Provider Demographics
NPI:1770676637
Name:BIG STONE COMMUNITY HOMES, INC.
Entity Type:Organization
Organization Name:BIG STONE COMMUNITY HOMES, INC.
Other - Org Name:MONARCH HEIGHTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KRISTEN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:UNRUH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:320-839-6139
Mailing Address - Street 1:501 BURDICK AVE
Mailing Address - Street 2:
Mailing Address - City:ORTONVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:56278-1167
Mailing Address - Country:US
Mailing Address - Phone:320-839-6139
Mailing Address - Fax:320-839-2060
Practice Address - Street 1:501 BURDICK AVE
Practice Address - Street 2:
Practice Address - City:ORTONVILLE
Practice Address - State:MN
Practice Address - Zip Code:56278-1167
Practice Address - Country:US
Practice Address - Phone:320-839-6139
Practice Address - Fax:320-839-2060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN801570-1-RS315P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN4498476OtherSTATE ID #