Healthcare Provider Details

I. General information

NPI: 1326970153
Provider Name (Legal Business Name): WINONA MN OPCO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 BLUFF AVE
SAINT CHARLES MN
55972-1325
US

IV. Provider business mailing address

456A CENTRAL AVE STE 115
CEDARHURST NY
11516-1907
US

V. Phone/Fax

Practice location:
  • Phone: 507-932-3283
  • Fax:
Mailing address:
  • Phone: 646-450-6051
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: AARON KASPER
Title or Position: MANAGER
Credential:
Phone: 646-450-6051