Provider Demographics
NPI:1073949657
Name:COMMUNITY ASSET FOUNDATION, LLC
Entity Type:Organization
Organization Name:COMMUNITY ASSET FOUNDATION, LLC
Other - Org Name:THE LODGE OF WINTHROP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BOARD CHAIR
Authorized Official - Prefix:
Authorized Official - First Name:RICK
Authorized Official - Middle Name:
Authorized Official - Last Name:FORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-647-5391
Mailing Address - Street 1:204 SOUTH COUNTY ROAD 33
Mailing Address - Street 2:
Mailing Address - City:WINTHROP
Mailing Address - State:MN
Mailing Address - Zip Code:55396-2501
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:204 SOUTH COUNTY ROAD 33
Practice Address - Street 2:
Practice Address - City:WINTHROP
Practice Address - State:MN
Practice Address - Zip Code:55396
Practice Address - Country:US
Practice Address - Phone:507-647-5391
Practice Address - Fax:507-647-2035
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMMUNITY ASSET FOUNDATION, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-09-16
Last Update Date:2014-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility