Organization · Type 2 NPI

Country Manor Campus LLC

Home Health Agency · St. Joseph, MN

NPI number 1942763313 Active

Practice location

1200 Lanigan Way SW
St. Joseph, MN 56374-4732

Call (320) 253-3343 Map

Fax (320) 240-0244

Mailing address

520 1st St NE
Sartell, MN 56377-1274

Specialties and licenses

Taxonomy	Code	License
Home Health Agency Primary	251E00000X	None listed

Home Health Agency: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organ…

NPI record

NPI: 1942763313
Entity type: Organization (Type 2)
Issued: Apr 11, 2019
Last updated: Jun 30, 2021
Status: Active
Subpart: Yes of Country Manor Campus LLC

Other names

<unavail>
Country Manor Extended Services - Woodcrest · doing business as
Country Manor Extended Services - Woodcrest · doing business as

Authorized official

Kevin Harguth
C.f.o.
(320) 258-8983

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1942763313

Country Manor Campus LLC's National Provider Identifier is 1942763313, issued on Apr 11, 2019. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in St. Joseph, MN. The record was last updated on Jun 30, 2021.