LICENSED, CERTIFIED AND REGISTERED HEALTH CARE FACILITIES

. Minnesota Department of Health Licensing and. Certification Program •. . . 85 East Seventh Place, Suite 300 .
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 15, 2004 I
2. Certification Classifications, March 15, 2004 I
3. Increase in number oflicensed inpatient facilities during the past 61 years II
4. Hospitals: Bed Range, Ownership II
5. Nursing Homes and Units: Bed Range, Ownership ill
6. Nursing Homes and Units: Ownership, Percentage of Change ill
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 ofChange V
11. Number ofLicensed Facilities and Beds by County, March 15,2004 VI - XI
12. Number of Certified Facilities and Beds by County, March 15, 2004 X1l- XVI
13. Number of Certified Services by County, March 15, 2004 XVll - XIX
14. Number of Licensed Home Care Providers (RCP) by Classifications and County, March 15, 2004 : XX - XXll
15. Number of Housing with Services Establishments, March 15, 2004 XXill-XXIV
FEDERAL HOSPITALS XXV
ABBREVIATIONS : XXVII
LICENSING AND CERTIFICATION INFORMATION FOR ALL HEALTH CARE FACILITIES AND SERVICES 1 - 298
LISTING OF HEALTH CARE FACILITIES - Grouped by TypelLocation
Boarding Care Homes and Units 299
Community Mental Health Centers 300
Comprehensive Outpatient Rehabilitation Facilities 300
End Stage Renal Disease Providers .301
Home Care Providers 302 - 313
Home Health Agencies (Certified) .314 - 316
Hospices .317
Outpatient Physical Therapy Providers (Certified) .324
Outpatient Speech Therapy Providers (Certified) .325
Outpatient Surgical Center .325
Rural Health Clinics 327 .
ALPHABETICAL LISTING OF LOCATIONS OF HEALTH CARE FACILITIES 332 - 336
INDEX CONTAlNlNG PAGE NUMBER FOR SPECIFIC FACILITY OR SERVICE- INDEX PAGES 1 - 32
MINNESOTA DEPARTMENT OF HEALTH FACILITY AND PROVIDER COMPLIANCE DIVISION
DIRECTORY OF LICENSED AND CERTIFIED HEALTH CARE
FACILITIES & SERVICES
March 15,2004
FOREWORD
The directory that follows contains a list ofhospitals and related institutions licensed and/or certified as ofMarch 15,2004. They are listed alphabetically by county, town, and facility name. Ownership or control is indicated as follows:
Governmental, NonFederal
State County (CNTY) City City-County (CYCO) Hospital District (DIST) or Authority
Nongovernmental, NOI!Profit
Church Reh\ted (CHURCH) Nonprofit Corporation (NPROF) Other Nonprofit Ownership (ONPROF Tribal (TRIBAL)
Nongovernmental, For Profit
HOSPITAL AND NURSING HOME LICENSING LAW
Hospitals, boarding care homes, outpatient surgical centers and supervised living facilities in Minnesota are licensed under the provisions ofSections 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 ofphysicians, 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 "PSYCHIATRlC HOSPITAL" means an entire institution which is primarily engaged in providing, by or under the supervision ofa physician, psychiatric services for the diagnosis and treatment ofmentally illpersons. 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 ofproviding elective outpatient surgery for preexarnined, prediagnosed, low risk patients.
A "NURSING HOME" means a facility or that part of a facility which provides nursing care to five or more persons. Nursing care means health evaluation and treatment ofpatients and residents who are not in need ofan acute care facility but who require nursing supervision on an inpatient basis.
A "BOARDING CARE HOME" provides personal or custodial care only. Examples ofpersonal or custodial care include: Help with bathing, dressing, or other personal care; supervision ofmedications 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 mentally retarded, adult mentally ill, chemically dependent, or physically handicapped. Services include provision ofmeals, lodging, housekeeping services, health services, and other services provided by either staffor residents WIder supervision. Class A facilities include homes for ambulatory and mobile persons who are capable of taking appropriate action for self-preservation Wlder emergency conditions as determined by program licensure provisions. Class B facilities include homes for ambulatory, nonambulatory, mobile or nomnobile 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.49 inclusive, Minnesota Statutes.
A "Home Care Provider" means an individual, organization, association, corporation, unit ofgovernment, or other entity that is regularly engaged in the delivery, indirectly or by contractual arrangement, ofhome care services for a fee. At least one home care service must be provided directly, although additional home care services may be provided by contractual arrangements.
Classes of home care licenses are:
Class A or professional home care agency license. Provider may provide all home care services, but at least one ofwhich is nursing, physical therapy, speech therapy, occupational therapy, nutritional services, medical social services, home health aide tasks, or the provision ofmedical supplies and equipment when accompanied by the provision ofa home care services. These may be provided in a place of residence, including a residential center.
Class B or paraprofessional agency license. Under this license, a provider may perform home care aide tasks and home management tasks in a place of residence.
Class C, or individual paraprofessional license. Under this license, a provider may perform home health aide, home care aide, and home management tasks in a place of residence.
Class D, or hospice program license. Under this license a provider may provide hospice services.
Class E, or assisted living program license. Under this license, a provider may only provide assisted living services to residents ofa residential center. For purposes ofthis rule, assisted living services means individualized home care aide tasks and home management tasks provided to clients of a residential center in their living units, and provided whether by the management of the residential center or by providers under a contract with the management.
ALHCP or assisted living home care provider license: Under this license, a provider may provide assisted living home care services solely for residents ofone or more registered housing with services establishments.
HOME MANAGEMENT SERVICES
A provider performing only home management tasks must obtain a certificate of registration from the connnissioner 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 ofChapter I44D., 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 ofage 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 ofthis chapter except that fewer than 80 percent ofthe adult residents are age 55 or older may. at its option, register as a housing with services establishment.
I
DIRECTORY OF LICENSED AND CERTIFIED HEALTH CARE FACILITIES AND SERVICES
Classification and Bed Capacity: As of March 15, 2004 the number oflicensed Facilities and Services and the total bed capacities were as shown in Table I; their certification classifications were as shown in Table 2.
TABLEl
Licensing Classifications Number of Facilities and Services Number of Beds
Hospitals Bassinets Psychiatric Hospital Nursing Home Boarding Care Homes
(Includes B.C.H. Units of Other Facilities) Supervised Living Facilities Freestanding Outpatient Surgical Centers Other Specialized Hospitals Home Care Providers
Certification Classifications, March 15, 2004
139 122
I 410
49 (22)
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
Medicare
89 51
7 401
395 32
Hospitals (Excluding Psychiatric Facilities)
Housing with Services Establishments
TABLE2A 934
TABLE 3
The following table shows the increase in the total nwnber oflicensed inpatient facilities and units during the past 61 years.
II
January I, 1943 March 15, 1975 March 15, 2004
Nwnberof Number Number of Number Nwnberof Nwnber Facilities ofBeds Facilities of Beds Facilities ofBeds
Hospitals 188 11,159 180 19,929 139 16,454 Nursing Homes arid Units 137 3,905 446 37,260 410 37680 BOarding Care Homes 201 8,188 49 2,293 Supervised Living Facilities 88 3,733 350 5,715 Other • 72 1,161 81 8,152 7 1,226
TOTALS 397 16,225 996 77,262 955 63,368
·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 15, 2004
Type ofOwnership
Hosp. Beds Hasp. Beds Hasp. Beds Hasp. Beds Hasp. Beds
1- 24 31 552 22.3 3.4 20 365 10 177 I 10
25-49 51 1,771 36.7 10.8 26 916 25 855 0 0
50 - 99 27 2,016 19.4 12.3 22 1,610 4 314 1 92
100 - 299 17 3,051 12.2 18.5 15 2,788 2 263 0 0
300+ 13 9,064 9.4 55.1 12 8,154 1 910 0 0
TOTALS 139 16,454 100.0 100.0 95 13,833 42 2,519 2 102
III
TABLES
Nursing Homes and Units: Bed Range, Total Numbers and Percentages ofHome and Beds by Ownership·- March 15, . 2004
Type ofOwnership
Homes Beds Homes Beds Homes Beds Homes Beds Homes Beds
1·24 8 141 2.0 .4 5 89 0 0 3 52
25 - 49 52 2,098 12.7 5.6 28 1,106 14 601 10 391
50 - 99 220 15,601 53.7 4 \.4 125 8,896 37 2,579 58 4,126
100 - 299 125 17,806 30.5 47.3 85 12,048 8 1,097 32 4,661
300+ 5 2,034 1.2 5.4 3 1,350 2 684 0 0
TOTALS 410 37,680 100.0 100.0 246 23,489 61 4,961 103 9,230
TABLE 6
Nursing Homes and Units: Home and Beds by Ownership and Percentage ofChange -- March 15, 2003 and March 15, 2004
March 15, 2003 March 15, 2004 % ofChange
Nursing Home Units Homes and Homes and Homes and Ownership Units Beds Units Beds Units Beds
NPA 248 24,090 246 23,489 -.8 -2.5
Public 61 5,103 61 4,961 0 -2.8
Subtotal, NPA and Public 309 29,193 307 28,450 -.7 -2.6
Proprietary 104 9,616 103 9,230 -1.0 -4.0
TOTALS 413 38,809 410 37,680 -.7 -2.9
IV
TABLE 7
Boarding Care Homes and Units: Bed Range, Total Numbers and Percentages of Homes and Beds by Ownership- March 15,2004
Type ofOwnership
BCH'sand Units Range Total Number % of Total Nonprofit Public Proprietary
1-24 19 251 38.8 10.9 10 94 0 0 9 157
25 - 49 13 421 26.5 18.4 5 174 0 0 8 247
50 - 99 II 703 22.4 30.7 7 482 0 0 4 221
100 - 299 6 918 12.2 40.0 I 110 2 361 3 447
300+ 0 0 0 0.0 0 0 0 0 0 0
TOTALS 49 2,293 100.0 100.0 23 860 2 361 24 1,072
TABLES
Boarding Care Home Units: Home and Beds by Ownership and Percentage ofCbange -- March 15,2003 and March 15, 2004
March 15,2003 March 15, 2004 % of Change
BCH Homes and Homes and Homes and Ownership Units Beds Units Beds Units Beds
NPA 26 1,043 23 860 -11.5 -17.6
Public 2 361 2 361 0.0 0.0
Subtotal, NPA and Public 28 1,404 25 1,221 -10.7 -13.3
Proprietary 24 1,118 24 1,072 0.0 -4.1
TOTALS 58 2,652 52 2,522 -11.5 -4.9
v
TABLE 9
Supervised Living Facility and Units: Bed Range, Total Numbers and Percentages of Facility and Beds by Ownership- March IS, 2004
Type of Ownership
1 - 15 266 2,254 76.0 39.4 133 1,063 17 113 116 1,078
16- 49 66 1,649 18.9 28.9 35 904 6 160 25 585
50 - 99 14 844 4.0 14.8 8 474 5 320 1 50
100 - 299 3 546 .9 9.6 1 208 2 338 0 0
300+ 1 422 .3 7.4 0 0 1 422 0 0
TOTALS 350 5,715 100.0 100.0 177 2,649 31 1,353 142 1,713
TABLE 16
Supervised Living Facilities and Units: Facilities and Beds by Ownership and Percentage of Change -- March 15, 2003 and March 15, 2004
March 15, 2003 March 15, 2004 % ofChange
SLF's Homes and Homes and Homes and Ownership Units Beds Units Beds Units Beds
NPA 186 2,761 177 2,649 -4.8 -4.1
Public 32 1,358 31 1,353 -3.1 -0.04
Subtotal, NPA 218 4,059 208 4,002 -4.6 -1.4
Proprietary 143 1,797 142 1,713 -0.7 -4.7 .
TOTALS 361 5,916 350 5,715 -2.5 -3.14
TABLE 11= Number of Licensed Facilities and Beds by County, March 15, 2004 Page VI
County
Other No.
o
o
o
o
o
2
1
1
o
o
1
o
o
o
o
o
o
o
o
o
o
TABLE 11: Number of Licensed Facilities and Beds by County, March IS, 2004 Page VII
County
Other No.
1
426
o
o
o
1
o
o
o
o
o
11
o
.0
o
o
o
o
1
TABLE 11: Number of Licensed Facilities and Beds by County, March 15, 20b4 Page VIII
County
Other No.
o
o
o
o
o
o
o
o
o
o
o
o
o
o
1
o
o
o
o
o
o
TABLE 11: Number of Licensed Facilities and Beds by County, March 15, 2004 Page IX
county
Other No.
o
o
o
o
o
1
o
o
o
o
3
o
o
o
o
o
o
TABLE 11: Number of Licensed Facilities and Beds by County, March 15, 2004 Page x
county
Other No.
o
o
2
o
o
o
4
o
o
o
o
o
o
o
o
3
o
o
o
TABLE 11: Number of 'Licensed Facilities and Beds by County, March 15, 2004 Page XI
HoSp. Psych. Bass. N.H. B.C.B S.L.F-)\ S.L.F-E Other Outpat. No. No. No. No. No. No. No. No. Surg.
County Beds Beds Beds
WRIGHT 2 0 2 7 0 1 2 0 0
104 0 22 520 0 40 18 0
YELLOW MEDICINE 2 0 2 3 0 2 2 0 0
55 0 7 207 0 74 20 0
Minnesota 139 1 122 410 48 184 180 7 32
16454 108 1770 37680 2293 2970 2745 1226
TABLE 12: Number of Facilities and Beds by County, March 15, 2004 Page XII
County
AITKIN
ANOKA
BECKER
BELTRAMI
BENTON
2
33
o
o
10
90
TABLE 12: Number of Facilities and Beds by County. March 15. 2004 Page XIII
County
DODGE
DOUGLAS
FARIBAULT
FILLMORE
FREEBORN
GOODHUE
GRANT
HENNEPIN
HOUSTON
HUBBARD
ISANTI
ITASCA
JACKSON
KANABEC
KANDIYOHI
KITTSON
KOOCHICHING
2
16
1
10
1.
16
1
6
1
5
TABLE 12: Number of Facilities and Beds by County, March 15, 2004 page XIV
County
6
64
2
11
2
22
TABLE 12: Number of Facilities and Beds by County, March 15, 2004 Page XV
County
PINE
PIPESTONE
POLK
POPE
RAMSEY
o o
TABLE 12, Number of Facilities and Beds by County, March 15, 2004 Page XVI
Hosp. CAll Psych. SNF SNF/NF NF 1 NF 2 ICF/MR No. No. No. No. No. No. No. No.
County Beds Beds Beds Beds Beds Beds Beds Beds
TODD 0 1 0 0 2 0 0 0
0 25 0 0 181 0 0 0
TRAVERSE 0 1 0 0 2 0 0 0
0 25 0 0 85 0 0 0
WABASHA 0 1 0 0 2 0 0 0
0 25 0 0 180 0 0 0
WADENA 1 1 0 0 3 0 0 2
49 25 0 0 287 0 0 24
WASECA 0 1 0 0 3 0 0 2
0 25 0 0 180 0 0 19
WASHINGTON 2 0 0 0 5 0 1 2
167 0 0 0 640 0 21 12
WATONWAN 0 2 0 0 2 0 0 1
0 50 0 0 168 0 0 13
WILKIN 1 0 0 0 1 0 0 0
47 0 0 0 120 0 0 0
WINONA 1 0 0 0 5 0 0 0
99 0 0 0 527 0 0 0
WRIGHT 2 0 0 0 7 0 0 2
104 0 0 0 520 0 0 18
YELLOW MEDICINE 0 2 0 0 3· 0 0 2
0 50 0 0 207 0 0 25
Minnesota 89 51 7 12 394 9 31 227
15162 1129 1146 433 35897 567 1418 2253
TABLE 13: Number of Certified Services by County, March 15, 2004 page XVII
Outpt Renal PT/ST/Ol
DAKOTA
DODGE
DOUGLAS
FARIBAULT
FILLMORE
FREEBORN
GOODHUE
GRANT
HENNEPIN
HOUSTON
HUBBARD
ISANTI
o
2
1
1
o
o
1
1
o
1
1
1
o
o
o
o
o
o
1
2
o
1
o
o
1
1
o
13
o
o
o
o
2
1
1
1
o
2
o
o
o
o
o
o
o
o
o
o
o
1
2
o
o
o
1
o
o
o
12
o
1
1
CMHC
o
o
o
o
o
o
o
1
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
XRay
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
1
o
o
o
o
o
2
o
o
o
HHA
o
3
4
2
3
2
6
2
2
1
1
1
3
o
1
o
1
1
5
3
o
2
1
3
2
4
2
29
1
1
o
CORF
o
1
o
o
o
o
o
o
o
o
o
o
o
1
.0
o
o
o
o
2
o
o
o
o
o
o
o
7
o
o
o
Amb
Surg
o
2
1
1
o
o
1
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
11
o
o
o
o
o
o
1
o
o
1
1
o
1
o
o
1
o
o
o
o
o
2
o
o
1
1
o
1
1
o
5
o
1
o
2
o
o
1
o
2
o
o
o
o
2
o
o
3
3
o
o
3
o
o
o
o
o
o
o
o
1
o
o
1
o
TABLE 13: Number of Certified Services by County, March 15, 2004 Page XVIII
County
Amb
ITASCA
JACKSON
KANABEC
KANDIYOHI
KITTSON
KOOCHICHING
PENNINGTON
PINE:
PIPESTONE
POLK
POPE
1
o
1
1
o
o
o
o
o
o
o
1
o
o
1
1
o
2
1
1
o
o
1
o
2
1
o
1
1
o
o
1
1
o
1
o
o
o
o
o
1
o
o
o
o
1
o
o
1
o
o
o
o
o
o
2
1
o
o
o
o
o
1
o
o
1
o
o
o
o
o
o
o
1
o
o
o
o
o
o
1
o
o
o
o
o
o
1
o
o
o
1
o
o
o
o
o
o
o
o
o
o
o
o
o
1
o
o
o
o
o
o
o
o
o
o
o
1
o
o
o
o
o
o
4
1
1
3
1
2
2
.1
1
1
3
3
o
1
2
2
1
1
.2
5
o
1
2
o
7
4
1
o
1
2
3
o
o
o
1
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
1
o
o
o
o
o
o
o
o
o
o
1
o
o
o
o
o
o
o
o
o
o
o
1
o
o
o
o
o
o
1
1
o
o
o
o
1
o
2
1
o
o
1
1
1
o
1
1
1
o
o
o
2
1
o
o
o
2
1
o
2
o
o
2
1
3
o
o
o
2
2
1
2
o
o
1
2
1
o
2
o
o
3
o
2
o
1
o
o
1
TABLE 13, Number of Certified Services by County, March 15, 2004 Page XIX
Outpt Renal PT/ST/01
Page XX
TABLE 14: Number of Licensed Home Care Providers (HCP) by Classification and County, March 15, 2004
HCP Class A ~ Professional Home Care Agenc}
HCP Class B Para-Professional Agency
HCP Class C Individual Para-Professional
HCP Class D 0 Hospice
HCP Class E = Assisted Living Program
ALHCP = Assisted Living Home Care Provider
Home Mgmt = Certificate of Registration
for Home Management
ClaBs A ClaBB B Class C Class 0 Class Ecounty
AITKIN
ANOKA
BECKER
BELTRAMI
BENTON
Page XXI
TABLE 14: Number of Licensed Home Care Providers (HCP) by Classification and County, March 15. 2004
Class A Class B Class'C
101
County
HUBBARD
ISANTI
ITASCA
JACKSON
KANABEC
KANDIYOHI
KITTSON
KOOCHICHING
Page XXII
TABLE 14: Number of Licensed Home Care Providers (HCP) by Classification and County, March 15, 2004
County Class A Class B Class C Class D Class E ALHCP Home Mgmt
RAMSEY 79 1 3 4 1 20 11
REDWOOD 2 0 0 1 0 3 1
RENVILLE 5 0 0 1 0 5 0
RICE 5 0 1 2 0 11 1
ROCK 0 0 0 1 0 1 0
ROSEAU 2 0 1 1 0 1 0
SAINT LOUIS 18 0 0 3 0 26 1
SCOTT 5 0 1 1 0 7 1
SHERBURNE 5 0 0 0 0 3 0
SIBLEY 2 0 3 0 0 4 0
STEARNS 7 0 2 3 1 8 2
STEELE 4 0 2 1 0 5 0
STEVENS 3 0 0 1 0 1 0
SWIFT 3 0 1 0 0 1 0
TODD 1 0 0 0 0 2 0
WABASHA 4 0 0 1 0 1 0
WADENA 4 0 0 2 0 4 0
WASECA 1 0 0 0 0 2 1
WASHINGTON 19 0 4 1 0 7 2
WATONWAN 2 0 0 1 0 0 0
WILKIN 2 0 0 1 0 0 O·
WINONA 5 1 2 1 0 5 0
WRIGHT 5 0 2 0 0 5 0
YELLOW MEDICINE 3 0 0 0 0 2 0
IOWA "STATE" 2 0 0 0 0 0 0
NORTH DAKOTA "STATE' 6 0 0 2 0 0 2
SOUTH DAKOTA "STATE' 5 1 0 2 0 0 0
WISCONSIN "STATE" 3 0 0 2 0 0 0
Minnesota 533 12 58 76 5 394 76
TABLE 15, Number of HWS by County. March 15. 2004 Page XXIII
county
AITKIN
ANOKA
BECKER
BELTRAMI
BENTON
HENNEPIN - Veterans Administration Hospital
PINE - Federal Correctional Institution
STEARNS - Veterans Administration Hospital
RedLake
Sandstone
Exemplar International, Inc. 1600 Genessee, Suite 700 Kansas City, Missouri 64I02 (816)471-3900
MeritCare Health System 3838 12th Avenue North Fargo, North Dakota 58102 (701)234-4700
Mn. Statute 144.077, Subdivision I. Definition "Mobile health evaluation and screening provider" means any provider who is transported in a vehicle mounted unit, either motorized or traiIered, and readily movable without disassembling, and who regularly provides evaluation and screening services in more than one geographic location.
ABBREVIATIONS
Bass. -- Bassinets
ESRD -- End Stage Renal Disease Provider
HCP-A -- Professional Home Care Agency License
HCP-B -- Paraprofessional Agency License
HCP-C -- Individual Paraprofessional License
HCP-D -- Hospice Program License
HCP-M -- Home Management Registration
HWS-O - Housing with Services Establishment - Optional Registration
ICFIMR -- Intermediate Care FacilitylMental Retardation
NF -- Nursing Facility (Medicaid Certified)
NH -- Nursing Home
Outpt. Surg. -- Outpatient Surgical Center
PBFAC .-- Performance Based Facility for the Mentally Retarded
Port. X-Ray -- Portable X-Ray Supplier
Psy. Hosp. -- Psychiatric Hospital
SLF -- Supervised Living Facility
SNFINF -- MedicarelMedicaid Facility
Directory of Facilities and Services
Page 1
---------------------------********** AITKIN ******** --------------------------
SNF-NF-106
204 FIRST STREET NORTHWEST
AITKIN, MN 56431 (02985)
25 FOURTH STREET SOUTHWEST AITKIN, MN 56431 (03734)
PHONE: 2181927w2157 FAX: 1- MR. MICHAEL HAGEN
RIVERWOOD HEALTHCARE CENTER NProf BASS-3 HOSP-24 CAH-24
200 BUNKER HILL ORNE
AITKIN, MN 56431 (21927)
200 BUNKER HILL DRIVE
AITKIN, MN 56431 (00002)
CHAPPYS GOLDEN SHORES
604 SUMMIT AVENUE
HWS
Page 2
---------------------------********** ANOKA (Cont.)* --------------------------
445 137TH LANE NORTHWEST
ANDOVER, MN 55304 (21614)
THE FARMSTEAD COMMONS NProf HWS
13733 QUAY STREET
ANOKA CARE CENTER NProf NH-96 SNF-NF-96
1040 MADISON STREET
ANOKA METRO REG TREATMENT CTR State OTHER-200 SLFS-77 PSY-200
3301 SEVENTH AVENUE NORTH
ANOKA. MN 55303 (00004)
511 MADISON STREET APT 1
ANOKA. MN 55303 (22167)
PARK TERRACE RESIDENCE L1m-Llsb HWS
910 WESTERN STREET
SILVER SPLENDOR Ind HCP-C
THE ELMS Corp HWS
2171 7TH AVENUE NORTH
ANOKA, MN 55303 (20535)
THE OAKS Corp HWS
ANOKA, MN 55303 (20534)
THE PINES Corp HWS
ANOKA, MN 55303 (20536)
Minnesota Department of Health Facility and Provider Compliance Division
Page 3
---------------------------********** ANOKA (Cont.» --------------------------
305 FREMONT STREET
ANOKA. MN 55303 (20533)
ALTERRA STERliNG HOUSE BLAINE Corp ALHCP
1005 PAUL PARKWAY
ANTHONY LOUIS CENTER Corp SLFA-22
1000 PAUL PARKWAY
CARE CONTEXT HEALTH SERVICES Ind HCP-A
9019 XYLITE STREET NORTHEAST
BLAINE, MN 55449 (21661)
HIGH LAND CARE INC NProf HCP-A
10307 UNIVERSITY AVE NE
BLAINE, MN 55434 (03139)
8400 CORAL SEA ST SUITE 100
BLAINE, MN 55449 (02651)
MSOCS BLAINE HOME State SLFB-6 ICFMR-6
12949 KENYON STREET NORTHEAST
BLAINE, MN 55449 (O1644)
NORTH GABLES NProf
HWS
HWS
Page 4
---------------------------********** ANOKA (Cont.» --------------------------
COLUMBIA VILLAGE
4444 RESERVOIR BOULEVARD NE
PHONE: 7631788-2020 FAX: 7631789-2313 MS. SHARON PANASUK
CREST VIEW HOME HEALTH CARE NProf HCP-A HHA
4444 RESERVOIR BOULEVARD NE
PHONE: 763/782-1611 FAX: 7631788-0012 MS. TAMMY EIDEM
CREST VIEW LUTHERAN HOME
4444 RESERVOIR BLVD NE
COLUMBIA HEIGHTS, MN 55421
SNF-NF-l22
12149 TULIP STREET NORTHWEST COON RAPIDS, MN 55433 . (22101)
PHONE: 7631503-4791 FAX: 7631427-5706
PHONE: 763/782-1644 FAX: 763/782-1649
CREST VIEW ON 42ND
900 42ND AVENUE NORTHEAST
COLUMBIA HEIGHTS. MN 55421
Page 5
---------------------------********** ANOKA (Cont.) * --------------------------
12221 JAY CIRCLE
PHONE: 6121679·9511 FAX; 651/636-0090 OR. CHIKE ONYEKABA
ARABELLA HEALTH INC Corp HCP-A
560 98TH LANE NORTHWEST
PHONE: 763/205-5656 FAX; 763/205-5656 MR. AOEKUNLE AOEMUYIWA
CAMillA ROSE CARE CENTER LLC lim-Uab NH·Q4 SNF·NF·Q4
11800 XEON BOULEVARD
PHONE: 763/755-8400 FAX; 763/755-8578 MR ROBERT RAU
CAMIllA ROSE GROUP HOME Um-Uab SLFB-29 JCFMR-29
11820 XEON BOULEVARD
PHONE: 763/755-8489 FAX; 763/755-3130 MS. MARY TJOSVOLD
CARE PARTNERS SERVICES INC Corp HCp·B
2119'10TH LANE NORTHWEST
PHONE: 6121267·7774 FAX; 763/862-2726 MR. PATRICK UGIAGBE
COMMUNITY LIVING INC COTTAGE 5 Corp SLFA-12 ICFMR-12
2483 109TH AVENUE NORTHWEST
PHONE: 9521443-2048 FAX: 952/443-2371 MR. WILLIAM MARTANCIK
COMMUNITY LIVING INC COTTAGE 6 Corp SLFA-12 ICFMR·12
2493 109TH AVE NW
PHONE: 952/443-2048 FAX: 763/443-2371 MR. WILLIAM MARTANCIK
CONTINUAL FEAST COMPANION CARE Um-Uab HCP-B
1425 COON RAPIDS BLVD #202
COON RAPIDS. MN 55433 (21626)
PHONE: 7631755-4801 FAX: 763/755-4805 MR. THOMAS ST.INSON
COVENANT HOME HEALTH CARE LLC Lim-Uab HCP·A HHA
11375 ROBINSON DRIVE NW #104
COON RAPIDS, MN 55433 (02135)
PHONE: 763/755-9009 FAX: 763/862-8030 MS. GLORIA KLINEFELTER
COVENANT HOME SERVICES LLC Um-Uab HCP-A
11375 ROBINSON DRIVE NORTHWEST
PHONE: 7631755-9009 FAX: 7631862-8030 MS. GLORIA KLINEFELTER
Page 6
---------------------------********** ANOKA (Cont.)* --------------------------
HWS
12009 EAGLE STREET
PHONE: 7631662-1627 FAX: 7631662·1900 MS. MARY TJOSVOLD
EPIPHANY ASSISTeD LIVING LLC Um-liab HWS
10955 HANSON BOULEVARD
PHONE: 7631755-0320 FAX: t- MS. LAURIE ANDERSON
FMC DIALYSIS SERVCES NO SUBURB Corp ESRD
9144 SPRINGBROOK DRIVE
PHONE: 7631783-0103 FAX: t- MR RICHARD PHIDD
HOME INSTEAD SENIOR CARE Corp HomeMgmt
8990 SPRINGBROOK DR NW ST 255
COON RAPIDS. MN 55443 (21498)
PHONE 7631792..()()41 FAA: 7631792-0041 MR. DAN ARNOLD
HOMESTEAD COON RAPIDS MEMORY C NProf ALHCP
1770 113THlANE
PHONE: 7631754-2800 FAX: 76317544800 MR. TROY BARRICK
LAKElAND HEALTH SERVS INC II Corp CORF
2996 ll1TH AVENUE NORTHWEST
PHONE: 763/576-9068 FAX: 7631576-1660 MR TED WAWRZYNIAK
MARGARET PLACE LTO PARTNERSHIP Part ALHCP
1555118TH LANE NORTHWEST
PHONE: 7631754-2505 FAX: 7631754-0332 MS. MARY TJOSVOLD
MARY T HOMESERVICES Corp HCP-A HHA
11801 XEON BOULEVARD NORTHWEST
PHONE: 7631862-5479 FAX: 763/755-3631 MS. MARY TJOSVOLD
MERCY HOSPITAL NProf BASS-38 HOSP-271 HOSP·271
4050 COON RAPIDS BLVD
PHONE: 7631236-6000 FAA: 7631236-8124 MS. VENETIA KUDRLE
HWS
HWS
Page 7
---------------------------********** ANOKA (Cont.)* --------------------------
NORTH METRO ENDOSCOPY CENTER Lim-Liab Oulpt Surg Amb Surg
9145 SPRINGBROOK DRIVE
PHONE: 612/547-5600 FAX.: 612/547-5658 MS. MARYIGO
PARK RIVER ESTATES CARE CENTER Coop NH.gg SNF-NF-99
9899 AVOCET STREET NORTHWEST
PHONE: 7631757·2320 FAX 7631757-8946 MR. THOMAS POLLOCK
RELIEVE CARE SERVICES LLC Lim-Liab HCp·A
12799 BLUEBIRD STREET NW COON RAPIDS. MN 55448 (21806)
PHONE: 763/458-8041 FAX 763f757-3207 MS. LARA FATUNBI
REM MN COMM SRVS INC ANOKA Coop SLFB-8 ICFMR-8
12011 KUMQUAT STREET NORTHWEST
PHONE: 6511644-7680 FAX 507/643-6777 MS. CONNIE MENNE
THE HOMESTEAD AT COON RAPIDS NProf ALHCP
11372 ROBINSON DRIVE NORTHWEST
PHONE: 7831754-3500 FAX 7631754-3700 MR. TROY BARRICK
THOMAS VICTOR ROBERTS Ind
12027 WINTERGREEN ST NW
PHONE: 763/221-8288 FAX 763/757-1471 MR. THOMAS ViCTOR ROBERTS
TRC COON RAPIDS Coop ESRD
3960 COON RAPIDS BOULEVARD
PHONE: 7631421-8717 FAX 1- MS. JENNIFER ELLEFSON
ALLIED NURSING SERVICES INC Coop HCP-B
7362 UNIVERSITY AVENUE #210
FRIDLEY, MN 55432 (21992)
COMFORT KEEPERS Lim-Liab 7940 RANCHERS ROAD
FRIDLEY, MN 55432 (22447)
HWS
HWS
HomeMgmt
Page 8
---------------------------********** ANOKA (Cont.)* --------------------------
5384 NORTHEAST FIFTH STREET
FRIDLEY, MN 55421 (01533)
LYNWOOD HEALTHCARE CENTER Lim-liab NH-54 SNF-NF-54
5700 EAST RIVER ROAD
FRIDLEY, MN 55432 (00935)
METRO THERAPY SPECIAL CHILDREN Corp
5239 CENTRAL AVENUE NORTHEAST
FRIDLEY, MN 55421 (02799)
MN ORTHOPAEDIC SURG CTR LLC Lim-Uab Outpt Surg
8290 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432 (04305)
PHONE: 7631786-0461 FAX: 763/786-0471
8290 UNIVERSITY AVE NE #300
FRIDLEY. MN 55432 (03769)
MS. MARY SMITH
TRANSFORMATION HOUSE INC
NProI BASS-36 HOSP-275 HOSP-275
ACTION HOME HEALTH CARE
17745 JEFFERSON STREET NE
HAM LAKE. MN 55304
Page 9
---------------------------********** ANOKA (Cont. ) * - - - - - - - - - - - - - - - - - - - - - - - - --
PHONE: 7631780-9933
PHONE 763/760-2169
125 EAST FRAZEE STREET
PHONE: 218/844-2300 FAA 218/844-2445 MR. LARRY SOLBERG
EMMANUEL COMMUNITY NProf ALHCP
PHONE: 218/847-4486 FAA 218/847-4488 MR. STEVE PRZYBILLA
EMMANUEL COMMUNITY NProf HCP-A
PHONE 218/847-4486 FAX: 218/847-4488 MR. STEVE PRZYBILLA
EMMANUEL NURSING HOME Church NH-140 SNF-NF-140
1415 MADISON AVENUE
PHONE: 218/847-4486 FAX', 218/847-4488 MS. JANET GREEN
GOLDEN MANOR CORPORATION Co", ALHCP
21751 NW PICKEREL LAKE ROAD
DETROIT LAKES, MN 56501 (21056)
PHONE: 218/847-3195 FAX: 218/847-2770 MR. BARRY FEWSON
Page 10
---------------------------**********
1165 GARNET BOULEVARD DETROIT LAKES. MN 56501 . (23040)
PHONE: 216/647-3195 FAA 216/647-2770
208 OAK STREET
PHONE: 218/647-0858 FAX: 2181847-0872
207 PARK STREET
DETROIT LAKES. MN 56502 (02018)
PHONE: 216/847·9224 FAA 218/847·2866 MS. NANCY BAUER
ST MARYS CONTINUED CARE Church HCP·A
1027 WASHINGTON AVENUE
PHONE: 218/847-0808 FAA 2181847-0850 MR THOMAS THOMPSON
ST MARYS HOME HEALTH Church HCP-A HHA
PHONE: 218/847-0808 FAA 218/847-0850 MS. LINDA HESPE
ST MARYS REG HEALTH CTR Church NH-100 SNF-NF-100
1040 LINCOLN AVENUE
PHONE: 2181847-5611 FAX: 218/847-6978 MR LARRY FEICKERT
Page 11
---------------------------********** BECKER (Cont.)· --------------------------
HOSP-87
1118 WEST AVE PO BOX 1355
DETROIT LAKES. MN 56502 (01311)
PHONE: 2161847-5842 FAX: 218/847-7176 MR. THOMAS REIFFENBERGER
WINCHESTER ON WASHINGTON NProf HWS
PHONE: 2181847-()812 FAX: 2181847-0872 MS. CHRISTY BENDIX
FRAZEE ASSISTED LIVING Corp ALHCP HWS
311 WEST MAPLE AVENUE
FRAZEE. MN 56544 (20154)
FRAZEE CARE CENTER Corp NH-98 SNF-NF-98
311 WEST MAPLE AVE POBOX88
FRAZEE. MN 56544 (00730)
311 WEST MAPLE AVENUE
FRAZEE. MN 56544 (03316)
LAKES HOME HEALTH CARE SERViCE Ind HCP-A
11211 CHILTON ROAD FRAZEE. MN 56544 (22539)
PHONE: 2161234-9233 FAX: 2181334-4452 MS ANGELA KREAR
SMITH GROUP HOME INC Corp SLFA-7 ICFMR·7
14901 HWY 29
16561 US HWY 10
PHONE: 2181238-5944 FAX: 2181238-6854 MR. TIM MIDDENDORF
NORTH STAR NRSG TEMP ASSOC INC Corp HCP-A
22119 480TH AVENUE PO BOX 306
OSAGE. MN 56570 (21664)
Page 12
---------------------------********** BECKER (Cont.)" --------------------------
WHITE EARTH, MN 56591
HHA
---------------------------********** BELTRAMI ******** --------------------------
BAKER PARK INC NProf
BELTRAMI COUNTY PHNS Cnty HCP-A HHA
616 AMERICA AVE NW SUITE 340
BEMIDJI, MN 56601 (02007)
1233 34TH STREET NW
BEMIDJI, MN 56601 (20967)
GPH BEMIDJI INC Corp ALHCP
1700 30TH STREET NORTHWEST
BEMIDJI, MN 56601 (20075)
HAVENWOOD CARE CENTER Corp NH-l00 SNF-NF-l00
1633 DELTON AVE
HERITAGE HOME Corp ALHCP
1711 DELTON AVENUE NORTHWEST
BEMIDJI, MN 58801 (20923)
HOMEFRONT CARE INC Corp
1613 PARK AVENUE NORTHWEST
BEMIDJI. MN 58601 (20452)
HWS
HWS
HWS
HWS
page 13
---------------------------********** BELTRAMI (Cont.)< --------------------------
HWS
7747 LOON LODGE LANE NORTHEAST BEMIDJI, MN 56601 (22011)
PHONE:. 2181586-2945 FAX: 1- MS. NANCY RESTEMAYER
LONG LAKE LOON LODGE Ind HWS
7747 LOON LODGE LANE NE
BEMIDJI, MN 58601 (20285)
MERITCARE HOSP DIALYSIS SATELL NProf ESRD
1100 NORTHWEST 38TH STREET
BEMIDJI, MN 58801 (03376)
MERITCARE P T BEMIDJI NProf OutPt
3604 BEMIDJI AVENUE NORTH
BEMIDJI, MN 56801 (20795)
3525 PINE RIDGE AVENUE NW
BEMIDJI, MN 58601 (02372)
NORTH COUNTRY HOSPICE NProf HCP-D HSPICE
3525 PINE RIDGE AVENUE NW
BEMIDJI, MN 58601 (02417)
800 BEMIDJI AVENUE
1300 ANNE STREET NW BEMIDJI. MN 56601 (00821)
PHONE: 2181751-5430 FAX: 218/333-5880 MR. JAMES HANKO
HOSP-96
PHONE: 2181755-1986 FAX: 1- MS. SANDRA OTTERKILL
HWS-o
Page 14
---------------------------********** BELTRAMI (Cont.)· --------------------------
401 BELTRAMI AVENUE SUITE A
BEMIDJI. MN 56601
RED PINE ESTATES Coljl
REM NORTHSTAR (BELTRAMI) Coljl SLFA·13 ICFMR-13
1214 1ST STREET EAST
BEMIDJI. MN 56601 (01356)
REM NORTHSTAR (BEMIDJI) Corp SLFA-9 ICFMR-9
13518 BIRCHVIEW DRIVE NE
BEMIDJI. MN 56601 (01346)
REM NORTHSTAR (NORTHSTAR) Corp SLFB-14 ICFMR-14
2526 PARK AVENUE NORTHWEST
BEMIDJI. MN 56601 (01337)
SPRUCE WOODS APARTMENTS Part SLFA-a
718 15TH STREET NORTHWEST
BEMIDJI. MN 56619 (01551)
TOUCH OF HOME Ind ALHCP
71117TH STREET
BLACKDUCK APARTMENTS Part
#308 BLACKDUCK APARTMENTS
HERITAGE HOUSE OF BLACKDUCK COIjl
441 4TH STREET NE
BLACKDUCK, MN 56630 (21164)
MERITCARE CLINIC BLACKDUCK NProf RHC
MARGARET & FIRST AVENUE SOUTH
BLACKDUCK, MN 56630 (20671)
HWS
HWS
HWS-O
HWS
Page 15
---------------------------********** BELTRAMI (Cont.» c _
172 SUMMIT AVENUE WEST
BOX 169
PHONE: 2181647-8258 FAX: 2181647..a483 MS. KARl SWANSON
JOURDAIN PERPICH EXT CARE FAC Tribal SNF-NF47
PO BOX399
PHONE: 218/679-3400 FAX: /- MR. JAMES WILLIAMSON
MEADOWLAND ELDER CARE HOMES Corp ALHCP HWS
21366 GULL LAKE LOOP ROAD NE
TENSTRIKE. MN 56683 (21190)
MEADOWLAND ELDER CARE HOMES II
RT 1 BQX44A
TENSTRIKE. MN 56683
253 PINE STREET
HERITAGE PLACE Lim-liab HWS
120 NORMAN AVENUE SOUTH
FOLEY. MN 56329 (20153)
FOLEY, MN 56329 (03927)
HORIZON HOME HEALTH AND HOSPIC Corp HCP-A HHA
FOLEY, MN 56329 (02339)
Minnesota Department of Health Facility and provider Compliance Division
Page 16
---------------------------********** BENTON (Cont.)* --------------------------
520 FIRST STREET NE
SARTELL. MN 56377 (20206)
COUNTRY MANOR EXTENDED SERV NProl HCP-A HHA
520 FIRST STREET NE
SARTELL. MN 563n (02226)
COUNTRY MANOR He & REHAB CTR NProl NH-165 SNF-NF-165
520 FIRST ST NE
SARTELL. MN 56377 (00627)
THE COUNTRY VILLA NProl
520 FIRST ST NE
SARTEll, MN 563n (20559)
1325 SUMMIT AVENUE NORTH SAUK RAPIDS. MN 56379 (20352)
PHONE: 3201203-8142 FAA 32012O~2O7 MS. MARY PArrlE
GOOD SHEPHERD HOME HEALTtl CARE NProl HCP-A HHA
1115 FOURTH AVENUE NORTH
PHONE: 3201259-3470 FAA 3201259-3473 MR. BRUCE GLANZER
GOOD SHEPHERD LUTHERAN HOME Church NH-162 SNF-NF-162
1115 4TH AVE NORTH
PHONE: 32OI252-ll525 FAA 3201259-3463 MR. BRUCE GLANZER
GRANITE CARE HOME Corp SLFA-23 ICFMR-23
202 SECOND AVE SO
PHONE: 320/251-4736 FAA 320/654-a564 MS. MARION HOMMERDING
SHEPHERD COURT APARTMENTS NProf 330 13TH STREET NORTH
SAUK RAPIDS, MN 56379 (20282)
PHONE: 3201252-6459 FAA 320/259-3479 MR. BRUCE GLANZER
SPINAL REHAB CLINIC Corp QutPt
225 NORTH BENTON DRIVE
PHONE: 3201252-1684 FAX: 1- MS. LYNETTE MCGRATH
HWS
HWS
HWS
HWS
Page 17
---------------------------********** BENTON. (Cont.)· --------------------------
1225 DIVISiON STREET EAST
ST CLOUD. MN 58304
HWS
---------------------------********** B/GSTONE ********
CLINTON, MN 56225
Page 18
---------------------------********** BIG STONE (Cont.)* --------------------------
·,15 WEST SECOND STREET
HHA
115 WEST SECOND ST BOX 157
GRACEVILLE. MN 56240 (00027)
BIG STONE CO FAMILY SERV CTR Cnty HomeMgmt
340 NW SECOND ST PO BOX 338
ORTONVILLE, MN 56278 (03497)
MONARCH HEIGHTS NProf SLFB-12 ICFMR-12
501 BURDICK AVE ORTONVILLE. MN 56278 (01440)
PHONE: 320f839-.6139 FAX: 320/839-2060 MS. KRISTEN UNRUH
NORTHRIDGE RESIDENCE City NH-74 SNF-NF-74
1075 ROY STREET
ORTONVILLE AREA HEALTH SER HHA City HCP-A HHA
750 EASTVOLD AVENUE
ORTONVILLE MUN HOSP
750 EASTVOLD AVE
CAH-25
PHONE: 5071128-6537 FAX: 507/726-2402 MS. DEBBIE MANTHEY
LAKE CRYSTAL HEALTHCARE CTR Corp NH-36
202 LACLAIRE STREET
PHONE: 507/726-2669 FAX: 507/726-2165 MS. CHERYL ROTH
HWS
Page 19
---------------------------********** BLUE EARTH (Cont.)- --------------------------
LAKE CRYSTAL TOWERS
100 TETON lANE
109 HOMESTEAD DRIVE
HILLCREST HEALTH CARE CENTER Corp NH·l00 SNF-NF~100
714 SOUTHBEND AVENUE
HOME NURSING SERVICES Corp HCP-A HHA
111 WALNUT TOWERS
HORIZON HOME II NProf SLFA-14
317--319 HICKORY
IMMANUEL ST JOSEPHS ESRD NProf ESRD
1025 MARSH STREET pO BOX 8673
MANKATO. MN 58002 (021S8)
IMMANUEL ST JOSEPHS HOME HS NProf HCP·A HHA
PO BOX 6673
Minnesota Department of Health Facility and Provider compliance Division
Page 20
HSPICE
IMMANUEL ST JOSEPHS MAYO H SYS NProf BASS-26 HOSP-272 HOSP-272
1025 MARSH STREET BOX 8673
MANKATO. MN 56002 (00033)
12 CIVIC CTR PlAZA SUITE 2085
MANKATO. MN 56001 (21440)
LAURELS EDGE Corp ALHCP
MANKATO HOUSE HEALTH CARE CTR eorp N~5 SNF-NF-65
700 JAMES AVENUE
MANKATO LUTHERAN HOME NProf NH-a9 SNF-NF-69
718 MOUND AVE
718 MOUND AVENUE
MANKATO SURGERY CENTER Um-Liab CMptSurg AmbSurg
1411 PREMIER DRIVE
MEADOW BROOK BOARD & HOME CARE Ind
57065 238 STREET
MEKAS ADULT KARE eorp HCP-A
429 OWEN STREET
HWS
HWS
Directory of Facilities and services
Page 21
---------------------------********** BLUE EARTH (Cant.)· --------------------------
MS. NANCY DOBSON
309 HOLLY lANE
309 HOLLY lANE PO BOX 3487
MANKATO. MN 56001 (03813)
PRAIRIE RIVER HOME CARE INC Corp HCP-A HHA
227 EAST MAIN STREET #120
MANKATO. MN 56002 (03190)
PRIMROSE Lim·Uab ALHCP HWS
1360 ADAMS STREET
REM MANKATO INC A Corp SLFA·15 rCFMR-15
210 THOMAS DRIVE
Page 22
---------------------------********** BLUE EARTH <Cont.)< --------------------------
REM MANKATO INC C Corp SLFA-15 ICFMR·15
204 THOMAS DRIVE
SIBLEY MANOR ASSISTED LIVING NProI ALHCP
718 MOUND AVENUE
SUNRlSE COTTAGE OF MANKATO Lim-Uab
300 BUNTING LANE MANKATO, MN 56001 (20394)
PHONE: 507/345-8787 FAX: 5071345-8870 MS, KIM AlINDER
SUNRISE COTIAGE OF MANKATO Corp ALHCP
300 BUNTING LANE
THE LUTHERAN HOME CEDAR HAVEN NProf
640 REED STREET
630 REED STREET
COUNTRY NEIGHBORS NProf ALHCP
MAPLETON. MN 56065 (20377)
MAPLETON COMMUNITY HOME NProf NH-70 SNF-NF-70
301 TROENDLE ST
HWS
HWS
HWS
HWS
HWS
---------------------------********** BROWN ******** --------------------------
Page 23
---------------------------********** SROWN (Cont.» --------------------------
PHONE: 507/359-8606 FAX: 1- MS, BARBARA FORST
BROWN COUNTY EVAL CENTER INC NProf SLFB.12
510 NORTH FRONT PO BOX 642
NEW ULM. MN 580730642 (01541)
PHONE: 507/359·2749 FAX: 5071354-nOO MS, SHARON RHOADES
BROWN COUNTY PUBLIC HEALTH Cnty HCP-A HHA
1117 CENTER STREET PO BOX 543
NEW ULM, MN 56073 (O2041)
PHONE: 5071233-6820 FAX: 507/233-6819 MS. ANITA HOFFMAN
GOLDEN HOMECARE PLUS INC Corp HCP-A
6112 N MINNESOTA ST BOX 924
NEW ULM. MN 56073 (03015)
PHONE: 507/359·2758 FAX: 507/354-1260 MS. MARCY GULDEN
MBW COMPANY INC Corp HCP-A
1200 SOUTH BROADWAY
PHONE: 507/354-3808 FAX: 5071354-2168 MR. TOM SANDBERG
MBW MONUMENT STREET Corp SLFB-4 ICFMR-4
312 MONUMENT STREET
PHONE: 507/354-3808 FAX: 5071354-2168 MR. TOM SANDBERG
Mew ON CENTER Corp SLFA-4 ICFMR-4
801 CENTER STREET
PHONE: 507(354-3808 FAX: 5071354-2168 MR. TOM SANDBERG
NEW ULM MEDICAL CENTER NProf BASS-'4 HOSP-62 HOSP-62
1324 FIFTH STREET NO
PHONE:. 507/233-1000 FAX: 507/233-1575 MS. LORI WIGHTMAN
NEW ULM MEDICAL CENTER HHA NProf HCP-A HHA
1324 FIFTH ST NORTH PO BOX 577
NEW ULM, MN 56073 (02305)
PHONE: 507/233--1555 FAX: 507/233-1198 MS. KATHY THOMPSON
NEW UlM MEDICAL CENTER HOSPICE NProf HCP-D HSPICE
1324 FIFTH STREET NORTH
PHONE: 507/233-1555 FAX 507/233-1198 MS. KATHY THOMPSON
Page 24
1708 NORTH GARDEN NEW ULM, MN 56073 (01413)
PHONE: 507/233-4400 FAA 5071354-7274 MR. D. BILL OLSON
NDVAHCUSE Part SLFA-14
PHONE: 5071354-2174 FAA 5071354-2174 MR DEL SAND
OAK HILLS LIVING CENTER NPro! NH-94 SNF-NF-94
1314 EIGHTH STREET NORTH NEW ULM, MN 56073 (00434)
PHONE: 5071359·2026 FAA 5071354-2751 MS.CARLIUNDEMANN
OAK HILLS LVNG CENTER ABST LIV NPro! HCF-E
1314 8TH NORTH STREET
PHONE: 507/359-3100 FAA 5071354-2751 MS. CARLI t1NDEMANN
PRAIRIE SR COTAGES NEW ULM LCC Um-Liab
1308 BIRCHWOOD DRIVE
PHONE: 5071359-3420 FAA 5071359-3421 MS. JENNIFER ANDERSON
PRAIRIE SR conAGES NEW ULM Lim...J...iab ALHCP
1304 BIRCHWOOD DRIVE NEW ULM, MN 56073 (21584)
PHONE: 507/359-3420 FAA 507/359-3421 MR. MiCHAEL DEMMER
RENAl DIALYSIS FAC NEW ULM NProf ESRD
1324 FIFTH STREET NORTH
PHONE: 5071359-5255 FAA /- MR. JEROME CREST
RIDGEWAY ON GERMAN Corp ALHCP
715 SOUTH GERMAN STREET #100
NEW ULM. MN 56073 (21355)
PHONE: 507/354·7400 FAA 507/359-5711 MR. PAUL ABZUG
RIDGEWAY ON GERMAN NProf
715 SOUTH GERMAN STREET
PHONE: 507/354-7400 FAA 5071359-5711 MR PAUL ABZUG
RlVERBLUFF HEALTH CARE INC Corp HCP-A
48329 239TH STREET
PHONE: 5071947-3825 FAJC 5071947.s461 MR. DAVID STRENGE
HWS
HWS
HWS
HWS
Minnesota Department of Health Facility and Provider Compliance Division Page 25
Fadity/Service Owner Licensure Certification Registration
---------------------------********** BROWN (Cant.» --------------------------
1407 SOUTH STATE
CMHC
HWS
700 THIRD AVE NW
PHONE: 5071794-3011 FAX: 5071794-3020 SR. LINDA WillETTE
ROSS PARK APARTMENTS HRA HWS
313 4TH AVENUE SOUTHEAST
PHONE: 507/794-5101 FAX: 507/794-5108 MS. LISA PIETIG
SLEEPY EYE AREA HOME HEAlTH N?rof HCP-A
1100 FIRST AVENUE SOUTH
PHONE: 5071794-3594 FAX: 5071794-5914 MR. GARY HJElMSTAD
SLEEPY EYE AREA HOME HEAlTH NProt AlHCP
1100 1ST AVENUE SOUTH
PHONE: 5071794-3594 FAX: 5071794-5914 MR GARY HJElMSTAD
SLEEPY EYE CARE CENTER Church NH·82 SNF-NF-82
1105 3RO AVE SW
PHONE; 5071794-7995 FAX: 5071794-3577 MR. GARY HJElMSTAD
SLEEPY EYE MEDICAL CENTER City BA$S-4 HOSP-25 CAH-25
400 FOURTH AVE NW
PHONE: 5071794-3571 FAX: 5q7f794-3571 MR. DAVID HARTBERG
SPRINGFIELD MED eTR MAYO H SVS NProf BASS-6 HO$P-24 HOSP-24
625 N JACKSON STREET
SPRINGFIELD, MN 56067 (00044)
$T JOHN LUTHERAN HOME NProf NH-130 SNF-NF·I30
201 SOUTH COUNTY ROAD 5
SPRINGFIELD. MN 56067 (00045)
Page 26
--~------------------------********** BROWN <Cont.» --------------------------
SPRINGFIELD, MN 56087
---------------------------********** CARLTON ********
CARLTON, MN 55718
CLOQUET, MN 55720
Church NH-96 SNF-NF-96
Ind HCP-A
State SLFA-40
NProf HWS
HRA HWS
Page 27
---------------------------********** CARLTON (Cont.)* --------------------------
(00048)
1489 CARL STREET
EVERGREEN KNOLL COf1l ALHCP
HORIZONS ASSISTED LIVING INC COf1l ALHCP
1909 TALL PINE LANE
CLOQUET. MN 55n9 (21672)
LARSON COMMONS Part
810 CLOQUET AVENUE
WOODLAND PINES HRA OF CARLTON HRA
950 - 14TH STREET
VILLA VISTA INC Corp BCH-51 NF2-51
1197 VILLA VISTA CIRCLE BOX 98
CROMWELL. MN 55728 (00832)
PLAINVIEW ESTATES INC COf1l ALHCP
46 THOMSON ROAD
ALTERNATIVE SOLUTIONS INC Corp ALHCP
914 WOODLAND DRIVE
PHONE: 2181485-4550 FAX: 218/485-4550 MS. BRENDA KELLEY
HWS
HWS
HWS
HWS
HWS
HWS
HWS
Page 28
---------------------------********•• CARLTON (Cont.)· --------------------------
KENWOOD PLACE
710 SOUTH KENWOOD AVE
MOOSE LAKE, MN 55767
MN SEX OFFENDER PROGRAM State SLFB-150
1111 HIGHWAY 73
PHONE: 218/465-5300 FAX: 218/485-5316 MR. LARRY TEBRAKE
MSOCS MOOSE LAKE ICFMR GR HM State SLFB~ ICFMR~
305 FOURTH STREET PO BOX 495
MOOSE lAKE, MN 55767 (01622)
PHONE: 218/465-4634 FAX: 218/465-4365 MR. ROGER DENEEN
HUGHES HOMES INC Ind ALHCP
304 GOOD DRIVE PO BOX 214 WRENSHALL, MN 55797 (21624)
PHONE: 2181384-9991 FAX: 1- MS. LINDA COOK
HWS
---------------------------*••• ** ••• * CARVER *.*.****
HWS
FacilitylService Owner Licensure Certification Registration
HWS
HWS
1118 CRYSTAL PLACE WEST CHASKA. MN 55318 (21554)
PHONE: 9521361-ooao FAX: 952/448-1996 MS. KIMLOAN NGUYEN
WAYBURY AT CHASKA Part HWS
110340 GESKE ROAD
129 MACKENTHUN LANE
PHONE: 952/467-6484 FAX: 952/467-6486 MR. WAYNE LARSON
1501 82NO STREET POBOX 130
VICTORIA. MN 55386 (01254)
1531 82ND STREET POBOX 130
VICTORIA, MN 55386 (01539)
COMMUNITY LIVING INC COTIAGE 3 Corp SLFA-11 ICFMR·11
VICTORIA. MN 55386 (01540)
Page 30
---------------------------********** CARVER (Cant.)· --------------------------
VICTORIA, MN 55386 (01541)
7200 ROLLING ACRES RD BOX 220
VICTORIA, MN 55386 (01022)
MT OLIVET ROLLING ACRES HILL N?rof SLFB·10 ICFMR-10
7200 ROLLING ACRES RD BOX 220
VICTORIA, MN 55386 (01463)
AUSURNWEST NProf SCH-4 NH-33 NF2-4 SNF-NF-33
232 SOUTH ELM ST
WACONIA, MN 55387 (00053)
JAN LEE JAMES Ind HCP.c
800 MEADOW LAKE PLACE #207
WACONIA, MN 55387 (22053)
RIDGEVIEW HOME CARE SERVICES NPrnI HCP-A HHA
500 SOUTH MAPLE STREET
WACONIA, MN 55387 '(02252)
RIDGEVIEW HOME SUPPORT SERVICE NPrnI HCP-A
117 WEST MAIN STREET
WACONIA, MN 55387 (21112)
RIDGEVIEW HOSPICE NPrnI HCP-D HSPICE
500 SOUTH MAPLE STREET
WACONIA. MN 55387 (03780)
RIDGEVIEW MEDICAL CENTER NProf SASS-20 HQSP-109 HOSP-l09
SOD SOUTH MAPLE ST
WACONIA, MN 55387 (00055)
TRCWACONIA Corp ESRD
490 MAPLE STREET
Page 31
-------------------------~-********** CARVER (Cont.)- --------------------------
333 FIFTH STREET WEST
WACONIA, MN 55387 (00924)
433 FIFTH STREET WEST
WACONIA. MN 55387 (20109)
ELIM HOME Church NH-55 SNF-NF-55
409 JEFFERSON AVE S W BOX 638
WATERTOWN, MN 55388 (00051)
H & M PROPS HILLTOP APTS I Part HWS-o
601 LEWIS AVE NO PO BOX 696
H & M PROPS HILLTOP APTS /I Part HWS-o
601 LEWIS AVE NO PO BOX 698
HALTER HYlAND APARTMENTS Part HWS-o
101 ANGEL STREET SOUTHWEST
HALTER VALLEY APARTMENTS Part HWS-Q
210 TERRITORIAL EAST WATERTOWN, MN 55388 (217891
PHONE: 5071345-1290 FAX 1- MR. DEAN OQYSCHER
WESTWOOD PLACE INC
HWS
YOUNG AMERICA. MN 55397
---------------------------********** CASS ******** --------------------------
Page 32
---------------------------********** CASS (Cant.)· --------------------------
PHONE: 2181547-8300
317 7TH STREET NW
PHONE: 2181335-3200 FAX: 2161335-3300 MS. JENNY JENKINS
MERITCARE CLINIC CASS LAKE NProf RHC
219 GRANT UTLEY AVE NORTHWEST
CASS LAKE, MN 56633 (02B40)
PHONE: 2181335-2559 FAX: l- OR. WALLACE RADTKE
TRC CASS LAKE Corp ESRD
B02 GRANT UTLEY ST PO BOX 757 CASS LAKE, MN 56633 (03600)
PHONE: 2181355-6671 FAX: 1- MS. JEANETTE LUNDE
BROOKSIDE COMFORT CARE Corp ALHCP HWS
2729 STATE 371 SOUTHWEST
PHONE: 2181587-3304 FAX: 2181587-3314 MS. DAWN CADWELL
HEARTLAND APARTMENTS HRA HWS
PHONE: 2181587-2840 FAX: 2181587·2840 MS. PAT DOMAN
NORWAY BROOK APARTMENTS HRA HWS
312 FIRST STREET SOUTH
PHONE: 218/587-4929 FAX: 218/587-2840 MS. PAT DOMAN
RIVERSIDE VILLA SR APARTMENTS NProf ALHCP
101 STATE 64 SOUTHWEST
PHONE 2181587-4433 FAX: 2181587-2671 MR. BRIAN LARSEN
WHISPERING PINES GOOD SAM CTR NProf NH-94 SNF-NF-94
BOX 29
PHONE: 218/587-4423 FAX: 2181587-2671 MR. BRIAN LARSEN
LAUREL LODGE ASSISTED LlVNG HM Part ALHCP
6870 SCHULTZ DRIVE NORTHEAST
REMER, MN 56672 (21144)
HWS
HWS
Page 33
---------------------------********** CASS (Cont.» --------------------------
BOX 40 400 MICHIGAN AVENUE
WALKER, MN 56484 (02062)
GRAMMA JOS HOUSE Corp ALHCP
607 SO SECOND STREET BOX 1146
WALKER. MN 56484 (20741)
303 10TH STREET SOUTH BOX 530
WALKER, MN 56484 (20689)
MERITCARE CLINIC WALKER NProf RHC
SEVENTH AND MICHIGAN
HWS
HWS
1700 TOWER AVENUE PO BOX 700
WALKER,MN56484 (00995)
City HWS
City HWS
640 CENTER AVENUE GRANITE FALLS, MN 56241 (21377)
PHONE: 320/564-3306 FAX: 320/269·9451 MS. SHELLEY CALKINS
Page 34
---------------------------********** CHIPPEWA (Cont.)' --------------------------
BROOKSIDE MANOR
HWS
824 NORTH 11TH STREET
MONTEVIDEO, MN 56265 (03349)
CHIPPEWA CO MONTEVIDEO HOSP Cy-Co BASS-6 HOSP-3Q CAH·25
824 NO 11TH ST
CONCERNED CARE Cy-Co HCP-A HHA
COPPER GLEN Church ALHCP
801 13TH STREET NORTH
HEALTH PROVIDER INC ROSEWOOD B Corp
1808 LINCOLN AVENUE
HEALTH PROVIDERS INC Corp ALHCP
1426 BLACK OAK AVENUE MONTEVIDEO, MN 56265 (22049)
PHONE: 32O/28~840 FAX: 320/269-7789 MS. TAMI DORENKAMPER
HLTH PROVIDERS INC - GOLDEN Corp
579 GRAVEL ROAD
HWS
HWS
HWS
HWS
Page 35
---------------------------********** CHIPPEWA (Cont.)" ------------------------_.
