DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: CAMILIA ROSE COMPANY INC

MEDICARE: CAMILIA ROSE COMPANY 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
1314000000XSkilled Nursing Facility326976MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1962499566
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAMILIA ROSE COMPANY INC
Provider Business Mailing Address
First Line : 11800 XEON BLVD NW
Second Line :
City : COON RAPIDS
State : MN
Zip : 55448-2061
Country : US
Telephone Number : 763-755-8400
Fax Number : 783-755-8578
Provider Business Practice Location Address
First Line : 11800 XEON BLVD NW
Second Line :
City : COON RAPIDS
State : MN
Zip : 55448-2061
Country : US
Telephone Number : 763-755-8400
Fax Number : 783-755-8578
Authorized Official
Title or Position : SECRETARY & TREASURER
Name : JASON TJOSVOLD
Credential :
Telephone Number : 763-567-8951
Provider Enumeration Date : 09/29/2005
Last Update Date : 02/10/2020

Similar Medicare Providers

1134232952 — CARRIE PETERSON OTR
Practice Location Address:
11800 XEON BLVD NW
COON RAPIDS, MN
55448-2061
Practice Phone: 763-489-3638
Practice Fax: 763-647-3885
1316459522 — SHAUNA SCEPANIAK OTR/L
Practice Location Address:
11800 XEON BLVD NW
COON RAPIDS, MN
55448-2061
Practice Phone: 612-368-3917
Practice Fax: 763-312-2134
1770081747 — MATTHEW EDIN OTR/L
Practice Location Address:
11800 XEON BLVD NW
COON RAPIDS, MN
55448-2061
Practice Phone: 763-489-3638
Practice Fax: 763-647-3885
1962992156 — CARISA BETHANY HRUBETZ OT
Practice Location Address:
11800 XEON BLVD NW
COON RAPIDS, MN
55448-2061
Practice Phone: 763-755-8400
Practice Fax: 763-755-8575
1649760208 — MEGAN JENSEN PT, DPT
Practice Location Address:
11800 XEON BLVD NW
COON RAPIDS, MN
55448-2061
Practice Phone: 763-489-3638
Practice Fax: 763-647-3885
1922616101 — KELLY ANNE SCHENK MS CCC-SLP
Practice Location Address:
11800 XEON BLVD NW
COON RAPIDS, MN
55448-2061
Practice Phone: 763-489-3637
Practice Fax: 763-312-2134

Directions to “CAMILIA ROSE COMPANY INC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.