Organization · Type 2 NPI

Camilia Rose Company Inc

Skilled Nursing Facility · Coon Rapids, MN

NPI number 1962499566 Active

Practice location

11800 Xeon Blvd NW
Coon Rapids, MN 55448-2061

Fax (783) 755-8578

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	326976 (MN)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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NPI record

NPI: 1962499566
Entity type: Organization (Type 2)
Issued: Sep 29, 2005
Last updated: Feb 10, 2020
Status: Active
Subpart: Yes of Camilia Rose Company Inc

Other names

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Camilia Rose Care Center LLC · doing business as
Camilia Rose Care Center LLC · doing business as

Authorized official

Jason Tjosvold
Secretary & Treasurer
(763) 567-8951

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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 1962499566

Camilia Rose Company Inc's National Provider Identifier is 1962499566, issued on Sep 29, 2005. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Coon Rapids, MN. The record was last updated on Feb 10, 2020.