Healthcare Provider Details

I. General information

NPI: 1174358600
Provider Name (Legal Business Name): ROSE HILL OPERATIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2024
Last Update Date: 09/04/2024
Certification Date: 09/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30455 LEHIGH AVE
LINDSTROM MN
55045-5502
US

IV. Provider business mailing address

3300 RICE ST STE 100
SAINT PAUL MN
55126-6455
US

V. Phone/Fax

Practice location:
  • Phone: 651-213-3696
  • Fax:
Mailing address:
  • Phone: 651-571-3335
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code311500000X
TaxonomyAlzheimer Center (Dementia Center)
License Number
License Number State

VIII. Authorized Official

Name: MRS. HEATHER WOLLAN
Title or Position: OWNER'S REPRESENTATIVE
Credential:
Phone: 651-571-3335