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2017
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 Facilities and Services,
March 15, 2017 .......................................................................................................................... I
2. Certification Classifications, March 15, 2017 ........................................................................... I
3. Change in number of licensed inpatient facilities and units during the past 70 years .............. II
4. Hospitals: Bed Range, Ownership, March 15, 2017................................................................. II
5. Nursing Homes and Units: Bed Range, Ownership, March 15, 2017 ..................................... III
6. Nursing Homes and Units: Ownership, Percentage of Change, March 15, 2016 and
March 15, 2017 ........................................................................................................................ III
7. Boarding Care Homes and Units: Bed Range, Ownership, March 15, 2017.......................... IV
8. Boarding Care Homes and Units: Ownership, Percentage of Change, March 15, 2016 and
March 15, 2017 ....................................................................................................................... IV
9. Supervised Living Facilities and Units: Bed Range, Ownership, March 15, 2017...................V
10. Supervised Living Facilities and Units: Ownership, Percentage of Change, March 15, 2016
and March 15, 2017 ..................................................................................................................V
11. Number of Licensed Facilities and Beds by County, March 15, 2017 ........................... VI – XI
12. Number of Facilities and Beds by County, March 15, 2017....................................... XII – XVI
13. Number of Certified Services by County, March 15, 2017 .......................................XVII – XX
14. Number of Licensed or Certified Home Care Providers and Registered Home Management
by Classifications and County, March 15, 2017 ..................................................... XXI – XXIII
15. Number of Housing with Services Establishments by County, March 15, 2017..XXIV – XXV
16. Number of Licensed Facilities and Beds by County, March 15, 2017………… XXVI – XXVII
FEDERAL HOSPITALS ...................................................................................................... XXVIII
ABBREVIATIONS.....................................................................................................XXIX – XXX
LICENSING AND CERTIFICATION INFORMATION FOR ALL
HEALTH CARE FACILITIES AND SERVICES...........................................................1 – 434
LISTING OF HEALTH CARE FACILITIES - Grouped by Type/Location
Boarding Care Homes ...........................................................................................................435
Community Mental Health Centers .......................................................................................436
Comprehensive Outpatient Rehabilitation Facility................................................................436
End Stage Renal Disease Providers .............................................................................437 – 438
Licensed Home Care Providers....................................................................................439 – 452
Registered Home Management Providers..............................................................................453
Certified Home Health Agencies ................................................................................454 – 455
Licensed Hospices..................................................................................................................456
Medicare Certified Hospices..................................................................................................457
Residential Hospices..............................................................................................................458
Hospitals ......................................................................................................................459 – 460
Nursing Homes ............................................................................................................461 – 464
Outpatient Occupational Therapy Providers..........................................................................465
Outpatient Physical Therapy Providers .................................................................................465
Outpatient Speech Therapy Providers ...................................................................................466
Outpatient Surgical Centers .........................................................................................466 – 467
Portable X-Ray Suppliers ......................................................................................................468
Rural Health Clinics...............................................................................................................469
Supervised Living Facilities.........................................................................................470 – 472
Birth Centers ..........................................................................................................................473
Mobile Health Evaluation/Screening ....................................................................................473
ALPHABETICAL LISTING OF LOCATIONS OF HEALTH CARE FACILITIES .......474 – 479
INDEX CONTAINING PAGE NUMBERS FOR SPECIFIC FACILITIES OR SERVICES
INDEX PAGES..................................................................................................................1 – 47
MINNESOTA DEPARTMENT OF HEALTH
HEALTH REGULATION DIVISION
DIRECTORY OF LICENSED, CERTIFIED
AND REGISTERED HEALTH CARE
FACILITIES AND SERVICES
March 15, 2017
FOREWORD
The directory that follows contains a list of hospitals and related institutions licensed and/or certified as of
March 15, 2017. 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 Church Related (CHURCH) Individual (INDIV.)
County (CNTY) Nonprofit Corporation (NPROF) Partnership (PART.)
City Other Nonprofit Ownership (ONPROF) Corporation (CORP.)
City-County (CYCO) Tribal (TRIBAL) Group (GROUP)
Hospital District (DIST) Business Trust (TRUST)
or Authority Limited Liability Co. (LIM-LIAB)
US Public Health Service (PHS) Housing and Redevelopment Authority
(HRA)
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 144.586 inclusive, Minnesota Statutes. Nursing homes are licensed
under the provisions of 144A.01 – 144A.1888, 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.482 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 of at least one home care service, directly in a client’s home for a fee
and who has a valid current temporary license or license issued under sections 144A.43 to 144A.482. At least one
home care service must be provided directly, although additional home care services may be provided by contractual
arrangements.
Starting July 1, 2014, and ending June 30, 2015, all home care providers licensed by MDH prior to January 1, 2014,
transitioned to the new set of requirements upon their regular license renewal date and were issued Basic or
Comprehensive Home Care Provider licenses at the time of the renewal. 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..
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 or, is a facility that meets the requirements of a residential
hospice under 144A.75 Subd. 13.
I
DIRECTORY OF LICENSED AND CERTIFIED HEALTH CARE FACILITIES AND SERVICES
Classification and Bed Capacity: As of March 15, 2017 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 15, 2017
Licensing Classifications Number of Facilities and Services Number of Beds
Hospitals 131 16,234
Bassinets 110 1,839
Psychiatric Hospitals 2 66
Nursing Homes 372 28,647
Boarding Care Homes 24 1,494
(Includes B.C.H. Units of Other Facilities) (8) (501)
Supervised Living Facilities 282 4,801
Freestanding Outpatient Surgical Centers 74 N/A
Other Specialized Hospitals 11 287
Home Care Providers 1,310 N/A
Hospices 82 N/A
TABLE 2
Certification Classifications, March 15, 2017
Licensing Classifications Number of Facilities and Services Number of Beds
Medicare
Hospitals 52 13,189
Critical Access Hospitals 79 1,687
Psychiatric Hospital 9 303
Skilled Nursing Facilities 370 28,301
Portable X-Ray Facilities 5 ------
Outpatient Occupational Therapy 29 ------
Outpatient Physical Therapy 34 ------
Outpatient Speech Therapy 25
Home Health Agencies 194 ------
Hospices 69 ------
Residential Hospices 18 ------
Renal Disease Suppliers 119 -----
Comprehensive Outpatient Rehabilitation Facility 1 ------
Ambulatory Surgical Centers 67 ------
Rural Health Clinics 87 ------
Community Mental Health Centers 1 ------
Medicaid
Nursing Facilities I 361 27,896
Nursing Facilities II 15 885
Intermediate Care Facilities for Individuals with Intellectual Disabilities 192 1,600
Accreditation by Approved Accrediting Organization
Hospitals (Excluding Psychiatric Facilities) 70 ------
TABLE 2A
Housing with Services Establishments 1,559 ------
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 March 15, 1975 March 15, 2017
Number of
Facilities
Number
of Beds
Number of
Facilities
Number
of Beds
Number of
Facilities
Number
of Beds
Hospitals
Nursing Homes and Units
Boarding Care Homes
Supervised Living Facilities
Other *
188
137
72
11,159
3,905
1,161
180
446
201
88
81
19,929
37,260
8,188
3,733
8,152
131
372
24
282
11
16,234
28,647
1,494
4,801
287
TOTALS 397 16,225 996 77,262 820 51,463
*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, 2017
Type of Ownership
Hospital Total Number % of Total Nonprofit Public Proprietary
Hosp. Beds Hosp. Beds Hosp. Beds Hosp. Beds Hosp. Beds
1 – 24 30 504 22.9 3.1 20 334 10 170 0 0
25 – 49 50 1,696 38.2 10.4 36 1,251 13 415 1 30
50 - 99 21 1,484 16.0 9.1 20 1,392 0 0 1 92
100 - 299 16 2,795 12.2 17.2 14 2,532 2 263 0 0
300 + 14 9,755 10.7 60.1 12 8,861 2 894 0 0
TOTALS 131 16,234 100.0 100.0 102 14,370 27 1,742 2 122
III
TABLE 5
Nursing Homes and Units: Bed Range, Total Numbers and Percentages of Home and Beds by Ownership -
March 15, 2017
Type of Ownership
Nursing
Home
Range Total Number % of Total Nonprofit Public Proprietary
Homes Beds Homes Beds Homes Beds Homes Beds Homes Beds
1 - 24 8 153 2.2 .5 5 88 0 0 3 65
25 - 49 96 3,878 25.8 13.5 52 2,100 18 713 26 1,065
50 - 99 190 13,126 51.1 45.8 115 8,076 13 834 62 4,216
100 - 299 75 10,499 20.2 36.6 48 6,826 3 389 24 3,284
300 + 3 991 .8 3.5 1 330 1 341 1 320
TOTALS 372 28,647 100.0 100.0 221 17,420 35 2,277 116 8,950
TABLE 6
Nursing Homes and Units: Home and Beds by Ownership and Percentage of Change -- March 15, 2016 and
March 15, 2017
March 15, 2016 March 15, 2017 % of Change
Nursing Home Units
Ownership
Homes and
Units Beds
Homes and
Units Beds
Homes and
Units Beds
Non Profit 222 17,727 221 17,420 -.45 -1.8
Public 37 2,477 35 2,277 -5.7 -8.8
Subtotal, Non Profit
And Public 259 20,204 256 19,697 -1.2 -2.6
Proprietary 111 8,733 116 8,950 +4.3 +2.4
TOTALS 370 28,937 372 28,647 +.54 -1.0
IV
TABLE 7
Boarding Care Homes and Units: Bed Range, Total Numbers and Percentages of Homes and Beds by Ownership -
March 15, 2017
Type of Ownership
BCH
Units
Range Total Number % of Total Nonprofit Public Proprietary
Homes Beds Homes Beds Homes Beds Homes Beds Homes Beds
1 – 24 6 89 25.0 6.0 0 0 0 0 6 89
25 - 49 6 191 25.0 12.8 2 75 0 0 4 116
50 - 99 9 641 37.5 42.9 5 343 0 0 4 298
100 - 299 3 573 12.5 38.4 0 0 2 361 1 212
300 + 0 0 .0 .0 0 0 0 0 0 0
TOTALS 24 1,494 100.0 100.0 7 418 2 361 15 715
TABLE 8
Boarding Care Homes and Units: Home and Beds by Ownership and Percentage of Change -- March 15, 2016 and
March 15, 2017
March 15, 2016 March 15, 2017 % of Change
BCH
Ownership
Homes and
Units Beds
Homes and
Units Beds
Homes and
Units Beds
Non Profit 8 482 7 418 -14.3 -15.3
Public 2 361 2 361 0 0
Subtotal, Non Profit
and Public 10 843 9 779 -11.1 -8.2
Proprietary 16 754 15 715 -6.7 -5.5
TOTALS 26 1,597 24 1,494 -8.3 -6.9
V
TABLE 9
Supervised Living Facilities and Units: Bed Range, Total Numbers and Percentages of Facility and Beds by
Ownership -- March 15, 2017
Type of Ownership
SLF
Range Total Number % of Total Nonprofit Public Proprietary
Homes Beds Homes Beds Homes Beds Homes Beds Homes Beds
1 - 15 210 1,493 74.5 31.1 111 785 15 94 84 614
16 - 49 58 1,393 20.6 29.0 26 685 12 237 19 455
50 - 99 10 583 3.5 12.1 4 246 3 173 3 164
100 - 299 2 362 .7 7.5 1 102 1 260 0 0
300 + 2 970 .7 20.2 0 0 2 970 0 0
TOTALS 282 4,801 100.0 100.0 142 1,818 33 1,734 106 1,233
TABLE 10
Supervised Living Facilities and Units: Facilities and Beds by Ownership and Percentage of Change -- March 15, 2016
and March 15, 2017
March 15, 2016 March 15, 2017 % of Change
SLF
Ownership
Homes and
Units Beds
Homes and
Units Beds
Homes and
Units Beds
Non Profit 147 1,851 142 1,818 -3.5 -1.8
Public 34 1,785 33 1,734 -3.0 -2.9
Subtotal, Non Profit 181 3,636 175 3,552 -3.4 -2.4
Proprietary 113 1,276 106 1,233 -6.6 -3.5
TOTALS 294 4,912 281 4,785 -4.6 -2.7
FEDERAL HOSPITALS *
County - Institution City
BELTRAMI - Red Lake Indian Hospital Red Lake
CASS - Cass Lake Indian Hospital Cass Lake
HENNEPIN - Veterans Administration Hospital Minneapolis
PINE - Federal Correctional Institution Sandstone
STEARNS - Veterans Administration Hospital St. Cloud
OLMSTED – Federal Medical Center Rochester
* Not covered by state licensing law.
