Local City Search for Care Homes, Nursing Homes, Assisted Living, Skilled Nursing and Home CareVILLA ST. VINCENT
Assisted Living Facility
Crookston, Minnesota
Provider NPI: 1215932728
Organization Information:Organization Name: VILLA ST. VINCENT
Practice Location:
516 WALSH ST CROOKSTON, MN 56716 US
Tel: 218-281-3424 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
516 WALSH ST CROOKSTON, MN 56716 US
Tel: 218-281-3424 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | MN | 328575 |
| N | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | MN | 352789 |
| N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | MN | 353890 |
| Y | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | MN | 325662 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 177240600 | MN | 05 | |
| BLUE CROSS INSURANCE | 8756VI | MN | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin