MEDICARE: ASSUMPTION 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	328247	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	48952	OTHER	MN	HEALTH PARTNERS PROVIDER
2	71-00081	OTHER	MN	MEDICA PROVIDER NUMBER
3	NH0154	OTHER	MN	UCARE PROVIDER NUMBER
4	8610AS	OTHER	MN	BCBS PROVIDER NUMBER

General Provider Information

NPI Number	:	1588645063
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASSUMPTION HOME, INC.

Provider Business Mailing Address
First Line	:	715 1ST ST N
Second Line	:
City	:	COLD SPRING
State	:	MN
Zip	:	56320-1401
Country	:	US
Telephone Number	:	320-685-3693
Fax Number	:	320-685-7044

Provider Business Practice Location Address
First Line	:	715 1ST ST N
Second Line	:
City	:	COLD SPRING
State	:	MN
Zip	:	56320-1401
Country	:	US
Telephone Number	:	320-685-3693
Fax Number	:	320-685-7044

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	ANNE MAJOR
Credential	:
Telephone Number	:	320-348-2320

Provider Enumeration Date	:	11/10/2005
Last Update Date	:	05/13/2024

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Directions to “ASSUMPTION HOME, INC. ” Practice Location

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