Page XXVIII
Ownership
Federal
Federal
Federal
Federal
Federal
Federal
ABBREVIATIONS Page XXIX
Amb Surg – Ambulatory Surgical Center
BASS – Bassinets
BASIC – Basic Home Care
B/C – Birth Center
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
Home Mgmt – Home Management Registration
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
MOBHES – Mobile Health Evaluation/Screening Provider
NF – Nursing Facility (Medicaid Certified)
NH – Nursing Home
OTHER – Other Specialized Hospitals
Out Ot – Outpatient Occupational Therapy Provider
Out Pt – Outpatient Physical Therapy Provider
Out St – Outpatient Speech Therapy Provider
Outpt Surg – Outpatient Surgical Center
XRAY – Portable X-Ray Supplier
PSY – Psychiatric Hospital
Page XXX
RESHPC – Residential Hospice
RHC– 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
Health Regulation Division 1Page
Directory of Facilities and Services
Facility/Service Owner Licensure Certification Registration
---------------------------********** AITKIN ******** -------------------------
AICOTA HEALTH CARE CENTER
850 2ND STREET NW
AITKIN, MN 56431
PHONE: 218/927-2164
AICOTA HEALTH CARE CENTER INC
850 2ND STREET NW
AITKIN, MN 56431
PHONE: 218/927-2164
AICOTA HEALTH CARE CENTER INC
850 2ND STREET NW
AITKIN, MN 56431
PHONE: 218/927-2164
AITKIN HEALTH SERVICES
301 MINNESOTA AVENUE SOUTH
AITKIN, MN 56431
PHONE: 218/927-5526
GOLDEN HORIZONS
518 SEVENTH AVE NE
AITKIN, MN 56431
PHONE: 218/927-9996
GOLDEN HORIZONS
518 7TH AVENUE NE
AITKIN, MN 56431
PHONE: 218/927-9996
MARYHILL MANOR
215 3RD STREET SE
AITKIN, MN 56431
PHONE: 218/927-2151
RIVERS EDGE ASSISTED LIVING
11 MINNESOTA AVENUE SOUTH
AITKIN, MN 56431
PHONE: 218/927-2983
RIVERS EDGE ASSISTED LIVING
11 MINNESOTA AVENUE SOUTH
AITKIN, MN 56431
PHONE: 218/927-2983
RIVERWOOD CLINIC AITKIN
200 BUNKER HILL DRIVE
AITKIN, MN 56431
PHONE: 218/927-2157
Corp NH-75 SNF-NF-75
FAX:
(00848)
218/927-6436 MS. ALISON MATALAMAKI
Corp COMP
FAX:
(24776)
218/927-6436 MS. ALISON MATALAMAKI
Corp
FAX:
(30585)
218/927-6436 MR. BARRY FOSS
NProf NH-44 SNF-NF-44
FAX:
(00002)
218/927-8210 MS. MICHELLE HANNEKEN
Corp COMP
FAX:
(23660)
218/927-7005 MS. BRENDA PETERSON
Corp
FAX:
(30395)
218/927-7005 MR. CHUCK LANE
HRA
FAX:
(23662)
218/927-4159 MS. NANCY JOHNSON HOUG
Corp
FAX:
(32649)
218/927-4677 MS. SHARON TROVINGER
Corp TCOMP
FAX:
(32522)
218/927-4677 MS. MONICA DUFFNEY
Corp RHC
FAX:
(03734)
218/927-4130 MR. MICHAEL HAGEN
HWSAL
HWSAL
HWS
HWSAL
Minnesota Department of Health
Health Regulation Division 2Page
Directory of Facilities and Services
Facility/Service Owner Licensure Certification Registration
AITKIN ---------------------------********** (Cont.)* --------------------------
NProf HOSP-25 BASS-6 CAH-25 RIVERWOOD HEALTHCARE CENTER
200 BUNKER HILL DRIVE
AITKIN, MN 56431 (21927)
PHONE: 218/927-5501 FAX: 218/927-5575 MR. CHAD COOPER
Ind HWSAL CHAPPY'S GOLDEN SHORES
540 PARK AVENUE
HILL CITY, MN 55748 (21823)
PHONE: 218/697-2705 FAX: 218/697-8145 MS. THERESA OLSON
Ind COMP CHAPPY'S GOLDEN SHORES
540 PARK AVENUE
HILL CITY, MN 55748 (21006)
PHONE: 218/244-8006 FAX: 218/697-2573 MS. THERESA OLSON
NORTHLAND VILLAGE MCGREGOR Lim-Liab HWSAL
22027 420TH STREET
MCGREGOR, MN 55760 (27287)
PHONE: 218/768-3356 FAX: 218/768-3379 MR. ANTHONY SERTICH
RIVERWOOD MCGREGOR CLINIC Corp RHC
2 E CENTER AVENUE PO BOX 340
MCGREGOR, MN 55760 (03736)
PHONE: 218/768-4011 FAX: 218/768-4818 MR. MICHAEL HAGEN
ANOKA ---------------------------********** ******** -------------------------
Ind COMP ALL STAR HOME HEALTH CARE
4954 170TH LANE NW
ANDOVER, MN 55304 (25672)
PHONE: 763/286-3862 FAX: /- MR. COREY COONS
Lim-Liab HWSAL
1640 155TH LANE NW
ANDOVER, MN 55304
ARBOR OAKS SENIOR LIVING LLC
(29443)
PHONE: 763/205-2248 FAX: 763/757-1583 MS. KELSEY SCHULTZ
Lim-Liab COMP
1640 155TH LANE NW
ANDOVER, MN 55304
ARBOR OAKS SENIOR LIVING LLC
(29442)
PHONE: 763/205-2348 FAX: 763/757-1583 MS. KELSEY SCHULTZ
CHERRYWOOD OF ANDOVER 1889 Lim-Liab HWSAL
1889 139TH AVENUE NW
ANDOVER, MN 55304 (29743)
PHONE: 320/257-7445 FAX: 320/257-7447 MS. WENDY HULSEBUS
Minnesota Department of Health
Health Regulation Division Page 3
Directory of Facilities and Services
Facility/Service Owner Licensure Certification Registration
---------------------------********** ANOKA (Cont.)* -------------------------
Lim-Liab HWSAL
1899 139TH AVENUE NW
ANDOVER, MN 55304
CHERRYWOOD OF ANDOVER 1899
(29744)
PHONE: 320/257-7445 FAX: 320/257-7447 MS. WENDY HULSEBUS
HWSAL CYPRESS MANOR Corp
16770 WREN STREET NW
ANDOVER, MN 55304 (25460)
PHONE: 763/712-8363 FAX: 763/323-4811 MR. JACOB NELSON
COMP HOME INSTEAD SENIOR CARE Corp
1883 STATION PARKWAY NW STE B
ANDOVER, MN 55304 (23591)
PHONE: 763/792-0041 FAX: 763/792-0043 MR. DANIEL ARNOLD
NProf HWSAL
13733 QUAY STREET
ANDOVER, MN 55304
THE FARMSTEAD
(20547)
PHONE: 763/712-7000 FAX: 763/712-7040 MR. BEN VAN VOOREN
THE FARMSTEAD NProf COMP
13733 QUAY STREET
ANDOVER, MN 55304 (27961)
PHONE: 763/172-7000 FAX: 763/712-7001 MS. NATALIE MORLAND
State OTHER-175 SLFB-29 PSY-175 ANOKA METRO REG TREATMENT CTR
3301 7TH AVENUE NORTH
ANOKA, MN 55303 (00004)
PHONE: 651/431-5003 FAX: 651/431-7701 MR. BRIAN TEUBER
NProf NH-120 SNF-NF-120 ANOKA REHAB & LIVING CENTER
3000 4TH AVENUE
ANOKA, MN 55303 (00893)
PHONE: 763/528-6400 FAX: 763/528-6402 MR. DOUGLAS DOLINSKY
Corp Home Mgmt AVALON HOME CARE INC
500 WEST MAIN STREET STE 11
ANOKA, MN 55303 (28053)
PHONE: 763/753-8658 FAX: 763/753-4314 MS. REBEKAH JUDISCH
Lim-Liab Home Mgmt COMFORT KEEPERS
2006 1ST AVENUE NORTH STE 205
ANOKA, MN 55303 (28074)
PHONE: 763/786-1000 FAX: 763/786-9440 MS. BEV BERARD
Lim-Liab COMP
2006 1ST AVENUE NORTH STE 205
ANOKA, MN 55303
COMFORT KEEPERS
(26035)
PHONE: 763/786-1000 FAX: 763/786-9440 MR. TOM BERARD
Minnesota Department of Health
Health Regulation Division
Directory of Facilities and Services
Certification
ANOKA (Cont.)*
MR. FRANCIS LANG
MR. JACOB NELSON
MR. JACOB NELSON
SNF-NF-56
MS. BECKY WILLETT
MR. JARED KEENEY
MR. JARED KEENEY
MR. JACOB NELSON
MR. JACOB NELSON
MR. JACOB NELSON
MR. JACOB NELSON
Page 4
Registration
-------------------------
HWSAL
HWSAL-O
HWSAL
HWSAL
HWSAL
HWSAL
HWSAL
HWSAL
HWSAL
Facility/Service Owner Licensure
---------------------------**********
RIVER OAKS OF ANOKA
910 WESTERN STREET
ANOKA, MN 55303
PHONE: 763/421-4011
THE CEDARS
701 POLK STREET
ANOKA, MN 55303
PHONE: 763/712-8363
THE ELMS
2171 7TH AVENUE NORTH
ANOKA, MN 55303
PHONE: 763/712-8363
THE ESTATES AT TWIN RIVERS LLC
305 FREMONT STREET
ANOKA, MN 55303
PHONE: 763/421-5660
THE HOMESTEAD AT ANOKA
3002 4TH AVENUE NORTH
ANOKA, MN 55303
PHONE: 763/528-6500
THE HOMESTEAD AT ANOKA
3111 5TH AVENUE
ANOKA, MN 55303
PHONE: 763/528-6500
THE MAPLES
2823 7TH AVENUE NORTH
ANOKA, MN 55303
PHONE: 763/712-8363
THE OAKS
2201 7TH AVENUE NORTH
ANOKA, MN 55303
PHONE: 763/712-8363
THE PINES
2153 7TH AVENUE NORTH
ANOKA, MN 55303
PHONE: 763/712-8363
THE WILLOWS
2918 7TH AVENUE NORTH
ANOKA, MN 55303
PHONE: 763/712-8363
Lim-Liab
(24353)
FAX: 763/422-8946
Corp
(24253)
FAX: 763/323-4811
Corp
(20535)
FAX: 763/323-4811
Lim-Liab NH-56
(00866)
FAX: 763/421-6581
NProf
(29856)
FAX: 763/528-6501
NProf
(32263)
FAX: 763/528-6501
Corp
(23690)
FAX: 763/323-4811
Corp
(20534)
FAX: 763/323-4811
Corp
(20536)
FAX: 763/323-4811
Corp
(24668)
FAX: 763/323-4811
Minnesota Department of Health
Health Regulation Division Page 5
Directory of Facilities and Services
Facility/Service Owner Licensure Certification Registration
---------------------------********** ANOKA (Cont.)* --------------------------
NProf COMP
3002 4TH AVENUE NORTH
ANOKA, MN 55303
VOA HOME HEALTH AT ANOKA
(29031)
PHONE: 763/528-6491 FAX: 763/528-6501 MS. ANGIE ZIMMERMAN
NProf HWSAL
131 MONROE STREET
ANOKA, MN 55303 (30628)
PHONE: 763/422-1226 FAX: 763/422-8115 MR. COREY TREMBATH
WALKER METHODIST PLAZA
Lim-Liab HWSAL
100 MONROE STREET
ANOKA, MN 55303
WALKER METHODIST PLAZA GARDENS
(32216)
PHONE: 763/422-4037 FAX: 763/422-8115 MR. COREY TREMBATH
NProf COMP
131 MONROE STREET
ANOKA, MN 55303
WALKER METHODIST PLAZA HOME CA
(20443)
PHONE: 763/422-4037 FAX: 763/422-8115 MR. COREY TREMBATH
WHISPERING PINES ASSISTED LVG Corp COMP
830 W MAIN STREET
ANOKA, MN 55303 (20533)
PHONE: 763/712-8363 FAX: 763/323-4811 MR. JACOB NELSON
Corp SLFA-22 ANTHONY LOUIS CENTER
1000 PAUL PARKWAY
BLAINE, MN 55434 (01400)
PHONE: 763/757-2906 FAX: 763/757-2059 MS. MELISSA BROGGER
ASSURANT CARE HOMES LLC Lim-Liab TCOMP
1755 113TH LANE NE
BLAINE, MN 55449 (32897)
PHONE: 612/987-6609 FAX: /- MR. ZABLON OBWAYA
BLAINE ASSISTED LIVING & MEMOR Lim-Liab COMP
10669 ULYSSES STREET NE
BLAINE, MN 55449 (23914)
PHONE: 763/754-7300 FAX: 763/754-2561 MR. JASON GESCHWIND
Lim-Liab COMP
12446 JAMESTOWN STREET NE
BLAINE, MN 55449 (26857)
PHONE: 763/754-1930 FAX: 763/754-1933 MS. RHONDA SCHILLINGER
BLAINE WHITE PINE
Lim-Liab HWSAL
12446 JAMESTOWN STREET NE
BLAINE, MN 55449
BLAINE WHITE PINE
(30650)
PHONE: 763/754-1930 FAX: 763/754-1933 MS. RHONDA SCHILLINGER
Minnesota Department of Health
Health Regulation Division 6Page
Directory of Facilities and Services
Facility/Service Owner Licensure
---------------------------**********
BLAINE WHITE PINE SENIOR LIVIN
12402 JAMESTOWN STREET NE
BLAINE, MN 55449
PHONE: 651/287-0265
BLAINE WPII LLC
12402 JAMESTOWN STREET NE
BLAINE, MN 55449
PHONE: 651/287-0265
BRAINZ
10299 UNIVERSITY AVE NE # 102
BLAINE, MN 55434
PHONE: 763/205-9730
BROOKDALE BLAINE
1005 PAUL PARKWAY
BLAINE, MN 55434
PHONE: 763/755-2800
BROOKDALE BLAINE
1005 PAUL PARKWAY
BLAINE, MN 55434
PHONE: 763/755-2800
CENTRAL AVENUE DIALYSIS
10994 BALTIMORE STREET NE
BLAINE, MN 55449
PHONE: 763/786-5026
COMFORT RESIDENCE BLAINE
10669 ULYSSES STREET NE
BLAINE, MN 55449
PHONE: 763/754-7300
CREST VIEW SENIOR COMM BLAINE
12016 ULYSSES STREET NE
BLAINE, MN 55434
PHONE: 763/762-8420
EDGEMONT PLACE
11748 ULYSSES LANE EAST
BLAINE, MN 55434
PHONE: 763/862-7000
EDGEMONT PLACE ALZHEIMER'S SPE
11748 ULYSSES LANE NE
BLAINE, MN 55434
PHONE: 763/862-7000
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
Lim-Liab
(31675)
651/287-0266
Lim-Liab COMP
(31648)
651/287-0266
Corp BASIC
(31874)
763/205-9735
Corp
(30625)
763/755-6400
Corp COMP
(20412)
763/755-6400
Lim-Liab
(29879)
763/786-4138
Lim-Liab
(30479)
763/754-2561
NProf
(32676)
763/762-8421
Lim-Liab TCOMP
(32456)
763/862-7001
Lim-Liab
(32457)
763/862-7001
Certification Registration
ANOKA (Cont.)* -------------------------
HWSAL
MS. RHONDA SCHILLINGER
MS. RHONDA SCHILLINGER
MR. PAULINUS FULTANG
HWSAL
MS. COLLEEN ROLOFF
MS. COLLEEN ROLOFF
ESRD
MR. NICK KIEFFER
HWSAL
MS. LORI MCGUIRE
HWSAL
MS. CINDY GLYNN
MS. JULIE MARUSKA
HWS
MS. JULIE MARUSKA
Minnesota Department of Health
Health Regulation Division 7Page
Directory of Facilities and Services
Facility/Service Owner Licensure
---------------------------**********
EDGEWOOD BLAINE LLC
12450 CLOUD DRIVE NE
BLAINE, MN 55449
PHONE: 763/754-7123
EDGEWOOD BLAINE LLC
12450 CLOUD DRIVE NE
BLAINE, MN 55449
PHONE: 763/754-1723
FRESENIUS MEDICAL CARE BLAINE
12555 CENTRAL AVENUE NE
BLAINE, MN 55434
PHONE: 763/754-6774
HEALTHMAX HOME HEALTH SERVICES
9298 CENTRAL AVE NE STE 204
BLAINE, MN 55434
PHONE: 651/665-0000
HIGH LAND CARE INC
10307 UNIVERSITY AVENUE NE
BLAINE, MN 55434
PHONE: 763/786-3439
MINNESOTA EYE LASER & SURGERY
11091 ULYSSES STREET
BLAINE, MN 55434
PHONE: 763/421-9410
MSOCS BLAINE HOME
12949 KENYON STREET NE
BLAINE, MN 55449
PHONE: 763/755-0233
NORTH METRO SURGERY CENTER
11855 ULYSSES STREET STE 270
BLAINE, MN 554344182
PHONE: 763/755-6540
SYNERGY HOME CARE NORTHEAST
9380 CENTRAL AVENUE NE STE 310
BLAINE, MN 55434
PHONE: 763/205-4440
COLUMBIA VILLAGE
1675 44TH AVENUE NE
COLUMBIA HEIGHTS, MN 55421
PHONE: 763/782-1606
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
Lim-Liab
(29791)
763/754-1723
Lim-Liab COMP
(29941)
763/754-1728
Corp
(28635)
763/754-6334
Lim-Liab COMP
(25988)
612/677-3947
Corp COMP
(03139)
763/783-3528
Lim-Liab Outpt Surg
(27713)
952/567-6188
State SLFB-6
(01644)
763/755-0281
Lim-Liab Outpt Surg
(26537)
763/755-6516
Corp COMP
(29621)
763/205-4403
NProf
(20787)
763/782-0857
Certification Registration
ANOKA (Cont.)* -------------------------
HWSAL
MS. LORI HANSON
MS. LORI HANSON
ESRD
MS. JENA ANDERBERG
HHA
MR. YOSSEPH ISAAK
MS. MARILYN LOM
Amb Surg
MR. BRENT WILDE
ICFIID-6
MR. RON RASMUSSON
Amb Surg
MS. CELESTE MOORE
MR. BRIAN MCDONALD
HWS
MR. MATT TOBALSKY
Minnesota Department of Health
Health Regulation Division Page 8
Directory of Facilities and Services
Facility/Service Owner Licensure Certification Registration
---------------------------********** ANOKA (Cont.)* --------------------------
NProf COMP
1515 44TH AVENUE NE
COLUMBIA HEIGHTS, MN 55421
CREST VIEW HOME CARE
(20750)
PHONE: 763/782-1605 FAX: 763/788-0012 MS. KRISTINE BACKMAN
NProf COMP HHA CREST VIEW HOME HEALTH CARE
1515 44TH AVENUE NE
COLUMBIA HEIGHTS, MN 55421 (03080)
PHONE: 763/782-1605 FAX: 763/788-0012 MS. KRISITNE BACKMAN
NProf NH-122 SNF-NF-122 CREST VIEW LUTHERAN HOME
4444 RESERVOIR BOULEVARD NE
COLUMBIA HEIGHTS, MN 55421 (00005)
PHONE: 763/782-1620 FAX: 763/782-0857 MR. MATTHEW TOBALSKY
NProf HWSAL
900 42ND AVENUE NE
COLUMBIA HEIGHTS, MN 55421
CREST VIEW ON 42ND
(21871)
PHONE: 763/781-5873 FAX: 763/782-0857 MS. JULIA BIEHN
CSSC NProf COMP
4111 CENTRAL AVENUE NE STE208C
COLUMBIA HEIGHTS, MN 55421 (29538)
PHONE: 952/200-8972 FAX: 612/465-2733 MS. YI LI YOU
NEW PERSPECTIVE - CH Lim-Liab COMP
3801 HART BOULEVARD NORTHEAST
COLUMBIA HEIGHTS, MN 55421 (26853)
PHONE: 763/210-6600 FAX: 763/210-6695 MS. KRIS BURSEY
NEW PERSPECTIVES Lim-Liab HWSAL-O
3801 HART BOULEVARD NE
COLUMBIA HEIGHTS, MN 55421 (30649)
PHONE: 763/210-6600 FAX: 763/210-6695 MS. KRIS BURSEY
PRIORITY LIFE HOME CARE LLC Lim-Liab COMP
4232 STINSON BOULEVARD NE
COLUMBIA HEIGHTS, MN 55421 (31665)
PHONE: 763/257-2227 FAX: /- MS. JOY HOPPERSTAD
Lim-Liab COMP
4710 CENTRAL AVENUE NE
COLUMBIA HEIGHTS, MN 55421 (25163)
PHONE: 763/746-8155 FAX: 763/746-8154 DR. ABDULWAHAB ASAMARAI
PRO-HEALTH HOME CARE AGENCY
NProf HWSAL
1515 44TH AVENUE NE
COLUMBIA HEIGHTS, MN 55421
ROYCE PLACE
(20079)
PHONE: 763/706-2563 FAX: 763/788-0012 MS. JULIA BIEHN
Minnesota Department of Health
Health Regulation Division 9Page
Directory of Facilities and Services
Facility/Service Owner Licensure
---------------------------**********
THE BOULEVARD
4458 RESERVOIR BOULEVARD NE
COLUMBIA HEIGHTS, MN 55421
PHONE: 763/782-1606
THE DWELLING PLACE ST PAUL
940 44TH AVENUE NE UNIT 21307
COLUMBIA HEIGHTS, MN 55421
PHONE: 651/221-0405
AUTUMN GLEN SENIOR LIVING
3715 COON RAPIDS BOULEVARD
COON RAPIDS, MN 55433
PHONE: 763/772-4492
AUTUMN GLEN SENIOR LIVING LLC
3715 COON RAPIDS BLVD
COON RAPIDS, MN 55433
PHONE: 763/772-4492
BETHESDA LUTHERAN COMM COT 5
2483 109TH AVENUE NW
COON RAPIDS, MN 55433
PHONE: 763/757-1574
BETHESDA LUTHERAN COMM COT 6
2493 109TH AVENUE NW
COON RAPIDS, MN 55433
PHONE: 952/443-2048
CAMILIA ROSE CARE CENTER LLC
11800 XEON BOULEVARD
COON RAPIDS, MN 55448
PHONE: 763/755-8400
CAMILIA ROSE GROUP HOME
11820 XEON BOULEVARD
COON RAPIDS, MN 55448
PHONE: 763/755-8480
COON RAPIDS DIALYSIS UNIT
3960 COON RAPIDS BLVD STE 309
COON RAPIDS, MN 55103
PHONE: 763/421-8717
CREEKSIDE COTTAGE CATERED LIVI
1190 117TH AVENUE NW
COON RAPIDS, MN 55448
PHONE: 763/862-5428
NProf
(20078)
FAX: 763/782-0857
Church
(31257)
FAX: /-
Lim-Liab COMP
(31554)
FAX: 763/746-4080
Lim-Liab
(31129)
FAX: 763/746-4080
NProf SLFA-12
(01538)
FAX: 763/757-3473
NProf SLFA-12
(01253)
FAX: 952/443-2371
Lim-Liab NH-80
(00757)
FAX: 763/755-8578
Lim-Liab SLFB-29
(01141)
FAX: 763/755-3130
Corp
(02316)
FAX: /-
Corp
(24666)
FAX: 763/754-6903
Certification Registration
ANOKA (Cont.)* -------------------------
HWS
MR. MATT TOBALSKY
HWS
MS. LINDA WIZA
MS. SUE BRENDEFUR
HWSAL-O
MS. SUE BRENDEFUR
ICFIID-12
MS. MONICA SCHMIDT
ICFIID-12
MS. MONICA SCHMIDT
SNF-NF-80
MR. MARK BROMAN
ICFIID-29
MS. MARY TJOSVOLD
ESRD
MS. ANNETTE GRUNDMEIER
HWSAL
MS. MARY TJOSVOLD
Minnesota Department of Health
Health Regulation Division 10Page
Directory of Facilities and Services
Facility/Service Owner Licensure
---------------------------**********
DEMAR ASSOCIATES INC
11777 XEON BOULEVARD
COON RAPIDS, MN 55448
PHONE: 763/754-2505
EAGLE STREET CATERED LIVING
12009 EAGLE STREET
COON RAPIDS, MN 55448
PHONE: 763/862-5438
ECUMEN AT HOME
199 COON RAPIDS BOULEVARD #111
COON RAPIDS, MN 55433
PHONE: 763/755-9009
ECUMEN HOME CARE TWIN CITIES
199 COON RAPIDS BLVD STE 111
COON RAPIDS, MN 55433
PHONE: 763/755-9009
ELIZJOSEPH HEALTHCARE
12032 TULIP STREET NW
COON RAPIDS, MN 55433
PHONE: 612/501-4029
EPIPHANY ASSISTED LIVING LLC
10955 HANSON BOULEVARD NW
COON RAPIDS, MN 55433
PHONE: 763/755-0320
EPIPHANY ASSISTED LIVING LLC
10955 HANSON BOULEVARD NW
COON RAPIDS, MN 55433
PHONE: 763/755-9299
FMC DIALYSIS SERVCES NO SUBURB
9144 SPRINGBROOK DRIVE
COON RAPIDS, MN 55355
PHONE: 763/783-0103
FRESENIUS MED CA RND LK DIALYS
3777 COON RAPIDS BLVD NW #200
COON RAPIDS, MN 55433
PHONE: 763/323-1234
FRESENIUS MED CARE COON RAPIDS
3465 NORTHDALE BOULEVARD
COON RAPIDS, MN 55448
PHONE: 763/421-1032
Corp
(20134)
FAX: 763/754-0332
Corp
(20835)
FAX: 763/755-3631
NProf COMP
(26983)
FAX: 763/862-8030
NProf COMP
(02135)
FAX: 763/862-8030
Lim-Liab COMP
(31880)
FAX: 651/666-5738
Lim-Liab
(30688)
FAX: 763/772-1044
Lim-Liab COMP
(21113)
FAX: 763/772-1070
Corp
(02816)
FAX: /-
Corp
(30283)
FAX: 763/323-6695
Corp
(25769)
FAX: 763/421-1054
Certification Registration
ANOKA (Cont.)* -------------------------
HWSAL
MS. MARY TJOSVOLD
HWSAL
MS. MARY TJOSVOLD
MS. SHARON JOHNSON
HHA
MS. MARGARET HEATON
MS. DAMILOLA AGUNBIADE
HWSAL
MS. MARY MCCARTY
MS. MARY MCCARTY
ESRD
MR. JOHN MARIETTI
ESRD
MR. JOHN MARIETTI
ESRD
MR. JOHN MARIETTI
Minnesota Department of Health
Health Regulation Division 11Page
Directory of Facilities and Services
Facility/Service Owner Licensure
---------------------------**********
GRACIOUS COMPANIONS LLC
12564 GROUSE STREET NW
COON RAPIDS, MN 55448
PHONE: 763/757-5708 FAX:
GRACIOUS COMPANIONS LLC
12564 GROUSE STREET NW
COON RAPIDS, MN 55448
PHONE: 763/757-5708 FAX:
HAPPY HEARTS HOME HEALTH AGENC
2615 115TH LANE NW
COON RAPIDS, MN 55433
PHONE: 763/706-7300 FAX:
HAPPY HEARTS HOME HLTH AGENCY
2615 115TH LANE NW
COON RAPIDS, MN 55433
PHONE: 763/706-7300 FAX:
HOMESTEAD COON RAPIDS MEMORY
1770 113TH LANE
COON RAPIDS, MN 55433
PHONE: 763/754-3500 FAX:
HOPE PLACE
80 COON RAPIDS BOULEVARD
COON RAPIDS, MN 55448
PHONE: 763/323-2066 FAX:
MARGARET PLACE LIMITED PARTNER
1555 118TH LANE NW
COON RAPIDS, MN 55448
PHONE: 763/754-2505 FAX:
MARGARET PLACE LIMITED PARTNER
1555 118TH LANE NW
COON RAPIDS, MN 55448
PHONE: 763/754-2505 FAX:
MARY T HOME HEALTH
1555 118TH LANE NW
COON RAPIDS, MN 55448
PHONE: 763/862-5426 FAX:
MARY T HOSPICE
1555 118TH LANE NW
COON RAPIDS, MN 55448
PHONE: 763/772-9963 FAX:
Lim-Liab
(27401)
763/757-1753
Lim-Liab BASIC
(28834)
763/757-1753
Lim-Liab COMP
(26510)
763/241-9185
Lim-Liab
(31553)
763/208-1463
NProf
(20478)
763/754-3700
NProf
(32768)
/-
Part COMP
(20886)
/-
Part
(30826)
763/754-0332
Corp COMP
(03136)
763/755-3631
Corp Hospice
(26345)
763/754-0332
Certification Registration
ANOKA (Cont.)* -------------------------
Home Mgmt
MS. REGINA KENNEY
MS. REGINA KENNEY
MS. CYNTHIA ANDERSON
HWSAL
MS. CYNTHIA ANDERSON
HWSAL
MS. JENNIFER FRAZER- JOHN
HWS-O
MS. LISA JACOBSON
MS. KIM NEAL
HWS
MS. MARY TJOSVOLD
HHA
MR. RANDALL LEJA
HSPICE
MR. RANDALL LEJA
Minnesota Department of Health
Health Regulation Division 12Page
Directory of Facilities and Services
Facility/Service Owner Licensure
---------------------------**********
MERCY HOSPITAL
4050 COON RAPIDS BOULEVARD
COON RAPIDS, MN 55433
PHONE: 762/236-8100
MNGI ENDOSCOPY COON RAPIDS
9145 SPRING BROOK DRIVE
COON RAPIDS, MN 55433
PHONE: 612/871-1145
PARK RIVER ESTATES CARE CENTER
9899 AVOCET STREET NW
COON RAPIDS, MN 55433
PHONE: 763/757-2320
REHABCARE
300 COON RAPIDS BOULEVARD #200
COON RAPIDS, MN 55433
PHONE: 763/767-0854
REHABCARE AGENCY MN
300 COON RAPIDS BLVD STE 200
COON RAPIDS, MN 55433
PHONE: 763/767-0854
REM MN COMM SRVS INC KUMQUAT
12011 KUMQUAT STREET NW
COON RAPIDS, MN 55448
PHONE: 651/644-7680
SELECT SENIOR LIVING OF COON R
11350 MARTIN STREET
COON RAPIDS, MN 55433
PHONE: 763/710-0270
SELECT SENIOR LIVING OF COON R
11350 MARTIN STREET NW
COON RAPIDS, MN 55433
PHONE: 763/767-1127
THE HOMESTEAD AT COON RAPIDS
11372 ROBINSON DRIVE NW
COON RAPIDS, MN 55433
PHONE: 763/754-3500
THE HOMESTEAD AT COON RAPIDS
11372 ROBINSON DRIVE NW
COON RAPIDS, MN 55433
PHONE: 763/754-3500
NProf HOSP-546
(00009)
FAX: 763/236-8124
Corp Outpt Surg
(21075)
FAX: /-
Corp NH-99
(00010)
FAX: 763/757-6946
Corp COMP
(27066)
FAX: 763/862-6533
Corp
(02199)
FAX: 763/862-6533
Corp SLFB-6
(01591)
FAX: 651/644-6777
Lim-Liab COMP
(25728)
FAX: 763/432-9654
Lim-Liab
(25729)
FAX: 763/862-6852
NProf
(30689)
FAX: 763/754-3700
NProf COMP
(20532)
FAX: 763/754-3700
Certification Registration
ANOKA (Cont.)* -------------------------
BASS-27 HOSP-531 PPS-P-15
MS. SARA CRIGER
Amb Surg
DR. SCOTT KETOVER
SNF-NF-99
MR. THOMAS POLLOCK
MR. TRAVIS KIERSTEAD
Out Pt Out St Out Ot
MR. TRAVIS KIERSTEAD
ICFIID-6
MS. CONNIE MENNE
MS. DIANA DELGADO
HWSAL
MS. DIANA DELGADO
HWSAL
MS. JENNIFER FRAZER- JOHN
MS. JENNIFER FRAZER-JOHN
Minnesota Department of Health
Health Regulation Division Page 13
Directory of Facilities and Services
Facility/Service Owner Licensure Certification Registration
---------------------------********** ANOKA (Cont.)* -------------------------
WE CARE HOME HEALTH SERVICES Lim-Liab TCOMP
2016 123RD AVENUE NW
COON RAPIDS, MN 55448 (32613)
PHONE: 612/203-4758 FAX: 763/757-1187 MS. MATILDA AGYAPONG
NProf NH-50 SNF-NF-50 BENEDICTINE LIVING CTR FRIDLEY
520 OSBORNE ROAD NE
FRIDLEY, MN 55432 (29890)
PHONE: 763/230-3131 FAX: 763/689-7197 MS. NICOLE DONAHUE
DIAMEND HEALTH CARE LLC Lim-Liab COMP
4100 MAIN STREET NE
FRIDLEY, MN 55421 (30186)
PHONE: 763/587-5978 FAX: 763/762-6188 MS. ADHEL DAU
EAST RIVER ROAD DIALYSIS Corp ESRD
5301 EAST RIVER RD NE STE 117
FRIDLEY, MN 55421 (25501)
PHONE: 763/571-5556 FAX: 763/571-7882 MR. LAWRENCE BLAIR
Corp HWSAL EMPOWERMENT HC SAMS HOUSE
5401 4TH STREET NE
FRIDLEY, MN 55421 (32534)
PHONE: 860/967-9340 FAX: /- MR. ROGER BONNY
FRIDLEY ASSISTED LIVING LLC Lim-Liab HWSAL
6352 CENTRAL AVENUE
FRIDLEY, MN 55432 (27981)
PHONE: 763/574-7366 FAX: 763/574-7362 MS. RHONDA SCHILLNGER
Lim-Liab COMP
6352 CENTRAL AVENUE
FRIDLEY, MN 55432
FRIDLEY ASSISTED LIVING LLC
(27980)
PHONE: 763/574-7366 FAX: 763/574-7362 MS. RHONDA SCHILLINGER
Corp TBASIC HEAVENS HOME HEALTH CARE
5830 2ND STREET NE STE 1
FRIDLEY, MN 55432 (32377)
PHONE: 612/868-0223 FAX: /- MS. RENISHA GRAY
Out St Out Ot METRO THERAPY SPECIAL CHILDREN Corp
5155 EAST RIVER ROAD STE 403
FRIDLEY, MN 55421 (02799)
PHONE: 763/572-2519 FAX: 763/572-2616 MS. AUDREY CHAPUT
Lim-Liab Outpt Surg Amb Surg MN ORTHOPAEDIC SURG CTR LLC
8290 UNIVERSITY AVE NE STE 100
FRIDLEY, MN 55432 (04305)
PHONE: 763/786-0461 FAX: 763/786-0471 MS. REBECCA ANDERSON
Minnesota Department of Health
Health Regulation Division Page 14
Directory of Facilities and Services
Facility/Service Owner Licensure Certification Registration
ANOKA ---------------------------********** (Cont.)* -------------------------
PRIDE N' LIVING HOME CARE INC Corp COMP
7691 CENTRAL AVENUE STE 102
FRIDLEY, MN 55432 (23218)
PHONE: 763/572-2390 FAX: 763/574-2459 MS. INGRID ADAMS
TEALWOOD MANAGEMENT LLC Lim-Liab COMP
6490 CENTRAL AVENUE NE
FRIDLEY, MN 55432 (28954)
PHONE: 763/571-7355 FAX: 763/571-7299 MS. JONI OBERG
Lim-Liab NH-54 SNF-NF-54 THE ESTATES AT FRIDLEY LLC
5700 EAST RIVER ROAD
FRIDLEY, MN 55432 (00935)
PHONE: 763/571-3150 FAX: 763/571-2805 MS. LYNN HOGENDORN
THE LANDMARK OF FRIDLEY Lim-Liab HWSAL
6490 CENTRAL AVENUE NE
FRIDLEY, MN 55432 (28887)
PHONE: 763/571-7355 FAX: 763/571-7299 MS. JONI OBERG
UPEND HOME HEALTH CARE, INC Corp COMP
357 66TH AVENUE NE
FRIDLEY, MN 55432 (32360)
PHONE: 612/961-8570 FAX: /- MR. SUAD ISSE
WELCOME HOME HEALTH CARE Corp COMP
5300 4TH STREET NE
FRIDLEY, MN 55432 (22195)
PHONE: 320/587-0005 FAX: 320/587-0053 MR. ROMAN BLOEMKE
Out Pt Out Ot HAM LAKE PHYSICAL THERAPY Corp
16210 ABERDEEN STREET NE STE B
HAM LAKE, MN 55304 (03772)
PHONE: 763/413-0880 FAX: 763/413-0850 MR. MARK NETZINGER
Corp Home Mgmt A TIME FOR HELP INC
481 LINDEN LANE
LINO LAKES, MN 55014 (29137)
PHONE: 651/481-1991 FAX: 651/348-7186 MS. SHIRLYN NICKELSON
Lim-Liab COMP
695 OAK LANE
LINO LAKES, MN 55014 (29183)
PHONE: 651/242-3690 FAX: /- MS. ELIZABETH TAMFU
COMPASSIONATE LUCYS SENIOR HOM
LINO LAKES ASSISTED LIVING LLC Lim-Liab HWSAL
725 TOWN CENTER PARKWAY
LINO LAKES, MN 55014 (30745)
PHONE: 763/267-6183 FAX: 763/398-2294 MS. DEIDRA BURKE
Minnesota Department of Health
Health Regulation Division Page 15
Directory of Facilities and Services
Facility/Service Owner Licensure Certification Registration
ANOKA ---------------------------********** (Cont.)* -------------------------
LINO LAKES ASSISTED LIVING LLC Lim-Liab COMP
725 TOWN CENTER PARKWAY
LINO LAKES, MN 55014 (27529)
PHONE: 763/267-6183 FAX: 763/398-2294 MR. DAVID JONES
LINO LAKES GRACEWOOD SR LIVING Lim-Liab HWSAL
675 MARKET PLACE DRIVE
LINO LAKES, MN 55014 (31761)
PHONE: 651/287-0265 FAX: 651/287-0266 MS. RHONDA SCHILLINGER
LINO LAKES GW LLC Lim-Liab COMP
675 MARKET PLACE DRIVE
LINO LAKES, MN 55014 (31673)
PHONE: 651/287-0265 FAX: 651/287-0266 MS. RHONDA SCHILLINGER
FUNDAMENTAL KIDS THERAPY LLC Lim-Liab COMP
145 221ST AVENUE NW
OAK GROVE, MN 55011 (29241)
PHONE: 952/297-2460 FAX: /- MS. JULIE JOHNSON
Corp Home Mgmt CAREFREE HOME SERVICES INC
7830 149TH LANE NW
RAMSEY, MN 55303 (27857)
PHONE: 763/422-9713 FAX: 763/421-3098 MR. MICHAEL BEACH
DIGNITY HEALTHCARE SERVICES Lim-Liab COMP
5676 154TH AVENUE NW
RAMSEY, MN 55303 (29956)
PHONE: 651/283-9043 FAX: 763/600-6736 MS. FLORENCE BASSA
Lim-Liab COMP
14401 NOWTHEN BLVD NW
RAMSEY, MN 55303
STONEY RIVER OF RAMSEY ASSISTE
(31331)
PHONE: 612/615-9936 FAX: 763/999-3475 MS. MARY DEPIETRO
STONEY RIVER RAMSEY Lim-Liab HWSAL
14401 NOWTHEN BOULEVARD NW
RAMSEY, MN 55303 (31334)
PHONE: 612/615-9936 FAX: 763/898-3975 MR. LEE TUCHFARBER
HWSAL MAYA'S HOUSE Corp
924 VICEROY DRIVE NE
SPRING LAKE PARK, MN 55432 (31788)
PHONE: 763/432-0410 FAX: /- MR. ROGER BONNY
OAK CREST SENIOR LIVING ONProf HWSAL
1639 COUNTY HIGHWAY 10
SPRING LAKE PARK, MN 55432 (27156)
PHONE: 763/783-0150 FAX: 763/783-0154 MS. CHERYL GRAMS
Minnesota Department of Health
Health Regulation Division 16Page
Directory of Facilities and Services
Facility/Service Owner Licensure Certification Registration
ANOKA ---------------------------********** (Cont.)* -------------------------
OROMIA HEALTH CARE Ind TCOMP
1620 81ST AVENUE NE APT 3
SPRING LAKE PARK, MN 55432 (32345)
PHONE: 612/345-2101 FAX: /- MS. AISHA ALI
TBASIC RELIEVE CARE INC Corp
1310 81ST AVENUE EAST
SPRING LAKE PARK, MN 55432 (32581)
PHONE: 763/757-3207 FAX: 763/780-5700 MS. LARA FATUNBI
BECKER ---------------------------********** ******** -------------------------
Lim-Liab HWSAL
1564 RANDOLPH ROAD
DETROIT LAKES, MN 56501 (25400)
PHONE: 218/846-0147 FAX: 218/846-0149 MS. SARA KLEINSCHMIDT
DIAMOND WILLOW ASSISTED LIVING
DIAMOND WILLOW ASSISTED LIVING Lim-Liab HWSAL
1558 RANDOLPH ROAD
DETROIT LAKES, MN 56501 (25380)
PHONE: 218/846-0825 FAX: 218/846-0828 MS. SARA KLEINSCHMIDT
NProf COMP HCBS EMMANUEL COMMUNITY
1415 MADISON AVENUE
DETROIT LAKES, MN 56501 (22058)
PHONE: 218/847-4486 FAX: 218/847-4488 MS. ASHLEY MCNALLY
Church NH-102 SNF-NF-102 EMMANUEL NURSING HOME
1415 MADISON AVENUE
DETROIT LAKES, MN 56501 (00013)
PHONE: 218/847-4486 FAX: 218/847-4488 MS. KATIE LUNDMARK
Church COMP HHA ESSENTIA HEALTH HOME CARE WEST
114 FRAZEE STREET EAST
DETROIT LAKES, MN 56501 (03707)
PHONE: 218/847-0808 FAX: 218/847-0850 MS. LINDA HESPE
NProf NH-96 SNF-NF-96 ESSENTIA HEALTH OAK CROSSING
1040 LINCOLN AVENUE
DETROIT LAKES, MN 56501 (00907)
PHONE: 218/844-0700 FAX: 218/844-0780 MS. CHRISTY BRINKMAN
NProf HOSP-87 BASS-16 HOSP-87 ESSENTIA HLTH ST MARYS DETROIT
1027 WASHINGTON AVENUE
DETROIT LAKES, MN 56501 (00888)
PHONE: 218/847-0888 FAX: 218/847-7674 MR. PETER JACOBSON
Minnesota Department of Health
Health Regulation Division 17Page
Directory of Facilities and Services
Facility/Service Owner Licensure
---------------------------**********
GOLDEN MANOR CORPORATION
1159 GARNET BOULEVARD
DETROIT LAKES, MN 56501
PHONE: 218/844-3300
GOLDEN MANOR MEMORY CARE
1159 GARNET BOULEVARD
DETROIT LAKES, MN 56501
PHONE: 218/844-6028
GOLDEN MANOR OF DETROIT LAKES
1165 GARNET BOULEVARD
DETROIT LAKES, MN 56501
PHONE: 218/844-3300
LAMPLIGHTER MANOR
1425 MADISON AVENUE
DETROIT LAKES, MN 56501
PHONE: 218/847-7768
LINCOLN PARK ASSISTED LIVING
208 OAK STREET
DETROIT LAKES, MN 56501
PHONE: 218/844-0701
LINCOLN PARK SENIOR APARTMENT
207 PARK STREET
DETROIT LAKES, MN 56501
PHONE: 218/844-0701
MAHUBE OTWA COMMUNITY ACTION
1125 WEST RIVER ROAD PO BOX747
DETROIT LAKES, MN 565020747
PHONE: 218/847-1385
PARK MANOR ESTATES
1035 ROOSEVELT AVENUE
DETROIT LAKES, MN 56501
PHONE: 218/847-2636
SANFORD DETROIT LAKES HOME DIA
1245 WASHINGTON AVENUE
DETROIT LAKES, MN 56501
PHONE: 218/846-2000
SANFORD DIALYSIS DETROIT LAKES
114 EAST FRAZEE STREET
DETROIT LAKES, MN 56501
PHONE: 218/847-0825
Corp COMP
(21056)
FAX: 218/844-3301
Corp
(24138)
FAX: 218/844-6029
Corp
(23040)
FAX: 218/844-3301
ONProf
(20313)
FAX: 218/847-5384
NProf
(21201)
FAX: 218/847-0895
NProf
(21248)
FAX: 218/847-0895
NProf
(29250)
FAX: 218/847-1388
Part
(24593)
FAX: 218/844-2637
NProf
(28638)
FAX: 218/846-2005
NProf
(20925)
FAX: /-
BECKER
MS. JENNIFER BERG
MS. JENNIFER BERG
MS. JENNIFER BERG
MS. ROSE LENZNER
MS. TONYA CLEM
Certification Registration
(Cont.)* -------------------------
HWSAL
HWSAL
HWS
HWSAL
HWS
MS. TONYA CLEM
Home Mgmt
DR. PIGATTI LEAH
HWS
MR. BRANDON EISENBEIS
ESRD
MS. MARIA REGNIER
ESRD
MS. MARIA REGNIER
Minnesota Department of Health
Health Regulation Division Page 18
Directory of Facilities and Services
Facility/Service Owner Licensure Certification Registration
BECKER ---------------------------********** (Cont.)* --------------------------
NProf Outpt Surg Amb Surg SANFORD HTH DL CLNC SAME DAY
1245 WASHINGTON AVENUE
DETROIT LAKES, MN 56501 (27351)
PHONE: 218/846-2269 FAX: 218/846-7001 MS. BREANNA ADAMS
ST MARYS SENIOR LIVING SUPPORT NProf COMP
1027 WASHINGTON AVENUE
DETROIT LAKES, MN 56501 (23436)
PHONE: 218/844-0701 FAX: 218/874-0895 MS. TONYA CLEM
THE COTTAGE AND DAY SPA NProf HWSAL
1435 MADISON AVENUE
DETROIT LAKES, MN 56501 (25997)
PHONE: 218/844-9437 FAX: 218/844-9446 MS. ASHLEY MCNALLY
THE MADISON AT EMMANUEL COMMUN NProf HWS
1405 MADISON AVENUE
DETROIT LAKES, MN 56501 (23721)
PHONE: 218/844-9431 FAX: 218/847-4488 MS. JENNIFER BRISTLIN
NProf SLFB-9 ICFIID-9 WEST HOME
1118 WEST AVENUE
DETROIT LAKES, MN 56502 (01311)
PHONE: 218/847-5642 FAX: 218/847-7176 MR. THOMAS REIFFENBERGER
WINCHESTER ON WASHINGTON NProf HWS
1051 WASHINGTON AVENUE
DETROIT LAKES, MN 56501 (20241)
PHONE: 218/844-0701 FAX: 218/847-0895 MS. TONYA CLEM
Lim-Liab HWSAL
311 WEST MAPLE AVENUE
FRAZEE, MN 56544
FRAZEE ASSISTED LIVING
(30423)
PHONE: 218/334-4501 FAX: 218/334-4500 MR. JONATHAN STONE
FRAZEE ASSISTED LIVING HC Lim-Liab COMP
311 WEST MAPLE AVENUE
FRAZEE, MN 56544 (20154)
PHONE: 218/334-4501 FAX: 218/334-4500 MR. MIKE ANDERSON
Lim-Liab NH-60 SNF-NF-60 FRAZEE CARE CENTER
219 W MAPLE AVENUE PO BOX 96
FRAZEE, MN 56544 (00730)
PHONE: 218/334-4501 FAX: 218/334-4500 MR. MIKE ANDERSON
Cnty NH-34 SNF-NF-34 SUNNYSIDE CARE CENTER
16561 US HIGHWAY 10
LAKE PARK, MN 56554 (00016)
PHONE: 218/238-5944 FAX: 218/238-6854 MS. DANIELLE OLSON
Minnesota Department of Health
Health Regulation Division 19Page
Directory of Facilities and Services
Facility/Service Owner Licensure Certification Registration
BECKER ---------------------------********** (Cont.)* -------------------------
NORTH STAR NURSING TEMPORARY A Corp COMP
22119 480TH AVENUE PO BOX 306
OSAGE, MN 56570 (21664)
PHONE: 218/573-2238 FAX: 218/573-3778 MS. HEIDI CLEMENTS
ESRD WHITE EARTH DIALYSIS Corp
26246 CRANE ROAD
WHITE EARTH, MN 56591 (30499)
PHONE: 218/983-4699 FAX: 218/983-4241 MS. MARIA REGNIER
Tribal COMP HHA WHITE EARTH HOME HEALTH
26246 CRANE ROAD PO BOX 496
WHITE EARTH, MN 56591 (02147)
PHONE: 218/983-3286 FAX: 218/983-2734 MS. LINDSI MCARTHUR
BELTRAMI ---------------------------********** ******** -------------------------
A TOUCH OF HOME NORTH Lim-Liab HWSAL-O
915 21ST STREET NW
BEMIDJI, MN 56601 (30713)
PHONE: 218/444-5878 FAX: 218/444-5114 MS. SHAWN VANANTWERPEN
Corp HWSAL AUTUMN HILLS OF BEMIDJI INC
2528 PARK AVENUE NW
BEMIDJI, MN 56601 (30484)
PHONE: 218/333-3854 FAX: 218/333-3855 MS. SHELLEY CLOOSE
COMP AUTUMN HILLS OF BEMIDJI INC Corp
2528 PARK AVENUE NW
BEMIDJI, MN 56601 (23983)
PHONE: 218/333-3854 FAX: 218/333-3855 MS. SHELLEY CLOOSE
BAKER PARK INC NProf HWSAL
803 DEWEY AVENUE
BEMIDJI, MN 56601 (20518)
PHONE: 218/751-7249 FAX: 218/333-2717 MR. BRYAN NERMOE
COMP HHA BELTRAMI COUNTY HEALTH & HUMAN Cnty
616 AMERICA AVENUE NW STE 340
BEMIDJI, MN 56601 (02007)
PHONE: 218/333-8100 FAX: 218/333-8360 MS. CYNTHIA BORGEN
BIRCHHAVEN VILLAGE Corp HWS
1700 NORTON AVENUE NW
BEMIDJI, MN 56601 (28606)
PHONE: 218/444-1700 FAX: 218/444-1760 MR. NICK BERG
Minnesota Department of Health
Health Regulation Division Page 20
Directory of Facilities and Services
Facility/Service Owner Licensure Certification Registration
BELTRAMI ---------------------------********** (Cont.)* -------------------------
Corp HWSAL CEDAR COTTAGE
1711 DELTON AVENUE NW
BEMIDJI, MN 56601 (30829)
PHONE: 218/444-3047 FAX: 218/444-7668 MS. KATHLEEN BIRCHEM
CEDAR COTTAGE Corp COMP
1711 DELTON AVENUE NW
BEMIDJI, MN 56601 (20923)
PHONE: 218/444-3047 FAX: 218/444-7668 MS. SHERRY DENAULT
Corp HWSAL COLLEEN'S CARING HANDS
2525 BEMIDJI AVENUE NORTH
BEMIDJI, MN 56601 (30648)
PHONE: 218/333-8852 FAX: 218/444-9183 MS. COLLEEN HILL-KJOS
COLLEEN'S CARING HANDS Corp COMP
2525 BEMIDJI AVENUE NORTH
BEMIDJI, MN 56601 (26834)
PHONE: 218/333-8852 FAX: 218/444-9183 MS. COLLEEN HILL-KJOS
State OTHER-16 PSY-16 COMM BEHAV HLTH HOSP BEMIDJI
800 BEMIDJI AVENUE NORTH
BEMIDJI, MN 56601 (25049)
PHONE: 218/308-2401 FAX: 218/333-6800 MR. LARRY LAUDON
GOLDPINE HOME Corp COMP
1700 30TH STREET NW
BEMIDJI, MN 56601 (20075)
PHONE: 218/444-4346 FAX: 218/444-4083 MR. DUSTIN HOLLOWAY
HWSAL GOLDPINE HOME Corp
1700 30TH STREET NW
BEMIDJI, MN 56601 (30332)
PHONE: 218/444-4346 FAX: 218/444-4083 MR. DUSTIN HOLLOWAY
Corp NH-90 SNF-NF-90 HAVENWOOD CARE CENTER
1633 DELTON AVENUE
BEMIDJI, MN 56601 (00017)
PHONE: 218/444-1745 FAX: 218/759-1744 MR. BRANDON BJERKE
Ind COMP LONG LAKE LOON LODGE
7747 LOON LODGE LANE NE
BEMIDJI, MN 56601 (22011)
PHONE: 218/586-2945 FAX: 218/586-4094 MS. AMY DELAP
LONG LAKE LOON LODGE Ind HWS
7747 LOON LODGE LANE NE
BEMIDJI, MN 56601 (20285)
PHONE: 218/586-2945 FAX: 218/586-4094 MS. AMY DELAP
Minnesota Department of Health
Health Regulation Division 21Page
Directory of Facilities and Services
Facility/Service
---------------------------**********
NEILSON PLACE
1000 ANNE STREET NW
BEMIDJI, MN 56601
PHONE: 218/751-0220
NORTHWOODS CAREGIVERS
616 AMERICA AVENUE NW STE 170
BEMIDJI, MN 56601
PHONE: 218/333-8264
NORTHWOODS CAREGIVERS
616 AMERICA AVENUE STE 170
BEMIDJI, MN 56601
PHONE: 218/333-8264
PROGRESSIVE HEALTH CARE OF BEM
405 BELTRAMI AVENUE
BEMIDJI, MN 56601
PHONE: 218/444-6876
SANFORD BEMIDJI HOME CARE
3201 PINE RIDGE AVENUE NW A
BEMIDJI, MN 56601
PHONE: 218/333-5665
SANFORD BEMIDJI HOSPICE
3201 PINE RIDGE AVENUE NW A
BEMIDJI, MN 56601
PHONE: 218/333-5665
SANFORD BEMIDJI MEDICAL CENTER
1300 ANNE STREET NW
BEMIDJI, MN 56601
PHONE: 218/751-5430
SANFORD DIALYSIS BEMIDJI
1300 ANNE STREET NW
BEMIDJI, MN 56601
PHONE: 218/751-5430
SANFORD HEALTH NEILSON PLACE
803 DEWEY AVENUE
BEMIDJI, MN 56601
PHONE: 218/751-0220
TAMARACK COURT
1511 DELTON AVENUE NW
BEMIDJI, MN 56601
PHONE: 218/444-4999
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
Owner Licensure Certification Registration
BELTRAMI (Cont.)* --------------------------
NProf NH-78 SNF-NF-78
(0082
218/333-6514
3)
MS. LINDA BARKLEY
NProf Home Mgmt
(2973
218/333-8263
NProf
0)
TCOMP
MS. CINDI JERNIGAN
(3256
218/333-8263
Corp
0)
COMP
MS. CINDI JERNIGAN
(2185
218/444-2747
6)
MR. PAUL IVERSON
NProf COMP HHA
(0237
218/333-5642
2)
MR. BRYAN NERMOE
NProf Hospice HSPICE
(0241
218/333-5642
7)
MR. BRYAN NERMOE
NProf HOSP-118
OTHER-
BASS-12 OTHER- HOSP-89 PPS-P-12 PPS-R-17 PPS-
R- PPS-P-
(0082218/333-5880
1) MR. BRYAN NERMOE
NProf ESRD
(0337
/-
NProf
6)
COMP
MS. MARIA REGNIER
(2684
218/333-6514
3)
MR. BRYAN NERMOE
Corp COMP
(26081)
218/444-5603 MS. SHIRLEY DANIELSON
Minnesota Department of Health
Health Regulation Division 22Page
Directory of Facilities and Services
Facility/Service Owner Licensure
---------------------------**********
TAMARACK COURT
1511 DELTON AVENUE NW
BEMIDJI, MN 56601
PHONE: 218/444-4999 FAX:
TOUCH OF HOME
711 17TH STREET
BEMIDJI, MN 56601
PHONE: 218/444-2775 FAX:
TOUCH OF HOME
711 17TH STREET
BEMIDJI, MN 56601
PHONE: 218/444-2775 FAX:
TOUCHING HEARTS AT HOME BEMIDJ
615 ANNE STREET STE B
BEMIDJI, MN 56601
PHONE: 218/333-8509 FAX:
TRILLIUM
930 ANNE STREET NW
BEMIDJI, MN 56601
PHONE: 218/333-6289 FAX:
WINDSONG
1010 ANNE STREET NW
BEMIDJI, MN 56601
PHONE: 218/751-0220 FAX:
GOOD SAM SOCIETY BLACKDUCK
172 SUMMIT AVENUE WEST
BLACKDUCK, MN 56630
PHONE: 218/835-4218 FAX:
GOOD SAMARITAN SOCIETY BLACKDU
152 MARGARET AVENUE NW
BLACKDUCK, MN 56630
PHONE: 218/835-5482 FAX:
GOOD SAMARITAN SOCIETY BLACKDU
152 MARGARET AVENUE NW
BLACKDUCK, MN 56630
PHONE: 218/835-5482 FAX:
SERENITY LIVING SOLUTIONS OF B
441 4TH STREET NE
BLACKDUCK, MN 56630
PHONE: 218/835-4564 FAX:
Corp
(30668)
218/444-5603
Lim-Liab COMP
(21397)
218/444-5114
Lim-Liab
(30749)
218/444-5114
Ind
(31674)
218/333-8509
NProf
(26844)
218/333-5639
NProf
(27160)
218/333-5639
NProf NH-30
(00021)
218/835-3424
NProf COMP
(26635)
218/834-5484
NProf
(30737)
218/835-5484
Corp
(21164)
218/835-5809
Certification Registration
BELTRAMI (Cont.)* -------------------------
HWSAL
MS. SHIRLEY DANIELSON
MS. SHAWN VANANTWEPEN
HWSAL
MS. SHAWN VANANTWERPEN
Home Mgmt
MR. DAVID THONVOLD
HWSAL
MR. BRYAN NERMOE
HWSAL
MR. BRYAN NERMOE
SNF-NF-30
MS. ANDREA MAJOR
MR. GORDON HORMANN
HWSAL
MS. ANDREA MAJOR
HWSAL
MS. KRISTINE ALBRECHT
Minnesota Department of Health
Health Regulation Division Page 23
Directory of Facilities and Services
Facility/Service Owner Licensure Certification Registration
---------------------------********** BELTRAMI (Cont.)* -------------------------
SERENITY LIVING SOLUTIONS OF B Corp COMP
441 4TH STREET NE
BLACKDUCK, MN 56630 (31836)
PHONE: 218/835-4564 FAX: 218/835-5809 MR. TIM MATROS
HWSAL CORNERSTONE RESIDENCE OF KELLI Corp
280 MAIN STREET WEST
KELLIHER, MN 56650 (30575)
PHONE: 218/647-8258 FAX: 218/647-8483 MS. KARI SWANSON
CORNERSTONE RESIDENCE OF KELLI Corp COMP
280 MAIN STREET WEST
KELLIHER, MN 56650 (25374)
PHONE: 218/647-8258 FAX: 218/647-8483 MS. KARI SWANSON
Tribal OTHER- SNF-NF-47 JOURDAIN PERPICH EXT CARE FAC
24856 HOSPITAL DRIVE
RED LAKE, MN 56671 (00355)
PHONE: 218/679-3400 FAX: /- MR. LARRY PASSEL
SANFORD DIALYSIS RED LAKE NProf ESRD
24760 HOSPITAL DRIVE BOX 249
RED LAKE, MN 56671 (23621)
PHONE: 218/679-3117 FAX: 218/679-4306 MS. MARIA REGNIER
MEADOWLAND ELDER CARE HOMES Corp HWS
21368 GULL LAKE LOOP ROAD NE
TENSTRIKE, MN 56683 (30717)
PHONE: 218/586-3740 FAX: 218/586-3746 MS. DONNA STEPHENS
HWSAL MEADOWLAND ELDER CARE HOMES II Corp
21368 GULL LAKE LOOP ROAD NE
TENSTRIKE, MN 56683 (21191)
PHONE: 218/586-3740 FAX: 218/586-3746 MS. DONNA STEPHENS
BENTON ---------------------------********** ******** -------------------------
NH-89 SNF-NF-89 FOLEY NURSING CENTER Corp
253 PINE STREET
FOLEY, MN 56329 (00629)
PHONE: 320/968-6201 FAX: 320/968-7051 MR. ANDY HUHTA
Corp COMP HHA HERITAGE HOME HEALTH & HOSPICE
152 NORMAN AVENUE SOUTH
FOLEY, MN 56329 (02339)
PHONE: 320/968-7117 FAX: 320/968-7316 MS. CHELSEY NESS
Minnesota Department of Health
Health Regulation Division 24Page
Directory of Facilities and Services
Facility/Service Owner Licensure Certification Registration
BENTON ---------------------------********** (Cont.)* -------------------------
HERITAGE PLACE Lim-Liab HWSAL
120 NORMAN AVENUE SOUTH
FOLEY, MN 56329 (20153)
PHONE: 320/968-6425 FAX: 320/968-9916 MR. ANDY HUHTA
HWSAL HERITAGE POINTE Corp
104 NORMAN AVENUE SOUTH
FOLEY, MN 56329 (26321)
PHONE: 320/968-6425 FAX: 320/968-9916 MR. ANDY HUHTA
HERITAGE POINTE Corp COMP
120 NORMAN AVENUE SOUTH
FOLEY, MN 56329 (26407)
PHONE: 320/968-6201 FAX: 320/968-9916 MR. ANDY HUHTA
COMP ALL GOOD HOME CARE INC Corp
9250 LAKEWOOD SHORE ROAD NW
RICE, MN 56367 (25865)
PHONE: 320/393-2406 FAX: 320/393-2455 MR. MIKE ALLGOOD
COUNTRY MANOR EXTENDED SERVICE Lim-Liab COMP HHA
520 1ST STREET NE
SARTELL, MN 56377 (02226)
PHONE: 320/253-3343 FAX: 320/240-0244 MS. TRACY MASTELLER
COUNTRY MANOR EXTENDED SERVICE Lim-Liab COMP
520 1ST STREET NE
SARTELL, MN 56377 (20206)
PHONE: 320/253-3343 FAX: 320/240-0244 MS. TRACY MASTELLER
Lim-Liab NH-165 SNF-NF-165 COUNTRY MANOR HLTH & REHAB CTR
520 1ST STREET NE
SARTELL, MN 56377 (00627)
PHONE: 320/253-1920 FAX: 320/656-5922 MR. BRIAN KELM
COUNTRY MANOR SENIOR APARTMENT Lim-Liab HWSAL
520 1ST STREET NE
SARTELL, MN 56377 (30448)
PHONE: 320/253-8450 FAX: 320/656-5922 MR. ANTHONY FENSTAD
Lim-Liab TCOMP
677 BRIANNA DRIVE
SARTELL, MN 56377 (32876)
PHONE: 320/281-3343 FAX: /- MS. COLLEEN SCHNEIDER
EDGEWOOD SARTELL LLC
THE COUNTRY VILLA Lim-Liab HWSAL
520 1ST STREET NE
SARTELL, MN 56377 (20559)
PHONE: 320/253-8450 FAX: 320/656-5922 MR. ANTHONY FENSTAD
Minnesota Department of Health
Health Regulation Division Page 25
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Facility/Service Owner Licensure Certification Registration
BENTON ---------------------------********** (Cont.)* -------------------------
ACCESS INFUSION HEALTHCARE INC Corp COMP
16 12TH ST SOUTH
SAUK RAPIDS, MN 56379 (25059)
PHONE: 320/492-5951 FAX: 320/259-0440 MS. JANE YAGER
BRIDGES MN Lim-Liab TCOMP
817 5TH AVENUE NORTH
SAUK RAPIDS, MN 56379 (32799)
PHONE: 651/772-4957 FAX: 651/772-2746 MR. BLAKE ELLIOTT
Corp HWSAL BROOKDALE SAUK RAPIDS
1325 SUMMIT AVENUE NORTH
SAUK RAPIDS, MN 56379 (30601)
PHONE: 320/203-8142 FAX: 320/203-8207 MS. RENEE SYMANIETZ
BROOKDALE SAUK RAPIDS Corp COMP
1325 SUMMIT AVENUE NORTH
SAUK RAPIDS, MN 56379 (20352)
PHONE: 320/203-8142 FAX: 320/203-8207 MS. AMANDA VANDERMAY
Lim-Liab COMP
1637 4TH AVE NORTH STE 110
SAUK RAPIDS, MN 56379 (27306)
PHONE: 320/257-7445 FAX: 320/257-7447 MS. WENDY HULSEBUS
CHERRYWOOD ADVANCED LIVING
GENERATIONS HOME CARE INC Corp COMP
817 5TH AVENUE NORTH
SAUK RAPIDS, MN 56379 (26135)
PHONE: 320/282-8047 FAX: 320/230-8811 MS. TINA THEISEN
NProf COMP
1115 4TH AVENUE NORTH
SAUK RAPIDS, MN 56379
GOOD SHEPHERD ASSISTED LIVING
(24855)
PHONE: 320/252-6525 FAX: 320/259-3463 MS. BARB REBISCHKE
GOOD SHEPHERD COTTAGES NProf HWSAL
307 11TH STREET NORTH
SAUK RAPIDS, MN 56379 (23241)
PHONE: 320/252-6525 FAX: 320/258-8675 MR. BRUCE GLANZER
NProf COMP HHA GOOD SHEPHERD HOME HEALTH CARE
1115 4TH AVENUE NORTH
SAUK RAPIDS, MN 56379 (02397)
PHONE: 320/252-6525 FAX: 320/259-3463 MR. BRUCE GLANZER
GOOD SHEPHERD HOMES INC NProf HWSAL
1211 4TH AVENUE NORTH
SAUK RAPIDS, MN 56379 (25644)
PHONE: 320/252-6525 FAX: 320/259-3463 MR. BRUCE GLANZER
Minnesota Department of Health
Health Regulation Division Page 26
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Facility/Service Owner Licensure Certification Registration
BENTON ---------------------------********** (Cont.)* --------------------------
NProf NH-162 SNF-NF-162 GOOD SHEPHERD LUTHERAN HOME
1115 4TH AVENUE NORTH
SAUK RAPIDS, MN 56379 (00023)
PHONE: 320/252-6525 FAX: 320/259-3463 MR. BRUCE GLANZER
Lim-Liab Hospice HSPICE HEARTLAND HOME HLTH C& HOSPICE
1257 2ND STREET NORTH
SAUK RAPIDS, MN 563794595 (23078)
PHONE: 320/654-1136 FAX: 320/654-6803 MS. CYNTHIA FELDHEGE
NProf SLFB-86 JOURNEY HOME
1485 10TH AVENUE NE
SAUK RAPIDS, MN 56379 (25468)
PHONE: 320/255-5949 FAX: 320/259-4563 MS. CAROL MERRIMAN
LEGACY PLACE LLC Lim-Liab COMP
902 15TH STREET NE
SAUK RAPIDS, MN 56379 (31210)
PHONE: 320/267-7789 FAX: 320/251-0062 MR. TODD NORMAN
LEGACY PLACE LLC Lim-Liab HWSAL
902 15TH STREET NE
SAUK RAPIDS, MN 56379 (31437)
PHONE: 320/267-7789 FAX: 320/267-7789 MS. SUSAN MOHS
OPTION CARE Corp COMP
1000 SOUTH BENTON DRIVE STE405
SAUK RAPIDS, MN 56379 (03638)
PHONE: 320/252-5666 FAX: 320/252-5073 MR. WILLIAM CRAWFORD
Lim-Liab COMP
1009 10TH AVENUE NE
SAUK RAPIDS, MN 56379
RIDGEVIEW PLACE
(29660)
PHONE: 320/251-5228 FAX: 320/259-8964 MS. LAURA KOSKI
RIDGEVIEW SENIOR LIVING Lim-Liab HWSAL
1009 10TH AVENUE NE
SAUK RAPIDS, MN 56379 (20619)
PHONE: 320/251-5228 FAX: 320/259-8964 MS. LAURA KOSKI
NProf HWSAL
330 13TH STREET NORTH
SAUK RAPIDS, MN 56379 (20282)
PHONE: 320/252-6525 FAX: 320/259-3479 MR. BRUCE GLANZER
SHEPHERD COURT APARTMENTS
SHEPHERD OAK APARTMENTS INC NProf HWSAL
310 13TH STREET NORTH
SAUK RAPIDS, MN 56379 (25645)
PHONE: 320/252-6525 FAX: 320/259-3463 MR. BRUCE GLANZER
Minnesota Department of Health
Health Regulation Division 27Page
Directory of Facilities and Services
Facility/Service Owner Licensure Certification Registration
BENTON ---------------------------********** (Cont.)* -------------------------
SHEPHERD OAK WEST APARTMENTS I NProf HWSAL
220 13TH STREET NORTH
SAUK RAPIDS, MN 56379 (25646)
PHONE: 320/252-6525 FAX: 320/259-3463 MR. BRUCE GLANZER
Out Pt SPINAL REHAB CLINIC Corp
225 NORTH BENTON DRIVE
SAUK RAPIDS, MN 56379 (03770)
PHONE: 320/252-1884 FAX: /- MS. LYNETTE MCGRATH
WAITE PROPERTIES LLC Lim-Liab HWSAL
817 5TH AVENUE NORTH
SAUK RAPIDS, MN 56379 (26134)
PHONE: 320/253-3079 FAX: 320/230-8811 MS. LORRIE WAITE
Lim-Liab HWSAL
1420 2ND STREET NORTH
SAUK RAPIDS, MN 56379
WILDWOOD ASSISTED LIVING
(32779)
PHONE: 320/260-6097 FAX: 320/631-4106 MR. MATTHEW PALLANSCH
WILDWOOD ASSISTED LIVING Lim-Liab TCOMP
1420 2ND STREET NORTH
SAUK RAPIDS, MN 56379 (32711)
PHONE: 320/774-1546 FAX: 320/200-7483 MR. MIGUEL CAMPA
Lim-Liab HWSAL
1225 DIVISION STREET EAST
ST CLOUD, MN 56304
ST CLOUD CAREFREE LIVING LLC
(20383)
PHONE: 320/251-6483 FAX: 320/251-2714 MS. MARILYN HANSON
BIG STONE ---------------------------********** ******** -------------------------
CLINTON CARE CENTER NProf COMP
322 CO HIGHWAY 6 PO BOX 379
CLINTON, MN 56225 (23174)
PHONE: 320/325-5414 FAX: 320/325-5416 MS. KIMBERLY MUENCHOW
NProf HWSAL
322 CO HIGHWAY 6 PO BOX 379
CLINTON, MN 56225
CLINTON CARE CENTER
(30340)
PHONE: 320/325-5414 FAX: 320/325-5416 MS. KIM MUENCHOW
NProf NH-45 SNF-NF-45 ESSENTIA HEALTH GRACE HOME
116 WEST 2ND STREET
GRACEVILLE, MN 56240 (00762)
PHONE: 320/748-7261 FAX: 320/748-8238 MS. JULIE ROSENBERG
Minnesota Department of Health
Health Regulation Division 28Page
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Facility/Service Owner Licensure Certification Registration
BIG STONE ---------------------------********** (Cont.)* -------------------------
ESSENTIA HLTH GRACEVILLE CLINI
115 WEST 2ND STREET
GRACEVILLE, MN 56240
PHONE: 320/324-7500
ESSENTIA HLTH GRACEVILLE HH
115 W 2ND STREET
GRACEVILLE, MN 56240
PHONE: 320/748-8211
ESSENTIA HLTH HOLY TRINITY HOS
115 W 2ND STREET BOX 157
GRACEVILLE, MN 56240
PHONE: 320/748-8200
GRACE VILLAGE
114 WEST 2ND STREET
GRACEVILLE, MN 56240
PHONE: 320/748-7220
FAIRWAY VIEW
215 LUNDELL AVENUE
ORTONVILLE, MN 56278
PHONE: 320/839-2397
FAIRWAY VIEW NEIGHBORHOODS
201 MARK DRIVE
ORTONVILLE, MN 56278
PHONE: 320/839-6113
FAIRWAY VIEW SENIOR COMMUNITY
215 LUNDELL AVENUE
ORTONVILLE, MN 56278
PHONE: 320/839-2397
HOME HEALTH AGENCY
201 MARK DRIVE
ORTONVILLE, MN 56278
PHONE: 320/839-4020
MONARCH HEIGHTS
501 BURDICK AVENUE
ORTONVILLE, MN 56278
PHONE: 320/839-6139
ORTONVILLE AREA HEALTH SERVICE
450 EASTVOLD AVENUE
ORTONVILLE, MN 56278
PHONE: 320/839-2502
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
FAX:
NProf RHC
/-
(03819)
MR. TODD HOWELL
NProf COMP HHA SE
(03589)
320/748-8247 MS. JULIE ROSENBERG
NProf HOSP-15 BASS-0 CAH-15
(00027)
320/748-7240 MS. JULIE ROSENBERG
ONProf HWSAL
(24236)
320/748-8258 MS. JULIE ROSENBERG
City HWSAL
(30337)
320/839-2398 MR. DAVID ROGERS
City NH-51 SNF-NF-51
(00771)
320/839-2985 MR. DAVID ROGERS
City COMP
(23148)
320/839-2398 MS. CINDY JORGENSON
City COMP HHA
(02345)
320/839-4095 MR. DAVID ROGERS
NProf SLFB-12 ICFIID-12
(01440)
320/839-2060 MS. KRISTEN UNRUH
City HOSP-25 BASS-4 CAH-25
(00029)
320/839-4277 MR. DAVID ROGERS
Minnesota Department of Health
Health Regulation Division Page 29
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Facility/Service Owner Licensure Certification Registration
BIG STONE ---------------------------********** (Cont.)* -------------------------
SATELLITE DIALYSIS ORTONVILLE NProf ESRD
814 ROY STREET
ORTONVILLE, MN 56278 (23114)
PHONE: 320/839-4070 FAX: 320/839-4071 MR. TIMOTHY JACKAN
---------------------------********** BLUE EARTH ******** -------------------------
CRYSTAL SEASONS ASSISTED LIVI Lim-Liab COMP
222 SOUTH MURPHY STREET
LAKE CRYSTAL, MN 56055 (26192)
PHONE: 507/726-2266 FAX: 507/726-2276 MS. LEESA GILMAN
Part HWSAL CRYSTAL SEASONS LIVING CENTER
222 SOUTH MURPHY STREET
LAKE CRYSTAL, MN 56055 (30699)
PHONE: 507/726-2266 FAX: 507/726-2276 MS. AMANDA FILTER
ECUMEN LAKE CRYSTAL NProf HWSAL
511 WEST BLUE EARTH STREET
LAKE CRYSTAL, MN 56055 (30602)
PHONE: 507/726-6537 FAX: 507/726-2402 MS. LAURA TEMPLIN
Lim-Liab COMP
511 W BLUE EARTH STREET
LAKE CRYSTAL, MN 56055
THE BEACON AT LAKE CRYSTAL
(20375)
PHONE: 507/726-6537 FAX: 507/726-2402 MR JOSH LEGUM
Home Mgmt ELDER CARE SERVICES INC Corp
1110 PARK ROAD
MADISON LAKE, MN 56063 (20962)
PHONE: 507/243-3603 FAX: 507/243-3375 MS. SHARON CHADER
Corp TCOMP ELDER CARE SERVICES INC
1110 PARK ROAD
MADISON LAKE, MN 56063 (32843)
PHONE: 507/243-3603 FAX: 507/243-3375 MS. SHARON CHADER
COMP HHA ALLIANCE HEALTH SERVICES Corp
600 RIVERFRONT DRIVE STE 100
MANKATO, MN 56001 (03635)
PHONE: 507/386-1666 FAX: /- MS. ALANA FIALA
AUTUMN GRACE Corp COMP
118 RAVEN COURT
MANKATO, MN 56001 (25816)
PHONE: 507/388-0647 FAX: 507/388-5412 MS. LANA STEUCK
Minnesota Department of Health
Health Regulation Division
Directory of Facilities and Services
Facility/Service Owner Licensure
---------------------------**********
AUTUMN GRACE I
118 RAVEN COURT
MANKATO, MN 56001
PHONE: 507/388-3660
AUTUMN GRACE II
110 RAVEN COURT
MANKATO, MN 56001
PHONE: 507/388-3660
AUTUMN GRACE III
108 RAVEN COURT
MANKATO, MN 56001
PHONE: 507/388-0640
BROOKDALE MANKATO
100 TETON LANE
MANKATO, MN 56001
PHONE: 507