Provider Demographics
NPI:1871654921
Name:VOLUNTEERS OF AMERICA CARE FACILITIES
Entity Type:Organization
Organization Name:VOLUNTEERS OF AMERICA CARE FACILITIES
Other - Org Name:BRIGHT DAYS AT NEW ULM ADULT DAY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ASSISTANT SECRETARY, TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:GAVIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-941-0305
Mailing Address - Street 1:7485 OFFICE RIDGE CIR
Mailing Address - Street 2:
Mailing Address - City:EDEN PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:55344-3690
Mailing Address - Country:US
Mailing Address - Phone:952-941-0305
Mailing Address - Fax:952-941-0428
Practice Address - Street 1:1105 3RD AVE SW
Practice Address - Street 2:
Practice Address - City:SLEEPY EYE
Practice Address - State:MN
Practice Address - Zip Code:56085-1857
Practice Address - Country:US
Practice Address - Phone:507-794-7995
Practice Address - Fax:507-794-5612
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2021-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QA0600X
MN00776314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNNH0457OtherUCARE
MN685740000Medicaid
MN9677SLOtherBCBS