HOMEFRONT HEALTH CARE INC Corp HWS
MONTEVIDEO. MN 56265 (21835)
LUTHER HAVEN Church NH·l10 SNF-NF-l10
1109 EAST HIGHWAY 7
MONTEVIDEO. MN 56265 (OOO62)
REM MONTEVIDEO SENIOR SERVICES Corp ALHCP
542 RRST STREET SOUTH
TRC MONTEVIDEO
PHONE: 320/269-7451 FAX: /-
313 NORTH MAIN STREET RM 240
CENTERCITY,MN55012 (02015)
CENTER CITY, MN 55012
FAIRVIEW lAKES HOMECARING HOSP NProf HCP-A
11725 STINSON AVENUE
HHA
Page 36
---------------------------********** CHISAGO (Cont.)' --------------------------
11725 STINSON AVENUE
PHONE: 651/257-11850 FAX: 651/257-8852 MR DANIEL ANDERSON
LINNEA RESIDENTIAL HOME NProf SLFB-12 ICFMR-12
28770 OLD TOWN RD PO BOX 450
CHISAGO CITY. MN 55013 (01282)
PHONE: 851/257·2211 FAX: 6511257-8430 MR. SCOTT FOSS
MARGARETS HOUSE NProI
PHONE: 851/257-7333 FAX: 851/257-l1578 MS. BARBARA ELKINS
PARMLY LAKEVIEW APARTMENTS NProf
PHONE: 651/257.-6581 FAX: 651/257·7330 MS. BARBARA ELKINS
POINT PLEASANT HEIGHTS Church
PHONE: 8511257-4035 FAX: 651/851-4080 MS. MARY CORDTS
THE MARGARET S PARMLY RES Church NH·101 SNF-NF-101
28210 OLD TOWNE ROAD
PHONE: 851/257.()575 FAX: 651/257-0579. MS. MARY CORDTS
V1NDAUGA VIEW ASSISTED LMNG NProf ALHCP
10910 282ND STREET
PHONE: 6511257-7333 FAX: 6511257-OS79 MS. BAR8ARA ELKINS
WINDY ACRES ASSISTED LVNG INC Co<p ALHCP 7040 LAKE BOULEVARD
FOREST LAKE. MN 55025 (20401 )
PHONE: 651/464-8337 FAX: 651/464-8340 MR. GARY LANKEY
THERAPEUTIC COMM RE51DENCE Corp SLFA-8 ICFMR-8
28100 NEWBERRY TRAIL BOX 742
LINDSTROM, MN 55045 (01519)
38315 HARDER AVENUE
PHONE: 651/237-3000 FAX: 651/674-5745 MR. STEVEN MORK
HWS
HWS
HWS
HWS
HWS
Page 37
---------------------------********** CHISAGO (Cont.)* -------------------------,
650 BREMER AVE SO
P, 0, BOX 149
PHONE: 320/629-3630 FAX: 320/629-3630 MR JIM ROVNEY
RUSH ESTATES 2 NProf HWS.Q
P, 0, BOX 149
PHONE: 3201629-3630 FAX: 3201629-3630 MR JIM ROVNEY
CARDENAS FRIENDSHIP HOUSE Cc<p ALHCP
17595 260TH STREET
22350 SUNRISE ROAD NE
STACY, MN 58079 (03763)
FAIRVIEW lAKES REG MEDICAL CTR NP"" 8A$S-12 HOSP~1 HOSP-81
5200 FAIRVIEW BOULEVARD
FAMI.LYPATHWAYS NProf HCP-B
---------------------------********** ClAY ********
BARNESVilLE. MN 56514
Page 38
--------------~------------********** ClAY (Cont.» --------------------------
600 FIFTH STREET SE BOX 129
BARNESVILLE, MN 56514 (0096 8)
PHONE: 2181354-2254 FAX: 2181354-2153
1102 FOURTH AVENUE NORTHEAST
SARNESVILlE. MN 56514 (21407)
PHONE: 2181354-7200 FAX: 2181847-2no
202 3RD AVENUE SOUTHEAST
BARNESVILLE, MN 56514 (21572)
HOUGE ESTATES HRA
HAWLEY MANOR Corp HCP-A
MERITCAAE CLINIC HAWLEY NProl RHC
1413 MAIN STREET
715 NORTH 11TH STREET #303
MOORHEAD, MN 56560 (02039)
CLAY COUNTY RECEIVING CENTER Cnty SLFB-18
715 NORTH 11TH STREET #203 MOORHEAD. MN 56560 (01666)
PHONE: 218/299-7184 FAX: 2181299·7205 MS. BETTY WINDOM-KIRSCH
CLAY COUNTY RESIDENCE II NProf SLFA-6 ICFMR-6
2842 VILLAGE DRIVE
CORAM ALTERNATE SITE SERVS INC Corp HCP-A
423 MAIN AVENUE
HWS.Q
HWS
, Directory of Facilities and Services
Page 39
---------------------------********** CLAY (Cont.)· -------------------------.
1500 SEVENTH STREET SOUTH
MOORHEAD, MN 56560 (201001
EVENTIDE FAJRMONT NProf ALHCP HWS
801 SECOND AVENUE NORTH
MOORHEAD, MN 56560 (201011
1405 SOUTH 7TH ST
MOORHEAD, MN 56560 (00072)
312 HIGHWAY 10 EAST
MOORHEAD, MN 56560 (206531
GULL HARBOUR APARTMENTS Part SLFA-14
1704 BELSLY BOULEVARD
HERITAGE VILLA Corp ALHCP HWS
2800 NORTH 2ND AVENUE.
MOORHEAD, MN 56560 (22185)
LINDEN TREE CIRCLE NProf HWS
1400 7TH STREET SOUTH
MOORHEAD, MN 56560 (21014 )
MOORHEAD HEALTHCARE CENTER Lim-Liab NH-87 SNF-NF-87
2810 NORTH 2ND AVE
MOORHEAD. MN 56560 (00938)
MOORHEAD MANOR Ind ALHCP
MOORHEAD, MN 56560 (201921
NORTHSiDE RETIREMENT HOME INC Corp AlHCP
MOORHEAD, MN 56560 (20099)
HWS
HWS
Page 40
---------------------------********** CLAY (Cont.» --------------------------
HWS
512 THIRD AVENUE SOUTH
MOORHEAD. MN 56560 (20314)
MERITCARE CLINIC ULEN NProf RHC
108 VIKING AVENUE WEST
ULEN. MN 58585 (03937)
VIKING MANOR NURSING HOME City ALHCP
31718T STREET NORTHWEST
317 FIRST STREET NORTHWEST
ULEN. MN 58585 (00075)
HWS
HWS
---------------------------********** CLEARWATER ********
BAGLEY. MN 58821
203 - 4TH ST NW
BAGLEY. MN 58621 (00076)
CAH-25
HHA
123 4TH STREET NW BAGLEY. MN 58821 (21437)
PHONE: 218/694-2384 FAX: 1-
page 41
---------------------------********** CLEARWATER
BAGLEY. MN 56621 (03174)
GOLDEN ACRES Ind ALHCP
BAGLEY, MN 56621 (20390)
GREENSVIEW HEALTH CARE CENTER Cnty NH-65
416 SEVENTH STREET NORTHEAST
BAGLEY, MN 56621 (00974)
(Cont.» -------------------------
HWS
503 HALLAN AVENUE BOX 29
BAGLEY. MN 56621 (01012)
THE GARDEN PL ASSIST LVNG PLUS Corp ALHCP
RT 1 BOX 191 HWY 92@CTY 1
BAGLEY. MN 56621 (21640)
THE VILLAGES OF BAGLEY Part
421 6TH STREET NORTHEAST
BAGLEY. MN 56621 (21240)
CLEARWATER HEALTH SERVS CLINIC Cnty RHC
22 ELM STREET
CLEARBROOK. MN 56634 (00078)
HWS
HWS
HWS
---------------------------********** COOK ******** --------------------------
Page 42
---------------------------********** COOK (Cont.» --------------------------
COOK CO NORTHSHORE HOOP & C&NC Dist NH-47 BASS·2 HOSp·16
515 - 5TH AVENUE WEST GRANDMARAIS,MN55604 (00080)
PHONE: 218/387-3264 FAX: 2181387-3289 MS. DIANE PEARSON
SNF-NF-47 CAH-16
515 - 5TH AVENUE WEST GRAND MARAIS, MN 55604 (03138)
PHONE: 2181387-3280 FAX: 218/387-3297 MS. DIANE PEARSON
HHA
219 ELEVENTH AVENUE WEST
GRAND MARAIS, MN 55604
GRAND MARAIS, MN 55604 (22005)
PHONE: 218/387-3040 FAX: 218/387-3289 MS. DIANE PEARSON
SAWTOOTH RIDGES NProf
PHONE: 2181387·9247 FAX: 218/387-9241 MS. MELISSA SMITH
HWS
---------------------------********** conONWOOD ********
PHONE: 507/427-3221 FAX: 507/427·2654 MR. TIM SWOBODA
GOOO SAMARITAN VILLAGE NProf NH-72
745 BASINGER MEM DR
PHONE: 507/427-2464 FAX: 507/427-3036 MR. TIM SWOBODA
LAKER APARTMENTS City
1225 3RD AVENUE
PHONE: 507/427-2425 FAX: 507/427·2485 MS. WENDY FAST·
HWS
SNF-NF-72
HWS
RHC
Minnesota Department of Health Facility and Provider Compliance Division page 43
FacilityfSeI\Ilce Ownar Ucensure Certification Registration
---------------------------********** COnONWOOD (Cont.)* -------------------------.
1491ST AVE BOX 218
WESTBROOK. MN 58183 (00092)
WESTBROOK HEALTH CENTER NPmf HOSP-ll CAH-a
920 BELL AVENUE
WESTBROOK HEALTH CENTER NProI RHC
920 BELL AVENUE
GOOD SAMARITAN HOME HLTH CARE NProI HCP-A HHA
710 FULLER DRNE 113
WINDOM, MN 56101 (03754)
HERITAGE HOUSE OF WINDOM Cap HWS
750 FOURTH AVENUE
HERITAGE HOUSE OF WINDOM NProf HWS
770 FOURTH AVENUE
HERITAGE HOUSE OF WINDOM Corp HWS
425 EIGHTH STREET
HOME FOR CREAliVE LIVING Corp SLFB·21 . ICFMR·21
10B NINTH STREET
MIKKELSEN MANOR NProf HWS
MIKKELSEN MANOR ASSTD LIVING NProf ALHCP 725 FULLER DRIVE
WINDOM, MN 56101 (20710)
Page 44
HWS
ICFMR-12
308 TENTH STREET
WINDOM, MN 56101
PHONE; 507/831-2223 FAX: /-
705 S:IXTH STREET
2150 HOSPITAL DRIVE BOX 339
WINDOM, MN 56101 (00796)
---------------------------********** CROW WING *******.
BETHANY HOUSE
BAXTER. MN 56425
PHONE; 2181828-1577
PHONE: 2181829-9238 FAX: 2181829-2144
Page 45
---------------------------********** CROW WING (Cont.)· --------------------------
BAXTER. MN 56425 (21503)
WELCOME HOME HEALTH CARE INC Lim·Liab ALHCP HWS
14211 FIREWOOD DRIVE
ALMOND HOUSE Corp ALHCP HWS
802 28TH STREET SE PO BOX 442
BRAINERD. MN 56401 (20574)
AlMOND HOUSE UNIT 2 Corp HWS
804 SE 28TH STREET PO BOX 442
BRAINERD. MN 56401 (20575)
ALMOND HOUSE UNIT 3 Corp HWS
814 28TH ST SE PO BOX 442
BRAINERD. MN 56401 (20581)
ALMOND HOUSE UNIT 4 Corp HWS
816 28TH 5T SE PO BOX 442
BRAINERD. MN 56401 (20582)
ALMOST HOME Corp HWS.o
710 SOUTHEAST 26TH STREET
BRAINERD. MN 56401 (21680)
223 WASHINGTON STREET
BARNABAS NURSING SERVICES Corp HCP-A
223 WASHINGTON STREET
PHONE: 218/829-1407 FAX: 21818~516 MR. CRAIG AMMERMANN
Page 46
---------------------------********** CROW WING (Cont.)· --------- -- -- -- .. -- -------
BEVERLY J BAHR
1202 PARK STREET
BRAINERD. MN 56401
11800 STATE HIGHWAY 18
BRAINERD, MN 56401 (01681)
PHONE: 2181828-2201 FAX: 2181828-2207
11800 STATE HIGHWAY 18
BRAINERD. MN 56401 (00089)
PHONE: 2181826-2399 FAX: 2181826-2207
BRAINERD. MN 58401
CROW WING COUNTY HEAlTH DEPT Cnty HCP-A HHA
219 LAUREL STREET
GOOD SAM LAKES CTRY ASST LVNG NProf ALHCP
1953 SEVENTH STREET SOUTH
BRAINERD. MN 56401 (20129)
218 NINTH STREET SOUTHWEST
BRAINERD. MN 56401 (20415)
HWS
HWS
Page 47
---------------------------*.********
HEALTHSOUTH REHAB Of BRAINERD Corp 2024 SOUTH SIXTH STREET BRAINERD.MN56401 (03803)
PHONE: 218/829-0017 FAX.: 1-
PHONE: 2181828-4823 FAX: 218/828-0676 MR. PHILIP KUEHN
HWS
2014 SPRUCE DRIVE
SPECTRUM COMUNITY HEALTH INC Corp HWS
2607 OAK STREET
2024 SOUTH SIXTH STREET
BRAINERD. MN 56401 (02375)
ST JOSEPHS HOME CARE & HOSPICE Church HCP-A HHA
2024 SOUTH SIXTH STREET
BRAINERD. MN 56401 (02139)
ST JOSEPHS MEDICAL CENTER Church BASS-1S HooP-t62 HooP-t62
523 NO THIRD ST
BRAINERD, MN 56401 (00093)
WOODLAND GOOD SAM VILLAGE APTS NProf ALHCP HWS
200 BUFFALO HILLS LANE BRAINERD. MN 56401 (20012)
PHONE: 2181829-1429 FAX 218/829-4815 MR. MICHAEL DEUTH
WOODLAND GOOD SAMARITAN VILL NProf NH-74 SNF·NF-74
100 BUFFALO HILLS LANE
BRAINERD, MN 56401 (00956)
PHONE: 2181829·1429 FAX 218/829-4729 MR. MICHAEL DEUTH
CUYUNA REGIONAL MEDICAL CENTER Dist BASS·7 HCSP-42 NH·127 HOSP-42 SNF-NF-127
320 EAST MAIN STREET CROSBY, MN 56441 (00091)
PHONE: 2181548-7000 FAX 218J~-7268 MR. THOMAS REEK
Page 48
---------------------------********** CROW WING (Cont.)· --------------------------
HWS
320 EAST MAIN STREET
CROSBY. MN 56441 (02256)
HOMEHEALTH PARTNERSHIP Disl HCP-D HSPICE
320 EAST MAIN STREET
CROSSY. MN 56441 (02994)
HOUSING AND REDEVELOPMENT AUTH HRA HW5-0
300 3RD AVENUE NORTHEAST
CROSBY, MN 564411642 (21705)
MINNESOTA HOME CARE INC Corp HCP-A
"21850 TALL TIMBERS ROAD
NISSWA, MN 56488 (20912)
5496 COUNTRY CARE LANE
PHONE: 21815684673 FAX: 2181568-5785 MR. JAMES BIRCHEM'
HERITAGE HOUSE OF PEQUOT LAKES NProf HWS
5384 COUNTRY CARE LANE PEQUOT LAKES, MN 56472 (20576)
PHONE: 21815684673 FAX: 2181588-5401 MR. BRIAN BITINER
HERITAGE HOUSE OF PEQUOT LAKES Corp HWS
5488 COUNTRY CARE LANE
PHONE: 21815684673 FAX: 2181568-5785 MR. JAMES BIRCHEM
HRA OF PEQUOT LAKES HRA HWS
31203 NO OAK STREET PO BOX 243
PEQUOT LAKES, MN 56472 (21381)
PHONE: 2181568-4555 FAX: 2181568-8968 MS. SHARON THURLOW
TREE FARM VILlAS 100 ALHCP HWS
4668 TREE FARM ROAD
PHONE: 218/820-8623 FAX: /- MS. JILL CARLSON
page 49
---------------------------********** . DAKOTA ******** --------------------------
14850 GARRETT AVENUE
CENTENNIAL HOUSE Corp ALHCP
PHONE: 9521891-2711 FAX: 9521953-3132 MR. PAUL WILLIAMS
DAKOTA HOMEMAKING SERVICES INC Corp
7444 157TH STREET WEST #202
APPLE VALLEY, MN 5512. (21218)
PHONE: 952/997-7319 FAX: 9521997-7319 MS. SHARON BENTLEY
HOPE HEALTH CARE INC Corp
8401 132ND STREET WEST
PHONE: 9521953-6227 FAX: 9521953-3301 MS. MILLICENT WARRINGTON
HOPE HEALTH CARE INC Corp HCP-A
15278 DUPONT PATH
pHONE: 952/3224988 FAX: 9521953-3301 MS. MILLICENT WARRINGTON
LE SAINT COMPANIES Corp HCP-O
12998 EASTVIEW COURT
PHONE: 9521322-3882 FAX: 1- MR. GREGORY ST. JAMES
LE SAINT COMPANIES Corp HCP-A
12988 EASTVIEW COURT
PHONE: 952/322-3662 FAX: 1- MR. GREGORY ST. JAMES
SPECIALIZED HOME HEALTH CARE Corp HCP-A
15978 HYlAND POINTE COURT
PHONE: 962/221-0063 FAX: 952/953-4526 MS. CHANDA VONGPRASERT
AGAPE SENIOR HOMES INC Corp ALHCP
15000 ORCHARD DRIVE
BURNSVILLE CAREFREE LIVING LLC Lim-liab
600 NICOLLET BOULEVARD BURNSVILLE. MN 55337 (20191)
PHONE: 952/892-5559 FAX: 952/892-1779 MR. MERLE SAMPSON
HWS
HomeMgmt
HWS
HWS
HWS
Page 50
---------------------------*********. DAKOTA (Cont.) * --------------------------
1601 EAST HiGHWAY 13 SUITE 110
BURNSViLLE, MN 55337 (21364)
CARDENAS FRiENDSHiP HOUSE Corp HWS
912 KNOB HILL
CARDENAS FRiENDSHIP HOUSE Corp HWS
13606 COUNTY ROAD 5
BURNSViLLE, MN 55337 (20960)
COMPASS MiNNESOTA INC Corp HCP-A
2214117TH STREET EAST
DCi KENNELLY NProI SLFA-9 lCFMR-9
12000 KENNELLY ROAD
ESENEZER RiDGES GERIATRiC ce NProf NH-l04 SNF-NF-l04
13820 COMMUNITY DRIVE
EMERALD CREST OF BURNSVILLE Part HWS
453 EAST TRAVELERS TRAIL
BURNSVILLE, MN 55337 (20861)
EMERALD CREST OF BURNSViLLE Part HWS
EMERALD CREST OF BURNSVILLE Part HWS
BURNSViLLE. MN 55337 (20860)
EMERALD CREST OF BURNSVilLE Part HWS
455 EAST TRAVELERS TRAIL BURNSVILLE, MN 55337 (20952)
PHONE; 9521908-2204 FAX: 952/936-0794 MR. JOSEPH GUERTIN
Page 51
---------------------------********** DAKOTA (Cont.)- ------------------------_.
1204 ASPEN DRIVE
ERIKSMOEN COTTAGES,LTD Corp AlHCP
201 EAST NICOlLET BOULEVARD
HESTIA HOME HEAlTH CORP Corp HCP-A
2214117TH STREET
HOME INSTEAD SENIOR CARE Lim-Liab HomeMgmt
1444 EAST CLIFF ROAD
QUAlITY HOME HEAlTHCARE SERVS Corp HCP-A
1020 EAST 148TH STREET #111
BURNSVILLE. MN 55337 (20893)
THE ARBORS AT RIDGES NProf AlHCP
13810 COMMUNITY ORNE
TRC BURNSVILLE Corp E5RD
UNITED HOMECARE INC Co,? HCP-A
15001 WILLA COURT
HWS
HWS
Page 52
---------------------------********** DAKOTA (Cont.)· --------------------------
VISITING ANGELS Corp HomeMgmt
VISITING ANGELS Corp HCP-B
ACCREDO THERAPEUTICS INC Corp HCP-A
2915 WATERS ROAD SUITE 109 EAGAN, MN 55121 (03256)
PHONE: 651/681.()885 FAX: 6511681-09n MR. DAVID STEVENS
ALLIANCE HEALTH SERVICES INC Corp HCP-A HHA
2260 CLIFF ROAD EAGAN. MN 55122 (02838)
PHONE: 651/895-8030 FAX: 651/8~70 MS. ALANA FIALA
ALTERRA CLARE BRIDGE OF EAGAN Corp ALHCP HWS
1365 CRESTRlDGE LANE
CARDENAS FRIENDSHIP HOUSE Corp HWS
1226 WILDERNESS RUN ROAD EAGAN, MN 55123 (21118)
PHONE: 651/257-8146 FAX: 6511257-9245 MR. ROBERT CARDENAS
DCI POPPLER NProf SLFB-8
MARIES ANGEL SERViCE Ind Home Mgmt
4583 MAPLE lEAF CIRCLE
EAGAN. MN 55123 (21946)
SHOP TILL YOU DROP ALL FOR YOU Corp HomeMgmt
1827 TRAILWAY DRIVE APT 3
EAGAN, MN 55122 (21133)
Page 53
---------------------------********** DAKOTA (Cont.)* --------------------------
601 4TH STREET
COMMUNr1Y ASSISTED LIVING INC Corp HWS
912 FOURTH STREET
HOME CARE OPTIONS FARMINGTON ONProf HCP-A
3410 213TH STREET WEST
FARMINGTON. MN 55024 (21762)
LOLA HORTON Ind HCP-C
RIVER VALLEY HOME CARE INC CoJp
5200 WEST 211TH STREET
RIVER VALLEY HOME CARE INC Corp HCP-A HHA
5200 WEST 211TH ST SUITE B
3410 213TH STREET WEST
TRINITY TERRACE NProf
930 W 16TH STREET
HASTINGS. MN 55033 (00B77)
HomeMgmt
HWS
Page 54
---------------------------********** DAKOTA (Cont.)* --------------------------
1294 EAST 18TH STREET BLDG #2
HASTINGS, MN 55033 (01612)
1294 E 18TH ST BLDG .,
HASTINGS, MN 55033 (01406)
HELPING HANDS HOMECARE LLC Um-liab
15n8 FRAME AVENUE
HENRY HAGEN RESIDENCE Ind SLFA-8 ICFMR-ll
19845 LILLEHEI AVE
MN VETERANS HOME HASTINGS State BCH-2OO
1200 EAST 18TH ST
HASTINGS, MN 55033 (00788)
1128 BAHLS DRIVE
OAK RIDGE MANOR NProf
REGINA MEDICAL CENTER NProf NH-61 BASS-12 HOSP-57 SNF-NF-61 HOSP-S7
1175 NININGEF:t ROAD HASTINGS, MN 55033 (00100)
PHONE: 651/480-4100 FAX: 651/480-4212 MR. MARK WILSON
REGINA RETIREMENT CENTER NProf AlHCP
1175 NININGER ROAD
RUTH HOMES INC Corp ALHCP
1308 LINCOLN LANE
HomeMgmt
HWS
HWS
HWS
HWS
Page 55
---------------------------********** DAKOTA {Cont.l* --------------------------
2000 WESTVIEW DRIVE
5891 CARMEN AVENUE
PHONE: 851f306.0019 FAX: 8511306-1020 MS. MARY PATTIE
CARECO APARTMENTS Co'1l SLFA-14 ICFMR-14
6115 CARMEN AVENUE EAST
PHONE: 651/451-1756 FAX: 651/451-1803 MS. WENDY JOHNSON
DCI UPPER 55TH STREET NPrnI SLFB-ll
1685 UPPER 55TH STREET EAST
INVER GROVE HEIGHTS. MN 55fJn (20938)
PHONE: 651f688.&106 FAX: 8511688-&92 MS. KATHLEEN LEMAY
INVER GROVE GOOD SAMARITAN CTR NPrnI NH-7Q $NF-NF-70
1301 50TH STREET EAST
PHONE: 651/451-1853 FAX: 651/451-7515 MS. PAMELA SCHULTZ
KIDS ABILITIES Co'1l HCP-A
PHONE: 651/451-3016 FAX: 851/451-3016 MS. JENNIFER SARGENT
PRES HOMES IGH COMMONS ARBOR NProf HWS
6305 BURNHAM CIRCLE
PHONE: 6511552-2800 FAX: 651/552-2801 MR. JIM ANGELL
PRES HOMES IGH TERRACE NProf HWS
6309 BURNHAM CIRCLE
PHONE: 651/552-2800 FAX 651/552-2801 MR. JIM ANGELL
TOTAL CARE BODY AND HAIR Ind HCP-C
3718 74TH STREET EAST
PHONE: 6511398-1193 FAX 651/45()..2437 MS. EDITH MICHAELSON-MATEYKA
WOODLYN HEIGHTS HEAlTHCARE CTR Co'1l NH-105 SNF-NF-'05
2060 UPPER 55TH ST E
INVER GROVE HEIGHTS, MN 55077 (00829)
PHONE: 651/451-1881 FAX: 651/451-3378 MS. BONNIE CAMPEAU
Minnesota Department of Health Facility "and Provider Compliance Division
page 56
---------------------------********** DflKOTA (Cont.)- --------------------------
20685 HERSHEY AVENUE WEST
LAKEVILLE, MN 55044 (01630)
CHARLOTTE L EAST Ind HCP-C
7992 GRINNELL WAY
FAIRFIELD TERRACE . NProf HWS
INTEGRA HEALTH CARE INC CoJp HCP-A
20726 ISEX AVENUE LAKEVILLE. MN 55044 (22172)
PHONE: 95219SS-7290 FI>J<; /- MR DIMITRIY PAPKQV
LIFE CARE In<! HCP-A
17911 JUBILEE WAY #A
LAKEVILLE, MN 55044 (21392)
MSOCS lAKEVILLE JONQUIL State SLFB-6 ICFMR-6
17041 JONQUIL AVENUE
CARING COMPANIONS In<! HomeMgmt
PHONE; 65114S2-e825 FI>J<; 651/452-7829 MS. RENAE OLAFSON
CORAM HOMECARE OF MN INC CoJp HCp·A HHA
2345 WATERS DRIVE
PHONE: 952/452-5800 FAX: 952/452-ll273 MS. JANE JAHNKE
DCICARMEN NProf SLFB-ll
915 CARMEN LANE
PHONE: 651/688-8808 FI>J<; 651/688-8892 MS. KATHLEEN LEMAY
DCI DAKOTA ADULTS NProf SLFB-12 ICFMR-12
2031 SOUTH VICTORIA ROAD
PHONE: 6511668-8808 FAX: 651/68s.sB92 MS. KATHLEEN LEMAY
Page 57
---------------------------********** DAKOTA (Cont.)- -------------------------
PHONE: 651/888-8808 FAX: 65,/88U892 MS. KATHLEEN LEMAY
DCI MARY ADELE NProf SLF~
1055 MARY ADELE AVENUE
PHONE: 651/888-3808 FAX: 65'/888-3892 MS. KATHLEEN LEMAY
FAMILY CHOICE HOMECARE COrp HCP-A
2486 POND CIRCLE WEST
PHONE: 65'/452-5298 FAX: 65'/452-5298 MS. JULIE MYHRE-5CHNELL
KALEBINC Corp HCP-A
889 MENDAKOTA COURT
PHONE: 6511905-9906 FAX: 6511905-9906 MR. STEVEN WEINTRAUT
MARGARETS HOUSE Um-Llab SLFB·'O
2535 CONDON COURT
PHONE: 65'_'8 FAX: 651/888-()526 MR. ROBERT HAVEN
NORTHFIELD CITY HOSPITAL City NH-40 BASS-'2 HOSP-37 SNF-NF-40 HOSP-37
2000 NORTH AVENUE
BRYANT AVE RESIDENCE COrp SLFA-13 ICFMR-'3
1120 BRYANT AVENUE
PHONE: 651/451-1344 FAX: 651/451-5955 MR. PAUL MOHRBACHER
COMMON SENSE SERVICES NProf Home Mgmf
72419TH AVENUE NORTH #100
PHONE: 651/552-0288 FAX: 651/552-0192 MS. LYNNE ZIMMERMAN
DCI CONGRESS NProf SLFB-6
PHONE: 651/688-8808 FAX: 651/688-8892 MS. KATHLEEN LEMAY
HEALTHEAST BETHESDA CARE CENTR NProf NH-117 SNF-NF-117
72419THAVENUENORTH
PHONE: 6511232-6172 FAX: 6511232-6111 MS. MARY BRUN - INTERIM'
Page 58
PHONE: 651132U500
HWS
PHONE: 651132U5OO . FAX: 65113~550 MS. JENNIFER MELBYE
SUMMIT AVENUE RESIDENCE Corp SLFA·13 ICFMR·13
920 SUMMIT AVENUE
PHONE: 651/451-1344 FAX: 651/451-5955 MR PAUL MOHRBACHER
ALTERRA CLARE BRIDGE WSP Corp ALHCP
315 EAST THOMPSON AVENUE
PHONE: 612/453-1805 FAX: 6121453-1806 MR GUNAR CHRISTENSEN
ALTERRA STERLING HOUSE - WSP Corp ALHCP
305 EAST THOMPSON
1525 LIVINGSTON AVENUE
PHONE: 651/455-5284 FAX: l- OR. JERROLD WIUDENAUER
COLLEEN MARTENS ENDRIZZI INC Corp HCP-A
930 HUMBOLDT AVENUE
PHONE: 612/554-5005 FAX: 651/457-8896 MS. COLLEEN MARTENS ENDRIZZI
DARTS NProf
PHONE: 651/455-1560 FAX: 6511234-2280 MR. MARK HQISSER
DCI EMERSON NProf SLFB-<l ICFMR-<l
41 EMERSON AVENUE EAST
PHONE: 651/688-8608 FAX: 651/688-8892 MS. KATHLEEN LEMAY
HLTH$O SPORT MOICN & REHAB eTR Corp Out PlOut Ot
60 EAST MARIE
PHONE: 651/451-6156 FAX: 1- MS. KELLY CASEY
HWS
HWS
HomeMgmt
Page 59
---------------------------****.*.*** DAKOTA (Cont.)* --.----------------------
100 SIGNAL HILLS SUITE 205
WEST ST PAUL, MN 55118 (22149)
PHONE: 85112Qll.7220 FAX: 651/209-7229 MS. JUALY LEE
HMONG MINNESOTA HOME CARE Ind HCP-A
1111 WATERLOO AVENUE
PHONE: 8511340-4790 FAX: 8511340-4791 MR. BEE VINCENT VUE
HOME HELPERS OF MINNESOTA COrp HCP-B
1670 SOUTH ROBERT STREET #328
WEST ST PAUL, MN 55118 (21995)
PHONE: 6511552.Q902 FAX: 6511306-1359 MR. MATTHEW DEWEY
INNOVATIVE REHABIUTAnON COrp OutPl
PHONE: 851/451-4525 FAX: 651/451-4561 MS. KATHRYN SCHURMAN
JACLYN GEORGIA BUTAlA 100 . HCP-C
443 PRESERVE PATH
PHONE: 851/450-0043 FAX: /- MS. JACLYN GEORGIA BUTAlA
MOUNT CARMEL MANOR NProI HWS
1560 BELLOWS STREET WEST ST PAUL, MN 55118 (20365)
PHONE: 651/451-0000 FAX: 6511451-0300 MR. JIM ZAREMBA
SOUTHVIEW ACRES HLTH CARE CTR Corp NH-257 SNF-NF-257
2000 OAKDALE AVENUE
PHONE: 651/451-1821 FAX: 651/451-9538 MR. LANCE LEMIEUX
THEODORE I RESIDENCE
PHONE: 851/501-2378
PHONE: 651;455-2995
WESTWOOD RIDGE
PHONE: 651/455-3999
COrp SLFA-10
Corp ESRD
Page 60
---------------------------*.*******. DODGE ******** --------------------------
SNF-NF·72
316 SECOND STREET NORTHEAST
HAYFIElD. MN 55940 (001041
1101 1ST AVENUE NORTHEAST
KASSON. MN 55944 (01640)
CHICOS SOARD AND LODGE Ind AlHCP
520 STATE STREET SOX 848
WEST CONCORD. MN 55985 (201931
PHONE: 507/527·2842 FAX: 507/527-2842 MS. STEPHANIE CHICOS
CIRCLE DRIVE MANOR Part AlHCP
56697 STATE HWY 56 SOUTH
WEST CONCORD. MN 55985 (200551
PHONE: 507/527-2424 FAX: 507/527-2888 MS. MELISSA CHRISTIANSON
HWS
HWS
805 FILLMORE STREET-MGT OFFICE
ALEXANDRIA. MN 58308 (20307)
PHONE: 3201762-1311 FAX: 3201762-8115
11117THAVENUEEAST AlEXANDRIA.MN58308 1038751
Church NH-122
Directory of Facilities and Service~
Page 61
---------------------------**********
1020 LARK STREET
906 ASH STREET
BETHEL MANOR INC NProf HWS
910 ASH STREET
CHERYL HAASE Ind HCP-C
CLEARWATER SUITES Corp ALHCP HWS
1902 7TH AVENUE EAST
725 ELM STREET SUITE 1200
DOUGLAS COUNTY HOSPITAL Cnty BASS-14 HOSp·127 HOSP·127
11117THAVENUE EAST
725 ELM STREET SUITE 1200
420 12TH AVE E
LAKES AREA ASSISTED LIVING Ind HWS
7217 LITTLE MARY CIRCLE SW
Minnesota Department of Health Faciiity and Provider Compliance Division
Page 62
---------------------------**********
ALEXANDRIA, MN 56308 (21220)
PHONE: 3201762-5446 FAX: 1-
3401 SOUTH BROADWAY
NELSON GABLES SENIOR CARE APTS NProf ALHCP HWS
1220 NOKOMIS STREET
PRAIRIE SENIOR COTTAGES ALEX Lim-Uab HWS
814 MCKAY AVENUE
PRAIRIE SENIOR COTTAGES ALEX Lim-Uab ALHCP HWS
812 MCKAY AVENUE
PRAIRIEWOOD HOME NProf SLFB-6 ICFMR-6
2736 LEHOMME DIEU HEIGHTS NE
REG DIAGNOSTIC RAe ALEXANDRIA Corp XRAY
1111TTHAVENUEEAST
ROSEWOOD NProf SLFA-6 ICFMR-6
ROYAL MANOR I APARTMENTS Part HWS
505UNUMB
ROYA,L MANOR II APARTMENTS Part HWS
415 UNUMB STREET
Directory of Facilities and services
Page 63
---------------------------********** DOUGLAS (Cont.) *
ALEXANDRIA, MN 56306
ICFMR-6
715 VICTOR STREET
ALEXANDRIA, MN56308 (21855)
WINDMILL PONDS OF ALEXANDRIA
21937 MELLOW LANE SW
Page 64
---------------------------********** DOUGLAS (Cont.» --------------------------
OSAKIS, MN 56360
---------------------------********** FARIBAULT ********
PHONE: 507/526-2184 FAX: 507/526-7427 MS. BECKY PlOCKER
NICOllET PLACE Ind ALHCP
PHONE: 507/526-3237 FAX: 507/653-4379 MS. MARY BEYER
ST lUKES lUTHERAN CARE CENTER NProf NH-137 SNF-NF-137
1219 SOUTH RAMSEY
PHONE: 507/526-2184 FAX: 507/528-7427 MR. GENE NELSON
UNITED HANDS HOSPICE Dis! HCP-D HSPICE
515 S MOORE ST PO BOX 160
BLUE EARTH. MN 56013 (02964)
PHONE: 507/526-7970 FAX: 507/526-3285 MS. CANDACE ARENDS
UNITED HOSP DIST HOME HlTH SER Disl HCP-A HHA
515 S. MOORE ST PO BOX 160
BLUE EARTH, MN 56013 (02804)
PHONE: 507/526-7970 FAX: 507/526-3285 MR. CHAD COOPER
UNITED HOSPITAL DISTRICT Disl BASS-4 HOSP-43 HOSP-43
515 SOUTH MOORE ST PO BOX 160
BLUE EARTH, MN 56013 (00117)
PHONE: 5071526-3273 FAX: 507/526-3621 MR. CHAD COOPER
BROADWAY APARTMENTS City
219 SOUTH BROADWAY
FRIENDSHIP HOME OF WELLS Ind AlHCP
80 SECOND STREET SOUTHWEST
WELLS, MN 56097 (20014)
HWS
HWS
HWS
HWS
Page 65
---------------------------********** FARIBAULT (Cont.» -------------------------
550 CLEVELAND AVENUE WEST WINNEBAGO. MN 56098 (01377)
PHONE: 507/893-3885 FAX: 507/8934223 MR. CHAD COOPER
GARDEN COURT APARTMENTS Corp
333 SECOND AVENUE SOUTHWEST
WINNEBAGO, MN 56089 (21931)
PARKER OAKS NProf NH-61 SNF-NF-61
211 6TH STREET NW
PARKER OAKS ASSISTED LIVING NProf ALHCP
211 SIXTH STREET. NORTHWEST
HWS
HWS
---------------------------********** FILLMORE ******** -------------------------.
HARMONY, MN 55939
MR. MICHAEL MAHER
FacilitylS8(Vice Owner Licensure Certification Regis

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LICENSED, CERTIFIED AND REGISTERED HEALTH CARE FACILITIES