Healthcare Provider Details

I. General information

NPI: 1588645063
Provider Name (Legal Business Name): ASSUMPTION HOME, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/10/2005
Last Update Date: 05/13/2024
Certification Date: 05/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

715 1ST ST N
COLD SPRING MN
56320-1401
US

IV. Provider business mailing address

715 1ST ST N
COLD SPRING MN
56320-1401
US

V. Phone/Fax

Practice location:
  • Phone: 320-685-3693
  • Fax: 320-685-7044
Mailing address:
  • Phone: 320-685-3693
  • Fax: 320-685-7044

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number328247
License Number StateMN

VIII. Authorized Official

Name: ANNE MAJOR
Title or Position: ADMINISTRATOR
Credential:
Phone: 320-348-2320