2015 Directory of Licensed and Certified Health Care Facilities (PDF: 2.39MB/658 pages)

2015
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, 2015 ........ I
2. Certification Classifications, March 14, 2015 ........................................................................... 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, 2015 ........................... VI – XI
12. Number of Facilities and Beds by County, March 14, 2015 ....................................... XII – XVI
13. Number of Certified Services by County, March 14, 2015 .......................................XVII – XX
14. Number of Licensed Home Care Providers (HCP) by Classifications and County,
March 14, 2015 ....................................................................................................... XXI – XXIII
15. Number of Housing with Services Establishments by County, March 14, 2015 .. XXIV – XXV
16. Number of Licensed Facilities and Beds by County, March 14, 2015………… XXVI – XXVII
FEDERAL HOSPITALS ...................................................................................................... XXVIII
ABBREVIATIONS..................................................................................................... XXIX – XXX
LICENSING AND CERTIFICATION INFORMATION FOR ALL
HEALTH CARE FACILITIES AND SERVICES...........................................................1 – 522 LISTING OF HEALTH CARE FACILITIES - Grouped by Type/Location Boarding Care Homes ...........................................................................................................523 Community Mental Health Centers .......................................................................................524 Comprehensive Outpatient Rehabilitation Facilities .............................................................524 End Stage Renal Disease Providers .............................................................................525 – 526 Licensed Home Care Providers....................................................................................527 – 543 Certified Home Health Agencies ................................................................................544 – 545 Licensed Hospices..................................................................................................................546 Medicare Certified Hospices..................................................................................................547 Hospitals ......................................................................................................................548 – 549
Nursing Homes ............................................................................................................550 – 553 Outpatient Occupational Therapy Providers..........................................................................554 Outpatient Physical Therapy Providers .................................................................................554 Outpatient Speech Therapy Providers ...................................................................................555 Outpatient Surgical Centers .........................................................................................555 – 556 Portable X-Ray Suppliers ......................................................................................................556 Rural Health Clinics...............................................................................................................557 Supervised Living Facilities.........................................................................................558 – 560 ALPHABETICAL LISTING OF LOCATIONS OF HEALTH CARE FACILITIES .......561 – 566 INDEX CONTAINING PAGE NUMBER FOR SPECIFIC FACILITY OR SERVICE
INDEX PAGES..................................................................................................................1 – 56 MINNESOTA DEPARTMENT OF HEALTH
DIVISION OF COMPLIANCE MONITORING
DIRECTORY OF LICENSED AND
CERTIFIED HEALTH CARE
FACILITIES & SERVICES
March 14, 2015
FOREWORD
The directory that follows contains a list of hospitals and related institutions licensed and/or certified as of March 14, 2015.
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 pre-examined, pre-diagnosed, 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.
Types of Home Care Licenses under the 2012 Statutes and Rules:
Class A or Professional Home Care Agency License. Provider may provide all home care services, 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 service.
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 Provider 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:
Temporary Basic Home Care Provider License. This license is given to a new home care provider who is offering services as
listed below for the basic level license and has met all conditions of licensure. It is valid for one year, during which time the
provider will be surveyed by the department to determine if the provider is in compliance with home care requirements. Upon
successful completion of the survey, the provider will be granted a basic home care license.
Basic Home Care Provider 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).
Temporary Comprehensive Home Care Provider License. This license is given to a new home care provider who is offering
services as listed below for the comprehensive level license and has met all conditions of licensure. It is valid for one year,
during which time the provider will be surveyed by the department to determine if the provider is in compliance with home
care requirements. Upon successful completion of the survey, the provider will be granted a comprehensive home care
license.
Comprehensive Home Care Provider 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..
“HCP/COMP”
Medicare-Certified Home Health Agencies will have the license listed as “HCP/COMP” throughout the directory for this
year only. This is because between July 1, 2014 and June 30, 2015, these licensees will be converting their Class A license
into a Comprehensive Home Care Provider license. For more specific information and to see if the license has converted,
reference the online directory at http://www.health.state.mn.us/divs/fpc/directory/providerselect.cfm.
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, 2015 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, 2015
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
135
117
1
374
26
(7)
297
69
10
1,629
83
Number of Beds
16329
1,868
30
29,451
1,739
(580)
5,037
N/A
303
N/A
N/A
TABLE 2
Certification Classifications, March 14, 2015
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
60
80
5
367
5
27
32
23
207
70
113
1
66
87
13
13,264
1,717
243
28,676
------
------
------
358
15
204
28,257
930
1,718
71
------
2,225
------
------
------
-----
------
------
------
------
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
March 15, 1975
Number
of Beds
Number of
Facilities
Hospitals
Nursing Homes and Units
Boarding Care Homes
Supervised Living Facilities
Other *
188
137
11,159
3,905
72
TOTALS
397
March 14, 2015
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
135
374
26
297
10
16,329
29,451
1,739
5,037
303
16,225
996
77,262
843
52,859
*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, 2015
Type of Ownership
Hospital
Total Number
% of Total
Hosp.
Hosp.
Beds
Beds
Nonprofit
Hosp.
Public
Beds
Hosp.
Proprietary
Beds
Hosp.
Beds
1 – 24
30
499
22.2
3.1
22
363
8
136
0
0
25 – 49
52
1,796
38.5
11.0
35
1,229
15
498
2
69
50 - 99
23
1,643
17.0
10.1
21
1,468
0
0
2
175
100 - 299
17
3,182
12.6
19.5
15
2,919
2
263
0
0
300 +
13
9,209
9.6
56.4
12
9,209
1
0
0
0
135
16,329
100.0
100.0
105
15,188
26
897
4
244
TOTALS
III
TABLE 5
Nursing Homes and Units: Bed Range, Total Numbers and Percentages of Home and Beds by Ownership -
March 14, 2015
Type of Ownership
Nursing
Home
Range
Total Number
% of Total
Homes
Homes
Beds
Nonprofit
Beds
Public
Proprietary
Homes
Beds
Homes
Beds
Homes
Beds
1 - 24
5
89
1.3
.3
3
44
0
0
2
45
25 - 49
89
3,561
23.8
12.1
50
1,992
15
600
24
969
50 - 99
196
13,494
52.4
45.8
119
8,357
17
1,102
60
4,035
81
11,285
21.7
38.3
54
7,549
4
520
23
3,216
3
1,022
.8
3.5
1
330
1
341
1
351
374
29,451
100.0
100.0
227
18,272
37
2,563
110
8,616
100 - 299
300 +
TOTALS
TABLE 6
Nursing Homes and Units: Home and Beds by Ownership and Percentage of Change -- March 14, 2014 and
March 14, 2015
March 14, 2014
Nursing Home Units
Ownership
Homes and
Units
March 14, 2015
Beds
Homes and
Units
% of Change
Beds
Homes and
Units
Beds
Non Profit
223
18,248
227
18,272
+1.8
+0.1
Public
38
2,623
37
2,563
-2.7
-2.3
Subtotal, Non Profit
And Public
261
20,871
264
20,835
+1.1
-0.2
Proprietary
113
8,801
110
8,616
-2.7
-2.1
TOTALS
374
29,672
374
29,451
0
-0.8
IV
TABLE 7
Boarding Care Homes and Units: Bed Range, Total Numbers and Percentages of Homes and Beds by Ownership -
March 14, 2015
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
5.2
0
0
0
0
6
90
25 - 49
6
187
23.1
10.8
1
33
0
0
5
154
50 - 99
9
613
34.6
35.3
6
397
0
0
3
216
100 - 299
5
849
19.2
48.8
0
0
3
522
2
327
300 +
0
0
.0
.0
0
0
0
0
0
0
26
1,739
100.0
100.0
7
430
3
522
16
787
TOTALS
TABLE 8
Boarding Care Home Units: Home and Beds by Ownership and Percentage of Change -- March 14, 2014 and
March 14, 2015
March 14, 2014
March 14, 2015
% of Change
BCH
Ownership
Homes and
Units
Beds
Homes and
Units
Non Profit
7
430
7
430
0
0
Public
2
361
3
522
+33.3
+30.8
Subtotal, Non Profit
and Public
9
791
10
952
+10.0
+16.9
Proprietary
17
826
16
787
-6.3
-5.0
TOTALS
26
1,617
26
1,739
0
+7.0
Beds
Homes and
Units
Beds
V
TABLE 9
Supervised Living Facility and Units: Bed Range, Total Numbers and Percentages of Facility and Beds by Ownership
March 14, 2015
Type of Ownership
SLF
Range
Total Number
% of Total
Homes
Beds
Homes
1 - 15
225
1,599
75.8
16 - 49
57
1,428
50 - 99
12
100 - 299
300 +
TOTALS
Nonprofit
Beds
Public
Proprietary
Homes
Beds
Homes
Beds
Homes
Beds
31.7
117
829
18
125
90
645
19.2
28.4
28
726
8
192
21
510
738
4.0
14.7
5
315
5
322
2
101
1
260
.3
5.2
0
0
1
260
0
0
2
1,012
.7
20.1
0
0
2
1,012
0
0
297
5,037
100.0
100.0
150
1,870
34
1,911
113
1,256
TABLE 10
Supervised Living Facilities and Units: Facilities and Beds by Ownership and Percentage of Change -- March 14, 2014
and March 14, 2015
March 14, 2014
March 14, 2015
% of Change
SLF
Ownership
Homes and
Units
Beds
Homes and
Units
Non Profit
149
1,831
150
1,870
+0.7
+2.1
35
1,926
34
1,911
-2.9
-0.8
Subtotal, Non Profit
184
3,757
184
3,781
0
+0.6
Proprietary
114
1,275
113
1,256
-0.9
-1.5
TOTALS
298
5,032
297
5,037
-0.3
+0.1
Public
Beds
Homes and
Units
Beds
Hosp. Psych.
No.
No.
Bass.
No.
N.H.
No.
VI
Page
TABLE 11: Number of Licensed Facilities and Beds by County, March 14, 2015
B.C.H S.L.F-A S.L.F-B
No.
No.
No.
Other Outpat.
No.
Surg.
County
AITKIN
ANOKA
BECKER
BELTRAMI
BENTON
BIG STONE
BLUE EARTH
BROWN
CARLTON
CARVER
CASS
CHIPPEWA
CHISAGO
CLAY
CLEARWATER
COOK
COTTONWOOD
1
0
1
2
0
0
0
0
25
0
6
119
0
0
0
0
2
0
2
7
0
3
4
1
546
0
74
581
0
46
70
175
1
0
1
4
0
0
1
0
87
0
16
322
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
86
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
356
0
11
43
0
3
0
3
4
0
2
2
0
102
0
20
297
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
36
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
4
0
1
2
0
61
0
12
231
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
26
0
6
173
0
8
18
0
0
4
1
0
0
0
3
0
0
1
0
0
0
0
0
0
0
Hosp. Psych.
No.
No.
Bass.
No.
N.H.
No.
VII
Page
TABLE 11: Number of Licensed Facilities and Beds by County, March 14, 2015
B.C.H S.L.F-A S.L.F-B
No.
No.
No.
Other Outpat.
No.
Surg.
County
CROW WING
DAKOTA
DODGE
DOUGLAS
FARIBAULT
FILLMORE
FREEBORN
GOODHUE
GRANT
HENNEPIN
HOUSTON
HUBBARD
ISANTI
ITASCA
JACKSON
KANABEC
KANDIYOHI
2
0
2
3
0
1
2
1
204
0
22
273
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
258
0
12
6
16
1
0
1
2
0
1
0
0
43
0
4
154
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
63
0
2
0
2
7
0
0
1
0
65
0
7
514
0
0
13
0
1
0
1
1
0
0
0
0
10
0
2
45
0
0
0
0
11
1
8
51
15
35
36
0
5441
30
623
6144
1187
498
317
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
60
0
28
8
0
1
0
1
2
0
1
1
0
86
0
15
230
0
11
6
0
3
0
3
4
0
0
1
0
104
0
20
307
0
0
34
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
378
0
6
128
16
1
3
0
2
0
0
0
0
0
24
0
0
0
1
0
0
2
Hosp. Psych.
No.
No.
Bass.
No.
N.H.
No.
VIII
Page
TABLE 11: Number of Licensed Facilities and Beds by County, March 14, 2015
B.C.H S.L.F-A S.L.F-B
No.
No.
No.
Other Outpat.
No.
Surg.
County
KITTSON
KOOCHICHING
LAC QUI PARLE
LAKE
LAKE OF THE WOODS
LESUEUR
LINCOLN
LYON
MAHNOMEN
MARSHALL
MARTIN
MCLEOD
MEEKER
MILLE LACS
MORRISON
MOWER
MURRAY
1
0
1
2
0
0
0
0
15
0
0
106
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
4
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
15
0
0
128
0
0
0
0
2
0
1
3
0
0
1
0
44
0
1
121
0
0
8
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
42
0
0
0
0
1
0
0
1
0
0
0
0
12
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
1
0
1
3
0
0
0
0
28
0
3
249
0
0
0
0
1
0
1
3
0
0
1
0
49
0
10
188
0
0
14
0
1
0
1
5
0
1
6
0
82
0
10
257
0
8
32
0
1
0
1
2
0
0
1
0
25
0
2
113
0
0
18
0
0
0
0
0
0
0
0
2
0
0
1
1
0
0
0
0
0
Hosp. Psych.
No.
No.
Bass.
No.
N.H.
No.
IX
Page
TABLE 11: Number of Licensed Facilities and Beds by County, March 14, 2015
B.C.H S.L.F-A S.L.F-B
No.
No.
No.
Other Outpat.
No.
Surg.
County
NICOLLET
NOBLES
NORMAN
OLMSTED
OTTER TAIL
PENNINGTON
PINE
PIPESTONE
POLK
POPE
RAMSEY
RED LAKE
REDWOOD
RENVILLE
RICE
ROCK
ROSEAU
1
0
1
2
0
3
6
1
17
0
0
127
0
81
678
16
1
0
1
4
0
0
1
0
48
0
7
171
0
0
12
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
109
612
0
53
46
16
2
0
2
9
0
1
2
1
133
0
14
653
0
60
15
16
1
0
1
2
0
0
0
0
36
0
10
110
0
0
0
0
1
0
1
2
0
1
2
0
30
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
2
0
0
0
0
34
0
4
129
0
0
0
0
7
0
4
31
5
22
32
0
1914
0
150
3023
206
213
309
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
6
0
1
0
1
6
1
0
3
0
25
0
6
249
26
0
18
0
1
0
1
5
0
1
0
0
35
0
6
258
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
Hosp. Psych.
No.
No.
Bass.
No.
N.H.
No.
X
Page
TABLE 11: Number of Licensed Facilities and Beds by County, March 14, 2015
B.C.H S.L.F-A S.L.F-B
No.
No.
No.
Other Outpat.
No.
Surg.
County
SAINT LOUIS
SCOTT
SHERBURNE
SIBLEY
STEARNS
STEELE
STEVENS
SWIFT
TODD
TRAVERSE
WABASHA
WADENA
WASECA
WASHINGTON
WATONWAN
WILKIN
WINONA
8
0
7
17
1
6
9
0
1125
0
95
1276
54
74
95
0
2
0
2
4
0
1
1
0
142
0
24
372
0
9
52
0
1
0
1
3
0
0
3
0
54
0
10
394
0
0
18
0
1
0
0
3
0
1
0
0
20
0
0
118
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
186
0
21
22
0
1
0
1
1
0
0
1
0
54
0
5
80
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
43
0
9
243
38
0
0
0
1
0
1
3
0
1
1
0
49
0
6
240
0
20
16
0
1
0
0
3
0
0
0
0
35
0
0
145
0
0
0
0
2
0
2
6
0
6
2
0
183
0
43
624
0
83
15
0
2
0
2
2
0
0
1
0
50
0
13
116
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
360
0
6
0
0
3
0
0
0
4
0
0
0
0
0
0
0
0
6
0
0
0
Hosp. Psych.
No.
No.
Bass.
No.
N.H.
No.
XI
Page
TABLE 11: Number of Licensed Facilities and Beds by County, March 14, 2015
B.C.H S.L.F-A S.L.F-B
No.
No.
No.
Other Outpat.
No.
Surg.
County
WRIGHT
YELLOW MEDICINE
Minnesota
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
167
0
66
15
0
135
1
117
374
26
128
183
10
16329
30
1868
29451
1739
1781
3256
303
0
0
68
TABLE 12: Number of Facilities and Beds by County, March 14, 2015
Page
County
Hosp.
No.
Beds
CAH
No.
Beds
Psych.
No.
Beds
SNF
No.
Beds
SNF/NF
No.
Beds
NF 1
No.
Beds
NF 2
No.
Beds
AITKIN
0
1
0
0
2
0
0
0
0
25
0
0
119
0
0
0
2
0
1
0
6
0
0
5
531
0
175
0
531
0
0
65
ANOKA
BECKER
BELTRAMI
BENTON
BIG STONE
BLUE EARTH
BROWN
CARLTON
CARVER
CASS
CHIPPEWA
CHISAGO
CLAY
CLEARWATER
COOK
COTTONWOOD
CROW WING
DAKOTA
ICF/IID
No.
Beds
1
0
0
0
4
0
0
1
87
0
0
0
322
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
356
0
0
54
0
3
0
0
4
0
0
2
0
65
0
0
297
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
109
0
0
0
249
0
0
77
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
4
0
0
2
61
0
0
0
231
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
26
0
0
173
0
0
26
2
1
0
0
3
0
0
0
156
25
0
0
273
0
0
0
3
0
0
2
9
0
0
10
230
0
0
37
931
0
0
90
XII
TABLE 12: Number of Facilities and Beds by County, March 14, 2015
County
DODGE
DOUGLAS
FARIBAULT
FILLMORE
FREEBORN
GOODHUE
GRANT
HENNEPIN
HOUSTON
HUBBARD
ISANTI
ITASCA
JACKSON
Hosp.
No.
Beds
CAH
No.
Beds
Psych.
No.
Beds
SNF
No.
Beds
SNF/NF
No.
Beds
NF 1
No.
Beds
NF 2
No.
Beds
0
0
0
0
2
0
0
1
0
0
0
0
100
0
0
6
2
0
0
0
4
0
0
3
143
0
0
0
258
0
0
18
0
1
0
0
2
0
0
0
0
25
0
0
154
0
0
0
0
0
0
0
6
0
0
0
0
0
0
0
322
0
0
0
1
0
0
0
3
0
0
1
77
0
0
0
336
0
0
31
1
1
0
0
7
0
0
1
50
15
0
0
514
0
0
13
0
1
0
0
1
0
0
0
0
10
0
0
45
0
0
0
KANDIYOHI
KITTSON
KOOCHICHING
LAC QUI PARLE
LAKE
ICF/IID
No.
Beds
10
0
1
4
47
2
10
51
4996
0
20
219
5613
22
734
378
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
60
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
64
40
0
0
307
0
0
0
0
1
0
0
2
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
0
KANABEC
Page
1
0
1
0
4
0
0
2
128
0
16
0
378
0
0
12
0
1
0
0
2
0
0
0
0
15
0
0
106
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
32
0
0
136
0
0
6
0
1
0
0
1
0
0
1
0
25
0
0
45
0
0
5
XIII
TABLE 12: Number of Facilities and Beds by County, March 14, 2015
County
LAKE OF THE WOODS
LESUEUR
LINCOLN
LYON
MAHNOMEN
MARSHALL
MARTIN
MCLEOD
MEEKER
MILLE LACS
MORRISON
MOWER
MURRAY
Hosp.
No.
Beds
CAH
No.
Beds
Psych.
No.
Beds
SNF
No.
Beds
SNF/NF
No.
Beds
NF 1
No.
Beds
NF 2
No.
Beds
0
1
0
0
1
0
0
0
0
15
0
0
36
0
0
0
0
1
0
0
3
0
0
0
0
15
0
0
128
0
0
0
0
2
0
0
3
0
0
1
0
44
0
0
121
0
0
8
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
42
0
0
0
0
1
0
0
1
0
0
0
0
12
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
0
1
0
0
3
0
0
0
0
18
0
0
249
0
0
0
0
1
0
0
3
0
0
1
0
25
0
0
188
0
0
14
1
0
0
0
5
0
0
7
66
0
0
0
257
0
0
40
0
1
0
0
2
0
0
1
25
0
0
113
0
0
18
0
NICOLLET
NOBLES
NORMAN
OLMSTED
OTTER TAIL
PENNINGTON
Page
ICF/IID
No.
Beds
1
1
0
0
1
0
0
2
16
17
0
0
79
0
0
13
1
0
0
0
4
0
0
1
48
0
0
0
171
0
0
12
0
1
0
0
3
0
0
0
0
14
0
0
151
0
0
0
2
0
1
2
6
0
0
5
1974
0
16
34
578
0
0
41
2
1
0
0
8
0
0
1
96
25
0
0
547
0
0
5
0
1
0
0
2
0
0
0
0
25
0
0
110
0
0
0
XIV
TABLE 12: Number of Facilities and Beds by County, March 14, 2015
County
PINE
PIPESTONE
POLK
POPE
RAMSEY
RED LAKE
REDWOOD
RENVILLE
RICE
ROCK
ROSEAU
SAINT LOUIS
SCOTT
SHERBURNE
SIBLEY
STEARNS
STEELE
STEVENS
SWIFT
Page
Hosp.
No.
Beds
CAH
No.
Beds
Psych.
No.
Beds
SNF
No.
Beds
SNF/NF
No.
Beds
NF 1
No.
Beds
NF 2
No.
Beds
ICF/IID
No.
Beds
0
1
0
0
2
0
0
1
0
25
0
0
91
0
0
6
0
1
0
0
2
0
0
0
0
25
0
0
150
0
0
0
0
2
0
0
6
0
0
1
0
50
0
0
341
0
0
6
0
1
0
0
2
0
0
0
0
25
0
0
129
0
0
0
7
0
0
3
25
0
3
41
1867
0
0
181
2736
0
123
281
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
6
0
1
0
0
6
0
0
3
0
25
0
0
249
0
0
18
0
1
0
0
5
0
0
1
0
25
0
0
258
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
1276
0
54
47
1
1
0
0
4
0
0
2
93
25
0
0
372
0
0
61
1
0
0
1
3
0
0
3
54
0
0
2
392
0
0
18
0
1
0
0
3
0
0
1
0
20
0
0
118
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
174
12
0
28
0
1
0
0
1
0
0
1
0
25
0
0
80
0
0
6
0
2
0
0
2
0
1
0
0
40
0
0
93
0
19
0
XV
TABLE 12: Number of Facilities and Beds by County, March 14, 2015
County
TODD
TRAVERSE
WABASHA
WADENA
WASECA
WASHINGTON
WATONWAN
WILKIN
WINONA
WRIGHT
YELLOW MEDICINE
Minnesota
Page
Hosp.
No.
Beds
CAH
No.
Beds
Psych.
No.
Beds
SNF
No.
Beds
SNF/NF
No.
Beds
NF 1
No.
Beds
NF 2
No.
Beds
ICF/IID
No.
Beds
0
2
0
0
2
0
0
0
0
50
0
0
130
0
0
0
0
1
0
0
2
0
0
0
0
25
0
0
90
0
0
0
0
2
0
0
3
0
0
0
0
43
0
0
243
0
0
0
0
1
0
0
3
0
0
0
0
25
0
0
240
0
0
0
0
1
0
0
3
0
0
0
0
25
0
0
145
0
0
0
2
0
0
0
6
0
0
3
183
0
0
0
624
0
0
18
0
2
0
0
2
0
0
1
0
50
0
0
116
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
360
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
167
0
0
12
60
80
5
12
358
4
15
204
13284
1717
243
473
28203
54
930
1718
XVI
TABLE 13: Number of Certified Services by County, March 14, 2015
Outpt
Renal PT/ST/OT
XVII
Page
CMHC
XRay
HHA
CORF
Amb
Surg
HosRural
Pice Clinic
County
AITKIN
0
0
0
0
0
0
0
0
2
ANOKA
7
3
0
0
5
0
4
1
0
ARIZONA
0
0
0
0
0
0
0
0
0
BECKER
3
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
1
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
7
1
0
0
5
0
3
2
0
DODGE
0
0
0
0
0
0
0
0
0
DOUGLAS
1
0
0
0
1
0
2
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
12
0
3
38
1
21
10
0
HENNEPIN
TABLE 13: Number of Certified Services by County, March 14, 2015
Outpt
Renal PT/ST/OT
Page
CMHC
XRay
HHA
CORF
Amb
Surg
HosRural
Pice Clinic
County
HOUSTON
0
0
0
0
1
0
0
0
0
HUBBARD
1
1
0
0
0
0
0
1
1
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
4
LYON
1
0
1
0
3
0
2
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
2
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
1
1
0
NORMAN
0
0
0
0
0
0
0
0
3
NORTH DAKOTA
0
0
0
0
0
0
0
0
0
XVIII
TABLE 13: Number of Certified Services by County, March 14, 2015
Outpt
Renal PT/ST/OT
Page
CMHC
XRay
HHA
CORF
Amb
Surg
HosRural
Pice Clinic
County
OHIO
0
0
0
0
0
0
0
0
0
OLMSTED
2
1
0
1
6
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
PENNSYLVANIA
0
0
0
0
0
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
2
1
0
31
0
7
7
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
3
0
0
0
3
0
1
1
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
3
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
4
2
5
STEELE
1
0
0
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
1
WABASHA
1
0
0
0
1
0
0
0
0
WADENA
1
0
0
0
3
0
0
2
3
WASECA
0
0
0
0
0
0
0
0
0
RAMSEY
XIX
TABLE 13: Number of Certified Services by County, March 14, 2015
Outpt
Renal PT/ST/OT
Page
CMHC
XRay
HHA
CORF
Amb
Surg
HosRural
Pice Clinic
County
WASHINGTON
3
2
0
0
1
0
6
2
0
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
113
36
13
5
207
1
65
70
87
Minnesota
XX
Page
XXI
TABLE 14: Number of Licensed Home Care Providers (HCP) by Classification and County, March 14, 2015 HCP Class A = Professional Home Care Agency
BASIC = Basic Home Care
HCP Class B = Para-Professional Agency
HCP Class F = Class F Home Care Provider
HCP Class C = Individual Para-Professional
Home Mgmt = Certificate of Registration
COMP = Comprehensive Home Care
for Home Management
Comp
Basic
0
2
0
9
5
25
3
0
2
1
3
0
0
0
5
1
8
0
3
0
0
2
0
6
0
BIG STONE
0
0
0
2
0
0
0
BLUE EARTH
4
0
0
3
1
14
1
BROWN
1
1
0
2
0
8
1
CARLTON
3
1
1
5
1
8
1
CARVER
1
0
1
3
0
12
1
CASS
0
0
0
2
1
5
0
CHIPPEWA
0
0
0
0
1
2
0
CHISAGO
1
0
0
6
0
2
0
CLAY
3
0
0
3
1
7
0
CLEARWATER
0
0
0
0
1
3
0
COOK
0
0
0
0
0
0
0
COTTONWOOD
0
0
0
1
0
2
0
CROW WING
2
1
1
0
2
11
0
13
0
3
15
12
47
8
DODGE
0
0
0
1
0
2
0
DOUGLAS
1
0
0
7
0
7
1
FARIBAULT
0
0
0
1
0
3
0
FILLMORE
0
0
0
2
0
4
0
FREEBORN
0
0
0
2
1
7
0
GOODHUE
2
0
0
2
1
8
0
GRANT
0
0
0
1
0
1
0
96
8
7
46
41
183
25
0
0
0
0
0
2
0
County
Class A
Class B
Class C
Class F
AITKIN
1
0
0
1
12
1
1
BECKER
1
0
BELTRAMI
0
BENTON
ANOKA
DAKOTA
HENNEPIN
HOUSTON
Home Mgmt
Page
XXII
TABLE 14: Number of Licensed Home Care Providers (HCP) by Classification and County, March 14, 2015 County
Class A
Class B
Class C
Class F
HUBBARD
0
1
1
1
IOWA
0
0
0
ISANTI
3
0
ITASCA
2
JACKSON
Home Mgmt
Comp
Basic
0
2
0
0
0
2
0
0
3
1
3
3
0
0
6
0
8
0
1
0
0
0
0
4
0
KANABEC
0
0
0
0
0
3
0
KANDIYOHI
1
0
0
1
5
8
2
KITTSON
0
0
0
0
0
2
0
KOOCHICHING
1
0
0
2
0
2
0
LAC QUI PARLE
1
0
0
0
0
2
0
LAKE
0
0
0
3
0
1
0
LAKE OF THE WOODS
0
0
0
0
0
1
0
LESUEUR
0
0
0
3
1
2
0
LINCOLN
0
0
0
0
0
0
0
LYON
0
0
0
2
1
5
0
MAHNOMEN
0
0
0
0
0
1
0
MARSHALL
0
0
0
1
0
1
0
MARTIN
0
0
0
1
0
5
0
MCLEOD
2
0
0
0
0
7
0
MEEKER
1
0
0
1
0
3
0
MILLE LACS
1
0
0
2
0
4
0
MORRISON
0
0
0
1
0
8
0
MOWER
2
0
0
3
0
8
0
MURRAY
0
0
0
1
0
1
0
NICOLLET
0
0
0
2
1
5
0
NOBLES
0
0
0
1
1
2
0
NORMAN
0
0
0
1
0
3
0
NORTH DAKOTA
4
0
0
0
2
2
0
OLMSTED
7
0
0
5
7
20
1
OTTER TAIL
5
1
0
7
1
14
0
PENNINGTON
0
0
0
2
0
1
0
PINE
1
1
0
2
0
4
0
Page
XXIII
TABLE 14: Number of Licensed Home Care Providers (HCP) by Classification and County, March 14, 2015 County
Class A
Class B
Class C
Class F
PIPESTONE
0
0
0
1
POLK
0
0
0
POPE
0
0
Comp
Basic
0
3
0
1
1
7
0
0
1
0
2
0
36
3
2
18
12
74
6
RED LAKE
0
0
0
0
0
1
0
REDWOOD
0
0
0
1
0
4
0
RENVILLE
2
0
0
1
0
4
0
RICE
0
0
0
8
0
12
0
ROCK
0
1
0
1
0
2
0
ROSEAU
0
0
0
0
0
5
0
SAINT LOUIS
0
0
0
8
7
39
0
SCOTT
4
2
1
8
1
10
1
SHERBURNE
1
0
0
2
1
3
0
SIBLEY
0
0
0
2
0
3
0
SOUTH DAKOTA
2
1
0
0
0
0
0
STEARNS
5
1
1
4
3
13
0
STEELE
0
0
0
2
1
11
0
STEVENS
0
0
0
0
0
1
0
SWIFT
0
0
0
0
0
1
0
TODD
0
1
0
0
1
2
0
WABASHA
1
0
0
0
0
2
0
WADENA
1
0
0
2
0
2
0
WASECA
0
0
0
2
1
2
0
WASHINGTON
7
1
1
11
2
26
2
WATONWAN
0
0
0
0
0
1
0
WILKIN
0
0
0
1
1
1
0
WINONA
1
0
0
1
0
8
0
WISCONSIN
0
0
0
0
1
3
0
WRIGHT
5
0
3
3
1
10
0
YELLOW MEDICINE
0
0
0
3
0
1
0
241
25
23
255
123
RAMSEY
Minnesota
Home Mgmt
769
56
TABLE 15: Number of HWS by County, March 14, 2015
Page
HWS
HWS
County
County
AITKIN
5
LINCOLN
4
ANOKA
73
LYON
9
BECKER
12
MAHNOMEN
1
BELTRAMI
17
MARSHALL
3
BENTON
14
MARTIN
6
3
MCLEOD
15
BLUE EARTH
19
MEEKER
13
BROWN
13
MILLE LACS
CARLTON
30
MORRISON
13
CARVER
21
MOWER
13
CASS
10
MURRAY
4
CHIPPEWA
12
NICOLLET
9
CHISAGO
10
NOBLES
3
CLAY
19
NORMAN
5
CLEARWATER
4
OLMSTED
40
COTTONWOOD
5
OTTER TAIL
38
27
PENNINGTON
2
PINE
5
PIPESTONE
5
BIG STONE
CROW WING
DAKOTA
DODGE
DOUGLAS
FARIBAULT
153
5
7
26
POLK
12
5
POPE
7
FILLMORE
10
RAMSEY
FREEBORN
10
RED LAKE
1
GOODHUE
16
REDWOOD
6
2
RENVILLE
8
GRANT
HENNEPIN
230
825
RICE
30
HOUSTON
5
ROCK
3
HUBBARD
8
ROSEAU
5
ISANTI
6
SAINT LOUIS
89
ITASCA
27
SCOTT
16
11
JACKSON
5
SHERBURNE
KANABEC
4
SIBLEY
5
23
STEARNS
28
KITTSON
2
STEELE
11
KOOCHICHING
6
STEVENS
3
LAC QUI PARLE
3
SWIFT
6
LAKE
6
TODD
6
LAKE OF THE WOODS
1
TRAVERSE
1
LESUEUR
5
WABASHA
6
KANDIYOHI
XXIV
TABLE 15: Number of HWS by County, March 14, 2015
Page
HWS
County
WADENA
6
WASECA
5
WASHINGTON
51
WATONWAN
2
WILKIN
3
WINONA
8
WRIGHT
18
YELLOW MEDICINE
Minnesota
HWS
County
6
2225
XXV
Page
TABLE 16: Number of Licensed Facilities and Beds by County, March 14, 2015
Residential
Hospices
No.
Hospice
County
No.
===============================================
ANOKA
1
0
Residential
Hospices
No.
Hospice
County
No.
===============================================
KITTSON
1
0
BELTRAMI
1
0
1
0
LINCOLN
2
1
0
LYON
2
1
1
MEEKER
1
1
0
MILLE LACS
1
1
0
MORRISON
2
2
0
MOWER
1
2
0
MURRAY
1
2
0
NOBLES
2
1
0
OLMSTED
3
1
0
OTTER TAIL
1
1
0
PIPESTONE
1
12
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
BENTON
XXVI
0
0
RENVILLE
1
0
0
TABLE 16: Number of Licensed Facilities and Beds by County, March 14, 2015
Residential
Hospices
No.
Hospice
County
No.
===============================================
RICE
1
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
78
18
98
Page
XXVII
Residential
Hospices
No.
Hospice
County
No.
===============================================
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
BASIC – Basic Home Care
BCH – Boarding Care Home
CAH – Critical Access Hospital
CMHC – Community Mental Health Center
COMP – Comprehensive Home Care
CORF – Comprehensive Outpatient Rehabilitation Facility
ESRD – End Stage Renal Disease Provider
HCP-A – Professional Home Care Agency License
HCP-B – Paraprofessional Agency License
HCP-C – Individual Paraprofessional License
HCP-F – Class F Home Care Provider License
HCP-M – Home Management Registration
H C P / C O M P – Transitional license type for HHA (Refer to Foreword)
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
TBASIC – Temporary Basic Home Care
TCOMP – Temporary Comprehensive Home Care
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
MS. ALISON MATALAMAKI
HWSAL
Corp
850 2ND STREET NORTHWEST
AITKIN, MN 56431
PHONE: 218/927-2164
AICOTA HEALTH CARE CENTER INC
(30585)
FAX: 218/927-6436
Corp
MR. BARRY FOSS
COMP
850 2ND STREET NORTHWEST
AITKIN, MN 56431
PHONE: 218/927-2164
AITKIN HEALTH SERVICES
(24776)
FAX: 218/927-6436
NProf
MS. ALISON MATALAMAKI
NH-44
SNF-NF-44
301 MINNESOTA AVENUE SOUTH
AITKIN, MN 56431
PHONE: 218/927-5526
GOLDEN HORIZONS
(00002)
MS. MARIA FRIEDLUND
FAX: 218/927-8210
HWSAL
Corp
518 SEVENTH AVE NE
AITKIN, MN 56431
PHONE: 218/927-9996
GOLDEN HORIZONS
(30395)
MR. CHUCK LANE
FAX: 218/927-7005
Corp
HCP-F
518 SEVENTH AVE NE
AITKIN, MN 56431
PHONE: 218/927-9996
MARYHILL MANOR
(23660)
FAX: 218/927-7005
MR. JASON TODD
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
HOSP-25 BASS-6
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
(29474)
FAX: 218/697-2573
MS. MICHELLE PAGAN
CAH-25
Minnesota Department of Health
Division of Compliance Monitoring
Page 2
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
CHAPPY'S GOLDEN SHORES
Ind
Certification
AITKIN
Registration
(Cont.)* -------------------------
COMP
530 PARK AVENUE
HILL CITY, MN 55748
PHONE: 218/697-2705
CHAPPYS GOLDEN SHORES
(21006)
FAX: 218/697-2573
MS. THERESA OLSON
HWSAL
Ind
530 PARK AVENUE
HILL CITY, MN 55748
PHONE: 218/697-2705
NORTHLAND VILLAGE MCGREGOR
(21823)
FAX: 218/697-8145
MR. KEITH OLSON
HWSAL
Lim-Liab
22027 420TH STREET
MCGREGOR, MN 55760
PHONE: 218/768-3356
RIVERWOOD MCGREGOR CLINIC
(27287)
MR. THOMAS RENIER
FAX: 218/768-3379
RHC
Corp
2 EAST CENTER AVE PO BOX 340
MCGREGOR, MN 55760
PHONE: 218/768-4011
(03736)
MR. MICHAEL HAGEN
FAX: 218/768-4818
---------------------------**********
ARBOR OAKS SENIOR LIVING
Lim-Liab
ANOKA
******** -------------------------
HCP-F
1640 155TH LANE NW
ANDOVER, MN 55304
PHONE: 763/205-2348
ARBOR OAKS SENIOR LIVING LLC
(29442)
FAX: 763/757-1583
MS. KELSEY CALLAHAN
HWS
Lim-Liab
1640 155TH LANE NW
ANDOVER, MN 55304
PHONE: 763/205-2248
CHERRYWOOD OF ANDOVER 1889
(29443)
FAX: 763/757-1583
MS. KELSEY SCHULZ
HWSAL
Lim-Liab
1889 139TH AVE NW
ANDOVER, MN 55304
PHONE: 320/257-7445
CHERRYWOOD OF ANDOVER 1899
(29743)
FAX: 320/257-7447
MS. WENDY HULSEBUS
HWSAL
Lim-Liab
1899 139TH AVE NW
ANDOVER, MN 55304
PHONE: 320/257-7445
CYPRESS MANOR
(29744)
FAX: 320/257-7447
MS. WENDY HULSEBUS
HWSAL
Corp
16770 WREN STREET NW
ANDOVER, MN 55304
PHONE: 763/712-8363
(25460)
FAX: 763/323-4811
MR. JACOB NELSON
Minnesota Department of Health
Division of Compliance Monitoring
Page 3
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
GRACE NURSING CARE SERVICES IN
Certification
ANOKA
Registration
(Cont.)* -------------------------
HCP-A
3863 173RD LANE NORTHWEST
(29412)
ANDOVER, MN 55304
PHONE: 763/221-1556
FAX: /
MS. BARBARA JOHANEK
Ind
JUST FOR RACHEL HOME CARE
HCP-A
4954 170TH LANE NORTHWEST
(25672)
ANDOVER, MN 55304
PHONE: 763/286-3862
FAX: 763/427-7099
Ind
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
HWSAL
NProf
13733 QUAY STREET
ANDOVER, MN 55304
PHONE: 763/712-7000
THE FARMSTEAD
(20547)
MS. SUSAN MINAR
FAX: 763/712-7040
NProf
HCP-F
13733 QUAY STREET
ANDOVER, MN 55304
PHONE: 763/172-7000
219 CLAY STREET
(27961)
MS. NATALIE MORLAND
FAX: 763/712-7001
HWS
NProf
219 CLAY STREET
ANOKA, MN 55303
PHONE: 651/774-0011
2811 7TH AVE
(31114)
FAX: 651/454-5000
MS. DANIELLE FOX
HWS
NProf
2811 7TH AVE
ANOKA, MN 55303
PHONE: 651/774-0011
ANOKA METRO REG TREATMENT CTR
(31115)
FAX: 651/454-5000
State
MS. DANIELLE FOX
OTHER-175 SLFB-29
PSY-175
3301 7TH AVE N
ANOKA, MN 55303
PHONE: 651/431-5252
ANOKA REHAB & LIVING CENTER
(00004)
FAX: 651/431-7701
NProf
MR. BRIAN TEUBER
NH-120
SNF-NF-120
3000 4TH AVENUE
ANOKA, MN 55303
PHONE: 763/528-6400
ENGELS 1845
(00893)
FAX: 763/528-6402
MR. DOUGLAS DOLINSKY
HWS
NProf
1845 FERRY ST S
ANOKA, MN 55303
PHONE: 651/225-8963
(30256)
FAX: 651/291-1082
MS. DANIELLE FOX
Minnesota Department of Health
Division of Compliance Monitoring
Page 4
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
ENGELS 2321
Certification
ANOKA
Registration
(Cont.)* -------------------------
HWS
NProf
2321 BRANCH AVE
ANOKA, MN 55303
PHONE: 651/225-8963
ENGELS 2911
(30257)
FAX: 651/291-1082
MS. DANIELLE FOX
HWS
NProf
2911 7TH AVE
ANOKA, MN 55303
PHONE: 651/225-8963
GOLDEN LIVINGCENTER TWIN RIVER
(30258)
FAX: 651/291-1082
Lim-Liab
MS. DANIELLE FOX
NH-56
SNF-NF-56
305 FREMONT ST
ANOKA, MN 55303
PHONE: 763/421-5660
LINCOLN ESTATES 1000
(00866)
FAX: 763/421-6581
MR. ERNEST GERSHONE
HWS
NProf
1000 LINCOLN ST
ANOKA, MN 55303
PHONE: 651/225-8963
LINCOLN ESTATES 2630
(30260)
FAX: 651/291-1082
MS. DANIELLE FOX
HWS
NProf
2630 9TH LANE
ANOKA, MN 55303
PHONE: 651/225-8963
LINCOLN ESTATES 2710
(30259)
FAX: 651/291-1082
MS. DANIELLE FOX
HWS
NProf
2710 9TH LANE
ANOKA, MN 55303
PHONE: 651/225-8963
LINCOLN ESTATES 2740
(30262)
FAX: 651/291-1082
MS. DANIELLE FOX
HWS
NProf
2740 9TH LANE
ANOKA, MN 55303
PHONE: 651/225-8963
MEADOWS 500 GREEN
(30261)
FAX: 651/291-1082
MS. DANIELLE FOX
HWS
NProf
500 GREEN HAVEN RD
ANOKA, MN 55303
PHONE: 651/225-8963
RIVER OAKS OF ANOKA
(30263)
FAX: 651/291-1082
MS. DANIELLE FOX
HWSAL
Lim-Liab
910 WESTERN STREET
ANOKA, MN 55303
PHONE: 763/421-4011
RUM RIVER LLC 2727
(24353)
FAX: 763/422-8946
MR. FRANCIS LANG
HWS
NProf
2727 4TH AVE N
ANOKA, MN 55303
PHONE: 651/225-8963
(30264)
FAX: 651/291-1082
MS. DANIELLE FOX
Minnesota Department of Health
Division of Compliance Monitoring
Page 5
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
THE CEDARS
Certification
ANOKA
Registration
(Cont.)* -------------------------
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
THE HOMESTEAD AT ANOKA
(20535)
FAX: 763/323-4811
MR. JACOB NELSON
HWSAL
NProf
3002 4TH AVENUE NORTH
ANOKA, MN 55303
PHONE: 763/528-6500
THE MAPLES
(29856)
FAX: 763/528-6501
MS. ANGIE ZIMMERMAN
HWSAL-O
Corp
2823 7TH AVE NORTH
ANOKA, MN 55303
PHONE: 763/712-8363
THE OAKS
(23690)
MR. JACOB NELSON
FAX: 763/323-4811
HWSAL
Corp
2201 7TH AVENUE NORTH
ANOKA, MN 55303
PHONE: 763/712-8363
THE PINES
(20534)
MR. JACOB NELSON
FAX: 763/323-4811
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
COMP
3002 4TH AVENUE NORTH
ANOKA, MN 55303
PHONE: 763/528-6590
WALKER METHODIST PLAZA
(29031)
MS. ANGIE ZIMMERMAN
FAX: 763/528-6501
HWSAL
NProf
131 MONROE STREET
ANOKA, MN 55303
PHONE: 763/422-4037
WALKER METHODIST PLAZA
(30628)
MR. JONATHAN FENTON
FAX: 763/422-8115
NProf
COMP
131 MONROE STREET
ANOKA, MN 55303
PHONE: 763/422-4037
(20443)
FAX: 763/422-8115
MR. JONATHAN FENTON
Minnesota Department of Health
Division of Compliance Monitoring
Page 6
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
WHISPERING PINES ASSTD LIVING
Corp
Certification
ANOKA
Registration
(Cont.)* -------------------------
HCP-F
707 POLK STREET
ANOKA, MN 55303
PHONE: 763/712-8363
WOODLAND PARK APARTMENTS
(20533)
FAX: 763/323-4811
MR. JACOB NELSON
HWS
NProf
2614 CUTTERS GROVE AVE
ANOKA, MN 55303
PHONE: 651/774-0011
10850 6TH ST N
(31113)
FAX: 651/454-5000
MS. DANIELLE FOX
HWS-O
NProf
10850 6TH ST N
BLAINE, MN 55434
PHONE: 651/774-0011
ANTHONY LOUIS CENTER
(31116)
FAX: 651/454-5000
Corp
MS. DANIELLE FOX
SLFA-22
1000 PAUL PARKWAY
BLAINE, MN 55434
PHONE: 763/757-2906
BLAINE ASSISTED LIVING AND MEM
(01400)
MS. MELISSA BROGGER
FAX: 763/757-2059
HWSAL
Lim-Liab
10669 ULYSSES ST NE
BLAINE, MN 55449
PHONE: 763/754-7300
BLAINE ASSISTED LIVING AND MEM
(30479)
MR. JASON GESCHWIND
FAX: 763/754-2561
Lim-Liab
COMP
10669 ULYSSES ST NE
BLAINE, MN 55449
PHONE: 763/754-7300
BLAINE WHITE PINE
(23914)
FAX: 763/754-2561
Lim-Liab
MR. JASON GESCHWIND
COMP
12446 JAMESTOWN STREET NE
BLAINE, MN 55449
PHONE: 763/754-1930
BLAINE WHITE PINE
(26857)
FAX: 763/754-1933
MS. RHONDA SCHILLINGER
HWSAL
Lim-Liab
12446 JAMESTOWN STREET NE
BLAINE, MN 55449
PHONE: 763/754-1930
BRAINZ LLC
(30650)
FAX: 763/754-1933
Lim-Liab
MS. RHONDA SCHILLINGER
COMP
10299 UNIVERSITY AVE NE STE102
BLAINE, MN 55434
PHONE: 763/205-9730
CENTRAL AVENUE DIALYSIS
(29603)
FAX: 763/205-9735
MR. PAULINUS FULTANG
ESRD
Lim-Liab
10994 BALTIMORE STREET NE
BLAINE, MN 554494601
PHONE: 763/786-5026
(29879)
FAX: 763/786-4138
MR. NICK KIEFFER
Minnesota Department of Health
Division of Compliance Monitoring
Page
7
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
ANOKA
(Cont.)* -------------------------
Home Mgmt
Lim-Liab
COMFORT KEEPERS
Registration
9298 CENTRAL AVE NE STE 204
(28074)
BLAINE, MN 55434
PHONE: 763/786-1000
FAX: 763/786-9440
Lim-Liab
COMFORT KEEPERS
MS. BEV BERARD
HCP-A
9298 CENTRAL AVE NE SUITE 401
(26035)
BLAINE, MN 55434
PHONE: 763/786-1000
FAX: 763/786-9440
MR. TOM BERARD
Home Mgmt
Lim-Liab
COMFORT KEEPERS
9298 CENTRAL AVENUE NE STE 204
(29393)
BLAINE, MN 55434
PHONE: 763/786-1000
FAX: /-
MR. TOM BERARD
Lim-Liab
COMFORT KEEPERS 283 668 772
HCP-A
9298 CENTRAL AVE NE SUITE 204
(29428)
BLAINE, MN 55434
PHONE: 763/786-1000
MR. TOM BERARD
FAX: /-
HWSAL
Lim-Liab
EDGEWOOD BLAINE SENIOR LIVING
12450 CLOUD DRIVE NE
(29791)
BLAINE, MN 55449
PHONE: 763/754-7123
MR. PHILIP GISI
FAX: 763/754-1723
Lim-Liab
EDGEWOOD BLAINE SENIOR LVG LLC
HCP-F
12450 CLOUD DRIVE NE
(29941)
BLAINE, MN 55449
PHONE: 218/230-5019
FAX: /-
MS. LORI HANSON
ESRD
Corp
FRESENIUS MEDICAL CARE BLAINE
12555 CENTRAL AVENUE NE
(28635)
BLAINE, MN 55434
PHONE: 763/754-6774
FAX: 763/754-6334
Lim-Liab
HEALTHMAX HOME HEALTH SERVICES
MS. JENA ANDERBERG
HCP/COMP
HHA
9298 CENTRAL AVE NE STE 402
(25988)
BLAINE, MN 55434
PHONE: 651/665-0000
FAX: 612/677-3947
Corp
HIGH LAND CARE INC
MR. YOSSEPH ISAAK
COMP
10307 UNIVERSITY AVE NE
(03139)
BLAINE, MN 55434
PHONE: 763/786-3439
FAX: 763/783-3528
Corp
HOME INSTEAD SENIOR CARE
MS. MARILYN LOM
COMP
10155 UNIVERSITY AVE NW # 100
(23591)
BLAINE, MN 55343
PHONE: 763/792-0041
FAX: /-
MR. DANIEL ARNOLD
Minnesota Department of Health
Division of Compliance Monitoring
Page
8
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Ind
KAREN'S SENIOR KARE
Certification
ANOKA
Registration
(Cont.)* -------------------------
BASIC
13204 JOHNSON STREET NE
(29570)
BLAINE, MN 55434
PHONE: 763/226-4622
FAX: /-
MS. KAREN PULLEN
Lim-Liab
MINNESOTA EYE LASER AND SURGER
Amb Surg
Outpt Surg
11091 ULYSSES STREET
(27713)
BLAINE, MN 55434
PHONE: 763/421-9410
FAX: 952/567-6188
State
MSOCS BLAINE HOME
MS. CANDACE SIMERSON
SLFB-6
ICFIID-6
12949 KENYON STREET NORTHEAST
(01644)
BLAINE, MN 55449
PHONE: 763/755-0233
FAX: 763/755-0281
Lim-Liab
NORTH METRO SURGERY CENTER
MS. GEORGENE ANDRIST
Outpt Surg
Amb Surg
11855 ULYSSES STREET SUITE 270
(26537)
BLAINE, MN 554344182
PHONE: 763/755-6540
MS. CELESTE MOORE
FAX: 763/755-6516
HWSAL
Corp
STERLING HOUSE OF BLAINE
1005 PAUL PARKWAY
(30625)
BLAINE, MN 55434
PHONE: 763/755-2800
MS. MARGARET MIC
FAX: 763/755-6400
Corp
STERLING HOUSE OF BLAINE
COMP
1005 PAUL PARKWAY
(20412)
BLAINE, MN 55434
PHONE: 763/755-2800
FAX: 763/755-6400
MS. MARGARET MIC
HWS
NProf
STONE GATE APARTMENTS
10640 6TH ST
(30269)
BLAINE, MN 55434
PHONE: 651/774-0011
FAX: /-
SYNERGY HOME CARE NORTHEAST ME
MS. DANIELLE FOX
Corp
COMP
9380 CENTRAL AVENUE NE STE 310
BLAINE, MN 55434
PHONE: 763/205-4440
TRANSAMERICA CARE INC
(29621)
FAX: 763/205-4403
Corp
MR. BRIAN MCDONALD
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
(29282)
FAX: 763/568-7231
MS. TONJIA REED
Minnesota Department of Health
Division of Compliance Monitoring
Page 9
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
4060 4TH STREET NE
Certification
ANOKA
Registration
(Cont.)* -------------------------
HWS
NProf
4060 4TH STREET NE
COLUMBIA HEIGHTS, MN 55421
PHONE: 952/239-5310
4441 UNIVERSITY AVE
(31498)
FAX: 952/922-2901
MR. GEOFFREY MEYER
HWS
NProf
4441 UNIVERSITY AVE
COLUMBIA HEIGHTS, MN 55421
PHONE: 952/239-5310
4621 UNIVERSITY AVE
(31411)
FAX: 952/922-2901
MR. GEOFFREY MEYER
HWS
NProf
4621 UNIVERSITY AVE
COLUMBIA HEIGHTS, MN 55421
PHONE: 651/774-0011
4715 UNIVERSITY AVE
(31112)
FAX: 651/454-5000
MS. DANIELLE FOX
HWS
NProf
4715 UNIVERSITY AVE
COLUMBIA HEIGHTS, MN 55421
PHONE: 952/239-5310
ADVANZED HOME HEALTH CARE
(31413)
MR. GEOFFREY MEYER
FAX: 952/922-2901
Lim-Liab
COMP
3831 BAKKEN BOULEVARD
COLUMBIA HEIGHTS, MN 55421
PHONE: 612/323-0315
ANOKA PROFESSIONAL HM CARE LLC
(29776)
MR. LIBAN MOHAMUD
FAX: 612/460-6079
Lim-Liab
HCP-A
4111 CENTRAL AVE NE STE 221 S
COLUMBIA HEIGHTS, MN 55421
PHONE: 763/789-4669
COLUMBIA VILLAGE
(29329)
MS. GWENDOLINE WANKA
FAX: 763/781-5114
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
COMP
4148 5TH STREET NE
COLUMBIA HEIGHTS, MN 55421
PHONE: 763/291-5125
CREST VIEW HOME CARE
(26735)
MR. MARK ONYENEMEZU
FAX: 763/782-8740
NProf
HCP-F
1515 44TH AVENUE NORTHEAST
COLUMBIA HEIGHTS, MN 55421
PHONE: 763/782-1605
CREST VIEW HOME HEALTH CARE
(20750)
MS. MARIE DE LEON
FAX: 763/788-0012
NProf
HHA
HCP/COMP
1515 44TH AVENUE NORTHEAST
COLUMBIA HEIGHTS, MN 55421
PHONE: 763/782-1605
(03080)
FAX: 763/788-0012
MS. ANNE DE LEON
Minnesota Department of Health
Division of Compliance Monitoring
Page
10
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
CREST VIEW LUTHERAN HOME
Certification
ANOKA
Registration
(Cont.)* -------------------------
NH-122
SNF-NF-122
4444 RESERVOIR BLVD NE
(00005)
COLUMBIA HEIGHTS, MN 55421
PHONE: 763/782-1620
FAX: 763/782-0857
MS. TALIA ARAMALAY
HWSAL
NProf
CREST VIEW ON 42ND
900 42ND AVENUE NE
(21871)
COLUMBIA HEIGHTS, MN 55421
PHONE: 763/781-5873
FAX: 763/782-0857
NProf
CSSC HOME CARE SERVICES
MS. TALIA ARAMALAY
HCP-B
4111 CENTRAL AVE N STE 200A
(29538)
COLUMBIA HEIGHTS, MN 55421
PHONE: 612/529-2602
FAX: 612/465-2733
MS. YI LI YOU
HWSAL
Lim-Liab
LIGHTHOUSE OF COLUMBIA HEIGHTS
3801 HART BOULEVARD NORTHEAST
(30649)
COLUMBIA HEIGHTS, MN 55421
PHONE: 763/210-6600
MS. TAMMY KUCERA
FAX: 763/210-6695
Lim-Liab
LIGHTHOUSE OF COLUMBIA HEIGHTS
COMP
3801 HART BOULEVARD NORTHEAST
(26853)
COLUMBIA HEIGHTS, MN 55421
PHONE: 763/210-6600
MR. JOHN SHERIDAN-GIESE
FAX: 763/210-6695
HWS
NProf
LYNDE INVESTMENT COMPANY LLP
4707 UNIVERSITY AVE APT BLDG 2
(31232)
COLUMBIA HEIGHTS, MN 55421
PHONE: 651/774-0011
FAX: /-
MR. GEOFFREY MEYER
HWS
NProf
LYNDE INVESTMENT COMPANY LLP
4433 UNIVERSITY AVE APT BLDG 1
(31227)
COLUMBIA HEIGHTS, MN 55421
PHONE: 651/774-0011
FAX: /-
MR. GEOFFREY MEYER
Part
MIRACLES 1ST LLP
HCP-F
5128 4TH STREET NE
(29835)
COLUMBIA HEIGHTS, MN 55421
PHONE: 612/227-7065
FAX: /-
MS. TEMEKA THEDFORD
Ind
MOTASSIM MOHAMED SORKATY
TBASIC
3847 CENTRAL AVE NE
(30987)
COLUMBIA HEIGHTS, MN 55421
PHONE: 612/275-5909
FAX: /-
MR. MOTASSIM SORKATY
Corp
NEIGHBORS CARE HEALTH SERVICES
HCP-A
4937 JACKSON STREET NE
(29488)
COLUMBIA HEIGHTS, MN 55421
PHONE: 612/532-6406
FAX: /-
MR. RASHID ISSACK
Minnesota Department of Health
Division of Compliance Monitoring
Page 11
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
PRO-HEALTH HOME CARE AGENCY LL
Certification
ANOKA
Registration
(Cont.)* -------------------------
HCP-A
3989 CENTRAL AVE NE SUITE 510
(25163)
COLUMBIA HEIGHTS, MN 55421
PHONE: 763/746-8155
FAX: 763/746-8154
DR. ABDULWAHAB ASAMARAI
HWSAL
NProf
ROYCE PLACE
1515 44TH AVENUE NE
(20079)
COLUMBIA HEIGHTS, MN 55421
PHONE: 763/706-2563
FAX: 763/788-0012
MS. TALIA ARAMALAY
HWS
NProf
THE BOULEVARD
4458 RESERVOIR BLVD NORTHEAST
(20078)
COLUMBIA HEIGHTS, MN 55421
PHONE: 763/782-1606
MS. TALIA ARAMALAY
FAX: 763/782-0857
HWS
Church
THE DWELLING PLACE NORTH METRO
940 44TH AVENUE NE UNIT 21307
(31370)
COLUMBIA HEIGHTS, MN 55421
PHONE: 651/221-0405
MS. JODY COWDIN
FAX: /
HWS
Church
THE DWELLING PLACE ST PAUL
940 44TH AVE NE UNIT 21307
(31257)
COLUMBIA HEIGHTS, MN 55421
PHONE: 651/221-0405
MS. JODY COWDIN
FAX: 651/221-0420
HWSAL
Lim-Liab
AUTUMN GLEN SENIOR LIVING LLC
3715 COON RAPIDS BLVD
(31129)
COON RAPIDS, MN 55433
PHONE: 763/772-4492
MR. CHRISTOPHER KING
FAX: /-
HWS
NProf
BANEBERRY ESTATE 11205
11205 HANSON BLVD
(30274)
COON RAPIDS, MN 55448
PHONE: 651/225-8963
MS. DANIELLE FOX
FAX: 651/291-8653
HWS
NProf
BANEBERRY ESTATES
11245 HANSON BLVD
(31365)
COON RAPIDS, MN 55433
PHONE: 763/755-2013
BETHESDA LUTHERAN COMM COT 5
MR. GEOFFREY MEYER
FAX: /-
NProf
ICFIID-12
SLFA-12
2483 109TH AVENUE NORTHWEST
COON RAPIDS, MN 55433
PHONE: 763/757-1574
BETHESDA LUTHERAN COMM COT 6
(01538)
MS. MONICA SCHMIDT
FAX: 763/757-3473
NProf
ICFIID-12
SLFA-12
2493 109TH AVENUE NORTHWEST
COON RAPIDS, MN 55433
PHONE: 952/443-2048
(01253)
FAX: 952/443-2371
MS. MONICA SCHMIDT
Minnesota Department of Health
Division of Compliance Monitoring
Page
12
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
CAMILIA ROSE CARE CENTER LLC
Certification
ANOKA
Registration
(Cont.)* -------------------------
NH-80
SNF-NF-80
11800 XEON BOULEVARD
(00757)
COON RAPIDS, MN 55448
PHONE: 763/755-8400
FAX: 763/755-8578
Lim-Liab
CAMILIA ROSE GROUP HOME
MR. MARK BROMAN
SLFB-29
ICFIID-29
11820 XEON BOULEVARD
(01141)
COON RAPIDS, MN 55448
PHONE: 763/754-2505
FAX: 763/755-3130
MS. MARY TJOSVOLD
HWS
NProf
COLONIAL ESTATES
11350 ROBINSON RD
(30644)
COON RAPIDS, MN 55433
PHONE: 651/225-8963
FAX: /
MR. TIM MCGUIRE
ESRD
Corp
COON RAPIDS DIALYSIS UNIT
3960 COON RAPIDS BLVD # 309
(02316)
COON RAPIDS, MN 55103
PHONE: 763/421-8717
CREEKSIDE COTTAGE CATERED LIVI
MS. JENNIFER ELLEFSON
FAX: /
HWSAL
Corp
1190 117TH AVENUE NW
COON RAPIDS, MN 55448
PHONE: 763/862-5428
DEMAR ASSOCIATES INC
(24666)
MS. MARY TJOSVOLD
FAX: 763/754-6903
HWSAL
Corp
11777 XEON BOULEVARD
COON RAPIDS, MN 55448
PHONE: 763/862-5438
EAGLE STREET CATERED LIVING
(20134)
FAX: 763/862-3846
MS. MARY TJOSVOLD
HWSAL
Corp
12009 EAGLE STREET
COON RAPIDS, MN 55448
PHONE: 763/862-5438
ECUMEN AT HOME
(20835)
FAX: 763/755-3631
NProf
MS. MARY TJOSVOLD
COMP
199 COON RAPIDS BVLD STE 111
COON RAPIDS, MN 55433
PHONE: 763/755-9009
ECUMEN AT HOME
(26983)
FAX: 763/862-8030
NProf
MS. FRANCES FERNANDEZ
HCP/COMP
HHA
199 COON RAPIDS BLVD STE 111
COON RAPIDS, MN 55433
PHONE: 763/755-9009
EPIPHANY ASSISTED LIVING LLC
(02135)
FAX: 763/862-8030
Lim-Liab
MR. TERRY MAHAR
HCP-F
10955 HANSON BOULEVARD NW
COON RAPIDS, MN 55433
PHONE: 763/755-9299
(21113)
FAX: 763/772-1070
MS. MARY MCCARTY
Minnesota Department of Health
Division of Compliance Monitoring
Page 13
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
ANOKA
(Cont.)* -------------------------
HWSAL
Lim-Liab
EPIPHANY ASSISTED LIVING LLC
Registration
10955 HANSON BOULEVARD NW
(30688)
COON RAPIDS, MN 55433
PHONE: 763/755-0320
FAX: 763/772-1044
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
COMP
12860 AVOCERT STREET
(29679)
COON RAPIDS, MN 55448
PHONE: 763/227-4898
FAX: /
MS. JODY BERKNER
ESRD
Corp
FMC DIALYSIS SERVCES NO SUBURB
9144 SPRINGBROOK DRIVE
(02816)
COON RAPIDS, MN 55355
PHONE: 763/783-0103
FRESENIUS MED CA RND LK DIALYS
MR. RICHARD PHIDD
FAX: /
ESRD
Corp
3777 COON RAPIDS BLVD NW #200
COON RAPIDS, MN 55433
PHONE: 763/323-1234
FRESENIUS MED CARE COON RAPIDS
(30283)
MR. JOHN MARIETTI
FAX: 763/323-6695
ESRD
Corp
3465 NORTHDALE BOULEVARD
COON RAPIDS, MN 55448
PHONE: 763/421-1032
GARDEN OAKS 9975
(25769)
FAX: 763/421-1054
MR. JOHN MARIETTI
HWS
NProf
9975 BUTTERNUT ST
COON RAPIDS, MN 55448
PHONE: 651/225-8963
GRACIOUS COMPANIONS LLC
(30280)
FAX: 651/291-1082
MS. DANIELLE FOX
Home Mgmt
Lim-Liab
12564 GROUSE STREET NORTHWEST
COON RAPIDS, MN 55448
PHONE: 763/233-1023
GRACIOUS COMPANIONS LLC
(27401)
FAX: 763/862-8420
Lim-Liab
MS. REGINA KENNEY
BASIC
12564 GROUSE STREET NORTHWEST
COON RAPIDS, MN 55448
PHONE: 763/233-1023
GREAT LAKES HOME CARE INC
(28834)
FAX: 763/757-1753
MS. REGINA KENNEY
HWSAL
Corp
10150 REDWOOD ST NW
COON RAPIDS, MN 55403
PHONE: 763/537-6651
(30961)
FAX: 763/535-4288
MS. MARY-KIM EGERE
Minnesota Department of Health
Division of Compliance Monitoring
Page 14
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
ANOKA
(Cont.)* -------------------------
HWSAL
NProf
HOMESTEAD COON RAPIDS MEMORY
Registration
1770 113TH LANE
(20478)
COON RAPIDS, MN 55433
PHONE: 763/754-3500
FAX: 763/754-3700
Part
MARGARET PLACE LIMITED PARTNER
MS. JENNIFER FRAZER-JOHN
COMP
1555 118TH LANE NW
(20886)
COON RAPIDS, MN 55448
PHONE: 763/754-2505
FAX: 763/754-0332
MR. RANDY LEJA
HWS
Part
MARGARET PLACE LIMITED PARTNER
1555 118TH LANE NW
(30826)
COON RAPIDS, MN 55448
PHONE: 763/754-2505
MS. MARY TJOSVOLD
FAX: 763/754-0332
Corp
MARY T HOME HEALTH
HCP/COMP
HHA
1555 118TH LANE NORTHWEST
(03136)
COON RAPIDS, MN 55448
PHONE: 763/862-5438
MR. RANDY LEJA
FAX: 763/755-3631
Corp
MARY T HOSPICE
Hospice
HSPICE
1555 118TH LANE NW
(26345)
COON RAPIDS, MN 55448
PHONE: 763/772-9963
MR. RANDALL LEJA
FAX: 763/754-0332
NProf
MERCY HOSPITAL
HOSP-271 BASS-38
HOSP-271
4050 COON RAPIDS BLVD
(00009)
COON RAPIDS, MN 55433
PHONE: 763/236-8205
FAX: 763/236-8124
Corp
MNGI ENDOSCOPY COON RAPIDS
MS. SARA CRIGER
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
COMP
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
(02199)
FAX: 763/862-6533
MS. KELLY HUNGASKI
Minnesota Department of Health
Division of Compliance Monitoring
Page 15
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
REM MN COMM SRVS INC KUMQUAT
Corp
Certification
ANOKA
Registration
(Cont.)* -------------------------
SLFB-6
ICFIID-6
12011 KUMQUAT STREET NORTHWEST
COON RAPIDS, MN 55448
PHONE: 651/644-7680
ROBINWOOD APARTMENTS 10974
(01591)
FAX: 651/644-6777
MS. CONNIE MENNE
HWS
NProf
10974 FLORA ST
COON RAPIDS, MN 55433
PHONE: 651/225-8963
ROBINWOOD APARTMENTS 10990
(30279)
FAX: 651/291-1082
MS. DANIELLE FOX
HWS
NProf
10990 FLORA ST NW
COON RAPIDS, MN 55433
PHONE: 651/225-8963
SELECT SENIOR LIVING OF COON R
(30277)
FAX: 651/291-1082
Lim-Liab
MS. DANIELLE FOX
COMP
11350 MARTIN STREET
COON RAPIDS, MN 55433
PHONE: 763/767-1127
SELECT SENIOR LIVING OF COON R
(25728)
MS. KELLY MYERS
FAX: 763/862-6852
HWSAL
Lim-Liab
11350 MARTIN STREET NW
COON RAPIDS, MN 55433
PHONE: 763/767-1127
THE HOMESTEAD AT COON RAPIDS
(25729)
MS. KELLY MYERS
FAX: 651/454-4783
NProf
COMP
11372 ROBINSON DRIVE NORTHWEST
COON RAPIDS, MN 55433
PHONE: 763/754-3500
THE HOMESTEAD AT COON RAPIDS
(20532)
FAX: 763/754-3700
MS. JENNIFER FRAZER-JOHN
HWSAL
NProf
11372 ROBINSON DRIVE NORTHWEST
COON RAPIDS, MN 55433
PHONE: 763/754-3500
WELLINGTON RIDGE 9787
(30689)
FAX: 763/754-3700
MS. JENNIFER FRAZER-JOHN
HWS
NProf
9787 PALM ST NW
COON RAPIDS, MN 55433
PHONE: 651/225-8963
WOODLAND APARTMENTS 9240
(30276)
FAX: 651/291-1082
MS. DANIELLE FOX
HWS
NProf
9240 UNIVERSITY AVE NW
COON RAPIDS, MN 55448
PHONE: 651/225-8963
BENEDICTINE LIVING CTR FRIDLEY
(30278)
FAX: 651/291-1082
NProf
MS. DANIELLE FOX
NH-50
520 OSBORNE ROAD NORTHEAST
FRIDLEY, MN 55432
PHONE: 763/689-1162
(29890)
FAX: 763/689-7197
MS. SHARON JOHNSON
Minnesota Department of Health
Division of Compliance Monitoring
Page 16
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
DIAMEND HEALTH CARE LLC
Certification
ANOKA
Registration
(Cont.)* -------------------------
HCP-A
4100 MAIN STREET NE
(30186)
FRIDLEY, MN 55421
PHONE: 651/399-2503
EAST RIVER ROAD DIALYSIS
FAX: /
MS. ADHEL DAU
ESRD
Corp
5301 EAST RIVER RD NE STE 117
FRIDLEY, MN 55421
PHONE: 763/571-5556
FRIDLEY ASSISTED LIVING LLC
(25501)
FAX: 763/571-7882
MR. LAWRENCE BLAIR
HWSAL
Lim-Liab
6352 CENTRAL AVENUE
FRIDLEY, MN 55432
PHONE: 763/574-7366
FRIDLEY WHITE PINE
(27981)
FAX: 763/574-7362
Lim-Liab
MS. RHONDA SCHILLNGER
HCP-F
6352 CENTRAL AVENUE
FRIDLEY, MN 55432
PHONE: 763/574-7366
GEORGETOWN APARTMENTS 5640
(27980)
MS. LISA SHOCK
FAX: 763/574-7362
HWS
NProf
5640 RIVER RD E
FRIDLEY, MN 55432
PHONE: 651/225-8963
GOLDEN LIVINGCENTER LYNWOOD
(30268)
MS. DANIELLE FOX
FAX: 651/291-1082
Lim-Liab
NH-54
SNF-NF-54
5700 EAST RIVER ROAD
FRIDLEY, MN 55432
PHONE: 763/571-3150
MATEER PROPERTIES 5451
(00935)
FAX: 763/571-2805
MS. JENNIFER FLORIAN
HWS
NProf
5451 5TH ST NE
FRIDLEY, MN 55421
PHONE: 651/225-8963
METRO THERAPY SPECIAL CHILDREN
(30267)
FAX: 651/291-1082
MS. DANIELLE FOX
Out St Out Ot
Corp
5155 EAST RIVER ROAD STE 403
FRIDLEY, MN 55421
PHONE: 763/572-2519
MN ORTHOPAEDIC SURG CTR LLC
(02799)
FAX: 763/572-2616
Lim-Liab
MS. AUDREY CHAPUT
Outpt Surg
Amb Surg
8290 UNIVERSITY AVE NE STE 100
FRIDLEY, MN 55432
PHONE: 763/786-0461
PRIDE N'LIVING HOME CARE INC
(04305)
FAX: 763/786-0471
Corp
MS. REBECCA ANDERSON
HCP-A
7691 CENTRAL AVENUE STE 102
FRIDLEY, MN 55432
PHONE: 763/572-2390
(23218)
FAX: 763/574-2459
MRS. DEBRA RIMPSON
Minnesota Department of Health
Division of Compliance Monitoring
Page
17
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
THE LANDMARK OF FRIDLEY
Certification
ANOKA
Registration
(Cont.)* -------------------------
COMP
6490 CENTRAL AVENUE NE
(28954)
FRIDLEY, MN 55432
PHONE: 763/571-7355
FAX: 763/571-7299
MS. JEANNE JAECKELS
HWSAL
Lim-Liab
THE LANDMARK OF FRIDLEY LLC
6490 CENTRAL AVENUE NORTHEAST
(28887)
FRIDLEY, MN 55432
PHONE: 763/571-7355
FAX: 763/571-7299
NProf
UNITY HOSPITAL
MS. DEBRA TSCHIDA
HOSP-275 BASS-36
HOSP-260 PPS-P-15
550 OSBORNE RD
(00011)
FRIDLEY, MN 55432
PHONE: 763/236-5000
FAX: 763/236-3774
MS. HELEN STRIKE
Out Pt Out Ot
Corp
HAM LAKE PHYSICAL THERAPY
16210 ABERDEEN ST NE STE B
(03772)
HAM LAKE, MN 55304
PHONE: 763/413-0880
MR. MARK NETZINGER
FAX: 763/413-0850
Lim-Liab
VILLAGE IN PINE RETIRMNT HOUSE
HCP-F
824 142ND AVENUE NE
(28200)
HAM LAKE, MN 55304
PHONE: 763/862-4900
MR. AKWEN MORCHO
FAX: 763/792-3839
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
COMP
695 OAK LANE
(29183)
LINO LAKES, MN 55014
PHONE: 612/701-6527
LAKE DRIVE CUSTOM LIVING
FAX: /
MS. ELIZABETH TAMFU
HWSAL
Corp
7772 LAKE DR
LINO LAKES, MN 55014
PHONE: 952/814-7400
LINO LAKES ASSISTED LIVING LLC
(31110)
FAX: 952/853-0966
MR. MAC WALTERS
HWSAL
Lim-Liab
725 TOWN CENTER PARKWAY
LINO LAKES, MN 55014
PHONE: 763/267-6183
LINO LAKES ASSISTED LIVING LLC
(30745)
FAX: 763/398-2294
Lim-Liab
MS. DEIDRA BURKE
COMP
725 TOWN CENTER PARKWAY
LINO LAKES, MN 55014
PHONE: 763/267-6183
(27529)
FAX: 763/398-2294
MS. AMY KOEHNEN
Minnesota Department of Health
Division of Compliance Monitoring
Page
18
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
YELLOW ROSE HOME CARE
Certification
ANOKA
Registration
(Cont.)* -------------------------
COMP
1316 126TH AVENUE NORTHWEST
(27686)
MINNEAPOLIS, MN 55448
PHONE: 763/432-9117
FAX: 763/201-7927
Lim-Liab
FUNDAMENTAL KIDS THERAPY LLC
MS. KAREN SKOGMAN
HCP-A
145 221ST AVENUE NORTHWEST
(29241)
OAK GROVE, MN 55011
PHONE: 952/297-2460
FAX: /
MS. JULIE JOHNSON
Home Mgmt
Corp
CAREFREE HOME SERVICES INC
7830 149TH LANE NW
(27857)
RAMSEY, MN 55303
PHONE: 763/422-9713
FAX: 763/421-3098
Lim-Liab
DIGNITY HEALTHCARE SERVICES
MR. MICHAEL BEACH
COMP
5676 154TH AVENUE NW
(29956)
RAMSEY, MN 55303
PHONE: 651/283-9043
MS. FLORENCE BASSA
FAX: 763/400-3731
HWSAL
Lim-Liab
STONEY RIVER RAMSEY
14401 NOWTHEN BOULEVARD NW
(31334)
RAMSEY, MN 55303
PHONE: 612/615-9936
MS. YOUNG BEBUS
FAX: /-
Lim-Liab
STONEY RIVER RAMSEY
TCOMP
14401 NOWTHEN BLVD NW
(31331)
RAMSEY, MN 55303
PHONE: 612/615-9936
NEDIN APARTMENTS 8401
FAX: /-
MS. YOUNG BEBUS
HWS
NProf
8401 CENTER DR NE
SPRING LAKE PARK, MN 55432
PHONE: 651/225-8963
OAK CREST SENIOR LIVING
(30266)
FAX: 651/291-1082
MS. DANIELLE FOX
HWSAL
ONProf
1639 COUNTY HWY 10 NORTHEAST
SPRING LAKE PARK, MN 55432
PHONE: 763/783-5641
RELIEVE CARE INC
(27156)
FAX: 763/783-0154
Corp
MR. NED AMMONS
COMP
1310 81ST AVENUE NE
SPRING LAKE PARK, MN 55432
PHONE: 763/757-3207
SUNRISE HEALTH SERVICES INC
(21806)
FAX: 763/780-5700
Corp
MS. LARA FATUNBI
HCP/COMP
HHA
22350 SUNRISE ROAD NE
STACY, MN 55079
PHONE: 651/462-9331
(03763)
FAX: 651/462-5761
MS. SUSAN ANDERSON
Minnesota Department of Health
Division of Compliance Monitoring
Page 19
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
DIAMOND WILLOW ASSISTED LIVING
Certification
BECKER
Registration
******** -------------------------
HWSAL
Lim-Liab
1564 RANDOLPH ROAD
DETROIT LAKES, MN 56501
PHONE: 218/846-0147
DIAMOND WILLOW ASSISTED LIVING
(25400)
FAX: 218/846-0149
MS. KIM BURKE
HWSAL
Lim-Liab
1558 RANDOLPH ROAD
DETROIT LAKES, MN 56501
PHONE: 218/846-0825
EMMANUEL COMMUNITY
(25380)
FAX: 218/846-0828
NProf
MS. KIM BURKE
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 HOME CARE WEST
(00013)
MS. JANET GREEN
FAX: 218/847-4488
Church
HCP/COMP
HHA
114 FRAZEE STREET E
DETROIT LAKES, MN 56501
PHONE: 218/847-0808
ESSENTIA HEALTH OAK CROSSING
(03707)
MS. LINDA HESPE
FAX: 218/847-0850
NProf
NH-96
SNF-NF-96
1040 LINCOLN AVENUE
DETROIT LAKES, MN 56501
PHONE: 218/844-0700
ESSENTIA HLTH ST MARYS DETROIT
(00907)
FAX: 218/844-0780
NProf
MS. CHRISTY BRINKMAN
HOSP-87 BASS-16
HOSP-87
1027 WASHINGTON AVENUE
DETROIT LAKES, MN 56501
PHONE: 218/847-0852
GOLDEN MANOR CORPORATION
(00888)
FAX: 218/847-7674
Corp
MR. PETER JACOBSON
HCP-F
1159 GARNET BOULEVARD
DETROIT LAKES, MN 56501
PHONE: 218/844-3300
GOLDEN MANOR MEMORY CARE
(21056)
FAX: 218/844-3301
MS. JENNIFER BERG
HWSAL
Corp
1159 GARNET BOULEVARD
DETROIT LAKES, MN 56501
PHONE: 218/844-6028
GOLDEN MANOR OF DETROIT LAKES
(24138)
FAX: 218/844-6029
MRS. JENNIFER BERG
HWSAL
Corp
1165 GARNET BOULEVARD
DETROIT LAKES, MN 56501
PHONE: 218/844-3300
(23040)
FAX: 218/844-3301
MRS. JENNIFER BERG
Minnesota Department of Health
Division of Compliance Monitoring
Page 20
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
BECKER
(Cont.)* -------------------------
HWSAL
ONProf
LAMPLIGHTER MANOR
Registration
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
MS. TONYA CLEM
Home Mgmt
NProf
1125 WEST RIVER ROAD PO 747
(29250)
DETROIT LAKES, MN 565020747
PHONE: 218/847-1385
MS. KAREN LENIUS
FAX: 218/847-1388
HWS
Part
PARK MANOR ESTATES
1035 ROOSEVELT AVENUE
(24593)
DETROIT LAKES, MN 56501
PHONE: 218/847-2636
MS. CHRISTY ALTHOFF
FAX: 218/844-2637
ESRD
NProf
SANFORD DETROIT LAKES HOME DIA
1245 WASHINGTON AVENUE
(28638)
DETROIT LAKES, MN 565013905
PHONE: 218/846-2000
FAX: 218/846-2005
MS. MARIA REGNIER
ESRD
NProf
SANFORD DIALYSIS DETROIT LAKES
114 EAST FRAZEE STREET
(20925)
DETROIT LAKES, MN 56501
PHONE: 218/847-0825
SANFORD HTH DL CLNC SAME DAY
FAX: /
MR. ROGER GILBERTSON
Corp
Outpt Surg
Amb Surg
1245 WASHINGTON AVENUE
DETROIT LAKES, MN 56501
PHONE: 218/846-2269
ST MARYS SENIOR LIVING SUPPORT
(27351)
FAX: 218/846-7001
NProf
MS. BREANNA ADAMS
COMP
1027 WASHINGTON AVE
DETROIT LAKES, MN 56501
PHONE: 218/844-0701
THE COTTAGE AND DAY SPA
(23436)
FAX: 218/874-0895
MS. CHRISTY BRINKMAN
HWSAL
NProf
1435 MADISON AVENUE
DETROIT LAKES, MN 56501
PHONE: 218/844-9437
(25997)
FAX: 218/844-9446
MS. ASHLEY MCNALLY
Minnesota Department of Health
Division of Compliance Monitoring
Page
21
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
THE MADISON AT EMMANUEL COMMUN
Certification
BECKER
Registration
(Cont.)* -------------------------
HWSAL
NProf
1405 MADISON AVENUE
DETROIT LAKES, MN 56501
PHONE: 218/844-9437
WEST HOME
(23721)
FAX: 218/847-4488
NProf
MS. ASHLEY MCNALLY
SLFB-9
ICFIID-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
(20241)
FAX: 218/847-0895
MS. TONYA CLEM
HWSAL
Lim-Liab
311 WEST MAPLE AVENUE
FRAZEE, MN 56544
PHONE: 218/334-4501
FRAZEE ASSISTED LIVING HOME CA
(30423)
MR. ANDY HUHTA
FAX: 218/334-4500
Lim-Liab
COMP
311 WEST MAPLE AVENUE
FRAZEE, MN 56544
PHONE: 218/334-4501
FRAZEE CARE CENTER
(20154)
MR. ANDY HUHTA
FAX: 218/334-4500
Lim-Liab
NH-74
SNF-NF-74
219 WEST MAPLE AVE PO BOX 96
FRAZEE, MN 56544
PHONE: 218/334-4501
SUNNYSIDE CARE CENTER
(00730)
FAX: 218/334-4500
Cnty
MR. EDWARD BRADY
NH-40
SNF-NF-40
16561 US HWY 10
LAKE PARK, MN 56554
PHONE: 218/238-5944
SUNNYSIDE CARE CENTER
(00016)
FAX: 218/238-6854
Cnty
MS. DANIELLE OLSON
HCP-A
16561 US HIGHWAY 10
LAKE PARK, MN 56554
PHONE: 218/238-5944
NORTH STAR NURSING TEMPORARY A
(27036)
FAX: 218/238-6854
Corp
MR. BLAINE GAMST
COMP
22119 480TH AVENUE PO BOX 306
OSAGE, MN 56570
PHONE: 218/573-2238
WHITE EARTH DIALYSIS
(21664)
FAX: 218/573-3778
MS. HEIDI CLEMENTS
ESRD
Corp
26246 CRANE ROAD
WHITE EARTH, MN 56591
PHONE: 218/983-4699
(30499)
FAX: 218/983-4241
MS. MARIA REGNIER
Minnesota Department of Health
Division of Compliance Monitoring
Page 22
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
WHITE EARTH HOME HEALTH
Tribal
Certification
BECKER
Registration
(Cont.)* -------------------------
HCP/COMP
HHA
BOX 496 26246 CRANE ROAD
WHITE EARTH, MN 56591
PHONE: 218/983-3286
(02147)
FAX: 218/983-2734
MRS. JENNIFER STEVENS
---------------------------**********
A TOUCH OF HOME NORTH
BELTRAMI
******** -------------------------
HWSAL
Lim-Liab
915 21ST STREET NORTHWEST
BEMIDJI, MN 56601
PHONE: 218/444-5878
A TOUCH OF HOME NORTH
(30713)
FAX: 218/444-5114
Lim-Liab
MS. SHAWN VANANTWERPEN
HCP-F
915 21ST STREET NORTHWEST
BEMIDJI, MN 56601
PHONE: 218/444-5878
AUTUMN HILLS OF BEMIDJI INC
(26426)
FAX: 218/444-5114
Corp
MS. JODI LINDSEY
COMP
2528 PARK AVENUE NW
BEMIDJI, MN 56601
PHONE: 218/333-3854
AUTUMN HILLS OF BEMIDJI INC
(23983)
MS. SHELLEY CLOOSE
FAX: 218/333-3855
HWSAL
Corp
2528 PARK AVENUE NW
BEMIDJI, MN 56601
PHONE: 218/333-3854
BAKER PARK INC
(30484)
MS. SHELLEY CLOOSE
FAX: 218/333-3855
HWSAL
NProf
803 DEWEY AVENUE
BEMIDJI, MN 56601
PHONE: 218/751-7249
BELTRAMI COUNTY HEALTH & HUMAN
(20518)
MR. CRAIG BOYER
FAX: 218/333-6303
Cnty
HHA
HCP/COMP
616 AMERICA AVE NW SUITE 340
BEMIDJI, MN 56601
PHONE: 218/333-8100
BIRCHHAVEN VILLAGE
(02007)
FAX: 218/333-8360
MS. LORI JENSEN
HWS
Corp
1700 NORTON AVENUE NW
BEMIDJI, MN 56601
PHONE: 218/444-1700
CEDAR COTTAGE
(28606)
FAX: 218/444-1760
MR. NICK BERG
HWSAL
Corp
1711 DELTON AVENUE NORTHWEST
BEMIDJI, MN 56601
PHONE: 218/444-3047
(30829)
FAX: 218/444-7668
MRS. KATHLEEN BIRCHEM
Minnesota Department of Health
Division of Compliance Monitoring
Page
23
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
CEDAR COTTAGE
Corp
Certification
BELTRAMI
Registration
(Cont.)* -------------------------
HCP-F
1711 DELTON AVENUE NORTHWEST
BEMIDJI, MN 56601
PHONE: 218/444-3047
COLLEEN'S CARING HANDS
(20923)
FAX: 218/444-7668
MS. SHERRY DENAULT
HWSAL
Corp
2525 BEMIDJI AVENUE NORTH
BEMIDJI, MN 56601
PHONE: 218/333-8852
COLLEEN'S CARING HANDS
(30648)
FAX: 218/444-9183
Corp
MS. COLLEEN HILL-KJOS
COMP
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
COMP
1700 30TH STREET NORTHWEST
BEMIDJI, MN 56601
PHONE: 218/444-4346
GOLDPINE HOME
(20075)
MR. DUSTIN HOLLOWAY
FAX: 218/444-4083
HWSAL
Corp
1700 30TH STREET NORTHWEST
BEMIDJI, MN 56601
PHONE: 218/444-4346
HAVENWOOD CARE CENTER
(30332)
FAX: 218/444-4083
Corp
MR. DUSTIN HOLLOWAY
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
COMP
7747 LOON LODGE LANE NORTHEAST
BEMIDJI, MN 56601
PHONE: 218/586-2945
NEILSON PLACE
(22011)
FAX: 218/586-4094
NProf
MS. AMY DELAP
NH-78
SNF-NF-78
1000 ANNE STREET NW
BEMIDJI, MN 56601
PHONE: 218/751-0220
(00823)
FAX: 218/333-6514
MS. LINDA BARKLEY
Minnesota Department of Health
Division of Compliance Monitoring
Page 24
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
BELTRAMI
(Cont.)* -------------------------
Home Mgmt
NProf
NORTHWOODS CAREGIVERS
Registration
616 AMERICA AVENUE NW STE 170
(29730)
BEMIDJI, MN 56601
PHONE: 218/333-8264
FAX: 218/333-8263
Corp
PROGRESSIVE HEALTH CARE OF BEM
MS. CINDI JERNIGAN
COMP
405 BELTRAMI AVENUE
(21856)
BEMIDJI, MN 56601
PHONE: 218/444-6876
FAX: 218/444-2747
NProf
SANFORD BEMIDJI HOME CARE
MR. PAUL IVERSON
HHA
HCP/COMP
3201 PINE RIDGE AVE NW STE A
(02372)
BEMIDJI, MN 56601
PHONE: 218/333-5665
FAX: 218/333-5642
NProf
SANFORD BEMIDJI HOSPICE
MS. CARRIE KRUMP
HSPICE
Hospice
3201 PINE RIDGE AVENUE NW #A
(02417)
BEMIDJI, MN 56601
PHONE: 218/333-5665
MS. CARRIE KRUMP
FAX: 218/333-5642
NProf
SANFORD BEMIDJI MEDICAL CENTER
HOSP-118 BASS-12
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
FAX: /
MS. MARIA REGNIER
NProf
COMP
803 DEWEY AVENUE
BEMIDJI, MN 56601
PHONE: 218/751-0220
TAMARACK COURT
(26843)
MS. LINDA BARKLEY
FAX: 218/333-6514
HWSAL
Corp
1511 DELTON AVENUE NW
BEMIDJI, MN 56601
PHONE: 218/444-4999
TAMARACK COURT
(30668)
MS. SHIRLEY DANIELSON
FAX: 218/444-5603
Corp
COMP
1511 DELTON AVENUE NW
BEMIDJI, MN 56601
PHONE: 218/444-4999
TOUCH OF HOME
(26081)
MS. SHIRLEY DANIELSON
FAX: 218/444-5603
Lim-Liab
HCP-F
711 17TH STREET
BEMIDJI, MN 56601
PHONE: 218/444-2775
(21397)
FAX: 218/444-5114
MS. SHAWN VANANTWEPEN
Minnesota Department of Health
Division of Compliance Monitoring
Page 25
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
BELTRAMI
(Cont.)* -------------------------
HWSAL
Lim-Liab
TOUCH OF HOME
Registration
711 17TH STREET
(30749)
BEMIDJI, MN 56601
PHONE: 218/444-2775
FAX: 218/444-5114
MS. SHAWN VANANTWERPEN
HWSAL
NProf
TRILLIUM
930 ANNE STREET NW
(26844)
BEMIDJI, MN 56601
PHONE: 218/333-6289
FAX: 218/333-5639
MR. CRAIG BOYER
HWS
NProf
WINDSONG
1010 ANNE STREET NW
(27160)
BEMIDJI, MN 56601
PHONE: 218/333-6289
MR. CRAIG BOYER
FAX: 218/333-5639
NProf
GOOD SAM SOC BLACKDUCK SR LIV
HCP-F
152 MARGARET AVENUE NORTHWEST
(26635)
BLACKDUCK, MN 56630
PHONE: 218/835-3419
MS. ANGEL NORMANDIN
FAX: 218/835-6737
NProf
GOOD SAM SOCIETY BLACKDUCK
SNF-NF-32
NH-32
172 SUMMIT AVENUE WEST
(00021)
BLACKDUCK, MN 56630
PHONE: 218/835-3423
MR. GORDON HORMANN
FAX: 218/835-3434
HWSAL
NProf
GOOD SAMARITAN SOCIETY BLACKDU
152 MARGARET AVENUE NORTHWEST
(30737)
BLACKDUCK, MN 56630
PHONE: 218/835-5482
MR. GORDON HORMANN
FAX: 218/835-5484
HWSAL
Corp
HERITAGE HOUSE OF BLACKDUCK
441 4TH STREET NE
(21164)
BLACKDUCK, MN 56630
PHONE: 218/835-4564
MS. KATHLEEN BIRCHEM
FAX: 218/835-5809
Corp
CORNERSTONE RESIDENCE OF KELLI
COMP
280 MAIN STREET WEST
(25374)
KELLIHER, MN 56650
PHONE: 218/647-8258
MS. KARI SWANSON
FAX: 218/647-8483
HWSAL
Corp
CORNERSTONE RESIDENCE OF KELLI
280 MAIN STREET WEST
(30575)
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
FAX: /
MR. GARY HJELMSTAD-INTERIM
Minnesota Department of Health
Division of Compliance Monitoring
Page 26
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
SANFORD DIALYSIS RED LAKE
Certification
BELTRAMI
Registration
(Cont.)* -------------------------
ESRD
NProf
24760 HOSPITAL DRIVE BOX 249
RED LAKE, MN 56671
PHONE: 218/679-3117
MEADOWLAND ELDER CARE HOMES
(23621)
FAX: 218/679-4306
MS. MARIA BEGNIER
HWS
Corp
21368 GULL LAKE LOOP ROAD NE
TENSTRIKE, MN 56683
PHONE: 218/586-3740
MEADOWLAND ELDER CARE HOMES
(30717)
FAX: 218/586-3746
Corp
MS. DONNA STEPHENS
HCP-F
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)
MS. DONNA STEPHENS
FAX: 218/586-3746
---------------------------**********
FOLEY NURSING CENTER
Corp
BENTON
******** -------------------------
NH-89
SNF-NF-89
253 PINE STREET
FOLEY, MN 56329
PHONE: 320/968-6201
HERITAGE HOME HEALTH & HOSPICE
(00629)
MR. STEVEN OELRICH
FAX: 320/968-7051
Corp
HCP/COMP
HHA
152 NORMAN AVENUE SOUTH
FOLEY, MN 56329
PHONE: 320/968-7117
HERITAGE PLACE
(02339)
FAX: 320/968-7316
MRS. 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)
FAX: 320/968-9916
Corp
MS. KATHY OELRICH
HCP-A
9250 LAKEWOOD SHORE RD NW
RICE, MN 56367
PHONE: 320/393-2406
(25865)
FAX: 320/393-2455
MR. MIKE ALLGOOD
Minnesota Department of Health
Division of Compliance Monitoring
Page 27
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
COUNTRY MANOR EXTENDED SERV
Certification
BENTON
Registration
(Cont.)* -------------------------
HCP/COMP
HHA
520 FIRST STREET NE
(02226)
SARTELL, MN 56377
PHONE: 320/253-3343
FAX: 320/240-0244
COUNTRY MANOR EXTENDED SERVICE
Lim-Liab
MS. TRACY MASTELLER
COMP
520 1ST STREET NE
(20206)
SARTELL, MN 56377
PHONE: 320/253-8450
FAX: 320/253-5922
Lim-Liab
COUNTRY MANOR HLTH & REHAB CTR
MS. LISA HANOWSKI
NH-165
SNF-NF-165
520 FIRST STREET NORTHEAST
(00627)
SARTELL, MN 56377
PHONE: 320/253-1920
FAX: 320/656-5922
COUNTRY MANOR SENIOR APARTMENT
MR. BRIAN KELM
HWSAL
Lim-Liab
520 FIRST STREET NE
SARTELL, MN 56377
PHONE: 320/253-8450
THE COUNTRY VILLA
(30448)
MR. ANTHONY FENSTAD
FAX: 320/656-5922
HWSAL
Lim-Liab
520 FIRST ST NE
SARTELL, MN 56377
PHONE: 320/253-8450
ACCESS INFUSION HEALTHCARE INC
(20559)
MR. ANTHONY FENSTAD
FAX: 320/656-5922
Corp
HCP-A
16 12TH STREET SOUTH
SAUK RAPIDS, MN 56379
PHONE: 320/492-5951
CHERRYWOOD ADVANCED LIVING
(25059)
FAX: 320/259-0440
Lim-Liab
MS. JANE YAGER
HCP-F
1637 4TH AVE N SUITE 110
SAUK RAPIDS, MN 56379
PHONE: 320/257-7445
GENERATIONS HOME CARE INC
(27306)
FAX: 320/257-7447
Corp
MS. WENDY HULSEBUS
COMP
817 5TH AVE N
SAUK RAPIDS, MN 56379
PHONE: 320/282-8047
GOOD SHEPHERD ASSISTED LIVING
(26135)
FAX: 320/230-8811
NProf
MS. LORRIE WAITE
COMP
1115 4TH AVENUE NORTH
SAUK RAPIDS, MN 56379
PHONE: 320/252-6525
GOOD SHEPHERD COTTAGES
(24855)
FAX: 320/259-3463
MS. BARB REBISCHKE
HWSAL
NProf
307 11TH STREET NORTH
SAUK RAPIDS, MN 56379
PHONE: 320/252-6525
(23241)
FAX: 320/258-8675
MR. BRUCE GLANZER
Minnesota Department of Health
Division of Compliance Monitoring
Page
28
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
GOOD SHEPHERD HOME HEALTH CARE
NProf
Certification
BENTON
Registration
(Cont.)* -------------------------
HHA
HCP/COMP
1115 FOURTH AVENUE NORTH
(02397)
SAUK RAPIDS, MN 56379
PHONE: 320/252-6525
FAX: 320/259-3463
MR. BRUCE GLANZER
HWSAL
NProf
GOOD SHEPHERD HOMES INC
1211 4TH AVENUE NORTH
(25644)
SAUK RAPIDS, MN 56379
PHONE: 320/252-6525
FAX: 320/259-3463
ONProf
GOOD SHEPHERD LUTHERAN HOME
MR. BRUCE GLANZER
NH-162
SNF-NF-162
1115 4TH AVE N
(00023)
SAUK RAPIDS, MN 56379
PHONE: 320/252-6525
FAX: 320/259-3463
Lim-Liab
HEARTLAND HOME HLTH C&HOSPICE
MR. BRUCE GLANZER
Hospice
HSPICE
1257 2ND STREET NORTH
(23078)
SAUK RAPIDS, MN 56379
PHONE: 320/654-1136
MS. CYNTHIA FELDHEGE
FAX: 320/654-6803
NProf
JOURNEY HOME
SLFB-86
1485 10TH AVENUE NE
(25468)
SAUK RAPIDS, MN 56379
PHONE: 320/255-5949
MS. CAROL MERRIMAN
FAX: 320/259-4563
Lim-Liab
LEGACY PLACE
TCOMP
902 15TH ST NE
(31210)
SAUK RAPIDS, MN 56379
PHONE: 320/492-4677
FAX: /-
MR. TODD NORMAN
HWS
Lim-Liab
LEGACY PLACE LLC
902 15TH STREET NE
(31437)
SAUK RAPIDS, MN 56379
PHONE: 320/253-1733
RIDGEVIEW PLACE
FAX: /-
MS. SUSAN MOHS
Lim-Liab
HCP-F
1009 10TH AVENUE NORTHEAST
SAUK RAPIDS, MN 56379
PHONE: 320/251-5228
RIDGEVIEW SENIOR LIVING
(29660)
FAX: 320/259-8964
MS. LAURA KOSKI
HWSAL
Lim-Liab
1009 10TH AVENUE NORTHEAST
SAUK RAPIDS, MN 56379
PHONE: 320/251-5228
SHEPHERD COURT APARTMENTS
(20619)
FAX: 320/259-8964
MS. LAURA KOSKI
HWSAL
NProf
330 13TH STREET NORTH
SAUK RAPIDS, MN 56379
PHONE: 320/252-6525
(20282)
FAX: 320/259-3479
MR. BRUCE GLANZER
Minnesota Department of Health
Division of Compliance Monitoring
Page 29
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
BENTON
(Cont.)* -------------------------
HWSAL
NProf
SHEPHERD OAK APARTMENTS INC
Registration
310 13TH STREET NORTH
(25645)
SAUK RAPIDS, MN 56379
PHONE: 320/252-6525
FAX: 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
FAX: 320/259-3463
MR. BRUCE GLANZER
Out Pt
Corp
SPINAL REHAB CLINIC
225 NORTH BENTON DRIVE
(03770)
SAUK RAPIDS, MN 56379
PHONE: 320/252-1884
STERLING HOUSE OF SAUK RAPIDS
FAX: /
MS. LYNETTE MCGRATH
Corp
COMP
1325 SUMMIT AVENUE NORTH
SAUK RAPIDS, MN 56379
PHONE: 320/203-8142
STERLING HOUSE OF SAUK RAPIDS
(20352)
MS. AMANDA CHRISTEN
FAX: 320/203-8207
HWSAL
Corp
1325 SUMMIT AVENUE NORTH
SAUK RAPIDS, MN 56379
PHONE: 320/203-8142
SUPPORTING HAND INC
(30601)
MS. AMANDA CHRISTEN
FAX: 320/203-8207
Corp
HCP-A
1269 2ND STREET N SUITE 200
SAUK RAPIDS, MN 56379
PHONE: 320/240-6542
WAITE PROPERTIES LLC
(28722)
MS. ANDREA YOUNG
FAX: 320/251-2983
HWS
Lim-Liab
817 FIFTH AVENUE NORTH
SAUK RAPIDS, MN 56379
PHONE: 320/230-3422
WALGREENS INFUSION SERVICES
(26134)
MS. LORRIE WAITE
FAX: 320/230-8811
Corp
COMP
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
BIG STONE
******** -------------------------
Minnesota Department of Health
Division of Compliance Monitoring
Page 30
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
BIG STONE
(Cont.)* -------------------------
HWSAL
NProf
CLINTON CARE CENTER
Registration
322 CO HIGHWAY 6 PO BOX 379
(30340)
CLINTON, MN 56225
PHONE: 320/325-5414
FAX: 320/325-5416
NProf
CLINTON CARE CENTER
MS. JENNA WIESE
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
MR. TODD HOWELL
FAX: /
Church
HCP/COMP
HHA
115 WEST SECOND STREET
GRACEVILLE, MN 56240
PHONE: 320/748-8211
ESSENTIA HLTH HOLY TRINITY HOS
(03589)
MS. SHERRY JIPSON
FAX: 320/748-8247
NProf
HOSP-15 BASS-0
CAH-15
115 2ND ST W BOX 157
GRACEVILLE, MN 56240
PHONE: 320/748-8200
GRACE VILLAGE
(00027)
FAX: 320/748-7240
MR. JOHN CAMPION
HWSAL
ONProf
114 WEST 2ND STREET
GRACEVILLE, MN 56240
PHONE: 320/748-7220
FAIRWAY VIEW SENIOR COMMUNIT
(24236)
FAX: 320/748-8258
City
MR. JOHN CAMPION
HCP-F
215 LUNDELL AVENUE
ORTONVILLE, MN 56278
PHONE: 320/839-2397
FAIRWAY VIEW SENIOR COMMUNITY
(23148)
FAX: 320/839-2398
MS. BONNIE DYBDAHL
HWSAL
City
215 LUNDELL AVENUE
ORTONVILLE, MN 56278
PHONE: 320/839-2397
MONARCH HEIGHTS
(30337)
FAX: 320/839-2398
NProf
MS. BONNIE DYBDAHL
SLFB-12
ICFIID-12
501 BURDICK AVENUE
ORTONVILLE, MN 56278
PHONE: 320/839-6139
(01440)
FAX: 320/839-2060
MS. KRISTEN UNRUH
Minnesota Department of Health
Division of Compliance Monitoring
Page 31
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
City
NORTHRIDGE RESIDENCE
Certification
BIG STONE
Registration
(Cont.)* -------------------------
NH-64
SNF-NF-64
1075 ROY STREET
(00771)
ORTONVILLE, MN 56278
PHONE: 320/839-6113
FAX: 320/839-2985
City
ORTONVILLE AREA HEALTH SER HHA
MR. RICHARD ASH
HCP/COMP
HHA
450 EASTVOLD AVENUE
(02345)
ORTONVILLE, MN 56278
PHONE: 320/839-4020
FAX: 320/839-4095
City
ORTONVILLE AREA HEALTH SERVICE
MR. RICHARD ASH
HOSP-25 BASS-4
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
MR. TIMOTHY JACKSON
FAX: 320/839-4071
---------------------------**********
SOUTHERN MINNESOTA HOMECARE LL
Lim-Liab
BLUE EARTH
******** -------------------------
COMP
213 PARKWAY AVE
(26881)
EAGLE LAKE, MN 56024
PHONE: 507/257-2252
CRYSTAL SEASONS LIVING COMMUNI
MS. BARBARA SONTAG
FAX: /-
Corp
COMP
222 SOUTH MURPHY STREET
LAKE CRYSTAL, MN 56055
PHONE: 507/726-2266
CRYSTAL SEASONS LIVING COMMUNI
(26192)
FAX: 507/726-2276
MS. LEESA GILMAN
HWSAL
Corp
222 SOUTH MURPHY STREET
LAKE CRYSTAL, MN 56055
PHONE: 507/726-2266
ECUMEN LAKE CRYSTAL
(30699)
FAX: 507/726-2276
MS. LEESA GILMAN
HWSAL
NProf
511 WEST BLUE EARTH STREET
LAKE CRYSTAL, MN 56055
PHONE: 507/726-6537
ECUMEN LAKE CRYSTAL
(30602)
FAX: 507/726-2402
NProf
MS. LAURA TEMPLIN
COMP
511 WEST BLUE EARTH STREET
LAKE CRYSTAL, MN 56055
PHONE: 507/726-6537
(20375)
FAX: 507/726-2402
MS. LAURA TEMPLIIN
Minnesota Department of Health
Division of Compliance Monitoring
Page 32
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
BLUE EARTH
(Cont.)* -------------------------
Home Mgmt
Corp
ELDER CARE SERVICES INC
Registration
1110 PARK ROAD
(20962)
MADISON LAKE, MN 56063
PHONE: 507/243-3603
FAX: 507/243-3375
Corp
ALLIANCE HEALTH SERVICES
MS. SHARON CHADER
HCP/COMP
HHA
600 RIVERFRONT DR SUITE 100
(03635)
MANKATO, MN 560012013
PHONE: 507/386-1666
FAX: /
MS. ALANA FIALA
Corp
AUTUMN GRACE
COMP
118 RAVEN COURT
(25816)
MANKATO, MN 56001
PHONE: 507/388-0645
FAX: 507/388-5412
MS. HEATHER BASS
HWSAL
Corp
AUTUMN GRACE I
118 RAVEN COURT
(30302)
MANKATO, MN 56001
PHONE: 507/388-3660
MS. HEATHER BASS
FAX: 507/388-5412
HWSAL
Corp
AUTUMN GRACE II
110 RAVEN COURT
(23858)
MANKATO, MN 56001
PHONE: 507/388-3660
MRS. HEATHER BASS
FAX: 507/388-5412
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
FAX: 507/345-8870
MR. MICHAEL PAGH
ESRD
Lim-Liab
DIALYSIS AT MANKATO CLINIC
1400 MADISON AVENUE SUITE 400
(28837)
MANKATO, MN 560015476
PHONE: 615/320-4458
FAX: 877/259-3316
Lim-Liab
FREEDOM HOME CARE LLC
MS. BRITTANY WINTERS
TBASIC
209 SOUTH 2ND STREET SUITE 202
(31148)
MANKATO, MN 56001
PHONE: 507/382-2312
FAX: /
MR. CHRISTOPHER MIHM
Minnesota Department of Health
Division of Compliance Monitoring
Page
33
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
GRACE SENIOR SERVICES INC
Certification
BLUE EARTH
Registration
(Cont.)* -------------------------
COMP
118 RAVEN COURT
(23093)
MANKATO, MN 56001
PHONE: 507/388-3660
FAX: 507/388-5412
NProf
HARRY MEYERING CTR INC
MS. HEATHER BASS
SLFB-25
ICFIID-25
109 HOMESTEAD ROAD
(01008)
MANKATO, MN 56001
PHONE: 507/387-8281
FAX: 507/625-9948
Corp
HILLCREST HEALTH CARE CENTER
MS. LORI WEINBERG
NH-85
SNF-NF-85
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
MR. BRIAN GAGER
FAX: /-
Lim-Liab
HCP-F
100 DUBLIN ROAD
MANKATO, MN 56001
PHONE: 507/305-7080
KEYSTONE SENIOR LIVING OF MANK
(29566)
MR. MICHAEL LEWIS
FAX: 507/385-7081
HWSAL
Lim-Liab
100 DUBLIN ROAD
MANKATO, MN 56001
PHONE: 612/886-2035
LAURELS EDGE
(24718)
FAX: 612/886-2592
Corp
MR. MICHAEL LEWIS
COMP
77 STADIUM ROAD
MANKATO, MN 56001
PHONE: 507/387-2133
LAURELS EDGE ASSISTED LIVING
(20485)
FAX: 507/387-1135
MS. SUSAN KRATZKE
HWSAL
Corp
77 STADIUM ROAD
MANKATO, MN 56001
PHONE: 507/387-2133
LAURELS PEAK REHAB CENTER
(30675)
FAX: 507/387-1135
Corp
MS. KRISTI ELLWEIN
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. ERIN AANENSON
Outpt Surg
Amb Surg
1230 E MAIN STREET
MANKATO, MN 56002
PHONE: 507/625-1811
(23204)
FAX: 507/388-3401
MR. RANDY FARROW
Minnesota Department of Health
Division of Compliance Monitoring
Page
34
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
MANKATO SURGERY CENTER
Lim-Liab
Certification
BLUE EARTH
Registration
(Cont.)* -------------------------
Outpt Surg
Amb Surg
1411 PREMIER DRIVE
MANKATO, MN 56001
PHONE: 507/388-6000
MAXFIELD PLACE
(21469)
FAX: 507/388-6913
MS. JOLEEN HARRISON RN
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
HOSP-272 BASS-26
HOSP-272
1025 MARSH STREET
MANKATO, MN 56001
PHONE: 507/625-4031
MAYO CLINIC HEALTH SYSTEM MANK
(00033)
FAX: 507/385-2908
NProf
MR. JEROME CREST
Hospice
HSPICE
1400 MADISON AVE SUITE 324A
MANKATO, MN 56002
PHONE: 507/385-2618
OAKLAWN HEALTH CARE CENTER
(00219)
MS. SUSAN KLESATH
FAX: 507/385-5649
Corp
NH-77
SNF-NF-77
201 OAKLAWN AVE
MANKATO, MN 56001
PHONE: 507/388-2913
OFC BACK CARE CENTER
(00038)
MS. SUSAN KRATZKE
FAX: 507/388-1235
Out Pt
NProf
1431 PREMIER DRIVE
MANKATO, MN 56001
PHONE: 507/386-6650
OLD MAIN VILLAGE
(27161)
FAX: 507/388-8372
MR. DARRIN JASS
HWSAL
Part
301 SOUTH FIFTH STREET
MANKATO, MN 56001
PHONE: 507/388-4200
OLD MAIN VILLAGE
(30663)
FAX: 507/388-5991
Part
MR. JOHN GOODMAN
HCP-F
301 SOUTH FIFTH STREET
MANKATO, MN 56001
PHONE: 507/388-4200
PAIN CENTERS OF MN MANKATO
(26043)
FAX: 507/388-5991
Lim-Liab
MS. HOLLY RESNER
Outpt Surg
Amb Surg
1400 MADISON AVENUE SUITE 402
MANKATO, MN 56001
PHONE: 507/625-7246
PATHSTONE CROSSING
(27290)
FAX: 507/386-2599
MR. VISHAL LAL
HWSAL
NProf
718 MOUND AVENUE
MANKATO, MN 56001
PHONE: 507/345-4576
(30425)
FAX: 507/385-4225
MS. SHELLY CORNISH
Minnesota Department of Health
Division of Compliance Monitoring
Page 35
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
PATHSTONE CROSSING
Certification
BLUE EARTH
Registration
(Cont.)* -------------------------
COMP
718 MOUND AVENUE
(20164)
MANKATO, MN 56001
PHONE: 507/345-4576
MS. SHELLY CORNISH
FAX: 507/385-4225
NProf
PATHSTONE HOME SERVICES
HCP/COMP
HHA
718 MOUND AVENUE
(02389)
MANKATO, MN 56001
PHONE: 507/385-4210
MS. KIM HOLIEN
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
MS. NANCY DOBSON
FAX: /
Corp
PEDIATRIC THERAPY SERVICES INC
HCP-A
150 ST ANDREWS COURT #310
(03360)
MANKATO, MN 56001
PHONE: 507/388-5437
MS. NANCY DOBSON
FAX: 507/388-2108
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
SLFB-6
ICFIID-6
152 COUGAR DRIVE
MANKATO, MN 56001
PHONE: 507/387-8281
PRIMROSE OF MANKATO
(23697)
FAX: 507/387-9948
Lim-Liab
MS. LORI WEINBERG
COMP
1360 ADAMS STREET
MANKATO, MN 56001
PHONE: 507/388-9292
PRIMROSE RETIREMENT COMMUNITY
(21208)
FAX: 507/388-9292
MS. BROOKE OLSON
HWSAL
Lim-Liab
1360 ADAMS STREET
MANKATO, MN 56001
PHONE: 507/388-9292
REM HEARTLAND INC CYPRESS
(30723)
FAX: 507/388-9292
Corp
MR. MARK MCNEARY
SLFA-11
ICFIID-11
204 THOMAS DRIVE
MANKATO, MN 56001
PHONE: 507/387-3181
(01536)
FAX: 507/387-3182
MS. CONNIE MENNE
Minnesota Department of Health
Division of Compliance Monitoring
Page 36
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
REM MANKATO INC BIRCH
Corp
Certification
BLUE EARTH
Registration
(Cont.)* -------------------------
SLFB-12
ICFIID-12
206 THOMAS DRIVE
MANKATO, MN 56001
PHONE: 507/387-3181
SCHOOL SISTERS OF NOTRE DAME C
(01537)
FAX: 507/387-3182
MS. CONNIE MENNE
HWS
NProf
170 GOOD COUNSEL DRIVE
MANKATO, MN 56001
PHONE: 507/389-4200
SCHOOL SISTERS OF NOTRE DAME C
(30402)
FAX: 507/389-4108
NProf
MR. BILL WARD
COMP
170 GOOD COUNSEL DRIVE
MANKATO, MN 56001
PHONE: 507/389-4200
STERLING HOUSE OF MANKATO
(23742)
FAX: 507/389-4108
Corp
MR. BILL WARD
COMP
100 TETON LANE
MANKATO, MN 56001
PHONE: 507/386-1779
STERLING HOUSE OF MANKATO
(20336)
MS. PAIGE BEACH
FAX: 507/386-1174
HWSAL
Corp
100 TETON LANE
MANKATO, MN 56001
PHONE: 507/386-1779
THE LUTHERAN HOME CEDAR HAVEN
(30560)
MS. GERI SVALESON
FAX: 507/386-1174
HWSAL
Church
630 REED STREET
MANKATO, MN 56001
PHONE: 507/625-1512
THE LUTHERAN HOME CEDAR HAVEN
(30435)
FAX: 507/388-6428
MS. MARIANN SNYDER
HWSAL
Church
640 REED STREET
MANKATO, MN 56001
PHONE: 507/625-1512
THE LUTHERAN HOME CEDAR HAVEN
(20546)
FAX: 507/388-6428
Church
MS. MARIANN SNYDER
COMP
630 REED STREET
MANKATO, MN 56001
PHONE: 507/625-1512
WATER'S EDGE
(20185)
FAX: 507/388-6428
Lim-Liab
MS. MARIANN WIEBUSCH
COMP
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
(30108)
FAX: 507/388-5584
MS. BROOKE OLSON
Minnesota Department of Health
Division of Compliance Monitoring
Page 37
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
WE CARE HOME CARE LLC
Certification
BLUE EARTH
Registration
(Cont.)* -------------------------
HCP-A
530 N RIVERFRONT DR STE 240
(29219)
MANKATO, MN 56001
PHONE: 507/414-5084
FAX: 507/417-4327
Lim-Liab
WILD ROSE NURSING SERVICES LLC
MR. MOHAMED AHMED
HCP-A
1021 NORTH RIVERFRONT DRIVE
(28517)
MANKATO, MN 56001
PHONE: 507/625-8938
FAX: 507/625-9038
NProf
ECUMEN MAPLETON
MR. PAUL HAGEN
COMP
206 THIRD AVE NE
(20377)
MAPLETON, MN 56065
PHONE: 507/524-4990
FAX: 507/524-3239
MS. AMANDA BEAVENS
HWSAL
NProf
ECUMEN MAPLETON
206 THIRD AVENUE NE
(30605)
MAPLETON, MN 56065
PHONE: 507/524-4990
MS. JANA LARSON
FAX: 507/524-3239
HWSAL
NProf
HERITAGE PLACE
303 TROENDLE STREET
(28389)
MAPLETON, MN 56065
PHONE: 507/524-3315
MS. ROXANNE GOSSON
FAX: 507/524-4410
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
COMP
301 TROENDLE STREET SW
MAPLETON, MN 56065
PHONE: 507/524-3315
MAPLETON COMMUNITY HOME
(28390)
FAX: 507/524-4410
NProf
MS. ROXANNE GOSSON
SNF-NF-60
NH-60
301 TROENDLE ST
MAPLETON, MN 56065
PHONE: 507/524-3315
RIVERBLUFF HEALTH CARE INC
(00037)
FAX: 507/524-3463
Corp
MS. ROXANNE GOSSON
HCP-A
48329 239TH STREET
NEW ULM, MN 56073
PHONE: 507/947-3825
(03894)
FAX: 507/947-3461
---------------------------**********
MR. DAVID STRENGE
BROWN
******** -------------------------
Minnesota Department of Health
Division of Compliance Monitoring
Page
38
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
BRICKSTONE MANOR
Certification
BROWN
(Cont.)* -------------------------
HWSAL
NProf
104 BROWN STREET WEST
COMFREY, MN 56019
PHONE: 507/877-4600
BRICKSTONE MANOR
(30470)
FAX: 507/877-6001
NProf
MR. DAVID ENGLIN
COMP
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/COMP
HHA
1117 CENTER STREET PO BOX 543
NEW ULM, MN 56073
PHONE: 507/233-6820
GOLDEN HOME CARE PLUS INC
(02041)
MS. KAREN MORITZ
FAX: 507/233-6819
Corp
COMP
6 1/2 N MINNESOTA ST BOX 924
NEW ULM, MN 56073
PHONE: 507/359-2756
MBW COMPANY INC
(03015)
MS. MARCY GULDEN
FAX: 507/354-1260
Corp
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
SLFA-4
ICFIID-4
1131 RAYMOND DRIVE
NEW ULM, MN 56073
PHONE: 507/233-3030
MBW ON TENTH
(01210)
FAX: 507/354-2168
Corp
MR. RICHARD NELSON
SLFB-4
ICFIID-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
SLFA-10
1324 5TH NORTH STREET
NEW ULM, MN 56073
PHONE: 507/217-5108
NEW ULM MEDICAL CENTER
(24059)
FAX: 507/217-5575
NProf
MR. TOBY FREIER
HOSP-62 BASS-10
1324 FIFTH STREET NORTH
NEW ULM, MN 56073
PHONE: 507/217-5000
(00839)
FAX: 507/233-1575
Registration
MR. TOBY FREIER
CAH-25 PPS-P-10
Minnesota Department of Health
Division of Compliance Monitoring
Page 39
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
OAK HILLS LIVING CENTER
NProf
Certification
BROWN
NH-94
Registration
(Cont.)* -------------------------
SNF-NF-94
1314 8TH STREET NORTH
NEW ULM, MN 56073
PHONE: 507/233-0804
OAK HILLS LIVING CENTER
(00434)
FAX: 507/354-2751
NProf
MS. CANDAS SCHOUVIELLER
HCP/COMP
HHA
1314 8TH STREET N
NEW ULM, MN 56073
PHONE: 507/233-0800
OAK HILLS LIVING CENTER ASSIST
(25987)
FAX: 507/354-2751
MS. CANDAS SCHOUVIELLER
HWSAL
NProf
1314 8TH NORTH STREET
NEW ULM, MN 56073
PHONE: 507/233-0804
OAK HILLS LVNG CENTER ASST LI
(30843)
FAX: 507/354-2751
NProf
MS. CANDAS SCHOUVIELLER
HCP-F
1314 8TH NORTH STREET
NEW ULM, MN 56073
PHONE: 507/233-0804
OAK VIEW APARTMENTS INC
(21025)
MS. CANDAS SCHOUVIELLER
FAX: 507/354-2751
HWSAL
NProf
1316 8TH STREET NORTH
NEW ULM, MN 56073
PHONE: 507/359-2026
ORCHARD HILLS CATERED LIVING L
(23298)
MS. CANDAS SCHOUVIELLER
FAX: 507/354-2751
HWSAL
Corp
1223 KARL DRIVE
NEW ULM, MN 56073
PHONE: 507/354-2159
PRAIRIE SENIOR COTTAGES OF NEW
(23169)
MR. DEAN BLOEMKE
FAX: 507/354-2179
HWSAL
Lim-Liab
1308 BIRCHWOOD DRIVE
NEW ULM, MN 56073
PHONE: 507/359-3420
PRAIRIE SENIOR COTTAGES OF NEW
(21586)
MS. LINDA TAUER
FAX: 507/359-3421
HWSAL
Lim-Liab
1304 BIRCHWOOD DRIVE
NEW ULM, MN 56073
PHONE: 507/359-3420
PRAIRIE SR COTTAGES NEW ULM
(30771)
MS. LINDA TAUER
FAX: 507/359-3421
Lim-Liab
COMP
1304/1308 BIRCHWOOD DRIVE
NEW ULM, MN 56073
PHONE: 507/359-3420
QUALITY LIFE HOME CARE LLC
(21584)
MS. LINDA TAUER
FAX: 507/359-3421
Lim-Liab
HCP-B
64431 COUNTY ROAD 21
NEW ULM, MN 56073
PHONE: 507/327-3195
(29135)
FAX: 507/354-4503
MR. MATTHEW SCHROEDER
Minnesota Department of Health
Division of Compliance Monitoring
Page
40
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
QUALITY LIFE HOME CARE LLC
Certification
BROWN
Registration
(Cont.)* -------------------------
COMP
64431 COUNTY ROAD 21
(28968)
NEW ULM, MN 56073
PHONE: 507/327-3195
FAX: /
MR. MATTHEW SCHROEDER
ESRD
NProf
RENAL DIALYSIS FAC NEW ULM
1324 FIFTH STREET NORTH
(02576)
NEW ULM, MN 56073
PHONE: 507/359-5255
FAX: /
MR. JEROME CREST
HWSAL
NProf
RIDGEWAY ON 23RD
720 23RD NORTH STREET
(23249)
NEW ULM, MN 56073
PHONE: 507/354-7000
FAX: 507/233-7410
MS. LORA GUTKNECHT
HWSAL
NProf
RIDGEWAY ON GERMAN
715 SOUTH GERMAN STREET
(20555)
NEW ULM, MN 56073
PHONE: 507/354-7400
MS. KYLA FRANTA
FAX: 507/359-5711
NProf
RIDGEWAY SENIOR LIVING
COMP
715 SOUTH GERMAN STREET #100
(21355)
NEW ULM, MN 56073
PHONE: 507/354-7400
MR. PAUL ABZUG
FAX: 507/359-5711
CMHC
NProf
SIOUX TRAIL MENTAL HLTH CENTER
1407 SOUTH STATE
(02772)
NEW ULM, MN 56073
PHONE: 507/354-3181
FAX: /
MR. PAUL KAPSCH
Corp
WELCOME HOME HEALTH CARE
HCP-F
1223 KARL DRIVE
(23650)
NEW ULM, MN 56073
PHONE: 507/354-2159
FAX: 507/354-2179
Corp
WELCOME HOME HEALTH CARE INC
MS. YVONNE SCHELL
COMP
2020 MEYER DRIVE
(29912)
NEW ULM, MN 56023
PHONE: 507/359-3355
FAX: /
MR. ROMAN BLOEMKE
HWS
Corp
WOODSTONE SENIOR LIVING OF NEW
2020 MEYER DRIVE
(29913)
NEW ULM, MN 56073
PHONE: 507/359-3355
FAX: 507/359-3340
COUNTRYSIDE RETIREMENT COMMUNI
MR. ROMAN BLOEMKE
HWSAL
NProf
1100 FIRST AVENUE SOUTH
SLEEPY EYE, MN 56085
PHONE: 507/794-3200
(20030)
FAX: 507/794-3596
MS. NANCY WINDSCHITL
Minnesota Department of Health
Division of Compliance Monitoring
Page
41
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
DIVINE PROVIDENCE COMM HOME
Certification
BROWN
Registration
(Cont.)* -------------------------
NH-53
SNF-NF-53
700 3RD AVE NW
(00040)
SLEEPY EYE, MN 56085
PHONE: 507/794-3011
FAX: 507/794-3020
Lim-Liab
LEADING CHOICE HOME HELPERS
MS. JAYNA GROEBNER
BASIC
909 FIRST AVENUE SOUTH
(29680)
SLEEPY EYE, MN 56085
PHONE: 507/766-5150
FAX: /
MS. LINDA TAUER
NProf
SLEEPY EYE AREA HOME HEALTH IN
COMP
1100 FIRST AVENUE SOUTH
(20718)
SLEEPY EYE, MN 56085
PHONE: 507/794-3594
FAX: 507/794-5914
Church
SLEEPY EYE CARE CENTER
MS. DEBORAH PERRY
NH-65
SNF-NF-65
1105 THIRD AVENUE SOUTHWEST
(00776)
SLEEPY EYE, MN 56085
PHONE: 507/794-7995
MR. DAVID DUNN
FAX: 507/794-3577
HWS
HRA
SLEEPY EYE HOUSING AUTHORITY
ROSS PARK APARTMENTS
(21072)
SLEEPY EYE, MN 56085
PHONE: 507/794-5101
MS. LAURA TREBESCH
FAX: 507/794-5108
City
SLEEPY EYE MEDICAL CENTER
HOSP-16 BASS-4
CAH-16
400 4TH AVE NW
(00043)
SLEEPY EYE, MN 56085
PHONE: 507/794-3571
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
COMP
201 SOUTH COUNTY ROAD 5
SPRINGFIELD, MN 56087
PHONE: 507/723-3243
MAYO CLINIC HEALTH SYSTEM S F
(23595)
FAX: 507/723-8044
NProf
MR. JOSHUA JENSEN
HOSP-24 BASS-6
CAH-24
625 JACKSON AVE N
SPRINGFIELD, MN 56087
PHONE: 507/723-6201
ST JOHN LUTHERAN HOME
(00044)
FAX: 507/723-6447
NProf
MR. SCOTT THORESON
NH-85
SNF-NF-85
201 SOUTH COUNTY ROAD 5
SPRINGFIELD, MN 56087
PHONE: 507/723-3200
(00045)
FAX: 507/723-6429
MR. JOSHUA JENSEN
Minnesota Department of Health
Division of Compliance Monitoring
Page 42
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
THE MAPLES AT ST JOHN
Certification
BROWN
Registration
(Cont.)* -------------------------
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
MR. JOSHUA JENSEN
---------------------------**********
LIGHTHOUSE OF CLOQUET & BARNUM
CARLTON
******** -------------------------
HWSAL
Lim-Liab
3722 HORIZON DRIVE BLDG #3
BARNUM, MN 55707
PHONE: 218/878-7950
LIGHTHOUSE OF CLOQUET & BARNUM
(21398)
MR. TODD NOVACZYK
FAX: 218/878-7951
HWSAL
Lim-Liab
3730 HORIZON DRIVE
BARNUM, MN 55707
PHONE: 218/878-7950
LIGHTHOUSE OF CLOQUET & BARNUM
(23718)
MR. TODD NOVACZYK
FAX: 888/331-6005
HWSAL
Lim-Liab
3725 HORIZON DR BLDG 2
BARNUM, MN 55707
PHONE: 218/878-7950
VISIONARY HOME CARE
(22197)
MR. TODD NOVACZYK
FAX: 888/331-6005
Home Mgmt
Corp
3656 FRONT STREET
BARNUM, MN 55707
PHONE: 218/389-6244
VISIONARY HOME CARE
(25895)
MS. JULIE BOGENHOLM
FAX: 218/389-9851
Corp
BASIC
3656 FRONT STREET
BARNUM, MN 55707
PHONE: 218/389-3291
CARLTON PLACE
(28957)
MS. MICHELLE GRAHAM
FAX: 218/389-9851
NProf
HCP-F
813 THIRD STREET
CARLTON, MN 55718
PHONE: 218/384-8440
CARLTON PLACE
(21142)
FAX: 218/384-8442
MS. CONSTANCE ANDERSON
HWS
NProf
813 THIRD STREET
CARLTON, MN 55718
PHONE: 218/384-8440
(30694)
FAX: 218/384-8442
MS. CONSTANCE ANDERSON
Minnesota Department of Health
Division of Compliance Monitoring
Page 43
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
State
COMMUNITY ADDICTION RECOVERY
Certification
CARLTON
Registration
(Cont.)* -------------------------
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)
MRS. CONSTANCE ANDERSON
FAX: 218/384-8442
HWS
HRA
201 SPRUCE AVENUE
CARLTON, MN 55718
PHONE: 218/879-3353
ASPEN ARMS
(21426)
MS. DEBRA SHAFF
FAX: 218/879-1437
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 HOSP-36 BASS-6
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: 218/878-1972
DIAMOND WILLOW ASSISTED LIVING
(24425)
FAX: 218/878-1586
MS. KIM BURKE
HWSAL
Lim-Liab
132 W NORTH ROAD
CLOQUET, MN 55720
PHONE: 218/878-1974
EVERGREEN KNOLL
(24426)
FAX: 218/878-1588
MS. KIM BURKE
HWSAL
Lim-Liab
1309 14TH STREET
CLOQUET, MN 55720
PHONE: 218/878-3302
(24494)
FAX: 218/878-3304
MS. TERRI LANGEVIN
Minnesota Department of Health
Division of Compliance Monitoring
Page 44
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
EVERGREEN SENIOR LIVING
ONProf
Certification
CARLTON
Registration
(Cont.)* -------------------------
COMP
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)
MS. JERI JOHNSON
FAX: 218/499-8444
Corp
COMP
1701 MAPLEWOOD AVENUE
CLOQUET, MN 55720
PHONE: 218/499-8444
LARSON COMMONS
(27163)
FAX: 218/499-8444
MS. JERI JOHNSON
HWS
Part
810 CLOQUET AVENUE
CLOQUET, MN 55720
PHONE: 218/879-3759
LIGHTHOUSE OF CLOQUET & BARNUM
(21832)
FAX: 218/879-8847
MS. MICHELLE ELLIS-HIRLSTON
HWS
Lim-Liab
701 HORIZON CIRCLE
CLOQUET, MN 55720
PHONE: 218/878-0085
LIGHTHOUSE OF CLOQUET & BARNUM
(24315)
FAX: 888/331-6005
MR. TODD NOVACZYK
HWSAL
Lim-Liab
705 HORIZON CIRCLE
CLOQUET, MN 55720
PHONE: 218/878-7950
LIGHTHOUSE OF CLOQUET & BARNUM
(24899)
FAX: 888/331-6005
MR. TODD NOVACZYK
HWSAL
Lim-Liab
1909 TALL PINE LANE
CLOQUET, MN 55720
PHONE: 218/878-0000
LIGHTHOUSE OF CLOQUET & BARNUM
(25969)
FAX: 888/331-6005
MR. TODD NOVACZYK
HWSAL
Lim-Liab
706 HORIZON CIRCLE
CLOQUET, MN 55720
PHONE: 218/878-7950
(25970)
FAX: 888/331-6005
MR. TODD NOVACZYK
Minnesota Department of Health
Division of Compliance Monitoring
Page 45
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
LIGHTHOUSE OF CLOQUET AND BARN
Certification
CARLTON
Registration
(Cont.)* -------------------------
COMP
702 HORIZON CIRCLE
(21672)
CLOQUET, MN 55720
PHONE: 218/878-7950
FAX: 888/331-6005
MS. PAM ZEZULKA
HWSAL
Lim-Liab
LIGHTHOUSE OF CLOQUET AND BARN
702 HORIZON CIRCLE
(30817)
CLOQUET, MN 55720
PHONE: 218/878-7950
FAX: 888/331-6005
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
HCP-F
2507 FAIRVIEW AVENUE
CLOQUET, MN 55720
PHONE: 218/879-8230
PLAINVIEW ESTATES
(25999)
MS. COLETA PARENTEAU
FAX: 218/879-8223
HWSAL
Corp
2507 FAIRVIEW AVENUE
CLOQUET, MN 55720
PHONE: 218/879-8230
SUPERIOR VIEW ASSISTED LVG
(30619)
MS. COLETA PARENTEAU
FAX: 218/879-8223
Corp
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
VILLA COURT
(26776)
FAX: 218/389-9851
MS. JULIE BOGENHOLM
HWSAL
Lim-Liab
1220 VILLA COURT DRIVE
CROMWELL, MN 55726
PHONE: 218/644-3331
VILLA COURT
(30721)
FAX: 218/644-3505
Lim-Liab
MS. JULIE PETERSON
HCP-F
1220 VILLA COURT DRIVE
CROMWELL, MN 55726
PHONE: 218/644-3331
VILLA HOME CARE LLC
(26451)
FAX: 218/644-3505
Lim-Liab
MS. JULIE PETERSON
HCP-A
1220 VILLA COURT DRIVE
CROMWELL, MN 55726
PHONE: 218/644-3331
(27915)
FAX: 218/644-3505
MS. JULIE PETERSON
Minnesota Department of Health
Division of Compliance Monitoring
Page 46
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
CARLTON
(Cont.)* -------------------------
HWSAL
Corp
BARNES CARE
Registration
154 EAST HIGHWAY 61
(29535)
ESKO, MN 55733
PHONE: 218/879-2155
FAX: 218/879-2703
MR. JUSTIN BARNES
HWSAL
Corp
BARNES CARE INC
58 WEST HIGHWAY 61
(30389)
ESKO, MN 55733
PHONE: 218/879-2635
FAX: 218/879-2939
Corp
BARNES CARE INC
MR. JUSTIN BARNES
COMP
58 WEST HIGHWAY 61
(23529)
ESKO, MN 55733
PHONE: 218/879-2635
FAX: 218/879-2939
MS. SHARLANE BARNES
HWSAL
Corp
BARNES CARE INC
56 WEST HIGHWAY 61
(26579)
ESKO, MN 55733
PHONE: 218/879-2635
MR. JUSTIN BARNES
FAX: 218/879-2939
HWSAL
Corp
PLAINVIEW ESTATES INC
46 THOMSON ROAD
(30286)
ESKO, MN 55733
PHONE: 218/879-8230
MRS. COLETA PARENTEAU
FAX: 218/879-8223
Corp
PLAINVIEW ESTATES INC
COMP
46 THOMSON ROAD
(22142)
ESKO, MN 55733
PHONE: 218/879-8230
FAX: 218/879-8223
Lim-Liab
AUGUSTANA MERCY CARE CTR
MS. COLETA PARENTEAU
SNF-NF-72
NH-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 HWY 61
(21127)
MOOSE LAKE, MN 55767
PHONE: 218/485-4491
KENWOOD PLACE
FAX: /-
MR. ERIC NIELSEN
NProf
COMP
710 SOUTH KENWOOD AVENUE
MOOSE LAKE, MN 55767
PHONE: 218/351-9415
KENWOOD PLACE
(27537)
FAX: 218/351-9401
MR. STEVE MORK
HWS
NProf
4560 COUNTY HIGHWAY 61
MOOSE LAKE, MN 55767
PHONE: 218/351-9415
(20329)
FAX: 218/351-9416
MR. STEVE MORK
Minnesota Department of Health
Division of Compliance Monitoring
Page
47
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
MERCY HOME HEALTH AGENCY
Dist
Certification
CARLTON
Registration
(Cont.)* -------------------------
HCP/COMP
HHA
30 ARROWHEAD LANE
MOOSE LAKE, MN 55767
PHONE: 218/485-5506
MERCY HOSPITAL
(03714)
FAX: 218/485-5908
Dist
MR. MICHAEL DELFS
HOSP-31 BASS-7 HOSP-
CAH-25 CAH-
4572 COUNTY ROAD 61
MOOSE LAKE, MN 55767
PHONE: 218/485-4481
MN SEX OFFENDER PROGRAM
(27650)
FAX: 218/586-5654
State
MR. MICHAEL DELFS
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
HWSAL
Corp
500 TALBOT DRIVE PO BOX 958
MOOSE LAKE, MN 55767
PHONE: 218/485-8779
OAKVIEW RESIDENTIAL CARE INC
(23531)
FAX: 218/485-8808
DR. SUSAN BENZIE
HWSAL
Corp
300 TALBOT DRIVE PO BOX 958
MOOSE LAKE, MN 55767
PHONE: 218/485-8779
OAKVIEW RESIDENTIAL CARE INC
(30390)
FAX: 218/485-8808
Corp
DR. SUSAN BENZIE
COMP
300 TALBOT DRIVE PO BOX 958
MOOSE LAKE, MN 55767
PHONE: 218/485-8779
SUNCREST ASSISTED LIVING
(23530)
FAX: 218/485-8808
DR. SUSAN BENZIE
HWSAL
NProf
2400 WASHINGTON AVENUE
SCANLON, MN 55720
PHONE: 218/878-1180
SUNCREST ASSISTED LIVING
(30344)
FAX: 218/878-1201
NProf
MS. SHERRY MATTHEWS
HCP-F
2400 WASHINGTON AVENUE
SCANLON, MN 55720
PHONE: 218/878-1180
(23227)
FAX: 218/878-1201
MS. DANIELLE LESMEISTER
Minnesota Department of Health
Division of Compliance Monitoring
Page 48
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
GARDEN TERRACE ASSISTED LIVING
Corp
Certification
CARLTON
Registration
(Cont.)* -------------------------
COMP
426 MASON DRIVE
WRENSHALL, MN 55797
PHONE: 218/384-4623
GARDEN TERRACE ASSISTED LIVING
(24256)
FAX: 218/384-4508
MS. KELLY LAVEAU
HWSAL
Corp
426 MASON DRIVE
WRENSHALL, MN 55797
PHONE: 218/384-4623
(30521)
FAX: 218/384-4508
MS. KELLY LAVEAU
---------------------------**********
LICENSED CARE ON CALL
Lim-Liab
CARVER
******** -------------------------
HCP-A
215 CARVER CREEK PLACE
CARVER, MN 55315
PHONE: 612/245-6797
ALERE WOMEN'S AND CHILDREN'S H
(27003)
FAX: 952/448-7378
Lim-Liab
MRS. REBECCA BATHEJA
COMP
551 WEST 78TH STREET STE 207
CHANHASSEN, MN 55317
PHONE: 770/767-8218
OLIVE BRANCH ESTATES
(03016)
MS. DANA GEVING
FAX: 770/916-1312
Lim-Liab
HCP-F
1850 PIONEER TRAIL
CHANHASSEN, MN 55317
PHONE: 952/233-2728
OLIVE BRANCH ESTATES
(30187)
MS. GABRIELLE GALLAGHER
FAX: 952/233-2712
HWSAL
Lim-Liab
1850 PIONEER TRAIL
CHANHASSEN, MN 55317
PHONE: 952/233-2728
SUMMERWOOD OF CHANHASSEN
(30188)
MS. ANNE WHITTAKER
FAX: 952/233-2712
HWSAL
NProf
525 LAKE DRIVE
CHANHASSEN, MN 55317
PHONE: 952/294-5500
SUMMERWOOD OF CHANHASSEN
(24077)
MR. MARK MEYER
FAX: 952/294-5501
NProf
COMP
525 LAKE DRIVE
CHANHASSEN, MN 55317
PHONE: 952/294-5500
ABLE PALMS HOME HEALTH OF MPLS
(28192)
MS. NATALIE MORLAND
FAX: 952/294-5501
Lim-Liab
TCOMP
1107 HAZELTINE BLVD STE 200
CHASKA, MN 55318
PHONE: 952/361-8979
(31408)
FAX: 952/361-8058
MR. JOHN GOODMAN
Minnesota Department of Health
Division of Compliance Monitoring
Page 49
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
AUBURN COURTS
Certification
CARVER
Registration
(Cont.)* -------------------------
HCP-F
501 NORTH OAK STREET
(24271)
CHASKA, MN 55318
PHONE: 952/448-9303
FAX: 952/361-0411
MS. TRACY COURNEYA
HWSAL
Church
AUBURN COURTS
501 OAK STREET NORTH
(20425)
CHASKA, MN 55318
PHONE: 952/361-0304
FAX: 952/361-0305
NProf
AUBURN MANOR
MRS. ALEES GLEASON
NH-61
SNF-NF-61
501 OAK STREET
(00335)
CHASKA, MN 55318
PHONE: 952/448-9303
FAX: 952/361-0305
MR. WAYNE WARD-INTERIM
HWS
NProf
CREEKS RUN
439 YELLOW BRICK CIRCLE
(31238)
CHASKA, MN 55318
PHONE: 612/455-0875
MS. MOLLY HAGEN
FAX: /-
HWS
NProf
CREEKS RUN
437 YELLOW BRICK CIRCLE
(31239)
CHASKA, MN 55318
PHONE: 612/455-0875
MS. MOLLY HAGEN
FAX: /-
HWS
NProf
CREEKS RUN
445 YELLOW BRICK CIRCLE
(31240)
CHASKA, MN 55318
PHONE: 612/455-0875
MS. MOLLY HAGEN
FAX: /-
HWS
NProf
CREEKS RUN
415 YELLOW BRICK CIRCLE
(31127)
CHASKA, MN 55318
PHONE: 612/455-1846
MS. MOLLY HAGEN
FAX: 612/879-0041
Lim-Liab
FOREVER LIFE HOME HEALTH CARE
COMP
123 WEST THIRD STREET
(24761)
CHASKA, MN 55318
PHONE: 952/361-3052
MS. GROYTREE HAKIM
FAX: 952/361-3053
HWSAL
Corp
HIDDEN CREEK ASSISTED LIVING
112005 HIDDEN CREEK PLACE
(20957)
CHASKA, MN 55318
PHONE: 952/361-9338
HIDDEN CREEK ASSISTED LIVING
MR. JAMES BOONE
FAX: /
Corp
COMP
112001 HIDDEN CREEK PLACE
CHASKA, MN 55318
PHONE: 952/361-9338
(20816)
FAX: 952/361-9335
MR. JAMES BOONE
Minnesota Department of Health
Division of Compliance Monitoring
Page
50
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
CARVER
(Cont.)* -------------------------
HWSAL
Corp
HIDDEN CREEK ASSISTED LIVING
Registration
112001 HIDDEN CREEK PLACE
(20397)
CHASKA, MN 55318
PHONE: 952/361-9338
FAX: /
MR. JAMES BOONE
HWSAL
Corp
HIDDEN CREEK ASSISTED LIVING
112007 HIDDEN CREEK PLACE
(20396)
CHASKA, MN 55318
PHONE: 952/361-9338
FAX: /
MR. JAMES BOONE
HWSAL
Corp
HIDDEN CREEK ASSISTED LIVING
112003 HIDDEN CREEK PLACE
(20528)
CHASKA, MN 55318
PHONE: 952/361-9338
FAX: /
MR. JAMES BOONE
NProf
MARIE STEINER KELTING HOSPICE
RES-HSPICE-5
9120 SHADY OAK DRIVE
(25976)
CHASKA, MN 55318
PHONE: 952/442-6030
MS. LISA HURT
FAX: 952/442-3198
HWS-O
NProf
RIDGEVIEW CARE SUITES
111 HUNDERTMARK RD STE 307N
(30873)
CHASKA, MN 55318
PHONE: 952/442-7830
MR. JOHN PRONDZINSKI
FAX: 952/442-7831
Lim-Liab
TWO TWELVE SURGERY CENTER
Outpt Surg
Amb Surg
111 HUNDERTMARK ROAD STE 340
(28004)
CHASKA, MN 55318
PHONE: 952/456-7900
FAX: 952/456-7901
Lim-Liab
BEE HIVE HOMES OF MINNESOTA
MR. AARON JOHNSON
COMP
6330 HAZELTINE BOULEVARD
(29622)
EXCELSIOR, MN 55331
PHONE: 952/474-4811
FAX: /
MR. TYLER STEVENS
HWS
Lim-Liab
BEEHIVE HOMES OF EXCELSIOR
6330 HAZELTINE BOULEVARD
(29623)
EXCELSIOR, MN 55331
PHONE: 952/474-4811
FAX: /
MR. TYLER STEVENS
Ind
JANICE R SINNEN
HCP-C
16225 74TH STREET
(27877)
NEW GERMANY, MN 55367
PHONE: 952/353-2115
HARBOR OF PEACE VILLAGE
FAX: /
MS. JANICE SINNEN
Corp
COMP
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 51
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
SLFB-6
ICFIID-6
129 MACKENTHUN LANE
NORWOOD YOUNG AMERIC, MN 55368
PHONE: 952/467-6484
AUGUSTANA EMERALD CREST OF VIC
(21000)
FAX: 866/380-3092
MR. BRUCE TORGERSON
HWSAL
NProf
8150 BAVARIA ROAD
VICTORIA, MN 55386
PHONE: 952/856-7522
AUGUSTANA EMERALD CREST OF VIC
(24028)
FAX: 952/856-7527
NProf
MS. MARGARET OWENS
COMP
8150 BAVARIA RD
VICTORIA, MN 55386
PHONE: 952/856-7510
BETHESDA LUTHERAN COM COT 4
(20815)
MS. MARGARET OWENS
FAX: 952/856-7527
NProf
SLFA-6
ICFIID-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
SLFA-12
ICFIID-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
SLFA-12
ICFIID-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
SLFA-11
ICFIID-11
1511 82ND STREET
VICTORIA, MN 55386
PHONE: 952/443-2048
MOUNT OLIVET ROLLING ACRES
(01540)
FAX: 952/443-2371
Church
MS. MONICA SCHMIDT
SLFB-30
ICFIID-30
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 52
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
CARVER
(Cont.)* -------------------------
HWSAL
Lim-Liab
VICTORIA CARE CENTER LLC
Registration
1885 STEIGER LAKE LANE
(29014)
VICTORIA, MN 55386
PHONE: 952/443-2735
FAX: 612/443-2735
Lim-Liab
ALWAYS BEST CARE SW METRO
MS. TERESA GREGORY
TBASIC
712 VISTA BLVD #149
(31207)
WACONIA, MN 55387
PHONE: 952/283-1654
AUBURN HOME IN WACONIA
FAX: /-
MR. RICK SELVEY
NProf
NH-37
SNF-NF-37
594 CHERRY DRIVE
WACONIA, MN 55387
PHONE: 952/442-2546
AUBURN MEADOWS
(00053)
FAX: 952/442-5504
MR. WAYNE WARD-INTERIM
HWSAL
NProf
591 CHERRY DRIVE
WACONIA, MN 55387
PHONE: 952/227-0494
FMCNA WACONIA DIALYSIS
(28788)
MS. JUDY GUSTAFSON
FAX: 952/442-6474
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
GOOD SAMARITAN SOCIETY WESTVIE
(00924)
FAX: 952/442-6170
MS. REBECCA BOLLIG
HWSAL
Church
433 FIFTH STREET WEST
WACONIA, MN 55387
PHONE: 952/442-5459
LIGHTHOUSE AT WACONIA
(30417)
FAX: 952/442-1125
MS. REBECCA BOLLIG
HWSAL
Lim-Liab
500 CHERRY STREET
WACONIA, MN 55387
PHONE: 952/442-1261
LIGHTHOUSE AT WACONIA
(30415)
FAX: 952/856-4711
Lim-Liab
MR. VINCE BECKEL
COMP
500 CHERRY STREET
WACONIA, MN 55387
PHONE: 952/442-1261
NAGEL ASSISTED LIVING
(23848)
FAX: 952/856-3208
MR. VINCE BECKEL
HWSAL
Corp
232 ELM ST S
WACONIA, MN 55337
PHONE: 612/986-2084
(31214)
FAX: 763/417-9999
MR. DAVID OLSHANSKY
Minnesota Department of Health
Division of Compliance Monitoring
Page
53
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
RIDGEVIEW HOME CARE SERVICES
NProf
Certification
CARVER
Registration
(Cont.)* -------------------------
HCP/COMP
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
COMP
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: 952/442-6542
NProf
MS. LISA HURT
HOSP-109 BASS-20
HOSP-109
500 MAPLE ST S
WACONIA, MN 55387
PHONE: 952/442-2191
WESTVIEW ACRES GOOD SAMARITAN
(00055)
MR. ROBERT STEVENS
FAX: 952/442-6543
Church
COMP
433 FIFTH STREET WEST
WACONIA, MN 55387
PHONE: 952/442-5459
ELIM HOME WATERTOWN
(20109)
MS. REBECCA BOLLIG
FAX: 952/442-1125
Church
NH-51
SNF-NF-51
409 JEFFERSON AVE SW BOX 638
WATERTOWN, MN 55388
PHONE: 952/955-2691
PRO REHAB
(00051)
FAX: 952/955-3799
MS. CORINNE ALLEN
Out Pt Out St Out Ot
Church
200 LEWIS AVENUE SO SUITE 210
WATERTOWN, MN 55388
PHONE: 952/955-2242
WESTWOOD PLACE INC
(02532)
FAX: 952/955-2010
Corp
MR. JEFFREY DAGEN
COMP
209 JEFFERSON AVENUE SOUTHWEST
WATERTOWN, MN 55388
PHONE: 952/955-1399
WESTWOOD PLACE INC
(20063)
FAX: 952/955-1398
MS. TAMMIE GRAUPMANN
HWSAL
Corp
209 JEFFERSON AVENUE SOUTHWEST
WATERTOWN, MN 55388
PHONE: 952/955-1399
(30328)
FAX: 952/955-1398
---------------------------**********
MR. RICHARD GORRA
CASS
******** -------------------------
Minnesota Department of Health
Division of Compliance Monitoring
Page 54
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
DIGNITY AND GRACE
Certification
CASS
Registration
(Cont.)* -------------------------
HCP-F
823 STATE HWY 371 NORTHWEST
(27107)
BACKUS, MN 56435
PHONE: 218/947-4445
FAX: 320/323-4455
MRS. MELANIE BURNS
HWSAL
Corp
DIGNITY AND GRACE
823 STATE HWY 371 NORTHWEST
(30674)
BACKUS, MN 56435
PHONE: 218/947-4445
FAX: 320/323-4455
MS. 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
MS. LINDA NELSON
FAX: /
ESRD
Corp
CASS LAKE DIALYSIS FACILITY
602 GRANT UTLEY ST PO BOX 757
(03600)
CASS LAKE, MN 56633
PHONE: 218/335-6671
MS. JOAN ANDERSON
FAX: /
CAH-13
PHS
CASS LAKE INDIAN HLTH SERV HOS
425 7TH STREET NW
(22140)
CASS LAKE, MN 56633
PHONE: 218/335-3200
MS. NORINE SMITH
FAX: 218/335-3300
RHC
NProf
SANFORD HLTH CASS LAKE CLINIC
219 GRANT UTLEY AVENUE
(02840)
CASS LAKE, MN 56633
PHONE: 218/335-2559
FAX: /
MS. MARY MILLER
Corp
BIRCHVIEW GARDENS ASSISTED LIV
COMP
108 3RD STREET NORTH
(28208)
HACKENSACK, MN 56452
PHONE: 218/675-5424
FAX: 218/675-5184
MR. JOHN MCELFRESH
HWSAL
Corp
BIRCHVIEW GARDENS ASSISTED LIV
108 3RD STREET NORTH
(28209)
HACKENSACK, MN 56452
PHONE: 218/675-5424
FAX: 218/675-5184
MR. JOHN MCELFRESH
RHC
NProf
CRMC-LONGVILLE
180 JORDAN LANE
(27046)
LONGVILLE, MN 56655
PHONE: 218/363-3300
FAX: 218/363-2233
MS. AMY HART
RHC
NProf
LAKEWOOD CLINIC PILLAGER
653 PILLSBURY ST NO SUITE 1
(23695)
PILLAGER, MN 56473
PHONE: 218/746-4550
FAX: /
MR. TIM RICE
Minnesota Department of Health
Division of Compliance Monitoring
Page 55
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
RIVERSIDE ASSISTED LIVING OF P
Certification
CASS
Registration
(Cont.)* -------------------------
HWSAL
Corp
885 MEADOWVIEW CIRCLE NORTH
PILLAGER, MN 56473
PHONE: 218/746-4400
RIVERSIDE ASSISTED LIVING OF P
(27489)
FAX: 218/746-4444
Corp
MS. SHAUNA KAPSNER
COMP
885 MEADOW VIEW CIRCLE NORTH
PILLAGER, MN 56473
PHONE: 218/746-4400
BROOKSIDE
(27488)
FAX: 218/746-4444
Corp
MS. KARLEEN SCHMIDT
HCP-F
2729 STATE 371 SOUTHWEST
PINE RIVER, MN 56474
PHONE: 218/587-3304
BROOKSIDE COMFORT CARE
(23041)
FAX: 218/587-3314
MS. MELANIE BURNS
HWSAL
Corp
2729 STATE 371 SW
PINE RIVER, MN 56474
PHONE: 218/587-3304
GOOD SAM SOCIETY PINE RIVER
(30300)
MS. MELANIE BURNS
FAX: 218/587-3314
NProf
NH-56
SNF-NF-56
518 JEFFERSON AVE BOX 29
PINE RIVER, MN 56474
PHONE: 218/587-4423
RIVERSIDE ASSISTED LIVING
(00058)
MS. KAREN PROSOSKI
FAX: 218/587-2671
NProf
COMP
2175 WHITE PINE POINT RD SW
PINE RIVER, MN 56474
PHONE: 218/587-4433
RIVERSIDE ASSISTED LIVING
(22165)
FAX: 218/587-3650
MS. KAREN PROSOSKI
HWSAL
NProf
2175 WHITE PINE POINT RD SW
PINE RIVER, MN 56474
PHONE: 218/587-4333
RIVERSIDE SENIOR LIVING APTS
(25419)
MS. ROXANNE FREDERICK
FAX: 218/587-2155
HWSAL
NProf
2189 WHITE PINE POINT RD SW
PINE RIVER, MN 56474
PHONE: 218/587-4433
AMERICARE LODGES INC
(30287)
MS. KATHY NOSKA
FAX: 218/587-3650
HWSAL
Corp
6870 SCHULTZ DRIVE NORTHEAST
REMER, MN 56672
PHONE: 218/566-4722
AMERICARE LODGES INC
(30705)
MRS. NANCY STEFAN
FAX: 218/566-4723
Corp
COMP
6870 SCHULTZ DRIVE NORTHEAST
REMER, MN 56672
PHONE: 218/566-4722
(21144)
FAX: 218/566-4723
MRS. MAUREEN SWENTKOFSKE
Minnesota Department of Health
Division of Compliance Monitoring
Page 56
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Cnty
CASS CO PUBLIC HEALTH
Certification
CASS
Registration
(Cont.)* -------------------------
HCP/COMP
HHA
BOX 519 400 MICHIGAN AVENUE
(02062)
WALKER, MN 56484
PHONE: 218/547-1340
FAX: 218/547-7232
Lim-Liab
GOLDEN LIVINGCENTER WALKER
MR. RENO WELLS
SNF-NF-40
NH-40
209 BIRCHWOOD AVE W
(00995)
WALKER, MN 56484
PHONE: 218/547-1855
FAX: 218/547-2266
MS. ASHLEY YLITALO
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
COMP
303 10TH STREET SOUTH BOX 530
(20689)
WALKER, MN 56484
PHONE: 218/547-4515
MS. ANN NOLAND
FAX: 218/547-7553
HWSAL
Corp
MAY CREEK LODGE INC
303 10TH STREET SOUTH BOX 530
(30760)
WALKER, MN 56484
PHONE: 218/547-4515
MS. ANN NOLAND
FAX: 218/547-7553
RHC
NProf
SANFORD HEALTH WALKER CLINIC
614 MICHIGAN AVENUE
(20651)
WALKER, MN 56484
PHONE: 218/547-3938
MS. MARY MILLER
FAX: /
---------------------------**********
CLARA CITY ASSISTED LIVING
CHIPPEWA
******** -------------------------
HWS
City
200 EAST WACHTLER AVENUE
CLARA CITY, MN 56222
PHONE: 320/847-2221
CLARA CITY CARE CENTER
(31473)
FAX: 320/847-3553
City
MR. MICHAEL STORDAHL
SNF-NF-66
NH-66
1012 DIVISION ST N
CLARA CITY, MN 56222
PHONE: 320/847-2221
(00061)
FAX: 320/847-3553
MR. MICHAEL STORDAHL
Minnesota Department of Health
Division of Compliance Monitoring
Page 57
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
CHIPPEWA
(Cont.)* -------------------------
HWS
City
GRANITE RIDGE PLACE
Registration
500 SKYVIEW DRIVE
(20567)
GRANITE FALLS, MN 56241
PHONE: 320/564-3382
HOMETOWN CARE PROVIDERS INC RI
FAX: /
MR. GEORGE GERLACH
HWSAL
Corp
640 CENTER AVENUE
GRANITE FALLS, MN 56241
PHONE: 320/564-3308
AVENUES FOR CARE INC
(30243)
FAX: 320/564-4870
MS. TAMARA TAMMEN
Home Mgmt
Corp
101 SOUTH 1ST STREET SUITE 200
MONTEVIDEO, MN 56265
PHONE: 320/269-2929
BROOKSIDE MANOR
(27647)
FAX: 320/269-2278
MS. SHELLY ELKINGTON
HWS
NProf
804 BENSON ROAD
MONTEVIDEO, MN 56265
PHONE: 320/269-6506
BURNSDALE EXTENDED CARE
(21803)
MR. JERRY TILDEN
FAX: 320/269-6507
HWS
Corp
1418 BLACK OAK AVENUE
MONTEVIDEO, MN 56265
PHONE: 320/226-6824
BURNSDALE EXTENDED CARE
(21135)
MS. TAMI DOREN KAMPER
FAX: 320/269-6304
HWS
Corp
1318 BLACK OAK
MONTEVIDEO, MN 56265
PHONE: 320/226-6824
BURNSDALE EXTENDED CARE
(25963)
FAX: 320/269-6304
MS. TAMI DORENKAMPER
HWS
Corp
1324 BLACK OAK
MONTEVIDEO, MN 56265
PHONE: 320/226-6824
BURNSDALE EXTENDED CARE
(29390)
FAX: 320/269-6304
MS. TAMI DORENKAMPER
HWS
Corp
1320 BLACK OAK
MONTEVIDEO, MN 56265
PHONE: 320/226-6824
BURNSDALE EXTENDED CARE
(25964)
FAX: 320/269-6304
Corp
MS. TAMI DORENKAMPER
COMP
1418 BLACK OAK AVENUE
MONTEVIDEO, MN 56265
PHONE: 320/269-6640
CHIPPEWA CO MONTEVIDEO HOSP
(28369)
FAX: 320/226-6304
Cy-Co
MS. TAMI DORENKAMPER
HOSP-30 BASS-6
824 11TH ST N
MONTEVIDEO, MN 56265
PHONE: 320/321-8100
(00060)
FAX: 320/269-8186
MR. MARK PAULSON
CAH-25
Minnesota Department of Health
Division of Compliance Monitoring
Page 58
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
CHIPPEWA COUNTY MONTEVIDEO HHC
Cy-Co
Certification
CHIPPEWA
Registration
(Cont.)* -------------------------
HCP/COMP
HHA
824 NORTH 11TH STREET
(02374)
MONTEVIDEO, MN 56265
PHONE: 320/321-8506
FAX: 320/269-8504
MR. MARK PAULSON
HWSAL
Church
COPPER GLEN
801 13TH STREET NORTH
(30465)
MONTEVIDEO, MN 56265
PHONE: 320/321-8312
FAX: 320/269-6510
Church
COPPER GLEN
MR. JAMES FLAHERTY
COMP
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
MS. PAULA ROCHELEAU
FAX: 320/269-4700
Church
LUTHER HAVEN
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
FAX: 320/269-8008
MS. LUANNE GIBSON
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
SLFA-6
ICFIID-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
(21524)
FAX: 320/269-6304
---------------------------**********
MRS. PAULA ROCHELEAU
CHISAGO
******** -------------------------
Minnesota Department of Health
Division of Compliance Monitoring
Page
59
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
ECUMEN CHISAGO CITY VINDAUGA V
(00067)
FAX: 651/213-4344
NProf
MR. CHUCK RICE
HCP-F
10910 282ND STREET
CHISAGO CITY, MN 55013
PHONE: 651/257-7951
ECUMEN CHISAGO CITY VINDAUGA V
(21587)
FAX: 651/257-7957
MR. FRANK ROBINSON
HWSAL
NProf
10910 282ND STREET
CHISAGO CITY, MN 55013
PHONE: 651/257-7955
FAIRVIEW LAKES HOMECARING HOSP
(30772)
FAX: 651/257-0579
NProf
MS. DIANE ROLLINS
HCP/COMP
HHA
11725 STINSON AVENUE
CHISAGO CITY, MN 55013
PHONE: 651/257-8850
FAIRVIEW LAKES HOMECARING HOSP
(02363)
MS. BEKKI DREWLO
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. KATHY LUCAS
FAX: 651/257-8852
HWSAL
NProf
10720 282ND STREET
CHISAGO CITY, MN 55013
PHONE: 651/257-7955
JUST LIKE HOME SENIOR CARE
(25276)
FAX: 651/257-0579
MS. DIANE ROLLINS
HWSAL
Corp
29288 OLD TOWN ROAD
CHISAGO CITY, MN 55013
PHONE: 651/257-3684
JUST LIKE HOME SENIOR CARE
(28155)
FAX: 651/257-3685
Corp
MS. DEBBIE GIBSON
COMP
29288 OLD TOWN ROAD
CHISAGO CITY, MN 55013
PHONE: 651/257-3684
LINNEA RESIDENTIAL HOME
(28154)
FAX: 251/257-3685
NProf
MS. RAMINA MENDOZA
SLFB-12
ICFIID-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: 651/257-7955
(20872)
FAX: 651/257-0579
MS. DIANE ROLLINS
Minnesota Department of Health
Division of Compliance Monitoring
Page
60
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
POINT PLEASANT HEIGHTS
Certification
CHISAGO
Registration
(Cont.)* -------------------------
HWS
NProf
28600 FAIRWAY LANE
CHISAGO CITY, MN 55013
PHONE: 651/257-4035
THE MARGARET S PARMLY RES
(20132)
FAX: 651/257-4080
Church
MS. MIRIAM AALAND
NH-101
SNF-NF-101
28210 OLD TOWNE RD
CHISAGO CITY, MN 55013
PHONE: 651/257-0575
WINDY ACRES LONG TERM CARE INC
(00065)
FAX: 651/257-0579
MR. FRANK ROBINSON
HWSAL
Corp
7040 LAKE BLVD
FOREST LAKE, MN 55025
PHONE: 651/464-8337
WINDY ACRES LONG TERM INC
(30515)
FAX: 651/464-8340
Corp
MS. SHEANA DURNIL
HCP-F
7040 LAKE BOULEVARD
FOREST LAKE, MN 55025
PHONE: 651/464-8337
THERAPEUTIC COMM RESIDENCE
(20401)
MS. SHEANA DURNIL
FAX: 651/464-8340
Corp
SLFA-8
ICFIID-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
MR. NATHAN JOHNSON
HWSAL
NProf
5379 383RD STREET
NORTH BRANCH, MN 55056
PHONE: 651/237-3000
ECUMEN NORTH BRANCH
(30638)
FAX: 651/237-3073
NProf
MS. MONICA NELSON
HCP-F
5379 383RD STREET
NORTH BRANCH, MN 55056
PHONE: 651/237-3000
NORTH BRANCH GW LLC
(25212)
FAX: 651/237-3073
MS. MONICA NELSON
HWSAL
Lim-Liab
38610 14TH AVE
NORTH BRANCH, MN 55056
PHONE: 651/317-2000
NORTH BRANCH GW LLC
(30608)
FAX: 651/317-2020
Lim-Liab
MS. RHONDA SCHILLINGER
HCP-F
38610 14TH AVE
NORTH BRANCH, MN 55056
PHONE: 651/317-2000
(25046)
FAX: 651/317-2000
MS. RHONDA SCHILLINGER
Minnesota Department of Health
Division of Compliance Monitoring
Page 61
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
ALL ABOUT CARING HOME CARE INC
Certification
CHISAGO
Registration
(Cont.)* -------------------------
COMP
460 SOUTH ELIOT AVE PO #370
(24069)
RUSH CITY, MN 55069
PHONE: 320/358-0987
FAX: 320/358-3422
Lim-Liab
GOLDEN LIVINGCENTER RUSH CITY
MR. MARK JOHNSTON
NH-49
SNF-NF-49
650 BREMER AVENUE SOUTH
(00994)
RUSH CITY, MN 55069
PHONE: 320/358-4765
FAX: 320/358-4317
Corp
CARDENAS FRIENDSHIP HOME
MS. KELLY NIMKE
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
EBENEZER LAKES SENIOR HOUSING
MS. CONNIE DAVIS
FAX: /-
HWS
NProf
5430 MEADOW LANE
WYOMING, MN 55092
PHONE: 651/982-6228
FAIRVIEW LAKES MEDICAL CENTER
(26797)
MS. KARI WILSON
FAX: 651/466-0714
NProf
HOSP-61 BASS-12
HOSP-61
5200 FAIRVIEW BLVD
WYOMING, MN 55092
PHONE: 651/982-7104
MEADOWS ON FAIRVIEW
(00006)
FAX: 651/982-7110
MR. JOHN HERMAN
HWSAL
NProf
25565 FAIRVIEW AVENUE
WYOMING, MN 55092
PHONE: 651/982-6228
MEADOWS ON FAIRVIEW
(30338)
FAX: 651/466-0714
NProf
MS. KARI WILSON
HCP-F
25565 FAIRVIEW AVENUE
WYOMING, MN 55092
PHONE: 651/982-6228
MEADOWS ON FAIRVIEW
(23170)
FAX: 651/466-0714
NProf
MS. KARI WILSON
NH-14
SNF-NF-14
25565 FAIRVIEW AVENUE
WYOMING, MN 55092
PHONE: 651/982-6228
WYOMING DIALYSIS
(29463)
FAX: 651/466-0714
MS. KARI WILSON
ESRD
Corp
5657 257TH STREET
WYOMING, MN 55092
PHONE: 651/462-0000
(03759)
FAX: 651/462-0004
MS. DIANA SKOOG
Minnesota Department of Health
Division of Compliance Monitoring
Page 62
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
CLAYCO CARE CENTER
Corp
Certification
CLAY
Registration
******** -------------------------
NH-35
SNF-NF-35
600 FIFTH STREET SOUTHEAST
BARNESVILLE, MN 56514
PHONE: 218/354-2254
GOLDEN MANOR OF BARNESVILLE
(00968)
FAX: 218/354-2153
MR. MARK RUSTAD
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
NProf
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)
MS. CARI DOCK
FAX: 218/233-3482
Corp
HCP-F
1125 OAKVIEW DRIVE
DILWORTH, MN 56529
PHONE: 218/477-7254
SERENITY LIVING CENTER
(24327)
MS. ELAINE ANDERSON
FAX: 218/477-7255
HWSAL
Corp
1204 OAKVIEW DRIVE
DILWORTH, MN 56529
PHONE: 218/477-7254
SERENITY LIVING CENTER INC
(29276)
FAX: 218/477-7255
MS. ELAINE ANDERSON
HWSAL
Corp
1125 OAKVIEW DRIVE
DILWORTH, MN 56529
PHONE: 218/477-7254
COMFORT KEEPERS
(30526)
FAX: 218/477-7255
Lim-Liab
MS. ELAINE ANDERSON
HCP-A
1205 4 AV SOUTH SUITE 2
FARGO, ND 58103
PHONE: 701/237-0004
HOME INSTEAD SENIOR CARE
(23729)
FAX: 701/237-0029
Corp
MR. JOEL PETERSON
COMP
505 N BROADWAY STE 204
FARGO, ND 58102
PHONE: 701/478-1010
HAWLEY MANOR
(22134)
FAX: 701/478-1008
Corp
MS. ARLETTE PRESTON
HCP-A
923 FIFTH STREET
HAWLEY, MN 56549
PHONE: 218/483-3337
(20225)
FAX: 218/483-3386
MS. KAY REYNOLDS
Minnesota Department of Health
Division of Compliance Monitoring
Page 63
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
HAWLEY RETIREMENT INC
Certification
CLAY
Registration
(Cont.)* -------------------------
HWSAL
Corp
923 FIFTH STREET
HAWLEY, MN 56549
PHONE: 218/483-3337
HAWLEY RETIREMENT INC
(30455)
FAX: 218/483-1161
Corp
MS. COURTNEY EINERSON
COMP
923 5TH STREET
HAWLEY, MN 56549
PHONE: 218/483-3337
ALLCARE HOME CARE INC
(28491)
FAX: 218/483-3386
MS. AMBER LUDWIG
Home Mgmt
Corp
200 5TH ST S STE 307
MOORHEAD, MN 56560
PHONE: 218/287-9148
ARBOR PARK LIVING CENTER
(25584)
MS. DAISY TRAUTMAN
FAX: 218/287-2943
HWSAL
Lim-Liab
520 28TH STREET NORTH
MOORHEAD, MN 56560
PHONE: 218/359-9999
ARBOR PARK LIVING CENTER
(26942)
MS. SUSAN BALA
FAX: 218/359-0890
Lim-Liab
COMP
2921 6TH AVE N
MOORHEAD, MN 56560
PHONE: 218/359-9999
ARBOR PARK LIVING CENTER LLC
(23403)
MS. SUSAN BALA
FAX: 218/359-0890
HWSAL
Lim-Liab
2921 6TH AVENUE NORTH
MOORHEAD, MN 56560
PHONE: 218/359-9999
ARBOR PARK LIVING CENTER LLC
(30361)
MS. SUSAN BALA
FAX: 218/359-0890
HWSAL
Lim-Liab
2901 6TH AVENUE NORTH
MOORHEAD, MN 56560
PHONE: 218/359-9999
CARRIAGE HOUSE APARTMENTS
(23767)
MS. SUSAN BALA
FAX: 218/359-0890
HWS
Part
3412 VILLAGE GREEN BLVD
MOORHEAD, MN 56560
PHONE: 218/236-6454
CLAY COUNTY RECEIVING CENTER
(23130)
MR. KENNETH TALLE
FAX: 218/233-3613
Cnty
SLFB-10
715 NORTH 11TH STREET #203
MOORHEAD, MN 56560
PHONE: 218/299-5220
EVENTIDE FAIRMONT
(01666)
MS. KATHY MCKAY
FAX: 218/299-7205
NProf
COMP
801 SECOND AVENUE NORTH
MOORHEAD, MN 56560
PHONE: 218/291-2285
(20101)
FAX: 218/233-3602
MR. MARK BERTILRUD
Minnesota Department of Health
Division of Compliance Monitoring
Page 64
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
CLAY
(Cont.)* -------------------------
HWSAL
NProf
EVENTIDE FAIRMONT
Registration
801 SECOND AVENUE NORTH
(30410)
MOORHEAD, MN 56560
PHONE: 218/233-8022
FAX: 218/233-9544
Church
EVENTIDE LUTHERAN HOME
MR. CHRIS GILSON
NH-195
SNF-NF-195
1405 7TH STREET SOUTH
(00072)
MOORHEAD, MN 56560
PHONE: 218/291-2285
FAX: 218/233-3602
MR. MARK BERTILRUD
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
MS. MELISSA CHISHOLM
FAX: 218/233-8307
Corp
LILAC HOMES ASSISTED LIVING ME
COMP
2615 PARKVIEW DR
(28988)
MOORHEAD, MN 56560
PHONE: 218/512-2008
MR. WILLIAM NELSON
FAX: 218/512-2018
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
MOORHEAD MANOR
(21014)
FAX: 218/291-2228
MS. JULIE STAIGLE
HWS
Corp
1710 13TH AVENUE NORTH
MOORHEAD, MN 56560
PHONE: 218/236-6286
MOORHEAD MANOR
(30439)
MS. SUSAN CHRISTIANSON
FAX: 218/477-0442
Corp
COMP
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
(21739)
FAX: 218/233-2759
MR. BRANDON EISENBEIS
Minnesota Department of Health
Division of Compliance Monitoring
Page
65
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
RIVER POINTE OF MOORHEAD
Certification
CLAY
Registration
(Cont.)* -------------------------
HWSAL
Lim-Liab
2401 SOUTH 11TH STREET
MOORHEAD, MN 56560
PHONE: 218/287-6900
RIVER POINTE OF MOORHEAD
(30646)
FAX: 218/233-3234
Lim-Liab
MR. DEAN BLOEMKE
HCP-F
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)
FAX: 218/291-1162
MS. JENNA GREFF
HWSAL
NProf
512 THIRD AVENUE SOUTH
MOORHEAD, MN 56560
PHONE: 218/233-1535
THE EVERGREENS OF MOORHEAD
(30466)
MS. JENNA GREFF
FAX: 218/291-1162
NProf
HCP-F
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
COMP
317 1ST STREET NORTHWEST
ULEN, MN 56585
PHONE: 218/596-8847
VIKING MANOR NURSING HOME
(20249)
FAX: 218/596-8894
City
MR. TODD KJOS
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
MR. TODD KJOS
HWSAL
City
317 1ST STREET NORTHWEST
ULEN, MN 56585
PHONE: 218/596-8847
(30460)
FAX: 218/596-8894
MR. TODD KJOS
Minnesota Department of Health
Division of Compliance Monitoring
Page 66
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Cnty
CLEARWATER CO NSG SERVICE
Certification
CLEARWATER
Registration
******** -------------------------
HCP/COMP
HHA
212 MAIN AVENUE NORTH
(02006)
BAGLEY, MN 56621
PHONE: 218/694-6581
MS. MARISSA HETLAND
FAX: 218/694-6594
Cnty
CLEARWATER HOSPICE
Hospice
HSPICE
212 MAIN AVENUE NORTH
(03174)
BAGLEY, MN 56621
PHONE: 218/694-6581
MS. MARISSA HETLAND
FAX: 218/694-6594
CORNERSTONE NSG & REHAB CENTER
Corp
NH-43
SNF-NF-43
416 SEVENTH STREET NORTHEAST
(00974)
BAGLEY, MN 56621
PHONE: 218/694-6552
MS. KARI SWANSON
FAX: 218/694-6987
Corp
CORNERSTONE RESIDENCE OF BAGLE
COMP
30 SUNSET AVENUE SW
(26540)
BAGLEY, MN 56621
PHONE: 218/694-2701
MS. JUDY POTVIN
FAX: 218/694-2718
HWSAL
Corp
CORNERSTONE RESIDENCE OF BAGLE
30 SUNSET AVENUE SW
(30725)
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
FAX: /
MS. PATRICIA WANGLER
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. JEFFREY LANCTO
RHC
NProf
SANFORD BAGLEY CLINIC
123 4TH STREET NW
(21437)
BAGLEY, MN 56621
PHONE: 218/694-2384
SANFORD BAGLEY MEDICAL CENTER
MR. KIRBY JOHNSON
FAX: /
NProf
HOSP-25 BASS-4
203 4TH ST NW
BAGLEY, MN 56621
PHONE: 218/694-6501
THE GARDEN PLACE ASSISTED LIVI
(00076)
MR. SAMMI DAVIDSON
FAX: 218/694-3528
Corp
COMP
421 6TH STREET NE
BAGLEY, MN 56621
PHONE: 218/694-2378
(21640)
FAX: 218/694-2348
MS. SUNNA DORN
CAH-25
Minnesota Department of Health
Division of Compliance Monitoring
Page
67
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
CLEARWATER
(Cont.)* -------------------------
HWSAL
Corp
THE GARDEN PLACE ASSISTED LIVI
Registration
421 6TH STREET NE
(30775)
BAGLEY, MN 56621
PHONE: 218/694-2378
FAX: 218/694-2348
NProf
GOOD SAM SOCIETY CLEARBROOK
MS. SUNNA-LEE DORN
NH-43
SNF-NF-43
305 3RD AVE SW
(00078)
CLEARBROOK, MN 56634
PHONE: 218/776-3157
FAX: 218/776-3836
MR. GORDON HORMANN
Home Mgmt
Corp
HOME AT HEART CARE INC
221 3RD AVENUE SW PO BOX 183
(25734)
CLEARBROOK, MN 56634
PHONE: 218/776-3508
FAX: 218/776-3507
MR. BRUCE EMMEL
HWS
NProf
MUSTARD SEED HOUSE
221 FIRST AVENUE SW
(31404)
CLEARBROOK, MN 56634
PHONE: 218/776-2789
MR. DARIEN NORTHUP
FAX: 218/776-2786
SANFORD BAGLEY CLEARBROOK CLNC
RHC
NProf
22 ELM STREET
(21436)
CLEARBROOK, MN 56634
PHONE: 218/776-3124
MR. KIRBY JOHNSON
FAX: /-
HWS
Ind
SERENITY ASSISTED LIVING
35501 231ST AVENUE
(29937)
SHEVLIN, MN 56676
PHONE: 218/785-2175
FAX: /-
MS. SUSAN GILBERTSON
Ind
SERENITY ASSISTED LIVING
COMP
35501 231ST AVENUE
(29936)
SHEVLIN, MN 56676
PHONE: 218/785-2175
FAX: /-
MS. SUSAN GILBERTSON
COOK
---------------------------**********
COOK CO NORTHSHORE HOSP &C CTR
Dist
******** -------------------------
NH-37 HOSP-16 BASS-2
SNF-NF-37 CAH-16
515 5TH AVE W
(00080)
GRAND MARAIS, MN 55604
PHONE: 218/387-3040
FAX: 218/387-3270
COOK CO NORTHSHORE HOSP HM HLT
Dist
MS. KIMBER WRAALSTAD
HCP/COMP
HHA
515 5TH AVENUE WEST
GRAND MARAIS, MN 55604
PHONE: 218/387-3280
(03138)
FAX: 218/387-3297
---------------------------**********
MS. KIMBER WRAALSTAD
COTTONWOOD
******** -------------------------
Minnesota Department of Health
Division of Compliance Monitoring
Page
68
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
GOOD SAM SOCIETY MT LAKE
Certification
COTTONWOOD
Registration
(Cont.)* -------------------------
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
RHC
NProf
SANFORD CLINIC MOUNTAIN LAKE
308 EIGHTH STREET
(03551)
MOUNTAIN LAKE, MN 56159
PHONE: 507/427-3332
THE LODGE OF MOUNTAIN LAKE
FAX: /
MS. LAURIE JENSEN
NProf
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)
MR. TIM SWOBODA
FAX: 507/427-2465
NProf
NH-40
SNF-NF-40
149 1ST AVE BOX 218
WESTBROOK, MN 56183
PHONE: 507/274-6155
PETERSON ESTATES
(00082)
MS. NANCY WEPPLO
FAX: 507/274-6207
HWS
NProf
1012 9TH STREET
WESTBROOK, MN 56183
PHONE: 507/274-6804
SANFORD CLINIC WESTBROOK
(23558)
FAX: 507/274-5671
MS. STACY BARSTAD
RHC
NProf
920 BELL AVENUE
WESTBROOK, MN 56183
PHONE: 507/274-6121
SANFORD WESTBROOK MEDICAL CTR
(20976)
FAX: 507/274-5630
NProf
MR. DANIEL REINER
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/COMP
HHA
710 FULLER DRIVE #3
WINDOM, MN 56101
PHONE: 507/831-0734
GOOD SAM SOCIETY WINDOM
(03754)
FAX: 507/831-0736
NProf
MS. KIMBERLY JOHNSON
NH-78
SNF-NF-78
705 6TH ST
WINDOM, MN 56101
PHONE: 507/831-1788
(00085)
FAX: 507/831-0844
MS. NANCY WEPPLO
Minnesota Department of Health
Division of Compliance Monitoring
Page 69
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
HOME FOR CREATIVE LIVING
Certification
COTTONWOOD
Registration
(Cont.)* -------------------------
SLFB-18
ICFIID-18
108 NINTH STREET
(01194)
WINDOM, MN 56101
PHONE: 507/831-5033
FAX: 507/831-2612
MR. DEVIN NELSON
HWSAL
NProf
MIKKELSEN MANOR
725 FULLER DRIVE
(20697)
WINDOM, MN 56101
PHONE: 507/831-0745
FAX: 507/831-0846
NProf
MIKKELSON MANOR ASSISTED LIVIN
MS. NANCY WEPPLO
COMP
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
MS. PATRICE GOETTE
FAX: 507/831-5124
Corp
PINE VIEW ASSISTED LIVING
COMP
750 4TH AVENUE
(26908)
WINDOM, MN 56101
PHONE: 507/831-5277
MS. PATRICE GOETTE
FAX: 507/831-5124
HWS
NProf
REMICK RIDGE ESTATES
350 SIXTH AVENUE
(20010)
WINDOM, MN 56101
PHONE: 507/831-0745
FAX: 507/831-0845
Corp
RESIDENTIAL ADVANTAGES INC
MS. NANCY WEPPLO
ICFIID-8
SLFA-8
945 PROSPECT AVENUE
(01277)
WINDOM, MN 56101
PHONE: 507/831-3804
FAX: 507/831-2436
MR. DEVIN NELSON
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
HOSP-18 BASS-6
CAH-18
2150 HOSPITAL DRIVE
WINDOM, MN 56101
PHONE: 507/831-2400
(00796)
FAX: 507/831-5749
---------------------------**********
MS. GERRI BURMEISTER
CROW WING
******** -------------------------
Minnesota Department of Health
Division of Compliance Monitoring
Page
70
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
BIRCH MANOR
Certification
CROW WING
Registration
(Cont.)* -------------------------
TCOMP
13401 BIRCH DRIVE
(31260)
BAXTER, MN 56425
PHONE: 218/232-6902
FAX: /
MS. ELIZABETH ORTLOFF
HWSAL
Lim-Liab
BIRCH MANOR
13401 BIRCH DRIVE
(31277)
BAXTER, MN 56425
PHONE: 218/232-6902
BRAINERD LAKES SURGERY CTR
FAX: /-
MS. ELIZABETH ORTLOFF
Lim-Liab
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. PAMELA CARTER-INTERIM
OTHER-16
HOSP-16
14241 GRAND OAKS DRIVE
BAXTER, MN 56425
PHONE: 218/316-3102
DIAMOND WILLOW ASSISTED LIVING
(24037)
MR. RICHARD SLIETER
FAX: 218/829-9141
HWSAL
Lim-Liab
14396 GRAND OAKS DRIVE
BAXTER, MN 56425
PHONE: 218/825-7034
DIAMOND WILLOW ASSISTED LIVING
(24427)
MS. KIM BURKE
FAX: 218/825-7165
HWSAL
Lim-Liab
14398 GRAND OAKS DRIVE
BAXTER, MN 56425
PHONE: 218/825-7162
EXCELSIOR PLACE
(24428)
FAX: 218/825-7166
MS. KIM BURKE
HWS
Corp
14211 FIREWOOD DRIVE
BAXTER, MN 56425
PHONE: 218/828-4770
GOOD NEIGHBOR HHC OF BRAINERD
(30293)
FAX: 218/828-4771
Corp
MR. DEAN BLOEMKE
HCP/COMP
HHA
14387 EDGEWOOD DRIVE
BAXTER, MN 56425
PHONE: 218/829-9238
MN HOME CARE
(02759)
FAX: 218/829-2144
Corp
MS. SHERRIE CHRISTENSEN
COMP
14775 EDGEWOOD DRIVE
BAXTER, MN 56425
PHONE: 218/963-8899
WELCOME HOME HEALTH CARE
(20912)
FAX: 218/963-9573
Corp
MRS. TERRIE GETTY
COMP
14211 FIREWOOD DRIVE
BAXTER, MN 56425
PHONE: 218/828-4770
(22195)
FAX: 218/828-4771
MR. DEAN BLOEMKE
Minnesota Department of Health
Division of Compliance Monitoring
Page 71
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
ALMOND HOUSE
Certification
CROW WING
Registration
(Cont.)* -------------------------
HWS
Corp
802 28TH STREET SE
BRAINERD, MN 56401
PHONE: 218/822-3067
ALMOND HOUSE
(30711)
FAX: 218/822-3068
Corp
MS. CHARITY BITZER
COMP
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)
MR. JAMES JOHNSON
FAX: 218/822-3068
HWS
Corp
816 28TH STREET SOUTHEAST
BRAINERD, MN 56401
PHONE: 218/822-3067
ALMOST HOME
(20582)
MS. CHARITY BITZER
FAX: 218/822-3068
HWS
Corp
710 SOUTHEAST 28TH STREET
BRAINERD, MN 56401
PHONE: 218/822-3067
BARNABAS HEALTH CARE SERVICES
(21680)
FAX: 218/822-3068
Corp
MS. CHARITY BITZER
HHA
HCP/COMP
223 WASHINGTON STREET
BRAINERD, MN 56401
PHONE: 218/829-0901
BRAINERD CAREFREE LIVING LLC
(02992)
FAX: 218/829-4470
MS. BOBBIE DEBROS
HWSAL
Lim-Liab
2723 OAK STREET
BRAINERD, MN 56401
PHONE: 218/829-8622
BRAINERD HRA
(20187)
FAX: 218/829-4463
MR. MERLE SAMPSON
HWSAL-O
HRA
410 EAST RIVER ROAD
BRAINERD, MN 56401
PHONE: 218/824-3421
CENTRAL MINNESOTA SENIOR CARE
(20506)
FAX: 218/828-8817
MS. DIANA KLIBER
HWSAL
Corp
1008 10TH STREET SOUTH
BRAINERD, MN 56401
PHONE: 320/441-7001
(20683)
FAX: 320/235-8069
MS. DAWN FRERICKS
Minnesota Department of Health
Division of Compliance Monitoring
Page
72
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
CROW WING
(Cont.)* -------------------------
ESRD
NProf
CHRONIC DIALYSIS UNIT
Registration
2024 SOUTH SIXTH STREET
(02818)
BRAINERD, MN 56401
PHONE: 218/828-7532
FAX: /-
MR. DAVID WALZ
State
COMMUNITY ADDICTION RECOVERY E
SLFA-0 SLFB-58
11600 STATE AVE
(01681)
BRAINERD, MN 56401
PHONE: 218/828-6167
CROW WING COUNTY HEALTH & SOCI
FAX: /
MR. HENRY FOX
Cy-Co
COMP
204 LAUREL STREET SUITE 31
BRAINERD, MN 56401
PHONE: 218/824-1080
EDGEWOOD VISTA BRAINERD
(02010)
FAX: 218/824-1081
Lim-Liab
MS. GWEN ANDERSON
COMP
14890 BEAVER DAM ROAD
BRAINERD, MN 56401
PHONE: 218/828-3691
EDGEWOOD VISTA BRAINERD
(23750)
MS. KERRY CONLIN
FAX: 218/829-5482
HWSAL
Lim-Liab
14890 BEAVER DAM ROAD
BRAINERD, MN 56401
PHONE: 218/828-3691
EDGEWOOD VISTA BRAINERD ALZHEI
(30411)
MR. PHILIP GISI
FAX: 218/829-5482
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
HOSP-162 BASS-15
HOSP-140 PPS-P-22
523 NORTH THIRD STREET
BRAINERD, MN 56401
PHONE: 218/829-2861
GOOD SAM SOCIETY BETHANY
(00093)
FAX: 218/828-3103
NProf
MR. ADAM REES
NH-114
SNF-NF-114
804 WRIGHT ST
BRAINERD, MN 56401
PHONE: 218/829-1407
GOOD SAM SOCIETY WOODLAND
(00087)
FAX: 218/829-0516
NProf
MR. RYAN CERNEY
NH-42
SNF-NF-42
100 BUFFALO HILLS LANE
BRAINERD, MN 56401
PHONE: 218/829-1429
GOOD SAMARITAN SOCIETY BETHANY
(00956)
FAX: 218/829-4729
NProf
MS. JENNIFER GRAMS
COMP
1953 SEVENTH STREET SOUTH
BRAINERD, MN 56401
PHONE: 218/829-1407
(20129)
FAX: 218/829-0516
MR. RYAN CERNEY
Minnesota Department of Health
Division of Compliance Monitoring
Page 73
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
GOOD SAMARITAN SOCIETY BETHANY
Certification
CROW WING
Registration
(Cont.)* -------------------------
HWSAL
NProf
1953 SEVENTH STREET SOUTH
BRAINERD, MN 56401
PHONE: 218/829-4366
GRATTAN PRIVATE DUTY NURSING I
(30420)
FAX: 218/829-0516
Corp
MR. RYAN CERNEY
COMP
8382 50TH AVENUE
BRAINERD, MN 56401
PHONE: 218/820-1326
HARMONY HOUSE OF BRAINERD (NO)
(28253)
FAX: 218/825-0144
MRS. STACI GRATTAN
HWSAL
NProf
218 NINTH STREET SOUTHWEST
BRAINERD, MN 56401
PHONE: 218/828-4142
HOME INSTEAD SENIOR CARE
(20415)
FAX: 218/828-4580
MS. BRIDGET BRITZ
Home Mgmt
Lim-Liab
108 SOUTH 6TH STREET SUITE 3
BRAINERD, MN 56401
PHONE: 218/824-0077
HOME INSTEAD SENIOR CARE
(23696)
MS. DEBORAH CRANNY
FAX: 218/824-0079
Lim-Liab
HCP-B
108 SOUTH 6TH STREET SUITE 3
BRAINERD, MN 56401
PHONE: 218/824-0077
LAKES AREA HOME CARE
(27309)
MS. DEBORAH CRANNY
FAX: 218/824-0079
Lim-Liab
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
SAMARITAN HOUSE BIRCHWOOD
(00089)
FAX: 218/828-2569
MS. DAWN BARNARD
HWSAL
NProf
2509 GREENWOOD STREET
BRAINERD, MN 56401
PHONE: 218/855-6636
SAMARITAN HOUSE ELMWOOD
(24683)
FAX: 218/855-6649
MS. JENNIFER GRAMS
HWSAL
NProf
2517 GREENWOOD STREET
BRAINERD, MN 56401
PHONE: 218/855-6638
(24681)
FAX: 218/855-6647
MS. JENNIFER GRAMS
Minnesota Department of Health
Division of Compliance Monitoring
Page
74
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
CROW WING
(Cont.)* -------------------------
HWSAL
NProf
SAMARITAN HOUSE OAKWOOD
Registration
2501 GREENWOOD STREET
(23489)
BRAINERD, MN 56401
PHONE: 218/855-6637
FAX: 218/855-6648
NProf
WOODLAND GOOD SAMARITAN ASSIST
MS. JENNIFER GRAMS
COMP
200 BUFFALO HILLS LANE
(20012)
BRAINERD, MN 56401
PHONE: 218/829-1429
FAX: 218/829-4815
MS. JENNIFER GRAMS
HWSAL
NProf
WOODLAND GOOD SAMARITAN VILLAG
200 BUFFALO HILLS LANE
(30309)
BRAINERD, MN 56401
PHONE: 218/829-1429
FAX: 218/829-4815
Dist
CUYUNA REGIONAL MEDICAL CENTER
MS. JENNIFER GRAMS
NH-117 HOSP-42 BASS-7
SNF-NF-117 CAH-25
320 EAST MAIN STREET
(00091)
CROSBY, MN 56441
PHONE: 218/546-7000
MR. JOHN SOLHEIM
FAX: 218/546-7268
Dist
HALLETT COTTAGES
COMP
350 4TH STREET NORTHEAST
(20479)
CROSBY, MN 56441
PHONE: 218/545-8500
MS. KRISTIN NEFF
FAX: 218/545-8501
HWSAL
NProf
HALLETT COTTAGES
350 4TH STREET NORTHEAST
(25525)
CROSBY, MN 56441
PHONE: 218/546-6265
FAX: 218/546-7269
MS. NANCY STRATMAN
HWSAL
NProf
HEARTWOOD
500 HEARTWOOD DRIVE
(26228)
CROSBY, MN 56441
PHONE: 218/545-8500
FAX: 218/545-8501
Dist
HOMEHEALTH PARTNERSHIP
MS. NANCY STRATMAN
Hospice
HSPICE
500 HEARTWOOD DRIVE
(02994)
CROSBY, MN 56441
PHONE: 218/546-2311
FAX: 218/546-4313
Dist
HOMEHEALTH PARTNERSHIP
MR. JOHN SOLHEIM
HCP/COMP
HHA
500 HEARTWOOD DRIVE
(02256)
CROSBY, MN 56441
PHONE: 218/546-2311
FAX: 218/546-4313
HOUSING AND REDEVELOPMENT AUTH
MR. JOHN SOLHEIM
HWS-O
HRA
300 3RD AVENUE NORTHEAST
CROSBY, MN 564411642
PHONE: 218/546-5088
(21705)
FAX: 218/546-5041
MS. JENNIFER BERGMAN
Minnesota Department of Health
Division of Compliance Monitoring
Page 75
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
GOLDEN HORIZONS OF CROSSLAKE
Corp
Certification
CROW WING
Registration
(Cont.)* -------------------------
COMP
13631 EAST SHORE ROAD
CROSSLAKE, MN 56442
PHONE: 218/692-6650
GOLDEN HORIZONS OF CROSSLAKE
(26009)
FAX: 218/692-6652
MS. CARRIE SWANSON
HWSAL
Corp
13631 EAST SHORE ROAD
CROSSLAKE, MN 56442
PHONE: 218/692-6650
RIVERWOOD HLTH CC GARRISON
(30621)
FAX: 218/692-6652
MRS. CARRIE SWANSON
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 EGAN
FAX: 218/772-0142
NProf
HCP/COMP
HHA
24090 SMILEY ROAD SUITE 200
NISSWA, MN 56468
PHONE: 218/963-9452
GOOD SAMARITAN SOCIETY HOSPICE
(23213)
MS. DONNIE ANDERSON
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. DONNIE ANDERSON
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: 218/568-5717
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 76
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
DAKOTA
******** -------------------------
HWSAL
NProf
APPLE VALLEY VILLA
Registration
14610 GARRETT AVENUE
(30611)
APPLE VALLEY, MN 55124
PHONE: 952/236-2600
FAX: 952/236-2670
NProf
APPLE VALLEY VILLA
MS. ANDREA NYE
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 VALL
MR. DAVID SHAW
COMP
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
FAX: 952/423-5280
MS. DONNA NOVAK
HWSAL
Corp
COMMUNITY ASSISTED LIVING INC
13628 PILOT KNOB ROAD
(28479)
APPLE VALLEY, MN 55124
PHONE: 952/440-3955
COMMUNITY CARES INC
MS. DONNA NOVAK
FAX: /
HWS
NProf
5751 150TH STREET WEST
APPLE VALLEY, MN 55124
PHONE: 612/221-8140
COMMUNITY CARES INC
(31421)
FAX: 952/447-6776
MR. RICK MORADIAN
HWS
NProf
14620 GARRETT AVENUE UNIT #109
APPLE VALLEY, MN 55124
PHONE: 612/221-8140
DAKOTA HOMEMAKING SERVICES INC
(31405)
FAX: 952/447-6776
MR. RICK MORADIAN
Home Mgmt
Corp
14530 PENNOCK AVENUE STE 101
APPLE VALLEY, MN 55124
PHONE: 952/997-7319
EAST VALLEY DIALYSIS
(21218)
FAX: 952/997-2780
MS. SHARON BENTLEY
ESRD
Lim-Liab
14050 PILOT KNOB ROAD
APPLE VALLEY, MN 55124
PHONE: 952/423-4062
(29664)
FAX: 952/423-6974
MS. COURTNEY JENNE
Minnesota Department of Health
Division of Compliance Monitoring
Page 77
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
ECUMEN SEASONS AT APPLE VALLEY
Certification
DAKOTA
Registration
(Cont.)* -------------------------
COMP
15359 FOUNDERS LANE
(27794)
APPLE VALLEY, MN 55124
PHONE: 952/698-5300
FAX: 952/698-5302
MS. KATIE BAUER
HWSAL
NProf
ECUMEN SEASONS AT APPLE VALLEY
15359 FOUNDERS LANE
(30758)
APPLE VALLEY, MN 55124
PHONE: 952/698-5300
FAX: 952/698-5302
MS. KATIE BAUER
Home Mgmt
Corp
ELDERNEST INC
13006 ECHO LANE
(31167)
APPLE VALLEY, MN 55124
PHONE: 952/322-1984
FAX: /
MS. CHRISTINE FARRIS
HWS
Part
HARALSON APARTMENTS
15420 FOUNDERS LANE
(24369)
APPLE VALLEY, MN 55124
PHONE: 612/332-6264
MR. RICHARD BRUSTAD
FAX: 612/332-2627
Corp
HOPE HEALTH CARE INC
COMP
15278 DUPONT PATH
(20602)
APPLE VALLEY, MN 55124
PHONE: 952/322-4988
MS. MILLICENT WARRINGTON
FAX: 952/953-3301
HWS
NProf
LIFE REBUILDERS
7269 146TH STREET WEST
(30145)
APPLE VALLEY, MN 55124
PHONE: 763/443-4191
FAX: 612/823-3963
Corp
MOSAIC IN HOME
MS. KEELY PERRY
COMP
5885149TH ST WEST SUITE 101E
(29916)
APPLE VALLEY, MN 55124
PHONE: 952/683-1051
FAX: /
MR. WILLIAM LAMBERT
HWS
Corp
NAGOMI INC
14424 LOWER GUTHRIE COURT
(30641)
APPLE VALLEY, MN 55124
PHONE: 952/431-3037
FAX: 952/431-3037
Corp
NAGOMI INC
MR. JAMES JEONG
HCP-F
14424 LOWER GUTHRIE COURT
(25215)
APPLE VALLEY, MN 55124
PHONE: 952/431-3037
FAX: 952/431-3037
MR. JAMES JEONG
HWS
NProf
REDEMPTION MINISTRIES
15347 FLOWER WAY
(30919)
APPLE VALLEY, MN 55124
PHONE: 952/300-7490
FAX: /
MR. ALLAN JUST
Minnesota Department of Health
Division of Compliance Monitoring
Page 78
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
DAKOTA
(Cont.)* -------------------------
Home Mgmt
Lim-Liab
SENIOR CARE CONCIERGE LLC
Registration
13330 GRANADA AVE
(31381)
APPLE VALLEY, MN 55124
PHONE: 612/709-7388
FAX: /-
MS. PAULA SAPPINGTON
HWSAL
NProf
THE CENTENNIAL HOUSE OF APPLE
14615 PENNOCK AVENUE
(20316)
APPLE VALLEY, MN 55124
PHONE: 952/891-2711
FAX: 952/891-4780
Lim-Liab
THE TIMBERS
MS. JANIS RIVERS
HCP-F
14018 PENNOCK AVENUE SOUTH
(29080)
APPLE VALLEY, MN 55124
PHONE: 952/432-4070
MR. LOU PALMER
FAX: 952/432-0019
Corp
TWINS CARE NURSING SERVICE INC
COMP
7668 150TH ST SUITE 105
(25451)
APPLE VALLEY, MN 55124
PHONE: 952/423-1204
MRS. SHERRI JONES
FAX: 952/423-4113
Corp
A WOMANS WAY
SLFA-8
720 151ST STREET EAST
(25914)
BURNSVILLE, MN 55306
PHONE: 952/894-7722
MS. CAROL ACKLEY
FAX: 952/894-0882
HWS-O
NProf
ACCESSIBLE SPACE INC - WEST AP
1501 143RD STREET WEST
(28387)
BURNSVILLE, MN 55306
PHONE: 651/645-7271
MR. STEPHEN VANDERSCHAAF
FAX: 651/645-0541
HWSAL
Lim-Liab
ARBORS AT RIDGES
13897 COMMUNITY DRIVE
(29362)
BURNSVILLE, MN 55337
PHONE: 952/898-4005
MS. BRITTANY PETERSON
FAX: 952/435-6681
AUGUSTANA EMERALD CREST BURNSV
NProf
HCP-F
451 EAST TRAVELERS TRAIL
BURNSVILLE, MN 55337
PHONE: 952/890-2652
AUGUSTANA EMERALD CREST OF BUR
(29326)
FAX: 952/882-7901
MS. MARGARET OWENS
HWSAL
NProf
451 EAST TRAVELERS TRAIL
BURNSVILLE, MN 55337
PHONE: 952/856-7522
AUGUSTANA EMERALD CREST OF BUR
(20860)
FAX: 952/856-7527
MS. MARGARET OWENS
HWSAL
NProf
455 EAST TRAVELERS TRAIL
BURNSVILLE, MN 55337
PHONE: 952/856-7522
(20952)
FAX: 952/856-7527
MS. MARGARET OWENS
Minnesota Department of Health
Division of Compliance Monitoring
Page 79
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
DAKOTA
(Cont.)* -------------------------
HWSAL
NProf
AUGUSTANA EMERALD CREST OF BUR
Registration
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
MS. MARGARET OWENS
FAX: 952/856-7527
HWSAL
Lim-Liab
AUGUSTANA REGENT AT BURNSVILLE
14500 REGENT LANE
(23217)
BURNSVILLE, MN 55306
PHONE: 952/898-1910
MS. VICKI TOBROXEN
FAX: 952/898-7257
Lim-Liab
AUGUSTANA REGENT AT BURNSVILLE
COMP
14500 REGENT LANE
(23238)
BURNSVILLE, MN 55306
PHONE: 952/898-1910
MS. VICKI TOBROXEN
FAX: 952/898-7257
Lim-Liab
BRIGHTSTAR OF NORTHERN DAKOTA
COMP
2414 117TH STREET EAST
(29578)
BURNSVILLE, MN 55337
PHONE: 952/255-9355
MS. SHANNON KLEMANN
FAX: 952/681-7339
Corp
BROOKVIEW COTTAGE INC
TCOMP
2808 BROOKVIEW DRIVE
(31307)
BURNSVILLE, MN 55337
PHONE: 651/308-2528
FAX: 952/777-2256
MS. TARA TRUAX-NEWHOUSE
HWS
Corp
BROOKVIEW COTTAGE INC
2808 BROOKVIEW DRIVE
(31392)
BURNSVILLE, MN 55337
PHONE: 651/308-2528
FAX: 952/777-2256
MS. TARA TRUAX-NEWHOUSE
HWSAL
Lim-Liab
BURNSVILLE CAREFREE LIVING LLC
600 EAST NICOLLET BLVD
(20191)
BURNSVILLE, MN 55337
PHONE: 952/892-5559
FAX: 952/892-1585
MS. JOEL ULLAND
ESRD
Corp
BURNSVILLE DIALYSIS UNIT
501 E NICOLLET BLVD SUITE 150
(02427)
BURNSVILLE, MN 55337
PHONE: 952/892-1117
FAX: 952/892-6644
MS. KATHY WOLFE
HWS
Corp
CARDENAS FRIENDSHIP HOUSE
13808 COUNTY ROAD 5
(20980)
BURNSVILLE, MN 55337
PHONE: 612/670-1380
FAX: /
MR. ROBERT CARDENAS
Minnesota Department of Health
Division of Compliance Monitoring
Page
80
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
DAKOTA
(Cont.)* -------------------------
HWS
Corp
CARDENAS FRIENDSHIP HOUSE
Registration
912 KNOB HILL
(20979)
BURNSVILLE, MN 55337
PHONE: 952/882-8056
FAX: 651/257-9245
Lim-Liab
DIGNIFIED CHOICE CARE LLC
MR. ROBERT CARDENAS
TBASIC
2004 RIVER HILLS DRIVE
(30253)
BURNSVILLE, MN 55337
PHONE: 719/201-3843
EBENEZER RIDGE POINT APARTMENT
FAX: /
MS. CHARLOTTE SWANSON
HWS
NProf
13800 COMMUNITY DRIVE
BURNSVILLE, MN 55337
PHONE: 952/898-1989
EBENEZER RIDGES GERIATRIC CC
(27920)
FAX: 952/898-4028
NProf
MS. DENISE BIERLE SVEC
NH-104
SNF-NF-104
13820 COMMUNITY DRIVE
BURNSVILLE, MN 55337
PHONE: 952/898-8400
FAIRVIEW RIDGES HOSPITAL
(00756)
MS. ERIN HILLIGAN
FAX: 952/898-8450
NProf
HOSP-150 BASS-48
HOSP-150
201 EAST NICOLLET BOULEVARD
BURNSVILLE, MN 55337
PHONE: 952/892-2211
HEALTHCARE RESOURCES
(00107)
MR. BRAD BEARD
FAX: 952/892-2107
Lim-Liab
HCP-A
14573 GRAND AVE
BURNSVILLE, MN 55306
PHONE: 952/432-4020
HOME INSTEAD SENIOR CARE
(24274)
FAX: 952/431-5978
Lim-Liab
MR. RON ERIKSMOEN
COMP
1601 HWY 13 E SUITE 108
BURNSVILLE, MN 55337
PHONE: 952/882-9300
HOME INSTEAD SENIOR CARE
(23616)
FAX: 952/882-9301
MR. VITALY SALO
Home Mgmt
Lim-Liab
1601 HIGHWAY 13 EAST STE 108
BURNSVILLE, MN 55337
PHONE: 952/882-9300
HOMEWATCH CAREGIVERS
(26156)
FAX: 952/882-9301
Corp
MR. VITALY SALO
HCP-A
14500 BURNHAVEN DRIVE STE 150
BURNSVILLE, MN 55306
PHONE: 952/435-5557
LIFE REBUILDERS
(29403)
FAX: 952/435-3002
MR. MARK PONTLIANA
HWS
ONProf
1706 LACOTA LN
BURNSVILLE, MN 55337
PHONE: 612/825-6871
(30891)
FAX: 612/823-3963
MS. KEELY PERRY
Minnesota Department of Health
Division of Compliance Monitoring
Page 81
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
LIVING WELL KENNELLY
Certification
DAKOTA
Registration
(Cont.)* -------------------------
SLFA-8
ICFIID-8
12000 KENNELLY ROAD
(01466)
BURNSVILLE, MN 55337
PHONE: 952/894-3044
FAX: 952/894-1926
MR. AARON ODEN
HWSAL
Lim-Liab
MATRIX HOME CARE WALNUT LODGE
13708 PORTLAND AVE S
(31144)
BURNSVILLE, MN 55337
PHONE: 952/641-5013
FAX: 952/525-0506
Lim-Liab
MINNESOTA VALLEY SURGERY CTR
MR. BRUCE LAWRENCE
Outpt Surg
Amb Surg
1000 140TH STREET WEST
(24147)
BURNSVILLE, MN 55337
PHONE: 952/232-1110
FAX: 952/232-1150
Lim-Liab
MOONLIGHT HOME HEALTH CARE SER
MS. SHARON RICHMOND
TCOMP
2800 CLIFF RD E SUITE 140
(31420)
BURNSVILLE, MN 55337
PHONE: 651/347-3096
OPTIONS RESIDENTIAL INC
MR. ASAD ABDALLE
FAX: /
HWS
Corp
1200 WEST BURNSVILLE PARKWAY
BURNSVILLE, MN 55337
PHONE: 952/564-3030
OPTIONS RESIDENTIAL INC
(27971)
MR. JAMES HAMMILL
FAX: 952/564-3038
HWS
Corp
12829 BRIAR COURT
BURNSVILLE, MN 55337
PHONE: 952/564-3030
OPTIONS RESIDENTIAL INC
(27153)
FAX: 952/564-3038
Corp
MR. JAMES HAMMILL
TBASIC
151 W BURNSVILLE PWY STE 101
BURNSVILLE, MN 55337
PHONE: 952/564-3030
OPTIONS RESIDENTIAL INC - BRIA
(30254)
FAX: 651/925-0031
MR. JAMES HAMMILL
HWS
Corp
12837 BRIAR COURT
BURNSVILLE, MN 55337
PHONE: 952/564-3030
OPTIONS RESIDENTIAL INC - BRIA
(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
12550 PORTLAND AVE SOUTH #330
BURNSVILLE, MN 55337
PHONE: 651/450-6005
(31030)
FAX: 651/451-5955
MS. SANDRA KINDEM
Minnesota Department of Health
Division of Compliance Monitoring
Page 82
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
MR. TIM MCGUIRE
HWS
NProf
PEOPLE INCORPORATED PI DAP 101
1012 WEST BURNSVILLE PARKWAY
(29605)
BURNSVILLE, MN 55337
PHONE: 952/895-0935
FAX: 651/454-5050
Ind
REGY HOME CARE SERVICES
MR. TIM MCGUIRE
HCP-C
800 143RD STREET EAST
(29663)
BURNSVILLE, MN 55337
PHONE: 952/297-6934
RIDGES SURGERY CENTER LLC
MR. PAUL ANOZIE
FAX: /
Amb Surg
Lim-Liab
14101 FAIRVIEW DRIVE ST 400
BURNSVILLE, MN 55337
PHONE: 952/658-8000
SENIOR HELPERS
(29969)
MR. MICHAEL MILLER
FAX: 952/898-3482
Lim-Liab
COMP
1500 MCANDREWS ROAD WEST SUITE
BURNSVILLE, MN 55337
PHONE: 952/892-8403
STONE GROVE APARTMENTS
(25457)
MS. KRISTINE NENOVICH
FAX: 952/892-8405
HWS
Corp
2525 WILLIAMS DRIVE
BURNSVILLE, MN 55337
PHONE: 612/444-2373
SYNERGY HOMECARE TWIN CITIES S
(31423)
MR. JAMAL GELLE
FAX: 612/326-9029
Corp
COMP
13955 W PRESERVE BLVD STE 202
BURNSVILLE, MN 55337
PHONE: 952/697-4430
THE ARBORS AT RIDGES
(27612)
MR. OMAR RICHMOND
FAX: 952/697-4431
NProf
HCP-F
13810 COMMUNITY DRIVE
BURNSVILLE, MN 55337
PHONE: 952/898-3288
THE ARBORS AT RIDGES
(21489)
FAX: 952/898-2511
MS. JILL NOKLEBY
HWSAL
NProf
13810 COMMUNITY DRIVE
BURNSVILLE, MN 55337
PHONE: 952/898-3288
THE LODGE ON SUMMIT OAKS
(30765)
FAX: 952/898-2511
MS. BRITTANY PETERSON
HWSAL
Corp
1412 SUMMIT OAKS DR
BURNSVILLE, MN 55337
PHONE: 952/431-9120
(30445)
FAX: 952/431-9123
MR. GERALD MCGOWAN
Minnesota Department of Health
Division of Compliance Monitoring
Page
83
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
THE LODGE ON SUMMIT OAKS
Certification
DAKOTA
Registration
(Cont.)* -------------------------
COMP
1412 SUMMIT OAKS DR
(24877)
BURNSVILLE, MN 55337
PHONE: 952/431-9120
FAX: 952/431-9123
MS. JACQUELYNNE MCGOWAN
HWSAL
Lim-Liab
THE RIVERS
11111 RIVER HILLS DRIVE
(21779)
BURNSVILLE, MN 55337
PHONE: 952/890-8553
FAX: 952/895-9887
Lim-Liab
THE RIVERS
MS. SARAH MCDONAGH
COMP
11111 RIVER HILLS DRIVE
(29079)
BURNSVILLE, MN 55337
PHONE: 952/890-8553
FAX: 952/890-9320
NProf
VALLEY RIDGE
MS. SARAH MCDONAGH
COMP
1921 BURNSVILLE PKWY W
(29086)
BURNSVILLE, MN 55337
PHONE: 952/882-4000
MS. NATALIE MORLAND
FAX: 952/882-4001
HWSAL
Lim-Liab
VALLEY RIDGE
1921 BURNSVILLE PARKWAY W
(28955)
BURNSVILLE, MN 55337
PHONE: 952/882-4000
MS. SANDRA VALENTINE
FAX: 952/882-4001
Corp
VISITING ANGELS
COMP
14551 COUNTY ROAD 11 STE 135
(21703)
BURNSVILLE, MN 55337
PHONE: 952/891-8000
FAX: 952/891-8100
MR. DAN VLAISAVLJEVICH
Home Mgmt
Corp
VISITING ANGELS
14551 COUNTY ROAD 11 STE 135
(22145)
BURNSVILLE, MN 55337
PHONE: 952/891-8000
FAX: 952/891-8100
Lim-Liab
DIGNIFIED CHOICE CARE
MR. DAN VLAISAVLJEVICH
TBASIC
2004 RIVER HILLS DRIVE
(30252)
BURSVILLE, MN 55337
PHONE: 719/201-3843
A A CARE INC
FAX: /-
MS. CHARLOTTE SWANSON
Corp
HCP-A
1716 DAVENPORT CIRCLE
EAGAN, MN 55122
PHONE: 651/428-3002
ACCREDO HEALTH GROUP INC
(22021)
FAX: 651/600-3111
Corp
MR. SONG SEAK
HCP-A
2915 WATERS ROAD SUITE 109
EAGAN, MN 55121
PHONE: 651/681-0885
(03256)
FAX: 651/681-0977
MS. JESSICA PERREIRA
Minnesota Department of Health
Division of Compliance Monitoring
Page
84
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
ALLIANCE ASSISTED LIVING SRVCS
Certification
DAKOTA
Registration
(Cont.)* -------------------------
HCP-F
2260 CLIFF ROAD
(20982)
EAGAN, MN 55122
PHONE: 651/895-8030
FAX: 651/895-8070
Corp
ALLIANCE HEALTH SERVICES INC
MS. ALANA FIALA
HCP/COMP
HHA
2260 CLIFF ROAD
(02838)
EAGAN, MN 55122
PHONE: 651/895-8030
FAX: 651/895-8070
Lim-Liab
AMERICAN HOME HEALTH AIDE LLC
MS. ALANA FIALA
TCOMP
4651 NICOLAS RD STE 202
(30900)
EAGAN, MN 55122
PHONE: 651/239-8745
FAX: /
MS. AEYSHA NUR
HWS
Corp
CARDENAS FRIENDSHIP HOUSE
1226 WILDERNESS RUN ROAD
(21118)
EAGAN, MN 55123
PHONE: 651/257-8146
MR. ROBERT CARDENAS
FAX: 651/257-9245
Lim-Liab
CLARA'S CARE LLC
TBASIC
1010 TRILLIUM COURT
(31131)
EAGAN, MN 55123
PHONE: 651/315-3151
MS. MARY GREENWELL
FAX: 651/452-4441
Corp
CLARE BRIDGE OF EAGAN
COMP
1365 CRESTRIDGE LANE
(20508)
EAGAN, MN 55123
PHONE: 651/686-5557
FAX: 651/686-7778
MS. KRISTIN BURSEY
HWSAL
Corp
CLARE BRIDGE OF EAGAN
1365 CRESTRIDGE LANE
(30683)
EAGAN, MN 55123
PHONE: 651/686-5557
FAX: 651/686-7778
Corp
COMFORCARE SENIOR SERVICES
MS. AIMEE MALLETTE
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
GOLDEN HEART SENIOR CARE MPLS
FAX: /
MS. DEDE BLOOMQUIST
Lim-Liab
TCOMP
1612 SUMMIT HILL
EAGAN, MN 55122
PHONE: 651/775-7400
(31318)
FAX: 651/389-9180
MS. DEBBIE GILLQUIST
Minnesota Department of Health
Division of Compliance Monitoring
Page
85
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
GREAT OAK SENIOR CARE INC
Certification
DAKOTA
Registration
(Cont.)* -------------------------
TBASIC
1481 ROCKY LANE
(31526)
EAGAN, MN 55122
PHONE: 651/212-4101
FAX: 651/212-2184
MR. KEITH DAHLEN
HWSAL
Corp
HOMETOWN SENIOR LIVING OF EAGA
3808 BLACKHAWK RIDGE PLACE
(25900)
EAGAN, MN 55122
PHONE: 651/714-7075
FAX: 651/344-4401
Corp
INFUSCIENCE INC
MS. MARY HENDRICKS
COMP
2915 WATERS RD STE 110
(24884)
EAGAN, MN 55121
PHONE: 612/486-1960
FAX: 612/486-1961
Ind
JANE M GRENDER
MS. JAYNE JUSTICE
BASIC
1875 NORTH RUBY COURT
(28379)
EAGAN, MN 55122
PHONE: 651/324-4503
MS. JANE GRENDER
FAX: /
Lim-Liab
KCMG EAGAN LLC
HCP-F
3810 ALDER LANE
(29559)
EAGAN, MN 55122
PHONE: 651/379-2410
MR. MICHAEL LEWIS
FAX: 651/379-2431
HWSAL
Lim-Liab
KEYSTONE SENIOR LIVING OF EAGA
3810 ALDER LANE
(23505)
EAGAN, MN 55122
PHONE: 612/886-2035
FAX: 612/886-2592
MR. MICHAEL LEWIS
HWS
Lim-Liab
LEXINGTON HOUSE
2849 LEXINGTON AVENUE SOUTH
(31028)
EAGAN, MN 55122
PHONE: 651/302-4471
FAX: 651/760-4334
MR. NATHAN TONNANCOUR
HWS
NProf
LINCOLN PLACE
1997 GOLD TRAIL
(27190)
EAGAN, MN 55122
PHONE: 651/209-1681
FAX: 651/209-1684
NProf
LIVING WELL POPPLER
MR. RORY BURTON-FEENEY
SLFB-6
3020 POPPLER LANE
(20857)
EAGAN, MN 55122
PHONE: 651/688-8035
FAX: 651/688-8250
Corp
MNGI ENDOSCOPY EAGAN
MS. JUDY FULLER
Outpt Surg
Amb Surg
1185 TOWN CTR DRIVE SUITE 200
(23392)
EAGAN, MN 55123
PHONE: 612/871-1145
FAX: /
DR. SCOTT KETOVER
Minnesota Department of Health
Division of Compliance Monitoring
Page
86
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
MVR HOMECARE INC
Certification
DAKOTA
Registration
(Cont.)* -------------------------
HCP-A
3435 WASHINGTON DRIVE #104
(23107)
EAGAN, MN 55122
PHONE: 651/994-9482
FAX: 651/789-2228
Corp
NEW CHALLENGES INC
MR. VLADIMIR STORCHAK
COMP
4670 SLATER ROAD
(25523)
EAGAN, MN 55122
PHONE: 651/454-0161
FAX: 651/379-4575
MS. LEEANN METZMAKER
HWS
Corp
OWAKIHI INC
3255 COACHMAN RD
(30545)
EAGAN, MN 55121
PHONE: 651/450-6005
FAX: 651/451-5955
MS. SANDRA KINDEM
HWS
Corp
OWAKIHI INC
3359 COACHMAN RD
(30857)
EAGAN, MN 55121
PHONE: 651/450-6005
MS. SANDRA KINDEM
FAX: 651/451-5955
PEOPLE INCORPORATED CEDAR GROV
HWS
NProf
3924 CEDAR GROVE PARKWAY
(28276)
EAGAN, MN 55122
PHONE: 952/895-0935
MR. TIM MCGUIRE
FAX: 952/736-9632
HWS
NProf
PEOPLE INCORPORATED CEDARVALE
3916 CEDAR GROVE PARKWAY
(29761)
EAGAN, MN 55122
PHONE: 952/895-0935
FAX: 952/736-9632
Lim-Liab
TENDER CARE
MR. TIM MCGUIRE
COMP
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
COMP
1380 MARICE DRIVE
(20662)
EAGAN, MN 55121
PHONE: 651/688-9999
FAX: 651/688-7888
MS. MARY YAEGER
HWSAL
ONProf
THE COMMONS ON MARICE
1380 MARICE DRIVE
(30751)
EAGAN, MN 55121
PHONE: 651/688-9999
FAX: 651/688-7888
ZACHARY HOME HEALTH CORPORATIO
Corp
MR. JOHN GOODMAN
COMP
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 87
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
DAKOTA
(Cont.)*
-------------------------
HWS
Lim-Liab
AMOS MCTAMOS
Registration
808 SECOND ST
(29893)
FARMINGTON, MN 55024
PHONE: 612/214-7379
FAX: /
MR. PETER BENSON
HWS
Lim-Liab
AMOS MCTAMOS
110 8TH STREET #1 & #2
(30548)
FARMINGTON, MN 55024
PHONE: 612/214-7379
FAX: 952/683-9011
MR. PETER BENTON
HWS
Lim-Liab
AMOS MCTAMOS - 102
102 MAPLE STREET
(31530)
FARMINGTON, MN 55024
PHONE: 612/214-7379
MR. PETER BENTON
FAX: /
HWS
Lim-Liab
AMOS MCTAMOS - 104
104 MAPLE STREET
(31531)
FARMINGTON, MN 55024
PHONE: 612/214-7379
MR. PETER BENTON
FAX: /
HWS
Lim-Liab
AMOS MCTAMOS - 108
108 MAPLE STREET
(31529)
FARMINGTON, MN 55024
PHONE: 612/214-7379
MR. PETER BENTON
FAX: /
HWS
Lim-Liab
AMOS MCTAMOS - 110
110 MAPLE STREET
(31532)
FARMINGTON, MN 55024
PHONE: 612/214-7379
CENTENNIAL I
MR. PETER BENTON
FAX: /
HWS
Corp
1321 CENTENNIAL DRIVE
FARMINGTON, MN 55024
PHONE: 651/287-0956
CENTENNIAL II
(29533)
FAX: 651/287-0957
MR. RUSS KENNEDY
HWS
Corp
1337 CENTENNIAL DRIVE
FARMINGTON, MN 55024
PHONE: 651/287-0956
COMMUNITY ASSISTED LIVING INC
(29534)
FAX: 651/287-0957
MR. RUSS KENNEDY
HWSAL
Corp
911 HONEYSUCKLE LANE
FARMINGTON, MN 55024
PHONE: 651/460-2902
COMMUNITY ASSISTED LIVING INC
(26001)
FAX: 651/460-2217
MS. DONNA NOVAK
HWSAL
Corp
912 FOURTH STREET
FARMINGTON, MN 55024
PHONE: 651/460-6762
(22166)
FAX: 651/460-2217
MS. DONNA NOVAK
Minnesota Department of Health
Division of Compliance Monitoring
Page
88
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
FARMINGTON HEALTH SERVICES
NProf
Certification
DAKOTA
Registration
(Cont.)* -------------------------
COMP
3410 WEST 213TH STREET
FARMINGTON, MN 55024
PHONE: 651/460-1138
PAUL'S PLACE
(21782)
FAX: 651/252-2009
Lim-Liab
MS. ELIZABETH LETICH
SLFA-6
22355 ALBATROSS CIRCLE
FARMINGTON, MN 55024
PHONE: 651/463-2608
RIVER VALLEY HOME CARE INC
(25956)
FAX: 651/463-7984
MR. TODD ROBERTSON
Home Mgmt
Corp
916 EIGHTH STREET
FARMINGTON, MN 55024
PHONE: 651/460-4201
RIVER VALLEY HOME CARE INC
(20797)
FAX: 651/460-4208
Corp
MS. RACHELLE PARISEAU
HCP/COMP
HHA
916 EIGHTH STREET
FARMINGTON, MN 55024
PHONE: 651/460-4201
TRINITY CARE CENTER
(03533)
MS. RACHELLE PARISEAU
FAX: 651/460-4208
NProf
NH-65
SNF-NF-65
3410 213TH STREET WEST
FARMINGTON, MN 55024
PHONE: 651/460-1138
TRINITY SUITES
(00101)
MS. ELIZABETH LETICH
FAX: 651/252-2009
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)
FAX: 651/463-4941
NProf
MRS. DEBORAH STENGER
NH-91
SNF-NF-91
930 WEST 16TH STREET
HASTINGS, MN 55033
PHONE: 651/437-6176
BEISSEL APARTMENTS
(00877)
FAX: 651/480-2120
MS. KAY EMERSON
HWS
Lim-Liab
401 RAMSEY ST
HASTINGS, MN 55033
PHONE: 651/302-4471
COCHRAN RECOVERY SERVICES INC
(30549)
FAX: 651/760-4334
NProf
MR. NATHAN TONNANCOUR
SLFB-27
1294 EAST 18TH ST BUILDING #1
HASTINGS, MN 55033
PHONE: 651/437-4209
(01406)
FAX: 651/438-4144
MR. RICK TERZICK
Minnesota Department of Health
Division of Compliance Monitoring
Page 89
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
FRESENIUS MED CARE TWO RIVERS
Certification
DAKOTA
Registration
(Cont.)* -------------------------
ESRD
Corp
1355 SOUTH FRONTAGE RD #380
HASTINGS, MN 55033
PHONE: 651/437-0256
GUILD - EMPIRE HOUSE
(30288)
FAX: 651/437-0268
MS. ANGELA KORF
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
GUILD ANNA GYDESEN
(28821)
MS. GRACE TANGJERD SCHMITT
FAX: 651/312-1222
HWS
NProf
220 WEST 3RD STREET
HASTINGS, MN 55033
PHONE: 651/291-0067
HENRY HAGEN RESIDENCE
(30201)
MS. GRACE TANGJERD SCHMITT
FAX: 651/312-1222
Ind
ICFIID-6
SLFA-6
19845 LILLEHEI AVENUE
HASTINGS, MN 55033
PHONE: 651/437-9363
HISTORICAL HASTINGS DIALYSIS
(01091)
MS. LAURA LEE REYNOLDS
FAX: 651/437-9363
ESRD
Corp
1828 MARKET BLVD
HASTINGS, MN 550333494
PHONE: 651/438-2155
MN VETERANS HOME HASTINGS
(30790)
MS. AMANDA CYLKOWSKI
FAX: 651/438-2177
State
BCH-200
1200 EAST 18TH STREET
HASTINGS, MN 55033
PHONE: 651/539-2401
NEW CHALLENGES INC - AFTON
(00788)
MR. ANDREW BURNSIDE
FAX: 651/437-2203
HWSAL
Corp
6880 ST CROIX TRAIL SOUTH
HASTINGS, MN 55033
PHONE: 651/454-0161
OAK RIDGE ASSISTED LIVING OF H
(28126)
MS. LEEANN METZMAKER
FAX: 651/379-4575
HWSAL
NProf
1128 BAHLS DRIVE
HASTINGS, MN 55033
PHONE: 651/438-0418
OAK RIDGE ASSTD LVNG HASTINGS
(30750)
MR. CHARLES PETRICH
FAX: 651/438-0419
NProf
HCP-F
1128 BAHLS DRIVE
HASTINGS, MN 55033
PHONE: 651/438-0418
(21404)
FAX: 651/438-0419
MS. NATALIE BURNELL
Minnesota Department of Health
Division of Compliance Monitoring
Page 90
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
OWAKIHI INC
Certification
DAKOTA
Registration
(Cont.)* -------------------------
HWS
Corp
531 WESTVIEW DRIVE
HASTINGS, MN 55033
PHONE: 651/450-6005
OWAKIHI INC
(31029)
FAX: 651/451-5955
MS. SANDRA KINDEM
HWS
Corp
2550 VOYAGUER PARKWAY
HASTINGS, MN 55033
PHONE: 651/450-6005
OWAKIHI INC
(30859)
FAX: 651/451-5955
MS. SANDRA KINDEM
HWS
Corp
561 WESTVIEW DR
HASTINGS, MN 55033
PHONE: 651/450-6005
PARK RIDGE APARTMENTS OF HASTI
(30543)
FAX: 651/451-5955
MS. SANDRA KINDEM
HWSAL
NProf
901 WEST 16TH STREET
HASTINGS, MN 55033
PHONE: 651/480-6300
PARK RIDGE APARTMENTS OF HASTI
(30651)
MS. TAMMY HASE
FAX: 651/480-6348
NProf
COMP
901 WEST 16TH STREET
HASTINGS, MN 55033
PHONE: 651/480-6300
PEACEFUL LIVING LLC
(26858)
MS. TAMMY HASE
FAX: 651/480-6348
HWS-O
Lim-Liab
1687 FALLBROOKE DR
HASTINGS, MN 55033
PHONE: 715/386-7071
RAMSEY HOUSE
(31220)
FAX: 715/386-0873
MS. BECKY KANE
HWS
Lim-Liab
1612 RAMSEY ST
HASTINGS, MN 55033
PHONE: 651/302-4471
REGINA ASSISTED LIVING
(31258)
FAX: 651/760-4334
MR. NATHAN TONNANCOUR
HWSAL
NProf
1175 NININGER ROAD
HASTINGS, MN 55033
PHONE: 651/480-4333
REGINA ASSISTED LIVING
(30246)
FAX: 651/404-1286
NProf
MS. KARRIE TIPLER
HCP-F
1175 NININGER ROAD
HASTINGS, MN 55033
PHONE: 651/480-4333
REGINA HOSPITAL
(20006)
FAX: 651/404-1286
NProf
MS. KARRIE TIPLER
HOSP-57 BASS-12
1175 NININGER ROAD
HASTINGS, MN 55033
PHONE: 651/480-4100
(30086)
FAX: 651/404-1460
MR. JIM MCGLADE
HOSP-43 PPS-P-14
Minnesota Department of Health
Division of Compliance Monitoring
Page
91
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
REGINA SENIOR LIVING
NProf
Certification
DAKOTA
Registration
(Cont.)* --------------------------
NH-61
SNF-NF-61
1175 NININGER ROAD
HASTINGS, MN 55033
PHONE: 651/404-1249
RUTH HOMES INC
(00100)
FAX: 651/404-1347
Corp
MS. KARRIE TIPLER
COMP
1306 LINCOLN LANE
HASTINGS, MN 55033
PHONE: 651/437-4312
RUTH HOMES INC
(20237)
FAX: 651/319-0888
MS. JANE HAUSMAN
HWSAL
Corp
1306 LINCOLN LANE
HASTINGS, MN 55033
PHONE: 651/437-4312
ANIKA HOME CARE
(30457)
FAX: 651/319-0888
Lim-Liab
MS. JANE HAUSMAN
COMP
3144 78TH ST EAST
INVER GROVE HEIGHTS, MN 55076
PHONE: 612/328-9068
CARECO APARTMENTS INC
(27014)
MS. MARIA ROSSON
FAX: 612/328-9085
Corp
SLFA-14
ICFIID-14
6115 CARMEN AVENUE EAST
INVER GROVE HEIGHTS, MN 55076
PHONE: 651/451-1756
COMFORT KEEPERS
(01503)
MR. REDHEART REDHEART
FAX: 651/451-1803
Lim-Liab
COMP
1870 50TH STREET EAST STE 7
INVER GROVE HEIGHTS, MN 55077
PHONE: 651/330-3071
GONDOLA GROUP
(27804)
FAX: 651/330-3721
Corp
MS. JOAN WURZER
COMP
8615 BIRCH BLVD
INVER GROVE HEIGHTS, MN 55076
PHONE: 952/270-6586
GONDOLA GROUP INC
(24603)
FAX: 651/322-4807
MS. DARLENE DAVIS
HWS
Corp
2700 62ND STREET EAST
INVER GROVE HEIGHTS, MN 55076
PHONE: 952/270-6586
GONDOLA GROUP INC
(25528)
FAX: 651/322-4807
MS. DARLENE DAVIS
HWSAL
Corp
8615 BIRCH BLVD
INVER GROVE HEIGHTS, MN 55076
PHONE: 952/270-6586
GOOD SAM SOCIETY INVER GR HGTS
(30555)
FAX: 651/322-4807
NProf
MS. DARLENE DAVIS
NH-52
SNF-NF-52
1301 50TH ST E
INVER GROVE HEIGHTS, MN 55077
PHONE: 651/451-1853
(00022)
FAX: 651/451-7515
MS. PAMELA SCHULTZ
Minnesota Department of Health
Division of Compliance Monitoring
Page 92
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
INVER GROVE HEIGHTS WHITE PINE
Certification
DAKOTA
Registration
(Cont.)* -------------------------
COMP
HWSAL
9056 BUCHANAN TRAIL
(26132)
INVER GROVE HEIGHTS, MN 55077
PHONE: 651/306-9886
FAX: 651/306-9888
MS. RHONDA SCHILLINGER
HWSAL
Lim-Liab
INVER GROVE HEIGHTS WHITE PINE
9058 BUCHANAN TRAIL
(27378)
INVER GROVE HEIGHTS, MN 55077
PHONE: 651/455-6549
FAX: 651/455-6559
Lim-Liab
INVER GROVE HEIGHTS WP II LLC
MS. RHONDA SCHILLINGER
HCP-F
9058 BUCHANAN TRAIL
(27377)
INVER GROVE HEIGHTS, MN 55077
PHONE: 651/455-6549
MS. RHONDA SCHILLINGER
FAX: 651/455-6559
Lim-Liab
INVERWOOD SENIOR LIVING
COMP
7260 SOUTH ROBERT TRAIL
(26833)
INVER GROVE HEIGHTS, MN 55077
PHONE: 651/312-5800
MR. LANCE LEMIEUX
FAX: 651/450-0159
HWSAL
Lim-Liab
INVERWOOD SENIOR LIVING
7260 SOUTH ROBERT TRAIL
(30647)
INVER GROVE HEIGHTS, MN 55077
PHONE: 651/492-6535
MS. KELLY MYERS
FAX: 651/330-2423
NProf
LIVING WELL UPPER 55TH
SLFB-6
1885 UPPER 55TH STREET EAST
(20938)
INVER GROVE HEIGHTS, MN 55077
PHONE: 651/552-8748
MS. JENNIFER HOLCK
FAX: 651/552-8794
HWS
Corp
OWAKIHI INC
1445 UPPER 55TH STREET EAST
(31031)
INVER GROVE HEIGHTS, MN 55077
PHONE: 651/450-6005
MS. SANDRA KINDEM
FAX: 651/451-5955
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
BASIC
6840 BENTON WAY
(29681)
INVER GROVE HEIGHTS, MN 55076
PHONE: 651/398-1193
SPECTRUM COMMUNITY HEALTH INC
MS. PAIGE MATEYKA
FAX: /
Corp
HHA
HCP/COMP
6205 CROSSMAN LANE
INVER GROVE HEIGHTS, MN 55076
PHONE: 651/451-0569
(02168)
FAX: 651/455-1179
MS. MARILYN HANSON
Minnesota Department of Health
Division of Compliance Monitoring
Page
93
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
SPECTRUM COMMUNITY HEALTH INC
Certification
DAKOTA
Registration
(Cont.)* -------------------------
COMP
6205 CROSSMAN LANE
(21030)
INVER GROVE HEIGHTS, MN 55076
PHONE: 651/451-0569
FAX: 651/455-1179
Corp
STERLING HOUSE OF INVER GROVE
MS. MARILYN HANSON
COMP
5891 CARMEN AVENUE
(20419)
INVER GROVE HEIGHTS, MN 55076
PHONE: 651/306-0919
FAX: 651/306-1020
MS. PAIGE BEACH
HWSAL
Corp
STERLING HOUSE OF INVER GROVE
5891 CARMEN AVENUE
(30627)
INVER GROVE HEIGHTS, MN 55076
PHONE: 651/306-0919
FAX: 651/306-1020
NProf
TIMBER HILLS
MS. SHERRIE HERENDEEN
HCP-F
6307 BURNHAM CIRCLE
(27965)
INVER GROVE HEIGHTS, MN 55076
PHONE: 651/552-2800
MS. NATALIE MORLAND
FAX: 651/552-2801
HWSAL
NProf
TIMBER HILLS - COMMONS/ARBOR
6305 BURNHAM CIRCLE
(21981)
INVER GROVE HEIGHTS, MN 55076
PHONE: 651/552-2800
MR. BLAKE BOCHE
FAX: 651/552-2801
Ind
TOTAL CARE BODY AND HAIR
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
HCP-F
20752 GEMINI TRAIL
(23850)
LAKEVILLE, MN 55044
PHONE: 952/985-6495
FAX: 952/233-8871
Corp
CHARIS HOME HEALTH CARE INC
MS. ANN NOWRANG
HCP-A
9405 207TH STREET WEST
(27587)
LAKEVILLE, MN 55044
PHONE: 952/201-9964
FAX: /-
MRS. OMOLARA OLIHA
Minnesota Department of Health
Division of Compliance Monitoring
Page 94
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Ind
CHARLOTTE L EAST
Certification
DAKOTA
Registration
(Cont.)* -------------------------
HCP-C
7992 GRINNELL WAY
(20954)
LAKEVILLE, MN 55044
PHONE: 952/953-4720
COMMUNITY CARES INC
FAX: /-
MS. CHARLOTTE EAST
HWS
NProf
18630 DODD BOULEVARD
LAKEVILLE, MN 55044
PHONE: 612/221-8140
COMMUNITY CARES INC
(31332)
FAX: 952/447-6776
MR. RICK MORADIAN
HWS
NProf
18660 HIGHVIEW AVENUE
LAKEVILLE, MN 55044
PHONE: 612/221-8140
DIVINE CARE LLC
(31333)
MR. RICK MORADIAN
FAX: 952/447-6776
Lim-Liab
HCP-A
16125 HYLAND AVENUE
LAKEVILLE, MN 55044
PHONE: 952/236-9202
GEMINI MANOR
(25125)
MRS. FENTEZIA ZEWDIE
FAX: 952/236-9202
HWSAL
Corp
20752 GEMINI TRAIL
LAKEVILLE, MN 55044
PHONE: 952/985-6495
HOSPICE ADVANTAGE
(30432)
MS. ANN NOWRANG
FAX: 952/233-8871
Lim-Liab
HSPICE
Hospice
17645 JUNIPER PATH SUITE 155
LAKEVILLE, MN 55044
PHONE: 952/898-1022
ICELAND MANOR
(25486)
MR. EDWARD NUNN
FAX: 952/898-4006
HWSAL
Corp
20541 ICELAND AVENUE
LAKEVILLE, MN 55044
PHONE: 952/985-6495
INTEGRA HOME CARE
(25395)
MS. ANN NOWRANG
FAX: 952/469-9751
Corp
HHA
HCP/COMP
20730 HOLYOKE AVE
LAKEVILLE, MN 55044
PHONE: 952/985-0672
KINGSLEY SHORES SENIOR LIVING
(25579)
FAX: 952/985-0675
MR. DIMITRIY PAPKOV
HWSAL
Lim-Liab
16880 KLAMATH TRAIL
LAKEVILLE, MN 55044
PHONE: 952/435-8002
LIFE REBUILDERS
(29470)
FAX: 952/435-4070
MS. JENNIFER KEMP
HWS
NProf
16288 GRIFFON TRAIL
LAKEVILLE, MN 55044
PHONE: 763/443-4191
(30143)
FAX: 612/825-6871
MS. KEELY PERRY
Minnesota Department of Health
Division of Compliance Monitoring
Page 95
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
DAKOTA
(Cont.)* -------------------------
HWS
NProf
LIFE REBUILDERS
Registration
8540 210TH STREET
(30146)
LAKEVILLE, MN 55044
PHONE: 763/443-4191
FAX: /
MS. KEELY PERRY
State
MSOCS HERSHEY
SLFB-6
ICFIID-6
20685 HERSHEY AVENUE WEST
(01630)
LAKEVILLE, MN 55044
PHONE: 952/469-5122
FAX: 952/469-5753
State
MSOCS LAKEVILLE JONQUIL
MS. KAINANI BYE
SLFB-6
ICFIID-6
17041 JONQUIL AVENUE
(01654)
LAKEVILLE, MN 55044
PHONE: 952/435-2846
FAX: 952/435-2854
MS. NICOLE DENNIS
HWS
Corp
OPTIONS RESIDENTIAL INC HUGHES
20520 HUGHES AVENUE
(29785)
LAKEVILLE, MN 55044
PHONE: 952/564-3030
FAX: 952/564-3038
MR. JAMES HAMMILL
HWS
NProf
REDEMPTION MINISTRIES
18580 DODD ROAD
(31018)
LAKEVILLE, MN 55044
PHONE: 952/300-7490
MR. ALLAN JUST
FAX: /-
HWS
NProf
REDEMPTION MINISTRIES
20464 IBERIA AVENUE
(31019)
LAKEVILLE, MN 55044
PHONE: 952/300-7490
FAX: /-
MR. ALLAN JUST
HWS
NProf
REDEMPTION MINISTRIES
8570 210TH ST
(30903)
LAKEVILLE, MN 55044
PHONE: 952/300-7490
FAX: /-
MR. ALLAN JUST
HWS
NProf
REDEMPTION MINISTRIES
8550 208TH ST
(30902)
LAKEVILLE, MN 55044
PHONE: 952/300-7490
MR. ALLAN JUST
FAX: /-
HWS
NProf
REDEMPTION MINISTRIES
8560 210TH ST
(30901)
LAKEVILLE, MN 55044
PHONE: 952/300-7490
MR. ALLAN JUST
FAX: /-
HWS
NProf
REDEMPTION MINISTRIES
8550 210TH ST
(30571)
LAKEVILLE, MN 55044
PHONE: 952/300-7490
FAX: /
MR. ALLAN JUST
Minnesota Department of Health
Division of Compliance Monitoring
Page 96
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
DAKOTA
(Cont.)* -------------------------
HWS
NProf
REDEMPTION MINISTRIES
Registration
8570 208TH STREET WEST
(30147)
LAKEVILLE, MN 55044
PHONE: 952/381-7197
SENIOR CARE CONNECTIONS LLC
FAX: /
MR. ALLAN JUST
Home Mgmt
Lim-Liab
16577 IMPERIAL WAY
LAKEVILLE, MN 55044
PHONE: 651/252-4251
SERENITY RESIDENTIAL CARE LLC
(29892)
FAX: 612/418-1822
Lim-Liab
MS. LAUREL LARSON
HCP-F
16752 HUNTINGTON PATH
LAKEVILLE, MN 55044
PHONE: 952/221-7346
SPYGLASS MANOR
(29248)
MS. ALICIA NELSON
FAX: 952/236-9536
HWSAL
Corp
7166 205TH STREET WEST
LAKEVILLE, MN 55044
PHONE: 952/985-6495
SUPERIOR HOME HEALTH CARE INC
(27193)
MS. ANN NOWRANG
FAX: 952/469-9751
Corp
HHA
HCP/COMP
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)
MS. JULIE WALTON
FAX: 952/236-4687
Lim-Liab
HCP-A
17305 CEDAR AVE STE 220
LAKEVILLE, MN 55044
PHONE: 952/465-1959
TWIN CITY WOUND & OSTOMY ASSOC
(25834)
MS. ETYANE AYANA
FAX: 952/236-0138
Corp
HCP-A
9483 208TH STREET WEST
LAKEVILLE, MN 55044
PHONE: 952/985-0747
WALKER METHODIST HIGHVIEW HILL
(26657)
MS. JULIE ROSKAMP
FAX: 952/985-0749
Lim-Liab
COMP
20150 HIGHVIEW AVENUE
LAKEVILLE, MN 55044
PHONE: 952/985-9000
WALKER METHODIST HIGHVIEW HILL
(26626)
FAX: 952/985-7271
MR. STEPHEN WILSON
HWSAL
Lim-Liab
20150 HIGHVIEW AVENUE
LAKEVILLE, MN 55044
PHONE: 952/985-9000
(30735)
FAX: 952/985-7271
MR. STEPHEN WILSON
Minnesota Department of Health
Division of Compliance Monitoring
Page 97
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
LILYDALE SENIOR LIVING
Certification
DAKOTA
Registration
(Cont.)* -------------------------
COMP
949 SIBLEY MEMORIAL HWY
(29017)
LILYDALE, MN 55118
PHONE: 651/454-6853
FAX: 651/454-4783
MR. LANCE LEMIEUX
HWSAL
Lim-Liab
LILYDALE SENIOR LIVING
949 SIBLEY MEMORIAL HWY
(29018)
LILYDALE, MN 55118
PHONE: 651/767-9545
FAX: 651/457-2844
Corp
CORAM CVS/SPECIALTY INFUSION S
MS. KELLY MYERS
COMP
2345 WATERS DRIVE
(02446)
MENDOTA HEIGHTS, MN 55120
PHONE: 651/452-5600
MS. RACHELLE SWANSON
FAX: 651/452-6273
Lim-Liab
DUNGARVIN MINNESOTA LLC
COMP
1444 NORTHLAND DRIVE SUITE 100
(24782)
MENDOTA HEIGHTS, MN 55120
PHONE: 651/699-6050
MS. KARIN STOCKWELL
FAX: 651/699-7265
Corp
FAMILY CHOICE HOMECARE
COMP
2486 POND CIRCLE WEST
(21807)
MENDOTA HEIGHTS, MN 55120
PHONE: 651/452-5298
MS. JULIE SCHNELL
FAX: 651/452-5298
HWS
Corp
HEART TO HOME INC
2351 PAGEL ROAD
(26147)
MENDOTA HEIGHTS, MN 55120
PHONE: 651/454-5250
MR. JOSH CESARO
FAX: 651/686-5295
HWS
Corp
HEART TO HOME INC
659 SOUTH FREEWAY ROAD
(25756)
MENDOTA HEIGHTS, MN 55118
PHONE: 651/454-5250
MR. JOSHUA CESARO
FAX: 651/686-5295
Corp
HEART TO HOME INCORPORATED
COMP
659 SOUTH FREEWAY ROAD
(25755)
MENDOTA HEIGHTS, MN 55118
PHONE: 651/454-5250
MR. JOSHUA CESARO
FAX: 651/686-5295
Lim-Liab
JOSEPH'S CHATEAU
COMP
1059 W MARIE AVENUE
(28222)
MENDOTA HEIGHTS, MN 55118
PHONE: 651/815-9250
JOSEPH'S CHATEAU LLC
DR. SHARON MOREY
FAX: /
HWS
Lim-Liab
1059 MARIE AVENUE WEST
MENDOTA HEIGHTS, MN 55118
PHONE: 651/815-9250
(28224)
FAX: 651/846-5828
DR. SHARON MOREY
Minnesota Department of Health
Division of Compliance Monitoring
Page
98
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
SLFB-6
ICFIID-6
1668 DIANE ROAD
(01646)
MENDOTA HEIGHTS, MN 55118
PHONE: 651/686-7872
FAX: 651/686-6572
NProf
LIVING WELL MARY ADELE
MS. EMILY LIEBHARD
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
SLFB-12
ICFIID-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 WHITE PINE
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: 651/788-7010
FAX: 651/788-7129
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
99
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
City
NORTHFIELD CITY HOSPITAL & NSG
Certification
DAKOTA
Registration
(Cont.)* -------------------------
NH-40 HOSP-37 BASS-12
SNF-NF-40 HOSP-37
2000 NORTH AVENUE
(00566)
NORTHFIELD, MN 55057
PHONE: 507/646-1001
FAX: 507/646-1392
City
NORTHFIELD HOSPICE
MR. STEVE UNDERDAHL
Hospice
HSPICE
2000 NORTH AVENUE
(02880)
NORTHFIELD, MN 55057
PHONE: 507/646-1457
FAX: 507/646-1395
MS. KATHY BLOMQUIST
HWSAL
Lim-Liab
CIMARRON ASSISTED LIVING
14673 CIMARRON AVENUE WEST
(27280)
ROSEMOUNT, MN 55068
PHONE: 651/322-8337
FAX: 651/344-8660
MR. DALLAS REDLIN
HWS
Corp
GONDOLA GROUP INC
4307 159TH COURT WEST
(25861)
ROSEMOUNT, MN 55068
PHONE: 952/270-6586
MS. DARLENE DAVIS
FAX: 651/322-4807
HWS
Corp
HOMETOWN SENIOR LIVING OF ROSE
12591 SHANNON PARKWAY
(27389)
ROSEMOUNT, MN 55068
PHONE: 651/714-7075
MS. MARY HENDRICKS
FAX: 651/344-4401
Lim-Liab
REDLIN HOME SERVICES LLC
COMP
4260 153RD STREET WEST
(25498)
ROSEMOUNT, MN 55068
PHONE: 612/554-8334
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: 651/344-8660
MS. LORELIE REDLIN
Home Mgmt
Lim-Liab
SENIORS HELPING SENIORS
14275 BANYAN LN
(28741)
ROSEMOUNT, MN 55068
PHONE: 651/274-4285
FAX: /
MR. VICTOR FRICANO
HWS
Lim-Liab
FRAZIER RECOVERY HOME LLC
201 LIBERTY PLACE
(31154)
SO ST PAUL, MN 55075
PHONE: 651/895-4440
FAX: /
MS. ELIZABETH REZEK
Minnesota Department of Health
Division of Compliance Monitoring
Page 100
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
DAKOTA
(Cont.)* -------------------------
Home Mgmt
Lim-Liab
HOME WITH YOU COMPNON CARE LLC
Registration
3 APFELRIDGE COURT
(28816)
SOUTH SAINT PAUL, MN 55075
PHONE: 651/262-3916
FAX: 612/643-5172
Corp
BRYANT AVE RESIDENCE
MS. TONI WAKEM
SLFA-13
ICFIID-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: 651/302-4471
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
MR. BLAKE ELLIOTT
FAX: /
Lim-Liab
EVERYDAY LIVING LLC
COMP
355 15TH AVENUE NORTH
(29863)
SOUTH ST PAUL, MN 55075
PHONE: 651/688-7173
MR. BLAKE ELLIOTT
FAX: 651/688-0525
HWS
Lim-Liab
EVERYDAY LIVING LLC 202
202 6TH STREET SOUTH
(30068)
SOUTH ST PAUL, MN 55075
PHONE: 651/688-7173
FAX: 651/688-0525
MR. BLAKE ELLIOTT
HWS
Lim-Liab
EVERYDAY LIVING LLC 550
550 12TH AVENUE NORTH
(30066)
SOUTH ST PAUL, MN 55075
PHONE: 651/688-7173
FAX: 651/688-0525
MR. BLAKE ELLIOTT
HWS
Lim-Liab
FRAZIER RECOVERY HOME
929 7TH AVE S
(30199)
SOUTH ST PAUL, MN 55075
PHONE: 651/895-4440
FAX: /
MS. ELIZABETH REZEK
HWS
Lim-Liab
FRAZIER RECOVERY HOME LLC
1059 6TH AVENUE SOUTH
(31494)
SOUTH ST PAUL, MN 55075
PHONE: 651/895-4440
LIVING WELL CONGRESS
FAX: /-
MS. ELIZABETH REZEK
NProf
SLFB-6
2207 CONGRESS
SOUTH ST PAUL, MN 55075
PHONE: 651/450-2304
(20874)
FAX: 651/450-2341
MR. NICK ROSS
Minnesota Department of Health
Division of Compliance Monitoring
Page 101
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
DAKOTA
(Cont.)* -------------------------
HWSAL
Lim-Liab
RIVER HEIGHTS ASSISTED LIVING
Registration
744 19TH AVENUE NORTH
(21583)
SOUTH ST PAUL, MN 55075
PHONE: 651/326-6500
FAX: 651/326-6506
Corp
SUMMIT AVENUE RESIDENCE
MR. PATRICK J RAFFERTY
SLFA-13
ICFIID-13
920 SUMMIT AVENUE
(01331)
SOUTH ST PAUL, MN 55075
PHONE: 651/450-6005
FAX: 651/451-5955
Lim-Liab
VISTA PRAIRIE AT RIVER HEIGHTS
MR. PAUL MOHRBACHER
COMP
744 19TH AVENUE NORTH
(21008)
SOUTH ST PAUL, MN 55075
PHONE: 651/326-6500
FAX: 651/326-6506
MR. PATRICK RAFFERTY
HWS
Lim-Liab
WILLIS AVENUE APARTMENTS
1560 WILLIS AVENUE
(30130)
SOUTH ST PAUL, MN 55075
PHONE: 952/388-6082
MR. NATHAN TONNANCOUR
FAX: /
Corp
CARING MATTERS HOME CARE 022
BASIC
1930 JADE LANE # 102
(29923)
ST PAUL, MN 55122
PHONE: 651/795-9742
MR. MESFIN MULUGETA
FAX: /
HWS
Corp
COLONIAL COURT APARTMENTS
1323 KRUSE STREET
(27660)
WEST SAINT PAUL, MN 55118
PHONE: 651/287-0956
FAX: 651/287-0957
MR. RUSSELL KENNEDY
Home Mgmt
Corp
HMONG MINNESOTA HOME CARE INC
1111 WATERLOO AVENUE
(27501)
WEST SAINT PAUL, MN 55118
PHONE: 651/340-4790
FAX: 651/340-4791
MR. BOUACHANH VUE
HWS
Corp
RESIDENTIAL TRANSITIONS 785 DO
785 DODD ROAD
(31349)
WEST SAINT PAUL, MN 55118
PHONE: 612/227-9014
FAX: /
MR. JUSTIN SWANSON
HWS
Lim-Liab
SUPP LVG SOLUTIONS BIDWELL RES
1435 BIDWELL AVENUE
(31396)
WEST SAINT PAUL, MN 55118
PHONE: 651/209-8490
FAX: /
MR. JOE CUOCO
HWS
Lim-Liab
SUPPORTIVE LVG SOLUTIONS 1425
1425 BIDWELL AVENUE
(31461)
WEST SAINT PAUL, MN 55118
PHONE: 651/209-8490
FAX: /
MR. JOE CUOCO
Minnesota Department of Health
Division of Compliance Monitoring
Page 102
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
DAKOTA
(Cont.)* -------------------------
HWS
Lim-Liab
SUPPORTIVE LVG SOLUTIONS 1445
Registration
1445 BIDWELL AVENUE
(31464)
WEST SAINT PAUL, MN 55118
PHONE: 651/209-8490
WESTVIEW PARK APARTMENTS
FAX: /
MR. JOE CUOCO
HWS
Corp
330 WESTVIEW DRIVE
WEST SAINT PAUL, MN 55118
PHONE: 651/450-1802
ALLY SUPPORTIVE SERVICES LLC
(28194)
FAX: 651/450-7923
MS. KATHLEEN LAMMINEN
HWSAL
Lim-Liab
232 W THOMPSON AVE
WEST ST PAUL, MN 55118
PHONE: 651/451-3550
CHARLTON TERRACE
(29760)
FAX: 651/282-0039
MR. NATHAN TONNANCOUR
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
CLARE BRIDGE OF WEST ST PAUL
(29759)
MR. NATHAN TONNANCOUR
FAX: 651/282-0039
Corp
COMP
315 EAST THOMPSON AVENUE
WEST ST PAUL, MN 55118
PHONE: 612/453-1805
CLARE BRIDGE OF WEST ST PAUL
(20511)
FAX: 612/453-1806
MS. PAGE BEACH
HWSAL
Corp
315 EAST THOMPSON AVENUE
WEST ST PAUL, MN 55118
PHONE: 612/453-1805
COLONIAL COURT APARTMENTS
(30684)
FAX: 612/453-1806
MS. PAGE BEACH
HWS
Corp
1313 KRUSE STREET
WEST ST PAUL, MN 55118
PHONE: 651/287-0956
COLONIAL COURT APARTMENTS
(28500)
FAX: 651/287-0957
MR. RUSSELL KENNEDY
HWS
Corp
1333 KRUSE STREET
WEST ST PAUL, MN 55118
PHONE: 651/287-0956
COVINGTON COURT PROPERTY
(28930)
FAX: 651/287-0957
MR. RUSS KENNEDY
HWS
Corp
354 356 E MARIE AVE BLDG A
WEST ST PAUL, MN 55115
PHONE: 612/444-2373
(31533)
FAX: 612/326-9029
MR. JAMAL GELLE
Minnesota Department of Health
Division of Compliance Monitoring
Page 103
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
DARTS
Certification
DAKOTA
Registration
(Cont.)* -------------------------
Home Mgmt
NProf
1645 MARTHALER LANE
WEST ST PAUL, MN 55118
PHONE: 651/455-1560
DUNGARVIN/COVINGTON COURT 374
(03086)
FAX: 651/234-2280
MS. JUDITH FAIRBROTHER
HWS-O
Lim-Liab
374 EAST MARIE AVENUE
WEST ST PAUL, MN 55118
PHONE: 651/699-6050
DUNGARVIN/COVINGTON COURT 376
(27227)
FAX: 651/699-7265
MS. KARIN STOCKWELL
HWS-O
Lim-Liab
376 EAST MARIE AVENUE
WEST ST PAUL, MN 55118
PHONE: 651/699-6050
EVERYDAY LIVING LLC HURLEY
(27228)
FAX: 651/699-7265
MS. KARIN STOCKWELL
HWS
Lim-Liab
188 HURLEY AVE E
WEST ST PAUL, MN 55118
PHONE: 651/688-7173
EVERYDAY LIVING LLC SMITH
(31234)
FAX: 651/688-0525
MR. BLAKE ELLIOTT
HWS
Lim-Liab
1131 SMITH AVE S
WEST ST PAUL, MN 55118
PHONE: 651/688-7173
FMC WEST ST PAUL DIALYSIS
(31235)
FAX: 651/688-0525
MR. BLAKE ELLIOTT
ESRD
Corp
1590 SOUTH ROBERT ST # 103
WEST ST PAUL, MN 55118
PHONE: 651/457-2232
GUILD CAROUSEL APARTMENTS
(26074)
FAX: 651/457-2450
MS. SUSAN JOHNSON
HWS
NProf
1335 OAKDALE AVENUE
WEST ST PAUL, MN 55118
PHONE: 651/925-8481
GUILD HOLIDAY ACRES 1
(28283)
FAX: 651/312-1222
MS. GRACE TANGJERD SCHMITT
HWS
NProf
1762 OAKDALE AVENUE
WEST ST PAUL, MN 55118
PHONE: 651/925-8450
GUILD HOLIDAY ACRES 2
(28290)
FAX: 651/312-1222
MS. GRACE TANGJERD SCHMITT
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 TANGJERD SCHMITT
HWS
NProf
1802 OAKDALE AVENUE
WEST ST PAUL, MN 55118
PHONE: 651/291-0067
(29214)
FAX: 651/312-1222
MS. GRACE TANGJERD SCHMITT
Minnesota Department of Health
Division of Compliance Monitoring
Page 104
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
DAKOTA
(Cont.)* -------------------------
HWS
NProf
GUILD HOLIDAY ACRES 4
Registration
1812 OAKDALE AVENUE
(29277)
WEST ST PAUL, MN 55118
PHONE: 651/291-0067
FAX: 651/312-1222
NProf
LIVING WELL EAST EMERSON
MS. GRACE TANGJERD SCHMITT
SLFB-6
ICFIID-6
41 EMERSON AVENUE EAST
(01633)
WEST ST PAUL, MN 55118
PHONE: 651/450-1880
FAX: 651/450-2070
MS. HEIDI PIERSON
HWS
Corp
MCCLISH MANOR
213 ANNAPOLIS STREET WEST
(28207)
WEST ST PAUL, MN 55118
PHONE: 651/454-0161
FAX: 651/379-4575
MS. LEEANN METZMAKER
Out Pt Out Ot
Corp
NOVACARE REHAB
60 EAST MARIE #105 2ND FLOOR
(03745)
WEST ST PAUL, MN 55118
PHONE: 651/451-6156
OPTIONS RESIDENTIAL INC
MS. KELLY CASEY
FAX: /
HWS
Corp
851 DODD RD
WEST ST PAUL, MN 55118
PHONE: 952/564-3030
OPTIONS RESIDENTIAL INC/GABRIE
(29797)
MR. JAMES HAMMILL
FAX: 952/564-3038
HWS
Corp
1167 SOUTH ROBERT STREET
WEST ST PAUL, MN 55118
PHONE: 952/564-3030
PHOENIX SERVICE CORPORATION
(28505)
FAX: 952/654-3038
NProf
MR. JAMES HAMMILL
HCP-A
330 MARIE AVE EAST
WEST ST PAUL, MN 55118
PHONE: 651/227-5971
RESIDENTIAL TRANSITIONS INCORP
(21451)
FAX: 651/227-6847
MS. DARLENE SCOTT
HWS
Corp
958 ROBERT ST
WEST ST PAUL, MN 55118
PHONE: 612/227-9014
ROBERT STREET APARTMENTS
(30509)
FAX: 651/451-8722
MR. JUSTIN SWANSON
HWS
Lim-Liab
966 ROBERT STREET
WEST ST PAUL, MN 55118
PHONE: 651/302-4471
ROBERT STREET APARTMENTS
(31026)
FAX: 651/760-4334
MR. NATHAN TONNANCOUR
HWS
Lim-Liab
976 ROBERT STREET
WEST ST PAUL, MN 55118
PHONE: 651/302-4471
(31027)
FAX: 651/760-4334
MR. NATHAN TONNANCOUR
Minnesota Department of Health
Division of Compliance Monitoring
Page
105
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
SOUTHVIEW ACRES HLTH CARE CTR
Certification
DAKOTA
Registration
(Cont.)* -------------------------
NH-241
SNF-NF-241
2000 OAKDALE AVENUE
(00102)
WEST ST PAUL, MN 55118
PHONE: 651/554-9500
FAX: 651/451-9538
MS. SHELLY WEISS
HWSAL
Lim-Liab
SOUTHVIEW SENIOR LIVING
1984 OAKDALE AVENUE
(30488)
WEST ST PAUL, MN 55118
PHONE: 651/554-4838
FAX: 651/455-0267
Lim-Liab
SOUTHVIEW SENIOR LIVING
MRS. KELLY MYERS
COMP
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
COMP
305 EAST THOMPSON AVE
(20472)
WEST ST PAUL, MN 55118
PHONE: 651/453-1803
MR. BRANDON MABB
FAX: 651/453-1804
HWSAL
Corp
STERLING HOUSE OF WEST ST PAUL
305 EAST THOMPSON
(30634)
WEST ST PAUL, MN 55117
PHONE: 651/453-1803
MS. PAIGE BEACH
FAX: 651/453-1804
Lim-Liab
WALKER METH WESTWOOD RIDGE II
NH-37
SNF-37
61 THOMPSON AVENUE WEST
(27996)
WEST ST PAUL, MN 55118
PHONE: 651/259-2471
FAX: 651/259-2724
WALKER METHODIST WESTWOOD RIDG
MS. BRENDA SCHRUPP
HWSAL
NProf
ONE THOMPSON AVENUE WEST
(30629)
WEST ST PAUL, MN 55118
PHONE: 651/259-2471
FAX: 651/455-5962
WALKER METHODIST WESTWOOD RIDG
NProf
MS. BRENDA SCHRUPP
HCP-F
ONE THOMPSON AVENUE WEST
(20448)
WEST ST PAUL, MN 55118
PHONE: 651/259-2471
FAX: 651/259-2724
WALKER METHODIST WESTWOOD RIDG
MR. MARK PEDERSON
HWSAL
Lim-Liab
61 THOMPSON AVENUE WEST
(28949)
WEST ST PAUL, MN 55118
PHONE: 651/259-2471
FAX: 651/259-2724
MS. BRENDA SCHRUPP
ESRD
Corp
WEST ST PAUL DIALYSIS UNIT
1555 LIVINGSTON AVENUE
(02728)
WEST ST PAUL, MN 55118
PHONE: 651/455-2995
FAX: /-
MS. BECKY SKWIRA
Minnesota Department of Health
Division of Compliance Monitoring
Page 106
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
FAIRVIEW CARE CENTER
Cnty
Certification
DODGE
Registration
******** -------------------------
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 ASSISTED LIVING
(20885)
FAX: 507/477-3268
MS. LAVONNE BOULLION
HWSAL
City
318 SECOND STREET NE
HAYFIELD, MN 55940
PHONE: 507/477-3266
FIELD CREST CARE CENTER
(30396)
FAX: 507/477-3268
City
MS. CHERYL GUSTASON
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
COMP
318 SECOND STREET NE
HAYFIELD, MN 55940
PHONE: 507/477-3266
KASSON MSOCS
(23661)
MS. CHERYL GUSTASON
FAX: 507/477-3268
State
SLFB-6
ICFIID-6
1101 1ST AVENUE NORTHEAST
KASSON, MN 55944
PHONE: 507/399-3815
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
520 STATE STREET
WEST CONCORD, MN 55985
PHONE: 507/527-2842
CHICOS BOARD & LODGE LLC
(20193)
FAX: 507/527-2842
MS. STEPHANIE CHICOS
HWSAL
Lim-Liab
520 STATE STREET
WEST CONCORD, MN 55985
PHONE: 507/527-2842
CIRCLE DRIVE MANOR ASSISTED LI
(30440)
FAX: 507/527-2842
MS. STEPHANIE CHICOS
HWSAL
Lim-Liab
56733 STATE HWY 56 SOUTH
WEST CONCORD, MN 55985
PHONE: 507/527-2424
(30326)
FAX: 507/527-2866
MS. MELISSA CHRISTIANSON
Minnesota Department of Health
Division of Compliance Monitoring
Page 107
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
CIRCLE DRIVE MANOR ASST LVNG
Lim-Liab
Certification
DODGE
Registration
(Cont.)* -------------------------
COMP
56733 STATE HWY 56 SOUTH
WEST CONCORD, MN 55985
PHONE: 507/527-2424
(20055)
FAX: 507/527-2866
MS. MELISSA CHRISTIANSON
---------------------------**********
ALEXANDRIA HOUSING AND REDEVEL
DOUGLAS
******** -------------------------
HWS-O
HRA
805 FILLMORE STREET
ALEXANDRIA, MN 56308
PHONE: 320/762-1311
BETHANY HOME
(29383)
FAX: 320/762-8115
Church
MR. JEFF HESS
NH-83
SNF-NF-83
1020 LARK ST
ALEXANDRIA, MN 56308
PHONE: 320/762-1567
BETHANY HOME HEALTH SERVICES
(00108)
FAX: 320/762-6327
Church
MR. DAVID USELMAN
HCP-F
1020 LARK STREET
ALEXANDRIA, MN 56308
PHONE: 320/763-2180
BETHEL MANOR II
(22032)
MR. PATRICK MCDONALD
FAX: 320/759-6297
HWSAL
NProf
906 ASH STREET
ALEXANDRIA, MN 56308
PHONE: 320/763-7200
BETHEL MANOR INC
(22188)
MS. WENDY HALBE
FAX: 320/763-7204
HWSAL
NProf
910 ASH STREET
ALEXANDRIA, MN 56308
PHONE: 320/763-7200
BONNIE'S SENIOR HAVEN
(22033)
FAX: 320/763-7204
Ind
MS. WENDY HALBE
COMP
1201 RIDGEVIEW TERRACE NE
ALEXANDRIA, MN 56308
PHONE: 320/759-6599
BONNIE'S SENIOR HAVEN
(26278)
FAX: 320/763-7853
MS. BONITA NIENABER
HWSAL
Ind
1201 RIDGEVIEW TERRACE NE
ALEXANDRIA, MN 56308
PHONE: 320/759-6599
CENTER FOR PAIN MANAGEMENT
(30701)
FAX: 320/763-7853
MS. BONITA NIENABER
Amb Surg
Corp
519 22ND AVENUE EAST
ALEXANDRIA, MN 56308
PHONE: 320/219-7611
(28171)
FAX: 320/219-7612
MS. CHERYL ELGHOR
Minnesota Department of Health
Division of Compliance Monitoring
Page 108
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
DOUGLAS
(Cont.)* -------------------------
ESRD
NProf
CENTRACARE KIDNEY PROGRAM
Registration
111 17TH AVENUE EAST
(03875)
ALEXANDRIA, MN 56308
PHONE: 320/240-7808
FAX: /
MR. DAVID WALZ
State
COMM BEHAVIORAL HEALTH HOSP
OTHER-16
HOSP-16
1610 8TH AVENUE EAST
(23908)
ALEXANDRIA, MN 56308
PHONE: 320/335-6201
FAX: 320/759-1002
MS. JENNIFER WESTRUM
HWSAL
Lim-Liab
DIAMOND WILLOW ASSISTED LIVING
803 1/2 VICTOR STREET
(26045)
ALEXANDRIA, MN 56308
PHONE: 320/762-2067
FAX: 320/762-2649
MS. KIM BURKE
HWSAL
Lim-Liab
DIAMOND WILLOW ASSISTED LIVING
803 VICTOR STREET
(26046)
ALEXANDRIA, MN 56308
PHONE: 320/762-1448
MS. KIM BURKE
FAX: 320/762-2608
Cnty
DOUGLAS COUNTY HOSPITAL
HOSP-127 BASS-14
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 MEMORY CARE
1020 LARK STREET
(28777)
ALEXANDRIA, MN 56308
PHONE: 320/762-1567
FAX: 320/762-5316
MS. PATTI CAREY
HWSAL
Lim-Liab
EDGEWOOD VISTA ALEXANDRIA
1902 7TH AVENUE EAST
(30729)
ALEXANDRIA, MN 56308
PHONE: 320/759-2121
FAX: 320/759-2120
Lim-Liab
EDGEWOOD VISTA ALEXANDRIA
MR. PHILIP GISI
COMP
1902 7TH AVENUE EAST
(21247)
ALEXANDRIA, MN 56308
PHONE: 320/759-2121
FAX: 320/759-2120
Lim-Liab
GOLDENRIDGE SENIOR CARE LLC
MS. MICHELLE BODE
HCP-F
1203 STEGER ROAD NW
(26644)
ALEXANDRIA, MN 56308
PHONE: 320/763-9776
FAX: 320/763-3548
MS. REBECCA SPRENGER
HWS
Lim-Liab
GOLDENRIDGE SENIOR CARE LLC
1203 STEGER ROAD NW
(30645)
ALEXANDRIA, MN 56308
PHONE: 320/762-2387
FAX: /
MS. REBECCA SPRENGER
Minnesota Department of Health
Division of Compliance Monitoring
Page 109
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
GRAND ARBOR
Certification
DOUGLAS
Registration
(Cont.)* -------------------------
HWS
NProf
4403 PIONEER ROAD SE
ALEXANDRIA, MN 56308
PHONE: 320/763-1600
GRAND ARBOR
(30805)
FAX: 320/763-1603
NProf
MS. CARLI LINDEMANN
COMP
4403 PIONEER ROAD SE
ALEXANDRIA, MN 56308
PHONE: 320/763-1600
HORIZON PUBLIC HEALTH
(28201)
FAX: 320/763-1603
Cnty
MS. CARLI LINDEMANN
Hospice
HSPICE
809 ELM STREET SUITE 1200
ALEXANDRIA, MN 56308
PHONE: 320/763-6018
KNUTE NELSON
(02916)
FAX: 320/763-4127
NProf
MS. SANDRA TUBBS
NH-85
SNF-NF-85
420 12TH AVENUE EAST
ALEXANDRIA, MN 56308
PHONE: 320/763-1163
KNUTE NELSON HOME CARE
(00113)
MS. ANGELA URMAN
FAX: 320/763-7548
NProf
HCP/COMP
HHA
1910 AGA DRIVE SUITE 100
ALEXANDRIA, MN 56308
PHONE: 320/759-1273
KNUTE NELSON HOSPICE
(24066)
MS. ANNE MAJOR
FAX: 320/759-1275
NProf
Hospice
HSPICE
1910 AGA DRIVE SUITE 100
ALEXANDRIA, MN 56308
PHONE: 320/759-1270
LAKES AREA ASSISTED LIVING
(28923)
FAX: 320/759-1271
Lim-Liab
MS. ANNE MAJOR
COMP
1313 COUNTY ROAD 22 NW
ALEXANDRIA, MN 56308
PHONE: 320/759-5600
LAKES AREA ASSISTED LIVING LLC
(23150)
FAX: 320/763-3618
MS. DIANE ZIEBELL
HWSAL
Lim-Liab
1313 CO RD 22 NW
ALEXANDRIA, MN 56308
PHONE: 320/759-5600
MINNESOTA EYE INSTITUTE
(21766)
FAX: 320/763-3618
Lim-Liab
MR. KENT THOMSON
Outpt Surg
Amb Surg
3401 SOUTH BROADWAY
ALEXANDRIA, MN 56308
PHONE: 320/759-2020
NELSON GABLES SENIOR CARE
(21815)
FAX: 320/759-2424
NProf
MS. PAMELA CARLSON
HCP-F
1220 NOKOMIS STREET
ALEXANDRIA, MN 56308
PHONE: 320/759-4600
(20056)
FAX: 320/763-5738
MS. CARLI LINDEMANN
Minnesota Department of Health
Division of Compliance Monitoring
Page
110
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NELSON GABLES SENIOR CARE APTS
Certification
DOUGLAS
Registration
(Cont.)* -------------------------
HWSAL
NProf
1220 NOKOMIS STREET
ALEXANDRIA, MN 56308
PHONE: 320/759-4600
PEACEFUL BLISS ASSISTD LVG LLC
(30327)
FAX: 320/763-5738
Lim-Liab
MS. LINDA NAMUR
HCP-F
90 EAST LAKE COWDRY ROAD NW
ALEXANDRIA, MN 56308
PHONE: 320/762-8345
PEACEFUL BLISS ASSISTED LIVING
(26439)
FAX: 320/762-8341
MS. JUDY MCNUTT
HWSAL
Lim-Liab
90 EAST LAKE COWDRY ROAD NW
ALEXANDRIA, MN 56308
PHONE: 320/762-8345
PRAIRIE SENIOR COTTAGES ALEX
(30718)
FAX: 320/762-8341
Lim-Liab
MS. JUDY MCNUTT
COMP
812/814 MCKAY AVENUE
ALEXANDRIA, MN 56308
PHONE: 320/763-8244
PRAIRIE SENIOR COTTAGES OF ALE
(21280)
MS. KAYLA THOENNES
FAX: 320/763-8255
HWS
Lim-Liab
814 MCKAY AVENUE
ALEXANDRIA, MN 56308
PHONE: 320/763-8244
PRAIRIE SENIOR COTTAGES OF ALE
(21281)
MRS. KAYLA THOENNES
FAX: 320/763-8255
HWS
Lim-Liab
812 MCKAY AVENUE
ALEXANDRIA, MN 56308
PHONE: 320/763-8244
PRAIRIEWOOD HOME
(30736)
FAX: 320/763-8255
NProf
MS. KAYLA THOENNES
SLFB-6
ICFIID-6
2736 LEHOMME DIEU HEIGHTS NE
ALEXANDRIA, MN 56308
PHONE: 320/763-4787
ROSEWOOD
(01684)
FAX: 320/763-6520
NProf
MR. KEITH LUNDSETTER
SLFA-6
ICFIID-6
1007 HIGH STREET
ALEXANDRIA, MN 56308
PHONE: 320/762-2479
SCENICWOOD
(01214)
FAX: 320/762-9784
NProf
MR. KEITH LUNDSETTER
SLFA-6
ICFIID-6
1119 SCENIC HEIGHTS RD RT #8
ALEXANDRIA, MN 56308
PHONE: 320/763-7308
SERENE HAVEN HOMECARE
(01215)
FAX: 320/763-6520
Ind
MR. KEITH LUNDSETTER
HCP-A
1202 RIDGEVIEW TERRACE NE
ALEXANDRIA, MN 56308
PHONE: 218/205-1361
(29397)
FAX: 320/762-0295
MS. JESSICA BESKE
Minnesota Department of Health
Division of Compliance Monitoring
Page 111
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
SHARONS SENIOR SERVICES INC
Certification
DOUGLAS
Registration
(Cont.)* -------------------------
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
COMP
1441 ROSEWOOD LANE SE
ALEXANDRIA, MN 56308
PHONE: 320/760-9193
SHARONS SENIOR SERVICES INC
(23562)
FAX: 320/763-4874
MS. VALERIE VONDERHARR
HWSAL
Corp
2307 EAST GOLF COURSE ROAD NE
ALEXANDRIA, MN 56308
PHONE: 320/760-9193
WINDMILL PONDS ASSISTED LIVING
(28117)
MS. VALERIE VONDERHARR
FAX: 320/762-2581
HWSAL
Lim-Liab
715 VICTOR STREET
ALEXANDRIA, MN 56308
PHONE: 320/759-2132
WINDMILL PONDS ASSISTED LIVING
(21642)
MR. PATRICK J RAFFERTY
FAX: 320/759-3192
Lim-Liab
HCP-F
715 VICTOR STREET
ALEXANDRIA, MN 56308
PHONE: 320/759-2132
WINONA SHORES
(21855)
MS. KATHY PATTON
FAX: 320/759-3192
HWSAL
NProf
1010 LARK STREET
ALEXANDRIA, MN 56308
PHONE: 320/763-1120
YOUR CHOICE HOME CARE LLP
(22126)
MS. PATTI CAREY
FAX: 320/763-1121
Part
BASIC
716 JEFFERSON
ALEXANDRIA, MN 56308
PHONE: 320/762-1501
BRANDON'S ASSISTED LIVING
(24983)
MRS. HEIDI ANDERSON
FAX: 320/219-7388
HWSAL
Lim-Liab
305 CENTRAL AVENUE SOUTH
BRANDON, MN 56315
PHONE: 320/524-2207
BRANDONS ASSISTED LIVING
(30742)
MR. BRANDON BORGSTROM
FAX: 320/524-2245
Lim-Liab
HCP-F
305 CENTRAL AVENUE SOUTH
BRANDON, MN 56315
PHONE: 320/524-2207
EVANSVILLE CARE CENTER
(27453)
MR. BRANDON BORGSTROM
FAX: 320/524-2245
Lim-Liab
NH-40
SNF-NF-40
649 STATE STREET NORTHWEST
EVANSVILLE, MN 56326
PHONE: 218/948-2219
(00110)
FAX: 218/948-2004
MR. BRANDON BORGSTROM
Minnesota Department of Health
Division of Compliance Monitoring
Page 112
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
EVANSVILLE SENIOR LIVING
Certification
DOUGLAS
Registration
(Cont.)* -------------------------
HWSAL
Lim-Liab
651 STATE STREET
EVANSVILLE, MN 56326
PHONE: 218/948-2346
EVANSVILLE SENIOR LIVING
(30540)
FAX: 320/834-2004
Lim-Liab
MR. BRANDON BORGSTROM
COMP
651 STATE STREET
EVANSVILLE, MN 56326
PHONE: 218/948-2346
RUSTIC CEDAR LIVING BLUE
(24481)
FAX: 320/834-5100
MR. BRANDON BORGSTROM
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)
MR. BRANDON BORGSTROM
FAX: 218/948-2004
HWSAL
NProf
410 WEST MAIN STREET
OSAKIS, MN 56360
PHONE: 320/859-2142
COMMUNITY MEMORIAL HOME
(25904)
MR. DAVID CARLSON
FAX: 320/859-6293
NProf
SNF-NF-50
NH-50
410 WEST MAIN STREET
OSAKIS, MN 56360
PHONE: 320/859-2142
TERRACE HEIGHTS INDEPENDENT LI
(00109)
MR. DAVID CARLSON
FAX: 320/859-6292
HWSAL
NProf
410 WEST MAIN STREET
OSAKIS, MN 56360
PHONE: 320/859-2142
WEST VIEW ASSISTED LIVING APAR
(20267)
MR. DAVID CARLSON
FAX: 320/859-6293
HWSAL
NProf
240 COUNTY ROAD 3 NORTH
OSAKIS, MN 56360
PHONE: 320/859-2142
WEST VIEW/TERRACE HGHTS/BRIDGE
(30815)
MR. DAVID CARLSON
FAX: 320/859-6293
NProf
HCP-F
240 6TH AVENUE NORTH
OSAKIS, MN 56360
PHONE: 320/859-2142
(21663)
FAX: 320/859-6293
---------------------------**********
MR. DAVID CARLSON
FARIBAULT
******** -------------------------
Minnesota Department of Health
Division of Compliance Monitoring
Page 113
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
FRIENDSHIP COURT
Certification
FARIBAULT
Registration
(Cont.)* -------------------------
HWSAL
NProf
1228 SOUTH RICE STREET
BLUE EARTH, MN 56013
PHONE: 507/526-6351
FRIENDSHIP COURT
(30633)
FAX: 507/526-7427
NProf
MRS. MARGARET BRANDT
COMP
1228 SOUTH RICE STREET
BLUE EARTH, MN 56013
PHONE: 507/526-6351
NICOLLET PLACE
(20457)
FAX: 507/526-3563
Corp
MS. MARGARET BRANDT
COMP
311 SOUTH NICOLLET
BLUE EARTH, MN 56013
PHONE: 507/526-3237
NICOLLET PLACE
(20008)
MS. MARY BEYER
FAX: 507/526-3902
HWS
Corp
311 SOUTH NICOLLET
BLUE EARTH, MN 56013
PHONE: 507/526-3237
ST LUKES LUTHERAN CARE CENTER
(30290)
MS. MARY BEYER
FAX: 507/526-3902
NProf
SNF-NF-104
NH-104
1219 SOUTH RAMSEY
BLUE EARTH, MN 56013
PHONE: 507/526-2184
UNITED HOSP DIST HOME HLTH SER
(00116)
MS. MARGARET BRANDT
FAX: 507/526-7427
Dist
HCP/COMP
HHA
125 SOUTH MAIN STREET
BLUE EARTH, MN 56013
PHONE: 507/526-7970
UNITED HOSPITAL DISTRICT
(02804)
FAX: 507/526-3621
NProf
MS. MARY ELLEN RIGBY
HOSP-43 BASS-4
CAH-25
515 SOUTH MOORE ST PO BOX 160
BLUE EARTH, MN 56013
PHONE: 507/526-7907
UNITED HOSPITAL DISTRICT INC
(00117)
FAX: 507/526-3621
NProf
MR. JEFF LANG
Hospice
HSPICE
125 SOUTH MAIN STREET
BLUE EARTH, MN 56013
PHONE: 507/526-7970
ELMORE ASSISTED LIVING
(02964)
FAX: 507/526-3285
MS. MARY ELLEN RIGBY
HWS
Corp
202 NORTH STREET EAST
ELMORE, MN 56027
PHONE: 612/986-2084
PARKVIEW CARE CTR WELLS INC
(31417)
FAX: 763/417-9999
Corp
MR. TOM ROYCRAFT
NH-50
SNF-NF-50
55 TENTH STREET SOUTHEAST
WELLS, MN 56097
PHONE: 507/553-3115
(00784)
FAX: 507/553-6060
MR. ROBERT JOHANNSEN
Minnesota Department of Health
Division of Compliance Monitoring
Page
114
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Church
THE SHEPHERD'S INN
Certification
FARIBAULT
Registration
(Cont.)* -------------------------
COMP
46 FIRST AVENUE SOUTHWEST
(20042)
WELLS, MN 56097
PHONE: 507/553-6271
FAX: 507/553-6830
MR. STEVEN LORENZ
HWSAL
Church
THE SHEPHERDS INN
46 FIRST AVENUE SOUTHWEST
(30320)
WELLS, MN 56097
PHONE: 507/553-6271
FAX: 507/553-6830
ADOLESCENT TRTMT CTR WINNEBAGO
NProf
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
MR. JEFFREY LANG
HWSAL
Corp
211 SIXTH STREET NORTHWEST
WINNEBAGO, MN 56098
PHONE: 507/893-3171
PARKER OAKS COMMUNITIES INC
(30463)
MS. LORNA CRAIG-PAULSON
FAX: 507/893-3174
Corp
HCP-F
211 SIXTH STREET NORTHWEST
WINNEBAGO, MN 56098
PHONE: 507/893-3171
(20270)
MS. KYLA JACOBS
FAX: 507/893-3174
---------------------------**********
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
MR. CRAIG BACKEN
HWSAL
NProf
1260 WINONA STREET SE
CHATFIELD, MN 55923
PHONE: 507/867-3416
CHOSEN VALLEY ASSISTED LIVING
(30494)
FAX: 507/867-3426
NProf
MR. CRAIG BACKEN
COMP
1260 WINONA STREET SE
CHATFIELD, MN 55923
PHONE: 507/867-3416
CHOSEN VALLEY CARE CENTER
(24105)
FAX: 507/867-3426
NProf
MR. CRAIG BACKEN
NH-78
SNF-NF-78
1102 LIBERTY STREET SOUTHEAST
CHATFIELD, MN 55923
PHONE: 507/867-4220
(00750)
FAX: 507/867-0080
MR. CRAIG BACKEN
Minnesota Department of Health
Division of Compliance Monitoring
Page 115
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
FILLMORE
(Cont.)* -------------------------
HWSAL
Lim-Liab
CLARA HOUSE
Registration
455 MAIN AVENUE NORTH
(21518)
HARMONY, MN 55939
PHONE: 507/886-6515
FAX: 507/886-6620
GUNDERSEN HARMONY CARE CENTER
NProf
MS. KIM WORRALL
NH-43
SNF-NF-43
815 MAIN AVE S
HARMONY, MN 55939
PHONE: 507/886-6544
GREEN LEA SENIOR LIVING
(00125)
FAX: 507/886-6584
Corp
MR. TIMOTHY SAMUELSON
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
MS. JULIE VETTLESON
HWSAL
Corp
610 EAST NEWBURG STREET
MABEL, MN 55954
PHONE: 507/493-5995
THE MEADOWS OF MABEL
(30471)
MS. JULIE VETTLESON
FAX: 507/493-5995
Corp
HCP-F
610 EAST NEWBURG STREET
MABEL, MN 55954
PHONE: 507/493-5995
OSTRANDER ASSISTED LIVING
(23862)
MS. JULIE VETTLESON
FAX: 507/493-5995
Corp
HCP-F
309 MINNESOTA STREET
OSTRANDER, MN 55961
PHONE: 507/657-2231
OSTRANDER ASSISTED LIVING
(23139)
FAX: 507/657-2403
MR. LLOYD SWALVE
HWSAL
Corp
309 MINNESOTA STREET
OSTRANDER, MN 55961
PHONE: 507/657-2231
OSTRANDER CARE AND REHAB
(30336)
FAX: 507/657-2403
Corp
MR. GRANT THAYER
NH-25
SNF-NF-25
305 MINNESOTA STREET
OSTRANDER, MN 55961
PHONE: 507/657-2231
FILLMORE COUNTY PHNS
(00922)
FAX: 507/657-2403
Cnty
MS. MARIAN RAUK
HCP/COMP
HHA
902 HOUSTON ST NW
PRESTON, MN 55965
PHONE: 507/765-3898
PARK LANE ESTATES
(02047)
FAX: 507/765-2139
MS. LANTHA STEVENS
HWSAL
Lim-Liab
111 FILLMORE PLACE SOUTHEAST
PRESTON, MN 55965
PHONE: 507/765-9986
(30731)
FAX: 507/765-9987
MR. CHUCK LANE
Minnesota Department of Health
Division of Compliance Monitoring
Page 116
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
PARK LANE ESTATES
Certification
FILLMORE
Registration
(Cont.)* -------------------------
COMP
111 FILLMORE PLACE SOUTHEAST
(21250)
PRESTON, MN 55965
PHONE: 507/765-9986
FAX: 507/765-9987
NProf
PRESTON GOOD SAM SOC HC
MR. CHUCK LANE
HCP/COMP
HHA
200 ST PAUL STREET
(03380)
PRESTON, MN 55965
PHONE: 507/765-2700
FAX: 507/765-3339
MS. VICKIE LYNCH
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
COMP
803 HOME STREET
(20418)
RUSHFORD, MN 55971
PHONE: 507/864-7714
MRS. SAMANTHA COLBENSON
FAX: 507/864-2842
HWSAL
NProf
BREMMER SUITES
803 HOME STREET
(30626)
RUSHFORD, MN 55971
PHONE: 507/864-7714
MS. SAMANTHA COLBENSON
FAX: 507/864-2842
Church
GOOD SHEPHERD LUTHERAN HOME
NH-75
SNF-NF-75
800 HOME STREET BOX 747
(00123)
RUSHFORD, MN 55971
PHONE: 507/864-7714
FAX: 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
SPRING VALLEY ESTATES
(00121)
FAX: 507/346-7619
MS. PENNY SOLBERG
HWSAL
NProf
815 MEMORIAL DRIVE
SPRING VALLEY, MN 55975
PHONE: 507/346-1267
SPRING VALLEY ESTATES
(30563)
FAX: 507/346-7619
NProf
MS. JESSICA BALIK
COMP
815 MEMORIAL DRIVE
SPRING VALLEY, MN 55975
PHONE: 507/346-1246
(21082)
FAX: 507/346-7619
MS. DEANNA VREEMAN
Minnesota Department of Health
Division of Compliance Monitoring
Page 117
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
SPRING VALLEY HOME HEALTH AG
NProf
Certification
FILLMORE
Registration
(Cont.)* -------------------------
HCP/COMP
HHA
800 MEMORIAL DRIVE
SPRING VALLEY, MN 55975
PHONE: 507/346-1267
THE EVERGREENS
(02406)
FAX: 507/346-7619
MS. JESSICA BALIK RN, BSN, COS
HWS
NProf
820 MEMORIAL DRIVE
SPRING VALLEY, MN 55975
PHONE: 507/346-1267
(25275)
FAX: 507/346-7619
MS. JESSICA BALIK
---------------------------**********
BANCROFT CREEK ESTATES
FREEBORN
******** -------------------------
HWS
NProf
75405 240TH STREET
ALBERT LEA, MN 56007
PHONE: 507/379-2739
BRIAN'S ELDER CARE INC
(29650)
FAX: 507/379-5964
Corp
MS. KATIE DAVIS
COMP
1201 SOUTHVIEW LANE
ALBERT LEA, MN 56007
PHONE: 507/373-9616
BRIANS ELDER CARE
(20323)
MR. BRIAN FREDRICKSON
FAX: 507/373-2703
HWSAL
Corp
1201 SOUTHVIEW LANE
ALBERT LEA, MN 56007
PHONE: 507/373-9616
BROADWAY ASSISTED LIVING
(30469)
MR. BRIAN FREDRICKSON
FAX: 507/373-2703
HWSAL
Ind
512 SOUTH BROADWAY
ALBERT LEA, MN 56007
PHONE: 507/373-2909
BROADWAY ASSISTED LIVING
(30222)
MS. ANNABELLE FRAZIER
FAX: 507/373-2239
Ind
BCH-9
512 SOUTH BROADWAY
ALBERT LEA, MN 56007
PHONE: 507/373-2909
EMBRACE HOME CARE LLC
(00132)
MRS. ANNABELLE FRAZIER
FAX: 507/373-2239
Lim-Liab
COMP
204 SOUTH WASHINGTON STE 100
ALBERT LEA, MN 56007
PHONE: 507/369-5701
FOUNTAIN LAKE TREATMENT CTR
(27834)
MS. PATTY MADRIGAL
FAX: 507/369-5702
NProf
SLFA-26 SLFB-32
408 FOUNTAIN STREET WEST
ALBERT LEA, MN 56007
PHONE: 507/377-6411
(01390)
FAX: 507/377-6443
MR. LARRY BLAIR
Minnesota Department of Health
Division of Compliance Monitoring
Page 118
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
GOOD SAM SOCIETY ALBERT LEA
Certification
FREEBORN
Registration
(Cont.)* -------------------------
NH-114
SNF-NF-114
75507 240TH STREET
(00131)
ALBERT LEA, MN 56007
PHONE: 507/373-0683
FAX: 507/373-3229
NProf
GOOD SAM SOCIETY HIDDEN CREEK
MS. KATIE DAVIS
HCP-F
75303 240TH STREET
(24246)
ALBERT LEA, MN 56007
PHONE: 507/379-2737
FAX: 507/379-5964
MS. MARY LARSON
HWSAL
NProf
GOOD SAMARITAN SOCIETY - HIDDE
75303 240TH STREET
(30517)
ALBERT LEA, MN 56007
PHONE: 507/379-2737
MS. KATIE DAVIS
FAX: 507/379-5964
Home Mgmt
Ind
JOANN JENSEN
811 N SHORE AVE
(24939)
ALBERT LEA, MN 56007
PHONE: 507/448-0122
JUST LIKE HOME PLACE LLP
MS. JOANN JENSEN
FAX: /
Part
COMP
310 EAST CLARK STREET
ALBERT LEA, MN 56007
PHONE: 507/373-0975
JUST LIKE HOME PLACE LLP
(20205)
MR. ROLAND KEYESKI
FAX: 507/377-6186
HWSAL
Part
310 E CLARK
ALBERT LEA, MN 56007
PHONE: 507/373-0975
KNUTSON PLACE APARTMENTS
(23461)
MR. ROLAND KEYESKI
FAX: 507/377-6186
HWS
Church
801 LUTHER PLACE
ALBERT LEA, MN 56007
PHONE: 507/373-8226
KNUTSON PLACE APARTMENTS
(30310)
MR. SCOT SPATES
FAX: 507/379-9506
Church
COMP
801 LUTHER PLACE
ALBERT LEA, MN 56007
PHONE: 507/373-8226
MAYO CLINIC ALBERT LEA
(20016)
MR. SCOT SPATES
FAX: 507/379-9506
ESRD
NProf
1705 BROADWAY SOUTHEAST
ALBERT LEA, MN 56007
PHONE: 507/377-5920
MAYO CLINIC HEALTH SYS ALBT LE
(02118)
MR. BRAD WICK
FAX: 507/377-5921
NProf
HOSP-77 BASS-12
HOSP-77 PPS-P-0
404 WEST FOUNTAIN STREET
ALBERT LEA, MN 56007
PHONE: 507/373-2384
(00920)
FAX: 507/377-6383
MR. STEPHEN WALDHOFF
Minnesota Department of Health
Division of Compliance Monitoring
Page 119
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
MAYO CLINIC HEALTH SYS ALBT LE
NProf
Certification
FREEBORN
Registration
(Cont.)* -------------------------
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/COMP
HHA
1705 SOUTHEAST BROADWAY
ALBERT LEA, MN 56007
PHONE: 507/377-6393
OAK PARK
(02263)
FAX: 507/377-6451
MS. MARCIA SMITH
HWSAL
Lim-Liab
1615 BRIDGE AVENUE
ALBERT LEA, MN 56007
PHONE: 507/373-5600
OAK PARK PLACE
(30707)
FAX: 507/373-1121
Lim-Liab
MR. SCOTT FRANK
HCP-F
1615 BRIDGE AVENUE
ALBERT LEA, MN 56007
PHONE: 507/373-5600
PRAIRIE SENIOR COTTAGES
(21154)
MS. MARYANN SCHLAAK
FAX: 507/373-1121
HWSAL
Lim-Liab
1604 FOUNTAIN STREET
ALBERT LEA, MN 56007
PHONE: 507/379-9000
PRAIRIE SENIOR COTTAGES
(29691)
MS. JULIE WOOD-LOBB
FAX: 507/373-1880
HWSAL
Lim-Liab
1602 FOUNTAIN STREET
ALBERT LEA, MN 56007
PHONE: 507/379-9000
PRAIRIE SENIOR COTTAGES OF ALB
(29690)
MS. JULIE WOOD-LOBB
FAX: 507/373-1880
Lim-Liab
COMP
1602 FOUNTAIN STREET
ALBERT LEA, MN 56007
PHONE: 507/379-9000
REM WOODVALE INC PLAINVIEW
(29689)
MS. JULIE WOOD-LOBB
FAX: 507/373-1880
Corp
ICFIID-31
SLFB-31
1204 PLAINVIEW LANE
ALBERT LEA, MN 56007
PHONE: 507/373-7629
ST JOHNS LUTHERAN HOME
(01307)
MR. PATRICK MASYGA
FAX: 507/373-7299
Church
NH-170
SNF-NF-170
901 LUTHER PLACE
ALBERT LEA, MN 56007
PHONE: 507/373-8226
THORNE CREST RET CENTER
(00138)
FAX: 507/379-9506
NProf
MR. SCOT SPATES
NH-52
SNF-NF-52
1201 GARFIELD AVENUE
ALBERT LEA, MN 56007
PHONE: 507/373-2311
(00833)
FAX: 507/377-1216
MR. CHRIS SCHULZ
Minnesota Department of Health
Division of Compliance Monitoring
Page
120
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
THORNE CREST RETIREMENT CENTER
Certification
FREEBORN
Registration
(Cont.)* -------------------------
HWSAL
NProf
1201 GARFIELD AVENUE
ALBERT LEA, MN 56007
PHONE: 507/373-2311
THORNE CREST RETIREMENT CENTER
(30418)
FAX: 507/377-1216
NProf
MS. SHANNA ECKBERG
COMP
1201 GARFIELD AVENUE
ALBERT LEA, MN 56007
PHONE: 507/373-2311
(20111)
FAX: 507/377-1216
MS. SHANNA ECKBERG
---------------------------**********
ANGELS CARE CENTER
NProf
GOODHUE
******** -------------------------
NH-74
SNF-NF-74
300 NORTH DOW STREET
CANNON FALLS, MN 55009
PHONE: 507/263-4658
MAYO CLINIC HEALTH SYS CF
(00758)
FAX: 507/263-4127
NProf
MS. KRISTINA UMBERGER-INTERIM
HOSP-15 BASS-0
CAH-15
32021 COUNTY 24 BOULEVARD
CANNON FALLS, MN 55009
PHONE: 507/263-6000
THE VIEW I - MCHAVEN INC
(00140)
MR. WILLIAM PRIEST
FAX: 507/263-9640
HWSAL
Corp
308 LARKSPUR LANE
CANNON FALLS, MN 55009
PHONE: 507/298-4048
THE VIEW II - GAMACANN INC
(30097)
MR. LEON HANSON
FAX: 507/263-2179
HWSAL
Corp
315 LARKSPUR LANE
CANNON FALLS, MN 55009
PHONE: 507/263-4781
THE VIEW III - MCHAVEN INC
(30098)
FAX: 507/263-2179
MR. LEON HANSON
HWSAL
Corp
319 LARKSPUR LANE
CANNON FALLS, MN 55009
PHONE: 507/263-2217
TWIN RIVERS SENIOR CAMPUS
(30099)
FAX: 507/263-2179
MR. LEON HANSON
HWSAL
Lim-Liab
900 MAIN STREET W
CANNON FALLS, MN 55009
PHONE: 507/263-3600
GUNDERSON GARDENS
(26730)
FAX: 507/263-6077
Church
MR. MARK DICKSON
COMP
215 HUSETH STREET
KENYON, MN 55946
PHONE: 507/789-7138
(23397)
FAX: 507/789-5679
MS. CHELSEA UGLAND
Minnesota Department of Health
Division of Compliance Monitoring
Page 121
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
GOODHUE
(Cont.)* -------------------------
HWSAL
Church
GUNDERSON GARDENS
Registration
215 HUSETH STREET
(30359)
KENYON, MN 55946
PHONE: 507/789-7138
FAX: 507/789-5679
MR. CHELSEA UGLAND
HWSAL
NProf
GUNDERSON GARDENS ROSE WING
127 GUNDERSON BLVD
(31082)
KENYON, MN 55946
PHONE: 507/789-7104
FAX: 507/789-8843
Church
KENYON SUNSET HOME
MS. CHELSEA UGLAND
NH-30
SNF-NF-30
127 GUNDERSON BOULEVARD
(00145)
KENYON, MN 55946
PHONE: 507/789-7104
FAX: 507/789-8843
MS. CHELSEA UGLAND
HWSAL
Lim-Liab
NORTH RIDGE VIEW LLC
101 NORTH RIDGE DRIVE
(30752)
KENYON, MN 55946
PHONE: 507/789-6184
MS. ALICE SYVERSON
FAX: 507/789-6184
Lim-Liab
NORTH RIDGE VIEW LLC
COMP
101 NORTH RIDGE DRIVE
(27617)
KENYON, MN 55946
PHONE: 507/789-6184
MS. ALICE SYVERSON
FAX: 507/789-6184
Ind
RUTH FREDRICKSON CARES
COMP
715 HOME STREET BOX 16
(24834)
KENYON, MN 55946
PHONE: 507/789-6521
EVERGREEN PLACE
MS. RUTH FREDRICKSON
FAX: /-
HWSAL
ONProf
220 THIRD STREET NORTHWEST
PINE ISLAND, MN 55963
PHONE: 507/356-8585
EVERGREEN PLACE
(30468)
MR. STEVE ZILLER
FAX: 507/356-8563
ONProf
COMP
220 THIRD STREET NORTHWEST
PINE ISLAND, MN 55963
PHONE: 507/356-8585
PINE HAVEN CARE CENTER INC
(20321)
MR. STEVE ZILLER
FAX: 507/356-8563
NProf
SNF-NF-66
NH-66
210 NORTHWEST THIRD STREET
PINE ISLAND, MN 55963
PHONE: 507/356-8304
ACCRA HOME HEALTH INC
(00148)
MR. STEVEN ZILLER
FAX: 507/356-4400
NProf
HHA
HCP/COMP
910 MAIN STREET #205
RED WING, MN 55066
PHONE: 651/388-1010
(02048)
FAX: 651/388-1178
MR. JOHN DAHM
Minnesota Department of Health
Division of Compliance Monitoring
Page 122
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
DEER CREST
Corp
Certification
GOODHUE
Registration
(Cont.)* -------------------------
HCP-F
470 HEWITT BOULEVARD
RED WING, MN 55066
PHONE: 651/267-5444
DEER CREST
(25182)
FAX: 651/267-5429
MS. LUCY BOXRUD
HWSAL
Lim-Liab
470 HEWITT BOULEVARD
RED WING, MN 55066
PHONE: 651/267-5444
HIAWATHA HOMECARE
(30636)
FAX: 651/267-5429
Corp
MS. LUCY BOXRUD
HCP/COMP
HHA
4920 MOUNDVIEW DR STE B
RED WING, MN 55066
PHONE: 651/388-2223
JORDAN TOWER I
(02923)
FAX: 651/388-2227
MS. KAREN SEIFERT
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)
MR. RANDAL HEMMERLIN
FAX: 651/385-0551
Lim-Liab
HCP-F
1760 PERLICH AVENUE
RED WING, MN 55066
PHONE: 651/388-1650
LOVING RESIDENCE
(20142)
MS. SANDRA MCDONALD
FAX: 651/388-1684
HWSAL
Lim-Liab
1760 PERLICH AVENUE
RED WING, MN 55066
PHONE: 651/388-1650
MAYO CLINIC HLTH SYS RED WING
(30421)
MS. SANDRA MCDONALD
FAX: 651/388-1684
NProf
HHA
HCP/COMP
1407 WEST FOURTH ST
RED WING, MN 55066
PHONE: 651/385-3410
MAYO CLINIC HLTH SYS RED WING
(02301)
MS. NICHOLE GRUIS DIEKMANN
FAX: 651/385-3414
NProf
HOSP-50 BASS-7
HOSP-50
701 HEWITT BOULEVARD POB 95
RED WING, MN 55066
PHONE: 651/267-5000
MAYO CLINIC HLTH SYSTEM RED WI
(21423)
FAX: 651/267-5935
NProf
MR. STEPHEN GUDGELL
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 123
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
POTTER RIDGE
Corp
Certification
GOODHUE
Registration
(Cont.)* -------------------------
COMP
1971 NEAL STREET
RED WING, MN 55066
PHONE: 651/388-1546
POTTER RIDGE
(24048)
FAX: 651/388-1438
MR. ROMAN BLOEMKE
HWSAL
Corp
1971 NEAL STREET
RED WING, MN 55066
PHONE: 651/388-1546
RED WING DIALYSIS UNIT
(30489)
FAX: 651/388-1438
MR. ROMAN 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)
MR. ANTHONY LINN
FAX: 651/385-0967
Corp
SLFB-13
ICFIID-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)
FAX: 651/385-3420
MR. JACOB GOERING
HWSAL
Church
135 PIONEER ROAD
RED WING, MN 55066
PHONE: 651/388-1234
ST BRIGID'S AT HI-PARK
(20291)
FAX: 651/385-5481
Church
MR. JAKE GOERING
HCP-A
135 PIONEER ROAD
RED WING, MN 55066
PHONE: 651/388-1234
ST BRIGIDS AT HI PARK
(03227)
FAX: 651/385-5444
Church
MR. JACOB GOERING
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
MR. JACOB GOERING
HWSAL
Lim-Liab
2557 EAGLE RIDGE DRIVE
RED WING, MN 55066
PHONE: 651/388-1650
(30583)
FAX: 651/388-1684
MS. SANDRA MCDONALD
Minnesota Department of Health
Division of Compliance Monitoring
Page
124
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
VALENTINES ASSISTED LIVING LLC
Certification
GOODHUE
Registration
(Cont.)* -------------------------
COMP
2557 EAGLE RIDGE DRIVE
(25435)
RED WING, MN 55066
PHONE: 651/388-1650
FAX: 651/388-1684
MS. SANDRA MCDONALD
Home Mgmt
Lim-Liab
VISITING ANGELS
2000 OLD WEST MAIN ST STE 328
(26490)
RED WING, MN 55066
PHONE: 651/212-6600
FAX: 651/385-2225
Lim-Liab
VISITING ANGELS
MR. JAY ROESNER
HCP-A
2000 OLD W MAIN ST STE 328
(26539)
RED WING, MN 55066
PHONE: 651/212-6601
FAX: 651/385-2225
Corp
CASCADE CARE SERVICES INC
MR. JAY ROESNER
COMP
301 WEST AVENUE
(23577)
ZUMBROTA, MN 55992
PHONE: 507/214-2800
MR. PAUL THAO
FAX: 507/451-0690
HWSAL
NProf
THE BRIDGES OF ZUMBROTA
295 WEST 4TH STREET
(20583)
ZUMBROTA, MN 55992
PHONE: 507/732-8455
MR. SCOTT JACKSON
FAX: 507/732-8433
NProf
ZUMBROTA CARE CENTER
NH-50
SNF-NF-50
433 MILL STREET
(00917)
ZUMBROTA, MN 55992
PHONE: 507/732-8400
FAX: 507/732-8435
ZUMBROTA CARE CENTER HOME CARE
NProf
MS. KRISTA SIDDIQUI
COMP
433 MILL STREET
ZUMBROTA, MN 55992
PHONE: 507/732-8455
(22850)
FAX: 507/732-8433
MR. SCOTT JACKSON
---------------------------**********
ASHBY LIVING CENTER
Lim-Liab
GRANT
******** -------------------------
HCP-F
112 IVERSON AVENUE
ASHBY, MN 56309
PHONE: 218/747-2995
ASHBY LIVING CENTER
(29371)
FAX: 218/747-2996
MS. MARGARET DAHL
HWSAL
Lim-Liab
112 IVERSON
ASHBY, MN 56309
PHONE: 218/747-2995
(28744)
FAX: 218/747-2996
MS. MARGARET DAHL
Minnesota Department of Health
Division of Compliance Monitoring
Page
125
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
GRANT
(Cont.)* -------------------------
HWSAL
Corp
BARRETT ASSISTED LIVING COMMUN
Registration
800 SPRUCE AVENUE
(20428)
BARRETT, MN 56311
PHONE: 320/528-2371
FAX: 320/528-2374
Corp
BARRETT CARE CENTER INC
MR. VERNON JUNKER
NH-45
SNF-NF-45
800 SPRUCE AVENUE
(00153)
BARRETT, MN 56311
PHONE: 320/528-2527
FAX: 320/528-2642
Corp
ROLLING HILLS HOME CARE
MS. JEANINE JUNKER
COMP
800 SPRUCE AVENUE
(28985)
BARRETT, MN 56311
PHONE: 320/528-2527
FAX: 320/528-2642
NProf
PRAIRIE RIDGE HOSP HLTH SERV
MS. JEANINE JUNKER
HOSP-10 BASS-2
CAH-10
1411 STATE HIGHWAY 79EAST
(00154)
ELBOW LAKE, MN 56531
PHONE: 218/685-4461
FAX: 218/685-6749
---------------------------**********
MR. TOM KOOIMAN
HENNEPIN
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
FAX: /
MR. CHRIS TRAILER
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: /
MR. CHRIS TRAILER
HWS
NProf
8900 NICOLLET AVENUE SOUTH
8900 NICOLLET AVENUE SOUTH
(31070)
BLOOMINGTON, MN 55420
PHONE: 952/884-9418
FAX: /
MR. CHRIS TRAILER
Minnesota Department of Health
Division of Compliance Monitoring
Page 126
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------
HWS
NProf
8901 WENTWORTH AVE S
Registration
8901 WENTWORTH AVE S
(29793)
BLOOMINGTON, MN 55420
PHONE: 952/884-9418
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
9130 LYNDALE AVENUE SOUTH
9130 LYNDALE AVENUE SOUTH
(28044)
BLOOMINGTON, MN 55429
PHONE: 612/618-0644
FAX: 952/440-1074
MR. CHRIS TRAILER
HWS
NProf
9150 LYNDALE AVENUE SOUTH
9150 LYNDALE AVENUE SOUTH
(28082)
BLOOMINGTON, MN 55420
PHONE: 612/618-0644
MR. CHRIS TRAILER
FAX: 952/440-1074
NProf
A+ HOME HEALTH CARE INC
BASIC
8932 OLD CEDAR AVENUE SOUTH
(03413)
BLOOMINGTON, MN 55425
PHONE: 952/854-7760
MS. DONNA ROBB
FAX: 952/854-7842
Out Pt
Corp
ADVACARE CLINICS LTD
5001 AMERICAN BLVD W STE 945
(30155)
BLOOMINGTON, MN 554371162
PHONE: 952/835-6653
MR. DENNIS LENSELINK
FAX: 952/835-3895
Home Mgmt
Corp
ALL HOME HEALTH INC
2626 82ND ST E STE 180
(24067)
BLOOMINGTON, MN 55425
PHONE: 952/814-7400
MR. MAC WALTERS
FAX: 952/853-0966
Lim-Liab
AMAZING HOMECARE AND NURSING S
COMP
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 HOSPICE
(26939)
MR. JAMES HAMMILL
FAX: 952/746-7897
Corp
HSPICE
Hospice
5001 AMERICAN BLVD SUITE 655
BLOOMINGTON, MN 55437
PHONE: 952/943-0009
ASSISTED LIVING IN HERITAGE HA
(23584)
MS. MARY HARREL
FAX: 952/943-1187
NProf
COMP
11501 MASONIC HOME DRIVE
BLOOMINGTON, MN 55437
PHONE: 952/948-7513
(20126)
FAX: 952/948-7516
MS. SHELLY WIGGEN
Minnesota Department of Health
Division of Compliance Monitoring
Page 127
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------
HWSAL
NProf
ASSISTED LIVING IN HERITAGE HA
Registration
11501 MASONIC HOME DRIVE
(30419)
BLOOMINGTON, MN 55437
PHONE: 952/948-7956
FAX: 952/948-7970
MS. SHELLY WIGGIN
ESRD
Corp
BLOOMINGTON DIALYSIS UNIT TRC
8591 LYNDALE AVENUE SOUTH
(20863)
BLOOMINGTON, MN 55420
PHONE: 952/703-5888
FAX: 952/703-5889
NProf
BLOOMINGTON OUTREACH HOME
MS. COURTNEY JENNE
SLFA-6
ICFIID-6
10633 KELL AVENUE SOUTH
(01098)
BLOOMINGTON, MN 55437
PHONE: 763/754-2505
FAX: 763/862-7723
Corp
BRAZEN HOMES INC
MS. MARY TJOSVOLD
HCP-F
2626 E 82ND ST STE 180
(30937)
BLOOMINGTON, MN 55425
PHONE: 952/814-7400
MR. MAC WALTERS
FAX: 952/853-0966
HWSAL
Lim-Liab
BRECK HOME RESIDENTIAL CARE
312 WEST 95TH STREET
(30305)
BLOOMINGTON, MN 55420
PHONE: 612/702-8801
MS. JENNIFER MORGAN
FAX: 952/881-2100
Lim-Liab
BRECK HOME RESIDENTIAL CARE CE
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
CARING SENIOR SERVICE
MR. ROBERT CARDENAS
FAX: /
Corp
TBASIC
10740 LYNDALE AVE S STE 12W
BLOOMINGTON, MN 55420
PHONE: 612/235-6271
CARLSON DRAKE HOUSE
(31375)
MS. PAULA KIEHL
FAX: 612/235-6272
Corp
SLFA-12
5414 W OLD SHAKOPEE CIRCLE
BLOOMINGTON, MN 55437
PHONE: 952/888-5611
(01508)
FAX: 952/888-3741
MS. KIM OFFERDAHL-BROOKS
Minnesota Department of Health
Division of Compliance Monitoring
Page 128
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
CARPEVITA HOME CARE OF MN
Certification
HENNEPIN
Registration
(Cont.)* -------------------------
BASIC
8609 LYNDALE AVE S STE 101G
(28823)
BLOOMINGTON, MN 55420
PHONE: 612/280-7752
FAX: 888/483-7338
Lim-Liab
CHU SURGERY CENTER LLC
MRS. RACHEL LARSON
Outpt Surg
Amb Surg
9117 LYNDALE AVE SOUTH
(25881)
BLOOMINGTON, MN 55420
PHONE: 952/835-1235
FAX: 952/835-1092
MS. CARRIE JACOBS
HWS
Corp
DESTINY HOME CARE SERVICES
8036 UPTON AVENUE SOUTH
(28028)
BLOOMINGTON, MN 55431
PHONE: 952/888-7172
FAX: 952/888-7724
MS. FAITH UDEH
HWSAL-O
Corp
DESTINY HOME CARE SERVICES
9907 WENTWORTH AVENUE SOUTH
(27249)
BLOOMINGTON, MN 55420
PHONE: 952/888-7172
MS. FAITH UDEH
FAX: 952/888-7724
HWSAL-O
Corp
DESTINY HOME CARE SERVICES
8709 BRYANT AVENUE SOUTH
(27248)
BLOOMINGTON, MN 55420
PHONE: 952/888-1405
MS. FAITH UDEH
FAX: 952/888-7724
Corp
DESTINY HOME CARE SERVICES INC
COMP
9907 WENTWORTH AVENUE SOUTH
(24149)
BLOOMINGTON, MN 55420
PHONE: 952/888-7172
FAX: 952/888-7724
MS. FAITH UDEH
HWSAL
Corp
DESTINY HOME CARE SERVICES INC
9713 COLUMBUS AVE S
(31140)
BLOOMINGTON, MN 55420
PHONE: 952/888-7172
FAX: 952/888-7724
MS. FAITH UDEH
HWSAL
Corp
DESTINY HOME CARE SERVICES INC
10501 YORK AVE S
(31145)
BLOOMINGTON, MN 55431
PHONE: 952/888-7172
FAX: 952/888-7724
MS. FAITH UDEH
HWSAL
Corp
DESTINY HOME CARE SERVICES INC
2346 WELLS WOOD CURVE
(31142)
BLOOMINGTON, MN 55431
PHONE: 952/888-7172
FAX: 952/888-7724
Ind
DIANES PERSONAL SERVICE
MS. FAITH UDEH
BASIC
213 SPRING VALLEY DRIVE
(29574)
BLOOMINGTON, MN 55420
PHONE: 952/943-1183
FAX: /
MS. DIANE BURTON
Minnesota Department of Health
Division of Compliance Monitoring
Page
129
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
ESTHERRA CARE LLC
Certification
HENNEPIN
Registration
(Cont.)* -------------------------
TCOMP
7437 BRISTOL VILLAGE CURVE
(31245)
BLOOMINGTON, MN 55438
PHONE: 952/688-7164
FAX: /
MS. ESTHER WAKO
ESRD
Corp
FMC SOUTHTOWN DIALYSIS
7901 XERXES AVE SOUTH #103
(25770)
BLOOMINGTON, MN 55431
PHONE: 952/881-6986
FAX: 952/881-0621
MS. BEVERLY LEVY
HWS
NProf
FOUNDERS RIDGE
6600 AUTO CLUB ROAD
(28701)
BLOOMINGTON, MN 55438
PHONE: 952/946-2000
FAX: 952/946-2001
NProf
FOUNDERS RIDGE
MS. LISA ALIPATE
COMP
6600 AUTO CLUB ROAD
(29092)
BLOOMINGTON, MN 55438
PHONE: 952/946-2000
MS. NATALIE MORLAND
FAX: 952/946-2001
NProf
FRIENDSHIP VILLAGE OF BLOOMING
COMP
8100 HIGHWOOD DRIVE
(03093)
BLOOMINGTON, MN 55438
PHONE: 952/830-9485
MS. JEANNE ROUDABUSH RN
FAX: 952/830-9891
HWS
NProf
FRIENDSHIP VILLAGE OF BLOOMING
8100 HIGHWOOD DRIVE
(20194)
BLOOMINGTON, MN 55438
PHONE: 952/831-7500
FAX: 952/830-9893
NProf
FRIENDSHIP VLGE OF BLOOMINGTON
MR. RON DONACIK
NH-66 BCH-53
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
MS. ALICIA MCMAHON
Minnesota Department of Health
Division of Compliance Monitoring
Page
130
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
GUNDERSON PLACE
Certification
HENNEPIN
Registration
(Cont.)* --------------------------
SLFB-6
ICFIID-6
9739 UTICA ROAD
(01627)
BLOOMINGTON, MN 55437
PHONE: 952/831-4633
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. MARYLOU IRVINE
Home Mgmt
Ind
HELP AT HOME SENIOR CARE
6813 WEST 83RD STREET TERRACE
(29901)
BLOOMINGTON, MN 55438
PHONE: 952/457-0275
FAX: 952/942-7670
Corp
HOME LAB PARTNERS INC
MS. MARY ANN MOWATT
COMP
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/COMP
HHA
2740 AMERICAN BLVD W STE 110
(21226)
BLOOMINGTON, MN 55431
PHONE: 952/854-6104
MS. CHARIE DEVOLITES
FAX: 952/854-6134
Corp
IN-HOME LAB CONNECTION INC
HCP/COMP
HHA
2626 EAST 82ND STREET STE 101
(21893)
BLOOMINGTON, MN 55425
PHONE: 952/842-9000
FAX: 952/842-9001
Corp
LCI IN HOME SERVICES
MR. JOHN 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
COMP
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
MAINSTAY SENIOR CARE
(27887)
FAX: 612/440-1074
Lim-Liab
MR. CHRIS TRAILER
HCP-B
8120 PENN AVENUE SOUTH #419
BLOOMINGTON, MN 55431
PHONE: 952/452-8083
(28750)
FAX: 510/443-1874
MS. JOAN CONNELLY
Minnesota Department of Health
Division of Compliance Monitoring
Page 131
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------
HWS
Lim-Liab
MARATHON MANAGEMENT
Registration
9730 NICOLLET AVENUE SOUTH
(31516)
BLOOMINGTON, MN 55420
PHONE: 651/259-4099
FAX: /
MS. JENNIFER WEISSMAN
Lim-Liab
MARTIN LUTHER CARE CENTER
SNF-NF-137
NH-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
MR. CHRIS TRAILER
FAX: /
HWSAL
Part
1301 EAST 100TH STREET
BLOOMINGTON, MN 55425
PHONE: 952/888-1010
METROPOLITAN LIVING LLC
(20264)
MS. SUZANNE KONECNY
FAX: 952/881-4323
HWSAL-O
Lim-Liab
9230 5TH AVENUE SOUTH
BLOOMINGTON, MN 55420
PHONE: 952/746-7896
METROPOLITAN LIVING LLC
(30669)
MR. JAMES HAMMILL
FAX: 952/746-7897
Lim-Liab
COMP
9230 5TH AVENUE SOUTH
BLOOMINGTON, MN 55420
PHONE: 952/746-7896
MINNESOTA HOME HEALTH
(26106)
MR. JAMES HAMMILL
FAX: 952/746-7897
Lim-Liab
HHA
HCP/COMP
5001 AMERICAN BLVD SUITE 640
BLOOMINGTON, MN 55437
PHONE: 952/835-5314
MINNESOTA MASONIC HOME CARE CT
(23582)
MS. ANGEL RICHARD
FAX: 952/835-5441
NProf
SNF-NF-214
NH-214
11501 MASONIC HOME DRIVE
BLOOMINGTON, MN 55437
PHONE: 952/948-7000
MN EYE LASER & SURGERY CENTER
(00232)
MS. SHELLY WIGGIN
FAX: 952/948-7970
Lim-Liab
Amb Surg
Outpt Surg
9801 DUPONT AVE SO SUITE 100
BLOOMINGTON, MN 55431
PHONE: 952/888-5800
MNGI ENDOSCOPY BLOOMINGTON
(00301)
MS. CANDACE SIMERSON
FAX: 952/567-6188
Corp
Amb Surg
Outpt 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 132
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
SLFB-6
ICFIID-6
8634 OAKLAND AVENUE
(01652)
BLOOMINGTON, MN 55420
PHONE: 612/236-7988
FAX: 952/881-5246
Corp
MTAI ALBERT PLACE
MS. CASSANDRA LABELLE
SLFA-6
ICFIID-6
9911 13TH AVENUE SOUTH
(01565)
BLOOMINGTON, MN 55425
PHONE: 763/754-2505
FAX: 763/862-7723
MS. MARY TJOSVOLD
HWS
Corp
NERVANAS CARING HANDS INC
8719 BLOOMINGTON AVENUE SOUTH
(30664)
BLOOMINGTON, MN 55425
PHONE: 612/220-7511
MS. NERVANA RAMNARAIN
FAX: 952/854-4633
Corp
NERVANAS CARING HANDS INC
COMP
8719 BLOOMINGTON AVENUE SOUTH
(26052)
BLOOMINGTON, MN 55425
PHONE: 612/220-7511
FAX: 952/854-4633
MS. NERVANA RAMNARAIN
HWSAL
NProf
NEWTON MANOR
10000 NEWTON AVENUE SOUTH
(21010)
BLOOMINGTON, MN 55431
PHONE: 952/948-3000
FAX: 952/948-3017
MS. MICHELLE SULLIVAN
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
MR. CHRIS TRAILER
FAX: /
HWSAL
Corp
NINE MILE CREEK SENIOR LIVING
2301 VILLAGE LANE
(30677)
BLOOMINGTON, MN 55431
PHONE: 952/888-0731
FAX: 952/884-2191
MS. STEPHANIE RITTER
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
Minnesota Department of Health
Division of Compliance Monitoring
Page 133
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
NORTH STAR HEALTH SERVICES LLC
Certification
HENNEPIN
Registration
(Cont.)* -------------------------
HCP-A
8200 HUMBOLDT AVE S STE 3109
(30851)
BLOOMINGTON, MN 55431
PHONE: 612/414-0689
FAX: 763/391-6452
MR. MOHAMED AMAND
HWSAL-O
Corp
OAKLAND
9725 OAKLAND AVENUE SOUTH
(31508)
BLOOMINGTON, MN 55420
PHONE: 952/888-7172
FAX: 952/888-7724
Lim-Liab
PAMPER ME FOOTCARE
MS. FAITH UDEH
HCP-A
10807 GOODRICH AVENUE SOUTH
(29159)
BLOOMINGTON, MN 55437
PHONE: 952/220-7527
MS. TONYA CHABOYEA
FAX: /-
NProf
PRESB HOMES OF BLOOMINGTON
NH-98
SNF-NF-98
9889 PENN AVENUE SOUTH
(00189)
BLOOMINGTON, MN 55431
PHONE: 952/948-3000
MR. BLAKE BOCHE
FAX: 952/948-3002
NProf
PRESBYTERIAN HOMES OF BLOOMING
HCP-F
9889 PENN AVENUE SOUTH
(27958)
BLOOMINGTON, MN 55431
PHONE: 952/948-3000
MS. NATALIE MORLAND
FAX: 952/948-3017
HWSAL
NProf
PRESBYTERIAN HOMES OF BLOOMING
10030 NEWTON AVENUE SOUTH
(20127)
BLOOMINGTON, MN 55431
PHONE: 952/948-3000
MS. MICHELLE SULLIVAN
FAX: 952/948-3017
HWSAL
NProf
PRESBYTERIAN HOMES OF BLOOMING
9889 PENN AVENUE SOUTH
(24062)
BLOOMINGTON, MN 55431
PHONE: 952/948-3000
MS. MICHELLE SULLIVAN
FAX: 952/948-3017
Lim-Liab
PRIORITY HOMES LLC
TCOMP
1713 WEST 85TH ST
(31273)
BLOOMINGTON, MN 55431
PHONE: 612/501-6680
PRNSC
MS. AMAL HASSAN
FAX: /
Lim-Liab
COMP
2740 AMERICAN BLVD W STE 100
BLOOMINGTON, MN 55431
PHONE: 952/858-8827
PRNSC LLC
(25662)
MS. CHARIE DEVOLITES
FAX: 952/858-8835
Lim-Liab
HCP-F
2740 AMERICAN BLVD W STE 100
BLOOMINGTON, MN 55431
PHONE: 952/858-8827
(25220)
FAX: 952/858-8835
MS. CHARIE DEVOLITES
Minnesota Department of Health
Division of Compliance Monitoring
Page 134
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------
XRAY
Corp
PROF PORTABLE X RAY INC
Registration
4801 W 81ST STREET STE 118
(22086)
BLOOMINGTON, MN 55437
PHONE: 952/915-9779
FAX: 952/915-9597
Corp
PROF RESOURCE NETWORK HHC
MS. SUE MCNAMEE
HCP/COMP
HHA
2740 AMERICAN BLVD W STE 100
(03633)
BLOOMINGTON, MN 55431
PHONE: 952/858-8807
FAX: 952/858-8835
MS. CHARIE DEVOLITES
Home Mgmt
Lim-Liab
RELIABLE SENIOR CONCIERGE
140 WEST 98TH ST STE 207
(31005)
BLOOMINGTON, MN 55420
PHONE: 952/290-0948
FAX: 952/290-0607
Corp
REM HENNEPIN BLOOMINGTON
MS. ROSLINE SHESTAD
SLFA-14
ICFIID-14
9201 OLD CEDAR AVENUE SOUTH
(01360)
BLOOMINGTON, MN 55425
PHONE: 952/854-1800
MS. CONNIE MENNE
FAX: 763/852-5350
Home Mgmt
Corp
RIGHT AT HOME
2626 EAST 82ND STREET STE 150
(21258)
BLOOMINGTON, MN 55425
PHONE: 952/854-6122
MR. PAUL BLOM
FAX: 952/854-6162
Lim-Liab
RTS UNLIMITED HEALTHCARE SVCS
HCP-A
8816 EMERSON AVENUE SOUTH
(29132)
BLOOMINGTON, MN 55420
PHONE: 651/714-3839
FAX: 855/755-4401
MS. TONYA LOVE
HWS
NProf
SIMPSON HOUSING SERVICES- CROS
8735 PORTLAND AVENUE SOUTH
(26698)
BLOOMINGTON, MN 55420
PHONE: 612/455-0875
SOLBAKKEN
FAX: /
MS. MOLLY HAGEN
HWS
Corp
7733 WEST 99TH STREET CIRCLE
BLOOMINGTON, MN 55438
PHONE: 952/943-8485
SOLBAKKEN
(30840)
MS. MARY ADAMS
FAX: 952/943-2941
Corp
HCP-F
7733 WEST 99TH STREET CIRCLE
BLOOMINGTON, MN 55438
PHONE: 952/943-8485
SOLBAKKEN INC
(20990)
FAX: 952/943-2941
MS. MARY ADAMS
HWS
Corp
145 SPRING VALLEY DR
BLOOMINGTON, MN 55420
PHONE: 952/943-8485
(20527)
FAX: 952/943-2941
MS. MARY ADAMS
Minnesota Department of Health
Division of Compliance Monitoring
Page 135
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------
HWS
Corp
SOLBAKKEN INC
Registration
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
COMP
4533 NORMANDALE HIGHLANDS D
(23991)
BLOOMINGTON, MN 55437
PHONE: 952/831-4591
MR. JAMES IMASUEN
FAX: 952/831-3275
HWSAL
Corp
THE JAMES INC
4533 NORMANDALE HIGHLANDS D
(30485)
BLOOMINGTON, MN 55437
PHONE: 952/831-4591
MR. JAMES IMASUEN
FAX: 952/831-3275
HWSAL
Corp
THE STANTON HOUSE, INC.
8925 CHICAGO AVE S
(31138)
BLOOMINGTON, MN 55420
PHONE: 612/521-9543
MS. TERRA ROSS
FAX: 612/886-1310
Out Pt Out St Out Ot
Corp
THE THERAPY PLACE
900 WEST 94TH STREET
(03828)
BLOOMINGTON, MN 55420
PHONE: 952/885-0418
THE WEALSHIRE OF BLOOMINGTON
MS. LYNN KOPFMAN
FAX: /
HWSAL
Lim-Liab
10601 LYNDALE AVENUE SOUTH
BLOOMINGTON, MN 55420
PHONE: 952/345-1900
THE WEALSHIRE OF BLOOMINGTON
(30803)
MS. ARLYCE SEVERSON
FAX: 952/345-1906
Lim-Liab
COMP
10601 LYNDALE AVENUE SOUTH
BLOOMINGTON, MN 55420
PHONE: 952/345-1900
TOUCHING HEARTS AT HOME
(28128)
MS. ARLYCE SEVERSON
FAX: 952/345-1906
Lim-Liab
COMP
2626 E 82ND STREET SUITE 145
BLOOMINGTON, MN 55425
PHONE: 952/888-0321
TRIA ORTHOPAEDIC CENTER LLC
(27204)
MR. WILLIAM WILKEN
FAX: 952/854-1111
Lim-Liab
Amb Surg
Outpt Surg
8100 NORTHLAND DRIVE
BLOOMINGTON, MN 55431
PHONE: 952/806-5486
(23244)
FAX: 952/806-5765
MR. ROBERT FINKE
Minnesota Department of Health
Division of Compliance Monitoring
Page 136
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------
HWSAL
Lim-Liab
WELCOME HOME RESIDENTIAL CARE
Registration
8454 KELL AVE S
(30204)
BLOOMINGTON, MN 55437
PHONE: 612/203-8899
FAX: 952/929-2032
MS. CHER KUECHLE
HWSAL
Lim-Liab
WELCOME HOME RESIDENTIAL CARE
8466 KELL AVENUE SOUTH
(28782)
BLOOMINGTON, MN 55437
PHONE: 612/203-8899
FAX: 952/929-2032
MS. CHER KUECHLE
HWSAL
Corp
WEST BLOOMINGTON RESIDENCE
10441 JOHNSON AVENUE SOUTH
(24675)
BLOOMINGTON, MN 55437
PHONE: 763/550-1774
FAX: 763/559-9155
NProf
WINGSPAN LIFE RESOURCES
MS. MARCIA DOONER
SLFB-6
ICFIID-6
2209 91 1/2 STREET WEST
(01198)
BLOOMINGTON, MN 55431
PHONE: 651/646-3846
MS. PATRICIA MOORE
FAX: 651/646-2347
HWS
NProf
6307 SCOTT AVENUE NORTH
6307 SCOTT AVENUE NORTH
(28475)
BROOKLYN CENTER, MN 55429
PHONE: 651/528-5026
MR. CHRIS TRAILER
FAX: /
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
HWS
NProf
3513 47TH AVENUE NORTH
3513 47TH AVENUE NORTH
(26767)
BROOKLYN CENTER, MN 55422
PHONE: 612/522-3394
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
5211 XERXES AVENUE NORTH
5211 XERXES AVENUE NORTH
(28529)
BROOKLYN CENTER, MN 55430
PHONE: 612/558-1000
ABIDJAN HEALTHCARE INC
FAX: /
MS. STACEY RAY
Corp
HCP-A
1301 72ND AVENUE NORTH
BROOKLYN CENTER, MN 55430
PHONE: 763/208-5169
ABUNDANT LIFE HOME HEALTH CARE
(27875)
FAX: 763/432-0170
Lim-Liab
MS. OYEMI ROBERTS
COMP
5901 BROOKLYN BLVD STE 110
BROOKLYN CENTER, MN 55429
PHONE: 763/843-0735
(26471)
FAX: 763/444-1517
MR. GEORGE MARSHALL
Minnesota Department of Health
Division of Compliance Monitoring
Page 137
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------
HWS
NProf
AFFIRMATION HOUSE
Registration
6007 NORTH GIRARD AVENUE
(27055)
BROOKLYN CENTER, MN 55430
PHONE: 612/204-8319
ALLIANCE HOME HEALTH CARE INC
FAX: /
MS. STACY RAY
Corp
HCP-A
5701 SHINGLE CREEK PKWY #120F
BROOKLYN CENTER, MN 55430
PHONE: 612/227-6153
AMAZING LOVE ASSISTED LIVING
(30405)
FAX: 763/561-2004
MS. FATUMA KAMARA
HWSAL
Lim-Liab
2318 55TH AVENUE NORTH
BROOKLYN CENTER, MN 55430
PHONE: 763/561-3434
AMERICAN BEST HOME CARE
(24365)
MR. YEMMY OSONOWO
FAX: 763/561-3636
Corp
HCP-A
3300 COUNTY RD 10 SUITE 320C
BROOKLYN CENTER, MN 55429
PHONE: 612/919-9523
AMERICAN FAMILY HOME CARE
(27873)
MR. SEGUN OLATAYO
FAX: 763/432-7356
Corp
COMP
5901 BROOKLYN BLVD SUITE 208
BROOKLYN CENTER, MN 55429
PHONE: 763/971-8888
ANGELS OF MERCY ASSISTED LIVIN
(24442)
MS. LOVETH AMAYANVBO
FAX: 763/971-8892
Corp
COMP
6018 HALIFAX PLACE
BROOKLYN CENTER, MN 55429
PHONE: 763/432-9706
ANGELS OF MERCY HOMECARE SERVI
(28129)
MR. FOLUSO ALLISON
FAX: 763/432-9708
HWSAL
Corp
6018 HALIFAX PL
BROOKLYN CENTER, MN 55429
PHONE: 763/432-9706
ASIAN AMERICAN ELDERLY AL LLC
(30483)
MR. FOLUSO ALLISON
FAX: 763/432-9708
HWSAL
Lim-Liab
5313 62ND AVENUE NORTH
BROOKLYN CENTER, MN 55429
PHONE: 763/243-7701
ASIAN AMERICAN ELDERLY ASSISTE
(30486)
MS. CHAO VANG
FAX: 763/569-0127
Lim-Liab
COMP
5313 62ND AVENUE NORTH
BROOKLYN CENTER, MN 55429
PHONE: 763/248-4627
BEARD AVENUE APARTMENTS
(24014)
FAX: 763/569-0127
MS. 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 138
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
COMP
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
BASIC
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
COMP
6500 BROOKLYN BLVD STE 200
(25402)
BROOKLYN CENTER, MN 55429
PHONE: 763/568-7236
MS. NGOZI MBIBI
FAX: 763/568-7239
NProf
BROOKLYN CENTER OUTREACH HOME
ICFIID-6
SLFA-6
507 69TH AVENUE NORTH
(01021)
BROOKLYN CENTER, MN 55430
PHONE: 763/561-9030
MS. MARY TJOSVOLD
FAX: 763/561-0263
Lim-Liab
CARE ON WHEELS HOMECARE SERVIC
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
TBASIC
3300 COUNTY RD 10 SUITE #300B
(31328)
BROOKLYN CENTER, MN 55430
PHONE: 612/910-5473
COMFORTABLE HOME HEALTH CARE L
FAX: /-
MS. DARLA VANG
Lim-Liab
COMP
5701 SHINGLE CREEK PKWY #645
BROOKLYN CENTER, MN 55430
PHONE: 763/951-3382
EARLE BROWN TERRACE
(28256)
FAX: 763/951-3420
Lim-Liab
MRS. LA TONYA HOLIFIELD
COMP
6100 SUMMIT DRIVE NORTH
BROOKLYN CENTER, MN 55430
PHONE: 763/560-6829
EARLE BROWN TERRACE
(29083)
FAX: 763/560-5089
MR. TOM BLOOM
HWSAL
Lim-Liab
6100 SUMMIT DRIVE NORTH
BROOKLYN CENTER, MN 55430
PHONE: 763/560-6829
(21671)
FAX: 763/503-3819
MR. STEPHEN NORNES
Minnesota Department of Health
Division of Compliance Monitoring
Page 139
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------
HWS
NProf
EDEN PARK APARTMENTS
Registration
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
COMP
5701 SHINGLE CREEK PKWY #112
(26335)
BROOKLYN CENTER, MN 55430
PHONE: 763/566-4025
FAX: 763/566-4052
Corp
FIRST CHOICE NURSING AND HOME
MR. JERRY HAVON
HCP-A
5701 SHINGLE CREEK PKY STE 112
(22349)
BROOKLYN CENTER, MN 55430
PHONE: 763/503-9505
FAX: 763/503-2363
Corp
FOCUSCARE INC
MR. JERRY HAVON
BASIC
5808 XERXES AVE NORTH
(29819)
BROOKLYN CENTER, MN 55430
PHONE: 612/388-0751
MR. MOHAMED ELMI
FAX: 612/276-5744
Corp
GOOD FAITH INC
HCP-A
6040 EARLE BROWN DR STE 260
(26601)
BROOKLYN CENTER, MN 55430
PHONE: 763/438-2936
MR. MINIRU ALAWIYE
FAX: 763/503-9451
GOODNESS AND MERCY HEALTH SERV
Corp
HCP-A
3808 61ST AVENUE NORTH
(23419)
BROOKLYN CENTER, MN 55429
PHONE: 651/631-2535
FAX: 651/631-2538
GOODNESS AND MERCY HEALTH SERV
MS. ADESOLA OGUNDIPE
HWSAL
Corp
3808 61ST AVE N
(30784)
BROOKLYN CENTER, MN 55429
PHONE: 651/631-2535
FAX: 651/631-2538
GOODNESS AND MERCY HEALTH SERV
MS. ADESOLA OGUNDIPE
HWSAL
Corp
3200 63RD AVENUE NORTH
BROOKLYN CENTER, MN 55429
PHONE: 651/631-2535
GOODNESS AND MERCY HLTH SVCS
(29902)
FAX: 651/631-2538
Corp
MS. ADESOLA OGUNDIPE
HCP-F
3808 61ST AVE N
BROOKLYN CENTER, MN 55429
PHONE: 651/631-2535
HMONG SENIOR HEALTH CARE INC
(27939)
FAX: 651/631-2538
MS. ADESOLA OGUNDIPE
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 140
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------
Home Mgmt
Ind
HOME MANAGEMENT SERVICES
Registration
5701 SHINGLE CREEK PKWY #640F
(30307)
BROOKLYN CENTER, MN 55430
PHONE: 612/735-8020
FAX: /
MR. OTHELLO GIBALAH
Lim-Liab
INDEPENDENT HOME CARE AGENCY
HCP-A
3300 COUNTY ROAD 10 STE 300E
(28566)
BROOKLYN CENTER, MN 55429
PHONE: 763/205-5763
FAX: 763/560-1014
Corp
INTEGRATED NURSING & HLTH SVCS
MR. OLIVER WALKER
HCP/COMP
HHA
5637 BROOKLYN BLVD SUITE 300
(20847)
BROOKLYN CENTER, MN 55429
PHONE: 763/504-4559
FAX: 763/504-1185
MR. ROY BELFREY
HWS
Lim-Liab
KRAMER SAXL GROUP
2119 70TH AVENUE NORTH
(31524)
BROOKLYN CENTER, MN 55430
PHONE: 612/860-2550
LIVING WELL LYNDALE
MS. JENNIFER WEISSMAN
FAX: /-
NProf
SLFB-8
ICFIID-8
5449 LYNDALE AVENUE NORTH
BROOKLYN CENTER, MN 55430
PHONE: 763/560-2220
MARANATHA CARE CENTER
(01243)
MR. CHRISTOPHER DOMIER
FAX: 763/560-7596
NProf
NH-97
SNF-NF-97
5409 69TH AVENUE NORTH
BROOKLYN CENTER, MN 55429
PHONE: 763/549-9600
MARANATHA PLACE
(00226)
FAX: 763/549-9636
NProf
MS. ANNE O'CONNOR
HCP-F
5401 69TH AVENUE NORTH
BROOKLYN CENTER, MN 55429
PHONE: 763/549-9600
MARANATHA PLACE
(27951)
FAX: 763/549-9636
MS. NATALIE MORLAND
HWSAL
NProf
5415 69TH AVENUE NORTH
BROOKLYN CENTER, MN 55429
PHONE: 763/569-4500
MILES VENTS CARE
(20024)
FAX: 763/569-4576
Corp
MRS. ANNE O'CONNOR
COMP
5701 SHINGLE CREEK PKWY #115
BROOKLYN CENTER, MN 55430
PHONE: 763/205-5880
N & V HELPFUL HEART CARE INC
(26443)
FAX: 763/205-5878
MS. JULIANA IRETELE
HWSAL-O
Corp
8159 MOUNT CURVE BLVD
BROOKLYN CENTER, MN 55445
PHONE: 763/442-0460
(31111)
FAX: 206/666-2482
MS. VERA DIXON
Minnesota Department of Health
Division of Compliance Monitoring
Page
141
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------
HWS
Corp
N & V HELPFUL HEART CARE INC
Registration
6012 YORK AVE N
(30777)
BROOKLYN CENTER, MN 55429
PHONE: 763/442-0460
FAX: 206/666-2482
Ind
NEWAGE HOMECARE
MS. VERA DIXON
HCP-A
6812 SCOTT AVENUE NORTH
(29468)
BROOKLYN CENTER, MN 55429
PHONE: 763/300-9040
FAX: /
MS. LANKIA LARTEY
Ind
NGUFOR
HCP-A
5901 BROOKLYN BLVD SUITE 101
(28144)
BROOKLYN CENTER, MN 55429
PHONE: 763/208-4222
FAX: 763/208-4191
NProf
NORTH RESIDENTIAL HOSPICE
MR. PATRICK NGUFOR
RES-HSPICE-8
4201 58TH AVENUE NORTH
(01679)
BROOKLYN CENTER, MN 55429
PHONE: 763/581-9340
MS. LAURA WILSON
FAX: 763/581-9341
Corp
OPEN ARMS NURSING SERVICES INC
COMP
3300 COUNTY ROAD 10 STE 320J
(28787)
BROOKLYN CENTER, MN 55429
PHONE: 763/244-1406
MR. MARBUE WATKINS
FAX: 763/390-0407
Lim-Liab
PLATEAU HEALTHCARE LLC
HCP-A
6424 JUNE AVENUE N
(27310)
BROOKLYN CENTER, MN 55429
PHONE: 763/444-1361
FAX: 763/444-1358
MS. ALICIA THIELEN-BOUKARI
HWS-O
Lim-Liab
PLATEAU HEALTHCARE LLC
6424 JUNE AVENUE NORTH
(29267)
BROOKLYN CENTER, MN 55429
PHONE: 763/444-1361
FAX: 763/444-1358
Ind
READY FOR YOU HOME HEALTH CARE
MS. ALICIA THIELEN-BOUKARI
HCP-A
3300 BASS LAKE ROAD SUITE 211
(29540)
BROOKLYN CENTER, MN 55429
PHONE: 612/225-8107
RELIABLE HUMAN SERVICES INC
FAX: /
MS. VERNEICE ABRAMS
Corp
COMP
5701 SHINGLE CREEK PARKWAY NOR
BROOKLYN CENTER, MN 55430
PHONE: 763/390-7695
RIGHTWAY HOME CARE SERVICES
(29112)
FAX: 763/219-8482
MR. CHRISTIAN KOLLEH
HWS
Lim-Liab
7082 BROOKLYN BOULEVARD
BROOKLYN CENTER, MN 55429
PHONE: 763/432-9738
(27024)
FAX: 763/208-5725
MRS. ABIOLA MUSTAPHA
Minnesota Department of Health
Division of Compliance Monitoring
Page 142
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
RIGHTWAY HOME CARE SERVICES IN
Certification
HENNEPIN
Registration
(Cont.)* -------------------------
HCP-F
7082 BROOKLYN BOULEVARD
(29336)
BROOKLYN CENTER, MN 55429
PHONE: 763/432-9738
FAX: 763/208-5725
Corp
RIGHTWAY HOME CARE SERVICES IN
MR. DANIEL UGWUMBA
COMP
7082 BROOKLYN BOULEVARD
(26948)
BROOKLYN CENTER, MN 55429
PHONE: 763/432-9738
FAX: 763/208-5725
MR. ADEBAYO MUSTAPHA
HWS
NProf
RIVERWOOD ESTATES
207 65TH AVENUE
(26665)
BROOKLYN CENTER, MN 55430
PHONE: 612/204-8319
FAX: /-
MS. STACEY RAY
HWS
NProf
RIVERWOOD ESTATES
215 65TH AVENUE NORTH
(26107)
BROOKLYN CENTER, MN 55430
PHONE: 612/204-8319
MS. STACEY RAY
FAX: /-
HWS
NProf
RIVERWOOD ESTATES
6425 WILLOW LANE NORTH
(26108)
BROOKLYN CENTER, MN 55430
PHONE: 612/204-8319
MS. STACEY RAY
FAX: /-
HWS
NProf
RIVERWOOD ESTATES
6409 WILLOW LANE
(27289)
BROOKLYN CENTER, MN 55430
PHONE: 612/204-8319
FAX: /-
MS. STACEY RAY
HWS
NProf
RIVERWOOD ESTATES
6417 WILLOW LANE
(26748)
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
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 APARTMENTS
6700 HUMBOLDT AVE N
(29789)
BROOKLYN CENTER, MN 55430
PHONE: 612/990-5599
FAX: /
MS. STACEY RAY
Minnesota Department of Health
Division of Compliance Monitoring
Page 143
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------
HWS
NProf
STERLING APARTMENTS
Registration
6640 NORTH HUMBOLDT AVENUE
(29557)
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
THE PRAIRIE LODGE AT EARLE BRO
MR. CHRIS TRAILER
FAX: /-
NProf
COMP
6001 EARLE BROWN DRIVE
BROOKLYN CENTER, MN 55430
PHONE: 763/566-1495
THE PRAIRIE LODGE AT EARLE BRO
(21399)
MS. JANELLE MEYERS
FAX: 763/566-1625
HWSAL
NProf
6001 EARLE BROWN DRIVE
BROOKLYN CENTER, MN 55430
PHONE: 763/566-1495
TLC AGENCIES LLC
(20315)
MRS. JANELLE MEYERS
FAX: 763/566-1625
Lim-Liab
HCP-A
5701 SHINGLE CRK PKY STE 500 N
BROOKLYN CENTER, MN 55430
PHONE: 612/414-7299
TLC HEALTHCARE SVS LLC
(28093)
MS. TWYANA BALLA
FAX: 877/335-6783
HWS
Lim-Liab
3300 COUNTY ROAD 10 STE 400I
BROOKLYN CENTER, MN 55429
PHONE: 612/965-6819
TOLAD INC
(27799)
MS. EMMY BRADFORD
FAX: 651/344-0850
Corp
COMP
7062 BROOKLYN BOULEVARD
BROOKLYN CENTER, MN 55429
PHONE: 763/566-1744
ULTIMATE HOME CARE-LOGAN HOUSE
(26275)
FAX: 763/566-1755
MR. EMMANUEL COKER
HWSAL
Corp
5443 LOGAN AVENUE NORTH
BROOKLYN CENTER, MN 55430
PHONE: 763/560-9890
(29624)
FAX: 763/560-9891
MR. ALFRED APATA
Minnesota Department of Health
Division of Compliance Monitoring
Page 144
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
VERACITY HEALTH SYSTEMS LLC
Certification
HENNEPIN
Registration
(Cont.)* -------------------------
HCP-A
3300 COUNTY ROAD 10 #405
(28039)
BROOKLYN CENTER, MN 55429
PHONE: 763/208-1797
FAX: 651/344-0590
MS. ZELDA RUSSELL
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
COMP
3260 BASS LAKE ROAD STE C
(24406)
BROOKLYN CENTER, MN 55429
PHONE: 763/533-3135
FAX: 763/533-3178
MS. ARETINA WILLIAMS
HWS
NProf
2649 BROOKDALE LN N
2649 BROOKDALE LN N
(29934)
BROOKLYN PARK, MN 55444
PHONE: 763/245-3924
MR. CHRIS TRAILER
FAX: /-
HWS
NProf
5833 - HUNTINGTON PLACE
5833 73RD AVENUE NORTH
(25845)
BROOKLYN PARK, MN 55429
PHONE: 651/774-0011
FAX: 651/774-0606
MRS. DANIELLE FOX
HWS
NProf
6628 WEST BROADWAY AVENUE NORT
6628 WEST BROADWAY AVENUE NORT
(27370)
BROOKLYN PARK, MN 55428
PHONE: 612/325-2500
FAX: 612/521-4606
MR. CHRIS TRAILER
HWS
NProf
7601 ZANE AVE N
7601 ZANE AVE N
(31228)
BROOKLYN PARK, MN 55443
PHONE: 763/503-0104
MR. CHRIS TRAILER
FAX: /-
HWS
NProf
7940 KYLE AVENUE NORTH
7940 KYLE AVENUE NORTH
(28493)
BROOKLYN PARK, MN 55443
PHONE: 612/387-9216
8300 ZANE AVENUE NORTH
MR. CHRIS TRAILER
FAX: /-
HWS
NProf
8300 ZANE AVENUE NORTH
BROOKLYN PARK, MN 55443
PHONE: 612/325-2500
8308 ZANE AVENUE NORTH
(25346)
FAX: 612/521-4606
MR. CHRIS TRAILER
HWS
NProf
8308 ZANE AVENUE NORTH
BROOKLYN PARK, MN 55443
PHONE: 612/325-2500
(25347)
FAX: 612/521-4606
MR. CHRIS TRAILER
Minnesota Department of Health
Division of Compliance Monitoring
Page 145
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------
HWS-O
Lim-Liab
ABUNDANT LIFE HOME HEALTH CARE
Registration
5901 BROOKLYN BLVD STE 110
(26592)
BROOKLYN PARK, MN 55443
PHONE: 763/732-8391
FAX: 763/444-1517
Corp
ACR HOME ON FALLGOLD
MR. GEORGE MARSHALL
SLFB-6
ICFIID-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
COMP
8525 EDINBROOK CROSSING STE 1B
(25390)
BROOKLYN PARK, MN 55443
PHONE: 763/742-5722
FAX: 763/971-8892
MR. ALBASHA N HUME
HWS
Corp
AMAS INCORPORATED
3617 77TH AVENUE NORTH
(30522)
BROOKLYN PARK, MN 55443
PHONE: 763/315-2837
MS. JOANNE SIMON
FAX: 763/424-6196
Corp
AMAS INCORPORATED
COMP
3617 77TH AVENUE NORTH
(24324)
BROOKLYN PARK, MN 55443
PHONE: 763/315-2837
MR. DEEN AJIBOLA
FAX: 763/424-6196
HWS
Corp
AMAS INCORPORATED
4016 81ST AVENUE NORTH
(25609)
BROOKLYN PARK, MN 55443
PHONE: 763/315-2837
MS. JOANNE SIMON
FAX: 763/424-6196
HWS
Corp
AMERICAN FAMILY HOME CARE
8617 EDINBROOK CROSSING #102
(29904)
BROOKLYN PARK, MN 55443
PHONE: 763/971-8888
MR. DICKSON ALIGBE
FAX: 763/971-8892
Lim-Liab
ANGEL CARE HOME HEALTH SERVICE
HCP-B
6940 GEORGIA AVENUE NORTH
(29766)
BROOKLYN PARK, MN 55428
PHONE: 612/756-5580
ANGEL HEALTH SERVICES
MS. LESLIE MORRIS
FAX: /
Lim-Liab
HCP-A
2609 87TH TRAIL NORTH
BROOKLYN PARK, MN 55443
PHONE: 763/412-9921
ASCENSION PLACE
(28255)
FAX: 763/315-6586
MR. PHILIP UWAGWU
HWS
NProf
6020 65TH AVENUE NORTH # 253
BROOKLYN PARK, MN 55429
PHONE: 612/588-0861
(31015)
FAX: 612/588-8827
MS. BETSY LAMARRE
Minnesota Department of Health
Division of Compliance Monitoring
Page 146
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------
HWS
NProf
ASCENSION PLACE
Registration
6312 BOONE AVENUE NORTH
(31016)
BROOKLYN PARK, MN 55428
PHONE: 612/588-0861
FAX: 612/588-8827
Lim-Liab
AUDRIE HOME HEALTH CARE LLC
MS. BETSY LAMARRE
BASIC
7040 LAKELAND AVE NO STE 205
(26484)
BROOKLYN PARK, MN 55428
PHONE: 763/560-9212
FAX: 763/560-9636
MS. AUDREY PIERSON
HWS
NProf
AUTUMN RIDGE
8508 63RD AVENUE NORTH
(31406)
BROOKLYN PARK, MN 55428
PHONE: 763/533-8541
AUTUMN RIDGE APARTMENTS
FAX: /-
MS. CAMILLA SHIMONEK
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
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
6300 BOONE AVENUE NORTH
BROOKLYN PARK, MN 55428
PHONE: 763/533-8541
CARING MEADOWS
(26423)
MR. CHRIS TRAILER
FAX: 763/531-0258
HWSAL
Lim-Liab
7723 BROOKLYN BLVD SUITE 204
BROOKLYN PARK, MN 55443
PHONE: 763/208-9971
CARING NURSES LLC
(29536)
MR. ROBERT EDDY
FAX: 763/270-0294
HWS
Lim-Liab
4426 LADYSLIPPER AVENUE NORTH
BROOKLYN PARK, MN 55443
PHONE: 763/566-4325
CARING NURSES LLC
(27459)
MS. JOSEPHINE SMITH
FAX: 763/566-4341
Lim-Liab
HCP-F
7714 BROOKLYN BLVD #204
BROOKLYN PARK, MN 55443
PHONE: 763/566-4325
CARING NURSES LLC
(27460)
MR. ROBERT EDDY
FAX: 763/566-4341
Lim-Liab
COMP
7714 BROOKLYN BLVD SUITE 204
BROOKLYN PARK, MN 55443
PHONE: 763/566-4325
(25432)
FAX: 763/566-4341
MS. JOSEPHINE GURLEY
Minnesota Department of Health
Division of Compliance Monitoring
Page 147
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
CARING NURSES, LLC
Certification
HENNEPIN
Registration
(Cont.)* -------------------------
HWSAL
Lim-Liab
7700 SHINGLE CREEK DR
BROOKLYN PARK, MN 55443
PHONE: 612/481-9640
COLORADO HOUSE
(31336)
FAX: 763/566-4341
MR. ROBERT EDDY
HWS
Lim-Liab
7509 COLORADO AVENUE NORTH
BROOKLYN PARK, MN 55443
PHONE: 763/493-5067
DIVINE NURTURING HOMECARE SERV
(25822)
FAX: 763/493-5138
Corp
MR. FREDIE OGIUGO
HCP-A
7964 BROOKLYN BLVD STE 216
BROOKLYN PARK, MN 55445
PHONE: 763/390-2590
DUNGARVIN/HUMBOLDT
(28018)
MS. NOELA SUHFOR
FAX: 763/494-3782
HWSAL-O
Lim-Liab
7723 HUMBOLDT AVENUE NORTH
BROOKLYN PARK, MN 55444
PHONE: 651/699-6050
DUNGARVIN/HUMBOLDT
(24560)
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)
MS. KARIN STOCKWELL
FAX: 651/699-7265
HWSAL-O
Lim-Liab
7727 HUMBOLDT AVENUE NORTH
BROOKLYN PARK, MN 55444
PHONE: 651/699-6050
ELITE NURSING SERVICE INC
(24561)
MS. KARIN STOCKWELL
FAX: 651/699-7265
Corp
COMP
5701 SHINGLE CREEK PKWY # 580
BROOKLYN PARK, MN 55430
PHONE: 763/421-3613
EMPIRE SYSTEMS HOME CARE INC
(26977)
MR. BANBAH DENNIS GARSINII
FAX: 763/374-5451
Corp
HCP-A
6248 LAKELAND AVENUE N STE 211
BROOKLYN PARK, MN 55428
PHONE: 763/245-1786
EMPOWERMENT HC IAN'S HOUSE
(29318)
FAX: 877/649-1831
MS. LEILANI FLEMISTER
HWSAL-O
Lim-Liab
7825 MODERN ROAD
BROOKLYN PARK, MN 55428
PHONE: 952/848-0935
(28485)
FAX: 952/920-6929
MR. ROGER BONNY
Minnesota Department of Health
Division of Compliance Monitoring
Page
148
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------
HWSAL-O
Lim-Liab
EMPOWERMENT HC KRISTEN'S HOUSE
Registration
8125 FRANCE AVENUE NORTH
(26577)
BROOKLYN PARK, MN 55443
PHONE: 952/848-0935
FAX: 952/920-6929
MR. ROGER BONNY
HWSAL-O
Corp
EMPOWERMENT HEALTH CARE IYKE'S
4400 82ND AVENUE NORTH
(25157)
BROOKLYN PARK, MN 55443
PHONE: 763/503-6806
FAX: 763/208-7071
Corp
EMPOWERMENT HEALTHCARE
MR. ROGER BONNY
COMP
6800 78TH AVENUE NORTH
(29431)
BROOKLYN PARK, MN 55445
PHONE: 860/967-9340
FAX: 860/967-9340
EMPOWERMENT HEALTHCARE RYLEE'S
MR. ROGER BONNY
HWSAL-O
Lim-Liab
7517 69TH AVENUE NORTH
(26323)
BROOKLYN PARK, MN 55428
PHONE: 860/967-9340
MR. ROGER BONNY
FAX: 763/208-7071
EMPOWERMENT HEALTHCARE STANLEY
HWSAL
Corp
7549 HAMPSHIRE AVENUE NORTH
(29209)
BROOKLYN PARK, MN 55428
PHONE: 763/432-7369
MR. ROGER BONNY
FAX: 763/208-7071
HWS
Lim-Liab
ESTHERRA CARE LLC
3808 73RD AVENUE NORTH
(31409)
BROOKLYN PARK, MN 55429
PHONE: 952/688-7164
EVENSONG MANOR
FAX: /-
MS. ESTHER WAKO
Corp
COMP
6264 YUKON AVENUE NORTH
BROOKLYN PARK, MN 55428
PHONE: 763/537-4374
EVENSONG MANOR
(24202)
FAX: 763/537-4374
MS. MARY JANE CHAIGNOT
HWSAL
Corp
6264 YUKON AVENUE NORTH
BROOKLYN PARK, MN 55428
PHONE: 763/537-4374
EVERGREEN APARTMENTS
(30500)
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
(25274)
FAX: 763/222-4747
MS. CHIZOBA OKAFOR
Minnesota Department of Health
Division of Compliance Monitoring
Page 149
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
FIRST CHOICE NURSING & HOME CA
Certification
HENNEPIN
Registration
(Cont.)* -------------------------
HWS-O
Corp
2108 PEARSON PKWY
BROOKLYN PARK, MN 55444
PHONE: 763/503-9505
FIRST CHOICE NURSING & HOMECAR
(26265)
FAX: 763/503-2363
MR. JERRY HAVON
HWSAL-O
Corp
5231 91ST CRESCENT NORTH
BROOKLYN PARK, MN 55443
PHONE: 763/503-9505
GOOD FAITH INC
(28880)
FAX: 763/503-2363
MR. JERRY HAVON
HWSAL
Corp
3506 BROOKDALE DR
BROOKLYN PARK, MN 55444
PHONE: 763/208-9272
GRANDMA'S PLACE INC
(30200)
MR. MINIRU ALAWIYE
FAX: 763/503-9451
Corp
COMP
7040 LAKELAND AVE. NO SUITE 1
BROOKLYN PARK, MN 55428
PHONE: 763/560-2500
GRANDMAS PLACE INC
(24787)
MR. RON HENDRICKSON
FAX: 763/561-0159
HWS-O
Corp
7901 ZANE AVE N #7
BROOKLYN PARK, MN 55443
PHONE: 763/560-2500
HARMONY LIVING HEALTH CARE SER
(30588)
MR. RON HENDRICKSON
FAX: 763/561-0159
Lim-Liab
COMP
7420 UNITY AVE NORTH SUITE 203
BROOKLYN PARK, MN 55443
PHONE: 763/432-7968
HARMONY LIVING HEALTH CARE SER
(25474)
MR. ALEXANDER ONGOU
FAX: 763/432-7968
HWS-O
Lim-Liab
7509 COLFAX AVENUE NORTH
BROOKLYN PARK, MN 55444
PHONE: 763/432-7968
HEALTHY LIVING HOME CARE
(30592)
MR. ALEXANDER ONGOU
FAX: 763/432-7968
Lim-Liab
HCP-A
6245 104TH CIRCLE NORTH
BROOKLYN PARK, MN 55443
PHONE: 763/226-8255
HENNEPIN HOME HEALTH CARE INC
(29959)
MS. ANGELA MENSAH
FAX: 612/387-6850
Corp
HHA
HCP/COMP
8590 EDINBURGH CENTER DRIVE
BROOKLYN PARK, MN 55443
PHONE: 763/425-5959
HOMEWARD BOUND BROOKLYN PARK
(03188)
MS. AMELIA MATA
FAX: 763/425-5929
NProf
ICFIID-32
SLFB-32
7839 BROOKLYN BOULEVARD
BROOKLYN PARK, MN 55445
PHONE: 763/746-4851
(01273)
FAX: 763/525-4084
MR. DON PRIEBE
Minnesota Department of Health
Division of Compliance Monitoring
Page 150
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------
HWSAL
Lim-Liab
HOPE'S RESIDENCE
Registration
6449 EDGEMONT BOULEVARD NORTH
(30715)
BROOKLYN PARK, MN 55428
PHONE: 763/205-0519
FAX: /
MS. ESTHER HAMMER
Lim-Liab
HOPES RESIDENCE
HCP-F
6449 EDGEMONT BOULEVARD NORTH
(26435)
BROOKLYN PARK, MN 55428
PHONE: 763/208-4590
FAX: 763/208-4590
MS. JANE DOE
HWSAL
Lim-Liab
HOPES RESIDENCE RIVERVIEW
8624 RIVERVIEW LN
(30567)
BROOKLYN PARK, MN 55444
PHONE: 763/486-8955
FAX: /-
MS. ESTHER HAMMER
HWS
NProf
HUNTINGON PLACE APARTMENTS
5809 73RD AVENUE NORTH
(25401)
BROOKLYN PARK, MN 55429
PHONE: 612/204-8319
MS. STACEY RAY
FAX: /-
HWS
NProf
HUNTINGTON PLACE APARTMENTS
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
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
Home Mgmt
Ind
ICARE HOME CARE
8462 SUMTER CIRCLE
(30927)
BROOKLYN PARK, MN 55445
PHONE: 678/521-3071
FAX: /
MS. SHAURNTAE THOMAS
NProf
J A WEDUM HOSPICE RESIDENCE
RES-HSPICE-12
9350 NOBLE PARKWAY
(26907)
BROOKLYN PARK, MN 55443
PHONE: 763/236-2950
FAX: 763/236-2975
Ind
JENNIFER BENSON
MS. GLORIA CADE
HCP-C
9137 WOODHALL CROSSING
(03845)
BROOKLYN PARK, MN 55443
PHONE: 612/978-5662
FAX: /-
MS. JENNIFER BENSON
18-HOSPICE-
Minnesota Department of Health
Division of Compliance Monitoring
Page 151
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
JIRANI CARE
Certification
HENNEPIN
Registration
(Cont.)* -------------------------
COMP
7714 BROOKLYN BLVD STE 200C
(26936)
BROOKLYN PARK, MN 55443
PHONE: 763/560-0080
FAX: 763/560-0090
Corp
JOYOUS CARE & FAMILY PRESERVAT
MR. WONLE QUEEGLAY
HCP-A
8525 EDINBROOK XING N #107 C&D
(29365)
BROOKLYN PARK, MN 55443
PHONE: 763/315-5912
FAX: 763/315-5916
MS. JENNIFER NELSON
HWSAL
Corp
JOYOUS CARE & FAMILY PRESERVAT
7566 BRUNSWICK AVENUE NORTH
(29363)
BROOKLYN PARK, MN 55443
PHONE: 763/315-5912
FAX: 763/315-5916
MS. ELIZABETH MAFE
HWS
NProf
KENSINGTON PLACE APARTMENTS
8312 ZANE AVENUE NORTH
(27611)
BROOKLYN PARK, MN 55443
PHONE: 612/325-2500
MR. CHRIS TRAILER
FAX: /-
HWS
NProf
KENSINGTON PLACE APARTMENTS
8316 ZANE AVENUE NORTH
(27372)
BROOKLYN PARK, MN 55443
PHONE: 612/325-2500
MR. CHRIS TRAILER
FAX: 612/521-4606
HWS
NProf
KENSINGTON PLACE APARTMENTS
8304 ZANE AVENUE NORTH
(27870)
BROOKLYN PARK, MN 55443
PHONE: 612/325-2500
FAX: 612/521-4606
Lim-Liab
KIND HEARTS HEALTH CARE LLC
MR. CHRIS TRAILER
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. TRIZER SMITH
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
5509 BROOKDALE DRIVE NORTH
(27369)
BROOKLYN PARK, MN 55443
PHONE: 612/204-8319
FAX: /
MS. STACEY RAY
Minnesota Department of Health
Division of Compliance Monitoring
Page 152
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------
HWS
NProf
MOONRAKER APARTMENTS
Registration
5517 BROOKDALE DRIVE NORTH
(25462)
BROOKLYN PARK, MN 55443
PHONE: 612/204-8319
FAX: /-
MS. STACEY RAY
HWS
NProf
MOONRAKER APARTMENTS
5505 BROOKDALE DRIVE NORTH
(27463)
BROOKLYN PARK, MN 55443
PHONE: 763/560-5228
FAX: 763/560-5279
MR. CHRIS TRAILER
HWS
NProf
MOONRAKER APARTMENTS
5501 BROOKDALE DRIVE NORTH
(27519)
BROOKLYN PARK, MN 55443
PHONE: 763/560-5228
FAX: 763/560-5279
MS. STACEY RAY
HWS
NProf
MOONRAKER APARTMENTS
5513 BROOKDALE DRIVE NORTH
(27368)
BROOKLYN PARK, MN 55443
PHONE: 612/204-8319
NEW MILLENNIUM HEALTH CARE
MS. STACEY RAY
FAX: /
Corp
COMP
6264 SUNRISE TERRACE
BROOKLYN PARK, MN 55428
PHONE: 763/780-9933
OLIDIA CARE INC
(21361)
MR. JOHN ARNDT
FAX: 763/546-3968
Corp
COMP
4105 85TH AVE N SUITE 101
BROOKLYN PARK, MN 55443
PHONE: 612/703-6144
OLU'S HOME INC
(25418)
MR. OLIVIER NKWONKAM
FAX: 763/634-5997
HWSAL
Corp
8117 NORTH COLLEGE PARK DRIVE
BROOKLYN PARK, MN 55445
PHONE: 763/657-7379
PINNACLE SERVICES INC
(29339)
MS. CANDICE ELLIS-CHAPMAN
FAX: 612/824-1456
HWSAL-O
Corp
8617 EDINBROOK CROSSING
BROOKLYN PARK, MN 55443
PHONE: 763/657-0612
PLATEAU HEALTHCARE LLC
(27023)
MS. JILL CIHLAR
FAX: 763/273-4979
HWS-O
Lim-Liab
1817 LARAMIE TRAIL
BROOKLYN PARK, MN 55444
PHONE: 763/444-1361
PRUDENCE CARE AND PROFESSIONAL
(27797)
MS. ALICIA THIELEN-BOUKARI
FAX: 763/444-1358
Corp
HCP-A
8300 RHODE ISLAND DRIVE NORTH
BROOKLYN PARK, MN 55445
PHONE: 612/239-0264
(29702)
FAX: 763/566-2874
MR. PAUL QUAYE
Minnesota Department of Health
Division of Compliance Monitoring
Page 153
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
REGENT RESIDENCE
Certification
HENNEPIN
Registration
(Cont.)* -------------------------
HWSAL
Lim-Liab
7601 REGENT AVENUE NORTH
BROOKLYN PARK, MN 55443
PHONE: 763/566-4325
REM HENNEPIN INC LAKELAND
(29422)
FAX: 763/566-4341
Corp
MR. ROBERT EDDY
SLFB-6
ICFIID-6
6816 65TH AVE NORTH
BROOKLYN PARK, MN 55428
PHONE: 763/852-5325
SAINT THERESE AT OXBOW LAKE
(01026)
FAX: 763/852-5350
Lim-Liab
MR. SCOTT RODWELL
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
Lim-Liab
MS. BRANDI BARTHEL
HCP-A
10031 HONEYSUCKLE AVENUE NORTH
BROOKLYN PARK, MN 55443
PHONE: 651/278-1144
SEFERTT HEALTH CARE
(28096)
MRS. LOIS AMUSAN
FAX: 763/657-7537
HWSAL
Lim-Liab
10031 HONEYSUCKLE AVE N
BROOKLYN PARK, MN 55443
PHONE: 651/278-1144
SHINGLE CREEK OPTION
(29764)
MR. MATTHEW AMUSAN
FAX: 763/657-7537
NProf
SLFB-15
ICFIID-15
5624 73RD AVENUE NORTH
BROOKLYN PARK, MN 55429
PHONE: 763/560-5330
ST THERESE AT OXBOW LAKE
(01430)
FAX: 763/566-8429
MR. MICHAEL AMON
HWSAL
NProf
5200 OAK GROVE PARKWAY
BROOKLYN PARK, MN 55443
PHONE: 763/493-7000
ST THERESE HOME CARE
(30544)
FAX: 763/493-7001
NProf
MS. BRANDI BARTHEL
COMP
5200 OAK GROVE PARKWAY
BROOKLYN PARK, MN 55443
PHONE: 763/493-7000
THE 92ND TRAIL
(24510)
FAX: 763/493-7001
MS. BRANDI BARTHEL
HWS
Corp
6018 92ND TRAIL
BROOKLYN PARK, MN 55443
PHONE: 763/566-4025
THE CARING SISTERS HOME CARE S
(31439)
FAX: 763/566-4052
MR. JERRY HAVON
HWSAL
Corp
3901 BURQUEST LANE NORTH
BROOKLYN PARK, MN 55429
PHONE: 763/537-7963
(24802)
FAX: 952/426-4691
MR. OLALEYE BECKLEY
Minnesota Department of Health
Division of Compliance Monitoring
Page 154
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------
HWSAL
Corp
TOLAD INCORPORATED
Registration
516 BROOKDALE DRIVE
(26250)
BROOKLYN PARK, MN 55444
PHONE: 763/566-1744
FAX: 763/566-1755
MR. EMMANUEL COKER
HWSAL
Lim-Liab
TRADITION
8500 TESSMAN FARM ROAD N
(25879)
BROOKLYN PARK, MN 55428
PHONE: 763/416-7740
FAX: 763/416-7745
Lim-Liab
TRADITION
MR. STEPHEN NORNES
COMP
8500 TESSMAN FARM ROAD
(29077)
BROOKLYN PARK, MN 55445
PHONE: 763/416-7740
MS. SARAH MCDONAGH
FAX: 763/416-7745
Lim-Liab
TUTS BLESSING LLC
HCP-A
8617 EDINBROOK CROSSING #104
(26478)
BROOKLYN PARK, MN 55443
PHONE: 850/207-5322
MS. MYRA MAGANA
FAX: /
HWSAL
Corp
ULTIMATE HOME CARE
7601 ZANE AVENUE NORTH
(27152)
BROOKLYN PARK, MN 55428
PHONE: 763/560-9890
MR. ALFRED APATA
FAX: 763/560-9891
Corp
ULTIMATE HOME CARE
HCP-A
7040 LAKELAND AVE N #208B
(26575)
BROOKLYN PARK, MN 55428
PHONE: 763/560-9890
MR. ALFRED APATA
FAX: 763/560-9891
HWS
Corp
ULTIMATE HOME CARE - REGENT HO
7508 SCOTT AVENUE NORTH
(30064)
BROOKLYN PARK, MN 55443
PHONE: 763/560-9890
MR. ALFRED APATA
FAX: 763/560-9891
Lim-Liab
ULTRA CARE HOME HEALTH LLC
HCP-A
7714 BROOKLYN BVD STE 108
(26488)
BROOKLYN PARK, MN 55443
PHONE: 763/355-5408
FAX: 763/355-5470
MS. DOROTHY OKECH
HWS
NProf
VILLA DEL CORONADE
8104 ZANE AVE N
(30886)
BROOKLYN PARK, MN 55443
PHONE: 763/560-0817
VILLA DEL CORONADO
MS. STACEY RAY
FAX: /-
HWS
NProf
8100 ZANE AVENUE NORTH
BROOKLYN PARK, MN 55443
PHONE: 763/560-8017
(31187)
FAX: 763/560-0564
MS. DARLA GUSTAFSON
Minnesota Department of Health
Division of Compliance Monitoring
Page 155
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------
HWS
NProf
VILLA DEL CORONADO
Registration
8108 ZANE AVE N
(30978)
BROOKLYN PARK, MN 55443
PHONE: 612/204-8319
WATCHFUL CAREGIVERS
FAX: /
MS. STACEY RAY
Lim-Liab
COMP
7710 BROOKLYN BLVD STE 204
BROOKLYN PARK, MN 55443
PHONE: 763/535-4326
WATERFORD MANOR
(25398)
FAX: 763/537-9352
Lim-Liab
MR. CALVIN BELLA
COMP
6288 LOUISIANA COURT NORTH
BROOKLYN PARK, MN 55428
PHONE: 763/537-3382
WATERFORD MANOR
(29078)
FAX: 763/536-7679
MR. GARY WARREN
HWSAL
Lim-Liab
6288 LOUISIANA COURT NORTH
BROOKLYN PARK, MN 55428
PHONE: 763/537-3382
WEST BROADWAY APARTMENTS
(21662)
MR. STEPHEN NORNES
FAX: 763/536-7679
HWS
NProf
6626 WEST BROADWAY AVENUE NORT
BROOKLYN PARK, MN 55428
PHONE: 612/325-2500
WEST BROADWAY APARTMENTS
(27464)
MR. CHRIS TRAILER
FAX: 612/810-7899
HWS
NProf
6624 WEST BROADWAY AVENUE NORT
BROOKLYN PARK, MN 55428
PHONE: 612/325-2500
ASCENSION PLACE INC
(27590)
FAX: 612/521-4606
MR. CHRIS TRAILER
HWS
NProf
6101 BEARD AVE N
BROOKYN CENTER, MN 55429
PHONE: 612/588-0861
LIFE REBUILDERS
(30255)
FAX: 612/588-8827
MS. BETSY LAMARRE
HWS
ONProf
1704 LACOTA LN
BURNSVILLE, MN 55337
PHONE: 612/825-6871
CHAMPLIN GW LLC
(30892)
FAX: 612/823-3963
Lim-Liab
MS. KEELY PERRY
HCP-F
11469 JEFFERSON COURT NORTH
CHAMPLIN, MN 55316
PHONE: 763/433-2585
CHAMPLIN GW LLC
(25047)
FAX: 763/235-3620
MS. RHONDA SCHILLINGER
HWSAL
Lim-Liab
11469 JEFFERSON COURT NORTH
CHAMPLIN, MN 55316
PHONE: 763/433-2585
(30609)
FAX: 763/235-3620
MS. RHONDA SCHILLINGER
Minnesota Department of Health
Division of Compliance Monitoring
Page 156
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
EMERITUS AT CHAMPLIN SHORES
Certification
HENNEPIN
Registration
(Cont.)* -------------------------
HWSAL
Corp
119 EAST HAYDEN LAKE ROAD
CHAMPLIN, MN 55316
PHONE: 763/712-0118
EMERITUS AT CHAMPLIN SHORES
(30284)
FAX: 763/712-0278
Corp
MR. CHRISTOPHER KING
COMP
119 EAST HAYDEN LAKE ROAD
CHAMPLIN, MN 55316
PHONE: 763/712-0118
FRESENIUS MED CARE OF CHAMPLIN
(22095)
FAX: 763/712-0278
MR. CHRISTOPHER KING
ESRD
Corp
12339 CHAMPLIN DRIVE
CHAMPLIN, MN 55316
PHONE: 763/421-1032
GOLDEN POND CHAMPLIN
(23606)
FAX: 763/421-1054
MR. JOHN MARIETTI
HWSAL
Lim-Liab
6708 119TH PLACE NORTH
CHAMPLIN, MN 55316
PHONE: 763/447-7717
HAPPY FEET FOOTCARE
(31077)
MR. DAVID METZ
FAX: 651/484-5130
Corp
COMP
11030 DOUGLAS DRIVE N
CHAMPLIN, MN 55316
PHONE: 763/560-5136
SOLACE HOME HEALTH AND HOSPICE
(02914)
MS. JENNIFER RYAN
FAX: 763/560-5092
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
COMP
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
HHA
HCP/COMP
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 157
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-O
NProf
9135 BRANDYWINE RD
9135 BRANDYWINE RD
(31071)
CORCORAN, MN 55340
PHONE: 763/639-4501
FAX: /-
MR. CHRIS TRAILER
HWS-O
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
MS. STACEY RAY
FAX: /
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
AMAZING LOVE LLC
(23687)
MR. YEMMY OSONOWO
FAX: 763/561-3636
Lim-Liab
COMP
5724 BASS LAKE ROAD
CRYSTAL, MN 55429
PHONE: 763/561-3434
AMERICAN BEST HOME CARE INC
(24012)
FAX: 763/561-3636
MR. YEMMY OSONOWO
HWSAL-O
Corp
5750 YATES AVENUE N
CRYSTAL, MN 55429
PHONE: 763/432-7356
ASCENSION PLACE INC
(31223)
FAX: 763/432-6856
MR. SEGUN OLATAYO
HWS
NProf
3310 DOUGLAS DR
CRYSTAL, MN 55422
PHONE: 612/588-0861
CAMBRIDGE APARTMENTS INC
(31150)
FAX: 612/588-8827
MS. BETSY LAMARRE
HWS
Corp
3501 LOUISIANA AVE N
CRYSTAL, MN 55427
PHONE: 763/533-1122
(30248)
FAX: 763/533-6642
MS. LYNDA MERKENS
Minnesota Department of Health
Division of Compliance Monitoring
Page 158
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
CANA HOME HEALTH CARE SERVICES
Certification
HENNEPIN
Registration
(Cont.)* -------------------------
HCP-A
6000 BASS LAKE ROAD
(29973)
CRYSTAL, MN 55429
PHONE: 763/746-0396
FAX: 952/707-9684
NProf
CIP CITY LIGHTS
MS. KATE ONYENEHO
SLFB-6
ICFIID-6
4303 COLORADO AVENUE
(01625)
CRYSTAL, MN 55422
PHONE: 763/535-8282
FAX: 763/535-8282
Corp
CLINIQUE HEALTH CARE SERVICES
MR. JOHN EVERETT
HCP-F
6000 BASS LAKE ROAD SUITE 204
(28365)
CRYSTAL, MN 55429
PHONE: 763/503-4757
FAX: 763/549-9952
Corp
CLINIQUE HEALTHCARE SERVICES I
MS. NNENNA ORJINTA
COMP
6000 BASS LAKE ROAD
(25544)
CRYSTAL, MN 55429
PHONE: 763/503-4757
MR. ANTHONY ORJINTA
FAX: 763/549-9952
Corp
COMFORTCARE NURSING SERVICES I
HCP-A
7000 57TH AVENUE NORTH #108
(23068)
CRYSTAL, MN 55428
PHONE: 763/536-3050
MS. SAYBA NGAIMA PHILIPS
FAX: 763/536-7919
NProf
CRYSTAL CARE CENTER
NH-130
SNF-NF-130
3245 VERA CRUZ AVENUE NORTH
(00255)
CRYSTAL, MN 55422
PHONE: 763/535-6260
FAX: 763/535-7772
MS. ANNETTE THORSON
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
5920 WEST BROADWAY AVE
CRYSTAL, MN 55428
PHONE: 763/560-2500
GRANDMA'S PLACE INC
(26761)
FAX: 763/561-0159
MR. RON HENDRICKSON
HWS-O
Corp
5900 WEST BROADWAY AVE STE 6
CRYSTAL, MN 55428
PHONE: 763/560-2500
GRANDMA'S PLACE INC
(26760)
FAX: 763/561-0159
MR. RON HENDRICKSON
HWS
Corp
5910 WEST BROADWAY AVENUE #5
CRYSTAL, MN 55428
PHONE: 763/560-2500
(26763)
FAX: 763/561-0159
MR. RON HENDRICKSON
Minnesota Department of Health
Division of Compliance Monitoring
Page 159
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
GREAT LAKES HOME CARE INC
Certification
HENNEPIN
Registration
(Cont.)* -------------------------
HCP-A
6000 BASS LAKE ROAD #104
(28067)
CRYSTAL, MN 55429
PHONE: 763/537-6651
FAX: 763/535-4288
MRS. MARY-KIM EGERE
HWSAL
Lim-Liab
HEATHERS MANOR
3000 NORTH DOUGLAS DRIVE
(21623)
CRYSTAL, MN 55422
PHONE: 763/544-6777
FAX: 763/513-5859
Lim-Liab
HEATHERS MANOR
MR. STEPHEN NORNES
COMP
3000 NORTH DOUGLAS DRIVE
(29082)
CRYSTAL, MN 55422
PHONE: 763/544-6777
MS. JEANETTE RUTLEDGE
FAX: 763/513-5859
HWS
Lim-Liab
KRAMER SAXL GROUP
5737 KENTUCKY AVENUE NORTH
(31044)
CRYSTAL, MN 55428
PHONE: 612/860-2550
LWV LODGE
MS. JENNIFER WEISSMAN
FAX: /-
HWS
NProf
3200-3204 DOUGLAS DRIVE N
CRYSTAL, MN 55422
PHONE: 763/479-3555
LWV LODGE III
(28410)
MR. DUANE REYNOLDS
FAX: 763/479-2605
HWS
NProf
3255-3257 DOUGLAS DRIVE NORTH
CRYSTAL, MN 55422
PHONE: 763/479-3555
MAGIC HEALTHCARE PARTNERS
(27080)
MS. MARY ROEHL
FAX: 763/479-2605
Lim-Liab
HCP-A
6000 BASS LAKE ROAD #207
CRYSTAL, MN 55429
PHONE: 952/807-1685
N & V HELPFUL HEART CARE
(27687)
MR. JONES BITANGE
FAX: 612/435-1378
Lim-Liab
HCP-A
6000 BASS LAKE RD SUITE 106
CRYSTAL, MN 55429
PHONE: 763/442-0460
N & V HELPFUL HEART CARE INC
(25916)
MRS. VERA DIXON
FAX: 206/666-2482
Corp
HCP-F
6000 BASS LAKE RD #106
CRYSTAL, MN 55429
PHONE: 763/442-0460
OUTREACH RICE CREEK
(29409)
MS. VERA DIXON
FAX: 206/666-2482
NProf
ICFIID-4
SLFB-4
5402 FAIRVIEW AVENUE NORTH
CRYSTAL, MN 55429
PHONE: 763/537-4550
(01562)
FAX: 763/537-2262
MS. MARY TJOSVOLD
Minnesota Department of Health
Division of Compliance Monitoring
Page 160
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
QUALITY HEALTH CARE SERVICES
Certification
HENNEPIN
Registration
(Cont.)* -------------------------
COMP
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
SLFB-6
ICFIID-6
3400 QUAIL AVE NORTH
(26137)
CRYSTAL, MN 55422
PHONE: 763/852-5325
FAX: 763/852-5350
Lim-Liab
SWEET COMFORT HOME CARE
MS. CONNIE MENNE
TBASIC
4737 ZANE AVE N
(30111)
CRYSTAL, MN 55429
PHONE: 612/424-8121
UNITED CARE GROUP INC
FAX: /
MS. SHEREEN MCKEEN
Corp
HCP-A
5501 LAKELAND AVENUE
CRYSTAL, MN 55429
PHONE: 763/535-6451
DEEPHAVEN WOODS
(26573)
MS. ROBIN DUNLAP
FAX: 763/535-2756
HWSAL
Lim-Liab
18025 MINNETONKA BLVD
DEEPHAVEN, MN 55391
PHONE: 952/288-2187
LAKE MINNETONKA CARE CENTER
(30474)
MS. JILL NOKLEBY KAISER
FAX: 952/746-8578
Corp
NH-21
SNF-NF-21
20395 SUMMERVILLE ROAD
DEEPHAVEN, MN 55331
PHONE: 952/474-4474
SOJOURN SUITES LLC - JAMES AVE
(00234)
FAX: 952/474-4272
MR. JEFF SPRINKEL
HWSAL
Lim-Liab
18900 JAMES AVENUE
DEEPHAVEN, MN 55391
PHONE: 952/473-1810
AEGIS THERAPIES
(26002)
FAX: 952/400-3542
MR. THOMAS PENN
Out Pt Out St Out Ot
Lim-Liab
431 PRAIRIE CENTER DRIVE
EDEN PRAIRIE, MN 55344
PHONE: 763/226-0653
AGING JOYFULLY
(29920)
FAX: 479/478-2613
MS. MARY HANDT
HWS
Corp
13050 PIONEER TRAIL
EDEN PRAIRIE, MN 55347
PHONE: 952/942-2510
AGING JOYFULLY
(30561)
FAX: 952/942-7415
Corp
MS. JOY HANSEN
COMP
13050 PIONEER TRAIL
EDEN PRAIRIE, MN 55347
PHONE: 952/942-2510
(24640)
FAX: 952/942-7415
MS. JOY HANSEN
Minnesota Department of Health
Division of Compliance Monitoring
Page 161
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------
Home Mgmt
Lim-Liab
APPARENTCARE LLC
Registration
6995 MARIANN DRIVE
(26681)
EDEN PRAIRIE, MN 55346
PHONE: 952/215-7052
FAX: /
MS. TRACY KEIBLER
HWSAL
Corp
BECKY'S PLACE INC
6391 DUCK LAKE ROAD
(28368)
EDEN PRAIRIE, MN 55346
PHONE: 612/719-2915
FAX: /
MS. BECKY DORR
Corp
BECKY'S PLACE INC
COMP
6391 DUCK LAKE ROAD
(28367)
EDEN PRAIRIE, MN 55346
PHONE: 612/719-2915
FAX: 952/906-9181
Corp
CAREBUILDERS AT HOME
MS. BECKY DORR
TBASIC
250 PRAIRIE CENTER DRIVE #317
(30964)
EDEN PRAIRIE, MN 55344
PHONE: 612/730-6682
CASTLE RIDGE CARE CENTER
MR. JOEL DENNEY
FAX: /-
NProf
SNF-NF-60
NH-60
625 PRAIRIE CENTER DR
EDEN PRAIRIE, MN 55344
PHONE: 952/944-8982
CASTLE RIDGE MANOR HOUSE
(00973)
MR. JIM ANGELL
FAX: 651/631-6122
HWSAL
NProf
615 PRAIRIE CENTER DRIVE
EDEN PRAIRIE, MN 55344
PHONE: 952/942-2100
CLARE BRIDGE OF EDEN PRAIRIE
(21183)
FAX: 952/942-2101
MR. JIM ANGELL
HWSAL
Corp
7513 MITCHELL ROAD
EDEN PRAIRIE, MN 55344
PHONE: 952/906-3800
CLARE BRIDGE OF EDEN PRAIRIE
(30691)
FAX: 952/906-3888
Corp
MR. TROY MEAD
COMP
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
(22098)
FAX: 952/934-3851
MS. TAMMY MESA
Minnesota Department of Health
Division of Compliance Monitoring
Page 162
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
ELIM SHORES
Certification
HENNEPIN
Registration
(Cont.)* -------------------------
HWSAL
NProf
7900 TIMBER LAKE DRIVE
EDEN PRAIRIE, MN 55347
PHONE: 952/934-3005
ELIM SHORES
(30597)
FAX: 952/934-0730
NProf
MS. CATHERINE SEIFERT
COMP
7900 TIMBER LAKE DRIVE
EDEN PRAIRIE, MN 55347
PHONE: 952/934-3005
GRISWOLD HOME CARE
(24915)
FAX: 952/934-0730
Corp
MS. CATHERINE SEIFERT
COMP
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)
MS. LUANN FEHN
FAX: 952/949-4914
Lim-Liab
COMP
6660 WEST 175TH AVENUE
EDEN PRAIRIE, MN 55346
PHONE: 952/334-9272
MANOR HOUSE
(26470)
MS. LUANN FEHN
FAX: 952/949-4914
NProf
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
SLFB-6
ICFIID-6
6204 CHATHAM WAY
EDEN PRAIRIE, MN 55346
PHONE: 952/934-0390
MSOCS EDEN PRAIRIE DELL ROAD
(01657)
FAX: 952/934-1145
State
MS. ANDREA SEIFERT
SLFB-6
ICFIID-6
7198 DELL ROAD
EDEN PRAIRIE, MN 55346
PHONE: 952/934-0390
ON BELAY EDEN PRAIRIE
(01656)
FAX: 952/934-0480
Corp
MS. ANDREA SEIFERT
SLFA-16
7170 BRYANT LAKE DRIVE
EDEN PRAIRIE, MN 55344
PHONE: 952/224-5873
PIONEER ESTATES OF EDEN PRAIRI
(26333)
FAX: 952/224-5876
Lim-Liab
MS. MELISSA BROGGER
COMP
8751 PRESERVE BOULEVARD
EDEN PRAIRIE, MN 55344
PHONE: 952/914-0934
(20455)
FAX: 952/943-2563
MS. CHRISTINE ROWLAND
Minnesota Department of Health
Division of Compliance Monitoring
Page 163
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------
HWSAL
Lim-Liab
PIONEER ESTATES OF MINNESOTA
Registration
8751 PRESERVE BOULEVARD
(30632)
EDEN PRAIRIE, MN 55344
PHONE: 952/914-0934
FAX: 952/943-2563
MR. RICHARD ROWLAND
HWS
Lim-Liab
PIONEER ESTATES OF MINNESOTA
8771 PRESERVE BLVD
(29888)
EDEN PRAIRIE, MN 55344
PHONE: 952/914-0934
FAX: 952/943-2563
Corp
PRIDE INSTITUTE
MR. RICHARD ROWLAND
SLFA-42
14400 MARTIN DRIVE
(01405)
EDEN PRAIRIE, MN 55344
PHONE: 952/934-7554
MR. RICK PLISZKA
FAX: 952/934-8764
Lim-Liab
SILVER LINING CARE HOMES LLC
HCP-F
6328 EDEN PRAIRIE ROAD
(29495)
EDEN PRAIRIE, MN 55346
PHONE: 612/710-1446
SILVER LINING CARE HOMES LLC
MS. KELLY EVERSON
FAX: /
HWS
Lim-Liab
6328 EDEN PRAIRIE ROAD
EDEN PRAIRIE, MN 55346
PHONE: 612/710-1446
SUMMIT PLACE ASSISTED LIVING
(29496)
MS. KELLY EVERSON
FAX: 952/500-8224
HWSAL
Lim-Liab
8501 FLYING CLOUD DRIVE
EDEN PRAIRIE, MN 55344
PHONE: 952/995-1000
SUMMIT PLACE INDEPENDENT LIVIN
(21963)
MS. CAROL HANSEN
FAX: 952/995-1288
HWS
Lim-Liab
8505 FLYING CLOUD DRIVE
EDEN PRAIRIE, MN 55344
PHONE: 952/995-1000
THE COLONY AT EDEN PRAIRIE
(21962)
MRS. CAROL HANSEN
FAX: 952/995-1288
Lim-Liab
HCP-F
431 PRAIRIE CENTER DRIVE
EDEN PRAIRIE, MN 55344
PHONE: 952/828-9500
THE COLONY AT EDEN PRAIRIE
(21648)
MS. EMILY RINALDI
FAX: 952/828-8195
HWSAL
NProf
431 PRAIRIE CENTER DRIVE
EDEN PRAIRIE, MN 55344
PHONE: 952/828-9500
THE COLONY AT EDEN PRAIRIE
(30812)
MS. JENNIFER KUHN
FAX: 952/828-8195
Lim-Liab
SNF-NF-25
NH-25
431 PRAIRIE CENTER DRIVE
EDEN PRAIRIE, MN 55344
PHONE: 952/828-9500
(21549)
FAX: 952/828-8195
MS. JENNIFER KUHN
Minnesota Department of Health
Division of Compliance Monitoring
Page 164
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
VISITING ANGELS
Certification
HENNEPIN
(Cont.)* -------------------------
TCOMP
250 PRAIRIE CENTER DRIVE #333
(30959)
EDEN PRAIRIE, MN 55344
PHONE: 952/233-5600
FAX: 952/300-2624
Lim-Liab
ALLEVIACARE LLC
MS. JULIE THOMPSON
COMP
5780 LINCOLN DRIVE STE 250
(26286)
EDINA, MN 55436
PHONE: 952/303-4725
FAX: 952/303-4802
Corp
ALLIED PROFESSIONALS INC
MS. JENELLE BOECKERMANN
COMP
3209 WEST 76TH STREET
(02925)
EDINA, MN 55435
PHONE: 952/832-5101
FAX: 952/832-0656
Corp
ALO HOME HEALTH CARE INC
MS. PAT MULLIGAN
COMP
7201 YORK AVENUE SOUTH STE 913
(29673)
EDINA, MN 55435
PHONE: 763/439-7550
APLUS HEALTH CARE LLC
MS. LAURA MILLER
FAX: /
Lim-Liab
HCP-A
7760 FRANCE AVE S STE 1100
EDINA, MN 55435
PHONE: 612/326-1206
BROOKDALE H H MINNESOTA
(30139)
MR. ISSA MOHAMUD
FAX: 612/326-1206
Lim-Liab
HCP/COMP
HHA
3300 EDINBOROUGH WAY
EDINA, MN 55435
PHONE: 952/933-1362
BROOKDALE HOSPICE MINNESOTA
(25254)
FAX: 952/933-2781
Lim-Liab
MS. KATHLEEN AHERN
Hospice
HSPICE
3300 EDINBOROUGH WAY STE 204
EDINA, MN 55435
PHONE: 952/831-0193
CAPERNAUM PEDIATRIC THERAPY IN
(29308)
FAX: 952/831-0191
Corp
MS. JULIE MCGLASSON
COMP
7250 FRANCE AVENUE SOUTH
EDINA, MN 55435
PHONE: 612/922-2009
CAREMINDERS HOME CARE
(02847)
FAX: 612/927-6201
Lim-Liab
MRS. BONNA OLSON
COMP
5100 EDINA INDUSTRIAL BLVD 218
EDINA, MN 55439
PHONE: 952/500-8750
CENTENNIAL LAKES SURGERY CTR
(27606)
FAX: 952/303-5329
Part
MR. JOHN DOLEJSI
Outpt Surg
Amb Surg
7373 FRANCE AVENUE SOUTH #404
EDINA, MN 55435
PHONE: 952/832-9360
(00379)
FAX: 952/832-5079
MR. TROY KEACH
Registration
Minnesota Department of Health
Division of Compliance Monitoring
Page 165
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------
HWS
NProf
CHALLET
Registration
4415 PARKLAWN COURT
(26893)
EDINA, MN 55435
PHONE: 952/941-2100
FAX: /
MR. CHRIS TRAILER
Lim-Liab
CROSSTOWN SURGERY CENTER LLC
Outpt Surg
Amb Surg
4010 WEST 65TH STREET
(27380)
EDINA, MN 55435
PHONE: 952/456-7300
FAX: 952/456-7399
Lim-Liab
CUSTOMCARE HOME HEALTH CARE LL
MR. AARON JOHNSON
COMP
5265 EDINA INDUSTRIAL BLVD
(23437)
EDINA, MN 55439
PHONE: 952/914-0269
FAX: 952/960-0239
Ind
DONNA MARIE NORGREN
MR. CALVIN MILLER
BASIC
5808 CHOWEN AVENUE SOUTH
(02907)
EDINA, MN 55410
PHONE: 952/920-4984
MS. DONNA NORGREN
FAX: /-
NProf
EDINA CARE & REHAB CENTER
NH-125
SNF-NF-125
6200 XERXES AVENUE SOUTH
(00740)
EDINA, MN 55423
PHONE: 952/925-8500
MR. DENNIS DECOSTA
FAX: 952/925-8502
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
COMP
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
EDINA SURGERY CENTER
(20381)
FAX: 952/831-7171
MR. WILLIAM CURRIER
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
(20426)
FAX: 952/253-2548
MS. JAYNE CLAIRMONT
Minnesota Department of Health
Division of Compliance Monitoring
Page
166
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
ENGLISH ROSE SUITES
Certification
HENNEPIN
Registration
(Cont.)* -------------------------
HWSAL
Corp
6201 LOCH MOOR DRIVE
EDINA, MN 55439
PHONE: 952/983-0412
ENGLISH ROSE SUITES & B HOME H
(25762)
FAX: 952/253-2548
Corp
MS. JAYNE CLAIRMONT
COMP
7001 CAHILL ROAD SUITE 13
EDINA, MN 55439
PHONE: 952/983-0412
ENGLISH ROSE SUITES BRAEMAR HI
(20905)
FAX: 952/253-2548
MS. CAROLYN PURCELL
HWSAL
Corp
6941 VALLEY VIEW ROAD
EDINA, MN 55439
PHONE: 952/983-0412
FAIRVIEW SOUTHDALE HOSPITAL
(21145)
FAX: 952/253-2548
NProf
MS. JAYNE CLAIRMONT
HOSP-390 BASS-45
HOSP-372 PPS-P-18
6401 FRANCE AVENUE SOUTH
EDINA, MN 55435
PHONE: 952/924-5100
HERITAGE OF EDINA INC
(00201)
MR. BRADLEY BEARD
FAX: 952/924-5382
Corp
COMP
3434, 3450 & 3456 HERITAGE DRI
EDINA, MN 55435
PHONE: 952/920-9145
HERITAGE OF EDINA INC
(20233)
MS. MARIA FIELD
FAX: 952/915-5411
HWSAL
Corp
3420 3434 3450 & 3456 HERITAGE
EDINA, MN 55435
PHONE: 952/920-9145
HOME INSTEAD SENIOR CARE
(30456)
FAX: 952/915-5411
Corp
MS. MARIA FIELD
COMP
4445 WEST 77TH STREET #121
EDINA, MN 55435
PHONE: 952/929-5695
HOME INSTEAD SENIOR CARE
(23590)
FAX: 952/929-2032
Corp
MRS. 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
MS. CHER KUECHLE
Home Mgmt
Corp
4445 WEST 77TH ST STE 224
EDINA, MN 55435
PHONE: 952/929-5695
HOMEWATCH CAREGIVERS
(03782)
FAX: 952/929-2032
Corp
MS. CHER KUECHLE
COMP
7242 METRO BOULEVARD #500
EDINA, MN 55439
PHONE: 952/657-5210
(28357)
FAX: 952/500-8791
MS. DEBORAH NELSON
Minnesota Department of Health
Division of Compliance Monitoring
Page 167
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
LIFESPRK
Certification
HENNEPIN
Registration
(Cont.)* -------------------------
COMP
4570 W 77TH STREET SUITE 350
(23501)
EDINA, MN 55435
PHONE: 952/345-8770
FAX: 952/345-8771
Lim-Liab
LIFESPRK LLC
MS. CAROLE OVERBY
COMP
4570 WEST 77TH STREET STE 350
(30082)
EDINA, MN 55435
PHONE: 952/345-8770
FAX: 952/345-8771
Corp
MATRIX HOME HEALTH CARE SPECIA
MR. JOEL THEISEN, RN
HCP-A
7550 FRANCE AVENUE SOUTH #210
(24015)
EDINA, MN 55435
PHONE: 952/525-0505
FAX: 952/525-0506
Lim-Liab
MCCANNEL EYE SURGERY
MR. BRUCE LAWRENCE
Outpt Surg
Amb Surg
3124 WEST 70TH STREET
(20911)
EDINA, MN 55435
PHONE: 952/848-8338
MS. NIKKI MADISON
FAX: 952/848-8302
Lim-Liab
MINNEAPOLIS PAIN CENTERS, LLC
Outpt Surg
Amb Surg
7400 FRANCE AVENUE SUITE 102
(23072)
EDINA, MN 55435
PHONE: 952/835-8307
MR. VISHAL LAL
FAX: 763/537-6000
NProf
N C LITTLE MEMORIAL HOSPICE
RES-HSPICE-8 Hospice
7019 LYNMAR LANE
(03721)
EDINA, MN 55435
PHONE: 952/928-9394
FAX: 952/925-3578
Lim-Liab
ORTHOPAEDIC INSTITUTE SURG CTR
MR. ROBERT SOLHEIM
Outpt Surg
Amb Surg
8100 W 78TH STREET SUITE 220
(22057)
EDINA, MN 55439
PHONE: 952/914-8400
FAX: 952/914-8401
MS. NANCY PAGE
HWSAL
Lim-Liab
PARKINSON'S SPECIALTY CARE
6802 DOVRE DR
(23855)
EDINA, MN 55436
PHONE: 952/988-9900
FAX: 763/539-9155
Lim-Liab
PERSONALIZED LIVING AT EDINA P
MS. MARCIA DOONER
HCP-A
3330 EDINBOROUGH WAY
(28030)
EDINA, MN 55435
PHONE: 952/831-4084
FAX: 952/831-7171
Corp
PROMISE CARE INC
MS. SARAH HOOK
COMP
6545 FRANCE AVE S STE 501
(24821)
EDINA, MN 55435
PHONE: 952/942-5676
FAX: /-
MS. CAROLINE LINDEMAN
Minnesota Department of Health
Division of Compliance Monitoring
Page 168
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
REM HENNEPIN INC WILLIAM
Certification
HENNEPIN
Registration
(Cont.)* -------------------------
SLFB-6
ICFIID-6
5100 WILLIAM AVENUE
(01149)
EDINA, MN 55436
PHONE: 763/852-5325
FAX: 763/852-5350
Ind
RENEE M GAU
MS. CONNIE MENNE
HCP-C
7100 METRO BLVD #414
(24242)
EDINA, MN 55439
PHONE: 952/240-0282
RESTART INC
FAX: /-
MS. RENEE GAU
NProf
COMP
5275 EDINA INDUSTRL BLVD #240
EDINA, MN 55439
PHONE: 952/767-3350
SUNRISE ASSISTED LIVING OF EDI
(25379)
MR. JAMES JASPER
FAX: 952/767-3351
Lim-Liab
COMP
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)
MR. JANE WOLFF
FAX: 952/927-6400
HWSAL
Lim-Liab
6300 COLONIAL WAY
EDINA, MN 55436
PHONE: 952/322-7500
THE WATERS SR LVG MGMT LLC
(29647)
MR. KYLE DIDIER
FAX: 952/926-2809
Lim-Liab
COMP
6300 COLONIAL WAY
EDINA, MN 55436
PHONE: 952/358-5137
VERNON TERRACE
(29646)
MS. LYNN SCHELL
FAX: 952/358-5028
HWS
Lim-Liab
5250 VERNON AVENUE SOUTH
EDINA, MN 55436
PHONE: 952/925-5615
WALKER METHODIST CARE SUITES
(28216)
MRS. BETH LANDERS
FAX: 952/925-1702
NProf
HCP-F
7400 YORK AVENUE SOUTH
EDINA, MN 55435
PHONE: 952/835-8351
WALKER METHODIST CARE SUITES
(23693)
FAX: 952/835-7453
MR. RICK BUECHNER
HWSAL
NProf
7400 YORK AVENUE SOUTH
EDINA, MN 55435
PHONE: 952/835-8351
(20444)
FAX: 952/835-7453
MR. RICK BUECHNER
Minnesota Department of Health
Division of Compliance Monitoring
Page 169
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
YORK GARDENS
Certification
HENNEPIN
Registration
(Cont.)* -------------------------
HCP-F
3451 PARKLAWN AVE
(27800)
EDINA, MN 55435
PHONE: 952/898-6700
FAX: 952/898-6701
MS. NANCY WEYKER
HWSAL
Lim-Liab
YORK GARDENS
3451 PARKLAWN
(30779)
EDINA, MN 55435
PHONE: 952/898-6700
FAX: 952/898-6701
MS. NANCY WEYKER
Lim-Liab
ZEL SKIN & LASER SPECIALISTS
4100 WEST 50TH STREET
(24276)
EDINA, MN 55424
PHONE: 952/929-8888
MS. SUSAN OLSON
FAX: 952/929-9669
Lim-Liab
GOLDEN LIVINGCENTER EXCELSIOR
NH-56
SNF-NF-56
515 DIVISION STREET
(00988)
EXCELSIOR, MN 55331
PHONE: 952/474-5488
FAX: 952/474-3864
MS. JILL LUBBESMEYER
HWS
NProf
LAKEVIEW VILLA
723 WATER STREET
(27871)
EXCELSIOR, MN 55331
PHONE: 952/546-1415
FAX: 952/546-1435
MR. CHRIS TRAILER
HWSAL
Lim-Liab
SOJOURN SUITES LLC
217 1ST ST
(31146)
EXCELSIOR, MN 55331
PHONE: 612/790-9292
FAX: 952/400-3542
MR. TOM PENN
HWS
NProf
1400 NORTH DOUGLAS DRIVE
1400 NORTH DOUGLAS DRIVE
(25564)
GOLDEN VALLEY, MN 55410
PHONE: 612/204-8319
MS. STACEY RAY
FAX: /-
HWS
NProf
1450 DOUGLAS DRIVE
1450 DOUGLAS DRIVE
(25399)
GOLDEN VALLEY, MN 55422
PHONE: 612/204-8319
1500 DOUGLAS DRIVE NORTH
MS. STACEY RAY
FAX: /-
HWS
NProf
1500 DOUGLAS DRIVE NORTH
GOLDEN VALLEY, MN 55422
PHONE: 763/545-8516
1600 DOUGLAS DRIVE NORTH
(27890)
FAX: 612/259-8154
MR. CHRIS TRAILER
HWS
NProf
1600 DOUGLAS DRIVE NORTH
GOLDEN VALLEY, MN 55422
PHONE: 763/545-8516
(28045)
FAX: 612/259-8154
MR. CHRIS TRAILER
Minnesota Department of Health
Division of Compliance Monitoring
Page
170
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
ABBOTT NORTHWESTERN HOSPITAL
Certification
HENNEPIN
Registration
(Cont.)* -------------------------
HCP-A
3915 GOLDEN VALLEY ROAD
(03148)
GOLDEN VALLEY, MN 55422
PHONE: 763/520-0334
FAX: 763/520-1905
MR. MATT KINNE
HWS-O
NProf
ABBOTT NORTHWESTERN HOSPITAL
3915 GOLDEN VALLEY ROAD
(30234)
GOLDEN VALLEY, MN 55422
PHONE: 763/520-0334
FAX: 763/520-1905
DR. NANCY CARLSON
HWSAL
Lim-Liab
ADAGIO MANOR ASSISTED LIVING
5230 CIRCLE DOWN
(28372)
GOLDEN VALLEY, MN 55416
PHONE: 952/374-4710
FAX: 763/588-7026
Lim-Liab
ADAGIO MANOR ASSISTED LIVING
MR. LYNN DEICHERT
COMP
5230 CIRCLE DOWN
(28373)
GOLDEN VALLEY, MN 55416
PHONE: 952/374-4710
MR. LYNN DEICHERT
FAX: 763/568-7026
Lim-Liab
ALLIANCE HHC & NURSING SERVICE
HCP/COMP
HHA
4725 OLSON MEMORIAL HWY # 200
(25403)
GOLDEN VALLEY, MN 55422
PHONE: 763/208-6295
MR. ROBIN NYANGENA
FAX: 763/355-5459
Corp
CARE PLUS HOME HEALTH AGENCY I
HCP/COMP
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
BASIC
5605 LINDSAY STREET
(27037)
GOLDEN VALLEY, MN 55422
PHONE: 763/546-7305
CHEZ VOUS HOME CARE LLC
FAX: /-
MS. CATHARINE NISAM
HWS-O
Lim-Liab
2925 REGENT AVENUE NORTH
GOLDEN VALLEY, MN 55422
PHONE: 612/220-8052
COLONIAL ACRES HEALTH CARE CTR
(29038)
FAX: 763/205-0924
NProf
MS. SEETA ARRELL
NH-88
SNF-39
5825 ST CROIX AVENUE
GOLDEN VALLEY, MN 55422
PHONE: 763/544-1555
COMPASSIONCARE
(00183)
FAX: 763/544-8032
Lim-Liab
MR. TODD CARSEN-INTERIM
COMP
620 MENDELSSOHN AVE STE #7
GOLDEN VALLEY, MN 55427
PHONE: 763/512-2844
(27792)
FAX: 763/541-4711
MS. ALICIA WITHERSPOON
Minnesota Department of Health
Division of Compliance Monitoring
Page
171
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
COMPASSIONCARE
Certification
HENNEPIN
Registration
(Cont.)* -------------------------
COMP
620 MENDELSSOHN AVE SUITE 107
(29177)
GOLDEN VALLEY, MN 55427
PHONE: 763/512-2844
FAX: 763/541-4711
NProf
COURAGE KENNY REHAB INST TRP
MS. ALICIA WITHERSPOON
NH-44
SNF-NF-44
3915 GOLDEN VALLEY ROAD
(00751)
GOLDEN VALLEY, MN 55422
PHONE: 763/588-0811
FAX: 763/230-1905
Corp
DAISY HOME CARE INC
MR. MATTHEW KINNE
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 HEALTH INITIATIVE
MS. JENA ANDERBERG
FAX: /-
Lim-Liab
COMP
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. LYNN SAUERER
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/COMP
HHA
1415 LILAC N DRIVE SUITE 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
MR. JOHN ESTREM
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 172
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------
HWSAL
Corp
HAWTHORNE HOUSE
Registration
6931 COUNTRY CLUB DRIVE
(30304)
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
HAWTHORNE HOUSE INC
FAX: /
MS. SUSANTHI FERNANDO
HWSAL
Corp
1100 IDAHO AVENUE
GOLDEN VALLEY, MN 55427
PHONE: 612/385-9200
HAWTHORNE HOUSE INC
(23395)
FAX: 763/205-1950
MS. SUSANTHI FERNANDO
HWSAL
Corp
501 KELLY DRIVE
GOLDEN VALLEY, MN 55427
PHONE: 612/385-9200
HAWTHORNE HOUSE INC
(24099)
MS. SUSANTHI FERNANDO
FAX: 763/205-1950
HWSAL
Corp
6909 COUNTRY CLUB DRIVE
GOLDEN VALLEY, MN 55427
PHONE: 621/385-9200
HERITAGE HOUSE ASSISTED LIVING
(23667)
MS. SUSANTHI FERNANDO
FAX: 763/205-1950
Church
COMP
5825 ST CROIX AVENUE
GOLDEN VALLEY, MN 55422
PHONE: 763/732-1434
HERITAGE HOUSE ASSISTED LIVING
(20177)
MR. GARY GARDEEN
FAX: 763/513-6644
HWSAL
Church
5825 ST CROIX AVENUE
GOLDEN VALLEY, MN 55422
PHONE: 763/732-1434
HOME HEALTH CARE INC
(30433)
MR. GARY GARDEEN
FAX: 763/513-6644
Corp
HHA
HCP/COMP
800 BOONE AVE N SUITE 200
GOLDEN VALLEY, MN 55427
PHONE: 763/417-8888
IN HOME PERSONAL CARE HOME HEA
(03337)
MR. MARK OLSHANSKY
FAX: 763/417-9999
Corp
COMP
8441 WAYZATA BLVD STE 130
GOLDEN VALLEY, MN 55426
PHONE: 763/546-1000
INTERNATIONAL HEALTH CARE SERV
(03278)
MRS. ERIN GOVRIK
FAX: 763/546-1018
NProf
HHA
HCP/COMP
5801 DULUTH STREET SUITE 310
GOLDEN VALLEY, MN 55422
PHONE: 763/591-1959
(02915)
FAX: 763/591-0105
MR. MICHAEL TOBAK
Minnesota Department of Health
Division of Compliance Monitoring
Page 173
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------
HWSAL
Corp
LA BONNE VIE INC
Registration
6443 WESTCHESTER CIRCLE
(30748)
GOLDEN VALLEY, MN 55427
PHONE: 612/735-8480
FAX: /
MS. TAMARA JUNTILLA
Corp
LA BONNE VIE INC
COMP
6443 WESTCHESTER CIRCLE
(21395)
GOLDEN VALLEY, MN 55427
PHONE: 612/735-8480
FAX: /
MS. TAMARA JUNTILLA
Corp
LEGACY HOME HEALTH CARE INC
COMP
800 BOONE AVENUE N STE 195
(26206)
GOLDEN VALLEY, MN 55427
PHONE: 763/593-1000
MR. SASHA AKSELROD
FAX: 763/593-1001
Corp
LIVING LIFE HOME CARE
COMP
5905 GOLDEN VALLEY RD #106
(26152)
GOLDEN VALLEY, MN 55402
PHONE: 612/435-7140
MR. WILLIAM KREBS
FAX: 612/435-7141
Lim-Liab
MINNEAPOLIS EYE CENTER
Amb Surg
Outpt Surg
8401 GOLDEN VALLEY RD STE 340
(20729)
GOLDEN VALLEY, MN 55427
PHONE: 763/383-4150
MS. JENNIFER CORNELIUS
FAX: 763/383-4151
XRAY
Lim-Liab
MINNESOTA MEDICAL IMAGING LLC
715 FLORIDA AVENUE S STE 103
(29429)
GOLDEN VALLEY, MN 55426
PHONE: 612/354-3360
FAX: 612/315-4165
DR. NEERAJ CHEPURI
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
SLFA-6
ICFIID-6
7350 RIDGEWAY ROAD
GOLDEN VALLEY, MN 55427
PHONE: 763/754-2505
MTAI SAND CREEK
(01564)
FAX: 763/542-3285
Corp
MS. MARY TJOSVOLD
SLFA-5
ICFIID-5
5555 WESTBROOK ROAD
GOLDEN VALLEY, MN 55422
PHONE: 763/545-7086
NEW DIRECTIONS RESIDENTIAL SER
(01561)
FAX: 763/545-4251
MR. STEVE LISTON
HWSAL
Corp
4740 GOLDEN VALLEY ROAD
GOLDEN VALLEY, MN 55427
PHONE: 612/545-5240
(28249)
FAX: 612/545-5241
MS. TRENA ALLBRITTON
Minnesota Department of Health
Division of Compliance Monitoring
Page
174
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
OASIS
Corp
Certification
HENNEPIN
Registration
(Cont.)* -------------------------
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
REM HENNEPIN INC REGENT
(00158)
MS. LORIE POWELL
FAX: 763/521-3805
Corp
SLFA-6
ICFIID-6
3239 REGENT AVENUE NORTH
GOLDEN VALLEY, MN 55422
PHONE: 763/852-5325
SUMMIT HOME HEALTH CARE INC
(01274)
MS. CONNIE MENNE
FAX: 763/852-5350
Corp
HCP/COMP
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
COMP
4950 OLSON MEMORIAL HIGHWAY
GOLDEN VALLEY, MN 55422
PHONE: 763/522-4000
SUNRISE OF GOLDEN VALLEY
(23981)
FAX: 763/522-6170
MR. VINCE FOLEY
HWSAL
Part
4950 OLSON MEMORIAL HIGHWAY
GOLDEN VALLEY, MN 55422
PHONE: 763/522-4000
SUPREME HOME CARE PROVIDER & N
(23982)
FAX: 763/522-6170
Lim-Liab
MR. VINCE FOLEY
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
COMP
7575 GOLDEN VALLEY RD #378
GOLDEN VALLEY, MN 55427
PHONE: 763/746-2899
(26505)
FAX: 763/746-2898
MR. MITCHELL BLOOM
Minnesota Department of Health
Division of Compliance Monitoring
Page 175
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------
HWSAL
Corp
THE CARING SISTERS HOME CARE S
Registration
1375 OAK GROVE CIRCLE
(21932)
GOLDEN VALLEY, MN 554224415
PHONE: 952/426-4690
FAX: 952/426-4691
MR. OLALEYE BECKLEY
HWS
Lim-Liab
WATCHFUL CAREGIVERS
1405 NORTH LILAC DRIVE STE 123
(30595)
GOLDEN VALLEY, MN 55422
PHONE: 763/535-4326
FAX: 763/537-9352
MS. WOKIE HARMON-BELLA
HWS
Church
WOODSIDE TERRACE ASSISTED LIVI
5800 ST CROIX AVENUE
(21715)
GOLDEN VALLEY, MN 55422
PHONE: 763/732-1434
FAX: 763/513-6644
MR. GARY GARDEEN
HWS
NProf
1220 CAMBRIDGE ST
1220 CAMBRIDGE ST
(27124)
HOPKINS, MN 55343
PHONE: 612/290-6680
MR. CHRIS TRAILER
FAX: /-
HWSAL
NProf
AUGUSTANA CHAPEL VIEW APARTMEN
605 MINNETONKA MILLS ROAD
(20026)
HOPKINS, MN 55343
PHONE: 952/697-3877
MS. KIM PEDERSON
FAX: 952/938-4092
NProf
AUGUSTANA CHAPEL VIEW CARE CTR
SNF-NF-118
NH-118
615 MINNETONKA MILLS ROAD
(00727)
HOPKINS, MN 55343
PHONE: 952/938-2761
FAX: 952/938-4092
MS. PAULA SPARLING
Out Pt Out St Out Ot
NProf
AUGUSTANA THERAPY SERVICES
34 TENTH AVENUE SOUTH
(21755)
HOPKINS, MN 55343
PHONE: 612/333-1551
FAX: 612/338-5326
MS. KRISTY HOEPNER
HWS
NProf
BRENTWOOD PARK APARTMENTS
1301 HIGHWAY 7
(27698)
HOPKINS, MN 55305
PHONE: 952/938-5163
FAX: 952/935-8501
MR. CHRIS TRAILER
HWS
NProf
BRENTWOOD PARK APARTMENTS
619 ROBINWOOD LANE
(28010)
HOPKINS, MN 55305
PHONE: 612/204-8319
FAX: /
MS. STACEY RAY
Corp
CAREMAX INC
HCP-B
344 FIFTH AVENUE NORTH
(30140)
HOPKINS, MN 55343
PHONE: 763/614-9104
FAX: /
MR. PATRICK JOHNSON
Minnesota Department of Health
Division of Compliance Monitoring
Page 176
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
GOLDEN LIVINGCENTER HOPKINS
Certification
HENNEPIN
Registration
(Cont.)* -------------------------
NH-138
SNF-NF-138
725 SECOND AVENUE SOUTH
(00872)
HOPKINS, MN 55343
PHONE: 952/935-3338
FAX: 952/935-0032
MR. MATTHEW TOBALSKY
HWS
Corp
GRACE HOMES - OAK RIDGE HOUSE
601 OAK RIDGE ROAD
(28023)
HOPKINS, MN 55305
PHONE: 952/303-4305
FAX: 952/303-4121
Corp
GRACE HOMES OAK RIDGE HOUSE
MS. BETHANY BUCHANAN
HCP-F
601 OAK RIDGE ROAD
(26529)
HOPKINS, MN 55305
PHONE: 952/303-4305
MS. BETHANY BUCHANAN
FAX: 952/303-4121
HWS
Lim-Liab
HADLER MANAGEMENT
829 OLD SETTLERS TRAIL
(30207)
HOPKINS, MN 55343
PHONE: 651/460-4167
MS. JENNIFER WEISSMAN
FAX: /-
HWS
NProf
HIAWATHA COURT
1115 HIAWATHA AVE
(30564)
HOPKINS, MN 55343
PHONE: 651/774-0011
MR. GEOFFREY MEYER
FAX: 651/291-1082
HWS
Corp
HIAWATHA COURT
1110 HIAWATHA AVENUE
(31173)
HOPKINS, MN 55343
PHONE: 952/922-2500
MS. LYNDA MERKENS
FAX: 952/922-5400
HWS
Corp
HIAWATHA COURT
1105 HIAWATHA AVENUE
(31172)
HOPKINS, MN 55343
PHONE: 952/922-2500
MS. LYNDA MERKENS
FAX: 952/922-5400
Lim-Liab
HOME CARE WITH A HEART LLC
HCP-C
739 2ND STREET NORTHEAST
(27237)
HOPKINS, MN 55343
PHONE: 952/922-3094
MS. BONNIE LEVY
FAX: /-
HWS
NProf
KNOLLWOOD APARTMENTS
1210 CAMBRIDGE STREET
(27052)
HOPKINS, MN 55343
PHONE: 612/204-8319
PARK NICOLLET METHODIST HC
MS. STACEY RAY
FAX: /-
NProf
HHA
HCP/COMP
700 SOUTH 5TH STREET
HOPKINS, MN 55343
PHONE: 952/993-6087
(02229)
FAX: 952/993-5081
MS. PATRICIA BETLACH
Minnesota Department of Health
Division of Compliance Monitoring
Page 177
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------
HWS
Lim-Liab
SEAN AND DANEA HOMES LLC
Registration
811 SMETANA ROAD
(31047)
HOPKINS, MN 55343
PHONE: 952/224-6184
FAX: /-
MS. JENNIFER WEISSMAN
HWSAL
ONProf
THE TERRACES OF ST THERESE SW
901 FELTL COURT
(22139)
HOPKINS, MN 55343
PHONE: 952/933-3333
FAX: 952/933-8776
MS. LORI MCGUIRE
HWS
NProf
THE TOWERS OF ST THERESE SW
1011 FELTL COURT
(20217)
HOPKINS, MN 55343
PHONE: 952/933-3333
FAX: 952/933-8776
MS. LORI MCGUIRE
HWSAL
Lim-Liab
LONG LAKE ASSISTED LIVING LLC
345 NORTH BROWN ROAD
(30339)
LONG LAKE, MN 55356
PHONE: 952/473-2527
MR. KEITH UNGER
FAX: 952/404-9701
Lim-Liab
LONG LAKE ASSISTED LIVING LLC
HCP-F
345 NORTH BROWN ROAD
(23172)
LONG LAKE, MN 55356
PHONE: 952/473-2527
MR. KEITH UNGER
FAX: 952/404-9701
NProf
ORONO WOODLANDS
ICFIID-6
SLFB-6
2100 6TH AVENUE NORTH BOX 507
(01366)
LONG LAKE, MN 55356
PHONE: 952/473-0852
FAX: 952/473-8428
MS. GLADYS MC CLENDON
Home Mgmt
Corp
1 GALAXY OF DIVINE CARING INC
13570 GROVE DRIVE SUITE 211
(29715)
MAPLE GROVE, MN 553114400
PHONE: 763/463-9313
FAX: 763/494-6709
Lim-Liab
ARBOR LAKES SENIOR LIVING
MS. NOELA SUHFOR
COMP
12001 80TH AVENUE NORTH
(27690)
MAPLE GROVE, MN 55369
PHONE: 763/575-7021
FAX: 651/575-7034
MR. BEN WELNA
HWS
Lim-Liab
ARBOR LAKES SENIOR LIVING LLC
12001 80TH AVENUE NORTH
(30754)
MAPLE GROVE, MN 55369
PHONE: 763/575-7021
FAX: 651/575-7034
Ind
BETTY R JOHNSON
MR. LANCE LEMIEUX
BASIC
6593 IVES LANE NORTH
(28538)
MAPLE GROVE, MN 55369
PHONE: 612/987-1488
FAX: /
MS. BETTY R. JOHNSON
Minnesota Department of Health
Division of Compliance Monitoring
Page
178
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
BRIGHTSTAR HEALTHCARE OF WAYZA
Certification
HENNEPIN
Registration
(Cont.)* -------------------------
COMP
7365 KIRKWOOD COURT N #345
(27083)
MAPLE GROVE, MN 55369
PHONE: 612/486-4400
FAX: 612/486-4010
Lim-Liab
CARING MATTERS HOME CARE 035
MR. RICK GASS
TBASIC
10040 UNION TERRACE LANE N
(31412)
MAPLE GROVE, MN 55369
PHONE: 763/445-9199
CHEZ VOUS HOME CARE LLC
FAX: /
MR. DAMIEN DEZURIK
Lim-Liab
HCP-A
11977 84TH PLACE N
MAPLE GROVE, MN 55369
PHONE: 612/220-8052
CHOICES BY DESIGN LLC
(26654)
FAX: 612/259-7440
Lim-Liab
MS. SEETA ARRELL
HCP-A
10650 COUNTY ROAD 81 STE 222A
MAPLE GROVE, MN 55369
PHONE: 763/493-5067
DUNGARVIN YOUGAL
(29338)
MR. FREDIE OGIUGO
FAX: 763/493-5138
Lim-Liab
SLFA-6
10203 94TH AVENUE
MAPLE GROVE, MN 55369
PHONE: 651/699-6050
FAIRVIEW MAPLE GROVE SURG CTR
(00245)
MS. NATALIE GRAF
FAX: 651/699-7265
Lim-Liab
Outpt Surg
Amb Surg
14500 99TH AVENUE NORTH
MAPLE GROVE, MN 55369
PHONE: 763/898-1400
FRESENIUS MED CARE MAPLE GROVE
(24347)
FAX: 763/898-1439
MS. HEATHER SHERIDAN
ESRD
Corp
7365 KIRKWOOD COURT SUITE 135
MAPLE GROVE, MN 55369
PHONE: 763/494-0316
GIVINGTREE HOMECARE
(26279)
FAX: 763/494-4201
Lim-Liab
MS. JENA ANDERBERG
COMP
17570 73RD AVENUE NORTH
MAPLE GROVE, MN 55311
PHONE: 612/889-2429
GOLDEN POND
(29824)
FAX: 763/657-0727
MR. MICHAEL O'CONNOR
HWSAL
Lim-Liab
12270 87TH AVENUE NORTH
MAPLE GROVE, MN 55369
PHONE: 763/447-7717
GOLDEN POND HOME
(27329)
FAX: 763/496-1403
Lim-Liab
MS. NANCY STRANDLUND
COMP
12270 87TH AVE N
MAPLE GROVE, MN 55369
PHONE: 763/447-7717
(27328)
FAX: 763/496-1403
MS. NANCY STRANDLUND
Minnesota Department of Health
Division of Compliance Monitoring
Page 179
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
HAMMER LAWNDALE
Certification
HENNEPIN
Registration
(Cont.)* --------------------------
SLFB-6
ICFIID-6
6688 LAWNDALE LANE NORTH
(01686)
MAPLE GROVE, MN 55311
PHONE: 952/473-1261
FAX: 952/473-8629
Lim-Liab
HANNAHS HOME HLTH&CARE CNSLTG
MR. JOHN ESTREM
COMP
17641 69TH PLACE NORTH
(29829)
MAPLE GROVE, MN 55311
PHONE: 763/957-0290
FAX: 763/710-7989
Lim-Liab
HEALING TOUCH HOME CARE LLC
MS. HANNAH BLACK
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)
MR. JOHN STUCK
FAX: 763/544-6012
Corp
HCP-B
9684 63RD AVE N SUITE #106
MAPLE GROVE, MN 55369
PHONE: 763/544-5988
HOME INSTEAD SENIOR CARE OF MI
(23593)
MR. JOHN STUCK
FAX: 763/544-6012
Corp
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
HOMEWARD BOUND MAPLE GROVE
(24265)
FAX: 763/746-4850
NProf
MR. DONALD PRIEBE
SLFB-6
ICFIID-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
SLFB-6
ICFIID-6
14850 75TH AVENUE NORTH
MAPLE GROVE, MN 55369
PHONE: 763/420-5848
(01401)
FAX: 763/420-6121
MR. BENJAMIN LARSON
Minnesota Department of Health
Division of Compliance Monitoring
Page
180
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------
Amb Surg
Lim-Liab
MAPLE GROVE CTR RESTORATIVE
Registration
13601 80TH CIR N #100
(30010)
MAPLE GROVE, MN 55369
PHONE: 763/432-7655
FAX: 763/432-7501
MS. MAGGIE LINDSTROM
ESRD
Corp
MAPLE GROVE DIALYSIS UNIT
15655 GROVE CIRCLE NORTH
(25897)
MAPLE GROVE, MN 55369
PHONE: 763/420-2804
FAX: 763/420-7162
NProf
MAPLE GROVE HOSPITAL
MS. CYNTHIA BARNHOUSE
HOSP-130 BASS-36
HOSP-130
9875 HOSPITAL DRIVE
(25593)
MAPLE GROVE, MN 55369
PHONE: 763/581-1000
FAX: 763/581-1555
Lim-Liab
MINNEAPOLIS PAIN CENTERS LLC
MR. ANDY COCHRANE
Outpt Surg
Amb Surg
9550 UPLAND AVENUE N STE 150
(25675)
MAPLE GROVE, MN 55369
PHONE: 763/420-2981
MR. VISHAL LAL
FAX: 763/537-6000
Lim-Liab
NORTH MEMORIAL AMBU SURG
Outpt Surg
Amb Surg
9855 HOSPITAL DRIVE SUITE 175
(25447)
MAPLE GROVE, MN 55369
PHONE: 763/581-9000
MS. TRACI ALBERS
FAX: 763/581-9001
Lim-Liab
PRAIRIECARE
PSY-HOSP-30
PSY-20
12915 63RD AVENUE NORTH
(27048)
MAPLE GROVE, MN 55369
PHONE: 763/383-5800
FAX: 763/383-5801
DR. JOEL OBERSTAR
HWSAL
Corp
ROSE ARBOR
16500 92ND AVENUE NORTH
(21387)
MAPLE GROVE, MN 55311
PHONE: 763/493-5910
FAX: 763/420-5728
MS. SHELLEY MCDONALD
Home Mgmt
Lim-Liab
SENIOR CARE MN LLC
17251 72ND AVE N UNIT 102
(31179)
MAPLE GROVE, MN 55311
PHONE: 763/202-9554
SOLBAKKEN INC
FAX: /
MR. NEAL FENTON
HWS
Corp
18255 83RD AVENUE NORTH
MAPLE GROVE, MN 55311
PHONE: 612/280-3394
WILDFLOWER LODGE
(27896)
FAX: 952/943-2941
Corp
MS. MARY ADAMS
HCP-F
9251 BLACK OAKS LANE NORTH
MAPLE GROVE, MN 55311
PHONE: 763/493-5910
(21386)
FAX: 763/420-5728
MS. SHELLEY MCDONALD
Minnesota Department of Health
Division of Compliance Monitoring
Page 181
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------
HWSAL
Corp
WILDFLOWER LODGE
Registration
9251 BLACK OAKS LANE NORTH
(30747)
MAPLE GROVE, MN 55311
PHONE: 763/493-5910
FAX: 763/420-5728
NProf
BRYANT HOUSE
MS. SHELLEY MCDONALD
COMP
5515 BRYANT STREET
(20106)
MAPLE PLAIN, MN 55359
PHONE: 763/479-3655
FAX: 763/479-3656
MR. ROBERT MUELLER
HWS
NProf
BRYANT HOUSE
5515 BRYANT STREET
(30416)
MAPLE PLAIN, MN 55359
PHONE: 763/479-3655
FAX: 763/479-3656
NProf
HAVEN HOMES OF MAPLE PLAIN
MS. DIANE LYNCH
NH-52
SNF-NF-52
1520 WYMAN AVENUE
(00950)
MAPLE PLAIN, MN 55359
PHONE: 763/479-1993
MS. DIANE LYNCH
FAX: 763/479-3656
Lim-Liab
1-0 GRANNY'S HELPFUL HANDS LLC
COMP
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
FAX: /-
MS. STACEY RAY
HWS
NProf
1005 15TH AVENUE SE
1005 15TH AVENUE SE
(25056)
MINNEAPOLIS, MN 55414
PHONE: 612/204-8319
FAX: 612/375-9105
MS. STACEY RAY
HWS
NProf
1023 MORGAN AVE N
1023 MORGAN AVE N
(30570)
MINNEAPOLIS, MN 55411
PHONE: 612/382-9999
FAX: /
MR. CHRIS TRAILER
HWS
Corp
1108 8TH ST SE
1108 8TH ST SE
(31229)
MINNEAPOLIS, MN 55414
PHONE: 612/843-4888
1115 MAIN STREET
FAX: /-
MS. LYNDA MERKENS
HWS
NProf
1115 MAIN STREET NE
MINNEAPOLIS, MN 55413
PHONE: 763/571-3300
(27135)
FAX: 763/571-4209
MR. CHRIS TRAILER
Minnesota Department of Health
Division of Compliance Monitoring
Page 182
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------
HWS
NProf
1215 KNOX AVENUE NORTH
Registration
1215 KNOX AVENUE NORTH
(28768)
MINNEAPOLIS, MN 55411
PHONE: 612/285-1009
FAX: 612/285-1010
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
123 33RD ST W
123 33RD ST W
(30887)
MINNEAPOLIS, MN 55408
PHONE: 612/369-2909
FAX: /
MS. STACEY RAY
HWS
Corp
1301 24TH STREET EAST
1301 24TH STREET EAST
(31486)
MINNEAPOLIS, MN 55404
PHONE: 651/221-1046
FAX: 651/690-4228
MS. LYNDA MERKENS
HWS
NProf
1405 SE COMO AVENUE
1405 SE COMO AVENUE
(24937)
MINNEAPOLIS, MN 55414
PHONE: 612/204-8319
MS. STACEY RAY
FAX: /-
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
MR. CHRIS TRAILER
FAX: /-
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
Minnesota Department of Health
Division of Compliance Monitoring
Page 183
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------
HWS-O
NProf
1501 11TH AVENUE SOUTH
Registration
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
HWS
NProf
1522 LASALLE AVENUE SOUTH
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
MR. CHRIS TRAILER
FAX: /-
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: 612/455-0875
FAX: 612/879-0041
MS. MOLLY HAGEN
HWS
NProf
1619 26TH AVE N
1619 26TH AVE N
(29794)
MINNEAPOLIS, MN 55411
PHONE: 612/293-9767
MR. CHRIS TRAILER
FAX: /-
HWS
NProf
1621 TAYLOR STREET NE
1621 TAYLOR STREET NE
(25339)
MINNEAPOLIS, MN 55413
PHONE: 612/204-8319
1720 19TH AVENUE NE
MS. STACEY RAY
FAX: /-
HWS
NProf
1720 19TH AVENUE NE
MINNEAPOLIS, MN 55408
PHONE: 612/508-8700
(27860)
FAX: 612/823-0685
MR. CHRIS TRAILER
Minnesota Department of Health
Division of Compliance Monitoring
Page 184
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------
HWS
NProf
1807 LAKE STREET EAST
Registration
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
HWS
NProf
1810 3RD AVENUE SOUTH #101
1810 3RD AVENUE SOUTH #101
(28156)
MINNEAPOLIS, MN 55404
PHONE: 612/774-3339
FAX: /-
MS. STACEY RAY
HWS
NProf
1815 1ST AVENUE S
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
MR. CHRIS TRAILER
FAX: /-
HWS-O
NProf
1846 CENTRAL AVENUE NE
1846 CENTRAL AVENUE NE
(31076)
MINNEAPOLIS, MN 55418
PHONE: 651/329-4161
FAX: /
MR. CHRIS TRAILER
Minnesota Department of Health
Division of Compliance Monitoring
Page
185
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------
HWS
Corp
1907 GLENWOOD AVENUE NORTH
Registration
1907 GLENWOOD AVENUE NORTH
(31487)
MINNEAPOLIS, MN 55405
PHONE: 612/670-6069
FAX: /
MS. LYNDA MERKENS
HWS
NProf
1910 LOWRY AVE N
1910 LOWRY AVE N
(31278)
MINNEAPOLIS, MN 55412
PHONE: 952/917-9580
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 STEVENS AVE SOUTH
1912 STEVENS AVENUE SOUTH
(28532)
MINNEAPOLIS, MN 55403
PHONE: 952/297-6626
FAX: 952/884-9851
MR. CHRIS TRAILER
HWS
NProf
1913 STEVENS AVENUE SOUTH
1913 STEVENS AVENUE SOUTH
(27869)
MINNEAPOLIS, MN 55403
PHONE: 612/870-1870
MR. CHRIS TRAILER
FAX: /-
HWS
NProf
1915 2ND AVENUE SOUTH
1915 2ND AVENUE SOUTH
(27390)
MINNEAPOLIS, MN 55403
PHONE: 612/204-8319
FAX: /-
MS STACEY RAY
HWS
NProf
1924 EMERSON AVENUE SOUTH
1924 EMERSON AVENUE SOUTH
(25797)
MINNEAPOLIS, MN 55403
PHONE: 612/204-8319
FAX: /-
MS. STACEY RAY
HWS
NProf
1924 STEVENS AVENUE SOUTH
1924 STEVENS AVENUE SOUTH
(27863)
MINNEAPOLIS, MN 55403
PHONE: 612/870-1870
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
1929 3RD AVENUE SOUTH
1929 3RD AVENUE SOUTH
(27710)
MINNEAPOLIS, MN 55404
PHONE: 612/204-8319
FAX: /-
MS. STACEY RAY
HWS
NProf
1939 OLIVER AVENUE NORTH
1939 OLIVER AVENUE NORTH
(29421)
MINNEAPOLIS, MN 55411
PHONE: 612/581-5207
FAX: /-
MR. CHRIS TRAILER
Minnesota Department of Health
Division of Compliance Monitoring
Page 186
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
1ST CHOICE PEDIATRIC HOME CARE
Certification
HENNEPIN
Registration
(Cont.)* -------------------------
COMP
226 COLFAX AVENUE N STE 101
(29156)
MINNEAPOLIS, MN 554051437
PHONE: 612/770-4177
FAX: 612/454-2664
Lim-Liab
1ST COMPASSIONATE CARE LLC
MS. TERRI LYNAS
HCP-A
2638 WEST BROADWAY AVE
(30944)
MINNEAPOLIS, MN 55411
PHONE: 612/588-2222
FAX: 612/588-2222
MR. JERALYNN NOLAN
HWS
NProf
2011 PILLSBURY AVENUE SOUTH
2011 PILLSBURY AVENUE SOUTH
(25838)
MINNEAPOLIS, MN 55404
PHONE: 612/874-0311
FAX: 612/874-0313
MR. CHRIS TRAILER
HWS
NProf
2014 25TH AVE N
2014 25TH AVE N
(29573)
MINNEAPOLIS, MN 55411
PHONE: 612/568-5397
MR. CHRIS TRAILER
FAX: /-
HWS
NProf
2014 3RD AVENUE SOUTH
2014 3RD AVENUE SOUTH
(26889)
MINNEAPOLIS, MN 55404
PHONE: 612/922-7925
MR. CHRIS TRAILER
FAX: /-
HWS
NProf
2015 STEVENS AVENUE
2015 STEVENS AVENUE
(31502)
MINNEAPOLIS, MN 55404
PHONE: 612/819-4966
FAX: 612/787-0633
MS. ERIN WIXSTEN
HWS
NProf
2016 PORTLAND AVE S
2016 PORTLAND AVE S
(29795)
MINNEAPOLIS, MN 55404
PHONE: 763/568-4477
MR. CHRIS TRAILER
FAX: /-
HWS
NProf
2017 PILLSBURY AVENUE SOUTH
2017 PILLSBURY AVENUE SOUTH
(27320)
MINNEAPOLIS, MN 55404
PHONE: 612/377-2792
MR. CHRIS TRAILER
FAX: /-
HWS
NProf
2029 WILLOW AVENUE NORTH
2029 WILLOW AVENUE NORTH
(28861)
MINNEAPOLIS, MN 55411
PHONE: 612/208-6434
2103 2ND AVENUE SOUTH
MR. CHRIS TRAILER
FAX: /-
HWS
NProf
2103 2ND AVENUE SOUTH
MINNEAPOLIS, MN 55404
PHONE: 612/874-0311
(27597)
FAX: 612/874-0313
MR. CHRIS TRAILER
Minnesota Department of Health
Division of Compliance Monitoring
Page 187
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------
HWS
Corp
2108 2ND AVE N
Registration
2108 2ND AVE N
(31117)
MINNEAPOLIS, MN 55405
PHONE: 612/865-4162
FAX: /-
MS. LYNDA MERKENS
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
MR. CHRIS TRAILER
FAX: /-
HWS
NProf
2200 BRYANT AVENUE SOUTH
2200 BRYANT AVENUE SOUTH
(25191)
MINNEAPOLIS, MN 55405
PHONE: 612/290-0874
FAX: 612/929-0422
MR. CHRIS TRAILER
HWS
NProf
2200 PILLSBURY AVENUE S
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
MR. CHRIS TRAILER
FAX: /-
HWS
NProf
2220 14TH AVENUE SOUTH
2220 14TH AVENUE SOUTH
(28473)
MINNEAPOLIS, MN 55404
PHONE: 651/343-8836
MR. CHRIS TRAILER
FAX: /-
HWS
NProf
2221 BLAISDELL AVENUE SOUTH
2221 BLAISDELL AVENUE SOUTH
(27131)
MINNEAPOLIS, MN 55404
PHONE: 612/872-2489
FAX: 612/872-2359
MR. CHRIS TRAILER
HWS
NProf
225 OAK GROVE STREET
225 OAK GROVE STREET
(26898)
MINNEAPOLIS, MN 55403
PHONE: 612/871-3313
FAX: /
MR. CHRIS TRAILER
Minnesota Department of Health
Division of Compliance Monitoring
Page 188
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------
HWS
NProf
225 WEST 15TH STREET
Registration
225 WEST 15TH STREET
(31012)
MINNEAPOLIS, MN 55403
PHONE: 612/871-6581
FAX: /-
MR. CHRIS TRAILER
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
MR. CHRIS TRAILER
FAX: /-
HWS
NProf
233 OAK GROVE
233 OAK GROVE
(28153)
MINNEAPOLIS, MN 55403
PHONE: 612/871-3313
MS. STACEY RAY
FAX: /
Corp
24 HOUR CARE
BASIC
2736 HENNEPIN AVE S STE 101
(26189)
MINNEAPOLIS, MN 55408
PHONE: 612/871-4242
FAX: 612/879-8374
MR. DAVID WOLFE
HWS
NProf
2417 17TH AVENUE SOUTH
2417 17TH AVENUE SOUTH
(27954)
MINNEAPOLIS, MN 55407
PHONE: 612/722-8881
MR. CHRIS TRAILER
FAX: /
HWS
Corp
2417 GARFIELD APARTMENT
2417 GARFIELD AVENUE
(31021)
MINNEAPOLIS, MN 55405
PHONE: 612/444-2373
FAX: 612/326-9029
MR. JAMAL GELLE
HWS
NProf
2505 22ND AVE S
2505 22ND AVE S
(30904)
MINNEAPOLIS, MN 55407
PHONE: 612/799-7885
MR. CHRIS TRAILER
FAX: /-
HWS
NProf
2507 CENTRAL AVENUE NE
2507 CENTRAL AVENUE NE
(31188)
MINNEAPOLIS, MN 55418
PHONE: 612/919-2435
FAX: /
MS. DARLA GUSTAFSON
Minnesota Department of Health
Division of Compliance Monitoring
Page
189
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------
HWS
NProf
2516 JACKSON STREET NE
Registration
2516 JACKSON STREET NE
(31460)
MINNEAPOLIS, MN 55406
PHONE: 612/382-9999
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
FAX: /-
MS. STACEY RAY
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
2612 PILLSBURY AVE S
2612 PILLSBURY AVE S
(31152)
MINNEAPOLIS, MN 55405
PHONE: 612/767-3100
FAX: /-
MS. CARLA MAGNUSON
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
190
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
2644 CHICAGO AVE S
2644 CHICAGO AVE S
(30152)
MINNEAPOLIS, MN 55407
PHONE: 612/296-1200
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
2653 LYNDALE AVE N
2653 LYNDALE AVE N
(29870)
MINNEAPOLIS, MN 55412
PHONE: 612/210-2267
MR. CHRIS TRAILER
FAX: /-
HWS
NProf
2656 BRYANT AVENUE SOUTH
2656 BRYANT AVENUE SOUTH
(31362)
MINNEAPOLIS, MN 55408
PHONE: 612/351-5677
MS. DARLA GUSTAFSON
FAX: /-
HWS
NProf
2700 GRAND AVENUE SOUTH
2700 GRAND AVENUE SOUTH
(25940)
MINNEAPOLIS, MN 55408
PHONE: 612/204-8319
FAX: /-
MS. STACEY RAY
HWS
NProf
2701 GOLDEN VALLEY ROAD
2701 GOLDEN VALLEY ROAD
(31360)
MINNEAPOLIS, MN 55411
PHONE: 763/786-0939
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
HWS
NProf
2714 POLK ST NE
2714 POLK ST NE
(30569)
MINNEAPOLIS, MN 55418
PHONE: 612/414-1839
FAX: /-
MR. CHRIS TRAILER
Minnesota Department of Health
Division of Compliance Monitoring
Page
191
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------
HWS
NProf
2720 PILLSBURY AVENUE SOUTH
Registration
2720 PILLSBURY AVENUE SOUTH
(27477)
MINNEAPOLIS, MN 55408
PHONE: 612/872-2474
FAX: /
MR. CHRIS TRAILER
HWS
NProf
2721 GOLDEN VALLEY ROAD
2721 GOLDEN VALLEY ROAD
(31011)
MINNEAPOLIS, MN 55411
PHONE: 612/270-5281
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
2722 THOMAS AVE N
2722 THOMAS AVE N
(30789)
MINNEAPOLIS, MN 55411
PHONE: 612/521-4351
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
2726 BLOOMINGTON AVENUE SOUTH
2726 BLOOMINGTON AVENUE SOUTH
(28770)
MINNEAPOLIS, MN 55407
PHONE: 612/724-7368
MR. CHRIS TRAILER
FAX: /-
HWS
NProf
2726 EMERSON AVE N
2726 EMERSON AVE N
(29804)
MINNEAPOLIS, MN 55411
PHONE: 612/293-9767
MR. CHRIS TRAILER
FAX: /-
HWS
Corp
2732 GRAND AVE #4
2732 GRAND AVE #4
(30094)
MINNEAPOLIS, MN 55408
PHONE: 612/554-3291
FAX: /-
MS. LYNDA MERKENS
HWS
NProf
2732 SECOND AVENUE SOUTH
2732 SECOND AVENUE SOUTH
(29373)
MINNEAPOLIS, MN 55408
PHONE: 612/874-1660
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
2735 ALDRICH AVENUE SOUTH
2735 ALDRICH AVENUE SOUTH
(31503)
MINNEAPOLIS, MN 55408
PHONE: 612/760-2663
FAX: /-
MS. DARLA GUSTAFSON
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
Minnesota Department of Health
Division of Compliance Monitoring
Page
192
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------
HWS
NProf
2800 PILLSBURY AVENUE SOUTH
Registration
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
HWS
NProf
2920 12TH AVE S
2920 12TH AVE S
(29801)
MINNEAPOLIS, MN 55407
PHONE: 612/751-5496
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
2931 BRYANT AVE N
2931 BRYANT AVE N
(31151)
MINNEAPOLIS, MN 55411
PHONE: 612/508-2512
MR. CHRIS TRAILER
FAX: /-
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
FAX: /-
MR. CHRIS TRAILER
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
3010 RUSSELL AVENUE NORTH
3010 RUSSELL AVENUE NORTH
(28218)
MINNEAPOLIS, MN 55411
PHONE: 612/269-5744
FAX: /-
MR. CHRIS TRAILER
Minnesota Department of Health
Division of Compliance Monitoring
Page
193
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------
HWS
NProf
3014 31ST AVENUE SOUTH
Registration
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 10TH AVENUE SOUTH
3020 10TH AVENUE SOUTH
(31075)
MINNEAPOLIS, MN 55407
PHONE: 612/822-0657
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
3020 31ST AVENUE SOUTH
3020 31ST AVENUE SOUTH
(26825)
MINNEAPOLIS, MN 55406
PHONE: 612/922-7925
MR. CHRIS TRAILER
FAX: /-
HWS
NProf
3033 15TH AVENUE SOUTH
3033 15TH AVENUE SOUTH
(29449)
MINNEAPOLIS, MN 55407
PHONE: 612/990-7333
MR. CHRIS TRAILER
FAX: /-
HWS
Corp
3052 CALIFORNIA ST NE
3052 CALIFORNIA ST NE
(30849)
MINNEAPOLIS, MN 55418
PHONE: 651/497-1629
FAX: /-
MS. LYNDA MERKENS
HWS
NProf
3103 PENN AVENUE NORTH
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
3117 15TH AVENUE SOUTH
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
3117 15TH AVENUE SOUTH
MINNEAPOLIS, MN 55407
PHONE: 612/724-7368
(25190)
FAX: 612/722-0904
MR. CHRIS TRAILER
Minnesota Department of Health
Division of Compliance Monitoring
Page
194
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------
HWS
NProf
3121 3RD AVENUE SOUTH
Registration
3121 3RD AVENUE SOUTH
(26733)
MINNEAPOLIS, MN 55408
PHONE: 612/275-2855
FAX: /
MR. CHRIS TRAILER
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
Corp
3133 BLOOMINGTON AVE S
3133 BLOOMINGTON AVE S
(30249)
MINNEAPOLIS, MN 55407
PHONE: 214/890-4195
FAX: 214/234-0138
MS. LYNDA MERKENS
HWS
NProf
3139 THIRD AVENUE SOUTH
3139 THIRD AVENUE SOUTH
(29213)
MINNEAPOLIS, MN 55408
PHONE: 612/216-5040
MR. CHRIS TRAILER
FAX: /-
HWS
NProf
315 23RD AVENUE NORTH
315 23RD AVENUE NORTH
(31010)
MINNEAPOLIS, MN 55411
PHONE: 612/308-2967
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
3210 29TH AVENUE SOUTH
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: 612/204-8319
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
Minnesota Department of Health
Division of Compliance Monitoring
Page
195
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------
HWS
NProf
3230 PENN AVENUE NORTH
Registration
3230 PENN AVENUE NORTH
(29029)
MINNEAPOLIS, MN 55412
PHONE: 612/399-6370
FAX: /
MR. CHRIS TRAILER
HWS
NProf
3232 BLAISDELL AVENUE SOUTH
3232 BLAISDELL AVENUE SOUTH
(26414)
MINNEAPOLIS, MN 55408
PHONE: 612/827-6284
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
3245 3RD AVE S
3245 3RD AVE S
(29866)
MINNEAPOLIS, MN 55408
PHONE: 612/770-5224
FAX: /-
MR. CHRIS TRAILER
HWS-O
Corp
3246 GIRARD AVENUE SOUTH
3246 GIRARD AVENUE SOUTH
(31306)
MINNEAPOLIS, MN 55408
PHONE: 952/927-4144
FAX: 952/927-4454
MS. LYNDA MERKENS
HWS
NProf
327 UNIVERSITY AVENUE SE
327 UNIVERSITY AVENUE SE
(24906)
MINNEAPOLIS, MN 55414
PHONE: 612/204-8319
MS. STACEY RAY
FAX: /-
HWS
NProf
3305 BRYANT AVENUE SOUTH
3305 BRYANT AVENUE SOUTH
(25231)
MINNEAPOLIS, MN 55404
PHONE: 612/204-8319
FAX: /-
MS. STACEY RAY
HWS
NProf
3309 S PILLSBURY AVENUE
3309 S PILLSBURY AVENUE
(30136)
MINNEAPOLIS, MN 55408
PHONE: 612/369-2909
FAX: 763/421-1927
MS. STACEY RAY
HWS
NProf
3310 NORTH PENN AVENUE
3310 NORTH PENN AVENUE
(27796)
MINNEAPOLIS, MN 55412
PHONE: 612/204-8319
FAX: /-
MS. STACEY RAY
HWS
NProf
3311 FREMONT AVE N
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
Minnesota Department of Health
Division of Compliance Monitoring
Page 196
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------
HWS
NProf
3320 LONGFELLOW AVENUE SOUTH
Registration
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
FAX: /-
MS. STACEY RAY
HWS
NProf
3330 ALDRICH AVENUE NORTH
3330 ALDRICH AVENUE NORTH
(28917)
MINNEAPOLIS, MN 55412
PHONE: 612/285-1009
FAX: /-
MR. CHRIS TRAILER
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
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
MR. CHRIS TRAILER
FAX: /-
HWS
NProf
3452 SOUTH EMERSON AVENUE
3452 SOUTH EMERSON AVENUE
(28525)
MINNEAPOLIS, MN 55408
PHONE: 952/925-3878
MS. STACEY RAY
FAX: /-
HWS
NProf
3455 SOUTH MINNEHAHA AVENUE
3455 SOUTH MINNEHAHA AVENUE
(26664)
MINNEAPOLIS, MN 55406
PHONE: 612/204-8319
FAX: /
MS. STACEY RAY
Minnesota Department of Health
Division of Compliance Monitoring
Page
197
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------
HWS
NProf
3457 CENTRAL AVENUE NORTHEAST
Registration
3457 CENTRAL AVENUE NORTHEAST
(26583)
MINNEAPOLIS, MN 55418
PHONE: 612/204-8319
FAX: /
MS. STACEY RAY
HWS
NProf
3457 MINNEHAHA AVENUE SOUTH
3457 MINNEHAHA AVENUE SOUTH
(26003)
MINNEAPOLIS, MN 55406
PHONE: 612/204-8319
FAX: /-
MS. STACEY RAY
HWS
NProf
3520 12TH AVENUE SOUTH
3520 12TH AVENUE SOUTH
(26895)
MINNEAPOLIS, MN 55409
PHONE: 612/270-7844
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
3521 12TH AVENUE SOUTH
3521 12TH AVENUE SOUTH
(28360)
MINNEAPOLIS, MN 55409
PHONE: 612/270-7844
MR. CHRIS TRAILER
FAX: /-
HWS
NProf
3534 PENN AVENUE NORTH
3534 PENN AVENUE NORTH
(27315)
MINNEAPOLIS, MN 55412
PHONE: 612/522-3394
MR. CHRIS TRAILER
FAX: /-
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
3620 32ND ST W
3620 32ND ST W
(30905)
MINNEAPOLIS, MN 55416
PHONE: 612/922-3779
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
3643 PENN AVENUE NORTH
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
Minnesota Department of Health
Division of Compliance Monitoring
Page
198
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------
HWS
NProf
3701 LAKE STREET WEST
Registration
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
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
3710 MINNEHAHA AVENUE SOUTH
3710 MINNEHAHA AVENUE SOUTH
(29140)
MINNEAPOLIS, MN 55406
PHONE: 612/799-7885
MR. CHRIS TRAILER
FAX: /-
HWS
NProf
3712 LAKE ST E
3712 LAKE ST E
(29542)
MINNEAPOLIS, MN 55406
PHONE: 612/618-0971
MR. CHRIS TRAILER
FAX: /-
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
HWS
NProf
3806 6TH STREET NORTH
3806 6TH STREET NORTH
(27058)
MINNEAPOLIS, MN 55429
PHONE: 612/219-9762
3816 NICOLLET AVENUE SOUTH
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
3816 NICOLLET AVENUE SOUTH
MINNEAPOLIS, MN 55409
PHONE: 612/922-7925
(25025)
FAX: 612/722-0884
MR. CHRIS TRAILER
Minnesota Department of Health
Division of Compliance Monitoring
Page 199
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------
HWS
NProf
3823 COLUMBUS AVENUE SOUTH
Registration
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
4052 MINNEHAHA AVENUE SOUTH
4052 MINNEHAHA AVENUE SOUTH
(27614)
MINNEAPOLIS, MN 55406
PHONE: 612/325-5862
MR. CHRIS TRAILER
FAX: /-
HWS
NProf
410 6TH STREET SE
410 6TH STREET SE
(25058)
MINNEAPOLIS, MN 55414
PHONE: 612/204-8319
MS. STACEY RAY
FAX: /-
HWS
NProf
4331 GIRARD AVENUE NORTH
4331 GIRARD AVENUE NORTH
(28361)
MINNEAPOLIS, MN 55412
PHONE: 612/267-5530
FAX: 612/234-4708
MR. CHRIS TRAILER
HWS
NProf
4445 LAKE STREET EAST
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: 612/990-7333
MR. CHRIS TRAILER
FAX: /-
HWS
NProf
4604 BLOOMINGTON AVENUE SOUTH
4604 BLOOMINGTON AVENUE SOUTH
(28474)
MINNEAPOLIS, MN 55407
PHONE: 612/987-6115
FAX: /
MR. CHRIS TRAILER
Minnesota Department of Health
Division of Compliance Monitoring
Page
200
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------
HWS
NProf
4TH STREET RESIDENCE
Registration
432 4TH STREET SE
(28543)
MINNEAPOLIS, MN 55414
PHONE: 651/222-7587
FAX: /
MS. STACEY RAY
HWS
NProf
507 RIDGEWOOD AVENUE
507 RIDGEWOOD AVENUE
(27615)
MINNEAPOLIS, MN 55403
PHONE: 612/325-5862
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
509 E 36TH ST
509 E 36TH ST
(31450)
MINNEAPOLIS, MN 55408
PHONE: 612/867-3157
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
5255 IRVING AVE N
5255 IRVING AVE N
(30149)
MINNEAPOLIS, MN 55430
PHONE: 612/522-2556
MR. CHRIS TRAILER
FAX: /-
HWS
NProf
5700 34TH AVENUE SOUTH
5700 34TH AVENUE SOUTH
(26642)
MINNEAPOLIS, MN 55417
PHONE: 612/669-7334
MR. CHRIS TRAILER
FAX: /-
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
HWS
NProf
5717 31ST AVENUE SOUTH
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
Minnesota Department of Health
Division of Compliance Monitoring
Page
201
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------
HWS
NProf
5745 SANDER DRIVE
Registration
5745 SANDER DRIVE
(31527)
MINNEAPOLIS, MN 55417
PHONE: 612/396-7061
FAX: 763/757-1919
MS. MARY GALLINI
HWS
NProf
5750 BOSSEN TERRACE
5750 BOSSEN TERRACE
(31226)
MINNEAPOLIS, MN 55417
PHONE: 612/382-4454
FAX: /-
MS. CARLA MAGNUSON
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
MR. CHRIS TRAILER
FAX: /-
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
HWS
NProf
619 19TH AVENUE SOUTH
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
627 POLK STREET NE
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
627 POLK STREET NE
MINNEAPOLIS, MN 55413
PHONE: 612/204-8319
(24996)
FAX: 612/375-9105
MS. STACEY RAY
Minnesota Department of Health
Division of Compliance Monitoring
Page
202
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------
HWS-O
NProf
639 23RD AVENUE NE
Registration
639 23RD AVENUE NE
(30135)
MINNEAPOLIS, MN 55418
PHONE: 612/327-5144
FAX: /
MS. STACEY RAY
HWS
NProf
646 22ND AVENUE NE
646 22ND AVENUE NE
(29792)
MINNEAPOLIS, MN 55418
PHONE: 612/327-5144
FAX: /-
MS. STACEY RAY
HWS
NProf
6640 WEST BROADWAY
6640 WEST BROADWAY
(31153)
MINNEAPOLIS, MN 55429
PHONE: 612/363-7947
FAX: /-
MS. CARLA MAGNUSON
HWS
NProf
675 LOWRY AVE LLC
675 LOWRY AVE NE
(31388)
MINNEAPOLIS, MN 55418
PHONE: 612/281-6866
MS. CARLA MAGNUSON
FAX: /-
HWS
NProf
689 LOWRY AVENUE NORTHEAST
689 LOWRY AVENUE NORTHEAST
(28496)
MINNEAPOLIS, MN 55418
PHONE: 612/327-5144
MR. CHRIS TRAILER
FAX: /-
HWS
NProf
700 UNIVERSITY AVENUE SE
700 UNIVERSITY AVENUE SE
(31069)
MINNEAPOLIS, MN 55414
PHONE: 952/925-3878
FAX: /-
MR. CHRIS TRAILER
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
734 ALDRICH AVENUE NORTH
734 ALDRICH AVENUE NORTH
(27133)
MINNEAPOLIS, MN 55411
PHONE: 612/664-8195
FAX: 612/374-0190
MR. CHRIS TRAILER
HWS
NProf
807 31ST AVE N
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
Minnesota Department of Health
Division of Compliance Monitoring
Page 203
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------
HWS-O
NProf
828 N UPTON AVENUE
Registration
828 N UPTON AVENUE
(29871)
MINNEAPOLIS, MN 55411
PHONE: 612/701-9491
FAX: /
MS. STACEY RAY
HWS
Lim-Liab
8TH ON CAMPUS
325 8TH AVENUE SE
(31514)
MINNEAPOLIS, MN 55414
PHONE: 612/703-7368
FAX: /-
MS. JENNIFER WEISSMAN
HWS
NProf
901 MORGAN AVENUE NORTH
901 MORGAN AVENUE NORTH
(28919)
MINNEAPOLIS, MN 55411
PHONE: 612/285-1009
FAX: /-
MR. CHRIS TRAILER
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
MS. STACEY RAY
FAX: /-
HWS
NProf
920 E 25TH ST
920 E 25TH ST
(29805)
MINNEAPOLIS, MN 55404
PHONE: 612/483-1328
MR. CHRIS TRAILER
FAX: /
HWS
Corp
986 15TH AVE SE
986 15TH AVE SE
(31174)
MINNEAPOLIS, MN 55414
PHONE: 612/843-4888
A CHANCE TO GROW INC
MS. LYNDA MERKENS
FAX: /-
NProf
Out St Out Ot
COMP
1800 SECOND STREET NE
MINNEAPOLIS, MN 55418
PHONE: 612/789-1236
ABBOTT NORTHWESTERN HOSPITAL
(02476)
MR. BOB DEBOER
FAX: 612/706-5555
NProf
HOSP-952 BASS-44
HOSP-913 PPS-R-39
800 EAST 28TH STREET
MINNEAPOLIS, MN 55407
PHONE: 612/863-4509
ACCEL HEALTH SERVICES INC
(00242)
FAX: 612/863-5667
Corp
DR. BEN BACHE-WIIG
HCP/COMP
HHA
2915 S WAYZATA BLVD
MINNEAPOLIS, MN 55405
PHONE: 952/513-7098
(23488)
FAX: 952/513-7142
MR. SIYAD ABDULLAHI
Minnesota Department of Health
Division of Compliance Monitoring
Page 204
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------
HWS
NProf
AEON HOMES
Registration
1822 PARK AVENUE
(25520)
MINNEAPOLIS, MN 55404
PHONE: 612/871-5800
FAX: 612/872-6815
NProf
AFRICAN FAMILIES DEVELOPMENT N
MR. ALAN ARTHUR
COMP
2323 11TH AVE S SUITE 205
(29772)
MINNEAPOLIS, MN 55407
PHONE: 612/724-0000
FAX: 612/844-2775
Corp
AFYA HOME HEALTH CARE
MR. JAMA MOHAMOD
COMP
1 E 19TH ST
(28997)
MINNEAPOLIS, MN 55403
PHONE: 612/242-6435
MR. LATEEF BILAL
FAX: 612/234-4391
Lim-Liab
AGAPE HOME CARE PROVIDER
HCP-B
2327 E FRANKLIN AVENUE SUITE 3
(29109)
MINNEAPOLIS, MN 55406
PHONE: 612/384-6513
MR. KIDIST GEMTA
FAX: 612/584-4934
Home Mgmt
Lim-Liab
AGAPE HOME CARE PROVIDER
2327 E FRANKLIN AVE STE 3
(31374)
MINNEAPOLIS, MN 55406
PHONE: 612/384-6513
ALDRICH BOARD AND CARE LLC
MS. KIDIST GEMTA
FAX: /
Lim-Liab
BCH-25
3101 ALDRICH AVENUE SOUTH
MINNEAPOLIS, MN 55408
PHONE: 612/825-4488
ALL HOMECARING
(00159)
MS. FAY YAEGER
FAX: 612/825-4489
Corp
HHA
HCP/COMP
3638 CENTRAL AVENUE NE
MINNEAPOLIS, MN 55418
PHONE: 612/378-1474
ALLEGIANCE ABILITY ASSISTANCE
(02166)
MS. DONNA LIVERINGHOUSE
FAX: 612/378-1570
Home Mgmt
Lim-Liab
2800 UNIVERSITY AVE SE STE 200
MINNEAPOLIS, MN 55414
PHONE: 612/331-8811
ALLEGIANCE ABILITY ASSISTANCE
(28567)
MR. RUSSELL WALETSKI
FAX: 612/331-8814
Lim-Liab
HCP-A
2800 UNIVERSITY AVE SE STE 200
MINNEAPOLIS, MN 55414
PHONE: 612/331-8811
ALLIANCE ADDITION LLC
(27853)
FAX: 612/331-8814
MS. KATHERINE WALETSKI
HWS
NProf
719 EAST 16TH STREET
MINNEAPOLIS, MN 55404
PHONE: 612/287-1612
(27493)
FAX: 612/287-1616
MS. LOIS MUELLER
Minnesota Department of Health
Division of Compliance Monitoring
Page 205
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
ALPHA HEALTHY CARE INC
Certification
HENNEPIN
Registration
(Cont.)* -------------------------
HCP/COMP
HHA
115 E LAKE STREET SUITE#200
(29705)
MINNEAPOLIS, MN 55408
PHONE: 612/396-3762
FAX: 844/270-7329
Corp
AMAZING GRACE HOME CARE
MR. ABDIRIZAK JAMA
HCP-A
515 EAST GRANT STREET APT 311
(29154)
MINNEAPOLIS, MN 55404
PHONE: 612/644-4490
FAX: 612/343-8618
NProf
AMER INDIAN COMM DEV COR
MS. NNEKA OGBU
SLFB-50
1800 CHICAGO AVENUE SOUTH
(01668)
MINNEAPOLIS, MN 55404
PHONE: 612/879-3562
MS. SHARLEE BENSON
FAX: 612/879-3604
HWS
Lim-Liab
ANDERSON BERG CAPITAL LLC
1001 LOWRY AVENUE NORTH
(31518)
MINNEAPOLIS, MN 55411
PHONE: 952/250-4060
ANDREW RESIDENCE
MS. JENNIFER WEISSMAN
FAX: /
Corp
NF2-212
BCH-212
1215 SOUTH NINTH STREET
MINNEAPOLIS, MN 55404
PHONE: 612/333-0111
ANGELS HOME HEALTHCARE INC
(00993)
MS. KAREN FOY
FAX: 612/338-1734
Corp
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
ASCENSION PLACE INC
(29611)
FAX: 612/208-0793
MS. THERESA JORDAN
HWS-O
NProf
2112 44TH AVE N
MINNEAPOLIS, MN 55412
PHONE: 612/588-0861
ASI 28TH STREET
(30847)
FAX: 612/588-8827
MS. BETSY LAMARRE
HWSAL
NProf
2749 11TH AVENUE SOUTH
MINNEAPOLIS, MN 55407
PHONE: 651/645-7271
(25492)
FAX: 651/645-0541
MR. STEPHEN VANDER SCHAAF
Minnesota Department of Health
Division of Compliance Monitoring
Page
206
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------
HWSAL-O
NProf
ASI CAMDEN HOUSE
Registration
500 49TH AVENUE NORTH
(25491)
MINNEAPOLIS, MN 55430
PHONE: 651/645-7271
FAX: 651/645-0541
MR. STEPHEN VANDER SCHAAF
HWSAL
NProf
ASI CHICAGO HOUSE
3710 CHICAGO AVENUE SOUTH
(25490)
MINNEAPOLIS, MN 55407
PHONE: 651/645-7271
FAX: 651/645-0541
MR. STEPHEN VANDER SCHAAF
HWS
Lim-Liab
ASSERTIVE MPLS PROPERTIES LLC
2013 HILLSIDE AVENUE NORTH
(31046)
MINNEAPOLIS, MN 55411
PHONE: 612/282-6928
AT HOME LTD
FAX: /
MS. JENNIFER WEISSMAN
Home Mgmt
Corp
1622 PARK AVENUE SOUTH
MINNEAPOLIS, MN 55404
PHONE: 612/673-9594
AUGUSTANA APARTMENTS OF MINNEA
(28999)
MR. RICKI JOHNSON
FAX: 612/673-9896
HWSAL
NProf
1510 ELEVENTH AVENUE SOUTH
MINNEAPOLIS, MN 55404
PHONE: 612/238-5260
AUGUSTANA APARTMENTS OF MINNEA
(20027)
MS. JULIANNE FRIES
FAX: 612/343-8974
HWSAL
NProf
1020 EAST 17TH STREET
MINNEAPOLIS, MN 55404
PHONE: 612/238-5260
AUGUSTANA APARTMENTS OF MINNEA
(30131)
FAX: 612/343-8974
MS. JULIANNE FRIES
HWSAL
NProf
1425 10TH AVENUE SOUTH
MINNEAPOLIS, MN 55404
PHONE: 612/238-5260
AUGUSTANA APARTMENTS OF MINNEA
(30132)
FAX: 612/343-8974
MS. JULIANNE FRIES
HWSAL
NProf
1509 10TH AVENUE SOUTH
MINNEAPOLIS, MN 55404
PHONE: 612/238-5260
AUGUSTANA HCC OF MPLS
(30133)
FAX: 612/343-8974
NProf
MS. JULIANNE FRIES
NH-268
SNF-NF-268
1007 EAST 14TH STREET
MINNEAPOLIS, MN 55404
PHONE: 612/238-5241
AUGUSTANA HOME HEALTH CARE SER
(00164)
FAX: 612/238-5240
NProf
MS. JEAN COLE
HCP-F
901 4TH AVENUE NORTH
MINNEAPOLIS, MN 55405
PHONE: 612/843-0090
(03383)
FAX: 612/377-3098
MS. KATIE STADTHER
Minnesota Department of Health
Division of Compliance Monitoring
Page
207
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
AUGUSTANA MOUNT OLIVET HOSPICE
Lim-Liab
Certification
HENNEPIN
Registration
(Cont.)* -------------------------
Hospice
HSPICE
1007 EAST 14TH STREET
MINNEAPOLIS, MN 55404
PHONE: 612/238-0034
AUGUSTANA RESIDENTIAL CARE
(30185)
FAX: 612/238-5509
Lim-Liab
MS. SARAH VANWINKLE
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
AWESOME APARTMENTS
(29037)
FAX: 612/522-1633
MS. DEBORAH LOON
HWS
ONProf
1707 GLENWOOD AVE N
MINNEAPOLIS, MN 55411
PHONE: 952/851-3194
BATALO HOME HEALTH CARE LLC
(31149)
MR. DERECK HOLT
FAX: 952/851-3195
Lim-Liab
COMP
8 EAST 27TH STREET
MINNEAPOLIS, MN 55408
PHONE: 612/345-4369
BAYWOOD HOME CARE
(29648)
MR. MOHAMED MOHAMED
FAX: 612/345-4393
Corp
HCP-A
6465 WAYZATA BLVD STE 150
MINNEAPOLIS, MN 55426
PHONE: 763/546-8899
BEECHWOOD INC
(20973)
FAX: 763/595-0465
Corp
MS. DOROTHY MUFFETT
HCP-A
3901 CHICAGO AVENUE SOUTH
MINNEAPOLIS, MN 55407
PHONE: 612/824-0415
BENEDICTINE HEALTH CTR OF MPLS
(27716)
FAX: 612/825-0789
NProf
MS. LINDA WOODFORD
NH-95
SNF-NF-95
618 EAST 17TH STREET
MINNEAPOLIS, MN 55404
PHONE: 612/879-2811
BEST CARE HOME HEALTH INC
(00960)
FAX: 612/879-2970
Corp
MR. DAVE BRENNAN
HCP/COMP
HHA
3008 UNIVERSITY AVE SOUTHEAST
MINNEAPOLIS, MN 55414
PHONE: 612/378-1040
BEST CARE HOME HEALTH INC
(02802)
FAX: 612/378-2850
Corp
MS. NAZNEEN KHATOON
BASIC
3008 UNIVERSITY AVENUE SE
MINNEAPOLIS, MN 55414
PHONE: 612/378-1040
(20840)
FAX: 612/378-2850
MS. NAZNEEN KHATOON
Minnesota Department of Health
Division of Compliance Monitoring
Page
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Facility/Service
Owner
Licensure
---------------------------**********
Corp
BETHANY CARE CENTER
Certification
HENNEPIN
Registration
(Cont.)* -------------------------
HCP-F
2309 HAYES STREET NORTHEAST
(29076)
MINNEAPOLIS, MN 55418
PHONE: 612/781-2691
FAX: /
MR. JONATHON SONDERGAARD
HWS
Lim-Liab
BETHANY RESIDENCE & REHAB CTR
2309 HAYES STREET NORTHEAST
(26980)
MINNEAPOLIS, MN 55418
PHONE: 612/781-2691
FAX: 612/781-8835
Lim-Liab
BETHANY RESIDENCE AND REHAB CT
MR. JONATHON SONDERGAARD
NH-56 BCH-10
SNF-NF-56 NF2-10
2309 HAYES STREET NORTHEAST
(00167)
MINNEAPOLIS, MN 55418
PHONE: 612/781-2691
FAX: 612/781-8835
MR. JON SONDEGAARD
HWS
NProf
BETHESDA CHURCH APARTMENTS
1110 8TH STREET SOUTH
(28766)
MINNEAPOLIS, MN 55415
PHONE: 612/720-8799
MR. CHRIS TRAILER
FAX: /
Lim-Liab
BEYOND SPEECH
HCP-A
4156 PLEASANT AVENUE
(29162)
MINNEAPOLIS, MN 55409
PHONE: 612/594-6897
MS. LYNNE CONLEY
FAX: 612/466-2911
Corp
BILL KELLY HOUSE
SLFA-16
3104 EAST 58TH STREET
(01507)
MINNEAPOLIS, MN 55417
PHONE: 612/726-1502
FAX: 612/726-1009
Corp
BIRCHWOOD CARE HOME
MS. KELLY ABBOTT
BCH-60
NF2-60
715 WEST 31ST STREET
(00168)
MINNEAPOLIS, MN 55408
PHONE: 612/823-7286
FAX: 612/823-0518
MR. RANDAL HAGEMEYER
HWS
NProf
BOTTINEAU COMMONS
1808 UNIVERSITY AVENUE NE
(27452)
MINNEAPOLIS, MN 55418
PHONE: 651/774-0011
FAX: 651/774-0606
MRS. DANIELLE FOX
HWS
NProf
BOTTINEAU LOFTS
1929 2ND STREET NORTHEAST
(27451)
MINNEAPOLIS, MN 55418
PHONE: 651/774-0011
FAX: 651/774-0606
BOWERS REAL ESTATE DEVELOPMENT
MRS. DANIELLE FOX
HWS-O
Corp
2552 GARFIELD AVENUE SOUTH
MINNEAPOLIS, MN 55405
PHONE: 612/444-2373
(31308)
FAX: 612/326-9029
MR. JAMAL GELLE
Minnesota Department of Health
Division of Compliance Monitoring
Page 209
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Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------
HWS
Lim-Liab
BRENT MCWITHEY
Registration
1200 LOGAN AVENUE NORTH
(31014)
MINNEAPOLIS, MN 55411
PHONE: 715/563-5539
BRENTWOOD
FAX: /
MS. JENNIFER WEISSMAN
HWS
Corp
121 WEST GRANT STREET
MINNEAPOLIS, MN 55403
PHONE: 612/444-2373
BRENTWOOD
(31017)
FAX: 612/326-9026
MR. JAMAL GELLE
HWS
Corp
125 WEST GRANT STREET
MINNEAPOLIS, MN 55403
PHONE: 612/444-2373
BRISTOL PLACE HOME HEALTH SERV
(31024)
FAX: 612/326-9029
Corp
MR. JAMAL GELLE
HCP/COMP
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
BROTT'S FAMILY CARE CENTER LLC
(25598)
MR. CHRIS TRAILER
FAX: 952/897-1153
HWSAL-O
Lim-Liab
4659 LYNDALE AVENUE NORTH
MINNEAPOLIS, MN 55412
PHONE: 612/238-3104
BROTTS FAMILY CARE CENTER LLC
(30695)
FAX: 612/238-3509
Lim-Liab
MRS. JULIE BROTT
COMP
4659 LYNDALE AVENUE NORTH
MINNEAPOLIS, MN 55412
PHONE: 612/238-3104
BROWN KRAUSE MANOR
(26125)
FAX: 612/238-3509
MS. 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. SANDRA LAHTINEN
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
COMP
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 210
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
HWS
NProf
BYWOOD EAST HEALTH CARE
3439 NE CENTRAL AVENUE
(26747)
MINNEAPOLIS, MN 55418
PHONE: 612/204-8319
BYWOOD EAST HEALTH CARE
FAX: /
MS. STACEY RAY
Corp
BCH-98
NF2-98
3427 CENTRAL AVENUE NORTHEAST
MINNEAPOLIS, MN 55418
PHONE: 612/788-9757
CABRINI - 1101 7TH AVENUE S
(00176)
FAX: 612/789-6564
MR. RANDAL HAGEMEYER
HWS
NProf
1101 7TH AVENUE SOUTH
MINNEAPOLIS, MN 55415
PHONE: 612/454-4499
CABRINI 1201 BROOK
(31443)
FAX: 612/746-5502
MS. CARRIE MCNEIL
HWS
NProf
1201 BROOK AVENUE SOUTHEAST
MINNEAPOLIS, MN 55414
PHONE: 612/454-4499
CABRINI 1618 GLENWOOD
(29030)
FAX: 612/746-5502
MS. CARRIE MCNEIL
HWS
NProf
1618 GLENWOOD AVENUE NORTH
MINNEAPOLIS, MN 55405
PHONE: 612/454-4499
CABRINI 1831 STINSON PARKWAY
(29325)
FAX: 612/746-5502
MS. CARRIE MCNEIL
HWS
NProf
1831 STINSON PARKWAY
MINNEAPOLIS, MN 55418
PHONE: 612/454-4499
CABRINI 2111 21ST AVENUE SOUTH
(30184)
FAX: 612/746-5502
MS. CARRIE MCNEIL
HWS
NProf
2111 21ST AVENUE SOUTH
MINNEAPOLIS, MN 55404
PHONE: 612/454-4499
CABRINI 2743 1ST AVE S
(31193)
FAX: 612/746-5502
MS. CARRIE MCNEIL
HWS
NProf
2743 1ST AVE S
MINNEAPOLIS, MN 55408
PHONE: 612/454-4499
CABRINI 311 NEWTON AVE NORTH
(30845)
FAX: 612/746-5502
MS. CARRIE MCNEIL
HWS
NProf
311 NEWTON AVE N
MINNEAPOLIS, MN 55405
PHONE: 612/454-4499
(29851)
FAX: 612/746-5502
MS. CARRIE MCNEIL
Minnesota Department of Health
Division of Compliance Monitoring
Page 211
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Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------
HWS
NProf
CABRINI 4046 LYNDALE AVE N
Registration
4046 LYNDALE AVE N
(30917)
MINNEAPOLIS, MN 55412
PHONE: 612/454-4499
FAX: 612/746-5502
MS. CARRIE MCNEIL
HWS
NProf
CABRINI 4100 1ST AVE S
4200 1ST AVE SOUTH
(29850)
MINNEAPOLIS, MN 55409
PHONE: 612/454-4499
FAX: 612/746-5502
MS. CARRIE MCNEIL
HWS
NProf
CABRINI 518 PENN
518 PENN AVENUE NORTH
(29316)
MINNEAPOLIS, MN 55405
PHONE: 612/454-4499
FAX: 612/746-5502
MS. CARRIE MCNEIL
HWS
NProf
CABRINI 5731 33RD AVE S
5731 33RD AVE S
(29728)
MINNEAPOLIS, MN 55417
PHONE: 612/454-4499
MS. CARRIE MCNEIL
FAX: 612/746-5502
HWS
NProf
CABRINI 610 LOGAN
610 LOGAN AVENUE NORTH
(26824)
MINNEAPOLIS, MN 55411
PHONE: 612/454-4499
MS. CARRIE MCNEIL
FAX: 612/746-5502
HWS
NProf
CABRINI 919 12TH AVENUE SE
919 12TH AVE SE
(29577)
MINNEAPOLIS, MN 55414
PHONE: 612/454-4499
MS. CARRIE MCNEIL
FAX: 612/746-5502
HWS
Lim-Liab
CAM REALESTATE LLC
2517 GOLDEN VALLEY ROAD
(31039)
MINNEAPOLIS, MN 55411
PHONE: 612/529-1080
MS. JENNIFER WEISSMAN
FAX: /
HWS
Lim-Liab
CAM REALESTATE LLC
1900 THOMAS AVENUE NORTH
(31040)
MINNEAPOLIS, MN 55411
PHONE: 612/529-1080
CAMDEN CARE CENTER
MS. JENNIFER WEISSMAN
FAX: /
State
SNF-NF-87
NH-87
512 49TH AVENUE NORTH
MINNEAPOLIS, MN 55430
PHONE: 612/529-7747
CAPITAL HOME HEALTH CARE LLC
(00166)
MR. AUSTIN BLILIE
FAX: 612/205-0912
Lim-Liab
COMP
34 13TH AVE NE STE B004
MINNEAPOLIS, MN 55413
PHONE: 612/886-7411
(28840)
FAX: 612/315-5918
MR. MAHAD BASHIR
Minnesota Department of Health
Division of Compliance Monitoring
Page 212
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Facility/Service
Owner
Licensure
---------------------------**********
Corp
CARE HOME HEALTH INC
Certification
HENNEPIN
Registration
(Cont.)* -------------------------
HCP/COMP
HHA
207 EAST LAKE STREET SUITE 201
(29767)
MINNEAPOLIS, MN 55408
PHONE: 612/216-1511
FAX: 612/465-6621
MS. ZAMZAM SHOODEH
Home Mgmt
NProf
