Provider Demographics
NPI:1881631695
Name:LIFE CARE RETIREMENT COMMUNITIES INC
Entity Type:Organization
Organization Name:LIFE CARE RETIREMENT COMMUNITIES INC
Other - Org Name:FRIENDSHIP VILLAGE OF BLOOMINGTON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:MEYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-830-9590
Mailing Address - Street 1:8100 HIGHWOOD DR
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55438-1079
Mailing Address - Country:US
Mailing Address - Phone:952-831-7500
Mailing Address - Fax:952-830-9893
Practice Address - Street 1:8100 HIGHWOOD DR
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55438-1079
Practice Address - Country:US
Practice Address - Phone:952-831-7500
Practice Address - Fax:952-830-9893
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN330680251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health