Provider Demographics
NPI:1376095471
Name:SABRA RAMSEY TRS, LLC
Entity Type:Organization
Organization Name:SABRA RAMSEY TRS, LLC
Other - Org Name:STONEY RIVER RAMSEY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUTHORIZED AGENT
Authorized Official - Prefix:
Authorized Official - First Name:JEROME
Authorized Official - Middle Name:E
Authorized Official - Last Name:FINIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-837-0704
Mailing Address - Street 1:14401 NOWTHEN BLVD NW
Mailing Address - Street 2:
Mailing Address - City:RAMSEY
Mailing Address - State:MN
Mailing Address - Zip Code:55303
Mailing Address - Country:US
Mailing Address - Phone:612-615-9936
Mailing Address - Fax:
Practice Address - Street 1:14401 NOWTHEN BLVD NW
Practice Address - Street 2:
Practice Address - City:RAMSEY
Practice Address - State:MN
Practice Address - Zip Code:55303
Practice Address - Country:US
Practice Address - Phone:612-615-9936
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-25
Last Update Date:2018-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN31331310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility