MEDICARE: ELDERS HOME INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility	329990	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	7100439	OTHER		MEDICA
2	8774EL	OTHER		BCBS

General Provider Information

NPI Number	:	1356321624
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELDERS HOME INC

Provider Business Mailing Address
First Line	:	PO BOX 188
Second Line	:
City	:	NEW YORK MILLS
State	:	MN
Zip	:	56567
Country	:	US
Telephone Number	:	218-385-2005
Fax Number	:	218-385-4170

Provider Business Practice Location Address
First Line	:	215 S TOUSLEY AVE
Second Line	:
City	:	NEW YORK MILLS
State	:	MN
Zip	:	56567
Country	:	US
Telephone Number	:	218-385-2005
Fax Number	:	218-385-4170

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. CALVIN BRUCE ANDERSON
Credential	:	LNHA
Telephone Number	:	218-385-2005

Provider Enumeration Date	:	01/20/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1346221660 — JUDITH HERTANU MD
Practice Location Address:

10 UNION SQ E , BETH ISRAEL MED CTR- DEPT OF REHAB MEDICARE
NEW YORK, NY
10003-3314

Practice Phone: 212-420-2757
Practice Fax:

1649232273 — DR. MARYLEE S. LEGRIED M.D.
Practice Location Address:

53208 395TH ST
NEW YORK MILLS, MN
56567-9031

Practice Phone: 218-640-3875
Practice Fax: 218-385-3306

1750302972 — THOMAS M SEAWORTH MD
Practice Location Address:

20 CENTENNIAL 84 DR W
NEW YORK MILLS, MN
56567

Practice Phone: 218-385-2555
Practice Fax:

1154343176 — SANFORD CLINIC NORTH
Practice Location Address:

20 W CENTENNIAL 84 DRIVE
NEW YORK MILLS, MN
56567-0364

Practice Phone: 218-385-1800
Practice Fax: 218-385-1830

1316960727 — DR. GREGORY B HAMMERS DDS
Practice Location Address:

206 WALKER AVE N
NEW YORK MILLS, MN
56567-4004

Practice Phone: 218-385-3130
Practice Fax: 218-385-9131

1356457543 — RACHEL KREKULA GRIEGER DDS
Practice Location Address:

206 WALKER AVE N
NEW YORK MILLS, MN
56567-4004

Practice Phone: 218-385-3130
Practice Fax:

Directions to “ELDERS HOME INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.