Provider Demographics
NPI:1588645063
Name:ASSUMPTION HOME, INC.
Entity Type:Organization
Organization Name:ASSUMPTION HOME, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LNHA/LALD - CAMPUS ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:BOYDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:320-348-2320
Mailing Address - Street 1:715 1ST ST N
Mailing Address - Street 2:
Mailing Address - City:COLD SPRING
Mailing Address - State:MN
Mailing Address - Zip Code:56320-1401
Mailing Address - Country:US
Mailing Address - Phone:320-685-3693
Mailing Address - Fax:320-685-7044
Practice Address - Street 1:715 1ST ST N
Practice Address - Street 2:
Practice Address - City:COLD SPRING
Practice Address - State:MN
Practice Address - Zip Code:56320-1401
Practice Address - Country:US
Practice Address - Phone:320-685-3693
Practice Address - Fax:320-685-7044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-10
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN328247314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNNH0154OtherUCARE PROVIDER NUMBER
MN48952OtherHEALTH PARTNERS PROVIDER
MN71-00081OtherMEDICA PROVIDER NUMBER
MN8610ASOtherBCBS PROVIDER NUMBER
MNNH0154OtherUCARE PROVIDER NUMBER
MN245446Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER