIVNG
F
HOME INSTEAD SENIOR CARE
A
STACY
SUNRISE HEALTH SERVICES INC
A
SAVING GRACE HOME HEALTH LLC
A
STANCHFIELD
CARE PARTNER SERVICES
A
STERLING PARK COMMONS
F
CONNIE R DAVIS LPN
A
TLA FOSTER CARE LLC
F
LAKEWOOD HLTH SYS HM C & HSPCE
A
CASS CO PUBLIC HEALTH
A
LAKEWOOD PINES SENIOR HOUSING
F
MAY CREEK LODGE INC
F
COUNTRY VIEW SENIOR COMMUNITY
F
ST PAUL
STAPLES
WACONIA
WADENA
WALKER
HOLLY RIDGE MANOR
F
WALNUT GROVE
MINNEWASKA HOME CARE
A
WARREN
GOOD SAMARITAN SOCIETY WARREN
F
STEPHEN
TAMARAC SENIOR LIVNG COMMUNITY
F
WARROAD
LAKEVIEW RETIREMENT RESIDENCE
F
STEWARTVILLE
ROOT RIVER ESTATES HOME CARE S
F
WASECA
COLONY COURT
F
STEWARTVILLE HOME CARE SERVICE
A
COLONY COURT
F
KING OF KINGS HOME HEALTH CARE
A
FRAMEWORK FOR THE LONG-LIVED
M
LAKEVIEW HOMECARE
A
LATHAM PLACE
F
LAKEVIEW HOMECARE AND HOSPICE
F
WATERTOWN
WESTWOOD PLACE INC
F
ONTRACK HOME CARE INC
A
WATERVILLE
WATERVILLE ASSISTED LIVING LLC
F
PROJECT CARING RES ASSTD LVG
F
WAYZATA
B HOME BY ENGLISH ROSE SUITES
A
SENIOR HELPERS
A
ENGLISH ROSE SUITES
F
F
STARBUCK
STILLWATER
TENSTRIKE
MEADOWLAND ELDER CARE HOMES
F
GOLDEN LIVING COMM REFLECTIONS
THIEF RIVER FALLS
INTER CO NURSING SERVICE
A
MERIDIAN MANOR
F
MINNESOTA GREENLEAF
F
VISITING ANGELS
A
OAK PARK SENIOR LIVING
F
WELLS
THE SHEPHERDS INN
F
VALLEY HOME
F
WEST CONCORD
CHICOS BOARD & LODGE LLC
F
SOJOURN AT HOME LLC
B
CIRCLE DRIVE MANOR ASST LVNG
F
SOJOURN SUITES LLC
F
WEST SAINT PAUL
HMONG MINNESOTA HOME CARE INC
M
TOWER
GOLDEN HORIZONS
F
WEST ST PAUL
CLARE BRIDGE OF WEST ST PAUL
F
TRACY
SHETEK HOME CARE
A
DARTS
M
SWEET HOME HOME CARE LLC
M
PHOENIX SERVICE CORPORATION
A
TRUMAN
TRUMAN SENIOR LIVING INC
F
SOUTHVIEW SENIOR LIVING
F
TWIN VALLEY
LINCOLN TERRACE
F
STERLING HOUSE OF WEST ST PAUL
F
TWO HARBORS
BARROSS COTTAGE
F
WALKER METHODIST WESTWOOD RIDG
F
BARROSS MANOR
F
ADVANCED MEDICAL HOME CARE LLC
A
ECUMEN TWO HARBORS SCENIC SHOR
F
CERENITY RESIDENCE OF WBL
F
TYLER
TYLER HOME CARE
A
VISION QUEST PROPERTY MANAGEME
A
ULEN
VIKING MANOR NURSING HOME
F
WHITE BEAR LAKE COH CARE LLC
F
UTICA
KIND LLC
A
WHITE EARTH
WHITE EARTH HOME HEALTH
A
VADNAIS HEIGHTS
HEARTS HOME CARE LLC
A
WILLMAR
BETHESDA HOME HEALTH
A
PINNACLE HOME HEALTH CARE LLC
A
CENTRAL MINNESOTA SENIOR CARE
A
VINTAGE MOMENTS LLC
F
CENTRAL MN SENIOR CARE INC
F
AUGUSTANA EMERALD CREST OF VIC
F
CENTRAL MN SENIOR CARE INC
M
VICTORIA CARE CENTER LLC
F
COMPASSIONATE CARE INC
B
VIRGINIA
EDGEWOOD VISTA VIRGINIA
F
COMPASSIONATE COTTAGE LLC
F
WABASHA
ST ELIZABETH HOME HEALTH CARE
A
COPPERLEAF SENIOR LIVING
F
WACONIA
LIGHTHOUSE AT WACONIA
F
DIVINE HOME CARE INC
A
TONKA BAY
VICTORIA
WHITE BEAR LAKE
Page 476
LOCATION
LICENSED HOME CARE PROVIDER
HCP
LOCATION
LICENSED HOME CARE PROVIDER
HCP
================================================================== ==================================================================
WILLMAR
DIVINE HOME CARE INC
M
DIVINE HOUSE INC
F
DIVINE HOUSE INC
M
FOURTH AVENUE HOMES INC
M
PRAIRIE SR COTTAGES WILLMAR
F
QUALITY QUEST HEALTH CARE INC
A
SAMAH HOME HEALTH CARE
M
STERLING HOUSE WILLMAR
F
SUNRISE VILLAGE
F
GOOD SAM SOC HM C OF SW MN
A
MIKKELSEN MANOR ASSTD LIVING
F
PINE VIEW ASSISTED LIVING
F
WINNEBAGO
PARKER OAKS COMMUNITIES INC
F
WINONA
BOURNE MEDICAL SERVICE
A
CALLISTA COURT
F
OPTIONS PLUS HOME CARE LLC
A
QUALITY LIVING HOME HEALTH CAR
A
STERLING HOUSE WINONA
F
SUGAR LOAF SENIOR LIVING
F
WINONA HEALTH HOME CARE
A
WINONA HEALTH SENIOR LVG AT WA
F
WINSTED
BENEDICTINE LV COMM OF WINSTED
F
WINTHROP
THE LODGE OF WINTHROP
F
WOODBURY
CLIENT CENTERED HOME CARE
A
COLBY LAKE CARE HOME INC
F
COMFORT KEEPERS
A
COMMUNITY LIVING OPTIONS INC
F
FAITH HOME CARE LLC
F
HOMETOWN SENIOR LIVING-BELMONT
F
HONG FU HOME HEALTH CARE
A
PRELUDE HOME & SERVICES LLC
F
RELIANCE HEALTHCARE
A
SAGEWOOD LLC
F
STONECREST
F
WICARE SERVICES
A
WOODBURY ESTATES
F
WOODBURY VILLA
F
ZUMBRO HOUSE INC
F
CARING & COMPASSIONATE HEALTH
A
ECUMEN WORTHINGTON THE MEADOWS
F
GOLDEN HORIZON
F
SANFORD WORTHINGTON HOME CARE
A
SUNSET COTTAGE
X
SW MN OPPORTUNITY COUNCIL INC
M
WRENSHALL
GARDEN TERRACE ASSISTED LIVING
F
WYOMING
INFINITE HOMECARE LLC
A
MEADOWS ON FAIRVIEW
F
ZUMBROTA CARE CENTER HOME CARE
F
WINDOM
WORTHINGTON
ZUMBROTA
Page 477
LOCATION
CERTIFIED HOME HEALTH AGENCY
==================================================================
LOCATION
CERTIFIED HOME HEALTH AGENCY
==================================================================
ALBANY
ALBANY AREA HOME HEALTH
FARIBAULT
RICE COUNTY PHNS
ALBERT LEA
MAYO CLINIC HS ALBERT LEA
FARMINGTON
RIVER VALLEY HOME CARE INC
ALEXANDRIA
KNUTE NELSON HOME CARE
FERGUS FALLS
ACCRA HOME CARE INC
APPLETON
APPLETON AREA HEALTH SERVICES
ARLINGTON
SIBLEY MEDICAL CNTR HOME CARE
LAKELAND HOMECARE
NEW DIMENSIONS HHC INC
HERITAGE HOME HEALTH & HOSPICE
AUSTIN
SACRED HEART HOME HEALTH CARE
FOLEY
BAGLEY
CLEARWATER CO NSG SERVICE
FOSSTON
ESSENTIA HEALTH FOSSTON HM HTH
BAXTER
GOOD NEIGHBOR HHC OF BRAINERD
GAYLORD
SIBLEY COUNTY PH & HUMAN SERVS
BEMIDJI
BELTRAMI COUNTY HEALTH & HUMAN
GLENWOOD
GLACIAL RIDGE HOME CARE
SANFORD BEMIDJI HOME CARE
GOLDEN VALLEY
ALLIANCE HHC & NURSING SERVICE
BENSON
SWIFT CTY BENSON HOSP HH CARE
CARE PLUS HOME HEALTH AGENCY I
BIGFORK
BIGFORK VALLEY HOME CARE
GOOD SAM SOCIETY HOME CARE
BLOOMINGTON
ASERACARE HOME HEALTH
HOME HEALTH CARE INC
IN-HOME LAB CONNECTION INC
INTERNATIONAL HEALTH CARE SERV
SUMMIT HOME HEALTH CARE INC
PROF RESOURCE NETWORK HHC
SENIOR HOME HEALTH CARE LLC
GRACEVILLE
ESSENTIA HLTH GRACEVILLE HH
UTMOST CARE HEALTH SERVICES LL
GRAND MARAIS
COOK CO NORTHSHORE HOSP HM HLT
BLUE EARTH
UNITED HOSP DIST HOME HLTH SER
GRAND RAPIDS
GRAND ITASCA CLINIC & HOSP HC
BRAINERD
BARNABAS HEALTH CARE SERVICES
BRECKENRIDGE
ST FRANCIS HOME HEALTH CARE
GRANITE FALLS
GRANITE FALLS MUN HOSP HHA
BROOKLYN PARK
HENNEPIN HOME HEALTH CARE INC
HALLOCK
KITTSON MEMORIAL HOME HLTHCARE
INTEGRATED NURSING & HLTH SVCS
HENDRICKS
HENDRICKS COMMUNITY HOSP HHA
BUFFALO
PRAIRIE RIVER HOME CARE INC
HIBBING
HEALTHLINE HOMECARE
CALEDONIA
HOUSTON CTY PUB HLTH NURSNG SV
CANBY
SANFORD CANBY MED CENTER
INTERNATIONAL FALLS
GOOD SAMARITAN HC INTL FALLS
CHISAGO CITY
FAIRVIEW LAKES HOMECARING HOSP
INVER GROVE HEIGHTS
SPECTRUM COMMUNITY HEALTH INC
CLARISSA
CENTRAL TODD COUNTY HOME CARE
JACKSON
COTTONWOOD JACKSON COMM H S
CLARKFIELD
CLARKFIELD HOME HEALTH AGENCY
LAKEVILLE
INTEGRA HOME CARE
COKATO
COKATO MANOR HOME HEALTH
COLD SPRING
ASSUMPTION HOME CARE
LE CENTER
LESUEUR COUNTY PUBLIC HEALTH
COLUMBIA HEIGHTS
CREST VIEW HOME HEALTH CARE
LITCHFIELD
ECUMEN OF LITCHFIELD HOME CARE
COON RAPIDS
ECUMEN AT HOME
LITTLE CANADA
REGENCY HOME HEALTHCARE SRVCS
MARY T HOME HEALTH
LITTLE FALLS
UNITY FAMILY HOME CARE HOSPICE
CROOKSTON
RIVERVIEW HOME CARE
LONG PRAIRIE
TODD COUNTY PHNS
CROSBY
HOMEHEALTH PARTNERSHIP
MADELIA
MADELIA COMMUNITY HOSP HM CARE
DAWSON
JOHNSON MEMORIAL HOME CARE
MADISON
MADISON HOSPITAL HHA
DEER RIVER
DEER RIVER HOME CARE
MANKATO
ALLIANCE HEALTH SERVICES
DETROIT LAKES
ST MARYS HOME HEALTH
DULUTH
ACCRA HOME HEALTH-DULUTH
RECOVER HEALTH
RECOVER HEALTH
SUPERIOR HOME HEALTH CARE INC
PATHSTONE HOME SERVICES
MINNEAPOLIS
ALL HOMECARING
GENTIVA HEALTH SERVICES
BEST CARE HOME HEALTH INC
HEARTHSTONE HOME CARE LLC
BRISTOL PLACE HOME HEALTH SERV
INTERIM HEALTHCARE
CHILDRENS HOME CARE & HOSPICE
LAKESHORE AT HOME
COMMUNITY INVOLVEMENT PROG HHS
PATHWAYS TO ACHIEVEMENT
FAIRVIEW HOME CARE AND HOSPICE
SENIOR FRIEND ASSOCIATES INC
FAMILY CARE SERVICES INC
ST LUKES HOME HEALTH SERVICES
MIDWEST PROFESSIONAL SERVICES
UNIVERSAL PEDIATRIC SERV INC
MILS HOME HEALTH CARE AGENCY
EAGAN
ALLIANCE HEALTH SERVICES INC
MN VISITING NURSE AGENCY
EDINA
BROOKDALE H H MINNESOTA
ELK RIVER
ELY
SERENITY HEALTH CARE SERVICES
ACCURATE HOME CARE LLC
MINNEOTA
TOWN AND COUNTRY HHC
GUARDIAN ANGELS ELIM HOME CARE
MINNETONKA
BAYADA PEDIATRICS
ELY BLOOMENSON HOSPITAL HHA
NIGHTINGALE HOME HEALTH CARE
Page 478
LOCATION
CERTIFIED HOME HEALTH AGENCY
==================================================================
LOCATION
CERTIFIED HOME HEALTH AGENCY
==================================================================
MINNETONKA
RECOVER HEALTH
MONTEVIDEO
CHIPPEWA COUNTY MONTEVIDEO HHC
AROUND THE CLOCK HOME CARE
MOOSE LAKE
MERCY HOME HEALTH AGENCY
INTREPID USA HEALTHCARE SRVCS
MORA
KANABEC COUNTY PHNS
NEW LONDON
LAKE REGION HOME HEALTH
NEW ULM
BROWN COUNTY PUBLIC HEALTH
ALLINA HM C HSPCE & PALLITV CA
ST LOUIS PARK
ACCEL HEALTH SERVICES INC
PARK NICOLLET METHODIST HC
ST PAUL
ADVANTAGE HOME CARE SERVS INC
OAK HILLS LIVING CENTER
CAREFOCUS CORPORATION
NISSWA
GOOD SAMARITAN SOC HC HOSPICE
CAREMATE HOME HEALTH CARE INC
NORTH ST PAUL
HEALTHSTAR HOME HEALTH
CARING PROFESSIONALS HOMECARE
NORTHFIELD
HOME CARE LINK
DIVINE HEALTHCARE NETWORK
NORTHFIELD HOME CARE
EQUITY SERVICES OF ST PAUL
OLIVIA
RENVILLE COUNTY PHS
FIRST CHOICE HOME CARE INC
ONAMIA
MILLE LACS HOME CARE
FIRSTAT NURSING SERVICES
ORTONVILLE
ORTONVILLE AREA HEALTH SER HHA
HEALTHEAST HOME CARE
OWATONNA
STEELE COUNTY PHNS
HEALTHMAX HOME HEALTH SERVICES
PERHAM
PERHAM LIVING HOME CARE
INTEGRATED HOME CARE
PIERZ
HORIZON HEALTH INC
MIDWAY HOME HEALTH CARE
PIPESTONE
PIPESTONE CO HOME HEALTH AGNCY
OUR LADY OF PEACE HOME CARE
PRESTON
FILLMORE COUNTY PHNS
PEOPLE INCORPORATED
PRESTON GOOD SAM SOC HC
SAFETY CARE INC
PRIOR LAKE
COMMUNITY HOME HEALTH INC
SHOLOM HOME CARE
RED WING
ACCRA HOME HEALTH INC
VIZION ONE INC
HIAWATHA HOMECARE
ST PETER
GOOD SAM SOC HM CARE ST PETER
MAYO CLINIC HLTH SYS RED WING
STACY
SUNRISE HEALTH SERVICES INC
REDWOOD FALLS
REDWOOD AREA HOSPITAL HOME CAR
STAPLES
LAKEWOOD HLTH SYS HM C & HSPCE
RICHFIELD
CRYSTAL CARE HOME HLTH SRV INC
STARBUCK
MINNEWASKA HOME CARE
ROBBINSDALE
NORTH MEMORIAL HOME HLTH HOSPC
STILLWATER
LAKEVIEW HOMECARE
CHARTERHOUSE HHA
THIEF RIVER FALLS
INTER CO NURSING SERVICE
CHOICE HOME CARE INC
TRACY
SHETEK HOME CARE
CNS HOME HEALTH CARE
TYLER
TYLER HOME CARE
COMFORT HEALTH
WABASHA
ST ELIZABETH HOME HEALTH CARE
INTERNATIONAL QUALITY HOMECARE
WACONIA
RIDGEVIEW HOME CARE SERVICES
ROBLAND HOME HEALTH CARE CORPO
WADENA
LEGACY HOME HEALTH AND HOSPICE
STANLEY JONES & ASSOCIATES
WAITE PARK
BAYADA PEDIATRICS
ROCHESTER
SAVING GRACE HOME HEALTH LLC
ROSEAU
LIFECARE HOME CARE & HOSPICE
ROSEVILLE
GENTIVA HEALTH SERVICES
WALKER
CASS CO PUBLIC HEALTH
GOOD SAMARITAN HOME CARE
WHITE EARTH
WHITE EARTH HOME HEALTH
HEARTLAND HOME HC AND HOSPICE
WILLMAR
BETHESDA HOME HEALTH
DIVINE HOME CARE INC
INTERIM HC OF THE TWIN CITIES
QUALITY QUEST HEALTH CARE INC
INTREPID USA HEALTHCARE SERVS
PRESBYTERIAN HOMES HOME CARE
WINDOM
GOOD SAM SOC HM C OF SW MN
TLC HM CARE OF THE TWIN CITIES
WINONA
WINONA HEALTH HOME CARE
SARTELL
COUNTRY MANOR EXTENDED SERV
WORTHINGTON
CARING & COMPASSIONATE HEALTH
SAUK CENTRE
CENTRACARE HTH SYM SAUK CTR HC
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
ST CLOUD
RECOVER HEALTH
SPOT REHABILITATION INC
ST CLOUD HOSPITAL HC SERVICES
SANFORD WORTHINGTON HOME CARE
Page 479
LOCATION
LICENSED HOSPICE
HOSPICE
=====================================================================
LOCATION
LICENSED HOSPICE
HOSPICE
=====================================================================
ALBANY
ALBANY AREA HOSPICE
D
HEARTLAND HOME HEALTH CARE AND
D
ALBERT LEA
MAYO CLINIC HEALTH SYS ALBT LE
D
MAYO CLINIC HOSPICE
D
DOUGLAS CO PUB HEALTH HOSPICE
D
SEASONS HOSPICE
D
ALEXANDRIA
ROCHESTER
KNUTE NELSON HOSPICE
D
ROSEAU
LIFECARE HOME CARE & HOSPICE
D
AUSTIN
MAYO CLINIC HEALTH SYS AUSTIN
D
ROSEVILLE
HEARTLAND HOME HC AND HOSPICE
D
BAGLEY
CLEARWATER HOSPICE
D
INTERIM HEALTHCARE
D
BEMIDJI
SANFORD BEMIDJI HOSPICE
D
INTREPID USA HOSPICE
D
BLOOMINGTON
ASERACARE HOSPICE
D
PRESBYTERIAN HOMES HOSPICE INC
D
HEALTHPARTNERS HOSPICE & PALLI
D
SAUK CENTRE
CENTRACARE SAUK CENTRE HOSPICE
D
BLUE EARTH
UNITED HANDS HOSPICE
D
SAUK RAPIDS
HEARTLAND HOME HLTH C&HOSPICE
D
BRECKENRIDGE
RIVEREDGE HOSPICE ST FRANCIS
D
SIOUX FALLS
SANFORD HOSPICE
D
CHISAGO CITY
FAIRVIEW LAKES HOMECARING HOSP
D
SLAYTON
HOSPICE OF MURRAY COUNTY INC
D
COON RAPIDS
MARY T HOSPICE
D
ST AUGUSTA
QUIET OAKS HOSPICE HOUSE
D
CROSBY
HOMEHEALTH PARTNERSHIP
D
ST CLOUD
ST CLOUD HOSPITAL HOSPICE
D
DARWIN
LAKEVIEW RANCH HEALTHCARE LLC
D
ST LOUIS PARK
BRIGHTON HOSPICE
D
DULUTH
ESSENTIA HEALTH ST MARYS HOSPI
D
PARK NICOLLET METHODIST HOSP
D
ST LUKES HOSPICE DULUTH
D
SHOLOM HOSPICE
D
BROOKDALE HOSPICE MINNESOTA
D
ALLINA HM C HSPCE & PALLITV CA
D
N C LITTLE MEMORIAL HOSPICE
D
HEALTHEAST HOSPICE
D
ELK RIVER
GUARDIAN ANGELS ELIM HOSPICE
D
OUR LADY OF PEACE HOSPICE
D
FARGO
HOSPICE OF THE RED RIVER VALLE
D
STAPLES
LAKEWOOD HEALTH SYSTEM HOSPICE
D
FARIBAULT
FARIBAULT AREA HOSPICE
D
STILLWATER
LAKEVIEW HOSPICE
D
FERGUS FALLS
LAKELAND HOSPICE
D
TYLER
RIDGEVIEW HOSPICE
D
FOSSTON
FIRST CARE HOSPICE
D
WACONIA
RIDGEVIEW HOSPICE
D
GLENWOOD
GLACIAL RIDGE HOSPICE
D
WADENA
LEGACY HOME HEALTH AND HOSPICE
D
GRAND FORKS
ALTRU'S HOSPICE
D
WILLMAR
DIVINE HOSPICE CARE
D
HALLOCK
KITTSON COUNTY HOSPICE INC
D
RICE HOSPICE PROGRAM
D
HENDRICKS
GOOD SHEPHERD HOSPICE
D
WINONA
WINONA AREA HOSPICE
D
HIBBING
NORTH STAR HOSPICE
D
WORTHINGTON
CARING & COMPASSIONATE HC AGY
D
COMPASSIONATE CARE HOSPICE
D
EDINA
LACROSSE
GUNDERSEN LUTHERAN HOSPICE
D
MAYO CLINIC HLTH SYS FRANCSCN
D
LAKEVILLE
HOSPICE ADVANTAGE
D
LITCHFIELD
ECUMEN OF LITCHFIELD HC & HSPC
D
LITTLE FALLS
UNITY FAMILY HOSPICE
D
LUVERNE
SANFORD LUVERNE HOSPICE
D
MANKATO
MAYO CLINIC HEALTH SYSTEM MANK
D
MARSHALL
PRAIRIE HOME HOSPICE
D
MINNEAPOLIS
CHILDRENS HOME CARE & HOSPICE
D
FAIRVIEW HOSPICE
D
HOSPICE OF THE TWIN CITIES INC
D
MORA
KANABEC CO PUBLIC HLTH HOSPICE
D
NISSWA
GOOD SAMARITAN SOCIETY HOSPICE
D
NORTHFIELD
NORTHFIELD HOSPICE
D
OAKDALE
ST CROIX HOSPICE
D
OLIVIA
RENVILLE COUNTY HOSPICE
D
ONAMIA
MILLE LACS HLTH SYS HOSPICE
D
PARK RAPIDS
ST JOSEPHS AREA HLTH SERVICES
D
PIERZ
HORIZON HEALTH HOSPICE
D
PIPESTONE
PIPESTONE COUNTY HOSPICE
D
RED WING
MAYO CLINIC HLTH SYSTEM RED WI
D
REDWOOD FALLS
REDWOOD AREA HOSP HOSPICE SER
D
ROBBINSDALE
NORTH MEMORIAL HOME HLTH HOSPC
D
ST PAUL
Page 480
LOCATION
MEDICARE CERTIFIED HOSPICE
=====================================================================
LOCATION
MEDICARE CERTIFIED HOSPICE
====================================================================
ALBERT LEA
MAYO CLINIC HEALTH SYS ALBT LE
SLAYTON
HOSPICE OF MURRAY COUNTY INC
ALEXANDRIA
DOUGLAS CO PUB HEALTH HOSPICE
ST CLOUD
ST CLOUD HOSPITAL HOSPICE
KNUTE NELSON HOSPICE
ST LOUIS PARK
PARK NICOLLET METHODIST HOSP
AUSTIN
MAYO CLINIC HEALTH SYS AUSTIN
BAGLEY
CLEARWATER HOSPICE
BEMIDJI
SANFORD BEMIDJI HOSPICE
BLOOMINGTON
ASERACARE HOSPICE
SHOLOM HOSPICE
ST PAUL
ALLINA HM C HSPCE & PALLITV CA
HEALTHEAST HOSPICE
OUR LADY OF PEACE HOSPICE
HEALTHPARTNERS HOSPICE & PALLI
STAPLES
LAKEWOOD HEALTH SYSTEM HOSPICE
BLUE EARTH
UNITED HANDS HOSPICE
STILLWATER
LAKEVIEW HOSPICE
BRECKENRIDGE
RIVEREDGE HOSPICE ST FRANCIS
TYLER
RIDGEVIEW HOSPICE
CHISAGO CITY
FAIRVIEW LAKES HOMECARING HOSP
WACONIA
RIDGEVIEW HOSPICE
COON RAPIDS
MARY T HOSPICE
WADENA
LEGACY HOME HEALTH AND HOSPICE
CROSBY
HOMEHEALTH PARTNERSHIP
WILLMAR
RICE HOSPICE PROGRAM
DULUTH
ESSENTIA HEALTH ST MARYS HOSPI
WINONA
WINONA AREA HOSPICE
ST LUKES HOSPICE DULUTH
WORTHINGTON
COMPASSIONATE CARE HOSPICE
EDINA
BROOKDALE HOSPICE MINNESOTA
ELK RIVER
GUARDIAN ANGELS ELIM HOSPICE
FARIBAULT
FARIBAULT AREA HOSPICE
FERGUS FALLS
LAKELAND HOSPICE
FOSSTON
FIRST CARE HOSPICE
GLENWOOD
GLACIAL RIDGE HOSPICE
HENDRICKS
GOOD SHEPHERD HOSPICE
HIBBING
NORTH STAR HOSPICE
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
HOSPICE OF THE TWIN CITIES INC
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
RED WING
MAYO CLINIC HLTH SYSTEM RED WI
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 & HOSPICE
ROSEVILLE
HEARTLAND HOME HC AND HOSPICE
INTERIM HEALTHCARE
PRESBYTERIAN HOMES HOSPICE INC
SAUK CENTRE
CENTRACARE SAUK CENTRE HOSPICE
SAUK RAPIDS
HEARTLAND HOME HLTH C&HOSPICE
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LOCATION
HOSPITAL
JCAHO
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ADA
ESSENTIA HEALTH ADA
HUTCHINSON
HUTCHINSON HEALTH
AITKIN
RIVERWOOD HEALTHCARE CENTER
INTERNATIONAL FALLS
RAINY LAKE MEDICAL CENTER
ALBANY
ALBANY AREA HOSPITAL & MED CTR
JACKSON
SANFORD JACKSON MEDICAL CENTER
ALBERT LEA
MAYO CLINIC HEALTH SYS ALBT LE
Y
LAKE CITY
MAYO CLINIC HEALTH SYS L C
ALEXANDRIA
DOUGLAS COUNTY HOSPITAL
Y
LE SUEUR
MINNESOTA VALLEY HLTH CTR INC
APPLETON
APPLETON MUNICIPAL HOSPITAL
LITCHFIELD
MEEKER MEM HOSP
ARLINGTON
RIDGEVIEW SIBLEY MEDICAL CTR
LITTLE FALLS
ST GABRIELS HOSPITAL
AURORA
ESSENTIA HEALTH NORTHERN PINES
LONG PRAIRIE
CENTRACARE HEALTH SYSTEM-LONG
AUSTIN
MAYO CLINIC HEALTH SYS AUSTIN
LUVERNE
SANFORD LUVERNE MEDICAL CENTER
BAGLEY
SANFORD BAGLEY MEDICAL CENTER
MADELIA
MADELIA COMMUNITY HOSPITAL
BAUDETTE
LAKEWOOD HEALTH CENTER
MADISON
MADISON HOSPITAL
BEMIDJI
SANFORD BEMIDJI MEDICAL CENTER
MAHNOMEN
MAHNOMEN HEALTH CENTER
BENSON
SWIFT COUNTY BENSON HOSPITAL
MANKATO
MAYO CLINIC HEALTH SYS MANKATO
Y
BIGFORK
BIGFORK VALLEY HOSPITAL
MAPLE GROVE
MAPLE GROVE HOSPITAL
Y
BLUE EARTH
UNITED HOSPITAL DISTRICT
MAPLEWOOD
HEALTHEAST ST JOHNS HOSPITAL
Y
BRAINERD
ESSENTIA HEALTH ST JOSEPHS MED
MARSHALL
AVERA MARSHALL REG MED CENTER
BRECKENRIDGE
ST FRANCIS MEDICAL CENTER
MELROSE
CENTRACARE HEALTH SYS MELROSE
BUFFALO
BUFFALO HOSPITAL
Y
MINNEAPOLIS
ABBOTT NORTHWESTERN HOSPITAL
Y
BURNSVILLE
FAIRVIEW RIDGES HOSPITAL
Y
CHILDRENS HOSP & CLINICS MINNE
Y
CAMBRIDGE
CAMBRIDGE MEDICAL CENTER
Y
HENNEPIN COUNTY MEDICAL CTR
Y
CANBY
SANFORD CANBY MEDICAL CENTER
PHILLIPS EYE INSTITUTE
Y
CANNON FALLS
MAYO CLINIC HEALTH SYS CF
SHRINERS HOSPITAL FOR CHILDREN
Y
CASS LAKE
CASS LAKE INDIAN HLTH SERV HOS
UNIVERSITY OF MN MED CTR
Y
CLOQUET
COMMUNITY MEMORIAL HOSPITAL
COOK
COOK HOSPITAL
COON RAPIDS
MERCY HOSPITAL
Y
Y
MONTEVIDEO
CHIPPEWA CO MONTEVIDEO HOSP
MONTICELLO
CENTRACARE HEALTH - MONTICELLO
MOOSE LAKE
MERCY HOSPITAL
CROOKSTON
RIVERVIEW HOSPITAL & NSG HOME
MORA
FIRSTLIGHT HEALTH SYSTEM
CROSBY
CUYUNA REGIONAL MEDICAL CENTER
MORRIS
STEVENS COMMUNITY MED CENTER
DAWSON
JOHNSON MEMORIAL HOSP & HOME
NEW PRAGUE
MCHS - NEW PRAGUE
DEER RIVER
DEER RIVER HEALTH CARE CENTER
NEW ULM
NEW ULM MEDICAL CENTER
DETROIT LAKES
ESSENTIA HEALTH ST MARYS
Y
NORTHFIELD
NORTHFIELD CITY HOSPITAL & NSG
DULUTH
ESSENTIA HEALTH DULUTH
Y
OLIVIA
RENVILLE COUNTY HOSP & CLINCS
ESSENTIA HEALTH ST MARYS MED
Y
ONAMIA
MILLE LACS HEALTH SYSTEM
Y
Y
ST LUKES HOSPITAL
Y
ORTONVILLE
ORTONVILLE AREA HEALTH SERVICE
EDINA
FAIRVIEW SOUTHDALE HOSPITAL
Y
OWATONNA
OWATONNA HOSPITAL
ELBOW LAKE
PRAIRIE RIDGE HOSP HLTH SERV
PARK RAPIDS
ST JOSEPHS AREA HLTH SERVICES
ELY
ELY BLOOMENSON COMM HOSPITAL
PAYNESVILLE
CENTRACARE HEALTH PAYNESVILLE
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 COUNTY MED CTR
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 HOSPITAL ROCHESTER
Y
GRAND MARAIS
COOK CO NORTHSHORE HOSP &C CTR
OLMSTED MEDICAL CENTER
Y
GRAND RAPIDS
GRAND ITASCA CLINIC & HOSP
GRANITE FALLS
Y
Y
Y
ROSEAU
LIFECARE MEDICAL CENTER
MUNICIPAL HOSP & GRANITE MANOR
SANDSTONE
ESSENTIA HEALTH SANDSTONE
HALLOCK
KITTSON MEMORIAL HOSPITAL
SAUK CENTRE
CENTRACARE HEALTH SYSTEM
HASTINGS
REGINA HOSPITAL
SHAKOPEE
ST FRANCIS REGIONAL MED CENTER
HENDRICKS
HENDRICKS COMM HOSP
SLAYTON
MURRAY COUNTY MEM HOSP
HIBBING
UNIVERSITY MEDICAL CTR MESABI
SLEEPY EYE
SLEEPY EYE MEDICAL CENTER
Y
Y
Y
Y
Y
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JCAHO
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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
==================================================================
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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 REHAB & LIVING 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
FAIRVIEW CARE CENTER
BLACKDUCK
GOOD SAM SOCIETY BLACKDUCK
DULUTH
BAYSHORE RESIDENCE & REHAB CTR
BLOOMING PRAIRIE
PRAIRIE MANOR CARE CENTER
BENEDICTINE HEALTH CENTER
BLOOMINGTON
FRIENDSHIP VLGE OF BLOOMINGTON
CHRIS JENSEN HLTH & REHAB CTR
GOLDEN LIVINGCENTER BLOOMINGTN
FRANCISCAN HEALTH CENTER
MARTIN LUTHER CARE CENTER
LAKESHORE INC
MINNESOTA MASONIC HOME CARE CT
ST ELIGIUS HEALTH CENTER
PRESB HOMES OF BLOOMINGTON
VIEWCREST HEALTH CENTER
BLUE EARTH
ST LUKES LUTHERAN CARE CENTER
BRAINERD
GOOD SAM SOCIETY BETHANY
ESSENTIA HEALTH OAK CROSSING
EDEN PRAIRIE
CASTLE RIDGE CARE CENTER
THE COLONY AT EDEN PRAIRIE
GOOD SAM SOCIETY WOODLAND
EDGERTON
EDGEBROOK CARE CENTER
BRECKENRIDGE
ST FRANCIS HOME
EDINA
EDINA CARE & REHAB CENTER
BROOKLYN CENTER
MARANATHA CARE CENTER
ELK RIVER
GUARDIAN ANGELS CARE CENTER
BROOKLYN PARK
SAINT THERESE AT OXBOW LAKE
ELLSWORTH
PARKVIEW MANOR NURSING HOME
BROWNS VALLEY
BROWNS VALLEY HEALTH CENTER
ELY
BOUNDARY WATERS CARE CENTER
BUFFALO
LAKE RIDGE CARE CTR OF BUFFALO
ERSKINE
PIONEER MEMORIAL CARE CENTER
PARK VIEW CARE CENTER
EVANSVILLE
EVANSVILLE CARE CENTER
BUFFALO LAKE HEALTHCARE CTR
EVELETH
FITZGERALD NH AND REHAB
BUFFALO LAKE
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LOCATION
NURSING HOME
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EVELETH
ST RAPHAELS HEALTH & REHAB CTR
IVANHOE
DIVINE PROVIDENCE HEALTH CENTR
EXCELSIOR
GOLDEN LIVINGCENTER EXCELSIOR
JACKSON
GOOD SAM SOCIETY JACKSON
FAIRFAX
FAIRFAX COMMUNITY HOME
JANESVILLE
JANESVILLE NURSING HOME
FAIRMONT
LAKEVIEW METHODIST HCC
KARLSTAD
KARLSTAD HEALTHCARE CTR INC
MAYO CLINIC HEALTH SYS FAIRMNT
KENYON
KENYON SUNSET HOME
FARIBAULT CARE CENTER
LA CRESCENT
GOLDEN LIVINGCENTER LACRESNT
PLEASANT MANOR INC
LAKE CITY
MAYO CLINIC HEALTH SYS L C
ST LUCAS CARE CENTER
LAKE PARK
SUNNYSIDE CARE CENTER
FARMINGTON
TRINITY CARE CENTER
LAKEFIELD
COLONIAL MANOR NURSING HOME
FERGUS FALLS
BROEN MEMORIAL HOME
LAMBERTON
VALLEY VIEW MANOR
MN VETERANS HOME FERGUS FALLS
LE CENTER
CENTRAL HEALTH CARE
PIONEER CARE CENTER
LE SUEUR
MINNESOTA VALLEY HLTH CTR INC
FERTILE
FAIR MEADOW NURSING HOME
LITCHFIELD
EMMANUEL HOME
FOLEY
FOLEY NURSING CENTER
LITTLE FALLS
LITTLE FALLS CARE CENTER
FOREST LAKE
BIRCHWOOD HEALTH CARE CENTER
FOSSTON
ESSENTIA HEALTH FOSSTON
LITTLEFORK
LITTLEFORK MEDICAL CENTER
FRANKLIN
GOLDEN LIVINGCENTER FRANKLIN
LONG PRAIRIE
CENTRACARE HEALTH SYSTEM-LONG
FRAZEE
FRAZEE CARE CENTER
LUVERNE
GOOD SAM SOCIETY MARY JN BROWN
FRIDLEY
GOLDEN LIVINGCENTER LYNWOOD
FULDA
MAPLE LAWN NURSING HOME
MABEL
GREEN LEA MANOR
GAYLORD
OAK TERRACE HEALTH CARE CENTER
MADELIA
LUTHER MEMORIAL HOME
GLENCOE
GLENCOE REGIONAL HEALTH SRVCS
MADISON
MADISON LUTHERAN HOME
GLENWOOD
GLENWOOD VILLAGE CARE CENTER
MAHNOMEN
MAHNOMEN HEALTH CENTER
GOOD SAM SOCIETY GLNWD LKVIEW
MANKATO
HILLCREST HEALTH CARE CENTER
FARIBAULT
GOLDEN VALLEY
ST OTTOS CARE CENTER
MN VETERANS HOME - LUVERNE
ABBOTT NORTHWESTERN COURAGE RE
LAURELS PEAK REHAB CENTER
COLONIAL ACRES HEALTH CARE CTR
OAKLAWN HEALTH CARE CENTER
GOLDEN VALLEY REHAB AND CC
PATHSTONE LIVING
GRACEVILLE
ESSENTIA HEALTH GRACE HOME
MAPLE PLAIN
HAVEN HOMES OF MAPLE PLAIN
GRAND MARAIS
COOK CO NORTHSHORE HOSP &C CTR
MAPLETON
MAPLETON COMMUNITY HOME
GRAND MEADOW
MEADOW MANOR
MAPLEWOOD
GOOD SAM SOCIETY MAPLEWOOD
GRAND RAPIDS
EVERGREEN TERRACE
MAPLEWOOD CARE CENTER
GRAND VILLAGE
RAMSEY COUNTY CARE CENTER
GRANITE FALLS
MUNICIPAL HOSP & GRANITE MANOR
MARSHALL
AVERA MARSHALL REG MED CENTER
GREENBUSH
LIFECARE GREENBUSH MANOR
MCINTOSH
MCINTOSH SENIOR LIVING
HALLOCK
KITTSON MEMORIAL HOSPITAL
MELROSE
CENTRACARE HEALTH SYS MELROSE
HALSTAD
HALSTAD LIVING CENTER
MENAHGA
GREEN PINE ACRES NURSING HOME
HARMONY
HARMONY COMMUNITY HEALTHCARE
MILACA
ELIM HOME - MILACA
HASTINGS
AUGUSTANA HCC OF HASTINGS
MINNEAPOLIS
AUGUSTANA HCC OF MPLS
REGINA SENIOR LIVING
BENEDICTINE HEALTH CTR OF MPLS
HAYFIELD
FIELD CREST CARE CENTER
BETHANY CARE CENTER
HENDRICKS
HENDRICKS COMM HOSP
CAMDEN CARE CENTER
HENNING
GOLDEN LIVINGCENTER HENNING
CATHOLIC ELDERCARE ON MAIN
HIBBING
GUARDIAN ANGELS HEALTH & REHAB
EBENEZER CARE CENTER
HILLS
TUFF MEMORIAL HOME
FAIRVIEW UNIVERSITY TRANS SERV
HOPKINS
AUGUSTANA CHAPEL VIEW CARE CTR
GOLDEN LIVINGCENTER CHATEAU
GOLDEN LIVINGCENTER HOPKINS
JONES HARRISON RESIDENCE
HOUSTON
VALLEY VIEW HEALTHCARE & REHAB
MN VETERANS HOME MINNEAPOLIS
HOWARD LAKE
GOOD SAM SOCIETY HOWARD LAKE
MOUNT OLIVET CAREVIEW HOME
HUTCHINSON
HARMONY RIVER LIVING CENTER
PROVIDENCE PLACE
INTERNATIONAL FALLS
GOOD SAM SOCIETY INTL FALLS
REDEEMER RESIDENCE INC
INVER GROVE HEIGHTS
GOOD SAM SOCIETY INVER GR HGTS
ST OLAF RESIDENCE
WOODLYN HEIGHTS HEALTHCARE CTR
THE VILLA AT BRYN MAWR
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NURSING HOME
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MINNEAPOLIS
WALKER METHODIST HEALTH CTR
RED WING
ST BRIGIDS AT HI PARK
MINNEOTA
MINNEOTA MANOR HCC
REDWOOD FALLS
GOOD SAM SOCIETY REDWOOD FALLS
MONTEVIDEO
LUTHER HAVEN
MONTICELLO
CENTRACARE HEALTH - MONTICELLO
RENVILLE
RENVILLA HEALTH CENTER
MOORHEAD
EVENTIDE LUTHERAN HOME
RICHFIELD
RICHFIELD HEALTH CENTER
GOLDEN LIVINGCENTER MOORHEAD
ROBBINSDALE
GOOD SAM SOCTY SPEC CARE COMM
WOOD DALE HOME INC
ROBBINSDALE REHAB & CARE CTR
MOOSE LAKE
AUGUSTANA MERCY CARE CTR
MORA
ST CLARE LVG COMMUNITY OF MORA
MORGAN
GIL-MOR MANOR
GOLDEN LIVINGCENTER ROCH EAST
MORRIS
WEST WIND VILLAGE
GOLDEN LIVINGCNTR ROCHESTER W
MOUNTAIN LAKE
GOOD SAM SOCIETY MT LAKE
MADONNA TOWERS OF ROCHESTER IC
NEW BRIGHTON
BEACON HAVEN
MAPLE MANOR HEALTHCARE & REHAB
ROCHESTER
SAMARITAN BETHANY HM ON EIGHTH
BENEDICTINE HLTH CTR INNSBRUCK
NEW HOPE
CHARTER HOUSE
HEALTH AND REHAB NEW BRIGHTON
ROSEAU
LIFECARE MEDICAL CENTER
NEW BRIGHTON CARE CENTER
ROSEVILLE
GOLDEN LIVINGCENTER LAKE RIDGE
LANGTON PLACE
GOOD SAM SOCIETY AMBASSADOR
ROSE OF SHARON MANOR
NORTH RIDGE HEALTH AND REHAB
ST THERESE HOME
RUSH CITY
GOLDEN LIVINGCENTER RUSH CITY
NEW LONDON
BENEDICTINE LNG COM NEW LONDON
RUSHFORD
GOOD SHEPHERD LUTHERAN HOME
NEW PRAGUE
MALA STRANA HEALTH CARE CTR
SANDSTONE
ESSENTIA HEALTH - SANDSTONE
NEW RICHLAND
NEW RICHLAND CARE CTR
SARTELL
COUNTRY MANOR HLTH & REHAB CTR
NEW ULM
OAK HILLS LIVING CENTER
SAUK CENTRE
CENTRACARE HEALTH SYSTEM
NEW YORK MILLS
ELDERS HOME INC
SAUK RAPIDS
GOOD SHEPHERD LUTHERAN HOME
NORTH BRANCH
ECUMEN NORTH BRANCH
SHAKOPEE
SHAKOPEE FRIENDSHIP MANOR
NORTH OAKS
PRESBYTERIAN HOMES NORTH OAKS
NORTHFIELD
NORTHFIELD CARE CENTER INC
SILVER BAY
MN VETERANS HOME SILVER BAY
NORTHFIELD CITY HOSPITAL & NSG
SLAYTON
GOLDEN LIVINGCENTER SLAYTON
THREE LINKS CARE CENTER
SLEEPY EYE
DIVINE PROVIDENCE COMM HOME
ST GERTRUDES HLTH & REHAB CTR
SLEEPY EYE CARE CENTER
OAK PARK HEIGHTS
GABLES OF BOUTWELLS LANDING
OLIVIA
GOLDEN LIVINGCENTER OLIVIA
SPRING GROVE
TWEETEN LUTHERAN HEALTH C C
ONAMIA
MILLE LACS HEALTH SYSTEM
SPRING PARK
LAKE MINNETONKA SHORES
ORTONVILLE
NORTHRIDGE RESIDENCE
SPRING VALLEY
SPRING VALLEY CARE CENTER
OSAKIS
COMMUNITY MEMORIAL HOME
SPRINGFIELD
ST JOHN LUTHERAN HOME
OSTRANDER
OSTRANDER CARE AND REHAB
ST ANTHONY
ST ANTHONY HEALTH CENTER
OWATONNA
KODA LIVING COMMUNITY
ST CHARLES
GOLDEN LIVINGCENTER WHITEWATER
OWATONNA CARE CENTER
ST CLOUD
ST BENEDICTS SENIOR COMMUNITY
TALAHI NURSING & REHAB CENTER
PARK RAPIDS
HERITAGE LIVING CENTER
PARKERS PRAIRIE
ST WILLIAMS LIVING CENTER
ST JAMES
GOOD SAM SOCIETY ST JAMES
PAYNESVILLE
CENTRACARE HEALTH PAYNESVILLE
ST LOUIS PARK
GOLDEN LIVINGCNTR ST LOUIS PK
PELICAN RAPIDS
PELICAN VALLEY HEALTH CENTER
PARK HEALTH & REHAB CENTER
PERHAM
PERHAM LIVING
SHOLOM HOME WEST
PIERZ
PIERZ VILLA INC
TEXAS TERRACE CARE CENTER
PINE CITY
LAKESIDE MEDICAL CENTER
THE VILLA AT ST LOUIS PARK
PINE ISLAND
PINE HAVEN CARE CENTER INC
PINE RIVER
GOOD SAM SOCIETY PINE RIVER
CAPITOL VIEW TRANSITIONAL CARE
PIPESTONE
GOOD SAM SOCIETY PIPESTONE
CARONDELET VILLAGE CARE CENTER
PLAINVIEW
ST ISIDORE HLTH CTR OF GRWD PR
CERENITY CARE CTR MARIAN
PLYMOUTH
MISSION NURSING HOME
CERENITY CARE CTR ON HUMBOLDT
PRINCETON
ELIM HOME
CERENITY RES ON HUMBOLDT
RED LAKE FALLS
HILLCREST SENIOR LIVING
EPISCOPAL CHURCH HOME OF MN
RED WING
RED WING HEALTH CENTER
GALTIER HEALTH CENTER
SEMINARY HOME
GOLDEN LIVINGCENTER LYNNHURST
ST PAUL
BETHEL CARE CENTER
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ST PAUL
ST PETER
LOCATION
HIGHLAND CHATEAU HCC
WINNEBAGO
PARKER OAKS COMMUNITIES INC
LITTLE SISTERS OF THE POOR
WINONA
LAKE WINONA MANOR
LYNGBLOMSTEN CARE CENTER
SAINT ANNE EXTENDED HEALTHCARE
NEW HARMONY CARE CENTER
SAUER HEALTH CARE
OUR LADY OF PEACE HOME
WINSTED
BENEDICTINE LVG COMM WINSTED
SHIRLEY CHAPMAN SHOLOM HM EAST
WINTHROP
GOOD SAM SOCIETY WINTHROP
ST ANTHONY PARK HOME
WOODBURY
WOODBURY HEALTH CARE CENTER
BENEDICTINE LIVING COMMUNITY
WORTHINGTON
CROSSROADS CARE CENTER
GOOD SAM SOCIETY ST PETER
SO PSYCHIATRIC NF - ST PETER
STAPLES
LAKEWOOD HEALTH SYSTEM
STARBUCK
MINNEWASKA COMMUNITY HLTH SERV
STEWARTVILLE
STEWARTVILLE CARE CENTER
STILLWATER
GOLDEN LIVINGCENTER GREELEY
GOLDEN LIVINGCENTER LINDEN
GOOD SAM SOCIETY STILLWATER
THIEF RIVER FALLS
OAKLAND PARK COMMUNITIES INC
THIEF RIVER CARE CENTER
TRACY
PRAIRIE VIEW HEALTHCARE CENTER
TRIMONT
TRIMONT HEALTH CARE CENTER
TRUMAN
TRUMAN SENIOR LIVING
TWIN VALLEY
TWIN VALLEY LIVING CENTER
TWO HARBORS
ECUMEN SCENIC SHORES
TYLER
TYLER HEALTHCARE CENTER INC
ULEN
VIKING MANOR NURSING HOME
VIRGINIA
ESSENTIA HEALTH VIRGINIA
ST MICHAELS HLTH & REHAB CTR
WABASHA
ST ELIZABETHS MEDICAL CENTER
WABASSO
GOLDEN LIVINGCENTER WABASSO
WACONIA
AUBURN HOME IN WACONIA
GOOD SAM SOCIETY WACONIA
WADENA
FAIR OAKS LODGE
WAITE PARK
STERLING PARK HCC
WALKER
GOLDEN LIVINGCENTER WALKER
WARREN
GOOD SAM SOCIETY WARREN
WARROAD
WARROAD CARE CENTER
WASECA
LAKE SHORE INN NURSING HOME
WATERTOWN
ELIM HOME WATERTOWN
WATERVILLE
GOOD SAM SOCIETY WATERVILLE
WATKINS
HILLTOP HEALTH CARE CENTER
WAYZATA
FOLKESTONE GABLES
GOLDEN LVGCTR HILLCRST WAYZATA
WELLS
PARKVIEW CARE CTR WELLS INC
WEST ST PAUL
SOUTHVIEW ACRES HLTH CARE CTR
WALKER METH WESTWOOD RIDGE II
WESTBROOK
GOOD SAM SOCIETY WESTBROOK
WHEATON
TRAVERSE CARE CENTER
WHITE BEAR LAKE
CERENITY CARE CENTER WBL
WILLMAR
BETHESDA HERITAGE CENTER
BETHESDA NH PLEASANTVIEW
RICE CARE CENTER
WINDOM
NURSING HOME
=====================================================================
GOOD SAM SOCIETY WINDOM
SOUTH SHORE CARE CENTER
ZUMBROTA
ZUMBROTA CARE CENTER
Page 487
LOCATION
OUTPATIENT OCCUPATIONAL THERAPY PROVIDER
LOCATION
OUTPATIENT PHYSICAL THERAPY PROVIDER
===================================================================== =====================================================================
BLOOMINGTON
THE THERAPY PLACE
BLOOMINGTON
THE THERAPY PLACE
CAMBRIDGE
HEALTH DIMENSIONS REHAB INC
BUFFALO
EXCEL PHYSICAL THERAPY
CEDAR
HAM LAKE PHYSICAL THERAPY
CAMBRIDGE
HEALTH DIMENSIONS REHAB INC
COON RAPIDS
REHABCARE AGENCY MN
CEDAR
HAM LAKE PHYSICAL THERAPY
DULUTH
POLINSKY MEDICAL REHAB CTR
COON RAPIDS
REHABCARE AGENCY MN
EDEN PRAIRIE
AEGIS THERAPIES
DULUTH
POLINSKY MEDICAL REHAB CTR
EDINA
BROOKDALE THERAPY EDINA
EDEN PRAIRIE
AEGIS THERAPIES
FRIDLEY
METRO THERAPY SPECIAL CHILDREN
EDINA
BROOKDALE THERAPY EDINA
HOPKINS
AUGUSTANA THERAPY SERVICES
FOREST LAKE
OTTOMEYER CLINICS PLLC
JACKSON
PRAIRIE REHABILITATION SERVS
GOLDEN VALLEY
MPLS CLINIC OF NEUROLOGY
MANKATO
PEDIATRIC THERAPY SERVICES
GRAND RAPIDS
RADTKE PHYSICAL THERAPY
MINNEAPOLIS
A CHANCE TO GROW INC
HOPKINS
AUGUSTANA THERAPY SERVICES
THE FAMILY PARTNERSHIP
JACKSON
PRAIRIE REHABILITATION SERVS
CHILDRENS HC MPLS AMB & REHAB
MANKATO
OFC BACK CARE CENTER
MINNETONKA
INNOVATIVE SR CARE FREEDOM
PEDIATRIC THERAPY SERVICES
ST DAVIDS CHILD DEV FAMILY SRV
PHYS THER SPORTS MEDICINE CTR
NEW HOPE
CAPERNAUM PEDIATRIC THERAPY
MINNEAPOLIS
THE FAMILY PARTNERSHIP
PARK RAPIDS
PARK RAPIDS PT AND REHAB
MINNETONKA
CHILDRENS HC MPLS AMB & REHAB
RICHFIELD
FRASER COMMUNITY SERVICES
ROGERS
NOVACARE REHABILITATION
RUSHFORD
THERAPY NETWORK
NEW HOPE
CAPERNAUM PEDIATRIC THERAPY
SARTELL
NOVACARE REHABILITATION
PARK RAPIDS
PARK RAPIDS PT AND REHAB
SHOREVIEW
PHOENIX SERVICE CORPORATION
RICHFIELD
FRASER COMMUNITY SERVICES
ST CLOUD
SPOT REHABILITATION INC
ROCHESTER
STANLEY JONES AND ASSOCIATES
ST PAUL
LIFETRACK RESOURCES
ROGERS
NOVACARE REHABILITATION
PROFESSIONAL REHAB CONSULTANTS
RUSHFORD
THERAPY NETWORK
VIRGINIA
IRON RANGE REHAB CENTER
SARTELL
NOVACARE REHABILITATION
WATERTOWN
PRO REHAB
SAUK RAPIDS
SPINAL REHAB CLINIC
WEST ST PAUL
NOVACARE REHAB
SHOREVIEW
PHOENIX SERVICE CORPORATION
WOODBURY
NOVA CARE OUTPATIENT REHAB DIV
ST LOUIS PARK
INTREPID USA HEALTHCARE SRVCS
ST PAUL
LIFETRACK RESOURCES
VIRGINIA
IRON RANGE REHAB CENTER
WATERTOWN
PRO REHAB
WEST ST PAUL
NOVACARE REHAB
WOODBURY
NOVA CARE OUTPATIENT REHAB DIV
INNOVATIVE SR CARE FREEDOM
ST DAVIDS CHILD DEV FAMILY SRV
Page 488
LOCATION
OUTPATIENT SPEECH THERAPY PROVIDER
LOCATION
OUTPATIENT SURGICAL CENTER
===================================================================== =====================================================================
BLOOMINGTON
THE THERAPY PLACE
ALEXANDRIA
MINNESOTA EYE INSTITUTE
BUFFALO
EXCEL PHYSICAL THERAPY
BAXTER
BRAINERD LAKES SURGERY CTR
CAMBRIDGE
HEALTH DIMENSIONS REHAB INC
BLAINE
MINNESOTA EYE LASER AND SURGER
COON RAPIDS
REHABCARE AGENCY MN
DULUTH
POLINSKY MEDICAL REHAB CTR
EDEN PRAIRIE
AEGIS THERAPIES
EDINA
BROOKDALE THERAPY EDINA
FRIDLEY
METRO THERAPY SPECIAL CHILDREN
HOPKINS
AUGUSTANA THERAPY SERVICES
MANKATO
PEDIATRIC THERAPY SERVICES
MINNEAPOLIS
A CHANCE TO GROW INC
THE FAMILY PARTNERSHIP
MINNETONKA
CHILDRENS HC MPLS AMB & REHAB
NORTH METRO SURGERY CENTER
BLOOMINGTON
CHU SURGERY CENTER LLC
MN EYE LASER & SURGERY CENTER
MNGI ENDOSCOPY BLOOMINGTON
TRIA ORTHOPAEDIC CTR LLC
BURNSVILLE
MINNESOTA VALLEY SURGERY CTR
CHASKA
TWO TWELVE SURGERY CENTER
COON RAPIDS
MNGI ENDOSCOPY COON RAPIDS
DETROIT LAKES
SANFORD HTH DL CLNC SAME DAY
DULUTH
LAKEWALK SURGERY CENTER INC
PAVILION SURGERY CENTER LLC
INNOVATIVE SR CARE FREEDOM
ST DAVIDS CHILD DEV FAMILY SRV
EAGAN
MNGI ENDOSCOPY EAGAN
NEW HOPE
CAPERNAUM PEDIATRIC THERAPY
EDINA
CENTENNIAL LAKES SURGERY CTR
PARK RAPIDS
PARK RAPIDS PT AND REHAB
RICHFIELD
FRASER COMMUNITY SERVICES
ROCHESTER
STANLEY JONES AND ASSOCIATES
ROGERS
NOVACARE REHABILITATION
SHOREVIEW
PHOENIX SERVICE CORPORATION
ST PAUL
LIFETRACK RESOURCES
PROFESSIONAL REHAB CONSULTANTS
VIRGINIA
IRON RANGE REHAB CENTER
WATERTOWN
PRO REHAB
WOODBURY
NOVA CARE OUTPATIENT REHAB DIV
CROSSTOWN SURGERY CENTER LLC
MCCANNEL EYE SURGERY
MINNESOTA SURGERY CENTER LTD
ORTHOPAEDIC INSTITUTE SURG CTR
ZEL SKIN & LASER SPECIALISTS
FAIRMONT
SO CENTRAL SURGICAL CTR LLC
FARIBAULT
CROSSROADS SURGERY CENTER
FRIDLEY
MN ORTHOPAEDIC SURG CTR LLC
GOLDEN VALLEY
MINNEAPOLIS EYE CENTER
GRAND RAPIDS
LAKEWOOD SURGERY CENTER
HUTCHINSON
REGIONAL EYE SURGERY CTR INC
LAKE ELMO
HIGH POINTE SURGERY CENTER
MANKATO
MANKATO CLINIC ENDOSCOPY CTR
MANKATO SURGERY CENTER
PAIN CENTERS OF MN MANKATO
MAPLE GROVE
FAIRVIEW MAPLE GROVE SURG CTR
MINNESOTA SURGERY CENTER LTD
NORTH MEMORIAL AMBU SURG
MAPLEWOOD
HEALTHEAST SURG CTR MAPLEWOOD
MN EYE LASER & SURG CTRS LLC
MNGI ENDOSCOPY MAPLEWOOD
MARSHALL
SOUTHWEST MINNESOTA SURG CTR
MINNEAPOLIS
GREENWAY SURGERY CENTER
RIVERSIDE ENDOSCOPY CENTER LLC
MINNETONKA
CHILDRENS HEALTH CARE SERVICES
NEW BRIGHTON
MINNESOTA VASCULAR SUR CTR LLC
PLYMOUTH
ILBNC SPECIAL PROCEDURES
MNGI ENDOSCOPY PLYMOUTH
WESTHEALTH INC
SARTELL
CENTRAL MN SURGICAL CENTER LLC
ST CLOUD
CENTRACARE SURGERY CTR LLC
MIDSOTA SURGICAL SUITES PA
Page 489
LOCATION
OUTPATIENT SPEECH THERAPY PROVIDER
LOCATION
OUTPATIENT SURGICAL CENTER
===================================================================== =====================================================================
ST CLOUD
ST CLOUD CTR OPHTHALMIC SURG
ST CLOUD SURGERY CTR
ST LOUIS PARK
CENTER FOR DIAGNOSTIC IMAGING
ST PAUL
ASPEN MEDICAL GROUP UNIVERSITY
LANDMARK SURGERY CENTER
STILLWATER
ASSOCIATED EYE CARE AMB SURG
WILLMAR
FAMILY SURGERY CENTER LLC
WILLMAR SURGERY CENTER LLP
WOODBURY
MIDWEST SURGERY CENTER
WOODBURY AMBULATORY SURG CENTE
Page 490
LOCATION
PORTABLE X-RAY SUPPLIER
====================================================================
BLOOMINGTON
MOBILEX USA
PREMIER DIAGNOSTIC IMAGING INC
PROF PORTABLE X RAY INC
JACKSON
FIREFLY IMAGING SERVICES LLC
MINNEAPOLIS
MINNESOTA MEDICAL IMAGING LLC
ROCHESTER
MAYO FOUNDATION
====================================================================
Page 491
LOCATION
RURAL HEALTH CLINIC
LOCATION
RURAL HEALTH CLINIC
===================================================================== =====================================================================
ADA
ESSENTIA HEALTH - ADA CLINIC
MAPLETON
MANKATO CLINIC MAPLETON FAM PR
AITKIN
RIVERWOOD CLINIC AITKIN
MCGREGOR
RIVERWOOD MCGREGOR CLINIC
ALBANY
ALBANY AREA HOSP ALBANY CLINIC
MELROSE
CENTRACARE HEALTH SYSM-MELROSE
APPLETON
APPLETON MUN HOSPITAL & NH
MOOSE LAKE
GATEWAY FAM HLTH CLINIC LTD
ARLINGTON
SIBLEY MEDICAL CLINIC ARLINGTO
MOTLEY
LAKEWOOD CLINIC MOTLEY
AVON
ALBANY AREA HOSP AVON CLINIC
MOUNTAIN LAKE
SANFORD CLINIC MOUNTAIN LAKE
BAGLEY
ESSENTIA HEALTH BAGLEY CLINIC
OKLEE
ESSENTIA HEALTH OKLEE CLINIC
SANFORD BAGLEY CLINIC
OLIVIA
RENVILLE CO HOSP CLINIC OLIVIA
BALATON
SANFORD CLINIC BALATON
ONAMIA
MILLE LACS FAMILY CLNC ONAMIA
BARNESVILLE
BARNESVILLE AREA CLINIC
OTTERTAIL
TRI COUNTY HC OTTERTAIL CLINIC
BAUDETTE
LAKEWOOD HEALTH CENTER CLINIC
PELICAN RAPIDS
SANFORD HLTH PELICN RPDS CLINC
BERTHA
TRI COUNTY HC BERTHA CLINIC
PIERZ
FAMILY MEDICAL CENTER
BOYD
JOHNSON MEMORIAL BOYD CLINIC
PILLAGER
LAKEWOOD CLINIC PILLAGER
BROOTEN
BROOTEN MEDICAL CENTER
PINE CITY
FIRSTLIGHT PINE CITY
BROWERVILLE
LAKEWOOD CLINIC BROWERVILLE
RANDALL
RANDALL LAKES AREA CLINIC
BROWNS VALLEY
BROWNS VALLEY CLINIC
RED LAKE FALLS
RIVERVIEW CLINIC
CANBY
SANFORD CLINIC CANBY
RENVILLE
RENVILLE COUNTY HOSP & CLINICS
CASS LAKE
SANFORD HLTH CASS LAKE CLINIC
SANDSTONE
GATEWAY FAMILY CLINIC
CHOKIO
ESSENTIA HEALTH CHOKIO CLINIC
SAUK CENTRE
CENTRACARE CLINIC-SAUK CENTRE
CLEARBROOK
SANFORD BAGLEY CLEARBROOK CLNC
SEBEKA
TRI COUNTY HC SEBEKA CLINIC
CROOKSTON
RIVERVIEW CLINIC
SLAYTON
MURRAY COUNTY CLINIC
DASSEL
DASSEL MEDICAL CENTER
SLEEPY EYE
SLEEPY EYE MEDICAL CENTER
DAWSON
DAWSON CLINIC
STAPLES
LAKEWOOD CLINIC STAPLES
EAGLE BEND
LAKEWOOD CLINIC EAGLE BEND
TRACY
SANFORD CLINIC TRACY
LONG PRAIRIE HOSP EAGLE VALLEY
TWIN VALLEY
SANFORD HLTH TWIN VALLEY CLINI
FERTILE
RIVERVIEW CLINIC
TYLER
TYLER MEDICAL CLINIC
FULDA
MURRAY COUNTY CLINIC FULDA
ULEN
SANFORD HEALTH ULEN CLINIC
GARRISON
RIVERWOOD HLTH CC GARRISON
WADENA
TRI COUNTY HC WADENA CLINIC
GAYLORD
SIBLEY MEDICAL CLINIC GAYLORD
WALKER
SANFORD HEALTH WALKER CLINIC
GLENWOOD
GLENWOOD MEDICAL CENTER
WALNUT GROVE
SANFORD TRACY WALNUT GROVE CLC
GRACEVILLE
ESSENTIA HLTH GRACEVILLE CLINI
WARREN
NORTH VALLEY HLTH CTR CLINIC
HALLOCK
KITTSON MEMORIAL CLINIC
WESTBROOK
SANFORD CLINIC WESTBROOK
HALSTAD
SANFORD HEALTH HALSTAD CLINIC
WHEATON
SANFORD WHEATON
HECTOR
RENVILLE CTY HOSP CLNCS HECTOR
WINDOM
SANFORD CLINIC WINDOM
HENDERSON
SIBLEY MED CTR HENDERSON
WINTHROP
SIBLEY MEDICAL CLINIC WINTRHOP
HENDRICKS
HENDRICKS CLINIC
HENNING
TRI COUNTY HC HENNING CLINIC
HILLMAN
MILLE LACS FAMILY CLINIC
HINCKLEY
FIRSTLIGHT HINCKLEY
GATEWAY FAMILY HEALTH CLINIC
INTERNATIONAL FALLS
RAINY LAKE MEDICAL CENTER RHC
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
ESSENTIA ST MARY'S MAHNOMEN CL
SANFORD HEALTH MAHNOMEN CLINIC
Page 492
LOCATION
SUPERVISED LIVING FACILITY
DHS lic
LOCATION
SUPERVISED LIVING FACILITY
DHS lic
============================================================================================================================================
ADAMS
CROSS HOME
34
BETHESDA LUTHERAN COMM COT 5
34
ALBERT LEA
FOUNTAIN LAKE TREATMENT CTR
35 31 CR
BETHESDA LUTHERAN COMM COT 6
34
REM WOODVALE INC PLAINVIEW
34
CAMILIA ROSE GROUP HOME
34
PRAIRIEWOOD HOME
34
REM MN COMM SRVS INC ANOKA
34
ROSEWOOD
34
CIP CITY LIGHTS
34
SCENICWOOD
34
OUTREACH RICE CREEK
34
ANOKA
ANOKA METRO REG TREATMENT CTR
35
REM HENNEPIN INC CRYSTAL
34
ARDEN HILLS
ACR HOME ON CUMMINGS
34
DAWSON
DAWSON ICFMR
34
PHOENIX AT JANET COURT
34
DETROIT LAKES
WEST HOME
34
ARLINGTON
HIGH ISLAND CREEK RES
34
DULUTH
DRCC LAVERNE
34
ATWATER
ATWATER HOUSE
34
E B I INCORPORATED
34
34
ALEXANDRIA
COON RAPIDS
CRYSTAL
AURORA
DRCC AURORA
34
MSOCS SWAN LAKE ICFMR
AUSTIN
AUSTIN MSOCS
34
RES TREATMENT & DETOX CTR
35 32
GLENDALOUGH OF AUSTIN INC
34
RSI HARTLEY
34
REM WOODVALE INC CEDAR I
34
THUNDERBIRD/WREN HOUSE
35
REM WOODVALE INC CEDAR IV
34
EAGAN
LIVING WELL POPPLER
34
BAGLEY
PINE RIDGE RESIDENCE
34
EAST GRAND FORKS
REM NORTHSTAR (RED RIVER WEST)
34
BELLE PLAINE
THE LUTHERAN HOME HOPE RES
34
EDEN PRAIRIE
MSOCS EDEN PRAIRIE CHATHAM WAY
34
BIG LAKE
LIVING WELL POWELL
34
MSOCS EDEN PRAIRIE DELL ROAD
34
BIRD ISLAND
RENVILLE COUNTY COMM RES
34
ON BELAY EDEN PRAIRIE
35
BLAINE
ANTHONY LOUIS CENTER
35
PRIDE INSTITUTE
35
MSOCS BLAINE HOME
34
EDINA
REM HENNEPIN INC WILLIAM
34
ELK RIVER
LAVINE PLACE
34
MACGREGOR PLACE
34
REM HEARTLAND INC AMBER
34
REM HEARTLAND INC BUDD
34
FARIBAULT
FARIBAULT SOCS
34
35
BLOOMINGTON OUTREACH HOME
34
CARLSON DRAKE HOUSE
36
GUNDERSON PLACE
34
MSOCS BLOOMINGTON
34
MTAI ALBERT PLACE
34
REM HENNEPIN BLOOMINGTON
34
FARMINGTON
PAULS PLACE
WINGSPAN LIFE RESOURCES
34
FERGUS FALLS
ARLINGTON HOME
34
COMMUNITY ADDICTION RECOVERY E
34 35
COMM ADDICTION RECOVERY ENTERP
35
MN SPECIALTY HEALTH SYSTEM
36
KESSEL GROUP HOME INC
34
BROOKLYN CENTER OUTREACH HOME
34
PRODUCTIVE ALTERNATIVES INC
32
LIVING WELL LYNDALE
34
FRIDLEY
COMMUNITY OPTIONS
36
ACR HOME ON FALLGOLD
34
GOLDEN VALLEY
HAMMER LEE
34
HOMEWARD BOUND BROOKLYN PARK
34
MTAI GLADSON
34
LIVING WELL EDGEWOOD
34
MTAI SAND CREEK
34
REM HENNEPIN INC LAKELAND
34
OASIS
36
SHINGLE CREEK OPTION
34
REM HENNEPIN INC REGENT
34
BROOKSTON
WINTER HOMES INCORPORATED
34
GRAND RAPIDS
NORTHLAND RECOVERY CENTER
32 35
BUFFALO
LIVING WELL DOUGLAS
34
GRANITE FALLS
PROJECT TURNABOUT
32 35
REM SO CENTRAL SERVS (BUFFALO)
34
HASTINGS
DAKOTA CO RECEIVING CENTER
32
A WOMANS WAY
35
HENRY HAGEN RESIDENCE
34
LIVING WELL KENNELLY
34
RANGE CENTER ASPENWOOD HOME
34
CAMBRIDGE MED CTR DELLWOOD
31
RANGE CENTER MAPLEVIEW HOME
34
LIVING WELL CENTRAL
34
HOUSTON
ABLE INC HOUSTON
34
MN SPECIALTY HEALTH SYSTEM
34
INVER GROVE HEIGHTS
CARECO APARTMENTS INC
34
REM SOUTHWEST SRVS CANBY A
34
LIVING WELL UPPER 55TH
34
REM SOUTHWEST SRVS CANBY B
34
KASSON
KASSON MSOCS
34
CARLTON
COMMUNITY ADDICTION RECOVERY
35
LA CRESCENT
ABLE INC LACRESCENT
34
CENTER CITY
HAZELDEN FOUNDATION
35
LAKE ELMO
WILLOW HAVEN
36
CHISAGO CITY
LINNEA RESIDENTIAL HOME
34
LAKEVILLE
MSOCS HERSHEY
34
CHISHOLM
LEGACY RANGE CENTER INC
34
MSOCS LAKEVILLE JONQUIL
34
BLOOMINGTON
BRAINERD
BROOKLYN CENTER
BROOKLYN PARK
BURNSVILLE
CAMBRIDGE
CANBY
FAIRMONT
HIBBING
Page 493
LOCATION
SUPERVISED LIVING FACILITY
DHS lic
LOCATION
SUPERVISED LIVING FACILITY
DHS lic
============================================================================================================================================
LEROY
KARLYN HOME
34
MINNEAPOLIS
TURNING POINT INC
35
LINDSTROM
THERAPEUTIC COMM RESIDENCE
34
MINNETONKA
HAMMER LAKESIDE
34
LITTLE CANADA
NORTHEAST RESIDENCE II
34
REM HENNEPIN (MINNETONKA)
34
LITTLE FALLS
ST CAMILLUS PLACE
34
MONTEVIDEO
REM SW SERVICES MONTEVIDEO
34
LITTLEFORK
PINEVIEW RECOVERY CENTER
35
MOORHEAD
CLAY COUNTY RECEIVING CENTER
35 32
LONG LAKE
ORONO WOODLANDS
34
MOOSE LAKE
MN SEX OFFENDER PROGRAM
36
LUVERNE
RES ADVANTAGES INC LUVERNE
34
MSOCS MOOSE LAKE ICFMR GR HM
34
MADELIA
REM HEARTLAND INC MADELIA
34
MORRIS
RAVENWOOD HOME
34
MANKATO
HARRY MEYERING CTR INC
34
MOUNDSVIEW
AXIS ON ST MICHAEL
34
PRAIRIES EDGE
34
PHOENIX AT LUDDEN
34
REM HEARTLAND INC CYPRESS
34
NEVIS
PINE MANORS INC
35 32
REM MANKATO INC BIRCH
34
NEW BRIGHTON
ACR HOME ON REDWOOD
34
DUNGARVIN YOUGAL
34
SILVER OAKS
34
HAMMER LAWNDALE
34
NEW HOPE
MTAI MINNEHAHA CREEK
34
HOMEWARD BOUND MAPLE GROVE
34
NEW ULM
BROWN COUNTY EVAL CENTER INC
32 35
LIVING WELL 75TH
34
MBW ON RAYMOND
34
COMMUNITY FOUNDATIONS
36
MBW ON TENTH
34
FURNESS HOUSE
34
NEW ULM MEDICAL CENTER
35
HOWARD HOUSE
34
NEWPORT
PHOENIX AT NEWPORT
34
LIVING WELL BROOKVIEW
34
NORTH MANKATO
THERESE K SEXTON HOME SOUTH
34
LIVING WELL COPE
34
NORTH ST PAUL
REM RAMSEY INC (NORTH OAKS)
34
LIVING WELL LARPENTEUR
34
NORTHFIELD
LAURA BAKER SERVICES ASSOC
34
LIVING WELL MARYLAND
34
WEST HILLS LODGE WOMENS PROGRM
35
PHOENIX AT CARVER
34
NORWOOD YOUNG AMERI MOUNT OLIVET ROLLING ACRES
RAJWOOD
34
ORTONVILLE
MONARCH HEIGHTS
34
REM RAMSEY INC (LAKEWOOD)
34
OWATONNA
CEDARDALE HOMES, INC.
34
REM RAMSEY INC (MAYHILL)
34
REM WOODVALE INC (MAPLE CREEK)
34
BRENTWOOD HOME
36
REM WOODVALE INC ADAMS
34
PROJECT TURNABOUT HALFWAY HSE
35
WEST HILLS LODGE
35
REM SOUTHWEST SRVS MARSHALL A
34
MEADOW CREEK
32 31
REM SOUTHWEST SRVS MARSHALL B
34
SIXTH AVENUE RESIDENCE
34
REM SOUTHWEST SRVS MARSHALL C
34
DUNGARVIN CHAI
34
LIVING WELL CARMEN
34
HAMMER KENTUCKY
34
LIVING WELL DIANE
34
HAMMER MCGLINCH
34
LIVING WELL MARY ADELE
34
HAZELDEN CTR FOR YOUTH & FAMIL
35
LIVING WELL VICTORIA
34
HOMEWARD BOUND PLYMOUTH
34
MARGARETS HOUSE
31
MISSION DETOX CENTER
35 32
AMER INDIAN COMM DEV COR
35
ON BELAY HOUSE
35
BILL KELLY HOUSE
36
OUTREACH PLYMOUTH HOME EAST
34
EDEN RESIDENTIAL PROGRAM
35
OUTREACH PLYMOUTH HOME WEST
34
JORGENSEN HOUSE
34
RED LAKE FALLS
NORTHWOOD HOME
34
LIVING CHALLENGE
34
RED WING
REM RIVER BLUFFS PARK HEIGHTS
34
MARIA HOME
34
REDWOOD FALLS
EASTWOOD HOME
34
NANCY PAGE PROG OF PEOPLE INC
36
REDWOOD FALLS MSOCS
34
OUTREACH STEVENS
34
WESTWOOD HOME
34
PEOPLE II
34
PROGRESS VALLEY II
31
REENTRY HOUSE
36
REM HENNEPIN INC MINNEHAHA
34
REM HENNEPIN (PILLSBURY)
34
ACR HOME ON ROBIN
34
REM HENNEPIN INC (LYNDALE)
34
LIVING WELL 3801
34
REM HENNEPIN INC QUEEN
34
LIVING WELL 3807
34
THE SALVATION ARMY HARB LIGHT
35
LIVING WELL FRANCE
34
THREE THIRTY FIVE RIDGEWOOD
34
ALLENDALE HOUSE
34
MAPLE GROVE
MAPLEWOOD
MARSHALL
MENDOTA HEIGHTS
MINNEAPOLIS
PINE CITY
PLYMOUTH
RICHFIELD
ROBBINSDALE
ROCHESTER
34
Page 494
LOCATION
SUPERVISED LIVING FACILITY
DHS lic
LOCATION
SUPERVISED LIVING FACILITY
DHS lic
============================================================================================================================================
REM RIVER BLUFFS (PINEWOOD)
34
STILLWATER
REM MN COMM SVS INC NORTHBROOK
34
REM RIVER BLUFFS (WILLOW CR B)
34
TWO HARBORS
DULUTH REG CARE CTR THALASSIC
34
REM RIVER BLUFFS ROCHESTER NW
34
TYLER
REM SOUTHWEST SERV INC (TYLER)
34
REM RIVER BLUFFS ROCHESTER SE
34
VADNAIS HEIGHTS
PHOENIX AT CENTERVILLE
34
ROCHESTER MSOCS
34
PHOENIX AT ENGLISH
34
THE GABLES
35
SPRINGHILL
34
ZUMBRO VALLEY CONNEC REFER UNI
32
BETHESDA LUTHERAN COM COT 4
34
ACR HOME ON LYDIA WEST
34
BETHESDA LUTHERAN COMM COT 1
34
ACR ON DALE COURT
34
BETHESDA LUTHERAN COMM COT 2
34
AXIS ON BELMONT
34
BETHESDA LUTHERAN COMM COT 3
34
AXIS ON ELDRIDGE
34
MOUNT OLIVET ROLLING ACRES
34
SAUK RAPIDS
JOURNEY HOME
35
DONOVAN FRANK DETOX CENTER
35
SCANDIA
REBECCAS RESIDENCE
35
MERRITT HOUSE
36
SHAKOPEE
DELPHI
34
MSOCS VIRGINIA ICFMR GR HM
34
SHERBURN
COMM OPTIONS AND RESOURCES I
34
BELL HILL RECOVERY CENTER
35
SHOREVIEW
ACR HOME ON DAWN
34
MN SPECIALTY HEALTH SYSTEM
36
AXIS ON GLENHILL
34
OAKRIDGE HOMES OF WADENA
34
DUNGARVIN CAMARA
34
WANAMINGO
RIVERVIEW SERVICES INC
34
LAKE OWASSO RESIDENCE
34
WAVERLY
NEW BEGINNINGS AT WAVERLY LLC
35
REM RAMSEY INC HODGSON
34
WAYZATA
HAMMER CARLSON
34
SLAYTON
PRAIRIE VIEW INC
34
HAMMER RIDGEVIEW
34
SOUTH ST PAUL
BRYANT AVE RESIDENCE
34
HAMMER SHERIDAN
34
LIVING WELL CONGRESS
34
SHADYWAY GROUP HOME
34
ROCHESTER
ROSEVILLE
VICTORIA
VIRGINIA
WADENA
SUMMIT AVENUE RESIDENCE
34
WEST ST PAUL
LIVING WELL EAST EMERSON
34
SPICER
LAKEWOOD HOME
34
WHITE BEAR LAKE
AXIS ON WHITE BEAR AVENUE
34
ST CLOUD
CTRL MN RECEIVING AND REFERRAL
32 35 36
PHOENIX AT CASWELL
34
FOCUS XII HALFWAY HOUSE
31
AXIS ON SENECA
34
REM CENTRAL LAKES INC FERNWOOD
34
REM RAMSEY INC PROSPECT
34
ST LOUIS PARK
THE WAYSIDE HOUSE INC
35
COMMUNITY ADDICTION WILLMAR
35
ST PAUL
AMRTC COMO COMMUNITY UNIT
36
MN SPECIALTY HEALTH SYSTEM
36
DIANE AHRENS CRISIS RESIDENCE
36
WOODLAND CENTERS
35 36
DUNGARVIN BALBRIGGEN
34
HOME FOR CREATIVE LIVING
34
DUNGARVIN TIKVAH
34
RESIDENTIAL ADVANTAGES INC
34
LATITUDES TREATMENT CENTER LLC
31
WINNEBAGO
ADOLESCENT TRTMT CTR WINNEBAGO
35
OUR HOUSE OF MN INC I
34
WINONA
HOME AND COMMUNITY OPTIONS INC
34
OUR HOUSE OF MN INC II
34
WINSTED
OUTREACH TRILLIUM WEST
34
PHOENIX AT DOUGLAS
34
WOODSTOCK
NEW LIFE TREATMENT CENTER
35 32
PHOENIX AT FOSS
34
WORTHINGTON
C C S INC RIDGEWOOD
34
PHOENIX AT VIKING
34
RAMSEY COUNTY DETOX CENTER
32
REM RAMSEY INC GOODRICH
34
REM RAMSEY INC MISSISSIPPI
34
REM RAMSEY INC NEBRASKA
34
TAPESTRY
35
TWIN TOWN TREATMENT CENTER
31
WINGSPAN LIFE RESOURCES
34
ST PAUL PARK
REM MN COMM SVS INC PARK PLACE
34
ST PETER
COMM ADDICTION REC ENTERPRISE
35
FORENSIC SERVICES
36
MSOP - GREEN ACRES
26
MSOP - PEXTON/SHANTZ
26
CEDAR RIDGE
32 35
STILLWATER
WHITE BEAR TOWNSHIP
WILLMAR
WINDOM
Page 495
MINNESOTA DEPARTMENT OF HEALTH
Division of Compliance Monitoring
Alphabetical Listing of Location of Care Facilities - March 14, 2014
COUNTY
TOWN
COUNTY
TOWN
Ada
Adams
Adrian
Afton
Ah-Gwah-Ching
Aitkin
Akeley
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
Hubbard
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
St. Louis
Cass
Clearwater
Lyon
Clay
Carlton
Grant
Otter Tail
Lake of the Woods
Crow Wing
Washington
Stearns
Scott
Redwood
Beltrami
Swift
Bertha
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
Todd
Sherburne
Itasca
Renville
St. Louis
Beltrami
Anoka/Hennepin
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
Cedar
Center City
Ceylon
Champlin
Chanhassen
Chaska
Houston
Isanti
Yellow Medicine
Goodhue
Fillmore
Carlton
Anoka
Chisago
Martin
Hennepin
Carver
Carver
Page 496
TOWN
COUNTY
TOWN
COUNTY
Chatfield
Chisago City
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
Fillmore
Chisago
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
Detroit Lakes
Dexter
Dilworth
Dodge Center
Donnelly
Duluth
Dundas
Becker
Mower
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/Meeker
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
Ottertail
Renville
Swift
Meeker
Meeker
Lac Qui Parle
Hennepin
Swift
Hennepin
Itasca
Crow Wing
Wright
Otter Ta
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 497
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
Hudson
Hugo
Hutchinson
Hennepin
Houston
Wright
Wisconsin
Anoka
McLeod
International Falls
Inver Grove Heights
Ironton
Isanti
Ivanhoe
Koochiching
Dakota
Crow Wing
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
Kellogg
Kensington
Kenyon
Kerkhoven
Kimball
Kittson
Dodge
Beltrami
Wabasha
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
Houston
Nicollet
Lincoln
Goodhue/Wabasha
Blue Earth
Washington
Becker
Jackson
Dakota
Redwood
LeSueur
Mower
McLeod
LeSueur
Winona
Anoka
Dakota
Chisago
Page 498
TOWN
COUNTY
TOWN
COUNTY
Lino Lakes
Litchfield
Little Canada
Little Falls
Littlefork
Long Lake
Long Prairie
Lonsdale
Loretto
Luverne
Anoka
Meeker
Ramsey
Morrison
Koochiching
Hennepin
Todd
Rice
Wright
Rock
Morgan
Morris
Morristown
Motley
Mound
Mountain Iron
Mountain Lake
Murdock
Redwood
Stevens
Rice
Morrison
Hennepin
St. Louis
Cottonwood
Swift
Douglas
Mabel
Madelia
Madison
Mahnomen
Mahtomedi
Mankato
Mantorville
Maple Grove
Maple Plain
Mapleton
Maplewood
Marietta
Marshall
Mazeppa
McGregor
McIntosh
Meadowlands
Medford
Melrose
Menahga
Mendota Heights
Merrifield
Milaca
Minneapolis
Minneota
Minnesota City
Minnetonka
Minnetrista
Montevideo
Montgomery
Monticello
Moorhead
Moose Lake
Mora
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
Nelson
Nett Lake
Nevis
New Brighton
New Germany
New Hope
New London
New Prague
New Richland
New Ulm
New York Mills
Newport
Nisswa
Nopeming
North Branch
North Mankato
North Oaks
North St. Paul
Northfield
Northome
Norwood
Oak Grove
Oak Park Heights
Oakdale
Ogilvie
Oklee
Olivia
Onamia
Orono
Ortonville
Osage
Osakis
Osseo
Ostrander
Otter Tail
Owatonna
Anoka
Washington
Washington
Kanabec
Red Lake Falls
Renville
Mille Lacs
Hennepin
Big Stone
Becker
Douglas
Hennepin
Fillmore
Otter Tail
Steele
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 499
TOWN
COUNTY
TOWN
COUNTY
Park Rapids
Parkers Prairie
Paynesville
Pelican Rapids
Pequot Lakes
Perham
Pierz
Pillager
Pine City
Pine Island
Pine River
Pine Springs
Pipestone
Plainview
Plymouth
Preston
Princeton
Prior Lake
Proctor
Hubbard
Otter Tail
Stearns
Otter Tail
Crow Wing
Otter Tail
Morrison
Cass
Pine
Goodhue
Cass
Washington
Pipestone
Wabasha
Hennepin
Fillmore
Mille Lacs
Scott
St. Louis
Hennepin
Ramsey
Stearns
Hennepin
Winona
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
St. Anthony Village
St. Augusta
St. Bonifacius
St. Charles
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
Sheldon
Sherburne
Shevlin
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
Benton/Stearns/Sherburne
Anoka
Watonwan
Hennepin
Wright
Ramsey
Nicollet
St. Louis
Pine
Mower
Benton
Stearns
Benton
Scott
Washington
Carlton
Wadena
Brown
Chisago
Scott
Iowa
Martin
Clearwater
Ramsey
Hennepin
Lake
Wright
Murray
Brown
Wright
Dakota
Kandiyohi
Houston
Hennepin
Fillmore
Brown
Chisago
Isanti
Wadena
Pope
Page 500
TOWN
COUNTY
TOWN
COUNTY
Stephen
Stewartville
Stillwater
Stockton
Marshall
Olmsted
Washington
Winona
Taunton
Thief River Falls
Togo
Tonka Bay
Tower
Tracy
Trimont
Truman
Twin Valley
Two Harbors
Tyler
Lyon
Pennington
Itasca
Hennepin
St. Louis
Lyon
Martin
Martin
Norman
Lake
Lincoln
West St. Paul
Westbrook
Wheaton
White Bear Lake
White Earth
Willmar
Windom
Winnebago
Winona
Winsted
Winthrop
Woodbury
Woodstock
Worthington
Wrenshall
Wykoff
Wyoming
Dakota
Cottonwood
Traverse
Ramsey
Becker
Kandiyohi
Cottonwood
Faribault
Winona
McLeod
Sibley
Washington
Pipestone
Nobles
Carlton
Fillmore
Chisago/Anoka
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
Wabasha
Redwood
Carver
Wadena
Stearns
Waseca
Cass
Redwood
Goodhue
Marshall
Roseau
Waseca
Carver
LeSueur
Meeker
Wright
Hennepin
Goodhue
Martin
Faribault
Minnesota Department of Health
Division of Compliance Monitoring
Index For Directory of Facilities and Services
FACILITY NAME
COUNTY
1 1 CARING HANDS LLC
HENNEPIN
1 BEST CARE INC
RAMSEY
1 GALAXY OF DIVINE CARING INC
HENNEPIN
1-0 GRANNYS HELPFUL HANDS LLC
HENNEPIN
1001 E 28TH STREET
PAGE#
Index Page
1
FACILITY NAME
COUNTY
PAGE#
131
1541 ALBEMARLE
RAMSEY
337
335
1542 MARION STREET
RAMSEY
337
151
1552 WOODBRIDGE STREET
RAMSEY
337
154
1564 ENGLISH STREET
RAMSEY
337
HENNEPIN
154
1595 RICE STREET
RAMSEY
337
1005 15TH AVENUE SE
HENNEPIN
154
1599 SAINT ANTHONY AVENUE
RAMSEY
337
1019 ARCADE ST
RAMSEY
335
1600 DOUGLAS DRIVE NORTH
HENNEPIN
144
1050 PLUMMER PLACE LLC
OLMSTED
291
1600 PARK AVENUE SOUTH
HENNEPIN
156
1053 COUNTY ROAD D
RAMSEY
364
1601 ENGLISH STREET
RAMSEY
337
10731 FRANCE AVENUE SOUTH
HENNEPIN
104
1615 26TH AVENUE NORTH
HENNEPIN
156
1086 YORK AVE
RAMSEY
335
1617 SHERBURNE AVENUE
RAMSEY
337
1115 MAIN STREET
HENNEPIN
154
1619 26TH AVE N
HENNEPIN
156
1161 SAINT CLAIR AVENUE
RAMSEY
335
1621 TAYLOR STREET NE
HENNEPIN
156
1177 EDGERTON AVE
RAMSEY
335
1625 SHERBURNE AVENUE
RAMSEY
337
1215 KNOX AVENUE NORTH
HENNEPIN
154
1642 CHARLES AVENUE
RAMSEY
338
1220 CAMBRIDGE ST
HENNEPIN
149
1693 SHERBURN
RAMSEY
338
1220 MAIN STREET
HENNEPIN
155
1720 19TH AVENUE NE
HENNEPIN
156
1220 MORGAN AVENUE NORTH
HENNEPIN
155
175 N VICTORIA STREET
RAMSEY
338
1325 WESTERN AVENUE NORTH
RAMSEY
335
1757 THOMAS AVENUE
RAMSEY
338
1339 SHERBURNE
RAMSEY
335
1807 LAKE STREET EAST
HENNEPIN
156
1340 WESTERN
RAMSEY
336
1807 TALMAGE AVENUE SOUTHEAST
HENNEPIN
156
1345 WESTERN AVENUE N
RAMSEY
336
1810 3RD AVENUE SOUTH #101
HENNEPIN
157
1350 MARYLAND AVENUE EAST
RAMSEY
336
1815 1ST AVENUE S
HENNEPIN
157
1360 WESTERN AVENUE N
RAMSEY
336
1818 PARK AVE S
HENNEPIN
157
1361 CONWAY STREET
RAMSEY
336
1820 STEVENS AVENUE S
HENNEPIN
157
1376 EAST 3RD STREET
RAMSEY
336
1826 PENN AVENUE NORTH
HENNEPIN
157
1400 NORTH DOUGLAS DRIVE
HENNEPIN
143
1828 COLUMBUS AVENUE S
HENNEPIN
157
1405 SE COMO AVENUE
HENNEPIN
155
1834 ULYSSES STREET NE
HENNEPIN
157
1407 GOLDEN VALLEY ROAD
HENNEPIN
155
1845 OLD HUDSON ROAD
RAMSEY
338
1409 SE COMO AVENUE
HENNEPIN
155
1849 EAST 7TH STREET
RAMSEY
338
1429 LOGAN AVE N
HENNEPIN
155
1855 EAST 7TH STREET
RAMSEY
338
1450 DOUGLAS DRIVE
HENNEPIN
143
1881 FURNESS STREET
RAMSEY
320
1455 MINNEHAHA
RAMSEY
336
1911 11TH AVENUE SOUTH
HENNEPIN
157
15 WEST 22ND STREET LLC
HENNEPIN
155
1912 E 26TH STREET
HENNEPIN
157
150 URBAN PL
RAMSEY
336
1912 STEVENS AVENUE SOUTH
HENNEPIN
157
1500 DOUGLAS DRIVE NORTH
HENNEPIN
143
1913 STEVENS AVENUE SOUTH
HENNEPIN
158
1500 PARK AVENUE S
HENNEPIN
155
1915 2ND AVENUE SOUTH
HENNEPIN
158
1501 11TH AVENUE SOUTH
HENNEPIN
155
1924 EMERSON AVENUE SOUTH
HENNEPIN
158
1501 AMERICAN BOULEVARD
HENNEPIN
104
1924 STEVENS AVENUE SOUTH
HENNEPIN
158
1506 PARK AVE S
HENNEPIN
155
1929 3RD AVENUE SOUTH
HENNEPIN
158
1509 ALBEMARLE STREET
RAMSEY
336
1939 OLIVER AVENUE NORTH
HENNEPIN
158
1522 LASALLE AVENUE SOUTH
HENNEPIN
156
195 W LARPENTEUR AVE
RAMSEY
328
1527 LOGAN AVENUE NORTH
HENNEPIN
156
1ST CHOICE PCA SERVICES
HENNEPIN
158
1529 ADRIAN STREET
RAMSEY
336
1ST CHOICE PEDIATRIC HOME CARE
HENNEPIN
158
1529 BRYANT AVENUE NORTH
HENNEPIN
156
2 CARING HANDS
DAKOTA
78
1533 WOODBRIDGE STREET
RAMSEY
337
200 S WINTHROP STREET
RAMSEY
338
Minnesota Department of Health
Division of Compliance Monitoring
Index For Directory of Facilities and Services
FACILITY NAME
COUNTY
2010 RUSSELL AVENUE NORTH
HENNEPIN
2011 PILLSBURY AVENUE SOUTH
HENNEPIN
2014 25TH AVE N
HENNEPIN
2014 3RD AVENUE SOUTH
HENNEPIN
2016 PORTLAND AVE S
PAGE#
Index Page
2
FACILITY NAME
COUNTY
PAGE#
158
2704 LOUISIANA COURT
HENNEPIN
228
158
2709 STEVENS AVENUE SOUTH
HENNEPIN
162
159
2718 CHICAGO AVENUE SOUTH
HENNEPIN
163
159
2720 PILLSBURY AVENUE SOUTH
HENNEPIN
163
HENNEPIN
159
2726 BLOOMINGTON AVENUE SOUTH
HENNEPIN
163
2017 PILLSBURY AVENUE SOUTH
HENNEPIN
159
2726 EMERSON AVE N
HENNEPIN
163
2020 OAKLAND AVENUE SOUTH
HENNEPIN
159
2732 GRAND AVE #4
HENNEPIN
163
2029 WILLOW AVENUE NORTH
HENNEPIN
159
2732 SECOND AVENUE SOUTH
HENNEPIN
163
2103 2ND AVENUE SOUTH
HENNEPIN
159
2740 PLEASANT AVENUE SOUTH
HENNEPIN
163
2114 LYNDALE AVE N
HENNEPIN
159
2741 LOUISIANA COURT
HENNEPIN
228
2119 PILLSBURY AVENUE SOUTH
HENNEPIN
159
2747 STEVENS AVE S
HENNEPIN
163
2200 BLAISDELL AVE
HENNEPIN
159
2754 LOUISIANA COURT
HENNEPIN
228
2200 PILLSBURY AVENUE S
HENNEPIN
160
2800 PILLSBURY AVENUE SOUTH
HENNEPIN
163
2212 ALDRICH AVE S
HENNEPIN
160
2824 PARK AVE S
HENNEPIN
163
222 FRANK STREET
RAMSEY
338
2920 12TH AVE S
HENNEPIN
164
2220 14TH AVENUE SOUTH
HENNEPIN
160
293 DAYTON AVE
RAMSEY
339
2221 BLAISDELL AVENUE SOUTH
HENNEPIN
160
2934 CEDAR AVENUE S
HENNEPIN
164
2236 LOWER AFTON ROAD
RAMSEY
338
296 BATES
RAMSEY
339
225 OAK GROVE STREET
HENNEPIN
160
3 WEST 34TH STREET
HENNEPIN
164
227 OAK GROVE STREET
HENNEPIN
160
3007 IRVING AVENUE NORTH
HENNEPIN
164
2312 BLAISDELL AVENUE SOUTH
HENNEPIN
160
3010 15TH AVENUE SOUTH
HENNEPIN
164
233 26TH AVE NE
HENNEPIN
160
3010 RUSSELL AVE N
HENNEPIN
164
233 OAK GROVE
HENNEPIN
160
3014 31ST AVENUE SOUTH
HENNEPIN
164
24 HOUR CARE
HENNEPIN
160
3016 29TH AVENUE SOUTH
HENNEPIN
164
2416 BLAISDELL AVE S APT #205
HENNEPIN
161
3020 31ST AVENUE SOUTH
HENNEPIN
164
2417 17TH AVENUE SOUTH
HENNEPIN
161
3033 15TH AVENUE SOUTH
HENNEPIN
164
249 WESTERN AVENUE SOUTH
RAMSEY
339
3103 PENN AVENUE NORTH
HENNEPIN
165
2525 BLAISDELL AVENUE SOUTH
HENNEPIN
161
3105 GIRARD AVENUE NORTH
HENNEPIN
165
2526 SOUTH 8TH STREET
HENNEPIN
161
3112 MINNEHAHA AVENUE S
HENNEPIN
165
2533 BLAISDELL AVE S
HENNEPIN
161
3117 15TH AVENUE SOUTH
HENNEPIN
165
2537 EMERSON AVENUE SOUTH
HENNEPIN
161
3121 3RD AVENUE SOUTH
HENNEPIN
165
2602 BLOOMINGTON AVENUE SOUTH
HENNEPIN
161
3126 58TH STREET EAST
HENNEPIN
165
2609 16TH AVENUE SOUTH
HENNEPIN
161
3132 PLEASANT AVENUE SOUTH
HENNEPIN
165
2629 WEST 43RD STREET
HENNEPIN
161
3139 THIRD AVENUE SOUTH
HENNEPIN
165
2631 COLUMBUS AVENUE SOUTH
HENNEPIN
161
3200
HENNEPIN
113
2633 PLEASANT AVENUE SOUTH
HENNEPIN
162
3201 GIRARD AVENUE NORTH
HENNEPIN
165
2640 2ND AVENUE SOUTH
HENNEPIN
162
3207 GIRARD AVENUE N
HENNEPIN
165
2640 BLAISDELL AVENUE S
HENNEPIN
162
3210 29TH AVENUE SOUTH
HENNEPIN
166
2644 CHICAGO AVE S
HENNEPIN
162
3214 NORTH QUEEN AVENUE
HENNEPIN
166
2646 IRVING AVE N
HENNEPIN
162
3215 SIXTH STREET NORTH
HENNEPIN
166
2649 BROOKDALE LN N
HENNEPIN
120
3230 PENN AVENUE NORTH
HENNEPIN
166
2653 LYNDALE AVE N
HENNEPIN
162
3232 BLAISDELL AVENUE SOUTH
HENNEPIN
166
2700 GRAND AVENUE SOUTH
HENNEPIN
162
3245 3RD AVE S
HENNEPIN
166
2700 RHODE ISLAND
HENNEPIN
228
327 UNIVERSITY AVENUE SE
HENNEPIN
166
2700 THIRD AVENUE SOUTH
HENNEPIN
162
330 MAGNOLIA AVENUE EAST
RAMSEY
339
2701 S PARK AVENUE
HENNEPIN
162
3305 BRYANT AVENUE SOUTH
HENNEPIN
166
Minnesota Department of Health
Division of Compliance Monitoring
Index For Directory of Facilities and Services
FACILITY NAME
COUNTY
3309 S PILLSBURY AVENUE
HENNEPIN
3310 NORTH PENN AVENUE
HENNEPIN
3311 FREMONT AVE N
HENNEPIN
3320 GRAND AVENUE S
HENNEPIN
3320 LONGFELLOW AVENUE SOUTH
PAGE#
Index Page
3
FACILITY NAME
COUNTY
PAGE#
166
3816 NICOLLET AVENUE SOUTH
HENNEPIN
170
166
3823 COLUMBUS AVENUE SOUTH
HENNEPIN
170
167
3848 WEST BROADWAY AVENUE NORT
HENNEPIN
225
167
390 WEST COTTAGE AVENUE
RAMSEY
339
HENNEPIN
167
395 LUELLA STREET
RAMSEY
339
3322 NORTH PENN AVENUE
HENNEPIN
167
3955 CEDAR AVENUE SOUTH
HENNEPIN
170
3330 ALDRICH AVENUE NORTH
HENNEPIN
167
396 LABORE ROAD
RAMSEY
319
334 MAGNOLIA AVENUE EAST
RAMSEY
339
3K'S HOMECARE LLC
HENNEPIN
212
3413 PORTLAND AVENUE S
HENNEPIN
167
3RD AVE SOUTH APARTMENT
HENNEPIN
170
3414 MINNEHAHA AVENUE SOUTH
HENNEPIN
167
4030 BELLAIRE AVENUE
RAMSEY
365
3416 3RD AVENUE SOUTH
HENNEPIN
167
4038 COLFAX AVENUE NORTH
HENNEPIN
170
342 FULLER AVENUE
RAMSEY
339
4046 ALDRICH AVE N
HENNEPIN
170
3430 NORTHEAST TYLER STREET
HENNEPIN
167
4052 MINNEHAHA AVENUE SOUTH
HENNEPIN
170
3450 MORGAN AVENUE NORTH
HENNEPIN
167
410 6TH STREET SE
HENNEPIN
170
3452 SOUTH EMERSON AVENUE
HENNEPIN
168
419 FRONT AVENUE
RAMSEY
339
3455 SOUTH MINNEHAHA AVENUE
HENNEPIN
168
420 73RD STREET EAST
HENNEPIN
219
3457 CENTRAL AVENUE NORTHEAST
HENNEPIN
168
4331 GIRARD AVENUE NORTH
HENNEPIN
170
3457 MINNEHAHA AVENUE SOUTH
HENNEPIN
168
4445 LAKE STREET EAST
HENNEPIN
171
3513 47TH AVENUE NORTH
HENNEPIN
113
446 ENGLISH STREET
RAMSEY
340
3520 12TH AVENUE SOUTH
HENNEPIN
168
4521 MINNEHAHA AVE S
HENNEPIN
171
3520 AQUILA CIRCLE
HENNEPIN
228
4604 BLOOMINGTON AVENUE SOUTH
HENNEPIN
171
3521 12TH AVENUE SOUTH
HENNEPIN
168
461 MARYLAND AVE W
RAMSEY
340
3528 AQUILA CIRCLE
HENNEPIN
228
4653 BRYANT AVENUE NORTH
HENNEPIN
171
3534 PENN AVENUE NORTH
HENNEPIN
168
4TH STREET RESIDENCE
HENNEPIN
171
3536 AQUILA CIRCLE
HENNEPIN
228
4U HOME HEALTH CARE
ITASCA
243
3542 NORTH PENN AVENUE
HENNEPIN
168
500 SHERBURNE AVE
RAMSEY
340
3545 12TH AVENUE SOUTH
HENNEPIN
168
507 RIDGEWOOD AVENUE
HENNEPIN
171
360 COTTAGE AVENUE
RAMSEY
339
508/510 HUMBOLDT APARTMENTS
RAMSEY
340
3628 BLOOMINGTON AVENUE SOUTH
HENNEPIN
168
516 HUMBOLDT APARTMENTS
RAMSEY
340
3643 PENN AVENUE NORTH
HENNEPIN
169
5211 XERXES AVENUE NORTH
HENNEPIN
114
3654 BRYANT AVENUE SOUTH
HENNEPIN
169
5255 IRVING AVE N
HENNEPIN
171
3701 LAKE STREET WEST
HENNEPIN
169
5277 W 82ND ST
HENNEPIN
104
3708 LYNDALE AVENUE SOUTH
HENNEPIN
169
542 LINCOLN AVE
RAMSEY
340
3708 W 32ND ST
HENNEPIN
169
554 CHARLES AVENUE
RAMSEY
340
3710 MINNEHAHA AVENUE SOUTH
HENNEPIN
169
556 JENKS AVE
RAMSEY
340
3711 WEST BROADWAY AVENUE NORT
HENNEPIN
224
5700 34TH AVENUE SOUTH
HENNEPIN
171
3712 LAKE ST E
HENNEPIN
169
5710 BOSSEN TERRACE
HENNEPIN
171
3719 WEST BROADWAY
HENNEPIN
224
5712 34TH AVENUE SOUTH
HENNEPIN
171
3720 W 32ND ST
HENNEPIN
169
5717 31ST AVENUE SOUTH
HENNEPIN
172
3725 WEST BROADWAY AVENUE NORT
HENNEPIN
224
5734 SANDER DRIVE
HENNEPIN
172
3731 WEST BROADWAY
HENNEPIN
224
5737 SANDER DRIVE
HENNEPIN
172
3736 SOUTH CEDAR AVENUE
HENNEPIN
169
5753 SANDER DRIVE
HENNEPIN
172
3737 WEST BROADWAY
HENNEPIN
224
5754 33RD AVENUE SOUTH
HENNEPIN
172
3759 WEST BROADWAY AVENUE NORT
HENNEPIN
225
5761 33RD AVENUE SOUTH
HENNEPIN
172
3801 NICOLLET AVENUE SOUTH
HENNEPIN
169
5833 HUNTINGTON PLACE
HENNEPIN
120
3806 6TH STREET NORTH
HENNEPIN
170
590 MENDOTA STREET
RAMSEY
340
Minnesota Department of Health
Division of Compliance Monitoring
Index For Directory of Facilities and Services
FACILITY NAME
COUNTY
600 FRANKLIN AVE W
HENNEPIN
601 28TH STREET WEST
HENNEPIN
615 26TH AVE N
HENNEPIN
617 19TH AVENUE SOUTH
HENNEPIN
619 19TH AVENUE SOUTH
PAGE#
Index Page
4
FACILITY NAME
COUNTY
PAGE#
172
901 MORGAN AVENUE NORTH
HENNEPIN
174
172
904 RICE STREET-TAB PROPERTIES
RAMSEY
341
172
906 S 7TH ST
HENNEPIN
174
172
913 22ND AVENUE NE
HENNEPIN
174
HENNEPIN
173
9130 LYNDALE AVENUE SOUTH
HENNEPIN
104
621 19TH AVENUE SOUTH
HENNEPIN
173
9150 LYNDALE AVENUE SOUTH
HENNEPIN
105
627 AURORA AVENUE WEST
RAMSEY
340
919 12TH AVE SE
HENNEPIN
174
627 POLK STREET NE
HENNEPIN
173
920 E 25TH ST
HENNEPIN
174
6307 SCOTT AVENUE NORTH
HENNEPIN
113
926 ARCADE STREET
RAMSEY
341
639 23RD AVENUE NE
HENNEPIN
173
A A CARE INC
DAKOTA
642 FRONT AVENUE
RAMSEY
341
A CHANCE TO GROW INC
HENNEPIN
6421 E PLEASANT AVENUE SOUTH
HENNEPIN
219
A TIME FOR HELP INC
ANOKA
13
6429 PLEASANT AVENUE SOUTH
HENNEPIN
220
A TOUCH OF HOME NORTH
BELTRAMI
17
646 22ND AVENUE NE
HENNEPIN
173
A WOMANS WAY
DAKOTA
65
6526 OLIVER AVENUE SOUTH
HENNEPIN
220
A&A RELIABLE HOME HEALTH CARE
RAMSEY
342
659 DAYTON AVENUE
RAMSEY
341
A+ HOME HEALTH CARE INC
HENNEPIN
105
6601 5TH AVENUE SOUTH
HENNEPIN
220
ABBEYCARE INC
RAMSEY
342
6628 WEST BROADWAY AVENUE NORT
HENNEPIN
121
ABBOTT NORTHWESTERN COURAGE RE
HENNEPIN
144
670 STRYKER AVE
RAMSEY
341
ABBOTT NORTHWESTERN HOSPITAL
HENNEPIN
144
6730 CEDAR AVE S
HENNEPIN
220
ABBOTT NORTHWESTERN HOSPITAL
HENNEPIN
174
689 LOWRY AVENUE NORTHEAST
HENNEPIN
173
ABC CARE INC
RAMSEY
342
700 10TH AVENUE SE APT #1
HENNEPIN
173
ABC CARE INC
WASHINGTON
435
7017 36TH AVENUE NORTH
HENNEPIN
132
ABC HOME HEALTH CARE PLUS LLC
RAMSEY
328
7025 36TH AVENUE NORTH
HENNEPIN
132
ABIDJAN HEALTHCARE INC
HENNEPIN
114
705 SOUTH SNELLING AVENUE
RAMSEY
341
ABLE INC HOUSTON
HOUSTON
237
7145 CHICAGO AVENUE SOUTH
HENNEPIN
220
ABLE INC LACRESCENT
HOUSTON
237
717 SE UNIVERSITY AVENUE
HENNEPIN
173
ABLE SPEECH LANGUAGE SERVICES
RAMSEY
325
725 SE 8TH AVENUE
HENNEPIN
173
ABRO HOME CARE INC
WASHINGTON
435
734 ALDRICH AVENUE NORTH
HENNEPIN
173
ABUNDANCE HOMECARE
HENNEPIN
151
76 WEST STEVENS
RAMSEY
341
ABUNDANT LIFE HOME HEALTH CARE
HENNEPIN
114
7600 CEDAR AVENUE SOUTH
HENNEPIN
220
ABUNDANT LIFE HOME HEALTH CARE
HENNEPIN
121
7601 18TH AVENUE SOUTH
HENNEPIN
220
ACCEL HEALTH SERVICES INC
HENNEPIN
229
7625 18TH AVENUE SOUTH
HENNEPIN
220
ACCENTUCARE INC
SAINT LOUIS
382
7940 KYLE AVENUE NORTH
HENNEPIN
121
ACCESS INFUSION HEALTHCARE LLC
BENTON
7TH HEAVEN ASSISTED LIVING LLC
OTTER TAIL
308
ACCESS SERVICES INCORPORATED
ITASCA
243
8 FOURTH STREET EAST
RAMSEY
341
ACCESSIBLE SPACE ASI METRO 1
RAMSEY
342
807 31ST AVE N
HENNEPIN
174
ACCESSIBLE SPACE ASI METRO 2
RAMSEY
342
812 35TH STREET WEST
HENNEPIN
174
ACCESSIBLE SPACE ASI METRO 3
RAMSEY
342
828 N UPTON AVENUE
HENNEPIN
174
ACCESSIBLE SPACE INC ASI NORTH
RAMSEY
342
828 NORTH HAZEL ST
RAMSEY
341
ACCESSIBLE SPACE INC ASI SOUTH
RAMSEY
342
8300 ZANE AVENUE NORTH
HENNEPIN
121
ACCESSIBLE SPACE INC WEST APTS
DAKOTA
65
8308 ZANE AVENUE NORTH
HENNEPIN
121
ACCRA CARE INC
HENNEPIN
149
854 SIMCOE AVE
RAMSEY
341
ACCRA HOME CARE INC
OTTER TAIL
302
8601 NICOLLET AVENUE SOUTH
HENNEPIN
104
ACCRA HOME CARE INC
OTTER TAIL
302
8817 35TH STREET WEST
HENNEPIN
228
ACCRA HOME CARE INC
OTTER TAIL
302
8901 WENTWORTH AVE S
HENNEPIN
104
ACCRA HOME HEALTH INC
GOODHUE
101
70
174
21
Minnesota Department of Health
Division of Compliance Monitoring
Index For Directory of Facilities and Services
FACILITY NAME
COUNTY
ACCRA HOME HEALTH-DULUTH
SAINT LOUIS
ACCREDO HEALTH GROUP INC
DAKOTA
ACCURATE HOME CARE LLC
SHERBURNE
ACR AT HOME COMPANION CARE
RAMSEY
ACR AT HOME HEALTHCARE LLC
PAGE#
Index Page
5
FACILITY NAME
COUNTY
AICOTA HEALTH CARE CENTER
AITKIN
1
AICOTA HEALTH CARE CENTER INC
AITKIN
1
404
AIDE HOME HEALTH CARE
CROW WING
328
AITKIN COUNTY CARE
AITKIN
RAMSEY
328
AITKIN HEALTH SERVICES
AITKIN
ACR HOME ON CUMMINGS
RAMSEY
318
ALBANY AREA HOME HEALTH
STEARNS
408
ACR HOME ON DAWN
RAMSEY
333
ALBANY AREA HOSP ALBANY CLINIC
STEARNS
408
ACR HOME ON FALLGOLD
HENNEPIN
121
ALBANY AREA HOSP AVON CLINIC
STEARNS
409
ACR HOME ON LYDIA WEST
RAMSEY
328
ALBANY AREA HOSPICE
STEARNS
408
ACR HOME ON REDWOOD
RAMSEY
325
ALBANY AREA HOSPITAL & MED CTR
STEARNS
408
ACR HOME ON ROBIN
HENNEPIN
225
ALCOTT MANOR
OTTER TAIL
302
ACR ON DALE COURT
RAMSEY
328
ALDRICH BOARD AND CARE LLC
HENNEPIN
175
ACTI-KARE RESPONSIVE IN-HOME C
WASHINGTON
433
ALERE WOMEN'S AND CHILDREN'S H
CARVER
40
ACTI-KARE RESPONSIVE IN-HOME C
WASHINGTON
433
ALEXANDRIA HOUSING AND REDEVEL
DOUGLAS
89
ACTI-KARE RESPONSIVE IN-HOME C
WASHINGTON
433
ALICE NETELL TOWER
SAINT LOUIS
396
ADAGIO MANOR ASSISTED LIVING
HENNEPIN
144
ALISHAS CARE CENTER
TODD
423
ADAGIO MANOR ASSISTED LIVING
HENNEPIN
144
ALL ABOUT CARING HOME CARE INC
CHISAGO
ADAMS HEALTH CARE CENTER
MOWER
281
ALL GENERATIONS HOME CARE INC
STEELE
ADAMS HOME HEALTH AGENCY
MOWER
281
ALL GOOD HOME CARE INC
BENTON
ADAMS HOME HEALTH CARE
MOWER
281
ALL HOME HEALTH INC
HENNEPIN
105
ADITH MILLER MANOR
WINONA
443
ALL HOMECARING
HENNEPIN
175
ADOLESCENT TRTMT CTR WINNEBAGO
FARIBAULT
94
ALL SAINTS SR LVG OF SHAKOPEE
SCOTT
401
ADRIAN CARE CENTER
NOBLES
288
ALL SAINTS SR LVG OF SHAKOPEE
SCOTT
401
ADRIAN COUNTRY LIVING COTTAGES
NOBLES
288
ALLCARE HOME CARE INC
CLAY
ADULT HELP & COMPANION CARE
HENNEPIN
229
ALLEGIANCE ABILITY ASSISTANCE
HENNEPIN
175
ADVANCE HOME HEALTH CARE LLC
OLMSTED
292
ALLEGIANCE ABILITY ASSISTANCE
HENNEPIN
175
ADVANCE HOME HEALTH CARE LLC
OLMSTED
292
ALLENDALE HOUSE
OLMSTED
292
ADVANCED MEDICAL HOME CARE LLC
RAMSEY
365
ALLEVIACARE LLC
HENNEPIN
138
ADVANTAGE HOME CARE SERVS INC
RAMSEY
342
ALLIANCE ADDITION LLC
HENNEPIN
175
ADVANZED HOME HEALTH CARE
ANOKA
ALLIANCE ASSISTED LIVING SRVCS
DAKOTA
70
AEGIS THERAPIES
HENNEPIN
135
ALLIANCE HEALTH SERVICES
BLUE EARTH
25
AEON - SIENNA GREEN
RAMSEY
328
ALLIANCE HEALTH SERVICES INC
DAKOTA
70
AEON - SIENNA GREEN II
RAMSEY
329
ALLIANCE HHC & NURSING SERVICE
HENNEPIN
144
AEON HOMES
HENNEPIN
175
ALLIANCE HOMECARE SERVICES LLC
HENNEPIN
144
AFFILIATED FAMILY AND SENIOR S
HENNEPIN
121
ALLIED PROFESSIONALS INC
HENNEPIN
138
AFFIRMATION HOUSE
HENNEPIN
114
ALLINA HM C HSPCE & PALLITV CA
RAMSEY
342
AFRICAN FAMILIES DEVELOP NETWK
HENNEPIN
175
ALLINA HM C HSPCE & PALLITV CA
RAMSEY
343
AFTENRO HOME
SAINT LOUIS
382
ALMOND HOUSE
CROW WING
59
AFTON CARE
WASHINGTON
430
ALMOND HOUSE UNIT 2
CROW WING
59
AFTON CARE SENIOR HOMES
WASHINGTON
430
ALMOND HOUSE UNIT 3
CROW WING
59
AFTON CARE ST CROIX
WASHINGTON
430
ALMOND HOUSE UNIT 4
CROW WING
59
AFYA HOME HEALTH CARE
HENNEPIN
175
ALMOST HOME
CROW WING
59
AGAPE HOME CARE PROVIDER
HENNEPIN
175
ALO HOME HEALTH CARE INC
HENNEPIN
138
AGELESS CARE INCORPORATED
ROSEAU
379
ALPHA HEALTHY CARE INC
HENNEPIN
175
AGING JOYFULLY
HENNEPIN
135
ALTERNATIVE HOME CARE SOLUTION
WASHINGTON
436
AGING SERVICES FOR COMMUNITIES
LESUEUR
262
ALTERNATIVE SENIOR CARE INC
STEARNS
412
382
70
7
PAGE#
63
1
1
50
417
21
52
Minnesota Department of Health
Division of Compliance Monitoring
Index For Directory of Facilities and Services
FACILITY NAME
COUNTY
ALTERNATIVE SENIOR CARE INC
STEARNS
ALTRU HLTH SYS RENAL DIALYSIS
POLK
ALTRU RENAL DIALYSIS
ROSEAU
ALTRU'S HOME HEALTH
NORTH DAKOTA
ALTRU'S HOSPICE
PAGE#
Index Page
6
FACILITY NAME
COUNTY
412
APOLLO HOMES INC
WASHINGTON
432
314
APPARENTCARE LLC
HENNEPIN
135
379
APPLE RIDGE ESTATES
SWIFT
421
453
APPLE VALLEY VILLA
DAKOTA
NORTH DAKOTA
453
APPLEONE HOME CARE SERVICES
HENNEPIN
176
ALWAYS BEST CARE OF ST CROIX
WASHINGTON
433
APPLETON AREA HEALTH SERVICES
SWIFT
421
ALWAYS CARING
OLMSTED
292
APPLETON MUN HOSPITAL & NH
SWIFT
421
ALWAYS CARING INC
SCOTT
399
APPLETON MUNICIPAL HOSPITAL
SWIFT
421
AMAS INCORPORATED
HENNEPIN
121
APRIA HEALTHCARE LLC
RAMSEY
343
AMAS INCORPORATED
HENNEPIN
121
ARBOR GARDENS
OLMSTED
291
AMAZING DAYS CARE CENTER LLC
MORRISON
280
ARBOR LAKES SENIOR LIVING
HENNEPIN
151
AMAZING GRACE HOME CARE
HENNEPIN
176
ARBOR OAKS SENIOR LIVING
ANOKA
AMAZING HOMECARE & NURSING
HENNEPIN
105
ARBOR OAKS SENIOR LIVING LLC
ANOKA
AMAZING LOVE ASSISTED LIVING
HENNEPIN
132
ARBOR PARK LIVING CENTER
CLAY
52
AMAZING LOVE ASSISTED LIVING
HENNEPIN
132
ARBOR PARK LIVING CENTER
CLAY
52
AMAZING LOVE ASSISTED LIVING
HENNEPIN
114
ARBOR PARK LIVING CENTER LLC
CLAY
53
AMAZING LOVE HEALTHCARE SERVIC
HENNEPIN
132
ARBOR TERRACE
OLMSTED
292
AMELIE HOUSE
HENNEPIN
105
ARBOR TERRACE
OLMSTED
292
AMER INDIAN COMM DEV COR
HENNEPIN
176
ARBORS AT RIDGES
DAKOTA
66
AMERICAN BEST HOME CARE
HENNEPIN
114
ARDEN HILLS DIALYSIS UNIT
RAMSEY
318
AMERICAN FAMILY HOME CARE
HENNEPIN
114
ARISE HOME HEALTH CARE
STEARNS
413
AMERICAN FAMILY HOME CARE
HENNEPIN
114
ARISE HOME HEALTH CARE
STEARNS
413
AMERICAN HOUSE
RAMSEY
343
ARLINGTON HOME
OTTER TAIL
302
AMERICARE LODGES INC
CASS
46
ARLINGTON PLACE
STEARNS
416
AMRTC COMO COMMUNITY UNIT
RAMSEY
343
AROUND THE CLOCK HOME CARE
HENNEPIN
229
AMY JOHNSON RESIDENCE
RAMSEY
343
AROUND THE CLOCK HOME CARE LLC
HENNEPIN
229
ANDERSONS PINE GROVE HOME
SAINT LOUIS
380
ARTHURS RESIDENTIAL CARE
RAMSEY
329
ANDREW RESIDENCE
HENNEPIN
176
ARTHURS RESIDENTIAL CARE ON EM
RAMSEY
329
ANGEL CARE HOME HEALTH SERVICE
HENNEPIN
121
ASERACARE HOME HEALTH
HENNEPIN
105
ANGEL HEALTH SERVICES
HENNEPIN
122
ASERACARE HOSPICE
HENNEPIN
105
ANGELS CARE CENTER
GOODHUE
99
ASHBY LIVING CENTER
GRANT
103
ANGELS HOME HEALTHCARE INC
HENNEPIN
176
ASHBY LIVING CENTER
GRANT
103
ANGELS OF MERCY
ANOKA
6
ASI 28TH STREET
HENNEPIN
176
ANGELS OF MERCY ASSISTED LIVIN
ANOKA
7
ASI CAMDEN HOUSE
HENNEPIN
176
ANIKA HOME CARE
DAKOTA
76
ASI CHICAGO HOUSE
HENNEPIN
176
ANN'S HOME
SCOTT
400
ASI METRO 4
RAMSEY
343
ANN'S HOME
SCOTT
400
ASIAN AMERICAN ELDERLY AL LLC
HENNEPIN
114
ANNANDALE CARE CENTER
WRIGHT
445
ASIAN AMERICAN ELDERLY ASSISTE
RAMSEY
343
ANNMAR HOME HEALTH, LLC
WRIGHT
450
ASIAN AMERICAN HOME H C SERVIC
RAMSEY
343
ANOINTED HOME CARE AGENCY
RAMSEY
343
ASIAN AMERICAN HOME HEALTH CAR
RAMSEY
343
ANOKA METRO REG TREATMENT CTR
ANOKA
3
ASIAN COMMUNITY SPECIAL SRSVCS
RAMSEY
344
ANOKA PROFESSIONAL HM CARE LLC
ANOKA
11
ASIAN HOME CARE INC
RAMSEY
344
ANOKA REHAB & LIVING CENTER
ANOKA
ASPEN ARMS
CARLTON
ANPA WASTE NUMPA
HENNEPIN
ASPEN GROVE ALT SENIOR LIVING
SAINT LOUIS
392
ANTHONY LOUIS CENTER
ANOKA
ASPEN GROVE ALTERNATIVE SENIOR
SAINT LOUIS
392
APLUS HEALTH CARE LLC
HENNEPIN
ASPEN GROVE ASSISTED LIVING
SAINT LOUIS
381
3
176
4
138
PAGE#
64
2
2
36
Minnesota Department of Health
Division of Compliance Monitoring
Index For Directory of Facilities and Services
FACILITY NAME
COUNTY
ASPEN MEDICAL GROUP UNIVERSITY
RAMSEY
ASSISTED LIVING AT NORTH RIDGE
HENNEPIN
ASSISTED LVG IN HERITAGE HALL
HENNEPIN
ASSISTING HANDS OF MINNEAPOLIS
HENNEPIN
ASSISTING HANDS OF MINNEAPOLIS
PAGE#
Index Page
7
FACILITY NAME
COUNTY
PAGE#
344
AUGUSTANA HOME HEALTH CARE SER
HENNEPIN
177
212
AUGUSTANA MERCY CARE CTR
CARLTON
38
105
AUGUSTANA REGENT AT BURNSVILLE
DAKOTA
66
206
AUGUSTANA REGENT AT BURNSVILLE
DAKOTA
66
SCOTT
399
AUGUSTANA RESIDENTIAL CARE
HENNEPIN
177
ASSOCIATED EYE CARE AMB SURG
WASHINGTON
436
AUGUSTANA THERAPY SERVICES
HENNEPIN
149
ASSUMPTION HEALTH SERVICES
STEARNS
409
AUSTIN MSOCS
MOWER
281
ASSUMPTION HOME
STEARNS
409
AUSTINS 24 HOUR HOME CARE
AITKIN
ASSUMPTION HOME CARE
STEARNS
409
AUTUMN GRACE
BLUE EARTH
25
ASSURED CARE
SCOTT
399
AUTUMN GRACE II
BLUE EARTH
26
ASSURED CARE
SCOTT
399
AUTUMN GRACE III
BLUE EARTH
26
ASSURED CARE
SCOTT
399
AUTUMN HILLS HOME CARE
BELTRAMI
17
ASSURED HOMES LLC
HENNEPIN
122
AUTUMN HILLS OF BEMIDJI INC
BELTRAMI
AT HOME CARE OF PARMLY LIFEPOI
CHISAGO
AUTUMN LANE
ITASCA
243
AT HOME LTD
HENNEPIN
176
AUTUMN LANE INC
ITASCA
243
ATT HOME CARE INC
RAMSEY
344
AUTUMN RIDGE APARTMENTS
HENNEPIN
122
ATT HOME HEALTH CARE INC
RAMSEY
344
AUTUMN RIDGE APARTMENTS
HENNEPIN
122
ATWATER HOUSE
KANDIYOHI
250
AUTUMN RIDGE APARTMENTS
HENNEPIN
122
AUBURN COURTS
CARVER
40
AVALON HOME CARE INC
SHERBURNE
404
AUBURN COURTS
CARVER
40
AVENUES FOR CARE INC
CHIPPEWA
47
AUBURN HOME IN WACONIA
CARVER
43
AVENUES FOR HOMELESS YOUTH
HENNEPIN
177
AUBURN MANOR
CARVER
40
AVERA MARSHALL REG MED CENTER
LYON
264
AUBURN MEADOWS
CARVER
43
AVERA MED GROUP WORTHINGTON
NOBLES
288
AUDRIE HOME HEALTH CARE LLC
HENNEPIN
122
AVINITY HOME CARE
HENNEPIN
220
AUGUSTANA APARTMENTS MPLS
HENNEPIN
177
AXIS ON BELMONT
RAMSEY
329
AUGUSTANA APARTMENTS MPLS
HENNEPIN
177
AXIS ON ELDRIDGE
RAMSEY
329
AUGUSTANA APARTMENTS MPLS
HENNEPIN
177
AXIS ON GLENHILL
RAMSEY
333
AUGUSTANA APARTMENTS OF MINNEA
HENNEPIN
177
AXIS ON SENECA
RAMSEY
365
AUGUSTANA CHAPEL VIEW APARTMEN
HENNEPIN
149
AXIS ON ST MICHAEL
RAMSEY
325
AUGUSTANA CHAPEL VIEW CARE CTR
HENNEPIN
149
AXIS ON WHITE BEAR AVENUE
RAMSEY
365
AUGUSTANA EMERALD CREST BURNSV
DAKOTA
B HOME BY ENGLISH ROSE SUITES
HENNEPIN
235
AUGUSTANA EMERALD CREST MNTONK
HENNEPIN
BAKER PARK INC
BELTRAMI
17
AUGUSTANA EMERALD CREST OF BUR
DAKOTA
66
BANCROFT CREEK ESTATES
FREEBORN
AUGUSTANA EMERALD CREST OF BUR
DAKOTA
66
BARBARA DAWN KUTSI
SAINT LOUIS
381
AUGUSTANA EMERALD CREST OF BUR
DAKOTA
66
BARNABAS HEALTH CARE SERVICES
CROW WING
60
AUGUSTANA EMERALD CREST OF BUR
DAKOTA
66
BARNES CARE
CARLTON
38
AUGUSTANA EMERALD CREST OF MIN
HENNEPIN
206
BARNES CARE INC
CARLTON
38
AUGUSTANA EMERALD CREST OF MIN
HENNEPIN
206
BARNES CARE INC
CARLTON
38
AUGUSTANA EMERALD CREST OF MIN
HENNEPIN
206
BARNESVILLE AREA CLINIC
CLAY
51
AUGUSTANA EMERALD CREST OF SHA
SCOTT
401
BARRETT ASSISTED LIVING COMMUN
GRANT
103
AUGUSTANA EMERALD CREST OF VIC
CARVER
42
BARRETT ASSISTED LVG COM INC
GRANT
103
AUGUSTANA EMERALD CREST OF VIC
CARVER
42
BARRETT CARE CENTER INC
GRANT
104
AUGUSTANA EMERALD CREST SHAKOP
SCOTT
401
BARROSS COTTAGE
LAKE
260
AUGUSTANA HCC OF APPLE VALLEY
DAKOTA
64
BARROSS COTTAGE
LAKE
260
AUGUSTANA HCC OF HASTINGS
DAKOTA
74
BARROSS COTTAGE II LLC
LAKE
260
AUGUSTANA HCC OF MPLS
HENNEPIN
BARROSS MANOR
LAKE
260
49
66
206
177
1
17
97
Minnesota Department of Health
Division of Compliance Monitoring
Index For Directory of Facilities and Services
FACILITY NAME
COUNTY
BASS LAKE APARTMENTS
HENNEPIN
BASS LAKE COURT TOWNHOMES
HENNEPIN
BASS LAKE COURT TOWNHOMES
HENNEPIN
BASS LAKE TOWNHOMES
HENNEPIN
BATALO HOME HEALTH CARE LLC
PAGE#
Index Page
8
FACILITY NAME
COUNTY
PAGE#
212
BENET PLACE SOUTH
SHERBURNE
405
212
BENTSON FAMILY ASSISTED LIVING
RAMSEY
344
212
BEST CARE GROUP
HENNEPIN
115
212
BEST CARE HOME HEALTH INC
HENNEPIN
178
HENNEPIN
177
BEST CARE HOME HEALTH INC
HENNEPIN
178
BATTLE CREEK CARE HOME
RAMSEY
344
BEST HOME CARE LLC
RAMSEY
327
BATTLE CREEK CARE HOME
RAMSEY
344
BETHANY ASSISTED LIVING IN LIT
MEEKER
274
BAYADA HOME HEALTH CARE INC
RAMSEY
333
BETHANY CARE CENTER
HENNEPIN
178
BAYADA PEDIATRICS
STEARNS
416
BETHANY CARE CENTER
HENNEPIN
178
BAYADA PEDIATRICS
HENNEPIN
206
BETHANY CARE CENTER
HENNEPIN
178
BAYCLIFF
HENNEPIN
229
BETHANY HOME
DOUGLAS
89
BAYSHORE RESIDENCE & REHAB CTR
SAINT LOUIS
382
BETHANY HOME HEALTH SERVICES
DOUGLAS
89
BAYWOOD HOME CARE
HENNEPIN
177
BETHEL CARE CENTER
RAMSEY
344
BEACON HAVEN
RAMSEY
325
BETHEL HOME CARE SERVICES
HENNEPIN
115
BEACON HILL
HENNEPIN
206
BETHEL MANAGEMENT GROUP
HENNEPIN
115
BEARD AVENUE APARTMENTS
HENNEPIN
114
BETHEL MANOR II
DOUGLAS
89
BECKY'S PLACE INC
HENNEPIN
135
BETHEL MANOR INC
DOUGLAS
89
BECKY'S PLACE INC
HENNEPIN
135
BETHESDA
KANDIYOHI
251
BEE HIVE HOMES OF EXCELSIOR
CARVER
41
BETHESDA CHURCH APARTMENTS
HENNEPIN
178
BEE HIVE HOMES OF MINNESOTA
CARVER
41
BETHESDA HERITAGE CENTER
KANDIYOHI
251
BEECHWOOD INC
HENNEPIN
178
BETHESDA HOME HEALTH
KANDIYOHI
251
BELGRADE NURSING HOME
STEARNS
409
BETHESDA LUTHERAN COM COT 4
CARVER
42
BELL HILL RECOVERY CENTER
WADENA
428
BETHESDA LUTHERAN COMM COT 1
CARVER
42
BELLE HAVEN TOWNHOMES
MILLE LACS
277
BETHESDA LUTHERAN COMM COT 2
CARVER
42
BELTRAMI COUNTY HEALTH & HUMAN
BELTRAMI
17
BETHESDA LUTHERAN COMM COT 3
CARVER
42
BENEDICT COURT
SHERBURNE
405
BETHESDA LUTHERAN COMM COT 5
ANOKA
8
BENEDICT HOMES
SHERBURNE
405
BETHESDA LUTHERAN COMM COT 6
ANOKA
8
BENEDICT VILLAGE
SHERBURNE
405
BETHESDA NH PLEASANTVIEW
KANDIYOHI
251
BENEDICTINE HEALTH CENTER
SAINT LOUIS
382
BETTY R JOHNSON
HENNEPIN
151
BENEDICTINE HEALTH CTR OF MPLS
HENNEPIN
178
BETTYS HOME
WASHINGTON
431
BENEDICTINE HLTH CTR INNSBRUCK
RAMSEY
326
BETTYS HOME
WASHINGTON
431
BENEDICTINE LIVING COMMUNITY
NICOLLET
286
BEYOND SPEECH
HENNEPIN
178
BENEDICTINE LIVING COMMUNITY O
KANABEC
249
BIGFORK VALLEY COMMUNITIES
ITASCA
242
BENEDICTINE LIVING COMMUNITY O
KANDIYOHI
250
BIGFORK VALLEY HOME CARE
ITASCA
242
BENEDICTINE LNG COM NEW LONDON
KANDIYOHI
250
BIGFORK VALLEY HOSPITAL
ITASCA
242
BENEDICTINE LV COMM OF WINSTED
MCLEOD
272
BIGFORK VALLEY VILLA
ITASCA
242
BENEDICTINE LVG COM NEW LONDON
KANDIYOHI
250
BIGFORK VALLEY VILLA ASST LVG
ITASCA
242
BENEDICTINE LVG COM VILLAGE AP
KANDIYOHI
250
BILL KELLY HOUSE
HENNEPIN
178
BENEDICTINE LVG COMM OF MORA
KANABEC
249
BIRCHHAVEN VILLAGE
BELTRAMI
18
BENEDICTINE LVG COMM WINSTED
MCLEOD
272
BIRCHVIEW GARDENS ASSISTED LIV
CASS
45
BENEDICTINE SR LIV STEEPLE PTE
HENNEPIN
216
BIRCHVIEW GARDENS ASSISTED LVG
CASS
45
BENEDICTINE SR LVG COMM ST PTR
NICOLLET
286
BIRCHWOOD ARBORS
WASHINGTON
432
BENEDICTINE SUPPORTIVE SRVCS
NORMAN
290
BIRCHWOOD CARE HOME
HENNEPIN
179
BENET HALL
SAINT LOUIS
382
BIRCHWOOD HEALTH CARE CENTER
WASHINGTON
432
BENET HALL
SAINT LOUIS
382
BIRCHWOOD HOUSE
MCLEOD
271
BENET PLACE
SHERBURNE
405
BISCHEL SPERLING LLC
DAKOTA
73
Minnesota Department of Health
Division of Compliance Monitoring
Index For Directory of Facilities and Services
FACILITY NAME
COUNTY
BLAINE ASSISTED LIVING AND MEM
ANOKA
BLAINE WHITE PINE
ANOKA
BLESSING HOME HEALTH SERVICES
HENNEPIN
BLOOMINGTON DIALYSIS UNIT TRC
HENNEPIN
BLOOMINGTON OUTREACH HOME
PAGE#
Index Page
9
FACILITY NAME
COUNTY
4
BROADWAY ASSISTED LIVING
FREEBORN
5
BROADWAY AVENUE
HENNEPIN
179
115
BROEN MEMORIAL HOME
OTTER TAIL
302
105
BROOKDALE H H MINNESOTA
HENNEPIN
138
HENNEPIN
105
BROOKDALE HOSPICE MINNESOTA
HENNEPIN
138
BONNIES SENIOR HAVEN
DOUGLAS
89
BROOKDALE THERAPY EDINA
HENNEPIN
138
BOSTROM TERRACE
OLMSTED
292
BROOKE MANOR INC
SAINT LOUIS
380
BOTTINEAU COMMONS
HENNEPIN
179
BROOKLYN CENTER OUTREACH HOME
HENNEPIN
115
BOTTINEAU LOFTS
HENNEPIN
179
BROOKRIDGE
WRIGHT
447
BOULDER ESTATES
LYON
265
BROOKSIDE
CASS
45
BOUNDARY WATERS CARE CENTER
SAINT LOUIS
390
BROOKSIDE MANOR
CHIPPEWA
47
BOURNE MEDICAL SERVICE
WINONA
443
BROOTEN MEDICAL CENTER
STEARNS
409
BOUTWELLS LANDING
WASHINGTON
434
BROTTS FAMILY CARE CENTER LLC
HENNEPIN
179
BOUTWELLS LANDING
WASHINGTON
434
BROWN COUNTY EVAL CENTER INC
BROWN
BRAINERD CAREFREE LIVING LLC
CROW WING
60
BROWN COUNTY PUBLIC HEALTH
BROWN
BRAINERD HRA
CROW WING
60
BROWN KRAUSE MANOR
HENNEPIN
179
BRAINERD LAKES SURGERY CTR
CROW WING
58
BROWNS VALLEY CLINIC
TRAVERSE
424
BRAINZ LLC
ANOKA
BROWNS VALLEY HEALTH CENTER
TRAVERSE
424
BRANDONS ASSISTED LIVING
DOUGLAS
BRYANT AVE RESIDENCE
DAKOTA
BRASK HAVEN INC
ISANTI
241
BRYANT HOUSE
HENNEPIN
154
BRECK HOME RESIDENTIAL CARE
HENNEPIN
106
BRYANT SQUARE APARTMENTS
HENNEPIN
179
BRECK HOME RESIDENTIAL CARE CE
HENNEPIN
106
BRYANT SQUARE HOME HEALTH CARE
HENNEPIN
179
BREMMER SUITES
FILLMORE
96
BUFFALO HOSPITAL
WRIGHT
446
BRENDA JOHNSON
HENNEPIN
220
BUFFALO LAKE HEALTHCARE CTR
RENVILLE
369
BRENTWOOD HOME
LYON
265
BURI MANOR
HENNEPIN
180
BRENTWOOD PARK APARTMENTS
HENNEPIN
149
BURNSDALE EXTENDED CARE
CHIPPEWA
47
BRENTWOOD PARK APARTMENTS
HENNEPIN
149
BURNSDALE EXTENDED CARE
CHIPPEWA
47
BRIANS ELDER CARE INC
FREEBORN
97
BURNSDALE EXTENDED CARE
CHIPPEWA
47
BRIARWOOD
OTTER TAIL
308
BURNSDALE EXTENDED CARE
CHIPPEWA
47
BRICKSTONE MANOR
BROWN
30
BURNSDALE EXTENDED CARE
CHIPPEWA
47
BRIDGE CARE LLC
RAMSEY
344
BURNSVILLE CAREFREE LIVING LLC
DAKOTA
66
BRIDGE INVESTMENTS
HENNEPIN
212
BURNSVILLE DIALYSIS UNIT
DAKOTA
67
BRIDGES CARE COMMUNITY
NORMAN
290
BUTTERFLY BOUND CARE LLC
HENNEPIN
151
BRIDGEWAY ESTATES
MORRISON
278
BUURTZORG MINNESOTA
WASHINGTON
430
BRIDGEWELL ASSISTED LIVING
DOUGLAS
93
BYWOOD EAST HEALTH CARE
HENNEPIN
180
BRIDGING LIFE HOME HEALTHCARE
HENNEPIN
115
BYWOOD EAST HEALTH CARE
HENNEPIN
180
BRIE ERRANDS
NICOLLET
285
C C S INC RIDGEWOOD
NOBLES
288
BRIGHTON HOSPICE
HENNEPIN
229
CABRINI 311 NEWTON AVE N
HENNEPIN
180
BRIGHTSTAR
HENNEPIN
229
CABRINI 4200 1ST AVE SOUTH
HENNEPIN
180
BRIGHTSTAR HEALTHCARE
RAMSEY
320
CABRINI 5731 33RD AVE SOUTH
HENNEPIN
180
BRIGHTSTAR HEALTHCARE OF WAYZA
HENNEPIN
151
CABRINI PARTNERSHIP-1201 BROOK
HENNEPIN
180
BRIGHTSTAR NORTHERN DAKOTA CO
DAKOTA
66
CABRINI PARTNERSHIP-1618 GLENW
HENNEPIN
180
BRIGHTSTAR OF ST CROIX VALLEY
WASHINGTON
433
CABRINI PARTNERSHIP-518 PENN
HENNEPIN
180
BRISTOL PLACE HOME HEALTH SERV
HENNEPIN
179
CABRINI PARTNERSHIP-610 LOGAN
HENNEPIN
180
BROADVIEW MANOR
SAINT LOUIS
391
CALEDONIA CARE AND REHAB
HOUSTON
237
BROADWAY APARTMENTS
HENNEPIN
179
CALEDONIA CARE AND REHAB BUCK
HOUSTON
237
5
93
PAGE#
97
30
30
84
Minnesota Department of Health
Division of Compliance Monitoring
Index For Directory of Facilities and Services
FACILITY NAME
COUNTY
CALEY HOUSE ASSISTED LIVING
MILLE LACS
CALLISTA COURT
WINONA
CALM CARE
WRIGHT
CAMBRIDGE MED CTR DELLWOOD
ISANTI
CAMBRIDGE MEDICAL CENTER
PAGE#
Index Page 10
FACILITY NAME
COUNTY
PAGE#
277
CARING NURSES LLC
HENNEPIN
122
443
CARING NURSES LLC
HENNEPIN
122
448
CARING NURSES LLC
HENNEPIN
122
240
CARING PROFESSIONALS HOMECARE
RAMSEY
345
ISANTI
240
CARINGHANDS HOME HEALTH CARE I
RAMSEY
345
CAMDEN CARE CENTER
HENNEPIN
181
CARLSON DRAKE HOUSE
HENNEPIN
106
CAMILIA ROSE CARE CENTER LLC
ANOKA
8
CARLTON PLACE
CARLTON
CAMILIA ROSE GROUP HOME
ANOKA
9
CAROL BURNETT
HENNEPIN
106
CANA HOME HEALTH CARE SERVICES
HENNEPIN
132
CARONDELET VILLAGE
RAMSEY
345
CANNON VALLEY SUITES
RICE
374
CARONDELET VILLAGE BETHANY COM
RAMSEY
346
CAPERNAUM PEDIATRIC THERAPY
HENNEPIN
213
CARONDELET VILLAGE CARE CENTER
RAMSEY
346
CAPERNAUM PEDIATRIC THERAPY IN
HENNEPIN
138
CARRIAGE HOUSE APARTMENTS
CLAY
CAPITAL CARE SERVICES LLC
RAMSEY
345
CARRIAGE MANOR APARTMENTS
SCOTT
400
CAPITAL HOME HEALTH CARE LLC
HENNEPIN
181
CARSTEN'S HARBOUR INC
ISANTI
240
CAPITOL VIEW TRANSITIONAL CARE
RAMSEY
345
CARSTENS HARBOUR INC
ISANTI
240
CARDENAS FRIENDSHIP HOME
CHISAGO
51
CASCADE CARE SERVICES INC
STEELE
417
CARDENAS FRIENDSHIP HOUSE
DAKOTA
67
CASS CO PUBLIC HEALTH
CASS
46
CARDENAS FRIENDSHIP HOUSE
HENNEPIN
CASS LAKE DIALYSIS FACILITY
CASS
44
CARDENAS FRIENDSHIP HOUSE
DAKOTA
67
CASS LAKE INDIAN HLTH SERV HOS
CASS
44
CARDENAS FRIENDSHIP HOUSE
DAKOTA
70
CASTLE RIDGE CARE CENTER
HENNEPIN
135
CARE AGE COUNTRY HOME
HUBBARD
238
CASTLE RIDGE MANOR HOUSE
HENNEPIN
136
CARE FULLY SENIOR HOME CARE
HENNEPIN
206
CASTLEVIEW APARTMENTS
OLMSTED
292
CARE HOME HEALTH INC
HENNEPIN
181
CATHARINE A NISAM
HENNEPIN
144
CARE HOME PARTNERS
HENNEPIN
216
CATHOLIC CHARITIES CAREGIVER S
RAMSEY
346
CARE HOME PARTNERS
HENNEPIN
216
CATHOLIC ELDERCARE AT HOME
HENNEPIN
181
CARE ON WHEELS HOMECARE SERVIC
HENNEPIN
115
CATHOLIC ELDERCARE AT HOME
HENNEPIN
181
CARE PARTNER SERVICES
ISANTI
242
CATHOLIC ELDERCARE ON MAIN
HENNEPIN
181
CARE PLANNERS HOME HEALTH CARE
RAMSEY
345
CEDAR COTTAGE
BELTRAMI
18
CARE PLUS HOME HEALTH AGENCY I
HENNEPIN
144
CEDAR COVE ASSISTED LIVING
STEARNS
412
CARE WITH HEART HOME SERVICES
HENNEPIN
229
CEDAR COVE ASSISTED LIVING
TODD
424
CARECO APARTMENTS INC
DAKOTA
76
CEDAR CREST ESTATE
MCLEOD
271
CAREFOCUS CORPORATION
RAMSEY
345
CEDAR CREST OF COSMOS
MEEKER
273
CAREFREE HOME SERVICES INC
ANOKA
CEDAR CREST OF SILVER LAKE
MCLEOD
272
CAREFREE LIVING OF BABBITT
SAINT LOUIS
380
CEDAR PARK APARTMENTS - 1266
RAMSEY
346
CAREGVR SUPT PRG KOREAN SRV CT
HENNEPIN
181
CEDAR PARK APARTMENTS - 1286
RAMSEY
346
CAREMATE HOME HEALTH CARE INC
RAMSEY
345
CEDAR PARK ARARTMENTS - 1288
RAMSEY
346
CAREMATE HOME HEALTH CARE INC
RAMSEY
345
CEDAR RIDGE
WASHINGTON
437
CAREMAX INC
HENNEPIN
149
CEDARDALE HOMES, INC.
STEELE
417
CAREMINDERS HOME CARE
HENNEPIN
139
CEDARS OF AUSTIN
MOWER
281
CAREVIEW HOME HEALTH LLC
HENNEPIN
115
CEDARVIEW COMMONS
RAMSEY
327
CARING & COMPASSIONATE HC AGY
NOBLES
288
CENTENNIAL HOUSE OF APPLE VALY
DAKOTA
64
CARING & COMPASSIONATE HEALTH
NOBLES
288
CENTENNIAL I
DAKOTA
73
CARING HANDS HOME CARE
WADENA
427
CENTENNIAL II
DAKOTA
CARING HEARTS AT HOME LLC
WRIGHT
449
CENTENNIAL LAKES SURGERY CTR
HENNEPIN
139
CARING MATTERS HOME CARE 022
RAMSEY
345
CENTENNIAL VILLA
WRIGHT
445
CARING MEADOWS
HENNEPIN
122
CENTENNIAL VILLA ASSISTED LIVI
WRIGHT
445
106
13
35
53
73
Minnesota Department of Health
Division of Compliance Monitoring
Index For Directory of Facilities and Services
FACILITY NAME
COUNTY
CENTENNIAL VILLA ASSISTED LVN
WRIGHT
CENTENNIAL&HERITAGE PLACE APTS
DAKOTA
CENTER FOR DIAGNOSTIC IMAGING
HENNEPIN
CENTER POINTE APARTMENTS
HENNEPIN
CENTRA CARE KIDNEY PROGRAM
PAGE#
Index Page 11
FACILITY NAME
COUNTY
PAGE#
445
CENTRAL TODD CO CARE CENTER
TODD
422
73
CENTRAL TODD CO CC H C & APTS
TODD
422
229
CENTRAL TODD COLONIAL TERRACE
TODD
422
115
CENTRAL TODD COUNTY HOME CARE
TODD
423
SHERBURNE
403
CENTRAL TOWERS
RAMSEY
346
CENTRACARE - MELROSE PARK VIEW
STEARNS
410
CENTRAL TOWERS
RAMSEY
346
CENTRACARE CAMBRIDGE DIALYSIS
ISANTI
240
CERENITY CARE CENTER WBL
RAMSEY
365
CENTRACARE CLINIC-SAUK CENTRE
STEARNS
412
CERENITY CARE CTR MARIAN
RAMSEY
346
CENTRACARE DIALYSIS LAKEWOOD
WADENA
427
CERENITY CARE CTR ON HUMBOLDT
RAMSEY
346
CENTRACARE HEALTH - MONTICELLO
WRIGHT
449
CERENITY CC MARIAN ST PAUL
RAMSEY
347
CENTRACARE HEALTH PAYNESVILLE
STEARNS
410
CERENITY HEALTH INC
RAMSEY
347
CENTRACARE HEALTH SYS MELROSE
STEARNS
410
CERENITY RES ON HUMBOLDT
RAMSEY
347
CENTRACARE HEALTH SYSM-MELROSE
STEARNS
410
CERENITY RES ON HUMBOLDT
RAMSEY
347
CENTRACARE HEALTH SYSTEM
STEARNS
412
CERENITY RESIDENCE - MARIAN OF
RAMSEY
347
CENTRACARE HEALTH SYSTEM-LONG
TODD
423
CERENITY RESIDENCE OF WBL
RAMSEY
365
CENTRACARE HLTH SYSTEM LONG PR
TODD
423
CHALLET
HENNEPIN
139
CENTRACARE HTH SYM SAUK CTR HC
STEARNS
412
CHAMPLIN GW LLC
HENNEPIN
131
CENTRACARE KIDNEY PROGRAM
MILLE LACS
277
CHANDLER PLACE HOME HLTH CARE
RAMSEY
335
CENTRACARE KIDNEY PROGRAM
STEARNS
413
CHAPPYS GOLDEN SHORES
AITKIN
CENTRACARE KIDNEY PROGRAM
DOUGLAS
89
CHAPPYS GOLDEN SHORES
AITKIN
CENTRACARE KIDNEY PROGRAM LITT
MORRISON
278
CHARIS HOME HEALTH CARE INC
DAKOTA
78
CENTRACARE KIDNEY PROGRAM PLAZ
STEARNS
413
CHARLOTTE L EAST
DAKOTA
78
CENTRACARE LITCHFIELD DIALYSIS
MEEKER
274
CHARLTON TERRACE APARTMENTS
DAKOTA
85
CENTRACARE SAUK CENTRE HOSPICE
STEARNS
412
CHARLTON TERRACE APARTMENTS
DAKOTA
85
CENTRACARE SURGERY CTR LLC
STEARNS
413
CHARLTON TERRACE APARTMENTS
DAKOTA
CENTRAL HEALTH CARE
LESUEUR
261
CHARTER HOUSE
OLMSTED
292
CENTRAL MINNESOTA REG DIALYSIS
SHERBURNE
404
CHARTER HOUSE INC
OLMSTED
292
CENTRAL MINNESOTA SENIOR CARE
KANDIYOHI
251
CHARTERHOUSE HHA
OLMSTED
293
CENTRAL MINNESOTA SENIOR CARE
SWIFT
421
CHERISH
SAINT LOUIS
392
CENTRAL MINNESOTA SENIOR CARE
SWIFT
421
CHERISHED HOME MANAGEMENT
SAINT LOUIS
392
CENTRAL MINNESOTA SENIOR CARE
KANDIYOHI
250
CHERRYWOOD ADVANCED LIVING
BENTON
CENTRAL MINNESOTA SENIOR CARE
KANDIYOHI
252
CHERRYWOOD OF ANDOVER 1889
ANOKA
CENTRAL MINNESOTA SENIOR CARE
SWIFT
421
CHERRYWOOD OF ANDOVER 1899
ANOKA
CENTRAL MINNESOTA SENIOR CARE
POPE
317
CHERRYWOOD OF BIG LAKE 171
SHERBURNE
403
CENTRAL MINNESOTA SENIOR CARE
MORRISON
278
CHERRYWOOD OF BIG LAKE 177
SHERBURNE
403
CENTRAL MINNESOTA SENIOR CARE
KANDIYOHI
252
CHERRYWOOD OF RICHMOND
STEARNS
411
CENTRAL MINNESOTA SENIOR CARE
CROW WING
60
CHERRYWOOD OF RICHMOND
STEARNS
411
CENTRAL MINNESOTA SENIOR CARE
KANDIYOHI
252
CHERRYWOOD OF ST CLOUD 1030
STEARNS
414
CENTRAL MINNESOTA SENIOR CARE
KANDIYOHI
252
CHERRYWOOD OF ST CLOUD1036
STEARNS
414
CENTRAL MINNESOTA SENIOR CARE
KANDIYOHI
251
CHERRYWOOD POINT OF ROSEVILLE
RAMSEY
329
CENTRAL MINNESOTA SENIOR CARE/
LYON
265
CHERYL'S NURSING POOL INC
MEEKER
274
CENTRAL MN MENTAL HLTH CENTER
STEARNS
413
CHESTNUT GROVE NORTH
SAINT LOUIS
396
CENTRAL MN SENIOR CARE INC
KANDIYOHI
252
CHESTNUT GROVE WEST
SAINT LOUIS
396
CENTRAL MN SENIOR CARE INC
KANDIYOHI
252
CHEZ VOUS HOME CARE LLC
HENNEPIN
221
CENTRAL MN SENIOR CARE TOUCH O
POPE
318
CHEZ VOUS HOME CARE LLC
HENNEPIN
144
CENTRAL MN SURGICAL CENTER LLC
STEARNS
411
CHEZ VOUS HOME CARE LLC
HENNEPIN
151
1
2
85
22
2
2
Minnesota Department of Health
Division of Compliance Monitoring
Index For Directory of Facilities and Services
FACILITY NAME
COUNTY
CHICOS BOARD & LODGE LLC
DODGE
CHILD& ADOL BEHAV HLTH (CABHS)
KANDIYOHI
CHILDREN'S THERAPLAY LLC
RAMSEY
CHILDRENS HC MPLS AMB & REHAB
HENNEPIN
CHILDRENS HEALTH CARE SERVICES
PAGE#
Index Page 12
FACILITY NAME
COUNTY
PAGE#
CLINIQUE HEALTHCARE SERVICES I
HENNEPIN
132
252
CLINTON CARE CENTER
BIG STONE
24
320
CNS HOME HEALTH CARE
OLMSTED
293
206
COKATO MANOR
WRIGHT
448
HENNEPIN
206
COKATO MANOR HOME HEALTH
WRIGHT
448
CHILDRENS HOME CARE & HOSPICE
HENNEPIN
181
COLBY LAKE CARE HOME INC
WASHINGTON
438
CHILDRENS HOME CARE & HOSPICE
HENNEPIN
181
COLFAX VILLAS
HENNEPIN
182
CHILDRENS HOSP & CLINICS MINNE
HENNEPIN
181
COLLEENS CARING HANDS
BELTRAMI
18
CHIPPEWA CO MONTEVIDEO HOSP
CHIPPEWA
47
COLONIAL ACRES HEALTH CARE CTR
HENNEPIN
145
CHIPPEWA COUNTY MONTEVIDEO HHC
CHIPPEWA
47
COLONIAL COURT APARTMENTS
DAKOTA
85
CHOICE HOME CARE INC
OLMSTED
293
COLONIAL COURT APARTMENTS
DAKOTA
85
CHOICES BY DESIGN LLC
HENNEPIN
151
COLONIAL COURT APARTMENTS
DAKOTA
85
CHOSEN VALLEY APARTMENTS
FILLMORE
95
COLONIAL MANOR NURSING HOME
JACKSON
248
CHOSEN VALLEY ASSISTED LIVING
FILLMORE
95
COLONIAL MANOR OF BALATON
LYON
264
CHOSEN VALLEY CARE CENTER
FILLMORE
95
COLONY COURT
WASECA
429
CHRIS JENSEN HLTH & REHAB CTR
SAINT LOUIS
382
COLONY COURT
WASECA
429
CHRISTIAN GLANCEY
RAMSEY
364
COLONY COURT MEMORY CARE & CAR
WASECA
429
CHRISTINE PROFESSIONAL HEALTH
RAMSEY
326
COLORADO COURT
HENNEPIN
229
CHRONIC DIALYSIS UNIT
CROW WING
60
COLORADO HOUSE
HENNEPIN
123
CHU SURGERY CENTER LLC
HENNEPIN
COLUMBIA APARTMENTS
SAINT LOUIS
396
CIMARRON ASSISTED LIVING
DAKOTA
COLUMBIA VILLAGE
ANOKA
CIP CITY LIGHTS
HENNEPIN
COMFORCARE SENIOR SERVICES
DAKOTA
CIRCLE DRIVE MANOR ASST LVNG
DODGE
COMFORCARE SENIOR SERVICES-MIN
HENNEPIN
207
CIRCLE OF LIFE HC ANISHINAABE
HENNEPIN
182
COMFORT CARE COTTAGES
WADENA
428
CK HOME HEALTH CARE INC
OTTER TAIL
302
COMFORT HEALTH
OLMSTED
293
CLARA CITY CARE CENTER
CHIPPEWA
46
COMFORT HEALTH
OLMSTED
293
CLARA HOUSE
HOUSTON
237
COMFORT KEEPERS
NORTH DAKOTA
452
CLARE APARTMENTS
HENNEPIN
182
COMFORT KEEPERS
ANOKA
CLARE BRIDGE OF EAGAN
DAKOTA
70
COMFORT KEEPERS
WISCONSIN
CLARE BRIDGE OF EDEN PRAIRIE
HENNEPIN
136
COMFORT KEEPERS
DAKOTA
CLARE BRIDGE OF NORTH OAKS
RAMSEY
327
COMFORT KEEPERS
WASHINGTON
438
CLARE BRIDGE OF OWATONNA
STEELE
417
COMFORT KEEPERS
HENNEPIN
216
CLARE BRIDGE OF PLYMOUTH
HENNEPIN
216
COMFORT KEEPERS
ANOKA
CLARE BRIDGE OF WEST ST PAUL
DAKOTA
85
COMFORT KEEPERS
STEARNS
416
CLARE HOUSING
HENNEPIN
182
COMFORT KEEPERS
MORRISON
278
CLARE MIDTOWN
HENNEPIN
182
COMFORT KEEPERS
ANOKA
5
CLARKFIELD CARE CENTER
YELLOW MEDICINE
451
COMFORT KEEPERS 283 668 772
ANOKA
5
CLARKFIELD HOME HEALTH AGENCY
YELLOW MEDICINE
451
COMFORT SERVICES LLC
HENNEPIN
182
CLARKFIELD HOUSING & REDEVELOP
YELLOW MEDICINE
452
COMFORTABLE HOME HEALTH CARE L
HENNEPIN
123
CLAY COUNTY RECEIVING CENTER
CLAY
53
COMFORTCARE NURSING SERVICES I
HENNEPIN
133
CLAYCO CARE CENTER
CLAY
51
COMM ADDICTION REC ENTERPRISE
NICOLLET
286
CLAYRIDGE ASSISTED LIVING
SAINT LOUIS
380
COMM ADDICTION RECOVERY ENTERP
OTTER TAIL
302
CLEARWATER CO NSG SERVICE
CLEARWATER
55
COMM BEHAV HLTH HOSP ANNANDALE
WRIGHT
446
CLEARWATER HOSPICE
CLEARWATER
55
COMM BEHAV HLTH HOSP BAXTER
CROW WING
CLIENT CENTERED HOME CARE
WASHINGTON
438
COMM BEHAV HLTH HOSP BEMIDJI
BELTRAMI
18
CLINIQUE HEALTH CARE SERVICES
HENNEPIN
132
COMM BEHAV HLTH HOSP ROCHESTER
OLMSTED
293
88
106
83
132
89
7
71
5
454
76
5
58
Minnesota Department of Health
Division of Compliance Monitoring
Index For Directory of Facilities and Services
FACILITY NAME
COUNTY
COMM BEHAV HOSP FERGUS FALLS
OTTER TAIL
COMM BEHAVIORAL HEALTH HOSP
DOUGLAS
COMM BEHAVIORAL HEALTH HOSP
NICOLLET
COMM OPTIONS AND RESOURCES I
MARTIN
COMMON SENSE SERVICES
DAKOTA
COMMUNITIES OF CARE
RAMSEY
COMMUNITY ADDICTION RECOVERY
CARLTON
COMMUNITY ADDICTION RECOVERY E
CROW WING
COMMUNITY ADDICTION WILLMAR
KANDIYOHI
COMMUNITY ASSISTED LIVING
DAKOTA
COMMUNITY ASSISTED LIVING INC
SCOTT
COMMUNITY ASSISTED LIVING INC
DAKOTA
COMMUNITY ASSISTED LIVING INC
DAKOTA
COMMUNITY ASSISTED LIVING INC
DAKOTA
COMMUNITY ASSISTED LIVING INC
SCOTT
COMMUNITY ASSISTED LIVING INC
SCOTT
COMMUNITY FOUNDATIONS
RAMSEY
COMMUNITY HOME HEALTH INC
SCOTT
COMMUNITY INVOLVEMENT PROG HHS
HENNEPIN
COMMUNITY LIVING OPTIONS INC
PAGE#
Index Page 13
FACILITY NAME
COUNTY
COON RAPIDS DIALYSIS UNIT
ANOKA
COPPER GLEN
CHIPPEWA
48
286
COPPERFIELD HILL - THE LODGE
HENNEPIN
225
270
COPPERFIELD HILL - THE MANOR
HENNEPIN
225
78
COPPERLEAF SENIOR LIVING
KANDIYOHI
253
333
COPPERLEAF SENIOR LIVING
KANDIYOHI
253
35
CORAM SPECIALTY INFUSION SERV
DAKOTA
81
60
CORNELIA HOUSE
RAMSEY
347
CORNERSTONE ASSISTED LIVING
HENNEPIN
216
CORNERSTONE NSG & REHAB CENTER
CLEARWATER
55
402
CORNERSTONE RES OF BAGLEY INC
CLEARWATER
55
64
CORNERSTONE RESID OF KELLIHER
BELTRAMI
20
73
CORNERSTONE RESIDENCE
POLK
316
73
CORNERSTONE VILLA
SAINT LOUIS
380
399
COTEAU DES PRAIRIES HOSPITAL H
SOUTH DAKOTA
454
401
COTTAGE GROVE DIALYSIS
WASHINGTON
431
320
COTTAGE GROVE WHITE PINE
WASHINGTON
431
399
COTTAGE GROVE WP II LLC
WASHINGTON
431
182
COTTAGE ON FOREST
RICE
374
WASHINGTON
439
COTTAGEWOOD SENIOR COMMUNITIES
WRIGHT
446
COMMUNITY MEM HOSP ESRD UNIT
WINONA
443
COTTAGEWOOD SENIOR COMMUNITIES
OLMSTED
293
COMMUNITY MEMORIAL HOME
DOUGLAS
93
COTTAGEWOOD SENIOR COMMUNITIES
OLMSTED
294
COMMUNITY MEMORIAL HOSPITAL
CARLTON
36
COTTAGEWOOD SENIOR COMMUNITIES
OLMSTED
294
COMMUNITY OPTIONS
ANOKA
11
COTTAGEWOOD SENIOR COMMUNITIES
OLMSTED
294
COMMUNITY SUPPORTS PROGRAMMING
PINE
311
COTTAGEWOOD SENIOR COMMUNITIES
OLMSTED
294
COMO VILLA ESTATES
RAMSEY
347
COTTAGEWOOD SENIOR COMMUNITIES
BLUE EARTH
COMPASSIONATE CARE HOSPICE
NOBLES
288
COTTAGEWOOD SENIOR COMMUNITIES
WRIGHT
446
COMPASSIONATE CARE INC
KANDIYOHI
252
COTTAGEWOOD SENIOR COMMUNITIES
OLMSTED
294
COMPASSIONATE CARE SERVICES
HENNEPIN
115
COTTAGEWOOD SENIOR COMMUNITIES
WRIGHT
446
COMPASSIONATE COTTAGE LLC
KANDIYOHI
252
COTTAGEWOOD SENIOR COMMUNITIES
OLMSTED
293
COMPASSIONATE COTTAGE LLC
KANDIYOHI
253
COTTAGEWOOD SENIOR COMMUNITIES
OLMSTED
293
COMPASSIONATE HOME CARE
ROSEAU
378
COTTAGEWOOD SENIOR COMMUNITIES
OLMSTED
293
COMPASSIONATE HOME HEALTH INC
ANOKA
7
COTTAGEWOOD SR CMTY MANKATO
BLUE EARTH
COMPASSIONATE LUCYS SENIOR HOM
ANOKA
13
COTTAGEWOOD SR CMTY OF BUFFALO
WRIGHT
446
COMPASSIONATE NURSES NETWORK L
HENNEPIN
182
COTTAGEWOOD SR CMTY ROCHESTER
OLMSTED
294
COMPASSIONCARE
CLAY
COTTAGEWOOD SR COMMONS-BUFFALO
WRIGHT
446
COMPASSIONCARE
HENNEPIN
COTTONWOOD JACKSON COMM H S
JACKSON
247
COMPLETE HOME HEALTH SERVICES
ANOKA
14
COUNTRY HOME COMFORTS
PINE
310
COMSTOCK COURT
ITASCA
243
COUNTRY HOME COMFORTS LLC
PINE
310
CONGREGATE HOUSING SERVS PROG
RAMSEY
347
COUNTRY LVNG MANAGEMENT CO
KANDIYOHI
251
CONNIE R DAVIS LPN
CHISAGO
51
COUNTRY MANOR EXTENDED SERV
BENTON
21
CONTENT SENIOR CARE LLC
STEARNS
413
COUNTRY MANOR EXTENDED SVCS
BENTON
21
COOK CAREFREE LIVING INC
SAINT LOUIS
381
COUNTRY MANOR HLTH & REHAB CTR
BENTON
COOK CO NORTHSHORE HOSP &C CTR
COOK
56
COUNTRY MEADOWS
MILLE LACS
276
COOK CO NORTHSHORE HOSP HM HLT
COOK
56
COUNTRY VIEW SENIOR COMMUNITY
REDWOOD
368
COOK HOSPITAL
SAINT LOUIS
COUNTRY VILLAGE APARTMENTS
SCOTT
402
302
89
252
64
53
145
381
PAGE#
9
26
26
21
Minnesota Department of Health
Division of Compliance Monitoring
Index For Directory of Facilities and Services
FACILITY NAME
COUNTY
PAGE#
COUNTRYSIDE CATERED SR LIVING
STEELE
417
COUNTRYSIDE RETIREMENT COMMUNI
BROWN
33
COVENTRY SENIOR LIVING
WASHINGTON
COVENTRY SENIOR LIVING
WASHINGTON
COVENTRY SENIOR LIVING OF MAPL
Index Page 14
FACILITY NAME
COUNTY
PAGE#
DAKOTA CO RECEIVING CENTER
DAKOTA
74
DAKOTA HOMEMAKING SERVICES INC
DAKOTA
64
433
DALE STREET PLACE
RAMSEY
348
434
DALYCE ELLIOTT YOUNG
RAMSEY
348
RAMSEY
320
DANEBOD VILLAGE HOME
LINCOLN
263
CREEKRIDGE CONCIERGE
SCOTT
400
DARTS
DAKOTA
85
CREEKSIDE COTTAGE CATERED LIVI
ANOKA
9
DASSEL MEDICAL CENTER
MEEKER
273
CREST VIEW HOME CARE
ANOKA
7
DAWNS ELDER CARE
RICE
371
CREST VIEW HOME HEALTH CARE
ANOKA
7
DAWSON CLINIC
LAC QUI PARLE
258
CREST VIEW LUTHERAN HOME
ANOKA
7
DAWSON ICFMR
LAC QUI PARLE
258
CREST VIEW ON 42ND
ANOKA
7
DEACONESS TOWER
RICE
371
CREST VIEW VILLA
DODGE
88
DEACONESS TOWER ASSISTED LIVIN
RICE
371
CRESTWOOD APARTMENTS
DAKOTA
74
DEBRA L HADDEN
WRIGHT
448
CRESTWOOD APARTMENTS
DAKOTA
74
DECKER'S FAMILY CARE INC/PAPER
KOOCHICHING
257
CROIXDALE
WASHINGTON
430
DECKERS FAMILY CARE INC
KOOCHICHING
258
CROIXDALE
WASHINGTON
431
DEER CREST
GOODHUE
101
CROMWELL COMMONS
HENNEPIN
182
DEER RIVER HEALTH CARE CENTER
ITASCA
243
CROOKSTON HOUSING & ECONOMIC D
POLK
314
DEER RIVER HOME CARE
ITASCA
243
CROSS HOME
MOWER
281
DELLWOOD GARDENS
RAMSEY
348
CROSSING HOME
RAMSEY
347
DELLWOOD GARDENS
RAMSEY
348
CROSSROADS APARTMENTS
POLK
315
DELPHI
SCOTT
402
CROSSROADS AT PENN
HENNEPIN
221
DELTA HOME HEALTH CARE LLC
HENNEPIN
136
CROSSROADS AT PENN
HENNEPIN
221
DEMAR ASSOCIATES INC
ANOKA
CROSSROADS AT PENN
HENNEPIN
221
DERMAN SENIOR CARE
HENNEPIN
183
CROSSROADS AT PENN
HENNEPIN
221
DESTINY HOME CARE SERVICES
HENNEPIN
106
CROSSROADS AT PENN
HENNEPIN
221
DESTINY HOME CARE SERVICES
HENNEPIN
106
CROSSROADS CARE CENTER
NOBLES
289
DESTINY HOME CARE SERVICES
HENNEPIN
106
CROSSROADS SURGERY CENTER
RICE
371
DESTINY HOME CARE SERVICES INC
HENNEPIN
106
CROSSTOWN SURGERY CENTER LLC
HENNEPIN
139
DIALYSIS AT MANKATO CLINIC
BLUE EARTH
26
CROW WING CO HLTH & SS DVSN
CROW WING
60
DIAMOND WILLOW ASSISTED LIVING
SAINT LOUIS
382
CROWN MEDICAL HOME HEALTH AGEN
HENNEPIN
182
DIAMOND WILLOW ASSISTED LIVING
CARLTON
36
CRS GROTTO REENTRY LLC
RAMSEY
347
DIAMOND WILLOW ASSISTED LIVING
BECKER
14
CRS PENN RE-ENTRY LLC
HENNEPIN
183
DIAMOND WILLOW ASSISTED LIVING
SAINT LOUIS
395
CRYSTAL BLUE
RAMSEY
326
DIAMOND WILLOW ASSISTED LIVING
CROW WING
59
CRYSTAL CARE CENTER
HENNEPIN
133
DIAMOND WILLOW ASSISTED LIVING
SAINT LOUIS
395
CRYSTAL CARE HOME HLTH SRV INC
HENNEPIN
221
DIAMOND WILLOW ASSISTED LIVING
SAINT LOUIS
382
CRYSTAL COURTS APARTMENTS
HENNEPIN
133
DIAMOND WILLOW ASSISTED LIVING
SAINT LOUIS
395
CRYSTAL LAKE HOME
ITASCA
244
DIAMOND WILLOW ASSISTED LIVING
SAINT LOUIS
395
CRYSTAL SEASONS LVG COMMUNITY
BLUE EARTH
25
DIAMOND WILLOW ASSISTED LIVING
SAINT LOUIS
395
CSSC HOME CARE SERVICES
HENNEPIN
221
DIAMOND WILLOW ASSISTED LIVING
SAINT LOUIS
396
CTR FOR INDEPENDENT LVG NE MN
SAINT LOUIS
393
DIAMOND WILLOW ASSISTED LIVING
HUBBARD
238
CTRL MN RECEIVING AND REFERRAL
STEARNS
414
DIAMOND WILLOW ASSISTED LIVING
CROW WING
CUSTOMCARE HOME HEALTH CARE LL
HENNEPIN
139
DIAMOND WILLOW ASSISTED LIVING
CARLTON
CUYUNA REGIONAL MEDICAL CENTER
CROW WING
62
DIAMOND WILLOW ASSISTED LIVING
SAINT LOUIS
395
CYPRESS MANOR
ANOKA
2
DIAMOND WILLOW ASSISTED LIVING
HUBBARD
238
DAISY HOME CARE INC
HENNEPIN
145
DIAMOND WILLOW ASSISTED LIVING
ITASCA
244
9
59
36
Minnesota Department of Health
Division of Compliance Monitoring
Index For Directory of Facilities and Services
FACILITY NAME
COUNTY
DIAMOND WILLOW ASSISTED LIVING
MORRISON
DIAMOND WILLOW ASSISTED LIVING
DOUGLAS
DIAMOND WILLOW ASSISTED LIVING
DOUGLAS
DIAMOND WILLOW ASSISTED LIVING
MORRISON
DIAMOND WILLOW ASSISTED LIVING
BECKER
DIAMOND WILLOW ASSISTING LIVIN
ITASCA
DIAMONDCREST SENIOR LIVING
HENNEPIN
DIAMONDS HOME HEALTH CARE INC
HENNEPIN
DIANE AHRENS CRISIS RESIDENCE
RAMSEY
DIANES PERSONAL SERVICE
HENNEPIN
DIGNITY AND GRACE
CASS
DIGNITY HEALTHCARE SERVICES
ANOKA
DISTRICT ONE HOSPITAL
RICE
DIVINE CARE LLC
DAKOTA
DIVINE HEALTHCARE NETWORK
RAMSEY
DIVINE HOME CARE INC
KANDIYOHI
DIVINE HOME CARE INC
KANDIYOHI
DIVINE HOSPICE CARE
KANDIYOHI
DIVINE HOUSE INC
KANDIYOHI
DIVINE HOUSE INC
PAGE#
Index Page 15
FACILITY NAME
COUNTY
PAGE#
278
DUNGARVIN HUMBOLDT
HENNEPIN
123
90
DUNGARVIN HUMBOLDT
HENNEPIN
123
90
DUNGARVIN HUMBOLDT
HENNEPIN
123
278
DUNGARVIN HUMBOLDT
HENNEPIN
123
DUNGARVIN MINNESOTA LLC
DAKOTA
81
244
DUNGARVIN TIKVAH
RAMSEY
348
227
DUNGARVIN YOUGAL
HENNEPIN
151
183
E B I INCORPORATED
SAINT LOUIS
383
348
EAGAN DIALYSIS UNIT
DAKOTA
71
107
EAGLE CREST ARBOR
RAMSEY
329
44
EAGLE CREST COMMONS
RAMSEY
329
13
EAGLE STREET CATERED LIVING
ANOKA
EAGLECREST SENIOR HOUSING LLC
RAMSEY
329
EAGLES CROSSING HOME MANAGEMNT
TODD
423
348
EARLE BROWN TERRACE
HENNEPIN
116
253
EARLE BROWN TERRACE
HENNEPIN
116
253
EAST RIDGE COURT
RENVILLE
370
253
EAST RIVER ROAD DIALYSIS
ANOKA
253
EASTWOOD HOME
REDWOOD
367
KANDIYOHI
253
EASTWOOD SENIOR LVG HOME CARE
KANABEC
249
DIVINE HOUSE INC/VALLEY QUEST
KANDIYOHI
253
EASY LIVING ELDER CARE LLC
WISCONSIN
455
DIVINE HOUSE INC/VALLEYBROOK H
KANDIYOHI
253
EBENEZER CARE CENTER
HENNEPIN
183
DIVINE NURTURING HOMECARE SERV
HENNEPIN
123
EBENEZER HOME CARE
HENNEPIN
216
DIVINE PROVIDENCE COMM HOME
BROWN
33
EBENEZER HOME CARE
DAKOTA
78
DIVINE PROVIDENCE HEALTH CENTR
LINCOLN
263
EBENEZER HOME CARE
RAMSEY
329
DIVINE TOUCH HOME HEALTH CARE
OLMSTED
294
EBENEZER HOME CARE
HENNEPIN
183
DOMAN ROSE PLACE
JACKSON
248
EBENEZER LAKES SENIOR HOUSING
CHISAGO
DOMAN ROSE PLACE
JACKSON
248
EBENEZER PARK APARTMENTS
HENNEPIN
DOMINION HOME HEALTH SERVICES
MCLEOD
270
EBENEZER RIDGE POINT APARTMENT
DAKOTA
DONNA MARIE NORGREN
HENNEPIN
139
EBENEZER RIDGES GERIATRIC CC
DAKOTA
DONOVAN FRANK DETOX CENTER
SAINT LOUIS
396
EBENEZER TOWER APARTMENTS
HENNEPIN
184
DOUGLAS CO PUB HEALTH HOSPICE
DOUGLAS
90
ECUMEN ALEXANDRIA COMMUNITY ME
DOUGLAS
90
DOUGLAS COUNTY HOSPITAL
DOUGLAS
90
ECUMEN AT HOME
ANOKA
9
DR THOMAS H JOHNSON HWS
HENNEPIN
183
ECUMEN AT HOME
ANOKA
9
DR THOMAS H JOHNSON HWS
HENNEPIN
183
ECUMEN CHISAGO CITY VINDAUGA V
CHISAGO
DR THOMAS H JOHNSON HWS
HENNEPIN
183
ECUMEN DULUTH THE SHORES
SAINT LOUIS
383
DR THOMAS H JOHNSON'S HOUSE WI
HENNEPIN
183
ECUMEN HUTCHINSON THE PINES
MCLEOD
271
DRCC AURORA
SAINT LOUIS
380
ECUMEN LAKE CRYSTAL
BLUE EARTH
DRCC LAVERNE
SAINT LOUIS
383
ECUMEN LAKEVIEW COMMONS
RAMSEY
320
DSSY PROPERTIES
DAKOTA
84
ECUMEN LAKEVIEW COMMONS
RAMSEY
320
DULUTH REG CARE CTR THALASSIC
LAKE
260
ECUMEN LECENTER
LESUEUR
261
DUNGARVIN BALBRIGGEN
RAMSEY
348
ECUMEN LITCHFIELD SR HSG SERVS
MEEKER
274
DUNGARVIN CAMARA
RAMSEY
333
ECUMEN MAPLETON
BLUE EARTH
DUNGARVIN CHAI
HENNEPIN
217
ECUMEN NEW RICHLAND
WASECA
429
DUNGARVIN COVINGTON COURT 374
DAKOTA
86
ECUMEN NORTH BRANCH
CHISAGO
50
DUNGARVIN COVINGTON COURT 376
DAKOTA
86
ECUMEN NORTH BRANCH
CHISAGO
50
14
371
78
9
12
51
183
67
67
49
25
30
Minnesota Department of Health
Division of Compliance Monitoring
Index For Directory of Facilities and Services
FACILITY NAME
COUNTY
ECUMEN OAKS
MCLEOD
ECUMEN OF LITCHFIELD HC & HSPC
MEEKER
ECUMEN OF LITCHFIELD HOME CARE
MEEKER
ECUMEN PRAIRIE HILL
NICOLLET
ECUMEN SAND PRAIRIE
PAGE#
Index Page 16
FACILITY NAME
COUNTY
271
ELIM HOME
MILLE LACS
277
274
ELIM HOME - MILACA
MILLE LACS
276
274
ELIM HOME WATERTOWN
CARVER
286
ELIM SHORES
HENNEPIN
136
NICOLLET
286
ELIMARC HEALTH CARE NETWORK IN
HENNEPIN
123
ECUMEN SCENIC SHORES
LAKE
260
ELITE NURSING SERVICE INC
HENNEPIN
123
ECUMEN SEASONS AT APPLE VALLEY
DAKOTA
ELLIOT APARTMENTS
HENNEPIN
184
ECUMEN SEASONS AT MAPLEWOOD
RAMSEY
320
ELLIOT CARE HOME INC
HENNEPIN
184
ECUMEN SEASONS AT MAPLEWOOD
RAMSEY
320
ELLIOT COURT APARTMENTS
HENNEPIN
184
ECUMEN TWO HARBORS SCENIC SHOR
LAKE
260
ELMHURST COMMONS
ISANTI
240
ECUMEN WORTHINGTON THE MEADOWS
NOBLES
289
ELY BLOOMENSON COMM HOSPITAL
SAINT LOUIS
390
ECUMEN WORTHINGTON THE MEADOWS
NOBLES
289
ELY BLOOMENSON HOSPITAL HHA
SAINT LOUIS
390
EDEN HOMES INC
HENNEPIN
184
ELY CAREFREE LIVING
SAINT LOUIS
390
EDEN HOMES INC
HENNEPIN
184
ELY CAREFREE LIVING
SAINT LOUIS
390
EDEN PARK APARTMENTS
HENNEPIN
116
ELY CAREFREE LIVING
SAINT LOUIS
390
EDEN PRAIRIE DIALYSIS
HENNEPIN
136
EMANUEL HOUSING LP
HENNEPIN
184
EDEN RESIDENTIAL PROGRAM
HENNEPIN
184
EMBRACE HOME CARE LLC
FREEBORN
EDGEBROOK CARE CENTER
PIPESTONE
312
EMERITUS AT CHAMPLIN SHORES
HENNEPIN
EDGEBROOK ESTATES
PIPESTONE
312
EMMANUEL COMMUNITY
BECKER
EDGEBROOK ESTATES ASSISTED LIV
PIPESTONE
312
EMMANUEL COMMUNITY
BECKER
14
EDGEWATER ASSISTED LIVING
PINE
311
EMMANUEL HOME
MEEKER
274
EDGEWOOD BLAINE SENIOR LVG LLC
ANOKA
5
EMMANUEL NURSING HOME
BECKER
14
EDGEWOOD BLAINE SENIOR LVG LLC
ANOKA
5
EMMAUS PLACE
MEEKER
274
EDGEWOOD CARE INC
ITASCA
242
EMPIRE SYSTEMS HOME CARE INC
HENNEPIN
123
EDGEWOOD GABLES
WRIGHT
448
EMPOWERMENT HC BENS HOUSE
HENNEPIN
213
EDGEWOOD VISTA
POLK
315
EMPOWERMENT HC IAN'S HOUSE
HENNEPIN
124
EDGEWOOD VISTA ALEXANDRIA
DOUGLAS
EMPOWERMENT HC IYKES HOUSE
HENNEPIN
124
EDGEWOOD VISTA ALZHEIMERS CARE
SAINT LOUIS
391
EMPOWERMENT HC KRISTEN'S HOUSE
HENNEPIN
124
EDGEWOOD VISTA BRAINERD
CROW WING
60
EMPOWERMENT HC RYLEE'S HOUSE
HENNEPIN
124
EDGEWOOD VISTA BRAINERD ALZHEI
CROW WING
60
EMPOWERMENT HC STANLEY'S HOUSE
HENNEPIN
124
EDGEWOOD VISTA HERMANTOWN
SAINT LOUIS
392
EMPOWERMENT HEALTHCARE
HENNEPIN
124
EDGEWOOD VISTA SUITES
SAINT LOUIS
392
ENCORE SENIOR HOME CARE
HENNEPIN
143
EDGEWOOD VISTA VIRGINIA
SAINT LOUIS
396
ENDLESS CARE LLC
RAMSEY
348
EDGEWOOD VISTA VIRGINIA - ALZ
SAINT LOUIS
396
ENGLISH ROSE SUITES
HENNEPIN
140
EDINA CARE & REHAB CENTER
HENNEPIN
139
ENGLISH ROSE SUITES
HENNEPIN
140
EDINA DIALYSIS CENTER
HENNEPIN
139
ENGLISH ROSE SUITES
HENNEPIN
235
EDINA PARK PLAZA
HENNEPIN
139
ENGLISH ROSE SUITES
HENNEPIN
140
EDINA PARK PLAZA
HENNEPIN
139
ENGLISH ROSE SUITES
HENNEPIN
235
EDINA SURGERY CENTER
HENNEPIN
140
ENGLISH ROSE SUITES BRAEMAR HI
HENNEPIN
140
ELDER CARE SERVICES INC
BLUE EARTH
EPIPHANY ASSISTED LIVING LLC
ANOKA
9
ELDER HAVEN
WASHINGTON
432
EPIPHANY PINES SENIOR HOUSING
ANOKA
9
ELDER HOMESTEAD
HENNEPIN
207
EPISCOPAL CHURCH HOME OF MN
RAMSEY
348
ELDERCARE SOLUTIONS INC
HENNEPIN
184
EPISCOPAL HOME CARE AND SERVIC
RAMSEY
349
ELDERS HOME INC
OTTER TAIL
306
EPISCOPAL HOME CARE AND SRVS
RAMSEY
349
ELDERWOOD OF HINCKLEY
PINE
310
EQUITY SERVICES OF ST PAUL
RAMSEY
349
ELDERWOOD OF HINCKLEY
PINE
310
ESSENTIA HEALTH - ADA CLINIC
NORMAN
290
64
90
25
PAGE#
44
97
131
14
Minnesota Department of Health
Division of Compliance Monitoring
Index For Directory of Facilities and Services
FACILITY NAME
COUNTY
ESSENTIA HEALTH - SANDSTONE
PINE
ESSENTIA HEALTH ADA
NORMAN
ESSENTIA HEALTH BAGLEY CLINIC
CLEARWATER
ESSENTIA HEALTH CHOKIO CLINIC
STEVENS
ESSENTIA HEALTH DULUTH
PAGE#
Index Page 17
FACILITY NAME
COUNTY
PAGE#
312
EXCEPTIONAL HOME HEALTH
HENNEPIN
185
290
EXPRESS HOME HEALTH CARE
RAMSEY
349
EXTENDED HAND HOME CARE
OLMSTED
294
420
EXTENDED HAND HOME CARE LLC
OLMSTED
294
SAINT LOUIS
383
FAIR MEADOW ASSISTED LIVING
POLK
315
ESSENTIA HEALTH FOSSTON
POLK
316
FAIR MEADOW ASSISTED LIVING
POLK
315
ESSENTIA HEALTH FOSSTON HM HTH
POLK
316
FAIR MEADOW NURSING HOME
POLK
315
ESSENTIA HEALTH GRACE HOME
BIG STONE
FAIR OAKS LODGE
WADENA
428
ESSENTIA HEALTH NORTHERN PINES
SAINT LOUIS
FAIRFAX COMMUNITY HOME
RENVILLE
369
ESSENTIA HEALTH OAK CROSSING
BECKER
FAIRFAX COMMUNITY HOME HEALTH
RENVILLE
369
ESSENTIA HEALTH OKLEE CLINIC
RED LAKE
366
FAIRFAX COMMUNITY HOME INC
RENVILLE
369
ESSENTIA HEALTH SANDSTONE
PINE
312
FAIRHAVENS HOME CARE
HENNEPIN
124
ESSENTIA HEALTH ST JOSEPHS MED
CROW WING
60
FAIRVIEW CARE CENTER
DODGE
ESSENTIA HEALTH ST MARYS
BECKER
15
FAIRVIEW HOME CARE AND HOSPICE
HENNEPIN
185
ESSENTIA HEALTH ST MARYS HOSPI
SAINT LOUIS
383
FAIRVIEW HOME INFUSION
HENNEPIN
185
ESSENTIA HEALTH ST MARYS MED
SAINT LOUIS
383
FAIRVIEW HOSPICE
HENNEPIN
185
ESSENTIA HEALTH VIRGINIA
SAINT LOUIS
397
FAIRVIEW LAKES HOMECARING HOSP
CHISAGO
49
ESSENTIA HLTH GRACEVILLE CLINI
BIG STONE
24
FAIRVIEW LAKES HOMECARING HOSP
CHISAGO
49
ESSENTIA HLTH GRACEVILLE HH
BIG STONE
24
FAIRVIEW LAKES MEDICAL CENTER
CHISAGO
51
ESSENTIA HLTH HOLY TRINITY HOS
BIG STONE
24
FAIRVIEW MAPLE GROVE SURG CTR
HENNEPIN
151
ESSENTIA ST MARY'S MAHNOMEN CL
MAHNOMEN
FAIRVIEW NORTHLAND REG HOSP
MILLE LACS
277
ESSENTIAL INDEPENDENCE LLC
ANOKA
FAIRVIEW PLACE APARTMENTS
RENVILLE
370
ESSLING'S HOMES PLUS INC
RAMSEY
321
FAIRVIEW RIDGES HOSPITAL
DAKOTA
ESSLINGS HOMES PLUS INC
RAMSEY
321
FAIRVIEW SOUTHDALE HOSPITAL
HENNEPIN
140
ESSLINGS HOMES PLUS INC
RAMSEY
349
FAIRVIEW UNIVERSITY TRANS SERV
HENNEPIN
185
ESSLINGS HOMES PLUS INC
RAMSEY
349
FAIRWAY PINES SENIOR LIVING CO
STEARNS
412
ESTEEM NURSING CARE INC
HENNEPIN
113
FAIRWAY PINES SENIOR LVG COMM
STEARNS
412
EVANSVILLE CARE CENTER
DOUGLAS
93
FAIRWAY VIEW SENIOR COMMUNIT
BIG STONE
EVANSVILLE SENIOR LIVING
DOUGLAS
93
FAITH HOME CARE LLC
WASHINGTON
439
EVENSONG MANOR
HENNEPIN
124
FALLS LANDING ASSISTED LIVING
PIPESTONE
313
EVENTIDE FAIRMONT
CLAY
53
FAMILY CARE SERVICES INC
HENNEPIN
185
EVENTIDE LUTHERAN HOME
CLAY
53
FAMILY CHOICE HOMECARE
DAKOTA
81
EVERGREEN APARTMENTS
HENNEPIN
FAMILY FIRST HEALTHCARE INC
RAMSEY
349
EVERGREEN KNOLL
CARLTON
FAMILY MEDICAL CENTER
MORRISON
280
EVERGREEN LODGE
RICE
375
FAMILY SERVICE ROCHESTER INC
OLMSTED
295
EVERGREEN PLACE
GOODHUE
100
FAMILY SURGERY CENTER LLC
KANDIYOHI
254
EVERGREEN SENIOR LIVING
CARLTON
FARIBAULT AREA HOSPICE
RICE
372
EVERGREEN TERRACE
ITASCA
244
FARIBAULT CARE CENTER
RICE
372
EVERYDAY LIVING 133 BUILDING
DAKOTA
84
FARIBAULT DIALYSIS UNIT
RICE
372
EVERYDAY LIVING LLC
DAKOTA
71
FARIBAULT SENIOR LIVING
RICE
372
EVERYDAY LIVING LLC 202
DAKOTA
84
FARIBAULT SOCS
RICE
372
EVERYDAY LIVING LLC 214
DAKOTA
83
FARMAL HOMES INC
HENNEPIN
185
EVERYDAY LIVING LLC 3122
HENNEPIN
184
FARMAL HOMES INC
HENNEPIN
185
EVERYDAY LIVING LLC 550
DAKOTA
FARMINGTON HEALTH SERVICES
DAKOTA
EXCEL PHYSICAL THERAPY
WRIGHT
446
FERGUS FALLS DIALYSIS CENTER
OTTER TAIL
302
EXCELLENT CARE SERVICES INC
OLMSTED
294
FIDELITY HEALTHCARE
HENNEPIN
185
55
24
380
14
267
9
124
36
36
84
88
67
24
73
Minnesota Department of Health
Division of Compliance Monitoring
Index For Directory of Facilities and Services
FACILITY NAME
COUNTY
FIELD CREST CARE CENTER
DODGE
FIELD CREST HOME CARE
DODGE
FIELDCREST ASSISTED LIVING
LYON
FILLMORE COUNTY PHNS
FILLMORE
FIREFLY IMAGING SERVICES LLC
JACKSON
FIRST CARE HOSPICE
POLK
FIRST CHOICE HOME CARE INC
RAMSEY
FIRST CHOICE NURSING & HOME CA
HENNEPIN
FIRST CHOICE NURSING & HOME CA
HENNEPIN
FIRST CHOICE NURSING & HOMECAR
PAGE#
Index Page 18
FACILITY NAME
COUNTY
PAGE#
88
FORENSIC SERVICES
NICOLLET
287
88
FOREST LAKE HOMECARE INC
WASHINGTON
432
FOREVER CARES INC
WASHINGTON
436
FOREVER LIFE HOME HEALTH CARE
CARVER
247
FOUNDERS RIDGE
HENNEPIN
107
316
FOUNDERS RIDGE
HENNEPIN
107
349
FOUNTAIN LAKE TREATMENT CTR
FREEBORN
97
124
FOURTH AVENUE HOMES INC
KANDIYOHI
254
125
FRAMEWORK FOR THE LONG-LIVED
WASECA
430
HENNEPIN
116
FRANCISCAN HEALTH CENTER
SAINT LOUIS
383
FIRST CHOICE NURSING AND HOME
HENNEPIN
116
FRANCISCAN HOME CARE
RAMSEY
349
FIRST EQUITY GROUP
HENNEPIN
185
FRANKLIN HOUSING COOP
HENNEPIN
186
FIRSTAT NURSING SERVICES
RAMSEY
349
FRANKLIN HOUSING COOPERATIVE
HENNEPIN
186
FIRSTLIGHT HEALTH SYSTEM
KANABEC
249
FRASER COMMUNITY SERVICES
HENNEPIN
221
FIRSTLIGHT HINCKLEY
PINE
310
FRAZEE ASSISTED LIVING H C
BECKER
16
FIRSTLIGHT PINE CITY
PINE
311
FRAZEE CARE CENTER
BECKER
16
FITZGERALD NH AND REHAB
SAINT LOUIS
391
FREEDOM LIVING CENTER LLC
RED LAKE
366
FIVE STAR ASSISTED LIVING SERV
SAINT LOUIS
383
FREEDOM POINTE MINNETONKA
HENNEPIN
207
FMC DIAL SERVS OF SPIRIT VALLE
SAINT LOUIS
383
FRESENIUS MED CARE COON RAPIDS
ANOKA
FMC DIALYSIS SERVCES GOLDN VAL
HENNEPIN
145
FRESENIUS MED CARE MAPLE GROVE
HENNEPIN
152
FMC DIALYSIS SERVCES NO SUBURB
ANOKA
FRESENIUS MED CARE OF CHAMPLIN
HENNEPIN
131
FMC DIALYSIS SERVCES ROSEVILLE
RAMSEY
330
FRESENIUS MED CARE OF HIBBING
SAINT LOUIS
393
FMC DIALYSIS SERVICES BUFFALO
WRIGHT
446
FRESENIUS MED CARE ROBBINSDALE
HENNEPIN
225
FMC DIALYSIS SERVICES DULUTH
SAINT LOUIS
383
FRESENIUS MED CARE ST LOUIS PK
HENNEPIN
230
FMC DIALYSIS SERVICES EVELETH
SAINT LOUIS
391
FRESENIUS MEDICAL CARE BLAINE
ANOKA
FMC DIALYSIS SRVCS GR RAPIDS
ITASCA
244
FRESENIUS MEDICAL CARE MIDWAY
RAMSEY
350
FMC DIALYSIS SRVS HUTCHINSON
MCLEOD
271
FRESENIUS MEDICAL OF ST PAUL
RAMSEY
350
FMC MAPLEWOOD HEIGHTS
RAMSEY
321
FRIDLEY ASSISTED LIVING LLC
DAKOTA
81
FMC SOUTHTOWN DIALYSIS
HENNEPIN
107
FRIDLEY ASSISTED LIVING LLC
ANOKA
12
FMC WEST ST PAUL DIALYSIS
DAKOTA
FRIENDSHIP COURT
FARIBAULT
FMCNA MORA DIALYSIS CENTER
KANABEC
249
FRIENDSHIP VILLAGE OF BLOOMING
HENNEPIN
107
FMCNA NEW BRIGHTON DIAL CTR
RAMSEY
326
FRIENDSHIP VILLAGE OF BLOOMING
HENNEPIN
107
FMCNA PARK AVE DIALYSIS CENTER
HENNEPIN
186
FRIENDSHIP VLGE OF BLOOMINGTON
HENNEPIN
107
FMCNA SHAKOPEE DIALYSIS CENTER
SCOTT
402
FUNDAMENTAL KIDS THERAPY LLC
ANOKA
FMCNA SOUTH MPLS DIALYSIS CTR
HENNEPIN
186
FURNESS HOUSE
RAMSEY
321
FMCNA WACONIA DIALYSIS
CARVER
GABLES OF BOUTWELLS LANDING
WASHINGTON
434
FOCUS XII HALFWAY HOUSE
STEARNS
414
GABRIEL HOUSE LLC
SWIFT
422
FOCUSCARE INC
HENNEPIN
186
GABRIEL HOUSE LLC
SWIFT
422
FOLEY NURSING CENTER
BENTON
20
GALTIER HEALTH CENTER
RAMSEY
350
FOLKESTONE GABLES
HENNEPIN
235
GARDEN COURT CHATEAU
ITASCA
244
FOLKESTONE NORTH
HENNEPIN
235
GARDEN HOUSE AT ST MARYS
MCLEOD
273
FOLKESTONE WEST
HENNEPIN
235
GARDEN HOUSE ESTATES LTD
SAINT LOUIS
384
FOLWELL PARK APARTMENTS
HENNEPIN
186
GARDEN TERRACE
RAMSEY
319
FOND DU LAC ASSISTED LIVING RE
CARLTON
36
GARDEN TERRACE ASSISTED LIVING
CARLTON
FOND DU LAC HOME CARE PROGRAM
CARLTON
36
GARDENS OF LOVE CARE HOME
CARVER
FOOTWORKS
RAMSEY
GARFIELD COMMONS
HENNEPIN
264
96
10
86
43
328
40
10
5
94
13
39
40
107
Minnesota Department of Health
Division of Compliance Monitoring
Index For Directory of Facilities and Services
FACILITY NAME
COUNTY
GARNETTE GARDENS SENIOR LIVING
REDWOOD
GATEWAY FAM HLTH CLINIC LTD
CARLTON
GATEWAY FAMILY CLINIC
PINE
GATEWAY FAMILY HEALTH CLINIC
PINE
GATEWAY GARDENS
CLAY
GATEWAY HOMECARE SERVICES
HENNEPIN
GATEWAY LOFTS
HENNEPIN
GENERATIONS HOME CARE INC
BENTON
GENTIVA HEALTH SERVICES
SAINT LOUIS
GENTIVA HEALTH SERVICES
RAMSEY
GENTLE CARE HOME HLTH SERVICES
ANOKA
GENTLE CARE IN-HOME SVCS LLC
HENNEPIN
GENTLE CARE INC
RAMSEY
GENTLE HANDS HOME CARE LLC
HENNEPIN
GENTLE TOUCH HEALTH INITIATIVE
PAGE#
Index Page 19
FACILITY NAME
COUNTY
GOLDEN HORIZONS OF CROSSLAKE
CROW WING
GOLDEN LIFE HOME HEALTH CARE
RAMSEY
350
312
GOLDEN LIVING COMM LAKE RIDGE
RAMSEY
330
311
GOLDEN LIVING COMM REFLECTIONS
HENNEPIN
236
GOLDEN LIVINGCENTER BLOOMINGTN
HENNEPIN
107
186
GOLDEN LIVINGCENTER CHATEAU
HENNEPIN
186
186
GOLDEN LIVINGCENTER DELANO
WRIGHT
448
GOLDEN LIVINGCENTER EXCELSIOR
HENNEPIN
143
384
GOLDEN LIVINGCENTER FRANKLIN
RENVILLE
369
330
GOLDEN LIVINGCENTER GREELEY
WASHINGTON
437
10
GOLDEN LIVINGCENTER HENNING
OTTER TAIL
305
107
GOLDEN LIVINGCENTER HOPKINS
HENNEPIN
149
350
GOLDEN LIVINGCENTER LACRESNT
HOUSTON
237
186
GOLDEN LIVINGCENTER LAKE RIDGE
RAMSEY
330
HENNEPIN
207
GOLDEN LIVINGCENTER LINDEN
WASHINGTON
437
GENTLE TOUCH HLTH INITIATV LLC
HENNEPIN
145
GOLDEN LIVINGCENTER LYNNHURST
RAMSEY
350
GERIATRIC SERVICES OF MN
HENNEPIN
225
GOLDEN LIVINGCENTER LYNWOOD
ANOKA
GETTY STREET ASSISTED LIVING
STEARNS
413
GOLDEN LIVINGCENTER MEADOW LN
SWIFT
GIANNA HOMES GLADYS PLACE LLC
HENNEPIN
217
GOLDEN LIVINGCENTER MOORHEAD
CLAY
GIANNA HOMES GLADYS PLACE LLC
HENNEPIN
217
GOLDEN LIVINGCENTER OLIVIA
RENVILLE
370
GIANNA HOMES SURSUM CORDA
HENNEPIN
207
GOLDEN LIVINGCENTER ROCH EAST
OLMSTED
295
GIL-MOR HAVEN
REDWOOD
367
GOLDEN LIVINGCENTER RUSH CITY
CHISAGO
50
GIL-MOR MANOR
REDWOOD
367
GOLDEN LIVINGCENTER SLAYTON
MURRAY
284
GILLETTE CHILDRENS SPEC HOSP
RAMSEY
350
GOLDEN LIVINGCENTER TWIN RIVER
ANOKA
GLACIAL RIDGE HOME CARE
POPE
317
GOLDEN LIVINGCENTER WABASSO
REDWOOD
GLACIAL RIDGE HOSPICE
POPE
317
GOLDEN LIVINGCENTER WALKER
CASS
GLACIAL RIDGE HOSPITAL
POPE
317
GOLDEN LIVINGCENTER WHITEWATER
WINONA
443
GLEN HAVEN MANOR
POPE
317
GOLDEN LIVINGCNTR ROCHESTER W
OLMSTED
295
GLEN VIEW APARTMENTS
POPE
317
GOLDEN LIVINGCNTR ST LOUIS PK
HENNEPIN
230
GLENCOE REGIONAL HEALTH SRVCS
MCLEOD
270
GOLDEN LVGCTR HILLCRST WAYZATA
HENNEPIN
236
GLENDALOUGH OF AUSTIN INC
MOWER
281
GOLDEN MANOR CORPORATION
BECKER
15
GLENWOOD ESTATES
POPE
317
GOLDEN MANOR MEMORY CARE
BECKER
15
GLENWOOD ESTATES
POPE
317
GOLDEN MANOR OF BARNESVILLE
CLAY
52
GLENWOOD MEDICAL CENTER
POPE
317
GOLDEN MANOR OF DETROIT LAKES
BECKER
15
GLENWOOD VILLAGE CARE CENTER
POPE
317
GOLDEN MANOR OF FERGUS FALLS
OTTER TAIL
303
GLESENERS ASSISTED LIVING SERV
RENVILLE
369
GOLDEN NEST LLC
HENNEPIN
187
GLESENERS HOME CARE SERVICES
RENVILLE
369
GOLDEN NEST LLC
HENNEPIN
187
GLOBAL HOME HEALTH CARE INC
OLMSTED
295
GOLDEN NEST LLC
HENNEPIN
221
GLORIA DEI MANOR
MEEKER
275
GOLDEN NEST LLC
HENNEPIN
187
GOLDEN ELDERLY CARE SUITES COR
HENNEPIN
150
GOLDEN OAKS
SAINT LOUIS
392
GOLDEN HEARTS INC
SIBLEY
406
GOLDEN OAKS ADV ASSIST LIVING
SAINT LOUIS
396
GOLDEN HOME CARE PLUS INC
BROWN
GOLDEN POND
HENNEPIN
152
GOLDEN HORI