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Phs Lake Minnetonka Llc
Skilled Nursing Facility in Spring Park, Minnesota
NPI 1184737926

Phs Lake Minnetonka Llc is a Skilled Nursing Facility based in Spring Park, MN. Phs Lake Minnetonka Llc practices in Spring Park, MN. The NPI Number for Phs Lake Minnetonka Llc is 1184737926 and holds a License No. (Minnesota).

The current practice location address for Phs Lake Minnetonka Llc is 4515 Shoreline Dr, Spring Park, MN and can be reached out via phone at 952-471-4001 and via fax at 651-631-6449.

Location: 4515 Shoreline Dr, Spring Park, MN, 55384-8706
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1184737926
Provider Name
Phs Lake Minnetonka Llc
Credential
Provider Entity Type
Organization
Address
4515 Shoreline Dr, Spring Park, MN, 55384-8706
Phone Number
952-471-4001
Fax Number
651-631-6449
Provider Enumeration Date
08/16/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7122641 01 MEDICA
22857 01 HEALTH PARTNERS
172043100 05 MN
NH0041 01 MN UCARE
9625TW 01 BCBS
institution
Provider Business Practice Location Address Details
Address
4515 Shoreline Dr
City
Spring Park
State
Minnesota
Zip
55384-8500
Phone Number
952-471-4001
Fax Number
651-631-6449
person
Provider Business Mailing Address Details
Address
4515 Shoreline Dr
City
Spring Park
State
Minnesota
Zip
55384-8500
Phone Number
952-471-4001
Fax Number
651-631-6449
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
()
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
()
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
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