Healthcare Provider Details

I. General information

NPI: 1962442756
Provider Name (Legal Business Name): WINONA SENIOR SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2006
Last Update Date: 07/28/2025
Certification Date: 07/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

865 MANKATO AVE
WINONA MN
55987-4868
US

IV. Provider business mailing address

865 MANKATO AVE
WINONA MN
55987-4868
US

V. Phone/Fax

Practice location:
  • Phone: 507-457-4366
  • Fax: 507-457-4413
Mailing address:
  • Phone: 507-457-4366
  • Fax: 507-457-4413

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number328588
License Number StateMN

VIII. Authorized Official

Name: MS. RACHELLE HEISING- SCHULTZ
Title or Position: CEO
Credential:
Phone: 507-457-4300