CAREGVR SUPT PRG KOREAN SRV CT
630 CEDAR AVENUE SOUTH #B1
(23329)
MINNEAPOLIS, MN 55454
PHONE: 612/332-3483
FAX: 612/342-1341
NProf
CATHOLIC ELDERCARE AT HOME
MS. YOONJU PARK
HCP-F
2919 RANDOLPH STREET NE
(21005)
MINNEAPOLIS, MN 55418
PHONE: 612/605-2513
FAX: 612/605-2504
NProf
CATHOLIC ELDERCARE AT HOME
MS. JANET CARLSON
HCP-A
817 NORTHEAST MAIN STREET
(03147)
MINNEAPOLIS, MN 55413
PHONE: 612/379-1370
MR. MICHAEL SHASKY
FAX: 612/362-2449
NProf
CATHOLIC ELDERCARE ON MAIN
NH-150
SNF-NF-150
817 MAIN STREET NORTHEAST
(00984)
MINNEAPOLIS, MN 55413
PHONE: 612/379-1370
MS. KIMBERLY KING
FAX: 612/362-2429
HWS
Lim-Liab
CENTENNIAL PLAZA DEVELOPMENT
2555 MARSHALL STREET NE
(31300)
MINNEAPOLIS, MN 55418
PHONE: 612/781-3755
CHDC PARK PLAZA LP
FAX: /-
MS. JENNIFER WEISSMAN
HWS
Corp
525 HUMBOLDT AVENUE NORTH
MINNEAPOLIS, MN 55405
PHONE: 612/444-2373
CHERIE AUGSPURGER LLC
(31286)
FAX: 612/326-9029
Lim-Liab
MR. JAMAL GELLE
BASIC
404 LUVERNE AVE SOUTH
MINNEAPOLIS, MN 55419
PHONE: 612/203-5518
CHILDRENS HOME CARE & HOSPICE
(31032)
FAX: 612/822-7129
NProf
MS. CHERIE AUGSPURGER
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/COMP
HHA
2525 CHICAGO AVENUE SOUTH
MINNEAPOLIS, MN 55404
PHONE: 612/813-6246
(02142)
FAX: 612/813-6358
MS. LIZ LEIGHTON
Minnesota Department of Health
Division of Compliance Monitoring
Page
213
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
CHILDRENS HOSP & CLINICS MINNE
Certification
HENNEPIN
Registration
(Cont.)* -------------------------
HOSP-279 BASS-173
HOSP-279
2525 CHICAGO AVENUE SOUTH
(00741)
MINNEAPOLIS, MN 55404
PHONE: 612/813-6112
FAX: 612/813-6807
MR. DAVID OVERMAN
Home Mgmt
Corp
CIRCLE OF LIFE HC ANISHINAABE
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. CHUCK PETERSON
COMP
929 CENTRAL AVE NE
(23905)
MINNEAPOLIS, MN 55413
PHONE: 612/236-9514
MS. MICHELE BOYER
FAX: 612/236-9510
HWSAL
Part
CLARE MIDTOWN
3105 23RD AVENUE SOUTH
(27720)
MINNEAPOLIS, MN 55407
PHONE: 612/729-1220
MR. CHUCK PETERSON
FAX: 612/729-1220
HWS
NProf
COLFAX VILLAS
3619 COLFAX AVENUE SOUTH
(26894)
MINNEAPOLIS, MN 55409
PHONE: 952/393-8280
COLUMBUS AVENUE APARTMENT
FAX: /
MR. CHRIS TRAILER
HWS
Corp
3637 COLUMBUS AVENUE
MINNEAPOLIS, MN 55407
PHONE: 612/444-2373
COMFORT SERVICES LLC
(31285)
FAX: 612/326-9029
Lim-Liab
MR. JAMAL GELLE
COMP
1304 EAST LAKE STREET SUITE 10
MINNEAPOLIS, MN 55407
PHONE: 612/822-1203
COMMUNITY BOARDING CARE LLC
(24998)
FAX: 612/871-2161
MRS. FARDOWSA MOHAMED
HWSAL
Lim-Liab
2619 QUINCY ST NE
MINNEAPOLIS, MN 55418
PHONE: 612/296-3708
COMMUNITY BOARDING CARE LLC
(31209)
FAX: 612/605-3278
Lim-Liab
MR. MOHAMED BIDARE
TCOMP
2619 QUINCY ST NE
MINNEAPOLIS, MN 55418
PHONE: 612/296-3708
(31168)
FAX: 612/605-3278
MR. MOHAMED BIDARE
Minnesota Department of Health
Division of Compliance Monitoring
Page 214
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
COMMUNITY INVOLVEMENT PROG HHS
NProf
Certification
HENNEPIN
Registration
(Cont.)* --------------------------
HCP/COMP
HHA
1600 BROADWAY ST NE STE 1
(02783)
MINNEAPOLIS, MN 55413
PHONE: 612/362-4434
FAX: 612/547-0556
COMMUNITY INVOLVEMENT PROGRAMS
MS. MARSHA CLAIBORNE
HWS
NProf
3308 19TH AVENUE S
(31449)
MINNEAPOLIS, MN 55407
PHONE: 612/362-4400
FAX: 612/547-0556
COMPASSIONATE NURSES NETWORK L
Lim-Liab
MR. ERNEST JOHNSON
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
MS. MARY GALLINI
FAX: 763/592-8236
Lim-Liab
CRYSTAL BLUE
COMP
2021 E HENNEPIN AVE NE STE 195
(29633)
MINNEAPOLIS, MN 55413
PHONE: 612/501-5009
MR. MOHAMUD AHMED
FAX: 612/465-4182
Corp
DERMAN SENIOR CARE
COMP
2529 NICOLETT AVENUE S STE 202
(29612)
MINNEAPOLIS, MN 55404
PHONE: 321/438-9522
FAX: 763/529-7982
MR. DAHIR NUR
Home Mgmt
Corp
DIAMONDS HOME HEALTH CARE INC
2740 MINNEHAHA AVE #146
(27646)
MINNEAPOLIS, MN 55406
PHONE: 612/724-4254
FAX: 612/722-2186
MS. SHUKRI YUSUF
HWS
Lim-Liab
DJ FINANCIAL LLC
3245 CEDAR AVENUE SOUTH
(31293)
MINNEAPOLIS, MN 55407
PHONE: 651/484-0679
FAX: /-
MS. JENNIFER WEISSMAN
HWS
Lim-Liab
DOMI PROPERTIES
3114 58TH STREET EAST
(30206)
MINNEAPOLIS, MN 55417
PHONE: 612/382-4454
DR THOMAS H JOHNSON HWS
FAX: /-
MS. JENNIFER WEISSMAN
HWS
Corp
5518/20 OLIVER AVENUE SOUTH
MINNEAPOLIS, MN 55419
PHONE: 612/285-8743
(26116)
FAX: 612/922-9276
MS. BETH BALENGER
Minnesota Department of Health
Division of Compliance Monitoring
Page
215
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------
HWS
Corp
DR THOMAS H JOHNSON HWS
Registration
5543/45 PENN AVENUE SOUTH
(24377)
MINNEAPOLIS, MN 55419
PHONE: 612/285-8743
FAX: 612/922-9276
MS. BETH BALENGER
HWS
Corp
DR THOMAS H JOHNSON HWS
2221 WEST 55TH STREET/5501
(23749)
MINNEAPOLIS, MN 55419
PHONE: 612/285-8743
FAX: 612/922-9276
MS. BETH BALENGER
HWS
Corp
DR THOMAS H JOHNSON'S HOUSE WI
5515 - 5517 PENN AVENUE SO
(21508)
MINNEAPOLIS, MN 55419
PHONE: 612/285-8743
FAX: 612/922-9276
NProf
EBENEZER CARE CENTER
MS. BETH BALENGER
NH-34 BCH-93
SNF-NF-34 NF2-93
2545 PORTLAND AVENUE SOUTH
(00191)
MINNEAPOLIS, MN 55404
PHONE: 612/879-2262
MR. JOEL PREVOST
FAX: 612/879-2316
NProf
EBENEZER HOME CARE
HCP-F
2625 PARK AVENUE
(27773)
MINNEAPOLIS, MN 55407
PHONE: 612/871-4574
MS. MARY BETH DAVIS
FAX: 612/872-7368
Corp
EBENEZER HOME CARE
COMP
2722 PARK AVE SOUTH
(28789)
MINNEAPOLIS, MN 55407
PHONE: 952/881-6322
MS. LUCY BOXRUD
FAX: /
Corp
EBENEZER MANAGEMENT SERVICES
COMP
2722 PARK AVENUE SOUTH
(27108)
MINNEAPOLIS, MN 55407
PHONE: 612/874-3460
FAX: 612/874-3465
MS. LUCY BOXRUD
HWS
NProf
EBENEZER PARK APARTMENTS
2700 PARK AVENUE
(20248)
MINNEAPOLIS, MN 55407
PHONE: 612/879-2233
FAX: 612/879-8111
MS. ANGELA MATTSON
HWS
NProf
EBENEZER TOWER APARTMENTS
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
Minnesota Department of Health
Division of Compliance Monitoring
Page 216
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
EDEN HOMES INC
Certification
HENNEPIN
Registration
(Cont.)* -------------------------
HCP-F
4201 33RD AVENUE SOUTH
(29432)
MINNEAPOLIS, MN 55406
PHONE: 612/724-1593
FAX: 612/245-4148
NProf
EDEN RESIDENTIAL PROGRAM
MS. FIDELA VILLANUEVA
SLFA-49
1025 PORTLAND AVENUE SOUTH
(01584)
MINNEAPOLIS, MN 55404
PHONE: 612/338-0723
FAX: 612/338-3653
MS. PAMELA LINDGREN
Home Mgmt
Corp
ELDERCARE SOLUTIONS INC
100 SOUTH 5TH STREET #1075
(26036)
MINNEAPOLIS, MN 55402
PHONE: 858/792-2897
FAX: 858/792-2899
MR. JOHN KIRIAZE
HWS
Corp
ELLIOT APARTMENTS
1819 - 25 ELLIOT AVENUE SOUTH
(28009)
MINNEAPOLIS, MN 55404
PHONE: 612/444-2373
MR. JAMAL GELLE
FAX: 612/326-9029
Corp
ELLIOT CARE HOME INC
BCH-15
NF2-15
1500 ELLIOT AVENUE SOUTH
(00195)
MINNEAPOLIS, MN 55404
PHONE: 612/339-2291
MR. MARK JEFFERIS
FAX: 612/339-2291
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
818 SOUTH THIRD STREET
MINNEAPOLIS, MN 55415
PHONE: 612/287-1600
EVERYDAY LIVING LLC 1912
(28506)
FAX: 612/287-1616
MS. LOIS MUELLER
HWS-O
Lim-Liab
1912 26TH STREET EAST
MINNEAPOLIS, MN 55404
PHONE: 651/688-7173
EXCEPTIONAL HOME HEALTH
(29872)
FAX: 651/688-0525
Lim-Liab
MR. BLAKE ELLIOTT
HCP-A
2110 W BROADWAY AVE
MINNEAPOLIS, MN 55411
PHONE: 612/529-2886
FAIRVIEW HOME CARE AND HOSPICE
(26696)
FAX: 612/521-1926
NProf
MS. TARA WATSON
HHA
HCP/COMP
2450 26TH AVENUE SOUTH
MINNEAPOLIS, MN 55406
PHONE: 612/721-2491
(02187)
FAX: 612/728-2400
MS. KATHLEEN LUCAS
Minnesota Department of Health
Division of Compliance Monitoring
Page
217
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Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
FAIRVIEW HOME INFUSION
Certification
HENNEPIN
Registration
(Cont.)* -------------------------
COMP
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
FAX: 612/728-2400
NProf
FAIRVIEW UNIVERSITY TRANS SERV
MS. KATHLEEN LUCAS
NH-28
SNF-NF-28 NF1-0
2450 RIVERSIDE AVENUE SOUTH
(00259)
MINNEAPOLIS, MN 55454
PHONE: 612/273-4197
FAX: 612/273-7950
Corp
FAMILY CARE SERVICES INC
MS. CAROLINE PORTOGHESE
HCP/COMP
HHA
2500 MINNEHAHA AVE SOUTH
(21182)
MINNEAPOLIS, MN 55404
PHONE: 612/340-0733
MR. MUSTAFA MOHAMED
FAX: 612/340-0032
HWS
NProf
FIRST EQUITY GROUP
726 30TH AVENUE NORTH
(27266)
MINNEAPOLIS, MN 55411
PHONE: 612/889-4202
MS. MOLLY HAGEN
FAX: 952/856-5124
ESRD
Corp
FMCNA PARK AVE DIALYSIS CENTER
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
MS. LYNNE HAMILTON
HWS
Lim-Liab
FRIENDSHIP HOUSE
2401 1ST AVENUE SOUTH
(23129)
MINNEAPOLIS, MN 55404
PHONE: 651/209-8490
FAX: 651/209-8499
Corp
GATEWAY HOMECARE SERVICES
MS. CARLEEN FLETTRE
BASIC
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
FAX: /
MR. CHRIS TRAILER
Minnesota Department of Health
Division of Compliance Monitoring
Page 218
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Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
GENTLE HANDS HOME CARE LLC
Certification
HENNEPIN
Registration
(Cont.)* -------------------------
HCP-A
1519 EAST FRANKLIN AVENUE
(29543)
MINNEAPOLIS, MN 55404
PHONE: 952/594-5389
FAX: 877/816-2063
MR. MOHAMED AHMED
HWS
Lim-Liab
GLORIA J HINER
2516 8TH ST S
(31159)
MINNEAPOLIS, MN 55454
PHONE: 612/508-1604
GOLDEN LIVINGCENTER CHATEAU
FAX: /
MS. JENNIFER WEISSMAN
Lim-Liab
NH-69
SNF-NF-69
2106 SECOND AVENUE SOUTH
MINNEAPOLIS, MN 55404
PHONE: 612/874-1603
GOLDEN NEST LLC
(00937)
FAX: 612/874-0213
MR. RYAN ONSTAD
HWS
Lim-Liab
1918 19TH AVENUE NORTHEAST
MINNEAPOLIS, MN 55418
PHONE: 651/755-2836
GOLDEN NEST LLC
(27473)
MS. HONGJOO LEE
FAX: 612/861-7509
Lim-Liab
HCP-F
1918 19TH AVE NE
MINNEAPOLIS, MN 55418
PHONE: 651/755-2836
GRACE PLACE
(23665)
MR. HONGJOO LEE
FAX: 612/861-7509
NProf
COMP
630 CEDAR AVENUE SOUTH #B-1
MINNEAPOLIS, MN 55454
PHONE: 612/332-3483
GRACE PLACE ASSISTED LIVING
(03860)
FAX: 612/342-1341
MS. YOONJU PARK
HWSAL
HRA
630 CEDAR AVE S #B-1
MINNEAPOLIS, MN 55454
PHONE: 612/342-1358
GRAND AVE REST HOME
(24891)
FAX: 612/342-1337
Corp
MS. MARY BOLER
NF2-20
BCH-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
GREAT LAKES HOUSING LLC
(24788)
FAX: 763/561-0159
MR. RON HENDRICKSON
HWS
Lim-Liab
3223 14TH AVENUE SOUTH
MINNEAPOLIS, MN 55407
PHONE: 612/205-0723
(31402)
FAX: 651/646-8185
MR. KHALID SHARIF
Minnesota Department of Health
Division of Compliance Monitoring
Page
219
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Facility/Service
Owner
Licensure
---------------------------**********
GREENWAY SURGERY CENTER
Certification
HENNEPIN
Registration
(Cont.)* -------------------------
Amb Surg
Lim-Liab
2020 EAST 28TH ST SUITE 100
MINNEAPOLIS, MN 554071453
PHONE: 612/728-7000
HABLINK STAFFING SERVICES
(28356)
FAX: 612/728-2677
MS. JEANNIE FERNSTROM
Home Mgmt
Lim-Liab
2929 UNIVERSITY AVE SE #114
MINNEAPOLIS, MN 55414
PHONE: 612/331-3837
HARMONY HOUSE
(31321)
FAX: 206/832-9288
MR. ISMAIL HASHMAD
HWS
Lim-Liab
109 24TH STREET EAST
MINNEAPOLIS, MN 55404
PHONE: 651/209-8490
HENNEPIN COUNTY MEDICAL CTR
(23128)
FAX: 651/209-8499
NProf
MS. CARLEEN FLETTRE
HOSP-894 BASS-65
HOSP-765 PPS-P-102 PPS-R-27
701 PARK AVENUE SOUTH
MINNEAPOLIS, MN 55415
PHONE: 612/873-2338
HERITAGE COMMONS
(00211)
DR. ARTHUR GONZALEZ
FAX: 612/904-4271
HWSAL
HRA
350 VAN WHITE MEMORIAL BLVD
MINNEAPOLIS, MN 55405
PHONE: 612/344-2297
HIGHER GROUND
(24321)
MS. MARY BOLER
FAX: 612/377-6309
HWS
NProf
165 GLENWOOD AVENUE NORTH
MINNEAPOLIS, MN 55405
PHONE: 612/204-8421
HOME DIALYSIS UNIT OF TRC INC
(28661)
FAX: 612/623-2037
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)
FAX: 612/874-8650
MS. MARY KEEFE
HWS
Part
53 GLENWOOD AVENUE
MINNEAPOLIS, MN 55403
PHONE: 612/659-0705
(29094)
FAX: 612/659-0713
MS. LOUISE SIMONS
Minnesota Department of Health
Division of Compliance Monitoring
Page
220
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Facility/Service
Owner
Licensure
---------------------------**********
Corp
HORIZON HOMECARE SERVICES INC
Certification
HENNEPIN
Registration
(Cont.)* -------------------------
HCP-A
1007 EAST 24TH STREET STE 01
(29662)
MINNEAPOLIS, MN 55404
PHONE: 612/808-8659
FAX: 612/808-5131
NProf
HOSPICE OF THE TWIN CITIES INC
MR. ABDINASIR AZIZ
Hospice
HSPICE
2000 SUMMER STREET NE STE 100
(03001)
MINNEAPOLIS, MN 55413
PHONE: 763/531-2424
FAX: 763/531-2422
MS. SANDY NEVINSKI
HWS
Lim-Liab
HOUSING PLUS
3501 47TH AVENUE NORTH
(31038)
MINNEAPOLIS, MN 55422
PHONE: 612/522-3394
FAX: /-
MS. JENNIFER WEISSMAN
HWS
Lim-Liab
HOUSING PLUS
3538 PENN AVENUE NORTH
(31037)
MINNEAPOLIS, MN 55412
PHONE: 612/522-3394
MS. JENNIFER WEISSMAN
FAX: /-
Home Mgmt
Corp
INTEGRITY HOME HEALTH CO
2100 PLYMOUTH AVE N STE 117
(25422)
MINNEAPOLIS, MN 55411
PHONE: 612/827-1479
FAX: 612/827-1482
MS. CYNTHIA BUFFINGTON
HWS
Lim-Liab
JAMES VICTORSEN APARTMENTS
1900 UPTON AVENUE NORTH
(31013)
MINNEAPOLIS, MN 55411
PHONE: 612/532-6405
FAX: /-
JENNIFER WEISSMAN
HWS
Lim-Liab
JIM VICTORSEN
2620 GOLDEN VALLEY ROAD
(31519)
MINNEAPOLIS, MN 55411
PHONE: 612/532-6405
FAX: /-
MS. JENNIFER WEISSMAN
HWS
Lim-Liab
JIM VICTORSEN APARTMENTS
1000 NEWTON AVENUE NORTH
(31515)
MINNEAPOLIS, MN 55411
PHONE: 763/479-2768
FAX: /-
MS. JENNIFER WEISSMAN
HWS
Lim-Liab
JIM VICTORSEN APARTMENTS
1320 RUSSELL AVENUE NORTH
(31521)
MINNEAPOLIS, MN 55411
PHONE: 763/479-2168
FAX: /-
MS. JENNIFER WEISSMAN
HWS
Lim-Liab
JIM VICTORSEN APARTMENTS
2700 PLYMOUTH AVENUE NORTH
(31045)
MINNEAPOLIS, MN 55411
PHONE: 612/532-6405
FAX: /-
MS. JENNIFER WEISSMAN
Minnesota Department of Health
Division of Compliance Monitoring
Page 221
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Facility/Service
Owner
Licensure
---------------------------**********
NProf
JONES - HARRISON RESIDENCE ASS
Certification
HENNEPIN
Registration
(Cont.)* -------------------------
COMP
3700 CEDAR LAKE AVENUE
(20654)
MINNEAPOLIS, MN 55416
PHONE: 612/925-7200
FAX: 612/225-1190
MS. EMILY NYBERG
HWSAL
NProf
JONES HARRISON ASSISTED LIVING
3700 CEDAR LAKE AVENUE
(30734)
MINNEAPOLIS, MN 55416
PHONE: 612/925-7170
FAX: 612/225-1190
NProf
JONES HARRISON RESIDENCE
MRS. DEB KREY
NH-163
SNF-NF-163
3700 CEDAR LAKE AVENUE
(00216)
MINNEAPOLIS, MN 55416
PHONE: 612/920-2030
FAX: 612/920-2824
NProf
JORGENSEN HOUSE
MR. LOWELL BERGGREN
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
Lim-Liab
KMS MANAGEMENT
34 SPRUCE PLACE
(31523)
MINNEAPOLIS, MN 55403
PHONE: 612/871-1300
MS. JENNIFER WEISSMAN
FAX: /
HWS
Lim-Liab
KMS MANAGEMENT INC
117 GRANT ST W
(31160)
MINNEAPOLIS, MN 55403
PHONE: 612/508-1604
MS. JENNIFER WEISSMAN
FAX: /
HWS
Lim-Liab
KRAMER SAXI GROUP
3421 THOMAS AVENUE NORTH
(31043)
MINNEAPOLIS, MN 55411
PHONE: 612/860-2550
MS. JENNIFER WEISSMAN
FAX: /
HWS
Lim-Liab
KRAMER SAXL GROUP
4101 THOMAS AVENUE NORTH
(30208)
MINNEAPOLIS, MN 55412
PHONE: 612/860-2550
FAX: /
MS. JENNIFER WEISSMAN
Minnesota Department of Health
Division of Compliance Monitoring
Page 222
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Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------
HWS
NProf
LASALLE COMMONS
Registration
1517 LASALLE AVENUE SOUTH
(27481)
MINNEAPOLIS, MN 55403
PHONE: 612/871-1666
FAX: 612/871-2187
MR. CHRIS TRAILER
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
MR. HAWA WARSAME
FAX: /
Corp
LIVING CHALLENGE
SLFA-6
701 EAST 57TH STREET
(01527)
MINNEAPOLIS, MN 55417
PHONE: 952/922-8466
MR. PRINCE ADE DEMEHIN
FAX: 952/922-8463
HWS
Corp
LOGAN APARTMENT
2938 LOGAN AVENUE NORTH
(30117)
MINNEAPOLIS, MN 55411
PHONE: 612/444-2373
MR. JAMAL GELLE
FAX: 612/326-9029
HWS
Corp
LONGFELLOW SHERMAN ASSOCIATES
3845 HIAWATHA AVENUE
(31020)
MINNEAPOLIS, MN 55406
PHONE: 612/444-2373
MR. JAMAL GELLE
FAX: 612/326-9029
HWS
NProf
LOREN ON PARK
2625 PARK AVENUE
(28125)
MINNEAPOLIS, MN 55407
PHONE: 612/871-4574
MS. MARY BETH DAVIS
FAX: 612/767-2927
Corp
LOVING HEART INC
HCP-A
3736 3RD AVENUE SOUTH
(29919)
MINNEAPOLIS, MN 55409
PHONE: 612/232-0120
LYNDALE MANOR
MR. TIMOTHY ADEDIRAN
FAX: /
HWSAL
HRA
600 18TH AVENUE NORTH
MINNEAPOLIS, MN 55411
PHONE: 612/344-2292
MAIN STREET LODGE
(21515)
FAX: 612/302-7090
MS. MARY BOLER
HWSAL
NProf
909 MAIN STREET NORTHEAST
MINNEAPOLIS, MN 55413
PHONE: 612/362-2450
(20105)
FAX: 612/362-2449
MR. MICHAEL SHASKY
Minnesota Department of Health
Division of Compliance Monitoring
Page 223
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Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------
HWS
NProf
MANA HOLDING GROUP
Registration
644 VAN BUREN STREET NE
(29344)
MINNEAPOLIS, MN 55413
PHONE: 612/568-4101
FAX: 651/203-1830
MS. MOLLY HAGEN
HWS
Corp
MARCELLA ARMS APARTMENTS
2400 HARRIET AVENUE SOUTH
(31022)
MINNEAPOLIS, MN 55405
PHONE: 612/444-2373
FAX: 612/326-9029
Corp
MARIA HOME
MR. JAMAL GELLE
SLFA-6
ICFIID-6
2809 31ST AVENUE SOUTH
(20721)
MINNEAPOLIS, MN 55406
PHONE: 612/871-0805
FAX: 612/871-0455
MR. DAN SCHNEIDER
HWS
Lim-Liab
MARTIN KOEPP
1618 HILLSIDE AVENUE NORTH
(31302)
MINNEAPOLIS, MN 55411
PHONE: 612/205-2580
MS. JENNIFER WEISSMAN
FAX: /
HWS
Lim-Liab
MAX ELKIN
3552 1ST AVENUE SOUTH
(31517)
MINNEAPOLIS, MN 55408
PHONE: 612/910-0147
MS. JENNIFER WEISSMAN
FAX: /
HWS
Lim-Liab
MAX R ELKIN
2723 PILLSBURY AVENUE SOUTH
(31299)
MINNEAPOLIS, MN 55408
PHONE: /
FAX: /
MS. JENNIFER WEISSMAN
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
Lim-Liab
MIDTOWN EXCHANGE APARTMENTS
2929 CHICAGO AVE S
(31164)
MINNEAPOLIS, MN 55407
PHONE: 612/508-1604
MIDWEST PROFESSIONAL SERVICES
FAX: /
MS. JENNIFER WEISSMAN
Corp
HHA
HCP/COMP
1300 GODWARD ST NE SUITE 665
MINNEAPOLIS, MN 55413
PHONE: 612/353-4669
(24359)
FAX: 612/354-2403
MS. PAMELA ROCKLAGE
Minnesota Department of Health
Division of Compliance Monitoring
Page 224
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
MILS HOME HEALTH CARE AGENCY
Certification
HENNEPIN
Registration
(Cont.)* -------------------------
HHA
HCP/COMP
2010 EAST HENNEPIN AVENUE #051
(02993)
MINNEAPOLIS, MN 55413
PHONE: 612/379-4027
FAX: 612/379-3489
MR. DAVID BENNEROTTE
ESRD
Corp
MINNEAPOLIS DIALYSIS UNIT
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
MS. CHERIE BRENNAN
FAX: /
ESRD
Corp
MINNEAPOLIS UPTOWN DIALYSIS
3601 LYNDALE AVE SOUTH
(25314)
MINNEAPOLIS, MN 55409
PHONE: 612/825-4583
MR. GREGORY CHATMAN
FAX: 612/825-4651
HWSAL
Lim-Liab
MINNEHAHA SENIOR LIVING
3733 23RD AVENUE SOUTH
(30780)
MINNEAPOLIS, MN 55407
PHONE: 612/238-0010
MS. NIKI DWYER
FAX: 612/238-2797
Lim-Liab
MINNEHAHA SENIOR LIVING
HCP-F
3733 23RD AVENUE SOUTH
(27808)
MINNEAPOLIS, MN 55407
PHONE: 612/238-0010
MS. NIKI DWYER
FAX: 612/238-2799
Lim-Liab
MINNESOTA BIRTH CENTER
2606 CHICAGO AVENUE SOUTH
(28380)
MINNEAPOLIS, MN 55407
PHONE: 612/545-5311
MS. CHRISTIANA FITCH
FAX: 612/200-9925
NProf
MINNESOTA TEEN CHALLENGE
BCH-53
1507 LOWRY AVENUE NORTHEAST
(00272)
MINNEAPOLIS, MN 55418
PHONE: 612/373-3366
MRS. WENDY LOWRY
FAX: 612/333-4111
HWS
NProf
MISSION INN
3122 MORGAN AVENUE NORTH
(29095)
MINNEAPOLIS, MN 55412
PHONE: 612/508-2512
MN VETERANS HOME MINNEAPOLIS
MR. CHRIS TRAILER
FAX: /
State
NH-341 BCH-161 BCH-161
5101 MINNEHAHA AVENUE SOUTH
MINNEAPOLIS, MN 55417
PHONE: 612/548-5705
(00233)
FAX: 612/548-5711
MR. CORY GLAD
SNF-NF-100
Minnesota Department of Health
Division of Compliance Monitoring
Page 225
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
MN VISITING NURSE AGENCY
Certification
HENNEPIN
Registration
(Cont.)* -------------------------
HCP/COMP
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
COMP
3552 CLINTON AVENUE SOUTH
(21618)
MINNEAPOLIS, MN 55408
PHONE: 612/822-8757
FAX: 612/822-1758
MRS. AZAH MOORE/ALLEN
HWS
Lim-Liab
MOORE BOARD AND CARE LLC
3552 CLINTON AVENUE SOUTH
(30773)
MINNEAPOLIS, MN 55408
PHONE: 612/822-8757
MS. CHRISTINE MOORE
FAX: 612/822-1758
NProf
MOUNT OLIVET CAREVIEW HOME
NH-153
SNF-NF-153
5517 LYNDALE AVENUE SOUTH
(00178)
MINNEAPOLIS, MN 55419
PHONE: 612/827-5677
MR. TIMOTHY HOKANSON
FAX: 612/821-3241
Church
MOUNT OLIVET HOME
BCH-94
NF2-94
5517 LYNDALE AVENUE SOUTH
(00236)
MINNEAPOLIS, MN 55419
PHONE: 612/827-5677
FAX: 612/821-3241
MR. TIMOTHY HOKANSON
HWS
NProf
MUTUAL MANAGEMENT
608 20TH AVENUE SOUTH
(27374)
MINNEAPOLIS, MN 55454
PHONE: 612/339-9164
FAX: 612/333-8185
MS. MARY GALLINI
HWS
Lim-Liab
MY FATHER'S HOUSE INC
2935 LOGAN AVENUE NORTH
(31042)
MINNEAPOLIS, MN 55411
PHONE: 612/889-9610
FAX: /
MS. JENNIFER WEISSMAN
HWS
Lim-Liab
MY FATHER'S HOUSE INC
2313 4TH STREET NORTH
(31041)
MINNEAPOLIS, MN 55411
PHONE: 612/889-9610
MS. JENNIFER WEISSMAN
FAX: /
HWSAL-O
Corp
N & V HELPFUL HEART CARE INC
810 OLIVER AVENUE NORTH
(31448)
MINNEAPOLIS, MN 55411
PHONE: 763/442-0460
FAX: 206/666-2482
MS. VERA DIXON
HWSAL
Corp
N & V HELPFUL HEART CARE INC
815 NEWTON AVE N
(31241)
MINNEAPOLIS, MN 55411
PHONE: 763/442-0460
FAX: /
MS. VERA DIXON
Minnesota Department of Health
Division of Compliance Monitoring
Page 226
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
NANCY PAGE PROG OF PEOPLE INC
Certification
HENNEPIN
Registration
(Cont.)* -------------------------
SLFA-16
245 SOUTH CLIFTON
(01338)
MINNEAPOLIS, MN 55403
PHONE: 612/870-3787
FAX: 612/870-3789
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
MR. CHRIS TRAILER
FAX: /
HWS
Part
3710 NICOLLET AVENUE
MINNEAPOLIS, MN 55409
PHONE: 651/789-6260
NORTH OAKS ON EMERSON
(27314)
MR. DEAN CROWELL
FAX: 651/789-6288
NProf
COMP
2929 EMERSON AVENUE NORTH
MINNEAPOLIS, MN 55411
PHONE: 612/521-2929
NORTH OAKS ON EMERSON
(20218)
MR. DAVID USELMAN
FAX: 612/522-2921
HWSAL
NProf
2929 EMERSON AVENUE NORTH
MINNEAPOLIS, MN 55411
PHONE: 612/521-2929
OAK GROVE CARE CENTER INC
(30453)
MR. DAVID USELMAN
FAX: 612/522-2921
Corp
COMP
1822 PARK AVENUE SOUTH
MINNEAPOLIS, MN 55404
PHONE: 612/871-5800
OLU'S HOME INC
(25518)
MS. SARA WILLIAMS
FAX: 612/872-6815
Corp
COMP
4013 PARK AVENUE SOUTH
MINNEAPOLIS, MN 55407
PHONE: 612/824-1142
OUTREACH STEVENS
(28291)
MS. GLORIA FREEMAN
FAX: 612/824-1456
NProf
ICFIID-6
SLFA-6
5240 QUEEN AVENUE NORTH
MINNEAPOLIS, MN 55430
PHONE: 612/588-4825
(20664)
FAX: 612/521-6654
MS. MARY TJOSVOLD
Minnesota Department of Health
Division of Compliance Monitoring
Page 227
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------
HWS
NProf
PAIGE HALL
Registration
727 SOUTH 5TH AVENUE
(25779)
MINNEAPOLIS, MN 55404
PHONE: 612/204-8319
FAX: /-
MS. STACEY RAY
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-O
NProf
PARK PLAZA
505 HUMBOLDT AVE N
(30888)
MINNEAPOLIS, MN 55405
PHONE: 612/377-3650
MS. STACEY RAY
FAX: /-
HWS
NProf
PARK PLAZA
507 NORTH HUMBOLDT AVENUE
(31361)
MINNEAPOLIS, MN 55405
PHONE: 612/377-3650
MS. STACEY RAY
FAX: /-
HWS
NProf
PARK PLAZA APARTMENTS
1315 OLSON HIGHWAY
(29848)
MINNEAPOLIS, MN 55405
PHONE: 612/377-3650
MS. STACEY RAY
FAX: /-
HWS
NProf
PARK TWO
214 15TH STREET WEST
(26900)
MINNEAPOLIS, MN 55403
PHONE: 612/871-6581
PARKER SKYVIEW
MR. CHRIS TRAILER
FAX: /
HWSAL
HRA
1815 CENTRAL AVENUE NORTHEAST
MINNEAPOLIS, MN 55418
PHONE: 612/342-2266
PARKVIEW MANOR
(21761)
MS. MARY BOLER
FAX: 612/781-3495
HWSAL-O
Corp
2200 PARK AVE S
MINNEAPOLIS, MN 55404
PHONE: 763/561-2424
PARKVIEW MANOR
(31143)
MS. HELEN OSONOWO
FAX: 763/561-0104
Corp
TCOMP
2200 PARK AVENUE S
MINNEAPOLIS, MN 55404
PHONE: 763/561-2424
(30981)
FAX: 763/561-0104
MS. HELEN OSONOWO
Minnesota Department of Health
Division of Compliance Monitoring
Page 228
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
FAX: /
MR. JOHNNIE LEE
Lim-Liab
PEACEFUL CARE LLC
HCP-A
5905 GOLDEN VALLEY RD STE 201
(28557)
MINNEAPOLIS, MN 55422
PHONE: 612/701-6094
FAX: 612/886-1835
MR. ROGER CREWS
HWS
NProf
PENN OAK APARTMENTS
3528 PENN AVENUE NORTH
(27371)
MINNEAPOLIS, MN 55412
PHONE: 612/522-3394
MR. CHRIS TRAILER
FAX: 612/521-9714
Corp
PENTEC HEALTH INC
HCP-A
100 SOUTH FIFTH STREET #1900
(29528)
MINNEAPOLIS, MN 55402
PHONE: 800/223-4376
MS. CHERYL MANN
FAX: 610/494-7328
NProf
PEOPLE II
ICFIID-6
SLFA-6
1380 WEST MINNEHAHA PARKWAY
(01556)
MINNEAPOLIS, MN 55419
PHONE: 612/827-4671
FAX: 612/827-1259
MR. SCOTT HINCHEE
HWS
NProf
PEOPLE INCORPORATED DSL
726 NORTHEAST 2ND STREET
(30393)
MINNEAPOLIS, MN 55413
PHONE: 612/331-3525
FAX: 612/331-3587
MR. TIM MCGUIRE
HWS-O
NProf
PEOPLE INCORPORATED EPILEPSY &
630 CEDAR AVENUE #201
(30218)
MINNEAPOLIS, MN 55454
PHONE: 612/338-9035
FAX: 612/338-1160
MR. TIM MCGUIRE
HWS
Lim-Liab
PHILLIP COOPER
2623 MORGAN AVENUE NORTH
(31510)
MINNEAPOLIS, MN 55411
PHONE: 301/346-6184
PHILLIPS EYE INSTITUTE
FAX: /-
MS. JENNIFER WEISSMAN
NProf
HOSP-20
HOSP-20
2215 PARK AVENUE SOUTH
MINNEAPOLIS, MN 55404
PHONE: 612/775-8815
(00231)
FAX: 612/775-9601
DR. DANIEL CONRAD
Minnesota Department of Health
Division of Compliance Monitoring
Page 229
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
PINNACLE SERVICES - JACKSON SQ
Certification
HENNEPIN
Registration
(Cont.)* -------------------------
HWSAL-O
Corp
2902 POLK STREET NORTHEAST
MINNEAPOLIS, MN 55418
PHONE: 612/208-1369
PINNACLE SERVICES INC
(26848)
FAX: 612/259-7441
Corp
MS. JILL CIHLAR
COMP
724 CENTRAL AVE NE
MINNEAPOLIS, MN 55414
PHONE: 612/977-3100
POWDERHORN TERRACE
(24508)
FAX: 612/977-3960
MS. JILL CIHLAR
HWS-O
NProf
1212 POWDERHORN TERRACE
MINNEAPOLIS, MN 55407
PHONE: 651/774-0011
PPL GREENLEAF LLC
(29914)
FAX: 651/291-1082
MR. TIM MCGUIRE
HWS-O
NProf
3627 PENN AVENUE NORTH
MINNEAPOLIS, MN 55412
PHONE: 612/455-5100
PPL IRVING COMMONS LLC
(30087)
MS. LESLIE ANGEL
FAX: 612/455-5101
HWS-O
Lim-Liab
3601 FREMONT AVENUE NORTH
MINNEAPOLIS, MN 55412
PHONE: 612/455-5100
PROTON INVESTMENTS
(29486)
MS. LESLIE ANGEL
FAX: 612/455-5101
HWS
NProf
1612 GOLDEN VALLEY ROAD
MINNEAPOLIS, MN 55411
PHONE: 612/703-8035
PROVIDENCE PLACE
(29714)
FAX: 952/856-5124
NProf
MS. MOLLY HAGEN
SNF-NF-190
NH-190
3720 23RD AVENUE SOUTH
MINNEAPOLIS, MN 55407
PHONE: 612/724-5495
QUALITY FOOTCARE
(00096)
FAX: 612/729-6271
Part
MR. TYLER DONAHUE
COMP
2010 EAST HENNEPIN AVE BOX 051
MINNEAPOLIS, MN 55413
PHONE: 612/805-6931
RAKHMA PEACE HOME
(24711)
FAX: 612/379-3489
NProf
MS. AMY KEMMETMUELLER
COMP
4953 ALDRICH AVENUE SOUTH
MINNEAPOLIS, MN 55419
PHONE: 612/824-2345
RAKHMA PEACE HOME
(20103)
FAX: 612/824-3165
MS. SUSAN ECKSTROM
HWSAL
NProf
4953 ALDRICH AVENUE SOUTH
MINNEAPOLIS, MN 55419
PHONE: 612/824-2345
(30414)
FAX: 612/824-3165
MS. SUSAN ECKSTROM
Minnesota Department of Health
Division of Compliance Monitoring
Page 230
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------
HWS
NProf
REA-HAL PROPERTIES
Registration
1901 COLFAX AVENUE
(27889)
MINNEAPOLIS, MN 55403
PHONE: 612/868-6283
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
REALTY CONNECT
2946 SOUTH PARK
(31303)
MINNEAPOLIS, MN 55407
PHONE: 612/455-0875
FAX: /-
MS. MOLLY HAGEN
HWS
NProf
REDEEMER CENTER FOR LIFE PROPE
1816 GLENWOOD AVENUE NORTH
(31265)
MINNEAPOLIS, MN 55405
PHONE: 612/374-4139
REDEEMER RESIDENCE INC
MS. CARLA MAGNUSON
FAX: /
Church
NH-129
SNF-NF-129
625 WEST 31ST STREET
MINNEAPOLIS, MN 55408
PHONE: 612/827-2555
REENTRY HOUSE
(00160)
MR. DAN COLGAN
FAX: 612/827-0450
Corp
SLFA-16
5812 LYNDALE AVENUE SOUTH
MINNEAPOLIS, MN 55419
PHONE: 612/869-2411
REM HENNEPIN INC LYNDALE
(01470)
MS. FRAN LESICKO
FAX: 612/869-0313
Corp
SLFA-10
ICFIID-10
1307 6TH STREET SE
MINNEAPOLIS, MN 55414
PHONE: 763/852-5325
REM HENNEPIN INC QUEEN
(21654)
FAX: 763/852-5350
Corp
MS. CONNIE MENNE
SLFB-6
ICFIID-6
614 QUEEN AVENUE SOUTH
MINNEAPOLIS, MN 55405
PHONE: 763/852-5325
REM HENNEPIN PILLSBURY
(01130)
FAX: 763/852-5350
Corp
MS. CONNIE MENNE
SLFA-17
ICFIID-17
2311 PILLSBURY AVENUE SOUTH
MINNEAPOLIS, MN 55404
PHONE: 763/852-5325
RESTART INC 7TH
(01029)
FAX: 952/591-0050
MS. CONNIE MENNE
HWS-O
NProf
1111 7TH ST S APT #34
MINNEAPOLIS, MN 55415
PHONE: 612/664-0119
RESTART INC 8TH
(21905)
FAX: 612/664-0140
MR. JAMES JASPER
HWS-O
NProf
614 8TH ST SE
MINNEAPOLIS, MN 55414
PHONE: 612/379-9409
(25373)
FAX: 612/331-9175
MR. JAMES JASPER
Minnesota Department of Health
Division of Compliance Monitoring
Page 231
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------
HWS-O
NProf
RESTART INC ELLIOT
Registration
4317 ELLIOT AVE S
(25370)
MINNEAPOLIS, MN 55407
PHONE: 612/822-3506
FAX: 612/824-2719
MR. JAMES JASPER
HWS-O
NProf
RESTART INC KATHY'S PLACE
4525 ALDRICH AVE S
(25372)
MINNEAPOLIS, MN 55419
PHONE: 612/822-5372
FAX: 612/827-4967
MR. JAMES JASPER
HWS-O
NProf
RESTART INC MINNEHAHA
4654 MINNEHAHA AVE S
(25371)
MINNEAPOLIS, MN 55406
PHONE: 612/729-1460
FAX: 612/729-5059
Lim-Liab
RIGHT AT HOME
MR. JAMES JASPER
HCP-A
1304 UNIVERSITY AVENUE NE #303
(26963)
MINNEAPOLIS, MN 55413
PHONE: 612/235-4130
FAX: 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
MRS. DANIELLE FOX
HWS
NProf
RIVERSIDE PLAZA
1515 SOUTH FOURTH STREET
(29000)
MINNEAPOLIS, MN 55454
PHONE: 612/338-8925
FAX: /-
MS. STACEY RAY
HWS
NProf
RIVERSIDE PLAZA
1601 SOUTH FOURTH STREET
(29138)
MINNEAPOLIS, MN 55454
PHONE: 612/204-8319
FAX: /-
MS. STACEY RAY
HWS
NProf
RIVERSIDE PLAZA
1530 S 6TH ST (CHASE BLDG C)
(25903)
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
(25064)
FAX: 612/375-9105
MS. STACEY RAY
Minnesota Department of Health
Division of Compliance Monitoring
Page 232
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Part
RIVERSIDE PROFESSIONAL HEALTH
Certification
HENNEPIN
Registration
(Cont.)* -------------------------
HCP-A
1929 SOUTH 5TH STREET #200
(27345)
MINNEAPOLIS, MN 55454
PHONE: 612/359-9917
FAX: 612/359-9917
MS. CHALI BEDASSO
HWSAL
NProf
RIVERVILLAGE EAST
2919 RANDOLPH STREET NORTHEAST
(23147)
MINNEAPOLIS, MN 55418
PHONE: 612/605-2500
FAX: 612/605-2504
MR. MICHAEL SHASKY
HWS
NProf
RIVERVILLAGE NORTH
2921 RANDOLPH STREET NORTHEAST
(23036)
MINNEAPOLIS, MN 55418
PHONE: 612/605-2501
FAX: 612/605-2502
MR. MICHAEL SHASKY
HWS
Lim-Liab
RJG LLC C/O HOUSING PLUS
1321 44TH AVE N
(31162)
MINNEAPOLIS, MN 55412
PHONE: 612/508-1604
MS. JENNIFER WEISSMAN
FAX: /
Lim-Liab
ROBIN HINTZ MA CCC-SLP LLC
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
Corp
ROSE MANOR APARTMENTS
22 EAST 22ND STREET
(31085)
MINNEAPOLIS, MN 55404
PHONE: 612/870-1878
FAX: 612/870-1878
MS. LYNDA MERKENS
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
3210 LYNDALE AVENUE NORTH
(25594)
MINNEAPOLIS, MN 55411
PHONE: 612/287-1600
FAX: 612/287-1616
MS. LOIS MUELLER
HWS
Lim-Liab
RS EDEN / DILLION APARTMENTS
3218 LYNDALE AVENUE NORTH
(25595)
MINNEAPOLIS, MN 55411
PHONE: 612/287-1600
FAX: 612/287-1616
MS. LOIS MUELLER
HWS
Lim-Liab
SELA INVESTMENTS
2700 HUMBOLDT AVENUE SOUTH
(31036)
MINNEAPOLIS, MN 55408
PHONE: 952/925-3878
FAX: /
MS. JENNIFER WEISSMAN
Minnesota Department of Health
Division of Compliance Monitoring
Page
233
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------
HWS
Lim-Liab
SELA INVESTMENTS
Registration
3501 EMERSON AVENUE SOUTH
(31034)
MINNEAPOLIS, MN 55404
PHONE: 952/925-3878
FAX: /
MS. JENNIFER WEISSMAN
Lim-Liab
SENIOR HOME HEALTH CARE LLC
HCP/COMP
HHA
2525 E FRANKLIN AVE STE 200W
(28931)
MINNEAPOLIS, MN 55406
PHONE: 612/298-8180
FAX: 866/622-5569
MR. JEYLANI HASHI
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/COMP
HHA
3355 HIAWATHA AVENUE S STE 110
(26946)
MINNEAPOLIS, MN 55406
PHONE: 614/736-3120
MR. TAHA ABDUREHMAN
FAX: /
HWS
Lim-Liab
SERENITY PLACE
2409 1ST AVENUE SOUTH
(24075)
MINNEAPOLIS, MN 55404
PHONE: 651/209-8490
MS. CARLEEN FLETTRE
FAX: 651/209-8499
HWS
NProf
SEWARD FLATS
2020 22ND AVENUE SOUTH
(28021)
MINNEAPOLIS, MN 55404
PHONE: 612/328-5101
FAX: /
MR. CHRIS TRAILER
HWS
NProf
SEWARD FLATS
2019 21ST AVENUE SOUTH
(27956)
MINNEAPOLIS, MN 55404
PHONE: 612/328-5101
FAX: 612/664-1780
MR. CHRIS TRAILER
HWS
NProf
SEWARD FLATS
2104 22ND AVENUE SOUTH
(27373)
MINNEAPOLIS, MN 55404
PHONE: 612/664-1764
SHABA HEALTH SERVICES CORP
FAX: /
MR. CHRIS TRAILER
Corp
COMP
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
(25160)
FAX: 651/291-1003
MS. ELIZABETH HAGSTROM
Minnesota Department of Health
Division of Compliance Monitoring
Page 234
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
ONProf
SHRINERS HOSPITAL FOR CHILDREN
Certification
HENNEPIN
Registration
(Cont.)* -------------------------
HOSP-40
2025 EAST RIVER PARKWAY
(00256)
MINNEAPOLIS, MN 55414
PHONE: 612/596-6100
FAX: 612/339-7634
MR. CHARLES LOBECK
Home Mgmt
Corp
SIFA CARE INC
2736 LYNDALE AVE S #212
(25045)
MINNEAPOLIS, MN 55408
PHONE: 612/870-1570
FAX: 612/870-1571
MR. AHMED MOHAMUD
HWSAL
HRA
SIGNE BURCKHARDT MANOR
2533 FIRST AVENUE SOUTH
(20278)
MINNEAPOLIS, MN 55404
PHONE: 612/821-2191
FAX: 612/872-4472
MS. MARY BOLER
HWS
NProf
SIMPSON HOUSING SERVICES INC
706 1ST AVENUE NORTH
(29389)
MINNEAPOLIS, MN 55403
PHONE: 612/376-7661
FAX: 612/338-4862
MS. SARAH BROICH
HWS
NProf
SLATER SQUARE
1425 PORTLAND AVENUE SOUTH
(24934)
MINNEAPOLIS, MN 55404
PHONE: 612/204-8319
FAX: 612/623-2018
MS. STACEY RAY
HWS
NProf
SLATER SQUARE
1412 PORTLAND AVENUE
(24795)
MINNEAPOLIS, MN 55404
PHONE: 612/204-8319
FAX: 612/623-2018
MS. STACEY RAY
HWS
NProf
SLATER SQUARE
1420 S PORTLAND AVENUE
(24793)
MINNEAPOLIS, MN 55404
PHONE: 612/204-8319
FAX: 612/375-9105
MS. STACEY RAY
HWS
NProf
SLATER SQUARE
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
MS. STACEY RAY
FAX: /
HWS
Part
SOUTH 1/4 PHASE IV PINE CLIFF
501 19TH ST E
(30928)
MINNEAPOLIS, MN 55404
PHONE: 612/341-3148
FAX: /
MS. LOIS MUELLER
Minnesota Department of Health
Division of Compliance Monitoring
Page 235
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
SOUTHSIDE CARE CENTER
Certification
HENNEPIN
Registration
(Cont.)* -------------------------
BCH-17
NF2-17
2644 ALDRICH AVENUE SOUTH
(00780)
MINNEAPOLIS, MN 55408
PHONE: 612/872-4233
FAX: 612/872-0005
MS. CATHERINE SCOVILLE
HWS
Corp
SOUTHSIDE COMMUNITY
2746 PLEASANT AVE S
(30787)
MINNEAPOLIS, MN 55408
PHONE: 612/444-2373
FAX: 612/326-9029
MR. JAMAL GELLE
HWS
Corp
SOUTHSIDE COMMUNITY
3521 2ND AVE S
(30788)
MINNEAPOLIS, MN 55408
PHONE: 612/444-2373
FAX: 612/326-9029
Lim-Liab
SPECIALTY CARE GROUP
MR. JAMAL GELLE
BASIC
2113 GIRARD AVE S STE 2
(27391)
MINNEAPOLIS, MN 55405
PHONE: 612/925-5008
MS. DANICA DOBEK
FAX: 612/437-4141
NProf
ST OLAF RESIDENCE
SNF-NF-80
NH-80
2912 FREMONT AVENUE NORTH
(00260)
MINNEAPOLIS, MN 55411
PHONE: 612/522-6561
MS. MARY HAMER-INTERIM
FAX: 612/522-2921
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
FAX: /
MR. CHRIS TRAILER
Corp
SU CASA HOME CARE
COMP
3427 CENTRAL AVENUE NE
(26288)
MINNEAPOLIS, MN 55418
PHONE: 612/788-9757
FAX: 612/789-6564
Corp
SUMMIT HEALTHCARE INC
MR. RANDAL HAGEMEYER
BASIC
3018 EAST LAKE STREET
(31170)
MINNEAPOLIS, MN 55406
PHONE: 612/721-7776
FAX: 612/722-3578
MR. MAXWELL AFORO
HWS
Lim-Liab
SUNSUN PROPERTIES
3222 KNOX AVENUE NORTH
(31511)
MINNEAPOLIS, MN 55411
PHONE: 612/388-5570
FAX: /
MS. JENNIFER WEISSMAN
Minnesota Department of Health
Division of Compliance Monitoring
Page 236
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------
HWS
Lim-Liab
SUPPORTIVE LIVING SERVICES LLC
Registration
4635 LYNDALE AVE N
(30518)
MINNEAPOLIS, MN 55412
PHONE: 651/209-8490
FAX: 651/209-8499
MRS. ALI BEVERS
HWS
Lim-Liab
SVENDAHL PROPERTIES
3540 11TH AVENUE SOUTH
(27056)
MINNEAPOLIS, MN 554072140
PHONE: 612/353-7856
FAX: /
MS. JENNIFER WEISSMAN
Lim-Liab
SYSKON HOME HEALTH CARE LLC
HCP-A
323 2ND STREET NE
(28384)
MINNEAPOLIS, MN 55413
PHONE: 952/278-0620
FAX: /
MR. JC VAIANA
HWS
Lim-Liab
TALEBLOO COMPANY
1655 WASHBURN AVENUE NORTH
(31297)
MINNEAPOLIS, MN 55411
PHONE: 651/808-8282
MS. JENNIFER WEISSMAN
FAX: /
HWS
Lim-Liab
TALEBLOO COMPANY
727 RUSSELL AVENUE NORTH
(31298)
MINNEAPOLIS, MN 55411
PHONE: 651/808-8282
MS. JENNIFER WEISSMAN
FAX: /
HWS
Lim-Liab
TALEBLOO COMPANY
3723 NEWTON AVENUE NORTH
(31513)
MINNEAPOLIS, MN 55412
PHONE: 651/808-8282
FAX: /
MS. JENNIFER WEISSMAN
Home Mgmt
Corp
TENDER LOVING CARE COMPANIONS
4858 FREMONT AVE SOUTH
(29938)
MINNEAPOLIS, MN 55419
PHONE: 612/824-7508
FAX: /
MR. JAMES JOHNSON
HWS
Corp
THE BALFOUR APARTMENTS
2829 PARK AVE
(30885)
MINNEAPOLIS, MN 55407
PHONE: 612/870-7717
FAX: 612/874-0073
MS. LYNDA MERKENS
HWS
NProf
THE BALMORAL
1005 SOUTH PORTLAND AVENUE
(26597)
MINNEAPOLIS, MN 55404
PHONE: 612/204-8319
THE BARRINGTON
FAX: /-
MS. STACEY RAY
HWS
NProf
911 SOUTH PARK AVENUE
MINNEAPOLIS, MN 55404
PHONE: 612/204-8319
(26596)
FAX: 612/375-9105
MS. STACEY RAY
Minnesota Department of Health
Division of Compliance Monitoring
Page 237
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------
HWS
NProf
THE BELMONT APARTMENTS
Registration
1000 FRANKLIN AVENUE WEST
(26899)
MINNEAPOLIS, MN 55405
PHONE: 612/870-1547
FAX: /
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
Out Pt Out St Out Ot
ONProf
THE FAMILY PARTNERSHIP
1501 XERXES AVENUE NORTH
(28437)
MINNEAPOLIS, MN 55411
PHONE: 612/341-1622
MS. MOLLY GREENMAN
FAX: 612/339-9150
HWS
NProf
THE JOURDAIN
2006 PORTLAND AVE S
(24897)
MINNEAPOLIS, MN 55404
PHONE: 612/204-8319
MS. STACEY RAY
FAX: /
Lim-Liab
THE KENWOOD RETIREMENT COM
HCP-F
825 SUMMIT AVENUE
(20341)
MINNEAPOLIS, MN 55403
PHONE: 612/374-8100
FAX: 612/377-3600
THE KENWOOD RETIREMENT COMMUNI
MS. JENNIFER VOLENANT
HWSAL
Lim-Liab
825 SUMMIT AVENUE
MINNEAPOLIS, MN 55403
PHONE: 612/374-8100
THE SALVATION ARMY HARB LIGHT
(30594)
FAX: 612/377-3600
NProf
MRS. JENNIFER VOLKENANT
SLFA-44
1010 CURRIE AVENUE NORTH
MINNEAPOLIS, MN 55403
PHONE: 612/767-3100
THE STANTON HOUSE INC
(01601)
FAX: 612/338-4717
MS. TRISH THACKER
HWSAL
Corp
3354 JAMES AVE N
MINNEAPOLIS, MN 55412
PHONE: 612/521-9543
THE STANTON HOUSE INC
(25977)
FAX: 612/886-1310
Corp
MS. TERRA ROSS
COMP
3354 JAMES AVENUE NORTH
MINNEAPOLIS, MN 55412
PHONE: 612/521-9543
(26409)
FAX: 612/886-1310
MS. TERRA ROSS
Minnesota Department of Health
Division of Compliance Monitoring
Page 238
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
THE VILLA AT BRYN MAWR
Certification
HENNEPIN
NH-120
Registration
(Cont.)* -------------------------
SNF-NF-120
275 PENN AVE NORTH
(00175)
MINNEAPOLIS, MN 55405
PHONE: 612/377-4723
FAX: 612/377-0294
MS. PAT VOELKER
HWS
Lim-Liab
THE WATERS ON 50TH
3500 50TH STREET WEST
(30282)
MINNEAPOLIS, MN 55410
PHONE: 612/200-9552
FAX: 612/922-9160
Lim-Liab
THE WATERS SR LVG MGMT LLC
MR. KYLE DIDIER
COMP
3500 50TH STREET WEST
(30281)
MINNEAPOLIS, MN 55410
PHONE: 952/358-5137
MR. KYLE DIDIER
FAX: 952/358-5028
HWS
NProf
THE WELLSTONE
620 FRANKLIN AVENUE EAST
(26446)
MINNEAPOLIS, MN 55404
PHONE: 612/435-1686
THIRD AVENUE NBBI
MR. CHRIS TRAILER
FAX: /
HWSAL-O
HRA
1001 WASHINGTON AVENUE NORTH
MINNEAPOLIS, MN 55401
PHONE: 612/342-1453
THOMAS T FENNEY MANOR
(24487)
MS. MARY BOLER
FAX: 612/342-1407
HWSAL
HRA
901 4TH AVENUE NORTH
MINNEAPOLIS, MN 55405
PHONE: 612/843-4923
THREE THIRTY FIVE RIDGEWOOD
(28487)
MS. MARY BOLER
FAX: 612/377-3098
Corp
ICFIID-6
SLFA-6
335 RIDGEWOOD AVENUE
MINNEAPOLIS, MN 55403
PHONE: 612/871-0805
TOUCHSTONE ASSISTED LIVING APA
(01375)
MR. DAN SCHNEIDER
FAX: 612/871-0455
NProf
COMP
2312 SNELLING AVE
MINNEAPOLIS, MN 55404
PHONE: 612/874-6409
TOUCHSTONE COMMUNITY LP
(23337)
MS. MARTHA LANTZ
FAX: 612/874-0157
HWS
NProf
2308 SNELLING AVENUE
MINNEAPOLIS, MN 55404
PHONE: 612/455-5100
TURNING POINT INC
(29434)
MS. LESLIE ANGEL
FAX: 612/455-5101
NProf
SLFA-24
1500 GOLDEN VALLEY ROAD
MINNEAPOLIS, MN 55411
PHONE: 612/520-4004
(01678)
FAX: 612/520-0047
MS. ELIZABETH REED
Minnesota Department of Health
Division of Compliance Monitoring
Page
239
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
TWIN CITY HOME HEALTHCARE LLC
Certification
HENNEPIN
Registration
(Cont.)* -------------------------
HCP-A
620 16TH AVENUE S SUITE 45
(28032)
MINNEAPOLIS, MN 55454
PHONE: 612/232-3297
FAX: 612/326-9313
MR. AHMED ABDULLAHI
Home Mgmt
Corp
TWINS HOME HEALTH CARE INC
2533 24TH AVENUE SOUTH
(27759)
MINNEAPOLIS, MN 55406
PHONE: 612/465-0408
FAX: 612/339-5901
MR. ABDIRAHMAN DHUNKAL
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
COMP
3040 4TH AVE SOUTH SUITE 5C
MINNEAPOLIS, MN 55408
PHONE: 612/315-2656
UNITY HEALTH CARE
(27712)
MS. MOHAMED KODAH
FAX: 612/315-2657
Corp
HCP-F
2221 WEST 55TH STREET
MINNEAPOLIS, MN 55419
PHONE: 612/285-8743
UNITY HEALTHCARE INC
(23694)
MS. PAULETTE WILSON
FAX: 612/922-9276
Corp
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: 651/209-8490
UNIVERSITY OF MN MED CTR
(25496)
FAX: 651/209-8499
NProf
MS. CARLEEN FLETTRE
HOSP-1700 BASS-168
HOSP-1525 PPS-P-145 PPS-R-30
2450 RIVERSIDE AVENUE
MINNEAPOLIS, MN 55454
PHONE: 612/273-6000
URBAN HOMEWORKS
(00200)
FAX: 612/273-4051
MS. CAROLYN WILSON
HWS
NProf
620 23RD AVENUE NORTH
MINNEAPOLIS, MN 55411
PHONE: 612/724-9002
URBAN HOMEWORKS
(29480)
FAX: 612/722-2214
MS. MOLLY HAGEN
HWS
NProf
3030 OAKLAND AVENUE S
MINNEAPOLIS, MN 55407
PHONE: 612/455-0875
(29885)
FAX: 612/879-0041
MS. MOLLY HAGEN
Minnesota Department of Health
Division of Compliance Monitoring
Page
240
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
UTMOST CARE HEALTH SERVICES LL
Certification
HENNEPIN
Registration
(Cont.)* -------------------------
HHA
HCP/COMP
2501 GRAND ST NE
(25533)
MINNEAPOLIS, MN 55418
PHONE: 952/486-1491
FAX: 612/782-4100
MS. BLESSING ANYIWE
HWS-O
Lim-Liab
V K ARRIGONI WEST
508 SOUTHEAST UNIVERSITY AVE
(21730)
MINNEAPOLIS, MN 55414
PHONE: 612/331-6582
FAX: 612/331-8672
MRS. ALI BEVERS
HWS
NProf
VENTURA FLATS
1818 14TH AVENUE SOUTH
(25186)
MINNEAPOLIS, MN 55404
PHONE: 612/871-6370
FAX: /-
MR. CHRIS TRAILER
HWS
Lim-Liab
VINCENT RENTAL PROPERTIES
3213 FREEMONT AVENUE NORTH
(31512)
MINNEAPOLIS, MN 55412
PHONE: 612/388-5510
MS. JENNIFER WEISSMAN
FAX: /-
HWS
Lim-Liab
VINCENT RENTAL PROPERTIES
2318 NORTH 4TH STREET
(31296)
MINNEAPOLIS, MN 55412
PHONE: 612/388-5570
MS. JENNIFER WEISSMAN
FAX: /-
HWS
Lim-Liab
VINCENT RENTAL PROPERTIES
4046 COLFAX AVENUE NORTH
(31295)
MINNEAPOLIS, MN 55412
PHONE: 612/388-5570
FAX: /-
MS. JENNIFER WEISSMAN
HWS
Lim-Liab
VINCENT RENTAL PROPERTIES
4239 THOMAS AVENUE NORTH
(31294)
MINNEAPOLIS, MN 55411
PHONE: 612/388-5570
VITALITY RESIDENTIAL LLC
FAX: /-
MS. JENNIFER WEISSMAN
HWS
NProf
812 21ST AVENUE NORTH
MINNEAPOLIS, MN 55411
PHONE: 571/286-1852
VOLUNTEERS OF AMERICA OF MINNE
(29315)
FAX: 952/856-5124
NProf
MS. MOLLY HAGEN
COMP
7625 METRO BLVD
MINNEAPOLIS, MN 55439
PHONE: 952/945-4144
WALKER HOME SERVICES
(03712)
FAX: 952/945-4106
NProf
MS. ANNA PETERSMEYER
COMP
3737 BRYANT AVENUE SOUTH
MINNEAPOLIS, MN 55409
PHONE: 612/827-8363
(02260)
FAX: 612/827-8458
MS. ANNELIESE PETERSON
Minnesota Department of Health
Division of Compliance Monitoring
Page 241
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
WALKER METHODIST HEALTH CTR
Certification
HENNEPIN
Registration
(Cont.)* -------------------------
NH-330
SNF-NF-308 NF1-22
3737 BRYANT AVENUE SOUTH
(00276)
MINNEAPOLIS, MN 55409
PHONE: 612/827-5931
FAX: 612/827-8458
MS. BROOKE VIEGUT
HWSAL
NProf
WALKER METHODIST PLACE
3701 BRYANT AVENUE SOUTH
(20447)
MINNEAPOLIS, MN 55409
PHONE: 612/827-8500
FAX: 612/827-8535
MR. LEE ENGLER
HWS
Corp
WASHINGTON APARTMENT
2101 WASHINGTON STREET NE
(31284)
MINNEAPOLIS, MN 55418
PHONE: 612/444-2373
MR. JAMAL GELLE
FAX: 612/326-9029
Lim-Liab
WELCOME HOME LLC
TCOMP
2515 9TH ST APT# 2109
(31282)
MINNEAPOLIS, MN 55406
PHONE: 612/352-0374
MS. BEYAN OBSITU
FAX: /
HWS
Lim-Liab
WEST BROADWAY CRESCENT
2000 WEST BROADWAY
(31525)
MINNEAPOLIS, MN 55411
PHONE: 651/291-1750
MS. JENNIFER WEISSMAN
FAX: /
HWS
Corp
WEST FRANKLIN APARTMENTS
242 WEST FRANKLIN AVENUE
(31023)
MINNEAPOLIS, MN 55404
PHONE: 612/444-2373
FAX: 612/326-9029
MR. JAMAL GELLE
HWS
NProf
WEST LAKESBURY APARTMENTS
127 WEST LAKE STREET
(31528)
MINNEAPOLIS, MN 55408
PHONE: 612/377-2792
FAX: 612/377-2750
MS. ERIN WIXSTEN
HWS
Lim-Liab
WHITTIER PLACE
2405 FIRST AVENUE SOUTH
(30820)
MINNEAPOLIS, MN 55404
PHONE: 612/872-1926
FAX: 651/209-8499
MS. CARLEEN FLETTRE
Lim-Liab
WILLOW MIDWIVES PLLC
3033 EXCELSIOR BOULEVARD #585
(31316)
MINNEAPOLIS, MN 55416
PHONE: 952/212-6801
FAX: 952/443-4095
MS. LIZ HOCHMAN
HWS
Lim-Liab
WILSON REAL ESTATE
4920 28TH AVENUE SOUTH
(29102)
MINNEAPOLIS, MN 55417
PHONE: 612/710-2548
FAX: /
MS. JENNIFER WEISSMAN
Minnesota Department of Health
Division of Compliance Monitoring
Page 242
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------
HWS
Lim-Liab
WILWERDING PROPERTIES
Registration
504 RIDGEWOOD AVENUE
(30209)
MINNEAPOLIS, MN 55403
PHONE: 612/964-2795
FAX: /
MS. JENNIFER WEISSMAN
HWS-O
Corp
ZUMBRO HOUSE - SANDER
5740 SANDER DRIVE
(28732)
MINNEAPOLIS, MN 55417
PHONE: 651/264-1000
FAX: 651/264-1002
MR. CHRISTOPHER ONKEN
HWS-O
Corp
ZUMBRO HOUSE - SANDER #2
5753 SANDER DRIVE
(28819)
MINNEAPOLIS, MN 55417
PHONE: 651/264-1000
FAX: 651/264-1002
MR. CHRISTOPHER ONKEN
HWS-O
Corp
ZUMBRO HOUSE-BOSSEN
5753 BOSSEN TERRACE
(29571)
MINNEAPOLIS, MN 55417
PHONE: 651/264-1000
MR. CHRISTOPHER ONKEN
FAX: 651/264-1002
Lim-Liab
ASSISTING HANDS OF MINNEAPOLIS
COMP
15612 HIGHWAY 7 STE 210
(29882)
MINNETONKA, MN 55345
PHONE: 952/955-9880
MR. KALEB VOLD
FAX: 888/483-7250
AUGUSTANA EMERALD CREST MNTONK
Lim-Liab
HCP-F
13401 LAKE STREET EXTENSION
MINNETONKA, MN 55305
PHONE: 952/933-9903
AUGUSTANA EMERALD CREST OF MIN
(29328)
MS. MARGARET OWENS
FAX: 952/933-1157
HWSAL
NProf
13409 LAKE STREET EXTENSION
MINNETONKA, MN 55305
PHONE: 952/856-7522
AUGUSTANA EMERALD CREST OF MIN
(20564)
MS. MARGARET OWENS
FAX: 952/933-1157
HWSAL
NProf
13417 LAKE STREET EXTENSION
MINNETONKA, MN 55305
PHONE: 952/856-7522
AUGUSTANA EMERALD CREST OF MIN
(20705)
MS. MARGARET OWENS
FAX: 952/933-1157
HWSAL
NProf
13401 LAKE STREET EXTENSION
MINNETONKA, MN 55305
PHONE: 952/856-7522
BAYADA PEDIATRICS
(20563)
MS. MARGARET OWENS
FAX: 952/933-1157
Corp
HHA
HCP/COMP
10400 YELLOW CIRCLE DR STE 401
MINNETONKA, MN 55343
PHONE: 952/935-5581
(02349)
FAX: 952/935-5920
MS. RACHEL BAILEY
Minnesota Department of Health
Division of Compliance Monitoring
Page 243
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
BEACON HILL
Certification
HENNEPIN
Registration
(Cont.)* -------------------------
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
BASIC
13361 WYOLA ROAD
(29620)
MINNETONKA, MN 55305
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
COMFORCARE SENIOR SERVICES
(01665)
MS. GLORIA DRAKE
FAX: 952/930-8650
Lim-Liab
COMP
14550 EXCELSIOR BLVD STE 203
MINNETONKA, MN 55345
PHONE: 952/767-1687
ELDER HOMESTEAD
(27049)
MR. SCOTT BURGLECHNER
FAX: 952/935-4030
HWSAL
NProf
11400 FOURTH STREET NORTH
MINNETONKA, MN 55343
PHONE: 952/283-2600
FREEDOM POINTE MINNETONKA
(20104)
FAX: 952/283-2606
MS. TARYN BARTZ
HWSAL
Lim-Liab
500 CARLSON PARKWAY
MINNETONKA, MN 55305
PHONE: 952/473-3330
FREEDOM POINTE MINNETONKA
(30757)
FAX: 952/473-7555
Lim-Liab
MS. DONNA FLAATA
COMP
500 CARLSON PARKWAY
MINNETONKA, MN 55305
PHONE: 952/473-3330
GENTLE TOUCH HEALTH INITIATIVE
(20677)
FAX: 952/473-7555
Lim-Liab
MS. DONNA FLAATA
COMP
5300 WOODHILL ROAD
MINNETONKA, MN 55345
PHONE: 952/345-4403
GIANNA HOMES - SURSUM CORDA
(28262)
FAX: 952/345-4402
NProf
MR. DONALD FLACK
COMP
4605 FAIRHILLS ROAD EAST
MINNETONKA, MN 55345
PHONE: 952/988-0953
(20897)
FAX: 952/988-6935
MS. ANNE MARIE HANSEN
Minnesota Department of Health
Division of Compliance Monitoring
Page
244
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------
HWS
NProf
GIANNA HOMES SURSUM CORDA
Registration
4605 FAIRHILLS ROAD EAST
(30827)
MINNETONKA, MN 55345
PHONE: 952/988-0953
FAX: 952/988-6935
Corp
GRISWOLD HOME CARE
MS. ANNE MARIE HANSEN
COMP
15612 HIGHWAY 7 SUITE 239
(28822)
MINNETONKA, MN 55345
PHONE: 952/938-2666
FAX: 952/516-5915
NProf
HAMMER LAKESIDE
MR. PATRICK BACON
SLFB-6
ICFIID-6
5209 MICHAELE LANE
(01594)
MINNETONKA, MN 55345
PHONE: 952/473-1261
FAX: 952/473-8629
Corp
HEALTH CORPS
MR. JOHN ESTREM
HCP-F
5900 GREEN OAK DRIVE STE 200
(21881)
MINNETONKA, MN 55343
PHONE: 952/926-9808
MR. GREG VON ARX
FAX: 952/926-4002
Corp
HEALTH CORPS
HCP-A
5900 GREEN OAK DR STE 200
(21882)
MINNETONKA, MN 55343
PHONE: 952/926-9808
MR. GREG VON ARX
FAX: 952/926-4002
Lim-Liab
HOMECARE TOUCH
HCP-B
5645 GREEN CIRCLE DR STE 114
(29927)
MINNETONKA, MN 55343
PHONE: 651/503-0386
JEWISH FAMILY AND CHILDREN'S S
FAX: /-
MR. SIYAMAK RAHMANI
NProf
COMP
13100 WAYZATA BOULEVARD #400
MINNETONKA, MN 55305
PHONE: 952/546-0616
LEGACY CARE HOME II
(26901)
FAX: 952/593-1778
MS. JUDY HALPER
HWSAL
Lim-Liab
14814 CROWN DRIVE
MINNETONKA, MN 55345
PHONE: 612/597-3153
LEGACY CARE HOME LLC
(27968)
FAX: 952/938-5401
Lim-Liab
MS. MICHELLE NASH
COMP
14900 CROWN DR
MINNETONKA, MN 55345
PHONE: 612/597-3153
LEGACY CARE HOME LLC
(25364)
FAX: 952/938-5401
MS. MICHELLE NASH
HWSAL
Lim-Liab
14900 CROWN DR
MINNETONKA, MN 55345
PHONE: 612/597-3153
(30574)
FAX: 952/938-5401
MS. MICHELLE NASH
Minnesota Department of Health
Division of Compliance Monitoring
Page 245
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
MINNESOTA EYE LASER & SURGERY
Certification
HENNEPIN
Registration
(Cont.)* --------------------------
Outpt Surg
Amb Surg
10709 WAYZATA BLVD SUITE 100
(29777)
MINNETONKA, MN 553051530
PHONE: 763/553-1142
FAX: 952/567-6188
MS. CANDACE SIMERSON
HWSAL
Lim-Liab
MINNETONKA ASSISTED LIVING AND
14667 LAKE STREET EXTENSION
(30700)
MINNETONKA, MN 55345
PHONE: 952/405-6960
FAX: 952/456-6466
Lim-Liab
MINNETONKA ASSISTED LIVING AND
MR. ABRAHAM SCHWAGER
COMP
14667 LAKE STREET EXTENSION
(26276)
MINNETONKA, MN 55345
PHONE: 952/405-6960
FAX: 952/456-6466
Corp
MINNETONKA ASSISTED LIVING COM
MR. ABRAHAM SCHWAGER
COMP
14505 MINNETONKA DRIVE
(23866)
MINNETONKA, MN 55345
PHONE: 952/988-0011
MR. GREGG FOX
FAX: 952/988-0051
HWSAL
Corp
MINNETONKA ASSISTED LIVING COM
14505 MINNETONKA DRIVE
(20107)
MINNETONKA, MN 55345
PHONE: 952/988-0011
MS. RENAE WITSCHEN
FAX: 952/988-0151
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
MORNING GLORY HOMES INC
FAX: /
MS. BARBARA LAWRENZ
Corp
COMP
18626 CLEARVIEW DRIVE
MINNETONKA, MN 55345
PHONE: 952/607-0725
MORNING GLORY HOMES INC
(29503)
FAX: 952/294-8121
MR. KENNETH KOHN
HWSAL
Corp
18626 CLEARVIEW DRIVE
MINNETONKA, MN 55345
PHONE: 952/846-8606
MY RETIREMENT HOUSE INC
(29504)
FAX: 952/294-8121
Corp
MRS. LUCIA KOHN
HCP-A
11705 LIVE OAK DRIVE
MINNETONKA, MN 55305
PHONE: 952/546-0100
(27494)
FAX: 952/591-7663
MR. JAY SHAHIDI
Minnesota Department of Health
Division of Compliance Monitoring
Page 246
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
MY RETIREMENT HOUSE INC
Certification
HENNEPIN
Registration
(Cont.)* -------------------------
HWSAL
Corp
2304 RIVENDELL LANE
MINNETONKA, MN 55305
PHONE: 952/546-0100
MY RETIREMENT HOUSE INC
(29816)
FAX: 952/591-7663
Corp
MR. MEHR "JAY" SHAHIDI
COMP
11705 LIVE OAK DRIVE
MINNETONKA, MN 55305
PHONE: 952/546-0100
MY RETIREMENT HOUSE INC
(26828)
FAX: 952/591-7663
MR. MEHR SHAHIDI
HWSAL
Corp
11705 LIVE OAK DRIVE
MINNETONKA, MN 55305
PHONE: 952/546-0100
NIGHTINGALE HOME HEALTH CARE
(27858)
MR. MEHR "JAY" SHAHIDI
FAX: 952/591-7663
Corp
HCP/COMP
HHA
10550 WAYZATA BLVD STE 1
MINNETONKA, MN 55305
PHONE: 763/545-3131
NURTURING CARE
(23521)
MS. GERI WAGNER
FAX: 866/878-0094
HWSAL
Corp
4441 HUNTER RIDGE
MINNETONKA, MN 55345
PHONE: 952/688-1106
PAMELA J COLEMAN
(24965)
MS. TINA HAUGSTAD
FAX: 763/201-7821
Home Mgmt
Ind
10501 CEDAR LAKE ROAD #319
MINNETONKA, MN 55305
PHONE: 612/816-8818
PEDIATECH NURSING
(29471)
MS. PAMELA COLEMAN
FAX: 763/541-1774
Lim-Liab
COMP
15612 HIGHWAY 7 SUITE 160
MINNETONKA, MN 55345
PHONE: 952/500-8050
PHS/BEACON HILL INC
(27859)
MS. MARIA DEWEY
FAX: 952/500-8693
HWSAL
NProf
5300 BEACON HILL ROAD
MINNETONKA, MN 55345
PHONE: 952/988-8800
RAKHMA GRACE HOME
(20025)
MS. KAREN CASPER-ROBESON
FAX: 952/988-8815
HWSAL
NProf
5126 MAYVIEW ROAD
MINNETONKA, MN 55345
PHONE: 612/824-2345
RECOVER HEALTH
(20102)
MS. SUSAN ECKSTROM
FAX: 612/824-3165
Corp
HCP/COMP
HHA
5900 GREEN OAK DR STE 200
MINNETONKA, MN 55343
PHONE: 952/926-9808
(02478)
FAX: 952/926-4002
MS. REGINA LANE (YAGER)
Minnesota Department of Health
Division of Compliance Monitoring
Page 247
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
REM HENNEPIN MINNETONKA
Certification
HENNEPIN
Registration
(Cont.)* -------------------------
SLFA-15
ICFIID-15
21 WESTWOOD ROAD
(01403)
MINNETONKA, MN 55305
PHONE: 763/852-5325
FAX: 763/852-5350
MS. CONNIE MENNE
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
FAX: /
MS. BEA BROGAARD
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
COMP
1502 ARCHWOOD ROAD
MINNETONKA, MN 55305
PHONE: 612/245-3474
ST JOHN HOME CARE LLC
(27697)
MS. MOPELOLA AKINLOYE
FAX: 952/545-6411
HWS
Lim-Liab
1502 ARCHWOOD ROAD
MINNETONKA, MN 55305
PHONE: 952/300-1067
STEVENS RESIDENCE
(30756)
MS. MOPELOLA AKINLOYE
FAX: 952/545-6411
HWSAL
Lim-Liab
3704 CARDINAL ROAD
MINNETONKA, MN 55345
PHONE: 952/930-9144
SUNRISE OF MINNETONKA
(20517)
MS. KRISTINE CARR
FAX: 952/930-9184
Corp
COMP
18605 OLD EXCELSIOR BLVD
MINNETONKA, MN 55345
PHONE: 952/474-9155
SUNRISE OF MINNETONKA
(24011)
MR. VINCE FOLEY
FAX: 952/474-9171
HWSAL
Part
18605 OLD EXCELSIOR BLVD
MINNETONKA, MN 55345
PHONE: 952/474-9155
THE GLENN BY ST THERESE SOUTHW
(24010)
MS. YOUNG BEBUS
FAX: 952/474-9171
HWSAL
Lim-Liab
5300 WOODHILL ROAD
MINNETONKA, MN 55345
PHONE: 952/345-4404
THE WATERS SENIOR LIVING LLC
(28261)
MR. GREG ANDERSON
FAX: 952/345-4402
Lim-Liab
TCOMP
1600 HOPKINS CROSSROAD
MINNETONKA, MN 55305
PHONE: 952/358-5137
(31244)
FAX: 952/358-5028
KYLE DIDIER
Minnesota Department of Health
Division of Compliance Monitoring
Page 248
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------
Home Mgmt
Lim-Liab
TOUCHING HEARTS AT HOME
Registration
13911 RIDGEDALE DRIVE #406E
(30504)
MINNETONKA, MN 55305
PHONE: 612/888-2378
UNICARE HEALTH SERVICES LLC
MS. DIANTHA CAVIN
FAX: /
Lim-Liab
HCP-A
6142 CREEKVIEW TRL
MINNETONKA, MN 55345
PHONE: 763/438-6593
VOA HOME HEALTH AT ELDER HOMES
(29160)
MR. OSMAN DIRIE
FAX: 404/254-1831
NProf
HCP-A
11400 4TH STREET NORTH
MINNETONKA, MN 55343
PHONE: 952/933-1752
VOA HOME HEALTH AT ELDER HOMES
(23745)
MS. TARYN BARTZ
FAX: 952/933-0730
NProf
COMP
11400 4TH STREET NORTH
MINNETONKA, MN 55343
PHONE: 952/283-2600
WOODLAND HILLS RESIDENTIAL CAR
(23500)
MS. TARYN BARTZ
FAX: 952/283-2606
HWS
Corp
5215 ROGERS DRIVE
MINNETONKA, MN 55343
PHONE: 952/933-9749
LOVING CARE BY MARTHA
(24824)
MRS. TRACY HUSON
FAX: 952/933-3754
Ind
COMP
6251 WESTEDGE BOULEVARD
MOUND, MN 55364
PHONE: 952/472-1756
SOJOURN SUITES LLC
(25311)
MS. MARTHA ASHBAUGH
FAX: 952/472-1756
HWSAL
Lim-Liab
2895 WESTEDGE BLVD
MOUND, MN 55364
PHONE: 952/472-6642
SOJOURN SUITES LYNWOOD
(24342)
MR. THOMAS PENN
FAX: 952/400-3542
HWSAL
Lim-Liab
5724 LYNWOOD BOULEVARD
MOUND, MN 55364
PHONE: 952/473-1810
TRANQUIL LIVING
(27232)
MR. THOMAS PENN
FAX: 952/400-3542
Corp
COMP
4784 NORTHERN ROAD
MOUND, MN 55364
PHONE: 952/361-0080
3K'S HOMECARE LLC
(21554)
MR. BRYANT SLOSS
FAX: 952/314-9613
Lim-Liab
HCP-A
7600 BASS LAKE ROAD STE 101
NEW HOPE, MN 55428
PHONE: 763/544-3148
(24828)
FAX: 763/544-3149
MS. NORLANE SLOAN
Minnesota Department of Health
Division of Compliance Monitoring
Page 249
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------
HWSAL
Lim-Liab
ASSISTED LIVING AT NORTH RIDGE
Registration
5500 BOONE AVENUE NORTH
(20257)
NEW HOPE, MN 55428
PHONE: 763/592-4000
FAX: 763/592-4099
MS. PAULA ASCHMANN
HWS-O
NProf
BASS LAKE APARTMENTS
7610 BASS LAKE ROAD
(29294)
NEW HOPE, MN 55428
PHONE: 612/455-5100
FAX: 612/455-5101
MS. LESLIE ANGEL
HWS-O
NProf
BASS LAKE COURT TOWNHOMES
7378 BASS LAKE ROAD
(26524)
NEW HOPE, MN 55428
PHONE: 612/455-5131
MS. LESLIE ANGEL
FAX: 612/455-5101
HWS-O
NProf
BASS LAKE COURT TOWNHOMES
7360 BASS LAKE ROAD
(24492)
NEW HOPE, MN 55428
PHONE: 612/455-5131
MS. LESLIE ANGEL
FAX: 612/455-5101
HWS-O
NProf
BASS LAKE TOWNHOMES
7302 BASS LAKE ROAD
(23642)
NEW HOPE, MN 55428
PHONE: 612/455-5131
MS. LESLIE ANGEL
FAX: 612/455-5101
HWS
NProf
BRIDGE INVESTMENTS
7335 62ND AVENUE NORTH
(27265)
NEW HOPE, MN 55428
PHONE: 952/890-7727
MS. MOLLY HAGEN
FAX: 952/897-8097
Out Pt Out St Out Ot
Corp
CAPERNAUM PEDIATRIC THERAPY
9220 BASS LAKE ROAD SUITE 260
(03719)
NEW HOPE, MN 55428
PHONE: 763/533-0363
MS. BONNA OLSON
FAX: 763/533-0842
EMPOWERMENT HEALTHCARE BEN'S H
HWSAL
Corp
5337 OREGON AVENUE NORTH
(28278)
NEW HOPE, MN 55428
PHONE: 763/205-2691
MR. ROGER BONNY
FAX: /
Lim-Liab
GOLDEN TOUCH HOME HEALTH LLC
TCOMP
2738 WINNETKA AVE N STE 200F
(31251)
NEW HOPE, MN 55427
PHONE: 763/688-0809
GOOD SAM SOCIETY AMBASSADOR
MR. JAMES FOSTER
FAX: /-
NProf
SNF-NF-85
NH-85
8100 MEDICINE LAKE ROAD
NEW HOPE, MN 55427
PHONE: 763/544-4171
(00898)
FAX: 763/591-7191
MS. MARIE BARTA
Minnesota Department of Health
Division of Compliance Monitoring
Page 250
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
HOME HEALTH AT NORTH RIDGE
Certification
HENNEPIN
Registration
(Cont.)* -------------------------
COMP
5500 BOONE AVENUE NORTH
(02852)
NEW HOPE, MN 55428
PHONE: 763/592-3000
FAX: 763/592-4099
MS. PAULA ASCHMANN
HWS
Lim-Liab
IN MOTION PROPERTY MANAGEMENT
7200 43RD AVENUE NORTH
(31522)
NEW HOPE, MN 55428
PHONE: 612/306-1021
FAX: /-
MS. JENNIFER WEISSMAN
Lim-Liab
JUANITA'S HOME HEALTH LLC
TCOMP
2738 WINNETKA AVE N STE 150M1
(31259)
NEW HOPE, MN 55427
PHONE: 763/486-3131
FAX: /-
MR. JOSE PEREZ
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
Lim-Liab
KING DAVID RESIDENCES
HCP-A
7601 36TH AVENUE NORTH STE 210
(29823)
NEW HOPE, MN 55427
PHONE: 763/710-9793
MS. JOYCE SMITH
FAX: 763/951-3812
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
Corp
LIFE HEALTH CARE INC
MS. AYESHA BOBRAY
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
MTAI MINNEHAHA CREEK
FAX: /
MR. WILLIAM DAVIS
Corp
SLFA-5
ICFIID-5
8949 48TH AVENUE NORTH
NEW HOPE, MN 55428
PHONE: 763/537-9220
N & V HELPFUL HEART CARE INC
(01563)
FAX: 763/537-6416
MS. MARY TJOSVOLD
HWSAL
Corp
6024 WINNETKA AVENUE NORTH
NEW HOPE, MN 55428
PHONE: 763/442-0460
(29410)
FAX: 206/666-2482
MS. VERA DIXON
Minnesota Department of Health
Division of Compliance Monitoring
Page 251
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------
ESRD
Corp
NEW HOPE DIALYSIS CENTER
Registration
5640 INTERNATIONAL PKWY
(24101)
NEW HOPE, MN 55428
PHONE: 763/537-0300
FAX: 763/537-0340
MS. FRAN SOCASH
HWSAL
NProf
NORTH PARK PLAZA APARTMENTS
8201 45TH AVENUE NORTH
(21616)
NEW HOPE, MN 55428
PHONE: 651/699-6050
FAX: 763/535-3286
Lim-Liab
NORTH RIDGE HEALTH AND REHAB
MS. ANNA PETERSMEYER
NH-351
SNF-NF-351
5430 BOONE AVENUE NORTH
(00238)
NEW HOPE, MN 55428
PHONE: 763/592-3000
FAX: 763/592-2999
MS. KRISTINA GUINDON
HWS
NProf
NORTHUMBERLAND
4220 WINNETKA AVENUE NORTH
(28530)
NEW HOPE, MN 55428
PHONE: 763/535-0324
MS. STACEY RAY
FAX: /-
HWS
NProf
NORTHUMBERLAND APARTMENTS
4224 WINNETKA AVENUE NORTH
(28477)
NEW HOPE, MN 55428
PHONE: 763/535-0324
MS. STACEY RAY
FAX: /
Corp
NURTURING CARE
HCP-F
7760 48 AVENUE NORTH
(24964)
NEW HOPE, MN 55428
PHONE: 952/688-1106
MS. TINA HAUGSTAD
FAX: 763/201-7821
Lim-Liab
RELIABLE HOMECARE
HCP-A
4113 JORDAN AVENUE NORTH
(29414)
NEW HOPE, MN 55427
PHONE: 763/218-4147
MR. MICHAEL PADMORE
FAX: 888/411-6807
Lim-Liab
RJ'S HOME HEALTH CARE LLC
TCOMP
2738 WINNETKA AVE N STE 150P
(31264)
NEW HOPE, MN 55427
PHONE: 731/442-9862
MR. RONNIE GLYNN
FAX: /
Lim-Liab
SHERON HOME HEALTH CARE LLC
TCOMP
2738 WINNETKA AVE N STE 150M2
(31263)
NEW HOPE, MN 55427
PHONE: 731/413-1235
ST THERESE AT HOME SOLUTIONS
MS. SHERRY GLYNN
FAX: /
Home Mgmt
Lim-Liab
8000 BASS LAKE ROAD
NEW HOPE, MN 55428
PHONE: 952/283-2220
(24373)
FAX: 952/224-0991
MS. AMY TAYLOR
Minnesota Department of Health
Division of Compliance Monitoring
Page 252
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
ST THERESE HOME
Certification
HENNEPIN
Registration
(Cont.)* -------------------------
NH-258
SNF-NF-258
8000 BASS LAKE ROAD
(00261)
NEW HOPE, MN 55428
PHONE: 763/531-5000
FAX: 763/531-5475
MS. DINAH MARTIN KMETZ
HWSAL
NProf
ST THERESE RESIDENCE
8008 BASS LAKE ROAD
(20141)
NEW HOPE, MN 55428
PHONE: 763/531-5400
FAX: 763/531-5468
NProf
ST THERESE RESIDENCE NURSING
MS. SUSAN BRENDEFUR
COMP
8008 BASS LAKE ROAD
(03020)
NEW HOPE, MN 55428
PHONE: 763/531-5400
MS. SUSAN BRENDEFUR
FAX: 763/531-5468
Lim-Liab
STATE WIDE HEALTH CARE LLC
TCOMP
2738 WINNETKA AVE N STE 200G
(31255)
NEW HOPE, MN 55427
PHONE: 763/331-2086
MS. MICHELL FOSTER
FAX: /
HWS
Corp
THE CARING SISTERS HOME CARE S
2916 WINNETKA AVENUE NORTH
(29359)
NEW HOPE, MN 55427
PHONE: 763/533-6822
MS. EDITH NGANG
FAX: 952/426-4691
Part
TJ HEALTH SERVICES LLP
HCP-A
8015 36TH AVE N #319
(29150)
NEW HOPE, MN 55427
PHONE: 612/644-5769
MR. JAMES FLAH
FAX: 763/546-1828
Lim-Liab
TOP NOTCH NURSING LLC
TCOMP
2738 WINNETKA AVE N STE 200D
(31261)
NEW HOPE, MN 55427
PHONE: 763/957-0099
TOTALCARE ASSISTED LIVING SERV
MR. WILLIAM DAVIS
FAX: /
Lim-Liab
COMP
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
(23487)
FAX: 763/536-8893
MS. MARTHA LANTZ
Minnesota Department of Health
Division of Compliance Monitoring
Page
253
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 SENIOR LIVING AT S
(28637)
FAX: 952/473-6677
MS. CHERYL KLINKHAMMER
HWSAL
NProf
625 CENTRAL AVENUE
OSSEO, MN 55369
PHONE: 763/391-0749
BENEDICTINE SENIOR LIVING AT S
(30687)
FAX: 763/391-0747
NProf
MS. JACKIE JOHNSON
COMP
625 CENTRAL AVENUE
OSSEO, MN 55369
PHONE: 763/425-4440
COMFORT KEEPERS
(20531)
MS. JACKIE JOHNSON
FAX: 763/391-0747
Lim-Liab
COMP
535 CENTRAL AVENUE
OSSEO, MN 55369
PHONE: 763/273-4207
OSSEO GARDENS ASSISTED LIVING
(23394)
MS. KELLY LINDELL
FAX: 763/273-4934
HWSAL
Lim-Liab
525 SECOND STREET SOUTHEAST
OSSEO, MN 55369
PHONE: 763/315-4869
THE VILLA OF OSSEO
(21206)
FAX: 763/315-0050
Lim-Liab
MR. CHARLES PETRICH
BCH-115
NF2-115
501 SECOND STREET SOUTHEAST
OSSEO, MN 55369
PHONE: 763/255-3650
ABUNDANCE HOMECARE
(00733)
FAX: 763/424-2777
Corp
MR. MICHAEL MARCHANT
COMP
3030 HARBOR LANE #124
PLYMOUTH, MN 55447
PHONE: 763/315-1050
CLARE BRIDGE OF PLYMOUTH
(29273)
FAX: 763/315-1090
Corp
MR. WILLIAM WALTERS
COMP
15855 22ND AVENUE NORTH
PLYMOUTH, MN 55447
PHONE: 763/476-8200
CLARE BRIDGE OF PLYMOUTH
(20537)
FAX: 763/476-5900
MS. KRISTI KELLER-SMITH
HWSAL
Corp
15855 22ND AVENUE NORTH
PLYMOUTH, MN 55447
PHONE: 763/476-8200
(30690)
FAX: 763/476-5900
MS. KRISTI KELLER-SMITH
Minnesota Department of Health
Division of Compliance Monitoring
Page
254
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
CORNERSTONE ASSISTED LIVING
Certification
HENNEPIN
Registration
(Cont.)* -------------------------
HWSAL
NProf
3750 LAWNDALE LANE NORTH
PLYMOUTH, MN 55446
PHONE: 763/550-0333
CORNERSTONE ASSISTED LIVING
(30301)
FAX: 763/390-1888
NProf
MS. DIANE LYNCH
HCP-F
3750 LAWNDALE LANE NORTH
PLYMOUTH, MN 55446
PHONE: 763/550-0333
DUNGARVIN CHAI
(23083)
FAX: 763/390-1888
Lim-Liab
MS. DIANE LYNCH
SLFA-6
1210 OAKVIEW LANE NORTH
PLYMOUTH, MN 55441
PHONE: 651/699-6050
GIANNA HOMES - GLADYS' PLACE L
(01211)
FAX: 651/699-7265
Lim-Liab
MS. NATALIE GRAF
COMP
10210 28TH AVENUE NORTH
PLYMOUTH, MN 55441
PHONE: 952/988-0953
GIANNA HOMES - GLADYS' PLACE L
(30017)
MS. ANNE MARIE HANSEN
FAX: 952/988-6935
HWSAL
Lim-Liab
10210 28TH AVENUE NORTH
PLYMOUTH, MN 55441
PHONE: 952/988-0953
HAMMER KENTUCKY
(30018)
MS. ANNE MARIE HANSEN
FAX: 952/988-6935
NProf
SLFB-6
ICFIID-6
18115 30TH AVE N
PLYMOUTH, MN 55447
PHONE: 952/473-1261
HAMMER MCGLINCH
(01581)
FAX: 952/473-8629
NProf
MR. JOHN ESTREM
SLFB-6
ICFIID-6
18300 26TH AVE N
PLYMOUTH, MN 55447
PHONE: 952/473-1261
HAZELDEN CTR FOR YOUTH & FAMIL
(01669)
FAX: 952/473-8629
NProf
MR. JOHN ESTREM
SLFB-6
11505 36TH AVENUE NORTH
PLYMOUTH, MN 55441
PHONE: 651/213-4217
HOME CARE SOLUTIONS
(01367)
FAX: 651/213-4738
Corp
MR. MARK SHEETS
COMP
3390 ANNAPOLIS LANE SUITE A
PLYMOUTH, MN 55447
PHONE: 763/231-9000
HOMEWARD BOUND PLYMOUTH
(03628)
FAX: 763/231-9004
NProf
MS. TAMARA SULLIVAN
SLFB-6
ICFIID-6
13522 SUNSET TRAIL
PLYMOUTH, MN 55441
PHONE: 763/746-4850
(01583)
FAX: 763/528-8048
MR. DONALD PRIEBE
Minnesota Department of Health
Division of Compliance Monitoring
Page 255
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
ILBNC SPECIAL PROCEDURES
Certification
HENNEPIN
Registration
(Cont.)* --------------------------
Outpt Surg
Amb Surg
15700 37TH AVE NO SUITE 210
(23976)
PLYMOUTH, MN 55446
PHONE: 952/814-6644
FAX: 952/814-6744
NProf
INTERLUDE
MR. PATRICK JUSTIN
NH-50
SNF-NF-50
2775 CAMPUS DRIVE NORTH
(29763)
PLYMOUTH, MN 55441
PHONE: 651/631-6156
FAX: 651/631-6108
MR. GREG BAUMBERGER
Home Mgmt
Corp
JOYFUL COMPANIONS HOME CARE
10700 OLD CTY ROAD 15 STE 290
(25429)
PLYMOUTH, MN 55441
PHONE: 763/544-0401
FAX: 763/746-8156
MS. JERI GORT
HWS
Lim-Liab
MEDICINE LAKE MANOR LLC
10230 28TH AVENUE NORTH
(31315)
PLYMOUTH, MN 55441
PHONE: 763/546-4017
MR. ALLA VAYNBERG
FAX: /
Lim-Liab
MEDICINE LAKE MANOR LLC
TCOMP
10230 28TH AVENUE NORTH
(31218)
PLYMOUTH, MN 55441
PHONE: 763/548-4017
MS. ALLA VAYNBERG
FAX: /-
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
MS. SUSAN SLOAN
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
ON BELAY HOUSE
FAX: /
DR. SCOTT KETOVER
Corp
SLFA-20
115 FORESTVIEW LANE NORTH
PLYMOUTH, MN 55441
PHONE: 763/546-8008
OUTREACH PLYMOUTH HOME EAST
(01293)
FAX: 763/546-7674
NProf
MS. MELISSA BROGGER
SLFB-6
ICFIID-6
11550 52ND AVENUE NORTH
PLYMOUTH, MN 55442
PHONE: 763/208-4889
(01471)
FAX: 763/208-4890
MS. MARY TJOSVOLD
Minnesota Department of Health
Division of Compliance Monitoring
Page
256
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
OUTREACH PLYMOUTH HOME WEST
NProf
Certification
HENNEPIN
Registration
(Cont.)* -------------------------
SLFA-6
ICFIID-6
2735 OLIVE LANE NORTH
PLYMOUTH, MN 55447
PHONE: 763/473-7182
PRESBYTERIAN HOMES
(01301)
FAX: 763/473-0072
MS. MARY TJOSVOLD
HWSAL
NProf
16205 36TH AVENUE NORTH
PLYMOUTH, MN 55446
PHONE: 763/383-8888
PRO MEDICAL SERVICES INC
(30236)
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
QUALICARE TWIN CITIES WEST
(29653)
MS. NOELA SUHFOR
FAX: 763/494-6664
Corp
TCOMP
2415 ANNAPOLIS LANE N STE 110
PLYMOUTH, MN 55441
PHONE: 763/567-2020
RIGHT AT HOME
(31254)
MS. SHARI BAXTER
FAX: 763/567-5445
Lim-Liab
BASIC
3140 HARBOR LANE #220
PLYMOUTH, MN 55447
PHONE: 763/559-9733
SENIORS CHOICE AT HOME
(25545)
FAX: 888/896-9894
MS. KIM STENDER
Home Mgmt
Corp
9900 13TH AVE N #1000
PLYMOUTH, MN 55441
PHONE: 763/546-1599
SENIORS HELPING SENIORS
(03542)
FAX: 763/546-2271
MR. JAMES AGRIMSON
Home Mgmt
Lim-Liab
14565 41ST AVENUE NORTH
PLYMOUTH, MN 55446
PHONE: 763/694-0165
SUMMERWOOD OF PLYMOUTH
(28740)
FAX: 763/694-0165
Lim-Liab
MS. CHERI NISPEL
HCP-F
16205 36TH AVENUE NORTH
PLYMOUTH, MN 55446
PHONE: 763/383-8888
TFF CARE LLC
(27963)
FAX: 763/383-0032
Lim-Liab
MS. NATALIE MORLAND
COMP
3675 PLYMOUTH BLVD #100
PLYMOUTH, MN 55446
PHONE: 763/231-3500
(20297)
FAX: 763/231-3519
MS. LUCINDA GARDNER
Minnesota Department of Health
Division of Compliance Monitoring
Page 257
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------
HWSAL
Lim-Liab
THE WATERS OF PLYMOUTH
Registration
11305 HIGHWAY 55
(29556)
PLYMOUTH, MN 55441
PHONE: 763/270-5221
FAX: 763/546-8289
Lim-Liab
THE WATERS SR LVG MGMT LLC
MS. MICHELLE LAND
COMP
11305 HIGHWAY 55
(29555)
PLYMOUTH, MN 55441
PHONE: 952/358-5137
FAX: 952/358-5028
NProf
WESTHEALTH SURGERY CENTER
MS. LYNN SCHELL
Outpt Surg
Amb Surg
2855 CAMPUS DRIVE STE 465
(00417)
PLYMOUTH, MN 55441
PHONE: 763/577-7125
FAX: 763/577-7130
MR. ROB SIMMONS
HWS
NProf
30 78TH STREET WEST
30 78TH STREET WEST
(31190)
RICHFIELD, MN 55423
PHONE: 612/866-0391
MR. CHRIS TRAILER
FAX: /-
HWS
NProf
40 78TH STREET WEST
40 78TH STREET WEST
(31189)
RICHFIELD, MN 55423
PHONE: 612/866-0391
MR. CHRIS TRAILER
FAX: /-
HWS
NProf
420 73RD STREET EAST
420 73RD STREET EAST
(29199)
RICHFIELD, MN 55423
PHONE: 612/799-7885
MR. CHRIS TRAILER
FAX: /-
HWS
NProf
6421 E PLEASANT AVENUE SOUTH
6421 E PLEASANT AVENUE SOUTH
(25667)
RICHFIELD, MN 55423
PHONE: 612/204-8319
MS. STACEY RAY
FAX: /-
HWS
NProf
6429 PLEASANT AVENUE SOUTH
6429 PLEASANT AVENUE SOUTH
(27591)
RICHFIELD, MN 55423
PHONE: 612/722-7714
MR. CHRIS TRAILER
FAX: /-
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
Minnesota Department of Health
Division of Compliance Monitoring
Page 258
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------
HWS
NProf
6730 CEDAR AVE S
Registration
6730 CEDAR AVE S
(29868)
RICHFIELD, MN 55423
PHONE: 612/866-7560
FAX: /
MR. CHRIS TRAILER
HWS
Corp
7108 CEDAR AVE S
7108 CEDAR AVE S
(30250)
RICHFIELD, MN 55423
PHONE: 612/232-5440
FAX: /-
MS. LYNDA MERKENS
HWS
NProf
7145 CHICAGO AVENUE SOUTH
7145 CHICAGO AVENUE SOUTH
(28860)
RICHFIELD, MN 55423
PHONE: 752/297-6626
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
7600 CEDAR AVENUE SOUTH
7600 CEDAR AVENUE SOUTH
(25597)
RICHFIELD, MN 55423
PHONE: 612/834-0027
MR. CHRIS TRAILER
FAX: /-
HWS
NProf
7601 18TH AVENUE SOUTH
7601 18TH AVENUE SOUTH
(25625)
RICHFIELD, MN 55423
PHONE: 612/834-0027
MR. CHRIS TRAILER
FAX: 952/897-1153
HWS
NProf
7625 18TH AVENUE SOUTH
7625 18TH AVENUE SOUTH
(27025)
RICHFIELD, MN 55423
PHONE: 612/204-8319
MS. STACEY RAY
FAX: /-
NProf
AVINITY HOME CARE
HCP-F
7645 LYNDALE AVENUE SOUTH #110
(20226)
RICHFIELD, MN 55423
PHONE: 612/243-4583
MS. BARBARA KUHLMAN
FAX: 612/861-2149
Ind
BRENDA'S HEALTHCARE INC
BASIC
7145 OAKLAND AVENUE SOUTH
(03303)
RICHFIELD, MN 55423
PHONE: 612/861-3398
MS. BRENDA JOHNSON
FAX: /
HWS
Corp
BUENA VISTA APARTMENTS
1000 78TH ST E
(30781)
RICHFIELD, MN 55423
PHONE: 612/869-8766
MS. LYNDA MERKENS
FAX: /
HWS
Corp
BUENA VISTA APARTMENTS
638 78TH ST E
(30918)
RICHFIELD, MN 55423
PHONE: 612/869-8766
FAX: /
MS. LYNDA MERKENS
Minnesota Department of Health
Division of Compliance Monitoring
Page 259
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------
HWS
Corp
BUENA VISTA APARTMENTS
Registration
901 77TH ST E
(30251)
RICHFIELD, MN 55423
PHONE: 612/869-8766
FAX: /
MS. LYNDA MERKENS
HWSAL
Lim-Liab
CHEZ VOUS HOME CARE LLC
7620 NICOLLET AVE S
(26655)
RICHFIELD, MN 55423
PHONE: 612/220-8052
FAX: 612/259-7440
MS. SEETA ARRELL
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
7710 SOUTH PENN AVENUE
(28188)
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
7610 PENN AVENUE SOUTH
(27019)
RICHFIELD, MN 55423
PHONE: 612/204-8319
MS. STACEY RAY
FAX: /-
Out Pt Out St Out Ot
NProf
FRASER COMMUNITY SERVICES
2400 WEST 64TH STREET
(02508)
RICHFIELD, MN 55423
PHONE: 612/861-1688
MS. DIANE CROSS
FAX: /
HWSAL
Lim-Liab
GOLDEN NEST LLC
6733 EMERSON AVENUE SOUTH
(23666)
RICHFIELD, MN 55423
PHONE: 612/861-7509
MS. HONGJOO LEE
FAX: 612/861-7509
Lim-Liab
GRACE HOME HEALTH CARE LLC
TCOMP
1520 E 66TH ST SUITE #3
(30161)
RICHFIELD, MN 55423
PHONE: 612/298-0609
FAX: /
MS. HAMDI AFYARE
Minnesota Department of Health
Division of Compliance Monitoring
Page 260
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
HELPING HANDS GROUP HOME
Certification
HENNEPIN
Registration
(Cont.)* -------------------------
HCP-A
6711 14TH AVENUE SOUTH
(29152)
RICHFIELD, MN 55423
PHONE: 952/688-2345
FAX: /
MS. TINA BONKAT
Ind
JUDITH A BEYER
HCP-C
7221 HARRIET AVENUE SOUTH
(02944)
RICHFIELD, MN 55423
PHONE: 612/866-0805
FAX: /
MS. JUDITH BEYER
Home Mgmt
Lim-Liab
KANG LE HOME HEALTH CARE
6632 PENN AVE S STE 201
(30169)
RICHFIELD, MN 55423
PHONE: 612/207-6825
FAX: /-
MR. HUAN GAO
HWS
NProf
LYNDALE GARDEN
6301 LYNDALE AVENUE SOUTH
(25596)
RICHFIELD, MN 55423
PHONE: 612/866-8652
FAX: 612/869-8093
MR. CHRIS TRAILER
HWS
NProf
LYNWOOD COMMONS
7435 LYNDALE AVENUE SOUTH
(26282)
RICHFIELD, MN 55423
PHONE: 612/866-2527
FAX: 612/866-2529
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
7445 LYNDALE AVE SOUTH
(27865)
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
FAX: /-
MR. CHRIS TRAILER
HWS
NProf
LYNWOOD COMMONS
7515 LYNDALE AVENUE SOUTH
(27271)
RICHFIELD, MN 55423
PHONE: 612/866-2527
MAINSTREET VILLAGE
FAX: /-
MR. CHRIS TRAILER
HWSAL
NProf
7601 LYNDALE AVENUE SOUTH
RICHFIELD, MN 55423
PHONE: 612/875-4263
(21184)
FAX: 612/869-6843
MS. KIM TYSON
Minnesota Department of Health
Division of Compliance Monitoring
Page 261
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------
HWSAL
Part
MARKET PLAZA HOUSING LTD PARTN
Registration
6501 WOODLAKE DRIVE
(20869)
RICHFIELD, MN 55423
PHONE: 612/861-1186
FAX: 612/861-1779
MS. AMY HESSELGRAVE
HWS
NProf
PENN AVENUE APARTMENTS
7420 PENN AVENUE SOUTH
(27126)
RICHFIELD, MN 55423
PHONE: 952/473-5750
FAX: 612/869-8093
NProf
PROGRESS VALLEY II
MR. CHRIS TRAILER
SLFA-24
308 EAST 78TH STREET
(01237)
RICHFIELD, MN 55423
PHONE: 952/374-5540
MS. SUSANNE LAMBERT
FAX: 952/374-5543
Corp
REM HENNEPIN INC MINNEHAHA
SLFA-6
ICFIID-6
7101 12TH AVENUE SOUTH
(01132)
RICHFIELD, MN 55423
PHONE: 763/852-5325
MS. CONNIE MENNE
FAX: 763/852-5350
ESRD
Corp
RICHFIELD DIALYSIS
6601 LYNDALE AVE S STE 150
(24100)
RICHFIELD, MN 55423
PHONE: 612/869-2118
MS. VAL RILEY
FAX: 612/869-2219
Corp
RICHFIELD HEALTH CENTER
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. JOANN BUYTENDORP
COMP
6808 THIRD AVENUE SOUTH
(20052)
RICHFIELD, MN 55423
PHONE: 612/866-3961
FAX: 612/866-9303
MS. LAVONNE SEEMANN
HWSAL
Lim-Liab
RICHFIELD SENIOR SUITES LLC
6808 THIRD AVENUE SOUTH
(30323)
RICHFIELD, MN 55423
PHONE: 612/866-3961
FAX: 612/866-9303
MS. MERRILEA KYLLO
HWS
Corp
RICHFIELD SQUARE APTS
6237 PLEASANT AVENUE SOUTH
(31171)
RICHFIELD, MN 55423
PHONE: 612/861-7255
FAX: /
MS. LYNDA MERKENS
Ind
SHARON OJILE HOMECARE
HCP-C
7233 HARRIET AVENUE
(03070)
RICHFIELD, MN 55423
PHONE: 612/869-1180
FAX: /
MS. SHARON OJILE
Minnesota Department of Health
Division of Compliance Monitoring
Page 262
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------
HWSAL
Lim-Liab
THE PINES
Registration
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
MS. STACEY RAY
FAX: /-
HWS
NProf
3725 WEST BROADWAY AVENUE NORT
3725 WEST BROADWAY AVENUE NORT
(29025)
ROBBINSDALE, MN 55426
PHONE: 763/521-4457
MR. CHRIS TRAILER
FAX: /-
HWS
NProf
3731 WEST BROADWAY
3731 WEST BROADWAY
(28471)
ROBBINSDALE, MN 55426
PHONE: 612/860-2550
MS. STACEY RAY
FAX: /-
HWS-O
NProf
3737 WEST BROADWAY
3737 WEST BROADWAY
(28526)
ROBBINSDALE, MN 55422
PHONE: 612/860-2550
MS. STACEY RAY
FAX: /-
HWS
NProf
3759 WEST BROADWAY AVENUE NORT
3759 WEST BROADWAY AVENUE NORT
(27957)
ROBBINSDALE, MN 55422
PHONE: 763/521-4457
MR. CHRIS TRAILER
FAX: 815/846-1827
HWS
NProf
3848 WEST BROADWAY AVENUE NORT
3848 WEST BROADWAY AVENUE NORT
(27016)
ROBBINSDALE, MN 55422
PHONE: 612/290-6680
ACR HOME ON ROBIN
MR. CHRIS TRAILER
FAX: /
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: 763/277-1001
(29966)
FAX: 763/277-1015
MS. LUCINDA GARDNER
Minnesota Department of Health
Division of Compliance Monitoring
Page 263
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------
HWSAL
Part
COPPERFIELD HILL THE MANOR
Registration
4200 40TH AVE N
(21574)
ROBBINSDALE, MN 55422
PHONE: 763/277-1001
MS. LUCINDA GARDNER
FAX: 763/277-1015
HWS
Lim-Liab
ERIC GONG
3761 WEST BROADWAY
(31520)
ROBBINSDALE, MN 55422
PHONE: 763/422-7473
FAX: /
MS. JENNIFER WEISSMAN
ESRD
Corp
FRESENIUS MED CARE ROBBINSDALE
4094 LAKELAND AVENUE NORTH
(27801)
ROBBINSDALE, MN 554222236
PHONE: 763/533-3759
FAX: 763/533-1025
Corp
GERIATRIC SERVICES OF MN
MS. JENA ANDERBERG
HCP-A
3366 OAKDALE AVENUE N STE 551
(26130)
ROBBINSDALE, MN 55422
PHONE: 763/587-7737
MS. KATHIE SURMA
FAX: 763/587-7069
NProf
GOOD SAM SOCTY SPEC CARE COMM
NH-96
SNF-NF-96
3815 WEST BROADWAY
(00890)
ROBBINSDALE, MN 55422
PHONE: 612/332-4262
MS. NICOLE MATTSON
FAX: 612/673-6270
NProf
LIVING WELL 3801
SLFB-9
ICFIID-9
3801 WEST BROADWAY
(01379)
ROBBINSDALE, MN 55422
PHONE: 763/522-7556
FAX: 763/522-4573
NProf
LIVING WELL 3807
MR. ADAM FEFFERMAN
SLFB-9
ICFIID-9
3807 WEST BROADWAY
(01475)
ROBBINSDALE, MN 55422
PHONE: 763/420-5848
FAX: 763/420-6121
NProf
LIVING WELL FRANCE
MS. COLLEEN MUTZABAUGH
SLFB-6
ICFIID-6
2759 FRANCE AVENUE NORTH
(01290)
ROBBINSDALE, MN 55422
PHONE: 763/521-0387
FAX: 763/521-2294
MR. MATT JONES
HWS
Lim-Liab
MEADOW VIEW PROPERTIES
3813 QUAIL AVENUE NORTH
(29345)
ROBBINSDALE, MN 55422
PHONE: 612/388-5570
NORTH MEMORIAL HOME HLTH HOSPC
FAX: /-
MS. JENNIFER WEISSMAN
NProf
Hospice
HSPICE
3500 FRANCE AVE NORTH #101
ROBBINSDALE, MN 55422
PHONE: 763/581-9340
(02386)
FAX: 763/581-9341
MS. LAURA WILSON
Minnesota Department of Health
Division of Compliance Monitoring
Page
264
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
NORTH MEMORIAL HOME HLTH HOSPC
Certification
HENNEPIN
Registration
(Cont.)* -------------------------
HCP/COMP
HHA
3500 FRANCE AVENUE N STE 101
(02049)
ROBBINSDALE, MN 55422
PHONE: 763/581-9340
FAX: 763/581-9341
NProf
NORTH MEMORIAL MEDICAL CENTER
MS. LAURA WILSON
HOSP-518 BASS-42
HOSP-474 PPS-P-26 PPS-R-18
3300 OAKDALE NORTH
(00240)
ROBBINSDALE, MN 55422
PHONE: 763/520-5200
FAX: 763/520-5006
MR. LOREN TAYLOR
HWS
Lim-Liab
RD PROPERTIES
3811 QUAIL AVENUE NORTH
(31301)
ROBBINSDALE, MN 55422
PHONE: 612/388-5570
FAX: /
MS. JENNIFER WEISSMAN
ESRD
NProf
ROBBINSDALE DIALYSIS
3461 WEST BROADWAY AVENUE
(27847)
ROBBINSDALE, MN 554222955
PHONE: 763/521-4865
MR. ARRO MOHAMUD
FAX: 763/522-6754
Corp
ROBBINSDALE REHAB & CARE CTR
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
DIAMONDCREST SENIOR LIVING
FAX: /
MS. STACEY RAY
HWSAL
Lim-Liab
20500 SOUTH DIAMOND LAKE ROAD
ROGERS, MN 55374
PHONE: 763/428-8181
NOVACARE REHABILITATION
(23988)
FAX: 763/428-3252
MS. SUSAN SNYDER
Out Pt Out St Out Ot
Corp
21395 JOHN MILLESS DRIVE
ROGERS, MN 55374
PHONE: 763/428-2589
(03769)
FAX: 763/428-4672
MR. DONN BERKELAND
Minnesota Department of Health
Division of Compliance Monitoring
Page 265
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
THE WELLSTEAD OF ROGERS
Certification
HENNEPIN
Registration
(Cont.)* -------------------------
COMP
20600 SOUTH DIAMOND LAKE ROAD
(20700)
ROGERS, MN 55374
PHONE: 763/428-1981
FAX: 763/428-3792
MS. SUSAN SNYDER
HWS
Lim-Liab
THE WELLSTEAD OF ROGERS
20600 SOUTH DIAMOND LAKE ROAD
(30762)
ROGERS, MN 55374
PHONE: 763/428-1981
FAX: 763/428-3792
MS. SUSAN SNYDER
HWS
Corp
LOUISIANA COURT APARTMENTS
2720 LOUISIANA COURT
(31287)
SAINT LOUIS PARK, MN 55426
PHONE: 612/444-2373
MR. JAMAL GELLE
FAX: 612/326-9029
Corp
SAMAD COMFORT CARE CORP
HCP-A
2606 YOSEMITE AVENUE SOUTH
(29400)
SAINT LOUIS PARK, MN 55416
PHONE: 952/818-0015
MR. ALI WARSAME
FAX: 877/816-2013
HWSAL
Lim-Liab
SOJOURN SUITES LLC
5845 COUNTRY CLUB ROAD
(22590)
SHOREWOOD, MN 55331
PHONE: 952/470-2216
MR. THOMAS PENN
FAX: 952/400-3542
HWS
NProf
LAKE MINNETONKA SHORES COURT
4501 SHORELINE DRIVE
(24845)
SPRING PARK, MN 55384
PHONE: 952/471-4000
MS. MARY WEIS
FAX: 952/471-4309
Lim-Liab
LAKE MINNETONKA SHORES
HCP-F
4527 SHORELINE DRIVE
(27953)
SPRING PARK, MN 55384
PHONE: 952/471-4001
MS. NATALIE MORLAND
FAX: 952/471-6084
NProf
LAKE MINNETONKA SHORES
SNF-NF-145
NH-145
4527 SHORELINE DRIVE
(00271)
SPRING PARK, MN 55384
PHONE: 952/471-4000
FAX: 952/471-6084
LAKE MINNETONKA SHORES COMMONS
MS. LYDIA BUETOW
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
(24844)
FAX: 952/471-4309
MS. MARY WEIS
Minnesota Department of Health
Division of Compliance Monitoring
Page 266
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
PROVIDENT HOME HEALTHCARE
Certification
HENNEPIN
Registration
(Cont.)* -------------------------
HCP/COMP
HHA
2817 ANTHONY LANE S STE 301
(26906)
ST ANTHONY, MN 55418
PHONE: 612/238-4688
FAX: 612/238-4689
Lim-Liab
THE LEGACY OF ST ANTHONY
MS. RAMONA ERICKSON
COMP
2540 KENZIE TERRACE
(29718)
ST ANTHONY, MN 55418
PHONE: 612/843-3700
FAX: /
MS. MICHELE GRANDNER
HWSAL
Lim-Liab
THE LEGACY OF ST ANTHONY
2540 KENZIE TERRACE
(29719)
ST ANTHONY, MN 55418
PHONE: 612/843-3700
FAX: /
MS. MICHELE GRANDNER
Ind
EREYNA HAUGEN
HCP-C
8760 HILLVIEW DRIVE EAST
(29093)
ST BONIFACIUS, MN 55375
PHONE: 952/446-1050
MS. EREYNA HAUGEN
FAX: /-
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
Minnesota Department of Health
Division of Compliance Monitoring
Page 267
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------
HWS
NProf
3536 AQUILA CIRCLE
Registration
3536 AQUILA CIRCLE
(28502)
ST LOUIS PARK, MN 55426
PHONE: 952/925-3878
FAX: /-
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
Corp
ADULT HELP AND COMPANION CARE
BASIC
4584 CEDAR LAKE RD SUITE 5
(03855)
ST LOUIS PARK, MN 55416
PHONE: 612/708-1079
MR. CHRISTIAN RIVARD
FAX: 952/377-0411
Lim-Liab
AROUND THE CLOCK HOME CARE
HCP/COMP
HHA
2257 LOUISIANA AVENUE SOUTH
(21115)
ST LOUIS PARK, MN 55426
PHONE: 952/848-0935
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
HSPICE
5775 WAYZATA BLVD SUITE 980
(29960)
ST LOUIS PARK, MN 55416
PHONE: 952/856-2212
BRIGHTSTAR
FAX: /
MS. ERIN BENNETT
Lim-Liab
HCP-A
4601 EXCELSIOR BLVD STE 410
ST LOUIS PARK, MN 55416
PHONE: 952/300-3698
CABRINI 2601 GOLDEN VALLEY RD
(29454)
FAX: 952/681-7339
MS. SUSAN RATHER
HWS
NProf
2601 GOLDEN VALLEY RD
ST LOUIS PARK, MN 55411
PHONE: 612/454-4499
CABRINI 2722 LOUISIANA COURT
(30890)
MS. CARRIE MCNEIL
FAX: 612/746-5502
HWS
NProf
2722 LOUISIANA COURT
ST LOUIS PARK, MN 55426
PHONE: 612/454-4499
CENTER FOR DIAGNOSTIC IMAGING
(30889)
MS. CARRIE MCNEIL
FAX: 612/746-5502
Lim-Liab
Amb Surg
Outpt Surg
5775 WAYZATA BLVD SUITE 190
ST LOUIS PARK, MN 55416
PHONE: 952/525-6328
(21792)
FAX: 952/543-6524
MR. ROBERT CHERNEY
Minnesota Department of Health
Division of Compliance Monitoring
Page 268
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------
HWS
NProf
COLORADO COURT
Registration
1410 COLORADO AVE
(27594)
ST LOUIS PARK, MN 55416
PHONE: 952/546-1415
COMFORT FIRST OF ST LOUIS PARK
FAX: /
MR. CHRIS TRAILER
HWSAL
Lim-Liab
7115 WAYZATA BLVD
ST LOUIS PARK, MN 55426
PHONE: 952/641-0100
FRESENIUS MED CARE ST LOUIS PK
(31139)
FAX: 651/305-7170
MR. JASON GESCHWIND
ESRD
Corp
5680 36TH STREET WEST
ST LOUIS PARK, MN 55416
PHONE: 952/926-0959
GOLDEN GENERATION SNR CARE INC
(27143)
FAX: 952/926-3694
Corp
MR. JOHN MARIETTI
TCOMP
5775 WAYZATA BLVD STE. 700
ST LOUIS PARK, MN 55416
PHONE: 952/525-2205
GOLDEN LIVINGCNTR ST LOUIS PK
(31158)
MS. ROSITA BROWN
FAX: 952/546-4829
Lim-Liab
NH-208
SNF-NF-208
3201 VIRGINIA AVENUE SOUTH
ST LOUIS PARK, MN 55426
PHONE: 952/935-0333
HOME CARE ASSISTANCE
(00943)
MR. TIMOTHY JOHNSON
FAX: 952/935-6747
Lim-Liab
HCP-B
4430 EXCELSIOR BOULEVARD
ST LOUIS PARK, MN 55416
PHONE: 952/236-7527
HOME CARE ASSISTANCE OF MINNEA
(27533)
FAX: 952/236-7539
Lim-Liab
MS. DENISE SCHAEFER
COMP
4430 EXCELSIOR BOULEVARD
ST LOUIS PARK, MN 55416
PHONE: 952/236-7527
INTREPID USA HEALTHCARE SERVIC
(27714)
FAX: 952/236-7527
Corp
MS. DENISE SCHAEFER
COMP
5775 WAYZATA BLVD SUITE 540
ST LOUIS PARK, MN 55416
PHONE: 952/513-5400
INTREPID USA HEALTHCARE SRVCS
(20786)
FAX: 952/513-5444
Corp
MS. PAULETTE DUNCAN
HCP/COMP
HHA
5775 WAYZATA BLVD SUITE 540
ST LOUIS PARK, MN 554161222
PHONE: 952/513-5400
KNOLLWOOD PLACE APARTMENTS
(02233)
FAX: 952/513-5444
MS. ALICIA CLINE
HWS
NProf
3630 PHILLIPS PARKWAY
ST LOUIS PARK, MN 55426
PHONE: 952/939-1601
(20232)
FAX: 952/933-1485
MR. CHRIS ORR
Minnesota Department of Health
Division of Compliance Monitoring
Page
269
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------
HWS
NProf
LOUISIANA COURT APARTMENTS
Registration
2742 LOUISIANA COURT
(27123)
ST LOUIS PARK, MN 55426
PHONE: 612/204-8319
FAX: /
MS. STACEY RAY
HWS
NProf
MENORAH PLAZA APARTMENTS
4925 MINNETONKA BOULEVARD
(20195)
ST LOUIS PARK, MN 55416
PHONE: 952/653-3680
FAX: 952/653-3689
MS. JEN ZINNEL
HWS
NProf
MENORAH WEST APARTMENTS
3600 PHILLIPS PARKWAY
(21774)
ST LOUIS PARK, MN 55426
PHONE: 952/653-3680
FAX: 952/653-3689
MS. JEN ZINNEL
Home Mgmt
NProf
METROPOLITAN COMMUNITY SVCS
5811 CEDAR LAKE ROAD
(29521)
ST LOUIS PARK, MN 55416
PHONE: 952/546-1816
MS. LANA BARSKIY
FAX: 952/777-2263
CORF
Lim-Liab
MN MEDICAL & REHAB SERVS LLC
4330 SOUTH CEDAR LAKE ROAD
(21768)
ST LOUIS PARK, MN 55416
PHONE: 952/381-3434
MR. MELVIN GRAF
FAX: /
MORNING STAR WOMENS HEALTH AND
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 HOSP
(00129)
FAX: 952/927-7687
NProf
MS. COURTNEY NICHOLS
HOSP-426 BASS-50
HOSP-426 PPS-R-0
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. ROXANNA GAPSTUR
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
HWS
Lim-Liab
3663 PARK CENTER BOULEVARD
ST LOUIS PARK, MN 55416
PHONE: 952/925-6231
(20868)
FAX: 952/926-6823
MR. MICHAEL GOULD
Minnesota Department of Health
Division of Compliance Monitoring
Page
270
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------
HWSAL
Lim-Liab
PARKSHORE SENIOR CAMPUS LLC
Registration
3633 PARK CENTER BOULEVARD
(20427)
ST LOUIS PARK, MN 55416
PHONE: 952/925-6231
FAX: 952/926-6823
MR. MICHAEL GOULD
HWS
NProf
PPL PROJECT FOR PRIDE IN LIVIN
2722 LOUISIANA COURT
(28663)
ST LOUIS PARK, MN 55426
PHONE: 612/455-5132
FAX: 612/455-5101
MS. BARBARA MCCORMICK
HWS
NProf
PPL PROJECT FOR PRIDE IN LIVIN
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
MR. CHRIS TRAILER
FAX: /-
HWSAL
Lim-Liab
ROITENBERG FAMILY ASSISTED LIV
3610 PHILLIPS PARKWAY SOUTH
(21691)
ST LOUIS PARK, MN 55426
PHONE: 952/908-1700
FAX: 952/908-1777
MS. JEN ZINNEL
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
8209 30 1/2 STREET
(31035)
ST LOUIS PARK, MN 55426
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
2727 RHODE ISLAND
(29670)
ST LOUIS PARK, MN 55416
PHONE: 952/925-3878
FAX: /-
MS. JENNIFER WEISSMAN
HWS
Minnesota Department of Health
Division of Compliance Monitoring
Page 271
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------
HWS
Lim-Liab
SELA INVESTMENTS 8008
Registration
8008 WEST 28TH STREET
(29668)
ST LOUIS PARK, MN 55416
PHONE: 952/925-3878
SHOLOM COMMUNITY ALLIANCE HOME
FAX: /-
MS. JENNIFER WEISSMAN
NProf
COMP
3620 PHILLIPS PARKWAY
ST LOUIS PARK, MN 55426
PHONE: 952/939-1515
SHOLOM HOME WEST
(21400)
FAX: 952/939-1662
NProf
MS. LISA ABICHT-SWENSEN
NH-179
SNF-NF-179
3620 PHILLIPS PARKWAY SOUTH
ST LOUIS PARK, MN 55426
PHONE: 952/935-6311
SILVERCARE LLC
(00380)
FAX: 952/935-2701
Lim-Liab
MS. KIMBERLY PEDERSON
HCP-F
5402 PARKDALE SUITE 301
ST LOUIS PARK, MN 55416
PHONE: 952/922-9540
ST LOUIS PARK DIALYSIS CENTER
(29469)
MS. MARGARET GREIN
FAX: 952/922-9520
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
COMP
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 S
(00144)
FAX: 952/920-7866
MR. REID HEWITT-INTERIM
HWSAL
Corp
2833 YOSEMITE AVENUE SOUTH
ST LOUIS PARK, MN 55416
PHONE: 612/990-2592
THE CARING SISTERS HOME CARE S
(24801)
FAX: 952/426-4691
Corp
MR. OLALEYE BECKLEY
HCP-A
2833 YOSEMITE AVENUE SOUTH
ST LOUIS PARK, MN 55416
PHONE: 952/426-4690
(24617)
FAX: 952/426-4691
MS. EDITH NGANG
Minnesota Department of Health
Division of Compliance Monitoring
Page 272
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HENNEPIN
(Cont.)* -------------------------
HWSAL
Corp
THE CARING SISTERS HOME CARE S
Registration
2852 YOSEMITE AVENUE SOUTH
(23620)
ST LOUIS PARK, MN 55416
PHONE: 612/990-2592
FAX: 952/426-4691
Corp
THE CARING SISTERS HOME CARE S
MR. OLALEYE BECKLEY
COMP
2833 YOSEMITE AVENUE SOUTH
(20820)
ST LOUIS PARK, MN 55416
PHONE: 952/426-4690
FAX: 952/426-4691
Lim-Liab
THE VILLA AT ST LOUIS PARK
MS. EDITH NGANG
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. KRISTIE JOHNSRUD
SLFA-41
3705 PARK CENTER BOULEVARD
(01647)
ST LOUIS PARK, MN 55416
PHONE: 952/405-7636
MS. KARINA FORREST-PERKINS
FAX: 952/926-9713
HWSAL
Lim-Liab
TOWER LIGHT
3601 WOODDALE AVENUE SOUTH
(28790)
ST LOUIS PARK, MN 55416
PHONE: 952/881-6322
MS. KAREN LARSON
FAX: 763/252-9264
HWS
NProf
VICTORIA LAKE APARTMENTS
8400 MINNETONKA BOULEVARD
(26891)
ST LOUIS PARK, MN 55426
PHONE: 612/454-1600
VISITING ANGELS
MR. CHRIS TRAILER
FAX: /
Home Mgmt
Corp
5871 CEDAR LAKE ROAD #101
ST LOUIS PARK, MN 55416
PHONE: 952/544-6300
VISITING ANGELS
(21494)
MR. DAN VLAISAVLJEVICH
FAX: 952/544-6222
Corp
COMP
5871 CEDAR LAKE RD STE 101
ST LOUIS PARK, MN 55416
PHONE: 952/544-6300
WESTWOOD HILLS DIALYSIS
(21550)
FAX: 952/544-6222
MR. DAN VLAISAVLJEVICH
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
(29157)
FAX: 952/930-1152
MR. YAKOV GITERMAN
Minnesota Department of Health
Division of Compliance Monitoring
Page 273
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
SHOLOM HOSPICE
NProf
Certification
HENNEPIN
Registration
(Cont.)* --------------------------
Hospice
HSPICE
740 KAY AVENUE
ST PAUL, MN 55102
PHONE: 651/328-2091
SOJOURN AT HOME LLC
(25996)
FAX: 952/328-2077
Lim-Liab
MS. LISA ABIGHT-SWENSEN
BASIC
4270 CIRCLE ROAD
TONKA BAY, MN 55331
PHONE: 612/790-9292
SOJOURN SUITES LLC
(28267)
FAX: 952/400-3542
Lim-Liab
MR. THOMAS PENN
COMP
4270 CIRCLE ROAD
TONKA BAY, MN 55331
PHONE: 612/790-9292
FOLKESTONE
(26695)
FAX: 952/400-3542
NProf
MR. THOMAS PENN
NH-30
SNF-30
100 PROMENADE AVENUE
WAYZATA, MN 55391
PHONE: 952/249-2400
FOLKESTONE NORTH
(28617)
MS. NICHOLE PEDERSON
FAX: 952/249-2401
HWS
NProf
100 PROMENADE AVENUE
WAYZATA, MN 55391
PHONE: 952/249-2400
FOLKESTONE WEST
(29889)
MR. MARK PEDERSON
FAX: 952/249-2401
HWS
NProf
101 PROMENADE AVENUE
WAYZATA, MN 55391
PHONE: 952/249-2400
GOLDEN LIVING COMM REFLECTIONS
(29891)
FAX: 952/249-2401
Lim-Liab
MR. MARK PEDERSON
HCP-F
15409 WAYZATA BOULEVARD
WAYZATA, MN 55391
PHONE: 952/473-5466
GOLDEN LIVING COMMUNITY REFLEC
(21126)
FAX: 952/473-6842
MS. ALLISON MURKOWSKI
HWSAL
Lim-Liab
15409 WAYZATA BOULEVARD
WAYZATA, MN 55391
PHONE: 952/473-5466
GOLDEN LVGCTR HILLCRST WAYZATA
(30693)
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. MARIAH BROWN
SLFB-6
ICFIID-6
16325 COUNTY ROAD 15
WAYZATA, MN 55391
PHONE: 952/473-1261
(20875)
FAX: 952/473-8629
MR. JOHN ESTREM
Minnesota Department of Health
Division of Compliance Monitoring
Page 274
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
HAMMER RIDGEVIEW
NProf
Certification
HENNEPIN
Registration
(Cont.)* -------------------------
SLFB-6
ICFIID-6
401 RIDGEVIEW DRIVE
WAYZATA, MN 55391
PHONE: 952/473-1261
HAMMER SHERIDAN
(04306)
FAX: 952/473-8629
NProf
MR. JOHN ESTREM
ICFIID-6
SLFB-6
2412 SHERIDAN HILLS CURVE
WAYZATA, MN 55391
PHONE: 952/473-1261
MERIDIAN MANOR
(21172)
FAX: 952/473-8629
Lim-Liab
MR. JOHN ESTREM
COMP
163 WEST WAYZATA BOULEVARD
WAYZATA, MN 55391
PHONE: 952/473-3700
MERIDIAN MANOR
(29081)
MS. ANNIE WESTALL
FAX: 952/404-1540
HWSAL
Lim-Liab
163 WEST WAYZATA BOULEVARD
WAYZATA, MN 55391
PHONE: 952/473-3200
SHADYWAY GROUP HOME
(21781)
MR. STEPHEN NORNES
FAX: 952/404-1540
NProf
ICFIID-6
SLFA-6
522 SHADYWAY ROAD
WAYZATA, MN 55391
PHONE: 952/475-1621
VISITING ANGELS
(01213)
MS. LISA SCHEINOST
FAX: 952/475-0089
Corp
COMP
901 TWELVE OAKS CENTER STE 919
WAYZATA, MN 55391
PHONE: 952/935-0789
WAYZATA SURGERY CENTER
(21675)
MS. TERRI DEVEAU
FAX: 952/935-0778
Lim-Liab
935 WAYZATA BLVD E #200
WAYZATA, MN 55391
PHONE: 763/559-4500
(30271)
MS. CRISTY MASELTER
FAX: 763/559-1733
---------------------------**********
CALEDONIA CARE AND REHAB
Corp
HOUSTON
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
(20033)
FAX: 507/725-5142
MS. MARIAN RAUK
Minnesota Department of Health
Division of Compliance Monitoring
Page 275
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
HOUSTON CTY PUB HLTH NURSNG SV
Cnty
Certification
HOUSTON
HCP/COMP
Registration
(Cont.)* -------------------------
HHA
611 VISTA DRIVE SUITE 1
CALEDONIA, MN 55921
PHONE: 507/725-5810
ROSEVIEW COURT CARE AGENCY
(02013)
FAX: 507/725-2150
MS. MARY MARCHEL
HWSAL
Corp
425 NORTH BADGER STREET
CALEDONIA, MN 55921
PHONE: 507/725-2380
ROSEVIEW COURT CARE AGENCY
(30441)
FAX: 507/725-5142
Corp
MS. MARIAN RAUK
COMP
425 NORTH BADGER STREET
CALEDONIA, MN 55921
PHONE: 507/725-2380
ABLE INC HOUSTON
(20196)
FAX: 507/725-5142
NProf
MS. MARIAN RAUK
SLFB-6
ICFIID-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)
MR. BRIAN REINDL
FAX: 507/896-3289
NProf
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
MR. BRIAN REINDL
SLFB-15
ICFIID-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 LACRESCENT
(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
SPRING GROVE ASSISTED LIVING L
(00936)
FAX: 507/895-6461
Lim-Liab
MS. JANA CATES
COMP
130 5TH AVENUE SE
SPRING GROVE, MN 55974
PHONE: 507/498-4000
(23911)
FAX: 507/498-4001
MS. CAROL NERSTAD
Minnesota Department of Health
Division of Compliance Monitoring
Page
276
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HOUSTON
(Cont.)* -------------------------
HWSAL
Lim-Liab
SPRING GROVE ASSISTED LIVING L
Registration
130 5TH AVENUE SE
(30478)
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
31117 200TH STREET
(21134)
AKELEY, MN 56433
PHONE: 651/226-2984
PLEASANT AKERS
MS. LAURA JULIUS
FAX: /
Ind
HCP-F
23673 291ST AVENUE
AKELEY, MN 56433
PHONE: 218/652-3005
PLEASANT AKERS
(29435)
MS. LINDA AKER
FAX: 218/652-6316
HWSAL
Lim-Liab
23673 291ST AVENUE
AKELEY, MN 56433
PHONE: 218/652-3005
PINE MANORS INC
(29436)
MS. LINDA AKER
FAX: 218/652-6316
Corp
SLFA-28 SLFB-8
22195 STATE 34
NEVIS, MN 56467
PHONE: 218/732-4337
CARE AGE COUNTRY HOME
(01578)
FAX: 218/732-0399
MS. RACHEL MUELLER
HWSAL
Part
18846 EAGLE BEND ROAD
PARK RAPIDS, MN 56470
PHONE: 218/732-3721
CARE AGE COUNTRY HOME
(30408)
FAX: 218/732-1208
Part
MR. CHRIS NIEMEYER
COMP
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: 218/732-1674
(25122)
FAX: 218/732-2665
MS. KIM BURKE
Minnesota Department of Health
Division of Compliance Monitoring
Page 277
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HUBBARD
(Cont.)* -------------------------
HWSAL
Lim-Liab
DIAMOND WILLOW ASSISTED LIVING
Registration
909 CROCUS HILL STREET
(25123)
PARK RAPIDS, MN 56470
PHONE: 218/732-1671
FAX: 218/732-2666
MS. KIM BURKE
RHC
Lim-Liab
ESSENTIA HLTH PARK RAPIDS CLIN
705 PLEASANT AVENUE
(30998)
PARK RAPIDS, MN 56470
PHONE: 218/732-2800
FAX: /-
MS. KIM MAY
HWSAL
Cnty
HERITAGE COTTAGE ON 5TH
615 WEST SIXTH STREET
(26535)
PARK RAPIDS, MN 56470
PHONE: 218/237-8345
MR. KURT HANSEN
FAX: 218/237-8348
HWSAL
Cnty
HERITAGE COTTAGE ON 6TH
611 WEST SIXTH STREET
(26536)
PARK RAPIDS, MN 56470
PHONE: 218/237-8345
MR. KURT HANSEN
FAX: 218/237-8348
Cnty
HERITAGE LIVING CENTER
SNF-NF-60
NH-60
619 WEST SIXTH STREET
(00288)
PARK RAPIDS, MN 56470
PHONE: 218/732-3329
MR. KURT HANSEN
FAX: 218/732-9125
Cnty
HERITAGE MANOR
COMP
602 FAIR AVENUE
(21235)
PARK RAPIDS, MN 56470
PHONE: 218/237-8345
MR. KURT HANSEN
FAX: 218/237-1210
HWSAL
Cnty
HERITAGE MANOR
602 FAIR AVENUE
(30727)
PARK RAPIDS, MN 56470
PHONE: 218/237-8345
MR. KURT HANSEN
FAX: 218/237-8348
Lim-Liab
MANY LAKES HOME CARE LLC
HCP-B
708 FOREST VIEW AVE
(26684)
PARK RAPIDS, MN 56470
PHONE: 218/732-9394
FAX: 866/381-4612
MS. HEIDI NEUER
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: /
MS. SHARON ERICKSON
Minnesota Department of Health
Division of Compliance Monitoring
Page
278
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
HUBBARD
(Cont.)* -------------------------
HWS
NProf
PARK VILLA APARTMENTS
Registration
607 WEST 7TH STREET
(21679)
PARK RAPIDS, MN 56470
PHONE: 218/237-7275
FAX: 218/237-1210
NProf
ST JOSEPHS AREA HLTH SERVICES
MR. KURT HANSEN
Hospice
HSPICE
323 MAIN AVENUE SOUTH
(03458)
PARK RAPIDS, MN 56470
PHONE: 218/732-4552
FAX: 218/732-1273
Church
ST JOSEPHS AREA HLTH SERVICES
MR. BEN KOPPELMAN
HOSP-50 BASS-10
CAH-25
600 PLEASANT AVE
(00287)
PARK RAPIDS, MN 56470
PHONE: 218/732-3311
FAX: 218/732-1368
MR. BEN KOPPELMAN
---------------------------**********
Corp
ELMHURST COMMONS
ISANTI
******** -------------------------
HCP-F
400 3RD STREET SOUTHWEST
(24848)
BRAHAM, MN 55006
PHONE: 651/428-0646
MR. CHUCK PETRICH
FAX: 651/486-7814
HWSAL
Corp
ELMHURST COMMONS
400 3RD STREET SOUTHWEST
(30591)
BRAHAM, MN 55006
PHONE: 651/428-0646
MR. CHUCK PETRICH
FAX: 651/486-7814
Ind
HEART TO HEART CARE TEAM
BASIC
623 HORSESHOE LANE
(29765)
BRAHAM, MN 55006
PHONE: 763/843-0737
B'S HOMECARE INC
FAX: /
MS. TERESA NEWTON
Corp
HCP-A
237 CYPRESS STREET SOUTH
CAMBRIDGE, MN 55008
PHONE: 763/689-8984
CAMBRIDGE MED CTR DELLWOOD
(30354)
MS. BRANDY HERBST
FAX: 763/689-1170
NProf
SLFA-11
701 DELLWOOD STREET
CAMBRIDGE, MN 55008
PHONE: 763/688-7952
CAMBRIDGE MEDICAL CENTER
(23586)
MR. SCOTT TENNAPEL
FAX: 763/689-7781
NProf
HOSP-86 BASS-15
701 SOUTH DELLWOOD AVENUE
CAMBRIDGE, MN 55008
PHONE: 763/689-7700
(00295)
FAX: 763/688-7941
MR. GARY SHAW
HOSP-72 PPS-P-14
Minnesota Department of Health
Division of Compliance Monitoring
Page 279
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
CARSTEN'S HARBOUR INC
Certification
ISANTI
Registration
(Cont.)* -------------------------
COMP
653 MAIN STREET NORTH
(29630)
CAMBRIDGE, MN 55008
PHONE: 763/552-1340
FAX: 763/552-1341
Corp
CARSTENS HARBOUR INC
MR. J. SCOTT KENT
HCP-F
653 MAIN STREET NORTH
(21284)
CAMBRIDGE, MN 55008
PHONE: 763/552-1340
FAX: 866/265-7173
MR. J. SCOTT KENT
ESRD
NProf
CENTRACARE CAMBRIDGE DIALYSIS
520 11TH AVE SW SOUTH BLDG
(25908)
CAMBRIDGE, MN 55008
PHONE: 763/691-1333
FAX: 763/691-0999
Lim-Liab
DEBRA L HADDEN
MR. DAVID WALZ
BASIC
PO BOX 305
(29278)
CAMBRIDGE, MN 55008
PHONE: 612/702-5995
MS. DEBRA HADDEN
FAX: /
ONProf
GRACEPOINTE CROSS GABLES EAST
NH-90
SNF-NF-90
548 FIRST AVENUE WEST
(00292)
CAMBRIDGE, MN 55008
PHONE: 763/689-6140
MS. JULIE SPIERS
FAX: 763/689-9450
NProf
GRACEPOINTE CROSS GABLES WEST
NH-140
SNF-NF-140
135 FERN STREET NORTH
(00294)
CAMBRIDGE, MN 55008
PHONE: 763/691-2103
FAX: 763/691-2200
MS. LAURIE SYKES
HWSAL
NProf
GRACEPOINTE CROSSING - THE CO
1545 RIVERHILLS PKWAY NW
(30763)
CAMBRIDGE, MN 55008
PHONE: 763/689-1474
FAX: 763/689-6629
GRACEPOINTE CRSING THE COMMONS
NProf
MR. TODD KLEIN
HCP-F
1545 RIVERHILLS PKWAY NW
CAMBRIDGE, MN 55008
PHONE: 763/689-1474
HEALTH DIMENSIONS REHAB INC
(20709)
FAX: 763/689-6629
MR. TODD KLEIN
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
(03104)
FAX: 763/689-5558
MR. MARK ESSLING
Minnesota Department of Health
Division of Compliance Monitoring
Page 280
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
LIVING WELL CENTRAL
Certification
ISANTI
Registration
(Cont.)* -------------------------
SLFB-6
ICFIID-6
1555 CENTRAL AVENUE SOUTHWEST
(01371)
CAMBRIDGE, MN 55008
PHONE: 763/689-3794
FAX: 763/444-7011
MS. ERICA COURNOYER
HWSAL
Corp
THE HAVEN HOUSE INC CARSTEN'S
653 MAIN STREET NORTH
(27286)
CAMBRIDGE, MN 55008
PHONE: 763/552-1340
FAX: 866/265-7173
MR. J. SCOTT KENT
Home Mgmt
Lim-Liab
VISITING ANGELS
200 3RD AVE NE STE 100
(26618)
CAMBRIDGE, MN 55008
PHONE: 763/552-4043
FAX: 763/689-6681
Lim-Liab
VISITING ANGELS
MR. GEORGE CARLSON
HCP-A
200 3RD AVENUE NE STE 100
(26546)
CAMBRIDGE, MN 55008
PHONE: 763/552-4043
MS. KAREN CARLSON
FAX: 763/689-6681
Corp
CARE PARTNERS SERVICES
BASIC
805 RUM RIVER DRIVE
(28797)
ISANTI, MN 55040
PHONE: 612/267-7774
PRAIRIE SENIOR COTTAGES OF ISA
MS. EDNA WHERN
FAX: /
HWSAL
Lim-Liab
706 6TH AVENUE NE
ISANTI, MN 55040
PHONE: 763/444-4626
PRAIRIE SENIOR COTTAGES OF ISA
(30809)
FAX: 763/444-0177
Lim-Liab
MS. RACHEL HEPPNER
COMP
706 6TH AVENUE NE
ISANTI, MN 55040
PHONE: 763/444-4626
SOLBAKKEN INC
(28490)
FAX: 763/444-0177
MS. RACHEL HEPPNER
HWS
Corp
5101 289TH AVENUE NORTHWEST
ISANTI, MN 55040
PHONE: 952/943-8485
BRASK HAVEN INC
(22198)
FAX: 952/943-2941
MS. MARY ADAMS
HWSAL
Corp
31274 JULLIARD STREET NE
NORTH BRANCH, MN 55056
PHONE: 651/674-7433
BRASK HAVEN INC
(30796)
FAX: 651/237-0563
Corp
MS. JODI BRASK
COMP
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 281
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
BIGFORK VALLEY COMMUNITIES
Dist
Certification
ITASCA
Registration
******** -------------------------
NH-47
SNF-NF-47
258 PINE TREE DR PO BOX 258
BIGFORK, MN 56628
PHONE: 218/743-3177
BIGFORK VALLEY HOME CARE
(00834)
FAX: 218/743-3559
Dist
MR. JAMES BLUM
HCP/COMP
HHA
258 PINE TREE DRIVE
BIGFORK, MN 56628
PHONE: 218/743-1004
BIGFORK VALLEY HOSPITAL
(03846)
FAX: 218/743-3559
Dist
MR. KYLE HEDLUND
HOSP-20 BASS-4
CAH-20
258 PINE TREE DRIVE
BIGFORK, MN 56628
PHONE: 218/743-3177
BIGFORK VALLEY VILLA
(00300)
FAX: 218/743-3559
MR. AARON SAUDE
HWSAL
Dist
258 PINE TREE DR
BIGFORK, MN 56628
PHONE: 218/743-1000
BIGFORK VALLEY VILLA ASSISTED
(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)
MR. AARON SAUDE
FAX: 218/743-4160
Corp
COMP
102 10TH AVE PO BOX 39
BOVEY, MN 55709
PHONE: 218/245-3550
EDGEWOOD CARE INC
(24649)
FAX: 218/245-3551
MR. PETER GIVING
HWSAL
Corp
102 10TH AVE PO BOX 39
BOVEY, MN 55709
PHONE: 218/245-3550
AUTUMN LANE
(30573)
FAX: 218/245-3551
Corp
MR. PETER GIVING
COMP
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 ASSISTED LIVING AN
(23725)
FAX: 218/328-6105
MS. LEANNE BRENDEN
HWSAL
Corp
40170 COUNTY ROAD 257
COHASSET, MN 55721
PHONE: 218/999-9072
(30666)
FAX: 218/999-5657
MR. DEAN DICKSON
Minnesota Department of Health
Division of Compliance Monitoring
Page 282
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
MAPLE WOODS ASSISTED LIVING AN
Corp
Certification
ITASCA
Registration
(Cont.)* -------------------------
COMP
40170 COUNTY ROAD 257
COHASSET, MN 55721
PHONE: 218/244-9458
SUGAR BROOK VILLA INC
(26072)
FAX: 218/999-5657
Corp
MR. DEAN DICKSON
HCP-F
20868 SUGAR HILLS ROAD
COHASSET, MN 55721
PHONE: 218/326-5730
SUGAR BROOK VILLA INC
(23715)
FAX: 218/326-5713
MS. BARBARA GRENIGER
HWSAL
Corp
20868 SUGAR HILLS ROAD
COHASSET, MN 55721
PHONE: 218/326-5730
HOME AND COMFORT INC
(30400)
FAX: 218/326-5713
Corp
MS. BARBARA GRENIGER
COMP
500 POWELL AVE
COLERAINE, MN 55722
PHONE: 218/245-0012
HOME AND COMFORT INC
(21439)
MS. REBECCA BURT
FAX: 218/245-0293
HWSAL
Corp
500 POWELL AVENUE
COLERAINE, MN 55722
PHONE: 218/245-0012
COMSTOCK COURT
(30761)
MS. BETHEL WILCOWSKI
FAX: 218/245-0293
HWS
NProf
35 10TH AVE NE
DEER RIVER, MN 56636
PHONE: 218/246-4473
DEER RIVER HEALTH CARE CENTER
(20220)
FAX: 218/246-4201
NProf
MS. MARSHA GREEN
NH-32 HOSP-20 BASS-6
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. MICHAEL HEDRIX-INTERIM
HCP/COMP
HHA
115 10TH AVENUE NORTHEAST
DEER RIVER, MN 56636
PHONE: 218/246-2909
4U HOME HEALTH CARE
(02403)
FAX: 218/246-3054
Corp
MS. MARILYN SORENSON
HCP-A
1107 4TH STREET NW
GRAND RAPIDS, MN 55744
PHONE: 218/326-0095
CRYSTAL LAKE HOME
(27332)
FAX: 218/326-0095
MS. DENISE GIESE
HWSAL
Corp
102 NE 14TH STREET
GRAND RAPIDS, MN 55744
PHONE: 218/327-0312
(30335)
FAX: 218/327-0312
MS. PAMELA FRIESEN
Minnesota Department of Health
Division of Compliance Monitoring
Page 283
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
DIAMOND WILLOW ASSISTED LIVING
Certification
ITASCA
Registration
(Cont.)* -------------------------
HWSAL
Lim-Liab
949 1/2 SW 11TH AVE
GRAND RAPIDS, MN 55744
PHONE: 218/327-9460
DIAMOND WILLOW ASSISTED LIVING
(24816)
FAX: 218/327-9407
MS. KIM BURKE
HWSAL
Lim-Liab
949 SW 11TH AVE
GRAND RAPIDS, MN 55744
PHONE: 218/327-9463
EVERGREEN TERRACE
(24815)
FAX: 218/327-9408
Lim-Liab
MS. KIM BURKE
NH-109
SNF-NF-109
2801 SOUTH HIGHWAY 169
GRAND RAPIDS, MN 55744
PHONE: 218/326-3431
FMC DIALYSIS SRVCS GR RAPIDS
(00299)
FAX: 218/327-3217
MR. SHANE ROCHE
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
COMP
2501 COUNTY ROAD 76
GRAND RAPIDS, MN 55744
PHONE: 218/999-5998
GARDEN COURT CHATEAU
(24912)
MS. LINDA MORTENSON
FAX: 218/999-5996
HWSAL
Lim-Liab
2501 COUNTY ROAD 76
GRAND RAPIDS, MN 55744
PHONE: 218/999-5998
GRAND ITASCA CLINIC & HOSP
(30596)
FAX: 218/999-5996
NProf
MS. JULIE MANLEY-HARTJE
HOSP-64 BASS-10
HOSP-64 PPS-R-0
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/COMP
HHA
111 SE 3RD STREET
GRAND RAPIDS, MN 55744
PHONE: 218/999-1047
GRAND MANOR
(02975)
FAX: 218/999-1052
MS. KATIE TROUMBLY
HWS
Part
215 13TH ST SW
GRAND RAPIDS, MN 55744
PHONE: 218/326-5314
GRAND MANOR HOUSING
(21146)
FAX: 218/326-9811
MS. DEB SHERMAN
HWS
Part
227 13TH ST SW
GRAND RAPIDS, MN 55744
PHONE: 218/326-5314
(21147)
FAX: 218/326-9811
MS. DEB SHERMAN
Minnesota Department of Health
Division of Compliance Monitoring
Page 284
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
ITASCA
(Cont.)* -------------------------
HWS
Part
GRAND MANOR HOUSING
Registration
1115 2ND AVE SW
(21148)
GRAND RAPIDS, MN 55744
PHONE: 218/326-5314
FAX: 218/326-9811
Cnty
GRAND VILLAGE
MS. DEB SHERMAN
NH-119
SNF-NF-119
923 HALE LAKE POINTE
(00298)
GRAND RAPIDS, MN 55744
PHONE: 218/326-0543
FAX: 218/327-2405
Lim-Liab
LAKEWOOD SURGERY CENTER
MS. SHAWNA JOKINEN
Outpt Surg
Amb Surg
1542 GOLF COURSE RD SUITE 105
(23863)
GRAND RAPIDS, MN 55744
PHONE: 218/326-3937
FAX: 218/326-3955
MR. MARK RIEHLE
HWSAL
Lim-Liab
MAJESTIC PINES
1614 GOLF COURSE RD
(30986)
GRAND RAPIDS, MN 55744
PHONE: 218/999-7776
MANOR HOUSE SENIOR LIVING
MS. ROCHELLE LANGLOIS
FAX: /
HWSAL
Lim-Liab
722 NORTH POKEGAMA AVENUE
GRAND RAPIDS, MN 55744
PHONE: 218/326-3469
MCKINNEY LAKE HOUSE
(20077)
MR. PATRICK J RAFFERTY
FAX: 218/327-6013
HWSAL
Corp
2304 MCKINNEY LAKE ROAD
GRAND RAPIDS, MN 55744
PHONE: 218/326-2226
MOSES RESIDENCE
(30397)
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
MR. STEPHEN VANDER SCHAAF
HWS
Corp
1212 GUNN ROAD
GRAND RAPIDS, MN 55744
PHONE: 218/244-0816
NORTH COUNTRY CARE
(30216)
MS. JENNIFER ALTENHOFEN
FAX: 218/999-0100
Corp
HCP-F
1212 GUNN ROAD
GRAND RAPIDS, MN 55744
PHONE: 218/242-0816
NORTH COUNTRY CARE INC
(21748)
FAX: 218/999-0100
MS. JENNIFER ALTENHOFEN
HWS
Corp
1132 GUNN ROAD
GRAND RAPIDS, MN 55744
PHONE: 218/244-0816
(23126)
FAX: 218/999-0100
MS. JENNIFER ALTENHOFEN
Minnesota Department of Health
Division of Compliance Monitoring
Page 285
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
ITASCA
(Cont.)* -------------------------
HWS
Corp
NORTH COUNTRY CARE INC
Registration
1200 GUNN ROAD
(29322)
GRAND RAPIDS, MN 55744
PHONE: 218/244-0816
FAX: 218/999-0100
MS. JENNIFER ALTENHOFEN
CMHC
NProf
NORTHLAND COUNSELING CENTER
215 SOUTHEAST SECOND AVENUE
(02776)
GRAND RAPIDS, MN 55744
PHONE: 218/326-1274
FAX: /-
MR. SYD EWENS
NProf
NORTHLAND RECOVERY CENTER
SLFB-34
1215 SEVENTH AVENUE SOUTHEAST
(01608)
GRAND RAPIDS, MN 55744
PHONE: 218/313-1312
FAX: 218/327-1932
MS. COLLEEN MACKEY
HWS
Corp
OAK HILL ASSISTED LIVING
1971 1ST AVENUE NE
(30081)
GRAND RAPIDS, MN 55744
PHONE: 218/327-0312
OAK HILL ASSISTED LIVING
MR. KEITH FRIESEN
FAX: /
Corp
HCP-F
1971 NE 1ST AVENUE
GRAND RAPIDS, MN 55744
PHONE: 218/327-0312
PINE RIDGE APARTMENTS
(23124)
MS. PAMELA FRIESEN
FAX: 218/327-0312
HWS-O
Part
620 RIVER ROAD
GRAND RAPIDS, MN 557443756
PHONE: 218/326-2455
PLEASANT SEASONS
(31128)
MS. ALICIA WITHERSPOON
FAX: 218/327-0246
HWSAL
Lim-Liab
2815 HWY 169 S
GRAND RAPIDS, MN 55744
PHONE: 218/326-8567
PLEASANT SEASONS
(30227)
MS. KATHY HOLLAND
FAX: 218/327-2734
Lim-Liab
COMP
2815 HWY 169 S
GRAND RAPIDS, MN 55744
PHONE: 218/326-8567
PROGRESSIVE CARE
(21909)
MS. AMY ANDERSON
FAX: 218/327-2734
Lim-Liab
COMP
1614 GOLF COURSE ROAD
GRAND RAPIDS, MN 55744
PHONE: 218/999-7776
RADTKE PHYSICAL THERAPY
(29046)
FAX: 218/999-0615
MS. MINDY NUHRING
Out Pt
Part
1542 GOLF COURSE ROAD SUITE 4
GRAND RAPIDS, MN 55744
PHONE: 218/326-3300
(20672)
FAX: 218/326-3400
MR. MICHAEL RADTKE
Minnesota Department of Health
Division of Compliance Monitoring
Page 286
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
RECOVER HEALTH
Corp
Certification
ITASCA
Registration
(Cont.)* -------------------------
HCP/COMP
HHA
400 WITTMAN DRIVE SUITE B
GRAND RAPIDS, MN 55744
PHONE: 952/358-3278
RIVER GRAND INC
(03932)
FAX: 952/926-9808
MR. PAUL NEVIN
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)
MS. KATHLEEN CETWINSKI
FAX: 888/291-6818
Lim-Liab
HCP-F
1314 SOUTHEAST 4TH AVENUE
GRAND RAPIDS, MN 55744
PHONE: 218/327-9222
VISTA PRAIRIE AT MANOR HOUSE
(25126)
MS. TERESA LINN
FAX: 218/326-1560
Lim-Liab
HCP-F
722 NORTH POKEGAMA AVENUE
GRAND RAPIDS, MN 55744
PHONE: 218/326-3469
WHISPERING PINES ASSISTED LIVI
(26123)
MR. PATRICK RAFFERY
FAX: 320/327-6013
Corp
COMP
20371 WENDIGO PARK ROAD
GRAND RAPIDS, MN 55744
PHONE: 218/326-6900
WHISPERING PINES ASSISTED LIVI
(21725)
FAX: 218/326-2783
MS. JESSICA RAAD
HWSAL
Corp
20371 WENDIGO PARK ROAD
GRAND RAPIDS, MN 55744
PHONE: 218/326-6900
HILLCREST NASHWAUK
(30822)
FAX: 218/326-2783
MS. JESSICA RAAD
HWSAL
Corp
570 PLATT AVENUE EAST
NASHWAUK, MN 55769
PHONE: 218/263-4157
(26487)
FAX: 218/263-4468
---------------------------**********
LAKEVIEW ASSISTED LIVING
MR. RANDY SCHROETTER
JACKSON
HWSAL
Corp
941 COUNTY ROAD 9
HERON LAKE, MN 56137
PHONE: 507/793-2349
(30568)
FAX: 507/793-2348
******** -------------------------
MS. PATRICE GOETTE
Minnesota Department of Health
Division of Compliance Monitoring
Page 287
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
LAKEVIEW ASSISTED LIVING
Certification
JACKSON
Registration
(Cont.)* -------------------------
COMP
941 COUNTY ROAD 9
(25317)
HERON LAKE, MN 56137
PHONE: 507/793-2349
FAX: 507/793-2348
Cnty
DES MOINES VALLEY HEALTH & HS
MS. PATRICE GOETTE
HCP/COMP
HHA
402 WHITE STREET STE 201
(02101)
JACKSON, MN 56143
PHONE: 507/847-2366
FAX: 507/847-2881
MS. PATRICIA STEWART
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. DARIN RIFE
HWSAL
NProf
GOOD SAMARITAN SOCIETY THE PIN
1508 NORTH HIGHWAY
(30319)
JACKSON, MN 56143
PHONE: 507/847-5762
MR. DARIN RIFE
FAX: 507/847-5763
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
SANFORD JACKSON MEDICAL CENTER
FAX: /-
MR. DAVID HOVE
NProf
HOSP-20
CAH-20
1430 NORTH HIGHWAY
JACKSON, MN 56143
PHONE: 507/847-2420
THE PINES
(00305)
FAX: 507/847-3728
NProf
MS. MARY RUYTER
COMP
1508 NORTH HIGHWAY
JACKSON, MN 56143
PHONE: 507/847-5762
COLONIAL MANOR NURSING HOME
(20041)
FAX: 507/847-5763
Corp
MR. GORDON HORMANN
NH-37
SNF-NF-37
403 COLONIAL AVENUE
LAKEFIELD, MN 56150
PHONE: 507/662-6646
(00302)
FAX: 507/662-5531
MS. PATRICE GOETTE
Minnesota Department of Health
Division of Compliance Monitoring
Page 288
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
DOMAN ROSE PLACE
Certification
JACKSON
Registration
(Cont.)* -------------------------
COMP
220 MILWAUKEE STREET
(25743)
LAKEFIELD, MN 56150
PHONE: 507/662-5236
FAX: 507/662-5126
MS. PAMELA KAREN
HWSAL
Corp
DOMAN ROSE PLACE
220 MILWAUKEE STREET
(20084)
LAKEFIELD, MN 56150
PHONE: 507/662-6433
FAX: 507/662-5364
Corp
HABILITATIVE SERVICES INC
MS. JESSICA NEITZEL
HCP-A
220 MILWAUKEE STREET
(30860)
LAKEFIELD, MN 56150
PHONE: 507/662-5236
MS. BRENDA MEYER
FAX: 507/662-5542
HWSAL
Corp
ROSEWOOD VILLA
224 MILWAUKEE STREET
(23401)
LAKEFIELD, MN 56150
PHONE: 507/662-6433
MS. BRENDA MEYER
FAX: 507/662-5542
RHC
NProf
SANFORD CLINIC LAKEFIELD
209 MAIN STREET PO BOX 546
(03730)
LAKEFIELD, MN 56150
PHONE: 507/662-6611
VALLEY VIEW ASSISTED LIVING
MR. DAVID HOVE
FAX: /
Corp
COMP
1005 MILWAUKEE STREET
LAKEFIELD, MN 56150
PHONE: 507/662-5330
VALLEY VIEW ASSISTED LIVING
(23656)
MS. PATRICE GOETTE
FAX: 507/662-5679
HWSAL
Corp
1005 MILWAUKEE STREET
LAKEFIELD, MN 56150
PHONE: 507/662-5330
(23658)
MS. PATRICE GOETTE
FAX: 507/662-5679
---------------------------**********
BENEDICTINE LIVING COMMUNITY O
NProf
KANABEC
******** -------------------------
COMP
101 NINTH STREET
MORA, MN 55051
PHONE: 320/679-2576
BENEDICTINE LIVING COMMUNITY O
(03022)
FAX: 320/679-8358
MR. JACK L'HEUREUX
HWSAL
NProf
101 NINTH STREET
MORA, MN 55051
PHONE: 320/679-2576
(20246)
FAX: 320/679-8358
MR. JACK L'HEUREUX
Minnesota Department of Health
Division of Compliance Monitoring
Page
289
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
EASTWOOD SENIOR LIVING HOME CA
Certification
KANABEC
Registration
(Cont.)* -------------------------
HWSAL
NProf
170 VALHALLA CIRCLE
MORA, MN 55051
PHONE: 320/679-2916
EASTWOOD SENIOR LIVING HOME CA
(30743)
FAX: 320/679-4336
NProf
MS. MARY JO THORNE
COMP
170 VALHALLA CIRCLE
MORA, MN 55051
PHONE: 320/679-2916
FIRSTLIGHT HEALTH SYSTEM
(27518)
FAX: 320/679-4336
Cnty
MS. MARY JO THORNE
HOSP-49 BASS-8
CAH-25
301 S HWY 65
MORA, MN 55051
PHONE: 320/225-3315
FMCNA MORA DIALYSIS CENTER
(00308)
FAX: 320/225-3320
MR. RANDY ULSETH
ESRD
Corp
820 HOWE AVENUE SUITE 104
MORA, MN 55051
PHONE: 320/679-1250
KANABEC CO PUBLIC HLTH HOSPICE
(03556)
MS. JENA ANDERBERG
FAX: 320/670-1154
Cnty
Hospice
HSPICE
905 E FOREST AVENUE SUITE 127
MORA, MN 55051
PHONE: 320/679-6330
KANABEC PINE COMMUNITY HEALTH
(03844)
MS. WENDY THOMPSON
FAX: 320/679-6333
Cnty
HCP/COMP
HHA
905 E FOREST AVENUE SUITE 127
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
(00814)
FAX: 320/679-8350
Lim-Liab
MR. JACK L'HEUREUX
COMP
1545 HARBOR STREET
OGILVIE, MN 56358
PHONE: 320/272-0115
SIGNE AND OLIVIAS LLC
(26359)
FAX: 320/272-4100
MS. VICTORIA FORE
HWSAL
Lim-Liab
1545 HARBOR STREET
OGILVIE, MN 56358
PHONE: 320/272-0115
(30706)
FAX: 320/272-4100
MS. VICTORIA FORE
Minnesota Department of Health
Division of Compliance Monitoring
Page 290
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)
MS. DAWN FRERICKS
FAX: 320/235-8069
HWSAL
Corp
314 SUNRISE LANE
ATWATER, MN 56209
PHONE: 320/441-7001
CENTRAL MINNESOTA SENIOR CARE
(21369)
MS. DAWN FRERICKS
FAX: 320/235-8069
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 LIVING COMMUNITY O
(20303)
MR. JIM LAINE
FAX: 320/354-2060
NProf
COMP
100 GLENOAKS DRIVE
NEW LONDON, MN 56273
PHONE: 320/354-2231
BENEDICTINE LNG COM NEW LONDON
(21021)
MR. JAMES LAINE
FAX: 320/354-2060
NProf
SNF-NF-52
NH-52
100 GLEN OAKS DRIVE
NEW LONDON, MN 56273
PHONE: 320/354-2231
BENEDICTINE LVG COM VILLAGE A
(00314)
MR. JAMES INGERSOLL
FAX: 320/354-2060
HWS
NProf
104 GLENOAKS DRIVE
NEW LONDON, MN 56273
PHONE: 320/354-6054
LAKE REGION HOME HEALTH
(29292)
MR. JAMES LAINE
FAX: 320/354-2060
Corp
HHA
HCP/COMP
22 CENTRAL AVE EAST
NEW LONDON, MN 56273
PHONE: 320/354-5858
TOUCHING HEARTS AT HOME WC MN
(02204)
MS. KIMBERLY WESTBERG OLSON
FAX: 888/501-7631
Corp
BASIC
14 4TH AVENUE SE PO BOX 52
NEW LONDON, MN 56273
PHONE: 320/354-4663
(29742)
FAX: 320/354-4664
MS. LINDSAY FREELAND
Minnesota Department of Health
Division of Compliance Monitoring
Page
291
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
KANDIYOHI
(Cont.)* -------------------------
HWSAL
Corp
CENTRAL MINNESOTA SENIOR CARE
Registration
403 CARDINAL DRIVE
(23208)
PRINSBURG, MN 56281
PHONE: 320/441-7001
FAX: 320/235-8069
COUNTRY LIVING MANAGEMENT COMP
Corp
MS. DAWN FRERICKS
COMP
12335 13TH STREET NORTHWEST
SPICER, MN 56288
PHONE: 320/269-9000
LAKEWOOD HOME
(28183)
FAX: 320/269-8008
NProf
MS. LUANNE GIBSON
SLFB-6
ICFIID-6
256 LAKE AVENUE NORTH
SPICER, MN 56288
PHONE: 320/796-6999
CENTRAL MINNESOTA SENIOR CARE
(01542)
FAX: 320/796-6522
MR. KEITH LUNDSETTER
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 ASSISTED LIVING
(23209)
MS. DAWN FRERICKS
FAX: 320/235-8069
NProf
COMP
1125 NINTH STREET SOUTHEAST
WILLMAR, MN 56201
PHONE: 320/235-1602
BETHESDA HERITAGE CENTER
(20208)
FAX: 320/235-4517
NProf
MS. PAM HOCKERT-FREESE
NH-125
SNF-NF-125
1012 EAST THIRD STREET
WILLMAR, MN 56201
PHONE: 320/235-9532
BETHESDA HOME HEALTH
(00312)
FAX: 320/231-3399
Church
MS. ASHLEY BORMANN
HCP/COMP
HHA
901 WILLMAR AVENUE SUITE 2
WILLMAR, MN 56201
PHONE: 320/235-8364
BETHESDA NH PLEASANTVIEW
(02926)
FAX: 320/235-6968
NProf
MR. BRANDON PIETSCH
NH-123
SNF-NF-123
901 SOUTHEAST WILLMAR AVENUE
WILLMAR, MN 56201
PHONE: 320/235-9532
CENTRAL MINNESOTA SENIOR CARE
(00792)
FAX: 320/235-7909
Corp
MR. BRANDON PIETSCH
COMP
1004 1ST ST S STE 1
WILLMAR, MN 56201
PHONE: 320/441-7001
(20855)
FAX: 320/235-8069
MS. DEBRA SHRIVER
Minnesota Department of Health
Division of Compliance Monitoring
Page 292
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
CHILD& ADOLESCENT BEHAV HLTH
(21061)
MS. DAWN FRERICKS
FAX: 320/235-8069
State
PSY-16
OTHER-16
1701 TECHNOLOGY DRIVE NE
WILLMAR, MN 56201
PHONE: 320/231-5421
COMMUNITY ADDICTION WILLMAR
(00318)
MR. MARK KRAGENBRING
FAX: 218/231-5901
State
SLFB-90
1801 TECHNOLOGY DRIVE NE
WILLMAR, MN 56201
PHONE: 320/231-5356
COMPASSIONATE CARE INC
(26528)
MR. SCOTT PAUL
FAX: 651/431-7701
Corp
BASIC
601 4TH STREET SOUTHWEST
WILLMAR, MN 56201
PHONE: 320/231-9868
COMPASSIONATE COTTAGE LLC
(27923)
MS. BEVERLY WERDER
FAX: 320/231-9871
Lim-Liab
COMP
1000 COTTONWOOD DRIVE NE
WILLMAR, MN 56201
PHONE: 320/235-2775
COMPASSIONATE COTTAGE LLC
(25627)
FAX: 320/441-2010
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 293
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
COPPERLEAF SENIOR LIVING
Certification
KANDIYOHI
Registration
(Cont.)* -------------------------
HWSAL
Lim-Liab
1550 FIRST STREET NORTH
WILLMAR, MN 56201
PHONE: 320/222-5000
COPPERLEAF SENIOR LIVING
(26121)
FAX: 320/222-5001
Lim-Liab
MR. PATRICK RAFFERTY
HCP-F
1550 FIRST STREET NORTH
WILLMAR, MN 56201
PHONE: 320/222-5000
DIVINE HOME CARE INC
(26122)
FAX: 320/344-1504
Corp
MR. PATRICK RAFFERTY
HCP/COMP
HHA
322 SOUTHWEST 2ND STREET
WILLMAR, MN 56201
PHONE: 320/231-9757
DIVINE HOME CARE INC
(22025)
FAX: 320/231-9795
MS. PAMELA BREDE
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)
MS. PAMELA BREDE
FAX: 320/231-9795
Home Mgmt
Corp
328 FIFTH STREET SOUTHWEST
WILLMAR, MN 56201
PHONE: 320/231-2738
DIVINE HOUSE INC
(21062)
FAX: 320/231-3276
Corp
MS. DEBRA SHRIVER
COMP
328 5TH STREET SOUTHWEST
WILLMAR, MN 56201
PHONE: 320/231-2738
DIVINE HOUSE INC VALLEY QUEST
(20854)
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
(20764)
FAX: 320/231-3276
MS. DEBRA SHRIVER
HWSAL
Corp
505 33RD ST NW
WILLMAR, MN 56201
PHONE: 320/441-7001
FAMILY SURGERY CENTER LLC
(21124)
FAX: 320/235-8069
Lim-Liab
MS. DEB OELSON
Amb Surg
Outpt Surg
1801 19TH AVENUE SW
WILLMAR, MN 56201
PHONE: 320/235-7700
(23189)
FAX: 320/235-7701
MS. KENDRA VAN METER
Minnesota Department of Health
Division of Compliance Monitoring
Page 294
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
FOURTH AVENUE HOMES INC
Certification
KANDIYOHI
Registration
(Cont.)* -------------------------
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)
FAX: 320/235-8069
MS. DEBRA OLESON
HWS-O
BusTrust
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
Lim-Liab
1421 LAKE AVENUE NW
WILLMAR, MN 56201
PHONE: 320/235-0742
MN SPECIALTY HEALTH SYSTEM
(21194)
MR. DOUG WESTROM
FAX: 320/235-0759
State
SLFB-16
1208 OLENA AVE SE
WILLMAR, MN 56201
PHONE: 320/235-0018
PRAIRIE SENIOR COTTAGES OF WI
(25363)
MS. MARY THALBERG
FAX: 320/214-3335
HWSAL
Lim-Liab
1701 19TH AVENUE SOUTHWEST
WILLMAR, MN 56201
PHONE: 320/235-6022
PRAIRIE SENIOR COTTAGES OF WIL
(20738)
MS. BECKY HOLMGREN
FAX: 320/235-6029
HWSAL
Lim-Liab
1705 19TH AVENUE SW
WILLMAR, MN 56201
PHONE: 320/235-6022
PRAIRIE SENIOR COTTAGES OF WIL
(30714)
MS. BECKY HOLMGREN
FAX: 320/235-6029
Lim-Liab
COMP
1705 19TH AVENUE SW
WILLMAR, MN 56201
PHONE: 320/235-6022
QUALITY QUEST HEALTH CARE INC
(20579)
MS. BECKY HOLMGREN
FAX: 320/235-6029
Corp
HHA
HCP/COMP
1010 BENSON AVE SW
WILLMAR, MN 56201
PHONE: 320/235-5440
(03362)
FAX: 320/214-7371
MS. RACHEL ANDERSON
Minnesota Department of Health
Division of Compliance Monitoring
Page
295
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
City
RICE CARE CENTER
Certification
KANDIYOHI
Registration
(Cont.)* -------------------------
NH-78
SNF-NF-78
1801 SOUTHWEST WILLMAR AVENUE
(00313)
WILLMAR, MN 56201
PHONE: 320/214-2745
FAX: 320/214-2765
City
RICE HOSPICE PROGRAM
MS. PAMELA ADAM
Hospice
HSPICE
301 BECKER AVENUE SOUTHWEST
(02407)
WILLMAR, MN 56201
PHONE: 320/231-4450
FAX: 320/231-4875
City
RICE MEMORIAL HOSPITAL
MS. MARY BETH POTTER
HOSP-136 BASS-20
HOSP-128 PPS-P-8
301 BECKER AVENUE SOUTHWEST
(00316)
WILLMAR, MN 56201
PHONE: 320/231-4227
FAX: 320/231-4869
MR. MICHAEL SCHRAMM
ESRD
City
RICE MEMORIAL HOSPITAL ESRD
301 BECKER AVENUE SOUTHWEST
(02116)
WILLMAR, MN 56201
PHONE: 320/231-4235
MR. MICHAEL SCHRAMM
FAX: 320/231-4873
Home Mgmt
Lim-Liab
SAMAH HOME HEALTH CARE
330 SW 4TH STREET SUITE 9-B
(29280)
WILLMAR, MN 56201
PHONE: 320/262-3657
MR. JAWAD ZAKIR
FAX: 320/272-2915
Corp
STERLING HOUSE OF WILLMAR
COMP
1501 19TH AVENUE SOUTHWEST
(20351)
WILLMAR, MN 56201
PHONE: 320/235-1024
FAX: 320/235-1108
MS. LINDA SEBENALER
HWSAL
Corp
STERLING HOUSE OF WILLMAR
1501 19TH AVENUE SW
(30600)
WILLMAR, MN 56201
PHONE: 320/235-1024
FAX: 320/235-1108
MS. LINDA SEBENALER
HWSAL
NProf
SUNRISE VILLAGE
1125 NINTH STREET SOUTHEAST
(30451)
WILLMAR, MN 56201
PHONE: 320/235-1602
MS. PAM HOCKERT-FREESE
FAX: 320/235-4517
Part
WILLMAR SURGERY CENTER LLP
Outpt Surg
Amb Surg
1320 SOUTH FIRST ST PO BOX 773
(00289)
WILLMAR, MN 56201
PHONE: 320/235-6506
FAX: 320/235-7069
MR. STEVE GERBERDING
CMHC
NProf
WOODLAND CENTERS
1125 SE SIXTH ST PO BOX 787
(02778)
WILLMAR, MN 56201
PHONE: 320/235-4613
FAX: /
DR. EUGENE BONYNGE
Minnesota Department of Health
Division of Compliance Monitoring
Page 296
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
WOODLAND CENTERS
Certification
KANDIYOHI
Registration
(Cont.)* --------------------------
SLFB-16
1125 SE SIXTH ST PO BOX 787
(01502)
WILLMAR, MN 56201
PHONE: 320/235-4613
FAX: 320/231-9141
MR. RICHARD LEE
---------------------------**********
NProf
KITTSON COUNTY HOSPICE INC
KITTSON
******** -------------------------
Hospice
1010 SOUTH BIRCH AVENUE
(02878)
HALLOCK, MN 56728
PHONE: 218/843-3612
FAX: 218/843-2311
MS. TERESA CLAY
RHC
NProf
KITTSON MEMORIAL CLINIC
1010 SOUTH BIRCH BOX 700
(03134)
HALLOCK, MN 56728
PHONE: 218/843-3612
FAX: /
MR. TODD CHRISTENSEN
NProf
KITTSON MEMORIAL HOME HLTHCARE
HCP/COMP
HHA
1010 SOUTH BIRCH PO BOX 430
(02155)
HALLOCK, MN 56728
PHONE: 218/843-3662
MS. JODEE SUGDEN
FAX: 218/843-2487
NProf
KITTSON MEMORIAL HOSPITAL
NH-60 HOSP-15 BASS-0
SNF-NF-60 CAH-15
1010 SOUTH BIRCH
(00321)
HALLOCK, MN 56728
PHONE: 218/843-3612
MS. CINDY URBANIAK
FAX: 218/843-8879
NProf
RIVERS EDGE
COMP
513 10TH STREET SOUTHEAST
(25470)
HALLOCK, MN 56728
PHONE: 218/843-8812
FAX: 218/843-2487
MS. CINDY URBANIAK
HWSAL
NProf
RIVERS EDGE
513 10TH STREET SOUTHEAST
(30589)
HALLOCK, MN 56728
PHONE: 218/843-8812
FAX: 218/843-2487
Corp
KARLSTAD HEALTHCARE CTR INC
MS. JODEE SUGDEN
NH-46
SNF-NF-46
304 WASHINGTON AVENUE WEST
(00830)
KARLSTAD, MN 56732
PHONE: 218/436-2161
FAX: 218/436-3564
MR. TIMOTHY BUSH
RHC
NProf
KITTSON MEM CLINIC OF KARLSTAD
205 ROOSEVELT AVE W PO BOX 199
(22061)
KARLSTAD, MN 56732
PHONE: 218/843-3612
FAX: /
MR. RICHARD FAILING
Minnesota Department of Health
Division of Compliance Monitoring
Page
297
Directory of Facilities and Services
Facility/Service
Owner
Licensure
Certification
KITTSON
---------------------------**********
THE MEADOWS
Registration
(Cont.)* -------------------------
HWSAL
Lim-Liab
306 WASHINGTON AVENUE WEST
KARLSTAD, MN 56732
PHONE: 218/436-2161
THE MEADOWS
(30476)
FAX: 218/436-4161
Lim-Liab
MR. HOWARD GROFF
COMP
306 WASHINGTON AVENUE WEST
KARLSTAD, MN 56732
PHONE: 218/436-2161
(23877)
FAX: 218/436-3564
MS. EMILY STRAW
---------------------------**********
DECKER'S FAMILY CARE INC PAPER
KOOCHICHING
******** -------------------------
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)
MR. ADAM COE
FAX: 218/283-9497
NProf
HCP-F
2101 KEENAN DRIVE
INTERNATIONAL FALLS, MN 56649
PHONE: 218/283-1300
GOOD SAMARITAN HC INTL FALLS
(29497)
MR. ADAM COE
FAX: 218/283-1327
NProf
HCP/COMP
HHA
2221 KEENAN DRIVE
INTERNATIONAL FALLS, MN 56649
PHONE: 218/283-4319
GOOD SAMARITAN SOCIETY NORTHWI
(24363)
FAX: 218/283-3219
MS. ANGEL MAISH
HWSAL
NProf
2101 KEENAN DRIVE
INTERNATIONAL FALLS, MN 56649
PHONE: 218/283-1300
GOOD SAMARITAN SOCIETY RIVERS
(29498)
FAX: 218/283-1327
MR. ADAM COE
HWS
NProf
1406 HIGHWAY 71
INTERNATIONAL FALLS, MN 56649
PHONE: 218/285-9563
KOOCHICHING COUNTY HEALTH DEPT
(20466)
FAX: 218/283-8361
Cnty
MR. ADAM COE
HCP-A
1000 FIFTH STREET
INTERNATIONAL FALLS, MN 56649
PHONE: 218/283-7070
(02126)
FAX: 218/283-7050
MS. SUSAN CONGRAVE
Minnesota Department of Health
Division of Compliance Monitoring
Page
298
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
RAINY LAKE MEDICAL CENTER
Certification
KOOCHICHING
Registration
(Cont.)* -------------------------
HOSP-49 BASS-11
CAH-25
1400 HIGHWAY 71
(00323)
INTERNATIONAL FALLS, MN 56649
PHONE: 218/283-4481
FAX: 218/283-2281
MR. BOB HALEY
RHC
Corp
RAINY LAKE MEDICAL CENTER RHC
1400 HIGHWAY 71
(29921)
INTERNATIONAL FALLS, MN 56649
PHONE: 218/283-4481
FAX: 218/283-2281
MR. BOB HALEY
HWSAL
Lim-Liab
RIDGEVIEW LLC
2020 RIDGEVIEW DRIVE
(30482)
INTERNATIONAL FALLS, MN 56649
PHONE: 218/283-2806
FAX: 218/283-2177
Lim-Liab
RIDGEVIEW LLC
MS. DONNA TAYLOR
COMP
2020 RIDGEVIEW DRIVE
(23979)
INTERNATIONAL FALLS, MN 56649
PHONE: 218/283-2806
MS. DONNA TAYLOR
FAX: 218/283-2177
HWS
City
LITTLEFORK MEDICAL CENTER
912 MAIN STREET
(30220)
LITTLEFORK, MN 56653
PHONE: 218/278-6634
MR. MIKE ANDERSON
FAX: 218/278-6637
City
LITTLEFORK MEDICAL CENTER
NH-50
SNF-NF-50
BOX N 900 MAIN STREET
(00324)
LITTLEFORK, MN 56653
PHONE: 218/278-6634
FAX: 218/278-6637
City
LITTLEFORK MEDICAL CENTER
MR. MICHAEL ANDERSON
COMP
912 MAIN STREET
(21857)
LITTLEFORK, MN 56653
PHONE: 218/278-6634
FAX: 218/278-6637
MR. MICHAEL ANDERSON
RHC
City
LITTLEFORK MEDICAL CENTER
PO BOX N
(03502)
LITTLEFORK, MN 56653
PHONE: 218/278-6634
PINEVIEW RECOVERY CENTER
FAX: /
MS. KIMBERLY PERKINS
City
SLFA-8 SLFB-2
912 MAIN STREET
LITTLEFORK, MN 56653
PHONE: 218/278-4607
DECKERS FAMILY CARE INC
(01653)
FAX: 218/278-6637
MS. LISA WRABEK
HWSAL
Corp
3443 PINE STREET
RANIER, MN 56668
PHONE: 218/286-5633
(30242)
FAX: 218/286-5312
MR. JOHN DECKER
Minnesota Department of Health
Division of Compliance Monitoring
Page
299
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
DECKERS FAMILY CARE INC
Certification
KOOCHICHING
Registration
(Cont.)* -------------------------
HCP-F
3443 PINE STREET
(20001)
RANIER, MN 56668
PHONE: 218/286-5633
FAX: 218/286-5312
MR. JOHN DECKER
---------------------------**********
LAC QUI PARLE
******** -------------------------
RHC
Dist
JOHNSON MEMORIAL BOYD CLINIC
115 3RD STREET
(21827)
BOYD, MN 56218
PHONE: 320/769-4323
FAX: /-
MS. MELISSA STRUXNESS
RHC
Dist
DAWSON CLINIC
1272 WALNUT STREET
(02999)
DAWSON, MN 56232
PHONE: 320/769-4393
DAWSON ICFMR
FAX: /
MS. KATHY JOHNSON
Corp
SLFB-6
ICFIID-6
100 CIRCLE DR & NORTH 4TH ST
DAWSON, MN 56232
PHONE: 320/769-4444
JOHNSON MEMORIAL ASSISTED LIVI
(01590)
MS. BRENDA STREICH
FAX: 320/231-3276
Dist
COMP
1255 WALNUT STREET
DAWSON, MN 56232
PHONE: 320/769-2144
JOHNSON MEMORIAL ASSISTED LIVI
(22054)
MS. KATHY JOHNSON
FAX: 320/769-4670
HWSAL
Dist
1255 WALNUT STREET
DAWSON, MN 56232
PHONE: 320/769-2144
JOHNSON MEMORIAL HOME CARE
(30241)
FAX: 320/769-4670
Dist
MS. KATHY JOHNSON
HCP/COMP
HHA
1294 CHESTNUT ST
DAWSON, MN 56232
PHONE: 320/769-4323
JOHNSON MEMORIAL HOSP & HOME
(02730)
FAX: 320/769-4313
Dist
MS. KATHY JOHNSON
NH-56 HOSP-20 BASS-2
1282 WALNUT STREET
DAWSON, MN 56232
PHONE: 320/769-4323
SONSHINE HOME HEALTH CARE LLC
(00326)
FAX: 320/769-2972
Lim-Liab
MS. KATHY JOHNSON
HCP-A
1313 SPRUCE STREET
DAWSON, MN 56232
PHONE: 320/769-2669
(26729)
FAX: 320/769-2989
MS. CARMEN KELLEN
SNF-NF-56 CAH-20
Minnesota Department of Health
Division of Compliance Monitoring
Page
300
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
LAC QUI PARLE
(Cont.)* -------------------------
HWSAL
Lim-Liab
GRACE HAVEN ASSISTED LIVING
Registration
301 3RD STREET EAST
(30808)
MADISON, MN 56256
PHONE: 320/598-7557
FAX: 320/598-7558
Lim-Liab
GRACE HAVEN ASSISTED LIVING
MS. JENNIFER GILYARD
COMP
301 3RD STREET EAST
(28354)
MADISON, MN 56256
PHONE: 320/598-7557
FAX: 320/598-7558
MS. JENNIFER GILYARD
HWS
NProf
HILLTOP RESIDENCE INC
915 1ST AVENUE
(21699)
MADISON, MN 56256
PHONE: 320/598-3129
FAX: 320/598-3923
MR. STEVEN MOBURG
RHC
NProf
LAC QUI PARLE CLINIC MADISON
900 SECOND AVENUE
(03513)
MADISON, MN 56256
PHONE: 320/598-7551
MADISON HOSPITAL
MR. DALLAS REESE
FAX: /-
NProf
HOSP-12 BASS-2
CAH-12
820 THIRD AVENUE
MADISON, MN 56256
PHONE: 320/598-7536
MADISON HOSPITAL HHA
(00328)
MR. ALLEN ANDERSON-INTERIM
FAX: 320/598-3470
NProf
HCP/COMP
HHA
900 SECOND AVENUE
MADISON, MN 56256
PHONE: 320/698-7198
MADISON LUTHERAN HOME
(02173)
FAX: 320/598-7387
NProf
MS. SHERRY DEYO
NH-80
SNF-NF-80
900 SECOND AVENUE
MADISON, MN 56256
PHONE: 320/598-7536
(00329)
FAX: 320/598-3923
MS. DENISE BECKER
---------------------------**********
MN VETERANS HOME SILVER BAY
State
LAKE
******** -------------------------
NH-83
45 BANKS BOULEVARD
SILVER BAY, MN 55614
PHONE: 218/226-6300
SILVER BAY CAREFREE LIVING INC
(00381)
FAX: 218/226-6302
MS. CAROL GILBERTSON
HWSAL
Corp
36 BELL CIRCLE
SILVER BAY, MN 55614
PHONE: 218/226-3524
(27604)
FAX: 218/226-3212
MR. MERLE SAMPSON
Minnesota Department of Health
Division of Compliance Monitoring
Page
301
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
BARROSS COTTAGE
Certification
LAKE
Registration
(Cont.)* -------------------------
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
FAX: 218/834-8019
Lim-Liab
BARROSS COTTAGE II LLC
MS. CYNTHIA STORY
HCP-F
806 13TH AVENUE
(30215)
TWO HARBORS, MN 55616
PHONE: 218/834-7304
FAX: 218/834-8019
MS. CYNTHIA STORY
HWS
Lim-Liab
BARROSS COTTAGE II LLC
806 13TH AVENUE
(29942)
TWO HARBORS, MN 55616
PHONE: 218/834-8098
MS. CYNTHIA STORY
FAX: 218/834-8089
HWSAL
Lim-Liab
BARROSS MANOR
414 FIRST AVENUE
(30324)
TWO HARBORS, MN 55616
PHONE: 218/834-6174
MS. CORTNEY BUCHHOLZ
FAX: 218/834-4015
Lim-Liab
BARROSS MANOR
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
SLFB-5
ICFIID-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
MR. STEVEN BAUKNER
HWS
NProf
409 13TH AVENUE
(30733)
TWO HARBORS, MN 55616
PHONE: 218/834-0849
FAX: 218/834-0850
ECUMEN TWO HARBORS SCENIC SHOR
NProf
MS. JULIE LUCHSINGER
COMP
409 13TH AVENUE
TWO HARBORS, MN 55616
PHONE: 218/834-0849
(21265)
FAX: 218/834-0850
MS. JULIE LUCHSINGER
Minnesota Department of Health
Division of Compliance Monitoring
Page
302
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
LAKE VIEW MEMORIAL HOSPITAL
NProf
Certification
LAKE
Registration
(Cont.)* -------------------------
HOSP-25 BASS-1
CAH-25
325 ELEVENTH AVENUE
TWO HARBORS, MN 55616
PHONE: 218/834-7300
SAFE HARBOR BOARD & LODGE INC
(00331)
FAX: 218/834-7388
MR. GREG RUBERG
HWS
Corp
426 1ST AVENUE
TWO HARBORS, MN 55616
PHONE: 218/834-5501
(24905)
FAX: 218/834-5501
MS. 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
NProf
MR. JASON BREUER
COMP
600 MAIN AVENUE SOUTH
BAUDETTE, MN 56623
PHONE: 218/634-1795
LAKEWOOD HEALTH CENTER
(02138)
MS. MICHELLE BROWN
FAX: 218/634-3431
Church
HOSP-15 BASS-3
CAH-15
600 SOUTH MAIN
BAUDETTE, MN 56623
PHONE: 218/634-2120
LAKEWOOD HEALTH CENTER CLINIC
(00333)
MR. JASON BREUER
FAX: 218/634-1094
RHC
NProf
600 MAIN AVENUE SOUTH
BAUDETTE, MN 56623
PHONE: 218/634-2120
PARKERS ARC
(27146)
FAX: 218/634-1094
MS. SHAR RAY FEICKERT
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-40
******** -------------------------
SNF-NF-40
444 NORTH CORDOVA
LE CENTER, MN 56057
PHONE: 507/357-2275
ECUMEN LECENTER
(00800)
FAX: 507/357-4346
MR. KARL PELOVSKY
HWSAL
NProf
175 EAST DERRYNANE ST
LE CENTER, MN 56057
PHONE: 507/357-4104
(30604)
FAX: 507/357-4937
MS. MANDY FILTER
Minnesota Department of Health
Division of Compliance Monitoring
Page 303
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
ECUMEN LECENTER
NProf
Certification
LESUEUR
Registration
(Cont.)* -------------------------
COMP
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
510 COMMERCE DRIVE
LE CENTER, MN 56057
PHONE: 507/357-2262
HORIZON PLACE
(27214)
FAX: 507/357-6299
MS. NANCY PETERSON
HWSAL
Corp
510 COMMERCE DRIVE
LE CENTER, MN 56057
PHONE: 507/357-2262
LESUEUR COUNTY PUBLIC HEALTH
(30682)
FAX: 507/357-6299
Cnty
MS. NANCY PETERSON
HCP/COMP
HHA
88 SOUTH PARK AVENUE
LE CENTER, MN 56057
PHONE: 507/357-8246
LESUEUR ASSISTED LIVING AND ME
(02029)
MS. CINDY SHAUGHNESSY
FAX: 507/357-4223
Lim-Liab
COMP
105 PLUM RUN ROAD
LE SUEUR, MN 56058
PHONE: 507/665-2499
LESUEUR ASSISTED LIVING AND ME
(23904)
MR. JASON GESCHWIND
FAX: 507/665-2637
HWSAL
Lim-Liab
105 PLUM RUN ROAD
LE SUEUR, MN 56058
PHONE: 507/665-2499
MINNESOTA VALLEY HLTH CTR INC
(30477)
FAX: 507/540-1062
NProf
MR. JASON GESCHWIND
NH-55 HOSP-15
SNF-NF-55 CAH-15
621 SOUTH FOURTH STREET
LE SUEUR, MN 56058
PHONE: 507/665-3375
AGING SERVICES FOR COMMUNITIES
(00336)
FAX: 507/665-2191
MS. LUANN LINN
Home Mgmt
NProf
212 1ST ST S PO BOX 7
MONTGOMERY, MN 56069
PHONE: 507/364-5663
TRADITIONS OF MONTGOMERY LLC
(23985)
FAX: 507/364-5454
Lim-Liab
MS. SHELLY BARNETT
HCP-F
399 LEXINGTON AVENUE NW
MONTGOMERY, MN 56069
PHONE: 507/364-5585
TRADITIONS OF MONTGOMERY LLC
(26604)
FAX: 507/364-5244
MS. LISA KROHN
HWSAL
Lim-Liab
399 LEXINGTON AVENUE NW
MONTGOMERY, MN 56069
PHONE: 507/364-5585
(30730)
FAX: 507/364-5244
MS. DEIDRA BURKE
Minnesota Department of Health
Division of Compliance Monitoring
Page
304
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
GOOD SAM SOCIETY WATERVILLE
Certification
LESUEUR
Registration
(Cont.)* -------------------------
NH-33
SNF-NF-33
205 FIRST STREET NORTH
(00962)
WATERVILLE, MN 56096
PHONE: 507/362-4245
FAX: 507/362-8631
MS. KATIE DAVIS
HWS
Lim-Liab
TRADITIONS OF WATERVILLE LLC
117 PAQUIN STREET EAST
(30618)
WATERVILLE, MN 56096
PHONE: 507/362-4155
FAX: 507/583-0011
Lim-Liab
WATERVILLE ASSISTED LIVING LLC
MS. DEIDRA BURKE
HCP-F
117 PAQUIN STREET EAST
(25965)
WATERVILLE, MN 56096
PHONE: 507/362-4155
FAX: 507/583-0011
MS. LISA KROHN
---------------------------**********
NProf
GOOD SHEPHERD HOSPICE
LINCOLN
******** --------------------------
Hospice
HSPICE
503 EAST LINCOLN STREET
(03298)
HENDRICKS, MN 56136
PHONE: 507/275-3134
MR. JEFF GOLLAHER
FAX: 507/275-2242
RHC
Ind
HENDRICKS CLINIC
501 EAST LINCOLN STREET
(03493)
HENDRICKS, MN 56136
PHONE: 507/275-3134
HENDRICKS COMM HOSP
MR. JEFFREY GOLLAHER
FAX: /-
NProf
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/COMP
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
MS. DAWN POPOWSKI
NH-25
SNF-NF-25
312 EAST GEORGE STREET
IVANHOE, MN 56142
PHONE: 507/694-2010
(00339)
FAX: 507/694-1191
MR. GREG WILSON
Minnesota Department of Health
Division of Compliance Monitoring
Page 305
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
LINCOLN
(Cont.)* -------------------------
RHC
NProf
IVANHOE MEDICAL CENTER
Registration
366 EAST GEORGE STREET
(28186)
IVANHOE, MN 56142
PHONE: 507/694-1100
FAX: 507/694-1440
MR. JEFF GOLLAHER
HWSAL
Corp
HOMESTEAD PLACE
501 MORK STREET
(20824)
LAKE BENTON, MN 56149
PHONE: 320/441-7001
FAX: 320/235-8069
MS. DEBRA OLESON
HWSAL
Corp
HOMESTEAD PLACE
503 MORK STREET
(20825)
LAKE BENTON, MN 56149
PHONE: 320/441-7001
MS. DEBRA OLESON
FAX: 320/235-8069
RHC
Corp
LAKE BENTON MEDICAL CLINIC
109 EAST BENTON STREET
(30566)
LAKE BENTON, MN 56149
PHONE: 507/368-4323
MR. DALE KRUGER
FAX: /-
HWS
NProf
DANEBOD VILLAGE HOME
404 DANEBOD VILLAGE DRIVE
(22008)
TYLER, MN 56178
PHONE: 507/247-3200
MS. LISA KING
FAX: 507/247-4202
Corp
REM SOUTHWEST SERV INC TYLER
SLFB-8
ICFIID-8
303 HIGHLAND COURT
(01247)
TYLER, MN 56178
PHONE: 507/537-5568
FAX: 507/537-1450
NProf
RIDGEVIEW HOSPICE
MR. PATRICK MASYGA
Hospice
HSPICE
240 WILLOW STREET
(03400)
TYLER, MN 56178
PHONE: 507/247-5521
FAX: 507/247-5972
NProf
TYLER HEALTHCARE CENTER INC
MR. DALE KRUGER
NH-38 HOSP-20 BASS-1
SNF-NF-38 CAH-20
240 WILLOW STREET
(00338)
TYLER, MN 56178
PHONE: 507/247-5521
MR. DALE KRUGER
FAX: 507/247-5972
NProf
TYLER HOME CARE
HCP/COMP
HHA
240 WILLOW STREET
(02360)
TYLER, MN 56178
PHONE: 507/247-5973
FAX: 507/247-2390
MR DALE KRUGER
RHC
NProf
TYLER MEDICAL CLINIC
240 WILLOW STREET
(02722)
TYLER, MN 56178
PHONE: 507/247-5921
FAX: /
MR. DALE KRUGER
Minnesota Department of Health
Division of Compliance Monitoring
Page 306
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
COLONIAL MANOR OF BALATON
Certification
LYON
Registration
******** -------------------------
NH-33
SNF-NF-33
551 US HIGHWAY 14
(00982)
BALATON, MN 56115
PHONE: 507/734-3511
FAX: 507/734-2337
MR. CHARLES NESS
HWS
City
LAKEVIEW SENIOR HOUSING
651 HIGHWAY 14 EAST
(22353)
BALATON, MN 56115
PHONE: 507/734-6828
FAX: 507/734-6830
Corp
LAKEVIEW SENIOR HOUSING
MS. LORI HENKEL
HCP-F
651 HIGHWAY 14 EAST
(23188)
BALATON, MN 56115
PHONE: 507/734-6828
MS. LORI HENKEL
FAX: 507/734-6830
RHC
NProf
SANFORD CLINIC BALATON
HIGHWAY 14E
(21356)
BALATON, MN 56115
PHONE: 507/629-3200
MR. DANIEL REINER
FAX: 507/629-3202
Corp
FIELDCREST ASSISTED LIVING
COMP
80 EAST VERMILLION STREET
(20524)
COTTONWOOD, MN 56229
PHONE: 507/423-6691
MS. SAMANTHA WEE
FAX: 507/423-6470
HWSAL
Corp
FIELDCREST ASSISTED LIVING
80 EAST VERMILLION STREET
(30685)
COTTONWOOD, MN 56229
PHONE: 507/423-6691
FAX: 507/423-6470
NProf
AVERA MARSHALL REG MED CENTER
MR. JERRY BOERBOOM
NH-76 HOSP-49 BASS-8
SNF-NF-76 CAH-25 PPS-P-10
300 SOUTH BRUCE STREET
(00343)
MARSHALL, MN 56258
PHONE: 507/537-9160
FAX: 507/537-9053
NProf
AVERA@HOME MARSHALL
MS. MARY MAERTENS
TCOMP
1104 EAST COLLEGE DR
(31130)
MARSHALL, MN 56258
PHONE: 507/537-7070
FAX: 507/537-7998
NProf
AVERA@HOME MARSHALL
MS. DORIS DERYNCK
Hospice
1104 EAST COLLEGE DRIVE
(31216)
MARSHALL, MN 562584270
PHONE: 507/537-7070
FAX: 507/537-7998
MS. DODIE DERYNCK
HWSAL
Lim-Liab
BOULDER CREEK
604 VILLAGE DR
(30908)
MARSHALL, MN 56258
PHONE: 507/929-1234
FAX: /
MR. JAMES CARR
Minnesota Department of Health
Division of Compliance Monitoring
Page 307
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
MS. DEBRA OLESON
FAX: 320/235-8069
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: 507/337-4334
HWS
Lim-Liab
HERITAGE POINTE SENIOR LIVING
207 NORTH 4TH STREET
(29446)
MARSHALL, MN 56258
PHONE: 507/337-4330
MS. BETSY JO KACK
FAX: 507/337-4334
HWS
Lim-Liab
HILL STREET PLACE
401 SOUTH HILL STREET
(26126)
MARSHALL, MN 56258
PHONE: 507/537-9234
MR. JAMES CARR
FAX: 507/537-9254
ESRD
Corp
MARSHALL DIALYSIS CTR DAVITA
300 SOUTH BRUCE STREET
(02535)
MARSHALL, MN 56258
PHONE: 507/537-9348
MARSHALL SURGERY CENTER LLC
MS. SHERRY DANIELS
FAX: /
Amb Surg
Lim-Liab
1521 CARLSON STREET STE 200
MARSHALL, MN 56258
PHONE: 507/532-1901
PRAIRIE HOME COMMUNITY CARE
(29710)
MR. STEVE GERBERDING
FAX: 507/476-4801
NProf
HCP/COMP
HHA
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
(22089)
FAX: 507/537-9258
MS. PAT MELLENTHIN
Minnesota Department of Health
Division of Compliance Monitoring
Page 308
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
PRAIRIE HOME HOSPICE
Certification
LYON
Registration
(Cont.)* -------------------------
HSPICE
Hospice
408 EAST MAIN STREET #8
(02384)
MARSHALL, MN 56258
PHONE: 507/337-0080
MS. PAT MELLENTHIN
FAX: 507/337-0081
NProf
PROJECT TURNABOUT HALFWAY HSE
SLFA-24
1220 BIRCH STREET
(01617)
MARSHALL, MN 56258
PHONE: 507/532-3008
MR. MICHAEL SCHIKS
FAX: 507/532-3058
Corp
REM SOUTHWEST SRVS MARSHALL A
SLFA-6
ICFIID-6
1003 NORTH FOURTH STREET
(01042)
MARSHALL, MN 56258
PHONE: 507/537-1459
MR. PATRICK MASYGA
FAX: 507/537-1450
Corp
REM SOUTHWEST SRVS MARSHALL B
SLFA-6
ICFIID-6
1005 NORTH FOURTH STREET
(01615)
MARSHALL, MN 56258
PHONE: 507/537-1459
MR. PATRICK MASYGA
FAX: 507/537-1450
Corp
REM SOUTHWEST SRVS MARSHALL C
SLFB-6
ICFIID-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
FAX: 507/393-7697
Lim-Liab
STEPPING STONE HOME HEALTH CAR
MS. MEGAN JOHNSON
COMP
601 VILLAGE DRIVE
(26940)
MARSHALL, MN 56258
PHONE: 507/537-2413
FAX: 507/537-2430
Lim-Liab
TOUCHING HEARTS HOME CARE
MR. JIM KNUDSON
COMP
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
HWSAL
Lim-Liab
700 NORTH MADISON STREET
MINNEOTA, MN 56264
PHONE: 507/872-5300
(30459)
FAX: 507/872-5359
MS. JENNIFER KAMSTRA GLEASON
Minnesota Department of Health
Division of Compliance Monitoring
Page
309
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
MADISON AVENUE APARTMENTS
Certification
LYON
Registration
(Cont.)* -------------------------
COMP
700 NORTH MADISON STREET
(20238)
MINNEOTA, MN 56264
PHONE: 507/872-5300
FAX: 507/872-5359
Lim-Liab
MINNEOTA MANOR HCC
MS. KATHY JOHNSON
NH-67
SNF-NF-67
700 NORTH MONROE STREET
(00887)
MINNEOTA, MN 56264
PHONE: 507/872-5300
FAX: 507/872-5359
NProf
TOWN AND COUNTRY HHC
MS. KATHY JOHNSON
HCP/COMP
HHA
700 NORTH MADISON 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
MS. CINDY SWENHAUGEN
FAX: /
Corp
PRAIRIE VIEW SENIOR LIVING
NH-55
SNF-NF-55
250 FIFTH STREET EAST
(00342)
TRACY, MN 56175
PHONE: 507/629-3331
MR. JASON SWANSON
FAX: 507/629-3086
RHC
NProf
SANFORD CLINIC TRACY
251 FIFTH STREET EAST
(03335)
TRACY, MN 56175
PHONE: 507/629-3520
SANFORD TRACY MEDICAL CENTER
FAX: /
MR. DANIEL REINER
NProf
HOSP-25
CAH-25
251 FIFTH STREET EAST
TRACY, MN 56175
PHONE: 507/629-3200
SHETEK HOME CARE
(00344)
FAX: 507/629-3202
Lim-Liab
MS. STACY BARSTAD
HCP/COMP
HHA
251 FIFTH STREET EAST
TRACY, MN 56175
PHONE: 507/212-4155
SWEET HOME HOME CARE LLC
(02748)
FAX: 507/212-4144
MS. ALYSSA STROM
Home Mgmt
Lim-Liab
124 3RD STREET SUITE 2
TRACY, MN 56175
PHONE: 507/212-0202
(29402)
FAX: 507/629-6113
---------------------------**********
MS. SHERREIEA REINER
MAHNOMEN
******** -------------------------
Minnesota Department of Health
Division of Compliance Monitoring
Page
310
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
MAHNOMEN
(Cont.)* -------------------------
RHC
NProf
ESSENTIA ST MARY'S MAHNOMEN CL
Registration
117 NORTH MAIN STREET
(29394)
MAHNOMEN, MN 56557
PHONE: 218/936-5616
FAX: /
MR. PETER JACOBSON
HWSAL
NProf
MAHNOMEN AREA ASST LVG CTR INC
314 JEFFERSON AVE W
(31182)
MAHNOMEN, MN 56557
PHONE: 218/935-9402
FAX: 218/935-5409
NProf
MAHNOMEN HEALTH CENTER
MS. SUSAN KLASSEN
NH-42 HOSP-18
SNF-NF-42 CAH-15
414 WEST JEFFERSON
(00353)
MAHNOMEN, MN 56557
PHONE: 218/935-2511
FAX: 218/935-2370
NProf
MAHNOMEN HEALTH CENTER HCARE
MS. SUSAN KLASSEN
TCOMP
414 W JEFFERSON AVE PO BOX 396
(30960)
MAHNOMEN, MN 56557
PHONE: 218/935-9402
MS. SUSAN KLASSEN
FAX: 218/935-5409
RHC
NProf
SANFORD HEALTH MAHNOMEN CLINIC
414 WEST JEFFERSON PO BOX 396
(03424)
MAHNOMEN, MN 56557
PHONE: 218/935-2514
MR. JUSTIN STROMME
FAX: /
---------------------------**********
TAMARAC SENIOR LIVING COMMUNIT
MARSHALL
******** -------------------------
HWSAL
Lim-Liab
900 LINCOLN AVENUE
STEPHEN, MN 56757
PHONE: 218/478-2850
TAMARAC SENIOR LIVNG COMMUNITY
(30480)
FAX: 218/478-2852
Lim-Liab
MR. PHILIP GISI
HCP-F
900 LINCOLN AVENUE
STEPHEN, MN 56757
PHONE: 218/478-2850
GOOD SAM SOCIETY WARREN
(23935)
MR. JARED FERGUSON
FAX: 218/478-2852
NProf
NH-52
SNF-NF-52
410 SOUTH MCKINLEY STREET
WARREN, MN 56762
PHONE: 218/745-5282
GOOD SAMARITAN APARTMENTS
(00356)
FAX: 218/745-6434
MS. REBECCA SORENSON
HWS
NProf
434 SOUTH MCKINLEY STREET
WARREN, MN 56762
PHONE: 218/745-5282
(23993)
FAX: 218/745-6434
MR. TIMOTHY BYRNE
Minnesota Department of Health
Division of Compliance Monitoring
Page 311
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
GOOD SAMARITAN SOCIETY WARREN
Certification
MARSHALL
Registration
(Cont.)* -------------------------
COMP
400 SOUTH MCKINLEY STREET
(29838)
WARREN, MN 56762
PHONE: 218/745-5282
FAX: 218/745-6434
MR. TIM BYRNE
HWS
NProf
NORTH STAR ASSISTED LIVING WAR
400 SOUTH MCKINLEY STREET
(29839)
WARREN, MN 56762
PHONE: 218/745-5282
FAX: 218/745-6434
NProf
NORTH VALLEY HEALTH CENTER
MR. TIM BYRNE
CAH-12
HOSP-12
300 WEST GOOD SAMARITAN DRIVE
(00871)
WARREN, MN 56762
PHONE: 218/745-4211
MS. ASHLEY ERICKSON
FAX: 218/745-4215
RHC
NProf
NORTH VALLEY HLTH CTR CLINIC
300 WEST GOOD SAMARITAN DRIVE
(03790)
WARREN, MN 567621412
PHONE: 218/745-4211
MS. ASHLEY KING
FAX: /
---------------------------**********
GOLDFINCH ESTATES
MARTIN
******** -------------------------
HWSAL
Lim-Liab
850 GOLDFINCH STREET
FAIRMONT, MN 56031
PHONE: 507/235-9405
HUMAN SERVICES OF FARIBAULT &
(30399)
MR. PATRICK J RAFFERTY
FAX: 507/238-4163
Cnty
COMP
115 WEST 1ST STREET
FAIRMONT, MN 56031
PHONE: 507/238-4757
INGLESIDE
(21571)
FAX: 507/238-1574
MS. KATHY WERNER
HWSAL
Corp
2811 ROLAND AVENUE
FAIRMONT, MN 56031
PHONE: 507/238-9654
INGLESIDE
(30245)
FAX: 507/238-1442
Corp
MR. ERIC WORKE
HCP-F
2811 ROLAND AVENUE
FAIRMONT, MN 56031
PHONE: 507/238-9654
LAKEVIEW METHODIST HCC
(20004)
FAX: 507/238-1442
NProf
MR. ERIC WORKE
SNF-NF-85
NH-85
610 SUMMIT DRIVE
FAIRMONT, MN 56031
PHONE: 507/235-6606
(00360)
FAX: 507/235-3995
MS. DEBORAH BARNES
Minnesota Department of Health
Division of Compliance Monitoring
Page
312
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
MAPLEWOOD RESIDENCE INC
Certification
MARTIN
Registration
(Cont.)* -------------------------
HWS
NProf
620 SUMMIT DRIVE
FAIRMONT, MN 56031
PHONE: 507/235-3443
MAYO CLINIC FAIRMONT
(23768)
FAX: 507/235-3995
MS. DEBORAH BARNES
ESRD
NProf
835 JOHNSON STREET
FAIRMONT, MN 56031
PHONE: 507/235-5060
MAYO CLINIC HEALTH SYS FAIRMNT
(23115)
FAX: 507/238-5190
NProf
MR. BRAD WICK
HOSP-57 BASS-16 NH-40
HOSP-57 SNF-NF-40
800 MEDICAL CTR DRIVE PO 800
FAIRMONT, MN 56031
PHONE: 507/238-8101
REM HEARTLAND INC AMBER
(00359)
FAX: 507/238-8686
Corp
MR. ROBERT BARTINGALE
SLFB-14
ICFIID-14
107 DOROTHY STREET
FAIRMONT, MN 56031
PHONE: 507/238-4751
REM HEARTLAND INC BUDD
(01205)
MS. CONNIE MENNE
FAX: 507/238-4753
Corp
SLFB-12
ICFIID-12
111 DOROTHY STREET
FAIRMONT, MN 56031
PHONE: 507/238-4751
SO CENTRAL SURGICAL CTR LLC
(01427)
MS. CONNIE MENNE
FAX: 507/238-4753
Lim-Liab
Outpt Surg
Amb Surg
717 SOUTH STATE ST SUITE 1000
FAIRMONT, MN 56031
PHONE: 507/235-3939
VISTA PRAIRIE AT GOLDFINCH EST
(20623)
FAX: 855/363-7923
Lim-Liab
MR. COREY WELCHLIN DO
COMP
850 GOLDFINCH STREET
FAIRMONT, MN 56031
PHONE: 507/235-9405
WOODLAND MANOR
(23692)
FAX: 507/238-4163
NProf
MR. PATRICK J RAFFERTY
COMP
610 SUMMIT DRIVE
FAIRMONT, MN 56031
PHONE: 507/235-6606
WOODLAND MANOR
(20996)
FAX: 507/235-3995
MR. ROBERT LAKE
HWSAL
NProf
610 SUMMIT DRIVE
FAIRMONT, MN 56031
PHONE: 507/235-6606
COMM OPTIONS AND RESOURCES I
(30841)
FAX: 507/235-3995
NProf
MS. DEBORAH BARNES
SLFB-6
ICFIID-6
332 FOX LAKE AVE PO BOX 333
SHERBURN, MN 56171
PHONE: 507/764-4612
(01045)
FAX: 507/764-4067
MS. JUDY MARTENS
Minnesota Department of Health
Division of Compliance Monitoring
Page 313
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
TEMPERANCE LAKE RIDGE
Certification
MARTIN
Registration
(Cont.)* -------------------------
HWSAL
Corp
410 FOX LAKE AVENUE
SHERBURN, MN 56171
PHONE: 507/764-4977
TEMPERANCE LAKE RIDGE
(30233)
FAX: 507/764-2592
Corp
MR ROMAN BLOEMKE
COMP
410 FOX LAKE AVENUE
SHERBURN, MN 56171
PHONE: 507/764-4977
TRIMONT HEALTH CARE CENTER
(21944)
FAX: 507/764-2592
City
MR. JACOB WORK
NH-36
SNF-NF-36
303 BROADWAY AVENUE SOUTH
TRIMONT, MN 56176
PHONE: 507/639-2381
TRUMAN SENIOR LIVING
(00365)
MS. LORNA CRAIG-PAULSON
FAX: 507/639-2142
Corp
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
COMP
400 NORTH 4TH AVENUE EAST
TRUMAN, MN 56088
PHONE: 507/776-2031
TRUMAN SENIOR LIVING INC
(22125)
MS. LORNA CRAIG PAULSON
FAX: 507/776-2032
HWSAL
Corp
400 NORTH 4TH AVENUE EAST
TRUMAN, MN 56088
PHONE: 507/776-2031
(30285)
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 DIALYSIS
(28070)
FAX: 888/206-4549
MS. MARIAM AJAYI
ESRD
Corp
1123 HENNEPIN AVENUE NORTH
GLENCOE, MN 55336
PHONE: 320/864-1901
(30907)
FAX: 320/864-3361
MS. SHERRY DANIELS
Minnesota Department of Health
Division of Compliance Monitoring
Page
314
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
GLENCOE REGIONAL HEALTH SRVCS
NProf
Certification
MCLEOD
Registration
(Cont.)* -------------------------
NH-110 HOSP-49 BASS-8
SNF-NF-110 CAH-25
1805 HENNEPIN AVENUE NORTH
GLENCOE, MN 55336
PHONE: 320/864-3121
GRAND MEADOWS
(00351)
FAX: 320/864-7887
Lim-Liab
MR. JON BRABAND
COMP
1420 PRAIRIE AVENUE
GLENCOE, MN 55336
PHONE: 320/864-5577
GRAND MEADOWS INC
(29045)
FAX: 320/864-5350
MS. PATRICIA ISAACSON
HWSAL
Corp
1420 PRAIRIE AVENUE
GLENCOE, MN 55336
PHONE: 320/864-5577
GUARDIAN IN HOME HEALTH & SECU
(28964)
FAX: 320/864-5350
Lim-Liab
MS. PATRICIA ISAACSON
HCP-A
2071 10TH STREET EAST
GLENCOE, MN 55336
PHONE: 320/864-6544
ORCHARD ESTATES
(26619)
MS. SONYA BORG
FAX: 320/864-6541
HWS
NProf
1900 FORD AVENUE NORTH
GLENCOE, MN 55336
PHONE: 320/864-7798
BIRCHWOOD HOUSE
(20002)
MS. NANCY ELLEFSON
FAX: 320/864-7887
HWSAL
Corp
710 PARK ISLAND DRIVE
HUTCHINSON, MN 55350
PHONE: 320/587-7737
CEDAR CREST ESTATE
(29202)
FAX: 320/234-7950
Corp
MR. MARK AUSTIN
COMP
225 SHADY RIDGE ROAD
HUTCHINSON, MN 55350
PHONE: 320/587-7077
CEDAR CREST OF HUTCHINSON
(20040)
FAX: 320/327-0147
MS. ROSALIND EWALD
HWSAL
Corp
225 SHADY RIDGE ROAD
HUTCHINSON, MN 55350
PHONE: 320/587-7077
ECUMEN HUTCHINSON THE OAKS
(30318)
FAX: 320/327-0147
NProf
MS. ROSALIND EWALD
COMP
945 CENTURY AVENUE SW
HUTCHINSON, MN 55350
PHONE: 320/234-9791
ECUMEN HUTCHINSON THE OAKS
(20784)
FAX: 320/234-6008
MS. BERIT SPORS
HWSAL
NProf
945 CENTURY AVENUE SW
HUTCHINSON, MN 55350
PHONE: 320/234-9791
(30795)
FAX: 320/234-6008
MS. BERIT SPORS
Minnesota Department of Health
Division of Compliance Monitoring
Page
315
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
MCLEOD
(Cont.)* -------------------------
HWSAL
NProf
ECUMEN HUTCHINSON THE PINES
Registration
1015 CENTURY AVE SW
(23788)
HUTCHINSON, MN 55350
PHONE: 320/234-0865
FAX: 320/234-8306
MS. 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
NH-120
SNF-NF-120
1555 SHERWOOD STREET SOUTHEAST
HUTCHINSON, MN 55350
PHONE: 320/484-6000
HARMONY RIVER LIVING CENTER
(00348)
FAX: 320/484-6001
MS. LINDA KRENTZ
HWSAL-O
NProf
1555 SHERWOOD STREET SOUTHEAST
HUTCHINSON, MN 55350
PHONE: 320/484-6000
HARMONY RIVER LIVING CENTER
(30810)
MS. LINDA KRENTZ
FAX: 320/484-6001
NProf
COMP
1555 SHERWOOD STREET SOUTHEAST
HUTCHINSON, MN 55350
PHONE: 320/484-6000
HUTCHINSON HEALTH
(28986)
MS. NATALIE MORLAND
FAX: 320/234-5002
NProf
HOSP-66 BASS-6
HOSP-54 PPS-P-12
1095 HIGHWAY 15 SOUTH
HUTCHINSON, MN 55350
PHONE: 320/234-5000
PRAIRIE SENIOR COTTAGES OF HUT
(00350)
FAX: 320/587-3340
Lim-Liab
DR. STEVEN MULDER
COMP
1310 BRADFORD STREET
HUTCHINSON, MN 55350
PHONE: 320/587-5508
PRAIRIE SENIOR COTTAGES OF HUT
(20745)
FAX: 320/587-7491
MR. JOHN PETERSON
HWSAL
Lim-Liab
1320 BRADFORD STREET
HUTCHINSON, MN 55350
PHONE: 320/587-5508
PRAIRIE SENIOR COTTAGES OF HUT
(20737)
FAX: 320/587-7491
MR. JOHN PETERSON
HWSAL
Lim-Liab
1310 BRADFORD STREET
HUTCHINSON, MN 55350
PHONE: 320/587-5508
PRINCE OF PEACE RETIREMENT LIV
(30792)
FAX: 320/587-7491
MR. JOHN PETERSON
HWS
NProf
301 GLEN STREET SOUTHWEST
HUTCHINSON, MN 55350
PHONE: 320/234-7588
(20080)
FAX: 320/234-6355
MS. MERLINE DUERING
Minnesota Department of Health
Division of Compliance Monitoring
Page
316
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
REGIONAL EYE SURGERY CTR INC
Certification
MCLEOD
Registration
(Cont.)* -------------------------
Outpt Surg
Amb Surg
1455 MONTREAL ST SE PO BOX 699
(24516)
HUTCHINSON, MN 55350
PHONE: 320/234-6660
FAX: 320/234-3570
Corp
WELCOME HOME HEALTH CARE INC
MS. KIMBERLY MACKERETH
COMP
1025 DALE STREET SW
(29910)
HUTCHINSON, MN 55350
PHONE: 320/587-0005
FAX: /
MR. ROMAN BLOEMKE
HWSAL
Corp
WOODSTONE SENIOR LIVING OF HUT
1025 DALE STREET SW
(29911)
HUTCHINSON, MN 55350
PHONE: 320/234-8917
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 LIVING COMMUNITY O
(26903)
MS. ROSALIND EWALD
FAX: 320/587-7077
HWSAL
NProf
215 LINDEN AVENUE WEST
WINSTED, MN 55395
PHONE: 320/485-4303
BENEDICTINE LIVING COMMUNITY O
(30487)
MS. SARAH GRINDELAND
FAX: 320/485-4399
NProf
COMP
215 LINDEN AVENUE WEST
WINSTED, MN 55395
PHONE: 320/485-4303
BENEDICTINE LVG COMM WINSTED
(24030)
FAX: 320/485-4399
NProf
MS. ANGELA TORNMANEN
NH-65
SNF-NF-65
551 4TH ST NORTH
WINSTED, MN 55395
PHONE: 320/485-2151
GARDEN HOUSE AT ST MARYS
(00352)
FAX: 320/485-4241
MS. TERRY RIECK
HWSAL
NProf
300 FAIRLAWN AVENUE WEST
WINSTED, MN 55395
PHONE: 320/485-3159
OUTREACH TRILLIUM WEST
(28112)
FAX: 320/485-2476
NProf
MS. SARAH GRINDELAND
SLFB-6
ICFIID-6
306 WESTGATE DRIVE PO BOX 246
WINSTED, MN 55395
PHONE: 320/485-3759
(01614)
FAX: 320/485-4738
---------------------------**********
MS. MARY TJOSVOLD
MEEKER
******** -------------------------
Minnesota Department of Health
Division of Compliance Monitoring
Page 317
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
MEEKER
(Cont.)* -------------------------
HWSAL
Lim-Liab
CEDAR CREST OF COSMOS
Registration
130 NEPTUNE STREET NORTH
(22174)
COSMOS, MN 56228
PHONE: 320/877-9100
FAX: 320/587-4299
NProf
LAKEVIEW RANCH
MS. ROSALIND EWALD
COMP
69531 213TH STREET
(20829)
DARWIN, MN 55324
PHONE: 320/275-4611
FAX: 320/275-4029
MS. MICHELLE OLSON
HWS
NProf
LAKEVIEW RANCH
69531 213TH STREET
(30798)
DARWIN, MN 55324
PHONE: 320/275-4611
FAX: 320/275-4029
MS. MICHELLE OLSON
RHC
NProf
DASSEL MEDICAL CENTER
460 FIFTH STREET N BOX 367
(02801)
DASSEL, MN 55325
PHONE: 320/275-3358
LAKESIDE APARTMENTS
DR. STEVEN MULDER
FAX: /-
HWSAL
NProf
441 WILLIAM AVENUE EAST
DASSEL, MN 55325
PHONE: 320/275-3308
LAKESIDE ASSISTED LIVING
(20568)
MS. BRIANNE WOLTERS
FAX: 320/275-3433
Lim-Liab
COMP
441 WILLIAM AVENUE EAST
DASSEL, MN 55325
PHONE: 320/275-3308
LAKESIDE HEALTH CARE CENTER
(26188)
FAX: 320/275-3433
Church
MR. WILLIAM WARD
NH-54
SNF-NF-54
439 WILLIAM AVE E PO BOX 383
DASSEL, MN 55325
PHONE: 320/275-3308
LAKEVIEW RANCH
(00773)
FAX: 320/275-3433
MS. BRIANNE WOLTERS
HWS
NProf
22851 MINNESOTA HWY 15
DASSEL, MN 55325
PHONE: 320/275-4611
CHERYL'S NURSING POOL INC
(22067)
FAX: 320/275-4029
Corp
MS. MICHELLE OLSON
HCP-A
209 STATE STREET NORTH BOX 65
EDEN VALLEY, MN 55329
PHONE: 320/453-7007
BETHANY ASSISTED LIVING IN LIT
(29453)
FAX: 320/453-7004
MS. CHERYL ELLIOTT
HWSAL
NProf
203 NORTH ARMSTRONG AVE
LITCHFIELD, MN 55355
PHONE: 320/693-2430
(23748)
FAX: 320/373-6610
MR. CHAD MAREK
Minnesota Department of Health
Division of Compliance Monitoring
Page 318
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
CENTRACARE KIDNY PG LITCHFIELD
Certification
MEEKER
Registration
(Cont.)* -------------------------
ESRD
NProf
520 US HIGHWAY 12 EAST
LITCHFIELD, MN 55355
PHONE: 320/693-7777
ECUMEN LITCHFIELD SR HSG SERVS
(25910)
FAX: 320/693-1555
NProf
MS. DAVID WALZ
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. BLAINE GAMST
HCP/COMP
HHA
218 N HOLCOMBE AVE
LITCHFIELD, MN 55355
PHONE: 320/693-7367
EMMANUEL HOME
(02364)
MS. SANDRA DOUGHERTY
FAX: 320/693-0433
Church
NH-90
SNF-NF-90
600 SOUTH DAVIS AVENUE
LITCHFIELD, MN 55355
PHONE: 320/693-2472
EMMAUS PLACE
(00775)
FAX: 320/693-2242
MR. BLAINE GAMST
HWS
NProf
200 NORTH HOLCOMBE
LITCHFIELD, MN 55355
PHONE: 320/693-2430
GLORIA DEI MANOR
(20586)
FAX: 320/373-6610
MR. CHAD MAREK
HWS
NProf
218 NORTH HOLCOMBE AVENUE
LITCHFIELD, MN 55355
PHONE: 320/693-2430
HOUSING REDEVELOPMENT LITCHFIE
(20108)
FAX: 320/373-6610
MR. CHAD MAREK
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
HOSP-35 BASS-4
612 SOUTH SIBLEY AVENUE
LITCHFIELD, MN 55355
PHONE: 320/693-3242
GARDEN VIEW AT HILLTOP
(00370)
FAX: 320/693-4567
Lim-Liab
MR. KYLE RASMUSSEN
TCOMP
404 LUELLA STREET
WATKINS, MN 55389
PHONE: 320/764-2300
(31442)
FAX: 320/764-2665
MR. FRED STRUZYK
CAH-25 PPS-P-10
Minnesota Department of Health
Division of Compliance Monitoring
Page 319
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
GARDEN VIEW AT HILLTOP
Certification
MEEKER
Registration
(Cont.)* -------------------------
HWSAL
Lim-Liab
404 LUELLA STREET
WATKINS, MN 55389
PHONE: 320/764-2300
HILLTOP HEALTH CARE CENTER
(31471)
FAX: 320/764-2665
Lim-Liab
MR. FRED STRUZYK
NH-50
SNF-NF-50
410 LUELLA STREET
WATKINS, MN 55389
PHONE: 320/764-2300
WATKINS AREA HOMES
(00798)
FAX: 320/764-2665
MR. FRED STRUZYK
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
150 3RD STREET SOUTH
WATKINS, MN 55389
PHONE: 320/764-5600
WATKINS AREA HOMES
(21229)
MS. JOLEEN PFAU
FAX: 320/764-5601
HWSAL
NProf
161 3RD STREET SOUTH
WATKINS, MN 55389
PHONE: 320/764-5600
WATKINS AREA HOMES II ST ANTHO
(21230)
MS. JOLEEN PFAU
FAX: 320/764-5601
HWS-O
NProf
131 CHURCH STREET
WATKINS, MN 55389
PHONE: 320/764-5600
(21232)
MS. JOLEEN PFAU
FAX: 320/764-5601
---------------------------**********
SCANDIA SENIOR CARE LLC
Lim-Liab
MILLE LACS
******** -------------------------
HCP-A
15622 135TH STREET
FORESTON, MN 56330
PHONE: 320/294-5335
MILLE LACS FAMILY CLINIC ISLE
(25867)
FAX: 320/294-5336
MR. KENNETH BERGSTROM
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
(28438)
FAX: 320/676-3230
MR. KENNETH BERGSTROM
Minnesota Department of Health
Division of Compliance Monitoring
Page 320
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
COUNTRY MEADOWS
Certification
MILLE LACS
Registration
(Cont.)* -------------------------
HWSAL
NProf
740 2ND STREET SE
MILACA, MN 56353
PHONE: 320/983-6386
COUNTRY MEADOWS
(30529)
FAX: 320/983-6824
NProf
MS. LAURA BROBERG
HCP-F
740 2ND STREET SE
MILACA, MN 56353
PHONE: 320/983-6386
ELIM HOME MILACA
(24336)
FAX: 320/983-6824
Church
MS. KATHYANN ADAMS
NH-86
SNF-NF-86
730 SECOND ST SE PO BOX 157
MILACA, MN 56353
PHONE: 320/983-2185
HERITAGE HOUSE OF MILACA
(00376)
FAX: 320/983-2190
Ind
MS. LAURA BROBERG
HCP-F
115 9TH ST NW SUITE 120
MILACA, MN 56353
PHONE: 320/982-7000
HERITAGE HOUSE OF MILACA
(23743)
MS. JODY LOWDER
FAX: 320/982-7001
HWSAL-O
Ind
115 9TH ST NW SUITE 120
MILACA, MN 56353
PHONE: 320/982-7000
MILLE LACS BAND OF OJIBWE PUBL
(30406)
MS. LORI CARLSON
FAX: 320/982-7001
Tribal
COMP
17230 NOOPIMING DRIVE
ONAMIA, MN 56359
PHONE: 320/532-7775
MILLE LACS FAMILY CLNC ONAMIA
(25702)
MS. LISA BLAHOSKY
FAX: 320/532-7524
RHC
NProf
200 NORTH ELM STREET
ONAMIA, MN 56364
PHONE: 320/532-3154
MILLE LACS HEALTH SYSTEM
(02459)
FAX: 320/532-3111
NProf
MR. WILLIAM NELSON
NH-57 HOSP-28 BASS-3
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)
FAX: 320/532-3111
NProf
MR. WILLIAM NELSON
Hospice
HSPICE
200 ELM STREET NORTH
ONAMIA, MN 56359
PHONE: 320/532-2800
MILLE LACS HOME CARE
(03598)
FAX: 320/532-4325
NProf
MS. NICOLE NARVESON
HCP/COMP
HHA
200 ELM ST NORTH
ONAMIA, MN 56359
PHONE: 320/532-2800
(02323)
FAX: 320/532-4325
MS. NICOLE NARVESON
Minnesota Department of Health
Division of Compliance Monitoring
Page
321
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
MILLE LACS
(Cont.)* -------------------------
HWSAL
NProf
ONAMIA AREA ASSISTED LIVING
Registration
206 NORTH ELM STREET
(30547)
ONAMIA, MN 56359
PHONE: 320/532-2000
FAX: 320/532-2071
NProf
ONAMIA AREA ASSISTED LIVING
MR. KERMIT HOLL
COMP
206 NORTH ELM STREET
(24552)
ONAMIA, MN 56359
PHONE: 320/532-2000
FAX: 320/532-2071
MS. LONNA SCHMIDTBAUER
HWS
NProf
BELLE HAVEN TOWNHOMES LP
101 18TH AVENUE NORTH
(24251)
PRINCETON, MN 55371
PHONE: 763/389-5080
FAX: 763/631-1997
NProf
CALEY HOUSE
MS. LOIS MUELLER
COMP
104 SOUTH EIGHTH AVENUE
(21649)
PRINCETON, MN 55371
PHONE: 763/389-0424
MS. ROBYN BAYERL
FAX: 763/389-0436
HWSAL
NProf
CALEY HOUSE ASSISTED LIVING
104 SOUTH EIGHTH AVENUE
(30813)
PRINCETON, MN 55371
PHONE: 763/389-0424
MR. TODD LUNDEEN
FAX: 763/389-0436
ESRD
NProf
CENTRACARE KIDNEY PROGRAM
112 SOUTH RUM RIVER DRIVE #10
(21067)
PRINCETON, MN 55371
PHONE: 763/389-2048
FAX: 763/389-2325
Church
ELIM HOME
MR. DAVID WALZ
NH-106
SNF-NF-106
701 FIRST STREET
(00375)
PRINCETON, MN 55371
PHONE: 763/389-1171
FAX: 763/389-0432
MR. TODD LUNDEEN
HWSAL
Lim-Liab
STERLING POINTE SENIOR LIVING
1250 NORTHLAND DRIVE
(30802)
PRINCETON, MN 55371
PHONE: 763/389-8655
FAX: /
MS. MARNI GUSTAFSON
Lim-Liab
STERLING POINTE SENIOR LIVING
COMP
1250 NORTHLAND DRIVE
(28071)
PRINCETON, MN 55371
PHONE: 763/389-8655
FAX: /
---------------------------**********
MS. MARNI GUSTAFSON
MORRISON
******** -------------------------
Minnesota Department of Health
Division of Compliance Monitoring
Page 322
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
MORRISON
(Cont.)* -------------------------
RHC
NProf
MILLE LACS FAMILY CLINIC
Registration
26362 370TH AVENUE
(23611)
HILLMAN, MN 56338
PHONE: 320/277-3682
BRIDGEWAY ESTATES
FAX: /-
MR. DANIEL REINER
HWSAL
NProf
103 12TH ST NE
LITTLE FALLS, MN 56345
PHONE: 320/632-2089
BRIDGEWAY ESTATES
(30385)
FAX: 320/632-2097
NProf
MR. SCOT ALLEN
COMP
103 12TH STREET NE
LITTLE FALLS, MN 56345
PHONE: 320/632-2089
CENTRACARE KIDNEY PROGRAM LITT
(21656)
MR. SCOT ALLEN
FAX: 320/632-2097
ESRD
NProf
808 THIRD STREET SE SUITE 330
LITTLE FALLS, MN 56345
PHONE: 320/631-5656
CENTRAL MINNESOTA SENIOR CARE
(02119)
MR. DAVID WALZ
FAX: 320/632-0479
HWSAL
Corp
315 SIXTH STREET SOUTHWEST
LITTLE FALLS, MN 56345
PHONE: 320/441-7001
COMFORT KEEPERS
(20317)
MS. DAWN FRERICKS
FAX: 320/235-8069
Lim-Liab
COMP
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
1401 5TH AVE NE
LITTLE FALLS, MN 56345
PHONE: 320/616-2845
DIAMOND WILLOW ASSISTED LIVING
(25706)
MS. KIM BURKE
FAX: 320/616-2908
HWSAL
Lim-Liab
1405 5TH AVENUE NE
LITTLE FALLS, MN 56345
PHONE: 320/616-2848
HARMONY HOUSE OF LITTLE FALLS
(25705)
MS. KIM BURKE
FAX: 320/616-2910
HWSAL
NProf
1201 HILTON ROAD
LITTLE FALLS, MN 56345
PHONE: 320/632-9449
HIGHLAND SENIOR LIVING COMMUNI
(23236)
MS. BRIDGET BRITZ
FAX: 320/632-2913
Lim-Liab
COMP
1012 3RD AVENUE NE
LITTLE FALLS, MN 56345
PHONE: 320/632-1880
(27367)
FAX: 320/414-0353
MR. JOHN LINN
Minnesota Department of Health
Division of Compliance Monitoring
Page 323
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
MORRISON
(Cont.)* -------------------------
HWSAL
Lim-Liab
HIGHLAND SENIOR LIVING COMMUNI
Registration
1012 3RD AVENUE NE
(30739)
LITTLE FALLS, MN 56345
PHONE: 320/632-1880
FAX: 320/414-0353
NProf
LITTLE FALLS CARE CENTER
MR. JOHN LINN
NH-45
SNF-NF-45
1200 FIRST AVENUE NE
(00382)
LITTLE FALLS, MN 56345
PHONE: 320/632-9211
FAX: 320/632-2097
Corp
MINNESOTA HERITAGE HOUSE
MR. SCOT ALLEN
COMP
920 SOUTHEAST FOURTH STREET
(21049)
LITTLE FALLS, MN 56345
PHONE: 320/631-4104
FAX: 320/631-4106
Cnty
MORRISON COUNTY PUBLIC HEALTH
MR. JAMES BIRCHEM
COMP
200 EAST BROADWAY
(02031)
LITTLE FALLS, MN 56345
PHONE: 320/632-6664
MS. LOUISE WELLE
FAX: 320/632-0392
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
MR. JOHN PETERSON
FAX: /
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
SLFB-14
ICFIID-14
1100 SOUTHEAST 4TH STREET
LITTLE FALLS, MN 56345
PHONE: 320/631-5020
ST GABRIELS HOSPITAL
(01478)
FAX: 320/631-5025
Church
MS. LISA THIELMAN
HOSP-49 BASS-10
CAH-25
815 SOUTHEAST SECOND STREET
LITTLE FALLS, MN 56345
PHONE: 320/631-5600
ST OTTOS CARE CENTER
(00383)
FAX: 320/631-5680
Corp
MR. LEE BOYLES
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
COMP
308 1ST STREET SOUTHEAST
LITTLE FALLS, MN 56345
PHONE: 320/632-3868
(28378)
FAX: 320/632-4315
MR. LEROY NOUIS
Minnesota Department of Health
Division of Compliance Monitoring
Page 324
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
ONProf
UNITY FAMILY HOME CARE HOSPICE
Certification
MORRISON
HCP/COMP
Registration
(Cont.)* -------------------------
HHA
815 SOUTHEAST SECOND STREET
(02813)
LITTLE FALLS, MN 56345
PHONE: 320/631-5575
FAX: 320/631-1650
ONProf
UNITY FAMILY HOSPICE
MS. LAURA SCHERER
Hospice
HSPICE
815 SOUTHEAST SECOND STREET
(03097)
LITTLE FALLS, MN 56345
PHONE: 320/631-5575
FAX: 320/631-1650
MS. LAURA SCHERER
HWSAL
NProf
HARMONY HOUSE OF MOTLEY I
900 EASTWOOD LANE SOUTH
(20572)
MOTLEY, MN 56466
PHONE: 218/352-6941
FAX: 218/352-6942
MS. BRIDGET BRITZ
HWSAL
NProf
HARMONY HOUSE OF MOTLEY III
908 EASTWOOD LANE SO SUITE 1
(20971)
MOTLEY, MN 56466
PHONE: 218/352-6941
MS. BRIDGET BRITZ
FAX: 218/352-6942
RHC
NProf
LAKEWOOD CLINIC MOTLEY
1233 HIGHWAY 10
(22117)
MOTLEY, MN 56466
PHONE: 320/352-6911
FAMILY MEDICAL CENTER
MR. TIMOTHY RICE
FAX: /-
RHC
NProf
200 SOUTH FIRST AVENUE
PIERZ, MN 56364
PHONE: 320/468-2536
HARMONY HOUSE
(27043)
FAX: 320/468-2728
MR. DENNIS DVORAK
HWSAL
NProf
26886 143RD STREET
PIERZ, MN 56364
PHONE: 320/468-2811
HARMONY HOUSE
(20172)
FAX: 320/468-6863
NProf
MS. BRIDGET BRITZ
COMP
26814 143RD ST PO BOX 220
PIERZ, MN 56364
PHONE: 320/468-6451
HORIZON HEALTH HOSPICE
(20767)
FAX: 320/468-6463
NProf
MS. BRIDGET BRITZ
Hospice
HSPICE
26814 143RD STREET
PIERZ, MN 56364
PHONE: 320/468-6451
HORIZON HEALTH INC
(28959)
FAX: 320/468-6452
NProf
MS. BRIDGET BRITZ
HCP/COMP
HHA
26814 143RD STREET PO BOX 220
PIERZ, MN 56364
PHONE: 320/468-6451
(03347)
FAX: 320/468-6452
MS. BRIDGET BRITZ
Minnesota Department of Health
Division of Compliance Monitoring
Page 325
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
PIERZ MEADOW PONDS INC
Certification
MORRISON
Registration
(Cont.)* -------------------------
HCP-F
305 RONALD AVENUE
(23849)
PIERZ, MN 56364
PHONE: 320/468-2951
FAX: 320/468-2955
MS. PAULA ROCHELEAU
HWSAL
Corp
PIERZ MEADOW PONDS INC
305 RONALD AVENUE
(30431)
PIERZ, MN 56364
PHONE: 320/468-2951
FAX: 320/468-2955
Corp
PIERZ VILLA INC
MS. DENISE KARST
NH-50
SNF-NF-50
119 FAUST STREET SOUTHEAST
(00384)
PIERZ, MN 56364
PHONE: 320/468-6405
MS. KIM ROCHELEAU
FAX: 320/468-0088
HWSAL
Lim-Liab
AMAZING DAYS CARE CENTER LLC
7807 EMERALD ROAD
(29391)
RANDALL, MN 56475
PHONE: 320/749-2787
MS. KAREN JOHNSON
FAX: /-
RHC
NProf
RANDALL LAKES AREA CLINIC
250 WHITE OAK DRIVE
(27045)
RANDALL, MN 56475
PHONE: 320/749-2877
RIVERSIDE ASSISTED LIVING
MR. DENNIS DVORAK
FAX: /
HWSAL
Corp
812 CENTRE STREET EAST
ROYALTON, MN 56373
PHONE: 320/584-6484
RIVERSIDE ASSISTED LIVING
(30537)
MS. PAULA ROCHELEAU
FAX: 320/584-5003
Corp
COMP
812 CENTRE STREET EAST
ROYALTON, MN 56373
PHONE: 320/584-6484
(24459)
MS. CANDY DECKER
FAX: 320/584-5003
---------------------------**********
ADAMS HEALTH CARE CENTER
City
MOWER
******** -------------------------
NH-49
SNF-NF-49
810 WEST MAIN STREET
ADAMS, MN 55909
PHONE: 507/582-3263
ADAMS HOME HEALTH AGENCY
(00754)
FAX: 507/582-7793
City
MS. GEORGETTE HINKLE
COMP
810 WEST MAIN
ADAMS, MN 55909
PHONE: 507/582-7704
(26961)
FAX: 507/582-3275
MS. GEORGETTE HINKLE
Minnesota Department of Health
Division of Compliance Monitoring
Page
326
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
ADAMS HOME HEALTH AGENCY
Certification
MOWER
Registration
(Cont.)* -------------------------
HWSAL
City
810 WEST MAIN STREET
ADAMS, MN 55909
PHONE: 507/582-7704
ADAMS HOME HEALTH CARE
(30231)
FAX: 507/582-3275
City
MS. GEROGETTE HINKLE
HCP-A
810 WEST MAIN STREET
ADAMS, MN 55909
PHONE: 507/582-7704
CROSS HOME
(02812)
FAX: 507/582-3275
NProf
MS. AMY MILLER
SLFB-4
ICFIID-4
302 1ST STREET
ADAMS, MN 55909
PHONE: 507/324-3725
AUSTIN MSOCS
(01417)
FAX: 507/582-3221
State
MS. ANN LAZZARA
SLFB-6
ICFIID-6
1000 12TH STREET SOUTHWEST
AUSTIN, MN 55912
PHONE: 507/433-9027
CEDARS OF AUSTIN
(01639)
MR. PAUL MCINTYRE
FAX: 507/433-9046
Part
COMP
700 FIRST DRIVE NORTHWEST
AUSTIN, MN 55912
PHONE: 507/437-3246
CEDARS OF AUSTIN
(20189)
MS. LUCINDA GARDNER
FAX: 507/437-3248
HWSAL
Part
700 FIRST DRIVE NORTHWEST
AUSTIN, MN 55912
PHONE: 507/437-3246
GLENDALOUGH OF AUSTIN INC
(30438)
FAX: 507/437-3248
NProf
MS. LUCINDA GARDNER
SLFB-6
ICFIID-6
1409 12TH AVENUE NORTHWEST
AUSTIN, MN 55912
PHONE: 507/433-6499
GOOD SAM SOCIETY COMFORCARE
(01645)
FAX: 507/334-4394
NProf
MR. RUSS KENNEDY
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
206 1ST STREET SOUTHWEST
AUSTIN, MN 55912
PHONE: 507/437-7681
KINGSLEY HOUSE
(20752)
FAX: 507/434-2139
MS. LISA GASNER
HWS
Part
206 1ST STREET SOUTHWEST
AUSTIN, MN 55912
PHONE: 507/437-7681
(30794)
FAX: 507/434-2139
MR. JEFF BRADLEY
Minnesota Department of Health
Division of Compliance Monitoring
Page
327
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
KSMS OUR HOUSE LLC
Lim-Liab
Certification
MOWER
Registration
(Cont.)* -------------------------
COMP
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
HOSP-82 BASS-10
HOSP-66 PPS-P-16
1000 FIRST DRIVE NORTHWEST
AUSTIN, MN 55912
PHONE: 507/433-7351
MAYO CLINIC HEALTH SYS AUSTIN
(00395)
FAX: 507/434-1726
NProf
MR. ADAM REES
Hospice
HSPICE
101 14TH STREET NW
AUSTIN, MN 55912
PHONE: 507/434-1415
NURSE CARE FOR EVERY SEASON OF
(03409)
FAX: 507/434-1276
Lim-Liab
MS. MARCIA SMITH
HCP-A
2005 D OAK TREE LANE
AUSTIN, MN 55912
PHONE: 507/396-2076
OUR HOUSE SENIOR LIVING
(28756)
MS. NANCY JOHNSON
FAX: 507/396-2076
HWSAL
Lim-Liab
1313 15TH AVENUE NW
AUSTIN, MN 55912
PHONE: 507/437-3373
OUR HOUSE SENIOR LIVING
(24097)
MR. RANDY KLEIN
FAX: 507/437-3383
HWSAL
Lim-Liab
1401 15TH AVENUE NW
AUSTIN, MN 55912
PHONE: 507/396-0085
OUR HOUSE SENIOR LIVING
(21746)
FAX: 507/396-0087
MR. RANDY KLEIN
HWSAL
Lim-Liab
204 14TH STREET NORTHWEST
AUSTIN, MN 55912
PHONE: 507/437-2179
PRIMROSE LEASE MANAGEMENT LLC
(30630)
FAX: 507/437-2310
MR. RANDY KLEIN
HWSAL
Lim-Liab
1701 22ND AVE SW
AUSTIN, MN 55912
PHONE: 507/434-0600
PRIMROSE OF AUSTIN
(30819)
FAX: 507/434-0041
Lim-Liab
MR. MARK MCNEARY
COMP
1701 22ND AVE SW
AUSTIN, MN 55912
PHONE: 507/434-0600
REFLECTIONS ASSISTED LIVING
(21689)
FAX: 507/434-0041
Corp
MS. SHANNON PACHOLL
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 328
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
REM WOODVALE COTTONWOOD
Corp
Certification
MOWER
Registration
(Cont.)* -------------------------
SLFB-6
ICFIID-6
2311 9TH AVENUE SOUTHWEST
AUSTIN, MN 55912
PHONE: 507/451-1296
REM WOODVALE INC CEDAR I
(29932)
FAX: 507/451-1296
Corp
MR. PATRICK MASYGA
SLFA-8
ICFIID-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
SLFB-6
ICFIID-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)
MS. REBECCA HALVERSON
FAX: 507/434-9572
NProf
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/COMP
HHA
1200 12TH STREET SOUTHWEST
AUSTIN, MN 55912
PHONE: 507/433-1905
ST MARK'S HERITAGE COMMUNITY
(02231)
FAX: 507/433-8012
MS. REBECCA MATHEWS HALVERSON
HWSAL
Church
400 SOUTHWEST 15TH AVENUE
AUSTIN, MN 55912
PHONE: 507/437-4594
ST MARKS HERITAGE COMMUNITY
(30839)
FAX: 507/396-0534
Church
MR. CHRIS SCHULZ
HCP-F
400 SOUTHWEST 15TH AVENUE
AUSTIN, MN 55912
PHONE: 507/437-4594
ST MARKS LUTHERAN HOME
(20978)
FAX: 507/396-0534
Church
MR. SHELLEY KENDRICK
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
MS. SUSAN JOHNSON
COMP
300 FIRST AVENUE NORTHWEST
AUSTIN, MN 55912
PHONE: 507/433-8357
(20073)
FAX: 507/433-9368
MR. RICHARD CARLSON
Minnesota Department of Health
Division of Compliance Monitoring
Page 329
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
THE CARLSON HOME OF AUSTIN INC
Certification
MOWER
Registration
(Cont.)* -------------------------
HWSAL
Corp
300 FIRST AVENUE NORTHWEST
AUSTIN, MN 55912
PHONE: 507/433-8357
WHISPERING PINES RANCH
(30331)
FAX: 507/433-9368
MS. AMY KLEIN
HWSAL
Corp
1916 4TH STREET SOUTHEAST
AUSTIN, MN 55912
PHONE: 507/433-1117
WHISPERING PINES RANCH
(30582)
FAX: 507/434-4129
Corp
MS. REBECCA MURAS
COMP
1916 4TH STREET SOUTHEAST
AUSTIN, MN 55912
PHONE: 507/433-1117
MEADOW MANOR
(25430)
MS. REBECCA MURAS
FAX: 507/434-4129
Corp
SNF-NF-43
NH-43
210 EAST GRAND AVENUE
GRAND MEADOW, MN 55936
PHONE: 507/754-5212
THE MEADOWS
(00390)
MR. THOMAS STEVENS
FAX: 507/754-5222
Corp
COMP
117 SECOND STREET SOUTHEAST
GRAND MEADOW, MN 55936
PHONE: 507/754-4000
THE MEADOWS
(21007)
MS. JULIE VETTLESON
FAX: 507/754-5227
HWSAL
Corp
117 SECOND STREET SOUTHEAST
GRAND MEADOW, MN 55936
PHONE: 507/754-4000
KARLYN HOME
(30842)
MR. JAMES INGERSOLL
FAX: 507/754-5227
NProf
ICFIID-4
SLFB-4
198 PENNY LANE
LEROY, MN 55951
PHONE: 507/324-3725
WILDWOOD GROVE
(26373)
MS. JOYCE HAGEN
FAX: 507/324-3728
City
COMP
410 EAST MAIN STREET
LEROY, MN 55951
PHONE: 507/324-9515
WILDWOOD GROVE
(21165)
FAX: 507/324-5355
MS. MARY JEAN HARRINGTON
HWSAL
City
410 EAST MAIN STREET
LEROY, MN 55951
PHONE: 507/324-9515
(30710)
FAX: 507/324-5355
---------------------------**********
MS. MARY JEAN HARRINGTON
MURRAY
******** -------------------------
Minnesota Department of Health
Division of Compliance Monitoring
Page 330
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
MAPLE LAWN SENIOR CARE
Certification
MURRAY
Registration
(Cont.)* -------------------------
NH-58
SNF-NF-58
400 SEVENTH STREET
(00396)
FULDA, MN 56131
PHONE: 507/425-2571
FAX: 507/425-2572
MR. ARLAN SWANSON
HWS
NProf
MAPLEVIEW ESTATES
700 MAPLE LANE
(20997)
FULDA, MN 56131
PHONE: 507/425-2572
FAX: 507/425-2572
MR. ARLAN SWANSON
HWSAL
NProf
MAPLEWOOD COURT ASSISTED LIVIN
310 7TH ST NE
(30343)
FULDA, MN 56131
PHONE: 507/425-9900
MR. ARLAN SWANSON
FAX: 507/425-9900
NProf
MAPLEWOOD COURT ASST LVNG
HCP-F
310 7TH ST NE
(23225)
FULDA, MN 56131
PHONE: 507/425-9900
MR. ARLAN SWANSON
FAX: 507/425-9900
RHC
Cnty
MURRAY COUNTY CLINIC FULDA
119 NORTH ST PAUL AVENUE
(26186)
FULDA, MN 56131
PHONE: 507/425-2300
MS. RENEE LOGAN
FAX: 507/836-6700
Lim-Liab
GOLDEN LIVINGCENTER SLAYTON
NH-55
SNF-NF-55
2957 REDWOOD AVENUE SOUTH
(00915)
SLAYTON, MN 56172
PHONE: 507/836-6135
FAX: 507/836-8746
NProf
HOSPICE OF MURRAY COUNTY INC
MS. THERESA PRIDAL
Hospice
HSPICE
36 PARK DRIVE PO BOX 86
(02669)
SLAYTON, MN 56172
PHONE: 507/836-8114
FAX: 507/836-6462
MR. NATHAN SCHUNKE
HWSAL
Corp
HUB CITY DEVELOPMENT INC
2409 LINDEN AVENUE
(30791)
SLAYTON, MN 56172
PHONE: 507/836-1055
FAX: 507/836-1075
Corp
LINDENWOOD ASSISTED LIVING
MS. VICKIE HOLMBERG
COMP
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 OSSE-INTERIM
Minnesota Department of Health
Division of Compliance Monitoring
Page
331
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Cnty
MURRAY COUNTY MEM HOSP
Certification
MURRAY
Registration
(Cont.)* -------------------------
HOSP-25 BASS-2
CAH-25
2042 JUNIPER AVENUE
(00397)
SLAYTON, MN 56172
PHONE: 507/836-6111
FAX: 507/836-6700
NProf
OUR HOUSE OF MURRAY COUNTY
MR. JOHN OSSE-INTERIM
RES-HSPICE-4
36 PARK DRIVE PO BOX 86
(20283)
SLAYTON, MN 56172
PHONE: 507/836-8114
FAX: 507/836-6462
Corp
PRAIRIE VIEW INC
MR. NATHAN SCHUNKE
SLFB-18
ICFIID-18
2220 TWENTY SEVENTH STREET
(01520)
SLAYTON, MN 56172
PHONE: 507/836-8955
FAX: 507/836-8957
MR. LOUIS NELSON
HWS
Cnty
SUNRISE TERRACE
2121 IRONWOOD AVENUE
(20669)
SLAYTON, MN 56172
PHONE: 507/836-8980
MS. CAROL VELDHUISEN
FAX: /
---------------------------**********
BRIE ERRANDS
NICOLLET
******** -------------------------
Home Mgmt
Ind
617 MAIN STREET
COURTLAND, MN 56021
PHONE: 507/276-6500
MONARCH MEADOWS
(29967)
MS. BRENNA THOMPSON
FAX: 507/359-1023
HWSAL
Lim-Liab
2135 LOR RAY DRIVE
NORTH MANKATO, MN 56003
PHONE: 507/344-0059
OAK TERRACE ASSISTED LIVING OF
(30703)
FAX: 507/344-1504
MR. PATRICK RAFFERTY
HWSAL
Lim-Liab
1575 HOOVER DRIVE
NORTH MANKATO, MN 56003
PHONE: 507/387-2037
OAK TERRACE ASSISTED LIVING OF
(30836)
MS. LINDA ANDERSON
FAX: 507/387-6011
Lim-Liab
COMP
1575 HOOVER DRIVE
NORTH MANKATO, MN 56003
PHONE: 507/387-2037
OAK TERRACE WEST
(20970)
FAX: 507/387-6011
MR. DENNIS HOOD
HWS
Lim-Liab
1570 TOWER BLVD
NORTH MANKATO, MN 56003
PHONE: 507/387-2037
(22081)
FAX: 507/387-6011
MR. DENNIS HOOD
Minnesota Department of Health
Division of Compliance Monitoring
Page 332
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
ROLLINGWOOD HOME
Certification
NICOLLET
Registration
(Cont.)* -------------------------
SLFB-5
ICFIID-5
2203 ROLLING GREEN LANE
(29812)
NORTH MANKATO, MN 56003
PHONE: 507/779-7187
FAX: 507/779-7186
NProf
THERESE K SEXTON HOME SOUTH
MS. JOYCE EVENSON
SLFB-8
ICFIID-8
2050 HAUGHTON AVENUE
(01454)
NORTH MANKATO, MN 56003
PHONE: 507/345-8590
FAX: 507/345-3771
Lim-Liab
VISTA PRAIRIE @ MONARCH MEADOW
MR. STEVE SCHOENER
COMP
2135 LOR RAY DRIVE
(20554)
NORTH MANKATO, MN 56003
PHONE: 507/344-0059
FAX: 507/344-1504
MR. PATRICK RAFFERTY
Lim-Liab
RIVER VALLEY BIRTH CENTER
526 WEST PARK ROW
(30963)
SAINT PETER, MN 56082
PHONE: 507/934-1565
MS. ERIKA URBAN
FAX: 507/934-4828
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 SENIOR LIVING COMM
COMP
1906 NORTH SUNRISE DRIVE
(28206)
ST PETER, MN 56082
PHONE: 507/934-8817
FAX: 507/934-0214
MS. LINDA NELSEN
HWSAL
NProf
BENEDICTINE SENIOR LIVING COMM
1906 NORTH SUNRISE DRIVE
(30806)
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. PATRICK RODNING
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. PATRICK RODNING
NProf
HCP-F
1305 MARSHALL STREET
ST PETER, MN 56082
PHONE: 507/934-2200
(27944)
FAX: 507/934-5346
MS. BERIT SPORS
Minnesota Department of Health
Division of Compliance Monitoring
Page
333
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
ECUMEN PRAIRIE HILL
Certification
NICOLLET
Registration
(Cont.)* -------------------------
HWSAL
NProf
1305 MARSHALL STREET
ST PETER, MN 56082
PHONE: 507/484-2202
ECUMEN SAND PRAIRIE
(30785)
FAX: 507/934-5346
NProf
MS. NICKI REHNELT
COMP
700 KNIGHT STREET
ST PETER, MN 56082
PHONE: 507/931-4375
ECUMEN SAND PRAIRIE
(20719)
FAX: 507/934-5346
MS. NICKI REHNELT
HWSAL
NProf
700 KNIGHT STREET
ST PETER, MN 56082
PHONE: 507/934-5207
FORENSIC SERVICES
(30768)
FAX: 507/934-5346
State
MS. NICKI REHNELT
SLFA-58 SLFB-354
100 FREEMAN DRIVE
ST PETER, MN 56082
PHONE: 507/985-3128
GOOD SAM SOC HM CARE ST PETER
(01418)
MS. CAROL OLSON
FAX: 507/985-3366
NProf
HCP/COMP
HHA
221 PARK ROW
ST PETER, MN 56082
PHONE: 507/931-0949
GOOD SAMARITAN SOCIETY HERITAG
(23185)
MS. CASSANDRA HRDLICKA
FAX: 507/931-0110
HWS
NProf
1302 TRAVERSE ROAD
ST PETER, MN 56082
PHONE: 507/931-8545
MSOP GREEN ACRES
(20916)
FAX: 507/931-2123
State
MS. TERESA HILDEBRANDT
SLFB-15 SLFA-8
100 FREEMAN DRIVE
ST PETER, MN 56082
PHONE: 651/431-5874
MSOP PEXTON/SHANTZ
(27850)
FAX: 651/431-7404
State
MR. DAVID BORNUS
SLFB-260
100 FREEMAN DRIVE
ST PETER, MN 56082
PHONE: 651/431-5874
MSOP SUNRISE
(27851)
FAX: 651/431-7404
State
MR. DAVID BORNUS
SLFA-15
100 FREEMAN DRIVE
ST PETER, MN 56082
PHONE: 651/431-5874
NICOLLET COUNTY PUBLIC HEALTH
(30872)
FAX: 651/431-7404
Cnty
MR. DAVID BORNUS
COMP
419 SOUTH MINNESOTA AVE
ST PETER, MN 56082
PHONE: 507/934-7220
(02055)
FAX: 507/934-7110
MS. MARY HILDEBRANDT
Minnesota Department of Health
Division of Compliance Monitoring
Page
334
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
PHEASANTS RIDGE ASSISTED LIVIN
Certification
NICOLLET
Registration
(Cont.)* -------------------------
HWSAL
Lim-Liab
1807 SUNRISE DRIVE
ST PETER, MN 56082
PHONE: 507/931-0966
PHEASANTS RIDGE ASSISTED LIVNG
(30532)
FAX: 507/934-8946
Lim-Liab
MS. MALINDA PIETSCH
HCP-F
1807 SUNRISE DRIVE
ST PETER, MN 56082
PHONE: 507/931-0966
RIVERS EDGE HOSPITAL & CLINIC
(24372)
FAX: 507/931-1008
City
MS. MALINDA PIETSCH
HOSP-17 BASS-
CAH-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
ST PETER HRA PARKVIEW MANOR
(25494)
MS. MICHELLE CHALIN
FAX: 651/431-7658
HWS
HRA
1010 SOUTH FOURTH STREET
ST PETER, MN 56082
PHONE: 507/931-2236
(21283)
MS. SHANNON LLOYD
FAX: 507/934-1731
---------------------------**********
ADRIAN CARE CENTER
Corp
NOBLES
******** -------------------------
SNF-NF-30
NH-30
603 LOUISIANA AVENUE
ADRIAN, MN 56110
PHONE: 507/483-2580
ADRIAN COUNTRY LIVING COTTAGES
(00405)
FAX: 507/483-2610
City
MS. DOROTHY BAKER
COMP
200 WEST 7TH STREET
ADRIAN, MN 56110
PHONE: 507/483-2511
ADRIAN COUNTRY LIVING COTTAGES
(27386)
MS. MICHELLE MURPHY
FAX: 507/483-2445
HWSAL
City
200 WEST 7TH STREET
ADRIAN, MN 56110
PHONE: 507/483-2511
PARKVIEW MANOR NURSING HOME
(30740)
MR. BRUCE HEITKAMP
FAX: 507/483-2445
City
SNF-NF-37
NH-37
308 SHERMAN AVENUE
ELLSWORTH, MN 56129
PHONE: 507/967-2482
(00406)
FAX: 507/967-2141
MR. MICHAEL WERNER
Minnesota Department of Health
Division of Compliance Monitoring
Page
335
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
AVERA MED GROUP WORTHINGTON
Certification
NOBLES
Registration
(Cont.)* -------------------------Amb Surg
Outpt Surg
1216 RYANS ROAD
(28628)
WORTHINGTON, MN 56187
PHONE: 507/372-6522
FAX: 507/372-6523
NProf
C C S INC RIDGEWOOD
MS. KELLI VAN GROUW
ICFIID-12
SLFB-12
1381 KNOLLWOOD DRIVE
(01278)
WORTHINGTON, MN 56187
PHONE: 507/376-6095
FAX: 507/376-5117
Lim-Liab
CARING & COMPASSIONATE HC AGY
MS. PATRICIA COWDIN
Hospice
921 4TH AVENUE SUITE 6
(29343)
WORTHINGTON, MN 56187
PHONE: 507/343-0077
FAX: 507/343-1002
Lim-Liab
CARING & COMPASSIONATE HEALTH
MS. REMONA BROWN
HCP/COMP
HHA
921 4TH AVENUE SUITE 6
(28175)
WORTHINGTON, MN 56187
PHONE: 507/343-0077
MS. REMONA BROWN
FAX: 507/343-0076
Lim-Liab
COMPASSIONATE CARE HOSPICE
Hospice
HSPICE
31361 STATE HIGHWAY 266
(25020)
WORTHINGTON, MN 56187
PHONE: 507/372-7003
MS. LAURIE TIMMER
FAX: 507/376-4273
Corp
CROSSROADS CARE CENTER
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: 507/343-7150
ECUMEN WORTHINGTON THE MEADOWS
NProf
MS. NANCY GARVIN
COMP
1801 COLLEGEWAY
WORTHINGTON, MN 56187
PHONE: 507/372-7838
GOLDEN HORIZONS
(03709)
FAX: 507/372-7804
MS. NANCY GARVIN
HWSAL
Corp
1790 COLLEGEWAY
WORTHINGTON, MN 56187
PHONE: 507/376-3111
GOLDEN HORIZONS
(30345)
FAX: 507/376-3399
Corp
MR. CHUCK LANE
HCP-F
1790 COLLEGEWAY
WORTHINGTON, MN 56187
PHONE: 507/376-3111
(23234)
FAX: 507/376-3399
MS. TERRI JANSSEN
Minnesota Department of Health
Division of Compliance Monitoring
Page
336
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
SANFORD WORTHINGTON HOME CARE
Certification
NOBLES
Registration
(Cont.)* -------------------------
HCP/COMP
HHA
1018 SIXTH AVENUE
(02314)
WORTHINGTON, MN 56187
PHONE: 507/372-3139
FAX: 507/372-3177
SANFORD WORTHINGTON MED CENTER
MR. MICHAEL HAMMER
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
HOSP-48 BASS-7
HOSP-48
1018 SIXTH AVENUE
WORTHINGTON, MN 56187
PHONE: 507/372-3380
SOUTH SHORE CARE CENTER
(00412)
FAX: 507/372-3240
Corp
MR. MICHAEL HAMMER
NH-54
SNF-NF-54
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)
MS. LOIS SCHULLER
FAX: 507/372-7778
Home Mgmt
NProf
1106 3RD AVENUE
WORTHINGTON, MN 56187
PHONE: 507/376-4195
(03689)
FAX: 507/376-3636
MR. NEAL STEFFL
---------------------------**********
BENEDICTINE CARE COMMUNITY
NProf
NORMAN
******** --------------------------
NH-49
SNF-NF-49
201 9TH STREET WEST
ADA, MN 56510
PHONE: 218/784-5500
BENEDICTINE SUPPORTIVE SERVICE
(00413)
FAX: 218/784-5245
Church
MR. TYLER HOEMBERG
COMP
201 9TH STREET WEST SUITE 2
ADA, MN 56510
PHONE: 218/784-5500
ESSENTIA HEALTH ADA
(26532)
FAX: 218/784-5245
NProf
MR. TYLER HOEMBERG
HOSP-14
CAH-14
201 9TH STREET WEST
ADA, MN 56510
PHONE: 218/784-5000
(26485)
FAX: 218/784-3855
MR. DANIEL ROHRBACH
Minnesota Department of Health
Division of Compliance Monitoring
Page 337
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
NORMAN
(Cont.)* -------------------------
RHC
NProf
ESSENTIA HEALTH ADA CLINIC
Registration
201 9TH STREET WEST
(02794)
ADA, MN 56510
PHONE: 218/784-2727
FAX: /-
MR. RYAN HILL
HWSAL
NProf
MISSION COURT
201 9TH STREET WEST SUITE 3
(29451)
ADA, MN 56510
PHONE: 218/784-5001
FAX: 218/784-5020
MR. TYLER HOEMBERG
HWS
NProf
SUMMERFIELD PLACE OF ADA
100 1ST STREET EAST
(23159)
ADA, MN 56510
PHONE: 218/637-6093
MS. MIRIAM BUCHANAN
FAX: 218/637-6094
HWS
Part
VALLEY VIEW MANOR
705 WEST MAIN STREET
(21569)
ADA, MN 56510
PHONE: 218/784-7246
MR. ROB LUCAS
FAX: 218/784-2246
Church
HALSTAD LIVING CENTER
SNF-NF-44
NH-44
133 FOURTH AVENUE EAST
(00764)
HALSTAD, MN 56548
PHONE: 218/456-2105
MS. ANGELA NELSON
FAX: 218/456-2290
Church
HALSTAD LIVING CENTER
COMP
133 4TH AVENUE EAST
(20733)
HALSTAD, MN 56548
PHONE: 218/456-2105
MS ANGELA NELSON
FAX: 218/456-2290
HWS
NProf
HERITAGE HOUSE
201 4TH AVENUE EAST
(20732)
HALSTAD, MN 56548
PHONE: 218/456-2105
MS. ANGIE NELSON
FAX: 218/456-2290
RHC
NProf
SANFORD HEALTH HALSTAD CLINIC
445 1ST STREET EAST
(02747)
HALSTAD, MN 56548
PHONE: 218/456-2158
LINCOLN TERRACE
DR. WALLACE RADTKE
FAX: /
Church
HCP-F
205 THIRD STREET NW PO BOX 480
TWIN VALLEY, MN 56584
PHONE: 218/584-5183
LUTHERAN HOME
(20349)
MR. DWIGHT FUGLIE
FAX: 218/584-8592
Church
COMP
208 OPPEGARD AVE NW
TWIN VALLEY, MN 56584
PHONE: 218/584-5181
(20734)
FAX: 218/584-8592
MS. SHARI SCHREINER
Minnesota Department of Health
Division of Compliance Monitoring
Page 338
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
NORMAN
(Cont.)* -------------------------
HWS
NProf
NORMANDY APARTMENTS
Registration
208 OPPENGARD AVE NW
(20725)
TWIN VALLEY, MN 56584
PHONE: 218/584-5181
FAX: 218/584-5304
MS. SHARI SCHREINER
RHC
NProf
SANFORD HLTH TWIN VALLEY CLINI
501 2ND STREET NW
(03938)
TWIN VALLEY, MN 56584
PHONE: 218/584-5142
TWIN VALLEY LIVING CENTER
FAX: /
MR. MARK DUNCAN
Church
SNF-NF-58
NH-58
208 OPPEGARD AVE NW PO BOX 480
TWIN VALLEY, MN 565840480
PHONE: 218/584-5181
(00414)
MS. SHARI SCHREINER
FAX: 218/584-5304
---------------------------**********
ARBOR GARDENS
Lim-Liab
OLMSTED
******** -------------------------
COMP
535 CANYON DRIVE NW
EYOTA, MN 55934
PHONE: 507/545-3999
ARBOR GARDENS
(21810)
MR. DONALD RADEMACHER
FAX: 507/545-3948
HWSAL
City
535 CANYON DRIVE NW
EYOTA, MN 55934
PHONE: 507/545-3999
SUNSET HOMES ASSISTED LIVING I
(30217)
MS. MOLLY TOULOUSE
FAX: 507/545-3948
HWSAL
Corp
11237 11TH AVENUE NORTHWEST
ORONOCO, MN 55960
PHONE: 507/367-4438
1050 PLUMMER PLACE
(27053)
FAX: 507/206-4858
Lim-Liab
MR. JOSEPH MABURURU
COMP
1050 PLUMMER CIRCLE
ROCHESTER, MN 55902
PHONE: 507/424-3384
1050 PLUMMER PLACE LLC
(24850)
MS. ALICE SYVERSON
FAX: 507/206-3225
HWSAL
Lim-Liab
1050 PLUMMER CIRCLE
ROCHESTER, MN 55902
PHONE: 507/424-3384
ADVANCE HOME HEALTH CARE LLC
(30593)
MS ALICE SYVERSON
FAX: 507/206-3225
Lim-Liab
HCP-A
4439 SURREY LANE NW
ROCHESTER, MN 55901
PHONE: 507/206-0384
(29859)
FAX: 507/206-0384
MR. ABDINUR ABDI
Minnesota Department of Health
Division of Compliance Monitoring
Page 339
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
ALLENDALE HOUSE
(29115)
FAX: 507/206-0384
NProf
MR. ABDINUR ABDI
SLFB-6
ICFIID-6
2847 19TH AVENUE NORTHWEST
ROCHESTER, MN 55901
PHONE: 507/288-7195
ALWAYS CARING
(01667)
FAX: 507/288-4522
Corp
MS. LINDA DRIESSEN
COMP
1652 GREENVIEW DR SW STE 160
ROCHESTER, MN 55902
PHONE: 507/272-4059
ARBOR TERRACE
(29191)
FAX: 507/292-9999
NProf
MS. CHARIE DEVOLITES
COMP
700 NORTHWEST 2ND AVENUE
ROCHESTER, MN 55901
PHONE: 507/288-4883
ARBOR TERRACE
(20864)
MS. SUSAN KNUTSON
FAX: 507/424-4074
HWS
NProf
700 NORTHWEST SECOND AVENUE
ROCHESTER, MN 55901
PHONE: 507/288-4883
BOSTROM TERRACE
(20146)
MS. SUSAN KNUTSON
FAX: 507/424-5455
HWSAL-O
NProf
1680 EASTWOOD ROAD SE
ROCHESTER, MN 55904
PHONE: 651/645-7271
CASTLEVIEW APARTMENTS
(24486)
MR. STEPHEN VANDER SCHAAF
FAX: 651/645-0541
HWS
NProf
120 NORTH BROADWAY
ROCHESTER, MN 55906
PHONE: 507/288-3663
CHARTER HOUSE
(25732)
MAJOR JIM FRYE
FAX: 507/281-8348
NProf
SNF-32
NH-32
211 NORTHWEST SECOND STREET
ROCHESTER, MN 55901
PHONE: 507/266-7373
CHARTER HOUSE
(00193)
MR. TONY ENQUIST
FAX: 507/266-6827
NProf
COMP
211 SECOND STREET NORTHWEST
ROCHESTER, MN 55901
PHONE: 507/266-7849
CHARTER HOUSE INC
(20068)
FAX: 507/266-6681
MR. TONY ENQUIST
HWSAL
NProf
211 SECOND STREET NORTHWEST
ROCHESTER, MN 55901
PHONE: 507/266-7849
(30329)
FAX: 507/266-6827
MR. MARK A. (TONY) ENQUIST
Minnesota Department of Health
Division of Compliance Monitoring
Page 340
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
CHARTERHOUSE HHA
Certification
OLMSTED
Registration
(Cont.)* -------------------------
HCP/COMP
HHA
211 NORTHWEST SECOND STREET
(02324)
ROCHESTER, MN 55901
PHONE: 507/266-7849
MR. MARK (TONY) ENQUIST
FAX: 507/266-2101
Corp
CNS HOME HEALTH CARE
HCP/COMP
HHA
3143 SUPERIOR DRIVE NW STE A
(21066)
ROCHESTER, MN 559012970
PHONE: 507/289-2411
MR. JEFFREY SEVERSON
FAX: 507/529-0360
Corp
COMFORT HEALTH
HCP/COMP
HHA
2746 SUPERIOR DR NW SUITE 200
(02238)
ROCHESTER, MN 55901
PHONE: 507/281-2332
MR. CHRISTOPHER BLUM
FAX: 507/281-2632
Corp
COMFORT HEALTH
COMP
2746 SUPERIOR DRIVE NW STE 200
(21496)
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
MS. STEPHANIE JUHL
FAX: /
COTTAGEWOOD SENIOR COMMUNITIES
HWSAL
Lim-Liab
4320 4326 55TH ST NORTHWEST
(20392)
ROCHESTER, MN 55901
PHONE: 507/286-8528
FAX: 507/286-8527
COTTAGEWOOD SENIOR COMMUNITIES
MS. ALICIA ADAMS
HWSAL
Lim-Liab
4330-4336 55TH ST NORTHWEST
(20393)
ROCHESTER, MN 55901
PHONE: 507/286-8528
FAX: 507/286-8527
COTTAGEWOOD SENIOR COMMUNITIES
MS. ALICIA ADAMS
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
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 341
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
COTTAGEWOOD SENIOR COMMUNITIES
Certification
OLMSTED
Registration
(Cont.)* -------------------------
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
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
4210 4216 55TH ST NORTHWEST
(20120)
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 SENIOR COMMUNITY O
Lim-Liab
HCP-F
4220 55TH STREET NW
(29354)
ROCHESTER, MN 55901
PHONE: 507/286-8528
MS. ALICIA ADAMS
FAX: 507/286-8527
Lim-Liab
DIVINE TOUCH HOME HEALTH CARE
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
COMP
3003 43RD STREET NW SUITE 106
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
FAMILY SERVICE ROCHESTER INC
(25699)
FAX: 507/316-0615
MS. SARAH ROWLAND
Home Mgmt
NProf
1110 6TH STREET NW
ROCHESTER, MN 55901
PHONE: 507/287-2010
(02886)
FAX: 507/287-7805
MR. BRAD LOHRBACH
Minnesota Department of Health
Division of Compliance Monitoring
Page 342
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
GLOBAL HOME HEALTH CARE INC
Certification
OLMSTED
Registration
(Cont.)* -------------------------
HCP-A
1032 15TH AVE SE
(21537)
ROCHESTER, MN 55904
PHONE: 507/282-6466
FAX: 507/292-6694
Lim-Liab
GOLDEN LIVINGCENTER ROCH EAST
MR. MARK ADAFIN
NH-116
SNF-NF-116
501 EIGHTH AVE SOUTHEAST
(00953)
ROCHESTER, MN 55904
PHONE: 507/288-6514
FAX: 507/288-6686
Lim-Liab
GOLDEN LIVINGCNTR ROCHESTER W
MR. SCOTT KALLSTROM
NH-54
SNF-NF-54
2215 HIGHWAY 52 NORTH
(00941)
ROCHESTER, MN 55901
PHONE: 507/288-1818
FAX: 507/288-5502
Lim-Liab
HEARTLAND HM HLTH CARE HOSPICE
MR. JON RICHARDSON NHA
Hospice
HSPICE
3143 SUPERIOR DR NW STE B
(23773)
ROCHESTER, MN 55901
PHONE: 507/292-1170
MS. DARLENE FELTES
FAX: 507/292-1169
HWS
NProf
HIGH POINTE I APARTMENTS
1800 HIGH POINTE LANE NW
(29810)
ROCHESTER, MN 55901
PHONE: 507/282-8385
MS. CHRISTINE KERN
FAX: 507/282-8473
HWS
NProf
HIGH POINTE II APARTMENTS
1830 HIGH POINTE LANE NW
(29762)
ROCHESTER, MN 55901
PHONE: 507/282-8385
FAX: 507/282-8473
Lim-Liab
HOME INSTEAD SENIOR CARE
MS. CHRISTINE KERN
HCP-A
304 6TH STREET SW
(24370)
ROCHESTER, MN 55902
PHONE: 507/285-1700
FAX: 507/536-4056
MR. JOHN PACCHETTI
Home Mgmt
Lim-Liab
HOME INSTEAD SENIOR CARE
304 6TH STREET SOUTHWEST
(22018)
ROCHESTER, MN 55902
PHONE: 507/285-1700
FAX: 507/536-4056
Lim-Liab
HOME INSTEAD SENIOR CARE
MR. JOHN PACCHETTI
BASIC
304 6TH STREET SOUTHWEST
(26860)
ROCHESTER, MN 55902
PHONE: 507/285-1700
FAX: 507/536-4056
Corp
INTERNATIONAL QUALITY HOMECARE
MR. JOHN PACCHETTI
HCP/COMP
HHA
3261 19TH ST NW
(20865)
ROCHESTER, MN 55901
PHONE: 507/252-8117
FAX: /-
DR. ADERONKE MORDI
Minnesota Department of Health
Division of Compliance Monitoring
Page
343
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
OLMSTED
(Cont.)* -------------------------
HWS
Lim-Liab
KAHLER INN AND SUITES
Registration
9 THIRD AVENUE NW
(29684)
ROCHESTER, MN 55901
PHONE: 507/285-9200
FAX: /-
MS. SARA ROMEO
Lim-Liab
KAHLER MARR IN ROOM HOME CARE
COMP
20 SECOND AVENUE SOUTHWEST
(29682)
ROCHESTER, MN 55901
PHONE: 507/280-6200
FAX: /
MS. RENEE DEEDS
HWSAL
NProf
KENOSHA DRIVE APARTMENTS
3461 KENOSHA DRIVE NW
(27313)
ROCHESTER, MN 55901
PHONE: 651/645-7271
FAX: 651/645-0541
NProf
MADONNA MEADOWS
MR. STEPHEN VANDER SCHAAF
COMP
3035 SALEM MEADOWS DRIVE SW
(20566)
ROCHESTER, MN 55902
PHONE: 507/252-5400
MR. MARK NOBLE
FAX: 507/252-5500
HWSAL
NProf
MADONNA MEADOWS
3035 SALEM MEADOWS DRIVE SW
(30704)
ROCHESTER, MN 55902
PHONE: 507/252-5400
MR. MARK NOBLE
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 IN
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 NURSING & REHAB LL
(03299)
FAX: 507/288-0393
Lim-Liab
MR. MARK NOBLE
NH-81
SNF-NF-81
1875 19TH STREET NORTHWEST
ROCHESTER, MN 55901
PHONE: 507/282-9449
MAPLES SENIOR APARTMENTS
(00916)
FAX: 507/287-0552
MR. KARL SWEDBERG
HWS
Corp
1893 19TH ST NW
ROCHESTER, MN 55901
PHONE: 507/251-9296
(30213)
FAX: 507/536-4539
MS. JANET SWANSON
Minnesota Department of Health
Division of Compliance Monitoring
Page 344
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
OLMSTED
(Cont.)* -------------------------
HWS
Corp
MAPLES SENIOR APARTMENTS
Registration
1920 19TH AVE NW
(30214)
ROCHESTER, MN 55901
PHONE: 507/251-9296
FAX: 507/536-4539
MS. JANET SWANSON
ESRD
NProf
MAYO CLINIC EISENBERG
201 CENTER STREET WEST
(02106)
ROCHESTER, MN 55901
PHONE: 507/266-8733
FAX: 507/266-1343
NProf
MAYO CLINIC HOSPICE
MR. BRAD WICK
Hospice
HSPICE
200 FIRST STREET SOUTHWEST
(02504)
ROCHESTER, MN 55905
PHONE: 507/284-4002
FAX: 507/284-0220
NProf
MAYO CLINIC HOSPITAL ROCHESTER
MS. JODI FRITCHER
HOSP-2059 BASS-81
HOSP-1913 PPS-R-38 PPS-P-108
1216 SECOND STREET SOUTHWEST
(00428)
ROCHESTER, MN 55902
PHONE: 507/255-1991
MS. B. LYNN FREDERICK
FAX: 507/255-3125
NProf
MAYO CLINIC METHODIST HOSPITAL
201 WEST CENTER STREET
(00423)
ROCHESTER, MN 55902
PHONE: 507/255-5123
MS. LYNN FREDERICK
FAX: 507/255-3125
ESRD
NProf
MAYO CLINIC NE CLINIC
3041 STONEHEDGE DRIVE NE
(23151)
ROCHESTER, MN 55906
PHONE: 507/538-8580
FAX: 507/538-8508
NProf
MAYO CLINIC REHABILITATION SER
MR. BRAD WICK
HCP-A
200 FIRST STREET SW
(27662)
ROCHESTER, MN 55905
PHONE: 507/266-2809
FAX: 507/284-3431
MS. ARLEEN DERYNCK
XRAY
NProf
MAYO FOUNDATION
200 FIRST STREET SOUTHWEST
(03774)
ROCHESTER, MN 55905
PHONE: 507/284-2511
MEADOW LAKES SENIOR LIVING
FAX: /-
MR. SCOTT SEINOLA
HWSAL
Lim-Liab
22 45TH AVENUE NORTHWEST
ROCHESTER, MN 55901
PHONE: 507/252-5069
OLMSTED MEDICAL CENTER
(21129)
FAX: 507/536-4539
NProf
MR. PAT BLUM
HOSP-61 BASS-28
1650 FOURTH STREET SOUTHEAST
ROCHESTER, MN 55904
PHONE: 507/287-2761
(00422)
FAX: 507/287-2779
MR. TIM WEIR
HOSP-61
Minnesota Department of Health
Division of Compliance Monitoring
Page 345
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
OXFORD PROPERTY MANAGEMENT LLC
Lim-Liab
Certification
OLMSTED
Registration
(Cont.)* -------------------------
COMP
421 1ST AVENUE SW SUITE 303
(28279)
ROCHESTER, MN 55902
PHONE: 507/285-3282
FAX: /
MS. KIM WORRALL
Home Mgmt
Lim-Liab
PARADISE PERSONAL HOME MGT SRV
2011 ELTON HILLS DR NW
(31320)
ROCHESTER, MN 55901
PHONE: 507/206-4529
FAX: 507/206-4468
MS. ROSE THOMAS
Home Mgmt
Lim-Liab
PARADISE PERSONAL HOME MGT SRV
2011 ELTON HILLS DRIVE NW
(31319)
ROCHESTER, MN 55901
PHONE: 507/206-4529
FAX: 507/398-4810
Lim-Liab
PRIMETIME LIVING
MS. ROSE THOMAS
COMP
105 NORTH BROADWAY
(27063)
ROCHESTER, MN 55906
PHONE: 507/261-1194
MS. AISHA KASSIM
FAX: 507/258-5072
HWS
Lim-Liab
PRIMETIME LIVING
105 NORTH BROADWAY
(28289)
ROCHESTER, MN 55906
PHONE: 507/261-1194
MS. AISHA KASSIM
FAX: 507/258-5072
Corp
REM RIVER BLUFFS (STONE PARK)
ICFIID-6
SLFB-6
3003 STONE PARK DRIVE
(01464)
ROCHESTER, MN 55904
PHONE: 507/287-6824
FAX: 507/282-9563
Corp
REM RIVER BLUFFS PINEWOOD
MS. JUANITA HAYES
SLFB-6
2631 PINEWOOD RIDGE DRIVE SE
(29700)
ROCHESTER, MN 55904
PHONE: 507/287-6824
FAX: 507/282-9563
Corp
REM RIVER BLUFFS ROCHESTER NW
MR. PAT MASYGA
ICFIID-11
SLFA-11
2509 55TH STREET NORTHWEST
(01322)
ROCHESTER, MN 55901
PHONE: 507/287-6824
FAX: 507/282-9563
Corp
REM RIVER BLUFFS ROCHESTER SE
MS. JUANITA HAYES
SLFA-12
ICFIID-12
1631 19TH AVE SE
(01320)
ROCHESTER, MN 55904
PHONE: 507/287-6824
FAX: 507/282-9563
MS. JUANITA HAYES
HWS
Lim-Liab
RIVER BEND ASSISTED LIVING & M
30 SILVER LAKE DRIVE NW
(31368)
ROCHESTER, MN 55901
PHONE: 507/218-7609
FAX: /
MS. SHEILA SNYDER
Minnesota Department of Health
Division of Compliance Monitoring
Page 346
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
RIVER BEND ASSISTED LIVING AND
Certification
OLMSTED
Registration
(Cont.)* -------------------------
TCOMP
30 SILVER LAKE PLACE NW
(31367)
ROCHESTER, MN 55901
PHONE: 507/218-7609
FAX: /-
ROBLAND HOME HEALTH CARE CORPO
MS. SHEILA SNYDER
Corp
HCP/COMP
HHA
1500 1ST AVENUE NE SUITE 111C
(26391)
ROCHESTER, MN 55906
PHONE: 507/252-4619
FAX: 866/597-0950
Corp
ROCHESTER HOME INFUSION
MR. OMAR HASSAN
TCOMP
221 FIRST AVENUE SW STE 105
(30941)
ROCHESTER, MN 55902
PHONE: 507/316-0001
FAX: 507/258-5522
MS. JOSELYN RAYMUNDO
HWS
Lim-Liab
ROCHESTER MARRIOTT
101 FIRST AVENUE SOUTHWEST
(29686)
ROCHESTER, MN 55902
PHONE: 507/280-6000
MS. SARA ROMEO
FAX: /
State
ROCHESTER MSOCS
SLFB-6
ICFIID-6
448 17TH STREET SOUTHWEST
(01635)
ROCHESTER, MN 55902
PHONE: 507/280-5551
MS. ANNE O'BANION
FAX: 507/280-5552
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
SEASONS HOSPICE
(00427)
FAX: 507/289-6001
NProf
MS. KYLA JACOBS
RES-HSPICE-8
5650 WEATHERHILL ROAD SW
ROCHESTER, MN 55902
PHONE: 507/285-1930
SEASONS HOSPICE
(23506)
FAX: 507/282-2737
MS. BEVERLY HAYNES
NProf
1696 GREENVIEW DRIVE SOUTHWEST
ROCHESTER, MN 55902
PHONE: 507/285-1930
SHALOM ESTATE LLC
(03427)
FAX: 507/282-2737
Lim-Liab
MS. BEVERLY HAYNES
COMP
2070 CENTURY HILLS DRIVE NE
ROCHESTER, MN 55906
PHONE: 507/281-9700
(22020)
FAX: 507/206-3225
MS. ALICE SYVERSON
Minnesota Department of Health
Division of Compliance Monitoring
Page 347
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
OLMSTED
(Cont.)* -------------------------
HWSAL
Lim-Liab
SHALOM ESTATE LLC
Registration
2070 CENTURY HILLS DRIVE NE
(30238)
ROCHESTER, MN 55906
PHONE: 507/281-9700
MS. ALICE MAE SYVERSON
FAX: 507/206-3225
Corp
SHIFFO HOME HEALTH CARE CORPOR
COMP
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
(20686)
ROCHESTER, MN 55902
PHONE: 507/252-9110
MR. ERIC HUNTOON
FAX: 507/286-9237
HWS
ONProf
SHOREWOOD PLACE
2205 SECOND STREET SW
(21645)
ROCHESTER, MN 55902
PHONE: 507/252-9110
MR. ERIC HUNTOON
FAX: 507/286-9237
Corp
SMART CHOICE HEALTH CARE
COMP
208 NORTH BROADWAY
(29774)
ROCHESTER, MN 55906
PHONE: 507/258-5050
FAX: 507/258-5050
MR. FARAH MOHAMED
Home Mgmt
NProf
SOUTHEASTERN MN CTR FOR INDEPE
2200 SECOND STREET SOUTHWEST
(29531)
ROCHESTER, MN 55902
PHONE: 507/285-1815
FAX: 507/288-8070
Corp
STANLEY JONES & ASSOCIATES INC
MS. VICTORIA DALLE MOLLE
HHA
HCP/COMP
2746 SUPERIOR DR NW SUITE 300
(02308)
ROCHESTER, MN 55901
PHONE: 507/288-0064
FAX: 507/288-3993
MS. PATRICE MRDJENOVICH - HANK
Out Pt Out St
Corp
STANLEY JONES AND ASSOCIATES
2746 SUPERIOR DR NW SUITE 300
(02587)
ROCHESTER, MN 55901
PHONE: 507/288-0064
SUNRISE COTTAGE OF ROCHESTER
FAX: /
MS. PATRICE MRDJENOVICH - HANK
Corp
HCP-F
4220 55TH ST NW
ROCHESTER, MN 55901
PHONE: 507/286-8528
(22509)
FAX: 507/286-8527
MS. ALICIA ADAMS
Minnesota Department of Health
Division of Compliance Monitoring
Page 348
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
SUNSET HOMES ASSISTED LIVING
Certification
OLMSTED
Registration
(Cont.)* -------------------------
HCP-F
3686 KENOSHA DRIVE NORTHWEST
(26018)
ROCHESTER, MN 55902
PHONE: 507/206-4856
FAX: 507/206-4858
MR. JOSEPH MABURURU
HWSAL
Corp
SUNSET HOMES ASSISTED LIVING I
3686 KENOSHA DRIVE NORTHWEST
(30659)
ROCHESTER, MN 55902
PHONE: 507/206-4856
FAX: 507/206-4858
Corp
THE GABLES
MR. JOSEPH MABURURU
SLFA-30
604 FIFTH STREET SOUTHWEST
(01449)
ROCHESTER, MN 55902
PHONE: 507/282-2500
MS. NANCY STOFFERAHN
FAX: 507/282-6036
HWSAL
NProf
THE HOMESTEAD AT ROCHESTER
1900 BALLINGTON BLVD NW
(24676)
ROCHESTER, MN 55901
PHONE: 507/535-2000
MR. MARK ROBINSON
FAX: 507/535-2001
HWS
Lim-Liab
THE KAHLER GRAND HOTEL
20 SECOND AVENUE SOUTHWEST
(29683)
ROCHESTER, MN 55901
PHONE: 507/280-6200
THE WATERS ON MAYOWOOD
MS. SARA ROMEO
FAX: /
HWS
Lim-Liab
827 MAYOWOOD ROAD SW
ROCHESTER, MN 55902
PHONE: 507/413-7678
VISITING ANGELS
(31474)
MS. LINDA HALL
FAX: 952/358-5151
Lim-Liab
COMP
302 ELTON HILLS DR NW STE 200
ROCHESTER, MN 55901
PHONE: 507/289-1147
VOA HOME HEALTH AT ROCHESTER
(26975)
MR. JOSEPH SEDELMEYER
FAX: 507/289-7247
NProf
HCP-F
1900 BALLINGTON BOULEVARD
ROCHESTER, MN 55901
PHONE: 507/535-2000
WILLOWS & WATERS SENIOR LIVING
(25044)
MR. MARK ROBINSON
FAX: 507/535-2001
Lim-Liab
COMP
707 UPPER MEADOW LANE NW
ROCHESTER, MN 55901
PHONE: 507/288-0593
WILLOWS & WATERS SR LVG LLC
(28043)
FAX: 651/286-3108
MS. JACKLEYN SEIFERT
HWSAL
Lim-Liab
707 UPPER MEADOW LANE NW
ROCHESTER, MN 55901
PHONE: 507/288-0593
(30801)
FAX: 651/286-3108
MS. JACKELYN SEIFERT
Minnesota Department of Health
Division of Compliance Monitoring
Page 349
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: 507/289-2089
FAX: 507/535-5792
MR. DAVID COOK
HWSAL
NProf
ROOT RIVER ESTATES
110 NORTHEAST FOURTH STREET
(30724)
STEWARTVILLE, MN 55976
PHONE: 507/533-1378
FAX: 507/533-1384
NProf
ROOT RIVER ESTATES HOME CARE S
MR. EUGENE GUSTASON
COMP
110 NORTHEAST FOURTH STREET
(20604)
STEWARTVILLE, MN 55976
PHONE: 507/533-1378
MR. EUGENE GUSTASON
FAX: 507/533-1384
HWSAL
NProf
STEWARTVILLA APARTMENTS
125 SECOND AVENUE NORTHEAST
(21424)
STEWARTVILLE, MN 55976
PHONE: 507/533-1378
MR. EUGENE GUSTASON
FAX: 507/533-1384
NProf
STEWARTVILLE CARE CENTER
SNF-NF-85
NH-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
COMP
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
MR. EUGENE GUSTASON
FAX: 507/533-1384
---------------------------**********
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
FAX: /
MS. LISA LIEN
Minnesota Department of Health
Division of Compliance Monitoring
Page
350
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
LAKEVIEW SENIOR LIVING APARTME
Certification
OTTER TAIL
Registration
(Cont.)* -------------------------
HCP-F
605 NORTH LAKE AVENUE
(25117)
BATTLE LAKE, MN 56515
PHONE: 218/862-5230
FAX: 218/862-5240
MS. DAWN CHRISTENSEN
HWSAL
NProf
LAKEVIEW SENIOR LIVING APARTME
605 NORTH LAKE AVENUE
(30610)
BATTLE LAKE, MN 56515
PHONE: 218/862-5230
FAX: 218/862-5240
NProf
ACCRA HOME CARE INC
MR. JAMES WOLF
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/COMP
HHA
225 WEST CAVOUR AVENUE SUITE D
(03084)
FERGUS FALLS, MN 56537
PHONE: 218/736-0246
MS. SUSAN MORGAN
FAX: 218/736-0265
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
SLFB-5
ICFIID-5
1505 SOUTH ARLINGTON
(01222)
FERGUS FALLS, MN 56537
PHONE: 218/739-2045
FAX: 218/736-0089
NProf
BROEN MEMORIAL HOME
MS. NICOLLE BRAATEN-TOSO
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
COMP
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: 218/736-1821
COMM BEHAV HOSP FERGUS FALLS
FAX: /-
MS. RENATA BOSEK
State
OTHER-16
HOSP-16
1801 WEST ALCOTT
FERGUS FALLS, MN 56537
PHONE: 218/332-5001
(24073)
FAX: 218/739-1329
MS. KENNETH HANNA
Minnesota Department of Health
Division of Compliance Monitoring
Page
351
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
OTTER TAIL
(Cont.)* -------------------------
ESRD
Corp
FERGUS FALLS DIALYSIS CENTER
Registration
907 SOUTH MILL STREET
(02117)
FERGUS FALLS, MN 56537
PHONE: 218/739-6197
MR. JERRY GUSTAFSON
FAX: /
HWSAL
Corp
GOLDEN MANOR OF FERGUS FALLS
124 WEST ORIOLE DRIVE
(21055)
FERGUS FALLS, MN 56537
PHONE: 218/739-1119
MS. JENNIFER BERG
FAX: 218/354-6079
Part
HARMONY HOME HEALTH CARE
HCP-A
25483 COUNTY HIGHWAY 27
(23813)
FERGUS FALLS, MN 56537
PHONE: 218/998-3750
MS. DANIELLE SCHUETZLE
FAX: 218/998-3965
NProf
LAKE REGION HEALTHCARE CORP
HOSP-108 BASS-10
HOSP-80 PPS-P-14 PPS-R-14
712 CASCADE STREET SOUTH
(00437)
FERGUS FALLS, MN 56537
PHONE: 218/736-8190
MR. LARRY SCHULZ
FAX: 218/736-8765
NProf
LAKELAND HOMECARE
HCP/COMP
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
COMP
418 EAST ALCOTT
(21591)
FERGUS FALLS, MN 56537
PHONE: 218/998-7400
MR. JOHN ZWIERS
FAX: 218/998-7362
LUTHERAN BRETHREN WOODLAND LOD
HWSAL
NProf
394 WOODLAND DRIVE
FERGUS FALLS, MN 56537
PHONE: 218/737-6100
MILL STREET RESIDENCE
(29358)
MR. JOHN ZWIERS
FAX: 218/998-7362
NProf
HCP-F
802 SOUTH MILL STREET
FERGUS FALLS, MN 56537
PHONE: 218/739-2900
(24319)
FAX: 218/739-2192
MR. MICHAEL SIEMS
Minnesota Department of Health
Division of Compliance Monitoring
Page 352
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
MN VETERANS HOME FERGUS FALLS
State
Certification
OTTER TAIL
Registration
(Cont.)* -------------------------
NH-106
1821 NORTH PARK
FERGUS FALLS, MN 56537
PHONE: 218/736-0400
NEW DIMENSIONS HHC INC
(00531)
FAX: 218/739-7686
Corp
MR. JON SKILLINGSTAD
HCP/COMP
HHA
312 N TOWER ROAD
FERGUS FALLS, MN 56537
PHONE: 218/739-5856
PARK GARDENS OF FERGUS FALLS
(03314)
FAX: 218/736-6330
Lim-Liab
MS. WENDY ERLANDSON
COMP
215 EAST SKOGMO BLVD
FERGUS FALLS, MN 56537
PHONE: 218/998-4444
PARK GARDENS OF FERGUS FALLS
(24507)
FAX: 218/998-4476
MS. KRISTINA JORGENSON
HWSAL
Lim-Liab
215 EAST SKOGMO BLVD
FERGUS FALLS, MN 56537
PHONE: 218/998-4444
PIONEER CARE CENTER
(30541)
MS. KRISTINA JORGENSON
FAX: 218/998-4476
Church
SNF-NF-105
NH-105
1131 SOUTH MABELLE AVENUE
FERGUS FALLS, MN 56537
PHONE: 218/998-1500
PIONEER HOME INC CARE SUITES
(00443)
MS. SARA WATKINS
FAX: 218/998-1580
Church
COMP
1006 SOUTH SHERIDAN
FERGUS FALLS, MN 56537
PHONE: 218/998-1518
PIONEER HOME INC CARE SUITES
(20076)
FAX: 218/998-1580
MR. NATHAN JOHNSON
HWS
NProf
1006 SOUTH SHERIDAN
FERGUS FALLS, MN 56537
PHONE: 218/998-1518
PIONEER POINTE
(30333)
FAX: 218/998-1580
MR. NATHAN JOHNSON
HWS
Church
411 EVERETT AVENUE EAST
FERGUS FALLS, MN 56537
PHONE: 218/739-7703
PIONEER SENIOR COTTAGES
(20450)
FAX: 218/739-7707
MR. NATHAN JOHNSON
HWSAL
NProf
1325 MABELLE AVENUE
FERGUS FALLS, MN 56537
PHONE: 218/998-9970
PIONEER SENIOR COTTAGES
(21214)
FAX: 218/998-9972
MR. NATHAN JOHNSON
HWSAL
NProf
1327 MABELLE AVENUE SOUTH
FERGUS FALLS, MN 56537
PHONE: 218/998-9970
(21213)
FAX: 218/998-9972
MR. NATHAN JOHNSON
Minnesota Department of Health
Division of Compliance Monitoring
Page 353
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
OTTER TAIL
(Cont.)* -------------------------
HWSAL
NProf
PIONEER SENIOR COTTAGES II
Registration
1315 MABELLE AVENUE SOUTH
(21567)
FERGUS FALLS, MN 56537
PHONE: 218/998-9974
FAX: 218/998-9976
MR. NATHAN JOHNSON
HWSAL
NProf
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
NProf
PIONEER SENIOR COTTAGES III
1305 MABELLE AVENUE SOUTH
(23152)
FERGUS FALLS, MN 56537
PHONE: 218/998-9980
FAX: /
MR. NATHAN JOHNSON
HWSAL
Church
PIONEER SENIOR COTTAGES III
1307 MABELLE AVENUE SOUTH
(23153)
FERGUS FALLS, MN 56537
PHONE: 218/998-9980
PRODUCTIVE ALTERNATIVES INC
MR. NATHAN JOHNSON
FAX: /-
NProf
SLFB-10
1017 NORTH TOWER ROAD
FERGUS FALLS, MN 56537
PHONE: 218/998-5649
RIVER BEND APARTMENTS
(23998)
MR. BOB JOHNSON
FAX: 218/736-2541
HWS
Part
222 NORTH WHITFORD STREET
FERGUS FALLS, MN 56537
PHONE: 218/736-2557
RIVERVIEW HEIGHTS HIGHRISE
(21758)
FAX: 218/998-3665
MS. DIANE EGGEN
HWSAL
HRA
205 NORTH SHERIDAN AVENUE
FERGUS FALLS, MN 56537
PHONE: 218/739-6522
SHERIDAN HOUSE
(20036)
FAX: 218/739-0975
MR. JEFFREY GAFFANEY
HWS
NProf
808 SOUTH SHERIDAN
FERGUS FALLS, MN 56537
PHONE: 218/998-7400
SYNSTELIEN COMMUNITY SERVICES
(22541)
FAX: 218/998-7362
Corp
MR. JOHN ZWIERS
HCP-A
128 EAST MEADOWLARK LANE
FERGUS FALLS, MN 56537
PHONE: 218/736-7322
THE MILL STREET RESIDENCE
(25892)
FAX: 218/739-1090
MR. DARYL SYNSTELIEN
HWSAL
NProf
802 SOUTH MILL STREET
FERGUS FALLS, MN 56537
PHONE: 218/739-2900
(30317)
FAX: 218/739-2192
MR. MICHAEL SIEMS
Minnesota Department of Health
Division of Compliance Monitoring
Page 354
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
THE MILL STREET RESIDENCE
Certification
OTTER TAIL
Registration
(Cont.)* -------------------------
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
FAX: /
MS. TERRI KASEMAN
HWSAL
Ind
VALKOMMEN HEM INN
328 14TH STREET EAST
(30653)
FERGUS FALLS, MN 56537
PHONE: 218/998-3712
FAX: 218/998-3010
Ind
VALKOMMEN HEM INN
MS. EUNICE MATSON
COMP
328 14TH STREET EAST
(26941)
FERGUS FALLS, MN 56537
PHONE: 218/998-3712
MS. EUNICE MATSON
FAX: 218/998-3010
Lim-Liab
GOLDEN LIVINGCENTER HENNING
NH-42
SNF-NF-42
907 MARSHALL AVENUE
(00799)
HENNING, MN 56551
PHONE: 218/583-2965
MS. JOAN GEDDE
FAX: 218/583-2719
HWSAL
Ind
OUR HOME YOUR HOME
609 FRONT STREET
(30844)
HENNING, MN 56551
PHONE: 218/583-4428
FAX: 218/583-2504
Ind
OUR HOME YOUR HOME
MS. JODY LOHSE
COMP
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
WILLOW CREEK SENIOR COMMUNITY
FAX: /
MR. DENNIS MILEY
City
COMP
500 WILLOW CREEK DRIVE
HENNING, MN 56551
PHONE: 218/548-6683
WILLOW CREEK SENIOR COMMUNITY
(23334)
FAX: 218/548-6684
MS. SUSANNE TORGERSON
HWSAL
City
500 WILLOW CREEK DRIVE
HENNING, MN 56551
PHONE: 218/548-6683
(30350)
FAX: 218/548-6684
MS. GINA ELLINGSON
Minnesota Department of Health
Division of Compliance Monitoring
Page 355
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Church
ELDERS HOME INC
Certification
OTTER TAIL
Registration
(Cont.)* -------------------------
NH-48
SNF-NF-48
SOUTH TOUSLEY PO BOX 188
(00432)
NEW YORK MILLS, MN 56567
PHONE: 218/385-2005
FAX: 218/385-4170
Ind
HOME SWEET HOME ASSISTED LIVIN
MR. CAL ANDERSON
COMP
412 HUMMINGBIRD LANE
(27030)
NEW YORK MILLS, MN 56567
PHONE: 218/385-2660
FAX: 218/385-2667
MS. MICHELLE STEINBACH
HWSAL
Ind
HOME SWEET HOME ASSISTED LIVIN
412 HUMMINGBIRD LANE
(30671)
NEW YORK MILLS, MN 56567
PHONE: 218/385-2660
FAX: 218/385-2667
MS. MICHELLE STEINBACH
HWS
Part
KALEVA APARTMENTS
205 WALKER AVENUE N
(29884)
NEW YORK MILLS, MN 56567
PHONE: 218/385-3273
MS. MEGAN GOODMUNDSON
FAX: 218/385-3288
Lim-Liab
LAKE COUNTRY HOME CARE
COMP
95 MILLER ST STE E
(26683)
NEW YORK MILLS, MN 56567
PHONE: 218/385-3422
MS. ADELE LAUSTEN
FAX: 218/385-3506
Corp
TENDER HEARTS HOME CARE
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: /-
MCCORNELL COURT ASSUMPTION HOU
MR. JOEL BEISWENGER
NProf
COMP
122 NORTH MCCORNELL
PARKERS PRAIRIE, MN 56361
PHONE: 218/338-4671
ST WILLIAMS FOSTER CARE MCCORN
(20188)
FAX: 218/338-5917
MR. TIM KELLY
HWSAL
NProf
122 NORTH MCCORNELL
PARKERS PRAIRIE, MN 56361
PHONE: 218/338-4671
(30437)
FAX: 218/338-5917
MR. TIM KELLY
Minnesota Department of Health
Division of Compliance Monitoring
Page 356
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
ST WILLIAMS LIVING CENTER
Certification
OTTER TAIL
Registration
(Cont.)* -------------------------
NH-58
SNF-NF-58
212 WEST SOO STREET BOX 30
(00444)
PARKERS PRAIRIE, MN 56361
PHONE: 218/338-4671
FAX: 218/338-5917
MR. TIMOTHY KELLY
HWS
Part
MILL POND VIEW APARTMENTS
101 EAST MILL AVENUE
(21757)
PELICAN RAPIDS, MN 56572
PHONE: 218/863-5085
FAX: 218/863-5086
Dist
PELICAN VALLEY HEALTH CENTER
MS. MARGARET FARRIS
NH-36
SNF-NF-36
211 EAST MILL AVENUE
(00442)
PELICAN RAPIDS, MN 56572
PHONE: 218/863-2991
FAX: 218/863-5255
Dist
RIVERFRONT MANOR
MS. BARBARA GARRITY
HCP-F
215 EAST MILL AVENUE
(21613)
PELICAN RAPIDS, MN 56572
PHONE: 218/863-1133
MS. BARBARA GARRITY
FAX: 218/863-4860
HWSAL
Dist
RIVERFRONT MANOR
215 EAST MILL AVENUE
(21612)
PELICAN RAPIDS, MN 56572
PHONE: 218/863-1133
MS. BARBARA GARRITY
FAX: 218/863-4860
HWSAL
Dist
RIVERFRONT ON MAIN
119 NORTH BROADWAY
(28601)
PELICAN RAPIDS, MN 56572
PHONE: 218/863-2401
MS. BARBARA GARRITY
FAX: 218/863-4437
Dist
RIVERFRONT ON MAIN
HCP-F
119 NORTH BROADWAY
(28600)
PELICAN RAPIDS, MN 56572
PHONE: 218/863-2401
MS. BARBARA GARRITY
FAX: 218/863-4437
RHC
NProf
SANFORD HLTH PELICN RPDS CLINC
211 EAST MILL STREET
(23220)
PELICAN RAPIDS, MN 56572
PHONE: 701/234-6207
7TH HEAVEN ASSISTED LIVING
MS. LISA CARLSON
FAX: /
Lim-Liab
COMP
210 7TH AVENUE SOUTHEAST
PERHAM, MN 56573
PHONE: 218/346-7077
7TH HEAVEN ASSISTED LIVING LLC
(29022)
FAX: 218/346-7099
MS. JULIE REITMEYER
HWSAL
Lim-Liab
210 7TH AVENUE SOUTHEAST
PERHAM, MN 56573
PHONE: 218/346-7077
(30811)
FAX: 218/346-7099
MS. JULIE REITMEYER
Minnesota Department of Health
Division of Compliance Monitoring
Page
357
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
OTTER TAIL
(Cont.)* -------------------------
HWS
Dist
BRIARWOOD
Registration
630 FIFTH STREET SOUTHWEST
(20557)
PERHAM, MN 56573
PHONE: 218/347-1865
FAX: 218/347-1866
MR. CHARLES HOFIUS
HWS
HRA
LAKELAND APARTMENTS
211 2ND AVENUE SE
(31387)
PERHAM, MN 56573
PHONE: 218/346-4582
PERHAM HEALTH
FAX: /
MS. MARY HOLZER
Dist
HOSP-25 BASS-4
CAH-25
1000 CONEY STREET WEST
PERHAM, MN 56573
PHONE: 218/347-4500
PERHAM LIVING
(28377)
FAX: 218/347-4540
Dist
MR. CHARLES HOFIUS
COMP
735 3RD STREET SOUTHWEST
PERHAM, MN 56573
PHONE: 218/347-1880
PERHAM LIVING
(28907)
MR. CHUCK HOFIUS
FAX: 218/347-1885
Dist
NH-96
SNF-NF-96
735 3RD STREET SOUTHWEST
PERHAM, MN 56573
PHONE: 218/347-1800
PERHAM LIVING HOME CARE
(00438)
MS. KATIE LUNDMARK
FAX: 218/347-1882
Dist
HCP/COMP
HHA
735 3RD STREET SOUTHWEST
PERHAM, MN 56573
PHONE: 218/347-1880
PRAIRIE VIEW ASSISTED LIVING
(03870)
FAX: 218/347-1885
MS. ANGELA AANENSON
HWSAL
Corp
826 7TH AVE SW
PERHAM, MN 56573
PHONE: 218/346-3080
PRAIRIE VIEW ASSISTED LIVING
(31250)
FAX: 218/346-2700
Corp
MS. KARI HONER
HCP-A
821 7TH AVENUE SOUTHWEST
PERHAM, MN 56573
PHONE: 218/346-3080
PRAIRIE VIEW ASSISTED LIVING I
(28894)
FAX: 218/346-2700
Corp
MS. KARI HONER
COMP
821 7TH AVENUE SOUTHWEST
PERHAM, MN 56573
PHONE: 218/346-3080
PRAIRIE VIEW ASSISTED LIVING I
(24511)
FAX: 218/346-2700
MS. KARI HONER
HWSAL
Corp
825 7TH AVENUE SOUTHWEST
PERHAM, MN 56573
PHONE: 218/346-3167
(27188)
FAX: 218/298-1140
MS. KARI HONER
Minnesota Department of Health
Division of Compliance Monitoring
Page 358
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
OTTER TAIL
(Cont.)* -------------------------
HWSAL
Corp
PRAIRIE VIEW ASSISTED LIVING I
Registration
821 7TH AVENUE SOUTHWEST
(30546)
PERHAM, MN 56573
PHONE: 218/346-3080
FAX: 218/346-2700
Lim-Liab
SOME PLACE SPECIAL
MS. KARI HONER
COMP
449 WEST MAIN
(24471)
PERHAM, MN 56573
PHONE: 218/346-2431
FAX: /
MS. JESSICA JOHNSON
HWSAL
Lim-Liab
SOME PLACE SPECIAL
449 WEST MAIN
(30539)
PERHAM, MN 56573
PHONE: 218/346-2431
FAX: /
MS. JESSICA JOHNSON
HWS
Dist
ST JAMES MANOR
415 EIGHTH AVENUE SW
(22350)
PERHAM, MN 56573
PHONE: 218/347-1854
MS. DEBBIE ANDERSON
FAX: 218/347-1864
HWSAL
Corp
THE THOMAS HOUSE II
738 THIRD AVENUE SW
(23404)
PERHAM, MN 56573
PHONE: 218/346-3064
MS. LISA NELSON
FAX: /
HWSAL
Corp
THE THOMAS HOUSE INC
701 3RD AVENUE SOUTHWEST
(30767)
PERHAM, MN 56573
PHONE: 218/346-3064
MS. LISA NELSON
FAX: /
Corp
THE THOMAS HOUSE INC
HCP-F
701 3RD AVENUE SOUTHWEST
(21578)
PERHAM, MN 56573
PHONE: 218/346-3064
MS. LISA NELSON
FAX: /
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)
FAX: 218/342-2779
---------------------------**********
MS. JAN RIEWER
PENNINGTON
******** -------------------------
Minnesota Department of Health
Division of Compliance Monitoring
Page
359
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Cnty
INTER CO NURSING SERVICE
Certification
PENNINGTON
Registration
(Cont.)* -------------------------
HCP/COMP
HHA
318 NORTH KNIGHT AVENUE
(02124)
THIEF RIVER FALLS, MN 56701
PHONE: 218/681-0876
FAX: 218/683-7099
MS. ANITA CARDINAL
HWSAL
Lim-Liab
MINNESOTA GREENLEAF
1006 GREENWOOD STREET EAST
(30342)
THIEF RIVER FALLS, MN 56701
PHONE: 218/681-1685
FAX: 218/681-4014
Lim-Liab
MINNESOTA GREENLEAF
MS. RENAE ROHL
HCP-F
1006 GREENWOOD STREET EAST
(23224)
THIEF RIVER FALLS, MN 56701
PHONE: 218/681-1685
FAX: 218/681-4014
Corp
OAK PARK SENIOR LIVING
MS. CHELSEY SWATZKE
HCP-F
121 BAKEN STREET
(22082)
THIEF RIVER FALLS, MN 56701
PHONE: 218/681-1675
MS. ANGELA MALONE
FAX: 218/681-1037
Corp
OAKLAND PARK COMMUNITIES INC
NH-40
SNF-NF-40
123 BAKEN STREET
(00449)
THIEF RIVER FALLS, MN 56701
PHONE: 218/681-1675
MR. NICOLAI BERG
FAX: 218/681-1037
ESRD
NProf
SANFORD DIALYSIS THIEF RVR FLS
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
HOSP-36 BASS-10
CAH-25 PPS-P-10
3001 SANFORD PARKWAY
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
MS. MICHELE HALVORSON
HWSAL
NProf
523 ARNOLD AVENUE SOUTH
THIEF RIVER FALLS, MN 56701
PHONE: 218/681-3286
VALLEY HOME
(30224)
FAX: 218/681-3287
MS. ANGELA MALONE
NProf
523 ARNOLD AVENUE SOUTH
THIEF RIVER FALLS, MN 56701
PHONE: 218/681-3286
(00450)
FAX: 218/681-3287
MS. ANGELA MALONE
Minnesota Department of Health
Division of Compliance Monitoring
Page 360
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
COUNTRY HOME COMFORTS
Certification
PINE
Registration
******** -------------------------
HCP-F
2656 RAINBOW STREET
(26778)
BROOK PARK, MN 55007
PHONE: 320/679-2847
FAX: 651/679-8934
Lim-Liab
ELDERWOOD OF HINCKLEY
MS. BARBARA STEINER
COMP
25269 CROSS LAKE ROAD
(27972)
HINCKLEY, MN 55037
PHONE: 320/384-7373
FAX: 320/384-0700
MR. RONALD AUSMUS
HWSAL
Lim-Liab
ELDERWOOD OF HINCKLEY
710 SPRING LANE
(23986)
HINCKLEY, MN 55037
PHONE: 320/384-7373
MR. RONALD AUSMUS
FAX: 320/384-0700
RHC
Cnty
FIRSTLIGHT HINCKLEY
620 SANDY LANE ROAD
(28051)
HINCKLEY, MN 55037
PHONE: 320/629-7505
MR. RANDY ULSETH
FAX: 320/629-2202
RHC
Corp
GATEWAY FAMILY HEALTH CLINIC
206 MAIN STREET E PO BOX 309
(23052)
HINCKLEY, MN 55037
PHONE: 320/384-6618
MR. WILLIAM PALMER
FAX: /
COMMUNITY SUPPORTS PROGRAMMING
Lim-Liab
HCP-B
500 3RD AVENUE SUITE 2
PINE CITY, MN 55063
PHONE: 320/629-6674
EDGEWATER ASSISTED LIVING
(24826)
MS. TINA MAY
FAX: 320/629-6630
Corp
HCP-F
14856 EDGEWATER ROAD NE
PINE CITY, MN 55063
PHONE: 320/629-1447
FIRSTLIGHT PINE CITY
(23691)
MS. DEBRA ERICKSON
FAX: 320/629-2318
RHC
Cnty
1425 MAIN STREET NORTH
PINE CITY, MN 55063
PHONE: 320/629-7505
GOLDEN HORIZONS ASSISTED INC
(28050)
MR. RANDY ULSETH
FAX: 320/629-2202
Corp
COMP
1305 EIGHTH STREET SW
PINE CITY, MN 55063
PHONE: 320/629-7272
GOLDEN HORIZONS INC
(22193)
FAX: 320/629-5388
MS. SUE CARLSON
HWSAL
Corp
1305 EIGHTH STREET SW
PINE CITY, MN 55063
PHONE: 320/629-7272
(30292)
FAX: 320/629-5388
MR. CHUCK LANE
Minnesota Department of Health
Division of Compliance Monitoring
Page
361
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
PINE
(Cont.)* -------------------------
HWSAL
Corp
LAKESIDE MEDICAL CENTER
Registration
129 SIXTH AVENUE SE
(30362)
PINE CITY, MN 55063
PHONE: 320/629-2542
FAX: 320/629-1093
Corp
LAKESIDE MEDICAL CENTER
MR. MAX BLAUFUSS
NH-46
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
COMP
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
MS. SHELLEY SKARDA
FAX: 763/444-6007
HWSAL
Lim-Liab
SCANDIA HOUSE OF PINE CITY
14856 EDGEWATER ROAD NE
(30398)
PINE CITY, MN 55063
PHONE: 320/629-1447
MS. BECKY BERGSTROM
FAX: 320/629-2318
Lim-Liab
SILVER LININGS HOME HEALTH CAR
HCP-A
24801 ROSEWOOD LANE
(29717)
PINE CITY, MN 55063
PHONE: 320/224-9595
FAX: /
MS. JACLYN ANDERSON
State
SIXTH AVENUE RESIDENCE
SLFB-6
ICFIID-6
215 SIXTH AVENUE EAST
(01619)
PINE CITY, MN 55063
PHONE: 320/629-2116
FAX: 320/629-2252
MS. MIRANDA TRYTTEN
HWSAL
Corp
SOPHIE'S MANOR ASSISTED LIVING
17500 RANCH DRIVE
(30576)
PINE CITY, MN 55063
PHONE: 320/629-2064
FAX: 320/629-4918
Corp
SOPHIE'S MANOR ASSISTED LIVING
MS. RHODA SUNDHEIM
COMP
17500 RANCH DRIVE
(24653)
PINE CITY, MN 55063
PHONE: 320/629-2064
FAX: 320/629-4918
MS. ERICKA MILLER
ESRD
Corp
TRC PINE CITY
129 EAST SIXTH AVENUE
(02432)
PINE CITY, MN 55603
PHONE: 763/444-7245
FAX: /
MR. BRAD NYE
Minnesota Department of Health
Division of Compliance Monitoring
Page
362
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
ESSENTIA HEALTH SANDSTONE
Certification
PINE
Registration
(Cont.)* -------------------------
HOSP-30 BASS-5
CAH-25
109 COURT AVENUE SOUTH
(00453)
SANDSTONE, MN 55072
PHONE: 320/245-2212
FAX: 320/245-5243
NProf
ESSENTIA HEALTH SANDSTONE
MR. MICHAEL HEDRIX
NH-45
SNF-NF-45
109 COURT AVENUE SOUTH
(00452)
SANDSTONE, MN 55072
PHONE: 320/245-5668
FAX: 320/245-3220
MS. JAMIE PARO
RHC
Corp
GATEWAY FAMILY CLINIC
204 LUNDORFF DRIVE
(21128)
SANDSTONE, MN 55072
PHONE: 320/245-2250
FAX: /
MR. WILLIAM PALMER
---------------------------**********
EDGEBROOK CARE CENTER
NProf
PIPESTONE
******** -------------------------
NH-56
SNF-NF-56
505 TROSKY ROAD WEST
EDGERTON, MN 56128
PHONE: 507/442-7121
EDGEBROOK ESTATES
(00454)
MR. PHILIP SAMUELSON
FAX: 507/442-3952
HWS
NProf
505 TROSKY ROAD WEST
EDGERTON, MN 56128
PHONE: 507/442-7121
EDGEBROOK ESTATES ASSISTED LIV
(20552)
MR. PHILIP SAMUELSON
FAX: 507/442-3952
NProf
HCP-F
301 5TH AVENUE NORTH
EDGERTON, MN 56128
PHONE: 507/442-5080
EDGEBROOK ESTATES ASSISTED LIV
(23870)
FAX: 507/442-5101
MR. PHILIP SAMUELSON
HWSAL
NProf
301 5TH AVENUE NORTH
EDGERTON, MN 56128
PHONE: 507/442-5080
JASPER SUNRISE VILLAGE
(30472)
FAX: 507/442-5101
City
MR. PHILIP SAMUELSON
COMP
100 ROBERT AVE N SUITE 100
JASPER, MN 56144
PHONE: 507/348-8620
JASPER SUNRISE VILLAGE
(20083)
FAX: 507/348-6100
MS. LAUREL YKEMA
HWSAL
City
100 ROBERT AVE N SUITE 100
JASPER, MN 56144
PHONE: 507/348-8620
(30407)
FAX: 507/348-6100
MS. LAUREL YKEMA
Minnesota Department of Health
Division of Compliance Monitoring
Page 363
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
FALLS LANDING ASSISTED LIVING
Corp
Certification
PIPESTONE
Registration
(Cont.)* -------------------------
COMP
1101 NORTH HIAWATHA
PIPESTONE, MN 56164
PHONE: 507/562-6648
FALLS LANDING ASSISTED LIVING
(23333)
FAX: 507/562-6650
MS. JENNIFER CURRIER
HWSAL
Corp
1101 NORTH HIAWATHA
PIPESTONE, MN 56164
PHONE: 507/562-6648
GOOD SAM SOCIETY PIPESTONE
(30347)
FAX: 507/562-6650
NProf
MR. MIKE LUDOLPH
NH-94
SNF-NF-94
1311 NORTH HIAWATHA
PIPESTONE, MN 56164
PHONE: 507/825-5428
GOOD SAMARITAN SOC PIPESTONE
(00455)
FAX: 507/825-5117
NProf
MR. DAVID SORBEL
TCOMP
903 2ND AVENUE SE
PIPESTONE, MN 56164
PHONE: 507/825-4885
PIPESTONE CO HOME HEALTH AGNCY
(31194)
MR JOSH HOFMEYER
FAX: 507/825-8117
Cnty
HCP/COMP
HHA
916 4TH AVENUE SW
PIPESTONE, MN 56164
PHONE: 507/825-6024
PIPESTONE COUNTY HOSPICE
(02046)
MR. BRADLEY BURRIS
FAX: 507/825-6145
Cnty
Hospice
HSPICE
916 4TH AVENUE SOUTHWEST
PIPESTONE, MN 56164
PHONE: 507/825-6024
PIPESTONE COUNTY HOSPICE RESID
(24107)
FAX: 507/825-6145
Cnty
MR. BRADLEY BURRIS
RES-HSPICE-4
309 10TH STREET SW
PIPESTONE, MN 56164
PHONE: 507/825-6024
PIPESTONE COUNTY MED CTR
(24029)
FAX: 507/825-6145
Cnty
MR. BRADLEY BURRIS
HOSP-44 BASS-12
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
(20656)
FAX: 507/562-1355
MS. MARLENE SCHULZE
Minnesota Department of Health
Division of Compliance Monitoring
Page 364
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
NEW LIFE TREATMENT CENTER
Certification
PIPESTONE
Registration
(Cont.)* --------------------------
SLFA-21 SLFB-7
130 DAKOTA STREET
(01241)
WOODSTOCK, MN 56186
PHONE: 507/777-4321
FAX: 507/777-4284
MR. GARY AMBROSE
---------------------------**********
POLK
******** -------------------------
ESRD
NProf
ALTRU RENAL DIALYSIS AT CROOKS
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: 218/470-2000
FAX: 218/470-2005
MS. DANA JOHNSON
HWS
Church
GOOD SHEPHERD HALL
620 SUMMIT AVENUE
(22009)
CROOKSTON, MN 56716
PHONE: 218/281-4218
MS. JUDY HULST
FAX: 218/281-2690
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
FAX: /
MS. SHAUNA REITMEIER
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/COMP
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 HOSP-49 BASS-10
323 SOUTH MINNESOTA
CROOKSTON, MN 56716
PHONE: 218/281-9200
(00470)
FAX: 218/281-9222
MR. JOHN MIELKE
SNF-NF-24 CAH-25
Minnesota Department of Health
Division of Compliance Monitoring
Page
365
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
VILLA ST VINCENT
Church
Certification
POLK
Registration
(Cont.)* -------------------------
NH-104
SNF-NF-104
516 WALSH STREET
CROOKSTON, MN 56716
PHONE: 218/281-3424
VILLA ST VINCENT INC
(00815)
FAX: 218/281-4755
MS. JUDITH HULST
HWS
Church
516 WALSH STREET
CROOKSTON, MN 56716
PHONE: 218/281-9700
VILLA ST VINCENT INC
(30289)
FAX: 218/281-4755
Church
MS. JUDITH HULST
COMP
516 WALSH STREET
CROOKSTON, MN 56716
PHONE: 218/281-9700
EDGEWOOD VISTA
(20007)
FAX: 218/281-4755
Corp
MS. JUDITH HULST
COMP
608 FIFTH AVENUE NORTHWEST
EAST GRAND FORKS, MN 56721
PHONE: 218/773-6648
EDGEWOOD VISTA SENIOR LIVING
(20454)
MS. TAMMIE RADERMACHER
FAX: 218/773-1543
HWSAL
Corp
608 FIFTH AVENUE NORTHWEST
EAST GRAND FORKS, MN 56721
PHONE: 218/773-6648
GOOD SAMARITAN SOCIETY HERITAG
(30631)
MS. CHIVON STEGMILLER
FAX: 218/773-1543
NProf
COMP
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
MS. TRICIA BUCKALEW
SLFB-6
ICFIID-6
2138 NINTH AVENUE NORTHWEST
EAST GRAND FORKS, MN 56721
PHONE: 218/281-5113
CROSSROADS APARTMENTS
(01458)
FAX: 218/281-7468
MR. PATRICK MASYGA
HWSAL-O
NProf
22842 347TH STREET SE
ERSKINE, MN 56535
PHONE: 218/687-4702
PIONEER MEMORIAL CARE CENTER
(23371)
FAX: 218/687-4703
NProf
MS. MARLENE MCGUIRE
NH-68
SNF-NF-68
23028 - 347TH STREET SE
ERSKINE, MN 56535
PHONE: 218/687-2365
(00469)
FAX: 218/687-2047
MS. MARLENE MCGUIRE
Minnesota Department of Health
Division of Compliance Monitoring
Page 366
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
THE COUNTRY PLACE
NProf
Certification
POLK
Registration
(Cont.)* -------------------------
HCP-F
23110 347TH STREET SE
ERSKINE, MN 56535
PHONE: 218/687-2288
THE COUNTRY PLACE APARTMENTS
(20593)
FAX: 218/687-3278
BUSINE JEREMY JERDEE
HWSAL
NProf
23110 347TH STREET SE
ERSKINE, MN 56535
PHONE: 218/687-2288
FAIR MEADOW ASSISTED LIVING
(30716)
FAX: 218/687-3278
MS. MARLENE MCGUIRE
HWS
City
300 GARFIELD AVE SE PO BOX 8
FERTILE, MN 56540
PHONE: 218/945-6197
FAIR MEADOW ASSISTED LIVING
(29652)
MS. JENNIFER DEROSIER
FAX: 218/945-6196
City
COMP
300 GARFIELD AVE SE PO BOX 8
FERTILE, MN 56540
PHONE: 218/945-6197
FAIR MEADOW NURSING HOME
(29651)
MS. JENNIFER DEROSIER
FAX: 218/945-6196
City
SNF-NF-50
NH-50
BOX 8 300 GARFIELD AVENUE SE
FERTILE, MN 56540
PHONE: 218/945-6194
RIVERVIEW CLINIC
(00460)
MR. BARRY ROBERTSON
FAX: 218/945-6459
RHC
NProf
306 NORTH MILL STREET
FERTILE, MN 56540
PHONE: 218/945-6695
CORNERSTONE RESIDENCE
(28148)
FAX: 218/945-6693
MR. WILLIAM BENNETT
HWSAL
Corp
115 1ST STREET EAST
FOSSTON, MN 56542
PHONE: 218/435-6333
CORNERSTONE RESIDENCE
(30360)
FAX: 218/435-6336
Corp
MS. JUDY POTVIN
COMP
115 1ST STREET EAST
FOSSTON, MN 56542
PHONE: 218/435-6333
ESSENTIA HEALTH FOSSTON
(23400)
MS. JUDY POTVIN
FAX: 218/435-6336
NProf
NH-50 HOSP-43 BASS-7
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/COMP
HHA
900 HILLIGOSS BLVD SOUTHEAST
FOSSTON, MN 56542
PHONE: 218/435-1133
(02366)
FAX: 218/435-1134
MR. KEVIN GISH
Minnesota Department of Health
Division of Compliance Monitoring
Page 367
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
FIRST CARE HOSPICE
NProf
Certification
POLK
Registration
(Cont.)* -------------------------
Hospice
HSPICE
900 HILLIGOSS BLVD SOUTHEAST
FOSSTON, MN 56542
PHONE: 218/435-1133
MIDWAY CARE CENTER INC
(03716)
FAX: 218/435-1134
MR. KEVIN GISH
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
COMP
903 PRAIRIE PINES DRIVE
FOSSTON, MN 56542
PHONE: 218/435-1337
PRAIRIE PINES COMMUNITY
(23659)
MR. KEVIN GISH
FAX: 218/435-1336
HWSAL
NProf
903 PRAIRIE PINES DRIVE
FOSSTON, MN 56542
PHONE: 218/435-7663
MCINTOSH SENIOR LIVING
(30394)
MR. KEVIN GISH
FAX: 218/435-1336
NProf
SNF-NF-45
NH-45
600 RIVERSIDE AVENUE NORTHEAST
MCINTOSH, MN 56556
PHONE: 218/563-2715
POPLAR MEADOWS OF MCINTOSH
(00467)
MS. SHARLENE KNUTSON
FAX: 218/563-2395
City
COMP
325 SCOTS AVENUE SE
MCINTOSH, MN 56556
PHONE: 218/563-2436
POPLAR MEADOWS OF MCINTOSH
(22355)
MS. JULIE KLINKE
FAX: 218/563-6100
HWS
City
325 SCOTS AVENUE SE
MCINTOSH, MN 56556
PHONE: 218/563-2436
(30294)
MS. JULIE CHRISTIANSON
FAX: 218/563-6100
---------------------------**********
CENTRAL MINNESOTA SENIOR CARE
POPE
******** -------------------------
HWS-O
Corp
515 6TH AVENUE PARKCREST
GLENWOOD, MN 56334
PHONE: 320/441-7001
GLACIAL RIDGE HOME CARE
(27708)
FAX: 320/235-8069
Dist
MS. DEBRA OLESON
HHA
HCP/COMP
220 FIRST STREET SE
GLENWOOD, MN 56334
PHONE: 320/634-2221
(02369)
FAX: 320/634-2006
MS. TERRI ANDERSON
Minnesota Department of Health
Division of Compliance Monitoring
Page
368
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Dist
GLACIAL RIDGE HOSPICE
Certification
POPE
Registration
(Cont.)* -------------------------
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
HOSP-34 BASS-4
CAH-25
10 FOURTH AVENUE SOUTHEAST
(00473)
GLENWOOD, MN 56334
PHONE: 320/634-4521
FAX: 320/634-2269
MR. KIRK STENSRUD
HWS
Corp
GLEN HAVEN MANOR
507 SOUTHEAST 5TH STREET
(24175)
GLENWOOD, MN 56334
PHONE: 320/634-0201
FAX: 320/235-8069
MS. DEBRA OLESON
HWS
Corp
GLEN VIEW APARTMENTS
501 5TH STREET SOUTHEAST
(24177)
GLENWOOD, MN 56334
PHONE: 320/441-7001
MS. DEBRA OLESON
FAX: 320/231-8069
HWSAL
Corp
GLENWOOD ESTATES
500 FRANKLIN STREET N
(22169)
GLENWOOD, MN 56334
PHONE: 320/634-0022
MS. KAREN HOLTE
FAX: 320/634-0052
Corp
GLENWOOD ESTATES
COMP
500 NORTH FRANKLIN STREET
(22168)
GLENWOOD, MN 56334
PHONE: 320/634-0022
MS. KAREN HOLTE
FAX: 320/634-0052
RHC
Dist
GLENWOOD MEDICAL CENTER
417 SOUTH FRANKLIN
(24009)
GLENWOOD, MN 56334
PHONE: 320/634-5157
GLENWOOD VILLAGE CARE CENTER
MR. KIRK STENSRUD
FAX: /
Church
SNF-NF-64
NH-64
719 SOUTHEAST SECOND STREET
GLENWOOD, MN 56334
PHONE: 320/634-5131
PARKVIEW COURT
(00474)
MS. MARY KRUEGER
FAX: 320/634-5777
HWSAL
NProf
300 8TH AVENUE SOUTHEAST
GLENWOOD, MN 56334
PHONE: 320/634-5131
PARKVIEW COURT ASSISTED LIVING
(20017)
MS. MARY KRUEGER
FAX: 320/634-5818
Church
HCP-F
300 SE 8TH AVENUE
GLENWOOD, MN 56334
PHONE: 320/634-5131
(23780)
FAX: 320/634-5777
MS. MARY KRUEGER
Minnesota Department of Health
Division of Compliance Monitoring
Page 369
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
POPE
(Cont.)* -------------------------
HWSAL
Corp
CENTRAL MN SENIOR CARE TOUCH O
Registration
300 JOHN STREET
(25021)
STARBUCK, MN 56381
PHONE: 320/441-7001
FAX: 320/235-8069
NProf
HOLLY RIDGE MANOR
MS. DEBRA OLESON
COMP
500 HOLLY RIDGE DRIVE
(21570)
STARBUCK, MN 56381
PHONE: 320/239-4775
FAX: 320/239-2339
MS. DAWN ROEN
HWSAL
NProf
HOLLY RIDGE MANOR
500 HOLLY RIDGE DRIVE
(30766)
STARBUCK, MN 56381
PHONE: 320/239-4775
MR. CHRISTOPHER KNOLL
FAX: 320/239-2339
NProf
MINNEWASKA COMMUNITY HLTH SERV
SNF-NF-65
NH-65
605 MAIN STREET
(00477)
STARBUCK, MN 56381
PHONE: 320/239-2217
MR. CHRISTOPHER KNOLL
FAX: 320/239-7144
NProf
MINNEWASKA HOME CARE
HHA
HCP/COMP
605 MAIN STREET PO BOX 40
(03853)
STARBUCK, MN 563810040
PHONE: 320/239-7159
MR. CHRISTOPHER KNOLL
FAX: 320/239-7263
---------------------------**********
Lim-Liab
COMPASSIONATE CARE SERVICES
RAMSEY
******** -------------------------
HCP-A
642 1ST AVE NW
(29962)
NEW BRIGHTON, MN 55112
PHONE: 612/987-2463
FAX: /
MS. EDET AFONCHWI
Corp
ACR HOME ON CUMMINGS
SLFB-4
ICFIID-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
JOHANNA SHORES
FAX: /-
MS. ROSANNA NELSON
NProf
HCP-F
3220 LAKE JOHANNA BOULEVARD
ARDEN HILLS, MN 55112
PHONE: 651/631-6027
(27964)
FAX: 651/631-6057
MS. NATALIE MORLAND
Minnesota Department of Health
Division of Compliance Monitoring
Page
370
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
JOHANNA SHORES COMMONS AND ARB
Certification
RAMSEY
Registration
(Cont.)* -------------------------
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
SLFB-6
ICFIID-6
1769 JANET COURT
(23588)
ARDEN HILLS, MN 55112
PHONE: 651/227-7655
FAX: 651/227-6847
NProf
PRESBY HOMES OF ARDEN HILLS
MS. DARLENE SCOTT
NH-208
SNF-NF-208
3220 LAKE JOHANNA BOULEVARD
(00975)
ARDEN HILLS, MN 55112
PHONE: 651/631-6000
FAX: 651/631-6036
MS. HEATHER HEIJERMAN
HWS
NProf
396 LABORE ROAD
396 LABORE ROAD
(28854)
LITTLE CANADA, MN 55117
PHONE: 651/256-1226
MR. MATT LEWIS
FAX: /-
HWS
NProf
412 LABORE RD
412 LABORE RD
(30198)
LITTLE CANADA, MN 55117
PHONE: 651/256-1226
LIFESPAN HOME CARE SERVICES IN
MR. MATT LEWIS
FAX: /-
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
SLFB-6
ICFIID-6
410 EAST LITTLE CANADA ROAD
LITTLE CANADA, MN 55117
PHONE: 651/765-0217
PEOPLE INC MONTREAL COURTS APA
(20896)
FAX: 651/765-0212
MS. CORRINE SCHMIDT
HWS
NProf
425 LABORE ROAD UNIT 108
LITTLE CANADA, MN 55117
PHONE: 651/490-3130
PEOPLE INC MONTREAL CTS
(30662)
FAX: 651/490-3148
NProf
MR. TIM MCGUIRE
COMP
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 371
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
REGENCY HOME HEALTHCARE SRVCS
Certification
RAMSEY
Registration
(Cont.)* -------------------------
HCP/COMP
HHA
2980 RICE STREET
(22064)
LITTLE CANADA, MN 55113
PHONE: 651/488-4655
FAX: 651/488-4656
MS. JULIE HARBER
HWS
NProf
1881 FURNESS STREET
1881 FURNESS STREET
(28734)
MAPLEWOOD, MN 55109
PHONE: 651/256-1226
BRIGHTSTAR HEALTHCARE
FAX: /
MR. MATT LEWIS
Lim-Liab
COMP
2395 ARIEL STREET SUITE B
MAPLEWOOD, MN 55109
PHONE: 651/770-8427
CAREFREE COTTAGES OF MPLEWD
(26209)
MS. CAROL HOUGHTBY
FAX: 651/770-4845
HWSAL
Lim-Liab
1801 GERVAIS AVE
MAPLEWOOD, MN 55109
PHONE: 651/770-7687
CHILDREN'S THERAPLAY LLC
(31221)
MR. CHUCK PETRICH
FAX: 651/770-1426
Lim-Liab
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)
MS. BARBARA RUPPE
FAX: 651/344-0622
NProf
HCP-F
1200 NORTH LAKEWOOD DRIVE
MAPLEWOOD, MN 55119
PHONE: 651/770-1111
ECUMEN LAKEVIEW COMMONS
(21972)
MS. GLORY HILL
FAX: 651/773-7399
HWSAL
NProf
1200 NORTH LAKEWOOD DRIVE
MAPLEWOOD, MN 55119
PHONE: 651/770-1111
ECUMEN SEASONS AT MAPLEWOOD
(20114)
MS. GLORY HILL
FAX: 651/773-7399
NProf
COMP
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 372
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
RAMSEY
(Cont.)* -------------------------
HWSAL
NProf
ECUMEN SEASONS AT MAPLEWOOD
Registration
1670 LEGACY PARKWAY EAST
(27398)
MAPLEWOOD, MN 55109
PHONE: 651/756-1859
FAX: 651/756-1754
MR. JOSEPH SIGNORE
HWSAL
Corp
ESSLING'S HOMES PLUS INC
1747 GERVAIS AVENUE
(25241)
MAPLEWOOD, MN 55109
PHONE: 651/735-7259
FAX: 651/730-1667
MR. ANTHONY EHRNRITER
HWSAL
Corp
ESSLING'S HOMES PLUS INC
1729 GERVAIS AVENUE
(24754)
MAPLEWOOD, MN 55109
PHONE: 651/735-7259
MR. ANTHONY EHRNRITER
FAX: 651/730-1667
ESRD
Corp
FMC MAPLEWOOD HEIGHTS
2017 WOODLYN AVE
(25765)
MAPLEWOOD, MN 55109
PHONE: 651/748-5774
MR. PATRICK HOWARD
FAX: /-
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
SNF-NF-96
NH-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
HOSP-184 BASS-44
HOSP-184
1575 BEAM AVENUE
(00224)
MAPLEWOOD, MN 55109
PHONE: 651/232-7000
MR. SCOTT NORTH
FAX: 651/232-7240
HEALTHEAST SURG CTR MAPLEWOOD
Lim-Liab
Amb Surg
Outpt Surg
1655 BEAM AVENUE
MAPLEWOOD, MN 55109
PHONE: 651/232-7787
HOME HELPERS OF THE TWIN CITIE
(00980)
MR. BRUNY FULLERTON
FAX: 651/232-7786
Corp
HCP-B
2515 WHITE BEAR AVENUE A-8-129
MAPLEWOOD, MN 55109
PHONE: 612/518-5741
HOME INSTEAD SENIOR CARE #150
(28757)
MS. JENNIFER OLESEN
FAX: 651/484-4687
Corp
COMP
2480 WHITE BEAR AVE
MAPLEWOOD, MN 55109
PHONE: 651/747-8722
(23592)
FAX: 651/747-8726
MS. KENDRA PHILLIPS
Minnesota Department of Health
Division of Compliance Monitoring
Page 373
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
RAMSEY
(Cont.)* -------------------------
Home Mgmt
Corp
HOME INSTEAD SENIOR CARE #150
Registration
2480 WHITE BEAR AVE
(03744)
MAPLEWOOD, MN 55109
PHONE: 651/747-8722
FAX: 651/747-8726
NProf
HOWARD HOUSE
MS. KENDRA PHILLIPS
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. LINDSEY THOMAS
ICFIID-6
SLFB-6
1362 EAST COPE AVENUE
(01599)
MAPLEWOOD, MN 55109
PHONE: 651/483-9596
MS. JOSIE SCHNEIDER
FAX: 651/483-4139
NProf
LIVING WELL LARPENTEUR
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
FAX: 651/773-3314
NProf
MAPLEWOOD CARE CENTER
MS. LORI TRAYNOR
SNF-NF-149
NH-149
1900 SHERREN AVENUE
(00520)
MAPLEWOOD, MN 55109
PHONE: 651/770-1365
FAX: 651/770-1646
MS. KARI EVERSON
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
HCP-F
2300 HAZELWOOD STREET
MAPLEWOOD, MN 55109
PHONE: 651/777-6522
(25824)
FAX: 651/773-7580
MS. RHONDA SCHILLINGER
Minnesota Department of Health
Division of Compliance Monitoring
Page 374
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
RAMSEY
(Cont.)* -------------------------
HWSAL
Lim-Liab
MAPLEWOOD GW LLC
Registration
2300 HAZELWOOD STREET
(30614)
MAPLEWOOD, MN 55109
PHONE: 651/777-6522
FAX: 651/773-7580
Lim-Liab
METRO NURSING SERVICES LLC
MS. RHONDA SCHILLINGER
COMP
1312 BURKE CIRCLE EAST
(27530)
MAPLEWOOD, MN 55109
PHONE: 651/230-9300
FAX: 651/756-1696
MR. ABDI GONJOBE
HWS-O
Lim-Liab
METRO NURSING SERVICES LLC
1312 BURKE CIRCLE EAST
(29837)
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 #102
(20703)
MAPLEWOOD, MN 55109
PHONE: 651/748-4444
MS. CANDACE SIMERSON
FAX: 952/567-6188
Lim-Liab
MNGI ENDOSCOPY MAPLEWOOD
Outpt Surg
Amb Surg
1997 SLOAN PLACE
(04308)
MAPLEWOOD, MN 55117
PHONE: 612/871-1145
DR. SCOTT KETOVER
FAX: /-
HWS
NProf
PARK EDGE APARTMENTS 2024
2024 CLARENCE STREET
(31499)
MAPLEWOOD, MN 55109
PHONE: 651/225-8963
FAX: /-
MR. GEOFFREY MEYER
NProf
PHOENIX AT CARVER
SLFB-6
ICFIID-6
2465 CARVER AVE
(23589)
MAPLEWOOD, MN 55119
PHONE: 651/227-7655
FAX: 651/227-6847
Lim-Liab
PREMIUM CHOICE CARE
MS. DARLENE SCOTT
HCP-A
1187 LEALAND ROAD
(29798)
MAPLEWOOD, MN 55109
PHONE: 651/772-3357
RAJWOOD
FAX: /
MS. VIVIAN IGWACHO
NProf
SLFA-4
ICFIID-4
2951 BARTELMY LANE
MAPLEWOOD, MN 55109
PHONE: 651/429-5686
RAMSEY COUNTY CARE CENTER
(01572)
FAX: 651/483-9500
Cnty
MR. JIM MARTIN
NH-178
SNF-NF-178
2000 WHITE BEAR AVENUE
MAPLEWOOD, MN 55109
PHONE: 651/777-7486
(00846)
FAX: 651/777-1426
MR. STEVEN FRITZKE
Minnesota Department of Health
Division of Compliance Monitoring
Page
375
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
REGENCY HOME HEALTHCARE SERVIC
Certification
RAMSEY
Registration
(Cont.)* -------------------------
HWS-O
Lim-Liab
2473 IDAHO AVENUE
MAPLEWOOD, MN 55119
PHONE: 651/488-4655
REM RAMSEY INC LAKEWOOD
(27793)
FAX: 651/488-4656
Corp
MS. JEAN JOHNSON
SLFA-5
ICFIID-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
SLFA-5
ICFIID-5
797 MAYHILL DRIVE
MAPLEWOOD, MN 551193828
PHONE: 651/644-7680
RICHANGEL CARE INCORPORATED
(26750)
FAX: 651/644-6777
Corp
MS. CONNIE MENNE
HCP-A
2321 HIGHWOOD AVENUE EAST
MAPLEWOOD, MN 55119
PHONE: 651/207-8672
ROXANNE TARNOWSKI
(29149)
MS. ANGELA IKERI
FAX: 651/714-9152
Ind
HCP-C
2072 CHAMBERS STREET
MAPLEWOOD, MN 55109
PHONE: 651/481-7811
SUNLIGHT SERVICES
(28136)
MS. ROXANNE TARNOWSKI
FAX: 651/587-0092
HWSAL
Lim-Liab
1243 SKILLMAN AVENUE
MAPLEWOOD, MN 55109
PHONE: 651/528-8085
THE SHORES OF LAKE PHALEN
(26492)
FAX: 651/528-8015
Lim-Liab
MS. MAI VANG
COMP
1870 EAST SHORE DRIVE
MAPLEWOOD, MN 55109
PHONE: 651/777-7784
VOA HOME HEALTH AT MAPLEWOOD
(29005)
FAX: 651/967-0923
NProf
MS. BARBARA RUPPE
COMP
1890 SHERREN AVENUE EAST
MAPLEWOOD, MN 55109
PHONE: 651/770-3959
WALKER METHODIST HAZEL RIDGE
(21091)
FAX: 651/770-5779
MR. DOUG DOLINSKY
HWS
NProf
2730 HAZELWOOD STREET
MAPLEWOOD, MN 55109
PHONE: 651/779-9779
WALKER METHODIST HAZEL RIDGE
(20445)
FAX: 651/779-1827
NProf
MS. PEGGY ARNE
COMP
2730 HAZELWOOD STREET
MAPLEWOOD, MN 55109
PHONE: 651/779-9779
(26375)
FAX: 651/779-1827
MS. PEGGY ARNE
Minnesota Department of Health
Division of Compliance Monitoring
Page 376
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
RAMSEY
(Cont.)* -------------------------
HWS
NProf
2508 COUNTY RD I
Registration
2508 COUNTY RD I
(30197)
MOUNDS VIEW, MN 55112
PHONE: 651/256-1226
FAX: /
MR. MATT LEWIS
Corp
AXIS ON ST MICHAEL
SLFB-6
ICFIID-6
5533 ST MICHAEL STREET
(23393)
MOUNDS VIEW, MN 55112
PHONE: 763/717-4967
FAX: 763/780-9207
Lim-Liab
MIDWEST MEDICAL HOLDINGS LLC
MS. DOROTHY WROBEL
COMP
8400 CORAL SEA ST SUITE 100
(02851)
MOUNDS VIEW, MN 55112
PHONE: 763/780-1500
FAX: 763/780-1515
MR. LARRY LINDBERG
HWSAL-O
NProf
MOUNDS VIEW GABLES
2670 COUNTY ROAD I
(24474)
MOUNDS VIEW, MN 55112
PHONE: 651/639-9799
MR. MICHAEL BJERKESETT
FAX: 651/639-3699
NProf
PHOENIX AT LUDDEN
SLFB-6
ICFIID-6
7717 LONG LAKE RD
(23427)
MOUNDS VIEW, MN 55112
PHONE: 651/227-7655
FAX: 651/227-6847
MS. DARLENE SCOTT
HWS-O
Corp
SCENIC HILLS ALTERNATIVE CARE
2517 COUNTY ROAD I
(27183)
MOUNDS VIEW, MN 55112
PHONE: 651/735-7259
FAX: 651/730-1167
MR. TONEY EHRNRITER
HWSAL-O
Corp
SCENIC HILLS ALTERNATIVE CARE
2519 COUNTY ROAD I
(27182)
MOUNDS VIEW, MN 55112
PHONE: 651/735-7259
FAX: 651/730-1667
MR. ANTHONY EHRNRITER
HWS
NProf
SILVER LAKE COMMONS
2657 HIGHWAY 10
(29847)
MOUNDS VIEW, MN 55112
PHONE: 651/774-0011
FAX: 651/291-1082
MS. JODI NOTTGER
HWS
NProf
THE SANDS
5445 JACKSON DRIVE
(27585)
MOUNDS VIEW, MN 55112
PHONE: 651/225-8963
TOUCHING HEARTS AT HOME
MS. DANIELLE FOX
FAX: /
Home Mgmt
Corp
2704 NORTHEAST CO HWY 10
MOUNDS VIEW, MN 55112
PHONE: 763/780-0075
(27809)
FAX: 763/780-6996
MR. ROBERT LARSON
Minnesota Department of Health
Division of Compliance Monitoring
Page 377
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Ind
ABLE SPEECH LANGUAGE SERVICES
Certification
RAMSEY
Registration
(Cont.)* -------------------------
COMP
1784 CANYON LANE
(29922)
NEW BRIGHTON, MN 55112
PHONE: 612/251-6021
FAX: /
MS. REBECCA LULAI
Corp
ACR HOME ON REDWOOD
SLFB-4
ICFIID-4
862 REDWOOD LANE
(01573)
NEW BRIGHTON, MN 55112
PHONE: 651/635-9060
FAX: 651/635-4392
NProf
BEACON HAVEN
MR. GENE LEISTICO
NH-6
1200 LONG LAKE ROAD
(23554)
NEW BRIGHTON, MN 55112
PHONE: 651/379-0100
FAX: 651/379-0601
Church
BENEDICTINE HLTH CTR INNSBRUCK
MS. ELIZABETH HARNED
NH-105
SNF-NF-105
1101 BLACK OAK DRIVE
(00940)
NEW BRIGHTON, MN 55112
PHONE: 651/633-1686
MS. SUSAN AGER
FAX: 651/633-5267
Corp
CHRISTINE PROFESSIONAL HEALTH
HCP-A
888 W CTY RD D STE 103
(25194)
NEW BRIGHTON, MN 55112
PHONE: 763/464-4072
MR. MIKE OHENZUWA
FAX: 763/784-2039
ESRD
Corp
FMCNA NEW BRIGHTON DIAL CTR
550 COUNTY ROAD D SUITE 7
(04296)
NEW BRIGHTON, MN 55112
PHONE: 651/631-0885
FAX: 651/631-1878
Corp
HEALTH AND REHAB NEW BRIGHTON
MS. JENA ANDERBERG
NH-100
SNF-NF-100
825 FIRST AVENUE NORTHWEST
(00114)
NEW BRIGHTON, MN 55112
PHONE: 651/633-7875
FAX: 651/628-9335
MEADOWOOD SHORES SENIOR HOUSIN
MS. CAROLYN HERVIN
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
COMP
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
(24767)
FAX: 763/432-4301
MR. TROY ROOVERS
Minnesota Department of Health
Division of Compliance Monitoring
Page
378
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
NEW BRIGHTON CARE CENTER
Certification
RAMSEY
Registration
(Cont.)* -------------------------
NH-57
SNF-NF-57
805 SIXTH AVENUE NORTHWEST
(00507)
NEW BRIGHTON, MN 55112
PHONE: 651/633-7200
FAX: 651/287-7883
MR. MICHAEL CHIES
HWSAL
Part
NEW BRIGHTON SENIOR ASSISTED L
2700 RICE CREEK ROAD
(20231)
NEW BRIGHTON, MN 55112
PHONE: 651/633-6484
FAX: 651/633-8702
Corp
RIGHT AT HOME
MR. MICHAEL GOULD
TBASIC
1405 SILVER LAKE ROAD SUITE 3
(31348)
NEW BRIGHTON, MN 55112
PHONE: 612/703-1334
SENIOR SUITES OF NEW BRIGHTON
FAX: /
MR. SEAN KINSELLA
Corp
COMP
805 6TH AVENUE NORTHWEST
NEW BRIGHTON, MN 55112
PHONE: 651/633-7200
SENIOR SUITES OF NEW BRIGHTON
(21383)
MR. MICHAEL CHIES
FAX: 651/287-7883
HWSAL
Corp
805 6TH AVENUE NORTHWEST
NEW BRIGHTON, MN 55112
PHONE: 651/633-7200
SILVER OAKS
(30746)
MR. MICHAEL CHIES
FAX: 651/287-7883
Corp
SLFA-4
ICFIID-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
CLARE BRIDGE OF NORTH OAKS
(24473)
FAX: 651/639-3699
MR. MICHAEL BJERKESETT
HWSAL
Corp
300 VILLAGE CENTER DRIVE
NORTH OAKS, MN 55127
PHONE: 651/482-8111
CLARE BRIDGE OF NORTH OAKS
(30692)
FAX: 651/482-8333
Corp
MS. KRISTIN BURSEY
COMP
300 VILLAGE CENTER DRIVE
NORTH OAKS, MN 55127
PHONE: 651/482-8111
PRESBYTERIAN HOMES NORTH OAKS
(20539)
FAX: 651/482-8333
Church
MS. LORI HANSON
NH-60
SNF-NF-60
5919 CENTERVILLE ROAD
NORTH OAKS, MN 55127
PHONE: 651/765-4063
(23579)
FAX: 651/762-7111
MS. JULIE THOMPSON
Minnesota Department of Health
Division of Compliance Monitoring
Page 379
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
RAMSEY
(Cont.)* -------------------------
HWSAL
NProf
WAVERLY GARDENS
Registration
5919 CENTERVILLE ROAD
(24195)
NORTH OAKS, MN 55127
PHONE: 651/765-4000
FAX: 651/765-4001
NProf
WAVERLY GARDENS
MR. DANIEL ERICKSON
COMP
5919 CENTERVILLE ROAD
(28191)
NORTH OAKS, MN 55127
PHONE: 651/765-4000
FAX: 651/765-4001
MS. NATALIE MORLAND
HWS
NProf
2145 5TH ST N
2145 5TH ST N
(31231)
NORTH ST PAUL, MN 55109
PHONE: 651/256-1226
BEST HOME CARE LLC
FAX: /
MR. MATT LEWIS
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
CEDARVIEW COMMONS 2030
(29906)
FAX: 651/291-1082
MS. JODI NOTTGER
HWS
NProf
2030 9TH AVENUE EAST
NORTH ST PAUL, MN 55109
PHONE: 651/774-0011
CEDARVIEW COMMONS 2040
(31053)
FAX: 651/291-1082
MR. GEOFFREY MEYER
HWS
NProf
2040 9TH AVENUE EAST
NORTH ST PAUL, MN 55109
PHONE: 651/774-0011
CEDARVIEW COMMONS 2055
(31054)
FAX: 651/291-1082
MR. GEOFFREY MEYER
HWS
NProf
2055 HWY 36 EAST
NORTH ST PAUL, MN 55109
PHONE: 651/774-0011
CEDARVIEW COMMONS 2060
(31055)
FAX: 651/291-1082
MR. GEOFFREY MEYER
HWS
NProf
2060 9TH AVENUE EAST
NORTH ST PAUL, MN 55109
PHONE: 651/774-0011
CEDARVIEW COMMONS 2065
(31060)
FAX: 651/291-1082
MR. GEOFFREY MEYER
HWS
NProf
2065 HWY 36 EAST
NORTH ST PAUL, MN 55109
PHONE: 651/774-0011
(31057)
FAX: 651/291-1082
MR. GEOFFREY MEYER
Minnesota Department of Health
Division of Compliance Monitoring
Page 380
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
RAMSEY
(Cont.)* -------------------------
HWS
NProf
CEDARVIEW COMMONS 2070
Registration
2070 9TH AVENUE EAST
(31059)
NORTH ST PAUL, MN 55109
PHONE: 651/774-0011
FAX: 651/291-1082
MR. GEOFFREY MEYER
HWS
NProf
CEDARVIEW COMMONS 2075
2075 HWY 36 EAST
(31056)
NORTH ST PAUL, MN 55109
PHONE: 651/774-0011
FAX: 651/291-1082
MR. GEOFFREY MEYER
HWS
NProf
CEDARVIEW COMMONS 2085
2085 HWY 36 EAST
(31058)
NORTH ST PAUL, MN 55109
PHONE: 651/774-0011
FAX: 651/291-1082
MR. GEOFFREY MEYER
HWS
NProf
CEDARVIEW COMMONS 2370
2370 ARIEL STREET
(31061)
NORTH ST PAUL, MN 55109
PHONE: 651/774-0011
MR. GEOFFREY MEYER
FAX: 651/291-1082
HWS
NProf
CEDARVIEW COMMONS 2380
2380 ARIEL STREET
(31062)
NORTH ST PAUL, MN 55109
PHONE: 651/774-0011
MR. GEOFFREY MEYER
FAX: 651/291-1082
HWS
NProf
CEDARVIEW COMMONS 2395
2395 NORTH 7TH STREET
(31063)
NORTH ST PAUL, MN 55109
PHONE: 651/774-0011
MR. GEOFFREY MEYER
FAX: 651/291-1082
Part
FOOTWORKS
COMP
2480 SHRYER AVENUE EAST
(03096)
NORTH ST PAUL, MN 55109
PHONE: 651/501-0624
MS. MICHELLE O'HEARN
FAX: 651/779-2352
Corp
HEALTHSTAR HOME HEALTH
HHA
HCP/COMP
2586 7TH AVENUE EAST STE 302
(21714)
NORTH ST PAUL, MN 55109
PHONE: 651/633-7300
MS. BARBARA JEZORSKI
FAX: 651/633-7301
HWSAL
Lim-Liab
POLAR RIDGE SENIOR LIVING
2365 HELEN STREET
(31249)
NORTH ST PAUL, MN 55109
PHONE: 651/770-4028
MS. NATALIE BURNELL
FAX: 651/770-4099
Lim-Liab
POLAR RIDGE SENIOR LIVING
TCOMP
2365 HELEN ST
(31484)
NORTH ST PAUL, MN 55109
PHONE: 651/770-4028
FAX: /
MS. NATALIE BURNELL
Minnesota Department of Health
Division of Compliance Monitoring
Page 381
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
REM RAMSEY INC NORTH OAKS
Certification
RAMSEY
Registration
(Cont.)* -------------------------
SLFB-5
ICFIID-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
FAX: /
MR. MATT LEWIS
Lim-Liab
COMP
2355 HIGHWAY 36 WEST SUITE 400
ROSEVILLE, MN 55113
PHONE: 612/326-9377
ACR AT HOME HEALTHCARE LLC
(30100)
MR. ABDIHAKIM HASSAN
FAX: 612/326-9377
Lim-Liab
COMP
2437 RICE STREET
ROSEVILLE, MN 55113
PHONE: 651/294-4799
ACR HOME ON LYDIA WEST
(21710)
MR. GENE LEISTICO
FAX: 651/484-5863
Corp
ICFIID-4
SLFB-4
2528 LYDIA AVENUE WEST
ROSEVILLE, MN 55113
PHONE: 651/636-7172
ACR ON DALE COURT
(01576)
MR. GENE LEISTICO
FAX: 651/636-7205
Corp
ICFIID-4
SLFB-4
1822 DALE COURT
ROSEVILLE, MN 55113
PHONE: 651/488-1088
AEON SIENNA GREEN
(24142)
MR. GENE LEISTICO
FAX: 651/488-1544
HWS
NProf
2235 N SNELLING AVE
ROSEVILLE, MN 55130
PHONE: 651/631-1400
AEON SIENNA GREEN II
(27584)
MR. GEOFFREY MEYER
FAX: 651/774-0606
HWS
NProf
2245 NORTH SNELLING AVENUE
ROSEVILLE, MN 55113
PHONE: 651/631-1400
ARTHUR'S RESIDENTIAL CARE ALTA
(27583)
MS. DANIELLE FOX
FAX: 651/774-0606
HWSAL
Lim-Liab
1854 ALTA VISTA DRIVE
ROSEVILLE, MN 55113
PHONE: 651/294-4798
ARTHUR'S RESIDENTIAL CARE LLC
(30590)
MR. JAMES NELSON
FAX: 651/484-5863
Lim-Liab
COMP
2437 RICE STREET
ROSEVILLE, MN 55113
PHONE: 651/294-4798
(24818)
FAX: 651/484-5863
MR. GENE LEISTICO
Minnesota Department of Health
Division of Compliance Monitoring
Page 382
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
RAMSEY
(Cont.)* -------------------------
HWSAL
Lim-Liab
ARTHURS RESIDENTIAL CARE ON EM
Registration
3310 EMMERT STREET
(27856)
ROSEVILLE, MN 55126
PHONE: 651/294-4798
FAX: 651/484-5863
Corp
AXIS ON BELMONT
MR. JAMES NELSON
SLFB-4
ICFIID-4
692 BELMONT LANE W
(23246)
ROSEVILLE, MN 55113
PHONE: 651/489-4630
FAX: 651/489-4336
Corp
AXIS ON ELDRIDGE
MS. DOROTHY WROBEL
SLFB-6
ICFIID-6
651 ELDRIDGE AVENUE WEST
(22846)
ROSEVILLE, MN 55113
PHONE: 651/488-2237
FAX: 651/489-9520
MS. DOROTHY WROBEL
HWS
Lim-Liab
CHERRYWOOD POINT OF ROSEVILLE
2996 CLEVELAND AVENUE N
(28965)
ROSEVILLE, MN 55113
PHONE: 651/633-0044
MS. BARBARA MEKENYE
FAX: 651/633-4038
HWSAL
NProf
EAGLE CREST ARBOR
2955 LINCOLN DRIVE
(24032)
ROSEVILLE, MN 55113
PHONE: 651/628-3000
MS. SUSANNE HEINS
FAX: 651/628-3014
HWSAL
NProf
EAGLE CREST COMMONS
2945 LINCOLN DRIVE
(20065)
ROSEVILLE, MN 55113
PHONE: 651/628-3001
FAX: 651/628-3014
Lim-Liab
EAGLECREST SENIOR HOUSING LLC
MS. SUSANNE HEINS
HCP-F
2945 LINCOLN DRIVE
(27952)
ROSEVILLE, MN 55113
PHONE: 651/628-3000
FAX: 651/628-3014
MS. NATALIE MORLAND
ESRD
Corp
FMC DIALYSIS SERVCES ROSEVILLE
2045 RICE STREET
(03522)
ROSEVILLE, MN 55113
PHONE: 651/489-3312
GENTIVA HEALTH SERVICES
FAX: /
MR. RICHARD PHIDD
Corp
HCP/COMP
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
2727 NORTH VICTORIA
ROSEVILLE, MN 55113
PHONE: 651/483-5431
(25214)
FAX: 651/486-2461
MS. HOLLY RASMUSSEN-JONES
Minnesota Department of Health
Division of Compliance Monitoring
Page 383
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
GOLDEN LIVING COMM LAKE RIDGE
Certification
RAMSEY
Registration
(Cont.)* -------------------------
HWSAL
Lim-Liab
2727 NORTH VICTORIA
ROSEVILLE, MN 55113
PHONE: 651/483-5431
GOLDEN LIVINGCENTER LAKE RIDGE
(30639)
FAX: 651/486-2461
Lim-Liab
MS. JILL ACOSTA
NH-175
SNF-NF-175
2727 NORTH VICTORIA
ROSEVILLE, MN 55113
PHONE: 651/483-5431
GOOD SAMARITAN HOME CARE
(00497)
FAX: 651/486-2461
NProf
MS. DIANE WILLETTE
HCP/COMP
HHA
563 COUNTY ROAD B WEST
ROSEVILLE, MN 55113
PHONE: 651/488-7680
GOOD SAMARITAN SOCIETY HERITAG
(03140)
FAX: 651/488-7687
MS. MARY JO ACKERMAN
HWS
NProf
563 COUNTY RD B W
ROSEVILLE, MN 55113
PHONE: 651/489-3293
HEARTLAND HOME HC AND HOSPICE
(23462)
MS. LAUREN PAHNKE
FAX: 651/489-0603
Lim-Liab
HCP/COMP
HHA
2685 LONG LAKE ROAD SUITE 105
ROSEVILLE, MN 55113
PHONE: 651/633-6522
HEARTLAND HOME HC AND HOSPICE
(02165)
MS. LYNNE AMUNDSON
FAX: 651/633-5733
Lim-Liab
Hospice
HSPICE
2685 LONG LAKE ROAD SUITE 105
ROSEVILLE, MN 55113
PHONE: 651/633-6522
HOME HEALTHCARE AGENCY
(02970)
FAX: 651/633-5733
Corp
MS. SANDRA MAYNARD
COMP
2499 RICE STREET SUITE 73
ROSEVILLE, MN 55113
PHONE: 651/493-6877
INTERIM HC OF THE TWIN CITIES
(28878)
FAX: 800/532-1684
Corp
MR. TUBTSHWM YANG
HCP/COMP
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
INTERIM HOME STYLE SERVICES
(28285)
FAX: 651/917-3620
Corp
MR. THOMAS GEARY
COMP
2833 NORTH FAIRVIEW AVENUE
ROSEVILLE, MN 55113
PHONE: 651/917-3634
(23076)
FAX: 651/917-3620
MR. THOMAS GEARY
Minnesota Department of Health
Division of Compliance Monitoring
Page
384
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
INTREPID USA HEALTHCARE SERVS
Certification
RAMSEY
Registration
(Cont.)* -------------------------
HCP/COMP
HHA
2778 CLEVELAND AVENUE NORTH
(02232)
ROSEVILLE, MN 551131127
PHONE: 651/638-7800
FAX: 651/638-7801
Corp
INTREPID USA HOSPICE
MS. ALICIA CLINE
Hospice
HSPICE
2778 CLEVELAND AVENUE NORTH
(29833)
ROSEVILLE, MN 551131127
PHONE: 651/633-6404
FAX: 651/633-6729
Lim-Liab
KCMG ROSEVILLE LLC
MR. DANIEL HICKMAN
HCP-F
2750 N VICTORIA STREET
(29562)
ROSEVILLE, MN 55113
PHONE: 651/482-1611
FAX: 651/482-0429
MR. MICHAEL LEWIS
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: 651/631-6200
MR. MATHEW BEDARD
FAX: 651/631-6278
Corp
MINNESOTA SENIOR CARE INC
BASIC
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
HCP-F
2201 ACORN ROAD
(27150)
ROSEVILLE, MN 55113
PHONE: 651/697-1405
PEDIATRIC HOME SERVICE
FAX: /-
MR. ART MUELLER
Corp
COMP
2800 CLEVELAND AVENUE NORTH
ROSEVILLE, MN 55113
PHONE: 651/642-1825
PRESBYTERIAN ASSISTED LIVING H
(03693)
FAX: 651/638-0680
NProf
MR. JOSHUA LARSON
COMP
2845 HAMLINE AVE N
ROSEVILLE, MN 55113
PHONE: 651/631-6197
PRESBYTERIAN HOMES HOME CARE
(20898)
FAX: 651/631-6108
NProf
MS. NATALIE MORLAND
HCP/COMP
HHA
1910 WEST COUNTY ROAD D
ROSEVILLE, MN 55112
PHONE: 651/746-8200
(02133)
FAX: 651/631-6343
MS. REBECCA CONWAY
Minnesota Department of Health
Division of Compliance Monitoring
Page
385
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
PRESBYTERIAN HOMES HOSPICE INC
Certification
RAMSEY
Registration
(Cont.)* --------------------------
Hospice
HSPICE
2845 HAMLINE AVENUE NORTH
(25425)
ROSEVILLE, MN 55113
PHONE: 651/631-6123
FAX: 651/631-6343
REGENCY HOME HEALTHCARE SERVIC
MS. REBECCA CONWAY
HWS-O
Lim-Liab
320 ELMER STREET
ROSEVILLE, MN 55113
PHONE: 651/488-4655
ROSE OF SHARON MANOR
(23154)
FAX: 651/488-4656
Corp
MS. JEAN JOHNSON
NH-63
SNF-NF-63
1000 LOVELL AVENUE
ROSEVILLE, MN 55113
PHONE: 651/484-3378
ROSELAWN VILLAGE APARTMENTS
(00126)
FAX: 651/484-8982
MS. CHERIE CAMUEL
HWSAL-O
NProf
1074 ROSELAWN AVENUE WEST
ROSEVILLE, MN 55113
PHONE: 651/645-7271
SENIOR HELPERS
(24470)
MR. STEPHEN VANDER SCHAAF
FAX: 651/645-0541
Corp
COMP
2345 RICE ST STE 145
ROSEVILLE, MN 55113
PHONE: 763/432-7037
SIENNA GREEN II
(26976)
MR. MARC FIORAVANTI
FAX: 763/432-7059
HWS
NProf
2275 SNELLING AVENUE NORTH
ROSEVILLE, MN 55113
PHONE: 651/341-3148
SUNRISE ASSISTED LIVING OF ROS
(28818)
FAX: 651/291-1082
Corp
MS. DANIELLE FOX
COMP
2555 SNELLING AVENUE NORTH
ROSEVILLE, MN 55113
PHONE: 651/636-4800
SUNRISE ASSISTED LIVING ROSEVI
(22361)
FAX: 651/646-4809
MS. DEBRA WATSON
HWSAL
Lim-Liab
2555 SNELLING AVENUE NORTH
ROSEVILLE, MN 55113
PHONE: 651/636-4800
SYNERGY HOME CARE MSP METRO
(21410)
FAX: 651/636-4809
Lim-Liab
MS. DEBRA WATSON
HCP-A
2336 LEXINGTON AVENUE N STE L
ROSEVILLE, MN 55113
PHONE: 612/455-2585
THE FRIENDSHIP HOME COMMUNITY
(26669)
FAX: 855/319-9875
Corp
MR. JAMES ZENK
HCP-F
947 LYDIA DRIVE WEST
ROSEVILLE, MN 55113
PHONE: 651/398-2294
(24337)
FAX: 651/528-6216
MS. VICTORIA JOHANSSON
Minnesota Department of Health
Division of Compliance Monitoring
Page 386
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
RAMSEY
(Cont.)* -------------------------
HWSAL
Corp
THE FRIENDSHIP HOME COMMUNITY
Registration
947 LYDIA DRIVE WEST
(30530)
ROSEVILLE, MN 55113
PHONE: 651/398-2294
FAX: 651/528-6216
MS. VICTORIA JOHANSSON
HWSAL
Corp
THE FRIENDSHIP HOME COMMUNITY
500 ROSELAWN AVENUE W
(26201)
ROSEVILLE, MN 55113
PHONE: 651/398-2294
FAX: 651/528-6216
Corp
TRUSTED HEALTHCARE SERVICES IN
MS. VICTORIA JOHANSSON
HCP-B
2353 RICE STREET STE 240
(28287)
ROSEVILLE, MN 55113
PHONE: 651/329-7598
FAX: /
MR. WALTER DOBGIMA
Corp
WALGREENS INFUSION SERVICES
COMP
2750 ARTHUR STREET
(20892)
ROSEVILLE, MN 55113
PHONE: 651/635-9272
MR. MICHAEL FELISH
FAX: 651/635-9174
Lim-Liab
WELLBEING HOME CARE LLC
HCP-A
1990 BRENNER AVENUE
(29382)
ROSEVILLE, MN 55113
PHONE: 651/216-1759
MR. DOMINIC ANYANWU
FAX: 651/621-3023
HWS
NProf
1998 BREWSTER ST
1998 BREWSTER ST
(30979)
SAINT PAUL, MN 55108
PHONE: 612/204-8319
FAX: /-
MS. STACEY RAY
Corp
CLIENT CENTERED HOME CARE INC
COMP
393 DUNLAP STREET N STE #105
(29972)
SAINT PAUL, MN 55104
PHONE: 651/600-3869
FAX: 651/797-4308
Corp
GOOD LUCK HOME CARE INC
MR. ABDURAHMAN S WARSAME
TCOMP
1430 YORK AVE APT 327
(31217)
SAINT PAUL, MN 55106
PHONE: 612/819-2676
FAX: 651/493-8000
Lim-Liab
HEAVEN HOME HEALTHCARE LLC
MR. MATHEW EGERE
TCOMP
1310 MISSISSIPPI STREET
(31431)
SAINT PAUL, MN 55130
PHONE: 612/806-5705
KAREN QUALITY HOME HEALTHCARE
FAX: /-
MS. HIBO ABDI
Lim-Liab
TBASIC
995 ARCADE STREET
SAINT PAUL, MN 55106
PHONE: 402/943-7836
(30940)
FAX: 888/300-2060
MS. LAURA XIONG
Minnesota Department of Health
Division of Compliance Monitoring
Page
387
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
RELIANCE HEALTHCARE
Lim-Liab
Certification
RAMSEY
Registration
(Cont.)* -------------------------
HCP-A
2353 RICE STREET # 200
SAINT PAUL, MN 55113
PHONE: 612/237-7876
ACR HOME ON DAWN
(29413)
FAX: 651/337-2486
Corp
MR. EVARISTUS BOH
SLFB-4
ICFIID-4
191 DAWN AVENUE
SHOREVIEW, MN 55126
PHONE: 651/486-0380
AXIS ON GLENHILL
(01620)
FAX: 651/486-7767
Corp
MR. GENE LEISTICO
SLFB-4
ICFIID-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/COMP
HHA
3490 LEXINGTON AVE N SUITE 310
SHOREVIEW, MN 55126
PHONE: 651/482-8400
COMMUNITIES OF CARE
(27763)
MS. ROCHELLE NELSON WODARZ
FAX: 651/482-8300
Corp
COMP
500 W HIGHWAY 96 STE 100
SHOREVIEW, MN 55126
PHONE: 651/482-0549
DUNGARVIN CAMARA
(20862)
MS. JOAN VAUGHN
FAX: 651/482-0280
Lim-Liab
SLFA-5
3989 VIRGINIA CIRCLE
SHOREVIEW, MN 55126
PHONE: 651/699-6050
KIDS ABILITIES
(24104)
FAX: 651/699-7265
Corp
MS. NATALIE GRAF
COMP
490 WEST HIGHWAY 96 SUITE 300
SHOREVIEW, MN 55126
PHONE: 651/451-3016
LAKE OWASSO RESIDENCE
(23066)
FAX: 651/481-7040
Cnty
MS. JENNIFER SARGENT
SLFB-64
ICFIID-64
210 OWASSO BOULEVARD NORTH
SHOREVIEW, MN 55126
PHONE: 651/765-7703
REM RAMSEY INC HODGSON
(00831)
FAX: 651/765-7722
Corp
MS. DANA CASTONGUAY
SLFA-6
ICFIID-6
5091 HODGSON ROAD
SHOREVIEW, MN 55126
PHONE: 651/644-7680
SCANDIA SHORES
(01370)
FAX: 651/644-6777
MS. MICHELLE SCHOPPER
HWS
NProf
418 HIGHWAY 96
SHOREVIEW, MN 55126
PHONE: 651/415-9793
(28056)
FAX: 651/483-6002
MS. NANCY KETCHEL
Minnesota Department of Health
Division of Compliance Monitoring
Page 388
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
SHOREVIEW SENIOR LIVING
Certification
RAMSEY
Registration
(Cont.)* -------------------------
HWS
Lim-Liab
4710 CUMBERLAND STREET
SHOREVIEW, MN 55126
PHONE: 651/484-9822
SHOREVIEW SENIOR LIVING
(28875)
FAX: 651/454-4783
Lim-Liab
MS. KELLY MYERS
COMP
4710 CUMBERLAND STREET
SHOREVIEW, MN 55126
PHONE: 651/484-9822
SPEAK RIGHT NOW LLC
(28874)
FAX: 651/486-6270
Lim-Liab
MR. LANCE LEMIEUX
COMP
439 CAROL LANE
SHOREVIEW, MN 55126
PHONE: 612/308-6132
ST THERESE AT ST ODILIA
(28275)
FAX: 651/414-9339
NProf
MS. JENNIFER ELTON
COMP
3500 VIVIAN AVENUE
SHOREVIEW, MN 55126
PHONE: 651/842-6780
ST THERESE HOME INC
(28348)
MS. JOLENE BAKER
FAX: 651/842-6653
HWS
NProf
3500 VIVIAN AVENUE
SHOREVIEW, MN 55126
PHONE: 763/531-5000
VISITING ANGELS
(27661)
MS. BARB RODE
FAX: 763/531-5004
Corp
COMP
3550 LEXINGTON AVE N STE 211
SHOREVIEW, MN 55126
PHONE: 651/633-4487
CHANDLER PLACE HOME HLTH CARE
(26712)
FAX: 651/633-6225
Part
MS. CAROLYN THOMPSON
HWSAL
COMP
3701 CHANDLER DRIVE
ST ANTHONY, MN 55421
PHONE: 612/788-7321
PEARL GARDEN
(20047)
FAX: 612/913-5370
MR. JOHN GOODMAN
HWSAL
Part
3700 FOSS ROAD NORTHEAST
ST ANTHONY, MN 55421
PHONE: 612/788-9673
ST ANTHONY HEALTH CENTER
(20451)
FAX: 612/789-2173
Part
MR. JOHN GOODMAN
NH-150
SNF-NF-150
3700 FOSS ROAD NORTHEAST
ST ANTHONY, MN 55421
PHONE: 612/788-9673
COMPLETE HOME HEALTH SERVICES
(00522)
FAX: 612/788-0104
Lim-Liab
MS. MARY YAEGER
HCP/COMP
HHA
4001 STINSON BLVD NE 223
ST ANTHONY VILLAGE, MN 55421
PHONE: 612/788-2273
(24785)
FAX: 612/886-1939
DR. SIRRI NOMO-ONGOLO
Minnesota Department of Health
Division of Compliance Monitoring
Page 389
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
CARE WITH HEART HOME SERVICES
Certification
RAMSEY
Registration
(Cont.)* -------------------------
HCP-A
2257 LOUISIANA AVE S STE 101
(28046)
ST LOUIS PARK, MN 55426
PHONE: 952/836-6862
FAX: /
MS. RACHEL LORENZEN
Corp
1 BEST CARE INC
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
FAX: /-
MR. MATT LEWIS
HWS
NProf
1086 YORK AVE
1086 YORK AVE
(30095)
ST PAUL, MN 55106
PHONE: 651/256-1226
MR. MATT LEWIS
FAX: /-
HWS
NProf
1089 YORK AVE
1089 YORK AVE
(30895)
ST PAUL, MN 55106
PHONE: 651/256-1226
MR. MATT LEWIS
FAX: /-
HWS
NProf
1161 SAINT CLAIR AVENUE
1161 SAINT CLAIR AVENUE
(27254)
ST PAUL, MN 55105
PHONE: 651/774-0011
FAX: 651/774-0606
MS. DANIELLE FOX
HWS
NProf
1177 EDGERTON AVE
1177 EDGERTON AVE
(29929)
ST PAUL, MN 55130
PHONE: 651/256-1226
FAX: /-
MR. MATT LEWIS
HWS
NProf
1236 HAZELWOOD ST
1236 HAZELWOOD ST
(30195)
ST PAUL, MN 55106
PHONE: 651/256-1226
1325 WESTERN AVENUE NORTH
FAX: /-
MR. MATT LEWIS
HWS
NProf
1325 WESTERN AVENUE NORTH
ST PAUL, MN 55117
PHONE: 651/774-0011
1339 SHERBURNE
(27257)
FAX: 651/774-0606
MS. DANIELLE FOX
HWS
NProf
1339 SHERBURNE AVENUE
ST PAUL, MN 55104
PHONE: 651/774-0011
(26448)
FAX: 651/774-0606
MS. DANIELLE FOX
Minnesota Department of Health
Division of Compliance Monitoring
Page
390
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
MS. 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: /-
MS. DANIELLE FOX
HWS
NProf
1351 CONWAY STREET
1351 CONWAY STREET
(31242)
ST PAUL, MN 55106
PHONE: 651/225-8963
MR. GEOFFREY MEYER
FAX: /-
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
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
391
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
RAMSEY
(Cont.)* -------------------------
HWS
NProf
1529 MAGNOLIA
Registration
1529 MAGNOLIA AVENUE
(31489)
ST PAUL, MN 55106
PHONE: 651/225-8963
FAX: /
MR. GEOFFREY MEYER
HWS
NProf
1533 WOODBRIDGE STREET
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
MS. DANIELLE FOX
HWS
NProf
1542 MARION STREET
1542 MARION STREET
(29048)
ST PAUL, MN 55117
PHONE: 651/738-8778
MS. DANIELLE FOX
FAX: /-
HWS
NProf
1545 ADRIAN
1545 ADRIAN STREET
(31488)
ST PAUL, MN 55102
PHONE: 651/225-8963
MR. GEOFFREY MEYER
FAX: /-
HWS
NProf
1552 WOODBRIDGE STREET
1552 WOODBRIDGE STREET
(28382)
ST PAUL, MN 55117
PHONE: 651/256-1226
FAX: /-
MR. MATT LEWIS
HWS
NProf
1564 ENGLISH STREET
1564 ENGLISH STREET
(27603)
ST PAUL, MN 55106
PHONE: 651/256-1226
FAX: /-
MR. MATT LEWIS
HWS
NProf
1595 RICE STREET
1595 RICE STREET
(25917)
ST PAUL, MN 55117
PHONE: 651/774-0011
FAX: 651/774-0606
MS. 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
FAX: /-
MS. STACEY RAY
Minnesota Department of Health
Division of Compliance Monitoring
Page
392
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
RAMSEY
(Cont.)* -------------------------
HWS
NProf
1617 SHERBURNE AVENUE
Registration
1617 SHERBURNE AVENUE
(29799)
ST PAUL, MN 55104
PHONE: 651/774-0011
FAX: 651/291-1082
MS. JODI NOTTGER
HWS
NProf
1625 SHERBURNE AVENUE
1625 SHERBURNE AVENUE
(29905)
ST PAUL, MN 55104
PHONE: 651/774-0011
FAX: 651/291-1082
MS. JODI NOTTGER
HWS
NProf
1642 CHARLES AVENUE
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
MS. DANIELLE FOX
FAX: /-
HWS
NProf
1724 CASE AVENUE
1724 CASE AVENUE
(31424)
ST PAUL, MN 55106
PHONE: 651/225-8963
MR. GEOFFREY MEYER
FAX: /-
HWS
NProf
1747 MARSHALL AVENUE
1747 MARSHALL AVENUE
(31304)
ST PAUL, MN 55104
PHONE: 651/256-1226
FAX: /-
MR. MATT LEWIS
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
1807 STILLWATER AVE
1807 STILLWATER AVE
(31243)
ST PAUL, MN 55119
PHONE: 651/256-1226
FAX: /-
MR. MATT LEWIS
HWS
NProf
1845 OLD HUDSON ROAD
1845 OLD HUDSON ROAD
(28870)
ST PAUL, MN 55119
PHONE: 651/451-9034
FAX: /-
MS. STACEY RAY
Minnesota Department of Health
Division of Compliance Monitoring
Page
393
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
RAMSEY
(Cont.)* -------------------------
HWS
NProf
200 S WINTHROP STREET
Registration
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
HWS
NProf
232 AURORA AVE
232 AURORA AVE
(30193)
ST PAUL, MN 55103
PHONE: 651/256-1226
MR. MATT LEWIS
FAX: /-
HWS
NProf
249 WESTERN AVENUE SOUTH
249 WESTERN AVENUE SOUTH
(27556)
ST PAUL, MN 55102
PHONE: 651/256-1226
MR. MATT LEWIS
FAX: /-
HWS
NProf
254 WINIFRED ST E
254 WINIFRED ST E
(30192)
ST PAUL, MN 55107
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
326 COOK AVENUE EAST
326 COOK AVENUE EAST
(31441)
ST PAUL, MN 55130
PHONE: 651/256-1226
FAX: /-
MR. MATT LEWIS
HWS
NProf
330 MAGNOLIA AVENUE EAST
330 MAGNOLIA AVENUE EAST
(27600)
ST PAUL, MN 55130
PHONE: 651/256-1226
FAX: /-
MS. DANIELLE FOX
Minnesota Department of Health
Division of Compliance Monitoring
Page
394
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
RAMSEY
(Cont.)* -------------------------
HWS
NProf
334 MAGNOLIA AVENUE EAST
Registration
334 MAGNOLIA AVENUE EAST
(27601)
ST PAUL, MN 55130
PHONE: 651/256-1226
FAX: /
MS. DANIELLE FOX
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
MR. MATT LEWIS
FAX: /-
HWS
NProf
395 LUELLA STREET
395 LUELLA STREET
(28381)
ST PAUL, MN 55119
PHONE: 651/256-1226
MR. MATT LEWIS
FAX: /-
HWS
NProf
418 MARYLAND AVE W
418 MARYLAND AVE W
(30846)
ST PAUL, MN 55117
PHONE: 651/256-1226
FAX: /-
MR. MATT LEWIS
HWS
NProf
419 FRONT AVENUE
419 FRONT AVENUE
(27919)
ST PAUL, MN 55117
PHONE: 651/256-1226
FAX: /-
MR. MATT LEWIS
HWS
NProf
421 THOMAS AVENUE
421 THOMAS AVE
(30558)
ST PAUL, MN 55103
PHONE: 651/256-1226
FAX: /-
MR. MATT LEWIS
HWS
NProf
446 ENGLISH STREET
446 ENGLISH STREET
(30137)
ST PAUL, MN 55106
PHONE: 651/451-9034
FAX: /-
MS. STACEY RAY
HWS
NProf
464 W MARYLAND AVE
464 W MARYLAND AVE
(31161)
ST PAUL, MN 55117
PHONE: 651/256-1226
FAX: /-
MR. MATT LEWIS
Minnesota Department of Health
Division of Compliance Monitoring
Page
395
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
RAMSEY
(Cont.)* -------------------------
HWS
NProf
500 SHERBURNE AVE
Registration
500 SHERBURNE AVE
(28897)
ST PAUL, MN 55104
PHONE: 651/256-1226
FAX: /
MR. MATT LEWIS
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
524 DAYTON AVE
524 DAYTON AVE
(30191)
ST PAUL, MN 55102
PHONE: 651/256-1226
FAX: /-
MR. MATT LEWIS
HWS
NProf
542 LINCOLN AVE
542 LINCOLN AVE
(29732)
ST PAUL, MN 55102
PHONE: 651/256-1226
MR. MATT LEWIS
FAX: /-
HWS
NProf
556 JENKS AVE
556 JENKS AVE
(29930)
ST PAUL, MN 55116
PHONE: 651/256-1226
MR. MATT LEWIS
FAX: /-
HWS
NProf
590 MENDOTA STREET
590 MENDOTA STREET
(28784)
ST PAUL, MN 55106
PHONE: 651/226-1226
FAX: /-
MR. MATT LEWIS
HWS
NProf
595 EDMUND AVE W
595 EDMUND AVE W
(30554)
ST PAUL, MN 55103
PHONE: 651/256-1226
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
HWS
NProf
642 FRONT AVENUE
642 FRONT AVENUE
(28498)
ST PAUL, MN 55103
PHONE: 651/256-1226
FAX: /-
MR. MATT LEWIS
HWS
NProf
659 DAYTON AVENUE
659 DAYTON AVENUE
(27811)
ST PAUL, MN 55104
PHONE: 651/256-1226
FAX: /-
MR. MATT LEWIS
Minnesota Department of Health
Division of Compliance Monitoring
Page
396
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
RAMSEY
(Cont.)* -------------------------
HWS
NProf
670 STRYKER AVE
Registration
670 STRYKER AVE
(29626)
ST PAUL, MN 55107
PHONE: 651/256-1226
FAX: /
MR. MATT LEWIS
HWS
NProf
699 SOUTH SNELLING
699 SOUTH SNELLING
(31163)
ST PAUL, MN 55116
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
FAX: /-
MR. MATT LEWIS
HWS
NProf
740 E 17TH STREET
926 ARCADE STREET
(29947)
ST PAUL, MN 55106
PHONE: 612/701-9491
MS. STACEY RAY
FAX: /-
HWS
NProf
8 FOURTH STREET EAST
8 FOURTH STREET EAST
(27966)
ST PAUL, MN 55101
PHONE: 651/256-1226
MR. MATT LEWIS
FAX: /-
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
869 ST PAUL AVE
869 ST PAUL AVE
(30194)
ST PAUL, MN 55116
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
MS. DANIELLE FOX
HWS
NProf
919 GALTIER ST
919 GALTIER ST
(30190)
ST PAUL, MN 55117
PHONE: 651/256-1226
FAX: /-
MR. MATT LEWIS
Minnesota Department of Health
Division of Compliance Monitoring
Page
397
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
A&A RELIABLE HOME HEALTH CARE
Lim-Liab
Certification
RAMSEY
(Cont.)* -------------------------
HHA
HCP/COMP
1821 UNIVERSITY AVE W STE S295
ST PAUL, MN 55104
PHONE: 651/470-9549
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
COMP
2550 UNIVERSITY AVE W ST 330N
ST PAUL, MN 55114
PHONE: 651/645-7271
ACCESSIBLE SPACE ASI METRO 2
(24380)
MR. STEPHEN VANDER SCHAAF
FAX: 651/645-0541
NProf
COMP
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
COMP
2550 UNIVERSITY AVE W STE 330N
ST PAUL, MN 55114
PHONE: 651/645-7271
ACCESSIBLE SPACE ASI NORTH
(24382)
FAX: 651/645-0541
NProf
MR. STEPHEN VANDERSCHAAF
COMP
2550 UNIVERSITY AVE W STE 330N
ST PAUL, MN 55114
PHONE: 651/645-7271
ACCESSIBLE SPACE 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/COMP
HHA
780 UNIVERSITY AVENUE WEST
ST PAUL, MN 55104
PHONE: 651/645-9011
ALLINA HEALTH HOME HEALTH
(03402)
FAX: 651/644-5595
NProf
MS. BLESSING ANYANWU
HCP/COMP
HHA
1055 WESTGATE DRIVE
ST PAUL, MN 55114
PHONE: 651/635-9173
(23627)
FAX: 651/628-2999
Registration
MR. ROBERT WALTERS
Minnesota Department of Health
Division of Compliance Monitoring
Page 398
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
ALLINA HLTH HSPCE & PALLITV CA
Certification
RAMSEY
Registration
(Cont.)* -------------------------
Hospice
HSPICE
1055 WESTGATE DRIVE SUITE 100
(02441)
ST PAUL, MN 55114
PHONE: 612/262-7021
FAX: 651/628-2999
MS. GLORIA CADE
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
MS. KATHRYN SCHESSO
FAX: 651/558-2230
HWSAL-O
Corp
AMY JOHNSON RESIDENCE
89 VIRGINIA STREET
(30229)
ST PAUL, MN 55102
PHONE: 651/224-3363
MS. DONETTA JOHNSON
FAX: 651/290-2600
Corp
AMY JOHNSON RESIDENCE
BCH-25 HCP-A
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
FAX: /
MS. IPYANA ANYELWISYE
Lim-Liab
APRIA HEALTHCARE LLC
COMP
1645 ENERGY PARK DRIVE
(03501)
ST PAUL, MN 55108
PHONE: 651/523-8888
FAX: 651/523-8850
MR. DANIEL STARCK
HWS
NProf
ASHLAND APARTMENTS
443 ASHLAND AVENUE
(31078)
ST PAUL, MN 55102
PHONE: 651/256-1226
ASI METRO 4
FAX: /
MR. MATT LEWIS
NProf
COMP
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: 763/248-4627
(24886)
FAX: 763/569-0127
MS. CHAO VANG
Minnesota Department of Health
Division of Compliance Monitoring
Page 399
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
ASIAN AMERICAN HOME H C SERVIC
Certification
RAMSEY
Registration
(Cont.)* -------------------------
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
ASIAN COMMUNITY SPECIAL SRSVCS
(27701)
FAX: 651/641-8652
MR. WILLIAM VANG
Home Mgmt
Corp
531 VAN BUREN
ST PAUL, MN 55103
PHONE: 651/755-5557
ASIAN HOME CARE INC
(28967)
FAX: 651/489-8990
Corp
MS. CHAO YANG
HCP-A
519 UNIVERSITY AVE WEST #200
ST PAUL, MN 55103
PHONE: 651/999-0268
ATT HOME CARE INC
(21585)
MS. MAI XIONG
FAX: 651/999-0269
Corp
COMP
1563 WHITE BEAR AVE N #102
ST PAUL, MN 55106
PHONE: 651/600-3538
ATT HOME HEALTH CARE INC
(29654)
MR. MICHAEL NGUYEN
FAX: 651/646-8910
Home Mgmt
Corp
1543 COMO AVENUE STE 101
ST PAUL, MN 55108
PHONE: 651/646-8771
BATTLE CREEK CARE HOME
(27802)
FAX: 651/646-8910
Corp
MR. MICHAEL NGUYEN
HCP-F
45 BATTLE CREEK ROAD
ST PAUL, MN 55119
PHONE: 651/494-8101
BATTLE CREEK CARE HOME
(30128)
FAX: 651/714-8261
MS. GAILANN NEHOTTE
HWSAL
Corp
45 BATTLE CREEK ROAD
ST PAUL, MN 55119
PHONE: 651/494-8101
BENTSON FAMILY ASSISTED LIVING
(30129)
FAX: 651/714-8261
MS. GAILANN AND MIC NEHOTTE
HWSAL
NProf
730 KAY AVENUE
ST PAUL, MN 55102
PHONE: 651/328-2000
BETHEL CARE CENTER
(26406)
FAX: 651/328-2174
Lim-Liab
MS. MARILYN JOHNSON
NH-131
SNF-NF-131
420 MARSHALL AVENUE
ST PAUL, MN 55102
PHONE: 651/224-2368
(00913)
FAX: 651/224-0140
MS. JENNIFER SCHOENECKER
Minnesota Department of Health
Division of Compliance Monitoring
Page
400
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
BRIDGE CARE LLC
Certification
RAMSEY
(Cont.)* -------------------------
HCP-A
955 AURORA AVENUE
(29971)
ST PAUL, MN 55104
PHONE: 612/757-0974
FAX: /
MR. SAMAKAB HAJIHUSSEIN
Lim-Liab
CAPITAL CARE SERVICES LLC
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
MR. CHRIS HANSON
FAX: 651/645-9884
Corp
CAREBUILDERS AT HOME
BASIC
377 UNIVERSITY AVENUE # C
(29677)
ST PAUL, MN 55103
PHONE: 651/321-4046
MS. MAI MOUA
FAX: 651/435-9881
Corp
CAREFOCUS CORPORATION
HCP/COMP
HHA
2429 UNIVERSITY AVE WEST #200
(02837)
ST PAUL, MN 55114
PHONE: 651/925-5598
FAX: 651/925-5599
Corp
CAREFOCUS HEALTH INC
MR. ADEWALE KOLEOSHO
HCP-A
2429 UNIVERSITY AVE W # 200 A
(30581)
ST PAUL, MN 55114
PHONE: 651/756-7932
CAREMATE HOME HEALTH CARE INC
FAX: /-
MR. ADEWALE KOLEOSHO
Corp
HCP/COMP
HHA
2236 MARSHALL AVENUE
ST PAUL, MN 55104
PHONE: 651/659-0208
CARING PROFESSIONALS HOMECARE
(03323)
FAX: 651/659-0161
Lim-Liab
MR. MICHAEL ADERINKOMI
HHA
HCP/COMP
2356 UNIVERSITY AV W SUITE 220
ST PAUL, MN 55114
PHONE: 651/789-2299
CARONDELET VILLAGE
(25299)
FAX: 651/306-1359
Lim-Liab
MR. TODD WACKERFUSS
COMP
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 401
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. REBECCA BALLARD
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)
MS. DANIELLE FOX
FAX: 651/774-0606
HWS
NProf
1286 HAZELWOOD STREET
ST PAUL, MN 55106
PHONE: 651/774-0011
CEDAR PARK ARARTMENTS 1288
(25842)
MS. DANIELLE FOX
FAX: 651/774-0606
HWS
NProf
1288 HAZELWOOD STREET
ST PAUL, MN 55106
PHONE: 651/774-0011
CENTRAL TOWERS
(25844)
MS. DANIELLE FOX
FAX: 651/774-0606
Part
HCP-F
20 EAST EXCHANGE STREET
ST PAUL, MN 55101
PHONE: 651/215-4600
CENTRAL TOWERS LIMITED PARTNER
(27959)
MS. CATHY THEISEN
FAX: 651/298-9317
HWSAL
Part
20 EAST EXCHANGE STREET
ST PAUL, MN 55101
PHONE: 651/215-4600
CERENITY CARE CENTER MARIAN
(20319)
MS. OLUYINKA AJOSE
FAX: 651/298-9317
HWSAL
NProf
200 EARL STREET
ST PAUL, MN 55106
PHONE: 651/793-2100
CERENITY CARE CTR MARIAN
(30426)
MS. DENISE JUDAY BARNETT
FAX: 651/771-4509
NProf
NH-90
SNF-NF-90
200 EARL STREET
ST PAUL, MN 55106
PHONE: 651/793-2100
(00354)
FAX: 651/771-4509
MS. DENISE JUDAY BARNETT
Minnesota Department of Health
Division of Compliance Monitoring
Page 402
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
CERENITY CARE CTR ON HUMBOLDT
NProf
Certification
RAMSEY
Registration
(Cont.)* -------------------------
NH-117
SNF-NF-117
512 HUMBOLDT AVENUE
ST PAUL, MN 55107
PHONE: 651/227-8091
CERENITY RES ON HUMBOLDT
(00538)
FAX: 651/220-1755
NProf
MR. TED SCHMIDT
NH-30
SNF-30
514 HUMBOLDT AVENUE
ST PAUL, MN 55107
PHONE: 651/220-1700
CERENITY RESIDENCE MARIAN OF
(00891)
FAX: 651/220-1724
MR. TED SCHMIDT
HWSAL
NProf
225 FRANK STREET
ST PAUL, MN 55106
PHONE: 651/793-2100
CERENITY RESIDENCE MARIAN OF
(21947)
FAX: 651/771-4509
NProf
MS. DENISE BARNETT
COMP
225 FRANK STREET
ST PAUL, MN 55106
PHONE: 651/793-2100
CERENITY RESIDENCE ON HUMBOLDT
(20167)
MS. DENISE JUDAY BARNETT
FAX: 651/771-4509
HWSAL
NProf
514 HUMBOLDT AVENUE
ST PAUL, MN 55107
PHONE: 651/220-1700
CERENITY RESIDENCE ON HUMBOLDT
(30462)
MR. TED SCHMIDT
FAX: 651/220-1724
NProf
COMP
514 HUMBOLDT AVENUE
ST PAUL, MN 55107
PHONE: 651/220-1700
CONGREGATE HOUSING SERVS PROG
(20269)
FAX: 651/220-1724
MS. COURTNEY BLOMQUIST
Home Mgmt
ONProf
555 WABASHA STREET N STE 400
ST PAUL, MN 55102
PHONE: 651/292-6035
CORNELIA HOUSE
(03538)
FAX: 651/298-5666
MR. PAUL JAEGER
HWS
NProf
1840 UNIVERSITY AVENUE WEST
ST PAUL, MN 55104
PHONE: 651/288-3931
CRS GROTTO REENTRY LLC
(26979)
FAX: 651/288-5084
MS. JULIE NIEWALD
HWS
Lim-Liab
450 GROTTO STREET NORTH
ST PAUL, MN 55104
PHONE: 763/566-2888
DALE STREET PLACE
(26964)
FAX: 763/566-3949
MR. MARCELL GARRETSON
HWS
Lim-Liab
313 NORTH DALE
ST PAUL, MN 55103
PHONE: 612/332-6264
(24994)
FAX: 612/332-2627
MR. RICHARD BRUSTAD
Minnesota Department of Health
Division of Compliance Monitoring
Page 403
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Ind
DALYCE ELLIOTT YOUNG
Certification
RAMSEY
Registration
(Cont.)* -------------------------
HCP-C
1610 FERNWOOD ST
(27878)
ST PAUL, MN 55108
PHONE: 952/412-1614
FAX: /
MS. DALYCE YOUNG
Lim-Liab
DELLWOOD GARDENS
COMP
753 EAST SEVENTH STREET
(29952)
ST PAUL, MN 55106
PHONE: 651/776-9511
DELLWOOD GARDENS
FAX: /
MS. SIA LO
HWSAL
Lim-Liab
753 EAST SEVENTH STREET
ST PAUL, MN 55106
PHONE: 651/776-9511
DIANE AHRENS CRISIS RESIDENCE
(29953)
FAX: 651/776-9518
NProf
MS. SIA LO
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/COMP
HHA
856 UNIVERSITY AVENUE
ST PAUL, MN 55104
PHONE: 651/665-9795
DUNGARVIN BALBRIGGEN
(03484)
MR. ISAAC OBI
FAX: 651/665-9796
Lim-Liab
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 GARDENS
(29178)
FAX: 651/455-0088
Lim-Liab
MS. TIFFANI BARBER
NH-60
1860 UNIVERSITY AVENUE WEST
ST PAUL, MN 55104
PHONE: 651/646-4061
EPISCOPAL CHURCH HOME OF MN
(30004)
FAX: 651/288-5087
NProf
MS. ANDREA KREBS
NH-81 BCH-50
1879 FERONIA AVENUE
ST PAUL, MN 55104
PHONE: 651/209-8519
(00486)
FAX: 651/288-5087
MS. ANDREA KREBS
SNF-NF-81 NF2-50
Minnesota Department of Health
Division of Compliance Monitoring
Page
404
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
EPISCOPAL HOME CARE AND SERVIC
Certification
RAMSEY
Registration
(Cont.)* -------------------------
COMP
490 EAST LYNNHURST AVENUE
(27670)
ST PAUL, MN 55104
PHONE: 651/632-8808
FAX: 651/288-4662
NProf
EPISCOPAL HOME CARE AND SRVS
MR. MIKE KAREL
HCP-F
490 EAST LYNNHURST AVENUE
(26962)
ST PAUL, MN 55104
PHONE: 651/632-8808
FAX: 651/288-4662
NProf
EQUITY SERVICES OF ST PAUL
MR. MIKE KAREL
HCP/COMP
HHA
1169 RICE STREET
(02531)
ST PAUL, MN 55117
PHONE: 651/489-4656
FAX: 651/489-4811
MR. BRUCE LARSON
HWSAL
Corp
ESSLINGS HOMES PLUS INC
2187 BONNIE LANE
(20271)
ST PAUL, MN 55119
PHONE: 651/735-7259
MR. ANTHONY EHRNRITER
FAX: 651/730-1667
HWSAL
Corp
ESSLINGS HOMES PLUS INC
2188 BONNIE LANE
(20272)
ST PAUL, MN 55119
PHONE: 651/735-7259
MR ANTHONY EHRNRITER
FAX: 651/730-1667
Corp
EXPRESS HOME HEALTH CARE
HCP-A
1148 ARCADE STREET
(21956)
ST PAUL, MN 55106
PHONE: 651/776-9910
FAX: 651/776-9181
Corp
FAMILY FIRST HEALTHCARE INC
MS. PA YANG
COMP
1821 UNIVERSITY AVE W # S 149
(29731)
ST PAUL, MN 55104
PHONE: 651/917-5519
FAX: 651/917-4026
Corp
FIRST CHOICE HOME CARE INC
MR. PROSPER DZAMESHIE
HCP/COMP
HHA
933 WHITE BEAR AVENUE NORTH
(03253)
ST PAUL, MN 55106
PHONE: 651/488-1680
FAX: 651/487-4087
Lim-Liab
FIRSTAT NURSING SERVICES
MS. PANG THAO
HCP/COMP
HHA
1885 UNIVERSITY AVE W STE 350
(22015)
ST PAUL, MN 55104
PHONE: 651/288-0222
FAX: 651/288-0214
MS. CATHERINE BRUNS
HWS
NProf
FLANDRAU COURT 1760
1760 CASE AVENUE
(31490)
ST PAUL, MN 55106
PHONE: 651/225-8963
FAX: /-
MR. GEOFFREY MEYER
Minnesota Department of Health
Division of Compliance Monitoring
Page 405
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
FRANCISCAN HOME CARE
Certification
RAMSEY
Registration
(Cont.)* -------------------------
COMP
2076 ST ANTHONY AVE
(03288)
ST PAUL, MN 55104
PHONE: 651/696-8425
FAX: 651/646-7884
MS. PAULA FISCHER
ESRD
Corp
FRESENIUS MEDICAL CARE MIDWAY
1690 UNIVERSITY AVE W # B 100
(23762)
ST PAUL, MN 55104
PHONE: 651/917-0081
FAX: 651/917-0091
MS. CAROL MEREDITH
ESRD
Corp
FRESENIUS MEDICAL OF ST PAUL
445 ETNA STREET SUITE 60
(23523)
ST PAUL, MN 55106
PHONE: 651/251-3847
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)
MR. THOMAS THOMPSON
FAX: 651/224-9613
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)
FAX: 651/229-3999
Corp
MS. BARBARA JOERS
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
738 BEECH STREET
ST PAUL, MN 55106
PHONE: 651/776-2116
GREEN HOUSE RECOVERY CENTER
(30210)
FAX: 651/774-5827
MS. SANDRA MOWRY
HWS
NProf
680 GREENBRIER
ST PAUL, MN 55106
PHONE: 651/776-2116
(29873)
FAX: 651/774-5827
MS. SANDRA MOWRY
Minnesota Department of Health
Division of Compliance Monitoring
Page 406
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
RAMSEY
(Cont.)* -------------------------
HWS
NProf
GREEN HOUSE RECOVERY CENTER
Registration
894 EAST 5TH STREET
(30212)
ST PAUL, MN 55106
PHONE: 651/776-2116
FAX: 651/774-5827
MS. SANDRA MOWRY
HWS
NProf
GREEN HOUSE RECOVERY CENTER
961 CASE
(30211)
ST PAUL, MN 55106
PHONE: 651/776-2116
FAX: 651/774-5827
MS. SANDRA MOWRY
HWS
NProf
GREEN HOUSE RECOVERY CENTER
840 4TH STREET
(31497)
ST PAUL, MN 55106
PHONE: 651/776-2116
FAX: 651/774-5827
MR. KIRK LARSON
HWSAL-O
HRA
HAMLINE HI RISE
777 NORTH HAMLINE AVENUE
(20541)
ST PAUL, MN 55104
PHONE: 651/292-6035
MR. PAUL JAEGER
FAX: 651/298-5666
Corp
HARMONY HOME HEALTH SERVICES
HCP-A
1109 ARCADE STREET
(29376)
ST PAUL, MN 55106
PHONE: 651/644-2422
MS. LEE THAO
FAX: 651/644-5246
HWS
Corp
HARRY & JEANETTE WEINBERG APAR
760 PERLMAN STREET
(26377)
ST PAUL, MN 55102
PHONE: 651/925-8000
MS. JEN ZINNEL
FAX: 651/925-8067
Corp
HAYES RESIDENCE
NF2-40
BCH-40
1620 RANDOLPH AVENUE
(00928)
ST PAUL, MN 55105
PHONE: 651/690-4458
MS. LAURA REYNOLDS
FAX: 651/690-2787
Lim-Liab
HEALTH AT HOME LLC
HCP-A
141 ARUNDEL STREET #4
(28753)
ST PAUL, MN 55102
PHONE: 651/788-0327
HEALTH FOUNDATIONS LLC
MS. JOAN NICHOLS
FAX: /
Lim-Liab
968 GRAND AVENUE
ST PAUL, MN 55105
PHONE: 651/895-2520
HEALTHEAST BETHESDA HOSPITAL
(27753)
MS. AMY JOHNSON - GRASS
FAX: 651/330-3768
NProf
HOSP-254
HOSP-254
559 CAPITOL BOULEVARD
ST PAUL, MN 55103
PHONE: 651/232-2000
(00976)
FAX: 651/232-2118
MS. CATHERINE BARR
Minnesota Department of Health
Division of Compliance Monitoring
Page
407
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
HEALTHEAST HOME CARE
Certification
RAMSEY
Registration
(Cont.)* -------------------------
HHA
HCP/COMP
1700 UNIVERSITY AVENUE
(02250)
ST PAUL, MN 55104
PHONE: 651/232-2800
FAX: 651/232-2898
NProf
HEALTHEAST HOSPICE
MS. JILLYNE FRAZIER
HSPICE
Hospice
45 WEST 10TH STREET
(02353)
ST PAUL, MN 55102
PHONE: 651/232-3312
FAX: 651/232-3494
MS. MICKI SCHAEFER
HWSAL
NProf
HERITAGE APARTMENTS INC
1440 MIDWAY PARKWAY
(20280)
ST PAUL, MN 55108
PHONE: 651/632-5428
FAX: 651/632-5451
Lim-Liab
HIGHLAND CHATEAU HCC
MS. JENNIFER VEITENHEIMER
NH-64
SNF-NF-64
2319 WEST SEVENTH STREET
(00494)
ST PAUL, MN 55116
PHONE: 651/251-3083
MS. ERIN SHVETZOFF HENNESSEY
FAX: 651/698-0378
Lim-Liab
HIGHLAND GW LLC
TCOMP
1925 GRAHAM AVENUE
(31288)
ST PAUL, MN 55116
PHONE: 651/287-0265
MS. KATHY SIEGLING
FAX: 651/287-0266
HWSAL
Lim-Liab
HIGHLAND GW LLC
1925 GRAHAM AVENUE
(31337)
ST PAUL, MN 55116
PHONE: 651/287-0265
FAX: 651/287-0266
Lim-Liab
HIGHLAND HOME CARE LLC
MS. RHONDA SCHILLINGER
BASIC
1795 BAYARD AVENUE
(26945)
ST PAUL, MN 55116
PHONE: 651/249-3714
HIGHLAND PARK DIALYSIS
FAX: /-
MR. MICHAEL RYAN
ESRD
Corp
1559 WEST SEVENTH STREET
ST PAUL, MN 55102
PHONE: 651/222-7139
HOME CARE GIVERS INC
(25766)
FAX: 651/224-3655
Corp
MS. BECKY SKWIRA
HCP/COMP
HHA
806 7TH STREET #200
ST PAUL, MN 55106
PHONE: 651/808-4044
HOMEWATCH CAREGIVERS OF ST PAU
(27359)
FAX: 651/772-3600
Lim-Liab
MR. ARTEMIO ALVARADO
COMP
555 PARK STREET SUITE 440
ST PAUL, MN 55103
PHONE: 651/234-0379
(29907)
FAX: 651/202-3442
MS. REBECCA MARTIN
Minnesota Department of Health
Division of Compliance Monitoring
Page
408
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
INTEGRATED HOME CARE
Certification
RAMSEY
Registration
(Cont.)* -------------------------
HHA
HCP/COMP
475 ETNA STREET STE 3
(02303)
ST PAUL, MN 55106
PHONE: 651/415-4663
FAX: 651/415-4010
MS. DENISE EDGETT
HWSAL
NProf
IRIS PARK COMMONS
1850 UNIVERSITY AVENUE WEST
(23247)
ST PAUL, MN 55104
PHONE: 651/646-1026
FAX: 651/632-8807
MR. MARK LADWIG
HWS
NProf
JOHNSON PARKWAY 1348
1348 AMES AVENUE
(31429)
ST PAUL, MN 55106
PHONE: 651/225-8963
FAX: /-
MR. GEOFFREY MEYER
Lim-Liab
KCMG HIGHLAND PARK LLC
HCP-F
750 MISSISSIPPI BOULEVARD
(29564)
ST PAUL, MN 55116
PHONE: 651/698-1111
MR. MICHAEL LEWIS
FAX: 651/698-8688
HWSAL
Part
KEYSTONE SENIOR LIVING OF HIGH
750 MISSISSIPPI RIVER BLVD
(20168)
ST PAUL, MN 55116
PHONE: 612/886-2035
MR. MICHAEL LEWIS
FAX: 612/886-2592
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
1038 AURORA AVENUE
(24970)
ST PAUL, MN 55104
PHONE: 651/387-8393
FAX: /-
KINGDOM PATHWAYS FREEDOM HOUSE
MS. LORIANNE MICHAUD
HWS
NProf
426 OXFORD STREET NORTH
(24969)
ST PAUL, MN 55433
PHONE: 651/387-8393
FAX: /-
MS. LORIANNE MICHAUD
Ind
KRISTI LOUISE BRUBER
BASIC
592 CONCORD STREET
(29825)
ST PAUL, MN 55107
PHONE: 651/485-3081
LABLANCHE APARTMENTS
FAX: /-
MS. KRISTI BRUBER
HWS
NProf
1366 WESTERN AVENUE
ST PAUL, MN 55117
PHONE: 651/774-0011
(27422)
FAX: 651/774-0606
MS. DANIELLE FOX
Minnesota Department of Health
Division of Compliance Monitoring
Page
409
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
RAMSEY
(Cont.)* -------------------------
HWS
NProf
LABLANCHE APARTMENTS
Registration
1365 WESTERN AVENUE
(27421)
ST PAUL, MN 55117
PHONE: 651/774-0011
FAX: 651/774-0606
MS. DANIELLE FOX
HWS
NProf
LAMPLIGHTER VILLAGE
1551 ALBAMARLE STREET
(27423)
ST PAUL, MN 55117
PHONE: 651/774-0011
FAX: 651/774-0606
MS. DANIELLE FOX
HWS
NProf
LAMPLIGHTER VILLAGE
1512 WOODBRIDGE ST STE 202
(27766)
ST PAUL, MN 55117
PHONE: 651/744-0011
FAX: /
MS. 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
MS. BECKIE HINES
FAX: 651/968-5491
Lim-Liab
LATITUDES TREATMENT CENTER LLC
SLFA-20
1609 JACKSON STREET
(29465)
ST PAUL, MN 55117
PHONE: 651/488-5618
MR. JAMES JOHNSON
FAX: 651/488-5658
HWS
NProf
LAWSON ARMS APARTMENTS 1032
1032 DULUTH STREET
(26320)
ST PAUL, MN 55106
PHONE: 651/774-0011
FAX: 651/774-0606
MS. DANIELLE FOX
Out Pt Out St Out Ot
NProf
LIFETRACK RESOURCES
709 UNIVERSITY AVENUE WEST
(02090)
ST PAUL, MN 55104
PHONE: 651/227-8471
LITTLE SISTERS OF THE POOR
FAX: /
MR. JOHN MOHR
NProf
BCH-33 NH-40
SNF-NF-40 NF2-33
330 SOUTH EXCHANGE STREET
ST PAUL, MN 55102
PHONE: 651/227-0336
LYNGBLOMSTEN APARTMENTS
(00763)
FAX: 651/227-5484
SISTER MARY ELIZABETH ANDERSON
HWSAL
NProf
1455 ALMOND AVENUE
ST PAUL, MN 55108
PHONE: 651/632-5422
LYNGBLOMSTEN CARE CENTER
(20250)
FAX: 651/632-5440
Church
MS. JILL HULT
NH-237
SNF-NF-237
1415 ALMOND AVENUE
ST PAUL, MN 55108
PHONE: 651/646-2941
(00501)
FAX: 651/646-8360
MR. JEFF HEINECKE
Minnesota Department of Health
Division of Compliance Monitoring
Page 410
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Church
LYNGBLOMSTEN SERVICES INC
Certification
RAMSEY
Registration
(Cont.)* -------------------------
COMP
1415 ALMOND AVENUE
(03381)
ST PAUL, MN 55108
PHONE: 651/646-2941
FAX: 651/646-8360
MS. JANET BYRNES
HWS
NProf
MARK GUNTER 249 WESTERN
249 WESTERN AVENUE
(25228)
ST PAUL, MN 55102
PHONE: 651/774-0011
FAX: 651/774-0606
Ind
MARY ELLEN BRANDT
MS. DANIELLE FOX
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
MS. LAURIE OHMANN
FAX: 651/222-2412
Lim-Liab
MATRXCARE LLC
HCP-A
411 MAIN STREET SUITE 412
(25677)
ST PAUL, MN 55102
PHONE: 651/269-2999
MAXIMUM HOMECARE SERVICES LLC
MR. GARY BAILEY
FAX: /
Lim-Liab
COMP
1577 NEVADA AVENUE
ST PAUL, MN 55106
PHONE: 651/353-8964
METRO HEALTH CARE SERVICES LLC
(26758)
FAX: 651/330-2045
Lim-Liab
MS. MERCY ALO
COMP
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
HHA
HCP/COMP
1072 PAYNE AVENUE
ST PAUL, MN 55130
PHONE: 651/793-6901
MINNESOTA BIRTH CENTER
(21405)
FAX: 651/776-5251
MR. FONG LOR
Corp
624 SMITH AVENUE
ST PAUL, MN 55107
PHONE: 651/689-3988
(31435)
FAX: 612/224-9622
MS. TRICIA BALAZOVIC
Minnesota Department of Health
Division of Compliance Monitoring
Page 411
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
MINNESOTA ENDOSCOPY CENTER LLC
Certification
RAMSEY
Registration
(Cont.)* -------------------------
Amb Surg
Lim-Liab
2635 UNIVERSITY AVE W STE 100
ST PAUL, MN 551141270
PHONE: 612/871-1145
MINNESOTA HOME HEALTH CARE INC
(31169)
FAX: 612/870-5491
Corp
DR. SCOTT KETOVER
HCP-A
829 EAST 7TH STREET #1
ST PAUL, MN 55106
PHONE: 651/705-8833
MN HOME CARE PROFESSIONALS
(29179)
FAX: 651/705-8834
Corp
MR. EUGENE BANKS
HCP-B
625 SNELLING AVE N STE 1
ST PAUL, MN 55104
PHONE: 651/644-2188
MONTREAL NBBI
(29180)
FAX: 651/644-2198
MR. LYFONGE YANG
HWSAL-O
HRA
1085 MONTREAL AVE #1406
ST PAUL, MN 55116
PHONE: 651/292-6035
MORNING STAR HEALTHCARE SERVIC
(24468)
MR. PAUL JAEGER
FAX: 651/298-5666
Corp
HCP-A
2147 UNIVERSITY AVE WEST #206
ST PAUL, MN 55114
PHONE: 651/209-2950
MULTICULTURAL HOME CARE LLC
(24798)
MR. LAWRENCE UBANI
FAX: 651/917-2013
Lim-Liab
HCP-A
1821 UNIVERSITY AVENUE W #109S
ST PAUL, MN 55104
PHONE: 651/756-1068
MY HOME HEALTH CARE INC
(29398)
FAX: 651/756-1082
Corp
MR. ABDIRASHID ALI
COMP
569 DALE ST N STE 100
ST PAUL, MN 55103
PHONE: 651/488-3126
NATIONAL HOME HEALTHCARE INC
(21876)
FAX: 651/487-7637
Corp
MS. MAI YER SOUNG
COMP
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
MR. PAUL JAEGER
NH-76
SNF-NF-76
135 GERANIUM AVENUE EAST
ST PAUL, MN 55117
PHONE: 651/488-6658
(00492)
FAX: 651/488-7587
MR. TRENTON CARLSON
Minnesota Department of Health
Division of Compliance Monitoring
Page 412
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
NORTHWEST HOME HEALTH CARE
Certification
RAMSEY
Registration
(Cont.)* -------------------------
HCP-A
1821 UNIVERSITY AVE W #352 S
(24008)
ST PAUL, MN 55104
PHONE: 651/493-3834
FAX: 651/493-3835
NProf
OUR HOUSE OF MN INC I
MR. SYLVESTER AMELETSE
SLFA-6
ICFIID-6
1846 DAYTON AVENUE
(01102)
ST PAUL, MN 55104
PHONE: 651/646-1104
FAX: 651/646-1104
NProf
OUR HOUSE OF MN INC II
MR. DENNIS HOLMAN
SLFA-6
ICFIID-6
1846 PORTLAND AVENUE
(01173)
ST PAUL, MN 55104
PHONE: 651/646-1104
FAX: 651/646-1104
NProf
OUR LADY OF PEACE HOME
MR. DENNIS HOLMAN
NH-40
2076 ST ANTHONY AVENUE
(00869)
ST PAUL, MN 55104
PHONE: 651/789-5049
MR. JOE STANISLAV
FAX: 651/789-0690
NProf
OUR LADY OF PEACE HOME CARE
HCP/COMP
HHA
2076 ST ANTHONY AVENUE
(23112)
ST PAUL, MN 55104
PHONE: 651/789-5030
MS. NANCY LARSON
FAX: 651/789-0078
NProf
OUR LADY OF PEACE HOSPICE
Hospice
HSPICE
2076 ST ANTHONY AVENUE
(21131)
ST PAUL, MN 55104
PHONE: 651/789-5030
FAX: 651/789-0078
PARK MANOR APARTMENTS JHW PROP
MS. NANCY LARSON
HWS
NProf
1186 GRAND AVENUE
(31165)
ST PAUL, MN 55105
PHONE: 651/256-1226
PARK VISTA APARTMENTS
FAX: /-
MR. MATT LEWIS
HWS
NProf
1453 ARKWRIGHT STREET
ST PAUL, MN 55130
PHONE: 651/774-0011
PARK VISTA APARTMENTS
(29756)
FAX: 651/291-1082
MS. DANIELLE FOX
HWS
NProf
1457 ARKWRIGHT STREET
ST PAUL, MN 55130
PHONE: 651/225-8963
PARK VISTA APARTMENTS
(29958)
FAX: 651/291-1082
MS. JODI NOTTGER
HWS
NProf
387 ARLINGTON AVENUE EAST
ST PAUL, MN 55130
PHONE: 651/774-0011
(29314)
FAX: 651/774-0606
MS. DANIELLE FOX
Minnesota Department of Health
Division of Compliance Monitoring
Page 413
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
PEACE OF MIND HOME CARE SERVIC
Certification
RAMSEY
Registration
(Cont.)* -------------------------
HCP-A
1260 LARPENTEUR AVE W #419
(29317)
ST PAUL, MN 55113
PHONE: 612/222-1889
FAX: /
MS. LINDA DAVIS
HWSAL
Corp
PEACEFUL LIVING
1000 REANEY
(30607)
ST PAUL, MN 55106
PHONE: 651/493-1485
FAX: 612/435-9881
Corp
PEACEFUL LIVING SERVICES
MS. BAO VANG
HCP-F
1000 REANEY
(24993)
ST PAUL, MN 55106
PHONE: 651/493-1485
FAX: 612/435-9881
NProf
PEOPLE INCORPORATED
MS. BAO VANG
HHA
HCP/COMP
317 YORK AVENUE
(02672)
ST PAUL, MN 55130
PHONE: 651/774-0011
MS. KATIE O'BRIEN
FAX: 651/454-5000
HWS-O
NProf
PEOPLE INCORPORATED EDGEBROOK
2250 EDGEBROOK AVE
(21907)
ST PAUL, MN 55119
PHONE: 651/731-0821
MR. TIM MCGUIRE
FAX: 651/209-6376
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
MR. TIM MCGUIRE
HWS-O
NProf
246 RUTH STREET
ST PAUL, MN 55119
PHONE: 651/731-0821
PHOENIX AT DOUGLAS
(21908)
FAX: 612/209-6376
NProf
MR. TIM MCGUIRE
ICFIID-6
SLFB-6
1538 POINT DOUGLAS
ST PAUL, MN 55119
PHONE: 651/227-7655
PHOENIX AT FOSS
(23482)
FAX: 651/227-6847
NProf
MS. DARLENE SCOTT
ICFIID-6
SLFB-6
1500 AMES
ST PAUL, MN 55106
PHONE: 651/227-7655
PHOENIX AT VIKING
(23483)
FAX: 651/227-6847
NProf
MS. DARLENE SCOTT
ICFIID-6
SLFB-6
645 VIKING DRIVE EAST
ST PAUL, MN 55117
PHONE: 651/227-7655
(01195)
FAX: 651/227-6847
MS. DARLENE SCOTT
Minnesota Department of Health
Division of Compliance Monitoring
Page 414
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
PREMIER HEALTH HOMES INC
Certification
RAMSEY
Registration
(Cont.)* -------------------------
COMP
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
MR. PAOGE VANG
FAX: 651/778-9967
HWSAL
NProf
RAKHMA JOY HOME
123 SOUTH WHEELER
(20115)
ST PAUL, MN 55105
PHONE: 612/824-2345
MS. SUSAN ECKSTROM
FAX: 612/824-3165
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
MS. NANCY HOULTON
FAX: /
Cy-Co
SLFA-10 SLFB-40
402 UNIVERSITY AVENUE EAST
ST PAUL, MN 55130
PHONE: 651/266-4009
RAVOUX HI RISE
(01571)
FAX: 651/266-4539
MS. ALYSSA CONDUCY
HWSAL-O
HRA
280 RAVOUX STREET
ST PAUL, MN 55103
PHONE: 651/292-6035
REGIONS HOSPITAL
(20540)
FAX: 651/298-5666
NProf
MR. PAUL JAEGER
HOSP-454 BASS-26
HOSP-438 PPS-R-16
640 JACKSON STREET
ST PAUL, MN 55101
PHONE: 651/254-3456
RELIABLE HOME CARE
(00527)
MR. BROCK NELSON
FAX: 651/254-2194
Corp
HCP-A
2353 RICE STREET, SUITE 107
ST PAUL, MN 55113
PHONE: 952/393-7857
REM RAMSEY INC GOODRICH
(28659)
MS. DEBORAH OJOGWU
FAX: 952/881-2868
Corp
SLFA-6
ICFIID-6
917 GOODRICH AVE
ST PAUL, MN 55105
PHONE: 651/644-7680
(01055)
FAX: 651/644-6777
MS. CONNIE MENNE
Minnesota Department of Health
Division of Compliance Monitoring
Page 415
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
REM RAMSEY INC MISSISSIPPI
Certification
RAMSEY
Registration
(Cont.)* -------------------------
ICFIID-6
SLFA-6
1866 MISSISSIPPI RIVER BLVD S
(01056)
ST PAUL, MN 55116
PHONE: 651/644-7680
FAX: 651/644-6777
Corp
REM RAMSEY INC NEBRASKA
MS. CONNIE MENNE
SLFA-6
ICFIID-6
2140 NEBRASKA AVENUE EAST
(21032)
ST PAUL, MN 55119
PHONE: 651/644-7680
FAX: 651/644-6777
MS. CONNIE MENNE
HWS
NProf
RENAISSANCE BOX
200 EAST 10TH STREET
(28139)
ST PAUL, MN 55101
PHONE: 651/224-4710
FAX: /-
MS. DANIELLE FOX
HWS
NProf
RIVERTOWN COMMONS
175 CHARLES AVENUE
(31372)
ST PAUL, MN 55103
PHONE: 651/225-8963
MR. GEOFFREY MEYER
FAX: /
ROSE HOME CARE HOME MANAGEMENT
Home Mgmt
Ind
1374 WESTMINSTER ST STE A205
(28596)
ST PAUL, MN 55130
PHONE: 651/795-8362
SAFETY CARE INC
MS. VALERIE CAGER
FAX: /
Corp
HCP/COMP
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
SERENITY HOME HEALTH CARE SYST
(26982)
MS. KIRE MEYER-QUIST
FAX: 651/209-8080
Corp
COMP
161 ST ANTHONY AVENUE STE 935
ST PAUL, MN 55103
PHONE: 651/493-4536
SHEPARD PARK HC
(26753)
MR. MOHAMED ALBERT
FAX: 651/493-4868
Part
HCP-F
2235 ROCKWOOD AVENUE
ST PAUL, MN 55116
PHONE: 651/699-2664
(20169)
FAX: 651/699-9726
MS. LISA MOE
Minnesota Department of Health
Division of Compliance Monitoring
Page 416
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
SHIRLEY CHAPMAN SHOLOM HM EAST
Certification
RAMSEY
NH-108
Registration
(Cont.)* -------------------------
SNF-NF-108
740 KAY AVENUE
(00496)
ST PAUL, MN 55102
PHONE: 651/328-2000
FAX: 651/328-2070
NProf
SHOLOM HOME CARE
MS. ANN THOLE
HCP/COMP
HHA
740 KAY AVENUE
(27031)
ST PAUL, MN 551026014
PHONE: 952/939-1649
FAX: 952/939-1662
Corp
ST ANTHONY PARK HOME
MS. LISA ABICHT-SWENSEN
NH-84
SNF-NF-84
2237 COMMONWEALTH AVENUE
(00997)
ST PAUL, MN 55108
PHONE: 651/632-3503
FAX: 651/644-0792
NProf
ST JOSEPHS HOSPITAL
MR. JOHN BARKER
HOSP-401 BASS-40
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
ST PAUL RESIDENCE
FAX: /-
MS. TAMMY FOLDEN
HWS
NProf
902 HERSEY STREET
ST PAUL, MN 55114
PHONE: 651/647-2325
STRAUS LOFTS
(25394)
FAX: 651/603-0462
MR. JAMES GILLHAM
HWS
NProf
350 SIBLEY STREET
ST PAUL, MN 55101
PHONE: 651/774-0011
SUMMIT HILL SENIOR LIVING
(27425)
FAX: 651/774-0606
MS. DANIELLE FOX
HWSAL
Lim-Liab
1824 OLD HUDSON ROAD
ST PAUL, MN 55119
PHONE: 651/207-9064
(28605)
FAX: 651/454-4783
MS. KELLY MYERS
Minnesota Department of Health
Division of Compliance Monitoring
Page
417
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
SUMMIT HILL SENIOR LIVING
Certification
RAMSEY
Registration
(Cont.)* -------------------------
HCP-F
1824 OLD HUDSON ROAD
(28604)
ST PAUL, MN 55119
PHONE: 651/451-4446
FAX: 651/459-4783
MR. LANCE LEMIEUX
ESRD
Corp
SUN RAY DIALYSIS UNIT
1744 OLD HUDSON ROAD
(25767)
ST PAUL, MN 55106
PHONE: 651/793-5191
SUNLIGHT SENIOR LIVING
FAX: /
MS. JENNY MCPHILLIPS
Corp
COMP
400 WESTERN AVENUE
ST PAUL, MN 55103
PHONE: 651/714-5056
SUNLIGHT SENIOR LIVING
(27035)
FAX: 651/714-5059
MS. LEE VANG
HWSAL
Corp
400 WESTERN AVENUE
ST PAUL, MN 55103
PHONE: 651/714-5056
SUNLIGHT SERVICES
(30672)
MS. LEE VANG
FAX: 651/714-5059
HWSAL
Lim-Liab
281 CESAR CHAVEZ STREET
ST PAUL, MN 55107
PHONE: 651/528-8085
SUNLIGHT SERVICES LLC
(24453)
MS. MAI VANG
FAX: 651/528-8015
HWSAL
Lim-Liab
1105 HAZEL STREET
ST PAUL, MN 55119
PHONE: 651/528-8085
SUNLIGHT SERVICES LLC
(24717)
FAX: 651/528-8015
Lim-Liab
MS. MAI VANG
COMP
440 VIRGINIA STREET
ST PAUL, MN 55103
PHONE: 651/528-8085
SUNLIGHT SERVICES LLC
(23761)
FAX: 651/528-8015
MS. MAI VANG
HWSAL
Lim-Liab
440 VIRGINIA STREET
ST PAUL, MN 55103
PHONE: 651/528-8085
SUPPORTIVE LIVING SOLUTIONS
(30412)
FAX: 651/528-8015
MS. MAI VANG
HWS-O
Lim-Liab
1569 UNIVERSITY AVE W
ST PAUL, MN 55104
PHONE: 651/209-8490
SUPPORTIVE LIVING SOLUTIONS
(30527)
FAX: 651/209-8499
Lim-Liab
MR. JOE CUOCO
COMP
2515 WABASH AVE SUITE#300
ST PAUL, MN 55114
PHONE: 651/209-8490
(21707)
FAX: 651/209-8499
MS. CARLEEN FLETTRE
Minnesota Department of Health
Division of Compliance Monitoring
Page
418
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
SYMPHONY SENIOR SERVICES INC
Certification
RAMSEY
Registration
(Cont.)* -------------------------
COMP
1597 HARTFORD AVENUE
(29781)
ST PAUL, MN 55116
PHONE: 612/751-5287
FAX: /-
MR. JAMES MILEY
Lim-Liab
TAPESTRY
SLFA-3 SLFB-48
135 EAST COLORADO STREET
(25565)
ST PAUL, MN 55107
PHONE: 651/489-7740
FAX: 651/489-6458
MS. JENNIFER HATTERMAN
HWSAL
Part
THE ALTON MEMORY CARE
1306 ALTON STREET
(25829)
ST PAUL, MN 55116
PHONE: 651/699-2480
FAX: 651/699-2386
MR. MIKE LORENZ
HWSAL
NProf
THE HOMESTEAD AT MAPLEWOOD
1890 SHERREN AVENUE EAST
(20712)
ST PAUL, MN 55109
PHONE: 651/770-3959
MS. LINDA JOHNSON
FAX: 651/770-5779
Corp
THE QUINLAN HOME
BCH-58
391 PLEASANT AVENUE
(00363)
ST PAUL, MN 55102
PHONE: 651/222-7200
MS. LAURA REYNOLDS
FAX: 651/224-0624
HWS
NProf
THE SALAVATION ARMY BOOTH BROW
1471 COMO AVENUE WEST
(24600)
ST PAUL, MN 55108
PHONE: 651/646-2601
MS. NICOLE MILLS
FAX: 651/646-1655
HWSAL
Part
THE WELLINGTON/SHEPARD PARK HO
2235 ROCKWOOD AVENUE
(30427)
ST PAUL, MN 55116
PHONE: 651/699-2664
MS. LISA MOE
FAX: 651/699-9726
Corp
TLC HM CARE OF THE TWIN CITIES
HHA
HCP/COMP
1919 UNIVERSITY AVE STE 130
(03235)
ST PAUL, MN 55104
PHONE: 651/647-0017
FAX: 651/647-3423
MR. SOLOMON MULUGETA
Home Mgmt
Lim-Liab
TOUCHING HEARTS AT HOME ST PAU
550 SNELLING AVENUE S STE 103
(27544)
ST PAUL, MN 55116
PHONE: 651/452-6825
FAX: 651/236-8279
MR. JARROD PETERSON
HWS-O
Corp
TWIN CITIES NURSING CARE
1635 HAZEL ST N
(31262)
ST PAUL, MN 55119
PHONE: 651/354-8081
FAX: /
MS. MAIXIA VANG
Minnesota Department of Health
Division of Compliance Monitoring
Page
419
Directory of Facilities and Services
Facility/Service
Owner
Licensure
Certification
RAMSEY
---------------------------**********
Corp
TWIN CITIES NURSING CARE INC
Registration
(Cont.)* -------------------------
TCOMP
1635 HAZEL ST N
(31252)
ST PAUL, MN 55119
PHONE: 651/354-8081
TWIN TOWN TREATMENT CENTER
FAX: /
MS MAIXIA VANG
Lim-Liab
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/JONES
COMP
161 ST ANTHONY AVENUE STE 818
ST PAUL, MN 55103
PHONE: 651/489-4735
UNITED HOSPITAL
(27588)
MR. NENG YANG
FAX: 651/489-4738
NProf
HOSP-546 BASS-40 HOSP-15 333 NORTH SMITH AVENUE
ST PAUL, MN 55102
PHONE: 651/241-8816
UNIVERSITY DIALYSIS RIVERSIDE
HOSP-515 PPS-P-15 PPS-R-16
HOSP-15
(00525)
MR. TOM O'CONNOR
FAX: 651/241-5189
ESRD
Corp
1045 WESTGATE DRIVE #90
ST PAUL, MN 55114
PHONE: 651/645-1847
V-CARE HOME HEALTH INC
(03881)
FAX: 651/645-1890
Corp
MS. DENISE HORN
COMP
1049 PAYNE AVENUE
ST PAUL, MN 55130
PHONE: 651/793-7635
VALLEY HI RISE
(28359)
FAX: 651/793-7659
MS. SUE XIONG
HWSAL-O
HRA
261 UNIVERSITY AVENUE
ST PAUL, MN 55101
PHONE: 651/292-6035
VIETNAMESE MINNESOTANS ASSOCIA
(24472)
FAX: 651/298-5666
NProf
MR. PAUL JAEGER
COMP
1030 UNIVERSITY AVENUE STE 130
ST PAUL, MN 55104
PHONE: 651/290-4791
VIZION ONE INC
(27589)
FAX: 651/290-4785
Corp
MR. TINH TRAN
HCP/COMP
1821 UNIVERSITY AVE SUITE S307
ST PAUL, MN 55104
PHONE: 763/200-9237
(27916)
FAX: 763/400-4899
MS. MARY MORSE
HHA
Minnesota Department of Health
Division of Compliance Monitoring
Page 420
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
WEST ASIA CARE LLC
Certification
RAMSEY
Registration
(Cont.)* -------------------------
COMP
1415 ARCADE ST STE B
(29831)
ST PAUL, MN 55106
PHONE: 651/487-8610
FAX: 651/487-7837
Lim-Liab
WICARE HOMECARE SERVICES
MR. PAUL XIONG
COMP
1885 UNIVERSITY AVE W STE #337
(26425)
ST PAUL, MN 55104
PHONE: 651/738-4890
FAX: 651/846-6530
NProf
WILDER ASSISTED LIVING PROGRAM
MS. DOROTHY MICHORI
COMP
650 MARSHALL AVENUE
(20812)
ST PAUL, MN 55104
PHONE: 651/280-2500
FAX: 651/224-6906
Corp
WINGSPAN LIFE RESOURCES
MS. JOCELYN SCHOWALTER
SLFA-6
ICFIID-6
2134 MARSHALL AVENUE
(01287)
ST PAUL, MN 55104
PHONE: 651/646-3846
MS. PATRICIA MOORE
FAX: 651/646-2347
HWS
NProf
WOLKOWICZ PROPERTIES
981 NORTH ST ALBANS
(27767)
ST PAUL, MN 55103
PHONE: 651/774-0011
MS. DANIELLE FOX
FAX: /-
WOODBRIDGE TERRACE APARTMENTS
HWS
NProf
208 WEST HOYT
(25894)
ST PAUL, MN 55117
PHONE: 651/774-0011
FAX: 651/774-0606
MRS. DANIELLE FOX
HWS
ONProf
1053 COUNTY ROAD D
1053 COUNTY ROAD D
(29500)
VADNAIS HEIGHTS, MN 55109
PHONE: 651/256-1226
HEARTS HOME CARE LLC
FAX: /-
MR. MATT LEWIS
Lim-Liab
COMP
3537 ARCADE STREET
VADNAIS HEIGHTS, MN 55127
PHONE: 651/353-6440
PHOENIX AT CENTERVILLE
(29909)
FAX: 651/212-7948
NProf
MS. OGBITSE ATAKE
SLFB-6
ICFIID-6
785 EAST COUNTY ROAD E
VADNAIS HEIGHTS, MN 55127
PHONE: 651/227-7655
PHOENIX AT ENGLISH
(01649)
FAX: 651/227-6847
NProf
MS. DARLENE SCOTT
SLFB-6
ICFIID-6
1336 EAST COUNTY ROAD E
VADNAIS HEIGHTS, MN 55110
PHONE: 651/227-7655
(01648)
FAX: 651/227-6847
MS. DARLENE SCOTT
Minnesota Department of Health
Division of Compliance Monitoring
Page 421
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
PINNACLE HOME HEALTH CARE LLC
Certification
RAMSEY
Registration
(Cont.)* -------------------------
HCP-A
3580 ARCADE STREET
(29676)
VADNAIS HEIGHTS, MN 55127
PHONE: 651/968-5200
FAX: 651/730-3601
NProf
SPRINGHILL
MR. ADAM BERRY
SLFB-4
ICFIID-4
531 SPRINGHILL ROAD
(01636)
VADNAIS HEIGHTS, MN 55127
PHONE: 651/429-5686
FAX: 651/483-0775
MR. JIM MARTIN
HWS
Corp
SUMMIT RECOVERY SUITES
3580 ARCADE STREET STE 250
(29939)
VADNAIS HEIGHTS, MN 55127
PHONE: 651/968-5200
FAX: 651/968-5794
Corp
VADNAIS HEIGHTS SURGERY CENTER
MR. ADAM BERRY
Outpt Surg
Amb Surg
3580 ARCADE STREET SUITE 200
(29320)
VADNAIS HEIGHTS, MN 55127
PHONE: 651/968-5771
MS. BECKIE HINES
FAX: 651/968-5794
HWSAL
Lim-Liab
VINTAGE MOMENTS LLC
4559 BRAMBLEWOOD AVENUE
(30643)
VADNAIS HEIGHTS, MN 55127
PHONE: 651/653-4883
MS. KATHERINE MASON
FAX: 651/653-4887
Lim-Liab
VINTAGE MOMENTS LLC
COMP
4559 BRAMBLEWOOD AVENUE
(25313)
VADNAIS HEIGHTS, MN 55127
PHONE: 651/653-4883
FAX: 651/653-4887
MS. KATHERINE MASON
HWS
NProf
2520 EAST COUNTY ROAD F
2520 EAST COUNTY ROAD F
(31067)
WHITE BEAR LAKE, MN 55110
PHONE: 651/774-0011
FAX: 651/291-1082
MR. GEOFFREY MEYER
HWS
NProf
4030 BELLAIRE AVENUE
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/COMP
HHA
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
SLFB-6
ICFIID-6
3516 WHITE BEAR AVENUE NORTH
WHITE BEAR LAKE, MN 55110
PHONE: 651/779-4301
(22847)
FAX: 651/777-0411
MS. DOROTHY WROBEL
Minnesota Department of Health
Division of Compliance Monitoring
Page 422
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
CERENITY CARE CENTER WBL
Corp
Certification
RAMSEY
Registration
(Cont.)* -------------------------
NH-138
SNF-NF-138
1891 FLORENCE STREET
WHITE BEAR LAKE, MN 55110
PHONE: 651/232-1818
CERENITY RESIDENCE OF WBL
(00923)
FAX: 651/232-1801
NProf
MR. PATRICK MCDONALD
HCP-F
4615 SECOND AVENUE
WHITE BEAR LAKE, MN 55110
PHONE: 651/232-1868
CERENITY RESIDENCE OF WHITE BE
(20170)
FAX: 651/288-7960
MR. GREG BAUMBERGER
HWSAL
NProf
4615 SECOND AVENUE
WHITE BEAR LAKE, MN 55110
PHONE: 651/232-1868
COMMUNITY LIVING OPTIONS INC
(30429)
FAX: 651/288-7960
MS. KATIE RIDEOUT
HWS-O
Corp
4849 CAROLYN LANE
WHITE BEAR LAKE, MN 551102908
PHONE: 763/856-4866
PHOENIX AT CASWELL
(31292)
MS. LINDA FRLTZ
FAX: 763/856-5732
NProf
SLFB-6
ICFIID-6
2168 12TH ST
WHITE BEAR LAKE, MN 55110
PHONE: 651/227-7655
VISION QUEST PROPERTY MANAGEME
(23428)
MS. DARLENE SCOTT
FAX: 651/227-6847
Corp
COMP
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
COMP
1235 GUN CLUB ROAD
WHITE BEAR LAKE, MN 55110
PHONE: 651/757-3800
WHITE BEAR LAKE WHITE PINE
(24613)
FAX: 651/757-3820
MS. RHONDA SHILLINGER
HWSAL
Lim-Liab
1235 GUN CLUB ROAD
WHITE BEAR LAKE, MN 55110
PHONE: 651/757-3800
AXIS ON SENECA
(30557)
FAX: 651/757-3820
Corp
MS. RHONDA SHILLINGER
SLFB-6
ICFIID-6
1586 SENECA TRAIL
WHITE BEAR TOWNSHIP, MN 55110
PHONE: 651/426-3546
REM RAMSEY INC PROSPECT
(01325)
FAX: 651/426-8456
Corp
MS. DOROTHY WROBEL
SLFA-6
ICFIID-6
5474 PROSPECT AVENUE
WHITE BEAR TOWNSHIP, MN 55110
PHONE: 651/644-7680
(01106)
FAX: 651/644-6777
MS. CONNIE MENNE
Minnesota Department of Health
Division of Compliance Monitoring
Page 423
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
RED LAKE
******** -------------------------
RHC
NProf
ESSENTIA HEALTH OKLEE CLINIC
Registration
GOVERNOR STREET & THIRD AVENUE
(28618)
OKLEE, MN 56742
PHONE: 218/796-4525
FREEDOM LIVING CENTER LLC
FAX: /
MS. PATRICIA WANGLER
Lim-Liab
COMP
306 TOUPIN STREET
OKLEE, MN 56742
PHONE: 218/796-5001
FREEDOM LIVING CENTER LLC
(27165)
FAX: 218/796-5003
MS. KAREN BIERMAN
HWSAL
Lim-Liab
306 TOUPIN STREET
OKLEE, MN 56742
PHONE: 218/796-5001
NORTHWOOD HOME
(30681)
FAX: 218/796-5003
NProf
MR. RICHARD DULKA
SLFB-6
ICFIID-6
418 SEVENTH STREET SOUTHWEST
RED LAKE FALLS, MN 56750
PHONE: 218/253-4315
RIVERVIEW CLINIC
(01589)
MS. DEB VIGNESS
FAX: 218/253-4099
RHC
NProf
105 INTERNATIONAL DR SUITE 25
RED LAKE FALLS, MN 56750
PHONE: 218/253-4606
(28149)
MR. WILLIAM BENNETT
FAX: 218/253-4681
---------------------------**********
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
MR. MICHAEL STORDAHL
HWSAL
City
505 SOUTH SECOND STREET
BELVIEW, MN 56214
PHONE: 507/938-3020
PARKWOOD APARTMENTS
(30467)
FAX: 507/938-4110
City
MR. MICHAEL STORDAHL
COMP
505 SOUTH SECOND STREET
BELVIEW, MN 56214
PHONE: 507/938-3020
VALLEY VIEW MANOR
(20318)
FAX: 507/938-3019
City
MR. MICHAEL STORDAHL
NH-50
SNF-NF-50
200 EAST NINTH AVENUE
LAMBERTON, MN 56152
PHONE: 507/752-7346
(00731)
FAX: 507/752-7348
MS. DAWN GIESE
Minnesota Department of Health
Division of Compliance Monitoring
Page 424
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
GIL MOR HAVEN
NProf
Certification
REDWOOD
Registration
(Cont.)* -------------------------
COMP
90 THIRD STREET EAST
MORGAN, MN 56266
PHONE: 507/249-3143
GIL MOR HAVEN
(27387)
FAX: 507/249-2310
MS. TERRIE FRANK
HWS
NProf
90 THIRD STREET EAST
MORGAN, MN 56266
PHONE: 507/249-3143
GIL MOR MANOR
(30741)
FAX: 507/249-2310
NProf
MS. TERRIE FRANK
NH-35
SNF-NF-35
96 THIRD STREET EAST
MORGAN, MN 56266
PHONE: 507/249-3143
EASTWOOD HOME
(00542)
FAX: 507/249-2310
NProf
MS. TERRIE FRANK
SLFB-6
ICFIID-6
101 FIREWOOD DRIVE
REDWOOD FALLS, MN 56283
PHONE: 507/637-5212
GARNETT GARDEN SENIOR LIVING
(01588)
MS. KATIE EVERS
FAX: 507/637-5774
HWSAL
Lim-Liab
511 DEKALB STREET
REDWOOD FALLS, MN 56283
PHONE: 507/644-8500
GOOD SAM SOCIETY REDWOOD FALLS
(30391)
MR. PATRICK J RAFFERTY
FAX: 507/644-8521
NProf
NH-40
SNF-NF-40
200 DEKALB ST S
REDWOOD FALLS, MN 56283
PHONE: 507/637-5711
JOHNSON PARK PLACE
(00063)
FAX: 507/637-2132
NProf
MR. MARCUS PARENCE
COMP
1011 EAST ELM STREET
REDWOOD FALLS, MN 56283
PHONE: 507/627-8121
JOHNSON PARK PLACE
(20009)
FAX: 507/627-8382
MR. GEOREG PAULSON
HWSAL
NProf
1011 EAST ELM STREET
REDWOOD FALLS, MN 56283
PHONE: 507/627-8121
REDWOOD AREA HOSP HOSPICE SER
(30308)
FAX: 507/627-8382
City
MR. MARCUS PARENCE
Hospice
HSPICE
100 FALLWOOD ROAD
REDWOOD FALLS, MN 56283
PHONE: 507/637-4500
REDWOOD AREA HOSPITAL
(02499)
FAX: 507/697-6029
City
MR. BRYAN LYDICK
HOSP-25 BASS-6
100 FALLWOOD ROAD
REDWOOD FALLS, MN 56283
PHONE: 507/637-4500
(00545)
FAX: 507/637-6000
MR. BRYAN LYDICK
CAH-25
Minnesota Department of Health
Division of Compliance Monitoring
Page 425
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
REDWOOD AREA HOSPITAL HOME CAR
City
Certification
REDWOOD
Registration
(Cont.)* -------------------------
HHA
HCP/COMP
100 FALLWOOD ROAD
(02405)
REDWOOD FALLS, MN 56283
PHONE: 507/637-4500
MR. BRYAN LYDICK
FAX: 507/697-6000
ESRD
Corp
REDWOOD FALLS DIALYSIS CTR
100 FALLWOOD ROAD
(03377)
REDWOOD FALLS, MN 56283
PHONE: 507/823-4733
REDWOOD FALLS MSOCS
MS. NANCY SPERL
FAX: /
State
SLFB-6
ICFIID-6
205 BAKER DRIVE
REDWOOD FALLS, MN 56283
PHONE: 507/637-5317
SEASONS
(01634)
MS. ELIZABETH AIKEN
FAX: 507/637-5308
HWS
City
400 VEDA DRIVE
REDWOOD FALLS, MN 56283
PHONE: 507/627-2224
VISTA PRAIRIE AT GARNETT GARDE
(27101)
MR. BRYAN LYDICK
FAX: 507/627-2233
Lim-Liab
COMP
511 DEKALB STREET
REDWOOD FALLS, MN 56283
PHONE: 507/644-8500
WESTWOOD HOME
(23560)
MR. PATRICK RAFFERTY
FAX: 507/644-2375
NProf
SLFB-6
ICFIID-6
921 EAST OAK STREET
REDWOOD FALLS, MN 56283
PHONE: 507/637-3347
WOOD DALE HOME INC
(01609)
FAX: 507/637-5189
Corp
MS. KATIE EVERS
NH-50
SNF-NF-50
600 SUNRISE BOULEVARD
REDWOOD FALLS, MN 56283
PHONE: 507/637-3587
REVERE HOME
(00749)
FAX: 507/637-2546
Corp
MS. JUDITH SANDMANN
BCH-26
300 SOUTH MAIN
REVERE, MN 56166
PHONE: 651/257-8146
GOLDEN LIVINGCENTER WABASSO
(00824)
MR. ROBERT CARDENAS
FAX: 651/257-9245
Lim-Liab
NH-44
SNF-NF-44
660 MAPLE STREET
WABASSO, MN 56293
PHONE: 507/342-5166
COUNTRY VIEW SENIOR COMMUNITY
(00949)
FAX: 507/342-5136
MR. DRU FISCHGRABE
HWSAL
City
810 8TH STREET
WALNUT GROVE, MN 56180
PHONE: 507/859-2133
(30413)
FAX: 507/859-2143
MS. MOLLY TOULOUSE
Minnesota Department of Health
Division of Compliance Monitoring
Page 426
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
COUNTRY VIEW SENIOR COMMUNITY
Certification
REDWOOD
Registration
(Cont.)* -------------------------
HCP-F
810 8TH STREET
(23778)
WALNUT GROVE, MN 56180
PHONE: 507/859-2133
FAX: 507/859-2143
SANFORD TRACY WALNUT GROVE CLC
MS. KIM ROLLING
RHC
NProf
830 EIGHTH STREET
(21357)
WALNUT GROVE, MN 56180
PHONE: 507/859-2157
FAX: /-
MS. STACY BARSTAD
---------------------------**********
GLESENERS APARTMENTS
RENVILLE
******** -------------------------
HWSAL-O
Corp
160 SOUTH MAIN STREET
BIRD ISLAND, MN 55310
PHONE: 320/365-3823
GLESENERS ASSISTED LIVING SERV
(30586)
FAX: 320/365-3361
Corp
MR. MARK GLESENER
COMP
160 SOUTH MAIN STREET
BIRD ISLAND, MN 55310
PHONE: 320/365-3823
GLESENERS HOME CARE SERVICES
(24783)
MR. MARK GLESENER
FAX: 320/365-3361
Corp
HCP-A
160 S MAIN STREET PO BOX 140
BIRD ISLAND, MN 55310
PHONE: 320/365-3823
RENVILLE COUNTY COMM RES
(27975)
MR. MARK GLESENER
FAX: 320/365-3361
NProf
SLFA-10
ICFIID-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)
FAX: 320/833-5526
Corp
MR. MARK RUST
HCP-A
114 CHURCH AVENUE WEST
BUFFALO LAKE, MN 55314
PHONE: 320/833-6082
WESTVIEW ESTATES
(25054)
FAX: 320/833-5943
NProf
MS. JULIE UFKES
COMP
703 W YELLOWSTONE TRAIL
BUFFALO LAKE, MN 55314
PHONE: 320/833-5364
(20031)
FAX: 320/833-5526
MR. MARK RUST
Minnesota Department of Health
Division of Compliance Monitoring
Page 427
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
RENVILLE
(Cont.)* -------------------------
HWSAL
NProf
WESTVIEW ESTATES ASSISTED LIVI
Registration
703 W YELLOWSTONE TRAIL
(30311)
BUFFALO LAKE, MN 55314
PHONE: 320/833-5364
FAX: 320/833-5526
Corp
FAIRFAX COMMUNITY HOME
MR. MARK RUST
NH-50
SNF-NF-50
300 TENTH AVENUE SE
(00847)
FAIRFAX, MN 55332
PHONE: 507/426-8241
FAX: 507/426-7340
Corp
FAIRFAX COMMUNITY HOME HEALTH
MS. JUDITH SANDMANN
COMP
300 10TH AVE SE
(03554)
FAIRFAX, MN 55332
PHONE: 507/426-8241
FAX: 507/426-7340
MS. JUDITH SANDMANN
HWS
Corp
FAIRFAX COMMUNITY HOME INC
300 TENTH AVENUE SOUTHEAST
(21143)
FAIRFAX, MN 55332
PHONE: 507/426-8241
MS. JUDITH SANDMANN
FAX: 507/426-7340
Lim-Liab
GOLDEN LIVINGCENTER FRANKLIN
NH-46
SNF-NF-46
900 3RD STREET SOUTH
(00934)
FRANKLIN, MN 55333
PHONE: 507/557-2211
MR. DRU FISCHGRABE
FAX: 507/557-2214
HWSAL
Corp
PRAIRIE VIEW OF HECTOR
1010 EAST ELM AVENUE
(30230)
HECTOR, MN 55342
PHONE: 320/848-2093
FAX: 320/848-2506
Corp
PRAIRIE VIEW OF HECTOR
MR. DEAN BLOEMKE
HCP-F
1010 EAST ELM AVENUE
(21943)
HECTOR, MN 55342
PHONE: 320/848-2093
FAX: 320/848-2506
MS. SARAH WORK
RHC
Corp
RENVILLE CTY HOSP CLNCS HECTOR
131 BIRCH AVENUE WEST
(03575)
HECTOR, MN 55342
PHONE: 320/848-6294
FAIRVIEW PLACE APARTMENTS
FAX: /
MS. KATHLEEN RYAN
HWS
City
603 EAST FAIRVIEW AVENUE
OLIVIA, MN 56277
PHONE: 320/523-1836
GOLDEN LIVINGCENTER OLIVIA
(20216)
FAX: 320/523-1416
Lim-Liab
MS. JENNIFER EVENSON
NH-57
SNF-NF-57
1003 WEST MAPLE
OLIVIA, MN 56277
PHONE: 320/523-1652
(00939)
FAX: 320/523-5734
MS. TRACY HENDRICKX
Minnesota Department of Health
Division of Compliance Monitoring
Page
428
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
RENVILLE
(Cont.)* -------------------------
HWSAL
NProf
PARK VIEW VILLAGE
Registration
1204 WEST PARK AVENUE
(30774)
OLIVIA, MN 56277
PHONE: 320/523-1743
FAX: 320/523-1925
MS. PAM HOCKERT-FREESE
RHC
Corp
RENVILLE CO HOSP CLINIC OLIVIA
600 PARK AVENUE
(03573)
OLIVIA, MN 56277
PHONE: 320/523-1460
FAX: /
MS. BRENDA MILLER
Cnty
RENVILLE COUNTY HOSP & CLINCS
HOSP-35 BASS-6
CAH-25
611 EAST FAIRVIEW
(00558)
OLIVIA, MN 56277
PHONE: 320/523-1261
FAX: 320/523-3458
Cnty
RENVILLE COUNTY HOSPICE
MR. NATHAN BLAD
Hospice
HSPICE
611 EAST FAIRVIEW AVENUE
(03271)
OLIVIA, MN 56277
PHONE: 320/523-1261
MS. MAUREEN STYLE
FAX: 320/523-3571
Cnty
RENVILLE COUNTY PHS
HCP/COMP
HHA
105 S FIFTH ST STE 119H
(02120)
OLIVIA, MN 56277
PHONE: 320/523-2570
MS. JILL BRUNS
FAX: 320/523-3749
HWS
NProf
EAST RIDGE COURT
219 ELM AVENUE SOUTHEAST
(22007)
RENVILLE, MN 56284
PHONE: 320/329-3901
FAX: 320/329-3901
MS. CAMI PETERSON-DEVRIES
HWS
NProf
MEADOWS ON MAIN
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-56
SNF-NF-56
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
RENVILLE HEALTH SERVICES HOMEC
FAX: /-
MS. KATHLEEN RYAN
NProf
COMP
611 MAIN STREET SOUTH
RENVILLE, MN 56284
PHONE: 320/329-3834
(20933)
FAX: 320/329-3944
MS. CAMI PETERON-DEVRIES
Minnesota Department of Health
Division of Compliance Monitoring
Page 429
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
RICE
******** -------------------------
ESRD
Corp
FRESENIUS MED CA CANNON VALLEY
Registration
396 SCHILLING DRIVE
(29917)
DUNDAS, MN 55019
PHONE: 507/645-6817
FAX: /
MS. MARLENE RAMSEY
Corp
CROSSROADS SURGERY CENTER
Outpt Surg
Amb Surg
1575 20TH STREET NW #203
(24483)
FARIBAULT, MN 55021
PHONE: 507/209-6227
FAX: 507/209-6228
Ind
DAWN'S ELDER CARE
MS. DEBORAH BARTLETT
COMP
2424 WOODLAND DRIVE
(23327)
FARIBAULT, MN 55021
PHONE: 507/333-5491
FAX: /
MS. DAWN CABALLERO
Lim-Liab
DEACONESS TOWER
COMP
503 EAST DIVISION STREET
(03753)
FARIBAULT, MN 55021
PHONE: 507/332-5158
MS. JILL ACOSTA
FAX: 507/332-5199
HWSAL
Lim-Liab
DEACONESS TOWER ASSISTED LIVIN
503 EAST DIVISION STREET
(20049)
FARIBAULT, MN 55021
PHONE: 507/332-5158
MS. SHARON THOLE
FAX: 507/332-5188
NProf
DISTRICT ONE HOSPITAL
HOSP-49 BASS-10
HOSP-49
200 STATE AVENUE
(00569)
FARIBAULT, MN 55021
PHONE: 507/334-6451
FAX: 507/332-4848
Dist
FARIBAULT AREA HOSPICE
MR. STEPHEN PRIBYL
Hospice
HSPICE
200 STATE AVENUE
(02877)
FARIBAULT, MN 55021
PHONE: 507/332-4835
FAX: 507/332-4829
Lim-Liab
FARIBAULT CARE CENTER
MR. STEPHEN PRIBYL
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
HCP-F
843 FARIBAULT ROAD
FARIBAULT, MN 55021
PHONE: 507/331-6510
(27967)
FAX: 507/331-7252
MS. CALISTA VOS
Minnesota Department of Health
Division of Compliance Monitoring
Page 430
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
FARIBAULT SENIOR LIVING
Certification
RICE
Registration
(Cont.)* -------------------------
HWSAL
Lim-Liab
843 FARIBAULT ROAD
FARIBAULT, MN 55021
PHONE: 507/331-6510
FARIBAULT SOCS
(30786)
FAX: 507/331-7252
State
MS. TRACY BARNACLE
SLFB-6
ICFIID-6
1805 SHUMWAY AVENUE
FARIBAULT, MN 55021
PHONE: 507/332-0495
GUEST HOUSE OF FARIBAULT LLC
(01642)
FAX: 507/332-2166
Lim-Liab
MR. JAMIE KEENAN
COMP
118 SIXTH STREET NORTHWEST
FARIBAULT, MN 55021
PHONE: 507/334-8269
GUEST HOUSE OF FARIBAULT LLC
(22372)
FAX: 507/331-7345
MS. KATHRYN SHERWOOD
HWS
Lim-Liab
118 SIXTH STREET NORTHWEST
FARIBAULT, MN 55021
PHONE: 507/334-8269
HERITAGE HOUSE ELDER CARE
(30296)
MR. LEON SHERWOOD
FAX: 507/331-7345
Lim-Liab
COMP
1415 NORTHWEST 7TH STREET
FARIBAULT, MN 55021
PHONE: 507/334-5111
HERITAGE HOUSE ELDER CARE
(21721)
MS. JODI BONGERS
FAX: 507/334-5111
HWSAL
Lim-Liab
1415 NORTHWEST 7TH STREET
FARIBAULT, MN 55021
PHONE: 507/334-5111
HILLTOP HOME
(30821)
MS. JODI BONGERS
FAX: 507/334-5111
HWS
Corp
4 THIRD AVENUE SW
FARIBAULT, MN 55021
PHONE: 507/332-0547
IVY HILL SENIOR CARE
(25128)
MS. DEBORAH SONNEK
FAX: 507/332-2335
HWSAL
Corp
519 FIRST STREET SOUTHWEST
FARIBAULT, MN 55021
PHONE: 507/332-8966
IVY HILL SENIOR CARE INC
(20469)
MS. KATHRYN PIPER
FAX: 507/384-3464
Corp
HCP-F
519 FIRST STREET SOUTHWEST
FARIBAULT, MN 55021
PHONE: 507/332-8966
KCMG FARIBAULT LLC
(03884)
MR. DENNIS PIPER
FAX: 507/384-3464
Lim-Liab
HCP-F
828 FIRST STREET NE
FARIBAULT, MN 55021
PHONE: 507/332-2555
(29560)
FAX: 507/332-9010
MR. MICHAEL LEWIS
Minnesota Department of Health
Division of Compliance Monitoring
Page 431
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
RICE
(Cont.)* -------------------------
HWSAL
Part
KEYSTONE SENIOR LIVING OF FARI
Registration
828 FIRST STREET NORTHEAST
(30225)
FARIBAULT, MN 55021
PHONE: 612/867-4493
FAX: 612/886-2592
Corp
MAPLEWOOD HOMES
MR. MICHAEL LEWIS
HCP-F
326 NW 7TH STREET
(22003)
FARIBAULT, MN 55021
PHONE: 507/334-4712
FAX: 507/334-0083
MR. JOHN WALLGREN
HWS
Corp
MAPLEWOOD HOMES
326 NW 7TH STREET
(30237)
FARIBAULT, MN 55021
PHONE: 507/334-4712
MR. JOHN WALLGREN
FAX: 507/334-0083
HWSAL-O
Corp
MAPLEWOOD HOMES OF FARIBAULT
428 NORTHWEST 5TH STREET
(27982)
FARIBAULT, MN 55021
PHONE: 507/334-4712
MR. JOHN WALLGREN
FAX: 507/334-0083
HWSAL
Lim-Liab
MILESTONE SENIOR LIVING
2500 14TH STREET NE
(30613)
FARIBAULT, MN 55021
PHONE: 507/331-2748
MILESTONE SENIOR LIVING
MS. JULIE HEIL
FAX: /
Lim-Liab
HCP-F
2500 14TH STREET NE
FARIBAULT, MN 55021
PHONE: 507/331-2748
OUR CIRCLE OF FRIENDS
(25820)
MS. MELISSA TRYTTEN
FAX: 507/331-7087
Corp
COMP
1663 GLYNVIEW TRAIL
FARIBAULT, MN 55021
PHONE: 507/334-3722
OUR CIRCLE OF FRIENDS COUNTRY
(27158)
MS. CHERYL GLENDE
FAX: 507/334-9795
HWS-O
Corp
1663 GLYNVIEW TRAIL
FARIBAULT, MN 55021
PHONE: 507/334-3722
OUR CIRCLE OF FRIENDS MAIN COU
(30679)
MS. CHERYL GLENDE
FAX: 507/334-9795
Corp
HCP-F
1150 THIRD ST SW
FARIBAULT, MN 55021
PHONE: 507/332-9731
OUR CIRCLE OF FRIENDS/MAIN COU
(20400)
FAX: 507/334-9795
MS. CHERYL GLENDE
HWS
Corp
1150 THIRD STREET SW
FARIBAULT, MN 55021
PHONE: 507/332-9731
(30622)
FAX: 507/334-9795
MS. CHERYL GLENDE
Minnesota Department of Health
Division of Compliance Monitoring
Page
432
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
OUR HOUSE
Certification
RICE
Registration
(Cont.)* -------------------------
HWS
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
MR. CHRISTOPHER KREBSBACH
HWSAL
Corp
41 BRAND AVENUE
FARIBAULT, MN 55021
PHONE: 507/333-5960
PLEASANT VIEW ESTATES
(30553)
FAX: 507/333-5974
Corp
MS. ANNA SHERIDAN
COMP
41 BRAND AVENUE
FARIBAULT, MN 55021
PHONE: 507/333-5960
RICE COUNTY PHNS
(24584)
MS. BONNIE CAMPEAU
FAX: 507/333-5974
Cnty
HCP/COMP
HHA
320 NORTHWEST 3RD ST STE 1
FARIBAULT, MN 55021
PHONE: 507/332-6111
RISON HOMES INC
(02022)
MS. DIANE WINKELS
FAX: 507/332-5932
Corp
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
COMP
935 SPRING ROAD
FARIBAULT, MN 55021
PHONE: 507/333-2559
STERLING HOUSE OF FARIBAULT
(20398)
FAX: 507/333-2557
MS. MARY SPITZACK
HWSAL
Corp
935 SPRING ROAD
FARIBAULT, MN 55021
PHONE: 507/333-2559
THE VILLAGES OF LONSDALE
(30612)
FAX: 507/333-2557
MS. MARY BARAJAS
HWSAL
Lim-Liab
1000 BIRCH STREET NE
LONSDALE, MN 55046
PHONE: 507/744-3453
(26754)
FAX: 507/744-3951
MS. MARILYN PINT
Minnesota Department of Health
Division of Compliance Monitoring
Page 433
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
THE VILLAGES OF LONSDALE
Lim-Liab
Certification
RICE
Registration
(Cont.)* -------------------------
COMP
1000 BIRCH STREET NORTHEAST
LONSDALE, MN 55046
PHONE: 507/744-3453
MORRISTOWN
(26772)
FAX: 507/744-3951
MS. PATRICIA VINCENT
HWS
Corp
104 4TH STREET SW PO BOX 774
MORRISTOWN, MN 55052
PHONE: 507/332-0547
CANNON VALLEY SUITES
(20028)
FAX: 507/332-2335
MS. DEBORAH SONNEK
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
EVERGREEN LODGE
(26073)
MS. PATRICIA VINCENT
FAX: 507/645-0942
HWSAL
NProf
912 CANNON VALLEY DRIVE WEST
NORTHFIELD, MN 55057
PHONE: 507/645-6007
HOME CARE LINK
(25764)
MS. SHELLEY HOLDEN
FAX: 507/664-3490
NProf
HHA
HCP/COMP
815 FOREST AVENUE
NORTHFIELD, MN 55057
PHONE: 507/664-8863
LAURA BAKER SERVICES ASSOC
(03105)
MS. PATRICIA VINCENT
FAX: 507/645-0942
NProf
ICFIID-30
SLFA-30
211 OAK STREET
NORTHFIELD, MN 55057
PHONE: 507/645-8866
MILLSTREAM COMMONS
(01163)
MR. MITCH DAVIDE
FAX: 507/645-8869
HWSAL
NProf
210 WEST EIGHTH STREET
NORTHFIELD, MN 55057
PHONE: 507/650-0141
MILLSTREAM COMMONS HOME CARE
(30490)
MS. KATHY OLSON
FAX: 507/650-9170
NProf
COMP
210 WEST EIGHTH STREET
NORTHFIELD, MN 55057
PHONE: 507/650-0141
NORTHFIELD CARE CENTER INC
(24063)
MS. PATRICIA VINCENT
FAX: 507/650-9170
Church
SNF-NF-42
NH-42
900 CANNON VALLEY DRIVE
NORTHFIELD, MN 55057
PHONE: 507/664-3474
(00567)
FAX: 507/645-0117
MR. THOMAS NIELSEN
Minnesota Department of Health
Division of Compliance Monitoring
Page 434
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NORTHFIELD DIALYSIS
Certification
RICE
Registration
(Cont.)* -------------------------
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/COMP
HHA
706 DIVISION STREET
NORTHFIELD, MN 55057
PHONE: 507/646-1457
NORTHFIELD MANOR INC
(02208)
FAX: 507/646-1395
MR. STEVE UNDERDAHL
HWS
Church
901 CANNON VALLEY DRIVE
NORTHFIELD, MN 55057
PHONE: 507/645-9090
NORTHFIELD PARKVIEW INC
(20097)
FAX: 507/664-3490
Church
MS. SHELLEY HOLDEN
HCP-F
910 CANNON VALLEY DRIVE
NORTHFIELD, MN 55057
PHONE: 507/645-6007
NORTHFIELD PARKVIEW INC
(03339)
MR. KYLE NORDINE
FAX: 507/664-3490
HWSAL
Church
910 CANNON VALLEY DRIVE
NORTHFIELD, MN 55057
PHONE: 507/645-6007
NORTHFIELD PARKVIEW INC
(20096)
MS. SHELLEY HOLDEN
FAX: 507/664-3490
NProf
COMP
910 CANNON VALLEY DRIVE
NORTHFIELD, MN 55057
PHONE: 507/645-6007
NORTHWOOD PINES
(25315)
FAX: 507/664-3490
MS EMILY KERLING
HWSAL
Church
931 CANNON VALLEY DRIVE WEST
NORTHFIELD, MN 55057
PHONE: 507/645-6007
REFLECTIONS
(27563)
FAX: 507/664-3490
MS. SHELLEY HOLDEN
HWS
NProf
809 FOREST AVENUE
NORTHFIELD, MN 55057
PHONE: 507/664-8809
REFLECTIONS HOME CARE
(30702)
FAX: 507/650-7989
NProf
MS PATRICIA VINCENT
COMP
809 FOREST AVENUE
NORTHFIELD, MN 55057
PHONE: 507/664-8809
THE COTTAGE EAST
(26343)
FAX: 507/650-7989
MS. PATRICIA VINCENT
HWS
NProf
800 802 WEST FIFTH
NORTHFIELD, MN 55057
PHONE: 507/664-8860
(20137)
FAX: 507/645-0942
MS. PATRICIA VINCENT
Minnesota Department of Health
Division of Compliance Monitoring
Page
435
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
RICE
(Cont.)* -------------------------
HWS
NProf
THE COTTAGE WEST
Registration
804 WEST FIFTH STREET
(20342)
NORTHFIELD, MN 55057
PHONE: 507/664-8860
FAX: 507/645-0942
MS. PATRICIA VINCENT
HWS
NProf
THREE LINKS APARTMENTS
805 FOREST AVENUE
(20139)
NORTHFIELD, MN 55057
PHONE: 507/664-8800
FAX: 507/645-0942
NProf
THREE LINKS CARE CENTER
MS. PATRICIA VINCENT
NH-102
SNF-NF-102
815 FOREST AVENUE
(00564)
NORTHFIELD, MN 55057
PHONE: 507/664-8800
FAX: 507/645-0942
MS. PATRICIA VINCENT
HWS
NProf
THREE LINKS CARE CENTER/FELLOW
815 FOREST AVENUE
(20136)
NORTHFIELD, MN 55057
PHONE: 507/664-8800
MS. PATRICIA VINCENT
FAX: 507/645-0942
HWSAL
Lim-Liab
VALLEY VIEW OF NORTHFIELD
812 NORTH LINDEN STREET
(30330)
NORTHFIELD, MN 55057
PHONE: 507/645-4126
MR. JOHN BONNER
FAX: 507/645-5948
Lim-Liab
VALLEY VIEW OF NORTHFIELD
COMP
812 NORTH LINDEN STREET
(20071)
NORTHFIELD, MN 55057
PHONE: 507/645-4126
FAX: 507/645-5948
WEST HILLS LODGE WOMENS PROGRM
NProf
MS. RACHEL PORTER
SLFA-6
1101 SPRING STREET SOUTH
NORTHFIELD, MN 55057
PHONE: 507/645-6226
(27689)
FAX: 507/645-7473
MS. JODY YOUNGER
---------------------------**********
THE TUFF VILLAGE
Church
ROCK
******** -------------------------
HCP-F
301 COUNTY ROAD NO 6
HILLS, MN 56138
PHONE: 507/962-3500
THE TUFF VILLAGE
(21200)
FAX: 507/962-3590
MR. DANA DAHLQUIST
HWSAL
Church
301 COUNTY ROAD NO 6
HILLS, MN 56138
PHONE: 507/962-3275
(30720)
FAX: 507/962-3590
MR. DANA DAHLQUIST
Minnesota Department of Health
Division of Compliance Monitoring
Page 436
Directory of Facilities and Services
Facility/Service
Owner
Licensure
Certification
ROCK
---------------------------**********
TUFF MEMORIAL HOME
Church
Registration
(Cont.)* -------------------------
NH-50
SNF-NF-50
505 EAST FOURTH STREET
HILLS, MN 56138
PHONE: 507/962-3275
TUFF MEMORIAL HOME VISTE MANOR
(00576)
FAX: 507/962-3277
MR. DANA DAHLQUIST
HWSAL
Church
500 EAST 4TH STREET
HILLS, MN 56138
PHONE: 507/962-3275
GOOD SAM SOCIETY HOME CARE
(23857)
FAX: 507/962-3590
NProf
MR. DANA DAHLQUIST
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
NH-51
SNF-NF-51
110 SOUTH WALNUT AVENUE
LUVERNE, MN 56156
PHONE: 507/283-2375
MN VETERANS HOME LUVERNE
(00575)
MR. PHILIP SAMUELSON
FAX: 507/283-2377
State
NH-85
1300 NORTH KNISS PO BOX 539
LUVERNE, MN 56156
PHONE: 507/283-1100
POPLAR CREEK ESTATES
(00411)
MR. LUKE SCHRYVERS
FAX: 507/283-1127
NProf
COMP
201 OAK DRIVE
LUVERNE, MN 56156
PHONE: 507/283-1996
RES ADVANTAGES INC LUVERNE
(23223)
FAX: 507/283-1773
Corp
MR. PHILIP SAMUELSON
SLFB-6
ICFIID-6
107 SOUTH BLUE MOUND AVENUE
LUVERNE, MN 56156
PHONE: 507/831-5033
SANFORD LUVERNE HOSPICE
(01345)
FAX: 507/831-2612
ONProf
MR. D. BILL OLSON
RES-HSPICE-4
217 NORTH OAKLEY
LUVERNE, MN 56156
PHONE: 507/283-1805
SANFORD LUVERNE HOSPICE
(23479)
FAX: 507/449-2011
MS. TAMMY LOOSBROCK
NProf
211 EAST MAIN STREET SUITE 101
LUVERNE, MN 56156
PHONE: 507/283-1805
SANFORD LUVERNE MEDICAL CENTER
(02825)
FAX: 507/449-2011
NProf
MS. TAMMY LOOSBROCK
HOSP-28 BASS-5
1600 NORTH KNISS AVENUE
LUVERNE, MN 56156
PHONE: 507/283-2321
(00574)
FAX: 507/283-2091
MS. TAMMY LOOSBROCK
CAH-25
Minnesota Department of Health
Division of Compliance Monitoring
Page
437
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
SOUTHWESTERN MENTAL HEALTH CTR
Certification
ROCK
Registration
(Cont.)* -------------------------
CMHC
NProf
216 E LUVERNE ST PO BOX 686
(02788)
LUVERNE, MN 56156
PHONE: 507/283-9511
THE OAKS & POPLAR CREEK ESTATE
FAX: /-
MR. SCOTT JOHNSON
HWSAL
NProf
201 OAK DRIVE
LUVERNE, MN 56156
PHONE: 507/283-1996
SANFORD VISITING NURSES ASSOCI
(20465)
FAX: 507/283-1773
NProf
MR. PHILIP SAMUELSON
COMP
2710 WEST 12TH STREET
SIOUX FALLS, SD 57104
PHONE: 605/328-5900
(21079)
FAX: 605/328-5963
MS. LOIS SCHULLER
---------------------------**********
COMPASSIONATE HOME CARE
Corp
ROSEAU
******** -------------------------
COMP
14818 COUNTY ROAD 4
GREENBUSH, MN 56726
PHONE: 218/782-4146
LIFECARE GREENBUSH MANOR
(25298)
MS. SARA EEG
FAX: 218/782-4191
NProf
NH-40
SNF-NF-20 NF1-20
19120 200TH STREET
GREENBUSH, MN 56726
PHONE: 218/463-2500
LIFECARE GREENBUSH MANOR
(00578)
MS. SUSAN LISELL
FAX: 218/463-1266
NProf
COMP
19120 200TH STREET
GREENBUSH, MN 56726
PHONE: 218/782-2131
LIFECARE MEDICAL CENTER GREENB
(27671)
FAX: 218/782-4005
MS. SUSAN LISELL
HWSAL
NProf
19120 200TH STREET
GREENBUSH, MN 56726
PHONE: 218/782-6138
AGELESS CARE INCORPORATED
(27672)
FAX: 218/782-4010
Corp
MS. CATHERINE HUSS
COMP
702 7TH STREET SOUTHWEST
ROSEAU, MN 56751
PHONE: 218/463-3695
AGELESS CARE INCORPORATED
(24558)
FAX: 218/464-3708
MS. KARIN LOVEN-KOTZ
HWS
Corp
702 7TH STREET SOUTHWEST
ROSEAU, MN 56751
PHONE: 218/463-3695
(30550)
FAX: 218/464-3708
MS. KARIN LOVEN-KOTZ
Minnesota Department of Health
Division of Compliance Monitoring
Page
438
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
ALTRU RENAL DIALYSIS
Certification
ROSEAU
Registration
(Cont.)* -------------------------
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
Hospice
HSPICE
715 DELMORE DRIVE
ROSEAU, MN 56751
PHONE: 218/463-2500
LIFECARE HOME CARE & HOSPICE
(03637)
FAX: 218/463-4755
NProf
MR. KEITH OKESON
HCP/COMP
HHA
715 DELMORE DRIVE
ROSEAU, MN 56751
PHONE: 218/463-3211
LIFECARE MEDICAL CENTER
(02143)
FAX: 218/463-4755
NProf
MS. SUSAN LISELL
NH-60 HOSP-25 BASS-7
SNF-NF-60 CAH-25
715 DELMORE DRIVE
ROSEAU, MN 56751
PHONE: 218/463-2500
NORTH STAR APARTMENTS
(00579)
MR. KEITH OKESON
FAX: 218/463-1266
HWS
Part
706 MAIN AVENUE SOUTH
ROSEAU, MN 56751
PHONE: 218/463-3086
OAK CREST SENIOR HOUSING
(20956)
MS. DEBBIE KOMPELIEN
FAX: 218/463-2774
NProf
COMP
201 10TH STREET SOUTHEAST
ROSEAU, MN 56751
PHONE: 218/463-2006
OAK CREST SENIOR HOUSING
(24166)
FAX: 218/463-2031
MS. CHERYL GRAFSTROM
HWSAL
NProf
201 10TH STREET SOUTHEAST
ROSEAU, MN 56751
PHONE: 218/463-2006
LAKEVIEW RETIREMENT RESIDENCE
(30496)
FAX: 218/463-2031
MS. SHANA LANCTOT
HWSAL
NProf
1401 LAKE STREET NORTHWEST
WARROAD, MN 56763
PHONE: 218/386-1235
LAKEVIEW RETIREMENT RESIDENCE
(30793)
FAX: 218/386-3548
NProf
MS. EMILY STRAW
COMP
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 439
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
AURORA CAREFREE LIVING INC
Certification
SAINT LOUIS
Registration
******** -------------------------
HWS
Corp
304 EAST 3RD AVENUE SOUTH
AURORA, MN 55705
PHONE: 218/306-6028
DRCC AURORA
(31407)
FAX: 218/306-6035
NProf
MS. MARILYN HANSON
SLFB-5
ICFIID-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 HOSP-16 BASS-4
SNF-NF-50 CAH-16
5211 HIGHWAY 110
AURORA, MN 55705
PHONE: 218/229-4222
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)
MS. MARILYN HANSON
FAX: 218/827-3447
HWSAL
Corp
100 VERMILION TRAIL PO BOX 906
BIWABIK, MN 55708
PHONE: 218/865-4588
BROOKE MANOR INC
(21987)
MR. CLYDE SALMI
FAX: 218/865-4671
Corp
HCP-F
4878 HWY 31
BROOKSTON, MN 55711
PHONE: 218/453-5262
BROOKE MANOR INC
(21969)
FAX: 218/453-1023
MS. VIRGINIA TUOMINEN
HWSAL
Corp
4878 HWY 31
BROOKSTON, MN 55711
PHONE: 218/453-5262
STONEHAVEN ASSISTED LIVING
(30235)
FAX: 218/453-1023
Corp
MS. VIRGINIA TUOMINEN
COMP
8783 2ND STREET S PO BOX 367
BROOKSTON, MN 55711
PHONE: 218/453-5062
STONEHAVEN ASSISTED LIVING
(28161)
FAX: 218/453-5064
MS. JENNIFER JOHNSON
HWSAL
Corp
8783 2ND STREET S PO BOX 367
BROOKSTON, MN 55711
PHONE: 218/453-5062
WINTER HOMES INCORPORATED
(28162)
FAX: 218/453-5064
Corp
MS. JENNIFER JOHNSON
SLFA-6
4982 PAUPORES ROAD
BROOKSTON, MN 55711
PHONE: 218/879-2275
(01651)
FAX: 218/878-8366
MS. SHERRY WINTER
Minnesota Department of Health
Division of Compliance Monitoring
Page
440
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
CORNERSTONE VILLA
NProf
Certification
SAINT LOUIS
Registration
(Cont.)* -------------------------
NH-44
SNF-NF-44
1000 FOREST STREET
BUHL, MN 55713
PHONE: 218/258-3253
NORTHLAND VILLAGE BUHL
(23242)
FAX: 218/489-1053
MS. DEBRA DOUGHTY
HWSAL
Lim-Liab
500 EAST MONROE DRIVE
BUHL, MN 55713
PHONE: 218/258-8681
ASPEN GROVE ASSISTED LIVING
(26432)
FAX: 218/258-8682
Corp
MR. THOMAS RENIER
HCP-F
504 IRON DRIVE
CHISHOLM, MN 55719
PHONE: 218/254-2750
HERITAGE MANOR
(27162)
FAX: 218/254-0164
Church
MS. BRENDA GARGANO
NH-78
SNF-NF-78
321 NORTHEAST SIXTH STREET
CHISHOLM, MN 55719
PHONE: 218/254-5765
HILLCREST TERRACE OF CHISHOLM
(00904)
MR. GEOFFREY RYAN
FAX: 218/354-5767
HWSAL
Corp
624 SW THIRD STREET BOX 552
CHISHOLM, MN 55719
PHONE: 218/263-4157
HILLCREST TERRACE OF CHISHOLM
(30446)
MR. RANDY SCHROETTER
FAX: 218/263-4468
Corp
COMP
624 SW THIRD STREET BOX 552
CHISHOLM, MN 55719
PHONE: 218/263-4157
RANGE CENTER LEGACY
(20199)
FAX: 218/263-4468
NProf
MR. RANDY SCHROETTER
SLFB-6
ICFIID-6
112 9TH STREET NORTHWEST
CHISHOLM, MN 55719
PHONE: 218/254-8745
SERVING HANDS INC
(01062)
FAX: 218/254-7343
Corp
MS. SHELLEY ROBINSON
COMP
601 EAST LAKE STREET
CHISHOLM, MN 55719
PHONE: 218/254-7300
SERVING HANDS PROPERTIES LLC
(25527)
FAX: 218/254-2839
MR. TODD NELSON
HWS
Lim-Liab
601 EAST LAKE STREET
CHISHOLM, MN 55719
PHONE: 218/254-7300
COOK CAREFREE LIVING INC
(25526)
FAX: 218/254-2839
MR. TODD NELSON
HWSAL
Corp
151 4TH STREET SOUTHEAST
COOK, MN 55723
PHONE: 218/666-0200
(27092)
FAX: 218/666-0203
MR. MERLE SAMPSON
Minnesota Department of Health
Division of Compliance Monitoring
Page
441
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Dist
COOK HOSPITAL
Certification
SAINT LOUIS
Registration
(Cont.)* -------------------------
NH-28 HOSP-14 BASS-2
SNF-NF-28 CAH-14
10 SOUTHEAST FIFTH STREET
(00586)
COOK, MN 55723
PHONE: 218/666-5945
FAX: 218/666-6238
Ind
BARBARA DAWN KUTSI
MR. ALLEN VOGT
COMP
8747 LAMBERT ROAD
(21808)
COTTON, MN 55724
PHONE: 218/393-2170
FAX: /
MS. BARBARA KUTSI
Corp
ACCENTUCARE INC
COMP
2308 SPRINGVALE COURT
(28220)
DULUTH, MN 55811
PHONE: 218/348-6888
FAX: /
MS. PATRICIA LUOMA
Corp
ACCRA HOME HEALTH DULUTH
HCP/COMP
HHA
1932 LONDON ROAD
(03338)
DULUTH, MN 55812
PHONE: 218/724-2800
MR. JOHN DAHM
FAX: 218/724-8200
NProf
AFTENRO HOME
BCH-54
NF2-54
510 WEST COLLEGE STREET
(00581)
DULUTH, MN 55811
PHONE: 218/728-6602
MS. ROBERTA CLINE
FAX: 218/728-5452
Lim-Liab
BAYSHORE RESIDENCE & REHAB CTR
NH-139
SNF-NF-139
1601 ST LOUIS AVENUE
(00589)
DULUTH, MN 55802
PHONE: 218/727-8651
FAX: 218/727-1761
Corp
BEE HIVE HOMES OF DULUTH
MS. SHELLEY KATZENBURGER
TCOMP
4014 TRINITY ROAD
(31339)
DULUTH, MN 55811
PHONE: 218/343-3428
FAX: /
MR. JON KALKBRENNER
HWSAL
Corp
BEE HIVE HOMES OF DULUTH
4014 TRINITY ROAD
(31350)
DULUTH, MN 55811
PHONE: 218/343-3428
BENEDICTINE HEALTH CENTER
FAX: /-
MS. NANCY SAARI
NProf
NH-96
SNF-NF-96
935 KENWOOD AVENUE
DULUTH, MN 55811
PHONE: 218/723-6408
BENET HALL
(00861)
FAX: 218/723-6449
NProf
MS. MARTHA SWENSON
COMP
1001 KENWOOD AVENUE
DULUTH, MN 55811
PHONE: 218/786-4020
(28241)
FAX: 218/786-4223
MS. SANDRA PAVELKA
Minnesota Department of Health
Division of Compliance Monitoring
Page
442
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
BENET HALL
Certification
SAINT LOUIS
Registration
(Cont.)* -------------------------
HWSAL
ONProf
1001 KENWOOD AVENUE
DULUTH, MN 55811
PHONE: 218/723-7080
CHRIS JENSEN HLTH & REHAB CTR
(28244)
FAX: 218/723-6548
Lim-Liab
SISTER DANILE LYNCH
NH-170
SNF-NF-170
2501 RICE LAKE ROAD
DULUTH, MN 55811
PHONE: 218/625-6401
DIAMOND WILLOW ASSISTED LIVING
(00598)
FAX: 218/625-6452
MR. JOHN DOUGHTY
HWSAL
Lim-Liab
6353 E SUPERIOR STREET
DULUTH, MN 55804
PHONE: 218/525-8093
DIAMOND WILLOW ASSISTED LIVING
(28545)
FAX: 218/525-8176
MS. KIM BURKE
HWSAL
Lim-Liab
6355 E SUPERIOR STREET
DULUTH, MN 55804
PHONE: 218/525-8177
DRCC LAVERNE
(28546)
MS. KIM BURKE
FAX: 218/525-8364
NProf
SLFA-6
ICFIID-6
1530 EAST SECOND STREET
DULUTH, MN 55812
PHONE: 218/728-5891
E B I INCORPORATED
(20994)
MR. MICHAEL MILLS
FAX: 218/727-9555
Corp
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
COMP
4000 LONDON ROAD
DULUTH, MN 55804
PHONE: 218/625-8280
ECUMEN DULUTH THE SHORES
(24064)
FAX: 218/625-7808
MS. RITA WALKER
HWSAL
NProf
4000 LONDON ROAD
DULUTH, MN 55804
PHONE: 218/625-8280
ESSENTIA HEALTH DULUTH
(30492)
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)
FAX: 218/786-5922
NProf
MR. WILLIAM PALMER
Hospice
HSPICE
330 EAST 2ND STREET
DULUTH, MN 55805
PHONE: 218/786-4020
(02562)
FAX: 218/786-4223
MS. SANDRA PAVELKA
Minnesota Department of Health
Division of Compliance Monitoring
Page
443
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
ESSENTIA HEALTH ST MARYS MED
NProf
Certification
SAINT LOUIS
Registration
(Cont.)* -------------------------
HOSP-380 BASS-46
HOSP-380
407 EAST THIRD STREET
DULUTH, MN 55805
PHONE: 218/786-4000
FMC DIAL SERVS OF SPIRIT VALLE
(00600)
FAX: 218/786-4888
MR. JAMES GARVEY
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
FULL CIRCLE SENIOR LIVING INC
(00865)
MS. DEBORAH DEGRIO
FAX: 218/727-6610
Corp
COMP
2701 WEST SUPERIOR ST STE 101
DULUTH, MN 55806
PHONE: 218/625-8488
GARDEN HOUSE ESTATES
(24424)
MS. KIM BURKE
FAX: 218/625-2338
Corp
COMP
1 RIVERSIDE DRIVE
DULUTH, MN 55808
PHONE: 218/628-0271
GARDEN HOUSE ESTATES LTD
(20837)
FAX: 218/628-3981
MR. DALE BREILAND
HWSAL
Corp
1 RIVERSIDE DRIVE
DULUTH, MN 55808
PHONE: 218/628-0271
GENTIVA HEALTH SERVICES
(30814)
FAX: 218/628-3981
Corp
MS. CORINNA BREILAND
HCP/COMP
HHA
925 EAST SUPERIOR ST STE 104
DULUTH, MN 55802
PHONE: 218/723-8999
GREYSOLON PLAZA
(02426)
FAX: 218/723-8237
MS. RACHAEL RHODES
HWSAL
Part
231 EAST SUPERIOR STREET
DULUTH, MN 55802
PHONE: 218/722-7523
HEARTHSTONE HOME CARE
(20850)
FAX: 218/733-5750
Lim-Liab
MS. TINA SKLORS
HCP/COMP
HHA
24 N 21ST AVE W SUITE B
DULUTH, MN 55806
PHONE: 218/740-4290
(26728)
FAX: 218/279-4412
MS. BRENDA MARSHALL
Minnesota Department of Health
Division of Compliance Monitoring
Page 444
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
HEARTLAND PCA LLC
Certification
SAINT LOUIS
Registration
(Cont.)* -------------------------
Home Mgmt
Lim-Liab
1700 MALL DRIVE
DULUTH, MN 55811
PHONE: 218/727-0990
HERITAGE HAVEN INC
(25708)
FAX: 218/727-1179
MS. GWENDOLYN HARRIS
HWSAL
Corp
3044 MORRIS THOMAS ROAD
DULUTH, MN 55811
PHONE: 218/722-2415
HERITAGE HAVEN INC
(24250)
FAX: 218/727-8850
Corp
MS. SUZANNE TAYLOR
COMP
4512 LONDON ROAD
DULUTH, MN 55804
PHONE: 218/590-5037
HERITAGE HAVEN INC
(20035)
FAX: 218/727-8850
MS. SUZANNE TAYLOR
HWSAL
Corp
4512 LONDON ROAD
DULUTH, MN 55804
PHONE: 218/590-5037
HERITAGE HAVEN INC
(30316)
MS. SUZANNE TAYLOR
FAX: 218/727-8850
HWSAL
Corp
3040 MORRIS THOMAS ROAD
DULUTH, MN 55811
PHONE: 218/722-2088
HERITAGE HAVEN INC III
(25918)
MS. SUZANNE TAYLOR
FAX: 218/727-8850
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
HILLSIDE HOMES II
(20888)
FAX: 218/720-6022
MS. DIANE LINDSEY
HWSAL
Corp
412 NORTH 8TH AVENUE EAST
DULUTH, MN 55805
PHONE: 218/733-9268
HILLSIDE HOMES OF DULUTH INC
(20889)
FAX: 218/720-6022
Corp
MS. DIANE LINDSEY
HCP-F
414 NORTH 8TH AVENUE EAST
DULUTH, MN 55805
PHONE: 218/720-5890
HOME INSTEAD SENIOR CARE
(20350)
FAX: 218/720-6022
Lim-Liab
MS. DIANE LINDSEY
COMP
315 EAST CENTRAL ENTRANCE
DULUTH, MN 55811
PHONE: 218/727-8810
(23296)
FAX: 218/727-3522
MS. MARY ANDREWS
Minnesota Department of Health
Division of Compliance Monitoring
Page 445
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
SAINT LOUIS
(Cont.)* -------------------------
CMHC
NProf
HUMAN DEVELOPMENT CENTER
Registration
1401 EAST FIRST STREET
(02766)
DULUTH, MN 55805
PHONE: 218/728-4491
INTERIM HEALTHCARE
FAX: /
MR. ALLEN BROWN
Corp
HCP/COMP
HHA
227 WEST FIRST ST STE 400
DULUTH, MN 55802
PHONE: 218/722-0053
INTERIM HEALTHCARE
(02828)
FAX: 218/722-0318
Corp
MS. DIANE SMITH
COMP
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)
MR. STEVEN SCRIGNOLI
FAX: 218/722-0318
Lim-Liab
HCP-F
2528 TRINITY ROAD
DULUTH, MN 55811
PHONE: 218/727-2800
KEYSTONE BLUFFS ASSISTED LIVIN
(21036)
MS. AMY ALTMAN
FAX: 218/727-2850
HWSAL
Lim-Liab
2528 TRINITY ROAD
DULUTH, MN 55811
PHONE: 218/727-2800
KING MANOR
(29456)
MS. KIM BURKE
FAX: 218/727-2850
HWS-O
HRA
222 EAST SECOND STREET
DULUTH, MN 55805
PHONE: 218/529-6300
LAKE SUPERIOR CONCIERGE INC
(21169)
MR. RICHARD BALL
FAX: 218/529-6344
Home Mgmt
Corp
5652 N CLOQUET ROAD
DULUTH, MN 55810
PHONE: 218/310-6779
LAKESHORE AT HOME
(25246)
MS. KIMBERLY SORENSEN
FAX: 218/624-8727
NProf
HHA
HCP/COMP
3900 LONDON ROAD
DULUTH, MN 558042241
PHONE: 218/625-7848
LAKESHORE INC
(02059)
MS. CAROL HENNESSY
FAX: 218/625-8274
NProf
NH-60
SNF-NF-60
4002 LONDON ROAD
DULUTH, MN 55804
PHONE: 218/525-1951
(00594)
FAX: 218/625-7808
MR. JOHN KORZENDORFER
Minnesota Department of Health
Division of Compliance Monitoring
Page 446
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
SAINT LOUIS
(Cont.)* -------------------------
HWSAL
Corp
LAKESIDE MANOR
Registration
4831 LONDON ROAD
(30409)
DULUTH, MN 55804
PHONE: 218/525-2784
FAX: 218/525-3411
Corp
LAKESIDE MANOR BOARDING HOME I
MR. THOMAS KOLAR
COMP
4831 LONDON ROAD
(20087)
DULUTH, MN 55804
PHONE: 218/525-2784
FAX: 218/525-3411
Corp
LAKEWALK SURGERY CENTER INC
MR. THOMAS KOLAR
Outpt Surg
Amb Surg
1420 LONDON ROAD SUITE 100
(20618)
DULUTH, MN 55805
PHONE: 218/728-8505
FAX: 218/728-8557
Corp
LIFESTONE HEALTH CARE INC
MR. JOE MAJERUS
COMP
2214 SPRINGVALE RD
(29862)
DULUTH, MN 55811
PHONE: 218/481-7306
MS. CHIAMAKA ENEMUOH
FAX: 218/481-7309
HWSAL
Corp
LIFESTONE HEALTH CARE INC
2214 SPRINGVALE ROAD
(29903)
DULUTH, MN 55806
PHONE: 218/481-7306
MS. CHIAMAKA ENEMUOH
FAX: /-
HWSAL
NProf
MARYWOOD
915 KENWOOD AVE
(31068)
DULUTH, MN 55811
PHONE: 218/723-6408
MS. LISA MISKULIN
FAX: /
Corp
MCCARTHY MANOR INC
COMP
2221 NORTH ARLINGTON AVENUE
(20034)
DULUTH, MN 55811
PHONE: 218/722-1501
MR. JOHN HANSEN
FAX: 218/722-5882
HWSAL
Corp
MCCARTHY MANOR INC
2221 NORTH ARLINGTON AVENUE
(30315)
DULUTH, MN 55811
PHONE: 218/722-1501
MR. JOHN HANSEN
FAX: 218/722-5882
MORNING STAR WOMENS HEALTH AND
Corp
1730 EAST SUPERIOR STREET
DULUTH, MN 55812
PHONE: 218/722-2700
MSOCS SWAN LAKE ICFMR
(29855)
MS. PAULA FEIGAL
FAX: 218/728-4215
State
ICFIID-6
SLFB-6
1423 SWAN LAKE ROAD
DULUTH, MN 55811
PHONE: 218/722-9449
(01650)
FAX: 218/279-2674
MR. ANDREW BIRNSTIHL
Minnesota Department of Health
Division of Compliance Monitoring
Page 447
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NORTH COUNTRY HOUSEKEEPING HCS
Certification
SAINT LOUIS
Registration
(Cont.)* -------------------------
Home Mgmt
Lim-Liab
5282 LAKEWOOD ROAD
(30989)
DULUTH, MN 55804
PHONE: 218/349-2213
NORTHLAND ASSISTED LIVING
MS. ANITA SCHENDEL
FAX: /
Lim-Liab
COMP
202 W SUPERIOR STREET STE 610
DULUTH, MN 55802
PHONE: 218/723-4040
PATHWAYS TO ACHIEVEMENT
(24908)
MS. CAROL CHIPMAN
FAX: 218/723-4048
Corp
HCP/COMP
HHA
114 SOUTH 20TH AVE W STE A
DULUTH, MN 55806
PHONE: 218/721-4732
PAVILION SURGERY CENTER LLC
(23205)
MS. BRENDA EHNES
FAX: 218/491-7185
Lim-Liab
Outpt Surg
Amb Surg
920 EAST FIRST ST SUITE 101
DULUTH, MN 55805
PHONE: 218/279-6200
PINE GROVE APARTMENTS
(21063)
MS. ESTHER LINDEMAN
FAX: 218/279-6205
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
COMP
50 EAST ST MARIE STREET
DULUTH, MN 55803
PHONE: 218/724-5500
PINES III ASSISTED LIVING
(20643)
FAX: 218/724-5535
MS. KATHY ANDERSON
HWSAL
Part
50 EAST ST MARIE STREET
DULUTH, MN 55803
PHONE: 218/724-5500
POLINSKY MEDICAL REHAB CTR
(20866)
FAX: 218/724-5535
MS. KATHY ANDERSON
Out Pt Out St Out Ot
NProf
530 EAST 2ND STREET
DULUTH, MN 55805
PHONE: 218/786-5366
PRIMROSE OF DULUTH
(26267)
MS. MARCIA JOHNSON
FAX: 218/786-5922
HWSAL
Lim-Liab
724 MAPLE GROVE ROAD
DULUTH, MN 55811
PHONE: 218/724-4900
PRIMROSE OF DULUTH
(30228)
MR. MARK MCNEARY
FAX: 218/722-3760
Lim-Liab
COMP
724 MAPLE GROVE ROAD
DULUTH, MN 55811
PHONE: 218/724-4900
(21916)
FAX: 218/722-3760
MS. NANCY SAARI
Minnesota Department of Health
Division of Compliance Monitoring
Page
448
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
RES TREATMENT & DETOX CTR
NProf
Certification
SAINT LOUIS
Registration
(Cont.)* -------------------------
SLFB-40
1402 EAST SUPERIOR STREET
DULUTH, MN 55805
PHONE: 218/529-3426
RIVER HILL ASSISTED LIVING INC
(21125)
FAX: 218/529-3447
MS. TINA SILVERNESS
HWSAL
Corp
126 98TH AVENUE WEST
DULUTH, MN 55808
PHONE: 218/626-3322
RIVER HILL ASSISTED LIVING INC
(30577)
FAX: 218/626-1089
Corp
MS. PATRICE STENHAMMER
COMP
126 98TH AVENUE WEST
DULUTH, MN 55808
PHONE: 218/626-3322
RSI HARTLEY
(25393)
FAX: 218/626-1089
NProf
MS. PATRICE STENHAMMER
SLFB-6
ICFIID-6
707 WEST ARROWHEAD ROAD
DULUTH, MN 55811
PHONE: 218/727-2696
SENIOR FRIEND
(01448)
MR. JON NELSON
FAX: 218/727-2893
Corp
HCP-F
301 W FIRST ST SUITE 309
DULUTH, MN 55802
PHONE: 218/727-1111
SENIOR FRIEND ASSOCIATES INC
(21940)
MS. SANDI KIENZLE
FAX: 218/720-6819
Corp
HCP/COMP
HHA
301 WEST FIRST ST STE 309
DULUTH, MN 55802
PHONE: 218/727-1111
SEPTEMBER HOUSE
(02390)
FAX: 218/720-6819
Ind
MS. SANDI KIENZLE
COMP
2140 WOODLAND AVENUE
DULUTH, MN 55803
PHONE: 218/728-9065
SEPTEMBER HOUSE
(03775)
FAX: 218/728-4815
MS. SUZANNE VEDDER
HWS
Ind
2140 WOODLAND AVENUE
DULUTH, MN 55803
PHONE: 218/728-9065
SOLVAY HOUSE
(30239)
FAX: 218/728-4815
NProf
MS. SUZANNE VEDDER
RES-HSPICE-12
801 BAYLIS STREET
DULUTH, MN 55811
PHONE: 218/529-3400
SPIRIT VALLEY ASSISTED LIVING
(25300)
FAX: 218/529-3419
Lim-Liab
MS. SANDRA PAVELKA
COMP
102 NORTH 58TH AVENUE WEST
DULUTH, MN 55807
PHONE: 218/628-2705
(24120)
FAX: 218/628-7225
MR. CHARLES BELL
18-HOSPICE-12
Minnesota Department of Health
Division of Compliance Monitoring
Page 449
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
SPIRIT VALLEY ASSISTED LIVING
Certification
SAINT LOUIS
Registration
(Cont.)* -------------------------
HWSAL
Lim-Liab
102 NORTH 58TH AVENUE WEST
DULUTH, MN 55807
PHONE: 218/628-2705
SPIRIT VALLEY ASSISTED LIVING
(30495)
FAX: 218/628-7225
MR. FRANK BELL
HWSAL
Lim-Liab
101 NORTH 58TH AVENUE WEST
DULUTH, MN 55807
PHONE: 218/628-2705
ST ANN'S RESIDENCE
(24431)
FAX: 218/628-7225
MR. FRANK BELL
HWSAL
NProf
330 EAST THIRD STREET
DULUTH, MN 55805
PHONE: 218/727-8831
ST ANN'S RESIDENCE
(30434)
FAX: 218/727-8833
NProf
MS. STEPHANIE MAKI
COMP
330 EAST THIRD STREET
DULUTH, MN 55805
PHONE: 218/727-8831
ST ELIGIUS HEALTH CENTER
(20183)
MS. STEPHANIE MAKI
FAX: 218/727-8833
Church
SNF-NF-70
NH-70
7700 GRAND AVENUE
DULUTH, MN 55807
PHONE: 218/628-2341
ST LOUIS CO PUBLIC HEALTH & HS
(00593)
MS. MELODY KRATTENMAKER
FAX: 218/628-0395
Home Mgmt
Cnty
320 WEST SECOND STREET
DULUTH, MN 55802
PHONE: 218/726-2000
ST LUKES HOME HEALTH SERVICES
(02019)
FAX: 218/725-5186
NProf
MS. HOLLY CHURCH
HCP/COMP
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
HOSP-267 BASS-18
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
(24465)
FAX: 651/645-0541
MR. STEPHEN VANDER SCHAAF
Minnesota Department of Health
Division of Compliance Monitoring
Page
450
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
THUNDERBIRD/WREN HOUSE
NProf
Certification
SAINT LOUIS
Registration
(Cont.)* -------------------------
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
1827 E SUPERIOR ST
DULUTH, MN 55803
PHONE: 218/724-4743
TRANSITIONAL SENIOR HOUSING
(25226)
FAX: 218/722-0227
MS. SASCHA MANSSON
HWS
Ind
1609 PIEDMONT AVENUE
DULUTH, MN 55811
PHONE: 218/727-5080
TRANSITIONAL SENIOR HOUSING
(30800)
FAX: 218/727-4330
Ind
MR. BRUCE ROSERA
COMP
1609 PIEDMONT AVENUE
DULUTH, MN 55811
PHONE: 218/727-5080
TRI TOWERS
(20834)
MR. BRUCE ROSERA
FAX: 218/727-4330
HWS-O
HRA
222 NORTH 2ND AVE EAST
DULUTH, MN 55805
PHONE: 218/529-6300
TRILLIUM ELDER CARE INC
(21864)
MR. RICHARD BALL
FAX: 218/529-6344
Corp
COMP
4629 AIRPARK BOULEVARD
DULUTH, MN 55811
PHONE: 218/722-5009
UNIVERSAL PEDIATRICS
(29467)
FAX: 218/722-7219
Corp
MS. ANGELA GUSTAFSON
HCP/COMP
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
MR. ROBERT DAHL
HWSAL
Corp
5601 GRAND AVENUE
DULUTH, MN 55807
PHONE: 218/628-2307
WESLEY RESIDENCE OF DULUTH
(30422)
FAX: 218/628-6301
Corp
MS. MARIA RUNYAN
COMP
5601 GRAND AVENUE
DULUTH, MN 55807
PHONE: 218/628-2307
(20151)
FAX: 218/628-6301
MS. ANGELA DEGERSTROM
Minnesota Department of Health
Division of Compliance Monitoring
Page 451
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
WESTWOOD OF DULUTH
Certification
SAINT LOUIS
Registration
(Cont.)*
-------------------------
HWS
NProf
925 KENWOOD AVENUE
DULUTH, MN 55811
PHONE: 218/733-2238
WESTWOOD OF DULUTH
(30831)
FAX: 218/279-7360
NProf
MS. KATIE REDIG
COMP
925 KENWOOD AVENUE
DULUTH, MN 55811
PHONE: 218/733-2238
BOUNDARY WATERS CARE CENTER
(20935)
FAX: 218/279-7360
NProf
MR. LISA MISKULIN
NH-40
SNF-NF-40
200 WEST CONAN STREET
ELY, MN 55731
PHONE: 218/365-8044
ELY BLOOMENSON COMM HOSPITAL
(00587)
FAX: 218/365-8734
NProf
MS. LYNN HICKEY
HOSP-25 BASS-3
CAH-25
328 WEST CONAN STREET
ELY, MN 55731
PHONE: 218/365-3271
ELY BLOOMENSON HOSPITAL HHA
(28259)
MR. JOHN FOSSUM
FAX: 218/365-8777
NProf
HCP/COMP
HHA
328 WEST CONAN STREET
ELY, MN 55731
PHONE: 218/365-8722
ELY CAREFREE LIVING
(02258)
MS. DIANA KALLBERG
FAX: 218/365-8713
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
200 SOUTH 2ND AVENUE WEST
ELY, MN 55731
PHONE: 218/365-2261
ELY CAREFREE LIVING
(25890)
FAX: 218/365-2214
MS. MARILYN HANSON
HWSAL
Lim-Liab
100 SOUTH 2ND AVENUE WEST
ELY, MN 55731
PHONE: 218/365-2261
SPECTRUM COMMUNITY HEALTH INC
(25889)
FAX: 218/365-2214
MS. MARILYN HANSON
HWSAL
Corp
1505 NORTH PIONEER RD
ELY, MN 55731
PHONE: 218/741-3013
FITZGERALD NH AND REHAB
(23478)
MS. MARILYN HANSON
FAX: 218/741-1448
Corp
NH-24
SNF-NF-24
227 MCKINLEY AVENUE
EVELETH, MN 55734
PHONE: 218/471-1440
(00588)
FAX: 218/744-7573
MS. JESSICA RAAD
Minnesota Department of Health
Division of Compliance Monitoring
Page 452
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
SAINT LOUIS
(Cont.)* -------------------------
ESRD
Corp
FMC DIALYSIS SERVICES EVELETH
Registration
233 MC KINLEY AVENUE
(02473)
EVELETH, MN 55734
PHONE: 218/744-3226
FAX: 218/744-3072
Corp
SALMI HOMES INC
MS. PAM ELDSTAD
COMP
303 HAT TRICK AVENUE
(03739)
EVELETH, MN 55734
PHONE: 218/744-5907
FAX: 218/744-1024
Corp
SPECTRUM HEALTH COMPANIES
MR. CLYDE SALMI
TCOMP
2000 SIEGEL BLVD
(31391)
EVELETH, MN 55734
PHONE: 218/741-3013
FAX: 218/741-1448
NProf
ST RAPHAEL'S HEALTH & REHABILI
MS. MARILYN HANSON
COMP
601 GRANT AVENUE
(20198)
EVELETH, MN 55734
PHONE: 218/744-9800
MR. MICHAEL SCHULTZ
FAX: 218/744-9829
HWSAL
NProf
ST RAPHAELS HEALTH & REHAB
601 GRANT AVENUE
(30443)
EVELETH, MN 55734
PHONE: 218/744-9800
MR. MCHAEL SCHULTZ
FAX: 218/744-9829
NProf
ST RAPHAELS HEALTH & REHAB CTR
SNF-NF-76
NH-76
601 GRANT AVENUE
(00583)
EVELETH, MN 55734
PHONE: 218/744-9800
FAX: 218/744-9829
MR. MICHAEL SCHULTZ
HWSAL
Corp
WILLOWWOOD MEMORY CARE
303 HAT TRICK AVENUE
(20846)
EVELETH, MN 55734
PHONE: 218/744-5907
FAX: 218/865-4671
Corp
HEIKKILA ASSISTED LIVING INC
MR. CLYDE SALMI
COMP
12225 WEST SAVANNA ROAD
(23682)
FLOODWOOD, MN 55736
PHONE: 218/326-2226
FAX: 218/326-2226
MS. CHERYL HEIKKILA
HWS
Part
RIVERVIEW MANOR
328 EAST 11TH AVENUE
(23094)
FLOODWOOD, MN 55736
PHONE: 218/476-2738
FAX: 218/721-2377
EDGEWOOD HERMANTOWN I SENIOR L
Lim-Liab
MS. SHIRLEY JOHNSON
COMP
4195 WESTBERG ROAD
HERMANTOWN, MN 55811
PHONE: 218/723-8905
(20852)
FAX: 218/723-4051
MR. GARY BECKER
Minnesota Department of Health
Division of Compliance Monitoring
Page 453
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
SAINT LOUIS
(Cont.)* -------------------------
HWSAL
Lim-Liab
EDGEWOOD VISTA ALZHEIMERS CARE
Registration
4175 WESTBERG ROAD
(20853)
HERMANTOWN, MN 55811
PHONE: 218/723-8905
MR. PHILIP GISI
FAX: 218/723-4051
HWSAL
Lim-Liab
EDGEWOOD VISTA HERMANTOWN ALF
4195 WESTBERG ROAD
(30824)
HERMANTOWN, MN 55811
PHONE: 218/723-8905
MR. PHILIP GISI
FAX: 218/723-4051
HWSAL
Lim-Liab
EDGEWOOD VISTA SUITES
4125 WESTBERG ROAD
(23990)
HERMANTOWN, MN 55811
PHONE: 218/723-8905
MR. PHILIP GISI
FAX: 218/723-4051
Corp
GOLDEN OAKS
COMP
4067 REINKE ROAD
(20156)
HERMANTOWN, MN 55811
PHONE: 218/729-5014
FAX: 218/729-0319
MR. CHARLES MILLER
HWSAL
Corp
GOLDEN OAKS INC
4067 REINKE ROAD
(30424)
HERMANTOWN, MN 55811
PHONE: 218/729-5014
FAX: 218/729-0319
MR. CHARLES MILLER
HWSAL
Corp
INNOVATIVE ASSISTED LIVING
4268 LAVAQUE RD
(24184)
HERMANTOWN, MN 55811
PHONE: 218/491-7838
FAX: 218/491-7840
MR. ROB GANNUCCI
HWSAL
Corp
INNOVATIVE ASSISTED LIVING
4266 LAVAQUE RD
(23770)
HERMANTOWN, MN 55811
PHONE: 218/491-7838
FAX: 218/491-7840
MR. ROB GANNUCCI
HWSAL
Corp
SUPERIOR VIEW ASSISTED LIVING
4264 LAVAQUE ROAD
(26914)
HERMANTOWN, MN 55811
PHONE: 218/491-7838
FAX: 218/491-7840
MR. ROB GANNUCCI
Home Mgmt
NProf
ACCESS NORTH CTR FOR IND LVG
1309 EAST 40TH STREET
(29272)
HIBBING, MN 55746
PHONE: 218/262-6675
FAX: 218/262-6677
MR. MANUELA TELBIS
HWSAL
Ind
ASPEN GROVE ALTERNATIVE SENIOR
522 ASPEN GROVE
(27487)
HIBBING, MN 55746
PHONE: 218/263-7330
FAX: /
MS. BRENDA GARGANO
Minnesota Department of Health
Division of Compliance Monitoring
Page
454
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Ind
ASPEN GROVE ALTERNATIVE SENIOR
Certification
SAINT LOUIS
Registration
(Cont.)* -------------------------
COMP
522 ASPEN GROVE
(27486)
HIBBING, MN 55746
PHONE: 218/263-7330
FAX: /
MS. BRENDA GARGANO
Lim-Liab
CHERISH
COMP
302 EAST HOWARD STREET #230
(28809)
HIBBING, MN 55746
PHONE: 218/263-8239
FAX: 218/262-5748
MS. KIMBERLY TYLER
Home Mgmt
Lim-Liab
CHERISHED HOME MANAGEMENT
302 EAST HOWARD ST SUITE 230
(27166)
HIBBING, MN 55746
PHONE: 218/263-9000
FAX: 218/263-8336
MS. KIMBERLY TYLER
ESRD
Corp
FRESENIUS MED CARE OF HIBBING
750 EAST 34TH ST
(02115)
HIBBING, MN 55746
PHONE: 218/263-7300
GREENVIEW NORTH
MS. ANGIE HULBURT
FAX: /
NProf
COMP
3520 EAST 7TH AVENUE
HIBBING, MN 55746
PHONE: 218/263-3629
GREENVIEW NORTH
(20403)
MS. REBECCA THOMPSON
FAX: 218/262-4050
HWSAL
NProf
3520 EAST 7TH AVENUE
HIBBING, MN 55746
PHONE: 218/263-3629
GREENVIEW SOUTH
(30624)
FAX: 218/262-4050
MS. REBECCA THOMPSON
HWSAL
NProf
3522 EAST SEVENTH AVENUE
HIBBING, MN 55746
PHONE: 218/263-3629
GUARDIAN ANGELS HEALTH & REHAB
(20092)
FAX: 218/263-4050
NProf
MS. REBECCA THOMPSON
NH-92
SNF-NF-92
1500 EAST THIRD AVENUE
HIBBING, MN 55746
PHONE: 218/231-8100
HEALTHLINE HOMECARE
(00858)
FAX: 218/231-8102
Lim-Liab
MR. GEOFFREY RYAN
HCP/COMP
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
(20529)
FAX: 218/263-9032
MR. RANDY SCHROETTER
Minnesota Department of Health
Division of Compliance Monitoring
Page 455
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
HILLCREST ALICE NORTH
Certification
SAINT LOUIS
Registration
(Cont.)* -------------------------
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
HIBBING, MN 55746
PHONE: 218/263-4157
HILLCREST PARKSIDE NORTH
(28478)
FAX: 218/263-4468
MR. RANDY SCHROETTER
HWSAL
Corp
2313 3RD AVENUE EAST
HIBBING, MN 55746
PHONE: 218/263-9220
HILLCREST PARKSIDE SOUTH
(25376)
MR. RANDY SCHROETTER
FAX: 218/263-5750
HWSAL
Corp
2313 3RD AVENUE EAST
HIBBING, MN 55746
PHONE: 218/263-8402
HILLCREST SUITES
(25375)
MR. RANDY SCHROETTER
FAX: 218/263-5750
HWSAL
Corp
1520 EAST HWY 37
HIBBING, MN 55746
PHONE: 218/263-3643
HILLCREST TERRACE OF HIBBING
(24447)
MR. RANDY SCHROETTER
FAX: 218/263-5516
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)
MS. WANDA TARAY
FAX: 218/741-3080
NProf
ICFIID-6
SLFB-6
1820 EAST 39TH STREET
HIBBING, MN 55746
PHONE: 218/263-9079
(01629)
FAX: 218/254-7343
MS. SHELLEY ROBINSON
Minnesota Department of Health
Division of Compliance Monitoring
Page
456
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
RANGE CENTER MAPLEVIEW HOME
NProf
Certification
SAINT LOUIS
Registration
(Cont.)* -------------------------
SLFB-6
ICFIID-6
506 WEST 47TH STREET
HIBBING, MN 55746
PHONE: 218/263-4573
RECOVER HEALTH
(01315)
FAX: 218/254-7343
Corp
MS. SHELLEY ROBINSON
HCP/COMP
HHA
101 EAST HOWARD STREET
HIBBING, MN 55746
PHONE: 218/262-5887
SEVENTH AVENUE APARTMENTS
(02376)
FAX: 218/262-6228
MS. MELISSA POGREBA
HWS
HRA
3230 EAST 7TH AVENUE APT 1-N
HIBBING, MN 55746
PHONE: 218/263-8129
UNIVERSITY MEDICAL CTR MESABI
(20585)
FAX: 218/262-4164
NProf
MS. JACQULINE PRESCOTT
HOSP-175 BASS-16
HOSP-175
750 EAST 34TH STREET
HIBBING, MN 55746
PHONE: 218/362-6730
NORTHLAND VILLAGE HOYT LAKES
(00859)
MRS. DEBRA BOARDMAN
FAX: 218/362-6619
HWSAL
Lim-Liab
421 KENNEDY MEMORIAL DRIVE
HOYT LAKES, MN 55750
PHONE: 218/225-0176
THE HUMMINGBIRD
(27970)
MR. THOMAS RENIER
FAX: 218/225-0179
Corp
HCP-F
7704 COLE AVENUE
MEADOWLANDS, MN 55765
PHONE: 218/427-2294
THE HUMMINGBIRD
(26569)
FAX: 218/427-1015
MR. MICHAEL LINDGREN
HWS
Corp
7704 COLE AVENUE
MEADOWLANDS, MN 55765
PHONE: 218/427-2294
DIAMOND WILLOW ASSISTED LIVING
(30728)
FAX: 218/427-1015
MR. MICHAEL LINDGREN
HWSAL
Lim-Liab
8583 UNITY DRIVE
MOUNTAIN IRON, MN 55768
PHONE: 218/741-1413
DIAMOND WILLOW ASSISTED LIVING
(24664)
FAX: 218/741-1454
MS. KIM BURKE
HWSAL
Lim-Liab
8585 UNITY DRIVE
MOUNTAIN IRON, MN 55768
PHONE: 218/741-1450
ORR CAREFREE LIVING INC
(24665)
FAX: 218/741-1453
MS. KIM BURKE
HWSAL
Corp
4576 LAKE STREET
ORR, MN 55771
PHONE: 218/757-3200
(30120)
FAX: 218/757-0060
MR. MERLE SAMPSON
Minnesota Department of Health
Division of Compliance Monitoring
Page
457
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
DIAMOND WILLOW ASSISTED LIVING
Certification
SAINT LOUIS
Registration
(Cont.)* -------------------------
HWSAL
Lim-Liab
919 OLD HWY 2
PROCTOR, MN 55810
PHONE: 218/624-5102
DIAMOND WILLOW ASSISTED LIVING
(24121)
FAX: 218/624-6028
MS. KIM BURKE
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. KIM BURKE
HCP-F
915 OLD HIGHWAY 2
PROCTOR, MN 55810
PHONE: 218/628-3535
DIAMOND WILLOW ASSISTED LIVING
(23122)
FAX: 218/628-7072
MS. KIM BURKE
HWSAL
Lim-Liab
913 OLD HWY 2
PROCTOR, MN 55810
PHONE: 218/624-9771
DIAMOND WILLOW ASSISTED LIVING
(23609)
MS. KIM BURKE
FAX: 218/624-9772
HWSAL
Lim-Liab
915 OLD HIGHWAY 2
PROCTOR, MN 55810
PHONE: 218/628-3535
DIAMOND WILLOW ASSISTED LIVING
(30334)
MS. KIM BURKE
FAX: 218/628-7072
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. KIM BURKE
HCP-F
23 WATERVIEW DRIVE
PROCTOR, MN 55810
PHONE: 218/740-0404
GOLDEN OAKS ADVANCED ASSISTED
(25952)
FAX: 218/740-0337
MR. CHARLES MILLER
HWSAL
Corp
23 WATERVIEW DRIVE
PROCTOR, MN 55810
PHONE: 218/740-0404
LAKEWINDS HOMECARE LLC
(30617)
FAX: 218/740-0337
Lim-Liab
MR. CHARLES MILLER
TCOMP
5003 WESTLUND ROAD
SAGINAW, MN 55779
PHONE: 218/348-0164
GOLDEN HORIZONS
(31219)
FAX: 218/729-1723
Corp
MS LISA BREKKE
COMP
1232 BIRCH STREET NORTH
TOWER, MN 55790
PHONE: 218/753-7788
(24173)
FAX: 218/753-7792
MS. LYNN NIKUNEN
Minnesota Department of Health
Division of Compliance Monitoring
Page 458
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
GOLDEN HORIZONS
Certification
SAINT LOUIS
Registration
(Cont.)* -------------------------
HWSAL
Corp
1232 BIRCH ST N
TOWER, MN 55790
PHONE: 218/753-7788
ALICE NETTELL TOWER
(30498)
FAX: 218/753-7792
MR. CHUCK LANE
HWSAL
Lim-Liab
550 THIRD AVENUE NORTH
VIRGINIA, MN 55792
PHONE: 218/741-3650
CHESTNUT GROVE NORTH
(21519)
FAX: 218/741-5978
MR. MICHAEL STOEBE
HWSAL
Corp
1204 WEST CHESTNUT STREET
VIRGINIA, MN 55792
PHONE: 218/749-6846
COLUMBIA APARTMENTS
(20288)
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)
MS. DANA HILTUNEN
FAX: 218/741-2610
NProf
SLFA-20 SLFB-14
626 13TH STREET SOUTH
VIRGINIA, MN 55792
PHONE: 218/741-9120
EDGEWOOD VISTA VIRGINIA
(20624)
MS. MARY CARPENTER
FAX: 218/741-3170
Lim-Liab
COMP
705 NORTH 17TH STREET
VIRGINIA, MN 55792
PHONE: 218/741-7106
EDGEWOOD VISTA VIRGINIA ALF
(21353)
FAX: 218/749-3390
MS. JENNIFER ENSIGN
HWSAL
Lim-Liab
705 NORTH 17TH STREET
VIRGINIA, MN 55792
PHONE: 218/741-7106
EDGEWOOD VISTA VIRGINIA ALZ
(30738)
FAX: 218/741-5371
MS. PHILIP GISI
HWSAL
Lim-Liab
605 NORTH 17TH STREET
VIRGINIA, MN 55792
PHONE: 218/741-7106
ESSENTIA HEALTH VIRGINIA
(21354)
FAX: 218/741-7229
Lim-Liab
MS. PHILIP GISI
HOSP-83 BASS-6 NH-90
HOSP-67 PPS-R-16 SNF-NF-90
901 NINTH STREET NORTH
VIRGINIA, MN 55792
PHONE: 218/741-3340
IRON RANGE REHAB CENTER
(00603)
FAX: 218/749-9527
MR. DANIEL MILBRIDGE
Out Pt Out St Out Ot
NProf
901 NORTH 9TH STREET SUITE 100
VIRGINIA, MN 55792
PHONE: 218/749-9405
(02091)
FAX: 218/749-9407
MR. HENRY TAMMINEN
Minnesota Department of Health
Division of Compliance Monitoring
Page 459
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
MERRITT HOUSE
Certification
SAINT LOUIS
Registration
(Cont.)* -------------------------
SLFA-16
731 THIRD STREET SOUTH
(20793)
VIRGINIA, MN 55792
PHONE: 218/749-2881
FAX: 218/749-3806
State
MSOCS VIRGINIA ICFMR GR HM
MS. MARY CARPENTER
SLFB-6
ICFIID-6
700 SOUTH SEVENTH AVENUE WEST
(01643)
VIRGINIA, MN 55792
PHONE: 218/741-8440
FAX: 218/742-3420
MS. BETTY PREBLE
Amb Surg
Lim-Liab
NORTHWOODS SURGERY CENTER LLC
502 NORTH 6TH AVENUE WEST
(29820)
VIRGINIA, MN 55792
PHONE: 218/741-4411
FAX: 218/741-8966
MR. DAVID HOHL
CMHC
NProf
RANGE MENTAL HEALTH CENTER
624 SOUTH 13TH ST PO BOX 1188
(02777)
VIRGINIA, MN 55792
PHONE: 218/749-2881
SPECTRUM COMMUNITY HEALTH INC
MR. MILLER FRIESEN
FAX: /
HWSAL
Corp
712 NINTH STREET SOUTH
VIRGINIA, MN 55792
PHONE: 218/741-3013
ST MICHAELS HLTH & REHAB CTR
(23260)
MS. MARILYN HANSON
FAX: 218/741-1448
NProf
SNF-NF-83
NH-83
1201 8TH STREET SOUTH
VIRGINIA, MN 55792
PHONE: 218/748-7800
THE ROUCHLEAU
(00582)
MS. CHERYL HIGH
FAX: 218/748-7890
HWSAL
HRA
602 THIRD AVENUE NORTH
VIRGINIA, MN 55792
PHONE: 218/749-5898
(21736)
MS. DANA HILTUNEN
FAX: 218/741-2610
---------------------------**********
KINGSWAY HOME CARE
Lim-Liab
SCOTT
COMP
815 WEST MAIN STREET
BELLE PLAINE, MN 56011
PHONE: 952/873-5900
KINGSWAY MINISTRIES LLC
(26037)
MR. KARL KEUP
FAX: 952/873-5901
Lim-Liab
HCP-F
815 WEST MAIN STREET
BELLE PLAINE, MN 56011
PHONE: 952/873-5900
(27757)
FAX: 952/873-5901
MR. KARL KEUP
******** -------------------------
Minnesota Department of Health
Division of Compliance Monitoring
Page 460
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
KINGSWAY RETIREMENT LIVING
Certification
SCOTT
Registration
(Cont.)* -------------------------
HWSAL
Lim-Liab
815 WEST MAIN STREET
BELLE PLAINE, MN 56011
PHONE: 952/873-5900
LUTHERAN HOME
(30661)
FAX: 952/873-5901
NProf
MR. KARL KEUP
NH-97
SNF-NF-97
611 WEST MAIN STREET
BELLE PLAINE, MN 56011
PHONE: 952/873-2100
THE LUTHERAN HOME HOPE RES
(00605)
FAX: 952/873-2120
Church
MS. ANN ROBINSON
SLFB-52
ICFIID-52
611 WEST MAIN STREET
BELLE PLAINE, MN 56011
PHONE: 952/873-2143
THE LODGE ON NATCHEZ
(01682)
FAX: 952/873-2147
MS. DEBRA WILBRIGHT
Corp
27890 NATCHEZ AVENUE
ELKO NEW MARKET, MN 55020
PHONE: 952/652-9120
THE LODGE ON NATCHEZ
(21486)
MS. JACKIE MCGOWAN
FAX: 952/652-9121
HWSAL
Corp
27890 NATCHEZ AVENUE
ELKO NEW MARKET, MN 55020
PHONE: 952/652-9120
OAK TERRACE SENIOR HOUSING OF
(30764)
MR. GERALD MCGOWAN
FAX: 952/652-9121
Lim-Liab
COMP
622 ABERDEEN AVENUE
JORDAN, MN 55352
PHONE: 952/492-5559
OAK TERRACE SENIOR HOUSING OF
(28511)
FAX: 952/492-4621
MR. DREW HOOD
HWSAL
Lim-Liab
622 ABERDEEN AVENUE
JORDAN, MN 55352
PHONE: 507/387-2037
VALLEYVIEW OF JORDAN LLC
(28513)
FAX: 952/492-4621
MR. DREW HOOD
HWSAL
Lim-Liab
4061 WEST 173RD STREET
JORDAN, MN 55352
PHONE: 952/492-6160
VALLEYVIEW OF JORDAN LLC
(30835)
FAX: 952/492-6860
Lim-Liab
MS. ALAINA GAST
COMP
4061 WEST 173RD STREET
JORDAN, MN 55352
PHONE: 952/492-6160
HEART TO HANDS HOME CARE LLC
(20964)
FAX: 952/492-6860
Lim-Liab
MS. ALAINA GAST
BASIC
24365 WEST CEDAR LAKE DRIVE
NEW PRAGUE, MN 56071
PHONE: 952/212-4709
(28134)
FAX: 952/314-8484
MS. JULIE THOMPSON
Minnesota Department of Health
Division of Compliance Monitoring
Page
461
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
SCOTT
(Cont.)* -------------------------
HWSAL
Corp
MALA STRANA ASSISTED LIVING
Registration
999 COLUMBUS AVE N
(30219)
NEW PRAGUE, MN 56071
PHONE: 952/758-2511
FAX: /
MS. DIANE HOLICKY
Corp
MALA STRANA ASSISTED LIVING
COMP
999 COLUMBUS AVE N
(21822)
NEW PRAGUE, MN 56071
PHONE: 952/758-2511
FAX: 952/758-0171
Corp
MALA STRANA HEALTH CARE CTR
MS. DIANE HOLICKY
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. DAWN CHIABOTTI
HOSP-49 BASS-6
CAH-25
301 SECOND STREET NORTHEAST
(00607)
NEW PRAGUE, MN 56071
PHONE: 952/758-8101
MS. MARY KLIMP
FAX: 952/758-2166
Corp
ALWAYS CARING INC
HCP-F
3429 WILDS RIDGE NW
(29487)
PRIOR LAKE, MN 55372
PHONE: 612/812-2349
ASSISTING HANDS OF MINNEAPOLIS
MS. CHARIE DEVOLITES
FAX: /
Lim-Liab
HCP-B
4085 PLEASANT STREET SOUTHEAST
PRIOR LAKE, MN 55372
PHONE: 952/955-9881
ASSURED CARE
(28994)
FAX: 888/483-7250
MR. KALEB VOLD
HWSAL
Corp
14211 FISHER AVENUE NORTHEAST
PRIOR LAKE, MN 55372
PHONE: 952/829-1251
ASSURED CARE
(28731)
FAX: 952/314-1527
Corp
MS. JOAN COLEMAN
COMP
14211 FISHER AVENUE NORTHEAST
PRIOR LAKE, MN 55372
PHONE: 952/250-9410
ASSURED CARE
(29064)
FAX: 952/314-1527
Corp
MS. JOAN COLEMAN
HCP-F
14211 FISHER AVENUE NORTHEAST
PRIOR LAKE, MN 55372
PHONE: 952/250-9410
COMMUNITY ASSISTED LIVING INC
(27091)
FAX: 952/314-1527
Corp
MS. JOAN COLEMAN
HCP-F
16670 FRANKLIN TRAIL SE #120A
PRIOR LAKE, MN 55372
PHONE: 952/440-3955
(20823)
FAX: 952/440-3956
MS. BARBARA CEBALLOS
Minnesota Department of Health
Division of Compliance Monitoring
Page
462
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
COMMUNITY HOME HEALTH INC
Certification
SCOTT
Registration
(Cont.)* -------------------------
HCP/COMP
HHA
16670 FRANKLIN TRAIL SE #120A
(03422)
PRIOR LAKE, MN 55372
PHONE: 952/440-3955
FAX: 952/440-3956
Lim-Liab
KCMG PRIOR LAKE LLC
MS. BARBARA CEBALLOS
HCP-F
4685 PARK NICOLLET AVENUE
(29561)
PRIOR LAKE, MN 55372
PHONE: 952/226-9200
FAX: 952/226-9201
MR. MICHAEL LEWIS
HWS
Lim-Liab
KEYSTONE SENIOR LIVING OF PRIO
4685 PARK NICOLLET AVENUE
(22094)
PRIOR LAKE, MN 55372
PHONE: 612/867-4493
FAX: 952/226-9201
NProf
MCKENNA CROSSING
MR. MICHAEL J. LEWIS
COMP
13810 SHEPHERDS PATH
(29091)
PRIOR LAKE, MN 55379
PHONE: 952/230-3300
MS. NATALIE MORLAND
FAX: 952/230-3301
HWSAL
NProf
MCKENNA CROSSING
13810 SHEPHERDS PATH NW
(25285)
PRIOR LAKE, MN 55379
PHONE: 952/230-3300
MS. MELISSA KIRCHHOFF
FAX: 952/230-3301
Ind
WHITE CROSS HOME & RESIDENTIAL
HCP-A
15870 FRANKLIN TRL SUITE 6
(29176)
PRIOR LAKE, MN 55372
PHONE: 612/462-7984
FAX: /-
MR. HANS MBANGOWAH
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
Corp
NOKOMIS CARE SERVICES INC
MS. HOLLY FELLOWS
TCOMP
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 463
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
Lim-Liab
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
MS. DEBORAH DELANEY
FAX: 952/465-0556
Lim-Liab
TOUCHING LIVES ADULT DAY SERVS
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: 952/402-9832
MS. SUZIE MISEL
FAX: 952/402-9815
Lim-Liab
ALL SAINTS SENIOR LIVING OF SH
COMP
1880 INDEPENDENCE DRIVE
(29508)
SHAKOPEE, MN 55379
PHONE: 952/233-7351
MS. KELLI HALLSTROM
FAX: /
HWS
Lim-Liab
ALL SAINTS SENIOR LIVING OF SH
1880 INDEPENDENCE DRIVE
(29576)
SHAKOPEE, MN 55379
PHONE: 952/233-7351
MS. KELLI HALLSTROM
FAX: /-
HWSAL
NProf
AUGUSTANA EMERALD CREST OF SHA
1855 10TH AVENUE WEST
(21389)
SHAKOPEE, MN 55379
PHONE: 952/856-7522
MS. MARGARET OWENS
FAX: 952/856-7527
AUGUSTANA EMERALD CREST SHAKOP
NProf
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 464
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
SLFA-9
ICFIID-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
SHAKOPEE FRIENDSHIP MANOR
(29780)
MS. KRISTINA MUSA
FAX: 952/657-5800
Corp
NH-80
SNF-NF-80
1340 THIRD AVENUE WEST
SHAKOPEE, MN 55379
PHONE: 952/445-4155
ST FRANCIS REGIONAL MED CENTER
(00820)
FAX: 952/746-5331
Church
MR. BRUCE SALMELA
HOSP-93 BASS-18
HOSP-93
1455 ST FRANCIS AVENUE
SHAKOPEE, MN 55379
PHONE: 952/403-3000
ST GERTRUDES HLTH & REHAB CTR
(00458)
FAX: 952/403-3820
Church
MR. MIKE MCMAHAN
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. RICHARD MEYER
HCP-F
1850 SARAZIN STREET
SHAKOPEE, MN 55379
PHONE: 952/233-4400
THE GARDENS AT ST GERTRUDES
(23871)
FAX: 952/233-4476
MR. LEE LARSON
HWSAL
NProf
1850 SARAZIN STREET
SHAKOPEE, MN 55379
PHONE: 952/233-4400
(30475)
FAX: 952/233-4476
MR. LEE LARSON
Minnesota Department of Health
Division of Compliance Monitoring
Page 465
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
THE JAMES INC
Corp
Certification
SCOTT
Registration
(Cont.)* -------------------------
HCP-A
6965 EDINGTON CIRCLE
SHAKOPEE, MN 55379
PHONE: 952/233-5376
TRUSTED HOME CARE LLC
(23727)
FAX: 952/233-3754
Lim-Liab
MR. JAMES IMASUEN
COMP
100 SOUTH FULLER STREET # 105
SHAKOPEE, MN 55379
PHONE: 952/378-1592
(27121)
FAX: 952/445-2250
MR. CHARLES WELTER
---------------------------**********
SHEPHERD OF GRACE LLC
SHERBURNE
******** -------------------------
HWSAL
Lim-Liab
11175 27TH AVE SE
BECKER, MN 55308
PHONE: 763/262-8000
CENTRA CARE KIDNEY PROGRAM
(24881)
FAX: 763/262-8001
MR. BRUCE GLANZER
ESRD
NProf
16830 198TH AVENUE NW
BIG LAKE, MN 55309
PHONE: 763/263-7300
CHERRYWOOD OF BIG LAKE 171
(03880)
MR. DAVID WALZ
FAX: 763/263-7334
HWSAL
Lim-Liab
171 HENRY ROAD
BIG LAKE, MN 55309
PHONE: 320/257-7445
CHERRYWOOD OF BIG LAKE 177
(28114)
MS. WENDY HULSEBUS
FAX: 320/257-7447
HWSAL
Lim-Liab
177 HENRY ROAD
BIG LAKE, MN 55309
PHONE: 320/257-7445
LIVING WELL POWELL
(28113)
FAX: 320/257-7447
NProf
MS. WENDY HULSEBUS
ICFIID-6
SLFB-6
150 POWELL CIRCLE WEST
BIG LAKE, MN 55309
PHONE: 763/263-6503
SENIOR HELPERS
(01411)
FAX: 763/263-7052
Corp
MS. JULIE OACHS
COMP
171 LAKE STREET NORTH
BIG LAKE, MN 55371
PHONE: 763/262-9966
HAPPY HEARTS HOME HEALTH AGENC
(24954)
FAX: 763/262-9967
Lim-Liab
MR. DENNIS EICHINGER
HCP-A
2615 115TH LANE NW
COON RAPIDS, MN 55433
PHONE: 763/706-7300
(26510)
FAX: 763/241-9185
MS. CYNTHIA ANDERSON
Minnesota Department of Health
Division of Compliance Monitoring
Page 466
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
ACCURATE HOME CARE LLC
Lim-Liab
Certification
SHERBURNE
Registration
(Cont.)* -------------------------
HCP/COMP
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)
FAX: 763/441-3905
MR. JOHN MARIETTI
HWSAL
NProf
13439 185TH LANE NW
ELK RIVER, MN 55330
PHONE: 763/241-7682
GUARDIAN ANGELS BY THE LAKE
(30818)
MS. ANNETTE GREELY
FAX: 763/274-1349
NProf
COMP
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
SNF-NF-120
NH-120
400 EVANS AVENUE
ELK RIVER, MN 55330
PHONE: 763/635-5429
GUARDIAN ANGELS ELIM HOME CARE
(00611)
FAX: 763/241-4444
NProf
MR. DANIEL FAIR
HHA
HCP/COMP
403 MAIN STREET
ELK RIVER, MN 55330
PHONE: 763/241-0654
GUARDIAN ANGELS ELIM HOSPICE
(02670)
FAX: 763/241-0274
NProf
MS. ANDREA JUNG
HSPICE
Hospice
403 MAIN STREET
ELK RIVER, MN 55330
PHONE: 763/241-0654
LAVINE PLACE
(23764)
FAX: 763/241-0274
NProf
MS. LINDA OLSON
ICFIID-6
SLFB-6
11754 191 1/2 AVENUE NORTHWEST
ELK RIVER, MN 55330
PHONE: 763/441-0960
MACGREGOR PLACE
(01631)
FAX: 763/441-3205
NProf
MS. WENDY FOSS
ICFIID-6
SLFB-6
497 GATES AVENUE
ELK RIVER, MN 55330
PHONE: 763/441-6514
(01632)
FAX: 763/441-3109
MS. SHILOH BISBEE
Minnesota Department of Health
Division of Compliance Monitoring
Page
467
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
FAIRVIEW NORTHLAND REG HOSP
NProf
Certification
SHERBURNE
Registration
(Cont.)* -------------------------
HOSP-54 BASS-10
HOSP-54
911 NORTHLAND DRIVE
PRINCETON, MN 55371
PHONE: 763/389-1313
BENEDICT VILLAGE
(00408)
FAX: 763/389-6306
MR. JOHN HERMAN
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)
MR. CHARLES HARRISON
FAX: 320/229-8309
HWSAL
Church
1340 MINNESOTA BLVD SOUTHEAST
ST CLOUD, MN 56304
PHONE: 320/252-0010
BENET PLACE
(20286)
MR. CHARLES HARRISON
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
NATURE'S POINT ASSISTED LIVING
(22066)
MS. LORI NORHEIM
FAX: 320/259-6605
HWSAL
Lim-Liab
1717 UNIVERSITY DRIVE SE
ST CLOUD, MN 56304
PHONE: 320/251-9120
ST BENEDICTS SENIOR COMMUNITY
(21937)
MS. BEVERLY DIRKS
FAX: 320/251-4336
Church
COMP
1810 MINNESOTA BOULEVARD SE
ST CLOUD, MN 56304
PHONE: 320/252-0010
ST BENEDICTS SENIOR COMMUNITY
(20711)
MS. ROBIN THEIS
FAX: 320/654-2351
Church
SNF-2 SNF-NF-195
NH-197
1810 MINNESOTA BOULEVARD SE
ST CLOUD, MN 56304
PHONE: 320/252-0010
ST SCHOLASTICA CONVENT
(00774)
FAX: 320/654-2345
MS. CHRISTINE BAKKE
HWSAL
Church
1845 20TH AVE SE
ST CLOUD, MN 56304
PHONE: 320/251-2225
(30303)
FAX: 320/251-1455
SR. ARDELLA KVAMME
Minnesota Department of Health
Division of Compliance Monitoring
Page 468
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
ST SCHOLASTICA CONVENT
Church
Certification
SHERBURNE
Registration
(Cont.)* -------------------------
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
SNF-NF-77
NH-77
1717 UNIVERSITY DRIVE SE
ST CLOUD, MN 56304
PHONE: 320/251-9120
TALAHI NURSING AND REHAB CTR
(00614)
FAX: 320/251-4336
Lim-Liab
MS. LISA UDY
HCP-F
1717 UNIVERSITY DRIVE SE
ST CLOUD, MN 56304
PHONE: 320/251-9120
(20550)
FAX: 320/251-4336
MS. HOLLY HACKETT
---------------------------**********
GOLDEN HEARTS INC
Corp
SIBLEY
******** -------------------------
COMP
602 MARION DRIVE
ARLINGTON, MN 55307
PHONE: 507/964-2111
GOLDEN HEARTS INC
(20902)
MS. LAURA KICKER
FAX: 507/964-5165
HWSAL
Corp
602 MARION DRIVE
ARLINGTON, MN 55307
PHONE: 507/964-2111
GOOD SAM SOCIETY ARLINGTON
(30828)
MS. LAURA KICKER
FAX: 507/964-5165
NProf
NH-35
SNF-NF-35
411 SEVENTH AVENUE NW
ARLINGTON, MN 55307
PHONE: 507/964-2251
GOOD SAMARITAN SOCIETY - FAIRV
(00617)
FAX: 507/964-2255
NProf
MS. TERESA HILDEBRANDT
HCP-F
409 7TH AVENUE NW
ARLINGTON, MN 55307
PHONE: 507/964-5156
GOOD SAMARITAN SOCIETY - FAIRV
(25120)
MR. DONALD ALEXANDER
FAX: 507/964-2255
HWSAL
NProf
409 7TH AVENUE NW
ARLINGTON, MN 55307
PHONE: 507/964-5156
HIGH ISLAND CREEK RES
(30635)
MS TIFFANY BROCKHOFF
FAX: 507/964-2255
NProf
ICFIID-13
SLFA-13
708 CHESTNUT DRIVE
ARLINGTON, MN 55307
PHONE: 507/964-5984
(01313)
FAX: 507/964-5661
MS. SUSAN BIENFANG
Minnesota Department of Health
Division of Compliance Monitoring
Page 469
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
SIBLEY
(Cont.)* -------------------------
RHC
NProf
RIDGEVIEW ARLINGTON CLINIC
Registration
607 WEST CHANDLER
(22177)
ARLINGTON, MN 55307
PHONE: 507/964-2285
FAX: /-
DR. JOHN VENER
NProf
RIDGEVIEW SIBLEY HOME CARE
HCP/COMP
HHA
601 WEST CHANDLER
(03336)
ARLINGTON, MN 55307
PHONE: 507/964-2271
FAX: 507/964-5256
NProf
RIDGEVIEW SIBLEY MEDICAL CTR
MR. TODD SANDBERG
HOSP-20
CAH-20
601 WEST CHANDLER
(00618)
ARLINGTON, MN 55307
PHONE: 507/964-2271
FAX: 507/964-8495
Lim-Liab
OAK TERRACE HEALTH CARE CENTER
MR. TODD SANDBERG
NH-46
SNF-NF-46
640 THIRD STREET
(00619)
GAYLORD, MN 55334
PHONE: 507/237-2911
MS. DEBORAH BARNES
FAX: 507/237-5744
Lim-Liab
OAK TERRACE SENIOR HOUSING OF
COMP
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
FAX: 507/237-5744
MS. CINDY GERHOLZ
RHC
NProf
RIDGEVIEW GAYLORD CLINIC
315 4TH STREET
(22178)
GAYLORD, MN 55334
PHONE: 507/237-5523
SIBLEY COUNTY PH & HUMAN SERVS
FAX: /-
DR. JOHN VENER
Cnty
HCP/COMP
HHA
111 EIGHTH STREET PO BOX 237
GAYLORD, MN 55334
PHONE: 507/237-4000
SOUTHVIEW LIVING CENTER LLC
(02095)
FAX: 507/237-4031
Lim-Liab
MS. VICKI STOCK
HCP-F
555 EAST 12TH STREET
GIBBON, MN 55335
PHONE: 507/834-6510
SOUTHVIEW LIVING CENTER LLC
(22547)
FAX: 507/834-6511
MS. MAVIS PAUTZ
HWSAL
Lim-Liab
555 EAST 12TH STREET
GIBBON, MN 55335
PHONE: 507/834-6510
(30299)
FAX: 507/834-6511
MS. MAVIS PAUTZ
Minnesota Department of Health
Division of Compliance Monitoring
Page
470
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
SIBLEY
(Cont.)* -------------------------
RHC
Cnty
RIDGEVIEW HENDERSON CLINIC
Registration
505 MAIN STREET
(23978)
HENDERSON, MN 56044
PHONE: 507/248-3433
FAX: /
MR. JASON DOUGLAS
NProf
GOOD SAM SOCIETY WINTHROP
NH-37
SNF-NF-37
506 HIGH STREET
(00961)
WINTHROP, MN 55396
PHONE: 507/647-5391
FAX: 507/647-2035
MS. TERESA HILDEBRANDT
RHC
NProf
RIDGEVIEW WINTHROP CLINIC
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: 507/647-3980
MS. TERESA HILDEBRANDT
FAX: 507/647-3982
NProf
THE LODGE OF WINTHROP
COMP
204 SOUTH COUNTY ROAD 33
(29860)
WINTHROP, MN 55396
PHONE: 507/647-5391
MS. LORI BUSSLER
FAX: 507/647-2035
---------------------------**********
NProf
ALBANY AREA HOME HEALTH
STEARNS
******** --------------------------
HCP/COMP
HHA
161 4TH STREET SUITE B
(28603)
ALBANY, MN 563078356
PHONE: 320/845-2440
FAX: 320/845-2449
MR. JASON WESENBERG
RHC
NProf
ALBANY AREA HOSP ALBANY CLINIC
320 THIRD AVENUE NORTH
(03527)
ALBANY, MN 56307
PHONE: 320/845-2157
ALBANY AREA HOSPICE
FAX: /-
MS. SANDRA DAY
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. MELISSA FISCHER-INTERIM
HOSP-17 BASS-2
300 THIRD AVENUE
ALBANY, MN 56307
PHONE: 320/845-2121
(00622)
FAX: 320/845-6127
MS. TRESSA SCHMIDT
CAH-17
Minnesota Department of Health
Division of Compliance Monitoring
Page 471
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
STEARNS
(Cont.)* -------------------------
HWS
NProf
MERCY MANOR II
Registration
332 GOLF VIEW DRIVE
(24638)
ALBANY, MN 56307
PHONE: 320/845-2969
FAX: 320/845-7006
MS. SUE WICHMAN
HWS
NProf
MERCY MANOR INC
334 GOLF VIEW DRIVE
(21556)
ALBANY, MN 56307
PHONE: 320/845-2969
FAX: 320/845-7006
NProf
MOTHER OF MERCY CAMPUS OF CARE
MS. SUE WICHMAN
NH-76
SNF-NF-76
230 CHURCH STREET BOX 676
(00634)
ALBANY, MN 56307
PHONE: 320/845-2195
FAX: 320/845-7092
MR. DEAN MCDEVITT
HWSAL
NProf
MOTHER OF MERCY CAMPUS OF CARE
230 CHURCH AVENUE PO BOX 676
(30461)
ALBANY, MN 56307
PHONE: 320/845-2195
MS. SUE WICHMAN
FAX: 320/845-7092
NProf
MOTHER OF MERCY CAMPUS OF CARE
COMP
230 CHURCH AVENUE PO BOX 676
(20265)
ALBANY, MN 56307
PHONE: 320/845-2195
MR. DEAN MCDEVITT
FAX: 320/845-7092
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)
FAX: 320/254-8238
MR. PHILIP LORD
RHC
NProf
111 PLEASANT AVENUE, PO BOX 69
BROOTEN, MN 56316
PHONE: 320/346-2272
ASSUMPTION COURT
(28052)
FAX: 320/346-2273
MS. RACHEL WAGNER
HWS
NProf
615 NORTH FIRST STREET
COLD SPRING, MN 56320
PHONE: 320/685-4110
ASSUMPTION HEALTH SERVICES
(30552)
FAX: 320/685-3401
NProf
MS. JAN LUTHENS
COMP
615 NORTH FIRST STREET
COLD SPRING, MN 56320
PHONE: 320/685-4110
(20324)
FAX: 320/685-3401
MS. JANNETTE LUTHENS
Minnesota Department of Health
Division of Compliance Monitoring
Page 472
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Church
ASSUMPTION HOME
Certification
STEARNS
Registration
(Cont.)* -------------------------
NH-82
SNF-NF-82
715 NORTH FIRST STREET
(00624)
COLD SPRING, MN 56320
PHONE: 320/685-3693
FAX: 320/685-7044
NProf
ASSUMPTION HOME CARE
MS. JAN LUTHENS
HCP/COMP
HHA
615 NORTH FIRST STREET
(26118)
COLD SPRING, MN 56320
PHONE: 320/685-4110
FAX: 320/685-3401
MS. JANNETTE LUTHENS
HWS
NProf
JOHN PAUL APARTMENTS
200 EIGHTH AVENUE NORTH
(21670)
COLD SPRING, MN 56320
PHONE: 320/685-4429
FAX: 320/685-7300
Lim-Liab
HYATT HOUSE LLC
MS. LAURA SAKRY
HCP-F
231 WASHINGTON ST PO BOX 10
(24162)
HOLDINGFORD, MN 56340
PHONE: 320/746-9902
MS. ANNETTE JUNES
FAX: 320/746-9912
HWSAL
Lim-Liab
HYATT HOUSE LLC
231 WASHINGTON ST - PO BOX 10
(28686)
HOLDINGFORD, MN 56340
PHONE: 320/746-9902
MS. ANNETTE JUNES
FAX: 320/746-9912
ESRD
test
LAC MIL DIALYSIS
243 WEST ISLE STREET
(31352)
ISLE, MN 56342
PHONE: 320/676-3593
FAX: 320/373-3918
MS. COURTNEY JENNE
HWSAL
Corp
HERITAGE HOUSE OF KIMBALL
260 MAGNUS JOHNSON STREET N
(22788)
KIMBALL, MN 55353
PHONE: 320/398-8643
FAX: 320/398-8645
NProf
CENTRACARE HEALTH SYS MELROSE
MR. JAMES BIRCHEM
NH-75 HOSP-28 BASS-6
SNF-NF-75 CAH-25
525 MAIN STREET WEST
(00633)
MELROSE, MN 56352
PHONE: 320/256-1761
FAX: 320/256-1814
CENTRACARE HEALTH SYSM MELROSE
MR. GERRY GILBERTSON
RHC
NProf
525 WEST MAIN STREET
MELROSE, MN 56352
PHONE: 320/256-4228
CENTRACARE MELROSE PARK VIEW
(27995)
FAX: 320/256-7106
MS. JULIA DRAXTEN
HWSAL
NProf
125 NORTH 5TH AVE WEST
MELROSE, MN 56352
PHONE: 320/256-1808
(30388)
FAX: 320/256-4949
MS. BERTHA HARTUNG
Minnesota Department of Health
Division of Compliance Monitoring
Page 473
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
CENTRACARE MELROSE PARK VIEW
Certification
STEARNS
Registration
(Cont.)* -------------------------
COMP
125 5TH AVE NW
(23480)
MELROSE, MN 56352
PHONE: 320/256-1808
FAX: 320/256-4949
Ind
JOANN TSCHIDA
MS. BERTHA HARTUNG
HCP-C
43466 SUNSET BEACH ROAD
(27364)
MELROSE, MN 56352
PHONE: 320/836-2327
FAX: /-
MS. JOANN TSCHIDA
NProf
LUTHERAN SOCIAL SERVICE OF MIN
COMP
16 FIRST STREET SE
(23561)
MELROSE, MN 56352
PHONE: 320/759-1670
FAX: 320/759-1671
MS. HEIDI REISDORF
HWS
Lim-Liab
OAK RIDGE MANOR
20 NORTH NINTH AVE EAST
(21996)
MELROSE, MN 56352
PHONE: 320/493-1710
MS. LISA MARVIN
FAX: 320/255-5128
HWS
HRA
ROSE VIEW MANOR
16 FIRST STREET SE
(21988)
MELROSE, MN 56352
PHONE: 320/256-4600
MR. MELVIN ROEHRL
FAX: /
Lim-Liab
TREE OF LIFE ASISTED LIVING LL
COMP
632 MAIN STREET
(30306)
NEW MUNICH, MN 56356
PHONE: 320/837-5100
FAX: 320/837-5050
MS. TINA VALERIUS
HWSAL
Lim-Liab
TREE OF LIFE ASSISTED LIVING
632 MAIN ST
(30392)
NEW MUNICH, MN 56357
PHONE: 320/837-5100
CENTRACARE HEALTH PAYNESVILLE
FAX: /
MS. TINA VALERIUS
Lim-Liab
NH-52 HOSP-30 BASS-6
SNF-NF-52 CAH-25
200 WEST FIRST STREET
PAYNESVILLE, MN 56362
PHONE: 320/243-3767
STEARNS PLACE
(00636)
FAX: 320/243-6707
MR. DENNIS MILEY
HWSAL
Lim-Liab
701 STEARNS AVENUE
PAYNESVILLE, MN 56362
PHONE: 320/243-7750
WASHBURNE COURT
(24204)
FAX: 320/243-7930
MS. LYNDA FRENCHICK
HWSAL
Lim-Liab
311 WASHBURNE AVENUE
PAYNESVILLE, MN 56362
PHONE: 320/243-7451
(30226)
FAX: 320/243-3764
MS. LYNDA FRENCHICK
Minnesota Department of Health
Division of Compliance Monitoring
Page 474
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
STEARNS
Registration
(Cont.)* -------------------------
Lim-Liab
WASHBURNE COURT
311 WASHBURNE AVENUE
(00631)
PAYNESVILLE, MN 56362
PHONE: 320/243-7451
FAX: 320/243-3764
MS. ANNETTE GREELY
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
Out Pt Out Ot
Corp
NOVACARE REHABILITATION
2251 CONNECTICUT AVENUE
(03724)
SARTELL, MN 55377
PHONE: 763/295-6878
THE LEGENDS AT HERITAGE PLACE
MS. LISA LAUBACH
FAX: /
HWSAL
Corp
673 BRIANNA DRIVE
SARTELL, MN 56377
PHONE: 320/281-3343
THE LEGENDS AT HERITAGE PLACE
(30709)
MR. DEAN BLOEMKE
FAX: 320/281-3512
HWSAL
Corp
677 BRIANNA DRIVE
SARTELL, MN 56377
PHONE: 320/281-3343
WELCOME HOME HEALTH CARE INC
(26585)
MR. DEAN BLOEMKE
FAX: 320/281-3512
Corp
HCP-F
677 BRIANNA DRIVE
SARTELL, MN 56377
PHONE: 320/281-3343
ALTERNATIVE SENIOR CARE INC
(28073)
MR. JACOB WORK
FAX: 320/281-3511
Corp
HCP-B
601 SINCLAIR LEWIS AVENUE
SAUK CENTRE, MN 56378
PHONE: 320/352-3350
ALTERNATIVE SENIOR CARE INC
(26947)
FAX: 320/323-4398
MS. CYNTHIA KARASCH
Home Mgmt
Corp
601 SINCLAIR LEWIS AVENUE
SAUK CENTRE, MN 56378
PHONE: 320/352-3350
(23973)
FAX: 320/323-4398
MS. CYNTHIA KARASCH
Minnesota Department of Health
Division of Compliance Monitoring
Page
475
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
CEDAR COVE ASSISTED LIVING
Lim-Liab
Certification
STEARNS
Registration
(Cont.)* -------------------------
COMP
21596 CEDAR LAKE ROAD
SAUK CENTRE, MN 56378
PHONE: 320/732-1939
CENTRACARE CLINIC-SAUK CENTRE
(28802)
FAX: 320/732-1087
MS. TAMMY BRUDER
RHC
Corp
433 ELM STREET NORTH
SAUK CENTRE, MN 56378
PHONE: 320/352-6591
CENTRACARE HEALTH SYSTEM
(27960)
FAX: 320/352-5164
NProf
MS. MICHELE FISCHER
NH-60 HOSP-28 BASS-8
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/COMP
HHA
432 OAK ST N
SAUK CENTRE, MN 56378
PHONE: 320/352-2221
CENTRACARE SAUK CENTRE HOSPICE
(02517)
MS. ANDREA BAILEY-INTERIM
FAX: 320/351-1728
NProf
Hospice
HSPICE
425 NORTH ELM STREET
SAUK CENTRE, MN 56378
PHONE: 320/352-2221
FAIRWAY PINES SENIOR LIVING CO
(02575)
MS. ANDREA BAILEY-INTERIM
FAX: 320/351-1728
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
COMP
606 MAIN STREET NORTH
SAUK CENTRE, MN 56378
PHONE: 320/351-4900
GETTY STREET ASSISTED LIVING
(26205)
FAX: 320/351-4903
MS. JILL NIEHAUS
HWSAL
Corp
1214 GETTY STREET SOUTH
SAUK CENTRE, MN 56378
PHONE: 320/351-4333
GETTY STREET ASSISTED LIVING
(30493)
FAX: 320/351-4335
Corp
MS. MARY JO MARTHALER
COMP
1214 GETTY STREET SOUTH
SAUK CENTRE, MN 56378
PHONE: 320/351-4333
RIVERVIEW MANOR/SAUK CENTRE HR
(24072)
FAX: 320/351-4335
MS. MARY MARTHALER
HWS
HRA
407 NORTH 1ST STREET
SAUK CENTRE, MN 56378
PHONE: 320/352-2311
(21153)
FAX: 320/352-2726
MS. JULIE SIEBEN
Minnesota Department of Health
Division of Compliance Monitoring
Page
476
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
STEARNS
(Cont.)* -------------------------
Home Mgmt
Lim-Liab
CONTENT SENIOR CARE LLC
Registration
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
FAX: 320/240-7962
MR. JOSEPH BAUER
Home Mgmt
Corp
ARISE HOME HEALTH CARE
2907 CLEARWATER ROAD
(25428)
ST CLOUD, MN 56301
PHONE: 320/281-2301
FAX: 320/281-2312
Lim-Liab
ARISE HOME HEALTH CARE
MS. SUE CHRISTENSEN
HCP-A
2907 CLEARWATER ROAD
(24350)
ST CLOUD, MN 56301
PHONE: 320/230-6348
MR. JAY VACHAL
FAX: 320/281-2310
NProf
CENTRACARE HEALTH HOME CARE
HCP/COMP
HHA
2035 15TH STREET NO SUITE 110
(02185)
ST CLOUD, MN 56303
PHONE: 320/259-9375
MS. KRISTEN HUSEN
FAX: 320/240-3266
NProf
CENTRACARE HEALTH HOSPICE
Hospice
HSPICE
2035 15TH STREET NORTH STE 110
(02255)
ST CLOUD, MN 56303
PHONE: 320/259-9375
FAX: 320/240-3266
MS. KRISTY HUSEN
ESRD
NProf
CENTRACARE KIDNEY PROGRAM
2035 15TH STREET N STE 210
(02410)
ST CLOUD, MN 56303
PHONE: 320/240-7808
FAX: 320/240-7840
MR. DAVID WALZ
Amb Surg
Lim-Liab
CENTRACARE SURGERY CTR LLC
1900 CENTRACARE CIRCLE
(24819)
ST CLOUD, MN 56303
PHONE: 320/229-4997
FAX: 320/229-5198
MS. DIANE BUSCHENA-BRENNA
CMHC
NProf
CENTRAL MN MENTAL HLTH CENTER
1321 NORTH 13TH STREET
(02771)
ST CLOUD, MN 56303
PHONE: 320/252-5010
CHERRYWOOD OF ST CLOUD 1030
FAX: /
DR. CHARLES JOHNSTON, JR.
HWSAL
Part
1030 VOYAGEUR STREET
ST CLOUD, MN 56301
PHONE: 320/257-7445
(28983)
FAX: 320/257-7447
MS. WENDY HULSEBUS
Minnesota Department of Health
Division of Compliance Monitoring
Page 477
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
CHERRYWOOD OF ST CLOUD1036
Certification
STEARNS
Registration
(Cont.)* -------------------------
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
HEALTHNORTH HOME CARE INC
(01178)
FAX: 320/529-1976
Corp
MS. LORI SCHMIDT
HCP-A
1320 NORTH 32ND AVE STE 140
ST CLOUD, MN 56303
PHONE: 320/260-5280
MARY CLARE OLSON AGENCY
(26011)
MR. JAY JOHNSON
FAX: 320/281-5317
Ind
HCP-A
5417 GARDEN HILLS LANE
ST CLOUD, MN 56301
PHONE: 320/259-8957
MEDICAL SOLUTIONS HOME CARE IN
(21207)
MS. MARY OLSON
FAX: 320/245-8589
Corp
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: 320/251-2938
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/COMP
HHA
3400 1ST STREET N
ST CLOUD, MN 56303
PHONE: 320/259-7045
REM CENTRAL LAKES INC FERNWOOD
(02312)
FAX: 320/259-7044
Corp
MS. ASHLEY GARDING
SLFB-24
ICFIID-24
1775 ROOSEVELT ROAD
ST CLOUD, MN 56301
PHONE: 320/259-6022
(01514)
FAX: 320/259-6076
MR. PATRICK MASYGA
Minnesota Department of Health
Division of Compliance Monitoring
Page
478
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
STEARNS
(Cont.)* -------------------------
HWSAL
Lim-Liab
SKYLIGHT GARDENS
Registration
501 1ST STREET NORTH
(20347)
ST CLOUD, MN 56303
PHONE: 320/259-4584
FAX: 320/259-6159
Corp
SPOT REHABILITATION INC
MS. MICHELLE MACE
HCP/COMP
HHA
2835 WEST ST GERMAIN ST #300
(03058)
ST CLOUD, MN 56301
PHONE: 320/259-4151
FAX: 320/259-5707
MS. ROBBIE HOLEN
Out Ot
Corp
SPOT REHABILITATION INC
2835 WEST ST GERMAIN ST #300
(02786)
ST CLOUD, MN 56301
PHONE: 320/259-4151
FAX: 320/259-5707
Lim-Liab
ST CLOUD CTR OPHTHALMIC SURG
MS. ELIZABETH STIENESSEN
Outpt Surg
Amb Surg
2055 15TH STREET NORTH SUITE B
(21628)
ST CLOUD, MN 56303
PHONE: 320/258-6620
MS. SALLY JOHNSON
FAX: 320/258-6622
Church
ST CLOUD HOSPITAL
HOSP-489 BASS-40
HOSP-469 PPS-R-20
1406 SIXTH AVENUE NORTH
(00639)
ST CLOUD, MN 56303
PHONE: 320/255-5661
MR. CRAIG BROMAN
FAX: 320/656-7099
Part
ST CLOUD SURGERY CTR
Outpt Surg
Amb Surg
1526 NORTHWAY DRIVE
(00837)
ST CLOUD, MN 56303
PHONE: 320/251-8385
FAX: 320/229-3240
Corp
VISITING ANGELS
MS. JEANETTE STACK
COMP
1705 WEST ST GERMAIN STREET
(28912)
ST CLOUD, MN 56301
PHONE: 320/230-1140
FAX: 320/230-1142
MR. ANDREW TRELSTAD
HWSAL
Corp
ARLINGTON PLACE
21 16TH AVENUE SOUTHEAST
(30726)
ST JOSEPH, MN 56374
PHONE: 320/363-1313
FAX: 320/363-1021
Corp
ARLINGTON PLACE
MS. KAREN HENNESSY
COMP
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
Minnesota Department of Health
Division of Compliance Monitoring
Page 479
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
BAYADA PEDIATRICS
Corp
Certification
STEARNS
Registration
(Cont.)* -------------------------
HCP/COMP
HHA
110 SECOND STREET S SUITE 306
WAITE PARK, MN 56387
PHONE: 320/251-0668
COMFORT KEEPERS
(27706)
FAX: 320/251-0680
Corp
MS. ERICA KJENSTAD
COMP
50 10TH AVENUE SOUTH
WAITE PARK, MN 56387
PHONE: 320/230-9939
HOME INSTEAD SENIOR CARE
(23629)
FAX: 320/230-9941
Corp
MS. SUE THORSON
COMP
406 GREAT OAK DRIVE
WAITE PARK, MN 56387
PHONE: 320/258-3055
PARK GARDENS APARTMENTS
(28492)
FAX: 320/656-5229
MR. DANIEL ARNOLD
HWSAL
Lim-Liab
114 NORTH FIRST STREET
WAITE PARK, MN 56387
PHONE: 320/252-7224
SAVING GRACE HOME HEALTH LLC
(24102)
MS. HEATHER POTTER
FAX: 320/252-5629
Lim-Liab
HHA
HCP/COMP
54 10TH AVENUE SOUTH
WAITE PARK, MN 56387
PHONE: 320/257-6013
STERLING PARK COMMONS
(27693)
MS. SUSAN THORSON
FAX: 320/230-9941
HWSAL
Lim-Liab
35 1ST AVENUE NORTH
WAITE PARK, MN 56387
PHONE: 320/252-9595
STERLING PARK COMMONS
(30719)
FAX: 320/252-5629
Lim-Liab
MS. HEATHER POTTER
HCP-F
35 1ST AVENUE NORTH
WAITE PARK, MN 56387
PHONE: 320/252-7224
STERLING PARK HCC
(20596)
FAX: 320/252-5629
Corp
MS. MALLORY FABER
SNF-NF-53
NH-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
HCP-F
705 2ND AVENUE SOUTH
WAITE PARK, MN 56387
PHONE: 320/230-6613
(25193)
FAX: 320/240-2890
---------------------------**********
MS. AMBER TOBIN
STEELE
******** -------------------------
Minnesota Department of Health
Division of Compliance Monitoring
Page 480
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
HEATHER HAUS
NProf
Certification
STEELE
Registration
(Cont.)* -------------------------
COMP
223 4TH STREET NW
BLOOMING PRAIRIE, MN 55917
PHONE: 507/583-7399
HEATHER HAUS
(27084)
FAX: 507/583-2401
MR. JAMES BROICH
HWSAL
NProf
223 4TH STREET NW
BLOOMING PRAIRIE, MN 55917
PHONE: 507/583-7399
PRAIRIE MANOR CARE CENTER
(30673)
FAX: 507/583-2401
NProf
MR. RICHARD FEENEY
NH-52
SNF-NF-52
220 THIRD STREET NORTHWEST
BLOOMING PRAIRIE, MN 55917
PHONE: 507/583-4434
WHISPERING OAK
(00650)
FAX: 507/583-2401
MR. RICHARD FEENEY
HWSAL
Lim-Liab
903 CALVERLY COURT
ELLENDALE, MN 56026
PHONE: 507/684-3026
WHISPERING OAK PROPERTIES LLC
(30599)
MS. KIM WORRALL
FAX: 505/684-3194
Lim-Liab
HCP-F
903 CALVERLY COURT
ELLENDALE, MN 56026
PHONE: 507/684-3026
MEDFORD SENIOR CARE LLC
(24982)
MS. MARYANN SCHLAAK
FAX: 505/684-3194
Lim-Liab
COMP
108 THIRD STREET NE
MEDFORD, MN 55049
PHONE: 507/214-3344
MEDFORD SENIOR CARE LLC
(29745)
MR. DEL SPRONK
FAX: 507/214-3345
HWSAL
Lim-Liab
108 THIRD STREET NE
MEDFORD, MN 55049
PHONE: 507/214-3344
ALL GENERATIONS HOME CARE INC
(29746)
MR. DEL SPRONK
FAX: 507/214-3345
Home Mgmt
Corp
135 W MAIN STREET SUITE G
OWATONNA, MN 55060
PHONE: 507/214-8007
ALLINA HLTH HSPCE & PALLITV CA
(25452)
MS. LORI MORTENSEN
FAX: 507/214-8010
NProf
RES-HSPICE-8
18-HOSPICE-
2350 26TH STREET NW
OWATONNA, MN 55060
PHONE: 651/635-9173
CEDARDALE HOMES INC
(02836)
FAX: 651/628-2999
Corp
MS. GLORIA CADE
SLFB-16
ICFIID-16
285 CEDARDALE DRIVE
OWATONNA, MN 55060
PHONE: 507/451-5327
(01408)
FAX: 507/451-5354
MR. MICHAEL FULLER
Minnesota Department of Health
Division of Compliance Monitoring
Page 481
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
CLARE BRIDGE OF OWATONNA
Certification
STEELE
Registration
(Cont.)* -------------------------
COMP
364 CEDARDALE DRIVE SE
(20851)
OWATONNA, MN 55060
PHONE: 507/446-8600
FAX: 507/446-8601
MS. SHAWN MCNULTY
HWSAL
Corp
CLARE BRIDGE OF OWATONNA
364 CEDARDALE DRIVE SE
(30823)
OWATONNA, MN 55060
PHONE: 507/446-8600
FAX: 507/446-8601
MS. SHAWN MCNULTY
HWSAL
NProf
COUNTRY SIDE CATERED SR LIVING
650 EL DORADO STREET
(30584)
OWATONNA, MN 55060
PHONE: 507/446-8334
MS. CHRISTI CARTER
FAX: 507/446-4059
NProf
COUNTRYSIDE CATERED SENIOR LIV
COMP
650 EL DORADO STREET
(24682)
OWATONNA, MN 55060
PHONE: 507/446-8334
MR. JAMES GROSS
FAX: 507/446-4059
Ind
JULIE SUMMY
COMP
1802 NORTH CEDAR
(21579)
OWATONNA, MN 55060
PHONE: 507/451-3410
KODA LIVING COMMUNITY
MS. JULIE SUMMY
FAX: /-
NProf
SNF-NF-79
NH-79
2255 30TH STREET NW
OWATONNA, MN 55060
PHONE: 507/444-4200
MAYO CLINIC OWATONNA
(00644)
MR. DAVID VANDERGON
FAX: 507/449-4944
ESRD
NProf
2200 NORTHWEST 26TH STREET
OWATONNA, MN 55060
PHONE: 507/446-5112
OWATONNA CARE CENTER
(02827)
FAX: 507/446-5130
Lim-Liab
MR. BRAD WICK
NH-55
SNF-NF-43 NF1-12
201 SW 18TH ST
OWATONNA, MN 55060
PHONE: 507/451-6800
OWATONNA HOSPITAL
(00649)
FAX: 507/451-6087
NProf
MS. SHELLEY SOLBERG
HOSP-43 BASS-16
2250 26TH STREET NORTHWEST
OWATONNA, MN 55060
PHONE: 507/977-2323
PARK PLACE SENIOR LIVING
(00986)
FAX: 507/977-2335
NProf
MR. DAVID ALBRECHT
COMP
125 EAST PARK STREET
OWATONNA, MN 55060
PHONE: 507/451-0808
(21085)
FAX: 507/446-8116
MR. DAVID VANDERGON
HOSP-33 PPS-P-10
Minnesota Department of Health
Division of Compliance Monitoring
Page
482
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
PARK PLACE SENIOR LIVING
Certification
STEELE
Registration
(Cont.)* -------------------------
HWSAL
NProf
125 EAST PARK STREET
OWATONNA, MN 55060
PHONE: 507/451-0808
REM WOODVALE INC ADAMS
(30686)
FAX: 507/446-8116
Corp
MS. SUSAN DOTY
SLFA-6
ICFIID-6
592 ADAMS AVENUE
OWATONNA, MN 55060
PHONE: 507/451-1296
REM WOODVALE INC MAPLE CREEK
(01439)
FAX: 507/451-1349
Corp
MR. PATRICK MASYGA
SLFB-6
ICFIID-6
2397 HADDONSTONE LANE NE
OWATONNA, MN 55060
PHONE: 507/433-7301
STEELE COUNTY PHNS
(26923)
FAX: 507/433-4597
Cnty
MR. PATRICK MASYGA
HCP/COMP
HHA
BOX 890 635 FLORENCE AVENUE
OWATONNA, MN 55060
PHONE: 507/444-7650
STERLING HOUSE OF OWATONNA
(02043)
MS. AMBER AASETH
FAX: 507/444-7668
HWSAL
Corp
334 CEDARDALE DRIVE
OWATONNA, MN 55060
PHONE: 507/451-6914
STERLING HOUSE OF OWATONNA
(30559)
MS. SHAWN MCNULTY
FAX: 507/451-7083
Corp
COMP
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
2480 ST PAUL ROAD
OWATONNA, MN 55060
PHONE: 507/446-5855
THE BROOKS ON ST PAUL
(20975)
FAX: 507/446-5858
MR. JAMES GROSS
HWSAL
NProf
2480 ST PAUL ROAD
OWATONNA, MN 55060
PHONE: 507/446-5855
TRADITIONS OF OWATONNA
(30837)
FAX: 507/446-5858
Lim-Liab
MS. AMANDA BEAVENS
COMP
195 24TH PLACE NW
OWATONNA, MN 55060
PHONE: 507/455-0700
TRADITIONS OF OWATONNA
(24247)
FAX: 507/583-0011
MS. DIEDRA BURKE
HWSAL
Lim-Liab
195 24TH PLACE NW
OWATONNA, MN 55060
PHONE: 507/455-0700
(30519)
FAX: 507/583-0011
MS. DEIDRA BURKE
Minnesota Department of Health
Division of Compliance Monitoring
Page
483
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
TRADITIONS OF OWATONNA II
Certification
STEELE
Registration
(Cont.)* -------------------------
COMP
150 24TH STREET NE
(25424)
OWATONNA, MN 55060
PHONE: 507/451-0433
FAX: 507/583-0011
MS. DEIDRA BURKE
HWSAL
Lim-Liab
TRADITIONS OF OWATONNA II LLC
150 24TH STREET NE
(30580)
OWATONNA, MN 55060
PHONE: 507/451-0433
FAX: 507/583-0011
Lim-Liab
VALLEYVIEW OF OWATONNA LLC
MS DEIDRA BURKE
COMP
1212 FRONTAGE ROAD/N I35
(25301)
OWATONNA, MN 55060
PHONE: 507/451-0722
FAX: 507/455-3731
MRS. KRISTIN SURDY
HWSAL
Lim-Liab
VALLEYVIEW OF OWATONNA LLC
1212 WEST FRONTAGE ROAD I-35
(25302)
OWATONNA, MN 55060
PHONE: 507/451-0722
MRS. KRISTIN SURDY
FAX: 507/455-3731
Lim-Liab
VISITING ANGELS
COMP
577 STATE AVENUE #3
(27787)
OWATONNA, MN 55060
PHONE: 507/451-1124
MR. BRYCE WAHL
FAX: 507/451-1930
NProf
WEST HILLS LODGE
SLFA-15
545 FLORENCE AVENUE
(01206)
OWATONNA, MN 55060
PHONE: 507/451-1172
FAX: 507/451-5701
MS. JODY YOUNGER
---------------------------**********
STEVENS
RHC
NProf
ESSENTIA HEALTH CHOKIO CLINIC
******** -------------------------
101 MAIN STREET
(03720)
CHOKIO, MN 56221
PHONE: 320/324-7500
HOME CARE SERVICE OPTIONS
FAX: /-
MR. TODD HOWELL
NProf
COMP
1100 COURT DRIVE
MORRIS, MN 56267
PHONE: 320/589-4663
RAVENWOOD HOME
(26184)
FAX: 320/585-6162
NProf
MS. DANIELLE LESMEISTER
SLFB-6
ICFIID-6
605 WEST SIXTH STREET
MORRIS, MN 56267
PHONE: 320/589-2057
(01662)
FAX: 320/589-0462
MS. JUDY RICHARDS
Minnesota Department of Health
Division of Compliance Monitoring
Page
484
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
STEVENS
(Cont.)* -------------------------
ESRD
NProf
SANFORD DIALYSIS MORRIS
Registration
400 EAST 1ST STREET
(21529)
MORRIS, MN 56267
PHONE: 320/589-2832
SKYVIEW COURT
FAX: /
MS. WANDA BORCHERT
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: 320/589-4582
STEVENS COMMUNITY MED CENTER
(26356)
FAX: 320/585-6162
NProf
MS. DANIELLE LESMEISTER
HOSP-54 BASS-5
CAH-25
400 EAST FIRST STREET
MORRIS, MN 56267
PHONE: 320/589-1313
STEVENS COMMUNITY MEDICAL CENT
(00653)
MR. JOHN RAU
FAX: 320/589-1065
HWS
NProf
409 EAST FIRST STREET
MORRIS, MN 56267
PHONE: 320/585-5133
WEST WIND VILLAGE
(21272)
MS. NIKKI RATHS
FAX: 320/585-5971
NProf
NH-80
SNF-NF-80
1001 SCOTTS AVENUE
MORRIS, MN 56267
PHONE: 320/589-1133
(00654)
FAX: 320/589-7955
MR. MICHAEL SYLTIE
---------------------------**********
APPLE RIDGE ESTATES
SWIFT
******** -------------------------
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/COMP
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
(29114)
FAX: 320/289-1585
MR. JEFFREY COOK
Minnesota Department of Health
Division of Compliance Monitoring
Page
485
Directory of Facilities and Services
Facility/Service
Owner
Licensure
Certification
SWIFT
---------------------------**********
City
APPLETON MUNICIPAL HOSPITAL
Registration
(Cont.)* -------------------------
NH-50 HOSP-15 BASS-1
SNF-NF-50 CAH-15
30 SOUTH BEHL STREET
(00655)
APPLETON, MN 56208
PHONE: 320/289-2422
FAX: 320/289-2764
MR. JEFFREY COOK
HWSAL
Corp
CENTRAL MINNESOTA SENIOR CARE
414 13TH STREET SOUTH
(20543)
BENSON, MN 56215
PHONE: 320/441-7001
FAX: 320/235-8069
MS. DEBRA OLESON
HWSAL
Corp
CENTRAL MINNESOTA SENIOR CARE
287 HIGHWAY 29 NORTH
(20357)
BENSON, MN 56215
PHONE: 320/441-7001
FAX: 320/235-8069
Lim-Liab
GOLDEN LIVINGCENTER MEADOW LN
MS. DEBRA OLESON
NH-43 BCH-19
SNF-NF-43 NF2-19
2209 UTAH AVENUE
(00930)
BENSON, MN 56215
PHONE: 320/843-2225
MS. BROOKE DILLON
FAX: 320/843-2496
HWSAL
HRA
PARK VIEW MANOR
300 13TH STREET NORTH
(20562)
BENSON, MN 56215
PHONE: 320/842-8481
MS. MICHELLE BOUTA
FAX: 320/843-3018
Dist
SWIFT COUNTY BENSON HOSPITAL
HOSP-31 BASS-4
CAH-25
1815 WISCONSIN AVENUE
(00659)
BENSON, MN 56215
PHONE: 320/843-4232
FAX: 320/843-4172
Dist
SWIFT CTY BENSON HOSP HH CARE
MR. FRANK LAWATSCH
HHA
HCP/COMP
1815 WISCONSIN AVENUE
(02398)
BENSON, MN 56215
PHONE: 320/843-1349
FAX: 320/843-1345
MS. JAYNE THIELKE
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
COMP
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: 320/875-4515
FAX: /
MRS. LINDA AHRNDT
Minnesota Department of Health
Division of Compliance Monitoring
Page 486
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
TODD
******** -------------------------
RHC
NProf
TRI COUNTY HC BERTHA CLINIC
Registration
PO BOX 67 FIRST STREET NORTH
(03181)
BERTHA, MN 56437
PHONE: 218/924-2250
FAX: /
MS. MAUREEN IDEKER
RHC
NProf
LAKEWOOD CLINIC BROWERVILLE
30535 241ST AVENUE
(21830)
BROWERVILLE, MN 56438
PHONE: 320/594-2231
FAX: /
MR. TIM RICE
NProf
CENTRAL TODD CO CARE CENTER
NH-60
SNF-NF-60
406 EAST HIGHWAY 71 PO BOX 38
(00761)
CLARISSA, MN 56440
PHONE: 218/756-3636
FAX: 218/756-2276
MR. JASON POLOVICK
HWSAL
NProf
CENTRAL TODD COUNTY CARE CENTE
407 HIGHWAY 71 EAST
(29643)
CLARISSA, MN 56440
PHONE: 218/756-3636
MR. JASON POLOVICK
FAX: 218/756-2276
NProf
CENTRAL TODD COUNTY CARE CENTE
COMP
406 EAST HIGHWAY 71
(20202)
CLARISSA, MN 56440
PHONE: 218/756-3636
MR. JASON POLOVICK
FAX: 218/756-2276
HWSAL
NProf
CENTRAL TODD COUNTY CARE CENTE
406 EAST HIGHWAY 71
(30447)
CLARISSA, MN 56440
PHONE: 218/756-3636
FAX: 218/756-2276
NProf
CENTRAL TODD COUNTY HOME CARE
MR. JASON POLOVICK
HCP/COMP
HHA
406 HIGHWAY 71 EAST
(27816)
CLARISSA, MN 56440
PHONE: 218/756-3636
FAX: 218/756-2626
MR. JASON POLOVICK
RHC
NProf
LAKEWOOD CLINIC EAGLE BEND
815 HIGHWAY 71
(21828)
EAGLE BEND, MN 56446
PHONE: 218/738-2804
FAX: /
MR. TIMOTHY RICE
RHC
NProf
LONG PRAIRIE HOSP EAGLE VALLEY
815 HIGHWAY 71 SOUTH
(03505)
EAGLE BEND, MN 56446
PHONE: 218/738-2804
FAX: 218/738-5263
EAGLES CROSSING HOME MANAGEMNT
MS. TONI TEBBEN
Home Mgmt
Ind
103 SPRUCE STREET PO BOX 87
GREY EAGLE, MN 56336
PHONE: 320/285-3128
(28049)
FAX: 320/285-3128
MS. DIANE KRAMER
Minnesota Department of Health
Division of Compliance Monitoring
Page
487
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
CENTRACARE HEALTH SYSTEM LONG
Certification
TODD
Registration
(Cont.)* -------------------------
NH-70 HOSP-34 BASS-10
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/COMP
HHA
212 2ND AVENUE SOUTH
LONG PRAIRIE, MN 56347
PHONE: 320/732-4440
VALLEY VIEW ESTATES
(02033)
MS. JACKIE OCH
FAX: 320/732-4445
Corp
COMP
1104 4TH AVENUE NORTHEAST
LONG PRAIRIE, MN 56347
PHONE: 320/732-3516
VALLEY VIEW ESTATES
(20675)
MS. SHEILA TOWLE
FAX: 320/732-7018
HWSAL
Corp
1104 4TH AVENUE NORTHEAST
LONG PRAIRIE, MN 56347
PHONE: 320/732-3516
CEDAR COVE ASSISTED LIVING
(30755)
FAX: 320/732-7018
MS. SHELIA TOWLE
HWSAL
Lim-Liab
21596 CEDAR LAKE ROAD
SAUK CENTRE, MN 56378
PHONE: 320/732-1939
LAKEWOOD HEALTH SYSTEM
(28803)
FAX: 320/732-1087
NProf
MS. TAMMY BRUDER
HOSP-37 BASS-8
CAH-25 PPS-P-10
49725 COUNTY ROAD 83
STAPLES, MN 56479
PHONE: 218/894-1515
LAKEWOOD MANOR
(24633)
FAX: 218/894-8355
MR. TIM RICE
HWS
NProf
222 FIFTH STREET NE
STAPLES, MN 56479
PHONE: 218/894-2124
STAPLES HRA
(20201)
FAX: 218/894-3067
MR. TIM RICE
HWSAL-O
HRA
615 FOURTH STREET NORTHEAST
STAPLES, MN 56479
PHONE: 218/894-2301
(30016)
FAX: 218/894-0072
MS. BOBBI BLANCHARD
Minnesota Department of Health
Division of Compliance Monitoring
Page 488
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
BROWNS VALLEY HEALTH CENTER
Certification
TRAVERSE
Registration
******** -------------------------
NH-41
SNF-NF-41
114 JEFFERSON STREET SOUTH
(00668)
BROWNS VALLEY, MN 56219
PHONE: 320/695-2165
FAX: 320/695-2166
MS. CAROL RAW-INTERIM
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
HOSP-25 BASS-4
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
TRAVERSE CARE CENTER
MS. JOANN FOLTZ
FAX: /
Lim-Liab
NH-49
SNF-NF-49
303 SEVENTH STREET SOUTH
WHEATON, MN 56296
PHONE: 320/563-8124
(00669)
MS. CHELSY STATTELMAN
FAX: 320/563-4133
---------------------------**********
NURTURING HANDS LLC
WABASHA
******** -------------------------
HWSAL-O
Lim-Liab
420 EAST KENDALL STREET
KELLOGG, MN 55945
PHONE: 507/421-1522
NURTURING HANDS LLC
(29769)
FAX: 507/767-2281
Lim-Liab
MS. LORI HALEY
COMP
420 EAST KENDALL STREET
KELLOGG, MN 55945
PHONE: 507/421-1522
LAKE PEPIN PLAZA
(29768)
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)
FAX: 651/565-3836
NProf
MS. BOBBI WILLERS
HOSP-18 BASS-5
500 WEST GRANT STREET
LAKE CITY, MN 55041
PHONE: 651/345-1114
(20693)
FAX: 651/345-1182
MS. CHERI KRAMER
CAH-18
Minnesota Department of Health
Division of Compliance Monitoring
Page 489
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
MAYO CLINIC HEALTH SYS L C
NProf
Certification
WABASHA
NH-90
Registration
(Cont.)* --------------------------
SNF-NF-90
500 WEST GRANT STREET
LAKE CITY, MN 55041
PHONE: 651/345-3321
RIVER OAKS HEALTH CARE CTR INC
(00770)
FAX: 651/345-1167
Corp
MR. JACOB SUCKOW
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: 651/345-5076
MR. JOHN DAHM
HWS
Lim-Liab
71668 302ND AVENUE
LAKE CITY, MN 55041
PHONE: 651/345-4270
WINDCLIFF SENIOR CARE
(28852)
MS. SYLVIA BROWN
FAX: 651/345-4270
Lim-Liab
COMP
71668 302ND AVENUE
LAKE CITY, MN 55041
PHONE: 651/345-4270
GREEN PRAIRIE PLACE
(28851)
MS. SYLVIA BROWN
FAX: 651/345-4270
HWS
NProf
810 SECOND AVENUE NORTHWEST
PLAINVIEW, MN 55964
PHONE: 507/534-4204
GREEN PRAIRIE PLACE
(30464)
FAX: 507/534-2778
NProf
MS. PAULA LEWIS
HCP-A
810 SECOND AVENUE NORTHWEST
PLAINVIEW, MN 55964
PHONE: 507/534-4204
ST ISIDORE HLTH CTR OF GRWD PR
(20292)
FAX: 507/534-2778
Church
MS. PAULA LEWIS
NH-53
SNF-NF-53
800 SECOND AVENUE NORTHWEST
PLAINVIEW, MN 55964
PHONE: 507/534-3191
MAYO CLINIC WABASHA
(00672)
FAX: 507/534-2778
MS. PAULA LEWIS
ESRD
NProf
1200 FIFTH GRANT BOULEVARD
WABASHA, MN 55981
PHONE: 651/565-5995
ST ELIZABETH HOME HEALTH CARE
(02756)
FAX: 651/565-5996
NProf
MR. BRAD WICK
HCP/COMP
HHA
1200 GRANT BLVD WEST
WABASHA, MN 55981
PHONE: 651/565-5577
(03474)
FAX: 651/565-5630
MR. JAMES ROOT
Minnesota Department of Health
Division of Compliance Monitoring
Page
490
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
ST ELIZABETH HOSPITAL OF WABAS
Certification
WABASHA
Registration
(Cont.)* -------------------------
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 HOSP-25 BASS-4
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
MENAHGA HOME HEALTH
(00678)
FAX: 218/564-5309
City
MS. CLAIR ERICKSON
COMP
427 MAIN STREET NE
MENAHGA, MN 56464
PHONE: 218/564-4101
ROSE HAVEN
(03629)
MS. CLAIR ERICKSON
FAX: 218/564-4101
HWSAL
Ind
37 6TH STREET SOUTHEAST
MENAHGA, MN 56464
PHONE: 218/564-4268
ROSE HAVEN ASSISTED LIVING INC
(29268)
MR. RUSSELL HENDRICKSON
FAX: 218/564-5449
Corp
COMP
37 6TH STREET SE
MENAHGA, MN 56464
PHONE: 218/564-4268
WOOD SIDE MANOR
(29269)
FAX: 218/564-5449
MR. RUSSELL HENDRICKSON
HWSAL
City
501 MAIN STREET NE
MENAHGA, MN 56464
PHONE: 218/564-4101
CARING HANDS HOME CARE
(20240)
FAX: 218/564-5309
Corp
MR. CLAIR ERICKSON
HCP/COMP
HHA
113 MINNESOTA AVE W PO 197
SEBEKA, MN 56477
PHONE: 218/837-5572
HERITAGE HOUSE OF SEBEKA
(03311)
FAX: 218/837-6155
MS. PATRICIA JOHNSON
HWSAL
Corp
1005 WELLS AVENUE WEST
SEBEKA, MN 56477
PHONE: 218/837-6406
(21152)
FAX: 218/837-6436
MR. JAMES BIRCHEM
Minnesota Department of Health
Division of Compliance Monitoring
Page 491
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
WADENA
(Cont.)* -------------------------
RHC
NProf
TRI COUNTY HC SEBEKA CLINIC
Registration
106 MINNESOTA AVENUE EAST
(03503)
SEBEKA, MN 56477
PHONE: 218/837-5333
FAX: /-
MS. MAUREEN IDEKER
ESRD
NProf
CENTRACARE KIDNEY PGM STAPLES
401 EAST PRAIRIE AVENUE
(22194)
STAPLES, MN 56479
PHONE: 320/240-7808
FAX: /-
MR. DAVID WALZ
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)
MR. TIM RICE
FAX: 218/894-8355
NProf
Hospice
HSPICE
401 PRAIRIE AVENUE NE
STAPLES, MN 56479
PHONE: 218/894-8080
LAKEWOOD HLTH SYS HM C & HSPCE
(03591)
MS. BONNIE JOHNSON
FAX: 218/894-8099
NProf
HCP/COMP
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
1702 AIRPORT RD NW
STAPLES, MN 56479
PHONE: 218/894-4460
LAKEWOOD PINES SENIOR HOUSING
(20936)
FAX: 218/894-4453
MS. BONNIE JOHNSON
HWS
Corp
1702 AIRPORT RD NW
STAPLES, MN 56479
PHONE: 218/894-4460
BELL HILL RECOVERY CENTER
(30838)
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
MR. ROSS OLSON
HWSAL
Ind
1232 JEFFERSON STREET SOUTH
WADENA, MN 56482
PHONE: 218/631-4873
(30454)
FAX: 218/632-5924
MR. ADRIAN ERICKSON
Minnesota Department of Health
Division of Compliance Monitoring
Page 492
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Ind
COMFORT CARE COTTAGES
Certification
WADENA
Registration
(Cont.)* -------------------------
HCP-F
1232 JEFFERSON STREET SOUTH
(20221)
WADENA, MN 56482
PHONE: 218/631-4873
FAX: 218/632-5924
ONProf
FAIR OAKS LODGE
MR. ADRIAN ERICKSON
NH-75
SNF-NF-75
201 SHADY LANE DRIVE
(00679)
WADENA, MN 56482
PHONE: 218/631-1391
FAX: 218/632-5028
ONProf
LEGACY HOME HEALTH AND HOSPICE
MS. RICHARD BLANCHARD
Hospice
HSPICE
201 SHADY LANE DRIVE
(03306)
WADENA, MN 56482
PHONE: 218/632-1335
FAX: 218/632-1336
ONProf
LEGACY HOME HEALTH AND HOSPICE
MR. DAN PETERSON
HCP/COMP
HHA
201 SHADY LANE DRIVE
(02415)
WADENA, MN 56482
PHONE: 218/632-1335
MR, DANIEL PETERSON
FAX: 218/632-1336
HWS
ONProf
LSS OF WADENA LLC
201 SHADY LANE DRIVE
(23513)
WADENA, MN 56482
PHONE: 218/631-1163
MR. RICHARD BLANCHARD
FAX: 218/631-1528
ONProf
LSS OF WADENA LLC
HCP-A
201 SHADY LANE DRIVE
(03632)
WADENA, MN 56482
PHONE: 218/631-1391
MR. RICHARD BLANCHARD
FAX: 218/632-5028
State
MN SPECIALTY HEALTH SYSTEM
SLFB-16
240 SHADY LANE DR PO BOX 430
(23896)
WADENA, MN 56482
PHONE: 218/319-6001
MS. LEAH PRUSSIA
FAX: 218/632-6583
RHC
NProf
TRI COUNTY HC WADENA CLINIC
4 NORTHWEST DEERWOOD AVENUE
(27822)
WADENA, MN 56482
PHONE: 218/631-1100
TRI COUNTY HOSPITAL
MR. JOEL BEISWENGER
FAX: /
NProf
HOSP-49 BASS-6
CAH-25
415 JEFFERSON STREET NORTH
WADENA, MN 56482
PHONE: 218/631-7489
(00680)
FAX: 218/631-7503
---------------------------**********
MR. DENNIS MILEY
WASECA
******** -------------------------
Minnesota Department of Health
Division of Compliance Monitoring
Page 493
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
City
JANESVILLE NURSING HOME
Certification
WASECA
Registration
(Cont.)* -------------------------
NH-40
SNF-NF-40
102 EAST NORTH STREET
(00681)
JANESVILLE, MN 56048
PHONE: 507/231-5113
FAX: 507/231-6310
MR. R. PETER MADEL III
HWSAL
NProf
ECUMEN NEW RICHLAND
113 FIRST STREET SOUTHWEST
(30606)
NEW RICHLAND, MN 56072
PHONE: 507/463-3361
FAX: 507/463-3197
NProf
ECUMEN NEW RICHLAND
MS. CHRISTINA CAUBLE
COMP
113 FIRST STREET SOUTHWEST
(20378)
NEW RICHLAND, MN 56072
PHONE: 507/463-3565
MS. CHRISTINA CAUBLE
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
MR. DONALD ALEXANDER
FAX: 507/465-3403
HWSAL
Corp
COLONY COURT
200 22ND AVENUE NORTHEAST
(30450)
WASECA, MN 56093
PHONE: 507/835-8227
MR. ERIC WORKE
FAX: 507/835-5734
Corp
COLONY COURT
COMP
200 22ND AVENUE NORTHEAST
(20207)
WASECA, MN 56093
PHONE: 507/835-8227
MR. ERIC WORKE
FAX: 507/835-5734
Corp
COLONY COURT
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
(28411)
WASECA, MN 56093
PHONE: 507/201-3000
FAX: 507/835-5734
MR. ERIC WORKE
Home Mgmt
Lim-Liab
FRAMEWORK FOR THE LONG LIVED
412 5TH STREET NE
(29450)
WASECA, MN 56093
PHONE: 507/413-6227
MS. THERESA WELNA
FAX: /
HWS
Lim-Liab
FRAZIER RECOVERY HOME LLC
615 EAST ELM AVENUE
(31335)
WASECA, MN 56093
PHONE: 651/895-4440
FAX: /
MS. ELIZABETH REZEK
Minnesota Department of Health
Division of Compliance Monitoring
Page 494
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
LAKE SHORE INN NURSING HOME
Corp
Certification
WASECA
Registration
(Cont.)* -------------------------
NH-55
SNF-NF-55
108 8TH STREET NORTHWEST
WASECA, MN 56093
PHONE: 507/835-2800
LATHAM PLACE
(00682)
FAX: 507/833-1391
MR. MICHAEL CORCHRAN
HWSAL
Lim-Liab
105 NORTHWEST 8TH STREET
WASECA, MN 56093
PHONE: 507/833-0903
LATHAM PLACE
(30401)
FAX: 507/833-1391
Lim-Liab
MR. MICHAEL CORCHRAN
HCP-F
105 NORTHWEST 8TH STREET
WASECA, MN 56093
PHONE: 507/833-0903
MAYO CLINIC HEALTH SYS WASECA
(23728)
MR. MICHAEL CORCHRAN
FAX: 507/833-1391
NProf
CAH-25
HOSP-35
501 NORTH STATE STREET
WASECA, MN 56093
PHONE: 507/835-1210
(00908)
MR. THOMAS BOROWSKI
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. ELLIE TRIEMERT
FAX: 651/436-4048
Lim-Liab
COMP
15890 31ST STREET SOUTH
AFTON, MN 55001
PHONE: 651/436-8757
AFTON CARE ST CROIX
(27465)
FAX: 651/436-1159
MS. JOANNA PARDO
HWS
Lim-Liab
15890 31ST STREET SOUTH
AFTON, MN 55001
PHONE: 651/436-8757
CROIXDALE
(27466)
MS. ELLIE TRIEMERT
FAX: 651/436-1159
HWSAL
NProf
750 HIGHWAY 95 NORTH
BAYPORT, MN 55003
PHONE: 651/275-4800
CROIXDALE
(31272)
MS. RENE ROESER
FAX: 651/275-4801
NProf
COMP
750 HIGHWAY 95 NORTH
BAYPORT, MN 55003
PHONE: 651/275-4800
(28164)
FAX: 651/275-4801
MS. NATALIE MORLAND
Minnesota Department of Health
Division of Compliance Monitoring
Page 495
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
WASHINGTON
(Cont.)* -------------------------
ESRD
Corp
COTTAGE GROVE DIALYSIS
Registration
8800 E POINT DOUGLAS RD #100
(24580)
COTTAGE GROVE, MN 55016
PHONE: 612/347-3431
FAX: /
MS. DENISE TURNBULL
Lim-Liab
COTTAGE GROVE WHITE PINE
COMP
6900 EAST POINT DOUGLAS ROAD S
(26133)
COTTAGE GROVE, MN 55016
PHONE: 651/458-9455
FAX: 651/458-9457
MS. RHONDA SCHILLINGER
HWSAL
Lim-Liab
COTTAGE GROVE WHITE PINE
6900 EAST POINT DOUGLAS ROAD S
(30697)
COTTAGE GROVE, MN 55016
PHONE: 651/458-9455
MS. RHONDA SCHILLINGER
FAX: 651/458-9457
HWSAL
Lim-Liab
COTTAGE GROVE WHITE PINE II
6950 EAST POINT DOUGLAS ROAD S
(30783)
COTTAGE GROVE, MN 55016
PHONE: 651/459-2870
MS. RHONDA SCHILLINGER
FAX: 651/459-2891
Lim-Liab
COTTAGE GROVE WP II LLC
COMP
6950 EAST POINT DOUGLAS ROAD S
(27918)
COTTAGE GROVE, MN 55016
PHONE: 651/459-2870
MS. RHONDA SCHILLINGER
FAX: 651/459-2891
HWS
Lim-Liab
FRAZIER RECOVERY HOME LLC
8682 HILLSIDE TRAIL
(31156)
COTTAGE GROVE, MN 55016
PHONE: 651/895-4440
MS. ELIZABETH REZEK
FAX: /
HWS
Lim-Liab
FRAZIER RECOVERY HOME LLC
8813 HALE AVE
(31157)
COTTAGE GROVE, MN 55016
PHONE: 651/895-4440
HOME CARE SERVICE PROVIDERS IN
MS. ELIZABETH REZEK
FAX: /
Corp
COMP
9635 HAMLET AVENUE
COTTAGE GROVE, MN 55016
PHONE: 651/354-7290
LOVING CARE COTTAGE LLC
(29961)
MR. PAUL AKHALU
FAX: 651/772-3600
HWSAL
Lim-Liab
7740 HADLEY AVENUE
COTTAGE GROVE, MN 55016
PHONE: 651/459-2779
LOVING CARE COTTAGE LLC
(30240)
MS. HEIDI CUNNINGHAM
FAX: 651/458-0916
Lim-Liab
COMP
7740 HADLEY AVENUE
COTTAGE GROVE, MN 55016
PHONE: 651/459-2779
(22037)
FAX: 651/458-0916
MS. HEIDI CUNNINGHAM
Minnesota Department of Health
Division of Compliance Monitoring
Page 496
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
NProf
NORRIS SQUARE
MR. DAN STRITTMATER
HCP-F
8200 HADLEY AVENUE SOUTH
(27946)
COTTAGE GROVE, MN 55016
PHONE: 651/769-6600
FAX: 651/769-6601
Lim-Liab
ROYAL AGE ASSISTED LIVING
MS. NATALIE MORLAND
COMP
7882 JORGENSEN AVENUE
(27490)
COTTAGE GROVE, MN 55016
PHONE: 651/983-5323
MR. MUTINTA DEWA
FAX: 651/797-2732
HWSAL
Lim-Liab
ROYAL AGE ASSISTED LIVING LLC
7882 JORGENSEN AVENUE
(27491)
COTTAGE GROVE, MN 55016
PHONE: 651/458-0343
MR. MUTINTA DEWA
FAX: 651/458-0343
HWS
Corp
TRIPLE ANGELS HEALTHCARE
7774 HINTON AVE S UNIT 1
(29931)
COTTAGE GROVE, MN 55016
PHONE: 651/795-8290
MS. ADENIKE OGUNRINDE
FAX: 651/458-9402
HWSAL
Corp
TRIPLE ANGELS HEALTHCARE
7957 80TH STREET S
(25286)
COTTAGE GROVE, MN 55016
PHONE: 651/458-9401
MS. ADENIKE OGUNRINDE
FAX: /
Corp
TRIPLE ANGELS HEALTHCARE COMPA
HCP-F
7957 80TH STREET S
(25202)
COTTAGE GROVE, MN 55016
PHONE: 651/458-9401
MS. ADENIKE OGUNRINDE
FAX: 651/458-9402
Out Pt Out St Out Ot
Corp
NOVA CARE OUTPATIENT REHAB DIV
6515 BARRIE ROAD STE 100
(02793)
EDINA, MN 55435
PHONE: 651/702-0555
BIRCHWOOD ARBORS
MR. THOMAS COPLIN
FAX: /-
NProf
HCP-F
750 NORTHEAST FIRST STREET
FOREST LAKE, MN 55025
PHONE: 651/466-1000
BIRCHWOOD HEALTH CARE CENTER
(21920)
MS. DALY GOBLIRSCH
FAX: 651/466-1100
NProf
SNF-NF-110
NH-110
604 NORTHEAST FIRST STREET
FOREST LAKE, MN 55025
PHONE: 651/466-1022
(00853)
FAX: 651/464-0992
MR. BRIAN PATTOCK
Minnesota Department of Health
Division of Compliance Monitoring
Page 497
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
ELDER HAVEN
Certification
WASHINGTON
Registration
(Cont.)* -------------------------
HWSAL
Lim-Liab
367 SOUTHWEST 4TH STREET
FOREST LAKE, MN 55025
PHONE: 651/464-0899
ELDER HAVEN
(30712)
FAX: 651/464-3861
Lim-Liab
MS. BRENDA WARD
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
COMP
631 SOUTH LAKE STREET
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
SENIOR CARE FOREST LAKE LLC DB
(23901)
DR. RICHARD HASTINGS
FAX: 651/464-0853
HWSAL
NProf
750 NORTHEAST FIRST STREET
FOREST LAKE, MN 55025
PHONE: 651/466-1000
PEACEFUL LIVING LLC
(30232)
MR. TYLER DONAHUE
FAX: 651/466-1100
Lim-Liab
HCP-A
411 COUNTY ROAD UU UNIT 3
HUDSON, WI 54016
PHONE: 715/386-7071
PEACEFUL LIVING LLC
(24968)
FAX: 715/386-0873
Lim-Liab
MS. BECKIE KANE
HCP-F
411 CITY ROAD U UNIT 3
HUDSON, MN 55082
PHONE: 715/386-7071
APOLLO HOMES INC
(29416)
FAX: 715/386-0873
Corp
MS. IRENE PREGL
COMP
12300 HEATHER AVENUE NORTH
HUGO, MN 55038
PHONE: 651/351-0474
HUGO GW LLC
(23984)
FAX: 651/351-0228
MS. JILL MARKOE
HWSAL
Lim-Liab
5607 NORTH 150TH STREET
HUGO, MN 55038
PHONE: 651/653-3282
HUGO GW LLC
(30353)
FAX: 651/407-5173
Lim-Liab
MS. RHONDA SCHILLINGER
HCP-F
5607 NORTH 150TH STREET
HUGO, MN 55038
PHONE: 651/653-3282
(23369)
FAX: 651/407-5173
MS. RHONDA SCHILLINGER
Minnesota Department of Health
Division of Compliance Monitoring
Page 498
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
ACTI KARE RESPONSIVE IN-HOME C
Corp
Certification
WASHINGTON
Registration
(Cont.)* -------------------------
HCP-B
8997 HIGHWAY 5
LAKE ELMO, MN 55042
PHONE: 651/493-1251
ALWAYS BEST CARE OF ST CROIX V
(29991)
FAX: 651/493-6696
Corp
MS. JULI WALL
BASIC
2461 MENDEL AVENUE NORTH
LAKE ELMO, MN 55042
PHONE: 651/485-5382
BRIGHTSTAR OF ST CROIX VALLEY
(28142)
FAX: 651/777-3614
Lim-Liab
MS. LAURIE CHERRY
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. LORI HARRINGTON
Outpt Surg
Amb Surg
8650 HUDSON BLVD STE 235
LAKE ELMO, MN 55042
PHONE: 651/702-7400
MORNING GLORY HOME CARE
(00028)
MS. TRACI ALBERS
FAX: 651/702-7414
Home Mgmt
Corp
8997 HIGHWAY 5
LAKE ELMO, MN 55042
PHONE: 651/493-1251
MORNING GLORY HOME CARE
(29537)
MS. JILL PATERSON
FAX: 651/493-6696
Corp
COMP
8997 HIGHWAY 5
LAKE ELMO, MN 55042
PHONE: 651/493-1251
WILLOW HAVEN
(28758)
FAX: 651/493-6696
Part
MS. JULI WALL
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
Part
MR. ANTHONY EHRNRITER
COMP
720 MAHTOMEDI AVENUE
MAHTOMEDI, MN 55115
PHONE: 651/528-8442
COVENTRY SENIOR LIVING
(28352)
FAX: 651/756-8240
MS. LUCY BOXRUD
HWSAL
Lim-Liab
720 MAHTOMEDI AVENUE
MAHTOMEDI, MN 55115
PHONE: 651/528-8442
(28353)
FAX: 651/756-8240
MS. KAREN LARSON
Minnesota Department of Health
Division of Compliance Monitoring
Page 499
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
LAKE SHORE RES TREATMENT
Lim-Liab
Certification
WASHINGTON
Registration
(Cont.)* -------------------------
SLFA-23
140 QUAIL STREET
MAHTOMEDI, MN 55115
PHONE: 612/326-7600
NEW PERSPECTIVE MAHTOMEDI
(29821)
FAX: 612/326-7634
Lim-Liab
MR. DEAN GILBERTSON
HCP-F
113 EAST AVENUE
MAHTOMEDI, MN 55115
PHONE: 651/407-9076
NEW PERSPECTIVE MAHTOMEDI LLC
(20050)
FAX: 651/407-9084
MS. ASHLEY WEYANDT
HWS
Lim-Liab
111 EAST AVENUE
MAHTOMEDI, MN 55115
PHONE: 651/407-9076
NEW PERSPECTIVE OF MN LLC
(20051)
FAX: 651/653-9747
MR. RYAN NOVACYZK
HWS
Lim-Liab
113 EAST AVENUE
MAHTOMEDI, MN 55115
PHONE: 651/407-9076
ST ANDREWS VILLAGE
(30322)
MR. TODD NOVACZYK
FAX: 651/653-9747
HWSAL
NProf
240 EAST AVENUE
MAHTOMEDI, MN 55115
PHONE: 651/762-4100
PHOENIX AT NEWPORT
(21177)
MS. JAN PALMER
FAX: 651/762-4135
NProf
SLFB-6
ICFIID-6
351 14TH STREET
NEWPORT, MN 55055
PHONE: 651/227-7655
BOUTWELLS LANDING
(23519)
FAX: 651/227-6847
MS. DARLENE SCOTT
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
COMP
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: 651/430-7202
OAK PARK SENIOR LIVING
(25613)
FAX: 651/430-7201
MS. WENDY KINGBAY
HWSAL
Lim-Liab
13936 LOWER 59TH STREET N
OAK PARK HEIGHTS, MN 55082
PHONE: 651/439-9995
(28227)
FAX: 651/275-8096
MS. KELLY MYERS
Minnesota Department of Health
Division of Compliance Monitoring
Page 500
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
OAK PARK SENIOR LIVING
Certification
WASHINGTON
Registration
(Cont.)* -------------------------
COMP
13936 LOWER 59TH STREET N
(28226)
OAK PARK HEIGHTS, MN 55082
PHONE: 651/492-6535
FAX: 651/454-4783
MS. SARA MILLIGAN
HWSAL
Corp
OAK RIDGE PLACE
6060 OXBORO AVENUE NORTH
(30722)
OAK PARK HEIGHTS, MN 55082
PHONE: 651/439-8034
FAX: 651/439-8305
Corp
OAK RIDGE PLACE
MR. WILLIAM HENDERSON
COMP
6060 OXBORO AVENUE NORTH
(20599)
OAK PARK HEIGHTS, MN 55082
PHONE: 651/439-8034
MR. WILLIAM HENDERSON
FAX: 651/439-8305
HWS-O
Lim-Liab
PEACEFUL LIVING LLC
5861 OXBORO AVENUE
(31359)
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
Corp
ABRO HOME CARE INC
HCP-A
1550 GRANADA AVENUE N #101
(29990)
OAKDALE, MN 55128
PHONE: 651/214-7867
HEALTHEAST PILLARS
MR. EMMANUEL ABROKWAH
FAX: /
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
OAKDALE VILLAGE CANVAS FIVE
(20462)
FAX: 651/578-1431
MS. CONNIE DOW
HWS
NProf
1246 GLENBROOK AVENUE NORTH
OAKDALE, MN 55128
PHONE: 651/738-0451
OAKDALE VILLAGE CANVAS FOUR
(31052)
FAX: 651/738-0449
MR. MARK KUPPE
HWS
NProf
1224 GLENBROOK AVENUE NORTH
OAKDALE, MN 55128
PHONE: 651/738-0451
(31051)
FAX: 651/738-0449
MR. MARK KUPPE
Minnesota Department of Health
Division of Compliance Monitoring
Page 501
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
OAKDALE VILLAGE CANVAS ONE
Certification
WASHINGTON
Registration
(Cont.)* -------------------------
HWS
NProf
6276 12TH STREET NORTH
OAKDALE, MN 55128
PHONE: 651/738-0451
OAKDALE VILLAGE CANVAS THREE
(31048)
FAX: 651/738-0449
MR. MARK KUPPE
HWS
NProf
6282 12TH STREET NORTH
OAKDALE, MN 55128
PHONE: 651/738-0451
OAKDALE VILLAGE CANVAS TWO
(31050)
FAX: 651/738-0449
MR. MARK KUPPE
HWS
NProf
1213 GENTRY AVENUE NORTH
OAKDALE, MN 55128
PHONE: 651/738-0451
PEACEFUL LODGE INC
(31049)
FAX: 651/738-0449
MR. MARK KUPPE
HWSAL
Corp
6630 HUDSON BLVD N
OAKDALE, MN 55128
PHONE: 651/493-1485
PSC AT GENEVA VILLAGE I
(31393)
MS. BAO VANG
FAX: 612/435-9881
HWS-O
NProf
6172 40TH STREET NORTH
OAKDALE, MN 55128
PHONE: 651/227-5971
PSC AT GENEVA VILLAGE II
(31191)
MS. JESSICA STROMGREN
FAX: 651/227-6847
HWS-O
NProf
6206 40TH STREET NORTH
OAKDALE, MN 55128
PHONE: 651/227-5971
SCENIC HILLS ALTERNATIVE CARE
(31192)
MS. JESSICA STROMGREN
FAX: 651/227-6847
Corp
COMP
6230 10TH ST STE 330
OAKDALE, MN 55128
PHONE: 651/735-7259
ST CROIX HOSPICE
(26210)
MR. ANTHONY EHRNRITER
FAX: 651/730-1667
Lim-Liab
HSPICE
Hospice
7200 HUDSON BOULEVARD STE 230
OAKDALE, MN 55128
PHONE: 651/735-3656
THE WATERS OF OAKDALE
(26361)
FAX: 651/735-0155
MR. HEATH BARTNESS
HWSAL
Lim-Liab
7088 11TH STREET NORTH
OAKDALE, MN 55128
PHONE: 952/358-5100
VISITING ANGELS
(31195)
FAX: 952/358-5151
MR. MICK CONLAN
Home Mgmt
Corp
3030 GRANADA AVE N STE A
OAKDALE, MN 55128
PHONE: 651/653-0110
(23353)
FAX: 651/653-0115
MS. JENNIFER WEST
Minnesota Department of Health
Division of Compliance Monitoring
Page
502
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
VISITING ANGELS
Certification
WASHINGTON
Registration
(Cont.)* -------------------------
COMP
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
FAX: /
MS. NANCY ISCHER
Corp
FOREVER CARES INC
BASIC
21859 OLDFIELD AVE PO BOX 267
(28631)
SCANDIA, MN 55073
PHONE: 651/983-3047
FAX: 651/433-3052
Lim-Liab
REBECCAS RESIDENCE
MS. BETTY JANU
SLFA-10
21077 PENROSE AVENUE NORTH
(22017)
SCANDIA, MN 55073
PHONE: 651/433-5839
MS. JANET HAVEN-HALL
FAX: 651/433-5921
Lim-Liab
ALTERNATIVE HOME CARE SOLUTION
HCP-A
1648 DIXON DRIVE
(26667)
ST PAUL PARK, MN 55071
PHONE: 651/214-2044
MS. FRANCES ZOGAA
FAX: /-
Corp
REM MN COMM SVS INC PARK PLACE
SLFA-6
ICFIID-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
FAX: /-
MS. MARY MILTON
Lim-Liab
ASSOCIATED EYE CARE AMB SURG
Outpt Surg
Amb Surg
2950 CURVE CREST BOULEVARD
(23898)
STILLWATER, MN 55082
PHONE: 651/275-3002
FAX: 651/275-3027
BUURTZORG NEIGHBORHOOD NURSING
NProf
MR. MARK FISHER
COMP
1921 CURVE CREST BLVD
STILLWATER, MN 55082
PHONE: 651/605-1400
CEDAR RIDGE
(29716)
FAX: 651/689-8840
Lim-Liab
MS. MICHELLE MICHELS
SLFA-25 SLFB-9
11400 JULIANNE AVENUE NORTH
STILLWATER, MN 55082
PHONE: 651/426-3300
(01660)
FAX: 651/426-0149
MS. LORI ROLFSMEIER
Minnesota Department of Health
Division of Compliance Monitoring
Page 503
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
GOLDEN LIVINGCENTER GREELEY
Lim-Liab
Certification
WASHINGTON
Registration
(Cont.)* -------------------------
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
MR. CHAD KETCHAM
NH-94
SNF-NF-94
1119 OWENS STREET NORTH
STILLWATER, MN 55082
PHONE: 651/439-7180
GREENBRIER APARTMENTS CANVAS
(00903)
FAX: 651/439-4502
MR. NATHAN PEARSON
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)
MR. MARK KUPPE
FAX: 651/430-8430
HWS
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
MS. NICOLE MCKEE
HCP/COMP
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
COMP
1715 TOWER DRIVE W STE 330
STILLWATER, MN 55082
PHONE: 651/430-3320
LAKEVIEW HOSPICE
(21236)
FAX: 651/430-8505
NProf
MS. STEPHANIE LARSON
Hospice
HSPICE
1715 TOWER DRIVE WEST STE 330
STILLWATER, MN 55082
PHONE: 651/430-3320
(03223)
FAX: 651/430-8505
MS. DENISE PLOURDE
Minnesota Department of Health
Division of Compliance Monitoring
Page 504
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
LAKEVIEW MEMORIAL HOSPITAL
Certification
WASHINGTON
Registration
(Cont.)* -------------------------
HOSP-97 BASS-15
HOSP-97
927 WEST CHURCHILL STREET
(00689)
STILLWATER, MN 55082
PHONE: 651/430-5330
FAX: 651/430-4512
Corp
ONTRACK HOME CARE INC
MR. THEODORE WEGLEITNER
COMP
13955 NORTH 26TH STREET
(27846)
STILLWATER, MN 55082
PHONE: 651/439-3790
FAX: 651/439-3790
MS. RUTH MONZEL
HWSAL
Corp
PROJECT CARING RESIDENTIAL ASS
14410 21ST STREET NORTH
(30698)
STILLWATER, MN 55082
PHONE: 651/485-0860
FAX: 651/481-0426
Corp
PROJECT CARING RESIDENTIAL ASS
MS. JACQUELINE FITZGERALD
COMP
14410 21ST STREET NORTH
(26164)
STILLWATER, MN 55082
PHONE: 651/485-0860
MS. JACQUELINE FITZGERALD
FAX: 651/481-0426
HWS-O
NProf
PSC AT ORLEANS HOMES
1455 COTTAGE DRIVE
(31178)
STILLWATER, MN 55082
PHONE: 651/227-5971
MS. JESSICA STROMGREN
FAX: 651/227-6847
REM MN COMM SVS INC NORTHBROOK
Corp
SLFA-6
ICFIID-6
5224 NORTHBROOK BLVD NORTH
(01131)
STILLWATER, MN 55082
PHONE: 651/644-7680
FAX: 651/644-6777
Lim-Liab
REST EASY AT HOME HEALTH CARE
MS. CONNIE MENNE
HCP-A
1825 CURVE CREST BLVD STE 200
(30914)
STILLWATER, MN 55082
PHONE: 612/229-1264
FAX: /-
MS. WANDA HOCKENBERGER
ESRD
Corp
RIVER CITY DIALYSIS
1970 NORTHWESTERN AVENUE NORTH
STILLWATER, MN 55082
PHONE: 651/430-0067
CENTER FOR DIAGNOSTIC IMAGING
(02843)
FAX: 651/430-0140
Lim-Liab
MS. TRISHA RHOADS
Outpt Surg
Amb Surg
6025 LAKE ROAD STE 100
WOODBURY, MN 55125
PHONE: 952/525-6328
COLBY LAKE CARE HOME INC
(29894)
FAX: 952/543-6524
Corp
MR. ROBERT CHERNEY
HCP-F
9377 NEWCASTLE ROAD
WOODBURY, MN 55125
PHONE: 651/230-5088
(26643)
FAX: 651/731-7814
MS. VIJWANTIE SIRJU
Minnesota Department of Health
Division of Compliance Monitoring
Page 505
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
WASHINGTON
(Cont.)* -------------------------
HWSAL
Corp
COLBY LAKE CARE HOME INC
Registration
9377 NEWCASTLE ROAD
(30744)
WOODBURY, MN 55125
PHONE: 651/230-5088
FAX: 651/731-7814
Corp
COMMUNITY LIVING OPTIONS INC
MS. VIJWANTIE SIRJU
COMP
6617 STRATFORD ROAD
(28270)
WOODBURY, MN 55125
PHONE: 763/856-4866
FAX: 763/856-5732
MR. JEFF FELTZ
HWSAL
Corp
COMMUNITY LIVING OPTIONS INC
6617 STRATFORD ROAD
(30807)
WOODBURY, MN 55125
PHONE: 763/856-4866
FAX: 763/856-5732
Lim-Liab
DAMACARE HEALTH SERVICES LLC
MR. JEFF FELTZ
TCOMP
1580 PARKWOOD DRIVE #206
(31329)
WOODBURY, MN 55125
PHONE: 651/468-5017
MR. DAVID OGATO
FAX: 651/468-5017
NProf
HEALTHEAST WOODWINDS HOSPITAL
HOSP-86 BASS-28
HOSP-86
1925 WOODWINDS DRIVE
(04278)
WOODBURY, MN 55125
PHONE: 651/232-6880
MR. SCOTT NORTH
FAX: 651/232-6888
Corp
HOMETOWN SENIOR LIVING
COMP
1265 BELMONT DRIVE
(26862)
WOODBURY, MN 55125
PHONE: 651/714-7075
FAX: 651/344-4401
HOMETOWN SENIOR LIVING WEDGEWO
MS. MARY HENDRICKS
HWSAL
Corp
3610 MOUNT VERNON COURT
WOODBURY, MN 55129
PHONE: 651/714-7099
HOMETOWN SENIOR LIVING-BELMONT
(28204)
FAX: 651/714-7188
MS. MARY HENDRICKS
HWSAL
Corp
1265 BELMONT DRIVE
WOODBURY, MN 55125
PHONE: 651/207-5999
HONG FU HOME HEALTH CARE
(30652)
FAX: 651/207-5917
Ind
MS. MARY HENDRICKS
HCP-A
10164 WATERFRONT DR
WOODBURY, MN 55129
PHONE: 651/578-7851
MIDWEST SURGERY CENTER
(29181)
FAX: 651/730-2064
Part
MR. ZHIYING YU
Outpt Surg
Amb Surg
2080 WOODWINDS DRIVE STE 200
WOODBURY, MN 55125
PHONE: 651/642-9199
(21791)
FAX: 651/645-3346
MR. H JOSEPH DRANNEN
Minnesota Department of Health
Division of Compliance Monitoring
Page 506
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
PRELUDE HOME & SERVICES LLC
Certification
WASHINGTON
Registration
(Cont.)* -------------------------
HCP-F
10020 RALEIGH ROAD
(27917)
WOODBURY, MN 55129
PHONE: 651/501-6507
FAX: 651/501-6600
MR. DAVID SMITH
HWSAL
Lim-Liab
PRELUDE HOME& SERVICES LLC
10020 RALEIGH ROAD
(30782)
WOODBURY, MN 55129
PHONE: 651/501-6507
FAX: 651/501-6600
MR. DAVID SMITH
HWSAL-O
Lim-Liab
PRELUDE HOMES & SERVICES LLC
10045 ANTRIM COURT
(31433)
WOODBURY, MN 55129
PHONE: 651/501-6507
FAX: 651/501-6600
MR. DAVID SMITH
HWSAL
Lim-Liab
SAGEWOOD LLC
6281 OAKWOOD ROAD
(28375)
WOODBURY, MN 55125
PHONE: 651/200-3082
MS. JEANNETTE ROMERO
FAX: 651/200-3084
Lim-Liab
SAGEWOOD LLC
COMP
6281 OAKWOOD ROAD
(28374)
WOODBURY, MN 55125
PHONE: 651/200-3082
MS. LISA ZUNIGA
FAX: 651/200-3084
HWSAL
NProf
STONECREST
8725 PROMENADE LANE
(25310)
WOODBURY, MN 55125
PHONE: 651/264-3200
MS. STACY CARLSRUD
FAX: 651/264-3329
NProf
STONECREST
HCP-F
8725 PROMENADE LANE
(27949)
WOODBURY, MN 55125
PHONE: 651/264-3200
MS. NATALIE MORLAND
FAX: 651/264-3334
WOODBURY AMBULATORY SURG CENTE
Lim-Liab
Amb Surg
Outpt Surg
8675 VALLEY CREEK RD STE 300
(20726)
WOODBURY, MN 55125
PHONE: 651/241-3450
MS. BECKIE HINES
FAX: 651/241-3453
ESRD
Corp
WOODBURY DIALYSIS
1850 3 WEIR DRIVE
(03523)
WOODBURY, MN 55125
PHONE: 651/730-4522
WOODBURY ESTATES
MS. COLLEEN LAPINSKI
FAX: /-
NProf
COMP
2825 WOODLANE DRIVE
WOODBURY, MN 55125
PHONE: 651/714-1000
(21116)
FAX: 651/714-1003
MS. MANDY GENTILLI
Minnesota Department of Health
Division of Compliance Monitoring
Page
507
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
WOODBURY ESTATES
Certification
WASHINGTON
Registration
(Cont.)* -------------------------
HWSAL
NProf
2825 WOODLANE DRIVE
WOODBURY, MN 55125
PHONE: 651/714-1000
WOODBURY HEALTH CARE CENTER
(20551)
FAX: 651/714-1003
NProf
MS. MANDY GENTILLI
NH-175
SNF-NF-175
7012 LAKE ROAD
WOODBURY, MN 55125
PHONE: 651/735-6000
WOODBURY SURGICAL SUITES LLC
(00803)
FAX: 651/735-0075
MR. ALLAN TODD BARR
Amb Surg
Lim-Liab
587 BIELENBERG DRIVE SUITE 100
WOODBURY, MN 55125
PHONE: 651/493-0343
WOODBURY VILLA
(30181)
FAX: 651/493-0344
MS. SUZANNE BIGGS
HWSAL
NProf
7008 LAKE ROAD
WOODBURY, MN 551252499
PHONE: 651/735-4000
WOODBURY VILLA
(30223)
MS. MANDY GENTILLI
FAX: 651/731-5585
NProf
HCP-F
7008 LAKE ROAD
WOODBURY, MN 551252499
PHONE: 651/735-4000
ZUMBRO HOUSE INC
(21870)
MR. ALAN BARR
FAX: 651/731-5585
Corp
COMP
525 COMMONS DRIVE
WOODBURY, MN 55125
PHONE: 651/276-1191
(28733)
FAX: 651/264-1002
MR. CHRISTOPHER ONKEN
---------------------------**********
LUTHER MEMORIAL HOME
Church
WATONWAN
******** -------------------------
NH-61
SNF-NF-61
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/COMP
HHA
121 DREW AVENUE SOUTHEAST
MADELIA, MN 56062
PHONE: 507/642-3255
MADELIA COMMUNITY HOSPITAL
(02340)
FAX: 507/642-3534
NProf
MS. CANDACE FENSKE
HOSP-25 BASS-7
121 DREW AVENUE SOUTHEAST
MADELIA, MN 56062
PHONE: 507/642-3255
(00696)
FAX: 507/642-8516
MS. CANDACE FENSKE
CAH-25
Minnesota Department of Health
Division of Compliance Monitoring
Page 508
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
REM HEARTLAND INC MADELIA
Corp
Certification
WATONWAN
Registration
(Cont.)* -------------------------
SLFB-13
ICFIID-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
COMP
1102 2ND STREET SOUTH
ST JAMES, MN 56081
PHONE: 507/375-6120
GOOD SAM SOCIETY BRANDT RIDGE
(25414)
FAX: 507/375-5779
MR. TIM SWOBODA
HWSAL
NProf
1102 2ND STREET SOUTH
ST JAMES, MN 56081
PHONE: 507/375-6120
GOOD SAM SOCIETY ST JAMES
(30578)
MR. TIM SWOBODA
FAX: 507/375-5779
NProf
SNF-NF-55
NH-55
1000 SOUTH SECOND STREET
ST JAMES, MN 56081
PHONE: 507/375-3286
GOOD SAMARITAN SOCIETY PRAIRIE
(00697)
MR. TIMOTHY SWOBODA
FAX: 507/375-3288
HWS
NProf
1101 SECOND STREET SOUTH
ST JAMES, MN 56081
PHONE: 507/375-5150
MAYO CLINIC HEALTH SYS ST JAME
(21033)
MR. TIM SWOBODA
FAX: 507/375-3218
NProf
HOSP-25 BASS-6
CAH-25
1101 MOULTON & PARSONS DR
ST JAMES, MN 56081
PHONE: 507/375-3261
(00698)
MR. RYAN SMITH
FAX: 507/375-8605
---------------------------**********
CHI HEALTH AT HOME
NProf
WILKIN
******** -------------------------
HCP/COMP
HHA
1110 HWY 75 NORTH SUITE A
BRECKENRIDGE, MN 56520
PHONE: 218/643-2275
PIONEER RETIREMENT COMMUNITY
(02371)
FAX: 218/643-2274
MS. SUE HEITKAMP
HWSAL
NProf
521 OAK STREET
BRECKENRIDGE, MN 56520
PHONE: 218/643-9572
PIONEER RETIREMENT COMMUNITY
(24441)
FAX: 218/643-9573
MR. NATHATN JOHNSON
HWSAL
NProf
519 OAK STREET
BRECKENRIDGE, MN 56520
PHONE: 218/643-9572
(24440)
FAX: 218/643-9573
MR. NATHAN JOHNSON
Minnesota Department of Health
Division of Compliance Monitoring
Page 509
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
RIVEREDGE HOSPICE ST FRANCIS
NProf
Certification
WILKIN
Registration
(Cont.)* -------------------------
Hospice
HSPICE
1110 HWY 75 NORTH SUITE A
BRECKENRIDGE, MN 56520
PHONE: 218/643-2275
ST FRANCIS HOME
(02418)
FAX: 218/643-2274
Church
MS. NICOLE PEYERL
NH-80
SNF-NF-80
2400 ST FRANCIS DRIVE
BRECKENRIDGE, MN 56520
PHONE: 218/643-3000
ST FRANCIS MEDICAL CENTER
(00818)
FAX: 218/643-0850
Church
MR. DAVID NELSON
HOSP-25 BASS-8
CAH-25
2400 ST FRANCIS DRIVE
BRECKENRIDGE, MN 56520
PHONE: 218/643-3000
TWIN TOWN VILLA
(00700)
MR. DAVID NELSON
FAX: 218/643-0850
HWSAL
Corp
615 DURUM DRIVE
BRECKENRIDGE, MN 56520
PHONE: 218/643-9542
WELCOME HOME HEALTH CARE INC
(30535)
MR. DEAN BLOEMKE
FAX: 218/643-9543
Corp
HCP-F
615 DURUM DRIVE
BRECKENRIDGE, MN 56520
PHONE: 218/643-9542
WILKIN COUNTY PUBLIC HEALTH
(24375)
MR. DEAN BLOEMKE
FAX: 218/643-9543
Home Mgmt
Cnty
300 5TH STREET SOUTH
BRECKENRIDGE, MN 56520
PHONE: 218/643-7122
KAYCEE'S HOME CARE INC
(24318)
MS. DEBRA JACOBS
FAX: 218/643-7166
Corp
COMP
507 WEST MAIN AVENUE
ROTHSAY, MN 56579
PHONE: 218/731-4062
(23373)
MS. DOROTHY FIEDLER
FAX: 218/867-2733
---------------------------**********
SPELTZ ESTATES ASSISTED LIVIN
Corp
WINONA
******** -------------------------
COMP
232 FREMONT ST S
LEWISTON, MN 55952
PHONE: 507/523-2252
SPELTZ ESTATES ASSISTED LIVING
(23457)
FAX: 507/523-2929
MS. MICHELE SPELTZ
HWSAL
Corp
232 FREMONT ST S STE 11
LEWISTON, MN 55952
PHONE: 507/523-2252
(30387)
FAX: 507/523-2929
MS. MICHELE SPELTZ
Minnesota Department of Health
Division of Compliance Monitoring
Page 510
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
GOLDEN LIVINGCENTER WHITEWATER
Certification
WINONA
NH-55
Registration
(Cont.)* -------------------------
SNF-NF-55
525 BLUFF AVENUE
(00942)
ST CHARLES, MN 55972
PHONE: 507/932-3283
MS. DENA OTTO
FAX: 507/932-4756
Corp
ST CHARLES ASSISTED LIVING INC
COMP
402 WEST FOURTH STREET
(21667)
ST CHARLES, MN 55972
PHONE: 507/932-4062
FAX: 507/932-3803
MS. DORI ZANTO
HWSAL
Corp
ST CHARLES ASSISTED LIVING INC
402 WEST FOURTH STREET
(30816)
ST CHARLES, MN 55972
PHONE: 507/932-4062
MR. LINUS SOPPA
FAX: 507/932-3803
Lim-Liab
KIND LLC
COMP
210 CENTER ST SE
(29203)
UTICA, MN 55979
PHONE: 507/951-7722
MS. LYNETTE KERCE
FAX: 507/932-8938
HWSAL
NProf
ADITH MILLER MANOR
885 MANKATO AVENUE
(20147)
WINONA, MN 55987
PHONE: 507/454-0179
MS. CHERYL KRAGE
FAX: 507/457-4158
Corp
BOURNE MEDICAL SERVICE
COMP
163 WALNUT STREET
(03683)
WINONA, MN 55987
PHONE: 507/452-1313
FAX: 507/454-5717
NProf
CALLISTA COURT
MS. JUNE GERDES
HCP-F
1455 WEST BROADWAY
(29387)
WINONA, MN 55987
PHONE: 507/457-0280
FAX: 507/494-5117
MS. JODI BARTON
HWSAL
NProf
CALLISTA COURT
1455 WEST BROADWAY
(20549)
WINONA, MN 55987
PHONE: 507/457-0280
FAX: 507/494-5117
MS. SUE WILBER
CMHC
NProf
HIAWATHA VALLEY MNTL HLTH CTR
111 RIVERFRONT PO BOX 619
(02773)
WINONA, MN 55987
PHONE: 507/454-4341
HOME AND COMMUNITY OPTIONS INC
FAX: /-
MR. MICHAEL EMAN
NProf
SLFA-6
174 EDWARD STREET
WINONA, MN 55987
PHONE: 507/452-1021
(01134)
FAX: 507/452-1504
MS. SUZANNE HORSTMAN
Minnesota Department of Health
Division of Compliance Monitoring
Page 511
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
LAKE WINONA MANOR
Certification
WINONA
Registration
(Cont.)* -------------------------
NH-125
SNF-NF-125
865 MANKATO AVENUE
(20873)
WINONA, MN 55987
PHONE: 507/457-4366
FAX: 507/457-4595
Lim-Liab
OPTIONS PLUS HOME CARE LLC
MS. ROBIN HOEG
HCP-A
51 W 4TH ST SUITE #2
(25827)
WINONA, MN 55987
PHONE: 507/474-1509
FAX: 507/474-2509
Corp
QUALITY LIVING HOME HEALTH CAR
MS. JENNI ZIMMERMAN
COMP
164 EAST 4TH STREET STE 4
(21081)
WINONA, MN 55987
PHONE: 507/454-6800
FAX: 507/454-6803
MR. GARY POBLOCKI
HWSAL
NProf
ROGER METZ MANOR
875 MANKATO AVENUE
(20424)
WINONA, MN 55987
PHONE: 507/452-7636
MS. CHERYL KRAGE
FAX: 507/457-4158
Church
SAINT ANNE EXTENDED HEALTHCARE
SNF-NF-109
NH-109
1347 WEST BROADWAY
(00955)
WINONA, MN 55987
PHONE: 507/454-3621
MS. JODI BARTON
FAX: 507/452-2556
NProf
SAUER HEALTH CARE
NH-71
SNF-NF-71
1635 WEST SERVICE DRIVE
(00705)
WINONA, MN 55987
PHONE: 507/454-5540
FAX: 507/454-1647
Corp
STERLING HOUSE OF WINONA
MS. SARA BLAIR
COMP
835 EAST BELLEVIEW STREET
(20328)
WINONA, MN 55987
PHONE: 507/454-3090
FAX: 507/454-5466
MS. REBECCA SOBOLIK
HWSAL
Corp
STERLING HOUSE WINONA
835 EAST BELLEVIEW STREET
(30556)
WINONA, MN 55987
PHONE: 507/454-3090
FAX: 507/454-5466
Lim-Liab
SUGAR LOAF SENIOR LIVING
MS. REBECCA SOBOLIK
COMP
765 MENARD ROAD
(28895)
WINONA, MN 55987
PHONE: 507/452-1277
FAX: /
MS. ALISON BRIGGS
HWSAL
Lim-Liab
SUGAR LOAF SENIOR LIVING
765 MENARD ROAD
(28896)
WINONA, MN 55987
PHONE: 507/452-1277
FAX: /
MS. ALLISON BRIGGS
Minnesota Department of Health
Division of Compliance Monitoring
Page 512
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
WATKINS MANOR
Certification
WINONA
Registration
(Cont.)* -------------------------
COMP
175 EAST WABASHA
(20822)
WINONA, MN 55987
PHONE: 507/494-7400
FAX: 507/494-7490
MS. CHERYL KRAGE
HWSAL
NProf
WATKINS MANOR
175 EAST WABASHA
(30797)
WINONA, MN 55987
PHONE: 507/494-7400
FAX: 507/494-7490
NProf
WINONA AREA HOSPICE
MS. CHERYL KRAGE
Hospice
HSPICE
175 EAST WABASHA STREET
(02881)
WINONA, MN 55987
PHONE: 507/457-4468
FAX: 507/457-4168
NProf
WINONA HEALTH HOME CARE
MS. ROBIN HOEG
HCP/COMP
HHA
175 EAST WABASHA STREET
(02254)
WINONA, MN 55987
PHONE: 507/457-4468
MS. ROBIN HOEG
FAX: 507/457-4168
NProf
WINONA HEALTH SERVICES
HOSP-99 BASS-14
HOSP-88 PPS-P-11
855 MANKATO AVENUE
(00701)
WINONA, MN 55987
PHONE: 507/454-3650
MS. RACHEL SCHULTZ
FAX: 507/457-4159
ESRD
NProf
WINONA HEALTH SERVICES
855 MANKATO AVE
(02111)
WINONA, MN 55987
PHONE: 507/454-3650
FAX: 507/964-2941
MS. RACHELLE SCHULTZ
---------------------------**********
WRIGHT
******** -------------------------
HWS
NProf
ENGEL HAUS
5101 KASSEL AVE NE
(30893)
ALBERTVILLE, MN 55301
PHONE: 763/498-4594
FAX: /
MS. ANDREA ERICKSON
Corp
ENGEL HAUS
TCOMP
5101 KASSEL AVENUE NE
(31271)
ALBERTVILLE, MN 55301
PHONE: 763/241-4470
ANNANDALE CARE CENTER
FAX: /
MS. KRISTIN NEFF
NProf
NH-60
SNF-NF-60
500 PARK STREET EAST
ANNANDALE, MN 55302
PHONE: 320/274-3737
(00951)
FAX: 320/274-3631
MS. DEBRA REITMEIER
Minnesota Department of Health
Division of Compliance Monitoring
Page 513
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
WRIGHT
(Cont.)* -------------------------
HWSAL
NProf
CENTENNIAL VILLA
Registration
600 PARK STREET EAST
(20074)
ANNANDALE, MN 55302
PHONE: 320/274-5031
MS. DEBORAH FLYGARE
FAX: 320/274-1330
HWSAL
NProf
CENTENNIAL VILLA ASSISTED LIVI
660 PARK STREET EAST
(30825)
ANNANDALE, MN 55302
PHONE: 320/274-3737
MS. DEB FLYGARE
FAX: 320/274-1330
NProf
CENTENNIAL VILLA ASSISTED LIVI
COMP
660 PARK STREET EAST
(20856)
ANNANDALE, MN 55302
PHONE: 320/274-3737
MS. DEBORAH FLYGARE
FAX: 320/274-1330
HWSAL
NProf
CENTENNIAL VILLA ASSISTED LIVI
500 PARK STREET EAST
(25919)
ANNANDALE, MN 55302
PHONE: 320/274-5031
MS. DEBORAH FLYGARE
FAX: 320/274-1330
COMM BEHAV HLTH HOSP ANNANDALE
State
HOSP-16
OTHER-16
400 ANNANDALE BOULEVARD
(24145)
ANNANDALE, MN 55302
PHONE: 651/259-3850
MR. DOUGLAS PANSER
FAX: 320/274-7018
NProf
BUFFALO HOSPITAL
HOSP-65 BASS-18
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 EIGHTH STREET NORTHWEST
BUFFALO, MN 55313
PHONE: 763/682-9366
(29351)
FAX: 763/682-6569
MR. MICHAEL PAGH
Minnesota Department of Health
Division of Compliance Monitoring
Page 514
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
COTTAGEWOOD SR COMMONS BUFFALO
Lim-Liab
Certification
WRIGHT
Registration
(Cont.)* -------------------------
HCP-F
201 FIRST STREET NE
(29353)
BUFFALO, MN 55313
PHONE: 763/682-5489
MR. COREY TREMBATH
FAX: 763/684-4809
Out Pt Out St
Corp
EXCEL PHYSICAL THERAPY
300 CATLIN STREET
(03893)
BUFFALO, MN 55313
PHONE: 763/682-2202
MR. VIRGIL MICHAELIS
FAX: /
ESRD
Corp
FMC DIALYSIS SERVICES BUFFALO
104 MARTY DRIVE
(03717)
BUFFALO, MN 55313
PHONE: 763/682-0211
MR. JOHN MARIETTI
FAX: /
HWS
Corp
GRANDMAS PLACE PARK LANE
609 MONTROSE BLVD
(28131)
BUFFALO, MN 55313
PHONE: 763/560-2500
MR. RON HENDRICKSON
FAX: 763/561-0159
Ind
KIMBERLY HAGLUND
HCP-C
672 BARTON AVENUE NW
(25985)
BUFFALO, MN 55313
PHONE: 612/616-5891
LAKE RIDGE CARE CTR OF BUFFALO
MS. KIMBERLY HAGLUND
FAX: /-
NProf
NH-63
SNF-NF-63
310 LAKE BOULEVARD SOUTH
BUFFALO, MN 55313
PHONE: 763/682-1434
LAKE RIDGE MANOR
(00714)
FAX: 763/682-6419
NProf
MR. JASON NELSON
COMP
310 LAKE BOULEVARD SO
BUFFALO, MN 55313
PHONE: 763/404-4604
LAKE RIDGE MANOR
(20186)
FAX: 763/682-4464
MR. JASON NELSON
HWSAL
NProf
310 LAKE BOULEVARD SO
BUFFALO, MN 55313
PHONE: 763/404-4617
LIVING WELL DOUGLAS
(30436)
MR. JASON NELSON
FAX: 763/682-4464
NProf
SLFB-6
ICFIID-6
303 DOUGLAS DRIVE
BUFFALO, MN 55313
PHONE: 763/682-4588
PARK TERRACE ASSISTED LIVING &
(01179)
FAX: 763/682-9650
MS. THERESA MILLER
HWSAL
NProf
613 MONTROSE BOULEVARD
BUFFALO, MN 55313
PHONE: 763/684-4866
(30587)
FAX: 763/682-6855
MS. ANN DIRKS
Minnesota Department of Health
Division of Compliance Monitoring
Page
515
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
PARK TERRACE ASSISTED LIVING &
Certification
WRIGHT
Registration
(Cont.)* -------------------------
COMP
613 MONTROSE BOULEVARD
(25448)
BUFFALO, MN 55313
PHONE: 763/684-4866
FAX: 763/682-6855
Church
PARK VIEW CARE CENTER
MS. JILL PINGEL
NH-123
SNF-NF-123
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/COMP
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
SLFB-12
ICFIID-12
914 THIRD AVENUE NORTHEAST
(01487)
BUFFALO, MN 55313
PHONE: 763/682-3142
MR. PATRICK MASYGA
FAX: 763/682-9722
Ind
STEPHANIE LYNN SALONEK
HCP-C
1611 GRIFFING PARK ROAD
(25925)
BUFFALO, MN 55313
PHONE: 612/702-9338
BROOKRIDGE
MS. STEPHANIE SALONEK
FAX: /-
BusTrust
COMP
180 SUNSET AVENUE
COKATO, MN 55321
PHONE: 320/286-3196
BROOKRIDGE
(20830)
FAX: 320/286-3163
MR. JAMES BROICH
HWSAL
BusTrust
180 SUNSET AVENUE
COKATO, MN 55321
PHONE: 320/286-3196
COKATO MANOR
(30799)
FAX: 320/286-3163
NProf
MR. JAMES BROICH
NH-56
SNF-NF-56
182 SUNSET AVENUE
COKATO, MN 55321
PHONE: 320/286-2158
COKATO MANOR HOME HEALTH
(00712)
FAX: 320/286-2031
BusTrust
MR JAMES BROICH
HHA
HCP/COMP
511 COKATO STREET NW
COKATO, MN 55321
PHONE: 320/286-3049
EDGEWOOD GABLES
(03746)
FAX: 320/286-2307
MR. JAMES BROICH
HWS
BusTrust
600 EAST THIRD STREET SE
COKATO, MN 55321
PHONE: 320/286-3190
(20523)
FAX: 320/286-3163
MR. JAMES BROICH
Minnesota Department of Health
Division of Compliance Monitoring
Page 516
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Certification
WRIGHT
(Cont.)* -------------------------
HWSAL
ONProf
HERITAGE PLACE
Registration
182 SUNSET AVENUE
(20343)
COKATO, MN 55321
PHONE: 320/286-2158
FAX: 320/286-3163
Lim-Liab
GOLDEN LIVINGCENTER DELANO
MR. JAMES BROICH
NH-54
SNF-NF-54
433 COUNTY ROAD 30
(00933)
DELANO, MN 55328
PHONE: 763/972-2987
FAX: 763/972-2457
MS. SHANNON DONAHUE
HWSAL
Lim-Liab
THE LEGACY OF DELANO
1350 ST PETER AVENUE EAST
(29189)
DELANO, MN 55328
PHONE: 763/972-2333
FAX: 763/972-5900
Lim-Liab
THE LEGACY OF DELANO LLC
MR. ALEXANDER FERRELL
COMP
1350 ST PETER AVENUE EAST
(26590)
DELANO, MN 55328
PHONE: 763/972-2333
MR. ALEX FERRELL
FAX: 763/972-5900
Corp
CALM CARE
COMP
6494 28TH STREET SW
(29703)
HOWARD LAKE, MN 55349
PHONE: 612/490-2849
MS. JULENE HIRSCH
FAX: 320/543-2628
NProf
GOOD SAM SOCIETY HOWARD LAKE
NH-35
SNF-NF-35
413 13TH AVENUE
(00019)
HOWARD LAKE, MN 55349
PHONE: 320/543-3800
FAX: 320/543-2305
Ind
NANCY J LOEBERTMANN
MS. LAURA SALONEK
HCP-C
1010 SHORELINE DRIVE
(25986)
HOWARD LAKE, MN 55349
PHONE: 320/543-3603
FAX: /-
MS. NANCY LOEBERTMANN
HWSAL
ONProf
THE LODGE OF HOWARD LAKE
445 FIRST ST E
(29926)
HOWARD LAKE, MN 55349
PHONE: 320/543-1010
MS. LAURA SALONEKA
FAX: 320/543-1064
NProf
THE LODGE OF HOWARD LAKE
COMP
445 FIRST STREET EAST
(29925)
HOWARD LAKE, MN 55349
PHONE: 320/543-4400
SUGAR LAKE SUPPORTED LIVING SE
MS. LAURA SALONEK
FAX: /
Corp
COMP
6523 117TH STREET NW
MAPLE LAKE, MN 55358
PHONE: 320/963-7571
(21604)
FAX: 855/884-7635
MR. MICHAEL HILGERT
Minnesota Department of Health
Division of Compliance Monitoring
Page
517
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Lim-Liab
CENTRACARE HEALTH MONTICELLO
Certification
WRIGHT
Registration
(Cont.)* -------------------------
NH-89 HOSP-39 BASS-12
SNF-NF-89 CAH-25 PPS-R-10
1013 HART BOULEVARD
(00717)
MONTICELLO, MN 55362
PHONE: 763/295-2945
FAX: 763/271-2299
MR. TROY BARRICK
Home Mgmt
Ind
ROBIN MORRIN
9188 GOODRICH DRIVE
(31346)
MONTICELLO, MN 55362
PHONE: 763/381-4969
FAX: 763/257-5723
MS. ROBIN MORRIN
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
MS. SANDY HAGGERTY
FAX: 763/295-5384
Corp
THERES NO PLACE LIKE HOME INC
COMP
4134 DEEGAN COURT SUITE 50
(27517)
MONTICELLO, MN 55362
PHONE: 763/295-1140
MR. JEFF DUNNIGAN
FAX: 763/295-1141
Lim-Liab
CARING HEARTS AT HOME LLC
HCP-A
2000 BALSAM LANE
(28793)
ROCKFORD, MN 55373
PHONE: 612/272-4114
FAX: /
MS. KATHLEEN TURNER
Lim-Liab
HEALTHY FOOT CARE LLC
HCP-A
6915 36TH STREET SE
(30221)
ROCKFORD, MN 55373
PHONE: 763/232-6753
PEDIATRIC SPEECH & LANGUAGE
FAX: /
MS. JILL STEWART
Ind
HCP-A
7006 GREENWOOD CT
ROCKFORD, MN 55373
PHONE: 612/961-8310
PROVISIONAL HOME HEALTH LLC
(25224)
FAX: 612/234-4617
Lim-Liab
MS. AMY PEDERSON
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
(29207)
FAX: 866/571-0780
MS. ANN WOJCIK
Minnesota Department of Health
Division of Compliance Monitoring
Page
518
Directory of Facilities and Services
Facility/Service
Owner
Licensure
WRIGHT
---------------------------**********
THE LEGACY OF ST MICHAEL
Certification
Registration
(Cont.)* -------------------------
HWSAL
Lim-Liab
4400 LANGE AVENUE NORTHEAST
ST MICHAEL, MN 55376
PHONE: 763/497-0171
THE LEGACY OF ST MICHAEL
(29185)
FAX: 763/497-7120
Lim-Liab
MS. BETH KUHLMAN
HCP-F
4400 LANGE AVENUE NORTHEAST
ST MICHAEL, MN 55376
PHONE: 763/497-0171
NEW BEGINNINGS AT WAVERLY LLC
(27112)
FAX: 763/497-7120
Lim-Liab
MS. BETH KUHLMAN
SLFA-40
109 NORTH SHORE DRIVE
WAVERLY, MN 55390
PHONE: 763/658-5800
(01497)
FAX: 763/658-4128
MR. CLELLAND GILCHRIST
---------------------------**********
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)
MR. PAT MASYGA
FAX: 507/223-5659
HWS
Corp
913 NORTH RING AVENUE
CANBY, MN 56220
PHONE: 507/223-5633
REM SOUTHWEST SERVICES INC SUN
(23758)
MR. PAT MASYGA
FAX: 507/223-5659
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
SLFA-6
ICFIID-6
1201 HAARFAGER AVE N
CANBY, MN 56220
PHONE: 507/223-7271
REM SOUTHWEST SRVS CANBY B
(01081)
FAX: 507/223-5659
Corp
MR. PATRICK MASYGA
SLFB-6
ICFIID-6
1205 HAARFAGER AVE N
CANBY, MN 56220
PHONE: 507/223-7271
SANFORD CANBY DIALYSIS UNIT
(01659)
FAX: 507/223-5659
MR. PATRICK MASYGA
ESRD
NProf
112 ST OLAF AVENUE SOUTH
CANBY, MN 56220
PHONE: 507/223-7277
(04244)
FAX: 507/223-7465
MR. ROBERT SALMON
Minnesota Department of Health
Division of Compliance Monitoring
Page
519
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
NProf
SANFORD CANBY MED CENTER
Certification
YELLOW MEDICINE
Registration
(Cont.)* -------------------------
HCP/COMP
HHA
213 ST OLAF AVE N STE B
(02240)
CANBY, MN 56220
PHONE: 507/223-7277
FAX: 507/223-5346
NProf
SANFORD CANBY MEDICAL CENTER
MS. BRENDA KNUTSON
NH-68 HOSP-25 BASS-4
SNF-NF-68 CAH-25
112 ST OLAF AVENUE SOUTH
(00722)
CANBY, MN 56220
PHONE: 507/223-7277
FAX: 507/223-5877
MS. LORI SISK
RHC
NProf
SANFORD CLINIC CANBY
112 ST OLAF AVENUE
(02775)
CANBY, MN 56220
PHONE: 507/223-7221
FAX: /
MR. ROBERT SALMON
NProf
SANFORD SYLVAN PLACE
COMP
212 ST OLAF AVENUE SOUTH
(23624)
CANBY, MN 56220
PHONE: 507/223-7277
MS. NANCY SALMON
FAX: 507/223-7886
Ind
SERENITY HOUSE
HCP-F
310 HAARFAGER AVENUE SOUTH
(23202)
CANBY, MN 56220
PHONE: 507/223-5269
MS. JOANN HANSEN
FAX: /
HWSAL
Ind
SERENITY HOUSE
310 HAARFAGER AVENUE SOUTH
(30341)
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-42
SNF-NF-42
805 FIFTH STREET
CLARKFIELD, MN 56223
PHONE: 320/669-7561
CLARKFIELD HOME HEALTH AGENCY
(00842)
FAX: 320/669-7409
City
MR. MURRAY FINGER
HCP/COMP
HHA
1012 12TH AVENUE SUITE 201
CLARKFIELD, MN 56223
PHONE: 320/669-7229
CLARKFIELD HOUSING & REDEVELOP
(02302)
FAX: 320/669-0107
MS. AMANDA REDEPENNING
HWSAL
HRA
1012 12TH AVENUE
CLARKFIELD, MN 56223
PHONE: 320/669-4648
(20928)
FAX: 320/669-4648
MS. STEPHANIE BROCK
Minnesota Department of Health
Division of Compliance Monitoring
Page
520
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
City
GRANITE FALLS MUN HOSP HHA
Certification
YELLOW MEDICINE
Registration
(Cont.)* -------------------------
HCP/COMP
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
(23491)
GRANITE FALLS, MN 56241
PHONE: 320/564-3308
FAX: 320/564-4870
City
MUNICIPAL HOSP & GRANITE MANOR
MS. TAMARA TAMMEN
NH-57 HOSP-30 BASS-3
SNF-NF-57 CAH-25
345 TENTH AVENUE
(00725)
GRANITE FALLS, MN 56241
PHONE: 320/564-3111
MR. GEORGE GERLACH
FAX: 320/313-3396
NProf
PROJECT TURNABOUT
SLFA-60 SLFB-9
660 18TH STREET
(21953)
GRANITE FALLS, MN 56241
PHONE: 320/564-4911
MR. MICHAEL SCHIKS
FAX: 320/564-3122
---------------------------**********
Corp
HELPING HANDS HOME CARE OF MIN
IOWA
******** -------------------------
COMP
2244 490TH STREET
(24054)
NORTHWOOD, IA 50459
PHONE: 507/993-7500
FAX: 888/691-4965
Corp
UNIVERSAL PEDIATRICS
MS. SHELLEE WRIGHT
COMP
702 PARK STREET PO BOX 158
(29775)
SHELDON, IA 51201
PHONE: 712/324-4012
FAX: 712/324-4091
MS. DEBRA KLEINWOLTERINK RN
---------------------------**********
Lim-Liab
ETHOS HOME CARE
NORTH DAKOTA
******** -------------------------
TCOMP
2877 45TH STREET SUITE 201
(31181)
FARGO, ND 58104
PHONE: 701/356-3803
HOME INSTEAD SENIOR CARE
FAX: /-
MS. ANNE MAJOR
Home Mgmt
Corp
505 N BROADWAY STE 204
FARGO, ND 58102
PHONE: 701/478-1010
(25316)
FAX: 701/478-1008
MS. ARLETTE PRESTON
Minnesota Department of Health
Division of Compliance Monitoring
Page
521
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
HOSPICE OF THE RED RIVER VALLE
NProf
Certification
NORTH DAKOTA
Registration
(Cont.)* -------------------------
Hospice
HCP
1701 38TH STREET S SUITE 101
FARGO, ND 58103
PHONE: 701/356-1500
REGENCY HOME HEALTHCARE
(03040)
FAX: 701/356-1591
Lim-Liab
MS. SANDRA TUBBS
HCP-A
HCP
825 28TH ST SOUTH UNIT A
FARGO, ND 58103
PHONE: 701/232-1245
SANFORD HOME CARE
(03350)
FAX: 701/232-0813
NProf
MS. LANESSA HERSCH
HCP-A
HCP
1711 SOUTH UNIVERSITY DRIVE
FARGO, ND 58103
PHONE: 701/234-4900
SPECTRUM HOME CARE
(03255)
FAX: 701/234-4899
MS. MARY KAY HERRMANN
Home Mgmt
Corp
2108 S UNIVERSITY UNIT 106-B
FARGO, ND 58103
PHONE: 701/293-8172
ALTRU'S HOME HEALTH
(20859)
MR. GREG WENTZ
FAX: 701/293-0113
NProf
COMP
COMP
1380 S COLUMBIA RD
GRAND FORKS, ND 58201
PHONE: 701/780-5880
ALTRU'S HOSPICE
(03113)
MS. KARI JENSEN
FAX: 701/780-5849
NProf
Hospice
HCP
1380 SOUTH COLUMBIA ROAD
GRAND FORKS, ND 58201
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: 701/642-1863
MS. EMMY TRETTER
---------------------------**********
HOME CARE SERVICES OF SOUTH DA
Corp
SOUTH DAKOTA
******** -------------------------
HCP-A
316 SOUTH COTEAU
PIERRE, SD 57501
PHONE: 605/224-2273
(26727)
FAX: 605/224-9006
MR. ROBERT BOEHMER
Minnesota Department of Health
Division of Compliance Monitoring
Page
522
Directory of Facilities and Services
Facility/Service
Owner
Licensure
---------------------------**********
Corp
HOMECARE SERVICES OF SD INC
Certification
SOUTH DAKOTA
Registration
(Cont.)* -------------------------
HCP-B
431 SOUTH PIERRE
(03396)
PIERRE, SD 57501
PHONE: 605/224-2273
FAX: 605/224-9006
NProf
SANFORD HOSPICE
MR. ROBERT BOEHMER
Hospice
HCP
2710 WEST 12TH STREET
(03300)
SIOUX FALLS, SD 57104
PHONE: 605/312-5500
FAX: 605/312-5501
NProf
COTEAU DES PRAIRIES HOSPITAL H
MS. LOIS SCHULLER
HCP-A
HCP
205 ORCHARD DRIVE
(03653)
SISSETON, SD 57262
PHONE: 605/698-4664
FAX: 605/698-4613
MS. JESSICA MOEN
---------------------------**********
Corp
COMFORT KEEPERS
WISCONSIN
******** -------------------------
COMP
2424 MONETARY BLVD, #012
(30005)
HUDSON, WI 54016
PHONE: 715/381-6730
MS. LINDA SHURDEN
FAX: 715/381-6734
NProf
GUNDERSEN HOSPICE
Hospice
HCP
1900 SOUTH AVENUE
(21826)
LACROSSE, WI 54601
PHONE: 608/775-8435
MS. WANEETA EVERSON
FAX: 608/775-8440
NProf
MAYO CLINIC HEALTH SYSTEM FRAN
COMP
700 WEST AVE S
(02936)
LACROSSE, WI 54601
PHONE: 608/392-9790
FAX: 608/791-9548
Corp
MAYO CLINIC HLTH SYS FRANCSCN
MS. JOANNE DAMASCHKE
Hospice
212 SOUTH 11TH STREET
(28013)
LACROSSE, WI 54601
PHONE: 608/392-9790
FAX: 608/791-9548
MS. CHERISTI COGNETTA-RICKE
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
COMP
4601 S SAM ANDERSON ROAD
SOUTH RANGE, WI 54874
PHONE: 218/390-1049
(28902)
FAX: 218/390-1049
MR. TREVOR HILLSTROM
Page 523
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 RESIDENCE AND REHAB CT
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
THE QUINLAN HOME
LOCATION
BOARDING CARE HOME
=====================================================================
Page 524
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
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 525
LOCATION
END STAGE RENAL DISEASE SUPPLIER
LOCATION
END STAGE RENAL DISEASE SUPPLIER
======================================================================= ======================================================================
FMC MAPLEWOOD HEIGHTS
ALBERT LEA
MAYO CLINIC ALBERT LEA
ALEXANDRIA
CENTRACARE KIDNEY PROGRAM
APPLE VALLEY
EAST VALLEY DIALYSIS
MARSHALL
MARSHALL DIALYSIS CTR DAVITA
ARDEN HILLS
ARDEN HILLS DIALYSIS UNIT
MINNEAPOLIS
FMCNA PARK AVE DIALYSIS CENTER
BEMIDJI
SANFORD DIALYSIS BEMIDJI
FMCNA SOUTH MPLS DIALYSIS CTR
BIG LAKE
CENTRA CARE KIDNEY PROGRAM
HOME DIALYSIS UNIT OF TRC INC
BLAINE
CENTRAL AVENUE DIALYSIS
MINNEAPOLIS DIALYSIS UNIT
FRESENIUS MEDICAL CARE BLAINE
MINNEAPOLIS NE DIALYSIS
BLOOMINGTON DIALYSIS UNIT TRC
MINNEAPOLIS UPTOWN DIALYSIS
BLOOMINGTON
MAPLEWOOD
MAPLEWOOD DIALYSIS CENTER
UMMC FAIRVIEW RENAL DIALYSIS
FMC SOUTHTOWN DIALYSIS
BRAINERD
CHRONIC DIALYSIS UNIT
MINNETONKA
MINNETONKA DIALYSIS UNIT
BUFFALO
FMC DIALYSIS SERVICES BUFFALO
MONTEVIDEO
MONTEVIDEO DIALYSIS
BURNSVILLE
BURNSVILLE DIALYSIS UNIT
MORA
FMCNA MORA DIALYSIS CENTER
CAMBRIDGE
CENTRACARE CAMBRIDGE DIALYSIS
MORRIS
SANFORD DIALYSIS MORRIS
CANBY
SANFORD CANBY DIALYSIS UNIT
NEW BRIGHTON
FMCNA NEW BRIGHTON DIAL CTR
CASS LAKE
CASS LAKE DIALYSIS FACILITY
NEW HOPE
NEW HOPE DIALYSIS CENTER
CHAMPLIN
FRESENIUS MED CARE OF CHAMPLIN
NEW ULM
RENAL DIALYSIS FAC NEW ULM
COON RAPIDS
COON RAPIDS DIALYSIS UNIT
NORTHFIELD
NORTHFIELD DIALYSIS
FMC DIALYSIS SERVCES NO SUBURB
ORTONVILLE
SATELLITE DIALYSIS ORTONVILLE
FRESENIUS MED CA RND LK DIALYS
OWATONNA
MAYO CLINIC OWATONNA
FRESENIUS MED CARE COON RAPIDS
PARK RAPIDS
PARK RAPIDS DIALYSIS
COTTAGE GROVE
COTTAGE GROVE DIALYSIS
PINE CITY
TRC PINE CITY
CROOKSTON
ALTRU RENAL DIALYSIS AT CROOKS
PIPESTONE
PIPESTONE DIALYSIS FACILITY
DETROIT LAKES
SANFORD DETROIT LAKES HOME DIA
PRINCETON
CENTRACARE KIDNEY PROGRAM
SANFORD DIALYSIS DETROIT LAKES
RED LAKE
SANFORD DIALYSIS RED LAKE
DILWORTH
MOORHEAD DIALYSIS
RED WING
RED WING DIALYSIS UNIT
DULUTH
FMC DIAL SERVS OF SPIRIT VALLE
REDWOOD FALLS
REDWOOD FALLS DIALYSIS CTR
FMC DIALYSIS SERVICES DULUTH
RICHFIELD
RICHFIELD DIALYSIS
DUNDAS
FRESENIUS MED CA CANNON VALLEY
ROBBINSDALE
FRESENIUS MED CARE ROBBINSDALE
EAGAN
EAGAN DIALYSIS UNIT
EDEN PRAIRIE
EDEN PRAIRIE DIALYSIS
EDINA
EDINA DIALYSIS CENTER
ELK RIVER
CENTRAL MINNESOTA REG DIALYSIS
ROSEAU
ALTRU RENAL DIALYSIS
EVELETH
FMC DIALYSIS SERVICES EVELETH
ROSEVILLE
FMC DIALYSIS SERVCES ROSEVILLE
FAIRMONT
MAYO CLINIC FAIRMONT
SAVAGE
SCOTT COUNTY DIALYSIS
FARIBAULT
FARIBAULT DIALYSIS UNIT
SHAKOPEE
FMCNA SHAKOPEE DIALYSIS CENTER
FERGUS FALLS
FERGUS FALLS DIALYSIS CENTER
ST CLOUD
CENTRACARE KIDNEY PROGRAM
FRIDLEY
EAST RIVER ROAD DIALYSIS
ST LOUIS PARK
FRESENIUS MED CARE ST LOUIS PK
GLENCOE
GLENCOE DIALYSIS
GOLDEN VALLEY
FMC DIALYSIS SERVCES GOLDN VAL
GRAND RAPIDS
FMC DIALYSIS SRVCS GR RAPIDS
HASTINGS
FRESENIUS MED CARE TWO RIVERS
FRESENIUS MEDICAL OF ST PAUL
ROBBINSDALE DIALYSIS
ROCHESTER
MAYO CLINIC EISENBERG
MAYO CLINIC NE CLINIC
ST LOUIS PARK DIALYSIS CENTER
WESTWOOD HILLS DIALYSIS
ST PAUL
FRESENIUS MEDICAL CARE MIDWAY
HISTORICAL HASTINGS DIALYSIS
HIGHLAND PARK DIALYSIS
HIBBING
FRESENIUS MED CARE OF HIBBING
ST PAUL CAPITOL DIALYS AT HOME
HUTCHINSON
FMC DIALYSIS SRVS HUTCHINSON
ST PAUL CAPITOL DIALYSIS
ISLE
LAC MIL DIALYSIS
ST PAUL DIALYSIS
LITCHFIELD
CENTRACARE KIDNY PG LITCHFIELD
SUN RAY DIALYSIS UNIT
LITTLE FALLS
CENTRACARE KIDNEY PROGRAM LITT
UNIVERSITY DIALYSIS RIVERSIDE
MANKATO
DIALYSIS AT MANKATO CLINIC
STAPLES
CENTRACARE KIDNEY PGM STAPLES
IMMANUEL ST JOSEPHS ESRD
STILLWATER
RIVER CITY DIALYSIS
FRESENIUS MED CARE MAPLE GROVE
THIEF RIVER FALLS
SANFORD DIALYSIS THIEF RVR FLS
MAPLE GROVE DIALYSIS UNIT
WABASHA
MAYO CLINIC WABASHA
MAPLE GROVE
Page 526
WACONIA
FMCNA WACONIA DIALYSIS
WEST ST PAUL
FMC WEST ST PAUL DIALYSIS
WEST ST PAUL DIALYSIS UNIT
WHITE EARTH
WHITE EARTH DIALYSIS
WILLMAR
RICE MEMORIAL HOSPITAL ESRD
WINONA
WINONA HEALTH SERVICES
WOODBURY
WOODBURY DIALYSIS
WORTHINGTON
SANFORD WORTHINGTON MED CENTER
WYOMING
WYOMING DIALYSIS
Page 527
LOCATION
LICENSED HOME CARE PROVIDER
HCP
LOCATION
LICENSED HOME CARE PROVIDER
HCP
================================================================== ==================================================================
NEW BRIGHTON
COMPASSIONATE CARE SERVICES
A
HOPE HEALTH CARE INC
CP
ADA
BENEDICTINE SUPPORTIVE SERVICE
CP
MOSAIC IN HOME
CP
ADAMS
ADAMS HOME HEALTH AGENCY
CP
NAGOMI INC
F
A
SENIOR CARE CONCIERGE LLC
M
F
ADAMS HOME HEALTH CARE
APPLE VALLEY
ADRIAN
ADRIAN COUNTRY LIVING COTTAGES
CP
THE TIMBERS
AFTON
AFTON CARE SENIOR HOMES
CP
TWINS CARE NURSING SERVICE INC
CP
AITKIN
AICOTA HEALTH CARE CENTER INC
CP
APPLETON
APPLETON AREA HEALTH SERVICES
A
GOLDEN HORIZONS
F
ARDEN HILLS
JOHANNA SHORES
F
LAURA THERESA JULIUS
C
ARLINGTON
GOLDEN HEARTS INC
CP
F
AKELEY
PLEASANT AKERS
F
GOOD SAMARITAN SOCIETY - FAIRV
ALBANY AREA HOME HEALTH
A
RIDGEVIEW SIBLEY HOME CARE
A
MOTHER OF MERCY CAMPUS OF CARE
CP
ASHBY
ASHBY LIVING CENTER
F
BRIAN'S ELDER CARE INC
CP
AUSTIN
CEDARS OF AUSTIN
CP
BROADWAY ASSISTED LIVING
CP
KINGSLEY HOUSE
F
CP
KSMS OUR HOUSE LLC
CP
GOOD SAM SOCIETY HIDDEN CREEK
F
NURSE CARE FOR EVERY SEASON OF
A
JOANN JENSEN
M
PRIMROSE OF AUSTIN
CP
JUST LIKE HOME PLACE LLP
CP
REFLECTIONS ASSISTED LIVING
F
KNUTSON PLACE APARTMENTS
CP
SACRED HEART HOME HEALTH CARE
A
MAYO CLINIC HS ALBERT LEA
A
ST MARKS HERITAGE COMMUNITY
F
OAK PARK PLACE
F
THE CARLSON HOME OF AUSTIN INC
CP
PRAIRIE SENIOR COTTAGES OF ALB
CP
WHISPERING PINES RANCH
CP
THORNE CREST RETIREMENT CENTER
CP
DIGNITY AND GRACE
F
ALBERTVILLE
ENGEL HAUS
TC
HOME BUT NOT ALONE HOME CARE
M
ALEXANDRIA
BETHANY HOME HEALTH SERVICES
F
CLEARWATER CO NSG SERVICE
A
BONNIE'S SENIOR HAVEN
CP
CORNERSTONE RESIDENCE OF BAGLE
CP
EDGEWOOD VISTA ALEXANDRIA
CP
THE GARDEN PLACE ASSISTED LIVI
CP
GOLDENRIDGE SENIOR CARE LLC
F
BALATON
LAKEVIEW SENIOR HOUSING
F
GRAND ARBOR
CP
BARNUM
VISIONARY HOME CARE
BA
KNUTE NELSON HOME CARE
A
VISIONARY HOME CARE
M
LAKES AREA ASSISTED LIVING
CP
BARRETT
ROLLING HILLS HOME CARE
CP
NELSON GABLES SENIOR CARE
F
BATTLE LAKE
HELPING HANDS
M
LAKEVIEW SENIOR LIVING APARTME
F
ALBANY
ALBERT LEA
EMBRACE HOME CARE LLC
ANDOVER
BACKUS
BAGLEY
PEACEFUL BLISS ASSISTD LVG LLC
F
PRAIRIE SENIOR COTTAGES ALEX
CP
BAUDETTE
LAKEWOOD HEALTH CENTER
CP
SERENE HAVEN HOMECARE
A
BAXTER
BIRCH MANOR
TC
SHARONS SENIOR SERVICES INC
CP
GOOD NEIGHBOR HHC OF BRAINERD
A
WINDMILL PONDS ASSISTED LIVING
F
MN HOME CARE
CP
YOUR CHOICE HOME CARE LLP
BA
WELCOME HOME HEALTH CARE
CP
ARBOR OAKS SENIOR LIVING
F
BAYPORT
CROIXDALE
CP
GRACE NURSING CARE SERVICES IN
A
BELLE PLAINE
KINGSWAY HOME CARE
CP
JUST FOR RACHEL HOME CARE
A
KINGSWAY MINISTRIES LLC
F
SUSAN ALIENE PETERSON
C
BELVIEW
PARKWOOD APARTMENTS
CP
THE FARMSTEAD
F
BEMIDJI
A TOUCH OF HOME NORTH
F
CP
ANNANDALE
CENTENNIAL VILLA ASSISTED LIVI
CP
AUTUMN HILLS OF BEMIDJI INC
ANOKA
VOA HOME HEALTH AT ANOKA
CP
BELTRAMI COUNTY HEALTH & HUMAN
A
WALKER METHODIST PLAZA
CP
CEDAR COTTAGE
F
WHISPERING PINES ASSTD LIVING
F
COLLEEN'S CARING HANDS
CP
APPLE VALLEY VILLA
F
GOLDPINE HOME
CP
CENTENNIAL HOUSE OF APPLE VALL
CP
LONG LAKE LOON LODGE
CP
DAKOTA HOMEMAKING SERVICES INC
M
NORTHWOODS CAREGIVERS
M
ECUMEN SEASONS AT APPLE VALLEY
CP
PROGRESSIVE HEALTH CARE OF BEM
CP
ELDERNEST INC
M
SANFORD BEMIDJI HOME CARE
A
APPLE VALLEY
Page 528
LOCATION
LICENSED HOME CARE PROVIDER
HCP
LOCATION
LICENSED HOME CARE PROVIDER
HCP
================================================================== ==================================================================
SANFORD HEALTH NEILSON PLACE
CP
NORTH STAR HEALTH SERVICES LLC
A
TAMARACK COURT
CP
PAMPER ME FOOTCARE
A
TOUCH OF HOME
F
PRESBYTERIAN HOMES OF BLOOMING
F
BENSON
SWIFT CTY BENSON HOSP HH CARE
A
PRIORITY HOMES LLC
TC
BIG LAKE
SENIOR HELPERS
CP
PRNSC
CP
BIGFORK
BIGFORK VALLEY HOME CARE
A
PRNSC LLC
F
BIGFORK VALLEY VILLA ASSISTED
F
PROF RESOURCE NETWORK HHC
A
GLESENERS ASSISTED LIVING SERV
CP
RELIABLE SENIOR CONCIERGE
M
GLESENERS HOME CARE SERVICES
A
RIGHT AT HOME
M
A
BEMIDJI
BIRD ISLAND
BLOOMINGTON
BLACKDUCK
GOOD SAM SOC BLACKDUCK SR LIV
F
RTS UNLIMITED HEALTHCARE SVCS
BLAINE
BLAINE ASSISTED LIVING AND MEM
CP
SOLBAKKEN
F
BLAINE WHITE PINE
CP
THE JAMES INC
CP
BRAINZ LLC
CP
THE WEALSHIRE OF BLOOMINGTON
CP
COMFORT KEEPERS
A
TOUCHING HEARTS AT HOME
CP
COMFORT KEEPERS
M
FRIENDSHIP COURT
CP
CP
BLUE EARTH
COMFORT KEEPERS
M
NICOLLET PLACE
COMFORT KEEPERS 283 668 772
A
UNITED HOSP DIST HOME HLTH SER
A
EDGEWOOD BLAINE SENIOR LVG LLC
F
BOVEY
EDGEWOOD CARE INC
CP
HEALTHMAX HOME HEALTH SERVICES
A
BRAHAM
ELMHURST COMMONS
F
HIGH LAND CARE INC
CP
HEART TO HEART CARE TEAM
BA
ALMOND HOUSE
CP
BRAINERD
HOME INSTEAD SENIOR CARE
CP
KAREN'S SENIOR KARE
BA
BARNABAS HEALTH CARE SERVICES
A
STERLING HOUSE OF BLAINE
CP
CROW WING COUNTY HEALTH & SOCI
CP
SYNERGY HOME CARE NORTHEAST ME
CP
EDGEWOOD VISTA BRAINERD
CP
TRANSAMERICA CARE INC
A
GOOD SAMARITAN SOCIETY BETHANY
CP
YAHWEH HOME CARE
A
GRATTAN PRIVATE DUTY NURSING I
CP
B
BLOOMING PRAIRIE
HEATHER HAUS
CP
HOME INSTEAD SENIOR CARE
BLOOMINGTON
A+ HOME HEALTH CARE INC
BA
HOME INSTEAD SENIOR CARE
M
ALL HOME HEALTH INC
M
LAKES AREA HOME CARE
C
AMAZING HOMECARE AND NURSING S
CP
LUTHERAN SOCIAL SERVICE
M
ASSISTED LIVING IN HERITAGE HA
CP
WOODLAND GOOD SAMARITAN ASSIST
CP
BRAZEN HOMES INC
F
BRANDON
BRANDONS ASSISTED LIVING
F
BRECK HOME RESIDENTIAL CARE CE
F
BRECKENRIDGE
CHI HEALTH AT HOME
A
CARING SENIOR SERVICE
TB
WELCOME HOME HEALTH CARE INC
F
CARPEVITA HOME CARE OF MN
BA
WILKIN COUNTY PUBLIC HEALTH
M
DESTINY HOME CARE SERVICES INC
CP
BROOK PARK
COUNTRY HOME COMFORTS
F
DIANES PERSONAL SERVICE
BA
BROOKLYN CENTER
ESTEEM NURSING CARE INC
A
ESTHERRA CARE LLC
TC
BROOKLYN CENTER
ABIDJAN HEALTHCARE INC
A
CP
FOUNDERS RIDGE
CP
ABUNDANT LIFE HOME HEALTH CARE
FRIENDSHIP VILLAGE OF BLOOMING
CP
ALLIANCE HOME HEALTH CARE INC
A
GENTLE CARE IN-HOME SVCS LLC
M
AMERICAN BEST HOME CARE
A
HELP AT HOME SENIOR CARE
M
AMERICAN FAMILY HOME CARE
CP
HOME LAB PARTNERS INC
CP
ANGELS OF MERCY ASSISTED LIVIN
CP
HOMECARE RESOURCE LLC
A
ASIAN AMERICAN ELDERLY ASSISTE
CP
IN-HOME LAB CONNECTION INC
A
BETHEL HOME CARE SERVICES
CP
LCI IN HOME SERVICES
A
BETHEL MANAGEMENT GROUP
BA
LIVE WELL AT HOME CARE
CP
BLESSING HOME HEALTH SERVICES
CP
MAINSTAY SENIOR CARE
B
CARE ON WHEELS HOMECARE SERVIC
A
METROPOLITAN LIVING LLC
CP
CAREVIEW HOME HEALTH, LLC
TB
MINNESOTA HOME HEALTH
A
COMFORTABLE HOME HEALTH CARE L
CP
NERVANAS CARING HANDS INC
CP
EARLE BROWN TERRACE
CP
NORTH STAR HEALTH SERVICES
M
FIRST CHOICE NURSING & HOMECAR
CP
Page 529
LOCATION
LICENSED HOME CARE PROVIDER
HCP
LOCATION
LICENSED HOME CARE PROVIDER
HCP
================================================================== ==================================================================
BROOKLYN CENTER
BROOKLYN PARK
FIRST CHOICE NURSING AND HOME
A
PRUDENCE CARE AND PROFESSIONAL
A
FOCUSCARE INC
BA
BROOKLYN PARK
SEFERTT HEALTH CARE
A
GOOD FAITH INC
A
ST THERESE HOME CARE
CP
GOODNESS AND MERCY HEALTH SERV
A
TRADITION
CP
GOODNESS AND MERCY HLTH SVCS
F
TUTS BLESSING LLC
A
HMONG SENIOR HEALTH CARE INC
M
ULTIMATE HOME CARE
A
HOME MANAGEMENT SERVICES
M
ULTRA CARE HOME HEALTH LLC
A
INDEPENDENT HOME CARE AGENCY
A
WATCHFUL CAREGIVERS
CP
INTEGRATED NURSING & HLTH SVCS
A
WATERFORD MANOR
CP
BROOKE MANOR INC
F
STONEHAVEN ASSISTED LIVING
CP
COTTAGEWOOD SR CMTY OF BUFFALO
F
MARANATHA PLACE
F
MILES VENTS CARE
CP
NEWAGE HOMECARE
A
NGUFOR
A
COTTAGEWOOD SR COMMONS BUFFALO
F
NORTH RESIDENTIAL HOSPICE
X
KIMBERLY HAGLUND
C
OPEN ARMS NURSING SERVICES INC
CP
LAKE RIDGE MANOR
CP
PLATEAU HEALTHCARE LLC
A
PARK TERRACE ASSISTED LIVING &
CP
READY FOR YOU HOME HEALTH CARE
A
PRAIRIE RIVER HOME CARE INC
A
RELIABLE HUMAN SERVICES INC
CP
STEPHANIE LYNN SALONEK
C
RIGHTWAY HOME CARE SERVICES IN
F
JULIES HOME HEALTH CARE INC
A
RIGHTWAY HOME CARE SERVICES IN
CP
WESTVIEW ESTATES
CP
THE PRAIRIE LODGE AT EARLE BRO
CP
AUGUSTANA EMERALD CREST BURNSV
F
TLC AGENCIES LLC
A
AUGUSTANA REGENT AT BURNSVILLE
CP
TOLAD INC
CP
BRIGHTSTAR OF NORTHERN DAKOTA
CP
VERACITY HEALTH SYSTEMS LLC
A
BROOKVIEW COTTAGE INC
TC
YOUR WAY HOME CARE INC
CP
DIGNIFIED CHOICE CARE LLC
TB
AFFILIATED FAMILY AND SENIOR S
CP
HEALTHCARE RESOURCES
A
AMAS INCORPORATED
CP
HOME INSTEAD SENIOR CARE
CP
ANGEL CARE HOME HEALTH SERVICE
B
HOME INSTEAD SENIOR CARE
M
ANGEL HEALTH SERVICES
A
HOMEWATCH CAREGIVERS
A
AUDRIE HOME HEALTH CARE LLC
BA
MOONLIGHT HOME HEALTH CARE SER
TC
CARING NURSES LLC
F
OPTIONS RESIDENTIAL INC
TB
CARING NURSES LLC
CP
REGY HOME CARE SERVICES
C
DIVINE NURTURING HOMECARE SERV
A
SENIOR HELPERS
CP
ELITE NURSING SERVICE INC
CP
SYNERGY HOMECARE TWIN CITIES S
CP
EMPIRE SYSTEMS HOME CARE INC
A
THE ARBORS AT RIDGES
F
EMPOWERMENT HEALTHCARE
CP
THE LODGE ON SUMMIT OAKS
CP
EVENSONG MANOR
CP
THE RIVERS
CP
FAIRHAVENS HOME CARE
A
VALLEY RIDGE
CP
GRANDMA'S PLACE INC
CP
VISITING ANGELS
M
HARMONY LIVING HEALTH CARE SER
CP
VISITING ANGELS
CP
HEALTHY LIVING HOME CARE
A
BURSVILLE
DIGNIFIED CHOICE CARE
TB
HENNEPIN HOME HEALTH CARE INC
A
CALEDONIA
HOUSTON CTY PUB HLTH NURSNG SV
A
HOPES RESIDENCE
F
ROSEVIEW COURT CARE AGENCY
CP
ICARE HOME CARE
M
B'S HOMECARE INC
A
J A WEDUM HOSPICE RESIDENCE
X
CARSTEN'S HARBOUR INC
CP
JENNIFER BENSON
C
CARSTENS HARBOUR INC
F
JIRANI CARE
CP
DEBRA L HADDEN
BA
JOYOUS CARE & FAMILY PRESERVAT
A
GRACEPOINTE CRSING THE COMMONS
F
KIND HEARTS HEALTH CARE LLC
A
HEALTH DIMENSIONS REHABILITATI
A
MAINS'L SERVICES INC
A
VISITING ANGELS
M
NEW MILLENNIUM HEALTH CARE
CP
VISITING ANGELS
A
OLIDIA CARE INC
CP
REM CANBY SENIOR SERVICES
F
BROOKSTON
BUFFALO
BUFFALO LAKE
BURNSVILLE
CAMBRIDGE
CANBY
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HCP
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SANFORD CANBY MED CENTER
A
COMPASSIONATE HOME HEALTH INC
CP
SANFORD SYLVAN PLACE
CP
CREST VIEW HOME CARE
F
SERENITY HOUSE
F
CREST VIEW HOME HEALTH CARE
A
CARLTON PLACE
F
CSSC HOME CARE SERVICES
B
LAURA BODIN
A
LIGHTHOUSE OF COLUMBIA HEIGHTS
CP
CARVER
LICENSED CARE ON CALL
A
MIRACLES 1ST LLP
F
CHAMPLIN
CHAMPLIN GW LLC
F
MOTASSIM MOHAMED SORKATY
TB
EMERITUS AT CHAMPLIN SHORES
CP
NEIGHBORS CARE HEALTH SERVICES
A
HAPPY FEET FOOTCARE
CP
PRO-HEALTH HOME CARE AGENCY LL
A
BRICKSTONE MANOR
CP
ECUMEN AT HOME
CP
CANBY
CARLTON
CHANHASSEN
CHASKA
COLUMBIA HEIGHTS
SOLACE HOME HEALTH AND HOSPICE
A
COMFREY
TRANSITIONS HOME CARE & SENIOR
CP
COON RAPIDS
1-1 CARING HANDS LLC
M
ECUMEN AT HOME
A
ALERE WOMEN'S AND CHILDREN'S H
CP
EPIPHANY ASSISTED LIVING LLC
F
OLIVE BRANCH ESTATES
F
ESSENTIAL INDEPENDENCE LLC
CP
ROLLING ACRES HOME HEALTH
A
GRACIOUS COMPANIONS LLC
BA
SUMMERWOOD OF CHANHASSEN
CP
GRACIOUS COMPANIONS LLC
M
ABLE PALMS HOME HEALTH OF MPLS
TC
HAPPY HEARTS HOME HEALTH AGENC
A
AUBURN COURTS
F
MARGARET PLACE LIMITED PARTNER
CP
FOREVER LIFE HOME HEALTH CARE
CP
MARY T HOME HEALTH
A
HIDDEN CREEK ASSISTED LIVING
CP
REHABCARE
CP
CP
X
SELECT SENIOR LIVING OF COON R
SWEDISH HOME HEALTHCARE INC
C
THE HOMESTEAD AT COON RAPIDS
CP
CHATFIELD
CHOSEN VALLEY ASSISTED LIVING
CP
COTTAGE GROVE WHITE PINE
CP
CHISAGO CITY
ECUMEN CHISAGO CITY VINDAUGA V
F
COTTAGE GROVE WP II LLC
CP
FAIRVIEW LAKES HOMECARING HOSP
A
HOME CARE SERVICE PROVIDERS IN
CP
JUST LIKE HOME SENIOR CARE
CP
LOVING CARE COTTAGE LLC
CP
ASPEN GROVE ASSISTED LIVING
F
NORRIS SQUARE
F
HILLCREST TERRACE OF CHISHOLM
CP
ROYAL AGE ASSISTED LIVING
CP
SERVING HANDS INC
CP
TRIPLE ANGELS HEALTHCARE COMPA
F
CENTRAL TODD COUNTY CARE CENTE
CP
COTTON
BARBARA DAWN KUTSI
CP
CENTRAL TODD COUNTY HOME CARE
A
COTTONWOOD
FIELDCREST ASSISTED LIVING
CP
CLARKFIELD
CLARKFIELD HOME HEALTH AGENCY
A
COURTLAND
BRIE ERRANDS
M
CLEARBROOK
HOME AT HEART CARE INC
M
CROMWELL
VILLA COURT
F
CLINTON
CLINTON CARE CENTER
F
VILLA HOME CARE LLC
A
CLOQUET
EVERGREEN SENIOR LIVING
CP
INDEPENDENCE PLUS INC
M
FOND DU LAC HOME CARE PROGRAM
A
RIVERVIEW HOME CARE
A
GOLDEN YEARS CARE
CP
VILLA ST VINCENT INC
CP
HALLETT COTTAGES
CP
HOMEHEALTH PARTNERSHIP
A
MARIE STEINER KELTING HOSPICE
CHISHOLM
CLARISSA
LIGHTHOUSE OF CLOQUET AND BARN
COHASSET
COKATO
COLD SPRING
CP
COTTAGE GROVE
CROOKSTON
CROSBY
LINDA ROSE ENLUND
C
PLAINVIEW ESTATES
F
CROSSLAKE
GOLDEN HORIZONS OF CROSSLAKE
CP
SUPERIOR VIEW ASSISTED LVG
F
CRYSTAL
AMAZING LOVE HEALTHCARE SERVIC
A
VISIONARY HOME CARE
B
AMAZING LOVE LLC
CP
AUTUMN LANE
CP
CANA HOME HEALTH CARE SERVICES
A
MAPLE WOODS ASSISTED LIVING AN
CP
CLINIQUE HEALTH CARE SERVICES
F
SUGAR BROOK VILLA INC
F
CLINIQUE HEALTHCARE SERVICES I
CP
BROOKRIDGE
CP
COMFORTCARE NURSING SERVICES I
A
COKATO MANOR HOME HEALTH
A
GREAT LAKES HOME CARE INC
A
ASSUMPTION HEALTH SERVICES
CP
HEATHERS MANOR
CP
A
MAGIC HEALTHCARE PARTNERS
A
A
ASSUMPTION HOME CARE
COLERAINE
HOME AND COMFORT INC
CP
N & V HELPFUL HEART CARE
COLUMBIA HEIGHTS
ADVANZED HOME HEALTH CARE
CP
N & V HELPFUL HEART CARE INC
F
ANOKA PROFESSIONAL HM CARE LLC
A
QUALITY HEALTH CARE SERVICES
CP
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LOCATION
LICENSED HOME CARE PROVIDER
HCP
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CRYSTAL
DULUTH
SWEET COMFORT HOME CARE
TB
TRILLIUM ELDER CARE INC
CP
UNITED CARE GROUP INC
A
UNIVERSAL PEDIATRICS
A
DARWIN
LAKEVIEW RANCH
CP
WESLEY RESIDENCE OF DULUTH
CP
DASSEL
LAKESIDE ASSISTED LIVING
CP
WESTWOOD OF DULUTH
CP
A A CARE INC
A
DAWSON
EAGAN
JOHNSON MEMORIAL ASSISTED LIVI
CP
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
THE LEGACY OF DELANO LLC
CP
AMERICAN HOME HEALTH AIDE LLC
TC
DETROIT LAKES
EMMANUEL COMMUNITY
F
CLARA'S CARE LLC
TB
ESSENTIA HEALTH HOME CARE WEST
A
CLARE BRIDGE OF EAGAN
CP
GOLDEN MANOR CORPORATION
F
COMFORCARE SENIOR SERVICES
A
MAHUBE OTWA COM ACTION PTNRSHP
M
GOLDEN HEART SENIOR CARE MPLS
TC
ST MARYS SENIOR LIVING SUPPORT
CP
GREAT OAK SENIOR CARE INC
TB
DILWORTH
SERENITY LIVING CENTER
F
INFUSCIENCE INC
CP
DULUTH
ACCENTUCARE INC
CP
JANE M GRENDER
BA
ACCRA HOME HEALTH DULUTH
A
KCMG EAGAN LLC
F
BEE HIVE HOMES OF DULUTH
TC
MVR HOMECARE INC
A
BENET HALL
CP
NEW CHALLENGES INC
CP
ECUMEN DULUTH THE SHORES
CP
TENDER CARE
CP
CP
THE COMMONS ON MARICE
CP
GARDEN HOUSE ESTATES
CP
ZACHARY HOME HEALTH CORPORATIO
CP
GENTIVA HEALTH SERVICES
A
EAGLE LAKE
SOUTHERN MINNESOTA HOMECARE LL
CP
HEARTHSTONE HOME CARE
A
EAST GRAND FORKS
EDGEWOOD VISTA
CP
HEARTLAND PCA LLC
M
GOOD SAMARITAN SOCIETY HERITAG
CP
HERITAGE HAVEN INC
CP
AGING JOYFULLY
CP
M
FULL CIRCLE SENIOR LIVING INC
EDEN PRAIRIE
HILLSIDE HOMES OF DULUTH INC
F
APPARENTCARE LLC
HOME INSTEAD SENIOR CARE
CP
BECKY'S PLACE INC
CP
INTERIM HEALTHCARE
A
CAREBUILDERS AT HOME
TB
INTERIM HEALTHCARE
CP
CLARE BRIDGE OF EDEN PRAIRIE
CP
KEYSTONE BLUFFS ASSISTED LIVG
F
DELTA HOME HEALTH CARE LLC
A
LAKE SUPERIOR CONCIERGE INC
M
ELIM SHORES
CP
LAKESHORE AT HOME
A
GRISWOLD HOME CARE
CP
LAKESIDE MANOR BOARDING HOME I
CP
LUANN'S PLACE LLC
CP
LIFESTONE HEALTH CARE INC
CP
MANOR HOUSE
F
MCCARTHY MANOR INC
CP
PIONEER ESTATES OF EDEN PRAIRI
CP
NORTH COUNTRY HOUSEKEEPING HCS
M
SILVER LINING CARE HOMES LLC
F
NORTHLAND ASSISTED LIVING
CP
THE COLONY AT EDEN PRAIRIE
F
PATHWAYS TO ACHIEVEMENT
A
VISITING ANGELS
TC
PINES HOMECARE SERVICES LLC
CP
EDEN VALLEY
CHERYL'S NURSING POOL INC
A
PRIMROSE OF DULUTH
CP
EDGERTON
EDGEBROOK ESTATES ASSISTED LIV
F
RIVER HILL ASSISTED LIVING INC
CP
EDINA
ALLEVIACARE LLC
CP
SENIOR FRIEND
F
ALLIED PROFESSIONALS INC
CP
SENIOR FRIEND ASSOCIATES INC
A
ALO HOME HEALTH CARE INC
CP
SEPTEMBER HOUSE
CP
APLUS HEALTH CARE LLC
A
SOLVAY HOUSE
X
BROOKDALE H H MINNESOTA
A
SPIRIT VALLEY ASSISTED LIVING
CP
CAPERNAUM PEDIATRIC THERAPY IN
CP
ST ANN'S RESIDENCE
CP
CAREMINDERS HOME CARE
CP
ST LOUIS CO PUBLIC HEALTH & HS
M
CUSTOMCARE HOME HEALTH CARE LL
CP
ST LUKES HOME HEALTH SERVICES
A
DONNA MARIE NORGREN
BA
TOUCHING HEARTS AT HOME
M
EDINA PARK PLAZA
CP
TRANSITIONAL SENIOR HOUSING
CP
ENGLISH ROSE SUITES & B HOME H
CP
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HCP
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EDINA
ELK RIVER
HERITAGE OF EDINA INC
CP
MAPLEWOOD HOMES
F
HOME INSTEAD SENIOR CARE
B
MILESTONE SENIOR LIVING
F
HOME INSTEAD SENIOR CARE
M
OUR CIRCLE OF FRIENDS
CP
HOME INSTEAD SENIOR CARE
CP
OUR CIRCLE OF FRIENDS MAIN COU
F
HOMEWATCH CAREGIVERS
CP
PLEASANT VIEW ESTATES
CP
LIFESPRK
CP
RICE COUNTY PHNS
A
LIFESPRK LLC
CP
RISON HOMES INC
F
MATRIX HOME HEALTH CARE SPECIA
A
STERLING HOUSE OF FARIBAULT
CP
N C LITTLE MEMORIAL HOSPICE
X
FARMINGTON HEALTH SERVICES
CP
A
FARIBAULT
FARMINGTON
PERSONALIZED LIVING AT EDINA P
A
RIVER VALLEY HOME CARE INC
PROMISE CARE INC
CP
RIVER VALLEY HOME CARE INC
M
RENEE M GAU
C
ACCRA HOME CARE INC
A
RESTART INC
CP
ACCRA HOME CARE INC
F
SUNRISE ASSISTED LIVING OF EDI
CP
CK HOME HEALTH CARE INC
CP
THE WATERS SR LVG MGMT LLC
CP
HARMONY HOME HEALTH CARE
A
WALKER METHODIST CARE SUITES
F
LAKELAND HOMECARE
A
YORK GARDENS
F
LUTHERAN BRETHREN HOME CARE
CP
ACCURATE HOME CARE LLC
A
MILL STREET RESIDENCE
F
AVALON HOME CARE INC
M
NEW DIMENSIONS HHC INC
A
GUARDIAN ANGELS BY THE LAKE
CP
PARK GARDENS OF FERGUS FALLS
CP
GUARDIAN ANGELS ELIM HOME CARE
A
PIONEER HOME INC CARE SUITES
CP
A
FERGUS FALLS
ELKO NEW MARKET
THE LODGE ON NATCHEZ
CP
SYNSTELIEN COMMUNITY SERVICES
ELLENDALE
WHISPERING OAK PROPERTIES LLC
F
THE MILL STREET RESIDENCE
F
ELY
ELY BLOOMENSON HOSPITAL HHA
A
TLC HOME CARE
B
ERSKINE
THE COUNTRY PLACE
F
VALKOMMEN HEM INN
CP
ESKO
BARNES CARE INC
CP
FERTILE
FAIR MEADOW ASSISTED LIVING
CP
PLAINVIEW ESTATES INC
CP
FLOODWOOD
HEIKKILA ASSISTED LIVING INC
CP
EVANSVILLE
EVANSVILLE SENIOR LIVING
CP
FOLEY
HERITAGE HOME HEALTH & HOSPICE
A
EVELETH
SALMI HOMES INC
CP
FOREST LAKE
BIRCHWOOD ARBORS
F
SPECTRUM HEALTH COMPANIES
TC
ELDER HAVEN
F
ST RAPHAEL'S HEALTH & REHABILI
CP
FOREST LAKE HOMECARE INC
CP
EXCELSIOR
BEE HIVE HOMES OF MINNESOTA
CP
WINDY ACRES LONG TERM INC
F
EYOTA
ARBOR GARDENS
CP
FORESTON
SCANDIA SENIOR CARE LLC
A
FAIRFAX
FAIRFAX COMMUNITY HOME HEALTH
CP
FOSSTON
CORNERSTONE RESIDENCE
CP
FAIRMONT
HUMAN SERVICES OF FARIBAULT &
CP
ESSENTIA HEALTH FOSSTON HM HTH
A
INGLESIDE
F
PRAIRIE PINES COMMUNITY
CP
VISTA PRAIRIE AT GOLDFINCH EST
CP
FRAZEE
FRAZEE ASSISTED LIVING HOME CA
CP
WOODLAND MANOR
CP
FRIDLEY
DIAMEND HEALTH CARE LLC
A
COMFORT KEEPERS
A
FRIDLEY WHITE PINE
F
ETHOS HOME CARE
TC
PRIDE N'LIVING HOME CARE INC
A
HOME INSTEAD SENIOR CARE
M
THE LANDMARK OF FRIDLEY
CP
HOME INSTEAD SENIOR CARE
CP
FULDA
MAPLEWOOD COURT ASST LVNG
F
REGENCY HOME HEALTHCARE
A
GAYLORD
OAK TERRACE SENIOR HOUSING OF
CP
SIBLEY COUNTY PH & HUMAN SERVS
A
FARGO
FARIBAULT
SANFORD HOME CARE
A
SPECTRUM HOME CARE
M
GIBBON
SOUTHVIEW LIVING CENTER LLC
F
DAWN'S ELDER CARE
CP
GLENCOE
DOMINION HOME HEALTH SERVICES
A
DEACONESS TOWER
CP
GRAND MEADOWS
CP
FARIBAULT SENIOR LIVING
F
GUARDIAN IN HOME HEALTH & SECU
A
GUEST HOUSE OF FARIBAULT LLC
CP
GLACIAL RIDGE HOME CARE
A
HERITAGE HOUSE ELDER CARE
CP
GLENWOOD ESTATES
CP
IVY HILL SENIOR CARE INC
F
PARKVIEW COURT ASSISTED LIVING
F
KCMG FARIBAULT LLC
F
ABBOTT NORTHWESTERN HOSPITAL
A
GLENWOOD
GOLDEN VALLEY
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HCP
LOCATION
LICENSED HOME CARE PROVIDER
HCP
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GOLDEN VALLEY
ADAGIO MANOR ASSISTED LIVING
CP
ALLIANCE HHC & NURSING SERVICE
A
HAWLEY MANOR
A
HAWLEY RETIREMENT INC
CARE PLUS HOME HEALTH AGENCY I
A
CP
HAYFIELD
FIELD CREST HOME CARE
CATHARINE A NISAM
CP
BA
HECTOR
PRAIRIE VIEW OF HECTOR
F
COMPASSIONCARE
CP
HENDRICKS
HENDRICKS COMMUNITY HOSP HHA
A
COMPASSIONCARE
CP
HENNING
OUR HOME YOUR HOME
CP
DAISY HOME CARE INC
A
WILLOW CREEK SENIOR COMMUNITY
CP
GENTLE TOUCH HEALTH INITIATIVE
CP
EDGEWOOD HERMANTOWN I SENIOR L
CP
GOOD SAM SOCIETY HOME CARE
A
GOLDEN OAKS
CP
LAKEVIEW ASSISTED LIVING
CP
ACCESS NORTH CTR FOR IND LVG
M
HAWLEY
HERMANTOWN
HAWTHORNE HOUSE
F
HERON LAKE
HERITAGE HOUSE ASSISTED LIVING
CP
HIBBING
HOME HEALTH CARE INC
A
ASPEN GROVE ALTERNATIVE SENIOR
CP
IN HOME PERSONAL CARE HOME HEA
CP
CHERISH
CP
INTERNATIONAL HEALTH CARE SERV
A
CHERISHED HOME MANAGEMENT
M
LA BONNE VIE INC
CP
GREENVIEW NORTH
CP
LEGACY HOME HEALTH CARE INC
CP
HEALTHLINE HOMECARE
A
LIVING LIFE HOME CARE
CP
RECOVER HEALTH
A
PARKINSONS SPECIALTY HOME CARE
A
AUSTINS 24 HOUR HOME CARE
A
SUMMIT HOME HEALTH CARE INC
A
CHAPPY'S GOLDEN SHORES
CP
SUNRISE OF GOLDEN VALLEY
CP
HILLS
THE TUFF VILLAGE
F
SUPREME HOME CARE PROVIDER & N
A
HINCKLEY
ELDERWOOD OF HINCKLEY
CP
SYNERGY HOMECARE MINNEAPOLIS
CP
HOLDINGFORD
HYATT HOUSE LLC
F
GRACEVILLE
ESSENTIA HLTH GRACEVILLE HH
A
HOPKINS
CAREMAX INC
B
GRAND FORKS
ALTRU'S HOME HEALTH
CP
GRACE HOMES OAK RIDGE HOUSE
F
GRAND MARAIS
COOK CO NORTHSHORE HOSP HM HLT
A
HOME CARE WITH A HEART LLC
C
GRAND MEADOW
THE MEADOWS
CP
PARK NICOLLET METHODIST HC
A
GRAND RAPIDS
4U HOME HEALTH CARE
A
CALM CARE
CP
GARDEN COURT CHATEAU
CP
NANCY J LOEBERTMANN
C
GRAND ITASCA CLINIC & HOSP HC
A
THE LODGE OF HOWARD LAKE
CP
NORTH COUNTRY CARE
F
COMFORT KEEPERS
CP
OAK HILL ASSISTED LIVING
F
PEACEFUL LIVING LLC
A
PLEASANT SEASONS
CP
PEACEFUL LIVING LLC
F
PROGRESSIVE CARE
CP
APOLLO HOMES INC
CP
RECOVER HEALTH
A
HUGO GW LLC
F
THE ROCK HHC INC
A
CEDAR CREST ESTATE
CP
TLC SERENITY HOME
F
ECUMEN HUTCHINSON THE OAKS
CP
VISTA PRAIRIE AT MANOR HOUSE
F
HARMONY RIVER LIVING CENTER
CP
WHISPERING PINES ASSISTED LIVI
CP
PRAIRIE SENIOR COTTAGES OF HUT
CP
GRANITE FALLS MUN HOSP HHA
A
WELCOME HOME HEALTH CARE INC
CP
HOMETOWN CRE PROVDR INC RVRSDE
F
GOOD SAM SOCIETY NORTHWINDS AL
F
COMPASSIONATE HOME CARE
CP
GOOD SAMARITAN HC INTL FALLS
A
LIFECARE GREENBUSH MANOR
CP
KOOCHICHING COUNTY HEALTH DEPT
A
GREY EAGLE
EAGLES CROSSING HOME MANAGEMNT
M
RIDGEVIEW LLC
CP
HACKENSACK
BIRCHVIEW GARDENS ASSISTED LIV
CP
ANIKA HOME CARE
CP
HALLOCK
KITTSON MEMORIAL HOME HLTHCARE
A
COMFORT KEEPERS
CP
RIVERS EDGE
CP
GONDOLA GROUP
CP
HALSTAD
HALSTAD LIVING CENTER
CP
INVER GROVE HEIGHTS WHITE PINE
CP
HAM LAKE
VILLAGE IN PINE RETIRMNT HOUSE
F
INVER GROVE HEIGHTS WP II LLC
F
HASTINGS
OAK RIDGE ASSTD LVNG HASTINGS
F
INVERWOOD SENIOR LIVING
CP
PARK RIDGE APARTMENTS OF HASTI
CP
PAIGE MATEYKA
BA
REGINA ASSISTED LIVING
F
SPECTRUM COMMUNITY HEALTH INC
CP
RUTH HOMES INC
CP
SPECTRUM COMMUNITY HEALTH INC
A
GRANITE FALLS
GREENBUSH
HILL CITY
HOWARD LAKE
HUDSON
HUGO
HUTCHINSON
INTERNATIONAL FALLS
INVER GROVE HEIGHTS
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HCP
LOCATION
LICENSED HOME CARE PROVIDER
HCP
================================================================== ==================================================================
STERLING HOUSE OF INVER GROVE
CP
LINO LAKES
LINO LAKES ASSISTED LIVING LLC
CP
TIMBER HILLS
F
LITCHFIELD
ECUMEN LITCHFIELD SR HSG SERVS
F
TOTAL CARE BODY AND HAIR
C
ECUMEN OF LITCHFIELD HOME CARE
A
INVER GROVE HTGS
COMMON SENSE SERVICES
M
LIFESPAN HOME CARE SERVICES IN
A
IRONTON
AIDE HOME HEALTH CARE
A
PEOPLE INC MONTREAL CTS
CP
ISANTI
CARE PARTNERS SERVICES
BA
REGENCY HOME HEALTHCARE
F
PRAIRIE SENIOR COTTAGES OF ISA
CP
REGENCY HOME HEALTHCARE SRVCS
A
DES MOINES VALLEY HEALTH & HS
A
BRIDGEWAY ESTATES
CP
THE PINES
CP
COMFORT KEEPERS
CP
CP
INVER GROVE HEIGHTS
JACKSON
LITTLE CANADA
LITTLE FALLS
JASPER
JASPER SUNRISE VILLAGE
CP
HIGHLAND SENIOR LIVING COMMUNI
JORDAN
OAK TERRACE SENIOR HOUSING OF
CP
MINNESOTA HERITAGE HOUSE
CP
VALLEYVIEW OF JORDAN LLC
CP
MORRISON COUNTY PUBLIC HEALTH
CP
KARLSTAD
THE MEADOWS
CP
TRINITY HOME HEALTH CARE INC
CP
KELLIHER
CORNERSTONE RESIDENCE OF KELLI
CP
UNITY FAMILY HOME CARE HOSPICE
A
KELLOGG
NURTURING HANDS LLC
CP
LITTLEFORK
LITTLEFORK MEDICAL CENTER
CP
GUNDERSON GARDENS
CP
LONG LAKE
LONG LAKE ASSISTED LIVING LLC
F
NORTH RIDGE VIEW LLC
CP
LONG PRAIRIE
R & M HOME CARE
B
RUTH FREDRICKSON CARES
CP
TODD COUNTY PHNS
A
LACROSSE
MAYO CLINIC HEALTH SYSTEM FRAN
CP
VALLEY VIEW ESTATES
CP
LAKE CITY
WINDCLIFF SENIOR CARE
CP
LONSDALE
THE VILLAGES OF LONSDALE
CP
LAKE CRYSTAL
CRYSTAL SEASONS LIVING COMMUNI
CP
LUVERNE
GOOD SAM SOCIETY HOME CARE
B
ECUMEN LAKE CRYSTAL
CP
POPLAR CREEK ESTATES
CP
ACTI KARE RESPONSIVE IN-HOME C
B
SANFORD LUVERNE HOSPICE
X
ALWAYS BEST CARE OF ST CROIX V
BA
MABEL
THE MEADOWS OF MABEL
F
BRIGHTSTAR OF ST CROIX VALLEY
A
MADELIA
MADELIA COMMUNITY HOSP HM CARE
A
CP
MADISON
GRACE HAVEN ASSISTED LIVING
CP
KENYON
LAKE ELMO
MORNING GLORY HOME CARE
MADISON HOSPITAL HHA
A
MORNING GLORY HOME CARE
M
LAKE PARK
SUNNYSIDE CARE CENTER
A
MADISON LAKE
ELDER CARE SERVICES INC
M
LAKEFIELD
DOMAN ROSE PLACE
CP
MAHNOMEN
MAHNOMEN HEALTH CENTER HCARE
TC
HABILITATIVE SERVICES INC
A
MAHTOMEDI
COVENTRY SENIOR LIVING
CP
VALLEY VIEW ASSISTED LIVING
CP
NEW PERSPECTIVE MAHTOMEDI
F
ALLIANCE HEALTH SERVICES
A
MANKATO
2 CARING HANDS
F
CHARIS HOME HEALTH CARE INC
A
AUTUMN GRACE
CP
CHARLOTTE L EAST
C
COTTAGEWOOD SR CMTY MANKATO
F
DIVINE CARE LLC
A
FREEDOM HOME CARE LLC
TB
INTEGRA HOME CARE
A
GRACE SENIOR SERVICES INC
CP
SENIOR CARE CONNECTIONS LLC
M
KCMG MANKATO LLC
F
SERENITY RESIDENTIAL CARE LLC
F
LAURELS EDGE
CP
SUPERIOR HOME HEALTH CARE INC
A
OLD MAIN VILLAGE
F
TRINITY HOME HEALTH CARE SERVI
A
PATHSTONE CROSSING
CP
TWIN CITY WOUND & OSTOMY ASSOC
A
PATHSTONE HOME SERVICES
A
WALKER METHODIST HIGHVIEW HILL
CP
PEDIATRIC THERAPY SERVICES INC
A
A
PRIMROSE OF MANKATO
CP
ECUMEN LECENTER
CP
SCHOOL SISTERS OF NOTRE DAME C
CP
HORIZON PLACE
F
STERLING HOUSE OF MANKATO
CP
LESUEUR COUNTY PUBLIC HEALTH
A
THE LUTHERAN HOME CEDAR HAVEN
CP
LE SUEUR
LESUEUR ASSISTED LIVING AND ME
CP
WATER'S EDGE
CP
LEROY
WILDWOOD GROVE
CP
WE CARE HOME CARE LLC
A
LEWISTON
SPELTZ ESTATES ASSISTED LIVIN
CP
WILD ROSE NURSING SERVICES LLC
A
LILYDALE
LILYDALE SENIOR LIVING
CP
1 GALAXY OF DIVINE CARING INC
M
LINO LAKES
A TIME FOR HELP INC
M
ARBOR LAKES SENIOR LIVING
CP
COMPASSIONATE LUCYS SENIOR HOM
CP
BETTY R JOHNSON
BA
LAKEVILLE
LARIMORE
LE CENTER
GOOD SAMARITAN SOCIETY HOME CA
MAPLE GROVE
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HCP
LOCATION
LICENSED HOME CARE PROVIDER
HCP
================================================================== ==================================================================
MAPLE GROVE
BRIGHTSTAR HEALTHCARE OF WAYZA
CP
JOSEPH'S CHATEAU
CP
CARING MATTERS HOME CARE 035
TB
MENDOTA HEIGHTS
KALEB INC
A
CHEZ VOUS HOME CARE LLC
A
MENDOTA HEIGHTS WP LLC
F
CHOICES BY DESIGN LLC
A
QUALICARE SW TWIN CITIES
A
COUNTRY MEADOWS
F
HERITAGE HOUSE OF MILACA
F
1-0 GRANNY'S HELPFUL HANDS LLC
CP
GIVINGTREE HOMECARE
CP
GOLDEN POND HOME
CP
HANNAHS HOME HLTH&CARE CNSLTG
CP
HEALING TOUCH HOME CARE LLC
F
1ST CHOICE PEDIATRIC HOME CARE
CP
HOME INSTEAD SENIOR CARE
M
1ST COMPASSIONATE CARE LLC
A
HOME INSTEAD SENIOR CARE #230
B
24 HOUR CARE
BA
HOME INSTEAD SENIOR CARE OF MI
A
A CHANCE TO GROW INC
CP
HOMEWARD BOUND INC
A
ACCEL HEALTH SERVICES INC
A
KIDSPEAK LTD
A
AFRICAN FAMILIES DEVELOPMENT N
CP
SENIOR CARE MN LLC
M
AFYA HOME HEALTH CARE
CP
WILDFLOWER LODGE
F
AGAPE HOME CARE PROVIDER
B
M
MILACA
MINNEAPOLIS
MAPLE LAKE
SUGAR LAKE SUPPORTED LIVING SE
CP
AGAPE HOME CARE PROVIDER
MAPLE PLAIN
BRYANT HOUSE
CP
ALL HOMECARING
A
MAPLETON
ECUMEN MAPLETON
CP
ALLEGIANCE ABILITY ASSISTANCE
M
MAPLETON COMMUNITY HOME
CP
ALLEGIANCE ABILITY ASSISTANCE
A
BRIGHTSTAR HEALTHCARE
CP
ALPHA HEALTHY CARE INC
A
CHILDREN'S THERAPLAY LLC
A
AMAZING GRACE HOME CARE
A
ECUMEN LAKEVIEW COMMONS
F
ANGELS HOME HEALTHCARE INC
A
ECUMEN SEASONS AT MAPLEWOOD
CP
APPLEONE HOME CARE SERVICES
A
HOME HELPERS OF THE TWIN CITIE
B
AT HOME LTD
M
HOME INSTEAD SENIOR CARE #150
CP
AUGUSTANA HOME HEALTH CARE SER
F
HOME INSTEAD SENIOR CARE #150
M
AUGUSTANA RESIDENTIAL CARE
F
F
BATALO HOME HEALTH CARE LLC
CP
METRO NURSING SERVICES LLC
CP
BAYWOOD HOME CARE
A
PREMIUM CHOICE CARE
A
BEECHWOOD INC
A
RICHANGEL CARE INCORPORATED
A
BEST CARE HOME HEALTH INC
BA
ROXANNE TARNOWSKI
C
BEST CARE HOME HEALTH INC
A
THE SHORES OF LAKE PHALEN
CP
BETHANY CARE CENTER
F
VOA HOME HEALTH AT MAPLEWOOD
CP
BEYOND SPEECH
A
WALKER METHODIST HAZEL RIDGE
CP
BRISTOL PLACE HOME HEALTH SERV
A
AVERA@HOME MARSHALL
TC
BROTTS FAMILY CARE CENTER LLC
CP
HERITAGE POINTE SENIOR LIVING
F
BRYANT SQUARE HOME HEALTH CARE
CP
PRAIRIE HOME COMMUNITY CARE
A
CAPITAL HOME HEALTH CARE LLC
CP
PRAIRIE HOME HOSPICE
X
CARE HOME HEALTH INC
A
STEPPING STONE HOME HEALTH CAR
CP
CAREGVR SUPT PRG KOREAN SRV CT
M
TOUCHING HEARTS HOME CARE
CP
CATHOLIC ELDERCARE AT HOME
F
MCINTOSH
POPLAR MEADOWS OF MCINTOSH
CP
CATHOLIC ELDERCARE AT HOME
A
MEADOWLANDS
THE HUMMINGBIRD
F
CHERIE AUGSPURGER LLC
BA
MEDFORD
MEDFORD SENIOR CARE LLC
CP
CHILDRENS HOME CARE & HOSPICE
A
MELROSE
CENTRACARE MELROSE PARK VIEW
CP
CIRCLE OF LIFE HC ANISHINAABE
M
JOANN TSCHIDA
C
CLARE HOUSING
CP
LUTHERAN SOCIAL SERVICE OF MIN
CP
COMFORT SERVICES LLC
CP
MENAHGA HOME HEALTH
CP
COMMUNITY BOARDING CARE LLC
TC
ROSE HAVEN ASSISTED LIVING INC
CP
COMMUNITY INVOLVEMENT PROG HHS
A
CORAM CVS/SPECIALTY INFUSION S
CP
COMPASSIONATE NURSES NETWORK L
A
CP
CRYSTAL BLUE
CP
FAMILY CHOICE HOMECARE
CP
DERMAN SENIOR CARE
CP
HEART TO HOME INCORPORATED
CP
DIAMONDS HOME HEALTH CARE INC
M
MAPLEWOOD
MAPLEWOOD GW LLC
MARSHALL
MENAHGA
MENDOTA HEIGHTS
DUNGARVIN MINNESOTA LLC
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HCP
LOCATION
LICENSED HOME CARE PROVIDER
HCP
================================================================== ==================================================================
MINNEAPOLIS
EBENEZER HOME CARE
F
THE WATERS SR LVG MGMT LLC
CP
EBENEZER HOME CARE
CP
MINNEAPOLIS
TOUCHSTONE ASSISTED LIVING APA
CP
EBENEZER MANAGEMENT SERVICES
CP
TWIN CITY HOME HEALTHCARE LLC
A
EDEN HOMES INC
F
TWINS HOME HEALTH CARE INC
M
ELDERCARE SOLUTIONS INC
M
UNITED HOME HEALTHCARE SERVICE
CP
EXCEPTIONAL HOME HEALTH
A
UNITY HEALTH CARE
F
FAIRVIEW HOME CARE AND HOSPICE
A
UNITY HEALTHCARE INC
A
FAIRVIEW HOME INFUSION
CP
UTMOST CARE HEALTH SERVICES LL
A
FAMILY CARE SERVICES INC
A
VOLUNTEERS OF AMERICA OF MINNE
CP
GATEWAY HOMECARE SERVICES
BA
WALKER HOME SERVICES
CP
GENTLE HANDS HOME CARE LLC
A
WELCOME HOME LLC
TC
GOLDEN NEST LLC
F
YELLOW ROSE HOME CARE
CP
GRACE PLACE
CP
MADISON AVENUE APARTMENTS
CP
HABLINK STAFFING SERVICES
M
TOWN AND COUNTRY HHC
A
HOME HEALTH AGENCY
A
ASSISTING HANDS OF MINNEAPOLIS
CP
F
MINNEOTA
MINNETONKA
HORIZON HOMECARE SERVICES INC
A
AUGUSTANA EMERALD CREST MNTONK
INTEGRITY HOME HEALTH CO
M
BAYADA PEDIATRICS
A
JONES - HARRISON RESIDENCE ASS
CP
BEACON HILL
F
KEYSTONE COMMUNITIES MANAGEMEN
F
CARE FULLY SENIOR HOME CARE
BA
LINKS HOME HEALTHCARE LLC
A
COMFORCARE SENIOR SERVICES
CP
LOVING HEART INC
A
FREEDOM POINTE MINNETONKA
CP
METRO HOME HEALTH CARE SVCS IN
M
GENTLE TOUCH HEALTH INITIATIVE
CP
MIDWEST PROFESSIONAL SERVICES
A
GIANNA HOMES - SURSUM CORDA
CP
MILS HOME HEALTH CARE AGENCY
A
GRISWOLD HOME CARE
CP
MINNEHAHA SENIOR LIVING
F
HEALTH CORPS
A
MN VISITING NURSE AGENCY
A
HEALTH CORPS
F
MOORE BOARD AND CARE LLC
CP
HOMECARE TOUCH
B
NORTH OAKS ON EMERSON
CP
JEWISH FAMILY AND CHILDREN'S S
CP
OAK GROVE CARE CENTER INC
CP
LEGACY CARE HOME LLC
CP
OLU'S HOME INC
CP
MINNETONKA ASSISTED LIVING AND
CP
PARKVIEW MANOR
TC
MINNETONKA ASSISTED LIVING COM
CP
PASSION CARE
A
MORNING GLORY HOMES INC
CP
PEACEFUL CARE LLC
A
MY RETIREMENT HOUSE INC
A
PENTEC HEALTH INC
A
MY RETIREMENT HOUSE INC
CP
PINNACLE SERVICES INC
CP
NIGHTINGALE HOME HEALTH CARE
A
QUALITY FOOTCARE
CP
PAMELA J COLEMAN
M
RAKHMA PEACE HOME
CP
PEDIATECH NURSING
CP
RIGHT AT HOME
A
RECOVER HEALTH
A
RIVERSIDE PROFESSIONAL HEALTH
A
ST JOHN HOME CARE
A
ROBIN HINTZ MA CCC-SLP LLC
A
ST JOHN HOME CARE LLC
CP
SENIOR HOME HEALTH CARE LLC
A
SUNRISE OF MINNETONKA
CP
SENIOR SUPPORT AND CARE
M
THE WATERS SENIOR LIVING LLC
TC
SERENITY HEALTH CARE SERVICES
A
TOUCHING HEARTS AT HOME
M
SHABA HEALTH SERVICES CORP
CP
UNICARE HEALTH SERVICES LLC
A
SIFA CARE INC
M
VOA HOME HEALTH AT ELDER HOMES
CP
SPECIALTY CARE GROUP
BA
VOA HOME HEALTH AT ELDER HOMES
A
SU CASA HOME CARE
CP
AVENUES FOR CARE INC
M
SUMMIT HEALTHCARE INC
BA
BURNSDALE EXTENDED CARE
CP
SYSKON HOME HEALTH CARE LLC
A
CHIPPEWA COUNTY MONTEVIDEO HHC
A
TENDER LOVING CARE COMPANIONS
M
COPPER GLEN
CP
THE KENWOOD RETIREMENT COM
F
AGING SERVICES FOR COMMUNITIES
M
THE STANTON HOUSE INC
CP
TRADITIONS OF MONTGOMERY LLC
F
MONTEVIDEO
MONTGOMERY
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LICENSED HOME CARE PROVIDER
HCP
LOCATION
LICENSED HOME CARE PROVIDER
HCP
================================================================== ==================================================================
ROBIN MORRIN
M
NEW MUNICH
TREE OF LIFE ASISTED LIVING LL
CP
THERES NO PLACE LIKE HOME INC
CP
NEW PRAGUE
HEART TO HANDS HOME CARE LLC
BA
ALLCARE HOME CARE INC
M
MALA STRANA ASSISTED LIVING
CP
ARBOR PARK LIVING CENTER
CP
NEW RICHLAND
ECUMEN NEW RICHLAND
CP
EVENTIDE FAIRMONT
CP
NEW ULM
BROWN COUNTY PUBLIC HEALTH
A
LILAC HOMES ASSISTED LIVING ME
CP
GOLDEN HOME CARE PLUS INC
CP
MOORHEAD MANOR
CP
MBW COMPANY INC
A
RIVER POINTE OF MOORHEAD
F
OAK HILLS LIVING CENTER
A
THE EVERGREENS OF MOORHEAD
F
OAK HILLS LVNG CENTER ASST LI
F
VALLEYS FINEST HOME CARE LLC
A
PRAIRIE SR COTTAGES NEW ULM
CP
KENWOOD PLACE
CP
QUALITY LIFE HOME CARE LLC
B
MERCY HOME HEALTH AGENCY
A
QUALITY LIFE HOME CARE LLC
CP
OAKVIEW RESIDENTIAL CARE INC
CP
RIDGEWAY SENIOR LIVING
CP
BENEDICTINE LIVING COMMUNITY O
CP
RIVERBLUFF HEALTH CARE INC
A
EASTWOOD SENIOR LIVING HOME CA
CP
WELCOME HOME HEALTH CARE
F
KANABEC PINE COMMUNITY HEALTH
A
WELCOME HOME HEALTH CARE INC
CP
MORGAN
GIL MOR HAVEN
CP
HOME SWEET HOME ASSISTED LIVIN
CP
MORRIS
HOME CARE SERVICE OPTIONS
CP
LAKE COUNTRY HOME CARE
CP
MOUND
LOVING CARE BY MARTHA
CP
TENDER HEARTS HOME CARE
A
TRANQUIL LIVING
CP
GOOD SAMARITAN SOC HC HOSPICE
A
SENIOR CLASS HOME HEALTH CARE
A
BRASK HAVEN INC
CP
MONTICELLO
MOORHEAD
MOOSE LAKE
MORA
NEW YORK MILLS
NISSWA
MIDWEST MEDICAL HOLDINGS LLC
CP
TOUCHING HEARTS AT HOME
M
MOUNTAIN LAKE
THE LODGE OF MOUNTAIN LAKE
F
ECUMEN NORTH BRANCH
F
MURDOCK
GABRIEL HOUSE LLC
CP
NORTH BRANCH GW LLC
F
NEW BRIGHTON
ABLE SPEECH LANGUAGE SERVICES
CP
OAK TERRACE ASSISTED LIVING OF
CP
CHRISTINE PROFESSIONAL HEALTH
A
VISTA PRAIRIE @ MONARCH MEADOW
CP
CLARE BRIDGE OF NORTH OAKS
CP
MOUNDS VIEW
MERWIN IV & SPECIALTY PHARMACY
CP
RIGHT AT HOME
TB
SENIOR SUITES OF NEW BRIGHTON
CP
NEW GERMANY
JANICE R SINNEN
NEW HOPE
3K'S HOMECARE LLC
GOLDEN TOUCH HOME HEALTH LLC
NEW LONDON
NORTH BRANCH
NORTH MANKATO
NORTH OAKS
WAVERLY GARDENS
CP
BEST HOME CARE LLC
M
C
FOOTWORKS
CP
A
HEALTHSTAR HOME HEALTH
A
TC
POLAR RIDGE SENIOR LIVING
TC
HOME CARE LINK
A
NORTH ST PAUL
NORTHFIELD
HOME HEALTH AT NORTH RIDGE
CP
JUANITA'S HOME HEALTH LLC
TC
MILLSTREAM COMMONS HOME CARE
CP
KING DAVID RESIDENCE
F
NORTHFIELD HOME CARE
A
KING DAVID RESIDENCES
A
NORTHFIELD PARKVIEW INC
CP
KING DAVID RESIDENCES
M
NORTHFIELD PARKVIEW INC
F
LIFE HEALTH CARE INC
A
REFLECTIONS HOME CARE
CP
LINKEDIN HOME HEALTH CARE LLC
A
VALLEY VIEW OF NORTHFIELD
CP
NURTURING CARE
F
NORTHWOOD
HELPING HANDS HOME CARE OF MIN
CP
RELIABLE HOMECARE
A
NORWOOD YOUNG AMER HARBOR OF PEACE VILLAGE
RJ'S HOME HEALTH CARE LLC
TC
OAK GROVE
FUNDAMENTAL KIDS THERAPY LLC
A
SHERON HOME HEALTH CARE LLC
TC
OAK PARK HEIGHTS
BOUTWELLS LANDING
CP
CP
CP
ST THERESE AT HOME SOLUTIONS
M
OAK PARK SENIOR LIVING
ST THERESE RESIDENCE NURSING
CP
OAK RIDGE PLACE
CP
STATE WIDE HEALTH CARE LLC
TC
ABRO HOME CARE INC
A
TJ HEALTH SERVICES LLP
A
HEALTHEAST PILLARS
X
TOP NOTCH NURSING LLC
TC
SCENIC HILLS ALTERNATIVE CARE
CP
TOTALCARE ASSISTED LIVING SERV
CP
VISITING ANGELS
CP
BENEDICTINE LIVING COMMUNITY O
CP
VISITING ANGELS
M
LAKE REGION HOME HEALTH
A
OGILVIE
SIGNE AND OLIVIAS
CP
TOUCHING HEARTS AT HOME WC MN
BA
OKLEE
FREEDOM LIVING CENTER LLC
CP
OAKDALE
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LICENSED HOME CARE PROVIDER
HCP
LOCATION
LICENSED HOME CARE PROVIDER
HCP
================================================================== ==================================================================
OLIVIA
RENVILLE COUNTY PHS
A
PINE ISLAND
EVERGREEN PLACE
CP
ONAMIA
MILLE LACS BAND OF OJIBWE PUBL
CP
PINE RIVER
BROOKSIDE
F
MILLE LACS HOME CARE
A
RIVERSIDE ASSISTED LIVING
CP
ONAMIA AREA ASSISTED LIVING
CP
PINE SPRINGS
NANCY ISCHER
C
ORONO
EBENEZER HOME CARE
F
PIPESTONE
FALLS LANDING ASSISTED LIVING
CP
ORTONVILLE
FAIRWAY VIEW SENIOR COMMUNIT
F
GOOD SAMARITAN SOC PIPESTONE
TC
ORTONVILLE AREA HEALTH SER HHA
A
PIPESTONE CO HOME HEALTH AGNCY
A
OSAGE
NORTH STAR NURSING TEMPORARY A
CP
PIPESTONE COUNTY HOSPICE RESID
X
OSAKIS
WEST VIEW/TERRACE HGHTS/BRIDGE
F
PLAINVIEW
GREEN PRAIRIE PLACE
A
OSSEO
BENEDICTINE SENIOR LIVING AT S
CP
PLYMOUTH
ABUNDANCE HOMECARE
CP
COMFORT KEEPERS
CP
CLARE BRIDGE OF PLYMOUTH
CP
OSTRANDER
OSTRANDER ASSISTED LIVING
F
CORNERSTONE ASSISTED LIVING
F
OTTER TAIL
PRESCRIPTION HOME CARE LLC
A
GIANNA HOMES - GLADYS' PLACE L
CP
OWATONNA
ALL GENERATIONS HOME CARE INC
M
HOME CARE SOLUTIONS
CP
X
JOYFUL COMPANIONS HOME CARE
M
CLARE BRIDGE OF OWATONNA
CP
MEDICINE LAKE MANOR LLC
TC
COUNTRYSIDE CATERED SENIOR LIV
CP
PRO MEDICAL SERVICES INC
A
JULIE SUMMY
CP
PRO MEDICAL STAFFING INC
M
PARK PLACE SENIOR LIVING
CP
QUALICARE TWIN CITIES WEST
TC
STEELE COUNTY PHNS
A
RIGHT AT HOME
BA
STERLING HOUSE OF OWATONNA
CP
SENIORS CHOICE AT HOME
M
THE BROOKS ON ST PAUL
F
SENIORS HELPING SENIORS
M
TRADITIONS OF OWATONNA
CP
SUMMERWOOD OF PLYMOUTH
F
TRADITIONS OF OWATONNA II
CP
TFF CARE LLC
CP
VALLEYVIEW OF OWATONNA LLC
CP
THE WATERS SR LVG MGMT LLC
CP
VISITING ANGELS
CP
FILLMORE COUNTY PHNS
A
CP
A
ALLINA HLTH HSPCE & PALLITV CA
PRESTON
CARE AGE COUNTRY HOME
CP
PARK LANE ESTATES
HERITAGE MANOR
CP
PRESTON GOOD SAM SOC HC
MANY LAKES HOME CARE LLC
B
PARKERS PRAIRIE
MCCORNELL COURT ASSUMPTION HOU
CP
PAYNESVILLE
WASHBURNE COURT
CP
PELICAN RAPIDS
RIVERFRONT MANOR
PARK RAPIDS
CALEY HOUSE
CP
STERLING POINTE SENIOR LIVING
CP
ALWAYS CARING INC
F
F
ASSISTING HANDS OF MINNEAPOLIS
B
RIVERFRONT ON MAIN
F
ASSURED CARE
CP
7TH HEAVEN ASSISTED LIVING
CP
ASSURED CARE
F
PERHAM LIVING
CP
COMMUNITY ASSISTED LIVING INC
F
PERHAM LIVING HOME CARE
A
COMMUNITY HOME HEALTH INC
A
PRAIRIE VIEW ASSISTED LIVING
A
KCMG PRIOR LAKE LLC
F
CP
MCKENNA CROSSING
CP
SOME PLACE SPECIAL
CP
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
HARMONY HOUSE
CP
DIGNITY HEALTHCARE SERVICES
CP
HORIZON HEALTH INC
A
STONEY RIVER RAMSEY
TC
PIERZ MEADOW PONDS INC
F
RANIER
DECKERS FAMILY CARE INC
F
PILLAGER
RIVERSIDE ASSISTED LIVING OF P
CP
RED WING
ACCRA HOME HEALTH INC
A
PINE CITY
COMMUNITY SUPPORTS PROGRAMMING
B
DEER CREST
F
EDGEWATER ASSISTED LIVING
F
HIAWATHA HOMECARE
A
CP
LOVING RESIDENCE
F
LAKESIDE MEDICAL CENTER
CP
MAYO CLINIC HLTH SYS RED WING
A
SILVER LININGS HOME HEALTH CAR
A
POTTER RIDGE
CP
SOPHIE'S MANOR ASSISTED LIVING
CP
ST BRIGID'S AT HI-PARK
A
PERHAM
PRAIRIE VIEW ASSISTED LIVING I
PIERRE
PIERZ
GOLDEN HORIZONS ASSISTED INC
PRINCETON
PRIOR LAKE
PROCTOR
RAMSEY
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LICENSED HOME CARE PROVIDER
HCP
LOCATION
LICENSED HOME CARE PROVIDER
HCP
================================================================== ==================================================================
VALENTINES ASSISTED LIVING LLC
CP
ROCHESTER HOME INFUSION
TC
VISITING ANGELS
M
SEASONS HOSPICE
X
VISITING ANGELS
A
SHALOM ESTATE LLC
CP
JOHNSON PARK PLACE
CP
SHIFFO HOME HEALTH CARE CORPOR
CP
REDWOOD AREA HOSPITAL HOME CAR
A
SHIRAZ ASSISTED LIVING LLC
F
VISTA PRAIRIE AT GARNETT GARDE
CP
SMART CHOICE HEALTH CARE
CP
REMER
AMERICARE LODGES INC
CP
SOUTHEASTERN MN CTR FOR INDEPE
M
RENVILLE
RENVILLE HEALTH SERVICES HOMEC
CP
STANLEY JONES & ASSOCIATES 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'S HEALTHCARE INC
BA
VISITING ANGELS
CP
GRACE HOME HEALTH CARE LLC
TC
VOA HOME HEALTH AT ROCHESTER
F
HELPING HANDS GROUP HOME
A
WILLOWS & WATERS SENIOR LIVING
CP
JUDITH A BEYER
C
CARING HEARTS AT HOME LLC
A
KANG LE HOME HEALTH CARE
M
HEALTHY FOOT CARE LLC
A
RICHFIELD SENIOR SUITES LLC
CP
PEDIATRIC SPEECH & LANGUAGE
A
SHARON OJILE HOMECARE
C
PROVISIONAL HOME HEALTH LLC
A
RICHMOND
TADD'S LIGHTHOUSE INC
A
ROGERS
THE WELLSTEAD OF ROGERS
CP
RIVER FALLS
EASY LIVING ELDER CARE LLC
M
ROSEAU
AGELESS CARE INCORPORATED
CP
ROBBINSDALE
GERIATRIC SERVICES OF MN
A
LIFECARE HOME CARE & HOSPICE
A
A
OAK CREST SENIOR HOUSING
CP
REDLIN HOME SERVICES LLC
CP
SENIORS HELPING SENIORS
M
ABC HOME HEALTH CARE PLUS LLC
CP
RED WING
REDWOOD FALLS
NORTH MEMORIAL HOME HLTH HOSPC
ROCHESTER
ROCHESTER
ROCKFORD
ROSEMOUNT
1050 PLUMMER PLACE
CP
ADVANCE HOME HEALTH CARE LLC
M
ADVANCE HOME HEALTH CARE LLC
A
ALWAYS CARING
CP
ACR AT HOME HEALTHCARE LLC
CP
ARBOR TERRACE
CP
ARTHUR'S RESIDENTIAL CARE LLC
CP
CHARTER HOUSE
CP
EAGLECREST SENIOR HOUSING LLC
F
CHARTERHOUSE HHA
A
GENTIVA HEALTH SERVICES
A
CNS HOME HEALTH CARE
A
GOLDEN LIVING COMM LAKE RIDGE
F
COMFORT HEALTH
CP
GOOD SAMARITAN HOME CARE
A
COMFORT HEALTH
A
HEARTLAND HOME HC AND HOSPICE
A
COTTAGEWOOD SENIOR COMMUNITY O
F
HOME HEALTHCARE AGENCY
CP
DIVINE TOUCH HOME HEALTH CARE
A
INTERIM HC OF THE TWIN CITIES
A
EXCELLENT CARE SERVICES INC
CP
INTERIM HOME STYLE SERVICES
CP
EXTENDED HAND HOME CARE
A
INTREPID USA HEALTHCARE SERVS
A
EXTENDED HAND HOME CARE LLC
M
KCMG ROSEVILLE LLC
F
FAMILY SERVICE ROCHESTER INC
M
MINNESOTA SENIOR CARE INC
BA
GLOBAL HOME HEALTH CARE INC
A
OAK ACRES LLC
F
HOME INSTEAD SENIOR CARE
BA
PEDIATRIC HOME SERVICE
CP
HOME INSTEAD SENIOR CARE
A
PRESBYTERIAN ASSISTED LIVING H
CP
HOME INSTEAD SENIOR CARE
M
PRESBYTERIAN HOMES HOME CARE
A
INTERNATIONAL QUALITY HOMECARE
A
SENIOR HELPERS
CP
KAHLER MARR IN ROOM HOME CARE
CP
SUNRISE ASSISTED LIVING OF ROS
CP
CP
SYNERGY HOME CARE MSP METRO
A
MADONNA TOWERS OF ROCHESTER IN
A
THE FRIENDSHIP HOME COMMUNITY
F
MAYO CLINIC REHABILITATION SER
A
TRUSTED HEALTHCARE SERVICES IN
B
OXFORD PROPERTY MANAGEMENT LLC
CP
WALGREENS INFUSION SERVICES
CP
PARADISE PERSONAL HOME MGT SRV
M
WELLBEING HOME CARE LLC
A
PARADISE PERSONAL HOME MGT SRV
M
ROTHSAY
KAYCEE'S HOME CARE INC
CP
PRIMETIME LIVING
CP
ROYALTON
RIVERSIDE ASSISTED LIVING
CP
RIVER BEND ASSISTED LIVING AND
TC
RUSH CITY
ALL ABOUT CARING HOME CARE INC
CP
ROBLAND HOME HEALTH CARE CORPO
A
RUSHFORD
BREMMER SUITES
CP
MADONNA MEADOWS
ROSEVILLE
Page 540
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LICENSED HOME CARE PROVIDER
HCP
LOCATION
LICENSED HOME CARE PROVIDER
HCP
================================================================== ==================================================================
SAGINAW
LAKEWINDS HOMECARE LLC
TC
SHOREVIEW
VISITING ANGELS
CP
SAINT LOUIS PARK
SAMAD COMFORT CARE CORP
A
SIOUX FALLS
SANFORD VISITING NURSES ASSOCI
CP
SAINT PAUL
CLIENT CENTERED HOME CARE INC
CP
SISSETON
COTEAU DES PRAIRIES HOSPITAL H
A
GOOD LUCK HOME CARE INC
TC
SLAYTON
LINDENWOOD ASSISTED LIVING
CP
HEAVEN HOME HEALTHCARE LLC
TC
OUR HOUSE OF MURRAY COUNTY
X
KAREN QUALITY HOME HEALTHCARE
TB
LEADING CHOICE HOME HELPERS
BA
RELIANCE HEALTHCARE
A
SLEEPY EYE AREA HOME HEALTH IN
CP
COUNTRY MANOR EXTENDED SERV
A
SOUTH RANGE
TREVOR HILLSTROM
CP
COUNTRY MANOR EXTENDED SERVICE
CP
SOUTH SAINT PAUL
HOME WITH YOU COMPNON CARE LLC
M
WELCOME HOME HEALTH CARE INC
F
SOUTH ST PAUL
EVERYDAY LIVING LLC
CP
ALTERNATIVE SENIOR CARE INC
B
VISTA PRAIRIE AT RIVER HEIGHTS
CP
ALTERNATIVE SENIOR CARE INC
M
SPICER
COUNTRY LIVING MANAGEMENT COMP
CP
CEDAR COVE ASSISTED LIVING
CP
SPRING GROVE
SPRING GROVE ASSISTED LIVING L
CP
CENTRACARE HTH SYM SAUK CTR HC
A
SPRING LAKE PARK
RELIEVE CARE INC
CP
FAIRWAY PINES SENIOR LVG COMM
CP
SPRING PARK
LAKE MINNETONKA SHORES
F
GETTY STREET ASSISTED LIVING
CP
SPRING VALLEY
SPRING VALLEY ESTATES
CP
ACCESS INFUSION HEALTHCARE INC
A
SPRING VALLEY HOME HEALTH AG
A
CHERRYWOOD ADVANCED LIVING
F
SPRINGFIELD
HOME CARE SERVICES
CP
GENERATIONS HOME CARE INC
CP
ST ANTHONY
CHANDLER PLACE HOME HLTH CARE
CP
GOOD SHEPHERD ASSISTED LIVING
CP
PROVIDENT HOME HEALTHCARE
A
GOOD SHEPHERD HOME HEALTH CARE
A
THE LEGACY OF ST ANTHONY
CP
LEGACY PLACE
TC
ST ANTHONY VILLAGE
COMPLETE HOME HEALTH SERVICES
A
LEGACY PLACE LLC
A
ST AUGUSTA
CONTENT SENIOR CARE LLC
M
RIDGEVIEW PLACE
F
QUIET OAKS HOSPICE HOUSE
X
STERLING HOUSE OF SAUK RAPIDS
CP
ST BONIFACIUS
EREYNA HAUGEN
C
SUPPORTING HAND INC
A
ST CHARLES
ST CHARLES ASSISTED LIVING INC
CP
WALGREENS INFUSION SERVICES
CP
ST CLOUD
ARISE HOME HEALTH CARE
A
ANN'S HOME
F
ARISE HOME HEALTH CARE
M
CREEKRIDGE CONCIERGE
M
CENTRACARE HEALTH HOME CARE
A
NOKOMIS CARE SERVICES INC
TC
HEALTHNORTH HOME CARE INC
A
THE SENIORS FRIEND LLC
C
MARY CLARE OLSON AGENCY
A
TOUCHING LIVES ADULT DAY SERVI
A
MEDICAL SOLUTIONS HOME CARE IN
A
TOUCHING LIVES ADULT DAY SERVS
B
RECOVER HEALTH
A
SCANDIA
FOREVER CARES INC
BA
SPOT REHABILITATION INC
A
SCANLON
SUNCREST ASSISTED LIVING
F
ST BENEDICTS SENIOR COMMUNITY
CP
SEBEKA
CARING HANDS HOME CARE
A
ST SCHOLASTICA CONVENT
F
SHAFER
CARDENAS FRIENDSHIP HOME
F
TALAHI NURSING AND REHAB CTR
F
SHAKOPEE
ALL SAINTS SENIOR LIVING OF SH
CP
VISITING ANGELS
CP
AUGUSTANA EMERALD CREST SHAKOP
F
ST JAMES
GOOD SAM SOCIETY BRANDT RIDGE
CP
ITS WE CARE INC
A
ST JOSEPH
ARLINGTON PLACE
CP
THE GARDENS AT ST GERTRUDES
F
ST LOUIS PARK
ADULT HELP AND COMPANION CARE
BA
THE JAMES INC
A
AROUND THE CLOCK HOME CARE
A
TRUSTED HOME CARE LLC
CP
BRIGHTSTAR
A
SHELDON
UNIVERSAL PEDIATRICS
CP
CARE WITH HEART HOME SERVICES
A
SHERBURN
TEMPERANCE LAKE RIDGE
CP
GOLDEN GENERATION SNR CARE INC
TC
SHEVLIN
SERENITY ASSISTED LIVING
CP
HOME CARE ASSISTANCE
B
SHOREVIEW
BAYADA HOME HEALTH CARE INC
A
HOME CARE ASSISTANCE OF MINNEA
CP
COMMUNITIES OF CARE
CP
INTREPID USA HEALTHCARE SERVIC
CP
KIDS ABILITIES
CP
INTREPID USA HEALTHCARE SRVCS
A
SHOREVIEW SENIOR LIVING
CP
METROPOLITAN COMMUNITY SVCS
M
SPEAK RIGHT NOW LLC
CP
SHOLOM COMMUNITY ALLIANCE HOME
CP
ST THERESE AT ST ODILIA
CP
SILVERCARE LLC
F
SARTELL
SAUK CENTRE
SAUK RAPIDS
SAVAGE
SLEEPY EYE
Page 541
LOCATION
LICENSED HOME CARE PROVIDER
HCP
LOCATION
LICENSED HOME CARE PROVIDER
HCP
================================================================== ==================================================================
ST LOUIS PARK
ST MICHAEL
ST PAUL
ST THERESE AT HOME SOLUTIONS L
CP
EQUITY SERVICES OF ST PAUL
A
STABILITY HOME HEALTHCARE
A
EXPRESS HOME HEALTH CARE
A
THE CARING SISTERS HOME CARE S
CP
FAMILY FIRST HEALTHCARE INC
CP
THE CARING SISTERS HOME CARE S
A
FIRST CHOICE HOME CARE INC
A
VISITING ANGELS
CP
FIRSTAT NURSING SERVICES
A
VISITING ANGELS
M
FRANCISCAN HOME CARE
CP
YMG HOME CARE SERVICES INC
M
GENTLE CARE INC
M
ANNMAR HOME HEALTH LLC
A
GOLDEN LIFE HOME HEALTH CARE
A
THE LEGACY OF ST MICHAEL
F
HARMONY HOME HEALTH SERVICES
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
HIGHLAND GW LLC
TC
ABC CARE INC
A
HIGHLAND HOME CARE LLC
BA
ACCESSIBLE SPACE ASI METRO 1
CP
HOME CARE GIVERS INC
A
ACCESSIBLE SPACE ASI METRO 2
CP
HOMEWATCH CAREGIVERS OF ST PAU
CP
ACCESSIBLE SPACE ASI METRO 3
CP
INTEGRATED HOME CARE
A
ACCESSIBLE SPACE ASI NORTH
CP
KCMG HIGHLAND PARK LLC
F
ACCESSIBLE SPACE ASI SOUTH
F
KRISTI LOUISE BRUBER
BA
ADVANTAGE HOME CARE SERVS INC
A
LYNGBLOMSTEN SERVICES INC
CP
ALLINA HEALTH HOME HEALTH
A
MARY ELLEN BRANDT
A
AMY JOHNSON RESIDENCE
A
MATRXCARE LLC
A
ANOINTED HOME CARE AGENCY
A
MAXIMUM HOMECARE SERVICES LLC
CP
APRIA HEALTHCARE LLC
CP
METRO HEALTH CARE SERVICES LLC
CP
ASI METRO 4
CP
METRO HOME HEALTH INC
A
ASIAN AMERICAN HOME H C SERVIC
M
MIDWAY HOME HEALTH CARE
A
ASIAN AMERICAN HOME HEALTH CAR
A
MINNESOTA HOME HEALTH CARE INC
A
M
MN HOME CARE PROFESSIONALS
B
ASIAN HOME CARE INC
A
MORNING STAR HEALTHCARE SERVIC
A
ATT HOME CARE INC
CP
MULTICULTURAL HOME CARE LLC
A
ATT HOME HEALTH CARE INC
M
MY HOME HEALTH CARE INC
CP
BATTLE CREEK CARE HOME
F
NATIONAL HOME HEALTHCARE INC
CP
BRIDGE CARE LLC
A
NORTHWEST HOME HEALTH CARE
A
CAPITAL CARE SERVICES LLC
A
OUR LADY OF PEACE HOME CARE
A
CARE PLANNERS HOME HEALTH CARE
A
PEACE OF MIND HOME CARE SERVIC
A
CAREBUILDERS AT HOME
BA
PEACEFUL LIVING SERVICES
F
CAREFOCUS CORPORATION
A
PEOPLE INCORPORATED
A
CAREFOCUS HEALTH INC
A
PREMIER HEALTH HOMES INC
CP
CAREMATE HOME HEALTH CARE INC
A
RAINBOW HOME HEALTHCARE INC
M
CARING MATTERS HOME CARE 022
BA
RELIABLE HOME CARE
A
CARING PROFESSIONALS HOMECARE
A
ROSE HOME CARE HOME MANAGEMENT
M
CARONDELET VILLAGE
CP
SAFETY CARE INC
A
CATHOLIC CHARITIES CAREGIVER S
M
SERENITY HOME HEALTH CARE SYST
CP
CENTRAL TOWERS
F
SHEPARD PARK HC
F
CERENITY RESIDENCE MARIAN OF
CP
SHOLOM HOME CARE
A
CERENITY RESIDENCE ON HUMBOLDT
CP
SUMMIT HILL SENIOR LIVING
F
CONGREGATE HOUSING SERVS PROG
M
SUNLIGHT SENIOR LIVING
CP
DALYCE ELLIOTT YOUNG
C
SUNLIGHT SERVICES LLC
CP
DELLWOOD GARDENS
CP
SUPPORTIVE LIVING SOLUTIONS
CP
DIVINE HEALTHCARE NETWORK
A
SYMPHONY SENIOR SERVICES INC
CP
ENDLESS CARE LLC
A
TLC HM CARE OF THE TWIN CITIES
A
EPISCOPAL HOME CARE AND SERVIC
CP
TOUCHING HEARTS AT HOME ST PAU
M
EPISCOPAL HOME CARE AND SRVS
F
TWIN CITIES NURSING CARE INC
TC
ASIAN COMMUNITY SPECIAL SRSVCS
ST PAUL
Page 542
LOCATION
LICENSED HOME CARE PROVIDER
HCP
LOCATION
LICENSED HOME CARE PROVIDER
HCP
================================================================== ==================================================================
UNITED HOME HEALTHCARE INC
CP
VADNAIS HEIGHTS
VINTAGE MOMENTS LLC
CP
V-CARE HOME HEALTH INC
CP
VICTORIA
AUGUSTANA EMERALD CREST OF VIC
CP
VIETNAMESE MINNESOTANS ASSOCIA
CP
VICTORIA CARE CENTER LLC
F
VIZION ONE INC
A
VIRGINIA
EDGEWOOD VISTA VIRGINIA
CP
WEST ASIA CARE LLC
CP
WABASHA
ST ELIZABETH HOME HEALTH CARE
A
WICARE HOMECARE SERVICES
CP
WACONIA
ALWAYS BEST CARE SW METRO
TB
WILDER ASSISTED LIVING PROGRAM
CP
LIGHTHOUSE AT WACONIA
CP
ST PAUL PARK
ALTERNATIVE HOME CARE SOLUTION
A
RIDGEVIEW HOME CARE SERVICES
A
ST PETER
BENEDICTINE SENIOR LIVING COMM
CP
RIDGEVIEW HOME SUPPORT SERVICE
CP
ECUMEN PRAIRIE HILL
F
WESTVIEW ACRES GOOD SAMARITAN
CP
ECUMEN SAND PRAIRIE
CP
COMFORT CARE COTTAGES
F
GOOD SAM SOC HM CARE ST PETER
A
LEGACY HOME HEALTH AND HOSPICE
A
NICOLLET COUNTY PUBLIC HEALTH
CP
LSS OF WADENA LLC
A
PHEASANTS RIDGE ASSISTED LIVNG
F
WAHPETON
ST CATHERINE'S HOME CARE
A
STACY
SUNRISE HEALTH SERVICES INC
A
WAITE PARK
BAYADA PEDIATRICS
A
STANCHFIELD
CONNIE R DAVIS LPN
A
COMFORT KEEPERS
CP
STAPLES
LAKEWOOD HLTH SYS HM C & HSPCE
A
HOME INSTEAD SENIOR CARE
CP
LAKEWOOD PINES SENIOR HOUSING
F
SAVING GRACE HOME HEALTH LLC
A
HOLLY RIDGE MANOR
CP
STERLING PARK COMMONS
F
MINNEWASKA HOME CARE
A
TLA FOSTER CARE LLC
F
CASS CO PUBLIC HEALTH
A
MAY CREEK LODGE INC
CP
ST PAUL
STARBUCK
WADENA
STEPHEN
TAMARAC SENIOR LIVNG COMMUNITY
F
STEWARTVILLE
ROOT RIVER ESTATES HOME CARE S
CP
STEWARTVILLE HOME CARE SERVICE
CP
WALNUT GROVE
COUNTRY VIEW SENIOR COMMUNITY
F
BUURTZORG NEIGHBORHOOD NURSING
CP
WARREN
GOOD SAMARITAN SOCIETY WARREN
CP
KING OF KINGS HOME HEALTH CARE
A
WARROAD
LAKEVIEW RETIREMENT RESIDENCE
CP
LAKEVIEW HOMECARE
A
WASECA
COLONY COURT
F
CP
STILLWATER
WALKER
LAKEVIEW HOMECARE AND HOSPICE
CP
COLONY COURT
ONTRACK HOME CARE INC
CP
FRAMEWORK FOR THE LONG LIVED
M
PROJECT CARING RESIDENTIAL ASS
CP
LATHAM PLACE
F
REST EASY AT HOME HEALTH CARE
A
WATERTOWN
WESTWOOD PLACE INC
CP
TENSTRIKE
MEADOWLAND ELDER CARE HOMES
F
WATERVILLE
WATERVILLE ASSISTED LIVING LLC
F
THIEF RIVER FALLS
INTER CO NURSING SERVICE
A
WATKINS
GARDEN VIEW AT HILLTOP
TC
MINNESOTA GREENLEAF
F
WAYZATA
GOLDEN LIVING COMM REFLECTIONS
F
OAK PARK SENIOR LIVING
F
MERIDIAN MANOR
CP
VALLEY HOME
CP
VISITING ANGELS
CP
SOJOURN AT HOME LLC
BA
WELLS
THE SHEPHERD'S INN
CP
SOJOURN SUITES LLC
CP
WEST CONCORD
CHICOS BOARD & LODGE LLC
F
CIRCLE DRIVE MANOR ASST LVNG
CP
TONKA BAY
TOWER
GOLDEN HORIZONS
CP
TRACY
SHETEK HOME CARE
A
WEST SAINT PAUL
HMONG MINNESOTA HOME CARE INC
M
SWEET HOME HOME CARE LLC
M
WEST ST PAUL
CLARE BRIDGE OF WEST ST PAUL
CP
TRUMAN
TRUMAN SENIOR LIVING INC
CP
DARTS
M
TWIN VALLEY
LINCOLN TERRACE
F
PHOENIX SERVICE CORPORATION
A
LUTHERAN HOME
CP
SOUTHVIEW SENIOR LIVING
CP
BARROSS COTTAGE
F
STERLING HOUSE OF WEST ST PAUL
CP
BARROSS COTTAGE II LLC
F
WALKER METHODIST WESTWOOD RIDG
F
BARROSS MANOR
F
ADVANCED MEDICAL HOME CARE LLC
A
ECUMEN TWO HARBORS SCENIC SHOR
CP
CERENITY RESIDENCE OF WBL
F
TYLER
TYLER HOME CARE
A
VISION QUEST PROPERTY MANAGEME
CP
ULEN
VIKING MANOR NURSING HOME
CP
WHITE BEAR LAKE COH CARE LLC
CP
UTICA
KIND LLC
CP
WHITE EARTH
WHITE EARTH HOME HEALTH
A
VADNAIS HEIGHTS
HEARTS HOME CARE LLC
CP
WILLMAR
BETHESDA ASSISTED LIVING
CP
PINNACLE HOME HEALTH CARE LLC
A
BETHESDA HOME HEALTH
A
TWO HARBORS
WHITE BEAR LAKE
Page 543
LOCATION
LICENSED HOME CARE PROVIDER
HCP
LOCATION
LICENSED HOME CARE PROVIDER
HCP
================================================================== ==================================================================
WILLMAR
WINDOM
CENTRAL MINNESOTA SENIOR CARE
A
CENTRAL MINNESOTA SENIOR CARE
CP
CENTRAL MN SENIOR CARE INC
M
COMPASSIONATE CARE INC
BA
COMPASSIONATE COTTAGE LLC
CP
COPPERLEAF SENIOR LIVING
F
DIVINE HOME CARE INC
M
DIVINE HOME CARE INC
A
DIVINE HOUSE INC
M
DIVINE HOUSE INC
CP
FOURTH AVENUE HOMES INC
M
PRAIRIE SENIOR COTTAGES OF WIL
CP
QUALITY QUEST HEALTH CARE INC
A
SAMAH HOME HEALTH CARE
M
STERLING HOUSE OF WILLMAR
CP
GOOD SAM SOC HM C OF SW MN
A
MIKKELSON MANOR ASSISTED LIVIN
CP
PINE VIEW ASSISTED LIVING
CP
WINNEBAGO
PARKER OAKS COMMUNITIES INC
F
WINONA
BOURNE MEDICAL SERVICE
CP
CALLISTA COURT
F
OPTIONS PLUS HOME CARE LLC
A
QUALITY LIVING HOME HEALTH CAR
CP
STERLING HOUSE OF WINONA
CP
SUGAR LOAF SENIOR LIVING
CP
WATKINS MANOR
CP
WINONA HEALTH HOME CARE
A
WINSTED
BENEDICTINE LIVING COMMUNITY O
CP
WINTHROP
THE LODGE OF WINTHROP
CP
WOODBURY
COLBY LAKE CARE HOME INC
F
COMMUNITY LIVING OPTIONS INC
CP
DAMACARE HEALTH SERVICES LLC
TC
HOMETOWN SENIOR LIVING
CP
HONG FU HOME HEALTH CARE
A
PRELUDE HOME & SERVICES LLC
F
SAGEWOOD LLC
CP
STONECREST
F
WOODBURY ESTATES
CP
WOODBURY VILLA
F
ZUMBRO HOUSE INC
CP
CARING & COMPASSIONATE HEALTH
A
ECUMEN WORTHINGTON THE MEADOWS
CP
GOLDEN HORIZONS
F
SANFORD WORTHINGTON HOME CARE
A
SUNSET COTTAGE
X
SW MN OPPORTUNITY COUNCIL INC
M
WRENSHALL
GARDEN TERRACE ASSISTED LIVING
CP
WYOMING
MEADOWS ON FAIRVIEW
F
ZUMBROTA
CASCADE CARE SERVICES INC
CP
ZUMBROTA CARE CENTER HOME CARE
CP
WORTHINGTON
Page 544
LOCATION
CERTIFIED HOME HEALTH AGENCY
==================================================================
LOCATION
CERTIFIED HOME HEALTH AGENCY
==================================================================
ALBANY
ALBANY AREA HOME HEALTH
ELY
ELY BLOOMENSON HOSPITAL HHA
ALBERT LEA
MAYO CLINIC HS ALBERT LEA
FARIBAULT
RICE COUNTY PHNS
ALEXANDRIA
KNUTE NELSON HOME CARE
FARMINGTON
RIVER VALLEY HOME CARE INC
APPLETON
APPLETON AREA HEALTH SERVICES
FERGUS FALLS
ACCRA HOME CARE INC
ARLINGTON
RIDGEVIEW SIBLEY HOME CARE
LAKELAND HOMECARE
AUSTIN
SACRED HEART HOME HEALTH CARE
NEW DIMENSIONS HHC INC
BAGLEY
CLEARWATER CO NSG SERVICE
FOLEY
HERITAGE HOME HEALTH & HOSPICE
BAXTER
GOOD NEIGHBOR HHC OF BRAINERD
FOSSTON
ESSENTIA HEALTH FOSSTON HM HTH
BEMIDJI
BELTRAMI COUNTY HEALTH & HUMAN
GAYLORD
SIBLEY COUNTY PH & HUMAN SERVS
SANFORD BEMIDJI HOME CARE
GLENWOOD
GLACIAL RIDGE HOME CARE
BENSON
SWIFT CTY BENSON HOSP HH CARE
GOLDEN VALLEY
ALLIANCE HHC & NURSING SERVICE
BIGFORK
BIGFORK VALLEY HOME CARE
CARE PLUS HOME HEALTH AGENCY I
BLAINE
HEALTHMAX HOME HEALTH SERVICES
GOOD SAM SOCIETY HOME CARE
BLOOMINGTON
HOMECARE RESOURCE LLC
HOME HEALTH CARE INC
IN-HOME LAB CONNECTION INC
INTERNATIONAL HEALTH CARE SERV
SUMMIT HOME HEALTH CARE INC
MINNESOTA HOME HEALTH
PROF RESOURCE NETWORK HHC
GRACEVILLE
ESSENTIA HLTH GRACEVILLE HH
BLUE EARTH
UNITED HOSP DIST HOME HLTH SER
GRAND MARAIS
COOK CO NORTHSHORE HOSP HM HLT
BRAINERD
BARNABAS HEALTH CARE SERVICES
GRAND RAPIDS
GRAND ITASCA CLINIC & HOSP HC
BRECKENRIDGE
CHI HEALTH AT HOME
BROOKLYN CENTER
INTEGRATED NURSING & HLTH SVCS
GRANITE FALLS
GRANITE FALLS MUN HOSP HHA
BROOKLYN PARK
HENNEPIN HOME HEALTH CARE INC
HALLOCK
KITTSON MEMORIAL HOME HLTHCARE
BUFFALO
PRAIRIE RIVER HOME CARE INC
HENDRICKS
HENDRICKS COMMUNITY HOSP HHA
CALEDONIA
HOUSTON CTY PUB HLTH NURSNG SV
HIBBING
HEALTHLINE HOMECARE
CANBY
SANFORD CANBY MED CENTER
CHANHASSEN
ROLLING ACRES HOME HEALTH
HOPKINS
PARK NICOLLET METHODIST HC
CHISAGO CITY
FAIRVIEW LAKES HOMECARING HOSP
INTERNATIONAL FALLS
GOOD SAMARITAN HC INTL FALLS
CLARISSA
CENTRAL TODD COUNTY HOME CARE
INVER GROVE HEIGHTS
SPECTRUM COMMUNITY HEALTH INC
CLARKFIELD
CLARKFIELD HOME HEALTH AGENCY
JACKSON
DES MOINES VALLEY HEALTH & HS
COKATO
COKATO MANOR HOME HEALTH
LAKEVILLE
INTEGRA HOME CARE
COLD SPRING
ASSUMPTION HOME CARE
COLUMBIA HEIGHTS
CREST VIEW HOME HEALTH CARE
LE CENTER
LESUEUR COUNTY PUBLIC HEALTH
ECUMEN AT HOME
LITCHFIELD
ECUMEN OF LITCHFIELD HOME CARE
COON RAPIDS
RECOVER HEALTH
RECOVER HEALTH
SUPERIOR HOME HEALTH CARE INC
MARY T HOME HEALTH
LITTLE CANADA
REGENCY HOME HEALTHCARE SRVCS
CROOKSTON
RIVERVIEW HOME CARE
LITTLE FALLS
UNITY FAMILY HOME CARE HOSPICE
CROSBY
HOMEHEALTH PARTNERSHIP
LONG PRAIRIE
TODD COUNTY PHNS
DAWSON
JOHNSON MEMORIAL HOME CARE
MADELIA
MADELIA COMMUNITY HOSP HM CARE
DEER RIVER
DEER RIVER HOME CARE
MADISON
MADISON HOSPITAL HHA
DETROIT LAKES
ESSENTIA HEALTH HOME CARE WEST
MANKATO
ALLIANCE HEALTH SERVICES
DULUTH
ACCRA HOME HEALTH DULUTH
PATHSTONE HOME SERVICES
GENTIVA HEALTH SERVICES
MARSHALL
PRAIRIE HOME COMMUNITY CARE
HEARTHSTONE HOME CARE
MINNEAPOLIS
ACCEL HEALTH SERVICES INC
INTERIM HEALTHCARE
ALL HOMECARING
LAKESHORE AT HOME
ALPHA HEALTHY CARE INC
PATHWAYS TO ACHIEVEMENT
BEST CARE HOME HEALTH INC
SENIOR FRIEND ASSOCIATES INC
BRISTOL PLACE HOME HEALTH SERV
ST LUKES HOME HEALTH SERVICES
CARE HOME HEALTH INC
UNIVERSAL PEDIATRICS
CHILDRENS HOME CARE & HOSPICE
EAGAN
ALLIANCE HEALTH SERVICES INC
COMMUNITY INVOLVEMENT PROG HHS
EDINA
BROOKDALE H H MINNESOTA
FAIRVIEW HOME CARE AND HOSPICE
ELK RIVER
ACCURATE HOME CARE LLC
FAMILY CARE SERVICES INC
GUARDIAN ANGELS ELIM HOME CARE
MIDWEST PROFESSIONAL SERVICES
Page 545
LOCATION
CERTIFIED HOME HEALTH AGENCY
==================================================================
MINNEAPOLIS
MINNEOTA
MINNETONKA
LOCATION
CERTIFIED HOME HEALTH AGENCY
==================================================================
MILS HOME HEALTH CARE AGENCY
SPRING VALLEY
SPRING VALLEY HOME HEALTH AG
MN VISITING NURSE AGENCY
ST ANTHONY
PROVIDENT HOME HEALTHCARE
SENIOR HOME HEALTH CARE LLC
ST ANTHONY VILLAGE
COMPLETE HOME HEALTH SERVICES
SERENITY HEALTH CARE SERVICES
ST CLOUD
CENTRACARE HEALTH HOME CARE
UTMOST CARE HEALTH SERVICES LL
RECOVER HEALTH
TOWN AND COUNTRY HHC
SPOT REHABILITATION INC
BAYADA PEDIATRICS
ST LOUIS PARK
NIGHTINGALE HOME HEALTH CARE
RECOVER HEALTH
AROUND THE CLOCK HOME CARE
INTREPID USA HEALTHCARE SRVCS
ST PAUL
A&A RELIABLE HOME HEALTH CARE
MONTEVIDEO
CHIPPEWA COUNTY MONTEVIDEO HHC
ADVANTAGE HOME CARE SERVS INC
MOOSE LAKE
MERCY HOME HEALTH AGENCY
ALLINA HEALTH HOME HEALTH
MORA
KANABEC PINE COMMUNITY HEALTH
CAREFOCUS CORPORATION
NEW LONDON
LAKE REGION HOME HEALTH
CAREMATE HOME HEALTH CARE INC
NEW ULM
BROWN COUNTY PUBLIC HEALTH
CARING PROFESSIONALS HOMECARE
OAK HILLS LIVING CENTER
DIVINE HEALTHCARE NETWORK
NISSWA
GOOD SAMARITAN SOC HC HOSPICE
EQUITY SERVICES OF ST PAUL
NORTH ST PAUL
HEALTHSTAR HOME HEALTH
FIRST CHOICE HOME CARE INC
HOME CARE LINK
FIRSTAT NURSING SERVICES
NORTHFIELD HOME CARE
HEALTHEAST HOME CARE
OLIVIA
RENVILLE COUNTY PHS
HOME CARE GIVERS INC
ONAMIA
MILLE LACS HOME CARE
INTEGRATED HOME CARE
ORTONVILLE
ORTONVILLE AREA HEALTH SER HHA
MIDWAY HOME HEALTH CARE
OWATONNA
STEELE COUNTY PHNS
OUR LADY OF PEACE HOME CARE
PERHAM
PERHAM LIVING HOME CARE
PEOPLE INCORPORATED
PIERZ
HORIZON HEALTH INC
SAFETY CARE INC
PIPESTONE
PIPESTONE CO HOME HEALTH AGNCY
SHOLOM HOME CARE
PRESTON
FILLMORE COUNTY PHNS
TLC HM CARE OF THE TWIN CITIES
PRESTON GOOD SAM SOC HC
VIZION ONE INC
NORTHFIELD
PRIOR LAKE
COMMUNITY HOME HEALTH INC
ST PETER
GOOD SAM SOC HM CARE ST PETER
RED WING
ACCRA HOME HEALTH INC
STACY
SUNRISE HEALTH SERVICES INC
HIAWATHA HOMECARE
STAPLES
LAKEWOOD HLTH SYS HM C & HSPCE
MAYO CLINIC HLTH SYS RED WING
STARBUCK
MINNEWASKA HOME CARE
REDWOOD AREA HOSPITAL HOME CAR
STILLWATER
LAKEVIEW HOMECARE
NORTH MEMORIAL HOME HLTH HOSPC
THIEF RIVER FALLS
INTER CO NURSING SERVICE
CHARTERHOUSE HHA
TRACY
SHETEK HOME CARE
CNS HOME HEALTH CARE
TYLER
TYLER HOME CARE
REDWOOD FALLS
ROBBINSDALE
ROCHESTER
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 INC
WAITE PARK
BAYADA PEDIATRICS
SAVING GRACE HOME HEALTH LLC
ROSEAU
LIFECARE HOME CARE & HOSPICE
ROSEVILLE
GENTIVA HEALTH SERVICES
WALKER
CASS CO PUBLIC HEALTH
GOOD SAMARITAN HOME CARE
WHITE BEAR LAKE
ADVANCED MEDICAL HOME CARE LLC
HEARTLAND HOME HC AND HOSPICE
WHITE EARTH
WHITE EARTH HOME HEALTH
INTERIM HC OF THE TWIN CITIES
WILLMAR
BETHESDA HOME HEALTH
DIVINE HOME CARE INC
INTREPID USA HEALTHCARE SERVS
QUALITY QUEST HEALTH CARE INC
PRESBYTERIAN HOMES HOME CARE
SARTELL
COUNTRY MANOR EXTENDED SERV
WINDOM
GOOD SAM SOC HM C OF SW MN
SAUK CENTRE
CENTRACARE HTH SYM SAUK CTR HC
WINONA
WINONA HEALTH HOME CARE
SAUK RAPIDS
GOOD SHEPHERD HOME HEALTH CARE
WORTHINGTON
CARING & COMPASSIONATE HEALTH
SEBEKA
CARING HANDS HOME CARE
SHOREVIEW
BAYADA HOME HEALTH CARE INC
SANFORD WORTHINGTON HOME CARE
Page 546
LOCATION
LICENSED HOSPICE
HOSPICE
=====================================================================
LOCATION
LICENSED HOSPICE
HOSPICE
=====================================================================
ALBANY
ALBANY AREA HOSPICE
D
ROBBINSDALE
NORTH MEMORIAL HOME HLTH HOSPC
D
ALBERT LEA
MAYO CLINIC HEALTH SYS ALBT LE
D
ROCHESTER
HEARTLAND HM HLTH CARE HOSPICE
D
HORIZON PUBLIC HEALTH
D
MAYO CLINIC HOSPICE
D
ALEXANDRIA
KNUTE NELSON HOSPICE
D
SEASONS HOSPICE
D
AUSTIN
MAYO CLINIC HEALTH SYS AUSTIN
D
ROSEAU
LIFECARE HOME CARE & HOSPICE
D
BAGLEY
CLEARWATER HOSPICE
D
ROSEVILLE
HEARTLAND HOME HC AND HOSPICE
D
BEMIDJI
SANFORD BEMIDJI HOSPICE
D
INTERIM HEALTHCARE
D
BLOOMINGTON
ASERACARE HOSPICE
D
INTREPID USA HOSPICE
D
HEALTHPARTNERS HOSPICE & PALLI
D
PRESBYTERIAN HOMES HOSPICE INC
D
BLUE EARTH
UNITED HOSPITAL DISTRICT INC
D
SAUK CENTRE
CENTRACARE SAUK CENTRE HOSPICE
D
BRECKENRIDGE
RIVEREDGE HOSPICE ST FRANCIS
D
SAUK RAPIDS
HEARTLAND HOME HLTH C&HOSPICE
D
CHISAGO CITY
FAIRVIEW LAKES HOMECARING HOSP
D
SIOUX FALLS
SANFORD HOSPICE
D
COON RAPIDS
MARY T HOSPICE
D
SLAYTON
HOSPICE OF MURRAY COUNTY INC
D
CROSBY
HOMEHEALTH PARTNERSHIP
D
ST AUGUSTA
QUIET OAKS HOSPICE HOUSE
D
DULUTH
ESSENTIA HEALTH ST MARYS HOSPI
D
ST CLOUD
CENTRACARE HEALTH HOSPICE
D
ST LUKES HOSPICE DULUTH
D
ST LOUIS PARK
BRIGHTON HOSPICE
D
BROOKDALE HOSPICE MINNESOTA
D
PARK NICOLLET METHODIST HOSP
D
N C LITTLE MEMORIAL HOSPICE
D
ALLINA HLTH HSPCE & PALLITV CA
D
ELK RIVER
GUARDIAN ANGELS ELIM HOSPICE
D
HEALTHEAST HOSPICE
D
FARGO
HOSPICE OF THE RED RIVER VALLE
D
OUR LADY OF PEACE HOSPICE
D
FARIBAULT
FARIBAULT AREA HOSPICE
D
SHOLOM HOSPICE
D
FERGUS FALLS
LAKELAND HOSPICE
D
STAPLES
LAKEWOOD HEALTH SYSTEM HOSPICE
D
FOSSTON
FIRST CARE HOSPICE
D
STILLWATER
LAKEVIEW HOSPICE
D
GLENWOOD
GLACIAL RIDGE HOSPICE
D
TYLER
RIDGEVIEW HOSPICE
D
EDINA
ST PAUL
GRAND FORKS
ALTRU'S HOSPICE
D
WACONIA
RIDGEVIEW HOSPICE
D
HALLOCK
KITTSON COUNTY HOSPICE INC
D
WADENA
LEGACY HOME HEALTH AND HOSPICE
D
HENDRICKS
GOOD SHEPHERD HOSPICE
D
WILLMAR
DIVINE HOSPICE CARE
D
HIBBING
NORTH STAR HOSPICE
D
RICE HOSPICE PROGRAM
D
LACROSSE
GUNDERSEN HOSPICE
D
WINONA
WINONA AREA HOSPICE
D
MAYO CLINIC HLTH SYS FRANCSCN
D
WORTHINGTON
CARING & COMPASSIONATE HC AGY
D
LAKEVILLE
HOSPICE ADVANTAGE
D
COMPASSIONATE CARE HOSPICE
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
AVERA@HOME MARSHALL
D
PRAIRIE HOME HOSPICE
D
AUGUSTANA MOUNT OLIVET HOSPICE
D
CHILDRENS HOME CARE & HOSPICE
D
FAIRVIEW HOSPICE
D
MINNEAPOLIS
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
Page 547
LOCATION
MEDICARE CERTIFIED HOSPICE
=====================================================================
ALBERT LEA
ALEXANDRIA
MAYO CLINIC HEALTH SYS ALBT LE
LOCATION
MEDICARE CERTIFIED HOSPICE
====================================================================
SAUK CENTRE
CENTRACARE SAUK CENTRE HOSPICE
HORIZON PUBLIC HEALTH
SAUK RAPIDS
HEARTLAND HOME HLTH C&HOSPICE
KNUTE NELSON HOSPICE
SLAYTON
HOSPICE OF MURRAY COUNTY INC
AUSTIN
MAYO CLINIC HEALTH SYS AUSTIN
ST CLOUD
CENTRACARE HEALTH HOSPICE
BAGLEY
CLEARWATER HOSPICE
ST LOUIS PARK
BRIGHTON HOSPICE
BEMIDJI
SANFORD BEMIDJI HOSPICE
BLOOMINGTON
ASERACARE HOSPICE
PARK NICOLLET METHODIST HOSP
ST PAUL
ALLINA HLTH HSPCE & PALLITV CA
HEALTHPARTNERS HOSPICE & PALLI
HEALTHEAST HOSPICE
BLUE EARTH
UNITED HOSPITAL DISTRICT INC
OUR LADY OF PEACE HOSPICE
BRECKENRIDGE
RIVEREDGE HOSPICE ST FRANCIS
CHISAGO CITY
FAIRVIEW LAKES HOMECARING HOSP
STAPLES
LAKEWOOD HEALTH SYSTEM HOSPICE
COON RAPIDS
MARY T HOSPICE
STILLWATER
LAKEVIEW HOSPICE
SHOLOM HOSPICE
CROSBY
HOMEHEALTH PARTNERSHIP
TYLER
RIDGEVIEW HOSPICE
DULUTH
ESSENTIA HEALTH ST MARYS HOSPI
WACONIA
RIDGEVIEW HOSPICE
ST LUKES HOSPICE DULUTH
WADENA
LEGACY HOME HEALTH AND HOSPICE
EDINA
BROOKDALE HOSPICE MINNESOTA
WILLMAR
RICE HOSPICE PROGRAM
ELK RIVER
GUARDIAN ANGELS ELIM HOSPICE
WINONA
WINONA AREA HOSPICE
FARIBAULT
FARIBAULT AREA HOSPICE
WORTHINGTON
COMPASSIONATE CARE 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
AUGUSTANA MOUNT OLIVET HOSPICE
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 HM HLTH CARE HOSPICE
MAYO CLINIC HOSPICE
SEASONS HOSPICE
ROSEAU
LIFECARE HOME CARE & HOSPICE
ROSEVILLE
HEARTLAND HOME HC AND HOSPICE
INTERIM HEALTHCARE
INTREPID USA HOSPICE
PRESBYTERIAN HOMES HOSPICE INC
Page 548
LOCATION
HOSPITAL
DEEMED
==================================================================
LOCATION
HOSPITAL
DEEMED
==================================================================
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
CA

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