2020 Directory of Licensed and Certified Health Care Facilities

2020

DIRECTORY

REGISTERED,

LICENSED,

AND/OR

CERTIFIED

HEALTH CARE

FACILITIES

AND SERVICES

Minnesota Department of Health

Licensing and Certification Program

P.O. Box 64900

St. Paul, Minnesota 55164-0900

TABLE OF CONTENTS

FOREWORD

TABLES: STATISTICAL DATA Page

1.

Licensing Classifications and Bed Capacity, March 15, 2020....................................................... I

2.

Certification Classifications, March 15, 2020 .............................................................................. I

3.

Change in number of licensed inpatient facilities and units during the past 77 years ............... II

4.

Hospitals: Bed Range, Ownership, March 15, 2020 ................................................................... II

5.

Nursing Homes and Units: Bed Range, Ownership, March 15, 2020....................................... III

6.

Nursing Homes and Units: Ownership, Percentage of Change, March 15, 2019 and

March 15, 2020............................................................................................................................. III

7.

Boarding Care Homes and Units: Bed Range, Ownership, March 15, 2020........................... IV

8.

Boarding Care Homes and Units: Ownership, Percentage of Change, March 15, 2019 and

March 15, 2020............................................................................................................................ IV

9.

Supervised Living Facilities and Units: Bed Range, Ownership, March15, 2020 ...................V

10.

Supervised Living Facilities and Units: Ownership, Percentage of Change, March 15, 2019

and March 15, 2020.......................................................................................................................V

11.

Number of Licensed Facilities and Beds by County, March15, 2020............................. VI – XI

12.

Number of Facilities and Beds by County, March15, 2020.........................................XII – XVI

13.

Number of Certified Services by County, March 15, 2020......................................... XVII – XX

14.

Number of Licensed or Certified Home Care Providers and Registered Home Management

by Classifications and County, March 15, 2020 ....................................................... XXI – XXIV

15.

Number of Housing with Services Establishments by County, March 15, 2020.. XXV – XXVI

16.

Number of Licensed Facilities and Beds by County, March 15, 2020...............XXVII – XXVIII

FEDERAL HOSPITALS............................................................................................................. XXIX

ABBREVIATIONS ........................................................................................................ XXX – XXXI

DIRECTORY OF FACILITIES AND SERVICES ................................................................. 1 – 559

LISTING OF HEALTH CARE FACILITIES - Grouped by Type/Location

Boarding Care Homes ................................................................................................................560

Community Mental Health Centers ...........................................................................................561

Comprehensive Outpatient Rehabilitation Facility ..................................................................561

End Stage Renal Disease Supplier.................................................................................. 562 – 563

Licensed Home Care Providers ...................................................................................... 564 – 581

Registered Home Management Providers.................................................................................582

Certified Home Health Agencies.................................................................................... 583 – 584

Licensed Hospices ......................................................................................................................585

Medicare Certified Hospices......................................................................................................586

Residential Hospices ..................................................................................................................587

Hospitals........................................................................................................................... 588 – 589

Nursing Homes ................................................................................................................ 590 – 593

Outpatient Occupational Therapy Providers.............................................................................594

Outpatient Physical Therapy Providers.....................................................................................594

Outpatient Speech Therapy Providers .......................................................................................595

Outpatient Surgical Centers ............................................................................................ 595 – 596

Portable X-Ray Suppliers...........................................................................................................597

Rural Health Clinics ...................................................................................................................598

Supervised Living Facilities ........................................................................................... 599 – 601

Birth Centers ...............................................................................................................................602

Mobile Health Evaluation/Screening ........................................................................................602

INDEX FOR DIRECTORY OF FACILITIES AND SERVICES .......................................... 1 – 57

Governmental, Nonfederal

Nongovernmental, Nonprofit

Nongovernmental, For Profit

State Church Related (CHURCH) Individual

(INDIV.)

County (CNTY) Nonprofit Corporation (NPROF)

Partnership (PART.)

City

Other Nonprofit Ownership (ONPROF)

Corporation (CORP.)

City-County (CYCO) Tribal

(TRIBAL)

Group (GROUP)

Hospital District (DIST) Business

Trust (TRUST)

or Authority Limited Liability Co. (LIM-LIAB)

US Public Health Service (PHS)

Housing

and Redevelopment

Authority

(HRA)

MINNESOTA DEPARTMENT OF HEALTH

H

EALTH REGULATION DIVISION

DIRECTORY OF LICENSED, CERTIFIED

AND REGISTERED HEALTH CARE

FACILITIES AND SERVICES

March 15, 2020

FOREWORD

The directory that follows contains a list of hospitals and related institutions licensed and/or certified as

of March 15, 2020 They are listed alphabetically by county, town, and facility name. Ownership or control

is indicated as follows:

HOSPITAL AND NURSING HOME LICENSING LAW

Hospitals, boarding care homes, outpatient surgical centers and supervised living facilities in Minnesota are licensed

under the provisions of Sections 144.50 to 144.586 inclusive, Minnesota Statutes. Nursing homes are licensed

under the provisions of 144A.01 – 144A.1888, inclusive, Minnesota Statutes.

A "HOSPITAL" means an institution primarily engaged in providing, by or under the supervision of physicians, to

inpatients (A) diagnostic services and therapeutic services for medical diagnosis, treatment, and care of injured,

disabled or sick persons, or (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons.

A "PSYCHIATRIC HOSPITAL" means an entire institution which is primarily engaged in providing, by or under

the supervision of a physician, psychiatric services for the diagnosis and treatment of mentally ill persons.

A psychiatric wing or building of a general hospital would not be considered a psychiatric hospital.

An "OUTPATIENT SURGICAL CENTER" means a freestanding facility organized for the specific purpose of

providing elective outpatient surgery for pre-examined, pre-diagnosed, low risk patients.

A "NURSING HOME" means a facility or that part of a facility which provides nursing care to five or more persons.

Nursing care means health evaluation and treatment of patients and residents who are not in need of an acute care

facility but who require nursing supervision on an inpatient basis.

A "BOARDING CARE HOME" provides personal or custodial care only. Examples of personal or custodial care

include: Help with bathing, dressing, or other personal care; supervision of medications which can be safely self-

administered; plus a program of activities and supervision required by persons who are not capable of properly

caring for themselves.

A "SUPERVISED LIVING FACILITY" provides a residential, homelike setting for persons who are intellectually

disabled, adult mentally ill, chemically dependent, or physically handicapped. Services include provision of meals,

lodging, housekeeping services, health services, and other services provided by either staff or residents under

supervision. Class A facilities include homes for ambulatory and mobile persons who are capable of taking

appropriate action for self-preservation under emergency conditions as determined by program licensure provisions.

Class B facilities include homes for ambulatory, nonambulatory, mobile or nonmobile persons who are not mentally

or physically capable of taking appropriate action for self-preservation under emergency conditions as determined

by program licensure provisions.

HOME CARE PROVIDER LICENSING LAW

Home care providers in Minnesota are licensed under the provisions of Sections 144A.43-144A.482 inclusive,

Minnesota Statutes.

A "Home Care Provider" means an individual, organization, association, corporation, unit of government, or other

entity that is regularly engaged in the delivery of at least one home care service, directly in a client’s home for a fee

and who has a valid current temporary license or license issued under sections 144A.43 to 144A.482. At least one

home care service must be provided directly, although additional home care services may be provided by contractual

arrangements.

Temporary Basic Home Care Provider License. This license is given to a new home care provider who is offering

services as listed below for the basic level license and has met all conditions of licensure. It is valid for one year,

during which time the provider will be surveyed by the department to determine if the provider is in compliance

with home care requirements. Upon successful completion of the survey, the provider will be granted a basic home

care license.

Basic Home Care Provider License. Home care services that can be provided with a basic home care license are

assistive tasks provided by licensed or unlicensed personnel that include: (1) assisting with dressing, self-feeding,

oral hygiene, hair care, grooming, toileting, and bathing; (2) providing standby assistance; (3) providing verbal or

visual reminders to the client to take regularly scheduled medication, which includes bringing the client previously

set-up medication, medication in original containers, or liquid or food to accompany the medication; (4) providing

verbal or visual reminders to the client to perform regularly scheduled treatments and exercises; (5) preparing

modified diets ordered by a licensed health professional; and (6) assisting with laundry, housekeeping, meal

preparation, shopping, or other household chores and services if the provider is also providing at least one of the

activities in clauses (1) to (5).

Temporary Comprehensive Home Care Provider License. This license is given to a new home care provider who

is offering services as listed below for the comprehensive level license and has met all conditions of licensure. It is

valid for one year, during which time the provider will be surveyed by the department to determine if the provider

is in compliance with home care requirements. Upon successful completion of the survey, the provider will be

granted a comprehensive home care license.

Comprehensive Home Care Provider License. Home care services that may be provided with a comprehensive

home care license include any of the basic home care services and one or more of the following: (1) services of an

advanced practice nurse, registered nurse, licensed practical nurse, physical therapist, respiratory therapist,

occupational therapist, speech-language pathologist, dietitian or nutritionist, or social worker; (2) tasks delegated

to unlicensed personnel by a registered nurse or assigned by a licensed health professional within the person's scope

of practice; (3) medication management services; (4) hands-on assistance with transfers and mobility; (5) assisting

clients with eating when the clients have complicating eating problems as identified in the client record or through

an assessment such as difficulty swallowing, recurrent lung aspirations, or requiring the use of a tube or parenteral

or intravenous instruments to be fed; or (6) providing other complex or specialty health care services..

HOME MANAGEMENT SERVICES

A provider performing only home management tasks must obtain a certificate of registration from the commissioner

of health. Home management services include at least two of the following services: housekeeping, meal

preparation, and shopping provided to a person who is unable to perform these activities due to illness, disability or

physical condition.

HOUSING WITH SERVICES ESTABLISHMENTS

Housing with services establishments are registered under the provisions of Chapter 144D., Minnesota Statutes.

A housing with services establishment provides sleeping accommodations to one or more adult residents, at least

80 percent of which are 55 years of age or older and offering or providing for a fee, one or more regularly scheduled

health related services or two or more regularly scheduled supportive services.

An establishment that meets all the requirements of this chapter except that fewer than 80 percent of the adult

residents are age 55 or older may, at its option, register as a housing with services establishment.

Housing with services establishments that provide Assisted Living Services must meet the requirements under the

provisions of Chapter 144G., Minnesota Statutes. “Assisted living” means a service or package of services

advertised, marketed or otherwise described, offered or promoted under the phrase “assisted living” and which is

available only to individuals residing in a registered housing with services establishment

HOSPICE PROVIDERS

Hospices are licensed under Minnesota Statutes, Section 144A.75, 144A.751-144A.756 and rules adopted

thereunder.

A hospice provider means an individual, organization, association, corporation, unit of government, or other entity

that is regularly engaged in the delivery, directly or by contractual arrangement, of hospice services for a fee to

terminally ill hospice patients.

Residential hospice facility means a facility that resembles a single-family home located in a residential area that

directly provides 24-hour residential and support services in a home-like setting for hospice patients as an integral

part of the continuum of home care provided by a hospice or, is a facility that meets the requirements of a residential

hospice under 144A.75 Subd. 13.

Licensing Classifications Number of Facilities and Services Number of Beds

Hospitals 129 16,157

Bassinets 110 1,821

Psychiatric Hospitals 2 87

Nursing Homes 361 26,935

Boarding Care Homes 22 1,364

(Includes B.C.H. Units of Other Facilities) (7) (387)

Supervised Living Facilities 228 4,463

Freestanding Outpatient Surgical Centers 80 N/A

Other Specialized Hospitals 10 287

Home Care Providers 1,713 N/A

Hospices 93 N/A

I

DIRECTORY OF LICENSED AND CERTIFIED HEALTH CARE FACILITIES AND SERVICES

Classification and Bed Capacity: As of March 15, 2020 the number of licensed Facilities and Services and the total bed

capacities are as shown in Table 1; their certification classifications are as shown in Table 2.

TABLE 1

Licensing Classifications, March 15, 2020

TABLE 2

Certification Classifications, March 15, 2020

Number of Facilities and Services Number of

Licensing Classifications

Beds

Medicare

Hospitals

51 13,195

Critical Access Hospitals

79 1,691

Psychiatric Hospital

9 303

Skilled Nursing Facilities

359 26,769

Portable X-Ray Facilities

4 -

Outpatient Occupational Therapy

29 -

Outpatient Physical Therapy

35 -

Outpatient Speech Therapy

25 -

Home Health Agencies

168 -

Hospices

75 -

Residential Hospices

19 -

Renal Disease Suppliers

119 -

Comprehensive Outpatient Rehabilitation Facility

1 -

Ambulatory Surgical Centers

76 -

Rural Health Clinics

99 -

Community Mental Health Centers

1 -

Medicaid

Nursing Facilities I

352 26,500

Nursing Facilities II

14 874

Intermediate Care Facilities for Individuals with 136 1,155

Intellectual Disabilities

Accreditation by Approved Accrediting Organization

Hospitals (Excluding Psychiatric Facilities)

71 -

II

TABLE 2A

Housing with Services Establishments

2,132 -

TABLE 3

Change in number of licensed inpatient facilities and units during the past 77 years.

January 1, 1943 March 15, 1975 March 15, 2020

Number of

Facilities

Number

of Beds

Number of

Facilities

Number

of Beds

Number of

Facilities

Number

of Beds

Hospitals 188 11,159 180 19,929 129 16,157

Nursing Homes and Units 137 3,905 446 37,260 361 26,935

Boarding Care Homes - - 201 8,188 22 1,364

Supervised Living Facilities - - 88 3,733 228 4,463

Other * 72 1,161 81 8,152 10 287

TOTALS 397 16,225 996 77,262 750 49,206

*Includes state operated specialized hospital beds.

TABLE 4

Hospitals: Bed Range, Total Numbers of Percentages of Hospitals and Beds; Hospitals and Beds by Ownership, March

15, 2020

Type of Ownership

Hospital Total Number % of Total Nonprofit Public Proprietary

Hosp. Beds Hosp. Beds Hosp. Beds Hosp. Beds Hosp. Beds

1 – 24

29 488 22.5 3 19 314 10 174 0 0

25 – 49

51 1,748 39.5 10.8 39 1,364 11 354 1 30

50 - 99

19 1,331 14.7 8.2 18 1,239 0 0 1 92

100 - 299

16 2,795 12.4 17.3 14 2,532 1 127 1 136

300 +

14 9,795 10.9 60.6 12 8,901 2 894 0 0

TOTALS

129 16,157 100 100 102 14,350

24 1,549 3 258

III

TABLE 5

Nursing Homes and Units: Bed Range, Total Numbers and Percentages of Home and Beds by Ownership, March 15,

2020

Type of Ownership

Nursing

Home

Range

Total Number % of Total Nonprofit Public Proprietary

Homes

Beds

Homes

Beds

Homes

Beds

Homes

Beds

Homes

Beds

1 - 24

8 146 2.2 0.5 5 89 0 0 3 57

25 - 49

100 3,935 27.7 14.6 49 1,930 18 686 33

1,31

9

50 - 99

184 12,775 51 47.4 113 7,776 11 705 60

4,29

4

100 - 299

67 9,418 18.6 35 43 6,227 3 384 21

2,80

7

300 +

2 661 0.6 2.5 0 0 1 341 1 320

TOTALS

361 26,935 100 100 210

16,02

2

33 2,116 118

8,79

7

TABLE 6

Nursing Homes and Units: Home and Beds by Ownership and Percentage of Change, March 15, 2019 and March 15,

2020

March 15, 2019 March 15, 2020 % of Change

Nursing Home Units

Ownership

Homes and

Units

Beds

Homes and

Units

Beds

Homes and

Units

Beds

Non Profit

215

16,602

210

16,022

-2.3

-3.5

Public

34

2,193

33

2,116

-2.9

-3.5

Subtotal, Non Profit

And Public

249

18,795

243

18,138

-2.4

-3.5

Proprietary

118

8,845

118

8,797

0.0

-0.5

TOTALS

367

27,640

361

26,935

-1.6

-2.6

IV

TABLE 7

Boarding Care Homes and Units: Bed Range, Total Numbers and Percentages of Homes and Beds by Ownership,

March 15, 2020

Type of Ownership

BCH

Units

Range

Total Number % of Total Nonprofit Public Proprietary

Homes Beds Homes Beds

Homes

Beds

Homes Beds Homes Beds

1 – 24

4 56 18.2 4.1 0 0 0 0 4 56

25 - 49

5 149 22.7 10.9 1 33 0 0 4 116

50 - 99

11 747 50.0 54.8 6 387 1 50 4 310

100 - 299

2 412 9.1 30.2 0 0 1 200 1 212

300 +

0 0 0.0 0.0 0 0 0 0 0 0

TOTALS

22 1,364 100 100 7 420 2 250 13 694

TABLE 8

Boarding Care Homes and Units: Home and Beds by Ownership and Percentage of Change, March 15, 2019 and March

15, 2020

March 15, 2019 March 15, 2020 % of Change

BCH

Ownership

Homes and

Units

Beds

Homes and

Units

Beds

Homes and

Units

Beds

Non Profit

7 426 7 420 0.0 -1.4

Public

2 250 2 250 0.0 0.0

Subtotal, Non Profit

and Public

9 676 9 670 0.0 -0.9

Proprietary

13 707 13 694 0.0 -1.8

TOTALS

22 1,383 22 1,364 0.0 -1.4

V

TABLE 9

Supervised Living Facilities and Units: Bed Range, Total Numbers and Percentages of Facility and Beds by

Ownership, March 15, 2020

Type of Ownership

SLF

Range

Total Number % of Total Nonprofit Public Proprietary

Homes Beds

Homes

Beds

Homes Beds

1 - 15

153

1,054

67.1

23.6

82

564

0

71

490

16 - 49

59

1,359

25.9

30.5

25

644

13

253

20

438

50 - 99

11

656

4.8

14.7

5

319

3

173

3

164

100 - 299

2

371

0.9

8.3

1

111

1

260

0

300 +

3

1,023

1.3

22.9

1

0

2

1,023

0

TOTALS

228

4,463

100

114

1,638

19

1,709

94

1,092

TABLE 10

Supervised Living Facilities and Units: Facilities and Beds by Ownership and Percentage of Change, March 15, 2019

and March 15, 2020

March 15, 2019 March 15, 2020 % of Change

SLF Homes and Homes and Homes and

Ownership Units Beds Units Beds Units Beds

Non Profit

122 1,676 114 1,638 -6.6 -2.3

Public

22 1,604 19 1,709 -13.6 6.5

Subtotal, Non Profit

144 3,280 133 3,347 -7.6 2.0

Proprietary

100 1,135 94 1,092 -6.0 -3.8

TOTALS

244 4,415 227 4,439 -7.0 0.5

TABLE 11: Number of Licensed Facilities and Beds by County, March 15, 2020

Page

VI

Hosp. Psych.

Bass. N.H. B.C.H S.L.F-A

S.L.F-B

Other

Outpat.

No. No.

No. No. No. No.

No.

Surg.

County

AITKIN 1 0 1 2 0 0 0 0 0

25 0 6 119 0 0 0 0

ANOKA 1 0 1 7 0 4 2 1 4

546 0 27 575 0 50 58 175

BECKER 1 0 1 4 0 0 0 0 1

87 0 16 286 0 0 0 0

BELTRAMI 1 0 1 3 0 0 0 3 0

118 0 12 198 0 0 0 16

BENTON 0 0 0 3 0 0 1 0 0

0 0 0 405 0 0 86 0

BIG STONE 2 0 2 2 0 0 1 0 0

40 0 4 91 0 0 12 0

BLUE EARTH 1 0 1 5 0

1 4 0 3

272 0 26 349 0 11 48 0

BROWN 3 0 3 4 0 2 2 0 0

102 0 20 287 0 14 20 0

CARLTON 3 0 2 3 0 1 1 0 0

61 0 10 212 0 16 558 0

CARVER 1 0 1 3 0 0 3 0 3

109 0 20 188 0 0 27 0

CASS 0 0 0 1 0 0 0 0 0

0 0 0 33 0 0 0 0

CHIPPEWA 1 0 1 3 0 1 0 0 0

30 0 6 186 0 6 0 0

CHISAGO 1 0 1 4 0 0 1 0 0

61 0 12 217 0 0 5 0

CLAY 0 0 0 4 0 0 1 0 0

0 0 0 353

0 0 16 0

CLEARWATER 1 0 1 1 0 0 0 0 0

25 0 4 47 0 0 0 0

COOK 1 0 0 1 0 0 0 0 0

16 0 0 37 0 0 0 0

COTTONWOOD 2 0 1 3 0 0 1 0 0

26 0 6 159 0 0 18 0

TABLE 11: Number of Licensed Facilities and Beds by County, March 15, 2020

Page

VII

Hosp. Psych.

Bass. N.H. B.C.H S.L.F-A

S.L.F-B

Other

Outpat.

No. No.

No. No. No. No.

No.

Surg.

County

CROW WING 2 0 2 3 0 1 1 1 1

204 0 22 211 0 24 16 16

DAKOTA 3 0 3 10 1 8 9 0 6

244 0 72 946 200 85 81 0

DODGE 0 0 0 2 0 0 0 0 0

0 0 0 100 0 0 0 0

DOUGLAS 1 0 1 4 0 0 1 1 2

127 0 14 253 0 0 6 16

FARIBAULT 1 0 1 2 0 1 0 0 0

43 0 4 124 0 24 0 0

FILLMORE 0 0 0 6 0 0 0 0 0

0 0 0 307 0 0 0 0

FREEBORN 1 0 1 4 0

1 1 0 0

159 0 22 300 0 26 32 0

GOODHUE 3 0 3 6 0 0 0 0 0

83 0 7 404 0 0 0 0

GRANT 1 0 1 1 0 0 0 0 0

10 0 2 45 0 0 0 0

HENNEPIN 9 1 8 52 13 26 32 0 28

5,401

71 660 5,592 859 383 301 0

HOUSTON 0 0 0 4 0 0 2 0 0

0 0 0 186 0 0 21 0

HUBBARD 1 0 1 1 0 1 1 0 0

50 0 10 64 0 28 8 0

ISANTI 1 0 1 1 0 0 1 0 0

86 0 15 141 0 0 6 0

ITASCA 3 0 3 4 0 0 1 0 1

104 0 20 279 0 0 34 0

JACKSON 1 0 0 2 0 0 0 0 0

20 0 0 90 0 0 0 0

KANABEC 1 0 1 1 0 0 0 0 0

49 0 8 65 0 0 0 0

KANDIYOHI 1 0 1 3 0 1 4 1 2

136 0 20 378 0 6 54 16

TABLE 11: Number of Licensed Facilities and Beds by County, March 15, 2020

Page

VIII

County

Hosp.

No.

Psych.

No.

Bass.

No.

N.H.

No.

B.C.H

No.

S.L.F-A

No.

S.L.F-B

No.

Other

No.

Outpat.

Surg.

KITTSON 1

15

0

1

0

2

106

0

KOOCHICHING 1

25

0

1

5

2

103

0

LAC QUI PARLE 2

32

0

2

4

2

112

0

1

6

0

LAKE 1

25

0

1

2

127

0

LAKE OF THE WOODS 1

15

0

1

32

0

LESUEUR 1

15

0

2

95

0

LINCOLN 2

44

0

1

3

103

0

LYON 2

74

0

1

8

3

174

0

3

40

1

6

0

2

MAHNOMEN 1

18

0

1

32

0

MARSHALL 1

12

0

1

45

0

MARTIN 1

57

0

1

16

3

155

0

3

24

0

1

MCLEOD 2

115

0

2

14

3

293

0

1

6

0

1

MEEKER 1

35

0

1

4

3

179

0

MILLE LACS 1

28

0

1

3

232

0

MORRISON 1

49

0

1

10

3

205

0

MOWER 0

0

5

217

0

MURRAY 1 0 1 1 0 0 1 0 0

25 0 2 54 0 0 14 0

TABLE 11: Number of Licensed Facilities and Beds by County, March 15, 2020

Page

IX

Hosp. Psych.

Bass. N.H. B.C.H S.L.F-A

S.L.F-B

Other

Outpat.

No. No.

No. No. No. No.

No.

Surg.

County

NICOLLET 1 0 0 2 0 2 7 0 0

25 0 0 127 0 71 801 0

NOBLES 1 0 1 3 0 0 1 0 1

48 0 7 141 0 0 10 0

NORMAN 1 0 0 2 0 0 0 0 0

14 0 0 93 0 0 0 0

OLMSTED 2 0 2 8 0 3 3 1 0

2,120

0 117 603 0 58 34 16

OTTER TAIL 2 0 2 7 0 1 1 1 0

133 0 14 526 0 16 5 16

PENNINGTON 1 1 1 2 0 0 0 0 0

26 16 10 105 0 0 0 0

PINE 1 0 1 2 0 1 0 0 0

30 0 5 96 0 50 0 0

PIPESTONE 1 0 1 2 0 1 1 0 0

44 0 7 140 0 21 7 0

POLK 2 0 2 6 0 0 0 0 0

92 0 17 323 0 0 0 0

POPE 1 0 1 2 0 0 0 0 0

34 0 4 103 0 0 0 0

RAMSEY 6 0 4 29 5 18 30 0 5

1,919 0 150 2,738 206 250 255 0

RED LAKE 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0

REDWOOD 1 0 1 6 1 0 0 0 0

25 0 6 238 26 0 0 0

RENVILLE 1 0 1 5 0 1 0 0 0

16 0 3 228 0 6 0 0

RICE 1 0 1 4 0 2 0 0 1

49 0 10 289 0 46 0 0

ROCK 1 0 1 3 0 0 1 0 0

28 0 5 186 0 0 6 0

ROSEAU 1 0 1 3 0 0 0 0 0

25 0 7 139 0 0 0 0

TABLE 11: Number of Licensed Facilities and Beds by County, March 15, 2020

Page

X

Hosp. Psych.

Bass. N.H. B.C.H S.L.F-A

S.L.F-B

Other

Outpat.

No. No.

No. No. No. No.

No.

Surg.

County

SAINT LOUIS 8 0 6 16 1 5 7 0 4

1,121 0 90 1,221 54 84 125 0

SCOTT 2 0 2 4 0 1 1 0 0

142 0 24 366 0 9 52 0

SHERBURNE 1 0 1 3 0 0 1 0 0

54 0 10 371 0 0 0 0

SIBLEY 1 0 0 3 0 1 0 0 0

20 0 0 101 0 13 0 0

STEARNS 4 0 4 8 0 2 2 0 4

575 0 70 429 0 24 36 0

STEELE 1 0 1 2 0 0 1 0 0

43 0 16 119 0 0 16 0

STEVENS 1 0 1 1 0

0 1 0 0

49 0 5 72 0 0 6 0

SWIFT 2 0 2 2 1 0 0 0 0

36 0 1 87 19 0 0 0

TODD 2 0 2 2 0 0 0 0 0

71 0 18 110 0 0 0 0

TRAVERSE 1 0 1 2 0 0 0 0 0

25 0 4 90 0 0 0 0

WABASHA 1 0 1 3 0 0 0 0 0

25 0 0 240 0 0 0 0

WADENA 1 0 1 3 0 1 1 0 0

49 0 6 240 0 20 16 0

WASECA 1 0 0 3 0 0 0 0 0

35 0 0 145 0 0 0 0

WASHINGTON 2 0 2 8 0 4 2 0 9

183 0 43 710 0 71 15 0

WATONWAN 2 0 2 2 0 0 1 0 0

50 0 8 102 0 0 13 0

WILKIN 1 0 1 1 0 0 0 0 0

25 0 8 80 0 0 0 0

WINONA 1 0 1 4 0 2 0 0 0

49 0 8 335 0 26 0 0

TABLE 11: Number of Licensed Facilities and Beds by County, March 15, 2020

Page

XI

Hosp. Psych.

Bass. N.H. B.C.H S.L.F-A

S.L.F-B

Other

Outpat.

No. No.

No. No. No. No.

No.

Surg.

County

WRIGHT 2 0 2 7 0 0 2 1 1

104 0 30 462 0 0 14 16

YELLOW MEDICINE 2 0 2 2 0 1 1 0 0

55 0 5 89 0 96 15 0

Minnesota

129

2 110 361 22 97 141 10 80

16,157 87 1,821 26,935 1,364 1,574 2,889 287

TABLE 12: Number of Facilities and Beds by County, March 15, 2020 Page XII

Hosp.

CAH

Psych. SNF SNF/NF NF 1 NF 2 ICF/IID

No.

No. No. No. No. No. No.

County

Beds

Beds Beds Beds Beds Beds Beds

AITKIN

0

1

0

2

0

0 0

0

25

0

119

0

0 0

ANOKA

1

0

1

0

7

0

0 3

531

0

175

0

575

0

0 52

BECKER

1

0

4

0

0 0

87

0

286

0

0 0

BELTRAMI

1

0

1

0

4

0

0 0

106

0

16

0

245

0

0 0

BENTON

0

3

0

0 0

0

405

0

0 0

BIG STONE

0

2

0

2

0

0 1

0

40

0

91

0

12

BLUE EARTH

1

0

5

0

0 5

272

0

349

0

59

BROWN

0

3

0

4

0

0 2

0

65

0

287

0

8

CARLTON

0

3

0

3

0

0 0

0

50

0

212

0

CARVER

1

0

3

0

0 3

109

0

188

0

27

CASS

0

1

0

1

0

0 0

0

13

0

33

0

CHIPPEWA

0

1

0

3

0

0 1

0

25

0

186

0

6

CHISAGO

1

0

4

0

0 0

61

0

217

0

CLAY

0

4

0

0 0

0

353

0

CLEARWATER

0

1

0

1

0

0 0

0

25

0

47

0

COOK

0

1

0

1

0

0 0

0

16

0

37

0

COTTONWOOD

0

2

0

3

0

0 1

0

26

0

159

0

18

CROW WING

1

0

3

0

0 0

140

25

16

0

211

0

DAKOTA 3

0

1

9

0

0 8

224

0

37

909

0

77

TABLE 12: Number of Facilities and Beds by County, March 15, 2020 Page XIII

County

DODGE

Hosp.

No.

Beds

0

CAH

No.

Beds

0

Psych.

No.

Beds

0

SNF

No.

Beds

0

SNF/NF

No.

Beds

2

100

NF 1

No.

Beds

0

NF 2

No.

Beds

0

ICF/IID

No.

Beds

0

DOUGLAS

1

127

0

1

16

0

4

253

0

1

6

FARIBAULT

0

1

25

0

2

124

0

FILLMORE

0

6

307

0

FREEBORN

1

143

0

4

300

0

GOODHUE

1

50

2

33

0

6

404

0

GRANT

0

1

10

0

1

45

0

HENNEPIN

9

4978

0

3

134

48

5,351

1

0

9

678

38

275

HOUSTON

0

4

186

0

2

21

HUBBARD

0

1

25

0

1

64

0

ISANTI

1

86

0

1

141

0

1

6

ITASCA

1

64

2

40

0

4

279

0

JACKSON

0

1

20

0

2

90

0

KANABEC

0

1

25

0

1

65

0

KANDIYOHI

1

128

0

1

16

0

3

378

0

2

12

KITTSON

0

1

15

0

2

106

0

KOOCHICHING

0

1

25

0

2

103

0

LAC QUI PARLE

0

2

32

0

2

112

0

1

6

LAKE

0

1

25

0

2

127

0

TABLE 12: Number of Facilities and Beds by County, March 15, 2020 Page XIV

County

LAKE OF THE WOODS

Hosp.

No.

Beds

0

CAH

No.

Beds

1

15

Psych.

No.

Beds

0

SNF

No.

Beds

0

SNF/NF

No.

Beds

1

32

NF 1

No.

Beds

0

NF 2

No.

Beds

0

ICF/IID

No.

Beds

0

LESUEUR

0

1

15

0

2

95

0

LINCOLN

0

2

44

0

3

103

0

LYON

0

2

50

0

3

174

0

2

12

MAHNOMEN

0

1

15

0

1

32

0

MARSHALL

0

1

12

0

1

45

0

MARTIN

1

57

0

3

155

0

3

24

MCLEOD

1

54

1

25

0

3

293

0

1

6

MEEKER

0

1

25

0

3

179

0

MILLE LACS

0

1

18

0

3

232

0

MORRISON

0

1

25

0

3

205

0

MOWER

0

5

217

0

MURRAY

0

1

25

0

1

54

0

1

14

NICOLLET

0

1

25

0

1

79

0

1

8

NOBLES

1

48

0

3

141

0

1

10

NORMAN

0

1

14

0

2

93

0

OLMSTED

2

1,976

0

1

16

2

34

7

569

0

3

24

OTTER TAIL

1

80

1

25

1

16

0

7

526

0

1

5

PENNINGTON

0

1

25

1

16

0

2

105

0

TABLE 12: Number of Facilities and Beds by County, March 15, 2020 Page XV

Hosp.

CAH

Psych.

SNF

SNF/NF

NF 1

NF 2

ICF/IID

No.

County

Beds

PINE

0

1

0

2

0

25

0

96

0

PIPESTONE

0

1

0

2

0

25

0

140

0

POLK

0

2

0

6

0

50

0

323

0

POPE

0

1

0

2

0

25

0

103

0

RAMSEY

6

0

2

26

0

3

36

1,872

0

82

2,650

0

123

251

RED LAKE

0

REDWOOD

0

1

0

6

0

25

0

238

0

RENVILLE

0

1

0

5

0

1

0

16

0

228

0

6

RICE

1

0

4

0

1

49

0

289

0

30

ROCK

0

1

0

3

0

1

0

25

0

186

0

6

ROSEAU

0

1

0

3

1

0

25

0

119

20

0

SAINT LOUIS

5

3

0

16

0

1

4

1,007

51

0

1,221

0

54

23

SCOTT

1

0

4

0

2

93

25

0

366

0

61

SHERBURNE

1

0

1

3

0

1

54

0

2

369

0

6

SIBLEY

0

1

0

3

0

1

0

20

0

101

0

13

STEARNS

1

3

0

8

0

1

469

75

0

429

0

16

STEELE

1

0

2

0

1

33

0

119

0

16

STEVENS

0

1

0

1

0

1

0

25

0

72

0

6

SWIFT

0

2

0

2

0

1

0

36

0

87

0

19

0

TABLE 12: Number of Facilities and Beds by County, March 15, 2020 Page XVI

County

TODD

Hosp.

No.

Beds

0

CAH

No.

Beds

2

50

Psych.

No.

Beds

0

SNF

No.

Beds

0

SNF/NF

No.

Beds

2

110

NF 1

No.

Beds

0

NF 2

No.

Beds

0

ICF/IID

No.

Beds

0

TRAVERSE

0

1

25

0

2

90

0

WABASHA

0

1

25

0

3

240

0

WADENA

0

1

25

0

3

240

0

WASECA

0

1

25

0

3

145

0

WASHINGTON

2

183

0

8

710

0

1

6

WATONWAN

0

2

50

0

2

102

0

1

13

WILKIN

0

1

25

0

1

80

0

WINONA

1

49

0

4

335

0

WRIGHT

1

65

1

25

1

16

0

7

462

0

2

14

YELLOW MEDICINE

0

2

50

0

2

89

0

Minnesota

51

13,195

79

1,691

9

303

9

289

352

26,512

2

20

14

874

136

1,155

TABLE 13: Number of Certified Services by County, March 15, 2020 Page XVII

Outpt

Amb

Hos- Rural

Renal

PT/ST/OT

CMHC

XRay HHA

CORF

Surg

Pice Clinic

County

AITKIN 0

0

2

ANOKA 7

2

0

4

0

4

2

0

ARIZONA 0

0

BECKER 3

0

2

0

1

0

BELTRAMI 2

0

1

0

1

0

BENTON 0

1

0

2

0

1

0

BIG STONE 1

0

2

0

1

BLUE EARTH 2

2

0

2

0

3

1

0

BROWN 1

0

1

0

1

CALIFORNIA 0

0

CARLTON 1

0

1

0

CARVER 2

1

0

1

0

3

1

0

CASS 1

0

1

0

5

CHIPPEWA

1

0

2

0

CHISAGO 1

0

CLAY 1

0

1

CLEARWATER 0

0

1

0

1

3

COOK 0

0

1

0

COTTONWOOD 0

0

1

0

3

CROW WING 1

0

4

0

1

2

1

DAKOTA 9

1

0

1

4

0

5

2

0

DODGE 0

0

DOUGLAS 1

0

2

0

2

0

FARIBAULT 0

0

1

0

1

0

FILLMORE 0

1

0

2

0

FLORIDA 0

0

FREEBORN 1

0

1

0

GOODHUE 0

0

2

0

1

0

GRANT 0

0

HENNEPIN 23

15

0

2

33

1

25

11

0

HOUSTON 0

0

TABLE 13: Number of Certified Services by County, March 15, 2020 Page XVIII

Outpt

Amb

Hos- Rural

Renal

PT/ST/OT

CMHC

XRay HHA

CORF

Surg

Pice Clinic

County

HUBBARD

0

1 0

0

1

IOWA

0

0 0

0

ISANTI 1

1 0

0

ITASCA 1

1 0

0

4

0

1

0

JACKSON 0

1 0

1

0

2

KANABEC 1

0 0

0

1

0

KANDIYOHI 1

1 0

0

3

0

2

0

KANSAS 0

0 0

0

KITTSON 0

0 0

0

1

0

2

KOOCHICHING 0

0 0

0

1

0

3

LAC QUI PARLE 0

0 0

0

2

0

3

LAKE 0

0 0

0

LAKE OF THE WOODS 0

0 0

0

1

LESUEUR

0

0 0

0

1

0

LINCOLN 0

0 0

0

1

0

1

5

LYON 1

1 0

0

3

0

2

MAHNOMEN 0

0 0

0

2

MAINE 0

0 0

0

MARSHALL 0

0 0

0

1

MARTIN 1

0 0

0

1

0

MARYLAND 0

0 0

0

MASSACHUSETTS 0

0 0

0

MCLEOD 2

0 0

0

1

0

MEEKER 1

0 0

0

1

0

1

MICHIGAN 0

0 0

0

MILLE LACS 1

0 0

0

1

0

1

2

MORRISON 1

0 0

0

2

0

2

4

MOWER 0

0 0

0

1

0

1

0

MURRAY 0

0 0

0

1

2

NEBRASKA 0

0 0

0

NEW HAMPSHIRE 0

0 0

0

TABLE 13: Number of Certified Services by County, March 15, 2020 Page XIX

Outpt

Amb

Hos- Rural

Renal

PT/ST/OT

CMHC

XRay HHA

CORF

Surg

Pice Clinic

County

NEW JERSEY

0

NEW YORK 0

0

NICOLLET 0

0

1

0

NOBLES 1

0

1

0

1

0

NORMAN 0

0

3

NORTH CAROLINA 0

0

NORTH DAKOTA 0

0

OHIO 0

0

OLMSTED 4

1

0

5

0

5

0

OTTER TAIL 1

0

4

0

1

4

PENNINGTON 1

0

1

0

PENNSYLVANIA 0

0

PINE 0

0

4

PIPESTONE

1

0

1

0

1

0

POLK 1

0

1

0

1

2

POPE 0

0

1

0

1

3

RAMSEY 15

2

1

0

23

0

5

8

0

RED LAKE 0

0

2

REDWOOD 1

0

1

0

1

2

RENVILLE 1

0

1

0

1

3

RICE 3

0

3

0

1

0

ROCK 0

0

1

0

ROSEAU 1

0

1

0

1

0

SAINT LOUIS 4

2

0

11

0

4

2

SCOTT 2

0

1

0

SHERBURNE 2

0

1

0

1

0

SIBLEY 0

0

4

SOUTH DAKOTA 0

0

STEARNS 1

2

0

5

0

4

2

5

STEELE 1

0

1

0

STEVENS 1

1

0

1

TABLE 13: Number of Certified Services by County, March 15, 2020 Page XX

Outpt

Amb

Hos- Rural

Renal

PT/ST/OT

CMHC

XRay HHA

CORF

Surg

Pice Clinic

County

SWIFT

0

1

0

2

TENNESSEE

0

TEXAS

0

TODD

0

1

0

5

TRAVERSE

0

2

WABASHA

1

0

1

0

1

WADENA

1

0

2

0

1

5

WASECA

0

WASHINGTON

4

1

0

1

0

9

4

0

WATONWAN

0

1

0

WILKIN

0

1

0

1

0

WINONA

1

0

1

0

WISCONSIN

0

WRIGHT

1

0

3

0

1

0

YELLOW MEDICINE

1

0

2

0

1

Minnesota

119 38 1 4 168 1 76 75 99

Page XXI

TABLE 14: Number of Licensed or Certified Home Care Providers and Registered Home

Management Providers by Classification and County, March 15, 2020

COMP = Comprehensive Home Care

BASIC = Basic Home Care

TCOMP = Temporary Comprehensive Home Care

TBASIC = Temporary Basic Home Care

HHA = Federally Certified Home Health Agency

Home Mgmt = Home Management Registration

County

Comp Basic

TComp TBasic

HHA

Home Mgmt

AITKIN

3

0

ANOKA

48

1

40

2

4

6

BECKER

5

0

1

0

2

1

BELTRAMI

13

0

1

BENTON

12

0

2

0

BIG STONE

2

0

2

0

BLUE EARTH

18

0

2

0

BROWN

12

1

0

1

0

CARLTON

11

0

1

0

CARVER

11

1

2

0

1

CASS

7

0

1

0

1

0

CHIPPEWA

3

0

2

1

CHISAGO

7

0

3

CLAY

12

1

0

CLEARWATER

3

0

1

COOK

0

1

0

COTTONWOOD

3

1

0

1

0

CROW WING

13

1

2

0

4

1

DAKOTA

72

3

34

2

4

8

DODGE

4

0

DOUGLAS

13

0

2

0

FARIBAULT

5

0

1

0

FILLMORE

8

0

2

0

FREEBORN

9

0

1

0

1

GOODHUE

11

0

2

0

2

GRANT

3

0

HENNEPIN

317

11

227

5

33

28

HOUSTON

5

0

Page XXII

TABLE 14: Number of Licensed or Certified Home Care Providers and Registered Home

Management Providers by Classification and County, March 15, 2020

County

Comp Basic

TComp TBasic

HHA

Home Mgmt

HUBBARD

1

0

IOWA

3

0

ISANTI

6

1

0

ITASCA

14

0

4

0

JACKSON

4

0

KANABEC

3

0

1

0

1

0

KANDIYOHI

10

2

0

3

5

KITTSON

2

0

1

0

KOOCHICHING

4

0

1

0

LAC QUI PARLE

3

0

2

0

LAKE

4

0

LAKE OF THE WOODS

1

0

LESUEUR

5

0

1

0

1

LINCOLN

1

0

1

0

1

0

LYON

8

1

0

3

0

MAHNOMEN

1

0

MARSHALL

1

0

MARTIN

5

0

MCLEOD

10

1

0

MEEKER

5

0

1

0

MILLE LACS

7

0

1

MORRISON

7

0

1

0

2

0

MOWER

11

0

1

0

1

MURRAY

2

0

NICOLLET

6

0

1

0

1

0

NOBLES

4

0

1

NORMAN

2

0

1

0

NORTH DAKOTA

6

2

0

2

OLMSTED

23

1

2

0

5

2

OTTER TAIL

18

0

4

0

PENNINGTON

2

0

1

0

PINE

5

0

Page XXIII

TABLE 14: Number of Licensed or Certified Home Care Providers and Registered Home

Management Providers by Classification and County, March 15, 2020

County

Comp Basic

TComp TBasic

HHA

Home Mgmt

PIPESTONE

4

0

1

0

POLK

9

0

1

POPE

3

0

1

0

RAMSEY

121

3

52

2

23

7

RED LAKE

1

0

REDWOOD

4

0

1

0

RENVILLE

4

0

1

0

1

0

RICE

19

0

3

1

ROCK

5

0

ROSEAU

4

0

1

0

SAINT LOUIS

39

0

11

7

SCOTT

17

1

4

0

1

SHERBURNE

11

0

1

0

SIBLEY

5

0

1

SOUTH DAKOTA

0

STEARNS

23

0

2

0

5

4

STEELE

12

0

2

0

1

STEVENS

3

0

SWIFT

3

0

1

0

TEXAS

1

0

TODD

4

0

1

0

TRAVERSE

1

0

WABASHA

2

0

1

0

WADENA

8

0

1

2

0

WASECA

3

0

WASHINGTON

40

2

17

0

1

WATONWAN

1

0

1

0

WILKIN

2

0

1

WINONA

8

0

WISCONSIN

1

0

1

WRIGHT

14

1

3

0

3

0

YELLOW MEDICINE

1

0

2

0

Page XXIV

TABLE 14: Number of Licensed or Certified Home Care Providers and Registered Home

Management Providers by Classification and County, March 15, 2020

County Comp Basic

TComp TBasic

HHA

Home Mgmt

Minnesota

1,188

35

401 12

168

92

TABLE 15: Number of HWS by County, March 15, 2020

Page

XXV

HWS HWS

County

AITKIN

ANOKA

BECKER

BELTRAMI

BENTON

BIG STONE

BLUE EARTH

BROWN

CARLTON

CARVER

CASS

CHIPPEWA

CHISAGO

CLAY

CLEARWATER

COTTONWOOD

CROW WING

DAKOTA

DODGE

DOUGLAS

FARIBAULT

FILLMORE

FREEBORN

GOODHUE

GRANT

HENNEPIN

HOUSTON

HUBBARD

ISANTI

ITASCA

JACKSON

KANABEC

KANDIYOHI

KITTSON

KOOCHICHING

LAC QUI PARLE

LAKE

LAKE OF THE WOODS

LESUEUR

5

106

13

15

3

20

12

23

21

15

8

10

23

3

5

28

151

5

19

6

10

11

18

4

691

6

7

6

27

4

5

26

2

6

3

5

1

8

County

LINCOLN

LYON

MAHNOMEN

MARSHALL

MARTIN

MCLEOD

MEEKER

MILLE LACS

MORRISON

MOWER

MURRAY

NICOLLET

NOBLES

NORMAN

OLMSTED

OTTER TAIL

PENNINGTON

PINE

PIPESTONE

POLK

POPE

RAMSEY

RED LAKE

REDWOOD

RENVILLE

RICE

ROCK

ROSEAU

SAINT LOUIS

SCOTT

SHERBURNE

SIBLEY

STEARNS

STEELE

STEVENS

SWIFT

TODD

TRAVERSE

WABASHA

4

8

1

3

6

14

13

8

15

14

4

9

4

44

32

2

8

5

15

6

175

1

6

7

32

4

5

82

19

20

6

45

15

4

5

8

1

4

TABLE 15: Number of HWS by County, March 15, 2020

Page

XXVI

HWS HWS

County

WADENA 7

WASECA 5

WASHINGTON 77

WATONWAN 2

WILKIN 3

WINONA 10

WRIGHT 21

YELLOW MEDICINE 3

Minnesota 2,132

TABLE 16: Number of Licensed Facilities and Beds by County, March 15, 2020

Page

XXVII

Residential

Hospices

Hospice

No.

County No.

========================================= =========================================

ANOKA 2 0 LINCOLN 1 0

0 0

BELTRAMI 1 0 LYON 2 2

0 9

BENTON 1 0 MILLE LACS 1 0

0 0

BLUE EARTH

1 0

MORRISON

2 0

0 0

CARVER 1 0 MOWER 1 0

0 0

CLEARWATER 1 0 MURRAY 1 1

0 4

CROW WING 2 0 NOBLES 1 1

0 4

DAKOTA

2 0

OLMSTED

5 1

0 8

DOUGLAS 2 0 OTTER TAIL 1 0

0 0

FARIBAULT 1 0 PIPESTONE 1 1

0 4

FREEBORN 1 0 POLK 1 0

0 0

GOODHUE

1 0

POPE

1 0

0 0

HENNEPIN 16 4 RAMSEY 9 1

26 21

HUBBARD 1 0 REDWOOD 1 0

0 0

ITASCA 1 0 RENVILLE 1 0

0 0

KANDIYOHI

2 0

ROCK

1 1

0 4

KITTSON 1 0 ROSEAU 1 0

0 0

TABLE 16: Number of Licensed Facilities and Beds by County, March 15, 2020

Page

XXVIII

Residential

Hospices

Hospice

No.

County No.

========================================= =========================================

SAINT LOUIS 5 2

12

SHERBURNE 1 0

0

STEARNS 3 1

8

STEELE

0 2

8

WADENA 1 0

0

WASHINGTON 4 2

8

WILKIN 1 0

0

WINONA

1 0

0

Minnesota

84 19

116

County - Institution

BELTRAMI - Red Lake Indian Hospital

City

Red Lake

Ownership

Federal

CASS - Cass Lake Indian Hospital Cass Lake Federal

HENNEPIN - Veterans Administration Hospital Minneapolis Federal

PINE - Federal Correctional Institution Sandstone Federal

STEARNS - Veterans Administration Hospital St. Cloud Federal

OLMSTED – Federal Medical Center Rochester Federal

Page XXIX

FEDERAL HOSPITALS *

* Not covered by state licensing law.

ABBREVIATIONS

Page XXX

Amb Surg – Ambulatory Surgical Center

BASS – Bassinets

BASIC – Basic Home Care

B/C – Birth Center

BCH – Boarding Care Home

CAH – Critical Access Hospital

CMHC – Community Mental Health Center

COMP – Comprehensive Home Care

CORF – Comprehensive Outpatient Rehabilitation Facility

ESRD – End Stage Renal Disease Provider

Home Mgmt – Home Management Registration

HHA – Home Health Agency

HOSP – Hospital

HSPICE – Hospice

HWS – Housing with Services Establishment

HWSAL – Housing with Services Establishment – Assisted Living

HWS-O – Housing with Services Establishment – Optional Registration

ICF/IID – Intermediate Care Facility for Individuals with Intellectual Disabilities

MOBHES – Mobile Health Evaluation/Screening Provider

NF – Nursing Facility (Medicaid Certified)

NH – Nursing Home

OTHER – Other Specialized Hospitals

Out Ot – Outpatient Occupational Therapy Provider

Out Pt – Outpatient Physical Therapy Provider

Out St – Outpatient Speech Therapy Provider

Outpt Surg – Outpatient Surgical Center

XRAY – Portable X-Ray Supplier

PRTF – Psychiatric Residential Treatment Facility

PSY – Psychiatric Hospital

Page XXXI

RESHPC – Residential Hospice

RHC– Rural Health Clinic

SLF – Supervised Living Facility

SNF – Medicare Skilled Nursing Facility

SNF-NF – Medicare/Medicaid Facility

TBASIC – Temporary Basic Home Care

TCOMP – Temporary Comprehensive Home Care

Minnesota Department of Health

Health Regulation Division

Page

1

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

AITKIN

---------------------------**********

******** --------------------------

AICOTA HEALTH CARE CENTER

Corp

HWSAL

850 2ND STREET NW

AITKIN, MN 56431

(30585)

PHONE:

218/927-2164

FAX: 218/927-6436

ALISON MATALAMAKI

AICOTA HEALTH CARE CENTER, INC.

Corp

NH-75 SNF-NF-75

850 2ND STREET NW

AITKIN, MN 56431

(00848)

PHONE:

218/927-2164

FAX: 218/927-6436

ALISON MATALAMAKI

AICOTA HEALTH CARE CENTER, INC.

Corp

COMP

850 2ND STREET NW

AITKIN, MN 56431

(24776)

PHONE:

218/927-2164

FAX: 218/927-6436

ALISON MATALAMAKI

NProf

NH-44 SNF-NF-44

AITKIN HEALTH SERVICES

301 MINNESOTA AVENUE SOUTH

AITKIN, MN 56431

(00002)

PHONE:

218/927-5526

FAX: 218/927-8210

ALISON MEYER

GOLDEN HORIZONS

Corp

COMP

518 7TH AVENUE NE

AITKIN, MN 56431

(23660)

PHONE:

218/927-9996

FAX: 218/927-7005

KRISTIN HAMRE

GOLDEN HORIZONS

Corp

HWSAL

518 7TH AVENUE NE

AITKIN, MN 56431

(30395)

PHONE:

218/927-9996

FAX: 218/927-7005

KENT MARTHALER

RIVERS EDGE ASSISTED LIVING

Corp

HWSAL

11 MINNESOTA AVENUE SOUTH

AITKIN, MN 56431

(32649)

PHONE:

218/429-5784

FAX: 218/927-4677

SCOTT DUFFNEY

RIVERS EDGE ASSISTED LIVING INC.

Corp

COMP

11 MINNESOTA AVENUE SOUTH

AITKIN, MN 56431

(33460)

PHONE:

218/429-5785

FAX: 218/927-4677

SCOTT DUFFNEY

RIVERWOOD CLINIC AITKIN

Corp

RHC

200 BUNKER HILL DRIVE

AITKIN, MN 56431

(03734)

PHONE:

218/927-2157

FAX: 218/927-4130

MICHAEL HAGEN

HOSP-25 BASS-6 CAH-25

RIVERWOOD HEALTHCARE CENTER

NProf

200 BUNKER HILL DRIVE

AITKIN, MN 56431

(21927)

PHONE:

218/927-5501

FAX: 218/927-5575

CHAD COOPER

Minnesota Department of Health

Health Regulation Division

Page

2

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

RIVERWOOD HEALTHCARE CENTER

NProf

301 MINNESOTA AVENUE SOUTH

AITKIN, MN 56431

(00002)

PHONE:

218/927-5526 FAX: 218/927-8210

CHAPPY'S GOLDEN SHORES

Ind

540 PARK AVENUE

HILL CITY, MN 55748

(21823)

PHONE:

218/697-2705 FAX: 218/697-8145

MCGREGOR CAREFREE LIVING LLC

Lim-Liab

22027 420TH STREET

MCGREGOR, MN 55760

(27287)

PHONE:

218/768-3356 FAX: 218/768-3379

RIVERWOOD MCGREGOR CLINIC

Corp

2 EAST CENTER AVENUE

MCGREGOR, MN 55760

(03736)

PHONE:

218/768-4011 FAX: 218/768-4818

---------------------------**********

ARBOR OAKS SENIOR LIVING, LLC

Lim-Liab

1640 155TH LANE NW

ANDOVER, MN 55304

(29442)

PHONE:

763/205-2348 FAX: 763/757-1583

ARBOR OAKS SENIOR LIVING, LLC

Lim-Liab

1640 155TH LANE NW

ANDOVER, MN 55304

(29443)

PHONE: 763/205-2248 FAX: 763/757-1583

CHERRYWOOD OF ANDOVER 1889

Lim-Liab

1889 139TH AVENUE NW

ANDOVER, MN 55304

(29743)

PHONE:

763/862-1006 FAX: 763/862-1005

CHERRYWOOD OF ANDOVER 1899

Lim-Liab

1899 139TH AVENUE NW

ANDOVER, MN 55304

(29744)

PHONE:

763/862-1006 FAX: 763/862-1005

CYPRESS MANOR

Corp

16770 WREN STREET NW

ANDOVER, MN 55304

(25460)

PHONE:

763/712-8363 FAX: 763/323-4811

Certification

Registration

AITKIN

(Cont.)* --------------------------

NH-44 SNF-NF-44

ALISON MEYER

THERESA OLSON

MARILYN HANSON

RHC

MICHAEL HAGEN

ANOKA

********

COMP

KIM KING

KELSEY SCHULTZ

WENDY HULSEBUS

JACOB NELSON

HWSAL

--------------------------

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

3

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

ANOKA

(Cont.)* --------------------------

HOME INSTEAD SENIOR CARE

Corp

COMP

1883 STATION PARKWAY NW STE B

ANDOVER, MN 55304

(23591)

PHONE:

763/792-0041

FAX: /-

JASON CRANE

JUST FOR RACHEL HOME CARE

Ind

COMP

5014 170TH LANE NW

ANDOVER, MN 55304

(25672)

PHONE:

763/286-3862

FAX: /-

DANIEL ELLIOTT

MIRACLES 1ST LLC

Lim-Liab

HWS

14011 JUNIPER CIRCLE NW

ANDOVER, MN 55304

(35606)

PHONE:

612/227-7065

FAX: 763/754-1798

TEMEKA THEDFORD

OHAW CARES LLC

Lim-Liab

Home Mgmt

17280 ROUND LAKE BOULEVARD NW

ANDOVER, MN 55304

(33862)

PHONE:

763/913-4778

FAX: 763/427-4724

GRETHE JENNINGS

THE FARMSTEAD

NProf

COMP

13733 QUAY STREET

ANDOVER, MN 55304

(27961)

PHONE:

763/172-7000

FAX: 763/712-7001

NATALIE MORLAND

THE FARMSTEAD

NProf

HWSAL

13733 QUAY STREET

ANDOVER, MN 55304

(20547)

PHONE:

763/712-7000

FAX: 763/712-7040

CASSANDRA PETERSON

UNIVERSAL HEALTH SERVICES LLC

Lim-Liab

HWSAL-O

3352 139TH AVENUE NW

ANDOVER, MN 55304

(35229)

PHONE:

763/843-1255

FAX: 651/571-0018

MELLEN SUTTON

ANOKA - METRO REGIONAL TREATMENT CENTER

State

OTHER-175 SLFB-29 PSY-175

3301 7TH AVENUE NORTH

ANOKA, MN 55303

(00004)

PHONE:

651/431-5252

FAX: 651/431-7733

ANGELA BRAYDEN

ANOKA REHABILITATION AND LIVING CENTER

NProf

NH-120 SNF-NF-120

3000 4TH AVENUE

ANOKA, MN 55303

(00893)

PHONE:

763/528-6400

FAX: 763/528-6402

DOUGLAS DOLINSKY

AVALON HOME CARE INC

Corp

Home Mgmt

500 WEST MAIN STREET #11

ANOKA, MN 55303

(28053)

PHONE:

763/753-8658

FAX: 763/753-4314

REBEKAH JUDISCH

Minnesota Department of Health

Health Regulation Division

Page

4

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

BAIKAH HOMES LLC

Lim-Liab

814 CHARLOTTE DRIVE

ANOKA, MN 55303

(33867)

PHONE:

612/280-2301

FAX: 763/657-1917

BAIKAH HOMES LLC

Lim-Liab

814 CHARLOTTE DRIVE

ANOKA, MN 55303

(34336)

PHONE:

612/280-2301

FAX: 763/657-1917

COMFORT KEEPERS

Lim-Liab

2006 1ST AVENUE NORTH #205

ANOKA, MN 55303

(26035)

PHONE:

763/786-1000

FAX: 763/786-9440

COMFORT KEEPERS

Lim-Liab

2006 1ST AVENUE NORTH #205

ANOKA, MN 55303

(28074)

PHONE:

763/786-1000

FAX: 763/786-9440

COMMUNITY ADDICTION RECOVERY ENTERPRISE - ANOKA

State

3301 7TH AVENUE NORTH

ANOKA, MN 55303

(00004)

PHONE:

651/431-5252

FAX: 651/431-7733

DIGNITY HEALTHCARE SERVICES

Lim-Liab

3132 6 TH AVE

ANOKA, MN 55303

(29956)

PHONE:

651/283-9043

FAX: 763/600-6736

DIGNITY HEALTHCARE SERVICES

Lim-Liab

3132 6TH AVENUE

ANOKA, MN 55303

(35304)

PHONE:

651/283-9043

FAX: 763/600-6736

GOLDEN HEARTS HOME CARE LLC

Lim-Liab

3940 9TH LANE

ANOKA, MN 55303

(34747)

PHONE:

763/528-3891

FAX: 763/392-0800

GOLDEN HEARTS HOME CARE SERVICES LLC

Lim-Liab

3659 TOWER POND DRIVE

ANOKA, MN 55303

(36085)

PHONE:

763/528-3891

FAX: 763/392-0800

GOLDEN HEARTS HOME CARE SERVICES LLC

Lim-Liab

609 PARKVIEW COURT

ANOKA, MN 55303

(33463)

PHONE:

763/528-3891

FAX: 763/444-1492

Certification

ANOKA

(Cont.)*

COMP

LANSANA HINDOLO

COMP

TOM BERARD

JEANNE ANDERSON

OTHER-175 SLFB-29 PSY-175

ANGELA BRAYDEN

COMP

FLORENCE BASSA

JOSEPHINE BALL

COMP HCBS

MISS JOSEPHINE BALL

Registration

--------------------------

HWSAL-O

Home Mgmt

HWSAL

HWSAL-O

Minnesota Department of Health

Health Regulation Division

Page

5

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

GROWTH & WELLNESS HOMECARE, LLC

Lim-Liab

2535 11TH AVENUE NW

ANOKA, MN 55303

(35203)

PHONE:

612/237-1035

FAX: /-

LIBERTY MATHAN LLC

Lim-Liab

4346 PARKVIEW CIRCLE

ANOKA, MN 55303

(34458)

PHONE:

763/227-9368

FAX: /-

LIBERTY MATHAN LLC

Lim-Liab

3920 9TH LANE

ANOKA, MN 55303

(34665)

PHONE:

763/227-9368

FAX: /-

LIBERTY MATHAN LLC

Lim-Liab

3248 SPRAGUE AVENUE

ANOKA, MN 55303

(35638)

PHONE:

763/227-9368

FAX: 763/951-3450

NORTHWEST HOUSE

Lim-Liab

2535 11TH AVENUE NW

ANOKA, MN 55303

(35380)

PHONE:

612/237-1035

FAX: 952/487-5063

RIVER OAKS OF ANOKA

Lim-Liab

910 WESTERN STREET

ANOKA, MN 55303

(24353)

PHONE:

952/697-4642

FAX: 920/925-0255

SABAINAH HEALTHCARE INC

Corp

914 38TH STREET

ANOKA, MN 55303

(34158)

PHONE:

763/221-4214

FAX: /-

THE CEDARS

Corp

701 POLK STREET

ANOKA, MN 55303

(24253)

PHONE:

763/712-8363

FAX: 763/323-4811

THE ELMS

Corp

2171 7TH AVENUE NORTH

ANOKA, MN 55303

(20535)

PHONE:

763/712-8363

FAX: 763/323-4811

THE ESTATES AT TWIN RIVERS LLC

Lim-Liab

305 FREMONT STREET

ANOKA, MN 55303

(00866)

PHONE:

763/421-5660

FAX: 763/421-6581

Certification

Registration

ANOKA

(Cont.)* --------------------------

TCOMP

BENEDICT BOAKAI

COMP

YINKA ADETUNJI

BENEDICT BOAKAI

LESLIE LEITH

PRESID JOHN IBE

JACOB NELSON

NH-50

LACY JOHNSON

HWSAL

HWSAL-O

HWSAL

HWSAL-O

SNF-NF-50

Minnesota Department of Health

Health Regulation Division

Page

6

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

THE HOMESTEAD AT ANOKA

3002 4TH AVENUE NORTH

ANOKA, MN 55303

PHONE:

763/528-6491

THE HOMESTEAD AT ANOKA

3002 4TH AVENUE NORTH

ANOKA, MN 55303

PHONE:

763/528-6500

THE HOMESTEAD AT ANOKA

3111 5TH AVENUE

ANOKA, MN 55303

PHONE:

763/528-6500

THE MAPLES

2823 7TH AVENUE NORTH

ANOKA, MN 55303

PHONE:

763/712-8363

THE OAKS

2201 7TH AVENUE NORTH

ANOKA, MN 55303

PHONE:

763/712-8363

THE PINES

2153 7TH AVENUE NORTH

ANOKA, MN 55303

PHONE:

763/712-8363

THE WILLOWS

2918 7TH AVENUE NORTH

ANOKA, MN 55303

PHONE:

763/712-8363

ULTIIMATE HOME CARE RIVERDALE HOME

1022 ADAMS STREET NW

ANOKA, MN 55303

PHONE:

763/560-9890

VOA HOME HEALTH AT ANOKA

3002 4TH AVENUE NORTH

ANOKA, MN 55303

PHONE:

763/528-6491

WALKER METHODIST PLAZA

131 MONROE STREET

ANOKA, MN 55303

PHONE:

763/453-7125

NProf

(29031)

FAX: 763/528-6501

NProf

(29856)

FAX: 763/528-6501

NProf

(32263)

FAX: 763/528-6501

Corp

(23690)

FAX: 763/323-4811

Corp

(20534)

FAX: 763/323-4811

Corp

(20536)

FAX: 763/323-4811

Corp

(24668)

FAX: 763/323-4811

Corp

(35568)

FAX: 763/560-9891

NProf

(29031)

FAX: 763/528-6501

NProf

(20443)

FAX: 763/453-7040

Certification

ANOKA

(Cont.)*

COMP

ANGIE ZIMMERMAN

JARED KEENEY

JACOB NELSON

ALFRED APATA

COMP

ANGIE ZIMMERMAN

COMP

COREY TREMBATH

Registration

--------------------------

HWSAL

HWSAL-O

Minnesota Department of Health

Health Regulation Division

Page

7

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

WALKER METHODIST PLAZA

NProf

131 MONROE STREET

ANOKA, MN 55303

(30628)

PHONE:

763/453-7125

FAX: 763/453-7040

WALKER METHODIST PLAZA GARDENS, LLC

Lim-Liab

100 MONROE STREET

ANOKA, MN 55303

(32216)

PHONE:

763/453-7125

FAX: 763/453-7040

WALKER METHODIST PLAZA HOME CARE

NProf

131 MONROE STREET

ANOKA, MN 55303

(20443)

PHONE:

763/453-7125

FAX: 763/453-7040

WHISPERING PINES ASSISTED LIVING, INC.

Corp

830 WEST MAIN STREET

ANOKA, MN 55303

(20533)

PHONE:

763/712-8363

FAX: 763/323-4811

A BEAUTIFUL CHOICE LLC

Lim-Liab

11966 WOODLAND PARKWAY NE

BLAINE, MN 55449

(34836)

PHONE:

651/263-7921

FAX: /-

ADEQUATE HOME CARE LLC

Lim-Liab

10255 MADISON STREET NE

BLAINE, MN 55434

(35259)

PHONE:

651/367-9906

FAX: /-

ALCORDIA CARE LLC

Lim-Liab

521 121ST STREET NORTHEAST

BLAINE, MN 55434

(35686)

PHONE:

612/889-1987

FAX: /-

ANTHONY LOUIS CENTER

Corp

1000 PAUL PARKWAY

BLAINE, MN 55434

(01400)

PHONE:

763/757-2906

FAX: 763/757-2059

ASSURANT CARE HOMES LLC

Lim-Liab

1755 113TH LANE NE

BLAINE, MN 55449

(32897)

PHONE:

612/987-6609

FAX: /-

BLAINE ORTHOPEDIC SURGERY CENTER

Lim-Liab

11225 ULYSSES STREET NE

BLAINE, MN 55434

(33471)

PHONE:

763/302-2200

FAX: 763/302-2201

Certification

ANOKA

(Cont.)*

ANNELIESE PETERSON

COMP

COREY TREMBATH

COMP

JACOB NELSON

TCOMP

BEE MOUA

TCOMP

MOUNIR AYOUB

TCOMP

SAHARA ABDI

SLFA-22

JON BENSON

COMP

ASSURA ZABLON OBWAYA

Registration

--------------------------

HWSAL

Outpt Surg Amb Surg

DANIEL CRESCO

Minnesota Department of Health

Health Regulation Division

Page

8

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

BLAINE WHITE PINE

Lim-Liab

12446 JAMESTOWN STREET NE

BLAINE, MN 55449

(26857)

PHONE:

763/754-1930

FAX: 763/754-1933

BLAINE WHITE PINE

Lim-Liab

12446 JAMESTOWN STREET NE

BLAINE, MN 55449

(30650)

PHONE:

763/754-1930

FAX: 763/754-1933

BLAINE WHITE PINE II

Lim-Liab

12402 JAMESTOWN STREET NE

BLAINE, MN 55449

(31675)

PHONE:

651/287-0265

FAX: 651/287-0266

BLAINE WPII LLC

Lim-Liab

12402 JAMESTOWN STREET NE

BLAINE, MN 55449

(31648)

PHONE:

651/287-0265

FAX: 651/287-0266

CARESERVICES LLC

Lim-Liab

11070 FERGUS STREET NE UNIT B

BLAINE, MN 55449

(34743)

PHONE:

612/703-9358

FAX: /-

CENTRAL AVENUE DIALYSIS

Lim-Liab

10994 BALTIMORE STREET NE

BLAINE, MN 55449

(29879)

PHONE:

763/786-5026

FAX: 763/786-4138

COMFORT RESIDENCE BLAINE

Lim-Liab

10669 ULYSSES STREET NE

BLAINE, MN 55449

(30479)

PHONE:

763/754-7300

FAX: 763/754-2561

CREST VIEW SENIOR COMMUNITY AT BLAINE

NProf

12016 ULYSSES STREET NE

BLAINE, MN 55434

(32676)

PHONE:

763/762-8420

FAX: 763/762-8421

CUSTOMIZE LIVING LLC

Lim-Liab

2842 85TH COURT NE

BLAINE, MN 55449

(35628)

PHONE:

612/987-2629

FAX: 612/886-1943

EDGEMONT PLACE ALZHEIMER'S

Lim-Liab

11748 ULYSSES LANE NE

BLAINE, MN 55434

(32457)

PHONE:

763/862-7000

FAX: 763/862-7001

Certification

ANOKA

(Cont.)*

COMP

RHONDA SCHILLINGER

COMP

RHONDA SCHILLINGER

TCOMP HCBS

NAIMO ABDISALAM

Registration

--------------------------

HWSAL

ESRD

DEB WICKHAM

HWSAL

LORI MCGUIRE

HWSAL

JULIA BIEHN

HWSAL

SULEBAN HUSSEIN

HWS

TROY MEAD

Minnesota Department of Health

Health Regulation Division

Page

9

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

ANOKA

(Cont.)* --------------------------

EDGEMONT PLACE ALZHEIMER'S SPECIAL CARE CENTER

Lim-Liab

COMP

11748 ULYSSES LANE NE

BLAINE, MN 55434

(32456)

PHONE:

763/862-7000

FAX: 763/862-7001

ASHLEY KLIPSTEIN

EDGEWOOD BLAINE LLC

Lim-Liab

HWSAL

12450 CLOUD DRIVE NE

BLAINE, MN 55449

(29791)

PHONE:

763/754-7123

FAX: 763/754-1723

BAMBI TOBIN

EDGEWOOD BLAINE LLC

Lim-Liab

COMP

12450 CLOUD DRIVE NE

BLAINE, MN 55449

(29941)

PHONE:

763/754-1723

FAX: 763/754-1728

BAMBI TOBIN

ELITE CAREGIVER GROUP-HOME LLC

Lim-Liab

TCOMP

12216 3RD STREET NORTHEAST

BLAINE, MN 55434

(35965)

PHONE:

612/735-4181

FAX: /-

IBSA SUFIYAN

ERICKSON HOME CARE

Corp

SLFA-5

710 129TH AVENUE NE

BLAINE, MN 55434

(34796)

PHONE:

763/222-6562

FAX: 612/276-5799

LUKE ERICKSON

FRESENIUS MEDICAL CARE BLAINE

Corp

ESRD

12555 CENTRAL AVENUE NE

BLAINE, MN 55434

(28635)

PHONE:

763/754-6774

FAX: 763/754-6334

JENA ANDERBERG

HEALTH POINT HOUSING WITH SERVICES LLC

Lim-Liab

HWSAL-O

351 93RD AVENUE NE

BLAINE, MN 55434

(34173)

PHONE:

612/272-8118

FAX: 763/312-2004

YOSSEPH ISAAK

HEALTHMAX HOME HEALTH SERVICES, LLC

Lim-Liab

COMP HHA

2226 119TH AVENUE NE

BLAINE, MN 55449

(25988)

PHONE:

612/272-8118

FAX: 612/435-6655

YOSSEPH ISAAK

HEALTHPOINT HOUSING WITH SERVICES @ 119TH

Lim-Liab

HWSAL-O

2226 119TH AVENUE NE

BLAINE, MN 55449

(34330)

PHONE:

612/272-8118

FAX: 763/312-2004

YOSSEPH ISAAK

KINGFISHER HEALTH LLC

Lim-Liab

TCOMP

4549 124TH COURT NORTHEAST

BLAINE, MN 55449

(35951)

PHONE:

952/388-7495

FAX: /-

DEGA MOHAMUD

Minnesota Department of Health

Health Regulation Division

Page

10

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

LANDINGS OF BLAINE

Lim-Liab

1005 PAUL PARKWAY NE

BLAINE, MN 55434

(34371)

PHONE:

763/219-1733

FAX: /-

LANDINGS OF BLAINE

Lim-Liab

1005 PAUL PARKWAY NE

BLAINE, MN 55434

(30625)

PHONE:

763/755-2800

FAX: 763/755-6400

MINNESOTA EYE LASER & SURGERY CENTERS, LLC

Lim-Liab

11091 ULYSSES STREET

BLAINE, MN 55434

(27713)

PHONE:

952/888-5800

FAX: 952/567-6156

MORINGSTAR CARE SERVICES, LLC

Lim-Liab

11347 ELDORADO STREET NE STE D

BLAINE, MN 55449

(35175)

PHONE:

602/679-0020

FAX: /-

NEW BRIDGE CARE LLC

Lim-Liab

10 92ND AVENUE NE

BLAINE, MN 55434

(35866)

PHONE:

651/285-1647

FAX: /-

NORTH METRO SURGERY CENTER

Lim-Liab

11855 ULYSSES STREET #270

BLAINE, MN 55434

(26537)

PHONE:

763/755-6540

FAX: 763/755-6516

OLIVE GROVE HOSPICE LLC

Lim-Liab

12402 JAMESTOWN STREET NE

BLAINE, MN 55449

(33451)

PHONE:

763/219-4939

FAX: 763/219-4940

REVO HEALTH

Lim-Liab

11225 ULYSSES STREET DRIVE

BLAINE, MN 55434

(33709)

PHONE:

952/847-4061

FAX: 952/456-7590

SERENE HANDS HOME HEALTH CARE

Corp

9564 MONROE STREET NE

BLAINE, MN 55434

(34523)

PHONE:

763/762-9142

FAX: 763/600-6102

SERENEHANDS HOME HEALTH CARE INC

Corp

9564 MONROE STREET NE

BLAINE, MN 55434

(33885)

PHONE:

763/732-9142

FAX: 763/354-6045

Certification

Registration

ANOKA

(Cont.)* --------------------------

COMP

BRETT INGERSOLL

Outpt Surg

DOMINIKA FORSYTH

TCOMP

BASHEIR ELMI

BENEDICTA MENSAH

Outpt Surg

CELESTE MOORE

Hospice

DANA CARNEY

COMP

JUSTINA LEHMAN

PRINCESS SMITH

COMP

PRINCESS SMITH

Amb Surg

HWSAL

Amb Surg

HSPICE

HWSAL

HWSAL-O

Minnesota Department of Health

Health Regulation Division

Page

11

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

SKYLINE HEALTH SERVICES INC

11755 MONROE STREET NE

BLAINE, MN 55434

PHONE:

612/703-2857

SYNERGY HOME CARE NORTHEAST METRO

9298 CENTRAL AVENUE NE #202

BLAINE, MN 55434

PHONE:

763/205-4440

WELLNESS GROUP HOME CORPORATIO

10634 ABLE STREET NE

BLAINE, MN 55434

PHONE:

612/205-6554

ZEN HOME HEALTHCARE

10157 3RD STREET NE

BLAINE, MN 55434

PHONE:

763/923-3050

ACE HOMES INC

3425 77TH AVENUE NORTH

BROOKLYN PARK, MN 55443

PHONE:

612/323-0315

JOSEPHS DALLMAN HHC

185 CASCADE COURT

CHANHASSEN, MN 554317

PHONE:

952/232-9887

LEGACY COMMUNITY CARE INC

1022 42 1/2 AVENUE NE

COLUMBIA HEIGHTS, MN 55421

PHONE:

612/806-6357

ALL HOMECARING

4200 CENTRAL AVENUE NE

COLUMBIA HEIGHTS, MN 55421

PHONE:

612/378-1474

ALLIANCE HOMES CORPORATION

4946 JACKSON STREET NE

COLUMBIA HEIGHTS, MN 55421

PHONE:

612/206-8025

ALLIANCE HOMES CORPORATION

4946 JACKSON STREET NE

COLUMBIA HEIGHTS, MN 55421

PHONE:

763/227-8280

Corp

(35761)

FAX: 952/484-4227

Corp

(29621)

FAX: 763/205-4403

Corp

(35002)

FAX: /-

Lim-Liab

(35293)

FAX: /-

Corp

(35074)

FAX: /-

Ind

(34039)

FAX: /-

Corp

(33911)

FAX: /-

Corp

(02166)

FAX: 612/378-1570

Corp

(34752)

FAX: 612/206-8025

Corp

(35585)

FAX: 612/206-8025

Certification

ANOKA

(Cont.)*

TCOMP

SAID MOHAMED

COMP

BRIAN MCDONALD

TCOMP

ABDIRASHID ARAB

TBASIC

NADIRAH JAMA

COMP

KALEB HAILLU

TBASIC

JOSEPH DALLMAN

COMP

AHMED YUSUF

COMP HHA

DONNA LIVERINGHOUSE

TCOMP

ABDIRIZAK HASSAN

Registration

--------------------------

HWS-O

Minnesota Department of Health

Health Regulation Division

Page

12

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

CC GROUP HOME CARE INC

524 HUSET PARKWAY

COLUMBIA HEIGHTS, MN 55421

PHONE:

612/387-3039

CHINESE SOCIAL SERVICE CENTER

4111 CENTRAL AVENUE NE #200A

COLUMBIA HEIGHTS, MN 55421

PHONE:

612/529-2602

COLUMBIA VILLAGE

1675 44TH AVENUE NE

COLUMBIA HEIGHTS, MN 55421

PHONE:

763/782-1601

COMFORT GROUP HOME INC

3955 HAYES AVENUE NE

COLUMBIA HEIGHTS, MN 55421

PHONE:

612/237-1310

COMFORT GROUP HOMES INC

3955 HAYES AVENUE NE

COLUMBIA HEIGHTS, MN 55421

PHONE:

612/237-1310

COMFORT LIVING INC

4201 JEFFERSON STREET NE

COLUMBIA HEIGHTS, MN 55421

PHONE:

612/245-0495

CREST VIEW HOME CARE

1515 44TH AVENUE NE

COLUMBIA HEIGHTS, MN 55421

PHONE:

763/782-1605

CREST VIEW HOME HEALTH CARE

1515 44TH AVENUE NE

COLUMBIA HEIGHTS, MN 55421

PHONE:

763/782-1605

CREST VIEW LUTHERAN HOME

4444 RESERVOIR BOULEVARD NE

COLUMBIA HEIGHTS, MN 55421

PHONE:

763/782-1611

CREST VIEW ON 42ND

900 42ND AVENUE NE

COLUMBIA HEIGHTS, MN 55421

PHONE:

763/782-1606

Corp

(35632)

FAX: /-

NProf

(29538)

FAX: 612/465-2733

NProf

(20787)

FAX: 763/782-0857

NProf

(34843)

FAX: /-

Corp

(34944)

FAX: 612/237-1310

Corp

(35457)

FAX: 612/930-0422

NProf

(20750)

FAX: 763/788-0012

NProf

(03080)

FAX: 763/788-0012

NProf

(00005)

FAX: 763/782-0857

NProf

(21871)

FAX: 763/782-0857

Certification

Registration

ANOKA

(Cont.)* --------------------------

TCOMP

FOWSIYA HASSAN

BASIC

YI YOU

HWS

MATTHEW TOBALSKY

TCOMP

ALI GOODIR

HWS

MOHAMED GOODIR

TCOMP

ADIRZAK ADAN

COMP

JULIA BIEHN

COMP HHA

JULIA BIEHN

NH-122 SNF-NF-122

JOSH KENDRICK

HWSAL

MATT TOBALSKY

Minnesota Department of Health

Health Regulation Division

Page

13

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

DIVERSITY UNION GROUP HOME LLC

Lim-Liab

5033 6TH STREET NORTHEAST

COLUMBIA HEIGHTS, MN 55421

(35771)

PHONE:

952/201-5354

FAX: /-

DIVERSITY UNION GROUP HOME LLC

Lim-Liab

5033 6TH STREET NORTHEAST

COLUMBIA HEIGHTS, MN 55421

(35772)

PHONE:

952/201-5354

FAX: /-

FIRST CARE OF MINNESOTA INC

Corp

522 HUSET PARKWAY

COLUMBIA HEIGHTS, MN 55421

(35290)

PHONE:

763/286-8124

FAX: 612/746-3735

GOODQUALITY HOME HEALTH SERVICES INC

Corp

3701 RESERVOIR BOULEVARD

COLUMBIA HEIGHTS, MN 55421

(32873)

PHONE:

612/701-5965

FAX: 763/710-7612

GOODQUALITY HOME HEALTH SERVICES, INC.

Corp

3701 RESERVOIR BOULEVARD

COLUMBIA HEIGHTS, MN 55421

(33370)

PHONE:

612/701-5965

FAX: 612/353-6508

HEALING RESIDENCES INC

Corp

4800 5TH STREET NORTHEAST

COLUMBIA HEIGHTS, MN 55421

(35538)

PHONE:

612/806-3863

FAX: /-

HEALING RESIDENCES INC

Corp

4800 5TH STREET NE

COLUMBIA HEIGHTS, MN 55421

(34724)

PHONE:

612/806-3863

FAX: 612/314-8822

HEART GROUP HOME LLC

Lim-Liab

4643 7TH STREET NE

COLUMBIA HEIGHTS, MN 55421

(34755)

PHONE:

612/206-8025

FAX: /-

HEART GROUP HOME LLC

Lim-Liab

4643 7TH STREET NE

COLUMBIA HEIGHTS, MN 55421

(35608)

PHONE:

612/442-4330

FAX: 612/206-8025

INDIGO HEALTHCARE SERVICES LLC

Lim-Liab

1161 CHERRY LANE NE

COLUMBIA HEIGHTS, MN 55421

(35843)

PHONE:

781/250-9059

FAX: 888/279-6916

Certification

ANOKA

(Cont.)*

TCOMP HCBS

SAGAL ALI

TCOMP

BASHIR WARSAME

COMP

MUSTAFA SAID

SHUKRI MAHOMOOD

TCOMP

SHUKRI MAHMOOD

TCOMP

ALMED ABDULLAHI

AHMED ABDULLAHI

EMMANUEL WILLIAMS

Registration

--------------------------

Home Mgmt

HWSAL-O

HWSAL

HWSAL-O

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

14

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

---------------------------**********

ANOKA

(Cont.)*

LEGACY COMMUNITY CARE INC

Corp

1022 42 1/2ND AVENUE NE

COLUMBIA HEIGHTS, MN 55421

(34278)

PHONE:

763/444-1893

FAX: /-

ABDALA ADEN

LIGHTHOUSE OF COLUMBIA HEIGHTS

Lim-Liab

COMP

3801 HART BOULEVARD NE

COLUMBIA HEIGHTS, MN 55421

(26853)

PHONE:

763/210-6600

FAX: 763/210-6695

BETH LANDERS

NEW PERSPECTIVE - COLUMBIA HEIGHTS

Lim-Liab

COMP

3801 HART BOULEVARD NE

COLUMBIA HEIGHTS, MN 55421

(26853)

PHONE:

763/210-6600

FAX: 763/210-6695

BETH LANDERS

NEW PERSPECTIVE COLUMBIA HEIGHTS

Lim-Liab

3801 HART BOULEVARD NE

COLUMBIA HEIGHTS, MN 55421

(30649)

PHONE:

763/210-6600

FAX: 763/210-6695

BETH LANDERS

OPEN ARMS GROUP HOME LLC

Lim-Liab

TCOMP

569 38TH AVENUE NORTHEAST

COLUMBIA HEIGHTS, MN 55421

(35775)

PHONE:

763/291-4880

FAX: /-

BILAB JAMA

PRO-HEALTH HOME CARE AGENCY LLC

Lim-Liab

COMP HCBS

4710 CENTRAL AVENUE NE

COLUMBIA HEIGHTS, MN 55421

(25163)

PHONE:

763/746-8155

FAX: 763/746-8154

ABDULWAHAB ASAMARAI

REVIVE CARE SERVICES

Corp

1115 45TH AVENUE NE

COLUMBIA HEIGHTS, MN 55421

(35190)

PHONE:

763/310-4079

FAX: /-

WARSAME ALI WARSAME

ROYCE PLACE

NProf

1515 44TH AVENUE NE

COLUMBIA HEIGHTS, MN 55421

(20079)

PHONE:

763/782-1601

FAX: 763/788-0012

MATTHEW TOBALSKY

THE BOULEVARD

NProf

4458 RESERVOIR BOULEVARD NE

COLUMBIA HEIGHTS, MN 55421

(20078)

PHONE:

763/782-1601

FAX: 763/782-0857

MATT TOBALSKY

UNITED PROVIDERS LLC

Lim-Liab

TCOMP

3701 JACKSON STREET NE

COLUMBIA HEIGHTS, MN 55421

(34649)

PHONE:

763/313-5674

FAX: /-

HAMDI OMAR

Registration

--------------------------

HWSAL-O

HWSAL

HWS

Minnesota Department of Health

Health Regulation Division

Page

15

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

ANOKA

---------------------------**********

(Cont.)* --------------------------

HWSAL-O

2016 HOME

Lim-Liab

2016 123RD AVENUE NW

COON RAPIDS, MN 55448

(35690)

PHONE:

612/203-4758

FAX: 763/757-1187

MATILDA AGYAPONG

ALIYA CARE

Corp

COMP

12460 SYCAMORE STREET NW

COON RAPIDS, MN 55448

(33873)

PHONE:

763/710-9619

FAX: 612/246-4034

KHADRA ISMAIL

ALIYA CARE INC

Corp

HWS

12460 SYCAMORE STREET NW

COON RAPIDS, MN 55448

(34412)

PHONE:

763/710-9619

FAX: 612/246-4034

MUSTAF ISMAIL

ALL HOPES AT LINNET

Corp

HWSAL-O

9937 LINNET STREET NW

COON RAPIDS, MN 55433

(33640)

PHONE:

763/482-1487

FAX: 763/951-2775

VICTOR AWOSIKA

ALLINA HOME HEALTH INFUSION THERAPY SERVICES

NProf

COMP

4050 COON RAPIDS BOULEVARD

COON RAPIDS, MN 55433

(34565)

PHONE:

763/236-6000

FAX: /-

JILL STRYKOWSKI

ASPEN HOMES

Corp

HWSAL

11742 CROOKED LAKE BOULEVARD

COON RAPIDS, MN 55433

(34850)

PHONE:

612/876-1913

FAX: /-

FATHIA MOUSSA

ASSURANT CARE HOMES LLC

Lim-Liab

HWS

2750 112TH LANE NW

COON RAPIDS, MN 55433

(33302)

PHONE:

612/987-6609

FAX: 763/316-0493

ZABLON OBWAYA

ASSURANT CARE HOMES LLC

Lim-Liab

HWSAL

11430 CROOKED LAKE BLVD NW

COON RAPIDS, MN 55433

(34494)

PHONE:

612/987-6609

FAX: 763/316-0493

ZABLON OBWAYA

HWSAL

AUTUMN GLEN SENIOR LIVING

Part

3715 COON RAPIDS BOULEVARD NW

COON RAPIDS, MN 55433

(31129)

PHONE:

763/772-4492

FAX: 763/746-4080

RANDALL BENSON

COMP

AUTUMN GLEN SENIOR LIVING

Part

3715 COON RAPIDS BOULEVARD NW

COON RAPIDS, MN 55433

(31554)

PHONE:

763/772-4492

FAX: 763/746-4080

BENSON RANDALL

Minnesota Department of Health

Health Regulation Division

Page

16

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

ANOKA

(Cont.)* --------------------------

BETHESDA LUTHERAN COMMUNITIES COTTAGE 5

NProf

SLFA-12 ICFIID-12

2483 109TH AVENUE NW

COON RAPIDS, MN 55433

(01538)

PHONE:

952/443-2048

FAX: 952/443-2371

MONICA SCHMIDT

BETHESDA LUTHERAN COMMUNITIES COTTAGE 6

NProf

SLFA-11 ICFIID-11

2493 109TH AVENUE NW

COON RAPIDS, MN 55433

(01253)

PHONE:

952/443-2756

FAX: 952/443-2371

MONICA SCHMIDT

CALM HOME HEALTH CARE LLC

Lim-Liab

TCOMP

10415 EAGLE STREET NW

COON RAPIDS, MN 55433

(35762)

PHONE:

763/772-7710

FAX: /-

AHMED BURHAN

CAMILIA ROSE CARE CENTER LLC

Lim-Liab

NH-80 SNF-NF-80

11800 XEON BOULEVARD NW

COON RAPIDS, MN 55448

(00757)

PHONE:

763/755-8400

FAX: 763/755-8578

DAVID MCCRAY

CAMILIA ROSE GROUP HOME

Lim-Liab

SLFB-29 ICFIID-29

11820 XEON BOULEVARD

COON RAPIDS, MN 55448

(01141)

PHONE:

763/755-8480

FAX: 763/755-3130

BRENT KROCAK

COMFORT CARE GROUP LLC

Lim-Liab

TCOMP

219 106TH AVENUE NW

COON RAPIDS, MN 55448

(35363)

PHONE:

612/229-3858

FAX: /-

BASHE YUSUF

COMFORT CARE GROUP LLC

Lim-Liab

HWSAL

219 106TH AVENUE NW

COON RAPIDS, MN 55448

(35980)

PHONE:

612/229-3858

FAX: /-

BASHE YUSUF

COON RAPIDS DIALYSIS UNIT

Corp

ESRD

3960 COON RAPIDS BLVD #309

COON RAPIDS, MN 55103

(02316)

PHONE:

763/421-8717

FAX: /-

ANNETTE GRUNDMEIER

CREEKSIDE COTTAGE ASSISTED LIVING

Corp

HWSAL

1190 117TH AVENUE NW

COON RAPIDS, MN 55448

(24666)

PHONE:

763/862-5428

FAX: 763/754-6903

MARY TJOSVOLD

CREEKSIDE VILLA

Corp

HWS

1177 117TH AVE

COON RAPIDS, MN 55448

(34994)

PHONE:

763/754-2505

FAX: 763/254-0332

BRENT KROCAK

Minnesota Department of Health

Health Regulation Division

Page

17

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

DEMAR ASSOCIATES, INC.

Corp

11777 XEON BOULEVARD

COON RAPIDS, MN 55448

(20134)

PHONE:

763/754-2505

FAX: 763/754-0332

EAGLE STREET CATERED LIVING

Corp

12009 EAGLE STREET

COON RAPIDS, MN 55448

(20835)

PHONE:

763/862-5438

FAX: 763/755-3631

EPIPHANY ASSISTED LIVING, LLC

Lim-Liab

10955 HANSON BOULEVARD NW

COON RAPIDS, MN 55433

(21113)

PHONE:

763/755-0320

FAX: 763/772-1070

EPIPHANY ASSISTED LIVING, LLC

Lim-Liab

10955 HANSON BOULEVARD NW

COON RAPIDS, MN 55433

(30688)

PHONE:

763/772-1044

FAX: 763/772-1070

FMC DIALYSIS SERVICES NORTH SUBURBAN

Corp

9144 SPRINGBROOK DRIVE

COON RAPIDS, MN 55355

(02816)

PHONE:

763/783-0103

FAX: /-

FRESENIUS MEDICAL CARE COON RAPIDS

Corp

3465 NORTHDALE BOULEVARD

COON RAPIDS, MN 55448

(25769)

PHONE:

763/421-1032

FAX: 763/421-1054

FRESENIUS MEDICAL CARE ROUND LAKE DIALYSIS

Corp

3777 COON RAPIDS BLVD NW #120

COON RAPIDS, MN 55433

(30283)

PHONE:

763/323-1234

FAX: 763/323-6695

GLOBAL ALLIANCE HOME HEALTH CARE

Lim-Liab

10861 FOLEY BLVD NW

COON RAPIDS, MN 55448

(36017)

PHONE:

763/710-5722

FAX: 763/710-5876

GRACE ASSISTED LIVING LLC

Lim-Liab

2566 112TH AVENUE NORTHWEST

COON RAPIDS, MN 55433

(35234)

PHONE:

612/227-4036

FAX: /-

GRACE ASSISTED LIVING LLC

Lim-Liab

2566 112TH AVENUE NW

COON RAPIDS, MN 55433

(35793)

PHONE:

612/227-4036

FAX: /-

Certification

ANOKA

(Cont.)*

MARY TJOSVOLD

COMP

JEANETTE DELICH

ESRD

JOHN MARIETTI

ESRD

JOHN MARIETTI

ESRD

JOHN MARIETTI

MICHAEL HUNTER

TCOMP

KEFYALEW AMANTE

KAFYALEW AMANTE

Registration

--------------------------

HWSAL

HWSAL-O

Minnesota Department of Health

Health Regulation Division

Page

18

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

HCMC #1 HOME CARE MORE CARE

1020 95TH LANE

COON RAPIDS, MN 55433

PHONE:

612/599-2595

HCMC #4 HOME CARE MORE CARE

1052 95TH LANE NW

COON RAPIDS, MN 55433

PHONE:

612/599-2595

HCMC HOME CARE MORE CARE #3, LLC

1057 95TH LANE NW

COON RAPIDS, MN 55433

PHONE:

612/899-2595

HOME CARE MORE CARE #2

1036 95TH LANE

COON RAPIDS, MN 55433

PHONE:

612/599-2595

HOPE PLACE

80 COON RAPIDS BOULEVARD

COON RAPIDS, MN 55448

PHONE:

763/323-2066

J & K COMFORT HOME

432 106TH AVENUE NW

COON RAPIDS, MN 55448

PHONE:

763/452-5559

J & K COMFORT HOME

432 106 AVENUE

COON RAPIDS, MN 55448

PHONE:

612/735-5559

LIVING GRACE HOME CARE

10253 MISSISSIPPI BOULEVARD

COON RAPIDS, MN 55433

PHONE:

763/365-0015

MARGARET PLACE LIMITED PARTNERSHIP

1555 118TH LANE NW

COON RAPIDS, MN 55448

PHONE:

763/754-2505

MARGARET PLACE LIMITED PARTNERSHIP

1555 118TH LANE NW

COON RAPIDS, MN 55448

PHONE:

763/754-2505

Lim-Liab

(33980)

FAX: /-

Lim-Liab

(34275)

FAX: /-

Lim-Liab

(34072)

FAX: /-

Lim-Liab

(33979)

FAX: 763/785-9632

NProf

(33381)

FAX: /-

Part

(35317)

FAX: /-

Lim-Liab

(35178)

FAX: 763/452-0206

Corp

(35605)

FAX: /-

Part

(20886)

FAX: /-

Part

(30826)

FAX: 763/754-0332

Certification

ANOKA

(Cont.)*

ALLAN BUTLER

LISA JACOBSON

KEVIN NYABICHA

TCOMP HCBS

KEVIN NYABICHA

GBADE OLOWU

COMP

KIM NEAL

MARY TJOSVOLD

Registration

--------------------------

HWS

HWSAL

HWS-O

HWS

Minnesota Department of Health

Health Regulation Division

Page

19

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

MARY T HOSPICE

1555 118TH LANE NW

COON RAPIDS, MN 55448

PHONE:

763/862-5438

MARY T. HOME HEALTH

299 COON RAPIDS BOULEVARD #105

COON RAPIDS, MN 55433

PHONE:

763/862-5438

MERCY HOSPITAL

4050 COON RAPIDS BOULEVARD

COON RAPIDS, MN 55433

PHONE:

763/236-8100

MIAKARSEH HOUSE

10608 ARROWHEAD STREET NW

COON RAPIDS, MN 55433

PHONE:

763/744-6192

MNGI ENDOSCOPY COON RAPIDS

9145 SPRING BROOK DRIVE

COON RAPIDS, MN 55433

PHONE:

612/871-1145

MY LEGAL NURSE CONSULTANTS LLC

10608 ARROWHEAD STREET NW

COON RAPIDS, MN 55433

PHONE:

763/744-6192

NEW LIFE CARE

10115 GROUSE STREET NW

COON RAPIDS, MN 55433

PHONE:

763/257-7118

NURA, PA

2104 NORTHDALE BOULEVARD #220

COON RAPIDS, MN 55432

PHONE:

763/537-6000

PARK RIVER ESTATES CARE CENTER

9899 AVOCET STREET NW

COON RAPIDS, MN 55433

PHONE:

763/757-2320

PARTRIDGE HOME

12423 PARTRIDGE STREET NW

COON RAPIDS, MN 55448

PHONE:

612/203-4758

Corp

(26345)

FAX: 763/755-3631

Corp

(03136)

FAX: 763/755-3631

NProf

(00009)

FAX: 763/236-8124

Lim-Liab

(33621)

FAX: 763/433-2987

Corp

(21075)

FAX: 612/870-5491

Lim-Liab

(33590)

FAX: 763/433-2987

Lim-Liab

(35418)

FAX: /-

Corp

(33751)

FAX: 763/537-6666

Corp

(00010)

FAX: 763/757-6946

Lim-Liab

(34925)

FAX: 763/757-1187

Certification

Registration

ANOKA

(Cont.)* --------------------------

Hospice HSPICE

RANDALL LEJA

COMP HHA

RANDALL LEJA

HOSP-546 BASS-27 HOSP-531 PPS-P-15

SARA CRIGER

HWSAL

ROMANDA GAYE

Outpt Surg Amb Surg

SCOTT KETOVER

COMP

ROMANDA GAYE

TCOMP

MOHAMED ABDELLBASIT

COMP

RUTH VERCHECK

NH-99 SNF-NF-99

THOMAS POLLOCK

HWS

MATILDA AGYAPONG

Minnesota Department of Health

Health Regulation Division

Page

20

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

ANOKA

(Cont.)* --------------------------

PRECIOUS PARTNERS HOME CARE LLC

Lim-Liab

TCOMP

2340 132ND LANE NW

COON RAPIDS, MN 55448

(34082)

PHONE:

763/447-5873

FAX: /-

JANET OBONYO

PURE HEART HEALTH SERVICES, INC

Corp

HWSAL

9884 ILEX STREET NW

COON RAPIDS, MN 55433

(35895)

PHONE:

763/283-5152

FAX: 763/432-3643

KAIBEH BENSON

ROUND LAKE HOME

Lim-Liab

HWSAL

11901 ROUND LAKE BOULEVARD NW

COON RAPIDS, MN 55433

(33761)

PHONE:

612/203-4758

FAX: 763/757-1187

MATILDA AGYAPONG

ROYAL HOME CARE INC

Corp

HWSAL-O

9951 QUINCE STREET NW

COON RAPIDS, MN 55433

(33286)

PHONE:

763/270-8919

FAX: 763/226-2484

OLALEYE OLAGBAJU

SELECT SENIOR LIVING OF COON RAPIDS LLC

Lim-Liab

COMP

11350 MARTIN STREET

COON RAPIDS, MN 55433

(25728)

PHONE:

763/710-0270

FAX: 763/432-9654

ANGIE BANTLE

SELECT SENIOR LIVING OF COON RAPIDS, LLC

Lim-Liab

HWSAL

11350 MARTIN STREET NW

COON RAPIDS, MN 55433

(25729)

PHONE:

763/767-1127

FAX: 763/862-6852

CARYL NORDLAND

T & R HOMES INC

Corp

HWS

11409 SWALLOW STREET NW

COON RAPIDS, MN 55433

(35132)

PHONE:

612/249-6909

FAX: 612/314-8708

TIFFANY JOHNSON

THE HOMESTEAD AT COON RAPIDS

NProf

HWSAL

1770 113TH LANE

COON RAPIDS, MN 55433

(20478)

PHONE:

763/233-5100

FAX: 763/754-3700

HEATHER WALKER

THE HOMESTEAD AT COON RAPIDS

NProf

COMP

11372 ROBINSON DRIVE NW

COON RAPIDS, MN 55433

(20532)

PHONE:

763/233-5100

FAX: 763/754-3700

HEATHER WALKER

THE HOMESTEAD AT COON RAPIDS

NProf

HWSAL

11372 ROBINSON DRIVE NW

COON RAPIDS, MN 55433

(30689)

PHONE:

763/233-5100

FAX: 763/754-3700

HEATHER WALKER

Minnesota Department of Health

Health Regulation Division

Page

21

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

THE HOMESTEAD AT COON RAPIDS MEMORY CARE

NProf

1770 113TH LANE

COON RAPIDS, MN 55433

PHONE:

763/233-5100

TR HOMES

11409 SWALLOW STREET NW

COON RAPIDS, MN 55433

PHONE:

763/208-1028

WE CARE HOME HEALTH SERVICES

2016 123RD AVENUE NW

COON RAPIDS, MN 55448

PHONE:

612/203-4758

DIGNITY HOME CARE LLC

6051 UNIVERSITY AVENUE NE #310

FRIDLEY, MN 55432

PHONE:

612/402-9116

FRIDLEY ASSISTED LIVING LLC

6352 CENTRAL AVENUE

FRIDLEY, MN 55432

PHONE:

763/574-7366

FRIDLEY ASSISTED LIVING LLC

6352 CENTRAL AVENUE

FRIDLEY, MN 55432

PHONE:

763/574-7366

FRIDLEY DIALYSIS UNIT

5301 EAST RIVER ROAD NE #117

FRIDLEY, MN 55421

PHONE:

763/571-5556

GLOBAL CASE MANAGEMENT LLC

5231 BUCHANAN STREET NE

FRIDLEY, MN 55421

PHONE:

763/999-6914

GLOBAL CASE MANAGMENT

5231 BUCHANAN STREET NE

FRIDLEY, MN 55421

PHONE:

763/999-6914

HOPE REST HOMES INC

7553 UNIVERSITY AVENUE NE

FRIDLEY, MN 55432

PHONE:

612/978-7023

(20478)

FAX: 763/754-3700

Corp

(34986)

FAX: 763/951-3788

Lim-Liab

(32613)

FAX: 763/757-1187

Lim-Liab

(35470)

FAX: /-

Lim-Liab

(27980)

FAX: 763/574-7362

Lim-Liab

(27981)

FAX: 763/574-7362

Corp

(25501)

FAX: 763/571-7882

Lim-Liab

(33231)

FAX: 763/255-1482

Lim-Liab

(33614)

FAX: /-

Corp

(34882)

FAX: 612/314-8811

Certification

Registration

ANOKA

(Cont.)* --------------------------

HWSAL

HEATHER WALKER

TCOMP HCBS

TIFFANY JOHNSON

COMP

MATILDA AGYAPONG

TCOMP

MUNA HASSAN

COMP

RHONDA SCHILLINGER

HWSAL

RHONDA SCHILLNGER

ESRD

VALERIE ROMANOSKI

COMP

YASIN ABSHIR

HWSAL-O

YASIN ABSHIR

HWSAL

MANAGE GAMI NASIR

Minnesota Department of Health

Health Regulation Division

Page

22

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

INFINITY HEALTH HOME CARE LLC

Lim-Liab

5951 UNIVERSITY AVENUE #410

FRIDLEY, MN 55432

(35554)

PHONE:

408/637-0001

FAX: /-

INTERLUDE RESTORATIVE SUITES UNITY

ONProf

520 OSBORNE ROAD NE

FRIDLEY, MN 55432

(29890)

PHONE:

763/230-3131

FAX: 763/230-3345

JMKAY HEALTH CARE SERVICES INC

Corp

5600 5TH STREET NE

FRIDLEY, MN 55432

(32812)

PHONE:

763/245-0668

FAX: 763/657-0026

JMKAY HEALTH CARE SERVICES INC

Corp

5600 5TH STREET NE

FRIDLEY, MN 55432

(33269)

PHONE:

763/245-0668

FAX: 763/657-0026

JOYFUL HOME HEALTH CARE LLC

Lim-Liab

6568 CENTRAL AVENUE NE

FRIDLEY, MN 55432

(34572)

PHONE:

612/481-4636

FAX: 612/395-5223

LAKEVIEW HOME HEALTH CARE INC

Corp

5553 WEST FILLMORE CIRCLE NE

FRIDLEY, MN 55432

(35576)

PHONE:

763/291-6188

FAX: /-

METRO ASSISTED LIVING

Lim-Liab

7663 JACKSON STREET NE

FRIDLEY, MN 55432

(35903)

PHONE:

612/998-2728

FAX: 612/998-2758

METRO THERAPY - SPECIAL CHILDREN'S CLINIC, INC.

Corp

5155 EAST RIVER ROAD #403

FRIDLEY, MN 55421

(02799)

PHONE:

763/572-2519

FAX: 763/572-2616

MILL CITY HOME HEALTH CARE INC

Corp

6428 CHRISTENSON LANE NE

FRIDLEY, MN 55432

(35085)

PHONE:

612/281-2732

FAX: /-

PARK POINT INC

Corp

7362 UNIVERSITY AVENUE NE #211

FRIDLEY, MN 55432

(34962)

PHONE:

763/205-3891

FAX: 612/206-8284

Certification

Registration

ANOKA

(Cont.)* --------------------------

TCOMP

SAMIRA SAID

NH-50

JANAE BEAUDOT

COMP

OLAJUMOKE OLADEJI

ADETOMI OMOTAYO

TCOMP

ZEWDNESH SINKE

NASRO ISSAK

AUDREY CHAPUT

TCOMP

MAHID HIRSI

TCOMP

ELVIS OSAGIE

SNF-NF-50

HWSAL-O

HWSAL

Out St Out Ot

Minnesota Department of Health

Health Regulation Division

Page

23

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

PRIDE N'LIVING HOME CARE, INC.

Corp

7691 CENTRAL AVENUE #102

FRIDLEY, MN 55432

(23218)

PHONE:

763/572-2390

FAX: 763/574-2459

RIGHTWAY HOME CARE SERVICES INC - OVERTON HOUSE

Corp

940 OVERTON DRIVE NE

FRIDLEY, MN 55432

PHONE:

763/432-9738

SAMS HOUSE

5401 4TH STREET NE

FRIDLEY, MN 55421

PHONE:

763/566-0831

SUNRISE CARE LLC

6250 RAINBOW DRIVE NE

FRIDLEY, MN 55432

PHONE:

612/309-4689

THE ESTATES OF FRIDLEY LLC

5700 EAST RIVER ROAD

FRIDLEY, MN 554326149

PHONE:

763/571-3150

THE HARBORS SENIOR LIVING OF FRIDLEY

5300 4TH STREET NE

FRIDLEY, MN 55432

PHONE:

763/762-8990

THE LANDMARK OF FRIDLEY

6490 CENTRAL AVENUE NE

FRIDLEY, MN 55432

PHONE:

763/571-7355

THE LANDMARK OF FRIDLEY

6490 CENTRAL AVENUE NE

FRIDLEY, MN 55432

PHONE:

763/571-7355

UPEND HOME HEALTH CARE INC

357 66TH AVENUE NE

FRIDLEY, MN 55432

PHONE:

612/961-8570

FOUNTAIN GATE HEALTH LLC

17045 CHISHOLM STREET NE

HAM LAKE, MN 55304

PHONE:

763/516-8304

(35958)

FAX: 763/208-5725

Corp

(32534)

FAX: 763/208-7071

Lim-Liab

(35151)

FAX: 952/977-9786

Lim-Liab

(00935)

FAX: 763/571-2805

Lim-Liab

(33169)

FAX: 763/208-2976

Lim-Liab

(28887)

FAX: 763/571-7299

Lim-Liab

(28954)

FAX: 763/571-7299

Corp

(32360)

FAX: /-

Lim-Liab

(35352)

FAX: /-

Certification

Registration

ANOKA

(Cont.)* --------------------------

COMP HCBS

CELESTINA WAINDIM

HWS-O

NICOLE CHOSA

HWSAL-O

ROGER BONNY

HWSAL-O

YASMIN MAALIN

NH-54 SNF-NF-54

. TIMOTHY JOHNSON

HWSAL

JENNIFER THORSON

HWSAL

KATELYNN FORLITI

COMP

KATELYNN FORLITI

COMP

SUAD ISSE

TCOMP

EVELYN MCCARTHY

Minnesota Department of Health

Health Regulation Division

Page

24

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

FOUNTAIN GATE HEALTH LLC

17045 CHISHOLM STREET NE

HAM LAKE, MN 55304

PHONE:

763/516-8304

HAM LAKE PHYSICAL THERAPY

16210 ABERDEEN STREET NE STE B

HAM LAKE, MN 55304

PHONE:

763/413-0880

COMPASSIONATE LUCYS SENIOR HOME CARE

695 OAK LANE

LINO LAKES, MN 55014

PHONE:

651/242-3690

LINO LAKES ASSISTED LIVING LLC

725 TOWN CENTER PARKWAY

LINO LAKES, MN 55014

PHONE:

763/267-6183

LINO LAKES ASSISTED LIVING LLC

725 TOWN CENTER PARKWAY

LINO LAKES, MN 55014

PHONE:

763/267-6183

LINO LAKES GRACEWOOD

675 MARKET PLACE DRIVE

LINO LAKES, MN 55014

PHONE:

651/287-0265

LINO LAKES GW LLC

675 MARKET PLACE DRIVE

LINO LAKES, MN 55014

PHONE:

651/287-0265

COMPREHENSIVE HEALTHCARE SERVICE INC

2614 NICOLLET AVENUE SOUTH

MINNEAPOLIS, MN 55408

PHONE:

952/217-6575

FUNDAMENTAL KIDS THERAPY LLC

145 221ST AVENUE NW

OAK GROVE, MN 55011

PHONE:

952/297-2460

GUARDIAN ANGELS LLC

2101 198TH AVENUE NW

OAK GROVE, MN 55011

PHONE:

763/245-0755

Lim-Liab

(35668)

FAX: /-

Corp

(03772)

FAX: 763/413-0850

Lim-Liab

(29183)

FAX: /-

Lim-Liab

(27529)

FAX: 763/398-2294

Lim-Liab

(30745)

FAX: 763/398-2294

Lim-Liab

(31761)

FAX: 651/287-0266

Lim-Liab

(31673)

FAX: 651/287-0266

Corp

(35339)

FAX: 612/351-3963

Lim-Liab

(29241)

FAX: /-

Lim-Liab

(34824)

FAX: /-

Certification

Registration

ANOKA

(Cont.)* --------------------------

HWSAL

EVELYN MCCARTHY

Out Pt Out Ot

MARK NETZINGER

COMP

ELIZABETH TAMFU

COMP

DEIDRA BURKE

HWSAL

DEIDRA BURKE

HWSAL

RHONDA SCHILLINGER

COMP

RHONDA SCHILLINGER

TCOMP

ISMAIL MOHAMED

COMP

JULIE JOHNSON

TCOMP HCBS

KATHLEEN FREITAG

Minnesota Department of Health

Health Regulation Division

Page

25

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

ANOKA

(Cont.)* --------------------------

GUARDIAN ANGELS LLC

Lim-Liab

HWSAL

2101 198TH AVENUE NW

OAK GROVE, MN 55011

(35371)

PHONE:

763/245-0755

FAX: 763/390-0032

KATHLEEN FREITAG

CAREFREE HOME SERVICES INC

Corp

Home Mgmt

7830 149TH LANE NW

RAMSEY, MN 55303

(27857)

PHONE:

763/422-9713

FAX: 763/421-3098

MICHAEL BEACH

HWSAL

FAMILY TRUST HOME HEALTH LLC

Lim-Liab

6930 170TH TRAIL NW

RAMSEY, MN 55303

(34046)

PHONE:

763/205-6624

FAX: 763/205-6790

DAWOLYN BRYANT-JERBO

NEW BRIDGE CARE LLC

Lim-Liab

TCOMP

6070 144TH LANE NW

RAMSEY, MN 55303

(35210)

PHONE:

651/398-5825

FAX: /-

BENEDICTA MENSAH

SENIOR ONE LLC

Lim-Liab

Home Mgmt

5711 164TH LANE NW

RAMSEY, MN 55303

(34639)

PHONE:

612/599-2528

FAX: /-

HEATHER LEOPOLD

STONEY RIVER RAMSEY

Lim-Liab

HWSAL

14401 NOWTHEN BOULEVARD NW

RAMSEY, MN 55303

(31334)

PHONE:

612/615-9936

FAX: 763/898-3975

JENNIFER ENSIGN

COMP

STONEY RIVER RAMSEY

Lim-Liab

14401 NOWTHEN BOULEVARD NW

RAMSEY, MN 55303

(31331)

PHONE:

612/615-9936

FAX: 763/999-3475

KELSEY NYLINE

JABEZ CUSTOMIZED LIVING SERVICES

NProf

HWS-O

8350 PIERCE STREET NE

SPRING LAKE PARK, MN 55432

(35705)

PHONE:

763/710-4084

FAX: 763/710-5493

PANDORA WHITE

MAYA'S HOUSE

Corp

HWSAL

924 VICEROY DRIVE NE

SPRING LAKE PARK, MN 55432

(31788)

PHONE:

763/566-0831

FAX: 763/208-7071

ROGER BONNY

Ind

TCOMP

MERCY CAREGIVERS OF MINNESOTA

556 84TH AVENUE NE

SPRING LAKE PARK, MN 55432

(34584)

PHONE:

612/222-1829

FAX: /-

LEKE IJIYODE

Minnesota Department of Health

Health Regulation Division

Page

26

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

ANOKA

(Cont.)* --------------------------

MERCY CAREGIVERS OF MINNESOTA

Corp

HWSAL-O

556 84TH AVENUE NE

SPRING LAKE PARK, MN 55432

(35733)

PHONE:

612/222-1829 FAX: /-

LEKE IJIYODE

OROMIA HEALTH CARE

Lim-Liab

COMP

1620 81ST AVENUE NE #3

SPRING LAKE PARK, MN 55432

(32345)

PHONE:

612/345-2101 FAX: /-

AISHA ALI

RISE HOME HEALTH CARE LLC

Lim-Liab

TCOMP

8030 MCKINLEY STREET NE

SPRING LAKE PARK, MN 55432

(35515)

PHONE:

612/207-5920 FAX: /-

ISMAIL AHMED

ULTIMATE CARE - SPRING LAKE HOUSE

Corp

HWSAL

7931 6TH STREET NE

SPRING LAKE PARK, MN 55432

(33163)

PHONE:

763/560-9890 FAX: 763/560-9891

ALFRED APATA

UNITED CHAPTERS LIVING

Corp

TCOMP

525 79TH AVENUE NE

SPRING LAKE PARK, MN 55432

(34846)

PHONE:

763/486-3709 FAX: /-

ALYSSA JEDICKA

MAPLE HOUSE LLC

Lim-Liab

HWSAL-O

5900 AMBASSADOR BOULEVARD NW

ST. FRANCIS, MN 55070

(34178)

PHONE: 763/607-6874 FAX: 267/350-9164 GREGORY PETERSEN

---------------------------**********

BECKER

******** --------------------------

DIAMOND WILLOW OF DETROIT LAKES 1

Lim-Liab

HWSAL

1558 RANDOLPH ROAD

DETROIT LAKES, MN 56501

(25380)

PHONE:

218/846-0825 FAX: 218/846-0828

SARA KLEINSCHMIDT

DIAMOND WILLOW OF DETROIT LAKES 2

Lim-Liab

HWSAL

1564 RANDOLPH ROAD

DETROIT LAKES, MN 56501

(25400)

PHONE:

218/846-0147 FAX: 218/846-0149

SARA KLEINSCHMIDT

ECUMEN DETROIT LAKES THE COTTAGE

NProf

HWSAL

1435 MADISON AVENUE

DETROIT LAKES, MN 56501

(25997)

PHONE:

218/844-9437 FAX: 218/844-9446

KYLIE JOHNSON

Minnesota Department of Health

Health Regulation Division

Page

27

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

ECUMEN DETROIT LAKES THE MADISON

NProf

1405 MADISON AVENUE

DETROIT LAKES, MN 56501

(23721)

PHONE:

218/844-9431

FAX: 218/847-4488

ECUMEN HOME CARE - DETROIT LAKES

NProf

1415 MADISON AVENUE

DETROIT LAKES, MN 56501

(22058)

PHONE:

218/847-4486

FAX: 218/847-4488

EMMANUEL NURSING HOME

NProf

1415 MADISON AVENUE

DETROIT LAKES, MN 56501

(00013)

PHONE:

218/847-4486

FAX: 218/847-4488

ESSENTIA HEALTH HOME CARE WEST

NProf

114 FRAZEE STREET EAST

DETROIT LAKES, MN 56501

(03707)

PHONE:

218/847-0808

FAX: 218/847-0850

ESSENTIA HEALTH OAK CROSSING

NProf

1040 LINCOLN AVENUE

DETROIT LAKES, MN 56501

(00907)

PHONE:

218/844-0700

FAX: 218/844-0780

ESSENTIA HEALTH ST. MARYS DETROIT LAKES

NProf

1027 WASHINGTON AVENUE

DETROIT LAKES, MN 56501

(00888)

PHONE:

218/847-0888

FAX: 218/847-7674

GOLDEN MANOR CORPORATION

Corp

1159 GARNET BOULEVARD

DETROIT LAKES, MN 56501

(21056)

PHONE:

218/844-6028

FAX: 218/844-8618

GOLDEN MANOR MEMORY CARE

Corp

1159 GARNET BOULEVARD

DETROIT LAKES, MN 56501

(24138)

PHONE:

218/844-6028

FAX: 218/844-3301

GOLDEN MANOR OF DETROIT LAKES

Corp

1165 GARNET BOULEVARD

DETROIT LAKES, MN 56501

(23040)

PHONE:

218/844-3300

FAX: 218/844-3301

LAMPLIGHTER MANOR

NProf

1425 MADISON AVENUE

DETROIT LAKES, MN 56501

(20313)

PHONE:

218/844-7139

FAX: 218/847-5384

Certification

Registration

BECKER

(Cont.)* --------------------------

JENNIFER BRISTLIN

COMP HCBS

DANIELLE OLSON

NH-102

DANIELLE OLSON

COMP

LINDA HESPE

NH-94

CHRISTY BRINKMAN

HOSP-87 BASS-16

RYAN HILL

COMP

JENNIFER BERG

AMBER MEAD

HWS

SNF-NF-102

HHA

SNF-NF-94

HOSP-87

HWSAL

HWSAL-O

HWS

Minnesota Department of Health

Health Regulation Division

Page

28

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

LINCOLN PARK ASSISTED LIVING

NProf

208 OAK STREET

DETROIT LAKES, MN 56501

(21201)

PHONE:

218/844-0701

FAX: 218/847-0895

LINCOLN PARK SENIOR APARTMENT

NProf

207 PARK STREET

DETROIT LAKES, MN 56501

(21248)

PHONE:

218/844-0701

FAX: 218/847-0895

MAHUBE-OTWA COM ACTION PTNRSHP

NProf

1125 WEST RIVER ROAD

DETROIT LAKES, MN 56502

(29250)

PHONE:

218/847-1385

FAX: 218/847-1388

MERITCARE HOSPITAL DIALYSIS

NProf

114 EAST FRAZEE STREET

DETROIT LAKES, MN 56501

(20925)

PHONE:

218/847-0825

FAX: /-

PARK MANOR ESTATES

Part

1035 ROOSEVELT AVENUE

DETROIT LAKES, MN 56501

(24593)

PHONE:

218/847-2636

FAX: 218/844-2637

PELICAN LANDING

Lim-Liab

1325 PELICAN LANE

DETROIT LAKES, MN 55601

(34738)

PHONE:

218/847-7777

FAX: 218/999-0612

PELICAN LANDING

Corp

1325 PELICAN LANE

DETROIT LAKES, MN 56501

(35052)

PHONE:

218/847-7777

FAX: 218/999-0612

SANFORD DETROIT LAKES HOME DIALYSIS

NProf

1245 WASHINGTON AVENUE

DETROIT LAKES, MN 56501

(28638)

PHONE:

218/846-7085

FAX: 218/846-2005

SANFORD HEALTH DETROIT LAKES CLINIC SAME DAY

NProf

SURGERY CENTER

1245 WASHINGTON AVENUE

DETROIT LAKES, MN 56501

(27351)

FAX: 218/846-7001

PHONE:

218/846-2269

ST. MARY'S SENIOR LIVING SUPPORTIVE SERVICES

NProf

1027 WASHINGTON AVENUE

DETROIT LAKES, MN 56501

(23436)

PHONE:

218/844-0701

FAX: 218/874-0895

Certification

Registration

BECKER

(Cont.)* --------------------------

HWSAL

TONYA CLEM

HWS

TONYA CLEM

Home Mgmt

LIZ KUOPPALA

ESRD

BECKY BERG

HWS

BRANDON EISENBEIS

TCOMP

ROCHELLE LANGLOIS

HWSAL

ROCHELLE LANGLOIS

ESRD

MARIA REGNIER

Outpt Surg Amb Surg

BREANNA ADAMS

COMP

TONYA CLEM

Minnesota Department of Health

Health Regulation Division

Page

29

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

WINCHESTER ON WASHINGTON

NProf

1051 WASHINGTON AVENUE

DETROIT LAKES, MN 56501

(20241)

PHONE:

218/844-0701

FAX: 218/847-0895

FRAZEE ASSISTED LIVING

Lim-Liab

219 WEST MAPLE AVENUE

FRAZEE, MN 56544

(20154)

PHONE:

218/334-4501

FAX: 218/334-4500

FRAZEE ASSISTED LIVING

Lim-Liab

219 WEST MAPLE AVENUE

FRAZEE, MN 56544

(30423)

PHONE:

218/334-4501

FAX: 218/334-4500

FRAZEE ASSISTED LIVING HOME CARE

Lim-Liab

219 WEST MAPLE AVENUE

FRAZEE, MN 56544

(20154)

PHONE:

218/334-4501

FAX: 218/334-4500

FRAZEE CARE CENTER

Lim-Liab

219 WEST MAPLE AVENUE

FRAZEE, MN 56544

(00730)

PHONE:

218/334-4501

FAX: 218/334-4500

SUNNYSIDE CARE CENTER

Cnty

16561 US HIGHWAY 10

LAKE PARK, MN 56554

(00016)

PHONE: 218/238-5944

FAX: 218/238-6854

NORTH STAR NURSING TEMPORARY ASSOCIATES, INC.

Corp

22119 480TH AVENUE

OSAGE, MN 56570

(21664)

PHONE: 218/573-2238

FAX: 218/573-3778

WHITE EARTH DIALYSIS

Corp

26246 CRANE ROAD

WHITE EARTH, MN 56591

(30499)

PHONE:

218/983-4699

FAX: 218/983-4241

WHITE EARTH HOME HEALTH AGENCY

Tribal

26246 CRANE ROAD

WHITE EARTH, MN 56591

(02147)

PHONE:

218/983-3286

FAX: 218/983-2734

---------------------------**********

Certification

BECKER

(Cont.)*

TONYA CLEM

COMP

JAMES LAINE

BARBARA AXNESS

COMP

JAMES LAINE

Registration

--------------------------

HWS

HWSAL

NH-60 SNF-NF-60

JUDY BERNAT

NH-30 SNF-NF-30

ASHLEY MCNALLY

COMP

HEIDI CLEMENTS

ESRD

TIFFANEY HOLM

COMP HHA

LINDSI MCARTHUR

BELTRAMI

******** --------------------------

Minnesota Department of Health

Health Regulation Division

Page

30

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

A TOUCH OF HOME NORTH

Corp

915 21ST STREET NW

BEMIDJI, MN 56601

(30713)

PHONE:

218/444-5878

FAX: 218/444-5114

AUTUMN HILLS OF BEMIDJI, INC.

Corp

2528 PARK AVENUE NW

BEMIDJI, MN 56601

(23983)

PHONE:

218/333-3854

FAX: 218/333-3855

AUTUMN HILLS OF BEMIDJI, INC.

Corp

2528 PARK AVENUE NW

BEMIDJI, MN 56601

(30484)

PHONE:

218/333-3854

FAX: 218/333-3855

BAKER PARK, INC.

NProf

803 DEWEY AVENUE

BEMIDJI, MN 56601

(20518)

PHONE:

218/751-7249

FAX: 218/333-2717

CEDAR COTTAGE

Corp

1711 DELTON AVENUE NW

BEMIDJI, MN 56601

(20923)

PHONE:

218/444-3047

FAX: 218/444-7668

CEDAR COTTAGE

Corp

1711 DELTON AVENUE NW

BEMIDJI, MN 56601

(30829)

PHONE:

218/444-3047

FAX: 218/444-7668

COLLEEN'S CARING HANDS

Corp

2525 BEMIDJI AVENUE NORTH

BEMIDJI, MN 56601

(26834)

PHONE:

218/333-8852

FAX: 218/444-9183

COLLEEN'S CARING HANDS

Corp

2525 BEMIDJI AVENUE NORTH

BEMIDJI, MN 56601

(30648)

PHONE:

218/333-8852

FAX: 218/444-9183

COMMUNITY BEHAVIORAL HEALTH HOSPITAL - BEMIDJI

State

OTHER-16 PSY-16

800 BEMIDJI AVENUE NORTH

BEMIDJI, MN 56601

(25049)

PHONE:

218/308-2400

FAX: 218/431-7530

LARRY LAUDON

D & D'S CARING HEARTS

Corp

COMP

1426 PAMELA COURT NW

BEMIDJI, MN 56601

(33406)

PHONE:

218/444-5602

FAX: 218/444-7417

DARLENE BENSON

Certification

BELTRAMI

(Cont.)*

MELANIE BURNS

COMP

SHELLEY CLOOSE

ADAM COE

COMP

SHERRY DENAULT

KATHLEEN BIRCHEM

COMP

COLLEEN HILL KJOS

COLLEEN HILL- KJOS

Registration

--------------------------

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

31

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

D & D'S CARING HEARTS

1426 PAMELA COURT NW

BEMIDJI, MN 56601

PHONE:

218/444-5602

GOLDPINE HOME

1700 30TH STREET NW

BEMIDJI, MN 56601

PHONE:

218/444-4346

GOLDPINE HOME

1700 30TH STREET NW

BEMIDJI, MN 56601

PHONE:

218/444-4346

HAVENWOOD CARE CENTER

1633 DELTON AVENUE

BEMIDJI, MN 56601

PHONE:

218/444-1745

LONG LAKE LOON LODGE

7747 LOON LODGE LANE NE

BEMIDJI, MN 56601

PHONE:

218/586-2945

LONG LAKE LOON LODGE

7747 LOON LODGE LANE NE

BEMIDJI, MN 56601

PHONE:

218/586-2945

NEILSON PLACE

1000 ANNE STREET NW

BEMIDJI, MN 56601

PHONE:

218/751-0220

NORTHWOODS CAREGIVERS

616 AMERICA AVENUE NW #170

BEMIDJI, MN 56601

PHONE:

218/333-8264

SANFORD BEMIDJI - HOME CARE AND HOSPICE

3201 PINE RIDGE AVE NW STE A

BEMIDJI, MN 56601

PHONE:

218/333-5665

SANFORD BEMIDJI HOSPICE

3201 PINE RIDGE AVE NW STE A

BEMIDJI, MN 56601

PHONE:

218/333-5665

Corp

(33601)

FAX: 218/444-7417

Corp

(20075)

FAX: 218/444-4083

Corp

(30332)

FAX: 218/444-4083

Corp

(00017)

FAX: 218/759-1744

Ind

(20285)

FAX: 218/586-4094

Ind

(22011)

FAX: 218/586-4094

NProf

(00823)

FAX: 218/333-6514

NProf

(32560)

FAX: 218/333-8263

NProf

(02372)

FAX: 218/333-5642

NProf

(02417)

FAX: 218/333-5642

Certification

Registration

BELTRAMI

(Cont.)* --------------------------

HWSAL

DARLENE BENSON

COMP

DUSTIN HOLLOWAY

HWSAL

DUSTIN HOLLOWAY

NH-90 SNF-NF-90

BRANDON BJERKE

HWS-O

AMY DELAP

COMP

AMY DELAP

NH-78 SNF-NF-78

ADAM COE

COMP

CHRISTINA KNECHT

COMP HHA

CARRIE KRUMP

Hospice HSPICE

CARRIE KRUMP

Minnesota Department of Health

Health Regulation Division

Page

32

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

SANFORD BEMIDJI MEDICAL CENTER

NProf

1300 ANNE STREET NW

BEMIDJI, MN 56601

(00821)

PHONE:

218/751-5430

FAX: 218/333-5880

SANFORD DIALYSIS BEMIDJI

NProf

1300 ANNE STREET NW

BEMIDJI, MN 56601

(03376)

PHONE:

218/751-5430

FAX: /-

SANFORD HEALTH NEILSON PLACE

NProf

1010 ANNE STREET

BEMIDJI, MN 56601

(26843)

PHONE:

218/333-6211

FAX: 218/333-5639

TAMARACK COURT

Corp

1511 DELTON AVENUE NW

BEMIDJI, MN 56601

(26081)

PHONE:

218/444-4999

FAX: 218/444-5603

TAMARACK COURT

Corp

1511 DELTON AVENUE NW

BEMIDJI, MN 56601

(30668)

PHONE:

218/444-4999

FAX: 218/444-5603

TOUCH OF HOME

Corp

711 17TH STREET NW

BEMIDJI, MN 56601

(21397)

PHONE:

218/444-2775

FAX: 218/444-5114

TOUCH OF HOME

Corp

711 17TH STREET

BEMIDJI, MN 56601

(30749)

PHONE:

218/444-2775

FAX: 218/444-5114

TOUCHING HEARTS AT HOME

Lim-Liab

615 ANNE STREET STE B

BEMIDJI, MN 56601

(31674)

PHONE:

218/333-8509

FAX: 218/333-8509

TRILLIUM

NProf

930 ANNE STREET NW

BEMIDJI, MN 56601

(26844)

PHONE:

218/333-6211

FAX: 218/333-5639

WINDSONG

NProf

1010 ANNE STREET NW

BEMIDJI, MN 56601

(27160)

PHONE:

218/333-6211

FAX: 218/333-5639

Certification

Registration

BELTRAMI

(Cont.)* --------------------------

HOSP-118 BASS-12 OTHER-

SUSAN JARVIS

HOSP-106 PPS-P-0 PPS-R-12 PPS-

R-

ESRD

BECKY BERG

COMP

JEANNE THOMPSON

COMP

JOHN FICK

HWSAL

JOHN FICK

COMP

MELANIE BURNS

HWSAL

MELANIE BURNS

Home Mgmt

DAVID THONVOLD

HWSAL

ADAM COE

HWSAL

ADAM COE

Minnesota Department of Health

Health Regulation Division

Page

33

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

GOOD SAMARITAN SOCIETY - BLACKDUCK

NProf

172 SUMMIT AVENUE WEST

BLACKDUCK, MN 56630

(00021)

PHONE:

218/835-4218

FAX: 218/835-6737

GOOD SAMARITAN SOCIETY BLACKDUCK SENIOR LIVING

NProf

152 MARGARET AVENUE NW

BLACKDUCK, MN 56630

(26635)

PHONE:

218/835-5482

FAX: 218/834-5484

GOOD SAMARITAN SOCIETY BLACKDUCK SENIOR LIVING

NProf

152 MARGARET AVENUE NW

BLACKDUCK, MN 56630

PHONE:

218/835-5482

SERENITY LIVING SOLUTIONS OF BLACKDUCK

441 4TH STREET NE

BLACKDUCK, MN 56630

PHONE:

218/835-4564

SERENITY LIVNG SOLUTIONS OF BLACKDUCK

441 4TH STREET NE

BLACKDUCK, MN 56630

PHONE:

218/835-4564

CORNERSTONE RESIDENCE OF KELLIHER

280 MAIN STREET WEST

KELLIHER, MN 56650

PHONE: 218/647-8258

CORNERSTONE RESIDENCE OF KELLIHER

280 MAIN STREET WEST

KELLIHER, MN 56650

PHONE: 218/647-8258

JOURDAIN/PERPICH EXTENDED CARE FACILITY

24856 HOSPITAL DRIVE

RED LAKE, MN 56671

PHONE:

218/679-3400

SANFORD DIALYSIS RED LAKE

24760 HOSPITAL DRIVE

RED LAKE, MN 56671

PHONE:

218/679-3117

(30737)

FAX: 218/835-5484

Corp

(21164)

FAX: 218/835-5809

Corp

(31836)

FAX: 218/835-5809

Corp

(25374)

FAX: 218/647-8483

Corp

(30575)

FAX: 218/647-8483

Tribal

(00355)

FAX: /-

NProf

(23621)

FAX: 218/679-4306

Certification

Registration

BELTRAMI

(Cont.)* --------------------------

NH-30 SNF-NF-30

JONATHAN STONE

COMP

JONATHAN STONE

HWSAL

JONATHAN STONE

HWSAL

TIM MATROS

COMP

TIM MATROS

COMP

KARI SWANSON

HWSAL

KARI SWANSON

OTHER- SNF-NF-47

NICK BERG

ESRD

MARIA REGNIER

BENTON

---------------------------**********

******** --------------------------

Minnesota Department of Health

Health Regulation Division

Page

34

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

BENTON

(Cont.)* --------------------------

HERITAGE POINTE

Corp

HWSAL

104 NORMAN AVENUE SOUTH

FOLEY, MN 56329

(26321)

PHONE:

320/968-6425

FAX: 320/968-9916

ANDREW HUHTA

THE GARDENS AT FOLEY ASSISTED LIVING LLC

Lim-Liab

COMP

120 NORMAN AVENUE SOUTH

FOLEY, MN 56329

(26407)

PHONE:

320/968-6425

FAX: 320/968-9916

LEESA GILMAN

THE GARDENS AT FOLEY ASSSISTED LIVING LLC

Lim-Liab

HWSAL

120 NORMAN AVENUE SOUTH

FOLEY, MN 56329

(34338)

PHONE:

320/968-6425

FAX: 320/968-9916

LEESA GILMAN

THE GARDENS AT FOLEY LLC

Lim-Liab

NH-78 SNF-NF-78

253 PINE STREET

FOLEY, MN 56329

(00629)

PHONE:

320/968-6201

FAX: 320/968-7051

MARK HALPERT

ALL GOOD HOME CARE, INC.

Corp

COMP

9250 LAKEWOOD SHORE ROAD NW

RICE, MN 56367

(25865)

PHONE:

320/393-2406

FAX: 320/393-2455

MIKE ALLGOOD

COUNTRY MANOR EXTENDED SERVICES

Lim-Liab

COMP HHA

520 1ST STREET NE

SARTELL, MN 56377

(02226)

PHONE:

320/253-3343

FAX: 320/240-0244

ROBIN THEIS

COUNTRY MANOR EXTENDED SERVICES

Lim-Liab

COMP

520 1ST STREET NE

SARTELL, MN 56377

(20206)

PHONE:

320/253-3343

FAX: 320/345-4681

ROBIN THEIS

COUNTRY MANOR HEALTHCARE AND REHAB CENTER

Lim-Liab

NH-165 SNF-NF-165

520 1ST STREET NE

SARTELL, MN 56377

(00627)

PHONE:

320/253-1920

FAX: 320/656-5922

BRIAN KELM

COUNTRY MANOR SENIOR APARTMENTS

Lim-Liab

COMP

520 1ST STREET NE

SARTELL, MN 56377

(20206)

PHONE:

320/253-3343

FAX: 320/345-4681

ROBIN THEIS

COUNTRY MANOR SENIOR APARTMENTS

Lim-Liab

HWSAL

520 1ST STREET NE

SARTELL, MN 56377

(30448)

PHONE:

320/253-8450

FAX: 320/656-5922

BRIAN KELM

Minnesota Department of Health

Health Regulation Division

Page

35

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

BENTON

(Cont.)* --------------------------

EDGEWOOD SARTELL LLC

Lim-Liab

COMP

677 BRIANNA DRIVE

SARTELL, MN 56377

(32876)

PHONE:

320/281-3343

FAX: 320/281-3511

ROSS HUTTUNEN

HWSAL

THE COUNTRY VILLA

Lim-Liab

520 1ST STREET NE

SARTELL, MN 56377

(20559)

PHONE:

320/253-8450

FAX: 320/656-5922

BRIAN KELM

ACCESS INFUSION HEALTHCARE, INC

Corp

COMP

16 12TH STREET SOUTH

SAUK RAPIDS, MN 56379

(25059)

PHONE:

320/492-5951

FAX: 320/259-0440

JANE YAGER

BRIDGES MN

Lim-Liab

COMP

817 5TH AVENUE NORTH

SAUK RAPIDS, MN 56379

(32799)

PHONE:

651/772-4957

FAX: 651/528-8427

BLAKE ELLIOTT

HWSAL-O

BRIDGES MN

Lim-Liab

817 5TH AVENUE NORTH

SAUK RAPIDS, MN 56379

(26134)

PHONE:

651/772-4957

FAX: 651/772-2746

BLAKE ELLIOTT

CHERRYWOOD ADVANCED LIVING

Lim-Liab

COMP

1637 4TH AVENUE NORTH #110

SAUK RAPIDS, MN 56379

(27306)

PHONE:

320/257-7445

FAX: 320/257-7447

WENDY HULSEBUS

COMP

GOOD SHEPHERD ASSISTED LIVING

NProf

1115 4TH AVENUE NORTH

SAUK RAPIDS, MN 56379

(24855)

PHONE:

320/252-6525

FAX: 320/259-3463

ALLISON BUERSKEN

GOOD SHEPHERD COTTAGES

NProf

HWSAL

307 11TH STREET NORTH

SAUK RAPIDS, MN 56379

(23241)

PHONE:

320/252-6525

FAX: 320/258-8675

MICHAEL STORDAHL

COMP HHA

GOOD SHEPHERD HOME HEALTH CARE

NProf

1115 4TH AVENUE NORTH

SAUK RAPIDS, MN 56379

(02397)

PHONE:

320/259-3487

FAX: 320/259-3473

MICHAEL STORDAHL

GOOD SHEPHERD HOMES INC

NProf

HWSAL

1211 4TH AVENUE NORTH

SAUK RAPIDS, MN 56379

(25644)

PHONE:

320/252-6525

FAX: 320/259-3463

MICHAEL STORDAHL

Minnesota Department of Health

Health Regulation Division

Page

36

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

BENTON

(Cont.)* --------------------------

GOOD SHEPHERD LUTHERAN HOME

ONProf

NH-162 SNF-NF-162

1115 4TH AVENUE NORTH

SAUK RAPIDS, MN 56379

(00023)

PHONE:

320/252-6525

FAX: 320/259-3463

MICHAEL STORDAHL

HEARTLAND HOME HEALTH CARE AND HOSPICE

Lim-Liab

Hospice HSPICE

1257 2ND STREET NORTH

SAUK RAPIDS, MN 56379

(23078)

PHONE:

320/654-1136

FAX: 320/654-6803

CYNTHIA COBBS

JOURNEY HOME

NProf

SLFB-86

1485 10TH AVENUE NE

SAUK RAPIDS, MN 56379

(25468)

PHONE:

320/255-5949

FAX: 320/259-4563

CRAIG BROMAN

LANDINGS AT SAUK RAPIDS

Lim-Liab

HWSAL

1325 SUMMIT AVENUE NORTH

SAUK RAPIDS, MN 56379

(30601)

PHONE:

320/203-8142

FAX: 320/203-8207

LYLA EARWIN

LANDINGS OF SAUK RAPIDS

Lim-Liab

COMP

1325 SUMMIT AVENUE NORTH

SAUK RAPIDS, MN 56379

(34372)

PHONE:

320/200-4812

FAX: /-

BRETT INGERSOLL

LEGACY PLACE LLC

Lim-Liab

HWSAL

902 15TH STREET NE

SAUK RAPIDS, MN 56379

(31437)

PHONE:

320/267-7789

FAX: 320/421-0559

SUSAN NORMAN

LEGACY PLACE, LLC

Lim-Liab

COMP

902 15TH STREET NE

SAUK RAPIDS, MN 56379

(31210)

PHONE:

320/267-7789

FAX: 320/421-0559

SUSAN NORMAN

RIDGEVIEW PLACE

Lim-Liab

HWSAL

1009 10TH AVENUE NE

SAUK RAPIDS, MN 56379

(20619)

PHONE:

320/251-5228

FAX: 320/259-8964

AMY COMSTOCK

RIDGEVIEW PLACE

Lim-Liab

COMP

1009 10TH AVENUE NE

SAUK RAPIDS, MN 56379

(29660)

PHONE:

320/251-5228

FAX: 320/259-8964

AMY COMSTOCK

RIDGEVIEW SENIOR LIVING

Lim-Liab

HWSAL

1009 10TH AVENUE NE

SAUK RAPIDS, MN 56379

(20619)

PHONE:

320/251-5228

FAX: 320/259-8964

AMY COMSTOCK

Minnesota Department of Health

Health Regulation Division

Page

37

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

SHEPHERD COURT APARTMENTS

NProf

330 13TH STREET NORTH

SAUK RAPIDS, MN 56379

(20282)

PHONE:

320/252-6525

FAX: 320/259-3479

SHEPHERD OAK APARTMENTS INC

NProf

310 13TH STREET NORTH

SAUK RAPIDS, MN 56379

(25645)

PHONE:

320/252-6525

FAX: 320/259-3463

SHEPHERD OAK WEST APARTMENTS

NProf

220 13TH STREET NORTH

SAUK RAPIDS, MN 56379

(25646)

PHONE:

320/252-6525

FAX: 320/259-3463

SPINAL REHAB CLINIC

Corp

225 NORTH BENTON DRIVE

SAUK RAPIDS, MN 56379

(03770)

PHONE:

320/252-1884

FAX: /-

WILDWOOD ASSISTED LIVING

Lim-Liab

1420 2ND STREET NORTH

SAUK RAPIDS, MN 56379

(32711)

PHONE:

320/774-1546

FAX: 320/200-7483

WILDWOOD ASSISTED LIVING

Lim-Liab

1420 2ND STREET NORTH

SAUK RAPIDS, MN 56379

(33426)

PHONE: 320/774-1546

FAX: 320/200-7483

ST. CLOUD CAREFREE LIVING, LLC

Lim-Liab

1225 DIVISION STREET EAST

ST. CLOUD, MN 56304

(20383)

PHONE: 320/251-6483

FAX: 320/251-2714

---------------------------**********

CLINTON CARE CENTER

322 COUNTY HIGHWAY 6

CLINTON, MN 56225

PHONE:

320/325-5414

CLINTON CARE CENTER

322 COUNTY HIGHWAY 6

CLINTON, MN 56225

PHONE:

320/325-5414

NProf

(23174)

FAX: 320/325-5416

NProf

(30340)

FAX: 320/343-9069

Certification

Registration

BENTON

(Cont.)* --------------------------

HWSAL

MICHAEL STORDAHL

HWSAL

MICHAEL STORDAHL

HWSAL

MICHAEL STORDAHL

Out Pt

LYNETTE MCGRATH

COMP

WILDWO LINDA CORRIGAN

HWSAL

THOMAS LEWELLYN

HWSAL

MARILYN HANSON

BIG STONE

******** --------------------------

COMP

KIMBERLY MUENCHOW

HWSAL

KIMBERLY MUENCHOW

Minnesota Department of Health

Health Regulation Division

Page

38

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

BIG STONE

---------------------------**********

(Cont.)* --------------------------

ESSENTIA HEALTH GRACE HOME

116 WEST 2ND STREET

GRACEVILLE, MN 56240

PHONE:

320/748-7223

NProf

NH-40

(00762)

FAX: 320/748-8238

JULIE ROSENBERG

SNF-NF-40

RHC

ESSENTIA HEALTH GRACEVILLE

NProf

115 WEST 2ND STREET

GRACEVILLE, MN 56240

(03819)

PHONE:

320/324-7500

FAX: /-

TODD HOWELL

COMP

ESSENTIA HEALTH GRACEVILLE HOME HEALTH

NProf

HHA SE

115 WEST 2ND STREET

GRACEVILLE, MN 56240

(03589)

PHONE:

218/314-7806

FAX: 218/847-0850

LINDA HESPE

NProf

HOSP-15 BASS-0 CAH-15

ESSENTIA HEALTH HOLY TRINITY HOSPITAL

115 WEST 2ND STREET

GRACEVILLE, MN 56240

(00027)

PHONE:

320/748-8200

FAX: 320/748-7240

JULIE ROSENBERG

HWSAL

GRACE VILLAGE

ONProf

114 WEST 2ND STREET

GRACEVILLE, MN 56240

(24236)

PHONE:

320/748-7220

FAX: 320/748-8258

JULIE ROSENBERG

FAIRWAY VIEW

City

HWSAL

215 LUNDELL AVENUE

ORTONVILLE, MN 56278

(30337)

PHONE:

320/839-2397

FAX: 320/839-2398

DAVID ROGERS

FAIRWAY VIEW NEIGHBORHOODS

City

NH-51 SNF-NF-51

201 MARK DRIVE

ORTONVILLE, MN 56278

(00771)

PHONE:

320/839-6113

FAX: 320/839-2985

DAVID ROGERS

FAIRWAY VIEW SENIOR COMMUNITY

City

COMP

215 LUNDELL AVENUE

ORTONVILLE, MN 56278

(23148)

PHONE:

320/839-2397

FAX: 320/839-2398

DAVID ROGERS

HOME HEALTH AGENCY

City

COMP HHA

201 MARK DRIVE

ORTONVILLE, MN 56278

(02345)

PHONE:

320/839-4020

FAX: 320/839-4095

DAVID ROGERS

NProf

SLFB-12 ICFIID-12

MONARCH HEIGHTS

501 BURDICK AVENUE

ORTONVILLE, MN 56278

(01440)

PHONE:

320/839-6139

FAX: 320/839-2060

STACEY KARELS

Minnesota Department of Health

Health Regulation Division

Page

39

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

ORTONVILLE AREA HEALTH SERVICES

City

450 EASTVOLD AVENUE

ORTONVILLE, MN 56278

(00029)

PHONE:

320/839-2502 FAX: 320/839-4277

SATELLITE DIALYSIS ORTONVILLE

NProf

814 ROY STREET

ORTONVILLE, MN 56278

(23114)

PHONE:

320/839-4070 FAX: 320/839-4071

---------------------------**********

CRYSTAL SEASONS ALF, LLC

Lim-Liab

222 SOUTH MURPHY STREET

LAKE CRYSTAL, MN 56055

(26192)

PHONE:

507/726-2266 FAX: 507/726-2276

CRYSTAL SEASONS LIVING CENTER

Lim-Liab

222 SOUTH MURPHY STREET

LAKE CRYSTAL, MN 56055

(30699)

PHONE:

507/726-2266 FAX: 507/726-2276

CRYSTAL SEASONS LIVING COMMUNITY

Lim-Liab

222 SOUTH MURPHY STREET

LAKE CRYSTAL, MN 56055

(26192)

PHONE:

507/726-2266 FAX: 507/726-2276

ECUMEN LAKE CRYSTAL

Lim-Liab

511 WEST BLUE EARTH STREET

LAKE CRYSTAL, MN 56055

(20375)

PHONE: 507/726-6537 FAX: 507/726-2402

THE BEACON AT LAKE CRYSTAL

Lim-Liab

511 WEST BLUE EARTH STREET

LAKE CRYSTAL, MN 56055

(30602)

PHONE:

507/726-6537 FAX: /-

THE BEACON AT LAKE CRYSTAL

Lim-Liab

511 WEST BLUE EARTH STREET

LAKE CRYSTAL, MN 56055

(20375)

PHONE:

507/726-6537 FAX: 507/726-2402

ALLIANCE HEALTH SERVICES

Corp

600 RIVERFRONT DRIVE #100

MANKATO, MN 56001

(03635)

PHONE:

507/386-1666 FAX: /-

Certification

Registration

BIG STONE

(Cont.)* --------------------------

HOSP-25 BASS-4 CAH-25

DAVID ROGERS

ESRD

TIMOTHY JACKAN

BLUE EARTH

********

COMP

LEESA GILMAN

COMP

LEESA GILMAN

COMP

LEESA GILMAN

COMP

LEESA GILMAN

COMP HHA

ALANA FIALA

--------------------------

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

40

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

AUTUMN GRACE I

Lim-Liab

118 RAVEN COURT

MANKATO, MN 56001

(30302)

PHONE:

507/388-0640

FAX: 507/388-5412

AUTUMN GRACE II

Lim-Liab

110 RAVEN COURT

MANKATO, MN 56001

(23858)

PHONE:

507/388-0640

FAX: 507/388-5412

AUTUMN GRACE III

Lim-Liab

108 RAVEN COURT

MANKATO, MN 56001

(25966)

PHONE:

507/388-0640

FAX: 507/388-5412

BRIDGEWATER AT MANKATO

Lim-Liab

630 REED STREET

MANKATO, MN 56001

(34568)

PHONE:

507/388-0881

FAX: 507/388-5162

BRIDGEWATER AT MANKATO II

Lim-Liab

640 REED STREET

MANKATO, MN 56001

(34567)

PHONE:

507/388-0881

FAX: 507/388-5162

BROOKDALE MANKATO

Corp

100 TETON LANE

MANKATO, MN 56001

(20336)

PHONE:

507/386-1779

FAX: 507/386-1174

BROOKDALE MANKATO

Corp

100 TETON LANE

MANKATO, MN 56001

(30560)

PHONE:

507/386-1779

FAX: 507/386-1174

COTTAGEWOOD SENIOR COMMUNITIES OF MANKATO

Lim-Liab

300 BUNTING LANE

MANKATO, MN 56001

(20394)

PHONE:

507/345-8787

FAX: 507/345-8870

DIALYSIS AT MANKATO CLINIC

Lim-Liab

1400 MADISON AVENUE #400

MANKATO, MN 56001

(28837)

PHONE:

615/320-4458

FAX: 877/259-3316

ECUMEN HOME CARE PATHSTONE

NProf

718 MOUND AVENUE

MANKATO, MN 56001

(02389)

PHONE:

507/385-4210

FAX: 507/385-4213

Certification

BLUE EARTH

(Cont.)*

LANA STEUCK

BROOKE OLSON

COMP

GERI SVALESON

EMILY TOLL

ESRD

BRITTANY WINTERS

COMP HHA

KIM HOLIEN

Registration

--------------------------

HWSAL

HWS

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

41

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

ECUMEN LE CENTER

Lim-Liab

638 SOUTHBEND AVENUE

MANKATO, MN 56001

(20376)

PHONE:

612/239-6856

FAX: /-

FREEDOM HOME CARE LLC

Lim-Liab

101 NORTH 2ND STREET #100

MANKATO, MN 56001

(31872)

PHONE:

507/387-4663

FAX: 507/387-6246

GENTLE TOUCH HEALTH INITITATIVES

Lim-Liab

300 BUNTING LANE

MANKATO, MN 56001

(29350)

PHONE:

507/345-8787

FAX: 507/345-8870

HARRY MEYERING CENTER, INC.

NProf

109 HOMESTEAD ROAD

MANKATO, MN 56001

(01008)

PHONE:

507/387-8281

FAX: 507/625-9948

HILLCREST CARE & REHABILITATION CENTER

Lim-Liab

714 SOUTHBEND AVENUE

MANKATO, MN 56001

(00031)

PHONE:

507/387-3491

FAX: 507/387-7557

INTERIM HEALTHCARE

Lim-Liab

709 SOUTH FRONT STREET #3

MANKATO, MN 56001

(32451)

PHONE:

507/720-5951

FAX: 866/728-1120

KARRINGTON COTTAGES OF MANKATO

Lim-Liab

300 BUNTING LANE

MANKATO, MN 56001

(20394)

PHONE:

507/345-8787

FAX: 507/345-8870

KEYSTONE COMMUNITIES OF MANKATO

Lim-Liab

100 DUBLIN ROAD

MANKATO, MN 56001

(24718)

PHONE:

507/385-7080

FAX: 507/385-7081

LAURELS EDGE ASSISTED LIVING

Lim-Liab

77 STADIUM ROAD

MANKATO, MN 56001

(20485)

PHONE:

507/387-2133

FAX: 507/387-1135

LAURELS EDGE ASSISTED LIVING

Lim-Liab

77 STADIUM ROAD

MANKATO, MN 56001

(30675)

PHONE:

507/387-2133

FAX: 507/387-1135

Certification

Registration

BLUE EARTH

(Cont.)* --------------------------

COMP

LEESA GILMAN

COMP

CHRISTOPHER MIHM

COMP

HANNAH BARNLUND

SLFB-25

LINDA LEIDING

NH-85

COMP

AMY DRURY LAGO

EMILY TOLL

VINCE BECKEL

COMP

LEESA GILMAN

ICFIID-25

SNF-NF-85

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

42

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

LAURELS PEAK CARE & REHABILITATION CENTER

Lim-Liab

700 JAMES AVENUE

MANKATO, MN 56001

(00035)

PHONE:

507/345-4631

FAX: 507/344-4835

MANKATO CLINIC ENDOSCOPY CENTER

Corp

1230 EAST MAIN STREET

MANKATO, MN 56001

(23204)

PHONE:

507/389-8504

FAX: 507/388-3401

MANKATO SURGERY CENTER

Lim-Liab

1411 PREMIER DRIVE

MANKATO, MN 56001

(21469)

PHONE:

507/386-5543

FAX: 507/388-6913

MAYO CLINIC HEALTH SYSTEM - MANKATO

NProf

1025 MARSH STREET

MANKATO, MN 56001

(00033)

PHONE:

507/594-2646

FAX: 507/594-2908

MAYO CLINIC HEALTH SYSTEM - MANKATO

NProf

1400 MADISON AVENUE #324A

MANKATO, MN 56001

(00219)

PHONE:

507/594-2618

FAX: 507/594-5649

MS-AC MANKATO AG SENIOR LIVING LLC

Lim-Liab

118 RAVEN COURT

MANKATO, MN 56001

(25816)

PHONE:

507/388-0640

FAX: 507/388-5412

MS-AC MANKATO WE SENIOR LIVING LLC

Lim-Liab

800 AGENCY TRAIL

MANKATO, MN 56001

(30109)

PHONE:

507/388-5582

FAX: 507/388-5584

NEW PERSPECTIVE - MANKATO

Lim-Liab

100 DUBLIN ROAD

MANKATO, MN 56001

(24718)

PHONE:

507/385-7080

FAX: 507/385-7081

NEW PERSPECTIVE - MANKATO

Lim-Liab

100 DUBLIN ROAD

MANKATO, MN 56001

(29566)

PHONE:

507/305-7080

FAX: 507/385-7081

OAKLAWN CARE & REHABILITATION CENTER

Lim-Liab

201 OAKLAWN AVENUE

MANKATO, MN 56001

(00038)

PHONE:

507/388-2913

FAX: 507/388-1235

Certification

Registration

BLUE EARTH

(Cont.)* --------------------------

NH-65 SNF-NF-65

LORNA CRAIG-PAULSON

Outpt Surg Amb Surg

RANDY FARROW

Outpt Surg Amb Surg

JOLEEN HARRISON

HOSP-272 BASS-26 HOSP-272

TERRY BRANDT

Hospice HSPICE

BRIAN KOTTKE

COMP

EMILY TOLL

COMP

LANA STEUCK

HWSAL

VINCE BECKEL

COMP

AMY LIFFRIG

NH-70 SNF-NF-70

JENNA LOPEZ

Minnesota Department of Health

Health Regulation Division

Page

43

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

OLD MAIN VILLAGE

Part

301 SOUTH 5TH STREET

MANKATO, MN 56001

(26043)

PHONE:

507/388-4200

FAX: 507/388-5991

OLD MAIN VILLAGE

Part

301 SOUTH 5TH STREET

MANKATO, MN 56001

(30663)

PHONE:

507/388-4200

FAX: 507/388-5991

PAIN CENTERS OF MINNESOTA - MANKATO

Lim-Liab

1400 MADISON AVENUE #402

MANKATO, MN 56001

(27290)

PHONE:

507/625-7246

FAX: 507/386-2599

PATHSTONE CROSSING

NProf

718 MOUND AVENUE

MANKATO, MN 56001

(20164)

PHONE:

507/345-4576

FAX: 507/385-4225

PATHSTONE CROSSING

NProf

718 MOUND AVENUE

MANKATO, MN 56001

(30425)

PHONE:

507/345-4576

FAX: 507/385-4225

PATHSTONE LIVING

NProf

718 MOUND AVENUE

MANKATO, MN 56001

(00036)

PHONE:

507/345-4576

FAX: 507/385-4212

PEDIATRIC THERAPY SERVICES

Ind

150 ST. ANDREWS COURT #310

MANKATO, MN 56001

(03809)

PHONE:

507/388-5437

FAX: /-

PHYSICAL THERAPY SPORTS MEDICINE CENTER

Corp

1431 PREMIER DRIVE

MANKATO, MN 56001

(03813)

PHONE:

507/386-6700

FAX: /-

PILLARS OF MANKATO SENIOR LIVING

Lim-Liab

3125 PRAIRIE ROSE DRIVE

MANKATO, MN 56001

(34399)

PHONE:

507/344-6777

FAX: /-

PRAIRIE'S EDGE

NProf

152 COUGAR DRIVE

MANKATO, MN 56001

(23697)

PHONE:

507/387-8281

FAX: 507/625-9948

Certification

Registration

BLUE EARTH

(Cont.)* --------------------------

COMP

RANDALL BENSON

HWSAL

CRAIG EDINGER

Outpt Surg Amb Surg

ROBERT BUNKER

COMP

AMANDA BEAVENS

HWSAL

AMANDA BEAVENS

NH-69 SNF-NF-69

RACHAEL EVERS

Out Pt Out St Out Ot

NANCY DOBSON

Out Pt

BRIAN JON ELLINGWORTH

HWSAL

ERIN HILLIGAN

SLFB-6 ICFIID-6

LINDA LEIDING

Minnesota Department of Health

Health Regulation Division

Page

44

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

PRIMROSE RETIREMENT COMMUNITY OF MANKATO

Lim-Liab

1360 ADAMS STREET

MANKATO, MN 56001

(30723)

PHONE: 507/388-9292

FAX: 507/388-2153

PRIMROSE RETIREMENT COMMUNITY OF MANKATO

Lim-Liab

1360 ADAMS STREET

MANKATO, MN 56001

(21208)

PHONE: 507/388-9292

FAX: 507/388-9292

REM HEARTLAND, INC. (BIRCH)

Corp

206 THOMAS DRIVE

MANKATO, MN 56001

(01537)

PHONE: 952/922-6776

FAX: 952/922-6885

REM HEARTLAND, INC. (CYPRESS)

Corp

204 THOMAS DRIVE

MANKATO, MN 56001

(01536)

PHONE: 507/387-3181

FAX: 507/387-3182

SCHOOL SISTERS OF NOTRE DAME CENTRAL PACIFIC

NProf

PROVINCE INC

170 GOOD COUNSEL DRIVE

MANKATO, MN 56001

(23742)

FAX: 507/389-4108

PHONE: 507/389-4200

SCHOOL SISTERS OF NOTRE DAME CENTRAL PACIFIC

NProf

PROVINCE, INC

170 GOOD COUNSEL DRIVE

MANKATO, MN 56001

(23742)

FAX: 507/389-4108

PHONE: 507/389-4200

SCHOOL SISTERS OF NOTRE DAME CENTRAL PACIFIC

NProf

PROVINCE, INC

170 GOOD COUNSEL DRIVE

MANKATO, MN 56001

PHONE: 507/389-4283

SOUTHERN MINNESOTA HOMECARE LLC

1215 CALEDONIA STREET

MANKATO, MN 56001

PHONE: 507/388-2252

STERLING HOUSE OF MANKATO

100 TETON LANE

MANKATO, MN 56001

PHONE: 507/386-1779

(30402)

FAX: 507/389-4108

Lim-Liab

(26881)

FAX: 507/388-2252

Corp

(20336)

FAX: 507/386-1174

Certification

Registration

BLUE EARTH

(Cont.)* --------------------------

HWSAL

MARK MCNEARY

COMP

LORI PIETSCH

SLFB-12

ICFIID-12

DEVIN NELSON

SLFA-11

ICFIID-11

DEVIN NELSON

COMP

WILLIAM WARD

COMP

WILLIAM WARD

HWS

WILLIAM WARD

COMP

BARB SONTAG

COMP

GERI SVALESON

Minnesota Department of Health

Health Regulation Division

Page

45

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

THE BEACON AT LE CENTER

638 SOUTHBEND AVENUE

MANKATO, MN 56001

PHONE:

612/239-6856

THE LUTHERAN HOME: CEDAR HAVEN

640 REED STREET

MANKATO, MN 56001

PHONE:

507/519-3000

WATER'S EDGE

800 AGENCY TRAIL

MANKATO, MN 56001

PHONE:

507/388-5582

ECUMEN MAPLETON

206 3RD AVENUE NE

MAPLETON, MN 56065

PHONE:

507/524-4990

HERITAGE PLACE

303 TROENDLE STREET SW

MAPLETON, MN 56065

PHONE:

507/524-3315

MAPLETON COMMUNITY HOME

301 TROENDLE STREET

MAPLETON, MN 56065

PHONE:

507/524-3315

MAPLETON COMMUNITY HOME

301 TROENDLE STREET SW

MAPLETON, MN 56065

PHONE:

507/524-3315

THE BEACON AT MAPLETON

206 3RD AVENUE NE

MAPLETON, MN 56065

PHONE:

507/524-4990

THE BEACON AT MAPLETON

206 3RD AVENUE NE

MAPLETON, MN 56065

PHONE:

507/524-4990

MANKATO UPTOWN DIALYSIS

1802 COMMERCE DRIVE

NORTH MANKATO, MN 56003

PHONE:

507/387-9095

Lim-Liab

(20376)

FAX: /-

NProf

(20546)

FAX: 507/388-6428

Lim-Liab

(30108)

FAX: 507/388-5584

Lim-Liab

(20377)

FAX: 507/524-3239

NProf

(28389)

FAX: 507/524-3463

NProf

(00037)

FAX: 507/524-4410

NProf

(28390)

FAX: 507/524-4410

Lim-Liab

(30605)

FAX: /-

Lim-Liab

(20377)

FAX: 507/524-3239

NProf

(02158)

FAX: 507/387-1470

Certification

Registration

BLUE EARTH

(Cont.)* --------------------------

COMP

LEESA GILMAN

HWSAL

MARY SUE MEGER

HWSAL

LANA STEUCK

COMP

LEESA GILMAN

HWSAL

ROXANNE GOSSON

NH-60 SNF-NF-60

ROXANNE GOSSON

COMP

ROXANNE GOSSON

HWSAL

LEESA GILMAN

COMP

LEESA GILMAN

ESRD

BRITTANY WINTERS

Minnesota Department of Health

Health Regulation Division

Page

46

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

ROLLINGWOOD HOME

NProf

2203 ROLLING GREEN LANE

NORTH MANKATO, MN 56003

(29812)

PHONE:

507/779-7187 FAX: 507/779-7186

---------------------------**********

BRICKSTONE MANOR

104 BROWN STREET WEST

COMFREY, MN 56019

PHONE:

507/877-4600

BRICKSTONE MANOR

104 BROWN STREET WEST

COMFREY, MN 56019

PHONE:

507/877-4600

BROWN COUNTY EVALUATION CENTER, INC.

510 NORTH FRONT STREET

NEW ULM, MN 56073

PHONE:

507/359-9111

EON, INC.

1200 SOUTH BROADWAY STREET

NEW ULM, MN 56073

PHONE:

507/233-3030

GOLDEN HOME CARE PLUS, INC.

6 1/2 N MINNESOTA STREET #924

NEW ULM, MN 56073

PHONE: 507/359-2756

MBW COMPANY

1131 RAYMOND DRIVE

NEW ULM, MN 56073

PHONE:

507/233-3030

MBW COMPANY

1407 10TH STREET NORTH

NEW ULM, MN 56073

PHONE:

507/233-3030

MINNESOTA VALLEY MANAGEMENT LLC

1223 KARL DRIVE

NEW ULM, MN 56073

PHONE:

507/354-2159

NProf

(23856)

FAX: 507/877-6001

NProf

(30470)

FAX: 507/877-6001

NProf

(01641)

FAX: 507/354-7706

Corp

(03081)

FAX: 507/354-2168

Corp

(03015)

FAX: 507/354-1260

BusTrust

(01210)

FAX: 507/354-2168

BusTrust

(01598)

FAX: 507/354-2168

Lim-Liab

(34692)

FAX: /-

Certification

Registration

BLUE EARTH

(Cont.)* --------------------------

SLFB-5 ICFIID-5

EMILY EBRANSKY

BROWN

******** --------------------------

COMP

LINDA WALLIN

HWSAL

LINDA WALLIN

SLFB-16

AMANDA SCHUKNECHT

COMP

RIC NELSON

COMP

MARCY GULDEN

SLFA-4 ICFIID-4

RICHARD NELSON

SLFB-4 ICFIID-4

RICHARD NELSON

COMP HCBS

YVONNE SCHELL

Minnesota Department of Health

Health Regulation Division

Page

47

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

BROWN

(Cont.)* --------------------------

NEW ULM DIALYSIS

NProf

ESRD

701 NORTH BROADWAY STREET

NEW ULM, MN 56073

(02576)

PHONE:

507/359-5255

FAX: 507/354-0416

BRITTANY WINTERS

NEW ULM MEDICAL CENTER

NProf

HOSP-62 BASS-10 CAH-25 PPS-P-10

1324 5TH STREET NORTH

NEW ULM, MN 56073

(00839)

PHONE:

507/217-5000

FAX: 507/217-5575

TOBY FREIER

NEW ULM MEDICAL CENTER

NProf

SLFA-10

1324 5TH STREET NORTH

NEW ULM, MN 56073

(24059)

PHONE:

507/217-5000

FAX: 507/217-5575

TOBY FREIER

OAK HILLS LIVING CENTER

NProf

NH-94 SNF-NF-94

1314 8TH STREET NORTH

NEW ULM, MN 56073

(00434)

PHONE:

507/233-0804

FAX: 507/354-2751

CANDAS SCHOUVIELLER

OAK HILLS LIVING CENTER ASSISTED LIVING

NProf

COMP

1314 8TH STREET NORTH

NEW ULM, MN 56073

(21025)

PHONE:

507/233-0804

FAX: 507/354-2751

CANDAS SCHOUVIELLER

OAK HILLS LIVING CENTER ASSISTED LIVING

NProf

HWSAL

1314 8TH STREET NORTH

NEW ULM, MN 56073

(30843)

PHONE:

507/233-0804

FAX: 507/354-2751

CANDAS SCHOUVIELLER

OAK HILLS LIVING CENTER HOME CARE

NProf

COMP HHA

1314 8TH STREET NORTH

NEW ULM, MN 56073

(25987)

PHONE:

507/233-0818

FAX: 507/354-2751

CANDAS SCHOUVIELLER

OAK VIEW APARTMENTS, INC.

NProf

HWSAL

1316 8TH STREET NORTH

NEW ULM, MN 56073

(23298)

PHONE:

507/359-2026

FAX: 507/354-2751

CANDAS SCHOUVIELLER

ORCHARD HILLS SENIOR LIVING

Lim-Liab

HWSAL

1223 KARL DRIVE

NEW ULM, MN 56073

(23169)

PHONE:

507/354-2159

FAX: 507/295-4852

PHYLLIS BESCHNETT

PRAIRIE SENIOR COTTAGES OF NEW ULM

Lim-Liab

COMP

1304 BIRCHWOOD DRIVE

NEW ULM, MN 56073

(21584)

PHONE:

507/359-3420

FAX: 507/359-3421

DUSTIN LEE

Minnesota Department of Health

Health Regulation Division

Page

48

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

PRAIRIE SENIOR COTTAGES OF NEW ULM, LLC

Lim-Liab

1304 BIRCHWOOD DRIVE

NEW ULM, MN 56073

(21584)

PHONE:

507/359-3420

FAX: 507/359-3421

PRAIRIE SENIOR COTTAGES OF NEW ULM, LLC

Lim-Liab

1308 BIRCHWOOD DRIVE

NEW ULM, MN 56073

(21586)

PHONE:

507/359-3420

FAX: 507/359-3421

PRAIRIE SENIOR COTTAGES OF NEW ULM, LLC

Lim-Liab

1304 BIRCHWOOD DR

NEW ULM, MN 56073

(30771)

PHONE:

507/359-3420

FAX: 507/359-3421

QUALITY LIFE HOME CARE LLC

Lim-Liab

1215 SOUTH BROADWAY STREET

NEW ULM, MN 56073

(29135)

PHONE:

507/327-3195

FAX: 507/354-0361

RIDGEWAY ON 23RD

NProf

720 23RD STREET NORTH

NEW ULM, MN 56073

(23249)

PHONE:

507/354-7000

FAX: 507/233-7410

RIDGEWAY ON GERMAN

NProf

715 SOUTH GERMAN STREET

NEW ULM, MN 56073

(20555)

PHONE:

507/354-7400

FAX: 507/359-5711

RIDGEWAY SENIOR LIVING

NProf

715 SOUTH GERMAN STREET #100

NEW ULM, MN 56073

(21355)

PHONE:

507/354-7400

FAX: 507/359-5711

WELCOME HOME HEALTH CARE INC

Corp

2020 MEYER DRIVE

NEW ULM, MN 56023

(29912)

PHONE:

507/359-3355

FAX: /-

WOODSTONE SENIOR LIVING

Corp

2020 MEYER DRIVE

NEW ULM, MN 56073

(29913)

PHONE:

507/359-3355

FAX: 507/359-3340

COUNTRYSIDE RETIREMENT COMM

NProf

1100 1ST AVENUE SOUTH

SLEEPY EYE, MN 56085

(20030)

PHONE:

507/300-1300

FAX: 507/300-1301

Certification

BROWN

(Cont.)*

COMP

DUSTIN LEE

BRYAN CHRISTIANSON

COMP

MATTHEW SCHROEDER

LORA GUTKNECHT

KYLA FRANTA

COMP

PAUL ABZUG

COMP

JACOB WORK

NANCY WINDSCHITL

Registration

--------------------------

HWSAL

HWS

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

49

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

DIVINE PROVIDENCE COMMUNITY HOME

NProf

700 3RD AVENUE NW

SLEEPY EYE, MN 56085

(00040)

PHONE:

507/794-3011

FAX: 507/794-3020

LEADING CHOICE HOME HELPERS

Lim-Liab

657 3RD AVENUE NW

SLEEPY EYE, MN 56085

(29680)

PHONE:

507/766-5150

FAX: /-

MN COMFORT IN-HOME CARE SERVICES LLC

Lim-Liab

713 MAPLE STREET SW

SLEEPY EYE, MN 56085

(34643)

PHONE:

507/766-9783

FAX: /-

SLEEPY EYE AREA HOME HEALTH, INC.

NProf

1100 1ST AVENUE SOUTH

SLEEPY EYE, MN 56085

(20718)

PHONE:

507/794-3594

FAX: 507/794-5914

SLEEPY EYE CARE CENTER

Church

1105 3RD AVENUE SW

SLEEPY EYE, MN 56085

(00776)

PHONE:

507/300-1300

FAX: 507/300-1193

SLEEPY EYE HOUSING AUTHORITY

HRA

313 4TH AVENUE SE

SLEEPY EYE, MN 56085

(21072)

PHONE:

507/794-5101

FAX: 507/794-5108

SLEEPY EYE MEDICAL CENTER

City

400 4TH AVENUE NW

SLEEPY EYE, MN 56085

(22176)

PHONE:

507/794-3571

FAX: /-

SLEEPY EYE MEDICAL CENTER

City

400 4TH AVENUE NW

SLEEPY EYE, MN 56085

(00043)

PHONE:

507/794-3571

FAX: 507/794-5462

SLEEPY EYE MUNICIPAL HOSPITAL

City

400 4TH AVENUE NW

SLEEPY EYE, MN 56085

(00043)

PHONE:

507/794-3571

FAX: 507/794-5462

HOME CARE SERVICES

NProf

301 SOUTH COUNTY ROAD 5

SPRINGFIELD, MN 56087

(23595)

PHONE:

507/723-3250

FAX: 507/203-8892

Certification

Registration

BROWN

(Cont.)* --------------------------

NH-53 SNF-NF-53

JAYNA GROEBNER

BASIC

LINDA TAUER

COMP

JEREMY DOMEIER

COMP

MICHAEL PYAN

NH-65 SNF-NF-65

JOHN RIEKE

HWS

KARI SCHMIDT

RHC

KEVIN SELLHEIM

HOSP-16 BASS-4 CAH-16

KEVIN SELLHEIM

HOSP-16 BASS-4 CAH-16

KEVIN SELLHEIM

COMP

CHRISTINE BOERBOOM

Minnesota Department of Health

Health Regulation Division

Page

50

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

BROWN

(Cont.)* --------------------------

MAYO CLINIC HEALTH SYSTEM-SPRINGFIELD

NProf

HOSP-24 BASS-6 CAH-24

625 JACKSON AVENUE NORTH

SPRINGFIELD, MN 56087

(00044)

PHONE:

507/723-6201

FAX: 507/723-7769

SCOTT THORESON

ST. JOHN LUTHERAN HOME

NProf

NH-75 SNF-NF-75

201 SOUTH COUNTY ROAD 5

SPRINGFIELD, MN 56087

(00045)

PHONE:

507/723-3200

FAX: 507/723-6429

THOMAS GOERITZ

THE MAPLES AT ST. JOHN

NProf

HWS

301 SOUTH COUNTY ROAD 5

SPRINGFIELD, MN 56087

(25454)

PHONE:

507/723-3250

FAX: 507/723-3264

THOMAS GOERITZ

---------------------------**********

CARLTON

******** --------------------------

NEW PERSPECTIVE - CLOQUET & BARNUM

Lim-Liab

HWSAL

3725 HORIZON DRIVE BLDG 2

BARNUM, MN 55707

(22197)

PHONE:

218/878-7950

FAX: 218/260-2004

VINCE BECKEL

NEW PERSPECTIVE - CLOQUET & BARNUM

Lim-Liab

HWSAL

3730 HORIZON DRIVE

BARNUM, MN 55707

(23718)

PHONE:

218/522-0056

FAX: 218/260-2004

VINCE BECKEL

NEW PERSPECTIVE CLOQUET BARNUM

Lim-Liab

HWSAL

3722 HORIZON DRIVE BLDG 3

BARNUM, MN 55707

(21398)

PHONE: 218/522-0056

FAX: 218/260-2004

VINCE BECKEL

CARLTON PLACE

NProf

COMP

813 3RD STREET

CARLTON, MN 55718

(21142)

PHONE:

218/384-8441

FAX: 218/384-8442

TIM ZWICKEY

CARLTON PLACE

NProf

HWS

813 3RD STREET

CARLTON, MN 55718

(30694)

PHONE:

218/384-8441

FAX: 218/384-8442

TIM ZWICKEY

COMMUNITY ADDICTION RECOVERY ENTERPRISE

State

SLFA-16

CARLTON

810 3RD STREET #102

CARLTON, MN 55718

(21547)

FAX: 651/431-7679

PHONE:

218/384-7003

JENNIFER RENNQUIST

Minnesota Department of Health

Health Regulation Division

Page

51

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

INTERFAITH CARE CENTER

811 3RD STREET

CARLTON, MN 55718

PHONE:

218/384-4258

COMMUNITY MEMORIAL HOSPITAL

512 SKYLINE BOULEVARD

CLOQUET, MN 55720

PHONE:

218/879-4641

DIAMOND WILLOW OF CLOQUET 1

130 WEST NORTH ROAD

CLOQUET, MN 55720

PHONE:

218/878-1972

DIAMOND WILLOW OF CLOQUET 2

132 WEST NORTH ROAD

CLOQUET, MN 55720

PHONE:

218/878-1974

EVERGREEN KNOLL

1309 14TH STREET

CLOQUET, MN 55720

PHONE:

218/878-3302

EVERGREEN KNOLL

1309 14TH STREET

CLOQUET, MN 55720

PHONE:

218/878-3302

EVERGREEN SENIOR LIVING

1309 14TH STREET

CLOQUET, MN 55720

PHONE:

218/878-3302

FOND DU LAC ASSISTED LIVING RESIDENCE

1571 AIRPORT ROAD

CLOQUET, MN 55720

PHONE:

218/878-3848

FOND DU LAC HOME CARE PROGRAM

1571 AIRPORT ROAD

CLOQUET, MN 55720

PHONE:

218/878-3848

FRESENIUS MEDICAL CARE CLOQUET

512 SKYLINE BOULEVARD

CLOQUET, MN 55720

PHONE:

218/879-3051

Church

(21170)

FAX: 218/384-9820

NProf

(00048)

FAX: 218/879-9167

Lim-Liab

(24425)

FAX: 218/878-1586

Lim-Liab

(24426)

FAX: 218/878-1588

ONProf

(21246)

FAX: 218/878-3304

Lim-Liab

(24494)

FAX: 218/878-3304

ONProf

(21246)

FAX: 218/878-3304

Tribal

(27607)

FAX: 218/878-3843

Tribal

(27376)

FAX: 218/878-3843

Corp

(32383)

FAX: 218/879-4101

Certification

Registration

CARLTON

(Cont.)* --------------------------

NH-96 SNF-NF-96

TIM ZWICKEY

NH-44 HOSP-36 BASS-6 SNF-NF-44 CAH-25

RICHARD BREUER

HWSAL

SARA KLEINSCHMIDT

HWSAL

SARA KLEINSCHMIDT

COMP

PAUL ABZUG

HWSAL

TERRI LANGEVIN

COMP

PAUL ABZUG

HWSAL

NATHAN SANDMAN

COMP

NATHAN SANDMAN

ESRD

AMY ALLEN

Minnesota Department of Health

Health Regulation Division

Page

52

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

LARSON COMMONS

Part

810 CLOQUET AVENUE

CLOQUET, MN 55720

(21832)

PHONE:

218/879-3759

FAX: 218/879-8847

LIGHTHOUSE OF CLOQUET AND BARNUM

Lim-Liab

702 HORIZON CIRCLE

CLOQUET, MN 55720

(21672)

PHONE:

218/522-0056

FAX: 218/260-2004

NEW PERSPECTIVE - CLOQUET & BARNUM

Lim-Liab

702 HORIZON CIRCLE

CLOQUET, MN 55720

(21672)

PHONE:

218/522-0056

FAX: 218/260-2004

NEW PERSPECTIVE - CLOQUET & BARNUM

Lim-Liab

701 HORIZON CIRCLE

CLOQUET, MN 55720

(24315)

PHONE:

218/522-0056

FAX: 218/260-2004

NEW PERSPECTIVE - CLOQUET & BARNUM

Lim-Liab

705 HORIZON CIRCLE

CLOQUET, MN 55720

(24899)

PHONE:

218/522-0056

FAX: 218/260-2004

NEW PERSPECTIVE - CLOQUET & BARNUM

Lim-Liab

1909 TALL PINE LANE

CLOQUET, MN 55720

(25969)

PHONE:

218/878-0000

FAX: 218/260-2004

NEW PERSPECTIVE - CLOQUET & BARNUM

Lim-Liab

706 HORIZON CIRCLE

CLOQUET, MN 55720

(25970)

PHONE:

218/522-0056

FAX: 218/260-2004

NEW PERSPECTIVE - CLOQUET & BARNUM

Lim-Liab

702 HORIZON CIRCLE

CLOQUET, MN 55720

(30817)

PHONE:

218/522-0056

FAX: 218/260-2004

PLAINVIEW ESTATES

Corp

2507 FAIRVIEW AVENUE

CLOQUET, MN 55720

(30619)

PHONE:

218/879-8230

FAX: 218/879-8223

SUNNYSIDE HEALTH CARE CENTER

NProf

512 SKYLINE BOULEVARD

CLOQUET, MN 55720

(00048)

PHONE:

218/879-4641

FAX: 218/879-9167

Certification

Registration

CARLTON

(Cont.)* --------------------------

MISSY HILL

COMP

MELODY MAKER

COMP

MELODY MAKER

VINCE BECKEL

COLETA PARENTEAU

NH-44 HOSP-36 BASS-6

RICHARD BREUER

HWS-O

HWS

HWSAL

SNF-NF-44 CAH-25

Minnesota Department of Health

Health Regulation Division

Page

53

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

VILLA COURT

1220 VILLA COURT DRIVE

CROMWELL, MN 55726

PHONE:

218/644-3331

VILLA COURT

1220 VILLA COURT DRIVE

CROMWELL, MN 55726

PHONE:

218/644-3331

BARNES CARE

154 EAST HIGHWAY 61

ESKO, MN 55733

PHONE:

218/879-2155

BARNES CARE INC

56 WEST HIGHWAY 61

ESKO, MN 55733

PHONE:

218/879-2635

BARNES CARE, INC.

58 WEST HIGHWAY 61

ESKO, MN 55733

PHONE:

218/879-2635

BARNES CARE, INC.

58 WEST HIGHWAY 61

ESKO, MN 55733

PHONE:

218/879-2635

PLAINVIEW ESTATES, INC.

46 THOMSON ROAD

ESKO, MN 55733

PHONE:

218/879-8230

PLAINVIEW ESTATES, INC.

46 THOMSON ROAD

ESKO, MN 55733

PHONE:

218/879-8230

AUGUSTANA MERCY CARE CENTER

710 SOUTH KENWOOD AVENUE

MOOSE LAKE, MN 55767

PHONE:

218/351-9400

AUGUSTANA OAKVIEW CARE LLC

300 TALBOT DRIVE

MOOSE LAKE, MN 55767

PHONE:

218/485-8779

Lim-Liab

(26451)

FAX: 218/644-3505

Lim-Liab

(30721)

FAX: 218/644-3505

Corp

(29535)

FAX: 218/879-2703

Corp

(26579)

FAX: 218/879-2939

Corp

(23529)

FAX: 218/879-2939

Corp

(30389)

FAX: 218/879-2939

Corp

(22142)

FAX: 218/879-8223

Corp

(30286)

FAX: 218/879-8223

Lim-Liab

(00049)

FAX: 218/351-9435

Lim-Liab

(23530)

FAX: 612/800-5387

Certification

Registration

CARLTON

(Cont.)* --------------------------

COMP

JULIE PETERSON

HWSAL

JULIE PETERSON

HWSAL

JUSTIN BARNES

HWSAL

JUSTIN BARNES

COMP

SHARLANE BARNES

HWSAL

JUSTIN BARNES

COMP

. COLETA PARENTEAU

HWSAL

COLETA PARENTEAU

NH-72 SNF-NF-72

SHAWNA SMITH

COMP

BARBARA MARLOW

Minnesota Department of Health

Health Regulation Division

Page

54

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

AUGUSTANA OAKVIEW CARE, LLC

Lim-Liab

500 TALBOT DRIVE

MOOSE LAKE, MN 55767

(23531)

PHONE:

218/485-8779

FAX: 612/800-5387

AUGUSTANA OAKVIEW CARE, LLC

Lim-Liab

300 TALBOT DRIVE

MOOSE LAKE, MN 55767

(30390)

PHONE:

218/485-8779

FAX: 612/800-5387

KENWOOD PLACE

NProf

710 SOUTH KENWOOD AVENUE

MOOSE LAKE, MN 55767

(27537)

PHONE:

218/351-9415

FAX: 218/351-9401

MERCY HOME HEALTH AGENCY

Dist

30 ARROWHEAD LANE

MOOSE LAKE, MN 55767

(03714)

PHONE:

218/485-5506

FAX: 218/485-5908

MERCY HOSPITAL

Dist

4572 COUNTY ROAD 61

MOOSE LAKE, MN 55767

(27650)

PHONE:

218/485-4481

FAX: 218/485-5654

MERCY HOSPITAL AND HEALTH CARE CENTER

Lim-Liab

710 SOUTH KENWOOD AVENUE

MOOSE LAKE, MN 55767

(00049)

PHONE:

218/351-9400

FAX: 218/351-9435

MINNESOTA SEX OFFENDER PROGRAM

State

1111 HIGHWAY 73

MOOSE LAKE, MN 55767

(01674)

PHONE:

651/431-5874

FAX: 651/431-7404

OAKVIEW RESIDENTIAL CARE, INC.

Lim-Liab

300 TALBOT DRIVE

MOOSE LAKE, MN 55767

(23530)

PHONE:

218/485-8779

FAX: 612/800-5387

SUNCREST ASSISTED LIVING

NProf

2400 WASHINGTON AVENUE

SCANLON, MN 55720

(23227)

PHONE:

218/878-1180

FAX: 218/878-1201

SUNCREST ASSISTED LIVING

NProf

2400 WASHINGTON AVENUE

SCANLON, MN 55720

(33414)

PHONE:

218/878-1180

FAX: 218/878-1201

Certification

CARLTON

(Cont.)*

MARY JO THORNE

COMP

MARY JO THORNE

COMP HHA

Registration

--------------------------

HWSAL

MICHAEL YOUSO

HOSP-25 BASS-4 HOSP- CAH-25 CAH-

MICHAEL YOUSO

NH-72 SNF-NF-72

SHAWNA SMITH

SLFB-558

DAVID BORNUS

COMP

BARBARA MARLOW

COMP

TARA ADKINS

HWSAL

TARA ADKINS

Minnesota Department of Health

Health Regulation Division

Page

55

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

---------------------------**********

CARLTON

(Cont.)*

GARDEN TERRACE ASSISTED LIVING

426 MASON DRIVE

Corp

COMP

WRENSHALL, MN 55797

PHONE:

218/384-4623

(24256)

FAX: 218/384-4508

MARIA RUNYAN

GARDEN TERRACE ASSISTED LIVING, LT

426 MASON DRIVE

D.

Corp

COMP

WRENSHALL, MN 55797

PHONE:

218/384-4623

(24256)

FAX: 218/384-4508

MARIA RUNYAN

---------------------------**********

CARVER

********

CARVER RIDGE SENIOR LIVING

Lim-Liab

TCOMP

920 6TH STREET WEST

CARVER, MN 55315

(35322)

PHONE:

952/214-0400 FAX: /-

NICOLE DWYER

CARVER RIDGE SENIOR LIVING

Lim-Liab

920 6TH STREET WEST

CARVER, MN 55315

(35660)

PHONE:

952/214-0400 FAX: /-

ANDREA OLMSCHEID

OLIVE BRANCH ESTATES

Lim-Liab

COMP

1850 PIONEER TRAIL

CHANHASSEN, MN 55317

(30187)

PHONE:

952/448-4800 FAX: 952/448-4803

MELISSA TREBIATOWSKI

OLIVE BRANCH ESTATES

Lim-Liab

1850 PIONEER TRAIL

CHANHASSEN, MN 55317

(30188)

PHONE: 952/448-4800 FAX: 952/448-4803

MELISSA TREBIATOWSKI

RILEY CROSSING SENIOR LIVING

Lim-Liab

620 ALDRICH DRIVE

CHANHASSEN, MN 55317

(35195)

PHONE:

952/934-7777 FAX: 952/945-7777

ERIN HILLIGAN

SUMMERWOOD OF CHANHASSEN

NProf

525 LAKE DRIVE

CHANHASSEN, MN 55317

(24077)

PHONE:

952/294-5500 FAX: 952/294-5501

AMY STOCK

SUMMERWOOD OF CHANHASSEN

NProf

COMP

525 LAKE DRIVE

CHANHASSEN, MN 55317

(28192)

PHONE:

952/294-5500 FAX: 952/294-5501

NATALIE MORLAND

Registration

--------------------------

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

56

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

AUBURN COURTS

NProf

501 OAK STREET NORTH

CHASKA, MN 55318

(20425)

PHONE:

952/361-0307

FAX: 952/361-0305

AUBURN COURTS

NProf

501 OAK STREET NORTH

CHASKA, MN 55318

(24271)

PHONE:

952/448-9303

FAX: 952/361-0411

AUBURN MANOR

NProf

501 OAK STREET NORTH

CHASKA, MN 55318

(00335)

PHONE:

952/448-9303

FAX: 952/361-0305

BHATTI GI SURGERY CENTER

Lim-Liab

1447 WHITE OAK DRIVE

CHASKA, MN 55318

(33303)

PHONE:

952/368-3800

FAX: 952/361-9499

BRIDGEWOOD

Corp

112003 HIDDEN CREEK PLACE

CHASKA, MN 55318

(20528)

PHONE:

952/361-9338

FAX: /-

CHASKA HEIGHTS

Lim-Liab

3120 CHESTNUT STREET NORTH

CHASKA, MN 55318

(32539)

PHONE:

952/361-6100

FAX: 952/448-1671

CHASKA HEIGHTS SENIOR LIVING

Lim-Liab

3120 NORTH CHESTNUT STREET

CHASKA, MN 55318

(32529)

PHONE:

952/361-6100

FAX: 952/448-1671

CRESTWOOD

Corp

112001 HIDDEN CREEK PLACE

CHASKA, MN 55318

(20397)

PHONE:

952/361-9338

FAX: /-

FRESENIUS KIDNEY CARE CHASKA

Corp

3000 HUNDERTMARK ROAD

CHASKA, MN 55318

(33787)

PHONE:

952/443-3191

FAX: 952/443-3192

LAKEWOOD

Corp

112005 HIDDEN CREEK PLACE

CHASKA, MN 55318

(20957)

PHONE:

952/361-9338

FAX: /-

Certification

Registration

CARVER

(Cont.)* --------------------------

EMILY HOEHN

COMP

ALICIA HILK

NH-61

RICK KRANT

Outpt Surg

SARA BHATTI

ROGER BONNY

AMI FULLER

COMP

BONNIE HOUGH

ROGER BONNY

CLARISSA SCHWARTZ

ROGER BONNY

HWSAL

SNF-NF-61

Amb Surg

HWSAL

ESRD

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

57

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

MARTHA HOUSE LLC

2349 KELM STREET

CHASKA, MN 55318

PHONE:

612/444-1376

PAIN CENTERS OF MINNESOTA - CHASKA

3000 HUNDERTMARK ROAD #200

CHASKA, MN 55318

PHONE:

952/361-9922

RIDGEVIEW CARE SUITES

111 HUNDERTMARK ROAD #307N

CHASKA, MN 55318

PHONE:

952/442-7830

ROSEWOOD

112007 HIDDEN CREEK PLACE

CHASKA, MN 55318

PHONE:

952/361-9338

TWO TWELVE SURGERY CENTER

111 HUNDERTMARK ROAD #340

CHASKA, MN 55318

PHONE:

952/456-7921

MS. V'S CARING HANDS LLC

1309 DRAKE COVE

MAYER, MN 55360

PHONE:

651/235-0926

HARBOR AT PEACE VILLAGE

300 FAXON ROAD NORTH

NORWOOD YOUNGAMERICA, MN 55368

PHONE:

952/467-9683

HARBOR AT PEACE VILLAGE

300 FAXON ROAD NORTH

NORWOOD YOUNGAMERICA, MN 55368

PHONE:

952/467-9683

HARBOR OF PEACE VILLAGE

300 FAXON ROAD NORTH

NORWOOD YOUNGAMERICA, MN 55368

PHONE:

952/467-9683

MOUNT OLIVET ROLLING ACRES

129 MACKENTHUN LANE

NORWOOD YOUNGAMERICA, MN 55368

PHONE:

952/467-6484

Lim-Liab

(35710)

FAX: /-

Lim-Liab

(32254)

FAX: 952/361-3252

NProf

(30873)

FAX: 952/442-7831

Corp

(20396)

FAX: /-

Lim-Liab

(28004)

FAX: 952/456-7396

Lim-Liab

(34165)

FAX: 651/203-3596

Corp

(24555)

FAX: 952/467-9684

City

(28522)

FAX: 952/467-9684

Corp

(24555)

FAX: 952/467-9684

NProf

(21000)

FAX: 866/380-3092

Certification

Registration

CARVER

(Cont.)* --------------------------

TCOMP

AISHA HASSAN

Outpt Surg Amb Surg

VISHAL LAL

HWS-O

JOHN PRONDZINSKI

HWSAL

ROGER BONNY

Outpt Surg Amb Surg

TOM STEVENS

Home Mgmt

MELISSA KRIESEL

COMP

LAURIE HILGERS

HWSAL

LAURIE HILGERS

COMP

LAURIE HILGERS

SLFB-6 ICFIID-6

TRACY MURPHY

Minnesota Department of Health

Health Regulation Division

Page

58

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

THE HAVEN AT PEACE VILLAGE

NProf

600 RAILROAD DRIVE

NORWOOD YOUNGAMERICA, MN 55368

(32269)

PHONE:

952/467-9683

FAX: 952/467-9684

AUGUSTANA EMERALD CREST OF VICTORIA

NProf

8150 BAVARIA ROAD

VICTORIA, MN 55386

(20815)

PHONE:

952/856-7530

FAX: 952/856-7527

AUGUSTANA EMERALD CREST OF VICTORIA

NProf

8150 BAVARIA ROAD

VICTORIA, MN 55386

(24028)

PHONE:

952/856-7522

FAX: 952/856-7527

MOUNT OLIVET ROLLING ACRES

NProf

7200 ROLLING ACRES ROAD #220

VICTORIA, MN 55386

(01022)

PHONE:

952/474-5974

FAX: 952/474-3652

ALWAYS BEST CARE SW METRO

Lim-Liab

712 VISTA BOULEVARD #149

WACONIA, MN 55387

(31207)

PHONE:

952/283-1654

FAX: /-

AUBURN HOME IN WACONIA

NProf

594 CHERRY DRIVE

WACONIA, MN 55387

(00053)

PHONE:

952/442-2546

FAX: 952/442-5504

AUBURN MEADOWS

NProf

591 CHERRY DRIVE

WACONIA, MN 55387

(28788)

PHONE:

952/442-6629

FAX: 952/442-6474

FMCNA WACONIA DIALYSIS

Corp

560 SOUTH MAPLE STREET #6

WACONIA, MN 55387

(26856)

PHONE:

952/442-4605

FAX: 952/442-5902

GOOD SAMARITAN SOCIETY - WACONIA AND WESTVIEW

NProf

ACRES

333 5TH STREET WEST

WACONIA, MN 55387

(00924)

FAX: 952/442-6170

PHONE:

952/442-5111

GOOD SAMARITAN SOCIETY WESTVIEW ACRES

NProf

433 5TH STREET WEST

WACONIA, MN 55387

(20109)

PHONE:

952/442-5459

FAX: 952/442-1125

Certification

Registration

CARVER

(Cont.)* --------------------------

HWSAL

LAURIE HILGERS

COMP

JULIANNE FRIES

HWSAL

JULIANNE FRIES

SLFB-15 ICFIID-15

TRACY MURPHY

BASIC

RICHARD SELVEY

NH-37 SNF-NF-37

RICK KRANT

HWSAL

MARY KRANT

ESRD

KRISTEN HOEN

NH-90 SNF-NF-90

CORINNE WHITE

COMP

JENNIFER HISSAM

Minnesota Department of Health

Health Regulation Division

Page

59

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

GOOD SAMARITAN WESTVIEW ACRES

433 5TH STREET WEST

WACONIA, MN 55387

PHONE:

952/442-5459

LIGHTHOUSE AT WACONIA

500 CHERRY STREET

WACONIA, MN 55387

PHONE:

952/856-4700

MOUNT OLIVET ROLLING ACRES

9375 JAN VIEW LANE

WACONIA, MN 55387

PHONE:

952/442-3226

NAGEL ASSISTED LIVING

232 ELM STREET SOUTH

WACONIA, MN 55387

PHONE:

763/267-6658

NAGEL ASSISTED LIVING

232 ELM STREET SOUTH

WACONIA, MN 55387

PHONE:

763/267-6658

NEW PERSPECTIVE WACONIA

500 CHERRY STREET

WACONIA, MN 55387

PHONE:

952/856-4700

NEW PERSPECTIVE WACONIA

500 CHERRY STREET

WACONIA, MN 55387

PHONE:

952/856-4701

RIDGEVIEW HOME CARE SERVICES

501 SOUTH MAPLE STREET #1

WACONIA, MN 55387

PHONE:

952/442-6030

RIDGEVIEW HOME SUPPORT SERVICES

501 SOUTH MAPLE STREET #1

WACONIA, MN 55387

PHONE:

952/442-6030

RIDGEVIEW HOSPICE

500 SOUTH MAPLE STREET

WACONIA, MN 55387

PHONE:

952/442-6030

NProf

(30417)

FAX: 952/442-1125

Lim-Liab

(23848)

FAX: 952/392-3644

NProf

(31654)

FAX: 866/879-6938

Corp

(31214)

FAX: 763/231-9327

Corp

(32695)

FAX: 763/231-9327

Lim-Liab

(23848)

FAX: 952/392-3644

Lim-Liab

(30415)

FAX: 952/392-3644

NProf

(02252)

FAX: 952/442-6542

NProf

(21112)

FAX: 952/442-6542

NProf

(03780)

FAX: 952/442-6542

Certification

Registration

CARVER

(Cont.)* --------------------------

HWSAL

REBECCA BOLLIG

COMP

STACEY GRENIER

SLFB-6 ICFIID-6

TRACY MURPHY

HWSAL

MICHAEL LECY

COMP

MICHAEL LECY

COMP

STACEY GRENIER

HWSAL

VINCE BECKEL

COMP HHA

LISA HURT

COMP

LISA HURT

Hospice HSPICE

LISA HURT

Minnesota Department of Health

Health Regulation Division

Page

60

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

RIDGEVIEW MEDICAL CENTER

NProf

500 SOUTH MAPLE STREET

WACONIA, MN 55387

(00055)

PHONE:

952/442-2191 FAX: 952/442-6543

SOJOURN SUITES LLC

Lim-Liab

1241 SPARROW ROAD

WACONIA, MN 55387

(31764)

PHONE:

952/856-5611 FAX: 952/856-6085

PRO REHAB

Church

200 LEWIS AVENUE SOUTH #210

WATERTOWN, MN 55388

(02532)

PHONE:

952/955-2242 FAX: 952/955-2010

RIVER OAKS AT WATERTOWN

Lim-Liab

409 JEFFERSON AVENUE SW

WATERTOWN, MN 55388

(34299)

PHONE:

952/955-2054 FAX: 950/955-1114

WESTWOOD PLACE INC

Corp

209 JEFFERSON AVENUE SW

WATERTOWN, MN 55388

(30328)

PHONE:

952/955-1399 FAX: 952/955-1398

WESTWOOD PLACE, INC.

Corp

209 JEFFERSON AVENUE SW

WATERTOWN, MN 55388

(20063)

PHONE: 952/955-1399 FAX: 952/955-1398

---------------------------**********

DIGNITY AND GRACE

823 STATE HIGHWAY 371 NW

BACKUS, MN 56435

PHONE:

218/838-6565

DIGNITY AND GRACE

823 STATE HIGHWAY 371 NW

BACKUS, MN 56435

PHONE:

218/947-4445

CASS LAKE DIALYSIS FACILITY

602 3RD STREET NW

CASS LAKE, MN 56633

PHONE:

218/335-6671

Corp

(27107)

FAX: 320/323-4455

Corp

(30674)

FAX: 320/323-4455

Corp

(03600)

FAX: /-

Certification

Registration

CARVER

(Cont.)* --------------------------

HOSP-109 BASS-20 HOSP-109

MICHAEL PHELPS

HWSAL

THOMAS PENN

Out Pt Out St Out Ot

JEFFREY DAGEN

HWSAL

ROBB FLAHERTY-WILCOX

HWSAL

JOY GORRA

COMP

CINDY CLEARENCE

CASS

******** --------------------------

COMP

MELANIE BURNS

HWSAL

MELANIE BURNS

ESRD

JANELLE BRIGGS

Minnesota Department of Health

Health Regulation Division

Page

61

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

CASS LAKE INDIAN HEALTH SERVICE HOSPITAL

425 7TH STREET NW

CASS LAKE, MN 56633

PHONE:

218/335-3200

RED CEDAR ASSISTED LIVING CENTER

533 7TH STREET NW

CASS LAKE, MN 56633

PHONE:

218/407-2233

RED CEDAR ASSISTED LIVING CNTR

533 7TH STREET NW

CASS LAKE, MN 56633

PHONE:

212/335-4545

BIRCHVIEW GARDENS ASSISTED LIVING

108 3RD STREET NORTH

HACKENSACK, MN 56452

PHONE:

218/675-5424

BIRCHVIEW GARDENS ASSISTED LIVING

108 3RD STREET NORTH

HACKENSACK, MN 56452

PHONE:

320/293-1472

CRMC LONGVILLE

180 JORDAN LANE

LONGVILLE, MN 56655

PHONE:

218/363-3300

UP NORTH ANGELS

7659 MEADOW LAKE ROAD SW

MOTLEY, MN 56466

PHONE:

320/905-3662

LAKEWOOD CLINIC PILLAGER

653 PILLSBURY STREET NORTH #1

PILLAGER, MN 56473

PHONE:

218/746-4550

RIVERSIDE ASSISTED LIVING OF PILLAGER

885 MEADOW VIEW CIRCLE NORTH

PILLAGER, MN 56473

PHONE:

218/746-4400

RIVERSIDE ASSISTED LIVING OF PILLAGER

885 MEADOWVIEW CIRCLE NORTH

PILLAGER, MN 56473

PHONE:

218/746-4400

PHS

(22140)

FAX: 218/335-3300

Tribal

(33840)

FAX: 218/335-8219

Tribal

(34720)

FAX: 218/335-8219

Corp

(28208)

FAX: 218/764-3500

Corp

(28209)

FAX: 218/764-3500

NProf

(27046)

FAX: 218/363-2233

Lim-Liab

(34686)

FAX: /-

NProf

(23695)

FAX: /-

Corp

(27488)

FAX: 218/746-4444

Corp

(27489)

FAX: 218/746-4444

Certification

Registration

CASS

(Cont.)* --------------------------

CAH-13

NORINE SMITH

COMP

BRIAN BRUNELLE

HWSAL

BRIAN BRUNELLE

COMP HCBS

JOHN MCELFRESH

HWSAL

JOHN MCELFRESH

RHC

AMY HART

TCOMP

TRACY OEVERMENN

RHC

TIM RICE

COMP

PAULA ROCHELEAU

HWSAL

SHAUNA KAPSNER

Minnesota Department of Health

Health Regulation Division

Page

62

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

BROOKSIDE COMFORT CARE

Corp

2729 STATE 371 SW

PINE RIVER, MN 56474

(30300)

PHONE:

218/587-3304

FAX: 218/587-3314

GOOD SAMARITAN SOCIETY - PINE RIVER

NProf

518 JEFFERSON AVENUE

PINE RIVER, MN 56474

(00058)

PHONE:

218/587-4423

FAX: 218/587-2671

RIVERSIDE ASSISTED LIVING

NProf

2175 WHITE PINE POINT ROAD SW

PINE RIVER, MN 56474

(25419)

PHONE:

218/587-4333

FAX: 218/587-2155

RIVERSIDE ASSISTED LIVING

NProf

2175 WHITE PINE POINT ROAD SW

PINE RIVER, MN 56474

(22165)

PHONE:

218/587-4433

FAX: 218/587-3650

RIVERSIDE SENIOR LIVING APARTMENTS

NProf

2175 WHITE PINE POINT ROAD SW

PINE RIVER, MN 56474

(22165)

PHONE:

218/587-4433

FAX: 218/587-3650

RIVERSIDE SENIOR LIVING APARTMENTS

NProf

2189 WHITE PINE POINT ROAD SW

PINE RIVER, MN 56474

(30287)

PHONE:

218/587-4433

FAX: 218/587-3650

AMERICARE LODGES INC

Corp

6870 SCHULTZ DRIVE NE

REMER, MN 56672

(21144)

PHONE:

218/566-4722

FAX: 218/566-4723

AMERICARE LODGES, INC.

Corp

6870 SCHULTZ DRIVE NE

REMER, MN 56672

(30705)

PHONE:

218/566-4722

FAX: 218/566-4723

ESSENTIA HEALTH - REMER CLINIC

NProf

9 BIRCH STREET

REMER, MN 56672

(33134)

PHONE:

218/566-1441

FAX: /-

PINE HAVEN

Ind

507 PINE STREET SE

REMER, MN 56672

(35914)

PHONE:

218/566-5110

FAX: 218/566-4723

Certification

Registration

CASS

(Cont.)* --------------------------

MELANIE BURNS

NH-33

TONYA VANVICKLE

SNF-NF-33

TONYA VANVICKLE

COMP

KATHY NOSKA

COMP

KATHY NOSKA

TONYA VANVICKLE

COMP

KRISTINA WATSON

NANCY STEFAN

NANCY BUESCHER

RHC

KRISTINA WATSON

HWSAL

HWS-O

Minnesota Department of Health

Health Regulation Division

Page

63

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

PLEASANT PINES

107 SUMMIT AVENUE SE

REMER, MN 56672

PHONE:

218/566-3250

SERENITY LIVING SOLUTIONS OF REMER

105 SPRUCE STREET NW

REMER, MN 56672

PHONE:

218/566-7100

CASS COUNTY PUBLIC HEALTH

400 MICHIGAN AVENUE

WALKER, MN 56484

PHONE:

218/547-1340

EDGEWOOD MAY CREEK LLC

303 10TH STREET SOUTH

WALKER, MN 56484

PHONE:

218/547-4515

EDGEWOOD MAY CREEK, LLC

299 10TH STREET SOUTH

WALKER, MN 56484

PHONE:

218/547-4515

EDGEWOOD MAY CREEK, LLC

303 10TH STREET SOUTH

WALKER, MN 56484

PHONE:

218/547-4515

EDGEWOOD MAY CREEK, LLC

301 10TH STREET SOUTH

WALKER, MN 56484

PHONE:

218/547-4515

ESSENTIA HEALTH WALKER CLINIC

110 D MICHIGAN AVENUE NW

WALKER, MN 56484

PHONE:

218/547-6900

HILLCREST

607 2ND STREET SOUTH

WALKER, MN 56484

PHONE:

218/838-6565

SANFORD HEALTH WALKER CLINIC

614 MICHIGAN AVENUE

WALKER, MN 56484

PHONE:

218/547-3938

Ind

(35913)

FAX: 218/566-4723

Corp

(32495)

FAX: 218/566-7200

Cnty

(02062)

FAX: 218/547-7232

Lim-Liab

(31988)

FAX: 218/547-7553

Lim-Liab

(26255)

FAX: 218/547-4515

Lim-Liab

(30760)

FAX: 218/547-4515

Lim-Liab

(26256)

FAX: 218/547-7553

NProf

(31237)

FAX: /-

Corp

(31735)

FAX: 320/323-4455

NProf

(20651)

FAX: /-

Certification

CASS

(Cont.)*

KRISTINA WATSON

TIM MATROS

COMP HHA

MICHELE PIPRUDE

COMP

ZACHARY DOWNS

ZACH DOWNS

ZACHARY DOWNS

RHC

KIM MAY

MELANIE BURNS

RHC

BRYAN NERMOE

Registration

--------------------------

HWS-O

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

64

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

CLARA CITY ASSISTED LIVING

City

200 EAST WACHTLER AVENUE

CLARA CITY, MN 56222

(31473)

PHONE:

320/847-7208

FAX: 320/847-3553

CLARA CITY ASSISTED LIVING

City

200 EAST WACHTLER AVENUE

CLARA CITY, MN 56222

(31555)

PHONE:

320/847-2221

FAX: 320/847-3816

CLARA CITY CARE CENTER

City

1012 DIVISION STREET NORTH

CLARA CITY, MN 56222

(00061)

PHONE:

320/847-2221

FAX: 320/847-3553

PRAIRIE PARK PLACE

City

1100 WARRINGS AVENUE

CLARA CITY, MN 56222

(32233)

PHONE:

320/847-3785

FAX: 320/847-3553

AVERA GRANITE FALLS CARE CENTER

NProf

250 JORDAN DRIVE

GRANITE FALLS, MN 56241

(32111)

PHONE:

320/564-3111

FAX: 320/313-3396

GRANITE FALLS MUNICIPAL HOSPITAL AND MANOR

City

500 SKYVIEW DRIVE

GRANITE FALLS, MN 56241

PHONE:

320/564-6226

PRAIRIE ROSE ASSISTED LIVING

640 CENTER AVENUE

GRANITE FALLS, MN 56241

PHONE:

320/564-3308

PRAIRIE ROSE ASSISTED LIVING

640 CENTER AVENUE

GRANITE FALLS, MN 56241

PHONE:

320/564-3308

AVENUES FOR CARE INC

1505 HIGHWAY 7 EAST #100

MONTEVIDEO, MN 56265

PHONE:

320/269-2929

BROOKSIDE SENIOR LIVING

804 BENSON ROAD

MONTEVIDEO, MN 56265

PHONE:

320/269-6506

(02200)

FAX: 320/564-1265

Corp

(23491)

FAX: 320/564-4870

Corp

(33420)

FAX: 320/564-4870

Corp

(27647)

FAX: 320/269-2278

NProf

(21803)

FAX: 612/800-5416

Certification

Registration

CHIPPEWA

******** --------------------------

HWSAL

JIM FLAHERTY

COMP

ANNETTE SIETSEMA

NH-48 SNF-NF-48

MATTHEW BLUM

HWS

MINDIE NURMI

NH-48 SNF-NF-48

TOM KOOIMAN

COMP HHA

TOM KOOIMAN

COMP

CHARLENE GLUTH

HWSAL

PAULA ROCHELEAU

Home Mgmt

SHELLY ELKINGTON

HWS

KARI HUNTLEY

Minnesota Department of Health

Health Regulation Division

Page

65

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

CCM HEALTH

Cy-Co

824 NORTH 11TH STREET

MONTEVIDEO, MN 56265

(00060)

PHONE:

320/269-8877

FAX: 320/269-8186

CHIPPEWA COUNTY-MONTEVIDEO HOSPITAL HOME CARE

Cy-Co

824 NORTH 11TH STREET

MONTEVIDEO, MN 56265

(02374)

PHONE:

320/321-8506

FAX: 320/321-8504

COPPER GLEN

Church

801 13TH STREET NORTH

MONTEVIDEO, MN 56265

(20309)

PHONE:

320/321-8312

FAX: 320/269-6510

COPPER GLEN

Church

801 13TH STREET NORTH

MONTEVIDEO, MN 56265

(30465)

PHONE:

320/321-8312

FAX: 320/269-6510

HEALTH PROVIDER INC ROSEWOOD B

Corp

1806 LINCOLN AVENUE

MONTEVIDEO, MN 56265

(21524)

PHONE:

320/269-2930

FAX: 320/269-4700

HOME FRONT FIRST

Corp

224 NORTH 19TH STREET

MONTEVIDEO, MN 56265

(21051)

PHONE:

320/269-2930

FAX: /-

HOMEFRONT HEALTH CARE, INC.

Corp

224 NORTH 19TH STREET

MONTEVIDEO, MN 56265

(21051)

PHONE:

320/269-2930

FAX: /-

LUTHER HAVEN

Church

1109 HIGHWAY 7 EAST

MONTEVIDEO, MN 56265

(00062)

PHONE:

320/269-6517

FAX: 320/269-6510

MEADOW CREEK HOSPITALITY LLC

Lim-Liab

4000 COUNTY ROAD 15 SW

MONTEVIDEO, MN 56265

(28185)

PHONE:

320/269-9000

FAX: 320/269-8008

MONTEVIDEO DIALYSIS

Corp

824 NORTH 11TH STREET

MONTEVIDEO, MN 56265

(02817)

PHONE:

320/269-7451

FAX: /-

Certification

Registration

CHIPPEWA

(Cont.)* --------------------------

HOSP-30 BASS-6

BRIAN LOVDAHL

COMP

BRIAN LOVDAHL

COMP

JUSTIN HUGHES

PAULA ROCHELEAU

NH-90

JUSTIN HUGHES

LUANNE GIBSON

TAMMY HORNER

CAH-25

HHA

HWSAL-O

HWSAL

SNF-NF-90

HWSAL

ESRD

Minnesota Department of Health

Health Regulation Division

Page

66

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

REM SOUTHWEST SERVICES, INC. (MONTEVIDEO)

Corp

585 GRAVEL ROAD

MONTEVIDEO, MN 56265

(01266)

PHONE:

952/922-6776

FAX: 952/922-6885

ROSEWOOD

Corp

1806 LINCOLN AVENUE

MONTEVIDEO, MN 56265

(21524)

PHONE:

320/269-2930

FAX: 320/269-4700

---------------------------**********

HAZELDEN FOUNDATION

NProf

15251 PLEASANT VALLEY

CENTER CITY, MN 55012

(00067)

PHONE:

651/213-4217

FAX: 651/213-4551

ECUMEN CHISAGO CITY VINDAUGA VIEW

Lim-Liab

10910 282ND STREET

CHISAGO CITY, MN 55013

(21587)

PHONE:

651/257-7333

FAX: /-

JUST LIKE HOME SENIOR CARE

Corp

29288 OLD TOWN ROAD

CHISAGO CITY, MN 55013

(28154)

PHONE:

651/257-3684

FAX: 251/257-3685

JUST LIKE HOME SENIOR CARE

Corp

29288 OLD TOWN ROAD

CHISAGO CITY, MN 55013

(28155)

PHONE: 651/257-3684

FAX: 651/257-3685

PARMLY ON THE LAKE ASSISTED LIVING

Lim-Liab

10910 282ND STREET

CHISAGO CITY, MN 55013

(21587)

PHONE:

651/257-7333

FAX: /-

PARMLY ON THE LAKE ASSISTED LIVING ISABELLE HOUSE

Lim-Liab

10720 282ND STREET

CHISAGO CITY, MN 55013

(25276)

PHONE:

651/257-7955

FAX: 651/257-7330

PARMLY ON THE LAKE ASSISTED LIVING MARGARET'S

Lim-Liab

HOUSE

28210 OLD TOWNE ROAD

CHISAGO CITY, MN 55013

(20872)

FAX: 651/257-7330

PHONE:

651/257-7955

Certification

Registration

CHIPPEWA

(Cont.)* --------------------------

SLFA-6 ICFIID-6

DEVIN NELSON

PAULA ROCHELEAU

CHISAGO

********

SLFB-5

CHUCK RICE

COMP

LEESA GILMAN

COMP

DEBBIE MENDOZA

COMP

LEESA GILMAN

HWSAL

--------------------------

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

67

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

PARMLY ON THE LAKE ASSISTED LIVING-VINDAUGA VIEW

Lim-Liab

10910 282ND STREET

CHISAGO CITY, MN 55013

PHONE:

651/257-7955

PARMLY ON THE LAKE LLC

28210 OLD TOWNE ROAD

CHISAGO CITY, MN 55013

PHONE:

651/257-0575

POINT PLEASANT HEIGHTS

28600 FAIRWAY LANE

CHISAGO CITY, MN 55013

PHONE:

651/257-4035

POINT PLEASANT HEIGHTS

28600 FAIRWAY LANE

CHISAGO CITY, MN 55013

PHONE:

651/257-4035

BRASK HAVEN INC

31274 JULLIARD STREET NE

NORTH BRANCH, MN 55056

PHONE:

651/674-7433

BRASK HAVEN, INC.

31274 JULLIARD STREET NE

NORTH BRANCH, MN 55056

PHONE:

651/674-7433

ECUMEN NORTH BRANCH

5379 383RD STREET

NORTH BRANCH, MN 55056

PHONE:

651/237-3000

ECUMEN NORTH BRANCH

5379 383RD STREET

NORTH BRANCH, MN 55056

PHONE:

651/237-3000

ECUMEN NORTH BRANCH

5379 383RD STREET

NORTH BRANCH, MN 55056

PHONE:

651/237-3000

GOOD COMPANY SERVICES LLC

6178 GLACIER DRIVE

NORTH BRANCH, MN 55056

PHONE:

651/277-9464

(30772)

FAX: 651/257-7330

Lim-Liab

(00065)

FAX: 651/257-0579

NProf

(20132)

FAX: 651/257-4080

Corp

(33589)

FAX: 651/257-4080

Corp

(20809)

FAX: 651/237-0563

Corp

(20809)

FAX: 651/237-0563

NProf

(30638)

FAX: 651/237-3073

NProf

(25212)

FAX: 651/237-3091

Church

(00066)

FAX: 651/674-5746

Lim-Liab

(34156)

FAX: /-

Certification

Registration

CHISAGO

(Cont.)* --------------------------

HWSAL

LEESA GILMAN

NH-91 SNF-NF-91

RYAN ONSTAD

HWS

MARA KRINKE

Home Mgmt

MARA KRINKE

COMP

JODI BRASK

COMP

JODI BRASK

HWSAL

MONICA NELSON

COMP

MONICA NELSON

NH-67 SNF-NF-67

JEFFREY RICHARDSON

Home Mgmt

JODY VANLINGEN

Minnesota Department of Health

Health Regulation Division

Page

68

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

CHISAGO

(Cont.)* --------------------------

THE ENCORE AT NORTH BRANCH

38610 14TH AVENUE

NORTH BRANCH, MN 55056

PHONE:

651/674-0068

ALL ABOUT CARING HOME CARE, INC.

460 SOUTH ELIOT AVENUE #370

RUSH CITY, MN 55069

PHONE:

320/358-0987

THE ESTATES AT RUSH CITY LLC

650 BREMER AVENUE SOUTH

RUSH CITY, MN 55069

PHONE:

320/358-4765

CARDENAS FRIENDSHIP HOME

17595 260TH STREET

SHAFER, MN 55074

PHONE:

651/257-8146

Lim-Liab

HWSAL

(30608)

FAX: 651/317-2020

THOMAS OSTROM

Corp

COMP

(24069)

FAX: 320/358-3422

ELIZABETH JOHNSTON

Lim-Liab

NH-45 SNF-NF-45

(00994)

FAX: 320/358-4317

KATELYN PAGET

Corp

COMP

(20968)

FAX: 651/257-9246

ROBERT CARDENAS

THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

NProf

COMP

1051 MULBERRY STREET

TAYLORS FALLS, MN 55084

PHONE:

651/240-0140

THE LODGE OF TAYLORS FALLS

1051 MULBERRY STREET

TAYLORS FALLS, MN 55084

PHONE:

651/240-0140

CHECK ON MY FAMILY

26723 HALITE COURT

WYOMING, MN 55092

PHONE:

651/303-1124

EBENEZER LAKES SENIOR HOUSING

5430 MEADOW LANE

WYOMING, MN 55092

PHONE:

651/982-6228

FAIRVIEW LAKES MEDICAL CENTER

5200 FAIRVIEW BOULEVARD

WYOMING, MN 55092

PHONE:

763/389-6481

MEADOWS ON FAIRVIEW

25565 FAIRVIEW AVENUE

WYOMING, MN 55092

PHONE:

651/982-6228

(31890)

FAX: 651/240-0141

JULIE PEDERSEN

ONProf

HWSAL

(31891)

FAX: 651/240-0141

JULIE PEDERSEN

Lim-Liab

Home Mgmt

(34985)

FAX: /-

BRYAN MURDOCK

NProf

HWS

(26797)

FAX: 651/466-0714

AMY KOEHNEN

NProf

HOSP-61 BASS-12 HOSP-61

(00006)

FAX: 651/982-7110

LIA CHRISTIANSEN

NProf

NH-14 SNF-NF-14

(29463)

FAX: 651/466-0714

AMY KOEHNEN

Minnesota Department of Health

Health Regulation Division

Page

69

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

MEADOWS ON FAIRVIEW

NProf

25565 FAIRVIEW AVENUE

WYOMING, MN 55092

(30338)

PHONE:

651/982-6228 FAX: 651/466-0714

WYOMING DIALYSIS

Corp

5657 257TH STREET

WYOMING, MN 55092

(03759)

PHONE:

651/462-0000 FAX: 651/462-0004

---------------------------**********

GOLDEN MANOR OF BARNESVILLE

Corp

1102 4TH AVENUE NE

BARNESVILLE, MN 56514

(21407)

PHONE:

218/354-7200 FAX: 218/354-6079

VALLEY CARE AND REHAB LLC

Lim-Liab

600 5TH STREET SE

BARNESVILLE, MN 56514

(00968)

PHONE:

218/354-2254 FAX: 218/354-2153

LILAC HOMES ENHANCED ASSISTED LIVING MEMORY CARE

Corp

1500 SOUTHWOOD DRIVE

DILWORTH, MN 56529

PHONE:

218/443-2426

MOORHEAD DIALYSIS

1710 CENTER AVENUE WEST

DILWORTH, MN 56529

PHONE: 218/223-3354

SERENITY ASSISTED LIVING

1125 OAKVIEW DRIVE

DILWORTH, MN 56529

PHONE:

218/477-7254

SERENITY ASSISTED LIVING MEMORY CARE

1251 3RD AVENUE NW

DILWORTH, MN 56529

PHONE:

218/477-7254

SERENITY LIVING CENTER

1204 OAKVIEW DRIVE

DILWORTH, MN 56529

PHONE:

218/477-7254

(34812)

FAX: 218/512-0607

Lim-Liab

(28926)

FAX: 218/233-3482

Corp

(24327)

FAX: 218/477-7255

Corp

(34017)

FAX: 218/477-7255

Corp

(29276)

FAX: 218/477-7255

Certification

Registration

CHISAGO

(Cont.)* --------------------------

HWSAL

AMY KOEHNEN

ESRD

ASHLEY BERGLUND

CLAY

******** --------------------------

HWSAL

JENNIFER BERG

NH-35 SNF-NF-35

MARK RUSTAD

HWSAL

WILLIAM NELSON

ESRD

KRISTOPHER VORWERK

COMP

ELAINE ANDERSON

HWSAL

ELAINE ANDERSON

HWSAL

ELAINE ANDERSON

Minnesota Department of Health

Health Regulation Division

Page

70

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

SERENITY LIVING CENTER INC

1125 OAKVIEW DRIVE

DILWORTH, MN 56529

PHONE:

218/477-7254

SERENITY LIVING CENTER, INC.

1125 OAKVIEW DRIVE

DILWORTH, MN 56529

PHONE:

218/477-7254

COMFORTING ANGELS

202 HIGHWAY 10

HAWLEY, MN 56549

PHONE:

218/486-3440

HAWLEY RETIREMENT INC

923 5TH STREET

HAWLEY, MN 56549

PHONE:

218/483-3337

PALLANSCH PROPERTIES, LLC

923 5TH STREET

HAWLEY, MN 56549

PHONE:

218/483-3337

ARBOR PARK LIVING CENTER

2921 6TH AVENUE NORTH

MOORHEAD, MN 56560

PHONE:

218/359-9999

ARBOR PARK LIVING CENTER

520 28TH STREET NORTH

MOORHEAD, MN 56560

PHONE:

218/359-9999

ARBOR PARK LIVING CENTER LLC

2921 6TH AVENUE NORTH

MOORHEAD, MN 56560

PHONE:

218/359-9999

ARBOR PARK LIVING CENTER LLC

2901 6TH AVENUE NORTH

MOORHEAD, MN 56560

PHONE:

218/359-9999

ARBOR PARK LIVING CENTER LLC

2921 6TH AVENUE NORTH

MOORHEAD, MN 56560

PHONE:

218/359-9999

Corp

(30526)

FAX: 218/477-7255

Corp

(24327)

FAX: 218/477-7255

Lim-Liab

(35833)

FAX: 218/486-2500

Corp

(28491)

FAX: 218/483-3386

Lim-Liab

(30455)

FAX: 218/483-3338

Lim-Liab

(23403)

FAX: 218/359-0890

Lim-Liab

(26942)

FAX: 218/359-0890

Lim-Liab

(23403)

FAX: 218/359-0890

Lim-Liab

(23767)

FAX: 218/359-0890

Lim-Liab

(30361)

FAX: 218/359-0890

Certification

CLAY

(Cont.)*

ELAINE ANDERSON

COMP

ELAINE ANDERSON

TCOMP

DEBBIE HELM

COMP

AMBER LUDWIG

COMP

JESSE DOSCHADIS

SUSAN BALA

COMP

JESSE DOSCHADIS

SUSAN BALA

Registration

--------------------------

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

71

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

ARBOR PARK LIVING CENTER LLC

2941 6TH AVENUE NORTH

MOORHEAD, MN 56560

PHONE:

218/359-9999

BEEHIVE HOMES OF MOORHEAD

1001 CADDY AVENUE

MOORHEAD, MN 56560

PHONE:

218/443-1148

BEEHIVE HOMES OF MOORHEAD

1001 CADDY AVENUE

MOORHEAD, MN 56560

PHONE:

218/512-3033

CLAY COUNTY RECEIVING CENTER

715 11TH STREET NORTH #203

MOORHEAD, MN 56560

PHONE:

218/299-5220

COMFORT CARE ANGELS LLC

403 8TH STREET SOUTH #195

MOORHEAD, MN 56560

PHONE:

612/735-6950

EVENTIDE

801 2ND AVENUE NORTH

MOORHEAD, MN 56560

PHONE:

218/233-8022

EVENTIDE FAIRMONT

801 2ND AVENUE NORTH

MOORHEAD, MN 56560

PHONE:

218/233-8022

EVENTIDE FAIRMONT

801 2ND AVENUE NORTH

MOORHEAD, MN 56560

PHONE:

218/477-3202

EVENTIDE LUTHERAN HOME

1405 7TH STREET SOUTH

MOORHEAD, MN 56560

PHONE:

218/233-7508

FARMSTEAD CARE OF MOORHEAD

3200 28TH STREET SOUTH

MOORHEAD, MN 56560

PHONE:

218/512-2020

Lim-Liab

(34427)

FAX: 218/359-0890

Corp

(34419)

FAX: /-

Corp

(34745)

FAX: 218/512-3034

Cnty

(01666)

FAX: 218/299-7205

Lim-Liab

(32895)

FAX: 877/535-7908

NProf

(20101)

FAX: 218/233-9544

NProf

(20101)

FAX: 218/233-9544

NProf

(30410)

FAX: 218/233-9544

Church

(00072)

FAX: 218/291-2276

Part

(31557)

FAX: 218/512-0122

Certification

Registration

CLAY

(Cont.)* --------------------------

HWSAL

SUSAN BALA

COMP

HWSAL

MARK GOLDTHORPE

SLFB-16

KATHY MCKAY

BASIC HCBS

OLGUINE ORIENTAL

COMP

NATHAN JOHNSON

COMP

NATHAN JOHNSON

HWSAL

JENNIFER NELSON

NH-195 SNF-NF-195

JEFFREY COOK

HWSAL

LISA MARTIN

Minnesota Department of Health

Health Regulation Division

Page

72

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

FARMSTEAD CARE OF MOORHEAD LP

Part

3200 28TH STREET SOUTH

MOORHEAD, MN 56560

(32322)

PHONE:

218/512-2020

FAX: /-

GREEN LIVING GROUP HOME LLC

Lim-Liab

2715 14TH STREET SOUTH

MOORHEAD, MN 56560

(35406)

PHONE:

920/664-9288

FAX: /-

GRISWOLD HOME CARE OF MOORHEAD

Corp

819 30TH AVENUE SOUTH STE 102

MOORHEAD, MN 56560

(32508)

PHONE:

701/850-2000

FAX: 701/212-4714

LILAC HOMES CORPORATION

Corp

2615 PARKVIEW DRIVE

MOORHEAD, MN 56560

(28989)

PHONE:

218/443-2426

FAX: 218/512-2018

LILAC HOMES CORPORATION

Corp

2725 PARKVIEW DRIVE

MOORHEAD, MN 56560

(32357)

PHONE:

218/443-2426

FAX: 218/512-2018

LINDEN TREE CIRCLE

NProf

1400 7TH STREET SOUTH

MOORHEAD, MN 56560

(21014)

PHONE:

218/233-7508

FAX: 218/291-2228

MOORHEAD MANOR

Corp

1710 13TH AVENUE NORTH

MOORHEAD, MN 56560

(20192)

PHONE:

218/236-6286

FAX: 218/477-0442

MOORHEAD MANOR

Corp

1710 13TH AVENUE NORTH

MOORHEAD, MN 56560

(30439)

PHONE:

218/236-6286

FAX: 701/238-6974

MOORHEAD REHABILITATION AND HEALTHCARE CENTER

Lim-Liab

2810 2ND AVENUE NORTH

MOORHEAD, MN 56560

(00938)

PHONE:

218/233-7578

FAX: 218/233-8307

PARK VIEW TERRACE

Part

100 3RD STREET NORTH

MOORHEAD, MN 56560

(21739)

PHONE:

218/233-8548

FAX: 218/233-2759

Certification

Registration

CLAY

(Cont.)* --------------------------

COMP

ROGER ERICKSON

HWSAL-O

ABDINASIR MOHAMED

COMP

MORGAN GILLELAND

HWSAL

WILLIAM NELSON

HWSAL

WILLIAM NELSON

HWSAL

JULIE STAIGLE

COMP

SUSAN CHRISTIANSON

HWS

SUSAN CHRISTIANSON

NH-78 SNF-NF-78

MICHELLE ANTOINE

HWS

BRANDON EISENBEIS

Minnesota Department of Health

Health Regulation Division

Page

73

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

RIVER POINTE OF MOORHEAD

Lim-Liab

2401 11TH STREET SOUTH

MOORHEAD, MN 56560

(26685)

PHONE:

218/287-6900

FAX: 218/233-3234

RIVER POINTE OF MOORHEAD

Lim-Liab

2401 11TH STREET SOUTH

MOORHEAD, MN 56560

(30646)

PHONE:

218/287-6900

FAX: 218/233-3234

THE EVERGREENS OF MOORHEAD

NProf

512 3RD AVENUE SOUTH

MOORHEAD, MN 56560

(20314)

PHONE:

218/233-1535

FAX: 218/291-1162

THE EVERGREENS OF MOORHEAD

NProf

502 3RD AVENUE SOUTH

MOORHEAD, MN 56560

(25500)

PHONE:

218/233-1535

FAX: 218/291-1162

THE EVERGREENS OF MOORHEAD

NProf

512 3RD AVENUE SOUTH

MOORHEAD, MN 56560

(30466)

PHONE:

218/233-1535

FAX: 218/291-1162

LILAC HOMES CORPORATION

Corp

24806 LABRADOR BEACH ROAD

PELICAN RAPIDS, MN 56572

(28988)

PHONE:

218/512-2008

FAX: 218/512-0607

SANFORD HEALTH ULEN CLINIC

NProf

108 VIKING AVENUE WEST

ULEN, MN 56585

(03937)

PHONE:

218/596-8867

FAX: 218/596-8112

VIKING MANOR NURSING HOME

City

317 1ST STREET NW

ULEN, MN 56585

(00075)

PHONE:

218/596-8847

FAX: 218/596-8894

VIKING MANOR NURSING HOME

City

317 1ST STREET NW

ULEN, MN 56585

(20249)

PHONE:

218/596-8847

FAX: 218/596-8894

VIKING MANOR NURSING HOME

City

317 1ST STREET NW

ULEN, MN 56585

(30460)

PHONE:

218/596-8847

FAX: 218/596-8894

Certification

CLAY

(Cont.)*

COMP

JACOB WORK

DEAN BLOEMKE

COMP

LORI O'DONNELL

COMP

WILLIAM NELSON

RHC

Registration

--------------------------

HWSAL

BETH ULSCHMID

NH-45 SNF-NF-45

TODD KJOS

COMP

JESSIE LUNDE-BURNSIDE

HWSAL

TODD KJOS

Minnesota Department of Health

Health Regulation Division

Page

74

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

CLEARWATER COUNTY NURSING SERVICE

Cnty

212 MAIN AVENUE NORTH

BAGLEY, MN 56621

(02006)

PHONE:

218/694-6581

FAX: 218/694-6594

CLEARWATER HOSPICE

Cnty

212 MAIN AVENUE NORTH

BAGLEY, MN 56621

(03174)

PHONE:

218/694-6581

FAX: 218/694-6594

CORNERSTONE NURSING & REHAB CENTER

Corp

416 7TH STREET NE

BAGLEY, MN 56621

(00974)

PHONE:

218/694-6552

FAX: 218/694-6987

CORNERSTONE RESIDENCE OF BAGLEY INC

Corp

30 SUNSET AVENUE SW

BAGLEY, MN 56621

(26540)

PHONE:

218/694-2701

FAX: 218/694-2718

CORNERSTONE RESIDENCE OF BAGLEY INC

Corp

30 SUNSET AVENUE SW

BAGLEY, MN 56621

(30725)

PHONE:

218/694-2701

FAX: 218/694-2718

CORNERSTONE RESIDENCE SENIOR CARE

Lim-Liab

421 6TH STREET NE

BAGLEY, MN 56621

(21640)

PHONE:

218/694-2378

FAX: 218/694-2348

CORNERSTONE RESIDENCE SENIOR CARE

Lim-Liab

421 6TH STREET NE

BAGLEY, MN 56621

(30775)

PHONE:

218/694-2378

FAX: 218/694-2348

ESSENTIA HEALTH BAGLEY CLINIC

NProf

121 CENTRAL STREET WEST

BAGLEY, MN 56621

(22060)

PHONE:

218/694-6281

FAX: /-

SANFORD BAGLEY CLINIC

NProf

1656 CENTRAL STREET WEST

BAGLEY, MN 56621

(21437)

PHONE:

218/694-2384

FAX: 218/694-6687

SANFORD BAGLEY MEDICAL CENTER

NProf

203 4TH STREET NW

BAGLEY, MN 56621

(00076)

PHONE:

218/694-6501

FAX: 218/694-3528

Certification

Registration

CLEARWATER

******** --------------------------

COMP

MARISSA HETLAND

Hospice

MARISSA HETLAND

NH-47

KARI SWANSON

COMP

JUDY POTVIN

ALLEN POTVIN

COMP

JUDY POTVIN

ALLEN POTVIN

CHERYL WHITE MD

STEPHANIE MCKNIGHT

HOSP-25 BASS-4

ROBERT BELANGER

HHA

HSPICE

SNF-NF-47

HWSAL

RHC

HWSAL

CAH-25

Minnesota Department of Health

Health Regulation Division

Page

75

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

THE GARDEN PLACE ASSISTED LIVING PLUS

Lim-Liab

421 6TH STREET NE

BAGLEY, MN 56621

(21640)

PHONE:

218/694-2378 FAX: 218/694-2348

HOME AT HEART CARE, INC.

Corp

221 3RD AVENUE SW

CLEARBROOK, MN 56634

(25734)

PHONE:

218/776-3508 FAX: 218/776-3507

SANFORD BAGLEY CLEARBROOK CLINIC

NProf

22 ELM STREET

CLEARBROOK, MN 56634

(21436)

PHONE:

218/776-3124 FAX: /-

SERENITY ASSISTED LIVING

Ind

35501 231ST AVENUE

SHEVLIN, MN 56676

(29936)

PHONE:

218/785-2175 FAX: 218/785-2175

SERENITY ASSISTED LIVING

Ind

35501 231ST AVENUE

SHEVLIN, MN 56676

(29937)

PHONE:

218/785-2175 FAX: 218/785-2175

---------------------------**********

NORTH SHORE HEALTH

Dist

515 5TH AVENUE WEST

GRAND MARAIS, MN 55604

(00080)

PHONE: 218/387-3040 FAX: 218/387-3289

NORTH SHORE HEALTH

Dist

515 5TH AVENUE WEST

GRAND MARAIS, MN 55604

(03138)

PHONE:

218/387-3280 FAX: 218/387-3297

---------------------------**********

GOOD SAMARITAN SOCIETY - MOUNTAIN LAKE

NProf

745 BASINGER MEMORIAL DRIVE

MOUNTAIN LAKE, MN 56159

(00755)

PHONE:

507/427-2464 FAX: 507/427-3036

SANFORD CLINIC MOUNTAIN LAKE

NProf

308 8TH STREET

MOUNTAIN LAKE, MN 56159

(03551)

PHONE:

507/427-3332 FAX: /-

Certification

CLEARWATER

(Cont.)*

COMP

JUDY POTVIN

BRUCE EMMEL

RHC

BRYAN NERMOE

COMP

SUSAN GILBERTSON

COOK

********

Registration

--------------------------

Home Mgmt

HWSAL

--------------------------

NH-37 HOSP-16 SNF-NF-37 CAH-16

KIMBER WRAALSTAD

COMP HHA

KIMBER WRAALSTAD

COTTONWOOD

******** --------------------------

NH-53 SNF-NF-53

ANNE REESE

RHC

LAURIE JENSEN

Minnesota Department of Health

Health Regulation Division

Page

76

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

THE LODGE OF MOUNTAIN LAKE

NProf

603 7TH AVENUE

MOUNTAIN LAKE, MN 56159

(29275)

PHONE:

507/427-2465

FAX: 507/427-2465

THE LODGE OF MOUNTAIN LAKE

NProf

603 7TH AVENUE

MOUNTAIN LAKE, MN 56159

(21929)

PHONE:

507/427-2464

FAX: 507/427-3036

GOOD SAMARITAN SOCIETY - WESTBROOK

NProf

149 1ST AVENUE

WESTBROOK, MN 56183

(00082)

PHONE:

507/274-6155

FAX: 507/274-6207

PETERSON ESTATES

NProf

1012 9TH STREET

WESTBROOK, MN 56183

(23558)

PHONE:

507/274-1120

FAX: 507/274-1041

SANFORD CLINIC WESTBROOK

NProf

920 BELL AVENUE

WESTBROOK, MN 56183

(20976)

PHONE:

507/274-6121

FAX: 507/274-5630

SANFORD WESTBROOK MEDICAL CENTER

NProf

920 BELL AVENUE

WESTBROOK, MN 56183

(00083)

PHONE:

507/274-1119

FAX: 507/274-1111

ENGAGED HOME CARE

Lim-Liab

629 16TH STREET

WINDOM, MN 56101

(32625)

PHONE:

507/822-0764

FAX: 507/831-1639

GOOD SAM SOCIETY HOME CARE OF SW MN

NProf

866 1ST AVENUE NORTH

WINDOM, MN 56101

(03754)

PHONE:

507/831-0734

FAX: 507/831-0736

GOOD SAMARITAN SOCIETY - WINDOM

NProf

705 6TH STREET

WINDOM, MN 56101

(00085)

PHONE:

507/831-1788

FAX: 507/831-0844

HOME FOR CREATIVE LIVING

Corp

108 9TH STREET

WINDOM, MN 56101

(01194)

PHONE:

507/831-5033

FAX: 507/831-2612

Certification

Registration

COTTONWOOD

(Cont.)* --------------------------

ANNE REESE

COMP

ANNE REESE

NH-34

ANNE REESE

STACY BARSTAD

DANIEL REINER

HOSP-8

STACY BARSTAD

BASIC

ASHLEY JOHNSON

COMP

KIMBERLY PILLATZKI

NH-72

NANCY WEPPLO

SLFB-18

DEVIN NELSON

HWSAL

SNF-NF-34

HWS

RHC

CAH-8

HHA

SNF-NF-72

ICFIID-18

Minnesota Department of Health

Health Regulation Division

Page

77

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

MIKKELSEN MANOR

NProf

725 FULLER DRIVE

WINDOM, MN 56101

(20697)

PHONE:

507/831-0745

FAX: 507/831-0737

MIKKELSEN MANOR ASSISTED LIVING

NProf

725 FULLER DRIVE

WINDOM, MN 56101

(20710)

PHONE:

507/831-0745

FAX: 507/831-0737

PINE VIEW ASSISTED LIVING

Corp

750 4TH AVENUE

WINDOM, MN 56101

(20175)

PHONE:

507/831-5277

FAX: 507/831-5124

PINE VIEW ASSISTED LIVING

Corp

750 4TH AVENUE

WINDOM, MN 56101

(26908)

PHONE:

507/831-5277

FAX: 507/831-5124

REMICK RIDGE ESTATES

NProf

350 6TH AVENUE SOUTH

WINDOM, MN 56101

(20010)

PHONE:

507/831-0745

FAX: 507/831-0737

SANFORD CLINIC WINDOM

NProf

591 2ND AVENUE NORTH

WINDOM, MN 56101

(21432)

PHONE: 507/831-2223

FAX: /-

WINDOM AREA HEALTH

City

2150 HOSPITAL DRIVE

WINDOM, MN 56101

(00796)

PHONE: 507/831-2400

FAX: 507/831-5749

---------------------------**********

BRAINERD LAKES SURGERY CENTER

Lim-Liab

13114 ISLE DRIVE

BAXTER, MN 56425

(23092)

PHONE:

218/822-2415

FAX: 218/822-2401

COMMUNITY BEHAVIORAL HEALTH HOSPITAL-BAXTER

State

14241 GRAND OAKS DRIVE

BAXTER, MN 56425

(24037)

PHONE:

218/316-3101

FAX: 218/829-9141

Certification

COTTONWOOD

(Cont.)*

NANCY WEPPLO

COMP

NANCY WEPPLO

PAULA ROCHELEAU

COMP

PAULA ROCHELEAU

NANCY WEPPLO

Registration

--------------------------

HWSAL

HWS

RHC

LAURIE JENSEN

HOSP-18 BASS-6 CAH-18

SHELBY MEDINA

CROW WING

******** --------------------------

Outpt Surg Amb Surg

PAMELA CARTER

OTHER-16 PSY-16

RYAN CERNEY

Minnesota Department of Health

Health Regulation Division

Page

78

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

CROW WING

(Cont.)* --------------------------

DIAMOND WILLOW OF BAXTER 1

Lim-Liab

HWSAL

14396 GRAND OAKS DRIVE

BAXTER, MN 56425

(24427)

PHONE:

218/825-7034

FAX: 218/825-7165

SARA KLEINSCHMIDT

HWSAL

DIAMOND WILLOW OF BAXTER 2

Lim-Liab

14398 GRAND OAKS DRIVE

BAXTER, MN 56425

(24428)

PHONE:

218/825-7162

FAX: 218/825-7166

SARA KLEINSCHMIDT

COMP

EDGEWOOD BAXTER LLC

Lim-Liab

14211 FIREWOOD DRIVE

BAXTER, MN 56425

(32624)

PHONE:

218/828-4770

FAX: /-

MICHELLE BODE

EDGEWOOD BAXTER LLC

Lim-Liab

HWSAL

14211 FIREWOOD DRIVE

BAXTER, MN 56425

(30293)

PHONE:

218/828-4770

FAX: 218/828-4771

MICHELLE BODE

GOOD NEIGHBOR HOME HEALTH CARE

Corp

COMP HHA

7111 FORTHUN ROAD, STE 100

BAXTER, MN 56425

(02759)

PHONE:

218/829-9238

FAX: 218/829-2144

SHERRIE CHRISTENSEN

MN HOME CARE

Corp

COMP HCBS

14775 EDGEWOOD DRIVE

BAXTER, MN 56425

(20912)

PHONE:

218/963-8899

FAX: 218/963-9573

TERRIE GETTY

HWSAL

NORTHERN LAKES SENIOR LIVING

Lim-Liab

8186 EXCELSIOR ROAD

BAXTER, MN 56425

(31987)

PHONE:

218/454-2121

FAX: 218/454-1495

ERIN HILLIGAN

ALMOND HOUSE

Corp

COMP

802 28TH STREET SE

BRAINERD, MN 56401

(20574)

PHONE:

218/822-3067

FAX: 218/822-3068

CHARITY BITZER

ALMOND HOUSE

Corp

HWSAL

802 28TH STREET SE

BRAINERD, MN 56401

(30711)

PHONE:

218/822-3067

FAX: 218/822-3068

CHARITY BITZER

ALMOND HOUSE UNIT 2

Corp

HWSAL

804 28TH STREET SE

BRAINERD, MN 56401

(20575)

PHONE:

218/822-3067

FAX: 218/822-3068

CHARITY BITZER

Minnesota Department of Health

Health Regulation Division

Page

79

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

ALMOND HOUSE UNIT 3

Corp

814 28TH STREET SE

BRAINERD, MN 56401

(20581)

PHONE:

218/822-3067

FAX: 218/822-3068

ALMOND HOUSE UNIT 4

Corp

816 28TH STREET SE

BRAINERD, MN 56401

(20582)

PHONE:

218/822-3067

FAX: 218/822-3068

ALMOST HOME

Corp

710 28TH STREET SE

BRAINERD, MN 56401

(21680)

PHONE:

218/822-3067

FAX: 218/822-3068

BARNABAS HEALTH CARE SERVICES

Corp

223 WASHINGTON STREET

BRAINERD, MN 56401

(02992)

PHONE:

218/829-0901

FAX: 218/829-4470

BETHANY SENIOR LIVING APARTMENTS

NProf

1953 7TH STREET SOUTH

BRAINERD, MN 56401

(30420)

PHONE:

218/829-4366

FAX: 218/829-0516

BRAINERD CAREFREE LIVING, LLC

Lim-Liab

2723 OAK STREET

BRAINERD, MN 56401

(20187)

PHONE:

218/829-8622

FAX: 218/829-4463

BRAINERD REGIONAL HUMAN SERVICE CENTER

State

11615 STATE AVENUE

BRAINERD, MN 56401

(00089)

PHONE:

218/855-8757

FAX: 651/431-7437

CAREFREE LIVING OF AMERICA (BRAINERD)

Lim-Liab

2723 OAK STREET

BRAINERD, MN 56401

(20187)

PHONE:

218/829-8622

FAX: 218/829-4463

CENTRACARE KIDNEY PROGRAM - BRAINERD DIALYSIS

NProf

ESRD

2024 SOUTH 6TH STREET

BRAINERD, MN 56401

(02818)

PHONE:

218/825-8964

FAX: /-

CHRISTA WAGNER

CENTRAL MINNESOTA SENIOR CARE

Corp

HWSAL

1008 10TH STREET SOUTH

BRAINERD, MN 56401

(20683)

PHONE:

320/441-7001

FAX: 320/235-8069

DAWN FRERICKS

Certification

CROW WING

(Cont.)*

CHARITY BITZER

COMP HHA

RUE LECHNER

ANDREA MAJOR

MERLE SAMPSON

SLFB-16

LORRAINE SELLNER

MERLE SAMPSON

Registration

--------------------------

HWSAL

HWSAL-O

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

80

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

EDGEWOOD BRAINERD SENIOR LIVING

Lim-Liab

14890 BEAVER DAM ROAD

BRAINERD, MN 56401

(30411)

PHONE:

218/828-3691

FAX: 218/829-5482

EDGEWOOD BRAINERD SENIOR LIVING LLC

Lim-Liab

14890 BEAVER DAM ROAD

BRAINERD, MN 56401

(23750)

PHONE:

218/828-3691

FAX: 218/829-5482

EDGEWOOD VISTA BRAINERD

Lim-Liab

14890 BEAVER DAM ROAD

BRAINERD, MN 56401

(23750)

PHONE:

218/828-3691

FAX: 218/829-5482

ESSENTIA HEALTH ST. JOSEPH'S MEDICAL CENTER

NProf

523 NORTH 3RD STREET

BRAINERD, MN 56401

(00093)

PHONE:

218/829-2861

FAX: 218/828-3103

FOUR WINDS TREATMENT PROGRAM

Tribal

11600 STATE AVENUE

BRAINERD, MN 56401

(01681)

PHONE:

218/454-8900

FAX: 218/454-8901

GOOD SAMARITAN SOCIETY - BETHANY

NProf

804 WRIGHT STREET

BRAINERD, MN 56401

(00087)

PHONE:

218/829-1407

FAX: 218/829-0516

GOOD SAMARITAN SOCIETY - WOODLAND

NProf

100 BUFFALO HILLS LANE

BRAINERD, MN 56401

(00956)

PHONE:

218/829-1429

FAX: 218/829-4729

GOOD SAMARITAN SOCIETY, BETHANY SENIOR LIVING

NProf

APARTMENTS

1953 7TH STREET SOUTH

BRAINERD, MN 56401

PHONE:

218/829-1407

GRATTAN PRIVATE DUTY NURSING INC

8382 50TH AVENUE

BRAINERD, MN 56401

PHONE:

218/820-1326

HARMONY HOUSE OF BRAINERD I

218 9TH STREET SW

BRAINERD, MN 56401

PHONE:

218/828-4142

(20129)

FAX: 218/829-0516

Corp

(28253)

FAX: 801/925-0345

NProf

(20415)

FAX: 218/828-4580

Certification

Registration

CROW WING

(Cont.)* --------------------------

HWSAL

MICHELLE BODE

COMP

MICHELLE BODE

COMP

MICHELLE BODE

HOSP-162 BASS-15

HOSP-140 PPS-P-22

ADAM REES

SLFA-24

LINDSAY MISQUADACE-BERG

NH-106

SNF-NF-106

MICHELLE SOWOLD

NH-36

SNF-NF-36

JENNIFER GRAMS

COMP

ANDREA MAJOR

COMP

STACI GRATTAN

HWSAL

LANISHA POJANOWSKI

Minnesota Department of Health

Health Regulation Division

Page

81

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

CROW WING

(Cont.)* --------------------------

HOME INSTEAD SENIOR CARE

Lim-Liab

Home Mgmt

108 SOUTH 6TH STREET #3

BRAINERD, MN 56401

(23696)

PHONE:

218/824-0077

FAX: 218/824-0079

DEBORAH CRANNY

HOME INSTEAD SENIOR CARE

Lim-Liab

BASIC

108 SOUTH 6TH STREET #3

BRAINERD, MN 56401

(27309)

PHONE:

218/824-0077

FAX: 218/824-0079

DEB CRANNY

LUNA WOMEN'S WELLNESS AND BIRTH CENTER, PC

Corp

B/C

117 GILLIS AVENUE NE

BRAINERD, MN 56401

(32831)

PHONE:

218/828-7773

FAX: 218/828-2976

SHARI OLSON

LUTHERAN SOCIAL SERVICE - TRILLIUM

Corp

HWSAL

1008 10TH STREET SOUTH

BRAINERD, MN 56401

(20683)

PHONE:

320/441-7001

FAX: 320/235-8069

DAWN FRERICKS

MINNESOTA SPECIALTY HEALTH SYSTEM BRAINERD

State

SLFB-16

11615 STATE AVENUE

BRAINERD, MN 56401

(00089)

PHONE:

218/855-8757

FAX: 651/431-7437

LORRAINE SELLNER

MN NEUROREHABILITATION HOSPITAL

State

SLFB-16

11615 STATE AVENUE

BRAINERD, MN 56401

(00089)

PHONE:

218/855-8757

FAX: 651/431-7437

LORRAINE SELLNER

SAMARITAN HOUSE BIRCHWOOD

NProf

HWSAL

2509 GREENWOOD STREET

BRAINERD, MN 56401

(24683)

PHONE:

218/855-6636

FAX: 218/855-6649

JENNIFER GRAMS

SAMARITAN HOUSE ELMWOOD

NProf

HWSAL

2517 GREENWOOD STREET

BRAINERD, MN 56401

(24681)

PHONE:

218/855-6638

FAX: 218/855-6647

JENNIFER GRAMS

SAMARITAN HOUSE OAKWOOD

NProf

HWSAL

2501 GREENWOOD STREET

BRAINERD, MN 56401

(23489)

PHONE:

218/855-6637

FAX: 218/855-6648

JENNIFER GRAMS

THE BURLINGTON HOUSE

Lim-Liab

HWS-O

215 NORTH 10TH STREET

BRAINERD, MN 56401

(34764)

PHONE:

218/330-0249

FAX: /-

OWNER SHEILA HAVERKAMP

Minnesota Department of Health

Health Regulation Division

Page

82

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

THE BURLINGTON HOUSE-460

460 TYROL DRIVE

BRAINERD, MN 56401

PHONE:

218/330-0249

WOODHAVEN SENIOR COMMUNITY

11615 STATE AVENUE

BRAINERD, MN 56401

PHONE:

218/855-8757

WOODLAND GOOD SAMARITAN ASSISTED LIVING

200 BUFFALO HILLS LANE

BRAINERD, MN 56401

PHONE:

218/829-1429

Lim-Liab

(35297)

FAX: /-

State

(00089)

FAX: 651/431-7437

NProf

(20012)

FAX: 218/829-4815

WOODLAND GOOD SAMARITAN VILLAGE APARTMENTS

NProf

200 BUFFALO HILLS LANE

BRAINERD, MN 56401

(20012)

PHONE:

218/829-1429

FAX: 218/829-4815

WOODLAND GOOD SAMARITAN VILLAGE APARTMENTS

NProf

200 BUFFALO HILLS LANE

BRAINERD, MN 56401

(30309)

PHONE:

218/829-1429

FAX: 218/829-4815

CUYUNA REG MEDICAL CENTER HOMEHEALTH, PALLIATIVE

NProf

& HOSPICE CARE

500 HEARTWOOD DRIVE

CROSBY, MN 56441

PHONE:

218/546-2311

CUYUNA REGIONAL MEDICAL CENTER

320 EAST MAIN STREET

CROSBY, MN 56441

PHONE:

218/546-2300

HALLETT COTTAGES

500 HEARTWOOD DRIVE

CROSBY, MN 56441

PHONE:

218/545-8500

HALLETT COTTAGES

350 4TH STREET NE

CROSBY, MN 56441

PHONE:

218/546-2306

HEARTWOOD

500 HEARTWOOD DRIVE

CROSBY, MN 56441

PHONE:

218/545-8500

(02256)

FAX: 218/546-4313

NProf

(00091)

FAX: 218/546-7268

NProf

(20479)

FAX: 218/545-8501

NProf

(25525)

FAX: 218/546-7269

NProf

(20479)

FAX: 218/545-8501

Certification

Registration

CROW WING

(Cont.)* --------------------------

HWS-O

SHEILA HAVERKAMP

SLFB-16

LORRAINE SELLNER

COMP

JENNIFER GRAMS

COMP

JENNIFER GRAMS

HWSAL

JENNIFER GRAMS

COMP

HHA

JENNIFER WIEDELL

NH-69 HOSP-42 BASS-7

SNF-NF-69 CAH-25

JOHN SOLHEIM

COMP

PRESBY NATALIE MORLAND

HWSAL

NANCY STRATMAN

COMP

PRESBY NATALIE MORLAND

Minnesota Department of Health

Health Regulation Division

Page

83

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

HEARTWOOD

NProf

500 HEARTWOOD DRIVE

CROSBY, MN 56441

(26228)

PHONE:

218/546-2306

FAX: 218/545-8501

HOMEHEALTH PARTNERSHIP

NProf

500 HEARTWOOD DRIVE

CROSBY, MN 56441

(02994)

PHONE:

218/546-2311

FAX: 218/546-4313

GOLDEN HORIZONS OF CROSSLAKE

Corp

13631 EAST SHORE ROAD

CROSSLAKE, MN 56442

(26009)

PHONE:

218/692-6650

FAX: 218/692-6652

GOLDEN HORIZONS OF CROSSLAKE

Corp

13631 EAST SHORE ROAD

CROSSLAKE, MN 56442

(30621)

PHONE:

218/692-6650

FAX: 218/692-6652

KC COMPANIES OF CROSSLAKE, INC DBA GOLDEN

Corp

HORIZONS

13631 EAST SHORE ROAD

CROSSLAKE, MN 56442

PHONE:

218/692-6650

WHITEFISH AT THE LAKES SENIOR LIVING

35625 OSTLUND AVENUE

CROSSLAKE, MN 56442

PHONE:

218/210-0770

WHITEFISH AT THE LAKES SENIOR LIVING LLC

35625 OSTLUND AVENUE

CROSSLAKE, MN 56442

PHONE:

218/210-0770

RIVERWOOD HEALTH CARE CENTER

27278 STATE HIGHWAY 18

GARRISON, MN 56450

PHONE:

320/525-3400

AIDE HOME HEALTH CARE

317 IRENE AVENUE PO BOX 1

IRONTON, MN 56455

PHONE:

218/546-6242

GOOD SAMARITAN SOCIETY - HOSPICE

24090 SMILEY ROAD #200

NISSWA, MN 56468

PHONE:

218/963-9452

(26009)

FAX: 218/692-6652

Lim-Liab

(35750)

FAX: /-

Lim-Liab

(35423)

FAX: /-

NProf

(25293)

FAX: 320/525-3439

Lim-Liab

(29558)

FAX: 218/772-0142

NProf

(24551)

FAX: 218/963-9746

Certification

Registration

CROW WING

(Cont.)* --------------------------

HWSAL

NANCY STRATMAN

Hospice HSPICE

KYLE BAUER

COMP

VANESSA LANE

HWSAL

KC COM KENT MARTHALER

COMP

VANESSA LANE

HWSAL

JEFFERY UDY

TCOMP

JEFFERY UDY

RHC

MICHAEL HAGEN

COMP HCBS

DEBBIE EGAN

Hospice HSPICE

TRAVIS WEBER

Minnesota Department of Health

Health Regulation Division

Page

84

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

GOOD SAMARITAN SOCIETY HOMECARE AND HOSPICE

NProf

24090 SMILEY ROAD #200

NISSWA, MN 56468

PHONE:

218/963-9452

HILLS CROSSING SENIOR LIVING

5307 HILLS CROSSING

NISSWA, MN 56468

PHONE:

218/961-5605

TEMPERANCE LAKE RIDGE

5307 HILLS CROSSING

NISSWA, MN 56468

PHONE:

218/961-5605

WELCOME HOME HEALTH CARE, INC.

5307 HILLS CROSSING

NISSWA, MN 56468

PHONE:

218/961-5605

PALLANSCH PROPERTIES LLC

5384 COUNTRY CARE LANE

PEQUOT LAKES, MN 56472

PHONE:

218/568-4673

SENIOR CLASS CARE

30849 1ST STREET PO BOX 852

PEQUOT LAKES, MN 56472

PHONE:

218/568-1098

SENIOR CLASS CARE OF PEQUOT LAKES, INC.

8898 SCHALLER ROAD

PEQUOT LAKES, MN 56472

PHONE:

218/232-1036

SENIOR CLASS COMMUNITY LLC

4451 EAST WOODMAN STREET

PEQUOT LAKES, MN 56472

PHONE:

218/316-2542

SENIOR CLASS COMMUNITY LLC

4451 EAST WOODMAN STREET

PEQUOT LAKES, MN 56472

PHONE:

218/568-5605

SENIOR CLASS HOME HEALTH CARE LLC

4451 EAST WOODMAN STREET

PEQUOT LAKES, MN 56472

PHONE:

218/568-5605

(23213)

FAX: 218/963-9746

Corp

(27831)

FAX: /-

Corp

(21944)

FAX: 218/203-2190

Corp

(21944)

FAX: 218/203-2190

Lim-Liab

(34980)

FAX: 320/266-6420

Corp

(35778)

FAX: 218/568-1097

Corp

(31943)

FAX: /-

Lim-Liab

(35001)

FAX: /-

Lim-Liab

(26533)

FAX: 218/568-4272

Lim-Liab

(25179)

FAX: 218/568-4272

Certification

CROW WING

(Cont.)*

COMP HHA

ANGELA KANGAS

JACOB WORK

COMP

JACOB WORK

COMP

JACOB WORK

MICHAELE NELSON

ANGELA SANDELIN

COMP

PAMELA FEHN

TCOMP

MINDY HOWARD

COMP

ANGELA SANDELIN

Registration

--------------------------

HWSAL-O

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

85

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

APPLE VALLEY VILLA

NProf

14610 GARRETT AVENUE

APPLE VALLEY, MN 55124

(25804)

PHONE:

952/236-2600

FAX: 952/236-2670

APPLE VALLEY VILLA

NProf

14610 GARRETT AVENUE

APPLE VALLEY, MN 55124

(30611)

PHONE:

952/236-2600

FAX: 952/236-2670

AUGUSTANA HEALTH CARE CENTER OF APPLE VALLEY

NProf

14650 GARRETT AVENUE

APPLE VALLEY, MN 55124

PHONE:

952/236-2000

BAYVIEW CASE MANAGEMENT

14199 GARRETT AVENUE

APPLE VALLEY, MN 55124

PHONE:

952/491-9732

BAYVIEW CASE MANAGEMENT

14199 GARRETT AVENUE

APPLE VALLEY, MN 55124

PHONE:

952/491-9732

C MED HOMES INC SERVICE CORPORATION

6773 158TH STREET WEST

APPLE VALLEY, MN 55124

PHONE:

952/564-8318

CENTENNIAL HOUSE

14625 PENNOCK AVENUE

APPLE VALLEY, MN 55124

PHONE:

952/891-2711

CENTENNIAL HOUSE OF APPLE VALLEY

14625 PENNOCK AVENUE

APPLE VALLEY, MN 55124

PHONE:

952/891-2711

COMMUNITY ASSISTED LIVING INC

13628 PILOT KNOB ROAD

APPLE VALLEY, MN 55124

PHONE:

952/440-3955

COMMUNITY ASSISTED LIVING INC

13644 PILOT KNOB ROAD

APPLE VALLEY, MN 55124

PHONE:

952/423-9778

(00979)

FAX: 952/236-2510

Lim-Liab

(35687)

FAX: 952/491-9751

Lim-Liab

(36038)

FAX: 952/491-9751

Corp

(35238)

FAX: /-

NProf

(20316)

FAX: 952/891-4780

NProf

(24139)

FAX: 952/891-4780

Corp

(28479)

FAX: /-

Corp

(26838)

FAX: 952/423-5280

Certification

Registration

DAKOTA

******** --------------------------

COMP

LISA MURPHY

HWSAL

LISA MURPHY

NH-178 SNF-NF-178

DAVID SHAW

TCOMP

FARAH HERSI

HWSAL-O

FARAH HERSI

TCOMP

MESERT BEREHE

HWSAL

LANI DRILL

COMP

LANI DRILL

HWSAL

DONNA NOVAK

HWSAL

DONNA NOVAK

Minnesota Department of Health

Health Regulation Division

Page

86

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

DIVINE CARE LLC

Lim-Liab

14135 GARRETT AVENUE

APPLE VALLEY, MN 55124

(33148)

PHONE:

612/423-9765

FAX: 952/953-3461

EAST VALLEY DIALYSIS

Lim-Liab

14050 PILOT KNOB ROAD

APPLE VALLEY, MN 55124

(29664)

PHONE:

952/423-4062

FAX: 952/423-6974

ECUMEN SEASONS AT APPLE VALLEY

NProf

15359 FOUNDERS LANE

APPLE VALLEY, MN 55124

(27794)

PHONE:

952/698-5300

FAX: 952/698-5302

ECUMEN SEASONS AT APPLE VALLEY

NProf

15359 FOUNDERS LANE

APPLE VALLEY, MN 55124

(30758)

PHONE:

952/698-5300

FAX: 952/698-5302

FIRST MERCY HOMES LLC

Lim-Liab

15723 FAIR HILL WAY

APPLE VALLEY, MN 55124

(35927)

PHONE:

206/915-3615

FAX: /-

GOLDEN OAKS HOME CARE LLC

Lim-Liab

15090 DUPONT PATH

APPLE VALLEY, MN 55124

(34825)

PHONE:

952/649-8657

FAX: /-

HOPE AND NEW LIFE HEALTH CARE

NProf

13550 EVEREST AVENUE

APPLE VALLEY, MN 55124

(31991)

PHONE:

612/275-5132

FAX: 612/366-0056

HOPE AND NEW LIFE HEALTHCARE

NProf

13421 CEDAR AVENUE

APPLE VALLEY, MN 55124

(20602)

PHONE:

612/275-5132

FAX: 952/953-3301

HORIZON CARE LLC

Lim-Liab

1075 ROME DRIVE

APPLE VALLEY, MN 55124

(35990)

PHONE:

617/832-5590

FAX: /-

JOSHUA'S MANOR

Ind

4939 140TH STREET WEST

APPLE VALLEY, MN 55124

(35392)

PHONE:

651/592-2550

FAX: /-

Certification

Registration

DAKOTA

(Cont.)* --------------------------

FENTEZIA ZEWDIE

COURTNEY BRUNES

COMP

KATIE BAUER

MOHAMED YUSUF

TCOMP

VIJAY PALKAR

MILLICENT SAWYERR

COMP

MILLICENT SAWYERR

MOHAMED NOOR

PAUL RAMCHARIT

HWSAL-O

ESRD

HWSAL

HWS-O

HWSAL

HWSAL-O

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

87

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

LIVING WELL HOSPITALITY LLC

Lim-Liab

13364 FERRIS AVENUE

APPLE VALLEY, MN 55124

(34382)

PHONE:

651/285-1651

FAX: /-

NAGOMI YA SENIOR LIVING

Corp

14424 LOWER GUTHRIE COURT

APPLE VALLEY, MN 55124

(30641)

PHONE:

952/431-3037

FAX: 651/925-0261

ORCHARD PATH

NProf

5400 157TH STREET WEST

APPLE VALLEY, MN 55124

(33804)

PHONE:

952/595-6600

FAX: 952/595-6601

THE CENTENNIAL HOUSE OF APPLE VALLEY

NProf

14625 PENNOCK AVENUE

APPLE VALLEY, MN 55124

(20316)

PHONE:

952/891-2711

FAX: 952/891-4780

TWINS CARE NURSING SERVICE INC

Corp

14708 ENDICOTT WAY

APPLE VALLEY, MN 55124

(25451)

PHONE:

952/423-1204

FAX: 952/423-4113

PEOPLE INCORPORATED DAKOTA APARTMENT PROGRAM

NProf

1000 WEST BURNSVILLE PARKWAY

BUNRSVILLE, MN 55337

(34885)

PHONE:

651/288-3518

FAX: 651/454-5000

2 CARING HANDS

Corp

13220 HUMBOLDT AVENUE SOUTH

BURNSVILLE, MN 55337

(33962)

PHONE:

952/736-5464

FAX: 952/344-8628

ACCESS RECOVERY CENTER INC

Corp

13705 JAMES AVENUE SOUTH

BURNSVILLE, MN 55337

(35836)

PHONE:

763/400-1366

FAX: /-

ACCESS RECOVERY CENTER INC.

Corp

13705 JAMES AVENUE SOUTH

BURNSVILLE, MN 55337

(36108)

PHONE:

763/400-1366

FAX: 952/516-5865

ACCURATE HOMES LLC

Lim-Liab

13605 GRAND AVENUE

BURNSVILLE, MN 55337

(35516)

PHONE:

612/703-9332

FAX: /-

Certification

DAKOTA

(Cont.)*

BASIC

ANDREW ROWLAND

GRACE AWOLEYE

SANDRA VALENTINE

LANI DRILL

COMP

SHERRI JONES

JILL WIEDEMANN-WEST

ANN MURGASEN

TCOMP

ABDIFATAH ALI

TCOMP

ZAKARIE WEHLIE

Registration

--------------------------

HWSAL

HWS-O

HWSAL

HWS-O

Minnesota Department of Health

Health Regulation Division

Page

88

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

ACCURATE HOMES LLC

13605 GRAND AVENUE

BURNSVILLE, MN 55337

PHONE:

612/703-9332

ALWAYS HERE HOME CARE LLC

14587 GRAND AVENUE #201

BURNSVILLE, MN 55306

PHONE:

952/213-2777

ANGELS HOMES LLC

2800 SELKIRK DRIVE #310C

BURNSVILLE, MN 55337

PHONE:

651/235-7292

ANGELS HOMES LLC

2304 WEST 150TH STREET

BURNSVILLE, MN 55306

PHONE:

952/212-1688

ANGELS HOMES LLC

13200 WEST MANOR BOULEVARD

BURNSVILLE, MN 55337

PHONE:

952/212-1688

ARBOR LANE

13810 COMMUNITY DRIVE

BURNSVILLE, MN 55337

PHONE:

952/898-3288

ARBORS AT RIDGES

13897 COMMUNITY DRIVE

BURNSVILLE, MN 55337

PHONE:

952/898-4005

ASSURED CARE

13404 KNOB HILL ROAD

BURNSVILLE, MN 55337

PHONE:

952/290-3003

AUGUSTANA EMERALD CREST BURNSV

451 EAST TRAVELERS TRAIL

BURNSVILLE, MN 55337

PHONE:

952/890-2652

AUGUSTANA EMERALD CREST OF BURNSVILLE

451 EAST TRAVELERS TRAIL

BURNSVILLE, MN 55337

PHONE:

952/856-7522

Lim-Liab

(35744)

FAX: /-

Lim-Liab

(34096)

FAX: /-

Lim-Liab

(34310)

FAX: /-

Lim-Liab

(35485)

FAX: 952/595-5140

Lim-Liab

(34624)

FAX: 952/595-5140

NProf

(30765)

FAX: 952/898-2511

Lim-Liab

(29362)

FAX: 952/435-6686

Corp

(33372)

FAX: 952/314-1527

NProf

(29326)

FAX: 952/882-7901

NProf

(20860)

FAX: 952/856-7527

Certification

DAKOTA

(Cont.)*

ZAKARIE WEHLIE

BASIC

BRIANNE HEMPHILL

COMP

ASAD ABDALLA

ASAD ABDALLE

ERIN HILLIGAN

CAREESE COLEMAN

COMP

JULIANNE FRIES

Registration

--------------------------

HWSAL-O

HWSAL

HWSAL-O

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

89

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

AUGUSTANA EMERALD CREST OF BURNSVILLE

NProf

453 EAST TRAVELERS TRAIL

BURNSVILLE, MN 55337

(20861)

PHONE:

952/856-7522

FAX: 952/856-7527

AUGUSTANA EMERALD CREST OF BURNSVILLE

NProf

455 EAST TRAVELERS TRAIL

BURNSVILLE, MN 55337

(20952)

PHONE:

952/856-7522

FAX: 952/856-7527

AUGUSTANA EMERALD CREST OF BURNSVILLE

NProf

457 EAST TRAVELERS TRAIL

BURNSVILLE, MN 55337

(21141)

PHONE:

952/856-7522

FAX: 952/856-7527

AUGUSTANA REGENT AT BURNSVILLE

Lim-Liab

14500 REGENT LANE

BURNSVILLE, MN 55306

(23217)

PHONE:

952/898-1910

FAX: 952/898-7257

AUGUSTANA REGENT AT BURNSVILLE

Lim-Liab

14500 REGENT LANE

BURNSVILLE, MN 55306

(23238)

PHONE:

952/898-1910

FAX: 952/898-7257

BARAKA HOME CARE LLC

Lim-Liab

1700 JAMES PLACE

BURNSVILLE, MN 55337

(33542)

PHONE:

952/484-3429

FAX: /-

BROOKVIEW COTTAGE INC

Corp

2808 BROOKVIEW DRIVE

BURNSVILLE, MN 55337

(31307)

PHONE:

651/308-2528

FAX: 952/777-2256

BROOKVIEW COTTAGE INC

Corp

2808 BROOKVIEW DRIVE

BURNSVILLE, MN 55337

(31392)

PHONE:

651/308-2528

FAX: 952/777-2256

BURNSVILLE CAREFREE LIVING

Lim-Liab

600 EAST NICOLLET BOULEVARD

BURNSVILLE, MN 55337

(20191)

PHONE:

952/892-5559

FAX: 952/892-1585

BURNSVILLE DIALYSIS UNIT

Corp

501 EAST NICOLLET BLVD #150

BURNSVILLE, MN 55337

(02427)

PHONE:

952/892-1117

FAX: 952/892-6644

Certification

DAKOTA

(Cont.)*

JULIANNE FRIES

VICKI TOBROXEN

COMP

VICKI TOBROXEN

COMP

MILKAH TERER

COMP

TARA TRUAX NEWHOUSE

MARILYN HANSON

ESRD

KATHY WOLFE

Registration

--------------------------

HWSAL

HWS

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

90

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

BURNSVILLE SURGERY CENTER PA

Corp

14551 COUNTY ROAD 11 #110

BURNSVILLE, MN 55337

(34350)

PHONE:

952/222-1818

FAX: 952/222-1817

CARDENAS FRIENDSHIP HOUSE

Corp

912 KNOB HILL

BURNSVILLE, MN 55337

(20979)

PHONE:

612/670-1380

FAX: 651/257-9245

CARDENAS FRIENDSHIP HOUSE

Corp

13808 COUNTY ROAD 5

BURNSVILLE, MN 55337

(20980)

PHONE:

612/670-1380

FAX: 651/257-9245

CARE4LIFE HOME LLC

Lim-Liab

1540 CIRCLE DRIVE

BURNSVILLE, MN 55337

(35646)

PHONE:

952/215-5251

FAX: /-

CARE4LIFE HOME LLC

Lim-Liab

1540 CIRCLE DRIVE

BURNSVILLE, MN 55337

(35974)

PHONE:

952/215-5251

FAX: 952/479-9128

CAREFREE LIVING OF AMERICA (BURNSVILLE), INC.

Lim-Liab

600 EAST NICOLLET BOULEVARD

BURNSVILLE, MN 55337

(20191)

PHONE:

952/892-5559

FAX: 952/892-1585

DIAMOND'S HOME CARE SERVICES

Ind

1825 SOUTHCROSS DRIVE WEST

BURNSVILLE, MN 55306

(34658)

PHONE:

651/263-9543

FAX: /-

DIGNIFIED CHOICE CARE

Lim-Liab

2004 RIVER HILLS DRIVE

BURNSVILLE, MN 55337

(32399)

PHONE:

952/392-8868

FAX: 952/856-2515

DIVINE CARE, LLC

Lim-Liab

2606 RIVER HILLS DRIVE

BURNSVILLE, MN 55337

(32164)

PHONE:

612/423-9765

FAX: 952/426-3745

EBENEZER RIDGES GERIATRIC CARE CENTER

NProf

13820 COMMUNITY DRIVE

BURNSVILLE, MN 55337

(00756)

PHONE:

952/898-8400

FAX: 952/898-8450

Certification

DAKOTA

(Cont.)*

SHEILA THOMPSON

ROBERT CARDENAS

NASRA AHMED

TCOMP

NASRA AHMED

MARILYN HANSON

TBASIC

DIAMOND EZELI

COMP

ANDREW SWANSON

FENTEZIA ZEWDIE

Registration

--------------------------

HWS

HWSAL-O

HWSAL

HWSAL-O

NH-114 SNF-NF-114

JILL ACOSTA

Minnesota Department of Health

Health Regulation Division

Page

91

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

FAIRVIEW RIDGES HOSPITAL

201 EAST NICOLLET BOULEVARD

BURNSVILLE, MN 55337

PHONE:

952/892-2101

GOLDEN MAPLE HOMES INC

13104 GIRARD AVENUE SOUTH

BURNSVILLE, MN 55337

PHONE:

952/393-3690

GOLDEN MAPLE HOMES INC

13104 GIRARD AVENUE SOUTH

BURNSVILLE, MN 55337

PHONE:

952/393-3690

GOLDEN MAPLE HOMES INC

12100 ALLEN DRIVE

BURNSVILLE, MN 55337

PHONE:

952/393-3690

GRACE HOMES - WALNUT LODGE

13708 PORTLAND AVENUE

BURNSVILLE, MN 55337

PHONE:

952/525-0505

HAVENWOOD OF BURNSVILLE

14401 GRAND AVENUE

BURNSVILLE, MN 55306

PHONE:

952/206-5700

HOME INSTEAD SENIOR CARE

1601 HIGHWAY 13 EAST #108

BURNSVILLE, MN 55337

PHONE:

952/882-9300

HOME INSTEAD SENIOR CARE

1601 HIGHWAY 13 EAST #108

BURNSVILLE, MN 55337

PHONE:

952/882-9300

HOME SWEET HOME OF MINNESOTA

13705 IRVING AVENUE SOUTH

BURNSVILLE, MN 55337

PHONE:

651/348-6211

HOME SWEET HOME OF MINNESOTA

9 ARBOR LANE

BURNSVILLE, MN 55337

PHONE:

651/348-6211

NProf

(00107)

FAX: 952/892-2107

Corp

(32179)

FAX: /-

Corp

(32150)

FAX: 952/892-7806

Corp

(33671)

FAX: 952/892-7806

Lim-Liab

(31144)

FAX: 952/525-0506

Lim-Liab

(35795)

FAX: 612/824-8458

Lim-Liab

(23616)

FAX: 952/882-9301

Lim-Liab

(26156)

FAX: 952/882-9301

Lim-Liab

(34895)

FAX: 651/528-7897

Lim-Liab

(35378)

FAX: 651/528-7897

Certification

Registration

DAKOTA

(Cont.)* --------------------------

HOSP-150 BASS-48 HOSP-150

JEOFF WILL

HWSAL

CAROL FILLMORE

COMP

CAROL FILLMORE

HWSAL

CAROL FILLMORE

HWSAL-O

BRUCE LAWRENCE

HWSAL

LOLA AMENDT

COMP

VITALY SALO

Home Mgmt

VITALY SALO

HWSAL-O

PRESID ARNOLD KUBEI

HWSAL

ARNOLD KUBEI

Minnesota Department of Health

Health Regulation Division

Page

92

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

DAKOTA

(Cont.)* --------------------------

HOME TO HOME HEALTHCARE LLC

Lim-Liab

TCOMP

13413 PARK WOOD DRIVE

BURNSVILLE, MN 55337

(35426)

PHONE:

651/428-1831

FAX: /-

MESFIN MEKONNEN

HOME TO HOME HEALTHCARE LLC

Lim-Liab

HWSAL

13413 PARK WOOD DRIVE

BURNSVILLE, MN 55337

(35812)

PHONE:

651/233-4490

FAX: /-

MESFIN MEKONNEN

LIGHTCARE GROUP HOMES LLC

Lim-Liab

TCOMP

421 EAST TRAVELERS TRAIL #301

BURNSVILLE, MN 55337

(34860)

PHONE:

952/288-9420

FAX: /-

MARYAM MOHAMED

LIVING WELL - KENNELLY

NProf

SLFA-7 ICFIID-7

12000 KENNELLY ROAD

BURNSVILLE, MN 55337

(01466)

PHONE:

952/894-3044

FAX: 952/894-1926

AARON ODEN

MERCY LINK LLC

Lim-Liab

HWS-O

13005 SALEM PLACE

BURNSVILLE, MN 55337

(32543)

PHONE:

952/856-2206

FAX: 612/260-2282

ABDURAHMAN JAMA

MERCY LINK, LLC

Lim-Liab

HWSAL-O

3104 WEST 135TH STREET

BURNSVILLE, MN 55337

(34231)

PHONE:

952/405-6729

FAX: 952/288-1135

ADMINI ABDRAHMAN JAMA

METROPOLITAN LIVING LLC

Lim-Liab

COMP

423 TRAVELERS TRAIL

BURNSVILLE, MN 55337

(26106)

PHONE:

952/562-5011

FAX: 651/925-0364

JAMES HAMMILL

MIDWEST HOMES, INC.

Corp

HWS-O

1628 KELLER DRIVE

BURNSVILLE, MN 55306

(35647)

PHONE:

612/865-1874

FAX: 612/201-8101

REGINA STEPNEY

MINNESOTA SENIOR LIVING LLC DBA THE RIVERS

Lim-Liab

COMP

11111 RIVER HILLS DRIVE

BURNSVILLE, MN 55337

(29079)

PHONE:

952/890-8553

FAX: 952/890-9320

JIM DUDLEY

MINNESOTA VALLEY SURGERY CENTER

Lim-Liab

Outpt Surg Amb Surg

1000 140TH STREET WEST

BURNSVILLE, MN 55337

(24147)

PHONE:

952/232-1110

FAX: 952/232-1151

KYLLAN CODY

Minnesota Department of Health

Health Regulation Division

Page

93

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

NERVANA'S CARING HANDS INC

Corp

2508 RIVER HILLS DRIVE

BURNSVILLE, MN 55337

(33457)

PHONE:

612/220-7511

FAX: 952/854-4633

NOAH HOME CARE INC

Corp

13521 NICOLLET LANE

BURNSVILLE, MN 55337

(35988)

PHONE:

612/366-4932

FAX: /-

OPEN ARMS LLC

Lim-Liab

14737 INNSBROOK LANE

BURNSVILLE, MN 55306

(35020)

PHONE:

952/242-5411

FAX: /-

OPEN ARMS LLC

Lim-Liab

12550 PORTLAND AVENUE #104

BURNSVILLE, MN 55337

(34510)

PHONE:

952/242-5411

FAX: /-

OPTIONS 29 BRIAR COURT

Corp

12829 BRIAR COURT

BURNSVILLE, MN 55337

(27153)

PHONE:

952/999-1899

FAX: 952/217-5677

OPTIONS RESIDENTIAL INC - 37 BRIAR COURT

Corp

12837 BRIAR COURT

BURNSVILLE, MN 55337

(27394)

PHONE:

952/999-1899

FAX: 952/217-5677

OPTIONS RESIDENTIAL INC - 1200

Corp

1200 WEST BURNSVILLE PARKWAY

BURNSVILLE, MN 55337

(27971)

PHONE:

952/895-6970

FAX: 952/521-7567

OPTIONS RESIDENTIAL INC - 45 BRIAR COURT

Corp

12845 BRIAR COURT

BURNSVILLE, MN 55337

(27393)

PHONE:

952/999-1899

FAX: 952/217-5677

PEOPLE INCORPORATED DAKOTA APARTMENT PROGRAM

NProf

1004 W BURNSVILLE PARKWAY

BURNSVILLE, MN 55337

(34886)

PHONE:

651/288-3518

FAX: 651/454-5000

PEOPLE INCORPORATED DAKOTA APARTMENT PROGRAM

NProf

1008 WEST BURNSVILLE PARKWAY

BURNSVILLE, MN 55337

(34887)

PHONE:

651/288-3518

FAX: 651/454-5000

Certification

DAKOTA

(Cont.)*

NERVANA RAMDYAL

BARKUNI MOHAMED ABU

FATHIYA HASSAN

TCOMP

FATHIYA HASSAN

JAMES HAMMILL

JILL WIEDEMANN-WEST

Registration

--------------------------

HWS

HWSAL-O

HWS-O

Minnesota Department of Health

Health Regulation Division

Page

94

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

PEOPLE INCORPORATED DAKOTA APARTMENT PROGRAM

NProf

1012 WEST BURNSVILLE PARKWAY

BURNSVILLE, MN 55337

(34889)

PHONE:

651/288-3518

FAX: 651/454-5000

PEOPLE INCORPORATED DAKOTA APARTMENT PROGRAM

NProf

1016 WEST BURNSVILLE PARKWAY

BURNSVILLE, MN 55337

(34890)

PHONE:

651/288-3518

FAX: 651/454-5000

PEOPLE INCORPORATED DAKOTA APARTMENT PROGRAM

NProf

1020 WEST BURNSVILLE PARKWAY

BURNSVILLE, MN 55337

(34891)

PHONE:

651/288-3518

FAX: 651/454-5000

PROF PORTABLE X RAY INC

Corp

755 CLIFF ROAD EAST

BURNSVILLE, MN 55337

(22086)

PHONE:

952/915-9779

FAX: 952/915-9597

RECOVERY HOME HEALTH CARE LLC

Lim-Liab

754 EAST NICOLLET BOULEVARD

BURNSVILLE, MN 55337

(35110)

PHONE:

612/298-5176

FAX: /-

RECOVERY HOME HEALTH CARE LLC

Lim-Liab

754 EAST NICOLLET BOULEVARD

BURNSVILLE, MN 55337

(35916)

PHONE:

952/212-6802

FAX: /-

RIDGES SURGERY CENTER, LLC

Lim-Liab

14101 FAIRVIEW DRIVE #400

BURNSVILLE, MN 55337

(29969)

PHONE:

952/658-8000

FAX: 952/898-3482

ROYAL CROWN HOMES LLC

Lim-Liab

900 W 128TH STREET #115

BURNSVILLE, MN 55337

(34235)

PHONE:

952/800-4733

FAX: 612/216-4442

ROYAL CROWN HOMES LLC

Lim-Liab

3228 SUNSET LAKE DRIVE

BURNSVILLE, MN 55337

(34345)

PHONE:

952/800-4733

FAX: 612/216-4442

ROYAL CROWN HOMES LLC

Lim-Liab

12209 PARKWOOD PLACE

BURNSVILLE, MN 55337

(36105)

PHONE:

952/800-4733

FAX: 612/216-4442

Certification

Registration

DAKOTA

(Cont.)* --------------------------

JILL WIEDEMANN-WEST

XRAY

SUE MCNAMEE

TCOMP

HALIMA ABDULLAHI

Outpt Surg Amb Surg

CHRISTIAN BERLINQUETTE

COMP

ROBINSON NGANYWA

HWS-O

HWSAL

HWSAL-O

Minnesota Department of Health

Health Regulation Division

Page

95

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

SENIOR HELPERS

Lim-Liab

1501 SOUTHCROSS DRIVE WEST

BURNSVILLE, MN 55306

(25457)

PHONE:

952/892-8403

FAX: 952/892-8405

SENIOR RIDE PLUS LLC

Lim-Liab

1309 EAST 141ST STREET

BURNSVILLE, MN 55337

(35766)

PHONE:

651/347-9444

FAX: /-

SILVER LIGHT SENIOR LIVING

Corp

1209 EAST 131ST STREET

BURNSVILLE, MN 55337

(33376)

PHONE:

763/607-8373

FAX: 952/431-3037

SYNERGY HOMECARE SOUTHERN TWIN CITIES

Lim-Liab

2999 COUNTY ROAD 42 WEST #200

BURNSVILLE, MN 55306

(34545)

PHONE:

952/808-6919

FAX: 952/808-6813

SYRIAUNA MANOR

Corp

401 HAROLD DRIVE

BURNSVILLE, MN 55337

(35218)

PHONE:

651/414-9982

FAX: /-

THE GENEVA SUITES

Lim-Liab

2309 WILDWOOD COURT

BURNSVILLE, MN 55306

(33680)

PHONE:

612/208-8888

FAX: 612/358-2222

THE GENEVA SUITES

Lim-Liab

13909 FRONTIER LANE

BURNSVILLE, MN 55337

(32138)

PHONE:

612/208-8888

FAX: 612/358-2222

THE GENEVA SUITES

Lim-Liab

12207 WOOD LAKE DRIVE

BURNSVILLE, MN 55337

(32475)

PHONE:

612/208-8888

FAX: 612/358-2222

THE LODGE ON SUMMIT OAKS

Corp

1412 SUMMIT OAKS DRIVE

BURNSVILLE, MN 55337

(30445)

PHONE:

612/200-0901

FAX: 612/487-3607

THE LODGE ON SUMMIT OAKS

Corp

1412 SUMMIT OAKS DRIVE

BURNSVILLE, MN 55337

(24877)

PHONE:

612/200-0901

FAX: 952/487-3607

Certification

DAKOTA

(Cont.)*

COMP

ALICIA SAYKAO

COREY BIXBY

AYODELE AWOLEYE

TCOMP

ERIC LARSON

NERVANA RAMDYAL

MATT HANLEY

COMP

MATT HANLEY

HEATHER HEIJERMAN

COMP

HEATHER HEIJERMAN

Registration

--------------------------

Home Mgmt

HWSAL

HWS

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

96

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

THE RIVERS

11111 RIVER HILLS DRIVE

BURNSVILLE, MN 55337

PHONE:

952/890-8553

VALLEY RIDGE

1921 BURNSVILLE PARKWAY WEST

BURNSVILLE, MN 55337

PHONE:

952/882-4000

VALLEY RIDGE

1921 BURNSVILLE PARKWAY WEST

BURNSVILLE, MN 55337

PHONE:

952/882-4000

ACCREDO HEALTH GROUP, INC.

2915 WATERS ROAD #109

EAGAN, MN 55121

PHONE:

651/681-0885

ADNA HOMES LLC

3650 VERMILLION COURT NE

EAGAN, MN 55122

PHONE:

704/252-4716

ALLIANCE HEALTH SERVICES, INC.

2260 CLIFF ROAD

EAGAN, MN 55122

PHONE:

651/895-8030

BIOSCRIP INFUSION SERVICES

2915 WATERS ROAD #110

EAGAN, MN 55121

PHONE:

612/486-1960

BROOKDALE EAGAN

1365 CRESTRIDGE LANE

EAGAN, MN 55123

PHONE:

651/686-5557

BROOKDALE EAGAN

1365 CRESTRIDGE LANE

EAGAN, MN 55123

PHONE:

651/686-5557

BROOKVIEW COTTAGE

4359 BENT TREE LANE

EAGAN, MN 55123

PHONE:

651/340-6540

Lim-Liab

(21779)

FAX: 952/890-9320

Lim-Liab

(28955)

FAX: 952/882-4001

NProf

(29086)

FAX: 952/882-4001

Corp

(03256)

FAX: 651/681-0977

Lim-Liab

(35300)

FAX: /-

Corp

(02838)

FAX: 651/895-8070

Corp

(24884)

FAX: 612/486-1961

Corp

(20508)

FAX: 651/686-7778

Corp

(30683)

FAX: 651/686-7778

Lim-Liab

(35992)

FAX: 651/788-9663

Certification

DAKOTA

(Cont.)*

JIM DUDLEY

AMY FEILEN

COMP

NATALIE MORLAND

COMP

JESSICA PERREIRA

TCOMP

HAJI ALI

COMP HHA

ALANA FIALA

COMP

PAUL RUDER

COMP

MICHELLE RYAN

TARA TRUAX-NEWHOUSE

Registration

--------------------------

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

97

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

CARDENAS FRIENDSHIP HOUSE

1226 WILDERNESS RUN ROAD

EAGAN, MN 55123

PHONE:

651/257-8146

CLARE BRIDGE OF EAGAN

1365 CRESTRIDGE LANE

EAGAN, MN 55123

PHONE:

651/686-5557

COMPASSIONATE HEARTS LLC

1284 BERRY RIDGE ROAD

EAGAN, MN 55123

PHONE:

952/855-2098

COMPASSIONATE HEARTS, LLC

1284 BERRY RIDGE ROAD

EAGAN, MN 55123

PHONE:

952/855-2098

EAGAN DIALYSIS UNIT

2750 BLUEWATER ROAD #300

EAGAN, MN 55121

PHONE:

651/688-0132

EAGAN ORTHOPEDIC SURGERY CENTER

2700 VIKINGS CIRCLE #300

EAGAN, MN 55121

PHONE:

952/456-7100

EAGAN POINTE SENIOR LIVING

4232 BLACK HAWK ROAD

EAGAN, MN 55122

PHONE:

651/724-2312

EAGAN POINTE SENIOR LIVING LLC

4232 BLACK HAWK ROAD

EAGAN, MN 55122

PHONE:

651/724-2312

EAGAN SURGERY CENTER

2620 EAGAN WOODS DRIVE #300

EAGAN, MN 55121

PHONE:

651/968-5240

EVERBLOOM HOME HEALTH CARE

3132 B FARNUM DRIVE

EAGAN, MN 55121

PHONE:

651/235-7828

Corp

(21118)

FAX: 651/257-9245

Corp

(20508)

FAX: 651/686-7778

Lim-Liab

(33517)

FAX: 952/686-6025

Lim-Liab

(35466)

FAX: 952/686-6025

Corp

(22530)

FAX: /-

Lim-Liab

(33511)

FAX: 952/456-7101

Lim-Liab

(31765)

FAX: 651/330-2423

Lim-Liab

(31786)

FAX: 651/330-2423

Corp

(32385)

FAX: 651/730-3532

Lim-Liab

(34835)

FAX: 218/251-7156

Certification

Registration

DAKOTA

(Cont.)* --------------------------

HWS

ROBERT CARDENAS

COMP

MICHELLE RYAN

COMP HCBS

FAID ALI

HWSAL

FAID ALI

ESRD

DEDE BLOOMQUIST

Outpt Surg Amb Surg

WENDY WILTS

COMP

KELLY MYERS

HWSAL

KELLY MYERS

Outpt Surg Amb Surg

BECKIE HINES

TCOMP

SALAMAUIT ABRAHAM

Minnesota Department of Health

Health Regulation Division

Page

98

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

EVERBLOOM HOME HEALTH CARE

1864 BEAR PATH TRAIL

EAGAN, MN 55122

PHONE:

651/235-7828

GREEN LIVING GROUP HOME LLC

3299 VALLEY RIDGE DRIVE

EAGAN, MN 55121

PHONE:

920/664-9288

HAPPY FEET FOOTCARE

2121 CLIFF DRIVE

EAGAN, MN 55122

PHONE:

651/387-8891

HERITAGE HOME HEALTH CARE LLC

860 BLUE GENTIAN ROAD STE 200

EAGAN, MN 55121

PHONE:

651/757-0422

HOMETOWN SENIOR LIVING OF EAGAN

3808 BLACKHAWK RIDGE PLACE

EAGAN, MN 55122

PHONE:

651/688-7045

IHLC HOMECARE

4064 OLIVINE DR

EAGAN, MN 55122

PHONE:

952/842-9000

IMPACT HEALTH CARE INC

1382 QUARRY LANE

EAGAN, MN 55121

PHONE:

763/377-1589

KENN FOLKS HOME CARE SERVICES LLC

860 BLUE GENTIAN ROAD #200

EAGAN, MN 55121

PHONE:

404/889-9978

KEYSTONE COMMUNITIES OF EAGAN, LLC

3810 ALDER LANE

EAGAN, MN 55122

PHONE:

651/379-2410

LAKELAND HOMECARE LLC

1604 COVINGTON LANE

EAGAN, MN 55122

PHONE:

763/280-6652

Lim-Liab

(35547)

FAX: 218/251-7156

Lim-Liab

(34689)

FAX: /-

Corp

(02914)

FAX: /-

Lim-Liab

(33164)

FAX: 651/846-5760

Corp

(25900)

FAX: 651/344-4401

Corp

(21893)

FAX: 952/842-9001

Corp

(35326)

FAX: /-

Lim-Liab

(35201)

FAX: /-

Lim-Liab

(23505)

FAX: 651/379-2431

Lim-Liab

(33657)

FAX: /-

Certification

DAKOTA

(Cont.)*

SELAM ABRAHAM

TCOMP

ABDINASIR HASSAN

COMP

AMY LUZAICH

COMP HCBS

LENSA ERENNA

MARY HENDRICKS

COMP HHA

JOHN (SKIP) VALUSEK

TCOMP

JULIEN BOAYUE

TBASIC

NICOLE MOSELY

BETH LANDERS

ALTAF KHONDAKAR

Registration

--------------------------

HWS

HWSAL

HWSAL-O

Minnesota Department of Health

Health Regulation Division

Page

99

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

LAKELAND HOMECARE LLC

Lim-Liab

1604 COVINGTON LANE

EAGAN, MN 55122

(32934)

PHONE:

763/280-6652

FAX: 763/600-8559

LIVING WELL POPPLER

NProf

3020 POPPLER LANE

EAGAN, MN 55122

(20857)

PHONE:

651/688-8035

FAX: 651/688-8250

MCCLISH MANOR

Corp

4670 SLATER ROAD

EAGAN, MN 55122

(25523)

PHONE:

651/454-0161

FAX: 651/379-4575

MILLENNIUM HOME SENIOR CARE

Corp

1708 MEADOW VIEW ROAD

EAGAN, MN 55121

(35709)

PHONE:

651/230-7732

FAX: 651/330-4784

MILLENNIUM HOMES LLC

Lim-Liab

1708 MEADOW VIEW RD

EAGAN, MN 55121

(34172)

PHONE:

612/865-9080

FAX: /-

MINNESOTA HOME OF CARE AND COMPASSION LLC

Lim-Liab

3577 WOODLAND COURTH

EAGAN, MN 55123

PHONE:

614/557-2268

MNGI ENDOSCOPY EAGAN

1185 TOWN CENTER DRIVE #200

EAGAN, MN 55123

PHONE:

612/871-1145

NEW CHALLENGES, INC.

4670 SLATER ROAD

EAGAN, MN 55122

PHONE:

651/454-0161

NEW PERSPECTIVE - EAGAN

3810 ALDER LANE

EAGAN, MN 55122

PHONE:

651/379-2410

NEW PERSPECTIVE - EAGAN

3810 ALDER LANE

EAGAN, MN 55122

PHONE:

651/379-2410

(35759)

FAX: /-

Corp

(23392)

FAX: 612/870-5491

Corp

(25523)

FAX: 651/379-4575

Lim-Liab

(23505)

FAX: 651/379-2431

Lim-Liab

(29559)

FAX: 651/379-2431

Certification

Registration

DAKOTA

(Cont.)* --------------------------

COMP

ALTAF KHONDAKAR

SLFB-6

ALEX BUSLEE

COMP

LEEANN METZMAKER

TCOMP

VINCENT THAO

COMP

SERGEI SELYUKOV

TCOMP

MUJAHIDIN BULLE

Outpt Surg Amb Surg

SCOTT KETOVER

COMP

LEEANN METZMAKER

HWSAL

BETH LANDERS

COMP

RICK BUECHNER

Minnesota Department of Health

Health Regulation Division

Page

100

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

DAKOTA

---------------------------**********

(Cont.)* --------------------------

PEACEFUL MIND HOMES LLC

Corp

HWSAL

3808 BLACKHAWK RIDGE PLACE

EAGAN, MN 55122

(25900)

PHONE:

651/688-7045

FAX: 651/344-4401

MARY HENDRICKS

PRIORITY CARE HOMES LLC

Lim-Liab

TCOMP HCBS

1931 BERKSHIRE DRIVE

EAGAN, MN 55122

(34339)

PHONE:

612/232-5090

FAX: /-

HASSAN IBRAHIM

HWSAL-O

PRIORITY CARE HOMES LLC

Lim-Liab

1931 BERKSHIRE DRIVE

EAGAN, MN 55122

(35644)

PHONE:

612/481-8517

FAX: /-

HASSAN IBRAHIM

SERENDIPITOUS LIVING

Lim-Liab

COMP

2861 HIGHRIDGE TERRACE

EAGAN, MN 55121

(33766)

PHONE:

651/340-8950

FAX: 651/340-8898

MAYSA SAYAVONGCHANH

SERENDIPITOUS LIVING

Lim-Liab

HWSAL-O

2861 HIGHRIDGE TERRACE

EAGAN, MN 55121

(34044)

PHONE:

651/340-8950

FAX: 651/340-8898

MAYSA SAYAVONGCHANH

HWSAL

STONEHAVEN SENIOR LIVING

Lim-Liab

1000 STATION TRAIL

EAGAN, MN 55123

(33967)

PHONE:

651/686-5366

FAX: /-

ERIN HILLIGAN

SUMMIT RECOVERY SUITES

Corp

HWS

2620 EAGAN WOODS DRIVE #200

EAGAN, MN 55121

(33052)

PHONE:

651/968-5245

FAX: 651/730-3538

ADAM BERRY

THE COMMONS ON MARICE

Lim-Liab

COMP

1380 MARICE DRIVE

EAGAN, MN 55121

(20662)

PHONE:

651/688-9999

FAX: 651/688-7888

DAVID SALMON

HWSAL

THE COMMONS ON MARICE

ONProf

1380 MARICE DRIVE

EAGAN, MN 55121

(30751)

PHONE:

651/688-9999

FAX: 651/688-7888

ELAINE BURTON

HWSAL

THE GENEVA SUITES

Lim-Liab

1599 BLACKHAWK LAKE DRIVE

EAGAN, MN 55122

(32699)

PHONE:

612/208-8888

FAX: 612/358-2222

MATT HANLEY

Minnesota Department of Health

Health Regulation Division

Page

101

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

DAKOTA

---------------------------**********

(Cont.)* --------------------------

TCOMP

TRUE CARE LIVING LLC

Lim-Liab

1145 MAPLE STREET

EAGAN, MN 55121

(35211)

PHONE:

612/701-6716

FAX: /-

MOHAMED JAMA

BASIC

UNVEILING HEALTH LLC

Lim-Liab

4660 SLATER ROAD #230

EAGAN, MN 55122

(31618)

PHONE:

651/340-9387

FAX: /-

AARON OSGOOD

TCOMP

UNVEILING HEALTH LLC

Lim-Liab

4660 SLATER ROAD #230

EAGAN, MN 55122

(35400)

PHONE:

651/460-9387

FAX: /-

AARON OSGOOD

ZACHARY HOME HEALTH CORPORATION

Corp

COMP

680 SUMMER LANE

EAGAN, MN 55123

(23615)

PHONE:

651/583-4953

FAX: 651/797-3529

VICTOR BANGURA

2 CARING HANDS INC

Corp

HWSAL

18712 EUCLID PATH

FARMINGTON, MN 55024

(31747)

PHONE:

651/344-8627

FAX: 651/344-8628

ANN RAMNARAIN

COMMUNITY ASSISTED LIVING INC

Corp

HWSAL

911 HONEYSUCKLE LANE

FARMINGTON, MN 55024

(26001)

PHONE:

651/460-2902

FAX: 651/460-2217

DONNA NOVAK

COMP

FARMINGTON HEALTH SERVICES

NProf

905 ELM STREET

FARMINGTON, MN 55024

(21782)

PHONE:

651/460-1138

FAX: 651/252-2009

ELIZABETH LETICH

GOLDEN GRAND HOMECARE LLC

Lim-Liab

COMP

18036 DUNCAN CIRCLE

FARMINGTON, MN 55024

(32336)

PHONE:

651/333-9504

FAX: 651/344-8392

SHEWIT GHEBREZGHI

SLFA-6

PAUL'S PLACE

Lim-Liab

22355 ALBATROSS CIRCLE

FARMINGTON, MN 55024

(25956)

PHONE:

651/734-9633

FAX: 651/734-9533

JENNIFER FRAZER JOHN

RELIEF HOMECARE LLC

Lim-Liab

HWS-O

700 14TH STREET

FARMINGTON, MN 55024

(35409)

PHONE:

507/202-6082

FAX: /-

FIDELIS AKONU

Minnesota Department of Health

Health Regulation Division

Page

102

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

RIVER VALLEY HOME CARE, INC.

Corp

916 8TH STREET

FARMINGTON, MN 55024

(03533)

PHONE:

651/460-4201

FAX: 651/460-4208

RIVER VALLEY HOME CARE, INC.

Corp

916 8TH STREET

FARMINGTON, MN 55024

(20797)

PHONE:

651/460-4201

FAX: 651/460-4208

SENIOR FRIEND HOME CARE

Lim-Liab

18556 PILOT KNOB ROAD #204

FARMINGTON, MN 55024

(32100)

PHONE:

612/804-2349

FAX: 651/454-2736

THE LEGACY OF FARMINGTON

Lim-Liab

22300 DENMARK AVENUE

FARMINGTON, MN 55024

(33063)

PHONE:

651/463-2933

FAX: 612/263-6991

THE LEGACY OF FARMINGTON

Lim-Liab

22300 DENMARK AVENUE

FARMINGTON, MN 55024

(33271)

PHONE:

651/463-2933

FAX: 612/263-6992

TRINITY CARE CENTER

NProf

905 ELM STREET

FARMINGTON, MN 55024

(00101)

PHONE:

651/463-7818

FAX: 651/460-1165

TRINITY HOSPITAL AND CARE CENTER

NProf

905 ELM STREET

FARMINGTON, MN 55024

(00101)

PHONE:

651/463-7818

FAX: 651/460-1165

TRINITY SUITES

NProf

205 11TH STREET

FARMINGTON, MN 55024

(28776)

PHONE:

651/252-2073

FAX: 651/252-2077

TRINTY TERRACE

NProf

3330 213TH STREET WEST

FARMINGTON, MN 55024

(20413)

PHONE:

651/460-1104

FAX: 651/252-2060

ZACHARY HOME HEALTH CORP

Corp

3285 197TH STREET WEST

FARMINGTON, MN 55024

(33725)

PHONE:

763/742-0979

FAX: 651/797-3523

Certification

DAKOTA

(Cont.)*

COMP HCBS HHA

RACHELLE PARISEAU

COMP

MICHAEL LOWDEN

COMP

TROY REHKAMP

Registration

--------------------------

Home Mgmt

HWSAL

TROY REHKAMP

NH-84 SNF-NF-84

ELIZABETH LETICH

NH-84 SNF-NF-84

ELIZABETH LETICH

HWSAL

ELIZABETH LETICH

HWSAL

ELIZABETH LETICH

HWS

VICTOR BANGURA

Minnesota Department of Health

Health Regulation Division

Page

103

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

AUGUSTANA CARE HASTINGS HEALTH AND

REHABILITATION

930 WEST 16TH STREET

HASTINGS, MN 55033

PHONE:

651/437-6176

BETHEL CARE SERVICES

1150 4TH STREET WEST

HASTINGS, MN 55033

PHONE:

651/706-2860

COCHRAN RECOVERY SERVICES INC

1294 EAST 18TH STREET BLDG 1

HASTINGS, MN 55033

PHONE:

651/437-4209

FRAZIER RECOVERY HOMES LLC

2117 PINE STREET

HASTINGS, MN 55033

PHONE:

651/895-4440

FRAZIER RECOVERY HOMES LLC

543 MCNAMARA STREET

HASTINGS, MN 55033

PHONE:

651/895-4440

FRAZIER RECOVERY HOMES LLC

574 KENDALL DRIVE

HASTINGS, MN 55033

PHONE:

651/895-4440

FRESENIUS MEDICAL CARE TWO RIVERS

1355 SOUTH FRONTAGE ROAD #380

HASTINGS, MN 55033

PHONE:

651/437-0256

HENRY HAGEN RESIDENCE

19845 LILLEHEI AVENUE

HASTINGS, MN 55033

PHONE:

612/770-0304

HISTORICAL HASTINGS DIALYSIS

1828 MARKET BOULEVARD

HASTINGS, MN 55033

PHONE:

651/438-2155

INDEPENDENT ENDEAVORS LLC

1120 SIBLEY STREET APARTMEN #3

HASTINGS, MN 55033

PHONE:

651/600-7805

NProf

(00877)

FAX: 651/480-2120

Corp

(36024)

FAX: 651/319-0940

NProf

(01406)

FAX: 651/438-4144

Lim-Liab

(33561)

FAX: 651/528-7030

Lim-Liab

(34025)

FAX: 651/528-7030

Lim-Liab

(32184)

FAX: 651/895-4440

Corp

(30288)

FAX: 651/437-0268

Ind

(01091)

FAX: 651/224-0624

Corp

(30790)

FAX: 651/438-2177

Lim-Liab

(35015)

FAX: /-

Certification

Registration

DAKOTA

(Cont.)* --------------------------

NH-80

PAUL LUITJENS

TCOMP

NELSON ABATAN

SLFB-27

RICK TERZICK

ELIZABETH REZEK

SCOTT SCHAUB

SLFA-6

LAURA REYNOLDS

ALICIA VALVICK

MCKENZIE EURIGA

SNF-NF-80

HWS-O

ESRD

ICFIID-6

ESRD

HWS-O

Minnesota Department of Health

Health Regulation Division

Page

104

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

MINNESOTA VETERANS HOME - HASTINGS

1200 EAST 18TH STREET

HASTINGS, MN 55033

PHONE:

651/539-2401

OAK RIDGE ASSISTED LIVING OF HASTINGS

1128 BAHLS DRIVE

HASTINGS, MN 55033

PHONE:

651/438-0418

PARK RIDGE APARTMENTS HASTINGS

901 WEST 16TH STREET

HASTINGS, MN 55033

PHONE:

651/480-6300

PARK RIDGE APARTMENTS OF HASTINGS

901 WEST 16TH STREET

HASTINGS, MN 55033

PHONE:

651/480-6300

PEACEFUL LIVING, LLC

1687 FALLBROOKE DRIVE

HASTINGS, MN 55033

PHONE:

651/437-4402

REGINA ASSISTED LIVING

1008 1ST STREET WEST

HASTINGS, MN 55033

PHONE:

651/404-7923

REGINA ASSISTED LIVING

1008 1ST STREET WEST

HASTINGS, MN 55033

PHONE:

651/480-4333

REGINA HOSPITAL

1175 NININGER ROAD

HASTINGS, MN 55033

PHONE:

651/404-1000

REGINA MEDICAL CENTER

1175 NININGER ROAD

HASTINGS, MN 55033

PHONE:

651/404-7951

COMFORT KEEPERS #860

1870 50TH STREET EAST #7

INVER GROVE, MN 55077

PHONE:

651/330-3071

State

(00788)

FAX: 651/437-2203

Lim-Liab

(30750)

FAX: /-

NProf

(30651)

FAX: 651/480-6348

NProf

(26858)

FAX: 651/480-6348

Lim-Liab

(31220)

FAX: 715/386-0873

NProf

(20006)

FAX: 651/404-7980

NProf

(30246)

FAX: 651/404-7980

NProf

(30086)

FAX: 651/404-1460

NProf

(00100)

FAX: 651/404-7980

Lim-Liab

(31879)

FAX: 651/330-3721

Certification

Registration

DAKOTA

(Cont.)* --------------------------

BCH-200

MICHAEL RH ANDERSON

HWSAL

CHARLES PETRICH

HWSAL

TAMMY HASE

COMP

TAMMY HASE

HWS-O

IRENE PREGL

COMP

DAVID VANDERGON

HWSAL

SHELLEY SOLBERG

HOSP-57 BASS-12 HOSP-37 PPS-P-20

HELEN STRIKE

NH-57 SNF-NF-57

.

Home Mgmt

JOAN WURZER

Minnesota Department of Health

Health Regulation Division

Page

105

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

BROOKDALE INVER GROVE HEIGHTS

5891 CARMEN AVENUE

INVER GROVE HEIGHTS, MN 55076

PHONE:

651/306-0919

BROOKDALE INVER GROVE HEIGHTS

5891 CARMEN AVENUE

INVER GROVE HEIGHTS, MN 55076

PHONE:

651/306-0919

CARE MINNESOTA LLC

7280 BANCROFT WAY

INVER GROVE HEIGHTS, MN 55077

PHONE:

612/414-6410

CARECO APARTMENTS, INC.

6115 CARMEN AVENUE EAST

INVER GROVE HEIGHTS, MN 55076

PHONE:

651/451-1756

COMFORT KEEPERS

1870 50TH STREET EAST STE 7

INVER GROVE HEIGHTS, MN 55077

PHONE:

651/330-3071

FRAZIER RECOVERY HOMES LLCS

7741 BANKS COURT

INVER GROVE HEIGHTS, MN 55077

PHONE:

651/895-4440

GONDOLA GROUP

8615 BIRCH BOULEVARD

INVER GROVE HEIGHTS, MN 55076

PHONE:

952/270-6586

GONDOLA GROUP INC

8615 BIRCH BOULEVARD

INVER GROVE HEIGHTS, MN 55076

PHONE:

952/270-6586

GONDOLA GROUP INC

2700 62ND STREET EAST

INVER GROVE HEIGHTS, MN 55076

PHONE:

952/270-6586

GONDOLA GROUP INC

8615 BIRCH BOULEVARD

INVER GROVE HEIGHTS, MN 55076

PHONE:

952/270-6586

Corp

(20419)

FAX: 651/306-1020

Corp

(30627)

FAX: 651/306-1020

Lim-Liab

(35401)

FAX: /-

Corp

(01503)

FAX: 651/451-1803

Lim-Liab

(27804)

FAX: 651/330-3721

Lim-Liab

(33921)

FAX: 651/528-7030

Corp

(24603)

FAX: 651/322-4807

Corp

(24603)

FAX: 651/322-4807

Corp

(25528)

FAX: 651/322-4807

Corp

(30555)

FAX: 651/322-4807

Certification

Registration

DAKOTA

(Cont.)* --------------------------

COMP

LINDSEY MARUSICH

HWSAL

LINDSEY MARUSICH

TCOMP

KAMRUL ISLAM

SLFA-14 ICFIID-14

REDHEART REDHEART

COMP

JOAN WURZER

HWS-O

ELIZABETH REZEK

COMP

DARLENE DAVIS

COMP

DARLENE DAVIS

HWS

DARLENE DAVIS

HWS

DARLENE DAVIS

Minnesota Department of Health

Health Regulation Division

Page

106

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

GOOD SAMARITAN SOCIETY - INVER GROVE HEIGHTS

NProf

1301 50TH STREET EAST

INVER GROVE HEIGHTS, MN 55077

PHONE:

651/451-1853

GREAT HOME MINNESOTA LLC

8668 ALVARADO COURT

INVER GROVE HEIGHTS, MN 55077

PHONE:

651/983-2005

GREAT HOME MN AVIARY

8811 AVIARY PATH

INVER GROVE HEIGHTS, MN 55077

PHONE:

651/983-2005

GREAT HOME MN LLC

8811 AVIARY PATH

INVER GROVE HEIGHTS, MN 55077

PHONE:

651/983-2005

INVER GROVE HEIGHTS WHITE PINE

9056 BUCHANAN TRAIL

INVER GROVE HEIGHTS, MN 55077

PHONE:

651/306-9886

INVER GROVE HEIGHTS WHITE PINE

9056 BUCHANAN TRAIL

INVER GROVE HEIGHTS, MN 55077

PHONE:

651/306-9886

INVER GROVE HEIGHTS WHITE PINE II, LLC

9058 BUCHANAN TRAIL

INVER GROVE HEIGHTS, MN 55077

PHONE:

651/455-6549

INVER GROVE HEIGHTS WP II LLC

9058 BUCHANAN TRAIL

INVER GROVE HEIGHTS, MN 55077

PHONE:

651/455-6549

INVER GROVE HEIGHTS WP, LLC

9056 BUCHANAN TRAIL

INVER GROVE HEIGHTS, MN 55077

PHONE:

651/306-9886

INVERWOOD SENIOR LIVING

7260 SOUTH ROBERT TRAIL

INVER GROVE HEIGHTS, MN 55077

PHONE:

651/492-6535

(00022)

FAX: 651/451-7515

Lim-Liab

(35520)

FAX: 651/305-1111

Lim-Liab

(33375)

FAX: 651/305-1111

Lim-Liab

(33124)

FAX: 651/305-1111

Lim-Liab

(26132)

FAX: 651/306-9888

Lim-Liab

(30696)

FAX: 651/306-9888

Lim-Liab

(27378)

FAX: 651/455-6559

Lim-Liab

(27377)

FAX: 651/455-6559

Lim-Liab

(26132)

FAX: 651/306-9888

Lim-Liab

(30647)

FAX: 651/330-2423

Certification

Registration

DAKOTA

(Cont.)* --------------------------

NH-46 SNF-NF-46

PAMELA SCHULTZ

HWSAL

RONIE AVILES

HWSAL

GRACIELA AVILES

COMP

RONIE AVILES

COMP

RHONDA SCHILLINGER

HWSAL

RHONDA SCHILLINGER

HWSAL

RHONDA SCHILLINGER

COMP

RHONDA SCHILLINGER

COMP

RHONDA SCHILLINGER

HWSAL

KELLY MYERS

Minnesota Department of Health

Health Regulation Division

Page

107

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

INVERWOOD SENIOR LIVING

Lim-Liab

7260 SOUTH ROBERT TRAIL

INVER GROVE HEIGHTS, MN 55077

(26833)

PHONE:

651/312-5800

FAX: 651/450-0159

LIVING WELL UPPER 55TH

NProf

1885 UPPER 55TH STREET EAST

INVER GROVE HEIGHTS, MN 55077

(20938)

PHONE:

651/552-8748

FAX: 651/552-8794

PRESBYTERIAN HOMES OF INVER GROVE

NProf

6307 BURNHAM CIRCLE

INVER GROVE HEIGHTS, MN 55076

(27965)

PHONE:

651/552-2800

FAX: 651/552-2801

SPECTRUM COMMUNITY HEALTH, INC.

Corp

6205 CROSSMAN LANE

INVER GROVE HEIGHTS, MN 55076

(02168)

PHONE:

651/451-0569

FAX: 651/455-1179

SPECTRUM COMMUNITY HEALTH, INC.

Corp

6205 CROSSMAN LANE

INVER GROVE HEIGHTS, MN 55076

(21030)

PHONE:

651/451-0569

FAX: 651/455-1179

STERLING HOUSE OF INVER GROVE HEIGHTS

Corp

5891 CARMEN AVENUE

INVER GROVE HEIGHTS, MN 55076

(20419)

PHONE:

651/306-0919

FAX: 651/306-1020

TIMBER HILLS

NProf

6305 BURNHAM CIRCLE

INVER GROVE HEIGHTS, MN 55076

(21981)

PHONE:

651/552-2800

FAX: 651/552-2801

WOODLYN HEIGHTS HEALTHCARE CENTER

Corp

2060 UPPER 55TH STREET EAST

INVER GROVE HEIGHTS, MN 55077

(00829)

PHONE:

651/451-1881

FAX: 651/451-3378

2 CARING HANDS

Corp

20752 GEMINI TRAIL

LAKEVILLE, MN 55044

(23850)

PHONE:

952/486-9292

FAX: 651/344-8628

BEEHIVE HOME OF LAKEVILLE

Lim-Liab

20159 IBERIA AVENUE

LAKEVILLE, MN 55044

(35127)

PHONE:

952/679-2076

FAX: 612/568-9801

Certification

DAKOTA

(Cont.)*

COMP

KELLY MYERS

SLFB-6

KIT PILTINGSRUD

COMP

NATALIE MORLAND

COMP HHA

DIANE VON RUDEN

COMP

MARILYN HANSON

COMP

LINDSEY MARUSICH

Registration

--------------------------

HWSAL

STACY CARLSRUD

NH-79 SNF-NF-79

SHELLEY SOLBERG

COMP

ANN MURGASEN

HWSAL

JIN FANG

Minnesota Department of Health

Health Regulation Division

Page

108

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

BEEHIVE HOMES OF LAKEVILLE

Lim-Liab

20159 IBERIA AVENUE

LAKEVILLE, MN 55044

(34864)

PHONE:

952/679-2076

FAX: /-

BILLIE'S CHOICE LLC

Lim-Liab

20311 HAMPTON AVENUE

LAKEVILLE, MN 55044

(35255)

PHONE:

952/653-1899

FAX: 952/236-6402

CARELINK SKILLED NURSING AND HOME CARE

Lim-Liab

16824 ENCHANTED COURT

LAKEVILLE, MN 55044

(35463)

PHONE:

507/271-4262

FAX: /-

DIVINE CARE LLC

Lim-Liab

16125 HYLAND AVENUE

LAKEVILLE, MN 55044

(25125)

PHONE:

612/423-9765

FAX: 952/426-3745

FRESENIUS MED CARE LAKEVILLE

NProf

17592 DODD BOULEVARD

LAKEVILLE, MN 55044

(32225)

PHONE:

952/431-1148

FAX: 952/431-7360

GEMINI MANOR

Corp

20752 GEMINI TRAIL

LAKEVILLE, MN 55044

(23850)

PHONE:

952/486-9292

FAX: 651/344-8628

GEMINI MANOR

Corp

20752 GEMINI TRAIL

LAKEVILLE, MN 55044

(30432)

PHONE:

952/985-6495

FAX: 952/233-8871

GOLDEN MAPLE HOMES INC

Corp

21338 DODD BOULEVARD

LAKEVILLE, MN 55044

(35569)

PHONE:

952/393-3690

FAX: 952/892-7806

ICELAND MANOR

Corp

20541 ICELAND AVENUE

LAKEVILLE, MN 55044

(25395)

PHONE:

952/236-8192

FAX: 651/344-8998

INTEGRA HOME CARE

Corp

20730 HOLYOKE AVENUE #125

LAKEVILLE, MN 55044

(25579)

PHONE:

952/985-0672

FAX: 952/985-0675

Certification

Registration

DAKOTA

(Cont.)* --------------------------

TCOMP

JIN FANG

TCOMP

MARISARAH LARVICK

TCOMP

UBAH HASSAN

COMP

FENTEZIA ZEWDIE

ESRD

KATHRYN KING

COMP

ANN MURGASEN

CAROL FILLMORE

MOOTOO MURGASEN

COMP

DIMITRIY PAPKOV

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

109

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

JAN CAN LLC

Lim-Liab

17715 LANDMARK COURT

LAKEVILLE, MN 55044

(33284)

PHONE:

612/719-8072

FAX: /-

JBS HOMES LLC

Lim-Liab

16560 JACKDAW PATH

LAKEVILLE, MN 55044

(34888)

PHONE:

952/237-9138

FAX: /-

JBS HOMES LLC

Lim-Liab

16560 JACKDAW PATH

LAKEVILLE, MN 55044

(35471)

PHONE:

952/237-9138

FAX: /-

KHADRA H. MOHAMED

Corp

1801 KENWOOD TRAIL #301

LAKEVILLE, MN 55044

(35167)

PHONE:

612/735-4509

FAX: /-

KINGSLEY SHORES SENIOR LIVING

Lim-Liab

16880 KLAMATH TRAIL

LAKEVILLE, MN 55044

(29470)

PHONE:

952/435-8002

FAX: 952/435-4070

LAKEVILLE DIALYSIS

Corp

20184 HERITAGE DRIVE

LAKEVILLE, MN 55044

(32599)

PHONE:

952/985-5438

FAX: 952/469-9742

MINNESOTA HOSPICE LLC

Lim-Liab

17645 JUNIPER PATH #155

LAKEVILLE, MN 55044

(25486)

PHONE:

952/898-1022

FAX: 952/898-4006

NOAH HOME CARE INC

Corp

20310 DODD BOULEVARD #2

LAKEVILLE, MN 55044

(35393)

PHONE:

612/366-4932

FAX: /-

RELIEF HOMECARE LLC

Lim-Liab

19051 JORDAN TRAIL

LAKEVILLE, MN 55044

(34740)

PHONE:

507/202-6082

FAX: /-

RIVER RIDGE, LLC-GLEN CREEK LODGE

Lim-Liab

16005 JOPLIN AVENUE

LAKEVILLE, MN 55044

(32962)

PHONE:

952/894-7722

FAX: 952/288-2174

Certification

Registration

DAKOTA

(Cont.)* --------------------------

JAN INGHAM

TCOMP

SUCDI AHMED

JOHN BRECOUNT

TCOMP

NAIMA MOHAMED

DENISE BARNETT

DANI KASPER

Hospice

KENNETH HAGLIND

TCOMP

BARKUNI ABU

TCOMP

FIDELIS AKONY

SLFA-16

BRIAN SAMMON

Home Mgmt

HWSAL

ESRD

HSPICE

Minnesota Department of Health

Health Regulation Division

Page

110

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

---------------------------**********

DAKOTA

(Cont.)*

ROY MANOR

Corp

9220 207TH STREET WEST

LAKEVILLE, MN 55044

(34952)

PHONE:

952/486-9292

FAX: 651/344-8998

ANN MURGASEN

SENIORS CARING FOR SENIORS

Lim-Liab

16255 GROVE TRAIL

LAKEVILLE, MN 55044

(36069)

PHONE:

952/381-7691

FAX: /-

JANE KOENIG

SPYGLASS MANOR

Corp

7166 205TH STREET WEST

LAKEVILLE, MN 55044

(27193)

PHONE:

952/985-6495

FAX: 952/469-9751

ANN RAMNARAIN

SUPERIOR HOME CARE NURSING LLC

Lim-Liab

COMP

10603 165TH STREET WEST

LAKEVILLE, MN 55044

(32178)

PHONE:

952/898-5400

FAX: 952/898-5454

HOWARD JONES

THE FOUNTAINS AT HOSANNA!

Lim-Liab

9850 163RD STREET WEST

LAKEVILLE, MN 55044

(29049)

PHONE:

952/435-7199

FAX: 952/236-4687

ERIN HILLIGAN, VP OF OPER

THE MOMENTS OF LAKEVILLE

Lim-Liab

16258 KENYON AVENUE

LAKEVILLE, MN 55044

(33524)

PHONE:

952/873-1700

FAX: 952/595-6351

ELIZABETH WRIGHT

TRINITY HOME HEALTH CARE SERVICES

Lim-Liab

COMP

17305 CEDAR AVENUE #220

LAKEVILLE, MN 55044

(25834)

PHONE:

952/465-1959

FAX: 952/236-0138

ETYANE AYANA

TWIN CITY WOUND & OSTOMY ASSOCIATES

Corp

COMP

9483 208TH STREET WEST

LAKEVILLE, MN 55044

(26657)

PHONE:

952/985-0747

FAX: 952/985-0749

JULIE ROSKAMP

UNITED HOMES SERVICES

Lim-Liab

TCOMP

20711 HOLT AVENUE #654

LAKEVILLE, MN 55044

(35724)

PHONE:

612/562-0561

FAX: /-

MOHAMED MOHAMED

WALKER METHODIST HIGHVIEW HILLS

NProf

COMP

20150 HIGHVIEW AVENUE

LAKEVILLE, MN 55044

(26626)

PHONE:

952/985-9000

FAX: 952/985-7271

CANDACE ROVANG

Registration

--------------------------

HWSAL-O

Home Mgmt

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

111

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

---------------------------**********

DAKOTA

(Cont.)*

WALKER METHODIST HIGHVIEW HILLS

Lim-Liab

20150 HIGHVIEW AVENUE

LAKEVILLE, MN 55044

(30735)

PHONE:

952/985-9000

FAX: 952/985-7271

CANDACE ROVANG

LILYDALE SENIOR LIVING

Lim-Liab

COMP

949 SIBLEY MEMORIAL HIGHWAY

LILYDALE, MN 55118

(29017)

PHONE:

651/454-6853

FAX: 651/454-4783

KELLY MYERS

LILYDALE SENIOR LIVING

Lim-Liab

949 SIBLEY MEMORIAL HIGHWAY

LILYDALE, MN 55118

(29018)

PHONE:

651/767-9545

FAX: 651/457-2844

KELLY MYERS

EVERYDAY LIVING LLC

Lim-Liab

320 EAST STREET

MENDOTA, MN 55150

(32566)

PHONE:

651/688-7173

FAX: 651/688-0525

JEFF JOHNSON

CORAM CVS/SPECIALTY INFUSION SERVICES

Corp

COMP

2345 WATERS DRIVE

MENDOTA HEIGHTS, MN 55120

(02446)

PHONE:

651/452-5600

FAX: 651/452-6273

JEREMY TREVINO

FAMILY CHOICE HOMECARE

Corp

COMP

2486 POND CIRCLE WEST

MENDOTA HEIGHTS, MN 55120

(21807)

PHONE:

612/354-5747

FAX: 844/254-1239

CASSANDRA JOHNSON

HEART TO HOME

Corp

2370 ROGERS AVENUE

MENDOTA HEIGHTS, MN 55120

(33531)

PHONE:

651/454-5250

FAX: 651/686-5295

JOSHUA CESARO

HEART TO HOME INC

Corp

2351 PAGEL ROAD

MENDOTA HEIGHTS, MN 55120

(26147)

PHONE:

651/454-5250

FAX: 651/686-5295

JOSHUA CESARO

HEART TO HOME INCORPORATED

Corp

COMP

659 MULBERRY LANE

MENDOTA HEIGHTS, MN 55118

(25755)

PHONE:

651/454-5250

FAX: 651/686-5295

JOSHUA CESARO-MOXLEY

HEART TO HOME INCORPORATED

Corp

595 MENDOTA ROAD

MENDOTA HEIGHTS, MN 55118

(31990)

PHONE:

651/454-5250

FAX: 651/686-5295

JOSHUA CESARO

Registration

--------------------------

HWSAL

HWS-O

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

112

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

HEART TO HOME, INC.

Corp

659 MULBERRY LANE

MENDOTA HEIGHTS, MN 55118

(25756)

PHONE:

651/454-5250

FAX: 651/686-5295

KALEB, INC.

Corp

869 MENDAKOTA COURT

MENDOTA HEIGHTS, MN 55120

(21957)

PHONE:

612/337-6124

FAX: 651/905-9908

LIVING WELL - CARMEN

NProf

915 CARMEN LANE

MENDOTA HEIGHTS, MN 55118

(21108)

PHONE:

651/405-0569

FAX: 651/405-0559

LIVING WELL - DIANE

NProf

1668 DIANE ROAD

MENDOTA HEIGHTS, MN 55118

(01646)

PHONE:

651/686-7872

FAX: 651/686-6572

LIVING WELL - MARY ADELE

NProf

1055 MARY ADELE AVENUE

MENDOTA HEIGHTS, MN 55120

(20941)

PHONE:

651/365-8707

FAX: 651/365-8708

LIVING WELL - VICTORIA

NProf

2031 VICTORIA ROAD SOUTH

MENDOTA HEIGHTS, MN 55118

(01359)

PHONE:

651/452-4295

FAX: 651/452-4296

MARGARET'S HOUSE

Lim-Liab

2535 CONDON COURT

MENDOTA HEIGHTS, MN 55120

(21238)

PHONE:

651/686-0518

FAX: 651/686-0526

MENDOTA HEIGHTS WHITE PINE

Lim-Liab

745 SOUTH PLAZA DRIVE

MENDOTA HEIGHTS, MN 55120

(29408)

PHONE:

651/788-7010

FAX: 651/788-7129

MENDOTA HEIGHTS WP, LLC

Lim-Liab

745 SOUTH PLAZA DRIVE

MENDOTA HEIGHTS, MN 55120

(29407)

PHONE:

651/788-7010

FAX: 651/788-7129

THE LODGE OF MENDOTA

Corp

664 FREEWAY ROAD NORTH

MENDOTA HEIGHTS, MN 55118

(32458)

PHONE:

612/200-0901

FAX: 952/487-3607

Certification

Registration

DAKOTA

(Cont.)* --------------------------

JOSHUA CESARO

COMP

KALEB WEINTRAUT

SLFB-6

JENNI ZEIS

SLFB-6

JORDAN PEARSON

SLFB-6

ZACH EMMONS

SLFB-12

DEVONA VERDEJA

SLFA-10

JENNIFER FRAZER JOHN

RHONDA SCHILLINGER

COMP

RHONDA SCHILLINGER

HEATHER HEIJERMAN

HWSAL

ICFIID-6

ICFIID-12

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

113

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

BENEDICTINE LIVING COMMUNITY OF NORTHFIELD LLC

NProf

2030 NORTH AVENUE

NORTHFIELD, MN 55057

(35253)

PHONE:

507/216-4468

FAX: /-

BENEDICTINE LIVING COMMUNITY OF NORTHFIELD, LLC

NProf

2030 NORTH AVENUE

NORTHFIELD, MN 55057

(35421)

PHONE:

507/216-4468

FAX: 507/216-4468

NORTHFIELD CITY HOSPITAL

City

2000 NORTH AVENUE

NORTHFIELD, MN 55057

(00566)

PHONE:

507/646-1001

FAX: 507/646-1392

NORTHFIELD HOSPICE

City

1604 RIVERVIEW DRIVE

NORTHFIELD, MN 55057

(02880)

PHONE:

507/646-1457

FAX: 507/646-1395

NORTHFIELD HOSPITAL LONG TERM CARE CENTER

City

2000 NORTH AVENUE

NORTHFIELD, MN 55057

PHONE:

507/646-1001

OPTIONS WASHINGTON

7601 18TH AVENUE SOUTH

RICHFIELD, MN 55423

PHONE:

952/564-3030

ALMOST FAMILY HOME CARE LLC

13946 ADDISON AVENUE

ROSEMOUNT, MN 55068

PHONE:

651/746-9679

CIMARRON

14673 CIMARRON AVENUE WEST

ROSEMOUNT, MN 55068

PHONE:

651/334-8580

EASTWOOD SENIOR LIVING HOME CARE

14344 CAMEO AVENUE

ROSEMOUNT, MN 55068

PHONE:

952/855-5088

GONDOLA GROUP, INC.

4307 159TH COURT WEST

ROSEMOUNT, MN 55068

PHONE:

952/270-6586

(00566)

FAX: 507/646-1392

Corp

(35924)

FAX: 952/217-5677

Lim-Liab

(34561)

FAX: /-

Lim-Liab

(27280)

FAX: 952/920-6929

NProf

(27518)

FAX: 952/855-5001

Corp

(25861)

FAX: 651/322-4807

Certification

Registration

DAKOTA

(Cont.)* --------------------------

TCOMP

PENNIE VIGGIANO

HWSAL

PENELOPE VIGGIANO

NH-40 HOSP-37 BASS-12 SNF-NF-40 HOSP-37

STEVE UNDERDAHL

Hospice HSPICE

TAMMY HAYES

NH-40 HOSP-37 BASS-12 SNF-NF-40 HOSP-37

STEVE UNDERDAHL

HWS-O

JAMES HAMMILL

COMP

ASHLEY SCHULKERS

HWS

LUIS OROZCO

COMP

MARY JO THORNE

HWS

DARLENE DAVIS

Minnesota Department of Health

Health Regulation Division

Page

114

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

HOMETOWN SENIOR LIVING OF ROSEMOUNT

12591 SHANNON PARKWAY

ROSEMOUNT, MN 55068

PHONE:

651/423-7012

ROSEMOUNT COURT

3710 145TH STREET WEST

ROSEMOUNT, MN 55068

PHONE:

651/423-2016

ROSEMOUNT HOME CARE

14344 CAMEO AVENUE

ROSEMOUNT, MN 55068

PHONE:

952/855-5088

ROSEVIEW

14665 CHILI AVENUE WEST

ROSEMOUNT, MN 55068

PHONE:

651/344-8660

THE ROSEMOUNT

14344 CAMEO AVENUE WEST

ROSEMOUNT, MN 55068

PHONE:

651/322-4222

SYNERGYCARE LLC

1486 ROUNDHOUSE CIRCLE

SHAKOPEE, MN 55379

PHONE:

612/805-1118

HEALTHEAST RESIDENCE SOUTH ST. PAUL

744 19TH AVENUE NORTH

SOUTH ST PAUL, MN 55075

PHONE:

651/326-6500

VISTA PRAIRIE AT RIVER HEIGHTS, LLC

744 19TH AVENUE NORTH

SOUTH ST PAUL, MN 55075

PHONE:

651/326-6500

1-0 GRANNY'S HELPFUL HANDS LLC

516 STEWART AVENUE

SOUTH ST. PAUL, MN 55075

PHONE:

612/824-1177

BRYANT AVENUE RESIDENCE

1120 BRYANT AVENUE

SOUTH ST. PAUL, MN 55075

PHONE:

651/451-2889

Corp

(27389)

FAX: 651/344-4401

Corp

(26024)

FAX: 651/379-4575

NProf

(27518)

FAX: 952/855-5001

Lim-Liab

(26047)

FAX: 952/920-6929

Lim-Liab

(32151)

FAX: /-

Lim-Liab

(34957)

FAX: 612/224-2017

Lim-Liab

(21008)

FAX: 651/326-6506

Lim-Liab

(21008)

FAX: 651/326-6506

Lim-Liab

(32951)

FAX: 612/824-1177

Corp

(01240)

FAX: 651/451-5955

Certification

Registration

DAKOTA

(Cont.)* --------------------------

HWSAL

MARY HENDRICKS

HWSAL-O

SUE FRIES

COMP

MARY JO THORNE

HWS

LUIS OROZCO

HWSAL

MARY JO THORNE

TCOMP

OKECHUK NNAJI

COMP HCBS

JAMES BETTENDORF

COMP HCBS

JAMES BETTENDORF

HWS-O

ROBIN STEPNEY

SLFA-13 ICFIID-13

SANDRA KINDEM

Minnesota Department of Health

Health Regulation Division

Page

115

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

EVERYDAY LIVING LLC

355 15TH AVENUE NORTH

SOUTH ST. PAUL, MN 55075

PHONE:

651/688-7173

FRAZIER RECOVERY HOMES LLC

1457 7TH AVENUE SOUTH

SOUTH ST. PAUL, MN 55075

PHONE:

651/895-4440

FRAZIER RECOVERY HOMES LLC

633 5TH AVENUE SOUTH

SOUTH ST. PAUL, MN 55075

PHONE:

651/895-4440

HOME WITH YOU COMPANION CARE LLC

3 APFELRIDGE COURT

SOUTH ST. PAUL, MN 55075

PHONE:

651/262-3916

LIVING WELL - CONGRESS

2207 CONGRESS STREET

SOUTH ST. PAUL, MN 55075

PHONE:

651/450-2304

SUMMIT AVENUE RESIDENCE

920 SUMMIT AVENUE

SOUTH ST. PAUL, MN 55075

PHONE:

651/451-2889

VP AT RIVER HEIGHTS, LLC

744 19TH AVENUE NORTH

SOUTH ST. PAUL, MN 55075

PHONE:

651/326-6500

THE FRIENDSHIP PLACE LLC

152 KING STREET WEST

ST. PAUL, MN 55107

PHONE:

651/369-1401

DARTS

1645 MARTHALER LANE

WEST ST PAUL, MN 55118

PHONE:

651/455-1560

PHOENIX SERVICE CORPORATION

330 MARIE AVENUE EAST

WEST ST PAUL, MN 55118

PHONE:

651/227-7655

Lim-Liab

(29863)

FAX: 651/688-0525

Lim-Liab

(33560)

FAX: 651/528-7030

Lim-Liab

(34083)

FAX: 651/528-7030

Lim-Liab

(28816)

FAX: 612/643-5172

NProf

(20874)

FAX: 651/450-2341

Corp

(01331)

FAX: 651/451-5955

Lim-Liab

(21583)

FAX: 651/326-6506

Lim-Liab

(34171)

FAX: /-

NProf

(03086)

FAX: 651/234-2280

NProf

(21451)

FAX: 651/227-6847

Certification

Registration

DAKOTA

(Cont.)* --------------------------

COMP

JEFF JOHNSON

HWS-O

ELIZABETH REZEK

HWS-O

ELIZABETH REZEK

Home Mgmt

TONI WAKEM

SLFB-6

ANGELA PRICE

SLFA-13 ICFIID-13

SANDRA KINDEM

HWSAL

KIM WEBSTER

TCOMP

KOSHIN HASSAN

Home Mgmt

ANN BAILEY

COMP

DARLENE SCOTT

Minnesota Department of Health

Health Regulation Division

Page

116

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

BIDWELL RESIDENCE

1425 BIDWELL AVENUE

WEST ST. PAUL, MN 55118

PHONE:

651/209-8490

BIDWELL RESIDENCE

1435 BIDWELL AVENUE

WEST ST. PAUL, MN 55118

PHONE:

651/209-8490

BROOKDALE WEST ST PAUL- AL

305 THOMPSON AVENUE EAST

WEST ST. PAUL, MN 55118

PHONE:

651/453-1803

BROOKDALE WEST ST. PAUL - AL

305 THOMPSON AVENUE EAST

WEST ST. PAUL, MN 55118

PHONE:

651/453-1803

BROOKDALE WEST ST. PAUL - MC

315 THOMPSON AVENUE EAST

WEST ST. PAUL, MN 55118

PHONE:

612/453-1805

BROOKDALE WEST ST. PAUL MC

315 THOMPSON AVENUE EAST

WEST ST. PAUL, MN 55118

PHONE:

612/453-1805

CLARE BRIDGE OF WEST ST. PAUL

315 THOMPSON AVENUE EAST

WEST ST. PAUL, MN 55118

PHONE:

612/453-1805

FMC WEST ST PAUL DIALYSIS

1590 ROBERT STREET SOUTH #103

WEST ST. PAUL, MN 55118

PHONE:

651/457-2232

HODAN HOME HEALTH CARE LLC

245 MARIE AVENUE EAST #140

WEST ST. PAUL, MN 55118

PHONE:

612/607-3967

LIVING WELL - EAST EMERSON

41 EMERSON AVENUE EAST

WEST ST. PAUL, MN 55118

PHONE:

651/450-1880

Lim-Liab

(32271)

FAX: /-

Lim-Liab

(32272)

FAX: /-

Corp

(20472)

FAX: 651/453-1804

Corp

(30634)

FAX: 651/453-1804

Corp

(20511)

FAX: 612/453-1806

Corp

(30684)

FAX: 612/453-1806

Corp

(20511)

FAX: 612/453-1806

Corp

(26074)

FAX: 651/457-2450

Lim-Liab

(32113)

FAX: 651/528-8871

NProf

(01633)

FAX: 651/450-2070

Certification

Registration

DAKOTA

(Cont.)* --------------------------

HWS-O

JOE CUOCO

HWS-O

JOE CUOCO

COMP

AIMEE MALLETTE

HWSAL

AIMEE MALLETTE

COMP

AIMEE MALLETTE

HWS

AIMEE MALLETTE

COMP

AIMEE MALLETTE

ESRD

FEDERICO SERRANO

COMP

ABDULKADIR BEDE

SLFB-6 ICFIID-6

NICOLE THEYSON

Minnesota Department of Health

Health Regulation Division

Page

117

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

LOVINGCARE NURSING & HOME CARE SERVICES INC

Corp

1152 ROBERT STREET SOUTH

WEST ST. PAUL, MN 55118

(34826)

PHONE:

651/848-0061

FAX: /-

MCCLISH MANOR

Corp

213 ANNAPOLIS STREET WEST

WEST ST. PAUL, MN 55118

(28207)

PHONE:

651/454-0161

FAX: 651/379-4575

NOVACARE REHABILITATION

Corp

60 MARIE AVENUE EAST #203

WEST ST. PAUL, MN 55118

(03745)

PHONE:

651/451-6156

FAX: /-

OPTIONS RESIDENTIAL INC - 851 DODD

Corp

851 DODD ROAD

WEST ST. PAUL, MN 55118

(29797)

PHONE:

651/292-3005

FAX: 952/217-5677

OPTIONS RESIDENTIAL, INC./GABRIEL HEIGHTS

Corp

1167 SOUTH ROBERT STREET

WEST ST. PAUL, MN 55118

(28505)

PHONE:

651/457-1446

FAX: 952/217-5677

RESIDENTIAL TRANSITIONS, INC

Corp

785 DODD ROAD

WEST ST. PAUL, MN 55118

(31349)

PHONE:

612/227-9014

FAX: /-

RESIDENTIAL TRANSITIONS, INC

Corp

958 ROBERT STREET SOUTH

WEST ST. PAUL, MN 55118

(30509)

PHONE:

612/227-9014

FAX: 651/451-8722

SAKINAH HOMES LLC

Lim-Liab

240 HURLEY STREET EAST

WEST ST. PAUL, MN 55118

(35899)

PHONE:

651/460-9188

FAX: /-

SOUTHVIEW ACRES HEALTHCARE CENTER

Lim-Liab

2000 OAKDALE AVENUE

WEST ST. PAUL, MN 55118

(00102)

PHONE:

651/554-9500

FAX: 651/451-9538

SOUTHVIEW SENIOR LIVING

Lim-Liab

1984 OAKDALE AVENUE

WEST ST. PAUL, MN 55118

(24035)

PHONE:

651/554-4838

FAX: 651/455-0267

Certification

Registration

DAKOTA

(Cont.)* --------------------------

TCOMP

EDILEOLA ADEWOLA

SUE FRIES

KELLY CASEY

JAMES HAMMILL

JUSTIN SWANSON

SAMRIYA ABBADULLA

NH-231

CHRISTINA CAUBLE

COMP

KELLY MYERS

HWS-O

Out Pt Out Ot

HWS-O

HWSAL-O

SNF-NF-231

Minnesota Department of Health

Health Regulation Division

Page

118

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

SOUTHVIEW SENIOR LIVING

Lim-Liab

1984 OAKDALE AVENUE

WEST ST. PAUL, MN 55118

(30488)

PHONE:

651/554-4838

FAX: 651/455-0267

STERLING HOUSE OF WEST ST PAUL

Corp

305 THOMPSON AVENUE EAST

WEST ST. PAUL, MN 55118

(20472)

PHONE:

651/453-1803

FAX: 651/453-1804

SUPPORTIVE LIVING SOLUTIONS

Lim-Liab

1445 BIDWELL STREET

WEST ST. PAUL, MN 55118

(31464)

PHONE:

651/209-8490

FAX: /-

THE SANCTUARY AT WEST ST PAUL

Part

1746 OAKDALE AVENUE

WEST ST. PAUL, MN 55118

(32587)

PHONE:

641/455-6322

FAX: 651/455-6302

WALKER METHODIST WESTWOOD RIDGE HOME CARE

NProf

1 THOMPSON AVENUE WEST

WEST ST. PAUL, MN 55118

(20448)

PHONE:

651/259-2474

FAX: 651/552-9963

WALKER METHODIST WESTWOOD RIDGE I

NProf

1 THOMPSON AVENUE WEST

WEST ST. PAUL, MN 55118

(20448)

PHONE:

651/259-2474

FAX: 651/552-9963

WALKER METHODIST WESTWOOD RIDGE I

NProf

1 THOMPSON AVENUE WEST

WEST ST. PAUL, MN 55118

(30629)

PHONE:

651/259-2474

FAX: 651/552-9963

WALKER METHODIST WESTWOOD RIDGE II

Lim-Liab

61 THOMPSON AVENUE WEST

WEST ST. PAUL, MN 55118

(27996)

PHONE:

651/259-2701

FAX: 651/259-2724

WALKER METHODIST WESTWOOD RIDGE II

Lim-Liab

61 THOMPSON AVENUE WEST

WEST ST. PAUL, MN 55118

(28949)

PHONE:

651/259-2701

FAX: 651/259-2724

WEST ST. PAUL DIALYSIS UNIT

Corp

1555 LIVINGSTON AVENUE

WEST ST. PAUL, MN 55118

(02728)

PHONE:

651/455-2995

FAX: /-

Certification

DAKOTA

(Cont.)*

KELLY MYERS

COMP

AIMEE MALLETTE

JOE CUOCO

ERIN HILLIGAN VP OF OPERA

COMP

BRENDA SCHRUPP

COMP

BRENDA SCHRUPP

ANNELIESE PETERSON

Registration

--------------------------

HWSAL

HWS-O

HWSAL

NH-37 SNF-37

BRENDA SCHRUPP

HWSAL

ANNELIESE PETERSON

ESRD

BECKY SKWIRA

Minnesota Department of Health

Health Regulation Division

Page

119

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

FAIRVIEW CARE CENTER

702 10TH AVENUE NW PO BOX 10

DODGE CENTER, MN 55927

PHONE:

507/374-2578

CREST VIEW VILLA

305 4TH STREET NE

HAYFIELD, MN 55940

PHONE:

507/477-3266

FIELD CREST ASSISTED LIVING

318 2ND STREET NE

HAYFIELD, MN 55940

PHONE:

507/477-3266

FIELD CREST ASSISTED LIVING

318 2ND STREET NE

HAYFIELD, MN 55940

PHONE:

507/477-3266

FIELD CREST CARE CENTER

318 2ND STREET NE

HAYFIELD, MN 55940

PHONE:

507/477-3266

FIELD CREST HOME CARE

318 2ND STREET NE

HAYFIELD, MN 55940

PHONE:

507/477-3266

ABILIT HOLDINGS PRAIRIE MEADOWS LLC

800 5TH AVENUE NW

KASSON, MN 55944

PHONE:

507/634-9500

PRAIRIE MEADOWS

800 5TH AVENUE

KASSON, MN 55944

PHONE:

507/634-9500

CHICOS BOARD & LODGE, LLC

520 STATE STREET

WEST CONCORD, MN 55985

PHONE:

507/527-2842

CHICOS BOARD & LODGE LLC

520 STATE STREET

WEST CONCORD, MN 55985

PHONE:

507/527-2842

Cnty

(00103)

FAX: 507/374-2907

City

(20885)

FAX: 507/477-3268

City

(23661)

FAX: 507/477-3268

City

(30396)

FAX: 507/477-3268

City

(00104)

FAX: 507/477-3268

City

(23661)

FAX: 507/477-3268

Lim-Liab

(24053)

FAX: 507/634-6854

Lim-Liab

(34404)

FAX: /-

Lim-Liab

(30440)

FAX: 507/527-2842

Lim-Liab

(20193)

FAX: 507/527-2842

Certification

Registration

DODGE

******** --------------------------

NH-55 SNF-NF-55

JANE SHEERAN

HWS

CHERYL GUSTASON

COMP

CHERYL GUSTASON

HWSAL

CHERYL GUSTASON

NH-45 SNF-NF-45

CHERYL GUSTASON

COMP

CHERYL GUSTASON

HWSAL

ALLISON LAW

COMP

BRETT INGERSOLL

HWSAL

STEPHANIE CHICOS

COMP

STEPHANIE CHICOS

Minnesota Department of Health

Health Regulation Division

Page

120

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

CHICOS BOARD AND LODGE, LLC

Lim-Liab

520 STATE STREET

WEST CONCORD, MN 55985

(20193)

PHONE:

507/527-2842 FAX: 507/527-2842

CIRCLE DRIVE MANOR ASSISTED LIVING LLC

Lim-Liab

56733 STATE HIGHWAY 56 SOUTH

WEST CONCORD, MN 55985

(30326)

PHONE:

507/527-2424 FAX: 507/527-2866

CIRCLE DRIVE MANOR ASSISTED LIVING, LLC

Lim-Liab

56733 STATE HIGHWAY 56 SOUTH

WEST CONCORD, MN 55985

(20055)

PHONE:

507/527-2424 FAX: 507/527-2866

---------------------------**********

ALEX ASSISTED LIVING LLC

90 EAST LAKE COWDRY ROAD NW

ALEXANDRIA, MN 56308

PHONE:

320/762-8345

ALEX ASSISTED LIVING LLC

90 EAST LAKE COWDRY ROAD NW

ALEXANDRIA, MN 56308

PHONE:

320/762-8345

ALOMERE HEALTH

111 17TH AVENUE EAST

ALEXANDRIA, MN 56308

PHONE: 320/762-1511

BETHANY ON THE LAKE

1020 LARK STREET

ALEXANDRIA, MN 56308

PHONE:

320/762-1567

BETHANY ON THE LAKE ASSISTED LIVING LLC

1020 LARK STREET

ALEXANDRIA, MN 56308

PHONE:

320/763-2180

BETHANY ON THE LAKE LLC

1020 LARK STREET

ALEXANDRIA, MN 56308

PHONE:

320/762-1567

Lim-Liab

(26439)

FAX: 320/762-8334

Lim-Liab

(30718)

FAX: 320/762-8341

Cnty

(00111)

FAX: 320/762-6120

Lim-Liab

(28777)

FAX: 320/759-6264

Lim-Liab

(22032)

FAX: /-

Lim-Liab

(00108)

FAX: 320/762-6327

Certification

Registration

DODGE

(Cont.)* --------------------------

COMP

STEPHANIE CHICOS

HWSAL

MELISSA CHRISTIANSON

COMP

MELISSA CHRISTIANSON

DOUGLAS

******** --------------------------

COMP

MAGGIE HORNING

HWSAL

BRANDON BORGSTROM

HOSP-127 BASS-14 HOSP-127

CARL VAAGENES

HWSAL

LEESA GILMAN

COMP

LEESA GILMAN

NH-83 SNF-NF-83

MATTHEW FISCHER

Minnesota Department of Health

Health Regulation Division

Page

121

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

BETHEL MANOR INC

NProf

910 ASH STREET

ALEXANDRIA, MN 56308

(33130)

PHONE:

320/763-7200

FAX: 320/763-7204

BONNIE'S SENIOR HAVEN

Lim-Liab

1201 RIDGEVIEW TERRACE NE

ALEXANDRIA, MN 56308

(26278)

PHONE:

320/766-2451

FAX: /-

CENTER FOR PAIN MANAGEMENT

Corp

519 22ND AVENUE EAST

ALEXANDRIA, MN 56308

(28171)

PHONE:

320/219-7611

FAX: 320/219-7612

CENTRACARE KIDNEY PROGRAM - ALEXANDRIA DIALYSIS

NProf

111 17TH AVENUE EAST

ALEXANDRIA, MN 56308

PHONE:

320/240-7808

COMMUNITY BEHAVIORAL HEALTH HOSPITAL -

ALEXANDRIA

1610 8TH AVENUE EAST

ALEXANDRIA, MN 56308

PHONE:

320/335-6201

DIAMOND WILLOW OF ALEXANDRIA 1

803 VICTOR STREET

ALEXANDRIA, MN 56308

PHONE:

320/762-1448

DIAMOND WILLOW OF ALEXANDRIA 2

803 B VICTOR STREET

ALEXANDRIA, MN 56308

PHONE:

320/762-2067

EDGEWOOD ALEXANDRIA SENIOR LIVING LLC

1902 7TH AVENUE EAST

ALEXANDRIA, MN 56308

PHONE:

320/759-2121

EDGEWOOD ALEXANDRIA SENIOR LIVING LLC

1902 7TH AVENUE EAST

ALEXANDRIA, MN 56308

PHONE:

320/759-2121

EDGEWOOD VISTA ALEXANDRIA

1902 7TH AVENUE EAST

ALEXANDRIA, MN 56308

PHONE:

320/759-2121

(03875)

FAX: /-

State

(23908)

FAX: 320/759-1002

Lim-Liab

(26046)

FAX: 320/762-2608

Lim-Liab

(26045)

FAX: 320/762-2649

Lim-Liab

(21247)

FAX: 320/759-2120

Lim-Liab

(30729)

FAX: 320/759-2120

Lim-Liab

(21247)

FAX: 320/759-2120

Certification

Registration

DOUGLAS

(Cont.)* --------------------------

HWS

WENDY HALBE

COMP

KAYLA THOENNES

Outpt Surg Amb Surg

JENNIFER ZAYAS

ESRD

KERI WIMMER

OTHER-16 PSY-16

JENNIFER WESTRUM

HWSAL

SARA KLEINSCHMIDT

HWSAL

SARA KLEINSCHMIDT

COMP

COLLEEN SCHNEIDER

HWSAL

COLLEEN SCHNEIDER

COMP

COLLEEN SCHNEIDER

Minnesota Department of Health

Health Regulation Division

Page

122

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

GOLDENRIDGE SENIOR CARE LLC

Lim-Liab

1203 STEGER ROAD NW

ALEXANDRIA, MN 56308

(26644)

PHONE:

320/763-9776

FAX: /-

GRAND ARBOR

NProf

4403 PIONEER ROAD SE

ALEXANDRIA, MN 56308

(28201)

PHONE:

320/763-1600

FAX: 320/763-1603

GRAND ARBOR

NProf

4403 PIONEER ROAD SE

ALEXANDRIA, MN 56308

(30805)

PHONE:

320/763-1600

FAX: 320/763-1603

HORIZON PUBLIC HEALTH

Cnty

809 ELM STREET #1200

ALEXANDRIA, MN 56308

(02916)

PHONE:

320/763-6018

FAX: 320/763-4127

JENNIFERS SENIOR CARE

Ind

2307 EAST GOLF COURSE ROAD NE

ALEXANDRIA, MN 56308

(28117)

PHONE:

320/763-4950

FAX: 320/762-2581

KNUTE NELSON

NProf

2715 HIGHWAY 29 SOUTH #103

ALEXANDRIA, MN 56308

(28923)

PHONE:

320/759-1270

FAX: 320/759-1271

KNUTE NELSON

NProf

420 12TH AVENUE EAST

ALEXANDRIA, MN 56308

(00113)

PHONE:

320/763-1157

FAX: 320/763-7548

KNUTE NELSON

NProf

420 12TH AVENUE EAST

ALEXANDRIA, MN 56308

(34095)

PHONE:

320/763-6653

FAX: 320/763-7548

KNUTE NELSON HOME CARE

NProf

2715 HIGHWAY 29 SOUTH #103

ALEXANDRIA, MN 56308

(24066)

PHONE:

320/759-1273

FAX: 320/759-1275

MINNESOTA EYE INSTITUTE SURGERY CENTER

Lim-Liab

3401 SOUTH BROADWAY

ALEXANDRIA, MN 56308

(21815)

PHONE:

320/759-2020

FAX: 320/759-2424

Certification

Registration

DOUGLAS

(Cont.)* --------------------------

COMP

KAYLA THOENNES

COMP

BRITTNEY THORESON

ANGIE URMAN

Hospice

ANN STEHN

JENNIFER CRAIG

Hospice

KONNIE EVANS

NH-93

ANGELA URMAN

COMP

ANGELA URMAN

COMP

KONNIE EVANS

Outpt Surg

PAMELA CARLSON

HSPICE

SNF-NF-93

HWSAL

HHA

Amb Surg

Minnesota Department of Health

Health Regulation Division

Page

123

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

NELSON GABLES

1220 NOKOMIS STREET

ALEXANDRIA, MN 56308

PHONE:

320/762-1113

NELSON GABLES SENIOR CARE APARTMENTS

1220 NOKOMIS STREET

ALEXANDRIA, MN 56308

PHONE:

320/762-1113

NELSON GABLES SENIOR CARE APARTMENTS

1220 NOKOMIS STREET

ALEXANDRIA, MN 56308

PHONE:

320/762-4310

NEXTSTEP HOMECARE, INC.

507 NORTH NOKOMIS STREET

ALEXANDRIA, MN 56308

PHONE:

320/219-6425

PEACEFUL BLISS ASSISTED LIVING LLC

90 EAST LAKE COWDRY ROAD NW

ALEXANDRIA, MN 56308

PHONE:

320/762-8345

PRAIRIE SENIOR COTTAGES OF ALEXANDRIA

812 MCKAY AVENUE SOUTH

ALEXANDRIA, MN 56308

PHONE:

320/763-8244

PRAIRIE SENIOR COTTAGES OF ALEXANDRIA LLC

814 MCKAY AVENUE SOUTH

ALEXANDRIA, MN 56308

PHONE:

320/763-8244

PRAIRIE SENIOR COTTAGES OF ALEXANDRIA LLC

812 MCKAY AVENUE SOUTH

ALEXANDRIA, MN 56308

PHONE:

320/763-8244

PRAIRIE SENIOR COTTAGES OF ALEXANDRIA, LLC

812 MCKAY AVENUE SOUTH

ALEXANDRIA, MN 56308

PHONE:

320/763-8244

PRAIRIEWOOD HOME

2736 LEHOMME DIEU HEIGHTS NW

ALEXANDRIA, MN 56308

PHONE:

320/763-4787

NProf

(20056)

FAX: 320/763-5738

NProf

(20056)

FAX: 320/763-5738

NProf

(30327)

FAX: 320/763-5738

Corp

(32180)

FAX: 320/219-6428

Lim-Liab

(26439)

FAX: 320/762-8334

Lim-Liab

(21280)

FAX: 320/763-8255

Lim-Liab

(21281)

FAX: 320/763-8255

Lim-Liab

(30736)

FAX: 320/763-8255

Lim-Liab

(21280)

FAX: 320/763-8255

NProf

(01684)

FAX: 320/759-1912

Certification

Registration

DOUGLAS

(Cont.)* --------------------------

COMP

MARNIE GUGISBERG

COMP

MARNIE GUGISBERG

HWSAL

ANGIE URMAN

COMP

TONI DIEDE

COMP

MAGGIE HORNING

COMP

DUSTIN LEE

HWSAL

JENNY STENSON

HWSAL

JENNY STENSON

COMP

DUSTIN LEE

SLFB-6 ICFIID-6

ASHLEY HOBERG

Minnesota Department of Health

Health Regulation Division

Page

124

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

THOENNES PROPERTY MGMT, LLC

Lim-Liab

1201 RIDGEVIEW TERRACE NE

ALEXANDRIA, MN 56308

(30701)

PHONE:

320/219-6633

FAX: 320/219-6634

VISTA PRAIRIE AT WINDMILL PONDS, LLC

Lim-Liab

715 VICTOR STREET

ALEXANDRIA, MN 56308

(21855)

PHONE:

320/759-2132

FAX: 320/759-3192

VP AT WINDMILL PONDS, LLC

Lim-Liab

715 VICTOR STREET

ALEXANDRIA, MN 56308

(21642)

PHONE:

320/759-2132

FAX: 320/759-3192

WINONA SHORES

NProf

1010 LARK STREET

ALEXANDRIA, MN 56308

(33132)

PHONE:

320/763-1120

FAX: 320/763-1121

WOODCREST ASSISTED LIVING

Lim-Liab

1201 RIDGEVIEW TERRACE NE

ALEXANDRIA, MN 56308

(26278)

PHONE:

320/766-2451

FAX: /-

BRANDON'S ASSISTED LIVING

Lim-Liab

305 CENTRAL AVENUE SOUTH

BRANDON, MN 56315

(27453)

PHONE:

320/524-2207

FAX: 320/524-2245

BRANDON'S ASSISTED LIVING

Lim-Liab

305 CENTRAL AVENUE SOUTH

BRANDON, MN 56315

(30742)

PHONE:

320/524-2207

FAX: 320/524-2245

BRANDONS ASSISTED LIVING

Lim-Liab

305 CENTRAL AVENUE SOUTH

BRANDON, MN 56315

(27453)

PHONE:

320/524-2207

FAX: 320/524-2245

EVANSVILLE CARE CENTER

Lim-Liab

649 STATE STREET NW

EVANSVILLE, MN 56326

(00110)

PHONE:

218/948-2219

FAX: 218/948-2004

EVANSVILLE SENIOR LIVING

Lim-Liab

651 STATE STREET NW

EVANSVILLE, MN 56326

(24481)

PHONE:

218/948-2346

FAX: 218/948-2004

Certification

DOUGLAS

(Cont.)*

KAYLA THOENNES

COMP

JAMES BETTENDORF

PATTI CAREY

COMP

KAYLA THOENNES

COMP HHA

BRANDON BORGSTROM

COMP HHA

BRANDON BORGSTROM

Registration

--------------------------

HWSAL

HWS

HWSAL

NH-37 SNF-NF-37

BRANDON BORGSTROM

COMP

BRANDON BORGSTROM

Minnesota Department of Health

Health Regulation Division

Page

125

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

DOUGLAS

(Cont.)* --------------------------

EVANSVILLE SENIOR LIVING

651 STATE STREET NW

EVANSVILLE, MN 56326

PHONE:

218/948-2346

BRIDGEWELL ASSISTED LIVING

410 WEST MAIN STREET

OSAKIS, MN 56360

PHONE:

320/859-2142

GALEON

410 WEST MAIN STREET

OSAKIS, MN 56360

PHONE:

320/859-2142

Lim-Liab

HWSAL

(30540)

FAX: 218/948-7277

BRANDON BORGSTROM

NProf

HWSAL

(25904)

FAX: 320/859-3288

ANGIE REINKE

NProf

NH-40 SNF-NF-40

(00109)

FAX: 320/859-3288

ANGIE REINKE

TERRACE HEIGHTS INDEPENDENT LIVING APARTMENTS

NProf

HWS

410 WEST MAIN STREET

OSAKIS, MN 56360

PHONE:

320/859-2142

WEST VIEW ASSISTED LIVING APARTMENTS

240 6TH AVENUE NORTH

OSAKIS, MN 56360

PHONE:

320/859-2142

WEST VIEW ASSISTED LIVING APT

240 6TH AVENUE NORTH

OSAKIS, MN 56360

PHONE: 320/859-2142

WEST VIEW/BRIDGEWELL AL APTS

240 6TH AVENUE NORTH

OSAKIS, MN 56360

PHONE: 320/859-2142

(20267)

FAX: 320/859-3288

ANGIE REINKE

NProf

COMP

(21663)

FAX: 320/859-6293

ANGIE REINKE

NProf

HWSAL

(30815)

FAX: 320/859-6293

ANGIE REINKE

NProf

COMP

(21663)

FAX: 320/859-6293

ANGIE REINKE

FARIBAULT

---------------------------**********

******** --------------------------

FRIENDSHIP COURT

1228 SOUTH RICE STREET

BLUE EARTH, MN 56013

PHONE:

507/526-6351

FRIENDSHIP COURT

1228 SOUTH RICE STREET

BLUE EARTH, MN 56013

PHONE:

507/526-6351

NProf

COMP

(20457)

FAX: 507/526-3563

MARGARET BRANDT

NProf

HWSAL

(30633)

FAX: 507/526-7427

MARGARET BRANDT

Minnesota Department of Health

Health Regulation Division

Page

126

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

NICOLLET PLACE

Lim-Liab

311 SOUTH NICOLLET STREET

BLUE EARTH, MN 56013

(20008)

PHONE:

651/332-0497

FAX: /-

SISTERCARE

Lim-Liab

311 SOUTH NICOLLET STREET

BLUE EARTH, MN 56013

(20008)

PHONE:

651/332-0497

FAX: /-

SISTERCARE LLC

Lim-Liab

311 S NICOLLET ST

BLUE EARTH, MN 56013

(30290)

PHONE:

651/332-0497

FAX: 507/526-3902

ST. LUKE'S LUTHERAN CARE CENTER

NProf

1219 SOUTH RAMSEY STREET

BLUE EARTH, MN 56013

(00116)

PHONE:

507/526-2184

FAX: 507/526-7427

UNITED HOSPITAL DISTRICT

NProf

515 SOUTH MOORE STREET

BLUE EARTH, MN 56013

(00117)

PHONE:

507/526-3273

FAX: 507/526-3621

UNITED HOSPITAL DISTRICT INC

NProf

125 SOUTH MAIN STREET

BLUE EARTH, MN 56013

(02804)

PHONE:

507/526-7970

FAX: 507/526-3285

UNITED HOSPITAL DISTRICT, INC.

NProf

125 SOUTH MAIN STREET

BLUE EARTH, MN 56013

(02964)

PHONE:

507/526-3273

FAX: 507/526-3285

ELMORE ASSISTED LIVING

Corp

202 EAST NORTH STREET

ELMORE, MN 56027

(31417)

PHONE:

507/943-3333

FAX: 507/943-3311

ELMORE ASSISTED LIVING

Corp

202 EAST NORTH STREET

ELMORE, MN 56027

(32084)

PHONE:

612/986-2084

FAX: 763/417-9999

CLARK CROSSINGS OF WELLS

NProf

351 2ND AVENUE NW

WELLS, MN 56097

(35684)

PHONE:

507/553-5004

FAX: /-

Certification

Registration

FARIBAULT

(Cont.)* --------------------------

COMP

KAYLA XIONG

COMP

KAYLA XIONG

NH-79

MARGARET BRANDT

HOSP-43 BASS-4

RICHARD ASH

COMP

RICHARD ASH

Hospice

RICHARD ASH

MICHAEL LECY

COMP

MICHAEL LECY

KACEY KASEL

HWSAL

SNF-NF-79

CAH-25

HHA

HSPICE

HWS

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

127

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

PARKVIEW CARE CENTER - WELLS

NProf

55 10TH STREET SE

WELLS, MN 56097

(00784)

PHONE:

507/553-3115 FAX: 507/553-6060

THE SHEPHERD'S INN

Church

46 1ST AVENUE SW

WELLS, MN 56097

(20042)

PHONE:

507/553-6271 FAX: 507/553-6830

THE SHEPHERDS INN

Church

46 1ST AVENUE SW

WELLS, MN 56097

(20042)

PHONE:

507/553-6271 FAX: 507/553-6830

THE SHEPHERDS INN

Church

46 1ST AVENUE SW

WELLS, MN 56097

(30320)

PHONE:

507/553-6271 FAX: 507/553-6830

ADOLESCENT TREATMENT CENTER OF WINNEBAGO

NProf

620 1ST AVENUE SOUTHWEST

WINNEBAGO, MN 56098

(01377)

PHONE:

507/893-3885 FAX: 507/893-4223

HEARTLAND SENIOR LIVING HOME CARE

NProf

211 6TH STREET NW

WINNEBAGO, MN 56098

(20270)

PHONE: 507/893-3171 FAX: 507/893-3174

PARKER OAKS COMMUNITIES, INC.

NProf

211 6TH STREET NW

WINNEBAGO, MN 56098

(20270)

PHONE: 507/893-3171 FAX: 507/893-3174

PARKER OAKS SENIOR LIVING

NProf

211 6TH STREET NW

WINNEBAGO, MN 56098

(30463)

PHONE:

507/893-3171 FAX: 507/893-3174

---------------------------**********

CHOSEN VALLEY APARTMENTS

NProf

428 JENSEN LANE SE

CHATFIELD, MN 55923

(29309)

PHONE:

507/867-3416 FAX: 507/867-3426

Certification

Registration

FARIBAULT

(Cont.)* --------------------------

NH-45 SNF-NF-45

MURRAY FINGER

COMP

PAT SCHUSTER

COMP

PAT SCHUSTER

HWSAL

STEVEN LORENZ

SLFA-24

LARRY ANDERSON

COMP

KACEY KASEL

COMP

KACEY KASEL

HWSAL

KACEY KASEL

FILLMORE

******** --------------------------

HWS

CRAIG BACKEN

Minnesota Department of Health

Health Regulation Division

Page

128

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

CHOSEN VALLEY ASSISTED LIVING

NProf

1260 WINONA STREET SE

CHATFIELD, MN 55923

(24105)

PHONE:

507/867-3416

FAX: 507/867-3426

CHOSEN VALLEY ASSISTED LIVING

NProf

1260 WINONA STREET SE

CHATFIELD, MN 55923

(30494)

PHONE:

507/867-3416

FAX: 507/867-3426

CHOSEN VALLEY CARE CENTER

NProf

1102 LIBERTY STREET SE

CHATFIELD, MN 55923

(00750)

PHONE:

507/867-4220

FAX: 507/867-0080

CLARA HOUSE LLC

Lim-Liab

455 MAIN AVENUE NORTH

HARMONY, MN 55939

(21518)

PHONE:

507/886-6515

FAX: 507/886-6620

GUNDERSEN HARMONY CARE CENTER

NProf

815 MAIN AVENUE SOUTH

HARMONY, MN 55939

(00125)

PHONE:

507/886-6544

FAX: 507/886-6584

HARMONY COMMUNITY HOSPITAL

NProf

815 MAIN AVENUE SOUTH

HARMONY, MN 55939

(00125)

PHONE:

507/886-6544

FAX: 507/886-6584

MNRC I LLC

Lim-Liab

455 MAIN AVENUE NORTH

HARMONY, MN 55939

(34446)

PHONE:

507/886-6515

FAX: /-

TRADITIONS OF HARMONY

Lim-Liab

455 MAIN AVENUE NORTH

HARMONY, MN 55939

(21518)

PHONE:

507/886-6515

FAX: 507/886-6620

GREEN LEA SENIOR LIVING

Corp

115 LYNDALE STREET NORTH

MABEL, MN 55954

(00124)

PHONE:

507/493-5436

FAX: 507/493-5461

THE MEADOWS OF MABEL

Corp

610 EAST NEWBURG STREET

MABEL, MN 55954

(23862)

PHONE:

507/493-5995

FAX: /-

Certification

Registration

FILLMORE

(Cont.)* --------------------------

COMP

CRAIG BACKEN

NH-78

CRAIG BACKEN

RAQUEL MARLOW

NH-43

MICHELLE BORRESON

NH-43

MICHELLE BORRESON

COMP

AMY OLSON

RAQUEL MARLOW

NH-41

CHRISTINA HUBKA

COMP

ASHLEY REIN

SNF-NF-78

SNF-NF-43

HWSAL

SNF-NF-41

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

129

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

THE MEADOWS OF MABEL

Corp

610 EAST NEWBURG STREET

MABEL, MN 55954

(30471)

PHONE:

507/493-5995

FAX: 507/493-5995

OSTRANDER ASSISTED LIVING

Corp

309 MINNESOTA STREET

OSTRANDER, MN 55961

(23139)

PHONE:

507/657-2231

FAX: 507/657-2403

OSTRANDER ASSISTED LIVING

Corp

309 MINNESOTA STREET

OSTRANDER, MN 55961

(30336)

PHONE:

507/657-2231

FAX: 507/657-2403

OSTRANDER CARE AND REHAB

Corp

305 MINNESOTA STREET

OSTRANDER, MN 55961

(00922)

PHONE:

507/657-2231

FAX: 507/657-2403

PARK LANE ESTATES

Lim-Liab

111 FILLMORE PLACE SE

PRESTON, MN 55965

(21250)

PHONE:

507/765-9986

FAX: 507/765-9987

PARK LANE ESTATES

Lim-Liab

111 FILLMORE PLACE SE

PRESTON, MN 55965

(30731)

PHONE:

507/765-9986

FAX: 507/765-9987

PRESTON GOOD SAMARITAN SOCIETY HOME CARE

NProf

200 ST PAUL STREET

PRESTON, MN 55965

PHONE:

507/765-2700

TRADITIONS OF PRESTON

515 WASHINGTON STREET NW

PRESTON, MN 55965

PHONE:

507/765-3875

TRADITIONS OF PRESTON

515 WASHINGTON STREET NW

PRESTON, MN 55965

PHONE:

507/765-3837

TRADITIONS OF PRESTON LLC

515 WASHINGTON STREET NW

PRESTON, MN 55965

PHONE:

507/765-3837

(03380)

FAX: 507/765-3339

Lim-Liab

(34402)

FAX: /-

Lim-Liab

(26354)

FAX: 507/765-3838

Lim-Liab

(26354)

FAX: 507/765-3838

Certification

Registration

FILLMORE

(Cont.)* --------------------------

HWSAL

ANGELA LAKO-QUINN

COMP

BEV LUBAHN

HWSAL

GRANT THAYER

NH-25 SNF-NF-25

JANICE HOWE

COMP

CHUCK LANE

HWSAL

CATHY NATION

COMP HHA

JODI BERGEY

COMP

BRETT INGERSOLL

HWSAL

PAMELA KUNERT

HWSAL

PAMELA KUNERT

Minnesota Department of Health

Health Regulation Division

Page

130

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

BREMMER SUITES

NProf

803 HOME STREET

RUSHFORD, MN 55971

(20418)

PHONE:

507/864-7714

FAX: 507/864-2842

BREMMER SUITES

NProf

803 HOME STREET

RUSHFORD, MN 55971

(30626)

PHONE:

507/864-7714

FAX: 507/864-2842

GOOD SHEPHERD LUTHERAN HOME

Church

800 HOME STREET BOX 747

RUSHFORD, MN 55971

(00123)

PHONE:

507/864-7714

FAX: 507/864-2842

THERAPY NETWORK

Part

800 HOME STREET PO BOX 747

RUSHFORD, MN 55971

(02447)

PHONE:

507/454-3621

FAX: /-

SPRING VALLEY CARE CENTER

NProf

800 MEMORIAL DRIVE

SPRING VALLEY, MN 55975

(00121)

PHONE:

507/346-7381

FAX: 507/346-1191

SPRING VALLEY ESTATES

NProf

815 MEMORIAL DRIVE

SPRING VALLEY, MN 55975

(21082)

PHONE: 507/346-1267

FAX: 507/346-7619

SPRING VALLEY ESTATES

NProf

815 MEMORIAL DRIVE

SPRING VALLEY, MN 55975

(30563)

PHONE: 507/346-1246

FAX: 507/346-7619

SPRING VALLEY HOME HEALTH AGENCY

NProf

800 MEMORIAL DRIVE

SPRING VALLEY, MN 55975

(02406)

PHONE:

507/346-1267

FAX: 507/346-7619

THE EVERGREENS

NProf

820 MEMORIAL DRIVE

SPRING VALLEY, MN 55975

(25275)

PHONE:

507/346-1242

FAX: 507/346-7619

---------------------------**********

Certification

Registration

FILLMORE

(Cont.)* --------------------------

COMP

SAMANTHA COLBENSON

NH-70

TOM LINDH

ROBERT SCHRUPP

NH-50

PENNY SOLBERG

COMP

PAMELA POPPENHAGEN

PENNY SOLBERG

COMP

PAM POPPENHAGEN

PENNY SOLBERG

SNF-NF-70

Out Pt Out Ot

SNF-NF-50

HWSAL

HHA

HWSAL

HWS

FREEBORN

******** --------------------------

Minnesota Department of Health

Health Regulation Division

Page

131

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

ALLIED HOME HEALTH INC

Corp

1321 FRANK HALL DR LOWER LEVEL

ALBERT LEA, MN 56007

(32653)

PHONE:

507/668-4024

FAX: 507/369-5613

BANCROFT CREEK ESTATES

NProf

75405 240TH STREET

ALBERT LEA, MN 56007

(29650)

PHONE:

507/379-2739

FAX: 507/379-5964

BROADWAY ASSISTED LIVING

Ind

512 SOUTH BROADWAY AVENUE

ALBERT LEA, MN 56007

(00132)

PHONE:

507/373-2909

FAX: 507/373-2239

BROADWAY ASSISTED LIVING

Ind

512 SOUTH BROADWAY AVENUE

ALBERT LEA, MN 56007

(30222)

PHONE:

507/373-2909

FAX: 507/373-2239

EMBRACE HOME CARE LLC

Lim-Liab

204 S WASHINGTON AVENUE #100

ALBERT LEA, MN 56007

(27834)

PHONE:

507/369-5701

FAX: 507/369-5702

FOUNTAIN CENTERS

NProf

404 WEST FOUNTAIN STREET

ALBERT LEA, MN 56007

(01390)

PHONE:

507/377-6411

FAX: 507/377-6443

GOOD SAM. SOCIETY HIDDEN CREEK

NProf

75303 240TH STREET

ALBERT LEA, MN 56007

(30517)

PHONE:

507/379-2737

FAX: 507/379-5964

GOOD SAMARITAN SOCIETY - ALBERT LEA

NProf

75507 240TH STREET

ALBERT LEA, MN 56007

(00131)

PHONE:

507/373-0683

FAX: 507/373-3229

GOOD SAMARITAN SOCIETY - HIDDEN CREEK

NProf

75303 240TH STREET

ALBERT LEA, MN 56007

(24246)

PHONE:

507/379-2737

FAX: 507/379-5964

GRACE HOME HEALTHCARE INC.

Corp

216 EAST MAIN STREET #5

ALBERT LEA, MN 56007

(35172)

PHONE:

507/369-5370

FAX: 507/369-5983

Certification

Registration

FREEBORN

(Cont.)* --------------------------

COMP

VICTORIA MCGILL

KATIE DAVIS

COMP

LINDA WAALKENS

COMP

PATTY MADRIGAL

SLFA-26 SLFB-32

MELISSA BARR

KATIE DAVIS

NH-85

KATIE DAVIS

COMP

JILL MCGARY

TCOMP

TODD COUGHLIN

HWS

HWSAL

SNF-NF-85

Minnesota Department of Health

Health Regulation Division

Page

132

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

FREEBORN

(Cont.)* --------------------------

JOANN JENSEN

Ind

Home Mgmt

811 NORTH SHORE AVENUE

ALBERT LEA, MN 56007

(24939)

PHONE:

507/448-0122

FAX: /-

JOANN JENSEN

JUST LIKE HOME PLACE, LLP

Part

COMP HCBS

310 EAST CLARK STREET

ALBERT LEA, MN 56007

(20205)

PHONE:

507/373-0975

FAX: 507/377-6186

LAURIE KEYESKI

JUST LIKE HOME PLACE, LLP

Part

HWSAL

310 EAST CLARK STREET

ALBERT LEA, MN 56007

(23461)

PHONE:

507/373-0975

FAX: 507/377-6186

ROLAND KEYESKI

KNUTSON PLACE APARTMENTS

NProf

COMP

901 LUTHER PLACE

ALBERT LEA, MN 56007

(20016)

PHONE:

507/373-8226

FAX: 507/379-9506

SCOT SPATES

KNUTSON PLACE APARTMENTS

NProf

HWS

801 LUTHER PLACE

ALBERT LEA, MN 56007

(30310)

PHONE:

507/373-8226

FAX: 507/379-9506

SCOT SPATES

MAYO CLINIC DIALYSIS

NProf

ESRD

1705 SE BROADWAY AVENUE

ALBERT LEA, MN 56007

(02118)

PHONE:

507/377-5920

FAX: 507/377-5921

SUSAN MYAYA

MAYO CLINIC HEALTH SYSTEM - ALBERT LEA

NProf

HOSP-159 BASS-22 HOSP-143 PPS-P-16

404 WEST FOUNTAIN STREET

ALBERT LEA, MN 56007

(00920)

PHONE:

507/377-6490

FAX: 507/377-6383

KRISTIN JOHNSON

MAYO CLINIC HEALTH SYSTEM - ALBERT LEA

NProf

Hospice HSPICE

1705 SE BROADWAY AVENUE

ALBERT LEA, MN 56007

(03179)

PHONE:

507/377-6393

FAX: 507/377-6451

LESA ANDERSON

MAYO CLINIC HEALTH SYSTEM ALBERT LEA AND AUSTIN

NProf

HOSP-159 BASS-22 HOSP-143 PPS-P-16

404 WEST FOUNTAIN STREET

ALBERT LEA, MN 56007

(00920)

PHONE:

507/377-6490

FAX: 507/377-6383

KRISTIN JOHNSON

MAYO HEALTH SYSTEM ALBERT LEA AND AUSTIN

NProf

HOSP-159 BASS-22 HOSP-143 PPS-P-16

404 WEST FOUNTAIN STREET

ALBERT LEA, MN 56007

(00920)

PHONE:

507/377-6490

FAX: 507/377-6383

KRISTIN JOHNSON

Minnesota Department of Health

Health Regulation Division

Page

133

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

OAK PARK

1615 BRIDGE AVENUE

ALBERT LEA, MN 56007

PHONE:

507/373-5600

OAK PARK PLACE

1615 BRIDGE AVENUE

ALBERT LEA, MN 56007

PHONE:

507/373-5600

OAK PARK PLACE OF ALBERT LEA LLC

1615 BRIDGE AVENUE

ALBERT LEA, MN 56007

PHONE:

507/373-5600

PRAIRIE SENIOR COTTAGES OF ALBERT LEA, LLC

1602 FOUNTAIN STREET

ALBERT LEA, MN 56007

PHONE:

507/379-9000

PRAIRIE SENIOR COTTAGES OF ALBERT LEA, LLC

1602 FOUNTAIN STREET

ALBERT LEA, MN 56007

PHONE:

507/379-9000

PRAIRIE SENIOR COTTAGES OF ALBERT LEA, LLC

1604 FOUNTAIN STREET

ALBERT LEA, MN 56007

PHONE:

507/379-9000

ST JOHN'S COMMUNITY CARE

901 LUTHER PLACE

ALBERT LEA, MN 56007

PHONE:

507/373-8226

ST. JOHN'S LUTHERAN HOME

901 LUTHER PLACE

ALBERT LEA, MN 56007

PHONE:

507/373-8226

ST. JOHN'S ON FOUNTAIN LAKE

1771 EAGLE VIEW CIRCLE

ALBERT LEA, MN 56007

PHONE:

507/373-8226

THE MEADOWS

1761 EAGLE VIEW CIRCLE

ALBERT LEA, MN 56007

PHONE:

507/373-8226

Lim-Liab

(21154)

FAX: 507/373-1121

Lim-Liab

(30707)

FAX: /-

Lim-Liab

(21154)

FAX: 507/373-1121

Lim-Liab

(29689)

FAX: 507/373-1880

Lim-Liab

(29690)

FAX: 507/373-1880

Lim-Liab

(29691)

FAX: 507/373-1880

NProf

(20016)

FAX: 507/379-9506

Church

(00138)

FAX: 507/379-9506

Church

(31639)

FAX: 507/379-9506

NProf

(32452)

FAX: 507/379-9506

Certification

FREEBORN

(Cont.)*

COMP

SHELLY MEHUS

SCOTT FRANK

COMP

SHELLY MEHUS

COMP

NICOLE BROSKOFF

BRYAN CHRISTIANSON

COMP

SCOT SPATES

Registration

--------------------------

HWSAL

NH-79 SNF-NF-79

SCOT SPATES

NH-84 SNF-NF-84

SCOT SPATES

HWSAL

SCOT SPATES

Minnesota Department of Health

Health Regulation Division

Page

134

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

FREEBORN

(Cont.)* --------------------------

THORNE CREST RETIREMENT CENTER

1201 GARFIELD AVENUE

ALBERT LEA, MN 56007

PHONE:

507/373-2311

THORNE CREST RETIREMENT CENTER

1201 GARFIELD AVENUE

ALBERT LEA, MN 56007

PHONE:

507/373-2311

THORNE CREST RETIREMENT CENTER

1201 GARFIELD AVENUE

ALBERT LEA, MN 56007

PHONE:

507/373-2311

WATERS EDGE

1841 EAGLE VIEW CIRCLE

ALBERT LEA, MN 56007

PHONE:

507/373-8226

NProf

NH-52 SNF-NF-52

(00833)

FAX: 507/377-1216

NProf

COMP

(20111)

FAX: 507/377-1216

NProf

HWSAL

(30418)

FAX: 507/377-1216

CHRIS SCHULZ

NProf

HWS

(32524)

FAX: 507/379-9506

PAT FRYDENLUND

---------------------------**********

GOODHUE

******** --------------------------

CANNON RIVERS SENIOR LIVING

900 MAIN STREET WEST

CANNON FALLS, MN 55009

PHONE:

507/263-3600

GLAZON CARE THE VIEW HOUSE 2

315 LARKSPUR LANE

CANNON FALLS, MN 55009

PHONE: 507/322-0020

GLAZON CARE THE VIEW HOUSE 3

319 LARKSPUR LANE

CANNON FALLS, MN 55009

PHONE:

507/322-0020

MARLO PRANKE

9489 COUNTY 25 BOULEVARD

CANNON FALLS, MN 55009

PHONE:

651/258-4099

MAYO CLINIC HEALTH SYSTEM - CANNON FALLS

32021 COUNTY 24 BOULEVARD

CANNON FALLS, MN 55009

PHONE:

507/263-6000

Lim-Liab

HWSAL

(26730)

FAX: 507/263-6085

ERIN HILLIGAN

Corp

HWSAL

(35920)

FAX: 507/353-2760 OTIS ZEON, MD

Corp

HWSAL

(35921)

FAX: 507/353-2760

OTIS ZEON, MD

Ind

Home Mgmt

(32378)

FAX: 612/475-5886

MARLO PRANKE

NProf

HOSP-15 BASS-0 CAH-15

(00140)

FAX: 507/263-9640

WILLIAM PRIEST

Minnesota Department of Health

Health Regulation Division

Page

135

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

MAYO CLINIC HEALTH SYSTEM-CANNON FALLS

NProf

32021 COUNTY 24 BOULEVARD

CANNON FALLS, MN 55009

(00140)

PHONE:

507/263-6000

FAX: 507/263-9640

MCHAVEN INC

Corp

308 LARKSPUR LANE

CANNON FALLS, MN 55009

(33244)

PHONE:

507/298-4048

FAX: 507/263-2179

THE GARDENS AT CANNON FALLS

Lim-Liab

300 DOW STREET NORTH

CANNON FALLS, MN 55009

(00758)

PHONE:

507/263-4658

FAX: 507/263-4127

THE VIEW I - MCHAVEN INC.

Corp

308 LARKSPUR LANE

CANNON FALLS, MN 55009

(30097)

PHONE:

507/298-4048

FAX: 507/263-2179

GUNDERSON GARDENS

Church

215 HUSETH STREET

KENYON, MN 55946

(23397)

PHONE:

507/789-7138

FAX: 507/789-5679

GUNDERSON GARDENS

Church

215 HUSETH STREET

KENYON, MN 55946

(30359)

PHONE:

507/789-7138

FAX: 507/789-5679

GUNDERSON GARDENS ROSE WING

NProf

127 GUNDERSON BOULEVARD

KENYON, MN 55946

(31082)

PHONE:

507/789-7101

FAX: 507/789-8843

KENYON SUNSET HOME

Church

127 GUNDERSON BOULEVARD

KENYON, MN 55946

(00145)

PHONE:

507/789-6134

FAX: 507/789-8843

NORTH RIDGE VIEW LLC

Lim-Liab

101 NORTH RIDGE DRIVE

KENYON, MN 55946

(27617)

PHONE:

507/789-6184

FAX: 507/789-6184

NORTH RIDGE VIEW LLC

Lim-Liab

101 NORTH RIDGE DRIVE

KENYON, MN 55946

(30752)

PHONE:

507/789-6184

FAX: 507/789-6184

Certification

Registration

GOODHUE

(Cont.)* --------------------------

HOSP-15 BASS-0

WILLIAM PRIEST

COMP

LEON HANSON

NH-89

CORY GLAD

LEON HANSON

COMP

CHELSEA KALAL

NH-21

CHELSEA KALAL

COMP

PAULA GERMUNDSON

CAH-15

SNF-NF-89

HWSAL

SNF-NF-21

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

136

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

MAYO CLINIC HEALTH SYSTEM - LAKE CITY

NProf

500 WEST GRANT STREET

LAKE CITY, MN 55041

(20693)

PHONE:

651/345-5955

FAX: 651/345-1182

THE BLUFFS OF LAKE CITY

Lim-Liab

480 WEST GRANT STREET

LAKE CITY, MN 55041

(31876)

PHONE:

651/448-8333

FAX: /-

EVERGREEN PLACE

ONProf

220 3RD STREET NW

PINE ISLAND, MN 55963

(20321)

PHONE:

507/356-8585

FAX: 507/356-8563

EVERGREEN PLACE

ONProf

220 3RD STREET NW

PINE ISLAND, MN 55963

(30468)

PHONE:

507/356-8585

FAX: 507/356-8563

PINE HAVEN CARE CENTER, INC.

NProf

210 3RD STREET NW

PINE ISLAND, MN 55963

(00148)

PHONE:

507/356-8304

FAX: 507/356-4400

BAY VIEW NURSING & REHABILITATION CENTER

Lim-Liab

1412 WEST 4TH STREET

RED WING, MN 55066

(00149)

PHONE:

651/385-4800

FAX: 651/385-0967

DEER CREST

Lim-Liab

470 HEWITT BOULEVARD

RED WING, MN 55066

(30636)

PHONE:

651/267-5444

FAX: 651/267-5429

ELYSIAN HOME CARE

Lim-Liab

129 HEDIN AVENUE #202

RED WING, MN 55066

(34511)

PHONE:

651/324-2729

FAX: /-

ELYSIAN HOME CARE

Lim-Liab

129 HEDIN AVENUE #202

RED WING, MN 55066

(35650)

PHONE:

651/327-2729

FAX: /-

HIAWATHA HOMECARE

Corp

4920 MOUNDVIEW DRIVE STE B

RED WING, MN 55066

(02923)

PHONE:

651/388-2223

FAX: 651/388-2227

Certification

Registration

GOODHUE

(Cont.)* --------------------------

HOSP-18 BASS-0 CAH-18

WILLIAM PRIEST

LUCY BOXRUD

COMP

ELLEN NEWMAN

STEVE ZILLER

NH-70

MARCUS PARENCE

NH-110

FRANK ROBINSON

SNF-NF-70

SNF-NF-110

ERIN HILLIGAN

TCOMP

LUCY BOXRUD

TCOMP

LUCY BOXRUD

COMP

KARI KUHLMAN

HHA

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

137

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

JORDAN TOWER I

HRA

433 WEST 4TH STREET

RED WING, MN 55066

(21039)

PHONE:

651/301-7018

FAX: 651/385-0551

JORDAN TOWER II

HRA

440 WEST 5TH STREET

RED WING, MN 55066

(21040)

PHONE:

651/301-7018

FAX: 651/385-0551

LOVING RESIDENCE

Lim-Liab

1760 PERLICH AVENUE

RED WING, MN 55066

(20142)

PHONE:

651/388-1650

FAX: 651/388-1684

LOVING RESIDENCE

Lim-Liab

1760 PERLICH AVENUE

RED WING, MN 55066

(30421)

PHONE:

651/388-1650

FAX: 651/388-1684

MA'S ROOM AND BOARD

Corp

605 EAST AVENUE

RED WING, MN 55066

(32641)

PHONE:

651/398-9709

FAX: 651/212-6671

MAYO CLINIC HEALTH SYSTEM-RED WING

NProf

701 HEWITT BOULEVARD

RED WING, MN 55066

(21423)

PHONE:

651/267-5000

FAX: 651/267-5935

MAYO CLINIC HEALTH SYSTEM-RED WING HOSPICE

NProf

906 COLLEGE AVENUE

RED WING, MN 55066

PHONE:

651/385-3410

OMEGA HOME HEALTHCARE LLC

129 HEDIN AVENUE #101

RED WING, MN 55066

PHONE:

651/388-1010

POTTER RIDGE

1971 NEAL STREET

RED WING, MN 55066

PHONE:

651/388-1546

POTTER RIDGE

1971 NEAL STREET

RED WING, MN 55066

PHONE:

651/388-1546

(03130)

FAX: 651/385-3414

Lim-Liab

(02048)

FAX: 651/388-1178

Corp

(24048)

FAX: 651/388-1438

Corp

(30489)

FAX: 651/388-1438

Certification

Registration

GOODHUE

(Cont.)* --------------------------

HWS-O

JESSICA KITZMANN

HWS-O

JESSICA KITZMANN

COMP

SANDRA MCDONALD

HWSAL

SANDRA MCDONALD

HWSAL

JOHN ROYALTY

HOSP-50 BASS-7 HOSP-50

WILLIAM PRIEST

Hospice HSPICE

LESA ANDERSON

COMP HHA

ADERONKE O MORDI

COMP

JACOB WORK

HWSAL

ANGELA BUDENSIEK

Minnesota Department of Health

Health Regulation Division

Page

138

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

ROYALTY HOMES

605 EAST AVENUE

RED WING, MN 55066

PHONE:

651/398-9709

ST CRISPIN LIVING COMMUNITY

213 PIONEER ROAD

RED WING, MN 55066

PHONE:

651/388-1234

ST. CRISPIN LIVING COMMUNITY-THE VILLA

135 PIONEER ROAD

RED WING, MN 55066

PHONE:

651/388-1234

ST. CRISPIN LIVING COMMUNITY-THE VILLA

135 PIONEER ROAD

RED WING, MN 55066

PHONE:

651/388-1234

VALENTINES ASSISTED LIVING LLC

2557 EAGLE RIDGE DRIVE

RED WING, MN 55066

PHONE:

651/388-1650

VALENTINES ASSISTED LIVING LLC

2557 EAGLE RIDGE DRIVE

RED WING, MN 55066

PHONE:

651/388-1650

VISITING ANGELS

2000 OLD WEST MAIN STREET #328

RED WING, MN 55066

PHONE:

651/212-6600

VISITING ANGELS

2000 OLD WEST MAIN STREET #328

RED WING, MN 55066

PHONE:

763/219-3357

THE BRIDGES OF ZUMBROTA

295 WEST 4TH STREET

ZUMBROTA, MN 55992

PHONE:

507/732-8455

ZUMBROTA CARE CENTER

433 MILL STREET

ZUMBROTA, MN 55992

PHONE:

507/732-8400

Corp

(32515)

FAX: 651/212-6671

NProf

(00150)

FAX: 651/388-0347

Church

(03227)

FAX: 651/385-5481

Church

(20291)

FAX: 651/385-5481

Lim-Liab

(25435)

FAX: 651/388-1684

Lim-Liab

(30583)

FAX: 651/388-1684

Lim-Liab

(26490)

FAX: 651/385-2225

Lim-Liab

(26539)

FAX: 651/385-2225

NProf

(20583)

FAX: 507/732-8433

NProf

(00917)

FAX: 507/732-8430

Certification

Registration

GOODHUE

(Cont.)* --------------------------

COMP

JOHN ROYALTY

NH-64 SNF-NF-64

JACOB GOERING

COMP

JACOB GOERING

HWSAL-O

JAKE GOERING

COMP

SANDRA MCDONALD

HWSAL

SANDRA MCDONALD

Home Mgmt

JAY ROESNER

COMP

BRANDY SOTO

HWSAL

LILY BARTZ

NH-50 SNF-NF-50

LAURA ERICKSON

Minnesota Department of Health

Health Regulation Division

Page

139

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

ZUMBROTA CARE CENTER HOME CARE

NProf

433 MILL STREET

ZUMBROTA, MN 55992

(22850)

PHONE:

507/732-8455 FAX: 507/732-8433

---------------------------**********

ASHBY HOLDINGS, LLC DBA ASHBY LIVING CENTER

Lim-Liab

112 IVERSON AVENUE

ASHBY, MN 56309

(29371)

PHONE:

218/747-2995 FAX: 218/747-2996

ASHBY LIVING CENTER

Lim-Liab

112 IVERSON AVENUE

ASHBY, MN 56309

(33447)

PHONE:

218/747-2995 FAX: 218/747-2996

PURPOSE HOME HEALTHCARE INC

Corp

31154 COUNTY ROAD 10

ASHBY, MN 56309

(32920)

PHONE:

218/371-1943 FAX: 218/747-2233

BARRETT ASSISTED LIVING INC

Corp

800 SPRUCE AVENUE

BARRETT, MN 56311

(20428)

PHONE:

320/528-2371 FAX: 320/528-2374

BARRETT ASSISTED LIVING COMMUNITY, INC.

Corp

800 SPRUCE AVENUE

BARRETT, MN 56311

(20428)

PHONE: 320/528-2371 FAX: 320/528-2374

BARRETT CARE CENTER, INC.

Corp

800 SPRUCE AVENUE

BARRETT, MN 56311

(00153)

PHONE:

320/528-2527 FAX: 320/528-2642

ROLLING HILLS HOME CARE

Corp

800 SPRUCE AVENUE

BARRETT, MN 56311

(28985)

PHONE:

320/528-2527 FAX: 320/528-2642

CARING SUITES OF ELBOW LAKE

NProf

1110 2ND STREET NE

ELBOW LAKE, MN 56531

(34770)

PHONE:

218/685-2188 FAX: 218/685-2189

Certification

Registration

GOODHUE

(Cont.)* --------------------------

COMP

LAURA ERICKSON

GRANT

******** --------------------------

COMP

JANET NOVAK

LANCE BERGSTROM

COMP

ANA KNIGHT

JEANINE JUNKER

NH-45

JEANINE JUNKER

COMP

JEANINE JUNKER

PAULA VIKER

HWSAL

SNF-NF-45

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

140

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

GRANT

(Cont.)* --------------------------

PRAIRIE RIDGE HOSPITAL AND HEALTH SERVICES

NProf

HOSP-10 BASS-2 CAH-10

1411 HIGHWAY 79 EAST

ELBOW LAKE, MN 56531

(00154)

PHONE:

218/685-7300 FAX: 320/685-7296

DANIELLE LESMEISTER

HOFFMAN SENIOR LIVING

NProf

HWSAL

601 CAROLINA AVENUE

HOFFMAN, MN 56339

(34009)

PHONE:

320/986-4775 FAX: 320/986-4777

CHRISTOPHER KNOLL

---------------------------**********

HENNEPIN

******** --------------------------

A+ HOME HEALTH CARE, INC.

NProf

BASIC

10516 FRANCE AVENUE SOUTH #324

BLOOMINGTON, MN 55431

(03413)

PHONE:

952/854-7760 FAX: 952/854-7842

DONNA ROBB

ACE VENT HOME

Lim-Liab

HWSAL

9224 ELLIOT AVENUE

BLOOMINGTON, MN 55420

(35477)

PHONE:

612/999-5977 FAX: 612/268-0878

TENZIN PALDON

ADAMS HEALTH CARE SERVICES

Lim-Liab

HWS-O

10036 WASHBURN AVENUE SOUTH

BLOOMINGTON, MN 55431

(35359)

PHONE:

952/215-7701 FAX: /-

UBAH DHIBLAWE

ADAMS HEALTH CARE SERVICES

Lim-Liab

COMP

10036 WASHBURN AVENUE SOUTH

BLOOMINGTON, MN 55431

(33871)

PHONE: 952/215-7701 FAX: 952/405-8803

UBAH DHIBLAWE

ADVACARE CLINICS LTD

Corp

Out Pt

5001 AMERICAN BLVD WEST #945

BLOOMINGTON, MN 554371162

(30155)

PHONE:

952/835-6653 FAX: 952/835-3895

DENNIS LENSELINK

AFFINITY RESIDENTIAL CARE LLC

Lim-Liab

TCOMP HCBS

9213 ELLIOT AVENUE SOUTH

BLOOMINGTON, MN 55420

(35461)

PHONE:

612/386-0942 FAX: /-

ZAHNIA HARUT

AFFINITY RESIDENTIAL CARE LLC

Lim-Liab

HWSAL-O

9213 ELLIOT AVENUE SOUTH

BLOOMINGTON, MN 55420

(35648)

PHONE:

612/386-0942 FAX: 612/930-0108

ZAHNUA HARUT

Minnesota Department of Health

Health Regulation Division

Page

141

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

AMELIE HOUSE

Lim-Liab

1400 WEST 100TH STREET

BLOOMINGTON, MN 55431

(26939)

PHONE:

952/881-6424

FAX: 952/217-5677

ASERACARE HOSPICE

Corp

5001 AMERICAN BOULEVARD #655

BLOOMINGTON, MN 55437

(23584)

PHONE:

952/943-0009

FAX: 952/943-1187

ASSISTED LIVING IN HERITAGE HALL

NProf

11501 MASONIC HOME DRIVE

BLOOMINGTON, MN 55437

(20126)

PHONE:

952/948-7513

FAX: 952/948-7516

ASSISTED LIVING IN HERITAGE HALL

NProf

11501 MASONIC HOME DRIVE

BLOOMINGTON, MN 55437

(30419)

PHONE:

952/948-6901

FAX: 952/948-7970

ASSURED CARE

Corp

9630 UPTON ROAD

BLOOMINGTON, MN 55431

(29064)

PHONE:

952/290-3003

FAX: 952/314-1527

ASSURED CARE

Corp

9630 UPTON ROAD

BLOOMINGTON, MN 55431

(32366)

PHONE:

952/444-3170

FAX: 952/314-1527

BANI HOMES

Lim-Liab

8454 KELL AVENUE SOUTH

BLOOMINGTON, MN 55437

(35376)

PHONE:

612/442-4084

FAX: /-

BEAUTIFUL HEARTS LLC

Lim-Liab

8617 PORTLAND AVENUE SOUTH

BLOOMINGTON, MN 55420

(34396)

PHONE:

612/353-4335

FAX: 612/345-7639

BLOOMINGTON DIALYSIS UNIT OF TRC

Corp

8591 LYNDALE AVENUE SOUTH

BLOOMINGTON, MN 55420

(20863)

PHONE:

952/703-5888

FAX: 952/703-5889

BRECK HOME RESIDENTIAL CARE

Lim-Liab

312 WEST 95TH STREET

BLOOMINGTON, MN 55420

(23111)

PHONE:

612/702-8801

FAX: 952/881-2100

Certification

Registration

HENNEPIN

(Cont.)* --------------------------

JAMES HAMMILL

Hospice

MARY CORNAY

COMP

BETH SCHROEDER

COMP

CAREESE COLEMAN

BALGISA HASSAN

NAJIB ISSE

BRITT JAENKE

COMP

JENNIFER MORGAN

HWS-O

HSPICE

HWSAL

HWSAL-O

ESRD

Minnesota Department of Health

Health Regulation Division

Page

142

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

BRECK HOME RESIDENTIAL CARE

318 WEST 95TH STREET

BLOOMINGTON, MN 55420

PHONE:

612/702-8801

BRECK HOME RESIDENTIAL CARE

312 WEST 95TH STREET

BLOOMINGTON, MN 55420

PHONE:

612/702-8801

BRECK HOME RESIDENTIAL CARE CENTER, LLC

312 WEST 95TH STREET

BLOOMINGTON, MN 55420

PHONE:

612/702-8801

BROOKDALE HOSPICE MINNESOTA

7801 EAST BUSH LAKE ROAD #230

BLOOMINGTON, MN 55438

PHONE:

952/831-0193

CARDENAS FRIENDSHIP HOUSE

3608 WEST 84TH STREET

BLOOMINGTON, MN 55431

PHONE:

612/670-1380

CAREMINDERS HOME CARE

8210 PENN AVENUE SOUTH #140

BLOOMINGTON, MN 55423

PHONE:

952/500-8750

CARESTAY HOMES LLC

7900 INT'L DRIVE #300-7005

BLOOMINGTON, MN 55425

PHONE:

612/230-1238

CARING FRIENDS

8309 GARFIELD AVENUE SOUTH

BLOOMINGTON, MN 55420

PHONE:

612/723-2281

CARLSON DRAKE HOUSE

5414 WEST OLD SHAKOPEE CIRCLE

BLOOMINGTON, MN 55437

PHONE:

952/888-5611

CHU SURGERY CENTER, LLC

9117 LYNDALE AVENUE SOUTH

BLOOMINGTON, MN 55420

PHONE:

952/835-1235

Lim-Liab

(24594)

FAX: 952/881-2100

Lim-Liab

(30305)

FAX: 952/881-2100

Lim-Liab

(23111)

FAX: 952/881-2100

Lim-Liab

(29308)

FAX: 952/831-0191

Corp

(20981)

FAX: /-

Lim-Liab

(32380)

FAX: 612/353-6052

Lim-Liab

(35768)

FAX: 852/854-8437

Lim-Liab

(35338)

FAX: /-

Corp

(01508)

FAX: 952/888-3741

Lim-Liab

(25881)

FAX: 952/835-1092

Certification

Registration

HENNEPIN

(Cont.)* --------------------------

HWSAL

JENNIFER MORGAN

HWSAL

JENNIFER MORGAN

COMP

JENNIFER MORGAN

Hospice HSPICE

TAMMY MORAN

HWS

ROBERT CARDENAS

COMP

BARBARA DWYER

TCOMP

ABDULRAZAQ JIBAR

TCOMP

HALIMO ADAN

SLFA-12

SUSAN OPPERMAN

Outpt Surg Amb Surg

CARRIE JACOBS

Minnesota Department of Health

Health Regulation Division

Page

143

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

DESTINY HOME CARE SERVICES

8709 BRYANT AVENUE SOUTH

BLOOMINGTON, MN 55420

PHONE:

952/888-1405

DESTINY HOME CARE SERVICES

9907 WENTWORTH AVENUE SOUTH

BLOOMINGTON, MN 55420

PHONE:

952/888-7172

DESTINY HOME CARE SERVICES

8036 UPTON AVENUE SOUTH

BLOOMINGTON, MN 55431

PHONE:

952/888-7172

DESTINY HOME CARE SERVICES INC

3108 108TH STREET

BLOOMINGTON, MN 55420

PHONE:

952/888-7172

DESTINY HOME CARE SERVICES INC

9318 CHICAGO AVENUE SOUTH

BLOOMINGTON, MN 55420

PHONE:

952/888-7172

DESTINY HOME CARE SERVICES INC

8007 UPTON AVENUE SOUTH

BLOOMINGTON, MN 55431

PHONE:

952/888-7172

DESTINY HOME CARE SERVICES, INC.

9907 WENTWORTH AVENUE SOUTH

BLOOMINGTON, MN 55420

PHONE:

952/888-7172

DIGNITY HOME CARE LLC

8613 ZENITH ROAD

BLOOMINGTON, MN 55431

PHONE:

612/402-9116

ELITE QUALITY SERVICES LLC

5100 WEST 82ND STREET #391

BLOOMINGTON, MN 55437

PHONE:

952/465-1522

FIRST CHOICE ASSISTED LIVING

2301 WEST 96TH STREET

BLOOMINGTON, MN 55431

PHONE:

952/955-9110

Corp

(27248)

FAX: 952/888-7724

Corp

(27249)

FAX: 952/888-7724

Corp

(28028)

FAX: 952/888-7724

Corp

(32133)

FAX: 952/888-7724

Corp

(32136)

FAX: 952/888-7724

Corp

(33140)

FAX: 952/888-7724

Corp

(24149)

FAX: 952/888-7724

Lim-Liab

(35886)

FAX: /-

Lim-Liab

(34652)

FAX: /-

Corp

(34964)

FAX: /-

Certification

HENNEPIN

(Cont.)*

FAITH UDEH

COMP

FAITH UDEH

MUNA HASSAN

COMP

MUNA MOHAMED JAMA

TCOMP

NAWAL HIRSI

Registration

--------------------------

HWS-O

HWSAL-O

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

144

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

FIRST CHOICE ASSISTED LIVING

2301 WEST 96TH STREET

BLOOMINGTON, MN 55431

PHONE:

612/598-6981

FIRST CHOICE RESIDENTIAL CARE INC.

2301 WEST 108TH STREET

BLOOMINGTON, MN 55431

PHONE:

763/227-1571

FIRST MERCY HOMES LLC

7800 METRO PARKWAY #110

BLOOMINGTON, MN 55425

PHONE:

206/915-3015

FMC SOUTHTOWN DIALYSIS

7901 XERXES AVENUE SOUTH #103

BLOOMINGTON, MN 55431

PHONE:

952/881-6986

FOUNDERS RIDGE

6600 AUTO CLUB ROAD

BLOOMINGTON, MN 55438

PHONE:

952/946-2000

FOUNDERS RIDGE

6600 AUTO CLUB ROAD

BLOOMINGTON, MN 55438

PHONE:

952/946-2000

FRIENDSHIP VILLAGE BLOOMINGTON

8100 HIGHWOOD DRIVE

BLOOMINGTON, MN 55438

PHONE:

952/831-7500

FRIENDSHIP VILLAGE OF BLOOMINGTON

8100 HIGHWOOD DRIVE

BLOOMINGTON, MN 55438

PHONE:

952/831-7500

GARFIELD COMMONS

9450 GARFIELD AVENUE SOUTH

BLOOMINGTON, MN 55420

PHONE:

651/639-9799

GRACE HOME HEALTH CARE LLC

7800 METRO PARKWAY #300

BLOOMINGTON, MN 55425

PHONE:

612/354-3823

Corp

(35462)

FAX: /-

Corp

(35573)

FAX: /-

Lim-Liab

(34911)

FAX: /-

Corp

(25770)

FAX: 952/881-0621

NProf

(28701)

FAX: 952/946-2001

NProf

(29092)

FAX: 952/946-2001

NProf

(20194)

FAX: 952/830-9893

NProf

(00806)

FAX: 952/830-9405

NProf

(24489)

FAX: 651/639-3699

Lim-Liab

(30161)

FAX: 952/851-9618

Certification

Registration

HENNEPIN

(Cont.)* --------------------------

HWSAL

NAWAL HIRSI

HWSAL-O

ABDISATAR AHMED

TCOMP

MOHAMED YUSUR

ESRD

DANIELLE MEULENERS

HWSAL

JEN BRODAHL

COMP

NATALIE MORLAND

HWS

DAVID MILLER

NH-66 BCH-53 SNF-66

JENNIFER BEVER

HWSAL-O

CHRIS WINTER

COMP

GRACE HAMDI AFYARE

Minnesota Department of Health

Health Regulation Division

Page

145

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

GREAT OAK SENIOR CARE, INC.

Corp

7800 METRO PARKWAY #300

BLOOMINGTON, MN 55425

(31526)

PHONE:

952/767-4925

FAX: 952/851-9618

HEALTHPARTNERS HOSPICE AND PALLIATIVE CARE

NProf

8101 34TH AVENUE SOUTH

BLOOMINGTON, MN 55425

(02533)

PHONE:

952/883-6877

FAX: 952/883-6883

HOPE HOMES LLC

Lim-Liab

8035 STEVENS AVENUE SOUTH

BLOOMINGTON, MN 55420

(34663)

PHONE:

612/407-0471

FAX: /-

HOPE RESIDENTIAL HOMES LLC

Lim-Liab

9800 MORGAN AVENUE SOUTH

BLOOMINGTON, MN 55431

(34606)

PHONE:

612/598-8681

FAX: /-

HOPE'S RESIDENCE

Lim-Liab

9800 MORGAN AVENUE

BLOOMINGTON, MN 55431

(34037)

PHONE:

612/598-8681

FAX: 952/208-1888

JOYFUL RESIDENTIAL ASSISTED LIVING

Lim-Liab

9524 ELLIOT AVENUE SOUTH

BLOOMINGTON, MN 55420

(35551)

PHONE:

612/502-1697

FAX: 612/605-2327

JOYFUL RESIDENTIAL ASSISTED LIVING

Corp

9524 ELLIOT AVENUE SOUTH

BLOOMINGTON, MN 55420

(35900)

PHONE:

612/567-4143

FAX: 612/605-2327

LIFESPACE PERSONAL SERVICES

NProf

8100 HIGHWOOD DRIVE

BLOOMINGTON, MN 55438

(03093)

PHONE:

952/830-9485

FAX: 952/830-9891

MANZMED START CORPORATIONS

Corp

10417 ZENITH AVENUE SOUTH

BLOOMINGTON, MN 55431

(34857)

PHONE:

612/701-4896

FAX: /-

MANZMED START CORPORATIONS

Corp

10417 ZENITH AVENUE SOUTH

BLOOMINGTON, MN 55431

(36083)

PHONE:

612/701-4896

FAX: /-

Certification

Registration

HENNEPIN

(Cont.)* --------------------------

BASIC

KEITH DAHLEN

Hospice HSPICE

BETH WERNER

SALEBAN DUALE

ASHA WARFA

COMP

ASHA WARFA

TCOMP

MARIAH ADANENE

COMP

PAULA DEJONG JACKSON

TCOMP

NIMO SALIM

NIMO AHMED SALIM

HWSAL-O

HWS

HWSAL

HWSAL-O

Minnesota Department of Health

Health Regulation Division

Page

146

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

MARTIN LUTHER CARE CENTER

Lim-Liab

1401 EAST 100TH STREET

BLOOMINGTON, MN 55425

(00227)

PHONE:

952/888-7751

FAX: 952/888-5465

MEADOW WOODS

Lim-Liab

1301 EAST 100TH STREET

BLOOMINGTON, MN 55425

(20264)

PHONE:

952/888-1010

FAX: 952/881-4323

METRO ASSISTED LIVING AND REHABILITATION CENTER

Lim-Liab

LLC

10750 BRUNSWICK ROAD #206

BLOOMINGTON, MN 55438

PHONE:

612/839-2458

METROPOLITAN LIVING LLC - MATILDE SITE

9230 5TH AVENUE SOUTH

BLOOMINGTON, MN 55420

PHONE:

952/888-1090

MIDWEST RESIDENTIAL

10325 ZINRAN AVENUE SOUTH

BLOOMINGTON, MN 55438

PHONE:

651/315-2649

MIDWEST RESIDENTIAL INC

10917 HUMBOLDT AVENUE SOUTH

BLOOMINGTON, MN 55431

PHONE:

651/315-2649

MIDWEST RESIDENTIAL INC

10917 HUMBOLDT AVENUE SOUTH

BLOOMINGTON, MN 55431

PHONE:

651/315-2649

(35553)

FAX: 612/998-2758

Lim-Liab

(30669)

FAX: 952/217-5677

Corp

(34483)

FAX: 612/979-2604

Corp

(33248)

FAX: /-

Corp

(33081)

FAX: 612/979-2604

MINNESOTA EYE LASER & SURGERY CENTERS, LLC

Lim-Liab

9801 DUPONT AVENUE SOUTH #100

BLOOMINGTON, MN 55431

(00301)

PHONE:

952/888-5800

FAX: 952/567-6156

MINNESOTA GROUP HOMES LLC

Lim-Liab

9131 11TH AVENUE SOUTH

BLOOMINGTON, MN 55420

(35073)

PHONE:

651/999-9616

FAX: /-

MINNESOTA GROUP HOMES LLC

Lim-Liab

10355 GRAND AVENUE SOUTH

BLOOMINGTON, MN 55420

(35663)

PHONE:

651/999-9616

FAX: /-

Certification

Registration

HENNEPIN

(Cont.)* --------------------------

NH-137 SNF-NF-137

MACKENZIE CHRISTOPHER

ERIN HILLIGAN

TCOMP

ZAKARIYA ADEED

JAMES HAMMILL

FAIZA HASSAN

COMP

FAIZA HASSAN

Outpt Surg

DOMINIKA FORSYTH

TCOMP

BASHIR GEELLE

HWSAL

HWS-O

HWSAL

Amb Surg

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

147

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

MINNESOTA MASONIC HOME CARE CENTER

NProf

11501 MASONIC HOME DRIVE

BLOOMINGTON, MN 55437

(00232)

PHONE:

952/948-6901

FAX: 952/948-7968

MINNETONKA CARE RESIDENCE

Lim-Liab

421 SPRING VALLEY DRIVE

BLOOMINGTON, MN 55420

(31856)

PHONE:

763/550-1774

FAX: 612/437-4768

MNGI ENDOSCOPY BLOOMINGTON

Corp

5705 W OLD SHAKOPEE ROAD #150

BLOOMINGTON, MN 55437

(25898)

PHONE:

612/871-1145

FAX: 612/870-5491

MTAI ALBERT PLACE

Corp

9911 13TH AVENUE SOUTH

BLOOMINGTON, MN 55425

(01565)

PHONE:

763/442-7830

FAX: 763/754-0332

MTAI BLOOMINGTON

Corp

10633 KELL AVENUE SOUTH

BLOOMINGTON, MN 55437

(01098)

PHONE:

952/881-2848

FAX: 952/884-0179

NERVANAS CARING HANDS INC

Corp

8719 BLOOMINGTON AVENUE SOUTH

BLOOMINGTON, MN 55425

(26052)

PHONE:

612/220-7511

FAX: 952/854-4633

NERVANAS CARING HANDS INC

Corp

8719 BLOOMINGTON AVENUE SOUTH

BLOOMINGTON, MN 55425

(30664)

PHONE:

612/220-7511

FAX: 952/854-4633

NEWTON MANOR

NProf

10000 NEWTON AVENUE SOUTH

BLOOMINGTON, MN 55431

(21010)

PHONE:

952/948-3000

FAX: 952/948-3017

NINE MILE CREEK SENIOR LIVING

Lim-Liab

2301 VILLAGE LANE

BLOOMINGTON, MN 55431

(30677)

PHONE:

952/888-0731

FAX: 952/884-2191

OAKLAND

Corp

9725 OAKLAND AVENUE SOUTH

BLOOMINGTON, MN 55420

(31508)

PHONE:

952/888-7172

FAX: 952/888-7724

Certification

Registration

HENNEPIN

(Cont.)* --------------------------

NH-214

BETH SCHROEDER

MARCI COTTER

Outpt Surg

SCOTT KETOVER

SLFA-6

BRENT KROCAK

SLFA-6

BRENT KROCAK

COMP

NERVANA RAMDYAL

MICHELLE SULLIVAN

STEPHANIE CAPELLE

FAITH UDEH

SNF-NF-214

HWSAL

Amb Surg

ICFIID-6

HWS

HWSAL

HWS-O

Minnesota Department of Health

Health Regulation Division

Page

148

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

OPTIMUM CARE SERVICES LLC

Lim-Liab

7800 METRO PARKWAY #300

BLOOMINGTON, MN 55425

(33914)

PHONE:

651/983-4100

FAX: 651/358-2890

PARADISE ASSISTED LIVING INC

Corp

10829 VINCENT AVENUE SOUTH

BLOOMINGTON, MN 55431

(34760)

PHONE:

612/417-2373

FAX: 612/465-4477

PRES HOMES BLOOMINGTON COMMONS

NProf

10030 NEWTON AVENUE SOUTH

BLOOMINGTON, MN 55431

(20127)

PHONE:

952/948-3000

FAX: 952/948-3017

PRESBYTERIAN HOMES OF BLOOMINGTON

NProf

9889 PENN AVENUE SOUTH

BLOOMINGTON, MN 55431

(00189)

PHONE:

952/948-3000

FAX: 952/948-3002

PRESBYTERIAN HOMES OF BLOOMINGTON AND NEWTON

NProf

MANOR

9889 PENN AVENUE SOUTH

BLOOMINGTON, MN 55431

PHONE:

952/948-3000

PRESYTERIAN HOMES BLOOMINGTON-ARBOR

9889 PENN AVENUE SOUTH

BLOOMINGTON, MN 55431

PHONE:

952/948-3000

PROMISE CARE, INC

7900 INTERNATIONAL DRIVE

BLOOMINGTON, MN 55425

PHONE:

952/999-7974

REMMY'S TENDER CARE LLC

9024 VINCENT AVE SOUTH

BLOOMINGTON, MN 55431

PHONE:

612/385-6469

RES CARE AT NINE MILE CREEK

10641 JAMES ROAD

BLOOMINGTON, MN 55431

PHONE:

612/978-2238

RESIDENTIAL CARE AT NINE MILE CREEK

10641 JAMES ROAD

BLOOMINGTON, MN 55431

PHONE:

612/978-2238

(27958)

FAX: 952/948-3017

NProf

(24062)

FAX: 952/948-3017

Corp

(24821)

FAX: 952/674-4527

Lim-Liab

(34578)

FAX: /-

Corp

(31979)

FAX: /-

Corp

(32061)

FAX: 952/229-4213

Certification

Registration

HENNEPIN

(Cont.)* --------------------------

COMP

DHIMBLE MOHAMED ALI

HWSAL-O

ABDISALAM AHMED

HWSAL

MICHELLE SULLIVAN

NH-98 SNF-NF-98

CRAIG LUNDGREN

COMP

NATALIE MORLAND

HWSAL

MICHELLE SULLIVAN

COMP

CAROLINE LINDEMAN

TBASIC

BRENDA KIBERO-KALEMA

COMP

KONG YANG

HWSAL

SADIK ABDI

Minnesota Department of Health

Health Regulation Division

Page

149

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

REST CARE HOME SERVICES

Lim-Liab

2421 WEST 98TH STREET

BLOOMINGTON, MN 55431

(33214)

PHONE:

612/327-0670

FAX: 952/681-2455

RIGHT AT HOME

Corp

2626 EAST 82ND STREET #150

BLOOMINGTON, MN 55425

(21258)

PHONE:

952/854-6122

FAX: 952/854-6162

RIGHT AT HOME

Corp

2626 EAST 82ND STREET #150

BLOOMINGTON, MN 55425

(32367)

PHONE:

952/854-6122

FAX: 952/854-6162

SALEXAH HOMES SERVICE CORPORATION

Corp

10541 ABBOTT AVENUE SOUTH

BLOOMINGTON, MN 55431

(36057)

PHONE:

651/999-9723

FAX: /-

SEED HOME HEALTHCARE LLC

Lim-Liab

7311 W OLD SHAKOPEE ROAD

BLOOMINGTON, MN 55438

(34975)

PHONE:

952/426-1629

FAX: /-

SEED HOME HEALTHCARE LLC

Lim-Liab

7311 OLD SHAKOPEE ROAD

BLOOMINGTON, MN 55348

(35732)

PHONE:

952/393-2120

FAX: 952/241-1325

SENIOR HOME HEALTH CARE LLC

Lim-Liab

7800 METRO PARKWAY #100

BLOOMINGTON, MN 55425

(28931)

PHONE:

952/855-7786

FAX: 952/855-7784

SHIRE HOMES INC

Corp

9724 NICOLETT AVENUE

BLOOMINGTON, MN 55420

(34225)

PHONE:

952/228-1000

FAX: /-

SHIRE HOMES INC

Corp

9724 NICOLLET AVENUE SOUTH

BLOOMINGTON, MN 55420

(34620)

PHONE:

952/228-1000

FAX: /-

SUNSHINE ASSISTED LIVING SERVICES LLC

Lim-Liab

9540 COLUMBUS AVENUE SOUTH

BLOOMINGTON, MN 55420

(35103)

PHONE:

952/457-7992

FAX: /-

Certification

HENNEPIN

(Cont.)*

COMP

FREDERICK VARNEY

PAUL BLOM

BASIC HCBS

PAUL BLOM

SARAH TOUY

TCOMP

ABDULAHI MOHAMED

COMP HHA

DEANNA HAMMOND

TCOMP

RAQIA ABDILLAHI

SHIRE RIYAQ ABDILLAHI

TCOMP

ABDULAHI ABDIRAHAMN

Registration

--------------------------

Home Mgmt

HWSAL

HWSAL-O

Minnesota Department of Health

Health Regulation Division

Page

150

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

SUNSHINE ASSISTED LIVING SERVICES LLC

9540 COLUMBUS AVENUE SOUTH

BLOOMINGTON, MN 55420

PHONE:

952/457-7992

THE ESTATES AT BLOOMINGTON LLC

9200 NICOLLET AVENUE SOUTH

BLOOMINGTON, MN 55420

PHONE:

952/881-8676

THE GENEVA SUITES

9145 MEADOWVIEW ROAD

BLOOMINGTON, MN 55425

PHONE:

612/208-8888

THE JAMES INC

10040 NORD ROAD

BLOOMINGTON, MN 55437

PHONE:

612/481-7126

THE JAMES, INC.

10549 BEARD AVENUE SOUTH

BLOOMINGTON, MN 55431

PHONE:

952/831-4591

THE JAMES, INC.

4533 NORMANDALE HIGHLANDS DR

BLOOMINGTON, MN 55437

PHONE:

952/831-4591

THE JAMES, INC.

4533 NORMANDALE HIGHLANDS DR

BLOOMINGTON, MN 55437

PHONE:

952/831-4591

THE THERAPY PLACE

900 WEST 94TH STREET

BLOOMINGTON, MN 55420

PHONE:

952/885-0418

THE WEALSHIRE LLC

10601 LYNDALE AVENUE SOUTH

BLOOMINGTON, MN 55420

PHONE:

952/345-1900

THE WEALSHIRE OF BLOOMINGTON

10601 LYNDALE AVENUE SOUTH

BLOOMINGTON, MN 55420

PHONE:

952/345-1900

Lim-Liab

(35372)

FAX: /-

Lim-Liab

(00169)

FAX: 952/881-1050

Lim-Liab

(32258)

FAX: 612/358-2222

Corp

(33681)

FAX: 952/831-3275

Corp

(28558)

FAX: 952/831-3275

Corp

(23991)

FAX: 952/831-3275

Corp

(30485)

FAX: 952/831-3275

Corp

(03828)

FAX: /-

Lim-Liab

(28128)

FAX: 952/345-1906

Lim-Liab

(28128)

FAX: 952/345-1906

Certification

Registration

HENNEPIN

(Cont.)* --------------------------

HWSAL

ABDULAHI AHMED ABDIRAHMAN

NH-68 SNF-NF-68

MN TORI KLIMEK

HWSAL

MATT HANLEY

HWSAL

JAMES IMASUEN

HWSAL

JAMES IMASUEN

COMP

JAMES IMASUEN

HWSAL

JAMES IMASUEN

Out Pt Out St Out Ot

LYNN KOPFMAN

COMP

ELIZABETH JOHNSON

COMP

ELIZABETH JOHNSON

Minnesota Department of Health

Health Regulation Division

Page

151

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

THE WEALSHIRE OF BLOOMINGTON

10601 LYNDALE AVENUE SOUTH

BLOOMINGTON, MN 55420

PHONE:

952/345-1900

TOUCHING HEARTS AT HOME

7201 WEST 78TH STREET #220

BLOOMINGTON, MN 55439

PHONE:

952/888-0321

TRIA ORTHOPAEDIC CENTER, LLC

8100 NORTHLAND DRIVE

BLOOMINGTON, MN 55431

PHONE:

952/967-6884

TWINS CARE NUSRING SERVICE, INC.

9934 MAPLE AVENUE

BLOOMINGTON, MN 55431

PHONE:

952/423-1204

UNITED HEALTHCARE LLC

8325 OAKLAND AVENUE SOUTH

BLOOMINGTON, MN 55420

PHONE:

651/347-5334

UNLIMTED HOME HEALTH CARE

8112 WENTWORTH AVENUE SOUTH

BLOOMINGTON, MN 55420

PHONE: 612/269-1495

WEST BLOOMINGTON RESIDENCE

10441 JOHNSON AVENUE SOUTH

BLOOMINGTON, MN 55437

PHONE: 763/550-1774

WINGSPAN LIFE RESOURCES

2209 91 1/2 STREET WEST

BLOOMINGTON, MN 55431

PHONE:

651/646-3846

8030 OLD CEDAR AVENUE S #226

BLOOMINGTON, MN 55425

PHONE:

952/854-4984

8100 HIGHWOOD DRIVE

BLOOMINGTON, MN 55438

PHONE:

952/831-7500

Lim-Liab

(30803)

FAX: 952/345-1906

Corp

(27204)

FAX: 952/854-1111

Lim-Liab

(23244)

FAX: 952/806-5765

Corp

(34109)

FAX: 952/423-1204

Lim-Liab

(35514)

FAX: 612/465-5598

Lim-Liab

(35422)

FAX: /-

Corp

(24675)

FAX: 763/559-9155

NProf

(01198)

FAX: 651/646-2347

Corp

(27065)

FAX: /-

NProf

(00806)

FAX: 952/830-9405

Certification

Registration

HENNEPIN

(Cont.)* --------------------------

ELIZABETH JOHNSON

COMP

AARON STROMLEY

Outpt Surg

STEVE HOUSH

SHERRI JONES

AMAL ABDALLE

TCOMP

NURADIN AHMED

MARCIA COTTER

SLFB-6

THERESE DAVIS

RENEE NATZKE

NH-66 BCH-53

JENNIFER BEVER

HWSAL

Amb Surg

HWS

HWSAL-O

HWSAL

ICFIID-6

XRAY

SNF-66

Minnesota Department of Health

Health Regulation Division

Page

152

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

---------------------------**********

HENNEPIN

(Cont.)*

HIS SERVICES HOME CARE LLC

Lim-Liab

2108 70TH AVENUE NORTH

BROOKLY CENTER, MN 55430

(35313)

PHONE:

651/321-0541

FAX: 651/631-2538

SYLVESTER ONAIWA

JMKAY HEALTH CARE SERVICES INC

Corp

4506 71ST AVENUE NORTH

BROOKLY N CENTER, MN 55429

(35011)

PHONE:

763/238-2270

FAX: 763/657-0026

OLAJUMOKE OLADEJI

ALL HOPES AT ORCHARD

Corp

7932 ORCHARD AVENUE NORTH

BROOKLY PARK, MN 55443

(35715)

PHONE:

763/482-1487

FAX: 763/951-2775

VICTOR AWOSIKA

AMERICAN FAMILY HOME CARE

Corp

3325 84TH AVENUE NORTH

BROOKLY PARK, MN 55443

(35676)

PHONE:

763/971-8888

FAX: 763/971-8892

LOVETH AMAYANVBO

DELIGHT HOME HEALTHCARE LLC

Lim-Liab

8017 NORTH COLLEGE PARK DRIVE

BROOKLY PARK, MN 55445

(35853)

PHONE:

612/414-1804

FAX: 763/444-1967

NKEIMIKA OKONKNO

ABUNDANT LIFE HOME HEALTH CARE, LLC

Lim-Liab

COMP

5901 BROOKLYN BOULEVARD #110

BROOKLYN CENTER, MN 55429

(26471)

PHONE:

763/732-8391

FAX: 763/444-1517

GEORGE MARSHALL

ACACIA CARE LLC

Lim-Liab

TCOMP

5701 SHINGLE CREEK PKWY #530

BROOKLYN CENTER, MN 55430

(33768)

PHONE:

763/432-6773

FAX: 888/229-8312

NELLY MOGENI

AGAPE HEALTHCARE SERVICES INC

Corp

COMP

6040 EARLE BROWN DRIVE N #260

BROOKLYN CENTER, MN 55430

(32964)

PHONE:

763/703-5986

FAX: 763/600-6102

ALFRED PAYNE

AGAPECARE SERVICES LLC

Lim-Liab

2701 OHENRY ROAD

BROOKLYN CENTER, MN 55430

(35672)

PHONE:

952/994-5356

FAX: 952/516-5152

PENNONAH OBWAYA

AMAZING HOME LLC

Lim-Liab

TCOMP

3220 COUNTY ROAD 10 #117

BROOKLYN CENTER, MN 55429

(34834)

PHONE:

678/789-4629

FAX: /-

RHODA PAPPOE

Registration

--------------------------

HWSAL

HWSAL-O

HWS-O

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

153

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

HENNEPIN

(Cont.)* --------------------------

AMC CARE INC

Corp

TCOMP

6120 EARLE BROWN DRIVE #220

BROOKLYN CENTER, MN 55430

(35365)

PHONE:

963/283-0296

FAX: /-

HODAN MOHAMUD

AMECARE SERVICES LLC

Lim-Liab

TCOMP

3300 COUNTY ROAD 10 #320-I

BROOKLYN CENTER, MN 55429

(35258)

PHONE:

612/226-7255

FAX: /-

DANIEL AMENYA

AMERICAN BEST HOME CARE

Corp

COMP

3300 COUNTY ROAD 10 #320C

BROOKLYN CENTER, MN 55429

(27873)

PHONE:

612/919-9523

FAX: 763/432-6856

SEGUN OLATAYO

AMERICAN BEST HOME CARE INC

Corp

HWSAL

5909 QUAIL AVENUE NORTH

BROOKLYN CENTER, MN 55429

(32264)

PHONE:

763/432-7356

FAX: 763/432-6856

SEGUN OLATAYO

AMERICAN BEST HOME CARE INC

Corp

HWSAL-O

5218 PAUL DRIVE

BROOKLYN CENTER, MN 55429

(33587)

PHONE:

763/432-7356

FAX: 763/432-6856

SEGUN OLATAYO

AMERICAN BEST HOME CARE INC

Corp

HWSAL

3816 FRANCE PLACE

BROOKLYN CENTER, MN 55429

(35870)

PHONE:

763/462-7356

FAX: 763/432-6856

SEGUN OLATAYO

AMERICAN BEST HOME CARE INC

Corp

HWSAL

3501 63RD AVENUE NORTH

BROOKLYN CENTER, MN 55430

(34413)

PHONE:

763/432-7356

FAX: 763/432-6856

SEGUN OLATAYO

AMERICAN FAMILY HOME CARE

Corp

COMP

5901 BROOKLYN BOULEVARD #208

BROOKLYN CENTER, MN 55429

(24442)

PHONE:

763/971-8888

FAX: 763/971-8892

LOVETH AMAYANVBO

ANGEL HOME CARE

Lim-Liab

TCOMP

5701 SHINGLE CREEK PKWY #105

BROOKLYN CENTER, MN 55430

(34741)

PHONE:

612/236-8096

FAX: /-

SIMGBA SESAY

ANGEL'S HEALTH & HOME CARE SERVICES INC

Corp

HWSAL

4213 63RD AVENUE NORTH

BROOKLYN CENTER, MN 55429

(35639)

PHONE:

763/270-5771

FAX: 763/657-0252

SOLOMON AKWAKA

Minnesota Department of Health

Health Regulation Division

Page

154

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

ANGELS HEALTH & HOME CARE SERVICES

Corp

3300 COUNTY ROAD 10 #522

BROOKLYN CENTER, MN 55429

(32874)

PHONE:

763/270-5771

FAX: 763/657-0252

ANGELS OF MERCY ASSISTED LIVING

Corp

6018 HALIFAX PLACE

BROOKLYN CENTER, MN 55429

(28129)

PHONE:

763/432-9706

FAX: 763/432-9708

ANGELS OF MERCY HOMECARE SERVICES INC

Corp

6018 HALIFAX PLACE

BROOKLYN CENTER, MN 55429

(30483)

PHONE:

763/432-9706

FAX: 763/432-9708

ASHTON HOMES LLC

Lim-Liab

4913 WINCHESTER LANE

BROOKLYN CENTER, MN 55429

(33527)

PHONE:

763/777-1059

FAX: 763/219-4401

ASHTON HOMES LLC

Lim-Liab

4913 WINCHESTER LANE

BROOKLYN CENTER, MN 55429

(33874)

PHONE:

763/354-0850

FAX: 763/219-4401

ASHTON HOMES LLC

Lim-Liab

6642 DUPONT AVENUE

BROOKLYN CENTER, MN 55430

(35079)

PHONE:

763/354-0850

FAX: 763/777-1059

ASIAN AMERICAN ELDERLY ASSISTED LIVING LLC

Lim-Liab

5313 62ND AVENUE NORTH

BROOKLYN CENTER, MN 55429

(30486)

PHONE:

763/248-4627

FAX: /-

ASIAN AMERICAN ELDERLY ASSISTED LIVING, LLC

Lim-Liab

5313 62ND AVENUE NORTH

BROOKLYN CENTER, MN 55429

(24014)

PHONE:

763/248-4627

FAX: /-

ASSOCIATED TENDER CARE LLC

Lim-Liab

6325 XERXES AVENUE NORTH

BROOKLYN CENTER, MN 55430

(34909)

PHONE:

763/439-7495

FAX: 763/439-9440

ASTRAL HOME CARE LLC

Lim-Liab

3300 COUNTY ROAD 10

BROOKLYN CENTER, MN 55429

(34970)

PHONE:

763/283-9973

FAX: /-

Certification

Registration

HENNEPIN

(Cont.)* --------------------------

COMP HCBS

BUSTER FALLAH

COMP

FOLUSO ALLISON

HWSAL

FOLUSO ALLISON

COMP

SEKOU DUKULY

HWSAL

JOSLYN DAYRELL

HWSAL

SEKOU DUKULY

HWSAL

CHAO VANG

COMP

CHAO VANG

HWS

LINUS AMAJUOYI

TCOMP

RUTH DOMBRET

Minnesota Department of Health

Health Regulation Division

Page

155

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

HENNEPIN

(Cont.)* --------------------------

B A COMFORT LIFE HOMECARE

3300 COUNTY ROAD 10 #204 F

BROOKLYN CENTER, MN 55429

PHONE:

612/226-5905

Lim-Liab

(35510)

FAX: /-

TCOMP HCBS

JOSHUA ABUKI

BEST CARE GROUP

Corp

HWSAL-O

6213 CHOWEN AVENUE NORTH

BROOKLYN CENTER, MN 55429

(22356)

PHONE:

612/378-1040

FAX: 612/378-2850

NAZNEEN KHATOON

BETHEL

Corp

HWSAL

5101 63RD AVENUE NORTH

BROOKLYN CENTER, MN 55429

(32692)

PHONE:

651/631-2535

FAX: 651/631-2538

ADEGBOLA OGUNDIPE

BRIGHT PATH HOMES LLC

Lim-Liab

HWSAL

7001 EMERSON AVENUE NORTH

BROOKLYN CENTER, MN 55430

(36107)

PHONE:

952/658-6176

FAX: 952/487-0332

MOSES GIBSON

HWSAL

BUTTERFLY BOUND CARE

Ind

3207 67TH AVENUE NORTH

BROOKLYN CENTER, MN 55429

(35716)

PHONE:

763/670-3715

FAX: /-

DOREEN KALEMA

Ind

HWSAL-O

BUTTERFLY BOUND CARE

3501 62ND AVENUE NORTH

BROOKLYN CENTER, MN 55429

(35717)

PHONE:

763/670-3715

FAX: /-

DOREEN KALEMA

HWS-O

BUTTERFLY BOUND CARE

Ind

6207 CHOWEN AVENUE NORTH

BROOKLYN CENTER, MN 55429

(32914)

PHONE:

763/670-3715

FAX: 763/560-1170

DOREEN KALEMA

Ind

COMP

BUTTERFLY BOUND CARE

5701 SHINGLE CREEK PKWY #318D

BROOKLYN CENTER, MN 55430

(32424)

PHONE:

763/670-3715

FAX: 763/560-1170

DOREEN KALEMA

COMP

CARE PARTNERS HOMECARE LLC

Lim-Liab

5701 SHINGLE CREEK PKWY #210I

BROOKLYN CENTER, MN 55430

(32853)

PHONE:

763/458-2727

FAX: 763/207-0076

ISHMAEL KOMARA

CAREVIEW HOME HEALTH LLC

Lim-Liab

COMP

3300 COUNTY ROAD 10 #300B

BROOKLYN CENTER, MN 55430

(33171)

PHONE:

612/910-5473

FAX: 800/653-6211

DARLA VANG

Minnesota Department of Health

Health Regulation Division

Page

156

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

HENNEPIN

---------------------------**********

(Cont.)* --------------------------

CAREVIEW WINCHESTER HOME

Lim-Liab

HWS

4207 WINCHESTER LANE

BROOKLYN CENTER, MN 55429

(33522)

PHONE:

612/910-5473

FAX: 800/653-6211

DARLA VANG

RES-HSPICE-6

CRESCENT COVE

NProf

4201 58TH AVENUE NORTH

BROOKLYN CENTER, MN 55429

(33005)

PHONE:

952/426-4711

FAX: /-

KATIE LINDENFELSER

COMP

DIVINE HEALING HOME CARE LLC

Lim-Liab

7030 BROOKLYN BOULEVARD

BROOKLYN CENTER, MN 55443

(33484)

PHONE:

763/566-1378

FAX: 763/566-1379

JOYCE MOGENI

DIVINE HOME CARE SERVICES LLC

Lim-Liab

TCOMP

3307 O'HENRY ROAD

BROOKLYN CENTER, MN 55429

(35786)

PHONE:

612/703-2986

FAX: /-

ASSATA SHERRIFF

DOMINION HEALTHCARE SERVICES

Lim-Liab

TCOMP

5421 PENN AVENUE NORTH

BROOKLYN CENTER, MN 55430

(34837)

PHONE:

612/812-4744

FAX: /-

YARIA BANGURD

ELITE NURSING SERVICE, INC.

Corp

COMP

6160 SUMMIT DRIVE NORTH #560-A

BROOKLYN CENTER, MN 55430

(26977)

PHONE:

763/421-3613

FAX: 763/374-5451

BANBAH GARSINII

ELITE NURSING SERVICES, INC.

Corp

HWSAL

3100 THURBER ROAD

BROOKLYN CENTER, MN 55430

(36036)

PHONE:

763/421-3613

FAX: 763/374-5451

MAMA KOSSA

ELIZJOSEPH HEALTHCARE

Corp

COMP

6500 BROOKLYN BLVD #100

BROOKLYN CENTER, MN 55429

(31880)

PHONE:

612/886-9404

FAX: 612/246-3198

DAMILOLA AGUNBIADE

ELIZJOSEPH HEALTHCARE LLC

Lim-Liab

HWSAL-O

5826 EWING AVENUE

BROOKLYN CENTER, MN 55429

(32604)

PHONE:

612/886-9404

FAX: 612/246-3198

DAMILOLA AGUNBIADE

ELIZJOSEPH HEALTHCARE LLC

Lim-Liab

HWSAL-O

4225 66TH AVENUE NORTH

BROOKLYN CENTER, MN 55429

(33055)

PHONE:

612/886-9404

FAX: 612/246-3198

DAMILOLA AGUNBIADE

Minnesota Department of Health

Health Regulation Division

Page

157

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

ELIZJOSEPH HEALTHCARE LLC

Lim-Liab

1706 AMY LANE

BROOKLYN CENTER, MN 55430

(33418)

PHONE:

612/886-9404

FAX: 612/246-3198

ELIZJOSEPH HEALTHCARE LLC

Lim-Liab

7130 FREMONT AVENUE NORTH

BROOKLYN CENTER, MN 55430

(33729)

PHONE:

612/886-9404

FAX: 612/246-3198

ELIZJOSEPH HEALTHCARE LLC

Lim-Liab

7101 GIRARD AVENUE NORTH

BROOKLYN CENTER, MN 55430

(34249)

PHONE:

612/886-9404

FAX: 612/246-3198

EMPATHY HOME CARE INC

Corp

6501 BROOKLYN DRIVE

BROOKLYN CENTER, MN 55430

(33955)

PHONE:

612/245-1561

FAX: 612/888-9690

EMPATHY HOME CARE INC

Corp

7025 LOGAN AVENUE NORTH

BROOKLYN CENTER, MN 55430

(34496)

PHONE:

612/425-1561

FAX: 612/888-9690

EMPIRE SYSTEMS HOME CARE

Corp

6324 SCOTT AVENUE NORTH

BROOKLYN CENTER, MN 55429

(34525)

PHONE:

763/237-2402

FAX: 763/592-7932

EMPIRE SYSTEMS HOME CARE

Corp

3301 LAWRENCE ROAD

BROOKLYN CENTER, MN 55429

(35562)

PHONE:

763/225-7396

FAX: 763/592-7932

EMPIRE SYSTEMS HOME CARE

Corp

6101 XERXES AVENUE NORTH

BROOKLYN CENTER, MN 55430

(33730)

PHONE:

763/225-7396

FAX: 763/592-7932

EMPIRE SYSTEMS HOME CARE

Corp

6012 YORK AVENUE NORTH

BROOKLYN CENTER, MN 55430

(34526)

PHONE:

763/237-2402

FAX: 763/592-7932

ESTEEM NURSING CARE, INC.

Corp

3300 BASS LAKE ROAD #108

BROOKLYN CENTER, MN 55429

(21960)

PHONE:

763/503-2400

FAX: 763/503-2401

Certification

HENNEPIN

(Cont.)*

DAMILOLA AGUNBIADE

FATOU JALLOW

SAYNDEE SANDOO

SAYNDEE SANDO

SAYNDEE SANDOO

COMP

EMMANUEL OKIDEGBE

Registration

--------------------------

HWSAL-O

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

158

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

HENNEPIN

(Cont.)* --------------------------

EVERLEAD HOME HEALTH CARE LLC

Lim-Liab

TCOMP

6430 INDIANA AVENUE NORTH

BROOKLYN CENTER, MN 55429

(35214)

PHONE:

612/735-4776

FAX: /-

ADEWALE AKINSOJI

EVERLEAD HOME HEALTH CARE LLC

Lim-Liab

HWSAL

6430 INDIANA AVENUE NORTH

BROOKLYN CENTER, MN 55429

(35543)

PHONE:

612/735-4776

FAX: /-

ADEWALE AKINSOJI

FAMILY TRUST HOME HEALTH LLC

Lim-Liab

COMP

5901 BROOKLYN BOULEVARD #201

BROOKLYN CENTER, MN 55429

(33784)

PHONE:

763/205-6624

FAX: 763/205-6790

DAWOLYN BRYANT JERBO

FIRST CHOICE NURSING & HOMECARE, INC.

Corp

COMP

5701 SHINGLE CREEK PKWY #112

BROOKLYN CENTER, MN 55430

(26335)

PHONE:

763/566-4025

FAX: 763/566-4052

JERRY HAVON

FREEMONT HOUSE

Corp

HWSAL

5303 FREMONT AVENUE NORTH

BROOKLYN CENTER, MN 55430

(35623)

PHONE:

763/432-6413

FAX: 763/432-6652

RUFINA DALMEIDA

FREMONT HOME

Lim-Liab

HWSAL-O

6424 FREMONT AVENUE NORTH

BROOKLYN CENTER, MN 55430

(35683)

PHONE:

763/568-8828

FAX: 612/430-8785

J. CHUKWUDI OSAKWE

GOLDEN TOUCH HEALTH CARE LLC

Lim-Liab

COMP

6800 SCOTT AVENUE NORTH

BROOKLYN CENTER, MN 55429

(32583)

PHONE:

763/354-0850

FAX: 763/219-4401

SEKOU DUKULY

GOLDEN TOUCH HEALTH CARE LLC

Lim-Liab

HWSAL

6800 SCOTT AVENUE NORTH

BROOKLYN CENTER, MN 55429

(34600)

PHONE:

763/354-0850

FAX: 888/279-6919

SEKOU DUKULY

GOODNESS AND MERCY HEALTH SERVICES

Corp

COMP

3220 BASS LAKE ROAD #124

BROOKLYN CENTER, MN 55429

(27939)

PHONE:

651/631-2535

FAX: 651/631-2538

ADESOLA OGUNDIPE

GOODNESS AND MERCY HEALTH SERVICES INC

Corp

HWS

3200 63RD AVENUE NORTH

BROOKLYN CENTER, MN 55429

(29902)

PHONE:

651/631-2535

FAX: 651/631-2538

ADEGBOLA OGUNDIPE

Minnesota Department of Health

Health Regulation Division

Page

159

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

GRACEFUL LODGE HOME CARE

Lim-Liab

3300 COUNTY ROAD 10 #320F

BROOKLYN CENTER, MN 55429

(34913)

PHONE:

763/496-9056

FAX: /-

GRACEFUL LODGE HOME CARE

Lim-Liab

6430 JUNE AVENUE NORTH

BROOKLYN CENTER, MN 55429

(35698)

PHONE:

763/496-9056

FAX: 763/374-3882

GREATER MINNESOTA HOME HEALTH CARE INC

Corp

5901 BROOKLYN BOULEVARD #204

BROOKLYN CENTER, MN 55429

(35522)

PHONE:

763/777-5075

FAX: 763/777-5080

HARMONY

Corp

6319 SCOTT AVENUE NORTH

BROOKLYN CENTER, MN 55429

(35497)

PHONE:

651/631-2535

FAX: 651/631-2538

HARMONY CARE PROVIDERS LLC

Lim-Liab

3101 68TH AVENUE NORTH

BROOKLYN CENTER, MN 55429

(35854)

PHONE:

612/868-3883

FAX: /-

HEALTHPOINT HOUSING WITH SERVICS LLC

Lim-Liab

5419 MORGAN AVENUE NORTH

BROOKLYN CENTER, MN 55430

(35694)

PHONE:

612/272-8118

FAX: 612/435-6655

HIS SERVICES HOME CARE LLC

Lim-Liab

2108 70TH AVENUE NORTH

BROOKLYN CENTER, MN 55430

(34154)

PHONE:

763/321-0541

FAX: /-

HMONG SENIOR HEALTH CARE, INC.

Corp

6206 BROOKLYN BOULEVARD

BROOKLYN CENTER, MN 55429

(28455)

PHONE:

763/566-2889

FAX: 763/526-2947

INDEPENDENT HAVEN, INC

Corp

7022 BROOKLYN BOULEVARD

BROOKLYN CENTER, MN 55429

(31789)

PHONE:

763/999-7799

FAX: 763/999-7790

INDEPENDENT HOME CARE AGENCY

Lim-Liab

3300 COUNTY ROAD 10 #300E

BROOKLYN CENTER, MN 55429

(28566)

PHONE:

763/205-5763

FAX: 763/560-1014

Certification

HENNEPIN

(Cont.)*

TCOMP HCBS

DANIEL BREWER

TCOMP

MOHAMED AHMED

ADESOLA OGUNDIPE

TCOMP

SEKOU DUKULY

YOSSEPH ISAAK

COMP

SYLVESTER ONAIWU

JER YANG

COMP

KHRISTINA OESTMANN

COMP

OLIVER WALKER

Registration

--------------------------

HWSAL

HWSAL-O

Home Mgmt

Minnesota Department of Health

Health Regulation Division

Page

160

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

HENNEPIN

(Cont.)* --------------------------

INTEGRITY HOME HEALTH CARE INC

3300 COUNTY ROAD 10 #3200

BROOKLYN CENTER, MN 55429

PHONE:

612/807-4484

Lim-Liab

(34828)

FAX: /-

TCOMP

LATEEF ADELEKE

JMKAY HEALTH CARE SERVICES INC

Corp

HWSAL-O

4200 WINCHESTER LANE

BROOKLYN CENTER, MN 55429

(34267)

PHONE:

763/245-0668

FAX: 763/657-0026

OLAJUMOKE OLADEJI

JMKAY HEALTH CARE SERVICES INC

Corp

HWSAL-O

2318 55TH AVENUE NORTH

BROOKLYN CENTER, MN 55430

(33608)

PHONE:

763/245-0668

FAX: 763/657-0026

OLAJUMOKE OLADEJI

JOURNEYS HOME CARE LLC

Lim-Liab

HWSAL

5312 QUEEN AVENUE NORTH

BROOKLYN CENTER, MN 55430

(34435)

PHONE:

612/202-4007

FAX: 763/292-5805

NWAEMELE NDUBISI

JUBILEE HOME CARE

Corp

TCOMP

1601 68TH LANE NORTH

BROOKLYN CENTER, MN 55430

(34654)

PHONE:

612/272-8000

FAX: /-

FLORENCE NCHOTU

JUBILEE HOME CARE INC

Corp

HWS-O

1601 68TH LANE NORTH

BROOKLYN CENTER, MN 55430

(35405)

PHONE:

612/272-8000

FAX: /-

FLORENCE NCHOTU

TCOMP

KIND CARE LLC

Lim-Liab

6418 GIRARD AVENUE

BROOKLYN CENTER, MN 55430

(35935)

PHONE:

612/298-5160

FAX: /-

SHUKRI ALI

KINGDOM PLACE

Corp

HWSAL

6319 INDIANA AVENUE NORTH

BROOKLYN CENTER, MN 55429

(33600)

PHONE:

651/631-2535

FAX: 651/631-2538

ADEGBOLA OGUNDIPE

HWS

KYLE RESIDENCE

Lim-Liab

7225 KYLE AVENUE NORTH

BROOKLYN CENTER, MN 55429

(35488)

PHONE:

763/566-4325

FAX: 763/566-4341

JOSEPHINE GURLEY

LIVING GRACE HOME CARE

Corp

TCOMP HCBS

5701 SHINGLE CREEK PKWY #500N

BROOKLYN CENTER, MN 55430

(34645)

PHONE:

952/300-6600

FAX: /-

GBADE OLOWU

Minnesota Department of Health

Health Regulation Division

Page

161

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

LIVING WELL - LYNDALE

NProf

5449 LYNDALE AVENUE NORTH

BROOKLYN CENTER, MN 55430

(01243)

PHONE:

763/560-2220

FAX: 763/560-7596

LIVING WELL HOME CARE LLC

Lim-Liab

5019 61ST AVENUE NORTH

BROOKLYN CENTER, MN 55429

(35342)

PHONE:

763/300-1577

FAX: /-

LOVE & CARE LLC

Lim-Liab

5324 BOULDER LANE

BROOKLYN CENTER, MN 55429

(36064)

PHONE:

763/744-6280

FAX: 866/345-9679

MARANATHA CARE CENTER

NProf

5409 69TH AVENUE NORTH

BROOKLYN CENTER, MN 55429

(00226)

PHONE:

763/549-9600

FAX: 763/549-9636

MARANATHA COMMONS

NProf

5415 69TH AVENUE NORTH

BROOKLYN CENTER, MN 55429

(20024)

PHONE:

763/569-4500

FAX: 763/569-4576

MARANATHA PLACE

NProf

5401 69TH AVENUE NORTH

BROOKLYN CENTER, MN 55429

(27951)

PHONE:

763/549-9600

FAX: 763/549-9636

MILES VENTS INCORPORATED

Corp

5701 SHINGLE CREEK PKWY #115

BROOKLYN CENTER, MN 55430

(26443)

PHONE:

763/205-5880

FAX: 763/205-5878

MN BEST HOME CARE LLC

Lim-Liab

3300 COUNTY ROAD 10 #512L

BROOKLYN CENTER, MN 55429

(32875)

PHONE:

612/806-5003

FAX: 612/806-0587

MTAI BROOKLYN CENTER

Corp

507 69TH AVENUE NORTH

BROOKLYN CENTER, MN 55430

(01021)

PHONE:

763/561-9030

FAX: 763/561-0263

N & V HELPFUL HEART CARE INC

Corp

8159 MOUNT CURVE BOULEVARD

BROOKLYN CENTER, MN 55445

(31111)

PHONE:

763/442-0460

FAX: 206/666-2482

Certification

Registration

HENNEPIN

(Cont.)* --------------------------

SLFB-8

CHRISTOPHER DOMIER

SAYLEE SUWORGO

FAKHRA GULZAR

NH-97

KAREN CASPER-ROBESON

KAREN CASPER ROBESON

COMP

NATALIE MORLAND

COMP HCBS

ANNE NESS

COMP

PETER GACHUKIA

SLFA-6

BRENT KROCAK

VERA DIXON

ICFIID-8

HWSAL

SNF-NF-97

HWSAL

ICFIID-6

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

162

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

---------------------------**********

HENNEPIN

(Cont.)*

N & V HELPFUL HEART CARE INC

Corp

7037 PERRY AVENUE NORTH

BROOKLYN CENTER, MN 55429

(32413)

PHONE:

763/442-0460

FAX: 763/226-2397

VERA DIXON

N & V HELPFUL HEART CARE INC

Ind

6620 BRYANT AVENUE NORTH

BROOKLYN CENTER, MN 55430

(34008)

PHONE:

763/442-0460

FAX: 763/226-2397

VERA DIXON

NOVA HOME CARE LLC

Lim-Liab

TCOMP

3300 COUNTY ROAD 10 #300B

BROOKLYN CENTER, MN 55430

(35412)

PHONE:

612/601-5843

FAX: /-

DHEERAJ KARKI

OLIVE HEALTHCARE LLC

Lim-Liab

5801 GIRARD AVENUE NORTH

BROOKLYN CENTER, MN 55430

(34950)

PHONE:

612/886-6206

FAX: 612/324-7402

OLUSOLA AGUNBIADE

OLYDIA HOME CARE INC.

Corp

7243 MORGAN AVENUE NORTH

BROOKLYN CENTER, MN 55430

(34307)

PHONE:

612/567-7780

FAX: 763/634-5997

LYDIA NKWONKAM

OMOCARE LLC

Lim-Liab

COMP

7708 67TH AVENUE NORTH

BROOKLYN CENTER, MN 55428

(32623)

PHONE:

763/607-4300

FAX: 612/351-4259

RAPHAEL OMODUNMIJU

OPEN ARMS NURSING SERVICES, INC.

Corp

COMP

3300 COUNTY ROAD 10 #320J

BROOKLYN CENTER, MN 55429

(28787)

PHONE:

763/244-1406

FAX: 763/390-0407

MARBUE WATKINS

PILGRIM HOME CARE LLC

Lim-Liab

COMP HCBS

3300 COUNTY ROAD 10 #320M

BROOKLYN CENTER, MN 55429

(32048)

PHONE:

763/269-7934

FAX: 763/307-5942

MARK NYEMAH III

PLATEAU HEALTHCARE LLC

Lim-Liab

6424 JUNE AVENUE NORTH

BROOKLYN CENTER, MN 55429

(29267)

PHONE:

763/444-1361

FAX: 763/444-1358

ALICIA THIELEN BOUKARI

PRAIRIE LODGE AT EARLE BROWN FARM

NProf

6001 EARLE BROWN DRIVE

BROOKLYN CENTER, MN 55430

(20315)

PHONE:

763/566-1495

FAX: 763/566-1625

JENNIFER TUREK

Registration

--------------------------

HWSAL

HWSAL-O

HWS-O

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

163

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

PREMIER ASSISTED LIVING

3813 JANET LANE

BROOKLYN CENTER, MN 55429

PHONE:

612/501-4331

PREMIER ASSISTED LIVING

3813 JANET LANE

BROOKLYN CENTER, MN 55429

PHONE:

612/517-4331

PRESTIGE HOME HEALTH CARE LLC

2800 FREEWAY BOULEVARD #101

BROOKLYN CENTER, MN 55430

PHONE:

763/496-9359

PRESTIGE HOME HEALTH CARE LLC

6029 BRYANT AVENUE NORTH

BROOKLYN CENTER, MN 55430

PHONE:

763/496-9359

RAPHA HEALTH CARE SERVICES INC

3300 COUNTY ROAD 10 #525

BROOKLYN CENTER, MN 55429

PHONE:

612/701-3760

RELIABLE HUMAN SERVICES, INC.

5701 SHINGLE CRK PKWY #470

BROOKLYN CENTER, MN 55430

PHONE:

763/390-7695

RHODIUM HEALTHCARE SERVICES INC

3300 COUNTY RD 10 #300I

BROOKLYN CENTER, MN 55429

PHONE:

763/432-6413

RIGHTWAY HOME CARE SERVICES INC

7082 BROOKLYN BOULEVARD

BROOKLYN CENTER, MN 55429

PHONE:

763/432-9738

RISEN HOME CARE LLC

3012 THURBER ROAD

BROOKLYN CENTER, MN 55429

PHONE:

763/227-8846

ROYAL CARE LLC

6500 BROOKLYN BOULEVARD #208

BROOKLYN CENTER, MN 55429

PHONE:

763/450-4262

Lim-Liab

(35394)

FAX: /-

Lim-Liab

(35564)

FAX: 612/460-6000

Lim-Liab

(33181)

FAX: 763/207-0203

Lim-Liab

(34597)

FAX: 763/207-0203

Corp

(33643)

FAX: 763/208-7924

Corp

(29112)

FAX: 763/219-8482

Corp

(33872)

FAX: 763/432-6652

Corp

(26948)

FAX: 763/208-5725

Lim-Liab

(35306)

FAX: 763/445-2501

Lim-Liab

(35285)

FAX: 763/710-9768

Certification

HENNEPIN

(Cont.)*

TCOMP

SHARMAKE DUGOW

SHARMAKE DUQOW

COMP

OYETOLA BROWN

COMP

ATINUKE LADIPO

COMP

CHRISTIAN KOLLEH

COMP HCBS

EDWIN JAMES

COMP

ABIOLA MUSTAPHA

ANGELIQUE KAPILA

TCOMP

EUGENE ROQUES

Registration

--------------------------

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

164

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

HENNEPIN

---------------------------**********

(Cont.)* --------------------------

HWSAL-O

ROYAL CARINGHANDS HHC SERVICES

Lim-Liab

5548 LOGAN AVENUE NORTH

BROOKLYN CENTER, MN 55430

(34817)

PHONE:

763/350-4496

FAX: /-

LATEEF OLARINDE

ROYAL HOME CARE INC

Corp

COMP

6701 SCOTT AVENUE NORTH

BROOKLYN CENTER, MN 55429

(32908)

PHONE:

763/228-9585

FAX: 763/226-2484

OLALEYE OLAGBAJU

ROYAL HOME CARE INC

Corp

HWSAL-O

6701 SCOTT AVENUE NORTH

BROOKLYN CENTER, MN 55429

(33285)

PHONE:

763/270-8974

FAX: 763/226-2484

OLALEYE OLAGBAJU

ROYAL HOME CARE INC

Corp

HWSAL-O

5949 VINCENT AVENUE NORTH

BROOKLYN CENTER, MN 55430

(34335)

PHONE:

763/228-9585

FAX: 763/226-2484

OLALEYE OLAGBAJU

ROYAL STAR RESIDENCE INC

Corp

TCOMP

5701 SHINGLE CREEK PKWY 500Q

BROOKLYN CENTER, MN 55430

(34409)

PHONE:

763/442-5136

FAX: 763/275-1642

CHRISTIAN KOLLEH

HWS-O

SUPREME LIVING HOMES LLC

Lim-Liab

6051 HALIFAX AVENUE NORTH

BROOKLYN CENTER, MN 55429

(35950)

PHONE:

612/229-6949

FAX: /-

OYEWALE ILESANMI

TAYUS HOME HEALTH CARE LLC

Lim-Liab

HWSAL-O

3701 66TH AVENUE NORTH

BROOKLYN CENTER, MN 55429

(34884)

PHONE:

612/481-8047

FAX: 612/206-8568

OMOTAYO BODUNWA

THE CARING SISTERS HOME CARE SERVICES, INC

Corp

HWSAL-O

5339 QUEEN AVENUE NORTH

BROOKLYN CENTER, MN 55430

(29360)

PHONE:

763/561-1294

FAX: 952/285-2844

OLALEYE BECKLEY

HWSAL

THE PRAIRIE LODGE AT EARLE BROWN

NProf

6021 EARLE BROWN DRIVE

BROOKLYN CENTER, MN 55430

(32351)

PHONE:

763/566-1495

FAX: 763/503-7431

JENNIFER TUREK

HWSAL

THE PRAIRIE LODGE AT EARLE BROWN

NProf

6001 EARLE BROWN DRIVE

BROOKLYN CENTER, MN 55430

(20315)

PHONE:

763/566-1495

FAX: 763/566-1625

JENNIFER TUREK

Minnesota Department of Health

Health Regulation Division

Page

165

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

THE PRAIRIE LODGE AT EARLE BROWN

NProf

6001 EARLE BROWN DRIVE

BROOKLYN CENTER, MN 55430

(21399)

PHONE:

763/566-1495

FAX: 763/566-1625

THE PRAIRIE LODGE AT EARLE BROWN

NProf

6011 EARLE BROWN DRIVE

BROOKLYN CENTER, MN 55430

(32350)

PHONE:

763/566-1495

FAX: 763/566-9927

THE ROYALS

Corp

4000 61ST AVENUE NORTH

BROOKLYN CENTER, MN 55429

(34000)

PHONE:

651/631-2535

FAX: 651/631-2538

THE SANCTUARY AT BROOKLYN CENTER

Part

6121 BROOKLYN BOULEVARD

BROOKLYN CENTER, MN 55429

(33772)

PHONE:

763/504-6700

FAX: 763/537-1500

ULTIMATE HOME CARE-LOGAN HOUSE

Corp

5443 LOGAN AVENUE NORTH

BROOKLYN CENTER, MN 55430

(29624)

PHONE:

763/560-9890

FAX: 763/560-9891

UNISON GROUP HOME LLC

Lim-Liab

6924 SCOTT AVENUE NORTH

BROOKLYN CENTER, MN 55429

(35804)

PHONE:

952/261-3381

FAX: 651/846-6866

VERACITY HEALTH SYSTEMS, LLC

Lim-Liab

3300 COUNTY ROAD 10 #112

BROOKLYN CENTER, MN 55429

(28039)

PHONE:

763/208-1797

FAX: 651/344-0590

VICTORY HOUSE

Corp

3808 61ST AVENUE NORTH

BROOKLYN CENTER, MN 55429

(30784)

PHONE:

651/631-2535

FAX: 651/631-2538

VISION2020 GROUP HOMES LLC

Lim-Liab

411 70TH AVENUE NORTH #213

BROOKLYN CENTER, MN 55430

(35910)

PHONE:

612/998-0363

FAX: /-

WATCHEN HOMES INC

Corp

3300 COUNTY ROAD 10 #303

BROOKLYN CENTER, MN 55429

(32609)

PHONE:

763/444-1220

FAX: 763/270-5938

Certification

HENNEPIN

(Cont.)*

COMP

JENNIFER TUREK

ADEGBOLA OGUNDIPE

ERIN HILLIGAN

ALFRED APATA

TCOMP

MOHAMMED MOHAMMED

COMP

MBUTAMBE AKPANG

ADEGBOLA OGUNDIPE

TCOMP

FUAD AHMED

COMP

VICTOR ZELEE

Registration

--------------------------

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

166

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

HENNEPIN

(Cont.)* --------------------------

WATCHFUL CAREGIVERS, INC.

Lim-Liab

HWS-O

3806 57TH AVE N

BROOKLYN CENTER, MN 55429

(35021)

PHONE:

763/535-4326

FAX: 763/537-9352

WOKIE HARMON-BELLA

WE CARE HEALTH SYSTEM LLC

Lim-Liab

Home Mgmt

7644 HUMBOLDT AVENUE NORTH

BROOKLYN CENTER, MN 55444

(33851)

PHONE:

763/221-8274

FAX: /-

VIVIENNE GIDDINGS

YOU MATTER HOME HEALTH CARE SERVICES LLC

Lim-Liab

HWSAL-O

5103 XERXES AVENUE NORTH

BROOKLYN CENTER, MN 55430

(35197)

PHONE:

763/744-6453

FAX: /-

DION RAMSEY

YOU MATTER HOME HEALTH CARE SERVICES LLC

Lim-Liab

TCOMP

5103 XERXES AVENUE NORTH

BROOKLYN CENTER, MN 55430

(35634)

PHONE:

763/744-6453

FAX: /-

DION RAMSEY

ZACHARY HOME HEALTH CORPORATION

Corp

HWS

5636 FREMONT AVENUE NORTH

BROOKLYN CENTER, MN 55430

(33724)

PHONE:

763/458-4750

FAX: 651/797-3523

ALICE MANSARAY

ELIZJOSEPH HEALTHCARE LLC

Lim-Liab

HWSAL

5325 NEWTON AVENUE NORTH

BROOKLYN CENTR, MN 55430

(35016)

PHONE:

612/886-9404

FAX: 612/246-3198

DAMILOLA AGUNBIADE

24 - SEVEN HOME CARE INC

Corp

COMP

7111 WEST BROADWAY AVENUE, STE

BROOKLYN PARK, MN 55428

(34250)

PHONE:

612/886-2828

FAX: 612/886-2861

OVIE AVWENAGHAGHA

24 SEVEN HOME CARE INC

Corp

HWSAL-O

9120 CAMBRIDGE AVENUE

BROOKLYN PARK, MN 55443

(34709)

PHONE:

612/886-2828

FAX: 612/886-2861

OVIE AVWENAGHAGHA

ACE HOMES INC

Corp

HWS

3425 77TH AVENUE NORTH

BROOKLYN PARK, MN 55443

(35375)

PHONE:

612/323-0315

FAX: 612/568-5936

KALEB HAILU

ACR HOME ON FALLGOLD

Corp

SLFB-6 ICFIID-6

9719 FALLGOLD PARKWAY

BROOKLYN PARK, MN 55443

(20743)

PHONE:

763/424-0352

FAX: 763/424-6544

GENE LEISTICO

Minnesota Department of Health

Health Regulation Division

Page

167

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

---------------------------**********

HENNEPIN

(Cont.)*

ADNA HOMES LLC

Lim-Liab

7733 ABBOTT AVENUE NORTH

BROOKLYN PARK, MN 55444

(35731)

PHONE:

612/913-6019

FAX: 704/252-4716

HAJI ALI

AGILITY ADVANTAGE HHC LLC

Lim-Liab

10339 QUAIL CIRCLE NORTH

BROOKLYN PARK, MN 55443

(34704)

PHONE:

612/212-9212

FAX: /-

DIMITRA KAULU

AGILITY ADVANTAGE HOME HEALTHCARE LLC

Lim-Liab

COMP

10339 QUAIL CIRCLE NORTH

BROOKLYN PARK, MN 55443

(34581)

PHONE:

612/212-9212

FAX: /-

DIMITRA KAULU

ALAAFIA HOMECARE LLC

Lim-Liab

COMP HCBS

7420 UNITY AVENUE NORTH #312

BROOKLYN PARK, MN 55443

(32097)

PHONE:

612/229-0753

FAX: 763/432-3130

OLAIDE GBADAMOSI

ALL HOPES AT PEARSON

Corp

2509 PEARSON PARKWAY

BROOKLYN PARK, MN 55444

(34287)

PHONE:

763/482-1487

FAX: 763/951-2775

VICTOR AWOSIKA

ALL SEASONS HOME HEALTH

Lim-Liab

COMP

10601 SUNSET ROAD NORTH

BROOKLYN PARK, MN 55443

(32830)

PHONE:

763/569-4147

FAX: 763/210-5089

IRENE NJOROGE

ALL WULLANCARE INC

Corp

TCOMP

7949 FLORIDA AVENUE NORTH

BROOKLYN PARK, MN 55445

(35769)

PHONE:

612/636-5478

FAX: 763/561-5360

AGNES AGUNBIADE

AMAL HOME HEALTH CARE INC.

Corp

2440 PEARSON PARKWAY

BROOKLYN PARK, MN 55444

(32645)

PHONE:

612/221-1986

FAX: 763/270-6954

ILHAM HUSSEIN

AMERICAN BEST HOME CARE INC

Corp

7833 UNITY AVENUE NORTH

BROOKLYN PARK, MN 55443

(32028)

PHONE:

763/432-7356

FAX: 763/432-6856

SEGUN OLATAYO

AMERICAN VOLUNTEERS HOMES LLC

Lim-Liab

TCOMP

7326 BRUNSWICK AVENUE NORTH

BROOKLYN PARK, MN 55443

(34877)

PHONE:

763/210-8532

FAX: /-

SEKOU DUKULY

Registration

--------------------------

HWSAL-O

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

168

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

HENNEPIN

(Cont.)* --------------------------

ANCHOR HOUSE

Lim-Liab

HWSAL

3556 BROOKDALE DRIVE

BROOKLYN PARK, MN 55443

(35748)

PHONE:

763/999-4600

FAX: 763/315-0385

OSAGIE EDISON-EDEBOR

HWSAL

ANGEL CARE HOMES

Lim-Liab

7829 HAMPSHIRE CIRCLE NORTH

BROOKLYN PARK, MN 55445

(35222)

PHONE:

612/423-6690

FAX: 612/423-9192

SADIA HASHI

TCOMP

ANGEL CARE HOMES LLC

Lim-Liab

7829 HAMPSHIRE CIRCLE NORTH

BROOKLYN PARK, MN 55445

(34503)

PHONE:

612/423-6690

FAX: /-

SADIA HASHI

ANGEL HEARTS HEALTH CARE SERVICES LLC

Lim-Liab

TCOMP

6509 76TH AVENUE NORTH

BROOKLYN PARK, MN 55428

(35858)

PHONE:

612/229-0000

FAX: /-

FAYSAL SAID

ANGELS HEALTH AND HOME CARE SERVICES INC

Corp

HWSAL

3525 99TH AVENUE NORTH

BROOKLYN PARK, MN 55443

(35135)

PHONE:

763/270-5771

FAX: 763/657-0252

BUSTER FALLAH

ARISE HOMECARE SERVICES PLLC

Lim-Liab

TCOMP

10358 OCHARD TRAIL NORTH

BROOKLYN PARK, MN 55443

(35165)

PHONE:

763/227-3482

FAX: 763/951-2515

JACKLINE ONGWENYI

HWSAL

ARISE HOMECARE SERVICES PLLC

Lim-Liab

8017 IDAHO CIRCLE NORTH

BROOKLYN PARK, MN 55445

(35545)

PHONE:

763/227-3482

FAX: 763/951-2515

JACKLINE ONGWENTYI

Lim-Liab

TBASIC HCBS

AROUND & AROUND HOME CARE

7912 XERXES COURT NORTH

BROOKLYN PARK, MN 55444

(34509)

PHONE:

763/210-9270

FAX: /-

LANCE FLUENCE

HWSAL

ASHTON HOMES LLC

Lim-Liab

7523 HUMBOLDT CIRCLE NORTH

BROOKLYN PARK, MN 55444

(35078)

PHONE:

763/354-0850

FAX: 763/219-4401

SEKOU DUKULY

ASHTON HOMES LLC

Lim-Liab

HWSAL

7435 78TH COURT NORTH

BROOKLYN PARK, MN 55445

(34562)

PHONE:

763/777-1059

FAX: 763/219-4401

JOSLYN DAYRELL

Minnesota Department of Health

Health Regulation Division

Page

169

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

HENNEPIN

(Cont.)* --------------------------

ASPEN HOME HEALTH CARE INC

9508 UPTON AVENUE NORTH

BROOKLYN PARK, MN 55444

PHONE:

612/876-1913

Corp

(34457)

FAX: /-

TCOMP HCBS

FATHIA MOUSSA

ASPEN HOMES

Corp

HWSAL

9508 UPTON AVENUE NORTH

BROOKLYN PARK, MN 55444

(35930)

PHONE:

612/876-1913

FAX: /-

FATHIA MOUSSA

HWSAL-O

ASTRAL HOME CARE LLC BARRINGTON

Lim-Liab

9121 BARRINGTON TERRACE

BROOKLYN PARK, MN 55443

(36058)

PHONE:

763/999-4791

FAX: 763/284-1050

RUTH DOMBRET

AUTUMN RIDGE

NProf

HWS-O

8516 63RD AVENUE NORTH

BROOKLYN PARK, MN 55428

(35357)

PHONE:

612/874-6409

FAX: 612/874-0157

MICHELLE WINCELL-O'LEARY

BELL MEDICAL SERVICES INC

Corp

COMP

6901 78TH AVENUE NORTH #104

BROOKLYN PARK, MN 55445

(33212)

PHONE:

763/208-0975

FAX: 763/208-7024

ERICA MAYS

BERKELEY HEIGHTS HOMES LLC

Lim-Liab

TCOMP

7523 HUMBOLDT CIRCLE NORTH

BROOKLYN PARK, MN 55444

(35860)

PHONE:

612/281-7059

FAX: 763/219-4401

SEKOU DUKULY

COMP

BETHAL PAVILION HOMECARE LLC

Lim-Liab

7535 DOUGLAS DRIVE NORTH

BROOKLYN PARK, MN 55443

(33792)

PHONE:

763/227-7572

FAX: 763/999-4556

ROSEBELLA OGORO

BETHEL PAVILION HOMECARE LLC

Lim-Liab

HWSAL

3816 83RD AVENUE NORTH

BROOKLYN PARK, MN 55443

(34064)

PHONE:

763/227-7572

FAX: 763/999-4556

ROSEBELLA OGORO

HWSAL-O

BOBBY'S HOUSE

Lim-Liab

9200 JAMES AVENUE NORTH

BROOKLYN PARK, MN 55444

(34949)

PHONE:

763/222-9503

FAX: 763/315-0689

NATALIE CAMPBELL

BRIGHT LIVING LLC

Lim-Liab

COMP

7309 ZANE AVENUE

BROOKLYN PARK, MN 55443

(34319)

PHONE:

612/886-5744

FAX: /-

ALI ELMI

Minnesota Department of Health

Health Regulation Division

Page

170

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

BRIGHT LIVING LLC

7309 ZANE AVENUE NORTH

BROOKLYN PARK, MN 55443

PHONE:

612/886-5744

CAPITAL HOME HEALTH CARE LLC

3516 73RD AVENUE

BROOKLYN PARK, MN 55429

PHONE:

612/886-7411

CARE PARTNERS HOME CARE LLC

5908 79TH AVENUE

BROOKLYN PARK, MN 55443

PHONE:

763/656-8813

CARE PLUS HOME CARE LLC

6248 LAKELAND AVENUE N #208

BROOKLYN PARK, MN 55428

PHONE:

612/221-5382

CAREVIEW IDAHO HOME

7124 IDAHO AVENUE NORTH

BROOKLYN PARK, MN 55428

PHONE:

612/910-5473

CARING MEADOWS

7723 BROOKLYN BOULEVARD

BROOKLYN PARK, MN 55443

PHONE:

763/208-9971

CARING MEADOWS II

7715 BROOKLYN BOULEVARD

BROOKLYN PARK, MN 55443

PHONE:

762/205-3780

CARING NURSES LLC

7714 BROOKLYN BOULEVARD #204

BROOKLYN PARK, MN 55443

PHONE:

763/566-4325

CARING NURSES LLC

7601 REGENT AVENUE NORTH

BROOKLYN PARK, MN 55443

PHONE:

763/566-4325

CARING NURSES, LLC

4426 LADYSLIPPER AVENUE NORTH

BROOKLYN PARK, MN 55443

PHONE:

763/566-4325

Lim-Liab

(34608)

FAX: /-

Lim-Liab

(34360)

FAX: 612/315-5918

Lim-Liab

(35625)

FAX: 763/207-0076

Lim-Liab

(35403)

FAX: 763/592-8103

Lim-Liab

(33970)

FAX: 800/653-6211

Lim-Liab

(29536)

FAX: 763/270-0294

Lim-Liab

(33553)

FAX: 763/566-4341

Lim-Liab

(25432)

FAX: 763/566-4341

Lim-Liab

(33551)

FAX: 763/566-4341

Lim-Liab

(27459)

FAX: 763/566-4341

Certification

HENNEPIN

(Cont.)*

ZAYNAB ISSE

SADIK BASHIR

VICKIE BRIGGS

TCOMP HCBS

GAIL NGAFUA

DARLA VANG

BRANDI STAMPER

COMP

BRANDI STAMPER

Registration

--------------------------

HWSAL-O

HWSAL

HWS

HWSAL

HWS

Minnesota Department of Health

Health Regulation Division

Page

171

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

---------------------------**********

HENNEPIN

(Cont.)*

CARING NURSES, LLC

Lim-Liab

7700 SHINGLE CREEK DRIVE

BROOKLYN PARK, MN 55443

(31336)

PHONE:

763/566-4325

FAX: 763/566-4341

BRANDI STAMPER

CHARITY CARE INC

Corp

TCOMP

2816 92ND CRESCENT NORTH

BROOKLYN PARK, MN 55443

(34750)

PHONE:

612/232-6648

FAX: /-

CHARITY ONGERI

CHARITY CARE INC

Corp

2816 92ND CRESCENT NORTH

BROOKLYN PARK, MN 55443

(35217)

PHONE:

612/232-6648

FAX: 763/634-5997

CHARITY ONGERI

CHASE COURAGEOUS HEALTH SERVICES

Lim-Liab

COMP

7708 REGENT AVENUE NORTH

BROOKLYN PARK, MN 55443

(34166)

PHONE:

612/707-9072

FAX: 763/432-3503

CHASE MULBAH

CHEPSTON HOME HEALTHCARE LLC

Lim-Liab

TCOMP

9757 THOMAS NORTH

BROOKLYN PARK, MN 55444

(34229)

PHONE:

612/368-4658

FAX: 888/240-4458

WASHINGTON TOE

CHEPSTON HOME HEALTHCARE LLC

Lim-Liab

9757 THOMAS AVENUE NORTH

BROOKLYN PARK, MN 55444

(35862)

PHONE:

612/644-7047

FAX: 888/240-4458

WASHINGTON TOE

CLINIQUE HEALTH CARE SERVICES

Corp

7924 JUNE AVENUE NORTH

BROOKLYN PARK, MN 55444

(35377)

PHONE:

763/503-4757

FAX: 763/549-9952

ANTHONY ORJINTA

COLORADO HOUSE

Lim-Liab

7509 COLORADO AVENUE NORTH

BROOKLYN PARK, MN 55443

(25822)

PHONE:

763/493-5067

FAX: 763/493-5138

FREDIE OGIUGO

COMPASSIONATE HOMECARE NURSING SERVICES INC

Corp

TCOMP

7040 LAKELAND AVENUE N #202

BROOKLYN PARK, MN 55428

(35402)

PHONE:

763/600-6295

FAX: /-

OLUSOLA ROTIMI

DELIGHT HOME HEALTHCARE LLC

Lim-Liab

8157 JAMES AVENUE NORTH

BROOKLYN PARK, MN 55444

(34035)

PHONE:

612/414-1804

FAX: /-

NKEIRUKA OKONKWO

Registration

--------------------------

HWSAL

HWS-O

HWSAL-O

HWSAL

HWS-O

HWS

Minnesota Department of Health

Health Regulation Division

Page

172

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

HENNEPIN

(Cont.)* --------------------------

DELIGHT HOME HEALTHCARE LLC

Lim-Liab

COMP

8117 HAMPSHIRE CT N

BROOKLYN PARK, MN 55445

(33584)

PHONE:

612/414-1804

FAX: 763/444-1967

NKEIRUKA OKONKWO

HWS

DELIGHT HOME HEALTHCARE LLC

Lim-Liab

8239 HAMPSHIRE COURT NORTH

BROOKLYN PARK, MN 55445

(34775)

PHONE:

612/414-1804

FAX: 763/444-1967

NKEIRUKA OKONKWO

HWS-O

DELIGHT HOME HEALTHCARE LLC

Lim-Liab

8117 HAMPSHIRE COURT NORTH

BROOKLYN PARK, MN 55445

(35386)

PHONE:

612/414-1804

FAX: 763/444-1967

NKEINIKA OKONKWO

DESNOL HEALTHCARE SERVICES

Lim-Liab

COMP

5901 BROOKLYN BOULEVARD #109

BROOKLYN PARK, MN 55429

(32153)

PHONE:

763/210-8684

FAX: 763/208-1163

OLUWATOSIN ADEJUWON

HWSAL

DESNOL HEALTHCARE SERVICES LLC

Lim-Liab

9241 WEST RIVER ROAD

BROOKLYN PARK, MN 55444

(34155)

PHONE:

763/210-8684

FAX: 763/208-1163

OLUWATOSIN ADEJUWON

DESTINY HOME

Corp

HWSAL

7416 COLORADO AVENUE NORTH

BROOKLYN PARK, MN 55443

(35729)

PHONE:

763/600-6295

FAX: 763/208-7903

OLUSOLA ROTIMI

DIS-GENERATION GROUP INC

Corp

HWS

6617 QUEBEC AVENUE

BROOKLYN PARK, MN 55428

(33047)

PHONE:

763/443-7434

FAX: 763/315-3020

STELLA IWUCHUKWU

DIS-GENERATION GROUP INC

Corp

COMP

6617 QUEBEC AVENUE NORTH

BROOKLYN PARK, MN 55428

(32747)

PHONE:

763/232-1747

FAX: 763/951-2306

STELLA IWUCHUKWU

HWSAL-O

DIVINE HLEATH HOME CARE LLC

Lim-Liab

8229 JUNE AVENUE NORTH

BROOKLYN PARK, MN 55443

(35228)

PHONE:

/-

FAX: /-

JOYCE MOGENI

DOMINION HEALTH CARE SERVICES

Lim-Liab

HWSAL-O

5421 PENN AVENUE NORTH

BROOKLYN PARK, MN 55430

(35311)

PHONE:

612/812-4744

FAX: /-

YARIA BANGURA

Minnesota Department of Health

Health Regulation Division

Page

173

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

DOUGLAS HOME

8936 DOUGLAS DRIVE NORTH

BROOKLYN PARK, MN 55445

PHONE:

763/377-0836

EDGEWOOD PLACE

6517 EDGEWOOD AVENUE NORTH

BROOKLYN PARK, MN 55428

PHONE:

763/493-5067

EMPATHY HOME CARE INC

7333 KENTUCKY AVENUE NORTH

BROOKLYN PARK, MN 55428

PHONE:

612/245-1561

EMPATHY HOME CARE INC

7325 KENTUCKY AVENUE NORTH

BROOKLYN PARK, MN 55428

PHONE:

612/245-1561

EMPATHY HOME CARE INC

7556 SCOTT AVENUE NORTH

BROOKLYN PARK, MN 55443

PHONE:

612/245-1561

EMPATHY HOME CARE INC

3309 80TH AVENUE NORTH

BROOKLYN PARK, MN 55443

PHONE:

612/245-1561

EMPIRE SYSTEMS HOME CARE

6248 LAKELAND AVENUE N #208

BROOKLYN PARK, MN 55428

PHONE:

763/600-8661

EMPOWERMENT HEALTHCARE

7100 NORTHLAND CIRCLE #207

BROOKLYN PARK, MN 55428

PHONE:

763/566-0831

EPIC HOMES LLC

8216 IRVING AVENUE NORTH

BROOKLYN PARK, MN 55444

PHONE:

612/404-4456

EPIC HOMES LLC

1800 LARAMIE TRAIL

BROOKLYN PARK, MN 55444

PHONE:

612/404-4456

Lim-Liab

(35134)

FAX: 763/205-4227

Lim-Liab

(33562)

FAX: 763/493-5138

Corp

(34730)

FAX: 312/888-9690

Corp

(34731)

FAX: 312/888-9690

Corp

(33670)

FAX: 612/888-9690

Corp

(35600)

FAX: 612/888-9690

Lim-Liab

(32957)

FAX: 763/592-7932

Corp

(29431)

FAX: 763/208-7071

Lim-Liab

(35727)

FAX: 763/205-3917

Lim-Liab

(35728)

FAX: 763/205-3917

Certification

HENNEPIN

(Cont.)*

GENIKA OSAKWE

RITA WILLIAMS

FATOU JALLOW

COMP HCBS

SAYNDEE SANDO

COMP

ROGER BONNY

FLORENCE SIMMS

Registration

--------------------------

HWSAL-O

HWS-O

HWSAL-O

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

174

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

HENNEPIN

---------------------------**********

(Cont.)* --------------------------

TCOMP HCBS

ESTEEM HOME HEALTH SERVICES LLC

Lim-Liab

6248 LAKELAND AVENUE N #208

BROOKLYN PARK, MN 55430

(35241)

PHONE:

848/230-1286

FAX: /-

EMMANUEL WHEAGAR

ESTHERRA CARE LLC

Lim-Liab

COMP

3808 73RD AVENUE NORTH

BROOKLYN PARK, MN 55429

(31245)

PHONE:

952/688-7164

FAX: /-

ESTHER WAKO

HWSAL-O

ESTHERRA CARE LLC

Lim-Liab

3808 73RD AVENUE NORTH

BROOKLYN PARK, MN 55429

(31409)

PHONE:

952/688-7164

FAX: 763/210-5394

ESTHER WAKO

ESTHERRA CARE LLC

Lim-Liab

HWSAL-O

7357 CHOWEN AVENUE NORTH

BROOKLYN PARK, MN 55443

(34157)

PHONE:

952/688-7164

FAX: 763/210-5394

ESTHER WAKO

ESTHERRA CARE LLC

Lim-Liab

HWSAL-O

3257 98TH CIRCLE NORTH

BROOKLYN PARK, MN 55443

(34948)

PHONE:

952/688-7164

FAX: 763/210-5394

ESTHER WAKO

EVENSONG MANOR

Corp

COMP

6264 YUKON AVENUE NORTH

BROOKLYN PARK, MN 55428

(24202)

PHONE:

763/537-4374

FAX: 763/537-4374

MARY JANE CHAIGNOT

EVENSONG MANOR

Corp

HWS

6264 YUKON AVENUE NORTH

BROOKLYN PARK, MN 55428

(30500)

PHONE:

763/537-4374

FAX: 763/537-4374

MARY JANE CHAIGNOT

NProf

HWSAL-O

EVERGREEN APARTMENTS

7108 WEST BROADWAY AVENUE

BROOKLYN PARK, MN 55428

(24488)

PHONE:

651/639-9799

FAX: 651/639-3699

CHRIS WINTER

TCOMP

FANTUM HOME HEALTH CARE LLC

Lim-Liab

3417 98TH CIRCLE NORTH

BROOKLYN PARK, MN 55443

(35855)

PHONE:

612/251-4521

FAX: /-

OLUFEMI ISAWUMI

HWS-O

FIRST CHOICE LIVING SERVICES

Lim-Liab

7331 YORK AVENUE NORTH

BROOKLYN PARK, MN 55443

(34286)

PHONE:

612/578-7221

FAX: /-

MOHAMED MOHAMED

Minnesota Department of Health

Health Regulation Division

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

---------------------------**********

HENNEPIN

(Cont.)*

FIRST CHOICE NURSING & HOMECARE INC

5231 91ST CRESCENT NORTH

BROOKLYN PARK, MN 55443

PHONE:

763/390-6360

Corp

(28880)

FAX: 763/566-4052

JERRY HAVON

FIRST CHOICE NURSING & HOMECARE INC

Corp

5211 92ND CRESCENT

BROOKLYN PARK, MN 55443

(33145)

PHONE:

763/566-4025

FAX: 763/566-4052

JERRY HAVON

FIRST CHOICE NURSING & HOMECARE INC

Corp

2108 PEARSON PARKWAY

BROOKLYN PARK, MN 55444

(26265)

PHONE:

612/272-3880

FAX: 763/566-4052

JERRY HAVON

FIRST CHOICE ON 81ST AVE

Corp

5500 81ST AVENUE NORTH

BROOKLYN PARK, MN 55443

(35250)

PHONE:

612/272-3880

FAX: 763/566-4052

JERRY HAVON

FORTUNATE HOMES LLC

Lim-Liab

7409 LOUISIANA AVENUE NORTH

BROOKLYN PARK, MN 55428

(33575)

PHONE:

952/994-5356

FAX: /-

SUSAN OBWAYA

FORTUNATE HOMES LLC

Lim-Liab

7332 FRANCE AVENUE NORTH

BROOKLYN PARK, MN 55443

(34398)

PHONE:

952/994-5356

FAX: 952/674-7774

SUSAN OBWAYA

FOXGLOVE

Lim-Liab

4137 FOXGLOVE AVENUE NORTH

BROOKLYN PARK, MN 55443

(34179)

PHONE:

763/566-4325

FAX: 763/566-4341

BRANDI STAMPER

FRANCE AVENUE

Corp

10510 FRANCE AVENUE NORTH

BROOKLYN PARK, MN 55443

(33987)

PHONE:

763/323-3092

FAX: 763/566-4052

JERRY HAVON

GOLDEN OAKS HOME CARE LLC

Lim-Liab

7100 MARYLAND AVENUE NORTH

BROOKLYN PARK, MN 55428

(35868)

PHONE:

952/649-8657

FAX: /-

VIJAY PALKAR

GOLDEN TOUCH HEALTH CARE LLC

Lim-Liab

6433 GEORGIA AVENUE NORTH

BROOKLYN PARK, MN 55428

(33255)

PHONE:

763/354-0850

FAX: 866/279-6916

SEKOU DUKULY

Page

175

Registration

--------------------------

HWSAL

HWS

HWSAL

HWS-O

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

176

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

HENNEPIN

---------------------------**********

(Cont.)* --------------------------

HWSAL

GOLDEN TOUCH HEALTH CARE LLC

Lim-Liab

8216 HAMPSHIRE COURT NORTH

BROOKLYN PARK, MN 55445

(35842)

PHONE:

763/354-0850

FAX: 888/279-6916

EMMANUEL WILLIAMS

GRANDMA'S PLACE, INC.

Corp

COMP

7040 LAKELAND AVENUE N #110

BROOKLYN PARK, MN 55428

(24787)

PHONE:

763/560-2500

FAX: 763/331-9953

RONALD HENDRICKSON

GRANDMAS PLACE, INC.

Corp

COMP

7040 LAKELAND AVENUE N #110

BROOKLYN PARK, MN 55428

(24787)

PHONE:

763/560-2500

FAX: 763/331-9953

RONALD HENDRICKSON

GRATEFUL HEALTH RESIDENTIAL SERVICES LLC

test

HWS-O

7801 SUGARLOAF TRAIL NORTH

BROOKLYN PARK, MN 55444

(35312)

PHONE:

763/566-4793

FAX: /-

ADENIYI ADEGBENRO

GUARANTEED HOME HEALTH CARE LLC

Lim-Liab

HWSAL-O

9118 WOODHALL CROSSING NORTH

BROOKLYN PARK, MN 55443

(33925)

PHONE:

763/710-5722

FAX: 763/710-5876

ADMINI MICHAEL HUNTER

GUARANTEED HOME HEALTH CARE LLC

Lim-Liab

COMP

8525 EDINBROOK CROSSING #109

BROOKLYN PARK, MN 55443

(31818)

PHONE:

763/710-5722

FAX: 763/710-5878

MICHAEL HUNTER

TCOMP

H AND S RESIDENCE LLC

Lim-Liab

532 79TH AVENUE NORTH

BROOKLYN PARK, MN 55444

(35170)

PHONE:

202/640-0806

FAX: /-

SAHRA MUHUMED

H AND S RESIDENCE LLC

Lim-Liab

HWSAL

532 79TH AVENUE NORTH

BROOKLYN PARK, MN 55444

(36081)

PHONE:

202/640-0806

FAX: /-

YASMIN ABDI

TCOMP

HARMONY HOMES LLC

Lim-Liab

9037 ASHLEY TERRACE

BROOKLYN PARK, MN 55443

(35791)

PHONE:

952/288-9475

FAX: /-

FATUMA TOBE

HARMONY LIVING HEALTH CARE SERVICES

Lim-Liab

COMP

7420 UNITY AVENUE NORTH #203

BROOKLYN PARK, MN 55443

(25474)

PHONE:

763/432-7968

FAX: 763/432-7968

ALEXANDER ONGOU

Minnesota Department of Health

Health Regulation Division

Page

177

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

HEART OF A STAR HOME CARE

Lim-Liab

6251 104TH CIRCLE NORTH

BROOKLYN PARK, MN 55443

(35185)

PHONE:

763/283-0671

FAX: /-

HEARTFELT CARE LLC

Lim-Liab

7717 GEORGIA AVENUE NORTH

BROOKLYN PARK, MN 55445

(35941)

PHONE:

612/226-5157

FAX: 763/205-4855

HENNEPIN HOME HEALTH CARE, INC.

Corp

8590 EDINBURGH CENTER DRIVE

BROOKLYN PARK, MN 55443

(03188)

PHONE:

763/425-5959

FAX: 763/425-5929

HOME JOY HOME CARE INC

Corp

9229 TRINITY GARDENS

BROOKLYN PARK, MN 55443

(33794)

PHONE:

763/360-5991

FAX: 763/374-5076

HOME JOY HOME CARE OF 83

Corp

7632 83RD AVENUE NORTH

BROOKLYN PARK, MN 55445

(34049)

PHONE:

763/360-5991

FAX: 763/374-5076

HOMEWARD BOUND BROOKLYN PARK

NProf

7839 BROOKLYN BOULEVARD

BROOKLYN PARK, MN 55445

(01273)

PHONE:

763/746-4850

FAX: 763/525-4084

HOPE'S RESIDENCE

Lim-Liab

6449 EDGEMONT BOULEVARD NORTH

BROOKLYN PARK, MN 55428

(26435)

PHONE:

763/205-0519

FAX: 763/205-0519

HOPE'S RESIDENCE

Lim-Liab

6449 EDGEMONT BOULEVARD NORTH

BROOKLYN PARK, MN 55428

(30715)

PHONE:

763/205-0519

FAX: 763/205-0519

HORIZON HOME CARE SERVICES INC

Corp

9703 GREENSPRUCE AVENUE NORTH

BROOKLYN PARK, MN 55443

(34678)

PHONE:

763/639-8092

FAX: /-

HORIZON HOME CARE SERVICES INC

Corp

4609 BIRCH GROVE CIRCLE

BROOKLYN PARK, MN 55443

(35417)

PHONE:

763/300-0271

FAX: 763/592-7913

Certification

HENNEPIN

(Cont.)*

TCOMP

GERALD GRAY

AUEHU MENGESHA

COMP HHA

AMELIA MATA

COMP

JEAN MOUELLE

Registration

--------------------------

HWSAL

HWS-O

JEAN MOUELLE

SLFB-32 ICFIID-32

GERRI DUKART GBOR

COMP

ESTHER HAMMER

HWSAL

ESTHER HAMMER

TCOMP

SHERIFAT OTUNUGA

HWSAL

SHERIFAT OTUNUGA

Minnesota Department of Health

Health Regulation Division

Page

178

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

IAN'S HOUSE

Corp

7825 MODERN ROAD

BROOKLYN PARK, MN 55428

(28485)

PHONE:

763/566-0831

FAX: 763/208-7071

IHI ZANE

Corp

7901 ZANE AVENUE NORTH

BROOKLYN PARK, MN 55443

(30588)

PHONE:

763/999-7799

FAX: 763/999-7790

IYKE'S HOUSE

Corp

4400 82ND AVENUE NORTH

BROOKLYN PARK, MN 55443

(25157)

PHONE:

763/566-0831

FAX: 763/208-7071

J. A. WEDUM HOSPICE RESIDENCE

NProf

9350 NOBLE PARKWAY

BROOKLYN PARK, MN 55443

(26907)

PHONE:

763/236-2950

FAX: 763/236-2975

JABEZ CUSTOMIZED LIVING SERVICES

Corp

1417 BROOKDALE DRIVE

BROOKLYN PARK, MN 55444

(34355)

PHONE:

612/272-8009

FAX: /-

JABEZ CUSTOMIZED LIVING SERVICES

NProf

1417 BROOKDALE DRIVE

BROOKLYN PARK, MN 55444

(34432)

PHONE:

763/762-8793

FAX: 763/324-7780

JAMES RESIDENCES

Lim-Liab

9400 JAMES AVENUE NORTH

BROOKLYN PARK, MN 55444

(32622)

PHONE:

763/222-9503

FAX: 763/315-0689

JERSEY HOUSE

Corp

6932 JERSEY AVENUE NORTH

BROOKLYN PARK, MN 55428

(35893)

PHONE:

763/432-6413

FAX: 763/432-6652

JMKAY HEALTH CARE SERVICES INC

Corp

7748 DALEVIEW DRIVE

BROOKLYN PARK, MN 55442

(34966)

PHONE:

763/245-0668

FAX: 763/657-0026

JOURNEYS HOME CARE LLC

Lim-Liab

10157 GEORGIA AVENUE NORTH

BROOKLYN PARK, MN 55445

(34254)

PHONE:

612/202-4007

FAX: 763/292-5805

Certification

Registration

HENNEPIN

(Cont.)* --------------------------

ROGER BONNY

KHRISTINA OESTMANN

ROGER BONNY

RES-HSPICE-12

LISA ABICHT SWENSON

COMP

PANDORA WHITE

PANDORA LEE WHITE

NATALIE CAMPBELL

DALIER NEWTON

OLAJUMOKE OLADEJI

COMP

NWAEMELE NDUBISI

HWSAL-O

HWS-O

HWSAL-O

18-HOSPICE-

HWSAL-O

HWSAL

HWS-O

Minnesota Department of Health

Health Regulation Division

Page

179

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

JOY CARE HOMES LLC

Lim-Liab

6825 71ST AVENUE NORTH

BROOKLYN PARK, MN 55428

(35708)

PHONE:

651/354-3127

FAX: 763/657-7927

JOY CARE HOMES LLC

Lim-Liab

4301 78TH AVENUE NORTH

BROOKLYN PARK, MN 55443

(35701)

PHONE:

763/657-7923

FAX: 763/657-7927

JOYOUS CARE & FAMILY PRESERVATION SERVICES INC

Corp

4004 82ND AVENUE NORTH

BROOKLYN PARK, MN 55443

(34069)

PHONE:

763/315-5912

FAX: 763/315-5916

JOYOUS CARE & FAMILY PRESERVATION SERVICES, INC

Corp

8525 EDINBROOK CROSSING #107

BROOKLYN PARK, MN 55443

PHONE:

763/315-5912

JOYOUS CARE SERVICES

4000 82ND AVENUE NORTH

BROOKLYN PARK, MN 55443

PHONE:

763/315-5912

KINDHEART HOMES INC

2417 87TH TRAIL NORTH

BROOKLYN PARK, MN 55443

PHONE:

612/412-6639

KINDHEART HOMES INC

2308 87TH TRAIL NORTH

BROOKLYN PARK, MN 55443

PHONE:

612/412-6639

KINGSWAY HEALTHCARE SVCS LLC

9248 QUEENS GARDENS

BROOKLYN PARK, MN 55443

PHONE:

763/221-5248

KINGSWAY HELTHCARE SERVICES LLC

2847 BROOKDALE DRIVE

BROOKLYN PARK, MN 55444

PHONE:

763/221-5248

KRISTEN'S HOUSE

8125 FRANCE AVENUE NORTH

BROOKLYN PARK, MN 55443

PHONE:

763/566-0831

(29365)

FAX: 763/315-5916

Corp

(34068)

FAX: 763/315-5916

Corp

(34031)

FAX: 952/516-5493

Lim-Liab

(34773)

FAX: 952/516-5493

Lim-Liab

(35664)

FAX: 763/560-1330

Lim-Liab

(34974)

FAX: /-

Lim-Liab

(26577)

FAX: 763/208-7071

Certification

HENNEPIN

(Cont.)*

JOY MORABU

TEMI DANIEL

COMP

TEMI DANIEL

COMP

ABDIRAHMAN UGAS

KINGDOM KANU

TCOMP

KINGDOM KANU

ROGER BONNY

Registration

--------------------------

HWSAL

HWSAL-O

HWS-O

HWSAL-O

Minnesota Department of Health

Health Regulation Division

Page

180

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

LAKELAND HOMECARE LLC

Lim-Liab

9244 LOCH LOMOND COURT

BROOKLYN PARK, MN 55443

(35415)

PHONE:

763/280-6652

FAX: 763/600-8559

LANG NELSON HOME CARE LLC

Lim-Liab

8500 TESSMAN FARM ROAD NORTH

BROOKLYN PARK, MN 55445

(25879)

PHONE:

763/416-7740

FAX: 763/416-7745

LIVING WELL - EDGEWOOD

NProf

6525 EDGEWOOD AVENUE NORTH

BROOKLYN PARK, MN 55428

(01258)

PHONE:

763/533-5104

FAX: 763/533-2630

LOYAL HEALTH CARE SERVICES LLC

Lim-Liab

7714 BROOKLYN BOULEVARD #202C

BROOKLYN PARK, MN 55443

(33574)

PHONE:

763/432-0224

FAX: /-

MELKEZEDEK CARE LLC

Lim-Liab

8525 N EDINBROOK CROSSING #204

BROOKLYN PARK, MN 55443

(34152)

PHONE:

763/269-9313

FAX: 763/432-3049

MELKEZEDEK CARE LLC

Lim-Liab

8501 77TH AVENUE NORTH

BROOKLYN PARK, MN 55445

(36004)

PHONE:

763/269-9313

FAX: 763/432-3049

MILES VENTS INC.

Corp

7316 COLORADO AVENUE NORTH

BROOKLYN PARK, MN 55443

(34252)

PHONE:

763/205-4019

FAX: 763/205-5878

MN BEST HOME CARE, LLC

Lim-Liab

6264 SUNRISE TERRACE

BROOKLYN PARK, MN 55428

(35019)

PHONE:

612/806-5003

FAX: 612/806-0587

NAGOMI INC

Corp

7525 FREMONT AVENUE NORTH

BROOKLYN PARK, MN 55444

(25215)

PHONE:

763/607-8373

FAX: /-

NEW DIRECTIONS RESIDENTIAL SERVICES INC

Corp

8228 JUNE AVENUE NORTH

BROOKLYN PARK, MN 55443

(35882)

PHONE:

763/313-6607

FAX: 763/717-8294

Certification

Registration

HENNEPIN

(Cont.)* --------------------------

EUSTUS NGONA

BARBARA KUHLMAN

SLFB-6

CHRISTOPHER PETERSON

COMP

DICKSON ATEKA

COMP HCBS

MEL MELCHIZEDEK

OSETOHAMEN AGENE

PETER GACHUKIA

COMP

AYO AWOLEYE

TRENA ALLBRITTON

HWSAL-O

HWSAL

ICFIID-6

HWSAL

HWSAL-O

Minnesota Department of Health

Health Regulation Division

Page

181

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

HENNEPIN

(Cont.)* --------------------------

NEW HORIZON ASSISTED LIVING LLC

6825 71ST AVENUE NORTH

BROOKLYN PARK, MN 55428

PHONE:

952/393-1576

Lim-Liab

(35688)

FAX: /-

TCOMP

SARAH MORABU

NEW LIFE HEALTH SERVICE

Corp

HWSAL

9642 PENN AVENUE NORTH

BROOKLYN PARK, MN 55444

(35643)

PHONE:

612/200-0112

FAX: 612/392-8595

AREE THOMPSON

TCOMP HCBS

NUVISION HOMECARE SERVICES LLC

Lim-Liab

6248 LAKELAND AVENUE N #208

BROOKLYN PARK, MN 55428

(35552)

PHONE:

963/280-1970

FAX: /-

BENJAMIN FLEMISTER

OLIDIA CARE INC

Corp

COMP HHA

4105 85TH AVENUE NORTH # 101

BROOKLYN PARK, MN 55443

(25418)

PHONE:

612/567-7780

FAX: 763/634-5997

OLIVIER NKWONKAM

OLU'S HOME, INC.

Corp

HWSAL

8117 NORTH COLLEGE PARK DRIVE

BROOKLYN PARK, MN 55445

(29339)

PHONE:

763/657-7379

FAX: 612/824-1456

GLORIA FREEMAN

OMOCARE LLC

Lim-Liab

HWS-O

7708 67TH AVENUE NORTH

BROOKLYN PARK, MN 55428

(33638)

PHONE:

763/607-4300

FAX: 612/351-4259

RAPHAEL OMODUNMIJU

HWSAL-O

OMOCARE LLC

Lim-Liab

7657 REGENT AVENUE NORTH

BROOKLYN PARK, MN 55443

(34810)

PHONE:

763/607-4300

FAX: 612/351-4259

RAPHAEL OMODUNMIJU

OPEN ARMS NURSING SERVICES INC

Corp

HWSAL

7709 IRVING COURT NORTH

BROOKLYN PARK, MN 55444

(35726)

PHONE:

763/244-1406

FAX: 763/390-0407

MARBUE WATKINS

COMP

PARADISE CARE HOMES LLC

Lim-Liab

7709 UNITY AVENUE NORTH

BROOKLYN PARK, MN 55443

(34304)

PHONE:

612/859-6065

FAX: /-

XUAN LY

PARADISE CARE HOMES LLC

Lim-Liab

HWS-O

7709 UNITY AVENUE NORTH

BROOKLYN PARK, MN 55443

(34668)

PHONE:

952/201-1352

FAX: /-

FADUMA HASHI

Minnesota Department of Health

Health Regulation Division

Page

182

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

HENNEPIN

---------------------------**********

(Cont.)* --------------------------

TCOMP

PATIENT CENTERED HOME CARE SERVICES LLC

Lim-Liab

4127 SUNSET TERRACE NORTH

BROOKLYN PARK, MN 55443

(35738)

PHONE:

763/843-1014

FAX: /-

PRINCE DARJUE

PEACE HOMECARE SERVICES LLC

Lim-Liab

TCOMP

3257 98TH CIRCLE NORTH

BROOKLYN PARK, MN 55443

(35023)

PHONE:

908/414-1849

FAX: /-

PEACE KIBAARA

PENN HOME LLC

Lim-Liab

TCOMP

7345 74TH WAY NORTH

BROOKLYN PARK, MN 55428

(35118)

PHONE:

952/564-1792

FAX: /-

FOWZIA ABDI

PENN HOME LLC

Lim-Liab

HWS-O

7345 74TH WAY NORTH

BROOKLYN PARK, MN 55428

(35612)

PHONE:

952/217-6862

FAX: /-

FAWZIA ABDI

HWS-O

PLATEAU HEALTHCARE LLC

Lim-Liab

7900 MOUNT CURVE BOULEVARD

BROOKLYN PARK, MN 55445

(33879)

PHONE:

763/444-1361

FAX: 763/444-1358

ALICIA THIELEN-BOUKARI

PLATEAU HEALTHCARE, LLC

Lim-Liab

HWS-O

1817 LARAMIE TRAIL

BROOKLYN PARK, MN 55444

(27797)

PHONE:

763/444-1361

FAX: 763/444-1358

ALICIA THEILEN BOUKARI

PLATEAU HEALTHCARE, LLC

Lim-Liab

COMP

8848 ZEALAND AVENUE NORTH

BROOKLYN PARK, MN 55445

(27310)

PHONE:

763/444-1361

FAX: 763/444-1358

ALICIA THIELEN-BOUKARI

POSSIBLE HEALTHCARE INC

Corp

TCOMP

8222 FRANCE AVENUE NORTH

BROOKLYN PARK, MN 55443

(35399)

PHONE:

763/227-1460

FAX: /-

WINSTON STUBBLEFIELD

PSY-HOSP-71

PRAIRIECARE

Lim-Liab

9400 ZANE AVENUE NORTH

BROOKLYN PARK, MN 55443

(31033)

PHONE:

763/762-6805

FAX: 763/315-4669

RYAN WILLIAMS

PREMIUM HOME HEALTHCARE LLC

Lim-Liab

TCOMP

3808 94TH AVENUE NORTH

BROOKLYN PARK, MN 55443

(34522)

PHONE:

763/568-8828

FAX: /-

IFEYINWA OSAKWE

Minnesota Department of Health

Health Regulation Division

Page

183

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

HENNEPIN

(Cont.)* --------------------------

PRESTIGE HOME HEALTH CARE LLC

8140 XENIA AVENUE NORTH

BROOKLYN PARK, MN 55443

PHONE:

763/496-9359

Lim-Liab

(35472)

FAX: 763/207-0203

OYETOLA BROWN

HWS

HWSAL

PRESTIGE HOME HEALTH CARE LLC

Lim-Liab

6124 81ST AVENUE NORTH

BROOKLYN PARK, MN 55443

(36099)

PHONE:

763/496-9359

FAX: 763/207-0203

OYETOLA BROWN

HWSAL-O

PRESTIGE HOME HEALTH CARE LLC

Lim-Liab

9019 NEVADA AVENUE NORTH

BROOKLYN PARK, MN 55445

(33428)

PHONE:

763/496-9359

FAX: 763/207-0203

OYETOLA BROWN

PRIMUS INCORPORATED

Corp

HWSAL-O

7309 KENTUCKY AVENUE NORTH

BROOKLYN PARK, MN 55443

(32915)

PHONE:

763/732-3729

FAX: 651/358-2970

TAIWO OBAZELUWA AFOLAYAN

PRIMUS INCORPORATED

Corp

HWSAL-O

7317 KENTUCKY AVENUE NORTH

BROOKLYN PARK, MN 55428

(35077)

PHONE:

763/732-3729

FAX: 763/270-9507

TAIWO OBAZELUWA-AFOLAYAN

PRIMUS INCORPORATED

Corp

COMP

7309 KENTUCKY AVENUE NORTH

BROOKLYN PARK, MN 55443

(32478)

PHONE:

763/732-3729

FAX: 763/270-9507

TAIWO OBAZELUWA-AFOLAYAN

PRIMUS INCORPORATED

Corp

HWSAL-O

7756 DUPONT AVENUE NORTH

BROOKLYN PARK, MN 55444

(34274)

PHONE:

763/732-3729

FAX: 763/270-9507

TAIWO OBAZELUWA-AFOLAYAN

QUALICARE HOMES CORPORATION

Corp

TCOMP

7026 104TH AVENUE NORTH

BROOKLYN PARK, MN 55445

(35102)

PHONE:

763/324-8250

FAX: /-

AFOLABI OSIBERU

RAPHA HEALTH CARE SERVICES INC

Corp

HWSAL-O

7816 HUMBOLDT AVENUE NORTH

BROOKLYN PARK, MN 55444

(34356)

PHONE:

612/701-3760

FAX: 763/208-7924

RAPHA ATINUKE LADIPO

RAPHA HEALTH CARE SERVICES INC

Corp

HWSAL-O

8101 JAMES AVENUE NORTH

BROOKLYN PARK, MN 55444

(34815)

PHONE:

612/701-3760

FAX: 763/208-7924

RAPHA ATINUKE LADIPO

Minnesota Department of Health

Health Regulation Division

Page

184

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

REIGN SERVICES LLC

Lim-Liab

10800 MISSISSIPPI DRIVE NORTH

BROOKLYN PARK, MN 55443

(36007)

PHONE:

651/675-8551

FAX: /-

REM HENNEPIN, INC. (LAKELAND)

Corp

6816 65TH AVENUE NORTH

BROOKLYN PARK, MN 55428

(01026)

PHONE:

952/922-6776

FAX: 952/922-6885

ROYAL CARING HANDS HOME HEALTHCARE SERVICES LLC

Lim-Liab

8240 RUSSELL AVENUE NORTH

BROOKLYN PARK, MN 55444

(34251)

PHONE:

763/350-4496

FAX: /-

ROYAL HOME CARE INC

Corp

7832 PENN AVENUE NORTH

BROOKLYN PARK, MN 55444

(35044)

PHONE:

763/228-9585

FAX: 763/226-2484

RYLEE'S HOUSE

Corp

7517 69TH AVENUE NORTH

BROOKLYN PARK, MN 55428

(26323)

PHONE:

763/566-0831

FAX: 763/208-7071

SABAINAH HEALTHCARE INC

Corp

3613 104TH TRAIL NORTH

BROOKLYN PARK, MN 55443

(33611)

PHONE:

763/221-4214

FAX: /-

SABAINAH HEALTHCARE INC

Corp

1816 YELLOWSTONE TRAIL

BROOKLYN PARK, MN 55444

(34953)

PHONE:

763/221-4214

FAX: 763/432-6766

SAINT THERESE AT OXBOW LAKE

Lim-Liab

5200 OAK GROVE PARKWAY

BROOKLYN PARK, MN 55443

(27752)

PHONE:

763/493-7000

FAX: 763/493-7001

SAINT THERESE AT OXBOW LAKE

NProf

5200 OAK GROVE PARKWAY

BROOKLYN PARK, MN 55443

(30544)

PHONE:

763/493-7007

FAX: 763/493-7001

SANCTUARY HEALTHCARE SERVICES

Lim-Liab

4211 78TH COURT NORTH

BROOKLYN PARK, MN 55443

(34849)

PHONE:

763/439-8390

FAX: 612/607-7820

Certification

Registration

HENNEPIN

(Cont.)* --------------------------

HWSAL-O

MILDA AYINDE

SLFB-6 ICFIID-6

KRISTINE WAINRIGHT-TADYCH

TCOMP HCBS

LATEEF OLARINDE

OLALEYE OLAUBAJU

ROGER BONNY

COMP

CHRISTIANAH TENIOLA

JANET TENIOLA

NH-64

PAUL METZLER

OLUWAKEMI AJAYI

HWSAL

HWSAL-O

HWSAL

SNF-NF-64

HWSAL

HWS

Minnesota Department of Health

Health Regulation Division

Page

185

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

SECURED HEALTH AND HOME CARE INC

Corp

4519 104TH AVENUE NORTH

BROOKLYN PARK, MN 55443

(35364)

PHONE:

763/438-8869

FAX: /-

SEFERTT HEALTH CARE LLC

Lim-Liab

3621 85TH AVENUE NORTH #103

BROOKLYN PARK, MN 55443

(28096)

PHONE:

763/432-5410

FAX: 763/657-7537

SENIOR LIVING LLC

Lim-Liab

9518 UNITY LANE NORTH

BROOKLYN PARK, MN 55443

(35215)

PHONE:

763/400-1819

FAX: /-

SHINGLE CREEK OPTION

NProf

5624 73RD AVENUE NORTH

BROOKLYN PARK, MN 55429

(01430)

PHONE:

763/560-5330

FAX: 763/566-8426

SOURIYATHAY HOUSING WITH SERVICES

Lim-Liab

6231 SUNNY LANE

BROOKLYN PARK, MN 55428

(35294)

PHONE:

612/368-1236

FAX: 763/269-7516

SOURIYATHAY HOUSING WITH SERVICES

Lim-Liab

9300 PENN AVENUE SOUTH

BROOKLYN PARK, MN 55444

(35162)

PHONE:

612/368-1236

FAX: 763/269-7516

SOURIYATHAY HOUSING WITH SERVICES

Lim-Liab

9300 PENN AVENUE NORTH

BROOKLYN PARK, MN 55444

(35556)

PHONE:

612/368-1236

FAX: 763/269-7516

ST THERESE AT OXBOW LAKE

Lim-Liab

5200 OAK GROVE PARKWAY

BROOKLYN PARK, MN 55443

(24510)

PHONE:

763/493-7000

FAX: 763/493-7001

STANLEY'S HOUSE

Corp

7549 HAMPSHIRE AVENUE NORTH

BROOKLYN PARK, MN 55428

(29209)

PHONE:

763/566-0831

FAX: 763/208-7071

SUPREME LIVING HOMES LLC

Lim-Liab

6201 83RD PLACE NORTH

BROOKLYN PARK, MN 55443

(35105)

PHONE:

612/229-6949

FAX: /-

Certification

Registration

HENNEPIN

(Cont.)* --------------------------

TCOMP

ABIOLA IJADIMBOLA

COMP HHA

MATHEW AMUSAN

TCOMP

ANBUR CHOPRA

SLFB-15 ICFIID-15

MICHAEL AMON

PHINHSAYKEO SOURIYATHAY

TCOMP

PHINHSAYKEO SOURIYATHAY

COMP

PAUL METZLER

ROGER BONNY

TCOMP

ILESANMI OYEWALE

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

186

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

HENNEPIN

(Cont.)* --------------------------

TEAM HOME HEALTHCARE LLC

9141 BARRINGTON COURT

BROOKLYN PARK, MN 55443

PHONE:

612/402-0806

Lim-Liab

(35956)

FAX: /-

TCOMP

MUSTAFE MOHAMOUD

THE 92ND TRAIL

Corp

HWSAL

6018 92ND TRAIL

BROOKLYN PARK, MN 55443

(31439)

PHONE:

763/566-4025

FAX: 763/566-4052

JERRY HAVON

COMP

THE CARING CREW LLC

Lim-Liab

9400 JAMES AVENUE NORTH

BROOKLYN PARK, MN 55444

(32559)

PHONE:

763/222-9503

FAX: 763/315-0689

NATALIE CAMPBELL

THE CARING SISTERS HOME CARE SERVICES, INC

Corp

HWSAL-O

3901 BURQUEST LANE NORTH

BROOKLYN PARK, MN 55429

(24802)

PHONE:

763/537-7963

FAX: 952/285-2844

OLALEYE BECKLEY

TCOMP HCBS

THE GRACE HOME HEALTH SERVICES LLC

Lim-Liab

5116 84TH AVENUE NORTH

BROOKLYN PARK, MN 55443

(34646)

PHONE:

763/300-1902

FAX: /-

ROSELYN NKWODIA

THE GUARDIAN HOME CARE

Lim-Liab

TCOMP

7814 UNITY AVENUE WEST

BROOKLYN PARK, MN 55443

(35465)

PHONE:

651/214-3016

FAX: /-

ADESHOLA WILSON

TOLAD, INC.

Corp

COMP

516 BROOKDALE DRIVE NORTH

BROOKLYN PARK, MN 55444

(26275)

PHONE:

763/566-1744

FAX: 763/566-1755

EMMANUEL COKER

TOLAD, INCORPORATED

Corp

HWS-O

516 BROOKDALE DRIVE

BROOKLYN PARK, MN 55444

(26250)

PHONE:

763/566-1744

FAX: 763/566-1755

EMMANUEL COKER

COMP

TOPCARE HEALTH SERVICES

Lim-Liab

4110 FOXGLOVE AVENUE NORTH

BROOKLYN PARK, MN 55443

(32507)

PHONE:

763/377-0836

FAX: 763/205-4227

GINIKA OSAKWE

TOPCARE HOME

Lim-Liab

HWSAL-O

2514 93RD TRAIL

BROOKLYN PARK, MN 55444

(33080)

PHONE:

763/377-0836

FAX: 763/205-4227

GINIKA OSAKWE

Minnesota Department of Health

Health Regulation Division

Page

187

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

HENNEPIN

(Cont.)* --------------------------

TOTAL HOME HEALTH SERVICES LLC

Lim-Liab

TCOMP

6949 IDAHO AVENUE NORTH

BROOKLYN PARK, MN 55428

(34369)

PHONE:

612/442-0930

FAX: /-

GINNI ALI

TRADITION

Lim-Liab

HWSAL

8500 TESSMAN FARM ROAD NORTH

BROOKLYN PARK, MN 55445

(25879)

PHONE:

763/416-7740

FAX: 763/416-7745

BARBARA KUHLMAN

TRADITION

Lim-Liab

COMP

8500 TESSMAN FARM ROAD NORTH

BROOKLYN PARK, MN 55445

(29077)

PHONE:

763/416-7740

FAX: 763/416-7745

BARBARA KUHLMAN

TRISTAR HOME CARE LLC

Lim-Liab

HWSAL-O

3000 80TH AVENUE NORTH

BROOKLYN PARK, MN 55444

(35697)

PHONE:

763/415-5471

FAX: 763/204-8141

RAPHAEL OZURUMBA

ULTIMATE HOME CARE

Corp

COMP

7040 LAKELAND AVENUE N #208

BROOKLYN PARK, MN 55428

(26575)

PHONE:

763/560-9890

FAX: 763/560-9891

ALFRED APATA

ULTIMATE HOME CARE - BROOKDALE HOUSE

Corp

HWSAL

3609 78TH AVENUE NORTH

BROOKLYN PARK, MN 55443

(34357)

PHONE:

763/560-9890

FAX: 763/560-9891

ALFRED APATA

ULTIMATE HOME CARE REGENT HOUSE

Corp

HWSAL

7508 SCOTT AVENUE NORTH

BROOKLYN PARK, MN 55443

(30064)

PHONE:

763/560-9890

FAX: 763/560-9891

ALFRED APATA

UPLIFTED CARE SERVICES ,LLC

Lim-Liab

HWSAL-O

3100 80TH AVENUE NORTH

BROOKLYN PARK, MN 55443

(34481)

PHONE:

763/280-3236

FAX: 888/588-3166

WILLIAM AKUMA

UPLIFTED CARE SERVICES LLC

Lim-Liab

COMP HCBS

3340 BROOKDALE DRIVE NORTH

BROOKLYN PARK, MN 55443

(32621)

PHONE:

763/280-3236

FAX: 888/588-3166

WILLIAM AKUMA

UPLIFTED CARE SERVICES LLC

Lim-Liab

HWSAL-O

7724 ABBOTT AVENUE NORTH

BROOKLYN PARK, MN 55443

(33877)

PHONE:

763/280-3236

FAX: 888/588-3166

COLLINS MARANGA

Minnesota Department of Health

Health Regulation Division

Page

188

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

UPLIFTED CARE SERVICES, LLC

9037 MOORLAND CHASE

BROOKLYN PARK, MN 55443

PHONE:

763/280-3236

URBANA PLACE SENIOR LIVING

5601 94TH AVENUE NORTH

BROOKLYN PARK, MN 55443

PHONE:

763/402-9190

URBANA PLACE SENIOR LIVING LLC

5601 94TH AVENUE NORTH

BROOKLYN PARK, MN 55443

PHONE:

763/402-9190

VISITING ANGELS

8525 EDINBROOK CROSSING #100

BROOKLYN PARK, MN 55443

PHONE:

612/395-4504

WATCHFUL CAREGIVERS

7710 BROOKLYN BOULEVARD #204

BROOKLYN PARK, MN 55443

PHONE:

763/535-4326

WATERFORD MANOR

6288 LOUISIANA COURT NORTH

BROOKLYN PARK, MN 55428

PHONE: 763/316-4800

WATERFORD MANOR

6288 LOUISIANA COURT NORTH

BROOKLYN PARK, MN 55428

PHONE: 763/316-4800

WELLBEING HOMES, LLC

5525 81ST AVENUE NORTH

BROOKLYN PARK, MN 55443

PHONE:

612/986-3354

7535 HUMBOLDT CIRCLE NORTH

BROOKLYN PARK, MN 55444

PHONE:

763/439-9036

7808 83RD AVENUE NORTH

BROOKLYN PARK, MN 55445

PHONE:

763/493-5067

Lim-Liab

(34480)

FAX: 888/588-3166

Lim-Liab

(34833)

FAX: /-

Lim-Liab

(35230)

FAX: /-

Lim-Liab

(32979)

FAX: 612/444-3628

Lim-Liab

(25398)

FAX: 763/537-9352

Lim-Liab

(29078)

FAX: 763/316-4800

Lim-Liab

(21662)

FAX: 763/536-7679

Lim-Liab

(34038)

FAX: 612/460-6019

Corp

(34702)

FAX: 612/353-5186

Lim-Liab

(35874)

FAX: 763/493-5138

Certification

HENNEPIN

(Cont.)*

WILLIAM AKUMA

COMP

NICOLE DONAHUE

COMP HCBS

WILMA KING

COMP

CALVIN BELLA

COMP

TROY BARRICK

ABDI MAHAMED

TCOMP

ALIA NAMUS

RITA WILLIAMS

Registration

--------------------------

HWSAL-O

HWSAL

HWS

Minnesota Department of Health

Health Regulation Division

Page

189

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

PARTNERS IN CARE INC

Corp

6400 TOLEDO AVENUE NORTH

BROOKYN CENTER, MN 55429

(35458)

PHONE:

612/408-0461

FAX: /-

PROHEALTH CARE SYSTEMS INC

Corp

6248 LAKELAND AVENUE NORTH 208

BROOKYN PARK, MN 55428

(35390)

PHONE:

763/269-9233

FAX: 763/592-8130

BROOKDALE CHAMPLIN

Lim-Liab

119 EAST HAYDEN LAKE ROAD

CHAMPLIN, MN 55316

(30284)

PHONE:

763/712-0118

FAX: 763/712-0278

CHIKA'S HOUSE

Lim-Liab

844 WEST RIVER ROAD

CHAMPLIN, MN 55316

(33875)

PHONE:

952/848-0935

FAX: 952/920-6929

EMERITUS AT CHAMPLIN SHORES

Lim-Liab

119 EAST HAYDEN LAKE ROAD

CHAMPLIN, MN 55316

(22095)

PHONE:

763/712-0118

FAX: 763/712-0278

FRESENIUS MEDICAL CARE OF CHAMPLIN

Corp

12339 CHAMPLIN DRIVE

CHAMPLIN, MN 55316

(23606)

PHONE:

763/421-1032

FAX: 763/421-1054

GABBY CARE HOMES LLC

Lim-Liab

1512 PENNSYLVANIA AVENUE NORTH

CHAMPLIN, MN 55316

(34026)

PHONE:

612/481-3138

FAX: 763/267-7849

GABBY CARE HOMES LLC - FAITH'S HOUSE

Lim-Liab

1513 PENNSYLVANIA AVENUE NORTH

CHAMPLIN, MN 55316

(36011)

PHONE:

612/481-3138

FAX: 763/267-7849

GABBY CARE HOMES LLC - HANNA HOUSE

Lim-Liab

1510 PENNSYLVANIA AVENUE NORTH

CHAMPLIN, MN 55316

(34349)

PHONE:

612/481-3138

FAX: 763/267-7849

GABBY CARE HOMES LLC - SAM'S HOUSE

Lim-Liab

1306 WEST RIVER ROAD

CHAMPLIN, MN 55316

(36012)

PHONE:

612/481-3138

FAX: 763/267-7849

Certification

HENNEPIN

(Cont.)*

TCOMP

SAID FARAH

TCOMP HCBS

THOMAS TAMBA

CONNIE CANNON

LUIS OROZCO

COMP

CONNIE CANNON

Registration

--------------------------

HWSAL

HWS-O

ESRD

JOHN MARIETTI

HWSAL-O

FAITH OMURWA

HWSAL

FAITH OMURWA

HWSAL-O

FAITH OMURWA

HWSAL

FAITH OMURWA

Minnesota Department of Health

Health Regulation Division

Page

190

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

---------------------------**********

HENNEPIN

(Cont.)*

GABBY CARE HOMES LLC CILLA HOUSE

Lim-Liab

1500 PENNSYLVANIA AVENUE NORTH

CHAMPLIN, MN 55316

(35601)

PHONE:

612/481-3138

FAX: 763/267-7849

FAITH OMURWA

GABBY CARE HOMES LLC FORT LEE HOUSE

Lim-Liab

1502 PENNSYLVANIA AVENUE NORTH

CHAMPLIN, MN 55316

(35603)

PHONE:

612/481-3138

FAX: 763/267-7849

FAITH OMURWA

GOLDEN POND CHAMPLIN

Lim-Liab

6708 119TH PLACE NORTH

CHAMPLIN, MN 55316

(31077)

PHONE:

763/447-7717

FAX: 651/484-5130

DAVID METZ

HOPEVILLE HOMES

Lim-Liab

TCOMP HCBS

11330 FLORIDA AVE NORTH

CHAMPLIN, MN 55316

(35474)

PHONE:

763/843-8850

FAX: /-

CARLOS SMITH

JOY CARE HOMES LLC

Lim-Liab

COMP

11900 QUEBEC CIRCLE

CHAMPLIN, MN 55316

(34076)

PHONE:

651/354-3127

FAX: 763/657-7927

JOY MORABU

JOY CARE HOMES LLC

Lim-Liab

11900 QUEBEC CIRCLE

CHAMPLIN, MN 55316

(34397)

PHONE:

763/657-7923

FAX: 763/657-7927

JOY MORABU

KEYSTONE HOMES LLC

Lim-Liab

1013 WEST RIVER ROAD

CHAMPLIN, MN 55316

(35645)

PHONE:

651/808-8280

FAX: 763/825-5031

NYAMUDOU HAMZA

LCS CHAMPLIN LLC

Lim-Liab

COMP

119 EAST HAYDEN LAKE ROAD

CHAMPLIN, MN 55316

(22095)

PHONE:

763/712-0118

FAX: 763/712-0278

CONNIE CANNON

QUALITY FOOTCARE

Part

COMP

13008 REVERE LANE NORTH

CHAMPLIN, MN 55316

(24711)

PHONE:

612/805-6931

FAX: /-

AMY KEMMETMUELLER

SANCTUARY HEALTHCARE SERVICES LLC

Lim-Liab

COMP

10910 BRITTANY DRIVE NORTH

CHAMPLIN, MN 55316

(33043)

PHONE:

763/268-9552

FAX: 612/607-7820

BUSAYO OKUSANYA

Registration

--------------------------

HWSAL-O

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

191

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

HENNEPIN

(Cont.)* --------------------------

SENATIVE SERVICES LLC

10910 BRITTANY DRIVE

CHAMPLIN, MN 55316

PHONE:

763/222-9450

Lim-Liab

(35084)

FAX: /-

TCOMP

AJIBOLA AJAYI

HWSAL

THE ENCORE AT CHAMPLIN

Lim-Liab

11469 JEFFERSON COURT NORTH

CHAMPLIN, MN 55316

(30609)

PHONE:

763/235-3600

FAX: 763/235-3620

THOMAS OSTROM

TRANSITIONS HOME CARE

Corp

COMP

6266 DOUGLAS COURT NORTH

CHAMPLIN, MN 55316

(23102)

PHONE:

763/200-5406

FAX: 763/657-0253

CHOUA YANG

VIKINGS HOME HEALTH CARE LLC

Lim-Liab

COMP

11551 GEORGIA AVENUE NORTH

CHAMPLIN, MN 55316

(34211)

PHONE:

612/229-3455

FAX: 612/430-8921

YASMIN FARAH

HWSAL-O

VIKINGS HOME HEALTH CARE LLC

Lim-Liab

11551 GEORGIA AVENUE NORTH

CHAMPLIN, MN 55316

(34710)

PHONE:

612/229-3455

FAX: 612/430-8921

MISS YASMIN FARAH

NProf

HWSAL-O

WIGGINS APARTMENTS

206 EAST HAYDEN LAKE ROAD

CHAMPLIN, MN 55316

(24485)

PHONE:

651/639-9799

FAX: 651/639-3699

CHRIS WINTER

HWS-O

1-0 GRANNY'S HELPFUL HANDS LLC

Lim-Liab

4301 WELCOME AVENUE NORTH

CRYSTAL, MN 55422

(34395)

PHONE:

612/824-1177

FAX: 612/824-1177

ROBIN STEPNEY

AMAZING LOVE ASSISTED LIVING

Lim-Liab

HWSAL

5724 BASS LAKE ROAD

CRYSTAL, MN 55429

(24780)

PHONE:

763/561-3434

FAX: 763/561-3636

YEMMY OSONOWO

COMP

AMAZING LOVE LLC

Lim-Liab

5724 BASS LAKE ROAD

CRYSTAL, MN 55429

(24012)

PHONE:

763/561-3434

FAX: 763/561-3636

YEMMY OSONOWO

AMAZING LOVE, LLC

Lim-Liab

COMP

5724 BASS LAKE ROAD

CRYSTAL, MN 55429

(24012)

PHONE:

763/561-3434

FAX: 763/561-3636

YEMMY OSONOWO

Minnesota Department of Health

Health Regulation Division

Page

192

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

AMERICAN BEST HOME CARE INC

5825 WEST BROADWAY AVENUE

CRYSTAL, MN 55428

PHONE:

763/432-7356

ANCHOR HOUSE LLC

5501 LAKELAND AVENUE #101C

CRYSTAL, MN 55429

PHONE:

763/999-4600

ATTENTIVE CARE

3524 KYLE AVENUE NORTH

CRYSTAL, MN 55422

PHONE:

952/769-9221

CAREVIEW YATES HOME

4843 YATES AVENUE NORTH

CRYSTAL, MN 55429

PHONE:

612/910-5473

CENTENNIAL GARDENS FOR NURSING AND

REHABILITATION

3245 VERA CRUZ AVENUE NORTH

CRYSTAL, MN 55422

PHONE:

763/971-6300

CLINIQUE HEALTH CARE SERVICES, INC.

6000 BASS LAKE ROAD #204

CRYSTAL, MN 55429

PHONE:

763/503-4757

COMFORT CARE NURSING SERVICES, INC.

7000 57TH AVENUE NORTH STE 108

CRYSTAL, MN 55428

PHONE:

763/536-3050

DIS-GENERATION GROUP INC

6825 46TH AVENUE NORTH

CRYSTAL, MN 55428

PHONE:

763/205-0467

EMPATHY HOME CARE INC

3703 COLORADO AVENUE NORTH

CRYSTAL, MN 55428

PHONE:

612/245-1561

EMPATHY HOME CARE INC

6727 46TH AVENUE NORTH

CRYSTAL, MN 55428

PHONE:

612/245-1561

Corp

(32187)

FAX: 763/432-6856

Lim-Liab

(32194)

FAX: 763/999-4600

Lim-Liab

(35546)

FAX: /-

Lim-Liab

(34967)

FAX: 800/653-6211

Lim-Liab

(00255)

FAX: 763/971-6328

Corp

(28365)

FAX: 763/549-9952

Corp

(23068)

FAX: 763/536-7919

Corp

(34602)

FAX: 763/951-2306

Corp

(33496)

FAX: /-

Corp

(32326)

FAX: 612/888-9690

Certification

HENNEPIN

(Cont.)*

SEGUN OLATAYO

COMP

OSAGIE EDISON EDEBOR

MARRIAM ABDI

DARLA VANG

Registration

--------------------------

HWSAL

HWSAL-O

HWS

NH-130

SNF-NF-130

CORY GLAD

COMP HCBS

CLINIQ ANTHONY ORJINTA

COMP

SAYBA NGAIMA PHILIPS

HWS

STELLA IWUCHUKWU

HWSAL

FATOU JALLOW

COMP

DAVID HABIMANA

Minnesota Department of Health

Health Regulation Division

Page

193

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

EMPATHY HOME CARE INC

Corp

6727 46TH AVENUE NORTH

CRYSTAL, MN 55428

(32428)

PHONE:

612/245-1561

FAX: 612/888-9690

EMPATHY HOME CARE INC

Corp

6428 46TH PLACE NE

CRYSTAL, MN 55428

(35501)

PHONE:

612/245-1561

FAX: 612/888-9690

GLOBAL ALLIANCE HOME HEALTH CARE

Lim-Liab

4833 WINNETKA AVENUE NORTH

CRYSTAL, MN 55428

(35670)

PHONE:

763/710-5722

FAX: 763/710-5876

GOLDEN POND CRYSTAL

Lim-Liab

3648 COLORADO AVENUE NORTH

CRYSTAL, MN 55422

(33571)

PHONE:

763/447-7717

FAX: 651/484-5130

GRACE HOME

Corp

5802 56TH AVENUE NORTH

CRYSTAL, MN 55429

(32945)

PHONE:

612/702-7412

FAX: 763/425-4683

GRANDMA'S PLACE INC

Corp

5900 WEST BROADWAY AVENUE

CRYSTAL, MN 55428

(26760)

PHONE:

763/560-2500

FAX: 763/331-9953

GRANDMA'S PLACE INC

Corp

5920 WEST BROADWAY AVENUE

CRYSTAL, MN 55428

(26761)

PHONE:

763/560-2500

FAX: 763/561-0159

GRANDMAS PLACE INC

Corp

5910 WEST BROADWAY AVENUE

CRYSTAL, MN 55428

(26763)

PHONE:

763/560-2500

FAX: 763/561-0159

HEATHERS MANOR

NProf

3000 NORTH DOUGLAS DRIVE

CRYSTAL, MN 55422

(21623)

PHONE:

763/544-6777

FAX: 763/513-5859

HEATHERS MANOR

Lim-Liab

3000 NORTH DOUGLAS DRIVE NORTH

CRYSTAL, MN 55422

(29082)

PHONE:

763/544-6777

FAX: 763/513-5859

Certification

HENNEPIN

(Cont.)*

FATOU JALLOW

MICHAEL HUNTER

DAVID METZ

HELEN OSONOWO

BRYAN HENDRICKSON

BRYAN HEDRICKSON

KRISTEL LASTINE

COMP

KRISTEL LASTINE

Registration

--------------------------

HWSAL

HWSAL-O

HWSAL

HWSAL-O

HWS-O

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

194

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

JOYFUL HOME HEALTH CARE LLC

Lim-Liab

5737 REGENT AVENUE NORTH

CRYSTAL, MN 55429

(33179)

PHONE:

612/481-4636

FAX: /-

JOYFUL HOME HEALTHCARE LLC

Lim-Liab

5737 REGENT AVENUE NORTH

CRYSTAL, MN 55429

(35518)

PHONE:

612/481-4636

FAX: 612/395-5223

LOYALTY HOME HEALTHCARE

Lim-Liab

5747 WEST BROADWAY AVENUE 212B

CRYSTAL, MN 55428

(32651)

PHONE:

763/537-9199

FAX: 763/703-3150

MTAI RICE CREEK

Corp

5402 FAIRVIEW AVENUE NORTH

CRYSTAL, MN 55428

(01562)

PHONE:

763/442-7830

FAX: 763/754-0332

N & V HELPFUL HEART CARE INC

Corp

6000 BASS LAKE ROAD #106

CRYSTAL, MN 55429

(29409)

PHONE:

763/442-0460

FAX: 763/226-2397

OLIVIA HOME

Lim-Liab

5708 BASS LAKE ROAD

CRYSTAL, MN 55429

(34394)

PHONE:

763/561-3434

FAX: 763/561-3636

PEACE HOMECARE SERVICES LLC

Lim-Liab

5127 53RD AVENUE NORTH

CRYSTAL, MN 55429

(35898)

PHONE:

908/414-1849

FAX: /-

PUSH SERVICES INC.

Corp

7201 36TH AVENUE NORTH #111

CRYSTAL, MN 55427

(35696)

PHONE:

952/297-4327

FAX: 763/497-0005

QUALITY HEALTH CARE SERVICES

Corp

5701 KENTUCKY AVENUE NORTH 198

CRYSTAL, MN 55428

(28791)

PHONE:

763/533-1658

FAX: 763/533-1659

REM HENNEPIN, INC. (CRYSTAL)

Corp

3400 QUAIL AVENUE NORTH

CRYSTAL, MN 55422

(26137)

PHONE:

952/922-6776

FAX: 952/922-6885

Certification

Registration

HENNEPIN

(Cont.)* --------------------------

COMP

ADETOMI OMOTAYO

COMP

CHARLES AGU

SLFB-4

BRENT KROCAK

COMP

VERA DIXON

ICFIID-4

YEMMY OSONOWO

PEACE KIBAARA

PRINCESS NIMELY

COMP

ZINNAH CHESSON

SLFB-6 ICFIID-6

KRISTINE WAINRIGHT-TADYCH

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

195

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

RESTART ADAIR

3306 ADAIR AVENUE NORTH

CRYSTAL, MN 55422

PHONE:

763/205-1273

RESTART COLORADO

4367 COLORADO AVENUE NORTH

CRYSTAL, MN 55422

PHONE:

763/205-5037

ROYAL STAR RESIDENCE INC

3100 YUKON AVENUE NORTH

CRYSTAL, MN 55422

PHONE:

763/442-5136

SENATIVE SERVICES LLC

3513 KYLE AVENUE NORTH

CRYSTAL, MN 55422

PHONE:

763/400-4315

TONDA YAH IN HOME CARE LLC

3060 SUMTER AVENUE NORTH #14

CRYSTAL, MN 55427

PHONE:

612/328-6643

AGAPECARE SERVICES LLC

12331 PINERIDGE WAY N

DAYTON, MN 55327

PHONE:

610/202-6770

EAGANCARE BEHAVIORAL HEALTH SERVICES

11931 BLUE SPRUCE COURT NORTH

DAYTON, MN 55327

PHONE:

763/639-3356

FORTUNATE HOMES LLC

12331 PINERIDGE WAY NORTH

DAYTON, MN 55327

PHONE:

952/994-5356

THREE RIVERS HOUSE

16321 DAYTON RIVER ROAD

DAYTON, MN 55327

PHONE:

651/431-5886

DEEPHAVEN WOODS

18025 MINNETONKA BOULEVARD

DEEPHAVEN, MN 55391

PHONE:

952/288-2187

NProf

(32732)

FAX: 763/205-6226

NProf

(32726)

FAX: 763/205-5592

Corp

(35669)

FAX: 763/275-1642

Lim-Liab

(35699)

FAX: /-

Lim-Liab

(32946)

FAX: /-

Lim-Liab

(35164)

FAX: 952/516-5152

Lim-Liab

(35451)

FAX: /-

Lim-Liab

(33174)

FAX: 952/674-7774

State

(33705)

FAX: 651/431-7404

Lim-Liab

(30474)

FAX: 952/746-8578

Certification

HENNEPIN

(Cont.)*

STEVE PIEKARSKI

CHRISTIAN KOLLEH

AJIBOLA AJAYI

SERGE ITUNIME

TCOMP

PENNINAH OBWAYA

TCOMP

RONALD OMARI

COMP

SUSAN OBWAYA

DAVID BORNUS

ERIN HILLIGAN

Registration

--------------------------

HWS-O

HWS

Home Mgmt

HWS-O

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

196

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

LAKE MINNETONKA CARE CENTER

Corp

20395 SUMMERVILLE ROAD

DEEPHAVEN, MN 55331

(00234)

PHONE:

952/474-4474

FAX: 952/474-4272

SOJOURN SUITES JAMES

Lim-Liab

18900 JAMES AVENUE

DEEPHAVEN, MN 55391

(26002)

PHONE:

952/473-1810

FAX: 952/400-3542

ACUTE HOME HEALTH CARE OF MINNESOTA

Corp

6385 OLD SHADY OAK ROAD #2

EDEN PRAIRIE, MN 55344

(21554)

PHONE:

952/361-0080

FAX: 952/314-9613

AEGIS THERAPIES

Lim-Liab

431 PRAIRIE CENTER DRIVE

EDEN PRAIRIE, MN 55344

(29920)

PHONE:

952/240-3285

FAX: 479/709-7710

AMAZING HOMECARE AND NURSING SERVICES, LLC

Lim-Liab

6440 FLYING CLOUD DRIVE #114

EDEN PRAIRIE, MN 55344

PHONE:

952/884-1800

APPARENT PLAN

6995 MARIANN DRIVE

EDEN PRAIRIE, MN 55346

PHONE:

952/215-7052

BECKY'S PLACE, INC.

6391 DUCK LAKE ROAD

EDEN PRAIRIE, MN 55346

PHONE:

612/719-2915

BECKY'S PLACE, INC.

6391 DUCK LAKE ROAD

EDEN PRAIRIE, MN 55346

PHONE:

612/719-2915

BROOKDALE EDEN PRAIRIE

7513 MITCHELL ROAD

EDEN PRAIRIE, MN 55344

PHONE:

952/906-3800

BROOKDALE EDEN PRAIRIE

7513 MITCHELL ROAD

EDEN PRAIRIE, MN 55344

PHONE:

952/906-3800

(29963)

FAX: 844/829-7747

NProf

(33789)

FAX: /-

Corp

(28368)

FAX: /-

Corp

(28367)

FAX: 952/906-9181

Corp

(20538)

FAX: 952/906-3888

Corp

(30691)

FAX: 952/906-3888

Certification

Registration

HENNEPIN

(Cont.)* --------------------------

NH-21 SNF-NF-21

JEFFREY SPRINKEL

HWSAL

THOMAS PENN

COMP

KIMLOAN SLOSS

Out Pt Out St Out Ot

ANDREA GUGGENBUEHL

COMP

REGINE NDIFOR AJAGA

Home Mgmt

TRACY KEIBLER

HWSAL

BECKY DORR

COMP

1962 REBECCA DORR

COMP

ALEES GLEASON

HWSAL

ALEES GLEASON

Minnesota Department of Health

Health Regulation Division

Page

197

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

CAREBUILDERS AT HOME

Corp

250 PRAIRIE CENTER DRIVE #317

EDEN PRAIRIE, MN 55344

(34418)

PHONE:

612/260-2273

FAX: 612/260-2273

CASTLE RIDGE CARE CENTER

NProf

625 PRAIRIE CENTER DRIVE

EDEN PRAIRIE, MN 55344

(00973)

PHONE:

952/942-2100

FAX: 952/942-2101

CASTLE RIDGE MANOR HOUSE

NProf

615 PRAIRIE CENTER DRIVE

EDEN PRAIRIE, MN 55344

(21183)

PHONE:

952/942-2100

FAX: 952/942-2101

CLARE BRIDGE OF EDEN PRAIRIE

Corp

7513 MITCHELL ROAD

EDEN PRAIRIE, MN 55344

(20538)

PHONE:

952/906-3800

FAX: 952/906-3888

COMFORT HOSPICE LLC

Lim-Liab

10259 ENGLEWOOD DRIVE

EDEN PRAIRIE, MN 55347

(35046)

PHONE:

952/492-9039

FAX: 844/829-7747

EDEN PRAIRIE DIALYSIS

Corp

14852 SCENIC HEIGHTS ROAD B255

EDEN PRAIRIE, MN 55344

(22098)

PHONE:

952/934-2411

FAX: 952/934-3851

EDEN PRAIRIE SENIOR LIVING LLC

Lim-Liab

8480 FRANLO ROAD

EDEN PRAIRIE, MN 55344

(35049)

PHONE:

651/600-1821

FAX: /-

EDEN PRAIRIE SENIOR LIVING LLC

Lim-Liab

8480 FRANLO ROAD

EDEN PRAIRIE, MN 55344

(35071)

PHONE:

651/600-1821

FAX: /-

ELIM SHORES

NProf

7900 TIMBER LAKE DRIVE

EDEN PRAIRIE, MN 55347

(24915)

PHONE:

952/934-3005

FAX: 952/934-0730

ELIM SHORES

NProf

7900 TIMBER LAKE DRIVE

EDEN PRAIRIE, MN 55347

(30597)

PHONE:

952/934-3005

FAX: 952/934-0730

Certification

Registration

HENNEPIN

(Cont.)* --------------------------

COMP

JOEL DENNEY

NH-60 SNF-NF-60

MOLLY PAHL

COMP

ALEES GLEASON

Hospice

REGINE NDIFOR

ESRD

TAMARA WOODHAM

KELLY MEYERS

TCOMP

KELLY MYERS

COMP

CHRIS ORR

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

198

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

EZEKIEL'S HOUSE

13050 PIONEER TRAIL

EDEN PRAIRIE, MN 55347

PHONE:

952/848-0935

GRANDVIEW RELIABLE CARE LLC

12100 SINGLETREE LANE #169

EDEN PRAIRIE, MN 55344

PHONE:

612/806-4750

HOMECARE RESOURCE, LLC

9531 WEST 78TH STREET #230

EDEN PRAIRIE, MN 55344

PHONE:

952/854-6104

LEVEL MOUNTAIN HOME CARE LLC

6385 OLD SHADY OAK ROAD #250

EDEN PRAIRIE, MN 55344

PHONE:

612/638-2790

LUANN'S PLACE, LLC

6660 WEST 175TH AVENUE

EDEN PRAIRIE, MN 55346

PHONE:

952/334-9272

LUANN'S PLACE, LLC

6660 WEST 175TH AVENUE

EDEN PRAIRIE, MN 55346

PHONE:

952/334-9272

MANOR HOUSE

625 PRAIRIE CENTER DRIVE

EDEN PRAIRIE, MN 55344

PHONE:

952/942-2100

MATRIX HOME HEALTH CARE SPECIALISTS

6900 SHADY OAK ROAD #216

EDEN PRAIRIE, MN 55344

PHONE:

952/525-0505

NEW PERSPECTIVE SENIOR LIVING

7625 GOLDEN TRIANGLE DRIVE

EDEN PRAIRIE, MN 55344

PHONE:

952/746-3630

PIONEER ESTATES

8771 PRESERVE BOULEVARD

EDEN PRAIRIE, MN 55344

PHONE:

612/741-7241

Lim-Liab

(33726)

FAX: 952/920-6929

Lim-Liab

(34751)

FAX: /-

Lim-Liab

(21226)

FAX: 952/854-6134

Lim-Liab

(32954)

FAX: /-

Lim-Liab

(25323)

FAX: 952/949-4914

Lim-Liab

(26470)

FAX: 952/949-4914

NProf

(27962)

FAX: 952/942-2101

Corp

(24015)

FAX: 952/525-0506

Lim-Liab

(33197)

FAX: /-

Lim-Liab

(29888)

FAX: 612/524-5494

Certification

HENNEPIN

(Cont.)*

LUIS OROZCO

TCOMP HCBS

KHALID ABDI

COMP HHA

JENNIFER DEVILLE

COMP

ANNETTA PIERSON

LUANN FEHN

COMP

LUANN FEHN

COMP

NATALIE MORLAND

COMP

BRUCE LAWRENCE

COMP

RYAN NOVACZYK

JONATHON SONDERGAARD

Registration

--------------------------

HWS

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

199

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

HENNEPIN

(Cont.)* --------------------------

PIONEER ESTATES

Lim-Liab

HWSAL

8751 PRESERVE BLVD

EDEN PRAIRIE, MN 55344

(30632)

PHONE:

612/200-0901

FAX: 952/487-3607

HEATHER HEIJERMAN

PIONEER ESTATES

Lim-Liab

HWSAL

8761 PRESERVE BLVD

EDEN PRAIRIE, MN 55344

(32608)

PHONE:

612/200-0901

FAX: 952/487-3607

HEATHER HEIJERMAN

HWSAL

PIONEER ESTATES

Lim-Liab

8751 PRESERVE BOULEVARD

EDEN PRAIRIE, MN 55433

(35966)

PHONE:

612/200-0901

FAX: 952/487-3607

HEATHER HEIJERMAN

PRAIRIE BLUFFS SENIOR LIVING

Lim-Liab

TCOMP

10300 HENNEPIN TOWN ROAD

EDEN PRAIRIE, MN 55347

(34840)

PHONE:

763/432-3418

FAX: 763/432-9654

ANGIE BANTLE

PRAIRIE BLUFFS SENIOR LIVING

Lim-Liab

HWSAL

10300 HENNEPIN TOWN ROAD

EDEN PRAIRIE, MN 55347

(35561)

PHONE:

763/432-7622

FAX: 763/432-9654

ANGIE BANTLE

PRAIRIE BLUFFS TCU, LLC

Lim-Liab

NH-16

10300 HENNEPIN TOWN ROAD

EDEN PRAIRIE, MN 55347

(34018)

PHONE:

952/800-2466

FAX: /-

JOSH LEGUM

PRIDE INSTITUTE

Corp

SLFA-42

14400 MARTIN DRIVE

EDEN PRAIRIE, MN 55344

(01405)

PHONE:

952/345-1881

FAX: 952/934-8764

TERRI HAYDEN

PROFESSIONAL RESOURCE NETWORK HOME HEALTH

Corp

COMP

HHA

CARE

9531 WEST 78TH STREET STE 2

EDEN PRAIRIE, MN 55344

(03633)

FAX: 952/858-8835

JENNIFER DEVILLE

PHONE:

952/858-8807

QUALITY CARE COMPANIONS

Lim-Liab

BASIC HCBS

6385 OLD SHADY OAK ROAD #250

EDEN PRAIRIE, MN 55344

(33831)

PHONE:

612/638-2715

FAX: 651/358-2968

KRISHNA SHARMA

RIVER RIDGE, LLC-A WOMAN'S WAY

Lim-Liab

SLFA-16

7170 BRYANT LAKE DRIVE

EDEN PRAIRIE, MN 55344

(25914)

PHONE:

952/894-7722

FAX: 952/894-0882

BRIAN SAMMON

Minnesota Department of Health

Health Regulation Division

Page

200

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

SUMMIT PLACE ASSISTED LIVING

Lim-Liab

8501 FLYING CLOUD DRIVE

EDEN PRAIRIE, MN 55344

(21963)

PHONE:

952/995-1000

FAX: 952/995-1288

SUMMIT PLACE SENIOR LIVING

Lim-Liab

8505 FLYING CLOUD DRIVE

EDEN PRAIRIE, MN 55344

(21962)

PHONE:

952/995-1000

FAX: 952/995-1288

THE COLONY AT EDEN PRAIRIE

Lim-Liab

431 PRAIRIE CENTER DRIVE

EDEN PRAIRIE, MN 55344

(30812)

PHONE:

952/828-9500

FAX: 952/828-8195

THE GENEVA SUITES

Lim-Liab

11416 WILD HERON POINT

EDEN PRAIRIE, MN 55347

(34321)

PHONE:

612/208-8888

FAX: 612/358-2222

TRANQUIL LIVING

Corp

6385 OLD SHADY OAK ROAD #2

EDEN PRAIRIE, MN 55344

(21554)

PHONE:

952/361-0080

FAX: 952/314-9613

VOLUNTEERS OF AMERICA HOME HEALTH SERVICES

NProf

7530 MARKET PLACE DRIVE

EDEN PRAIRIE, MN 55344

(03712)

PHONE:

952/941-0305

FAX: 952/941-0428

ALLIED PROFESSIONALS, INC.

Corp

3209 WEST 76TH STREET #201

EDINA, MN 55435

(02925)

PHONE:

952/832-5101

FAX: 952/832-0656

ATTENTIVE CARE

Lim-Liab

7201 YORK AVENUE SOUTH #609

EDINA, MN 55435

(34872)

PHONE:

952/769-9221

FAX: /-

AURORA ON FRANCE

Lim-Liab

6500 FRANCE AVENUE SOUTH

EDINA, MN 55435

(31815)

PHONE:

952/848-8800

FAX: 952/848-8888

AURORA ON FRANCE

Lim-Liab

6500 FRANCE AVENUE SOUTH

EDINA, MN 55435

(32728)

PHONE:

952/848-8888

FAX: 952/848-8899

Certification

HENNEPIN

(Cont.)*

KRIS DAGGETT

KATHERINE TODD

MATT HANLEY

COMP

KIMLOAN SLOSS

COMP

JACCI NICKELL

COMP

SUZI SHUMAN

TCOMP

MARRIAM ABDI

Registration

--------------------------

HWSAL

HWS

HWSAL

NH-63 SNF-NF-63

GARRETT BOTHUN

HWSAL

ERIN HILLIGAN

Minnesota Department of Health

Health Regulation Division

Page

201

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

BROOKDALE EDINA

Lim-Liab

3330 EDINBOROUGH WAY

EDINA, MN 55435

(20381)

PHONE:

952/831-4084

FAX: 952/831-7171

BROOKDALE EDINA

Lim-Liab

3330 EDINBOROUGH WAY

EDINA, MN 55435

(26486)

PHONE:

952/831-4084

FAX: 952/831-7171

BROOKDALE HOME HEALTH MINNESOTA

Lim-Liab

3300 EDINBOROUGH WAY #470

EDINA, MN 55435

(25254)

PHONE:

615/564-8181

FAX: /-

CAPERNAUM PEDIATRIC THERAPY

Corp

7250 FRANCE AVENUE SOUTH #305

EDINA, MN 55435

(03719)

PHONE:

952/285-2840

FAX: 952/285-2830

CAREXTRA HOME HEALTH LLC

Lim-Liab

544 ARTHUR STREET

EDINA, MN 55343

(35979)

PHONE:

612/987-3927

FAX: 612/200-8945

CCRM MINNEAPOLIS

Lim-Liab

6565 FRANCE AVENUE SOUTH

EDINA, MN 55435

(31410)

PHONE:

952/225-1630

FAX: 952/225-1609

CENTENNIAL LAKES SURGERY CENTER

Part

7373 FRANCE AVENUE SOUTH #404

EDINA, MN 55435

(00379)

PHONE:

952/832-9360

FAX: 952/832-5079

CROSSTOWN SURGERY CENTER, LLC

Lim-Liab

4010 WEST 65TH STREET

EDINA, MN 55435

(27380)

PHONE:

952/456-7300

FAX: 952/456-7399

CUSTOMCARE HOME HEALTH CARE, LLC

Lim-Liab

5265 EDINA INDUSTRIAL BLVD

EDINA, MN 55439

(23437)

PHONE:

952/914-0269

FAX: 952/960-0239

EDENBROOK OF EDINA

Lim-Liab

6200 XERXES AVENUE SOUTH

EDINA, MN 55423

(00740)

PHONE:

952/925-8500

FAX: 952/925-8502

Certification

Registration

HENNEPIN

(Cont.)* --------------------------

OLIVIA NEARY

COMP

SARAH MCDONAGH

COMP

ADRIENNE HORN

BONNA OLSON

IDIL MOHAMED

DERRIK MAIDL

Outpt Surg

TERRY VOIGHT

Outpt Surg

LINDSAY RAFFERTY

COMP

CALVIN MILLER

NH-85

DIANE WILLETTE

HWSAL

HHA

Out Pt Out St Out Ot

HWSAL

Amb Surg

SNF-NF-85

Minnesota Department of Health

Health Regulation Division

Page

202

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

EDINA DIALYSIS CENTER

6565 FRANCE AVENUE SOUTH #109

EDINA, MN 55435

PHONE:

952/920-8371

EDINA PARK PLAZA

3330 EDINBOROUGH WAY

EDINA, MN 55435

PHONE:

952/831-4084

EDINA SPECIALTY SURGERY CENTER

4100 MINNESOTA DRIVE #200

EDINA, MN 55435

PHONE:

952/996-9600

EDINA SURGERY CENTER

6525 FRANCE AVENUE SOUTH #300A

EDINA, MN 55435

PHONE:

952/925-1765

ENGLISH ROSE SUITES

609 BLAKE ROAD SOUTH

EDINA, MN 55343

PHONE:

952/983-0412

ENGLISH ROSE SUITES

6400 TIMBER RIDGE

EDINA, MN 55439

PHONE:

952/983-0412

ENGLISH ROSE SUITES - BRAEMAR HILLS

6941 VALLEY VIEW ROAD

EDINA, MN 55439

PHONE:

952/983-0412

ENGLISH ROSE SUITES - GLEASON

6200 LOCH MOOR DRIVE

EDINA, MN 55439

PHONE:

952/983-0412

ENGLISH ROSE SUITES - INDIAN HILLS

6400 TIMBER RIDGE

EDINA, MN 55439

PHONE:

952/983-0412

ENGLISH ROSE SUITES - LOCHWOOD

6201 LOCH MOOR DRIVE

EDINA, MN 55439

PHONE:

952/983-0412

Corp

(02534)

FAX: 952/929-0539

Lim-Liab

(20381)

FAX: 952/831-7171

Lim-Liab

(33646)

FAX: 952/996-9601

Corp

(22138)

FAX: 952/925-1579

Corp

(20426)

FAX: 952/253-2548

Corp

(20905)

FAX: 952/253-2548

Corp

(21145)

FAX: 952/253-2548

Corp

(34598)

FAX: 952/253-2548

Corp

(33249)

FAX: 952/253-2548

Corp

(25762)

FAX: 952/253-2548

Certification

Registration

HENNEPIN

(Cont.)* --------------------------

ESRD

MANDY BORGESON

HWSAL

OLIVIA NEARY

Amb Surg

DAN CRESCO

ALYSSA DEERING

HWSAL

JAYNE CLAIRMONT

COMP

TIFFANY GOMEZ

HWSAL

JAYNE CLAIRMONT

HWSAL

JAYNE CLAIRMONT

HWSAL

JAYNE CLAIRMONT

HWSAL

JAYNE CLAIRMONT

Minnesota Department of Health

Health Regulation Division

Page

203

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

HENNEPIN

(Cont.)* --------------------------

ENGLISH ROSE SUITES AND B HOME HOME CARE

Corp

COMP

6400 TIMBER RIDGE

EDINA, MN 55439

(20905)

PHONE:

952/983-0412

FAX: 952/253-2548

TIFFANY GOMEZ

FAIRVIEW SOUTHDALE HOSPITAL

NProf

HOSP-390 BASS-45 HOSP-390 PPS-P-0

6401 FRANCE AVENUE SOUTH

EDINA, MN 55435

(00201)

PHONE:

952/892-2101

FAX: 952/924-5382

JEOFF WILL

GOLDEN HEART HOME

Lim-Liab

HWSAL

5808 WEST 70TH STREET

EDINA, MN 55439

(35751)

PHONE:

612/735-4065

FAX: 763/324-8493

DEQA WARSAME

GREATER HEIGHTS CARE LLC

Lim-Liab

TCOMP

7200 FRANCE AVENUE S #100-5

EDINA, MN 55435

(35757)

PHONE:

612/978-8197

FAX: 952/513-4615

WARSAN EFARAH

HERITAGE OF EDINA, INC.

Corp

HWSAL

3450 HERITAGE DRIVE

EDINA, MN 55435

(35017)

PHONE:

952/920-9145

FAX: 952/285-7805

MARIA FIELD

HERITAGE OF EDINA, INC.

Corp

HWSAL

3456 HERITAGE DRIVE

EDINA, MN 55435

(35018)

PHONE:

952/920-9145

FAX: 952/285-7805

MARIA FIELD

HERITAGE OF EDINA, INC.

Corp

COMP

3434 HERITAGE DRIVE

EDINA, MN 55435

(20233)

PHONE:

952/920-9145

FAX: 952/915-5411

MARIA FIELD

HERITAGE OF EDINA, INC.

Corp

HWSAL

3434 HERITAGE DRIVE

EDINA, MN 55435

(30456)

PHONE:

952/920-9145

FAX: 952/915-5411

MARIA FIELD

HOME CARE ASSISTANCE OF MINNESOTA LLC

Lim-Liab

COMP

3515 WEST 70TH STREET

EDINA, MN 55435

(27714)

PHONE:

952/236-7527

FAX: 952/679-6012

PEGGY ANDERSON

HOME INSTEAD SENIOR CARE

Corp

Home Mgmt

4445 WEST 77TH STREET #121

EDINA, MN 55435

(03782)

PHONE:

952/929-5695

FAX: 952/929-2032

CHER KUECHLE

Minnesota Department of Health

Health Regulation Division

Page

204

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

HENNEPIN

---------------------------**********

(Cont.)* --------------------------

HOME INSTEAD SENIOR CARE

Corp

COMP

4445 WEST 77TH STREET #121

EDINA, MN 55435

(23590)

PHONE:

952/929-5695

FAX: 952/929-2032

CHER KUECHLE

HOMEWATCH CAREGIVERS

Corp

COMP

7242 METRO BOULEVARD #500

EDINA, MN 55439

(28357)

PHONE:

952/657-5210

FAX: 952/500-8791

DEBORAH NELSON

INTREPID USA HEALTHCARE SERVICES

Corp

COMP HHA

7300 METRO BOULEVARD #625

EDINA, MN 55439

(02233)

PHONE:

952/513-5400

FAX: 651/628-1800

SONJA JACOBSON

KINDRED HOSPICE

Lim-Liab

Hospice HSPICE

8000 WEST 78TH STREET #210

EDINA, MN 55439

(32514)

PHONE:

952/314-9738

FAX: 952/941-4016

ROCHELLE CLARKE

MCCANNEL EYE SURGERY

Lim-Liab

Outpt Surg Amb Surg

3124 WEST 70TH STREET

EDINA, MN 55435

(20911)

PHONE:

952/848-8338

FAX: 952/848-8302

DEBORAH SHEA

COMP

MERCY LINK LLC

Lim-Liab

7400 METRO BOULEVARD #150

EDINA, MN 55439

(32518)

PHONE:

952/222-5477

FAX: 952/222-5418

IDIL JAMA

N. C. LITTLE MEMORIAL HOSPICE

NProf

RES-HSPICE-8 Hospice

7019 LYNMAR LANE

EDINA, MN 55435

(03721)

PHONE:

952/928-9394

FAX: 952/925-3578

ROBERT SOLHEIM

NOVACARE OUTPATIENT REHAB

Corp

Out Pt Out St Out Ot

6515 BARRIE ROAD #100

EDINA, MN 55435

(02793)

PHONE:

952/922-5019

FAX: /-

LESLIE HOVDA

NURA SURGICAL CENTER

Lim-Liab

Outpt Surg Amb Surg

7400 FRANCE AVENUE SOUTH #102

EDINA, MN 55435

(23072)

PHONE:

763/537-6000

FAX: 763/767-6666

LAURA CURTIS

ORTHOPAEDIC INSTITUTE SURGERY CENTER

Lim-Liab

Outpt Surg Amb Surg

8100 WEST 78TH STREET #220

EDINA, MN 55439

(22057)

PHONE:

952/914-8418

FAX: 952/914-8401

NANCY PAGE

Minnesota Department of Health

Health Regulation Division

Page

205

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

PARKINSON'S SPECIALTY CARE II

Lim-Liab

6804 DOVRE DRIVE

EDINA, MN 55436

(32015)

PHONE:

952/988-9900

FAX: 863/569-9155

REM HENNEPIN, INC. (WILLIAM)

Corp

5100 WILLIAM AVENUE SOUTH

EDINA, MN 55436

(01149)

PHONE:

952/922-6776

FAX: 952/922-6885

RESTART INC

NProf

5275 EDINA INDUSTRIAL BLVD 240

EDINA, MN 55439

(25379)

PHONE:

952/767-3350

FAX: 952/767-3351

SENIOR SUPPORT AND CARE

Ind

5112 BEDFORD AVENUE

EDINA, MN 55436

(27382)

PHONE:

612/669-7999

FAX: 612/669-7999

SUNRISE OF EDINA

Lim-Liab

7128 FRANCE AVENUE SOUTH

EDINA, MN 55435

(20814)

PHONE:

952/927-8000

FAX: 952/927-6400

SUNRISE OF EDINA

Lim-Liab

7128 FRANCE AVENUE SOUTH

EDINA, MN 55435

(21787)

PHONE:

952/927-8000

FAX: 952/927-6400

SUNRISE SENIOR LIVING MANAGEMENT, INC.

Lim-Liab

7128 FRANCE AVENUE SOUTH

EDINA, MN 55435

(20814)

PHONE:

952/927-8000

FAX: 952/927-6400

THE GENEVA SUITES

Lim-Liab

6200 PARKWOOD ROAD

EDINA, MN 55436

(33870)

PHONE:

612/208-8888

FAX: 612/358-2222

THE GENEVA SUITES

Lim-Liab

6222 BRAEBURN CIRCLE

EDINA, MN 55439

(33436)

PHONE:

612/208-8888

FAX: 612/358-2222

THE WATERS OF EDINA

Lim-Liab

6300 COLONIAL WAY

EDINA, MN 55436

(29647)

PHONE:

952/322-7500

FAX: 952/926-2809

Certification

Registration

HENNEPIN

(Cont.)* --------------------------

MARCIA COTTER

SLFB-6 ICFIID-6

KRISTEN WAINRIGHT-TADYCH

COMP

STEVE PIEKARSKI

COLLEEN SARAT

COMP

OMAR RICHMOND

COMP

OMAR RICHMOND

MATT HANLEY

KATHERINE TODD

HWSAL

Home Mgmt

HWSAL

HWS

Minnesota Department of Health

Health Regulation Division

Page

206

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

TWIN CITIES PAIN CLINIC

Corp

7211 OHMS LANE

EDINA, MN 55439

(29915)

PHONE:

952/204-3500

FAX: 952/856-2644

UNTIED CHAPTERS LIVING

Part

6421 NORDIC CIRCLE

EDINA, MN 55439

(35407)

PHONE:

763/486-3709

FAX: /-

VERNON TERRACE

Lim-Liab

5250 VERNON AVENUE SOUTH

EDINA, MN 55436

(28216)

PHONE:

952/925-5615

FAX: 952/925-1702

VISITING ANGELS

Lim-Liab

7550 FRANCE AVENUE SOUTH #135

EDINA, MN 55435

(21703)

PHONE:

952/891-8100

FAX: 952/891-8000

WALKER METHODIST CARE SUITES

NProf

7400 YORK AVENUE SOUTH

EDINA, MN 55435

(20444)

PHONE:

952/835-8351

FAX: 952/835-7453

WALKER METHODIST CARE SUITES

NProf

7400 YORK AVENUE SOUTH

EDINA, MN 55435

(23693)

PHONE:

952/835-8351

FAX: 952/835-7453

YORK GARDENS

Lim-Liab

3451 PARKLAWN AVENUE

EDINA, MN 55435

(30779)

PHONE:

952/898-6700

FAX: 952/898-6701

YORKSHIRE OF EDINA SENIOR LIVING

Lim-Liab

7141 YORK AVENUE SOUTH

EDINA, MN 55435

(32530)

PHONE:

612/866-0259

FAX: /-

YORKSHIRE OF EDINA SENIOR LIVING

Lim-Liab

7141 YORK AVENUE SOUTH

EDINA, MN 55435

(32541)

PHONE:

612/866-0259

FAX: 952/835-6353

BEE HIVE HOMES OF MINNESOTA

Lim-Liab

6330 HAZELTINE BOULEVARD

EXCELSIOR, MN 55331

(29622)

PHONE:

952/474-4811

FAX: /-

Certification

Registration

HENNEPIN

(Cont.)* --------------------------

Outpt Surg Amb Surg

SHEILA THOMPSON

ALYSSA JEDLICKA

CHERYL LEVY SHILKROT

COMP

MARK ASPENSON

ANNELIESE PETERSON

COMP

AMANDA PITSENBARGER

ERIN HILLIGAN

COMP

CASTEELE THAUWALD

CASTEELE MILLER

COMP

NATALIE MORLAND

HWSAL

HWS

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

207

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

SOJOURN SUITES EXCELSIOR

Lim-Liab

217 1ST STREET

EXCELSIOR, MN 55331

(31146)

PHONE:

612/790-9292

FAX: 952/400-3542

THE ESTATES AT EXCELSIOR LLC

Lim-Liab

515 DIVISION STREET

EXCELSIOR, MN 55331

(00988)

PHONE:

952/474-5488

FAX: 952/474-3864

THE WATERS OF EXCELSIOR

Lim-Liab

723 WATER STREET

EXCELSIOR, MN 55331

(34114)

PHONE:

952/207-7220

FAX: /-

TROUVAILLE LLC

Lim-Liab

6330 HAZELTINE BOULEVARD

EXCELSIOR, MN 55331

(29623)

PHONE:

952/474-4811

FAX: /-

VAIMAR HOME HEALTH CARE LLC

Lim-Liab

4845 FERNCROFT DRIVE

EXCELSIOR, MN 55331

(33143)

PHONE:

952/221-7318

FAX: 763/521-4223

VAIMAR SUITES LLC

Lim-Liab

4845 FERNCROFT DRIVE

EXCELSIOR, MN 55331

(35968)

PHONE:

952/221-7318

FAX: /-

ADAGIO MANOR ASSISTED LIVING

Lim-Liab

5230 CIRCLE DOWN

GOLDEN VALLEY, MN 55416

(28373)

PHONE:

952/374-4710

FAX: 763/568-7026

ADAGIO MANOR ASSISTED LIVING

Lim-Liab

5230 CIRCLE DOWN

GOLDEN VALLEY, MN 55416

(28372)

PHONE:

952/374-4710

FAX: 763/588-7026

ALLIANCE HHC & NURSING SERVICES, LLC

Lim-Liab

4725 OLSON MEMORIAL HWY #200

GOLDEN VALLEY, MN 55422

(25403)

PHONE:

763/208-6295

FAX: 763/355-5459

AMADA SENIOR CARE TWIN CITIES

Corp

1405 LILAC DRIVE NORTH #121

GOLDEN VALLEY, MN 55422

(32101)

PHONE:

763/307-9138

FAX: 763/307-3365

Certification

Registration

HENNEPIN

(Cont.)* --------------------------

THOMAS PENN

NH-56 SNF-NF-56

ALYSSA SCHWALLER

KATHERINE TODD

TYLER STEVENS

BASIC HCBS

MARTIN MUMBUWA

TCOMP

MARTIN MUMBUWA

COMP

ADAGIO LOUISE DEICHERT

LOUISE DEICHERT

COMP HHA

MICHAEL FLOM

COMP

GREGORY GETCHELL

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

208

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

ARMS HOME HEALTH CARE LLC

Lim-Liab

1710 DOUGLAS DRIVE NORTH #226P

GOLDEN VALLEY, MN 55422

(35794)

PHONE:

763/528-1706

FAX: 651/900-7787

BROOKVIEW A VILLA CENTER

Lim-Liab

7505 COUNTRY CLUB DRIVE

GOLDEN VALLEY, MN 55427

(00112)

PHONE:

763/450-6900

FAX: 763/540-0015

CARINGHANDS LLC

Lim-Liab

1710 DOUGLAS DRIVE NORTH #226C

GOLDEN VALLEY, MN 55422

(35770)

PHONE:

612/229-4999

FAX: 612/460-6222

CHEZ VOUS HOME CARE, LLC

Lim-Liab

2925 REGENT AVENUE NORTH

GOLDEN VALLEY, MN 55422

(29038)

PHONE:

612/220-8052

FAX: 763/205-0924

COMPASSIONCARE

Lim-Liab

620 MENDELSSOHN AVENUE #107

GOLDEN VALLEY, MN 55427

(29177)

PHONE:

763/512-2844

FAX: 763/541-4711

COURAGE KENNY REHABILITATION INSTITUTE'S TRP

NProf

3915 GOLDEN VALLEY ROAD

GOLDEN VALLEY, MN 55422

(00751)

PHONE:

612/775-2455

FAX: 612/262-6712

COVENANT LIVING OF GOLDEN VALLEY ASSISTED LIVING

Church

5800 ST. CROIX AVENUE NORTH

GOLDEN VALLEY, MN 55422

(21715)

PHONE:

763/732-1434

FAX: 763/513-6644

COVENANT LIVING OF GOLDEN VALLEY ASSISTED LIVING

Church

MEMORY CARE

5825 ST. CROIX AVENUE NORTH

GOLDEN VALLEY, MN 55422

PHONE:

763/732-1434

(30433)

FAX: 763/513-6644

COVENANT LIVING OF GOLDEN VALLEY CARE &

NProf

REHABILITATION CENTER

5825 ST. CROIX AVENUE

GOLDEN VALLEY, MN 55422

PHONE:

763/544-1555

(00183)

FAX: 763/544-8032

Certification

Registration

HENNEPIN

(Cont.)* --------------------------

TCOMP

ABDULLAHI ABDI

NH-104 SNF-NF-104

JULIE SPIERS

TCOMP

AMAL SAID

HWS-O

SEETA ARRELL

COMP

ALICIA WITHERSPOON

NH-56 SNF-NF-56

MARCIA LINDIG

HWSAL

JIM ANGELL

HWSAL

JIM ANGELL

NH-88 SNF-38

CHRISTINE DELANDER

Minnesota Department of Health

Health Regulation Division

Page

209

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

FLOURISH

Lim-Liab

9000 GOLDEN VALLEY ROAD

GOLDEN VALLEY, MN 55427

(36093)

PHONE:

763/543-9000

FAX: 763/541-4711

GLOBAL POINTE SENIOR LIVING

Lim-Liab

5200 WAYZATA BOULEVARD

GOLDEN VALLEY, MN 55416

(35621)

PHONE:

763/235-3468

FAX: 952/922-9520

GOLDEN CARE SERVICES

Lim-Liab

1710 DOUGLAS DRIVE NORTH #2245

GOLDEN VALLEY, MN 55422

(03542)

PHONE:

763/370-8319

FAX: 763/546-2271

GOLDEN VALLEY DIALYSIS CENTER

Corp

6155 DULUTH STREET

GOLDEN VALLEY, MN 55422

(02790)

PHONE:

763/544-0298

FAX: /-

GOLDEN VALLEY RESIDENCE

Corp

1940 MAJOR LANE

GOLDEN VALLEY, MN 55422

(24264)

PHONE:

763/521-4839

FAX: 763/559-9155

GOOD SAMARITAN SOCIETY - HOME CARE

NProf

1415 LILAC NORTH DRIVE #210

GOLDEN VALLEY, MN 554224544

(23131)

PHONE:

763/546-9020

FAX: 763/546-9023

HAMMER - LEE

NProf

2825 LEE AVENUE NORTH

GOLDEN VALLEY, MN 55422

(01607)

PHONE:

952/473-1261

FAX: 952/473-8629

HAWTHORNE HOUSE

Corp

6931 COUNTRY CLUB DRIVE

GOLDEN VALLEY, MN 55427

(23104)

PHONE:

612/385-9200

FAX: 763/205-1950

HAWTHORNE HOUSE INC

Corp

541 KELLY DRIVE

GOLDEN VALLEY, MN 55427

(24326)

PHONE:

612/385-9200

FAX: /-

HAWTHORNE HOUSE INC

Corp

1100 IDAHO AVENUE

GOLDEN VALLEY, MN 55427

(23395)

PHONE:

612/385-9200

FAX: 763/205-1950

Certification

Registration

HENNEPIN

(Cont.)* --------------------------

ALICIA WITHERSPOON

DENISE BARNETT

HUE MAI

FEDERICO SERRANO

MARCIA COTTER

COMP

JAIME BERGREN-HANISH

SLFB-6

JOHN ESTREM

COMP

SUSANTHI FERNANDO

HWSAL

ESRD

HHA SE

ICFIID-6

HWSAL

Home Mgmt

HWSAL

HWSAL-O

Minnesota Department of Health

Health Regulation Division

Page

210

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

HENNEPIN

(Cont.)* --------------------------

HAWTHORNE HOUSE INC

Corp

HWSAL-O

6909 COUNTRY CLUB DRIVE

GOLDEN VALLEY, MN 55427

(23667)

PHONE:

612/385-9200

FAX: 763/205-1950

SUSANTHI FERNANDO

HAWTHORNE HOUSE INC

Corp

HWSAL-O

501 KELLY DRIVE

GOLDEN VALLEY, MN 55427

(24099)

PHONE:

612/385-9200

FAX: 763/205-1950

SUSANTHI FERNANDO

HAWTHORNE HOUSE INC

Corp

HWSAL-O

6931 COUNTRY CLUB DRIVE

GOLDEN VALLEY, MN 55427

(30304)

PHONE:

612/385-9200

FAX: 763/205-1950

SUSANTHI FERNANDO

HERITAGE HOUSE ASSISTED LIVING

Church

COMP

5825 ST. CROIX AVENUE

GOLDEN VALLEY, MN 55422

(20177)

PHONE:

763/732-1434

FAX: 763/513-6644

JIM ANGELL

HOME HEALTH CARE, INC.

Corp

COMP HHA

800 BOONE AVENUE NORTH #200

GOLDEN VALLEY, MN 55427

(03337)

PHONE:

763/417-8888

FAX: 763/417-9999

MARK OLSHANSKY

HONESTY CARE HOME LLC

Lim-Liab

TCOMP

5540 LINDSAY STREET

GOLDEN VALLEY, MN 55422

(35503)

PHONE:

612/442-4395

FAX: 952/225-0512

KHALID GABEYRE

LA BONNE VIE INC

Corp

COMP

6443 WESTCHESTER CIRCLE

GOLDEN VALLEY, MN 55427

(21395)

PHONE:

612/735-8480

FAX: /-

TAMARA JUNTILLA

LA BONNE VIE, INC.

Corp

COMP

6443 WESTCHESTER CIRCLE

GOLDEN VALLEY, MN 55427

(21395)

PHONE:

612/735-8480

FAX: /-

TAMARA JUNTILLA

LA BONNE VIE, INC.

Corp

HWSAL

6443 WESTCHESTER CIRCLE

GOLDEN VALLEY, MN 55427

(30748)

PHONE:

612/735-8480

FAX: /-

TAMARA JUNTILLA

LEGACY HOME HEALTH CARE, INC

Corp

COMP

800 BOONE AVENUE NORTH #195

GOLDEN VALLEY, MN 55427

(26206)

PHONE:

763/593-1000

FAX: 763/593-1001

SASHA AKSELROD

Minnesota Department of Health

Health Regulation Division

Page

211

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

LOVE & CARE LLC

1100 WINNETKA AVENUE NORTH

GOLDEN VALLEY, MN 55427

PHONE:

763/744-6280

M.T.A.I. GLADSON

7350 RIDGEWAY ROAD

GOLDEN VALLEY, MN 55427

PHONE:

763/542-8340

M.T.A.I. SAND CREEK

5555 WESTBROOK ROAD

GOLDEN VALLEY, MN 55422

PHONE:

763/545-7086

MEADOW RIDGE SENIOR LIVING

7475 COUNTRY CLUB DRIVE

GOLDEN VALLEY, MN 55427

PHONE:

763/762-7300

MOMENTS HOSPICE

820 LILAC DRIVE NORTH #210

GOLDEN VALLEY, MN 55422

PHONE:

763/205-3600

NEW DIRECTIONS RESIDENTIAL SERVICES

4740 GOLDEN VALLEY ROAD

GOLDEN VALLEY, MN 55422

PHONE:

763/313-6607

NEW LIFE HEALTH SERVICE

1710 DOUGLAS DRIVE NORTH #203E

GOLDEN VALLEY, MN 55422

PHONE:

612/200-0112

OASIS

6739 GOLDEN VALLEY ROAD

GOLDEN VALLEY, MN 55427

PHONE:

763/544-1447

PARKINSON SPECIALTY CARE HOME CARE

8085 WAYZATA BOULEVARD #105

GOLDEN VALLEY, MN 55426

PHONE:

763/550-1774

PINNACLE SERVICES - BRAIRWOOD TRAIL

2580 QUAIL AVENUE NORTH

GOLDEN VALLEY, MN 55442

PHONE:

612/269-6159

Lim-Liab

(35276)

FAX: /-

Corp

(01564)

FAX: 763/542-3285

Corp

(01561)

FAX: 763/545-4251

Lim-Liab

(31962)

FAX: 763/208-4641

Lim-Liab

(32588)

FAX: 763/205-9350

Corp

(35325)

FAX: /-

Corp

(34973)

FAX: 612/392-8595

Corp

(01516)

FAX: 763/544-0833

Lim-Liab

(03650)

FAX: 763/559-9155

Corp

(26847)

FAX: 612/977-3960

Certification

Registration

HENNEPIN

(Cont.)* --------------------------

TCOMP HCBS

TANVEER GULZAR

SLFA-6 ICFIID-6

MARY KROCAK

SLFA-5 ICFIID-5

BRENT KROCAK

HWSAL

CARYL NORDLAND

Hospice HSPICE

ELIYAHU JAFFA

HWSAL-O

TRENA ALLBRITTON

TCOMP HCBS

AREE THOMPSON

SLFA-16

HUGH AYLWARD

COMP

MARCIA COTTER

HWS-O

JILL CIHLAR

Minnesota Department of Health

Health Regulation Division

Page

212

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

PRIMARY LIVING INC

Corp

1710 DOUGLAS DRIVE NORTH #225T

GOLDEN VALLEY, MN 55422

(35000)

PHONE:

612/532-4198

FAX: /-

PUSH SERVICES INC

Corp

600 NORTH LILAC DRIVE 212

GOLDEN VALLEY, MN 55422

(34816)

PHONE:

952/297-4327

FAX: 763/497-0005

RAKHMA HARMONY HOUSE

NProf

5403 MINNAQUA DRIVE

GOLDEN VALLEY, MN 55422

(32496)

PHONE:

651/331-9569

FAX: 612/824-3165

REGENCY HOSPITAL OF MINNEAPOLIS, LLC

Lim-Liab

1300 HIDDEN LAKES PARKWAY

GOLDEN VALLEY, MN 55422

(00158)

PHONE:

763/302-0301

FAX: 763/521-3805

REHABILITATION SERVICES OF GOLDEN VALLEY INC

Corp

800 BOONE AVENUE NORTH

GOLDEN VALLEY, MN 55427

(31619)

PHONE:

612/986-2084

FAX: 763/417-9999

REM HENNEPIN, INC. (REGENT)

Corp

3239 REGENT AVENUE NORTH

GOLDEN VALLEY, MN 55422

(01274)

PHONE:

952/922-6776

FAX: 952/922-6885

SUMMIT HOME HEALTH CARE, INC.

Corp

800 BOONE AVENUE NORTH #175

GOLDEN VALLEY, MN 55427

(23370)

PHONE:

763/334-7990

FAX: 763/417-9999

SUNRISE OF GOLDEN VALLEY

Corp

4950 OLSON MEMORIAL HIGHWAY

GOLDEN VALLEY, MN 55422

(23981)

PHONE:

763/522-4000

FAX: 763/522-6170

SUNRISE OF GOLDEN VALLEY

Part

4950 OLSON MEMORIAL HIGHWAY

GOLDEN VALLEY, MN 55422

(23982)

PHONE:

763/522-4000

FAX: 763/522-6170

SYNERGY HOMECARE MINNEAPOLIS

Lim-Liab

7575 GOLDEN VALLEY RD STE 378

GOLDEN VALLEY, MN 55427

(26505)

PHONE:

763/746-2899

FAX: 763/746-2898

Certification

Registration

HENNEPIN

(Cont.)* --------------------------

TCOMP

IFRAH AHMED

HWS

PRINCESS NIMELY

HWSAL

BRANDON SPEARS

HOSP-92 HOSP-92

SEAN STRICKER

Out Pt Out St Out Ot

MATT WEFFENSMITH

SLFA-6 ICFIID-6

KRISTINE WAINRIGHT-TADYCH

COMP HHA

MICHAEL LECY

COMP

DEBRA WATSON

KIMELYN KNIGHT

COMP

MITCH BLOOM

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

213

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

HENNEPIN

(Cont.)* --------------------------

THE CARING SISTERS HOME CARE SERVICES, INC

Corp

HWSAL-O

1375 OAK GROVE CIRCLE

GOLDEN VALLEY, MN 55422

(21932)

PHONE:

763/208-1508

FAX: 952/426-4691

OLALEYE BECKLEY

THE MINNEAPOLIS CLINIC OF NEUROLOGY, LTD.

NProf

Out Pt

4225 GOLDEN VALLEY ROAD

GOLDEN VALLEY, MN 55422

(02163)

PHONE:

763/588-0661

FAX: /-

KURT NEIL

TOTALCARE ASSISTED LIVING

Lim-Liab

HWSAL

2365 COLORADO AVENUE NORTH

GOLDEN VALLEY, MN 55422

(34951)

PHONE:

612/710-7904

FAX: 952/997-6109

NNENNA ANYAOGU

VITAL HOME CARE LLC

Lim-Liab

COMP

6480 WAYZATA BOULEVARD #206

GOLDEN VALLEY, MN 55426

(33764)

PHONE:

612/886-6080

FAX: /-

ALEXANDRA LIEN

WOODSIDE TERRACE

Church

HWSAL

5800 ST. CROIX AVENUE NORTH

GOLDEN VALLEY, MN 55422

(21715)

PHONE:

763/732-1434

FAX: 763/513-6644

JIM ANGELL

BRIDGEWATER AT HANOVER LLC

Lim-Liab

COMP

10875 SETTLERS LANE

HANOVER, MN 55341

(32774)

PHONE:

507/381-4600

FAX: 507/388-5162

BROOKE OLSON

BRIDGEWATER AT HANOVER LLC

Lim-Liab

HWSAL

10875 SETTLERS LANE

HANOVER, MN 55341

(32913)

PHONE:

507/381-4600

FAX: 507/388-5162

BROOKE OLSON

ACCRA CARE INC

Corp

Home Mgmt

1011 1ST STREET SOUTH #315

HOPKINS, MN 55343

(34452)

PHONE:

952/935-3515

FAX: /-

ACCRA CARE, INC.

NProf

COMP HCBS

1011 1ST STREET SOUTH #315

HOPKINS, MN 55343

(32348)

PHONE:

952/935-3515

FAX: 952/935-7112

JOHN DAHM

AUGUSTANA CHAPEL VIEW APTS

NProf

HWSAL

605 MINNETONKA MILLS ROAD

HOPKINS, MN 55343

(20026)

PHONE:

952/697-3877

FAX: 952/697-3876

PAULA SPARLING

Minnesota Department of Health

Health Regulation Division

Page

214

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

AUGUSTANA CHAPEL VIEW CARE CENTER

615 MINNETONKA MILLS ROAD

HOPKINS, MN 55343

PHONE:

952/938-2761

CARING GROUP HOME LLC

1010 LAKE STREET NE #201

HOPKINS, MN 55343

PHONE:

952/649-8836

CENTREX REHAB

34 10TH AVENUE SOUTH

HOPKINS, MN 55343

PHONE:

612/333-1551

CHAPEL VIEW APARTMENTS

605 MINNETONKA MILLS ROAD

HOPKINS, MN 55343

PHONE:

952/697-3877

COMFORT CARE CENTER LLC

1030-330 FELTL COURT

HOPKINS, MN 55343

PHONE:

612/703-4183

GENTLE TOUCH HEALTH INITIATIVES, LLC

901 FELTL COURT

HOPKINS, MN 55343

PHONE:

952/960-5555

GRACE HOMES

601 OAK RIDGE ROAD

HOPKINS, MN 55305

PHONE:

952/303-4305

GRACE HOMES - OAK RIDGE

601 OAK RIDGE ROAD

HOPKINS, MN 55305

PHONE:

952/525-0505

GRACE HOMES - WILLISTON HOUSE

601 OAK RIDGE ROAD

HOPKINS, MN 55305

PHONE:

952/303-4305

GRACE HOMES - WILSHIRE WALK

414 WILSHIRE WALK

HOPKINS, MN 55305

PHONE:

952/525-0505

NProf

(00727)

FAX: 952/938-4092

Lim-Liab

(35803)

FAX: /-

NProf

(21755)

FAX: 612/338-5326

NProf

(20026)

FAX: 952/697-3876

Lim-Liab

(35420)

FAX: /-

Lim-Liab

(24214)

FAX: 952/933-8776

Corp

(26529)

FAX: 952/303-4121

Corp

(28023)

FAX: 952/525-0506

Corp

(26529)

FAX: 952/303-4121

Corp

(31889)

FAX: 952/525-0506

Certification

Registration

HENNEPIN

(Cont.)* --------------------------

NH-108 SNF-NF-108

PAULA SPARLING

TCOMP

NASRA ZUBEIR

Out Pt Out St Out Ot

KRISTIN BROWN

HWSAL

PAULA SPARLING

HWSAL-O

MOHAMED MOHAMUD

COMP

MICHAEL PAGH

COMP

GRACE BUCHANAN

HWS-O

BRUCE LAWRENCE

COMP

GRACE BUCHANAN

HWSAL-O

BRUCE LAWRENCE

Minnesota Department of Health

Health Regulation Division

Page

215

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

HOPKINS HEALTH SERVICES

Lim-Liab

725 2ND AVENUE SOUTH

HOPKINS, MN 55343

(00872)

PHONE:

952/935-3338

FAX: 952/935-0032

LIVEWELL MANAGEMENT

Lim-Liab

7900 EXCELSIOR BOULEVARD #2000

HOPKINS, MN 55343

(33360)

PHONE:

952/920-1513

FAX: /-

METROPOLITAN COMMUNITY SERVICES

NProf

7900 EXCELSIOR BOULEVARD #200

HOPKINS, MN 55343

(29521)

PHONE:

952/658-8995

FAX: 952/777-2263

MINNESOTA WELLNESS CENTER LLC

Lim-Liab

724 ROBINWOOD LANE

HOPKINS, MN 55305

(34346)

PHONE:

612/618-5841

FAX: 651/646-0950

MIRAGE HOMES LLC

Lim-Liab

107 BLAKE ROAD #312

HOPKINS, MN 55343

(35682)

PHONE:

651/815-2094

FAX: /-

MISSION GROUP HOME LLC

Lim-Liab

730 NORTH VAN BUREN WAY

HOPKINS, MN 55343

(35555)

PHONE:

507/210-5357

FAX: /-

PARK NICOLLET METHODIST HOSPITAL HOME CARE

NProf

SERVICES

700 5TH STREET SOUTH

HOPKINS, MN 55343

PHONE:

952/993-6087

THE TERRACES

901 FELTL COURT

HOPKINS, MN 55343

PHONE:

952/933-3333

THE TOWERS

1011 FELTL COURT

HOPKINS, MN 55343

PHONE:

952/933-3333

LONG LAKE ASSISTED LIVING, LLC

345 NORTH BROWN ROAD

LONG LAKE, MN 55356

PHONE:

952/473-2527

(02229)

FAX: 952/977-0622

ONProf

(22139)

FAX: 952/933-8776

NProf

(20217)

FAX: 952/933-8776

Lim-Liab

(23172)

FAX: 952/404-9701

Certification

Registration

HENNEPIN

(Cont.)* --------------------------

NH-118 SNF-NF-118

NATHAN PEARSON

COMP

ELIZABETH WRIGHT

LANA BARSKIY

UBAH SHIRWA

TCOMP

UBAH ADEN

TCOMP

MOHAMED HASSAN

COMP HHA

NOEL MOONEYHAM

JEN ZINNEL

COMP

KEITH UNGER

Home Mgmt

HWS-O

HWSAL

HWS

Minnesota Department of Health

Health Regulation Division

Page

216

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

LONG LAKE ASSISTED LIVING, LLC

345 NORTH BROWN ROAD

LONG LAKE, MN 55356

PHONE:

952/473-2527

ORONO WOODLANDS

2100 6TH AVENUE NORTH BOX 507

LONG LAKE, MN 55356

PHONE:

952/473-0852

AMADA SENIOR CARE MINNEAPOLIS- ST. PAUL

11204 86TH AVENUE NORTH

MAPLE GROVE, MN 55369

PHONE:

612/670-2058

ARBOR LAKES SENIOR LIVING

12001 80TH AVENUE NORTH

MAPLE GROVE, MN 55369

PHONE:

763/575-7021

ARBOR LAKES SENIOR LIVING LLC

12001 80TH AVENUE NORTH

MAPLE GROVE, MN 55369

PHONE:

763/575-7021

ASHTON HOMES, LLC

6242 LARCH LANE NORTH

MAPLE GROVE, MN 55369

PHONE:

763/354-0850

BEE HIVE HOMES OF MAPLE GROVE

14901 WEAVER LAKE ROAD

MAPLE GROVE, MN 55311

PHONE:

763/415-3900

BEEHIVE HOMES OF MAPLE GROVE

14901 WEAVER LAKE ROAD

MAPLE GROVE, MN 55311

PHONE:

763/415-3900

BELONG HEALTH CARE LLC

16346 70TH AVENUE NORTH

MAPLE GROVE, MN 55311

PHONE:

267/980-6520

BEYOND EXPECTATIONS HOME HEALTH CARE

8061 EVERGREEN LANE NORTH

MAPLE GROVE, MN 55369

PHONE:

715/377-2617

Lim-Liab

(30339)

FAX: 952/404-9701

NProf

(01366)

FAX: 952/473-8428

Lim-Liab

(32802)

FAX: 612/299-1425

Lim-Liab

(27690)

FAX: 651/575-7034

Lim-Liab

(30754)

FAX: 651/575-7034

Lim-Liab

(34920)

FAX: 763/219-4401

Lim-Liab

(34912)

FAX: 763/415-3909

Lim-Liab

(35125)

FAX: 763/415-3909

Lim-Liab

(35940)

FAX: /-

Lim-Liab

(32531)

FAX: /-

Certification

Registration

HENNEPIN

(Cont.)* --------------------------

HWSAL

KEITH UNGER

SLFB-6 ICFIID-6

JULIE MANWORREN

COMP

CRYSTAL LARSON

COMP

KELLY MYERS

HWSAL

KELLY MYERS

HWSAL

JOSLYN DAYRELL

COMP

IOANA CHILDS

HWSAL

IOANA CHILDS

TCOMP

FRANCES THIAM

COMP

BRETT SCHREINER

Minnesota Department of Health

Health Regulation Division

Page

217

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

BOUNDARY CREEK TERRACE

Lim-Liab

10798 BOUNDARY CREEK TERRACE

MAPLE GROVE, MN 55369

(33923)

PHONE:

763/377-0836

FAX: 763/205-4227

CHEZ VOUS HOME CARE LLC

Lim-Liab

8647 GLACIER LANE NORTH

MAPLE GROVE, MN 55369

(26654)

PHONE:

612/220-8052

FAX: 612/259-7440

CHOICES BY DESIGN LLC

Lim-Liab

10650 COUNTY ROAD 81 #222A

MAPLE GROVE, MN 55369

(29338)

PHONE:

763/493-5067

FAX: 763/493-5138

CSL ROSE ARBOR

Lim-Liab

9251 BLACK OAKS LANE NORTH

MAPLE GROVE, MN 55311

(21386)

PHONE:

763/493-5910

FAX: 763/420-5728

DIVINE HEALING HOME CARE LLC

Lim-Liab

9823 102ND AVENUE NORTH

MAPLE GROVE, MN 55369

(33648)

PHONE:

763/566-1378

FAX: 763/566-1379

DIVINE NURTURING HOMECARE SERVICES, INC.

Corp

11670 FOUNTAINS DRIVE #200

MAPLE GROVE, MN 55369

(28018)

PHONE:

763/390-2590

FAX: 763/494-3782

DUNGARVIN - YOUGAL

Lim-Liab

10203 94TH AVENUE

MAPLE GROVE, MN 55369

(00245)

PHONE:

651/699-6050

FAX: 651/699-7265

FAIRVIEW MAPLE GROVE SURGERY CENTER

Lim-Liab

14500 99TH AVENUE NORTH

MAPLE GROVE, MN 55369

(24347)

PHONE:

763/898-1880

FAX: 763/898-1009

FRESENIUS MEDICAL CARE MAPLE GROVE

Corp

7365 KIRKWOOD COURT #135

MAPLE GROVE, MN 55369

(26279)

PHONE:

763/494-0316

FAX: 763/494-4201

GBALEAH HOME CARE LLC

Lim-Liab

7865 POLARIS LANE NORTH

MAPLE GROVE, MN 55311

(34972)

PHONE:

763/477-1135

FAX: /-

Certification

HENNEPIN

(Cont.)*

ONYINYECHUKWU OSAKWE

COMP

SEETA ARRELL

COMP

RITA WILLIAMS

COMP

JILL WIPPLER

JOYCE MOGENI

COMP

NOELA SUHFOR

SLFA-6

ANNA HEGLAND

Registration

--------------------------

HWSAL-O

Outpt Surg Amb Surg

HEATHER SHERIDAN

ESRD

JESSICA DAVIS

TCOMP

SEKOU DUKULY

Minnesota Department of Health

Health Regulation Division

Page

218

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

GLOBAL ALLIANCE HOME HEALTH CARE LLC

Lim-Liab

8941 VANDEGRIFF WAY

MAPLE GROVE, MN 55311

(35075)

PHONE:

480/223-8646

FAX: /-

GOLDEN POND

Lim-Liab

12270 87TH AVENUE NORTH

MAPLE GROVE, MN 55369

(27329)

PHONE:

763/447-7717

FAX: 651/484-5130

GOLDEN POND HOME

Lim-Liab

12270 87TH AVENUE NORTH

MAPLE GROVE, MN 55369

(27328)

PHONE:

612/248-4746

FAX: 651/484-5130

HAMMER - LAWNDALE

NProf

6688 LAWNDALE LANE NORTH

MAPLE GROVE, MN 55311

(01686)

PHONE:

952/473-1261

FAX: 952/473-8629

HEARTFELT CARE LLC

Lim-Liab

10344 BOUNDARY CREEK TERRACE

MAPLE GROVE, MN 55369

(32723)

PHONE:

763/204-8125

FAX: 763/205-4855

HEARTFELT CARE LLC

Lim-Liab

10344 BOUNDARY CREEK TERRACE

MAPLE GROVE, MN 55369

(33112)

PHONE:

763/204-8125

FAX: 763/205-4855

HOME INSTEAD SENIOR CARE OF MINNEAPOLIS

Corp

9684 63RD AVENUE NORTH #106

MAPLE GROVE, MN 55369

(23593)

PHONE:

763/544-5988

FAX: 763/544-6012

HOMEWARD BOUND - MAPLE GROVE

NProf

6769 EAST FISH LAKE ROAD

MAPLE GROVE, MN 55369

(01585)

PHONE:

763/746-4850

FAX: 763/525-4084

INDIGO HEALTH CARE SERVICES LLC

Lim-Liab

8578 ROSEWOOD LANE NORTH

MAPLE GROVE, MN 55369

(35277)

PHONE:

781/250-9059

FAX: /-

INTUIT HOME CARE

Corp

11662 99TH PLACE N

MAPLE GROVE, MN 55369

(34463)

PHONE:

866/890-2310

FAX: 800/971-8022

Certification

Registration

HENNEPIN

(Cont.)* --------------------------

TCOMP

JOYCE MOGENI

NANCY STRANDLUND

COMP HCBS

NANCY STRANDLUND

SLFB-6

JOHN ESTREM

COMP

AYEHU MENGESHA

COMP

JOHN STUCK

SLFB-6

GERRI DUKART GBOR

TCOMP

SEKOU DUKULY

TANVEER GULZAR

HWSAL

ICFIID-6

HWSAL

ICFIID-6

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

219

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

LIVING WELL - 75TH

NProf

14850 75TH AVENUE NORTH

MAPLE GROVE, MN 55369

(01401)

PHONE:

763/420-5848

FAX: 763/420-6121

MAPLE GROVE CENTER FOR RESTORATIVE SURGERY

Lim-Liab

13601 80TH CIRCLE NORTH #100

MAPLE GROVE, MN 55369

(30010)

PHONE:

763/432-7655

FAX: 763/432-7501

MAPLE GROVE DIALYSIS UNIT

Corp

15655 GROVE CIRCLE NORTH

MAPLE GROVE, MN 55369

(25897)

PHONE:

763/420-2804

FAX: 763/420-7162

MAPLE GROVE HOSPITAL

NProf

9875 HOSPITAL DRIVE

MAPLE GROVE, MN 55369

(25593)

PHONE:

763/581-1000

FAX: 763/581-1555

MAPLE SENIOR LIVING

Corp

8421 UPLAND LANE NORTH

MAPLE GROVE, MN 55311

(33109)

PHONE:

763/307-2791

FAX: 651/925-0261

METROPOLITAN SURGICAL CENTER, LLC

Lim-Liab

9645 GROVE CIRCLE NORTH #250

MAPLE GROVE, MN 55369

(33238)

PHONE:

763/201-8191

FAX: 763/201-8192

NEW HOPE CARE LLC

Lim-Liab

11021 FAIR MEADOWS COURT

MAPLE GROVE, MN 55369

(34723)

PHONE:

763/221-5401

FAX: /-

NORTH MEMORIAL AMBULATORY SURGERY CENTER AT

Lim-Liab

MAPLE GROVE, LLC

9855 HOSPITAL DRIVE #175

MAPLE GROVE, MN 55369

(25447)

FAX: 763/581-9001

PHONE:

763/581-9000

NURA SURGICAL CENTER

Lim-Liab

9550 UPLAND AVENUE NORTH #150

MAPLE GROVE, MN 55369

(25675)

PHONE:

763/537-6000

FAX: 763/767-6666

PARADISE ASSITED LIVING INC

Corp

13697 74TH PLACE NORTH

MAPLE GROVE, MN 55311

(35542)

PHONE:

612/417-2373

FAX: /-

Certification

Registration

HENNEPIN

(Cont.)* --------------------------

SLFB-6

ICFIID-6

STACY QUACKENBUSH

Outpt Surg

Amb Surg

BRENDA HILTON

ESRD

JENNIFER WHIPPLE

HOSP-130 BASS-50

HOSP-130

ANDY COCHRANE

HWSAL

AYODELE AWOLEYE

Amb Surg

SARAH KLAPHAKE

TCOMP

CHUKNUEMEKA AGBAGBUO

Outpt Surg

Amb Surg

TRACEY EAKMAN

Outpt Surg

Amb Surg

LAURA CURTIS

HWSAL-O

ABDISALAM AHMED

Minnesota Department of Health

Health Regulation Division

Page

220

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

HENNEPIN

(Cont.)* --------------------------

PENTEC HEALTH, INC.

Corp

COMP

11670 FOUNTAINS DRIVE #200

MAPLE GROVE, MN 55369

(29528)

PHONE:

800/223-4376

FAX: 610/494-7328

CHAD TUCKER

PLATEAU HEALTHCARE LLC

Lim-Liab

HWS-O

9962 104TH AVENUE NORTH

MAPLE GROVE, MN 55369

(32285)

PHONE:

763/444-1361

FAX: 763/444-1358

ALICIA THIELEN BOUKARI

PRO MEDICAL SERVICES, INC.

Corp

COMP

11670 FOUNTAINS DRIVE #200

MAPLE GROVE, MN 55369

(27879)

PHONE:

763/390-2561

FAX: 763/494-6664

NOELA SUHFOR

REGENCY HOME HEALTHCARE SERVICES, LLC

Lim-Liab

COMP HHA

10467 93RD AVENUE NORTH

MAPLE GROVE, MN 55369

(22064)

PHONE:

651/488-4655

FAX: 651/488-4656

STEPHANIE JOHNSON

RISEN HOME CARE LLC

Corp

TCOMP

11670 FOUNTAINS DRIVE #200

MAPLE GROVE, MN 55369

(34693)

PHONE:

763/227-8846

FAX: /-

ANGELIQUE KAPILA

ROSE ARBOR

Corp

HWSAL

16500 92ND AVENUE NORTH

MAPLE GROVE, MN 55311

(21387)

PHONE:

763/493-5910

FAX: 763/420-5728

LIZ BARTELS

SILVERCREEK ON MAIN

Lim-Liab

HWSAL

8200 MAIN STREET

MAPLE GROVE, MN 55369

(31620)

PHONE:

763/955-1750

FAX: 763/955-1999

DENISE BARNETT

SOLACE HEALTH SERVICES LLC

Lim-Liab

TCOMP HCBS

9317 MINNESOTA LANE NORTH

MAPLE GROVE, MN 55369

(35292)

PHONE:

963/489-8422

FAX: /-

GLADYS NYABWARI

SOLBAKKEN

Corp

COMP

18255 83RD AVENUE NORTH

MAPLE GROVE, MN 55311

(20990)

PHONE:

209/600-5292

FAX: /-

DARLA THAO

SOLBAKKEN, INC.

Corp

HWS

18255 83RD AVENUE NORTH

MAPLE GROVE, MN 55311

(27896)

PHONE:

763/273-4527

FAX: 763/273-4528

DARLA THAO

Minnesota Department of Health

Health Regulation Division

Page

221

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

TAYUS HOME HEALTH CARE LLC

Lim-Liab

8430 YUCCA LANE NORTH

MAPLE GROVE, MN 55369

(34253)

PHONE:

612/481-8047

FAX: 612/206-8968

THE BEATITUDES HOMES LLC

Lim-Liab

13818 78TH AVENUE NORTH

MAPLE GROVE, MN 55311

(36005)

PHONE:

763/501-9192

FAX: 888/349-5754

WILDFLOWER LODGE

Lim-Liab

9251 BLACK OAKS LANE NORTH

MAPLE GROVE, MN 55311

(21386)

PHONE:

763/493-5910

FAX: 763/420-5728

WILDFLOWER LODGE

Corp

9251 BLACK OAKS LANE NORTH

MAPLE GROVE, MN 55311

(30747)

PHONE:

763/493-5910

FAX: 763/420-5728

WILLOWS OF ARBOR LAKES

Lim-Liab

11955 80TH AVENUE NORTH

MAPLE GROVE, MN 55369

(33449)

PHONE:

763/575-7021

FAX: 763/575-7034

BRYANT HOUSE

NProf

5515 BRYANT STREET

MAPLE PLAIN, MN 55359

(20106)

PHONE:

763/479-3655

FAX: 763/479-3656

BRYANT HOUSE

NProf

5515 BRYANT STREET

MAPLE PLAIN, MN 55359

(30416)

PHONE:

763/479-3655

FAX: 763/479-3656

HAVEN HOMES OF MAPLE PLAIN

NProf

1520 WYMAN AVENUE

MAPLE PLAIN, MN 55359

(00950)

PHONE:

763/479-1993

FAX: 763/479-1996

HELP HOME CARE LLC

Lim-Liab

2245 IDE COURT

MAPLEWOOD, MN 55109

(35987)

PHONE:

612/578-7723

FAX: /-

OKALEE OF MEDINA

Lim-Liab

4350 CHIPPEWA COURT

MEDINA, MN 55340

(35700)

PHONE:

763/296-2020

FAX: /-

Certification

Registration

HENNEPIN

(Cont.)* --------------------------

TCOMP

OMOTAYO BODUNWA

HWSAL

SONIE KPANAKU

COMP

JILL WIPPLER

HWSAL

JILL WIPPLER

HWS

KELLY MYERS

COMP

KATIE NOVOTNY

HWS

KATIE NOVOTNY

NH-52 SNF-NF-52

KATIE NOVOTNY

HWSAL

MOHAMED WAKO

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

222

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

PRLFC CARE LLC

3049 BASSWOOD ROAD

MEDINA, MN 55340

PHONE:

952/855-2495

WEALSHIRE OF MEDINA

4555 MOHAWK DRIVE

MEDINA, MN 55340

PHONE:

763/475-1900

ADF CARE SERVICES

10681 SMETANA ROAD #118

MINETONKA, MN 55343

PHONE:

612/735-4065

1-0 GRANNY'S HELPFUL HANDS LLC

3057 14TH AVENUE SOUTH

MINNEAPOLIS, MN 55407

PHONE:

612/824-1177

1-0 GRANNY'S HELPFUL HANDS LLC

5915 CHICAGO AVENUE

MINNEAPOLIS, MN 55417

PHONE:

612/824-1177

1-0 GRANNY'S HELPFUL HANDS, LLC

705 EAST LAKE STREET

MINNEAPOLIS, MN 55407

PHONE:

612/824-1177

1ST CHOICE PEDIATRIC HOME CARE

226 COLFAX AVENUE NORTH #102

MINNEAPOLIS, MN 55405

PHONE:

612/770-4177

A CARING HOME LLC

2609 15TH AVENUE SOUTH

MINNEAPOLIS, MN 55407

PHONE:

612/750-5968

A CHANCE TO GROW, INC.

1800 2ND STREET NE

MINNEAPOLIS, MN 55418

PHONE:

612/789-1236

A HELPING HAND SENIOR CARE SERVICES LLC

2527 14TH AVENUE SOUTH

MINNEAPOLIS, MN 55404

PHONE:

612/255-3110

Lim-Liab

(35534)

FAX: /-

Lim-Liab

(33609)

FAX: 763/284-1800

Lim-Liab

(35476)

FAX: /-

Lim-Liab

(34431)

FAX: 612/824-1177

Lim-Liab

(34328)

FAX: 612/824-1177

Lim-Liab

(29190)

FAX: 612/824-1177

Corp

(29156)

FAX: 612/454-2664

Lim-Liab

(35822)

FAX: 612/871-2161

NProf

(02476)

FAX: 612/706-5555

Lim-Liab

(32956)

FAX: 612/255-3115

Certification

Registration

HENNEPIN

(Cont.)* --------------------------

TCOMP

DAUD GABEYRE

HWSAL

ELIZABETH JOHNSON

TCOMP

DEQA WARSAME

HWS-O

ROBIN STEPNEY

HWS-O

ROBIN STEPNEY

COMP

ROBIN STEPNEY

COMP

TERRI LYNAS

TCOMP

FARDOWSA MOHAMED

Out St Out Ot

ERICKA DICKERSON

COMP

FATIMA MOHAMUD

Minnesota Department of Health

Health Regulation Division

Page

223

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

A HELPING HAND SENIOR CARE SERVICES LLC

Lim-Liab

2527 14TH AVENUE SOUTH

MINNEAPOLIS, MN 55404

(33206)

PHONE:

612/255-3110

FAX: 612/255-3115

A HELPING HAND SENIOR CARE SERVICES LLC

Lim-Liab

2446 15TH AVENUE SOUTH

MINNEAPOLIS, MN 55404

(33208)

PHONE:

612/255-3110

FAX: 612/255-3115

A-1 HOME CARE INC

Corp

6525 CHEROKEE LANE NORTH

MINNEAPOLIS, MN 55428

(35792)

PHONE:

651/755-5447

FAX: 651/429-1214

ABBOTT NORTHWESTERN HOSPITAL

NProf

800 EAST 28TH STREET

MINNEAPOLIS, MN 55407

(00242)

PHONE:

612/863-4000

FAX: 612/863-5667

ABIITAN MILL CITY

NProf

428 SOUTH 2ND STREET

MINNEAPOLIS, MN 55401

(32656)

PHONE:

612/378-0020

FAX: 612/378-0021

ABIITAN MILL CITY

NProf

428 SOUTH 2ND STREET

MINNEAPOLIS, MN 55401

(32750)

PHONE:

612/378-0020

FAX: 612/378-0021

ABSOLUTE HOMES INC

Corp

3045 CENTRAL AVENUE NORTHEAST

MINNEAPOLIS, MN 55418

(35666)

PHONE:

612/229-9512

FAX: /-

ACCESS GROUP HOME LLC

Lim-Liab

1122 UPTON AVENUE NORTH

MINNEAPOLIS, MN 55411

(34651)

PHONE:

612/735-5294

FAX: /-

ADBDI MOHAMED ADAN

Lim-Liab

5820 BRYANT AVENUE SOUTH

MINNEAPOLIS, MN 55419

(34657)

PHONE:

612/245-3910

FAX: /-

ADNA K HOME HEALTH INC

Corp

1601 SOUTH FOURTH STREET #F406

MINNEAPOLIS, MN 55454

(35615)

PHONE:

612/442-2549

FAX: /-

Certification

Registration

HENNEPIN

(Cont.)* --------------------------

FATIMA MOHAMUD

JAMA MOHAMOD

TCOMP

RICHARD AKANDE

HOSP-972 BASS-44

ANN MADDEN RICE

COMP

MEGAN LEITH

TCOMP

MOHAMUD HAILLE

TCOMP

AMINO SHEIKH ABDI

TCOMP

ABDI ADAN

TCOMP

SAFIYA ALI

HWSAL

HOSP-933 PPS-R-39

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

224

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

HENNEPIN

(Cont.)* --------------------------

ADVANCED ONE CARE CENTER

4618 CLINTON AVENUE SOUTH

MINNEAPOLIS, MN 55419

PHONE:

612/703-0264

Corp

(35674)

FAX: 952/426-0491

ZAINAB MOHAMED ABDI

HWSAL

AEON

NProf

HWS-O

1822 PARK AVENUE

MINNEAPOLIS, MN 55404

(25520)

PHONE:

612/871-5800

FAX: 612/872-6815

ALAN ARTHUR

AGAPE HOME CARE PROVIDER

Lim-Liab

Home Mgmt

2327 EAST FRANKLIN AVENUE #3

MINNEAPOLIS, MN 55406

(31374)

PHONE:

612/384-6513

FAX: /-

KIDIST GEMTA

AHRAN CARE

Lim-Liab

HWSAL

724 20TH AVENUE SOUTH

MINNEAPOLIS, MN 55454

(35887)

PHONE:

612/636-9728

FAX: 612/605-0048

DEQA ADAN

TCOMP

AHRAN CARE LLC

Lim-Liab

724 20TH AVENUE SOUTH

MINNEAPOLIS, MN 55454

(35616)

PHONE:

612/636-7928

FAX: 612/605-0048

DEQA ADAN

ALL HOME CARE LLC

Lim-Liab

TCOMP

2525 EAST FRANKLIN AVENUE #280

MINNEAPOLIS, MN 55406

(35765)

PHONE:

763/291-4056

FAX: /-

ABDIRISAK HASSAN

TCOMP

ALLIANCE GROUP HOME LLC

Lim-Liab

20 2ND STREET NE

MINNEAPOLIS, MN 55413

(35301)

PHONE:

612/281-0077

FAX: /-

AYAN PIERRE CHARLES

ALPHA ASSISTED LIVING INC

Corp

TCOMP

2653 14TH AVENUE SOUTH

MINNEAPOLIS, MN 55407

(34676)

PHONE:

612/208-0902

FAX: 612/354-3394

MUSE MOHOMUD

ALPHA ASSISTED LIVING INC

Corp

HWSAL-O

2653 14TH AVENUE SOUTH

MINNEAPOLIS, MN 55407

(35131)

PHONE:

612/208-0920

FAX: 612/354-3394

MUSE YUSAF MOHOMUD

AMA GROUP HOME

Corp

TCOMP

2607 LONG FELLOW AVENUE SOUTH

MINNEAPOLIS, MN 55407

(34868)

PHONE:

612/599-9161

FAX: /-

SAMSAM MOHAMED

Minnesota Department of Health

Health Regulation Division

Page

225

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

AMA GROUP HOME INC

2607 LONGFELLOW AVENUE SOUTH

MINNEAPOLIS, MN 55407

PHONE:

612/599-9161

AMAL HOME HEALTH CARE INC

1808 RIVERSIDE AVENUE #205

MINNEAPOLIS, MN 55454

PHONE:

612/221-1986

AMANA HOME CARE LLC

2833 13TH AVENUE SOUTH #218

MINNEAPOLIS, MN 55407

PHONE:

612/816-1890

AMERICAN HOME HEALTH SERVICES INC

2923 OAKLAND AVENUE SOUTH #3

MINNEAPOLIS, MN 55407

PHONE:

763/300-4586

AMERICAN INDIAN COMMUNITY DEVELOPMENT

CORPORATION

1506 EAST 23RD STREET

MINNEAPOLIS, MN 55404

PHONE:

612/813-1610

AMERICAN INDIAN COMMUNITY DEVELOPMENT

CORPORATION-DETOX

1800 CHICAGO AVENUE SOUTH

MINNEAPOLIS, MN 55404

PHONE:

612/879-3646

AMRAN HOME HEALTH CARE LLC

3228 COLUMBUS AVENUE SOUTH

MINNEAPOLIS, MN 55401

PHONE:

612/296-7125

ANDREW RESIDENCE

1215 SOUTH 9TH STREET

MINNEAPOLIS, MN 55404

PHONE:

612/333-0111

ANGELS ASSISTED LIVING INC

1802 EAST 26TH STREET

MINNEAPOLIS, MN 55404

PHONE:

612/886-3455

Corp

(35373)

FAX: /-

Corp

(31934)

FAX: 612/332-2347

Lim-Liab

(35106)

FAX: /-

Corp

(35834)

FAX: 612/249-6469

NProf

(33995)

FAX: 612/813-1612

NProf

(01668)

FAX: 612/879-3604

Lim-Liab

(34673)

FAX: /-

Corp

(00993)

FAX: 612/338-1734

Corp

(33745)

FAX: 612/979-2665

Certification

HENNEPIN

(Cont.)*

SAMSAM MOHAMED

COMP

AMAL H ILHAM HUSSEIN

TCOMP

ROWDA ASAD

TCOMP

SAFIYA GULED

ARLENE RAYMOND

SLFB-64

TODD JOHNSTON

TCOMP

NIMO YUSUF

Registration

--------------------------

HWS-O

BCH-212 NF2-212

KAREN FOY

COMP

AHMED GEDI

Minnesota Department of Health

Health Regulation Division

Page

226

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

ANGELS ASSISTED LIVING INC

Corp

1802 EAST 26TH STREET

MINNEAPOLIS, MN 55404

(35319)

PHONE:

612/886-3455

FAX: 612/979-2665

APPLE GROUP HOME INC

Corp

2021 EAST HENNEPIN AVE #402-2

MINNEAPOLIS, MN 55413

(35254)

PHONE:

612/242-6245

FAX: /-

APPLEWOOD HOME HEALTH CARE LLC

Lim-Liab

2021 E HENNEPIN AVENUE #402-1

MINNEAPOLIS, MN 55413

(33654)

PHONE:

612/203-1439

FAX: 507/261-9439

ASI 28TH STREET

NProf

2749 11TH AVENUE SOUTH

MINNEAPOLIS, MN 55407

(25492)

PHONE:

651/645-7271

FAX: 651/645-0541

ASI CAMDEN HOUSE

NProf

500 49TH AVENUE NORTH

MINNEAPOLIS, MN 55430

(25491)

PHONE:

651/645-7271

FAX: 651/645-0541

AUGUSTANA APARTMENTS OF MINNEAPOLIS

NProf

1510 11TH AVENUE SOUTH

MINNEAPOLIS, MN 55404

(20027)

PHONE:

612/238-5260

FAX: 612/343-8974

AUGUSTANA APARTMENTS OF MINNEAPOLIS

NProf

1020 EAST 17TH STREET

MINNEAPOLIS, MN 55404

(30131)

PHONE:

612/238-5260

FAX: 612/343-8974

AUGUSTANA APARTMENTS OF MPLS

NProf

1509 10TH AVENUE SOUTH

MINNEAPOLIS, MN 55404

(30133)

PHONE:

612/238-5260

FAX: 612/343-8974

AUGUSTANA APARTMENTS OFMPLS

NProf

1425 10TH AVENUE SOUTH

MINNEAPOLIS, MN 55404

(30132)

PHONE:

612/238-5260

FAX: 612/343-8974

AUGUSTANA HOME HEALTH CARE SERVICES

NProf

901 4TH AVENUE NORTH

MINNEAPOLIS, MN 55405

(03383)

PHONE:

612/843-0090

FAX: 612/377-3098

Certification

HENNEPIN

(Cont.)*

AHMED GEDI

TCOMP

NUH AHMED

COMP

ABDULLAHI OSOBOW

STEPHEN VANDER SCHAAF

KELLY RICE

COMP

MARY JO THORNE

Registration

--------------------------

HWSAL-O

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

227

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

HENNEPIN

(Cont.)* --------------------------

AUGUSTANA RESIDENTIAL CARE

Lim-Liab

COMP

1007 EAST 14TH STREET

MINNEAPOLIS, MN 55404

(25859)

PHONE:

612/238-5126

FAX: 612/238-5991

MARY JO THORNE

BANI SERVICES LLC

Lim-Liab

TCOMP

2607 1ST AVENUE SOUTH

MINNEAPOLIS, MN 55408

(34650)

PHONE:

612/442-4084

FAX: 612/315-4587

HANI HASSAN

BATALO HOME HEALTH CARE, LLC

Lim-Liab

COMP

8 EAST 27TH STREET

MINNEAPOLIS, MN 55408

(29648)

PHONE:

612/345-4369

FAX: 612/345-4393

MOHAMED MOHAMED

BAYWOOD HOME CARE

Corp

COMP

6465 WAYZATA BOULEVARD #150

MINNEAPOLIS, MN 55426

(20973)

PHONE:

763/546-8899

FAX: 763/595-0465

DOROTHY MUFFETT

BEAUTIFUL HEARTS LLC

Lim-Liab

COMP

3537 3RD AVENUE SOUTH

MINNEAPOLIS, MN 55408

(33001)

PHONE:

612/245-0436

FAX: 612/345-7639

NAJIB ISSE

BEAUTIFUL HEARTS LLC

Lim-Liab

HWS-O

3537 3RD AVENUE SOUTH

MINNEAPOLIS, MN 55408

(33535)

PHONE:

612/245-0436

FAX: 612/345-7639

JAMA ALI

BENEDICTINE HEALTH CENTER OF MINNEAPOLIS

NProf

NH-95 SNF-NF-95

618 EAST 17TH STREET

MINNEAPOLIS, MN 55404

(00960)

PHONE:

612/879-2800

FAX: 612/879-2864

STEPHEN JOBE

BEST CARE HOME HEALTH, INC.

Corp

COMP HHA

3008 UNIVERSITY AVENUE SE

MINNEAPOLIS, MN 55414

(02802)

PHONE:

612/378-1040

FAX: 612/378-2850

NAZNEEN KHATOON

BEST CHOICE HOME CARE LLC

Lim-Liab

HWS-O

821 20TH AVENUE NE

MINNEAPOLIS, MN 55418

(34713)

PHONE:

612/701-5965

FAX: 612/315-3254

ALIA NAMUS

BEST CHOICE HOME CARE LLC

Lim-Liab

COMP

821 20TH AVENUE NE

MINNEAPOLIS, MN 55418

(33530)

PHONE:

612/404-1005

FAX: 612/353-5186

ALIA NAMUS

Minnesota Department of Health

Health Regulation Division

Page

228

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

BEST HOME HEALTH CARE SERVICE

Lim-Liab

6044 CLINTON AVENUE SOUTH

MINNEAPOLIS, MN 55419

(35177)

PHONE:

612/990-9616

FAX: /-

BEST HOME HEALTH CARE SERVICES

Lim-Liab

6044 CLINTON AVENUE SOUTH

MINNEAPOLIS, MN 55419

(35749)

PHONE:

612/990-9616

FAX: 612/465-6154

BETHANY RESIDENCE AND REHABILITATION CENTER

Lim-Liab

2309 HAYES STREET NE

MINNEAPOLIS, MN 55418

(00167)

PHONE:

612/781-2691

FAX: 612/781-8835

BETTER CARE SERVICES LLC

Lim-Liab

3720 28TH AVENUE SOUTH

MINNEAPOLIS, MN 55406

(34257)

PHONE:

612/701-3294

FAX: 612/208-0916

BETTER CARE SERVICES, LLC

Lim-Liab

3720 28TH AVENUE SOUTH

MINNEAPOLIS, MN 55406

(34354)

PHONE:

612/701-3294

FAX: 612/208-0916

BIG HEARTS HOME CARE INC

Corp

1130 14TH AVENUE SE

MINNEAPOLIS, MN 55414

(35604)

PHONE:

651/494-7653

FAX: /-

BILL KELLY HOUSE

Corp

3104 EAST 58TH STREET

MINNEAPOLIS, MN 55417

(01507)

PHONE:

612/726-1502

FAX: 612/726-1009

BIRCHWOOD CARE HOME

Corp

715 WEST 31ST STREET

MINNEAPOLIS, MN 55408

(00168)

PHONE:

612/823-7286

FAX: 612/823-0518

BRIDGES MN

Lim-Liab

3101 ALDRICH AVENUE SOUTH

MINNEAPOLIS, MN 55408

(00159)

PHONE:

612/825-4488

FAX: 612/825-4489

BRIGHTCARE SERVICES INC

Corp

2021 EAST HENNEPIN AVE #200-3

MINNEAPOLIS, MN 55413

(35891)

PHONE:

612/636-6671

FAX: 612/435-9746

Certification

Registration

HENNEPIN

(Cont.)* --------------------------

TCOMP

AYNABABA ABEBE

NH-50 BCH-0

SCOTT KALLSTROM

COMP

MANAGE ESSA HASSAN

ESSA HASSAN

AHMED FARAH

SLFA-16

HUGH AYLWARD

BCH-60

RANDAL HAGEMEYER

BCH-25

CAROL WATSON

TCOMP

BURHAN ELMI

HWS-O

SNF-NF-50 NF2-0

HWS-O

HWSAL-O

NF2-60

Minnesota Department of Health

Health Regulation Division

Page

229

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

BROOKLYN PARK ASSISTED LIVING

Lim-Liab

7719 HUMBOLDT AVENUE NORTH

MINNEAPOLIS, MN 55444

(35142)

PHONE:

763/208-9747

FAX: 651/432-9856

BROOKLYN PARK ASSISTED LIVING

Lim-Liab

7731 HUMBOLST AVENUE NORTH

MINNEAPOLIS, MN 55444

(35140)

PHONE:

763/208-9747

FAX: 763/432-9856

BROOKLYN PARK ASSISTED LIVING

Lim-Liab

7723 HUMBOLDT AVENUE NORTH

MINNEAPOLIS, MN 55444

(35141)

PHONE:

763/208-9747

FAX: 763/432-9856

BROOKLYN PARK ASSISTED LIVING

Lim-Liab

7727 HUMBOLDT AVENUE NORTH

MINNEAPOLIS, MN 55444

(35139)

PHONE:

763/208-9777

FAX: 763/452-9856

BRYANT SQUARE HOME HEALTH CARE

Corp

3115 ALDRICH AVENUE SOUTH

MINNEAPOLIS, MN 55408

(26429)

PHONE:

612/823-7286

FAX: 612/823-0518

BYWOOD EAST HEALTH CARE

Corp

3427 CENTRAL AVENUE NE

MINNEAPOLIS, MN 55418

(00176)

PHONE:

612/788-9757

FAX: 612/789-6564

CA LIVING LLC

Lim-Liab

5655 RHODE ISLAND AVENUE

MINNEAPOLIS, MN 55428

(35227)

PHONE:

/-

FAX: /-

CAPITAL HOME HEALTH CARE, LLC

Lim-Liab

34 13TH AVENUE NE #B004

MINNEAPOLIS, MN 55413

(28840)

PHONE:

612/886-7411

FAX: 612/315-5918

CARE SERVICES LLC

Lim-Liab

5841 PLEASANT AVENUE

MINNEAPOLIS, MN 55419

(35652)

PHONE:

612/703-9358

FAX: 612/930-0162

Certification

Registration

HENNEPIN

(Cont.)* --------------------------

JAMES FAGER

MIKE FAGER

JAMES FAGER

COMP

JASON HAGEMEYER

BCH-95

ANNETTE THORSON

NET SENG

COMP

MAHAD BASHIR

NAIMO ABDISALAM

HWSAL-O

NF2-95

HWSAL-O

CAREGIVER SUPPORT PROGRAM AT KOREAN SERVICE

NProf

Home Mgmt

CENTER

630 CEDAR AVENUE SOUTH #B1

MINNEAPOLIS, MN 55454

(23329)

FAX: 612/342-1341

YOONJU PARK

PHONE:

612/342-1345

Minnesota Department of Health

Health Regulation Division

Page

230

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

CAREXTRA HOME HEALTH

Lim-Liab

310 EAST 38TH STREET #215

MINNEAPOLIS, MN 55409

(35082)

PHONE:

612/987-3927

FAX: 612/200-8945

CARING HEART HOME HEALTHCARE LLC

Lim-Liab

1200 WEST BROADWAY AVENUE #130

MINNEAPOLIS, MN 55411

(33707)

PHONE:

612/258-8037

FAX: 952/303-4664

CARING HEARTS HOME CARE INC

Corp

4545 2ND AVENUE SOUTH

MINNEAPOLIS, MN 55419

(35295)

PHONE:

612/404-1005

FAX: /-

CARING HOME HEALTH INC

Lim-Liab

2536 28TH AVENUE SOUTH

MINNEAPOLIS, MN 55406

(34869)

PHONE:

612/254-4949

FAX: /-

CARING HOME HEALTH INC

Corp

2536 28TH AVENUE SOUTH

MINNEAPOLIS, MN 55406

(35607)

PHONE:

612/254-4949

FAX: /-

CATHOLIC ELDERCARE AT HOME

NProf

817 NE MAIN STREET

MINNEAPOLIS, MN 55413

(21005)

PHONE:

612/605-2513

FAX: 612/605-2504

CATHOLIC ELDERCARE ON MAIN

NProf

817 MAIN STREET NE

MINNEAPOLIS, MN 55413

(00984)

PHONE:

612/379-1370

FAX: 612/362-2486

CATHOLIC ELDERCARE-MAIN STREET LODGE

NProf

909 MAIN STREET NE

MINNEAPOLIS, MN 55413

(20105)

PHONE:

612/362-2450

FAX: 612/362-2449

CENTER CARE INC

Corp

3601 PORTLAND AVENUE

MINNEAPOLIS, MN 55407

(35736)

PHONE:

612/986-3354

FAX: 320/217-2285

CENTER CARE INC

Corp

3601 PORTLAND AVENUE

MINNEAPOLIS, MN 55407

(35962)

PHONE:

612/986-3354

FAX: 320/217-2285

Certification

Registration

HENNEPIN

(Cont.)* --------------------------

TCOMP

IDIL MOHAMED

COMP

DARSHAE UNDERWOOD

TCOMP

ALIA NAMUS

TCOMP

AYUB SHARIF

COMP

SOPHIA ALLWOOD

NH-174

MARIE BARTA

JANET CARLSON

TCOMP

ABDI MAHAMED

HWSAL-O

SNF-NF-174

HWSAL

HWSAL-O

Minnesota Department of Health

Health Regulation Division

Page

231

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

HENNEPIN

(Cont.)* --------------------------

CENTER LIGHT CARE LLC

Lim-Liab

TCOMP

2511 4TH STREET NORTH

MINNEAPOLIS, MN 55411

(34842)

PHONE:

612/708-1090

FAX: /-

NASRA AMIN

CENTER LIGHT CARE LLC

Lim-Liab

HWS-O

2511 4TH STREET NORTH

MINNEAPOLIS, MN 55411

(35081)

PHONE:

612/423-0012

FAX: /-

NASRA AMIN

CHERIE AUGSPURGER LLC

Lim-Liab

BASIC

404 LUVERNE AVENUE SOUTH

MINNEAPOLIS, MN 55419

(31032)

PHONE:

612/203-5518

FAX: 612/822-7129

CHERIE AUGSPURGER

CHILDREN'S HOME CARE AND HOSPICE

NProf

Hospice

2525 CHICAGO AVENUE SOUTH

MINNEAPOLIS, MN 55404

(03189)

PHONE:

612/813-6246

FAX: 612/813-6358

MARC GORELICK

CHILDREN'S HOME CARE AND HOSPICE

NProf

COMP HHA

2525 CHICAGO AVENUE SOUTH

MINNEAPOLIS, MN 55404

(02142)

PHONE:

612/813-6000

FAX: 612/813-6807

MARIA CHRISTU

CHILDREN'S HOSPITAL & CLINICS OF MINNESOTA

NProf

HOSP-279 BASS-196 HOSP-279

2525 CHICAGO AVENUE SOUTH

MINNEAPOLIS, MN 55404

(00741)

PHONE:

612/813-6112

FAX: 612/813-6807

MARK GORELICK

CIRCLE OF LIFE HOME CARE ANISHINAABE

Lim-Liab

Home Mgmt

1433 FRANKLIN AVENUE EAST #16

MINNEAPOLIS, MN 55404

(27760)

PHONE:

612/871-2474

FAX: 612/870-3874

ROBERT YAGER

CLARE APARTMENTS

Part

HWSAL-O

929 CENTRAL AVENUE NE

MINNEAPOLIS, MN 55413

(23957)

PHONE:

612/236-9521

FAX: 612/236-9520

CHUCK PETERSON

CLARE HOUSING

NProf

COMP

929 CENTRAL AVENUE NE

MINNEAPOLIS, MN 55413

(23905)

PHONE:

612/236-9514

FAX: 612/236-9520

MICHELE BOYER

CLARE MIDTOWN

Part

HWSAL-O

3105 23RD AVENUE SOUTH #318

MINNEAPOLIS, MN 55407

(27720)

PHONE:

612/236-9515

FAX: 612/236-9515

CHUCK PETERSON

Minnesota Department of Health

Health Regulation Division

Page

232

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

HENNEPIN

---------------------------**********

(Cont.)* --------------------------

HWSAL-O

COMFORT CARE ASSISTED LIVING LLC

Lim-Liab

414 EAST 26TH STREET

MINNEAPOLIS, MN 55404

(35884)

PHONE:

952/652-7424

FAX: /-

BISHARO AHMED ABDI

COMFORT CARE ASSISTED LVNG LLC

Lim-Liab

TCOMP

414 EAST 26TH STREET

MINNEAPOLIS, MN 55404

(34997)

PHONE:

952/652-7424

FAX: /-

BISHARO AHMED ABDI

COMFORT CARE CENTER LLC

Lim-Liab

TCOMP

2215 BLAISDELL AVENUE S #207

MINNEAPOLIS, MN 55404

(35114)

PHONE:

612/703-4183

FAX: /-

MOHAMED MOHAMUD

COMFORT CARE HOMES

Lim-Liab

HWSAL-O

2521 12TH AVENUE SOUTH

MINNEAPOLIS, MN 55404

(33632)

PHONE:

612/644-6640

FAX: 612/208-1911

FATUMO ABDI

COMFORT CARE HOMES

Lim-Liab

HWSAL

2018 UPTON AVENUE NORTH

MINNEAPOLIS, MN 55411

(34809)

PHONE:

612/545-7934

FAX: 612/486-9109

DEKA ABDULLE

COMFORT CARE HOMES LLC

Lim-Liab

COMP

3040 4TH AVENUE SOUTH STE F

MINNEAPOLIS, MN 55408

(32851)

PHONE:

612/545-7934

FAX: 612/486-9109

DEKA ABDULLE

COMMUNITY BOARDING CARE LLC

Lim-Liab

HWSAL

2708 CHICAGO AVENUE SOUTH

MINNEAPOLIS, MN 55407

(31894)

PHONE:

612/245-1507

FAX: 612/605-3278

MANAGE MOHAMED BIDARE

COMMUNITY BOARDING CARE, LLC

Lim-Liab

COMP

2708 CHICAGO AVENUE SOUTH

MINNEAPOLIS, MN 55407

(31168)

PHONE:

612/245-1507

FAX: 612/605-3278

MOHAMED BIDARE

NProf

COMP HHA

SERVICES

1600 BROADWAY STREET NE #1

MINNEAPOLIS, MN 55413

(02783)

COMMUNITY INVOLVEMENT PROGRAMS HOME HEALTH

FAX: 612/547-0556

AUBREY MARTINEZ

PHONE:

612/362-4434

COMPASSIONATE NURSES NETWORK

Lim-Liab

HWSAL

1419 PENN AVENUE NORTH

MINNEAPOLIS, MN 55411

(32949)

PHONE:

612/388-7382

FAX: 612/465-6495

SAUNDRA MCKISSIC

Minnesota Department of Health

Health Regulation Division

Page

233

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

COMPASSIONATE NURSES NETWORK LLC

Lim-Liab

1419 PENN AVENUE NORTH

MINNEAPOLIS, MN 55411

(29857)

PHONE:

612/388-7382

FAX: 612/465-6495

COSMO HOME HEALTHCARE SERVICES

Lim-Liab

2219 OAKLAND AVE SOUTH, SUITE

MINNEAPOLIS, MN 55404

(32655)

PHONE:

612/314-2045

FAX: 612/314-8022

CURE HOME HEALTH INC

Corp

1509 EAST 22ND STREET

MINNEAPOLIS, MN 55404

(34362)

PHONE:

612/229-5007

FAX: 612/353-4341

CURE HOME HEALTH INC

Corp

2021 EAST HENNEPIN AVENUE #200

MINNEAPOLIS, MN 55413

(33210)

PHONE:

612/236-4577

FAX: 612/605-7131

CUSTOMIZE LIVING LLC

Lim-Liab

2201 BLAISDELL AVENUE S #311

MINNEAPOLIS, MN 55404

(34722)

PHONE:

612/999-5829

FAX: /-

DIAMONDS HOME HEALTH CARE INC

Corp

2740 MINNEHAHA AVENUE #146

MINNEAPOLIS, MN 55406

(27646)

PHONE:

612/724-4254

FAX: 612/722-2186

DOODI'S BEST CARE

Corp

5624 36TH AVENUE SOUTH

MINNEAPOLIS, MN 55417

(35100)

PHONE:

612/227-0810

FAX: /-

DOODI'S BEST CARE INC

Corp

5624 36TH AVENUE SOUTH

MINNEAPOLIS, MN 55417

(34839)

PHONE:

612/227-0810

FAX: /-

DR THOMAS H JOHNSON HWS

Corp

4218 PORTLAND AVENUE SOUTH

MINNEAPOLIS, MN 55407

(35493)

PHONE:

612/285-8743

FAX: 612/922-9276

DR THOMAS H JOHNSON HWS

Corp

5515 PENN AVENUE SOUTH

MINNEAPOLIS, MN 55419

(21508)

PHONE:

612/285-8743

FAX: 612/922-9276

Certification

HENNEPIN

(Cont.)*

COMP

DOROTHY STINSON-ROYSTON

COMP HCBS

ABDIRASHID AHMED

FARHIYO HASSAN

COMP

AHMED SALAH

TCOMP

SULEBAN HUSSEIN

SHUKRI YUSUF

ABDULKADIR AHMED ELMI

TCOMP

ABDULKADIR ELMI

CHAZ GOYETTE

Registration

--------------------------

HWSAL-O

Home Mgmt

HWSAL

HWS

Minnesota Department of Health

Health Regulation Division

Page

234

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

DR THOMAS H JOHNSON HWS

Corp

5543 PENN AVENUE SOUTH

MINNEAPOLIS, MN 55419

(24377)

PHONE:

612/285-8743

FAX: 612/922-9276

DR THOMAS H JOHNSON HWS

Corp

5518 OLIVER AVENUE SOUTH

MINNEAPOLIS, MN 55419

(26116)

PHONE:

612/285-8743

FAX: 612/922-9276

DR. THOMAS H. JOHNSON HWS

Corp

2221 WEST 55TH STREET

MINNEAPOLIS, MN 55419

(23749)

PHONE:

612/285-8743

FAX: 612/922-9276

EAGLE GROUP HOME INC

Lim-Liab

3414 OAKLAND AVENUE SOUTH

MINNEAPOLIS, MN 55407

(35094)

PHONE:

651/644-6127

FAX: 651/333-4897

EAGLE GROUP HOME LLC

Lim-Liab

2219 OAKLAND AVENUE #110

MINNEAPOLIS, MN 55404

(33612)

PHONE:

612/644-6127

FAX: 651/333-4897

EBENEZER CARE CENTER

NProf

2545 PORTLAND AVENUE SOUTH

MINNEAPOLIS, MN 55404

(00191)

PHONE:

612/879-2262

FAX: 612/879-2316

EBENEZER HOME CARE

Corp

2722 PARK AVENUE SOUTH

MINNEAPOLIS, MN 55407

(28789)

PHONE:

612/874-3477

FAX: /-

EBENEZER HOME CARE

Corp

2722 PARK AVENUE SOUTH

MINNEAPOLIS, MN 55407

(27108)

PHONE:

612/874-3460

FAX: 612/874-3465

EBENEZER HOME CARE

NProf

2722 PARK AVENUE SOUTH

MINNEAPOLIS, MN 55407

(27773)

PHONE:

612/874-3460

FAX: 612/874-3465

EBENEZER MANAGEMENT SERVICES

Corp

2722 PARK AVENUE

MINNEAPOLIS, MN 55407

(34593)

PHONE:

612/874-3460

FAX: /-

Certification

Registration

HENNEPIN

(Cont.)* --------------------------

CHAZ GOYETTE

KHADIJA ABDIKARIM

COMP

KHADIJA ABDIKARIM

NH-34 BCH-85

ROBERT BRITAIN

COMP

ERIN HILLIGAN

COMP

ERIN HILLIGAN

COMP

ERIN HILLIGAN

COMP

ERIN HILLIGAN

HWS

HWSAL

SNF-NF-34 NF2-85

Minnesota Department of Health

Health Regulation Division

Page

235

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

EBENEZER MANAGEMENT SERVICES INC

2722 PARK AVENUE

MINNEAPOLIS, MN 55407

PHONE:

612/874-3460

EBENEZER MANAGEMENT SERVICES, INC

2722 PARK AVENUE SOUTH

MINNEAPOLIS, MN 55407

PHONE:

612/874-3420

EDEN HOMES, INC.

3714 BRYANT AVENUE NORTH

MINNEAPOLIS, MN 55412

PHONE:

612/245-4140

EDEN HOMES, INC.

3714 BRYANT AVENUE NORTH

MINNEAPOLIS, MN 55412

PHONE:

612/245-4140

EDEN HOMES, INC.

4201 33RD AVENUE SOUTH

MINNEAPOLIS, MN 55406

PHONE:

612/987-7676

EDEN RESIDENTIAL PROGRAM

1025 PORTLAND AVENUE SOUTH

MINNEAPOLIS, MN 55404

PHONE:

612/338-0723

ELEGED HOME CARE INC

2824 OAKLAND AVENUE

MINNEAPOLIS, MN 55407

PHONE:

612/315-4497

ELEGED HOME CARE INC

2614 NICOLLET AVENUE #203

MINNEAPOLIS, MN 55408

PHONE:

612/315-4497

ELEGED HOME CARE INC

2640 POLK STREET NE

MINNEAPOLIS, MN 55418

PHONE:

612/315-4497

ELITE QUALITY SERVICES LLC

3555 MAIN STREET NE

MINNEAPOLIS, MN 55418

PHONE:

952/465-1522

Corp

(33356)

FAX: 612/874-3465

Corp

(28352)

FAX: 612/874-3465

Corp

(29432)

FAX: /-

Corp

(29433)

FAX: /-

Corp

(35557)

FAX: 612/861-8098

NProf

(01584)

FAX: 612/338-3653

Corp

(36008)

FAX: 612/435-2770

Corp

(34670)

FAX: 612/435-2770

Corp

(36010)

FAX: 612/435-2770

Lim-Liab

(34823)

FAX: /-

Certification

HENNEPIN

(Cont.)*

COMP

ERIN HILLIGAN

COMP

ERIN HILLIGAN

COMP

RAMON VILLANUEVA

FIDELA VILLANUEVA

SLFA-59

JAMES WYNNE

ABDI ALI

TCOMP

ABDI ALI

MUNA MOHAMED JAMA

Registration

--------------------------

HWSAL

HWSAL-O

HWS-O

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

236

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

ELITE QUALITY SERVICES LLC

3614 2 1/2 STREET NE

MINNEAPOLIS, MN 55418

PHONE:

952/465-1522

EMPOWERING HOMECARE CORP

2003 10TH AVENUE SOUTH #3

MINNEAPOLIS, MN 55404

PHONE:

612/345-7723

EPIC HOMES LLC

1106 IRVING AVENUE NORTH

MINNEAPOLIS, MN 55411

PHONE:

612/730-9043

ESSENTIAL HEALTH SERVICES LLC

2021 EAST HENNEPIN AVE #402-8

MINNEAPOLIS, MN 55413

PHONE:

612/385-3625

EVERYDAY LIVING LLC

2905 35TH AVENUE SOUTH

MINNEAPOLIS, MN 55406

PHONE:

651/688-7173

EVERYDAY LIVING LLC

2907 35TH AVENUE SOUTH

MINNEAPOLIS, MN 55406

PHONE:

651/688-7173

EXCELSIOR PLACE

4140 DIGHT AVENUE

MINNEAPOLIS, MN 55406

PHONE:

320/247-6051

FAIRVIEW - UNIVERSITY MEDICAL CENTER

2450 RIVERSIDE AVENUE SOUTH

MINNEAPOLIS, MN 55454

PHONE:

612/672-6455

FAIRVIEW HOME CARE AND HOSPICE

2450 26TH AVENUE SOUTH

MINNEAPOLIS, MN 55406

PHONE:

612/721-2491

FAIRVIEW HOME INFUSION

711 B KASOTA AVENUE

MINNEAPOLIS, MN 55414

PHONE:

612/672-2233

Lim-Liab

(36080)

FAX: 612/345-7720

Corp

(32343)

FAX: 612/886-2955

Lim-Liab

(35337)

FAX: /-

Lim-Liab

(32896)

FAX: /-

Lim-Liab

(31762)

FAX: 651/688-0525

Lim-Liab

(31763)

FAX: 651/688-0525

Corp

(22195)

FAX: 320/587-0053

NProf

(00200)

FAX: 612/672-6060

NProf

(02187)

FAX: 612/728-2400

Lim-Liab

(21388)

FAX: 612/672-2234

Certification

Registration

HENNEPIN

(Cont.)* --------------------------

HWSAL

MUNA JAMA

COMP

FARHIYA JAMA

TCOMP

FLORENCE SIMMS

COMP HCBS

ANISA ESSE

HWS-O

JEFF JOHNSON

HWS-O

JEFF JOHNSON

COMP

JACOB WORK

HOSP-1700 BASS-168 HOSP-1489 PPS-P-181 PPS-R-30

LAURA REED

COMP HHA

PAMELA HALVORSON

COMP

SARAH BROWN

Minnesota Department of Health

Health Regulation Division

Page

237

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

HENNEPIN

(Cont.)* --------------------------

FAIRVIEW HOSPICE

NProf

Hospice HSPICE

2450 26TH AVENUE SOUTH

MINNEAPOLIS, MN 55406

(02466)

PHONE:

612/721-2491

FAX: 612/728-2400

PAMELA HALVORSON

FAIRVIEW UNIVERSITY TRANSITIONAL SERVICES

NProf

NH-28 SNF-NF-28

2450 RIVERSIDE AVENUE SOUTH

MINNEAPOLIS, MN 55454

(00259)

PHONE:

612/273-4197

FAX: 612/273-4415

KRISTA SIDDIQUI

FAMILY CARE SERVICES, INC.

Corp

COMP HHA

2500 MINNEHAHA AVENUE SOUTH

MINNEAPOLIS, MN 55404

(21182)

PHONE:

612/340-0733

FAX: 612/340-0032

SALLY KNUTSON

FIRST CHOICE HOME CARE INC

Corp

COMP

2104 PARK AVENUE SOUTH

MINNEAPOLIS, MN 55404

(03253)

PHONE:

617/849-3325

FAX: 612/315-5869

AHMED ALI

FIRST CHOICE RESIDENTIAL CARE INC

Corp

TCOMP

419 CEDAR AVENUE SOUTH #33

MINNEAPOLIS, MN 55454

(34612)

PHONE:

763/227-1575

FAX: /-

ABDISATAR AHMED

FMCNA SOUTH MINNEAPOLIS DIALYSIS CENTER

Corp

ESRD

4310 NICOLLET AVENUE SOUTH

MINNEAPOLIS, MN 55409

(03801)

PHONE:

612/822-4411

FAX: 612/872-7770

FEDERICO SERRANO

FRIENDSHIP HOUSE

Lim-Liab

HWS-O

2401 1ST AVENUE SOUTH

MINNEAPOLIS, MN 55404

(23129)

PHONE:

651/209-8490

FAX: 651/209-8499

JOE CUOCO

GATEWAY HOMECARE SERVICES

Corp

BASIC

912 EAST 24TH STREET #B207

MINNEAPOLIS, MN 55404

(26807)

PHONE:

612/871-1109

FAX: 612/874-3206

AHMED ALI

GLORY HOME HEALTH INC

Corp

COMP

1913 BROADWAY STREET NE #100

MINNEAPOLIS, MN 55413

(33176)

PHONE:

612/354-7791

FAX: 612/886-2567

NASRO MOHAMED

GOLDEN CARE LLC

Lim-Liab

TCOMP

1127 HUMBOLDT AVENUE NORTH #1

MINNEAPOLIS, MN 55411

(34697)

PHONE:

612/806-5682

FAX: /-

MOHAMED FARAH

Minnesota Department of Health

Health Regulation Division

Page

238

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

GOLDEN CARE LLC

Lim-Liab

1127 HUMBOLDT AVENUE NORTH #1

MINNEAPOLIS, MN 55411

(35500)

PHONE:

612/806-5824

FAX: 612/824-1836

GOLDEN NEST, LLC

Lim-Liab

1918 19TH AVENUE NE

MINNEAPOLIS, MN 55418

(23665)

PHONE:

651/755-2836

FAX: 612/254-6346

GOLDEN NEST, LLC

Lim-Liab

1918 19TH AVENUE NE

MINNEAPOLIS, MN 55418

(27473)

PHONE:

651/755-2836

FAX: 612/254-6346

GOODHOPE HOMES LLC

Lim-Liab

2301 16TH AVENUE SOUTH

MINNEAPOLIS, MN 55404

(33742)

PHONE:

763/732-2269

FAX: /-

GOODHOPE HOMES LLC

Lim-Liab

2301 16TH AVENUE SOUTH

MINNEAPOLIS, MN 55404

(33958)

PHONE:

763/732-2269

FAX: /-

GRACE GROUP HOME LLC

Lim-Liab

3538 FREMONT AVENUE NORTH

MINNEAPOLIS, MN 55412

(34790)

PHONE:

612/598-9923

FAX: /-

GRACE GROUP HOME LLC

Lim-Liab

3538 FREMONT AVENUE NORTH

MINNEAPOLIS, MN 55412

(35191)

PHONE:

612/598-9923

FAX: /-

GRACE HAND GROUP HOME LLC

Lim-Liab

1523 GIRARD AVENUE NORTH

MINNEAPOLIS, MN 55411

(35112)

PHONE:

612/986-3923

FAX: /-

GRACE HAND GROUP HOME LLC

Lim-Liab

1523 GIRARD AVENUE NORTH

MINNEAPOLIS, MN 55411

(35307)

PHONE:

612/986-3923

FAX: 612/293-7639

GRACE HOSPICE

NProf

1015 4TH AVENUE NORTH #206

MINNEAPOLIS, MN 55405

(30185)

PHONE:

612/238-0034

FAX: 612/800-5499

Certification

Registration

HENNEPIN

(Cont.)* --------------------------

ABDIWAHAB AFTIN

COMP

HONGJOO LEE

TCOMP

M FARHIA SIAD

ONWER FARHIA SIAD

TCOMP

ASIA ALI

ASIA AHMED ALI

TCOMP

HASSAN HAYDAR

Hospice

SARAH VANWINKLE

HWS

HWSAL

HWSAL-O

HSPICE

Minnesota Department of Health

Health Regulation Division

Page

239

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

GRACE MANOR

NProf

1507 LOWRY AVENUE NE

MINNEAPOLIS, MN 55418

(00272)

PHONE:

612/373-3366

FAX: 612/333-4111

GRACE PLACE

NProf

630 CEDAR AVENUE SOUTH #B-1

MINNEAPOLIS, MN 55454

(03860)

PHONE:

612/342-1345

FAX: 612/342-1341

GRACE PLACE ASSISTED LIVING

HRA

630 CEDAR AVENUE SOUTH #B-1

MINNEAPOLIS, MN 55454

(24891)

PHONE:

612/342-1358

FAX: 612/342-1337

GRAND AVENUE REST HOME

Corp

3956 GRAND AVENUE SOUTH

MINNEAPOLIS, MN 55409

(00208)

PHONE:

612/824-1434

FAX: 612/824-2219

GRANDMA'S HELPER LLC

Lim-Liab

5616 43RD AVENUE SOUTH

MINNEAPOLIS, MN 55417

(32931)

PHONE:

763/339-8493

FAX: /-

GRANDMA'S HELPER LLC

Lim-Liab

5616 43RD AVENUE SOUTH

MINNEAPOLIS, MN 55417

(32932)

PHONE:

763/339-8493

FAX: /-

GRANDMA'S PLACE INC

Corp

1900 VINCENT AVENUE NORTH

MINNEAPOLIS, MN 55411

(33434)

PHONE:

763/560-2500

FAX: 763/331-9951

GREENWAY SURGERY CENTER

Lim-Liab

2020 EAST 28TH STREET #100

MINNEAPOLIS, MN 55407

(28356)

PHONE:

612/728-7000

FAX: 612/728-2660

H & H GROUP HOME LLC

Lim-Liab

4400 MINNETONKA BOULEVARD #1

MINNEAPOLIS, MN 55416

(35200)

PHONE:

952/688-7713

FAX: /-

HARMONY HEALTH SERVICES LLC

Lim-Liab

317 26TH AVENUE NORTH

MINNEAPOLIS, MN 55411

(34368)

PHONE:

214/436-1801

FAX: 612/521-4445

Certification

Registration

HENNEPIN

(Cont.)* --------------------------

BCH-53

ERIC VAGLE

COMP

KWANGJA KWON

MARY BOLER

BCH-20

ALLEN SODERBECK

BASIC

LEAH ROBERTS

BRYAN HENDRICKSON

Outpt Surg

AMISTYENE BRINCEFIELD

TCOMP

NAJMA ALI

COMP

OMIDIRAN OMISAKIN

HWSAL

NF2-20

Home Mgmt

HWS-O

Amb Surg

Minnesota Department of Health

Health Regulation Division

Page

240

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

HARMONY HEALTH SERVICES, LLC

317 26TH AVENUE NORTH

MINNEAPOLIS, MN 55411

PHONE:

612/200-8070

HARMONY HOUSE

2409 1ST AVENUE SOUTH

MINNEAPOLIS, MN 55404

PHONE:

651/209-8490

HAWTHORNE ECOVILLAGE APARTMENTS

617 LOWRY AVENUE NORTH

MINNEAPOLIS, MN 55411

PHONE:

612/843-3340

HCMC CRISIS RESIDENCE

3633 CHICAGO AVENUE SOUTH

MINNEAPOLIS, MN 55407

PHONE:

612/873-6537

HEALING HOME SERVICES LLC

1201 BROOK AVENUE SE #211

MINNEAPOLIS, MN 55414

PHONE:

651/703-1401

HEALTHGUARD PARTNERS INC

1113 25TH AVE N

MINNEAPOLIS, MN 55411

PHONE:

612/666-4010

HEALTHGUARD PARTNERS, INC.

1113 E. FRANKLIN AVENUE #211A

MINNEAPOLIS, MN 55404

PHONE:

612/666-4010

HEALTHMAX HOME HEALTH CARE SERVICES

125 WEST BROADWAY AVENUE #102B

MINNEAPOLIS, MN 55411

PHONE:

612/521-2400

HELPFUL HANDS HOME CARE LLC

2829 DELAWARE STREET SE

MINNEAPOLIS, MN 55414

PHONE:

612/636-2647

HENNEPIN COUNTY MEDICAL CENTER

701 PARK AVENUE

MINNEAPOLIS, MN 55415

PHONE:

612/873-6422

Lim-Liab

(35009)

FAX: /-

Lim-Liab

(23128)

FAX: 651/209-8499

NProf

(33565)

FAX: 763/208-7885

Cnty

(32885)

FAX: 612/904-4477

Lim-Liab

(34863)

FAX: /-

Corp

(35158)

FAX: /-

Corp

(34694)

FAX: /-

Lim-Liab

(35168)

FAX: /-

Lim-Liab

(35289)

FAX: 651/369-2908

Cnty

(00211)

FAX: 612/873-1985

Certification

Registration

HENNEPIN

(Cont.)* --------------------------

HWSAL

OMIDIRAN OMISAKIN

HWS-O

JOE CUOCO

HWS-O

MICHELLE WINCELL O'LEARY

SLFB-2 SLFA-14

MEGEN BOYSEN

TCOMP

MAGRAD HUSSEIN

HWS-O

MOHAMED OMAR

TCOMP

MOHAMED OMAR

TBASIC

AIMEE HULSING

TCOMP

SULEMAN MOHAMUD

HOSP-894 BASS-65 HOSP-765 PPS-P-102 PPS-R-27

JOHN CUMMING MD INTERIM

Minnesota Department of Health

Health Regulation Division

Page

241

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

HENNEPIN HEALTHCARE HOSPICE

2000 SUMMER STREET NE #100

MINNEAPOLIS, MN 55413

PHONE:

763/531-2424

HERITAGE COMMONS

350 VAN WHITE MEMORIAL BLVD

MINNEAPOLIS, MN 55405

PHONE:

612/344-2297

HERITAGE HOME HEALTH CARE LLC

7760 FRANCE AVENUE SOUTH #1100

MINNEAPOLIS, MN 55435

PHONE:

651/757-0422

HIAWATHA SUITES SENIOR LIVING

4140 DIGHT AVENUE SOUTH

MINNEAPOLIS, MN 55406

PHONE:

320/247-6051

HOLISTIC HOME LLC

4659 BRYANT AVENUE NORTH

MINNEAPOLIS, MN 55412

PHONE:

612/701-0913

HOLISTIC HOME, LLC

4659 BRYANT AVENUE NORTH

MINNEAPOLIS, MN 55412

PHONE:

612/701-0913

HOME DIALYSIS UNIT OF TRC INC

825 SOUTH 8TH STREET #1202

MINNEAPOLIS, MN 55404

PHONE:

612/347-4458

HOPE ASSISTED LIVING LLC

1942 WASHBURN AVENUE NORTH

MINNEAPOLIS, MN 55411

PHONE:

651/283-9621

HOPE ASSISTED LIVING LLC

1942 WASHBURN AVENUE NORTH

MINNEAPOLIS, MN 55411

PHONE:

651/283-9621

HOPE COMMUNITY, INC.

2115 PORTLAND AVENUE SOUTH

MINNEAPOLIS, MN 55404

PHONE:

612/874-8867

NProf

(03001)

FAX: 763/531-2422

HRA

(24321)

FAX: 612/377-6309

Lim-Liab

(31828)

FAX: 651/846-5760

Lim-Liab

(34479)

FAX: 320/403-1186

Lim-Liab

(35414)

FAX: /-

Lim-Liab

(35174)

FAX: /-

Corp

(21098)

FAX: 612/341-7944

Lim-Liab

(34559)

FAX: /-

Lim-Liab

(34708)

FAX: 763/208-1285

ONProf

(27418)

FAX: 612/874-8650

Certification

Registration

HENNEPIN

(Cont.)* --------------------------

Hospice HSPICE

JEAN LUKASZEWSKI

HWSAL-O

MARY BOLER

BASIC HCBS

LENSA ERENNA

HWSAL

JACOB WORK

HWS-O

UBAH MOHAMED

TCOMP

SAID SALAH

ESRD

REGINA COPELAND

TCOMP

SAED DALMAR

HWSAL

PRESID SAED DALMAR

HWS-O

SHANNON JONES

Minnesota Department of Health

Health Regulation Division

Page

242

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

HOPE REST HOMES

333 EAST 22ND STREET

MINNEAPOLIS, MN 55404

PHONE:

612/978-7023

HOPE REST HOMES INC

333 EAST 22ND STREET

MINNEAPOLIS, MN 55404

PHONE:

612/545-8458

HOPE WELLNESS CENTER INC

2850 CEDAR AVENUE SOUTH #102

MINNEAPOLIS, MN 55407

PHONE:

206/779-7540

IHI THOMAS COURT

4100 THOMAS AVENUE NORTH

MINNEAPOLIS, MN 55412

PHONE:

763/999-7799

IMRAN HEALTHCARE SERVICES LLC

3105 BLOOMINGTON AVE S STE C

MINNEAPOLIS, MN 55407

PHONE:

612/295-1104

IMRAN HEALTHCARE SERVICES LLC

726 30TH AVENUE NORTH

MINNEAPOLIS, MN 55411

PHONE:

612/295-1104

INSPIRE CARE INC

3845 HIAWATHA AVENUE #519

MINNEAPOLIS, MN 55406

PHONE:

773/627-1215

INVITING HOMES LLC

3227 34TH AVENUE SOUTH

MINNEAPOLIS, MN 55406

PHONE:

612/703-3237

JINOW CARE LLC

3600 COLUMBUS AVENUE SOUTH

MINNEAPOLIS, MN 55407

PHONE:

612/367-4526

JINOW CARE LLC

1 WEST LAKE STREET #164 #4

MINNEAPOLIS, MN 55408

PHONE:

612/367-4526

Corp

(33956)

FAX: /-

Corp

(33412)

FAX: 612/314-8811

Corp

(34995)

FAX: /-

Corp

(24788)

FAX: 763/999-7790

Lim-Liab

(34316)

FAX: 612/460-9319

Lim-Liab

(35946)

FAX: 612/460-9319

Corp

(35181)

FAX: /-

Lim-Liab

(35967)

FAX: /-

Lim-Liab

(35137)

FAX: 612/460-9060

Lim-Liab

(34585)

FAX: 612/460-9060

Certification

HENNEPIN

(Cont.)*

GAMI NASIR

COMP

IBRAHIM MOALIM

TCOMP

SAMIA MAHMUD

KHRISTINA OESTMANN

TCOMP

SOPHIA ALI

TCOMP

MUNIRA ADAM

TCOMP

NAJMA MOHAMED

EDNA FARAH

TCOMP

EDNA FARAH

Registration

--------------------------

HWSAL

HWS-O

HWSAL-O

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

243

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

HENNEPIN

(Cont.)* --------------------------

JONES - HARRISON RESIDENCE

NProf

NH-157 SNF-NF-157

3700 CEDAR LAKE AVENUE

MINNEAPOLIS, MN 55416

(00216)

PHONE:

612/920-2030

FAX: 612/225-1131

CHANTAL NASON

JONES HARRISON ASSISTED LIVING

NProf

COMP

3700 CEDAR LAKE AVENUE

MINNEAPOLIS, MN 55416

(20654)

PHONE:

612/925-7200

FAX: 612/225-1190

EMILY NYBERG

JONES HARRISON ASSISTED LIVING

NProf

HWSAL

3700 CEDAR LAKE AVENUE

MINNEAPOLIS, MN 55416

(30734)

PHONE:

612/925-7170

FAX: 612/225-1190

CHANTAL NASON

JONES HARRISON RESIDENCE ASSISTED LIVING

NProf

COMP

3700 CEDAR LAKE AVENUE

MINNEAPOLIS, MN 55416

(20654)

PHONE:

612/925-7200

FAX: 612/225-1190

EMILY NYBERG

JORGENSEN HOUSE

NProf

SLFA-6

3444 GIRARD AVENUE SOUTH

MINNEAPOLIS, MN 55408

(01535)

PHONE:

612/353-5580

FAX: 612/353-5481

JESSE MILLARD-DERRELL

JOY LIVING INC

Corp

TCOMP

2530 WASHINGTON STREET NE

MINNEAPOLIS, MN 55418

(35278)

PHONE:

612/607-9109

FAX: 888/919-4923

ABDIRIZAK ISSE

KIDS FIRST HOME CARE INC

Corp

COMP

133 WEST LAKE STREET STE C

MINNEAPOLIS, MN 55408

(33993)

PHONE:

612/886-3151

FAX: /-

FADUMA FARAH

KINDHEART HOMES INC

Corp

HWSAL-O

4401 NEWTON AVENUE NORTH

MINNEAPOLIS, MN 55412

(35597)

PHONE:

612/412-6639

FAX: 952/510-5493

ABDIRAHMAN UGAS

KUBRA HOME CARE INC

Corp

COMP HCBS

2435 15TH AVENUE SOUTH

MINNEAPOLIS, MN 55404

(32703)

PHONE:

612/224-4343

FAX: 612/345-4512

KUBRA KAWSAR JAMA

KUBRA HOME CARE INC

Corp

HWSAL-O

2435 15TH AVENUE SOUTH

MINNEAPOLIS, MN 55404

(33122)

PHONE:

612/224-4343

FAX: 612/345-4512

KAWSAR JAMA

Minnesota Department of Health

Health Regulation Division

Page

244

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

HENNEPIN

(Cont.)* --------------------------

KUBRA HOME CARE INC

Corp

HWSAL-O

2437 15TH AVENUE SOUTH

MINNEAPOLIS, MN 55404

(33123)

PHONE:

612/224-4343

FAX: 612/345-4512

KAWSAR JAMA

HWS-O

LIBERTY FOSTER HOME CARE LLC

Lim-Liab

3408 SNELLING AVENUE SOUTH

MINNEAPOLIS, MN 55406

(35929)

PHONE:

612/562-3040

FAX: /-

SAID FARAH

HWS

LIFE INSPIRED

Lim-Liab

2727 13TH AVENUE SOUTH

MINNEAPOLIS, MN 55407

(35122)

PHONE:

612/607-3685

FAX: /-

DEEKO HASSAN

Lim-Liab

COMP HCBS

LINK UP HOME HEALTHCARE

5045 WASHBURN AVENUE NORTH

MINNEAPOLIS, MN 55430

(32375)

PHONE:

612/568-5880

FAX: 763/308-3077

KIWANA ALLBRITTON

HWS

LINK UP HOME HEALTHCARE

Lim-Liab

5045 WASHBURN AVENUE NORTH

MINNEAPOLIS, MN 55430

(34814)

PHONE:

612/568-5880

FAX: 763/308-3077

VP OF KIWANA ALLBRITTON

LIVING CHALLENGE

Corp

SLFA-6

701 EAST 57TH STREET

MINNEAPOLIS, MN 55417

(01527)

PHONE:

952/922-8466

FAX: 952/922-8463

MIDE DEMEHIN

HWSAL

LOREN ON PARK

NProf

2625 PARK AVENUE

MINNEAPOLIS, MN 55407

(28125)

PHONE:

612/871-4574

FAX: 612/767-2927

ERIN HILLIGAN

LOVING TOUCH INC

Corp

TCOMP

1109 EAST 22ND STREET SOUTH

MINNEAPOLIS, MN 55404

(35324)

PHONE:

612/598-3868

FAX: /-

FADUMO ALI

HWS-O

LOWRY TOWERS

NProf

315 LOWRY AVENUE NORTH

MINNEAPOLIS, MN 55411

(31975)

PHONE:

612/843-3340

FAX: 763/208-7885

MICHELLE WINCELL O'LEARY

HRA

HWSAL-O

LYNDALE MANOR

600 18TH AVENUE NORTH

MINNEAPOLIS, MN 55411

(21515)

PHONE:

612/344-2292

FAX: 612/302-7090

MARY BOLER

Minnesota Department of Health

Health Regulation Division

Page

245

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

M.I.L.S. HOME HEALTH CARE AGENCY, INC.

2520 BROADWAY STREET NE #205

MINNEAPOLIS, MN 55413

PHONE:

612/379-4027

MAGNOLIA HOME HEALTHCARE LLC

951 NE LOWRY AVENUE #314

MINNEAPOLIS, MN 55418

PHONE:

612/267-2005

MAMAE CARE INC

2530 EAST 34TH STREET #205

MINNEAPOLIS, MN 55406

PHONE:

570/357-8287

MERCY LINK, LLC

3149 COLUMBUS AVENUE SOUTH

MINNEAPOLIS, MN 55407

PHONE:

952/222-5477

MERRCY CARE HOME LLC

1109 EAST 21ST

MINNEAPOLIS, MN 55404

PHONE:

408/752-6535

METROPOLITAN SINCERITY HOMECARE

2748 CHICAGO AVENUE SOUTH

MINNEAPOLIS, MN 55407

PHONE:

612/407-0378

METROPOLITAN SINCERITY HOMECARE LLC

2748 CHICAGO AVENUE SOUTH

MINNEAPOLIS, MN 55407

PHONE:

612/407-0378

MIDWEST GROUP HOME LLC

1132 SOUTH 8TH STREET #211

MINNEAPOLIS, MN 55404

PHONE:

612/532-3780

MIDWEST GROUP LIVING INC

3552 1ST AVENUE SOUTH

MINNEAPOLIS, MN 55408

PHONE:

952/457-8882

MIDWEST GROUP LIVING INC

3552 1ST AVENUE SOUTH

MINNEAPOLIS, MN 55408

PHONE:

952/457-3802

Corp

(02993)

FAX: 612/379-3489

Lim-Liab

(34845)

FAX: /-

Corp

(35614)

FAX: /-

Lim-Liab

(34232)

FAX: 612/260-2282

Lim-Liab

(35809)

FAX: /-

Lim-Liab

(34189)

FAX: /-

Lim-Liab

(34883)

FAX: 612/465-5636

Lim-Liab

(35578)

FAX: /-

Corp

(34672)

FAX: /-

Corp

(33843)

FAX: 612/454-2629

Certification

HENNEPIN

(Cont.)*

COMP HHA

NICOLE HANSEN

TCOMP

NASRO FARAH

TCOMP

AYAN AHMED

OWNER ABDURAHMAN JAMA

TCOMP

BURHAN DAYNAB

COMP HCBS

HILAL OMAR

ABDIWELI SHURIYE

TCOMP

ABDI HASSEN

COMP

HESEN SHIRE

Registration

--------------------------

HWSAL-O

HWS-O

Minnesota Department of Health

Health Regulation Division

Page

246

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

MIDWEST HOMES, INC

Corp

2445 10TH AVENUE SOUTH

MINNEAPOLIS, MN 55404

(33266)

PHONE:

612/865-1874

FAX: 612/353-6508

MIDWEST HOMES, INC.

Corp

2445 10TH AVENUE SOUTH

MINNEAPOLIS, MN 55404

(35007)

PHONE:

612/701-5965

FAX: 612/206-8101

MIDWEST PROFESSIONAL SERVICES, INC.

Corp

1300 GODWARD STREET NE #6650

MINNEAPOLIS, MN 55413

(24359)

PHONE:

612/353-4669

FAX: 612/354-2403

MILLENNIUM HEALTH CARE LLC

Lim-Liab

2400 ELLIOT AVENUE #416

MINNEAPOLIS, MN 55404

(36022)

PHONE:

612/458-8070

FAX: 763/219-4407

MILLER'S LANDING

Lim-Liab

155 5TH AVENUE SOUTH

MINNEAPOLIS, MN 55401

(34712)

PHONE:

952/214-4255

FAX: /-

MILLERS LANDING

Lim-Liab

155 5TH AVENUE SOUTH

MINNEAPOLIS, MN 55401

(34475)

PHONE:

612/338-5418

FAX: /-

MINNEAPOLIS DIALYSIS UNIT

Corp

825 SOUTH 8TH STREET STE SL42

MINNEAPOLIS, MN 55404

(02100)

PHONE:

612/347-5972

FAX: 612/347-5876

MINNEAPOLIS NE DIALYSIS

Corp

1049 10TH AVENUE SE

MINNEAPOLIS, MN 55414

(21690)

PHONE:

253/272-1916

FAX: /-

MINNEAPOLIS UPTOWN DIALYSIS

Corp

3601 LYNDALE AVENUE SOUTH

MINNEAPOLIS, MN 55409

(25314)

PHONE:

612/825-4583

FAX: 612/825-4651

MINNEHAHA COMMONS

NProf

3001 EAST LAKE STREET

MINNEAPOLIS, MN 55406

(35225)

PHONE:

612/874-6409

FAX: 612/874-0157

Certification

HENNEPIN

(Cont.)*

COMP

MUSTAFA SAID

REGINA STEPNEY

COMP HHA

PAMELA ROCKLAGE

TCOMP

AHMED HERSI

LYLA ERWIN

COMP

Registration

--------------------------

HWS-O

HWSAL

BRETT INGERSOLL

ESRD

ROBIN THOMAS

ESRD

TENISHA NEUMAN

ESRD

GREGORY CHATMAN

HWS

ELLIE SKELTON

Minnesota Department of Health

Health Regulation Division

Page

247

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

MINNEHAHA SENIOR LIVING

Lim-Liab

3733 23RD AVENUE SOUTH

MINNEAPOLIS, MN 55407

(27808)

PHONE:

612/238-0010

FAX: 612/238-2797

MINNEHAHA SENIOR LIVING

Lim-Liab

3733 23RD AVENUE SOUTH

MINNEAPOLIS, MN 55407

(30780)

PHONE:

612/238-0010

FAX: 612/238-2797

MINNESOTA BIRTH CENTER

Corp

2606 CHICAGO AVENUE SOUTH

MINNEAPOLIS, MN 55407

(28380)

PHONE:

612/545-5311

FAX: 612/224-9622

MINNESOTA CARE COUNSELING SERVICES INC.

Corp

2401 CLINTON AVENUE SOUTH #206

MINNEAPOLIS, MN 55404

(35024)

PHONE:

612/353-4191

FAX: 612/353-4647

MINNESOTA TEEN CHALLENGE

NProf

1507 LOWRY AVENUE NE

MINNEAPOLIS, MN 55418

(00272)

PHONE:

612/373-3366

FAX: 612/333-4111

MINNESOTA VETERANS HOME - MINNEAPOLIS

State

5101 MINNEHAHA AVENUE SOUTH

MINNEAPOLIS, MN 55417

(00233)

PHONE:

651/539-2401

FAX: 651/437-2203

MISSION HILL GROUP HOME SERVICES LLC

Lim-Liab

2722 NORTH 4TH STREET

MINNEAPOLIS, MN 55411

(34758)

PHONE:

612/517-4570

FAX: /-

MISSION HILL GROUP HOME SRVCS LLC

Lim-Liab

2722 NORTH 4TH STREET

MINNEAPOLIS, MN 55411

(33318)

PHONE:

612/517-4570

FAX: /-

MN CARE ACCESS LLC

Lim-Liab

912 EAST 24TH STREET #B208

MINNEAPOLIS, MN 55404

(35847)

PHONE:

612/636-8986

FAX: /-

MN GROUP HOME LLC

Lim-Liab

409 CEDAR AVENUE SOUTH

MINNEAPOLIS, MN 55454

(34961)

PHONE:

612/998-1285

FAX: /-

Certification

HENNEPIN

(Cont.)*

COMP

REGAN GRIMM

B/C

CLAUDIA JENNINGS

HUSSEIN MOHAMED

BCH-53

ERIC VAGLE

Registration

--------------------------

HWSAL

HWS-O

NH-341 BCH-50 SNF-NF-300

MICHAEL RH ANDERSON

HWSAL-O

HIBA HASHI

COMP

HIBA HASHI

TCOMP HCBS

KASSIM ABDILLE

TCOMP

IDIL MOHOMED

Minnesota Department of Health

Health Regulation Division

Page

248

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

MOORE BOARD AND CARE LLC

Lim-Liab

3552 CLINTON AVENUE SOUTH

MINNEAPOLIS, MN 55408

(21618)

PHONE:

612/827-4383

FAX: 612/822-1758

MOORE BOARD AND CARE LLC

Lim-Liab

3552 CLINTON AVENUE SOUTH

MINNEAPOLIS, MN 55408

(30773)

PHONE:

612/226-5501

FAX: 612/822-1758

MOORE BOARD AND CARE, INC.

Lim-Liab

3552 CLINTON AVENUE SOUTH

MINNEAPOLIS, MN 55408

(21618)

PHONE:

612/827-4383

FAX: 612/822-1758

MORNING STAR HEALTH CARE SERVICES

Lim-Liab

6400 GEORGIA AVENUE NORTH

MINNEAPOLIS, MN 55428

(35875)

PHONE:

651/209-2950

FAX: 651/917-2013

MOUNT OLIVET CAREVIEW HOME

NProf

5517 LYNDALE AVENUE SOUTH

MINNEAPOLIS, MN 55419

(00178)

PHONE:

612/827-5677

FAX: 612/821-3241

MOUNT OLIVET HOME

Church

5517 LYNDALE AVENUE SOUTH

MINNEAPOLIS, MN 55419

(00236)

PHONE:

612/827-5677

FAX: 612/821-3241

MVNA

Cnty

2000 SUMMER STREET NE

MINNEAPOLIS, MN 55413

(02037)

PHONE:

612/617-4600

FAX: 612/617-4782

N & V HELPFUL HEART CARE

Corp

3342 LYNDALE AVENUE NORTH

MINNEAPOLIS, MN 55412

(32171)

PHONE:

763/442-0460

FAX: 206/666-2482

NASIYE GROUP HOME CORP

Corp

3913 4TH AVENUE SOUTH

MINNEAPOLIS, MN 55409

(35199)

PHONE:

612/205-9142

FAX: /-

NASIYE GROUP HOME CORP

Corp

3913 4TH AVENUE SOUTH

MINNEAPOLIS, MN 55409

(35662)

PHONE:

612/205-9142

FAX: /-

Certification

Registration

HENNEPIN

(Cont.)* --------------------------

COMP

ZAHNIA HARUT

TARIN RUSSELL

COMP

ZAHNIA HARUT

LAWRENCE UBANI

NH-155

TIMOTHY HOKANSON

BCH-92

TIMOTHY HOKANSON

COMP

JULIA ENDRES SPRAY

SNF-NF-155

NF2-92

HHA

VERA DIXON

TCOMP

ASHA AHMED

MARIYAN JAMA

HWS

HWSAL

HWSAL-O

Minnesota Department of Health

Health Regulation Division

Page

249

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

NEST CARE INC

1 WEST LAKE STREET #165 5

MINNEAPOLIS, MN 55408

PHONE:

612/232-7526

NEW DIRECTION RESIDENTIAL SERVICES

3457 FREMONT AVENUE NORTH

MINNEAPOLIS, MN 55412

PHONE:

763/313-6607

NINE MILE CREEK SENIOR LIVING

2722 PARK AVENUE SOUTH

MINNEAPOLIS, MN 55407

PHONE:

612/874-3460

NOAH ASSISTING LIVING INC

5100 XERXES AVENUE NORTH

MINNEAPOLIS, MN 55430

PHONE:

952/649-0662

NOAH ASSISTING LIVING INC

5100 XERXES AVENUE NORTH

MINNEAPOLIS, MN 55430

PHONE:

952/649-0662

NOBLE HOME CARE SERVICES, LLC

8100 WAYZATA BLVD

MINNEAPOLIS, MN 55426

PHONE:

612/245-9687

NTINGALE IN-HOUSE SKILLED NURSE LLC

416 31ST AVENUE NORTH

MINNEAPOLIS, MN 55411

PHONE:

651/734-8905

NURTURING HOMES LLC

3949 44TH AVENUE SOUTH

MINNEAPOLIS, MN 55406

PHONE:

612/226-6134

OAK GROVE CARE CENTER INC

1822 PARK AVENUE OFFICE LOWER

MINNEAPOLIS, MN 55404

PHONE:

612/871-5800

OLIVE HEALTHCARE LLC

5238 FREMONT AVENUE NORTH

MINNEAPOLIS, MN 55430

PHONE:

612/886-6206

Corp

(35582)

FAX: /-

Corp

(34543)

FAX: /-

Corp

(27108)

FAX: 612/874-3465

Corp

(35280)

FAX: /-

Corp

(35867)

FAX: /-

Lim-Liab

(31948)

FAX: 763/710-5505

Lim-Liab

(32811)

FAX: 736/333-1577

Lim-Liab

(34959)

FAX: /-

Corp

(25518)

FAX: 612/872-6815

Lim-Liab

(33409)

FAX: 612/324-7402

Certification

HENNEPIN

(Cont.)*

TCOMP

ABDULLAHI OMAR

TCOMP

TRENA ALLBRITTON

COMP

ERIN HILLIGAN

TCOMP

DAHRAN HASHI

COMP

TRUPHENA MOGAKA

COMP

OMAR SULTHAN

TCOMP

HOTHAN MUKTAR

COMP

SARA WILLIAMS

COMP

OLUSOLA AGUNBIADE

Registration

--------------------------

HWSAL-O

Minnesota Department of Health

Health Regulation Division

Page

250

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

OLIVE HEALTHCARE LLC

5238 FREEMONT AVENUE NORTH

MINNEAPOLIS, MN 55430

PHONE:

612/886-6206

OLU'S HOME INC STEVENS

4552 STEVENS AVENUE SOUTH

MINNEAPOLIS, MN 55419

PHONE:

612/824-1142

OLU'S HOME, INC.

1315 12TH AVENUE NORTH

MINNEAPOLIS, MN 55411

PHONE:

612/824-1142

OPEN HEART LLC

1024 34TH AVENUE NORTH

MINNEAPOLIS, MN 55412

PHONE:

612/978-1757

PARADISE CARE HOMES LLC

2501 EAST 24TH STREET

MINNEAPOLIS, MN 55406

PHONE:

612/859-6065

PARADISE CARE HOMES LLC

4031 2ND AVENUE SOUTH

MINNEAPOLIS, MN 55409

PHONE:

612/859-6055

PARK AVENUE APARTMENTS

2418 PARK AVENUE

MINNEAPOLIS, MN 55404

PHONE:

612/879-5358

PARK AVENUE DIALYSIS CENTER

2637 PARK AVENUE

MINNEAPOLIS, MN 55407

PHONE:

612/872-1946

PARKER SKYVIEW

1815 CENTRAL AVENUE NE

MINNEAPOLIS, MN 55418

PHONE:

612/342-2266

PARKVIEW MANOR

2200 PARK AVENUE SOUTH

MINNEAPOLIS, MN 55404

PHONE:

612/702-7412

Lim-Liab

(33937)

FAX: 612/324-7402

Corp

(35630)

FAX: 612/824-1456

Corp

(28291)

FAX: 612/824-1456

Lim-Liab

(35704)

FAX: /-

Lim-Liab

(35484)

FAX: 612/465-5574

Lim-Liab

(35483)

FAX: 952/479-9540

ONProf

(26531)

FAX: 612/871-0354

Corp

(02409)

FAX: 612/872-4373

HRA

(21761)

FAX: 612/781-3495

Corp

(32369)

FAX: 763/432-6694

Certification

Registration

HENNEPIN

(Cont.)* --------------------------

HWSAL

OLUSOLA AGUNBIADE

HWSAL

ELIZABETH HIATT

COMP

ELIZABETH HIATT

TCOMP

ABDIRIZAK OSMAN

HWSAL-O

FADUMA HASHI

HWSAL-O

FADUMA HASHI

HWS-O

JAIME STAMPLEY

ESRD

DANIELLE MEULENERS

HWSAL-O

MARY BOLER

HWSAL-O

HELEN OSONOWO

Minnesota Department of Health

Health Regulation Division

Page

251

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

PARKVIEW MANOR INC

Corp

2200 PARK AVENUE SOUTH

MINNEAPOLIS, MN 55404

(32344)

PHONE:

612/702-7412

FAX: 763/432-6694

PEOPLE II

NProf

1380 WEST MINNEHAHA PARKWAY

MINNEAPOLIS, MN 55419

(01556)

PHONE:

651/774-0011

FAX: 651/454-5000

PEOPLE INCORPORATED DSL

NProf

726 NE 2ND STREET

MINNEAPOLIS, MN 55413

(30393)

PHONE:

612/260-6391

FAX: 612/331-3587

PEOPLE INCORPORATED GIRARD

NProf

1315 GIRARD AVENUE NORTH

MINNEAPOLIS, MN 55411

(33160)

PHONE:

612/230-6990

FAX: 651/229-5402

PINNACLE HOME CARE

Corp

724 CENTRAL AVENUE NE

MINNEAPOLIS, MN 55414

(32340)

PHONE:

612/977-3111

FAX: 612/977-3960

PINNACLE SERVICES - JACKSON SQUARE

Corp

2902 POLK STREET NE

MINNEAPOLIS, MN 55418

(26848)

PHONE:

612/208-1369

FAX: 612/977-3960

PINNACLE SERVICES INC

Corp

724 CENTRAL AVENUE NE

MINNEAPOLIS, MN 55414

(24508)

PHONE:

612/977-3100

FAX: 612/977-3960

POINT-ONE HOME HEALTH LLC

Lim-Liab

1433 EAST FRANKLIN AVENUE #5A

MINNEAPOLIS, MN 55404

(35507)

PHONE:

612/366-9300

FAX: 612/465-4880

PPL GREENLEAF, LLC

NProf

3546 FREMONT AVENUE NORTH #1

MINNEAPOLIS, MN 55411

(34184)

PHONE:

612/843-3340

FAX: 763/208-7885

PPL IRVING COMMONS, LLC

NProf

3601 FREMONT AVENUE NORTH

MINNEAPOLIS, MN 55412

(29486)

PHONE:

612/843-3340

FAX: 763/208-7885

Certification

Registration

HENNEPIN

(Cont.)* --------------------------

COMP

HELEN OSONOWO

SLFA-6 ICFIID-6

JILL WIEDEMANN WEST

COMP

JILL CIHLAR

COMP

JILL CIHLAR

TCOMP

MOHAMED HASSAN

MICHELLE WINCELL O'LEARY

HWS-O

Minnesota Department of Health

Health Regulation Division

Page

252

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

HENNEPIN

(Cont.)* --------------------------

PREVENTIVE DIAGNOSTICS INC

Corp

XRAY

6300 SHINGLE CREEK PARKWAY

MINNEAPOLIS, MN 554302124

(34284)

PHONE:

718/388-3300

FAX: /-

MARK TAUBER

PROSPER HOME HEALTH AND TRANSPORTATION

Lim-Liab

TCOMP

SERVICES LLC

911 22ND AVENUE SOUTH #259

MINNEAPOLIS, MN 55404

(34566)

FAX: /-

PHONE:

858/877-0066

IFRAH ALI

PROVIDENCE PLACE

NProf

NH-190 SNF-NF-190

3720 23RD AVENUE SOUTH

MINNEAPOLIS, MN 55407

(00096)

PHONE:

612/238-2566

FAX: 612/724-9884 TYLER DONAHUE

QUALITY HOME CARE INC

Corp

TCOMP

2704 14TH AVENUE SOUTH

MINNEAPOLIS, MN 55407

(35332)

PHONE:

612/426-9982

FAX: /-

AYUB ALI

QUALITY HOME CARE INC

Corp

Home Mgmt

2704 14TH AVENUE SOUTH

MINNEAPOLIS, MN 55407

(35333)

PHONE:

612/426-9982

FAX: 612/354-3684

AYUB ALI

QUALITY HOME CARE, INC.

Corp

HWSAL

2704 14TH AVENUE SOUTH

MINNEAPOLIS, MN 55407

(35961)

PHONE:

612/426-9982

FAX: 612/354-3684

AYUB ALI

RAKHMA INC.

NProf

COMP

4953 ALDRICH AVENUE SOUTH

MINNEAPOLIS, MN 55419

(20103)

PHONE:

612/824-2345

FAX: 612/824-3165

RAKHMA BRANDON SPEARS

RAKHMA PEACE HOME

NProf

COMP

4953 ALDRICH AVENUE SOUTH

MINNEAPOLIS, MN 55419

(20103)

PHONE:

612/824-2345

FAX: 612/824-3165

RAKHMA BRANDON SPEARS

RAKHMA PEACE HOME

NProf

HWSAL

4953 ALDRICH AVENUE SOUTH

MINNEAPOLIS, MN 55419

(30414)

PHONE:

612/824-2345

FAX: 612/824-3165

BRANDON SPEARS

REDEEMER RESIDENCE, INC.

Church

NH-135 SNF-NF-135

625 WEST 31ST STREET

MINNEAPOLIS, MN 55408

(00160)

PHONE:

612/827-2555

FAX: 612/827-0450

DAN COLGAN

Minnesota Department of Health

Health Regulation Division

Page

253

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

REDESIGN LIFESTYLE CARE LLC

Lim-Liab

1112 EAST LAKE STREET STE F

MINNEAPOLIS, MN 55407

(35034)

PHONE:

612/963-2576

FAX: /-

REDESIGN LIFESTYLE CARE LLC

Lim-Liab

1527 MORGAN AVENUE NORTH

MINNEAPOLIS, MN 55411

(36065)

PHONE:

612/963-2576

FAX: /-

REENTRY HOUSE

Corp

5812 LYNDALE AVENUE SOUTH

MINNEAPOLIS, MN 55419

(01470)

PHONE:

612/869-2411

FAX: 612/869-0313

REENTRY HOUSE CRISIS STABILIZATION PROGRAM

Corp

1800 CHICAGO AVENUE SOUTH

MINNEAPOLIS, MN 55404

(33693)

PHONE:

612/540-5703

FAX: 612/540-5701

REM HENNEPIN (PILLSBURY)

Corp

2311 PILLSBURY AVENUE SOUTH

MINNEAPOLIS, MN 55404

(01029)

PHONE:

952/922-6776

FAX: 952/922-6885

REM HENNEPIN, INC. (QUEEN)

Corp

614 QUEEN AVENUE SOUTH

MINNEAPOLIS, MN 55405

(01130)

PHONE:

952/922-6776

FAX: 952/922-6885

RESIDENT SERVICES INC

Corp

1530 SOUTH 6TH STREET STE 2101

MINNEAPOLIS, MN 55454

(35505)

PHONE:

612/501-6165

FAX: /-

RESTART INC 8TH

NProf

614 8TH STREET SE

MINNEAPOLIS, MN 55414

(25373)

PHONE:

612/379-9409

FAX: 612/331-9175

RESTART INC ELLIOT

NProf

4317 ELLIOT AVENUE SOUTH

MINNEAPOLIS, MN 55407

(25370)

PHONE:

612/822-3506

FAX: 612/824-2719

RESTART INC KATHY'S PLACE

NProf

4525 ALDRICH AVENUE SOUTH

MINNEAPOLIS, MN 55419

(25372)

PHONE:

612/822-5372

FAX: 612/827-4967

Certification

Registration

HENNEPIN

(Cont.)* --------------------------

TCOMP

HAMDI MOHAMED

HAMDI ALI MOHAMED

SLFA-16

TERRY SCHNEIDER

SLFA-16

LISA COOPER

SLFA-9 ICFIID-9

KRISTINE WAINRIGHT-TADYCH

SLFB-6 ICFIID-6

KRISTINE WAINRIGHT-TADYCH

TCOMP

ABDIHAKEEM ADAM

STEVE PIEKARSKI

HWSAL-O

HWS-O

Minnesota Department of Health

Health Regulation Division

Page

254

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

HENNEPIN

(Cont.)* --------------------------

RESTART INC MINNEHAHA

4654 MINNEHAHA AVENUE SOUTH

MINNEAPOLIS, MN 55406

PHONE:

612/729-1460

NProf

(25371)

FAX: 612/729-5059

STEVE PIEKARSKI

HWS-O

REVIVE CARE SERVICES INC

Corp

HWSAL-O

5111 IRVING AVENUE NORTH

MINNEAPOLIS, MN 55430

(35991)

PHONE:

763/310-4079

FAX: /-

WARSAME ALI WARSAME

COMP

RIGHT AT HOME

Lim-Liab

1304 UNIVERSITY AVENUE NE #303

MINNEAPOLIS, MN 55413

(26963)

PHONE:

612/235-4130

FAX: 612/392-0023

LYDIA JARMULOWICZ

NProf

HWSAL-O

RISING CEDAR APARTMENTS

2308 SNELLING AVENUE

MINNEAPOLIS, MN 55404

(29434)

PHONE:

612/314-1000

FAX: 612/870-6136

MICHELLE WINCELL O'LEARY

HWSAL

RIVERVILLAGE EAST

NProf

2919 RANDOLPH STREET NE

MINNEAPOLIS, MN 55418

(23147)

PHONE:

612/605-2500

FAX: 612/605-2504

JANET CARLSON

RIVERVILLAGE NORTH

NProf

HWS

2921 RANDOLPH STREET NE

MINNEAPOLIS, MN 55418

(23036)

PHONE:

612/605-2501

FAX: 612/605-2502

JANET CARLSON

ROOTS COMMUNITY BIRTH CENTER

Lim-Liab

B/C

1901 44TH AVENUE NORTH

MINNEAPOLIS, MN 55412

(32087)

PHONE:

612/338-2784

FAX: 651/383-4135

REBECCA POLSTON

S & H HEALTH CARE SERVICES LLC

Lim-Liab

TCOMP

912 EAST 24TH STREET #A143

MINNEAPOLIS, MN 55404

(35667)

PHONE:

612/227-9178

FAX: /-

HABON UGAAS

TCOMP

SADIS RESIDENTIAL CARE CENTER

Lim-Liab

2900 PARK AVENUE SOUTH #3

MINNEAPOLIS, MN 55407

(35620)

PHONE:

612/239-0059

FAX: 651/634-1429

SABIRINA DAUID

SAFA GROUP HOME LLC

Lim-Liab

HWSAL-O

3350 STEVENS AVENUE SOUTH

MINNEAPOLIS, MN 55408

(35707)

PHONE:

763/218-0389

FAX: /-

MUBARIK HASSAN

Minnesota Department of Health

Health Regulation Division

Page

255

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

SAFA GROUP HOME, LLC

Lim-Liab

3350 STEVENS AVENUE SOUTH

MINNEAPOLIS, MN 55408

(35182)

PHONE:

763/318-0389

FAX: /-

SAFE & COMPASSIONATE HOME CARE SERVICES INC

Ind

1819 SOUTH 6TH STREET

MINNEAPOLIS, MN 55454

PHONE:

612/242-7344

SAFE CARE HOMES INC

2910 PILLSBURY AVENUE S #352

MINNEAPOLIS, MN 55408

PHONE:

612/991-4004

SANCTUARY ST CLOUD OPERATIONS LLC

2722 PARK AVENUE

MINNEAPOLIS, MN 55407

PHONE:

612/874-3460

SERENITY GROUP HOMES LLC

3234 DUPONT AVENUE NORTH

MINNEAPOLIS, MN 55412

PHONE:

612/345-4667

SERENITY GROUP HOMES LLC

3234 DUPONT AVENUE NORTH

MINNEAPOLIS, MN 55412

PHONE:

612/345-4667

SERENITY HEALTH CARE SERVICES

1201 37TH AVENUE NORTH

MINNEAPOLIS, MN 55412

PHONE:

612/224-9992

SERENITY PLACE

2409 1ST AVENUE SOUTH

MINNEAPOLIS, MN 55404

PHONE:

651/209-8490

SHABA HEALTH SERVICES CORP

617 CEDAR AVENUE SOUTH STE A

MINNEAPOLIS, MN 55454

PHONE:

612/867-9699

SHAMAANI HOME HEALTH CARE INC

2531 MARSHALL STREET NE UNIT C

MINNEAPOLIS, MN 55418

PHONE:

571/265-1218

(35220)

FAX: 651/917-0691

Corp

(35617)

FAX: /-

Lim-Liab

(33015)

FAX: 612/874-3465

Lim-Liab

(34611)

FAX: 612/259-8003

Lim-Liab

(35193)

FAX: 612/259-8003

Corp

(26946)

FAX: 612/224-9984

Lim-Liab

(24075)

FAX: 651/209-8490

Corp

(28120)

FAX: 612/354-7152

Corp

(34094)

FAX: /-

Certification

HENNEPIN

(Cont.)*

TCOMP

MUBARIK HASSAN

KHADIJA ALI

TCOMP

SOLEIMAN DUQOW

COMP

ERIN HILLIGAN

TCOMP

MUSTAFA FARAH

COMP HHA

TAHA ABDUREHMAN

JOE CUOCO

COMP

ABDULLAHI SHABA

TBASIC HCBS

SAIDO HUSSEIN

Registration

--------------------------

HWSAL

HWS-O

Minnesota Department of Health

Health Regulation Division

Page

256

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

SHAMAANI HOME HEALTH INC

Corp

2531 MARSHALL STREET NE STE C

MINNEAPOLIS, MN 55418

(34092)

PHONE:

571/265-1218

FAX: /-

SHIRE'S GROUP HOME INC SERVICE CORPORATION

Corp

3909 4TH AVENUE SOUTH

MINNEAPOLIS, MN 55409

(34999)

PHONE:

612/298-4954

FAX: /-

SHIRES GROUP HOME INC SERVICE CORP

Corp

3909 4TH AVENUE SOUTH

MINNEAPOLIS, MN 55409

(34999)

PHONE:

612/298-4954

FAX: /-

SHIRES GROUP HOME INC SERVICE CORP

Corp

3909 4TH AVENUE SOUTH

MINNEAPOLIS, MN 55409

(35130)

PHONE:

612/298-4754

FAX: /-

SIDE BY SIDE HOME CARE SERVICE INC

Corp

2824 13TH AVENUE SOUTH

MINNEAPOLIS, MN 55407

(35163)

PHONE:

612/772-7213

FAX: 612/351-3963

SIGNE BURCKHARDT MANOR

HRA

2533 1ST AVENUE SOUTH

MINNEAPOLIS, MN 55404

(20278)

PHONE:

612/821-2191

FAX: 612/872-4472

SOUTHSIDE ASSISTED LIVING CORP

Corp

3020 12TH AVENUE SOUTH

MINNEAPOLIS, MN 55407

(35685)

PHONE:

507/351-4212

FAX: /-

SOUTHSIDE CARE CENTER

Lim-Liab

2644 ALDRICH AVENUE SOUTH

MINNEAPOLIS, MN 55408

(00780)

PHONE:

612/872-4233

FAX: 612/872-0005

ST JUDE HOME HEALTH LLC

Lim-Liab

4124 QUEBEC AVENUE NORTH #302

MINNEAPOLIS, MN 55427

(35767)

PHONE:

612/245-5167

FAX: 952/314-9282

STABLE CARE SERVICES LLC

Lim-Liab

2301 NORTH 2ND STREET

MINNEAPOLIS, MN 55411

(35183)

PHONE:

612/703-7058

FAX: /-

Certification

Registration

HENNEPIN

(Cont.)* --------------------------

SAIDO HUSSEIN

TCOMP

MOHAMED EGAL

TCOMP

MOHAMED EGAL

TCOMP

NASIR NUR

MARY BOLER

TCOMP

ASHA BUSURI

BCH-17

DONALD FLACK

TCOMP

DOROTHY MING'ATE

TCOMP

YUSUF MOHAMED

Home Mgmt

HWS-O

HWSAL

NF2-17

Minnesota Department of Health

Health Regulation Division

Page

257

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

HENNEPIN

(Cont.)* --------------------------

STANTON HOUSE WITH SERVICES

3354 JAMES AVENUE NORTH

MINNEAPOLIS, MN 55412

PHONE:

612/521-9543

Corp

(26409)

FAX: 612/886-1310

COMP

TERRA ROSS

STANTON HOUSE WITH SERVICES INC

Corp

HWSAL-O

3354 JAMES AVENUE NORTH

MINNEAPOLIS, MN 55412

(25977)

PHONE:

612/521-9543

FAX: 612/886-1310

TERRA ROSS

STANTON HOUSE WITH SERVICES INC

Corp

HWSAL-O

4847 BRYANT AVENUE NORTH

MINNEAPOLIS, MN 55430

(32730)

PHONE:

612/521-9543

FAX: 612/886-1310

TERRA ROSS

STANTON HOUSE WITH SERVICES INC

Corp

HWSAL

5124 BRYANT AVENUE NORTH

MINNEAPOLIS, MN 55430

(34610)

PHONE:

612/521-9543

FAX: 612/886-1310

TERRA ROSS

HWSAL-O

STAR CARE HEALTH SERVICES LLC

Lim-Liab

1729 15TH AVENUE SOUTH #1

MINNEAPOLIS, MN 55404

(35382)

PHONE:

612/298-9120

FAX: /-

ABDISALAN ABDIRAHMAN

STAR GROUP HOME INC

Corp

TCOMP

2340 EAST 32ND STREET #326

MINNEAPOLIS, MN 55406

(35871)

PHONE:

612/644-7390

FAX: 612/661-1434

AFRAH ABDULLAHI

TCOMP

STARCARE HEALTH SERVICES LLC

Lim-Liab

3966 MINNEHAHA AVENUE S STE C

MINNEAPOLIS, MN 55406

(35204)

PHONE:

612/298-9120

FAX: /-

ABDISALAN ABDIRAHMAR

SU CASA HOME CARE

Corp

COMP

3427 CENTRAL AVENUE NE

MINNEAPOLIS, MN 55418

(26288)

PHONE:

612/788-9757

FAX: 612/789-6564

ANNETTE THORSON

SUMMIT HEALTHCARE INC

Corp

BASIC

3018 EAST LAKE STREET

MINNEAPOLIS, MN 55406

(31170)

PHONE:

612/721-7776

FAX: 612/722-3578

MAXWELL AFORO

SUNLIGHT INC

Corp

HWS-O

3341 EMERSON AVENUE NORTH

MINNEAPOLIS, MN 55412

(36049)

PHONE:

404/618-8472

FAX: /-

RASIYA MUMIN

Minnesota Department of Health

Health Regulation Division

Page

258

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

SUNSHINE GROUP HOME LLC

Lim-Liab

2576 KENZIE TERRACE #101

MINNEAPOLIS, MN 55418

(35856)

PHONE:

612/227-5643

FAX: /-

TAILORED CARE RESIDENCE INC.

Corp

2311 10TH AVENUE SOUTH

MINNEAPOLIS, MN 55404

(35171)

PHONE:

651/447-8965

FAX: /-

TAILORED CARE RESIDENCE INC.

Corp

2311 10TH AVENUE SOUTH

MINNEAPOLIS, MN 55404

(35613)

PHONE:

651/447-8965

FAX: 651/237-4352

TAILORED CARE RESIDENCE INC.

Corp

2311 10TH AVENUE SOUTH

MINNEAPOLIS, MN 55404

(35189)

PHONE:

651/447-8965

FAX: 651/237-8965

TENDER CARE GROUP HOME INC

Corp

2500 MINNEHAHA AVENUE #400

MINNEAPOLIS, MN 55404

(35764)

PHONE:

651/410-8516

FAX: /-

TENDER CARE GROUP HOMES LLC

Lim-Liab

2640 POLK STREET NE

MINNEAPOLIS, MN 55418

(35977)

PHONE:

612/407-1723

FAX: /-

TENDER CARE GROUP HOMES LLC

Lim-Liab

1808 RIVERSIDE AVENUE S #204

MINNEAPOLIS, MN 55454

(35237)

PHONE:

612/314-8363

FAX: 612/314-8363

THE ESTATES AT CHATEAU LLC

Lim-Liab

2106 2ND AVENUE SOUTH

MINNEAPOLIS, MN 55404

(00937)

PHONE:

612/874-1603

FAX: 612/874-0213

THE FAMILY PARTNERSHIP

ONProf

1501 XERXES AVENUE NORTH

MINNEAPOLIS, MN 55411

(28437)

PHONE:

612/341-1622

FAX: 612/339-9150

THE KENWOOD

Lim-Liab

825 SUMMIT AVENUE

MINNEAPOLIS, MN 55403

(30594)

PHONE:

612/374-8100

FAX: 612/377-3600

Certification

Registration

HENNEPIN

(Cont.)* --------------------------

TCOMP

MARWAN SALEM

TCOMP HCBS

ADAN DIRIE

ADAN YUSUF DIRIE

ADAN DIRIE

TCOMP

JAMA BULHAN

SUMAYA AHMED

TCOMP

SUMAYA AHMED

NH-70

KATHRYN TRUCCO

MOLLY GREENMAN

JENNIFER VOLKENANT

HWSAL-O

Home Mgmt

HWSAL-O

SNF-NF-70

Out Pt Out St Out Ot

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

259

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

THE KENWOOD RETIREMENT COMMUNITY

825 SUMMIT AVENUE

MINNEAPOLIS, MN 55403

PHONE:

612/374-8100

THE VILLA AT BRYN MAWR

275 PENN AVENUE NORTH

MINNEAPOLIS, MN 55405

PHONE:

612/377-4723

THE WATERS OF MINNEHAHA

3733 23RD AVENUE SOUTH

MINNEAPOLIS, MN 55407

PHONE:

612/238-0010

THE WATERS ON 50TH

3500 50TH STREET WEST

MINNEAPOLIS, MN 55410

PHONE:

612/200-9552

THIRD AVENUE TOWERS

1707 3RD AVENUE SOUTH

MINNEAPOLIS, MN 55404

PHONE:

612/342-1453

THOMAS T. FEENEY MANOR

901 4TH AVENUE NORTH

MINNEAPOLIS, MN 55405

PHONE:

612/843-4923

TOUCHSTONE MENTAL HEALTH

2312 SNELLING AVENUE

MINNEAPOLIS, MN 55404

PHONE:

612/874-6409

TRUE CARE HOMES

3428 OAKLAND AVENUE

MINNEAPOLIS, MN 55407

PHONE:

612/425-7388

TRUE CARE HOMES

3428 OAKLAND AVENUE

MINNEAPOLIS, MN 55407

PHONE:

612/425-7388

TURNING POINT, INC

2105 GLENWOOD AVENUE NORTH

MINNEAPOLIS, MN 55408

PHONE:

612/520-4004

Lim-Liab

(20341)

FAX: 612/377-3600

Lim-Liab

(00175)

FAX: 612/377-0294

Lim-Liab

(27808)

FAX: 612/238-2797

Lim-Liab

(30282)

FAX: 612/922-9160

HRA

(24487)

FAX: 612/342-1407

HRA

(28487)

FAX: 612/377-3098

NProf

(23337)

FAX: 612/874-0157

Corp

(35133)

FAX: 612/444-8973

Corp

(35173)

FAX: 612/444-8973

ONProf

(34010)

FAX: 612/302-4106

Certification

Registration

HENNEPIN

(Cont.)* --------------------------

COMP

JENNIFER VOLKENANT

NH-120 SNF-NF-120

MADELINE KURVERS

COMP

REGAN GRIMM

HWSAL

KATHERINE TODD

HWSAL-O

MARY BOLER

HWSAL

MARY BOLER

COMP

MICHELLE OLEARY

HWSAL

MARIA QANYARE

TCOMP

MARIA QANYARE

HWS

ELIZABETH REED

Minnesota Department of Health

Health Regulation Division

Page

260

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

TURNING POINT, INC.

NProf

2021 GLENWOOD AVENUE NORTH

MINNEAPOLIS, MN 55409

(34007)

PHONE:

612/520-4004

FAX: 612/520-0047

TURNING POINT, INC.

NProf

1500 GOLDEN VALLEY ROAD

MINNEAPOLIS, MN 55411

(01678)

PHONE:

612/520-9161

FAX: 612/520-0047

TWIN CITIES ASSISTED LIVING

Corp

2814 COLFAX AVENUE NORTH

MINNEAPOLIS, MN 55411

(32070)

PHONE:

612/440-8001

FAX: 541/960-3817

TWIN CITIES ASSISTED LIVING

Corp

3123 JAMES AVENUE NORTH

MINNEAPOLIS, MN 55411

(32188)

PHONE:

612/440-8001

FAX: 541/960-3817

TWIN CITIES ASSISTED LIVING INC

Corp

2814 COLFAX AVENUE NORTH

MINNEAPOLIS, MN 55411

(32014)

PHONE:

612/440-8001

FAX: 541/960-3817

TWIN CITIES ASSISTED LIVING INC

Corp

2818 FREMONT AVENUE NORTH

MINNEAPOLIS, MN 55411

(35235)

PHONE:

612/440-8001

FAX: 541/960-3817

TWIN CITIES GROUP HOMES LLC

Lim-Liab

2740 MINNEHAHA AVENUE S #37

MINNEAPOLIS, MN 55406

(35583)

PHONE:

612/702-0331

FAX: /-

TWINS HOME HEALTH CARE, INC.

Corp

2533 24TH AVENUE SOUTH

MINNEAPOLIS, MN 55406

(27759)

PHONE:

612/465-0408

FAX: 612/414-7739

U OF M HEALTH CLINICS AND SURGERY CENTER, INC

NProf

909 FULTON STREET SE

MINNEAPOLIS, MN 55455

(31197)

PHONE:

612/884-0802

FAX: 612/884-0980

UMMC, FAIRVIEW RENAL DIALYSIS CENTER

NProf

2450 RIVERSIDE AVENUE #2300

MINNEAPOLIS, MN 55455

(02098)

PHONE:

612/365-2300

FAX: 612/365-2101

Certification

Registration

HENNEPIN

(Cont.)* --------------------------

HWS

ELIZABETH REED

SLFA-24

ELIZABETH REED

HWSAL

AMBER KARG

HWSAL

AMBER KARG

COMP

AMBER KARG

HWS

AMBER KARG

TCOMP

ROBIE AHMED

Home Mgmt

ABDIRAHMAN DHUNKAL

Outpt Surg Amb Surg

MARY JOHNSON

ESRD

CAPRICE VANDERKOLK

Minnesota Department of Health

Health Regulation Division

Page

261

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

UNIQUE HOMES

Lim-Liab

4922 NEWTON AVENUE NORTH

MINNEAPOLIS, MN 55430

(35310)

PHONE:

763/222-4909

FAX: /-

UNIQUE HOMES LLC

Lim-Liab

4922 NEWTON AVENUE NORTH

MINNEAPOLIS, MN 55430

(34874)

PHONE:

763/222-4909

FAX: 612/605-6372

UNITED HEALTHCARE LLC

Lim-Liab

2522 CENTRAL AVENUE NE #204

MINNEAPOLIS, MN 55418

(32884)

PHONE:

651/347-5334

FAX: /-

UNITED HEALTHCARE LLC

Lim-Liab

1610 EAST 26TH STREET

MINNEAPOLIS, MN 55404

(34768)

PHONE:

651/347-5334

FAX: 612/465-5598

UNITED SOCIAL SERVICE OF MN LLC

Lim-Liab

3055 OLD HIGHWAY 8 ROOM 101G

MINNEAPOLIS, MN 55418

(34896)

PHONE:

952/381-5927

FAX: /-

UNITY PLACE

Lim-Liab

2611 CENTRAL AVENUE NE

MINNEAPOLIS, MN 55418

(25496)

PHONE:

651/209-8490

FAX: 651/209-8499

UNIVERSAL CARE HOMES LLC

Lim-Liab

3045 CEDAR AVENUE SOUTH

MINNEAPOLIS, MN 55407

(35797)

PHONE:

612/701-7093

FAX: /-

UNIVERSAL CARE HOMES LLC

Lim-Liab

310 EAST 38TH STREET UNIT B

MINNEAPOLIS, MN 55409

(35176)

PHONE:

612/701-7093

FAX: /-

UNIVERSITY OF MINNESOTA MEDICAL CENTER, FAIRVIEW

NProf

2450 RIVERSIDE AVENUE SOUTH

MINNEAPOLIS, MN 55454

(00200)

PHONE:

612/672-6455

FAX: 612/672-6060

UNIVERSITY OF MINNESOTA MEDICAL CENTER,

NProf

FAIRVIEWUNI

2450 RIVERSIDE AVENUE SOUTH

MINNEAPOLIS, MN 55454

(00200)

FAX: 612/672-6060

PHONE:

612/672-6455

Certification

Registration

HENNEPIN

(Cont.)* --------------------------

STEPHEN ZEKPA

TCOMP

STEPHEN ZEKPA

COMP

AMAL ABDALLE

TCOMP

ABDUKADIR NOR

JOE CUOCO

BILLE HASHI

TCOMP

BILLE HASHI

HOSP-1700 BASS-168

LAURA REED

HOSP-1700 BASS-168

LAURA REED

HWSAL

HWSAL-O

HWS-O

HWSAL-O

HOSP-1489 PPS-P-181 PPS-R-30

Minnesota Department of Health

Health Regulation Division

Page

262

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

HENNEPIN

(Cont.)* --------------------------

UPLIFTED CARE SERVICES LLC

Lim-Liab

HWSAL-O

5032 GIRARD AVENUE NORTH

MINNEAPOLIS, MN 55430

(35410)

PHONE:

763/280-3236

FAX: 888/588-3166

WILLIAM AKUMA

UTMOST CARE HEALTH SERVICES, LLC

Lim-Liab

COMP HHA

2501 GRAND STREET NE

MINNEAPOLIS, MN 55418

(25533)

PHONE:

952/486-1491

FAX: 612/782-4100

BLESSING ANYIWE

VETERANS HOME MINNEAPOLIS

State

NH-341 BCH-50 SNF-NF-300

5101 MINNEHAHA AVENUE SOUTH

MINNEAPOLIS, MN 55417

(00233)

PHONE:

651/539-2401

FAX: 651/437-2203

MICHAEL RH ANDERSON

VICTORY HEALTH & REHABILITATION CENTER

Lim-Liab

NH-87 SNF-NF-87

512 49TH AVENUE NORTH

MINNEAPOLIS, MN 55430

(00166)

PHONE:

612/529-7747

FAX: 612/607-5821

DENNIS DECOSTA

WALKER HOME SERVICES

NProf

COMP

3737 BRYANT AVENUE SOUTH

MINNEAPOLIS, MN 55409

(02260)

PHONE:

612/827-8501

FAX: 612/827-8458

ANNELIESE PETERSON

WALKER METHODIST HEALTH CENTER

NProf

NH-290 SNF-NF-290 NF1-0

3737 BRYANT AVENUE SOUTH

MINNEAPOLIS, MN 55409

(00276)

PHONE:

612/827-5931

FAX: 612/827-8458

MERILEE JOHNSON

WALKER METHODIST PLACE

NProf

HWSAL

3701 BRYANT AVENUE SOUTH

MINNEAPOLIS, MN 55409

(20447)

PHONE:

612/827-8500

FAX: 612/827-8535

ANNELIESE PETERSON

WARM TOUCH HOME CARE INC

Corp

TCOMP

929 PORTLAND AVENUE SOUTH #907

MINNEAPOLIS, MN 55404

(35721)

PHONE:

612/386-5778

FAX: /-

IBRAHIM DEMMAJ

WELCOME HOME HEALTH CARE

Corp

COMP

4140 DIGHT AVENUE

MINNEAPOLIS, MN 55406

(22195)

PHONE:

320/247-6051

FAX: 320/587-0053

JACOB WORK

WELLNESS HOMES INC

Corp

HWS-O

1824 15TH AVENUE

MINNEAPOLIS, MN 55404

(33368)

PHONE:

612/701-5965

FAX: 612/353-6508

MUSTAFA SAID

Minnesota Department of Health

Health Regulation Division

Page

263

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

HENNEPIN

---------------------------**********

(Cont.)* --------------------------

WELLNESS HOMES INC.

Corp

HWS-O

4137 CHICAGO AVENUE

MINNEAPOLIS, MN 55407

(32758)

PHONE:

612/701-5965

FAX: 612/353-6508

MUSTAFA SAID

WELLNESS HOMES, INC.

Corp

COMP

4137 CHICAGO AVENUE SOUTH

MINNEAPOLIS, MN 55407

(32390)

PHONE:

612/701-5965

FAX: 612/353-6508

MUSTAFA SAID

WESTVIEW CARE INC

Corp

TCOMP

3201 2ND AVENUE SOUTH

MINNEAPOLIS, MN 55408

(35161)

PHONE:

619/414-8900

FAX: /-

ABAS MOHAMED

WHITTIER PLACE

Lim-Liab

HWS-O

2405 1ST AVENUE SOUTH

MINNEAPOLIS, MN 55404

(30820)

PHONE:

612/872-1926

FAX: 651/209-8499

JOE CUOCO

WILLOW MIDWIVES LTD

Corp

B/C

3033 EXCELSIOR BOULEVARD #585

MINNEAPOLIS, MN 55416

(31316)

PHONE:

612/345-5920

FAX: 612/345-5937

LAUREN HIGMAN

Y M CARE INC

Corp

TCOMP

15 EAST 22ND STREET

MINNEAPOLIS, MN 55404

(35619)

PHONE:

612/208-7711

FAX: /-

MOHAMED ABDI

ZUMBRO HOUSE BOSSEN

Corp

HWS-O

5753 BOSSEN TERRACE

MINNEAPOLIS, MN 55417

(29571)

PHONE:

651/264-1000

FAX: 651/264-1002

CHRISTOPHER ONKEN

ZUMBRO HOUSE BOSSEN 2

Corp

HWS-O

5732 BOSSEN TERRACE

MINNEAPOLIS, MN 55417

(31768)

PHONE:

651/264-1000

FAX: 651/264-1002

CHRISTOPHER ONKEN

ZUMBRO HOUSE SANDER

Corp

HWS-O

5740 SANDER DRIVE

MINNEAPOLIS, MN 55417

(28732)

PHONE:

651/264-1000

FAX: 651/264-1002

CHRISTOPHER ONKEN

ZUMBRO HOUSE SANDER 2

Corp

HWS-O

5753 SANDER DRIVE

MINNEAPOLIS, MN 55417

(28819)

PHONE:

651/264-1000

FAX: 651/264-1002

CHRISTOPHER ONKEN

Minnesota Department of Health

Health Regulation Division

Page

264

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

1800 2ND STREET NE

MINNEAPOLIS, MN 55418

PHONE:

612/789-1236

ASSISTING HANDS OF MINNEAPOLIS

15612 HIGHWAY 7 #210

MINNETONKA, MN 55345

PHONE:

952/955-9880

AUGUSTANA EMERALD CREST MNTONK

13401 LAKE STREET EXTENSION

MINNETONKA, MN 55305

PHONE:

952/698-7530

AUGUSTANA EMERALD CREST OF MINNETONKA

13401 LAKE STREET EXTENSION

MINNETONKA, MN 55305

PHONE:

952/856-7522

AUGUSTANA EMERALD CREST OF MINNETONKA

13409 LAKE STREET EXTENSION

MINNETONKA, MN 55305

PHONE:

952/856-7522

AUGUSTANA EMERALD CREST OF MINNETONKA

13417 LAKE STREET EXTENSION

MINNETONKA, MN 55305

PHONE:

952/856-7522

AVALON MEMORY CARE

910 HORN DRIVE

MINNETONKA, MN 55305

PHONE:

612/578-6695

AVALON MEMORY CARE

910 HORN DRIVE

MINNETONKA, MN 55305

PHONE:

952/800-9909

BEACON HILL

5300 BEACON HILL ROAD

MINNETONKA, MN 55345

PHONE:

952/988-8800

NProf

(02476)

FAX: 612/706-5555

Lim-Liab

(29882)

FAX: 888/483-7250

NProf

(29328)

FAX: 952/933-1157

NProf

(20563)

FAX: 952/933-1157

NProf

(20564)

FAX: 952/933-1157

NProf

(20705)

FAX: 952/933-1157

Lim-Liab

(34118)

FAX: /-

Lim-Liab

(34746)

FAX: /-

NProf

(27950)

FAX: 952/988-8815

Certification

Registration

HENNEPIN

(Cont.)* --------------------------

Out St Out Ot

ERICKA DICKERSON

COMP

KALEB VOLD

COMP

JULIANNE FRIES

HWSAL

JULIANNE FRIES

HWSAL

JULIANNE FRIES

HWSAL

JULIANNE FRIES

COMP

MICHAEL MCCUE

HWSAL

AVALON MICHAEL MCCUE

COMP

NATALIE MORLAND

CAREFREE LIVING OF AMERICA (MINNETONKA), INC.

Lim-Liab

HWSAL

14505 MINNETONKA DRIVE

MINNETONKA, MN 55345

(20107)

PHONE:

952/988-0011

FAX: 952/912-0051

MARK RADMACHER

Minnesota Department of Health

Health Regulation Division

Page

265

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

CHERRYWOOD POINTE OF MINNETONKA

2004 PLYMOUTH ROAD

MINNETONKA, MN 55305

PHONE:

952/525-4555

CHILDREN'S HEALTH CARE SERVICES, INC.

6050 CLEARWATER DRIVE

MINNETONKA, MN 55343

PHONE:

952/930-8600

ELDER HOMESTEAD

11400 4TH STREET NORTH

MINNETONKA, MN 55343

PHONE:

952/283-2600

EPIPHANY CARE HOMES LLC

3704 CARDINAL ROAD

MINNETONKA, MN 55345

PHONE:

952/681-2755

FOX REHABILITATION

500 CARLSON PARKWAY

MINNETONKA, MN 55305

PHONE:

877/407-3422

GENERATION CARE INC

14451 HIGHWAY 7 #213

MINNETONKA, MN 553453740

PHONE:

612/656-9162

GENTLE TOUCH HEALTH INITIATIVES, LLC

5300 WOODHILL ROAD

MINNETONKA, MN 55345

PHONE:

952/345-4403

GIANNA HOMES - SURSUM CORDA

4605 FAIRHILLS ROAD EAST

MINNETONKA, MN 55345

PHONE:

952/988-0953

GIANNA HOMES SURSUM CORDA

4605 FAIRHILLS ROAD EAST

MINNETONKA, MN 55345

PHONE:

952/988-0953

GIANNA HOMES SURSUM CORDA

4605 FAIRHILLS ROAD EAST

MINNETONKA, MN 55345

PHONE:

952/988-0953

Lim-Liab

(33358)

FAX: 952/525-4540

NProf

(01665)

FAX: 952/930-8650

NProf

(20104)

FAX: 952/283-2606

Lim-Liab

(20517)

FAX: 952/930-9184

Lim-Liab

(34502)

FAX: /-

Corp

(33752)

FAX: 612/460-6786

Lim-Liab

(28262)

FAX: 952/345-4402

NProf

(20897)

FAX: 952/988-6935

NProf

(20897)

FAX: 952/988-6935

NProf

(30827)

FAX: 952/988-6935

Certification

Registration

HENNEPIN

(Cont.)* --------------------------

HWSAL

ERIN HILLIGAN

Outpt Surg Amb Surg

GLORIA DRAKE

HWSAL

JOEL ULLAND

HWSAL

AIMEE SLAUGHTER

TCOMP

JEFF BROOK

COMP HCBS

NATASHA KUSHNER

COMP

SHANNA SWANSON

COMP

CARI DOUCETTE

COMP

CARI DOUCETTE

HWSAL

ANNE MARIE HANSEN

Minnesota Department of Health

Health Regulation Division

Page

266

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

GUARDIAN HOMES INC

Corp

11301 MINNETONKA BOULEVARD

MINNETONKA, MN 55305

(34644)

PHONE:

612/702-0090

FAX: /-

GUARDIAN HOMES, INC.

Corp

11301 MINNETOKA BOULEVARD

MINNETONKA, MN 55305

(34908)

PHONE:

612/702-0090

FAX: 952/516-5966

HAMMER - LAKESIDE

NProf

5209 MICHAELE LANE

MINNETONKA, MN 55345

(01594)

PHONE:

952/473-1261

FAX: 952/473-8629

HARBOR HEALTH MANAGEMENT LLC

Lim-Liab

16192 HIGHWAY 7

MINNETONKA, MN 55345

(33942)

PHONE:

763/762-8990

FAX: 763/208-2976

HAVENWOOD OF MINNETONKA

Lim-Liab

17710 OLD EXCELSIOR BOULEVARD

MINNETONKA, MN 55345

(34662)

PHONE:

952/209-1401

FAX: 952/209-1416

HAVENWOOD OF MINNETONKA HOME CARE

Corp

17710 OLD EXCELSIOR BOULEVARD

MINNETONKA, MN 55345

(34306)

PHONE:

952/474-5756

FAX: /-

HERITAGE HOUSE

Lim-Liab

5458 SMETANA DRIVE

MINNETONKA, MN 55343

(35799)

PHONE:

612/865-0532

FAX: /-

JOY HOMES

Corp

11100 JOY LANE

MINNETONKA, MN 55305

(35010)

PHONE:

/-

FAX: /-

KAREN HOME

Lim-Liab

11711 KAREN LANE

MINNETONKA, MN 55343

(35737)

PHONE:

612/242-9164

FAX: /-

LANDINGS OF MINNETONKA

Lim-Liab

14505 MINNETONKA DRIVE

MINNETONKA, MN 55345

(20107)

PHONE:

952/988-0011

FAX: 952/912-0051

Certification

Registration

HENNEPIN

(Cont.)* --------------------------

COMP

NAIMA AHMED

SLFB-6 ICFIID-6

JOHN ESTREM

COMP

JENNIFER THORSON

JACOB SCHNEIDER

TCOMP

ANITA CORNELIUS

TCOMP

AMAL MOHAMED

ANN HORTILLOSA

BATULLO MOALIN

MARK RADMACHER

HWSAL-O

HWSAL

HWSAL-O

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

267

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

LEGACY CARE HOME

Lim-Liab

5531 EDEN PRAIRIE ROAD

MINNETONKA, MN 55345

(33588)

PHONE:

612/597-3153

FAX: 952/938-5401

LEGACY CARE HOME II

Lim-Liab

14814 CROWN DRIVE

MINNETONKA, MN 55345

(27968)

PHONE:

612/597-3153

FAX: 952/938-5401

LEGACY CARE HOME LLC

Lim-Liab

14900 CROWN DRIVE

MINNETONKA, MN 55345

(25364)

PHONE:

612/597-3153

FAX: 952/938-5401

LEGACY CARE HOME LLC

Lim-Liab

14900 CROWN DRIVE

MINNETONKA, MN 55345

(30574)

PHONE:

612/597-3153

FAX: 952/938-5401

MERCY CARE HOME LLC

Lim-Liab

5005 WOODLAND ROAD

MINNETONKA, MN 55345

(34642)

PHONE:

612/226-0533

FAX: /-

MERCY CARE HOME LLC

Lim-Liab

5005 WOODLAND ROAD

MINNETONKA, MN 55345

(34933)

PHONE:

612/226-0533

FAX: 612/568-9902

MINNESOTA EYE LASER & SURGERY CENTERS, LLC

Lim-Liab

10709 WAYZATA BOULEVARD #100

MINNETONKA, MN 55305

(29777)

PHONE:

952/888-5800

FAX: 952/567-6156

MINNESOTA WELLNESS CENTER LLC

test

11103 OAK KNOLL TERRACE NORTH

MINNETONKA, MN 55305

(36097)

PHONE:

612/618-5841

FAX: 651/646-0950

MINNESOTA WELLNESS CENTER LLC

Lim-Liab

11103 OAK KNOLL TERRACE NORTH

MINNETONKA, MN 55305

(36098)

PHONE:

612/618-5841

FAX: 651/646-0950

MINNETONKA AMBULATORY SURGERY CENTER, LLC

Lim-Liab

15450 HIGHWAY 7 #200

MINNETONKA, MN 55345

(31266)

PHONE:

763/581-8960

FAX: 763/581-8951

Certification

Registration

HENNEPIN

(Cont.)* --------------------------

HWSAL

MICHELLE NASH

HWSAL

MICHELLE NASH

COMP

RESIDE MICHELLE NASH

HWSAL

MICHELLE NASH

TCOMP

MUSA JIMAALE

HWS

MUSA JIMAALE

Outpt Surg Amb Surg

DOMINIKA FORSYTH

HWSAL-O

UBAH SHIRWA

HWSAL-O

UBAH SHIRWA

Outpt Surg Amb Surg

TRACY AKEMAN

Minnesota Department of Health

Health Regulation Division

Page

268

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

MINNETONKA ASSISTED LIVING AND HOSPICE

Lim-Liab

14667 LAKE STREET EXTENSION

MINNETONKA, MN 55345

(26276)

PHONE:

952/405-6960

FAX: 952/456-6466

MINNETONKA ASSISTED LIVING LLC

Lim-Liab

14667 LAKE STREET EXTENSION

MINNETONKA, MN 55345

(26276)

PHONE:

952/405-6960

FAX: 952/456-6466

MINNETONKA ASSISTED LIVING LLC

Lim-Liab

14667 LAKE STREET EXTENSION

MINNETONKA, MN 55345

(30700)

PHONE:

952/405-6960

FAX: 952/456-6466

MINNETONKA DIALYSIS UNIT

Corp

17809 HUTCHINS DRIVE

MINNETONKA, MN 55345

(03583)

PHONE:

952/470-9944

FAX: /-

MNCARE MANOR LLC

Lim-Liab

2304 RIVENDELL LANE

MINNETONKA, MN 55305

(33883)

PHONE:

650/906-0762

FAX: /-

MNCARE MANOR LLC

Lim-Liab

2304 RIVENDELL LANE

MINNETONKA, MN 55305

(34317)

PHONE:

650/906-0762

FAX: /-

MORNING GLORY HOMES INC

Corp

18626 CLEARVIEW DRIVE

MINNETONKA, MN 55345

(29503)

PHONE:

952/607-0725

FAX: 952/294-8121

MORNING GLORY HOMES INC

Corp

18626 CLEARVIEW DRIVE

MINNETONKA, MN 55345

(29504)

PHONE:

952/846-8606

FAX: 952/294-8121

MORNING GLORY HOMES INC

Corp

4328 WILLISTON ROAD

MINNETONKA, MN 55345

(31881)

PHONE:

952/607-0725

FAX: 952/294-8121

NEW PERSPECTIVE CARLSON PARKWAY

Lim-Liab

500 CARLSON PARKWAY

MINNETONKA, MN 55305

(30757)

PHONE:

952/473-3330

FAX: 952/473-7555

Certification

Registration

HENNEPIN

(Cont.)* --------------------------

COMP

MONY KUOCH

COMP

MONY KUOCH

SOMCHANARY KUOCH

BARBARA LAWRENZ

TCOMP

YOLANDA WILLIAMS

COMP

ANDREW KOHN

KENNETH KOHN

VINCE BECKEL

HWSAL

ESRD

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

269

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

NIGHTINGALE HOME HEALTHCARE

Corp

10550 WAYZATA BOULEVARD #1

MINNETONKA, MN 55305

(23521)

PHONE:

763/545-3131

FAX: 866/878-0094

NURTURING CARE RESIDENCE

Corp

4441 HUNTERS RIDGE ROAD

MINNETONKA, MN 55345

(24965)

PHONE:

267/721-9838

FAX: 763/201-7821

NURTURING CARE RESIDENCE

Corp

4441 HUNTERS RIDGE ROAD

MINNETONKA, MN 55345

(24964)

PHONE:

267/721-9838

FAX: 763/657-0913

ORCHARDS OF MINNETONKA SENIOR LIVING

Lim-Liab

10955 WAYZATA BOULEVARD

MINNETONKA, MN 55305

(34716)

PHONE:

763/417-1077

FAX: /-

PAMELA J COLEMAN-OLSON

Ind

10501 CEDAR LAKE ROAD APT 319

MINNETONKA, MN 55305

(29471)

PHONE:

612/816-8818

FAX: 763/541-1774

PEDIATECH NURSING

Lim-Liab

15612 HIGHWAY 7 #160

MINNETONKA, MN 55345

(27859)

PHONE:

952/500-8050

FAX: 952/500-8693

PHS/BEACON HILL INC.

NProf

5300 BEACON HILL ROAD

MINNETONKA, MN 55345

(20025)

PHONE:

952/988-8800

FAX: 952/988-8815

RAKHMA GRACE HOME

NProf

5126 MAYVIEW ROAD

MINNETONKA, MN 55345

(20102)

PHONE:

612/824-2345

FAX: 612/351-8061

RAKHMA HOME CARE

NProf

5126 MAYVIEW ROAD

MINNETONKA, MN 55345

(20102)

PHONE:

612/824-2345

FAX: 612/351-8061

RECOVER CARE

Corp

5900 GREEN OAK DRIVE STE 200

MINNETONKA, MN 55343

(21882)

PHONE:

952/358-3168

FAX: 866/216-3953

Certification

HENNEPIN

(Cont.)*

COMP

DEV BRAR

BHARTI NAKRANI

COMP

BHARTI NAKRANI

ERIN HILLIGAN

PAMELA COLEMAN OLSON

COMP

MARIA DEWEY

MAUREEN HOMA

BRANDON SPEARS

COMP

EMILY TIMM

Registration

--------------------------

HWSAL

Home Mgmt

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

270

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

RECOVER HEALTH

Corp

5900 GREEN OAK DRIVE #200

MINNETONKA, MN 55343

(02478)

PHONE:

952/926-9808

FAX: 952/926-4002

REM HENNEPIN (MINNETONKA)

Corp

21 WESTWOOD ROAD

MINNETONKA, MN 55305

(01403)

PHONE:

952/922-6776

FAX: 952/922-6885

ST. DAVID'S CHILD DEVELOPMENT AND FAMILY SERVICES

NProf

3395 PLYMOUTH ROAD

MINNETONKA, MN 55305

PHONE:

952/939-0396

ST. JOHN HOME CARE

1502 ARCHWOOD ROAD

MINNETONKA, MN 55305

PHONE:

612/245-3474

ST. JOHN HOME CARE LLC

1502 ARCHWOOD ROAD

MINNETONKA, MN 55305

PHONE:

612/245-3474

ST. JOHN HOME CARE, LLC

1502 ARCHWOOD ROAD

MINNETONKA, MN 55305

PHONE:

612/245-3474

ST. JOHN HOME CARE, LLC

1502 ARCHWOOD ROAD

MINNETONKA, MN 55305

PHONE:

612/245-3474

STEVEN'S RESIDENCE

3704 CARDINAL ROAD

MINNETONKA, MN 55345

PHONE:

651/900-0111

STEVENS RESIDENCE

3704 CARDINAL ROAD

MINNETONKA, MN 55345

PHONE:

952/681-2755

STONECREST LIVING

4108 MERRIAM ROAD

MINNETONKA, MN 55305

PHONE:

612/991-2140

(03487)

FAX: /-

Lim-Liab

(27997)

FAX: 952/545-6411

Lim-Liab

(27697)

FAX: 952/545-6411

Lim-Liab

(27697)

FAX: 952/545-6411

Lim-Liab

(30756)

FAX: 952/545-6411

Lim-Liab

(28083)

FAX: 952/930-9184

Lim-Liab

(20517)

FAX: 952/930-9184

Corp

(35481)

FAX: 612/392-7928

Certification

Registration

HENNEPIN

(Cont.)* --------------------------

COMP HHA

JACQUELINE IRWIN

SLFA-12 ICFIID-12

KRISTINE WAINRIGHT-TADYCH

Out Pt Out St Out Ot

BETH FAGIN

COMP

MOPELOLA AKINLOYE

COMP

MOPELOLA AKINLOYE

COMP

MOPELOLA AKINLOYE

HWSAL

MOPELOLA AKINLOYE

COMP

AIMEE SLAUGHTER

HWSAL

AIMEE SLAUGHTER

HWSAL

MUNASIR GABEYNE

Minnesota Department of Health

Health Regulation Division

Page

271

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

HENNEPIN

---------------------------**********

(Cont.)* --------------------------

STONECREST LIVING INC

Corp

COMP

4108 MERRIAM ROAD

MINNETONKA, MN 55305

(34971)

PHONE:

612/442-1251

FAX: /-

MUNASIR GABEYRE

SUNRISE OF MINNETONKA

Corp

COMP

18605 OLD EXCELSIOR BOULEVARD

MINNETONKA, MN 55345

(24011)

PHONE:

952/474-9155

FAX: 952/474-9171

BREANNA BRUCE

SYNCARE INC

Corp

TCOMP

11100 JOY LANE

MINNETONKA, MN 55305

(35602)

PHONE:

612/747-3263

FAX: 612/435-1231

ANN HORTILLOSA

THE GLENN MINNETONKA

NProf

HWSAL

5300 WOODHILL ROAD

MINNETONKA, MN 55345

(28261)

PHONE:

952/352-1000

FAX: 952/345-4402

LORI MCGUIRE

COMP HCBS

THE WATERS SENIOR LIVING MANAGEMENT LLC

Lim-Liab

1600 HOPKINS CROSSROAD

MINNETONKA, MN 55305

(30281)

PHONE:

952/358-5100

FAX: 952/358-5151

PATRICIA KRUEGER

VOA HOME HEALTH AT ELDER HOMESTEAD

NProf

COMP

11400 4TH STREET NORTH

MINNETONKA, MN 55343

(23500)

PHONE:

952/283-2600

FAX: 952/283-2606

LENNETTA RENOLDS

ACTIKARE RESPONSIVE IN HOME CARE OF MINNETONKA

Lim-Liab

BASIC

5587 ORCHARD COVE

MINNETRISTA, MN 55364

(34517)

PHONE:

952/652-3959

FAX: /-

AMANDA YOUNG

SOJOURN SUITES ST BONIFACIUS

Lim-Liab

HWSAL

4720 COUNTY ROAD 92

MINNETRISTA, MN 55387

(32650)

PHONE:

612/790-9292

FAX: 952/400-3542

THOMAS PENN

HWSAL-O

CHASE COURAGEOUS HEALTH SERVICES

Lim-Liab

7708 REGENT AVENUE NORTH

MMINEAPOLIS, MN 55443

(35083)

PHONE:

612/707-9072

FAX: /-

KRUBO MULBAH

HARRISON BAY SENIOR LIVING

Lim-Liab

HWSAL

1861 COMMERCE BOULEVARD

MOUND, MN 55364

(34150)

PHONE:

612/430-8150

FAX: 612/389-7301

SUSAN BEAM

Minnesota Department of Health

Health Regulation Division

Page

272

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

HENNEPIN

(Cont.)* --------------------------

SOJOURN SUITES LYNWOOD

Lim-Liab

HWSAL

5724 LYNWOOD BOULEVARD

MOUND, MN 55364

(27232)

PHONE:

952/473-1810

FAX: 952/400-3542

THOMAS PENN

HWSAL

SOJOURN SUITES WESTEDGE

Lim-Liab

2895 WESTEDGE BOULEVARD

MOUND, MN 55364

(24342)

PHONE:

952/472-6642

FAX: 952/400-3542

THOMAS PENN

TRANQUIL LIVING

Corp

HWSAL-O

2521 WILSHIRE BOULEVARD

MOUND, MN 55364

(34050)

PHONE:

952/361-0080

FAX: 952/314-9613

KIMLOAN SLOSS

ALLY GROUP HOMES LLC

Lim-Liab

TCOMP

4501 NEVAD AVENUE NORTH

NEW HOPE, MN 55428

(34870)

PHONE:

612/598-4311

FAX: /-

AMAL AHMED

HWSAL

ASHTON HOMES LLC

Lim-Liab

9300 NORTHWOOD PARKWAY

NEW HOPE, MN 55427

(34331)

PHONE:

763/777-1059

FAX: 763/219-4401

JOSLYN DAYRELL

ASHTON HOMES, LLC

Lim-Liab

HWSAL

3840 BOONE AVENUE NORTH

NEW HOPE, MN 55427

(36009)

PHONE:

763/777-1059

FAX: 763/219-4401

NATALIE SEARS

HWSAL

ASSISTED LIVING AT NORTH RIDGE

Lim-Liab

5500 BOONE AVENUE NORTH

NEW HOPE, MN 55428

(20257)

PHONE:

763/592-3000

FAX: 763/592-4099

MARY BOYDE

NProf

HWSAL-O

BASS LAKE COURT TOWNHOMES

7360 BASS LAKE ROAD

NEW HOPE, MN 55428

(24492)

PHONE:

763/536-8134

FAX: 763/536-8893

MICHELLE WINCELL O'LEARY

HWSAL-O

BASS LAKE TOWNHOMES

NProf

7302 BASS LAKE ROAD

NEW HOPE, MN 55428

(23642)

PHONE:

763/536-8134

FAX: 763/536-8893

MICHELLE WINCELL O'LEARY

NProf

HWSAL-O

BASS TOWNHOMES

7378 BASS LAKE ROAD

NEW HOPE, MN 55428

(26524)

PHONE:

763/536-8134

FAX: 763/536-8893

MICHELLE WINCELL O'LEARY

Minnesota Department of Health

Health Regulation Division

Page

273

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

BEN'S HOUSE

5337 OREGON AVENUE NORTH

NEW HOPE, MN 55428

PHONE:

763/566-0831

GOOD SAMARITAN SOCIETY - AMBASSADOR

8100 MEDICINE LAKE ROAD

NEW HOPE, MN 55427

PHONE:

763/544-4171

HAYDEN'S HOUSE

6057 SUMTER PLACE NORTH

NEW HOPE, MN 55428

PHONE:

952/848-0935

HOME HEALTH AT NORTH RIDGE

5500 BOONE AVENUE NORTH

NEW HOPE, MN 55428

PHONE:

763/592-3000

INTEGRA HOME HEALTH PROFESSIONALS

4532 BOONE AVENUE NORTH

NEW HOPE, MN 55428

PHONE:

612/669-3208

INTEGRA HOME HEALTH PROFESSIONALS LLC

4532 BOONE AVENUE NORTH

NEW HOPE, MN 55428

PHONE:

612/669-3208

INTUIT HOME CARE

2738 WINNETKA AVENUE N #150L

NEW HOPE, MN 55427

PHONE:

763/744-6280

JOHNSON PARK PLACE

2765 VIRGINA AVENUE NORTH

NEW HOPE, MN 55427

PHONE:

763/417-4625

LIVING LIFE HOME CARE

9220 BASS LAKE ROAD #215

NEW HOPE, MN 55428

PHONE:

612/435-7140

LIVING WELL HOME CARE LLC

7701 48TH AVENUE NORTH

NEW HOPE, MN 55428

PHONE:

763/300-1577

Corp

(28278)

FAX: 763/208-7071

NProf

(00898)

FAX: 763/591-7191

Lim-Liab

(34851)

FAX: 952/920-6929

Lim-Liab

(02852)

FAX: 763/592-4099

Lim-Liab

(34776)

FAX: 763/392-0435

Corp

(34406)

FAX: /-

Corp

(34291)

FAX: /-

NProf

(20009)

FAX: 763/417-4626

Corp

(26152)

FAX: 612/435-7141

Lim-Liab

(34471)

FAX: /-

Certification

Registration

HENNEPIN

(Cont.)* --------------------------

HWSAL

ROGER BONNY

NH-77 SNF-NF-77

CORINNE WHITE

HWS-O

LUIS OROZCO

COMP

BRADY BIRK

HWSAL-O

ABDIRIZAK HASSAN

COMP

ABDINZAR HASSAN

TCOMP HCBS

TANVEER GULZAR

COMP

MARIE BARTA

COMP

KATHY HINTZ

TCOMP

SELEKIE KAMARA

Minnesota Department of Health

Health Regulation Division

Page

274

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

M.T.A.I. MINNEHAHA CREEK

Corp

8949 48TH AVENUE NORTH

NEW HOPE, MN 55428

(01563)

PHONE:

763/537-9220

FAX: 763/537-6416

MILLENNIUM HOMES LLC

Lim-Liab

9307 59TH AVENUE NORTH

NEW HOPE, MN 55428

(36084)

PHONE:

612/865-9080

FAX: 763/432-5720

MINN CARE HOME HEALTH LLC

Lim-Liab

3541 FLAG AVENUE NORTH

NEW HOPE, MN 55427

(35572)

PHONE:

763/200-6270

FAX: 763/201-7908

NEW HOPE APARTMENTS

NProf

7376 BASS LAKE ROAD

NEW HOPE, MN 55428

(23487)

PHONE:

763/536-8134

FAX: 763/536-8893

NEW HOPE DIALYSIS CENTER

Corp

5640 INTERNATIONAL PARKWAY

NEW HOPE, MN 55428

(24101)

PHONE:

763/537-0300

FAX: 763/537-0340

NEW LIFE HEALTH SERVICE

Corp

4756 DECATUR AVENUE NORTH

NEW HOPE, MN 55428

(35815)

PHONE:

612/200-0112

FAX: 612/392-8595

NORTH PARK PLAZA

NProf

8201 45TH AVENUE NORTH

NEW HOPE, MN 55428

(34721)

PHONE:

763/259-5221

FAX: 888/974-5934

NORTH RIDGE HEALTH AND REHAB

Lim-Liab

5430 BOONE AVENUE NORTH

NEW HOPE, MN 55428

(00238)

PHONE:

763/592-3000

FAX: 763/592-2999

PUSH SERVICES INC

Corp

8015 36TH AVENUE NORTH

NEW HOPE, MN 55427

(33702)

PHONE:

952/229-7432

FAX: /-

PUSH SERVICES INC

Corp

8015 36TH AVENUE NORTH #119

NEW HOPE, MN 55427

(34276)

PHONE:

952/297-4327

FAX: 763/497-0005

Certification

Registration

HENNEPIN

(Cont.)* --------------------------

SLFA-5 ICFIID-5

BRENT KROCAK

ELLA SELYNKOV

IKENNA DIJEH

MICHELLE WINCELL O'LEARY

ESRD

BROOKE EGULA

AREE THOMPSON

JENNIFER PERSONS

NH-320 SNF-NF-320

MICHAEL SYLTIE

PRINCESS NIMELY

HWSAL

HWS

HWSAL-O

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

275

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

HENNEPIN

(Cont.)* --------------------------

RESTART ZEALAND

NProf

HWS-O

2717 ZEALAND AVENUE NORTH

NEW HOPE, MN 55427

(32727)

PHONE:

763/951-2541

FAX: 763/951-2794

STEVE PIEKARSKI

ST. THERESE HOME

NProf

NH-258 SNF-NF-258

8000 BASS LAKE ROAD

NEW HOPE, MN 55428

(00261)

PHONE:

763/531-5000

FAX: 763/531-5004

BROOKE PEOPLES

ST. THERESE RESIDENCE

NProf

HWSAL

8008 BASS LAKE ROAD

NEW HOPE, MN 55428

(20141)

PHONE:

763/531-5400

FAX: 763/531-5468

DINAH MARTIN KMETZ

ST. THERESE RESIDENCE NURSING

NProf

COMP

8008 BASS LAKE ROAD

NEW HOPE, MN 55428

(03020)

PHONE:

763/531-5400

FAX: 763/531-5468

DINAH MARTIN KMETZ

THE APPOINTED HOME LLC

Lim-Liab

HWSAL

6032 YUKON AVENUE NORTH

NEW HOPE, MN 55428

(35152)

PHONE:

612/407-2182

FAX: /-

ELEANA GBADAMASSI

THE CARING SISTERS HOME CARE SERVICES, INC

Corp

HWSAL-O

2916 WINNETKA AVENUE NORTH

NEW HOPE, MN 55427

(29359)

PHONE:

763/533-6822

FAX: 952/285-2844

OLALEYE BECKLEY

THE LODGE OF NEW HOPE

NProf

COMP

2765 VIRGINA AVENUE NORTH

NEW HOPE, MN 55427

(20009)

PHONE:

763/417-4625

FAX: 763/417-4626

MARIE BARTA

THE LODGE OF NEW HOPE

Lim-Liab

HWSAL

2765 VIRGINIA AVENUE NORTH

NEW HOPE, MN 55427

(34108)

PHONE:

763/417-4625

FAX: 763/417-4626

DAVE POKORNEY

TOTALCARE ASSISTED LIVIN

Lim-Liab

HWSAL

2730 WINNETKA AVENUE NORTH

NEW HOPE, MN 55428

(25459)

PHONE:

763/205-7102

FAX: 763/205-1703

NNENNA ANYAOGU

TOTALCARE ASSISTED LIVING SERVICES

Lim-Liab

COMP

2730 WINNETKA AVENUE NORTH

NEW HOPE, MN 55428

(24859)

PHONE:

763/205-1702

FAX: 763/205-1703

NNENNA ANYAOGU

Minnesota Department of Health

Health Regulation Division

Page

276

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

HENNEPIN

(Cont.)* --------------------------

TRAILS OF ORONO

Lim-Liab

HWSAL

875 WAYZATA BOULEVARD

ORONO, MN 55391

(28637)

PHONE:

952/473-6655

FAX: 952/473-6677

CHELSEA ADNEY

BENEDICTINE SENIOR LIVING AT STEEPLE POINTE

NProf

COMP

625 CENTRAL AVENUE

OSSEO, MN 55369

(20531)

PHONE:

763/391-0749

FAX: 763/391-0747

RENEE SKOGLUND

BENEDICTINE SENIOR LIVING AT STEEPLE POINTE

NProf

HWSAL

625 CENTRAL AVENUE

OSSEO, MN 55369

(30687)

PHONE:

763/391-0749

FAX: 763/391-0747

RENEE SKOGLUND

COMFORT KEEPERS

Lim-Liab

COMP

524 CENTRAL AVENUE

OSSEO, MN 55369

(33183)

PHONE:

763/273-4207

FAX: 763/273-4934

JENNIFER BAUERNFEIND

COMFORT KEEPERS

Lim-Liab

Home Mgmt

524 CENTRAL AVENUE

OSSEO, MN 55369

(34421)

PHONE:

763/273-4207

FAX: 763/273-4934

JENNIFER BAUERNFEIND

OSSEO GARDENS ASSISTED LIVING

Lim-Liab

HWSAL

525 2ND STREET SE

OSSEO, MN 55369

(21206)

PHONE:

763/315-4869

FAX: /-

CHARLES PETRICH

THE VILLA AT OSSEO

Lim-Liab

NH-20 BCH-97 SNF-NF-20 NF2-97

501 2ND STREET SE

OSSEO, MN 55369

(00733)

PHONE:

763/762-1800

FAX: 763/424-2777

KRISTINA UMBERGER

A LA CARTE HOME CARE

Lim-Liab

COMP

10230 28TH AVENUE NORTH

PLYMOUTH, MN 55441

(31218)

PHONE:

763/546-4017

FAX: 763/546-4017

ALLA VAYNBERG

ALL HOPES INCORPORATED

Corp

COMP

5549 VINEWOOD LANE NORTH

PLYMOUTH, MN 55442

(32999)

PHONE:

763/482-1487

FAX: 763/577-4160

VICTOR AWOSIKA

BAYADA HOME HEALTH CARE, INC.

NProf

COMP HHA

2905 NW BOULEVARD #100

PLYMOUTH, MN 55441

(02349)

PHONE:

952/935-5581

FAX: 763/550-5281

AMBER KIM

Minnesota Department of Health

Health Regulation Division

Page

277

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

HENNEPIN

---------------------------**********

(Cont.)* --------------------------

COMP

BRIGHTSTAR CARE OF PLYMOUTH

Lim-Liab

3131 FERNBROOK LANE #105

PLYMOUTH, MN 55447

(34424)

PHONE:

763/432-5095

FAX: /-

JUSTIN PRISENDORF

BROOKDALE PLYMOUTH

Corp

COMP

15855 22ND AVENUE NORTH

PLYMOUTH, MN 55447

(20537)

PHONE:

763/476-8200

FAX: 763/476-5900

KATIE STADTHER

BROOKDALE PLYMOUTH

Corp

HWSAL

15855 22ND AVENUE NORTH

PLYMOUTH, MN 55447

(30690)

PHONE:

763/476-8200

FAX: 763/476-5900

KATIE STADTHER

CHAMPIONS VILLAGE LLC

Lim-Liab

TCOMP

15570 59TH AVENUE NORTH

PLYMOUTH, MN 55446

(35618)

PHONE:

612/817-5100

FAX: /-

LALI GALAN

CHERRYWOOD POINTE OF PLYMOUTH

Lim-Liab

HWSAL

18405 OLD ROCKFORD ROAD

PLYMOUTH, MN 55446

(33599)

PHONE:

763/478-4244

FAX: 763/478-4240

ERIN HILLIGAN

CLARE BRIDGE OF PLYMOUTH

Corp

COMP

15855 22ND AVENUE NORTH

PLYMOUTH, MN 55447

(20537)

PHONE:

763/476-8200

FAX: 763/476-5900

KATIE STADTHER

CORNERSTONE ASSISTED LIVING

NProf

COMP

3750 LAWNDALE LANE NORTH

PLYMOUTH, MN 55446

(23083)

PHONE:

763/550-0333

FAX: 763/390-1888

AUBREY FOSS

CORNERSTONE ASSISTED LIVING

NProf

HWSAL

3750 LAWNDALE LANE NORTH

PLYMOUTH, MN 55446

(30301)

PHONE:

763/550-0333

FAX: 763/390-1888

AUBREY FOSS

CORNERSTONE ASSISTED LIVING OF PLYMOUTH, INC.

NProf

COMP

3750 LAWNDALE LANE NORTH

PLYMOUTH, MN 55446

(23083)

PHONE:

763/550-0333

FAX: 763/390-1888

AUBREY FOSS

SLFA-6

DUNGARVIN - CHAI

Lim-Liab

1210 OAKVIEW LANE NORTH

PLYMOUTH, MN 55441

(01211)

PHONE:

651/699-6050

FAX: 651/699-7265

ANNA HEGLAND

Minnesota Department of Health

Health Regulation Division

Page

278

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

FRESENIUS MEDICAL CARE PLYMOUTH CREEK

Corp

3007 HARBOR LANE

PLYMOUTH, MN 55446

(31977)

PHONE:

763/494-0316

FAX: 763/494-4201

GIANNA HOMES - GLADYS' PLACE, LLC

Lim-Liab

10210 28TH AVENUE NORTH

PLYMOUTH, MN 55441

(30017)

PHONE:

952/988-0953

FAX: 952/988-6935

GIANNA HOMES GLADYS' PLACE LLC

Lim-Liab

10210 28TH AVENUE NORTH

PLYMOUTH, MN 55441

(30018)

PHONE:

952/988-0953

FAX: 952/988-6935

HAMMER - KENTUCKY

NProf

18115 30TH AVENUE NORTH

PLYMOUTH, MN 55447

(01581)

PHONE:

952/473-1261

FAX: 952/473-8629

HAMMER - MCGLINCH

NProf

18300 26TH AVENUE NORTH

PLYMOUTH, MN 55447

(01669)

PHONE:

952/473-1261

FAX: 952/473-8629

HAZELDEN CENTER FOR YOUTH AND FAMILY

NProf

11505 36TH AVENUE NORTH

PLYMOUTH, MN 55441

(01367)

PHONE:

763/509-3843

FAX: 651/213-4551

HEALTH AT HOME

Lim-Liab

14585 59TH AVENUE N STE H224

PLYMOUTH, MN 55446

(03763)

PHONE:

763/744-9499

FAX: 763/744-9439

HOME CARE SOLUTIONS

Corp

3390 ANNAPOLIS LANE #A

PLYMOUTH, MN 55447

(03628)

PHONE:

763/231-9000

FAX: 763/231-9004

HOMEWARD BOUND - PLYMOUTH

NProf

13522 SUNSET TRAIL

PLYMOUTH, MN 55441

(01583)

PHONE:

763/746-4850

FAX: 763/525-4084

ILBNC SPECIAL PROCEDURES

Corp

15700 37TH AVENUE NORTH #210

PLYMOUTH, MN 55446

(23976)

PHONE:

952/814-6610

FAX: 763/557-6775

Certification

Registration

HENNEPIN

(Cont.)* --------------------------

JENA ANDERBERG

COMP

ANNE MARIE HANSEN

CARI DOUCETTE

SLFB-6

JOHN ESTREM

SLFB-6

JOHN ESTREM

SLFB-6

MARK SHEETS

COMP

DEBRA FRANCIS

COMP

STEVE WARNER

SLFB-6

GERRI DUKART GBOR

Outpt Surg

BECKIE HINES

ESRD

HWSAL

ICFIID-6

HHA

ICFIID-6

Amb Surg

Minnesota Department of Health

Health Regulation Division

Page

279

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

INTERLUDE

NProf

2775 CAMPUS DRIVE NORTH

PLYMOUTH, MN 55441

(29763)

PHONE:

763/577-3400

FAX: 763/577-3401

INTERLUDE RESTORATIVE SUITES

NProf

2775 CAMPUS DRIVE NORTH

PLYMOUTH, MN 55441

(32051)

PHONE:

763/577-3400

FAX: 763/577-3401

JOY LIVING INC

Corp

430 NIAGARA LANE NORTH

PLYMOUTH, MN 55447

(35819)

PHONE:

612/607-9109

FAX: /-

JOYFUL COMPANIONS HOME CARE

Corp

10700 OLD COUNTY ROAD 15 #290

PLYMOUTH, MN 55441

(25429)

PHONE:

763/544-0401

FAX: 763/746-8156

MINNESOTAWEST H HEALTHCARE

Corp

3403 KILMER LANE NORTH

PLYMOUTH, MN 55441

(32182)

PHONE:

763/432-9172

FAX: 763/276-9930

MISSION DETOXIFICATION CENTER

NProf

3409 E MEDICINE LAKE BOULEVARD

PLYMOUTH, MN 55441

(01384)

PHONE:

763/559-1402

FAX: 763/559-2559

MISSION NURSING HOME

NProf

3401 E MEDICINE LAKE BOULEVARD

PLYMOUTH, MN 55441

(00235)

PHONE:

763/559-3123

FAX: 763/559-0604

MNGI ENDOSCOPY PLYMOUTH

Corp

15700 37TH AVENUE NORTH #300

PLYMOUTH, MN 55446

(21575)

PHONE:

612/871-1145

FAX: 612/870-5491

MTAI PLYMOUTH EAST

Corp

11550 52ND AVENUE NORTH

PLYMOUTH, MN 55413

(01471)

PHONE:

763/208-4889

FAX: 763/208-4890

NOBLE HOME CARE SERVICE LLC

Lim-Liab

14215 55TH PLACE NORTH

PLYMOUTH, MN 55446

(36111)

PHONE:

612/205-1408

FAX: /-

Certification

Registration

HENNEPIN

(Cont.)* --------------------------

NH-50

KAYLA WAGNER

ABDIRIZAK ISSE

JERI GORT

COMP

KENNEDY MOGERE

SLFB-21

JESSICA SPRENGER

NH-90

RICHARD FEENEY

Outpt Surg

SCOTT KETOVER

SLFB-6

BRENT KROCAK

MEAZA WOLDE

SNF-NF-50

HWS

HWSAL

Home Mgmt

SNF-NF-90

Amb Surg

ICFIID-6

Home Mgmt

Minnesota Department of Health

Health Regulation Division

Page

280

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

ON-BELAY HOUSE

115 FORESTVIEW LANE NORTH

PLYMOUTH, MN 55441

PHONE:

763/546-8008

PAMELA FILLHOUER

2650 NORWOOD LANE NORTH

PLYMOUTH, MN 55441

PHONE:

763/370-8617

PARK'S PLACE

18040 MEDINA ROAD

PLYMOUTH, MN 55446

PHONE:

763/710-8484

PARKS' PLACE

18040 MEDINA ROAD

PLYMOUTH, MN 55446

PHONE:

612/398-8166

PIONEER ESTATES

8751 PRESERVE BOULEVARD

PLYMOUTH, MN 55344

PHONE:

612/708-7478

PIONEER ESTATES OF MINNESOTA

8751 PRESERVE BOULEVARD

PLYMOUTH, MN 55344

PHONE:

612/708-7478

PLEASANT LIGHT LLC

6150 QUINWOOD LANE NORTH

PLYMOUTH, MN 55442

PHONE:

651/500-8335

RAJO CARE HOME INC

14015 ROCKFORD ROAD

PLYMOUTH, MN 55447

PHONE:

612/859-6065

REHABCARE

3390 ANNAPOLIS LANE NORTH #B

PLYMOUTH, MN 55433

PHONE:

763/767-0854

REHABCARE AGENCY MN

3390 ANNAPOLIS LANE NORTH #B

PLYMOUTH, MN 55447

PHONE:

763/767-0854

Corp

(01293)

FAX: 763/546-7674

Ind

(31855)

FAX: /-

Lim-Liab

(35275)

FAX: /-

Lim-Liab

(35447)

FAX: /-

Lim-Liab

(20455)

FAX: 612/677-3172

Lim-Liab

(20455)

FAX: 612/677-3172

Lim-Liab

(35336)

FAX: 763/205-4580

Corp

(33878)

FAX: 952/479-9540

Lim-Liab

(27066)

FAX: 763/862-6533

Corp

(02199)

FAX: 763/862-6533

Certification

Registration

HENNEPIN

(Cont.)* --------------------------

SLFA-20

JON BENSON

Home Mgmt

PAMELA FILLHOUER

COMP

JULIANNE FRIES

HWSAL

JULIANNE FRIES

COMP

HEATHER HEIJERMAN

COMP

HEATHER HEIJERMAN

TCOMP

JOSPHAT OMARI

HWSAL

SAID BARRE

COMP

TRAVIS KIERSTEAD

Out Pt Out St Out Ot

TRAVIS KIERSTEAD

Minnesota Department of Health

Health Regulation Division

Page

281

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

HENNEPIN

(Cont.)* --------------------------

SENIORS HELPING SENIORS

Lim-Liab

Home Mgmt

14565 41ST AVENUE NORTH

PLYMOUTH, MN 55446

(28740)

PHONE:

763/694-0165

FAX: 763/694-0165

CHERI NISPEL

HWSAL

SOJOURN SUITES PLYMOUTH

Lim-Liab

1210 VAGABOND LANE

PLYMOUTH, MN 55447

(34954)

PHONE:

612/790-9292

FAX: 612/590-9250

THOMAS PENN

SOLBAKKEN INC.

Corp

HWSAL

16200 37TH AVENUE NORTH

PLYMOUTH, MN 55446

(36006)

PHONE:

209/600-5292

FAX: 763/273-4527

DARLA THAO

ST. JOHN HOME CARE LLC

Lim-Liab

HWSAL

17515 30TH AVENUE NORTH

PLYMOUTH, MN 55447

(36029)

PHONE:

612/245-3474

FAX: 612/357-1060

JOY AKINLOYE

HWSAL

ST. JOHN HOME CARE LLC

Lim-Liab

3220 NATHAN LANE NORTH

PLYMOUTH, MN 55441

(34786)

PHONE:

612/245-3474

FAX: 952/545-6411

MOPELOLA AKINLOYE

SUMMERWOOD OF PLYMOUTH

Lim-Liab

COMP

16205 36TH AVENUE NORTH

PLYMOUTH, MN 55446

(27963)

PHONE:

763/383-8888

FAX: 763/383-0032

NATALIE MORLAND

HWSAL

SUMMERWOOD OF PLYMOUTH

NProf

16205 36TH AVENUE NORTH

PLYMOUTH, MN 55446

(30236)

PHONE:

763/383-8888

FAX: 763/383-0032

SHARON MILLETT

SUNLIGHT INC

Corp

TCOMP

350 NATHAN LANE NORTH #239

PLYMOUTH, MN 55441

(35115)

PHONE:

404/618-8472

FAX: /-

RASIYA MUMIN

SYNCARE INC

Corp

COMP

13245 45TH AVENUE NORTH

PLYMOUTH, MN 55442

(33059)

PHONE:

612/747-3263

FAX: 612/435-1231

ANN HORTILLOSA

SYNCARE INC

Corp

HWS

13245 45TH AVENUE NORTH

PLYMOUTH, MN 55442

(33880)

PHONE:

612/747-3263

FAX: 612/435-1231

ANN HORTILLOSA

Minnesota Department of Health

Health Regulation Division

Page

282

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

THE BIRCHES AT TRILLIUM WOODS

14585 59TH AVENUE NORTH

PLYMOUTH, MN 55446

PHONE:

763/744-9400

THE WATERS OF PLYMOUTH

11305 HIGHWAY 55

PLYMOUTH, MN 55441

PHONE:

763/270-5220

TOUCHING HEARTS AT HOME

2415 ANNAPOLIS LANE NORTH #110

PLYMOUTH, MN 55441

PHONE:

612/888-2378

TRILLIUM WOODS

5855 CHESHIRE PARKWAY

PLYMOUTH, MN 55446

PHONE:

763/744-9400

WESTHEALTH SURGERY CENTER, LLC

2855 CAMPUS DRIVE #200

PLYMOUTH, MN 55441

PHONE:

763/302-2800

WELCOME HOME LLC

6808 3RD AVENUE SOUTH

RICHFIED, MN 55423

PHONE:

651/235-3162

1 TO 1 ANGEL HANDS HOME HEALTH CARE INC

6401 LYNDALE AVENUE #301

RICHFIELD, MN 55423

PHONE:

612/242-1150

ANIKA HOME CARE LLC

6603 QUEEN AVENUE SOUTH STE F

RICHFIELD, MN 55423

PHONE:

612/328-9068

APPLEWOOD HOME HEALTH CARE LLC

6511 IRVING AVENUE SOUTH

RICHFIELD, MN 55423

PHONE:

612/203-1439

AVINITY HOME CARE

7645 LYNDALE AVENUE SOUTH #110

RICHFIELD, MN 55423

PHONE:

612/243-4585

Part

(26105)

FAX: 763/559-1799

Lim-Liab

(29556)

FAX: 763/546-8289

Lim-Liab

(30504)

FAX: 763/567-5445

Part

(34443)

FAX: 763/744-9401

Lim-Liab

(00417)

FAX: 763/302-2801

Lim-Liab

(31282)

FAX: 612/866-9303

Corp

(35169)

FAX: /-

Lim-Liab

(27014)

FAX: 612/328-9085

Lim-Liab

(35976)

FAX: 612/886-2656

NProf

(20226)

FAX: 612/861-2149

Certification

Registration

HENNEPIN

(Cont.)* --------------------------

NH-44 SNF-NF-44

MORGAN HOLIEN

HWSAL

KATHERINE TODD

Home Mgmt

DIANTHA CAVIN

HWS

ELIZABETH ANN FETNER

Outpt Surg Amb Surg

MICHAEL MILLER

COMP

OBSITU BEYAN

TCOMP HCBS

AMINA ISSA

COMP

JUMA ARTEMA

HWSAL-O

SAIDA ABDI

COMP

DENYSE ETHRIDGE

Minnesota Department of Health

Health Regulation Division

Page

283

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

BRIDGES HEALTH LLC

Lim-Liab

7515 12TH AVENUE SOUTH

RICHFIELD, MN 55423

(35784)

PHONE:

612/636-4562

FAX: /-

BRIDGES HEALTH LLC

Lim-Liab

7515 12TH AVENUE SOUTH

RICHFIELD, MN 55423

(35785)

PHONE:

612/636-4562

FAX: /-

CAPERNAUM PEDIATRIC THERAPY, INC.

Corp

6625 LYNDALE AVENUE SOUTH #430

RICHFIELD, MN 55423

(02847)

PHONE:

952/285-2840

FAX: 952/285-2830

CHEZ VOUS HOME CARE LLC

Lim-Liab

7620 NICOLLET AVENUE SOUTH

RICHFIELD, MN 55423

(26655)

PHONE:

612/220-8052

FAX: 612/259-7440

EASE COMFORT LLC

Lim-Liab

7620 HARRIET AVENUE SOUTH

RICHFIELD, MN 55423

(35212)

PHONE:

612/644-8005

FAX: /-

EASE COMFORT LLC

Lim-Liab

7620 HARRIET AVENUE SOUTH

RICHFIELD, MN 55423

(35846)

PHONE:

612/644-8005

FAX: /-

EASE COMFORT LLC

Lim-Liab

6909 RUSSELL AVENUE SOUTH

RICHFIELD, MN 55423

(35848)

PHONE:

612/644-8005

FAX: /-

EDEN HOMES INC

Corp

7411 QUEEN AVENUE SOUTH

RICHFIELD, MN 55423

(33757)

PHONE:

612/987-7676

FAX: /-

FRASER RICHFIELD

NProf

2400 WEST 64TH STREET

RICHFIELD, MN 55423

(33894)

PHONE:

612/861-1688

FAX: 612/861-6050

GOLDEN NEST, LLC

Lim-Liab

6733 EMERSON AVENUE SOUTH

RICHFIELD, MN 55423

(23666)

PHONE:

612/866-3106

FAX: 612/866-3106

Certification

HENNEPIN

(Cont.)*

TCOMP

FATIMA MUSSE

TCOMP

FATIMA MUSSE

COMP

BONNA OLSON

SEETA ARRELL

TCOMP

FOWSIYA ALI

SAHRA HASSAN

AILEEN VILLANUEVA

Registration

--------------------------

HWS-O

HWSAL-O

HWSAL

Out Pt Out St Out Ot

LETTY FALLER

HWSAL

HONGJOO LEE

Minnesota Department of Health

Health Regulation Division

Page

284

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

HENNEPIN

(Cont.)* --------------------------

GREEN LIVING GROUP HOME LLC

6306 MORGAN AVENUE SOUTH

RICHFIELD, MN 55423

PHONE:

920/664-9288

Lim-Liab

(35303)

FAX: /-

ABDINASIR MOHAMED

HWSAL

HAVENWOOD OF RICHFIELD

Lim-Liab

245 WEST 76TH STREET

RICHFIELD, MN 55423

(33959)

PHONE:

612/286-8762

FAX: 612/767-5047

JODY BARNEY

TCOMP

HOPE HOMES LLC

Lim-Liab

6744 BLAISDELL AVENUE SOUTH

RICHFIELD, MN 55423

(34245)

PHONE:

612/407-0471

FAX: /-

DUALE SALEBAN

LIGHTCARE GROUP HOMES LLC

Lim-Liab

HWSAL-O

7539 16TH AVENUE SOUTH

RICHFIELD, MN 55423

(36020)

PHONE:

952/288-9420

FAX: /-

ABDIKADER ALI

COMP

MAIN STREET VILLAGE

NProf

7645 LYNDALE AVENUE SOUTH #110

RICHFIELD, MN 55423

(20226)

PHONE:

612/243-4585

FAX: 612/861-2149

DENYSE ETHRIDGE

MAINSTREET VILLAGE

NProf

HWSAL

7601 LYNDALE AVENUE SOUTH

RICHFIELD, MN 55423

(21184)

PHONE:

612/869-6584

FAX: 612/869-6843

DON SABLE

HWSAL

MERCY HOUSING

Lim-Liab

7601 10TH AVENUE SOUTH

RICHFIELD, MN 55423

(34047)

PHONE:

612/703-6932

FAX: 612/532-1738

YOONIS HASSAN

OPTIONS CEDAR

Corp

HWS-O

7600 CEDAR AVENUE SOUTH

RICHFIELD, MN 55423

(36019)

PHONE:

952/564-3030

FAX: 952/217-5677

JAMES HAMMILL

TCOMP

PHOENIX COVE ADULT DAY CENTER LLC

Lim-Liab

7132 PORTLAND AVENUE

RICHFIELD, MN 55423

(35586)

PHONE:

952/469-8155

FAX: 952/479-7946

KRISTINA KWAN

PREMIER HOME CARE LLC

Lim-Liab

TCOMP

7120 13TH AVENUE SOUTH

RICHFIELD, MN 55423

(34956)

PHONE:

612/501-8333

FAX: /-

SHUKRI ISA

Minnesota Department of Health

Health Regulation Division

Page

285

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

PREMIER HOME CARE LLC

Lim-Liab

7120 13TH AVENUE SOUTH

RICHFIELD, MN 55423

(35138)

PHONE:

612/501-8333

FAX: 952/222-5418

PRIMARY LIVING INC

Corp

7636 3RD AVENUE SOUTH

RICHFIELD, MN 55423

(35419)

PHONE:

612/532-4198

FAX: 612/486-9373

PROCARE HEALTH CORP

Corp

7426 10TH AVENUE SOUTH

RICHFIELD, MN 55423

(35839)

PHONE:

612/860-0883

FAX: /-

PROCARE HEALTH CORP.

Corp

7426 10TH AVENUE SOUTH

RICHFIELD, MN 55423

(36082)

PHONE:

612/860-0883

FAX: /-

RESIDENTIAL CARE AT NINE MILE CREEK

Corp

6520 PORTLAND AVENUE

RICHFIELD, MN 55423

(33756)

PHONE:

612/978-2238

FAX: 952/229-4213

RICHFIELD A VILLA CENTER

Lim-Liab

7727 PORTLAND AVENUE SOUTH

RICHFIELD, MN 55423

(00253)

PHONE:

612/861-1691

FAX: 612/861-0186

RICHFIELD DIALYSIS

Corp

6601 LYNDALE AVENUE SOUTH #150

RICHFIELD, MN 55423

(24100)

PHONE:

612/869-2118

FAX: 612/869-2219

RICHFIELD SENIOR SUITES

Lim-Liab

6808 3RD AVENUE SOUTH

RICHFIELD, MN 55423

(20052)

PHONE:

612/866-3961

FAX: 612/866-9303

RICHFIELD SENIOR SUITES LLC

Lim-Liab

6808 3RD AVENUE SOUTH

RICHFIELD, MN 55423

(20052)

PHONE:

612/866-3961

FAX: 612/866-9303

RICHFIELD SENIOR SUITES LLC

Lim-Liab

6808 3RD AVENUE SOUTH

RICHFIELD, MN 55423

(30323)

PHONE:

612/866-3961

FAX: 612/866-9303

Certification

Registration

HENNEPIN

(Cont.)* --------------------------

SHUKRI ISSA

IFRAH AHMED

TCOMP

FRIDA MOHAMED

SADIK ABDI

NH-112

JOANN BUYTENDORP

KATHRYN KALLAS

COMP

OBSITU BEYAN

COMP

OBSITU BEYAN

HWSAL-O

HWSAL

SNF-NF-112

ESRD

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

286

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

SISTERS HOME HEALTH CARE LLC

Lim-Liab

7438 VINCENT AVENUE

RICHFIELD, MN 55423

(35111)

PHONE:

612/242-7436

FAX: /-

SISTERS HOME HEALTH CARE LLC

Lim-Liab

7438 VINCENT AVENUE

RICHFIELD, MN 55423

(35863)

PHONE:

612/242-7436

FAX: /-

THE PINES

Lim-Liab

400 WEST 67TH STREET

RICHFIELD, MN 55423

(21780)

PHONE:

612/861-3331

FAX: 612/259-2889

VILLAGE SHORES

Lim-Liab

6501 WOODLAKE DRIVE

RICHFIELD, MN 55423

(20869)

PHONE:

612/861-1186

FAX: 612/861-1779

A-1 RELIABLE HOME CARE INC.

Corp

5716 42ND AVENUE NORTH

ROBBINSDALE, MN 55422

(32825)

PHONE:

952/393-7857

FAX: 651/766-5275

A-1 RELIABLE HOME CARE INC.

Corp

5824 42ND AVENUE NORTH

ROBBINSDALE, MN 55422

(33963)

PHONE:

952/393-7857

FAX: 651/766-5275

A-A-H MERCY HOME HEALTH

Lim-Liab

3554 JUNE AVENUE NORTH

ROBBINSDALE, MN 55422

(33981)

PHONE:

952/201-9645

FAX: /-

A-A-H MERCY HOME HEALTH LLC

Lim-Liab

3554 JUNE AVENUE NORTH

ROBBINSDALE, MN 55422

(34500)

PHONE:

952/201-9645

FAX: /-

ACR HOME ON ROBIN

Corp

4404 ROBIN AVENUE

ROBBINSDALE, MN 55422

(01628)

PHONE:

763/535-1022

FAX: 763/535-2107

COPPERFIELD HILL - THE LODGE

Lim-Liab

4200 40TH AVENUE NORTH

ROBBINSDALE, MN 55422

(20297)

PHONE:

763/231-3500

FAX: 763/231-3519

Certification

HENNEPIN

(Cont.)*

TCOMP

KAMILA AHMED

MARY JO THORNE

ANN HUSEBY

DEBORAH OJOGWU

MANAGE DEBORAH OJOGWU

ABDI ABDI

COMP

NASTEHO YASSIN

Registration

--------------------------

HWSAL-O

HWSAL

HWS

SLFB-5 ICFIID-5

GENE LEISTICO

COMP

LUCINDA GARDNER

Minnesota Department of Health

Health Regulation Division

Page

287

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

HENNEPIN

(Cont.)* --------------------------

COPPERFIELD HILL - THE MANOR

4200 40TH AVENUE NORTH

ROBBINSDALE, MN 55422

PHONE:

763/277-1001

Part

(21574)

FAX: 763/277-1015

LUCINDA GARDNER

HWSAL

Part

HWSAL

COPPERFIELD HILL THE LODGE

4020 LAKELAND AVENUE NORTH

ROBBINSDALE, MN 55422

(29966)

PHONE:

763/277-1001

FAX: 763/277-1015

LUCINDA GARDNER

EMPIRE SYSTEMS HOME CARE

Corp

HWSAL

4034 LAKE ROAD AVENUE

ROBBINSDALE, MN 55422

(35563)

PHONE:

763/225-7396

FAX: 763/592-7932

SAYNDEE SANDO

FRESENIUS MEDICAL CARE ROBBINSDALE

Corp

ESRD

4094 LAKELAND AVENUE NORTH

ROBBINSDALE, MN 55422

(27801)

PHONE:

763/533-3759

FAX: 763/533-1025

PATRICK HOWARD

NProf

NH-96

SNF-NF-96

COMMUNITY

3815 WEST BROADWAY AVENUE

ROBBINSDALE, MN 55422

(00890)

GOOD SAMARITAN SOCIETY - SPECIALTY CARE

FAX: 612/673-6270

JULIE ORGAN

PHONE:

612/332-4262

NProf

SLFB-9

ICFIID-9

LIVING WELL - 3801

3801 WEST BROADWAY AVENUE

ROBBINSDALE, MN 55422

(01379)

PHONE:

763/522-7556

FAX: 763/522-4573

CINDI SHARP

NProf

SLFB-9

ICFIID-9

LIVING WELL - 3807

3807 WEST BROADWAY AVENUE

ROBBINSDALE, MN 55422

(01475)

PHONE:

763/420-5848

FAX: 763/420-6121

TEEWON DOLOPEI

SLFB-6

ICFIID-6

LIVING WELL - FRANCE

NProf

2759 FRANCE AVENUE NORTH

ROBBINSDALE, MN 55422

(01290)

PHONE:

763/521-0387

FAX: 763/521-2294

ALI GOEPFERT

NORTH MEMORIAL HEALTH

NProf

HOSP-518 BASS-42

HOSP-474 PPS-P-26 PPS-R-18

3300 OAKDALE AVENUE NORTH

ROBBINSDALE, MN 55422

(00240)

PHONE:

763/520-5200

FAX: 763/581-4665

JEFF WICKLANDER

NORTH MEMORIAL HOSPICE CARE

NProf

Hospice

HSPICE

3500 FRANCE AVENUE NORTH #101

ROBBINSDALE, MN 55422

(02386)

PHONE:

763/581-9340

FAX: 763/581-9341

BEN MUSBURGER

Minnesota Department of Health

Health Regulation Division

Page

288

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

ROBBINSDALE A VILLA CENTER

3130 GRIMES AVENUE NORTH

ROBBINSDALE, MN 55422

PHONE:

763/588-0771

ROBBINSDALE DIALYSIS

3461 WEST BROADWAY AVENUE

ROBBINSDALE, MN 55422

PHONE:

763/521-4865

ST. THERESE TCU NORTH, LLC

3300 OAKDALE AVENUE NORTH #4

ROBBINSDALE, MN 55422

PHONE:

763/581-8460

TFF CARE, LLC

4200 40TH AVENUE NORTH

ROBBINSDALE, MN 55422

PHONE:

763/231-3500

TOTALCARE ASSISTED LIVING SERVICES

4301 FRANCE AVENUE NORTH

ROBBINSDALE, MN 55422

PHONE:

763/208-1572

HAPPY END HOMES INC

808 17TH AVENUE NORTHEAST

ROCHESTER, MN 55906

PHONE:

612/707-7715

CHEV'S PLACE LLC

13902 JASMINE WAY

ROGERS, MN 55374

PHONE:

763/444-1881

DIAMONDCREST SENIOR LIVING

20500 SOUTH DIAMOND LAKE ROAD

ROGERS, MN 55374

PHONE:

763/428-8181

ELSELIA HOME HEALTHCARE SERVICES INC

14096 GADWALL LANE

ROGERS, MN 55374

PHONE:

763/957-2560

FAMILY TREE HOMES LLC

13902 JASMINE WAY

ROGERS, MN 55374

PHONE:

763/444-1881

Lim-Liab

(00122)

FAX: 763/588-8252

NProf

(27847)

FAX: 763/522-6754

Lim-Liab

(31760)

FAX: 763/581-8461

Lim-Liab

(20297)

FAX: 763/231-3519

Lim-Liab

(32046)

FAX: 763/205-1703

Corp

(34960)

FAX: /-

Lim-Liab

(33610)

FAX: 763/400-4979

Lim-Liab

(23988)

FAX: 763/428-3252

Corp

(35734)

FAX: 612/249-8749

Lim-Liab

(32771)

FAX: 763/400-4979

Certification

Registration

HENNEPIN

(Cont.)* --------------------------

NH-75 SNF-NF-75

KATHLEEN PANKRATZ

ESRD

ARRO MOHAMUD

NH-32 SNF-NF-32

SARA STERLING

COMP

LUCINDA GARDNER

HWSAL

NNENNA ANYAOGU

TCOMP

ALI SALAH

HWSAL

CAMMIE WARBURTO

HWSAL

LISA NEWCOMB

TCOMP

ELIJAH YARPAH

COMP

JILL SMITH

Minnesota Department of Health

Health Regulation Division

Page

289

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

FIRST CHOICE RESIDENTIAL

Lim-Liab

19375 HARMONY AVENUE

ROGERS, MN 55374

(34507)

PHONE:

763/232-3558

FAX: /-

FIVE STAR REHABILITATION AND WELLNESS SERVICES AT

Lim-Liab

ROGERS

20600 SOUTH DIAMOND LAKE ROAD

ROGERS, MN 55374

PHONE:

763/428-1981

NOVACARE REHABILITATION EAST, INC.

21395 JOHN MILLESS DRIVE

ROGERS, MN 55374

PHONE:

763/428-2589

THE WELLSTEAD OF ROGERS

20600 SOUTH DIAMOND LAKE ROAD

ROGERS, MN 55374

PHONE:

763/428-1981

THE WELLSTEAD OF ROGERS

20600 SOUTH DIAMOND LAKE ROAD

ROGERS, MN 55374

PHONE:

763/428-1981

SOJOURN SUITES, LLC

5845 COUNTRY CLUB ROAD

SHOREWOOD, MN 55331

PHONE:

952/470-2216

THE PILLARS OF SHOREWOOD LANDING

6000 CHASKA ROAD

SHOREWOOD, MN 55331

PHONE:

952/401-7444

LAKE MINNETONKA SHORES

4527 SHORELINE DRIVE

SPRING PARK, MN 55384

PHONE:

952/471-4000

LAKE MINNETONKA SHORES

4559 SHORELINE DRIVE

SPRING PARK, MN 55384

PHONE:

952/471-4001

LAKE MINNETONKA SHORES

4527 SHORELINE DRIVE

SPRING PARK, MN 55384

PHONE:

952/471-4001

(27747)

FAX: 763/428-3792

Corp

(03769)

FAX: 763/428-4672

Lim-Liab

(20700)

FAX: 763/428-3792

Lim-Liab

(30762)

FAX: 763/428-3792

Lim-Liab

(22590)

FAX: 952/400-3542

Lim-Liab

(33359)

FAX: 952/401-7430

NProf

(00271)

FAX: 952/471-4200

NProf

(20219)

FAX: 952/471-4309

Lim-Liab

(27953)

FAX: 952/471-6084

Certification

Registration

HENNEPIN

(Cont.)* --------------------------

TCOMP

MOMODOU FOFANA

Out Pt Out St Out Ot

DENISE KELLY

Out Pt Out St Out Ot

DONN BERKELAND

COMP

LISA NEWCOMB

HWSAL

LISA NEWCOMB

HWSAL

THOMAS PENN

HWSAL

ERIN HILLIGAN

NH-104 SNF-NF-104

LYDIA BUETOW

HWSAL

ISAAC RUE

COMP

NATALIE MORLAND

Minnesota Department of Health

Health Regulation Division

Page

290

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

GOLDEN BRIGHT HOMES LLC

2842 RALEIGH AVENUE

ST LOUIS PARK, MN 55416

PHONE:

763/732-2269

ABC HOME HEALTH CARE PLUS, LLC

3055 OLD HIGHWAY 8, #111

ST. ANTHONY, MN 55418

PHONE:

612/326-9377

ABLE CARE CONNECT HOME HEALTH

3701 CHANDLER DRIVE #526

ST. ANTHONY, MN 55421

PHONE:

612/788-4557

GOLDEN HOME LIVING LLC

2702 37TH AVENUE NE

ST. ANTHONY, MN 55421

PHONE:

651/334-7979

GOLDEN HOME LIVING, LLC

2700 37TH AVENUE NE

ST. ANTHONY, MN 55421

PHONE:

651/334-7979

GOLDEN HOME LVING LLC

2700 37TH AVENUE NE

ST. ANTHONY, MN 55421

PHONE:

651/334-7979

MERCY HOME HEALTH LLC

3055 OLD HIGHWAY 8 STE 101H

ST. ANTHONY, MN 55418

PHONE:

612/353-5464

OLYMPIC GROUP HOME LLC

3055 OLD HIGHWAY 8 #202

ST. ANTHONY, MN 55418

PHONE:

952/393-2051

PROVIDENT HOME HEALTHCARE

2817 ANTHONY LANE SOUTH #301

ST. ANTHONY, MN 55418

PHONE:

612/238-4688

SHARMARKE CARE HOME INC

2817 ANTHONY LANE SOUTH #214

ST. ANTHONY, MN 55418

PHONE:

763/516-5914

Lim-Liab

(36089)

FAX: /-

Lim-Liab

(30100)

FAX: 612/326-9377

Lim-Liab

(27693)

FAX: 651/202-4422

Lim-Liab

(35309)

FAX: /-

Lim-Liab

(35486)

FAX: /-

Lim-Liab

(35107)

FAX: /-

Lim-Liab

(32193)

FAX: 612/354-3460

Lim-Liab

(35787)

FAX: /-

Corp

(26906)

FAX: 612/238-4689

Corp

(35560)

FAX: 763/592-7961

Certification

HENNEPIN

(Cont.)*

FARHIA SAID

COMP HHA

ADAN DIRIE

COMP HHA

JENNIFER BALLATINE

IDIRIS MOHAMUD

KEILLEN CURTIS

TCOMP

KEILLEN CURTIS

COMP

YOONIS HASSAN

TCOMP

IBRAHIM MAHAMUD

COMP HHA

RAMONA ERICKSON

TCOMP

KAMALUDIN OSMAN

Registration

--------------------------

HWSAL-O

HWS-O

Minnesota Department of Health

Health Regulation Division

Page

291

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

THE LEGACY OF ST. ANTHONY

Lim-Liab

2540 KENZIE TERRACE

ST. ANTHONY, MN 55418

(29718)

PHONE:

612/843-3700

FAX: 612/843-3705

THE LEGACY OF ST. ANTHONY

Lim-Liab

2540 KENZIE TERRACE

ST. ANTHONY, MN 55418

(29719)

PHONE:

612/843-3700

FAX: 920/925-0255

ALLY GROUP HOMES LLC

Lim-Liab

2944 PRINCETON AVENUE SOUTH

ST. LOUIS PARK, MN 55416

(36106)

PHONE:

612/598-4311

FAX: /-

APPLE GROUP HOME INC

Corp

1404 KENTUCKY AVENUE SOUTH

ST. LOUIS PARK, MN 55426

(36035)

PHONE:

612/242-6245

FAX: /-

AT YOUR SERVICE SENIOR ASSISTANCE LLC

Lim-Liab

2801 VERNON AVENUE SOUTH

ST. LOUIS PARK, MN 55416

(34444)

PHONE:

/-

FAX: /-

BRIGHT PATH HOMES

Lim-Liab

7216 WEST 18TH STREET

ST. LOUIS PARK, MN 55426

(34407)

PHONE:

952/658-6176

FAX: /-

BRIGHT PATH HOMES LLC

Lim-Liab

7216 WEST 18TH STREET

ST. LOUIS PARK, MN 55426

(34774)

PHONE:

952/658-6176

FAX: /-

BRIGHTON HOSPICE

Lim-Liab

4500 PARK GLEN ROAD #475

ST. LOUIS PARK, MN 55416

(29960)

PHONE:

952/856-2212

FAX: 952/856-2219

CENTER FOR DIAGNOSTIC IMAGING

Lim-Liab

5775 WAYZATA BOULEVARD #190

ST. LOUIS PARK, MN 55416

(21792)

PHONE:

952/738-4810

FAX: 952/738-4409

CHRISTIAN SERVANTS HOME CARE LLC

Lim-Liab

8410 CEDAR LAKE ROAD

ST. LOUIS PARK, MN 55426

(35187)

PHONE:

920/740-5431

FAX: /-

Certification

Registration

HENNEPIN

(Cont.)* --------------------------

COMP

LESLIE LEITH

LES LEITH

AMAL AHMED

NUH ABDULLAHI AHMED

BARBARA HEINZ

COMP

MOSES GIBSON

Hospice

TRAVIS EASTON

Outpt Surg

TIFFANY SPARTZ

TBASIC

BILL RENZ

HWSAL

HWSAL-O

Home Mgmt

HSPICE

Amb Surg

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

292

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

COMFORT RESIDENCE ST. LOUIS PARK

Lim-Liab

7115 WAYZATA BOULEVARD

ST. LOUIS PARK, MN 55426

(31139)

PHONE:

952/641-0100

FAX: 952/452-9444

CRESCENT COVE

NProf

3440 BELTLINE BOULEVARD #207

ST. LOUIS PARK, MN 55416

(32770)

PHONE:

952/426-4711

FAX: /-

EMILY J RUGUT

Lim-Liab

8308 WEST 30 1/2 STREET

ST. LOUIS PARK, MN 55426

(34085)

PHONE:

952/200-8609

FAX: /-

EVERYTIME HOME CARE

Lim-Liab

2257 LOUISIANA AVENUE SOUTH

ST. LOUIS PARK, MN 55426

(21115)

PHONE:

952/848-0935

FAX: 952/920-6929

FIRST LIGHT RESIDENTIAL CARE LLC

Lim-Liab

2935 AQUILA AVENUE SOUTH

ST. LOUIS PARK, MN 55426

(34858)

PHONE:

612/404-7552

FAX: /-

FIRST LIGHT RESIDENTIAL CARE LLC

Lim-Liab

2935 AQUILA AVENUE SOUTH

ST. LOUIS PARK, MN 55426

(35226)

PHONE:

612/404-7552

FAX: /-

FRESENIUS MEDICAL CARE ST. LOUIS PARK

Corp

5680 36TH STREET WEST

ST. LOUIS PARK, MN 55416

(27143)

PHONE:

952/926-0959

FAX: 952/926-3694

GOLDEN BRIGHT HOMES LLC

Lim-Liab

2842 RALEIGH AVENUE

ST. LOUIS PARK, MN 55416

(35627)

PHONE:

763/732-2269

FAX: /-

H & H GROUP HOME LLC

Lim-Liab

3541 AQUILA AVENUE SOUTH

ST. LOUIS PARK, MN 55426

(35922)

PHONE:

952/688-7713

FAX: /-

KNOLLWOOD PLACE APARTMENTS

NProf

3630 PHILLIPS PARKWAY

ST. LOUIS PARK, MN 55426

(20232)

PHONE:

952/939-1601

FAX: 952/933-1485

Certification

Registration

HENNEPIN

(Cont.)* --------------------------

LORI MCGUIRE

Hospice

KATIE LINDENFELSER

COMP

EMILY RUGUT

COMP HHA

LUIS OROZCO

TCOMP

SOFIA MOHAMED

ESRD

DANIELLE MEULENERS

TCOMP

FARHIA SIAD

NAJMA ALI

RONALD DONACIK

HWSAL

HWSAL-O

HWS

Minnesota Department of Health

Health Regulation Division

Page

293

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

LIFESPRK

Lim-Liab

5320 WEST 23RD STREET #130

ST. LOUIS PARK, MN 55416

(23501)

PHONE:

952/345-8770

FAX: 952/345-8771

LIFESPRK HOME HEALTH

Lim-Liab

5320 WEST 23RD STREET #130

ST. LOUIS PARK, MN 55416

(25570)

PHONE:

952/345-3310

FAX: 952/345-1101

LIFESPRK HOSPICE LLC

Lim-Liab

5320 WEST 23RD STREET #130

ST. LOUIS PARK, MN 554161670

(35835)

PHONE:

952/737-4350

FAX: 952/737-4351

LIFESPRK LLC

Lim-Liab

5320 WEST 23RD STREET #1

ST. LOUIS PARK, MN 55416

(30082)

PHONE:

952/345-8770

FAX: 952/345-8771

MENORAH PLAZA APARTMENTS

NProf

4925 MINNETONKA BOULEVARD

ST. LOUIS PARK, MN 55416

(20195)

PHONE:

952/653-3681

FAX: 952/746-0677

MENORAH WEST APARTMENTS

NProf

3600 PHILLIPS PARKWAY

ST. LOUIS PARK, MN 55426

(21774)

PHONE:

952/653-3680

FAX: 952/746-0677

MERRCY CARE HOME LLC

Lim-Liab

1609 EDGEWOOD AVENUE SOUTH

ST. LOUIS PARK, MN 55426

(36116)

PHONE:

952/564-0682

FAX: /-

METHODIST HOSPITAL

NProf

6500 EXCELSIOR BLVD PO BOX 650

ST. LOUIS PARK, MN 554264702

(00230)

PHONE:

952/993-5000

FAX: 952/993-5936

MINNESOTA MEDICAL AND REHABILITATIVE SERVICES, LLC

Lim-Liab

4201 EXCELSIOR BOULEVARD

ST. LOUIS PARK, MN 55416

(21768)

PHONE:

952/933-8900

FAX: /-

MOTIVATE HOME SERVICES LLC

Lim-Liab

2257 LOUISIANA AVENUE SOUTH

ST. LOUIS PARK, MN 55426

(25498)

PHONE:

952/848-0935

FAX: 952/920-6929

Certification

Registration

HENNEPIN

(Cont.)* --------------------------

COMP

PAULETTE DUNCAN

COMP HHA

SHANNON PODEWILS

Hospice

LISA WEBER

COMP

PAULETTE DUNCAN

HWS

BETSY LAMARRE

HWS

BETSY LAMARRE

HWS-O

BURHAN DAYNAB

HOSP-426 BASS-50 HOSP-426 PPS-R-0

JENNIFER MYSTER

CORF

OLGA SHEVELEVA

COMP

LUIS OROZCO

Minnesota Department of Health

Health Regulation Division

Page

294

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

HENNEPIN

(Cont.)* --------------------------

PARK HEALTH A VILLA CENTER

Lim-Liab

NH-70 SNF-NF-70

4415 WEST 36 1/2 STREET

ST. LOUIS PARK, MN 55416

(00129)

PHONE:

952/927-9717

FAX: 952/516-5903

ASHLEY REDFERN

PARK NICOLLET METHODIST HOSPITAL

NProf

HOSP-426 BASS-50 HOSP-426 PPS-R-0

6500 EXCELSIOR BLVD PO BOX 650

ST. LOUIS PARK, MN 554264702

(00230)

PHONE:

952/993-5000

FAX: 952/993-5936

JENNIFER MYSTER

PARK NICOLLET METHODIST HOSPITAL HOSPICE

NProf

Hospice HSPICE

6500 EXCELSIOR BOULEVARD

ST. LOUIS PARK, MN 55426

(02422)

PHONE:

952/993-6087

FAX: 952/993-7727

NANCY GELLE

PARKSHORE SENIOR CAMPUS, LLC

Lim-Liab

HWSAL

3633 PARK CENTER BOULEVARD

ST. LOUIS PARK, MN 55416

(20427)

PHONE:

952/925-6231

FAX: 952/926-6823

MICHAEL GOULD

PARKSHORE SENIOR CAMPUS, LLC

Lim-Liab

HWS

3663 PARK CENTER BOULEVARD

ST. LOUIS PARK, MN 55416

(20868)

PHONE:

952/925-6231

FAX: 952/926-6823

MICHAEL GOULD

ROITENBERG FAMILY ASSISTED LIVING

Lim-Liab

HWSAL

3610 PHILLIPS PARKWAY SOUTH

ST. LOUIS PARK, MN 55426

(21691)

PHONE:

952/908-1700

FAX: 952/908-1777

RONALD DONACIK

ROSECOURT ASSISTED LIVING

Lim-Liab

COMP

2257 LOUISIANA AVENUE SOUTH

ST. LOUIS PARK, MN 55426

(25498)

PHONE:

952/848-0935

FAX: 952/920-6929

LUIS OROZCO

SAFE HARBOR RESIDENTIAL CARE HOME LLC

Lim-Liab

TCOMP HWSAL-O

9812 FORD CIRCLE

ST. LOUIS PARK, MN 55426

(34674)

PHONE:

952/451-9469

FAX: /-

MEEKA SINGH

SAFE HARBOR RESIDENTIAL CARE HOME LLC

Lim-Liab

TCOMP HWSAL-O

9812 FORD CIRCLE

ST. LOUIS PARK, MN 55426

(34674)

PHONE:

952/451-9469

FAX: /-

MEEKA SINGH

SECOND HORIZON LIVING LLC

Lim-Liab

HWSAL

3550 FRANCE AVENUE SOUTH

ST. LOUIS PARK, MN 55416

(34012)

PHONE:

612/245-6153

FAX: 612/216-0070

YVONNE FERGUSON

Minnesota Department of Health

Health Regulation Division

Page

295

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

SECOND HORIZON LIVING LLC

Lim-Liab

3550 FRANCE AVENUE SOUTH

ST. LOUIS PARK, MN 55416

(33473)

PHONE:

612/245-6153

FAX: 612/314-8720

SHOLOM COMMUNITY ALLIANCE HOME HEALTH CARE

NProf

3620 PHILLIPS PARKWAY

ST. LOUIS PARK, MN 55426

PHONE:

651/328-2320

SHOLOM HOME WEST, INC.

3620 PHILLIPS PARKWAY

ST. LOUIS PARK, MN 55426

PHONE:

952/935-6311

SILVERCARE LLC

5402 PARKDALE #301

ST. LOUIS PARK, MN 55416

PHONE:

952/922-9540

ST. LOUIS PARK DIALYSIS CENTER

3505 LOUISIANA AVENUE SOUTH

ST. LOUIS PARK, MN 55426

PHONE:

952/285-1400

STONECREST LIVING

9020 WEST 31ST STREET

ST. LOUIS PARK, MN 55426

PHONE:

612/991-2140

TEXAS TERRACE A VILLA CENTER

7900 WEST 28TH STREET

ST. LOUIS PARK, MN 55426

PHONE:

952/920-8380

THE CARING SISTERS HOME CARE SERVICES, INC

2852 YOSEMITE AVENUE SOUTH

ST. LOUIS PARK, MN 55416

PHONE:

952/924-0575

THE CARING SISTERS HOME CARE SERVICES, INC

2833 YOSEMITE AVENUE SOUTH

ST. LOUIS PARK, MN 55416

PHONE:

952/924-0575

(21400)

FAX: 651/328-2070

NProf

(00380)

FAX: 952/908-1771

Lim-Liab

(29469)

FAX: 952/922-9520

Corp

(02112)

FAX: 952/285-1406

Lim-Liab

(35487)

FAX: 612/392-7928

Lim-Liab

(00144)

FAX: 952/920-7866

Corp

(23620)

FAX: 952/285-2844

Corp

(24801)

FAX: 952/426-4691

THE CARING SISTERS HOME CARE SERVICES, INC.

Corp

2833 YOSEMITE AVENUE SOUTH

ST. LOUIS PARK, MN 55416

(20820)

PHONE:

952/426-4690

FAX: 952/426-4691

Certification

Registration

HENNEPIN

(Cont.)* --------------------------

COMP

YVONNE FERGUSON

COMP

LEANNE WOLLERMAN

NH-154 SNF-NF-154

CHARLES HEIDBRINK

COMP

DENISE JUDAY BARNETT

ESRD

JENNIFER WHIPPLE

HWSAL-O

MUNASIR GABEYNE

NH-112 SNF-NF-112

PAT VOELKER

HWSAL

OLALEYE BECKLEY

HWSAL

OLALEYE BECKLEY

COMP

OLALEYE BECKLEY

Minnesota Department of Health

Health Regulation Division

Page

296

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

THE ESTATES AT ST. LOUIS PARK LLC

3201 VIRGINIA AVENUE SOUTH

ST. LOUIS PARK, MN 55426

PHONE:

952/935-0333

THE VILLA AT ST. LOUIS PARK

7500 WEST 22ND STREET

ST. LOUIS PARK, MN 55426

PHONE:

952/641-9202

THE WAYSIDE HOUSE, INC.

3705 PARK CENTER BOULEVARD

ST. LOUIS PARK, MN 55416

PHONE:

952/926-5626

TOWER LIGHT

3601 WOODDALE AVENUE SOUTH

ST. LOUIS PARK, MN 55416

PHONE:

763/252-9283

THREE STARS GROUP HOMES LLC

630 VIRGINIA STREET

ST. PAUL, MN 55103

PHONE:

651/468-4729

SOJOURN AT HOME, LLC

4270 CIRCLE ROAD

TONKA BAY, MN 55331

PHONE:

612/790-9292

SOJOURN SUITES, LLC

4270 CIRCLE ROAD

TONKA BAY, MN 55331

PHONE:

612/790-9292

BB HOME HEALTHCARE

110 CIRCLE A DRIVE SOUTH

WAYZATA, MN 55391

PHONE:

239/288-3735

EDEN PATHWAYS

700 TWELVE OAKS CENTER DR #200

WAYZATA, MN 55391

PHONE:

952/658-8140

EXCELLENCE LIVING CONNECTIONS

700 TWELVE OAKS CENTER DR #221

WAYZATA, MN 55391

PHONE:

612/735-2125

Lim-Liab

(00943)

FAX: 952/935-6747

Lim-Liab

(00278)

FAX: 952/546-7164

NProf

(01647)

FAX: 952/926-9713

Lim-Liab

(28790)

FAX: 952/922-2644

Lim-Liab

(35233)

FAX: /-

Lim-Liab

(28267)

FAX: 952/400-3542

Lim-Liab

(26695)

FAX: 952/400-3542

Lim-Liab

(35675)

FAX: /-

Lim-Liab

(34756)

FAX: 952/446-7283

Lim-Liab

(34965)

FAX: /-

Certification

Registration

HENNEPIN

(Cont.)* --------------------------

NH-175 SNF-NF-175

TALIA PLETCHER

NH-114 SNF-NF-114

EMILY JENKINS

SLFA-41

CARRIE SALSNESS

HWSAL

ERIN HILLIGAN

TCOMP

DEBESAY GIRMAUL

BASIC

THOMAS PENN

COMP

THOMAS PENN

TCOMP

BARBARA BURNS

TCOMP HCBS

ROXANEE PIERRE

Home Mgmt

DANIEL POLLEN

Minnesota Department of Health

Health Regulation Division

Page

297

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

FOLKESTONE

NProf

100 PROMENADE AVENUE

WAYZATA, MN 55391

(28617)

PHONE:

952/249-2400

FAX: 952/249-2501

FOLKESTONE NORTH

NProf

100 PROMENADE AVENUE

WAYZATA, MN 55391

(29889)

PHONE:

952/249-2400

FAX: 952/249-2401

GLOBAL HOME CARE

Corp

1001 TWELVE OAKS CNTR DR #1018

WAYZATA, MN 55391

(34013)

PHONE:

763/210-1414

FAX: 651/925-0423

HAMMER - CARLSON

NProf

16325 COUNTY ROAD 15

WAYZATA, MN 55391

(20875)

PHONE:

952/473-1261

FAX: 952/473-8629

HAMMER - RIDGEVIEW

NProf

401 RIDGEVIEW DRIVE

WAYZATA, MN 55391

(04306)

PHONE:

952/473-1261

FAX: 952/473-8629

HAMMER - SHERIDAN

NProf

2412 SHERIDAN HILLS CURVE

WAYZATA, MN 55391

(21172)

PHONE:

952/473-1261

FAX: 952/473-8629

MERIDIAN MANOR

Lim-Liab

163 WAYZATA BOULEVARD WEST

WAYZATA, MN 55391

(21781)

PHONE:

952/473-3200

FAX: 952/404-1540

MERIDIAN MANOR

Lim-Liab

163 WEST WAYZATA BOULEVARD

WAYZATA, MN 55391

(29081)

PHONE:

952/473-3200

FAX: 952/404-1540

VISITING ANGELS

Corp

901 12 OAKS CENTER #919

WAYZATA, MN 55391

(21675)

PHONE:

952/935-0789

FAX: 952/935-0778

WAYZATA SURGERY CENTER

Lim-Liab

935 WAYZATA BLVD EAST #200

WAYZATA, MN 55391

(30271)

PHONE:

763/559-4500

FAX: 763/559-1733

Certification

Registration

HENNEPIN

(Cont.)* --------------------------

NH-30

MARK SPECHT

BETH FRIES

TCOMP HCBS

DEBORAH SCHUHMACHER

SLFB-6

JOHN ESTREM

SLFB-6

JOHN ESTREM

SLFB-6

JOHN ESTREM

AMY FLOY

COMP

AMY FLOY

COMP

TERRI DEVEAU

CRISTY GERARD

SNF-30

HWSAL

ICFIID-6

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

298

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

CALEDONIA CARE AGENCY

Lim-Liab

425 NORTH BADGER STREET

CALEDONIA, MN 55921

(20196)

PHONE:

507/725-3351

FAX: 507/725-5142

CALEDONIA REHABILITATION & RETIREMENT CENTER

Lim-Liab

425 NORTH BADGER STREET

CALEDONIA, MN 55921

(00073)

PHONE:

507/725-3351

FAX: 507/725-5142

CALEDONIA REHABILITATION AND RETIREMENT CENTER

Lim-Liab

425 NORTH BADGER STREET

CALEDONIA, MN 55921

PHONE:

507/725-3351

CLADDAGH SENIOR LIVING

508 KRUCKOW AVENUE NORTH

CALEDONIA, MN 55921

PHONE:

507/725-5200

CLADDAGH SENIOR LIVING CALEDONIA

508 KRUCKOW AVENUE NORTH

CALEDONIA, MN 55921

PHONE:

507/725-5200

ROSEVIEW COURT CARE AGENCY

425 NORTH BADGER STREET

CALEDONIA, MN 55921

PHONE:

507/725-3351

A.B.L.E., INC. - HOUSTON

105 WEST ELM STREET BOX 245

HOUSTON, MN 55943

PHONE:

507/896-3040

HERITAGE COURT

110 HENDERSON STREET

HOUSTON, MN 55943

PHONE:

507/896-5135

VALLEY VIEW HEALTHCARE & REHAB

510 EAST CEDAR STREET

HOUSTON, MN 55943

PHONE:

507/896-3125

VALLEY VIEW HEALTHCARE & REHAB

510 EAST CEDAR STREET

HOUSTON, MN 55943

PHONE:

507/896-3125

(30441)

FAX: 507/725-5142

Lim-Liab

(33092)

FAX: /-

Lim-Liab

(33458)

FAX: 507/725-5115

Lim-Liab

(20196)

FAX: 507/725-5142

NProf

(01611)

FAX: 507/895-4505

NProf

(20339)

FAX: 507/896-3289

NProf

(00286)

FAX: 507/896-3289

NProf

(32112)

FAX: 507/896-3289

Certification

Registration

HOUSTON

******** --------------------------

COMP

CHARLES NESS

NH-49 SNF-NF-49

JOHN L'HEUREUX

HWSAL

JASON LEE

COMP

CARMEL LEDEBUHR

HWSAL

LARRY LEDEBUHR

COMP

CHARLES NESS

SLFB-6 ICFIID-6

GAIL MEYER

HWS

MICHAEL CORCHRAN

NH-45 SNF-NF-45

MICHAEL CORCHRAN

COMP

MIKE CORCHRAN

Minnesota Department of Health

Health Regulation Division

Page

299

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

A.B.L.E. INC. - LACRESCENT

NProf

1700 LANCER BOULEVARD

LA CRESCENT, MN 55947

(01419)

PHONE:

507/895-8111 FAX: 507/895-4505

LA CRESCENT HEALTH SERVICES

Lim-Liab

101 SOUTH HILL STREET

LA CRESCENT, MN 55947

(00936)

PHONE:

507/895-4445 FAX: 507/895-7195

SPRINGBROOK VILLAGE OF LA CRESCENT LLC

Lim-Liab

1384 COUNTY ROAD 25

LA CRESCENT, MN 55947

(33432)

PHONE:

715/598-7040 FAX: 715/598-7042

SPRINGBROOK VILLAGE OF LA CRESCENT LLC

Lim-Liab

1384 COUNTY ROAD 25

LA CRESCENT, MN 55947

(33651)

PHONE:

715/598-7040 FAX: 715/598-7042

TRADITIONS OF LA CRESCENT

Lim-Liab

333 SOUTH 2ND STREET

LA CRESCENT, MN 55947

(29352)

PHONE:

507/895-6447 FAX: 507/895-6065

SPRING GROVE ASSISTED LIVING LLC

Lim-Liab

130 5TH AVENUE SE

SPRING GROVE, MN 55974

(30478)

PHONE: 507/498-4000 FAX: 507/498-4001

SPRING GROVE ASSISTED LIVING, LLC

Lim-Liab

130 5TH AVENUE SE

SPRING GROVE, MN 55974

(23911)

PHONE: 507/498-4000 FAX: 507/498-4001

TWEETEN/LUTHERAN HEALTH CARE CENTER

NProf

125 5TH AVENUE SE

SPRING GROVE, MN 55974

(00285)

PHONE:

507/498-3211 FAX: 507/498-3228

---------------------------**********

PINE MANORS, INC.

Corp

22195 STATE 34

NEVIS, MN 56467

(01578)

PHONE:

218/732-4337 FAX: 218/732-0399

Certification

Registration

HOUSTON

(Cont.)* --------------------------

SLFB-15 ICFIID-15

GAIL MEYER

NH-42 SNF-NF-42

JACOB LUEHMANN

COMP HCBS

ROBERT SIMONSON

HWSAL

ROBERT SIMONSON

HWSAL

DESIREE EHLERT

HWSAL

NICOLE KIMMERLE

COMP

BRENT KIMMERLE

NH-50 SNF-NF-50

MICHELLE BORRESON

HUBBARD

******** --------------------------

SLFA-28 SLFB-8

RACHEL MUELLER

Minnesota Department of Health

Health Regulation Division

Page

300

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

CARE AGE COUNTRY HOME

Corp

18846 EAGLE BEND ROAD

PARK RAPIDS, MN 56470

(30408)

PHONE:

218/732-3721

FAX: 218/237-2501

CRYSTAL BROOK SENIOR LIVING

Lim-Liab

1006 CROCUS HILL STREET

PARK RAPIDS, MN 56470

(34332)

PHONE:

218/699-3605

FAX: 218/699-3604

DIAMOND WILLOW OF PARK RAPIDS 1

Lim-Liab

909 CROCUS HILL STREET

PARK RAPIDS, MN 56470

(25123)

PHONE:

218/732-1671

FAX: 218/732-2666

DIAMOND WILLOW OF PARK RAPIDS 2

Lim-Liab

911 CROCUS HILL STREET

PARK RAPIDS, MN 56470

(25122)

PHONE:

218/732-1674

FAX: 218/732-2665

ESSENTIA HEALTH PARK RAPIDS CLINIC

Corp

705 PLEASANT AVENUE

PARK RAPIDS, MN 56470

(30998)

PHONE:

218/732-2800

FAX: 218/732-2874

HERITAGE COTTAGE ON 5TH

Cnty

615 WEST 6TH STREET

PARK RAPIDS, MN 56470

(26535)

PHONE:

218/237-8345

FAX: 218/237-8348

HERITAGE COTTAGE ON 6TH

Cnty

611 WEST 6TH STREET

PARK RAPIDS, MN 56470

(26536)

PHONE:

218/237-8345

FAX: 218/237-8348

HERITAGE LIVING CENTER

Cnty

619 WEST 6TH STREET

PARK RAPIDS, MN 56470

(00288)

PHONE:

218/732-3329

FAX: 218/732-9125

HERITAGE MANOR

Cnty

602 FAIR AVENUE

PARK RAPIDS, MN 56470

(21235)

PHONE:

218/237-8345

FAX: 218/237-8348

HERITAGE MANOR

Cnty

602 FAIR AVENUE

PARK RAPIDS, MN 56470

(30727)

PHONE:

218/237-8345

FAX: 218/237-8348

Certification

HUBBARD

(Cont.)*

TIM MATROS

MARNIE GUGISBERG

SARA KLEINSCHMIDT

RHC

KIM MAY

KURT HANSEN

Registration

--------------------------

HWSAL

KURT HANSEN

NH-64 SNF-NF-64

KURT HANSEN

COMP

CLEO HARTUNG

HWSAL

KURT HANSEN

Minnesota Department of Health

Health Regulation Division

Page

301

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

PARK RAPIDS PHYSICAL THERAPY AND REHABILITATION

Corp

200 SOUTH MAIN STREET

PARK RAPIDS, MN 56470

(03572)

PHONE:

218/732-0868 FAX: /-

ST. JOSEPH'S AREA HEALTH SERVICES

Church

323 MAIN AVENUE SOUTH

PARK RAPIDS, MN 56470

(03458)

PHONE:

218/732-4552 FAX: 218/732-1273

ST. JOSEPH'S AREA HEALTH SERVICES

Church

600 PLEASANT AVENUE

PARK RAPIDS, MN 56470

(00287)

PHONE:

218/732-3311 FAX: 218/732-1368

---------------------------**********

ELMHURST COMMONS

400 3RD STREET SW

BRAHAM, MN 55006

PHONE:

320/396-0440

B'S HOMECARE INC

140 BIRCH STREET NORTH #103

CAMBRIDGE, MN 55008

PHONE:

763/689-8984

CAMBRIDGE INDUSTRIAL REHAB CLINIC, HEALTH

DIMENSION REHAB, INC.

1994 EAST RUM RIVER DRIVE S

CAMBRIDGE, MN 55008

PHONE:

763/689-5385

CAMBRIDGE MEDICAL CENTER

701 SOUTH DELLWOOD STREET

CAMBRIDGE, MN 55008

PHONE:

763/689-7700

Corp

(30591)

FAX: 320/396-0038

Corp

(30354)

FAX: 763/689-1170

Corp

(02443)

FAX: 763/689-5558

NProf

(00295)

FAX: 763/688-7941

CENTRACARE KIDNEY PROGRAM - CAMBRIDGE DIALYSIS

NProf

520 11TH AVENUE SW SOUTH BLDG

CAMBRIDGE, MN 55008

(25908)

PHONE:

763/691-1333 FAX: 763/691-0999

DEBRA L HADDEN

Lim-Liab

PO BOX 305

CAMBRIDGE, MN 55008

(29278)

PHONE:

612/702-5995 FAX: /-

Certification

Registration

HUBBARD

(Cont.)* --------------------------

Out Pt Out St Out Ot

SHARON ERICKSON

Hospice HSPICE

BEN KOPPELMAN

HOSP-50 BASS-10 CAH-25

BEN KOPPELMAN

ISANTI

******** --------------------------

CHUCK PETRICH

COMP

BRANDY HERBST

MARK ESSLING

HOSP-86 BASS-15

KELLY SPRATT

SHERRY WENTWORTH

BASIC

DEBRA HADDEN

HWSAL

Out Pt Out St Out Ot

HOSP-86

ESRD

Minnesota Department of Health

Health Regulation Division

Page

302

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

GPC COMMONS

NProf

1545 RIVERHILLS PARKWAY NW

CAMBRIDGE, MN 55008

(20709)

PHONE:

763/689-1474

FAX: 763/689-6629

GRACEPOINTE CROSSING

NProf

1545 RIVERHILLS PARKWAY NW

CAMBRIDGE, MN 55008

(30763)

PHONE:

763/689-1474

FAX: 763/689-6629

GRACEPOINTE CROSSING - THE COMMONS

NProf

1545 RIVERHILLS PARKWAY NW

CAMBRIDGE, MN 55008

(20709)

PHONE:

763/689-1474

FAX: 763/689-6629

GRACEPOINTE CROSSING GABLES

NProf

1601 RIVERHILLS PARKWAY NW

CAMBRIDGE, MN 55008

(00294)

PHONE:

763/689-1474

FAX: 763/691-2200

LIVING WELL - CENTRAL

NProf

1555 CENTRAL AVENUE SW

CAMBRIDGE, MN 55008

(01371)

PHONE:

763/689-3794

FAX: 763/444-7011

ROSEWOOD SENIOR LIVING

Lim-Liab

801 MAIN STREET NORTH

CAMBRIDGE, MN 55008

(32421)

PHONE:

763/552-1340

FAX: 866/265-7173

ROSEWOOD SENIOR LIVING LLC

Lim-Liab

801 MAIN STREET NORTH

CAMBRIDGE, MN 55008

(27286)

PHONE:

763/552-1340

FAX: 866/265-7173

VISITING ANGELS - 1958

Lim-Liab

133 2ND AVENUE SW STE C & D

CAMBRIDGE, MN 55008

(26546)

PHONE:

763/552-4043

FAX: 763/689-6681

WALKER METHODIST LEVANDE HOME CARE SERVICES

NProf

2011 6TH LANE SOUTH

CAMBRIDGE, MN 55008

(26375)

PHONE:

763/325-0100

FAX: 763/325-0130

WALKER METHODIST LEVANDE LLC

Lim-Liab

2011 6TH LANE SE

CAMBRIDGE, MN 55008

(33435)

PHONE:

763/691-8888

FAX: 612/827-8458

Certification

Registration

ISANTI

(Cont.)* --------------------------

COMP

NATALIE MORLAND

BRITTANY JOHANSON

COMP

NATALIE MORLAND

NH-141

BRENDA STACHOWSKI

SLFB-6

JARRETT PUNG

COMP

NIKKITA OSTROM

COMP

KAREN CARLSON

COMP

JACLYN DUREN

CHANDA KNOOF

HWSAL

SNF-NF-141

ICFIID-6

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

303

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

PRAIRIE SENIOR COTTAGES OF ISANTI LLC

Lim-Liab

706 6TH AVENUE NE

ISANTI, MN 55040

(28490)

PHONE:

763/444-4626 FAX: 763/444-0177

PRAIRIE SENIOR COTTAGES OF ISANTI LLC

Lim-Liab

706 6TH AVENUE NE

ISANTI, MN 55040

(30809)

PHONE:

763/444-4626 FAX: 763/444-0177

BRASK HAVEN, INC.

Corp

31274 JULLIARD STREET NE

NORTH BRANCH, MN 55056

(30796)

PHONE:

651/674-7433 FAX: 651/237-0563

---------------------------**********

BIGFORK VALLEY COMMUNITIES

258 PINE TREE DRIVE PO BOX 258

BIGFORK, MN 56628

PHONE:

218/743-1772

BIGFORK VALLEY HOME CARE

258 PINE TREE DRIVE

BIGFORK, MN 56628

PHONE:

218/743-1004

BIGFORK VALLEY HOSPITAL

258 PINE TREE DRIVE

BIGFORK, MN 56628

PHONE: 218/743-3177

BIGFORK VALLEY VILLA

258 PINE TREE DRIVE

BIGFORK, MN 56628

PHONE:

218/743-1000

BIGFORK VALLEY VILLA ASSISTED LIVING

258 PINE TREE DRIVE

BIGFORK, MN 56628

PHONE:

218/743-1004

EDGEWOOD CARE INC

102 10TH AVENUE PO BOX 39

BOVEY, MN 55709

PHONE:

218/245-3550

Dist

(00834)

FAX: 218/743-4327

Dist

(03846)

FAX: 218/743-3559

Dist

(00300)

FAX: 218/743-3559

Dist

(20243)

FAX: 218/743-3559

Dist

(23171)

FAX: 218/743-4160

Corp

(24649)

FAX: 218/245-3551

Certification

Registration

ISANTI

(Cont.)* --------------------------

COMP

CARRIE STAMM

HWSAL

BRYAN CHRISTIANSON

HWSAL

JODI BRASK

ITASCA

******** --------------------------

NH-40

DANI DONNER

COMP

AARON SAUDE

HOSP-20 BASS-4

AARON SAUDE

COMP

AARON SAUDE

COMP

PETER GIVING

SNF-NF-40

HHA

CAH-20

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

304

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

ITASCA

---------------------------**********

(Cont.)* --------------------------

EDGEWOOD CARE, INC

Corp

HWSAL

102 10TH AVENUE PO BOX 39

BOVEY, MN 55709

(30573)

PHONE:

218/245-3550

FAX: 218/245-3551

PETER GIVING

EDGEWOOD CARE, INC.

Corp

COMP

102 10TH AVENUE PO BOX 39

BOVEY, MN 55709

(24649)

PHONE:

218/245-3550

FAX: 218/245-3551

PETER GIVING

HOME AND COMFORT INC 2

Corp

HWSAL

908 TRAILVIEW STREET

BOVEY, MN 55709

(35689)

PHONE:

218/256-0463

FAX: 218/245-0293

REBECCA BURT

AUTUMN LANE

Corp

COMP

36858 PINCHERRY ROAD

COHASSET, MN 55721

(26859)

PHONE:

218/328-0225

FAX: 218/328-6105

LEANNE BRENDEN

AUTUMN LANE, INC.

Corp

HWSAL

36858 PINCHERRY ROAD

COHASSET, MN 55721

(23725)

PHONE:

218/328-0225

FAX: 218/328-6105

LEANNE BRENDEN

MAPLE WOODS ASSISTED LIVING AND HOME CARE

Corp

COMP

40170 COUNTY ROAD 257

COHASSET, MN 55721

(26072)

PHONE:

218/244-9458

FAX: 218/999-5657

DEAN DICKSON

MAPLE WOODS ASSISTED LIVING AND HOME CARE

Corp

HWSAL

40170 COUNTY ROAD 257

COHASSET, MN 55721

(30666)

PHONE:

218/999-9072

FAX: 218/999-5657

DEAN DICKSON

SUGAR BROOK VILLA

Corp

COMP

20868 SUGAR HILLS ROAD

COHASSET, MN 55721

(23715)

PHONE:

218/326-5730

FAX: 218/326-5713

MELISSA INGVALDSON

SUGAR BROOK VILLA

Corp

HWSAL

20868 SUGAR HILLS ROAD

COHASSET, MN 55721

(30400)

PHONE:

218/326-5730

FAX: 218/326-5713

MELISSA INGVALDSON

SUGAR BROOK VILLA, INC.

Corp

COMP

20868 SUGAR HILLS ROAD

COHASSET, MN 55721

(23715)

PHONE:

218/326-5730

FAX: 218/326-5713

MELISSA INGVALDSON

Minnesota Department of Health

Health Regulation Division

Page

305

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

HOME AND COMFORT INC

Corp

500 POWELL AVENUE

COLERAINE, MN 55722

(21439)

PHONE:

218/245-0012

FAX: 218/245-0293

HOME AND COMFORT, INC.

Corp

500 POWELL AVENUE

COLERAINE, MN 55722

(21439)

PHONE:

218/245-0012

FAX: 218/245-0293

HOME AND COMFORT, INC.

Corp

500 POWELL AVENUE

COLERAINE, MN 55722

(30761)

PHONE:

218/245-0012

FAX: 218/245-0293

DEER RIVER HEALTH CARE CENTER

NProf

115 10TH AVENUE NE

DEER RIVER, MN 56636

(00296)

PHONE:

218/246-4510

FAX: 218/246-4502

ESSENTIA HEALTH - HOMESTEAD

NProf

115 10TH AVENUE NE

DEER RIVER, MN 56636

(00296)

PHONE:

218/246-4510

FAX: 218/246-4502

ESSENTIA HEALTH DEER RIVER HOME CARE

NProf

115 10TH AVENUE NE

DEER RIVER, MN 56636

(02403)

PHONE:

218/246-4352

FAX: 218/246-4354

MAPLE WOODS ASSISTED LIVING

Corp

33310 STATE HIGHWAY 6

DEER RIVER, MN 56636

(33975)

PHONE:

218/999-9072

FAX: 218/999-9068

2CARE4U LLC

Lim-Liab

1107 4TH STREET NW

GRAND RAPIDS, MN 55744

(27332)

PHONE:

218/326-0095

FAX: 218/999-0214

BROOKSTONE MANOR INC

Corp

722 NORTH POKEGAMA AVENUE

GRAND RAPIDS, MN 55744

(20077)

PHONE:

218/326-3469

FAX: 218/326-5339

BROOKSTONE MANOR INC

Corp

722 NORTH POKEGAMA AVENUE

GRAND RAPIDS, MN 55744

(26123)

PHONE:

218/326-3469

FAX: 218/326-5339

Certification

Registration

ITASCA

(Cont.)* --------------------------

COMP

REBECCA BURT

COMP

REBECCA BURT

HWSAL

BETHEL WILCOWSKI

NH-32 HOSP-20 BASS-6 SNF-NF-32 CAH-20

MONIQUE FOX

NH-32 HOSP-20 BASS-6 SNF-NF-32 CAH-20

MONIQUE FOX

COMP HHA

TERESA LAMBERT

DEAN DICKSON

COMP

CARLA HENNING

PAULA ROCHELEAU

COMP

PAULA ROCHELEAU

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

306

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

BROOKSTONE MANOR INC

Corp

650 SE 13TH STREET

GRAND RAPIDS, MN 55744

(33597)

PHONE:

218/326-3469

FAX: 218/326-5339

CRYSTAL LAKE HOME

Corp

1971 NE 1ST AVENUE

GRAND RAPIDS, MN 55744

(23124)

PHONE:

218/999-9057

FAX: 218/999-5694

DIAMOND WILLOW OF GRAND RAPIDS 1

Lim-Liab

949 SW 11TH AVENUE

GRAND RAPIDS, MN 55744

(24815)

PHONE:

218/327-9463

FAX: 218/327-9408

DIAMOND WILLOW OF GRAND RAPIDS 2

Lim-Liab

949 B SW 11TH AVENUE

GRAND RAPIDS, MN 55744

(24816)

PHONE:

218/327-9460

FAX: 218/327-9407

FMC DIALYSIS SERVICES GRAND RAPIDS

Corp

155 SE 13TH STREET

GRAND RAPIDS, MN 55744

(03802)

PHONE:

218/327-1930

FAX: 218/327-1912

GARDEN COURT CHATEAU

Lim-Liab

2495 SW 8TH STREET

GRAND RAPIDS, MN 55744

(24912)

PHONE:

218/999-5998

FAX: 218/999-5996

GARDEN COURT CHATEAU

Lim-Liab

2495 SW 8TH STREET

GRAND RAPIDS, MN 55744

(30596)

PHONE:

218/999-5999

FAX: 218/999-5996

GRAND ITASCA CLINIC & HOSPITAL

NProf

1601 GOLF COURSE ROAD

GRAND RAPIDS, MN 55744

(00297)

PHONE:

218/326-3401

FAX: 218/999-1461

GRAND ITASCA CLINIC & HOSPITAL HC

NProf

111 SE 3RD STREET

GRAND RAPIDS, MN 55744

(02975)

PHONE:

218/999-4663

FAX: 218/999-1052

GRAND MANOR II

Part

227 13TH STREET SW

GRAND RAPIDS, MN 55744

(21147)

PHONE:

218/326-5314

FAX: 218/326-9811

Certification

ITASCA

(Cont.)*

PAULA ROCHELEAU

COMP

PAMELA FRIESEN

SARA KLEINSCHMIDT

Registration

--------------------------

HWSAL

ESRD

AMY ALLEN

COMP

MICHELLE SCHERF

HWSAL

MICHELLE SCHERF

HOSP-64 BASS-10 HOSP-64 PPS-R-0

JEAN MAC DONELL

COMP HHA

KATIE TROUMBLY

HWS

DEB SHERMAN

Minnesota Department of Health

Health Regulation Division

Page

307

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

GRAND MANOR III

Part

1115 2ND AVENUE SW

GRAND RAPIDS, MN 55744

(21148)

PHONE:

218/326-5314

FAX: 218/326-9811

GRAND VILLAGE

Cnty

923 HALE LAKE POINTE

GRAND RAPIDS, MN 55744

(00298)

PHONE:

218/326-0543

FAX: 218/327-2405

KOOTASCA COMMUNITY ACTION MENS PEER HOUSE

NProf

1116 SE 7TH STREET

GRAND RAPIDS, MN 55744

(32191)

PHONE:

218/999-0830

FAX: /-

LAKEWOOD SURGERY CENTER

Lim-Liab

1542 GOLF COURSE ROAD #105

GRAND RAPIDS, MN 55744

(23863)

PHONE:

218/326-3937

FAX: 218/326-3955

MAJESTIC PINES

Corp

1614 GOLF COURSE ROAD

GRAND RAPIDS, MN 55744

(30986)

PHONE:

218/999-7776

FAX: /-

MAJESTIC PINES

Lim-Liab

1614 GOLF COURSE ROAD

GRAND RAPIDS, MN 55744

(29046)

PHONE:

218/999-7776

FAX: 218/999-0615

MANOR HOUSE

Corp

722 NORTH POKEGAMA AVENUE

GRAND RAPIDS, MN 55744

(20077)

PHONE:

218/326-3469

FAX: 218/326-5339

MOSES RESIDENCE

NProf

220 17TH STREET NW

GRAND RAPIDS, MN 55744

(24458)

PHONE:

651/645-7271

FAX: 651/645-0541

NORTH COUNTRY CARE

Corp

1200 GUNN ROAD

GRAND RAPIDS, MN 55744

(21748)

PHONE:

218/327-1919

FAX: 218/999-0100

Certification

Registration

ITASCA

(Cont.)* --------------------------

DEB SHERMAN

NH-114 SNF-NF-114

KYLE HEDLUND

ROZANNE CASEY

Outpt Surg Amb Surg

KELLY SKELLY

ROCHELLE LANGLOIS

COMP

NICHOLE HOUG

PAULA ROCHELEAU

STEPHEN VANDER SCHAAF

COMP

HILLARY JOHNSON

HWS

HWS-O

HWSAL

HWSAL-O

NORTHERN LIGHTS OF ITASCA GRAND MANOR I

Part

HWS

215 13TH STREET SW

GRAND RAPIDS, MN 55744

(21146)

PHONE:

218/326-5314

FAX: 218/326-9811

DEB SHERMAN

Minnesota Department of Health

Health Regulation Division

Page

308

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

NORTHLAND RECOVERY CENTER

1215 7TH AVENUE SE

GRAND RAPIDS, MN 55744

PHONE:

218/313-1315

NORTHWOODS VILLA

1200 GUNN ROAD

GRAND RAPIDS, MN 55744

PHONE:

218/327-1919

NORTHWOODS VILLA

1905 HIGHWAY 2 WEST

GRAND RAPIDS, MN 55744

PHONE:

218/999-4644

NORTHWOODS VILLA INC

1200 GUNN ROAD

GRAND RAPIDS, MN 55744

PHONE:

218/327-1919

OAK HILL ASSISTED LIVING

1971 1ST AVENUE NE

GRAND RAPIDS, MN 55744

PHONE:

218/327-0312

OAK HILL ASSISTED LIVING

1971 NE 1ST AVENUE

GRAND RAPIDS, MN 55744

PHONE:

218/999-9057

PINE RIDGE APARTMENTS

620 RIVER ROAD

GRAND RAPIDS, MN 55744

PHONE:

218/326-2455

PLEASANT SEASONS

2815 HIGHWAY 169 SOUTH

GRAND RAPIDS, MN 55744

PHONE:

218/999-5861

RADTKE PHYSICAL THERAPY

1542 GOLF COURSE ROAD #4

GRAND RAPIDS, MN 55744

PHONE:

218/326-3300

RECOVER HEALTH

19 NE 3RD STREET

GRAND RAPIDS, MN 55744

PHONE:

218/326-0004

NProf

(01608)

FAX: 218/327-1932

Corp

(21748)

FAX: 218/999-0100

Corp

(35523)

FAX: 218/999-0100

Corp

(34570)

FAX: 218/999-0100

Corp

(30081)

FAX: /-

Corp

(23124)

FAX: 218/999-5694

Part

(31128)

FAX: 218/327-0246

Lim-Liab

(21909)

FAX: 218/327-2734

Part

(20672)

FAX: 218/326-3400

Corp

(03932)

FAX: 218/326-4770

Certification

Registration

ITASCA

(Cont.)* --------------------------

SLFB-34

COLLEEN MACKEY

COMP

HILLARY JOHNSON

HWSAL-O

HILLARY JOHNSON

HWSAL

HILLARY JOHNSON

HWSAL

KEITH FRIESEN

COMP

PAMELA FRIESEN

HWS

BRANDON EISENBEIS

COMP

LEESA GILMAN

Out Pt

MICHAEL RADTKE

COMP HHA

LISA OLSON

Minnesota Department of Health

Health Regulation Division

Page

309

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

RIVER GRAND INC

Corp

355 RIVER ROAD

GRAND RAPIDS, MN 55744

(28963)

PHONE:

218/999-5333 FAX: 218/999-5833

RIVER GRAND SENIOR LIVING

Lim-Liab

355 RIVER ROAD

GRAND RAPIDS, MN 55744

(32062)

PHONE:

218/999-5333 FAX: 218/999-5833

ST. CROIX HOSPICE

Lim-Liab

1001 SOUTH POKEGAMA STE D

GRAND RAPIDS, MN 55744

(34892)

PHONE:

218/212-7915 FAX: 218/301-0725

THE EMERALDS AT GRAND RAPIDS

Lim-Liab

2815 HIGHWAY 169 SOUTH

GRAND RAPIDS, MN 55744

(21909)

PHONE:

218/999-5861 FAX: 218/327-2734

THE EMERALDS AT GRAND RAPIDS ASSISTED LIVING LLC

Lim-Liab

2815 HIGHWAY 169 SOUTH

GRAND RAPIDS, MN 55744

(30227)

PHONE:

218/326-8567 FAX: 218/327-2734

THE EMERALDS AT GRAND RAPIDS LLC

Lim-Liab

2801 SOUTH HIGHWAY 169

GRAND RAPIDS, MN 55744

(00299)

PHONE: 218/326-3431 FAX: 218/327-3217

VOYAGE HOUSE

NProf

515 SE 2ND AVENUE

GRAND RAPIDS, MN 55744

(33044)

PHONE: 218/999-0830 FAX: 218/999-0197

HILLCREST NASHWAUK

Corp

570 PLATT AVENUE EAST

NASHWAUK, MN 55769

(26487)

PHONE:

218/263-4157 FAX: 218/263-4468

---------------------------**********

LAKEVIEW ASSISTED LIVING

Corp

941 COUNTY ROAD 9

HERON LAKE, MN 56137

(25317)

PHONE:

507/793-2349 FAX: 507/793-2355

Certification

Registration

ITASCA

(Cont.)* --------------------------

HWSAL

ROCHELLE LANGLOIS

COMP

MINDY NUHRING

Hospice HSPICE

JARED ANDERSON

COMP

LEESA GILMAN

HWSAL

LEESA GILMAN

NH-93 SNF-NF-93

BLAKE DEHNKE

HWS-O

ROZANNE CASEY

HWSAL

JIM FENA

JACKSON

******** --------------------------

COMP

RENEE DAYTON

Minnesota Department of Health

Health Regulation Division

Page

310

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

LAKEVIEW ASSISTED LIVING

Corp

941 COUNTY ROAD 9

HERON LAKE, MN 56137

(30568)

PHONE:

507/793-2349

FAX: 507/793-2355

FIREFLY IMAGING SERVICES LLC

Lim-Liab

606 2ND STREET

JACKSON, MN 56143

(29323)

PHONE:

507/841-0411

FAX: /-

GOOD SAMARITAN SOCIETY - JACKSON

NProf

601 WEST STREET

JACKSON, MN 56143

(00303)

PHONE:

507/847-3100

FAX: 507/847-2119

GOOD SAMARITAN SOCIETY - THE PINES

NProf

1508 NORTH HIGHWAY

JACKSON, MN 56143

(20041)

PHONE:

507/847-5762

FAX: 507/847-5763

GOOD SAMARITAN SOCIETY THE PINES

NProf

1508 NORTH HIGHWAY

JACKSON, MN 56143

(30319)

PHONE:

507/847-5762

FAX: 507/847-5763

JACKSON MEDICAL CENTER

NProf

1430 NORTH HIGHWAY

JACKSON, MN 56143

(00305)

PHONE:

507/847-2420

FAX: 507/847-3728

PRAIRIE REHABILITATION SERVICES

Ind

816 3RD STREET

JACKSON, MN 56143

(23594)

PHONE:

507/372-2232

FAX: /-

SANFORD CLINIC JACKSON

NProf

1430 NORTH HIGHWAY

JACKSON, MN 56143

(03494)

PHONE:

507/847-2200

FAX: /-

SANFORD JACKSON MEDICAL CENTER

NProf

1430 NORTH HIGHWAY

JACKSON, MN 56143

(00305)

PHONE:

507/847-2420

FAX: 507/847-3728

THE PINES

NProf

1508 NORTH HIGHWAY

JACKSON, MN 56143

(20041)

PHONE:

507/847-5762

FAX: 507/847-5763

Certification

Registration

JACKSON

(Cont.)* --------------------------

PAULA ROCHELEAU

TROY RASMUSSEN

NH-53

DAREN RIFE

COMP

NICOLE BENDA

DAREN RIFE

HOSP-20

DAWN SCHNELL

TROY VANORMAN

DAVID HOVE

HOSP-20

DAWN SCHNELL

COMP

NICOLE BENDA

HWSAL

XRAY

SNF-NF-53

HWSAL

CAH-20

Out Pt Out Ot

RHC

CAH-20

Minnesota Department of Health

Health Regulation Division

Page

311

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

COLONIAL MANOR NURSING HOME

Corp

403 COLONIAL AVENUE

LAKEFIELD, MN 56150

(00302)

PHONE:

507/662-6646 FAX: 507/662-5531

DOMAN ROSE PLACE

Lim-Liab

220 MILWAUKEE STREET

LAKEFIELD, MN 56150

(25743)

PHONE:

507/662-5236 FAX: 507/662-5126

DOMAN ROSE PLACE

Lim-Liab

220 MILWAUKEE STREET

LAKEFIELD, MN 56150

(20084)

PHONE:

507/662-6433 FAX: 507/662-5542

SANFORD CLINIC LAKEFIELD

NProf

209 MAIN STREET PO BOX 546

LAKEFIELD, MN 56150

(03730)

PHONE:

507/662-6611 FAX: /-

VALLEY VIEW ASSISTED LIVING

Corp

1005 MILWAUKEE STREET

LAKEFIELD, MN 56150

(23656)

PHONE:

507/662-5330 FAX: 507/662-5679

VALLEY VIEW ASSISTED LIVING

Corp

1005 MILWAUKEE STREET

LAKEFIELD, MN 56150

(23658)

PHONE: 507/662-5330 FAX: 507/662-5679

---------------------------**********

BLC OF MORA

101 9TH STREET

MORA, MN 55051

PHONE:

320/679-2576

EASTWOOD SENIOR LIVING

170 VALHALLA CIRCLE

MORA, MN 55051

PHONE:

320/679-2916

EASTWOOD SENIOR LIVING HOME CARE

170 VALHALLA CIRCLE

MORA, MN 55051

PHONE:

320/679-2916

NProf

(20246)

FAX: 320/679-8358

HRA

(30743)

FAX: 320/679-4336

Corp

(35469)

FAX: 320/679-4336

Certification

Registration

JACKSON

(Cont.)* --------------------------

NH-37 SNF-NF-37

PAULA ROCHELEAU

COMP

DEVIN NELSON

HWSAL

DEVIN NELSON

RHC

DAVID HOVE

COMP

PAULA ROCHELEAU

HWSAL

PAULA ROCHELEAU

KANABEC

******** --------------------------

HWSAL

AMANDA FIX

HWSAL

SHEILA SWENSON

COMP

SHEILA SWENSON

Minnesota Department of Health

Health Regulation Division

Page

312

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

KANABEC

(Cont.)* --------------------------

FIRSTLIGHT HEALTH SYSTEM

Cnty

HOSP-49 BASS-8 CAH-25

301 HIGHWAY 65 SOUTH

MORA, MN 55051

(00308)

PHONE:

320/679-1212

FAX: 320/225-3320

RANDY ULSETH

FRESENIUS KIDNEY CARE MORA DIALYSIS

Corp

ESRD

900 FOREST AVENUE EAST

MORA, MN 55051

(03556)

PHONE:

320/679-1250

FAX: 320/670-1154

JULIE VICKERMAN

KANABEC COUNTY COMMUNITY HEALTH

Cnty

COMP HHA

905 FOREST AVENUE EAST #127

MORA, MN 55051

(02216)

PHONE:

320/679-6330

FAX: 320/679-6333

KATHY BURSKI

MYSA HOUSE

HRA

HWS

141 VALHALLA CIRCLE

MORA, MN 55051

(33991)

PHONE:

320/679-4789

FAX: 320/679-5638

ROSE DUNN

S & O'S ASSISTED LIVING LLC

Lim-Liab

TCOMP

260 MATTSON ROAD

MORA, MN 55051

(35449)

PHONE:

320/364-0164

FAX: /-

ASHLEY THOMPSON

SCANDIA HOUSE OF MORA

Lim-Liab

HWSAL

973 MAPLE AVENUE EAST

MORA, MN 55051

(26502)

PHONE:

320/679-3260

FAX: 877/309-7680

KENNETH BERGSTROM

ST. CLARE LIVING COMMUNITY OF MORA

NProf

NH-65 SNF-NF-65

110 NORTH 7TH STREET

MORA, MN 55051

(00814)

PHONE:

320/679-1411

FAX: 320/679-8350

JENNIFER PETERSON

ST. LIVING COMMUNITY OF MORA

NProf

COMP

101 9TH STREET

MORA, MN 55051

(03022)

PHONE:

320/679-2576

FAX: 320/679-8358

AMANDA FIX

WELIA HEALTH

Cnty

HOSP-49 BASS-8 CAH-25

301 HIGHWAY 65 SOUTH

MORA, MN 55051

(00308)

PHONE:

320/679-1212

FAX: 320/225-3320

RANDY ULSETH

SIGNE AND OLIVIAS

Lim-Liab

COMP

1545 HARBOR STREET

OGILVIE, MN 56358

(26359)

PHONE:

320/272-0115

FAX: 320/272-4100

VICTORIA FORE

Minnesota Department of Health

Health Regulation Division

Page

313

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

SIGNE AND OLIVIAS LLC

Lim-Liab

1545 HARBOR STREET

OGILVIE, MN 56358

(26359)

PHONE:

320/272-0115 FAX: 320/272-4100

SIGNE AND OLIVIAS LLC

Lim-Liab

1545 HARBOR STREET

OGILVIE, MN 56358

(30706)

PHONE:

320/272-0115 FAX: 320/272-4100

---------------------------**********

ATWATER ICF-IID

Corp

SLFA-6

110 5TH STREET NORTH

ATWATER, MN 56209

(01110)

PHONE:

320/974-8070 FAX: 320/974-3494

ELIZABETH HILLSTROM

SUNNYVIEW

Corp

316 SUNRISE LANE

ATWATER, MN 56209

(20569)

PHONE:

320/441-7001 FAX: 320/235-8069

DAWN FRERICKS

SUNNYVIEW II

Corp

314 SUNRISE LANE

ATWATER, MN 56209

(21369)

PHONE:

320/441-7001 FAX: 320/235-8069

DAWN FRERICKS

CENTRAL MINNESOTA SENIOR CARE

Corp

270 WEST MILKY WAY AVENUE

LAKE LILLIAN, MN 56253

(23210)

PHONE: 320/441-7001 FAX: 320/235-8069

BARBARA NOVOTNY

GLENOAKS SENIOR LIVING CAMPUS

NProf

NH-52

100 GLENOAKS DRIVE

NEW LONDON, MN 56273

(00314)

PHONE:

320/354-6057 FAX: 320/354-2060

SAMUEL QUAM

GLENOAKS SENIOR LIVING CAMPUS

BusTrust

102 GLENOAKS DRIVE

NEW LONDON, MN 56273

(20303)

PHONE:

320/354-2121 FAX: 320/354-2060

SAMUEL QUAM

GLENOAKS SENIOR LIVING CAMPUS

Lim-Liab

104 GLENOAKS DRIVE

NEW LONDON, MN 56273

(29292)

PHONE:

320/354-6054 FAX: 320/354-2060

SAMUEL QUAM

Certification

Registration

KANABEC

(Cont.)* --------------------------

COMP

VICTORIA FORE

HWSAL

VICTORIA FORE

KANDIYOHI

******** --------------------------

ICFIID-6

HWSAL

SNF-NF-52

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

314

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

GLENOAKS SENIOR LIVING CAMPUS

Lim-Liab

102 GLENOAKS DRIVE

NEW LONDON, MN 56273

(21021)

PHONE:

320/354-6054

FAX: 320/354-2107

LAKE REGION HOME HEALTH

Corp

22 CENTRAL AVENUE EAST

NEW LONDON, MN 56273

(02204)

PHONE:

320/354-5858

FAX: 888/501-7631

CENTRAL MINNESOTA SENIOR CARE

Corp

403 CARDINAL DRIVE

PRINSBURG, MN 56281

(23208)

PHONE:

320/441-7001

FAX: 320/235-8069

COUNTRY LIVING MANAGEMENT COMPANY

Corp

12335 13TH STREET NW

SPICER, MN 56288

(28183)

PHONE:

320/269-9000

FAX: 320/269-8008

LAKEWOOD HOME

NProf

256 LAKE AVENUE NORTH

SPICER, MN 56288

(01542)

PHONE:

320/796-6999

FAX: 320/796-6522

TOUCHING HEARTS AT HOME WC MN

Corp

301 HIGHWAY 23 SOUTH #1

SPICER, MN 56288

(29742)

PHONE:

320/409-1444

FAX: 320/409-1446

TOUCHING HEARTS AT HOME WC MN

Corp

301 HIGHWAY 23 SOUTH

SPICER, MN 56288

(32441)

PHONE:

320/409-1444

FAX: 320/409-1446

MIRIAM MANOR

Corp

403 CENTRAL AVENUE PO BOX 141

SUNBURG, MN 56289

(23209)

PHONE:

320/366-3934

FAX: 320/235-8069

SUNBURG APARTMENTS

Corp

403 CENTRAL AVENUE

SUNBURG, MN 56289

(24351)

PHONE:

320/441-7001

FAX: 320/235-8069

BETHESDA

NProf

901 SE WILLMAR AVENUE

WILLMAR, MN 56201

(00792)

PHONE:

320/235-9532

FAX: 320/235-7909

Certification

KANDIYOHI

(Cont.)*

COMP

SAMUEL QUAM

COMP HHA

KIMBERLY OLSON

BARBARA NOVOTNY

COMP

Registration

--------------------------

HWSAL

LUANNE GIBSON

SLFB-6 ICFIID-6

KRISTA KEMPER

BASIC

JARROD PETERSON

Home Mgmt

JARROD PETERSON

HWSAL

BARB NOVOTNY

HWS

DAWN FRERICKS

NH-248 SNF-NF-248

ASHLEY BORMANN

Minnesota Department of Health

Health Regulation Division

Page

315

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

KANDIYOHI

(Cont.)* --------------------------

BETHESDA ASSISTED LIVING

NProf

COMP

1125 9TH STREET SE

WILLMAR, MN 56201

(20208)

PHONE:

320/235-1602

FAX: 320/235-4517

CARLI STENSRUD

BETHESDA HOME HEALTH

Church

COMP HHA

901 WILLMAR AVENUE #2

WILLMAR, MN 56201

(02926)

PHONE:

320/235-8364

FAX: 320/235-6968

SHANNON LANZRATH

BROOKDALE WILLMAR

Corp

COMP

1501 19TH AVENUE SW

WILLMAR, MN 56201

(20351)

PHONE:

320/235-1024

FAX: 320/235-1108

ABIGAIL NELSON

BROOKDALE WILLMAR

Corp

HWSAL

1501 19TH AVENUE SW

WILLMAR, MN 56201

(30600)

PHONE:

320/235-1024

FAX: 320/235-1108

ANGELA MAXWELL

CARRIS HEALTH CARE CENTER & THERAPY SUITES

ONProf

NH-78 SNF-NF-78

1801 WILLMAR AVENUE SW

WILLMAR, MN 56201

(00313)

PHONE:

320/214-2700

FAX: 320/214-2765

PAMELA ADAM

CARRIS HEALTH LLC

Lim-Liab

HOSP-136 BASS-20 HOSP-128 PPS-P-8

301 BECKER AVENUE SW

WILLMAR, MN 56201

(00316)

PHONE:

320/235-4543

FAX: 320/231-4869

MICHAEL SCHRAMM

CARRIS HEALTH LLC

Lim-Liab

ESRD

301 BECKER AVENUE SW

WILLMAR, MN 56201

(02116)

PHONE:

320/231-4235

FAX: 320/231-4873

MARY BETH POTTER

CARRIS HEALTH LLC

ONProf

Hospice HSPICE

301 BECKER AVENUE SW

WILLMAR, MN 56201

(02407)

PHONE:

320/231-4450

FAX: 320/231-4875

MARY BETH POTTER

CARRIS HEALTH SURGERY CENTER - WILLMAR

ONProf

Outpt Surg Amb Surg

1310 1ST STREET S PO BOX 773

WILLMAR, MN 56201

(00289)

PHONE:

320/235-6506

FAX: 320/235-7069

KATHY DILLON

CENTRAL MINNESOTA CARE

Corp

HWSAL

1409 BECKER AVENUE SE

WILLMAR, MN 56201

(24178)

PHONE:

320/441-7001

FAX: 320/235-8069

DAWN FRERICKS

Minnesota Department of Health

Health Regulation Division

Page

316

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

CENTRAL MINNESOTA SENIOR CARE

Corp

2323 GORTON AVENUE NW

WILLMAR, MN 56201

(20166)

PHONE:

320/441-7001

FAX: 320/235-8069

CENTRAL MINNESOTA SENIOR CARE

Corp

2323 GORTON AVENUE NW

WILLMAR, MN 56201

(20430)

PHONE:

320/441-7001

FAX: 320/235-8069

CENTRAL MINNESOTA SENIOR CARE, INC.

Corp

619 BENSON AVENUE SW

WILLMAR, MN 56201

(20855)

PHONE:

320/441-7001

FAX: 320/235-8069

CENTRAL MINNESOTA SENIOR CARE, INC.

Corp

619 BENSON AVENUE SW

WILLMAR, MN 56201

(21061)

PHONE:

320/441-7041

FAX: 320/235-8069

CHILD & ADOLESCENT BEHAVIORAL HEALTH SERVICES

State

1701 TECHNOLOGY DRIVE NE

WILLMAR, MN 56201

(00318)

PHONE:

320/231-5404

FAX: 218/231-5901

COMMUNITY ADDITION RECOVERY ENTERPRISE WILLMAR

State

1801 TECHNOLOGY DRIVE NE

WILLMAR, MN 56201

(26528)

PHONE:

320/979-5104

FAX: 651/431-7408

COMMUNITY BEHAVIORAL HEALTH HOSPITAL WILLMAR

State

1208 OLENA AVENUE SE

WILLMAR, MN 56201

(25363)

PHONE:

320/235-0341

FAX: 320/214-3335

COMPASSIONATE CARE INC

Corp

601 4TH STREET SW

WILLMAR, MN 56201

(27923)

PHONE:

320/231-9868

FAX: 320/231-9871

COMPASSIONATE COTTAGE II

Lim-Liab

1506 UPPER TRENTWOOD CIRCLE NE

WILLMAR, MN 56201

(32618)

PHONE:

320/235-2775

FAX: 320/441-2010

COMPASSIONATE COTTAGE II

Lim-Liab

1506 UPPER TRENTWOOD CIRCLE NE

WILLMAR, MN 56201

(32777)

PHONE:

320/235-2775

FAX: 320/441-2010

Certification

KANDIYOHI

(Cont.)*

DAWN FRERICKS

COMP

JACKLYN FRERICKS

DAWN FRERICKS

Registration

--------------------------

HWSAL

Home Mgmt

OTHER-16 PSY-16

MICHAEL GALLAGHER

SLFB-16

LISA LUCKHARDT

SLFB-16

HEIDI JAMMA

BASIC

SARA HANKEL

COMP

NANCY PATOCK

HWSAL

BEVERLY WERDER

Minnesota Department of Health

Health Regulation Division

Page

317

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

COMPASSIONATE COTTAGE LLC

Lim-Liab

1000 COTTONWOOD DRIVE NE

WILLMAR, MN 56201

(25626)

PHONE:

320/905-3593

FAX: 320/441-2010

COMPASSIONATE COTTAGE LLC

Lim-Liab

1000 COTTONWOOD DRIVE NE

WILLMAR, MN 56201

(25627)

PHONE:

320/235-2775

FAX: 320/441-2010

COPPERLEAF SENIOR LIVING

Lim-Liab

1550 1ST STREET NORTH

WILLMAR, MN 56201

(26122)

PHONE:

320/222-5000

FAX: 320/344-1504

DIVINE HOME CARE, INC.

Corp

322 2ND STREET SW

WILLMAR, MN 56201

(22025)

PHONE:

320/231-9757

FAX: 320/231-9795

DIVINE HOME CARE, INC.

Corp

322 2ND STREET SW

WILLMAR, MN 56201

(23168)

PHONE:

320/231-9757

FAX: 320/231-9795

DIVINE HOSPICE CARE

Corp

322 2ND STREET SW

WILLMAR, MN 56201

(29550)

PHONE:

320/231-9757

FAX: 320/231-9795

DIVINE HOUSE, INC.

Corp

328 5TH STREET SW

WILLMAR, MN 56201

(20854)

PHONE:

320/231-2738

FAX: 320/231-3276

DIVINE HOUSE, INC.

Corp

328 5TH STREET SW

WILLMAR, MN 56201

(21062)

PHONE:

320/231-2738

FAX: 320/231-3276

DIVINE HOUSE, INC.VALLEY

Corp

505 33RD STREET NW

WILLMAR, MN 56201

(21124)

PHONE:

320/441-7001

FAX: 320/235-8069

FAMILY SURGERY CENTER, LLC

Lim-Liab

1801 19TH AVENUE SW

WILLMAR, MN 56201

(23189)

PHONE:

320/235-7700

FAX: 320/235-7701

Certification

KANDIYOHI

(Cont.)*

BEVERLY WERDER

COMP

NANCY PATOCK

COMP

JAMES BETTENDORF

COMP HCBS HHA

PAM BREDE

Registration

--------------------------

HWSAL

Home Mgmt

PAMELA BREDE

Hospice HSPICE

PAMELA BREDE

COMP

BARBARA NOVOTNY

Home Mgmt

DEBRA SHRIVER

HWSAL

DAWN FRERICKS

Outpt Surg Amb Surg

KENDRA VAN METER

Minnesota Department of Health

Health Regulation Division

Page

318

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

KANDIYOHI

(Cont.)* --------------------------

FOURTH AVENUE HOMES INC

Corp

Home Mgmt

312 4TH STREET SW

WILLMAR, MN 56201

(29361)

PHONE:

320/231-2738

FAX: 320/231-3276

BRENDA STREICH

HIGHLAND APARTMENTS

Part

HWSAL-O

115 EAST BECKER AVENUE

WILLMAR, MN 56201

(21839)

PHONE:

320/231-0887

FAX: 320/235-8260

JILL BENGTSON

ISLAND VIEW MANOR, INC.

Corp

HWSAL

700 NORTH HIGHWAY 71

WILLMAR, MN 56201

(20333)

PHONE:

320/441-7001

FAX: 320/235-8069

DAWN FRERICKS

LAKE PLACE I APARTMENTS

BusTrust

HWS

1420 LAKE AVENUE NW

WILLMAR, MN 56201

(21193)

PHONE:

320/235-0742

FAX: 320/235-0759

SHANNON ERICKSON

LAKE PLACE II APARTMENTS

Lim-Liab

HWS

1421 LAKE AVENUE NW

WILLMAR, MN 56201

(21194)

PHONE:

320/235-0742

FAX: 320/235-0759

SHANNON ERICKSON

MINNESOTA SPECIALTY HEALTH SYSTEM WILLMAR

State

SLFB-16

1208 OLENA AVENUE SE

WILLMAR, MN 56201

(25363)

PHONE:

320/235-0341

FAX: 320/214-3335

HEIDI JAMMA

NELSON CLINIC AND REHABILITATION CARE, P.A.

Corp

Out Pt

515 19TH AVENUE SW

WILLMAR, MN 56201

(34116)

PHONE:

320/235-2720

FAX: 320/235-2220

JAMES NELSON

OVERCOMERS INTERNATIONAL FELLOWSHIP

NProf

HWS-O

621 TROTT AVENUE SW

WILLMAR, MN 56201

(31784)

PHONE:

320/444-6890

FAX: 320/262-3866

SAUNDRA LAIDLAW

OVERCOMERS INTERNATIONAL FELLOWSHIP

NProf

HWS-O

619 TROTT AVENUE SW

WILLMAR, MN 56201

(31785)

PHONE:

320/444-6890

FAX: 320/262-3866

SAUNDRA LAIDLAW

OVERCOMERS INTERNATIONAL FELLOWSHIP

NProf

HWS-O

312 10TH STREET SW

WILLMAR, MN 56201

(32152)

PHONE:

320/444-6890

FAX: 320/262-3866

SAUNDRA LAIDLAW

Minnesota Department of Health

Health Regulation Division

Page

319

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

PRAIRIE SENIOR COTTAGES OF WILLMAR

Lim-Liab

1705 19TH AVENUE SW

WILLMAR, MN 56201

(20579)

PHONE:

320/235-6022

FAX: 320/235-6029

PRAIRIE SENIOR COTTAGES OF WILLMAR LLC

Lim-Liab

1701 19TH AVENUE SW

WILLMAR, MN 56201

(20738)

PHONE:

320/235-6022

FAX: 320/235-6029

PRAIRIE SENIOR COTTAGES OF WILLMAR LLC

Lim-Liab

1705 19TH AVENUE SW

WILLMAR, MN 56201

(30714)

PHONE:

320/235-6022

FAX: 320/235-6029

PRAIRIE SENIOR COTTAGES OF WILLMAR, LLC

Lim-Liab

1705 19TH AVENUE SW

WILLMAR, MN 56201

(20579)

PHONE:

320/235-6022

FAX: 320/235-6029

RICE MEMORIAL HOSPITAL

Lim-Liab

301 BECKER AVENUE SW

WILLMAR, MN 56201

(00316)

PHONE:

320/235-4543

FAX: 320/231-4869

STERLING HOUSE OF WILLMAR

Corp

1501 19TH AVENUE SW

WILLMAR, MN 56201

(20351)

PHONE:

320/235-1024

FAX: 320/235-1108

SUNRISE VILLAGE

NProf

1125 9TH STREET SE

WILLMAR, MN 56201

(20208)

PHONE:

320/235-1602

FAX: 320/235-4517

SUNRISE VILLAGE

NProf

1125 9TH STREET SE

WILLMAR, MN 56201

(30451)

PHONE:

320/235-1602

FAX: 320/235-4517

VISTA PRAIRIE AT COPPERLEAF

Lim-Liab

1550 1ST STREET NORTH

WILLMAR, MN 56201

(26121)

PHONE:

320/222-5000

FAX: 320/222-0799

WOODLAND CENTERS

NProf

1125 6TH STREET S PO BOX 787

WILLMAR, MN 56201

(01502)

PHONE:

320/235-4613

FAX: 855/625-7406

Certification

Registration

KANDIYOHI

(Cont.)* --------------------------

COMP

DUSTIN LEE

BRYAN CHRISTIANSON

COMP

DUSTIN LEE

HOSP-136 BASS-20

MICHAEL SCHRAMM

COMP

ABIGAIL NELSON

COMP

CARLI STENSRUD

JAMES BETTENDORF

SLFB-16

ASHLEY KJOS

HWSAL

HOSP-128 PPS-P-8

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

320

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

KITTSON COUNTY HOSPICE, INC.

1010 SOUTH BIRCH AVENUE

HALLOCK, MN 56728

PHONE:

218/843-3804

KITTSON MEMORIAL CLINIC

1010 SOUTH BIRCH AVENUE #700

HALLOCK, MN 56728

PHONE:

218/843-3612

KITTSON MEMORIAL HEALTHCARE CENTER

1010 SOUTH BIRCH AVENUE

HALLOCK, MN 56728

PHONE:

218/843-3612

KITTSON MEMORIAL HOME HEALTHCARE

1010 SOUTH BIRCH AVENUE #430

HALLOCK, MN 56728

PHONE:

218/843-3662

KITTSON MEMORIAL HOSPITAL

1010 SOUTH BIRCH AVENUE

HALLOCK, MN 56728

PHONE:

218/843-3612

RIVERS EDGE

513 10TH STREET SE

HALLOCK, MN 56728

PHONE:

218/843-8812

RIVERS EDGE

513 10TH STREET SE

HALLOCK, MN 56728

PHONE:

218/843-8812

KARLSTAD HEALTHCARE CENTER, INC.

304 WASHINGTON AVENUE WEST

KARLSTAD, MN 56732

PHONE:

218/436-2161

KITTSON MEMORIAL CLINIC OF KARLSTAD

205 ROOSEVELT AVENUE WEST #199

KARLSTAD, MN 56732

PHONE:

218/843-3612

THE MEADOWS

306 WASHINGTON AVENUE WEST

KARLSTAD, MN 56732

PHONE:

218/436-3561

NProf

(02878)

FAX: 218/843-2487

NProf

(03134)

FAX: /-

NProf

(00321)

FAX: 218/843-8879

NProf

(02155)

FAX: 218/843-2487

NProf

(00321)

FAX: 218/843-8879

NProf

(25470)

FAX: 218/843-2487

NProf

(30589)

FAX: 218/843-2487

Corp

(00830)

FAX: 218/436-4161

NProf

(22061)

FAX: /-

Corp

(23877)

FAX: 218/436-3564

Certification

Registration

KITTSON

******** --------------------------

Hospice

PATRICIA SWANSON

RHC

CINDY URBANIAK

NH-60 HOSP-15 BASS-0 SNF-NF-60 CAH-15

EVERETT BUTLER

COMP HHA

JODEE SUGDEN

NH-60 HOSP-15 BASS-0 SNF-NF-60 CAH-15

EVERETT BUTLER

COMP

JODEE SUGDEN

HWSAL

JODEE SUGDEN

NH-46 SNF-NF-46

PENNY BLACK

RHC

CINDY URBANIAK

COMP

PENNY BLACK

Minnesota Department of Health

Health Regulation Division

Page

321

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

KITTSON

---------------------------**********

(Cont.)* --------------------------

THE MEADOWS

Corp

HWSAL

306 WASHINGTON AVENUE WEST

KARLSTAD, MN 56732

(30476)

PHONE:

218/436-3561 FAX: 218/436-4161

HOWARD GROFF

KOOCHICHING

---------------------------**********

******** --------------------------

DFC - PAPERMAKER'S PLACE

Corp

HWSAL

4143 HIGHWAY 11

INTERNATIONAL FALLS, MN 56649

(22352)

PHONE:

218/373-0272 FAX: 218/286-5312

JOHN DECKER

RHC

ESSENTIA HEALTH INTERNATIONAL FALLS CLINIC

NProf

2501 KEENAN DRIVE

INTERNATIONAL FALLS, MN 56649

(33411)

PHONE:

218/285-6232 FAX: /-

ROBYN PELOWSKI

GOOD SAMARITAN HOME CARE OF INTERNATIONAL FALLS

NProf

COMP

HHA

2221 KEENAN DRIVE

INTERNATIONAL FALLS, MN 56649

(24363)

PHONE:

218/283-4319 FAX: 218/283-3219

SANDRA SUNDIN

NH-54

GOOD SAMARITAN SOCIETY - INTERNATIONAL FALLS

NProf

SNF-NF-54

2201 KEENAN DRIVE

INTERNATIONAL FALLS, MN 56649

(00322)

PHONE:

218/283-8313 FAX: 218/283-9497

ZACHARY SCHMITZ

GOOD SAMARITAN SOCIETY - RIVER'S EDGE VILLA

NProf

HWSAL

2101 KEENAN DRIVE

INTERNATIONAL FALLS, MN 56649

(29498)

PHONE:

218/283-1300 FAX: 218/283-1327

DEANNA KITTELSON

HWS

GOOD SAMARITAN SOCIETY - RIVER'S EDGE VILLA

NProf

1406 HIGHWAY 71

INTERNATIONAL FALLS, MN 56649

(20466)

PHONE:

218/285-9563 FAX: 218/283-8361

DEANNA KITTELSON

GOOD SAMARITAN SOCIETY NORTHWINDS ASSISTED

NProf

COMP

LIVING

2101 KEENAN DRIVE

INTERNATIONAL FALLS, MN 56649

PHONE:

218/283-1300

(29497)

FAX: 218/283-1327

DEANNA KITTELSON

RAINY LAKE MEDICAL CENTER

NProf

HOSP-25 BASS-5 CAH-25

1400 HIGHWAY 71

INTERNATIONAL FALLS, MN 56649

(00323)

PHONE:

218/283-4481 FAX: 218/283-2281

ROBERT PASTOR II

Minnesota Department of Health

Health Regulation Division

Page

322

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

RAINY LAKE MEDICAL CENTER RURAL HEALTH CLINIC

Corp

1400 HIGHWAY 71

INTERNATIONAL FALLS, MN 56649

PHONE:

218/283-4481

RIDGEVIEW ASSISTED LIVING LLC

2020 RIDGEVIEW DRIVE

INTERNATIONAL FALLS, MN 56649

PHONE:

218/283-2806

RIDGEVIEW ASSISTED LIVING LLC

2020 RIDGEVIEW DRIVE

INTERNATIONAL FALLS, MN 56649

PHONE:

218/283-2806

RIDGEVIEW, LLC

2020 RIDGEVIEW DRIVE

INTERNATIONAL FALLS, MN 56649

PHONE:

218/283-2806

RIVERS EDGE VILLA

1406 HIGHWAY 71

INTERNATIONAL FALLS, MN 56649

PHONE:

218/285-9563

JACK PINE CHATEAU

912 MAIN STREET

LITTLEFORK, MN 56653

PHONE:

218/278-4834

JACK PINE CHATEAU HOME CARE

912 MAIN STREET

LITTLEFORK, MN 56653

PHONE:

218/278-6634

LITTLEFORK MEDICAL CENTER

912 MAIN STREET

LITTLEFORK, MN 56653

PHONE:

218/278-6634

LITTLEFORK MEDICAL CENTER

912 MAIN STREET

LITTLEFORK, MN 56653

PHONE:

218/278-6634

RAINY LAKE CLINIC LITTLEFORK

912 MAIN STREET

LITTLEFORK, MN 56653

PHONE:

218/278-6634

(29921)

FAX: 218/283-2281

Lim-Liab

(23979)

FAX: 218/283-2177

Lim-Liab

(30482)

FAX: 218/283-2177

Lim-Liab

(23979)

FAX: 218/283-2177

NProf

(20466)

FAX: 218/283-8361

NProf

(30220)

FAX: 218/278-6637

NProf

(21857)

FAX: 218/278-6637

NProf

(00324)

FAX: 218/278-4696

NProf

(21857)

FAX: 218/278-6637

Corp

(03502)

FAX: /-

Certification

Registration

KOOCHICHING

(Cont.)* --------------------------

RHC

BOB HALEY

COMP

JUSTIN TAYLOR

HWSAL

JUSTIN TAYLOR

COMP

JUSTIN TAYLOR

HWS

DEANNA KITTELSON

HWSAL

CAROLYN CLAYBUNDY

COMP

CAROLYN CLAYBUNDY

NH-49 SNF-NF-49

CAROLYN CLAYBUNDY

COMP

CAROLYN CLAYBUNDY

RHC

ROBERT PASTOR

Minnesota Department of Health

Health Regulation Division

Page

323

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

DECKER'S FAMILY CARE INC

Corp

3443 PINE STREET

RANIER, MN 56668

(30242)

PHONE:

218/286-5633 FAX: 218/286-5312

DECKER'S FAMILY CARE, INC.

Corp

3443 PINE STREET

RANIER, MN 56668

(20001)

PHONE:

218/286-5633 FAX: 218/286-5312

---------------------------**********

JOHNSON MEMORIAL BOYD CLINIC

Dist

115 3RD STREET

BOYD, MN 56218

(21827)

PHONE:

320/769-4323 FAX: /-

DAWSON CLINIC

Dist

1272 WALNUT STREET

DAWSON, MN 56232

(02999)

PHONE:

320/769-4393 FAX: /-

DAWSON ICF-MR

Corp

2974 192ND STREET

DAWSON, MN 56232

(01590)

PHONE:

320/769-4444 FAX: 320/312-2211

JOHNSON MEMORIAL ASSISTED LIVING

Dist

1288 LOCUST STREET

DAWSON, MN 56232

(22054)

PHONE: 320/312-2123 FAX: 320/769-4670

JOHNSON MEMORIAL ASSISTED LIVING

Dist

1288 LOCUST STREET

DAWSON, MN 56232

(30241)

PHONE:

320/769-2144 FAX: 320/769-4670

JOHNSON MEMORIAL HOME CARE

Dist

1290 LOCUST STREET

DAWSON, MN 56232

(02730)

PHONE:

320/312-2107 FAX: 320/769-4313

JOHNSON MEMORIAL HOSPITAL & HOME

Dist

1290 LOCUST STREET

DAWSON, MN 56232

(33927)

PHONE:

320/769-4323 FAX: 320/769-2972

Certification

Registration

KOOCHICHING

(Cont.)* --------------------------

HWSAL

JOHN DECKER

COMP

JOHN DECKER

LAC QUI PARLE

******** --------------------------

MELISSA STRUXNESS

CORI BOTHUN

SLFB-6

ELIZABETH HILLSTROM

COMP

STACEY LEE

COMP

STACEY LEE

NH-56

STACY LEE

RHC

ICFIID-6

HWSAL

HHA

SNF-NF-56

Minnesota Department of Health

Health Regulation Division

Page

324

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

LAC QUI PARLE

---------------------------**********

(Cont.)* --------------------------

JOHNSON MEMORIAL HOSPITAL AND HOME

1282 WALNUT STREET

DAWSON, MN 56232

PHONE:

320/769-4323

Dist

HOSP-20 BASS-2

(00326)

FAX: 320/769-2972

STACEY LEE

CAH-20

COMP

SONSHINE HOME HEALTH CARE LLC

Lim-Liab

1313 SPRUCE STREET

DAWSON, MN 56232

(26729)

PHONE:

320/769-2669

FAX: 320/769-2989

CARMEN KELLEN

COMP

GRACE HAVEN ASSISTED LIVING

Lim-Liab

301 3RD STREET EAST

MADISON, MN 56256

(28354)

PHONE:

320/598-7557

FAX: 320/598-7558

JENNIFER GILYARD

GRACE HAVEN ASSISTED LIVING LLC

Lim-Liab

COMP

301 3RD STREET EAST

MADISON, MN 56256

(28354)

PHONE:

320/598-7557

FAX: 320/598-7558

JENNIFER GILYARD

HWSAL

GRACE HAVEN ASSISTED LIVING LLC

Lim-Liab

301 3RD STREET EAST

MADISON, MN 56256

(30808)

PHONE:

320/598-7557

FAX: 320/598-7558

JENNIFER GILYARD

HILLTOP RESIDENCE, INC.

NProf

HWS

915 1ST AVENUE

MADISON, MN 56256

(21699)

PHONE:

320/598-7551

FAX: 320/598-7387

MARISSA STAHL

LAC QUI PARLE CLINIC MADISON

NProf

RHC

900 2ND AVENUE

MADISON, MN 56256

(03513)

PHONE:

320/598-7551

FAX: /-

DALLAS REESE

NProf

NH-56 SNF-NF-56

MADISON HEALTHCARE SERVICES

900 2ND AVENUE

MADISON, MN 56256

(00329)

PHONE:

320/598-7536

FAX: 320/598-3470

ERIK BJERKE

COMP HHA

MADISON HOME HEALTH AGENCY

NProf

900 2ND AVENUE

MADISON, MN 56256

(02173)

PHONE:

320/698-7198

FAX: 320/598-7387

MARISSA STAHL

NProf

HOSP-12 BASS-2 CAH-12

MADISON HOSPITAL

820 3RD AVENUE

MADISON, MN 56256

(00328)

PHONE:

320/598-7536

FAX: 320/598-3470

ERIK BJERKE

Minnesota Department of Health

Health Regulation Division

Page

325

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

MINNESOTA VETERANS HOME - SILVER BAY

56 OUTER DRIVE

SILVER BAY, MN 55614

PHONE:

218/353-8700

SILVER BAY CAREFREE LIVING

36 BELL CIRCLE

SILVER BAY, MN 55614

PHONE:

218/226-3524

BARROSS COTTAGE

401 SOUTH AVENUE

TWO HARBORS, MN 55616

PHONE:

218/834-8018

BARROSS COTTAGE

401 SOUTH AVENUE

TWO HARBORS, MN 55616

PHONE:

218/834-8018

BARROSS COTTAGE II LLC

806 13TH AVENUE

TWO HARBORS, MN 55616

PHONE:

218/834-8098

BARROSS COTTAGE II LLC

806 13TH AVENUE

TWO HARBORS, MN 55616

PHONE:

218/834-8098

BARROSS MANOR

414 1ST AVENUE

TWO HARBORS, MN 55616

PHONE:

218/834-6174

BARROSS MANOR

414 1ST AVENUE

TWO HARBORS, MN 55616

PHONE:

218/834-6174

ECUMEN TWO HARBORS SCENIC SHORES

409 13TH AVENUE

TWO HARBORS, MN 55616

PHONE:

218/834-0849

LAKEVIEW MEMORIAL HOSPITAL

325 11TH AVENUE

TWO HARBORS, MN 55616

PHONE:

218/834-7300

State

(00381)

FAX: 218/226-6336

Corp

(27604)

FAX: 218/226-3212

Lim-Liab

(20987)

FAX: 218/834-8019

Lim-Liab

(27999)

FAX: 218/834-8019

Lim-Liab

(29942)

FAX: 218/834-8089

Lim-Liab

(30215)

FAX: 218/834-8089

Lim-Liab

(20053)

FAX: 218/834-4015

Lim-Liab

(30324)

FAX: 218/834-4015

Lim-Liab

(21265)

FAX: 218/834-0850

NProf

(00331)

FAX: 218/834-7388

Certification

Registration

LAKE

******** --------------------------

NH-83 SNF-NF-83

CAROL GILBERTSON

HWSAL

MARILYN HANSON

HWSAL

CYNTHIA STORY

COMP

CINDY STORY FABBRI

HWS

CYNTHIA STORY-FABBRI

COMP

CYNTHIA STORY FABBRI

COMP

CORTNEY BUCHHOLZ

HWSAL

CORTNEY BUCHHOLZ

COMP

LEESA GILMAN

HOSP-25 BASS-1 CAH-25

GREG RUBERG

Minnesota Department of Health

Health Regulation Division

Page

326

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

THE WATERVIEW SHORES ASSISTED LIVING

409 13TH AVENUE

TWO HARBORS, MN 55616

PHONE:

218/834-0849

THE WATERVIEW SHORES ASSISTED LIVING LLC

409 13TH AVENUE

TWO HARBORS, MN 55616

PHONE:

218/834-0849

THE WATERVIEW SHORES LLC

402 13TH AVENUE

TWO HARBORS, MN 55616

PHONE:

218/834-8374

Lim-Liab

(30733)

FAX: 218/834-0850

Lim-Liab

(21265)

FAX: 218/834-0850

Lim-Liab

(00844)

FAX: 218/834-8439

Certification

Registration

LAKE

(Cont.)* --------------------------

HWSAL

LEESA GILMAN

COMP

LEESA GILMAN

NH-44 SNF-NF-44

BETHANY DELVAS

LAKE OF THE WOODS

---------------------------**********

******** --------------------------

LAKEWOOD CARE CENTER

Church

600 MAIN AVENUE SOUTH

BAUDETTE, MN 56623

(21104)

PHONE:

218/634-3401 FAX: 218/634-3416

LAKEWOOD HEALTH CENTER

NProf

600 MAIN AVENUE SOUTH

BAUDETTE, MN 56623

(00333)

PHONE:

218/634-2120 FAX: 218/634-3416

LAKEWOOD HEALTH CENTER

NProf

600 MAIN AVENUE SOUTH

BAUDETTE, MN 56623

(02138)

PHONE: 218/634-1795 FAX: 218/634-3431

LAKEWOOD HEALTH CENTER CLINIC

NProf

600 MAIN AVENUE SOUTH

BAUDETTE, MN 56623

(27146)

PHONE:

218/634-2120 FAX: 218/634-1094

PARKERS ARC

Church

600 MAIN AVENUE SOUTH

BAUDETTE, MN 56623

(20421)

PHONE:

218/634-3407 FAX: 218/634-3416

---------------------------**********

CARRIAGE HOUSE SENIOR LIVING

Lim-Liab

175 EAST DERRYNANE STREET

LE CENTER, MN 56057

(35567)

PHONE:

507/227-7968 FAX: /-

NH-32 SNF-NF-32

JEFFRY STAMPOHAR

HOSP-15 CAH-15

JEFFRY STAMPOHAR

COMP

JEFFRY STAMPOHAR

RHC

JANELLE WESTERLUND

HWSAL

JEFFRY STAMPOHAR

LESUEUR

******** --------------------------

TCOMP

DELWYN SPRONK

Minnesota Department of Health

Health Regulation Division

Page

327

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

CARRIAGE HOUSE SENIOR LIVING

Lim-Liab

175 EAST DERRYNENE STREET

LE CENTER, MN 56057

(35876)

PHONE:

507/227-7968

FAX: /-

CENTRAL HEALTH CARE

Corp

444 NORTH CORDOVA AVENUE

LE CENTER, MN 56057

(00800)

PHONE:

507/357-2275

FAX: 507/357-4346

HORIZON PLACE

Corp

510 COMMERCE DRIVE

LE CENTER, MN 56057

(27214)

PHONE:

507/357-2262

FAX: 507/357-6299

HORIZON PLACE

Corp

510 COMMERCE DRIVE

LE CENTER, MN 56057

(30682)

PHONE:

507/357-2262

FAX: 507/357-6299

LE SUEUR COUNTY PUBLIC HEALTH

Cnty

88 SOUTH PARK AVENUE

LE CENTER, MN 56057

(02029)

PHONE:

507/357-8246

FAX: 507/357-4223

COMFORT RESIDENCE LESUEUR

Lim-Liab

105 PLUM RUN ROAD

LE SUEUR, MN 56058

(30477)

PHONE:

507/665-2499

FAX: 507/540-1062

OAK TERRACE SENIOR HOUSING OF LE SUEUR

Lim-Liab

811 SOUTH 4TH STREET

LE SUEUR, MN 56058

(32406)

PHONE:

507/593-8500

FAX: 507/665-4303

OAK TERRACE SENIOR HOUSING OF LE SUEUR LLC

Lim-Liab

811 SOUTH 4TH STREET

LE SUEUR, MN 56058

(32437)

PHONE:

507/593-8500

FAX: 507/665-4303

RIDGEVIEW LESUEUR LONG TERM CARE AND REHAB

NProf

CENTER

621 SOUTH 4TH STREET

LE SUEUR, MN 56058

(00336)

FAX: 507/665-2191

PHONE:

507/665-3375

RIDGEVIEW LESUEUR MEDICAL CENTER

NProf

621 SOUTH 4TH STREET

LE SUEUR, MN 56058

(00336)

PHONE:

507/665-3375

FAX: 507/665-2191

Certification

Registration

LESUEUR

(Cont.)* --------------------------

HWSAL

DEL SPRONK

NH-40 SNF-NF-40

DORI MUTCH

COMP

SHEILA GENELIN

HWS

SHEILA GENELIN

COMP HHA

CINDY SHAUGHNESSY

HWSAL

LORI MCGUIRE

COMP

DANIEL JACOBSEN

HWSAL

DREW HOOD

NH-55 HOSP-15 SNF-NF-55 CAH-15

PAMELA WILLIAMS

NH-55 HOSP-15 SNF-NF-55 CAH-15

PAMELA WILLIAMS

Minnesota Department of Health

Health Regulation Division

Page

328

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

AGING SERVICES FOR COMMUNITIES

212 1ST STREET SOUTH PO BOX 7

MONTGOMERY, MN 56069

PHONE:

507/364-5663

INSPIRE SERVICES LLC

1317 9TH STREET NE

MONTGOMERY, MN 56069

PHONE:

507/364-5312

SUNRISE FARM

1317 9TH STREET NE

MONTGOMERY, MN 56069

PHONE:

507/364-5312

TRADITIONS OF MONTGOMERY LLC

399 LEXINGTON AVENUE NW

MONTGOMERY, MN 56069

PHONE:

507/364-5585

TRADITIONS OF MONTGOMERY LLC

399 LEXINGTON AVENUE NW

MONTGOMERY, MN 56069

PHONE:

507/364-5585

TRADITIONS OF MONTGOMERY, LLC

399 LEXINGTON AVENUE NW

MONTGOMERY, MN 56069

PHONE:

507/364-5585

PRAHA VILLAGE

1100 1ST STREET SE

NEW PRAGUE, MN 56071

PHONE:

952/855-8855

TRADITIONS OF WATERVILLE

117 PAQUIN STREET EAST

WATERVILLE, MN 56096

PHONE:

507/362-4155

TRADITIONS OF WATERVILLE LLC

117 PAQUIN STREET EAST

WATERVILLE, MN 56096

PHONE:

507/362-4155

WATERVILLE ASSISTED LIVING LLC

117 PAQUIN STREET EAST

WATERVILLE, MN 56096

PHONE:

507/362-4155

NProf

(23985)

FAX: 507/364-5454

Lim-Liab

(33413)

FAX: 507/364-5908

Corp

(33642)

FAX: 507/364-5908

Lim-Liab

(26604)

FAX: 507/364-5244

Lim-Liab

(30730)

FAX: 507/364-5244

Lim-Liab

(26604)

FAX: 507/364-5244

Lim-Liab

(34459)

FAX: /-

Lim-Liab

(30618)

FAX: 507/362-4151

Lim-Liab

(25965)

FAX: 507/583-0011

Lim-Liab

(25965)

FAX: 507/583-0011

Certification

LESUEUR

(Cont.)*

KAREN HISCOX

COMP

JOSHUA BEULKE

COMP

DEIDRA BURKE

COMP

DEIDRA BURKE

MARY JO THORNE

DEIDRA BURKE

COMP

DEIDRA BURKE

COMP

DEIDRA BURKE

Registration

--------------------------

Home Mgmt

HWSAL-O

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

329

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

LINCOLN

******** --------------------------

GOOD SHEPHERD HOSPICE

NProf

Hospice HSPICE

503 EAST LINCOLN STREET

HENDRICKS, MN 56136

(03298)

PHONE:

507/275-3134

FAX: 507/275-2520

JEFFREY GOLLAHER

RHC

HENDRICKS CLINIC

NProf

501 EAST LINCOLN STREET

HENDRICKS, MN 56136

(03493)

PHONE:

507/275-3134

FAX: /-

JEFFREY GOLLAHER

NH-48 HOSP-24 SNF-NF-48 CAH-24

HENDRICKS COMMUNITY HOSPITAL

NProf

503 EAST LINCOLN STREET

HENDRICKS, MN 56136

(00340)

PHONE:

507/275-3134

FAX: 507/275-2242

JEFFREY GOLLAHER

NProf

COMP HHA

HOME

503 EAST LINCOLN STREET

HENDRICKS, MN 56136

(02241)

HENDRICKS COMMUNITY HOSPITAL ASSN & RETIREMENT

FAX: 507/275-3104

JEFFREY GOLLAHER

PHONE:

507/275-3134

HWS

LINCOLN LANE VILLA

NProf

503 EAST LINCOLN STREET PO 106

HENDRICKS, MN 56136

(21339)

PHONE:

507/275-3134

FAX: 507/275-3134

JEFFREY GOLLAHER

AVERA MEDICAL GROUP IVANHOE

NProf

RHC

366 EAST GEORGE STREET

IVANHOE, MN 561429711

(34498)

PHONE:

507/694-1377

FAX: 507/694-1379

SARAH GRIESSE

CARING4U PLLC

Lim-Liab

COMP

2617 STATE HIGHWAY 19

IVANHOE, MN 56142

(32929)

PHONE:

507/530-4813

FAX: 866/570-7502

DANA DAVIS

NH-25 SNF-NF-25

DIVINE PROVIDENCE HEALTH CENTER

NProf

312 EAST GEORGE STREET

IVANHOE, MN 56142

(00339)

PHONE:

507/694-2010

FAX: 507/694-2037

ALLEN ANDERSON

RHC

IVANHOE MEDICAL CENTER

NProf

315 NORTH NORMAN STREET

IVANHOE, MN 56142

(28186)

PHONE:

507/694-1100

FAX: 507/694-1440

JEFFREY GOLLAHER

AVERA MEDICAL GROUP LAKE BENTON

Corp

RHC

109 EAST BENTON STREET

LAKE BENTON, MN 56149

(30566)

PHONE:

507/368-4323

FAX: /-

ALLEN ANDERSON

Minnesota Department of Health

Health Regulation Division

Page

330

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

HOMESTEAD PLACE

Corp

501 MORK STREET

LAKE BENTON, MN 56149

(20824)

PHONE:

320/441-7001

FAX: 320/235-8069

HOMESTEAD PLACE

Corp

503 MORK STREET

LAKE BENTON, MN 56149

(20825)

PHONE:

320/441-7001

FAX: 320/235-8069

DANEBOD VILLAGE

NProf

404 DANEBOD VILLAGE DRIVE

TYLAR, MN 56178

(35256)

PHONE:

507/247-3200

FAX: 507/247-4202

AVERA MEDICAL GROUP TYLER

NProf

240 WILLOW STREET

TYLER, MN 56178

(02722)

PHONE:

507/247-5921

FAX: /-

AVERA SUNRISE MANOR

NProf

240 WILLOW STREET

TYLER, MN 56178

(00338)

PHONE:

507/247-5521

FAX: 507/247-2287

AVERA TYLER HOSPITAL

NProf

240 WILLOW STREET

TYLER, MN 56178

(00338)

PHONE: 507/247-5521

FAX: 507/247-2287

DANEBOD VILLAGE HOME

NProf

404 DANEBOD VILLAGE DRIVE

TYLER, MN 56178

(22008)

PHONE: 507/247-3200

FAX: 507/247-4202

---------------------------**********

KINGDOM HOME HEALTH CARE LLC

Lim-Liab

401 SUMMIT AVENUE

BALATON, MN 56115

(32510)

PHONE:

507/829-2024

FAX: /-

LAKEVIEW SENIOR HOUSING

NProf

651 US HIGHWAY 14 EAST

BALATON, MN 56115

(35521)

PHONE:

507/734-6828

FAX: 507/734-6830

Certification

Registration

LINCOLN

(Cont.)* --------------------------

BARBARA NOVOTNY

DAWN FRERICKS

TCOMP

LISA KING

ALLEN ANDERSON

NH-30 HOSP-20 BASS-1

ALLEN ANDERSON

NH-30 HOSP-20 BASS-1

ALLEN ANDERSON

LISA KING

HWSAL

RHC

SNF-NF-30 CAH-20

HWS

LYON

******** --------------------------

BASIC

JARYN FRICKE

HWSAL

CHRISTOPHER KNOLL

Minnesota Department of Health

Health Regulation Division

Page

331

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

LYON

(Cont.)* --------------------------

MINNEWASKA COMMUNITY HOME

651 HIGHWAY 14 EAST

BALATON, MN 56115

PHONE:

507/734-6828

NProf

(23188)

FAX: 507/734-6830

COMP

NANCY PETERSON

RHC

SANFORD CLINIC BALATON

NProf

551 HIGHWAY 14 EAST

BALATON, MN 56115

(21356)

PHONE:

507/629-3200

FAX: 507/629-3202

DANIEL REINER

FIELDCREST ASSISTED LIVING

Corp

COMP

80 EAST VERMILLION STREET

COTTONWOOD, MN 56229

(20524)

PHONE:

507/423-6691

FAX: 507/423-6470

JOHN CAMPION

FIELDCREST ASSISTED LIVING

Corp

HWSAL

80 VERMILLION STREET EAST

COTTONWOOD, MN 56229

(30685)

PHONE:

507/423-6691

FAX: 507/423-6470

JOHN CAMPION

AVERA AT HOME SOUTHWEST MINNESOTA

NProf

Hospice HSPICE

1104 EAST COLLEGE DRIVE STE B

MARSHALL, MN 56258

(31216)

PHONE:

507/537-7070

FAX: 507/537-9948

DODIE DERYNCK

AVERA DIALYSIS - MARSHALL

Corp

ESRD

300 SOUTH BRUCE STREET STE D

MARSHALL, MN 56258

(33936)

PHONE:

507/537-9200

FAX: 507/537-9201

MARY MAERTENS

NH-76 HOSP-49 BASS-8 SNF-NF-76 CAH-25 PPS-P-10

AVERA MARSHALL REGIONAL MEDICAL CENTER

NProf

300 SOUTH BRUCE STREET

MARSHALL, MN 56258

(00343)

PHONE:

507/532-9661

FAX: 507/532-9259

MARY MAERTENS

NProf

NH-76 HOSP-49 BASS-8 SNF-NF-76 CAH-25 PPS-P-10

AVERA MORNINGSIDE HEIGHTS CARE CENTER

300 SOUTH BRUCE STREET

MARSHALL, MN 56258

(00343)

PHONE:

507/532-9661

FAX: 507/532-9259

MARY MAERTENS

AVERA SURGERY CENTER MARSHALL

NProf

Outpt Surg Amb Surg

1521 CARLSON STREET #200

MARSHALL, MN 56258

(29710)

PHONE:

507/537-9022

FAX: 507/537-9043

MARY MAERTENS

NProf

COMP HHA

AVERA@HOME SOUTHWEST MN

1104 EAST COLLEGE DRIVE

MARSHALL, MN 56258

(31130)

PHONE:

507/537-7070

FAX: 507/537-9948

DORIS DERYNCK

Minnesota Department of Health

Health Regulation Division

Page

332

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

BOULDER CREEK

Lim-Liab

604 VILLAGE DRIVE

MARSHALL, MN 56258

(30908)

PHONE:

507/929-1234

FAX: 507/401-3607

BOULDER ESTATES

Lim-Liab

601 VILLAGE DRIVE

MARSHALL, MN 56258

(20507)

PHONE:

507/532-3834

FAX: 507/537-2488

BRENTWOOD HOME

NProf

1012 ESTHER LANE

MARSHALL, MN 56285

(27145)

PHONE:

507/532-4380

FAX: 507/929-3106

CENTRAL MINNESOTA SENIOR CARE

Corp

1232 PATRICA COURT EAST

MARSHALL, MN 56258

(20570)

PHONE:

320/441-7001

FAX: 320/235-8069

HERITAGE POINTE SENIOR LIVING

Lim-Liab

207 NORTH 4TH STREET

MARSHALL, MN 56258

(29444)

PHONE:

507/337-4330

FAX: 507/337-4334

HERITAGE POINTE SENIOR LIVING

Lim-Liab

207 NORTH 4TH STREET

MARSHALL, MN 56258

(29446)

PHONE:

507/337-4330

FAX: 507/337-4334

INTERNATIONAL QUALITY HOMECARE CORPORATION

Corp

227 W MAIN ST

MARSHALL, MN 56258

(34030)

PHONE:

833/808-4742

FAX: 507/401-3838

PRAIRIE HOME COMMUNITY CARE

NProf

408 EAST MAIN STREET #8

MARSHALL, MN 56258

(29940)

PHONE:

507/337-0080

FAX: 507/337-0081

PRAIRIE HOME HOSPICE

NProf

408 EAST MAIN STREET #8

MARSHALL, MN 56258

(02384)

PHONE:

507/337-0080

FAX: 507/337-0081

PRAIRIE HOME HOSPICE

NProf

1107 SKYLINE CIRCLE

MARSHALL, MN 56258

(22089)

PHONE:

507/337-0080

FAX: 507/337-0081

Certification

LYON

(Cont.)*

JAMES CARR

SLFA-10

CLAUDIA CRAVENS

BARB NOVOTNY

COMP

SARA DOLAN

COMP

ADERONKE MORDI

COMP

PAT MELLENTHIN

Registration

--------------------------

HWSAL

Hospice HSPICE

PAT MELLENTHIN

RES-HSPICE-5

PAT MELLENTHIN

Minnesota Department of Health

Health Regulation Division

Page

333

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

PRAIRIE HOME HOSPICE INC

NProf

1120 CLIFTON CIRCLE

MARSHALL, MN 56258

(32533)

PHONE:

507/337-0080

FAX: 507/337-0081

PROJECT TURNABOUT HALFWAY HOUSE AND OUTPATIENT

NProf

CENTER

1220 BIRCH STREET

MARSHALL, MN 56258

(01617)

FAX: 507/532-3056

PHONE:

507/532-3008

REM SOUTHWEST SERVICES (MARSHALL A)

Corp

1003 NORTH 4TH STREET

MARSHALL, MN 56258

(01042)

PHONE:

507/922-6776

FAX: 952/922-6885

REM SOUTHWEST SERVICES (MARSHALL C)

Corp

1007 NORTH 4TH STREET

MARSHALL, MN 56258

(01616)

PHONE:

952/922-6776

FAX: 952/922-6885

SOUTHWEST MINNESOTA SURGICAL CENTER, INC.

Corp

1401 NWAKAMA STREET

MARSHALL, MN 56258

(25540)

PHONE:

507/929-7696

FAX: 507/337-1979

STEPPING STONE HOME HEALTH CARE

Lim-Liab

601 VILLAGE DRIVE

MARSHALL, MN 56258

(26940)

PHONE:

507/537-2412

FAX: 507/537-2430

THE HEALTH ENHANCEMENT CENTERS, P.A.

Corp

104 WEST REDWOOD STREET

MARSHALL, MN 56258

(33270)

PHONE:

507/532-2655

FAX: /-

TOUCHING HEARTS HOME CARE

Lim-Liab

1210 EAST COLLEGE DRIVE #800

MARSHALL, MN 56258

(24577)

PHONE:

507/337-1101

FAX: 507/337-1102

MADISON AVENUE APARTMENTS

Lim-Liab

700 NORTH MADISON STREET

MINNEOTA, MN 56264

(20238)

PHONE:

507/872-5300

FAX: 507/872-5359

MADISON AVENUE APARTMENTS

Lim-Liab

700 NORTH MADISON STREET

MINNEOTA, MN 56264

(30459)

PHONE:

507/872-5307

FAX: 507/872-5359

Certification

Registration

LYON

(Cont.)* --------------------------

RES-HSPICE-4

PAT MELLENTHIN

SLFA-24

MICHAEL SCHIKS

SLFA-6 ICFIID-6

DEVIN NELSON

SLFB-6 ICFIID-6

DEVIN NELSON

Outpt Surg Amb Surg

KELSEY POPOWSKI

COMP

JIM KNUDSON

Out Pt

QUENTIN FIXEN

COMP

DEB BLOMME

COMP

KATHY JOHNSON

JENNIFER GLEASON

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

334

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

MINNEOTA MANOR HEALTH CARE CENTER

Lim-Liab

700 NORTH MONROE STREET

MINNEOTA, MN 56264

(00887)

PHONE:

507/872-5300

FAX: 507/872-5359

TOWN AND COUNTRY HOME HEALTH CARE

Lim-Liab

700 NORTH MADISON STREET

MINNEOTA, MN 56264

(02412)

PHONE:

507/872-5300

FAX: 507/872-5359

O'BRIEN COURT

NProf

410 STATE STREET

TRACY, MN 56175

(20304)

PHONE:

507/629-8450

FAX: /-

PRAIRIE VIEW SENIOR LIVING

Corp

250 5TH STREET EAST

TRACY, MN 56175

(00342)

PHONE:

507/629-3331

FAX: 507/629-3086

SANFORD CLINIC TRACY

NProf

251 5TH STREET EAST

TRACY, MN 56175

(03335)

PHONE:

507/629-3520

FAX: /-

SANFORD TRACY MEDICAL CENTER

NProf

251 5TH STREET EAST

TRACY, MN 56175

(00344)

PHONE: 507/629-8400

FAX: 507/629-8486

SHETEK HOME CARE

Lim-Liab

251 5TH STREET EAST

TRACY, MN 56175

(02748)

PHONE: 507/629-8454

FAX: 507/629-8451

---------------------------**********

ESSENTIA ST. MARY'S MAHNOMEN

NProf

117 NORTH MAIN STREET

MAHNOMEN, MN 56557

(29394)

PHONE:

218/936-5616

FAX: /-

MAHNOMEN AREA ASSISTED LIVING CENTER, INC

NProf

314 WEST JEFFERSON AVENUE

MAHNOMEN, MN 56557

(31182)

PHONE:

218/935-9401

FAX: 218/935-5409

Certification

Registration

LYON

(Cont.)* --------------------------

NH-55 SNF-NF-55

KATHY JOHNSON

COMP HHA

KATHY JOHNSON

HWS

CINDY SWENHAUGEN

NH-43 SNF-NF-43

BRIAN HINRICHS

RHC

DANIEL REINER

HOSP-25 CAH-25

STACY BARSTAD

COMP HHA

RENAE DEVEREAUX

MAHNOMEN

******** --------------------------

RHC

PETER JACOBSON

HWSAL

DALE KRUGER

Minnesota Department of Health

Health Regulation Division

Page

335

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

MAHNOMEN HEALTH CENTER

Cy-Co

414 WEST JEFFERSON AVENUE

MAHNOMEN, MN 56557

(00353)

PHONE:

218/935-2511 FAX: 218/935-2370

MAHNOMEN HEALTH CENTER

Cy-Co

414 WEST JEFFERSON AVENUE

MAHNOMEN, MN 56557

(30960)

PHONE:

218/935-9402 FAX: 218/935-5409

SANFORD HEALTH MAHNOMEN CLINIC

NProf

414 WEST JEFFERSON PO BOX 396

MAHNOMEN, MN 56557

(03424)

PHONE:

218/935-2514 FAX: /-

---------------------------**********

TAMARAC SENIOR LIVING COMMUNITY

NProf

900 LINCOLN AVENUE

STEPHEN, MN 56757

(30480)

PHONE:

218/478-2850 FAX: 218/478-2852

NORTH STAR ASSISTED LIVING

City

400 SOUTH MCKINLEY STREET

WARREN, MN 56762

(29839)

PHONE:

218/745-4125 FAX: 218/745-9225

NORTH STAR INDEPENDENT SENIOR LIVING

City

434 SOUTH MCKINLEY STREET

WARREN, MN 56762

(23993)

PHONE: 218/745-5282 FAX: /-

NORTH STAR MANOR

City

410 SOUTH MCKINLEY STREET

WARREN, MN 56762

(00356)

PHONE:

218/745-5282 FAX: 218/745-6434

NORTH STAR MANOR ASSISTED LIVING

City

400 SOUTH MCKINLEY STREET

WARREN, MN 56762

(29838)

PHONE:

218/745-4125 FAX: 218/745-9225

NORTH VALLEY HEALTH CENTER

NProf

300 WEST GOOD SAMARITAN DRIVE

WARREN, MN 56762

(00871)

PHONE:

218/745-4211 FAX: 218/745-4215

Certification

Registration

MAHNOMEN

(Cont.)* --------------------------

NH-32 HOSP-18 SNF-NF-32 CAH-15

DALE KRUGER

COMP

DALE KRUGER

RHC

JUSTIN STROMME

MARSHALL

******** --------------------------

AMY DEACON

SHANNON MORTENSEN

SHANNON MORTENSON

NH-45

KALIE CRAYTON

COMP

SHANNON MORTENSON

HOSP-12

JON LINNELL

HWSAL

HWS

SNF-NF-45

CAH-12

Minnesota Department of Health

Health Regulation Division

Page

336

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

NORTH VALLEY HEALTH CENTER CLINIC

NProf

300 WEST GOOD SAMARITAN DRIVE

WARREN, MN 56762

(03790)

PHONE:

218/745-4211 FAX: /-

---------------------------**********

GOLDFINCH ESTATES

Lim-Liab

COMP

850 GOLDFINCH STREET

FAIRMONT, MN 56031

(23692)

PHONE:

507/235-9405 FAX: 507/238-4163

JAMES BETTENDORF

INGLESIDE

Corp

COMP

2811 ROLAND AVENUE

FAIRMONT, MN 56031

(20004)

PHONE:

507/238-9654 FAX: 507/238-1442

ERIC WORKE

INGLESIDE

Corp

2811 ROLAND AVE

FAIRMONT, MN 56031

(30245)

PHONE:

507/238-9654 FAX: 507/238-1442

ERIC WORKE

LAKEVIEW METHODIST HEALTH CARE CENTER

NProf

NH-82

610 SUMMIT DRIVE

FAIRMONT, MN 56031

(00360)

PHONE:

507/235-6606 FAX: 507/235-3995

DEBORAH BARNES

MAPLEWOOD RESIDENCE, INC.

NProf

620 SUMMIT DRIVE

FAIRMONT, MN 56031

(23768)

PHONE: 507/235-3443 FAX: 507/235-3995 DEBORAH BARNES

MAYO CLINIC DIALYSIS FAIRMONT

NProf

835 JOHNSON STREET

FAIRMONT, MN 56031

(23115)

PHONE:

507/235-5060 FAX: 507/238-5190

SUSAN MYAYA

MAYO CLINIC HEALTH SYSTEM - FAIRMONT

NProf

HOSP-57 BASS-16

800 MEDICAL CENTER DRIVE

FAIRMONT, MN 56031

(00359)

PHONE:

507/238-8101 FAX: 507/238-8686

AMY LONG

REM HEARTLAND INC BUDD

Corp

SLFB-12

111 DOROTHY STREET

FAIRMONT, MN 56031

(01427)

PHONE:

952/922-6776 FAX: 952/922-6885

DEVIN NELSON

Certification

Registration

MARSHALL

(Cont.)* --------------------------

RHC

SARA KAZMIERCZAK

MARTIN

******** --------------------------

HWSAL

SNF-NF-82

HWS

ESRD

HOSP-57

ICFIID-12

Minnesota Department of Health

Health Regulation Division

Page

337

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

REM HEARTLAND, INC. (AMBER)

Corp

107 DOROTHY STREET

FAIRMONT, MN 56031

(01205)

PHONE:

952/922-6776

FAX: 952/922-6885

SOUTH CENTRAL SURGICAL CENTER, LLC

Lim-Liab

717 SOUTH STATE STREET #1000

FAIRMONT, MN 56031

(20623)

PHONE:

507/238-4949

FAX: 507/238-3377

VISTA PRAIRIE AT GOLDFINCH ESTATES, LLC

Lim-Liab

850 GOLDFINCH STREET

FAIRMONT, MN 56031

(23692)

PHONE:

507/235-9405

FAX: 507/238-4163

VP AT GOLDFINCH ESTATES, LLC

Lim-Liab

850 GOLDFINCH STREET

FAIRMONT, MN 56031

(30399)

PHONE:

507/235-9405

FAX: 507/238-4163

WOODLAND MANOR

NProf

610 SUMMIT DRIVE

FAIRMONT, MN 56031

(20996)

PHONE:

507/235-6606

FAX: 507/235-3995

WOODLAND MANOR

NProf

610 SUMMIT DRIVE

FAIRMONT, MN 56031

(30841)

PHONE:

507/235-6606

FAX: 507/235-3995

COMMUNITY OPTIONS AND RESOURCES I

NProf

332 FOX LAKE AVENUE

SHERBURN, MN 56171

(01045)

PHONE:

507/764-4612

FAX: 507/764-4422

TEALWOOD MANAGEMENT LLC

Lim-Liab

410 FOX LAKE AVENUE

SHERBURN, MN 56171

(32067)

PHONE:

507/764-4977

FAX: 507/764-2592

TEMPERANCE LAKE RIDGE

City

410 FOX LAKE AVENUE

SHERBURN, MN 56171

(30233)

PHONE:

507/764-4977

FAX: 507/764-2592

SEASONS HEALTHCARE

Corp

303 BROADWAY AVENUE SOUTH

TRIMONT, MN 56176

(00365)

PHONE:

507/639-2381

FAX: 507/639-3775

Certification

Registration

MARTIN

(Cont.)* --------------------------

SLFB-6

DEVIN NELSON

Outpt Surg

CARRI BAARTS

COMP

JAMES BETTENDORF

COMP

DEBORAH BARNES

SLFB-6

JUDY MARTENS

COMP

LISA LANGE

NH-33

PATRICE GOETTE

ICFIID-6

Amb Surg

HWSAL

ICFIID-6

HWSAL

SNF-NF-33

Minnesota Department of Health

Health Regulation Division

Page

338

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

HEARTLAND SENIOR LIVING HOME CARE

NProf

400 NORTH 4TH AVENUE EAST

TRUMAN, MN 56088

(22125)

PHONE:

507/776-2031 FAX: 507/776-2335

TRUMAN MANOR APARTMENTS

NProf

402 NORTH 4TH AVENUE EAST

TRUMAN, MN 56088

(30285)

PHONE:

507/776-2031 FAX: 507/776-2032

TRUMAN SENIOR LIVING

NProf

400 NORTH 4TH AVENUE EAST

TRUMAN, MN 56088

(00361)

PHONE:

507/776-2031 FAX: 507/776-2032

TRUMAN SENIOR LIVING, INC.

NProf

400 NORTH 4TH AVENUE EAST

TRUMAN, MN 56088

(22125)

PHONE:

507/776-2031 FAX: 507/776-2335

---------------------------**********

SHADE TREE RETIREMENT CENTER

Corp

115 4TH AVENUE SOUTH PO BOX 35

BROWNTON, MN 55312

(20268)

PHONE:

320/441-7001 FAX: 320/235-8069

DOMINION CARES HOME HEALTH

Corp

9204 170TH STREET

GLENCOE, MN 55336

(28070)

PHONE: 320/864-9926 FAX: 888/206-4549

GLENCOE DIALYSIS

Corp

1123 HENNEPIN AVENUE NORTH

GLENCOE, MN 55336

(30907)

PHONE:

320/864-1901 FAX: 320/864-3361

GLENCOE REGIONAL HEALTH SERVICES

NProf

1805 HENNEPIN AVENUE NORTH

GLENCOE, MN 55336

(00351)

PHONE:

320/864-3121 FAX: 320/864-7887

GRAND MEADOWS

Lim-Liab

1420 PRAIRIE AVENUE

GLENCOE, MN 55336

(29045)

PHONE:

320/864-5577 FAX: 320/864-5350

Certification

Registration

MARTIN

(Cont.)* --------------------------

COMP

PATRICK RAFFERTY

KACEY KASEL

NH-40 SNF-NF-40

HEATHER PETERSON-KUEHL

COMP

PATRICK RAFFERTY

MCLEOD

********

HWSAL

--------------------------

HWSAL

DAWN FRERICKS

COMP

MARIAM AJAYI

ESRD

TAMARA WOODHAM

NH-108 HOSP-49 BASS-8 SNF-NF-108 CAH-25

PATRICIA HENDERSON

COMP

MICHELE MACKENTHUN

Minnesota Department of Health

Health Regulation Division

Page

339

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

GRAND MEADOWS INC

1420 PRAIRIE AVENUE

GLENCOE, MN 55336

PHONE:

320/864-5577

GUARDIAN IN HOME HEALTH & SECURITY, LLC

2025 10TH STREET EAST

GLENCOE, MN 55336

PHONE:

320/864-6544

ORCHARD ESTATES

1900 FORD AVENUE NORTH

GLENCOE, MN 55336

PHONE:

320/864-7798

ADARACARE INC

710 PARK ISLAND DRIVE

HUTCHINSON, MN 55350

PHONE:

763/682-0665

BIRCHWOOD HOUSE

710 PARK ISLAND DRIVE

HUTCHINSON, MN 55350

PHONE:

320/587-7737

ECUMEN HUTCHINSON THE OAKS

945 CENTURY AVENUE SW

HUTCHINSON, MN 55350

PHONE:

320/484-9150

ECUMEN HUTCHINSON THE OAKS

945 CENTURY AVENUE SW

HUTCHINSON, MN 55350

PHONE:

320/484-9150

ECUMEN HUTCHINSON THE PINES

1015 CENTURY AVENUE SW

HUTCHINSON, MN 55350

PHONE:

320/484-9153

HARMONY RIVER LIVING CENTER

1555 SHERWOOD STREET SE

HUTCHINSON, MN 55350

PHONE:

320/484-6000

HARMONY RIVER LIVING CENTER

1555 SHERWOOD STREET SE

HUTCHINSON, MN 55350

PHONE:

320/484-6000

Corp

(28964)

FAX: 320/864-5350

Lim-Liab

(26619)

FAX: 320/864-6541

NProf

(20002)

FAX: 320/864-7887

Corp

(33848)

FAX: 763/682-6543

Corp

(29202)

FAX: 320/234-7950

NProf

(20784)

FAX: 320/484-9158

NProf

(30795)

FAX: 320/484-9158

NProf

(23788)

FAX: 320/484-9186

NProf

(28986)

FAX: 320/234-5002

NProf

(00348)

FAX: 320/484-6001

Certification

Registration

MCLEOD

(Cont.)* --------------------------

HWSAL

ROCHELLE LANGLOIS

COMP

SONYA BORG

HWS

NANCY ELLEFSON

COMP

LORI SEEMANN

HWSAL

LORI SEEMANN

COMP

PATRICIA ISAACSON

HWSAL

PATRICIA ISAACSON

HWSAL

PATRICIA ISAACSON

COMP

NATALIE MORLAND

NH-120 SNF-NF-120

LUKE KRUEGER

Minnesota Department of Health

Health Regulation Division

Page

340

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

HARMONY RIVER LIVING CENTER

1555 SHERWOOD STREET SE

HUTCHINSON, MN 55350

PHONE:

320/484-6000

HUTCHINSON DIALYSIS CENTER

1069 HIGHWAY 15 SOUTH #6

HUTCHINSON, MN 55350

PHONE:

320/234-4940

HUTCHINSON HEALTH

1095 HIGHWAY 15 SOUTH

HUTCHINSON, MN 55350

PHONE:

320/234-5000

PRAIRIE SENIOR COTTAGES OF HUTCHINSON

1320 BRADFORD STREET

HUTCHINSON, MN 55350

PHONE:

320/587-5508

PRAIRIE SENIOR COTTAGES OF HUTCHINSON LLC

1320 BRADFORD STREET

HUTCHINSON, MN 55350

PHONE:

320/587-5508

PRAIRIE SENIOR COTTAGES OF HUTCHINSON LLC

1320 BRADFORD STREET

HUTCHINSON, MN 55350

PHONE:

320/587-5508

PRAIRIE SENIOR COTTAGES OF HUTCHINSON LLC

1310 BRADFORD STREET SE

HUTCHINSON, MN 55350

PHONE:

320/587-5508

REGIONAL EYE SURGERY CENTER, INC.

1455 MONTREAL STREET SE

HUTCHINSON, MN 55350

PHONE:

320/234-6660

RIVER OAKS AT SHADY RIDGE LLC

225 SHADY RIDGE ROAD NW

HUTCHINSON, MN 55350

PHONE:

320/587-8715

WELCOME HOME HEALTH CARE INC

1025 DALE STREET SW

HUTCHINSON, MN 55350

PHONE:

320/234-8917

NProf

(30810)

FAX: 320/484-6001

Corp

(03327)

FAX: /-

NProf

(00350)

FAX: 320/484-4688

Lim-Liab

(20745)

FAX: 320/587-7491

Lim-Liab

(20737)

FAX: 320/587-7491

Lim-Liab

(20745)

FAX: 320/587-7491

Lim-Liab

(30792)

FAX: 320/587-7491

Corp

(24516)

FAX: 320/234-3570

Lim-Liab

(32681)

FAX: 320/587-8758

Corp

(29910)

FAX: /-

Certification

Registration

MCLEOD

(Cont.)* --------------------------

HWSAL

LINDA KRENTZ

ESRD

JOHN MARIETTI

HOSP-66 BASS-6 HOSP-54 PPS-P-12

JIM LYONS

COMP

DUSTIN LEE

HWSAL

BRYAN CHRISTIANSON

COMP

DUSTIN LEE

HWSAL

BRYAN CHRISTIANSON

Outpt Surg Amb Surg

KIMBERLY MACKERETH

HWSAL

JONATHAN FENTON

COMP

JACOB WORK

Minnesota Department of Health

Health Regulation Division

Page

341

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

WOODSTONE SENIOR LIVING HUTCHINSON

Corp

1025 DALE STREET SW

HUTCHINSON, MN 55350

(29911)

PHONE:

320/234-8917

FAX: /-

CEDAR CREST OF HUTCHINSON

Corp

1401 MAIN STREET WEST

SILVER LAKE, MN 55381

(20040)

PHONE:

320/327-6577

FAX: 320/327-0147

CEDAR CREST OF SILVER LAKE

Corp

1401 MAIN STREET WEST

SILVER LAKE, MN 55381

(20040)

PHONE:

320/327-6577

FAX: 320/327-0147

CEDAR CREST OF SILVER LAKE

Corp

1401 MAIN STREET WEST

SILVER LAKE, MN 55381

(26903)

PHONE:

320/327-6577

FAX: 320/327-0147

BENEDICTINE LIVING COMMUNITY OF WINSTED

NProf

300 FAIRLAWN AVENUE

WINSTED, MN 55395

(24030)

PHONE:

320/485-3159

FAX: 320/485-2476

BENEDICTINE LIVING COMMUNITY OF WINSTED

NProf

551 4TH STREET NORTH

WINSTED, MN 55395

(00352)

PHONE:

320/485-2151

FAX: 320/485-4241

BENEDICTINE LIVING COMMUNITY OF WINSTED

NProf

215 LINDEN AVENUE WEST

WINSTED, MN 55395

(30487)

PHONE:

320/485-4303

FAX: 320/485-4271

GARDEN HOUSE AT ST. MARY'S

NProf

300 FAIRLAWN AVENUE WEST

WINSTED, MN 55395

(28112)

PHONE:

320/485-3159

FAX: 320/485-2476

INDEPENDENCE HOME CARE LLC

Lim-Liab

161 8TH STREET SOUTH

WINSTED, MN 55395

(32753)

PHONE:

320/979-2978

FAX: /-

MTAI TRILLIUM

Corp

306 WESTGATE DRIVE

WINSTED, MN 55395

(01614)

PHONE:

320/485-3759

FAX: 320/485-4738

Certification

MCLEOD

(Cont.)*

JACOB WORK

COMP

DAMON EWALD

COMP

DAMON EWALD

TARA EWALD

COMP

KAREN ERNST

Registration

--------------------------

HWSAL

NH-65 SNF-NF-65

ELIZABETH BAIN

HWSAL

ELIZABETH BAIN

HWSAL

ELIZABETH BAIN

BASIC

KYLE THOMPSON

SLFB-6 ICFIID-6

BRENT KROCAK

Minnesota Department of Health

Health Regulation Division

Page

342

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

LAKEVIEW RANCH

NProf

69531 213TH STREET

DARWIN, MN 55324

(30798)

PHONE:

320/275-4611

FAX: 320/275-4029

DASSEL MEDICAL CENTER

NProf

460 5TH STREET NORTH

DASSEL, MN 55325

(02801)

PHONE:

320/275-3358

FAX: /-

LAKESIDE APARTMENTS

NProf

441 WILLIAM AVENUE EAST

DASSEL, MN 55325

(20568)

PHONE:

320/275-1080

FAX: 320/275-2983

LAKESIDE ASSISTED LIVING

Corp

441 WILLIAM AVENUE EAST

DASSEL, MN 55325

(26188)

PHONE:

320/275-1080

FAX: 320/275-2983

LAKESIDE HEALTH CARE CENTER

Church

439 WILLIAM AVENUE EAST

DASSEL, MN 55325

(00773)

PHONE:

320/275-3308

FAX: 320/275-3433

LAKEVIEW RANCH

NProf

22851 MN HIGHWAY 15

DASSEL, MN 55325

(20829)

PHONE:

320/275-5515

FAX: 320/275-5516

LAKEVIEW RANCH

NProf

22851 MN HIGHWAY 15

DASSEL, MN 55325

(22067)

PHONE:

320/275-4611

FAX: 320/275-5516

LAKEVIEW RANCH, INC.

NProf

22851 MN HIGHWAY 15

DASSEL, MN 55325

(20829)

PHONE:

320/275-5515

FAX: 320/275-5516

BETHANY ASSISTED LIVING

NProf

203 NORTH ARMSTRONG AVENUE

LITCHFIELD, MN 55355

(23748)

PHONE:

320/693-2430

FAX: 320/373-6610

Certification

Registration

MEEKER

******** --------------------------

MICHELLE DEMCHO

STEVEN MULDER

BRIANNE WOLTERS

COMP

BRIANNE WOLTERS

NH-54

BRIANNE WOLTERS

COMP

MICHELLE DEMCHO

COMP

MICHELLE DEMCHO

JENNY KLIMA

HWSAL

RHC

HWSAL

SNF-NF-54

HWSAL

CENTRACARE KIDNEY PROGRAM - LITCHFIELD DIALYSIS

NProf

ESRD

520 US HIGHWAY 12 EAST

LITCHFIELD, MN 55355

(25910)

PHONE:

320/693-7777

FAX: 320/693-1555

DAVID WALZ

Minnesota Department of Health

Health Regulation Division

Page

343

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

CORNERSTONE CARE

Lim-Liab

23766 570TH AVENUE

LITCHFIELD, MN 55355

(33267)

PHONE:

612/310-0655

FAX: /-

CORNERSTONE CARE LLC

Lim-Liab

23766 570TH AVENUE

LITCHFIELD, MN 55355

(33450)

PHONE:

612/310-0655

FAX: 320/693-4293

ECUMEN HOME CARE - LITCHFIELD

NProf

218 NORTH HOLCOMBE AVENUE

LITCHFIELD, MN 55355

(02364)

PHONE:

320/693-7367

FAX: 320/693-0433

ECUMEN OF LITCHFIELD SENIOR HOUSING SERVICES

NProf

203 NORTH ARMSTRONG AVENUE

LITCHFIELD, MN 55355

(21203)

PHONE:

320/693-2430

FAX: 320/373-6610

EMMAUS PLACE

NProf

200 NORTH HOLCOMBE AVENUE

LITCHFIELD, MN 55355

(20586)

PHONE:

320/693-2430

FAX: 320/373-6610

GLORIA DEI MANOR

NProf

218 NORTH HOLCOMBE AVENUE

LITCHFIELD, MN 55355

(20108)

PHONE:

320/693-2430

FAX: 320/373-6610

LITCHFIELD HRA

HRA

122 W 4TH STREET

LITCHFIELD, MN 55355

(20584)

PHONE:

320/693-2104

FAX: 320/593-8199

MEEKER MANOR REHABILITATION CENTER, LLC

Lim-Liab

600 SOUTH DAVIS AVENUE

LITCHFIELD, MN 55355

(00775)

PHONE:

320/693-2472

FAX: 320/693-2242

MEEKER MEMORIAL HOSPITAL

Cnty

612 SOUTH SIBLEY AVENUE

LITCHFIELD, MN 55355

(00370)

PHONE:

320/693-4507

FAX: 320/693-4567

GARDEN VIEW AT HILLTOP

Lim-Liab

404 LUELLA STREET

WATKINS, MN 55389

(31442)

PHONE:

320/764-2300

FAX: 320/764-2665

Certification

Registration

MEEKER

(Cont.)* --------------------------

COMP

SANDRA LAHTINEN

COMP

STACY ANDERSON

COMP

JENNY KLIMA

PAT BRAATEN

NH-75

ANDREA ROSS

HOSP-35 BASS-4

KURT WALDBILLIG

COMP

FRED STRUZYK

HWS

HHA

HWS

SNF-NF-75

CAH-25 PPS-P-10

Minnesota Department of Health

Health Regulation Division

Page

344

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

MEEKER

(Cont.)* --------------------------

GARDEN VIEW AT HILLTOP

404 LUELLA STREET

WATKINS, MN 55389

PHONE:

320/764-1527

HILLTOP HEALTH CARE CENTER

410 LUELLA STREET

WATKINS, MN 55389

PHONE:

320/764-2300

WATKINS AREA HOMES

150 3RD STREET SOUTH

WATKINS, MN 55389

PHONE:

320/764-5600

WATKINS AREA HOMES

161 3RD STREET SOUTH

WATKINS, MN 55389

PHONE:

320/764-5600

WATKINS AREA HOMES

181 3RD STREET SOUTH

WATKINS, MN 55389

PHONE:

320/764-5600

WATKINS AREA HOMES II ST. ANTHONY MANOR

131 CHURCH ST

WATKINS, MN 55389

PHONE: 320/764-5600

Lim-Liab

HWSAL

(31471)

FAX: 320/764-2665

FRED STRUZYK

Lim-Liab

NH-50 SNF-NF-50

(00798)

FAX: 320/764-2665

FRED STRUZYK

NProf

HWS-O

(21229)

FAX: 320/764-5601

JOLEEN PFAU

NProf

HWS-O

(21230)

FAX: 320/764-5601

JOLEEN PFAU

NProf

HWS-O

(21231)

FAX: 320/764-5601

JOLEEN PFAU

NProf

HWS-O

(21232)

FAX: 320/764-5601 JOLEEN PFAU

MILLE LACS

---------------------------**********

******** --------------------------

SCANDIA SENIOR CARE, LLC

15622 135TH STREET

FORESTON, MN 56330

PHONE:

320/260-9164

MILLE LACS FAMILY CLINIC ISLE

375 WEST ISLE STREET

ISLE, MN 56342

PHONE:

320/676-3661

SCANDIA HOUSE OF ISLE

540 EAST ISLE STREET

ISLE, MN 56342

PHONE:

320/360-1223

Lim-Liab

COMP

(25867)

FAX: 877/309-7680

CHRISTINA ARRELL

NProf

RHC

(02461)

FAX: 320/676-3672

WILLIAM NELSON

Lim-Liab

HWSAL

(28438)

FAX: 877/309-7680

KENNETH BERGSTROM

Minnesota Department of Health

Health Regulation Division

Page

345

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

A NEW STORY BIRTH CENTER

16802 145TH AVENUE

MILACA, MN 56353

PHONE:

320/362-0476

ADULT CARE SERVICES OF MN INC

115 9TH STREET NW STE 120

MILACA, MN 56353

PHONE:

320/982-7000

COUNTRY MEADOWS

740 2ND STREET SE

MILACA, MN 56353

PHONE:

320/983-6386

COUNTRY MEADOWS OF MILACA

740 2ND STREET SE

MILACA, MN 56353

PHONE:

320/983-6386

COUNTRY MEADOWS OF MILACA, INC.

740 2ND STREET SE

MILACA, MN 56353

PHONE:

320/983-6386

ELIM HOME

730 2ND STREET SE

MILACA, MN 56353

PHONE:

320/983-2185

HERITAGE HOUSE OF MILACA

115 9TH STREET NW STE 120

MILACA, MN 56353

PHONE:

320/982-7000

HERITAGE HOUSE OF MILACA

115 9TH STREET NW #120

MILACA, MN 56353

PHONE:

320/982-7000

LYNN ANDERSON

9981 90TH AVENUE

MILACA, MN 56353

PHONE:

320/267-0897

LAKE SONG ASSISTED LIVING

206 NORTH ELM STREET

ONAMIA, MN 56359

PHONE:

320/532-2000

Lim-Liab

(31536)

FAX: 320/983-2998

Corp

(23743)

FAX: 320/982-7001

NProf

(24336)

FAX: 320/983-6824

NProf

(30529)

FAX: 320/983-6824

NProf

(24336)

FAX: 320/983-6824

Church

(00376)

FAX: 320/983-2190

Corp

(23743)

FAX: 320/982-7001

Ind

(30406)

FAX: 320/982-7001

Ind

(33150)

FAX: /-

NProf

(24552)

FAX: 320/532-2071

Certification

Registration

MILLE LACS

(Cont.)* --------------------------

B/C

DEBBIE SAHLSTROM

COMP

SANDY WERSTLEIN

COMP

KATHYANN LANGLIE

HWSAL

ADMINI LAURA BROBERG

COMP

KATHYANN LANGLIE

NH-70 SNF-NF-70

LAURA BROBERG

COMP

SANDY WERSTLEIN

HWSAL-O

LORI CARLSON

Home Mgmt

LYNN ANDERSON

COMP

CATHY HUGHES

Minnesota Department of Health

Health Regulation Division

Page

346

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

LAKE SONG ASSISTED LIVING

206 NORTH ELM STREET

ONAMIA, MN 56359

PHONE:

320/532-2000

MILLE LACS BAND OF OJIBWE, PUBLIC HEALTH

DEPARTMENT

17230 NOOPIMING DRIVE

ONAMIA, MN 56359

PHONE:

320/532-7459

MILLE LACS FAMILY CLINIC ONAMIA

200 NORTH ELM STREET

ONAMIA, MN 56364

PHONE:

320/532-3154

MILLE LACS HEALTH SYSTEM

200 NORTH ELM STREET

ONAMIA, MN 56359

PHONE:

320/532-3154

NProf

(30547)

FAX: 320/532-2071

Tribal

(25702)

FAX: 320/532-7524

NProf

(02459)

FAX: 320/532-3111

NProf

(00374)

FAX: 320/532-3111

MILLE LACS HEALTH SYSTEM HOME CARE/HOSPICE

NProf

200 ELM STREET NORTH

ONAMIA, MN 56359

(03598)

PHONE:

320/532-2800

FAX: 320/532-4325

MILLE LACS HOME CARE

NProf

200 ELM STREET NORTH

ONAMIA, MN 56359

(02323)

PHONE:

320/532-2800

FAX: 320/532-4325

ONAMIA AREA ASSISTED LIVING

NProf

206 NORTH ELM STREET

ONAMIA, MN 56359

(24552)

PHONE:

320/532-2000

FAX: 320/532-2071

CALEY HOUSE

NProf

104 SOUTH 8TH AVENUE

PRINCETON, MN 55371

(21649)

PHONE:

763/389-0424

FAX: 763/389-0436

CALEY HOUSE ASSISTED LIVING

NProf

104 SOUTH 8TH AVENUE

PRINCETON, MN 55371

(30813)

PHONE:

763/389-0424

FAX: 763/389-0409

CALEY HOUSE ASSISTED LIVING

NProf

104 SOUTH 8TH AVENUE

PRINCETON, MN 55371

(21649)

PHONE:

763/389-0424

FAX: 763/389-0436

Certification

Registration

MILLE LACS

(Cont.)* --------------------------

HWSAL

KERMIT HOLL

COMP

LISA BLAHOSKY-OLIVAREZ

RHC

WILLIAM NELSON

NH-57 HOSP-28 BASS-3 SNF-NF-57 CAH-18 PPS-P-10

WILLIAM NELSON

Hospice HSPICE

WILLIAM NELSON

COMP HHA

WILLIAM NELSON

COMP

CATHY HUGHES

COMP

KATIE BAILEY

TODD LUNDEEN

COMP

KATIE BAILEY

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

347

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

CENTRACARE KIDNEY PROGRAM - PRINCETON DIALYSIS

NProf

112 SOUTH RUM RIVER DRIVE #10

PRINCETON, MN 55371

(21067)

PHONE:

763/389-2048

FAX: 763/389-2325

ELIM HOME

Church

701 1ST STREET

PRINCETON, MN 55371

(00375)

PHONE:

763/389-1171

FAX: 763/389-0432

NEW FREEDOM INC

Corp

1213 11TH AVENUE NORTH

PRINCETON, MN 55371

(33849)

PHONE:

763/220-5483

FAX: /-

NEW FREEDOM, INC.

Corp

3116 90TH AVENUE

PRINCETON, MN 55371

(34182)

PHONE:

763/220-5483

FAX: /-

STERLING POINTE SENIOR LIVING

Lim-Liab

1250 NORTHLAND DRIVE

PRINCETON, MN 55371

(28071)

PHONE:

763/389-8655

FAX: /-

STERLING POINTE SENIOR LIVING

Lim-Liab

1250 NORTHLAND DRIVE

PRINCETON, MN 55371

(30802)

PHONE: 763/389-8655

FAX: /-

STERLING POINTE SENIOR LIVING LLC

Lim-Liab

1250 NORTHLAND DRIVE

PRINCETON, MN 55371

(28071)

PHONE: 763/389-8655

FAX: /-

---------------------------**********

MILLE LACS FAMILY CLINIC

NProf

26362 370TH AVENUE

HILLMAN, MN 56338

(23611)

PHONE:

320/277-3682

FAX: /-

BRIDGEWAY ESTATES

NProf

103 12TH STREET NE

LITTLE FALLS, MN 56345

(21656)

PHONE:

320/632-2089

FAX: 320/632-2097

Certification

Registration

MILLE LACS

(Cont.)* --------------------------

AMANDA NOAEILL

NH-105

TODD LUNDEEN

MINX MINX

CHERYL MINX

COMP

ANNA SHERIDAN

COMP

ANNA SHERIDAN

ESRD

SNF-NF-105

HWS-O

HWSAL

MORRISON

******** --------------------------

RHC

DANIEL REINER

COMP

MICHELE HALVORSON

Minnesota Department of Health

Health Regulation Division

Page

348

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

BRIDGEWAY ESTATES

NProf

103 12TH STREET NE

LITTLE FALLS, MN 56345

(30385)

PHONE:

320/632-2061

FAX: 320/632-2097

CENTRACARE KIDNEY PROGRAM - LITTLE FALLS DIALYSIS

NProf

808 3RD STREET SE #160

LITTLE FALLS, MN 56345

PHONE:

320/631-5656

CENTRAL MN SENIOR CARE

315 6TH STREET SW

LITTLE FALLS, MN 56345

PHONE:

320/441-7001

CHI HEALTH AT HOME

815 SE SECOND STREET

LITTLE FALLS, MN 56345

PHONE:

320/631-5575

CHI HEALTH AT HOME

815 SE 2ND STREET

LITTLE FALLS, MN 56345

PHONE:

320/631-5575

DIAMOND WILLOW OF LITTLE FALLS

1401 5TH AVENUE NE

LITTLE FALLS, MN 56345

PHONE:

320/616-2845

DIAMOND WILLOW OF LITTLE FALLS 2

1405 5TH AVENUE NE

LITTLE FALLS, MN 56345

PHONE:

320/616-2848

FRANCISCAN SISTERS OF LITTLE FALLS, MN

116 8TH AVENUE SE

LITTLE FALLS, MN 56345

PHONE:

320/632-0678

FSLF CLARE RESIDENCE

116 8TH AVENUE SE

LITTLE FALLS, MN 56345

PHONE:

320/632-2981

FSLF MARY HALL

116 8TH AVENUE SE

LITTLE FALLS, MN 56345

PHONE:

320/632-2981

(02119)

FAX: 320/632-0479

Corp

(20317)

FAX: 320/235-8069

ONProf

(02813)

FAX: 320/631-1650

NProf

(03097)

FAX: 320/631-1650

Lim-Liab

(25706)

FAX: 320/616-2908

Lim-Liab

(25705)

FAX: 320/616-2910

NProf

(32333)

FAX: 320/632-6313

NProf

(32346)

FAX: 320/632-1714

NProf

(32347)

FAX: 320/632-1714

Certification

Registration

MORRISON

(Cont.)* --------------------------

HWS

MICHELE HALVORSON

ESRD

DAVID WALZ

HWSAL

DAWN FRERICKS

COMP HHA

LISA HANOWSKI

Hospice HSPICE

LISA HANOWSKI

HWSAL

SARA KLEINSCHMIDT

HWSAL

SARA KLEINSCHMIDT

COMP

SR. CAROLINE STOLTZ

HWSAL

JEANNE LEMIEUR

HWS

JEANNE LEMIEUR

Minnesota Department of Health

Health Regulation Division

Page

349

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

HIGHLAND SENIOR LIVING

Lim-Liab

1012 3RD AVENUE NE

LITTLE FALLS, MN 56345

(30739)

PHONE:

320/632-1880

FAX: 320/414-0353

HIGHLAND SENIOR LIVING COMMUNITY

Lim-Liab

1012 3RD AVENUE NE

LITTLE FALLS, MN 56345

(27367)

PHONE:

320/632-1880

FAX: 320/414-0353

HIGHLAND SENIOR LIVING OF LITTLE FALLS

Lim-Liab

1012 3RD AVENUE NE

LITTLE FALLS, MN 56345

(27367)

PHONE:

320/632-1880

FAX: 320/414-0353

LITTLE FALLS CARE CENTER

NProf

1200 1ST AVENUE NE

LITTLE FALLS, MN 56345

(00382)

PHONE:

320/632-9211

FAX: 320/632-2097

LUTHERAN SOCIAL SERVICE - WESTWIND

Corp

315 6TH STREET SW

LITTLE FALLS, MN 56345

(20317)

PHONE:

320/441-7001

FAX: 320/235-8069

NOUIS HOME CARE INC

Corp

308 1ST STREET SE

LITTLE FALLS, MN 56345

(28378)

PHONE:

320/632-3868

FAX: 888/470-8177

NOUIS HOME CARE INC

Corp

308 1ST STREET SE

LITTLE FALLS, MN 56345

(28501)

PHONE:

320/632-3868

FAX: 888/470-8177

ST. GABRIEL'S HOSPITAL

NProf

815 SE 2ND STREET

LITTLE FALLS, MN 56345

(00383)

PHONE:

320/632-5441

FAX: 320/631-5680

ST. OTTO'S CARE CENTER

Corp

920 4TH STREET SE

LITTLE FALLS, MN 56345

(00817)

PHONE:

320/632-9281

FAX: 320/631-4106

HARMONY HOUSE OF MOTLEY I

NProf

900 EASTWOOD LANE SOUTH

MOTLEY, MN 56466

(20572)

PHONE:

218/352-6941

FAX: 218/352-6942

Certification

Registration

MORRISON

(Cont.)* --------------------------

JEFFERY UDY

COMP

MAGGIE PARIS

COMP

MAGGIE PARIS

NH-64

MICHELE HALVORSON

DAWN FRERICKS

COMP

LEROY NOUIS

HOSP-49 BASS-10

STEVEN SMITH

NH-91

BRIAN BERNANDER

LANISHA POJANOWSKI

HWSAL

SNF-NF-64

HWSAL

HWSAL-O

CAH-25

SNF-NF-91

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

350

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

HARMONY HOUSE OF MOTLEY III

NProf

908 EASTWOOD LANE SOUTH #1

MOTLEY, MN 56466

(20971)

PHONE:

218/352-6941

FAX: 218/352-6942

LAKEWOOD CLINIC MOTLEY

NProf

1233 HIGHWAY 10

MOTLEY, MN 56466

(22117)

PHONE:

218/352-6922

FAX: 218/898-7594

FAMILY MEDICAL CENTER

NProf

200 SOUTH 1ST AVENUE

PIERZ, MN 56364

(27043)

PHONE:

320/468-2536

FAX: 320/468-2728

HARDING PLACE

Corp

24448 296TH AVENUE

PIERZ, MN 56364

(33941)

PHONE:

320/302-0192

FAX: /-

HARDING PLACE

NProf

24448 296TH AVENUE

PIERZ, MN 56364

(34822)

PHONE:

320/277-3424

FAX: 320/277-3751

HARMONY HOUSE

NProf

26814 143RD STREET

PIERZ, MN 56364

(20767)

PHONE:

320/468-6451

FAX: 320/468-6463

HARMONY HOUSE

NProf

26886 143RD STREET

PIERZ, MN 56364

(20172)

PHONE:

320/468-2811

FAX: 320/468-6863

HORIZON HEALTH HOMECARE

NProf

26814 143RD STREET PO BOX 220

PIERZ, MN 56364

(03347)

PHONE:

320/468-2788

FAX: 320/468-6452

HORIZON HEALTH HOSPICE

NProf

26814 143RD STREET

PIERZ, MN 56364

(28959)

PHONE:

320/468-2788

FAX: 320/468-6452

PIERZ MEADOW PONDS, INC.

Corp

305 RONALD AVENUE

PIERZ, MN 56364

(23849)

PHONE:

320/468-2949

FAX: 320/468-2955

Certification

MORRISON

(Cont.)*

LANISHA POJANOWSKI

RHC

CRAIG WOLHOWE

RHC

DENNIS DVORAK

TCOMP

TRAVIS STRAUMANN

PAULA ROCHELEAU

COMP

LANISHA POJANOWSKI

COMP HHA

NANCY MATLOCK

Registration

--------------------------

HWSAL

HWS-O

HWSAL

Hospice HSPICE

NANCY MATLOCK

COMP

SAMANTHA ADAMS

Minnesota Department of Health

Health Regulation Division

Page

351

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

PIERZ MEADOW PONDS, INC.

Corp

305 RONALD AVENUE

PIERZ, MN 56364

(30431)

PHONE:

320/468-2951 FAX: 320/468-2955

PIERZ VILLA, INC.

Corp

119 FAUST STREET SE

PIERZ, MN 56364

(00384)

PHONE:

320/468-6405 FAX: 320/468-0088

AMAZING LOVE ELDERLY CARE CENTER, LLC

Lim-Liab

7807 EMERALD ROAD

RANDALL, MN 56475

(29391)

PHONE:

320/749-2485 FAX: /-

RANDALL LAKES AREA CLINIC

NProf

250 WHITE OAK DRIVE

RANDALL, MN 56475

(27045)

PHONE:

320/749-2877 FAX: /-

RIVERSIDE ASSISTED LIVING

Corp

812 CENTRE STREET EAST

ROYALTON, MN 56373

(24459)

PHONE:

320/584-6484 FAX: 320/584-5003

RIVERSIDE ASSISTED LIVING

Corp

812 CENTRE STREET EAST

ROYALTON, MN 56373

(30537)

PHONE: 320/584-6484 FAX: 320/584-5003

---------------------------**********

ADAMS HEALTH CARE CENTER

810 WEST MAIN STREET

ADAMS, MN 55909

PHONE:

507/582-3263

ADAMS HOME HEALTH AGENCY

810 WEST MAIN STREET

ADAMS, MN 55909

PHONE:

507/582-7704

ADAMS HOME HEALTH AGENCY

810 WEST MAIN STREET

ADAMS, MN 55909

PHONE:

507/582-7704

City

(00754)

FAX: 507/582-7793

City

(26961)

FAX: 507/582-3275

City

(30231)

FAX: 507/582-3275

Certification

Registration

MORRISON

(Cont.)* --------------------------

HWSAL

SAMANTHA ADAMS

NH-50 SNF-NF-50

KIM ROCHELEAU

HWS

PENNY POLING

RHC

DENNIS DVORAK

COMP

MORGAN WAYTASHEK

HWSAL

PAULA ROCHELEAU

MOWER

******** --------------------------

NH-30 SNF-NF-30

HEATHER SELLERS

COMP

HEATHER SELLERS

HWSAL

HEATHER SELLERS

Minnesota Department of Health

Health Regulation Division

Page

352

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

CEDARS OF AUSTIN

700 1ST DRIVE NW

AUSTIN, MN 55912

PHONE:

507/437-3246

CEDARS OF AUSTIN

700 1ST DRIVE NW

AUSTIN, MN 55912

PHONE:

507/437-3246

GOOD SAMARITAN SOCIETY - COMFORCARE

1201 17TH STREET NE

AUSTIN, MN 55912

PHONE:

507/437-4526

KSMS OUR HOUSE LLC

204 14TH STREET NW

AUSTIN, MN 55912

PHONE:

507/437-2179

MAYO CLINIC HEALTH SYSTEM - AUSTIN

101 14TH STREET NW

AUSTIN, MN 55912

PHONE:

507/434-1415

OUR HOUSE SENIOR LIVING

1401 15TH AVENUE NW

AUSTIN, MN 55912

PHONE:

507/396-0085

OUR HOUSE SENIOR LIVING

204 14TH STREET NW

AUSTIN, MN 55912

PHONE:

507/437-2179

OUR HOUSE SENIOR LIVING

204 14TH STREET NW

AUSTIN, MN 55912

PHONE:

507/437-2179

OUR HOUSE SENIOR LIVING

1313 15TH AVENUE NW

AUSTIN, MN 55912

PHONE:

507/437-3373

PRIMROSE LEASE MANAGEMENT, LLC

1701 22ND AVENUE SW

AUSTIN, MN 55912

PHONE:

507/434-0600

Part

(20189)

FAX: 507/437-3248

Part

(30438)

FAX: 507/437-3248

NProf

(00967)

FAX: 507/437-9024

Lim-Liab

(20449)

FAX: 507/437-2310

NProf

(03409)

FAX: 507/434-1276

Lim-Liab

(21746)

FAX: 507/396-0087

Lim-Liab

(20449)

FAX: 507/437-2310

Lim-Liab

(30630)

FAX: 507/437-2310

Lim-Liab

(24097)

FAX: 507/437-3383

Lim-Liab

(21689)

FAX: 507/434-0041

Certification

Registration

MOWER

(Cont.)* --------------------------

COMP

LUCINDA GARDNER

HWSAL

LUCINDA GARDNER

NH-45 SNF-NF-45

KATIE DAVIS

COMP

RANDY KLEIN

Hospice HSPICE

LESA ANDERSON

HWSAL

RANDY KLEIN

COMP

RANDY KLEIN

HWSAL

RANDY KLEIN

HWSAL

RANDY KLEIN

COMP

ANNETTE ROSS

Minnesota Department of Health

Health Regulation Division

Page

353

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

MOWER

(Cont.)* --------------------------

PRIMROSE LEASE MANAGEMENT, LLC

Lim-Liab

HWSAL

1701 22ND AVENUE SW

AUSTIN, MN 55912

(30819)

PHONE:

507/434-0600

FAX: 507/434-0041

MARK MCNEARY

PRIMROSE OF AUSTIN

Lim-Liab

COMP

1701 22ND AVENUE SW

AUSTIN, MN 55912

(21689)

PHONE:

507/434-0600

FAX: 507/434-0041

ANNETTE ROSS

REFLECTIONS ASSISTED LIVING

Corp

COMP

300 2ND STREET SW

AUSTIN, MN 55912

(25944)

PHONE:

507/440-6564

FAX: 507/437-2393

GARY CORCORAN

REFLECTIONS ASSISTED LIVING

Corp

HWSAL

300 2ND STREET SW

AUSTIN, MN 55912

(30615)

PHONE:

507/440-6564

FAX: 507/437-2393

GARY CORCORAN

SACRED HEART ASSISTED LIVING APARTMENTS

NProf

HWSAL

1202 12TH STREET SW

AUSTIN, MN 55912

(20386)

PHONE:

507/433-1905

FAX: 507/434-9572

REBECCA HALVERSON

SACRED HEART CARE CENTER INC

NProf

TCOMP

1200 12TH STREET SOUTHWEST

AUSTIN, MN 55912

(35712)

PHONE:

507/433-1808

FAX: 507/434-9572

CHRIS SCHULZ

SACRED HEART CARE CENTER, INC.

NProf

NH-59 SNF-NF-59

1200 12TH STREET SW

AUSTIN, MN 55912

(00393)

PHONE:

507/433-1808

FAX: 507/434-9572

CHRIS SCHULZ

SACRED HEART HOME HEALTH CARE

NProf

COMP HHA

1200 12TH STREET SW

AUSTIN, MN 55912

(02231)

PHONE:

507/433-1905

FAX: 507/433-8012

CHRIS SCHULZ

SENIORS HELPING SENIORS

Corp

Home Mgmt

1604 2ND AVENUE NW

AUSTIN, MN 55912

(31852)

PHONE:

507/396-8080

FAX: /-

RICHARD MCINTOSH

ST. MARK'S HERITAGE COMMUNITY

Church

HWSAL

400 15TH AVENUE SW

AUSTIN, MN 55912

(30839)

PHONE:

507/434-7237

FAX: /-

BRIANA STURM

Minnesota Department of Health

Health Regulation Division

Page

354

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

ST. MARK'S HERITAGE COMMUNITY

Church

400 SW 15TH AVENUE

AUSTIN, MN 55912

(20978)

PHONE:

507/437-4594

FAX: 507/434-7201

ST. MARK'S LIVING

Church

400 15TH AVENUE SW

AUSTIN, MN 55912

(00394)

PHONE:

507/437-4594

FAX: 507/434-7201

ST. MARKS HERITAGE COMMUNITY

Church

400 SW 15TH AVENUE

AUSTIN, MN 55912

(20978)

PHONE:

507/437-4594

FAX: 507/434-7201

THE CARLSON HOME OF AUSTIN, INC.

Corp

300 1ST AVENUE NW

AUSTIN, MN 55912

(20073)

PHONE:

507/433-8357

FAX: 507/433-9368

THE CARLSON HOME, INC.

Corp

300 1ST AVENUE NW

AUSTIN, MN 55912

(33999)

PHONE:

507/433-8357

FAX: 507/433-9368

WHISPERING PINES RANCH

Corp

1916 4TH STREET SE

AUSTIN, MN 55912

(25430)

PHONE:

507/433-1117

FAX: 507/434-4129

WHISPERING PINES RANCH

Corp

1916 4TH STREET SE

AUSTIN, MN 55912

(30582)

PHONE:

507/433-1117

FAX: 507/434-4129

LEGACY OF BROWNSDALE

Lim-Liab

105 LATHAM STREET NE

BROWNSDALE, MN 55918

(33945)

PHONE:

507/203-1818

FAX: 507/203-1855

LEGACY OF BROWNSDALE

Lim-Liab

105 LATHAM STREET NE

BROWNSDALE, MN 55918

(33988)

PHONE:

507/203-1818

FAX: 800/305-3405

MEADOW MANOR

Corp

210 EAST GRAND AVENUE

GRAND MEADOW, MN 55936

(00390)

PHONE:

507/754-5212

FAX: 507/754-5222

Certification

Registration

MOWER

(Cont.)* --------------------------

COMP

SUNDEEP GIL

NH-57 SNF-NF-57

BRIANA STURM

COMP

SUNDEEP GIL

COMP

RICHARD CARLSON

HWSAL

AMY KLEIN

COMP

REBECCA 254

HWSAL

REBECCA STUNDAHL

COMP

DEIDRA BURKE

HWSAL

DEIDRA BURKE

NH-26 SNF-NF-26

Minnesota Department of Health

Health Regulation Division

Page

355

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

THE MEADOWS

Corp

117 2ND STREET SE

GRAND MEADOW, MN 55936

(21007)

PHONE:

507/754-4000 FAX: 507/754-5227

THE MEADOWS

Corp

117 2ND STREET SE

GRAND MEADOW, MN 55936

(30842)

PHONE:

507/754-4000 FAX: 507/754-5227

WILDWOOD GROVE

City

410 EAST MAIN STREET

LEROY, MN 55951

(21165)

PHONE:

507/324-9515 FAX: 507/324-5355

WILDWOOD GROVE

City

410 EAST MAIN STREET

LEROY, MN 55951

(30710)

PHONE:

507/324-9515 FAX: 507/324-5355

---------------------------**********

MAPLE LAWN SENIOR CARE

NProf

NH-54 SNF-NF-54

400 7TH STREET NE

FULDA, MN 56131

(00396)

PHONE:

507/425-2571 FAX: 507/748-1057

ARLAN SWANSON

MAPLEVIEW ESTATES

NProf

HWS

700 MAPLE LANE

FULDA, MN 56131

(20997)

PHONE: 507/425-2572 FAX: 507/748-1057 ARLAN SWANSON

MAPLEWOOD COURT ASSISTED LIVING

NProf

HWSAL

310 7TH STREET NE

FULDA, MN 56131

(30343)

PHONE:

507/425-9900 FAX: /-

ARLAN SWANSON

MAPLEWOOD COURT ASSISTED LIVING

NProf

COMP

310 7TH STREET NE

FULDA, MN 56131

(23225)

PHONE:

507/425-9900 FAX: 507/748-1058

ARLAN SWANSON

MURRAY COUNTY CLINIC FULDA

Cnty

RHC

119 NORTH ST. PAUL AVENUE

FULDA, MN 56131

(26186)

PHONE:

507/425-2300 FAX: 507/836-6700

RENEE LOGAN

Certification

MOWER

(Cont.)*

COMP

ANGELA LAKO QUINN

ANGELA LAKO-QUINN

COMP

JANETTE DOHLMAN

MURRAY

********

Registration

--------------------------

HWSAL

--------------------------

Minnesota Department of Health

Health Regulation Division

Page

356

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

HOSPICE OF MURRAY COUNTY, INC.

NProf

36 PARK DRIVE PO BOX 86

SLAYTON, MN 56172

(02669)

PHONE:

507/836-8114

FAX: 507/836-6462

HUB CITY DEVELOPMENT, INC.

Corp

2409 LINDEN AVENUE

SLAYTON, MN 56172

(20735)

PHONE:

507/836-1055

FAX: 507/836-1075

HUB CITY DEVELOPMENT, INC.

Corp

2409 LINDEN AVENUE

SLAYTON, MN 56172

(30791)

PHONE:

507/836-1055

FAX: 507/836-1075

LINDENWOOD ASSISTED LIVING

Corp

2409 LINDEN AVENUE

SLAYTON, MN 56172

(20735)

PHONE:

507/836-1055

FAX: 507/836-1075

MURRAY COUNTY MEMORIAL HOSPITAL

Cnty

2042 JUNIPER AVENUE

SLAYTON, MN 56172

(00397)

PHONE:

507/836-6111

FAX: 507/836-6700

OUR HOUSE OF MURRAY COUNTY

NProf

36 PARK DRIVE PO BOX 86

SLAYTON, MN 56172

(20283)

PHONE: 507/836-8114

FAX: 507/836-6462

PRAIRIE VIEW, INC.

Corp

2220 27TH STREET

SLAYTON, MN 56172

(01520)

PHONE: 218/310-4322

FAX: 952/226-5806

SLAYTON CLINIC

Cnty

2042 JUNIPER AVENUE

SLAYTON, MN 56172

(03733)

PHONE:

507/836-6153

FAX: /-

SUNRISE TERRACE

Cnty

2121 IRONWOOD AVENUE

SLAYTON, MN 56172

(20669)

PHONE:

507/836-8980

FAX: /-

---------------------------**********

Certification

Registration

MURRAY

(Cont.)* --------------------------

Hospice HSPICE

JESSIE JORGENSON

COMP

SUE STREFF

HWSAL

SUE STREFF

COMP

SUE STREFF

HOSP-25 BASS-2 CAH-25

MICHAEL LADEVICH

RES-HSPICE-4

NATHAN SCHUNKE

SLFB-14 ICFIID-14

ERIC NELSON

RHC

JOHN OSSE

HWS

CAROL VELDHUISEN

NICOLLET

******** --------------------------

Minnesota Department of Health

Health Regulation Division

Page

357

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

BIRCHWOOD COTTAGES

Lim-Liab

1630 LOR RAY DRIVE

NORTH MANKATO, MN 56003

(33719)

PHONE:

507/613-0006

FAX: 507/387-2320

BIRCHWOOD COTTAGES

Lim-Liab

1630 LOR RAY DRIVE

NORTH MANKATO, MN 56003

(33918)

PHONE:

507/594-8386

FAX: 507/387-2320

MONARCH MEADOWS

Lim-Liab

2135 LOR RAY DRIVE

NORTH MANKATO, MN 56003

(20554)

PHONE:

507/344-0059

FAX: 507/344-1504

OAK TERRACE ASSISTED LIVING OF NORTH MANKATO, LLC

Lim-Liab

1575 HOOVER DRIVE

NORTH MANKATO, MN 56003

(20970)

PHONE:

507/387-2037

FAX: 507/387-6011

OAK TERRACE NORTH MANKATO

Lim-Liab

1575 HOOVER DRIVE

NORTH MANKATO, MN 56003

(30836)

PHONE:

507/387-2037

FAX: 507/387-6011

OAK TERRACE WEST

Lim-Liab

1570 TOWER BOULEVARD

NORTH MANKATO, MN 56003

(22081)

PHONE:

507/387-2037

FAX: 507/387-6011

THERESE K. SEXTON HOME - SOUTH

NProf

2050 HAUGHTON AVENUE

NORTH MANKATO, MN 56003

(01454)

PHONE:

507/387-8281

FAX: 507/625-9948

VISTA PRAIRIE AT MONARCH MEADOWS, LLC

Lim-Liab

2135 LOR RAY DRIVE

NORTH MANKATO, MN 56003

(20554)

PHONE:

507/344-0059

FAX: 507/344-1504

VISTA PRAIRIE AT MONARCH MEADOWS, LLC

Lim-Liab

2135 LOR RAY DRIVE

NORTH MANKATO, MN 56003

(30703)

PHONE:

507/344-0059

FAX: 507/344-1504

Certification

Registration

NICOLLET

(Cont.)* --------------------------

COMP

KIM ALINDER

COMP

JAMES BETTENDORF

COMP

DENNIS HOOD

DREW HOOD

DENNIS HOOD

SLFB-8

LINDA LEIDING

COMP

JAMES BETTENDORF

HWSAL

HWS

ICFIID-8

HWSAL

BENEDICTINE LIVING COMMUNITY OF ST. PETER

NProf

NH-79 SNF-NF-79

1907 KLEIN STREET

ST. PETER, MN 56082

(00399)

PHONE:

507/934-2203

FAX: 507/934-8392

TERESA HILDEBRANDT

Minnesota Department of Health

Health Regulation Division

Page

358

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

NICOLLET

---------------------------**********

(Cont.)* --------------------------

HWSAL

BENEDICTINE SENIOR LIVING

NProf

1906 NORTH SUNRISE DRIVE

ST. PETER, MN 56082

(30806)

PHONE:

507/934-8817

FAX: 507/934-0214

JANE ANDERSON

BENEDICTINE SENIOR LIVING COMMUNITY OF ST. PETER

NProf

COMP

1906 NORTH SUNRISE DRIVE

ST. PETER, MN 56082

(28206)

PHONE:

507/934-8817

FAX: 507/934-0214

JANE ANDERSON

COMMUNITY ADDICTION RECOVERY ENTERPRISE ST.

State

SLFB-16

PETER

2000 KLEIN STREET

ST. PETER, MN 56082

PHONE:

507/933-5191

(24618)

FAX: 507/931-7888

CHRISTINA ANDERLEY

ECUMEN PRAIRIE HILL

NProf

COMP

1305 MARSHALL STREET

ST. PETER, MN 56082

(27944)

PHONE:

507/934-2200

FAX: 507/934-2201

LISA HOFFERBERT

ECUMEN PRAIRIE HILL

NProf

HWSAL

1305 MARSHALL STREET

ST. PETER, MN 56082

(30785)

PHONE:

507/484-2203

FAX: 507/934-2201

LISA HOFFERBERT

ECUMEN SAND PRAIRIE

NProf

HWSAL

700 KNIGHT STREET

ST. PETER, MN 56082

(30768)

PHONE:

507/484-2203

FAX: 507/934-5346

LISA HOFFERBERT

SLFB-465

FORENSIC MENTAL HEALTH PROGRAM

State

100 FREEMAN DRIVE

ST. PETER, MN 56082

(01418)

PHONE:

507/985-3128

FAX: 651/431-7438

CAROL OLSON

State

SLFB-34

FORENSIC MENTAL HEALTH PROGRAM

1703 COUNTY STATE AID HWY 15

ST. PETER, MN 56082

(32670)

PHONE:

507/985-3128

FAX: 651/431-7438

CAROL OLSON

COMP HHA

GOOD SAMARITAN SOCIETY HOME CARE ST. PETER

NProf

600 SOUTH 5TH STREET #211

ST. PETER, MN 56082

(23185)

PHONE:

507/931-0949

FAX: 507/931-0110

CASSANDRA HRDLICKA

HERITAGE MEADOWS

NProf

HWS

1302 TRAVERSE ROAD

ST. PETER, MN 56082

(20916)

PHONE:

507/931-8545

FAX: 507/931-2123

TERESA HILDEBRANDT

Minnesota Department of Health

Health Regulation Division

Page

359

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

LINDA GRACK CARES

1804 MACINTOSH COURT

ST. PETER, MN 56082

PHONE:

320/864-3233

MINNESOTA SECURITY HOSPITAL

100 FREEMAN DRIVE

ST. PETER, MN 56082

PHONE:

507/985-3128

MSOP - GREEN ACRES

100 FREEMAN DRIVE

ST. PETER, MN 56082

PHONE:

651/431-5874

MSOP - PEXTON SHANTZ

100 FREEMAN DRIVE

ST. PETER, MN 56082

PHONE:

651/431-5874

MSOP - SUNRISE

100 FREEMAN DRIVE

ST. PETER, MN 56082

PHONE:

651/431-5874

PHEASANTS RIDGE ASSISTED LIVING

1807 SUNRISE DRIVE

ST. PETER, MN 56082

PHONE:

507/931-0966

PHEASANTS RIDGE ASSISTED LIVING

1807 SUNRISE DRIVE

ST. PETER, MN 56082

PHONE:

507/931-0966

RIVER VALLEY BIRTH CENTER

526 WEST PARK ROW

ST. PETER, MN 56082

PHONE:

507/934-1565

RIVER'S EDGE HOSPITAL & CLINIC

1900 NORTH SUNRISE DRIVE

ST. PETER, MN 56082

PHONE:

507/934-7602

ST. PETER COMMUNITY HEALTH CARE CENTER

1907 KLEIN STREET

ST. PETER, MN 56082

PHONE:

507/934-2203

Ind

(34420)

FAX: /-

State

(01418)

FAX: 651/431-7438

State

(27850)

FAX: 651/431-7404

State

(27851)

FAX: 651/431-7404

State

(30872)

FAX: 651/431-7404

Lim-Liab

(24372)

FAX: 507/931-1008

Lim-Liab

(30532)

FAX: 507/931-1008

Lim-Liab

(30963)

FAX: 507/934-2327

City

(23299)

FAX: 507/934-7651

NProf

(00399)

FAX: 507/934-8392

Certification

Registration

NICOLLET

(Cont.)* --------------------------

TCOMP

EUGENE GRACK

SLFB-465

CAROL OLSON

SLFB-15 SLFA-44

DAVID BORNUS

SLFB-260

DAVID BORNUS

SLFA-27 SLFB-3

DAVID BORNUS

COMP

NATE WENNER

HWSAL

NATE WENNER

B/C

ERIKA URBAN

HOSP-25 CAH-25

LORI ZOOK

NH-79 SNF-NF-79

TERESA HILDEBRANDT

Minnesota Department of Health

Health Regulation Division

Page

360

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

STATE OPERATED PSYCHIATRIC NURSING FACILITY - ST.

State

PETER

100 FREEMAN DRIVE

ST. PETER, MN 56082

(25494)

FAX: 507/985-3351

PHONE:

507/985-2365

---------------------------**********

ADRIAN COUNTRY LIVING COTTAGES

HRA

COMP

200 WEST 7TH STREET

ADRIAN, MN 56110

(27386)

PHONE:

507/483-2511

FAX: 507/483-2445

KAREN RYE

ADRIAN COUNTRY LIVING COTTAGES

City

200 WEST 7TH STREET

ADRIAN, MN 56110

(30740)

PHONE:

507/483-2511

FAX: 507/483-2445 BRUCE HEITKAMP

PALLANSCH PROPERTIES, LLC

Lim-Liab

603 LOUISIANA AVENUE

ADRIAN, MN 56110

(32183)

PHONE:

507/483-2580

FAX: 507/483-2610

KELA KERNS

SUNRISE VIEW ASSISTED LIVING LLC

Lim-Liab

COMP

603 LOUISIANA AVENUE

ADRIAN, MN 56110

(33827)

PHONE:

507/483-2580

FAX: 507/483-2610

MICHAELE NELSON

PARKVIEW MANOR NURSING HOME

City

NH-37

308 SHERMAN AVENUE

ELLSWORTH, MN 56129

(00406)

PHONE:

507/967-2482

FAX: 507/967-2141

CALVIN ANDERSON

AVERA MEDICAL GROUP WORTHINGTON

NProf

Outpt Surg

1216 RYANS ROAD

WORTHINGTON, MN 56187

(28628)

PHONE:

507/372-6522

FAX: 507/372-6523

KELLI VAN GROUW

C. C. S., INC. - RIDGEWOOD

NProf

SLFB-10

1381 KNOLLWOOD DRIVE

WORTHINGTON, MN 56187

(01278)

PHONE:

507/376-6095

FAX: 507/376-5117

PATRICIA COWDIN

COMPASSIONATE CARE HOSPICE

Lim-Liab

Hospice

31361 STATE HIGHWAY 266

WORTHINGTON, MN 56187

(25020)

PHONE:

507/372-7003

FAX: 507/376-4273

LAURIE TIMMER

Certification

Registration

NICOLLET

(Cont.)* --------------------------

NH-48

MICHELLE CHALIN

NOBLES

******** --------------------------

HWSAL

SNF-NF-37

Amb Surg

ICFIID-10

HSPICE

Minnesota Department of Health

Health Regulation Division

Page

361

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

CROSSROADS CARE CENTER

Lim-Liab

965 MCMILLAN STREET

WORTHINGTON, MN 56187

(00407)

PHONE:

507/376-5312

FAX: 507/376-9536

ECUMEN WORTHINGTON THE MEADOWS

NProf

1801 COLLEGEWAY

WORTHINGTON, MN 56187

(20011)

PHONE:

507/372-7838

FAX: 507/343-7150

ECUMEN WORTHINGTON THE MEADOWS

NProf

1801 COLLEGEWAY

WORTHINGTON, MN 56187

(03709)

PHONE:

507/372-7838

FAX: 507/372-7804

GOLDEN HORIZONS

Corp

1790 COLLEGEWAY

WORTHINGTON, MN 56187

(23234)

PHONE:

507/376-3111

FAX: 507/376-3311

GOLDEN HORIZONS

Corp

1790 COLLEGEWAY

WORTHINGTON, MN 56187

(30345)

PHONE:

507/376-3111

FAX: 507/376-3311

KC COMPANIES OF WORTHINGTON

Corp

1790 COLLEGEWAY

WORTHINGTON, MN 56187

(23234)

PHONE:

507/376-3111

FAX: 507/376-3311

SANFORD WORTHINGTON HOME CARE AGENCY

NProf

1018 6TH AVENUE

WORTHINGTON, MN 56187

(02314)

PHONE:

507/372-3139

FAX: 507/372-3177

SANFORD WORTHINGTON MED CENTER

City

1018 6TH AVENUE

WORTHINGTON, MN 56187

(02243)

PHONE:

507/372-2941

FAX: 507/372-3379

SANFORD WORTHINGTON MEDICAL CENTER

NProf

1018 6TH AVENUE

WORTHINGTON, MN 56187

(00412)

PHONE:

507/372-3110

FAX: 507/372-3240

SOUTH SHORE CARE CENTER

Corp

1307 SOUTH SHORE DRIVE

WORTHINGTON, MN 56187

(00885)

PHONE:

507/376-3175

FAX: 507/376-9042

Certification

Registration

NOBLES

(Cont.)* --------------------------

NH-50 SNF-NF-50

THERESE PRIDAL

NANCY GARVIN

COMP

NANCY GARVIN

COMP

CHUCK LANE

COMP

CHUCK LANE

COMP HHA

JENNIFER WEG

ESRD

JENNIFER WEG

HOSP-48 BASS-7 HOSP-48

JENNIFER WEG

NH-54 SNF-NF-54

TESS PRIDAL

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

362

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

SOUTHWESTERN MINNESOTA OPPORTUNITY COUNCIL,

NProf

INC.

1106 3RD AVENUE

WORTHINGTON, MN 56187

PHONE:

507/376-4195

SUNSET COTTAGE

1935 WOODLAND COURT

WORTHINGTON, MN 56187

PHONE:

507/372-7770

WORTHINGTON REGIONAL HOSPITAL

1018 6TH AVENUE

WORTHINGTON, MN 56187

PHONE:

507/372-3110

(03689)

FAX: 507/376-3636

NProf

(21952)

FAX: 507/372-7778

NProf

(00412)

FAX: 507/372-3240

---------------------------**********

BENEDICTINE CARE COMMUNITY

NProf

201 9TH STREET WEST

ADA, MN 56510

(00413)

PHONE:

218/784-5500

FAX: 218/784-5245

BENEDICTINE SUPPORTIVE SERVICES

NProf

201 9TH STREET WEST #2

ADA, MN 56510

(26532)

PHONE:

218/784-5500

FAX: 218/784-5245

BRIDGES MEDICAL CENTER

NProf

201 9TH STREET WEST

ADA, MN 56510

(00413)

PHONE:

218/784-5500

FAX: 218/784-5245

ESSENTIA HEALTH ADA

NProf

201 9TH STREET WEST

ADA, MN 56510

(26485)

PHONE:

218/784-5000

FAX: 218/784-3855

ESSENTIA HEALTH ADA CLINIC

NProf

201 9TH STREET WEST

ADA, MN 56510

(02794)

PHONE:

218/784-2727

FAX: /-

MISSION COURT

Church

201 9TH STREET WEST #3

ADA, MN 56510

(29451)

PHONE:

218/784-5001

FAX: 218/784-5245

Certification

Registration

NOBLES

(Cont.)* --------------------------

Home Mgmt

CHERI BAUER

RES-HSPICE-4

LORA NELSON

HOSP-48 BASS-7 HOSP-48

JENNIFER WEG

NORMAN

******** --------------------------

NH-49

JEAN ANN BIENEK

COMP

JEAN ANN BIENEK

NH-49

JEAN ANN BIENEK

HOSP-14

ERIN STOLTMAN

RYAN HILL

JEAN ANN BIENEK

SNF-NF-49

CAH-14

RHC

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

363

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

HALSTAD LIVING CENTER

Church

133 4TH AVENUE EAST

HALSTAD, MN 56548

(00764)

PHONE:

218/456-2105 FAX: 218/456-2290

HALSTAD LIVING CENTER

Church

133 4TH AVENUE EAST

HALSTAD, MN 56548

(20733)

PHONE:

218/456-2105 FAX: 218/456-2290

HERITAGE HOUSE

NProf

201 4TH AVENUE EAST

HALSTAD, MN 56548

(20732)

PHONE:

218/456-2105 FAX: 218/456-2290

SANFORD HEALTH HALSTAD CLINIC

NProf

445 1ST STREET EAST

HALSTAD, MN 56548

(02747)

PHONE:

218/456-2158 FAX: /-

NORMANDY APARTMENTS

NProf

201 3RD STREET NW #18

TWIN VALLEY, MN 56584

(20725)

PHONE:

218/584-5183 FAX: 218/584-5304

PALLANSCH PROPERTIES, LLC

Lim-Liab

208 OPPEGARD AVENUE NW

TWIN VALLEY, MN 56584

(35519)

PHONE: 218/584-5181 FAX: 320/639-1058

SANFORD HEALTH TWIN VALLEY CLINIC

NProf

501 2ND STREET NW

TWIN VALLEY, MN 56584

(03938)

PHONE: 218/584-5142 FAX: /-

TWIN VALLEY ASSISTED LIVING LLC

Lim-Liab

208 OPPEGARD AVENUE NW

TWIN VALLEY, MN 56584

(35343)

PHONE:

218/584-5181 FAX: 320/639-1058

---------------------------**********

1050 PLUMMER PLACE LLC

Lim-Liab

510 6TH PLACE NE

BYRON, MN 55920

(24850)

PHONE:

507/951-7887 FAX: 651/286-3108

Certification

Registration

NORMAN

(Cont.)* --------------------------

NH-44 SNF-NF-44

ANGELA NELSON

COMP

ANGELA NELSON

HWS

ANGIE NELSON

RHC

WALLACE RADTKE

HWS

ANGELA NELSON

HWSAL

MIGUEL CAMPA

RHC

MARK DUNCAN

TCOMP

MIGUEL CAMPA

OLMSTED

******** --------------------------

COMP

JACKELYN SEIFERT

Minnesota Department of Health

Health Regulation Division

Page

364

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

MADONNA SUMMIT OF BYRON

551 BYRON MAIN COURT NE

BYRON, MN 55920

PHONE:

507/315-3600

THE PLUMMER HOME LLC

510 6TH PLACE NE

BYRON, MN 55920

PHONE:

507/951-7887

ARBOR GARDENS

535 CANYON DRIVE NW

EYOTA, MN 55934

PHONE:

507/545-3999

SUNSET HOMES ASSISTED LIVING, INC.

11237 11TH AVENUE NW

ORONOCO, MN 55960

PHONE:

507/367-4438

ABILIT HOLDINGS MEADOW LAKES LLC

22 45TH AVENUE NW

ROCHESTER, MN 55901

PHONE:

507/252-5069

ADAPTA

2020 5TH STREET SW

ROCHESTER, MN 55902

PHONE:

507/282-0868

ADAPTA

2020 5TH STREET SW

ROCHESTER, MN 55902

PHONE:

507/282-0868

ADVANCED ONE CARE CENTER INC

4552 MANOR BROOK NW

ROCHESTER, MN 55901

PHONE:

612/703-0269

ALLENDALE HOUSE

2847 19TH AVENUE NW

ROCHESTER, MN 55901

PHONE:

507/288-7195

ARBOR TERRACE

700 NW 2ND AVENUE

ROCHESTER, MN 55901

PHONE:

507/288-4883

Lim-Liab

(32270)

FAX: /-

Lim-Liab

(24850)

FAX: 651/286-3108

Lim-Liab

(21810)

FAX: 507/545-3948

Corp

(27053)

FAX: 507/206-4858

Lim-Liab

(21129)

FAX: 507/536-4539

NProf

(33438)

FAX: 507/282-1345

NProf

(33762)

FAX: 507/282-1345

Corp

(36100)

FAX: /-

NProf

(01667)

FAX: 507/288-4522

NProf

(20146)

FAX: 507/424-5455

Certification

Registration

OLMSTED

(Cont.)* --------------------------

HWSAL

DANIELLE PODEIN

COMP

JACKELYN SEIFERT

COMP

MARLENE SCHAULAND

HWSAL

JOSEPH MABURURU

HWSAL

ALLISON LAW

COMP

KASI HAGLUND

HWSAL-O

KASI HAGLUND

HWSAL

ZAINAB MOHAMED ABDI

SLFB-6 ICFIID-6

LINDA DRIESSEN

HWSAL

SHEILA SNYDER

Minnesota Department of Health

Health Regulation Division

Page

365

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

ARBOR TERRACE

NProf

700 NW 2ND AVENUE

ROCHESTER, MN 55901

(20864)

PHONE:

507/288-4883

FAX: 507/424-5455

BENEDICT HOUSE

NProf

3883 19TH AVENUE NW

ROCHESTER, MN 55901

(32176)

PHONE:

507/288-3911

FAX: /-

BOSTROM TERRACE

NProf

1680 EASTWOOD ROAD SE

ROCHESTER, MN 55904

(24486)

PHONE:

651/645-7271

FAX: 651/645-0541

CENTER CITY HOUSING CORP GAGE EAST

NProf

920 40TH STREET NW

ROCHESTER, MN 55901

(32499)

PHONE:

218/722-7161

FAX: 218/720-3483

CENTREX REHAB II

Corp

2746 SUPERIOR DRIVE NW #300

ROCHESTER, MN 55901

(02587)

PHONE:

507/288-0064

FAX: /-

CHARTER HOUSE

NProf

211 2ND STREET NW

ROCHESTER, MN 55901

(20068)

PHONE:

507/266-7849

FAX: 507/266-2101

CHARTER HOUSE

NProf

211 2ND STREET NW

ROCHESTER, MN 55901

(00193)

PHONE:

507/266-7862

FAX: 507/266-6827

CHARTER HOUSE, INC.

NProf

211 2ND STREET NW

ROCHESTER, MN 55901

(20068)

PHONE:

507/266-7849

FAX: 507/266-2101

CHARTERHOUSE, INC

NProf

211 2ND STREET NW

ROCHESTER, MN 55901

(30329)

PHONE:

507/266-8572

FAX: 507/266-6827

COMFORT HEALTH

Corp

2746 SUPERIOR DRIVE NW #200

ROCHESTER, MN 55901

(02238)

PHONE:

507/281-2332

FAX: 507/281-2632

Certification

OLMSTED

(Cont.)*

COMP

SUSAN KNUTSON

DANIELLE PODEIN

STEPHEN VANDER SCHAAF

RICK KLUN

Registration

--------------------------

HWSAL

HWSAL-O

HWS-O

Out Pt Out St

PATRICE MRDJENOVICH HANKS

COMP

MARK (TONY) ENQUIST

NH-32 SNF-32

MARK (TONY) ENQUIST

COMP

MARK (TONY) ENQUIST

HWSAL

MARK A. (TONY) ENQUIST

COMP HHA

LYNETTE OEHLKE

Minnesota Department of Health

Health Regulation Division

Page

366

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

OLMSTED

(Cont.)* --------------------------

COMFORT HEALTH

Corp

COMP

2746 SUPERIOR DRIVE NW #200

ROCHESTER, MN 55901

(21496)

PHONE:

507/281-2332

FAX: 507/281-2632

LYNETTE OEHLKE

COMMUNITY BEHAVIORAL HEALTH HOSPITAL-ROCHESTER

State

OTHER-16 PSY-16

251 WOOD LAKE DRIVE SE

ROCHESTER, MN 55904

(24231)

PHONE:

507/206-2561

FAX: 651/431-7758

JAMES PIERCE

COTTAGEWOOD SENIOR COMMUNITIES I

Lim-Liab

HWSAL

4310 55TH STREET NW

ROCHESTER, MN 55901

(20391)

PHONE:

507/286-8528

FAX: 507/286-8527

MICHAEL PAGH

COTTAGEWOOD SENIOR COMMUNITIES II

Lim-Liab

HWSAL

4320 55TH STREET NW

ROCHESTER, MN 55901

(20392)

PHONE:

507/286-8528

FAX: 507/286-8527

MICHAEL PAGH

COTTAGEWOOD SENIOR COMMUNITIES III

Lim-Liab

HWSAL

4330 55TH STREET NW

ROCHESTER, MN 55901

(20393)

PHONE:

507/286-8528

FAX: 507/286-8527

MICHAEL PAGH

COTTAGEWOOD SENIOR COMMUNITIES IV

Lim-Liab

HWSAL

4210 55TH STREET NW

ROCHESTER, MN 55901

(20120)

PHONE:

507/286-8528

FAX: 507/286-8527

MICHAEL PAGH

COTTAGEWOOD SENIOR COMMUNITIES IX

Lim-Liab

HWSAL

4130 55TH STREET NW COTTAGE 9

ROCHESTER, MN 55901

(20498)

PHONE:

507/286-8528

FAX: 507/286-8527

MICHAEL PAGH

COTTAGEWOOD SENIOR COMMUNITIES V

Lim-Liab

HWSAL

4230 55TH STREET NW

ROCHESTER, MN 55901

(20496)

PHONE:

507/286-8528

FAX: 507/286-8527

MICHAEL PAGH

COTTAGEWOOD SENIOR COMMUNITIES VI

Lim-Liab

HWSAL

4240 55TH STREET NW

ROCHESTER, MN 55901

(21242)

PHONE:

507/286-8528

FAX: 507/286-8527

MICHAEL PAGH

COTTAGEWOOD SENIOR COMMUNITIES VII

Lim-Liab

HWSAL

4140 55TH STREET NW

ROCHESTER, MN 55901

(20504)

PHONE:

507/286-8528

FAX: 507/286-8527

MICHAEL PAGH

Minnesota Department of Health

Health Regulation Division

Page

367

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

COTTAGEWOOD SENIOR COMMUNITIES VIII

Lim-Liab

4150 55TH STREET NW

ROCHESTER, MN 55901

(21241)

PHONE:

507/286-8528

FAX: 507/286-8527

COTTAGEWOOD SENIOR COMMUNITY OF ROCHESTER

Lim-Liab

4220 55TH STREET NW

ROCHESTER, MN 55901

(29354)

PHONE:

507/286-8528

FAX: 507/286-8527

DIVERSITY HOME HEALTH GROUP LLC

Lim-Liab

2222 18TH AVENUE NW #210

ROCHESTER, MN 55901

(32659)

PHONE:

507/205-7322

FAX: 507/205-7390

EDENBROOK OF ROCHESTER

Lim-Liab

1875 19TH STREET NW

ROCHESTER, MN 55901

(00916)

PHONE:

507/282-9449

FAX: 507/292-5760

EXCELLENT CARE SERVICES INC

Corp

3003 43RD STREET NW #106

ROCHESTER, MN 55901

(24797)

PHONE:

507/289-0338

FAX: 507/289-7484

GLAZON CARE MAPLE CAMPUS

Corp

1815 4TH AVENUE SW

ROCHESTER, MN 55902

(35919)

PHONE:

507/322-0020

FAX: 507/353-2760

GLAZON CARE SERVICES

Corp

5 9TH STREET NE

ROCHESTER, MN 55906

(34785)

PHONE:

763/670-3452

FAX: /-

GLAZON CARE VIOLA CAMPUS

Corp

2040 VIOLA ROAD NE

ROCHESTER, MN 55906

(35918)

PHONE:

507/322-0020

FAX: 507/353-2760

GLAZON GROUP

Corp

5 9TH STREET NE

ROCHESTER, MN 55906

(34838)

PHONE:

507/322-0020

FAX: /-

GLOBAL HOME HEALTH CARE, INC.

Corp

1032 15TH AVENUE SE

ROCHESTER, MN 55904

(21537)

PHONE:

507/282-6466

FAX: 507/292-6694

Certification

Registration

OLMSTED

(Cont.)* --------------------------

MICHAEL PAGH

COMP

KELLY TALAMANTES

COMP

PLOENA HOANG

NH-81 SNF-NF-81

MARGARET HOLM-WACHHOLZ

COMP

ABIODUN AKINBOLU

OTIS ZEON, MD

OTIS ZEON

OTIS ZEON, MD

TCOMP HCBS

OTIS ZEON

COMP

MARK ADAFIN

HWSAL

Home Mgmt

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

368

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

OLMSTED

(Cont.)* --------------------------

HAPPY END HOMES INC

Corp

HWSAL-O

808 17TH AVENUE NE

ROCHESTER, MN 55906

(35513)

PHONE:

612/707-7715

FAX: /-

ALI SALAH

HEARTLAND HOME HEALTH CARE AND HOSPICE

Lim-Liab

Hospice HSPICE

821 3RD AVENUE SE #15

ROCHESTER, MN 55904

(23773)

PHONE:

507/292-1170

FAX: 507/292-1169

DARLENE FELTES

HIGH POINTE I APARTMENTS

NProf

HWS

1800 HIGH POINTE LANE NW

ROCHESTER, MN 55901

(29810)

PHONE:

507/282-8385

FAX: 507/282-8473

JESUS ESQUIVEL

HIGH POINTE II APARTMENTS

NProf

HWS

1830 HIGH POINTE LANE NW

ROCHESTER, MN 55901

(29762)

PHONE:

507/282-8385

FAX: 507/282-8473

JESUS ESQUIVEL

HOME INSTEAD SENIOR CARE

Lim-Liab

Home Mgmt

304 6TH STREET SW

ROCHESTER, MN 55902

(22018)

PHONE:

507/285-1700

FAX: 507/536-4056

JOHN PACCHETTI

HOME INSTEAD SENIOR CARE

Lim-Liab

COMP

304 6TH STREET SW

ROCHESTER, MN 55902

(24370)

PHONE:

507/285-1700

FAX: 507/536-4056

JOHN PACCHETTI

HOME INSTEAD SENIOR CARE

Lim-Liab

BASIC

304 6TH STREET SW

ROCHESTER, MN 55902

(26860)

PHONE:

507/285-1700

FAX: 507/536-4056

JOHN PACCHETTI

INTERIM HEALTHCARE OF ROCHESTER

Lim-Liab

COMP HHA

2659 SUPERIOR DRIVE NW #200

ROCHESTER, MN 55901

(32722)

PHONE:

507/200-1111

FAX: 507/208-7598

JEFFREY DANIELSON

INTERIM HEALTHCARE OF ROCHESTER

Lim-Liab

Hospice HSPICE

2659 SUPERIOR DRIVE NW #200

ROCHESTER, MN 55901

(34216)

PHONE:

507/200-1111

FAX: 507/208-7958

APRIL JOHNSON

INTERNATIONAL QUALITY HOMECARE CORPORATION

Corp

TCOMP

3261 19TH STREET NW

ROCHESTER, MN 55901

(34910)

PHONE:

507/252-8117

FAX: /-

ADERONKE MORDI

Minnesota Department of Health

Health Regulation Division

Page

369

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

INTERNATIONAL QUALITY HOMECARE CORPORATION

Corp

3900 FAIRWAY PLACE NW

ROCHESTER, MN 55901

(20865)

PHONE:

888/995-4742

FAX: 507/252-1985

JOHN E. HERMAN HOME AND TREATMENT FACILITY, LLC

Lim-Liab

351 14TH AVENUE SW

ROCHESTER, MN 55902

(33823)

PHONE:

507/422-0480

FAX: 507/422-0481

MADONNA MEADOWS

NProf

3035 SALEM MEADOWS DRIVE SW

ROCHESTER, MN 55902

(20566)

PHONE:

507/252-5400

FAX: 507/252-5500

MADONNA MEADOWS

NProf

3035 SALEM MEADOWS DRIVE SW

ROCHESTER, MN 55902

(30704)

PHONE:

507/252-5400

FAX: 507/252-5500

MADONNA TOWERS OF ROCHESTER

NProf

4001 19TH AVENUE NW

ROCHESTER, MN 55901

(20211)

PHONE:

507/288-3911

FAX: 507/288-0393

MADONNA TOWERS OF ROCHESTER, INC.

Church

4001 19TH AVENUE NW

ROCHESTER, MN 55901

(00419)

PHONE:

507/288-3911

FAX: 507/288-0393

MADONNA TOWERS OF ROCHESTER, INC. HOME HEALTH

NProf

4001 19TH AVENUE NW

ROCHESTER, MN 55901

PHONE:

507/288-3911

MARCELLA MANOR LLC

228 19TH STREET SW

ROCHESTER, MN 55902

PHONE:

507/261-3200

MARCELLA MANOR LLC

228 19TH STREET SW

ROCHESTER, MN 55902

PHONE:

507/272-5148

MAYO CLINIC - ST. MARY'S HOSPITAL

1216 2ND STREET SW

ROCHESTER, MN 55902

PHONE:

507/255-1991

(03299)

FAX: 507/288-0393

Lim-Liab

(34422)

FAX: /-

Lim-Liab

(34666)

FAX: 507/616-7619

NProf

(00428)

FAX: 507/255-3125

Certification

Registration

OLMSTED

(Cont.)* --------------------------

COMP HHA

ADERONKE MORDI

SLFA-16

JODIE BOONE

COMP

CHRISTINE BAKKE

HWSAL

DANIELLE PODEIN

HWSAL

DANIELLE PODEIN

NH-62 SNF-2 SNF-NF-60

DANIELLE PODEIN

COMP

DANIELLE PODEIN

COMP

SHANNON WILSON

HWS

SHANNON WILSON

HOSP-2059 BASS-89 HOSP-1915 PPS-R-36 PPS-P-108

FRANKLIN ACKERMAN

Minnesota Department of Health

Health Regulation Division

Page

370

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

MAYO CLINIC DIALYSIS ST. MARYS

NProf

1216 2ND STREET SW

ROCHESTER, MN 55902

(35533)

PHONE:

507/255-4095

FAX: 507/255-7427

MAYO CLINIC HOSPICE

NProf

200 1ST STREET SW

ROCHESTER, MN 55905

(02504)

PHONE:

507/284-4002

FAX: 507/284-0220

MAYO CLINIC HOSPITAL - ROCHESTER

NProf

1216 2ND STREET SW

ROCHESTER, MN 55902

(00428)

PHONE:

507/255-1991

FAX: 507/255-3125

MAYO CLINIC NORTHEAST CLINIC

NProf

3041 STONEHEDGE DRIVE NE

ROCHESTER, MN 55906

(23151)

PHONE:

507/538-8580

FAX: 507/538-8508

MAYO DIALYSIS ROCHESTER - METHODIST HOSPITAL

NProf

201 CENTER STREET WEST

ROCHESTER, MN 55901

(02106)

PHONE:

507/266-8733

FAX: 507/266-1343

MEADOW LAKES

Lim-Liab

22 45TH AVENUE NW

ROCHESTER, MN 55901

(34403)

PHONE:

507/252-5069

FAX: /-

MOMENTS HOSPICE

Lim-Liab

1816 2ND STREET SW STE B

ROCHESTER, MN 55902

(34536)

PHONE:

507/888-9700

FAX: 763/205-9350

OLMSTED MEDICAL CENTER

NProf

1650 4TH STREET SE

ROCHESTER, MN 55904

(00422)

PHONE:

507/287-2761

FAX: 507/287-2779

OPTIMUM CARE SERVICES L.L.C.

Lim-Liab

2864 KNOLLWOOD DRIVE SE

ROCHESTER, MN 55904

(34110)

PHONE:

651/983-4100

FAX: 952/851-9618

PRIMETIME LIVING

Lim-Liab

105 NORTH BROADWAY AVENUE

ROCHESTER, MN 55901

(35236)

PHONE:

507/258-2071

FAX: /-

Certification

Registration

OLMSTED

(Cont.)* --------------------------

SUSAN MYAYA

Hospice

KELLY NOWICKI

HOSP-2059 BASS-89

FRANKLIN ACKERMAN

SUSAN MYAYA

COMP

BRETT INGERSOLL

Hospice

KEVIN STOCK

HOSP-61 BASS-28

TIM WEIR

DHIMBLE ALI

COMP

AISHA KASSIM

ESRD

HSPICE

HOSP-1915 PPS-R-36 PPS-P-108

ESRD

HSPICE

HOSP-61

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

371

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

PRIMETIME LIVING

Lim-Liab

105 NORTH BROADWAY

ROCHESTER, MN 55906

(28289)

PHONE:

507/258-5071

FAX: 507/258-5072

RECOVER HEALTH

Corp

4131 26TH STREET NW #3

ROCHESTER, MN 55901

(21066)

PHONE:

507/282-2246

FAX: 507/288-1437

REM RIVER BLUFFS (ROCHESTER SOUTHEAST)

Corp

1631 19TH AVENUE SE

ROCHESTER, MN 55904

(01320)

PHONE:

952/922-6776

FAX: 952/922-6885

REM RIVER BLUFFS (STONE PARK)

Corp

3003 STONE PARK DRIVE

ROCHESTER, MN 55904

(01464)

PHONE:

952/922-6776

FAX: 952/922-6885

RIVER BEND ASSISTED LIVING & MEMORY CARE

Lim-Liab

30 SILVER LAKE PLACE NW

ROCHESTER, MN 55901

(31368)

PHONE:

507/282-1550

FAX: 507/361-1213

ROBLAND HOME HEALTH CARE CORPORATION

Corp

1500 1ST AVENUE NE #210

ROCHESTER, MN 55906

(26391)

PHONE:

507/252-4619

FAX: 866/597-0950

ROBLAND HOME HEALTHCARE CORPORATION

Corp

963 21ST STREET SE

ROCHESTER, MN 55904

(34623)

PHONE:

507/252-4619

FAX: 866/597-0950

ROCHESTER DIALYSIS

Corp

2660 BROADWAY AVENUE S STE A

ROCHESTER, MN 55904

(31734)

PHONE:

507/288-1617

FAX: 507/289-0672

ROCHESTER EAST HEALTH SERVICES

Lim-Liab

501 8TH AVENUE SE

ROCHESTER, MN 55904

(00953)

PHONE:

507/288-6514

FAX: 507/288-6686

ROCHESTER HOME INFUSION

Corp

221 1ST AVENUE SW #105

ROCHESTER, MN 55902

(30941)

PHONE:

507/316-0001

FAX: 507/258-5522

Certification

Registration

OLMSTED

(Cont.)* --------------------------

AISHA KASSIM

COMP

MARY GRONSKI

SLFA-12

PATRICK MASYGA

SLFB-6

PATRICK MASYGA

KIMRA HOLCOMB

COMP

ROBLAN OMAR HASSAN

DANETTE KASPER

NH-111

TOM STEVENS

COMP

KRISTINE GILLARD

HWS

HHA

ICFIID-12

ICFIID-6

HWSAL

ESRD

SNF-NF-111

Minnesota Department of Health

Health Regulation Division

Page

372

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

OLMSTED

---------------------------**********

(Cont.)* --------------------------

NH-56 SNF-NF-56

ROCHESTER REHABILITATION AND LIVING CENTER

NProf

1900 BALLINGTON BOULEVARD NW

ROCHESTER, MN 55901

(29822)

PHONE:

507/535-2000

FAX: 507/535-2001

GEORGE KRATEE

ROCHESTER WEST HEALTH SERVICES

Lim-Liab

NH-48 SNF-NF-48

2215 HIGHWAY 52 NORTH

ROCHESTER, MN 55901

(00941)

PHONE:

507/288-1818

FAX: 507/288-5502

DAVID DUNN

NProf

NH-155 SNF-NF-155

SAMARITAN BETHANY HOME ON EIGHTH

24 8TH STREET NW

ROCHESTER, MN 55901

(00427)

PHONE:

507/289-4031

FAX: 507/289-6001

KYLA BERG

SAMARITAN BETHANY TERRACE

NProf

COMP

700 NW 2ND AVENUE

ROCHESTER, MN 55901

(20864)

PHONE:

507/288-4883

FAX: 507/424-5455

SUSAN KNUTSON

SEASONS HOSPICE

NProf

1696 GREENVIEW DRIVE SW

ROCHESTER, MN 55902

(03427)

PHONE:

507/285-1930

FAX: 507/282-2737

BEVERLY HAYNES

RES-HSPICE-8

SEASONS HOSPICE

NProf

5650 WEATHERHILL ROAD SW

ROCHESTER, MN 55902

(23506)

PHONE:

507/285-1930

FAX: 507/282-2737

BEVERLY HAYNES

SHALOM ESTATE LLC

Lim-Liab

COMP

2070 CENTURY HILLS DRIVE NE

ROCHESTER, MN 55906

(22020)

PHONE:

507/951-7887

FAX: 651/286-3108

JACKELYN SEIFERT

SHOREWOOD COMMONS

Lim-Liab

HWSAL

2115 2ND STREET SW

ROCHESTER, MN 55902

(20686)

PHONE:

507/252-9110

FAX: 507/286-9237

JAY PORTZ

HWS

SHOREWOOD PLACE

Lim-Liab

2205 2ND STREET SW

ROCHESTER, MN 55902

(21645)

PHONE:

507/252-0964

FAX: 507/529-3886

JAY PORTZ

STANLEY JONES & ASSOCIATES INC

Corp

COMP HHA

1800 HIGH POINTE LANE NW 250

ROCHESTER, MN 55901

(02308)

PHONE:

507/322-5740

FAX: 507/322-5716

CORI HANNA

Minnesota Department of Health

Health Regulation Division

Page

373

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

OLMSTED

---------------------------**********

(Cont.)* --------------------------

SUNSET HOMES ASSISTED LIVING INC

3686 KENOSHA DRIVE NW

ROCHESTER, MN 55901

PHONE:

507/206-4856

Corp

COMP

(26018)

FAX: 507/206-4858

JOSEPH MABURURU

SUNSET HOMES ASSISTED LIVING INC

Corp

HWSAL

3686 KENOSHA DRIVE NW

ROCHESTER, MN 55902

(30659)

PHONE:

507/206-4856

FAX: 507/206-4858

JOSEPH MABURURU

THE GABLES

Corp

SLFA-30

604 5TH STREET SW

ROCHESTER, MN 55902

(01449)

PHONE:

507/282-2500

FAX: 507/282-6036

NANCY STOFFERAHN

THE HOMESTEAD AT ROCHESTER

NProf

HWSAL

1900 BALLINGTON BOULEVARD NW

ROCHESTER, MN 55901

(24676)

PHONE:

507/535-2000

FAX: 507/535-2001

REBEKAH RIIHILUOMA

HWSAL

THE HOMESTEAD AT ROCHESTER

NProf

5530 BALLINGTON ROAD NW

ROCHESTER, MN 55901

(32647)

PHONE:

507/322-5870

FAX: 507/535-2001

REBEKAH RIIHILUOMA

THE PLUMMER HOME, LLC

Lim-Liab

HWSAL

1050 PLUMMER CIRCLE SW

ROCHESTER, MN 55902

(30593)

PHONE:

507/951-7887

FAX: 651/286-3108

BRIAN SEIFERT

COMP

THE SHALOM HOME LLC

Lim-Liab

2070 CENTURY HILLS DRIVE NE

ROCHESTER, MN 55906

(22020)

PHONE:

507/951-7887

FAX: 651/286-3108

JACKELYN SEIFERT

THE SHALOM HOME, LLC

Lim-Liab

HWSAL

2070 CENTURY HILLS DRIVE NE

ROCHESTER, MN 55906

(30238)

PHONE:

507/281-9700

FAX: 651/286-3108

JACKELYN SEIFERT

HWSAL

THE WATERS ON MAYOWOOD

Lim-Liab

827 MAYOWOOD ROAD SW

ROCHESTER, MN 55902

(31474)

PHONE:

507/252-2910

FAX: 507/288-6982

KATHERINE TODD

VISITING ANGELS

Lim-Liab

COMP

302 ELTON HILLS DRIVE NW #200

ROCHESTER, MN 55901

(26975)

PHONE:

507/289-1147

FAX: 507/289-7247

JOSEPH SEDELMEYER

Minnesota Department of Health

Health Regulation Division

Page

374

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

VOA HOME HEALTH AT ROCHESTER

NProf

1900 BALLINGTON BOULEVARD NW

ROCHESTER, MN 55901

(24676)

PHONE:

507/535-2000

FAX: 507/535-2001

VOA HOME HEALTH AT ROCHESTER

NProf

1900 BALLINGTON BOULEVARD

ROCHESTER, MN 55901

(25044)

PHONE:

507/535-2000

FAX: 507/535-2001

WEATHERSTONE SENIOR LIVING LLC

Lim-Liab

5452 WEATHERSTONE DRIVE NW

ROCHESTER, MN 55901

(33578)

PHONE:

507/951-7887

FAX: 651/286-3108

WILLOWS & WATERS SENIOR LIVING

Lim-Liab

707 UPPER MEADOW LANE NW

ROCHESTER, MN 55901

(30801)

PHONE:

507/288-0593

FAX: 651/286-3108

WILLOWS & WATERS SENIOR LIVING INC

Lim-Liab

707 UPPER MEADOW LANE NW

ROCHESTER, MN 55901

(28043)

PHONE:

507/288-0593

FAX: 651/286-3108

WILLOWS & WATERS SENIOR LIVING LLC

Lim-Liab

707 UPPER MEADOW LANE NW

ROCHESTER, MN 55901

(28043)

PHONE:

507/288-0593

FAX: 651/286-3108

ZUMBRO VALLEY CONNECTIONS AND REFERRAL UNIT

NProf

343 WOOD LAKE DRIVE SE

ROCHESTER, MN 55904

(25343)

PHONE:

507/535-5776

FAX: 507/535-5792

ROOT RIVER ESTATES

NProf

110 4TH STREET NE

STEWARTVILLE, MN 55976

(30724)

PHONE:

507/533-4288

FAX: 507/533-1384

STEWARTVILLA APARTMENTS

NProf

125 2ND AVENUE NE

STEWARTVILLE, MN 55976

(21424)

PHONE:

507/533-1372

FAX: 507/533-1384

STEWARTVILLE CARE CENTER

NProf

120 4TH STREET NE

STEWARTVILLE, MN 55976

(00429)

PHONE:

507/533-4288

FAX: 507/533-1384

Certification

OLMSTED

(Cont.)*

REBEKAH RIIHILUOMA

COMP

REBEKAH RIIHILUOMA

JACKELYN SEIFERT

COMP

WILLOW JACKELYN SEIFERT

COMP

WILLOW JACKELYN SEIFERT

SLFB-22

COREY KANZ

EUGENE GUSTASON

Registration

--------------------------

HWSAL

NH-58 SNF-NF-58

EUGENE GUSTASON

Minnesota Department of Health

Health Regulation Division

Page

375

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

STEWARTVILLE SEN CAMPUS COTT

NProf

119 2ND AVENUE NE

STEWARTVILLE, MN 55976

(25127)

PHONE:

507/533-1372

FAX: 507/533-1384

---------------------------**********

GOOD SAMARITAN SOCIETY - BATTLE LAKE

NProf

105 GLENHAVEN DRIVE

BATTLE LAKE, MN 56515

(00146)

PHONE:

218/864-5231

FAX: 218/864-5498

LAKEVIEW SENIOR LIVING APARTMENTS

NProf

605 NORTH LAKE AVENUE

BATTLE LAKE, MN 56515

(25117)

PHONE:

218/862-5230

FAX: 218/862-5240

LAKEVIEW SENIOR LIVING APARTMENTS

NProf

605 NORTH LAKE AVENUE

BATTLE LAKE, MN 56515

(30610)

PHONE:

218/862-5230

FAX: 218/862-5240

ACCRA HOME CARE INC

NProf

225 WEST CAVOUR AVENUE STE D

FERGUS FALLS, MN 56537

(03084)

PHONE:

218/736-0246

FAX: 218/736-0265

ARLINGTON HOME

NProf

1505 ARLINGTON STREET SOUTH

FERGUS FALLS, MN 56537

(01222)

PHONE:

218/739-2045

FAX: 218/736-0089

CK HOME HEALTH CARE, INC.

Corp

106 4TH AVENUE NORTH

FERGUS FALLS, MN 56537

(21606)

PHONE:

218/998-3778

FAX: 218/998-3187

COMMUNITY ADDICTION RECOVERY ENTERPRISE-FERGUS

State

FALLS

1010 MARYLAND LANE

FERGUS FALLS, MN 56537

(34188)

FAX: /-

PHONE:

218/736-1821

COMMUNITY BEHAVIORAL HEALTH HOSPITAL-FERGUS

State

FALLS

1801 WEST ALCOTT AVENUE

FERGUS FALLS, MN 56537

(24073)

FAX: 218/739-1329

PHONE:

218/332-5005

Certification

Registration

OLMSTED

(Cont.)* --------------------------

HWSAL

EUGENE GUSTASON

OTTER TAIL

******** --------------------------

NH-55

SNF-NF-55

CASEY WARD

COMP

CASEY WARD

HWSAL

CASEY WARD

COMP

HHA

JOHN DAHM

SLFB-5

ICFIID-5

NICOLAS CROSS

COMP

MICHELLE SALWEI

SLFA-16

BROOKE THORSON

OTHER-16 PSY-16

BRENDA SCHLESKE

Minnesota Department of Health

Health Regulation Division

Page

376

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

FERGUS FALLS DIALYSIS CENTER

Corp

907 SOUTH MILL STREET

FERGUS FALLS, MN 56537

(02117)

PHONE:

218/739-6197

FAX: /-

HARMONY HOME HEALTH CARE

Lim-Liab

25483 COUNTY HIGHWAY 27

FERGUS FALLS, MN 56537

(23813)

PHONE:

218/998-3750

FAX: 218/739-6357

LAKE REGION HEALTHCARE CORP

NProf

712 CASCADE STREET SOUTH

FERGUS FALLS, MN 56537

(00437)

PHONE:

218/736-8191

FAX: 218/736-8765

LAKE REGION HEALTHCARE CORPORATION

NProf

712 CASCADE STREET SOUTH

FERGUS FALLS, MN 56537

(00437)

PHONE:

218/736-8191

FAX: 218/736-8765

LAKE REGION HOSPITAL - SNF

NProf

712 CASCADE STREET SOUTH

FERGUS FALLS, MN 56537

(00437)

PHONE:

218/736-8191

FAX: 218/736-8765

LAKE REGION HOSPITAL AND SNF

NProf

712 CASCADE STREET SOUTH

FERGUS FALLS, MN 56537

(00437)

PHONE:

218/736-8191

FAX: 218/736-8765

LB ALCOTT MANOR

NProf

418 EAST ALCOTT AVENUE

FERGUS FALLS, MN 56537

(21425)

PHONE:

218/998-7400

FAX: 218/998-7362

LB BROEN HOME

NProf

824 SOUTH SHERIDAN STREET

FERGUS FALLS, MN 56537

(00862)

PHONE:

218/998-7300

FAX: 218/998-7350

LB HOME CARE

NProf

805 EAST CHANNING AVENUE

FERGUS FALLS, MN 56537

(02334)

PHONE:

218/998-1400

FAX: 218/998-7350

LB HOSPICE

NProf

805 EAST CHANNING AVENUE

FERGUS FALLS, MN 56537

(03077)

PHONE:

218/998-1400

FAX: 218/998-7350

Certification

Registration

OTTER TAIL

(Cont.)* --------------------------

JOHN MARIETTI

COMP

DANIELLE SCHUETZLE

HOSP-108 BASS-10

KENT MATTSON

HOSP-108 BASS-10

KENT MATTSON

HOSP-108 BASS-10

KENT MATTSON

HOSP-108 BASS-10

KENT MATTSON

ANDREA ZETAH

NH-78

ANDREA ZETAH

COMP

RACHEL ROLLIE

Hospice

RACHEL ROLLIE

ESRD

HOSP-80 PPS-P-14 PPS-R-14

HWSAL

SNF-NF-78

HHA

HSPICE

Minnesota Department of Health

Health Regulation Division

Page

377

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

LB SHERIDAN HOUSE

NProf

808 SOUTH SHERIDAN AVENUE

FERGUS FALLS, MN 56537

(22541)

PHONE:

218/998-7400

FAX: 218/998-7362

LB WOODLAND LODGE

NProf

394 WOODLAND DRIVE

FERGUS FALLS, MN 56537

(29358)

PHONE:

218/737-6100

FAX: 218/998-7362

LUTHERAN BRETHREN HOME CARE

NProf

418 EAST ALCOTT AVENUE

FERGUS FALLS, MN 56537

(21591)

PHONE:

218/998-7400

FAX: 218/998-7362

MINNESOTA VETERANS HOME - FERGUS FALLS

State

1821 NORTH PARK

FERGUS FALLS, MN 56537

(00531)

PHONE:

218/736-0400

FAX: 218/739-7686

NEW DIMENSIONS HOME HEALTH CARE, INC.

Corp

312 NORTH TOWER ROAD

FERGUS FALLS, MN 56537

(03314)

PHONE:

218/739-5856

FAX: 218/736-6330

PARK GARDENS OF FERGUS FALLS

Lim-Liab

215 EAST SKOGMO BOULEVARD

FERGUS FALLS, MN 56537

(24507)

PHONE:

218/998-4444

FAX: 218/998-4476

PARK GARDENS OF FERGUS FALLS

Lim-Liab

215 EAST SKOGMO BOULEVARD

FERGUS FALLS, MN 56537

(30541)

PHONE:

218/998-4444

FAX: 218/998-4476

PATRIOT ASSISTED LIVING

Corp

124 WEST ORIOLE DRIVE

FERGUS FALLS, MN 56537

(21055)

PHONE:

218/739-1119

FAX: 218/531-1553

PIONEER CARE CENTER

Church

1131 SOUTH MABELLE AVENUE

FERGUS FALLS, MN 56537

(00443)

PHONE:

218/998-1500

FAX: 218/998-1580

PIONEER HOME INC

NProf

1131 SOUTH MABELLE AVENUE

FERGUS FALLS, MN 56537

(20076)

PHONE:

218/998-1500

FAX: 218/998-1580

Certification

Registration

OTTER TAIL

(Cont.)* --------------------------

ANDREA ZETAH

COMP

ANDREA ZETAH

NH-106

SCOTT BUCHANAN

COMP HCBS

WENDY ERLANDSON

COMP

JILL NIEHAUS

SNF-NF-106

HHA

JILL NIEHAUS

GENIE TARRELL

NH-105

SARA WATKINS

COMP

NATHAN H

SNF-NF-105

HWS

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

378

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

PIONEER HOME INC - CARE SUITES

NProf

1131 SOUTH MABELLE AVENUE

FERGUS FALLS, MN 56537

(20076)

PHONE:

218/998-1500

FAX: 218/998-1580

PIONEER POINTE

NProf

411 EVERETT AVENUE EAST

FERGUS FALLS, MN 56537

(20450)

PHONE:

218/739-7772

FAX: 218/739-7703

PIONEER SENIOR COTTAGES

NProf

1325 SOUTH MABELLE AVENUE

FERGUS FALLS, MN 56537

(21214)

PHONE:

218/998-1518

FAX: 218/998-1500

PIONEER SENIOR COTTAGES

NProf

1327 SOUTH MABELLE AVENUE

FERGUS FALLS, MN 56537

(21213)

PHONE:

218/998-1518

FAX: 218/998-9972

PIONEER SENIOR COTTAGES II

NProf

1315 SOUTH MABELLE AVENUE

FERGUS FALLS, MN 56537

(21567)

PHONE:

218/998-9677

FAX: 218/998-9976

PIONEER SENIOR COTTAGES II

NProf

1317 SOUTH MABELLE AVENUE

FERGUS FALLS, MN 56537

(21568)

PHONE:

218/998-9677

FAX: 218/998-9976

PIONEER SENIOR COTTAGES III

NProf

1305 SOUTH MABELLE AVENUE

FERGUS FALLS, MN 56537

(23152)

PHONE:

218/998-9677

FAX: 218/998-9972

PIONEER SENIOR COTTAGES III

NProf

1307 SOUTH MABELLE AVENUE

FERGUS FALLS, MN 56537

(23153)

PHONE:

218/998-9677

FAX: 218/998-9976

RIVER BEND APARTMENTS

Part

222 NORTH WHITFORD STREET

FERGUS FALLS, MN 56537

(21758)

PHONE:

218/736-2557

FAX: 218/998-3665

RIVERVIEW HEIGHTS HIGHRISE

HRA

205 NORTH SHERIDAN AVENUE

FERGUS FALLS, MN 56537

(33380)

PHONE:

218/739-3249

FAX: 218/736-4706

Certification

OTTER TAIL

(Cont.)*

COMP

NATHAN H

NATHAN JOHNSON

BRANDON EISENBEIS

MIKEL OLSON

Registration

--------------------------

HWS

HWSAL

HWS

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

379

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

THE MILL STREET RESIDENCE

802 SOUTH MILL STREET

FERGUS FALLS, MN 56537

PHONE:

218/739-2900

THE MILL STREET RESIDENCE

802 SOUTH MILL STREET

FERGUS FALLS, MN 56537

PHONE:

218/739-2900

OUR HOME YOUR HOME

609 FRONT STREET

HENNING, MN 56551

PHONE:

218/583-4428

OUR HOME YOUR HOME

609 FRONT STREET

HENNING, MN 56551

PHONE:

218/583-4428

TRI COUNTY HC HENNING CLINIC

401 DOUGLAS AVENUE

HENNING, MN 56551

PHONE:

218/583-2953

WILLOW CREEK SENIOR COMMUNITY

500 WILLOW CREEK DRIVE

HENNING, MN 56551

PHONE:

218/548-6683

WILLOW CREEK SENIOR COMMUNITY

500 WILLOW CREEK DRIVE

HENNING, MN 56551

PHONE:

218/548-6683

609 FRONT STREET

HENNING, MN 56551

PHONE:

218/583-4428

LAKE COUNTRY HOME CARE

95 MILLER STREET EAST

NEW YORK MILLS, MN 56567

PHONE:

218/385-3422

MILLS MANOR

215 TOUSLEY AVENUE SOUTH

NEW YORK MILLS, MN 56567

PHONE:

218/385-4700

NProf

(20037)

FAX: 218/739-2192

NProf

(30317)

FAX: 218/739-2192

Ind

(21050)

FAX: 218/583-2504

Ind

(30844)

FAX: 218/583-2504

NProf

(03504)

FAX: /-

City

(23334)

FAX: 218/548-6684

City

(30350)

FAX: 218/548-6684

Ind

(21050)

FAX: 218/583-2504

Lim-Liab

(26683)

FAX: 218/385-3506

Corp

(34596)

FAX: 218/385-4702

Certification

OTTER TAIL

(Cont.)*

COMP

MICHAEL SIEMS

COMP

JODY LOHSE

RHC

DENNIS MILEY

COMP

KIM SCHROEDER

COMP

JODY LOHSE

COMP HCBS

ADELE LAUSTEN

TIM MATROS

Registration

--------------------------

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

380

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

MILLS MANOR

Corp

215 TOUSELY AVENUE SOUTH

NEW YORK MILLS, MN 56567

(34513)

PHONE:

320/414-0408

FAX: 320/414-0408

TENDER HEARTS HOME CARE

Corp

407 CARLUND PARKWAY

NEW YORK MILLS, MN 56567

(21941)

PHONE:

218/385-3466

FAX: 218/385-3583

TRI COUNTY HC OTTERTAIL CLINIC

NProf

232 HIGHWAY 78 NORTH

OTTERTAIL, MN 56571

(27821)

PHONE:

218/367-6262

FAX: /-

MCCORNELL COURT

NProf

122 NORTH MCCORNELL

PARKERS PRAIRIE, MN 56361

(20188)

PHONE:

218/338-4671

FAX: 218/260-4984

MCCORNELL COURT

NProf

122 MCCORNELL AVENUE NORTH

PARKERS PRAIRIE, MN 56361

(30437)

PHONE:

218/338-4671

FAX: 218/338-5917

ST. WILLIAM'S LIVING CENTER

NProf

212 WEST SOO STREET BOX 30

PARKERS PRAIRIE, MN 56361

(00444)

PHONE:

218/338-4671

FAX: 218/260-4398

ST. WILLIAMS FOSTER CARE MCCORNELL COURT

NProf

122 NORTH MCCORNELL

PARKERS PRAIRIE, MN 56361

(20188)

PHONE:

218/338-4671

FAX: 218/260-4984

ESSENTIA HEALTH ST MARYS PELICAN RAPIDS CLINIC

NProf

301 NORTH BROADWAY

PELICAN RAPIDS, MN 56572

(31453)

PHONE:

218/863-2000

FAX: /-

MILL POND VIEW APARTMENTS

Part

101 EAST MILL AVENUE

PELICAN RAPIDS, MN 56572

(21757)

PHONE:

218/863-5085

FAX: 218/863-5086

PELICAN VALLEY HEALTH CENTER

Dist

211 EAST MILL AVENUE

PELICAN RAPIDS, MN 56572

(00442)

PHONE:

218/863-2991

FAX: 218/863-5255

Certification

Registration

OTTER TAIL

(Cont.)* --------------------------

COMP

TIM MATROS

COMP

KERRIE STEINBACH

RHC

JUDY WHITE

COMP

TIM KELLY

HWSAL

TIMOTHY KELLY

NH-53 SNF-NF-53

TIMOTHY KELLY

COMP

TIM KELLY

RHC

RYAN HILL

HWS

BRANDON EISENBEIS

NH-33 SNF-NF-33

TYLER AHLF

Minnesota Department of Health

Health Regulation Division

Page

381

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

RIVERFRONT MANOR

Dist

215 EAST MILL AVENUE

PELICAN RAPIDS, MN 56572

(21612)

PHONE:

218/863-1133

FAX: 218/863-4860

RIVERFRONT MANOR

Dist

215 EAST MILL AVENUE

PELICAN RAPIDS, MN 56572

(21613)

PHONE:

218/863-1133

FAX: 218/863-4860

RIVERFRONT ON MAIN

Dist

119 NORTH BROADWAY

PELICAN RAPIDS, MN 56572

(28601)

PHONE:

218/863-2401

FAX: 218/863-4437

SANFORD HEALTH PELICAN RAPIDS CL

NProf

211 EAST MILL STREET

PELICAN RAPIDS, MN 56572

(23220)

PHONE:

701/234-6207

FAX: /-

BRIARWOOD

Dist

630 5TH STREET SW

PERHAM, MN 56573

(20557)

PHONE:

218/347-1865

FAX: 218/347-1866

HADLEY HOUSE

Lim-Liab

908 CONEY STREET WEST

PERHAM, MN 56573

(31560)

PHONE:

218/346-4475

FAX: 218/346-4553

PERHAM

Dist

1000 CONEY STREET WEST

PERHAM, MN 56573

(28377)

PHONE:

218/347-1301

FAX: 218/347-1650

PERHAM HEALTH

Dist

1000 CONEY STREET WEST

PERHAM, MN 56573

(28377)

PHONE:

218/347-1301

FAX: 218/347-1650

PERHAM HEALTH

Dist

735 3RD STREET SW

PERHAM, MN 56573

(00438)

PHONE:

218/347-1307

FAX: 218/347-1862

PERHAM LIVING

Dist

735 3RD STREET SW

PERHAM, MN 56573

(00438)

PHONE:

218/347-1307

FAX: 218/347-1862

Certification

OTTER TAIL

(Cont.)*

TYLER AHLF

COMP

MEGAN MAYER

TYLER AHLF

LISA CARLSON

LINDA HENDRICKX

MATTHEW JOHNSON

HOSP-25 BASS-4

CHARLES HOFIUS

HOSP-25 BASS-4

CHARLES HOFIUS

NH-96

TRACY HENDRICKX

NH-96

TRACY HENDRICKX

RHC

Registration

--------------------------

HWSAL

HWS

HWSAL

CAH-25

SNF-NF-96

Minnesota Department of Health

Health Regulation Division

Page

382

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

PERHAM LIVING

735 3RD STREET SW

PERHAM, MN 56573

PHONE:

218/347-1880

PERHAM LIVING HOME CARE

735 3RD STREET SW

PERHAM, MN 56573

PHONE:

218/347-1880

PERHAM LIVING NORTHWINDS

324 6TH AVENUE SW

PERHAM, MN 56573

PHONE:

218/347-1945

PRAIRIE VIEW ASSISTED LIVING

825 7TH AVENUE SW

PERHAM, MN 56573

PHONE:

218/346-3167

PRAIRIE VIEW ASSISTED LIVING

826 7TH AVENUE SW

PERHAM, MN 56573

PHONE:

218/346-2770

PRAIRIE VIEW ASSISTED LIVING INC

821 7TH AVENUE SW

PERHAM, MN 56573

PHONE:

218/346-3080

PRAIRIE VIEW ASSISTED LIVING INC

821 7TH AVENUE SW

PERHAM, MN 56573

PHONE:

218/346-3080

PRAIRIE VIEW ASSISTED LIVING, INC

821 7TH AVENUE SW

PERHAM, MN 56573

PHONE:

218/346-3080

SOME PLACE SPECIAL

908 CONEY STREET WEST

PERHAM, MN 56573

PHONE:

218/346-4475

ST. JAMES MANOR

415 8TH AVENUE SW

PERHAM, MN 56573

PHONE:

218/347-1854

Dist

(28907)

FAX: 218/347-1885

Dist

(03870)

FAX: 218/347-1885

Dist

(32603)

FAX: 218/346-1946

Corp

(27188)

FAX: 218/298-1140

Corp

(31250)

FAX: 218/346-2700

Corp

(24511)

FAX: 218/346-2700

Corp

(30546)

FAX: 218/346-2700

Corp

(24511)

FAX: 218/346-2700

Lim-Liab

(24471)

FAX: 218/346-4553

NProf

(22350)

FAX: 218/347-1864

Certification

OTTER TAIL

(Cont.)*

COMP

JENNIFER DOLL

COMP HHA

JENNIFER DOLL

TRACY HENDRICKX

KARI HONER

COMP

KARI HONER

COMP

KARI HONER

COMP

JESSICA JOHNSON

LINDA HENDRICKX

Registration

--------------------------

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

383

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

THE THOMAS HOUSE, INC.

Corp

701 3RD AVENUE SW

PERHAM, MN 56573

(21578)

PHONE:

218/346-3064 FAX: 218/346-3084

THE THOMAS HOUSE, INC.

Corp

701 3RD AVENUE SW

PERHAM, MN 56573

(30767)

PHONE:

218/346-3064 FAX: 218/346-3084

VERGAS ASSISTED LIVING

Lim-Liab

405 EAST FRAZEE AVENUE

VERGAS, MN 56587

(20135)

PHONE:

218/342-2741 FAX: 218/342-2779

---------------------------**********

INTER-COUNTY NURSING SERVICE

101 MAIN AVENUE NORTH

THIEF RIVER FALLS, MN 56701

PHONE:

218/681-0876

MINNESOTA GREENLEAF

1006 GREENWOOD STREET EAST

THIEF RIVER FALLS, MN 56701

PHONE:

701/936-9680

MINNESOTA GREENLEAF

1006 GREENWOOD STREET EAST

THIEF RIVER FALLS, MN 56701

PHONE: 701/936-9680

NORTHWEST MEDICAL CENTER

2001 EASTWOOD DRIVE

THIEF RIVER FALLS, MN 56701

PHONE:

218/683-8101

OAKLAND PARK NURSING HOME

123 BAKEN STREET

THIEF RIVER FALLS, MN 56701

PHONE:

218/681-1675

SANFORD BEHAVIORAL HEALTH CENTER

120 LABREE AVENUE SOUTH

THIEF RIVER FALLS, MN 56701

PHONE:

218/681-4240

Cnty

(02124)

FAX: 218/683-7099

Lim-Liab

(23224)

FAX: 701/532-2708

Lim-Liab

(30342)

FAX: 701/532-2708

NProf

(00448)

FAX: 218/683-8133

Corp

(00449)

FAX: 218/681-1037

NProf

(31208)

FAX: 218/683-4507

Certification

Registration

OTTER TAIL

(Cont.)* --------------------------

COMP

LISA NELSON

HWS

LISA NELSON

HWSAL

BARBARA AXNESS

PENNINGTON

******** --------------------------

COMP

KAYLA JORE

COMP

KRISTIN HAMRE

KRISTIN HAMIRE

NH-70

TONY JANUSZ

NH-35

MORGAN BOWERS

PSY-HOSP-16

BRIAN CARLSON

HHA

HWSAL

SNF-NF-70

SNF-NF-35

PSY-16

Minnesota Department of Health

Health Regulation Division

Page

384

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

SANFORD DIALYSIS THIEF RIVER FALLS

NProf

120 LABREE AVENUE SOUTH

THIEF RIVER FALLS, MN 56701

(26854)

PHONE:

218/683-4246

FAX: /-

SANFORD MED CTR THIEF RIVER FALLS

NProf

3001 SANFORD PARKWAY

THIEF RIVER FALLS, MN 56701

(24712)

PHONE:

218/681-4240

FAX: 218/683-4507

SANFORD MEDICAL CENTER THIEF RIVER FALLS

NProf

3001 SANFORD PARKWAY

THIEF RIVER FALLS, MN 56701

(24712)

PHONE:

218/681-4240

FAX: 218/683-4507

THIEF RIVER CARE CENTER

NProf

2001 EASTWOOD DRIVE

THIEF RIVER FALLS, MN 56701

(00448)

PHONE:

218/683-8101

FAX: 218/683-8133

VALLEY ASSISTED LIVING

Lim-Liab

523 ARNOLD AVENUE SOUTH

THIEF RIVER FALLS, MN 56701

(00450)

PHONE:

218/681-3286

FAX: 218/681-3287

VALLEY ASSISTED LIVING

NProf

523 ARNOLD AVENUE SOUTH

THIEF RIVER FALLS, MN 56701

(30224)

PHONE: 218/681-3286

FAX: 218/681-3287

VALLEY HOME

Lim-Liab

523 ARNOLD AVENUE SOUTH

THIEF RIVER FALLS, MN 56701

(00450)

PHONE: 218/681-3286

FAX: 218/681-3287

---------------------------**********

ELDERWOOD OF HINCKLEY

Lim-Liab

710 SPRING LANE

HINCKLEY, MN 55037

(23986)

PHONE:

320/384-7373

FAX: 320/384-0700

ELDERWOOD OF HINCKLEY

Lim-Liab

710 SPRING LANE

HINCKLEY, MN 55037

(27972)

PHONE:

320/384-7373

FAX: 320/384-0700

Certification

Registration

PENNINGTON

(Cont.)* --------------------------

ESRD

BECKY BERG

HOSP-26 BASS-10 CAH-25

BRIAN CARLSON

HOSP-26 BASS-10 CAH-25

BRIAN CARLSON

NH-70 SNF-NF-70

TONY JANUSZ

COMP

AMY DEACON

HWSAL

ANGELA MALONE

COMP

AMY DEACON

PINE

******** --------------------------

HWSAL

RONALD AUSMUS

COMP

RONALD AUSMUS

Minnesota Department of Health

Health Regulation Division

Page

385

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

GATEWAY FAMILY HEALTH CLINIC

Corp

45 LADY LUCK DRIVE PO BOX 309

HINCKLEY, MN 55037

(23052)

PHONE:

320/384-6618

FAX: /-

RESTORATION SERVICES OF MN INC

Corp

402 3RD STREET SW

HINCKLEY, MN 55037

(32620)

PHONE:

218/485-4094

FAX: 320/207-6707

WELIA HEALTH HINCKLEY

Cnty

620 SANDY LANE ROAD

HINCKLEY, MN 55037

(28051)

PHONE:

320/629-7505

FAX: 320/629-2202

FIRSTLIGHT PINE CITY

Cnty

1425 MAIN STREET NORTH

PINE CITY, MN 55063

(28050)

PHONE:

320/629-7505

FAX: 320/629-2202

GOLDEN HORIZONS, INC.

Corp

1305 8TH STREET SW

PINE CITY, MN 55063

(22193)

PHONE:

320/629-7272

FAX: 320/629-5388

LAKESIDE MEDICAL CENTER

Corp

129 6TH AVENUE SE

PINE CITY, MN 55063

(00451)

PHONE:

320/629-2542

FAX: 320/629-1093

MEADOW CREEK

Lim-Liab

17305 MEADOW CREEK LANE

PINE CITY, MN 55063

(01637)

PHONE:

763/444-4838

FAX: 763/444-6007

NORTHERN PINES ASSISTED LIVING

Corp

1305 8TH STREET SW

PINE CITY, MN 55063

(22193)

PHONE:

320/629-7272

FAX: 320/629-5388

NORTHERN PINES ASSISTED LIVING

Corp

1305 8TH STREET SW

PINE CITY, MN 55063

(30292)

PHONE:

320/629-7272

FAX: 320/629-5388

SCANDIA HOUSE OF PINE CITY

Lim-Liab

14856 EDGEWATER ROAD NORTHEAST

PINE CITY, MN 55063

(30398)

PHONE:

320/360-1223

FAX: 877/309-7680

Certification

Registration

PINE

(Cont.)* --------------------------

WILLIAM PALMER

JAMES MILLER

RANDY ULSETH

COMP

SUE CARLSON

NH-46

MAX BLAUFUSS

SLFA-50

CONNIE BOMBENGER

COMP

SUE CARLSON

KENNETH BERGSTROM

RHC

HWS-O

RHC

SNF-NF-46

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

386

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

PINE

(Cont.)* --------------------------

SOPHIE'S MANOR ASSISTED LIVING

Corp

HWSAL

17500 RANCH DRIVE

PINE CITY, MN 55063

(30576)

PHONE:

320/629-2064

FAX: 320/629-4918

RHODA SUNDHEIM

SOPHIE'S MANOR ASSISTED LIVING, INC.

Corp

COMP

17500 RANCH DRIVE

PINE CITY, MN 55063

(24653)

PHONE:

320/629-2064

FAX: 320/629-4918

LISA HOADLEY

ESSENTIA HEALTH SANDSTONE

NProf

HOSP-30 BASS-5

CAH-25

705 LUNDORFF DRIVE

SANDSTONE, MN 55072

(00453)

PHONE:

320/245-5605

FAX: 320/245-5243

MICHAEL HEDRIX

GATEWAY FAMILY CLINIC

Corp

RHC

204 LUNDORFF DRIVE

SANDSTONE, MN 55072

(21128)

PHONE:

320/245-2250

FAX: /-

WILLIAM PALMER

KC COMPANIES OF SANDSTONE INC DBA GOLDEN

Corp

COMP

HORIZONS

1109 LUNDORFF DRIVE

SANDSTONE, MN 55072

(32935)

FAX: 218/568-6642

PHONE:

218/568-6610

KENT MARTHALER

RESTORATION SERVICES OF MINNESOTA INC

Corp

COMP

417 MINNESOTA STREET

SANDSTONE, MN 55072

(32523)

PHONE:

320/838-8825

FAX: 320/207-6707

CARMEN MILLER

RESTORATION SERVICES OF MN INC

Corp

HWS-O

417 MINNESOTA STREET

SANDSTONE, MN 55072

(32242)

PHONE:

218/485-4094

FAX: 320/207-6707

JAMES MILLER

SANDSTONE GOLDEN HORIZONS

Corp

HWSAL

1109 LUNDORFF DRIVE

SANDSTONE, MN 55072

(33254)

PHONE:

320/216-7300

FAX: 320/216-7022

KENT MARTHALER

SANDSTONE HEALTH CARE CENTER

Lim-Liab

NH-50 SNF-NF-50

109 COURT AVENUE SOUTH

SANDSTONE, MN 55072

(00452)

PHONE:

320/245-3150

FAX: 320/245-3177

JULIE VETTLESON

NORTH HOUSE

State

HWS-O

29000 COUNTY ROAD 41

WILLOW RIVER, MN 55795

(33421)

PHONE:

651/431-5886

FAX: 651/431-7404

DAVID BORNUS

Minnesota Department of Health

Health Regulation Division

Page

387

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

EDGEBROOK CARE CENTER

NProf

505 TROSKY ROAD WEST

EDGERTON, MN 56128

(00454)

PHONE:

507/442-7121

FAX: 507/442-3952

EDGEBROOK ESTATES

NProf

505 TROSKY ROAD WEST

EDGERTON, MN 56128

(20552)

PHONE:

507/442-7121

FAX: 507/442-3952

EDGEBROOK ESTATES ASSISTED LIVING

NProf

301 5TH AVENUE NORTH

EDGERTON, MN 56128

(23870)

PHONE:

507/442-5080

FAX: 507/442-5101

EDGEBROOK ESTATES ASSISTED LIVING

NProf

301 5TH AVENUE NORTH

EDGERTON, MN 56128

(30472)

PHONE:

507/442-5080

FAX: 507/442-5101

JASPER SUNRISE VILLAGE

City

100 ROBERT AVENUE NORTH STE100

JASPER, MN 56144

(20083)

PHONE:

507/348-8620

FAX: 507/348-6100

JASPER SUNRISE VILLAGE

City

100 ROBERT AVENUE NORTH STE100

JASPER, MN 56144

(30407)

PHONE:

507/348-8620

FAX: 507/348-6100

FALLS LANDING ASSISTED LIVING

Corp

1101 NORTH HIAWATHA AVENUE

PIPESTONE, MN 56164

(23333)

PHONE:

507/562-6648

FAX: 507/562-6650

FALLS LANDING ASSISTED LIVING

Corp

1101 NORTH HIAWATHA AVENUE

PIPESTONE, MN 56164

(30347)

PHONE:

507/562-6648

FAX: 507/562-6650

GOOD SAMARITAN SOCIETY - PIPESTONE

NProf

903 2ND AVENUE SE

PIPESTONE, MN 56164

(31194)

PHONE:

507/825-4885

FAX: 507/562-1355

GOOD SAMARITAN SOCIETY - PIPESTONE

NProf

1311 NORTH HIAWATHA AVENUE

PIPESTONE, MN 56164

(00455)

PHONE:

507/825-5428

FAX: 507/825-5117

Certification

Registration

PIPESTONE

******** --------------------------

NH-56 SNF-NF-56

MICHAEL REDINGER

COMP

MICHAEL REDINGER

COMP

RUTH RUPP

COMP

JENNIFER CURRIER

MIKE LUDOLPH

COMP

MELISSA MCCORQUODALE

NH-84 SNF-NF-84

ANASTASIA BERNARD

HWS

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

388

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

PIPESTONE COUNTY HOME HEALTH AGENCY

Cnty

916 4TH AVENUE SOUTHWEST

PIPESTONE, MN 56164

(02046)

PHONE:

507/825-6024 FAX: 507/825-6145

PIPESTONE COUNTY HOSPICE

Cnty

309 10TH STREET SOUTHWEST

PIPESTONE, MN 56164

(24029)

PHONE:

507/825-6024 FAX: 507/825-6145

PIPESTONE COUNTY HOSPICE

Cnty

916 4TH AVENUE SOUTHWEST

PIPESTONE, MN 56164

(24107)

PHONE:

507/825-6024 FAX: 507/825-6145

PIPESTONE COUNTY MEDICAL CENTER

Cnty

916 4TH AVENUE SOUTHWEST

PIPESTONE, MN 56164

(00456)

PHONE:

507/825-5811 FAX: 507/825-5733

PIPESTONE COUNTY MEDICAL CENTER AND ASHTON CARE

Cnty

CENTER

916 4TH AVENUE SOUTHWEST

PIPESTONE, MN 56164

PHONE:

507/825-5811

PIPESTONE DIALYSIS FACILITY

916 4TH AVENUE SOUTHWEST

PIPESTONE, MN 56164

PHONE:

507/825-6623

RIDGE VIEW ESTATES

903 2ND AVENUE SOUTHEAST

PIPESTONE, MN 56164

PHONE:

507/825-4885

NEW LIFE TREATMENT CENTER

130 DAKOTA STREET

WOODSTOCK, MN 56186

PHONE:

507/777-4321

(00456)

FAX: 507/825-5733

Corp

(03936)

FAX: 507/825-6627

NProf

(20656)

FAX: 507/562-1355

NProf

(01241)

FAX: 507/777-4284

---------------------------**********

ALTRU RENAL DIALYSIS AT CROOKSTON

NProf

400 SOUTH MINNESOTA STREET

CROOKSTON, MN 56716

(28507)

PHONE:

701/780-5877 FAX: 701/780-5852

Certification

Registration

PIPESTONE

(Cont.)* --------------------------

COMP HHA

BRADLEY BURRIS

RES-HSPICE-4

BRADLEY BURRIS

Hospice HSPICE

BRADLEY BURRIS

HOSP-44 BASS-7 CAH-25

BRADLEY BURRIS

HOSP-44 BASS-7 CAH-25

BRADLEY BURRIS

ESRD

KERI PRINS

HWSAL

CRYSTAL ELLEFSON

SLFA-21 SLFB-7

CHERYL THACKER

POLK

******** --------------------------

ESRD

JULIE NELSON

Minnesota Department of Health

Health Regulation Division

Page

389

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

CROOKSTON HOUSING & ECONOMIC DEVELOPMENT

HRA

AUTHORITY

110 SARGENT STREET

CROOKSTON, MN 56716

PHONE:

218/470-2000

INDEPENDENCE PLUS, INC.

27885 170TH AVENUE SOUTHWEST

CROOKSTON, MN 56716

PHONE:

218/281-3506

MOUNT ST BENEDICT LIVING FACILITY

620 SUMMIT AVENUE

CROOKSTON, MN 56716

PHONE:

218/281-3441

RIVERVIEW CLINIC

323 SOUTH MINNESOTA STREET

CROOKSTON, MN 56716

PHONE:

218/281-9200

RIVERVIEW HOME CARE

721 SOUTH MINNESOTA STREET

CROOKSTON, MN 56716

PHONE:

218/281-9478

RIVERVIEW HOSPITAL

323 SOUTH MINNESOTA STREET

CROOKSTON, MN 56716

PHONE:

218/281-9200

RIVERVIEW NURSING HOME

323 SOUTH MINNESOTA STREET

CROOKSTON, MN 56716

PHONE:

218/281-9200

VILLA ST VINCENT INC

516 WALSH STREET

CROOKSTON, MN 56716

PHONE:

218/281-9700

VILLA ST. VINCENT

516 WALSH STREET

CROOKSTON, MN 56716

PHONE:

218/281-3424

VILLA ST. VINCENT, INC.

516 WALSH STREET

CROOKSTON, MN 56716

PHONE:

218/281-3424

(20389)

FAX: 218/470-2005

Corp

(20730)

FAX: 218/281-9929

NProf

(31621)

FAX: 218/281-6966

NProf

(28147)

FAX: 218/281-9509

NProf

(02497)

FAX: 218/585-7303

NProf

(00470)

FAX: 218/585-7322

NProf

(00470)

FAX: 218/585-7322

Church

(30289)

FAX: 218/281-4755

Church

(00815)

FAX: 218/281-4755

Church

(20007)

FAX: 218/281-4755

Certification

Registration

POLK

(Cont.)* --------------------------

HWSAL-O

TIFFANY JONES

Home Mgmt

RUBY BARANSKI

HWS

SR. MYRA SCHMIEG

RHC

WILLIAM BENNETT

COMP HHA

CARRIE MICHALSKI

NH-24 HOSP-49 BASS-10 SNF-NF-24 CAH-25

CARRIE MICHALSKI

NH-24 HOSP-49 BASS-10 SNF-NF-24 CAH-25

CARRIE MICHALSKI

HWSAL

JUDITH HULST

NH-104 SNF-NF-104

JUDITH HULST

COMP

JUDITH HULST

Minnesota Department of Health

Health Regulation Division

Page

390

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

EDGEWOOD EAST GRAND FORKS SENIOR LIVING LLC

Lim-Liab

608 5TH AVENUE NORTHWEST

EAST GRAND FORKS, MN 56721

(20454)

PHONE:

218/773-6648

FAX: 218/773-1543

EDGEWOOD EAST GRAND FORKS SENIOR LIVING LLC

Lim-Liab

608 5TH AVENUE NORTHWEST

EAST GRAND FORKS, MN 56721

(30631)

PHONE:

218/773-6648

FAX: 218/773-1543

EDGEWOOD VISTA SENIOR LIVING

Lim-Liab

608 5TH AVENUE NORTHWEST

EAST GRAND FORKS, MN 56721

(20454)

PHONE:

218/773-6648

FAX: 218/773-1543

GOOD SAMARITAN SOCIETY HERITAGE GROVE

NProf

2122 RIVER ROAD NORTHWEST

EAST GRAND FORKS, MN 56721

(20627)

PHONE:

218/773-7484

FAX: 218/773-6041

GOOD SAMARITAN SOCIETY HERITAGE GROVE

NProf

2122 RIVER ROAD NORTHWEST

EAST GRAND FORKS, MN 56721

(24554)

PHONE:

218/773-7484

FAX: 218/773-6041

CROSSROADS APARTMENTS

NProf

22842 347TH STREET SOUTHEAST

ERSKINE, MN 56535

(23371)

PHONE:

218/687-4702

FAX: 218/687-4703

PIONEER MEMORIAL CARE CENTER

NProf

23028 347TH STREET SOUTHEAST

ERSKINE, MN 56535

(00469)

PHONE:

218/687-2365

FAX: 218/687-2047

THE COUNTRY PLACE

NProf

23110 347TH STREET SOUTHEAST

ERSKINE, MN 56535

(20593)

PHONE:

218/687-2288

FAX: 218/687-3278

THE COUNTRY PLACE APARTMENTS

NProf

23110 347TH STREET SOUTHEAST

ERSKINE, MN 56535

(20593)

PHONE:

218/687-2288

FAX: 218/687-3278

THE COUNTRY PLACE APARTMENTS

NProf

23110 347TH STREET SOUTHEAST

ERSKINE, MN 56535

(30716)

PHONE:

218/687-2288

FAX: 218/687-3278

Certification

Registration

POLK

(Cont.)* --------------------------

COMP

ERIC HOFFMANN

COMP

ERIC HOFFMANN

COMP

MICHAUN SHETLER

GRANT BRANDON

NH-58

LISA FREY

COMP

GRANT BRANDON

COMP

GRANT BRANDON

HWSAL

SNF-NF-58

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

391

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

FAIR MEADOW ASSISTED LIVING

300 GARFIELD AVENUE SOUTHEAST

FERTILE, MN 56540

PHONE:

218/945-6197

FAIR MEADOW ASSISTED LIVING

300 GARFIELD AVENUE SOUTHEAST

FERTILE, MN 56540

PHONE:

218/945-6197

FAIR MEADOW NURSING HOME

300 GARFIELD AVENUE SE BOX 8

FERTILE, MN 56540

PHONE:

218/945-6194

RIVERVIEW CLINIC

306 NORTH MILL STREET

FERTILE, MN 56540

PHONE:

218/945-6695

BETHANY ASSISTED LIVING

117 2ND STREET NORTHEAST

FOSSTON, MN 56542

PHONE:

218/435-1044

BETHANY BOARD AND LODGE

903 HILLGOSS BLVD SE STE B

FOSSTON, MN 56542

PHONE:

218/435-1044

BETHANY BOARD AND LODGE INC

903 HILLGOSS BLVD SE STE B

FOSSTON, MN 56542

PHONE:

218/435-1044

CORNERSTONE RESIDENCE

115 1ST STREET EAST

FOSSTON, MN 56542

PHONE:

218/435-6333

CORNERSTONE RESIDENCE

115 1ST STREET EAST

FOSSTON, MN 56542

PHONE:

218/435-6333

ESSENTIA HEALTH FOSSTON

900 HILLIGOSS BOULEVARD SE

FOSSTON, MN 56542

PHONE:

218/435-1133

City

(29651)

FAX: 218/945-6196

City

(29652)

FAX: 218/945-6196

City

(00460)

FAX: 218/945-6459

NProf

(28148)

FAX: 218/945-6693

Corp

(32029)

FAX: 218/435-1143

Corp

(32010)

FAX: 218/435-1143

Corp

(32010)

FAX: 218/435-1143

Corp

(23400)

FAX: 218/435-6336

Corp

(30360)

FAX: 218/435-6336

NProf

(00461)

FAX: 218/435-1134

Certification

Registration

POLK

(Cont.)* --------------------------

COMP

TAMMIE RADERMACHER

HWSAL

TAMMIE RADERMACHER

NH-42 SNF-NF-42

ANGELA LEITING

RHC

WILLIAM BENNETT

HWSAL

TYLER MCGLYNN

COMP

TYLER MCGLYNN

COMP

TYLER MCGLYNN

COMP

JUDY POTVIN

HWSAL

JUDY POTVIN

NH-50 HOSP-43 BASS-7 SNF-NF-50 CAH-25

KEVIN GISH

Minnesota Department of Health

Health Regulation Division

Page

392

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

POLK

(Cont.)* --------------------------

ESSENTIA HEALTH HOSPICE WEST

NProf

Hospice HSPICE

900 HILLIGOSS BOULEVARD SE

FOSSTON, MN 56542

(03716)

PHONE:

218/435-1133

FAX: 218/435-2175

LINDA HESPE

FIRST CARE LIVING CENTER

NProf

NH-50 HOSP-43 BASS-7 SNF-NF-50 CAH-25

900 HILLIGOSS BOULEVARD SE

FOSSTON, MN 56542

(00461)

PHONE:

218/435-1133

FAX: 218/435-1134

KEVIN GISH

MIDWAY CARE CENTER INC.

Corp

HWSAL

114 2ND STREET NE

FOSSTON, MN 56542

(27388)

PHONE:

218/435-1272

FAX: 218/435-6336

ALLEN POTVIN

PRAIRIE PINES COMMUNITY

NProf

COMP

903 PRAIRIE PINES DRIVE

FOSSTON, MN 56542

(23659)

PHONE:

218/435-1337

FAX: 218/435-1336

KEVIN GISH

PRAIRIE PINES COMMUNITY

NProf

HWSAL

903 PRAIRIE PINES DRIVE

FOSSTON, MN 56542

(30394)

PHONE:

218/435-7663

FAX: 218/435-1336

KEVIN GISH

SUNRISE CUSTOMIZED LIVING

Corp

HWS

203 SOUTH INDERLEE AVENUE

FOSSTON, MN 56542

(34414)

PHONE:

218/435-1044

FAX: 218/435-1143

TYLER MCGLYNN

MCINTOSH SENIOR LIVING

NProf

NH-45 SNF-NF-45

600 RIVERSIDE AVENUE NE

MCINTOSH, MN 56556

(00467)

PHONE:

218/563-2715

FAX: 218/563-2395

SHARLENE KNUTSON

OSTENAA BOARD & LODGING INC

Corp

HWS

240 1ST STREET NE

MCINTOSH, MN 56556

(34255)

PHONE:

218/563-4451

FAX: 218/563-2306

CINDY OSTENAA

POPLAR MEADOWS OF MCINTOSH

City

COMP

325 SCOTS AVENUE SE

MCINTOSH, MN 56556

(22355)

PHONE:

218/563-2436

FAX: 218/563-6100

REBECCA BOEHRNSEN

POPLAR MEADOWS OF MCINTOSH

City

HWSAL

325 SCOTS AVENUE SE

MCINTOSH, MN 56556

(30294)

PHONE:

218/563-2436

FAX: 218/563-6100

REBECCA BOEHRNSEN

Minnesota Department of Health

Health Regulation Division

Page

393

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

GLACIAL RIDGE HOME CARE

Dist

219 1ST STREET SE

GLENWOOD, MN 56334

(02369)

PHONE:

320/634-2221

FAX: 320/634-2006

GLACIAL RIDGE HOSPICE

Dist

219 1ST STREET SOUTHEAST

GLENWOOD, MN 56334

(02298)

PHONE:

320/634-4521

FAX: 320/634-2269

GLACIAL RIDGE HOSPITAL

Dist

10 4TH AVENUE SE

GLENWOOD, MN 56334

(00473)

PHONE:

320/634-4521

FAX: 320/634-2269

GLENWOOD ESTATES

Corp

500 FRANKLIN STREET NORTH

GLENWOOD, MN 56334

(22168)

PHONE:

320/634-0022

FAX: 320/634-0052

GLENWOOD ESTATES

Corp

500 FRANKLIN STREET NORTH

GLENWOOD, MN 56334

(22169)

PHONE:

320/634-0022

FAX: 320/634-0052

GLENWOOD MEDICAL CENTER

Dist

417 FRANKLIN STREET SOUTH

GLENWOOD, MN 56334

(24009)

PHONE:

320/634-5157

FAX: /-

GLENWOOD VILLAGE CARE CENTER

Church

719 2ND STREET SE

GLENWOOD, MN 56334

(00474)

PHONE:

320/634-5131

FAX: 320/634-5777

PARKVIEW COURT

Church

300 8TH AVENUE SE

GLENWOOD, MN 56334

(20017)

PHONE:

320/634-5802

FAX: 320/634-5818

PARKVIEW COURT

Church

300 8TH AVENUE SE

GLENWOOD, MN 56334

(23780)

PHONE:

320/634-5802

FAX: 320/634-5818

RIDGEWOOD VILLA

NProf

7 4TH AVENUE SE

GLENWOOD, MN 56334

(31989)

PHONE:

320/634-2261

FAX: 320/634-2269

Certification

Registration

POPE

******** --------------------------

COMP

KIRK STENSRUD

Hospice

KIRK STENSRUD

HOSP-34 BASS-4

KIRK STENSRUD

COMP

PAULA ROCHELLA

PAULA ROCHELEAU

KIRK STENSRUD

NH-64

MARY KRUEGER

COMP

MARY KRUEGER

DARYL KLOUS

HHA

HSPICE

CAH-25

RHC

SNF-NF-64

HWSAL

HWS

Minnesota Department of Health

Health Regulation Division

Page

394

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

CENTRAL MINNESOTA SENIOR CARE

Corp

300 JOHN STREET

STARBUCK, MN 56381

(25021)

PHONE:

320/441-7001

FAX: 320/235-8069

GLACIAL TRAILS MEMORY CARE

NProf

109 EAST 7TH STREET

STARBUCK, MN 56381

(32278)

PHONE:

320/239-7125

FAX: 320/239-7143

HOLLY RIDGE MANOR

NProf

500 HOLLY RIDGE DRIVE

STARBUCK, MN 56381

(21570)

PHONE:

320/239-4775

FAX: 320/239-2339

HOLLY RIDGE MANOR

NProf

500 HOLLY RIDGE DRIVE

STARBUCK, MN 56381

(30766)

PHONE:

320/239-4775

FAX: 320/239-2339

MINNEWASKA COMMUNITY HEALTH SERVICES

NProf

605 MAIN STREET

STARBUCK, MN 56381

(00477)

PHONE:

320/239-2217

FAX: 320/239-7144

STARBUCK MEDICAL CENTER

NProf

707 EAST 7TH STREET

STARBUCK, MN 56381

(33944)

PHONE: 320/239-2200

FAX: 320/239-4505

STEVENS COMMUNITY MEDICAL CENTER STARBUCK

NProf

501 POLER STREET

STARBUCK, MN 56381

(33305)

PHONE: 320/239-3939

FAX: /-

---------------------------**********

ACR HOME ON CUMMINGS

1385 CUMMINGS LANE

ARDEN HILLS, MN 55112

PHONE:

651/636-7537

ARDEN HILLS DIALYSIS UNIT

3900 NORTHWOOD DRIVE STE 110

ARDEN HILLS, MN 55112

PHONE:

651/483-3159

Corp

(01378)

FAX: 651/697-1724

Corp

(02442)

FAX: /-

Certification

Registration

POPE

(Cont.)* --------------------------

HWSAL

DAWN FRERICKS

HWSAL

CHRISTOPHER KNOLL

COMP

DAWN ROEN

HWSAL

CHRISTOPHER KNOLL

NH-39 SNF-NF-39

MICHELLE EHRENBERG

RHC

RACHEL WAGNER

RHC

JASON BREUER

RAMSEY

******** --------------------------

SLFB-4 ICFIID-4

GENE LEISTICO

ESRD

HEATHER SWANSON

Minnesota Department of Health

Health Regulation Division

Page

395

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

RAMSEY

(Cont.)* --------------------------

JOHANNA SHORES

NProf

COMP

3220 LAKE JOHANNA BOULEVARD

ARDEN HILLS, MN 55112

(27964)

PHONE:

651/631-6027

FAX: 651/631-6057

NATALIE MORLAND

JOHANNA SHORES COMMONS AND ARBOR

NProf

HWSAL

3200 LAKE JOHANNA BOULEVARD

ARDEN HILLS, MN 55112

(20113)

PHONE:

651/631-6070

FAX: 651/631-6048

JAMIE JASPER

PHOENIX AT JANET COURT

NProf

SLFB-6 ICFIID-6

1769 JANET COURT

ARDEN HILLS, MN 55112

(23588)

PHONE:

651/227-7655

FAX: 651/227-6847

DARLENE SCOTT

PRESBYTERIAN HOMES OF ARDEN HILLS

NProf

NH-182 SNF-NF-182

3220 LAKE JOHANNA BOULEVARD

ARDEN HILLS, MN 55112

(00975)

PHONE:

651/631-6000

FAX: 651/631-6036

JUSTIN BIRKELI

THE PLUMMER HOME LLC

Lim-Liab

HWSAL

510 6TH PLACE NE

BYRON, MN 55920

(36037)

PHONE:

507/951-7887

FAX: 651/286-3108

JACKELYN SEIFERT

CARDIGAN RIDGE

Lim-Liab

HWSAL

3300 RICE STREET

LITTLE CANADA, MN 55126

(33082)

PHONE:

651/484-8484

FAX: 651/765-2700

ERIN HILLIGAN

GOOD SAMARITAN HOME CARE

NProf

COMP HHA

2885 COUNTRY DRIVE # 165

LITTLE CANADA, MN 55117

(03140)

PHONE:

651/488-7680

FAX: 651/488-7687

MARY JO ACKERMAN

PEOPLE INC MONTREAL COURTS 445

NProf

HWS-O

445 LABORE ROAD

LITTLE CANADA, MN 55117

(32678)

PHONE:

651/490-3130

FAX: 651/490-3148

JILL WIEDEMANN WEST

PEOPLE INC MONTREAL COURTS APARTMENTS

NProf

HWS-O

425 LABORE ROAD

LITTLE CANADA, MN 55117

(30662)

PHONE:

651/490-3130

FAX: 651/490-3148

JILL WIEDEMANN WEST

PEOPLE INCORPORATED MONTREAL COURTS 401

NProf

HWS-O

401 LABORE ROAD

LITTLE CANADA, MN 55117

(32888)

PHONE:

651/490-3130

FAX: 651/490-3148

JILL WIEDEMANN WEST

Minnesota Department of Health

Health Regulation Division

Page

396

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

---------------------------**********

RAMSEY

(Cont.)*

SUITE LIVING SENIOR CARE OF LITTLE CANADA

Lim-Liab

2740 RICE STREET

LITTLE CANADA, MN 55113

(34744)

PHONE:

651/424-0131

FAX: 651/424-0133

AUDREY MCELWAIN

VISITING ANGELS

Corp

COMP

70 COUNTY ROAD C WEST STE 706

LITTLE CANADA, MN 55117

(26712)

PHONE:

651/633-4487

FAX: 651/633-6225

CAROLYN THOMPSON

AFTON PLACE

NProf

SLFA-16

2715 UPPER AFTON ROAD

MAPLEWOOD, MN 55119

(33236)

PHONE:

651/254-0500

FAX: 651/731-5847

JAYNE QUINLAN

AT HOME WITH US LLC

Lim-Liab

2174 STANICH STREET

MAPLEWOOD, MN 55109

(34811)

PHONE:

651/431-8006

FAX: /-

MARIA CARINA DEROSIER

AT HOME WITH US-LLC

Lim-Liab

TCOMP

2174 STANICH STREET

MAPLEWOOD, MN 55109

(34648)

PHONE:

651/431-8006

FAX: /-

MARIA DEROSIER

BESTVALUE HEALTHCARE INC

Corp

COMP

2097 COUNTY ROAD D STE A

MAPLEWOOD, MN 55109

(34234)

PHONE:

651/757-5080

FAX: /-

OLAOYE WASOLA

BRIGHTSTAR CARE OF ST. PAUL

Corp

COMP

2785 WHITE BEAR AVENUE N #415

MAPLEWOOD, MN 55109

(26209)

PHONE:

651/770-8427

FAX: 651/770-4845

ASHLEY EISERMAN

CAREFREE COTTAGES OF MAPLEWOOD CHATEAU

Lim-Liab

1801 GERVAIS AVENUE

MAPLEWOOD, MN 55109

(31221)

PHONE:

651/770-7687

FAX: /-

CHUCK PETRICH

COMMUNITY FOUNDATIONS

ONProf

SLFA-16

1096 GERVAIS AVENUE

MAPLEWOOD, MN 55109

(01549)

PHONE:

651/256-1260

FAX: 651/291-7578

TERRY SCHNEIDER

ECUMEN LAKEVIEW COMMONS

NProf

1200 NORTH LAKEWOOD DRIVE

MAPLEWOOD, MN 55119

(20114)

PHONE:

651/770-1111

FAX: 651/773-7399

BERIT SPORS

Registration

--------------------------

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

397

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

RAMSEY

(Cont.)* --------------------------

ECUMEN LAKEVIEW COMMONS

NProf

COMP

1200 NORTH LAKEWOOD DRIVE

MAPLEWOOD, MN 55119

(21972)

PHONE:

651/770-1111

FAX: 651/773-7399

SCOTT KAPLAN

ECUMEN SEASONS AT MAPLEWOOD

NProf

COMP

1670 LEGACY PARKWAY EAST

MAPLEWOOD, MN 55109

(27397)

PHONE:

651/756-1859

FAX: 651/756-1754

REBECCA BROWN

ECUMEN SEASONS AT MAPLEWOOD

NProf

HWSAL

1670 LEGACY PARKWAY EAST

MAPLEWOOD, MN 55109

(27398)

PHONE:

651/756-1859

FAX: 651/756-1754

BERIT SPORS

ELK RIDGE ALZHEIMER'S SPECIAL

Lim-Liab

HWSAL

1700 BEAM AVENUE

MAPLEWOOD, MN 55109

(34426)

PHONE:

651/779-0500

FAX: 651/779-0505

VINCE DALEIDEN-FOLEY

ELK RIDGE ALZHEIMERS SPECIAL CARE CENTER

Lim-Liab

COMP

1700 BEAM AVENUE

MAPLEWOOD, MN 55109

(34433)

PHONE:

651/779-0500

FAX: 651/779-0505

VINCENT DALIGHTON

EQUITABLE HEALTHCARE SERVICES LLC

Lim-Liab

TCOMP HCBS

1247 TERRACE AVENUE

MAPLEWOOD, MN 55109

(35448)

PHONE:

651/233-9624

FAX: 651/330-6579

RAZAQ ADEDAYO

ESSLING'S HOMES PLUS INC.

Corp

HWSAL

1729 GERVAIS AVENUE

MAPLEWOOD, MN 55109

(24754)

PHONE:

651/735-7259

FAX: 651/730-1667

ROBIN RENO

ESSLING'S HOMES PLUS INC.

Corp

HWSAL

1747 GERVAIS AVENUE

MAPLEWOOD, MN 55109

(25241)

PHONE:

651/735-7259

FAX: 651/730-1667

ROBIN RENO

FIRSTAT NURSING SERVICES

Lim-Liab

COMP HHA

2395 ARIEL STREET NORTH

MAPLEWOOD, MN 55109

(22015)

PHONE:

651/288-0222

FAX: 651/288-0214

LAURA KOESTER

FMC MAPLEWOOD HEIGHTS

Corp

ESRD

1725 LEGACY PARKWAY

MAPLEWOOD, MN 55109

(25765)

PHONE:

651/748-5774

FAX: /-

PATRICK HOWARD

Minnesota Department of Health

Health Regulation Division

Page

398

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

FURNESS HOUSE

NProf

1866 FURNESS STREET

MAPLEWOOD, MN 55109

(01604)

PHONE:

651/227-7655

FAX: 651/227-6847

GOOD SAMARITAN SOCIETY MAPLEWOOD

NProf

550 EAST ROSELAWN AVENUE

MAPLEWOOD, MN 55117

(00900)

PHONE:

651/774-9765

FAX: 651/793-3353

HANDS CARE LLP

Part

1065 DENNIS STREET SOUTH

MAPLEWOOD, MN 55119

(35315)

PHONE:

612/306-6157

FAX: /-

HEALTHEAST HOME CARE

NProf

1655 BEAM AVENUE # 100

MAPLEWOOD, MN 55109

(02250)

PHONE:

651/232-2800

FAX: 651/232-2898

HEALTHEAST ST. JOHN'S HOSPITAL

NProf

1575 BEAM AVENUE

MAPLEWOOD, MN 55109

(00224)

PHONE:

651/232-7000

FAX: 651/232-7240

HEALTHEAST SURGERY CENTER MAPLEWOOD

Lim-Liab

2945 HAZELWOOD STREET # 300

MAPLEWOOD, MN 55109

(00980)

PHONE:

651/471-9701

FAX: 651/471-9766

HELP HOME CARE

Lim-Liab

2245 IDE COURT

MAPLEWOOD, MN 55109

(35281)

PHONE:

612/578-7723

FAX: /-

HOME HELPERS OF THE TWIN CITIES

Corp

2515 WHITE BEAR AVENUE A8-129

MAPLEWOOD, MN 55109

(28757)

PHONE:

612/518-5741

FAX: 651/204-0058

HOME INSTEAD SENIOR CARE #161

Lim-Liab

2480 WHITE BEAR AVENUE # 101

MAPLEWOOD, MN 55109

(03744)

PHONE:

651/747-8722

FAX: 651/747-8726

HOME INSTEAD SENIOR CARE #161

Lim-Liab

2480 WHITE BEAR AVENUE #101

MAPLEWOOD, MN 55109

(23592)

PHONE:

651/747-8722

FAX: 651/747-8726

Certification

Registration

RAMSEY

(Cont.)* --------------------------

SLFB-6

DARLENE SCOTT

NH-71

SUSAN JENSEN

GLORIA MACRAE

COMP

OLUYINKA (YINKA AJOSE

HOSP-184 BASS-44

LIA CHRISTIANSEN

Outpt Surg

SUE BIGGS

TCOMP

MOHAMED WAKO

BASIC

JENNIFER OLESEN

SMITABEN GIESEN

COMP

SMITABEN GIESEN

ICFIID-6

SNF-NF-71

HWSAL

HHA

HOSP-184

Amb Surg

Home Mgmt

Minnesota Department of Health

Health Regulation Division

Page

399

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

RAMSEY

(Cont.)* --------------------------

HOWARD HOUSE

1685 HOWARD STREET NORTH

MAPLEWOOD, MN 55109

PHONE:

651/227-7655

NProf

(01603)

FAX: 651/227-6847

SLFB-6

DARLENE SCOTT

ICFIID-6

COMP

LAKE PHALEN OPCO LLC

Lim-Liab

1870 EAST SHORE DRIVE

MAPLEWOOD, MN 55109

(29005)

PHONE:

651/777-7784

FAX: 844/898-6136

JOHN FOSTER

SLFB-6

LIVING WELL BROOKVIEW

NProf

ICFIID-6

2675 BROOKVIEW DRIVE EAST

MAPLEWOOD, MN 55119

(01600)

PHONE:

651/731-1602

FAX: 651/731-9120

LYNDSEY THOMAS

NProf

SLFB-6 ICFIID-6

LIVING WELL COPE

1362 EAST COPE AVENUE

MAPLEWOOD, MN 55109

(01599)

PHONE:

651/483-9596

FAX: 651/483-4139

JOSIE JEFFREY

LIVING WELL LARPENTEUR

NProf

SLFB-6 ICFIID-6

1951 LARPENTEUR AVENUE EAST

MAPLEWOOD, MN 55109

(01595)

PHONE:

651/770-7120

FAX: 651/770-7130

ANNETTE RIPLEY

NProf

SLFB-6

LIVING WELL MARYLAND

2355 MARYLAND AVENUE EAST

MAPLEWOOD, MN 55119

(20783)

PHONE:

651/773-4074

FAX: 651/773-3314

JULIE CONRAD

COMP

MAPLE HILL SENIOR LIVING LLC

Lim-Liab

3030 SOUTH LAWN DRIVE

MAPLEWOOD, MN 55109

(31955)

PHONE:

651/363-3687

FAX: 651/528-8249

ANGIE BANTLE

MAPLE HILL SENIOR LIVING LLC

Lim-Liab

HWSAL

3030 SOUTHLAWN DRIVE

MAPLEWOOD, MN 55109

(31968)

PHONE:

651/363-3687

FAX: 651/528-8249

CARYL NORDLAND

NH-128 SNF-NF-128

MAPLEWOOD CARE CENTER

NProf

1900 SHERREN AVENUE

MAPLEWOOD, MN 55109

(00520)

PHONE:

651/770-1365

FAX: 651/770-1646

MAPLEWOOD CARE RESIDENCE

Corp

HWSAL

2338 OVERLOOK CIRCLE

MAPLEWOOD, MN 55119

(25791)

PHONE:

763/550-1774

FAX: /-

MARCIA COTTER

Minnesota Department of Health

Health Regulation Division

Page

400

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

MAPLEWOOD DIALYSIS CENTER

Corp

2785 WHITE BEAR AVENUE # 201

MAPLEWOOD, MN 55109

(02844)

PHONE:

651/779-2222

FAX: /-

MAPLEWOOD GWLLC

Lim-Liab

2300 HAZELWOOD STREET

MAPLEWOOD, MN 55109

(25824)

PHONE:

651/777-3316

FAX: /-

METRO HEALTH CARE SERVICES LLC

Lim-Liab

1322 BURKE CIRCLE EAST

MAPLEWOOD, MN 55109

(27039)

PHONE:

651/348-7247

FAX: 651/756-1696

METRO HEALTH CARE SERVICES LLC

Lim-Liab

1312 BURKE CIRCLE EAST

MAPLEWOOD, MN 55109

(29837)

PHONE:

651/348-7247

FAX: 651/756-1696

METRO NURSING SERVICES LLC

Lim-Liab

1322 BURKE CIRCLE EAST

MAPLEWOOD, MN 55109

(27530)

PHONE:

651/400-8009

FAX: 651/964-4630

METRO NURSING SERVICES, LLC

Lim-Liab

1322 BURKE CIRCLE EAST

MAPLEWOOD, MN 55109

(27039)

PHONE:

651/348-7247

FAX: 651/756-1696

MNGI ENDOSCOPY MAPLEWOOD

Lim-Liab

1997 SLOAN PLACE

MAPLEWOOD, MN 55117

(04308)

PHONE:

612/871-1145

FAX: 612/870-5491

PHOENIX AT CARVER

NProf

2465 CARVER AVENUE

MAPLEWOOD, MN 55119

(23589)

PHONE:

651/227-7655

FAX: 651/227-6847

PREMIUM CHOICE CARE LLC

Lim-Liab

1187 LEALAND ROAD EAST

MAPLEWOOD, MN 55109

(34352)

PHONE:

651/239-6149

FAX: 651/772-3357

RAJWOOD

NProf

2951 BARTELMY LANE

MAPLEWOOD, MN 55109

(01572)

PHONE:

651/483-9500

FAX: 651/483-0775

Certification

Registration

RAMSEY

(Cont.)* --------------------------

SAMUEL CARLSON

COMP

THOMAS OSTROM

COMP

ABDI GONJOBE

COMP

AISHA ALI

COMP

ABDI GONJOBE

Outpt Surg

SCOTT KETOVER

SLFB-6

DARLENE SCOTT

FERDINAND FONDO

SLFA-4

JIM MARTIN

ESRD

HWS-O

Amb Surg

ICFIID-6

HWSAL

ICFIID-4

Minnesota Department of Health

Health Regulation Division

Page

401

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

RAMSEY COUNTY CARE CENTER

2000 WHITE BEAR AVENUE

MAPLEWOOD, MN 55109

PHONE:

651/777-7486

REM RAMSEY INC LAKEWOOD

975 LAKEWOOD DRIVE SOUTH

MAPLEWOOD, MN 55119

PHONE:

952/922-6776

REM RAMSEY INC MAYHILL

797 MAYHILL ROAD NORTH

MAPLEWOOD, MN 55119

PHONE:

952/922-6776

ROSEWOOD ESTATE - MAPLEWOOD

1200 NORTH LAKEWOOD DRIVE

MAPLEWOOD, MN 55119

PHONE:

651/770-1111

SALAMS CARE RESIDENTIAL LLC

2240 IDE COURT

MAPLEWOOD, MN 55109

PHONE:

651/528-6051

SALAMS CARE RESIDENTIAL LLC

2240 IDE COURT

MAPLEWOOD, MN 55109

PHONE:

651/528-6051

SALAMS CARE RESIDENTIAL LLC

730 CRESTVIEW DRIVE NORTH

MAPLEWOOD, MN 55119

PHONE:

651/528-6051

SUNLIGHT SERVICES

1243 SKILLMAN AVENUE

MAPLEWOOD, MN 55109

PHONE:

651/600-4403

SUNLIGHT SERVICES LLC

1740 ATLANTIC STREET

MAPLEWOOD, MN 55109

PHONE:

651/600-4403

THE ENCORE AT MAPLEWOOD

2300 HAZELWOOD STREET

MAPLEWOOD, MN 55109

PHONE:

651/777-6522

Cnty

(00846)

FAX: 651/777-1426

Corp

(28182)

FAX: 952/922-6885

Corp

(26750)

FAX: 952/922-6885

NProf

(20114)

FAX: 651/773-7399

Lim-Liab

(33645)

FAX: 651/528-6214

Lim-Liab

(33845)

FAX: 651/528-6214

Lim-Liab

(35095)

FAX: 651/528-6214

Lim-Liab

(26492)

FAX: 651/528-8015

Lim-Liab

(35327)

FAX: 651/528-8015

Lim-Liab

(30614)

FAX: 651/773-7580

Certification

Registration

RAMSEY

(Cont.)* --------------------------

NH-164 SNF-NF-164

MICHAEL SCHULTZ

SLFA-5 ICFIID-5

PATRICK MASYGA

SLFA-5 ICFIID-5

PATRICK MASYGA

HWSAL

BERIT SPORS

COMP

IBRAHIM SHEIKH

HWSAL

IBRAHIM SHEIKH

HWSAL

ABRAHIM SHEIKU

HWSAL-O

TONG VANG

HWSAL

TONG VANG

HWSAL

THOMAS OSTROM

Minnesota Department of Health

Health Regulation Division

Page

402

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

THE ENCORE AT THE TWIN CITIES LLC

2300 HAZELWOOD STREET

MAPLEWOOD, MN 55109

PHONE:

651/777-3316

THE HOMESTEAD AT MAPLEWOOD

1890 SHERREN AVENUE EAST

MAPLEWOOD, MN 55109

PHONE:

651/770-3959

THE SHORES OF LAKE PHALEN

1870 EAST SHORE DRIVE

MAPLEWOOD, MN 55109

PHONE:

651/777-7784

UPLIFTED CARE SERVICES, LLC

1224 LARK AVENUE

MAPLEWOOD, MN 55109

PHONE:

763/280-3236

VISITING ANGELS

2721 UPPER AFTON ROAD EAST

MAPLEWOOD, MN 55119

PHONE:

651/653-0110

VISITING ANGELS

2721 UPPER AFTON ROAD EAST

MAPLEWOOD, MN 55119

PHONE:

651/653-0110

VOA HOME HEALTH AT MAPLEWOOD

1890 SHERREN AVENUE EAST

MAPLEWOOD, MN 55109

PHONE:

651/770-3959

VOA HOME HEALTH AT MAPLEWOOD

1890 SHERREN AVENUE EAST

MAPLEWOOD, MN 55109

PHONE:

651/770-3959

ALLINA HEALTH HOME HEALTH

710 EAST 24TH STREET

MINNEAPOLIS, MN 55404

PHONE:

612/863-4478

BIG HEARTS HOME CARE INC

1130 14TH AVENUE SE

MINNEAPOLIS, MN 55414

PHONE:

651/494-7653

Lim-Liab

(25824)

FAX: /-

NProf

(20712)

FAX: 651/621-2410

Corp

(29004)

FAX: 844/898-6136

Lim-Liab

(34482)

FAX: 888/588-3166

Corp

(23261)

FAX: 651/653-0115

Corp

(23353)

FAX: 651/653-0115

NProf

(20712)

FAX: 651/621-2410

NProf

(21091)

FAX: 651/770-5779

NProf

(23627)

FAX: 651/628-2999

Corp

(34832)

FAX: /-

Certification

RAMSEY

(Cont.)*

COMP

THOMAS OSTROM

TARYN BARTZ

AMY PATTERSON

WILLIAM AKUMA

COMP

JENNIFER FLORES

TARYN BARTZ

COMP

TARYN BARTZ

COMP HHA

JULIA CRIST

TCOMP

AHMED FARAH

Registration

--------------------------

HWSAL

HWSAL-O

Home Mgmt

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

403

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

PEARL GARDEN

Part

3700 FOSS ROAD NE

MINNEAPOLIS, MN 55421

(20451)

PHONE:

612/788-9673

FAX: 612/788-0104

AXIS ON ST MICHAEL

Corp

5533 ST. MICHAEL STREET

MOUNDS VIEW, MN 55112

(23393)

PHONE:

763/717-4967

FAX: 763/783-0193

BEL RAE SENIOR LIVING

Lim-Liab

2330 MOUNDS VIEW BOULEVARD

MOUNDS VIEW, MN 55112

(31586)

PHONE:

763/784-7633

FAX: /-

GOLDEN POND MOUNDS VIEW

Lim-Liab

7245 HIDDEN HOLLOW COURT

MOUNDS VIEW, MN 55112

(33572)

PHONE:

763/447-7717

FAX: 651/484-5130

MIDWEST MEDICAL HOLDINGS, INC

Lim-Liab

8400 CORAL SEA STREET # 100

MOUNDS VIEW, MN 55112

(02851)

PHONE:

763/780-1500

FAX: 763/780-1515

MOUNDS VIEW GABLES

NProf

2670 COUNTY ROUND I

MOUNDS VIEW, MN 55112

(24474)

PHONE:

651/639-9799

FAX: 651/639-3699

PHOENIX AT LUDDEN

NProf

7717 LONG LAKE ROAD

MOUNDS VIEW, MN 55112

(23427)

PHONE:

651/227-7655

FAX: 651/227-6847

REIGN SERVICES LLC

Lim-Liab

8230 LONG LAKE ROAD

MOUNDS VIEW, MN 55112

(35413)

PHONE:

651/675-8551

FAX: /-

SCENIC HILLS ALTERNATIVE CARE

Corp

2517 COUNTY ROAD I

MOUNDS VIEW, MN 55112

(27183)

PHONE:

651/735-7259

FAX: 651/730-1167

SCENIC HILLS ALTERNATIVE CARE

Corp

2519 COUNTY ROAD I

MOUNDS VIEW, MN 55112

(27182)

PHONE:

651/735-7259

FAX: 651/730-1667

Certification

Registration

RAMSEY

(Cont.)* --------------------------

CRAIG EDINGER

SLFB-6

DOROTHY WROBEL

HEATHER HARSTAD

DAVID METZ

COMP

LAUREN EIYNCK

CHRIS WINTER

SLFB-6

DARLENE SCOTT

TCOMP HCBS

MILDA AYINDE

ROBIN RENO

HWSAL

ICFIID-6

HWSAL

ICFIID-6

HWSAL-O

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

404

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

ACR HOME ON REDWOOD

Corp

862 REDWOOD LANE

NEW BRIGHTON, MN 55112

(01573)

PHONE:

651/635-9060

FAX: 651/635-4392

APRIA HEALTHCARE LLC

Lim-Liab

601 CAMPUS DRIVE # 10

NEW BRIGHTON, MN 55112

(03501)

PHONE:

651/523-8888

FAX: 651/523-8850

BAYADA HOME HEALTH CARE, INC.

NProf

550 COUNTY ROAD D WEST # 7

NEW BRIGHTON, MN 55112

(27763)

PHONE:

651/482-8400

FAX: 651/482-8300

BEACON HAVEN

NProf

1200 LONG LAKE ROAD

NEW BRIGHTON, MN 55112

(23554)

PHONE:

651/379-0100

FAX: 651/379-0601

BENEDICTINE HEALTH CENTER AT INNSBRUCK

Church

1101 BLACK OAK DRIVE

NEW BRIGHTON, MN 55112

(00940)

PHONE:

651/633-1686

FAX: 651/633-5267

BENEVOLENT HOMES LLC

Lim-Liab

888 COUNTY ROAD D WEST #120

NEW BRIGHTON, MN 55112

(34705)

PHONE:

612/735-1872

FAX: /-

FAMILY TREE CARE HOMES

Lim-Liab

2029 PALMER DRIVE

NEW BRIGHTON, MN 55112

(33728)

PHONE:

651/340-5583

FAX: 651/340-5348

FAMILY TRUST HOME HEALTH LLC

Lim-Liab

2230 TIOGA BOULEVARD

NEW BRIGHTON, MN 55112

(35334)

PHONE:

763/205-6624

FAX: 763/205-6790

IN HOUSE HOME HEALTH LLC

Lim-Liab

888 COUNTY ROAD D WEST #201

NEW BRIGHTON, MN 55112

(35982)

PHONE:

612/483-6326

FAX: 612/314-8980

MEADOWOOD SHORES SENIOR HOUSING LP

Part

2100 SILVER LAKE ROAD

NEW BRIGHTON, MN 55112

(21728)

PHONE:

651/604-2900

FAX: 651/582-0499

Certification

Registration

RAMSEY

(Cont.)* --------------------------

SLFB-4 ICFIID-4

GENE LEISTICO

COMP

APRIA LLC

COMP HHA

ERICA KJENSTAD

NH-6

SUZANNE GIVENS

NH-105 SNF-NF-105

REID HEWITT

TCOMP

AISHA ADEN

HWSAL

LEE PANZER JR

HWSAL

DAWOLYN BRYANT-JERBO

TCOMP

BUSHRA JAMA

HWS

MICHAEL GOULD

Minnesota Department of Health

Health Regulation Division

Page

405

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

MENTAL HEALTH NURSING LLC

Lim-Liab

888 COUNTY ROAD D WEST # 104

NEW BRIGHTON, MN 55112

(33961)

PHONE:

952/270-1409

FAX: /-

MINN CARE HOME HEALTH LLC

Lim-Liab

151 SILVER LAKE ROAD NW UNIT 2

NEW BRIGHTON, MN 55112

(34706)

PHONE:

763/200-6270

FAX: /-

MINNESOTA VASCULAR SURGERY CENTER, LLC

Lim-Liab

600 COUNTY ROAD D # 2

NEW BRIGHTON, MN 55112

(24767)

PHONE:

763/432-4300

FAX: 763/432-4301

NEW BRIGHTON ASSISTED LIVING

Part

2700 RICE CREEK ROAD

NEW BRIGHTON, MN 55112

(20231)

PHONE:

651/633-6484

FAX: 651/633-8702

NEW BRIGHTON A VILLA CENTER

Lim-Liab

825 1ST AVENUE NW

NEW BRIGHTON, MN 55112

(00114)

PHONE:

651/633-7875

FAX: 651/628-9335

NEW BRIGHTON CARE CENTER

Corp

805 6TH AVENUE NW

NEW BRIGHTON, MN 55112

(00507)

PHONE:

651/633-7200

FAX: 651/287-7883

PANZER HOME CARE

Lim-Liab

2029 PALMER DRIVE

NEW BRIGHTON, MN 55112

(33586)

PHONE:

651/340-5583

FAX: 651/340-5348

RISE HOME HEALTH CARE

Lim-Liab

547 CONTINENTAL DRIVE

NEW BRIGHTON, MN 55112

(36117)

PHONE:

612/207-5920

FAX: /-

SANCTUARY HEALTHCARE SERVICES

Lim-Liab

1623 SILVER LANE

NEW BRIGHTON, MN 55112

(33417)

PHONE:

763/400-4430

FAX: 612/607-7820

SENIOR SUITES OF NEW BRIGHTON

Corp

805 6TH AVENUE NW

NEW BRIGHTON, MN 55112

(21383)

PHONE:

651/403-5241

FAX: 651/287-7883

Certification

Registration

RAMSEY

(Cont.)* --------------------------

COMP

ERIC FOSSEN

TCOMP HCBS

CELESTINE OKONKWO

Outpt Surg

TROY ROOVERS

MICHAEL GOULD

NH-99

KATHERINE HOLLAND

NH-57

MICHELLE WEISS

COMP

BREANNA PANZER

NAEEMA SALEH

OLUWAKEMI AJAYI

COMP

MICHELLE WEISS

Amb Surg

SNF-NF-99

SNF-NF-57

HWSAL

HWSAL-O

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

406

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

SENIOR SUITES OF NEW BRIGHTON

805 6TH AVENUE NW

NEW BRIGHTON, MN 55112

PHONE:

651/403-5261

SILVER OAKS

3277 RICE CREEK ROAD

NEW BRIGHTON, MN 55112

PHONE:

651/636-0546

THORNDALE APARTMENTS

1050 THORNDALE AVENUE

NEW BRIGHTON, MN 55112

PHONE:

651/639-9799

POLAR RIDGE SENIOR LIVING

2345 HELEN STREET NORTH

NORTH ST. PAUL, MN 55109

PHONE:

651/770-4028

BROOKDALE NORTH OAKS

300 VILLAGE CENTER DRIVE

NORTH OAKS, MN 55127

PHONE:

651/482-8111

BROOKDALE NORTH OAKS

300 VILLAGE CENTER DRIVE

NORTH OAKS, MN 55127

PHONE:

651/482-8111

CLARE BRIDGE OF NORTH OAKS

300 VILLAGE CENTER DRIVE

NORTH OAKS, MN 55127

PHONE:

651/482-8111

NORTHERN STARS HOME CARE, LLC

63 EAST PLEASANT LAKE ROAD

NORTH OAKS, MN 55127

PHONE:

651/528-6649

PRESBYTERIAN HOMES OF NORTH OAKS

5919 CENTERVILLE ROAD

NORTH OAKS, MN 55127

PHONE:

651/765-4063

WAVERLY GARDENS

5919 CENTERVILLE ROAD

NORTH OAKS, MN 55127

PHONE:

651/765-4000

Corp

(30746)

FAX: 651/633-0353

Corp

(01586)

FAX: 651/636-4530

NProf

(24473)

FAX: 651/639-3699

Lim-Liab

(34977)

FAX: 651/777-2602

Corp

(20539)

FAX: 651/482-8333

Corp

(30692)

FAX: 651/482-8333

Corp

(20539)

FAX: 651/482-8333

Lim-Liab

(32090)

FAX: 651/528-6649

Church

(23579)

FAX: 651/762-7111

NProf

(24195)

FAX: 651/765-4001

Certification

Registration

RAMSEY

(Cont.)* --------------------------

HWSAL

SHELLY WEISS

SLFA-4 ICFIID-4

SANDRA QUINN

HWSAL-O

CHRIS WINTER

HWS

JERRIS MILLER

COMP

DENISE OLSON

HWSAL

DENISE OLSON

COMP

DENISE OLSON

COMP

CHRISTINE ALLEN

NH-60 SNF-NF-60

EMILEE SIMONSON

HWSAL

DANIEL ERICKSON

Minnesota Department of Health

Health Regulation Division

Page

407

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

WAVERLY GARDENS

NProf

5919 CENTERVILLE ROAD

NORTH OAKS, MN 55127

(28191)

PHONE:

651/765-4000

FAX: 651/765-4001

ALL FAMILY HOME CARE LLC

Lim-Liab

2312 7TH STREET NORTH

NORTH ST. PAUL, MN 55109

(33459)

PHONE:

763/634-7915

FAX: 763/392-0033

HEALTHSTAR HOME HEALTH

Corp

2586 7TH AVENUE EAST STE 302

NORTH ST. PAUL, MN 55109

(21714)

PHONE:

651/633-7300

FAX: 651/633-7301

HOME SWEET HOME OF MINNESOTA

Lim-Liab

2393 11TH AVENUE EAST

NORTH ST. PAUL, MN 55109

(35851)

PHONE:

651/348-6211

FAX: 651/528-7897

OPTIONS RESIDENTIAL GATEWAY

Corp

2633 DIVISION STREET NORTH

NORTH ST. PAUL, MN 55109

(34386)

PHONE:

952/564-3030

FAX: 952/217-5677

OPTIONS RESIDENTIAL INC GALAXY

Corp

2720 17TH AVENUE EAST

NORTH ST. PAUL, MN 55109

(34430)

PHONE:

952/564-3030

FAX: 952/217-5677

OPTIONS RESIDENTIAL INC GOLFVIEW

Corp

2726 17TH AVENUE EAST

NORTH ST. PAUL, MN 55109

(34195)

PHONE:

952/564-3030

FAX: 952/217-5677

POLAR RIDGE SENIOR LIVING

Lim-Liab

2365 HELEN STREET NORTH

NORTH ST. PAUL, MN 55109

(31249)

PHONE:

651/770-4028

FAX: 651/777-6465

POLAR RIDGE SR LIVING

Lim-Liab

2365 HELEN STREET NORTH

NORTH ST. PAUL, MN 55109

(31484)

PHONE:

651/770-4028

FAX: 651/777-6465

REM RAMSEY INC NORTH OAKS

Corp

2570 HOLLOWAY AVENUE EAST

NORTH ST. PAUL, MN 55109

(01344)

PHONE:

952/922-6776

FAX: 952/922-6885

Certification

RAMSEY

(Cont.)*

COMP

NATALIE MORLAND

COMP

AUGUSTINE AMBE

COMP HCBS HHA

BARBARA JEZORSKI

ARNOLD KUBEI

JAMES HAMMILL

JERRIS MILLER

COMP

JERRIS MILLER

Registration

--------------------------

HWSAL

HWS-O

HWSAL

SLFB-5 ICFIID-5

PATRICK MASYGA

Minnesota Department of Health

Health Regulation Division

Page

408

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

SUITE LIVING SENIOR CARE NORTH ST PAUL

2710 13TH AVENUE EAST

NORTH ST. PAUL, MN 55109

PHONE:

651/770-2273

FOOTWORKS

2082 PARK ROW

NSTPAUL, MN 55109

PHONE:

651/501-0624

ABUNDANCE OF LIFE LLC

2355 HIGHWAY 36 WEST # 431

ROSEVILLE, MN 55113

PHONE:

651/251-7100

ACR HOME ON LYDIA WEST

2528 LYDIA AVENUE WEST

ROSEVILLE, MN 55113

PHONE:

651/636-7172

ACR ON DALE COURT

1822 DALE COURT

ROSEVILLE, MN 55113

PHONE:

651/488-1088

ARTHUR'S RESIDENTIAL CARE - ALTA VISTA

2437 RICE STREET

ROSEVILLE, MN 55113

PHONE:

651/294-4798

ARTHUR'S SENIOR CARE - ALTA VISTA

1854 ALTA VISTA DRIVE

ROSEVILLE, MN 55113

PHONE:

651/294-4798

ARTHURS SENIOR CARE

2437 RICE STREET

ROSEVILLE, MN 55113

PHONE:

651/294-4798

ARTHURS SENIOR CARE ON EMMERT

3310 EMMERT STREET

ROSEVILLE, MN 55126

PHONE:

651/294-4798

AXIS ON BELMONT

692 BELMONT LANE WEST

ROSEVILLE, MN 55113

PHONE:

651/489-4630

Lim-Liab

(35489)

FAX: 651/424-0083

Ind

(03096)

FAX: 651/330-9666

Lim-Liab

(32694)

FAX: 651/251-7102

Corp

(01576)

FAX: 651/636-7205

Corp

(24142)

FAX: 651/488-1544

Lim-Liab

(24818)

FAX: 651/484-5863

Lim-Liab

(30590)

FAX: 651/484-5863

Lim-Liab

(24818)

FAX: 651/484-5863

Lim-Liab

(27856)

FAX: 651/484-5863

Corp

(23246)

FAX: 651/489-4678

Certification

Registration

RAMSEY

(Cont.)* --------------------------

HWS

ADUREY MCELWAIN

COMP

MICHELLE O'HEARN

COMP HCBS

MAHAD IBRAHIM

SLFB-4 ICFIID-4

GENE LEISTICO

SLFB-4 ICFIID-4

GENE LEISTICO

COMP

GENE LEISTICO

HWSAL

JAMES NELSON

COMP

GENE LEISTICO

HWSAL

JAMES NELSON

SLFB-4 ICFIID-4

DOROTHY WROBEL

Minnesota Department of Health

Health Regulation Division

Page

409

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

AXIS ON ELDRIDGE

651 ELDRIDGE AVENUE WEST

ROSEVILLE, MN 55113

PHONE:

651/488-2237

BRIOVARX INFUSION SERVICES INC

2685 PATTON ROAD

ROSEVILLE, MN 55113

PHONE:

651/435-8142

CARE IMPRESS LLC

1725 DELLWOOD AVENUE # 102

ROSEVILLE, MN 55113

PHONE:

651/278-3640

CAREPOINT HOME INC

2275 SNELLING AVENUE N #102

ROSEVILLE, MN 55113

PHONE:

651/387-4134

CHERRYWOOD POINTE AT LEXINGTON

2680 LEXINGTON AVENUE NORTH

ROSEVILLE, MN 55113

PHONE:

651/766-2266

CHERRYWOOD POINTE OF ROSEVILLE LLC

2996 CLEVELAND AVENUE NORTH

ROSEVILLE, MN 55113

PHONE:

651/633-0044

COMMUNITIES OF CARE

1700 HIGHWAY 36 WEST STE 530

ROSEVILLE, MN 55113

PHONE:

651/482-0549

DYNAMIC HEALTHCARE LLC

2680 WESTERN AVENUE NORTH

ROSEVILLE, MN 55113

PHONE:

651/756-8372

DYNAMIC HEALTHCARE LLC

2680 WESTERN AVENUE NORTH

ROSEVILLE, MN 55113

PHONE:

651/756-8372

EAGLE CREST ARBOR

2955 LINCOLN DRIVE

ROSEVILLE, MN 55113

PHONE:

651/628-3000

Corp

(22846)

FAX: 651/489-9520

Corp

(33779)

FAX: 844/890-9906

Lim-Liab

(34209)

FAX: /-

Corp

(35517)

FAX: /-

Lim-Liab

(33262)

FAX: 651/766-2260

Lim-Liab

(28965)

FAX: 651/633-4038

Corp

(20862)

FAX: 651/482-0280

Lim-Liab

(33890)

FAX: 651/350-7829

Lim-Liab

(34807)

FAX: 651/493-9462

NProf

(24032)

FAX: 651/628-3014

Certification

Registration

RAMSEY

(Cont.)* --------------------------

SLFB-6 ICFIID-6

DOROTHY WROBEL

COMP

KIMBERLEY WILLIAMS

TCOMP

BAMIDELE ADETIFA

TCOMP

SADIIQ MCCALIN

HWSAL

ERIN HILLIGAN

HWSAL

ERIN HILLIGAN

COMP

JOAN VAUGHN

COMP

NGOZI OKEKE

HWSAL

KEHINDE ABUDU

HWSAL

DANIELLE SALISBURY

Minnesota Department of Health

Health Regulation Division

Page

410

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

EAGLE CREST COMMONS

NProf

2945 LINCOLN DRIVE

ROSEVILLE, MN 55113

(20065)

PHONE:

651/628-3001

FAX: 651/628-3014

EAGLECREST SENIOR HOUSING LLC

Lim-Liab

2945 LINCOLN DRIVE

ROSEVILLE, MN 55113

(27952)

PHONE:

651/628-3000

FAX: 651/628-3014

FMC DIALYSIS SERVCES ROSEVILLE

Corp

2045 RICE STREET

ROSEVILLE, MN 55113

(03522)

PHONE:

651/489-3312

FAX: /-

GOLDEN LIVING COMMUNITY LAKE RIDGE

Lim-Liab

2727 VICTORIA STREET NORTH

ROSEVILLE, MN 55113

(25214)

PHONE:

651/483-5431

FAX: 651/486-2461

GOOD SAMARITAN SOCIETY - HERITAGE PLACE OF

NProf

ROSEVILLE

563 COUNTY ROAD B WEST

ROSEVILLE, MN 55113

PHONE:

651/489-3293

HEARTLAND HOME HEALTH CARE AND HOSPICE

2685 LONG LAKE ROAD # 105

ROSEVILLE, MN 55113

PHONE:

651/633-6522

HOME HEALTHCARE AGENCY

2489 RICE STREET # 295

ROSEVILLE, MN 55113

PHONE:

651/493-6877

IN MY FATHER'S HOUSE LLC

3096 SNELLING AVENUE NORTH

ROSEVILLE, MN 55113

PHONE:

651/636-6149

INTERIM HEALTHCARE

2680 ARTHUR STREET

ROSEVILLE, MN 55113

PHONE:

651/259-4235

INTERIM HEALTHCARE OF THE TWIN CITIES, INC.

2680 ARTHUR STREET

ROSEVILLE, MN 55113

PHONE:

651/917-3634

(23462)

FAX: 651/489-0603

Lim-Liab

(02970)

FAX: 651/633-5733

Corp

(28878)

FAX: 800/532-1684

Lim-Liab

(35879)

FAX: /-

Corp

(28285)

FAX: 651/259-4248

Corp

(21158)

FAX: 651/917-3620

Certification

Registration

RAMSEY

(Cont.)* --------------------------

DANIELLE SALISBURY

COMP

NATALIE MORLAND

WENDEY VALENTO

COMP

DIANE WILLETTE

LAUREN PAHNKE

Hospice

LAURICE HILLMAN

COMP

TUBTSHWM YANG

TCOMP

SONIA SOTTO

Hospice

RAECHEL THOMPSON

COMP

BROOKE BECK

HWSAL

ESRD

HWSAL

HSPICE

HHA

Minnesota Department of Health

Health Regulation Division

Page

411

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

INTERIM HOME STYLE SERVICES

Corp

2680 ARTHUR STREET

ROSEVILLE, MN 55113

(23076)

PHONE:

651/917-3634

FAX: 651/917-3620

INTREPID USA HEALTHCARE SERVICES

Corp

2277 HIGHWAY 36 WEST # 101

ROSEVILLE, MN 551133804

(02232)

PHONE:

651/638-7800

FAX: 651/638-7801

INTREPID USA HOSPICE

Corp

2277 HIGHWAY 36 WEST STE 101

ROSEVILLE, MN 55113

(29833)

PHONE:

651/633-6404

FAX: 651/633-6729

JASE'S HOUSE

Lim-Liab

3092 CLEVELAND AVENUE NORTH

ROSEVILLE, MN 55113

(35367)

PHONE:

952/848-0935

FAX: 952/920-6929

KAYTON RESIDENTIAL LLC

Lim-Liab

1796 CENTENNIAL DRIVE

ROSEVILLE, MN 55113

(35559)

PHONE:

651/442-3124

FAX: /-

KAYTON RESIDENTIAL LLC

Lim-Liab

1796 CENTENNIAL DRIVE

ROSEVILLE, MN 55133

(34504)

PHONE:

612/702-5837

FAX: /-

KINDRED AT HOME

Corp

1970 OAKCREST AVENUE # 107

ROSEVILLE, MN 55113

(02215)

PHONE:

651/636-6330

FAX: 651/636-6229

LANGTON SHORES

NProf

1900 WEST COUNTY ROAD D

ROSEVILLE, MN 55112

(00284)

PHONE:

651/631-6200

FAX: 651/631-6231

LARPENTEUR AVE DIALYSIS

Corp

1739 LEXINGTON AVENUE NORTH

ROSEVILLE, MN 55113

(32137)

PHONE:

651/489-9260

FAX: 651/489-9119

MERCY HOME CARE SERVICE

Lim-Liab

1620 HIGHWAY 36 WEST #106

ROSEVILLE, MN 55113

(35188)

PHONE:

763/923-3770

FAX: /-

Certification

Registration

RAMSEY

(Cont.)* --------------------------

COMP

BROOKE BECK

COMP

JOAN BERGER

Hospice

LISA DIEZ

RACHEL LORENZEN

FARHIYA EINTE

TCOMP

SAHRA ADAN

COMP

JENNIFER JACKSON

NH-50

ALANA HOHERTZ

KORE NIELSEN

TBASIC

BIFFTU CHIRI

HHA

HSPICE

HWS-O

HWSAL-O

SNF-50

ESRD

Minnesota Department of Health

Health Regulation Division

Page

412

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

NEW PERSPECTIVE - ROSEVILLE

Lim-Liab

2750 NORTH VICTORIA STREET

ROSEVILLE, MN 55113

(20022)

PHONE:

651/482-1611

FAX: 651/482-0429

NEW PERSPECTIVE -ROSEVILLE

Lim-Liab

2750 NORTH VICTORIA STREET

ROSEVILLE, MN 55113

(29562)

PHONE:

651/482-1611

FAX: 651/482-0429

OPTION CARE

Corp

2750 ARTHUR STREET

ROSEVILLE, MN 55113

(20892)

PHONE:

651/635-9272

FAX: 651/305-0242

PEDIATRIC HOME SERVICE

Lim-Liab

2800 CLEVELAND AVENUE NORTH

ROSEVILLE, MN 55113

(03693)

PHONE:

651/642-1825

FAX: 651/638-0680

PRESBYTERIAN ASSISTED LIVING HOMECARE

NProf

2845 HAMLINE AVENUE NORTH

ROSEVILLE, MN 55113

(20898)

PHONE:

651/631-6197

FAX: 651/631-6108

PRESBYTERIAN HOMES HOME CARE

NProf

2845 HAMLINE AVENUE NORTH

ROSEVILLE, MN 55113

(02133)

PHONE:

651/746-8200

FAX: 651/631-6348

PRESBYTERIAN HOMES HOSPICE INC

NProf

2845 HAMLINE AVENUE NORTH

ROSEVILLE, MN 55113

(25425)

PHONE:

651/631-6406

FAX: 651/631-6343

ROSE OF SHARON A VILLA CENTER

Lim-Liab

1000 LOVELL AVENUE

ROSEVILLE, MN 55113

(00126)

PHONE:

651/484-3378

FAX: 651/484-8982

ROSELAWN VILLAGE APARTMENTS

NProf

1074 ROSELAWN AVENUE WEST

ROSEVILLE, MN 55113

(24470)

PHONE:

651/645-7271

FAX: 651/645-0541

ROSEWOOD ESTATE OF ROSEVILLE

Lim-Liab

2750 NORTH VICTORIA STREET

ROSEVILLE, MN 55113

(20022)

PHONE:

651/482-1611

FAX: 651/482-0429

Certification

Registration

RAMSEY

(Cont.)* --------------------------

BETH LANDERS

COMP

REBECCA BROWN

COMP

BRIAN BELONGIA

COMP HHA

JOSH LARSON

COMP

NATALIE MORLAND

COMP HHA

JENNIFER AMMONS

Hospice HSPICE

JILL NANCE

NH-63 SNF-NF-63

LYNN HICKEY

STEPHEN VANDER SCHAAF

BETH LANDERS

HWSAL

HWSAL-O

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

413

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

SENIOR HELPERS

2345 RICE STREET SUITE 145

ROSEVILLE, MN 55345

PHONE:

320/492-1873

SIFU HEATH LLC

1420 TERRACE DRIVE APT 103

ROSEVILLE, MN 55113

PHONE:

763/445-1409

SISTERS ASSISTANT LIVING CARE LLC

1129 COUNTY ROAD B2 WEST

ROSEVILLE, MN 55113

PHONE:

619/846-8860

SUITE LIVING SENIOR CARE OF ROSEVILLE LLC

197 COUNTY ROAD B2 WEST

ROSEVILLE, MN 55113

PHONE:

651/770-2273

SUNRISE ASSISTED LIVING OF ROSEVILLE

2555 SNELLING AVENUE NORTH

ROSEVILLE, MN 55113

PHONE:

651/636-4800

SUNRISE ASSISTED LIVING OF ROSEVILLE

2555 SNELLING AVENUE NORTH

ROSEVILLE, MN 55113

PHONE:

651/636-4800

SUNRISE ASSISTED LIVING ROSEVILLE

2555 SNELLING AVENUE NORTH

ROSEVILLE, MN 55113

PHONE:

651/636-4800

SUNRISE RESIDENTIAL SERVICES LLC

216 MAPLE LANE

ROSEVILLE, MN 55113

PHONE:

651/528-6363

SUNRISE RESIDENTIAL SERVICES LLC

216 MAPLE LANE WEST

ROSEVILLE, MN 55113

PHONE:

206/458-3553

SYNERGY HOME CARE MSP METRO

2336 LEXINGTON AVENUE N STE L

ROSEVILLE, MN 55113

PHONE:

612/455-2585

Lim-Liab

(24954)

FAX: /-

Lim-Liab

(35108)

FAX: /-

Lim-Liab

(34622)

FAX: /-

Lim-Liab

(33954)

FAX: 651/964-1690

Lim-Liab

(21410)

FAX: 651/636-4809

Corp

(22361)

FAX: 651/646-4809

Lim-Liab

(21410)

FAX: 651/636-4809

Lim-Liab

(33644)

FAX: 612/314-8590

Lim-Liab

(34247)

FAX: 612/314-8590

Lim-Liab

(26669)

FAX: 855/319-9875

Certification

RAMSEY

(Cont.)*

COMP

MICHAEL KELLEY

TCOMP

HAYAU ABDULLE

ASLI WARSAME

AUDREY MCELWAIN

ANGELA MATTSON

COMP

ANGELA MATTSON

COMP

TUFAH MOALLIN

COMP

JAMES ZENK

Registration

--------------------------

HWSAL-O

HWSAL

HWSAL-O

Minnesota Department of Health

Health Regulation Division

Page

414

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

RAMSEY

(Cont.)* --------------------------

TCHIDI'S HOUSE

Lim-Liab

HWS-O

3094 CLEVELAND AVENUE NORTH

ROSEVILLE, MN 55113

(35366)

PHONE:

952/848-0935

FAX: 952/920-6929

RACHEL LORENZEN

THE ESTATES AT ROSEVILLE LLC

Lim-Liab

NH-150 SNF-NF-150

2727 VICTORIA STREET NORTH

ROSEVILLE, MN 55113

(00497)

PHONE:

651/483-5431

FAX: 651/486-2461

JILL LUBBESMEYER

THE FRIENDSHIP HOME COMMUNITY

Corp

COMP

947 LYDIA DRIVE WEST

ROSEVILLE, MN 55113

(24337)

PHONE:

651/398-2294

FAX: 651/528-6216

VICTORIA JOHANSSON

THE FRIENDSHIP HOME COMMUNITY

Lim-Liab

HWSAL

947 LYDIA DRIVE WEST

ROSEVILLE, MN 55113

(30530)

PHONE:

651/398-2294

FAX: 651/528-6216

VICTORIA JOHANSSON

THE FRIENDSHIP HOME COMMUNITY - ROSELAWN

Lim-Liab

HWSAL

500 ROSELAWN AVENUE WEST

ROSEVILLE, MN 55113

(26201)

PHONE:

651/398-2294

FAX: 651/528-6216

VICTORIA JOHANSSON

THE FRIENDSHIP HOME COMMUNITY LLC - OWASSO

Lim-Liab

HWSAL

567 OWASSO HILLS DRIVE

ROSEVILLE, MN 55113

(32887)

PHONE:

651/398-2294

FAX: 651/398-2294

VICTORIA JOHANSSON

THE FRIENDSHIP HOME COMMUNITY, LLC

Corp

COMP

947 LYDIA DRIVE WEST

ROSEVILLE, MN 55113

(24337)

PHONE:

651/398-2294

FAX: 651/528-6216

VICTORIA JOHANSSON

THE GOOD SAMARITAN NURSE

Lim-Liab

TCOMP

656 SHYER AVENUE WEST

ROSEVILLE, MN 55113

(34318)

PHONE:

612/772-4020

FAX: 612/206-8282

SYED HUSSAIN

THE GOOD SAMARITAN NURSE

Lim-Liab

HWSAL

656 SHRYER AVENUE WEST

ROSEVILLE, MN 55113

(35223)

PHONE:

612/772-4020

FAX: 612/206-8282

SYED HUSSAIN

THE PRESERVE OF ROSEVILLE

Lim-Liab

TCOMP

2600 DALE STREET NORTH

ROSEVILLE, MN 55113

(35677)

PHONE:

800/385-2527

FAX: /-

ANNALISHA PEREZ

Minnesota Department of Health

Health Regulation Division

Page

415

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

THE PRESERVE OF ROSEVILLE

Lim-Liab

2600 DALE STREET NORTH

ROSEVILLE, MN 55113

(36021)

PHONE:

800/385-2527

FAX: 319/362-3067

TOUCHING HEARTS AT HOME ST. PAUL

Lim-Liab

2233 HAMLINE AVENUE NORTH #209

ROSEVILLE, MN 55113

(27544)

PHONE:

651/452-6825

FAX: 651/236-8279

HOPE HOME CARE LLC

Lim-Liab

1821 UNIVERSITY AVENUE SE # 20

SAINT-PAUL, MN 55140

(33518)

PHONE:

612/806-5705

FAX: 651/340-9827

ACR HOME ON DAWN

Corp

191 DAWN AVENUE

SHOREVIEW, MN 55126

(01620)

PHONE:

651/486-0380

FAX: 651/486-7767

AXIS ON GLENHILL

Corp

1083 GLENHILL ROAD

SHOREVIEW, MN 55126

(22370)

PHONE:

651/482-0562

FAX: 651/482-0482

DUNGARVIN CAMARA

Lim-Liab

3989 VIRGINIA CIRCLE

SHOREVIEW, MN 55126

(24104)

PHONE:

651/699-6050

FAX: 651/699-7265

KIND HEART CARE HOME

Corp

1049 GLEN PAUL COURT

SHOREVIEW, MN 55126

(35192)

PHONE:

763/269-9830

FAX: 651/286-3111

KIND HEART CARE HOME INC

Corp

1049 GLEN PAUL COURT

SHOREVIEW, MN 55126

(34859)

PHONE:

763/269-9830

FAX: /-

LAKE OWASSO RESIDENCE

Cnty

210 OWASSO BOULEVARD NORTH

SHOREVIEW, MN 55126

(00831)

PHONE:

651/765-7703

FAX: 651/765-7722

SANCTUARY HEALTHCARE SERVICES

Lim-Liab

224 NORTH OWASSO BOULEVARD

SHOREVIEW, MN 55126

(34805)

PHONE:

763/400-4430

FAX: 612/607-7820

Certification

Registration

RAMSEY

(Cont.)* --------------------------

ANNALISHA PEREZ

JARROD PETERSON

COMP

HIBO ABDI

SLFB-4

GENE LEISTICO

SLFB-4

DOROTHY WROBEL

SLFA-5

KAREN HAMMOND

MOHAMED SUBANE

TCOMP

MOHAMED SUBANE

SLFB-64

DANA CASTONGUAY

OLUWAKEMI AJAYI

HWSAL

Home Mgmt

ICFIID-4

HWSAL

ICFIID-64

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

416

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

SHOREVIEW SENIOR LIVING

4710 CUMBERLAND STREET

SHOREVIEW, MN 55126

PHONE:

651/484-9822

SHOREVIEW SENIOR LIVING

4710 CUMBERLAND STREET

SHOREVIEW, MN 55126

PHONE:

651/484-9822

SPEAK RIGHT NOW, LLC

439 CAROL LANE

SHOREVIEW, MN 55126

PHONE:

612/308-6132

ST THERESE AT ST. ODILIA

3500 VIVIAN AVENUE

SHOREVIEW, MN 55126

PHONE:

651/842-6781

ST THERESE HOME, INC

3500 VIVIAN AVENUE

SHOREVIEW, MN 55126

PHONE:

651/842-6780

SUBURBAN RESIDENTIAL CARE LLC

736 GRAMSIE ROAD

SHOREVIEW, MN 55126

PHONE:

612/865-0532

WINGSPAN LIFE RESOURCES

707 HARRIET AVENUE EAST

SHOREVIEW, MN 55126

PHONE:

651/646-3846

ZUBEER GROUP HOME LLC

1567 COUNTY ROAD I

SHOREVIEW, MN 55126

PHONE:

619/763-0751

ZUBEER GROUP HOME LLC

1567 COUNTY ROAD I

SHOREVIEW, MN 55126

PHONE:

619/763-0751

ADEG GROUP HOME LLC

2512 SILVER LANE # 202

ST. ANTHONY, MN 55421

PHONE:

612/644-4444

Lim-Liab

(28875)

FAX: 651/454-4783

Lim-Liab

(28874)

FAX: 651/486-6270

Lim-Liab

(28275)

FAX: 651/414-9339

NProf

(28348)

FAX: 651/842-6653

NProf

(27661)

FAX: 651/842-6653

Lim-Liab

(35274)

FAX: /-

NProf

(01287)

FAX: 651/646-2347

Lim-Liab

(35424)

FAX: /-

Lim-Liab

(35989)

FAX: /-

Lim-Liab

(34873)

FAX: /-

Certification

Registration

RAMSEY

(Cont.)* --------------------------

HWS

KELLY MYERS

COMP

KELLY MYERS

COMP

JENNIFER ELTON

COMP

NOLAY FREEMAN

HWS

BARB RODE

TCOMP

AMAL MOHAMED

SLFA-6 ICFIID-6

THERESE DAVIS

TCOMP

HAMDA FARAH

HWSAL-O

HAMDA SALEBAN FARAH

TCOMP

AHMED BILE

Minnesota Department of Health

Health Regulation Division

Page

417

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

ENHANCE LIVING INC

Corp

1377 SEARLE STREET

ST. PAUL, MN 55130

(34579)

PHONE:

651/447-8430

FAX: 651/447-8430

HEART2HEART HOME HEALTH CARE INC

Corp

734 CHARLES AVENUE #1

ST. PAUL, MN 55104

(34679)

PHONE:

651/431-1553

FAX: /-

SISTERS ASSISTANT LIVING CARE LLC

Lim-Liab

2233 HAMLINE AVENUE NORTH

ST. PAUL, MN 55113

(34580)

PHONE:

619/846-8860

FAX: /-

APLUS HEALTH CARE LLC

Lim-Liab

3055 OLD HIGHWAY 8, # 302

ST. ANTHONY, MN 55418

(30139)

PHONE:

612/276-3300

FAX: 612/276-3300

CHANDLER PLACE

Part

3701 CHANDLER DRIVE

ST. ANTHONY, MN 55421

(20047)

PHONE:

612/788-7321

FAX: 612/913-5370

CHANDLER PLACE

Part

3701 CHANDLER DRIVE NORTHEAST

ST. ANTHONY, MN 55421

(30321)

PHONE:

612/788-7321

FAX: 612/913-5370

CHANDLER PLACE HOME HEALTH CARE

Part

3701 CHANDLER DRIVE

ST. ANTHONY, MN 55421

(20047)

PHONE:

612/788-7321

FAX: 612/913-5370

ST. ANTHONY HEALTH & REHABILITATION

Part

3700 FOSS ROAD NORTHEAST

ST. ANTHONY, MN 55421

(00522)

PHONE:

612/788-9673

FAX: 612/788-0104

PREMIER HEALTH HOMES INC

Corp

2817 ANTHONY LANE # 205

ST. ANTHONY VILLAGE, MN 55418

(29924)

PHONE:

651/307-9898

FAX: /-

1 BEST CARE INC

Corp

2161 UNIVERSITY AVENUE W #202

ST. PAUL, MN 55114

(29464)

PHONE:

651/294-3047

FAX: 651/647-4352

Certification

RAMSEY

(Cont.)*

TCOMP

NATOSHA STONE

TCOMP HCBS

YIA VANG

COMP

ASLI WARSAME

COMP HHA

ISSA MOHAMOUD

COMP

WILLIAM HUSEONICA

CRAIG EDINGER

COMP

Registration

--------------------------

HWSAL

WILLIAM HUSEONICA

NH-140 SNF-NF-140

SCOTT WILHELM

COMP

LIIBAAN FARAH

COMP

OGBONNA IWU

Minnesota Department of Health

Health Regulation Division

Page

418

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

RAMSEY

(Cont.)* --------------------------

1-BELEVO HEALTH SERVICES LLC

Lim-Liab

TCOMP

151 SILVER LAKE ROAD NW #201

ST. PAUL, MN 55112

(35166)

PHONE:

651/448-4221

FAX: 651/448-4221

BRITTANY MCMILLEN

A HELPING HAND SENIOR CARE SER

Lim-Liab

HWSAL

778 BLAIR AVENUE

ST. PAUL, MN 55104

(33209)

PHONE:

612/255-3110

FAX: 612/255-3115

JAMA MOHAMOD

A&A RELICABLE HOME HEALTH CARE

Lim-Liab

COMP

1821 UNIVERSITY AVE W STE #295

ST. PAUL, MN 55104

(29141)

PHONE:

651/470-9549

FAX: 651/493-2930

ABRAHAM DALU

A-1 RELIABLE HOME CARE INC

Corp

HWS

1608 CARROLL AVENUE

ST. PAUL, MN 55104

(33415)

PHONE:

952/393-7857

FAX: 651/766-5275

DEBORAH OJOGWU

A-1 RELIABLE HOME CARE INC

Corp

COMP

2353 RICE STREET STE 107

ST. PAUL, MN 55113

(28659)

PHONE:

952/393-7857

FAX: 952/881-2868

DEBORAH OJOGWU

AARAN CARE INC

Corp

HWS-O

660 JESSAMINE AVENUE EAST

ST. PAUL, MN 55106

(36039)

PHONE:

612/250-3371

FAX: /-

SAHRA MOHMOUD

AARAN CARE INC SERVICE CORPORATION

Corp

TCOMP

660 JESSAMINE AVENUE EAST

ST. PAUL, MN 55106

(35655)

PHONE:

612/250-3371

FAX: /-

SAHRA MOHMOUD

ABBEYCARE, INC.

Corp

COMP

1148 GRAND AVENUE

ST. PAUL, MN 55105

(03799)

PHONE:

651/690-5352

FAX: 651/209-8065

LILIYA GOKHBERG

ABRAHAM'S BOSOM CARE LLC

Lim-Liab

TCOMP

437 TOWER STREET

ST. PAUL, MN 55119

(35340)

PHONE:

651/428-9170

FAX: /-

ABRAHAM WOLFE

ABRAHAM'S BOSOM CARE LLC

Lim-Liab

HWSAL-O

437 TOWER STREET

ST. PAUL, MN 55119

(35624)

PHONE:

651/428-9170

FAX: /-

ABRAHAM WOLFE

Minnesota Department of Health

Health Regulation Division

Page

419

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

ACCESS MINNESOTA LLC

393 NORTH DUNLAP STREET #400I

ST. PAUL, MN 55104

PHONE:

612/501-0484

ACCESSIBLE SPACE INC 1

2550 UNIVERSITY AVE W STE 330N

ST. PAUL, MN 55114

PHONE:

651/645-7271

ACCESSIBLE SPACE INC 2

2550 UNIVERSITY AVE W STE 330N

ST. PAUL, MN 55114

PHONE:

651/645-7271

ACCESSIBLE SPACE INC 3

2550 UNIVERSITY AVE W STE 330N

ST. PAUL, MN 55114

PHONE:

651/645-7271

ACCESSIBLE SPACE INC 4

2550 UNIVERSITY AVE W STE 330N

ST. PAUL, MN 55114

PHONE:

651/645-7271

ACCESSIBLE SPACE INC NO

2550 UNIVERSITY AVE W STE 330N

ST. PAUL, MN 55114

PHONE:

651/645-7271

ACCESSIBLE SPACE INC SO

2550 UNIVERSITY AVENUE W #330N

ST. PAUL, MN 55114

PHONE:

651/645-7271

ALLINA HEALTH HOSPICE & PALLIATIVE CARE

1055 WESTGATE DRIVE SUITE #100

ST. PAUL, MN 55114

PHONE:

651/635-9173

ALPINE HOME HEALTH LLC

1543 COMO AVENUE #101B

ST. PAUL, MN 551082562

PHONE:

651/444-5999

AMRTC - COMO COMMUNITY UNIT

690 COMO AVENUE

ST. PAUL, MN 55103

PHONE:

651/558-2187

Lim-Liab

(35387)

FAX: /-

NProf

(24380)

FAX: 651/645-0541

NProf

(24381)

FAX: 651/645-0541

NProf

(24382)

FAX: 651/645-0541

NProf

(25489)

FAX: 651/645-0541

NProf

(24379)

FAX: 651/645-0541

NProf

(27312)

FAX: 651/645-0541

NProf

(02441)

FAX: 651/628-2999

Lim-Liab

(35735)

FAX: 651/444-5279

State

(04307)

FAX: 651/558-2230

Certification

Registration

RAMSEY

(Cont.)* --------------------------

TCOMP

GARAT IBRAHIM

COMP

STEPHEN VANDER SCHAAF

COMP

STEPHEN VANDER SCHAAF

COMP

STEPHEN VANDER SCHAAF

COMP

STEPHEN VANDER SCHAAF

COMP

STEPHEN VANDER SCHAAF

COMP

STEPHEN VANDER SCHAAF

Hospice HSPICE

LISA ABICHT SWENSON

TCOMP HCBS

TODD WACKERFUSS

SLFA-16

DAMIR UTRZAN

Minnesota Department of Health

Health Regulation Division

Page

420

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

AMY JOHNSON RESIDENCE

Corp

89 VIRGINIA STREET

ST. PAUL, MN 55102

(00777)

PHONE:

651/224-3363

FAX: 651/290-2600

AMY JOHNSON RESIDENCE

Corp

89 VIRGINIA STREET

ST. PAUL, MN 55102

(30229)

PHONE:

651/224-3363

FAX: 651/290-2600

ASSURED WELLNESS LLC

Lim-Liab

468 TOWER STREET

ST. PAUL, MN 55119

(34495)

PHONE:

651/336-9099

FAX: /-

ASSURED WELLNESS LLC

Lim-Liab

468 TOWER STREET

ST. PAUL, MN 55119

(34272)

PHONE:

651/336-9099

FAX: 651/493-9147

ATHANOR HOUSING AND RESIDENTIAL SERVICES INC

Corp

266 WINIFRED STREET EAST

ST. PAUL, MN 55107

PHONE:

651/399-1224

ATHANOR ST PAUL

266 WINIFRED STREET EAST

ST. PAUL, MN 55107

PHONE:

651/399-1224

AVALON HOSPICE MINNESOTA, LLC

555 PARK STREET STE 320

ST. PAUL, MN 55117

PHONE:

612/361-0022

BATTLE CREEK CARE HOME

45 BATTLE CREEK ROAD

ST. PAUL, MN 55119

PHONE:

651/494-8101

BENTSON FAMILY ASSISTED LIVING RESIDENCE

730 KAY AVENUE

ST. PAUL, MN 55102

PHONE:

651/328-2000

BEST CHOICE HOME HEALTHCARE LLC

1261 PAYNE AVENUE SUITE # 102

ST. PAUL, MN 55130

PHONE:

651/340-0825

(33085)

FAX: /-

Corp

(33679)

FAX: /-

Lim-Liab

(34256)

FAX: 844/587-4798

Lim-Liab

(30129)

FAX: 651/714-8261

NProf

(26406)

FAX: 651/328-2174

Lim-Liab

(34508)

FAX: /-

Certification

RAMSEY

(Cont.)*

BCH-25 COMP

DONETTA JOHNSON

LINDA RUSHING

COMP

LINDA RUSHING

COMP

PHINEAS VANG

Hospice

MIRIAM LINDELL

GAILANN NEHOTTE

ANDREA KREBS

TBASIC

JAMES YANG

Registration

--------------------------

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

421

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

RAMSEY

(Cont.)* --------------------------

BLUE MOON CENTER LLC

Lim-Liab

TCOMP

1656 ROSS AVENUE

ST. PAUL, MN 55106

(35713)

PHONE:

612/483-0961

FAX: /-

AHMED HASSAN

BRIGHTSTAR SERVICES LLC

Lim-Liab

TCOMP

1821 UNIVERSITY AVENUE W #120

ST. PAUL, MN 55104

(35763)

PHONE:

612/987-0454

FAX: /-

YAHYA ALI

CAPITOL VIEW TRANSITIONAL CARE

NProf

NH-32 SNF-32

640 JACKSON STREET

ST. PAUL, MN 55101

(00498)

PHONE:

651/254-0400

FAX: 651/254-0422

MICHELLE MANGAN

CARE HOME CARE

Corp

COMP

1955 UNIVERSITY AVE SUITE #208

ST. PAUL, MN 55104

(32422)

PHONE:

651/644-6000

FAX: 651/645-1976

ASAD MUSSE

CARE PLANNERS HOME HEALTH CARE LLC

Lim-Liab

BASIC

346 LARPENTEUR AVENUE WEST

ST. PAUL, MN 55113

(27330)

PHONE:

651/645-9887

FAX: 651/645-9884

CHRISTOPHER HANSON

CARE PLUS H.H.A., INC.

Corp

COMP HHA

1299 ARCADE STREET SUITE # 100

ST. PAUL, MN 55106

(02387)

PHONE:

763/529-5520

FAX: 763/529-5521

MAINHIA VANG

CARE PLUS HOME CARE

Corp

TCOMP HCBS

393 NORTH DUNLAP STREET #400A

ST. PAUL, MN 55104

(35725)

PHONE:

651/739-6933

FAX: 651/714-9213

REH-REH USMANU

CAREFOCUS CORPORATION

Corp

COMP HHA

2429 UNIVERSITY AVE WEST #200

ST. PAUL, MN 55114

(02837)

PHONE:

651/925-5598

FAX: 651/925-5599

ADEWALE KOLEOSHO

CAREFOCUS HEALTH INC

Corp

COMP HCBS

2429 UNIVERSITY AVENUE W #200A

ST. PAUL, MN 55114

(30581)

PHONE:

651/756-7932

FAX: 651/200-4853

ADEWALE KOLEOSHO

CAREMATE HOME HEALTH CARE, INC.

Corp

COMP HHA

2236 MARSHALL AVENUE

ST. PAUL, MN 55104

(03323)

PHONE:

651/659-0208

FAX: 651/659-0161

TIM KORAN

Minnesota Department of Health

Health Regulation Division

Page

422

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

CAREPOINT HOME INC

Corp

957 PROSPERITY AVENUE

ST. PAUL, MN 55106

(35745)

PHONE:

651/387-4134

FAX: /-

CARING HEART HOME HEALTHCARE LLC

Lim-Liab

1706 MARYLAND AVENUE EAST

ST. PAUL, MN 55106

(34779)

PHONE:

612/584-4163

FAX: 952/303-4664

CARING HEART HOME HEALTHCARE,

Lim-Liab

1826 MARYLAND AVENUE EAST

ST. PAUL, MN 55119

(33972)

PHONE:

612/584-4163

FAX: 612/298-8037

CARING ROSE HOMES LLC

Lim-Liab

82 EAST WOOD STREET APT A

ST. PAUL, MN 55107

(35693)

PHONE:

440/832-1937

FAX: /-

CARONDELET VILLAGE

Lim-Liab

525 FAIRVIEW AVENUE SOUTH

ST. PAUL, MN 55116

(29085)

PHONE:

651/695-5000

FAX: 651/695-5001

CARONDELET VILLAGE BETHANY COMMONS AND PINE

Lim-Liab

ARBOR

525 FAIRVIEW AVENUE SOUTH

ST. PAUL, MN 55116

PHONE:

651/695-5000

CARONDELET VILLAGE CARE CENTER

525 FAIRVIEW AVENUE SOUTH

ST. PAUL, MN 55116

PHONE:

651/695-5000

CENTRAL TOWERS

20 EAST EXCHANGE STREET

ST. PAUL, MN 55101

PHONE:

651/215-4600

CENTRAL TOWERS LIMITED PARTNERSHIP

20 EAST EXCHANGE STREET

ST. PAUL, MN 55101

PHONE:

651/215-4600

CERENITY - MARIAN OF ST. PAUL, LLC

200 EARL STREET

ST. PAUL, MN 55106

PHONE:

651/793-2100

(28388)

FAX: 651/695-5001

NProf

(27189)

FAX: 651/695-5001

Part

(27959)

FAX: 651/298-9317

Part

(20319)

FAX: 651/298-9317

ONProf

(00354)

FAX: 651/771-4509

Certification

RAMSEY

(Cont.)*

SADIIQ MACALIN

DARSHAE UNDERWOOD

TCOMP

HODAN MAHAMUD

COMP

NATALIE MORLAND

ANNE O'CONNOR

Registration

--------------------------

HWSAL

HWS-O

HWSAL

NH-45 SNF-NF-45

AMBER SALGUERO-MULLENBACH

COMP

NATALIE MORLAND

HWSAL

KIRSTEN CARSON

NH-90 SNF-NF-90

KAY EMERSON

Minnesota Department of Health

Health Regulation Division

Page

423

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

CERENITY CARE CENTER ON HUMBOLDT

512 HUMBOLDT AVENUE

ST. PAUL, MN 55107

PHONE:

651/220-1700

CERENITY CC MARIAN OF ST PAUL

225 FRANK STREET

ST. PAUL, MN 55106

PHONE:

651/793-2100

CERENITY RESIDENCE MARIAN OF SAINT PAUL

225 FRANK STREET

ST. PAUL, MN 55106

PHONE:

651/793-2100

CERENITY RESIDENCE ON HUMBOLDT

514 HUMBOLDT AVENUE

ST. PAUL, MN 55107

PHONE:

651/220-1700

CERENITY RESIDENCE ON HUMBOLDT

514 HUMBOLDT AVENUE

ST. PAUL, MN 55107

PHONE:

651/220-1718

CERENITY SENIOR CARE MARIAN

225 FRANK STREET

ST. PAUL, MN 55106

PHONE:

651/793-2100

CERENITY SENIOR CARE MARIAN OF ST. PAUL

200 EARL STREET

ST. PAUL, MN 55106

PHONE:

651/793-2100

CHOICE CARE HOMES LLC

446 SHERBURNE AVENUE UNIT A

ST. PAUL, MN 55103

PHONE:

612/644-0473

COMFORCARE HOME CARE ST PAUL

420 SUMMIT AVENUE

ST. PAUL, MN 55102

PHONE:

651/237-7727

COMFORT KEEPERS

1251 MAYWOOD STREET

ST. PAUL, MN 55117

PHONE:

651/503-5297

NProf

(00538)

FAX: 651/220-1755

NProf

(20167)

FAX: 651/495-1815

NProf

(21947)

FAX: 651/771-4509

NProf

(20269)

FAX: 651/220-1724

NProf

(30462)

FAX: 651/220-1724

NProf

(20167)

FAX: 651/495-1815

ONProf

(35970)

FAX: 651/495-1915

Lim-Liab

(34696)

FAX: /-

Corp

(32339)

FAX: 651/383-4145

Lim-Liab

(35508)

FAX: /-

Certification

Registration

RAMSEY

(Cont.)* --------------------------

NH-117 SNF-NF-117

TODD CARSEN

COMP

NOELLE KLUND

HWSAL

NOELLE KLUND

COMP

WILLIAM WELLNER

HWSAL

WILLIAM WELLNER

COMP

NOELLE KLUND

HWSAL

KEY SCHUMACHER

TCOMP

NIMO YUSSUF

COMP

KIM KIRMEIER

TCOMP HCBS

LARVEL BUNKER

Minnesota Department of Health

Health Regulation Division

Page

424

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

COMPASSION HOME HEALTH CARE LLC

Lim-Liab

1815 SUBURBAN AVENUE # 103

ST. PAUL, MN 55119

(32619)

PHONE:

612/424-2446

FAX: 651/256-2998

CONGREGATE HOUSING SERVICES PROGRAM

ONProf

555 WABASHA STREET N # 400

ST. PAUL, MN 55102

(03538)

PHONE:

651/292-6035

FAX: 651/298-5666

CORNELIA HOUSE

NProf

1840 UNIVERSITY AVENUE WEST

ST. PAUL, MN 55104

(26979)

PHONE:

651/288-3931

FAX: 651/288-5084

CRAWFORD SENIOR CARE

Corp

733 7TH STREET EAST

ST. PAUL, MN 55106

(28142)

PHONE:

651/774-9979

FAX: 651/774-9979

DELLWOOD GARDENS

Lim-Liab

753 EAST 7TH STREET

ST. PAUL, MN 55106

(29952)

PHONE:

651/776-9511

FAX: /-

DELLWOOD GARDENS

Lim-Liab

753 EAST 7TH STREET

ST. PAUL, MN 55106

(29953)

PHONE:

651/776-9511

FAX: 651/776-9518

DERMAN SENIOR CARE

Corp

2218 DOSWELL AVENUE

ST. PAUL, MN 55108

(29612)

PHONE:

612/517-4611

FAX: 612/435-9735

DIVINE HEALTHCARE NETWORK

Corp

856 UNIVERSITY AVENUE WEST

ST. PAUL, MN 55104

(03484)

PHONE:

651/665-9795

FAX: 651/665-9796

DOSWELL HOME

Corp

2218 DOSWELL AVENUE

ST. PAUL, MN 55108

(34515)

PHONE:

651/207-5887

FAX: 612/435-9735

DUNGARVIN - BALBRIGGEN

Lim-Liab

1270 EAST LARPENTEUR AVENUE

ST. PAUL, MN 55109

(01182)

PHONE:

651/699-6050

FAX: 651/699-7265

Certification

RAMSEY

(Cont.)*

COMP

SYLVESTER MUTISYA

MELONIE HAGMAN

MARVIN PLAKUT

BASIC

JUDY GUSTAFSON

COMP

COURTNEY BLOMQUIST

COMP

DERMAN DAHIR NUR

COMP HHA

ISAAC OBI

DAHIR NUR

SLFA-5

KAREN HAMMOND

Registration

--------------------------

Home Mgmt

HWS

HWSAL

HWSAL-O

Minnesota Department of Health

Health Regulation Division

Page

425

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

DUNGARVIN - TIKVAH

Lim-Liab

1778 ROME AVENUE

ST. PAUL, MN 55116

(01368)

PHONE:

651/699-6050

FAX: 651/699-7265

ENHANCE LIVING INC

Corp

1377 SEARLE STREET

ST. PAUL, MN 55130

(35136)

PHONE:

651/447-8430

FAX: 651/447-8430

EPISCOPAL CHURCH HOME - THE GARDENS

Lim-Liab

1860 UNIVERSITY AVENUE WEST

ST. PAUL, MN 55104

(30004)

PHONE:

651/632-8801

FAX: 651/272-4950

EPISCOPAL CHURCH HOME OF MINNESOTA

NProf

1879 FERONIA AVENUE

ST. PAUL, MN 55104

(00486)

PHONE:

651/646-4061

FAX: 651/646-2079

EPISCOPAL HOME CARE AND SERVICES

NProf

490 EAST LYNNHURST AVENUE

ST. PAUL, MN 55104

(27670)

PHONE:

651/632-8808

FAX: 651/632-8531

EQUITY SERVICES OF SAINT PAUL, INC.

NProf

1169 RICE STREET

ST. PAUL, MN 55117

(02531)

PHONE:

651/489-4656

FAX: 651/489-4811

ESSLING'S HOME PLUS INC

Corp

2197 BONNIE LANE

ST. PAUL, MN 55119

(32166)

PHONE:

651/735-7259

FAX: 651/730-1667

ESSLINGS HOMES PLUS INC

Corp

2187 BONNIE LANE

ST. PAUL, MN 55119

(20271)

PHONE:

651/735-7259

FAX: 651/730-1667

EXPRESS HOME HEALTH CARE

Corp

1148 ARCADE STREET

ST. PAUL, MN 55106

(21956)

PHONE:

651/776-9910

FAX: 651/776-9181

FMCNA NEW BRIGHTON DIALYSIS CENTER

Corp

2910 CENTRE POINT DRIVE

ST. PAUL, MN 55113

(04296)

PHONE:

651/631-0885

FAX: 651/631-1878

Certification

Registration

RAMSEY

(Cont.)* --------------------------

SLFA-6

KAREN HAMMOND

HWSAL

NATOSHA STONE

NH-60 SNF-NF-60

KEANAN FRANCO

NH-81 BCH-50 SNF-NF-81 NF2-50

MELISSA SCHNEIDER

COMP HCBS

STEVE MORK

COMP

ALISHA JASINSKI

HHA

ROBIN RENO

COMP

MAIYER VANG

JENA ANDERBERG

ESRD

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

426

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

FRESENIUS MEDICAL CARE MIDWAY

Corp

1690 UNIVERSITY AVE W STE B100

ST. PAUL, MN 55104

(23762)

PHONE:

651/917-0081

FAX: 651/917-0091

FRESENIUS MEDICAL OF ST. PAUL

Corp

445 ETNA STREET SUITE 60

ST. PAUL, MN 55106

(23523)

PHONE:

651/251-3847

FAX: /-

GALTIER A VILLA CENTER

Lim-Liab

445 GALTIER STREET

ST. PAUL, MN 55103

(00480)

PHONE:

651/224-1848

FAX: 651/224-9613

GENEROUS HOME CARE SERVICES INC

Corp

755 SELBY AVENUE #110

ST. PAUL, MN 55104

(34867)

PHONE:

612/235-1680

FAX: /-

GILLETTE CHILDREN'S SPECIALTY HOSPITAL

NProf

200 UNIVERSITY AVENUE EAST

ST. PAUL, MN 55101

(00488)

PHONE:

651/578-5611

FAX: 651/229-3844

GLOBAL CASE MGMT-EAST ST. PAUL

Lim-Liab

217 WINIFRED STREET EAST

ST. PAUL, MN 55107

(34919)

PHONE:

763/999-6914

FAX: 763/255-1482

GRANNY'S HELPFUL HANDS LLC

Lim-Liab

565 SMITH AVENUE

ST. PAUL, MN 55107

(32803)

PHONE:

612/824-1177

FAX: 612/824-1177

HAMLINE HI RISE

HRA

777 HAMLINE AVENUE NORTH

ST. PAUL, MN 55104

(20541)

PHONE:

651/228-3174

FAX: 651/298-5666

HARRY & JEANETTE WEINBERG APARTMENTS

NProf

760 PERLMAN STREET

ST. PAUL, MN 55102

(33662)

PHONE:

651/328-2000

FAX: 651/925-8067

HAYES RESIDENCE

Corp

1620 RANDOLPH AVENUE

ST. PAUL, MN 55105

(00928)

PHONE:

651/690-4458

FAX: 651/690-2787

Certification

Registration

RAMSEY

(Cont.)* --------------------------

TRACY MORGAN

FEDERICO SERRANO

NH-107

STEPHANIE QUAM

TCOMP

SUCDI AHMED

HOSP-60

BARBARA JOERS

YASIN ABSHIR

ROBIN STEPNEY

CHARISSE BROWN

ANDREA KREBS

BCH-40

LAURA FAULKNER

ESRD

SNF-NF-107

HOSP-60

HWSAL-O

HWS-O

HWSAL

HWS

NF2-40

Minnesota Department of Health

Health Regulation Division

Page

427

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

HAZEL SENIOR LIVING LLC

1109 HAZEL STREET NORTH

ST. PAUL, MN 55119

PHONE:

651/249-1273

HEALTH FOUNDATIONS, LLC

968 GRAND AVENUE

ST. PAUL, MN 55105

PHONE:

651/895-2520

HEALTHEAST BETHESDA HOSPITAL

559 CAPITOL BOULEVARD

ST. PAUL, MN 55103

PHONE:

651/232-2278

HEALTHEAST HOSPICE

1700 UNIVERSITY AVENUE

ST. PAUL, MN 55104

PHONE:

651/232-3312

HEARTS HOME CARE LLC

625 SNELLING AVE UNIT A #1

ST. PAUL, MN 55104

PHONE:

651/330-4892

HEAVEN HOME CARE LLC

1821 UNIVERSITY AVE W STE 149

ST. PAUL, MN 55104

PHONE:

651/340-6456

HERITAGE APARTMENTS, INC.

1440 MIDWAY PARKWAY

ST. PAUL, MN 55108

PHONE:

651/632-5428

HIGHER GROUND ST PAUL RESIDENC

235 5TH STREET

ST. PAUL, MN 55102

PHONE:

651/647-2587

HIGHLAND CHATEAU HEALTH CARE CENTER

2319 WEST 7TH STREET

ST. PAUL, MN 55116

PHONE:

651/698-0793

HIGHLAND GW LLC

1925 GRAHAM AVENUE

ST. PAUL, MN 55116

PHONE:

651/287-0265

Corp

(35475)

FAX: /-

Lim-Liab

(27753)

FAX: 651/330-3768

NProf

(00976)

FAX: 651/232-2118

NProf

(02353)

FAX: 651/326-8105

Part

(29909)

FAX: 866/807-7293

Lim-Liab

(31431)

FAX: 651/340-9827

NProf

(20280)

FAX: 651/632-5451

NProf

(32850)

FAX: /-

Lim-Liab

(00494)

FAX: 651/698-0378

Lim-Liab

(31288)

FAX: 651/287-0266

Certification

Registration

RAMSEY

(Cont.)* --------------------------

TCOMP

TOM VANG

B/C

AMY JOHNSON-GRASS

HOSP-254 HOSP-254

JEOFF WILL

Hospice HSPICE

MICKI SCHAEFER

COMP

OGBITSE ATAKE

COMP

HIBO ABDI

HWSAL

MARY SIMON

HWS-O

TIFFANY MALONEY

NH-64 SNF-NF-64

JEREMY DUXBURY

COMP

RHONDA SCHILLINGER

Minnesota Department of Health

Health Regulation Division

Page

428

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

HIGHLAND GW LLC

Lim-Liab

1925 GRAHAM AVENUE

ST. PAUL, MN 55116

(31337)

PHONE:

651/287-0265

FAX: 651/287-0266

HIGHLAND PARK DIALYSIS

Corp

1559 WEST 7TH STREET

ST. PAUL, MN 55102

(25766)

PHONE:

651/222-7139

FAX: 651/224-3655

HOME CARE GIVERS, INC

Corp

806 EAST 7TH STREET #200

ST. PAUL, MN 55106

(27359)

PHONE:

651/772-3535

FAX: 651/493-0469

HOME SWEET HOME OF MINNESOTA

Lim-Liab

519 HUMBOLDT AVENUE

ST. PAUL, MN 55107

(34893)

PHONE:

651/348-6211

FAX: 651/528-7897

HOME SWEET HOME OF MINNESOTA

Lim-Liab

521 HUMBOLDT AVENUE

ST. PAUL, MN 55107

(34894)

PHONE:

651/348-6211

FAX: 651/528-7897

HUMAN CARE, INC

Corp

450 SYNDICATE STREET N #380

ST. PAUL, MN 55104

(32725)

PHONE:

651/999-5733

FAX: 651/999-5735

IDAHO HOME

Lim-Liab

1731 IDAHO AVENUE EAST

ST. PAUL, MN 55106

(34759)

PHONE:

651/666-2135

FAX: 651/666-2137

IMMACULATE HOME CARE LLC

Lim-Liab

1731 IDAHO AVENUE EAST

ST. PAUL, MN 55106

(33672)

PHONE:

763/670-5597

FAX: 651/666-2137

IN HOME PERSONAL CARE HOME HEALTH

Corp

275 EAST 4TH STREET #781

ST. PAUL, MN 55101

(03278)

PHONE:

763/546-1000

FAX: 763/546-1018

INDEPENDENT LIVING PLACEMENT

Corp

327 FRONT AVENUE

ST. PAUL, MN 55117

(35395)

PHONE:

651/714-8674

FAX: 855/299-0858

Certification

Registration

RAMSEY

(Cont.)* --------------------------

RHONDA SCHILLINGER

HEATHER SWANSON

COMP

GULED ABDIRAHMAN

ESRD

HHA

PRESID ARNOLD KUBEI

COMP

SIRAD OSMAN

KAYODE TAIWO

COMP HCBS

KAYODE TAIWO

COMP

ERIN GOVRIK

DAYANA VALMYR

HWSAL

HWSAL-O

Minnesota Department of Health

Health Regulation Division

Page

429

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

INSPIRE CARE INC

1520 CONCORDIA AVENUE

ST. PAUL, MN 55104

PHONE:

773/627-1215

IRIS PARK COMMONS

1850 UNIVERSITY AVENUE WEST

ST. PAUL, MN 55104

PHONE:

651/646-1026

KEYS TO BEST HEALTH

817 MARSHALL AVENUE

ST. PAUL, MN 55104

PHONE:

651/354-4228

KINDLY CARE RESIDENT LLC

605 WHITALL STREET

ST. PAUL, MN 55130

PHONE:

651/855-8437

LATITUDES TREATMENT CENTER, LLC

1609 JACKSON STREET

ST. PAUL, MN 55117

PHONE:

651/454-2016

LEGEND HLTH CARE RESOURCES LLC

393 NORTH DUNLAP STREET SUITE

ST. PAUL, MN 55104

PHONE:

651/706-9933

LIFETRACK RESOURCES

709 UNIVERSITY AVENUE WEST

ST. PAUL, MN 55104

PHONE:

651/227-8471

LITTLE SISTERS OF THE POOR

330 SOUTH EXCHANGE STREET

ST. PAUL, MN 55102

PHONE:

651/227-0336

LIVEWELL HOME CARE LLC

1255 COUNTY ROAD D #301

ST. PAUL, MN 55109

PHONE:

651/592-7404

LYNGBLOMSTEN APARTMENTS

1455 ALMOND AVENUE

ST. PAUL, MN 55108

PHONE:

651/632-5422

Corp

(35845)

FAX: /-

NProf

(23247)

FAX: 651/632-8807

Lim-Liab

(34001)

FAX: 651/797-4413

Lim-Liab

(35404)

FAX: /-

Lim-Liab

(29465)

FAX: 651/488-5658

Lim-Liab

(32387)

FAX: 651/348-8369

NProf

(02090)

FAX: /-

NProf

(00763)

FAX: 651/227-5484

Lim-Liab

(35388)

FAX: /-

NProf

(20250)

FAX: 651/632-5440

Certification

Registration

RAMSEY

(Cont.)* --------------------------

HWS-O

MUNIRA ADAM

HWSAL

STEVE MORK

TCOMP

CHANNA PITTMAN

TCOMP

TAHIR MOHAMMED

SLFA-20

JANET JOHNSON

COMP

AHMED ANSHUR

Out Pt Out St Out Ot

JOHN MOHR

BCH-33 NH-40 SNF-NF-40 NF2-33

SR. MARY ELIZABETH ANDERSON

TCOMP

OLUFEMI SOWEMIMO

HWSAL

JILL HULT

Minnesota Department of Health

Health Regulation Division

Page

430

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

LYNGBLOMSTEN CARE CENTER

1415 ALMOND AVENUE

ST. PAUL, MN 55108

PHONE:

651/646-2941

LYNGBLOMSTEN SERVICES, INC.

1415 ALMOND AVENUE

ST. PAUL, MN 55108

PHONE:

651/646-2941

MARY HALL

438 MAIN STREET

ST. PAUL, MN 55102

PHONE:

651/647-2587

MAXIMUM HOME CARE SERVICES LLC

1577 NEVADA AVENUE

ST. PAUL, MN 55106

PHONE:

651/353-8964

MINNESOTA BIRTH CENTER

624 SMITH AVENUE

ST. PAUL, MN 55107

PHONE:

651/689-3988

MINNESOTA ENDOSCOPY CENTER, LLC

2635 UNIVERSITY AVENUE W #100

ST. PAUL, MN 55114

PHONE:

612/871-1145

MINNESOTA WELLNESS CENTER LLC

808 BERRY STREET # 208

ST. PAUL, MN 55114

PHONE:

612/618-5841

MORNING GLORY HOME CARE

1075 HADLEY AVENUE NORTH #110

ST. PAUL, MN 55128

PHONE:

651/493-1251

NAJMA GROUP HOME LLC

494 AURORA AVENUE

ST. PAUL, MN 55103

PHONE:

651/808-3983

NAJMA GROUP HOME LLC

494 AURORA AVENUE

ST. PAUL, MN 55103

PHONE:

651/808-3983

Church

(00501)

FAX: 651/646-8360

Church

(03381)

FAX: 651/646-8360

NProf

(27350)

FAX: /-

Lim-Liab

(26758)

FAX: 651/330-2045

Corp

(31435)

FAX: 612/224-9622

Lim-Liab

(31169)

FAX: 612/870-5491

Lim-Liab

(33909)

FAX: 651/646-0950

Corp

(28758)

FAX: 651/493-6696

Lim-Liab

(35284)

FAX: /-

Lim-Liab

(35611)

FAX: /-

Certification

Registration

RAMSEY

(Cont.)* --------------------------

NH-225 SNF-NF-225

BRENDA JOHNSON

COMP

JANET BYRNES

HWS-O

TIFFANY MALONEY

COMP

MERCY AJAYI

B/C

CLAUDIA JENNINGS

Outpt Surg Amb Surg

SCOTT KETOVER

COMP

UBAH SHIRWA

COMP

GERRI TIMM

TCOMP

KHADIJA SAID

HWSAL-O

NAJMO MOHAMED

Minnesota Department of Health

Health Regulation Division

Page

431

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

NATIONAL HOME HEALTHCARE, INC.

Corp

1731 SELBY AVENUE

ST. PAUL, MN 55104

(29113)

PHONE:

651/644-7037

FAX: 657/644-7041

NEW HARMONY CARE AND REHAB CENTER

Church

135 GERANIUM AVENUE EAST

ST. PAUL, MN 55117

(00492)

PHONE:

651/488-6658

FAX: 651/488-7587

NEW HOPE HOME CARE LLC

Lim-Liab

1641 CONWAY STREET

ST. PAUL, MN 55106

(35335)

PHONE:

651/399-1805

FAX: /-

NEW PERSPECTIVE - HIGHLAND PARK

Lim-Liab

750 MISSISSIPPI RIVER BLVD

ST. PAUL, MN 55116

(20168)

PHONE:

651/698-1111

FAX: 651/698-8688

NEW PERSPECTIVE - HIGHLAND PARK

Lim-Liab

750 MISSISSIPPI RIVER BLVD

ST. PAUL, MN 55116

(29564)

PHONE:

651/698-1111

FAX: 651/698-8688

OLUS HOME INC

Corp

1850 7TH STREET EAST

ST. PAUL, MN 55119

(35381)

PHONE:

612/824-1142

FAX: 612/824-1456

OLYDIA HOME CARE INC

Corp

476 WEST MINNEHAHA AVENUE

ST. PAUL, MN 55103

(33618)

PHONE:

612/703-6144

FAX: /-

OPTIMUM CARE SERVICES L.L.C.

Lim-Liab

484 PAGE STREET EAST

ST. PAUL, MN 55107

(34113)

PHONE:

651/983-4100

FAX: 952/851-9618

OPTIMUM CARE SERVICES, LLC

Lim-Liab

984 VICTORIA STREET NORTH

ST. PAUL, MN 55103

(34285)

PHONE:

651/983-4100

FAX: 651/358-2890

OTTAWA HOME HEALTH SERVICES

Lim-Liab

745 OTTAWA AVE

ST. PAUL, MN 55107

(34327)

PHONE:

651/447-2162

FAX: 612/314-8606

Certification

Registration

RAMSEY

(Cont.)* --------------------------

COMP HCBS

YASSIN IBRAHIM

NH-76

BECKY HOLMGREN

TCOMP

ALEWYA IBRAHIM

BETH LANDERS

COMP

TRINCY FAAS

ELIZABETH HYATT

COMP

LYDIA NKWONKAM

DHIMBIL ALI

DHIMBLE ALI

LEONID FROLOV

SNF-NF-76

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

432

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

OTTAWA HOME HEALTH SERVICES LLC

Lim-Liab

745 OTTAWA AVENUE

ST. PAUL, MN 55107

(33861)

PHONE:

612/242-9073

FAX: 612/314-8606

OUR HOUSE OF MINNESOTA, INC. II

NProf

1846 PORTLAND AVENUE

ST. PAUL, MN 55104

(01173)

PHONE:

651/646-3846

FAX: 651/646-2347

OUR LADY OF PEACE HOME

NProf

2076 ST ANTHONY AVENUE

ST. PAUL, MN 55104

(21131)

PHONE:

651/789-5049

FAX: 651/789-0690

OUR LADY OF PEACE HOME CARE

NProf

2076 ST ANTHONY AVENUE

ST. PAUL, MN 55104

(23112)

PHONE:

651/789-5030

FAX: 651/789-0078

OUR LADY OF PEACE HOSPICE

NProf

2076 ST ANTHONY AVENUE

ST. PAUL, MN 55104

(21131)

PHONE:

651/789-5049

FAX: 651/789-0690

OVERCOMER HEALTHCARE SERVICE C

Corp

1238 BIRMINGHAM STREET

ST. PAUL, MN 55126

(33177)

PHONE:

651/500-6975

FAX: 651/460-9116

OVERCOMER HEALTHCARE SERVICE CORP

Corp

1146 BREEN STREET

ST. PAUL, MN 55106

(34460)

PHONE:

651/500-6975

FAX: 651/460-9116

OVERCOMER HEALTHCARE SERVICE CORPORATION

Corp

1238 BIRMINGHAM STREET

ST. PAUL, MN 55106

(33635)

PHONE:

651/500-6975

FAX: 651/460-9116

OVERCOMER HEALTHCARE SERVICE CORPORATION

Corp

691 COTTAGE AVENUE EAST

ST. PAUL, MN 55106

(35411)

PHONE:

651/500-6975

FAX: 651/460-9116

PEACEFUL HOME ASSISTED LIVING

Corp

1186 ST. PAUL AVENUE

ST. PAUL, MN 55116

(33997)

PHONE:

651/528-8396

FAX: 651/528-6807

Certification

Registration

RAMSEY

(Cont.)* --------------------------

COMP

LENNY FROLOV

SLFA-6

THERESE DAVIS

RES-HSPICE-21

JOE STANISLAV

COMP

NANCY LARSON

RES-HSPICE-21

JOE STANISLAV

COMP

OLANIYI ODEKU

ICFIID-6

HHA

OLANIYI ODEKU

TCOMP

YASSIN IBRAHIM

HWSAL-O

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

433

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

RAMSEY

(Cont.)* --------------------------

PEACEFUL HOME ASSISTED LIVING

1186 ST. PAUL AVENUE

ST. PAUL, MN 55116

PHONE:

612/501-3251

Corp

(34609)

FAX: 651/644-7041

DIRECT YASSIN IBRAHIM

HWSAL

PEACEFUL HOME ASSISTED LIVING INC

Corp

Home Mgmt

1186 ST. PAUL AVENUE

ST. PAUL, MN 55116

(34117)

PHONE:

651/528-8396

FAX: 651/644-7041

YASSIN IBRAHIM

PEACEFUL LIVING

Corp

COMP

1000 REANEY AVENUE

ST. PAUL, MN 55106

(24993)

PHONE:

651/207-5769

FAX: 612/435-9881

KALIA VANG

PEACEFUL LIVING

Corp

HWSAL-O

1000 REANEY AVENUE

ST. PAUL, MN 55106

(33425)

PHONE:

651/207-5769

FAX: 612/435-9881

KALIA VANG

PEACEFUL LIVING SERVICES

Corp

COMP

1000 REANEY AVENUE

ST. PAUL, MN 55106

(24993)

PHONE:

651/207-5769

FAX: 612/435-9881

KALIA VANG

PEOPLE INC., MONTREAL COURTS APARTMENTS

NProf

COMP

2060 CENTRE POINTE BLVD #3

ST. PAUL, MN 55120

(26039)

PHONE:

651/774-0011

FAX: /-

JILL WIEDEMANN WEST

COMP

PEOPLE INCORPORATED

NProf

2060 CENTRE POINTE BLVD #3

ST. PAUL, MN 55120

(26039)

PHONE:

651/774-0011

FAX: /-

JILL WIEDEMANN WEST

PEOPLE INCORPORATED EDGEBROOK HOUSE

NProf

HWS-O

2250 EDGEBROOK AVENUE

ST. PAUL, MN 55119

(21907)

PHONE:

651/348-7472

FAX: 651/348-7643

JILL WIEDEMANN-WEST

HWS-O

PEOPLE INCORPORATED LONDIN PLACE

NProf

384 LONDIN PLACE

ST. PAUL, MN 55119

(21902)

PHONE:

651/731-0821

FAX: 651/209-6376

JILL WIEDEMANN WEST

PEOPLE INCORPORATED RUTH HOUSE

NProf

HWS-O

246 RUTH STREET

ST. PAUL, MN 55119

(21908)

PHONE:

651/207-5742

FAX: 651/330-4258

JILL WIEDEMANN WEST

Minnesota Department of Health

Health Regulation Division

Page

434

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

RAMSEY

(Cont.)* --------------------------

PERFECTION HEALTH CARE SERVICES INC

Corp

TCOMP

207 BATES AVENUE

ST. PAUL, MN 55106

(33992)

PHONE:

651/347-8037

FAX: /-

ABDULKADIR OSMAN

PERFECTION HEALTH CARE SERVICES, INC

Corp

HWSAL-O

1225 COOK AVENUE EAST

ST. PAUL, MN 55106

(34881)

PHONE:

651/347-8037

FAX: /-

ABDULKADIR M. OSMAN

PHALEN DIALYSIS

Lim-Liab

ESRD

862 ARCADE STREET

ST. PAUL, MN 55160

(34497)

PHONE:

651/776-0466

FAX: 651/776-7838

AMANDA MEYERS

PHOENIX AT CHARLES

NProf

HWS-O

725 CHARLES AVENUE

ST. PAUL, MN 55104

(34090)

PHONE:

651/227-7655

FAX: 651/227-6847

DARLENE SCOTT

PHOENIX AT DOUGLAS

NProf

SLFB-6 ICFIID-6

1538 POINT DOUGLAS ROAD SOUTH

ST. PAUL, MN 55119

(23482)

PHONE:

651/227-7655

FAX: 651/227-6847

DARLENE SCOTT

PHOENIX AT FOSS

NProf

SLFB-6 ICFIID-6

1500 AMES AVENUE

ST. PAUL, MN 55106

(23483)

PHONE:

651/227-7655

FAX: 651/227-6847

DARLENE SCOTT

PHOENIX AT VIKING

NProf

SLFB-6 ICFIID-6

645 VIKING DRIVE EAST

ST. PAUL, MN 55117

(01195)

PHONE:

651/227-7655

FAX: 651/227-6847

DARLENE SCOTT

PROFESSIONAL REHABILITATION CONSULTANTS

Corp

Out St Out Ot

1394 JACKSON STREET # 201

ST. PAUL, MN 55117

(02584)

PHONE:

651/603-8774

FAX: 651/603-9009

THERESA BOWLIN

QUALITY CARE SERVICES LLC

Lim-Liab

TCOMP

1247 ST ANTHONY AVENUE # 1306

ST. PAUL, MN 55104

(35506)

PHONE:

612/913-1129

FAX: /-

ABDULLAHI BARRE

RAKHMA JOY HOME

NProf

HWSAL

123 SOUTH WHEELER

ST. PAUL, MN 55105

(20115)

PHONE:

612/824-2345

FAX: 612/824-3165

BRANDON SPEARS

Minnesota Department of Health

Health Regulation Division

Page

435

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

RAMSEY COUNTY DETOX CENTER

Cnty

402 UNIVERSITY AVENUE EAST

ST. PAUL, MN 55130

(01571)

PHONE:

651/266-4417

FAX: 651/266-4439

RAMSEY COUNTY MENTAL HEALTH CTR

Cnty

1919 UNIVERSITY AVENUE # 200

ST. PAUL, MN 55104

(23090)

PHONE:

651/266-7920

FAX: /-

RAMSEY HILL SENIOR LIVING LLC

Lim-Liab

80 NORTH MACKUBIN STREET

ST. PAUL, MN 55102

(31573)

PHONE:

651/492-6535

FAX: /-

RAMSEY HILL SENIOR LIVING, LLC

Lim-Liab

80 NORTH MACKUBIN STREET

ST. PAUL, MN 55102

(31559)

PHONE:

651/492-6535

FAX: /-

RAVOUX HI RISE

HRA

280 RAVOUX STREET

ST. PAUL, MN 55103

(20540)

PHONE:

651/228-3174

FAX: 651/298-5666

REGIONAL HOME HEALTHCARE

Lim-Liab

1068 RAYMOND AVENUE # 204

ST. PAUL, MN 55108

(34224)

PHONE:

612/701-3294

FAX: /-

REGIONS HOSPITAL

NProf

640 JACKSON STREET

ST. PAUL, MN 55101

(00527)

PHONE:

651/254-1616

FAX: 651/254-2194

RELIACARE HOME HEALTH

Lim-Liab

680 THOMAS AVENUE

ST. PAUL, MN 55104

(33532)

PHONE:

612/366-1381

FAX: 651/298-0972

RELIACARE HOME HEALTH

Lim-Liab

749 SHERBURNE AVENUE

ST. PAUL, MN 55104

(33533)

PHONE:

612/366-1381

FAX: 651/298-0972

RELIACARE HOME HEALTH

Lim-Liab

751 SHERBURNE AVENUE

ST. PAUL, MN 55104

(33534)

PHONE:

651/366-1381

FAX: 651/298-0972

Certification

Registration

RAMSEY

(Cont.)* --------------------------

SLFA-10 SLFB-40

WOMAZETTA JONES

JULIE DUNCAN

KELLY MYERS

COMP

KELLY MYERS

CHARISSE BROWN

TCOMP

HASSAN SIRAT

HOSP-474 BASS-26

MEGAN REMARK

LORI YOUMANS

CMHC

HWS

HWSAL-O

HOSP-458 PPS-R-16

HWS

HWS-O

Minnesota Department of Health

Health Regulation Division

Page

436

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

RELIACARE HOME HEALTH INC

Corp

883 ST ANTHONY AVENUE

ST. PAUL, MN 55104

(35972)

PHONE:

612/366-1381

FAX: 651/298-0972

REM RAMSEY, INC. (GOODRICH)

Corp

917 GOODRICH AVENUE

ST. PAUL, MN 55105

(01055)

PHONE:

952/922-6776

FAX: 952/922-6885

RESTFUL LIVING LLC

Lim-Liab

399 RUTH STREET NORTH

ST. PAUL, MN 55119

(33573)

PHONE:

507/316-8823

FAX: /-

RESTFUL LIVING LLC

Lim-Liab

399 RUTH STREET

ST. PAUL, MN 55119

(33263)

PHONE:

651/478-7998

FAX: 651/478-7996

RICHANGEL CARE INC

Corp

66 KIPLING STREET

ST. PAUL, MN 55119

(29149)

PHONE:

651/414-9102

FAX: 651/340-9099

RICHANGEL CARE INC

Corp

66 KIPLING STREET

ST. PAUL, MN 55119

(34993)

PHONE:

651/414-9102

FAX: 651/340-9099

RICHANGEL CARE INCORPORATED

Corp

66 KIPLING STREET

ST. PAUL, MN 55119

(29149)

PHONE:

651/414-9102

FAX: 651/340-9099

RIVER OF LIFE RESIDENTIAL LIVING LLC

Lim-Liab

45 BATTLE CREEK ROAD

ST. PAUL, MN 55119

(30128)

PHONE:

651/494-8101

FAX: 651/714-8261

ROSE HOME CARE HOME MANAGEMENT SERVICES

Ind

1374 WESTMINSTER STREET # A205

ST. PAUL, MN 55130

(28596)

PHONE:

651/795-8362

FAX: 651/771-1533

ROSEWOOD ESTATE - HIGHLAND

Lim-Liab

750 MISSISSIPPI RIVER BLVD

ST. PAUL, MN 55116

(20168)

PHONE:

651/698-1111

FAX: 651/698-8688

Certification

Registration

RAMSEY

(Cont.)* --------------------------

TCOMP

LORI YOUMANS

SLFA-6

PATRICK MASYGA

HLEE MOUA

COMP

HLEE MOUA

COMP

RICHARD IKERI

RICHARD CHIMA IKERI

COMP

RICHARD IKERI

COMP

GAILANN NEHOTTE

VALERIE CAGER

BETH LANDERS

ICFIID-6

HWSAL

HWS-O

HWSAL

Home Mgmt

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

437

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

SAFE & COMPASSIONATE HOME CARE SERVICES INC

Corp

2147 UNIVERSITY AVE W STE #205

ST. PAUL, MN 55114

PHONE:

612/242-7344

SAFETY CARE INC.

933-A UNIVERSITY AVENUE

ST. PAUL, MN 55104

PHONE:

651/645-4537

SCENIC HILLS ALTERNATIVE CARE

2187 BONNIE LANE

ST. PAUL, MN 55119

PHONE:

651/735-7259

SCENIC HILLS ALTERNATIVE CARE

2170 SNOWSHOE LANE

ST. PAUL, MN 55119

PHONE:

651/735-7259

SEABURY

1830 UNIVERSITY AVENUE WEST

ST. PAUL, MN 55104

PHONE:

651/379-5102

SERENDIPITOUS LIVING

103 ROBIE STREET WEST

ST. PAUL, MN 55107

PHONE:

612/987-4145

SERENITY HOME HEALTH CARE INC

393 NORTH DUNLAP STREET #880

ST. PAUL, MN 55104

PHONE:

651/350-7100

SERENITY HOME HEALTH CARE SYSTEM, INC

400 SELBY AVENUE STE M

ST. PAUL, MN 55102

PHONE:

651/493-4536

SEVEN HILLS SENIOR LIVING

733 SHELBY AVENUE

ST. PAUL, MN 56601

PHONE:

651/222-2003

SHEPARD PARK HOME CARE

1306 ALTON STREET

ST. PAUL, MN 55116

PHONE:

651/695-2388

(34392)

FAX: 651/917-0691

Corp

(03351)

FAX: 651/645-4358

Corp

(20271)

FAX: 651/730-1667

Corp

(23158)

FAX: 651/730-1667

NProf

(26982)

FAX: 651/209-8080

Lim-Liab

(34879)

FAX: 612/331-5858

Corp

(35535)

FAX: 651/330-8728

Corp

(26753)

FAX: 651/493-4868

Lim-Liab

(34963)

FAX: /-

Corp

(20169)

FAX: 651/695-2907

Certification

RAMSEY

(Cont.)*

TCOMP

KHADIJA ALI

COMP HHA

STELLA NWAIWU

ROBIN RENO

KIRE MEYER QUIST

MAYSA SAYAVONGCHANH

TCOMP

MOHAMED AHMED

COMP HCBS

MOHAMED ALBERT

LORI MCGUIRE

COMP

LISA MOE

Registration

--------------------------

HWSAL

HWS

HWSAL-O

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

438

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

SHIRLEY CHAPMAN SHOLOM HOME EAST

NProf

740 KAY AVENUE

ST. PAUL, MN 55102

(00496)

PHONE:

651/328-2000

FAX: 651/328-2070

SHOLOM HOME CARE

NProf

740 KAY AVENUE

ST. PAUL, MN 55102

(27031)

PHONE:

952/939-1649

FAX: 952/939-1662

SHOLOM HOSPICE

NProf

740 KAY AVENUE

ST. PAUL, MN 55102

(25996)

PHONE:

651/328-2091

FAX: 952/328-2077

SPECIALIZED HOME HEALTH CARE INC

Corp

350 STEVENS STREET WEST

ST. PAUL, MN 55107

(35321)

PHONE:

651/398-1728

FAX: 651/788-7994

SPECIALIZED HOME HEALTH CARE INC

Corp

350 STEVENS STREET

ST. PAUL, MN 55107

(35861)

PHONE:

651/398-1728

FAX: 651/788-7994

ST. ANTHONY PARK HOME

Corp

2237 COMMONWEALTH AVENUE

ST. PAUL, MN 55108

(00997)

PHONE:

651/632-3503

FAX: 651/644-0792

ST. JOSEPH'S HOSPITAL

NProf

45 10TH STREET WEST

ST. PAUL, MN 55102

(00524)

PHONE:

651/232-2725

FAX: 651/232-3518

ST. LUKE MOBILE MEDICAL CLINIC

NProf

550 RICE STREET

ST. PAUL, MN 55103

(36109)

PHONE:

651/222-0712

FAX: /-

ST. PAUL CAPITOL DIALYS AT HOME

Corp

555 PARK STREET STE 110

ST. PAUL, MN 55103

(24071)

PHONE:

651/221-3437

FAX: /-

ST. PAUL CAPITOL DIALYSIS

Corp

555 PARK STREET # 230

ST. PAUL, MN 55103

(02105)

PHONE:

651/221-3318

FAX: /-

RAMSEY

NH-118

ANDREA KREBS

COMP

ANN THOLE

Hospice

ANN THOLE

TCOMP

Certification

Registration

(Cont.)* --------------------------

SNF-NF-118

HHA

HSPICE

PAY SOUNG

HWSAL-O

PAY SOUNG

NH-84 SNF-NF-84

JOHN BARKER

HOSP-401 BASS-40 HOSP-401 PPS-P-10

LIA CHRISTIANSEN

MOBHES

SHERIEF MIKHAIL

ESRD

JASMINE ANDERSON

ESRD

JILL MEYERSON COCHLIN

Minnesota Department of Health

Health Regulation Division

Page

439

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

ST. PAUL DIALYSIS

555 PARK STREET # 180

ST. PAUL, MN 55103

PHONE:

651/291-8855

ST. PAUL RESIDENCE

902 HERSEY STREET

ST. PAUL, MN 55114

PHONE:

651/647-2325

SUMMIT HILL SENIOR LIVING

1824 OLD HUDSON ROAD

ST. PAUL, MN 55119

PHONE:

651/767-9572

SUMMIT HILL SENIOR LIVING

1824 OLD HUDSON ROAD

ST. PAUL, MN 55119

PHONE:

651/767-9572

SUN RAY DIALYSIS UNIT

1744 OLD HUDSON ROAD

ST. PAUL, MN 55106

PHONE:

651/793-5191

SUNLIGHT SENIOR LIVING

400 WESTERN AVENUE

ST. PAUL, MN 55103

PHONE:

651/714-5056

SUNLIGHT SENIOR LIVING

400 WESTERN AVENUE

ST. PAUL, MN 55103

PHONE:

651/714-5056

SUNLIGHT SERVICES

281 CESAR CHAVEZ STREET

ST. PAUL, MN 55107

PHONE:

651/600-4403

SUNLIGHT SERVICES, LLC

440 VIRGINIA STREET

ST. PAUL, MN 55103

PHONE:

651/600-4403

SUNLIGHT SERVICES, LLC

440 VIRGINIA STREET

ST. PAUL, MN 55103

PHONE:

651/600-4403

Corp

(02183)

FAX: /-

NProf

(25394)

FAX: 612/623-2004

Lim-Liab

(28605)

FAX: 651/578-2186

Lim-Liab

(28604)

FAX: 651/767-9572

Corp

(25767)

FAX: /-

Corp

(27035)

FAX: 651/714-5059

Corp

(30672)

FAX: 651/714-5059

Lim-Liab

(24453)

FAX: 651/528-8015

Lim-Liab

(30412)

FAX: 651/207-6774

Lim-Liab

(23761)

FAX: 651/528-8015

Certification

Registration

RAMSEY

(Cont.)* --------------------------

ESRD

TAMMY FOLDEN

HWS-O

SAMANTHA STOLTZ

HWSAL

CARYL NORDLAND

COMP

ANGIE BANTLE

ESRD

SAMUEL CARLSON

COMP

RAQUEL EDERY

HWSAL

RAQUEL EDERY

HWSAL-O

TONG VANG

HWSAL

TONG VANG

COMP

MAI VANG

Minnesota Department of Health

Health Regulation Division

Page

440

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

RAMSEY

(Cont.)* --------------------------

SUNLIGHT SERVICES, LLC

Lim-Liab

HWSAL-O

1105 HAZEL STREET

ST. PAUL, MN 55119

(24717)

PHONE:

651/600-4403

FAX: 651/528-8015

TONG VANG

SUPPORTIVE LIVING SOLUTIONS WHITTIER PLACE

Lim-Liab

COMP

2515 WABASH AVENUE # 300

ST. PAUL, MN 55114

(21707)

PHONE:

651/209-8490

FAX: 651/209-8499

JOE CUOCO

TAPESTRY

Lim-Liab

SLFA-64

135 EAST COLORADO STREET

ST. PAUL, MN 55107

(25565)

PHONE:

612/454-2342

FAX: 651/489-6458

ANDREA KOFOED

TAYLOR & MENSAH IN-HOME CARE INC

Corp

TCOMP HCBS

23 EMPIRE DRIVE #101

ST. PAUL, MN 55103

(34707)

PHONE:

651/724-2400

FAX: 651/600-3142

EKUA TAYLOR-KREGEGL

THE ALTON MEMORY CARE

Corp

HWSAL

1306 ALTON STREET

ST. PAUL, MN 55116

(25829)

PHONE:

651/699-2480

FAX: 651/699-2386

LISA MOE

THE BLESSED HOME CARE

Lim-Liab

COMP

2441 LINWOOD COURT EAST

ST. PAUL, MN 55119

(33793)

PHONE:

651/210-7190

FAX: /-

JANETTE LEE

THE BLESSED HOME CARE

Lim-Liab

HWSAL-O

2441 LINWOOD COURT EAST

ST. PAUL, MN 55119

(34027)

PHONE:

651/210-7190

FAX: 651/210-7190

JANETTE LEE

THE EMERALDS AT ST PAUL LLC

Lim-Liab

NH-116 SNF-NF-116

420 MARSHALL AVENUE

ST. PAUL, MN 55102

(00913)

PHONE:

651/224-2368

FAX: 651/224-0140

MICHAELA HAGENOW

THE ENCORE AT MAHTOMEDI LLC

Lim-Liab

TCOMP

720 MAHTOMEDI AVENUE

ST. PAUL, MN 55115

(35239)

PHONE:

651/528-8442

FAX: /-

THOMAS OSTROM

THE ESTATES AT LYNNHURST LLC

Lim-Liab

NH-70 SNF-NF-70

471 LYNNHURST AVENUE WEST

ST. PAUL, MN 55104

(00945)

PHONE:

651/645-6453

FAX: 651/659-0681

BRENNA HOFFMAN

Minnesota Department of Health

Health Regulation Division

Page

441

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

THE FRIENDSHIP PLACE LLC

152 KING STREET WEST

ST. PAUL, MN 55107

PHONE:

651/369-1401

THE PILLARS OF HIGHLAND PARK

1925 NORFOLK AVENUE

ST. PAUL, MN 55116

PHONE:

651/699-4038

THE QUINLAN HOME

391 PLEASANT AVENUE

ST. PAUL, MN 55102

PHONE:

651/222-7200

THE TERRACE AT IRIS PARK

502 EAST LYNNHURST AVENUE

ST. PAUL, MN 55104

PHONE:

651/272-4960

THE WATERS OF HIGHLAND PARK

678 SNELLING AVENUE SOUTH

ST. PAUL, MN 55116

PHONE:

651/363-3040

THE WELLINGTON SENIOR LIVING

2235 ROCKWOOD AVENUE

ST. PAUL, MN 55116

PHONE:

651/699-2664

THE WELLINGTON/SHEPARD PARK HOME CARE

1306 ALTON STREET

ST. PAUL, MN 55116

PHONE:

651/695-2388

THREE STARS GROUP HOMES LLC

630 VIRGINIA STREET

ST. PAUL, MN 55103

PHONE:

651/468-4729

TLC AGENCIES, LLC

821 RAYMOND AVENUE # 120

ST. PAUL, MN 55114

PHONE:

612/414-7299

TLC HOME CARE OF THE TWIN CITIES INC

1919 UNIVERSITY AVENUE # 130

ST. PAUL, MN 55104

PHONE:

651/647-0017

Lim-Liab

(34771)

FAX: 651/369-1402

Lim-Liab

(32400)

FAX: 651/788-9085

Corp

(00363)

FAX: 651/224-0624

Lim-Liab

(31883)

FAX: 651/272-4920

Lim-Liab

(31949)

FAX: /-

Corp

(30427)

FAX: 651/699-9726

Corp

(20169)

FAX: 651/695-2907

Lim-Liab

(35949)

FAX: /-

Lim-Liab

(28093)

FAX: 612/254-8254

Corp

(03235)

FAX: 651/647-3423

Certification

RAMSEY

(Cont.)*

KOSHIN HASSAN

ERIN HILLIGAN

BCH-58

LAURA REYNOLDS

JENNA KILAWEE

KATHERINE TODD

JOSH BERG

COMP

LISA MOE

DEBESAY GIRMALUL

COMP

VICTORIA TAPEH

COMP HHA

BETHLEHEM MULUGETA

Registration

--------------------------

HWSAL-O

HWSAL

HWS

HWSAL

HWSAL-O

Minnesota Department of Health

Health Regulation Division

Page

442

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

TWIN CITIES NURSING CARE

1635 HAZEL STREET NORTH

ST. PAUL, MN 55119

PHONE:

651/354-8081

TWIN CITIES NURSING CARE, INC

1635 HAZEL STREET NORTH

ST. PAUL, MN 55119

PHONE:

651/354-8081

TWIN TOWN TREATMENT CENTER, LLC

1706 UNIVERSITY AVENUE

ST. PAUL, MN 55104

PHONE:

651/645-3661

TWINCITIES LOYAL HOLISTIC CARE LLC

1821 UNIVERSITY AVENUE W #291

ST. PAUL, MN 55104

PHONE:

612/227-6423

UNITED HOME HEALTH CARE LLC

1540 CONWAY STREET

ST. PAUL, MN 55106

PHONE:

323/327-7906

UNITED HOSPITAL

333 NORTH SMITH AVENUE

ST. PAUL, MN 55102

PHONE:

651/241-8810

UNITED HOSPITAL AND NURSING HOME

333 NORTH SMITH AVENUE

ST. PAUL, MN 55102

PHONE:

651/241-8810

UNIVERSITY DIALYSIS UNIT RIVERSIDE

1045 WESTGATE DRIVE # 90

ST. PAUL, MN 55114

PHONE:

651/645-1847

UPEND HOME HEALTH CARE

1698 BEECH STREET

ST. PAUL, MN 55106

PHONE:

612/961-8570

V-CARE HOME HEALTH, INC.

1049 PAYNE AVENUE

ST. PAUL, MN 55130

PHONE:

651/793-7635

Corp

(31262)

FAX: 651/797-4172

Corp

(31252)

FAX: 651/797-4172

Lim-Liab

(01200)

FAX: 651/645-0959

Lim-Liab

(33803)

FAX: 651/389-9390

Lim-Liab

(35509)

FAX: /-

NProf

(00525)

FAX: 651/241-5189

NProf

(00525)

FAX: 651/241-5189

Corp

(03881)

FAX: 651/645-1890

Corp

(35706)

FAX: 612/326-9377

Corp

(28359)

FAX: 651/793-7659

Certification

Registration

RAMSEY

(Cont.)* --------------------------

HWS

MAIXIA VANG

COMP

MAIXIA VANG

SLFA-50

ALEXANDER DAVIS

COMP

SAID GURE

TCOMP

ADAN SHALMAD

HOSP-546 BASS-40 HOSP-515 PPS-P-15 PPS-R-16

SARA CRIGER

HOSP-546 BASS-40 HOSP-515 PPS-P-15 PPS-R-16

SARA CRIGER

ESRD

DANIELLE SAMUEL

HWSAL-O

SUAD ISSE

COMP

SUE XIONG

Minnesota Department of Health

Health Regulation Division

Page

443

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

VALLEY HI RISE

HRA

261 UNIVERSITY AVENUE

ST. PAUL, MN 55101

(24472)

PHONE:

651/228-3174

FAX: 651/298-5666

VIETNAMESE MINNESOTANS ASSOCIATION

NProf

1030 UNIVERSITY AVE # 1304

ST. PAUL, MN 55104

(27589)

PHONE:

651/290-4791

FAX: 651/290-4785

WATCHEN HOMES, INC

Corp

2194 REANEY AVENUE EAST

ST. PAUL, MN 55119

(34484)

PHONE:

763/444-1220

FAX: 763/270-5938

WHITTIER PLACE

Lim-Liab

2515 WABASH AVENUE # 300

ST. PAUL, MN 55114

(21707)

PHONE:

651/209-8490

FAX: 651/209-8499

WILDER CUSTOMIZED LIVING PROGRAM

NProf

650 MARSHALL AVENUE

ST. PAUL, MN 55104

(20812)

PHONE:

651/280-2500

FAX: 651/224-6906

WINGSPAN LIFE RESOURCES

NProf

1846 DAYTON AVENUE

ST. PAUL, MN 55104

(01102)

PHONE:

651/646-3846

FAX: 651/646-2347

GABLE PINES AT VADNAIS HEIGHTS

Part

1260 EAST COUNTY ROAD E

VADNAIS HEIGHTS, MN 55110

(32419)

PHONE:

651/829-3171

FAX: 651/340-4357

GABLE PINES AT VADNAIS HTS

Part

1260 COUNTY ROAD EAST

VADNAIS HEIGHTS, MN 55110

(32416)

PHONE:

651/829-3171

FAX: 651/340-4357

PHOENIX AT CENTERVILLE

NProf

785 COUNTY ROAD EAST

VADNAIS HEIGHTS, MN 55127

(01649)

PHONE:

651/227-7655

FAX: 651/227-6847

PHOENIX AT ENGLISH

NProf

1336 COUNTY ROAD EAST

VADNAIS HEIGHTS, MN 55110

(01648)

PHONE:

651/227-7655

FAX: 651/227-6847

Certification

RAMSEY

(Cont.)*

CHARISSE BROWN

COMP

STEPHANIE WAITE-TRANBERG

VICTOR ZELEE

COMP

JOE CUOCO

COMP

MAUREEN KENNEY

Registration

--------------------------

HWSAL-O

HWSAL

SLFA-6 ICFIID-6

THERESE DAVIS

HWSAL

REBECCA WILLETT

COMP

REBECCA WILLETT

SLFB-6 ICFIID-6

DARLENE SCOTT

SLFB-6 ICFIID-6

DARLENE SCOTT

Minnesota Department of Health

Health Regulation Division

Page

444

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

PINNACLE HOME HEALTH CARE LLC

Lim-Liab

3580 ARCADE STREET # 200

VADNAIS HEIGHTS, MN 55127

(29676)

PHONE:

651/261-1717

FAX: 651/968-5795

PRECIOUS LIVES HOME LLC

Lim-Liab

60 SUZANNE AVENUE

VADNAIS HEIGHTS, MN 55127

(33838)

PHONE:

651/490-3068

FAX: 651/490-3068

PRECIOUS LIVES HOME VADNAIS H

Lim-Liab

60 SUZANNE AVENUE

VADNAIS HEIGHTS, MN 55127

(34177)

PHONE:

651/468-8438

FAX: /-

PRELUDE HOME & SERVICES, LLC

Lim-Liab

355 COMMERCE COURT

VADNAIS HEIGHTS, MN 55127

(27917)

PHONE:

651/501-6507

FAX: 651/501-6600

PRELUDE HOME& SERVICES, LLC

Lim-Liab

355 COMMERCE COURT

VADNAIS HEIGHTS, MN 55127

(27917)

PHONE:

651/501-6507

FAX: 651/501-6600

PRUDENT CARE LLC

Lim-Liab

3603 CENTERVILLE ROAD

VADNAIS HEIGHTS, MN 55127

(35720)

PHONE:

612/889-1987

FAX: 612/353-5537

SPRINGHILL

NProf

531 SPRINGHILL ROAD

VADNAIS HEIGHTS, MN 55127

(01636)

PHONE:

651/483-9500

FAX: 651/483-0775

SUITE LIVING MEMORY CARE & ASST LVG OF VADNAIS HTS

Lim-Liab

580 LIBERTY WAY

VADNAIS HEIGHTS, MN 55127

(33260)

PHONE:

651/424-0046

FAX: /-

SUITE LIVING SENIOR CARE

Lim-Liab

580 LIBERTY WAY

VADNAIS HEIGHTS, MN 55127

(33084)

PHONE:

651/424-0046

FAX: 651/424-0048

SUMMIT RECOVERY SUITES

Corp

3580 ARCADE STREET # 250

VADNAIS HEIGHTS, MN 55127

(29939)

PHONE:

651/261-1717

FAX: 651/261-1717

Certification

RAMSEY

(Cont.)*

COMP

BECKIE HINES

COMP

RENELLEN DE LOS SANTOS

RENEELLEN DE LOS SANTOS

COMP

DEBORAH ROSE

COMP

DEBORAH ROSE

TCOMP

YASIN MOHAMED

Registration

--------------------------

HWSAL-O

SLFB-4 ICFIID-4

JIM MARTIN

HWSAL

JOEL LARSON

COMP

AUDREY MCELWAIN

HWS

ADAM BERRY

Minnesota Department of Health

Health Regulation Division

Page

445

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

VADNAIS HEIGHTS SURGERY CENTER

Lim-Liab

3580 ARCADE STREET # 200

VADNAIS HEIGHTS, MN 55127

(29320)

PHONE:

651/968-5771

FAX: 651/968-5794

VINTAGE MOMENTS MEMORY CARE

Corp

4559 BRAMBLEWOOD AVENUE

VADNAIS HEIGHTS, MN 55127

(25313)

PHONE:

651/653-4883

FAX: 651/653-4887

VINTAGE MOMENTS MEMORY CARE INC

Corp

4559 BRAMBLEWOOD AVENUE

VADNAIS HEIGHTS, MN 55127

(25313)

PHONE:

651/653-4883

FAX: 651/653-4887

ADVANCED MEDICAL HOME CARE LLC

Lim-Liab

2555 EAST COUNTY ROAD E #101

WHITE BEAR LAKE, MN 55110

(29186)

PHONE:

612/267-6154

FAX: 651/762-2454

AXIS ON WHITE BEAR AVENUE

Corp

3516 WHITE BEAR AVENUE NORTH

WHITE BEAR LAKE, MN 55110

(22847)

PHONE:

651/779-4301

FAX: 651/777-0415

CERENITY CARE CENTER - WHITE BEAR LAKE

Corp

1900 WEBBER STREET

WHITE BEAR LAKE, MN 55110

(00923)

PHONE:

651/232-1818

FAX: 651/232-1801

CERENITY RESIDENCE OF WHITE BEAR LAKE

NProf

4615 2ND AVENUE

WHITE BEAR LAKE, MN 55110

(20170)

PHONE:

651/232-1868

FAX: 651/288-7960

CERENITY RESIDENCE OF WHITE BEAR LAKE

NProf

4615 2ND AVENUE

WHITE BEAR LAKE, MN 55110

(30429)

PHONE:

651/232-1868

FAX: 651/288-7960

COMMUNITY LIVING OPTIONS - HALPER WAY

Corp

1289 HALPER WAY

WHITE BEAR LAKE, MN 55110

(31834)

PHONE:

763/856-4866

FAX: 763/856-5732

GOLDEN POND WBL

Lim-Liab

4624 STODDART CIRCLE

WHITE BEAR LAKE, MN 55127

(32589)

PHONE:

763/447-7717

FAX: 651/484-5130

RAMSEY

Outpt Surg

BECKIE HINES

COMP

LISA BUTZLAFF

COMP

LISA BUTZLAFF

COMP

MICHAEL AUGE

SLFB-6

DOROTHY WROBEL

NH-138

PATRICK MCDONALD

COMP

ASHLEY SOKUP

JEFF FELTZ

DAVID METZ

Certification

Registration

(Cont.)* --------------------------

Amb Surg

HHA

ICFIID-6

SNF-NF-138

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

446

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

HELPING HEART LLC

4159 PARKRIDGE DRIVE

WHITE BEAR LAKE, MN 55110

PHONE:

651/338-4109

PHOENIX AT CASWELL

2168 12TH STREET

WHITE BEAR LAKE, MN 55110

PHONE:

651/227-7655

PRELUDE HOMES & SERVICES LLC

4650 WHITE BEAR PARKWAY

WHITE BEAR LAKE, MN 55110

PHONE:

651/358-3651

SUITE LIVING SENIOR MANAGEMENT LLC

1824 BUERKLE ROAD

WHITE BEAR LAKE, MN 55110

PHONE:

651/770-2273

SYMPHONY SENIOR SERVICES, INC.

4711 CLARK AVENUE

WHITE BEAR LAKE, MN 55110

PHONE:

651/330-3841

THE PILLARS OF WHITE BEAR LAKE

4650 CENTERVILLE ROAD

WHITE BEAR LAKE, MN 55127

PHONE:

651/653-3288

THE WATERS OF WHITE BEAR LAKE

3820 HOFFMAN ROAD

WHITE BEAR LAKE, MN 55110

PHONE:

651/313-6440

VISION QUEST PROPERTY MANAGEMENT

5771 MEADOWVIEW DRIVE

WHITE BEAR LAKE, MN 55110

PHONE:

651/428-0646

WHITE BEAR LAKE COH CARE, LLC

1235 GUN CLUB ROAD

WHITE BEAR LAKE, MN 55110

PHONE:

651/757-3800

WHITE BEAR LAKE COH LLC

1235 GUN CLUB ROAD

WHITE BEAR LAKE, MN 55110

PHONE:

651/757-3800

Lim-Liab

(33790)

FAX: /-

NProf

(23428)

FAX: 651/227-6847

Lim-Liab

(32276)

FAX: 651/501-6600

Lim-Liab

(33801)

FAX: 651/424-0048

Corp

(29781)

FAX: 651/330-3892

Lim-Liab

(32991)

FAX: 651/762-6100

Lim-Liab

(32917)

FAX: 651/426-1311

Corp

(28288)

FAX: /-

Lim-Liab

(24613)

FAX: 651/757-3820

Lim-Liab

(24613)

FAX: 651/757-3820

Certification

Registration

RAMSEY

(Cont.)* --------------------------

Home Mgmt

VALERIE LARSON

SLFB-6 ICFIID-6

DARLENE SCOTT

HWSAL

DEBORAH ROSE

COMP

AUDREY MCELWAIN

COMP

JAMES MILEY

HWSAL

ERIN HILLIGAN

HWS

KATHERINE TODD

COMP

CHARLES PETRICH

COMP

RHONDA SCHILLINGER

COMP

RHONDA SCHILLINGER

Minnesota Department of Health

Health Regulation Division

Page

447

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

WHITE BEAR LAKE WHITE PINE

Lim-Liab

1235 GUN CLUB ROAD

WHITE BEAR LAKE, MN 55110

(30557)

PHONE:

651/757-3800 FAX: 651/757-3820

AXIS ON SENECA

Corp

1586 SENECA TRAIL

WHITE BEAR TOWNSHIP, MN 55110

(01325)

PHONE:

651/426-3546 FAX: 651/426-8456

---------------------------**********

ESSENTIA HEALTH OKLEE CLINIC

NProf

GOVERNOR STREET & 3RD AVENUE

OKLEE, MN 56742

(28618)

PHONE:

218/796-4525 FAX: /-

HILLCREST SENIOR LIVING INC

Corp

311 BROADWAY AVENUE NORTHEAST

RED LAKE FALLS, MN 56750

(31622)

PHONE:

218/253-2157 FAX: 218/253-4676

HILLCREST SENIOR LIVING INC

Corp

311 BROADWAY AVENUE NE

RED LAKE FALLS, MN 56750

(31767)

PHONE:

218/253-2157 FAX: 218/253-4676

RIVERVIEW CLINIC

NProf

105 INTERNATIONAL DRIVE # 25

RED LAKE FALLS, MN 56750

(28149)

PHONE: 218/253-4606 FAX: 218/253-4681

---------------------------**********

PARKVIEW HOME

102 COUNTY STATE AID HIGHWAY 9

BELVIEW, MN 56214

PHONE:

507/938-4151

PARKWOOD APARTMENTS

505 SOUTH 2ND STREET

BELVIEW, MN 56214

PHONE:

507/938-3020

PARKWOOD APARTMENTS

505 SOUTH 2ND STREET

BELVIEW, MN 56214

PHONE:

507/938-3020

City

(00543)

FAX: 507/938-4038

City

(20318)

FAX: 507/938-3019

City

(30467)

FAX: 507/938-3019

Certification

Registration

RAMSEY

(Cont.)* --------------------------

HWSAL

RHONDA SHILLINGER

SLFB-6 ICFIID-6

DOROTHY WROBEL

RED LAKE

******** --------------------------

RHC

CHERYL WHITE MD

COMP

CHRISTINE NELSON

HWSAL

CHRISTINE NELSON

RHC

WILLIAM BENNETT

REDWOOD

******** --------------------------

NH-30 SNF-NF-30

MEGAN ZETAH

COMP

PAULA POHLEN

HWSAL

PAULA POHLEN

Minnesota Department of Health

Health Regulation Division

Page

448

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

VALLEY VIEW MANOR HEALTHCARE CENTER

City

200 EAST 9TH AVENUE

LAMBERTON, MN 56152

(00731)

PHONE:

507/752-7346

FAX: 507/752-7348

GIL-MOR HAVEN

NProf

90 3RD STREET EAST

MORGAN, MN 56266

(27387)

PHONE:

507/249-3143

FAX: 507/249-2310

GIL-MOR HAVEN

NProf

90 3RD STREET EAST

MORGAN, MN 56266

(30741)

PHONE:

507/249-3143

FAX: 507/249-2310

GIL-MOR MANOR

NProf

96 3RD STREET EAST

MORGAN, MN 56266

(00542)

PHONE:

507/249-3143

FAX: 507/249-2310

CARRIS HEALTH

Lim-Liab

1110 EAST BRIDGE STREET

REDWOOD FALLS, MN 56283

(02405)

PHONE:

507/637-4579

FAX: 507/637-2005

CARRIS HEALTH - REDWOOD

Lim-Liab

1100 E BROADWAY STREET

REDWOOD FALLS, MN 56283

(35096)

PHONE:

507/637-2985

FAX: 507/697-6678

CARRIS HEALTH - REDWOOD LLC

ONProf

400 VEDA DRIVE

REDWOOD FALLS, MN 56283

(27101)

PHONE:

507/627-2224

FAX: 507/627-2233

CARRIS HEALTH - REDWOOD LLC

ONProf

1110 EAST BRIDGE STREET

REDWOOD FALLS, MN 56283

(02499)

PHONE:

507/637-4579

FAX: 507/637-2005

CARRIS HEALTH - REDWOOD, LLC

ONProf

100 FALLWOOD ROAD

REDWOOD FALLS, MN 56283

(00545)

PHONE:

507/637-4500

FAX: 507/637-6000

GARNETTE GARDENS SENIOR LIVING

Lim-Liab

511 SOUTH DEKALB STREET

REDWOOD FALLS, MN 56283

(23560)

PHONE:

507/644-8500

FAX: 507/644-8521

Certification

Registration

REDWOOD

(Cont.)* --------------------------

NH-50

COMP

TERRIE ROTHMEIER

NH-35

TERRIE ROTHMEIER

COMP

BRYAN LYDICK

Hospice

BRYAN LYDICK

HOSP-25 BASS-6

BRYAN LYDICK

COMP

JAMES BETTENDORF

SNF-NF-50

HWS

SNF-NF-35

HHA

RHC

HWS

HSPICE

CAH-25

Minnesota Department of Health

Health Regulation Division

Page

449

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

REDWOOD

(Cont.)* --------------------------

REDWOOD AREA HOSPITAL

ONProf

HOSP-25 BASS-6 CAH-25

100 FALLWOOD ROAD

REDWOOD FALLS, MN 56283

(00545)

PHONE:

507/637-4500

FAX: 507/637-6000

BRYAN LYDICK

REDWOOD FALLS DIALYSIS

Corp

ESRD

1104 EAST BRIDGE STREET

REDWOOD FALLS, MN 56283

(03377)

PHONE:

507/637-2076

FAX: /-

DEAN WILSON

RIVER VALLEY HEALTH AND REHABILITATION CENTER LLC

Lim-Liab

NH-43 SNF-NF-43

200 DEKALB STREET SOUTH

REDWOOD FALLS, MN 56283

(00063)

PHONE:

507/637-5711

FAX: 507/637-2132

.MR DANIEL STRITTMATER

VISTA PRAIRIE AT GARNETTE GARDENS, LLC

Lim-Liab

COMP

511 SOUTH DEKALB STREET

REDWOOD FALLS, MN 56283

(23560)

PHONE:

507/644-8500

FAX: 507/644-8521

JAMES BETTENDORF

VP AT GARNETTE GARDENS

Lim-Liab

HWSAL

511 DEKALB STREET

REDWOOD FALLS, MN 56283

(30391)

PHONE:

507/644-8500

FAX: 507/644-8521

JAMES BETTENDORF

WOOD DALE HOME, INC.

Corp

NH-36 SNF-NF-36

600 SUNRISE BOULEVARD

REDWOOD FALLS, MN 56283

(00749)

PHONE:

507/637-3587

FAX: 507/637-2546

JUDITH SANDMANN

REVERE HOME

Corp

BCH-26

300 SOUTH MAIN STREET

REVERE, MN 56166

(00824)

PHONE:

507/752-7182

FAX: 651/257-9245

ROBERT CARDENAS

SERENITY SUITES SENIOR LIVING AT WABASSO

NProf

COMP

1381 MAY STREET

WABASSO, MN 56293

(33821)

PHONE:

507/380-2360

FAX: /-

MARNA WAHL

SERENITY SUITES SENIOR LIVING AT WABASSO

NProf

HWSAL

1381 MAY STREET

WABASSO, MN 56293

(33940)

PHONE:

507/342-2300

FAX: /-

MARNA WAHL

WABASSO REHABILITATION AND HEALTHCARE CENTER

Lim-Liab

NH-44 SNF-NF-44

660 MAPLE STREET

WABASSO, MN 56293

(00949)

PHONE:

507/342-5166

FAX: 507/342-2592

Minnesota Department of Health

Health Regulation Division

Page

450

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

COUNTRY VIEW SENIOR LIVING

NProf

810 8TH STREET

WALNUT GROVE, MN 56180

(35904)

PHONE:

507/859-2133 FAX: 507/859-2143

SANFORD TRACY WALNUT GROVE CLINCC

NProf

830 8TH STREET

WALNUT GROVE, MN 56180

(21357)

PHONE:

507/859-2157 FAX: /-

---------------------------**********

GLESENER'S ASSISTED LIVING SERVICE

BusTrust

150 MAIN STREET

BIRD ISLAND, MN 55310

(30586)

PHONE:

320/365-3823 FAX: 320/365-3361

RENVILLE COUNTY COMMUNITY RESIDENCE

NProf

831 GROVE AVENUE

BIRD ISLAND, MN 55310

(01312)

PHONE:

320/365-3748 FAX: 320/365-4533

BUFFALO LAKE HEALTHCARE CENTER, INC.

NProf

703 WEST YELLOWSTONE TRAIL

BUFFALO LAKE, MN 55314

(00550)

PHONE:

320/833-5364 FAX: 320/833-5526

HOMETOWN HOME CARE II

Lim-Liab

135 WEST YELLOWSTONE TRAIL

BUFFALO LAKE, MN 55314

(35299)

PHONE: 320/389-0220 FAX: 320/389-0215

JULIES HOME HEALTH CARE INC

Corp

114 CHURCH AVENUE WEST

BUFFALO LAKE, MN 55314

(25054)

PHONE:

320/833-6082 FAX: 320/833-5943

WESTVIEW ESTATES

NProf

703 WEST YELLOWSTONE TRAIL

BUFFALO LAKE, MN 55314

(20031)

PHONE:

320/833-5364 FAX: 320/833-5526

WESTVIEW ESTATES

NProf

703 WEST YELLOWSTONE TRAIL

BUFFALO LAKE, MN 55314

(30311)

PHONE:

320/833-5364 FAX: 320/833-5526

Certification

Registration

REDWOOD

(Cont.)* --------------------------

HWSAL

KAYO ASLAGSON

RHC

STACY BARSTAD

RENVILLE

******** --------------------------

RICHARD NELSON

SLFA-6

HEATHER SANDER

NH-49

MARK RUST

TCOMP

DEANNA BAUMGARDT

COMP

1974 JULIE UFKES

COMP

MARK RUST

HWSAL-O

ICFIID-6

SNF-NF-49

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

451

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

WESTVIEW ESTATES ASSISTED LIVING

NProf

703 WEST YELLOWSTONE TRAIL

BUFFALO LAKE, MN 55314

(20031)

PHONE:

320/833-5364

FAX: 320/833-5526

FAIRFAX COMMUNITY HOME HEALTH

Corp

1000 1ST STREET SOUTHEAST

FAIRFAX, MN 55332

(03554)

PHONE:

507/426-8241

FAX: 507/426-7340

FAIRFAX COMMUNITY HOME, INC.

Corp

300 10TH AVENUE SOUTHEAST

FAIRFAX, MN 55332

(00847)

PHONE:

507/426-8241

FAX: 507/426-7340

FAIRFAX COMMUNITY HOME, INC.

Corp

1000 1ST STREET SOUTHEAST

FAIRFAX, MN 55332

(21143)

PHONE:

507/426-8241

FAX: 507/426-7340

FRANKLIN REHABILITATION & HEALTHCARE CENTER

Lim-Liab

900 3RD STREET SOUTH

FRANKLIN, MN 55333

(00934)

PHONE:

507/557-2211

FAX: 507/557-2214

PRAIRIE VIEW

Corp

1010 EAST ELM AVENUE

HECTOR, MN 55342

(30230)

PHONE:

320/848-2093

FAX: 320/848-2093

RENVILLE COUNTY HOSPITAL AND CLINICS - HECTOR

Corp

CLINIC

131 BIRCH AVENUE WEST

HECTOR, MN 55342

PHONE:

320/848-6294

CENTRACARE KIDNEY PROGRAM - OLIVIA

600 EAST PARK AVENUE

OLIVIA, MN 56277

PHONE:

320/493-5648

(03575)

FAX: /-

NProf

(32701)

FAX: 320/202-7199

OLIVIA REHABILITATION AND HEALTHCARE CENTER

Lim-Liab

1003 WEST MAPLE AVENUE

OLIVIA, MN 56277

(00939)

PHONE:

320/523-1652

FAX: 320/523-5734

PARK VIEW VILLAGE

NProf

1204 WEST PARK AVENUE

OLIVIA, MN 56277

(30774)

PHONE:

320/523-1743

FAX: 320/523-1925

Certification

Registration

RENVILLE

(Cont.)* --------------------------

COMP

MARK RUST

COMP

JUDITH SANDMANN

NH-29 SNF-NF-29

JUDITH SANDMANN

HWSAL

JUDITH SANDMANN

NH-40 SNF-NF-40

.MR JOSHUA DOMEIER

HWSAL

CASIE KNOSHAL

RHC

KATHLEEN RYAN

ESRD

ABBY LOVELAND

NH-55

SNF-NF-55

JENNIFER SUNDSTROM

HWSAL

CARLI STENSRUD

Minnesota Department of Health

Health Regulation Division

Page

452

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

RENVILLE COUNTY HOSPICE

100 HEALTHY WAY

OLIVIA, MN 56277

PHONE:

320/523-3432

RENVILLE COUNTY HOSPITAL

100 HEALTHY WAY

OLIVIA, MN 56277

PHONE:

320/523-1261

RENVILLE COUNTY HOSPITAL AND CLINICS

100 HEALTHY WAY

OLIVIA, MN 56277

PHONE:

320/523-1261

RENVILLE COUNTY HOSPITAL CLINIC OLIVIA

100 HEALTHY WAY

OLIVIA, MN 56277

PHONE:

320/523-1460

RENVILLE COUNTY PUBLIC HEALTH SERVICES

105 SOUTH 5TH STREET # 119H

OLIVIA, MN 56277

PHONE:

320/523-2570

CROSSROADS ASSISTED LIVING

611 SOUTH MAIN STREET

RENVILLE, MN 56284

PHONE:

320/329-4377

EAST RIDGE COURT

219 SOUTHEAST ELM AVENUE

RENVILLE, MN 56284

PHONE:

320/329-3901

MEADOWS ON MAIN

611 SOUTH MAIN STREET

RENVILLE, MN 56284

PHONE:

320/329-3788

REN-VILLA HEALTH CENTER

205 SOUTHEAST ELM AVENUE

RENVILLE, MN 56284

PHONE:

320/329-8381

Cnty

(03271)

FAX: 320/523-3571

Cnty

(00558)

FAX: 320/523-3458

Cnty

(00558)

FAX: 320/523-3458

Corp

(03573)

FAX: /-

Cnty

(02120)

FAX: 320/523-3749

NProf

(20933)

FAX: 320/329-3678

NProf

(22007)

FAX: 320/329-3901

NProf

(20044)

FAX: 320/329-3678

NProf

(00557)

FAX: 320/329-3678

Certification

Registration

RENVILLE

(Cont.)* --------------------------

Hospice HSPICE

NATHAN BLAD

HOSP-16 BASS-3 CAH-16

NATHAN BLAD

HOSP-16 BASS-3 CAH-16

NATHAN BLAD

RHC

STACEY HEILING

COMP HHA

JILL BRUNS

COMP

CASIE KNOSHAL

HWS

CASIE KNOSHAL

HWS

CASIE KNOSHAL

NH-55 SNF-NF-55

CASIE KNOSHAL

RENVILLE COUNTY HOSPITAL & CLINICS - RENVILLE CLINIC

Corp

RHC

420 NORTH MAIN STREET

RENVILLE, MN 56284

(03574)

PHONE:

320/329-8395

FAX: /-

BRENDA MILLER

Minnesota Department of Health

Health Regulation Division

Page

453

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

RENVILLE HEALTH SERVICES HOMECARE

NProf

611 SOUTH MAIN STREET

RENVILLE, MN 56284

(20933)

PHONE:

320/329-4377 FAX: 320/329-3678

---------------------------**********

FRESENIUS MEDICAL CARE CANNON VALLEY

Corp

396 SCHILLING DRIVE

DUNDAS, MN 55019

(29917)

PHONE:

507/645-6817 FAX: /-

BEACON LANDING LLC

Lim-Liab

1575 NW 20TH STREET # 204

FARIBAULT, MN 55021

(34653)

PHONE:

507/209-6216 FAX: 507/299-9307

BLOMGREN HOUSE

Lim-Liab

1213 CENTRAL AVENUE NORTH

FARIBAULT, MN 55021

(34270)

PHONE:

507/334-5111 FAX: 507/323-8424

BROOKDALE FARIBAULT

Corp

935 SPRING ROAD

FARIBAULT, MN 55021

(20398)

PHONE:

507/333-2559 FAX: 507/333-2557

BROOKDALE FARIBAULT

Corp

935 SPRING ROAD

FARIBAULT, MN 55021

(30612)

PHONE: 507/333-2559 FAX: 507/333-2557

COUNTRY COURT

Corp

1663 GLYNVIEW TRAIL

FARIBAULT, MN 55021

(30679)

PHONE:

507/334-3722 FAX: 507/334-9795

CROSSROADS SURGERY CENTER

Corp

1575 20TH STREET NW # 203

FARIBAULT, MN 55021

(24483)

PHONE:

507/209-6227 FAX: 507/209-6228

DAWN'S ELDER CARE

Ind

2424 WOODLAND DRIVE

FARIBAULT, MN 55021

(23327)

PHONE:

507/210-0892 FAX: /-

Certification

Registration

RENVILLE

(Cont.)* --------------------------

COMP

CASIE KNOSHAL

RICE

******** --------------------------

FEDERICO SERRANO

COMP

NICOLE MILLER

JODI FERRIS

COMP

MICAH STALOCH

RACHEL BALDWIN

CHERYL GLENDE

Outpt Surg

KATE TONJUM

COMP

DAWN CABALLERO

ESRD

HWSAL-O

HWSAL

HWS-O

Amb Surg

Minnesota Department of Health

Health Regulation Division

Page

454

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

DISTRICT ONE HOSPITAL

NProf

200 STATE AVENUE

FARIBAULT, MN 55021

(00569)

PHONE:

507/334-6451

FAX: 507/332-4848

FARIBAULT DIALYSIS UNIT

Corp

201 SOUTH LYNDALE AVENUE STE F

FARIBAULT, MN 55021

(02810)

PHONE:

507/334-0306

FAX: /-

FARIBAULT SENIOR LIVING

Corp

843 FARIBAULT ROAD

FARIBAULT, MN 55021

(27967)

PHONE:

507/331-6510

FAX: 507/331-7252

FARIBAULT SENIOR LIVING

Corp

843 FARIBAULT ROAD

FARIBAULT, MN 55021

(30786)

PHONE:

507/331-6510

FAX: 507/331-7252

FRAZIER RECOVERY HOMES LLC

Lim-Liab

834 CARLTON AVE

FARIBAULT, MN 55021

(33675)

PHONE:

651/895-4440

FAX: 651/528-7030

GUEST HOUSE OF FARIBAULT LLC

Lim-Liab

118 6TH STREET NORTHWEST

FARIBAULT, MN 55021

(22372)

PHONE:

507/334-8269

FAX: 507/331-7345

GUEST HOUSE OF FARIBAULT LLC

Lim-Liab

118 6TH STREET NORTHWEST

FARIBAULT, MN 55021

(30296)

PHONE:

507/334-8269

FAX: 507/331-7345

HERITAGE HOUSE ELDER CARE

Lim-Liab

1415 7TH STREET NORTHWEST

FARIBAULT, MN 55021

(30821)

PHONE:

507/334-5111

FAX: 507/323-8424

HERITAGE HOUSE ELDER CARE

Lim-Liab

1409 7TH STREET NORTHWEST

FARIBAULT, MN 55021

(32071)

PHONE:

507/334-5111

FAX: 507/323-8424

HERITAGE HOUSE ELDER CARE

Lim-Liab

1415 7TH STREET NORTHWEST

FARIBAULT, MN 55021

(21721)

PHONE:

507/334-5111

FAX: 507/334-5111

Certification

Registration

RICE

(Cont.)* --------------------------

HOSP-49 BASS-10 HOSP-49

DAVID ALBRECHT

ESRD

CARI DOCK

COMP

JULIE WILSON

DAVID HESLEY

ELIZABETH REZEK

COMP

KATHRYN SHERWOOD

LEON SHERWOOD

JODI FERRIS

COMP

JODI FERRIS

HWSAL

HWS-O

HWS

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

455

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

---------------------------**********

RICE

(Cont.)*

HILLTOP HOME

Corp

4 3RD AVENUE SOUTHWEST

FARIBAULT, MN 55021

(25128)

PHONE:

507/332-0547

FAX: 507/332-2335

DEBORAH SONNEK

IVY HILL SENIOR CARE INC

Corp

COMP

607 SECOND AVENUE NORTHWEST

FARIBAULT, MN 55021

(03884)

PHONE:

507/332-8966

FAX: 507/384-3464

MACKENZIE RAMSEY

IVY HILL SENIOR CARE, INC

Corp

607 NW 2ND AVENUE

FARIBAULT, MN 55021

(34045)

PHONE:

507/332-8966

FAX: 507/384-3464

MACKENZIE RAMSEY

MILESTONE SENIOR LIVING

Lim-Liab

COMP

2500 14TH STREET NE

FARIBAULT, MN 55021

(34401)

PHONE:

507/331-2748

FAX: /-

BRETT INGERSOLL

MILESTONE SENIOR LIVING FARIBAULT

Lim-Liab

2500 14TH STREET NE

FARIBAULT, MN 55021

(30613)

PHONE:

507/331-2748

FAX: 507/323-8201

ALLISON LAW

MILL CITY SENIOR LIVING

Lim-Liab

1520 17TH STREET NW

FARIBAULT, MN 55021

(34320)

PHONE:

507/497-2011

FAX: /-

LISA SAMMON

NEW PERSPECTIVE FARIBAULT

Lim-Liab

828 1ST STREET NE

FARIBAULT, MN 55021

(30225)

PHONE:

507/332-2555

FAX: 507/332-9010

VINCE BECKEL

NEW PERSPECTIVE FARIBUALT

Lim-Liab

COMP

828 1ST STREET NE

FARIBAULT, MN 55021

(29560)

PHONE:

507/332-2555

FAX: 507/332-9010

DANIKA ANASTASI

OUR CIRCLE OF FRIENDS

Corp

COMP

1663 GLYNVIEW TRAIL

FARIBAULT, MN 55021

(27158)

PHONE:

507/334-3722

FAX: 507/334-9795

CHERYL GLENDE

OUR CIRCLE OF FRIENDS COUNTRY COURT

Corp

COMP

1663 GLYNVIEW TRAIL

FARIBAULT, MN 55021

(27158)

PHONE:

507/334-3722

FAX: 507/334-9795

CHERYL GLENDE

Registration

--------------------------

HWS-O

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

456

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

RICE

(Cont.)* --------------------------

OUR CIRCLE OF FRIENDS MAIN COURT

Corp

HWS

1150 3RD STREET SW

FARIBAULT, MN 55021

(30622)

PHONE:

507/332-9731

FAX: 507/334-9795

CHERYL GLENDE

OUR HOUSE

Corp

HWS-O

1017 7TH STREET NW

FARIBAULT, MN 55021

(20095)

PHONE:

507/332-0547

FAX: 507/332-0547

DEBORAH SONNEK

OUR HOUSE BOARD AND LODGE

Corp

HWS-O

1017 7TH STREET NW

FARIBAULT, MN 55021

(20095)

PHONE:

507/332-0547

FAX: 507/332-0547

DEBORAH SONNEK

PLEASANT MANOR LLC

Lim-Liab

NH-65 SNF-NF-65

27 BRAND AVENUE

FARIBAULT, MN 55021

(00568)

PHONE:

507/334-2036

FAX: 507/331-9218

BRADLEY MOLGARD

PLEASANT VIEW ESTATES

Lim-Liab

COMP

41 BRAND AVENUE

FARIBAULT, MN 55021

(24584)

PHONE:

507/333-5960

FAX: 507/333-5974

LEESA GILMAN

PLEASANT VIEW ESTATES

Corp

HWSAL

41 BRAND AVENUE

FARIBAULT, MN 55021

(30553)

PHONE:

507/333-5960

FAX: 507/333-5974

ANNA SHERIDAN

PLEASANT VIEW ESTATES LLC

Lim-Liab

COMP

41 BRAND AVENUE

FARIBAULT, MN 55021

(24584)

PHONE:

507/333-5960

FAX: 507/333-5974

LEESA GILMAN

RICE COUNTY PUBLIC HEALTH NURSING SERVICE

Cnty

COMP HHA

320 NORTHWEST 3RD STREET # 1

FARIBAULT, MN 55021

(02022)

PHONE:

507/332-6111

FAX: 507/332-5932

DEBRA PURFEERST

RISON HOMES INC

Corp

COMP

314 CENTRAL AVENUE

FARIBAULT, MN 55021

(20152)

PHONE:

507/332-0547

FAX: 507/332-2335

DEB SONNEK

RISON HOMES, INC.

Corp

COMP

314 CENTRAL AVENUE

FARIBAULT, MN 55021

(20152)

PHONE:

507/332-0547

FAX: 507/332-2335

DEB SONNEK

Minnesota Department of Health

Health Regulation Division

Page

457

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

STERLING HOUSE OF FARIBAULT

Corp

935 SPRING ROAD

FARIBAULT, MN 55021

(20398)

PHONE:

507/333-2559

FAX: 507/333-2557

THE EMERALDS AT FARIBAULT ASSISTED LIVING LLC

Lim-Liab

503 EAST DIVISION STREET

FARIBAULT, MN 55021

(20049)

PHONE:

507/332-5158

FAX: 507/332-5199

THE EMERALDS AT FARIBAULT ASSITED LIVING LLC

Lim-Liab

503 EAST DIVISION STREET

FARIBAULT, MN 55021

PHONE:

507/332-5158

THE EMERALDS AT FARIBAULT LLC

500 SOUTHEAST 1ST STREET

FARIBAULT, MN 55021

PHONE:

507/332-5100

THE VILLAGES OF LONSDALE

1000 BIRCH STREET NORTHEAST

LONSDALE, MN 55046

PHONE:

507/744-3453

THREE LINKS MANAGEMENT SERVICES LLC

1000 BIRCH STREET NE

LONSDALE, MN 55046

PHONE:

507/744-3453

MORRISTOWN

104 4TH STREET SOUTHWEST

MORRISTOWN, MN 55052

PHONE:

507/332-0547

AZULE OPPORTUNITIES LLC

529 WEST WOODLEY STREET

NORTHFIELD, MN 55057

PHONE:

507/645-6226

CANNON VALLEY SUITES

900 CANNON VALLEY DRIVE

NORTHFIELD, MN 55057

PHONE:

507/645-6007

COTTAGE ON FOREST

811 FOREST AVENUE

NORTHFIELD, MN 55057

PHONE:

507/664-8805

(03753)

FAX: 507/332-5199

Lim-Liab

(00571)

FAX: 507/332-5188

Lim-Liab

(26754)

FAX: 507/744-3951

Lim-Liab

(26772)

FAX: 507/744-3951

Corp

(20028)

FAX: 507/332-2335

NProf

(27689)

FAX: 507/645-7473

Church

(23183)

FAX: 507/664-3490

NProf

(26073)

FAX: 507/645-0942

Certification

Registration

RICE

(Cont.)* --------------------------

COMP

MICAH STALOCH

HWSAL

LEESA GILMAN

COMP

NICHOLE PARSCH

NH-90 SNF-NF-90

JOE GUBBELS

HWSAL

MARK ANDERSON

COMP

MARK ANDERSON

HWS-O

DEBORAH SONNEK

SLFA-16

JODY YOUNGER

HWSAL

SHELLEY HOLDEN

HWS

MARK ANDERSON

Minnesota Department of Health

Health Regulation Division

Page

458

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

EVERGREEN LODGE

912 CANNON VALLEY DRIVE WEST

NORTHFIELD, MN 55057

PHONE:

507/645-6007

HOME CARE LINK

815 FOREST AVENUE

NORTHFIELD, MN 55057

PHONE:

507/664-8863

LAURA BAKER SERVICES ASSOCIATION

211 OAK STREET

NORTHFIELD, MN 55057

PHONE:

507/645-8866

MILLSTREAM COMMONS

210 WEST 8TH STREET

NORTHFIELD, MN 55057

PHONE:

507/650-0141

MILLSTREAM COMMONS

210 WEST 8TH STREET

NORTHFIELD, MN 55057

PHONE:

507/650-0141

MILLSTREAM COMMONS HOME CARE

210 WEST 8TH STREET

NORTHFIELD, MN 55057

PHONE:

507/650-0141

NORTHFIELD CARE CENTER, INC.

900 CANNON VALLEY DRIVE

NORTHFIELD, MN 55057

PHONE:

507/645-9511

NORTHFIELD DIALYSIS

2004 JEFFERSON ROAD

NORTHFIELD, MN 55057

PHONE:

507/645-6762

NORTHFIELD HOME CARE

1604 RIVERVIEW DRIVE

NORTHFIELD, MN 55057

PHONE:

507/646-1457

NORTHFIELD MANOR INC

901 CANNON VALLEY DRIVE

NORTHFIELD, MN 55057

PHONE:

507/645-9090

NProf

(25764)

FAX: 507/664-3490

NProf

(03105)

FAX: 507/645-0942

ONProf

(01163)

FAX: 507/645-8869

NProf

(24063)

FAX: 507/650-9170

NProf

(30490)

FAX: 507/650-9170

NProf

(24063)

FAX: 507/650-9170

Church

(00567)

FAX: 507/645-0117

Corp

(29575)

FAX: 507/645-2372

City

(02208)

FAX: 507/646-1395

Church

(20097)

FAX: 507/664-3490

Certification

Registration

RICE

(Cont.)* --------------------------

HWSAL

SHELLEY HOLDEN

COMP HHA

MARK ANDERSON

SLFA-30 ICFIID-30

SANDRA GERDES

COMP

MARK ANDERSON

HWSAL

KATHY OLSON

COMP

MARK ANDERSON

NH-42 SNF-NF-42

THOMAS NIELSEN

ESRD

AMANDA BRUDER

COMP HHA

STEVE UNDERDAHL

HWS

SHELLEY HOLDEN

Minnesota Department of Health

Health Regulation Division

Page

459

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

NORTHFIELD PARKVIEW, INC

910 CANNON VALLEY DRIVE

NORTHFIELD, MN 55057

PHONE:

507/645-6007

NORTHFIELD PARKVIEW, INC.

910 CANNON VALLEY DRIVE

NORTHFIELD, MN 55057

PHONE:

507/645-6007

NORTHWOOD PINES

931 CANNON VALLEY DRIVE WEST

NORTHFIELD, MN 55057

PHONE:

507/645-6007

REFLECTIONS

809 FOREST AVENUE

NORTHFIELD, MN 55057

PHONE:

507/664-8809

REFLECTIONS

809 FOREST AVENUE

NORTHFIELD, MN 55057

PHONE:

507/664-8815

REFLECTIONS HOME CARE

809 FOREST AVENUE

NORTHFIELD, MN 55057

PHONE:

507/664-8809

THE COTTAGE EAST

800 5TH STREET WEST

NORTHFIELD, MN 55057

PHONE:

507/664-8866

THE COTTAGE WEST

804 5TH STREET WEST

NORTHFIELD, MN 55057

PHONE:

507/664-8815

THE FAMILY RESIDENCE

2501 JEFFERSON ROAD

NORTHFIELD, MN 55057

PHONE:

507/581-2444

THE FAMILY RESIDENCE

2501 JEFFERSON ROAD

NORTHFIELD, MN 55057

PHONE:

507/581-2444

NProf

(25315)

FAX: 507/664-3490

Church

(20096)

FAX: 507/664-3490

Church

(27563)

FAX: 507/664-3490

NProf

(26343)

FAX: 507/650-7989

NProf

(30702)

FAX: 507/650-7989

NProf

(26343)

FAX: 507/650-7989

NProf

(20137)

FAX: 507/645-0942

NProf

(20342)

FAX: 507/645-0942

Lim-Liab

(34667)

FAX: /-

Lim-Liab

(34174)

FAX: 507/301-3635

Certification

RICE

(Cont.)*

COMP

EMILY KERLING

SHELLEY HOLDEN

COMP

MARK ANDERSON

COMP

MARK ANDERSON

KARI ELLIASON

COMP

KARI ELLIASON

Registration

--------------------------

HWSAL

HWS

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

460

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

THE NEIGHBOR LADY INC

Corp

1803 ASPEN COURT

NORTHFIELD, MN 55057

(34742)

PHONE:

612/839-2286 FAX: /-

THREE LINKS APARTMENTS

NProf

805 FOREST AVENUE

NORTHFIELD, MN 55057

(20139)

PHONE:

507/664-8815 FAX: 507/645-0942

THREE LINKS CARE CENTER

NProf

815 FOREST AVENUE

NORTHFIELD, MN 55057

(00564)

PHONE:

507/664-8800 FAX: 507/645-0942

VALLEY VIEW OF NORTHFIELD

Lim-Liab

812 NORTH LINDEN STREET

NORTHFIELD, MN 55057

(20071)

PHONE:

507/645-4126 FAX: 507/645-5948

VALLEYVIEW OF NORTHFIELD

Lim-Liab

812 LINDEN STREET NORTH

NORTHFIELD, MN 55057

(30330)

PHONE:

507/645-4126 FAX: 507/645-5948

---------------------------**********

THE TUFF VILLAGE

301 COUNTY ROAD 6

HILLS, MN 56138

PHONE: 507/962-3500

THE TUFF VILLAGE

301 COUNTY ROAD 6

HILLS, MN 56138

PHONE:

507/962-3275

TUFF MEMORIAL HOME

505 EAST 4TH STREET

HILLS, MN 56138

PHONE:

507/962-3275

TUFF MEMORIAL HOME VISTE MANOR

500 EAST 4TH STREET

HILLS, MN 56138

PHONE:

507/962-3275

Church

(21200)

FAX: 507/962-3590

Church

(30720)

FAX: 507/962-3590

Church

(00576)

FAX: 507/962-3277

Church

(23857)

FAX: 507/962-3275

Certification

Registration

RICE

(Cont.)* --------------------------

Home Mgmt

STACEY GREER

HWS

MARK ANDERSON

NH-92 SNF-NF-92

MARK ANDERSON

COMP

RACHEL PORTER

HWSAL

JOHN BONNER

ROCK

******** --------------------------

COMP

ELI RIPLEY

HWSAL

ELI RIPLEY

NH-50 SNF-NF-50

ELI RIPLEY

HWSAL

ELI RIPLEY

Minnesota Department of Health

Health Regulation Division

Page

461

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

ROCK

(Cont.)* --------------------------

ALPHA SIGMA HEALTH GROUP INC

Corp

COMP HCBS

211 EAST MAIN STREET #106

LUVERNE, MN 56156

(33791)

PHONE:

507/449-6131

FAX: 507/449-6136

TAMMY RUNNING

GOOD SAMARITAN SOCIETY MARY JANE BROWN

NProf

NH-51 SNF-NF-51

110 SOUTH WALNUT AVENUE

LUVERNE, MN 56156

(00575)

PHONE:

507/283-2375

FAX: 507/283-2377

ELIZABETH CALLAHAN

HOSPICE OF LUVERNE COMMUNITY HOSPITAL

NProf

304 NORTH MCKENZIE STREET

LUVERNE, MN 56156

(02825)

PHONE:

507/283-1805

FAX: 507/449-2011

TAMMY LOOSBROCK

MINNESOTA VETERANS HOME LUVERNE

State

NH-85 SNF-NF-85

1300 NORTH KNISS

LUVERNE, MN 56156

(00411)

PHONE:

507/283-6200

FAX: 507/283-1127

LUKE SCHRYVERS

OASIS CARE HOME LLC

Lim-Liab

HWS

514 BRITZ DRIVE

LUVERNE, MN 56156

(33288)

PHONE:

507/920-7071

FAX: /-

JASON BRECHER

OASIS CARE HOME LLC

Lim-Liab

COMP

514 BRITZ DRIVE

LUVERNE, MN 56156

(33173)

PHONE:

507/449-6156

FAX: 507/369-2743

JASON BRECHER

POPLAR CREEK ESTATES

NProf

COMP

201 OAK DRIVE

LUVERNE, MN 56156

(23223)

PHONE:

507/283-1996

FAX: 507/283-1773

BETH CALLAHAN

RESIDENTIAL ADVANTAGES LLC

Corp

SLFB-6 ICFIID-6

107 SOUTH BLUE MOUND AVENUE

LUVERNE, MN 56156

(01345)

PHONE:

952/922-6776

FAX: 952/922-6885

DEVIN NELSON

SANFORD HOME HEALTH

NProf

COMP

304 NORTH MCKENZIE STREET

LUVERNE, SD 56156

(21079)

PHONE:

605/328-5900

FAX: 605/328-5963

LORA NELSON

SANFORD LUVERNE HOSPICE

NProf

304 NORTH MCKENZIE STREET

LUVERNE, MN 56156

(02825)

PHONE:

507/283-1805

FAX: 507/449-2011

TAMMY LOOSBROCK

Minnesota Department of Health

Health Regulation Division

Page

462

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

SANFORD LUVERNE HOSPICE

NProf

217 NORTH OAKLEY STREET

LUVERNE, MN 56156

(23479)

PHONE:

507/283-1805 FAX: 507/449-2011

SANFORD LUVERNE MEDICAL CENTER

NProf

1600 NORTH KNISS AVENUE

LUVERNE, MN 56156

(00574)

PHONE:

507/283-2321 FAX: 507/283-2091

THE OAKS & POPLAR CREEK ESTATES

NProf

201 OAK DRIVE

LUVERNE, MN 56156

(20465)

PHONE:

507/283-1996 FAX: 507/283-1773

---------------------------**********

LIFECARE GREENBUSH MANOR

19120 200TH STREET

GREENBUSH, MN 56726

PHONE:

218/782-6106

LIFECARE GREENBUSH MANOR

19120 200TH STREET

GREENBUSH, MN 56726

PHONE:

218/782-2131

LIFECARE GREENBUSH MANOR

19120 200TH STREET

GREENBUSH, MN 56726

PHONE: 218/782-6138

AGELESS CARE INCORPORATED

702 7TH STREET SOUTHWEST

ROSEAU, MN 56751

PHONE:

218/463-3695

AGELESS CARE INCORPORATED

702 7TH STREET SW

ROSEAU, MN 56751

PHONE:

218/463-3695

ALTRU RENAL DIALYSIS

711 DELMORE DRIVE

ROSEAU, MN 56751

PHONE:

701/780-5877

NProf

(00578)

FAX: 218/782-4005

NProf

(27671)

FAX: 218/782-4005

NProf

(27672)

FAX: 218/782-4010

Corp

(24558)

FAX: 218/464-3708

Corp

(30550)

FAX: 218/464-3708

NProf

(28247)

FAX: 701/780-5852

Certification

Registration

ROCK

(Cont.)* --------------------------

RES-HSPICE-4

TAMMY LOOSBROCK

HOSP-28 BASS-5 CAH-25

TAMMY LOOSBROCK

HWSAL

ELIZABETH CALLAHAN

ROSEAU

******** --------------------------

NH-40 SNF-NF-20 NF1-20

EMILY STRAW

COMP

EMILY STRAW

HWSAL

KEITH OKESON

COMP

KARIN LOVEN

HWS

KARIN LOVEN

ESRD

JULIE NELSON

Minnesota Department of Health

Health Regulation Division

Page

463

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

LIFE CARE MEDICAL CENTER

NProf

715 DELMORE DRIVE

ROSEAU, MN 56751

(00579)

PHONE:

218/463-2500

FAX: 218/463-1266

LIFECARE HOME CARE

NProf

715 DELMORE DRIVE

ROSEAU, MN 56751

(02143)

PHONE:

218/463-3211

FAX: 218/463-4755

LIFECARE HOSPICE

NProf

715 DELMORE DRIVE

ROSEAU, MN 56751

(03637)

PHONE:

218/463-2500

FAX: 218/463-4755

LIFECARE MEDICAL CENTER

NProf

715 DELMORE DRIVE

ROSEAU, MN 56751

(00579)

PHONE:

218/463-2500

FAX: 218/463-1266

LIFECARE ROSEAU MANOR

NProf

715 DELMORE DRIVE

ROSEAU, MN 56751

(00579)

PHONE:

218/463-2500

FAX: 218/463-1266

NORTH STAR APARTMENTS

Part

706 MAIN AVENUE SOUTH

ROSEAU, MN 56751

(20956)

PHONE:

218/463-3086

FAX: 218/463-2774

OAK CREST SENIOR HOUSING

NProf

201 10TH STREET SE

ROSEAU, MN 56751

(24166)

PHONE:

218/463-2006

FAX: 218/463-2031

OAK CREST SENIOR HOUSING

NProf

201 10TH STREET SE

ROSEAU, MN 56751

(30496)

PHONE:

218/463-2006

FAX: 218/463-2031

LAKEVIEW RETIREMENT RESIDENCE

NProf

1401 LAKE STREET NW

WARROAD, MN 56763

(20747)

PHONE:

218/386-1235

FAX: 218/386-3548

LAKEVIEW RETIREMENT RESIDENCE

NProf

1401 LAKE STREET NORTHWEST

WARROAD, MN 56763

(30793)

PHONE:

218/386-1235

FAX: 218/386-3548

Certification

Registration

ROSEAU

(Cont.)* --------------------------

NH-50 HOSP-25 BASS-7

KEITH OKESON

COMP

NATHAN BROVOLD

Hospice

KEITH OKESON

NH-50 HOSP-25 BASS-7

KEITH OKESON

NH-50 HOSP-25 BASS-7

KEITH OKESON

BRANDON EISENBEIS

COMP

SHANA LANCTOT

COMP

MARK BERTILRUD

SNF-NF-50 CAH-25

HHA

HSPICE

SNF-NF-50 CAH-25

HWS

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

464

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

WARROAD CARE CENTER

NProf

1401 LAKE STREET NORTHWEST

WARROAD, MN 56763

(26877)

PHONE:

218/386-1235 FAX: 218/386-1235

---------------------------**********

AURORA CAREFREE LIVING INC

Corp

304 EAST 3RD AVENUE SOUTH

AURORA, MN 55705

(31407)

PHONE:

218/306-6028 FAX: 218/306-6035

DRCC AURORA

NProf

417 SOUTH MAIN STREET

AURORA, MN 55705

(01610)

PHONE:

218/229-3369 FAX: 218/727-9555

ESSENTIA HEALTH - NORTHERN PINES

NProf

5211 HIGHWAY 110

AURORA, MN 55705

(33127)

PHONE:

218/229-3311 FAX: /-

ESSENTIA HEALTH NORTHERN PINES MEDICAL CENTER

NProf

5211 HIGHWAY 110

AURORA, MN 55705

PHONE:

218/229-4222

BABBITT CAREFREE LIVING

1 CENTRAL BOULEVARD

BABBITT, MN 55706

PHONE: 218/827-2273

NEW JOURNEY RESIDENCE LTD

100 VERMILION TRAIL

BIWABIK, MN 55708

PHONE:

218/865-4588

BROOKE MANOR INC

4878 HIGHWAY 31

BROOKSTON, MN 55711

PHONE:

218/453-5262

BROOKE MANOR INC

4878 HIGHWAY 31

BROOKSTON, MN 55711

PHONE:

218/453-5262

(00604)

FAX: 218/229-4269

Corp

(29103)

FAX: 218/827-3447

Corp

(21987)

FAX: 218/865-4671

Corp

(21969)

FAX: 218/453-1023

Corp

(30235)

FAX: 218/453-1023

Certification

Registration

ROSEAU

(Cont.)* --------------------------

NH-49 SNF-NF-49

MARK BERTILRUD

SAINT LOUIS

******** --------------------------

HWSAL

MARILYN HANSON

SLFB-5 ICFIID-5

THOMAS GILLESPIE

RHC

LAURA ACKMAN

NH-33 HOSP-16 BASS-4 SNF-NF-33 CAH-16

LAURA ACKMAN

HWSAL

MARILYN HANSON

HWSAL

LYDIA NYGAARD

COMP

VIRGINIA TUOMINEN

HWSAL

VIRGINIA TUOMINEN

Minnesota Department of Health

Health Regulation Division

Page

465

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

BROOKE MANOR, INC.

4878 HIGHWAY 31

BROOKSTON, MN 55711

PHONE:

218/453-5262

PETERSON COLONIAL HOMES HOUSE 1

4866 HIGHWAY 31 NORTH

BROOKSTON, MN 55711

PHONE:

218/453-5646

PETERSON COLONIAL HOMES HOUSE 2

4723 NYGAARD ROAD

BROOKSTON, MN 55711

PHONE:

218/878-0642

PETERSON COLONIAL HOMES INC

4723 NYGAARD ROAD

BROOKSTON, MN 55711

PHONE:

218/878-0642

WINTER HOMES, INCORPORATED

4982 PAUPORES ROAD

BROOKSTON, MN 55711

PHONE:

218/879-2275

BUHL CAREFREE LIVING LLC

500 EAST MONROE DRIVE

BUHL, MN 55713

PHONE:

218/741-3013

CORNERSTONA VILLA

1000 FOREST STREET

BUHL, MN 55713

PHONE:

218/258-3253

CORNERSTONE VILLA

1000 FOREST STREET

BUHL, MN 55713

PHONE:

218/258-3253

ASPEN GROVE ASSISTED LIVING

504 IRON DRIVE

CHISHOLM, MN 55719

PHONE:

218/254-2750

ASPEN GROVE ASSISTED LIVING

504 IRON DRIVE

CHISHOLM, MN 55719

PHONE:

218/254-2750

Corp

(21969)

FAX: 218/453-1023

Corp

(33367)

FAX: 218/453-1122

Corp

(33366)

FAX: 218/878-2978

Corp

(33096)

FAX: /-

Corp

(01651)

FAX: 218/878-3365

Lim-Liab

(26432)

FAX: 218/258-8682

NProf

(23242)

FAX: 218/489-1053

NProf

(33655)

FAX: 218/489-1053

Corp

(27162)

FAX: 218/254-0164

Corp

(30680)

FAX: 218/254-0164

Certification

Registration

SAINT LOUIS

(Cont.)* --------------------------

COMP

VIRGINIA TUOMINEN

HWSAL

KIMI ECKEL

HWSAL

KIMI ECKEL

COMP

KIMI ECKEL

SLFA-6

DIETRICH WINTER

HWSAL

SHAWN FRANKLIN

NH-44 SNF-NF-44

DEBRA DOUGHTY

COMP

DEBRA DOUGHTY

COMP

BRENDA GARGANO

HWSAL

CHARLES GARGANO

Minnesota Department of Health

Health Regulation Division

Page

466

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

SAINT LOUIS

(Cont.)* --------------------------

HERITAGE MANOR

NProf

NH-70 SNF-NF-70

321 NE 6TH STREET

CHISHOLM, MN 55719

(00904)

PHONE:

218/254-5765

FAX: 218/354-5767

CHESTER FISHEL II

HILLCREST TERRACE OF CHISHOLM

Corp

COMP

624 SW 3RD STREET

CHISHOLM, MN 55719

(20199)

PHONE:

218/263-4157

FAX: 218/263-4468

MELISSA BUTLER

HILLCREST TERRACE OF CHISHOLM

Corp

HWSAL

624 SW 3RD STREET

CHISHOLM, MN 55719

(30446)

PHONE:

218/263-4157

FAX: 218/263-4468

RACHEL HAUPT

NProf

SLFB-6 ICFIID-6

RANGE CENTER LEGACY

112 9TH STREET NW

CHISHOLM, MN 55719

(01062)

PHONE:

218/254-4875

FAX: 218/254-7343

NICOLE STEEL

SERVING HANDS INC

Corp

COMP

601 EAST LAKE STREET

CHISHOLM, MN 55719

(25527)

PHONE:

218/254-7300

FAX: 218/254-2839

TODD NELSON

SERVING HANDS PROPERTIES LLC

Lim-Liab

HWSAL

601 EAST LAKE STREET

CHISHOLM, MN 55719

(25526)

PHONE:

218/254-7300

FAX: 218/254-2839

TODD NELSON

NH-28 HOSP-14 BASS-0 SNF-NF-28 CAH-14

COOK HOSPITAL

Dist

10 5TH STREET SOUTHEAST

COOK, MN 55723

(00586)

PHONE:

218/666-5945

FAX: 218/666-6238

TERESA DEBEVEC

COOK CAREFREE LIVING INC

Corp

HWSAL

151 4TH STREET SOUTHEAST

COOK, MN 55723

(27092)

PHONE:

218/666-0200

FAX: 218/666-0203

MERLE SAMPSON

NH-28 HOSP-14 BASS-0 SNF-NF-28 CAH-14

COOK COMMUNITY HOSPITAL

Dist

10 5TH STREET SOUTHEAST

COOK, MN 55723

(00586)

PHONE:

218/666-5945

FAX: 218/666-6238

TERESA DEBEVEC

Dist

NH-28 HOSP-14 BASS-0 SNF-NF-28 CAH-14

COOK HOSPITAL

10 5TH STREET SOUTHEAST

COOK, MN 55723

(00586)

PHONE:

218/666-5945

FAX: 218/666-6238

TERESA DEBEVEC

Minnesota Department of Health

Health Regulation Division

Page

467

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

ACCENTUCARE INC

Corp

2308 SPRINGVALE COURT

DULUTH, MN 55811

(28220)

PHONE:

218/348-6888

FAX: 866/546-7311

ACCRA HOME HEALTH-DULUTH

NProf

5322 GRAND AVENUE

DULUTH, MN 55807

(03338)

PHONE:

218/724-2800

FAX: 218/724-8200

AFTENRO HOME

NProf

510 WEST COLLEGE STREET

DULUTH, MN 55811

(00581)

PHONE:

218/728-6600

FAX: 218/728-5452

ANNE'S PLACE LLC

Lim-Liab

1137 BRAINERD AVENUE

DULUTH, MN 55811

(34248)

PHONE:

218/348-7700

FAX: 218/464-1285

BAYSHORE RESIDENCE AND REHABILITATION CENTER

Lim-Liab

1601 ST. LOUIS AVENUE

DULUTH, MN 55802

(00589)

PHONE:

218/727-8651

FAX: 218/727-1761

BEE HIVE HOMES OF DULUTH

Corp

4014 TRINITY ROAD

DULUTH, MN 55811

(31350)

PHONE:

218/722-4014

FAX: 218/522-4475

BENEDICTINE HEALTH CENTER

NProf

935 KENWOOD AVENUE

DULUTH, MN 55811

(00861)

PHONE:

218/522-8900

FAX: 218/529-5794

BENET HALL

NProf

1001 KENWOOD AVENUE

DULUTH, MN 55811

(28241)

PHONE:

218/723-6564

FAX: 218/723-6548

BENET HALL

ONProf

1001 KENWOOD AVENUE

DULUTH, MN 55811

(28244)

PHONE:

218/723-7080

FAX: 218/733-2201

Certification

Registration

SAINT LOUIS

(Cont.)* --------------------------

COMP

PATRICIA LUOMA

COMP

JOHN DAHM

BCH-54

MARTI BRENDE

TERRI BJORKLUND

NH-139

DAVID USELMAN

NANCY SAARI

NH-96

BRIAN PATTOCK

COMP

SETH JENKINS

SR. DANILE LYNCH

HHA

NF2-54

SNF-NF-139

SNF-NF-96

HWSAL-O

HWSAL

Lim-Liab

NH-170 SNF-NF-170

CHRIS JENSEN HEALTH AND REHABILITATION CENTER

2501 RICE LAKE ROAD

DULUTH, MN 55811

(00598)

PHONE:

218/625-6400

FAX: 218/625-6452

Minnesota Department of Health

Health Regulation Division

Page

468

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

DIAMOND WILLOW OF LESTER PARK 1

Lim-Liab

6353 EAST SUPERIOR STREET

DULUTH, MN 55804

(28545)

PHONE:

218/525-8093

FAX: 218/525-8176

DIAMOND WILLOW OF LESTER PARK 2

Lim-Liab

6355 EAST SUPERIOR STREET

DULUTH, MN 55804

(28546)

PHONE:

218/525-8177

FAX: 218/525-8364

DULUTH SURGICAL SUITES LLC

Lim-Liab

2118 LONDON ROAD

DULUTH, MN 55812

(33083)

PHONE:

218/481-7812

FAX: 218/481-7820

E.B.I. INCORPORATED

Corp

625 NORTH 56 AVENUE WEST

DULUTH, MN 55807

(01544)

PHONE:

218/624-3122

FAX: 218/628-1699

ECUMEN DULUTH THE SHORES

NProf

4000 LONDON ROAD

DULUTH, MN 55804

(24064)

PHONE:

218/625-8280

FAX: 218/625-7808

ECUMEN DULUTH THE SHORES

NProf

4000 LONDON ROAD

DULUTH, MN 55804

(30492)

PHONE:

218/625-8280

FAX: 218/625-8256

ECUMEN HOME CARE LAKESHORE

NProf

4000 LONDON ROAD

DULUTH, MN 558042241

(02059)

PHONE:

218/625-7848

FAX: 218/625-8274

ECUMEN LAKESHORE

NProf

4002 LONDON ROAD

DULUTH, MN 55804

(00594)

PHONE:

218/625-7100

FAX: 218/625-7808

ECUMEN LAKESORE THE SHORES

NProf

4000 LONDON ROAD

DULUTH, MN 55804

(24064)

PHONE:

218/625-8280

FAX: 218/625-7808

ESSENTIA HEALTH DULUTH

NProf

502 EAST 2ND STREET

DULUTH, MN 55805

(00596)

PHONE:

218/786-2652

FAX: 218/786-5922

Certification

Registration

SAINT LOUIS

(Cont.)* --------------------------

SARA KLEINSCHMIDT

Outpt Surg

LAURA RIBICH

SLFA-6

SARAH HAMILTON

COMP

RITA WALKER

COMP

LISA PARROTT

NH-60

BLAINE GAMST

COMP

RITA WALKER

HOSP-165

BRADLEY BEARD

HWSAL

Amb Surg

HWSAL

HHA

SNF-NF-60

HOSP-121 PPS-R-44

Minnesota Department of Health

Health Regulation Division

Page

469

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

ESSENTIA HEALTH ST MARY'S MEDICAL CENTER

NProf

407 EAST 3RD STREET

DULUTH, MN 55805

(00600)

PHONE:

218/786-4000

FAX: 218/786-4888

ESSENTIA HEALTH ST. MARY'S HOSPICE AND PALLIATIVE

NProf

CARE SERVICES

330 EAST 2ND STREET

DULUTH, MN 55805

PHONE:

218/786-4020

(02562)

FAX: 218/786-4223

FMC DIALYSIS SERVICES DULUTH

Corp

502 EAST 2ND STREET

DULUTH, MN 55805

(02113)

PHONE:

218/720-1164

FAX: 218/720-1463

FMC DIALYSIS SERVICES OF SPIRIT VALLEY

Corp

4700 MIKE COLALLILO DRIVE

DULUTH, MN 55807

(21989)

PHONE:

218/624-7787

FAX: 218/624-7752

FRANCISCAN HEALTH CENTER

NProf

3910 MINNESOTA AVENUE

DULUTH, MN 55802

(00865)

PHONE:

218/727-8933

FAX: 218/727-6610

GARDEN HOUSE ESTATES

Corp

1 RIVERSIDE DRIVE

DULUTH, MN 55808

(20837)

PHONE:

218/628-0271

FAX: 218/628-3981

GARDEN HOUSE ESTATES LTD

Corp

1 RIVERSIDE DRIVE

DULUTH, MN 55808

(20837)

PHONE:

218/628-0271

FAX: 218/628-3981

GARDEN HOUSE ESTATES LTD

Corp

1 RIVERSIDE DRIVE

DULUTH, MN 55808

(30814)

PHONE:

218/628-0271

FAX: 218/628-3981

HEARTHSTONE HOME CARE

Lim-Liab

24 N 21ST AVENUE WEST STE B

DULUTH, MN 55806

(26728)

PHONE:

218/740-4290

FAX: 218/279-4412

HEARTLAND PCA, LLC

Lim-Liab

1700 MALL DRIVE

DULUTH, MN 55811

(25708)

PHONE:

218/727-0990

FAX: 218/727-1179

Certification

Registration

SAINT LOUIS

(Cont.)* --------------------------

HOSP-380 BASS-46 HOSP-380

JANICE SCHADE

Hospice HSPICE

JAMES GARVEY

ESRD

AMY ALLEN

ESRD

TIANNA SEELEY

NH-47 SNF-NF-47

BRITTANY LOOSBROCK

COMP

DALE BREILAND

COMP

DALE BREILAND

HWSAL

DALE BREILAND

COMP HHA

BRENDA MARSHALL

Home Mgmt

GWENDOLYN HARRIS

Minnesota Department of Health

Health Regulation Division

Page

470

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

HERITAGE HAVEN INC

Corp

4512 LONDON ROAD

DULUTH, MN 55804

(30316)

PHONE:

218/590-5037

FAX: 218/722-4828

HERITAGE HAVEN INC

Corp

3040 MORRIS THOMAS ROAD

DULUTH, MN 55811

(25918)

PHONE:

218/722-2088

FAX: 218/727-8850

HERITAGE HAVEN INC III

Corp

3042 MORRIS THOMAS ROAD

DULUTH, MN 55811

(25455)

PHONE:

218/722-2118

FAX: 218/727-8850

HERITAGE HAVEN, INC.

Corp

4512 LONDON ROAD

DULUTH, MN 55804

(20035)

PHONE:

218/590-5037

FAX: 218/722-4828

HERITAGE HAVEN, INC.

Corp

3044 MORRIS THOMAS ROAD

DULUTH, MN 55811

(24250)

PHONE:

218/722-2415

FAX: 218/727-8850

HILLSIDE HOMES I

Corp

408 NORTH 8TH AVENUE EAST

DULUTH, MN 55805

(20888)

PHONE:

218/727-1999

FAX: 218/720-6022

HILLSIDE HOMES II

Corp

412 NORTH 8TH AVENUE EAST

DULUTH, MN 55805

(20889)

PHONE:

218/733-9268

FAX: 218/720-6022

HILLSIDE HOMES OF DULUTH, INC.

Corp

414 NORTH 8TH AVENUE EAST

DULUTH, MN 55805

(20350)

PHONE:

218/720-5890

FAX: 218/720-6022

HOME INSTEAD SENIOR CARE

Lim-Liab

315 EAST CENTRAL ENTRANCE

DULUTH, MN 55811

(23296)

PHONE:

218/727-8810

FAX: 218/727-3522

INTERIM HEALTHCARE OF LAKE SUPERIOR, INC

Corp

332 WEST SUPERIOR STREET #204

DULUTH, MN 55802

(02828)

PHONE:

218/722-0053

FAX: 218/722-0318

Certification

SAINT LOUIS

(Cont.)*

SUZANNE TAYLOR

COMP

SUZANNE TAYLOR

DIANE LINDSEY

COMP

DIANE LINDSEY

COMP

MARY ANDREWS

Registration

--------------------------

HWSAL

COMP HHA SE

DIANE SMITH

Minnesota Department of Health

Health Regulation Division

Page

471

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

INTERIM HEALTHCARE VENT CARE RESIDENCE

Corp

4730 MATTERHORN CIRCLE

DULUTH, MN 55811

(22354)

PHONE:

218/722-0053

FAX: 218/722-0318

KEYSTONE BLUFFS

Lim-Liab

2528 TRINITY ROAD

DULUTH, MN 55811

(29456)

PHONE:

218/727-2800

FAX: 218/727-2850

KINDRED AT HOME

Corp

925 EAST SUPERIOR STREET #104

DULUTH, MN 55802

(02426)

PHONE:

218/723-8999

FAX: 218/723-8237

LAKE SUPERIOR CONCIERGE, INC.

Corp

5652 NORTH CLOQUET ROAD

DULUTH, MN 55810

(25246)

PHONE:

218/310-6779

FAX: 218/624-8727

LAKESIDE MANOR

Corp

4831 LONDON ROAD

DULUTH, MN 55804

(20087)

PHONE:

218/525-2784

FAX: 218/525-3411

LAKESIDE MANOR

Corp

4831 LONDON ROAD

DULUTH, MN 55804

(30409)

PHONE:

218/525-2784

FAX: 218/525-3411

LAKESIDE MANOR BOARDING HOME, INC.

Corp

4831 LONDON ROAD

DULUTH, MN 55804

(20087)

PHONE:

218/525-2784

FAX: 218/525-3411

LAKEWALK SURGERY CENTER, INC.

Corp

1420 LONDON ROAD #100

DULUTH, MN 55805

(20618)

PHONE:

218/728-0650

FAX: 218/728-0657

MARYWOOD

NProf

915 KENWOOD AVENUE

DULUTH, MN 55811

(31068)

PHONE:

218/522-8904

FAX: /-

MCCARTHY MANOR INC

Corp

2221 NORTH ARLINGTON AVENUE

DULUTH, MN 55811

(30315)

PHONE:

218/722-1501

FAX: 218/722-5882

Certification

Registration

SAINT LOUIS

(Cont.)* --------------------------

KARI JARVI

SARA KLEINSCHMIDT

COMP

RACHAEL RHODES

KIMBERLY SORENSEN

COMP

THOMAS KOLAR

COMP

THOMAS KOLAR

Outpt Surg

ANN FOSNESS

CEO BARBARA WESSBERG

JOHN HANSEN

HWS

HWSAL

Home Mgmt

HWSAL

Amb Surg

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

472

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

MCCARTHY MANOR, INC.

Corp

2221 NORTH ARLINGTON AVENUE

DULUTH, MN 55811

(20034)

PHONE:

218/722-1501

FAX: 218/722-5882

NORTH COUNTRY HOUSEKEEPING HCS

Lim-Liab

5282 LAKEWOOD ROAD

DULUTH, MN 55804

(30989)

PHONE:

218/349-2213

FAX: /-

NORTHERN LIVES INC

Corp

4014 TRINITY ROAD

DULUTH, MN 55811

(31339)

PHONE:

218/722-4014

FAX: 218/522-4475

NORTHWOOD CHILDREN'S SERVICES INC

NProf

4000 WEST 9TH STREET

DULUTH, MN 55807

(33695)

PHONE:

218/625-2660

FAX: 218/724-0215

PATHWAYS TO ACHIEVEMENT

Corp

114 SOUTH 20TH AVE WEST STE A

DULUTH, MN 55806

(23205)

PHONE:

218/721-4732

FAX: 218/491-7185

PAVILION SURGERY CENTER, LLC

Lim-Liab

920 EAST 1ST STREET #101

DULUTH, MN 55805

(21063)

PHONE:

218/279-6222

FAX: 218/279-6205

PINE GROVE APARTMENTS

NProf

4082 HAINES ROAD

DULUTH, MN 55811

(24466)

PHONE:

651/645-7271

FAX: 651/645-0541

PINES HOMECARE SERVICES LLC

Lim-Liab

50 EAST ST. MARIE STREET

DULUTH, MN 55803

(20643)

PHONE:

218/724-5500

FAX: 218/724-5535

PINES III ASSISTED LIVING

Part

50 EAST ST. MARIE STREET

DULUTH, MN 55803

(20866)

PHONE:

218/724-5500

FAX: 218/724-5535

POLINSKY MEDICAL REHABILITATION CENTER

NProf

530 EAST 2ND STREET

DULUTH, MN 55805

(26267)

PHONE:

218/786-5366

FAX: 218/786-5922

Certification

Registration

SAINT LOUIS

(Cont.)* --------------------------

COMP

JOHN HANSEN

ANITA SCHENDEL

COMP

NANCY SAARI

SLFB-48

RICHARD WOLLEAT

COMP HHA

MISS BRENDA EHNES

Outpt Surg Amb Surg

ESTHER LINDEMAN

STEPHEN VANDER SCHAAF

COMP

KATHY ANDERSON

Out Pt Out St Out Ot

JOAN JEANETTA

Home Mgmt

HWSAL-O

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

473

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

PRIMROSE OF DULUTH

Lim-Liab

724 MAPLE GROVE ROAD

DULUTH, MN 55811

(21916)

PHONE:

218/724-4900

FAX: 218/722-3760

PRIMROSE OF DULUTH

Lim-Liab

724 MAPLE GROVE ROAD

DULUTH, MN 55811

(30228)

PHONE:

218/724-4900

FAX: 218/722-3760

RECOVER HEALTH

Corp

4609 GRAND AVENUE

DULUTH, MN 55807

(02856)

PHONE:

218/733-3485

FAX: 218/722-1567

RESIDENTIAL TREATMENT AND DETOXIFICATION CENTER

NProf

1402 EAST SUPERIOR STREET

DULUTH, MN 55805

(21125)

PHONE:

218/723-8444

FAX: 218/336-4653

RIVER HILL ASSISTED LIVING INC

Corp

126 98TH AVENUE WEST

DULUTH, MN 55808

(25393)

PHONE:

218/626-3322

FAX: 218/626-1089

RIVER HILL ASSISTED LIVING INC

Corp

126 98TH AVENUE WEST

DULUTH, MN 55808

(30577)

PHONE:

218/626-3322

FAX: 218/626-1089

SENIOR FRIEND HOME CARE

Lim-Liab

204 3RD AVENUE

DULUTH, MN 55810

(02390)

PHONE:

218/727-1111

FAX: 218/720-6819

SEPTEMBER HOUSE

Ind

2140 WOODLAND AVENUE

DULUTH, MN 55803

(03775)

PHONE:

218/728-9065

FAX: 218/728-4815

SEPTEMBER HOUSE

Ind

2140 WOODLAND AVENUE

DULUTH, MN 55803

(30239)

PHONE:

218/728-9065

FAX: 218/728-4815

SMDC MEDICAL CENTER

NProf

502 EAST 2ND STREET

DULUTH, MN 55805

(00596)

PHONE:

218/786-2652

FAX: 218/786-5922

Certification

Registration

SAINT LOUIS

(Cont.)* --------------------------

COMP

HEATHER OPSAHL

JIM THARES

COMP

HANNAH HOLMES

SLFB-40

TINA SILVERNESS

COMP

PATRICE STENHAMMER

HHA

PATRICE STENHAMMER

COMP

MICHAEL LOWDEN

COMP

SUZANNE VEDDER

HHA

SUZANNE VEDDER

HOSP-165

BRADLEY BEARD

HOSP-121 PPS-R-44

HWSAL

HWS

Minnesota Department of Health

Health Regulation Division

Page

474

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

SOLVAY HOUSE

NProf

801 BAYLIS STREET

DULUTH, MN 55811

(25300)

PHONE:

218/529-3400

FAX: 218/529-3419

SPIRIT VALLEY ASSISTED LIVING

Lim-Liab

102 NORTH 58TH AVENUE WEST

DULUTH, MN 55807

(24120)

PHONE:

218/628-2705

FAX: 218/628-7225

SPIRIT VALLEY ASSISTED LIVING

Lim-Liab

102 NORTH 58TH AVENUE WEST

DULUTH, MN 55807

(30495)

PHONE:

218/628-2705

FAX: 218/628-7225

SPIRIT VALLEY ASSISTED LIVING II

Lim-Liab

101 NORTH 58TH AVENUE WEST

DULUTH, MN 55807

(24431)

PHONE:

218/628-2705

FAX: 218/628-7225

ST. ANN'S RESIDENCE

NProf

330 EAST 3RD STREET

DULUTH, MN 55805

(20183)

PHONE:

218/727-8831

FAX: 218/727-8833

ST. ANN'S RESIDENCE

NProf

330 EAST 3RD STREET

DULUTH, MN 55805

(30434)

PHONE:

218/727-8831

FAX: 218/727-8833

ST. LUKE'S HOME CARE

NProf

220 NORTH 6TH AVENUE EAST

DULUTH, MN 55805

(02150)

PHONE:

218/249-6111

FAX: 218/249-6166

ST. LUKE'S HOSPICE DULUTH

NProf

220 NORTH 6TH AVENUE EAST

DULUTH, MN 55805

(02753)

PHONE:

218/249-6111

FAX: 218/249-6166

ST. LUKES HOSPITAL

NProf

915 EAST 1ST STREET

DULUTH, MN 55805

(00599)

PHONE:

218/249-3003

FAX: 218/249-2472

ST. MARY'S MEDICAL CENTER

NProf

407 EAST 3RD STREET

DULUTH, MN 55805

(00600)

PHONE:

218/786-4000

FAX: 218/786-4888

Certification

Registration

SAINT LOUIS

(Cont.)* --------------------------

RES-HSPICE-12 18-HOSPICE-12

SANDRA LEE CARLSON

COMP

LINDSAY MERRITT

FRANK BELL

COMP

SCOTT JOHNSON

COMP HHA

ROBERTA LYNN NELSON

Hospice HSPICE

SUE HAMEL

HOSP-267 BASS-18 HOSP-248 PPS-R-19

KEVIN NOKELS

HOSP-380 BASS-46 HOSP-380

JANICE SCHADE

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

475

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

SUPERIOR VIEW APARTMENTS

NProf

1022 JUNCTION AVENUE

DULUTH, MN 55812

(24465)

PHONE:

651/645-7271

FAX: 651/645-0541

TBI RESIDENTIAL AND COMMUNITY

Corp

5799 LAVAQUE ROAD

DULUTH, MN 55803

(33758)

PHONE:

218/721-3298

FAX: 218/727-3535

TBI RESIDENTIAL AND COMMUNITY SERVICES INC

Corp

668 LEICESTER AVENUE

DULUTH, MN 55803

(33759)

PHONE:

218/724-4199

FAX: 218/727-3535

TBI RESIDENTIAL AND COMMUNITY SERVICES INC

Corp

114 S 20TH AVENUE WEST STE B

DULUTH, MN 55806

(33493)

PHONE:

218/733-1331

FAX: 218/733-0499

TENDER CARES LLC

Lim-Liab

1137 BRAINERD AVENUE

DULUTH, MN 55811

(34048)

PHONE:

218/348-7700

FAX: /-

THE NORTH SHORE ESTATES, LLC

Lim-Liab

7700 GRAND AVENUE

DULUTH, MN 55807

(00593)

PHONE:

218/628-2341

FAX: 218/628-0395

THUNDERBIRD/WREN HOUSE

NProf

9302 IDAHO STREET

DULUTH, MN 55808

(01358)

PHONE:

218/879-6731

FAX: 218/879-6734

TOUCHING HEARTS AT HOME

Lim-Liab

4812 JAY STREET

DULUTH, MN 55804

(25226)

PHONE:

218/724-4743

FAX: 218/722-0227

TWIN DIAMOND OPERATOR LLC

Lim-Liab

1411 LONDON ROAD

DULUTH, MN 55805

(24424)

PHONE:

732/837-4972

FAX: 732/837-4973

VICTOR'S PLACE

Lim-Liab

103 EAST NIAGARA STREET

DULUTH, MN 55811

(35548)

PHONE:

218/248-7700

FAX: 218/464-1285

Certification

Registration

SAINT LOUIS

(Cont.)* --------------------------

HWSAL-O

STEPHEN VANDER SCHAAF

HWS-O

BRENDA EHNES

HWS-O

BRENDA EHNES

COMP

MISS BRENDA EHNES

COMP

TERRI BJORKLUND

NH-70 SNF-NF-70

JUSTIN TEAL

SLFA-40

JAMES MALLERY II

Home Mgmt

CYNTHIA DEROCHE

COMP

SARA KLEINSCHMIDT

HWSAL-O

TERRI BJORKLUND

Minnesota Department of Health

Health Regulation Division

Page

476

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

VIEWCREST HEALTH CENTER

NProf

3111 CHURCH STREET

DULUTH, MN 55811

(00602)

PHONE:

218/727-8801

FAX: 218/727-6460

WESLEY RESIDENCE OF DULUTH

Corp

5601 GRAND AVENUE

DULUTH, MN 55807

(20151)

PHONE:

218/628-2307

FAX: 218/628-6301

WESLEY RESIDENCE OF DULUTH

Corp

5601 GRAND AVENUE

DULUTH, MN 55807

(30422)

PHONE:

218/628-2307

FAX: 218/628-6301

WESTWOOD OF DULUTH

NProf

925 KENWOOD AVENUE

DULUTH, MN 55811

(30831)

PHONE:

218/279-7692

FAX: 218/279-7630

WESTWOOD OF DULUTH

NProf

925 KENWOOD AVENUE

DULUTH, MN 55811

(20935)

PHONE:

218/522-8904

FAX: 218/723-6449

BOUNDARY WATERS CARE CENTER

NProf

200 WEST CONAN STREET

ELY, MN 55731

(00587)

PHONE:

218/365-8045

FAX: 218/365-8734

ELY - BLOOMENSON COMMUNITY HOSPITAL

NProf

200 WEST CONAN STREET

ELY, MN 55731

(00587)

PHONE:

218/365-8045

FAX: 218/365-8734

ELY - BLOOMENSON COMMUNITY HOSPITAL

NProf

328 WEST CONAN STREET

ELY, MN 55731

(28259)

PHONE:

218/365-8751

FAX: 218/365-8777

ELY CAREFREE LIVING

Lim-Liab

100 SOUTH 2ND AVENUE WEST

ELY, MN 55731

(25889)

PHONE:

218/365-2261

FAX: 218/365-2214

ELY CAREFREE LIVING

Lim-Liab

200 SOUTH 2ND AVENUE WEST

ELY, MN 55731

(25890)

PHONE:

218/365-2261

FAX: 218/365-2214

Certification

Registration

SAINT LOUIS

(Cont.)* --------------------------

NH-92

TARA ADKINS

COMP

MARIA RUNYAN

CEO BARBARA WESSBERG

COMP

BARBARA WESSBERG

NH-42

ADAM MASLOSKI

NH-42

ADAM MASLOSKI

HOSP-21

MICHAEL COYLE

MARILYN HANSON

SHAWN FRANKLIN

SNF-NF-92

HWSAL-O

HWSAL

SNF-NF-42

CAH-21

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

477

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

ELY CAREFREE LIVING

Lim-Liab

140 SOUTH 2ND AVENUE WEST

ELY, MN 55731

(25891)

PHONE:

218/365-2261

FAX: 218/365-2214

ESSENTIA HEALTH ELY CLINIC

Lim-Liab

300 WEST CONAN STREET

ELY, MN 55731

(33765)

PHONE:

218/365-7900

FAX: 218/365-7975

FMC DIALYSIS SERVICES EVELETH

Corp

233 MCKINLEY AVENUE

EVELETH, MN 55734

(02473)

PHONE:

218/744-3226

FAX: 218/744-3072

NEW JOURNEY RESIDENCE

Corp

303 HAT TRICK AVENUE

EVELETH, MN 55734

(03739)

PHONE:

218/744-5907

FAX: /-

NEW JOURNEY RESIDENCE LTD

Corp

303 HAT TRICK AVE

EVELETH, MN 55734

(20846)

PHONE:

218/744-5907

FAX: 218/744-2490

SPECTRUM HEALTH COMPANIES

Corp

2000 SIEGEL BOULEVARD

EVELETH, MN 55734

(31391)

PHONE:

218/741-3013

FAX: 218/741-1448

ST. RAPHAEL'S HEALTH & REHAB

NProf

601 GRANT AVENUE

EVELETH, MN 55734

(20198)

PHONE:

218/744-9800

FAX: 218/744-9829

ST. RAPHAEL'S HEALTH & REHABILITATION CENTER -

NProf

ASSISTED LIVING

601 GRANT AVENUE

EVELETH, MN 55734

(20198)

FAX: 218/744-9829

PHONE:

218/744-9800

THE WATERVIEW WODS LLC

Lim-Liab

601 GRANT AVENUE

EVELETH, MN 55734

(00583)

PHONE:

218/744-9800

FAX: 218/744-9829

THE WATERVIEW WOODS ASSISTED LIVING LLC

Lim-Liab

601 GRANT AVENUE

EVELETH, MN 55734

(30443)

PHONE:

218/744-9800

FAX: 218/744-9829

Certification

Registration

SAINT LOUIS

(Cont.)* --------------------------

HWSAL

MARILYN HANSON

RHC

LAURIE HALL

ESRD

AMY ALLEN

COMP

JESSICA RAAD

HWSAL

LYDIA NYGAARD

COMP

SHAWN FRANKLIN

COMP

LEESA GILMAN

COMP

LEESA GILMAN

NH-80 SNF-NF-80

CHERI HIGH

HWSAL

MCHAEL SCHULTZ

Minnesota Department of Health

Health Regulation Division

Page

478

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

RIVERVIEW MANOR

Part

328 11TH AVENUE EAST

FLOODWOOD, MN 55736

(23094)

PHONE:

218/476-2738

FAX: 218/721-2377

CARINGEDGE HEALTHCARE OF HERMANTOWN LLC

Lim-Liab

4195 WESTBERG ROAD

HERMANTOWN, MN 55811

PHONE:

218/216-7243

CARINGEDGE HOSPICE OF HERMANTOWN, LLC

4125 WESTBERG ROAD

HERMANTOWN, MN 55811

PHONE:

218/216-7243

EDGEWOOD HERMANTOWN I SENIOR LIVING LLC

4195 WESTBERG ROAD

HERMANTOWN, MN 55811

PHONE:

218/723-8905

EDGEWOOD HERMANTOWN I SENIOR LIVING LLC

4195 WESTBERG ROAD

HERMANTOWN, MN 55811

PHONE:

218/723-8905

EDGEWOOD HERMANTOWN I SENIOR LIVING, LLC

4175 WESTBERG ROAD

HERMANTOWN, MN 55811

PHONE:

218/723-8905

EDGEWOOD HERMANTOWN II SENIOR LIVING LLC

4125 WESTBERG ROAD

HERMANTOWN, MN 55811

PHONE:

218/723-8905

EDGEWOOD VISTA HERMANTOWN - ALF

4195 WESTBERG ROAD

HERMANTOWN, MN 55811

PHONE:

218/723-8905

GOLDEN OAKS OF HERMANTOWN

4067 REINKE ROAD

HERMANTOWN, MN 55811

PHONE:

218/729-5014

MOMENTS HOSPICE

4897 MILLER TRUNK HIGHWAY #220

HERMANTOWN, MN 55811

PHONE:

218/520-0870

(34442)

FAX: /-

Lim-Liab

(34210)

FAX: 218/740-4336

Lim-Liab

(20852)

FAX: 218/723-4051

Lim-Liab

(30824)

FAX: 218/723-4051

Lim-Liab

(20853)

FAX: 218/723-4051

Lim-Liab

(23990)

FAX: 218/723-4051

Lim-Liab

(20852)

FAX: 218/723-4051

Lim-Liab

(30424)

FAX: 844/886-9551

Lim-Liab

(35159)

FAX: 763/205-3600

Certification

Registration

SAINT LOUIS

(Cont.)* --------------------------

BRANDON EISENBEIS

COMP

BELINDA SAYLOR

Hospice HSPICE

BELINDA SAYLOR

COMP

LORI HANSON

COMP

LORI HANSON

JENNIFER DES LAURERS-KNOP

Hospice

SHLOMO MILLER

HWS

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

479

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

SAINT LOUIS

(Cont.)* --------------------------

ACCESS NORTH CENTER FOR INDEPENDENT LIVING

NProf

Home Mgmt

1309 EAST 40TH STREET

HIBBING, MN 55746

PHONE:

218/262-6675

ASPEN GROVE ALTERNATIVE SENIOR LIVING

522 ASPEN GROVE

HIBBING, MN 55746

PHONE:

218/263-7330

ASPEN GROVE ALTERNATIVE SENIOR LIVING

522 ASPEN GROVE

HIBBING, MN 55746

PHONE:

218/263-7330

CHERISHED - HOME MANAGEMENT

2506 EAST BELTLINE

HIBBING, MN 55746

PHONE:

218/263-9000

FRESENIUS MEDICAL CARE OF HIBBING

3899 HIGHWAY 73

HIBBING, MN 55746

PHONE:

218/263-7300

GREENVIEW NORTH

3520 EAST 7TH AVENUE

HIBBING, MN 55746

PHONE:

218/362-6680

GREENVIEW NORTH

3520 EAST 7TH AVE

HIBBING, MN 55746

PHONE:

218/362-6680

GREENVIEW SOUTH

3522 EAST 7TH AVENUE

HIBBING, MN 55746

PHONE:

218/362-6680

(29272)

FAX: 218/262-6677

DONALD BRUNNETTE

Ind

COMP

(27486)

FAX: /-

BRENDA GARGANO

Ind

HWSAL

(27487)

FAX: /-

BRENDA GARGANO

Lim-Liab

Home Mgmt

(27166)

FAX: 218/263-8336

KIMBERLY TYLER

Corp

ESRD

(02115)

FAX: /-

ANGIE HULBURT

NProf

COMP

(20403)

FAX: 218/362-6619

SHERRY BURG

NProf

HWSAL

(30624)

FAX: 218/362-6619

SHERRY BURG

NProf

HWSAL

(20092)

FAX: 218/362-6619

SHERRY BURG

GUARDIAN ANGELS HEALTH & REHABILITATION CENTER

NProf

1500 3RD AVENUE EAST

HIBBING, MN 55746

(00858)

PHONE:

218/263-7583

FAX: 218/263-3422

NH-90

SHANE ROCHE

SNF-NF-90

HEALTHLINE HOMECARE

1101 EAST 37TH STREET #27

HIBBING, MN 55746

PHONE:

218/262-6982

Lim-Liab

(02309)

FAX: 218/262-1723

COMP

SHERRY BURG

HHA

Minnesota Department of Health

Health Regulation Division

Page

480

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

HILLCREST ADAMS

Corp

2229 3RD AVENUE EAST

HIBBING, MN 55746

(20529)

PHONE:

218/263-4157

FAX: 218/263-9032

HILLCREST ALICE - NORTH

Corp

2314 2ND AVENUE EAST

HIBBING, MN 55746

(22146)

PHONE:

218/263-4157

FAX: 218/263-9032

HILLCREST ALICE - SOUTH

Corp

2314 2ND AVENUE EAST

HIBBING, MN 55746

(23553)

PHONE:

218/263-9220

FAX: 218/263-9580

HILLCREST OAKS

Corp

2413 1ST AVENUE

HIBBING, MN 55746

(28478)

PHONE:

218/263-4157

FAX: 218/263-4468

HILLCREST PARKSIDE NORTH

Corp

2313 3RD AVENUE EAST

HIBBING, MN 55746

(25376)

PHONE:

218/263-9220

FAX: 218/263-5750

HILLCREST PARKSIDE SOUTH

Corp

2313 3RD AVENUE EAST

HIBBING, MN 55746

(25375)

PHONE:

218/263-8402

FAX: 218/263-5750

HILLCREST SUITES

Corp

1520 EAST HIGHWAY 37

HIBBING, MN 55746

(24447)

PHONE:

218/263-3643

FAX: 218/263-5516

HILLCREST TERRACE OF HIBBING

Corp

1507 EAST 41ST STREET

HIBBING, MN 55746

(20200)

PHONE:

218/263-3641

FAX: 218/263-7556

NORTH STAR HOSPICE

ONProf

1101 EAST 37TH STREET #27

HIBBING, MN 55746

(03270)

PHONE:

218/262-6982

FAX: 218/262-1723

RANGE CENTER - ASPENWOOD HOME

NProf

1820 EAST 39TH STREET

HIBBING, MN 55746

(01629)

PHONE:

218/263-9079

FAX: 218/254-7343

Certification

Registration

SAINT LOUIS

(Cont.)* --------------------------

JIM FENA

CHRISTINE LESEMANN

JIM FENA

Hospice

SHERRY BURG

SLFB-6

NICOLE STEEL

HWSAL

HSPICE

ICFIID-6

Minnesota Department of Health

Health Regulation Division

Page

481

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

RANGE CENTER - MAPLEVIEW HOME

NProf

506 WEST 47TH STREET

HIBBING, MN 55746

(01315)

PHONE:

218/263-4573

FAX: 218/254-7343

RECOVER HEALTH

Corp

2900 EAST BELTLINE #1

HIBBING, MN 55746

(02376)

PHONE:

218/262-5887

FAX: 218/262-6228

UNIVERSITY MEDICAL CENTER - MESABI

NProf

750 EAST 34TH STREET

HIBBING, MN 55746

(00859)

PHONE:

218/362-6730

FAX: 218/362-6619

UNIVERSITY MEDICAL CENTER MESABI / MESABA CLINICS

NProf

750 EAST 34TH STREET

HIBBING, MN 55746

PHONE:

218/362-6730

HOYT LAKES CAREFREE LIVING LLC

421 KENNEDY MEMORIAL DRIVE

HOYT LAKES, MN 55750

PHONE:

218/306-6028

THE HUMMINGBIRD

7704 COLE AVENUE

MEADOWLANDS, MN 55765

PHONE:

218/427-2294

THE HUMMINGBIRD

7704 COLE AVENUE

MEADOWLANDS, MN 55765

PHONE:

218/427-2294

DIAMOND WILLOW OF MOUNTAIN IRON

8585 UNITY DRIVE

MOUNTAIN IRON, MN 55768

PHONE:

218/741-1450

DIAMOND WILLOW OF MOUNTAIN IRON 1

8583 UNITY DRIVE

MOUNTAIN IRON, MN 55768

PHONE:

218/741-1413

ORR CAREFREE LIVING INC

4576 LAKE STREET

ORR, MN 55771

PHONE:

218/757-3200

(00859)

FAX: 218/362-6619

Lim-Liab

(27970)

FAX: 218/306-6035

Corp

(26569)

FAX: 218/427-1015

Corp

(30728)

FAX: 218/427-1015

Lim-Liab

(24665)

FAX: 218/741-1453

Lim-Liab

(24664)

FAX: 218/741-1454

Corp

(30120)

FAX: 218/757-0060

Certification

Registration

SAINT LOUIS

(Cont.)* --------------------------

SLFB-6 ICFIID-6

NICOLE STEEL

COMP HHA

JENNIFER WEINREIS

HOSP-175 BASS-16 HOSP-175

PATRICK SHARP

HOSP-175 BASS-16 HOSP-175

PATRICK SHARP

HWSAL

SHAWN FRANKLIN

COMP

MICHAEL LINDGREN

HWSAL

JULIE LINDGREN

HWSAL

SARA KLEINSCHMIDT

HWSAL

SARA KLEINSCHMIDT

HWSAL

SHAWN FRANKLIN

Minnesota Department of Health

Health Regulation Division

Page

482

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

SAINT LOUIS

(Cont.)* --------------------------

DIAMOND WILLOW OF PROCTOR 1

Lim-Liab

HWSAL

913 OLD HIGHWAY 2

PROCTOR, MN 55810

(23609)

PHONE:

218/624-9771

FAX: 218/624-9772

SARA KLEINSCHMIDT

HWSAL

DIAMOND WILLOW OF PROCTOR 2

Lim-Liab

915 OLD HIGHWAY 2

PROCTOR, MN 55810

(30334)

PHONE:

218/628-3535

FAX: 218/628-7072

SARA KLEINSCHMIDT

HWSAL

DIAMOND WILLOW OF PROCTOR 3

Lim-Liab

919 OLD HIGHWAY 2

PROCTOR, MN 55810

(24121)

PHONE:

218/624-5102

FAX: 218/624-6028

SARA KLEINSCHMIDT

DIAMOND WILLOW OF PROCTOR 4

Lim-Liab

HWSAL

921 OLD HIGHWAY 2

PROCTOR, MN 55810

(24122)

PHONE:

218/624-5034

FAX: 218/624-5375

SARA KLEINSCHMIDT

HWSAL

DIAMOND WILLOW OF PROCTOR 5

Lim-Liab

923 OLD HIGHWAY 2

PROCTOR, MN 55810

(24123)

PHONE:

218/624-0363

FAX: 218/624-0295

SARA KLEINSCHMIDT

GOLDEN OAKS OF PROCTOR

Lim-Liab

HWSAL

23 WATERVIEW DRIVE

PROCTOR, MN 55810

(30617)

PHONE:

218/740-0404

FAX: 844/886-9550

JENNIFER DESLAURIERS-KNOP

LIFESTONE HEALTH CARE INC

Corp

COMP

319 7TH STREET

PROCTOR, MN 55810

(29862)

PHONE:

218/481-7306

FAX: 218/481-7309

CHIAMAKA ENEMUOH

LIFESTONE HEALTH CARE, INC.

Corp

HWSAL

319 7TH STREET

PROCTOR, MN 55810

(32149)

PHONE:

218/481-7306

FAX: 218/481-7309

CHIAMAKA ENEMUOH

COMP

GOLDEN HORIZONS

Lim-Liab

1232 BIRCH STREET NORTH

TOWER, MN 55790

(24173)

PHONE:

218/753-7788

FAX: 218/753-7792

PAULA ROCHELEAU

VERMILION SENIOR LIVING

Lim-Liab

COMP

1232 BIRCH STREET NORTH

TOWER, MN 55790

(24173)

PHONE:

218/753-7788

FAX: 218/753-7792

PAULA ROCHELEAU

Minnesota Department of Health

Health Regulation Division

Page

483

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

CHESTNUT GROVE EAST

1204 WEST CHESTNUT STREET

VIRGINIA, MN 55792

PHONE:

218/749-6846

CHESTNUT GROVE NORTH

1204 WEST CHESTNUT STREET

VIRGINIA, MN 55792

PHONE:

218/749-6846

DONOVAN FRANK DETOXIFICATION CENTER

626 13TH STREET SOUTH

VIRGINIA, MN 55792

PHONE:

218/749-2881

EDGEWOOD VIRGINIA I SENIOR LIVING LLC

605 17TH STREET NORTH

VIRGINIA, MN 55792

PHONE:

218/741-7106

EDGEWOOD VIRGINIA I SENIOR LIVING LLC

705 17TH STREET NORTH

VIRGINIA, MN 55792

PHONE:

218/741-7106

EDGEWOOD VIRGINIA I SENIOR LIVING, LLC

705 17TH STREET NORTH

VIRGINIA, MN 55792

PHONE:

218/741-7106

EDGEWOOD VISTA VIRGINIA - ALF

705 17TH STREET NORTH

VIRGINIA, MN 55792

PHONE:

218/741-7106

ESSENTIA HEALTH VIRGINIA

901 9TH STREET NORTH

VIRGINIA, MN 55792

PHONE:

218/741-3340

ESSENTIA HEALTH VIRGINIA CARE CENTER

901 9TH STREET NORTH

VIRGINIA, MN 55792

PHONE:

218/741-3340

IRON RANGE REHAB CENTER

901 NORTH 9TH STREET #100

VIRGINIA, MN 55792

PHONE:

218/749-9405

Corp

(21899)

FAX: 218/749-6846

Corp

(20288)

FAX: 218/749-6846

NProf

(20624)

FAX: 218/749-3806

Lim-Liab

(21354)

FAX: 218/749-3390

Lim-Liab

(30738)

FAX: 218/749-3390

Lim-Liab

(21353)

FAX: 218/749-3390

Lim-Liab

(21353)

FAX: 218/749-3390

ONProf

(00603)

FAX: 218/749-9427

ONProf

(00603)

FAX: 218/749-9427

NProf

(02091)

FAX: 218/749-9407

Certification

Registration

SAINT LOUIS

(Cont.)* --------------------------

HWSAL

CHRISTINE LESEMANN

HWSAL

JIM FENA

SLFA-16 SLFB-14

JANIS ALLEN

HWSAL

LINDSEY CHRISTENSON

HWSAL

LINDSEY CHRISTENSON

COMP

LINDSEY CHRISTENSON

COMP

LINDSEY CHRISTENSON

HOSP-83 BASS-6 NH-77 HOSP-83 PPS-R- SNF-NF-77

SAMUEL STONE

HOSP-83 BASS-6 NH-77 HOSP-83 PPS-R- SNF-NF-77

SAMUEL STONE

Out Pt Out St Out Ot

JOAN JEANETTA

Minnesota Department of Health

Health Regulation Division

Page

484

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

LAKEVIEW RESIDENCE

Corp

201 NORTH 6TH AVENUE

VIRGINIA, MN 55792

(33802)

PHONE:

218/741-8996

FAX: 218/742-3231

LAKEVIEW RESIDENCE

Corp

201 NORTH 6TH AVENUE

VIRGINIA, MN 55792

(33960)

PHONE:

218/741-8996

FAX: 218/742-3231

MERRITT HOUSE

NProf

731 3RD STREET SOUTH

VIRGINIA, MN 55792

(20793)

PHONE:

218/749-2881

FAX: 218/749-3806

NORTHWOODS SURGERY CENTER, LLC

Lim-Liab

502 NORTH 6TH AVENUE WEST

VIRGINIA, MN 55792

(29820)

PHONE:

218/471-1220

FAX: 218/471-1230

ST. LOUIS COUNTY BOARD OF COMMISSIONERS

Cnty

307 1ST STREET SOUTH

VIRGINIA, MN 55792

(02019)

PHONE:

218/726-2000

FAX: 218/726-5186

ST. LOUIS COUNTY PUBLIC HEALTH & HUMAN SERVICES

Cnty

307 1ST STREET SOUTH

VIRGINIA, MN 55792

(02019)

PHONE: 218/726-2000

FAX: 218/726-5186

THE WATERVIEW PINES LLC

Lim-Liab

1201 8TH STREET SOUTH

VIRGINIA, MN 55792

(00582)

PHONE: 218/748-7800

FAX: 218/748-7890

VIRGINIA CAREFREE LIVING

Lim-Liab

421 10TH STREET SOUTH

VIRGINIA, MN 55792

(33023)

PHONE:

218/248-8626

FAX: 218/248-8632

VIRGINIA REGIONAL MEDICAL CENTER

ONProf

901 9TH STREET NORTH

VIRGINIA, MN 55792

(00603)

PHONE:

218/741-3340

FAX: 218/749-9427

---------------------------**********

Certification

Registration

SAINT LOUIS

(Cont.)* --------------------------

COMP

KRISTEN WOLF

HWSAL

KRISTEN WOLF

SLFA-16

JANIS ALLEN

Outpt Surg Amb Surg

KATE GRIBBLE

Home Mgmt

HOLLY CHURCH

Home Mgmt

HOLLY CHURCH

NH-83 SNF-NF-83

KATIE COLLINS

HWSAL

SHAWN FRANKLIN

HOSP-83 BASS-6 NH-77 HOSP-83 PPS-R- SNF-NF-77

SAMUEL STONE

SCOTT

******** --------------------------

Minnesota Department of Health

Health Regulation Division

Page

485

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

KINGSWAY HOME CARE

Lim-Liab

815 WEST MAIN STREET

BELLE PLAINE, MN 56011

(26037)

PHONE:

952/873-5900

FAX: 952/873-5901

KINGSWAY RETIREMENT LIVING

Lim-Liab

815 WEST MAIN STREET

BELLE PLAINE, MN 56011

(26037)

PHONE:

952/873-5900

FAX: 952/873-5901

KINGSWAY RETIREMENT LIVING

Lim-Liab

815 WEST MAIN STREET

BELLE PLAINE, MN 56011

(30661)

PHONE:

952/873-5900

FAX: 952/873-5901

THE LUTHERAN HOME - HOPE RESIDENCE

Church

611 WEST MAIN STREET

BELLE PLAINE, MN 56011

(01682)

PHONE:

952/873-2143

FAX: 952/873-2184

THE LUTHERAN HOME: BELLE PLAINE

Lim-Liab

611 WEST MAIN STREET

BELLE PLAINE, MN 56011

(00605)

PHONE:

952/873-2100

FAX: 952/873-6111

HOSPICE HOMES AND SUITES

Corp

27890 NATCHEZ AVENUE

ELKO, MN 55020

(21486)

PHONE:

952/222-3395

FAX: 612/524-5494

THE LODGE ON NATCHEZ

Corp

27890 NATCHEZ AVENUE

ELKO, MN 55020

(21486)

PHONE:

952/222-3395

FAX: 612/524-5494

THE LODGE ON NATCHEZ

Corp

27890 NATCHEZ AVE

ELKO NEW MARKET, MN 55020

(30764)

PHONE:

612/200-0901

FAX: 952/487-3607

OAK TERR SR HOUSING OF JORDAN

Lim-Liab

622 ABERDEEN AVENUE

JORDAN, MN 55352

(28511)

PHONE:

952/492-5559

FAX: 952/492-4621

OAK TERRACE SENIOR HOUSING OF JORDAN

Lim-Liab

622 ABERDEEN AVENUE

JORDAN, MN 55352

(28513)

PHONE:

952/492-5559

FAX: 952/492-4621

Certification

Registration

SCOTT

(Cont.)* --------------------------

COMP

JACQUELINE GRIMM

COMP

JACQUELINE GRIMM

SLFB-52

DEBRA WILBRIGHT

NH-97

JACQUELINE GRIMM

COMP

MICHAEL CROW

COMP

MICHAEL CROW

HEATHER HEIJERMAN

COMP

DENNIS HOOD

DREW HOOD

HWSAL

ICFIID-52

SNF-NF-97

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

486

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

SCOTT

(Cont.)* --------------------------

VALLEYVIEW OF JORDAN, LLC

Lim-Liab

COMP

4061 WEST 173RD STREET

JORDAN, MN 55352

(20964)

PHONE:

952/492-6160

FAX: 952/492-6860

ALAINA GAST

VALLEYVIEW OF JORDAN, LLC

Lim-Liab

HWSAL

4061 WEST 173RD STREET

JORDAN, MN 55352

(30835)

PHONE:

952/492-6160

FAX: 952/492-6860

ALAINA GAST

LIBERTY HOME CARE LLC

Lim-Liab

TCOMP

22100 PENN AVENUE

LAKEVILLE, MN 55044

(35389)

PHONE:

952/469-5309

FAX: /-

KATHRINE GROSS

MALA STRANA ASSISTED LIVING

Lim-Liab

HWSAL

999 COLUMBUS AVENUE NORTH

NEW PRAGUE, MN 56071

(30219)

PHONE:

952/758-2511

FAX: /-

LEESA GILMAN

MALA STRANA ASSISTED LIVING

Lim-Liab

COMP

999 COLUMBUS AVENUE NORTH

NEW PRAGUE, MN 56071

(21822)

PHONE:

952/758-2511

FAX: 952/758-0171

LEESA GILMAN

MALA STRANA CARE & REHABILITATION CENTER

Corp

NH-84 SNF-NF-84

1001 COLUMBUS AVENUE NORTH

NEW PRAGUE, MN 56071

(00811)

PHONE:

952/758-2511

FAX: 952/758-2514

LYDIA RASMUSSEN

MAYO CLINIC HEALTH SYSTEM - NEW PRAGUE

NProf

HOSP-49 BASS-6 CAH-25

301 2ND STREET NE

NEW PRAGUE, MN 56071

(00607)

PHONE:

952/758-4431

FAX: 952/758-2166

KIRBY JOHNSON

3CARE HEALTH LLC

Lim-Liab

TCOMP

14413 BROOKMERE BOULEVARD NW

PRIOR LAKE, MN 55372

(35584)

PHONE:

952/513-8775

FAX: 844/644-1200

EDWIN MIGIRO

COMMUNITY ASSISTED LIVING, INC.

Corp

COMP

16670 FRANKLIN TRAIL SE #120A

PRIOR LAKE, MN 55372

(20823)

PHONE:

952/440-3955

FAX: 952/440-3956

DONNA NOVAK

COMMUNITY HOME HEALTH, INC.

Corp

COMP HHA

16670 FRANKLIN TRAIL SE #120A

PRIOR LAKE, MN 55372

(03422)

PHONE:

952/440-3955

FAX: 952/440-3956

BARBARA CEBALLOS

Minnesota Department of Health

Health Regulation Division

Page

487

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

---------------------------**********

SCOTT

(Cont.)*

CREEKRIDGE CONCIERGE

Corp

3288 GRIGGS STREET SW

PRIOR LAKE, MN 55372

(27010)

PHONE:

651/260-6024

FAX: 952/403-6377

HOLLY FELLOWS

GOLDEN HEART SENIOR CARE SCOTT COUNTY

Lim-Liab

COMP

7125 LONGVIEW LANE

PRIOR LAKE, MN 55372

(32363)

PHONE:

612/207-6325

FAX: 952/447-1160

JIM MUELKEN

KEYSTONE COMMUNITIES OF PRIOR LAKE

Lim-Liab

4685 PARK NICOLLET AVENUE

PRIOR LAKE, MN 55372

(22094)

PHONE:

952/226-9200

FAX: 952/226-9201

BETH LANDERS

MCKENNA CROSSING

NProf

13810 SHEPHERDS PATH NW

PRIOR LAKE, MN 55379

(25285)

PHONE:

952/230-3300

FAX: 952/230-3301

MELISSA KIRCHHOFF

MCKENNA CROSSING

NProf

COMP

13810 SHEPHERDS PATH NW

PRIOR LAKE, MN 55379

(29091)

PHONE:

952/230-3300

FAX: 952/230-3301

NATALIE MORLAND

NEW PERSPECTIVE - PRIOR LAKE

Lim-Liab

4685 PARK NICOLLET AVENUE

PRIOR LAKE, MN 55372

(22094)

PHONE:

952/226-9200

FAX: 952/226-9201

BETH LANDERS

NEW PERSPECTIVE - PRIOR LAKE

Lim-Liab

COMP

4685 PARK NICOLLET AVENUE

PRIOR LAKE, MN 55372

(29561)

PHONE:

952/226-9200

FAX: 952/226-9201

BRIDGET BITTNER

TOUCHING LIVES COMMUNITIES

Corp

5554 WOODSIDE ROAD SE

PRIOR LAKE, MN 55372

(35849)

PHONE:

612/810-9796

FAX: 952/465-0556

DEBORAH DELANEY

2CARE4U SOUTH LLC

Lim-Liab

TCOMP

6001 EGAN DRIVE #150

SAVAGE, MN 55278

(34451)

PHONE:

952/693-0545

FAX: /-

AMY MCALISTER

ALLIANCE ASSISTED LIVING INC

Corp

TCOMP

4204 WEST 141ST STREET

SAVAGE, MN 55378

(35801)

PHONE:

763/742-7284

FAX: /-

ABDIRAHMAN SHARIFF

Registration

--------------------------

Home Mgmt

HWSAL

HWS

Minnesota Department of Health

Health Regulation Division

Page

488

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

GOLDEN HEART SENIOR CARE

Lim-Liab

6001 EGAN DRIVE #160

SAVAGE, MN 55378

(31318)

PHONE:

866/683-5103

FAX: /-

LIVING HOPE COTTAGES SAVAGE

Lim-Liab

5781 MCCOLL DRIVE

SAVAGE, MN 55378

(35850)

PHONE:

651/340-9387

FAX: 651/793-9380

RIVERS OF LIFE

Part

6700 EGAN DRIVE

SAVAGE, MN 55378

(35978)

PHONE:

952/380-8698

FAX: 866/458-5911

SAVAGE SENIOR LIVING

Lim-Liab

5950 WEST 130TH LANE

SAVAGE, MN 55378

(31696)

PHONE:

952/808-8725

FAX: 952/808-5164

SCOTT COUNTY DIALYSIS

Corp

7456 SOUTH PARK DRIVE

SAVAGE, MN 55378

(24585)

PHONE:

952/226-4766

FAX: /-

THE SENIORS' FRIEND, LLC

Lim-Liab

15205 SPRING BROOK TERRACE

SAVAGE, MN 55378

(27353)

PHONE:

952/388-9240

FAX: /-

TOUCHING LIVES ADULT DAY SERVICES

Lim-Liab

4833 WEST 123RD STREET

SAVAGE, MN 55378

(25260)

PHONE:

952/465-0555

FAX: 952/465-0556

TOUCHING LIVES COMMUNITIES LLC

Lim-Liab

14280 ALLEN DRIVE

SAVAGE, MN 55378

(32626)

PHONE:

952/855-4341

FAX: 952/297-1163

ALL SAINTS SENIOR LIVING OF SHAKOPEE, LLC

Lim-Liab

1880 INDEPENDENCE DRIVE

SHAKOPEE, MN 55379

(29576)

PHONE:

952/233-7351

FAX: 952/233-8150

AUGUSTANA EMERALD CREST OF SHAKOPEE

NProf

1855 10TH AVENUE WEST

SHAKOPEE, MN 55379

(21389)

PHONE:

952/856-7522

FAX: 952/856-7527

Certification

Registration

SCOTT

(Cont.)* --------------------------

COMP

BRYAN PETERSON

AARON OSGOOD

ANNE REYNOLDS

ERIN HILLIGAN

KATHY WOLFE

BASIC

BRENDA RODGERS

COMP

DEBORAH DELANEY

MEGHAN EAKINS

JULIANNE FRIES

HWSAL

ESRD

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

489

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

AUGUSTANA EMERALD CREST SHAKOP

1855 10TH AVENUE WEST

SHAKOPEE, MN 55379

PHONE:

952/233-8811

COMMUNITY ASSISTED LIVING, INC

1205 6TH AVENUE WEST

SHAKOPEE, MN 55379

PHONE:

952/403-5163

COMMUNITY ASSISTED LIVING, INC

915 FULLER STREET

SHAKOPEE, MN 55379

PHONE:

952/445-8708

DAMACARE HEALTH SERVICES LLC

1359 KNOLL DRIVE

SHAKOPEE, MN 55379

PHONE:

651/354-6602

DELPHI

1411 EAST SHAKOPEE AVENUE

SHAKOPEE, MN 55379

PHONE:

651/772-4957

FMCNA SHAKOPEE DIALYSIS CENTER

1515 ST. FRANCIS AVENUE #150

SHAKOPEE, MN 55374

PHONE:

952/403-1038

SCOTT COUNTY

1615 WESTON COURT

SHAKOPEE, MN 55379

PHONE:

952/496-8555

SHAKOPEE FRIENDSHIP MANOR

1340 3RD AVENUE WEST

SHAKOPEE, MN 55379

PHONE:

952/445-4155

ST. FRANCIS REGIONAL MEDICAL CENTER

1455 ST. FRANCIS AVENUE

SHAKOPEE, MN 55379

PHONE:

952/428-3000

NProf

(29327)

FAX: 952/233-8855

Corp

(21887)

FAX: 952/403-0261

Corp

(22164)

FAX: 952/403-0261

Lim-Liab

(31329)

FAX: 651/571-0018

Corp

(01228)

FAX: 651/772-2746

Corp

(03935)

FAX: 952/403-1054

Cnty

(31790)

FAX: 952/496-8072

Corp

(00820)

FAX: 952/746-5331

NProf

(00458)

FAX: 952/428-3820

Certification

Registration

SCOTT

(Cont.)* --------------------------

COMP

JULIANNE FRIES

HWSAL

DONNA NOVAK

HWSAL

DONNA NOVAK

COMP

DAVID OGATO

SLFA-9 ICFIID-9

BLAKE ELLIOTT

ESRD

DANIELLE MEULENERS

MOBHES

LISA BRODSKY

NH-80 SNF-NF-80

BRUCE SALMELA

HOSP-93 BASS-18 HOSP-93

AMY JERDEE

ST. GERTRUDES HEALTH & REHABILITATION CENTER

Church

NH-105 SNF-NF-105

1850 SARAZIN STREET

SHAKOPEE, MN 55379

(00459)

PHONE:

952/233-4400

FAX: 952/233-4476

MEGAN DIAMOND

Minnesota Department of Health

Health Regulation Division

Page

490

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

SYNERGYCARE LLC

Lim-Liab

1486 ROUNDS HOUSE CIRCLE

SHAKOPEE, MN 55379

(35539)

PHONE:

612/805-1118

FAX: /-

TEALWOOD MANAGEMENT LLC

Lim-Liab

1880 INDEPENDENCE DRIVE

SHAKOPEE, MN 55379

(29508)

PHONE:

952/233-7351

FAX: 952/233-8150

THE GARDENS AT ST GERTRUDES

NProf

1850 SARAZIN STREET

SHAKOPEE, MN 55379

(30475)

PHONE:

952/233-4400

FAX: /-

THE GARDENS AT ST GERTRUDES

NProf

1850 SARAZIN STREET

SHAKOPEE, MN 55379

(23871)

PHONE:

952/233-4400

FAX: 952/233-4476

TRUSTED HOME CARE LLC

Lim-Liab

911 1ST AVENUE EAST

SHAKOPEE, MN 55379

(27121)

PHONE:

952/378-1592

FAX: 952/378-2878

UNIVERSAL HEALTH SERVICES LLC

Lim-Liab

1359 KNOLL DRIVE

SHAKOPEE, MN 55379

(34308)

PHONE: 612/751-0854

FAX: 612/213-2311

UNIVERSAL HEALTH SERVICES LLC

Lim-Liab

1359 KNOLL DRIVE

SHAKOPEE, MN 55379

(35207)

PHONE: 763/843-1255

FAX: 651/571-0018

---------------------------**********

SHEPHERD OF GRACE LLC

Lim-Liab

11175 27TH AVENUE SE

BECKER, MN 55308

(24881)

PHONE:

763/262-8000

FAX: 763/262-8001

CENTRACARE KIDNEY PROGRAM - BIG LAKE DIALYSIS

NProf

16830 198TH AVENUE NW

BIG LAKE, MN 55309

(03880)

PHONE:

763/263-7300

FAX: 763/263-7334

Certification

SCOTT

(Cont.)*

OKECHUKWA NNAJI

COMP

MEGHAN EAKINS

MEGAN DIAMOND

COMP

ALEX WANGEN

COMP

CHARLES WELTER

COMP

MELLEN SUTTON

SHERBURNE

********

MICHAEL STORDAHL

ESRD

MARSHA KWALLEK

Registration

--------------------------

HWS-O

HWSAL

HWSAL-O

--------------------------

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

491

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

CHERRYWOOD OF BIG LAKE 171

Lim-Liab

171 HENRY ROAD

BIG LAKE, MN 55309

(28114)

PHONE:

763/202-0308

FAX: 763/262-0381

CHERRYWOOD OF BIG LAKE 177

Lim-Liab

177 HENRY ROAD

BIG LAKE, MN 55309

(28113)

PHONE:

763/262-0308

FAX: 763/262-0381

KELLER LAKE COMMONS

Lim-Liab

655 NORWOOD LANE

BIG LAKE, MN 55309

(34175)

PHONE:

763/263-2363

FAX: /-

LIVING WELL - POWELL

NProf

150 POWELL CIRCLE WEST

BIG LAKE, MN 55309

(01411)

PHONE:

763/263-6503

FAX: 763/263-7052

SOURIYATHAY HOUSING WITH SERVICES

Lim-Liab

18693 TRAVERSE LANE

BIG LAKE, MN 55309

(35549)

PHONE:

612/368-1236

FAX: 763/269-7516

LANGE BOARD AND ROOM INC

Corp

13892 37TH STREET

CLEAR LAKE, MN 55319

(33454)

PHONE:

763/662-2836

FAX: 763/662-2317

LANGE BOARD AND ROOM INC

Corp

13892 37TH STREET

CLEAR LAKE, MN 55319

(33606)

PHONE:

763/662-2836

FAX: 763/662-2317

LANGE BOARD AND ROOM INC

Corp

13896 37TH STREET

CLEAR LAKE, MN 55319

(33607)

PHONE:

763/662-2836

FAX: 763/662-2317

BEE HIVE HOMES

Lim-Liab

14282 BUSINESS CENTER DRIVE NW

ELK RIVER, MN 55330

(33245)

PHONE:

763/241-0630

FAX: 763/241-0630

BEE HIVE HOMES

Lim-Liab

14282 BUSINESS CENTER DRIVE NW

ELK RIVER, MN 55330

(33602)

PHONE:

763/595-1251

FAX: 763/241-0630

Certification

Registration

SHERBURNE

(Cont.)* --------------------------

WENDY HULSEBUS

TYLER PETRICH

SLFB- ICFIID-6

JULIE MANWORREN

PHINHSAYKEO SOURIYATHAY

COMP

KAREN COX

SUSAN PETERSON

COMP

MARILYN VAN PATTEN

HWSAL

HWS

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

492

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

CENTRAL MINNESOTA REGIONAL DIALYSIS

Corp

17315 ZANE STREET

ELK RIVER, MN 55330

(21096)

PHONE:

763/241-6832

FAX: 763/441-3905

CINDY'S PLACE LLC

Lim-Liab

13060 180TH COURT NW

ELK RIVER, MN 55330

(33051)

PHONE:

763/267-7427

FAX: 763/267-7655

ELK RIVER SENIOR CARE LLC

Lim-Liab

11124 183RD CIRCLE NW

ELK RIVER, MN 55330

(34233)

PHONE:

763/202-5037

FAX: /-

ELK RIVER SENIOR LIVING

Lim-Liab

11124 183RD CIRCLE NW

ELK RIVER, MN 55330

(34079)

PHONE:

763/276-7076

FAX: 763/441-7551

GABBY CARE HOMES LLC

Lim-Liab

18594 TYLER STREET NW

ELK RIVER, MN 55330

(33783)

PHONE:

612/481-3138

FAX: /-

GUARDIAN ANGELS - ELIM HOME CARE, INC.

NProf

403 MAIN STREET

ELK RIVER, MN 55330

(02670)

PHONE:

763/241-0654

FAX: 763/241-0274

GUARDIAN ANGELS BY THE LAKE

NProf

13439 185TH LANE NW

ELK RIVER, MN 55330

(21673)

PHONE:

763/241-7682

FAX: 763/274-1349

GUARDIAN ANGELS BY THE LAKE

NProf

13439 185TH LANE NW

ELK RIVER, MN 55330

(30818)

PHONE:

763/241-7682

FAX: 763/274-1349

GUARDIAN ANGELS CARE CENTER

Church

400 EVANS AVENUE

ELK RIVER, MN 55330

(00611)

PHONE:

763/441-1213

FAX: 763/241-4444

GUARDIAN ANGELS ELIM HOSPICE

NProf

403 MAIN STREET

ELK RIVER, MN 55330

(23764)

PHONE:

763/241-0654

FAX: 763/241-0274

Certification

Registration

SHERBURNE

(Cont.)* --------------------------

ESRD

SUSAN STIENE

CYNTHIA KERRICK

COMP

ANGELA BANTLE

KYLIE LARSON

COMP

SAMUEL OBWAYA

COMP

ANDREA JUNG

COMP

RICK HUNTINGTON

HHA

RICK HUNTINGTON

NH-120

DEAN MCDEVITT

Hospice

ANDREA JUNG

SNF-NF-120

HSPICE

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

493

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

KINDRED CARES

Lim-Liab

11143 190 1/2 AVENUE NW

ELK RIVER, MN 55330

(32866)

PHONE:

763/441-1866

FAX: 888/526-1811

MIKES PLACE LLC

Lim-Liab

11143 190 1/2 AVENUE NW

ELK RIVER, MN 55330

(33996)

PHONE:

763/441-1866

FAX: 763/267-7655

OAK HOUSE LLC

Lim-Liab

10038 215TH AVENUE NW

ELK RIVER, MN 55330

(32155)

PHONE:

763/355-9204

FAX: 267/350-9164

RIDGEWOOD MANOR LLC

Lim-Liab

10038 215TH AVENUE NW

ELK RIVER, MN 55330

(31892)

PHONE:

763/355-9204

FAX: 267/350-9164

THE LAKE COTTAGE

Lim-Liab

18660 SIMONET DRIVE

ELK RIVER, MN 55330

(33926)

PHONE:

763/712-8363

FAX: 763/323-4811

FAIRVIEW NORTHLAND REGIONAL HOSPITAL

NProf

911 NORTHLAND DRIVE

PRINCETON, MN 55371

(00408)

PHONE:

763/389-6481

FAX: 763/389-6306

BENEDICT COURT

Church

1980 15TH AVENUE SE

ST. CLOUD, MN 56304

(20145)

PHONE:

320/252-0010

FAX: 320/200-3261

BENEDICT HOMES

Church

1340 MINNESOTA BOULEVARD SE

ST. CLOUD, MN 56304

(20286)

PHONE:

320/252-0010

FAX: 320/229-8309

NATURE'S POINT ASSISTED LIVING

Lim-Liab

1717 UNIVERSITY DRIVE SE

ST. CLOUD, MN 56304

(21937)

PHONE:

320/258-7027

FAX: 320/251-1122

NATURE'S POINT ASSISTED LIVING

Lim-Liab

1717 UNIVERSITY DRIVE SE

ST. CLOUD, MN 56304

(20550)

PHONE:

320/251-9120

FAX: 320/251-4336

Certification

Registration

SHERBURNE

(Cont.)* --------------------------

COMP

CYNTHIA KERRICK

GREGORY PETERSEN

COMP

GREGORY PETERSEN

JACOB NELSON

HOSP-54 BASS-10

LIA CHRISTIANSEN

JESSALYN MIDDENDORF

SARA CHMIELEWSKI

COMP

SARAH STRASSBURG

HWSAL-O

HWSAL

HOSP-54

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

494

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

ST. BENEDICT'S SENIOR COMMUNITY

Church

1810 MINNESOTA BOULEVARD SE

ST. CLOUD, MN 56304

(00774)

PHONE:

320/252-0010

FAX: 320/654-2351

ST. BENEDICTS SENIOR COMMUNITY

Church

1810 MINNESOTA BOULEVARD SE

ST. CLOUD, MN 56304

(20711)

PHONE:

320/252-0010

FAX: 320/654-2351

ST. SCHOLASTICA CONVENT

Church

1845 20TH AVENUE SE

ST. CLOUD, MN 56304

(23095)

PHONE:

320/251-2225

FAX: 320/251-1455

ST. SCHOLASTICA CONVENT

Church

1845 20TH AVENUE SE

ST. CLOUD, MN 56304

(30303)

PHONE:

320/251-2225

FAX: 320/251-1455

TALAHI NURSING & REHAB CENTER

Lim-Liab

1717 UNIVERSITY DRIVE SE

ST. CLOUD, MN 56304

(00614)

PHONE:

320/251-9120

FAX: 320/251-4336

TALAHI RESIDENTIAL SERVICES

Lim-Liab

1717 UNIVERSITY DRIVE SE

ST. CLOUD, MN 56304

(20550)

PHONE: 320/251-9120

FAX: 320/251-4336

THE SANCTUARY AT ST. CLOUD

Part

2410 20TH AVENUE SE

ST. CLOUD, MN 56304

(33613)

PHONE: 320/252-6325

FAX: 320/252-2276

COMPASSIONATE HOME CARE

Corp

12950 FREMONT AVENUE #102

ZIMMERMAN, MN 55398

(32519)

PHONE:

763/238-5215

FAX: /-

WILLOW HOUSE LLC

Lim-Liab

25611 110TH STREET NW

ZIMMERMAN, MN 55398

(34968)

PHONE:

763/607-6874

FAX: 267/350-9164

Certification

Registration

SHERBURNE

(Cont.)* --------------------------

NH-174 SNF-2 SNF-NF-172

SUSAN KRATZKE

COMP

SUSAN KRATZKE

COMP

SR. ARDELLA KVAMME

HWSAL

SR. ARDELLA KVAMME

NH-77 SNF-NF-77

SARA CHMIELEWSKI

COMP

SARAH STRASSBURG

HWSAL

ERIN HILLIGAN

COMP

JAN NICODEMUS

HWS-O

GREG PETERSEN

SIBLEY

---------------------------**********

******** --------------------------

Minnesota Department of Health

Health Regulation Division

Page

495

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

GOLDEN HEARTS, INC.

602 MARION DRIVE

ARLINGTON, MN 55307

PHONE:

507/964-2111

GOLDEN HEARTS, INC.

602 MARION DRIVE

ARLINGTON, MN 55307

PHONE:

507/964-2111

GOOD SAMARITAN SOCIETY - ARLINGTON

411 7TH AVENUE NW

ARLINGTON, MN 55307

PHONE:

507/964-2251

GOOD SAMARITAN SOCIETY - FAIRVIEW

409 7TH AVENUE NW

ARLINGTON, MN 55307

PHONE:

507/964-5156

GOOD SAMARITAN SOCIETY - FAIRVIEW

409 7TH AVENUE NW

ARLINGTON, MN 55307

PHONE:

507/964-5156

HIGH ISLAND CREEK RESIDENCE

708 CHESTNUT DRIVE

ARLINGTON, MN 55307

PHONE:

507/964-5984

RIDGEVIEW ARLINGTON CLINIC

607 WEST CHANDLER

ARLINGTON, MN 55307

PHONE:

507/964-2285

RIDGEVIEW SIBLEY MEDICAL CENTER

601 WEST CHANDLER

ARLINGTON, MN 55307

PHONE:

507/964-8415

SOUTH HOUSE

22646 383RD AVENUE

ARLINGTON, MN 55307

PHONE:

651/431-5886

GAYLORD LAKEVIEW HOME

640 3RD STREET

GAYLORD, MN 55334

PHONE:

507/237-2911

Corp

(20902)

FAX: 507/964-5165

Corp

(30828)

FAX: 507/964-5165

NProf

(00617)

FAX: 507/964-2255

NProf

(25120)

FAX: 507/964-2255

NProf

(30635)

FAX: 507/964-2255

NProf

(01313)

FAX: 507/964-5661

NProf

(22177)

FAX: /-

NProf

(00618)

FAX: 952/442-6543

State

(33422)

FAX: 651/431-7404

Lim-Liab

(00619)

FAX: 507/237-5744

Certification

Registration

SIBLEY

(Cont.)* --------------------------

COMP

MOLLY KICKER

HWSAL

LAURA KICKER

NH-27 SNF-NF-27

GRANT NERISON

COMP

GRANT NERISON

HWSAL

SANDRA CHAPLIN

SLFA-13 ICFIID-13

SUSAN BIENFANG

RHC

JOHN VENER

HOSP-20 CAH-20

MIKE PHELPS

HWS-O

DAVID BORNUS

NH-42 SNF-NF-42

DEBORAH BARNES

Minnesota Department of Health

Health Regulation Division

Page

496

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

OAK TERRACE GAYLORD, LLC

Lim-Liab

638 3RD STREET

GAYLORD, MN 55334

(22115)

PHONE:

507/237-2911

FAX: 507/237-5744

OAK TERRACE HEALTH CARE CENTER

Lim-Liab

640 3RD STREET

GAYLORD, MN 55334

(00619)

PHONE:

507/237-2911

FAX: 507/237-5744

OAK TERRACE SENIOR HOUSING OF GAYLORD, LLC

Lim-Liab

638 3RD STREET

GAYLORD, MN 55334

PHONE:

507/387-2037

RIDGEVIEW GAYLORD CLINIC

315 4TH STREET

GAYLORD, MN 55334

PHONE:

507/237-5523

SOUTH VIEW LIVING CENTER

555 EAST 12TH STREET

GIBBON, MN 55335

PHONE:

507/834-6510

SOUTH VIEW LIVING CENTER

555 EAST 12TH STREET

GIBBON, MN 55335

PHONE:

507/834-6510

SOUTHVIEW LIVING CENTER, LLC

555 EAST 12TH STREET

GIBBON, MN 55335

PHONE:

507/834-6510

RIDGEVIEW HENDERSON CLINIC

505 MAIN STREET

HENDERSON, MN 56044

PHONE:

507/248-3433

GOOD SAMARITAN SOCIETY - WINTHROP

506 HIGH STREET

WINTHROP, MN 55396

PHONE:

507/647-5391

RIDGEVIEW WINTHROP CLINIC

223 NORTH CARVER

WINTHROP, MN 55396

PHONE:

507/647-5318

(20214)

FAX: 507/387-6011

NProf

(22178)

FAX: /-

Corp

(22547)

FAX: 507/834-6511

Corp

(30299)

FAX: 507/834-6511

Corp

(22547)

FAX: 507/834-6511

Cnty

(23978)

FAX: /-

NProf

(00961)

FAX: 507/647-2035

NProf

(22179)

FAX: /-

Certification

Registration

SIBLEY

(Cont.)* --------------------------

HWSAL

CINDY GERHOLZ

NH-42 SNF-NF-42

DEBORAH BARNES

COMP

DENNIS HOOD

RHC

JOHN VENER

COMP

AMBER MELBY

HWSAL

AMBER MELBY

COMP

AMBER MELBY

RHC

JASON DOUGLAS

NH-32 SNF-NF-32

GRANT NERISON

RHC

JOHN VENER

Minnesota Department of Health

Health Regulation Division

Page

497

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

SIBLEY

(Cont.)* --------------------------

THE LODGE OF WINTHROP

204 SOUTH COUNTY ROAD 33

WINTHROP, MN 55396

PHONE:

507/647-3980

THE LODGE OF WINTHROP

204 SOUTH COUNTY ROAD 33

WINTHROP, MN 55396

PHONE:

507/647-3980

NProf

COMP

(29860)

FAX: 507/647-3982

PAMELA MORSON

NProf

HWSAL

(29861)

FAX: 507/647-3982

GRANT NERISON

STEARNS

---------------------------**********

******** --------------------------

MOTHER OF MERCY

220 CHURCH AVENUE

ALBANY, MN 56307

PHONE:

320/845-2195

MOTHER OF MERCY CAMPUS OF CARE

230 CHURCH AVENUE

ALBANY, MN 56307

PHONE:

320/845-2195

MOTHER OF MERCY SENIOR LIVING

230 CHURCH AVENUE

ALBANY, MN 56307

PHONE:

320/845-2195

MOTHER OF MERCY SENIOR LIVING

230 CHURCH AVENUE

ALBANY, MN 56307

PHONE: 320/845-2195

MOTHER OF MERCY SENIOR LIVING

230 CHURCH STREET BOX 676

ALBANY, MN 56307

PHONE:

320/845-2195

PONDVIEW ESTATES

334 GOLF VIEW DRIVE

ALBANY, MN 56307

PHONE:

320/845-2969

PONDVIEW ESTATES

332 GOLF VIEW DRIVE

ALBANY, MN 56307

PHONE:

320/845-2969

NProf

HWSAL

(32680)

FAX: 320/845-2672

PAUL GAEBE

NProf

COMP

(20265)

FAX: 320/845-2672

PAUL GAEBE

NProf

COMP

(20265)

FAX: 320/845-2672

PAUL GAEBE

NProf

HWSAL

(30461)

FAX: 320/845-2672

PAUL GAEBE

NProf

NH-70 SNF-NF-70

(00634)

FAX: 320/845-7092

PAUL GAEBE

NProf

HWS

(21556)

FAX: 320/845-7006

PAUL GAEBE

NProf

HWS

(24638)

FAX: 320/845-7006

PAUL GAEBE

Minnesota Department of Health

Health Regulation Division

Page

498

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

SERENITY VILLAGE

Corp

113 SERENITY COURT

AVON, MN 56310

(33129)

PHONE:

320/844-8880

FAX: 320/845-4147

SERENITY VILLAGE AT AVON, INC.

Corp

113 SERENITY COURT

AVON, MN 56310

(32795)

PHONE:

320/302-0192

FAX: 320/302-0194

BELGRADE NURSING HOME

NProf

103 SCHOOL STREET

BELGRADE, MN 56312

(00626)

PHONE:

320/254-8215

FAX: 320/254-8238

BROOTEN MEDICAL CENTER

NProf

111 PLEASANT AVENUE PO BOX 69

BROOTEN, MN 56316

(28052)

PHONE:

320/346-2272

FAX: 320/346-2273

ASHER HAUS

NProf

717 1ST STREET NORTH

COLD SPRING, MN 56320

(35636)

PHONE:

320/685-4110

FAX: 320/685-3401

ASSUMPTION COURT

NProf

615 1ST STREET NORTH

COLD SPRING, MN 56320

(20324)

PHONE:

320/348-2320

FAX: 320/685-3401

ASSUMPTION COURT

NProf

615 1ST STREET NORTH

COLD SPRING, MN 56320

(30552)

PHONE:

320/685-4110

FAX: 320/685-3401

ASSUMPTION HEALTH SERVICES

NProf

615 1ST STREET NORTH

COLD SPRING, MN 56320

(20324)

PHONE:

320/348-2320

FAX: 320/685-3401

ASSUMPTION HOME

Church

715 1ST STREET NORTH

COLD SPRING, MN 56320

(00624)

PHONE:

320/685-3693

FAX: 320/685-7044

ASSUMPTION HOME CARE

NProf

615 1ST STREET NORTH

COLD SPRING, MN 56320

(26118)

PHONE:

320/685-4110

FAX: 320/685-3401

Certification

Registration

STEARNS

(Cont.)* --------------------------

PAULA ROCHELEAU

COMP

PAULA ROCHELEAU

NH-44 SNF-NF-44

STEPHANIE FISCHER

RHC

RACHEL WAGNER

LINDSEY SAND

COMP

JAN LUTHENS

LINDSEY SAND

COMP

JAN LUTHENS

NH-76 SNF-NF-76

JAN LUTHENS

COMP HHA

JANNETTE LUTHENS

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

499

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

JOHN PAUL APARTMENTS

NProf

200 8TH AVENUE NORTH

COLD SPRING, MN 56320

(21670)

PHONE:

320/685-4429

FAX: 320/685-7300

HYATT HOUSE LLC

Lim-Liab

231 WASHINGTON STREET

HOLDINGFORD, MN 56340

(24162)

PHONE:

320/746-9902

FAX: 320/746-9912

HYATT HOUSE LLC

Lim-Liab

231 WASHINGTON STREET

HOLDINGFORD, MN 56340

(28686)

PHONE:

320/746-9902

FAX: 320/746-9912

SAVANNA PRAIRIE

Corp

260 MAGNUS JOHNSON STREET NE

KIMBALL, MN 55353

(35045)

PHONE:

320/398-8646

FAX: 320/398-8645

CENTRACARE - MELROSE PARK VIEW

NProf

125 5TH AVENUE NW

MELROSE, MN 56352

(23480)

PHONE:

320/256-1769

FAX: 320/256-4949

CENTRACARE - MELROSE PARK VIEW

NProf

125 5TH AVENUE NW

MELROSE, MN 56352

(30388)

PHONE:

320/256-1769

FAX: 320/256-4949

CENTRACARE HEALTH - MELROSE CLINIC

NProf

525 WEST MAIN STREET

MELROSE, MN 56352

(27995)

PHONE:

320/256-4228

FAX: 320/256-7106

CENTRACARE HEALTH SYSTEM - MELROSE HOSPITAL

NProf

525 MAIN STREET WEST

MELROSE, MN 56352

(00633)

PHONE:

320/256-1761

FAX: 320/256-1814

CENTRACARE HEALTH SYSTEM -MELROSE PINE VILLA

NProf

CARE CENTER

525 MAIN STREET WEST

MELROSE, MN 56352

(00633)

FAX: 320/256-1814

PHONE:

320/256-1761

CENTRACARE MELROSE PARK VIEW

NProf

125 5TH AVENUE NW

MELROSE, MN 56352

(23480)

PHONE:

320/256-1769

FAX: 320/256-4949

Certification

STEARNS

(Cont.)*

LINDSEY SAND

COMP

JENNIFER PAGE

ANNETTE JUNES

TIM MATROS

COMP

BERTHA HARTUNG

JENNIFER OLMSCHEID

RHC

Registration

--------------------------

HWS

HWSAL

JULIA DRAXTEN

NH-75 HOSP-28 BASS-6 SNF-NF-75 CAH-25

ADAM PAULSON

NH-75 HOSP-28 BASS-6 SNF-NF-75 CAH-25

ADAM PAULSON

COMP

BERTHA HARTUNG

Minnesota Department of Health

Health Regulation Division

Page

500

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

LUTHERAN SOCIAL SERVICE

NProf

16 1ST STREET SE

MELROSE, MN 56352

(23440)

PHONE:

320/759-1670

FAX: 320/759-1671

LUTHERAN SOCIAL SERVICE OF MINNESOTA

NProf

16 1ST STREET SE

MELROSE, MN 56352

(23561)

PHONE:

320/759-1670

FAX: 320/759-1671

OAK RIDGE MANOR

Lim-Liab

20 NORTH 9TH AVENUE EAST

MELROSE, MN 56352

(21996)

PHONE:

320/255-9910

FAX: 320/255-5128

ROSE VIEW MANOR

HRA

16 1ST STREET SE

MELROSE, MN 56352

(21988)

PHONE:

320/256-4600

FAX: /-

TREE OF LIFE ASSISTED LIVING

Lim-Liab

632 MAIN STREET

NEW MUNICH, MN 56356

(30306)

PHONE:

320/837-5100

FAX: 320/837-5050

TREE OF LIFE ASSISTED LIVING

Lim-Liab

632 MAIN STREET

NEW MUNICH, MN 56356

(30392)

PHONE:

320/837-5100

FAX: 320/837-5050

CENTRACARE HEALTH - PAYNESVILLE

Lim-Liab

200 WEST 1ST STREET

PAYNESVILLE, MN 56362

(00636)

PHONE:

320/243-3767

FAX: 320/243-6707

CENTRACARE HEALTH - PAYNESVILLE CLINIC

Lim-Liab

200 WEST 1ST STREET

PAYNESVILLE, MN 563621445

(35035)

PHONE:

320/243-3767

FAX: 320/243-3174

CENTRACARE HEALTH - PAYNESVILLE KORONIS MANOR

Lim-Liab

CARE CENTER

200 WEST 1ST STREET

PAYNESVILLE, MN 56362

(00636)

FAX: 320/243-6707

PHONE:

320/243-3767

PAYNESVILLE GOOD SAMARITAN CENTER

Lim-Liab

311 WASHBURNE AVENUE

PAYNESVILLE, MN 56362

(00631)

PHONE:

320/243-7451

FAX: 320/243-3764

Certification

STEARNS

(Cont.)*

HEIDI REISDORF

COMP

ANN TERLIZZI

LISA MARVIN

ERNEST KOCIEMBA

COMP

TINA VALERIUS

Registration

--------------------------

Home Mgmt

HWS

HWSAL

NH-40 HOSP-30 BASS-6

BRANDON PIETSCH

SNF-NF-40 CAH-25

BRANDON PIETSCH

NH-40 HOSP-30 BASS-6

BRANDON PIETSCH

COMP

BRANDON PIETSCH

SNF-NF-40 CAH-25

Minnesota Department of Health

Health Regulation Division

Page

501

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

STEARNS PLACE

Lim-Liab

701 STEARNS AVENUE

PAYNESVILLE, MN 56362

(24204)

PHONE:

320/243-7100

FAX: 320/243-7930

WASHBURNE COURT

Lim-Liab

311 WASHBURNE AVENUE

PAYNESVILLE, MN 56362

(00631)

PHONE:

320/243-7451

FAX: 320/243-3764

WASHBURNE COURT

Lim-Liab

311 WASHBURNE AVENUE

PAYNESVILLE, MN 56362

(30226)

PHONE:

320/243-7451

FAX: 320/243-3764

CENTRACARE HEALTH PAYNESVILLE - RICHMOND CLINIC

Lim-Liab

130 1ST STREET NE

RICHMOND, MN 563688183

PHONE:

320/597-2122

CHERRYWOOD OF RICHMOND

150 BARRY AVENUE NW

RICHMOND, MN 56368

PHONE:

320/597-6143

CHERRYWOOD OF RICHMOND

140 BARRY AVENUE NW

RICHMOND, MN 56368

PHONE:

320/597-6143

GENERATIONS HOME CARE, INC.

23216 GREEN ACRES DRIVE

RICHMOND, MN 56368

PHONE:

320/282-8074

CHATEAU WATERS

960 19TH STREET SOUTH

SARTELL, MN 56377

PHONE:

320/534-3015

EDGEWOOD SARTELL LLC

677 BRIANNA DRIVE

SARTELL, MN 56377

PHONE:

320/281-3343

EDGEWOOD SARTELL LLC

673 BRIANNA DRIVE

SARTELL, MN 56377

PHONE:

320/281-3343

(35037)

FAX: 320/597-2102

Lim-Liab

(27307)

FAX: 320/597-6141

Lim-Liab

(27308)

FAX: 320/597-6141

Corp

(26135)

FAX: 855/300-5392

Church

(34765)

FAX: 320/200-3204

Lim-Liab

(26585)

FAX: 320/281-3512

Lim-Liab

(30709)

FAX: 320/281-3512

Certification

STEARNS

(Cont.)*

BRANDON PIETSCH

COMP

BRANDON PIETSCH

WENDY HULSEBUS

COMP

LORRIE WAITE

JOHN LINN

JASON HOYT

Registration

--------------------------

HWS

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

502

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

NOVACARE REHABILITATION

Corp

2251 CONNECTICUT AVENUE

SARTELL, MN 55377

(03724)

PHONE:

763/295-6878

FAX: /-

ST. BENEDICT SENIOR COMMUNITY THERAPY SUITES-

NProf

SARTELL

990 19TH STREET SOUTH

SARTELL, MN 56377

PHONE:

320/534-3000

ALTERNATIVE SENIOR CARE

418 10TH STREET SOUTH

SAUK CENTRE, MN 56378

PHONE:

320/352-3350

ALTERNATIVE SENIOR CARE, INC.

418 10TH STREET SOUTH

SAUK CENTRE, MN 56378

PHONE:

320/492-5854

CEDAR COVE ASSISTED LIVING

21596 CEDAR LAKE ROAD

SAUK CENTRE, MN 56378

PHONE:

320/732-1939

CEDAR COVE ASSISTED LIVING

21596 CEDAR LAKE ROAD

SAUK CENTRE, MN 56378

PHONE:

320/732-1939

CENTRACARE CLINIC SAUK CENTRE

433 ELM STREET NORTH

SAUK CENTRE, MN 56378

PHONE:

320/352-6591

CENTRACARE HEALTH SYSTEM - SAUK CENTRE

425 NORTH ELM STREET

SAUK CENTRE, MN 56378

PHONE:

320/352-2221

(31401)

FAX: 320/200-3204

Corp

(30189)

FAX: 320/323-4398

Corp

(23973)

FAX: 320/323-4398

Lim-Liab

(28802)

FAX: 320/732-1087

Lim-Liab

(28803)

FAX: 320/732-1087

Corp

(27960)

FAX: 320/352-5164

NProf

(00640)

FAX: 320/352-5150

CENTRACARE HEALTH SYSTEM - SAUK CENTRE NURSING

NProf

HOME

425 NORTH ELM STREET

SAUK CENTRE, MN 56378

PHONE:

320/352-2221

(00640)

FAX: 320/352-5150

Certification

Registration

STEARNS

(Cont.)* --------------------------

DANIEL BASTIN

NH-24

JOHN LINN

COMP HCBS

CINDY KARASCH

Out Pt Out Ot

SNF-NF-24

CYNTHIA KARASCH

COMP

TAMMY BRUDER

MICHELE FISCHER

RHC

NH-60 HOSP-28 BASS-8 SNF-NF-60 CAH-25

DELANO CHRISTIANSON

NH-60 HOSP-28 BASS-8 SNF-NF-60 CAH-25

DELANO CHRISTIANSON

Home Mgmt

HWSAL-O

Minnesota Department of Health

Health Regulation Division

Page

503

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

STEARNS

(Cont.)* --------------------------

FAIRWAY PINES SENIOR LIVING COMMU

606 MAIN STREET NORTH

NITIES

Lim-Liab

COMP

SAUK CENTRE, MN 56378

PHONE:

320/351-4900

(26205)

FAX: 320/351-4903

JILL NIEHAUS

FAIRWAY PINES SENIOR LIVING COMMU

606 MAIN STREET NORTH

NITIES

Lim-Liab

HWSAL

SAUK CENTRE, MN 56378

PHONE:

320/351-4900

(29188)

FAX: 320/351-4903

JILL NIEHAUS

FAIRWAY PINES SENIOR LIVING COMMUNITIES LLC

Lim-Liab

COMP

606 MAIN STREET NORTH

SAUK CENTRE, MN 56378

(26205)

PHONE:

320/351-4900

FAX: 320/351-4903

JILL NIEHAUS

GETTY STREET ASSISTED LIVING

Corp

COMP

1214 GETTY STREET SOUTH

SAUK CENTRE, MN 56378

(24072)

PHONE:

320/351-4333

FAX: 320/351-4335

MARY MARTHALER

GETTY STREET ASSISTED LIVING

Corp

HWSAL

1214 GETTY STREET SOUTH

SAUK CENTRE, MN 56378

(30493)

PHONE:

320/351-4333

FAX: 320/351-4335

MARY JO MARTHALER

SAUK CENTRE HRA

HRA

HWS

407 NORTH 1ST STREET

SAUK CENTRE, MN 56378

(21153)

PHONE:

320/352-2311

FAX: 320/352-2726

JULIE SIEBEN

QUIET OAKS HOSPICE HOUSE

NProf

RES-HSPICE-8 Hospice

5537 GALAXY ROAD

ST. AUGUSTA, MN 56301

(26154)

PHONE:

320/255-5433

FAX: 320/240-7962

LINDA ALLEN

REFRACTIONS LLC

Lim-Liab

SLFA-6

22575 43RD AVE

ST. AUGUSTA, MN 56301

(34437)

PHONE:

320/252-6017

FAX: 320/252-6278

MOLLY PENA

ACCESS MINNESOTA LLC

Lim-Liab

HWSAL-O

335 37TH AVENUE NORTH

ST. CLOUD, MN 56303

(35571)

PHONE:

612/501-0484

FAX: 651/927-0085

GARAT IBRAHIM

ARISE CARES

Lim-Liab

COMP

2907 CLEARWATER ROAD

ST. CLOUD, MN 56301

(24350)

PHONE:

320/230-6348

FAX: 320/281-2310

JAY VACHAL

Minnesota Department of Health

Health Regulation Division

Page

504

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

STEARNS

(Cont.)* --------------------------

ARISE CARES

2907 CLEARWATER ROAD

ST. CLOUD, MN 56301

PHONE:

320/281-2301

CENTRACARE HEALTH HOME CARE

2035 15TH STREET NORTH #110

ST. CLOUD, MN 56303

PHONE:

320/259-9375

CENTRACARE HEALTH HOSPICE

2035 15TH STREET NORTH #110

ST. CLOUD, MN 56303

PHONE:

320/259-9375

Corp

Home Mgmt

(25428)

FAX: 320/281-2312

SUE CHRISTENSEN

NProf

COMP HHA

(02185)

FAX: 320/240-3266

KRISTEN HUSEN

NProf

Hospice HSPICE

(02255)

FAX: 320/240-3266

KRISTEN HUSEN

CENTRACARE KIDNEY PROGRAM - ST. CLOUD DIALYSIS

NProf

2035 15TH STREET NORTH #210

ST. CLOUD, MN 56303

(02410)

PHONE:

320/240-7808

FAX: 320/240-7840

ANGELA JORDAHL

ESRD

CENTRACARE SURGERY CENTER, LLC

1900 CENTRACARE CIRCLE

ST. CLOUD, MN 56303

PHONE:

320/229-4997

Lim-Liab

(24819)

FAX: 320/229-5198

Outpt Surg

PHILLIP LUITJENS

Amb Surg

CENTRAL MINNESOTA RECEIVING AND REFERRAL CENTER

NProf

SLFB-20

1321 NORTH 13TH STREET

ST. CLOUD, MN 56303

(01638)

PHONE:

320/252-6654

FAX: 320/281-3554

RICHARD LEE

CHERRYWOOD 3315

Lim-Liab

HWSAL

3315 COOPER AVENUE SOUTH

ST. CLOUD, MN 56301

(32764)

PHONE:

320/774-3780

FAX: 320/774-3781

WENDY HULSEBUS

CHERRYWOOD 3325

Lim-Liab

HWSAL

3325 COOPER AVENUE SOUTH

ST. CLOUD, MN 56301

(32765)

PHONE:

320/774-3780

FAX: 320/774-3781

WENDY HULSEBUS

CHERRYWOOD OF ST. CLOUD 1030

Part

HWSAL

1030 VOYAGEUR STREET

ST. CLOUD, MN 56301

(28983)

PHONE:

320/774-1404

FAX: 320/774-1405

WENDY HULSEBUS

CHERRYWOOD OF ST. CLOUD1036

Part

HWSAL

1036 VOYAGEUR STREET

ST. CLOUD, MN 56303

(28982)

PHONE:

320/774-1404

FAX: 320/774-1405

WENDY HULSEBUS

Minnesota Department of Health

Health Regulation Division

Page

505

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

CHRISTINE METCALF

1268 12TH AVENUE NORTH

ST. CLOUD, MN 56303

PHONE:

320/203-0455

FOCUS XII HALFWAY HOUSE

3220 8TH STREET NORTH

ST. CLOUD, MN 56303

PHONE:

320/252-2425

HOMEWATCH CAREGIVERS OF ST. CLOUD MN

2701 CLEARWATER ROAD

ST. CLOUD, MN 56301

PHONE:

320/238-1101

INSPIRED BY YOU HOME CARE LLC

2700 1ST STREET NORTH #202

ST. CLOUD, MN 56301

PHONE:

320/224-0269

LAKESIDE HEALTH SERVICES INC

2617 REGAL ROAD

ST. CLOUD, MN 56301

PHONE:

320/406-4040

LINDEN GROVE VETERAN APARTMENTS - MACV

4105 12TH STREET NORTH

ST. CLOUD, MN 56303

PHONE:

320/258-3400

MARY CLARE OLSON AGENCY

5417 GARDEN HILLS LANE

ST. CLOUD, MN 56301

PHONE:

320/259-8957

MIDSOTA SURGICAL SUITES

3701 12TH STREET #101

ST. CLOUD, MN 56303

PHONE:

320/257-5638

MOMENTS HOSPICE

1030 E 4TH STREET SE #108

ST. CLOUD, MN 56304

PHONE:

320/372-4300

OVERCOMERS INTERNATIONAL FELLOWSHIP

530 16TH AVENUE NORTH

ST. CLOUD, MN 56303

PHONE:

320/656-1550

Ind

(31848)

FAX: 320/266-4789

NProf

(01178)

FAX: 320/529-1976

Corp

(35208)

FAX: /-

Lim-Liab

(33222)

FAX: 320/774-1162

Corp

(35629)

FAX: 320/259-8567

NProf

(32772)

FAX: 320/774-3587

Ind

(21207)

FAX: 320/245-8589

Lim-Liab

(00008)

FAX: 320/257-5639

Lim-Liab

(34535)

FAX: 763/205-9350

NProf

(31756)

FAX: 320/253-9735

Certification

Registration

STEARNS

(Cont.)* --------------------------

Home Mgmt

CHRISTINE METCALF

SLFA-18

RICHARD LEE

TCOMP

THOMAS TRAVAGLIO

COMP

ERIC OWUSU

TCOMP

JAMES NEWMAN

HWS-O

NATHANIEL SALTZ

COMP

MARY OLSON

Outpt Surg Amb Surg

PHILLIP LUITJENS

Hospice HSPICE

ELIYAHU JAFFA

HWS-O

SAUNDRA LAIDLAW

Minnesota Department of Health

Health Regulation Division

Page

506

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

STEARNS

(Cont.)* --------------------------

OVERCOMERS INTL FELLOWSHIP

NProf

HWS-O

525 16TH AVENUE NORTH

ST. CLOUD, MN 56303

(31782)

PHONE:

320/656-1550

FAX: 320/253-9735

SAUNDRA LAIDLAW

OVERCOMERS INTL FELLOWSHIP

NProf

HWS-O

529 16TH AVENUE NORTH

ST. CLOUD, MN 56303

(31783)

PHONE:

320/656-1550

FAX: 320/253-9735

SAUNDRA LAIDLAW

OVERCOMERS INTL FELLOWSHIP

NProf

HWS

526 16TH AVENUE NORTH

ST. CLOUD, MN 56303

(33361)

PHONE:

320/656-1550

FAX: 320/253-9735

SAUNDRA LAIDLAW

REM CENTRAL LAKES, INC. (FERNWOOD)

Corp

SLFB-16 ICFIID-16

1775 ROOSEVELT ROAD

ST. CLOUD, MN 56301

(01514)

PHONE:

952/922-6776

FAX: 952/922-6885

KRISTINE WAINRIGHT-TADYCH

SKYLIGHT GARDENS

Corp

HWSAL

501 1ST STREET NORTH

ST. CLOUD, MN 56303

(20347)

PHONE:

320/259-4584

FAX: 320/259-6159

CHARLES PETRICH

SPOT REHABILITATION INC

Corp

Out Pt Out St Out Ot

2835 W ST. GERMAIN STREET #300

ST. CLOUD, MN 56301

(02786)

PHONE:

320/259-4151

FAX: 320/259-5707

ELIZABETH STIENESSEN

SPOT REHABILITATION, INC.

Corp

COMP HHA

2835 W ST. GERMAIN STREET #300

ST. CLOUD, MN 56301

(03058)

PHONE:

320/259-4151

FAX: 320/259-5707

ROBBIE HOLEN

ST. CLOUD CENTER FOR OPHTHALMIC SURGERY

Lim-Liab

Outpt Surg Amb Surg

2055 15TH STREET NORTH STE B

ST. CLOUD, MN 56303

(21628)

PHONE:

320/258-6620

FAX: 320/258-6622

MARY ACKERMAN

ST. CLOUD HOSPITAL

NProf

HOSP-489 BASS-50 HOSP-469 PPS-R-20

1406 6TH AVENUE NORTH

ST. CLOUD, MN 56301

(00639)

PHONE:

320/255-5661

FAX: 320/255-5711

CRAIG BROMAN

ST. CLOUD SURGICAL CENTER

Part

Outpt Surg Amb Surg

1526 NORTHWAY DRIVE

ST. CLOUD, MN 56303

(00837)

PHONE:

320/251-8385

FAX: 320/229-3202

DARCI NAGORSKI

Minnesota Department of Health

Health Regulation Division

Page

507

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

TALAMORE SENIOR LIVING

Lim-Liab

215 37H AVENUE NORTH

ST. CLOUD, MN 56303

(34875)

PHONE:

320/230-0234

FAX: /-

VISITING ANGELS

Corp

1705 WEST ST. GERMAIN STREET

ST. CLOUD, MN 56301

(28912)

PHONE:

320/230-1141

FAX: 320/230-1142

ARLINGTON PLACE

Corp

21 16TH AVENUE SE

ST. JOSEPH, MN 56374

(20617)

PHONE:

320/363-1313

FAX: 320/363-1021

ARLINGTON PLACE

Corp

21 16TH AVENUE SE

ST. JOSEPH, MN 56374

(30726)

PHONE:

320/363-1313

FAX: 320/363-1021

GENERATIONS HOME CARE, INC.

Corp

119 3RD AVENUE SE

ST. JOSEPH, MN 56374

(35678)

PHONE:

320/282-8074

FAX: 320/253-8136

PREMIER HEALTHCARE MANAGEMENT OF ST. JOSEPH LLC

Lim-Liab

329 7TH AVENUE SE

ST. JOSEPH, MN 56374

PHONE:

320/271-3400

SERENITY PLACE ON 7TH

329 7TH AVENUE SE

ST. JOSEPH, MN 56374

PHONE:

320/271-3400

WOODCREST OF COUNTRY MANOR

1200 LANIGAN WAY SW

ST. JOSEPH, MN 56374

PHONE:

320/271-1200

BAYADA HOME HEALTH CARE INC

742 1ST STREET SOUTH #104

WAITE PARK, MN 56387

PHONE:

320/251-0668

COMFORT KEEPERS

50 10TH AVENUE SOUTH

WAITE PARK, MN 56387

PHONE:

320/230-9939

(32904)

FAX: 320/271-3407

Lim-Liab

(33167)

FAX: 320/764-2665

Lim-Liab

(33423)

FAX: 320/271-3118

NProf

(27706)

FAX: 320/251-0680

Corp

(23629)

FAX: 320/230-9941

Certification

STEARNS

(Cont.)*

LORI MCGUIRE

COMP HCBS

ANDREW TRELSTAD

COMP

KAREN HENNESSY

PAULA ROCHELEAU

ALLISON CONRAD

COMP

MATT IMDIEKE

FRED STRUZYK

GAIL RUCKS

COMP HHA

CHRISTIE ST. CLAIR

COMP

SUE THORSON

Registration

--------------------------

HWSAL

HWSAL-O

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

508

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

GENERATIONS HOME CARE INC

Corp

2616 1ST STREET NORTH

WAITE PARK, MN 56387

(33364)

PHONE:

320/282-8074

FAX: 320/453-8074

GENERATIONS HOME CARE INC

Corp

705 2ND AVENUE SOUTH

WAITE PARK, MN 56387

(32944)

PHONE:

320/282-8074

FAX: 320/453-8136

HOME INSTEAD SENIOR CARE

Corp

406 GREAT OAK DRIVE

WAITE PARK, MN 56387

(28492)

PHONE:

763/792-0041

FAX: 320/656-5229

PARK GARDENS APARTMENTS

Lim-Liab

114 NORTH 1ST STREET

WAITE PARK, MN 56387

(24102)

PHONE:

320/252-7224

FAX: 320/252-5629

RECOVER HEALTH

Corp

60 10TH AVENUE SOUTH #60

WAITE PARK, MN 56387

(02312)

PHONE:

320/774-0777

FAX: 320/774-0779

SPECTRUM HOME HEALTH CARE LLC

Lim-Liab

110 2ND STREET SOUTH #204

WAITE PARK, MN 56387

(32376)

PHONE: 320/774-3135

FAX: 320/774-3236

STERLING PARK COMMONS

Lim-Liab

35 1ST AVENUE NORTH

WAITE PARK, MN 56387

(20596)

PHONE: 320/252-7224

FAX: 320/252-5629

STERLING PARK COMMONS

Lim-Liab

35 1ST AVENUE NORTH

WAITE PARK, MN 56387

(30719)

PHONE:

320/257-4920

FAX: 320/252-5629

STERLING PARK HEALTHCARE CENTER

Corp

142 NORTH 1ST STREET

WAITE PARK, MN 56387

(00643)

PHONE:

320/252-9595

FAX: 320/252-5940

---------------------------**********

Certification

STEARNS

(Cont.)*

LORRIE WAITE

COMP

JASON CRANE

CAROLYN HERVIN

COMP HHA

CHELSEY MEYER

COMP

AYANLE JAMA

COMP

CAROLYN HERVIN

Registration

--------------------------

HWSAL-O

HWSAL

CAROLYN HERVIN

NH-40 SNF-NF-40

CAROLYN HERVIN

STEELE

******** --------------------------

Minnesota Department of Health

Health Regulation Division

Page

509

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

HEATHER HAUS

223 4TH STREET NW

BLOOMING PRAIRIE, MN 55917

PHONE:

507/583-7399

HEATHER HAUS

223 4TH STREET NW

BLOOMING PRAIRIE, MN 55917

PHONE:

507/583-7399

PRAIRIE MANOR CARE CENTER

220 3RD STREET NW

BLOOMING PRAIRIE, MN 55917

PHONE:

507/583-5180

WHISPERING OAK PLACE

903 CALVERLY COURT

ELLENDALE, MN 56026

PHONE:

507/684-3026

WHISPERING OAK PLACE

903 CALVERY COURT

ELLENDALE, MN 56026

PHONE:

507/993-1730

MEDFORD SENIOR CARE LLC

108 3RD STREET NE

MEDFORD, MN 55049

PHONE:

507/214-3344

ALL GENERATIONS HOME CARE INC

135 WEST MAIN STREET STE G

OWATONNA, MN 55060

PHONE:

507/214-8007

ALLINA HEALTH HOSPICE & PALLIATIVE CARE

2350 26TH STREET NW

OWATONNA, MN 55060

PHONE:

651/635-9173

AMERICAN EAGLE OWATONNA

334 CEDARDALE DRIVE SE

OWATONNA, MN 55060

PHONE:

507/451-6914

AMERICN EAGLE OWATONNA

364 CEDARDALE DRIVE SE

OWATONNA, MN 55060

PHONE:

507/446-8600

NProf

(27084)

FAX: 507/583-2401

NProf

(30673)

FAX: 507/583-2401

NProf

(00650)

FAX: 507/583-2401

Lim-Liab

(30599)

FAX: 505/684-3194

Lim-Liab

(34364)

FAX: 507/684-3026

Lim-Liab

(29746)

FAX: 507/214-3345

Corp

(25452)

FAX: 507/214-8010

NProf

(02836)

FAX: 651/628-2999

Lim-Liab

(30559)

FAX: 507/451-7083

Lim-Liab

(30823)

FAX: 507/446-8601

Certification

Registration

STEELE

(Cont.)* --------------------------

COMP

JOSEPH MASON

HWSAL

JOSEPH MASON

NH-40 SNF-NF-40

JOSEPH MASON

HWSAL

ALLISON LAW

COMP

RACHEL BALDWIN

HWSAL

NICOLE MILLER

Home Mgmt

LORI MORTENSEN

RES-HSPICE-8 18-HOSPICE-

LISA ABICHT SWENSON

HWSAL

SARAH MCCAULEY

HWSAL

REHANA MAJEED

Minnesota Department of Health

Health Regulation Division

Page

510

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

BIRCHWOOD COTTAGE

1905 AUSTIN ROAD

OWATONNA, MN 55060

PHONE:

507/594-8014

BIRCHWOOD COTTAGE

1845 AUSTIN ROAD

OWATONNA, MN 55060

PHONE:

507/594-8013

BIRCHWOOD COTTAGES

1905 AUSTIN ROAD

OWATONNA, MN 55060

PHONE:

507/413-6800

BIRCHWOOD COTTAGES

1905 AUSTIN ROAD

OWATONNA, MN 55060

PHONE:

507/413-6800

BIRCHWOOD COTTAGES

1845 AUSTIN ROAD

OWATONNA, MN 55060

PHONE:

507/413-6800

BRIDGEWATER AT OWATONNA

125 PARK STREET EAST

OWATONNA, MN 55060

PHONE:

507/381-4600

BRIDGEWATER AT OWATONNA LLC

125 EAST PARK STREET

OWATONNA, MN 55060

PHONE:

507/831-4600

BROOKDALE OWATONNA

334 CEDARDALE DRIVE

OWATONNA, MN 55060

PHONE:

507/456-6551

CLARE BRIDGE OF OWATONNA

364 CEDARDALE DRIVE SE

OWATONNA, MN 55060

PHONE:

507/446-8600

COUNTRYSIDE CATERED SENIOR LIVING

650 EL DORADO STREET

OWATONNA, MN 55060

PHONE:

507/446-8334

Lim-Liab

(34477)

FAX: /-

Lim-Liab

(34521)

FAX: /-

Lim-Liab

(31944)

FAX: 507/413-6452

Lim-Liab

(32047)

FAX: 507/413-6452

Lim-Liab

(33374)

FAX: 507/413-6737

Lim-Liab

(34946)

FAX: 507/388-5162

State

(35832)

FAX: 507/388-5162

Lim-Liab

(20332)

FAX: /-

Lim-Liab

(20851)

FAX: 507/446-8601

NProf

(24682)

FAX: 507/446-4059

Certification

STEELE

(Cont.)*

TCOMP

BRETT INGERSOLL

COMP

ELISA FULLER

COMP

ELISIA FULLER

RYAN WEMPEN

BROOKE OLSON

TCOMP

BROOKE OLSON

COMP

DEVIN ANDERSON

COMP

FRANK PARKER

COMP

KELLY MAAS

Registration

--------------------------

HWSAL

HWS

Minnesota Department of Health

Health Regulation Division

Page

511

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

COUNTRYSIDE CATERED SENIOR LIVING

NProf

650 EL DORADO STREET

OWATONNA, MN 55060

(30584)

PHONE:

507/446-8334

FAX: 507/446-4059

FRAZIER RECOVERY HOMES LLC

Lim-Liab

231 17TH STREET NE

OWATONNA, MN 55060

(32497)

PHONE:

651/895-4440

FAX: 651/528-7030

HOSPICE OF OWATONNA HOSPITAL

NProf

2350 26TH STREET NW

OWATONNA, MN 55060

(02836)

PHONE:

651/635-9173

FAX: 651/628-2999

KAPLAN WOODS CARE HOME, INC.

Corp

285 CEDARDALE DRIVE SE

OWATONNA, MN 55060

(01408)

PHONE:

507/451-5327

FAX: 507/451-5354

KODA LIVING COMMUNITY

NProf

2255 30TH STREET NW

OWATONNA, MN 55060

(00644)

PHONE:

507/444-4200

FAX: 507/446-4944

MAYO CLINIC DIALYSIS OWATONNA

NProf

2200 NW 26TH STREET

OWATONNA, MN 55060

(02827)

PHONE:

507/446-5112

FAX: 507/446-5130

OWATONNA HOSPITAL

NProf

2250 26TH STREET NW

OWATONNA, MN 55060

(00986)

PHONE:

507/977-2323

FAX: 507/977-2335

PARK PLACE SENIOR LIVING

NProf

125 EAST PARK STREET

OWATONNA, MN 55060

(21085)

PHONE:

507/446-3130

FAX: 507/446-8116

PARK PLACE SENIOR LIVING

NProf

125 EAST PARK STREET

OWATONNA, MN 55060

(30686)

PHONE:

507/446-3130

FAX: 507/446-8116

STEELE COUNTY PUBLIC HEALTH NURSING SERVICE

Cnty

635 FLORENCE AVENUE BOX 890

OWATONNA, MN 55060

(02043)

PHONE:

507/444-7650

FAX: 507/444-7668

Certification

Registration

STEELE

(Cont.)* --------------------------

KELLY MAAS

ELIZABETH REZEK

RES-HSPICE-8

LISA ABICHT SWENSON

SLFB-16

CHRISTOPHER BOWMAN

NH-79

LISA KERN

SUSAN MYAYA

HOSP-43 BASS-16

DAVID ALBRECHT

COMP

SUSAN DOTY

COMP

AMBER AASETH

HWSAL

18-HOSPICE-

ICFIID-16

SNF-NF-79

ESRD

HOSP-33 PPS-P-10

HWS-O

HWSAL

HHA

Minnesota Department of Health

Health Regulation Division

Page

512

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

THE BROOKS ON ST. PAUL

2480 ST. PAUL ROAD

OWATONNA, MN 55060

PHONE:

507/446-5855

THE BROOKS ON ST. PAUL

2480 ST. PAUL ROAD

OWATONNA, MN 55060

PHONE:

507/446-5855

TIMBERDALE TRACE

334 CEDARDALE DRIVE

OWATONNA, MN 55060

PHONE:

507/456-6551

TIMBERDALE TRACE

364 CEDARDALE DRIVE SE

OWATONNA, MN 55060

PHONE:

507/446-8600

TRADITIONS OF OWATONNA

195 24TH PLACE NW

OWATONNA, MN 55060

PHONE:

507/455-0700

TRADITIONS OF OWATONNA

195 24TH PLACE NW

OWATONNA, MN 55060

PHONE:

507/455-0700

TRADITIONS OF OWATONNA II

150 24TH STREET NE

OWATONNA, MN 55060

PHONE:

507/451-0433

TRADITIONS OF OWATONNA II LLC

150 24TH STREET NE

OWATONNA, MN 55060

PHONE:

507/451-0433

TRADITIONS OF OWATONNA II LLC

150 24TH STREET NE

OWATONNA, MN 55060

PHONE:

507/451-0433

VALLEYVIEW ASSISTED LIVING

1212 WEST FRONTAGE ROAD

OWATONNA, MN 55060

PHONE:

507/451-0722

NProf

(20975)

FAX: 507/446-5858

NProf

(30837)

FAX: 507/446-5858

Lim-Liab

(20332)

FAX: /-

Lim-Liab

(20851)

FAX: 507/446-8601

Lim-Liab

(24247)

FAX: 507/451-5414

Lim-Liab

(30519)

FAX: 507/583-0011

Lim-Liab

(25424)

FAX: 507/451-3453

Lim-Liab

(25424)

FAX: 507/451-3453

Lim-Liab

(30580)

FAX: 507/583-0011

Lim-Liab

(25302)

FAX: 507/455-3731

Certification

STEELE

(Cont.)*

COMP

KELLY MAAS

COMP

DEVIN ANDERSON

COMP

FRANK PARKER

COMP

FRED STRUZYK

COMP

FRED STRUZK

COMP

FRED STRUZK

FRED STRUZYK

CHARLES PETRICH

Registration

--------------------------

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

513

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

VISITING ANGELS

Lim-Liab

577 STATE AVENUE #3

OWATONNA, MN 55060

(27787)

PHONE:

507/451-1124 FAX: 507/451-1930

---------------------------**********

ESSENTIA HEALTH CHOKIO CLINIC

NProf

101 MAIN STREET

CHOKIO, MN 56221

(03720)

PHONE:

320/324-7500 FAX: /-

HOME CARE SERVICE OPTIONS

NProf

1100 COURT DRIVE

MORRIS, MN 56267

(26184)

PHONE:

320/589-4582 FAX: 320/585-6162

RAVENWOOD HOME

NProf

605 WEST 6TH STREET

MORRIS, MN 56267

(01662)

PHONE:

320/589-2057 FAX: 320/589-0462

RURAL REHABILITATION SERVICES

NProf

1100 COURT DRIVE

MORRIS, MN 56267

(34586)

PHONE:

320/589-2004 FAX: 320/589-7204

SANFORD DIALYSIS MORRIS

NProf

400 EAST 1ST STREET

MORRIS, MN 56267

(21529)

PHONE: 320/589-2832 FAX: /-

SCMC - COURAGE COTTAGE

NProf

409 EAST 1ST STREET

MORRIS, MN 56267

(21272)

PHONE:

320/585-5133 FAX: 320/585-5971

SKYVIEW COURT

NProf

1000 COURT DRIVE

MORRIS, MN 56267

(20374)

PHONE:

320/589-0245 FAX: 320/589-3929

SKYVIEW PLAZA

NProf

1100 COURT DRIVE

MORRIS, MN 56267

(26356)

PHONE:

320/589-4582 FAX: 320/585-6162

Certification

Registration

STEELE

(Cont.)* --------------------------

COMP

SHELLEY HAUSCHILD

STEVENS

******** --------------------------

TODD HOWELL

COMP

CRYSTAL HOLLOWAY

SLFB-6

JESSICA KRENZ

GLENDA FEIST

WANDA BORCHERT

DENA CARBERT

SCOT ALLEN

RHC

ICFIID-6

Out Pt Out St Out Ot

ESRD

HWS

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

514

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

STEVENS COMM MED CENTER CCC

NProf

409 EAST 1ST STREET

MORRIS, MN 56267

(32089)

PHONE:

320/585-5133 FAX: 320/585-5971

STEVENS COMMUNITY MEDICAL CENTER

NProf

400 EAST 1ST STREET

MORRIS, MN 56267

(00653)

PHONE:

320/589-1313 FAX: 320/589-1065

THE LEGACY

Corp

622 EAST 7TH STREET

MORRIS, MN 56267

(32418)

PHONE:

320/208-3070 FAX: 320/208-3072

THE LEGACY

Corp

622 EAST 7TH STREET

MORRIS, MN 56267

(32429)

PHONE:

320/208-3070 FAX: 320/208-3072

WEST WIND VILLAGE

NProf

1001 SCOTTS AVENUE

MORRIS, MN 56267

(00654)

PHONE:

320/589-7900 FAX: 320/589-7955

---------------------------**********

APPLETON AREA HEALTH SERVICES

100 SOUTH BARDUSON STREET

APPELTON, MN 56208

PHONE: 320/289-1163

APPLE RIDGE ESTATES

100 SOUTH BARDUSON STREET

APPLETON, MN 56208

PHONE:

320/289-1163

APPLETON AREA HEALTH SERVICES

30 SOUTH BEHL STREET

APPLETON, MN 56208

PHONE:

320/289-8513

APPLETON MUN HOSPITAL AND NURSING HOME

30 SOUTH BEHL STREET

APPLETON, MN 56208

PHONE:

320/289-1580

City

(33261)

FAX: 320/289-1578

City

(23626)

FAX: 320/289-1578

City

(02903)

FAX: 320/289-1578

City

(29114)

FAX: 320/289-1585

Certification

Registration

STEVENS

(Cont.)* --------------------------

COMP

JOHN RAU

HOSP-49 BASS-5 CAH-25

JOHN RAU

COMP

JOLYNN WARNES

HWSAL

JOLYNN WARNES

NH-72 SNF-NF-72

PAULA VIKER

SWIFT

******** --------------------------

COMP

MITCHELL EJNIK

HWS

LORI ANDREAS

COMP HHA

LORI ANDREAS

RHC

LORI ANDREAS

Minnesota Department of Health

Health Regulation Division

Page

515

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

APPLETON MUNICIPAL HOSPITAL

City

30 SOUTH BEHL STREET

APPLETON, MN 56208

(00655)

PHONE:

320/289-2400

FAX: 320/289-1585

CENTRAL MINNESOTA SENIOR CARE

Corp

287 HIGHWAY 29 NORTH

BENSON, MN 56215

(20357)

PHONE:

320/441-7001

FAX: 320/235-8069

CENTRAL MINNESOTA SENIOR CARE

Corp

414 13TH STREET SOUTH

BENSON, MN 56215

(20543)

PHONE:

320/441-7001

FAX: 320/235-8069

MEADOW LANE REHABILITATION AND HEALTHCARE

Lim-Liab

CENTER

2209 UTAH AVENUE

BENSON, MN 56215

PHONE:

320/843-2225

PROGRESSIVE CARE LLC

1710 MCKINNEY AVENUE

BENSON, MN 56215

PHONE:

320/843-4728

SCANDI HAVEN VILLAGE

1710 MCKINNEY AVENUE

BENSON, MN 56215

PHONE:

320/843-4728

SWIFT COUNTY - BENSON HEALTH SERVICES

1815 WISCONSIN AVENUE

BENSON, MN 56215

PHONE:

320/843-4232

SWIFT COUNTY-BENSON HEALTH SERVICES

1810 MCKINNEY AVENUE

BENSON, MN 56215

PHONE:

320/843-2030

GABRIEL HOUSE LLC

116 SCHAAF STREET

MURDOCK, MN 56271

PHONE:

320/875-4515

GABRIEL HOUSE LLC

116 SCHAAF STREET

MURDOCK, MN 56271

PHONE:

320/875-4515

(00930)

FAX: 320/843-2496

Lim-Liab

(02398)

FAX: 320/314-8264

NProf

(33727)

FAX: 320/314-8264

Dist

(00659)

FAX: 320/843-1309

NProf

(33042)

FAX: /-

Lim-Liab

(29532)

FAX: 320/875-4560

Lim-Liab

(29828)

FAX: 320/875-4560

Certification

Registration

SWIFT

(Cont.)* --------------------------

NH-50 HOSP-15 BASS-1

SNF-NF-50 CAH-15

LORI ANDREAS

HWSAL

DAWN FRERICKS

HWSAL

DAWN FRERICKS

NH-37 BCH-19

SNF-NF-37 NF2-19

BROOKE SLAUGHTER

COMP

JAYNE 39

HWSAL

JAYNE THIELKE

HOSP-21 BASS-0 CAH-21

KURT WALDBILLIG

RHC

KURT WALDBILLIG

HWSAL

LINDA AHRNDT

COMP

LINDA AHRNDT

Minnesota Department of Health

Health Regulation Division

Page

516

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

TEXAS

******** --------------------------

GOOD SAMARITAN SOCIETY HOME CARE

NProf

COMP

302 7TH AVENUE NE

DEVILS LAKE, ND 58301

(22766)

PHONE:

877/343-6217 FAX: 218/773-0396

CARMEN TRONSON

---------------------------**********

TODD

******** --------------------------

TRI COUNTY HOME CARE BERTHA CLINIC

NProf

RHC

1ST STREET NORTH

BERTHA, MN 56437

(03181)

PHONE:

218/924-2250 FAX: /-

MAUREEN IDEKER

LAKEWOOD CLINIC BROWERVILLE

NProf

RHC

30535 241ST AVENUE

BROWERVILLE, MN 56438

(21830)

PHONE:

320/594-2231 FAX: /-

TIMOTHY RICE

CENTRAL TODD COUNTY CARE CENTER

NProf

NH-50 SNF-NF-50

406 HIGHWAY 71 EAST PO BOX 38

CLARISSA, MN 56440

(00761)

PHONE:

218/756-3636 FAX: 218/756-2276

JASON POLOVICK

CENTRAL TODD COUNTY CARE CENTER APARTMENTS

NProf

COMP

406 EAST HIGHWAY 71

CLARISSA, MN 56440

(20202)

PHONE:

218/756-3636 FAX: 218/756-2276

JASON POLOVICK

CENTRAL TODD COUNTY CARE CENTER APARTMENTS

NProf

HWSAL

406 HIGHWAY 71 EAST

CLARISSA, MN 56440

(30447)

PHONE:

218/756-3636 FAX: 218/756-2276

JASON POLOVICK

CENTRAL TODD COUNTY CARE CENTER HOME CARE

NProf

COMP

AGENCY

406 EAST HIGHWAY 71

CLARISSA, MN 56440

(20202)

FAX: 218/756-2276

PHONE:

218/756-3636

JASON POLOVICK

COLONIAL TERRACE

NProf

HWSAL

407 HIGHWAY 71 EAST

CLARISSA, MN 56440

(29643)

PHONE:

218/756-3636

FAX: 218/756-2276

JASON POLOVICK

LAKEWOOD CLINIC EAGLE BEND

NProf

RHC

815 HIGHWAY 71

EAGLE BEND, MN 56446

(21828)

PHONE:

218/738-2804

FAX: /-

TIMOTHY RICE

Minnesota Department of Health

Health Regulation Division

Page

517

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

TODD

(Cont.)* --------------------------

LONG PRAIRIE HOSPITAL EAGLE VALLEY

NProf

RHC

815 HIGHWAY 71 SOUTH

EAGLE BEND, MN 56446

(03505)

PHONE:

218/738-2804

FAX: 218/738-5263

TONI TEBBEN

CENTRACARE HEALTH LONG PRAIRIE

NProf

COMP HCBS

220 CENTRACARE DRIVE

LONG PRAIRIE, MN 56347

(32752)

PHONE:

320/732-7208

FAX: 320/200-3249

LISA UDY

CENTRACARE HEALTH - LONG PRAIRIE

NProf

HOSP-34 BASS-10 CAH-25

50 CENTRACARE DRIVE

LONG PRAIRIE, MN 56347

(33211)

PHONE:

320/732-2141

FAX: 320/732-7298

DANIEL SWENSON

CENTRACARE HEALTH LONG PRAIRIE MEADOW PLACE

NProf

HWSAL

220 CENTRACARE DRIVE

LONG PRAIRIE, MN 56347

(33149)

PHONE:

320/732-2131

FAX: 320/732-7298

DANIEL SWENSON

CENTRACARE HEALTH SYSTEM

NProf

RHC

24 9TH STREET SE

LONG PRAIRIE, MN 56347

(23867)

PHONE:

320/732-2131

FAX: /-

DANIEL SWENSON

CENTRACARE HEALTH SYSTEM LONG PRAIRIE

NProf

HOSP-34 BASS-10 CAH-25

50 CENTRACARE DRIVE

LONG PRAIRIE, MN 56347

(33211)

PHONE:

320/732-2141

FAX: 320/732-7298

DANIEL SWENSON

CENTRACARE HEALTH SYSTEM-LONG PRAIRIE

NProf

NH-60 SNF-NF-60

20 9TH STREET SE

LONG PRAIRIE, MN 56347

(00778)

PHONE:

320/732-2131

FAX: 320/732-7298

DANIEL SWENSON

TODD COUNTY HEALTH AND HUMAN SERVICES

Cnty

COMP HHA

212 2ND AVENUE SOUTH

LONG PRAIRIE, MN 56347

(02033)

PHONE:

320/732-4500

FAX: 320/732-4445

DEANA CALLAHAN

VALLEY VIEW ESTATES

Corp

COMP

1104 4TH AVENUE NE

LONG PRAIRIE, MN 56347

(20675)

PHONE:

320/732-3516

FAX: 320/732-7018

MARY DVORAK

VALLEY VIEW ESTATES

Corp

HWSAL

1104 4TH AVENUE NE

LONG PRAIRIE, MN 56347

(30755)

PHONE:

320/732-3516

FAX: 320/732-7018

MARY DVORAK

Minnesota Department of Health

Health Regulation Division

Page

518

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

A DAUGHTER'S LOVE INC

Corp

514 4TH STREET NE

STAPLES, MN 56479

(33300)

PHONE:

218/296-2090 FAX: 218/414-2606

A DAUGHTER'S LOVE SUITES

Corp

512 4TH STREET NE

STAPLES, MN 56479

(33677)

PHONE:

218/296-2090 FAX: 218/296-5049

A DAUGHTER'S LOVE SUITES

Corp

510 4TH STREET NE

STAPLES, MN 56479

(33676)

PHONE:

218/296-2090 FAX: 218/414-2606

A DAUGHTER'S LOVE SUITES

Corp

514 4TH STREET NE

STAPLES, MN 56479

(33678)

PHONE:

218/296-2090 FAX: 218/414-2606

LAKEWOOD HEALTH SYSTEM

NProf

49725 COUNTY ROAD 83

STAPLES, MN 56479

(24633)

PHONE:

218/894-1515 FAX: 218/894-8355

LAKEWOOD MANOR

NProf

222 5TH STREET NE

STAPLES, MN 56479

(20201)

PHONE:

218/894-2124 FAX: 218/894-3067

---------------------------**********

BROWNS VALLEY HEALTH CENTER

NProf

114 JEFFERSON STREET SOUTH

BROWNS VALLEY, MN 56219

(00668)

PHONE:

320/695-2165 FAX: 320/695-2166

COTEAU DES PRAIRIES HC SYSTEM BROWNS VALLEY

Corp

CLINIC

404 WEST BROADWAY

BROWNS VALLEY, MN 56219

(32679)

FAX: 320/695-2526

PHONE:

605/698-7647

COTEAU DES PRAIRIES HOSPITAL HOME CARE

NProf

205 ORCHARD DRIVE

SISSETON, SD 57262

(03653)

PHONE:

605/698-4664 FAX: 605/698-6456

Certification

TODD

(Cont.)*

COMP HCBS

CHRISTINE TOLLEFSON

Registration

--------------------------

HWSAL

HOSP-37 BASS-8 CAH-25 PPS-P-10

TIM RICE

HWSAL

TIM RICE

TRAVERSE

******** --------------------------

NH-41 SNF-NF-41

AUTUMN ROARK

RHC

GREG WEAVER - INTERIM CEO

COMP

PRESLEY JONES

Minnesota Department of Health

Health Regulation Division

Page

519

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

PRAIRIEVIEW PLACE

NProf

305 7TH STREET SOUTH

WHEATON, MN 56296

(33953)

PHONE:

320/563-8124 FAX: 320/563-4133

SANFORD MEDICAL CENTER WHEATON

NProf

401 12TH STREET NORTH

WHEATON, MN 56296

(00670)

PHONE:

320/563-8226 FAX: 320/563-8012

SANFORD WHEATON

City

401 12TH STREET NORTH

WHEATON, MN 56296

(23605)

PHONE:

320/563-8226 FAX: /-

TRAVERSE CARE CENTER

ONProf

303 7TH STREET SOUTH

WHEATON, MN 56296

(00669)

PHONE:

320/563-8124 FAX: 320/563-4133

---------------------------**********

MAYO CLINIC HEALTH SYSTEM - LAKE CITY

NProf

500 WEST GRANT STREET

LAKE CITY, MN 55041

(00770)

PHONE:

651/345-1140 FAX: 651/345-1153

RIVER OAKS AT LAKE PEPIN

Lim-Liab

815 NORTH HIGH STREET

LAKE CITY, MN 55041

(31884)

PHONE: 651/345-2713 FAX: 651/345-5336

RIVER OAKS AT LAKE PEPIN, LLC - HOME CARE

Lim-Liab

815 NORTH HIGH STREET

LAKE CITY, MN 55041

(31882)

PHONE:

651/645-2713 FAX: 651/345-5336

SERVICE MANAGEMENT GROUP INC

NProf

317 NORTH HIGH STREET

LAKE CITY, MN 55041

(29088)

PHONE:

651/345-5000 FAX: 651/345-5076

GREEN PRAIRIE ASSISTED LIVING

Lim-Liab

810 2ND AVENUE NW

PLAINVIEW, MN 55964

(30464)

PHONE:

507/534-4204 FAX: 507/534-2778

Certification

Registration

TRAVERSE

(Cont.)* --------------------------

HWS

DYLAN HANSON

HOSP-25 BASS-4 CAH-25

CHELSIE FALK

RHC

JOANN FOLTZ

NH-49 SNF-NF-49

DYLAN HANSON

WABASHA

******** --------------------------

NH-90 SNF-NF-90

MACKENZIE CHRISTOPHER

CORI BARKER

COMP

CHRISTOPHER KING

JOHN DAHM

LEESA GILMAN

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

520

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

GREEN PRAIRIE PLACE

Lim-Liab

810 2ND AVENUE NW

PLAINVIEW, MN 55964

(20292)

PHONE:

507/534-3191 FAX: 507/710-0112

THE GREEN PRAIRIE ASSISTED LIVING

Lim-Liab

810 2ND AVENUE NW

PLAINVIEW, MN 55964

(20292)

PHONE:

507/534-3191 FAX: 507/710-0112

THE GREEN PRAIRIE REHABILITATION CENTER

Lim-Liab

800 2ND AVENUE NW

PLAINVIEW, MN 55964

(00672)

PHONE:

507/534-3191 FAX: 507/710-0110

MAYO CLINIC DIALYSIS WABASHA

NProf

1200 5TH GRANT BOULEVARD WEST

WABASHA, MN 55981

(02756)

PHONE:

651/565-5995 FAX: 651/565-5996

SAINT ELIZABETH HOSPITAL OF WABASHA

Church

1200 GRANT BOULEVARD WEST

WABASHA, MN 55981

(20255)

PHONE:

651/565-4531 FAX: 651/565-2482

SAINT ELIZABETH'S COMMUNITY CLINIC

NProf

1200 GRANT BOULEVARD WEST

WABASHA, MN 55981

(33753)

PHONE: 651/565-5600 FAX: /-

ST. ELIZABETH HOME HEALTH CARE

NProf

1200 GRANT BOULEVARD WEST

WABASHA, MN 55981

(03474)

PHONE: 651/565-5577 FAX: 651/565-5630

ST. ELIZABETH'S MEDICAL CENTER

Church

1200 GRANT BOULEVARD WEST

WABASHA, MN 55981

(00675)

PHONE:

651/565-5559 FAX: 651/565-2482

---------------------------**********

ESSENTIA HEALTH MENAHGA CLINIC

NProf

212 ASPEN AVENUE NE

MENAHGA, MN 56464

(31447)

PHONE:

218/564-4131 FAX: /-

Certification

Registration

WABASHA

(Cont.)* --------------------------

COMP

LEESA GILMAN

COMP

LEESA GILMAN

NH-50 SNF-NF-50

TIANNA BAGLEY

ESRD

SUSAN MYAYA

HWSAL

THOMAS CROWLEY

RHC

SUSAN STIENE

COMP HHA

JAMES ROOT

NH-100 HOSP-25 BASS-0 SNF-NF-100 CAH-25

TOM CROWLEY

WADENA

******** --------------------------

RHC

LARRY LEADBETTER

Minnesota Department of Health

Health Regulation Division

Page

521

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

GREEN PINE ACRES NURSING HOME

City

427 MAIN STREET NE

MENAHGA, MN 56464

(00678)

PHONE:

218/564-4101

FAX: 218/564-5309

MENAHGA HOME HEALTH

City

427 MAIN STREET NE

MENAHGA, MN 56464

(03629)

PHONE:

218/564-4101

FAX: 218/564-4101

ROSE HAVEN

Corp

37 6TH STREET SE

MENAHGA, MN 56464

(29268)

PHONE:

218/564-4268

FAX: 218/564-5449

ROSE HAVEN ASSISTED LIVING INC

Corp

37 6TH STREET SE

MENAHGA, MN 56464

(29269)

PHONE:

218/564-4268

FAX: 218/564-5449

WOOD SIDE MANOR

City

501 MAIN STREET NE

MENAHGA, MN 56464

(20240)

PHONE:

218/564-4101

FAX: 218/564-5309

CARING HANDS HOME CARE

Corp

113 MINNESOTA AVENUE WEST

SEBEKA, MN 56477

(03311)

PHONE:

218/837-5572

FAX: 218/837-6155

PROVIDENCE VILLA LLC

Lim-Liab

200 MINNESOTA AVENUE EAST

SEBEKA, MN 56477

(33483)

PHONE:

218/837-9162

FAX: 218/837-8681

PROVIDENCE VILLA LLC

Lim-Liab

200 MINNESOTA AVENUE EAST

SEBEKA, MN 56477

(34011)

PHONE:

218/837-9162

FAX: 218/837-8681

SERENITY LIVING SOLUTIONS OF CENTRAL MINNESOTA

Corp

1005 WELLS AVENUE WEST

SEBEKA, MN 56477

(32493)

PHONE:

218/837-6406

FAX: 218/837-6436

SERENITY LIVING SOLUTIONS OF SEBEKA

Corp

1005 WELLS AVENUE WEST

SEBEKA, MN 56477

(21152)

PHONE:

218/837-6406

FAX: 218/837-6436

Certification

Registration

WADENA

(Cont.)* --------------------------

NH-65

LAURA AHLF

COMP

LAURA AHLF

SNF-NF-65

EDWIN HELTUNEN

COMP

EDWIN HELTUNEN

LAURA AHLF

COMP

PATRICIA JOHNSON

COMP

ANDREW HUHTA

HHA

ANDREW HUHTA

COMP

TIM MATROS

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

522

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

WADENA

(Cont.)* --------------------------

TRI COUNTY HOMECARE SEBEKA CLINIC

NProf

RHC

106 MINNESOTA AVENUE EAST

SEBEKA, MN 56477

(03503)

PHONE:

218/837-5333

FAX: /-

JOSE ALBA

A CAREGIVER'S LOVE CONSULTING LLP

Lim-Liab

TBASIC HCBS

204 RAVILLA AVENUE

STAPLES, MN 56479

(35464)

PHONE:

218/838-2274

FAX: /-

JESSICA LAPORTE

CENTRACARE KIDNEY PROGRAM - STAPLES DIALYSIS

NProf

ESRD

401 PRAIRIE AVENUE NE

STAPLES, MN 56479

(22194)

PHONE:

320/240-7808

FAX: /-

DAVID WALZ

LAKEWOOD CLINIC STAPLES

NProf

RHC

49725 COUNTY 83

STAPLES, MN 56479

(21829)

PHONE:

218/894-1033

FAX: /-

TIM RICE

LAKEWOOD HEALTH SYSTEM

NProf

NH-100 SNF-NF-100

401 PRAIRIE AVENUE NE

STAPLES, MN 56479

(00667)

PHONE:

218/894-1515

FAX: 218/894-8355

TIM RICE

LAKEWOOD HEALTH SYSTEM HOME CARE & HOSPICE

NProf

COMP HHA

401 PRAIRIE AVENUE NE

STAPLES, MN 56479

(02198)

PHONE:

218/894-8080

FAX: 218/894-8099

BONNIE JOHNSON

LAKEWOOD HEALTH SYSTEM HOSPICE

ONProf

Hospice HSPICE

401 PRAIRIE AVENUE NE

STAPLES, MN 56479

(03591)

PHONE:

218/894-8080

FAX: 218/894-8099

TIM RICE

LAKEWOOD PINES SENIOR HOUSING

Corp

COMP

1702 AIRPORT ROADD NW

STAPLES, MN 56479

(20936)

PHONE:

218/894-4460

FAX: 218/894-4453

BONNIE JOHNSON

LAKEWOOD PINES SENIOR HOUSING

Corp

HWSAL

1702 AIRPORT ROAD NW

STAPLES, MN 56479

(30838)

PHONE:

218/894-4460

FAX: 218/894-4453

TIM RICE

TRI COUNTY HOSPITAL VERNDALE CLINIC

NProf

RHC

102 FARWELL STREET SOUTH

VERNDALE, MN 56481

(31669)

PHONE:

218/445-5990

FAX: 218/445-5989

JOEL BEISWENGER

Minnesota Department of Health

Health Regulation Division

Page

523

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

BELL HILL RECOVERY CENTER

NProf

ROUTE 2 PO BOX 206

WADENA, MN 56482

(01546)

PHONE:

218/631-3610

FAX: 218/631-3917

COMFORT CARE COTTAGES

Ind

1232 JEFFERSON STREET SOUTH

WADENA, MN 56482

(20221)

PHONE:

218/631-4873

FAX: 218/632-5924

COMFORT CARE COTTAGES

Ind

1232 JEFFERSON STREET SOUTH

WADENA, MN 56482

(30454)

PHONE:

218/631-4873

FAX: 218/632-5924

COMMUNITY BEHAVIORAL HEALTH HOSPITAL-WADENA

State

240 SHADY LANE DRIVE BOX 430

WADENA, MN 56482

(23896)

PHONE:

218/319-6001

FAX: 218/632-6583

FAIR OAKS NURSING AND REHAB LLC

Lim-Liab

201 SHADY LANE DRIVE

WADENA, MN 56482

(00679)

PHONE:

218/631-1391

FAX: 218/632-5028

LSS OF WADENA LLC

ONProf

201 SHADY LANE DRIVE

WADENA, MN 56482

(03632)

PHONE:

218/632-1307

FAX: 218/631-1457

MINNESOTA SPECIALTY HEALTH SYSTEM WADENA

State

240 SHADY LANE DRIVE BOX 430

WADENA, MN 56482

PHONE:

218/319-6001

THE MEADOWS OF WADENA

110 HEMLOCK AVENUE NW

WADENA, MN 56482

PHONE:

218/632-3610

THE MEADOWS OF WADENA

110 HEMLOCK AVENUE NW

WADENA, MN 56482

PHONE:

218/632-3610

TRI COUNTY HOME CARE WADENA CLINIC

4 NW DEERWOOD AVENUE

WADENA, MN 56482

PHONE:

218/631-1100

(23896)

FAX: 218/632-6583

NProf

(33133)

FAX: 877/482-6765

Lim-Liab

(33310)

FAX: 877/482-6765

NProf

(27822)

FAX: /-

Certification

Registration

WADENA

(Cont.)* --------------------------

SLFA-20

ROSS OLSON

COMP

ADRIAN ERICKSON

HWSAL

ADRIAN ERICKSON

SLFB-16

AMY GREENWALDT

NH-75 SNF-NF-75

MELISSA HOFFMAN

COMP

MELISSA HOFFMAN

SLFB-16

AMY GREENWALDT

COMP

PAUL ABZUG

HWSAL

JEN OYSTER

RHC

JOEL BEISWENGER

Minnesota Department of Health

Health Regulation Division

Page

524

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

WADENA

(Cont.)* --------------------------

TRI-COUNTY HOSPITAL

NProf

HOSP-49 BASS-6 CAH-25

415 JEFFERSON STREET NORTH

WADENA, MN 56482

(00680)

PHONE:

218/631-7489 FAX: 218/631-7503

JOEL BEISWENGER

---------------------------**********

WASECA

******** --------------------------

BRIDGEWATER AT JANESVILLE LLC

Lim-Liab

COMP

543 OAKWOOD DRIVE

JANESVILLE, MN 56048

(32775)

PHONE:

507/231-1515 FAX: 507/231-6744

BROOKE OLSON

BRIDGEWATER AT JANESVILLE LLC

Lim-Liab

HWSAL

543 OAKWOOD DRIVE

JANESVILLE, MN 56048

(32938)

PHONE:

507/381-4600 FAX: 507/388-5162

BROOKE OLSON

WHISPERING CREEK

City

NH-40 SNF-NF-40

102 EAST NORTH STREET

JANESVILLE, MN 56048

(00681)

PHONE:

507/231-5113 FAX: 507/231-6310

R PETER MADEL III

CORNELIA COTTAGES NEW RICHLAND

Lim-Liab

HWSAL

113 1ST STREET SW

NEW RICHLAND, MN 56072

(30606)

PHONE:

507/463-3565 FAX: /-

BRYAN CHRISTIANSON

NEW RICHLAND CARE CENTER

City

NH-50 SNF-NF-50

312 1ST STREET NE

NEW RICHLAND, MN 56072

(00748)

PHONE: 507/465-3292 FAX: 507/465-3403 CHARLES NESS

COLONY COURT

Corp

COMP

200 22ND AVENUE NE

WASECA, MN 56093

(20207)

PHONE:

507/835-8227 FAX: 507/835-5734

ERIC WORKE

COLONY COURT

Corp

HWSAL

200 22ND AVENUE NE

WASECA, MN 56093

(30450)

PHONE:

507/835-8227 FAX: 507/835-5734

ERIC WORKE

COLONY COURT MEMORY CARE & CARE SUITES

Corp

HWSAL

500 22ND AVENUE NW

WASECA, MN 56093

(28411)

PHONE:

507/201-3000 FAX: 507/835-5734

ERIC WORKE

Minnesota Department of Health

Health Regulation Division

Page

525

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

LAKE SHORE INN NURSING HOME

Corp

108 8TH STREET NW

WASECA, MN 56093

(00682)

PHONE:

507/835-2800 FAX: 507/833-1391

LATHAM PLACE

Lim-Liab

105 NW 8TH STREET

WASECA, MN 56093

(23728)

PHONE:

507/833-0903 FAX: 507/833-1391

LATHAM PLACE

Lim-Liab

105 NW 8TH STREET

WASECA, MN 56093

(30401)

PHONE:

507/833-0903 FAX: 507/833-1391

MAYO CLINIC HEALTH SYSTEM - WASECA

NProf

501 NORTH STATE STREET

WASECA, MN 56093

(00908)

PHONE:

507/835-1210 FAX: 507/781-8945

---------------------------**********

AFTON CARE LLC

Lim-Liab

13115 50TH STREET SOUTH

AFTON, MN 55001

(27465)

PHONE:

651/436-4047 FAX: 651/436-4048

CROIXDALE

NProf

750 HIGHWAY 95 NORTH

BAYPORT, MN 55003

(28164)

PHONE: 651/275-4800 FAX: 651/275-4801

CROIXDALE

NProf

750 HIGHWAY 95 NORTH

BAYPORT, MN 55003

(31272)

PHONE:

651/275-4800 FAX: 651/275-4801

AMERIGRACE HOME CARE LLC

Lim-Liab

9633 HALE AVENUE SOUTH

COTTAGE GROVE, MN 55016

(34337)

PHONE:

651/734-3183 FAX: /-

AMERIGRACE HOME CARE LLC

Lim-Liab

9633 HALE AVENUE SOUTH

COTTAGE GROVE, MN 55016

(34028)

PHONE:

651/734-3183 FAX: 651/459-0138

Certification

Registration

WASECA

(Cont.)* --------------------------

NH-55 SNF-NF-55

R PETER MADEL III

COMP

R. PETER MADEL III

HWSAL

RAYMOND MADEL III

HOSP-35 CAH-25

KIRBY JOHNSON

WASHINGTON

********

COMP

VICKIE DRIGANS

COMP

NATALIE MORLAND

NATALIE BARMAN

GRACE OYEFESOBI

COMP

GRACE OYEFESOBI

--------------------------

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

526

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

COTTAGE GROVE DIALYSIS

8800 E POINT DOUGLAS ROAD #100

COTTAGE GROVE, MN 55016

PHONE:

612/347-3431

COTTAGE GROVE WHITE PINE

6900 EAST POINT DOUGLAS ROAD S

COTTAGE GROVE, MN 55016

PHONE:

651/458-9455

COTTAGE GROVE WHITE PINE

6900 EAST POINT DOUGLAS ROAD S

COTTAGE GROVE, MN 55016

PHONE:

651/458-9455

COTTAGE GROVE WHITE PINE II

6950 EAST POINT DOUGLAS ROAD S

COTTAGE GROVE, MN 55016

PHONE:

651/459-2870

COTTAGE GROVE WP II, LLC

6950 EAST POINT DOUGLAS ROAD S

COTTAGE GROVE, MN 55016

PHONE:

651/459-2870

HIGHLAND HOMES AND SERVICES INC

8047 66TH STREET COURT SOUTH

COTTAGE GROVE, MN 55016

PHONE:

651/336-4292

LOVING CARE COTTAGE LLC

7740 HADLEY AVENUE SOUTH

COTTAGE GROVE, MN 55016

PHONE:

651/459-2779

LOVING CARE COTTAGE, INC

7740 HADLEY AVENUE SOUTH

COTTAGE GROVE, MN 55016

PHONE:

651/459-2779

LOVING CARE COTTAGE, LLC

7740 HADLEY AVENUE SOUTH

COTTAGE GROVE, MN 55016

PHONE:

651/459-2779

LOVING CAREPARTNERS LLC

6768 TIMBER RIDGE TRAIL SOUTH

COTTAGE GROVE, MN 55016

PHONE:

651/493-7171

Corp

(24580)

FAX: /-

Lim-Liab

(26133)

FAX: 651/458-9457

Lim-Liab

(30697)

FAX: 651/458-9457

Lim-Liab

(30783)

FAX: 651/459-2891

Lim-Liab

(27918)

FAX: 651/459-2891

Corp

(35283)

FAX: /-

Lim-Liab

(30240)

FAX: 651/458-0916

Corp

(22037)

FAX: 651/458-0916

Corp

(22037)

FAX: 651/458-0916

Lim-Liab

(36041)

FAX: 651/493-7171

Certification

Registration

WASHINGTON

(Cont.)* --------------------------

ESRD

DENISE TURNBULL

COMP

RHONDA SCHILLINGER

HWSAL

RHONDA SCHILLINGER

HWSAL

RHONDA SCHILLINGER

COMP

RHONDA SCHILLINGER

TCOMP

LONNIE JENSON

HWSAL

HEIDI CUNNINGHAM

COMP

HEIDI CUNNINGHAM

COMP

HEIDI CUNNINGHAM

TCOMP

CHARLOTTE GONZALES

Minnesota Department of Health

Health Regulation Division

Page

527

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

NORRIS SQUARE

6995 80TH STREET SOUTH

COTTAGE GROVE, MN 55016

PHONE:

651/769-6600

NORRIS SQUARE

8200 HADLEY AVENUE SOUTH

COTTAGE GROVE, MN 55016

PHONE:

651/769-6600

NORRIS SQUARE

6993 80TH STREET SOUTH

COTTAGE GROVE, MN 55016

PHONE:

651/769-6600

ROYAL AGE ASSISTED LIVING

7047 GOODVIEW AVENUE SOUTH

COTTAGE GROVE, MN 55016

PHONE:

651/983-3703

ROYAL AGE ASSISTED LIVING LLC

7882 JORGENSEN AVENUE SOUTH

COTTAGE GROVE, MN 55016

PHONE:

651/458-0343

TRIPLE ANGELS HEALTHCARE

7774 HINTON AVE S UNIT1

COTTAGE GROVE, MN 55016

PHONE:

651/795-8290

TRIPLE ANGELS HEALTHCARE

7150 WEST POINT DOUGLAS ROAD S

COTTAGE GROVE, MN 55016

PHONE:

651/458-9401

TRIPLE ANGELS HEALTHCARE COMPANY

7I50 WEST POINT DOUGLAS ROAD S

COTTAGE GROVE, MN 55016

PHONE:

651/458-9401

TRISTAR HOME CARE LLC

9402 93RD STREET SOUTH

COTTAGE GROVE, MN 55016

PHONE:

763/415-5471

BIRCHWOOD ARBORS

750 NE 1ST STREET

FOREST LAKE, MN 55025

PHONE:

651/466-1000

NProf

(25676)

FAX: 651/769-6601

NProf

(27946)

FAX: 651/769-6601

NProf

(33301)

FAX: 651/769-6651

Lim-Liab

(27490)

FAX: 651/459-3940

Lim-Liab

(27491)

FAX: 651/459-3940

Corp

(29931)

FAX: 651/458-9402

Corp

(34363)

FAX: 651/458-9402

Corp

(25202)

FAX: 651/458-9402

Lim-Liab

(33529)

FAX: 763/204-8141

Lim-Liab

(21920)

FAX: 651/466-1100

Certification

Registration

WASHINGTON

(Cont.)* --------------------------

HWSAL

MARK MEYER

COMP

NATALIE MORLAND

NH-78 SNF-NF-78

BEN VAN VOOREN

COMP

MTHUNZI DEWA

HWSAL-O

MTHUNZI DEWA

HWSAL

ADENIKE OGUNRINDE

HWSAL

ADENIKE OGUNRINDE

COMP

ADENIKE OGUNRINDE

COMP HCBS

RAPHAEL OZURUMBA

COMP

AMANDA ABEL

Minnesota Department of Health

Health Regulation Division

Page

528

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

BIRCHWOOD ARBORS

NProf

750 NE 1ST STREET

FOREST LAKE, MN 55025

(30232)

PHONE:

651/466-1000

FAX: 651/466-1100

BIRCHWOOD HEALTH CARE CENTER

NProf

604 NE 1ST STREET

FOREST LAKE, MN 55025

(00853)

PHONE:

651/464-5600

FAX: 651/466-1042

BLUE DIAMOND MANAGEMENT LLC

Lim-Liab

20554 ENFIELD CIRCLE NORTH

FOREST LAKE, MN 55025

(34924)

PHONE:

651/964-4788

FAX: /-

CHERRYWOOD POINTE OF FOREST LAKE LLC

Lim-Liab

231 WEST BROADWAY AVENUE

FOREST LAKE, MN 55025

(31808)

PHONE:

651/464-2709

FAX: /-

ELDER HAVEN

Corp

367 SW 4TH STREET

FOREST LAKE, MN 55025

(21186)

PHONE:

651/464-0899

FAX: 651/464-3861

ELDER HAVEN RESIDENTIAL CARE

Corp

367 SW 4TH STREET

FOREST LAKE, MN 55025

(21186)

PHONE:

651/464-0899

FAX: 651/464-3861

EVY GABS HEALTH CARE SYSTEMS LLC

Lim-Liab

20604 ENFIELD AVENUE NORTH

FOREST LAKE, MN 55025

(34871)

PHONE:

651/492-8643

FAX: /-

OTTOMEYER CLINICS PLLC

Lim-Liab

967 SOUTH LAKE STREET

FOREST LAKE, MN 55025

(23901)

PHONE:

651/464-1113

FAX: 651/464-0853

SENIOR CARE FOREST LAKE, LLC DBA BIRCHWOOD

Lim-Liab

ARBORS

750 NE 1ST STREET

FOREST LAKE, MN 55025

(21920)

FAX: 651/466-1100

PHONE:

651/466-1000

SKYLINE INCC LLC

Lim-Liab

799 11THE AVENUE SW

FOREST LAKE, MN 55025

(34520)

PHONE:

952/393-7499

FAX: 651/389-9184

Certification

Registration

WASHINGTON

(Cont.)* --------------------------

HWSAL

NOEL LOVAS

NH-100 SNF-NF-100

NOEL LOVAS

TCOMP

WENDY ASKAY

HWSAL

ERIN HILLIGAN

COMP

LISA BUTZLAFF

COMP

LISA BUTZLAFF

TCOMP

GABRIEL MBA

Out Pt

RICHARD HASTINGS

COMP

AMANDA ABEL

HWS-O

ERIN YOUNG

Minnesota Department of Health

Health Regulation Division

Page

529

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

WASHINGTON

---------------------------**********

(Cont.)* --------------------------

WINDY ACRES ASSISTED LIVING, INC.

7040 LAKE BOULEVARD

FOREST LAKE, MN 55025

PHONE:

651/464-8337

Corp

COMP

(20401)

FAX: 651/464-8340

SHEANA DURNIL

WINDY ACRES LONG TERM CARE INC

Corp

HWSAL

7040 LAKE BOULEVARD

FOREST LAKE, MN 55025

(30515)

PHONE:

651/464-8337

FAX: 651/464-8340

SHEANA DURNIL

WINDY ACRES LONG TERM INC

Corp

COMP

7040 LAKE BOULEVARD

FOREST LAKE, MN 55025

(20401)

PHONE:

651/464-8337

FAX: 651/464-8340

SHEANA DURNIL

NEW CHALLENGES INC - AFTON

Corp

HWSAL

6880 ST. CROIX TRAIL SOUTH

HASTINGS, MN 55033

(28126)

PHONE:

651/454-0161

FAX: 651/379-4575

SUE FRIES

COMP

PEACEFUL LIVING LLC

Lim-Liab

1810 CREST VIEW DRIVE #3A

HUDSON, WI 54016

(24968)

PHONE:

715/386-7071

FAX: 715/386-0873

IRENE PREGL

GOOD LIFE SENIOR LIVING HUGO

Lim-Liab

HWSAL

5260 127TH STREET NORTH

HUGO, MN 55038

(33881)

PHONE:

651/426-1335

FAX: 651/426-1999

WANDA JACKSON

HWSAL

KEYSTONE PLACE AT LAVALLE FIELDS

Lim-Liab

14602 FINALE AVENUE NORTH

HUGO, MN 55038

(32045)

PHONE:

651/888-6557

FAX: 651/426-3938

WILLIAM CURRIER

KEYSTONE PLACE LAVALLE FIELDS

Corp

COMP

14602 FINALE AVENUE NORTH

HUGO, MN 55038

(32013)

PHONE:

651/888-6557

FAX: 651/426-3938

HUGO S WILLIAM CURRIER

HWSAL

THE ENCORE AT HUGO

Lim-Liab

5607 150TH STREET NORTH

HUGO, MN 55038

(30353)

PHONE:

651/653-3282

FAX: /-

THOMAS OSTROM

WELCOME HOME HEALTH CARE

Corp

COMP

5260 127TH STREET, NORTH

HUGO, MN 55038

(23650)

PHONE:

651/426-1335

FAX: 320/587-0053

JACOB WORK

Minnesota Department of Health

Health Regulation Division

Page

530

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

AMADA SENIOR CARE TWIN CITIES SE

Lim-Liab

8530 EAGLE POINT BLVD #100

LAKE ELMO, MN 55042

(33352)

PHONE:

763/486-9720

FAX: 612/299-1425

ARBOR GLENN SENIOR LIVING

Lim-Liab

11020 39TH STREET NORTH

LAKE ELMO, MN 55042

(33357)

PHONE:

651/704-1444

FAX: 651/704-1420

BRIGHTSTAR OF ST. CROIX VALLEY

Lim-Liab

8951 33RD STREET NORTH

LAKE ELMO, MN 55042

(27924)

PHONE:

651/234-0044

FAX: 651/234-0046

HIGH POINTE SURGERY CENTER

Lim-Liab

8650 HUDSON BOULEVARD #235

LAKE ELMO, MN 55042

(00028)

PHONE:

651/702-7400

FAX: 651/702-7414

WILLOW HAVEN

Lim-Liab

3819 LAVERNE AVENUE NORTH

LAKE ELMO, MN 55042

(01523)

PHONE:

651/770-2224

FAX: 651/773-6501

SCENIC HILLS ALTERNATIVE CARE

Corp

1990 QUEENS AVENUE

LAKE ST. CROIX BEACH, MN 55043

(26943)

PHONE:

651/735-7259

FAX: 651/730-1667

ZUMBRO LAKELAND 7TH STREET

Corp

16777 7TH STREET NORTH

LAKELAND, MN 55043

(35384)

PHONE:

651/264-1000

FAX: /-

Corp

16610 8TH STREET NORTH

LAKELAND, MN 55043

(35385)

PHONE:

651/264-1000

FAX: /-

LAKE SHORE RESIDENTIAL TREATMENT

Lim-Liab

140 QUAIL STREET

MAHTOMEDI, MN 55115

(29821)

PHONE:

651/429-2311

FAX: 651/429-2677

NEW PERSPECTIVE MAHTOMEDI, LLC

Lim-Liab

113 EAST AVENUE

MAHTOMEDI, MN 55115

(20050)

PHONE:

651/407-9076

FAX: 651/393-9756

Certification

Registration

WASHINGTON

(Cont.)* --------------------------

COMP

LAURA JACOBSEN

ERIN HILLIGAN

COMP

SINI ST JERNSWARD ROSS

Outpt Surg

MONICA AARTHUN

SLFA-13

LISA GASNER

ROBIN RENO

CHRISTOPHER ONKEN

CHRISTOPHER CONKEN

SLFA-23

REBECCA BJORKLUND

COMP

BRITTNEY BURNSIDE

HWSAL

Amb Surg

HWSAL

HWSAL-O

HWS-O

Minnesota Department of Health

Health Regulation Division

Page

531

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

NEW PERSPECTIVE MAHTOMEDI, LLC

113 EAST AVENUE

MAHTOMEDI, MN 55115

PHONE:

651/653-3429

NEW PERSPECTIVE OF MN, LLC

113 EAST AVENUE

MAHTOMEDI, MN 55115

PHONE:

651/407-9076

NEW PERSPECTIVES MAHTOMEDI, LLC

111 EAST AVENUE

MAHTOMEDI, MN 55115

PHONE:

651/407-9076

ST. ANDREW'S VILLAGE

240 EAST AVENUE

MAHTOMEDI, MN 55115

PHONE:

651/762-4100

THE ENCORE AT MAHTOMEDI

720 MAHTOMEDI AVENUE

MAHTOMEDI, MN 55115

PHONE:

651/528-8442

LIBERTY FOSTER HOME CARE LLC

3408 SNELLING AVENUE SOUTH

MINNEAPOLIS, MN 55406

PHONE:

651/731-5119

CHRISTIAN HOMES

295 12TH STREET

NEW PORT, MN 55055

PHONE:

651/848-0061

PHOENIX AT NEWPORT

351 14TH STREET

NEWPORT, MN 55055

PHONE:

651/227-7655

SAFARI SERVICES LLC

1922 10TH AVENUE

NEWPORT, MN 55055

PHONE:

612/481-7586

ZUMBRO NEWPORT

2300 HASTINGS AVENUE

NEWPORT, MN 55055

PHONE:

651/264-1000

Lim-Liab

(33448)

FAX: 651/393-9756

Lim-Liab

(20050)

FAX: 651/393-9756

Lim-Liab

(20051)

FAX: 651/393-9756

NProf

(21177)

FAX: 651/762-4135

Lim-Liab

(28353)

FAX: 651/756-8240

Lim-Liab

(34367)

FAX: /-

Corp

(35128)

FAX: 651/848-0322

NProf

(23519)

FAX: 651/227-6847

Lim-Liab

(35198)

FAX: 612/722-0796

Corp

(35383)

FAX: /-

Certification

Registration

WASHINGTON

(Cont.)* --------------------------

HWSAL

VINCE BECKEL

COMP

BRITTNEY BURNSIDE

HWSAL

VINCE BECKEL

HWSAL

LIZ JEFFERSON

HWSAL

THOMAS OSTROM

TCOMP

SAID FARAH

HWSAL

RUFUS ADEWOLA

SLFB-6 ICFIID-6

DARLENE SCOTT

HWS-O

ASHA ABUKAR

HWS-O

CHRISTOPHER CONKEN

Minnesota Department of Health

Health Regulation Division

Page

532

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

BOUTWELLS LANDING

5600 NORWICH PARKWAY

OAK PARK HEIGHTS, MN 55082

PHONE:

651/275-5000

BOUTWELLS LANDING

5610 NORWICH PARKWAY

OAK PARK HEIGHTS, MN 55082

PHONE:

651/275-5000

OAK PARK SENIOR LIVING

13936 LOWER 59TH STREET NORTH

OAK PARK HEIGHTS, MN 55082

PHONE:

651/439-9995

OAK PARK SENIOR LIVING

13936 LOWER 59TH STREET NORTH

OAK PARK HEIGHTS, MN 55082

PHONE:

651/492-6535

OAK RIDGE PLACE

6060 OXBORO AVENUE NORTH

OAK PARK HEIGHTS, MN 55082

PHONE:

651/439-8034

OAK RIDGE PLACE

6060 OXBORO AVENUE NORTH

OAK PARK HEIGHTS, MN 55082

PHONE:

651/439-8034

PEACEFUL LIVING LLC

5873 OXBORO AVENUE NORTH

OAK PARK HEIGHTS, MN 55082

PHONE:

715/386-7071

PEACEFUL LIVING LLC

5861 OXBORO AVENUE

OAK PARK HEIGHTS, MN 55082

PHONE:

715/386-7071

THE GABLES OF BOUTWELLS LANDING

13575 58TH STREET

OAK PARK HEIGHTS, MN 55082

PHONE:

651/430-7202

ADEQUATE HOME CARE LLC

5680 HADLEY AVENUE NORTH #202

OAKDALE, MN 55128

PHONE:

651/367-9906

Lim-Liab

(28193)

FAX: 651/275-5005

NProf

(21362)

FAX: 651/275-5064

Lim-Liab

(28227)

FAX: 651/275-8096

Lim-Liab

(28226)

FAX: 651/454-4783

Corp

(20599)

FAX: 651/439-8305

Corp

(30722)

FAX: 651/439-8305

Lim-Liab

(29417)

FAX: 715/386-0873

Lim-Liab

(31359)

FAX: 715/386-0873

Lim-Liab

(25613)

FAX: 651/430-7201

Lim-Liab

(35883)

FAX: /-

Certification

Registration

WASHINGTON

(Cont.)* --------------------------

COMP

NATALIE MORLAND

HWSAL

WENDY KINGBAY

HWSAL

KELLY MYERS

COMP

KELLY MYERS

COMP

JULIE WILSON

HWSAL

JULIE WILSON

HWS-O

IRENE PREGL

HWS-O

IRENE PREGL

NH-108 SNF-NF-108

GAVIN MIDDLETON

HWSAL-O

MOUNIR AYOUB

Minnesota Department of Health

Health Regulation Division

Page

533

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

BESTVALUE HEALTHCARE INC

Corp

7124 16TH STREET NORTH

OAKDALE, MN 55128

(34766)

PHONE:

651/757-5080

FAX: 651/344-0582

COMFORCARE HOME CARE ST. PAUL EAST

Corp

680 HALE AVENUE NORTH #260

OAKDALE, MN 55128

(32521)

PHONE:

651/333-4244

FAX: 651/925-0396

ECUMEN HOSPICE

NProf

7541 9TH STREET NORTH #200

OAKDALE, MN 55128

(03129)

PHONE:

651/714-0200

FAX: 651/714-0201

HEALTHEAST PILLARS

NProf

6025 UPPER 35TH STREET

OAKDALE, MN 55128

(04309)

PHONE:

651/748-0330

FAX: 651/777-3324

MORNING GLORY HOME CARE

Corp

1075 HADLEY AVENUE NORTH #110

OAKDALE, MN 55128

(29537)

PHONE:

651/493-1251

FAX: 651/493-6696

OAK MEADOWS

NProf

8131 4TH STREET NORTH

OAKDALE, MN 55128

(20462)

PHONE:

651/578-0676

FAX: 651/578-1431

PEACEFUL LODGE

Corp

6630 HUDSON BOULEVARD

OAKDALE, MN 55119

(33424)

PHONE:

651/207-5769

FAX: 612/435-9881

PEOPLE'S CHOICE HOME CARE SERVICES LLC

Lim-Liab

4815 HELENA ROAD NORTH

OAKDALE, MN 55128

(35746)

PHONE:

651/329-8555

FAX: /-

PINNACLE SERVICES INC EVERGREEN LAKE

Corp

7854 9TH STREET NORTH

OAKDALE, MN 55128

(33371)

PHONE:

651/888-2192

FAX: 612/977-3960

PREMIUM CHOICE CARE LLC

Lim-Liab

1949 GENEVA AVENUE N STE 1983

OAKDALE, MN 55128

(33741)

PHONE:

651/239-6149

FAX: 651/772-3357

Certification

Registration

WASHINGTON

(Cont.)* --------------------------

WASOLA OLAOYE

COMP

ROBERT REYNNELLS

Hospice

SETH KALHAGEN

RES-HSPICE-8

MICKI SCHAEFER

JULI WALL

DEBORAH VEIT

KALIA VANG

ADEOLU ODEDINA

JILL CIHLAR

COMP

FERDINAND FONDO

HWSAL-O

HSPICE

18-HOSPICE-8

Home Mgmt

HWSAL

HWS-O

Minnesota Department of Health

Health Regulation Division

Page

534

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

PRIME CHOICE HOME CARE SOLUTIONS LLC

Lim-Liab

7200 HUDSON BOULEVARD #107A

OAKDALE, MN 55128

(33852)

PHONE:

612/636-9008

FAX: 800/407-1102

RESOLUTE CARE INC

Corp

3904 GERSHWIN AVENUE NORTH

OAKDALE, MN 55128

(34656)

PHONE:

651/332-6506

FAX: /-

RESOLUTE CARE INC

Corp

3904 GERSHWIN AVENUE NORTH

OAKDALE, MN 55128

(35416)

PHONE:

651/332-6506

FAX: /-

SAFARI SERVICES LLC

Lim-Liab

1224 GLENBROOK AVE NORTH #110

OAKDALE, MN 55128

(35478)

PHONE:

612/722-0591

FAX: 612/481-7586

SAFARI SERVICES LLC

Lim-Liab

6206 40TH AVENUE NORTH

OAKDALE, MN 55128

(35480)

PHONE:

612/722-0591

FAX: 612/481-7586

SCENIC HILLS ALTERNATIVE CARE

Corp

6230 10TH STREET #330A

OAKDALE, MN 55128

(26210)

PHONE:

651/735-7259

FAX: 651/730-1667

ST. CROIX HOSPICE

Lim-Liab

7200 HUDSON BOULEVARD STE 100

OAKDALE, MN 55128

(26361)

PHONE:

651/735-3656

FAX: 651/735-0155

THE WATERS OF OAKDALE

Lim-Liab

7088 11TH STREET NORTH

OAKDALE, MN 55128

(31195)

PHONE:

651/393-5260

FAX: 651/739-9339

REBECCA'S RESIDENCE

Lim-Liab

21077 PENROSE AVENUE NORTH

SCANDIA, MN 55073

(22017)

PHONE:

651/433-5839

FAX: 651/734-9533

ASSOCIATED EYE CARE AMBULATORY SURGERY CENTER,

Lim-Liab

LLC

2950 CURVE CREST BOULEVARD

STILLWATER, MN 55082

PHONE:

651/275-3113

(23898)

FAX: 651/275-3106

Certification

WASHINGTON

(Cont.)*

BASIC HCBS

MACDONALD METZGER

TCOMP

ANDEM UMOH

ASHA ABUKAR

COMP

ROBIN RENO

Registration

--------------------------

HWS-O

Hospice HSPICE

JAMIE HANSON

HWSAL

KATHERINE TODD

SLFA-10

JENNIFER FRAZER JOHN

Outpt Surg Amb Surg

RITA KEATING

Minnesota Department of Health

Health Regulation Division

Page

535

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

CEDAR RIDGE

Lim-Liab

11400 JULIANNE AVENUE NORTH

STILLWATER, MN 55082

(01660)

PHONE:

651/426-3300

FAX: 651/426-0419

GOOD SAMARITAN SOCIETY - STILLWATER

NProf

1119 OWENS STREET NORTH

STILLWATER, MN 55082

(00903)

PHONE:

651/439-7180

FAX: 651/439-4502

HANDS AT THE CROSS CARE HOME

Lim-Liab

1740 OVERLOOK TRAIL NORTH

STILLWATER, MN 55082

(35885)

PHONE:

612/308-1220

FAX: 612/337-1391

HANDS AT THE CROSS CARE HOME LLC

Lim-Liab

1740 OVERLOOK TRAIL NORTH

STILLWATER, MN 55082

(35279)

PHONE:

612/308-1220

FAX: /-

LAKEVIEW HOMECARE

NProf

1715 TOWER DRIVE #330

STILLWATER, MN 55082

(03154)

PHONE:

651/430-3320

FAX: 651/430-8505

LAKEVIEW HOSPICE

NProf

1715 TOWER DRIVE WEST #330

STILLWATER, MN 55082

(03223)

PHONE:

651/430-3320

FAX: 651/430-8505

LAKEVIEW MEMORIAL HOSPITAL

NProf

927 WEST CHURCHILL STREET

STILLWATER, MN 55082

(00689)

PHONE:

651/430-4509

FAX: 651/430-4512

ONTRACK HOME CARE INC

Corp

13955 NORTH 26TH STREET

STILLWATER, MN 55082

(27846)

PHONE:

651/439-3790

FAX: 651/439-3790

PROJECT CARING

Corp

14410 21ST STREET NORTH

STILLWATER, MN 55082

(26164)

PHONE:

612/770-3878

FAX: 651/481-0426

Certification

Registration

WASHINGTON

(Cont.)* --------------------------

SLFA-25 SLFB-9

MARTHA KLUG

NH-68

RENE RACINE

ELIBELLE JARDIO

TCOMP

ELIBELLE JARDIO

COMP

LINDSAY RADKE

Hospice

DENISE PLOURDE

HOSP-97 BASS-15

THEODORE WEGLEITNER

COMP

RUTH LANGEVIN

COMP

DAVID ITMAN

SNF-NF-68

HWSAL

HHA

HSPICE

HOSP-97

PROJECT CARING RESIDENTIAL ASSISTED LIVING

Lim-Liab

HWSAL

14410 21ST STREET NORTH

STILLWATER, MN 55082

(30698)

PHONE:

651/485-0860

FAX: 651/436-7545

DAVID ITMAN

Minnesota Department of Health

Health Regulation Division

Page

536

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

PROJECT CARING RESIDENTIAL ASSISTED LIVING

Corp

14410 21ST STREET NORTH

STILLWATER, MN 55082

(26164)

PHONE:

612/770-3878

FAX: 651/481-0426

RIVER CITY DIALYSIS

Corp

1970 NORTHWESTERN AVENUE SOUTH

STILLWATER, MN 55082

(02843)

PHONE:

651/430-0067

FAX: 651/430-0140

SAFARI SERVICES LLC

Lim-Liab

5842 OLDFIELD AVENUE NORTH

STILLWATER, MN 55082

(35479)

PHONE:

612/722-0591

FAX: 612/481-7586

SAFARU SERVICES LLC

Lim-Liab

5827 PELLER AVENUE NORTH

STILLWATER, MN 55802

(35003)

PHONE:

/-

FAX: /-

THE ESTATES AT GREELEY LLC

Lim-Liab

313 SOUTH GREELEY STREET

STILLWATER, MN 55082

(00947)

PHONE:

651/439-5775

FAX: 651/439-1936

THE ESTATES AT LINDEN LLC

Lim-Liab

105 WEST LINDEN STREET

STILLWATER, MN 55082

(00948)

PHONE:

651/439-5004

FAX: 651/430-2127

THE GATHERING

NProf

1715 TOWER DRIVE WEST #330

STILLWATER, MN 55082

(03223)

PHONE:

651/430-3320

FAX: 651/430-8505

THE LODGE

Lim-Liab

107 BRIDGEWATER WAY

STILLWATER, MN 55082

(34717)

PHONE:

651/439-8200

FAX: /-

THE LODGE

ONProf

107 BRIDGEWATER WAY

STILLWATER, MN 55802

(35051)

PHONE:

651/439-8200

FAX: 651/361-8010

ARTIS SENIOR LIVING OF WOODBURY

Lim-Liab

8155 AFTON ROAD

WOODBURY, MN 55125

(36092)

PHONE:

651/493-2840

FAX: 651/493-2874

Certification

Registration

WASHINGTON

(Cont.)* --------------------------

COMP

DAVID ITMAN

ESRD

KIMBERLY KOHUTH

HWS-O

ASHA ABUKAR

HWS-O

ASHA ABUKAR

NH-74 SNF-NF-74

MICHAEL CARLSON

NH-71 SNF-NF-71

MICHAEL CARLSON

Hospice HSPICE

DENISE PLOURDE

COMP

RANDALL BENSON

HWSAL

RNDALL BENSON

HWSAL

TAMMY KUCERA

Minnesota Department of Health

Health Regulation Division

Page

537

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

ARTIS SLM OF WOODBURY LLC

Lim-Liab

8155 AFTON ROAD

WOODBURY, MN 55125

(35609)

PHONE:

651/493-2840

FAX: 651/493-2874

CAREAPARENT

Lim-Liab

2042 WOODDALE DRIVE #200

WOODBURY, MN 55125

(33567)

PHONE:

651/702-4663

FAX: 651/846-6149

CENTER FOR DIAGNOSTIC IMAGING

Lim-Liab

6025 LAKE ROAD #100

WOODBURY, MN 55125

(29894)

PHONE:

651/287-4957

FAX: 952/738-4409

COMMUNITY LIVING OPTIONS INC

Corp

6617 STRATFORD ROAD

WOODBURY, MN 55125

(28270)

PHONE:

763/856-4866

FAX: 763/856-5732

COMMUNITY LIVING OPTIONS STRATFORD

Corp

6617 STRATFORD ROAD

WOODBURY, MN 55125

(32733)

PHONE:

763/856-4866

FAX: 763/856-5732

FRESENIUS KIDNEY CARE WOODBURY

NProf

7433 CURRELL BOULEVARD

WOODBURY, MN 55125

(33915)

PHONE:

651/714-9948

FAX: 651/714-9064

GOLDEN LIGHT ASSISTED LIVING LLC

Lim-Liab

600 LANDAU DRIVE

WOODBURY, MN 55125

(35209)

PHONE:

651/442-5413

FAX: /-

GOLDEN LIGHT ASSISTED LIVING LLC

Lim-Liab

600 LANDAU DRIVE

WOODBURY, MN 55125

(35224)

PHONE:

651/442-5413

FAX: /-

GRAND COMAPNIONS LLC

Lim-Liab

724 BIELENBERG DRIVE #160

WOODBURY, MN 55125

(34675)

PHONE:

612/256-2214

FAX: 612/413-3000

GREATER CARE FACILITIES LLC

Lim-Liab

7159 ROBINWOOD TRAIL

WOODBURY, MN 55125

(33800)

PHONE:

651/528-8676

FAX: 651/528-8739

Certification

Registration

WASHINGTON

(Cont.)* --------------------------

TCOMP

TAMMY KUCERA

COMP

DENNIS TODORA

Outpt Surg

CRYSTAL WENSING

COMP

JEFF FELTZ

FEDERICO SERRANO

TCOMP

IJEOMA ASOGWA

TCOMP

ALICIA HARMON

COMP

MIRIAM EGBUDOM

Amb Surg

HWSAL

ESRD

HWSAL-O

Minnesota Department of Health

Health Regulation Division

Page

538

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

WASHINGTON

(Cont.)* --------------------------

GREATERCARE FACILITIES LLC

6576 FALSTAFF TERRACE

WOODBURY, MN 55125

PHONE:

651/528-8739

GREATERCARE FACILITIES LLC

9377 NEWCASTLE ROAD

WOODBURY, MN 55125

PHONE:

651/528-8739

GREATERCARE FACILITIES, LLC

7159 ROBINWOOD TRAIL

WOODBURY, MN 55125

PHONE:

651/528-8739

HANDS AT THE CROSS CARE HOME

11010 SWEETWATER PATH

WOODBURY, MN 55129

PHONE:

612/308-1220

HEALTHEAST WOODWINDS HOSPITAL

1925 WOODWINDS DRIVE

WOODBURY, MN 55125

PHONE:

651/232-2185

HOLISTIC HOME CARE LLC

2321 CASCADE PLAZA SOUTH

WOODBURY, MN 55125

PHONE:

651/330-1733

HOLISTIC HOME CARE LLC

2321 CASCADE PLAZA SOUTH

WOODBURY, MN 55125

PHONE:

651/330-1733

HOLISTIC HOME CARE LLC

1812 BIELENBERG COURT

WOODBURY, MN 55125

PHONE:

651/283-9564

HOLISTIC HOME CARE LLC

7533 CARILLON PLAZA WEST

WOODBURY, MN 55125

PHONE:

651/283-9564

HOLISTIC HOME CARE LLC

2332 TIMBERLEA DRIVE

WOODBURY, MN 55125

PHONE:

651/283-9564

Lim-Liab

HWSAL-O

(35718)

FAX: 651/528-8676

MIRIAM EGBUDOM

Lim-Liab

HWSAL-O

(35864)

FAX: 651/528-8676

MIRIAM EGBUDOM

Lim-Liab

HWSAL

(34002)

FAX: 651/528-8676

MIRIAM EGBUDOM

Lim-Liab

HWSAL

(35814)

FAX: 928/212-8727

ELIBELLE JARDIO

NProf

HOSP-86 BASS-28 HOSP-86

(04278)

FAX: 651/232-6888

LIA CHRISTIANSEN

Lim-Liab

COMP

(32654)

FAX: 651/493-4290

LYNDA ABAGI

Lim-Liab

HWSAL

(33146)

FAX: 651/493-4290

LYNDA ABAGI

Lim-Liab

HWSAL

(33704)

FAX: 651/493-4290

LYNDA ABAGI

Lim-Liab

HWSAL

(34053)

FAX: 651/493-4290

FRANCIS ABAGI

Lim-Liab

HWSAL

(36018)

FAX: 651/493-4290

FRANCIS ABAGI

Minnesota Department of Health

Health Regulation Division

Page

539

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

HOLISTIC HOME CARE LLC

Lim-Liab

2325 CASCADE PLAZA SOUTH

WOODBURY, MN 55125

(34265)

PHONE:

651/283-9564

FAX: 651/702-8943

HOME SWEET HOME OF MINNESOTA

Lim-Liab

6043 HUDSON ROAD STE 340

WOODBURY, MN 55125

(34405)

PHONE:

651/348-6211

FAX: /-

HOMETOWN SENIOR LIVING

Corp

1265 BELMONT DRIVE

WOODBURY, MN 55125

(26862)

PHONE:

651/714-7075

FAX: 651/344-4401

HOMETOWN SENIOR LIVING WEDGEWOOD

Corp

3610 MOUNT VERNON COURT

WOODBURY, MN 55129

(28204)

PHONE:

651/714-7099

FAX: 651/714-7188

HOMETOWN SENIOR LIVING WEDGEWOOD CENTRAL

Corp

3602 MT VERNON COURT

WOODBURY, MN 55129

(34383)

PHONE:

651/714-7075

FAX: 651/389-0531

HOMETOWN SENIOR LIVING WEDGEWOOD NORTH

Corp

10025 ANTRIM COURT

WOODBURY, MN 55129

(32439)

PHONE:

651/714-7075

FAX: 651/344-4401

HOMETOWN SENIOR LIVING-BELMONT

Corp

1265 BELMONT DRIVE

WOODBURY, MN 55125

(26862)

PHONE:

651/714-7075

FAX: 651/344-4401

HOMETOWN SENIOR LIVING-BELMONT

Corp

1265 BELMONT DRIVE

WOODBURY, MN 55125

(30652)

PHONE:

651/207-5999

FAX: 651/344-4401

HOSPICE OF THE MIDWEST

Lim-Liab

7616 CURREL BOULEVARD #175

WOODBURY, MN 55125

(31998)

PHONE:

651/344-1040

FAX: 651/347-6904

IST CARE INC

Corp

10966 ASHLEY LANE

WOODBURY, MN 55129

(35117)

PHONE:

651/246-7209

FAX: /-

Certification

WASHINGTON

(Cont.)*

LYNDA ABAGI

COMP

ARNOLD KUBEI

COMP

MARY HENDRICKS

COMP

MARY HENDRICKS

Registration

--------------------------

HWSAL-O

HWSAL

Hospice HSPICE

LYNNEA ANDERSEN

TCOMP

ABDIKARIM KALID

Minnesota Department of Health

Health Regulation Division

Page

540

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

LANDMARK SURGERY CENTER

Corp

7115 TAMARACK ROAD #200

WOODBURY, MN 55125

(00430)

PHONE:

651/968-5468

FAX: 651/968-5902

LIBERTY FOSTER HOME CARE LLC

Lim-Liab

6234 COURTLY PLACE

WOODBURY, MN 55125

(35897)

PHONE:

651/731-5119

FAX: /-

MARK YOUR HOME HEALTH CARE LLC

Lim-Liab

6053 HUDSON ROAD #200

WOODBURY, MN 55125

(33040)

PHONE:

651/417-9593

FAX: 612/353-2216

METRO CARE HUMAN SERVICES

Corp

6043 HUDSON ROAD STE 340

WOODBURY, MN 55125

(35671)

PHONE:

651/528-7141

FAX: 651/528-7897

MIDWEST SURGERY CENTER

Part

2080 WOODWINDS DRIVE #200

WOODBURY, MN 55125

(21791)

PHONE:

651/642-9199

FAX: 651/645-3346

MINNESOTA EYE LASER & SURGERY CENTERS

Lim-Liab

7125 TAMARACK ROAD

WOODBURY, MN 55125

(32886)

PHONE:

952/888-5800

FAX: 952/567-6156

MNGI ENDOSCOPY WOODBURY

Corp

237 RADIO DRIVE #200

WOODBURY, MN 55125

(33631)

PHONE:

612/290-4557

FAX: 612/870-5491

MORNINGSTAR HOMES S.C.

Corp

3154 MEADOW BROOK DRIVE

WOODBURY, MN 55125

(35202)

PHONE:

253/223-4080

FAX: /-

NEW PERSPECTIVE - WOODBURY

Lim-Liab

2195 CENTURY AVENUE SOUTH

WOODBURY, MN 55125

(31733)

PHONE:

651/459-1400

FAX: 651/730-1947

PRELUDE HOME& SERVICES, LLC

Lim-Liab

10020 RALEIGH ROAD

WOODBURY, MN 55129

(30782)

PHONE:

651/358-3651

FAX: 651/501-6600

Certification

Registration

WASHINGTON

(Cont.)* --------------------------

Outpt Surg

BECKIE HINES

SAID HIRSE FARAH

COMP

YU VANG

TCOMP

ARNOLD KUBEI

Outpt Surg

DAVE ROTHSCHILLER

DOMINIKA FORSYTH

SCOTT KETOVER

TCOMP

YIHUA KEHRER

VINCE BECKEL

DEBORAH ROSE

Amb Surg

HWS-O

Amb Surg

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

541

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

WASHINGTON

(Cont.)* --------------------------

PRELUDE HOMES & SERVICES LLC

Lim-Liab

HWSAL

10045 ANTRIM COURT

WOODBURY, MN 55129

(31433)

PHONE:

651/501-6507

FAX: 651/358-6653

DEBORAH ROSE

HWSAL

PRELUDE HOMES AND SERVICES

Lim-Liab

10018 RALEIGH ROAD

WOODBURY, MN 55129

(34601)

PHONE:

651/358-3651

FAX: 651/358-6653

DEBORAH ROSE

PRIDE N'LIVING HOME CARE INC

Corp

HWSAL

1201 HILLCREST COURT

WOODBURY, MN 55125

(33841)

PHONE:

763/572-2390

FAX: 763/574-2459

CELESTINA WAINDIM

RHEMA HOMES LLC

Lim-Liab

HWSAL

7781 CAYENNE PLAZA

WOODBURY, MN 55125

(35844)

PHONE:

651/442-1716

FAX: /-

KOLAWOLE AMUSAN

TCOMP

RHEMA HOMES LLC

Lim-Liab

7790 HIGHPOINTE ROAD

WOODBURY, MN 55125

(34145)

PHONE:

651/442-1716

FAX: 651/735-1434

KOLAWOLE AMUSAN

SAGEWOOD

Lim-Liab

HWSAL

6281 OAKWOOD ROAD

WOODBURY, MN 55125

(28375)

PHONE:

651/200-3082

FAX: 651/200-3084

ANGELINA SAM

COMP

SAGEWOOD LLC

Lim-Liab

6281 OAKWOOD ROAD

WOODBURY, MN 55125

(28374)

PHONE:

651/200-3082

FAX: 651/200-3084

ANGELINA SAM

SAINT THERESE OF WOODBURY

NProf

HWSAL

7555 BAILEY ROAD

WOODBURY, MN 55129

(32379)

PHONE:

651/209-9100

FAX: /-

KATELYN NOWACK

COMP

SAINT THERESE OF WOODBURY

NProf

7555 BAILEY ROAD

WOODBURY, MN 55129

(32320)

PHONE:

651/209-9100

FAX: 651/209-9101

KATELYN NOWACK

Lim-Liab

TCOMP HCBS

SAKINAH HOMES LLC

8561 SAVANNA OAKS LANE

WOODBURY, MN 55125

(35101)

PHONE:

651/460-9188

FAX: /-

SAMRIYA ABBADULLA

Minnesota Department of Health

Health Regulation Division

Page

542

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

SALEXAH HOMES SERVICE CORPORATION

Corp

10395 WATERFRONT DRIVE

WOODBURY, MN 55129

(35184)

PHONE:

651/999-9723

FAX: /-

SENIOR CARE WOODBURY, LLC

Lim-Liab

2825 WOODLANE DRIVE

WOODBURY, MN 55125

(21116)

PHONE:

651/714-1000

FAX: 651/714-1003

SOTAM HOME CARE LLC

Lim-Liab

9271 LAKE ROAD

WOODBURY, MN 55125

(35673)

PHONE:

651/278-1244

FAX: /-

SOTAM HOME CARE LLC

Lim-Liab

10660 IRONWOOD COURT

WOODBURY, MN 55129

(34582)

PHONE:

651/278-1244

FAX: /-

ST. THERESE OF WOODBURY, LLC

Lim-Liab

7555 BAILEY ROAD

WOODBURY, MN 55129

(31025)

PHONE:

651/209-9100

FAX: 952/224-9101

STONECREST

NProf

8725 PROMENADE LANE

WOODBURY, MN 55125

(25310)

PHONE:

651/264-3200

FAX: 651/264-3329

STONECREST

NProf

8725 PROMENADE LANE

WOODBURY, MN 55125

(27949)

PHONE:

651/264-3200

FAX: 651/264-3334

SWEET CAROL HOME CARE INC

Corp

2601 ALPINE DRIVE

WOODBURY, MN 55125

(35945)

PHONE:

651/755-7999

FAX: /-

TRIA ORTHOPAEDIC WOODBURY ASC

Lim-Liab

155 RADIO DRIVE

WOODBURY, MN 55125

(32582)

PHONE:

952/831-8742

FAX: 952/806-5765

WOODBURY DIALYSIS

Corp

1850 3 WEIR DRIVE

WOODBURY, MN 55125

(03523)

PHONE:

651/730-4522

FAX: /-

Certification

WASHINGTON

(Cont.)*

TCOMP

ALEX YANG

COMP

BRIDGET STABERG

DESTINA BROWN-WEST

TCOMP

DESTINA BROWN-WEST

Registration

--------------------------

HWSAL-O

NH-56 SNF-NF-56

KATELYN NOWACK

HWSAL

JANEL MILLER

COMP

NATALIE MORLAND

BASIC HCBS

HOUA YANG

Amb Surg

STEVEN HOUSH

ESRD

LISA THOELE

Minnesota Department of Health

Health Regulation Division

Page

543

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

WOODBURY ESTATES

NProf

2825 WOODLANE DRIVE

WOODBURY, MN 55125

(20551)

PHONE:

651/714-1000 FAX: 651/714-1003

WOODBURY HEALTH CARE CENTER

NProf

7012 LAKE ROAD

WOODBURY, MN 55125

(00803)

PHONE:

651/735-6000 FAX: 651/735-0075

WOODBURY SURGICAL SUITES LLC

Lim-Liab

587 BIELENBERG DRIVE #100

WOODBURY, MN 55125

(30181)

PHONE:

651/493-0343 FAX: 651/493-0344

WOODBURY VILLA

Lim-Liab

7008 LAKE ROAD

WOODBURY, MN 55125

(30223)

PHONE:

651/735-4000 FAX: 651/731-5585

ZUMBRO HOUSE INC

Corp

525 COMMONS DRIVE

WOODBURY, MN 55125

(28733)

PHONE:

651/276-1191 FAX: 651/264-1002

---------------------------**********

LIVING MEADOWS AT LUTHER - MADELIA

503 BENZEL AVENUE SW

MADELIA, MN 56062

PHONE: 507/642-3271

MADELIA COMMUNITY HOSPITAL

121 DREW AVENUE SE

MADELIA, MN 56062

PHONE:

507/642-3255

MADELIA COMMUNITY HOSPITAL HOME CARE

121 DREW AVENUE SE

MADELIA, MN 56062

PHONE:

507/642-3255

REM HEARTLAND, INC. (MADELIA)

226 DREW AVENUE SOUTH

MADELIA, MN 56062

PHONE:

952/922-6776

NProf

(00695)

FAX: 507/642-8676

NProf

(00696)

FAX: 507/642-8516

NProf

(02340)

FAX: 507/642-3534

Corp

(01455)

FAX: 952/922-6885

Certification

Registration

WASHINGTON

(Cont.)* --------------------------

HWSAL

BRIDGET STABERG

NH-155 SNF-NF-155

MICHAEL KAREL

Outpt Surg Amb Surg

CARL SAMROCK

HWSAL

BRIDGET STABERG

COMP

CHRISTOPHER ONKEN

WATONWAN

******** --------------------------

NH-51 SNF-NF-51

LARRY PASSEL

HOSP-25 BASS-2 CAH-25

JEFF MENGENHAUSEN

COMP HHA

, JEFF MENGENHAUSEN

SLFB-13 ICFIID-13

DEVIN NELSON

Minnesota Department of Health

Health Regulation Division

Page

544

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

GOOD SAMARITAN SOCIETY - ST. JAMES

NProf

1000 2ND STREET SOUTH

ST. JAMES, MN 56081

(00697)

PHONE:

507/375-3286 FAX: 507/375-3288

GOOD SAMARITAN SOCIETY BRANDT RIDGE

NProf

1102 2ND STREET SOUTH

ST. JAMES, MN 56081

(25414)

PHONE:

507/375-6120 FAX: 507/375-5779

GOOD SAMARITAN SOCIETY BRANDT RIDGE

NProf

1102 2ND STREET SOUTH

ST. JAMES, MN 56081

(30578)

PHONE:

507/375-6120 FAX: 507/375-5779

GOOD SAMARITAN SOCIETY PRAIRIE VIEW

NProf

1101 2ND STREET SOUTH

ST. JAMES, MN 56081

(21033)

PHONE:

507/375-5150 FAX: 507/375-3218

MAYO CLINIC HEALTH SYSTEM - ST. JAMES

NProf

1101 MOULTON & PARSONS DRIVE

ST. JAMES, MN 56081

(00698)

PHONE:

507/375-8601 FAX: 507/375-8605

---------------------------**********

CHI HEALTH AT HOME

1110 HIGHWAY 75 NORTH STE A

BRECKENRIDGE, MN 56520

PHONE: 218/643-2275

CHI HEALTH AT HOME

1110 HIGHWAY 75 NORTH STE A

BRECKENRIDGE, MN 56520

PHONE:

218/643-2275

PIONEERCARE MEMORY COTTAGE

519 OAK STREET

BRECKENRIDGE, MN 56520

PHONE:

218/643-9572

PIONEERCARE MEMORY COTTAGE

521 OAK STREET

BRECKENRIDGE, MN 56520

PHONE:

218/643-9572

NProf

(02371)

FAX: 218/643-2274

NProf

(02418)

FAX: 218/643-2274

NProf

(24440)

FAX: 218/643-9573

NProf

(24441)

FAX: 218/643-9573

Certification

Registration

WATONWAN

(Cont.)* --------------------------

NH-51 SNF-NF-51

TIMOTHY SWOBODA

COMP

URSULA HAGSTRAND

HWSAL

URSULA HAGSTRAND

HWS

URSULA HAGSTRAND

HOSP-25 BASS-6 CAH-25

SCOTT THORESON

WILKIN

******** --------------------------

COMP HHA

CLARICE MARK

Hospice HSPICE

CLARE MARK

HWSAL

NATHAN JOHNSON

HWSAL

NATHAN JOHNSON

Minnesota Department of Health

Health Regulation Division

Page

545

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

ST. FRANCIS HOME

Church

2400 ST. FRANCIS DRIVE

BRECKENRIDGE, MN 56520

(00818)

PHONE:

218/643-3000

FAX: 218/643-0850

ST. FRANCIS MEDICAL CENTER

Church

2400 ST. FRANCIS DRIVE

BRECKENRIDGE, MN 56520

(00700)

PHONE:

218/643-3000

FAX: 218/643-0850

TWIN TOWN VILLA

Corp

615 DURUM DRIVE

BRECKENRIDGE, MN 56520

(24375)

PHONE:

218/643-9542

FAX: 218/643-9543

TWIN TOWN VILLA

Corp

615 DURUM DRIVE

BRECKENRIDGE, MN 56520

(30535)

PHONE:

218/643-9542

FAX: 218/643-9543

WELCOME HOME HEALTH CARE, INC.

Corp

615 DURUM DRIVE

BRECKENRIDGE, MN 56520

(24375)

PHONE:

218/643-9542

FAX: 218/643-9543

WILKIN COUNTY PUBLIC HEALTH

Cnty

300 5TH STREET SOUTH

BRECKENRIDGE, MN 56520

(24318)

PHONE: 218/643-7122

FAX: 218/643-7166

KAYCEE'S HOME CARE, INC.

Corp

323 NW TERRACE DRIVE

ROTHSAY, MN 56579

(23373)

PHONE: 218/731-4062

FAX: 218/731-4062

---------------------------**********

TRADITIONS OF LA CRESCENT

333 SOUTH 2ND STREET

LA CRESCENT, MN 55947

PHONE:

507/895-6447

LEWISTON SENIOR LIVING

505 EAST MAIN STREET

LEWISTON, MN 55952

PHONE:

651/319-2020

Lim-Liab

(34447)

FAX: /-

Lim-Liab

(33311)

FAX: /-

Certification

Registration

WILKIN

(Cont.)* --------------------------

NH-80 SNF-NF-80

DAVID NELSON

HOSP-25 BASS-8 CAH-25

DAVID NELSON

COMP

JACOB WORK

HWSAL

JACOB WORK

COMP

JACOB WORK

Home Mgmt

DEBRA JACOBS

COMP

DOROTHY FIEDLER

WINONA

******** --------------------------

COMP

BRETT INGERSOLL

HWSAL

NICOLE MILLER

Minnesota Department of Health

Health Regulation Division

Page

546

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

SPELTZ ESTATES ASSISTED LIVING, INC.

Corp

232 FREMONT STREET SOUTH

LEWISTON, MN 55952

(23457)

PHONE:

507/523-2252

FAX: 507/523-2929

SPELTZ ESTATES ASSISTED LIVING

Corp

232 FREMONT STREET SOUTH

LEWISTON, MN 55952

(30387)

PHONE:

507/523-2252

FAX: 507/523-2929

SPELTZ ESTATES ASSISTED LIVING, INC.

Corp

232 FREMONT STREET SOUTH

LEWISTON, MN 55952

(23457)

PHONE:

507/523-2252

FAX: 507/523-2929

ST. CHARLES ASSISTED LIVING

Corp

402 4TH STREET WEST

ST. CHARLES, MN 55972

(30816)

PHONE:

507/932-4062

FAX: 507/932-3803

ST. CHARLES ASSISTED LIVING, INC.

Corp

402 WEST 4TH STREET

ST. CHARLES, MN 55972

(21667)

PHONE:

507/932-4062

FAX: 507/932-3803

WHITEWATER HEALTH SERVICES

Lim-Liab

525 BLUFF AVENUE

ST. CHARLES, MN 55972

(00942)

PHONE:

507/932-3283

FAX: 507/932-4756

ADITH MILLER MANOR

NProf

885 MANKATO AVENUE

WINONA, MN 55987

(20147)

PHONE:

507/454-0179

FAX: 507/457-4158

BROOKDALE WINONA

Corp

835 EAST BELLEVIEW STREET

WINONA, MN 55987

(20328)

PHONE:

507/454-3090

FAX: 507/454-5466

BROOKDALE WINONA

Corp

835 EAST BELLEVIEW STREET

WINONA, MN 55987

(30556)

PHONE:

507/454-3090

FAX: 507/454-5466

CALLISTA COURT

NProf

1455 WEST BROADWAY STREET

WINONA, MN 55987

(20549)

PHONE:

507/457-0280

FAX: 507/494-5117

Certification

WINONA

(Cont.)*

COMP

MICHELE SPELTZ

COMP

MICHELE SPELTZ

DORI ZANTO

COMP

DORI ZANTO

Registration

--------------------------

HWSAL

NH-45 SNF-NF-45

SCOTT KESSLER

HWSAL

LINDA ATKINSON

COMP

REBECCA SOBOLIK

HWSAL

REBECCA SOBOLIK

HWSAL

SUE WILBER

Minnesota Department of Health

Health Regulation Division

Page

547

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

CALLISTA COURT

NProf

1455 WEST BROADWAY STREET

WINONA, MN 55987

(29387)

PHONE:

507/457-0280

FAX: 507/494-5117

COMMON GROUND RECOVERY HOUSING INC

Corp

730 WEST BROADWAY

WINONA, MN 55987

(33014)

PHONE:

507/615-0101

FAX: 507/615-0102

HIAWATHA BLUFFS LIVING

NProf

1433 SERVICE DRIVE

WINONA, MN 55987

(33111)

PHONE:

507/474-1433

FAX: 507/453-6267

HOME AND COMMUNITY OPTIONS, INC.

NProf

174 EDWARD STREET

WINONA, MN 55987

(01134)

PHONE:

507/452-1021

FAX: 507/452-1504

LAKE WINONA MANOR

NProf

865 MANKATO AVENUE

WINONA, MN 55987

(20873)

PHONE:

507/457-4366

FAX: 507/457-4595

MANOR LIVING HOME CARE

NProf

875 MANKATO AVENUE

WINONA, MN 55987

(20424)

PHONE:

507/452-7636

FAX: 507/457-4158

OPTIONS PLUS HOME CARE, LLC

Corp

1159 GILMORE AVENUE STE C

WINONA, MN 55987

(25827)

PHONE:

507/474-1509

FAX: 507/474-2509

ROGER METZ MANOR

NProf

875 MANKATO AVENUE

WINONA, MN 55987

(20424)

PHONE:

507/452-7636

FAX: 507/457-4158

SAINT ANNE EXTENDED HEALTHCARE

Church

1347 WEST BROADWAY STREET

WINONA, MN 55987

(00955)

PHONE:

507/205-6248

FAX: 507/452-2556

SAUER HEALTH CARE

NProf

1635 WEST SERVICE DRIVE

WINONA, MN 55987

(00705)

PHONE:

507/454-5540

FAX: 507/454-1647

Certification

WINONA

(Cont.)*

COMP

CAROL EHLINGER

SLFA-20

MATTEA SCHMITZ

ERIK SIEVERS

SLFA-6

SUZANNE HORSTMAN

Registration

--------------------------

HWS-O

NH-110 SNF-NF-110

LINDA ATKINSON

HWSAL

LINDA ATKINSON

COMP

JEN ZIMMERMAN

HWSAL

LINDA ATKINSON

NH-109 SNF-NF-109

CAROL EHLINGER

NH-71 SNF-NF-71

SARA BLAIR

Minnesota Department of Health

Health Regulation Division

Page

548

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

STERLING HOUSE OF WINONA

Corp

835 EAST BELLEVIEW STREET

WINONA, MN 55987

(20328)

PHONE:

507/454-3090

FAX: 507/454-5466

SUGAR LOAF SENIOR LIVING

Lim-Liab

765 MENARD ROAD

WINONA, MN 55987

(28895)

PHONE:

507/452-1277

FAX: /-

SUGAR LOAF SENIOR LIVING

Lim-Liab

765 MENARD ROAD

WINONA, MN 55987

(28896)

PHONE:

507/452-1277

FAX: /-

WATKINS MANOR

NProf

175 EAST WABASHA STREET

WINONA, MN 55987

(20822)

PHONE:

507/494-7400

FAX: 507/494-7490

WATKINS MANOR

NProf

175 EAST WABASHA STREET

WINONA, MN 55987

(30797)

PHONE:

507/494-7400

FAX: 507/494-7490

WINONA AREA HOSPICE

NProf

175 EAST WABASHA STREET

WINONA, MN 55987

(02881)

PHONE: 507/457-4468

FAX: 507/457-4168

WINONA HEALTH SENIOR LIVING AT WATKINS

NProf

175 EAST WABASHA STREET

WINONA, MN 55987

(20822)

PHONE: 507/494-7400

FAX: 507/494-7490

WINONA HEALTH SERVICES

NProf

855 MANKATO AVENUE

WINONA, MN 55987

(00701)

PHONE:

507/454-3650

FAX: 507/457-4159

WINONA HEALTH SERVICES

NProf

855 MANKATO AVENUE

WINONA, MN 55987

(02111)

PHONE:

507/454-3650

FAX: 507/964-2941

---------------------------**********

Certification

Registration

WINONA

(Cont.)* --------------------------

COMP

REBECCA SOBOLIK

COMP

ALYSSA RENK

COMP

LINDA ATKINSON

Hospice

LINDA ATKINSON

COMP

LINDA ATKINSON

HOSP-49 BASS-8

RACHELLE SCHULTZ

HWSAL

HSPICE

HOSP-49

ESRD

WRIGHT

******** --------------------------

Minnesota Department of Health

Health Regulation Division

Page

549

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

ENGEL HAUS

5101 KASSEL AVENUE NE

ALBERTVILLE, MN 55301

PHONE:

763/498-4594

ENGEL HAUS

5101 KASSEL AVENUE NE

ALBERTVILLE, MN 55301

PHONE:

763/498-4594

PUSH SERVICES INC

10486 51ST COURT

ALBERTVILLE, MN 55301

PHONE:

952/229-7432

UPDAY HOME HEALTH LLC

11704 EAST LAKETOWNE DRIVE

ALBERTVILLE, MN 55301

PHONE:

763/464-3473

ANNANDALE CARE CENTER, INC.

500 PARK STREET EAST

ANNANDALE, MN 55302

PHONE:

320/274-3737

CENTENNIAL VILLA

600 PARK STREET EAST

ANNANDALE, MN 55302

PHONE:

320/274-5031

CENTENNIAL VILLA ASSISTED LIVING

660 PARK STREET EAST

ANNANDALE, MN 55302

PHONE:

320/274-3737

CENTENNIAL VILLA ASSISTED LIVING

660 PARK STREET EAST

ANNANDALE, MN 55302

PHONE:

320/274-5031

CENTENNIAL VILLA MEMORY CARE

500 PARK STREET EAST

ANNANDALE, MN 55302

PHONE:

320/274-5031

NProf

(30893)

FAX: 763/270-3480

NProf

(31271)

FAX: 763/270-3480

Corp

(33182)

FAX: /-

Lim-Liab

(34032)

FAX: /-

NProf

(00951)

FAX: 320/274-3631

NProf

(20074)

FAX: 320/274-1330

NProf

(20856)

FAX: 320/274-1330

NProf

(30825)

FAX: 320/274-1330

NProf

(25919)

FAX: 320/274-1330

Certification

Registration

WRIGHT

(Cont.)* --------------------------

HWSAL

MINDY SMITH

COMP

MINDY SMITH

COMP

PUSH S PRINCESS YANFORH NIMELY

COMP

JENNIFER ANDERSON

NH-60 SNF-NF-60

DEBRA REITMEIER

HWSAL

DEBORAH FLYGARE

COMP

DEBORAH FLYGARE

HWSAL

DEBORAH FLYGARE

HWSAL

DEBORAH FLYGARE

COMMUNITY BEHAVIORAL HEALTH HOSPITAL-ANNANDALE

State

OTHER-16 PSY-16

400 ANNANDALE BOULEVARD

ANNANDALE, MN 55302

(24145)

PHONE:

651/259-3850

FAX: 320/274-7018

JAMES KELLY

Minnesota Department of Health

Health Regulation Division

Page

550

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

ADARA HOME HEALTH INC

25 1ST AVENUE NE #100

BUFFALO, MN 55313

PHONE:

763/682-3005

BUFFALO HOSPITAL

303 CATLIN STREET

BUFFALO, MN 55313

PHONE:

763/682-1212

FMC DIALYSIS SERVICES BUFFALO

104 MARTY DRIVE #2

BUFFALO, MN 55313

PHONE:

763/682-0211

GENTLE TOUCH HEALTH INITIATIVES, LLC

407 8TH STREET NW

BUFFALO, MN 55313

PHONE:

763/682-9366

GLENN BUFFALO, LLC

201 1ST STREET NE

BUFFALO, MN 55313

PHONE:

763/682-5489

GLENN BUFFALO, LLC

407 8TH STREET NW

BUFFALO, MN 55313

PHONE:

763/682-5489

GLENN BUFFALO, LLC

415 8TH STREET NW

BUFFALO, MN 55313

PHONE:

763/682-5489

LAKE RIDGE ASSISTED LIVING

310 LAKE BOULEVARD SOUTH

BUFFALO, MN 55313

PHONE:

763/404-4604

LAKE RIDGE ASSISTED LIVING

310 LAKE BOULEVARD SOUTH

BUFFALO, MN 55313

PHONE:

763/404-4648

LAKE RIDGE CARE CENTER OF BUFFALO, INC.

310 LAKE BOULEVARD SOUTH

BUFFALO, MN 55313

PHONE:

763/404-4600

Corp

(03190)

FAX: 763/682-3006

NProf

(00860)

FAX: 763/684-7910

Corp

(03717)

FAX: /-

Lim-Liab

(29351)

FAX: 763/682-6569

Lim-Liab

(20395)

FAX: 763/682-4237

Lim-Liab

(20122)

FAX: 763/682-6569

Lim-Liab

(20123)

FAX: 763/682-6569

NProf

(20186)

FAX: 763/682-4464

NProf

(30436)

FAX: 763/682-4464

NProf

(00714)

FAX: 763/682-6419

Certification

Registration

WRIGHT

(Cont.)* --------------------------

COMP HHA

LORI SEEMANN

HOSP-65 BASS-18 HOSP-65

KELLY SPRATT

ESRD

JANELL MARTINSON

COMP

JEANETTE RUTLEDGE

HWSAL

JEANETTE RUTLEDGE

HWSAL

JEANETTE RUTLEDGE

HWSAL

JEANETTE RUTLEDGE

COMP

JASON NELSON

HWSAL

JASON NELSON

NH-56 SNF-NF-56

JASON NELSON

Minnesota Department of Health

Health Regulation Division

Page

551

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

LAKE RIDGE MANOR

NProf

310 LAKE BOULEVARD SOUTH

BUFFALO, MN 55313

(20186)

PHONE:

763/404-4604

FAX: 763/682-4464

LIVING WELL - DOUGLAS

NProf

303 DOUGLAS DRIVE

BUFFALO, MN 55313

(01179)

PHONE:

763/682-4588

FAX: 763/682-9650

PARK TERRACE ASSISTED LIVING & MEMORY CARE

NProf

613 MONTROSE BOULEVARD

BUFFALO, MN 55313

(25448)

PHONE:

763/684-4866

FAX: 763/682-6855

PARK TERRACE ASSISTED LIVING & MEMORY CARE

NProf

613 MONTROSE BOULEVARD

BUFFALO, MN 55313

(30587)

PHONE:

763/684-4866

FAX: 763/682-6855

PARK VIEW CARE CENTER

Church

200 PARK LANE

BUFFALO, MN 55313

(00719)

PHONE:

763/951-7825

FAX: 763/684-1044

REM SOUTH CENTRAL SERVICES (BUFFALO)

Corp

914 3RD AVENUE NE

BUFFALO, MN 55313

(01487)

PHONE:

952/922-6776

FAX: 952/922-6885

SUNRISE ASSISTED LIVING OF BUFFALO

Lim-Liab

201 1ST STREET NE

BUFFALO, MN 55313

(20395)

PHONE:

763/682-5489

FAX: 763/682-4237

BROOKRIDGE

BusTrust

180 SUNSET AVENUE NW

COKATO, MN 55321

(20830)

PHONE:

320/286-3190

FAX: 320/286-3163

BROOKRIDGE

BusTrust

180 SUNSET AVENUE NW

COKATO, MN 55321

(30799)

PHONE:

320/286-3196

FAX: 320/286-3163

COKATO MANOR

NProf

182 SUNSET AVENUE

COKATO, MN 55321

(00712)

PHONE:

320/286-2158

FAX: 320/286-5729

Certification

Registration

WRIGHT

(Cont.)* --------------------------

COMP

JASON NELSON

SLFB-6 ICFIID-6

THERESA MILLER

COMP

JILL PINGEL

NH-123 SNF-NF-123

MATHEW BEDARD

SLFB-8 ICFIID-8

KRISTINE WAINRIGHT-TADYCH

JEANETTE RUTLEDGE

COMP

JESSICA FUDALI

JAMES BROICH

NH-56 SNF-NF-56

JAMES BROICH

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

552

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

COKATO MANOR HOME HEALTH

BusTrust

511 COKATO STREET NW

COKATO, MN 55321

(03746)

PHONE:

320/286-3049

FAX: 320/286-2307

EDGEWOOD GABLES

BusTrust

600 EAST 3RD STREET SE

COKATO, MN 55321

(20523)

PHONE:

320/286-2159

FAX: 320/286-0043

HERITAGE PLACE

BusTrust

182 SUNSET AVENUE NW

COKATO, MN 55321

(20343)

PHONE:

320/286-3118

FAX: 320/286-3163

THE ESTATES AT DELANO LLC

Lim-Liab

433 COUNTY ROAD 30

DELANO, MN 55328

(00933)

PHONE:

763/972-2987

FAX: 763/972-2457

THE LEGACY OF DELANO

Lim-Liab

1350 ST. PETER AVENUE EAST

DELANO, MN 55328

(26590)

PHONE:

763/972-2333

FAX: 763/972-5900

THE LEGACY OF DELANO

Lim-Liab

1350 ST. PETER AVENUE EAST

DELANO, MN 55328

(29189)

PHONE:

763/972-2333

FAX: 763/972-5900

THE LEGACY OF DELANO LLC

Lim-Liab

1350 ST. PETER AVENUE EAST

DELANO, MN 55328

(26590)

PHONE:

763/972-2333

FAX: 763/972-5900

GOOD SAMARITAN SOCIETY - HOWARD LAKE

NProf

413 13TH AVENUE

HOWARD LAKE, MN 55349

(00019)

PHONE:

320/543-3800

FAX: 320/543-2305

THE LODGE OF HOWARD LAKE

NProf

445 1ST STREET EAST

HOWARD LAKE, MN 55349

(29925)

PHONE:

320/543-1010

FAX: 320/543-1064

THE LODGE OF HOWARD LAKE

ONProf

445 1ST STREET EAST

HOWARD LAKE, MN 55349

(29926)

PHONE:

320/543-1010

FAX: 320/543-1064

Certification

Registration

WRIGHT

(Cont.)* --------------------------

COMP

JAMES BROICH

NH-46

ANDREA ROSS

COMP

BRIDGET GRAVES

COMP

BRIDGET GRAVES

NH-32

LAURA SALONEK

COMP

LAURA SALONEK

HHA

HWS

HWSAL

SNF-NF-46

HWSAL

SNF-NF-32

HWSAL

Minnesota Department of Health

Health Regulation Division

Page

553

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

WRIGHT

(Cont.)* --------------------------

ESSENTIAL KARE

Corp

COMP

6543 117TH STREET NW

MAPLE LAKE, MN 55358

(21604)

PHONE:

320/963-7571

FAX: 855/884-7635

MICHAEL HILGERT

CENTRACARE HEALTH - MONTICELLO

ONProf

NH-89 HOSP-39 BASS-12 SNF-NF-89 CAH-25 PPS-P-10

1013 HART BOULEVARD #1

MONTICELLO, MN 55362

(00717)

PHONE:

763/295-2945

FAX: 763/271-2299

JOHN HERING

CENTRACARE HEALTH MONTICELLO

ONProf

NH-89 HOSP-39 BASS-12 SNF-NF-89 CAH-25 PPS-P-10

1013 HART BOULEVARD #1

MONTICELLO, MN 55362

(00717)

PHONE:

763/295-2945

FAX: 763/271-2299

JOHN HERING

HELPING HAND COMPANIONS INC

Corp

BASIC

6207 WILDWOOD WAY

MONTICELLO, MN 55362

(33108)

PHONE:

763/333-8606

FAX: /-

ALEXA DIETERICHS

MONTICELLO SURGERY CENTER, LLC

Lim-Liab

Outpt Surg Amb Surg

1013 HART BOULEVARD #2

MONTICELLO, MN 55362

(32567)

PHONE:

763/271-3600

FAX: 763/271-3610

JOHN HERING

ST. BENEDICTS SENIOR COMMUNITY THE COURT

Church

HWSAL

1301 EAST 7TH STREET

MONTICELLO, MN 55362

(20806)

PHONE:

763/295-4058

FAX: 763/295-5384

CATHERINE OLSON

INDEPENDENT HAVEN INC ROSE HAVEN II

Corp

HWS-O

330 GARFIELD AVENUE SOUTH

MONTROSE, MN 55363

(33363)

PHONE:

763/999-7799

FAX: 763/999-7790

KHRISTINA OESTMANN

INDEPENDENT HAVEN ROSE HAVEN I

Corp

HWS-O

320 GARFIELD AVENUE SOUTH

MONTROSE, MN 55363

(33362)

PHONE:

763/999-7799

FAX: 763/999-7790

KHRISTINA OESTMANN

ACCURATE HOME CARE LLC

Lim-Liab

COMP HHA

9000 QUANTRELLE AVENUE NE

OTSEGO, MN 55330

(21487)

PHONE:

763/633-3800

FAX: 763/633-3808

BILL ENGLISH

DANIEL CARE HOMES LLC

Lim-Liab

TCOMP

7819 MACKENZIE AVENUE NE

OTSEGO, MN 55330

(35823)

PHONE:

763/321-9729

FAX: /-

EMELIE NGOY

Minnesota Department of Health

Health Regulation Division

Page

554

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

PARAMONUT CARE

12041 78TH STREET NE

OTSEGO, MN 55330

PHONE:

612/636-3800

RHODIUM HEALTHCARE SERVICES

11323 74TH STREET NE

OTSEGO, MN 55301

PHONE:

763/432-6413

RIVERVIEW LANDING

9200 QUANTRELLE AVENUE NE

OTSEGO, MN 55330

PHONE:

763/746-3400

RIVERVIEW LANDING

9200 QUANTRELLE AVENUE NE

OTSEGO, MN 55330

PHONE:

763/746-3400

CARING HEARTS AT HOME LLC

2000 BALSAM LANE

ROCKFORD, MN 55373

PHONE:

612/272-4114

THE BEATITUDES HOMES LLC

10315 31ST PLACE NE

ST. MICHAEL, MN 55376

PHONE: 612/868-3721

THE BEATITUDES HOMES LLC

10315 31ST PLACE NE

ST. MICHAEL, MN 55376

PHONE: 763/501-9192

THE LEGACY OF ST. MICHAEL

4400 LANGE AVENUE NE

ST. MICHAEL, MN 55376

PHONE:

763/497-0171

THE LEGACY OF ST. MICHAEL

4400 LANGE AVENUE NE

ST. MICHAEL, MN 55376

PHONE:

763/497-0171

Lim-Liab

(34841)

FAX: /-

Corp

(34795)

FAX: 763/432-6652

NProf

(34086)

FAX: /-

NProf

(34389)

FAX: 763/635-5480

Lim-Liab

(28793)

FAX: 763/777-9386

Lim-Liab

(35610)

FAX: /-

Lim-Liab

(35331)

FAX: 888/349-5754

Lim-Liab

(27112)

FAX: 763/497-7120

Lim-Liab

(29185)

FAX: 763/497-7120

Certification

WRIGHT

(Cont.)*

TCOMP

JOHN YUFANYI

DALIER NEWTON

COMP

ANDREA ERICKSON

COMP

KATHLEEN TURNER

SONIE KPANAKU

TCOMP HCBS

SONIE KPANAKU

COMP

ALEX FERRELL

Registration

--------------------------

HWSAL

YELLOW MEDICINE

---------------------------**********

******** --------------------------

Minnesota Department of Health

Health Regulation Division

555

Page

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

YELLOW MEDICINE

---------------------------**********

(Cont.)* --------------------------

ESRD

SANFORD CANBY DIALYSIS UNIT

NProf

112 ST. OLAF AVENUE SOUTH

CANBY, MN 56220

(04244)

PHONE:

507/223-7277

FAX: 507/223-7465

ROBERT SALMON

SANFORD CANBY MEDICAL CENTER

NProf

COMP HHA

213 ST. OLAF AVENUE N STE B

CANBY, MN 56220

(02240)

PHONE:

507/223-7277

FAX: 507/223-5346

BRENDA KNUTSON

NProf

NH-53 HOSP-25 BASS-2 SNF-NF-53 CAH-25

SANFORD CANBY MEDICAL CENTER

112 ST. OLAF AVENUE SOUTH

CANBY, MN 56220

(00722)

PHONE:

507/223-7277

FAX: 507/223-7340

LORI SISK

COMP

SANFORD CANBY MEDICAL CENTER

NProf

212 ST. OLAF AVENUE SOUTH

CANBY, MN 56220

(23624)

PHONE:

507/223-7277

FAX: 507/223-7886

JASON ANDERSON

SANFORD CLINIC CANBY

NProf

RHC

112 ST. OLAF AVENUE

CANBY, MN 56220

(02775)

PHONE:

507/223-7221

FAX: /-

LORI SISK

NProf

NH-53 HOSP-25 BASS-2 SNF-NF-53 CAH-25

SYLVAN COURT

112 ST. OLAF AVENUE SOUTH

CANBY, MN 56220

(00722)

PHONE:

507/223-7277

FAX: 507/223-7340

LORI SISK

SYLVAN PLACE

NProf

HWS

212 ST. OLAF AVENUE SOUTH

CANBY, MN 56220

(23511)

PHONE:

507/223-7277

FAX: 507/223-5877

JASON ANDERSON

CLARKFIELD CARE CENTER

City

COMP HHA

805 5TH STREET

CLARKFIELD, MN 56223

(02302)

PHONE:

320/669-7229

FAX: 320/669-0107

JULIE LONDGREN

CLARKFIELD CARE CENTER

City

NH-36 SNF-NF-36

805 5TH STREET

CLARKFIELD, MN 56223

(00842)

PHONE:

320/669-7561

FAX: 320/669-7409

JUSTIN BOLDT

CLARKFIELD HOUSING & REDEVELOPMENT AUTHORITY

HRA

HWS

1012 12TH AVENUE

CLARKFIELD, MN 56223

(20928)

PHONE:

320/669-4648

FAX: 320/669-4648

JESSICA ANDERSON

Minnesota Department of Health

Health Regulation Division

Page

556

Directory of Facilities and Services

Facility/Service Owner Licensure Certification

Registration

---------------------------**********

YELLOW MEDICINE

(Cont.)* --------------------------

AVERA GRANITE FALLS

NProf

345 10TH AVENUE

GRANITE FALLS, MN 56241

(00725)

PHONE:

320/564-6201

FAX: 320/313-3396

GRANITE MANOR

NProf

345 10TH AVENUE

GRANITE FALLS, MN 56241

(00725)

PHONE:

320/564-6201

FAX: 320/313-3396

HENRY HILL APARTMENTS

Part

150 7TH AVENUE

GRANITE FALLS, MN 56241

(22006)

PHONE:

320/564-4030

FAX: 320/564-4637

PROJECT TURNABOUT

NProf

660 18TH STREET

GRANITE FALLS, MN 56241

(21953)

PHONE:

320/564-4911

FAX: 320/564-3122

---------------------------**********

AVERA AT HOME

NProf

826 NORTH 8TH STREET

ESTHERVILLE, IA 51334

(31610)

PHONE:

712/362-6169

FAX: 712/362-6168

AVERA AT HOME

NProf

826 NORTH 8TH STREET

ESTHERVILLE, IA 51334

(31653)

PHONE: 712/362-6169

FAX: 712/362-6168

HELPING HANDS HOME CARE OF MINNESOTA, INC.

Corp

2244 490TH STREET

NORTHWOOD, IA 50459

(24054)

PHONE:

507/993-7500

FAX: 888/691-4965

UNIVERSAL PEDIATRICS

Corp

702 PARK STREET

SHELDON, IA 51201

(29775)

PHONE:

712/324-4012

FAX: 712/324-4091

---------------------------**********

EXAMINETICS, INC.

Corp

10561 BARKLEY PLACE #400

OVERLAND PARK, KS 66212

(31792)

PHONE:

913/748-2000

FAX: 913/748-2001

HOSP-30 BASS-3 CAH-25

TOM KOOIMAN

HOSP-30 BASS-3 CAH-25

TOM KOOIMAN

HWS

BRANDON EISENBEIS

SLFA-96 SLFB-15

MICHAEL SCHIKS

IOWA

******** --------------------------

Hospice

DOREEN HARDY

COMP

DOREEN HARDY

COMP HCBS

SHELLEE WRIGHT

COMP

STEVEN ANDERSON

KANSAS

******** --------------------------

MOBHES

MELINDA TIFFANY

Minnesota Department of Health

Health Regulation Division

Page

557

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

PROMERICA HEALTH, LLC

Lim-Liab

380 US ROUTE 1

FALMOUTH, ME 04105

(33114)

PHONE:

207/828-4700 FAX: 270/828-4704

---------------------------**********

ACTIVE AT HOME HELPERS

417 MAIN AVENUE #134

FARGO, ND 58103

PHONE:

701/540-3483

COMFORT KEEPERS / HEALTHY AT HOME

1205 4TH AVENUE SOUTH #2

FARGO, ND 58103

PHONE:

701/237-0004

ETHOS HOME CARE

3361 45TH STREET SOUTH #100

FARGO, ND 58104

PHONE:

701/356-3803

ETHOS HOSPICE

3361 45TH STREET SOUTH #100

FARGO, ND 58104

PHONE:

701/356-3803

HOSPICE OF THE RED RIVER VALLEY

1701 38TH STREET SOUTH #101

FARGO, ND 58103

PHONE: 701/356-1500

RIGHT AT HOME

15 BROADWAY NORTH #604

FARGO, ND 58102

PHONE:

866/292-5609

SANDOS CARE CORPORATION

505 BROADWAY NORTH #208

FARGO, ND 58102

PHONE:

701/478-1010

SANFORD HOME CARE

100 4TH STREET SOUTH

FARGO, ND 58103

PHONE:

701/234-4900

Lim-Liab

(33322)

FAX: 701/239-6706

Lim-Liab

(23729)

FAX: 701/237-0029

Lim-Liab

(31181)

FAX: 701/356-3804

NProf

(33099)

FAX: 701/356-3804

NProf

(03040)

FAX: 701/356-1591

Lim-Liab

(33514)

FAX: 701/232-3944

Corp

(22134)

FAX: 701/478-1008

NProf

(03255)

FAX: 701/234-4899

Certification

Registration

MAINE

******** --------------------------

MOBHES

JENNIFER MINTHORN

NORTH DAKOTA

******** --------------------------

BASIC

JERRET THISETH

COMP

JOEL PETERSON

COMP

CASSANDRA ZIELKE

Hospice

CASSANDRA ZIELKE

Hospice

TRACEE CAPRON

BASIC HCBS

BARIMORE MARING

COMP

SHEENA SANDO

COMP

MARY KAY HERRMANN

Minnesota Department of Health

Health Regulation Division

Page

558

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

SANFORD MEDICAL CENTER FARGO

NProf

820 4TH STREET NORTH

FARGO, ND 58122

(35160)

PHONE: 701/417-2314

FAX: 701/417-2328

SONMAR HOME CARE LLC

Lim-Liab

15 BROADWAY NORTH #604

FARGO, ND 58102

(33739)

PHONE: 701/997-0400

FAX: 701/232-3944

VALLEY HOME CARE LLC

Lim-Liab

1336 25TH AVENUE SOUTH #213

FARGO, ND 58103

(33902)

PHONE: 701/235-2271

FAX: 701/235-2338

ALTRU'S HOME HEALTH

NProf

1380 SOUTH COLUMBIA ROAD

GRAND FORKS, ND 58201

(03113)

PHONE: 701/780-5880

FAX: 701/780-5849

ALTRU'S HOSPICE

NProf

1380 SOUTH COLUMBIA ROAD

GRAND FORKS, ND 58201

(03224)

PHONE: 701/780-5880

FAX: 701/780-5849

BENEDICTINE HOME HEALTH

NProf

1307 NORTH 7TH STREET

WAHPETON, ND 58075

(20648)

PHONE:

701/642-6667

FAX: 701/642-1863

---------------------------**********

AVERA AT HOME

901 EAST VIRGIL STREET

MILBANK, SD 57252

PHONE: 605/432-5159

SANFORD HOSPICE

2710 WEST 12TH STREET

SIOUX FALLS, SD 57104

PHONE: 605/312-5500

SCREENING AMERICA

7001 SOUTH LYNCREST PLACE #101

SIOUX FALLS, SD 57108

PHONE: 605/274-2525

NProf

(31751)

FAX: 605/432-3287

NProf

(03300)

FAX: 605/312-5501

Corp

(31793)

FAX: 605/274-0620

Certification

NORTH DAKOTA

(Cont.)*

Hospice

KIM WOLF

BARIMORE MARING

TONI LARSON

COMP

LISA TOCCHIO

Hospice

JODI SORUM

COMP

TESSA STROEHL

SOUTH DAKOTA

********

Hospice

JESSICA WELLNITZ

Hospice

LORA NELSON

JAMES MCFARLAND

Registration

--------------------------

Home Mgmt

--------------------------

MOBHES

Minnesota Department of Health

Health Regulation Division

Page

559

Directory of Facilities and Services

Facility/Service Owner Licensure

---------------------------**********

AVERA@HOME

NProf

301 FLYNN DRIVE

MILBANK, SD 57252

(31750)

PHONE:

605/432-3259

FAX: 605/432-6003

---------------------------**********

COMFORT KEEPERS

Corp

2424 MONETARY BOULEVARD #012

HUDSON, WI 54016

(30005)

PHONE:

715/381-6730

FAX: 715/381-6734

COMFORT KEEPERS

Corp

2424 MONETARY BOULEVARD #012

HUDSON, WI 54016

(32607)

PHONE:

715/381-6730

FAX: 715/381-6734

MAYO CLINIC HEALTH SYSTEM - FRANCISCAN MEDICAL

NProf

CENTER

620 SOUTH 11TH STREET

LA CROSSE, WI 54601

PHONE:

608/392-9790

GUNDERSEN LUTHERAN HOSPICE

1900 SOUTH AVENUE

LACROSSE, WI 54601

PHONE:

608/775-8435

(28013)

FAX: 608/392-9548

ONProf

(21826)

FAX: 608/775-8440

Certification

Registration

SOUTH DAKOTA

(Cont.)*

--------------------------

COMP

JESSICA WELLNITZ

WISCONSIN

******** --------------------------

COMP

LINDA SHURDEN

Home Mgmt

LINDA SHURDEN

Hospice

JESSICA SMITH

Hospice

SARAH ROSSMAN

P

age

560

LOCATION BOARDING CARE HOME LOCATION BOARDING CARE HOME

====================================================================

=

====================================================================

=

BENSON

BLOOMINGTON

DULUTH

HASTINGS

MINNEAPOLIS

OSSEO

REVERE

ST. PAUL

MEADOW LANE REHAB AND HCC

FRIENDSHIP VILLAGE OF BLOOMING

AFTENRO HOME

MN VETERANS HOME HASTINGS

ANDREW RESIDENCE

BETHANY RESIDENCE AND REHAB CT

BIRCHWOOD CARE HOME

BRIDGES MN

BYWOOD EAST HEALTH CARE

EBENEZER CARE CENTER

GRAND AVE REST HOME

MINNESOTA TEEN CHALLENGE

MN VETERANS HOME MINNEAPOLIS

MOUNT OLIVET HOME

SOUTHSIDE CARE CENTER

THE VILLA AT OSSEO

REVERE HOME

AMY JOHNSON RESIDENCE

EPISCOPAL CHURCH HOME OF MN

HAYES RESIDENCE

LITTLE SISTERS OF THE POOR

THE QUINLAN HOME

Page

561

LOCATION COMMUNITY MENTAL HEALTH CENTER LOCATION COMPREHENSIVE OUTPATIENT REHAB. FACILITY

====================================================================

=

======================================================================

=

ST. PAUL RAMSEY CO MENTAL HEALTH CTR

ST. LOUIS PARK MN MEDICAL & REHAB SERVS LLC

Page 562

LOCATION END STAGE RENAL DISEASE SUPPLIER LOCATION END STAGE RENAL DISEASE SUPPLIER

======================================================================

=

=====================================================================

=

ALBERT LEA

MAYO CLINIC DIALYSIS

MAPLE GROVE

FRESENIUS MED CARE MAPLE GROVE

ALEXANDRIA

CENTRACARE KIDNEY PROGRAM

MAPLE GROVE DIALYSIS UNIT

APPLE VALLEY

EAST VALLEY DIALYSIS

MAPLEWOOD

FMC MAPLEWOOD HEIGHTS

ARDEN HILLS

ARDEN HILLS DIALYSIS UNIT

MAPLEWOOD DIALYSIS CENTER

BEMIDJI

SANFORD DIALYSIS BEMIDJI

MARSHALL

AVERA DIALYSIS MARSHALL

BIG LAKE

CENTRA CARE KIDNEY PROGRAM

MINNEAPOLIS

FMCNA PARK AVE DIALYSIS CENTER

BLAINE

CENTRAL AVENUE DIALYSIS

FMCNA SOUTH MPLS DIALYSIS CTR

FRESENIUS MEDICAL CARE BLAINE

HOME DIALYSIS UNIT OF TRC INC

BLOOMINGTON

BLOOMINGTON DIALYSIS UNIT TRC

MINNEAPOLIS DIALYSIS UNIT

FMC SOUTHTOWN DIALYSIS

MINNEAPOLIS NE DIALYSIS

BRAINERD

CENTRACARE KIDNEY PROGRAM

MINNEAPOLIS UPTOWN DIALYSIS

BUFFALO

FMC DIALYSIS SERVICES BUFFALO

UMMC FAIRVIEW RENAL DIALYSIS

BURNSVILLE

BURNSVILLE DIALYSIS UNIT

MINNETONKA

MINNETONKA DIALYSIS UNIT

CAMBRIDGE

CENTRACARE CAMBRIDGE DIALYSIS

MONTEVIDEO

MONTEVIDEO DIALYSIS

CANBY

SANFORD CANBY DIALYSIS UNIT

MORA

FRESENIUS KIDNEY CARE MORA

CASS LAKE

CASS LAKE DIALYSIS FACILITY

MORRIS

SANFORD DIALYSIS MORRIS

CHAMPLIN

FRESENIUS MED CARE OF CHAMPLIN

NEW HOPE

NEW HOPE DIALYSIS CENTER

CHASKA

FRESENIUS KIDNEY CARE CHASKA

NEW ULM

NEW ULM DIALYSIS

CLOQUET

FRESENIUS MEDICAL CARE CLOQUET

NORTH MANKATO

MANKATO UPTOWN DIALYSIS

COON RAPIDS

COON RAPIDS DIALYSIS UNIT

NORTHFIELD

NORTHFIELD DIALYSIS

FMC DIALYSIS SVCS N SUBURBAN

OLIVIA

CENTRACARE KIDNEY OLIVIA

FRESENIUS MED CA RND LK DIALYS

ORTONVILLE

SATELLITE DIALYSIS ORTONVILLE

FRESENIUS MED CARE COON RAPIDS

OWATONNA

MAYO CLINIC DIALYSIS OWATONNA

COTTAGE GROVE

COTTAGE GROVE DIALYSIS

PIPESTONE

PIPESTONE DIALYSIS FACILITY

CROOKSTON

ALTRU RENAL DIALYSIS AT CROOKS

PLYMOUTH

FMC PLYMOUTH CREEK

DETROIT LAKES

SANFORD DETROIT LKS HM DIALYSI

PRINCETON

CENTRACARE KIDNEY PROGRAM

SANFORD DIALYSIS DETROIT LAKES

RED LAKE

SANFORD DIALYSIS RED LAKE

DILWORTH

MOORHEAD DIALYSIS

REDWOOD FALLS

REDWOOD FALLS DIALYSIS

DULUTH

FMC DIAL SVCS OF SPIRIT VALLEY

RICHFIELD

RICHFIELD DIALYSIS

FMC DIALYSIS SERVICES DULUTH

ROBBINSDALE

FRESENIUS MED CARE ROBBINSDALE

DUNDAS

FRESENIUS MED CA CANNON VALLEY

ROBBINSDALE DIALYSIS

EAGAN

EAGAN DIALYSIS UNIT

ROCHESTER

MAYO CLINIC DIALYSIS METHODIST

EDEN PRAIRIE

EDEN PRAIRIE DIALYSIS

MAYO CLINIC DIALYSIS ST. MARYS

EDINA

EDINA DIALYSIS CENTER

MAYO CLINIC NE CLINIC

ELK RIVER

CENTRAL MINNESOTA REG DIALYSIS

ROCHESTER DIALYSIS

EVELETH

FMC DIALYSIS SERVICES EVELETH

ROSEAU

ALTRU RENAL DIALYSIS

FAIRMONT

MAYO CLINIC DIALYSIS FAIRMONT

ROSEVILLE

FMC DIALYSIS SERVCES ROSEVILLE

FARIBAULT

FARIBAULT DIALYSIS UNIT

LARPENTEUR AVENUE DIALYSIS

FERGUS FALLS

FERGUS FALLS DIALYSIS CENTER

SAVAGE

SCOTT COUNTY DIALYSIS

FRIDLEY

EAST RIVER ROAD DIALYSIS

SHAKOPEE

FMCNA SHAKOPEE DIALYSIS CENTER

GLENCOE

GLENCOE DIALYSIS

ST. CLOUD

CENTRACARE KIDNEY PROGRAM

GOLDEN VALLEY

GOLDEN VALLEY DIALYSIS CENTER

ST. LOUIS PARK

FRESENIUS MED CARE ST LOUIS PK

GRAND RAPIDS

FMC DIALYSIS SRVCS GR RAPIDS

ST. LOUIS PARK DIALYSIS CENTER

HASTINGS

FRESENIUS MED CARE TWO RIVERS

ST. PAUL

FMCNA NEW BRIGHTON DIAL CTR

HISTORICAL HASTINGS DIALYSIS

FRESENIUS MEDICAL CARE MIDWAY

HIBBING

FRESENIUS MED CARE OF HIBBING

FRESENIUS MEDICAL OF ST. PAUL

HUTCHINSON

HUTCHINSON DIALYSIS CENTER

HIGHLAND PARK DIALYSIS

LAKEVILLE

FRESENIUS MED CARE LAKEVILLE

PHALEN DIALYSIS

LAKEVILLE DIALYSIS

ST. PAUL CAPITOL DIA AT HOME

LITCHFIELD

CENTRACARE KDNY PG LITCHFIELD

ST. PAUL CAPITOL DIALYSIS

LITTLE FALLS

CENTRACARE KDNY PGM LITTLE FAL

ST. PAUL DIALYSIS

MANKATO

DIALYSIS AT MANKATO CLINIC

SUN RAY DIALYSIS UNIT

Page 563

ST. PAUL UNIVERSITY DIALYSIS RIVERSIDE

STAPLES CENTRACARE KIDNEY PGM STAPLES

STILLWATER RIVER CITY DIALYSIS

THIEF RIVER FALLS SANFORD DIALYSIS THIEF RVR FLS

WABASHA MAYO CLINIC DIALYSIS WABASHA

WACONIA FMCNA WACONIA DIALYSIS

WEST ST. PAUL FMC WEST ST. PAUL DIALYSIS

WEST ST. PAUL DIALYSIS UNIT

WHITE EARTH WHITE EARTH DIALYSIS

WILLMAR CARRIS HEALTH LLC

WINONA WINONA HEALTH SERVICES

WOODBURY FRESENIUS KIDNEY CARE WOODBURY

WOODBURY DIALYSIS

WORTHINGTON SANFORD WORTHINGTON MED CENTER

WYOMING WYOMING DIALYSIS

Page

564

LOCATION LICENSED HOME CARE PROVIDER TYPE

=================================================================

=

=================================================================

=

ADA

BENEDICTINE SUPPORTIVE SERVICE

CP

APPLE VALLEY

CENTENNIAL HOUSE OF APPLE VALL

CP

ADAMS

ADAMS HOME HEALTH AGENCY

CP

ECUMEN SEASONS AT APPLE VALLEY

CP

ADRIAN

ADRIAN COUNTRY LIVING COTTAGES

CP

GOLDEN OAKS HOME CARE LLC

TC

SUNRISE VIEW ASSISTED LIVING L

CP

HOPE AND NEW LIFE HEALTHCARE

CP

AFTON

AFTON CARE LLC

CP

LIVING WELL HOSPITALITY, LLC

BA

AITKIN

AICOTA HEALTH CARE CENTER INC

CP

TWINS CARE NURSING SERVICE INC

CP

GOLDEN HORIZONS

CP

APPLETON

APPLETON AREA HEALTH SERVICES

CP

RIVERS EDGE ASSISTED LIVING IN

CP

ARDEN HILLS

JOHANNA SHORES

CP

ALBANY

MOTHER OF MERCY SENIOR LIVING

CP

ARLINGTON

GOLDEN HEARTS INC

CP

ALBERT LEA

ALLIED HOME HEALTH INC

CP

GOOD SAMARITAN SOCIETY - FAIRV

CP

BROADWAY ASSISTED LIVING

CP

ASHBY

ASHBY LIVING CENTER

CP

EMBRACE HOME CARE LLC

CP

PURPOSE HOME HEALTHCARE INC

CP

GOOD SAM HIDDEN CREEK

CP

AUSTIN

CEDARS OF AUSTIN

CP

GRACE HOME HEALTHCARE INC

TC

KSMS OUR HOUSE LLC

CP

JUST LIKE HOME PLACE LLP

CP

PRIMROSE OF AUSTIN

CP

OAK PARK PLACE OF ALBERT LEA

CP

REFLECTIONS ASSISTED LIVING

CP

PRAIRIE SENIOR COTTAGES

CP

SACRED HEART CARE CENTER INC

TC

ST. JOHN'S COMMUNITY CARE

CP

SACRED HEART HOME HEALTH CARE

CP

THORNE CREST RETIREMENT CENTER

CP

ST. MARKS HERITAGE COMMUNITY

CP

ALBERTVILLE

ENGEL HAUS

CP

THE CARLSON HOME OF AUSTIN INC

CP

PUSH SERVICES INC

CP

WHISPERING PINES RANCH

CP

UPDAY HOME HEALTH LLC

CP

AVON

SERENITY VILLAGE AT AVON INC

CP

ALEXANDRIA

ALEX ASSISTED LIVING LLC

CP

BACKUS

DIGNITY AND GRACE

CP

BETHANY ON THE LAKE ASSISTED

CP

BAGLEY

CLEARWATER COUNTY NSG SERVICE

CP

EDGEWOOD ALEXANDRIA SENIOR LIV

CP

CORNERSTONE RESIDENCE OF BAGLE

CP

GOLDENRIDGE SENIOR CARE LLC

CP

CORNERSTONE RESIDENCE SENIOR C

CP

GRAND ARBOR

CP

BALATON

KINGDOM HOME HEALTH CARE LLC

BA

KNUTE NELSON

CP

MINNEWASKA COMMUNITY HOME CARE

CP

KNUTE NELSON HOME CARE

CP

BARRETT

ROLLING HILLS HOME CARE

CP

NELSON GABLES

CP

BATTLE LAKE

LAKEVIEW SENIOR LIVING APMTS

CP

NEXTSTEP HOMECARE INC

CP

BAUDETTE

LAKEWOOD HEALTH CENTER

CP

PRAIRIE SR COTTAGES OF ALEX

CP

BAXTER

EDGEWOOD BAXTER LLC

CP

VISTA PRAIRIE AT WINDMILL POND

CP

GOOD NEIGHBOR HHC OF BRAINERD

CP

WOODCREST ASSISTED LIVING

CP

MN HOME CARE

CP

ANDOVER

ARBOR OAKS SENIOR LIVING LLC

CP

BAYPORT

CROIXDALE

CP

HOME INSTEAD SENIOR CARE

CP

BELLE PLAINE

KINGSWAY HOME CARE

CP

JUST FOR RACHEL HOME CARE

CP

BELVIEW

PARKWOOD APARTMENTS

CP

THE FARMSTEAD

CP

BEMIDJI

AUTUMN HILLS OF BEMIDJI INC

CP

ANNANDALE

CENTENNIAL VILLA ASSISTED LIVI

CP

CEDAR COTTAGE

CP

ANOKA

BAIKAH HOMES LLC

CP

COLLEEN'S CARING HANDS

CP

COMFORT KEEPERS

CP

D & D'S CARING HEARTS

CP

DIGNITY HEALTHCARE SERVICES

CP

GOLDPINE HOME

CP

GOLDEN HEARTS HOME CARE SVC

CP

LONG LAKE LOON LODGE

CP

GROWTH & WELLNESS HOMECARE, LL

TC

NORTHWOODS CAREGIVERS

CP

LIBERTY MATHAN LLC

CP

SANFORD BEMIDJI HOME CARE

CP

VOA HOME HEALTH AT ANOKA

CP

SANFORD HEALTH NEILSON PLACE

CP

WALKER METHODIST PLAZA HOME CA

CP

TAMARACK COURT

CP

WHISPERING PINES ASSISTED LVG

CP

TOUCH OF HOME

CP

APPELTON

APPLETON AREA HEALTH SERVICES

CP

BENSON

PROGRESSIVE CARE LLC

CP

APPLE VALLEY

APPLE VALLEY VILLA

CP

BIGFORK

BIGFORK VALLEY HOME CARE

CP

BAYVIEW CASE MANAGEMENT

TC

BIGFORK VALLEY VILLA ASSISTED

CP

C MED HOMES INC SRV CORP

TC

BLACKDUCK

GOOD SAMARITAN SOCIETY BLACKDU

CP

Page

565

LOCATION LICENSED HOME CARE PROVIDER TYPE

=================================================================

=

=================================================================

=

BLACKDUCK SERENITY LIVNG SOLUTIONS OF BL

CP

BLOOMINGTON

RIGHT AT HOME

BA

BLAINE A BEAUTIFUL CHOICE LLC

TC

SEED HOME HEALTHCARE LLC

TC

ADEQUATE HOME CARE LLC

TC

SENIOR HOME HEALTH CARE LLC

CP

ALCORDIA CARE LLC

TC

SHIRE HOMES INC

TC

ASSURANT CARE HOMES LLC

CP

SUNSHINE ASSISTED LIVING

TC

BLAINE WHITE PINE

CP

THE JAMES INC

CP

BLAINE WPII LLC

CP

THE WEALSHIRE LLC

CP

CARESERVICES LLC

TC

TOUCHING HEARTS AT HOME

CP

EDGEMONT PL ALZHEIMER'S SPL CC

CP

UNLIMITED HOME HEALTH CARE

TC

EDGEWOOD BLAINE LLC

CP

BLUE EARTH

FRIENDSHIP COURT

CP

ELITE CAREGIVER GROUP-HOME LLC

TC

SISTERCARE

CP

HEALTHMAX HOME HEALTH SERVICES

CP

UNITED HOSPITAL DISTRICT INC

CP

KINGFISHER HEALTH LLC

TC

BOVEY

EDGEWOOD CARE INC

CP

LANDINGS OF BLAINE

CP

BRAINERD

ALMOND HOUSE

CP

MORNINGSTAR CARE SERVICES, LLC

TC

BARNABAS HEALTH CARE SERVICES

CP

REVO HEALTH

CP

EDGEWOOD BRAINERD SENIOR LIVIN

CP

SERENEHANDS HOME HEALTH CARE I

CP

GOOD SAMARITAN SOCIETY BETHANY

CP

SKYLINE HEALTH SERVICES INC

TC

GRATTAN PRIVATE DUTY NURSING I

CP

SYNERGY HOME CARE NORTHEAST ME

CP

HOME INSTEAD SENIOR CARE

BA

WELLNESS GROUP HOME

TC

WOODLAND GOOD SAMARITAN ASSIST

CP

ZEN HOME HEALTHCARE

TB

BRANDON

BRANDON'S ASSISTED LIVING

CP

BLOOMING PRAIRIE

HEATHER HAUS

CP

BRECKENRIDGE

CHI HEALTH AT HOME

CP

BLOOMINGTON

A+ HOME HEALTH CARE INC

BA

WELCOME HOME HEALTH CARE INC

CP

ADAMS HEALTH CARE SERVICES

CP

BROOKLYN CENTER

ABUNDANT LIFE HOME HEALTH CARE

CP

AFFINITY RESIDENTIAL CARE LLC

TC

ACACIA CARE LLC

TC

ASSISTED LIVING IN HERITAGE

CP

AGAPE HEALTHCARE SERVICES INC

CP

ASSURED CARE

CP

AMAZING HOME LLC

TC

BRECK HOME RESIDENTIAL CARE CE

CP

AMC CARE INC

TC

CAREMINDERS HOME CARE

CP

AMECARE SERVICES LLC

TC

CARESTAY HOMES LLC

TC

AMERICAN BEST HOME CARE

CP

CARING FRIENDS

TC

AMERICAN FAMILY HOME CARE

CP

DESTINY HOME CARE SERVICES INC

CP

ANGEL HOME CARE

TC

ELITE QUALITY SERVICES LLC

CP

ANGELS HEALTH & HOME CARE SERV

CP

FIRST CHOICE ASSISTED LIVING

TC

ANGELS OF MERCY ASSISTED LIVIN

CP

FIRST MERCY HOMES LLC

TC

ASHTON HOMES LLC

CP

FOUNDERS RIDGE

CP

ASIAN AMERICAN ELDERLY ASSISTE

CP

GRACE HOME HEALTH CARE LLC

CP

ASTRAL HOME CARE LLC

TC

GREAT OAK SENIOR CARE INC

BA

B A COMFORT LIFE HOMECARE

TC

HOPE'S RESIDENCE

CP

BUTTERFLY BOUND CARE

CP

JOYFUL RESIDENTIAL ASSISTED LI

TC

CARE PARTNERS HOMECARE LLC

CP

LIFESPACE PERSONAL SERVICES

CP

CAREVIEW HOME HEALTH LLC

CP

MANZMED START CORPORATIONS

TC

DIVINE HEALING HOME CARE LLC

CP

METRO ASSISTED LIVING AND REHA

TC

DIVINE HOME CARE SERVICES LLC

TC

MIDWEST RESIDENTIAL INC

CP

DOMINION HEALTHCARE SERVICES

TC

MINNESOTA GROUP HOMES LLC

TC

ELITE NURSING SERVICE INC

CP

NERVANAS CARING HANDS INC

CP

ELIZJOSEPH HEALTHCARE

CP

OPTIMUM CARE SERVICES LLC

CP

ESTEEM NURSING CARE INC

CP

PRESBYTERIAN HOMES BLOOMINGTON

CP

EVERLEAD HOME HEALTH CARE LLC

TC

PROMISE CARE INC

CP

FAMILY TRUST HOME HEALTH LLC

CP

REMMY'S TENDER CARE

TB

FIRST CHOICE NURSING & HOMECAR

CP

RESIDENTIAL CARE NINE MILE CRK

CP

GOLDEN TOUCH HEALTH CARE LLC

CP

REST CARE HOME SERVICES

CP

GOODNESS AND MERCY HEALTH SERV

CP

Page

566

LOCATION LICENSED HOME CARE PROVIDER TYPE

=================================================================

=

=================================================================

=

BROOKLYN CENTER GRACEFUL LODGE HOME CARE

TC

BROOKLYN PARK

CHEPSTON HOME HEALTHCARE LLC

TC

GREATER MINNESOTA HOME HEALTH

TC

COMPASSIONATE HOMECARE NURSING

TC

HARMONY CARE PROVIDERS LLC

TC

DELIGHT HOME HEALTHCARE LLC

CP

HIS SERVICES HOME CARE LLC

CP

DESNOL HEALTHCARE SERVICES

CP

INDEPENDENT HAVEN INC

CP

DIS-GENERATION GROUP INC

CP

INDEPENDENT HOME CARE AGENCY

CP

EMPIRE SYSTEMS HOME CARE

CP

INTEGRITY HOME HEALTH CARE LLC

TC

EMPOWERMENT HEALTHCARE

CP

JUBILEE HEALTHCARE INC

TC

ESTEEM HOME HEALTH SERVICES

TC

KIND CARE LLC

TC

ESTHERRA CARE LLC

CP

LIVING GRACE HOME CARE

TC

EVENSONG MANOR

CP

MARANATHA PLACE

CP

FANTUM HOME HEALTH CARE LLC

TC

MILES VENTS INCORPORATED

CP

GRANDMA'S PLACE INC

CP

MN BEST HOME CARE LLC

CP

GUARANTEED HOME HEALTH CARE

CP

NOVA HOME CARE LLC

TC

H AND S RESIDENCE LLC

TC

OMOCARE LLC

CP

HARMONY HOMES LLC

TC

OPEN ARMS NURSING SERVICES INC

CP

HARMONY LVG HEALTH CARE SVCS

CP

PILGRIM HOME CARE LLC

CP

HEART OF A STAR HOME CARE

TC

PREMIER ASSISTED LIVING

TC

HEAVEN HOMES INC

TC

PRESTIGE HOME HEALTH CARE LLC

CP

HENNEPIN HOME HEALTH CARE INC

CP

RAPHA HEALTH CARE SERVICES INC

CP

HOME JOY HOME CARE INC

CP

RELIABLE HUMAN SERVICES INC

CP

HOPE'S RESIDENCE

CP

RHODIUM HEALTHCARE SERVICES

CP

HORIZON HOME CARE SERVICES INC

TC

RIGHTWAY HOME CARE SERVICES

CP

JABEZ CUSTOMIZED LIVING SVCS

CP

ROYAL CARE LLC

TC

JOURNEYS HOME CARE LLC

CP

ROYAL HOME CARE INC

CP

JOYOUS CARE & FAMILY

CP

ROYAL STAR RESIDENCE INC

TC

KINDHEART HOMES INC

CP

THE PRAIRIE LODGE AT EARLE

CP

KINGSWAY HEALTHCARE SERVICES

TC

UNISON GROUP HOME LLC

TC

LOYAL HEALTH CARE SERVICES LLC

CP

VERACITY HEALTH SYSTEMS LLC

CP

MELKEZEDEK CARE LLC

CP

VISION2020 GROUP HOMES LLC

TC

NAGOMI INC

CP

WATCHEN HOMES INC

CP

NEW HORIZON ASSISTED LIVING LL

TC

YOU MATTER HOME HEALTH CARE SE

TC

NUVISION HOMECARE SERVICES LLC

TC

BROOKLYN PARK

24 - SEVEN HOME CARE INC

CP

OLIDIA CARE INC

CP

ACE HOMES INC

TC

PARADISE CARE HOMES LLC

CP

AGILITY ADVANTAGE HOME HC

CP

PATIENT CENTERED HOME CARE SER

TC

ALAAFIA HOMECARE LLC

CP

PEACE HOMECARE SERVICES

TC

ALL SEASONS HOME HEALTH

CP

PENN HOME LLC

TC

ALL WULLANCARE INC

TC

PLATEAU HEALTHCARE LLC

CP

AMERICAN VOLUNTEERS HOMES

TC

POSSIBLE HEALTHCARE INC

TC

ANGEL CARE HOMES LLC

TC

PREMIUM HOME HEALTHCARE LLC

TC

ANGEL HEARTS HEALTH CARE SERVI

TC

PRIMUS INCORPORATED

CP

ARISE HOMECARE SERVICES PLLC

TC

QUALICARE HOMES CORPORATION

TC

AROUND & AROUND HOME CARE

TB

ROYAL CARINGHANDS HOME HEALTH

TC

ASPEN HOME HEALTH CARE INC

TC

SABAINAH HEALTHCARE INC

CP

BELL MEDICAL SERVICES INC

CP

SAINT THERESE OF OXBOW LAKE

CP

BERKELEY HEIGHTS HOMES LLC

TC

SECURED HEALTH AND HOME CARE I

TC

BETHAL PAVILION HOMECARE LLC

CP

SEFERTT HEALTH CARE LLC

CP

BRIGHT LIVING LLC

CP

SENIOR LIVING LLC

TC

CARE PLUS HOME CARE LLC

TC

SOURIYATHAY HOUSING WITH SVC

TC

CARING NURSES LLC

CP

SUPREME LIVING HOMES LLC

TC

CHARITY CARE INC

TC

TEAM HOME HEALTHCARE LLC

TC

CHASE COURAGEOUS HEALTH SVC

CP

THE CARING CREW LLC

CP

Page

567

LOCATION LICENSED HOME CARE PROVIDER TYPE

=================================================================

=

=================================================================

=

BROOKLYN PARK

THE GRACE HOME HEALTH SERVICES

TC

CALEDONIA

CLADDAGH SENIOR LIVING

CP

THE GUARDIAN HOME CARE

TC

CAMBRIDGE

B'S HOMECARE INC

CP

TOLAD INC

CP

DEBRA L HADDEN

BA

TOPCARE HEALTH SERVICES

CP

GPC COMMONS

CP

TOTAL HOME HEALTH SERVICES LLC

TC

ROSEWOOD SENIOR LIVING

CP

TRADITION

CP

VISITING ANGELS

CP

ULTIMATE HOME CARE

CP

WALKER METHODIST LEVANDE HOME

CP

UPLIFTED CARE SERVICES LLC

CP

CANBY

SANFORD CANBY MEDICAL CENTER

CP

URBANA PLACE SENIOR LIVING

CP

SANFORD CANBY MEDICAL CENTER

CP

VISITING ANGELS

CP

CANNON FALLS

MCHAVEN INC

CP

WATCHFUL CAREGIVERS

CP

CARLTON

CARLTON PLACE

CP

WATERFORD MANOR

CP

CARVER

CARVER RIDGE SENIOR LIVING

TC

BROOKSTON

BROOKE MANOR INC

CP

CASS LAKE

RED CEDAR ASSISTED LIVING CENT

CP

PETERSON COLONIAL HOMES INC

CP

CHAMPLIN

CHAMPLIN SHORES

CP

BROOKYN CENTER

PARTNERS IN CARE INC

TC

HOPEVILLE HOMES

TC

BROOKYN PARK

PROHEALTH CARE SYSTEMS INC

TC

JOY CARE HOMES LLC

CP

BROWNSDALE

LEGACY OF BROWNSDALE

CP

QUALITY FOOTCARE

CP

BUFFALO

ADARA HOME HEALTH INC

CP

SANCTUARY HEALTHCARE SERVICES

CP

GENTLE TOUCH HEALTH INITIATIVE

CP

SENATIVE SERVICES LLC

TC

LAKE RIDGE ASSISTED LIVING

CP

TRANSITIONS HOME CARE

CP

PARK TERRACE ASSISTED LIVING &

CP

VIKINGS HOME HEALTH CARE LLC

CP

BUFFALO LAKE

HOMETOWN HOME CARE II

TC

CHANHASSEN

JOSEPHS DALLMAN HHC

TB

JULIES HOME HEALTH CARE INC

CP

OLIVE BRANCH ESTATES

CP

WESTVIEW ESTATES

CP

SUMMERWOOD OF CHANHASSEN

CP

BUHL

CORNERSTONE VILLA

CP

CHASKA

AUBURN COURTS

CP

BURNSVILLE

ACCESS RECOVERY CENTER INC

TC

CHASKA HEIGHTS SENIOR LIVING

CP

ACCURATE HOMES LLC

TC

MARTHA HOUSE LLC

TC

ALWAYS HERE HOME CARE LLC

BA

CHATFIELD

CHOSEN VALLEY ASSISTED LIVING

CP

ANGELS HOMES LLC

CP

CHISAGO CITY

JUST LIKE HOME SENIOR CARE

CP

AUGUSTANA EMERALD CREST BURNSV

CP

PARMLY ON THE LAKE ASSISTED LI

CP

AUGUSTANA REGENT AT BURNSVILLE

CP

CHISHOLM

ASPEN GROVE ASSISTED LIVING

CP

BARAKA HOME CARE LLC

CP

HILLCREST TERRACE OF CHISHOLM

CP

BROOKVIEW COTTAGE INC

CP

SERVING HANDS INC

CP

CARE4LIFE HOME LLC

TC

CLARA CITY

CLARA CITY ASSISTED LIVING

CP

DIAMOND'S HOME CARE SERVICES

TB

CLARISSA

CENTRAL TODD COUNTY CARE CENTE

CP

DIGNIFIED CHOICE CARE

CP

CLARKFIELD

CLARKFIELD HOME HEALTH AGENCY

CP

GOLDEN MAPLE HOMES INC

CP

CLEAR LAKE

LANGE BOARD AND ROOM INC

CP

HOME INSTEAD SENIOR CARE

CP

CLINTON

CLINTON CARE CENTER

CP

HOME TO HOME HEALTHCARE LLC

TC

CLOQUET

EVERGREEN SENIOR LIVING

CP

LIGHTCARE GROUP HOMES LLC

TC

FOND DU LAC HOME CARE PROGRAM

CP

METROPOLITAN LIVING LLC

CP

NEW PERSPECTIVE - CLOQUET & BA

CP

MINNESOTA SENIOR LIVING LLC DB

CP

COHASSET

AUTUMN LANE

CP

OPEN ARMS LLC

TC

MAPLE WOODS ASSISTED LIVING AN

CP

RECOVERY HOME HEALTH CARE LLC

TC

SUGAR BROOK VILLA

CP

ROYAL CROWN HOMES LLC

CP

COKATO

BROOKRIDGE

CP

SENIOR HELPERS

CP COKATO MANOR HOME HEALTH

CP

SYNERGY HOMECARE SOUTHERN TWIN

TC

COLD SPRING

ASSUMPTION HEALTH SERVICES

CP

THE GENEVA SUITES

CP

ASSUMPTION HOME CARE

CP

THE LODGE ON SUMMIT OAKS

CP

COLERAINE

HOME AND COMFORT INC

CP

VALLEY RIDGE

CP

COLUMBIA HEIGHTS

LEGACY COMMUNITY CARE INC

CP

BYRON

THE PLUMMER HOME LLC

CP

COLUMBIA HEIGHTS

ALL HOMECARING

CP

CALEDONIA

CALEDONIA CARE AGENCY

CP

ALLIANCE HOMES CORPORATION

TC

Page

568

LOCATION LICENSED HOME CARE PROVIDER TYPE

=================================================================

=

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=

COLUMBIA HEIGHTS

CC GROUP HOME CARE INC

TC

CRYSTAL

AMAZING LOVE LLC

CP

CHINESE SOCIAL SERVICE CENTER

BA

ANCHOR HOUSE LLC

CP

COMFORT GROUP HOME INC

TC

CLINIQUE HEALTH CARE SERVICES

CP

COMFORT LIVING INC

TC

COMFORT CARE NURSING SERVICES

CP

CREST VIEW HOME CARE

CP

EMPATHY HOME CARE INC

CP

CREST VIEW HOME HEALTH CARE

CP

HEATHERS MANOR

CP

DIVERSITY UNION GROUP HOME LLC

TC

JOYFUL HOME HEALTH CARE LLC

CP

FIRST CARE OF MINNESOTA INC

TC

LOYALTY HOME HEALTHCARE

CP

GOODQUALITY HOME HEALTH SERVIC

CP

N & V HELPFUL HEART CARE INC

CP

HEALING RESIDENCES INC

TC

QUALITY HEALTH CARE SERVICES

CP

HEART GROUP HOME LLC

TC

DASSEL

LAKESIDE ASSISTED LIVING

CP

NEW PERSPECTIVE - COLUMBIA HEI

CP

LAKEVIEW RANCH

CP

OPEN ARMS GROUP HOME LLC

TC

DAWSON

JOHNSON MEMORIAL ASSISTED LIVI

CP

PRO-HEALTH HOME CARE AGENCY LL

CP

JOHNSON MEMORIAL HOME CARE

CP

UNITED PROVIDERS LLC

TC

SONSHINE HOME HEALTH CARE LLC

CP

COMFREY

BRICKSTONE MANOR

CP

DAYTON

AGAPECARE SERVICES LLC

TC

COON RAPIDS

ALIYA CARE

CP

EAGANCARE BEHAVIORAL HEALTH SE

TC

ALLINA HOME HEALTH INFUSION TH

CP

FORTUNATE HOMES LLC

CP

AUTUMN GLEN SENIOR LIVING

CP

DEER RIVER

DEER RIVER HOME CARE

CP

CALM HOME HEALTH CARE LLC

TC

DELANO

THE LEGACY OF DELANO LLC

CP

COMFORT CARE GROUP LLC

TC

DETROIT LAKES

ECUMEN HOME CARE - DETROIT LAK

CP

EPIPHANY ASSISTED LIVING LLC

CP

ESSENTIA HEALTH HOME CARE WEST

CP

GRACE ASSISTED LIVING LLC

TC

GOLDEN MANOR CORPORATION

CP

J & K COMFORT HOME

TC

PELICAN LANDING

TC

MARGARET PLACE LIMITED PARTNER

CP

ST. MARYS SR LIVING SUPPORT

CP

MARY T HOME HEALTH

CP

DEVILS LAKE

GOOD SAMARITAN SOCIETY HOME CA

CP

MY LEGAL NURSE CONSULTANTS LLC

CP

DILWORTH

SERENITY ASSISTED LIVING

CP

NEW LIFE CARE LLC

TC

DULUTH

ACCENTUCARE INC

CP

NURA PA

CP

ACCRA HOME HEALTH DULUTH

CP

PRECIOUS PARTNERS HOME CARE LL

TC

BENET HALL

CP

SELECT SR LIVING OF COON RAPID

CP

ECUMEN DULUTH THE SHORES

CP

THE HOMESTEAD AT COON RAPIDS

CP

ECUMEN HOME CARE LAKESHORE

CP

TR HOMES

TC

GARDEN HOUSE ESTATES

CP

WE CARE HOME HEALTH SERVICES

CP

HEARTHSTONE HOME CARE

CP

COTTAGE GROVE

AMERIGRACE HOME CARE LLC

CP

HERITAGE HAVEN INC

CP

COTTAGE GROVE WHITE PINE

CP

HILLSIDE HOMES OF DULUTH INC

CP

COTTAGE GROVE WP II LLC

CP

HOME INSTEAD SENIOR CARE

CP

HIGHLAND HOMES AND SERVICES

TC

INTERIM HEALTHCARE

CP

LOVING CARE COTTAGEINC

CP

KINDRED AT HOME

CP

LOVING CAREPARTNERS LLC

TC

LAKESIDE MANOR BOARDING HOME I

CP

NORRIS SQUARE

CP

MCCARTHY MANOR INC

CP

ROYAL AGE ASSISTED LIVING

CP

NORTHERN LIVES INC

CP

TRIPLE ANGELS HEALTHCARE

CP

PATHWAYS TO ACHIEVEMENT

A

TRISTAR HOME CARE LLC

CP

PINES HOMECARE SERVICES LLC

CP

COTTONWOOD

FIELDCREST ASSISTED LIVING

CP

PRIMROSE OF DULUTH

CP

CROMWELL

VILLA COURT

CP

RECOVER HEALTH

CP

CROOKSTON

RIVERVIEW HOME CARE

CP

RIVER HILL ASSISTED LIVING INC

CP

VILLA ST. VINCENT INC

CP

SENIOR FRIEND HOME CARE

CP

CROSBY

CUYUNA REG MED CTR PALLIATIVE

CP

SEPTEMBER HOUSE

CP

HEARTWOOD

CP

SPIRIT VALLEY ASSISTED LIVING

CP

CROSSLAKE

KC COMPANIES OF CROSSLAKE INC

CP

ST. ANN'S RESIDENCE

CP

WHITEFISH AT THE LAKES SENIOR

TC

ST. LUKE'S HOME CARE

CP

Page

569

LOCATION LICENSED HOME CARE PROVIDER TYPE

=================================================================

=

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=

DULUTH

TBI RESIDENTIAL AND COMMUNITY

CP

EDGERTON

EDGEBROOK ESTATES ASSISTED LIV

CP

TENDER CARES LLC

CP

EDINA

ALLIED PROFESSIONALS INC

CP

TWIN DIAMOND OPERATOR LLC

CP

ATTENTIVE CARE

TC

WESLEY RESIDENCE OF DULUTH

CP

BROOKDALE EDINA

CP

WESTWOOD OF DULUTH

CP

BROOKDALE HOME HLTH MINNESOTA

CP

EAGAN

ACCREDO HEALTH GROUP INC

CP

CUSTOMCARE HOME HEALTH CARE LL

CP

ADNA HOMES LLC

TC

ENGLISH ROSE SUITES AND B HOME

CP

ALLIANCE HEALTH SERVICES INC

CP

GREATER HEIGHTS CARE LLC

TC

BIOSCRIP INFUSION SERVICES

CP

HERITAGE OF EDINA INC

CP

BROOKDALE EAGAN

CP

HOME CARE ASSISTANCE OF MINNES

CP

COMPASSIONATE HEARTS LLC

CP

HOME INSTEAD SENIOR CARE

CP

EAGAN POINTE SENIOR LIVING

CP

HOMEWATCH CAREGIVERS

CP

EVERBLOOM HOME HEALTH CARE

TC

INTREPID USA HEALTHCARE SRVCS

CP

GREEN LIVING GROUP HOME LLC

TC

MERCY LINK LLC

CP

HAPPY FEET FOOTCARE

CP

RESTART INC

CP

HERITAGE HOME HEALTH CARE LLC

CP

SUNRISE OF EDINA

CP

IHLC HOMECARE

CP

VISITING ANGELS

CP

IMPACT HEALTH CARE INC

TC

WALKER METHODIST CARE SUITES

CP

KENN FOLKS HOME CARE SERVICES

TB

YORKSHIRE OF EDINA SENIOR LIVI

CP

LAKELAND HOMECARE LLC

CP

ELK RIVER

BEE HIVE HOMES

CP

MILLENNIUM HOME SENIOR CARE

TC

ELK RIVER SENIOR CARE LLC

CP

MILLENNIUM HOMES LLC

CP

GABBY CARE HOMES LLC

CP

MINNESOTA HOME OF CARE AND COM

TC

GUARDIAN ANGELS BY THE LAKE

CP

NEW CHALLENGES INC

CP

GUARDIAN ANGELS ELIM HOME CARE

CP

NEW PERSPECTIVE EAGAN

CP

KINDRED CARES

CP

PRIORITY CARE HOMES LLC

TC

RIDGEWOOD MANOR LLC

CP

SERENDIPITOUS LIVING

CP

ELKO

THE LODGE ON NATCHEZ

CP

THE COMMONS ON MARICE

CP

ELLENDALE

WHISPERING OAK PLACE

CP

TRUE CARE LIVING LLC

TC

ELMORE

ELMORE ASSISTED LIVING

CP

UNVEILING HEALTH LLC

TC

ERSKINE

THE COUNTRY PLACE

CP

UNVEILING HEALTH LLC

BA

ESKO

BARNES CARE INC

CP

ZACHARY HOME HEALTH CORP

CP

PLAINVIEW ESTATES INC

CP

EAST GRAND FORKS

EDGEWOOD EAST GRAND FORKS SENI

CP

ESTHERVILLE

AVERA AT HOME

CP

GOOD SAMARITAN SOCIETY HERITAG

CP

EVANSVILLE

EVANSVILLE SENIOR LIVING

CP

EDEN PRAIRIE

AMAZING HOMECARE AND NURSING S

CP

EVELETH

NEW JOURNEY RESIDENCE

CP

BECKY'S PLACE INC

CP

SPECTRUM HEALTH COMPANIES

CP

BROOKDALE EDEN PRAIRIE

CP

THE WATERVIEW WOODS AL

CP

CAREBUILDERS AT HOME

CP

EXCELSIOR

TROUVAILLE MEMORY CARE SUITES

CP

EDEN PRAIRIE SENIOR LIVING LLC

TC

VAIMAR HOME HEALTH CARE LLC

BA

ELIM SHORES

CP

VAIMAR SUITES LLC

TC

GRANDVIEW RELIABLE CARE LLC

TC

EYOTA

ARBOR GARDENS

CP

HOMECARE RESOURCE LLC

CP

FAIRFAX

FAIRFAX COMMUNITY HOME HEALTH

CP

LEVEL MOUNTAIN HOME CARE LLC

CP

FAIRMONT

INGLESIDE

CP

LUANN'S PLACE LLC

CP

VISTA PRAIRIE AT GOLDFINCH EST

CP

MANOR HOUSE

CP

WOODLAND MANOR

CP

MATRIX HOME HEALTH CARE SPECIA

CP

FARGO

ACTIVE AT HOME HELPERS

BA

NEW PERSPECTIVE SENIOR LIVING

CP

COMFORT KEEPERS / HEALTHY AT H

CP

PRAIRIE BLUFFS SENIOR LIVING

TC

ETHOS HOME CARE

CP

PROFESSIONAL RESOURCE NETWORK

CP

RIGHT AT HOME

BA

QUALITY CARE COMPANIONS

BA

SANDOS CARE CORPORATION

CP

TRANQUIL LIVING

CP

SANFORD HOME CARE

CP

VOLUNTEERS OF AMERICA HHS

CP

FARIBAULT

BEACON LANDING LLC

CP

Page

570

LOCATION LICENSED HOME CARE PROVIDER TYPE

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=

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FARIBAULT

BROOKDALE FARIBAULT

CP

GIBBON

SOUTH VIEW LIVING CENTER

CP

DAWN'S ELDER CARE

CP

GLENCOE

DOMINION CARES HOME HEALTH

CP

FARIBAULT SENIOR LIVING

CP

GRAND MEADOWS

CP

GUEST HOUSE OF FARIBAULT LLC

CP

GUARDIAN IN HOME HEALTH & SECU

CP

HERITAGE HOUSE ELDER CARE

CP

GLENWOOD

GLACIAL RIDGE HOME CARE

CP

IVY HILL SENIOR CARE INC

CP

GLENWOOD ESTATES

CP

MILESTONE SENIOR LIVING

CP

PARKVIEW COURT

CP

NEW PERSPECTIVE - FARIBUALT

CP

GOLDEN VALLEY

ADAGIO MANOR ASSISTED LIVING

CP

OUR CIRCLE OF FRIENDS

CP

ALLIANCE HHC & NURSING SERVICE

CP

PLEASANT VIEW ESTATES LLC

CP

AMADA SENIOR CARE TWIN CITIES

CP

RICE COUNTY PHNS

CP

ARMS HOME HEALTH CARE LLC

TC

RISON HOMES INC

CP

CARINGHANDS LLC

TC

THE EMERALDS AT FARIBAULT AL

CP

COMPASSIONCARE

CP

FARMINGTON

FARMINGTON HEALTH SERVICES

CP

GOOD SAM GOLDEN VALLEY

CP

GOLDEN GRAND HOMECARE LLC

CP

HAWTHORNE HOUSE

CP

RIVER VALLEY HOME CARE INC

CP

HERITAGE HOUSE ASSISTED LIVING

CP

SENIOR FRIEND HOME CARE

CP

HOME HEALTH CARE INC

CP

THE LEGACY OF FARMINGTON

CP

HONESTY CARE HOME LLC

TC

FERGUS FALLS

ACCRA HOME CARE INC

CP

LA BONNE VIE INC

CP

CK HOME HEALTH CARE INC

CP

LEGACY HOME HEALTH CARE INC

CP

HARMONY HOME HEALTH CARE

CP

LOVE & CARE LLC

TC

LB HOME CARE

CP

NEW LIFE HEALTH SERVICE

TC

LUTHERAN BRETHREN HOME CARE

CP

PARKINSON SPECIALTY CARE HOME

CP

NEW DIMENSIONS HHC INC

CP

PRIMARY LIVING INC

TC

PARK GARDENS OF FERGUS FALLS

CP

SUMMIT HOME HEALTH CARE INC

CP

PIONEER HOME INC

CP

SUNRISE OF GOLDEN VALLEY

CP

THE MILL STREET RESIDENCE

CP

SYNERGY HOMECARE MINNEAPOLIS

CP

FERTILE

FAIR MEADOW ASSISTED LIVING

CP

VITAL HOME CARE LLC

CP

FOLEY

THE GARDENS AT FOLEY ASST LVG

CP

GRACEVILLE

ESSENTIA HEALTH GRACEVILLE HH

CP

FOREST LAKE

BIRCHWOOD ARBORS

CP

GRAND FORKS

ALTRU'S HOME HEALTH

CP

BLUE DIAMOND MANAGEMENT LLC

TC

GRAND MARAIS

NORTH SHORE HEALTH

CP

ELDER HAVEN RESIDENTIAL CARE

CP

GRAND MEADOW

THE MEADOWS

CP

EVYGABS HEALTH CARE SYSTEMS L

TC

GRAND RAPIDS

2CARE4U LLC

CP

WINDY ACRES LONG TERM INC

CP

BROOKSTONE MANOR INC

CP

FORESTON

SCANDIA SENIOR CARE LLC

CP

GARDEN COURT CHATEAU

CP

FOSSTON

BETHANY BOARD AND LODGE INC

CP

GRAND ITASCA CLINIC & HOSP HC

CP

CORNERSTONE RESIDENCE

CP

MAJESTIC PINES

CP

PRAIRIE PINES COMMUNITY

CP

NORTHWOODS VILLA

CP

FRAZEE

FRAZEE ASSISTED LIVING HOME CA

CP

OAK HILL ASSISTED LIVING

CP

FRIDLEY

DIGNITY HOME CARE LLC

TC

RECOVER HEALTH

CP

FRIDLEY ASSISTED LIVING LLC

CP

RIVER GRAND SENIOR LIVING

CP

GLOBAL CASE MANAGEMENT LLC

CP

THE EMERALDS AT GRAND RAPIDS

CP

INFINITY HEALTH HOME CARE LLC

TC

GRANITE FALLS

GRANITE FALLS MUN HOSP MANOR

CP

JMKAY HEALTH CARE SERVICES INC

CP

PRAIRIE ROSE ASSISTED LIVING

CP

LAKEVIEW HOME HEALTH CARE INC

TC

GREENBUSH

LIFECARE GREENBUSH MANOR

CP

MILL CITY HOME HEALTH CARE INC

TC

HACKENSACK

BIRCHVIEW GARDENS ASSISTED LIV

CP

PARK POINT INC

TC

HALLOCK

KITTSON MEMORIAL HOME HLTHCARE

CP

PRIDE N'LIVING HOME CARE INC

CP

RIVERS EDGE

CP

THE LANDMARK OF FRIDLEY

CP

HALSTAD

HALSTAD LIVING CENTER

CP

UPEND HOME HEALTH CARE INC

CP

HAM LAKE

FOUNTAIN GATE HEALTH LLC

TC

FULDA

MAPLEWOOD COURT ASSISTED LIVIN

CP

HANOVER

BRIDGEWATER AT HANOVER LLC

CP

GAYLORD

OAK TERRACE SENIOR HOUSING OF

CP

HARMONY

HARMONY PLACE

CP

Page

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LOCATION LICENSED HOME CARE PROVIDER TYPE

=================================================================

=

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=

HASTINGS

BETHEL CARE SERIVCES

TC

IRONTON

AIDE HOME HEALTH CARE

CP

PARK RIDGE APARTMENTS HASTINGS

CP

ISANTI

PRAIRIE SENIOR COTTAGES OF ISA

CP

REGINA ASSISTED LIVING

CP

IVANHOE

CARING4U PLLC

CP

HAWLEY

COMFORTING ANGELS

TC

JACKSON

THE PINES

CP

HAWLEY RETIREMENT INC

CP

JANESVILLE

BRIDGEWATER AT JANESVILLE LLC

CP

HAYFIELD

FIELD CREST HOME CARE

CP

JASPER

JASPER SUNRISE VILLAGE

CP

HENDRICKS

HENDRICKS C H ASSN & RET HOME

CP

JORDAN

OAK TERR SR HOUSING OF JORDAN

CP

HENNING

OUR HOME YOUR HOME

CP

VALLEYVIEW OF JORDAN LLC

CP

WILLOW CREEK SENIOR COMMUNITY

CP

KARLSTAD

THE MEADOWS

CP

HERMANTOWN

CARINGEDGE HEALTHCARE OF HERMA

CP

KASSON

PRAIRIE MEADOWS

CP

EDGEWOOD HERMANTOWN I SENIOR L

CP

KELLIHER

CORNERSTONE RESIDENCE OF KELLI

CP

HERON LAKE

LAKEVIEW ASSISTED LIVING

CP

KENYON

GUNDERSON GARDENS

CP

HIBBING

ASPEN GROVE ALTERNATIVE SENIOR

CP

NORTH RIDGE VIEW LLC

CP

GREENVIEW NORTH

CP

LA CRESCENT

SPRINGBROOK VILLAGE OF LA CRES

CP

HEALTHLINE HOMECARE

CP

TRADITIONS OF LA CRESCENT

CP

RECOVER HEALTH

CP

LAKE CITY

RIVER OAKS AT LAKE PEPIN LLC

CP

HILLS

THE TUFF VILLAGE

CP

LAKE CRYSTAL

CRYSTAL SEASONS ALF LLC

CP

HINCKLEY

ELDERWOOD OF HINCKLEY

CP

THE BEACON AT LAKE CRYSTAL

CP

HOLDINGFORD

HYATT HOUSE LLC

CP

LAKE ELMO

AMADA SENIOR CARE TWIN CITIES

CP

HOPKINS

ACCRA CARE INC

CP

BRIGHTSTAR OF ST CROIX VALLEY

CP

CARING GROUP HOME LLC

TC

LAKEFIELD

DOMAN ROSE PLACE

CP

GENTLE TOUCH HEALTH INITIATIVE

CP

VALLEY VIEW ASSISTED LIVING

CP

GRACE HOMES

CP

LAKEVILLE

2 CARING HANDS

CP

LIVEWELL MANAGEMENT

CP

BEEHIVE HOMES OF LAKEVILLE

TC

MIRAGE HOMES LLC

TC

BILLIE'S CHOICE LLC

TC

MISSION GROUP HOME LLC

TC

CARELINK SKILLED NURSING AND H

TC

PARK NICOLLET METHODIST HC

CP

DIVINE CARE LLC

CP

HOUSTON

VALLEY VIEW HEALTHCARE & REHAB

CP

INTEGRA HOME CARE

CP

HOWARD LAKE

THE LODGE OF HOWARD LAKE

CP

JBS HOMES LLC

TC

HUDSON

COMFORT KEEPERS

CP

KHADRA H MOHAMED

TC

PEACEFUL LIVING LLC

CP

LIBERTY HOME CARE LLC

TC

HUGO

KEYSTONE PLACE LAVALLE FIELDS

CP

NOAH HOME CARE INC

TC

WELCOME HOME HEALTH CARE

CP

RELIEF HOMECARE LLC

TC

HUTCHINSON

ADARACARE INC

CP

SUPERIOR HOME CARE NURSING LLC

CP

ECUMEN HUTCHINSON THE OAKS

CP

TRINITY HOME HEALTH CARE SERV

CP

HARMONY RIVER LIVING CENTER

CP

TWIN CITY WOUND & OSTOMY ASSOC

CP

PRAIRIE SENIOR COTTAGES OF H

CP

UNITED HOMES SERVICES

TC

WELCOME HOME HEALTH CARE INC

CP

WALKER METHODIST HIGHVIEW HILL

CP

INTERNATIONAL FALLS

GOOD SAM INTERNATIONAL FALLS

CP

LE CENTER

CARRIAGE HOUSE SENIOR LIVING

TC

GOOD SAMARITAN SOCIETY NORTHWI

CP

HORIZON PLACE

CP

RIDGEVIEW ASSISTED LIVING

CP

LE SUEUR COUNTY PUBLIC HEALTH

CP

INVER GROVE HEIGHTS

BROOKDALE INVER GROVE HEIGHTS

CP

LE SUEUR

OAK TERRACE SENIOR HOUSING OF

CP

CARE MINNESOTA LLC

TC

LEROY

WILDWOOD GROVE

CP

COMFORT KEEPERS

CP

LEWISTON

SPELTZ ESTATES ASSISTED LIVIN

CP

GONDOLA GROUP

CP

LILYDALE

LILYDALE SENIOR LIVING

CP

GREAT HOME MN LLC

CP

LINO LAKES

COMPASSIONATE LUCYS SENIOR HOM

CP

INVER GROVE HEIGHTS WP II LLC

CP

LINO LAKES ASSISTED LIVING LLC

CP

INVER GROVE HEIGHTS WP LLC

CP

LINO LAKES GW LLC

CP

INVERWOOD SENIOR LIVING

CP

LITCHFIELD CORNERSTONE CARE

CP

PRESBYTERIAN HOMES INVER GROVE

CP

ECUMEN HC & HOSPICE LITCHFIELD

CP

SPECTRUM COMMUNITY HEALTH INC

CP

ECUMEN OF LITCHFIELD SR HOUS

CP

SPECTRUM COMMUNITY HEALTH INC

CP

LITTLE CANADA GOOD SAM HOME CARE

CP

Page

572

LOCATION LICENSED HOME CARE PROVIDER TYPE

=================================================================

=

=================================================================

=

LITTLE CANADA

VISITING ANGELS

CP

MAPLE GROVE

INDIGO HEALTH CARE SERVICES LL

TC

LITTLE FALLS

BRIDGEWAY ESTATES

CP

NEW HOPE CARE LLC

TC

CHI HEALTH AT HOME

CP

PENTEC HEALTH INC

CP

FRANCISCAN SISTERS OF LITTLE F

CP

PRO MEDICAL SERVICES INC

CP

HIGHLAND SENIOR LIVING OF LITT

CP

REGENCY HOME HEALTHCARE SRVCS

CP

NOUIS HOME CARE INC

CP

RISEN HOME CARE LLC

TC

LITTLEFORK

JACK PINE CHATEAU HOME CARE

CP

SOLACE HEALTH SERVICES LLC

TC

LONG LAKE

LONG LAKE ASSISTED LIVING LLC

CP

SOLBAKKEN

CP

LONG PRAIRIE

CENTRACARE HEALTH LONG PRAIRI

CP

TAYUS HOME HEALTH CARE LLC

TC

TODD COUNTY PHNS

CP

MAPLE LAKE

ESSENTIAL KARE

CP

VALLEY VIEW ESTATES

CP

MAPLE PLAIN

BRYANT HOUSE

CP

LONSDALE

THREE LINKS MANAGEMENT SERVICE

CP

MAPLETON

MAPLETON COMMUNITY HOME

CP

LUVERNE

ALPHA SIGMA HEALTH GROUP INC

CP

THE BEACON AT MAPLETON

CP

OASIS CARE HOME LLC

CP

MAPLEWOOD

AT HOME WITH US LLC

TC

POPLAR CREEK ESTATES

CP

BESTVALUE HEALTHCARE INC

CP

SANFORD HOME HEALTH

CP

BRIGHTSTAR CARE OF ST. PAUL

CP

MABEL THE MEADOWS OF MABEL

CP

ECUMEN LAKEVIEW COMMONS

CP

MADELIA MADELIA COMMUNITY HOSP HM CARE

CP

ECUMEN SEASONS AT MAPLEWOOD

CP

MADISON GRACE HAVEN ASSISTED LIVING

CP

ELK RIDGE ALZHEIMERS SPECIAL C

CP

MADISON HOME HEALTH AGENCY

CP

EQUITABLE HEALTHCARE SERVICES

TC

MAHNOMEN MAHNOMEN HEALTH CENTER

CP

FIRSTAT NURSING SERVICES

CP

MAHTOMEDI NEW PERSPECTIVE MAHTOMEDI LLC

CP

HEALTHEAST HOME CARE

CP

MANKATO ALLIANCE HEALTH SERVICES

CP

HELP HOME CARE

TC

BROOKDALE MANKATO

CP

HOME HELPERS OF THE TWIN CITIE

BA

ECUMEN HOME CARE PATHSTONE

CP

HOME INSTEAD SENIOR CARE #161

CP

FREEDOM HOME CARE LLC

CP

LAKE PHALEN OPCO LLC

CP

GENTLE TOUCH HEALTH INITITATIV

CP

MAPLE HILL SENIOR LIVING LLC

CP

INTERIM HEALTHCARE

CP

METRO HEALTH CARE SERVICES LLC

CP

LAURELS EDGE ASSISTED LIVING

CP

METRO NURSING SERVICES LLC

CP

MS-AC MANKATO AG SENIOR LIVING

CP

SALAMS CARE RESIDENTIAL LLC

CP

MS-AC MANKATO WE SENIOR LIVING

CP

THE ENCORE AT THE TWIN CITIES

CP

NEW PERSPECTIVE - MANKATO

CP

VISITING ANGELS

CP

OLD MAIN VILLAGE

CP

VOA HOME HEALTH AT MAPLEWOOD

CP

PATHSTONE CROSSING

CP

MARSHALL

AVERA AT HOME MARSHALL

CP

PRIMROSE RETIREMENT COMMUNITY

CP

HERITAGE POINTE SENIOR LIVING

CP

SCHOOL SISTERS OF NOTRE DAME C

CP

INTERNATIONAL QUALITY HOMECARE

CP

SOUTHERN MINNESOTA HOMECARE LL

CP

PRAIRIE HOME COMMUNITY CARE

CP

THE BEACON AT LE CENTER

CP

STEPPING STONE HOME HEALTH CAR

CP

MAPLE GROVE AMADA SENIOR CARE MINNEAPOLIS-

CP

TOUCHING HEARTS HOME CARE

CP

ARBOR LAKES SENIOR LIVING

CP

MCINTOSH

POPLAR MEADOWS OF MCINTOSH

CP

BEE HIVE HOMES OF MAPLE GROVE

CP

MEADOWLANDS

THE HUMMINGBIRD

CP

BELONG HEALTH CARE LLC

TC

MEDINA

PRLFC CARE LLC

TC

BEYOND EXPECTATIONS HOME HEALT

CP

MELROSE

CENTRACARE MELROSE PARK VIEW

CP

CHEZ VOUS HOME CARE LLC

CP

LUTHERAN SOCIAL SERVICE OF MIN

CP

CHOICES BY DESIGN LLC

CP

MENAHGA

MENAHGA HOME HEALTH

CP

CSL ROSE ARBOR

CP

ROSE HAVEN ASSISTED LIVING INC

CP

DIVINE NURTURING HOMECARE SERV

CP

MENDOTA HEIGHTS

CORAM CVS/SPECIALTY INFUSION

CP

GBALEAH HOME CARE LLC

TC

FAMILY CHOICE HOMECARE

CP

GLOBAL ALLIANCE HOME HEALTH CA

TC

HEART TO HOME INCORPORATED

CP

GOLDEN POND HOME

CP

KALEB INC

CP

HEARTFELT CARE LLC

CP

MENDOTA HEIGHTS WP LLC

CP

HOME INSTEAD SENIOR CARE OF MI

CP

MILACA

ADULT CARE SERVICES OF MN INC

CP

Page

573

LOCATION LICENSED HOME CARE PROVIDER TYPE

=================================================================

=

=================================================================

=

MILACA COUNTRY MEADOWS OF MILACA INC

CP

MINNEAPOLIS

COMMUNITY BOARDING CARE LLC

CP

MILBANK AVERA@HOME

CP

COMMUNITY INVOLVEMENT PROG HHS

CP

MINETONKA ADF CARE SERVICES

TC

COMPASSIONATE NURSES NETWORK L

CP

MINNEAPOLIS 1-0 GRANNY'S HELPFUL HANDS LLC

CP

COMPREHENSIVE HEALTHCARE SERVI

TC

1ST CHOICE PEDIATRIC HOME CARE

CP

COSMO HOME HEALTHCARE SERVICES

CP

A CARING HOME LLC

TC

CURE HOME HEALTH INC

CP

A HELPING HAND SENIOR CARE SER

CP

CUSTOMIZE LIVING LLC

TC

A-1 HOME CARE INC

TC

DOODI'S BEST CARE INC

TC

ABIITAN MILL CITY

CP

EAGLE GROUP HOME LLC

CP

ABSOLUTE HOMES INC

TC

EBENEZER HOME CARE

CP

ACCESS GROUP HOME LLC

TC

EBENEZER HOME CARE

CP

ADNA K HOME HEALTH INC

TC

EBENEZER HOME CARE

CP

AHRAN CARE LLC

TC

EBENEZER HOME CARE

CP

ALL HOME CARE LLC

TC

EBENEZER MANAGEMENT SERVICES I

CP

ALLIANCE GROUP HOME LLC

TC

EBENEZER MANAGEMENT SERVICES I

CP

ALLINA HEALTH HOME HEALTH

CP

EBENEZER MANAGEMENT SERVICES I

CP

ALPHA ASSISTED LIVING INC

TC

EDEN HOMES INC

CP

AMA GROUP HOME

TC

ELEGED HOME CARE INC

TC

AMAL HOME HEALTH CARE INC

CP

EMPOWERING HOMECARE CORP

CP

AMANA HOME CARE LLC

TC

EPIC HOMES LLC

TC

AMERICAN HOME HEALTH SERVICES

TC

ESSENTIAL HEALTH SERVICES LLC

CP

AMRAN HOME HEALTH CARE LLC

TC

FAIRVIEW HOME CARE AND HOSPICE

CP

ANGELS ASSISTED LIVING INC

CP

FAIRVIEW HOME INFUSION

CP

APPLE GROUP HOME INC

TC

FAMILY CARE SERVICES INC

CP

APPLEWOOD HOME HEALTH CARE LLC

CP

FIRST CHOICE HOME CARE INC

CP

AUGUSTANA HOME HEALTH CARE SER

CP

FIRST CHOICE RESIDENTIAL CARE

TC

AUGUSTANA RESIDENTIAL CARE

CP

GATEWAY HOMECARE SERVICES

BA

BANI SERVICES LLC

TC

GLORY HOME HEALTH INC

CP

BATALO HOME HEALTH CARE LLC

CP

GOLDEN CARE LLC

TC

BAYWOOD HOME CARE

CP

GOLDEN NEST LLC

CP

BEAUTIFUL HEARTS LLC

CP

GOODHOPE HOMES LLC

TC

BEST CARE HOME HEALTH INC

CP

GRACE GROUP HOME LLC

TC

BEST CHOICE HOME CARE LLC

CP

GRACE HAND GROUP HOME LLC

TC

BEST HOME HEALTH CARE SERVICE

TC

GRACE PLACE

CP

BETTER CARE SERVICES LLC

CP

GRANDMA'S HELPER LLC

BA

BIG HEARTS HOME CARE INC

TC

H & H GROUP HOME LLC

TC

BRIGHTCARE SERVICES INC

TC

HARMONY HEALTH SERVICES LLC

CP

BRYANT SQUARE HOME HEALTH CARE

CP

HEALING HOME SERVICES LLC

TC

CAPITAL HOME HEALTH CARE LLC

CP

HEALTHGUARD PARTNERS, INC.

TC

CAREXTRA HOME HEALTH

TC

HEALTHMAX HOME HEALTH CARE SER

TB

CARING HEART HOME HEALTHCARE L

CP

HELPFUL HANDS HOME CARE LLC

TC

CARING HEARTS HOME CARE INC

TC

HOLISTIC HOME, LLC

TC

CARING HOME HEALTH INC

TC

HOPE ASSISTED LIVING LLC

TC

CATHOLIC ELDERCARE AT HOME

CP

HOPE REST HOMES INC

CP

CENTER CARE INC

TC

HOPE WELLNESS CENTER INC

TC

CENTER LIGHT CARE LLC

TC

IMRAN HEALTHCARE SERVICES LLC

TC

CHERIE AUGSPURGER LLC

BA

INSPIRE CARE INC

TC

CHILDRENS HOME CARE & HOSPICE

CP

INVITING HOMES LLC

TC

CLARE HOUSING

CP

JINOW CARE LLC

TC

COMFORT CARE ASSISTED LIVING L

TC

JONES HARRISON RESIDENCE ASSIS

CP

COMFORT CARE CENTER LLC

TC

JOY LIVING INC

TC

COMFORT CARE HOMES LLC

CP

KIDS FIRST HOME CARE INC

CP

Page

574

LOCATION LICENSED HOME CARE PROVIDER TYPE

=================================================================

=

=================================================================

=

MINNEAPOLIS KUBRA HOME CARE INC

CP

MINNEAPOLIS

SOUTHSIDE ASSISTED LIVING CORP

TC

LIBERTY FOSTER HOME CARE LLC

TC

ST. JUDE HOME HEALTH LLC

TC

LINK UP HOME HEALTHCARE

CP

STABLE CARE SERVICES LLC

TC

LOVING TOUCH INC

TC

STANTON HOUSE WITH SERVICES

CP

MAGNOLIA HOME HEALTHCARE LLC

TC

STAR GROUP HOME INC

TC

MAMAE CARE INC

TC

STARCARE HEALTH SERVICES LLC

TC

MERRCY CARE HOME LLC

TC

SU CASA HOME CARE

CP

METROPOLITAN SINCERITY HOMECAR

CP

SUMMIT HEALTHCARE INC

BA

MIDWEST GROUP HOME LLC

TC

SUNSHINE GROUP HOME LLC

TC

MIDWEST GROUP LIVING INC

CP

SUPERIOR HOME CARE LLC

TC

MIDWEST HOMES INC

CP

TAILORED CARE RESIDENCE INC.

TC

MIDWEST PROFESSIONAL SERVICES

CP

TENDER CARE GROUP HOME INC

TC

MILLENNIUM HEALTH CARE LLC

TC

TENDER CARE GROUP HOMES LLC

TC

MILLERS LANDING

CP

THE KENWOOD RETIREMENT COMMUNI

CP

MILS HOME HEALTH CARE AGENCY

CP

TOUCHSTONE MENTAL HEALTH

CP

MINNEHAHA SENIOR LIVING

CP

TRUE CARE HOMES

TC

MISSION HILL GROUP HOME SRVCS

CP

TWIN CITIES ASSISTED LIVING IN

CP

MN CARE ACCESS LLC

TC

TWIN CITIES GROUP HOMES LLC

TC

MN GROUP HOME LLC

TC

UNIQUE HOMES LLC

TC

MOORE BOARD AND CARE LLC

CP

UNITED HEALTHCARE LLC

CP

MVNA

CP

UNITED SOCIAL SERVICE OF MN LL

TC

NASIYE GROUP HOME CORP

TC

UNIVERSAL CARE HOMES LLC

TC

NEST CARE INC

TC

UTMOST CARE HEALTH SERVICES

CP

NEW DIRECTION RESIDENTIAL SERV

TC

WALKER HOME SERVICES

CP

NOAH ASSISTING LIVING INC

TC

WARM TOUCH HOME CARE INC

TC

NOBLE HOME CARE SERVICES LLC

CP

WELCOME HOME HEALTH CARE

CP

NTINGALE IN-HOUSE SKILLED NURS

CP

WELLNESS HOMES INC

CP

NURTURING HOMES LLC

TC

WESTVIEW CARE INC

TC

OAK GROVE CARE CENTER INC

CP

Y M CARE INC

TC

OLIVE HEALTHCARE LLC

CP

MINNEOTA

MADISON AVENUE APARTMENTS

CP

OLU'S HOME INC

CP

TOWN AND COUNTRY HHC

CP

OPEN HEART LLC

TC

MINNETONKA

ASSISTING HANDS OF MINNEAPOLIS

CP

PARKVIEW MANOR INC

CP

AUGUSTANA EMERALD CREST

CP

PINNACLE HOME CARE

CP

AVALON MEMORY CARE

CP

PINNACLE SERVICES INC

CP

BEACON HILL

CP

POINT-ONE HOME HEALTH LLC

TC

FOX REHABILITATION

TC

PROSPER HOME HEALTH AND TRANSP

TC

GENERATION CARE INC

CP

QUALITY HOME CARE INC

TC

GENTLE TOUCH HEALTH INITIATIVE

CP

RAKHMA INC

CP

GIANNA HOMES - SURSUM CORDA

CP

REDESIGN LIFESTYLE CARE LLC

TC

GUARDIAN HOMES INC

CP

RESIDENT SERVICES INC

TC

HARBOR HEALTH MANAGEMENT LLC

CP

RIGHT AT HOME

CP

HAVENWOOD OF MINNNETONKA HOME

TC

S & H HEALTH CARE SERVICES LLC

TC

HERITAGE HOUSE

TC

SADIS RESIDENTIAL CARE CENTER

TC

LEGACY CARE HOME LLC

CP

SAFA GROUP HOME LLC

TC

MERCY CARE HOME LLC

TC

SAFECARE HOMES INC

TC

MINNETONKA ASSISTED LIVING LLC

CP

SERENITY GROUP HOMES LLC

TC

MNCARE MANOR LLC

TC

SERENITY HEALTH CARE SERVICES

CP

MORNING GLORY HOMES INC

CP

SHABA HEALTH SERVICES CORP

CP

NIGHTINGALE HOME HEALTHCARE

CP

SHAMAANI HOME HEALTH CARE INC

TB

NURTURING CARE RESIDENCE

CP

SHIRE'S GROUP HOME INC SERVICE

TC

PEDIATECH NURSING

CP

SIDE BY SIDE HOME CARE SERVICE

TC

RECOVER CARE

CP

Page

575

LOCATION LICENSED HOME CARE PROVIDER TYPE

=================================================================

=

=================================================================

=

MINNETONKA RECOVER HEALTH

CP

NEW HOPE

LIVING LIFE HOME CARE

CP

ST. JOHN HOME CARE

CP

LIVING WELL HOME CARE LLC

TC

ST. JOHN HOME CARE LLC

CP

ST. THERESE RESIDENCE NURSING

CP

STEVEN'S RESIDENCE

CP

THE LODGE OF NEW HOPE

CP

STONECREST LIVING INC

CP

TOTALCARE ASSISTED LIVING SERV

CP

SUNRISE OF MINNETONKA

CP

NEW LONDON

GLENOAKS SENIOR LIVING CAMPUS

CP

SYNCARE INC

TC

LAKE REGION HOME HEALTH

CP

THE WATERS SENIOR LIVING MANAG

CP

NEW MUNICH

TREE OF LIFE ASSISTED LIVING

CP

VOA HOME HEALTH AT ELDER HOMES

CP

NEW PRAGUE

MALA STRANA ASSISTED LIVING

CP

MINNETRISTA ACTIKARE RESPONSIVE IN HOME CA

BA

NEW ULM

EON INC

CP

MONTEVIDEO CHIPPEWA COUNTY MONTEVIDEO HHC

CP

GOLDEN HOME CARE PLUS INC

CP

COPPER GLEN

CP

OAK HILLS LIVING CENTER ASSIST

CP

MONTGOMERY INSPIRE SERVICES LLC

CP

OAK HILLS LIVING CENTER HC

CP

TRADITIONS OF MONTGOMERY LLC

CP

ORCHARD HILL SENIOR LIVING

CP

MONTICELLO HELPING HAND COMPANIONS INC

BA

PRAIRIE SR COTTS NEW ULM

CP

MOORHEAD ARBOR PARK LIVING CENTER

CP

QUALITY LIFE HOME CARE LLC

CP

BEEHIVE HOMES OF MOORHEAD

CP

RIDGEWAY SENIOR LIVING

CP

COMFORT CARE ANGELS LLC

BA

WELCOME HOME HEALTH CARE INC

CP

EVENTIDE

CP

NEW YORK MILLS LAKE COUNTRY HOME CARE

CP

FARMSTEAD CARE OF MOORHEAD LP

CP

MILLS MANOR

CP

GRISWOLD HOME CARE OF MOORHEAD

CP

TENDER HEARTS HOME CARE

CP

MOORHEAD MANOR

CP

NISSWA

GOOD SAM SOCIETY HC HOSPICE

CP

RIVER POINTE OF MOORHEAD

CP

WELCOME HOME HEALTH CARE INC

CP

THE EVERGREENS OF MOORHEAD

CP

NORTH BRANCH

BRASK HAVEN INC

CP

MOOSE LAKE AUGUSTANA OAKVIEW CARE LLC

CP

ECUMEN NORTH BRANCH

CP

KENWOOD PLACE

CP

NORTH MANKATO

BIRCHWOOD COTTAGES

CP

MERCY HOME HEALTH AGENCY

CP

OAK TERRACE ASSISTED LIVING OF

CP

MORA EASTWOOD SENIOR LIVING HOME CA

CP

VISTA PRAIRIE AT MONARCH MEADO

CP

KANABEC COUNTY COMM HEALTH

CP

NORTH OAKS

BROOKDALE NORTH OAKS

CP

S & O'S ASSISTED LIVING

TC

NORTHERN STARS HOME CARE LLC

CP

ST. LIVING COMM OF MORA

CP

WAVERLY GARDENS

CP

MORGAN GIL-MOR HAVEN

CP

NORTH ST. PAUL

ALL FAMILY HOME CARE LLC

CP

MORRIS HOME CARE SERVICE OPTIONS

CP

HEALTHSTAR HOME HEALTH

CP

STEVENS COMM MED CENTER CCC

CP

POLAR RIDGE SR LIVING

CP

THE LEGACY

CP

NORTHFIELD

BENEDICTINE LIVING COMMUNITY

TC

MOTLEY

UP NORTH ANGELS

TC

HOME CARE LINK

CP

MOUNDS VIEW

MIDWEST MEDICAL HOLDINGS INC

CP

MILLSTREAM COMMONS HOME CARE

CP

REIGN SERVICES LLC

TC

NORTHFIELD HOME CARE

CP

MOUNTAIN LAKE

THE LODGE OF MOUNTAIN LAKE

CP

NORTHFIELD PARKVIEW INC

CP

MURDOCK

GABRIEL HOUSE LLC

CP

REFLECTIONS HOME CARE

CP

NEW BRIGHTON

APRIA HEALTHCARE LLC

CP

THE FAMILY RESIDENCE

CP

BAYADA HOME HEALTH CARE INC

CP

VALLEY VIEW OF NORTHFIELD

CP

BENEVOLENT HOMES LLC

TC

NORTHWOOD

HELPING HANDS HOME CARE OF MIN

CP

IN HOUSE HOME HEALTH LLC

TC

NORWOOD YOUNGAMERI

C

HARBOR OF PEACE VILLAGE

CP

MENTAL HEALTH NURSING LLC

CP

NSTPAUL

FOOTWORKS

CP

MINN CARE HOME HEALTH LLC

TC

OAK GROVE

FUNDAMENTAL KIDS THERAPY LLC

CP

PANZER HOME CARE

CP

GUARDIAN ANGELS LLC

TC

SENIOR SUITES OF NEW BRIGHTON

CP

OAK PARK HEIGHTS

BOUTWELLS LANDING

CP

NEW HOPE

ALLY GROUP HOMES LLC

TC

OAK PARK SENIOR LIVING

CP

HOME HEALTH AT NORTH RIDGE

CP

OAK RIDGE PLACE

CP

INTEGRA HOME HEALTH PROFESSION

CP

OAKDALE

COMFORCARE HOME CARE ST PAUL E

CP

INTUIT HOME CARE

TC

PREMIUM CHOICE CARE LLC

CP

Page

576

LOCATION LICENSED HOME CARE PROVIDER TYPE

=================================================================

=

=================================================================

=

OAKDALE

PRIME CHOICE HOME CARE SOLUTIO

BA

PINE ISLAND

EVERGREEN PLACE

CP

RESOLUTE CARE INC

TC

PINE RIVER

RIVERSIDE ASSISTED LIVING

CP

SCENIC HILLS ALTERNATIVE CARE

CP

PIPESTONE

FALLS LANDING ASSISTED LIVING

CP

OGILVIE

SIGNE AND OLIVIAS

CP

GOOD SAMARITAN SOCIETY - PIPES

CP

OLIVIA

RENVILLE COUNTY PHS

CP

PIPESTONE COUNTY HOME HEALTH

CP

ONAMIA

LAKE SONG ASSISTED LIVING

CP

PLAINVIEW

THE GREEN PRAIRIE ASSISTED LIV

CP

MILLE LACS BAND OF OJIBWE PUBL

CP

PLYMOUTH

A LA CARTE HOME CARE

CP

MILLE LACS HOME CARE

CP

ALL HOPES INCORPORATED

CP

ORTONVILLE

FAIRWAY VIEW SENIOR COMMUNITY

CP

BAYADA HOME HEALTH CARE INC

CP

HOME HEALTH AGENCY

CP

BRIGHTSTAR CARE OF PLYMOUTH

CP

OSAGE

NORTH STAR NURSING TEMPORARY A

CP

BROOKDALE PLYMOUTH

CP

OSAKIS

WEST VIEW/BRIDGEWELL AL APTS

CP

CHAMPIONS VILLAGE LLC

TC

OSSEO

BENEDICTINE SENIOR LIVING AT S

CP

CORNERSTONE ASSISTED LIVING OF

CP

COMFORT KEEPERS

CP

GIANNA HOMES - GLADYS' PLACE L

CP

OSTRANDER

OSTRANDER ASSISTED LIVING

CP

HEALTH AT HOME

CP

OTSEGO

ACCURATE HOME CARE LLC

CP

HOME CARE SOLUTIONS

CP

DANIEL CARE HOMES LLC

TC

MINNESOTAWEST H HEALTHCARE

CP

PARAMOUNT CARE LLC

TC

PARKS' PLACE

CP

RIVERVIEW LANDING

CP

PIONEER ESTATES

CP

OWATONNA

BIRCHWOOD COTTAGE

CP

PLEASANT LIGHT LLC

TC

BIRCHWOOD COTTAGE

TC

REHABCARE

CP

BIRCHWOOD COTTAGES

CP

SUMMERWOOD OF PLYMOUTH

CP

BRIDGEWATER AT OWATONNA LLC

TC

SUNLIGHT INC

TC

COUNTRYSIDE CATERED SENIOR LIV

CP

SYNCARE INC

CP

PARK PLACE SENIOR LIVING

CP

PRESTON

PARK LANE ESTATES

CP

STEELE COUNTY PHNS

CP

PRESTON GOOD SAM HOME CARE

CP

THE BROOKS ON ST. PAUL

CP

TRADITIONS OF PRESTON

CP

TIMBERDALE TRACE

CP

PRINCETON

CALEY HOUSE

CP

TIMBERDALE TRACE

CP

STERLING POINTE SENIOR LIVING

CP

TRADITIONS OF OWATONNA

CP

PRIOR LAKE

3CARE HEALTH LLC

TC

TRADITIONS OF OWATONNA II

CP

COMMUNITY ASSISTED LIVING INC

CP

VISITING ANGELS

CP

COMMUNITY HOME HEALTH INC

CP

PARK RAPIDS

HERITAGE MANOR

CP

GOLDEN HEART SENIOR CARE SCOTT

CP

PARKERS PRAIRIE

MCCORNELL COURT

CP

MCKENNA CROSSING

CP

PAYNESVILLE

WASHBURNE COURT

CP

NEW PERSPECTIVE - PRIOR LAKE

CP

PELICAN RAPIDS

LILAC HOMES CORPORATION

CP

PROCTOR

LIFESTONE HEALTH CARE INC

CP

RIVERFRONT MANOR

CP

RAMSEY

NEW BRIDGE CARE LLC

TC

PEQUOT LAKES

SENIOR CLASS CARE OF PEQUOT LA

CP

STONEY RIVER RAMSEY

CP

SENIOR CLASS COMMUNITY LLC

TC

RANIER

DECKER'S FAMILY CARE INC

CP

SENIOR CLASS HOME HEALTH CARE

CP

RED LAKE FALLS

HILLCREST SENIOR LIVING INC

CP

PERHAM

PERHAM LIVING

CP

RED WING

ELYSIAN HOME CARE

TC

PERHAM LIVING HOME CARE

CP

ELYSIAN HOME CARE

TC

PRAIRIE VIEW ASSISTED LIVING I

CP

HIAWATHA HOMECARE

CP

SOME PLACE SPECIAL

CP

LOVING RESIDENCE

CP

THE THOMAS HOUSE INC

CP

OMEGA HOME HEALTHCARE LLC

CP

PIERZ

HARDING PLACE

TC

POTTER RIDGE

CP

HARMONY HOUSE

CP

ROYALTY HOMES

CP

HORIZON HEALTH HOMECARE

CP

ST. CRISPIN LIVING COMMUNITY

CP

PIERZ MEADOW PONDS INC

CP

VALENTINES ASSISTED LIVING LLC

CP

PILLAGER

RIVERSIDE ASSISTED LIVING OF P

CP

VINTAGE HOMECARE

CP

PINE CITY

NORTHERN PINES ASSISTED LIVING

CP

REDWOOD FALLS

CARRIS HEALTH

CP

SOPHIE'S MANOR ASSISTED LIVING

CP

VISTA PRAIRIE AT GARNETTE GARD

CP

Page

577

LOCATION LICENSED HOME CARE PROVIDER TYPE

=================================================================

=

=================================================================

=

REMER

AMERICARE LODGES INC

CP

ROGERS

FAMILY TREE HOMES LLC

CP

RENVILLE

RENVILLE HEALTH SERVICES HOMEC

CP

FIRST CHOICE RESIDENTIAL LLC

TC

RICE

ALL GOOD HOME CARE INC

CP

WELLSTEAD OF ROGERS

CP

RICHFIED

WELCOME HOME LLC

CP

ROSEAU

AGELESS CARE INCORPORATED

CP

RICHFIELD

1 TO 1 ANGEL HANDS HOME HEALTH

TC

LIFECARE HOME CARE

CP

ANIKA HOME CARE LLC

CP

OAK CREST SENIOR HOUSING

CP

AVINITY HOME CARE

CP

ROSEMOUNT

ALMOST FAMILY HOME CARE LLC

CP

BRIDGES HEALTH LLC

TC

ROSEMOUNT HOME CARE

CP

BRIDGES HEALTH LLC

TC

ROSEVILLE

ABUNDANCE OF LIFE LLC

CP

CAPERNAUM PEDIATRIC THERAPY IN

CP

ARTHURS SENIOR CARE

CP

EASE COMFORT LLC

TC

BRIOVARX INFUSION SERVICES INC

CP

HOPE HOMES LLC

TC

CARE IMPRESS LLC

TC

PHOENIX COVE ADULT DAY CENTER

TC

CAREPOINT HOME INC

TC

PREMIER HOME CARE LLC

TC

COMMUNITIES OF CARE

CP

PROCARE HEALTH CORP

TC

DYNAMIC HEALTHCARE LLC

CP

RICHFIELD SENIOR SUITES

CP

EAGLECREST SENIOR HOUSING LLC

CP

SISTERS HOME HEALTH CARE LLC

TC

GOLDEN LIVING COMMUNITY LAKE

CP

RICHMOND

GENERATIONS HOME CARE INC

CP

HOME HEALTHCARE AGENCY

CP

ROBBINSDALE

A-A-H MERCY HOME HEALTH LLC

CP

IN MY FATHER'S HOUSE LLC

TC

TFF CARE LLC

CP

INTERIM HEALTHCARE OF THE TC

CP

ROCHESTER

ADAPTA

CP

INTERIM HOME STYLE SERVICES

CP

ARBOR TERRACE

CP

INTREPID USA HEALTHCARE SVCS

CP

CHARTER HOUSE

CP

KAYTON RESIDENTIAL LLC

TC

COMFORT HEALTH

CP

KINDRED AT HOME

CP

COMFORT HEALTH

CP

MERCY HOME CARE SERVICE

TB

COTTAGEWOOD SR COM ROCHESTER

CP

NEW PERSPECTIVE ROSEVILLE

CP

DIVERSITY HOME HEALTH GRP LLC

CP

OPTION CARE

CP

EXCELLENT CARE SERVICES INC

CP

PEDIATRIC HOME SERVICE

CP

GLAZON GROUP

TC

PRESBYTERIAN ASSISTED LIVING H

CP

GLOBAL HOME HEALTH CARE INC

CP

PRESBYTERIAN HOMES HOME CARE

CP

HAPPY END HOMES INC

TC

SENIOR HELPERS

CP

HOME INSTEAD SENIOR CARE

CP

SIFU HEATH LLC

TC

HOME INSTEAD SENIOR CARE

BA

SUNRISE ASST LIVING ROSEVILLE

CP

INTERIM HEALTHCARE OF ROCHESTE

CP

SUNRISE RESIDENTIAL SERVICES L

CP

INTERNATIONAL QUALITY HOMECARE

TC

SYNERGY HOME CARE MSP METRO

CP

INTERNATIONAL QUALITY HOMECARE

CP

THE FRIENDSHIP HOME COMMUNITY

CP

MADONNA MEADOWS

CP

THE GOOD SAMARITAN NURSE

TC

MADONNA TOWERS OF ROCHESTER IN

CP

THE PRESERVE OF ROSEVILLE

TC

MARCELLA MANOR LLC

CP

ROTHSAY

KAYCEE'S HOME CARE INC

CP

MEADOW LAKES

CP

ROYALTON

RIVERSIDE ASSISTED LIVING

CP

PRIMETIME LIVING

CP

RUSH CITY

ALL ABOUT CARING HOME CARE INC

CP

RECOVER HEALTH

CP

RUSHFORD

BREMMER SUITES

CP

ROBLAND HOME HEALTH CARE CORP

CP

SAINT-PAUL

HOPE HOME CARE LLC

CP

ROCHESTER HOME INFUSION

CP

SANDSTONE

KC COMPANIES OF SANDSTONE INC

CP

STANLEY JONES & ASSOCIATES

CP

RESTORATION SERVICES OF MINNES

CP

SUNSET HOMES ASSISTED LIVING I

CP

SARTELL

COUNTRY MANOR EXTENDED SERVICE

CP

THE SHALOM HOME LLC

CP

COUNTRY MANOR EXTENDED SERVICE

CP

VISITING ANGELS

CP

EDGEWOOD SARTELL LLC

CP

VOA HOME HEALTH AT ROCHESTER

CP

SAUK CENTRE

ALTERNATIVE SENIOR CARE

CP

WILLOWS & WATERS SENIOR LIVING

CP

CEDAR COVE ASSISTED LIVING

CP

ROCKFORD

CARING HEARTS AT HOME LLC

CP

FAIRWAY PINES SENIOR LIVING CO

CP

ROGERS

ELSELIA HOME HEALTHCARE SERVIC

TC

GETTY STREET ASSISTED LIVING

CP

Page

578

LOCATION LICENSED HOME CARE PROVIDER TYPE

=================================================================

=

=================================================================

=

SAUK RAPIDS

ACCESS INFUSION HEALTHCARE INC

CP

SPRING VALLEY

SPRING VALLEY HOME HEALTH

CP

BRIDGES MN

CP

SPRINGFIELD

HOME CARE SERVICES

CP

CHERRYWOOD ADVANCED LIVING

CP

ST. ANTHONY

ADEG GROUP HOME LLC

TC

GOOD SHEPHERD ASSISTED LIVING

CP

ST. PAUL

ENHANCE LIVING INC

TC

GOOD SHEPHERD HOME HEALTH CARE

CP

HEART2HEART HOME HEALTH CARE I

TC

LANDINGS OF SAUK RAPIDS

CP

SISTERS ASSISTANT LIVING CARE

TC

LEGACY PLACE LLC

CP

ST. ANTHONY

ABC HOME HEALTH CARE PLUS LLC

CP

RIDGEVIEW PLACE

CP

ABLE CARE CONNECT HOME HEALTH

CP

WILDWOOD ASSISTED LIVING

CP

APLUS HEALTH CARE LLC

CP

SAVAGE

2CARE4U SOUTH LLC

TC

CHANDLER PLACE HOME HEALTH CAR

CP

ALLIANCE ASSISTED LIVING INC

TC

GOLDEN HOME LVING LLC

TC

GOLDEN HEART SENIOR CARE

CP

MERCY HOME HEALTH LLC

CP

THE SENIORS' FRIEND LLC

BA

OLYMPIC GROUP HOME LLC

TC

TOUCHING LIVES ADULT DAY SERVI

CP

PROVIDENT HOME HEALTHCARE

CP

SCANLON

SUNCREST ASSISTED LIVING

CP

SHARMARKE CARE HOME INC

TC

SEBEKA

CARING HANDS HOME CARE

CP

THE LEGACY OF ST. ANTHONY

CP

PROVIDENCE VILLA LLC

CP

ST. ANTHONY VILLAGE

PREMIER HEALTH HOMES INC

CP

SERENITY LVG SOLUTIONS OF CENT

CP

ST. CHARLES

ST. CHARLES ASSISTED LVG INC

CP

SHAFER

CARDENAS FRIENDSHIP HOME

CP

ST. CLOUD

ARISE CARES

CP

SHAKOPEE

AUGUSTANA EMERALD CREST SHAKOP

CP

CENTRACARE HEALTH HOME CARE

CP

DAMACARE HEALTH SERVICES LLC

CP

HOMEWATCH CAREGIVERS OF ST CLO

TC

SYNERGYCARE LLC

TC

INSPIRED BY YOU HOME CARE LLC

CP

TEALWOOD MANAGEMENT LLC

CP

LAKESIDE HEALTH SERVICES INC

TC

THE GARDENS AT ST GERTRUDES

CP

MARY CLARE OLSON AGENCY

CP

TRUSTED HOME CARE LLC

CP

NATURE'S POINT ASSISTED LIVING

CP

UNIVERSAL HEALTH SERVICES LLC

CP

SPOT REHABILITATION INC

CP

SHELDON

UNIVERSAL PEDIATRICS

CP

ST. BENEDICTS SENIOR COMMUNITY

CP

SHERBURN

TEALWOOD MANAGEMENT LLC

CP

ST. SCHOLASTICA CONVENT

CP

SHEVLIN

SERENITY ASSISTED LIVING

CP

VISITING ANGELS

CP

SHOREVIEW

KIND HEART CARE HOME INC

TC

ST. JAMES

GOOD SAM SOCIETY BRANDT RIDGE

CP

SHOREVIEW SENIOR LIVING

CP

ST. JOSEPH

ARLINGTON PLACE

CP

SPEAK RIGHT NOW LLC

CP

PREMIER HEALTHCARE MANAGEMENT

CP

ST. THERESE AT ST. ODILIA

CP

ST. LOUIS PARK

BRIGHT PATH HOMES

CP

SUBURBAN RESIDENTIAL CARE LLC

TC

CHRISTIAN SERVANTS HOME CARE

TB

ZUBEER GROUP HOME LLC

TC

EVERYTIME HOME CARE

CP

SILVER LAKE

CEDAR CREST OF SILVER LAKE

CP

FIRST LIGHT RESIDENTIAL CARE L

TC

SISSETON

COTEAU DES PRAIRIES HOSPITAL H

CP

GOLDEN BRIGHT HOMES LLC

TC

SLAYTON

LINDENWOOD ASSISTED LIVING

CP

LIFESPRK

CP

SLEEPY EYE

LEADING CHOICE HOME HELPERS

BA

LIFESPRK HOME HEALTH

CP

MN COMFORT IN-HOME CARE SERVIC

CP

LIFESPRK LLC

CP

SLEEPY EYE AREA HOME HEALTH IN

CP

MOTIVATE HOME SERVICES LLC

CP

SOUTH ST PAUL

VISTA PRAIRIE AT RIVER HEIGHTS

CP

ONETOUCH CARE SERVICES LLC

CP

SOUTH ST. PAUL

EVERYDAY LIVING LLC

CP

SAFE HARBOR RESIDENTIAL CARE

TC

SPICER

COUNTRY LIVING MANAGEMENT COMP

CP

SECOND HORIZON LIVING LLC

CP

TOUCHING HEARTS AT HOME WC MN

BA

SHOLOM COMMUNITY ALLIANCE HOME

CP

SPRING GROVE

SPRING GROVE ASSISTED LIVING L

CP

SILVERCARE LLC

CP

SPRING LAKE PARK

MERCY CAREGIVERS OF MINNESOTA

TC

THE CARING SISTERS HOME CARE S

CP

OROMIA HEALTH CARE

CP

ST. MICHAEL

THE BEATITUDES HOMES LLC

TC

RISE HOME HEALTH CARE LLC

TC

THE LEGACY OF ST. MICHAEL

CP

UNITED CHAPTERS LIVING

TC

ST. PAUL

1 BEST CARE INC

CP

SPRING PARK

LAKE MINNETONKA SHORES

CP

1-BELEVO HEALTH SERVICES LLC

TC

SPRING VALLEY

SPRING VALLEY ESTATES

CP

A&A RELIABLE HOME HEALTH CARE

CP

Page

579

LOCATION LICENSED HOME CARE PROVIDER TYPE

=================================================================

=

=================================================================

=

ST. PAUL A-1 RELIABLE HOME CARE INC

CP

ST. PAUL

LEGEND HLTH CARE RESOURCES LLC

CP

AARAN CARE INC SERVICE CORPORA

TC

LIVEWELL HOME CARE LLC

TC

ABBEYCARE INC

CP

LYNGBLOMSTEN SERVICES INC

CP

ABRAHAM'S BOSOM CARE LLC

TC

MAXIMUM HOME CARE SERVICES LLC

CP

ACCESS MINNESOTA LLC

TC

MINNESOTA WELLNESS CENTER LLC

CP

ACCESSIBLE SPACE INC 1

CP

MORNING GLORY HOME CARE

CP

ACCESSIBLE SPACE INC 2

CP

NAJMA GROUP HOME LLC

TC

ACCESSIBLE SPACE INC 3

CP

NATIONAL HOME HEALTHCARE INC

CP

ACCESSIBLE SPACE INC 4

CP

NEW HOPE HOME CARE LLC

TC

ACCESSIBLE SPACE INC NO

CP

NEW PERSPECTIVE - HIGHLAND PAR

CP

ACCESSIBLE SPACE INC SO

CP

OLYDIA HOME CARE INC

CP

ALPINE HOME HEALTH LLC

TC

OTTAWA HOME HEALTH SERVICES LL

CP

AMY JOHNSON RESIDENCE

CP

OUR LADY OF PEACE HOME CARE

CP

ASSURED WELLNESS LLC

CP

OVERCOMER HEALTHCARE SERVICE C

CP

ATHANOR HOUSING AND RESIDENTIA

CP

PEACEFUL HOME ASSISTED LIVING

TC

BEST CHOICE HOME HEALTHCARE LL

TB

PEACEFUL LIVING SERVICES

CP

BLUE MOON CENTER LLC

TC

PEOPLE INCORPORATED

CP

BRIGHTSTAR SERVICES LLC

TC

PERFECTION HEALTH CARE SERVICE

TC

CARE HOME CARE

CP

QUALITY CARE SERVICES LLC

TC

CARE PLANNERS HOME HEALTH CARE

BA

RAMSEY HILL SENIOR LIVING LLC

CP

CARE PLUS HHA INC

CP

REGIONAL HOME HEALTHCARE

TC

CARE PLUS HOME CARE

TC

RELIACARE HOME HEALTH INC

TC

CAREFOCUS CORPORATION

CP

RESTFUL LIVING LLC

CP

CAREFOCUS HEALTH INC

CP

RICHANGEL CARE INCORPORATED

CP

CAREMATE HOME HEALTH CARE INC

CP

RIVER OF LIFE RESIDENTIAL LVG

CP

CARING ROSE HOMES LLC

TC

SAFE & COMPASSIONATE HOME CARE

TC

CARONDELET VILLAGE

CP

SAFETY CARE INC

CP

CENTRAL TOWERS

CP

SERENITY HOME HEALTH CARE INC

TC

CERENITY RESIDENCE ON HUMBOLDT

CP

SERENITY HOME HEALTH CARE SYST

CP

CERENITY SENIOR CARE MARIAN

CP

SHEPARD PARK HOME CARE

CP

CHOICE CARE HOMES LLC

TC

SHOLOM HOME CARE

CP

COMFORCARE HOME CARE ST. PAUL

CP

SPECIALIZED HOME HEALTH CARE S

TC

COMFORT KEEPERS

TC

SUMMIT HILL SENIOR LIVING

CP

COMPASSION HOME HEALTH CARE LL

CP

SUNLIGHT SENIOR LIVING

CP

CRAWFORD SENIOR CARE

BA

SUNLIGHT SERVICES LLC

CP

DELLWOOD GARDENS

CP

SUPPORTIVE LIVING SOLUTIONS WH

CP

DERMAN SENIOR CARE

CP

TAYLOR & MENSAH IN-HOME CARE

TC

DIVINE HEALTHCARE NETWORK

CP

THE BLESSED HOME CARE

CP

EPISCOPAL HOME CARE AND SERVIC

CP

THE ENCORE AT MAHTOMEDI

TC

EQUITY SERVICES OF ST. PAUL

CP

THE FRIENDSHIP PLACE LLC

TC

EXPRESS HOME HEALTH CARE

CP

THREE STARS GROUP HOMES LLC

TC

GENEROUS HOME CARE

TC

TLC AGENCIES LLC

CP

HAZEL SENIOR LIVING LLC

TC

TLC HC OF THE TWIN CITIES

CP

HEARTS HOME CARE LLC

CP

TWIN CITIES NURSING CARE INC

CP

HEAVEN HOME CARE LLC

CP

TWINCITIES LOYAL HOLISTIC CARE

CP

HIGHLAND GW LLC

CP

UNITED HOME HEALTH CARE LLC

TC

HOME CARE GIVERS INC

CP

V-CARE HOME HEALTH INC

CP

HUMAN CARE INC

CP

VIETNAMESE MINNESOTANS ASSOCIA

CP

IMMACULATE HOME CARE LLC

CP

WILDER CUSTOMIZED LIVING PROGR

CP

IN HOME PERSONAL CARE HOME HEA

CP

ST. PETER

BENEDICTINE SENIOR LIVING COMM

CP

KEYS TO BEST HEALTH

TC

ECUMEN PRAIRIE HILL

CP

KINDLY CARE RESIDENT LLC

TC

GOOD SAM HOME CARE ST PETER

CP

Page

580

LOCATION LICENSED HOME CARE PROVIDER TYPE

=================================================================

=

=================================================================

=

ST. PETER

LINDA GRACK CARES

TC

WAITE PARK HOME INSTEAD SENIOR CARE

CP

PHEASANTS RIDGE ASSISTED LVG

CP

RECOVER HEALTH

CP

STAPLES

A CAREGIVER'S LOVE CONSULTING

TB

SPECTRUM HOME HEALTH CARE LLC

CP

A DAUGHTER'S LOVE INC

CP

STERLING PARK COMMONS

CP

LAKEWOOD HLTH SYS HM C & HSPCE

CP

WALKER CASS COUNTY PUBLIC HEALTH

CP

LAKEWOOD PINES SENIOR HOUSING

CP

EDGEWOOD MAY CREEK LLC

CP

STARBUCK

HOLLY RIDGE MANOR

CP

WARREN NORTH STAR MANOR ASSISTED LIVI

CP

STILLWATER

HANDS AT THE CROSS CARE HOME L

TC

WARROAD LAKEVIEW RETIREMENT RESIDENCE

CP

LAKEVIEW HOMECARE

CP

WASECA COLONY COURT

CP

ONTRACK HOME CARE INC

CP

LATHAM PLACE

CP

PROJECT CARING

CP

WATERTOWN WESTWOOD PLACE, INC.

CP

THE LODGE

CP

WATERVILLE WATERVILLE ASSISTED LIVING LLC

CP

TAYLORS FALLS

THE EVANGELICAL LUTHERAN GOOD

CP

WATKINS GARDEN VIEW AT HILLTOP

CP

THIEF RIVER FALLS

INTER COUNTY NURSING SERVICE

CP

WAYZATA BB HOME HEALTHCARE

TC

MINNESOTA GREENLEAF

CP

EDEN PATHWAYS

TC

VALLEY ASSISTED LIVING

CP

GLOBAL HOME CARE

TC

TONKA BAY

SOJOURN AT HOME LLC

BA

MERIDIAN MANOR

CP

SOJOURN SUITES LLC

CP

VISITING ANGELS

CP

TOWER

VERMILION SENIOR LIVING

CP

WELLS THE SHEPHERD'S INN

CP

TRACY

SHETEK HOME CARE

CP

WEST CONCORD CHICOS BOARD & LODGE LLC

CP

TRUMAN

HEARTLAND SENIOR LIVING HOME

CP

CIRCLE DRIVE MANOR ASST LIVING

CP

TWIN VALLEY

TWIN VALLEY ASSISTED LIVING LL

TC

WEST ST PAUL PHOENIX SERVICE CORPORATION

CP

TWO HARBORS

BARROSS COTTAGE

CP

WEST ST. PAUL BROOKDALE WEST ST. PAUL

CP

BARROSS COTTAGE II LLC

CP

BROOKDALE WEST ST. PAUL

CP

BARROSS MANOR

CP

HODAN HOME HEALTH CARE LLC

CP

THE WATERVIEW SHORES AL LLC

CP

LOVINGCARE NURSING & HOME CARE

TC

TYLAR DANEBOD VILLAGE

TC

SOUTHVIEW SENIOR LIVING

CP

ULEN VIKING MANOR NURSING HOME

CP

WALKER METHODIST WESTWOOD

CP

VADNAIS HEIGHTS GABLE PINES AT VADNAIS HTS

CP

WHITE BEAR LAKE ADVANCED MEDICAL HOME CARE LLC

CP

PINNACLE HOME HEALTH CARE LLC

CP

CERENITY RESIDENCE OF WHITE BE

CP

PRECIOUS LIVES HOME LLC

CP

SUITE LIVING SENIOR MANAGEMENT

CP

PRELUDE HOME & SERVICES LLC

CP

SYMPHONY SENIOR SERVICES INC

CP

PRUDENT CARE LLC

TC

VISION QUEST PROPERTY MANAGEME

CP

SUITE LIVING SENIOR CARE

CP

WHITE BEAR LAKE COH CARE LLC

CP

VINTAGE MOMENTS MEMORY CARE

CP

WHITE EARTH

WHITE EARTH HOME HEALTH

CP

VICTORIA AUGUSTANA EMERALD CREST OF VIC

CP

WILLMAR

BETHESDA ASSISTED LIVING

CP

VIRGINIA EDGEWOOD VIRGINIA I SENIOR LIV

CP

BETHESDA HOME HEALTH

CP

LAKEVIEW RESIDENCE

CP

BROOKDALE WILLMAR

CP

WABASHA ST. ELIZABETH'S MEDICAL CENTER

CP

CENTRAL MINNESOTA SENIOR CARE

CP

WABASSO SERENITY SUITES SENIOR LIVING

CP

COMPASSIONATE CARE INC

BA

WACONIA ALWAYS BEST CARE SW METRO

BA

COMPASSIONATE COTTAGE II

CP

GOOD SAMARITAN SOCIETY WESTVIE

CP

COMPASSIONATE COTTAGE LLC

CP

NAGEL ASSISTED LIVING

CP

COPPERLEAF SENIOR LIVING

CP

NEW PERSPECTIVE WACONIA

CP

DIVINE HOME CARE INC

CP

RIDGEVIEW HOME CARE SERVICES

CP

DIVINE HOUSE INC

CP

RIDGEVIEW HOME SUPPORT SERVICE

CP

PRAIRIE SENIOR COTTAGES OF WIL

CP

WADENA COMFORT CARE COTTAGES

CP

WINDOM

ENGAGED HOME CARE

BA

LSS OF WADENA LLC

CP

GOOD SAM HOME CARE OF SW MN

CP

THE MEADOWS OF WADENA

CP

MIKKELSEN MANOR ASSISTED LIVIN

CP

WAHPETON

BENEDICTINE HOME HEALTH

CP

PINE VIEW ASSISTED LIVING

CP

WAITE PARK

BAYADA HOME HEALTH CARE INC

CP

WINNEBAGO

HEARTLAND SENIOR LIVING HOME

CP

COMFORT KEEPERS

CP

WINONA

BROOKDALE WINONA

CP

Page

581

LOCATION LICENSED HOME CARE PROVIDER TYPE

=================================================================

=

=================================================================

=

WINONA

WINSTED

WINTHROP

WOODBURY

WORTHINGTON

WRENSHALL

ZIMMERMAN

ZUMBROTA

CALLISTA COURT

CP

OPTIONS PLUS HOME CARE LLC

CP

SUGAR LOAF SENIOR LIVING

CP

WATKINS MANOR

CP

BENEDICTINE LIVING COMMUNITY O

CP

INDEPENDENCE HOME CARE LLC

BA

THE LODGE OF WINTHROP

CP

1ST CARE INC

TC

ARTIS SLM OF WOODBURY LLC

TC

BEYOND SENIOR CARE LLC

CP

CAREAPARENT

CP

COMMUNITY LIVING OPTIONS INC

CP

GOLDEN LIGHT ASSISTED LIVING L

TC

GREATER CARE FACILITIES LLC

CP

HOLISTIC HOME CARE LLC

CP

HOME SWEET HOME OF MINNESOTA

CP

HOMETOWN SENIOR LIVING

CP

MARK YOUR HOME HEALTH CARE LLC

CP

METRO CARE HUMAN SERVICES

TC

MORNINGSTAR HOMES S.C.

TC

RHEMA HOMES LLC

TC

SAINT THERESE OF WOODBURY

CP

SAKINAH HOMES LLC

TC

SALEXAH HOMES SERVICE CORPORAT

TC

SENIOR CARE WOODBURY LLC

CP

SOTAM HOME CARE LLC

TC

STONECREST

CP

SWEET CAROL HOME CARE INC

BA

SYNERGY HOMECARE OF EAST CENTR

TC

ZUMBRO HOUSE INC

CP

ECUMEN WORTHINGTON THE MEADOWS

CP

GOLDEN HORIZONS

CP

SANFORD WORTHINGTON HOME CARE

CP

GARDEN TERRACE ASSISTED LIVING

CP

COMPASSIONATE HOME CARE

CP

ZUMBROTA CARE CENTER HOME CARE

CP

Page

582

LOCATION REGISTERED HOME MGMT PROVIDER TYPE

=================================================================

=

=================================================================

=

ALBERT LEA JOANN JENSEN

M

MINNEAPOLIS

TWINS HOME HEALTH CARE INC

M

ANDOVER OHAW CARES LLC

M

MINNETONKA

PAMELA J COLEMAN

M

ANOKA AVALON HOME CARE INC

M

MONTEVIDEO

AVENUES FOR CARE INC

M

COMFORT KEEPERS

M

MONTGOMERY

AGING SERVICES FOR COMMUNITIES

M

AUSTIN SENIORS HELPING SENIORS

M

NORTH BRANCH

GOOD COMPANY SERVICES LLC

M

BEMIDJI TOUCHING HEARTS AT HOME

M

NORTHFIELD

THE NEIGHBOR LADY INC

M

BLOOMINGTON RIGHT AT HOME

M

OAKDALE

MORNING GLORY HOME CARE

M

BRAINERD HOME INSTEAD SENIOR CARE

M

OSSEO

COMFORT KEEPERS

M

BRECKENRIDGE WILKIN COUNTY PUBLIC HEALTH

M

OWATONNA

ALL GENERATIONS HOME CARE INC

M

BROOKLYN CENTER HMONG SENIOR HEALTH CARE INC

M

PLYMOUTH

JOYFUL COMPANIONS HOME CARE

M

WE CARE HEALTH SYSTEM LLC

M

NOBLE HOME CARE SERVICE LLC

M

BURNSVILLE HOME INSTEAD SENIOR CARE

M

PAMELA FILLHOUER

M

SENIOR RIDE PLUS

M

SENIORS HELPING SENIORS

M

CANNON FALLS HELP AROUND HOME

M

TOUCHING HEARTS AT HOME

M

CHISAGO CITY POINT PLEASANT HEIGHTS

M

PRIOR LAKE

CREEKRIDGE CONCIERGE

M

CLEARBROOK HOME AT HEART CARE INC

M

RAMSEY

CAREFREE HOME SERVICES INC

M

COLUMBIA HEIGHTS DIVERSITY UNION GROUP HOME LLC

M

SENIOR ONE

M

CROOKSTON INDEPENDENCE PLUS INC

M

RED WING

VISITING ANGELS

M

CRYSTAL TONDA YAH IN HOME CARE LLC

M

ROCHESTER

GLAZON CARE SERVICES

M

DETROIT LAKES MAHUBE OTWA COMMUNITY ACTION

M

HOME INSTEAD SENIOR CARE

M

DULUTH HEARTLAND PCA LLC

M

ROSEVILLE

TOUCHING HEARTS AT HOME ST PAU

M

LAKE SUPERIOR CONCIERGE INC

M

SAUK CENTRE

ALTERNATIVE SENIOR CARE INC

M

NORTH COUNTRY HOUSEKEEPING HCS

M

SOUTH ST. PAUL

HOME WITH YOU COMPANION CARE

M

TOUCHING HEARTS AT HOME

M

SPICER

TOUCHING HEARTS AT HOME WC MN

M

EDEN PRAIRIE APPARENT PLAN

M

ST. CLOUD

ARISE CARES

M

EDINA HOME INSTEAD SENIOR CARE

M

CHRISTINE METCALF

M

SENIOR SUPPORT AND CARE

M

ST. LOUIS PARK

AT YOUR SERVICE SENIOR ASST

M

FARGO RIGHT AT HOME

M

ST. PAUL

CONGREGATE HOUSING SERVS PROG

M

VALLEY HOME CARE LLC

M

PEACEFUL HOME ASSISTED LIVING

M

FARMINGTON RIVER VALLEY HOME CARE INC

M

ROSE HOME CARE HOME MANAGEMENT

M

GOLDEN VALLEY GOLDEN CARE SERVICES LLC

M

VIRGINIA

ST. LOUIS CO PUBLIC HEALTH HS

M

HIBBING ACCESS NORTH CTR FOR IND OF NE

M

WAYZATA

EXCELLENCE LIVING CONNECTIONS

M

CHERISHED HOME MANAGEMENT

M

WEST ST PAUL

DARTS

M

HOPKINS ACCRA CARE INC

M

WHITE BEAR LAKE

HELPING HEART LLC

M

METROPOLITAN COMMUNITY SVCS

M

WILLMAR

CENTRAL MN SENIOR CARE INC

M

HUDSON COMFORT KEEPERS

M

DIVINE HOME CARE INC

M

INVER GROVE COMFORT KEEPERS #860

M

DIVINE HOUSE INC

M

LAKEVILLE JAN CAN LLC

M

FOURTH AVENUE HOMES INC

M

SENIORS CARING FOR SENIORS

M

WORTHINGTON

SW MN OPPORTUNITY COUNCIL INC

M

MAPLEWOOD HOME INSTEAD SENIOR CARE # 161

M

WYOMING

CHECK ON MY FAMILY

M

VISITING ANGELS

M

MAYER MS V'S CARING HANDS LLC

M

MELROSE LUTHERAN SOCIAL SERVICE

M

MILACA LYNN ANDERSON

M

MINNEAPOLIS AGAPE HOME CARE PROVIDER

M

CAREGVR SUPT PRG KOREAN SRV CT

M

CIRCLE OF LIFE HC ANISHINAABE

M

DIAMONDS HOME HEALTH CARE INC

M

GRANDMA'S HELPER LLC

M

QUALITY HOME CARE INC

M

SHAMAANI HOME HEALTH CARE INC

M

TAILORED CARE RESIDENCE INC

M

Page 583

LOCATION CERTIFIED HOME HEALTH AGENCY

=================================================================

=

=================================================================

=

ALEXANDRIA KNUTE NELSON HOME CARE

GOLDEN VALLEY

GOOD SAM GOLDEN VALLEY

APPLETON APPLETON AREA HEALTH SERVICES

HOME HEALTH CARE INC

AUSTIN SACRED HEART HOME HEALTH CARE

SUMMIT HOME HEALTH CARE INC

BAGLEY CLEARWATER COUNTY NSG SERVICE

GRACEVILLE

ESSENTIA HEALTH GRACEVILLE HH

BAXTER GOOD NEIGHBOR HHC OF BRAINERD

GRAND MARAIS

NORTH SHORE HEALTH

BEMIDJI SANFORD BEMIDJI HOME CARE

GRAND RAPIDS

GRAND ITASCA CLINIC & HOSP HC

BIGFORK BIGFORK VALLEY HOME CARE

RECOVER HEALTH

BLAINE HEALTHMAX HOME HEALTH SERVICES

GRANITE FALLS

GRANITE FALLS MUN HOSP MANOR

BLOOMINGTON SENIOR HOME HEALTH CARE LLC

HALLOCK

KITTSON MEMORIAL HOME HLTHCARE

BLUE EARTH UNITED HOSPITAL DISTRICT INC

HENDRICKS

HENDRICKS C H ASSN & RET HOME

BRAINERD BARNABAS HEALTH CARE SERVICES

HIBBING

HEALTHLINE HOMECARE

BRANDON BRANDON'S ASSISTED LIVING

RECOVER HEALTH

BRECKENRIDGE CHI HEALTH AT HOME

HOPKINS

PARK NICOLLET METHODIST HC

BROOKLYN PARK HENNEPIN HOME HEALTH CARE INC

INTERNATIONAL FALLS

GOOD SAM INTERNATIONAL FALLS

OLIDIA CARE INC

INVER GROVE HEIGHTS

SPECTRUM COMMUNITY HEALTH INC

SEFERTT HEALTH CARE LLC

LE CENTER

LE SUEUR COUNTY PUBLIC HEALTH

BUFFALO ADARA HOME HEALTH INC

LITCHFIELD

ECUMEN HC & HOSPICE LITCHFIELD

CANBY SANFORD CANBY MEDICAL CENTER

LITTLE CANADA

GOOD SAM HOME CARE

CLARKFIELD CLARKFIELD HOME HEALTH AGENCY

LITTLE FALLS

CHI HEALTH AT HOME

COKATO COKATO MANOR HOME HEALTH

LONG PRAIRIE

TODD COUNTY PHNS

COLD SPRING ASSUMPTION HOME CARE

MADELIA

MADELIA COMMUNITY HOSP HM CARE

COLUMBIA HEIGHTS ALL HOMECARING

MADISON

MADISON HOME HEALTH AGENCY

CREST VIEW HOME HEALTH CARE

MANKATO

ALLIANCE HEALTH SERVICES

COON RAPIDS MARY T HOME HEALTH

ECUMEN HOME CARE PATHSTONE

CROOKSTON RIVERVIEW HOME CARE

MAPLE GROVE

REGENCY HOME HEALTHCARE SRVCS

CROSBY CUYUNA REG MED CTR PALLIATIVE

MAPLEWOOD

FIRSTAT NURSING SERVICES

DAWSON JOHNSON MEMORIAL HOME CARE

HEALTHEAST HOME CARE

DEER RIVER DEER RIVER HOME CARE

MARSHALL

AVERA AT HOME MARSHALL

DETROIT LAKES ESSENTIA HEALTH HOME CARE WEST

MINNEAPOLIS

ALLINA HEALTH HOME HEALTH

DULUTH ACCRA HOME HEALTH DULUTH

BEST CARE HOME HEALTH INC

ECUMEN HOME CARE LAKESHORE

CHILDRENS HOME CARE & HOSPICE

HEARTHSTONE HOME CARE

COMMUNITY INVOLVEMENT PROG HHS

INTERIM HEALTHCARE

FAIRVIEW HOME CARE AND HOSPICE

KINDRED AT HOME

FAMILY CARE SERVICES INC

PATHWAYS TO ACHIEVEMENT

MIDWEST PROFESSIONAL SERVICES

RECOVER HEALTH

MILS HOME HEALTH CARE AGENCY

SENIOR FRIEND HOME CARE

MVNA

ST. LUKE'S HOME CARE

SERENITY HEALTH CARE SERVICES

EAGAN ALLIANCE HEALTH SERVICES INC

UTMOST CARE HEALTH SERVICES

IHLC HOMECARE

MINNEOTA

TOWN AND COUNTRY HHC

EDEN PRAIRIE HOMECARE RESOURCE LLC

MINNETONKA

NIGHTINGALE HOME HEALTHCARE

PROFESSIONAL RESOURCE NETWORK

RECOVER HEALTH

EDINA BROOKDALE HOME HLTH MINNESOTA

MONTEVIDEO

CHIPPEWA COUNTY MONTEVIDEO HHC

INTREPID USA HEALTHCARE SRVCS

MOOSE LAKE

MERCY HOME HEALTH AGENCY

ELK RIVER GUARDIAN ANGELS ELIM HOME CARE

MORA

KANABEC COUNTY COMM HEALTH

FARIBAULT RICE COUNTY PHNS

NEW BRIGHTON

BAYADA HOME HEALTH CARE INC

FARMINGTON RIVER VALLEY HOME CARE INC

NEW LONDON

LAKE REGION HOME HEALTH

FERGUS FALLS ACCRA HOME CARE INC

NEW ULM

OAK HILLS LIVING CENTER HC

LB HOME CARE

NISSWA

GOOD SAM SOCIETY HC HOSPICE

NEW DIMENSIONS HHC INC

NORTH ST. PAUL

HEALTHSTAR HOME HEALTH

GLENWOOD

GLACIAL RIDGE HOME CARE

NORTHFIELD

HOME CARE LINK

GOLDEN VALLEY

ALLIANCE HHC & NURSING SERVICE

NORTHFIELD HOME CARE

Page 584

LOCATION CERTIFIED HOME HEALTH AGENCY

=================================================================

=

=================================================================

=

OLIVIA

ONAMIA

ORTONVILLE

OTSEGO

OWATONNA

PERHAM

PIERZ

PIPESTONE

PLYMOUTH

PRESTON

PRIOR LAKE

RED WING

REDWOOD FALLS

ROCHESTER

ROSEAU

ROSEVILLE

SARTELL

SAUK RAPIDS

SEBEKA

SPRING VALLEY

ST. ANTHONY

ST. CLOUD

ST. LOUIS PARK

ST. PAUL

ST. PETER

STAPLES

STILLWATER

THIEF RIVER FALLS

RENVILLE COUNTY PHS

MILLE LACS HOME CARE

HOME HEALTH AGENCY

ACCURATE HOME CARE LLC

STEELE COUNTY PHNS

PERHAM LIVING HOME CARE

HORIZON HEALTH HOMECARE

PIPESTONE COUNTY HOME HEALTH

BAYADA HOME HEALTH CARE INC

HEALTH AT HOME

PRESTON GOOD SAM HOME CARE

COMMUNITY HOME HEALTH INC

HIAWATHA HOMECARE

OMEGA HOME HEALTHCARE LLC

CARRIS HEALTH

COMFORT HEALTH

INTERIM HEALTHCARE OF ROCHESTE

INTERNATIONAL QUALITY HOMECARE

RECOVER HEALTH

STANLEY JONES & ASSOCIATES

LIFECARE HOME CARE

INTERIM HEALTHCARE OF THE TC

INTREPID USA HEALTHCARE SVCS

KINDRED AT HOME

PEDIATRIC HOME SERVICE

PRESBYTERIAN HOMES HOME CARE

COUNTRY MANOR EXTENDED SERVICE

GOOD SHEPHERD HOME HEALTH CARE

CARING HANDS HOME CARE

SPRING VALLEY HOME HEALTH

ABC HOME HEALTH CARE PLUS LLC

ABLE CARE CONNECT HOME HEALTH

APLUS HEALTH CARE LLC

PROVIDENT HOME HEALTHCARE

CENTRACARE HEALTH HOME CARE

SPOT REHABILITATION INC

EVERYTIME HOME CARE

LIFESPRK HOME HEALTH

CARE PLUS HHA INC

CAREFOCUS CORPORATION

CAREMATE HOME HEALTH CARE INC

DIVINE HEALTHCARE NETWORK

EQUITY SERVICES OF ST. PAUL

HOME CARE GIVERS INC

OUR LADY OF PEACE HOME CARE

SAFETY CARE INC

SHOLOM HOME CARE

TLC HC OF THE TWIN CITIES

GOOD SAM HOME CARE ST PETER

LAKEWOOD HLTH SYS HM C & HSPCE

LAKEVIEW HOMECARE

INTER COUNTY NURSING SERVICE

TRACY

WABASHA

WACONIA

WAITE PARK

WALKER

WHITE BEAR LAKE

WHITE EARTH

WILLMAR

WINDOM

WORTHINGTON

SHETEK HOME CARE

ST. ELIZABETH'S MEDICAL CENTER

RIDGEVIEW HOME CARE SERVICES

BAYADA HOME HEALTH CARE INC

RECOVER HEALTH

CASS COUNTY PUBLIC HEALTH

ADVANCED MEDICAL HOME CARE LLC

WHITE EARTH HOME HEALTH

BETHESDA HOME HEALTH

DIVINE HOME CARE INC

GOOD SAM HOME CARE OF SW MN

SANFORD WORTHINGTON HOME CARE

Pa

g

e 585

LOCATION LICENSED HOSPICE HOSPICE

LOCATION LICENSED HOSPICE

HOSPICE

====================================================================

=

====================================================================

=

ALBERT LEA

MAYO CLINIC ALBERT LEA

D

OLIVIA

RENVILLE COUNTY HOSPICE

D

ALEXANDRIA

HORIZON PUBLIC HEALTH

D

ONAMIA

MILLE LACS HLTH SYS HOSPICE

D

KNUTE NELSON HOSPICE

D

PARK RAPIDS

ST. JOSEPHS AREA HLTH SERVICES

D

AUSTIN

MAYO CLINIC HEALTH SYS AUSTIN

D

PIERZ

HORIZON HEALTH HOSPICE

D

BAGLEY

CLEARWATER HOSPICE

D

PIPESTONE

PIPESTONE COUNTY HOSPICE

D

BEMIDJI

SANFORD BEMIDJI HOSPICE

D

RED WING

MAYO CLINIC HEALTH SYS RED WIN

D

BLAINE

OLIVE GROVE HOSPICE LLC

D

REDWOOD FALLS

CARRIS HEALTH - REDWOOD LLC

D

BLOOMINGTON

ASERACARE HOSPICE

D

ROBBINSDALE

NORTH MEMORIAL HOSPICE CARE

D

BROOKDALE HOSPICE MINNESOTA

D

ROCHESTER

HEARTLAND HM HLTH CARE HOSPICE

D

HEALTHPARTNERS HOSPICE & PAL

D

INTERIM HEALTHCARE ROCHESTER

D

BLUE EARTH

UNITED HOSPITAL DISTRICT INC

D

MAYO CLINIC HOSPICE

D

BRECKENRIDGE

CHI HEALTH AT HOME

D

MOMENTS HOSPICE

D

COON RAPIDS

MARY T HOSPICE

D

SEASONS HOSPICE

D

CROSBY

HOMEHEALTH PARTNERSHIP

D

ROSEAU

LIFECARE HOSPICE

D

DULUTH

ESSENTIA HLTH ST. MARY'S HSPC

D

ROSEVILLE

HEARTLAND HOME HC AND HOSPICE

D

ST. LUKE'S HOSPICE DULUTH

D

INTERIM HEALTHCARE

D

EDEN PRAIRIE

COMFORT HOSPICE LLC

D

INTREPID USA HOSPICE

D

EDINA

KINDRED HOSPICE

D

PRESBYTERIAN HOMES HOSPICE INC

D

N C LITTLE MEMORIAL HOSPICE

D

SAUK RAPIDS

HEARTLAND HOME HLTH C & HSPICE

D

ELK RIVER

GUARDIAN ANGELS ELIM HOSPICE

D

SIOUX FALLS

SANFORD HOSPICE

D

ESTHERVILLE

AVERA AT HOME

D

SLAYTON

HOSPICE OF MURRAY COUNTY INC

D

FARGO

ETHOS HOSPICE

D

ST. AUGUSTA

QUIET OAKS HOSPICE HOUSE

D

HOSPICE OF THE RED RIVER VALLE

D

ST. CLOUD

CENTRACARE HEALTH HOSPICE

D

SANFORD MEDICAL CENTER FARGO

D

MOMENTS HOSPICE

D

FERGUS FALLS

LB HOSPICE

D

ST. LOUIS PARK

BRIGHTON HOSPICE

D

FOSSTON

ESSENTIA HEALTH HOSPICE WEST

D

CRESCENT COVE

D

GLENWOOD

GLACIAL RIDGE HOSPICE

D

LIFESPRK HOSPICE LLC

D

GOLDEN VALLEY

MOMENTS HOSPICE

D

PARK NICOLLET METHODIST HOSP

D

GRAND FORKS

ALTRU'S HOSPICE

D

ST. PAUL

ALLINA HLTH HSPCE & PALL CARE

D

GRAND RAPIDS

ST. CROIX HOSPICE

D

AVALON HOSPICE MINNESOTA LLC

D

HALLOCK

KITTSON COUNTY HOSPICE INC

D

HEALTHEAST HOSPICE

D

HENDRICKS

GOOD SHEPHERD HOSPICE

D

OUR LADY OF PEACE HOSPICE

D

HERMANTOWN

CARINGEDGE HOSPICE HERMANTOWN

D

SHOLOM HOSPICE

D

MOMENTS HOSPICE

D

STAPLES

LAKEWOOD HEALTH SYSTEM HOSPICE

D

HIBBING

NORTH STAR HOSPICE

D

STILLWATER

LAKEVIEW HOSPICE

D

LA CROSSE

MAYO CLINIC HEALTH SYS FRANCIS

D

WACONIA

RIDGEVIEW HOSPICE

D

LACROSSE

GUNDERSEN HOSPICE

D

WILLMAR

CARRIS HEALTH LLC

D

LAKEVILLE

MINNESOTA HOSPICE LLC

D

DIVINE HOSPICE CARE

D

LITTLE FALLS

CHI HEALTH AT HOME

D

WINONA

WINONA AREA HOSPICE

D

LUVERNE

SANFORD LUVERNE HOSPICE

D

WOODBURY

HOSPICE OF THE MIDWEST

D

MANKATO

MAYO CLINIC HEALTH SYS MANKATO

D

WORTHINGTON

COMPASSIONATE CARE HOSPICE

D

MARSHALL

AVERA AT HOME SOUTHWEST MN

D

PRAIRIE HOME HOSPICE

D

MILBANK

AVERA AT HOME

D

MINNEAPOLIS

CHILDRENS HOME CARE & HOSPICE

D

FAIRVIEW HOSPICE

D

GRACE HOSPICE

D

HENNEPIN HEALTHCARE HOSPICE

D

NISSWA

GOOD SAM SOCIETY HOSPICE

D

NORTHFIELD

NORTHFIELD HOSPICE

D

OAKDALE

ECUMEN HOSPICE

D

ST. CROIX HOSPICE

D

Pa

g

e 586

LOCATION MEDICARE CERTIFIED HOSPICE LOCATION MEDICARE CERTIFIED HOSPICE

====================================================================

=

===================================================================

=

ALBERT LEA

MAYO CLINIC ALBERT LEA

ROSEAU

LIFECARE HOSPICE

ALEXANDRIA

HORIZON PUBLIC HEALTH

ROSEVILLE

HEARTLAND HOME HC AND HOSPICE

KNUTE NELSON HOSPICE

INTERIM HEALTHCARE

AUSTIN

MAYO CLINIC HEALTH SYS AUSTIN

INTREPID USA HOSPICE

BAGLEY

CLEARWATER HOSPICE

PRESBYTERIAN HOMES HOSPICE INC

BEMIDJI

SANFORD BEMIDJI HOSPICE

SAUK RAPIDS

HEARTLAND HOME HLTH C & HSPICE

BLAINE

OLIVE GROVE HOSPICE LLC

SLAYTON

HOSPICE OF MURRAY COUNTY INC

BLOOMINGTON

ASERACARE HOSPICE

ST. CLOUD

CENTRACARE HEALTH HOSPICE

BROOKDALE HOSPICE MINNESOTA

MOMENTS HOSPICE

HEALTHPARTNERS HOSPICE & PAL

ST. LOUIS PARK

BRIGHTON HOSPICE

BLUE EARTH

UNITED HOSPITAL DISTRICT INC

PARK NICOLLET METHODIST HOSP

BRECKENRIDGE

CHI HEALTH AT HOME

ST. PAUL

ALLINA HLTH HSPCE & PALL CARE

COON RAPIDS

MARY T HOSPICE

HEALTHEAST HOSPICE

CROSBY

HOMEHEALTH PARTNERSHIP

OUR LADY OF PEACE HOSPICE

DULUTH

ESSENTIA HLTH ST. MARY'S HSPC

SHOLOM HOSPICE

ST. LUKE'S HOSPICE DULUTH

STAPLES

LAKEWOOD HEALTH SYSTEM HOSPICE

EDINA

KINDRED HOSPICE

STILLWATER

LAKEVIEW HOSPICE

ELK RIVER

GUARDIAN ANGELS ELIM HOSPICE

WACONIA

RIDGEVIEW HOSPICE

FERGUS FALLS

LB HOSPICE

WILLMAR

CARRIS HEALTH LLC

FOSSTON

ESSENTIA HEALTH HOSPICE WEST

DIVINE HOSPICE CARE

GLENWOOD

GLACIAL RIDGE HOSPICE

WINONA

WINONA AREA HOSPICE

GOLDEN VALLEY

MOMENTS HOSPICE

WOODBURY

HOSPICE OF THE MIDWEST

GRAND RAPIDS

ST. CROIX HOSPICE

WORTHINGTON

COMPASSIONATE CARE HOSPICE

HENDRICKS

GOOD SHEPHERD HOSPICE

HERMANTOWN

CARINGEDGE HOSPICE HERMANTOWN

HIBBING

NORTH STAR HOSPICE

LAKEVILLE

MINNESOTA HOSPICE LLC

LITTLE FALLS

CHI HEALTH AT HOME

LUVERNE

SANFORD LUVERNE HOSPICE

MANKATO

MAYO CLINIC HEALTH SYS MANKATO

MARSHALL

AVERA AT HOME SOUTHWEST MN

PRAIRIE HOME HOSPICE

MINNEAPOLIS

FAIRVIEW HOSPICE

GRACE HOSPICE

HENNEPIN HEALTHCARE HOSPICE

NISSWA

GOOD SAM SOCIETY HOSPICE

NORTHFIELD

NORTHFIELD HOSPICE

OAKDALE

ECUMEN HOSPICE

ST. CROIX HOSPICE

OLIVIA

RENVILLE COUNTY HOSPICE

ONAMIA

MILLE LACS HLTH SYS HOSPICE

PARK RAPIDS

ST. JOSEPHS AREA HLTH SERVICES

PIERZ

HORIZON HEALTH HOSPICE

PIPESTONE

PIPESTONE COUNTY HOSPICE

RED WING

MAYO CLINIC HEALTH SYS RED WIN

REDWOOD FALLS

CARRIS HEALTH - REDWOOD LLC

ROBBINSDALE

NORTH MEMORIAL HOSPICE CARE

ROCHESTER

HEARTLAND HM HLTH CARE HOSPICE

INTERIM HEALTHCARE ROCHESTER

MAYO CLINIC HOSPICE

MOMENTS HOSPICE

SEASONS HOSPICE

Pa

g

e 587

LOCATION RESIDENTIAL HOSPICE LOCATION RESIDENTIAL HOSPICE

====================================================================

=

===================================================================

=

BROOKLYN CENTER

CRESCENT COVE

BROOKLYN PARK

J A WEDUM HOSPICE RESIDENCE

DULUTH

SOLVAY HOUSE

EDINA

N C LITTLE MEMORIAL HOSPICE

LUVERNE

SANFORD LUVERNE HOSPICE

MARSHALL

PRAIRIE HOME HOSPICE

PRAIRIE HOME HOSPICE INC

OAKDALE

HEALTHEAST PILLARS

OWATONNA

ALLINA HLTH HSPCE & PALLITV CA

PIPESTONE

PIPESTONE COUNTY HOSPICE RESID

ROCHESTER

SEASONS HOSPICE

SLAYTON

OUR HOUSE OF MURRAY COUNTY

ST. AUGUSTA

QUIET OAKS HOSPICE HOUSE

ST. PAUL

OUR LADY OF PEACE HOSPICE

WORTHINGTON

SUNSET COTTAGE

Page

588

LOCATION HOSPITAL DEEMED

==================================================================

ADA

ESSENTIA HEALTH ADA

LAKE CITY

MAYO CLINIC HEALTH SYSTEM

AITKIN

RIVERWOOD HEALTHCARE CENTER

LE SUEUR

RIDGEVIEW LESUEUR MEDICAL CTR

ALBERT LEA

MAYO CLINIC ALBERT LEA AUSTIN

Y

LITCHFIELD

MEEKER MEMORIAL HOSPITAL

ALEXANDRIA

ALOMERE HEALTH

Y

LITTLE FALLS

ST. GABRIEL'S HOSPITAL

APPLETON

APPLETON MUNICIPAL HOSPITAL

LONG PRAIRIE

CENTRACARE HEALTH LONG PRAIRIE

ARLINGTON

RIDGEVIEW SIBLEY MEDICAL CTR

LUVERNE

SANFORD LUVERNE MEDICAL CENTER

AURORA

ESSENTIA HEALTH NORTHERN PINES

MADELIA

MADELIA COMMUNITY HOSPITAL

BAGLEY

SANFORD BAGLEY MEDICAL CENTER

MADISON

MADISON HOSPITAL

BAUDETTE

LAKEWOOD HEALTH CENTER

MAHNOMEN

MAHNOMEN HEALTH CENTER

BEMIDJI

SANFORD BEMIDJI MEDICAL CENTER

Y

MANKATO

MAYO CLINIC HEALTH SYS MANKATO

Y

BENSON

SWIFT COUNTY BENSON HLTH SVCS

MAPLE GROVE

MAPLE GROVE HOSPITAL

Y

BIGFORK

BIGFORK VALLEY HOSPITAL

MAPLEWOOD

HEALTHEAST ST. JOHNS HOSPITAL

Y

BLUE EARTH

UNITED HOSPITAL DISTRICT

MARSHALL

AVERA MARSHALL REG MED CENTER

BRAINERD

ESSENTIA HEALTH ST JOSEPHS MED

Y

MELROSE

CENTRACARE HEALTH SYS MELROSE

BRECKENRIDGE

ST. FRANCIS MEDICAL CENTER

MINNEAPOLIS

ABBOTT NORTHWESTERN HOSPITAL

Y

BUFFALO

BUFFALO HOSPITAL

Y

CHILDRENS HOSP & CLINICS MPLS

Y

BURNSVILLE

FAIRVIEW RIDGES HOSPITAL

Y

HENNEPIN COUNTY MEDICAL CTR

Y

CAMBRIDGE

CAMBRIDGE MEDICAL CENTER

Y

UNIVERSITY OF MN MED CTR

Y

CANBY

SANFORD CANBY MEDICAL CENTER

MONTEVIDEO

CCM HEALTH

CANNON FALLS

MAYO CLINIC HEALTH SYS CF

MONTICELLO

CENTRACARE HEALTH MONTICELLO

CASS LAKE

CASS LAKE INDIAN HLTH SERV HOS

MOOSE LAKE

MERCY HOSPITAL

CLOQUET

COMMUNITY MEMORIAL HOSPITAL

MORA

WELIA HEALTH

COOK

COOK HOSPITAL

MORRIS

STEVENS COMMUNITY MEDICAL CTR

COON RAPIDS

MERCY HOSPITAL

Y

NEW PRAGUE

MCHS NEW PRAGUE

CROOKSTON

RIVERVIEW HOSPITAL & NSG HOME

NEW ULM

NEW ULM MEDICAL CENTER

CROSBY

CUYUNA REGIONAL MEDICAL CENTER

NORTHFIELD

NORTHFIELD CITY HOSPITAL & NSG

DAWSON

JOHNSON MEMORIAL HOSP & HOME

OLIVIA

RENVILLE COUNTY HOSP & CLINICS

DEER RIVER

DEER RIVER HEALTH CARE CENTER

ONAMIA

MILLE LACS HEALTH SYSTEM

DETROIT LAKES

ESSENTIA HEALTH ST. MARYS

Y

ORTONVILLE

ORTONVILLE AREA HEALTH SERVICE

DULUTH

ESSENTIA HEALTH DULUTH

Y

OWATONNA

OWATONNA HOSPITAL

Y

ESSENTIA HEALTH ST. MARY'S MED

Y

PARK RAPIDS

ST. JOSEPHS AREA HLTH SERVICES

ST. LUKE'S HOSPITAL

Y

PAYNESVILLE

CENTRACARE HEALTH PAYNESVILLE

EDINA

FAIRVIEW SOUTHDALE HOSPITAL

Y

PERHAM

PERHAM HEALTH

ELBOW LAKE

PRAIRIE RIDGE HOSP HLTH SERV

PIPESTONE

PIPESTONE COUNTY MEDICAL CTR

ELY

ELY BLOOMENSON COMM HOSPITAL

PRINCETON

FAIRVIEW NORTHLAND REG HOSP

Y

FAIRMONT

MAYO CLINIC HEALTH SYSTEM

Y

RED WING

MAYO CLINIC HEALTH SYS RED WIN

Y

FARIBAULT

DISTRICT ONE HOSPITAL

Y

REDWOOD FALLS

CARRIS HEALTH REDWOOD LLC

FERGUS FALLS

LAKE REGION HEALTHCARE CORP

Y

ROBBINSDALE

NORTH MEMORIAL HEALTH

Y

FOSSTON

ESSENTIA HEALTH FOSSTON

ROCHESTER

MAYO CLINIC HOSPITAL ROCHESTER

Y

GLENCOE

GLENCOE REGIONAL HEALTH SRVCS

OLMSTED MEDICAL CENTER

Y

GLENWOOD

GLACIAL RIDGE HOSPITAL

ROSEAU

LIFECARE MEDICAL CENTER

GRACEVILLE

ESSENTIA HEALTH HOLY TRINITY

SANDSTONE

ESSENTIA HEALTH SANDSTONE

GRAND MARAIS

NORTH SHORE HEALTH

SAUK CENTRE

CENTRACARE HEALTH SYSTEM

GRAND RAPIDS

GRAND ITASCA CLINIC & HOSP

Y

SHAKOPEE

ST. FRANCIS REGIONAL MED CTR

Y

GRANITE FALLS

AVERA GRANITE FALLS

SLAYTON

MURRAY COUNTY MEM HOSP

HALLOCK

KITTSON MEMORIAL HOSPITAL

SLEEPY EYE

SLEEPY EYE MEDICAL CENTER

HASTINGS

REGINA HOSPITAL

Y

SPRINGFIELD

MAYO CLIN HLTH SYS SPRINGFIELD

HENDRICKS

HENDRICKS COMMUNITY HOSPITAL

ST. CLOUD

ST. CLOUD HOSPITAL

Y

HIBBING

UNIVERSITY MEDICAL CTR MESABI

Y

ST. JAMES

MAYO CLINIC HEALTH SYS ST JAME

HUTCHINSON

HUTCHINSON HEALTH

Y

ST. LOUIS PARK

PARK NICOLLET METHODIST HOSP

Y

INTERNATIONAL FALLS

RAINY LAKE MEDICAL CENTER

ST. PAUL

GILLETTE CHILDREN'S SPEC HOSP

Y

JACKSON

SANFORD JACKSON MEDICAL CENTER

REGIONS HOSPITAL

Y

Page

589

LOCATION HOSPITAL DEEMED

==================================================================

ST. PAUL

ST. PETER

STAPLES

STILLWATER

THIEF RIVER FALLS

TRACY

TWO HARBORS

TYLER

VIRGINIA

WABASHA

WACONIA

WADENA

WARREN

WASECA

WESTBROOK

WHEATON

WILLMAR

WINDOM

WINONA

WOODBURY

WORTHINGTON

WYOMING

ST. JOSEPH'S HOSPITAL

Y

UNITED HOSPITAL

Y

RIVERS EDGE HOSPITAL & CLINIC

LAKEWOOD HEALTH SYSTEM

LAKEVIEW MEMORIAL HOSPITAL

Y

SANFORD MED CTR THIEF RVR FALL

SANFORD TRACY MEDICAL CENTER

LAKE VIEW MEMORIAL HOSPITAL

AVERA TYLER HOSPITAL

ESSENTIA HEALTH VIRGINIA

Y

ST. ELIZABETHS MEDICAL CENTER

RIDGEVIEW MEDICAL CENTER Y

TRI COUNTY HOSPITAL

NORTH VALLEY HEALTH CENTER

MAYO CLINIC HEALTH SYS WASECA

SANFORD WESTBROOK MEDICAL CTR

SANFORD MEDICAL CENTER WHEATON

CARRIS HEALTH LLC

Y

WINDOM AREA HEALTH

WINONA HEALTH SERVICES

HEALTHEAST WOODWINDS HOSPITAL

Y

SANFORD WORTHINGTON MEDICAL

FAIRVIEW LAKES MEDICAL CENTER

Y

Page 590

LOCATION NURSING HOME LOCATION

NURSING HOME

====================================================================

=

====================================================================

=

ADA

ADAMS

AITKIN

ALBANY

ALBERT LEA

ALEXANDRIA

ANNANDALE

ANOKA

APPLE VALLEY

APPLETON

ARDEN HILLS

ARLINGTON

AURORA

AUSTIN

BAGLEY

BARNESVILLE

BARRETT

BATTLE LAKE

BAUDETTE

BELGRADE

BELLE PLAINE

BELVIEW

BEMIDJI

BENSON

BIGFORK

BLACKDUCK

BLOOMING PRAIRIE

BLOOMINGTON

BLUE EARTH

BRAINERD

BRECKENRIDGE

BROOKLYN CENTER

BROOKLYN PARK

BROWNS VALLEY

BUFFALO

BUFFALO LAKE

BUHL

BENEDICTINE CARE COMMUNITY

ADAMS HEALTH CARE CENTER

AICOTA HEALTH CARE CENTER

AITKIN HEALTH SERVICES

MOTHER OF MERCY SENIOR LIVING

GOOD SAM ALBERT LEA

ST. JOHN'S LUTHERAN HOME

ST. JOHN'S ON FOUNTAIN LAKE

THORNE CREST RETIREMENT CENTER

BETHANY ON THE LAKE LLC

KNUTE NELSON

ANNANDALE CARE CENTER

ANOKA REHAB & LIVING CENTER

THE ESTATES AT TWIN RIVERS LLC

AUGUSTANA HEALTH CC OF APPLE

APPLETON MUNICIPAL HOSPITAL

PRESBYTERIAN HOMES ARDEN HILLS

GOOD SAM ARLINGTON

ESSENTIA HEALTH NORTHERN PINES

GOOD SAM COMFORCARE

SACRED HEART CARE CENTER INC

ST. MARK'S LIVING

CORNERSTONE NSG & REHAB CENTER

VALLEY CARE AND REHAB LLC

BARRETT CARE CENTER INC

GOOD SAM BATTLE LAKE

LAKEWOOD CARE CENTER

BELGRADE NURSING HOME

THE LUTHERAN HOME BELLE PLAINE

PARKVIEW HOME

HAVENWOOD CARE CENTER

NEILSON PLACE

MEADOW LANE REHAB AND HCC

BIGFORK VALLEY COMMUNITIES

GOOD SAM BLACKDUCK

PRAIRIE MANOR CARE CENTER

FRIENDSHIP VILLAGE OF BLOOMING

MARTIN LUTHER CARE CENTER

MINNESOTA MASONIC HOME CARE

PRESBYTERIAN HOMES BLOOMINGTON

THE ESTATES AT BLOOMINGTON

ST. LUKES LUTHERAN CARE CENTER

GOOD SAM BETHANY

GOOD SAM WOODLAND

ST. FRANCIS HOME

MARANATHA CARE CENTER

SAINT THERESE OF OXBOW LAKE

BROWNS VALLEY HEALTH CENTER

LAKE RIDGE CARE CTR OF BUFFALO

PARK VIEW CARE CENTER

BUFFALO LAKE HEALTHCARE CTR

CORNERSTONE VILLA

BURNSVILLE

CALEDONIA

CAMBRIDGE

CANBY

CANNON FALLS

CARLTON

CHASKA

CHATFIELD

CHISAGO CITY

CHISHOLM

CLARA CITY

CLARISSA

CLARKFIELD

CLOQUET

COKATO

COLD SPRING

COLUMBIA HEIGHTS

COOK

COON RAPIDS

COTTAGE GROVE

CROOKSTON

CROSBY

CRYSTAL

DASSEL

DAWSON

DEEPHAVEN

DEER RIVER

DELANO

DETROIT LAKES

DODGE CENTER

DULUTH

EDEN PRAIRIE

EDGERTON

EDINA

ELK RIVER

ELLSWORTH

ELY

ERSKINE

EVANSVILLE

EVELETH

EXCELSIOR

EBENEZER RIDGES GERIATRIC CC

CALEDONIA REHAB & RETIREMENT

GRACEPOINTE CROSSING GABLES

SANFORD CANBY MEDICAL CENTER

THE GARDENS AT CANNON FALLS

INTERFAITH CARE CENTER

AUBURN MANOR

CHOSEN VALLEY CARE CENTER

PARMLY ON THE LAKE LLC

HERITAGE MANOR

CLARA CITY CARE CENTER

CENTRAL TODD COUNTY CARE CTR

CLARKFIELD CARE CENTER

COMMUNITY MEMORIAL HOSPITAL

COKATO MANOR

ASSUMPTION HOME

CREST VIEW LUTHERAN HOME

COOK HOSPITAL

CAMILIA ROSE CARE CENTER LLC

PARK RIVER ESTATES CARE CENTER

NORRIS SQUARE

RIVERVIEW HOSPITAL & NSG HOME

VILLA ST. VINCENT

CUYUNA REGIONAL MEDICAL CENTER

CENTENNIAL GARDENS

LAKESIDE HEALTH CARE CENTER

JOHNSON MEMORIAL HOSP & HOME

LAKE MINNETONKA CARE CENTER

DEER RIVER HEALTH CARE CENTER

THE ESTATES AT DELANO LLC

EMMANUEL NURSING HOME

ESSENTIA HEALTH OAK CROSSING

FAIRVIEW CARE CENTER

BAYSHORE RESIDENCE & REHAB CTR

BENEDICTINE HEALTH CENTER

CHRIS JENSEN HLTH & REHAB CTR

ECUMEN LAKESHORE

FRANCISCAN HEALTH CENTER

THE NORTH SHORE ESTATES LLC

VIEWCREST HEALTH CENTER

CASTLE RIDGE CARE CENTER

PRAIRIE BLUFFS TCU LLC

EDGEBROOK CARE CENTER

AURORA ON FRANCE

EDENBROOK OF EDINA

GUARDIAN ANGELS CARE CENTER

PARKVIEW MANOR NURSING HOME

BOUNDARY WATERS CARE CENTER

PIONEER MEMORIAL CARE CENTER

EVANSVILLE CARE CENTER

THE WATERVIEW WOODS LLC

THE ESTATES AT EXCELSIOR LLC

Page 591

LOCATION NURSING HOME LOCATION

NURSING HOME

====================================================================

=

====================================================================

=

FAIRFAX

FAIRMONT

FARIBAULT

FARMINGTON

FERGUS FALLS

FERTILE

FOLEY

FOREST LAKE

FOSSTON

FRANKLIN

FRAZEE

FRIDLEY

FULDA

GAYLORD

GLENCOE

GLENWOOD

GOLDEN VALLEY

GRACEVILLE

GRAND MARAIS

GRAND MEADOW

GRAND RAPIDS

GRANITE FALLS

GREENBUSH

HALLOCK

HALSTAD

HARMONY

HASTINGS

HAYFIELD

HENDRICKS

HIBBING

HILLS

HOPKINS

HOUSTON

HOWARD LAKE

HUTCHINSON

INTERNATIONAL FALLS

INVER GROVE HEIGHTS

IVANHOE

JACKSON

JANESVILLE

KARLSTAD

KENYON

FAIRFAX COMMUNITY HOME

LAKEVIEW METHODIST HCC

PLEASANT MANOR LLC

THE EMERALDS AT FARIBAULT LLC

TRINITY CARE CENTER

LB BROEN HOME

MN VETERANS HOME FERGUS FALLS

PIONEER CARE CENTER

FAIR MEADOW NURSING HOME

THE GARDENS AT FOLEY LLC

BIRCHWOOD HEALTH CARE CENTER

ESSENTIA HEALTH FOSSTON

FRANKLIN REHAB & HCC

FRAZEE CARE CENTER

INTERLUDE RESTORATIVE SUITES

THE ESTATES AT FRIDLEY LLC

MAPLE LAWN SENIOR CARE

OAK TERRACE HEALTH CARE CENTER

GLENCOE REGIONAL HEALTH SRVCS

GLENWOOD VILLAGE CARE CENTER

BROOKVIEW A VILLA CENTER

COURAGE KENNY REHAB INST TRP

COVENANT LVG CARE & REHAB CTR

ESSENTIA HEALTH GRACE HOME

NORTH SHORE HEALTH

MEADOW MANOR

GRAND VILLAGE

THE EMERALDS AT GRAND RAPIDS

AVERA GRANITE FALLS CARE CTR

LIFECARE GREENBUSH MANOR

KITTSON MEMORIAL HOSPITAL

HALSTAD LIVING CENTER

GUNDERSEN HARMONY CARE CENTER

AUGUSTANA CARE HASTINGS HEALTH

REGINA SENIOR LIVING

FIELD CREST CARE CENTER

HENDRICKS COMMUNITY HOSPITAL

GUARDIAN ANGELS HEALTH & REHAB

TUFF MEMORIAL HOME

AUGUSTANA CHAPEL VIEW CARE CTR

HOPKINS HEALTH SERVICES

VALLEY VIEW HEALTHCARE & REHAB

GOOD SAM SOCIETY HOWARD LAKE

HARMONY RIVER LIVING CENTER

GOOD SAM INTERNATIONAL FALLS

GOOD SAM INVER GROVE HEIGHTS

WOODLYN HEIGHTS HEALTHCARE CTR

DIVINE PROVIDENCE HEALTH CENTR

GOOD SAM JACKSON

WHISPERING CREEK

KARLSTAD HEALTHCARE CTR INC

KENYON SUNSET HOME

LA CRESCENT

LAKE CITY

LAKE PARK

LAKEFIELD

LAMBERTON

LE CENTER

LE SUEUR

LITCHFIELD

LITTLE FALLS

LITTLEFORK

LONG PRAIRIE

LUVERNE

MABEL

MADELIA

MADISON

MAHNOMEN

MANKATO

MAPLE PLAIN

MAPLETON

MAPLEWOOD

MARSHALL

MCINTOSH

MELROSE

MENAHGA

MILACA

MINNEAPOLIS

MINNEOTA

MONTEVIDEO

MONTICELLO

MOORHEAD

MOOSE LAKE

LA CRESCENT HEALTH SVCS

MAYO CLINIC HEALTH SYSTEM

SUNNYSIDE CARE CENTER

COLONIAL MANOR NURSING HOME

VALLEY VIEW MANOR HCC

CENTRAL HEALTH CARE

RIDGEVIEW LESUEUR MEDICAL CTR

MEEKER MANOR REHAB CTR LLC

LITTLE FALLS CARE CENTER

ST. OTTO'S CARE CENTER INC

LITTLEFORK MEDICAL CENTER

CENTRACARE HEALTH SYSTEM

GOOD SAMARITAN MARY JANE BROWN

MN VETERANS HOME LUVERNE

GREEN LEA SENIOR LIVING

LIVING MEADOWS AT LUTHER

MADISON HEALTHCARE SERVICES

MAHNOMEN HEALTH CENTER

HILLCREST CARE & REHAB CENTER

LAURELS PEAK CARE & REHAB CTR

OAKLAWN CARE & REHAB CENTER

PATHSTONE LIVING

HAVEN HOMES OF MAPLE PLAIN

MAPLETON COMMUNITY HOME

GOOD SAM SOC MAPLEWOOD

MAPLEWOOD CARE CENTER

RAMSEY COUNTY CARE CENTER

AVERA MARSHALL REG MED CENTER

MCINTOSH SENIOR LIVING

CENTRACARE HEALTH SYS MELROSE

GREEN PINE ACRES NURSING HOME

ELIM HOME MILACA

BENEDICTINE HEALTH CTR OF MPLS

BETHANY RESIDENCE AND REHAB CT

CATHOLIC ELDERCARE ON MAIN

EBENEZER CARE CENTER

FAIRVIEW UNIVERSITY TRANS SVCS

JONES HARRISON RESIDENCE

MN VETERANS HOME MINNEAPOLIS

MOUNT OLIVET CAREVIEW HOME

PROVIDENCE PLACE

REDEEMER RESIDENCE INC

THE ESTATES AT CHATEAU LLC

THE VILLA AT BRYN MAWR

VICTORY HEALTH & REHAB CTR

WALKER METHODIST HEALTH CTR

MINNEOTA MANOR HCC

LUTHER HAVEN

CENTRACARE HEALTH MONTICELLO

EVENTIDE LUTHERAN HOME

MOORHEAD REHAB & HCC

AUGUSTANA MERCY CARE CENTER

Page 592

LOCATION NURSING HOME LOCATION

NURSING HOME

====================================================================

=

====================================================================

=

MORA

MORGAN

MORRIS

MOUNTAIN LAKE

NEW BRIGHTON

NEW HOPE

NEW LONDON

NEW PRAGUE

NEW RICHLAND

NEW ULM

NORTH BRANCH

NORTH OAKS

NORTHFIELD

OAK PARK HEIGHTS

OLIVIA

ONAMIA

ORTONVILLE

OSAKIS

OSSEO

OSTRANDER

OWATONNA

PARK RAPIDS

PARKERS PRAIRIE

PAYNESVILLE

PELICAN RAPIDS

PERHAM

PIERZ

PINE CITY

PINE ISLAND

PINE RIVER

PIPESTONE

PLAINVIEW

PLYMOUTH

PRINCETON

RED WING

REDWOOD FALLS

RENVILLE

RICHFIELD

ROBBINSDALE

ST. CLARE LVG COMM OF MORA

GIL MOR MANOR

WEST WIND VILLAGE

GOOD SAM MOUNTAIN LAKE

BEACON HAVEN

BENEDICTINE HLTH CTR INNSBRUCK

NEW BRIGHTON A VILLA CENTER

NEW BRIGHTON CARE CENTER

GOOD SAM AMBASSADOR

NORTH RIDGE HEALTH AND REHAB

ST. THERESE HOME

GLENOAKS SENIOR LIVING CAMPUS

MALA STRANA CARE & REHAB CTR

NEW RICHLAND CARE CENTER

OAK HILLS LIVING CENTER

ECUMEN NORTH BRANCH

PRESBYTERIAN HOMES NORTH OAKS

NORTHFIELD CARE CENTER INC

NORTHFIELD CITY HOSPITAL & NSG

THREE LINKS CARE CENTER

GABLES OF BOUTWELLS LANDING

OLIVIA REHAB & HCC

MILLE LACS HEALTH SYSTEM

FAIRWAY VIEW NEIGHBORHOODS

GALEON

THE VILLA AT OSSEO

OSTRANDER CARE AND REHAB

KODA LIVING COMMUNITY

HERITAGE LIVING CENTER

ST. WILLIAMS LIVING CENTER

CENTRACARE HEALTH PAYNESVILLE

PELICAN VALLEY HEALTH CENTER

PERHAM LIVING

PIERZ VILLA INC

LAKESIDE MEDICAL CENTER

PINE HAVEN CARE CENTER INC

GOOD SAM PINE RIVER

GOOD SAM PIPESTONE

THE GREEN PRAIRIE REHAB CTR

INTERLUDE

MISSION NURSING HOME

THE BIRCHES AT TRILLIUM WOODS

ELIM HOME

BAY VIEW NURSING & REHAB CTR

ST. CRISPIN LIVING COMMUNITY

RIVER VALLEY HEALTH & REHAB

WOOD DALE HOME INC

RENVILLA HEALTH CENTER

RICHFIELD A VILLA CENTER

GOOD SAM SPECIALTY CARE COMM

ROBBINSDALE A VILLA CENTER

ST. THERESE TCU NORTH LLC

ROCHESTER

ROSEAU

ROSEVILLE

RUSH CITY

RUSHFORD

SANDSTONE

SARTELL

SAUK CENTRE

SAUK RAPIDS

SHAKOPEE

SILVER BAY

SLEEPY EYE

SPRING GROVE

SPRING PARK

SPRING VALLEY

SPRINGFIELD

ST. ANTHONY

ST. CHARLES

ST. CLOUD

ST. JAMES

ST. LOUIS PARK

ST. PAUL

CHARTER HOUSE INC

EDENBROOK OF ROCHESTER

MADONNA TOWERS OF ROCHESTER

ROCHESTER EAST HLTH SVCS

ROCHESTER REHAB & LIVING CTR

ROCHESTER WEST HEALTH SVCS

SAMARITAN BETHANY HM ON EIGHTH

LIFECARE MEDICAL CENTER

LANGTON SHORES

ROSE OF SHARON A VILLA CENTER

THE ESTATES AT ROSEVILLE LLC

THE ESTATES AT RUSH CITY LLC

GOOD SHEPHERD LUTHERAN HOME

SANDSTONE HEALTH CARE CENTER

COUNTRY MANOR HLTH & REHAB CTR

ST. BENEDICTS SENIOR COMMUNITY

CENTRACARE HEALTH SYSTEM

GOOD SHEPHERD LUTHERAN HOME

SHAKOPEE FRIENDSHIP MANOR

ST. GERTRUDES HLTH & REHAB CTR

MN VETERANS HOME SILVER BAY

DIVINE PROVIDENCE COMMUNITY HM

SLEEPY EYE CARE CENTER

TWEETEN LUTHERAN HEALTH C C

LAKE MINNETONKA SHORES

SPRING VALLEY CARE CENTER

ST. JOHN LUTHERAN HOME

ST. ANTHONY HEALTH & REHAB

WHITEWATER HEALTH SERVICES

ST. BENEDICTS SENIOR COMMUNITY

TALAHI NURSING & REHAB CENTER

GOOD SAM SOCIETY ST JAMES

PARK HEALTH A VILLA CENTER

SHOLOM HOME WEST

TEXAS TERRACE A VILLA CENTER

THE ESTATES AT ST. LOUIS PARK

THE VILLA AT ST LOUIS PARK

CAPITOL VIEW TRANSITIONAL CARE

CARONDELET VILLAGE CARE CENTER

CERENITY CARE CTR ON HUMBOLDT

CERENITY MARIAN ST. PAUL LLC

EPISCOPAL CHURCH HOME GARDENS

EPISCOPAL CHURCH HOME OF MN

GALTIER A VILLA CENTER

HIGHLAND CHATEAU HCC

LITTLE SISTERS OF THE POOR

LYNGBLOMSTEN CARE CENTER

NEW HARMONY CARE & REHAB CTR

SHIRLEY CHAPMAN SHOLOM HOME E

ST. ANTHONY PARK HOME

THE EMERALDS AT ST PAUL LLC

THE ESTATES AT LYNNHURST LLC

Page 593

LOCATION NURSING HOME LOCATION

NURSING HOME

====================================================================

=

====================================================================

=

ST. PETER

STAPLES

STARBUCK

STEWARTVILLE

STILLWATER

THIEF RIVER FALLS

TRACY

TRIMONT

TRUMAN

TWO HARBORS

TYLER

ULEN

VIRGINIA

WABASHA

WABASSO

WACONIA

WADENA

WAITE PARK

WARREN

WARROAD

WASECA

WATKINS

WAYZATA

WELLS

WEST ST. PAUL

WESTBROOK

WHEATON

WHITE BEAR LAKE

WILLMAR

WINDOM

WINONA

WINSTED

WINTHROP

WOODBURY

WORTHINGTON

WYOMING

ZUMBROTA

BENEDICTINE LVG COMM ST PETER

SO PSYCHIATRIC NF ST PETER

LAKEWOOD HEALTH SYSTEM

MINNEWASKA COMMUNITY HLTH SVC

STEWARTVILLE CARE CENTER

GOOD SAM SOCIETY STILLWATER

THE ESTATES AT GREELEY LLC

THE ESTATES AT LINDEN LLC

OAKLAND PARK COMMUNITIES INC

THIEF RIVER CARE CENTER

PRAIRIE VIEW SENIOR LIVING

SEASONS HEALTHCARE

TRUMAN SENIOR LIVING

THE WATERVIEW SHORES LLC

AVERA TYLER HOSPITAL

VIKING MANOR NURSING HOME

ESSENTIA HEALTH VIRGINIA

THE WATERVIEW PINES LLC

ST. ELIZABETHS MEDICAL CENTER

WABASSO REHAB & HCC

AUBURN HOME IN WACONIA

GOOD SAM WACONIA&WESTVIEW ACRE

FAIR OAKS NURSING & REHAB LLC

STERLING PARK HCC

NORTH STAR MANOR

WARROAD CARE CENTER

LAKESHORE INN NURSING HOME

HILLTOP HEALTH CARE CENTER

FOLKESTONE

PARKVIEW CARE CENTER WELLS

SOUTHVIEW ACRES HEALTHCARE CTR

WALKER METHODIST WESTWOOD II

GOOD SAM WESTBROOK

TRAVERSE CARE CENTER

CERENITY CARE CENTER WBL

BETHESDA

CARRIS HLTH CC THERAPY SUITES

GOOD SAM WINDOM

LAKE WINONA MANOR

SAINT ANNE EXTENDED HEALTHCARE

SAUER HEALTH CARE

BENEDICTINE LVG COMM WINSTED

GOOD SAM WINTHROP

ST. THERESE OF WOODBURY LLC

WOODBURY HEALTH CARE CENTER

CROSSROADS CARE CENTER

SOUTH SHORE CARE CENTER

MEADOWS ON FAIRVIEW

ZUMBROTA CARE CENTER

Page

594

LOCATION OUTPATIENT OCCUPATIONAL THERAPY PROVIDER

LOCATION OUTPATIENT PHYSICAL THERAPY PROVIDER

====================================================================

=

====================================================================

=

BLOOMINGTON

CAMBRIDGE

DULUTH

EDEN PRAIRIE

EDINA

FRIDLEY

GOLDEN VALLEY

HAM LAKE

HOPKINS

JACKSON

MANKATO

MINNEAPOLIS

MINNETONKA

MORRIS

PARK RAPIDS

PLYMOUTH

RICHFIELD

ROGERS

RUSHFORD

SARTELL

ST. CLOUD

ST. PAUL

VIRGINIA

WATERTOWN

WEST ST. PAUL

THE THERAPY PLACE

HEALTH DIMENSIONS REHAB INC

POLINSKY MEDICAL REHAB CTR

AEGIS THERAPIES

CAPERNAUM PEDIATRIC THERAPY

NOVA CARE OUTPATIENT REHAB

METRO THERAPY SPECIAL CHILDREN

REHAB SERV GOLDEN VALLEY INC

HAM LAKE PHYSICAL THERAPY

CENTREX REHAB

PRAIRIE REHABILITATION SERVS

PEDIATRIC THERAPY SERVICES

A CHANCE TO GROW INC

THE FAMILY PARTNERSHIP

ST. DAVIDS CHILD DV FAMILY SRV

RURAL REHABILITATION SERVICES

PARK RAPIDS PT AND REHAB

REHABCARE AGENCY MN

FRASER RICHFIELD

FIVE STAR REHAB WELLNESS SERV

NOVACARE REHABILITATION

THERAPY NETWORK

NOVACARE REHABILITATION

SPOT REHABILITATION INC

LIFETRACK RESOURCES

PROFESSIONAL REHAB CONSULTANTS

IRON RANGE REHAB CENTER

PRO REHAB

NOVACARE REHAB

BLOOMINGTON

CAMBRIDGE

DULUTH

EDEN PRAIRIE

EDINA

FOREST LAKE

GOLDEN VALLEY

GRAND RAPIDS

HAM LAKE

HOPKINS

JACKSON

MANKATO

MARSHALL

MINNEAPOLIS

MINNETONKA

MORRIS

PARK RAPIDS

PLYMOUTH

RICHFIELD

ROCHESTER

ROGERS

RUSHFORD

SARTELL

SAUK RAPIDS

ST. CLOUD

ST. PAUL

VIRGINIA

WATERTOWN

WEST ST. PAUL

WILLMAR

ADVACARE CLINICS LTD

THE THERAPY PLACE

HEALTH DIMENSIONS REHAB INC

POLINSKY MEDICAL REHAB CTR

AEGIS THERAPIES

CAPERNAUM PEDIATRIC THERAPY

INTREPID USA HEALTHCARE SRVCS

NOVA CARE OUTPATIENT REHAB

OTTOMEYER CLINICS PLLC

MPLS CLINIC OF NEUROLOGY

REHAB SERV GOLDEN VALLEY INC

RADTKE PHYSICAL THERAPY

HAM LAKE PHYSICAL THERAPY

CENTREX REHAB

PRAIRIE REHABILITATION SERVS

PEDIATRIC THERAPY SERVICES

PHYS THER SPORTS MEDICINE CTR

THE HEALTH ENHANCEMENT CTR

THE FAMILY PARTNERSHIP

ST. DAVIDS CHILD DV FAMILY SRV

RURAL REHABILITATION SERVICES

PARK RAPIDS PT AND REHAB

REHABCARE AGENCY MN

FRASER RICHFIELD

CENTREX REHAB II

FIVE STAR REHAB WELLNESS SERV

NOVACARE REHABILITATION

THERAPY NETWORK

NOVACARE REHABILITATION

SPINAL REHAB CLINIC

SPOT REHABILITATION INC

LIFETRACK RESOURCES

IRON RANGE REHAB CENTER

PRO REHAB

NOVACARE REHAB

NELSON CLINIC & REHAB CARE PA

Page

595

LOCATION OUTPATIENT SPEECH THERAPY PROVIDER LOCATION OUTPATIENT SURGICAL CENTER

====================================================================

=

====================================================================

=

BLOOMINGTON

CAMBRIDGE

DULUTH

EDEN PRAIRIE

EDINA

FRIDLEY

GOLDEN VALLEY

HOPKINS

MANKATO

MINNEAPOLIS

MINNETONKA

MORRIS

PARK RAPIDS

PLYMOUTH

RICHFIELD

ROCHESTER

ROGERS

ST. CLOUD

ST. PAUL

VIRGINIA

WATERTOWN

THE THERAPY PLACE

HEALTH DIMENSIONS REHAB INC

POLINSKY MEDICAL REHAB CTR

AEGIS THERAPIES

CAPERNAUM PEDIATRIC THERAPY

NOVA CARE OUTPATIENT REHAB

METRO THERAPY SPECIAL CHILDREN

REHAB SERV GOLDEN VALLEY INC

CENTREX REHAB

PEDIATRIC THERAPY SERVICES

A CHANCE TO GROW INC

THE FAMILY PARTNERSHIP

ST. DAVIDS CHILD DV FAMILY SRV

RURAL REHABILITATION SERVICES

PARK RAPIDS PT AND REHAB

REHABCARE AGENCY MN

FRASER RICHFIELD

CENTREX REHAB II

FIVE STAR REHAB WELLNESS SERV

NOVACARE REHABILITATION

SPOT REHABILITATION INC

LIFETRACK RESOURCES

PROFESSIONAL REHAB CONSULTANTS

IRON RANGE REHAB CENTER

PRO REHAB

ALEXANDRIA

BAXTER

BLAINE

BLOOMINGTON

BURNSVILLE

CHASKA

COON RAPIDS

DETROIT LAKES

DULUTH

EAGAN

EDINA

FAIRMONT

FARIBAULT

GRAND RAPIDS

HUTCHINSON

LAKE ELMO

MANKATO

MAPLE GROVE

MAPLEWOOD

MARSHALL

MINNEAPOLIS

CENTER FOR PAIN MANAGEMENT

MINNESOTA EYE INSTITUTE

BRAINERD LAKES SURGERY CTR

BLAINE ORTHOPEDIC SURGERY CTR

MINNESOTA EYE LASER & SURGERY

NORTH METRO SURGERY CENTER

CHU SURGERY CENTER LLC

MN EYE LASER & SURGERY CENTER

MNGI ENDOSCOPY BLOOMINGTON

TRIA ORTHOPAEDIC CENTER LLC

MINNESOTA VALLEY SURGERY CTR

RIDGES SURGERY CENTER LLC

BHATTI GI SURGERY CENTER

PAIN CENTERS OF MN CHASKA

TWO TWELVE SURGERY CENTER

MNGI ENDOSCOPY COON RAPIDS

SANFORD HEALTH DETROIT LAKES

DULUTH SURGICAL SUITES LLC

LAKEWALK SURGERY CENTER INC

PAVILION SURGERY CENTER LLC

EAGAN ORTHOPEDIC SURGERY CTR

EAGAN SURGERY CENTER

MNGI ENDOSCOPY EAGAN

CENTENNIAL LAKES SURGERY CTR

CROSSTOWN SURGERY CENTER LLC

EDINA SPECIALTY SURGERY CENTER

MCCANNEL EYE SURGERY

NURA SURGICAL CENTER

ORTHOPAEDIC INSTITUTE SURG CTR

TWIN CITIES SURGERY CENTER

SOUTH CENTRAL SURGICAL CTR LLC

CROSSROADS SURGERY CENTER

LAKEWOOD SURGERY CENTER

REGIONAL EYE SURGERY CTR INC

HIGH POINTE SURGERY CENTER

MANKATO CLINIC ENDOSCOPY CTR

MANKATO SURGERY CENTER

PAIN CENTERS OF MN MANKATO

FAIRVIEW MAPLE GROVE SURG CTR

MAPLE GROVE CTR RESTORATIVE

METROPOLITAN SURGICAL CTR

NORTH MEMORIAL AMBU SURG

NURA SURGICAL CENTER

HEALTHEAST SURGERY CENTER

MNGI ENDOSCOPY MAPLEWOOD

AVERA SURGERY CENTER MARSHALL

SOUTHWEST MINNESOTA SURG CTR

GREENWAY SURGERY CENTER

U OF M HEALTH CLINIC SURGERY

Page

596

LOCATION OUTPATIENT SPEECH THERAPY PROVIDER LOCATION OUTPATIENT SURGICAL CENTER

====================================================================

=

====================================================================

=

MINNETONKA

MONTICELLO

NEW BRIGHTON

PLYMOUTH

ST. CLOUD

ST. LOUIS PARK

ST. PAUL

STILLWATER

VADNAIS HEIGHTS

VIRGINIA

WILLMAR

WOODBURY

WORTHINGTON

CHILDRENS HEALTH CARE SERVICES

MINNESOTA EYE LASER & SURGERY

MINNETONKA AMBULATORY SURGERY

MONTICELLO SURGERY CENTER LLC

MINNESOTA VASCULAR SURGERY CTR

ILBNC SPECIAL PROCEDURES

MNGI ENDOSCOPY PLYMOUTH

WESTHEALTH SURGERY CENTER LLC

CENTRACARE SURGERY CTR LLC

MIDSOTA SURGICAL SUITES

ST. CLOUD CTR OPHTHALMIC SURG

ST. CLOUD SURGICAL CENTER

CENTER FOR DIAGNOSTIC IMAGING

MINNESOTA ENDOSCOPY CENTER LLC

ASSOCIATED EYE CARE AMB SURG

VADNAIS HEIGHTS SURGERY CENTER

NORTHWOODS SURGERY CENTER LLC

CARRIS HEALTH SURGERY CENTER

FAMILY SURGERY CENTER LLC

CENTER FOR DIAGNOSTIC IMAGING

LANDMARK SURGERY CENTER

MIDWEST SURGERY CENTER

MN EYE LASER & SURGERY CTRS

MNGI ENDOSCOPY WOODBURY

TRIA ORTHOPAEDIC WOODBURY

WOODBURY SURGICAL SUITES LLC

AVERA MED GROUP WORTHINGTON

Page

597

LOCATION PORTABLE X-RAY SUPPLIER

===================================================================

=

===================================================================

=

BLOOMINGTON MOBILEX USA

BURNSVILLE PROF PORTABLE X RAY INC

JACKSON FIREFLY IMAGING SERVICES LLC

MINNEAPOLIS PREVENTIVE DIAGNOSTICS INC

Page 598

LOCATION RURAL HEALTH CLINIC LOCATION RURAL HEALTH CLINIC

====================================================================

=

====================================================================

=

ADA

AITKIN

APPLETON

ARLINGTON

AURORA

BAGLEY

BALATON

BAUDETTE

BENSON

BERTHA

BOYD

BROOTEN

BROWERVILLE

BROWNS VALLEY

CANBY

CHOKIO

CLEARBROOK

CROOKSTON

DASSEL

DAWSON

EAGLE BEND

ELY

FERTILE

FULDA

GARRISON

GAYLORD

GLENWOOD

GRACEVILLE

HALLOCK

HALSTAD

HECTOR

HENDERSON

HENDRICKS

HENNING

HILLMAN

HINCKLEY

INTERNATIONAL FALLS

ISLE

IVANHOE

JACKSON

KARLSTAD

LAKE BENTON

LAKEFIELD

LITTLEFORK

LONG PRAIRIE

LONGVILLE

MADISON

ESSENTIA HEALTH ADA CLINIC

MAHNOMEN

ESSENTIA ST. MARY'S MAHNOMEN

RIVERWOOD CLINIC AITKIN

SANFORD HEALTH MAHNOMEN CLINIC

APPLETON MUN HOSPITAL & NH

MCGREGOR

RIVERWOOD MCGREGOR CLINIC

RIDGEVIEW ARLINGTON CLINIC

MELROSE

CENTRACARE HLTH-MELROSE CLINIC

ESSENTIA HEALTH NORTHERN PINES

MENAHGA

ESSENTIA HEALTH MENAHGA CLINIC

ESSENTIA HEALTH BAGLEY CLINIC

MOTLEY

LAKEWOOD CLINIC MOTLEY

SANFORD BAGLEY CLINIC

MOUNTAIN LAKE

SANFORD CLINIC MOUNTAIN LAKE

SANFORD CLINIC BALATON

OKLEE

ESSENTIA HEALTH OKLEE CLINIC

LAKEWOOD HEALTH CENTER CLINIC

OLIVIA

RENVILLE CO HOSP CLINIC OLIVIA

SWIFT COUNTY BENSON HLTH SVCS

ONAMIA

MILLE LACS FAMILY CLNC ONAMIA

TRI COUNTY HC BERTHA CLINIC

OTTERTAIL

TRI COUNTY HC OTTERTAIL CLINIC

JOHNSON MEMORIAL BOYD CLINIC

PARK RAPIDS

ESSENTIA HEALTH PARK RAPIDS CL

BROOTEN MEDICAL CENTER

PAYNESVILLE

CENTRACARE HLTH PAYNESVILLE CL

LAKEWOOD CLINIC BROWERVILLE

PELICAN RAPIDS

ESSENTIA PELICAN RAPIDS CLINIC

BROWNS VALLEY CLINIC

SANFORD HLTH PELICN RPDS CLINC

SANFORD CLINIC CANBY

PIERZ

FAMILY MEDICAL CENTER

ESSENTIA HEALTH CHOKIO CLINIC

PILLAGER

LAKEWOOD CLINIC PILLAGER

SANFORD BAGLEY CLEARBROOK CLNC

PINE CITY

FIRSTLIGHT PINE CITY

RIVERVIEW CLINIC

RANDALL

RANDALL LAKES AREA CLINIC

DASSEL MEDICAL CENTER

RED LAKE FALLS

RIVERVIEW CLINIC

DAWSON CLINIC

REDWOOD FALLS

CARRIS HEALTH - REDWOOD, LLC

LAKEWOOD CLINIC EAGLE BEND

REMER

ESSENTIA HEALTH REMER CLINIC

LONG PRAIRIE HOSP EAGLE VALLEY

RENVILLE

RENVILLE COUNTY HOSP & CLINICS

ESSENTIA HEALTH ELY CLINIC

RICHMOND

CENTRACARE HLTH RICHMOND CLINI

RIVERVIEW CLINIC

SANDSTONE

GATEWAY FAMILY CLINIC

MURRAY COUNTY CLINIC FULDA

SAUK CENTRE

CENTRACARE CLINIC SAUK CENTRE

RIVERWOOD HEALTH CC GARRISON

SEBEKA

TRI COUNTY HC SEBEKA CLINIC

RIDGEVIEW GAYLORD CLINIC

SLAYTON

SLAYTON CLINIC

GLENWOOD MEDICAL CENTER

SLEEPY EYE

SLEEPY EYE MEDICAL CENTER

ESSENTIA HEALTH GRACEVILLE

STAPLES

LAKEWOOD CLINIC STAPLES

KITTSON MEMORIAL CLINIC

STARBUCK

STARBUCK MEDICAL CENTER

SANFORD HEALTH HALSTAD CLINIC

STEVENS COMMUNITY STARBUCK

RENVILLE CTY HOSP CLNCS HECTOR

TRACY

SANFORD CLINIC TRACY

RIDGEVIEW HENDERSON CLINIC

TWIN VALLEY

SANFORD HLTH TWIN VALLEY CLNC

HENDRICKS CLINIC

TYLER

AVERA MEDICAL GROUP TYLER

TRI COUNTY HC HENNING CLINIC

ULEN

SANFORD HEALTH ULEN CLINIC

MILLE LACS FAMILY CLINIC

VERNDALE

TRI COUNTY HOSP VERNDALE CLINI

GATEWAY FAMILY HEALTH CLINIC

WABASHA

ST. ELIZABETHS COMM CLINIC

WELIA HEALTH HINCKLEY

WADENA

TRI COUNTY HC WADENA CLINIC

ESSENTIA HEALTH INTER FALLS

WALKER

ESSENTIA HEALTH WALKER CLINIC

RAINY LAKE MEDICAL CENTER

SANFORD HEALTH WALKER CLINIC

MILLE LACS FAMILY CLINIC ISLE

WALNUT GROVE

SANFORD TRACY WALNUT GROVE CLC

AVERA MEDICAL GROUP IVANHOE

WARREN

NORTH VALLEY HLTH CTR CLINIC

IVANHOE MEDICAL CENTER

WESTBROOK

SANFORD CLINIC WESTBROOK

SANFORD CLINIC JACKSON

WHEATON

SANFORD WHEATON

KITTSON MEM CLINIC OF KARLSTAD

WINDOM

SANFORD CLINIC WINDOM

AVERA MED GROUP LAKE BENTON

WINTHROP

RIDGEVIEW WINTHROP CLINIC

SANFORD CLINIC LAKEFIELD

RAINY LAKE CLINIC LITTLEFORK

CENTRACARE HEALTH SYSTEM

CRMC LONGVILLE

LAC QUI PARLE CLINIC MADISON

Page 599

LOCATION SUPERVISED LIVING FACILITY DHS lic

=====================================================================

=

=====================================================================

=

ALBERT LEA

FOUNTAIN CENTERS

35 31 CR

FERGUS FALLS

CARE FERGUS FALLS

35

ALEXANDRIA

PRAIRIEWOOD HOME

34

GOLDEN VALLEY

HAMMER LEE

34

ANOKA

ANOKA METRO REG TREATMENT CTR

35

MTAI GLADSON

34

ARDEN HILLS

ACR HOME ON CUMMINGS

34

MTAI SAND CREEK

34

PHOENIX AT JANET COURT

34

OASIS

36

ARLINGTON

HIGH ISLAND CREEK RESIDENCE

34

REM HENNEPIN INC REGENT

34

ATWATER

ATWATER ICFIID

34

GRAND RAPIDS

NORTHLAND RECOVERY CENTER

32 35

AURORA

DRCC AURORA

34

GRANITE FALLS

PROJECT TURNABOUT

32 31

BELLE PLAINE

THE LUTHERAN HOME HOPE RES

34

HASTINGS

COCHRAN RECOVERY SERVICES INC

32

BIG LAKE

LIVING WELL POWELL

34

HENRY HAGEN RESIDENCE

34

BIRD ISLAND

RENVILLE COUNTY COMM RES

34

HIBBING

RANGE CENTER ASPENWOOD HOME

34

BLAINE

ANTHONY LOUIS CENTER

35

RANGE CENTER MAPLEVIEW HOME

34

ERICKSON HOME CARE

D

HOUSTON

ABLE INC HOUSTON

34

BLOOMINGTON

CARLSON DRAKE HOUSE

36

INVER GROVE HEIGHTS

CARECO APARTMENTS INC

34

MTAI ALBERT PLACE

34

LIVING WELL UPPER 55TH

34

MTAI BLOOMINGTON

34

LA CRESCENT

ABLE INC LA CRESCENT

34

WINGSPAN LIFE RESOURCES

34

LAKE ELMO

WILLOW HAVEN

36

BRAINERD

FOUR WINDS TREATMENT PROGRAM

35

LAKEVILLE

RIVER RIDGE GLEN CREEK LODGE

35

MN SPECIALTY HEALTH SYSTEM

36

LONG LAKE

ORONO WOODLANDS

34

BROOKLYN CENTER

LIVING WELL LYNDALE

34

LUVERNE

RESIDENTIAL ADVANTAGES LLC

34

MTAI BROOKLYN CENTER

34

MADELIA

REM HEARTLAND INC MADELIA

34

BROOKLYN PARK

ACR HOME ON FALLGOLD

34

MAHTOMEDI

LAKE SHORE RES TREATMENT

31

HOMEWARD BOUND BROOKLYN PARK

34

MANKATO

HARRY MEYERING CTR INC

34

LIVING WELL EDGEWOOD

34

PRAIRIES EDGE

34

REM HENNEPIN INC LAKELAND

34

REM HEARTLAND INC BIRCH

34

SHINGLE CREEK OPTION

34

REM HEARTLAND INC CYPRESS

34

BROOKSTON

WINTER HOMES INCORPORATED

34

MAPLE GROVE

DUNGARVIN YOUGAL

34

BUFFALO

LIVING WELL DOUGLAS

34

HAMMER LAWNDALE

34

REM SO CENTRAL SERVS BUFFALO

34

HOMEWARD BOUND MAPLE GROVE

34

BURNSVILLE

LIVING WELL KENNELLY

34

LIVING WELL 75TH

34

CAMBRIDGE

LIVING WELL CENTRAL

34

MAPLEWOOD

AFTON PLACE

36

CARLTON

COMMUNITY ADDICTION RECOVERY

35

FURNESS HOUSE

34

CENTER CITY

HAZELDEN FOUNDATION

32

HOWARD HOUSE

34

CHISHOLM

RANGE CENTER LEGACY

34

LIVING WELL BROOKVIEW

34

COON RAPIDS

BETHESDA LUTHERAN COMM COT 5

34

LIVING WELL COPE

34

BETHESDA LUTHERAN COMM COT 6

34

LIVING WELL LARPENTEUR

34

CAMILIA ROSE GROUP HOME

34

LIVING WELL MARYLAND

34

CRYSTAL

MTAI RICE CREEK

34

PHOENIX AT CARVER

34

REM HENNEPIN INC CRYSTAL

34

RADIAS HEALTH

36

DAWSON

DAWSON ICF MR

34

RAJWOOD

34

DULUTH

E B I INCORPORATED

34

REM RAMSEY INC LAKEWOOD

34

NORTHWOOD CHILDRENS SVS INC

REM RAMSEY INC MAYHILL

34

RES TREATMENT & DETOX CTR

35 32

MARSHALL

BRENTWOOD HOME

36

THUNDERBIRD WREN HOUSE

35

PROJECT TURNABOUT HALFWAY HSE

35

EAGAN

LIVING WELL POPPLER

34

REM SOUTHWEST SRVS MARSHALL A

34

EDEN PRAIRIE

PRIDE INSTITUTE

35

REM SOUTHWEST SRVS MARSHALL C

34

RIVER RIDGE LLC A WOMAN'S WAY

31

MENDOTA HEIGHTS

LIVING WELL CARMEN

34

EDINA

REM HENNEPIN INC WILLIAM

34

LIVING WELL DIANE

34

FAIRMONT

REM HEARTLAND INC AMBER

34

LIVING WELL MARY ADELE

34

REM HEARTLAND INC BUDD

34

LIVING WELL VICTORIA

34

FARMINGTON

PAUL'S PLACE

31

MARGARETS HOUSE

31

FERGUS FALLS

ARLINGTON HOME

34

MINNEAPOLIS

AMERICAN INDIAN COMM DEVLP

35

Page 600

LOCATION SUPERVISED LIVING FACILITY DHS lic

=====================================================================

=

=====================================================================

=

MINNEAPOLIS

BILL KELLY HOUSE

36

ROCHESTER

REM RIVER BLUFFS STONE PARK 34

EDEN RESIDENTIAL PROGRAM

35

THE GABLES 35

HCMC CRISIS RESIDENCE

36

ZUMBRO VALLEY CONNECTIONS 32

JORGENSEN HOUSE

34

ROSEVILLE

ACR HOME ON LYDIA WEST 34

LIVING CHALLENGE

34

ACR ON DALE COURT 34

PEOPLE II

34

AXIS ON BELMONT 34

REENTRY HOUSE

36

AXIS ON ELDRIDGE 34

REENTRY HOUSE CRISIS STBL PROG

36

SAUK RAPIDS

JOURNEY HOME 35

REM HENNEPIN INC QUEEN

34

SCANDIA

REBECCAS RESIDENCE 35

REM HENNEPIN PILLSBURY

34

SHAKOPEE

DELPHI 34

TURNING POINT INC

35

SHERBURN

COMM OPTIONS AND RESOURCES I 34

MINNETONKA

HAMMER LAKESIDE

34

SHOREVIEW

ACR HOME ON DAWN 34

REM HENNEPIN MINNETONKA

34

AXIS ON GLENHILL 34

MONTEVIDEO

REM SW SERVICES MONTEVIDEO

34

DUNGARVIN CAMARA 34

MOORHEAD

CLAY COUNTY RECEIVING CENTER

35 32

LAKE OWASSO RESIDENCE 34

MOOSE LAKE

MN SEX OFFENDER PROGRAM

26

WINGSPAN LIFE RESOURCES 34

MORRIS

RAVENWOOD HOME

34

SLAYTON

PRAIRIE VIEW INC 34

MOUNDS VIEW

AXIS ON ST. MICHAEL

34

SOUTH ST. PAUL

BRYANT AVE RESIDENCE 34

PHOENIX AT LUDDEN

34

LIVING WELL CONGRESS 34

NEVIS

PINE MANORS INC

35 32

SUMMIT AVENUE RESIDENCE 34

NEW BRIGHTON

ACR HOME ON REDWOOD

34

SPICER

LAKEWOOD HOME 34

SILVER OAKS

34

ST. AUGUSTA

REFRACTIONS LLC 36

NEW HOPE

MTAI MINNEHAHA CREEK

34

ST. CLOUD

CTRL MN RECEIVING AND REFERRAL 32 35 36

NEW ULM

BROWN COUNTY EVAL CENTER INC

32 35

FOCUS XII HALFWAY HOUSE 31

MBW COMPANY 34

REM CENTRAL LAKES INC FERNWOOD 34

MBW COMPANY 34

ST. LOUIS PARK

THE WAYSIDE HOUSE INC 35

NEW ULM MEDICAL CENTER 35

ST. PAUL

DUNGARVIN BALBRIGGEN 34

NEWPORT

PHOENIX AT NEWPORT 34

DUNGARVIN TIKVAH 34

NORTH MANKATO

ROLLINGWOOD HOME 34

LATITUDES TREATMENT CENTER LLC 31

THERESE K SEXTON HOME SOUTH 34

PHOENIX AT DOUGLAS 34

NORTH ST. PAUL

REM RAMSEY INC NORTH OAKS 34 PHOENIX AT FOSS 34

NORTHFIELD

AZULE OPPORTUNITIES, LLC 35

PHOENIX AT VIKING 34

LAURA BAKER SERVICES ASSC 34

RAMSEY COUNTY DETOX CENTER 32

NORWOOD YOUNGAMERI

C

MOUNT OLIVET ROLLING ACRES 34

REM RAMSEY INC GOODRICH 34

ORTONVILLE

MONARCH HEIGHTS 34

ST. PAUL COMO COMMUNITY UNIT 36

OWATONNA

KAPLAN WOODS CARE HOME INC 34

TAPESTRY 35

PINE CITY

MEADOW CREEK 32 31

TWIN TOWN TREATMENT CENTER 31

PLYMOUTH

DUNGARVIN CHAI 34

WINGSPAN LIFE RESOURCES 34

HAMMER KENTUCKY 34

WINGSPAN LIFE RESOURCES 34

HAMMER MCGLINCH 34

ST. PETER

COMM ADDICTION RECOVERY ENTERP 35

HAZELDEN CTR FOR YOUTH & FAM 32

FORENSIC MENTAL HEALTH PROGRAM 36

HOMEWARD BOUND PLYMOUTH 34

FORENSIC MENTAL HEALTH PROGRAM 36

MISSION DETOX CENTER 35 32

MSOP GREEN ACRES 26

MTAI PLYMOUTH EAST 34

MSOP PEXTON SHANTZ 26

ON BELAY HOUSE 35

MSOP SUNRISE 26

ROBBINSDALE

ACR HOME ON ROBIN 34

STILLWATER

CEDAR RIDGE 35

LIVING WELL 3801 34

VADNAIS HEIGHTS

PHOENIX AT CENTERVILLE 34

LIVING WELL 3807 34

PHOENIX AT ENGLISH 34

LIVING WELL FRANCE 34

SPRINGHILL 34

ROCHESTER

ALLENDALE HOUSE 34

VICTORIA

MOUNT OLIVET ROLLING ACRES 34

JOHN E HERMAN HOME & TRMT FAC 36

VIRGINIA

DONOVAN FRANK DETOX CENTER 35 32

REM RIVER BLUFFS ROCHESTER SE 34

MERRITT HOUSE 36

Page 601

LOCATION SUPERVISED LIVING FACILITY DHS lic

=====================================================================

=

=====================================================================

=

WACONIA

WADENA

WAYZATA

WEST ST. PAUL

WHITE BEAR LAKE

WHITE BEAR TOWNSHIP

WILLMAR

WINDOM

WINNEBAGO

WINONA

WINSTED

WOODSTOCK

WORTHINGTON

MOUNT OLIVET ROLLING ACRES

BELL HILL RECOVERY CENTER

MN SPECIALTY HEALTH SYSTEM

HAMMER CARLSON

HAMMER RIDGEVIEW

HAMMER SHERIDAN

LIVING WELL EAST EMERSON

AXIS ON WHITE BEAR AVENUE

PHOENIX AT CASWELL

AXIS ON SENECA

COMMUNITY ADDICTION WILLMAR

MN SPECIALTY HEALTH SYSTEM

WOODLAND CENTERS

HOME FOR CREATIVE LIVING

ADOLESCENT TREATMENT CENTER

COMMON GRND RECOVERY HSG INC

HOME AND COMMUNITY OPTIONS INC

MTAI TRILLIUM

NEW LIFE TREATMENT CENTER

C C S INC RIDGEWOOD

34

35

36

34

35

36

35 36

34

35

34

35 32

34

Page

602

LOCATION BIRTH CENTER

====================================================================

=

BRAINERD LUNA WOMEN'S WELLNESS & BC PC

MILACA A NEW STORY BIRTH CENTER

MINNEAPOLIS MINNESOTA BIRTH CENTER

ROOTS COMMUNITY BIRTH CENTER

WILLOW MIDWIVES LTD

ST. PAUL HEALTH FOUNDATIONS LLC

MINNESOTA BIRTH CENTER

ST. PETER RIVER VALLEY BIRTH CENTER

LOCATION MOBILE HEALTH EVALUATION/SCREENING

======================================================================

=

FALMOUTH PROMERICA HEALTH LLC

OVERLAND PARK EXAMINETICS INC

SHAKOPEE SCOTT COUNTY

SIOUX FALLS SCREENING AMERICA

ST. PAUL ST. LUKE MOBILE MEDICAL CLINIC

1

Minnesota Department of Health

Health Regulation Division

Index For Directory of Facilities and Services Index Page

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

SAFARI SERVICES LLC

WASHINGTON

536

ABBEYCARE INC

RAMSEY

418

1 BEST CARE INC

RAMSEY

417

ABBOTT NORTHWESTERN HOSPITAL

HENNEPIN

223

1 TO 1 ANGEL HANDS HOME HEALTH

HENNEPIN

282

ABC HOME HEALTH CARE PLUS LLC

HENNEPIN

290

1-0 GRANNY'S HELPFUL HANDS LLC

HENNEPIN

222

ABIITAN MILL CITY

HENNEPIN

223

1-0 GRANNY'S HELPFUL HANDS LLC

HENNEPIN

222

ABIITAN MILL CITY

HENNEPIN

223

1-0 GRANNY'S HELPFUL HANDS LLC

DAKOTA

114

ABILIT HLDINGS PRAIRIE MEADOWS

DODGE

119

1-0 GRANNY'S HELPFUL HANDS LLC

HENNEPIN

191

ABILIT HOLDINGS MEADOW LAKES

OLMSTED

364

1-0 GRANNY'S HELPFUL HANDS LLC

HENNEPIN

222

ABLE CARE CONNECT HOME HEALTH

HENNEPIN

290

1-BELEVO HEALTH SERVICES LLC

RAMSEY

418

ABLE INC HOUSTON

HOUSTON

298

1ST CARE INC

WASHINGTON

539

ABLE INC LA CRESCENT

HOUSTON

299

1ST CHOICE PEDIATRIC HOME CARE

HENNEPIN

222

ABRAHAM'S BOSOM CARE LLC

RAMSEY

418

2 CARING HANDS

DAKOTA

108

ABRAHAM'S BOSOM CARE LLC

RAMSEY

418

2 CARING HANDS

DAKOTA

87

ABSOLUTE HOMES INC

HENNEPIN

223

2 CARING HANDS INC

DAKOTA

101

ABUNDANCE OF LIFE LLC

RAMSEY

408

2016 HOME

ANOKA

15

ABUNDANT LIFE HOME HEALTH CARE

HENNEPIN

152

24 - SEVEN HOME CARE INC

HENNEPIN

166

ACACIA CARE LLC

HENNEPIN

152

24 - SEVEN HOME CARE INC

HENNEPIN

166

ACCENTUCARE INC

SAINT LOUIS

467

2CARE4U LLC

ITASCA

305

ACCESS GROUP HOME LLC

HENNEPIN

223

2CARE4U SOUTH LLC

SCOTT

487

ACCESS INFUSION HEALTHCARE INC

BENTON

35

3CARE HEALTH LLC

SCOTT

486

ACCESS MINNESOTA LLC

RAMSEY

419

A BEAUTIFUL CHOICE LLC

ANOKA

7

ACCESS MINNESOTA LLC

STEARNS

503

A CAREGIVER'S LOVE CONSULTING

WADENA

522

ACCESS NORTH CTR FOR IND OF NE

SAINT LOUIS

479

A CARING HOME LLC

HENNEPIN

222

ACCESS RECOVERY CENTER INC

DAKOTA

87

A CHANCE TO GROW INC

HENNEPIN

264

ACCESS RECOVERY CENTER INC.

DAKOTA

87

A DAUGHTER'S LOVE INC

TODD

518

ACCESSIBLE SPACE INC 1

RAMSEY

419

A DAUGHTER'S LOVE SUITES

TODD

518

ACCESSIBLE SPACE INC 2

RAMSEY

419

A DAUGHTER'S LOVE SUITES

TODD

518

ACCESSIBLE SPACE INC 3

RAMSEY

419

A DAUGHTER'S LOVE SUITES

TODD

518

ACCESSIBLE SPACE INC 4

RAMSEY

419

A HELPING HAND SENIOR CARE SER

HENNEPIN

223

ACCESSIBLE SPACE INC NO

RAMSEY

419

A HELPING HAND SENIOR CARE SER

HENNEPIN

222

ACCESSIBLE SPACE INC SO

RAMSEY

419

A HELPING HAND SENIOR CARE SER

RAMSEY

418

ACCRA CARE INC

HENNEPIN

213

A HELPING HAND SENIOR CARE SER

HENNEPIN

223

ACCRA CARE INC

HENNEPIN

213

A LA CARTE HOME CARE

HENNEPIN

276

ACCRA HOME CARE INC

OTTER TAIL

375

A NEW STORY BIRTH CENTER

MILLE LACS

345

ACCRA HOME HEALTH DULUTH

SAINT LOUIS

467

A TOUCH OF HOME NORTH

BELTRAMI

30

ACCREDO HEALTH GROUP INC

DAKOTA

96

A&A RELIABLE HOME HEALTH CARE

RAMSEY

418

ACCURATE HOME CARE LLC

WRIGHT

553

A+ HOME HEALTH CARE INC

HENNEPIN

140

ACCURATE HOMES LLC

DAKOTA

88

A-1 HOME CARE INC

HENNEPIN

223

ACCURATE HOMES LLC

DAKOTA

87

A-1 RELIABLE HOME CARE INC

HENNEPIN

286

ACE HOMES INC

HENNEPIN

166

A-1 RELIABLE HOME CARE INC

HENNEPIN

286

ACE HOMES INC

ANOKA

11

A-1 RELIABLE HOME CARE INC

RAMSEY

418

ACE VENT HOME

HENNEPIN

140

A-1 RELIABLE HOME CARE INC

RAMSEY

418

ACR HOME ON CUMMINGS

RAMSEY

394

A-A-H MERCY HOME HEALTH

HENNEPIN

286

ACR HOME ON DAWN

RAMSEY

415

A-A-H MERCY HOME HEALTH LLC

HENNEPIN

286

ACR HOME ON FALLGOLD

HENNEPIN

166

AARAN CARE INC

RAMSEY

418

ACR HOME ON LYDIA WEST

RAMSEY

408

AARAN CARE INC SERVICE CORPORA

RAMSEY

418

ACR HOME ON REDWOOD

RAMSEY

404

2

Minnesota Department of Health

Health Regulation Division

Index For Directory of Facilities and Services Index Page

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

ACR HOME ON ROBIN

HENNEPIN

286

AGING SERVICES FOR COMMUNITIES

LESUEUR

328

ACR ON DALE COURT

RAMSEY

408

AHRAN CARE

HENNEPIN

224

ACTIKARE RESPONSIVE IN HOME CA

HENNEPIN

271

AHRAN CARE LLC

HENNEPIN

224

ACTIVE AT HOME HELPERS

NORTH DAKOTA

557

AICOTA HEALTH CARE CENTER

AITKIN

1

ADAGIO MANOR ASSISTED LIVING

HENNEPIN

207

AICOTA HEALTH CARE CENTER

AITKIN

1

ADAGIO MANOR ASSISTED LIVING

HENNEPIN

207

AICOTA HEALTH CARE CENTER INC

AITKIN

1

ADAMS HEALTH CARE CENTER

MOWER

351

AIDE HOME HEALTH CARE

CROW WING

83

ADAMS HEALTH CARE SERVICES

HENNEPIN

140

AITKIN HEALTH SERVICES

AITKIN

2

ADAMS HEALTH CARE SERVICES

HENNEPIN

140

ALAAFIA HOMECARE LLC

HENNEPIN

167

ADAMS HOME HEALTH AGENCY

MOWER

351

ALCORDIA CARE LLC

ANOKA

7

ADAMS HOME HEALTH AGENCY

MOWER

351

ALEX ASSISTED LIVING LLC

DOUGLAS

123

ADAPTA

OLMSTED

364

ALEX ASSISTED LIVING LLC

DOUGLAS

120

ADAPTA

OLMSTED

364

ALIYA CARE

ANOKA

15

ADARA HOME HEALTH INC

WRIGHT

550

ALIYA CARE INC

ANOKA

15

ADARACARE INC

MCLEOD

339

ALL ABOUT CARING HOME CARE INC

CHISAGO

68

ADEG GROUP HOME LLC

RAMSEY

416

ALL FAMILY HOME CARE LLC

RAMSEY

407

ADEQUATE HOME CARE LLC

ANOKA

7

ALL GENERATIONS HOME CARE INC

STEELE

509

ADEQUATE HOME CARE LLC

WASHINGTON

532

ALL GOOD HOME CARE INC

BENTON

34

ADF CARE SERVICES

HENNEPIN

222

ALL HOME CARE LLC

HENNEPIN

224

ADITH MILLER MANOR

WINONA

546

ALL HOMECARING

ANOKA

11

ADNA HOMES LLC

HENNEPIN

167

ALL HOPES AT LINNET

ANOKA

15

ADNA HOMES LLC

DAKOTA

96

ALL HOPES AT ORCHARD

HENNEPIN

152

ADNA K HOME HEALTH INC

HENNEPIN

223

ALL HOPES AT PEARSON

HENNEPIN

167

ADOLESCENT TREATMENT CENTER

FARIBAULT

127

ALL HOPES INCORPORATED

HENNEPIN

276

ADRIAN COUNTRY LIVING COTTAGES

NOBLES

360

ALL SAINTS SENIOR LVG SHAKOPEE

SCOTT

488

ADRIAN COUNTRY LIVING COTTAGES

NOBLES

360

ALL SEASONS HOME HEALTH

HENNEPIN

167

ADULT CARE SERVICES OF MN INC

MILLE LACS

345

ALL WULLANCARE INC

HENNEPIN

167

ADVACARE CLINICS LTD

HENNEPIN

140

ALLENDALE HOUSE

OLMSTED

364

ADVANCED MEDICAL HOME CARE LLC

RAMSEY

445

ALLIANCE ASSISTED LIVING INC

SCOTT

487

ADVANCED ONE CARE CENTER

HENNEPIN

224

ALLIANCE GROUP HOME LLC

HENNEPIN

224

ADVANCED ONE CARE CENTER INC

OLMSTED

364

ALLIANCE HEALTH SERVICES

BLUE EARTH

39

AEGIS THERAPIES

HENNEPIN

196

ALLIANCE HEALTH SERVICES INC

DAKOTA

96

AEON

HENNEPIN

224

ALLIANCE HHC & NURSING SERVICE

HENNEPIN

207

AFFINITY RESIDENTIAL CARE LLC

HENNEPIN

140

ALLIANCE HOMES CORPORATION

ANOKA

11

AFFINITY RESIDENTIAL CARE LLC

HENNEPIN

140

ALLIANCE HOMES CORPORATION

ANOKA

11

AFTENRO HOME

SAINT LOUIS

467

ALLIED HOME HEALTH INC

FREEBORN

131

AFTON CARE LLC

WASHINGTON

525

ALLIED PROFESSIONALS INC

HENNEPIN

200

AFTON PLACE

RAMSEY

396

ALLINA HEALTH HOME HEALTH

RAMSEY

402

AGAPE HEALTHCARE SERVICES INC

HENNEPIN

152

ALLINA HLTH HSPCE & PALL CARE

RAMSEY

419

AGAPE HOME CARE PROVIDER

HENNEPIN

224

ALLINA HLTH HSPCE & PALLITV CA

STEELE

511

AGAPECARE SERVICES LLC

HENNEPIN

152

ALLINA HOME HEALTH INFUSION TH

ANOKA

15

AGAPECARE SERVICES LLC

HENNEPIN

195

ALLY GROUP HOMES LLC

HENNEPIN

272

AGELESS CARE INCORPORATED

ROSEAU

462

ALLY GROUP HOMES LLC

HENNEPIN

291

AGELESS CARE INCORPORATED

ROSEAU

462

ALMOND HOUSE

CROW WING

78

AGILITY ADVANTAGE HHC LLC

HENNEPIN

167

ALMOND HOUSE

CROW WING

78

AGILITY ADVANTAGE HOME HC

HENNEPIN

167

ALMOND HOUSE UNIT 2

CROW WING

78

3

Minnesota Department of Health

Health Regulation Division

Index For Directory of Facilities and Services Index Page

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

ALMOND HOUSE UNIT 3

CROW WING

79

AMERICAN VOLUNTEERS HOMES

HENNEPIN

167

ALMOND HOUSE UNIT 4

CROW WING

79

AMERICARE LODGES INC

CASS

62

ALMOST FAMILY HOME CARE LLC

DAKOTA

113

AMERICARE LODGES INC

CASS

62

ALMOST HOME

CROW WING

79

AMERICN EAGLE OWATONNA

STEELE

509

ALOMERE HEALTH

DOUGLAS

120

AMERIGRACE HOME CARE LLC

WASHINGTON

525

ALPHA ASSISTED LIVING INC

HENNEPIN

224

AMERIGRACE HOME CARE LLC

WASHINGTON

525

ALPHA ASSISTED LIVING INC

HENNEPIN

224

AMRAN HOME HEALTH CARE LLC

HENNEPIN

225

ALPHA SIGMA HEALTH GROUP INC

ROCK

461

AMY JOHNSON RESIDENCE

RAMSEY

420

ALPINE HOME HEALTH LLC

RAMSEY

419

AMY JOHNSON RESIDENCE

RAMSEY

420

ALTERNATIVE SENIOR CARE

STEARNS

502

ANCHOR HOUSE

HENNEPIN

168

ALTERNATIVE SENIOR CARE INC

STEARNS

502

ANCHOR HOUSE LLC

HENNEPIN

192

ALTRU RENAL DIALYSIS

ROSEAU

462

ANDREW RESIDENCE

HENNEPIN

225

ALTRU RENAL DIALYSIS AT CROOKS

POLK

388

ANGEL CARE HOMES

HENNEPIN

168

ALTRU'S HOME HEALTH

NORTH DAKOTA

558

ANGEL CARE HOMES LLC

HENNEPIN

168

ALTRU'S HOSPICE

NORTH DAKOTA

558

ANGEL HEARTS HEALTH CARE SERVI

HENNEPIN

168

ALWAYS BEST CARE SW METRO

CARVER

58

ANGEL HOME CARE

HENNEPIN

153

ALWAYS HERE HOME CARE LLC

DAKOTA

88

ANGEL'S HEALTH & HC SRV INC

HENNEPIN

153

AMA GROUP HOME

HENNEPIN

224

ANGELS ASSISTED LIVING INC

HENNEPIN

226

AMA GROUP HOME INC

HENNEPIN

225

ANGELS ASSISTED LIVING INC

HENNEPIN

225

AMADA SENIOR CARE MINNEAPOLIS-

HENNEPIN

216

ANGELS HEALTH & HOME CARE SERV

HENNEPIN

154

AMADA SENIOR CARE TWIN CITIES

WASHINGTON

530

ANGELS HEALTH AND HC SERV INC

HENNEPIN

168

AMADA SENIOR CARE TWIN CITIES

HENNEPIN

207

ANGELS HOMES LLC

DAKOTA

88

AMAL HOME HEALTH CARE INC

HENNEPIN

167

ANGELS HOMES LLC

DAKOTA

88

AMAL HOME HEALTH CARE INC

HENNEPIN

225

ANGELS HOMES LLC

DAKOTA

88

AMANA HOME CARE LLC

HENNEPIN

225

ANGELS OF MERCY ASSISTED LIVIN

HENNEPIN

154

AMAZING HOME LLC

HENNEPIN

152

ANGELS OF MERCY HOMECARE SVC

HENNEPIN

154

AMAZING HOMECARE AND NURSING S

HENNEPIN

196

ANIKA HOME CARE LLC

HENNEPIN

282

AMAZING LOVE ASSISTED LIVING

HENNEPIN

191

ANNANDALE CARE CENTER

WRIGHT

549

AMAZING LOVE ELDERLY CARE CTR

MORRISON

351

ANNE'S PLACE LLC

SAINT LOUIS

467

AMAZING LOVE LLC

HENNEPIN

191

ANOKA METRO REG TREATMENT CTR

ANOKA

4

AMC CARE INC

HENNEPIN

153

ANOKA REHAB & LIVING CENTER

ANOKA

3

AMECARE SERVICES LLC

HENNEPIN

153

ANTHONY LOUIS CENTER

ANOKA

7

AMELIE HOUSE

HENNEPIN

141

APLUS HEALTH CARE LLC

RAMSEY

417

AMERICAN BEST HOME CARE

HENNEPIN

153

APPARENT PLAN

HENNEPIN

196

AMERICAN BEST HOME CARE INC

HENNEPIN

153

APPLE GROUP HOME INC

HENNEPIN

226

AMERICAN BEST HOME CARE INC

HENNEPIN

153

APPLE GROUP HOME INC

HENNEPIN

291

AMERICAN BEST HOME CARE INC

HENNEPIN

153

APPLE RIDGE ESTATES

SWIFT

514

AMERICAN BEST HOME CARE INC

HENNEPIN

167

APPLE VALLEY VILLA

DAKOTA

85

AMERICAN BEST HOME CARE INC

HENNEPIN

192

APPLE VALLEY VILLA

DAKOTA

85

AMERICAN BEST HOME CARE INC

HENNEPIN

153

APPLETON AREA HEALTH SERVICES

SWIFT

514

AMERICAN EAGLE OWATONNA

STEELE

509

APPLETON AREA HEALTH SERVICES

SWIFT

514

AMERICAN FAMILY HOME CARE

HENNEPIN

153

APPLETON MUN HOSPITAL & NH

SWIFT

514

AMERICAN FAMILY HOME CARE

HENNEPIN

152

APPLETON MUNICIPAL HOSPITAL

SWIFT

515

AMERICAN HOME HEALTH SERVICES

HENNEPIN

225

APPLEWOOD HOME HEALTH CARE LLC

HENNEPIN

226

AMERICAN INDIAN CDC

HENNEPIN

225

APPLEWOOD HOME HEALTH CARE LLC

HENNEPIN

282

AMERICAN INDIAN COMM DEVLP

HENNEPIN

225

APRIA HEALTHCARE LLC

RAMSEY

404

4

Minnesota Department of Health

Health Regulation Division

Index For Directory of Facilities and Services Index Page

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

ARBOR GARDENS

OLMSTED

364

ASPEN GROVE ALT SENIOR LIVING

SAINT LOUIS

479

ARBOR GLENN SENIOR LIVING

WASHINGTON

530

ASPEN GROVE ALTERNATIVE SENIOR

SAINT LOUIS

479

ARBOR LAKES SENIOR LIVING

HENNEPIN

216

ASPEN GROVE ASSISTED LIVING

SAINT LOUIS

465

ARBOR LAKES SENIOR LIVING LLC

HENNEPIN

216

ASPEN GROVE ASSISTED LIVING

SAINT LOUIS

465

ARBOR LANE

DAKOTA

88

ASPEN HOME HEALTH CARE INC

HENNEPIN

169

ARBOR OAKS SENIOR LIVING LLC

ANOKA

2

ASPEN HOMES

HENNEPIN

169

ARBOR OAKS SENIOR LIVING LLC

ANOKA

2

ASPEN HOMES

ANOKA

15

ARBOR PARK LIVING CENTER

CLAY

70

ASSISTED LIVING AT NORTH RIDGE

HENNEPIN

272

ARBOR PARK LIVING CENTER

CLAY

70

ASSISTED LIVING IN HERITAGE

HENNEPIN

141

ARBOR PARK LIVING CENTER LLC

CLAY

70

ASSISTING HANDS OF MINNEAPOLIS

HENNEPIN

264

ARBOR PARK LIVING CENTER LLC

CLAY

70

ASSOCIATED EYE CARE AMB SURG

WASHINGTON

534

ARBOR PARK LIVING CENTER LLC

CLAY

71

ASSOCIATED TENDER CARE LLC

HENNEPIN

154

ARBOR TERRACE

OLMSTED

372

ASST LVG IN HERITAGE HALL

HENNEPIN

141

ARBOR TERRACE

OLMSTED

364

ASSUMPTION COURT

STEARNS

498

ARBORS AT RIDGES

DAKOTA

88

ASSUMPTION HEALTH SERVICES

STEARNS

498

ARDEN HILLS DIALYSIS UNIT

RAMSEY

394

ASSUMPTION HOME

STEARNS

498

ARISE CARES

STEARNS

504

ASSUMPTION HOME CARE

STEARNS

498

ARISE CARES

STEARNS

503

ASSURANT CARE HOMES LLC

ANOKA

15

ARISE HOMECARE SERVICES PLLC

HENNEPIN

168

ASSURANT CARE HOMES LLC

ANOKA

15

ARISE HOMECARE SERVICES PLLC

HENNEPIN

168

ASSURANT CARE HOMES LLC

ANOKA

7

ARLINGTON HOME

OTTER TAIL

375

ASSURED CARE

HENNEPIN

141

ARLINGTON PLACE

STEARNS

507

ASSURED CARE

DAKOTA

88

ARLINGTON PLACE

STEARNS

507

ASSURED CARE

HENNEPIN

141

ARMS HOME HEALTH CARE LLC

HENNEPIN

208

ASSURED WELLNESS LLC

RAMSEY

420

AROUND & AROUND HOME CARE

HENNEPIN

168

ASSURED WELLNESS LLC

RAMSEY

420

ARTHUR'S SENIOR CARE AV

RAMSEY

408

ASTRAL HOME CARE BARRINGTON

HENNEPIN

169

ARTHURS SENIOR CARE

RAMSEY

408

ASTRAL HOME CARE LLC

HENNEPIN

154

ARTHURS SENIOR CARE ON EMMERT

RAMSEY

408

AT HOME WITH US LLC

RAMSEY

396

ARTIS SENIOR LVG OF WOODBURY

WASHINGTON

536

AT HOME WITH US LLC

RAMSEY

396

ARTIS SLM OF WOODBURY LLC

WASHINGTON

537

AT YOUR SERVICE SENIOR ASST

HENNEPIN

291

ASERACARE HOSPICE

HENNEPIN

141

ATHANOR HOUSING AND RESIDENTIA

RAMSEY

420

ASHBY LIVING CENTER

GRANT

139

ATHANOR ST. PAUL

RAMSEY

420

ASHBY LIVING CENTER

GRANT

139

ATTENTIVE CARE

HENNEPIN

192

ASHER HAUS

STEARNS

498

ATTENTIVE CARE

HENNEPIN

200

ASHTON HOMES LCC

HENNEPIN

168

ATWATER ICFIID

KANDIYOHI

313

ASHTON HOMES LLC

HENNEPIN

272

AUBURN COURTS

CARVER

56

ASHTON HOMES LLC

HENNEPIN

216

AUBURN COURTS

CARVER

56

ASHTON HOMES LLC

HENNEPIN

154

AUBURN HOME IN WACONIA

CARVER

58

ASHTON HOMES LLC

HENNEPIN

168

AUBURN MANOR

CARVER

56

ASHTON HOMES LLC

HENNEPIN

154

AUBURN MEADOWS

CARVER

58

ASHTON HOMES LLC

HENNEPIN

154

AUGUSTANA APARTMENTS OF MPLS

HENNEPIN

226

ASHTON HOMES LLC

HENNEPIN

272

AUGUSTANA APARTMENTS OF MPLS

HENNEPIN

226

ASI 28TH STREET

HENNEPIN

226

AUGUSTANA APARTMENTS OF MPLS

HENNEPIN

226

ASI CAMDEN HOUSE

HENNEPIN

226

AUGUSTANA APARTMENTS OFMPLS

HENNEPIN

226

ASIAN AMERICAN ELDERLY AL LLC

HENNEPIN

154

AUGUSTANA CARE HASTINGS HEALTH

DAKOTA

103

ASIAN AMERICAN ELDERLY ASSISTE

HENNEPIN

154

AUGUSTANA CHAPEL VIEW APTS

HENNEPIN

214

5

Minnesota Department of Health

Health Regulation Division

Index For Directory of Facilities and Services Index Page

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

AUGUSTANA CHAPEL VIEW CARE CTR

HENNEPIN

214

AVERA DIALYSIS MARSHALL

LYON

331

AUGUSTANA EMERALD CREST

HENNEPIN

264

AVERA GRANITE FALLS

YELLOW MEDICINE

556

AUGUSTANA EMERALD CREST

CARVER

58

AVERA GRANITE FALLS CARE CTR

CHIPPEWA

64

AUGUSTANA EMERALD CREST

HENNEPIN

264

AVERA MARSHALL REG MED CENTER

LYON

331

AUGUSTANA EMERALD CREST

SCOTT

488

AVERA MED GROUP LAKE BENTON

LINCOLN

329

AUGUSTANA EMERALD CREST

HENNEPIN

264

AVERA MED GROUP WORTHINGTON

NOBLES

360

AUGUSTANA EMERALD CREST

HENNEPIN

264

AVERA MEDICAL GROUP IVANHOE

LINCOLN

329

AUGUSTANA EMERALD CREST BURNSV

DAKOTA

89

AVERA MEDICAL GROUP TYLER

LINCOLN

330

AUGUSTANA EMERALD CREST BURNSV

DAKOTA

88

AVERA SURGERY CENTER MARSHALL

LYON

331

AUGUSTANA EMERALD CREST BURNSV

DAKOTA

88

AVERA TYLER HOSPITAL

LINCOLN

330

AUGUSTANA EMERALD CREST BURNSV

DAKOTA

89

AVERA@HOME

SOUTH DAKOTA

559

AUGUSTANA EMERALD CREST BURNSV

DAKOTA

89

AVINITY HOME CARE

HENNEPIN

284

AUGUSTANA EMERALD CREST OF VIC

CARVER

58

AXIS ON BELMONT

RAMSEY

408

AUGUSTANA EMERALD CREST SHAKOP

SCOTT

489

AXIS ON ELDRIDGE

RAMSEY

409

AUGUSTANA HEALTH CC OF APPLE

DAKOTA

85

AXIS ON GLENHILL

RAMSEY

415

AUGUSTANA HOME HEALTH CARE SER

HENNEPIN

226

AXIS ON SENECA

RAMSEY

447

AUGUSTANA MERCY CARE CENTER

CARLTON

54

AXIS ON ST. MICHAEL

RAMSEY

403

AUGUSTANA OAKVIEW CARE LLC

CARLTON

54

AXIS ON WHITE BEAR AVENUE

RAMSEY

445

AUGUSTANA OAKVIEW CARE LLC

CARLTON

54

AZULE OPPORTUNITIES, LLC

RICE

457

AUGUSTANA OAKVIEW CARE LLC

CARLTON

54

B A COMFORT LIFE HOMECARE

HENNEPIN

155

AUGUSTANA REGENT AT BURNSVILLE

DAKOTA

89

B'S HOMECARE INC

ISANTI

301

AUGUSTANA REGENT AT BURNSVILLE

DAKOTA

89

BABBITT CAREFREE LIVING

SAINT LOUIS

464

AUGUSTANA RESIDENTIAL CARE

HENNEPIN

227

BAIKAH HOMES LLC

ANOKA

4

AURORA CAREFREE LIVING INC

SAINT LOUIS

464

BAIKAH HOMES LLC

ANOKA

4

AURORA ON FRANCE

HENNEPIN

200

BAKER PARK INC

BELTRAMI

30

AURORA ON FRANCE

HENNEPIN

200

BANCROFT CREEK ESTATES

FREEBORN

131

AUTUMN GLEN SENIOR LIVING

ANOKA

15

BANI HOMES

HENNEPIN

141

AUTUMN GLEN SENIOR LIVING

ANOKA

15

BANI SERVICES LLC

HENNEPIN

227

AUTUMN GRACE I

BLUE EARTH

40

BARAKA HOME CARE LLC

DAKOTA

89

AUTUMN GRACE II

BLUE EARTH

40

BARNABAS HEALTH CARE SERVICES

CROW WING

79

AUTUMN GRACE III

BLUE EARTH

40

BARNES CARE

CARLTON

53

AUTUMN HILLS OF BEMIDJI INC

BELTRAMI

30

BARNES CARE INC

CARLTON

53

AUTUMN HILLS OF BEMIDJI INC

BELTRAMI

30

BARNES CARE INC

CARLTON

53

AUTUMN LANE

ITASCA

304

BARNES CARE INC

CARLTON

53

AUTUMN LANE INC

ITASCA

304

BARRETT ASSISTED LIVING INC

GRANT

139

AUTUMN RIDGE

HENNEPIN

169

BARRETT CARE CENTER INC

GRANT

139

AVALON HOME CARE INC

ANOKA

3

BARROSS COTTAGE

LAKE

325

AVALON HOSPICE MINNESOTA LLC

RAMSEY

420

BARROSS COTTAGE

LAKE

325

AVALON MEMORY CARE

HENNEPIN

264

BARROSS COTTAGE II LLC

LAKE

325

AVALON MEMORY CARE

HENNEPIN

264

BARROSS COTTAGE II LLC

LAKE

325

AVENUES FOR CARE INC

CHIPPEWA

64

BARROSS MANOR

LAKE

325

AVERA AT HOME

SOUTH DAKOTA

558

BARROSS MANOR

LAKE

325

AVERA AT HOME

IOWA

556

BASS LAKE COURT TOWNHOMES

HENNEPIN

272

AVERA AT HOME

IOWA

556

BASS LAKE TOWNHOMES

HENNEPIN

272

AVERA AT HOME MARSHALL

LYON

331

BASS TOWNHOMES

HENNEPIN

272

AVERA AT HOME SOUTHWEST MN

LYON

331

BATALO HOME HEALTH CARE LLC

HENNEPIN

227

6

Minnesota Department of Health

Health Regulation Division

Index For Directory of Facilities and Services Index Page

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

BATTLE CREEK CARE HOME

RAMSEY

420

BENEDICTINE LVG COMM WINSTED

MCLEOD

341

BAY VIEW NURSING & REHAB CTR

GOODHUE

136

BENEDICTINE SENIOR LIVING

HENNEPIN

276

BAYADA HOME HEALTH CARE INC

RAMSEY

404

BENEDICTINE SENIOR LIVING

NICOLLET

358

BAYADA HOME HEALTH CARE INC

STEARNS

507

BENEDICTINE SENIOR LIVING AT S

HENNEPIN

276

BAYADA HOME HEALTH CARE INC

HENNEPIN

276

BENEDICTINE SENIOR LIVING COMM

NICOLLET

358

BAYSHORE RESIDENCE & REHAB CTR

SAINT LOUIS

467

BENEDICTINE SUPPORTIVE SERVICE

NORMAN

362

BAYVIEW CASE MANAGEMENT

DAKOTA

85

BENET HALL

SAINT LOUIS

467

BAYVIEW CASE MANAGEMENT

DAKOTA

85

BENET HALL

SAINT LOUIS

467

BAYWOOD HOME CARE

HENNEPIN

227

BENEVOLENT HOMES LLC

RAMSEY

404

BB HOME HEALTHCARE

HENNEPIN

296

BENTSON FAMILY ASST LVG RES

RAMSEY

420

BEACON HAVEN

RAMSEY

404

BERKELEY HEIGHTS HOMES LLC

HENNEPIN

169

BEACON HILL

HENNEPIN

264

BEST CARE GROUP

HENNEPIN

155

BEACON LANDING LLC

RICE

453

BEST CARE HOME HEALTH INC

HENNEPIN

227

BEAUTIFUL HEARTS LLC

HENNEPIN

141

BEST CHOICE HOME CARE LLC

HENNEPIN

227

BEAUTIFUL HEARTS LLC

HENNEPIN

227

BEST CHOICE HOME CARE LLC

HENNEPIN

227

BEAUTIFUL HEARTS LLC

HENNEPIN

227

BEST CHOICE HOME HEALTHCARE LL

RAMSEY

420

BECKY'S PLACE INC

HENNEPIN

196

BEST HOME HEALTH CARE SERVICE

HENNEPIN

228

BECKY'S PLACE INC

HENNEPIN

196

BEST HOME HEALTH CARE SERVICES

HENNEPIN

228

BEE HIVE HOMES

SHERBURNE

491

BESTVALUE HEALTHCARE INC

RAMSEY

396

BEE HIVE HOMES

SHERBURNE

491

BESTVALUE HEALTHCARE INC

WASHINGTON

533

BEE HIVE HOMES OF DULUTH

SAINT LOUIS

467

BETHAL PAVILION HOMECARE LLC

HENNEPIN

169

BEE HIVE HOMES OF MAPLE GROVE

HENNEPIN

216

BETHANY ASSISTED LIVING

MEEKER

342

BEEHIVE HOME OF LAKEVILLE

DAKOTA

107

BETHANY ASSISTED LIVING

POLK

391

BEEHIVE HOMES OF LAKEVILLE

DAKOTA

108

BETHANY BOARD AND LODGE INC

POLK

391

BEEHIVE HOMES OF MAPLE GROVE

HENNEPIN

216

BETHANY ON THE LAKE

DOUGLAS

120

BEEHIVE HOMES OF MOORHEAD

CLAY

71

BETHANY ON THE LAKE ASSISTED

DOUGLAS

120

BEEHIVE HOMES OF MOORHEAD

CLAY

71

BETHANY ON THE LAKE LLC

DOUGLAS

120

BEL RAE SENIOR LIVING

RAMSEY

403

BETHANY RESIDENCE AND REHAB CT

HENNEPIN

228

BELGRADE NURSING HOME

STEARNS

498

BETHANY SENIOR LIVING APTS

CROW WING

79

BELL HILL RECOVERY CENTER

WADENA

523

BETHEL

HENNEPIN

155

BELL MEDICAL SERVICES INC

HENNEPIN

169

BETHEL CARE SERIVCES

DAKOTA

103

BELONG HEALTH CARE LLC

HENNEPIN

216

BETHEL MANOR INC

DOUGLAS

121

BEN'S HOUSE

HENNEPIN

273

BETHEL PAVILION HOMECARE LLC

HENNEPIN

169

BENEDICT COURT

SHERBURNE

493

BETHESDA

KANDIYOHI

314

BENEDICT HOMES

SHERBURNE

493

BETHESDA ASSISTED LIVING

KANDIYOHI

319

BENEDICT HOUSE

OLMSTED

365

BETHESDA HOME HEALTH

KANDIYOHI

315

BENEDICTINE CARE COMMUNITY

NORMAN

362

BETHESDA LUTHERAN COMM COT 5

ANOKA

16

BENEDICTINE HEALTH CENTER

SAINT LOUIS

467

BETHESDA LUTHERAN COMM COT 6

ANOKA

16

BENEDICTINE HEALTH CTR OF MPLS

HENNEPIN

227

BETTER CARE SERVICES LLC

HENNEPIN

228

BENEDICTINE HLTH CTR INNSBRUCK

RAMSEY

404

BETTER CARE SERVICES LLC

HENNEPIN

228

BENEDICTINE HOME HEALTH

NORTH DAKOTA

558

BEYOND EXPECTATIONS HOME HEALT

HENNEPIN

216

BENEDICTINE LIVING COMMUNITY

MCLEOD

341

BEYOND SENIOR CARE LLC

WASHINGTON

541

BENEDICTINE LIVING COMMUNITY

DAKOTA

113

BHATTI GI SURGERY CENTER

CARVER

56

BENEDICTINE LIVING COMMUNITY O

MCLEOD

341

BIDWELL RESIDENCE

DAKOTA

116

BENEDICTINE LIVING NORTHFIELD

DAKOTA

113

BIDWELL RESIDENCE

DAKOTA

116

BENEDICTINE LVG COMM ST PETER

NICOLLET

359

BIG HEARTS HOME CARE INC

HENNEPIN

228

7

Minnesota Department of Health

Health Regulation Division

Index For Directory of Facilities and Services Index Page

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

BIG HEARTS HOME CARE INC

RAMSEY

402

BRASK HAVEN INC

ISANTI

303

BIGFORK VALLEY COMMUNITIES

ITASCA

303

BRECK HOME RESIDENTIAL CARE

HENNEPIN

142

BIGFORK VALLEY HOME CARE

ITASCA

303

BRECK HOME RESIDENTIAL CARE

HENNEPIN

142

BIGFORK VALLEY HOSPITAL

ITASCA

303

BRECK HOME RESIDENTIAL CARE CE

HENNEPIN

142

BIGFORK VALLEY VILLA

ITASCA

303

BREMMER SUITES

FILLMORE

130

BIGFORK VALLEY VILLA ASSISTED

ITASCA

303

BREMMER SUITES

FILLMORE

130

BILL KELLY HOUSE

HENNEPIN

228

BRENTWOOD HOME

LYON

332

BILLIE'S CHOICE LLC

DAKOTA

108

BRIARWOOD

OTTER TAIL

381

BIOSCRIP INFUSION SERVICES

DAKOTA

96

BRICKSTONE MANOR

BROWN

46

BIRCHVIEW GARDENS ASSISTED LIV

CASS

61

BRICKSTONE MANOR

BROWN

46

BIRCHVIEW GARDENS ASST LVG

CASS

61

BRIDGES HEALTH LLC

HENNEPIN

283

BIRCHWOOD ARBORS

WASHINGTON

528

BRIDGES HEALTH LLC

HENNEPIN

283

BIRCHWOOD ARBORS

WASHINGTON

528

BRIDGES MN

HENNEPIN

228

BIRCHWOOD CARE HOME

HENNEPIN

228

BRIDGES MN

BENTON

35

BIRCHWOOD COTTAGE

STEELE

510

BRIDGES MN

BENTON

35

BIRCHWOOD COTTAGE

STEELE

510

BRIDGEWATER AT HANOVER LLC

HENNEPIN

213

BIRCHWOOD COTTAGES

NICOLLET

357

BRIDGEWATER AT HANOVER LLC

HENNEPIN

213

BIRCHWOOD COTTAGES

STEELE

510

BRIDGEWATER AT JANESVILLE LLC

WASECA

524

BIRCHWOOD COTTAGES

STEELE

510

BRIDGEWATER AT JANESVILLE LLC

WASECA

524

BIRCHWOOD COTTAGES

STEELE

510

BRIDGEWATER AT MANKATO

BLUE EARTH

40

BIRCHWOOD COTTAGES

NICOLLET

357

BRIDGEWATER AT MANKATO II

BLUE EARTH

40

BIRCHWOOD HEALTH CARE CENTER

WASHINGTON

528

BRIDGEWATER AT OWATONNA

STEELE

510

BIRCHWOOD HOUSE

MCLEOD

339

BRIDGEWATER AT OWATONNA LLC

STEELE

510

BLAINE ORTHOPEDIC SURGERY CTR

ANOKA

7

BRIDGEWAY ESTATES

MORRISON

348

BLAINE WHITE PINE

ANOKA

8

BRIDGEWAY ESTATES

MORRISON

347

BLAINE WHITE PINE

ANOKA

8

BRIDGEWELL ASSISTED LIVING

DOUGLAS

125

BLAINE WHITE PINE II

ANOKA

8

BRIDGEWOOD

CARVER

56

BLAINE WPII LLC

ANOKA

8

BRIGHT LIVING LLC

HENNEPIN

170

BLC OF MORA

KANABEC

311

BRIGHT LIVING LLC

HENNEPIN

169

BLOMGREN HOUSE

RICE

453

BRIGHT PATH HOMES

HENNEPIN

291

BLOOMINGTON DIALYSIS UNIT TRC

HENNEPIN

141

BRIGHT PATH HOMES LLC

HENNEPIN

155

BLUE DIAMOND MANAGEMENT LLC

WASHINGTON

528

BRIGHT PATH HOMES LLC

HENNEPIN

291

BLUE MOON CENTER LLC

RAMSEY

421

BRIGHTCARE SERVICES INC

HENNEPIN

228

BOBBY'S HOUSE

HENNEPIN

169

BRIGHTON HOSPICE

HENNEPIN

291

BOSTROM TERRACE

OLMSTED

365

BRIGHTSTAR CARE OF PLYMOUTH

HENNEPIN

277

BOULDER CREEK

LYON

332

BRIGHTSTAR CARE OF ST. PAUL

RAMSEY

396

BOULDER ESTATES

LYON

332

BRIGHTSTAR OF ST CROIX VALLEY

WASHINGTON

530

BOUNDARY CREEK TERRACE

HENNEPIN

217

BRIGHTSTAR SERVICES LLC

RAMSEY

421

BOUNDARY WATERS CARE CENTER

SAINT LOUIS

476

BRIOVARX INFUSION SERVICES INC

RAMSEY

409

BOUTWELLS LANDING

WASHINGTON

532

BROADWAY ASSISTED LIVING

FREEBORN

131

BOUTWELLS LANDING

WASHINGTON

532

BROADWAY ASSISTED LIVING

FREEBORN

131

BRAINERD CAREFREE LIVING LLC

CROW WING

79

BROOKDALE EAGAN

DAKOTA

97

BRAINERD LAKES SURGERY CTR

CROW WING

77

BROOKDALE EAGAN

DAKOTA

96

BRANDON'S ASSISTED LIVING

DOUGLAS

124

BROOKDALE EDEN PRAIRIE

HENNEPIN

196

BRANDON'S ASSISTED LIVING

DOUGLAS

124

BROOKDALE EDEN PRAIRIE

HENNEPIN

197

BRASK HAVEN INC

CHISAGO

67

BROOKDALE EDINA

HENNEPIN

201

8

Minnesota Department of Health

Health Regulation Division

Index For Directory of Facilities and Services Index Page

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

BROOKDALE EDINA

HENNEPIN

202

BUFFALO HOSPITAL

WRIGHT

550

BROOKDALE FARIBAULT

RICE

453

BUFFALO LAKE HEALTHCARE CTR

RENVILLE

450

BROOKDALE FARIBAULT

RICE

457

BUHL CAREFREE LIVING LLC

SAINT LOUIS

465

BROOKDALE HOME HLTH MINNESOTA

HENNEPIN

201

BURNSVILLE CAREFREE LIVING

DAKOTA

90

BROOKDALE HOSPICE MINNESOTA

HENNEPIN

142

BURNSVILLE DIALYSIS UNIT

DAKOTA

89

BROOKDALE INVER GROVE HEIGHTS

DAKOTA

105

BURNSVILLE SURGERY CENTER PA

DAKOTA

90

BROOKDALE INVER GROVE HEIGHTS

DAKOTA

107

BUTTERFLY BOUND CARE

HENNEPIN

155

BROOKDALE MANKATO

BLUE EARTH

44

BUTTERFLY BOUND CARE

HENNEPIN

155

BROOKDALE MANKATO

BLUE EARTH

40

BUTTERFLY BOUND CARE

HENNEPIN

155

BROOKDALE NORTH OAKS

RAMSEY

406

BUTTERFLY BOUND CARE

HENNEPIN

155

BROOKDALE NORTH OAKS

RAMSEY

406

BYWOOD EAST HEALTH CARE

HENNEPIN

229

BROOKDALE PLYMOUTH

HENNEPIN

277

C C S INC RIDGEWOOD

NOBLES

360

BROOKDALE PLYMOUTH

HENNEPIN

277

C MED HOMES INC SRV CORP

DAKOTA

85

BROOKDALE WEST ST. PAUL

DAKOTA

116

CA LIVING LLC

HENNEPIN

229

BROOKDALE WEST ST. PAUL

DAKOTA

118

CALEDONIA CARE AGENCY

HOUSTON

298

BROOKDALE WEST ST. PAUL

DAKOTA

116

CALEDONIA REHAB & RETIREMENT

HOUSTON

298

BROOKDALE WEST ST. PAUL

DAKOTA

116

CALEDONIA REHAB & RETIREMENT

HOUSTON

298

BROOKDALE WILLMAR

KANDIYOHI

315

CALEY HOUSE

MILLE LACS

346

BROOKDALE WILLMAR

KANDIYOHI

319

CALEY HOUSE ASSISTED LIVING

MILLE LACS

346

BROOKDALE WINONA

WINONA

548

CALLISTA COURT

WINONA

547

BROOKDALE WINONA

WINONA

546

CALLISTA COURT

WINONA

546

BROOKE MANOR INC

SAINT LOUIS

464

CALM HOME HEALTH CARE LLC

ANOKA

16

BROOKE MANOR INC

SAINT LOUIS

465

CAMBRIDGE MEDICAL CENTER

ISANTI

301

BROOKLYN PARK ASSISTED LIVING

HENNEPIN

229

CAMILIA ROSE CARE CENTER LLC

ANOKA

16

BROOKLYN PARK ASSISTED LIVING

HENNEPIN

229

CAMILIA ROSE GROUP HOME

ANOKA

16

BROOKLYN PARK ASSISTED LIVING

HENNEPIN

229

CANNON RIVERS SENIOR LIVING

GOODHUE

134

BROOKLYN PARK ASSISTED LIVING

HENNEPIN

229

CANNON VALLEY SUITES

RICE

457

BROOKRIDGE

WRIGHT

551

CAPERNAUM PEDIATRIC THERAPY

HENNEPIN

201

BROOKRIDGE

WRIGHT

551

CAPERNAUM PEDIATRIC THERAPY IN

HENNEPIN

283

BROOKSIDE COMFORT CARE

CASS

62

CAPITAL HOME HEALTH CARE LLC

HENNEPIN

170

BROOKSIDE SENIOR LIVING

CHIPPEWA

64

CAPITAL HOME HEALTH CARE LLC

HENNEPIN

229

BROOKSTONE MANOR INC

ITASCA

306

CAPITOL VIEW TRANSITIONAL CARE

RAMSEY

421

BROOKSTONE MANOR INC

ITASCA

307

CARDENAS FRIENDSHIP HOME

CHISAGO

68

BROOKSTONE MANOR INC

ITASCA

305

CARDENAS FRIENDSHIP HOUSE

DAKOTA

90

BROOKVIEW A VILLA CENTER

HENNEPIN

208

CARDENAS FRIENDSHIP HOUSE

DAKOTA

97

BROOKVIEW COTTAGE

DAKOTA

96

CARDENAS FRIENDSHIP HOUSE

DAKOTA

90

BROOKVIEW COTTAGE INC

DAKOTA

89

CARDENAS FRIENDSHIP HOUSE

HENNEPIN

142

BROOKVIEW COTTAGE INC

DAKOTA

89

CARDIGAN RIDGE

RAMSEY

395

BROOTEN MEDICAL CENTER

STEARNS

498

CARE AGE COUNTRY HOME

HUBBARD

300

BROWN COUNTY EVAL CENTER INC

BROWN

46

CARE FERGUS FALLS

OTTER TAIL

375

BROWNS VALLEY CLINIC

TRAVERSE

518

CARE HOME CARE

RAMSEY

421

BROWNS VALLEY HEALTH CENTER

TRAVERSE

518

CARE IMPRESS LLC

RAMSEY

409

BRYANT AVE RESIDENCE

DAKOTA

114

CARE MINNESOTA LLC

DAKOTA

105

BRYANT HOUSE

HENNEPIN

221

CARE PARTNERS HOME CARE LLC

HENNEPIN

170

BRYANT HOUSE

HENNEPIN

221

CARE PARTNERS HOMECARE LLC

HENNEPIN

155

BRYANT SQUARE HOME HEALTH CARE

HENNEPIN

229

CARE PLANNERS HOME HEALTH CARE

RAMSEY

421

9

Minnesota Department of Health

Health Regulation Division

Index For Directory of Facilities and Services Index Page

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

CARE PLUS HHA INC

RAMSEY

421

CARINGEDGE HEALTHCARE OF HERMA

SAINT LOUIS

478

CARE PLUS HOME CARE

RAMSEY

421

CARINGEDGE HOSPICE HERMANTOWN

SAINT LOUIS

478

CARE PLUS HOME CARE LLC

HENNEPIN

170

CARINGHANDS LLC

HENNEPIN

208

CARE SERVICES LLC

HENNEPIN

229

CARLSON DRAKE HOUSE

HENNEPIN

142

CARE4LIFE HOME LLC

DAKOTA

90

CARLTON PLACE

CARLTON

50

CARE4LIFE HOME LLC

DAKOTA

90

CARLTON PLACE

CARLTON

50

CAREAPARENT

WASHINGTON

537

CARONDELET VILLAGE

RAMSEY

422

CAREBUILDERS AT HOME

HENNEPIN

197

CARONDELET VILLAGE

RAMSEY

422

CARECO APARTMENTS INC

DAKOTA

105

CARONDELET VILLAGE CARE CENTER

RAMSEY

422

CAREFOCUS CORPORATION

RAMSEY

421

CARRIAGE HOUSE SENIOR LIVING

LESUEUR

326

CAREFOCUS HEALTH INC

RAMSEY

421

CARRIAGE HOUSE SENIOR LIVING

LESUEUR

327

CAREFREE COTTAGE OF MAPLEWOOD

RAMSEY

396

CARRIS HEALTH

REDWOOD

448

CAREFREE HOME SERVICES INC

ANOKA

25

CARRIS HEALTH - REDWOOD LLC

REDWOOD

448

CAREGVR SUPT PRG KOREAN SRV CT

HENNEPIN

229

CARRIS HEALTH - REDWOOD LLC

REDWOOD

448

CARELINK SKILLED NURSING AND H

DAKOTA

108

CARRIS HEALTH - REDWOOD, LLC

REDWOOD

448

CAREMATE HOME HEALTH CARE INC

RAMSEY

421

CARRIS HEALTH LLC

KANDIYOHI

319

CAREMINDERS HOME CARE

HENNEPIN

142

CARRIS HEALTH LLC

KANDIYOHI

315

CAREPOINT HOME INC

RAMSEY

422

CARRIS HEALTH LLC

KANDIYOHI

315

CAREPOINT HOME INC

RAMSEY

409

CARRIS HEALTH REDWOOD LLC

REDWOOD

449

CARESERVICES LLC

ANOKA

8

CARRIS HEALTH SURGERY CENTER

KANDIYOHI

315

CARESTAY HOMES LLC

HENNEPIN

142

CARRIS HLTH CC THERAPY SUITES

KANDIYOHI

315

CAREVIEW HOME HEALTH LLC

HENNEPIN

155

CARVER RIDGE SENIOR LIVING

CARVER

55

CAREVIEW IDAHO HOME

HENNEPIN

170

CARVER RIDGE SENIOR LIVING

CARVER

55

CAREVIEW WINCHESTER HOME

HENNEPIN

156

CASS COUNTY PUBLIC HEALTH

CASS

63

CAREVIEW YATES HOME

HENNEPIN

192

CASS LAKE DIALYSIS FACILITY

CASS

60

CAREXTRA HOME HEALTH

HENNEPIN

230

CASS LAKE INDIAN HLTH SERV HOS

CASS

61

CAREXTRA HOME HEALTH LLC

HENNEPIN

201

CASTLE RIDGE CARE CENTER

HENNEPIN

197

CARING FRIENDS

HENNEPIN

142

CASTLE RIDGE MANOR HOUSE

HENNEPIN

197

CARING GROUP HOME LLC

HENNEPIN

214

CATHOLIC ELDERCARE AT HOME

HENNEPIN

230

CARING HANDS HOME CARE

WADENA

521

CATHOLIC ELDERCARE ON MAIN

HENNEPIN

230

CARING HEART HOME HEALTHCARE

RAMSEY

422

CATHOLIC ELDERCARE-MAIN ST LDG

HENNEPIN

230

CARING HEART HOME HEALTHCARE

RAMSEY

422

CC GROUP HOME CARE INC

ANOKA

12

CARING HEART HOME HEALTHCARE L

HENNEPIN

230

CCM HEALTH

CHIPPEWA

65

CARING HEARTS AT HOME LLC

WRIGHT

554

CCRM MINNEAPOLIS

HENNEPIN

201

CARING HEARTS HOME CARE INC

HENNEPIN

230

CEDAR COTTAGE

BELTRAMI

30

CARING HOME HEALTH INC

HENNEPIN

230

CEDAR COTTAGE

BELTRAMI

30

CARING HOME HEALTH INC

HENNEPIN

230

CEDAR COVE ASSISTED LIVING

STEARNS

502

CARING MEADOWS

HENNEPIN

170

CEDAR COVE ASSISTED LIVING

STEARNS

502

CARING MEADOWS II

HENNEPIN

170

CEDAR CREST OF SILVER LAKE

MCLEOD

341

CARING NURSES LLC

HENNEPIN

171

CEDAR CREST OF SILVER LAKE

MCLEOD

341

CARING NURSES LLC

HENNEPIN

170

CEDAR RIDGE

WASHINGTON

535

CARING NURSES LLC

HENNEPIN

170

CEDARS OF AUSTIN

MOWER

352

CARING NURSES LLC

HENNEPIN

170

CEDARS OF AUSTIN

MOWER

352

CARING ROSE HOMES LLC

RAMSEY

422

CENTENNIAL GARDENS

HENNEPIN

192

CARING SUITES OF ELBOW LAKE

GRANT

139

CENTENNIAL HOUSE APPLE VALLEY

DAKOTA

87

CARING4U PLLC

LINCOLN

329

CENTENNIAL HOUSE OF APPLE VALL

DAKOTA

85

Minnesota Department of Health

Health Regulation Division

Index For Directory of Facilities and Services Index Page 10

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

CENTENNIAL LAKES SURGERY CTR

HENNEPIN

201

CENTRAL MINNESOTA SENIOR CARE

KANDIYOHI

314

CENTENNIAL VILLA

WRIGHT

549

CENTRAL MINNESOTA SENIOR CARE

CROW WING

81

CENTENNIAL VILLA ASSISTED LIVI

WRIGHT

549

CENTRAL MINNESOTA SENIOR CARE

LYON

332

CENTENNIAL VILLA ASSTD LIVING

WRIGHT

549

CENTRAL MINNESOTA SENIOR CARE

SWIFT

515

CENTENNIAL VILLA MEMORY CARE

WRIGHT

549

CENTRAL MINNESOTA SENIOR CARE

SWIFT

515

CENTER CARE INC

HENNEPIN

230

CENTRAL MINNESOTA SENIOR CARE

POPE

394

CENTER CARE INC

HENNEPIN

230

CENTRAL MINNESOTA SENIOR CARE

KANDIYOHI

316

CENTER CITY HOUSING CORP GAGE

OLMSTED

365

CENTRAL MINNESOTA SENIOR CARE

KANDIYOHI

316

CENTER FOR DIAGNOSTIC IMAGING

WASHINGTON

537

CENTRAL MINNESOTA SENIOR CARE

KANDIYOHI

316

CENTER FOR DIAGNOSTIC IMAGING

HENNEPIN

291

CENTRAL MN SENIOR CARE

MORRISON

349

CENTER FOR PAIN MANAGEMENT

DOUGLAS

121

CENTRAL MN SENIOR CARE INC

KANDIYOHI

316

CENTER LIGHT CARE LLC

HENNEPIN

231

CENTRAL TODD CO CC APARTMENTS

TODD

516

CENTER LIGHT CARE LLC

HENNEPIN

231

CENTRAL TODD COUNTY CARE CENTE

TODD

516

CENTRA CARE KIDNEY PROGRAM

SHERBURNE

490

CENTRAL TODD COUNTY CARE CTR

TODD

516

CENTRACARE - MELROSE PARK VIEW

STEARNS

499

CENTRAL TOWERS

RAMSEY

422

CENTRACARE CAMBRIDGE DIALYSIS

ISANTI

301

CENTRAL TOWERS LIMITED PARTNER

RAMSEY

422

CENTRACARE CLINIC SAUK CENTRE

STEARNS

502

CENTREX REHAB

HENNEPIN

214

CENTRACARE HEALTH LONG PRAIRI

TODD

517

CENTREX REHAB II

OLMSTED

365

CENTRACARE HEALTH HOME CARE

STEARNS

504

CERENITY CARE CENTER WBL

RAMSEY

445

CENTRACARE HEALTH HOSPICE

STEARNS

504

CERENITY CARE CTR ON HUMBOLDT

RAMSEY

423

CENTRACARE HEALTH LONG PRAIRIE

TODD

517

CERENITY MARIAN ST. PAUL LLC

RAMSEY

422

CENTRACARE HEALTH MONTICELLO

WRIGHT

553

CERENITY RES MARIAN OF ST PAUL

RAMSEY

423

CENTRACARE HEALTH PAYNESVILLE

STEARNS

500

CERENITY RESIDENCE OF WBL

RAMSEY

445

CENTRACARE HEALTH SYS MELROSE

STEARNS

499

CERENITY RESIDENCE OF WHITE BE

RAMSEY

445

CENTRACARE HEALTH SYSTEM

STEARNS

502

CERENITY RESIDENCE ON HUMBOLDT

RAMSEY

423

CENTRACARE HEALTH SYSTEM

TODD

517

CERENITY RESIDENCE ON HUMBOLDT

RAMSEY

423

CENTRACARE HEALTH SYSTEM

TODD

517

CERENITY SENIOR CARE MARIAN

RAMSEY

423

CENTRACARE HLTH PAYNESVILLE CL

STEARNS

500

CERENITY SENIOR CARE MARIAN

RAMSEY

423

CENTRACARE HLTH RICHMOND CLINI

STEARNS

501

CHAMPIONS VILLAGE LLC

HENNEPIN

277

CENTRACARE HLTH-MELROSE CLINIC

STEARNS

499

CHAMPLIN SHORES

HENNEPIN

190

CENTRACARE KDNY PG LITCHFIELD

MEEKER

342

CHAMPLIN SHORES

HENNEPIN

189

CENTRACARE KDNY PGM LITTLE FAL

MORRISON

348

CHANDLER PLACE

RAMSEY

417

CENTRACARE KIDNEY OLIVIA

RENVILLE

451

CHANDLER PLACE HOME HEALTH CAR

RAMSEY

417

CENTRACARE KIDNEY PGM STAPLES

WADENA

522

CHAPPY'S GOLDEN SHORES

AITKIN

2

CENTRACARE KIDNEY PROGRAM

STEARNS

504

CHARITY CARE INC

HENNEPIN

171

CENTRACARE KIDNEY PROGRAM

CROW WING

79

CHARITY CARE INC

HENNEPIN

171

CENTRACARE KIDNEY PROGRAM

MILLE LACS

347

CHARTER HOUSE

OLMSTED

365

CENTRACARE KIDNEY PROGRAM

DOUGLAS

121

CHARTER HOUSE INC

OLMSTED

365

CENTRACARE MELROSE PARK VIEW

STEARNS

499

CHARTERHOUSE INC

OLMSTED

365

CENTRACARE SURGERY CTR LLC

STEARNS

504

CHASE COURAGEOUS HEALTH SVC

HENNEPIN

171

CENTRACARE- LP MEADOW PLACE

TODD

517

CHASE COURAGEOUS HLTH SERVICES

HENNEPIN

271

CENTRAL AVENUE DIALYSIS

ANOKA

8

CHASKA HEIGHTS

CARVER

56

CENTRAL HEALTH CARE

LESUEUR

327

CHASKA HEIGHTS SENIOR LIVING

CARVER

56

CENTRAL MINNESOTA CARE

KANDIYOHI

315

CHATEAU WATERS

STEARNS

501

CENTRAL MINNESOTA REG DIALYSIS

SHERBURNE

492

CHECK ON MY FAMILY

CHISAGO

68

CENTRAL MINNESOTA SENIOR CARE

KANDIYOHI

313

CHEPSTON HOME HEALTHCARE LLC

HENNEPIN

171

Minnesota Department of Health

Health Regulation Division

Index For Directory of Facilities and Services Index Page 11

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

CHEPSTON HOME HEALTHCARE LLC

HENNEPIN

171

CHRIS JENSEN HLTH & REHAB CTR

SAINT LOUIS

467

CHERIE AUGSPURGER LLC

HENNEPIN

231

CHRISTIAN HOMES

WASHINGTON

531

CHERISHED HOME MANAGEMENT

SAINT LOUIS

479

CHRISTIAN SERVANTS HOME CARE

HENNEPIN

291

CHERRYWOOD 3315

STEARNS

504

CHRISTINE METCALF

STEARNS

505

CHERRYWOOD 3325

STEARNS

504

CHU SURGERY CENTER LLC

HENNEPIN

142

CHERRYWOOD ADVANCED LIVING

BENTON

35

CIMARRON

DAKOTA

113

CHERRYWOOD OF ANDOVER 1889

ANOKA

2

CINDY'S PLACE LLC

SHERBURNE

492

CHERRYWOOD OF ANDOVER 1899

ANOKA

2

CIRCLE DRIVE MANOR ASST LIVING

DODGE

120

CHERRYWOOD OF BIG LAKE 171

SHERBURNE

491

CIRCLE DRIVE MANOR ASST LIVING

DODGE

120

CHERRYWOOD OF BIG LAKE 177

SHERBURNE

491

CIRCLE OF LIFE HC ANISHINAABE

HENNEPIN

231

CHERRYWOOD OF RICHMOND

STEARNS

501

CK HOME HEALTH CARE INC

OTTER TAIL

375

CHERRYWOOD OF RICHMOND

STEARNS

501

CLADDAGH SENIOR LIVING

HOUSTON

298

CHERRYWOOD OF ST. CLOUD 1030

STEARNS

504

CLADDAGH SENIOR LVG CALEDONIA

HOUSTON

298

CHERRYWOOD OF ST. CLOUD1036

STEARNS

504

CLARA CITY ASSISTED LIVING

CHIPPEWA

64

CHERRYWOOD POINTE AT LEXINGTON

RAMSEY

409

CLARA CITY ASSISTED LIVING

CHIPPEWA

64

CHERRYWOOD POINTE FOREST LAKE

WASHINGTON

528

CLARA CITY CARE CENTER

CHIPPEWA

64

CHERRYWOOD POINTE MINNETONKA

HENNEPIN

265

CLARE APARTMENTS

HENNEPIN

231

CHERRYWOOD POINTE OF PLYMOUTH

HENNEPIN

277

CLARE HOUSING

HENNEPIN

231

CHERRYWOOD POINTE OF ROSEVILLE

RAMSEY

409

CLARE MIDTOWN

HENNEPIN

231

CHESTNUT GROVE EAST

SAINT LOUIS

483

CLARK CROSSINGS OF WELLS

FARIBAULT

126

CHESTNUT GROVE NORTH

SAINT LOUIS

483

CLARKFIELD CARE CENTER

YELLOW MEDICINE

555

CHEV'S PLACE LLC

HENNEPIN

288

CLARKFIELD HOME HEALTH AGENCY

YELLOW MEDICINE

555

CHEZ VOUS HOME CARE LLC

HENNEPIN

217

CLARKFIELD HRA

YELLOW MEDICINE

555

CHEZ VOUS HOME CARE LLC

HENNEPIN

208

CLAY COUNTY RECEIVING CENTER

CLAY

71

CHEZ VOUS HOME CARE LLC

HENNEPIN

283

CLEARWATER COUNTY NSG SERVICE

CLEARWATER

74

CHI HEALTH AT HOME

WILKIN

544

CLEARWATER HOSPICE

CLEARWATER

74

CHI HEALTH AT HOME

MORRISON

348

CLINIQUE HEALTH CARE SERVICES

HENNEPIN

171

CHI HEALTH AT HOME

MORRISON

348

CLINIQUE HEALTH CARE SERVICES

HENNEPIN

192

CHI HEALTH AT HOME

WILKIN

544

CLINTON CARE CENTER

BIG STONE

37

CHICOS BOARD & LODGE LLC

DODGE

119

CLINTON CARE CENTER

BIG STONE

37

CHICOS BOARD & LODGE LLC

DODGE

120

COCHRAN RECOVERY SERVICES INC

DAKOTA

103

CHIKA'S HOUSE

HENNEPIN

189

COKATO MANOR

WRIGHT

551

CHILD & ADOLESCENT BEHAV HLTH

KANDIYOHI

316

COKATO MANOR HOME HEALTH

WRIGHT

552

CHILDRENS HEALTH CARE SERVICES

HENNEPIN

265

COLLEEN'S CARING HANDS

BELTRAMI

30

CHILDRENS HOME CARE & HOSPICE

HENNEPIN

231

COLLEEN'S CARING HANDS

BELTRAMI

30

CHILDRENS HOME CARE & HOSPICE

HENNEPIN

231

COLONIAL MANOR NURSING HOME

JACKSON

311

CHILDRENS HOSP & CLINICS MPLS

HENNEPIN

231

COLONIAL TERRACE

TODD

516

CHINESE SOCIAL SERVICE CENTER

ANOKA

12

COLONY COURT

WASECA

524

CHIPPEWA COUNTY MONTEVIDEO HHC

CHIPPEWA

65

COLONY COURT

WASECA

524

CHOICE CARE HOMES LLC

RAMSEY

423

COLONY COURT MEMORY CARE

WASECA

524

CHOICES BY DESIGN LLC

HENNEPIN

217

COLORADO HOUSE

HENNEPIN

171

CHOICES BY DESIGN LLC 83RD PL

HENNEPIN

188

COLUMBIA VILLAGE

ANOKA

12

CHOSEN VALLEY APARTMENTS

FILLMORE

127

COMFORCARE HOME CARE ST PAUL E

WASHINGTON

533

CHOSEN VALLEY ASSISTED LIVING

FILLMORE

128

COMFORCARE HOME CARE ST. PAUL

RAMSEY

423

CHOSEN VALLEY ASSISTED LIVING

FILLMORE

128

COMFORT CARE ANGELS LLC

CLAY

71

CHOSEN VALLEY CARE CENTER

FILLMORE

128

COMFORT CARE ASSISTED LIVING

HENNEPIN

232

Minnesota Department of Health

Health Regulation Division

Index For Directory of Facilities and Services Index Page 12

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

COMFORT CARE ASSISTED LIVING L

HENNEPIN

232

COMMUNITY ASSISTED LIVING INC

SCOTT

486

COMFORT CARE CENTER LLC

HENNEPIN

214

COMMUNITY ASSISTED LIVING INC

SCOTT

489

COMFORT CARE CENTER LLC

HENNEPIN

232

COMMUNITY ASSISTED LIVING INC

DAKOTA

85

COMFORT CARE COTTAGES

WADENA

523

COMMUNITY ASSISTED LIVING INC

SCOTT

489

COMFORT CARE COTTAGES

WADENA

523

COMMUNITY BEHAVIORAL HLTH HOSP

CROW WING

77

COMFORT CARE GROUP LLC

ANOKA

16

COMMUNITY BOARDING CARE LLC

HENNEPIN

232

COMFORT CARE GROUP LLC

ANOKA

16

COMMUNITY BOARDING CARE LLC

HENNEPIN

232

COMFORT CARE HOMES

HENNEPIN

232

COMMUNITY HOME HEALTH INC

SCOTT

486

COMFORT CARE HOMES

HENNEPIN

232

COMMUNITY INVOLVEMENT PROG HHS

HENNEPIN

232

COMFORT CARE HOMES LLC

HENNEPIN

232

COMMUNITY LIVING OPTIONS INC

WASHINGTON

537

COMFORT CARE NURSING SERVICES

HENNEPIN

192

COMMUNITY LIVING OPTIONS STRAT

WASHINGTON

537

COMFORT GROUP HOME INC

ANOKA

12

COMMUNITY MEMORIAL HOSPITAL

CARLTON

52

COMFORT GROUP HOMES INC

ANOKA

12

COMPASSION HOME HEALTH CARE LL

RAMSEY

424

COMFORT HEALTH

OLMSTED

366

COMPASSIONATE CARE HOSPICE

NOBLES

360

COMFORT HEALTH

OLMSTED

365

COMPASSIONATE CARE INC

KANDIYOHI

316

COMFORT HOSPICE LLC

HENNEPIN

197

COMPASSIONATE COTTAGE II

KANDIYOHI

316

COMFORT KEEPERS

WISCONSIN

559

COMPASSIONATE COTTAGE II

KANDIYOHI

316

COMFORT KEEPERS

HENNEPIN

276

COMPASSIONATE COTTAGE LLC

KANDIYOHI

317

COMFORT KEEPERS

HENNEPIN

276

COMPASSIONATE COTTAGE LLC

KANDIYOHI

317

COMFORT KEEPERS

RAMSEY

423

COMPASSIONATE HEARTS LLC

DAKOTA

97

COMFORT KEEPERS

WISCONSIN

559

COMPASSIONATE HEARTS LLC

DAKOTA

97

COMFORT KEEPERS

ANOKA

4

COMPASSIONATE HOME CARE

SHERBURNE

494

COMFORT KEEPERS

DAKOTA

105

COMPASSIONATE HOMECARE NURSING

HENNEPIN

171

COMFORT KEEPERS

ANOKA

4

COMPASSIONATE LUCYS SENIOR HOM

ANOKA

24

COMFORT KEEPERS

STEARNS

507

COMPASSIONATE NURSES NETWORK

HENNEPIN

232

COMFORT KEEPERS #860

DAKOTA

104

COMPASSIONATE NURSES NETWORK L

HENNEPIN

233

COMFORT KEEPERS / HEALTHY AT H

NORTH DAKOTA

557

COMPASSIONCARE

HENNEPIN

208

COMFORT LIVING INC

ANOKA

12

COMPREHENSIVE HEALTHCARE SERVI

ANOKA

24

COMFORT RESIDENCE BLAINE

ANOKA

8

CONGREGATE HOUSING SERVS PROG

RAMSEY

424

COMFORT RESIDENCE LESUEUR

LESUEUR

327

COOK CAREFREE LIVING INC

SAINT LOUIS

466

COMFORT RESIDENCE SLP

HENNEPIN

292

COOK HOSPITAL

SAINT LOUIS

466

COMFORTING ANGELS

CLAY

70

COON RAPIDS DIALYSIS UNIT

ANOKA

16

COMM ADDICTION RECOVERY ENTERP

NICOLLET

358

COPPER GLEN

CHIPPEWA

65

COMM BEHAV HLTH HOSP BEMIDJI

BELTRAMI

30

COPPER GLEN

CHIPPEWA

65

COMM BEHAV HLTH HOSP ROCHESTER

OLMSTED

366

COPPERFIELD HILL - THE MANOR

HENNEPIN

287

COMM BEHAV HOSP FERGUS FALLS

OTTER TAIL

375

COPPERFIELD HILL THE LODGE

HENNEPIN

287

COMM BEHAVIORAL HEALTH HOSP

DOUGLAS

121

COPPERLEAF SENIOR LIVING

KANDIYOHI

317

COMM BEHAVORIAL HLTH HOSPITAL

WRIGHT

549

CORAM CVS/SPECIALTY INFUSION

DAKOTA

111

COMM LIVING OPTIONS HALPER WAY

RAMSEY

445

CORNELIA COTTAGES NEW RICHLAND

WASECA

524

COMM OPTIONS AND RESOURCES I

MARTIN

337

CORNELIA HOUSE

RAMSEY

424

COMMON GRND RECOVERY HSG INC

WINONA

547

CORNERSTONE ASSISTED LIVING

HENNEPIN

277

COMMUNITIES OF CARE

RAMSEY

409

CORNERSTONE ASSISTED LIVING OF

HENNEPIN

277

COMMUNITY ADDICTION RECOVERY

CARLTON

50

CORNERSTONE CARE

MEEKER

343

COMMUNITY ADDICTION WILLMAR

KANDIYOHI

316

CORNERSTONE CARE LLC

MEEKER

343

COMMUNITY ASSISTED LIVING INC

DAKOTA

101

CORNERSTONE NSG & REHAB CENTER

CLEARWATER

74

COMMUNITY ASSISTED LIVING INC

DAKOTA

85

CORNERSTONE RESIDENCE

POLK

391

Minnesota Department of Health

Health Regulation Division

Index For Directory of Facilities and Services Index Page 13

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

CORNERSTONE RESIDENCE

CLEARWATER

74

CREEKSIDE COTTAGE ASST LIVING

ANOKA

16

CORNERSTONE RESIDENCE

POLK

391

CREEKSIDE VILLAS

ANOKA

16

CORNERSTONE RESIDENCE

CLEARWATER

74

CRESCENT COVE

HENNEPIN

156

CORNERSTONE RESIDENCE KELLIHER

BELTRAMI

33

CRESCENT COVE

HENNEPIN

292

CORNERSTONE RESIDENCE OF BAGLE

CLEARWATER

74

CREST VIEW HOME CARE

ANOKA

12

CORNERSTONE RESIDENCE OF KELLI

BELTRAMI

33

CREST VIEW HOME HEALTH CARE

ANOKA

12

CORNERSTONE RESIDENCE SENIOR C

CLEARWATER

75

CREST VIEW LUTHERAN HOME

ANOKA

12

CORNERSTONE VILLA

SAINT LOUIS

465

CREST VIEW ON 42ND

ANOKA

12

CORNERSTONE VILLA

SAINT LOUIS

465

CREST VIEW SENIOR COMMUNITY

ANOKA

8

COSMO HOME HEALTHCARE SERVICES

HENNEPIN

233

CREST VIEW VILLA

DODGE

119

COTEAU DES PRAIRIES HOSPITAL H

TRAVERSE

518

CRESTWOOD

CARVER

56

COTTAGE GROVE DIALYSIS

WASHINGTON

526

CRMC LONGVILLE

CASS

61

COTTAGE GROVE WHITE PINE

WASHINGTON

526

CROIXDALE

WASHINGTON

525

COTTAGE GROVE WHITE PINE

WASHINGTON

526

CROIXDALE

WASHINGTON

525

COTTAGE GROVE WHITE PINE II

WASHINGTON

526

CROOKSTON HOUSING & EDA

POLK

389

COTTAGE GROVE WP II LLC

WASHINGTON

526

CROSSROADS APARTMENTS

POLK

390

COTTAGE ON FOREST

RICE

457

CROSSROADS CARE CENTER

NOBLES

361

COTTAGEWOOD SENIOR COMM I

OLMSTED

366

CROSSROADS SURGERY CENTER

RICE

453

COTTAGEWOOD SENIOR COMM IX

OLMSTED

366

CROSSTOWN SURGERY CENTER LLC

HENNEPIN

201

COTTAGEWOOD SENIOR COMM V

OLMSTED

366

CRYSTAL BROOK SENIOR LIVING

HUBBARD

300

COTTAGEWOOD SENIOR COMM VI

OLMSTED

366

CRYSTAL SEASONS ALF LLC

BLUE EARTH

39

COTTAGEWOOD SENIOR COMM VII

OLMSTED

366

CRYSTAL SEASONS LIVING CENTER

BLUE EARTH

39

COTTAGEWOOD SENIOR COMM VIII

OLMSTED

367

CSL ROSE ARBOR

HENNEPIN

221

COTTAGEWOOD SENIOR COMM II

OLMSTED

366

CTRL MN RECEIVING AND REFERRAL

STEARNS

504

COTTAGEWOOD SENIOR COMM III

OLMSTED

366

CURE HOME HEALTH INC

HENNEPIN

233

COTTAGEWOOD SENIOR COMM IV

OLMSTED

366

CURE HOME HEALTH INC

HENNEPIN

233

COTTAGEWOOD SENIOR COMMUNITIES

BLUE EARTH

41

CUSTOMCARE HOME HEALTH CARE LL

HENNEPIN

201

COTTAGEWOOD SR COM ROCHESTER

OLMSTED

367

CUSTOMIZE LIVING LLC

ANOKA

8

COUNTRY COURT

RICE

453

CUSTOMIZE LIVING LLC

HENNEPIN

233

COUNTRY LIVING MANAGEMENT COMP

KANDIYOHI

314

CUYUNA REG MED CTR PALLIATIVE

CROW WING

82

COUNTRY MANOR EXTENDED SERVICE

BENTON

34

CUYUNA REGIONAL MEDICAL CENTER

CROW WING

82

COUNTRY MANOR EXTENDED SERVICE

BENTON

34

CYPRESS MANOR

ANOKA

2

COUNTRY MANOR HLTH & REHAB CTR

BENTON

34

D & D'S CARING HEARTS

BELTRAMI

30

COUNTRY MANOR SENIOR APTS

BENTON

34

D & D'S CARING HEARTS

BELTRAMI

31

COUNTRY MEADOWS OF MILACA

MILLE LACS

345

DAMACARE HEALTH SERVICES LLC

SCOTT

489

COUNTRY MEADOWS OF MILACA INC

MILLE LACS

345

DANEBOD VILLAGE

LINCOLN

330

COUNTRY VIEW SENIOR LIVING

REDWOOD

450

DANEBOD VILLAGE HOME

LINCOLN

330

COUNTRYSIDE CATERED SENIOR LIV

STEELE

510

DANIEL CARE HOMES LLC

WRIGHT

553

COUNTRYSIDE CATERED SENIOR LVG

STEELE

511

DARTS

DAKOTA

115

COUNTRYSIDE RETIREMENT COMM

BROWN

48

DASSEL MEDICAL CENTER

MEEKER

342

COURAGE KENNY REHAB INST TRP

HENNEPIN

208

DAWN'S ELDER CARE

RICE

453

COVENANT LIVING OF GV ASST LVG

HENNEPIN

208

DAWSON CLINIC

LAC QUI PARLE

323

COVENANT LVG CARE & REHAB CTR

HENNEPIN

208

DAWSON ICF MR

LAC QUI PARLE

323

COVENANT LVG OF GV ASST LVG

HENNEPIN

213

DEBRA L HADDEN

ISANTI

301

CRAWFORD SENIOR CARE

RAMSEY

424

DECKER'S FAMILY CARE INC

KOOCHICHING

323

CREEKRIDGE CONCIERGE

SCOTT

487

DECKER'S FAMILY CARE INC

KOOCHICHING

323

Minnesota Department of Health

Health Regulation Division

Index For Directory of Facilities and Services Index Page 14

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

DEEPHAVEN WOODS

HENNEPIN

195

DIAMOND WILLOW OF PROCTOR 5

SAINT LOUIS

482

DEER CREST

GOODHUE

136

DIAMOND WILLOW PARK RAPIDS 1

HUBBARD

300

DEER RIVER HEALTH CARE CENTER

ITASCA

305

DIAMOND WILLOW PARK RAPIDS 2

HUBBARD

300

DEER RIVER HOME CARE

ITASCA

305

DIAMOND'S HOME CARE SERVICES

DAKOTA

90

DELIGHT HOME HEALTHCARE LLC

HENNEPIN

171

DIAMONDCREST SENIOR LIVING

HENNEPIN

288

DELIGHT HOME HEALTHCARE LLC

HENNEPIN

152

DIAMONDS HOME HEALTH CARE INC

HENNEPIN

233

DELIGHT HOME HEALTHCARE LLC

HENNEPIN

172

DIGNIFIED CHOICE CARE

DAKOTA

90

DELIGHT HOME HEALTHCARE LLC

HENNEPIN

172

DIGNITY AND GRACE

CASS

60

DELIGHT HOME HEALTHCARE LLC

HENNEPIN

172

DIGNITY AND GRACE

CASS

60

DELLWOOD GARDENS

RAMSEY

424

DIGNITY HEALTHCARE SERVICES

ANOKA

4

DELLWOOD GARDENS

RAMSEY

424

DIGNITY HEALTHCARE SERVICES

ANOKA

4

DELPHI

SCOTT

489

DIGNITY HOME CARE LLC

ANOKA

21

DEMAR ASSOCIATES INC

ANOKA

17

DIGNITY HOME CARE LLC

HENNEPIN

143

DERMAN SENIOR CARE

RAMSEY

424

DIS-GENERATION GROUP INC

HENNEPIN

192

DESNOL HEALTHCARE SERVICES

HENNEPIN

172

DIS-GENERATION GROUP INC

HENNEPIN

172

DESNOL HEALTHCARE SERVICES LLC

HENNEPIN

172

DIS-GENERATION GROUP INC

HENNEPIN

172

DESTINY HOME

HENNEPIN

172

DISTRICT ONE HOSPITAL

RICE

454

DESTINY HOME CARE SERVICES

HENNEPIN

143

DIVERSITY HOME HEALTH GRP LLC

OLMSTED

367

DESTINY HOME CARE SERVICES

HENNEPIN

143

DIVERSITY UNION GROUP HOME LLC

ANOKA

13

DESTINY HOME CARE SERVICES

HENNEPIN

143

DIVERSITY UNION GROUP HOME LLC

ANOKA

13

DESTINY HOME CARE SERVICES INC

HENNEPIN

143

DIVINE CARE LLC

DAKOTA

108

DESTINY HOME CARE SERVICES INC

HENNEPIN

143

DIVINE CARE LLC

DAKOTA

90

DESTINY HOME CARE SERVICES INC

HENNEPIN

143

DIVINE CARE LLC

DAKOTA

86

DESTINY HOME CARE SERVICES INC

HENNEPIN

143

DIVINE HEALING HOME CARE LLC

HENNEPIN

156

DFC - PAPERMAKER'S PLACE

KOOCHICHING

321

DIVINE HEALING HOME CARE LLC

HENNEPIN

217

DIALYSIS AT MANKATO CLINIC

BLUE EARTH

40

DIVINE HEALTH HOME CARE LLC

HENNEPIN

172

DIAMOND WILLOW ALEXANDRIA 1

DOUGLAS

121

DIVINE HEALTHCARE NETWORK

RAMSEY

424

DIAMOND WILLOW ALEXANDRIA 2

DOUGLAS

121

DIVINE HOME CARE INC

KANDIYOHI

317

DIAMOND WILLOW BAXTER 1

CROW WING

78

DIVINE HOME CARE INC

KANDIYOHI

317

DIAMOND WILLOW BAXTER 2

CROW WING

78

DIVINE HOME CARE SERVICES LLC

HENNEPIN

156

DIAMOND WILLOW CLOQUET 1

CARLTON

51

DIVINE HOSPICE CARE

KANDIYOHI

317

DIAMOND WILLOW CLOQUET 2

CARLTON

51

DIVINE HOUSE INC

KANDIYOHI

317

DIAMOND WILLOW DETROIT LAKES 1

BECKER

26

DIVINE HOUSE INC

KANDIYOHI

317

DIAMOND WILLOW DETROIT LAKES 2

BECKER

26

DIVINE HOUSE INCVALLEY

KANDIYOHI

317

DIAMOND WILLOW GRAND RAPIDS 1

ITASCA

306

DIVINE NURTURING HOMECARE SERV

HENNEPIN

217

DIAMOND WILLOW GRAND RAPIDS 2

ITASCA

306

DIVINE PROVIDENCE COMMUNITY HM

BROWN

49

DIAMOND WILLOW LESTER PARK 1

SAINT LOUIS

468

DIVINE PROVIDENCE HEALTH CENTR

LINCOLN

329

DIAMOND WILLOW LESTER PARK 2

SAINT LOUIS

468

DOMAN ROSE PLACE

JACKSON

311

DIAMOND WILLOW LITTLE FALLS 1

MORRISON

348

DOMAN ROSE PLACE

JACKSON

311

DIAMOND WILLOW LITTLE FALLS 2

MORRISON

348

DOMINION CARES HOME HEALTH

MCLEOD

338

DIAMOND WILLOW MOUNTAIN IRON 1

SAINT LOUIS

481

DOMINION HEALTH CARE SERVICES

HENNEPIN

172

DIAMOND WILLOW MOUNTAIN IRON 2

SAINT LOUIS

481

DOMINION HEALTHCARE SERVICES

HENNEPIN

156

DIAMOND WILLOW OF PROCTOR 1

SAINT LOUIS

482

DONOVAN FRANK DETOX CENTER

SAINT LOUIS

483

DIAMOND WILLOW OF PROCTOR 2

SAINT LOUIS

482

DOODI'S BEST CARE

HENNEPIN

233

DIAMOND WILLOW OF PROCTOR 3

SAINT LOUIS

482

DOODI'S BEST CARE INC

HENNEPIN

233

DIAMOND WILLOW OF PROCTOR 4

SAINT LOUIS

482

DOSWELL HOME

RAMSEY

424

Minnesota Department of Health

Health Regulation Division

Index For Directory of Facilities and Services Index Page 15

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

DOUGLAS HOME

HENNEPIN

173

ECUMEN DET LKS THE COTTAGE

BECKER

26

DR THOMAS H JOHNSON HWS

HENNEPIN

234

ECUMEN DETROIT LKS THE MADISON

BECKER

27

DR THOMAS H JOHNSON HWS

HENNEPIN

233

ECUMEN DULUTH THE SHORES

SAINT LOUIS

468

DR THOMAS H JOHNSON HWS

HENNEPIN

234

ECUMEN DULUTH THE SHORES

SAINT LOUIS

468

DR THOMAS H JOHNSON HWS

HENNEPIN

234

ECUMEN HC & HOSPICE LITCHFIELD

MEEKER

343

DR THOMAS H JOHNSON HWS

HENNEPIN

233

ECUMEN HOME CARE - DETROIT LAK

BECKER

27

DRCC AURORA

SAINT LOUIS

464

ECUMEN HOME CARE LAKESHORE

SAINT LOUIS

468

DULUTH SURGICAL SUITES LLC

SAINT LOUIS

468

ECUMEN HOME CARE PATHSTONE

BLUE EARTH

40

DUNGARVIN BALBRIGGEN

RAMSEY

424

ECUMEN HOSPICE

WASHINGTON

533

DUNGARVIN CAMARA

RAMSEY

415

ECUMEN HUTCHINSON THE OAKS

MCLEOD

339

DUNGARVIN CHAI

HENNEPIN

277

ECUMEN HUTCHINSON THE OAKS

MCLEOD

339

DUNGARVIN TIKVAH

RAMSEY

425

ECUMEN HUTCHINSON THE PINES

MCLEOD

339

DUNGARVIN YOUGAL

HENNEPIN

217

ECUMEN LAKESHORE

SAINT LOUIS

468

DYNAMIC HEALTHCARE LLC

RAMSEY

409

ECUMEN LAKEVIEW COMMONS

RAMSEY

397

DYNAMIC HEALTHCARE LLC

RAMSEY

409

ECUMEN LAKEVIEW COMMONS

RAMSEY

401

E B I INCORPORATED

SAINT LOUIS

468

ECUMEN NORTH BRANCH

CHISAGO

67

EAGAN DIALYSIS UNIT

DAKOTA

97

ECUMEN NORTH BRANCH

CHISAGO

67

EAGAN ORTHOPEDIC SURGERY CTR

DAKOTA

97

ECUMEN NORTH BRANCH

CHISAGO

67

EAGAN POINTE SENIOR LIVING

DAKOTA

97

ECUMEN OF LITCHFIELD SR HOUS

MEEKER

343

EAGAN POINTE SENIOR LIVING LLC

DAKOTA

97

ECUMEN PRAIRIE HILL

NICOLLET

358

EAGAN SURGERY CENTER

DAKOTA

97

ECUMEN PRAIRIE HILL

NICOLLET

358

EAGANCARE BEHAVIORAL HEALTH SE

HENNEPIN

195

ECUMEN SAND PRAIRIE

NICOLLET

358

EAGLE CREST ARBOR

RAMSEY

409

ECUMEN SEASONS AT APPLE VALLEY

DAKOTA

86

EAGLE CREST COMMONS

RAMSEY

410

ECUMEN SEASONS AT APPLE VALLEY

DAKOTA

86

EAGLE GROUP HOME LLC

HENNEPIN

234

ECUMEN SEASONS AT MAPLEWOOD

RAMSEY

397

EAGLE GROUP HOME LLC

HENNEPIN

234

ECUMEN SEASONS AT MAPLEWOOD

RAMSEY

397

EAGLE STREET CATERED LIVING

ANOKA

17

ECUMEN WORTHINGTON THE MEADOWS

NOBLES

361

EAGLECREST SENIOR HOUSING LLC

RAMSEY

410

ECUMEN WORTHINGTON THE MEADOWS

NOBLES

361

EASE COMFORT LLC

HENNEPIN

283

EDEN HOMES INC

HENNEPIN

235

EASE COMFORT LLC

HENNEPIN

283

EDEN HOMES INC

HENNEPIN

283

EASE COMFORT LLC

HENNEPIN

283

EDEN HOMES INC

HENNEPIN

235

EAST RIDGE COURT

RENVILLE

452

EDEN HOMES INC

HENNEPIN

235

EAST RIVER ROAD DIALYSIS

ANOKA

21

EDEN PATHWAYS

HENNEPIN

296

EAST VALLEY DIALYSIS

DAKOTA

86

EDEN PRAIRIE DIALYSIS

HENNEPIN

197

EASTWOOD SENIOR LIVING

KANABEC

311

EDEN PRAIRIE SENIOR LIVING LLC

HENNEPIN

197

EASTWOOD SENIOR LIVING HOME CA

KANABEC

311

EDEN PRAIRIE SENIOR LIVING LLC

HENNEPIN

197

EBENEZER CARE CENTER

HENNEPIN

234

EDEN RESIDENTIAL PROGRAM

HENNEPIN

235

EBENEZER HOME CARE

HENNEPIN

255

EDENBROOK OF EDINA

HENNEPIN

201

EBENEZER HOME CARE

HENNEPIN

249

EDENBROOK OF ROCHESTER

OLMSTED

367

EBENEZER HOME CARE

HENNEPIN

234

EDGEBROOK CARE CENTER

PIPESTONE

387

EBENEZER HOME CARE

HENNEPIN

234

EDGEBROOK ESTATES

PIPESTONE

387

EBENEZER LAKES SENIOR HOUSING

CHISAGO

68

EDGEBROOK ESTATES ASSISTED LIV

PIPESTONE

387

EBENEZER MANAGEMENT SERVICES I

HENNEPIN

235

EDGEBROOK ESTATES ASSISTED LVG

PIPESTONE

387

EBENEZER MANAGEMENT SERVICES I

HENNEPIN

234

EDGEMONT PL ALZHEIMER'S SPL CC

ANOKA

9

EBENEZER MANAGEMENT SERVICES I

HENNEPIN

235

EDGEMONT PLACE ALZHEIMER'S

ANOKA

8

EBENEZER RIDGES GERIATRIC CC

DAKOTA

90

EDGEWOOD ALEX SENIOR LIVING

DOUGLAS

121

Minnesota Department of Health

Health Regulation Division

Index For Directory of Facilities and Services Index Page 16

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

EDGEWOOD ALEXANDRIA SENIOR LIV

DOUGLAS

121

ELITE QUALITY SERVICES LLC

HENNEPIN

235

EDGEWOOD BAXTER LLC

CROW WING

78

ELIZJOSEPH HEALTHCARE

HENNEPIN

156

EDGEWOOD BAXTER LLC

CROW WING

78

ELIZJOSEPH HEALTHCARE LLC

HENNEPIN

166

EDGEWOOD BLAINE LLC

ANOKA

9

ELIZJOSEPH HEALTHCARE LLC

HENNEPIN

157

EDGEWOOD BLAINE LLC

ANOKA

9

ELIZJOSEPH HEALTHCARE LLC

HENNEPIN

156

EDGEWOOD BRAINERD SENIOR LIVIN

CROW WING

80

ELIZJOSEPH HEALTHCARE LLC

HENNEPIN

157

EDGEWOOD BRAINERD SENIOR LIVIN

CROW WING

80

ELIZJOSEPH HEALTHCARE LLC

HENNEPIN

157

EDGEWOOD CARE INC

ITASCA

304

ELIZJOSEPH HEALTHCARE LLC

HENNEPIN

156

EDGEWOOD CARE INC

ITASCA

304

ELK RIDGE ALZHEIMER'S SPECIAL

RAMSEY

397

EDGEWOOD EAST GRAND FORKS SENI

POLK

390

ELK RIDGE ALZHEIMERS SPECIAL C

RAMSEY

397

EDGEWOOD EGF SENIOR LIVING

POLK

390

ELK RIVER SENIOR CARE LLC

SHERBURNE

492

EDGEWOOD GABLES

WRIGHT

552

ELK RIVER SENIOR LIVING

SHERBURNE

492

EDGEWOOD HERMANTOWN I SENIOR L

SAINT LOUIS

478

ELMHURST COMMONS

ISANTI

301

EDGEWOOD HERMANTOWN I SENIOR L

SAINT LOUIS

478

ELMORE ASSISTED LIVING

FARIBAULT

126

EDGEWOOD HERMANTOWN I SR LVG

SAINT LOUIS

478

ELMORE ASSISTED LIVING

FARIBAULT

126

EDGEWOOD HERMANTOWN II SR LVG

SAINT LOUIS

478

ELSELIA HOME HEALTHCARE SERVIC

HENNEPIN

288

EDGEWOOD MAY CREEK LLC

CASS

63

ELY BLOOMENSON COMM HOSPITAL

SAINT LOUIS

476

EDGEWOOD MAY CREEK LLC

CASS

63

ELY CAREFREE LIVING

SAINT LOUIS

476

EDGEWOOD MAY CREEK LLC

CASS

63

ELY CAREFREE LIVING

SAINT LOUIS

477

EDGEWOOD MAY CREEK LLC

CASS

63

ELY CAREFREE LIVING

SAINT LOUIS

476

EDGEWOOD PLACE

HENNEPIN

173

ELYSIAN HOME CARE

GOODHUE

136

EDGEWOOD SARTELL LLC

BENTON

35

ELYSIAN HOME CARE

GOODHUE

136

EDGEWOOD SARTELL LLC

STEARNS

501

EMBRACE HOME CARE LLC

FREEBORN

131

EDGEWOOD SARTELL LLC

STEARNS

501

EMMANUEL NURSING HOME

BECKER

27

EDGEWOOD VIRGINIA I SENIOR LIV

SAINT LOUIS

483

EMMAUS PLACE

MEEKER

343

EDGEWOOD VIRGINIA I SENIOR LIV

SAINT LOUIS

483

EMPATHY HOME CARE INC

HENNEPIN

192

EDGEWOOD VIRGINIA I SENIOR LIV

SAINT LOUIS

483

EMPATHY HOME CARE INC

HENNEPIN

193

EDINA DIALYSIS CENTER

HENNEPIN

202

EMPATHY HOME CARE INC

HENNEPIN

173

EDINA SPECIALTY SURGERY CENTER

HENNEPIN

202

EMPATHY HOME CARE INC

HENNEPIN

173

EDINA SURGERY CENTER

HENNEPIN

202

EMPATHY HOME CARE INC

HENNEPIN

193

ELDER HAVEN RESIDENTIAL CARE

WASHINGTON

528

EMPATHY HOME CARE INC

HENNEPIN

157

ELDER HOMESTEAD

HENNEPIN

265

EMPATHY HOME CARE INC

HENNEPIN

173

ELDERWOOD OF HINCKLEY

PINE

384

EMPATHY HOME CARE INC

HENNEPIN

173

ELDERWOOD OF HINCKLEY

PINE

384

EMPATHY HOME CARE INC

HENNEPIN

157

ELEGED HOME CARE INC

HENNEPIN

235

EMPATHY HOME CARE INC

HENNEPIN

192

ELEGED HOME CARE INC

HENNEPIN

235

EMPIRE SYSTEMS HOME CARE

HENNEPIN

173

ELEGED HOME CARE INC

HENNEPIN

235

EMPIRE SYSTEMS HOME CARE

HENNEPIN

287

ELIM HOME

MILLE LACS

347

EMPIRE SYSTEMS HOME CARE

HENNEPIN

157

ELIM HOME MILACA

MILLE LACS

345

EMPIRE SYSTEMS HOME CARE

HENNEPIN

157

ELIM SHORES

HENNEPIN

197

EMPIRE SYSTEMS HOME CARE

HENNEPIN

157

ELIM SHORES

HENNEPIN

197

EMPIRE SYSTEMS HOME CARE

HENNEPIN

157

ELITE CAREGIVER GROUP-HOME LLC

ANOKA

9

EMPOWERING HOMECARE CORP

HENNEPIN

236

ELITE NURSING SERVICE INC

HENNEPIN

156

EMPOWERMENT HEALTHCARE

HENNEPIN

173

ELITE NURSING SERVICES INC

HENNEPIN

156

ENGAGED HOME CARE

COTTONWOOD

76

ELITE QUALITY SERVICES LLC

HENNEPIN

143

ENGEL HAUS

WRIGHT

549

ELITE QUALITY SERVICES LLC

HENNEPIN

236

ENGEL HAUS

WRIGHT

549

Minnesota Department of Health

Health Regulation Division

Index For Directory of Facilities and Services Index Page 17

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

ENGLISH ROSE SUITES

HENNEPIN

202

ESSENTIA HEALTH VIRGINIA

SAINT LOUIS

484

ENGLISH ROSE SUITES - GLEASON

HENNEPIN

202

ESSENTIA HEALTH WALKER CLINIC

CASS

63

ENGLISH ROSE SUITES - LOCHWOOD

HENNEPIN

202

ESSENTIA HLTH ST. MARY'S HSPC

SAINT LOUIS

469

ENGLISH ROSE SUITES AND B HOME

HENNEPIN

203

ESSENTIA PELICAN RAPIDS CLINIC

OTTER TAIL

380

ENGLISH ROSE SUITES B HILLS

HENNEPIN

202

ESSENTIA ST. MARY'S MAHNOMEN

MAHNOMEN

334

ENGLISH ROSE SUITES INDIAN HIL

HENNEPIN

202

ESSENTIAL HEALTH SERVICES LLC

HENNEPIN

236

ENHANCE LIVING INC

RAMSEY

425

ESSENTIAL KARE

WRIGHT

553

ENHANCE LIVING INC

RAMSEY

417

ESSLING'S HOME PLUS INC

RAMSEY

425

EON INC

BROWN

46

ESSLING'S HOMES PLUS INC

RAMSEY

397

EPIC HOMES LLC

HENNEPIN

236

ESSLING'S HOMES PLUS INC

RAMSEY

397

EPIC HOMES LLC

HENNEPIN

173

ESSLINGS HOMES PLUS INC

RAMSEY

437

EPIC HOMES LLC

HENNEPIN

173

ESTEEM HOME HEALTH SERVICES

HENNEPIN

174

EPIPHANY ASSISTED LIVING LLC

ANOKA

17

ESTEEM NURSING CARE INC

HENNEPIN

157

EPIPHANY ASSISTED LIVING LLC

ANOKA

17

ESTHERRA CARE LLC

HENNEPIN

174

EPIPHANY CARE HOMES LLC

HENNEPIN

270

ESTHERRA CARE LLC

HENNEPIN

174

EPISCOPAL CHURCH HOME GARDENS

RAMSEY

425

ESTHERRA CARE LLC

HENNEPIN

174

EPISCOPAL CHURCH HOME OF MN

RAMSEY

425

ESTHERRA CARE LLC

HENNEPIN

174

EPISCOPAL HOME CARE AND SERVIC

RAMSEY

425

ETHOS HOME CARE

NORTH DAKOTA

557

EQUITABLE HEALTHCARE SERVICES

RAMSEY

397

ETHOS HOSPICE

NORTH DAKOTA

557

EQUITY SERVICES OF ST. PAUL

RAMSEY

425

EVANSVILLE CARE CENTER

DOUGLAS

124

ERICKSON HOME CARE

ANOKA

9

EVANSVILLE SENIOR LIVING

DOUGLAS

124

ESSENTIA HEALTH ADA

NORMAN

362

EVANSVILLE SENIOR LIVING

DOUGLAS

125

ESSENTIA HEALTH ADA CLINIC

NORMAN

362

EVENSONG MANOR

HENNEPIN

174

ESSENTIA HEALTH BAGLEY CLINIC

CLEARWATER

74

EVENSONG MANOR

HENNEPIN

174

ESSENTIA HEALTH CHOKIO CLINIC

STEVENS

513

EVENTIDE

CLAY

71

ESSENTIA HEALTH DULUTH

SAINT LOUIS

473

EVENTIDE FAIRMONT

CLAY

71

ESSENTIA HEALTH ELY CLINIC

SAINT LOUIS

477

EVENTIDE LUTHERAN HOME

CLAY

71

ESSENTIA HEALTH FOSSTON

POLK

392

EVERBLOOM HOME HEALTH CARE

DAKOTA

97

ESSENTIA HEALTH GRACE HOME

BIG STONE

38

EVERBLOOM HOME HEALTH CARE

DAKOTA

98

ESSENTIA HEALTH GRACEVILLE

BIG STONE

38

EVERGREEN APARTMENTS

HENNEPIN

174

ESSENTIA HEALTH GRACEVILLE HH

BIG STONE

38

EVERGREEN KNOLL

CARLTON

51

ESSENTIA HEALTH HOLY TRINITY

BIG STONE

38

EVERGREEN LODGE

RICE

458

ESSENTIA HEALTH HOME CARE WEST

BECKER

27

EVERGREEN PLACE

GOODHUE

136

ESSENTIA HEALTH HOSPICE WEST

POLK

392

EVERGREEN PLACE

GOODHUE

136

ESSENTIA HEALTH INTER FALLS

KOOCHICHING

321

EVERGREEN SENIOR LIVING

CARLTON

51

ESSENTIA HEALTH MENAHGA CLINIC

WADENA

520

EVERLEAD HOME HEALTH CARE LLC

HENNEPIN

158

ESSENTIA HEALTH NORTHERN PINES

SAINT LOUIS

464

EVERLEAD HOME HEALTH CARE LLC

HENNEPIN

158

ESSENTIA HEALTH NORTHERN PINES

SAINT LOUIS

464

EVERYDAY LIVING LLC

HENNEPIN

236

ESSENTIA HEALTH OAK CROSSING

BECKER

27

EVERYDAY LIVING LLC

HENNEPIN

236

ESSENTIA HEALTH OKLEE CLINIC

RED LAKE

447

EVERYDAY LIVING LLC

DAKOTA

111

ESSENTIA HEALTH PARK RAPIDS CL

HUBBARD

300

EVERYDAY LIVING LLC

DAKOTA

115

ESSENTIA HEALTH REMER CLINIC

CASS

62

EVERYTIME HOME CARE

HENNEPIN

292

ESSENTIA HEALTH SANDSTONE

PINE

386

EVYGABS HEALTH CARE SYSTEMS L

WASHINGTON

528

ESSENTIA HEALTH ST JOSEPHS MED

CROW WING

80

EXAMINETICS INC

KANSAS

556

ESSENTIA HEALTH ST. MARY'S MED

SAINT LOUIS

474

EXCELLENCE LIVING CONNECTIONS

HENNEPIN

296

ESSENTIA HEALTH ST. MARYS

BECKER

27

EXCELLENT CARE SERVICES INC

OLMSTED

367

Minnesota Department of Health

Health Regulation Division

Index For Directory of Facilities and Services Index Page 18

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

EXPRESS HOME HEALTH CARE

RAMSEY

425

FIELDCREST ASSISTED LIVING

LYON

331

EZEKIEL'S HOUSE

HENNEPIN

198

FIELDCREST ASSISTED LIVING

LYON

331

FAIR MEADOW ASSISTED LIVING

POLK

391

FIREFLY IMAGING SERVICES LLC

JACKSON

310

FAIR MEADOW ASSISTED LIVING

POLK

391

FIRST CARE OF MINNESOTA INC

ANOKA

13

FAIR MEADOW NURSING HOME

POLK

391

FIRST CHOICE ASSISTED LIVING

HENNEPIN

144

FAIR OAKS NURSING & REHAB LLC

WADENA

523

FIRST CHOICE ASSISTED LIVING

HENNEPIN

143

FAIRFAX COMMUNITY HOME

RENVILLE

451

FIRST CHOICE HOME CARE INC

HENNEPIN

237

FAIRFAX COMMUNITY HOME HEALTH

RENVILLE

451

FIRST CHOICE LIVING SERVICES

HENNEPIN

174

FAIRFAX COMMUNITY HOME INC

RENVILLE

451

FIRST CHOICE NURSING & HOMECAR

HENNEPIN

158

FAIRVIEW CARE CENTER

DODGE

119

FIRST CHOICE NURSING & HOMECAR

HENNEPIN

175

FAIRVIEW HOME CARE AND HOSPICE

HENNEPIN

236

FIRST CHOICE NURSING & HOMECAR

HENNEPIN

175

FAIRVIEW HOME INFUSION

HENNEPIN

236

FIRST CHOICE NURSING & HOMECAR

HENNEPIN

175

FAIRVIEW HOSPICE

HENNEPIN

237

FIRST CHOICE ON 81ST AVE

HENNEPIN

175

FAIRVIEW LAKES MEDICAL CENTER

CHISAGO

68

FIRST CHOICE RESIDENTIAL CARE

HENNEPIN

237

FAIRVIEW MAPLE GROVE SURG CTR

HENNEPIN

217

FIRST CHOICE RESIDENTIAL CARE

HENNEPIN

144

FAIRVIEW NORTHLAND REG HOSP

SHERBURNE

493

FIRST CHOICE RESIDENTIAL LLC

HENNEPIN

289

FAIRVIEW RIDGES HOSPITAL

DAKOTA

91

FIRST LIGHT RESIDENTIAL CARE L

HENNEPIN

292

FAIRVIEW SOUTHDALE HOSPITAL

HENNEPIN

203

FIRST LIGHT RESIDENTIAL CARE L

HENNEPIN

292

FAIRVIEW UNIVERSITY TRANS SVCS

HENNEPIN

237

FIRST MERCY HOMES LLC

HENNEPIN

144

FAIRWAY PINES SENIOR LIVING

STEARNS

503

FIRST MERCY HOMES LLC

DAKOTA

86

FAIRWAY PINES SENIOR LIVING CO

STEARNS

503

FIRSTAT NURSING SERVICES

RAMSEY

397

FAIRWAY VIEW

BIG STONE

38

FIRSTLIGHT PINE CITY

PINE

385

FAIRWAY VIEW NEIGHBORHOODS

BIG STONE

38

FIVE STAR REHAB WELLNESS SERV

HENNEPIN

289

FAIRWAY VIEW SENIOR COMMUNITY

BIG STONE

38

FLOURISH

HENNEPIN

209

FALLS LANDING ASSISTED LIVING

PIPESTONE

387

FMC DIAL SVCS OF SPIRIT VALLEY

SAINT LOUIS

469

FALLS LANDING ASSISTED LIVING

PIPESTONE

387

FMC DIALYSIS SERVCES ROSEVILLE

RAMSEY

410

FAMILY CARE SERVICES INC

HENNEPIN

237

FMC DIALYSIS SERVICES BUFFALO

WRIGHT

550

FAMILY CHOICE HOMECARE

DAKOTA

111

FMC DIALYSIS SERVICES DULUTH

SAINT LOUIS

469

FAMILY MEDICAL CENTER

MORRISON

350

FMC DIALYSIS SERVICES EVELETH

SAINT LOUIS

477

FAMILY SURGERY CENTER LLC

KANDIYOHI

317

FMC DIALYSIS SRVCS GR RAPIDS

ITASCA

306

FAMILY TREE CARE HOMES

RAMSEY

404

FMC DIALYSIS SVCS N SUBURBAN

ANOKA

17

FAMILY TREE HOMES LLC

HENNEPIN

288

FMC MAPLEWOOD HEIGHTS

RAMSEY

397

FAMILY TRUST HOME HEALTH LLC

ANOKA

25

FMC PLYMOUTH CREEK

HENNEPIN

278

FAMILY TRUST HOME HEALTH LLC

HENNEPIN

158

FMC SOUTHTOWN DIALYSIS

HENNEPIN

144

FAMILY TRUST HOME HEALTH LLC

RAMSEY

404

FMC WEST ST. PAUL DIALYSIS

DAKOTA

116

FANTUM HOME HEALTH CARE LLC

HENNEPIN

174

FMCNA NEW BRIGHTON DIAL CTR

RAMSEY

425

FARIBAULT DIALYSIS UNIT

RICE

454

FMCNA PARK AVE DIALYSIS CENTER

HENNEPIN

250

FARIBAULT SENIOR LIVING

RICE

454

FMCNA SHAKOPEE DIALYSIS CENTER

SCOTT

489

FARIBAULT SENIOR LIVING

RICE

454

FMCNA SOUTH MPLS DIALYSIS CTR

HENNEPIN

237

FARMINGTON HEALTH SERVICES

DAKOTA

101

FMCNA WACONIA DIALYSIS

CARVER

58

FARMSTEAD CARE OF MOORHEAD

CLAY

71

FOCUS XII HALFWAY HOUSE

STEARNS

505

FARMSTEAD CARE OF MOORHEAD LP

CLAY

72

FOLKESTONE

HENNEPIN

297

FERGUS FALLS DIALYSIS CENTER

OTTER TAIL

376

FOLKESTONE NORTH

HENNEPIN

297

FIELD CREST ASSISTED LIVING

DODGE

119

FOND DU LAC ASST LVG RESIDENCE

CARLTON

51

FIELD CREST CARE CENTER

DODGE

119

FOND DU LAC HOME CARE PROGRAM

CARLTON

51

FIELD CREST HOME CARE

DODGE

119

FOOTWORKS

RAMSEY

408

Minnesota Department of Health

Health Regulation Division

Index For Directory of Facilities and Services Index Page 19

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

FORENSIC MENTAL HEALTH PROGRAM

NICOLLET

359

FRESENIUS MEDICAL CARE BLAINE

ANOKA

9

FORENSIC MENTAL HEALTH PROGRAM

NICOLLET

358

FRESENIUS MEDICAL CARE CLOQUET

CARLTON

51

FORTUNATE HOMES LLC

HENNEPIN

175

FRESENIUS MEDICAL CARE MIDWAY

RAMSEY

426

FORTUNATE HOMES LLC

HENNEPIN

175

FRESENIUS MEDICAL OF ST. PAUL

RAMSEY

426

FORTUNATE HOMES LLC

HENNEPIN

195

FRIDLEY ASSISTED LIVING LLC

ANOKA

21

FOUNDERS RIDGE

HENNEPIN

144

FRIDLEY ASSISTED LIVING LLC

ANOKA

21

FOUNDERS RIDGE

HENNEPIN

144

FRIENDSHIP COURT

FARIBAULT

125

FOUNTAIN CENTERS

FREEBORN

131

FRIENDSHIP COURT

FARIBAULT

125

FOUNTAIN GATE HEALTH LLC

ANOKA

24

FRIENDSHIP HOUSE

HENNEPIN

237

FOUNTAIN GATE HEALTH LLC

ANOKA

23

FRIENDSHIP VILLAGE BLOOMINGTON

HENNEPIN

144

FOUR WINDS TREATMENT PROGRAM

CROW WING

80

FRIENDSHIP VILLAGE OF BLOOMING

HENNEPIN

151

FOURTH AVENUE HOMES INC

KANDIYOHI

318

FSLF CLARE RESIDENCE

MORRISON

348

FOX REHABILITATION

HENNEPIN

265

FSLF MARY HALL

MORRISON

348

FOXGLOVE

HENNEPIN

175

FUNDAMENTAL KIDS THERAPY LLC

ANOKA

24

FRANCE AVENUE

HENNEPIN

175

FURNESS HOUSE

RAMSEY

398

FRANCISCAN HEALTH CENTER

SAINT LOUIS

469

GABBY CARE HOMES LLC

HENNEPIN

189

FRANCISCAN SISTERS OF LITTLE F

MORRISON

348

GABBY CARE HOMES LLC

SHERBURNE

492

FRANKLIN REHAB & HCC

RENVILLE

451

GABBY CARE HOMES LLC - FAITHS

HENNEPIN

189

FRASER RICHFIELD

HENNEPIN

283

GABBY CARE HOMES LLC - SAMS

HENNEPIN

189

FRAZEE ASSISTED LIVING

BECKER

29

GABBY CARE HOMES LLC CILLA

HENNEPIN

190

FRAZEE ASSISTED LIVING HOME CA

BECKER

29

GABBY CARE HOMES LLC FORT LEE

HENNEPIN

190

FRAZEE CARE CENTER

BECKER

29

GABBY CARE HOMES LLC HANNA HSE

HENNEPIN

189

FRAZIER RECOVERY HOMES LLC

DAKOTA

115

GABLE PINES AT VADNAIS HEIGHTS

RAMSEY

443

FRAZIER RECOVERY HOMES LLC

DAKOTA

105

GABLE PINES AT VADNAIS HTS

RAMSEY

443

FRAZIER RECOVERY HOMES LLC

DAKOTA

103

GABLES OF BOUTWELLS LANDING

WASHINGTON

532

FRAZIER RECOVERY HOMES LLC

DAKOTA

115

GABRIEL HOUSE LLC

SWIFT

515

FRAZIER RECOVERY HOMES LLC

DAKOTA

103

GABRIEL HOUSE LLC

SWIFT

515

FRAZIER RECOVERY HOMES LLC

RICE

454

GALEON

DOUGLAS

125

FRAZIER RECOVERY HOMES LLC

STEELE

511

GALTIER A VILLA CENTER

RAMSEY

426

FRAZIER RECOVERY HOMES LLC

DAKOTA

103

GARDEN COURT CHATEAU

ITASCA

306

FREEDOM HOME CARE LLC

BLUE EARTH

41

GARDEN COURT CHATEAU

ITASCA

306

FREEMONT HOUSE

HENNEPIN

158

GARDEN HOUSE AT ST. MARYS

MCLEOD

341

FREMONT HOME

HENNEPIN

158

GARDEN HOUSE ESTATES

SAINT LOUIS

469

FRESENIUS KIDNEY CARE CHASKA

CARVER

56

GARDEN HOUSE ESTATES LTD

SAINT LOUIS

469

FRESENIUS KIDNEY CARE MORA

KANABEC

312

GARDEN TERRACE ASSISTED LIVING

CARLTON

55

FRESENIUS KIDNEY CARE WOODBURY

WASHINGTON

537

GARDEN VIEW AT HILLTOP

MEEKER

343

FRESENIUS MED CA CANNON VALLEY

RICE

453

GARDEN VIEW AT HILLTOP

MEEKER

344

FRESENIUS MED CA RND LK DIALYS

ANOKA

17

GARFIELD COMMONS

HENNEPIN

144

FRESENIUS MED CARE COON RAPIDS

ANOKA

17

GATEWAY FAMILY CLINIC

PINE

386

FRESENIUS MED CARE LAKEVILLE

DAKOTA

108

GATEWAY FAMILY HEALTH CLINIC

PINE

385

FRESENIUS MED CARE MAPLE GROVE

HENNEPIN

217

GATEWAY HOMECARE SERVICES

HENNEPIN

237

FRESENIUS MED CARE OF CHAMPLIN

HENNEPIN

189

GBALEAH HOME CARE LLC

HENNEPIN

217

FRESENIUS MED CARE OF HIBBING

SAINT LOUIS

479

GEMINI MANOR

DAKOTA

108

FRESENIUS MED CARE ROBBINSDALE

HENNEPIN

287

GENERATION CARE INC

HENNEPIN

265

FRESENIUS MED CARE ST LOUIS PK

HENNEPIN

292

GENERATIONS HOME CARE INC

STEARNS

508

FRESENIUS MED CARE TWO RIVERS

DAKOTA

103

GENERATIONS HOME CARE INC

STEARNS

508

Minnesota Department of Health

Health Regulation Division

Index For Directory of Facilities and Services Index Page 20

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

GENERATIONS HOME CARE INC

STEARNS

507

GLOBAL CASE MGMT-EAST ST. PAUL

RAMSEY

426

GENERATIONS HOME CARE INC

STEARNS

501

GLOBAL HOME CARE

HENNEPIN

297

GENEROUS HOME CARE

RAMSEY

426

GLOBAL HOME HEALTH CARE INC

OLMSTED

367

GENTLE TOUCH HEALTH INITIATIVE

WRIGHT

550

GLOBAL POINTE SENIOR LIVING

HENNEPIN

209

GENTLE TOUCH HEALTH INITIATIVE

HENNEPIN

265

GLORIA DEI MANOR

MEEKER

343

GENTLE TOUCH HEALTH INITIATIVE

HENNEPIN

214

GLORY HOME HEALTH INC

HENNEPIN

237

GENTLE TOUCH HEALTH INITITATIV

BLUE EARTH

41

GOLDEN BRIGHT HOMES LLC

HENNEPIN

292

GETTY STREET ASSISTED LIVING

STEARNS

503

GOLDEN BRIGHT HOMES LLC

HENNEPIN

290

GETTY STREET ASSISTED LIVING

STEARNS

503

GOLDEN CARE LLC

HENNEPIN

237

GIANNA HOMES - GLADYS' PLACE L

HENNEPIN

278

GOLDEN CARE LLC

HENNEPIN

238

GIANNA HOMES - SURSUM CORDA

HENNEPIN

265

GOLDEN CARE SERVICES LLC

HENNEPIN

209

GIANNA HOMES GLADYS' PLACE LLC

HENNEPIN

278

GOLDEN GRAND HOMECARE LLC

DAKOTA

101

GIANNA HOMES SURSUM CORDA

HENNEPIN

265

GOLDEN HEART HOME

HENNEPIN

203

GIL MOR MANOR

REDWOOD

448

GOLDEN HEART SENIOR CARE

SCOTT

488

GIL-MOR HAVEN

REDWOOD

448

GOLDEN HEART SENIOR CARE SCOTT

SCOTT

487

GIL-MOR HAVEN

REDWOOD

448

GOLDEN HEARTS HOME CARE LLC

ANOKA

4

GILLETTE CHILDREN'S SPEC HOSP

RAMSEY

426

GOLDEN HEARTS HOME CARE SVC

ANOKA

4

GLACIAL RIDGE HOME CARE

POPE

393

GOLDEN HEARTS HOME CARE SVS

ANOKA

4

GLACIAL RIDGE HOSPICE

POPE

393

GOLDEN HEARTS INC

SIBLEY

495

GLACIAL RIDGE HOSPITAL

POPE

393

GOLDEN HEARTS INC

SIBLEY

495

GLACIAL TRAILS MEMORY CARE

POPE

394

GOLDEN HOME CARE PLUS INC

BROWN

46

GLAZON CARE MAPLE CAMPUS

OLMSTED

367

GOLDEN HOME LIVING LLC

HENNEPIN

290

GLAZON CARE SERVICES

OLMSTED

367

GOLDEN HOME LIVING LLC

HENNEPIN

290

GLAZON CARE THE VIEW HOUSE 2

GOODHUE

134

GOLDEN HOME LVING LLC

HENNEPIN

290

GLAZON CARE THE VIEW HOUSE 3

GOODHUE

134

GOLDEN HORIZONS

NOBLES

361

GLAZON CARE VIOLA CAMPUS

OLMSTED

367

GOLDEN HORIZONS

AITKIN

1

GLAZON GROUP

OLMSTED

367

GOLDEN HORIZONS

NOBLES

361

GLENCOE DIALYSIS

MCLEOD

338

GOLDEN HORIZONS

AITKIN

1

GLENCOE REGIONAL HEALTH SRVCS

MCLEOD

338

GOLDEN HORIZONS OF CROSSLAKE

CROW WING

83

GLENN BUFFALO LLC

WRIGHT

550

GOLDEN LIGHT ASSISTED LIVING L

WASHINGTON

537

GLENN BUFFALO LLC

WRIGHT

550

GOLDEN LIGHT ASSISTED LVNG LLC

WASHINGTON

537

GLENN BUFFALO LLC

WRIGHT

551

GOLDEN LIVING COMMUNITY LAKE

RAMSEY

410

GLENOAKS SENIOR LIVING CAMPUS

KANDIYOHI

313

GOLDEN MANOR CORPORATION

BECKER

27

GLENOAKS SENIOR LIVING CAMPUS

KANDIYOHI

313

GOLDEN MANOR MEMORY CARE

BECKER

27

GLENOAKS SENIOR LIVING CAMPUS

KANDIYOHI

314

GOLDEN MANOR OF BARNESVILLE

CLAY

69

GLENOAKS SENIOR LIVING CAMPUS

KANDIYOHI

313

GOLDEN MANOR OF DETROIT LAKES

BECKER

27

GLENWOOD ESTATES

POPE

393

GOLDEN MAPLE HOMES INC

DAKOTA

91

GLENWOOD ESTATES

POPE

393

GOLDEN MAPLE HOMES INC

DAKOTA

91

GLENWOOD MEDICAL CENTER

POPE

393

GOLDEN MAPLE HOMES INC

DAKOTA

108

GLENWOOD VILLAGE CARE CENTER

POPE

393

GOLDEN MAPLE HOMES INC

DAKOTA

91

GLESENER'S ASSISTED LIVING SRV

RENVILLE

450

GOLDEN NEST LLC

HENNEPIN

283

GLOBAL ALLIANCE HOME HEALTH

ANOKA

17

GOLDEN NEST LLC

HENNEPIN

238

GLOBAL ALLIANCE HOME HEALTH

HENNEPIN

193

GOLDEN NEST LLC

HENNEPIN

238

GLOBAL ALLIANCE HOME HEALTH CA

HENNEPIN

218

GOLDEN OAKS HOME CARE LLC

HENNEPIN

175

GLOBAL CASE MANAGEMENT LLC

ANOKA

21

GOLDEN OAKS HOME CARE LLC

DAKOTA

86

GLOBAL CASE MANAGMENT

ANOKA

21

GOLDEN OAKS OF HERMANTOWN

SAINT LOUIS

478

Minnesota Department of Health

Health Regulation Division

Index For Directory of Facilities and Services Index Page 21

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

GOLDEN OAKS OF PROCTOR

SAINT LOUIS

482

GOOD SAM SOCIETY BLACKDUCK

BELTRAMI

33

GOLDEN POND

HENNEPIN

218

GOOD SAM SOCIETY BRANDT RIDGE

WATONWAN

544

GOLDEN POND CHAMPLIN

HENNEPIN

190

GOOD SAM SOCIETY BRANDT RIDGE

WATONWAN

544

GOLDEN POND CRYSTAL

HENNEPIN

193

GOOD SAM SOCIETY HC HOSPICE

CROW WING

84

GOLDEN POND HOME

HENNEPIN

218

GOOD SAM SOCIETY HIDDEN CREEK

FREEBORN

131

GOLDEN POND MOUNDS VIEW

RAMSEY

403

GOOD SAM SOCIETY HOSPICE

CROW WING

83

GOLDEN POND WBL

RAMSEY

445

GOOD SAM SOCIETY HOWARD LAKE

WRIGHT

552

GOLDEN TOUCH HEALTH CARE LLC

HENNEPIN

158

GOOD SAM SOCIETY PRAIRIE VIEW

WATONWAN

544

GOLDEN TOUCH HEALTH CARE LLC

HENNEPIN

176

GOOD SAM SOCIETY ST JAMES

WATONWAN

544

GOLDEN TOUCH HEALTH CARE LLC

HENNEPIN

175

GOOD SAM SOCIETY STILLWATER

WASHINGTON

535

GOLDEN TOUCH HEALTH CARE LLC

HENNEPIN

158

GOOD SAM SPECIALTY CARE COMM

HENNEPIN

287

GOLDEN VALLEY DIALYSIS CENTER

HENNEPIN

209

GOOD SAM WACONIA&WESTVIEW ACRE

CARVER

58

GOLDEN VALLEY RESIDENCE

HENNEPIN

209

GOOD SAM WESTBROOK

COTTONWOOD

76

GOLDENRIDGE SENIOR CARE LLC

DOUGLAS

122

GOOD SAM WINDOM

COTTONWOOD

76

GOLDPINE HOME

BELTRAMI

31

GOOD SAM WINTHROP

SIBLEY

496

GOLDPINE HOME

BELTRAMI

31

GOOD SAMARITAN HERITAGE GROVE

POLK

390

GONDOLA GROUP

DAKOTA

105

GOOD SAMARITAN MARY JANE BROWN

ROCK

461

GONDOLA GROUP INC

DAKOTA

105

GOOD SAMARITAN SOCIETY - FAIRV

SIBLEY

495

GONDOLA GROUP INC

DAKOTA

105

GOOD SAMARITAN SOCIETY - PIPES

PIPESTONE

387

GONDOLA GROUP INC

DAKOTA

113

GOOD SAMARITAN SOCIETY BETHANY

CROW WING

80

GOOD COMPANY SERVICES LLC

CHISAGO

67

GOOD SAMARITAN SOCIETY BLACKDU

BELTRAMI

33

GOOD LIFE SENIOR LIVING HUGO

WASHINGTON

529

GOOD SAMARITAN SOCIETY HERITAG

POLK

390

GOOD NEIGHBOR HHC OF BRAINERD

CROW WING

78

GOOD SAMARITAN SOCIETY HOME CA

TEXAS

516

GOOD SAM ALBERT LEA

FREEBORN

131

GOOD SAMARITAN SOCIETY NORTHWI

KOOCHICHING

321

GOOD SAM BETHANY

CROW WING

80

GOOD SAMARITAN SOCIETY PINES

JACKSON

310

GOOD SAM HIDDEN CREEK

FREEBORN

131

GOOD SAMARITAN SOCIETY WESTVIE

CARVER

58

GOOD SAM WOODLAND

CROW WING

80

GOOD SAMARITAN WESTVIEW ACRES

CARVER

59

GOOD SAM AMBASSADOR

HENNEPIN

273

GOOD SHEPHERD ASSISTED LIVING

BENTON

35

GOOD SAM ARLINGTON

SIBLEY

495

GOOD SHEPHERD COTTAGES

BENTON

35

GOOD SAM BATTLE LAKE

OTTER TAIL

375

GOOD SHEPHERD HOME HEALTH CARE

BENTON

35

GOOD SAM BLACKDUCK

BELTRAMI

33

GOOD SHEPHERD HOMES INC

BENTON

35

GOOD SAM COMFORCARE

MOWER

352

GOOD SHEPHERD HOSPICE

LINCOLN

329

GOOD SAM GOLDEN VALLEY

HENNEPIN

209

GOOD SHEPHERD LUTHERAN HOME

BENTON

36

GOOD SAM HOME CARE

RAMSEY

395

GOOD SHEPHERD LUTHERAN HOME

FILLMORE

130

GOOD SAM HOME CARE OF SW MN

COTTONWOOD

76

GOODHOPE HOMES LLC

HENNEPIN

238

GOOD SAM HOME CARE ST PETER

NICOLLET

358

GOODHOPE HOMES LLC

HENNEPIN

238

GOOD SAM INTERNATIONAL FALLS

KOOCHICHING

321

GOODNESS AND MERCY HEALTH SERV

HENNEPIN

158

GOOD SAM INTERNATIONAL FALLS

KOOCHICHING

321

GOODNESS AND MERCY HEALTH SERV

HENNEPIN

158

GOOD SAM INVER GROVE HEIGHTS

DAKOTA

106

GOODQUALITY HOME HEALTH SERVIC

ANOKA

13

GOOD SAM JACKSON

JACKSON

310

GOODQUALITY HOME HEALTH SRVS

ANOKA

13

GOOD SAM MOUNTAIN LAKE

COTTONWOOD

75

GPC COMMONS

ISANTI

302

GOOD SAM PINE RIVER

CASS

62

GRACE ASSISTED LIVING LLC

ANOKA

17

GOOD SAM PIPESTONE

PIPESTONE

387

GRACE ASSISTED LIVING LLC

ANOKA

17

GOOD SAM SOC - HERITAGE PLACE

RAMSEY

410

GRACE GROUP HOME LLC

HENNEPIN

238

GOOD SAM SOC MAPLEWOOD

RAMSEY

398

GRACE GROUP HOME LLC

HENNEPIN

238

GOOD SAM SOCIETY - FAIRVIEW

SIBLEY

495

GRACE HAND GROUP HOME LLC

HENNEPIN

238

Minnesota Department of Health

Health Regulation Division

Index For Directory of Facilities and Services Index Page 22

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

GRACE HAND GROUP HOME LLC

HENNEPIN

238

GREATER MINNESOTA HOME HEALTH

HENNEPIN

159

GRACE HAVEN ASSISTED LIVING

LAC QUI PARLE

324

GREATERCARE FACILITIES LLC

WASHINGTON

538

GRACE HAVEN ASSISTED LIVING

LAC QUI PARLE

324

GREATERCARE FACILITIES LLC

WASHINGTON

538

GRACE HOME

HENNEPIN

193

GREATERCARE FACILITIES LLC

WASHINGTON

538

GRACE HOME HEALTH CARE LLC

HENNEPIN

144

GREEN LEA SENIOR LIVING

FILLMORE

128

GRACE HOME HEALTHCARE INC

FREEBORN

131

GREEN LIVING GROUP HOME LLC

HENNEPIN

284

GRACE HOMES

HENNEPIN

214

GREEN LIVING GROUP HOME LLC

CLAY

72

GRACE HOMES - OAK RIDGE

HENNEPIN

214

GREEN LIVING GROUP HOME LLC

DAKOTA

98

GRACE HOMES - WALNUT LODGE

DAKOTA

91

GREEN PINE ACRES NURSING HOME

WADENA

521

GRACE HOMES - WILSHIRE WALK

HENNEPIN

214

GREEN PRAIRIE ASSISTED LIVING

WABASHA

519

GRACE HOSPICE

HENNEPIN

238

GREENVIEW NORTH

SAINT LOUIS

479

GRACE PLACE

HENNEPIN

239

GREENVIEW NORTH

SAINT LOUIS

479

GRACE PLACE ASSISTED LIVING

HENNEPIN

239

GREENVIEW SOUTH

SAINT LOUIS

479

GRACE VILLAGE

BIG STONE

38

GREENWAY SURGERY CENTER

HENNEPIN

239

GRACEFUL LODGE HOME CARE

HENNEPIN

159

GRISWOLD HOME CARE OF MOORHEAD

CLAY

72

GRACEFUL LODGE HOME CARE

HENNEPIN

159

GROWTH & WELLNESS HOMECARE, LL

ANOKA

5

GRACEPOINTE CROSSING

ISANTI

302

GSS - RIVER'S EDGE VILLA

KOOCHICHING

322

GRACEPOINTE CROSSING GABLES

ISANTI

302

GUARANTEED HOME HEALTH CARE

HENNEPIN

176

GRAND ARBOR

DOUGLAS

122

GUARANTEED HOME HEALTH CARE

HENNEPIN

176

GRAND ARBOR

DOUGLAS

122

GUARDIAN ANGELS BY THE LAKE

SHERBURNE

492

GRAND AVE REST HOME

HENNEPIN

239

GUARDIAN ANGELS BY THE LAKE

SHERBURNE

492

GRAND ITASCA CLINIC & HOSP

ITASCA

306

GUARDIAN ANGELS CARE CENTER

SHERBURNE

492

GRAND ITASCA CLINIC & HOSP HC

ITASCA

306

GUARDIAN ANGELS ELIM HOME CARE

SHERBURNE

492

GRAND MANOR II

ITASCA

306

GUARDIAN ANGELS ELIM HOSPICE

SHERBURNE

492

GRAND MANOR III

ITASCA

307

GUARDIAN ANGELS HEALTH & REHAB

SAINT LOUIS

479

GRAND MEADOWS

MCLEOD

338

GUARDIAN ANGELS LLC

ANOKA

24

GRAND MEADOWS INC

MCLEOD

339

GUARDIAN ANGELS LLC

ANOKA

25

GRAND VILLAGE

ITASCA

307

GUARDIAN HOMES INC

HENNEPIN

266

GRANDMA'S HELPER LLC

HENNEPIN

239

GUARDIAN HOMES INC

HENNEPIN

266

GRANDMA'S HELPER LLC

HENNEPIN

239

GUARDIAN IN HOME HEALTH & SECU

MCLEOD

339

GRANDMA'S PLACE INC

HENNEPIN

176

GUEST HOUSE OF FARIBAULT LLC

RICE

454

GRANDMA'S PLACE INC

HENNEPIN

193

GUEST HOUSE OF FARIBAULT LLC

RICE

454

GRANDMA'S PLACE INC

HENNEPIN

193

GUNDERSEN HARMONY CARE CENTER

FILLMORE

128

GRANDMA'S PLACE INC

HENNEPIN

239

GUNDERSEN HOSPICE

WISCONSIN

559

GRANDMAS PLACE INC

HENNEPIN

193

GUNDERSON GARDENS

GOODHUE

135

GRANDVIEW RELIABLE CARE LLC

HENNEPIN

198

GUNDERSON GARDENS

GOODHUE

135

GRANITE FALLS MUN HOSP MANOR

CHIPPEWA

64

GUNDERSON GARDENS ROSE WING

GOODHUE

135

GRANNY'S HELPFUL HANDS LLC

RAMSEY

426

H & H GROUP HOME LLC

HENNEPIN

239

GRATEFUL HEALTH RESIDENTIAL

HENNEPIN

176

H & H GROUP HOME LLC

HENNEPIN

292

GRATTAN PRIVATE DUTY NURSING I

CROW WING

80

H AND S RESIDENCE LLC

HENNEPIN

176

GREAT HOME MINNESOTA LLC

DAKOTA

106

H AND S RESIDENCE LLC

HENNEPIN

176

GREAT HOME MN AVIARY

DAKOTA

106

HADLEY HOUSE

OTTER TAIL

381

GREAT HOME MN LLC

DAKOTA

106

HALLETT COTTAGES

CROW WING

82

GREAT OAK SENIOR CARE INC

HENNEPIN

145

HALSTAD LIVING CENTER

NORMAN

363

GREATER CARE FACILITIES LLC

WASHINGTON

537

HALSTAD LIVING CENTER

NORMAN

363

GREATER HEIGHTS CARE LLC

HENNEPIN

203

HAM LAKE PHYSICAL THERAPY

ANOKA

24

Minnesota Department of Health

Health Regulation Division

Index For Directory of Facilities and Services Index Page 23

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

HAMLINE HI RISE

RAMSEY

426

HAVENWOOD OF RICHFIELD

HENNEPIN

284

HAMMER CARLSON

HENNEPIN

297

HAWLEY RETIREMENT INC

CLAY

70

HAMMER KENTUCKY

HENNEPIN

278

HAWTHORNE ECOVILLAGE APTS

HENNEPIN

240

HAMMER LAKESIDE

HENNEPIN

266

HAWTHORNE HOUSE

HENNEPIN

209

HAMMER LAWNDALE

HENNEPIN

218

HAWTHORNE HOUSE INC

HENNEPIN

210

HAMMER LEE

HENNEPIN

209

HAWTHORNE HOUSE INC

HENNEPIN

210

HAMMER MCGLINCH

HENNEPIN

278

HAWTHORNE HOUSE INC

HENNEPIN

209

HAMMER RIDGEVIEW

HENNEPIN

297

HAWTHORNE HOUSE INC

HENNEPIN

210

HAMMER SHERIDAN

HENNEPIN

297

HAWTHORNE HOUSE INC

HENNEPIN

209

HANDS AT THE CROSS CARE HOME

WASHINGTON

535

HAYDEN'S HOUSE

HENNEPIN

273

HANDS AT THE CROSS CARE HOME

WASHINGTON

538

HAYES RESIDENCE

RAMSEY

426

HANDS AT THE CROSS CARE HOME L

WASHINGTON

535

HAZEL SENIOR LIVING LLC

RAMSEY

427

HANDS CARE LLP

RAMSEY

398

HAZELDEN CTR FOR YOUTH & FAM

HENNEPIN

278

HAPPY END HOMES INC

OLMSTED

368

HAZELDEN FOUNDATION

CHISAGO

66

HAPPY END HOMES INC

HENNEPIN

288

HCMC #1 HOME CARE MORE CARE

ANOKA

18

HAPPY FEET FOOTCARE

DAKOTA

98

HCMC #4 HOME CARE MORE CARE

ANOKA

18

HARBOR AT PEACE VILLAGE

CARVER

57

HCMC CRISIS RESIDENCE

HENNEPIN

240

HARBOR HEALTH MANAGEMENT LLC

HENNEPIN

266

HCMC HOME CARE MORE CARE 3 LLC

ANOKA

18

HARBOR OF PEACE VILLAGE

CARVER

57

HEALING HOME SERVICES LLC

HENNEPIN

240

HARDING PLACE

MORRISON

350

HEALING RESIDENCES INC

ANOKA

13

HARDING PLACE

MORRISON

350

HEALING RESIDENCES INC

ANOKA

13

HARMONY

HENNEPIN

159

HEALTH AT HOME

HENNEPIN

278

HARMONY CARE PROVIDERS LLC

HENNEPIN

159

HEALTH DIMENSIONS REHAB INC

ISANTI

301

HARMONY HEALTH SERVICES LLC

HENNEPIN

240

HEALTH FOUNDATIONS LLC

RAMSEY

427

HARMONY HEALTH SERVICES LLC

HENNEPIN

239

HEALTH POINT HWS LLC

ANOKA

9

HARMONY HOME HEALTH CARE

OTTER TAIL

376

HEALTHEAST BETHESDA HOSPITAL

RAMSEY

427

HARMONY HOMES LLC

HENNEPIN

176

HEALTHEAST HOME CARE

RAMSEY

398

HARMONY HOUSE

MORRISON

350

HEALTHEAST HOSPICE

RAMSEY

427

HARMONY HOUSE

HENNEPIN

240

HEALTHEAST PILLARS

WASHINGTON

533

HARMONY HOUSE

MORRISON

350

HEALTHEAST ST. JOHNS HOSPITAL

RAMSEY

398

HARMONY HOUSE OF BRAINERD I

CROW WING

80

HEALTHEAST SURGERY CENTER

RAMSEY

398

HARMONY HOUSE OF MOTLEY I

MORRISON

349

HEALTHEAST WOODWINDS HOSPITAL

WASHINGTON

538

HARMONY HOUSE OF MOTLEY III

MORRISON

350

HEALTHGUARD PARTNERS INC

HENNEPIN

240

HARMONY LVG HEALTH CARE SVCS

HENNEPIN

176

HEALTHGUARD PARTNERS, INC.

HENNEPIN

240

HARMONY PLACE

FILLMORE

128

HEALTHLINE HOMECARE

SAINT LOUIS

479

HARMONY RIVER LIVING CENTER

MCLEOD

340

HEALTHMAX HOME HEALTH CARE SER

HENNEPIN

240

HARMONY RIVER LIVING CENTER

MCLEOD

339

HEALTHMAX HOME HEALTH SERVICES

ANOKA

9

HARMONY RIVER LIVING CENTER

MCLEOD

339

HEALTHPARTNERS HOSPICE & PAL

HENNEPIN

145

HARRISON BAY SENIOR LIVING

HENNEPIN

271

HEALTHPOINT HOUSING WITH SVCS

HENNEPIN

159

HARRY & JEANETTE WEINBERG APTS

RAMSEY

426

HEALTHPOINT HWS @ 119TH

ANOKA

9

HARRY MEYERING CTR INC

BLUE EARTH

41

HEALTHSTAR HOME HEALTH

RAMSEY

407

HAVEN HOMES OF MAPLE PLAIN

HENNEPIN

221

HEART GROUP HOME LLC

ANOKA

13

HAVENWOOD CARE CENTER

BELTRAMI

31

HEART GROUP HOME LLC

ANOKA

13

HAVENWOOD OF BURNSVILLE

DAKOTA

91

HEART OF A STAR HOME CARE

HENNEPIN

177

HAVENWOOD OF MINNETONKA

HENNEPIN

266

HEART TO HOME

DAKOTA

111

HAVENWOOD OF MINNNETONKA HOME

HENNEPIN

266

HEART TO HOME INC

DAKOTA

112

Minnesota Department of Health

Health Regulation Division

Index For Directory of Facilities and Services Index Page 24

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

HEART TO HOME INC

DAKOTA

111

HERITAGE HAVEN INC

SAINT LOUIS

470

HEART TO HOME INCORPORATED

DAKOTA

111

HERITAGE HAVEN INC III

SAINT LOUIS

470

HEART TO HOME INCORPORATED

DAKOTA

111

HERITAGE HOME HEALTH CARE LLC

HENNEPIN

241

HEART2HEART HOME HEALTH CARE I

RAMSEY

417

HERITAGE HOME HEALTH CARE LLC

DAKOTA

98

HEARTFELT CARE LLC

HENNEPIN

177

HERITAGE HOUSE

HENNEPIN

266

HEARTFELT CARE LLC

HENNEPIN

218

HERITAGE HOUSE

NORMAN

363

HEARTFELT CARE LLC

HENNEPIN

218

HERITAGE HOUSE ASSISTED LIVING

HENNEPIN

210

HEARTHSTONE HOME CARE

SAINT LOUIS

469

HERITAGE HOUSE ELDER CARE

RICE

454

HEARTLAND HM HLTH CARE HOSPICE

OLMSTED

368

HERITAGE HOUSE ELDER CARE

RICE

454

HEARTLAND HOME HC AND HOSPICE

RAMSEY

410

HERITAGE HOUSE ELDER CARE

RICE

454

HEARTLAND HOME HLTH C & HSPICE

BENTON

36

HERITAGE HOUSE OF MILACA

MILLE LACS

345

HEARTLAND PCA LLC

SAINT LOUIS

469

HERITAGE LIVING CENTER

HUBBARD

300

HEARTLAND SENIOR LIVING HOME

MARTIN

338

HERITAGE MANOR

HUBBARD

300

HEARTLAND SENIOR LIVING HOME

FARIBAULT

127

HERITAGE MANOR

HUBBARD

300

HEARTS HOME CARE LLC

RAMSEY

427

HERITAGE MANOR

SAINT LOUIS

466

HEARTWOOD

CROW WING

82

HERITAGE MEADOWS

NICOLLET

358

HEARTWOOD

CROW WING

83

HERITAGE OF EDINA INC

HENNEPIN

203

HEATHER HAUS

STEELE

509

HERITAGE OF EDINA INC

HENNEPIN

203

HEATHER HAUS

STEELE

509

HERITAGE OF EDINA INC

HENNEPIN

203

HEATHERS MANOR

HENNEPIN

193

HERITAGE OF EDINA INC

HENNEPIN

203

HEATHERS MANOR

HENNEPIN

193

HERITAGE PLACE

WRIGHT

552

HEAVEN HOME CARE LLC

RAMSEY

427

HERITAGE PLACE

BLUE EARTH

45

HEAVEN HOMES INC

HENNEPIN

188

HERITAGE POINTE

BENTON

34

HELP AROUND HOME

GOODHUE

134

HERITAGE POINTE SENIOR LIVING

LYON

332

HELP HOME CARE

RAMSEY

398

HERITAGE POINTE SENIOR LIVING

LYON

332

HELP HOME CARE LLC

HENNEPIN

221

HIAWATHA BLUFFS LIVING

WINONA

547

HELPFUL HANDS HOME CARE LLC

HENNEPIN

240

HIAWATHA HOMECARE

GOODHUE

136

HELPING HAND COMPANIONS INC

WRIGHT

553

HIAWATHA SUITES SENIOR LIVING

HENNEPIN

241

HELPING HANDS HOME CARE OF MIN

IOWA

556

HIGH ISLAND CREEK RESIDENCE

SIBLEY

495

HELPING HEART LLC

RAMSEY

446

HIGH POINTE I APARTMENTS

OLMSTED

368

HENDRICKS C H ASSN & RET HOME

LINCOLN

329

HIGH POINTE II APARTMENTS

OLMSTED

368

HENDRICKS CLINIC

LINCOLN

329

HIGH POINTE SURGERY CENTER

WASHINGTON

530

HENDRICKS COMMUNITY HOSPITAL

LINCOLN

329

HIGHER GROUND ST PAUL RESIDENC

RAMSEY

427

HENNEPIN COUNTY MEDICAL CTR

HENNEPIN

240

HIGHLAND APARTMENTS

KANDIYOHI

318

HENNEPIN HEALTHCARE HOSPICE

HENNEPIN

241

HIGHLAND CHATEAU HCC

RAMSEY

427

HENNEPIN HOME HEALTH CARE INC

HENNEPIN

177

HIGHLAND GW LLC

RAMSEY

428

HENRY HAGEN RESIDENCE

DAKOTA

103

HIGHLAND GW LLC

RAMSEY

427

HENRY HILL APARTMENTS

YELLOW MEDICINE

556

HIGHLAND HOMES AND SERVICES

WASHINGTON

526

HERITAGE APARTMENTS INC

RAMSEY

427

HIGHLAND PARK DIALYSIS

RAMSEY

428

HERITAGE COMMONS

HENNEPIN

241

HIGHLAND SENIOR LIVING

MORRISON

349

HERITAGE COTTAGE ON 5TH

HUBBARD

300

HIGHLAND SENIOR LIVING OF LITT

MORRISON

349

HERITAGE COTTAGE ON 6TH

HUBBARD

300

HILLCREST

CASS

63

HERITAGE COURT

HOUSTON

298

HILLCREST ADAMS

SAINT LOUIS

480

HERITAGE HAVEN INC

SAINT LOUIS

470

HILLCREST ALICE - NORTH

SAINT LOUIS

480

HERITAGE HAVEN INC

SAINT LOUIS

470

HILLCREST ALICE - SOUTH

SAINT LOUIS

480

HERITAGE HAVEN INC

SAINT LOUIS

470

HILLCREST CARE & REHAB CENTER

BLUE EARTH

41

Minnesota Department of Health

Health Regulation Division

Index For Directory of Facilities and Services Index Page 25

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

HILLCREST NASHWAUK

ITASCA

309

HOME FOR CREATIVE LIVING

COTTONWOOD

76

HILLCREST OAKS

SAINT LOUIS

480

HOME FRONT FIRST

CHIPPEWA

65

HILLCREST PARKSIDE NORTH

SAINT LOUIS

480

HOME HEALTH AGENCY

BIG STONE

38

HILLCREST PARKSIDE SOUTH

SAINT LOUIS

480

HOME HEALTH AT NORTH RIDGE

HENNEPIN

273

HILLCREST SENIOR LIVING INC

RED LAKE

447

HOME HEALTH CARE INC

HENNEPIN

210

HILLCREST SENIOR LIVING INC

RED LAKE

447

HOME HEALTHCARE AGENCY

RAMSEY

410

HILLCREST SUITES

SAINT LOUIS

480

HOME HELPERS OF THE TWIN CITIE

RAMSEY

398

HILLCREST TERRACE OF CHISHOLM

SAINT LOUIS

466

HOME INSTEAD SENIOR CARE

SAINT LOUIS

470

HILLCREST TERRACE OF CHISHOLM

SAINT LOUIS

466

HOME INSTEAD SENIOR CARE

CROW WING

81

HILLCREST TERRACE OF HIBBING

SAINT LOUIS

480

HOME INSTEAD SENIOR CARE

DAKOTA

91

HILLS CROSSING SENIOR LIVING

CROW WING

84

HOME INSTEAD SENIOR CARE

HENNEPIN

204

HILLSIDE HOMES I

SAINT LOUIS

470

HOME INSTEAD SENIOR CARE

OLMSTED

368

HILLSIDE HOMES II

SAINT LOUIS

470

HOME INSTEAD SENIOR CARE

STEARNS

508

HILLSIDE HOMES OF DULUTH INC

SAINT LOUIS

470

HOME INSTEAD SENIOR CARE

HENNEPIN

203

HILLTOP HEALTH CARE CENTER

MEEKER

344

HOME INSTEAD SENIOR CARE

CROW WING

81

HILLTOP HOME

RICE

455

HOME INSTEAD SENIOR CARE

OLMSTED

368

HILLTOP RESIDENCE INC

LAC QUI PARLE

324

HOME INSTEAD SENIOR CARE

DAKOTA

91

HIS SERVICES HOME CARE LLC

HENNEPIN

159

HOME INSTEAD SENIOR CARE

ANOKA

3

HIS SERVICES HOME CARE LLC

HENNEPIN

152

HOME INSTEAD SENIOR CARE

OLMSTED

368

HISTORICAL HASTINGS DIALYSIS

DAKOTA

103

HOME INSTEAD SENIOR CARE # 161

RAMSEY

398

HMONG SENIOR HEALTH CARE INC

HENNEPIN

159

HOME INSTEAD SENIOR CARE #161

RAMSEY

398

HODAN HOME HEALTH CARE LLC

DAKOTA

116

HOME INSTEAD SENIOR CARE OF MI

HENNEPIN

218

HOFFMAN SENIOR LIVING

GRANT

140

HOME JOY HOME CARE INC

HENNEPIN

177

HOLISTIC HOME CARE LLC

WASHINGTON

539

HOME JOY HOME CARE OF 83

HENNEPIN

177

HOLISTIC HOME CARE LLC

WASHINGTON

538

HOME SWEET HOME OF MINNESOTA

DAKOTA

91

HOLISTIC HOME CARE LLC

WASHINGTON

538

HOME SWEET HOME OF MINNESOTA

WASHINGTON

539

HOLISTIC HOME CARE LLC

WASHINGTON

538

HOME SWEET HOME OF MINNESOTA

RAMSEY

428

HOLISTIC HOME CARE LLC

WASHINGTON

538

HOME SWEET HOME OF MINNESOTA

DAKOTA

91

HOLISTIC HOME CARE LLC

WASHINGTON

538

HOME SWEET HOME OF MINNESOTA

RAMSEY

428

HOLISTIC HOME LLC

HENNEPIN

241

HOME SWEET HOME OF MN

RAMSEY

407

HOLISTIC HOME, LLC

HENNEPIN

241

HOME TO HOME HEALTHCARE LLC

DAKOTA

92

HOLLY RIDGE MANOR

POPE

394

HOME TO HOME HEALTHCARE LLC

DAKOTA

92

HOLLY RIDGE MANOR

POPE

394

HOME WITH YOU COMPANION CARE

DAKOTA

115

HOME AND COMFORT INC

ITASCA

305

HOMECARE RESOURCE LLC

HENNEPIN

198

HOME AND COMFORT INC

ITASCA

305

HOMEHEALTH PARTNERSHIP

CROW WING

83

HOME AND COMFORT INC 2

ITASCA

304

HOMESTEAD PLACE

LINCOLN

330

HOME AND COMMUNITY OPTIONS INC

WINONA

547

HOMESTEAD PLACE

LINCOLN

330

HOME AT HEART CARE INC

CLEARWATER

75

HOMETOWN HOME CARE II

RENVILLE

450

HOME CARE ASSISTANCE OF MINNES

HENNEPIN

203

HOMETOWN SENIOR LIVING

WASHINGTON

539

HOME CARE GIVERS INC

RAMSEY

428

HOMETOWN SENIOR LIVING EAGAN

DAKOTA

100

HOME CARE LINK

RICE

458

HOMETOWN SENIOR LIVING RSMT

DAKOTA

114

HOME CARE MORE CARE #2

ANOKA

18

HOMETOWN SENIOR LIVING-BELMONT

WASHINGTON

539

HOME CARE SERVICE OPTIONS

STEVENS

513

HOMETOWN SENIOR LIVING-WDGWD

WASHINGTON

539

HOME CARE SERVICES

BROWN

49

HOMETOWN SENIOR LIVING-WDGWD C

WASHINGTON

539

HOME CARE SOLUTIONS

HENNEPIN

278

HOMETOWN SENIOR LIVING-WDGWD N

WASHINGTON

539

HOME DIALYSIS UNIT OF TRC INC

HENNEPIN

241

HOMEWARD BOUND BROOKLYN PARK

HENNEPIN

177

Minnesota Department of Health

Health Regulation Division

Index For Directory of Facilities and Services Index Page 26

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

HOMEWARD BOUND MAPLE GROVE

HENNEPIN

218

IHI THOMAS COURT

HENNEPIN

242

HOMEWARD BOUND PLYMOUTH

HENNEPIN

278

IHI ZANE

HENNEPIN

178

HOMEWATCH CAREGIVERS

HENNEPIN

204

IHLC HOMECARE

DAKOTA

98

HOMEWATCH CAREGIVERS OF ST CLO

STEARNS

505

ILBNC SPECIAL PROCEDURES

HENNEPIN

278

HONESTY CARE HOME LLC

HENNEPIN

210

IMMACULATE HOME CARE LLC

RAMSEY

428

HOPE AND NEW LIFE HEALTH CARE

DAKOTA

86

IMPACT HEALTH CARE INC

DAKOTA

98

HOPE AND NEW LIFE HEALTHCARE

DAKOTA

86

IMRAN HEALTHCARE SERVICES LLC

HENNEPIN

242

HOPE ASSISTED LIVING LLC

HENNEPIN

241

IMRAN HEALTHCARE SERVICES LLC

HENNEPIN

242

HOPE ASSISTED LIVING LLC

HENNEPIN

241

IN HOME PERSONAL CARE HOME HEA

RAMSEY

428

HOPE COMMUNITY INC

HENNEPIN

241

IN HOUSE HOME HEALTH LLC

RAMSEY

404

HOPE HOME CARE LLC

RAMSEY

415

IN MY FATHER'S HOUSE LLC

RAMSEY

410

HOPE HOMES LLC

HENNEPIN

145

INDEPENDENCE HOME CARE LLC

MCLEOD

341

HOPE HOMES LLC

HENNEPIN

284

INDEPENDENCE PLUS INC

POLK

389

HOPE PLACE

ANOKA

18

INDEPENDENT ENDEAVORS LLC

DAKOTA

103

HOPE RESIDENTIAL HOMES LLC

HENNEPIN

145

INDEPENDENT HAVEN INC

HENNEPIN

159

HOPE REST HOMES

HENNEPIN

242

INDEPENDENT HAVEN ROSE HAVEN I

WRIGHT

553

HOPE REST HOMES INC

HENNEPIN

242

INDEPENDENT HAVEN ROSE II

WRIGHT

553

HOPE REST HOMES INC

ANOKA

21

INDEPENDENT HOME CARE AGENCY

HENNEPIN

159

HOPE WELLNESS CENTER INC

HENNEPIN

242

INDEPENDENT LIVING PLACEMENT

RAMSEY

428

HOPE'S RESIDENCE

HENNEPIN

145

INDIGO HEALTH CARE SERVICES LL

HENNEPIN

218

HOPE'S RESIDENCE

HENNEPIN

177

INDIGO HEALTHCARE SERVICES LLC

ANOKA

13

HOPE'S RESIDENCE

HENNEPIN

177

INFINITY HEALTH HOME CARE LLC

ANOKA

22

HOPEVILLE HOMES

HENNEPIN

190

INGLESIDE

MARTIN

336

HOPKINS HEALTH SERVICES

HENNEPIN

215

INGLESIDE

MARTIN

336

HORIZON CARE LLC

DAKOTA

86

INSPIRE CARE INC

HENNEPIN

242

HORIZON HEALTH HOMECARE

MORRISON

350

INSPIRE CARE INC

RAMSEY

429

HORIZON HEALTH HOSPICE

MORRISON

350

INSPIRE SERVICES LLC

LESUEUR

328

HORIZON HOME CARE SERVICES INC

HENNEPIN

177

INSPIRED BY YOU HOME CARE LLC

STEARNS

505

HORIZON HOME CARE SERVICES INC

HENNEPIN

177

INTEGRA HOME CARE

DAKOTA

108

HORIZON PLACE

LESUEUR

327

INTEGRA HOME HEALTH PROFESSION

HENNEPIN

273

HORIZON PLACE

LESUEUR

327

INTEGRA HOME HLTH PROFESSIONAL

HENNEPIN

273

HORIZON PUBLIC HEALTH

DOUGLAS

122

INTEGRITY HOME HEALTH CARE LLC

HENNEPIN

160

HOSPICE OF MURRAY COUNTY INC

MURRAY

356

INTER COUNTY NURSING SERVICE

PENNINGTON

383

HOSPICE OF THE MIDWEST

WASHINGTON

539

INTERFAITH CARE CENTER

CARLTON

51

HOSPICE OF THE RED RIVER VALLE

NORTH DAKOTA

557

INTERIM HEALTHCARE

RAMSEY

410

HOWARD HOUSE

RAMSEY

399

INTERIM HEALTHCARE

BLUE EARTH

41

HOYT LAKES CAREFREE LIVING LLC

SAINT LOUIS

481

INTERIM HEALTHCARE

SAINT LOUIS

470

HUB CITY DEVELOPMENT INC

MURRAY

356

INTERIM HEALTHCARE OF ROCHESTE

OLMSTED

368

HUMAN CARE INC

RAMSEY

428

INTERIM HEALTHCARE OF THE TC

RAMSEY

410

HUTCHINSON DIALYSIS CENTER

MCLEOD

340

INTERIM HEALTHCARE ROCHESTER

OLMSTED

368

HUTCHINSON HEALTH

MCLEOD

340

INTERIM HEALTHCARE VENT CARE

SAINT LOUIS

471

HYATT HOUSE LLC

STEARNS

499

INTERIM HOME STYLE SERVICES

RAMSEY

411

HYATT HOUSE LLC

STEARNS

499

INTERLUDE

HENNEPIN

279

IAN'S HOUSE

HENNEPIN

178

INTERLUDE RESTORATIVE SUITES

ANOKA

22

ICELAND MANOR

DAKOTA

108

INTERLUDE RESTORATIVE SUITES

HENNEPIN

279

IDAHO HOME

RAMSEY

428

INTERNATIONAL QUALITY HOMECARE

OLMSTED

369

Minnesota Department of Health

Health Regulation Division

Index For Directory of Facilities and Services Index Page 27

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

INTERNATIONAL QUALITY HOMECARE

OLMSTED

368

JOANN JENSEN

FREEBORN

132

INTERNATIONAL QUALITY HOMECARE

LYON

332

JOHANNA SHORES

RAMSEY

395

INTREPID USA HEALTHCARE SRVCS

HENNEPIN

204

JOHANNA SHORES COMMONS / ARBOR

RAMSEY

395

INTREPID USA HEALTHCARE SVCS

RAMSEY

411

JOHN E HERMAN HOME & TRMT FAC

OLMSTED

369

INTREPID USA HOSPICE

RAMSEY

411

JOHN PAUL APARTMENTS

STEARNS

499

INTUIT HOME CARE

HENNEPIN

273

JOHNSON MEMORIAL ASSISTED LIVI

LAC QUI PARLE

323

INTUIT HOME CARE

HENNEPIN

218

JOHNSON MEMORIAL ASST LVG

LAC QUI PARLE

323

INVER GROVE HEIGHTS WHITE PINE

DAKOTA

106

JOHNSON MEMORIAL BOYD CLINIC

LAC QUI PARLE

323

INVER GROVE HEIGHTS WHITE PINE

DAKOTA

106

JOHNSON MEMORIAL HOME CARE

LAC QUI PARLE

323

INVER GROVE HEIGHTS WP II LLC

DAKOTA

106

JOHNSON MEMORIAL HOSP & HOME

LAC QUI PARLE

323

INVER GROVE HEIGHTS WP LLC

DAKOTA

106

JOHNSON MEMORIAL HOSP & HOME

LAC QUI PARLE

324

INVERWOOD SENIOR LIVING

DAKOTA

107

JONES HARRISON ASSISTED LIVING

HENNEPIN

243

INVERWOOD SENIOR LIVING

DAKOTA

106

JONES HARRISON RESIDENCE

HENNEPIN

243

INVITING HOMES LLC

HENNEPIN

242

JONES HARRISON RESIDENCE ASSIS

HENNEPIN

243

IRIS PARK COMMONS

RAMSEY

429

JORDAN TOWER I

GOODHUE

137

IRON RANGE REHAB CENTER

SAINT LOUIS

483

JORDAN TOWER II

GOODHUE

137

ISLAND VIEW MANOR INC

KANDIYOHI

318

JORGENSEN HOUSE

HENNEPIN

243

IVANHOE MEDICAL CENTER

LINCOLN

329

JOSEPHS DALLMAN HHC

ANOKA

11

IVY HILL SENIOR CARE INC

RICE

455

JOSHUA MANOR

DAKOTA

86

IVY HILL SENIOR CARE INC

RICE

455

JOURDAIN PERPICH EXT CARE FAC

BELTRAMI

33

IYKE'S HOUSE

HENNEPIN

178

JOURNEY HOME

BENTON

36

J & K COMFORT HOME

ANOKA

18

JOURNEYS HOME CARE LLC

HENNEPIN

178

J & K COMFORT HOME

ANOKA

18

JOURNEYS HOME CARE LLC

HENNEPIN

160

J A WEDUM HOSPICE RESIDENCE

HENNEPIN

178

JOY CARE HOMES LLC

HENNEPIN

190

JABEZ CUSTOMIZED LIVING SRVCS

ANOKA

25

JOY CARE HOMES LLC

HENNEPIN

190

JABEZ CUSTOMIZED LIVING SRVS

HENNEPIN

178

JOY CARE HOMES LLC

HENNEPIN

179

JABEZ CUSTOMIZED LIVING SVCS

HENNEPIN

178

JOY CARE HOMES LLC

HENNEPIN

179

JACK PINE CHATEAU

KOOCHICHING

322

JOY HOMES

HENNEPIN

266

JACK PINE CHATEAU HOME CARE

KOOCHICHING

322

JOY LIVING INC

HENNEPIN

279

JAMES RESIDENCES

HENNEPIN

178

JOY LIVING INC

HENNEPIN

243

JAN CAN LLC

DAKOTA

109

JOYFUL COMPANIONS HOME CARE

HENNEPIN

279

JASE'S HOUSE

RAMSEY

411

JOYFUL HOME HEALTH CARE LLC

HENNEPIN

194

JASPER SUNRISE VILLAGE

PIPESTONE

387

JOYFUL HOME HEALTH CARE LLC

ANOKA

22

JASPER SUNRISE VILLAGE

PIPESTONE

387

JOYFUL HOME HEALTHCARE LLC

HENNEPIN

194

JBS HOMES LLC

DAKOTA

109

JOYFUL RESIDENTIAL ASSISTED LI

HENNEPIN

145

JBS HOMES LLC

DAKOTA

109

JOYFUL RESIDENTIAL ASTD LVG

HENNEPIN

145

JENNIFERS SENIOR CARE

DOUGLAS

122

JOYOUS CARE & FAMILY

HENNEPIN

179

JERSEY HOUSE

HENNEPIN

178

JOYOUS CARE & FAMILY PRESERVAT

HENNEPIN

179

JINOW CARE LLC

HENNEPIN

242

JOYOUS CARE SERVICES

HENNEPIN

179

JINOW CARE LLC

HENNEPIN

242

JUBILEE HEALTHCARE INC

HENNEPIN

160

JMKAY HEALTH CARE SERVICES INC

HENNEPIN

178

JUBILEE HOME CARE INC

HENNEPIN

160

JMKAY HEALTH CARE SERVICES INC

ANOKA

22

JULIES HOME HEALTH CARE INC

RENVILLE

450

JMKAY HEALTH CARE SERVICES INC

HENNEPIN

160

JUST FOR RACHEL HOME CARE

ANOKA

3

JMKAY HEALTH CARE SERVICES INC

ANOKA

22

JUST LIKE HOME PLACE LLP

FREEBORN

132

JMKAY HEALTH CARE SERVICES INC

HENNEPIN

160

JUST LIKE HOME PLACE LLP

FREEBORN

132

JMKAY HEALTH CARE SERVICES INC

HENNEPIN

152

JUST LIKE HOME SENIOR CARE

CHISAGO

66

Minnesota Department of Health

Health Regulation Division

Index For Directory of Facilities and Services Index Page 28

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

JUST LIKE HOME SENIOR CARE

CHISAGO

66

KNOLLWOOD PLACE APARTMENTS

HENNEPIN

292

KALEB INC

DAKOTA

112

KNUTE NELSON

DOUGLAS

122

KANABEC COUNTY COMM HEALTH

KANABEC

312

KNUTE NELSON

DOUGLAS

122

KAPLAN WOODS CARE HOME INC

STEELE

511

KNUTE NELSON HOME CARE

DOUGLAS

122

KAREN HOME

HENNEPIN

266

KNUTE NELSON HOSPICE

DOUGLAS

122

KARLSTAD HEALTHCARE CTR INC

KITTSON

320

KNUTSON PLACE APARTMENTS

FREEBORN

132

KAYCEE'S HOME CARE INC

WILKIN

545

KODA LIVING COMMUNITY

STEELE

511

KAYTON RESIDENTIAL LLC

RAMSEY

411

KOOTASCA COMMUNITY ACTION

ITASCA

307

KAYTON RESIDENTIAL LLC

RAMSEY

411

KRISTEN'S HOUSE

HENNEPIN

179

KC COMPANIES OF CROSSLAKE INC

CROW WING

83

KSMS OUR HOUSE LLC

MOWER

352

KC COMPANIES OF SANDSTONE INC

PINE

386

KUBRA HOME CARE INC

HENNEPIN

243

KELLER LAKE COMMONS

SHERBURNE

491

KUBRA HOME CARE INC

HENNEPIN

243

KENN FOLKS HOME CARE SERVICES

DAKOTA

98

KUBRA HOME CARE INC

HENNEPIN

244

KENWOOD PLACE

CARLTON

54

KYLE RESIDENCE

HENNEPIN

160

KENYON SUNSET HOME

GOODHUE

135

LA BONNE VIE INC

HENNEPIN

210

KEYS TO BEST HEALTH

RAMSEY

429

LA BONNE VIE INC

HENNEPIN

210

KEYSTONE BLUFFS

SAINT LOUIS

471

LA CRESCENT HEALTH SVCS

HOUSTON

299

KEYSTONE HOMES LLC

HENNEPIN

190

LAC QUI PARLE CLINIC MADISON

LAC QUI PARLE

324

KEYSTONE PLACE AT LAVALLE FIEL

WASHINGTON

529

LAKE COUNTRY HOME CARE

OTTER TAIL

379

KEYSTONE PLACE LAVALLE FIELDS

WASHINGTON

529

LAKE MINNETONKA CARE CENTER

HENNEPIN

196

KHADRA H MOHAMED

DAKOTA

109

LAKE MINNETONKA SHORES

HENNEPIN

289

KIDS FIRST HOME CARE INC

HENNEPIN

243

LAKE MINNETONKA SHORES

HENNEPIN

289

KIND CARE LLC

HENNEPIN

160

LAKE MINNETONKA SHORES

HENNEPIN

289

KIND HEART CARE HOME

RAMSEY

415

LAKE OWASSO RESIDENCE

RAMSEY

415

KIND HEART CARE HOME INC

RAMSEY

415

LAKE PHALEN OPCO LLC

RAMSEY

399

KINDHEART HOMES INC

HENNEPIN

243

LAKE PLACE I APARTMENTS

KANDIYOHI

318

KINDHEART HOMES INC

HENNEPIN

179

LAKE PLACE II APARTMENTS

KANDIYOHI

318

KINDHEART HOMES INC

HENNEPIN

179

LAKE REGION HEALTHCARE CORP

OTTER TAIL

376

KINDLY CARE RESIDENT LLC

RAMSEY

429

LAKE REGION HOME HEALTH

KANDIYOHI

314

KINDRED AT HOME

RAMSEY

411

LAKE RIDGE ASSISTED LIVING

WRIGHT

550

KINDRED AT HOME

SAINT LOUIS

471

LAKE RIDGE ASSISTED LIVING

WRIGHT

551

KINDRED CARES

SHERBURNE

493

LAKE RIDGE CARE CTR OF BUFFALO

WRIGHT

550

KINDRED HOSPICE

HENNEPIN

204

LAKE SHORE RES TREATMENT

WASHINGTON

530

KINGDOM HOME HEALTH CARE LLC

LYON

330

LAKE SONG ASSISTED LIVING

MILLE LACS

346

KINGDOM PLACE

HENNEPIN

160

LAKE SONG ASSISTED LIVING

MILLE LACS

346

KINGFISHER HEALTH LLC

ANOKA

9

LAKE SUPERIOR CONCIERGE INC

SAINT LOUIS

471

KINGSLEY SHORES SENIOR LIVING

DAKOTA

109

LAKE VIEW MEMORIAL HOSPITAL

LAKE

325

KINGSWAY HEALTHCARE SERVICES

HENNEPIN

179

LAKE WINONA MANOR

WINONA

547

KINGSWAY HEALTHCARE SVCS LLC

HENNEPIN

179

LAKELAND HOMECARE LLC

DAKOTA

99

KINGSWAY HOME CARE

SCOTT

485

LAKELAND HOMECARE LLC

HENNEPIN

180

KINGSWAY RETIREMENT LIVING

SCOTT

485

LAKELAND HOMECARE LLC

DAKOTA

98

KITTSON COUNTY HOSPICE INC

KITTSON

320

LAKESHORE INN NURSING HOME

WASECA

525

KITTSON MEM CLINIC OF KARLSTAD

KITTSON

320

LAKESIDE APARTMENTS

MEEKER

342

KITTSON MEMORIAL CLINIC

KITTSON

320

LAKESIDE ASSISTED LIVING

MEEKER

342

KITTSON MEMORIAL HOME HLTHCARE

KITTSON

320

LAKESIDE HEALTH CARE CENTER

MEEKER

342

KITTSON MEMORIAL HOSPITAL

KITTSON

320

LAKESIDE HEALTH SERVICES INC

STEARNS

505

Minnesota Department of Health

Health Regulation Division

Index For Directory of Facilities and Services Index Page 29

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

LAKESIDE MANOR

SAINT LOUIS

471

LANDINGS OF SAUK RAPIDS

BENTON

36

LAKESIDE MANOR BOARDING HOME I

SAINT LOUIS

471

LANDMARK SURGERY CENTER

WASHINGTON

540

LAKESIDE MEDICAL CENTER

PINE

385

LANGE BOARD AND ROOM INC

SHERBURNE

491

LAKEVIEW ASSISTED LIVING

JACKSON

310

LANGE BOARD AND ROOM INC

SHERBURNE

491

LAKEVIEW ASSISTED LIVING

JACKSON

309

LANGE BOARD AND ROOM INC

SHERBURNE

491

LAKEVIEW HOME HEALTH CARE INC

ANOKA

22

LANGTON SHORES

RAMSEY

411

LAKEVIEW HOMECARE

WASHINGTON

535

LARPENTEUR AVENUE DIALYSIS

RAMSEY

411

LAKEVIEW HOSPICE

WASHINGTON

536

LARSON COMMONS

CARLTON

52

LAKEVIEW MEMORIAL HOSPITAL

WASHINGTON

535

LATHAM PLACE

WASECA

525

LAKEVIEW METHODIST HCC

MARTIN

336

LATHAM PLACE

WASECA

525

LAKEVIEW RANCH

MEEKER

342

LATITUDES TREATMENT CENTER LLC

RAMSEY

429

LAKEVIEW RANCH

MEEKER

342

LAURA BAKER SERVICES ASSC

RICE

458

LAKEVIEW RANCH

MEEKER

342

LAURELS EDGE ASSISTED LIVING

BLUE EARTH

41

LAKEVIEW RESIDENCE

SAINT LOUIS

484

LAURELS EDGE ASSISTED LIVING

BLUE EARTH

41

LAKEVIEW RESIDENCE

SAINT LOUIS

484

LAURELS PEAK CARE & REHAB CTR

BLUE EARTH

42

LAKEVIEW RETIREMENT RESIDENCE

ROSEAU

463

LB ALCOTT MANOR

OTTER TAIL

376

LAKEVIEW RETIREMENT RESIDENCE

ROSEAU

463

LB BROEN HOME

OTTER TAIL

376

LAKEVIEW SENIOR HOUSING

LYON

330

LB HOME CARE

OTTER TAIL

376

LAKEVIEW SENIOR LIVING APMTS

OTTER TAIL

375

LB HOSPICE

OTTER TAIL

376

LAKEVIEW SENIOR LIVING APTS

OTTER TAIL

375

LB SHERIDAN HOUSE

OTTER TAIL

377

LAKEVILLE DIALYSIS

DAKOTA

109

LB WOODLAND LODGE

OTTER TAIL

377

LAKEWALK SURGERY CENTER INC

SAINT LOUIS

471

LE SUEUR COUNTY PUBLIC HEALTH

LESUEUR

327

LAKEWOOD

CARVER

56

LEADING CHOICE HOME HELPERS

BROWN

49

LAKEWOOD CARE CENTER

LAKE OF THE WOODS

326

LEGACY CARE HOME

HENNEPIN

267

LAKEWOOD CLINIC BROWERVILLE

TODD

516

LEGACY CARE HOME II

HENNEPIN

267

LAKEWOOD CLINIC EAGLE BEND

TODD

516

LEGACY CARE HOME LLC

HENNEPIN

267

LAKEWOOD CLINIC MOTLEY

MORRISON

350

LEGACY CARE HOME LLC

HENNEPIN

267

LAKEWOOD CLINIC PILLAGER

CASS

61

LEGACY COMMUNITY CARE INC

ANOKA

11

LAKEWOOD CLINIC STAPLES

WADENA

522

LEGACY COMMUNITY CARE INC

ANOKA

14

LAKEWOOD HEALTH CENTER

LAKE OF THE WOODS

326

LEGACY HOME HEALTH CARE INC

HENNEPIN

210

LAKEWOOD HEALTH CENTER

LAKE OF THE WOODS

326

LEGACY OF BROWNSDALE

MOWER

354

LAKEWOOD HEALTH CENTER CLINIC

LAKE OF THE WOODS

326

LEGACY OF BROWNSDALE

MOWER

354

LAKEWOOD HEALTH SYSTEM

TODD

518

LEGACY PLACE LLC

BENTON

36

LAKEWOOD HEALTH SYSTEM

WADENA

522

LEGACY PLACE LLC

BENTON

36

LAKEWOOD HEALTH SYSTEM HOSPICE

WADENA

522

LEGEND HLTH CARE RESOURCES LLC

RAMSEY

429

LAKEWOOD HLTH SYS HM C & HSPCE

WADENA

522

LEVEL MOUNTAIN HOME CARE LLC

HENNEPIN

198

LAKEWOOD HOME

KANDIYOHI

314

LEWISTON SENIOR LIVING

WINONA

545

LAKEWOOD MANOR

TODD

518

LIBERTY FOSTER HOME CARE LLC

WASHINGTON

531

LAKEWOOD PINES SENIOR HOUSING

WADENA

522

LIBERTY FOSTER HOME CARE LLC

HENNEPIN

244

LAKEWOOD PINES SENIOR HOUSING

WADENA

522

LIBERTY FOSTER HOME CARE LLC

WASHINGTON

540

LAKEWOOD SURGERY CENTER

ITASCA

307

LIBERTY HOME CARE LLC

SCOTT

486

LAMPLIGHTER MANOR

BECKER

27

LIBERTY MATHAN LLC

ANOKA

5

LANDINGS AT SAUK RAPIDS

BENTON

36

LIBERTY MATHAN LLC

ANOKA

5

LANDINGS OF BLAINE

ANOKA

10

LIBERTY MATHAN LLC

ANOKA

5

LANDINGS OF BLAINE

ANOKA

10

LIFE INSPIRED

HENNEPIN

244

LANDINGS OF MINNETONKA

HENNEPIN

266

LIFECARE GREENBUSH MANOR

ROSEAU

462

Minnesota Department of Health

Health Regulation Division

Index For Directory of Facilities and Services Index Page 30

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

LIFECARE GREENBUSH MANOR

ROSEAU

462

LIVING WELL 3801

HENNEPIN

287

LIFECARE GREENBUSH MANOR

ROSEAU

462

LIVING WELL 3807

HENNEPIN

287

LIFECARE HOME CARE

ROSEAU

463

LIVING WELL 75TH

HENNEPIN

219

LIFECARE HOSPICE

ROSEAU

463

LIVING WELL BROOKVIEW

RAMSEY

399

LIFECARE MEDICAL CENTER

ROSEAU

463

LIVING WELL CARMEN

DAKOTA

112

LIFESPACE PERSONAL SERVICES

HENNEPIN

145

LIVING WELL CENTRAL

ISANTI

302

LIFESPRK

HENNEPIN

293

LIVING WELL CONGRESS

DAKOTA

115

LIFESPRK HOME HEALTH

HENNEPIN

293

LIVING WELL COPE

RAMSEY

399

LIFESPRK HOSPICE LLC

HENNEPIN

293

LIVING WELL DIANE

DAKOTA

112

LIFESPRK LLC

HENNEPIN

293

LIVING WELL DOUGLAS

WRIGHT

551

LIFESTONE HEALTH CARE INC

SAINT LOUIS

482

LIVING WELL EAST EMERSON

DAKOTA

116

LIFESTONE HEALTH CARE INC

SAINT LOUIS

482

LIVING WELL EDGEWOOD

HENNEPIN

180

LIFETRACK RESOURCES

RAMSEY

429

LIVING WELL FRANCE

HENNEPIN

287

LIGHTCARE GROUP HOMES LLC

HENNEPIN

284

LIVING WELL HOME CARE LLC

HENNEPIN

161

LIGHTCARE GROUP HOMES LLC

DAKOTA

92

LIVING WELL HOME CARE LLC

HENNEPIN

273

LILAC HOMES CORPORATION

CLAY

72

LIVING WELL HOSPITALITY, LLC

DAKOTA

87

LILAC HOMES CORPORATION

CLAY

73

LIVING WELL KENNELLY

DAKOTA

92

LILAC HOMES CORPORATION

CLAY

72

LIVING WELL LARPENTEUR

RAMSEY

399

LILAC HOMES ENHANCED AL & MC

CLAY

69

LIVING WELL LYNDALE

HENNEPIN

161

LILYDALE SENIOR LIVING

DAKOTA

111

LIVING WELL MARY ADELE

DAKOTA

112

LILYDALE SENIOR LIVING

DAKOTA

111

LIVING WELL MARYLAND

RAMSEY

399

LINCOLN LANE VILLA

LINCOLN

329

LIVING WELL POPPLER

DAKOTA

99

LINCOLN PARK ASSISTED LIVING

BECKER

28

LIVING WELL POWELL

SHERBURNE

491

LINCOLN PARK SENIOR APARTMENT

BECKER

28

LIVING WELL UPPER 55TH

DAKOTA

107

LINDA GRACK CARES

NICOLLET

359

LIVING WELL VICTORIA

DAKOTA

112

LINDEN GROVE VETERAN APTS

STEARNS

505

LONG LAKE ASSISTED LIVING LLC

HENNEPIN

215

LINDEN TREE CIRCLE

CLAY

72

LONG LAKE ASSISTED LIVING LLC

HENNEPIN

216

LINDENWOOD ASSISTED LIVING

MURRAY

356

LONG LAKE LOON LODGE

BELTRAMI

31

LINK UP HOME HEALTHCARE

HENNEPIN

244

LONG LAKE LOON LODGE

BELTRAMI

31

LINK UP HOME HEALTHCARE

HENNEPIN

244

LONG PRAIRIE HOSP EAGLE VALLEY

TODD

517

LINO LAKES ASSISTED LIVING LLC

ANOKA

24

LOREN ON PARK

HENNEPIN

244

LINO LAKES ASSISTED LIVING LLC

ANOKA

24

LOVE & CARE LLC

HENNEPIN

211

LINO LAKES GRACEWOOD

ANOKA

24

LOVE & CARE LLC

HENNEPIN

161

LINO LAKES GW LLC

ANOKA

24

LOVING CARE COTTAGE LLC

WASHINGTON

526

LITCHFIELD HRA

MEEKER

343

LOVING CARE COTTAGEINC

WASHINGTON

526

LITTLE FALLS CARE CENTER

MORRISON

349

LOVING CAREPARTNERS LLC

WASHINGTON

526

LITTLE SISTERS OF THE POOR

RAMSEY

429

LOVING RESIDENCE

GOODHUE

137

LITTLEFORK MEDICAL CENTER

KOOCHICHING

322

LOVING RESIDENCE

GOODHUE

137

LIVEWELL HOME CARE LLC

RAMSEY

429

LOVING TOUCH INC

HENNEPIN

244

LIVEWELL MANAGEMENT

HENNEPIN

215

LOVINGCARE NURSING & HOME CARE

DAKOTA

117

LIVING CHALLENGE

HENNEPIN

244

LOWRY TOWERS

HENNEPIN

244

LIVING GRACE HOME CARE

HENNEPIN

160

LOYAL HEALTH CARE SERVICES LLC

HENNEPIN

180

LIVING GRACE HOME CARE

ANOKA

18

LOYALTY HOME HEALTHCARE

HENNEPIN

194

LIVING HOPE COTTAGES SAVAGE

SCOTT

488

LSS OF WADENA LLC

WADENA

523

LIVING LIFE HOME CARE

HENNEPIN

273

LUANN'S PLACE LLC

HENNEPIN

198

LIVING MEADOWS AT LUTHER

WATONWAN

543

LUANN'S PLACE LLC

HENNEPIN

198

Minnesota Department of Health

Health Regulation Division

Index For Directory of Facilities and Services Index Page 31

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

LUNA WOMEN'S WELLNESS & BC PC

CROW WING

81

MAPLE HILL SENIOR LIVING LLC

RAMSEY

399

LUTHER HAVEN

CHIPPEWA

65

MAPLE HOUSE LLC

ANOKA

26

LUTHERAN BRETHREN HOME CARE

OTTER TAIL

377

MAPLE LAWN SENIOR CARE

MURRAY

355

LUTHERAN SOCIAL SERVICE

STEARNS

500

MAPLE SENIOR LIVING

HENNEPIN

219

LUTHERAN SOCIAL SERVICE OF MIN

STEARNS

500

MAPLE WOODS ASSISTED LIVING

ITASCA

304

LYNDALE MANOR

HENNEPIN

244

MAPLE WOODS ASSISTED LIVING

ITASCA

305

LYNGBLOMSTEN APARTMENTS

RAMSEY

429

MAPLE WOODS ASSISTED LIVING AN

ITASCA

304

LYNGBLOMSTEN CARE CENTER

RAMSEY

430

MAPLETON COMMUNITY HOME

BLUE EARTH

45

LYNGBLOMSTEN SERVICES INC

RAMSEY

430

MAPLETON COMMUNITY HOME

BLUE EARTH

45

LYNN ANDERSON

MILLE LACS

345

MAPLEVIEW ESTATES

MURRAY

355

MA'S ROOM AND BOARD

GOODHUE

137

MAPLEWOOD CARE CENTER

RAMSEY

399

MADELIA COMMUNITY HOSP HM CARE

WATONWAN

543

MAPLEWOOD CARE RESIDENCE

RAMSEY

399

MADELIA COMMUNITY HOSPITAL

WATONWAN

543

MAPLEWOOD COURT ASSISTED LIVIN

MURRAY

355

MADISON AVENUE APARTMENTS

LYON

333

MAPLEWOOD COURT ASST LIVING

MURRAY

355

MADISON AVENUE APARTMENTS

LYON

333

MAPLEWOOD DIALYSIS CENTER

RAMSEY

400

MADISON HEALTHCARE SERVICES

LAC QUI PARLE

324

MAPLEWOOD RESIDENCE INC

MARTIN

336

MADISON HOME HEALTH AGENCY

LAC QUI PARLE

324

MARANATHA CARE CENTER

HENNEPIN

161

MADISON HOSPITAL

LAC QUI PARLE

324

MARANATHA COMMONS

HENNEPIN

161

MADONNA MEADOWS

OLMSTED

369

MARANATHA PLACE

HENNEPIN

161

MADONNA MEADOWS

OLMSTED

369

MARCELLA MANOR LLC

OLMSTED

369

MADONNA SUMMIT OF BYRON

OLMSTED

364

MARCELLA MANOR LLC

OLMSTED

369

MADONNA TOWERS OF ROCHESTER

OLMSTED

369

MARGARET PLACE

ANOKA

18

MADONNA TOWERS OF ROCHESTER

OLMSTED

369

MARGARET PLACE LIMITED PARTNER

ANOKA

18

MADONNA TOWERS OF ROCHESTER IN

OLMSTED

369

MARGARETS HOUSE

DAKOTA

112

MAGNOLIA HOME HEALTHCARE LLC

HENNEPIN

245

MARK YOUR HOME HEALTH CARE LLC

WASHINGTON

540

MAHNOMEN AREA ASSISTED LIVING

MAHNOMEN

334

MARTHA HOUSE LLC

CARVER

57

MAHNOMEN HEALTH CENTER

MAHNOMEN

335

MARTIN LUTHER CARE CENTER

HENNEPIN

146

MAHNOMEN HEALTH CENTER

MAHNOMEN

335

MARY CLARE OLSON AGENCY

STEARNS

505

MAHUBE OTWA COMMUNITY ACTION

BECKER

28

MARY HALL

RAMSEY

430

MAINSTREET VILLAGE

HENNEPIN

284

MARY T HOME HEALTH

ANOKA

19

MAJESTIC PINES

ITASCA

307

MARY T HOSPICE

ANOKA

19

MAJESTIC PINES

ITASCA

307

MARYWOOD

SAINT LOUIS

471

MALA STRANA ASSISTED LIVING

SCOTT

486

MATRIX HOME HEALTH CARE SPECIA

HENNEPIN

198

MALA STRANA ASSISTED LIVING

SCOTT

486

MAXIMUM HOME CARE SERVICES LLC

RAMSEY

430

MALA STRANA CARE & REHAB CTR

SCOTT

486

MAYA'S HOUSE

ANOKA

25

MAMAE CARE INC

HENNEPIN

245

MAYO CLIN HLTH SYS SPRINGFIELD

BROWN

50

MANKATO CLINIC ENDOSCOPY CTR

BLUE EARTH

42

MAYO CLINIC ALBERT LEA

FREEBORN

132

MANKATO SURGERY CENTER

BLUE EARTH

42

MAYO CLINIC ALBERT LEA AUSTIN

FREEBORN

132

MANKATO UPTOWN DIALYSIS

BLUE EARTH

45

MAYO CLINIC DIALYSIS

FREEBORN

132

MANOR HOUSE

HENNEPIN

198

MAYO CLINIC DIALYSIS WABASHA

WABASHA

520

MANZMED START CORPORATIONS

HENNEPIN

145

MAYO CLINIC DIALYSIS FAIRMONT

MARTIN

336

MANZMED START CORPORATIONS

HENNEPIN

145

MAYO CLINIC DIALYSIS METHODIST

OLMSTED

370

MAPLE GROVE CTR RESTORATIVE

HENNEPIN

219

MAYO CLINIC DIALYSIS OWATONNA

STEELE

511

MAPLE GROVE DIALYSIS UNIT

HENNEPIN

219

MAYO CLINIC DIALYSIS ST. MARYS

OLMSTED

370

MAPLE GROVE HOSPITAL

HENNEPIN

219

MAYO CLINIC HEALTH SYS AUSTIN

MOWER

352

MAPLE HILL SENIOR LIVING LLC

RAMSEY

399

MAYO CLINIC HEALTH SYS CF

GOODHUE

135

Minnesota Department of Health

Health Regulation Division

Index For Directory of Facilities and Services Index Page 32

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

MAYO CLINIC HEALTH SYS FRANCIS

WISCONSIN

559

MENORAH PLAZA APARTMENTS

HENNEPIN

293

MAYO CLINIC HEALTH SYS MANKATO

BLUE EARTH

42

MENORAH WEST APARTMENTS

HENNEPIN

293

MAYO CLINIC HEALTH SYS MANKATO

BLUE EARTH

42

MENTAL HEALTH NURSING LLC

RAMSEY

405

MAYO CLINIC HEALTH SYS RED WIN

GOODHUE

137

MERCY CARE HOME LLC

HENNEPIN

267

MAYO CLINIC HEALTH SYS RED WIN

GOODHUE

137

MERCY CARE HOME LLC

HENNEPIN

267

MAYO CLINIC HEALTH SYS ST JAME

WATONWAN

544

MERCY CAREGIVERS OF MINNESOTA

ANOKA

25

MAYO CLINIC HEALTH SYS WASECA

WASECA

525

MERCY CAREGIVERS OF MINNESOTA

ANOKA

26

MAYO CLINIC HEALTH SYSTEM

GOODHUE

136

MERCY HOME CARE SERVICE

RAMSEY

411

MAYO CLINIC HEALTH SYSTEM

MARTIN

336

MERCY HOME HEALTH AGENCY

CARLTON

54

MAYO CLINIC HEALTH SYSTEM

WABASHA

519

MERCY HOME HEALTH LLC

HENNEPIN

290

MAYO CLINIC HOSPICE

OLMSTED

370

MERCY HOSPITAL

ANOKA

19

MAYO CLINIC HOSPITAL ROCHESTER

OLMSTED

370

MERCY HOSPITAL

CARLTON

54

MAYO CLINIC NE CLINIC

OLMSTED

370

MERCY HOUSING

HENNEPIN

284

MBW COMPANY

BROWN

46

MERCY LINK LLC

HENNEPIN

245

MBW COMPANY

BROWN

46

MERCY LINK LLC

DAKOTA

92

MCCANNEL EYE SURGERY

HENNEPIN

204

MERCY LINK LLC

DAKOTA

92

MCCARTHY MANOR INC

SAINT LOUIS

471

MERCY LINK LLC

HENNEPIN

204

MCCARTHY MANOR INC

SAINT LOUIS

472

MERIDIAN MANOR

HENNEPIN

297

MCCLISH MANOR

DAKOTA

117

MERIDIAN MANOR

HENNEPIN

297

MCCORNELL COURT

OTTER TAIL

380

MERRCY CARE HOME LLC

HENNEPIN

293

MCCORNELL COURT

OTTER TAIL

380

MERRCY CARE HOME LLC

HENNEPIN

245

MCGREGOR CAREFREE LIVING LLC

AITKIN

2

MERRITT HOUSE

SAINT LOUIS

484

MCHAVEN INC

GOODHUE

135

METRO ASSISTED LIVING

ANOKA

22

MCHS NEW PRAGUE

SCOTT

486

METRO ASSISTED LIVING AND REHA

HENNEPIN

146

MCINTOSH SENIOR LIVING

POLK

392

METRO CARE HUMAN SERVICES

WASHINGTON

540

MCKENNA CROSSING

SCOTT

487

METRO HEALTH CARE SERVICES LLC

RAMSEY

400

MCKENNA CROSSING

SCOTT

487

METRO HEALTH CARE SERVICES LLC

RAMSEY

400

MEADOW CREEK

PINE

385

METRO NURSING SERVICES LLC

RAMSEY

400

MEADOW CREEK HOSPITALITY LLC

CHIPPEWA

65

METRO THERAPY SPECIAL CHILDREN

ANOKA

22

MEADOW LAKES

OLMSTED

370

METROPOLITAN COMMUNITY SVCS

HENNEPIN

215

MEADOW LANE REHAB AND HCC

SWIFT

515

METROPOLITAN LIVING LLC

DAKOTA

92

MEADOW MANOR

MOWER

354

METROPOLITAN LIVING LLC

HENNEPIN

146

MEADOW RIDGE SENIOR LIVING

HENNEPIN

211

METROPOLITAN SINCERITY HOMECAR

HENNEPIN

245

MEADOW WOODS

HENNEPIN

146

METROPOLITAN SINCERITY HOMECAR

HENNEPIN

245

MEADOWOOD SHORES SR HOUSING

RAMSEY

404

METROPOLITAN SURGICAL CTR

HENNEPIN

219

MEADOWS ON FAIRVIEW

CHISAGO

68

MIAKARSEH HOUSE

ANOKA

19

MEADOWS ON FAIRVIEW

CHISAGO

69

MIDSOTA SURGICAL SUITES

STEARNS

505

MEADOWS ON MAIN

RENVILLE

452

MIDWAY CARE CENTER INC

POLK

392

MEDFORD SENIOR CARE LLC

STEELE

509

MIDWEST GROUP HOME LLC

HENNEPIN

245

MEEKER MANOR REHAB CTR LLC

MEEKER

343

MIDWEST GROUP LIVING INC

HENNEPIN

245

MEEKER MEMORIAL HOSPITAL

MEEKER

343

MIDWEST GROUP LIVING INC

HENNEPIN

245

MELKEZEDEK CARE LLC

HENNEPIN

180

MIDWEST HOMES INC

HENNEPIN

246

MELKEZEDEK CARE LLC

HENNEPIN

180

MIDWEST HOMES INC

HENNEPIN

246

MENAHGA HOME HEALTH

WADENA

521

MIDWEST HOMES INC

DAKOTA

92

MENDOTA HEIGHTS WHITE PINE

DAKOTA

112

MIDWEST MEDICAL HOLDINGS INC

RAMSEY

403

MENDOTA HEIGHTS WP LLC

DAKOTA

112

MIDWEST PROFESSIONAL SERVICES

HENNEPIN

246

Minnesota Department of Health

Health Regulation Division

Index For Directory of Facilities and Services Index Page 33

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

MIDWEST RESIDENTIAL

HENNEPIN

146

MINNESOTA EYE LASER & SURGERY

HENNEPIN

267

MIDWEST RESIDENTIAL INC

HENNEPIN

146

MINNESOTA GREENLEAF

PENNINGTON

383

MIDWEST RESIDENTIAL INC

HENNEPIN

146

MINNESOTA GREENLEAF

PENNINGTON

383

MIDWEST SURGERY CENTER

WASHINGTON

540

MINNESOTA GROUP HOMES LLC

HENNEPIN

146

MIKES PLACE LLC

SHERBURNE

493

MINNESOTA GROUP HOMES LLC

HENNEPIN

146

MIKKELSEN MANOR

COTTONWOOD

77

MINNESOTA HOME OF CARE AND COM

DAKOTA

99

MIKKELSEN MANOR ASSISTED LIVIN

COTTONWOOD

77

MINNESOTA HOSPICE LLC

DAKOTA

109

MILES VENTS INC

HENNEPIN

180

MINNESOTA MASONIC HOME CARE

HENNEPIN

147

MILES VENTS INCORPORATED

HENNEPIN

161

MINNESOTA SENIOR LIVING LLC DB

DAKOTA

92

MILESTONE SENIOR LIVING

RICE

455

MINNESOTA TEEN CHALLENGE

HENNEPIN

247

MILESTONE SENIOR LIVING

RICE

455

MINNESOTA VALLEY SURGERY CTR

DAKOTA

92

MILL CITY HOME HEALTH CARE INC

ANOKA

22

MINNESOTA VASCULAR SURGERY CTR

RAMSEY

405

MILL CITY SENIOR LIVING

RICE

455

MINNESOTA WELLNESS CENTER LLC

HENNEPIN

267

MILL POND VIEW APARTMENTS

OTTER TAIL

380

MINNESOTA WELLNESS CENTER LLC

RAMSEY

430

MILLE LACS BAND OF OJIBWE PUBL

MILLE LACS

346

MINNESOTA WELLNESS CENTER LLC

HENNEPIN

215

MILLE LACS FAMILY CLINIC

MORRISON

347

MINNESOTA WELLNESS CENTER LLC

HENNEPIN

267

MILLE LACS FAMILY CLINIC ISLE

MILLE LACS

344

MINNESOTAWEST H HEALTHCARE

HENNEPIN

279

MILLE LACS FAMILY CLNC ONAMIA

MILLE LACS

346

MINNETONKA AMBULATORY SURGERY

HENNEPIN

267

MILLE LACS HEALTH SYSTEM

MILLE LACS

346

MINNETONKA ASSISTED LIVING LLC

HENNEPIN

268

MILLE LACS HLTH SYS HOSPICE

MILLE LACS

346

MINNETONKA ASSISTED LIVING LLC

HENNEPIN

268

MILLE LACS HOME CARE

MILLE LACS

346

MINNETONKA CARE RESIDENCE

HENNEPIN

147

MILLENNIUM HEALTH CARE LLC

HENNEPIN

246

MINNETONKA DIALYSIS UNIT

HENNEPIN

268

MILLENNIUM HOME SENIOR CARE

DAKOTA

99

MINNEWASKA COMMUNITY HLTH SVC

POPE

394

MILLENNIUM HOMES LLC

HENNEPIN

274

MINNEWASKA COMMUNITY HOME CARE

LYON

331

MILLENNIUM HOMES LLC

DAKOTA

99

MIRACLES 1ST LLC

ANOKA

3

MILLER'S LANDING

HENNEPIN

246

MIRAGE HOMES LLC

HENNEPIN

215

MILLERS LANDING

HENNEPIN

246

MIRIAM MANOR

KANDIYOHI

314

MILLS MANOR

OTTER TAIL

379

MISSION COURT

NORMAN

362

MILLS MANOR

OTTER TAIL

380

MISSION DETOX CENTER

HENNEPIN

279

MILLSTREAM COMMONS

RICE

458

MISSION GROUP HOME LLC

HENNEPIN

215

MILLSTREAM COMMONS HOME CARE

RICE

458

MISSION HILL GROUP HOME SRVCS

HENNEPIN

247

MILS HOME HEALTH CARE AGENCY

HENNEPIN

245

MISSION HILL GROUP HOME SRVS

HENNEPIN

247

MINN CARE HOME HEALTH LLC

HENNEPIN

274

MISSION NURSING HOME

HENNEPIN

279

MINN CARE HOME HEALTH LLC

RAMSEY

405

MN BEST HOME CARE LLC

HENNEPIN

180

MINNEAPOLIS DIALYSIS UNIT

HENNEPIN

246

MN BEST HOME CARE LLC

HENNEPIN

161

MINNEAPOLIS NE DIALYSIS

HENNEPIN

246

MN CARE ACCESS LLC

HENNEPIN

247

MINNEAPOLIS UPTOWN DIALYSIS

HENNEPIN

246

MN CARE COUNSELING SERV INC

HENNEPIN

247

MINNEHAHA COMMONS

HENNEPIN

246

MN COMFORT IN-HOME CARE SERVIC

BROWN

49

MINNEHAHA SENIOR LIVING

HENNEPIN

247

MN EYE LASER & SURGERY CENTER

HENNEPIN

146

MINNEHAHA SENIOR LIVING

HENNEPIN

259

MN EYE LASER & SURGERY CTRS

WASHINGTON

540

MINNEOTA MANOR HCC

LYON

334

MN GROUP HOME LLC

HENNEPIN

247

MINNESOTA BIRTH CENTER

RAMSEY

430

MN HOME CARE

CROW WING

78

MINNESOTA BIRTH CENTER

HENNEPIN

247

MN MEDICAL & REHAB SERVS LLC

HENNEPIN

293

MINNESOTA ENDOSCOPY CENTER LLC

RAMSEY

430

MN SEX OFFENDER PROGRAM

CARLTON

54

MINNESOTA EYE INSTITUTE

DOUGLAS

122

MN SPECIALTY HEALTH SYSTEM

CROW WING

82

MINNESOTA EYE LASER & SURGERY

ANOKA

10

MN SPECIALTY HEALTH SYSTEM

WADENA

523

Minnesota Department of Health

Health Regulation Division

Index For Directory of Facilities and Services Index Page 34

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

MN SPECIALTY HEALTH SYSTEM

KANDIYOHI

318

MOUNT OLIVET ROLLING ACRES

CARVER

58

MN VETERANS HOME FERGUS FALLS

OTTER TAIL

377

MOUNT OLIVET ROLLING ACRES

CARVER

57

MN VETERANS HOME HASTINGS

DAKOTA

104

MOUNT OLIVET ROLLING ACRES

CARVER

59

MN VETERANS HOME LUVERNE

ROCK

461

MOUNT ST. BENEDICT LIVING

POLK

389

MN VETERANS HOME MINNEAPOLIS

HENNEPIN

262

MPLS CLINIC OF NEUROLOGY

HENNEPIN

213

MN VETERANS HOME SILVER BAY

LAKE

325

MS V'S CARING HANDS LLC

CARVER

57

MNCARE MANOR ASSISTED LVG CO

HENNEPIN

268

MS-AC MANKATO AG SENIOR LIVING

BLUE EARTH

42

MNCARE MANOR LLC

HENNEPIN

268

MS-AC MANKATO WE SENIOR LIVING

BLUE EARTH

42

MNGI ENDOSCOPY BLOOMINGTON

HENNEPIN

147

MSOP GREEN ACRES

NICOLLET

359

MNGI ENDOSCOPY COON RAPIDS

ANOKA

19

MSOP PEXTON SHANTZ

NICOLLET

359

MNGI ENDOSCOPY EAGAN

DAKOTA

99

MSOP SUNRISE

NICOLLET

359

MNGI ENDOSCOPY MAPLEWOOD

RAMSEY

400

MTAI ALBERT PLACE

HENNEPIN

147

MNGI ENDOSCOPY PLYMOUTH

HENNEPIN

279

MTAI BLOOMINGTON

HENNEPIN

147

MNGI ENDOSCOPY WOODBURY

WASHINGTON

540

MTAI BROOKLYN CENTER

HENNEPIN

161

MOBILEX USA

HENNEPIN

151

MTAI GLADSON

HENNEPIN

211

MOMENTS HOSPICE

STEARNS

505

MTAI MINNEHAHA CREEK

HENNEPIN

274

MOMENTS HOSPICE

SAINT LOUIS

478

MTAI PLYMOUTH EAST

HENNEPIN

279

MOMENTS HOSPICE

HENNEPIN

211

MTAI RICE CREEK

HENNEPIN

194

MOMENTS HOSPICE

OLMSTED

370

MTAI SAND CREEK

HENNEPIN

211

MONARCH HEIGHTS

BIG STONE

38

MTAI TRILLIUM

MCLEOD

341

MONTEVIDEO DIALYSIS

CHIPPEWA

65

MURRAY COUNTY CLINIC FULDA

MURRAY

355

MONTICELLO SURGERY CENTER LLC

WRIGHT

553

MURRAY COUNTY MEM HOSP

MURRAY

356

MOORE BOARD AND CARE LLC

HENNEPIN

248

MVNA

HENNEPIN

248

MOORE BOARD AND CARE LLC

HENNEPIN

248

MY LEGAL NURSE CONSULTANTS LLC

ANOKA

19

MOORHEAD DIALYSIS

CLAY

69

MYSA HOUSE

KANABEC

312

MOORHEAD MANOR

CLAY

72

N & V HELPFUL HEART CARE

HENNEPIN

248

MOORHEAD MANOR

CLAY

72

N & V HELPFUL HEART CARE INC

HENNEPIN

194

MOORHEAD REHAB & HCC

CLAY

72

N & V HELPFUL HEART CARE INC

HENNEPIN

161

MORNING GLORY HOME CARE

RAMSEY

430

N & V HELPFUL HEART CARE INC

HENNEPIN

162

MORNING GLORY HOME CARE

WASHINGTON

533

N & V HELPFUL HEART CARE INC

HENNEPIN

162

MORNING GLORY HOMES INC

HENNEPIN

268

N C LITTLE MEMORIAL HOSPICE

HENNEPIN

204

MORNING GLORY HOMES INC

HENNEPIN

268

NAGEL ASSISTED LIVING

CARVER

59

MORNING GLORY HOMES INC

HENNEPIN

268

NAGEL ASSISTED LIVING

CARVER

59

MORNING STAR HEALTH CARE SVCS

HENNEPIN

248

NAGOMI INC

HENNEPIN

180

MORNINGSTAR CARE SERVICES, LLC

ANOKA

10

NAGOMI YA SENIOR LIVING

DAKOTA

87

MORNINGSTAR HOMES S.C.

WASHINGTON

540

NAJMA GROUP HOME LLC

RAMSEY

430

MORRISTOWN

RICE

457

NAJMA GROUP HOME LLC

RAMSEY

430

MOSES RESIDENCE

ITASCA

307

NASIYE GROUP HOME CORP

HENNEPIN

248

MOTHER OF MERCY

STEARNS

497

NASIYE GROUP HOME CORP

HENNEPIN

248

MOTHER OF MERCY SENIOR LIVING

STEARNS

497

NATIONAL HOME HEALTHCARE INC

RAMSEY

431

MOTHER OF MERCY SENIOR LIVING

STEARNS

497

NATURE'S POINT ASSISTED LIVING

SHERBURNE

493

MOTHER OF MERCY SENIOR LIVING

STEARNS

497

NATURE'S POINT ASSISTED LIVING

SHERBURNE

494

MOTIVATE HOME SERVICES LLC

HENNEPIN

294

NEILSON PLACE

BELTRAMI

31

MOUNDS VIEW GABLES

RAMSEY

403

NELSON CLINIC & REHAB CARE PA

KANDIYOHI

318

MOUNT OLIVET CAREVIEW HOME

HENNEPIN

248

NELSON GABLES

DOUGLAS

123

MOUNT OLIVET HOME

HENNEPIN

248

NELSON GABLES SENIOR CARE APTS

DOUGLAS

123

Minnesota Department of Health

Health Regulation Division

Index For Directory of Facilities and Services Index Page 35

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

NERVANA'S CARING HANDS INC

DAKOTA

93

NEW PERSPECTIVE CLOQUET BARNUM

CARLTON

50

NERVANAS CARING HANDS INC

HENNEPIN

147

NEW PERSPECTIVE CLOQUET BARNUM

CARLTON

50

NERVANAS CARING HANDS INC

HENNEPIN

147

NEW PERSPECTIVE CLOQUET BARNUM

CARLTON

52

NEST CARE INC

HENNEPIN

249

NEW PERSPECTIVE CLOQUET BARNUM

CARLTON

52

NEW BRIDGE CARE LLC

ANOKA

25

NEW PERSPECTIVE COLUMBIA HTS

ANOKA

14

NEW BRIDGE CARE LLC

ANOKA

10

NEW PERSPECTIVE EAGAN

DAKOTA

99

NEW BRIGHTON ASSISTED LIVING

RAMSEY

405

NEW PERSPECTIVE EAGAN

DAKOTA

99

NEW BRIGHTON A VILLA CENTER

RAMSEY

405

NEW PERSPECTIVE FARIBAULT

RICE

455

NEW BRIGHTON CARE CENTER

RAMSEY

405

NEW PERSPECTIVE HIGHLAND PARK

RAMSEY

436

NEW CHALLENGES INC

DAKOTA

99

NEW PERSPECTIVE MAHTOMEDI LLC

WASHINGTON

531

NEW CHALLENGES INC - AFTON

WASHINGTON

529

NEW PERSPECTIVE MAHTOMEDI, LLC

WASHINGTON

531

NEW DIMENSIONS HHC INC

OTTER TAIL

377

NEW PERSPECTIVE MAHTOMEDI, LLC

WASHINGTON

531

NEW DIRECTION RESIDENTIAL SERV

HENNEPIN

249

NEW PERSPECTIVE ROSEVILLE

RAMSEY

412

NEW DIRECTIONS RESIDENTIAL SRV

HENNEPIN

211

NEW PERSPECTIVE SENIOR LIVING

HENNEPIN

198

NEW DIRECTIONS RESIDENTIAL SVS

HENNEPIN

180

NEW PERSPECTIVE WACONIA

CARVER

59

NEW FREEDOM INC

MILLE LACS

347

NEW PERSPECTIVE WACONIA

CARVER

59

NEW FREEDOM INC

MILLE LACS

347

NEW RICHLAND CARE CENTER

WASECA

524

NEW HARMONY CARE & REHAB CTR

RAMSEY

431

NEW ULM DIALYSIS

BROWN

47

NEW HOPE APARTMENTS

HENNEPIN

274

NEW ULM MEDICAL CENTER

BROWN

47

NEW HOPE CARE LLC

HENNEPIN

219

NEW ULM MEDICAL CENTER

BROWN

47

NEW HOPE DIALYSIS CENTER

HENNEPIN

274

NEWTON MANOR

HENNEPIN

147

NEW HOPE HOME CARE LLC

RAMSEY

431

NEXTSTEP HOMECARE INC

DOUGLAS

123

NEW HORIZON ASSISTED LIVING LL

HENNEPIN

181

NIGHTINGALE HOME HEALTHCARE

HENNEPIN

269

NEW JOURNEY RESIDENCE

SAINT LOUIS

477

NINE MILE CREEK SENIOR LIVING

HENNEPIN

147

NEW JOURNEY RESIDENCE LTD

SAINT LOUIS

464

NOAH ASSISTING LIVING INC

HENNEPIN

249

NEW JOURNEY RESIDENCE LTD

SAINT LOUIS

477

NOAH ASSISTING LIVING INC

HENNEPIN

249

NEW LIFE CARE LLC

ANOKA

19

NOAH HOME CARE INC

DAKOTA

109

NEW LIFE HEALTH SERVICE

HENNEPIN

181

NOAH HOME CARE INC

DAKOTA

93

NEW LIFE HEALTH SERVICE

HENNEPIN

274

NOBLE HOME CARE SERVICE LLC

HENNEPIN

279

NEW LIFE HEALTH SERVICE

HENNEPIN

211

NOBLE HOME CARE SERVICES LLC

HENNEPIN

249

NEW LIFE TREATMENT CENTER

PIPESTONE

388

NORMANDY APARTMENTS

NORMAN

363

NEW PERSPECTIVE ROSEVILLE

RAMSEY

412

NORRIS SQUARE

WASHINGTON

527

NEW PERSPECTIVE - CLOQUET & BA

CARLTON

52

NORRIS SQUARE

WASHINGTON

527

NEW PERSPECTIVE - COLUMBIA HEI

ANOKA

14

NORRIS SQUARE

WASHINGTON

527

NEW PERSPECTIVE - FARIBUALT

RICE

455

NORTH COUNTRY HOUSEKEEPING HCS

SAINT LOUIS

472

NEW PERSPECTIVE - HIGHLAND PAR

RAMSEY

431

NORTH HOUSE

PINE

386

NEW PERSPECTIVE - MANKATO

BLUE EARTH

42

NORTH MEMORIAL AMBU SURG

HENNEPIN

219

NEW PERSPECTIVE - MANKATO

BLUE EARTH

42

NORTH MEMORIAL HEALTH

HENNEPIN

287

NEW PERSPECTIVE - PRIOR LAKE

SCOTT

487

NORTH MEMORIAL HOSPICE CARE

HENNEPIN

287

NEW PERSPECTIVE - PRIOR LAKE

SCOTT

487

NORTH METRO SURGERY CENTER

ANOKA

10

NEW PERSPECTIVE - WOODBURY

WASHINGTON

540

NORTH PARK PLAZA

HENNEPIN

274

NEW PERSPECTIVE CARLSON PKWY

HENNEPIN

268

NORTH RIDGE HEALTH AND REHAB

HENNEPIN

274

NEW PERSPECTIVE CLOQUET BARNUM

CARLTON

50

NORTH RIDGE VIEW LLC

GOODHUE

135

NEW PERSPECTIVE CLOQUET BARNUM

CARLTON

52

NORTH RIDGE VIEW LLC

GOODHUE

135

NEW PERSPECTIVE CLOQUET BARNUM

CARLTON

52

NORTH SHORE HEALTH

COOK

75

NEW PERSPECTIVE CLOQUET BARNUM

CARLTON

52

NORTH SHORE HEALTH

COOK

75

Minnesota Department of Health

Health Regulation Division

Index For Directory of Facilities and Services Index Page 36

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

NORTH STAR APARTMENTS

ROSEAU

463

NURTURING HOMES LLC

HENNEPIN

249

NORTH STAR ASSISTED LIVING

MARSHALL

335

NUVISION HOMECARE SERVICES LLC

HENNEPIN

181

NORTH STAR HOSPICE

SAINT LOUIS

480

O'BRIEN COURT

LYON

334

NORTH STAR INDEPENDENT SR LVG

MARSHALL

335

OAK CREST SENIOR HOUSING

ROSEAU

463

NORTH STAR MANOR

MARSHALL

335

OAK CREST SENIOR HOUSING

ROSEAU

463

NORTH STAR MANOR ASSISTED LIVI

MARSHALL

335

OAK GROVE CARE CENTER INC

HENNEPIN

249

NORTH STAR NURSING TEMPORARY A

BECKER

29

OAK HILL ASSISTED LIVING

ITASCA

308

NORTH VALLEY HEALTH CENTER

MARSHALL

335

OAK HILL ASSISTED LIVING

ITASCA

308

NORTH VALLEY HLTH CTR CLINIC

MARSHALL

336

OAK HILLS ASSISTED LIVING

BROWN

47

NORTHERN LAKES SENIOR LIVING

CROW WING

78

OAK HILLS LIVING CENTER

BROWN

47

NORTHERN LIGHTS OF ITASCA GRAN

ITASCA

307

OAK HILLS LIVING CENTER ASSIST

BROWN

47

NORTHERN LIVES INC

SAINT LOUIS

472

OAK HILLS LIVING CENTER HC

BROWN

47

NORTHERN PINES ASSISTED LIVING

PINE

385

OAK HOUSE LLC

SHERBURNE

493

NORTHERN PINES ASSISTED LIVING

PINE

385

OAK MEADOWS

WASHINGTON

533

NORTHERN STARS HOME CARE LLC

RAMSEY

406

OAK PARK PLACE

FREEBORN

133

NORTHFIELD CARE CENTER INC

RICE

458

OAK PARK PLACE OF ALBERT LEA

FREEBORN

133

NORTHFIELD CITY HOSPITAL & NSG

DAKOTA

113

OAK PARK SENIOR LIVING

WASHINGTON

532

NORTHFIELD DIALYSIS

RICE

458

OAK PARK SENIOR LIVING

WASHINGTON

532

NORTHFIELD HOME CARE

RICE

458

OAK RIDGE ASST LVG OF HASTINGS

DAKOTA

104

NORTHFIELD HOSPICE

DAKOTA

113

OAK RIDGE MANOR

STEARNS

500

NORTHFIELD MANOR INC

RICE

458

OAK RIDGE PLACE

WASHINGTON

532

NORTHFIELD PARKVIEW INC

RICE

459

OAK RIDGE PLACE

WASHINGTON

532

NORTHFIELD PARKVIEW INC

RICE

459

OAK TERR SR HOUSING OF JORDAN

SCOTT

485

NORTHLAND RECOVERY CENTER

ITASCA

308

OAK TERRACE ASSISTED LIVING OF

NICOLLET

357

NORTHWEST HOUSE

ANOKA

5

OAK TERRACE GAYLORD LLC

SIBLEY

496

NORTHWINDS ASSISTED LIVING

KOOCHICHING

321

OAK TERRACE HEALTH CARE CENTER

SIBLEY

496

NORTHWOOD CHILDRENS SVS INC

SAINT LOUIS

472

OAK TERRACE NORTH MANKATO

NICOLLET

357

NORTHWOOD PINES

RICE

459

OAK TERRACE SENIOR HOUSING

SCOTT

485

NORTHWOODS CAREGIVERS

BELTRAMI

31

OAK TERRACE SENIOR HOUSING

LESUEUR

327

NORTHWOODS SURGERY CENTER LLC

SAINT LOUIS

484

OAK TERRACE SENIOR HOUSING OF

SIBLEY

496

NORTHWOODS VILLA

ITASCA

308

OAK TERRACE SENIOR HOUSING OF

LESUEUR

327

NORTHWOODS VILLA

ITASCA

308

OAK TERRACE WEST

NICOLLET

357

NORTHWOODS VILLA INC

ITASCA

308

OAK VIEW APARTMENTS INC

BROWN

47

NOUIS HOME CARE INC

MORRISON

349

OAKLAND

HENNEPIN

147

NOUIS HOME CARE INC

MORRISON

349

OAKLAND PARK COMMUNITIES INC

PENNINGTON

383

NOVA CARE OUTPATIENT REHAB

HENNEPIN

204

OAKLAWN CARE & REHAB CENTER

BLUE EARTH

42

NOVA HOME CARE LLC

HENNEPIN

162

OASIS

HENNEPIN

211

NOVACARE REHAB

DAKOTA

117

OASIS CARE HOME LLC

ROCK

461

NOVACARE REHABILITATION

HENNEPIN

289

OASIS CARE HOME LLC

ROCK

461

NOVACARE REHABILITATION

STEARNS

502

OCOF MAIN COURT

RICE

456

NTINGALE IN-HOUSE SKILLED NURS

HENNEPIN

249

OHAW CARES LLC

ANOKA

3

NURA PA

ANOKA

19

OKALEE OF MEDINA

HENNEPIN

221

NURA SURGICAL CENTER

HENNEPIN

219

OLD MAIN VILLAGE

BLUE EARTH

43

NURA SURGICAL CENTER

HENNEPIN

204

OLD MAIN VILLAGE

BLUE EARTH

43

NURTURING CARE RESIDENCE

HENNEPIN

269

OLIDIA CARE INC

HENNEPIN

181

NURTURING CARE RESIDENCE

HENNEPIN

269

OLIVE BRANCH ESTATES

CARVER

55

Minnesota Department of Health

Health Regulation Division

Index For Directory of Facilities and Services Index Page 37

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

OLIVE BRANCH ESTATES

CARVER

55

ORCHARD HILL SENIOR LIVING

BROWN

46

OLIVE GROVE HOSPICE LLC

ANOKA

10

ORCHARD HILLS SENIOR LIVING

BROWN

47

OLIVE HEALTHCARE LLC

HENNEPIN

249

ORCHARD PATH

DAKOTA

87

OLIVE HEALTHCARE LLC

HENNEPIN

250

ORCHARDS OF MINNETONKA

HENNEPIN

269

OLIVE HEALTHCARE LLC

HENNEPIN

162

OROMIA HEALTH CARE

ANOKA

26

OLIVIA HOME

HENNEPIN

194

ORONO WOODLANDS

HENNEPIN

216

OLIVIA REHAB & HCC

RENVILLE

451

ORR CAREFREE LIVING INC

SAINT LOUIS

481

OLMSTED MEDICAL CENTER

OLMSTED

370

ORTHOPAEDIC INSTITUTE SURG CTR

HENNEPIN

204

OLU'S HOME INC

HENNEPIN

250

ORTONVILLE AREA HEALTH SERVICE

BIG STONE

39

OLU'S HOME INC

HENNEPIN

181

OSSEO GARDENS ASSISTED LIVING

HENNEPIN

276

OLU'S HOME INC STEVENS

HENNEPIN

250

OSTENAA BOARD & LODGING INC

POLK

392

OLUS HOME INC

RAMSEY

431

OSTRANDER ASSISTED LIVING

FILLMORE

129

OLYDIA HOME CARE INC

HENNEPIN

162

OSTRANDER ASSISTED LIVING

FILLMORE

129

OLYDIA HOME CARE INC

RAMSEY

431

OSTRANDER CARE AND REHAB

FILLMORE

129

OLYMPIC GROUP HOME LLC

HENNEPIN

290

OTTAWA HOME HEALTH SERVICES

RAMSEY

431

OMEGA HOME HEALTHCARE LLC

GOODHUE

137

OTTAWA HOME HEALTH SERVICES LL

RAMSEY

432

OMOCARE LLC

HENNEPIN

181

OTTOMEYER CLINICS PLLC

WASHINGTON

528

OMOCARE LLC

HENNEPIN

162

OUR CIRCLE OF FRIENDS

RICE

455

OMOCARE LLC

HENNEPIN

181

OUR HOME YOUR HOME

OTTER TAIL

379

ON BELAY HOUSE

HENNEPIN

280

OUR HOME YOUR HOME

OTTER TAIL

379

ONETOUCH CARE SERVICES LLC

HENNEPIN

292

OUR HOUSE

RICE

456

ONTRACK HOME CARE INC

WASHINGTON

535

OUR HOUSE OF MURRAY COUNTY

MURRAY

356

OPEN ARMS GROUP HOME LLC

ANOKA

14

OUR HOUSE SENIOR LIVING

MOWER

352

OPEN ARMS LLC

DAKOTA

93

OUR HOUSE SENIOR LIVING

MOWER

352

OPEN ARMS LLC

DAKOTA

93

OUR HOUSE SENIOR LIVING

MOWER

352

OPEN ARMS NURSING SERVICES INC

HENNEPIN

181

OUR LADY OF PEACE HOME CARE

RAMSEY

432

OPEN ARMS NURSING SERVICES INC

HENNEPIN

162

OUR LADY OF PEACE HOSPICE

RAMSEY

432

OPEN HEART LLC

HENNEPIN

250

OVERCOMER HEALTHCARE SERVICE

RAMSEY

432

OPTIMUM CARE SERVICES LLC

HENNEPIN

148

OVERCOMER HEALTHCARE SERVICE

RAMSEY

432

OPTIMUM CARE SERVICES LLC

RAMSEY

431

OVERCOMER HEALTHCARE SERVICE

RAMSEY

432

OPTIMUM CARE SERVICES LLC

RAMSEY

431

OVERCOMER HEALTHCARE SERVICE C

RAMSEY

432

OPTIMUM CARE SERVICES LLC

OLMSTED

370

OVERCOMERS INTL FELLOWSHIP

STEARNS

506

OPTION CARE

RAMSEY

412

OVERCOMERS INTL FELLOWSHIP

STEARNS

506

OPTIONS 29 BRIAR COURT

DAKOTA

93

OVERCOMERS INTL FELLOWSHIP

KANDIYOHI

318

OPTIONS CEDAR

HENNEPIN

284

OVERCOMERS INTL FELLOWSHIP

KANDIYOHI

318

OPTIONS PLUS HOME CARE LLC

WINONA

547

OVERCOMERS INTL FELLOWSHIP

KANDIYOHI

318

OPTIONS RESIDENTIAL GATEWAY

RAMSEY

407

OVERCOMERS INTL FELLOWSHIP

STEARNS

506

OPTIONS RESIDENTIAL GOLFVIEW

RAMSEY

407

OVERCOMERS INTL FELLOWSHIP

STEARNS

505

OPTIONS RESIDENTIAL INC 851

DAKOTA

117

OWATONNA HOSPITAL

STEELE

511

OPTIONS RESIDENTIAL INC - 1200

DAKOTA

93

PAIN CENTERS OF MN CHASKA

CARVER

57

OPTIONS RESIDENTIAL INC - 45 B

DAKOTA

93

PAIN CENTERS OF MN MANKATO

BLUE EARTH

43

OPTIONS RESIDENTIAL INC 37

DAKOTA

93

PALLANSCH PROPERTIES LLC

CROW WING

84

OPTIONS RESIDENTIAL INC GABRIE

DAKOTA

117

PALLANSCH PROPERTIES LLC

CLAY

70

OPTIONS RESIDENTIAL INC GALAXY

RAMSEY

407

PALLANSCH PROPERTIES LLC

NOBLES

360

OPTIONS WASHINGTON

DAKOTA

113

PALLANSCH PROPERTIES LLC

NORMAN

363

ORCHARD ESTATES

MCLEOD

339

PAMELA FILLHOUER

HENNEPIN

280

Minnesota Department of Health

Health Regulation Division

Index For Directory of Facilities and Services Index Page 38

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

PAMELA J COLEMAN

HENNEPIN

269

PARKVIEW MANOR INC

HENNEPIN

251

PANZER HOME CARE

RAMSEY

405

PARKVIEW MANOR NURSING HOME

NOBLES

360

PARADISE ASSISTED LIVING INC

HENNEPIN

148

PARKWOOD APARTMENTS

REDWOOD

447

PARADISE ASSITED LIVING

HENNEPIN

219

PARKWOOD APARTMENTS

REDWOOD

447

PARADISE CARE HOMES LLC

HENNEPIN

181

PARMLY ON THE LAKE ISABELLE

CHISAGO

66

PARADISE CARE HOMES LLC

HENNEPIN

250

PARMLY ON THE LAKE ASSISTED LI

CHISAGO

66

PARADISE CARE HOMES LLC

HENNEPIN

250

PARMLY ON THE LAKE LLC

CHISAGO

67

PARADISE CARE HOMES LLC

HENNEPIN

181

PARMLY ON THE LAKE MARGARET'S

CHISAGO

66

PARAMOUNT CARE LLC

WRIGHT

554

PARMLY ON THE LAKE VINDAUGA

CHISAGO

67

PARK AVENUE APARTMENTS

HENNEPIN

250

PARTNERS IN CARE INC

HENNEPIN

189

PARK GARDENS APARTMENTS

STEARNS

508

PARTRIDGE HOME

ANOKA

19

PARK GARDENS OF FERGUS FALLS

OTTER TAIL

377

PATHSTONE CROSSING

BLUE EARTH

43

PARK GARDENS OF FERGUS FALLS

OTTER TAIL

377

PATHSTONE CROSSING

BLUE EARTH

43

PARK HEALTH A VILLA CENTER

HENNEPIN

294

PATHSTONE LIVING

BLUE EARTH

43

PARK LANE ESTATES

FILLMORE

129

PATHWAYS TO ACHIEVEMENT

SAINT LOUIS

472

PARK LANE ESTATES

FILLMORE

129

PATIENT CENTERED HOME CARE SER

HENNEPIN

182

PARK MANOR ESTATES

BECKER

28

PATRIOT ASSISTED LIVING

OTTER TAIL

377

PARK NICOLLET METHODIST HC

HENNEPIN

215

PAUL'S PLACE

DAKOTA

101

PARK NICOLLET METHODIST HOSP

HENNEPIN

294

PAVILION SURGERY CENTER LLC

SAINT LOUIS

472

PARK NICOLLET METHODIST HOSP

HENNEPIN

294

PEACE HOMECARE SERVICES

HENNEPIN

182

PARK PLACE SENIOR LIVING

STEELE

511

PEACE HOMECARE SERVICES LLC

HENNEPIN

194

PARK PLACE SENIOR LIVING

STEELE

511

PEACEFUL HOME ASSISTED LIVING

RAMSEY

432

PARK POINT INC

ANOKA

22

PEACEFUL HOME ASSISTED LIVING

RAMSEY

433

PARK RAPIDS PT AND REHAB

HUBBARD

301

PEACEFUL HOME ASSISTED LIVING

RAMSEY

433

PARK RIDGE APARTMENTS HASTINGS

DAKOTA

104

PEACEFUL LIVING

RAMSEY

433

PARK RIDGE APARTMENTS HASTINGS

DAKOTA

104

PEACEFUL LIVING LLC

WASHINGTON

532

PARK RIVER ESTATES CARE CENTER

ANOKA

19

PEACEFUL LIVING LLC

WASHINGTON

529

PARK TERRACE ASSISTED LIVING &

WRIGHT

551

PEACEFUL LIVING LLC

DAKOTA

104

PARK TERRACE ASST LVG & MC

WRIGHT

551

PEACEFUL LIVING LLC

WASHINGTON

532

PARK VIEW CARE CENTER

WRIGHT

551

PEACEFUL LIVING SERVICES

RAMSEY

433

PARK VIEW TERRACE

CLAY

72

PEACEFUL LODGE

WASHINGTON

533

PARK VIEW VILLAGE

RENVILLE

451

PEARL GARDEN

RAMSEY

403

PARKER OAKS SENIOR LIVING

FARIBAULT

127

PEDIATECH NURSING

HENNEPIN

269

PARKER SKYVIEW

HENNEPIN

250

PEDIATRIC HOME SERVICE

RAMSEY

412

PARKERS ARC

LAKE OF THE WOODS

326

PEDIATRIC THERAPY SERVICES

BLUE EARTH

43

PARKINSON SPECIALTY CARE HOME

HENNEPIN

211

PELICAN LANDING

BECKER

28

PARKINSON'S SPECIALTY CARE II

HENNEPIN

205

PELICAN LANDING

BECKER

28

PARKS' PLACE

HENNEPIN

280

PELICAN VALLEY HEALTH CENTER

OTTER TAIL

380

PARKS' PLACE

HENNEPIN

280

PENN HOME LLC

HENNEPIN

182

PARKSHORE SENIOR CAMPUS LLC

HENNEPIN

294

PENN HOME LLC

HENNEPIN

182

PARKSHORE SENIOR CAMPUS LLC

HENNEPIN

294

PENTEC HEALTH INC

HENNEPIN

220

PARKVIEW CARE CENTER WELLS

FARIBAULT

127

PEOPLE II

HENNEPIN

251

PARKVIEW COURT

POPE

393

PEOPLE INC EDGEBROOK HOUSE

RAMSEY

433

PARKVIEW COURT

POPE

393

PEOPLE INC LONDIN PLACE

RAMSEY

433

PARKVIEW HOME

REDWOOD

447

PEOPLE INC MONTREAL COURTS 401

RAMSEY

395

PARKVIEW MANOR

HENNEPIN

250

PEOPLE INC MONTREAL COURTS 445

RAMSEY

395

Minnesota Department of Health

Health Regulation Division

Index For Directory of Facilities and Services Index Page 39

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

PEOPLE INC MONTREAL COURTS APT

RAMSEY

395

PINE GROVE APARTMENTS

SAINT LOUIS

472

PEOPLE INCORPORATED

RAMSEY

433

PINE HAVEN

CASS

62

PEOPLE INCORPORATED DAP

DAKOTA

94

PINE HAVEN CARE CENTER INC

GOODHUE

136

PEOPLE INCORPORATED DAP

DAKOTA

87

PINE MANORS INC

HUBBARD

299

PEOPLE INCORPORATED DAP

DAKOTA

94

PINE RIDGE APARTMENTS

ITASCA

308

PEOPLE INCORPORATED DAP

DAKOTA

94

PINE VIEW ASSISTED LIVING

COTTONWOOD

77

PEOPLE INCORPORATED DAP

DAKOTA

93

PINE VIEW ASSISTED LIVING

COTTONWOOD

77

PEOPLE INCORPORATED DAP

DAKOTA

93

PINES HOMECARE SERVICES LLC

SAINT LOUIS

472

PEOPLE INCORPORATED DSL

HENNEPIN

251

PINES III ASSISTED LIVING

SAINT LOUIS

472

PEOPLE INCORPORATED GIRARD

HENNEPIN

251

PINNACLE HOME CARE

HENNEPIN

251

PEOPLE INCORPORATED RUTH HOUSE

RAMSEY

433

PINNACLE HOME HEALTH CARE LLC

RAMSEY

444

PEOPLE'S CHOICE HOME CARE SERV

WASHINGTON

533

PINNACLE SERVICES INC

HENNEPIN

251

PERFECTION HEALTH CARE SERVICE

RAMSEY

434

PINNACLE SERVICES INC

WASHINGTON

533

PERFECTION HEALTH CARE SVS INC

RAMSEY

434

PINNACLE SERVICES INC

HENNEPIN

251

PERHAM HEALTH

OTTER TAIL

381

PINNACLE SERVICES INC

HENNEPIN

211

PERHAM LIVING

OTTER TAIL

382

PIONEER CARE CENTER

OTTER TAIL

377

PERHAM LIVING

OTTER TAIL

381

PIONEER ESTATES

HENNEPIN

199

PERHAM LIVING HOME CARE

OTTER TAIL

382

PIONEER ESTATES

HENNEPIN

199

PERHAM LIVING NORTHWINDS

OTTER TAIL

382

PIONEER ESTATES

HENNEPIN

198

PETERSON COLONIAL HOMES 1

SAINT LOUIS

465

PIONEER ESTATES

HENNEPIN

199

PETERSON COLONIAL HOMES 2

SAINT LOUIS

465

PIONEER ESTATES

HENNEPIN

280

PETERSON COLONIAL HOMES INC

SAINT LOUIS

465

PIONEER HOME INC

OTTER TAIL

378

PETERSON ESTATES

COTTONWOOD

76

PIONEER MEMORIAL CARE CENTER

POLK

390

PHALEN DIALYSIS

RAMSEY

434

PIONEER POINTE

OTTER TAIL

378

PHEASANTS RIDGE ASSISTED LIVIN

NICOLLET

359

PIONEER SENIOR COTTAGES

OTTER TAIL

378

PHEASANTS RIDGE ASSISTED LVG

NICOLLET

359

PIONEER SENIOR COTTAGES

OTTER TAIL

378

PHOENIX AT CARVER

RAMSEY

400

PIONEER SENIOR COTTAGES II

OTTER TAIL

378

PHOENIX AT CASWELL

RAMSEY

446

PIONEER SENIOR COTTAGES II

OTTER TAIL

378

PHOENIX AT CENTERVILLE

RAMSEY

443

PIONEER SENIOR COTTAGES III

OTTER TAIL

378

PHOENIX AT CHARLES

RAMSEY

434

PIONEER SENIOR COTTAGES III

OTTER TAIL

378

PHOENIX AT DOUGLAS

RAMSEY

434

PIONEERCARE MEMORY COTTAGE

WILKIN

544

PHOENIX AT ENGLISH

RAMSEY

443

PIONEERCARE MEMORY COTTAGE

WILKIN

544

PHOENIX AT FOSS

RAMSEY

434

PIPESTONE COUNTY HOME HEALTH

PIPESTONE

388

PHOENIX AT JANET COURT

RAMSEY

395

PIPESTONE COUNTY HOSPICE

PIPESTONE

388

PHOENIX AT LUDDEN

RAMSEY

403

PIPESTONE COUNTY HOSPICE RESID

PIPESTONE

388

PHOENIX AT NEWPORT

WASHINGTON

531

PIPESTONE COUNTY MEDICAL CTR

PIPESTONE

388

PHOENIX AT VIKING

RAMSEY

434

PIPESTONE DIALYSIS FACILITY

PIPESTONE

388

PHOENIX COVE ADULT DAY CENTER

HENNEPIN

284

PLAINVIEW ESTATES

CARLTON

52

PHOENIX SERVICE CORPORATION

DAKOTA

115

PLAINVIEW ESTATES INC

CARLTON

53

PHS/BEACON HILL INC

HENNEPIN

269

PLAINVIEW ESTATES INC

CARLTON

53

PHYS THER SPORTS MEDICINE CTR

BLUE EARTH

43

PLATEAU HEALTHCARE LLC

HENNEPIN

182

PIERZ MEADOW PONDS INC

MORRISON

351

PLATEAU HEALTHCARE LLC

HENNEPIN

220

PIERZ MEADOW PONDS INC

MORRISON

350

PLATEAU HEALTHCARE LLC

HENNEPIN

182

PIERZ VILLA INC

MORRISON

351

PLATEAU HEALTHCARE LLC

HENNEPIN

162

PILGRIM HOME CARE LLC

HENNEPIN

162

PLATEAU HEALTHCARE LLC

HENNEPIN

182

PILLARS OF MANKATO SENIOR LVG

BLUE EARTH

43

PLEASANT LIGHT LLC

HENNEPIN

280

Minnesota Department of Health

Health Regulation Division

Index For Directory of Facilities and Services Index Page 40

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

PLEASANT MANOR LLC

RICE

456

PRAIRIE SENIOR COTTAGES OF AL

FREEBORN

133

PLEASANT PINES

CASS

63

PRAIRIE SENIOR COTTAGES OF AL

FREEBORN

133

PLEASANT VIEW ESTATES

RICE

456

PRAIRIE SENIOR COTTAGES OF H

MCLEOD

340

PLEASANT VIEW ESTATES LLC

RICE

456

PRAIRIE SENIOR COTTAGES OF ISA

ISANTI

303

POINT PLEASANT HEIGHTS

CHISAGO

67

PRAIRIE SENIOR COTTAGES OF NU

BROWN

48

POINT PLEASANT HEIGHTS

CHISAGO

67

PRAIRIE SENIOR COTTAGES OF WIL

KANDIYOHI

319

POINT-ONE HOME HEALTH LLC

HENNEPIN

251

PRAIRIE SR COTTAGES OF ALEX

DOUGLAS

123

POLAR RIDGE SENIOR LIVING

RAMSEY

406

PRAIRIE SR COTTAGES OF ALEX

DOUGLAS

123

POLAR RIDGE SENIOR LIVING

RAMSEY

407

PRAIRIE SR COTTS NEW ULM

BROWN

48

POLAR RIDGE SR LIVING

RAMSEY

407

PRAIRIE VIEW

RENVILLE

451

POLINSKY MEDICAL REHAB CTR

SAINT LOUIS

472

PRAIRIE VIEW ASSISTED LIVING

OTTER TAIL

382

PONDVIEW ESTATES

STEARNS

497

PRAIRIE VIEW ASSISTED LIVING

OTTER TAIL

382

PONDVIEW ESTATES

STEARNS

497

PRAIRIE VIEW ASSISTED LIVING

OTTER TAIL

382

POPLAR CREEK ESTATES

ROCK

461

PRAIRIE VIEW ASSISTED LIVING I

OTTER TAIL

382

POPLAR MEADOWS OF MCINTOSH

POLK

392

PRAIRIE VIEW INC

MURRAY

356

POPLAR MEADOWS OF MCINTOSH

POLK

392

PRAIRIE VIEW SENIOR LIVING

LYON

334

POSSIBLE HEALTHCARE INC

HENNEPIN

182

PRAIRIECARE

HENNEPIN

182

POTTER RIDGE

GOODHUE

137

PRAIRIES EDGE

BLUE EARTH

43

POTTER RIDGE

GOODHUE

137

PRAIRIEVIEW PLACE

TRAVERSE

519

PPL GREENLEAF LLC

HENNEPIN

251

PRAIRIEWOOD HOME

DOUGLAS

123

PPL IRVING COMMONS LLC

HENNEPIN

251

PRECIOUS LIVES HOME LLC

RAMSEY

444

PRAHA VILLAGE

LESUEUR

328

PRECIOUS LIVES HOME VADNAIS H

RAMSEY

444

PRAIRIE BLUFFS SENIOR LIVING

HENNEPIN

199

PRECIOUS PARTNERS HOME CARE LL

ANOKA

20

PRAIRIE BLUFFS SENIOR LIVING

HENNEPIN

199

PRELUDE HOME & SERVICES LLC

RAMSEY

444

PRAIRIE BLUFFS TCU LLC

HENNEPIN

199

PRELUDE HOME& SERVICES LLC

WASHINGTON

540

PRAIRIE HOME COMMUNITY CARE

LYON

332

PRELUDE HOMES & SERVICES LLC

WASHINGTON

541

PRAIRIE HOME HOSPICE

LYON

332

PRELUDE HOMES & SERVICES LLC

RAMSEY

446

PRAIRIE HOME HOSPICE

LYON

332

PRELUDE HOMES AND SERVICES

WASHINGTON

541

PRAIRIE HOME HOSPICE INC

LYON

333

PREMIER ASSISTED LIVING

HENNEPIN

163

PRAIRIE MANOR CARE CENTER

STEELE

509

PREMIER ASSISTED LIVING

HENNEPIN

163

PRAIRIE MEADOWS

DODGE

119

PREMIER HEALTH HOMES INC

RAMSEY

417

PRAIRIE PARK PLACE

CHIPPEWA

64

PREMIER HEALTHCARE MANAGEMENT

STEARNS

507

PRAIRIE PINES COMMUNITY

POLK

392

PREMIER HOME CARE LLC

HENNEPIN

285

PRAIRIE PINES COMMUNITY

POLK

392

PREMIER HOME CARE LLC

HENNEPIN

284

PRAIRIE REHABILITATION SERVS

JACKSON

310

PREMIUM CHOICE CARE LLC

RAMSEY

400

PRAIRIE RIDGE HOSP HLTH SERV

GRANT

140

PREMIUM CHOICE CARE LLC

WASHINGTON

533

PRAIRIE ROSE ASSISTED LIVING

CHIPPEWA

64

PREMIUM HOME HEALTHCARE LLC

HENNEPIN

182

PRAIRIE ROSE ASSISTED LIVING

CHIPPEWA

64

PRES HOMES BLOOMINGTON ARBOR

HENNEPIN

148

PRAIRIE SENIOR COTTAGES

BROWN

48

PRES HOMES BLOOMINGTON COMMONS

HENNEPIN

148

PRAIRIE SENIOR COTTAGES

KANDIYOHI

319

PRESBYTERIAN ASSISTED LIVING H

RAMSEY

412

PRAIRIE SENIOR COTTAGES

MCLEOD

340

PRESBYTERIAN HOMES ARDEN HILLS

RAMSEY

395

PRAIRIE SENIOR COTTAGES

ISANTI

303

PRESBYTERIAN HOMES BLOOMINGTON

HENNEPIN

148

PRAIRIE SENIOR COTTAGES

DOUGLAS

123

PRESBYTERIAN HOMES BLOOMINGTON

HENNEPIN

148

PRAIRIE SENIOR COTTAGES

MCLEOD

340

PRESBYTERIAN HOMES HOME CARE

RAMSEY

412

PRAIRIE SENIOR COTTAGES

KANDIYOHI

319

PRESBYTERIAN HOMES HOSPICE INC

RAMSEY

412

PRAIRIE SENIOR COTTAGES

FREEBORN

133

PRESBYTERIAN HOMES INVER GROVE

DAKOTA

107

Minnesota Department of Health

Health Regulation Division

Index For Directory of Facilities and Services Index Page 41

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

PRESBYTERIAN HOMES NORTH OAKS

RAMSEY

406

PROVIDENCE PLACE

HENNEPIN

252

PRESTIGE HOME HEALTH CARE LLC

HENNEPIN

183

PROVIDENCE VILLA LLC

WADENA

521

PRESTIGE HOME HEALTH CARE LLC

HENNEPIN

163

PROVIDENCE VILLA LLC

WADENA

521

PRESTIGE HOME HEALTH CARE LLC

HENNEPIN

183

PROVIDENT HOME HEALTHCARE

HENNEPIN

290

PRESTIGE HOME HEALTH CARE LLC

HENNEPIN

163

PRUDENT CARE LLC

RAMSEY

444

PRESTIGE HOME HEALTH CARE LLC

HENNEPIN

183

PURE HEART HEALTH SERVICES INC

ANOKA

20

PRESTON GOOD SAM HOME CARE

FILLMORE

129

PURPOSE HOME HEALTHCARE INC

GRANT

139

PREVENTIVE DIAGNOSTICS INC

HENNEPIN

252

PUSH SERVICES INC

HENNEPIN

274

PRIDE INSTITUTE

HENNEPIN

199

PUSH SERVICES INC

WRIGHT

549

PRIDE N'LIVING HOME CARE INC

WASHINGTON

541

PUSH SERVICES INC

HENNEPIN

212

PRIDE N'LIVING HOME CARE INC

ANOKA

23

PUSH SERVICES INC

HENNEPIN

274

PRIMARY LIVING INC

HENNEPIN

285

PUSH SERVICES INC.

HENNEPIN

194

PRIMARY LIVING INC

HENNEPIN

212

QUALICARE HOMES CORPORATION

HENNEPIN

183

PRIME CHOICE HOME CARE SOLUTIO

WASHINGTON

534

QUALITY CARE COMPANIONS

HENNEPIN

199

PRIMETIME LIVING

OLMSTED

371

QUALITY CARE SERVICES LLC

RAMSEY

434

PRIMETIME LIVING

OLMSTED

370

QUALITY FOOTCARE

HENNEPIN

190

PRIMROSE LEASE MANAGEMENT LLC

MOWER

353

QUALITY HEALTH CARE SERVICES

HENNEPIN

194

PRIMROSE OF AUSTIN

MOWER

353

QUALITY HOME CARE INC

HENNEPIN

252

PRIMROSE OF DULUTH

SAINT LOUIS

473

QUALITY HOME CARE INC

HENNEPIN

252

PRIMROSE OF DULUTH

SAINT LOUIS

473

QUALITY HOME CARE INC

HENNEPIN

252

PRIMROSE RET COMM OF MANKATO

BLUE EARTH

44

QUALITY LIFE HOME CARE LLC

BROWN

48

PRIMROSE RETIREMENT COMMUNITY

BLUE EARTH

44

QUIET OAKS HOSPICE HOUSE

STEARNS

503

PRIMUS INCORPORATED

HENNEPIN

183

RADIAS HEALTH

RAMSEY

396

PRIMUS INCORPORATED

HENNEPIN

183

RADTKE PHYSICAL THERAPY

ITASCA

308

PRIMUS INCORPORATED

HENNEPIN

183

RAINY LAKE CLINIC LITTLEFORK

KOOCHICHING

322

PRIMUS INCORPORATED

HENNEPIN

183

RAINY LAKE MEDICAL CENTER

KOOCHICHING

321

PRIORITY CARE HOMES LLC

DAKOTA

100

RAINY LAKE MEDICAL CENTER

KOOCHICHING

322

PRIORITY CARE HOMES LLC

DAKOTA

100

RAJO CARE HOME INC

HENNEPIN

280

PRLFC CARE LLC

HENNEPIN

222

RAJWOOD

RAMSEY

400

PRO MEDICAL SERVICES INC

HENNEPIN

220

RAKHMA GRACE HOME

HENNEPIN

269

PRO REHAB

CARVER

60

RAKHMA HARMONY HOUSE

HENNEPIN

212

PRO-HEALTH HOME CARE AGENCY LL

ANOKA

14

RAKHMA INC

HENNEPIN

252

PROCARE HEALTH CORP

HENNEPIN

285

RAKHMA JOY HOME

RAMSEY

434

PROCARE HEALTH CORP.

HENNEPIN

285

RAKHMA PEACE HOME

HENNEPIN

252

PROF PORTABLE X RAY INC

DAKOTA

94

RAMSEY CO MENTAL HEALTH CTR

RAMSEY

435

PROFESSIONAL REHAB CONSULTANTS

RAMSEY

434

RAMSEY COUNTY CARE CENTER

RAMSEY

401

PROFESSIONAL RESOURCE NETWORK

HENNEPIN

199

RAMSEY COUNTY DETOX CENTER

RAMSEY

435

PROGRESSIVE CARE LLC

SWIFT

515

RAMSEY HILL SENIOR LIVING LLC

RAMSEY

435

PROHEALTH CARE SYSTEMS INC

HENNEPIN

189

RAMSEY HILL SENIOR LIVING LLC

RAMSEY

435

PROJECT CARING

WASHINGTON

536

RANDALL LAKES AREA CLINIC

MORRISON

351

PROJECT CARING RESIDENTIAL

WASHINGTON

535

RANGE CENTER ASPENWOOD HOME

SAINT LOUIS

480

PROJECT TURNABOUT

YELLOW MEDICINE

556

RANGE CENTER LEGACY

SAINT LOUIS

466

PROJECT TURNABOUT HALFWAY HSE

LYON

333

RANGE CENTER MAPLEVIEW HOME

SAINT LOUIS

481

PROMERICA HEALTH LLC

MAINE

557

RAPHA HEALTH CARE SERVICES INC

HENNEPIN

183

PROMISE CARE INC

HENNEPIN

148

RAPHA HEALTH CARE SERVICES INC

HENNEPIN

183

PROSPER HOME HEALTH AND TRANSP

HENNEPIN

252

RAPHA HEALTH CARE SERVICES INC

HENNEPIN

163

Minnesota Department of Health

Health Regulation Division

Index For Directory of Facilities and Services Index Page 42

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

RAVENWOOD HOME

STEVENS

513

REM CENTRAL LAKES INC FERNWOOD

STEARNS

506

RAVOUX HI RISE

RAMSEY

435

REM HEARTLAND INC AMBER

MARTIN

337

REBECCAS RESIDENCE

WASHINGTON

534

REM HEARTLAND INC BIRCH

BLUE EARTH

44

RECOVER CARE

HENNEPIN

269

REM HEARTLAND INC BUDD

MARTIN

336

RECOVER HEALTH

ITASCA

308

REM HEARTLAND INC CYPRESS

BLUE EARTH

44

RECOVER HEALTH

OLMSTED

371

REM HEARTLAND INC MADELIA

WATONWAN

543

RECOVER HEALTH

HENNEPIN

270

REM HENNEPIN INC CRYSTAL

HENNEPIN

194

RECOVER HEALTH

STEARNS

508

REM HENNEPIN INC LAKELAND

HENNEPIN

184

RECOVER HEALTH

SAINT LOUIS

481

REM HENNEPIN INC QUEEN

HENNEPIN

253

RECOVER HEALTH

SAINT LOUIS

473

REM HENNEPIN INC REGENT

HENNEPIN

212

RECOVERY HOME HEALTH CARE LLC

DAKOTA

94

REM HENNEPIN INC WILLIAM

HENNEPIN

205

RECOVERY HOME HEALTH CARE LLC

DAKOTA

94

REM HENNEPIN MINNETONKA

HENNEPIN

270

RED CEDAR ASSISTED LIVING CENT

CASS

61

REM HENNEPIN PILLSBURY

HENNEPIN

253

RED CEDAR ASSISTED LIVING CNTR

CASS

61

REM RAMSEY INC GOODRICH

RAMSEY

436

REDEEMER RESIDENCE INC

HENNEPIN

252

REM RAMSEY INC LAKEWOOD

RAMSEY

401

REDESIGN LIFESTYLE CARE LLC

HENNEPIN

253

REM RAMSEY INC MAYHILL

RAMSEY

401

REDESIGN LIFESTYLE CARE LLC

HENNEPIN

253

REM RAMSEY INC NORTH OAKS

RAMSEY

407

REDWOOD FALLS DIALYSIS

REDWOOD

449

REM RIVER BLUFFS ROCHESTER SE

OLMSTED

371

REENTRY HOUSE

HENNEPIN

253

REM RIVER BLUFFS STONE PARK

OLMSTED

371

REENTRY HOUSE CRISIS STBL PROG

HENNEPIN

253

REM SO CENTRAL SERVS BUFFALO

WRIGHT

551

REFLECTIONS

RICE

459

REM SOUTHWEST SRVS MARSHALL A

LYON

333

REFLECTIONS ASSISTED LIVING

MOWER

353

REM SOUTHWEST SRVS MARSHALL C

LYON

333

REFLECTIONS ASSISTED LIVING

MOWER

353

REM SW SERVICES MONTEVIDEO

CHIPPEWA

66

REFLECTIONS HOME CARE

RICE

459

REMICK RIDGE ESTATES

COTTONWOOD

77

REFRACTIONS LLC

STEARNS

503

REMMY'S TENDER CARE

HENNEPIN

148

REGENCY HOME HEALTHCARE SRVCS

HENNEPIN

220

RENVILLA HEALTH CENTER

RENVILLE

452

REGENCY HOSPITAL OF MPLS LLC

HENNEPIN

212

RENVILLE CO HOSP CLINIC OLIVIA

RENVILLE

452

REGINA ASSISTED LIVING

DAKOTA

104

RENVILLE COUNTY COMM RES

RENVILLE

450

REGINA ASSISTED LIVING

DAKOTA

104

RENVILLE COUNTY HOSP & CLINICS

RENVILLE

452

REGINA HOSPITAL

DAKOTA

104

RENVILLE COUNTY HOSP & CLINICS

RENVILLE

452

REGINA SENIOR LIVING

DAKOTA

104

RENVILLE COUNTY HOSPICE

RENVILLE

452

REGIONAL EYE SURGERY CTR INC

MCLEOD

340

RENVILLE COUNTY PHS

RENVILLE

452

REGIONAL HOME HEALTHCARE

RAMSEY

435

RENVILLE CTY HOSP CLNCS HECTOR

RENVILLE

451

REGIONS HOSPITAL

RAMSEY

435

RENVILLE HEALTH SERVICES HOMEC

RENVILLE

453

REHAB SERV GOLDEN VALLEY INC

HENNEPIN

212

RES TREATMENT & DETOX CTR

SAINT LOUIS

473

REHABCARE

HENNEPIN

280

RESIDENT SERVICES INC

HENNEPIN

253

REHABCARE AGENCY MN

HENNEPIN

280

RESIDENTIAL ADVANTAGES LLC

ROCK

461

REIGN SERVICES LLC

HENNEPIN

184

RESIDENTIAL CARE NINE MILE CRK

HENNEPIN

148

REIGN SERVICES LLC

RAMSEY

403

RESIDENTIAL CARE NINE MILE CRK

HENNEPIN

285

RELIABLE HUMAN SERVICES INC

HENNEPIN

163

RESIDENTIAL CARE NINE MILE CRK

HENNEPIN

148

RELIACARE HOME HEALTH

RAMSEY

435

RESIDENTIAL TRANSITIONS INC

DAKOTA

117

RELIACARE HOME HEALTH

RAMSEY

435

RESIDENTIAL TRANSITIONS INC

DAKOTA

117

RELIACARE HOME HEALTH

RAMSEY

435

RESOLUTE CARE INC

WASHINGTON

534

RELIACARE HOME HEALTH INC

RAMSEY

436

RESOLUTE CARE INC

WASHINGTON

534

RELIEF HOME CARE LLC

DAKOTA

101

REST CARE HOME SERVICES

HENNEPIN

149

RELIEF HOMECARE LLC

DAKOTA

109

RESTART ADAIR

HENNEPIN

195

Minnesota Department of Health

Health Regulation Division

Index For Directory of Facilities and Services Index Page 43

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

RESTART COLORADO

HENNEPIN

195

RIDGEWAY SENIOR LIVING

BROWN

48

RESTART INC

HENNEPIN

205

RIDGEWOOD MANOR LLC

SHERBURNE

493

RESTART INC 8TH

HENNEPIN

253

RIDGEWOOD VILLA

POPE

393

RESTART INC ELLIOT

HENNEPIN

253

RIGHT AT HOME

NORTH DAKOTA

558

RESTART INC KATHY'S PLACE

HENNEPIN

253

RIGHT AT HOME

NORTH DAKOTA

557

RESTART INC MINNEHAHA

HENNEPIN

254

RIGHT AT HOME

HENNEPIN

149

RESTART ZEALAND

HENNEPIN

275

RIGHT AT HOME

HENNEPIN

254

RESTFUL LIVING LLC

RAMSEY

436

RIGHT AT HOME

HENNEPIN

149

RESTFUL LIVING LLC

RAMSEY

436

RIGHTWAY HOME CARE SERVICES

HENNEPIN

163

RESTORATION SERVICES OF MINNES

PINE

386

RIGHTWAY HOME SVS OVERTON

ANOKA

23

RESTORATION SERVICES OF MN INC

PINE

386

RILEY CROSSING SENIOR LIVING

CARVER

55

RESTORATION SERVICES OF MN INC

PINE

385

RISE HOME HEALTH CARE

RAMSEY

405

REVERE HOME

REDWOOD

449

RISE HOME HEALTH CARE LLC

ANOKA

26

REVIVE CARE SERVICES

ANOKA

14

RISEN HOME CARE LLC

HENNEPIN

163

REVIVE CARE SERVICES INC

HENNEPIN

254

RISEN HOME CARE LLC

HENNEPIN

220

REVO HEALTH

ANOKA

10

RISING CEDAR APARTMENTS

HENNEPIN

254

RHEMA HOMES LLC

WASHINGTON

541

RISON HOMES INC

RICE

456

RHEMA HOMES LLC

WASHINGTON

541

RIVER BEND APARTMENTS

OTTER TAIL

378

RHODIUM HEALTHCARE SERVICES

HENNEPIN

163

RIVER BEND ASSISTED LIVING

OLMSTED

371

RHODIUM HEALTHCARE SERVICES

WRIGHT

554

RIVER CITY DIALYSIS

WASHINGTON

536

RICE COUNTY PHNS

RICE

456

RIVER GRAND INC

ITASCA

309

RICHANGEL CARE INC

RAMSEY

436

RIVER GRAND SENIOR LIVING

ITASCA

309

RICHANGEL CARE INCORPORATED

RAMSEY

436

RIVER HILL ASSISTED LIVING INC

SAINT LOUIS

473

RICHFIELD A VILLA CENTER

HENNEPIN

285

RIVER HILL ASSISTED LIVING INC

SAINT LOUIS

473

RICHFIELD DIALYSIS

HENNEPIN

285

RIVER OAKS AT LAKE PEPIN

WABASHA

519

RICHFIELD SENIOR SUITES

HENNEPIN

285

RIVER OAKS AT LAKE PEPIN LLC

WABASHA

519

RICHFIELD SENIOR SUITES LLC

HENNEPIN

285

RIVER OAKS AT SHADY RIDGE LLC

MCLEOD

340

RIDGE VIEW ESTATES

PIPESTONE

388

RIVER OAKS AT WATERTOWN

CARVER

60

RIDGES SURGERY CENTER LLC

DAKOTA

94

RIVER OAKS OF ANOKA

ANOKA

5

RIDGEVIEW ARLINGTON CLINIC

SIBLEY

495

RIVER OF LIFE RESIDENTIAL LVG

RAMSEY

436

RIDGEVIEW ASSISTED LIVING

KOOCHICHING

322

RIVER POINTE OF MOORHEAD

CLAY

73

RIDGEVIEW ASSISTED LIVING LLC

KOOCHICHING

322

RIVER POINTE OF MOORHEAD

CLAY

73

RIDGEVIEW CARE SUITES

CARVER

57

RIVER RIDGE GLEN CREEK LODGE

DAKOTA

109

RIDGEVIEW GAYLORD CLINIC

SIBLEY

496

RIVER RIDGE LLC A WOMAN'S WAY

HENNEPIN

199

RIDGEVIEW HENDERSON CLINIC

SIBLEY

496

RIVER VALLEY BIRTH CENTER

NICOLLET

359

RIDGEVIEW HOME CARE SERVICES

CARVER

59

RIVER VALLEY HEALTH & REHAB

REDWOOD

449

RIDGEVIEW HOME SUPPORT SERVICE

CARVER

59

RIVER VALLEY HOME CARE INC

DAKOTA

102

RIDGEVIEW HOSPICE

CARVER

59

RIVER VALLEY HOME CARE INC

DAKOTA

102

RIDGEVIEW LESUEUR MEDICAL CTR

LESUEUR

327

RIVERFRONT MANOR

OTTER TAIL

381

RIDGEVIEW MEDICAL CENTER

CARVER

60

RIVERFRONT MANOR

OTTER TAIL

381

RIDGEVIEW PLACE

BENTON

36

RIVERFRONT ON MAIN

OTTER TAIL

381

RIDGEVIEW SENIOR LIVING

BENTON

36

RIVERS EDGE

KITTSON

320

RIDGEVIEW SIBLEY MEDICAL CTR

SIBLEY

495

RIVERS EDGE

KITTSON

320

RIDGEVIEW WINTHROP CLINIC

SIBLEY

496

RIVERS EDGE ASSISTED LIVING

AITKIN

1

RIDGEWAY ON 23RD

BROWN

48

RIVERS EDGE ASSISTED LIVING IN

AITKIN

1

RIDGEWAY ON GERMAN

BROWN

48

RIVERS EDGE HOSPITAL & CLINIC

NICOLLET

359

Minnesota Department of Health

Health Regulation Division

Index For Directory of Facilities and Services Index Page 44

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

RIVERS OF LIFE

SCOTT

488

ROSEMOUNT HOME CARE

DAKOTA

114

RIVERSIDE ASSISTED LIVING

CASS

61

ROSEVIEW

DAKOTA

114

RIVERSIDE ASSISTED LIVING

CASS

62

ROSEWOOD

CHIPPEWA

66

RIVERSIDE ASSISTED LIVING

CASS

62

ROSEWOOD

CARVER

57

RIVERSIDE ASSISTED LIVING

MORRISON

351

ROSEWOOD SENIOR LIVING

ISANTI

302

RIVERSIDE ASSISTED LIVING

MORRISON

351

ROSEWOOD SENIOR LIVING LLC

ISANTI

302

RIVERSIDE ASSISTED LIVING OF P

CASS

61

ROUND LAKE HOME

ANOKA

20

RIVERSIDE SENIOR LIVING APTS

CASS

62

ROY MANOR

DAKOTA

110

RIVERVIEW CLINIC

POLK

389

ROYAL AGE ASSISTED LIVING

WASHINGTON

527

RIVERVIEW CLINIC

POLK

391

ROYAL AGE ASSISTED LIVING LLC

WASHINGTON

527

RIVERVIEW CLINIC

RED LAKE

447

ROYAL CARE LLC

HENNEPIN

163

RIVERVIEW HEIGHTS HIGHRISE

OTTER TAIL

378

ROYAL CARINGHANDS HHC SERVICES

HENNEPIN

164

RIVERVIEW HOME CARE

POLK

389

ROYAL CARINGHANDS HOME HEALTH

HENNEPIN

184

RIVERVIEW HOSPITAL & NSG HOME

POLK

389

ROYAL CROWN HOMES LLC

DAKOTA

94

RIVERVIEW LANDING

WRIGHT

554

ROYAL CROWN HOMES LLC

DAKOTA

94

RIVERVIEW LANDING

WRIGHT

554

ROYAL CROWN HOMES LLC

DAKOTA

94

RIVERVIEW MANOR

SAINT LOUIS

478

ROYAL HOME CARE INC

HENNEPIN

164

RIVERVILLAGE EAST

HENNEPIN

254

ROYAL HOME CARE INC

HENNEPIN

164

RIVERVILLAGE NORTH

HENNEPIN

254

ROYAL HOME CARE INC

HENNEPIN

164

RIVERWOOD CLINIC AITKIN

AITKIN

1

ROYAL HOME CARE INC

HENNEPIN

184

RIVERWOOD HEALTH CC GARRISON

CROW WING

83

ROYAL HOME CARE INC

ANOKA

20

RIVERWOOD HEALTHCARE CENTER

AITKIN

1

ROYAL STAR RESIDENCE INC

HENNEPIN

164

RIVERWOOD MCGREGOR CLINIC

AITKIN

2

ROYAL STAR RESIDENCE INC

HENNEPIN

195

ROBBINSDALE A VILLA CENTER

HENNEPIN

288

ROYALTY HOMES

GOODHUE

138

ROBBINSDALE DIALYSIS

HENNEPIN

288

ROYCE PLACE

ANOKA

14

ROBLAND HOME HEALTH CARE CORP

OLMSTED

371

RURAL REHABILITATION SERVICES

STEVENS

513

ROBLAND HOME HEALTHCARE CORP

OLMSTED

371

RYLEE'S HOUSE

HENNEPIN

184

ROCHESTER DIALYSIS

OLMSTED

371

S & H HEALTH CARE SERVICES LLC

HENNEPIN

254

ROCHESTER EAST HLTH SVCS

OLMSTED

371

S & O'S ASSISTED LIVING

KANABEC

312

ROCHESTER HOME INFUSION

OLMSTED

371

SABAINAH HEALTHCARE INC

ANOKA

5

ROCHESTER REHAB & LIVING CTR

OLMSTED

372

SABAINAH HEALTHCARE INC

HENNEPIN

184

ROCHESTER WEST HEALTH SVCS

OLMSTED

372

SABAINAH HEALTHCARE INC

HENNEPIN

184

ROGER METZ MANOR

WINONA

547

SACRED HEART ASST LIV APTS

MOWER

353

ROITENBERG ASSISTED LIVING

HENNEPIN

294

SACRED HEART CARE CENTER INC

MOWER

353

ROLLING HILLS HOME CARE

GRANT

139

SACRED HEART CARE CENTER INC

MOWER

353

ROLLINGWOOD HOME

BLUE EARTH

46

SACRED HEART HOME HEALTH CARE

MOWER

353

ROOT RIVER ESTATES

OLMSTED

374

SADIS RESIDENTIAL CARE CENTER

HENNEPIN

254

ROOTS COMMUNITY BIRTH CENTER

HENNEPIN

254

SAFA GROUP HOME LLC

HENNEPIN

255

ROSE ARBOR

HENNEPIN

220

SAFA GROUP HOME LLC

HENNEPIN

254

ROSE HAVEN

WADENA

521

SAFARI SERVICES LLC

WASHINGTON

536

ROSE HAVEN ASSISTED LIVING INC

WADENA

521

SAFARI SERVICES LLC

WASHINGTON

534

ROSE HOME CARE HOME MANAGEMENT

RAMSEY

436

SAFARI SERVICES LLC

WASHINGTON

534

ROSE OF SHARON A VILLA CENTER

RAMSEY

412

SAFARI SERVICES LLC

WASHINGTON

531

ROSE VIEW MANOR

STEARNS

500

SAFE & COMPASSIONATE HC SRVS

HENNEPIN

255

ROSELAWN VILLAGE APARTMENTS

RAMSEY

412

SAFE & COMPASSIONATE HOME CARE

RAMSEY

437

ROSEMOUNT COURT

DAKOTA

114

SAFE HARBOR RESIDENTIAL CARE

HENNEPIN

294

Minnesota Department of Health

Health Regulation Division

Index For Directory of Facilities and Services Index Page 45

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

SAFECARE HOMES INC

HENNEPIN

255

SANFORD CLINIC WESTBROOK

COTTONWOOD

76

SAFETY CARE INC

RAMSEY

437

SANFORD CLINIC WINDOM

COTTONWOOD

77

SAGEWOOD

WASHINGTON

541

SANFORD DETROIT LKS HM DIALYSI

BECKER

28

SAINT ANNE EXTENDED HEALTHCARE

WINONA

547

SANFORD DIALYSIS BEMIDJI

BELTRAMI

32

SAINT ELIZABETH HOSPITAL

WABASHA

520

SANFORD DIALYSIS DETROIT LAKES

BECKER

28

SAINT THERESE OF OXBOW LAKE

HENNEPIN

184

SANFORD DIALYSIS MORRIS

STEVENS

513

SAINT THERESE OF OXBOW LAKE

HENNEPIN

184

SANFORD DIALYSIS RED LAKE

BELTRAMI

33

SAINT THERESE OF OXBOW LAKE

HENNEPIN

185

SANFORD DIALYSIS THIEF RVR FLS

PENNINGTON

384

SAINT THERESE OF WOODBURY

WASHINGTON

541

SANFORD HEALTH DETROIT LAKES

BECKER

28

SAINT THERESE OF WOODBURY

WASHINGTON

541

SANFORD HEALTH HALSTAD CLINIC

NORMAN

363

SAKINAH HOMES LLC

WASHINGTON

541

SANFORD HEALTH MAHNOMEN CLINIC

MAHNOMEN

335

SAKINAH HOMES LLC

DAKOTA

117

SANFORD HEALTH NEILSON PLACE

BELTRAMI

32

SALAMS CARE RESIDENTIAL LLC

RAMSEY

401

SANFORD HEALTH ULEN CLINIC

CLAY

73

SALAMS CARE RESIDENTIAL LLC

RAMSEY

401

SANFORD HEALTH WALKER CLINIC

CASS

63

SALAMS CARE RESIDENTIAL LLC

RAMSEY

401

SANFORD HLTH PELICN RPDS CLINC

OTTER TAIL

381

SALEXAH HOMES SERVICE CORP

HENNEPIN

149

SANFORD HLTH TWIN VALLEY CLNC

NORMAN

363

SALEXAH HOMES SERVICE CORPORAT

WASHINGTON

542

SANFORD HOME CARE

NORTH DAKOTA

557

SAMARITAN BETHANY HM ON EIGHTH

OLMSTED

372

SANFORD HOME HEALTH

ROCK

461

SAMARITAN HOUSE BIRCHWOOD

CROW WING

81

SANFORD HOSPICE

SOUTH DAKOTA

558

SAMARITAN HOUSE ELMWOOD

CROW WING

81

SANFORD JACKSON MEDICAL CENTER

JACKSON

310

SAMARITAN HOUSE OAKWOOD

CROW WING

81

SANFORD LUVERNE HOSPICE

ROCK

461

SAMS HOUSE

ANOKA

23

SANFORD LUVERNE HOSPICE

ROCK

462

SANCTUARY HEALTHCARE SERVICES

RAMSEY

405

SANFORD LUVERNE MEDICAL CENTER

ROCK

462

SANCTUARY HEALTHCARE SERVICES

RAMSEY

415

SANFORD MED CTR THIEF RVR FALL

PENNINGTON

384

SANCTUARY HEALTHCARE SERVICES

HENNEPIN

184

SANFORD MEDICAL CENTER FARGO

NORTH DAKOTA

558

SANCTUARY HEALTHCARE SERVICES

HENNEPIN

190

SANFORD MEDICAL CENTER WHEATON

TRAVERSE

519

SANDOS CARE CORPORATION

NORTH DAKOTA

557

SANFORD TRACY MEDICAL CENTER

LYON

334

SANDSTONE GOLDEN HORIZONS

PINE

386

SANFORD TRACY WALNUT GROVE CLC

REDWOOD

450

SANDSTONE HEALTH CARE CENTER

PINE

386

SANFORD WESTBROOK MEDICAL CTR

COTTONWOOD

76

SANFORD BAGLEY CLEARBROOK CLNC

CLEARWATER

75

SANFORD WHEATON

TRAVERSE

519

SANFORD BAGLEY CLINIC

CLEARWATER

74

SANFORD WORTHINGTON HOME CARE

NOBLES

361

SANFORD BAGLEY MEDICAL CENTER

CLEARWATER

74

SANFORD WORTHINGTON MED CENTER

NOBLES

361

SANFORD BEHAVIORAL HLTH CENTER

PENNINGTON

383

SANFORD WORTHINGTON MEDICAL

NOBLES

362

SANFORD BEMIDJI HOME CARE

BELTRAMI

31

SATELLITE DIALYSIS ORTONVILLE

BIG STONE

39

SANFORD BEMIDJI HOSPICE

BELTRAMI

31

SAUER HEALTH CARE

WINONA

547

SANFORD BEMIDJI MEDICAL CENTER

BELTRAMI

32

SAUK CENTRE HRA

STEARNS

503

SANFORD CANBY DIALYSIS UNIT

YELLOW MEDICINE

555

SAVAGE SENIOR LIVING

SCOTT

488

SANFORD CANBY MEDICAL CENTER

YELLOW MEDICINE

555

SAVANNA PRAIRIE

STEARNS

499

SANFORD CANBY MEDICAL CENTER

YELLOW MEDICINE

555

SCANDI HAVEN VILLAGE

SWIFT

515

SANFORD CANBY MEDICAL CENTER

YELLOW MEDICINE

555

SCANDIA HOUSE OF ISLE

MILLE LACS

344

SANFORD CLINIC BALATON

LYON

331

SCANDIA HOUSE OF MORA

KANABEC

312

SANFORD CLINIC CANBY

YELLOW MEDICINE

555

SCANDIA HOUSE OF PINE CITY

PINE

385

SANFORD CLINIC JACKSON

JACKSON

310

SCANDIA SENIOR CARE LLC

MILLE LACS

344

SANFORD CLINIC LAKEFIELD

JACKSON

311

SCENIC HILLS ALTERNATIVE CARE

RAMSEY

437

SANFORD CLINIC MOUNTAIN LAKE

COTTONWOOD

75

SCENIC HILLS ALTERNATIVE CARE

WASHINGTON

530

SANFORD CLINIC TRACY

LYON

334

SCENIC HILLS ALTERNATIVE CARE

WASHINGTON

534

Minnesota Department of Health

Health Regulation Division

Index For Directory of Facilities and Services Index Page 46

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

SCENIC HILLS ALTERNATIVE CARE

RAMSEY

403

SERENDIPITOUS LIVING

DAKOTA

100

SCENIC HILLS ALTERNATIVE CARE

RAMSEY

403

SERENE HANDS HOME HEALTH CARE

ANOKA

10

SCHOOL SISTERS OF NOTRE DAME

BLUE EARTH

44

SERENEHANDS HOME HEALTH CARE I

ANOKA

10

SCHOOL SISTERS OF NOTRE DAME C

BLUE EARTH

44

SERENITY ASSISTED LIVING

CLEARWATER

75

SCMC - COURAGE COTTAGE

STEVENS

513

SERENITY ASSISTED LIVING

CLAY

70

SCOTT COUNTY

SCOTT

489

SERENITY ASSISTED LIVING

CLEARWATER

75

SCOTT COUNTY DIALYSIS

SCOTT

488

SERENITY ASST LVG MEMORY CARE

CLAY

69

SCREENING AMERICA

SOUTH DAKOTA

558

SERENITY GROUP HOMES LLC

HENNEPIN

255

SEABURY

RAMSEY

437

SERENITY GROUP HOMES LLC

HENNEPIN

255

SEASONS HEALTHCARE

MARTIN

337

SERENITY HEALTH CARE SERVICES

HENNEPIN

255

SEASONS HOSPICE

OLMSTED

372

SERENITY HOME HEALTH CARE INC

RAMSEY

437

SEASONS HOSPICE

OLMSTED

372

SERENITY HOME HEALTH CARE SYST

RAMSEY

437

SECOND HORIZON LIVING LLC

HENNEPIN

294

SERENITY LIVING CENTER

CLAY

69

SECOND HORIZON LIVING LLC

HENNEPIN

295

SERENITY LIVING CENTER INC

CLAY

70

SECURED HEALTH AND HOME CARE I

HENNEPIN

185

SERENITY LIVNG SOLUTIONS OF BL

BELTRAMI

33

SEED HOME HEALTHCARE LLC

HENNEPIN

149

SERENITY LVG SLTNS BLACKDUCK

BELTRAMI

33

SEED HOME HEALTHCARE LLC

HENNEPIN

149

SERENITY LVG SOLUTIONS OF CENT

WADENA

521

SEFERTT HEALTH CARE LLC

HENNEPIN

185

SERENITY LVG SOLUTIONS REMER

CASS

63

SELECT SR LIVING OF COON RAPID

ANOKA

20

SERENITY LVG SOLUTIONS SEBEKA

WADENA

521

SELECT SR LVG COON RAPIDS LLC

ANOKA

20

SERENITY PLACE

HENNEPIN

255

SENATIVE SERVICES LLC

HENNEPIN

195

SERENITY PLACE ON 7TH

STEARNS

507

SENATIVE SERVICES LLC

HENNEPIN

191

SERENITY SUITES SENIOR LIVING

REDWOOD

449

SENIOR CARE WOODBURY LLC

WASHINGTON

542

SERENITY SUITES SENIOR LIVING

REDWOOD

449

SENIOR CLASS CARE

CROW WING

84

SERENITY VILLAGE

STEARNS

498

SENIOR CLASS CARE OF PEQUOT LA

CROW WING

84

SERENITY VILLAGE AT AVON INC

STEARNS

498

SENIOR CLASS COMMUNITY LLC

CROW WING

84

SERVICE MANAGEMENT GROUP INC

WABASHA

519

SENIOR CLASS COMMUNITY LLC

CROW WING

84

SERVING HANDS INC

SAINT LOUIS

466

SENIOR CLASS HOME HEALTH CARE

CROW WING

84

SERVING HANDS PROPERTIES LLC

SAINT LOUIS

466

SENIOR FRIEND HOME CARE

DAKOTA

102

SEVEN HILLS SENIOR LIVING

RAMSEY

437

SENIOR FRIEND HOME CARE

SAINT LOUIS

473

SHABA HEALTH SERVICES CORP

HENNEPIN

255

SENIOR HELPERS

DAKOTA

95

SHADE TREE RETIREMENT CENTER

MCLEOD

338

SENIOR HELPERS

RAMSEY

413

SHAKOPEE FRIENDSHIP MANOR

SCOTT

489

SENIOR HOME HEALTH CARE LLC

HENNEPIN

149

SHAMAANI HOME HEALTH CARE INC

HENNEPIN

255

SENIOR LIVING LLC

HENNEPIN

185

SHAMAANI HOME HEALTH CARE INC

HENNEPIN

256

SENIOR ONE

ANOKA

25

SHARMARKE CARE HOME INC

HENNEPIN

290

SENIOR RIDE PLUS

DAKOTA

95

SHEPARD PARK HOME CARE

RAMSEY

441

SENIOR SUITES OF NEW BRIGHTON

RAMSEY

406

SHEPHERD COURT APARTMENTS

BENTON

37

SENIOR SUITES OF NEW BRIGHTON

RAMSEY

405

SHEPHERD OAK APARTMENTS INC

BENTON

37

SENIOR SUPPORT AND CARE

HENNEPIN

205

SHEPHERD OAK WEST APARTMENTS

BENTON

37

SENIORS CARING FOR SENIORS

DAKOTA

110

SHEPHERD OF GRACE LLC

SHERBURNE

490

SENIORS HELPING SENIORS

MOWER

353

SHETEK HOME CARE

LYON

334

SENIORS HELPING SENIORS

HENNEPIN

281

SHINGLE CREEK OPTION

HENNEPIN

185

SEPTEMBER HOUSE

SAINT LOUIS

473

SHIRE HOMES INC

HENNEPIN

149

SEPTEMBER HOUSE

SAINT LOUIS

473

SHIRE HOMES INC

HENNEPIN

149

SERENDIPITOUS LIVING

RAMSEY

437

SHIRE'S GROUP HOME INC SERVICE

HENNEPIN

256

SERENDIPITOUS LIVING

DAKOTA

100

SHIRES GROUP HM INC SERV CORP

HENNEPIN

256

Minnesota Department of Health

Health Regulation Division

Index For Directory of Facilities and Services Index Page 47

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

SHIRLEY CHAPMAN SHOLOM HOME E

RAMSEY

438

SOJOURN SUITES WESTEDGE

HENNEPIN

272

SHOLOM COMMUNITY ALLIANCE HOME

HENNEPIN

295

SOLACE HEALTH SERVICES LLC

HENNEPIN

220

SHOLOM HOME CARE

RAMSEY

438

SOLBAKKEN

HENNEPIN

220

SHOLOM HOME WEST

HENNEPIN

295

SOLBAKKEN INC

HENNEPIN

220

SHOLOM HOSPICE

RAMSEY

438

SOLBAKKEN INC

HENNEPIN

281

SHOREVIEW SENIOR LIVING

RAMSEY

416

SOLVAY HOUSE

SAINT LOUIS

474

SHOREVIEW SENIOR LIVING

RAMSEY

416

SOME PLACE SPECIAL

OTTER TAIL

382

SHOREWOOD COMMONS

OLMSTED

372

SONSHINE HOME HEALTH CARE LLC

LAC QUI PARLE

324

SHOREWOOD PLACE

OLMSTED

372

SOPHIE'S MANOR ASSISTED LIVING

PINE

386

SIDE BY SIDE HOME CARE SERVICE

HENNEPIN

256

SOPHIE'S MANOR ASSISTED LIVING

PINE

386

SIFU HEATH LLC

RAMSEY

413

SOTAM HOME CARE LLC

WASHINGTON

542

SIGNE AND OLIVIAS

KANABEC

313

SOTAM HOME CARE LLC LLC

WASHINGTON

542

SIGNE AND OLIVIAS LLC

KANABEC

313

SOURIYATHAY HOUSING WITH SVC

HENNEPIN

185

SIGNE BURCKHARDT MANOR

HENNEPIN

256

SOURIYATHAY HWS

HENNEPIN

185

SILVER BAY CAREFREE LIVING

LAKE

325

SOURIYATHAY HWS

SHERBURNE

491

SILVER LIGHT SENIOR LIVING

DAKOTA

95

SOURIYATHAY HWS

HENNEPIN

185

SILVER OAKS

RAMSEY

406

SOUTH CENTRAL SURGICAL CTR LLC

MARTIN

337

SILVERCARE LLC

HENNEPIN

295

SOUTH HOUSE

SIBLEY

495

SILVERCREEK ON MAIN

HENNEPIN

220

SOUTH SHORE CARE CENTER

NOBLES

361

SISTERCARE

FARIBAULT

126

SOUTH VIEW LIVING CENTER

SIBLEY

496

SISTERCARE LLC

FARIBAULT

126

SOUTH VIEW LIVING CENTER

SIBLEY

496

SISTERS ASSISTANT LIVING CARE

RAMSEY

417

SOUTHERN MINNESOTA HOMECARE LL

BLUE EARTH

44

SISTERS ASST LIVING CARE LLC

RAMSEY

413

SOUTHSIDE ASSISTED LIVING CORP

HENNEPIN

256

SISTERS HOME HEALTH CARE LLC

HENNEPIN

286

SOUTHSIDE CARE CENTER

HENNEPIN

256

SISTERS HOME HEALTH CARE LLC

HENNEPIN

286

SOUTHVIEW ACRES HEALTHCARE CTR

DAKOTA

117

SKYLIGHT GARDENS

STEARNS

506

SOUTHVIEW SENIOR LIVING

DAKOTA

117

SKYLINE HEALTH SERVICES INC

ANOKA

11

SOUTHVIEW SENIOR LIVING

DAKOTA

118

SKYLINE INCC LLC

WASHINGTON

528

SOUTHWEST MINNESOTA SURG CTR

LYON

333

SKYVIEW COURT

STEVENS

513

SPEAK RIGHT NOW LLC

RAMSEY

416

SKYVIEW PLAZA

STEVENS

513

SPECIALIZED HOME HEALTH CARE

RAMSEY

438

SLAYTON CLINIC

MURRAY

356

SPECIALIZED HOME HEALTH CARE S

RAMSEY

438

SLEEPY EYE AREA HOME HEALTH IN

BROWN

49

SPECTRUM COMMUNITY HEALTH INC

DAKOTA

107

SLEEPY EYE CARE CENTER

BROWN

49

SPECTRUM COMMUNITY HEALTH INC

DAKOTA

107

SLEEPY EYE HOUSING AUTHORITY

BROWN

49

SPECTRUM HEALTH COMPANIES

SAINT LOUIS

477

SLEEPY EYE MEDICAL CENTER

BROWN

49

SPECTRUM HOME HEALTH CARE LLC

STEARNS

508

SLEEPY EYE MEDICAL CENTER

BROWN

49

SPELTZ ESTATES ASSISTED LIVIN

WINONA

546

SO PSYCHIATRIC NF ST PETER

NICOLLET

360

SPELTZ ESTATES ASSISTED LIVING

WINONA

546

SOJOURN AT HOME LLC

HENNEPIN

296

SPINAL REHAB CLINIC

BENTON

37

SOJOURN SUITES EXCELSIOR

HENNEPIN

207

SPIRIT VALLEY ASSISTED LIVING

SAINT LOUIS

474

SOJOURN SUITES JAMES

HENNEPIN

196

SPIRIT VALLEY ASSISTED LIVING

SAINT LOUIS

474

SOJOURN SUITES LLC

CARVER

60

SPIRIT VALLEY ASSISTED LVG II

SAINT LOUIS

474

SOJOURN SUITES LLC

HENNEPIN

296

SPOT REHABILITATION INC

STEARNS

506

SOJOURN SUITES LLC

HENNEPIN

289

SPOT REHABILITATION INC

STEARNS

506

SOJOURN SUITES LYNWOOD

HENNEPIN

272

SPRING GROVE ASSISTED LIVING

HOUSTON

299

SOJOURN SUITES PLYMOUTH

HENNEPIN

281

SPRING GROVE ASSISTED LIVING L

HOUSTON

299

SOJOURN SUITES ST. BONIFACIUS

HENNEPIN

271

SPRING VALLEY CARE CENTER

FILLMORE

130

Minnesota Department of Health

Health Regulation Division

Index For Directory of Facilities and Services Index Page 48

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

SPRING VALLEY ESTATES

FILLMORE

130

ST. JOHN'S ON FOUNTAIN LAKE

FREEBORN

133

SPRING VALLEY ESTATES

FILLMORE

130

ST. JOSEPH'S HOSPITAL

RAMSEY

438

SPRING VALLEY HOME HEALTH

FILLMORE

130

ST. JOSEPHS AREA HLTH SERVICES

HUBBARD

301

SPRINGBROOK VILLAGE OF LA CRES

HOUSTON

299

ST. JOSEPHS AREA HLTH SERVICES

HUBBARD

301

SPRINGBROOK VLLG LA CRESCENT

HOUSTON

299

ST. JUDE HOME HEALTH LLC

HENNEPIN

256

SPRINGHILL

RAMSEY

444

ST. LIVING COMM OF MORA

KANABEC

312

SPYGLASS MANOR

DAKOTA

110

ST. LOUIS CO PUBLIC HEALTH HS

SAINT LOUIS

484

ST. ANDREWS VILLAGE

WASHINGTON

531

ST. LOUIS PARK DIALYSIS CENTER

HENNEPIN

295

ST. ANN'S RESIDENCE

SAINT LOUIS

474

ST. LUKE MOBILE MEDICAL CLINIC

RAMSEY

438

ST. ANN'S RESIDENCE

SAINT LOUIS

474

ST. LUKE'S HOME CARE

SAINT LOUIS

474

ST. ANTHONY HEALTH & REHAB

RAMSEY

417

ST. LUKE'S HOSPICE DULUTH

SAINT LOUIS

474

ST. ANTHONY PARK HOME

RAMSEY

438

ST. LUKE'S HOSPITAL

SAINT LOUIS

474

ST. BENEDICTS SENIOR COMMUNITY

SHERBURNE

494

ST. LUKES LUTHERAN CARE CENTER

FARIBAULT

126

ST. BENEDICTS SENIOR COMMUNITY

SHERBURNE

494

ST. MARK'S HERITAGE COMMUNITY

MOWER

353

ST. BENEDICTS SENIOR COMMUNITY

STEARNS

502

ST. MARK'S LIVING

MOWER

354

ST. BENEDICTS SR CM THE COURT

WRIGHT

553

ST. MARKS HERITAGE COMMUNITY

MOWER

354

ST. CHARLES ASSISTED LIVING

WINONA

546

ST. MARYS SR LIVING SUPPORT

BECKER

28

ST. CHARLES ASSISTED LVG INC

WINONA

546

ST. OTTO'S CARE CENTER INC

MORRISON

349

ST. CLARE LVG COMM OF MORA

KANABEC

312

ST. PAUL CAPITOL DIA AT HOME

RAMSEY

438

ST. CLOUD CAREFREE LIVING LLC

BENTON

37

ST. PAUL CAPITOL DIALYSIS

RAMSEY

438

ST. CLOUD CTR OPHTHALMIC SURG

STEARNS

506

ST. PAUL COMO COMMUNITY UNIT

RAMSEY

419

ST. CLOUD HOSPITAL

STEARNS

506

ST. PAUL DIALYSIS

RAMSEY

439

ST. CLOUD SURGICAL CENTER

STEARNS

506

ST. PAUL RESIDENCE

RAMSEY

439

ST. CRISPIN LIVING COMMUNITY

GOODHUE

138

ST. SCHOLASTICA CONVENT

SHERBURNE

494

ST. CRISPIN LIVING COMMUNITY

GOODHUE

138

ST. SCHOLASTICA CONVENT

SHERBURNE

494

ST. CRISPIN LIVING COMMUNITY

GOODHUE

138

ST. THERESE AT ST. ODILIA

RAMSEY

416

ST. CROIX HOSPICE

ITASCA

309

ST. THERESE HOME

HENNEPIN

275

ST. CROIX HOSPICE

WASHINGTON

534

ST. THERESE HOME INC

RAMSEY

416

ST. DAVIDS CHILD DV FAMILY SRV

HENNEPIN

270

ST. THERESE OF WOODBURY LLC

WASHINGTON

542

ST. ELIZABETH'S MEDICAL CENTER

WABASHA

520

ST. THERESE RESIDENCE

HENNEPIN

275

ST. ELIZABETHS COMM CLINIC

WABASHA

520

ST. THERESE RESIDENCE NURSING

HENNEPIN

275

ST. ELIZABETHS MEDICAL CENTER

WABASHA

520

ST. THERESE TCU NORTH LLC

HENNEPIN

288

ST. FRANCIS HOME

WILKIN

545

ST. WILLIAMS LIVING CENTER

OTTER TAIL

380

ST. FRANCIS MEDICAL CENTER

WILKIN

545

STABLE CARE SERVICES LLC

HENNEPIN

256

ST. FRANCIS REGIONAL MED CTR

SCOTT

489

STANLEY JONES & ASSOCIATES

OLMSTED

372

ST. GABRIEL'S HOSPITAL

MORRISON

349

STANLEY'S HOUSE

HENNEPIN

185

ST. GERTRUDES HLTH & REHAB CTR

SCOTT

489

STANTON HOUSE WITH SERVICES

HENNEPIN

257

ST. JAMES MANOR

OTTER TAIL

382

STANTON HOUSE WITH SERVICES

HENNEPIN

257

ST. JOHN HOME CARE

HENNEPIN

270

STANTON HOUSE WITH SERVICES

HENNEPIN

257

ST. JOHN HOME CARE LLC

HENNEPIN

281

STANTON HOUSE WITH SERVICES

HENNEPIN

257

ST. JOHN HOME CARE LLC

HENNEPIN

270

STAR CARE HEALTH SERVICES LLC

HENNEPIN

257

ST. JOHN HOME CARE LLC

HENNEPIN

270

STAR GROUP HOME INC

HENNEPIN

257

ST. JOHN HOME CARE LLC

HENNEPIN

281

STARBUCK MEDICAL CENTER

POPE

394

ST. JOHN LUTHERAN HOME

BROWN

50

STARCARE HEALTH SERVICES LLC

HENNEPIN

257

ST. JOHN'S COMMUNITY CARE

FREEBORN

133

STEARNS PLACE

STEARNS

501

ST. JOHN'S LUTHERAN HOME

FREEBORN

133

STEELE COUNTY PHNS

STEELE

511

Minnesota Department of Health

Health Regulation Division

Index For Directory of Facilities and Services Index Page 49

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

STEPPING STONE HOME HEALTH CAR

LYON

333

SUN RAY DIALYSIS UNIT

RAMSEY

439

STERLING PARK COMMONS

STEARNS

508

SUNBURG APARTMENTS

KANDIYOHI

314

STERLING PARK COMMONS

STEARNS

508

SUNCREST ASSISTED LIVING

CARLTON

54

STERLING PARK HCC

STEARNS

508

SUNCREST ASSISTED LIVING

CARLTON

54

STERLING POINTE SENIOR LIVING

MILLE LACS

347

SUNLIGHT INC

HENNEPIN

281

STERLING POINTE SENIOR LIVING

MILLE LACS

347

SUNLIGHT INC

HENNEPIN

257

STEVEN'S RESIDENCE

HENNEPIN

270

SUNLIGHT SENIOR LIVING

RAMSEY

439

STEVENS COMM MED CENTER CCC

STEVENS

514

SUNLIGHT SENIOR LIVING

RAMSEY

439

STEVENS COMMUNITY MEDICAL CTR

STEVENS

514

SUNLIGHT SERVICES

RAMSEY

401

STEVENS COMMUNITY STARBUCK

POPE

394

SUNLIGHT SERVICES

RAMSEY

439

STEWARTVILLA APARTMENTS

OLMSTED

374

SUNLIGHT SERVICES LLC

RAMSEY

401

STEWARTVILLE CARE CENTER

OLMSTED

374

SUNLIGHT SERVICES LLC

RAMSEY

439

STEWARTVILLE SEN CAMPUS COTT

OLMSTED

375

SUNLIGHT SERVICES LLC

RAMSEY

439

STONECREST

WASHINGTON

542

SUNLIGHT SERVICES LLC

RAMSEY

440

STONECREST

WASHINGTON

542

SUNNYSIDE CARE CENTER

BECKER

29

STONECREST LIVING

HENNEPIN

270

SUNNYVIEW

KANDIYOHI

313

STONECREST LIVING

HENNEPIN

295

SUNNYVIEW II

KANDIYOHI

313

STONECREST LIVING INC

HENNEPIN

271

SUNRISE AL ROSEVILLE

RAMSEY

413

STONEHAVEN SENIOR LIVING

DAKOTA

100

SUNRISE ASST LIVING ROSEVILLE

RAMSEY

413

STONEY RIVER RAMSEY

ANOKA

25

SUNRISE CARE LLC

ANOKA

23

STONEY RIVER RAMSEY

ANOKA

25

SUNRISE CUSTOMIZED LIVING

POLK

392

SU CASA HOME CARE

HENNEPIN

257

SUNRISE FARM

LESUEUR

328

SUBURBAN RESIDENTIAL CARE LLC

RAMSEY

416

SUNRISE OF EDINA

HENNEPIN

205

SUGAR BROOK VILLA

ITASCA

304

SUNRISE OF EDINA

HENNEPIN

205

SUGAR BROOK VILLA

ITASCA

304

SUNRISE OF GOLDEN VALLEY

HENNEPIN

212

SUGAR LOAF SENIOR LIVING

WINONA

548

SUNRISE OF GOLDEN VALLEY

HENNEPIN

212

SUGAR LOAF SENIOR LIVING

WINONA

548

SUNRISE OF MINNETONKA

HENNEPIN

271

SUITE LIVING OF LITTLE CANADA

RAMSEY

396

SUNRISE RESIDENTIAL SERVICES

RAMSEY

413

SUITE LIVING SENIOR CARE

RAMSEY

444

SUNRISE RESIDENTIAL SERVICES L

RAMSEY

413

SUITE LIVING SENIOR CARE

RAMSEY

413

SUNRISE TERRACE

MURRAY

356

SUITE LIVING SENIOR CARE

RAMSEY

444

SUNRISE VIEW ASSISTED LIVING L

NOBLES

360

SUITE LIVING SENIOR MANAGEMENT

RAMSEY

446

SUNRISE VILLAGE

KANDIYOHI

319

SUITE LVG SR CR NORTH ST. PAUL

RAMSEY

408

SUNSET COTTAGE

NOBLES

362

SUMMERWOOD OF CHANHASSEN

CARVER

55

SUNSET HOMES ASSISTED LIVING

OLMSTED

364

SUMMERWOOD OF CHANHASSEN

CARVER

55

SUNSET HOMES ASSISTED LIVING

OLMSTED

373

SUMMERWOOD OF PLYMOUTH

HENNEPIN

281

SUNSET HOMES ASSISTED LIVING I

OLMSTED

373

SUMMERWOOD OF PLYMOUTH

HENNEPIN

281

SUNSHINE ASSISTED LIVING

HENNEPIN

149

SUMMIT AVENUE RESIDENCE

DAKOTA

115

SUNSHINE ASSISTED LIVING SERV

HENNEPIN

150

SUMMIT HEALTHCARE INC

HENNEPIN

257

SUNSHINE GROUP HOME LLC

HENNEPIN

258

SUMMIT HILL SENIOR LIVING

RAMSEY

439

SUPERIOR HOME CARE LLC

HENNEPIN

223

SUMMIT HILL SENIOR LIVING

RAMSEY

439

SUPERIOR HOME CARE NURSING LLC

DAKOTA

110

SUMMIT HOME HEALTH CARE INC

HENNEPIN

212

SUPERIOR VIEW APARTMENTS

SAINT LOUIS

475

SUMMIT PLACE ASSISTED LIVING

HENNEPIN

200

SUPPORTIVE LIVING SOLUTIONS

DAKOTA

118

SUMMIT PLACE SENIOR LIVING

HENNEPIN

200

SUPPORTIVE LIVING SOLUTIONS WH

RAMSEY

443

SUMMIT RECOVERY SUITES

RAMSEY

444

SUPREME LIVING HOMES LLC

HENNEPIN

185

SUMMIT RECOVERY SUITES

DAKOTA

100

SUPREME LIVING HOMES LLC

HENNEPIN

164

Minnesota Department of Health

Health Regulation Division

Index For Directory of Facilities and Services Index Page 50

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

SW MN OPPORTUNITY COUNCIL INC

NOBLES

362

THE 92ND TRAIL

HENNEPIN

186

SWEET CAROL HOME CARE INC

WASHINGTON

542

THE ALTON MEMORY CARE

RAMSEY

440

SWIFT COUNTY BENSON HLTH SVCS

SWIFT

515

THE APPOINTED HOME LLC

HENNEPIN

275

SWIFT COUNTY BENSON HLTH SVCS

SWIFT

515

THE BEACON AT LAKE CRYSTAL

BLUE EARTH

39

SYLVAN PLACE

YELLOW MEDICINE

555

THE BEACON AT LAKE CRYSTAL

BLUE EARTH

39

SYMPHONY SENIOR SERVICES INC

RAMSEY

446

THE BEACON AT LE CENTER

BLUE EARTH

45

SYNCARE INC

HENNEPIN

271

THE BEACON AT MAPLETON

BLUE EARTH

45

SYNCARE INC

HENNEPIN

281

THE BEACON AT MAPLETON

BLUE EARTH

45

SYNCARE INC

HENNEPIN

281

THE BEATITUDES HOMES LLC

WRIGHT

554

SYNERGY HOME CARE MSP METRO

RAMSEY

413

THE BEATITUDES HOMES LLC

HENNEPIN

221

SYNERGY HOME CARE NORTHEAST ME

ANOKA

11

THE BEATITUDES HOMES LLC

WRIGHT

554

SYNERGY HOMECARE MINNEAPOLIS

HENNEPIN

212

THE BIRCHES AT TRILLIUM WOODS

HENNEPIN

282

SYNERGY HOMECARE OF EAST CENTR

WASHINGTON

537

THE BLESSED HOME CARE

RAMSEY

440

SYNERGY HOMECARE SOUTHERN TWIN

DAKOTA

95

THE BLESSED HOME CARE

RAMSEY

440

SYNERGYCARE LLC

SCOTT

490

THE BLUFFS OF LAKE CITY

GOODHUE

136

SYNERGYCARE LLC

DAKOTA

114

THE BOULEVARD

ANOKA

14

SYRIAUNA MANOR

DAKOTA

95

THE BRIDGES OF ZUMBROTA

GOODHUE

138

T & R HOMES INC

ANOKA

20

THE BROOKS ON ST PAUL

STEELE

512

TAILORED CARE RESIDENCE INC

HENNEPIN

258

THE BROOKS ON ST. PAUL

STEELE

512

TAILORED CARE RESIDENCE INC

HENNEPIN

258

THE BURLINGTON HOUSE

CROW WING

81

TAILORED CARE RESIDENCE INC.

HENNEPIN

258

THE BURLINGTON HOUSE-460

CROW WING

82

TALAHI NURSING & REHAB CENTER

SHERBURNE

494

THE CARING CREW LLC

HENNEPIN

186

TALAMORE SENIOR LIVING

STEARNS

507

THE CARING SISTERS HOME CARE

HENNEPIN

164

TAMARAC SR LIVING COMMUNITY

MARSHALL

335

THE CARING SISTERS HOME CARE

HENNEPIN

295

TAMARACK COURT

BELTRAMI

32

THE CARING SISTERS HOME CARE

HENNEPIN

213

TAMARACK COURT

BELTRAMI

32

THE CARING SISTERS HOME CARE

HENNEPIN

186

TAPESTRY

RAMSEY

440

THE CARING SISTERS HOME CARE

HENNEPIN

295

TAYLOR & MENSAH IN-HOME CARE

RAMSEY

440

THE CARING SISTERS HOME CARE

HENNEPIN

275

TAYUS HOME HEALTH CARE LLC

HENNEPIN

221

THE CARING SISTERS HOME CARE S

HENNEPIN

295

TAYUS HOME HEALTH CARE LLC

HENNEPIN

164

THE CARLSON HOME INC

MOWER

354

TBI RESIDENTIAL AND COMMUNITY

SAINT LOUIS

475

THE CARLSON HOME OF AUSTIN INC

MOWER

354

TBI RESIDENTIAL AND COMMUNITY

SAINT LOUIS

475

THE CEDARS

ANOKA

5

TBI RESIDENTIAL AND COMMUNITY

SAINT LOUIS

475

THE COLONY AT EDEN PRAIRIE

HENNEPIN

200

TCHIDI'S HOUSE

RAMSEY

414

THE COMMONS ON MARICE

DAKOTA

100

TEALWOOD MANAGEMENT LLC

SCOTT

490

THE COMMONS ON MARICE

DAKOTA

100

TEALWOOD MANAGEMENT LLC

MARTIN

337

THE COTTAGE EAST

RICE

459

TEAM HOME HEALTHCARE LLC

HENNEPIN

186

THE COTTAGE WEST

RICE

459

TEMPERANCE LAKE RIDGE

MARTIN

337

THE COUNTRY PLACE

POLK

390

TENDER CARE GROUP HOME INC

HENNEPIN

258

THE COUNTRY PLACE APARTMENTS

POLK

390

TENDER CARE GROUP HOMES LLC

HENNEPIN

258

THE COUNTRY VILLA

BENTON

35

TENDER CARE GROUP HOMES LLC

HENNEPIN

258

THE ELMS

ANOKA

5

TENDER CARES LLC

SAINT LOUIS

475

THE EMERALDS AT FARIBAULT

RICE

457

TENDER HEARTS HOME CARE

OTTER TAIL

380

THE EMERALDS AT FARIBAULT AL

RICE

457

TERRACE HGTS IND LIVING APTS

DOUGLAS

125

THE EMERALDS AT FARIBAULT LLC

RICE

457

TEXAS TERRACE A VILLA CENTER

HENNEPIN

295

THE EMERALDS AT GRAND RAPIDS

ITASCA

309

TFF CARE LLC

HENNEPIN

288

THE EMERALDS AT GRAND RAPIDS

ITASCA

309

Minnesota Department of Health

Health Regulation Division

Index For Directory of Facilities and Services Index Page 51

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

THE EMERALDS AT GRAND RAPIDS

ITASCA

309

THE GENEVA SUITES

HENNEPIN

205

THE EMERALDS AT ST PAUL LLC

RAMSEY

440

THE GENEVA SUITES

DAKOTA

95

THE ENCORE AT MAHTOMEDI

RAMSEY

440

THE GENEVA SUITES

DAKOTA

95

THE ENCORE AT CHAMPLIN

HENNEPIN

191

THE GENEVA SUITES

DAKOTA

95

THE ENCORE AT HUGO

WASHINGTON

529

THE GENEVA SUITES

DAKOTA

100

THE ENCORE AT MAHTOMEDI

WASHINGTON

531

THE GENEVA SUITES

HENNEPIN

150

THE ENCORE AT MAPLEWOOD

RAMSEY

401

THE GENEVA SUITES

HENNEPIN

205

THE ENCORE AT NORTH BRANCH

CHISAGO

68

THE GLENN MINNETONKA

HENNEPIN

271

THE ENCORE AT THE TWIN CITIES

RAMSEY

402

THE GOOD SAMARITAN NURSE

RAMSEY

414

THE ESTATES AT BLOOMINGTON

HENNEPIN

150

THE GOOD SAMARITAN NURSE

RAMSEY

414

THE ESTATES AT CHATEAU LLC

HENNEPIN

258

THE GRACE HOME HEALTH SERVICES

HENNEPIN

186

THE ESTATES AT DELANO LLC

WRIGHT

552

THE GREEN PRAIRIE ASSISTED LIV

WABASHA

520

THE ESTATES AT EXCELSIOR LLC

HENNEPIN

207

THE GREEN PRAIRIE REHAB CTR

WABASHA

520

THE ESTATES AT FRIDLEY LLC

ANOKA

23

THE GUARDIAN HOME CARE

HENNEPIN

186

THE ESTATES AT GREELEY LLC

WASHINGTON

536

THE HARBORS SENIOR LIVING

ANOKA

23

THE ESTATES AT LINDEN LLC

WASHINGTON

536

THE HAVEN AT PEACE VILLAGE

CARVER

58

THE ESTATES AT LYNNHURST LLC

RAMSEY

440

THE HEALTH ENHANCEMENT CTR

LYON

333

THE ESTATES AT ROSEVILLE LLC

RAMSEY

414

THE HOMESTEAD AT ANOKA

ANOKA

6

THE ESTATES AT RUSH CITY LLC

CHISAGO

68

THE HOMESTEAD AT ANOKA

ANOKA

6

THE ESTATES AT ST. LOUIS PARK

HENNEPIN

296

THE HOMESTEAD AT COON RAPIDS

ANOKA

20

THE ESTATES AT TWIN RIVERS LLC

ANOKA

5

THE HOMESTEAD AT COON RAPIDS

ANOKA

20

THE EVANGELICAL LUTHERAN GOOD

CHISAGO

68

THE HOMESTEAD AT COON RAPIDS

ANOKA

21

THE EVERGREENS

FILLMORE

130

THE HOMESTEAD AT MAPLEWOOD

RAMSEY

402

THE EVERGREENS OF MOORHEAD

CLAY

73

THE HOMESTEAD AT ROCHESTER

OLMSTED

374

THE EVERGREENS OF MOORHEAD

CLAY

73

THE HOMESTEAD AT ROCHESTER

OLMSTED

373

THE EVERGREENS OF MOORHEAD

CLAY

73

THE HUMMINGBIRD

SAINT LOUIS

481

THE FAMILY PARTNERSHIP

HENNEPIN

258

THE HUMMINGBIRD

SAINT LOUIS

481

THE FAMILY RESIDENCE

RICE

459

THE JAMES INC

HENNEPIN

150

THE FAMILY RESIDENCE

RICE

459

THE JAMES INC

HENNEPIN

150

THE FARMSTEAD

ANOKA

3

THE JAMES INC

HENNEPIN

150

THE FARMSTEAD

ANOKA

3

THE JAMES INC

HENNEPIN

150

THE FOUNTAINS AT HOSANNA!

DAKOTA

110

THE KENWOOD

HENNEPIN

258

THE FRIENDSHIP HOME COMMUNITY

RAMSEY

414

THE KENWOOD RETIREMENT COMMUNI

HENNEPIN

259

THE FRIENDSHIP HOME COMMUNITY

RAMSEY

414

THE LAKE COTTAGE

SHERBURNE

493

THE FRIENDSHIP HOME COMMUNITY

RAMSEY

414

THE LANDMARK OF FRIDLEY

ANOKA

23

THE FRIENDSHIP HOME COMMUNITY

RAMSEY

414

THE LANDMARK OF FRIDLEY

ANOKA

23

THE FRIENDSHIP PLACE LLC

RAMSEY

441

THE LEGACY

STEVENS

514

THE FRIENDSHIP PLACE LLC

DAKOTA

115

THE LEGACY

STEVENS

514

THE GABLES

OLMSTED

373

THE LEGACY OF DELANO

WRIGHT

552

THE GARDENS AT CANNON FALLS

GOODHUE

135

THE LEGACY OF DELANO LLC

WRIGHT

552

THE GARDENS AT FOLEY AL LLC

BENTON

34

THE LEGACY OF FARMINGTON

DAKOTA

102

THE GARDENS AT FOLEY ASST LVG

BENTON

34

THE LEGACY OF FARMINGTON

DAKOTA

102

THE GARDENS AT FOLEY LLC

BENTON

34

THE LEGACY OF ST ANTHONY

HENNEPIN

291

THE GARDENS AT ST GERTRUDES

SCOTT

490

THE LEGACY OF ST. ANTHONY

HENNEPIN

291

THE GARDENS AT ST GERTRUDES

SCOTT

490

THE LEGACY OF ST. MICHAEL

WRIGHT

554

THE GENEVA SUITES

HENNEPIN

200

THE LEGACY OF ST. MICHAEL

WRIGHT

554

Minnesota Department of Health

Health Regulation Division

Index For Directory of Facilities and Services Index Page 52

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

THE LODGE

WASHINGTON

536

THE PRAIRIE LODGE AT EARLE

HENNEPIN

165

THE LODGE

WASHINGTON

536

THE PRAIRIE LODGE AT EARLE BRN

HENNEPIN

165

THE LODGE OF HOWARD LAKE

WRIGHT

552

THE PRAIRIE LODGE AT EARLE BRN

HENNEPIN

164

THE LODGE OF HOWARD LAKE

WRIGHT

552

THE PRAIRIE LODGE AT EARLE BRN

HENNEPIN

164

THE LODGE OF MENDOTA

DAKOTA

112

THE PRESERVE OF ROSEVILLE

RAMSEY

414

THE LODGE OF MOUNTAIN LAKE

COTTONWOOD

76

THE PRESERVE OF ROSEVILLE

RAMSEY

415

THE LODGE OF MOUNTAIN LAKE

COTTONWOOD

76

THE QUINLAN HOME

RAMSEY

441

THE LODGE OF NEW HOPE

HENNEPIN

275

THE RIVERS

DAKOTA

96

THE LODGE OF NEW HOPE

HENNEPIN

275

THE ROSEMOUNT

DAKOTA

114

THE LODGE OF TAYLORS FALLS

CHISAGO

68

THE ROYALS

HENNEPIN

165

THE LODGE OF WINTHROP

SIBLEY

497

THE SANCTUARY AT BROOKLYN CTR

HENNEPIN

165

THE LODGE OF WINTHROP

SIBLEY

497

THE SANCTUARY AT ST. CLOUD

SHERBURNE

494

THE LODGE ON NATCHEZ

SCOTT

485

THE SANCTUARY AT WEST ST. PAUL

DAKOTA

118

THE LODGE ON NATCHEZ

SCOTT

485

THE SENIORS' FRIEND LLC

SCOTT

488

THE LODGE ON SUMMIT OAKS

DAKOTA

95

THE SHALOM HOME LLC

OLMSTED

373

THE LODGE ON SUMMIT OAKS

DAKOTA

95

THE SHALOM HOME LLC

OLMSTED

373

THE LUTHERAN HOME BELLE PLAINE

SCOTT

485

THE SHEPHERD'S INN

FARIBAULT

127

THE LUTHERAN HOME CEDAR HAVEN

BLUE EARTH

45

THE SHEPHERD'S INN

FARIBAULT

127

THE LUTHERAN HOME HOPE RES

SCOTT

485

THE SHORES OF LAKE PHALEN

RAMSEY

402

THE MAPLES

ANOKA

6

THE TERRACE AT IRIS PARK

RAMSEY

441

THE MAPLES AT ST. JOHN

BROWN

50

THE TERRACES

HENNEPIN

215

THE MEADOWS

FREEBORN

133

THE THERAPY PLACE

HENNEPIN

150

THE MEADOWS

KITTSON

321

THE THOMAS HOUSE INC

OTTER TAIL

383

THE MEADOWS

MOWER

355

THE THOMAS HOUSE INC

OTTER TAIL

383

THE MEADOWS

KITTSON

320

THE TOWERS

HENNEPIN

215

THE MEADOWS

MOWER

355

THE TUFF VILLAGE

ROCK

460

THE MEADOWS OF MABEL

FILLMORE

129

THE TUFF VILLAGE

ROCK

460

THE MEADOWS OF MABEL

FILLMORE

128

THE VIEW I MCHAVEN INC

GOODHUE

135

THE MEADOWS OF WADENA

WADENA

523

THE VILLA AT BRYN MAWR

HENNEPIN

259

THE MEADOWS OF WADENA

WADENA

523

THE VILLA AT OSSEO

HENNEPIN

276

THE MILL STREET RESIDENCE

OTTER TAIL

379

THE VILLA AT ST LOUIS PARK

HENNEPIN

296

THE MILL STREET RESIDENCE

OTTER TAIL

379

THE VILLAGES OF LONSDALE

RICE

457

THE MOMENTS OF LAKEVILLE

DAKOTA

110

THE WATERS OF EDINA

HENNEPIN

205

THE NEIGHBOR LADY INC

RICE

460

THE WATERS OF EXCELSIOR

HENNEPIN

207

THE NORTH SHORE ESTATES LLC

SAINT LOUIS

475

THE WATERS OF HIGHLAND PARK

RAMSEY

441

THE OAKS

ANOKA

6

THE WATERS OF OAKDALE

WASHINGTON

534

THE OAKS & POPLAR CREEK ESTATE

ROCK

462

THE WATERS OF PLYMOUTH

HENNEPIN

282

THE PILLARS OF HIGHLAND PARK

RAMSEY

441

THE WATERS OF WHITE BEAR LAKE

RAMSEY

446

THE PILLARS OF SHOREWOOD LNDNG

HENNEPIN

289

THE WATERS ON 50TH

HENNEPIN

259

THE PILLARS OF WHITE BEAR LAKE

RAMSEY

446

THE WATERS ON MAYOWOOD

OLMSTED

373

THE PINES

HENNEPIN

286

THE WATERS SENIOR LIVING MANAG

HENNEPIN

271

THE PINES

ANOKA

6

THE WATERVIEW PINES LLC

SAINT LOUIS

484

THE PINES

JACKSON

310

THE WATERVIEW SHORES AL

LAKE

326

THE PLUMMER HOME LLC

OLMSTED

373

THE WATERVIEW SHORES AL LLC

LAKE

326

THE PLUMMER HOME LLC

RAMSEY

395

THE WATERVIEW SHORES LLC

LAKE

326

THE PLUMMER HOME LLC

OLMSTED

364

THE WATERVIEW WOODS AL

SAINT LOUIS

477

Minnesota Department of Health

Health Regulation Division

Index For Directory of Facilities and Services Index Page 53

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

THE WATERVIEW WOODS AL

SAINT LOUIS

477

TOUCHING HEARTS AT HOME

HENNEPIN

151

THE WATERVIEW WOODS LLC

SAINT LOUIS

477

TOUCHING HEARTS AT HOME

SAINT LOUIS

475

THE WAYSIDE HOUSE INC

HENNEPIN

296

TOUCHING HEARTS AT HOME ST PAU

RAMSEY

415

THE WEALSHIRE LLC

HENNEPIN

150

TOUCHING HEARTS AT HOME WC MN

KANDIYOHI

314

THE WEALSHIRE OF BLOOMINGTON

HENNEPIN

151

TOUCHING HEARTS HOME CARE

LYON

333

THE WELLINGTON SENIOR LIVING

RAMSEY

441

TOUCHING LIVES ADULT DAY SERVI

SCOTT

488

THE WELLSTEAD OF ROGERS

HENNEPIN

289

TOUCHING LIVES COMMUNITIES

SCOTT

487

THE WILLOWS

ANOKA

6

TOUCHING LIVES COMMUNITIES LLC

SCOTT

488

THERAPY NETWORK

FILLMORE

130

TOUCHSTONE MENTAL HEALTH

HENNEPIN

259

THERESE K SEXTON HOME SOUTH

NICOLLET

357

TOWER LIGHT

HENNEPIN

296

THIEF RIVER CARE CENTER

PENNINGTON

384

TOWN AND COUNTRY HHC

LYON

334

THIRD AVENUE TOWERS

HENNEPIN

259

TR HOMES

ANOKA

21

THOENNES PROPERTY MGMT LLC

DOUGLAS

124

TRADITION

HENNEPIN

187

THOMAS T FEENEY MANOR

HENNEPIN

259

TRADITION

HENNEPIN

187

THORNDALE APARTMENTS

RAMSEY

406

TRADITIONS OF HARMONY

FILLMORE

128

THORNE CREST RETIREMENT CENTER

FREEBORN

134

TRADITIONS OF LA CRESCENT

HOUSTON

299

THORNE CREST RETIREMENT CENTER

FREEBORN

134

TRADITIONS OF LA CRESCENT

WINONA

545

THORNE CREST RETIREMENT CENTER

FREEBORN

134

TRADITIONS OF MONTGOMERY LLC

LESUEUR

328

THREE LINKS APARTMENTS

RICE

460

TRADITIONS OF MONTGOMERY LLC

LESUEUR

328

THREE LINKS CARE CENTER

RICE

460

TRADITIONS OF OWATONNA

STEELE

512

THREE LINKS MANAGEMENT SERVICE

RICE

457

TRADITIONS OF OWATONNA

STEELE

512

THREE RIVERS HOUSE

HENNEPIN

195

TRADITIONS OF OWATONNA II

STEELE

512

THREE STARS GROUP HOMES LLC

HENNEPIN

296

TRADITIONS OF OWATONNA II LLC

STEELE

512

THREE STARS GROUP HOMES LLC

RAMSEY

441

TRADITIONS OF PRESTON

FILLMORE

129

THUNDERBIRD WREN HOUSE

SAINT LOUIS

475

TRADITIONS OF PRESTON

FILLMORE

129

TIMBER HILLS

DAKOTA

107

TRADITIONS OF WATERVILLE

LESUEUR

328

TIMBERDALE TRACE

STEELE

512

TRAILS OF ORONO

HENNEPIN

276

TIMBERDALE TRACE

STEELE

512

TRANQUIL LIVING

HENNEPIN

200

TLC AGENCIES LLC

RAMSEY

441

TRANQUIL LIVING

HENNEPIN

272

TLC HC OF THE TWIN CITIES

RAMSEY

441

TRANSITIONS HOME CARE

HENNEPIN

191

TODD COUNTY PHNS

TODD

517

TRAVERSE CARE CENTER

TRAVERSE

519

TOLAD INC

HENNEPIN

186

TREE OF LIFE ASSISTED LIVING

STEARNS

500

TOLAD INCORPORATED

HENNEPIN

186

TREE OF LIFE ASSISTED LIVING

STEARNS

500

TONDA YAH IN HOME CARE LLC

HENNEPIN

195

TRI COUNTY HC BERTHA CLINIC

TODD

516

TOPCARE HEALTH SERVICES

HENNEPIN

186

TRI COUNTY HC HENNING CLINIC

OTTER TAIL

379

TOPCARE HOME

HENNEPIN

186

TRI COUNTY HC OTTERTAIL CLINIC

OTTER TAIL

380

TOTAL HOME HEALTH SERVICES LLC

HENNEPIN

187

TRI COUNTY HC SEBEKA CLINIC

WADENA

522

TOTALCARE ASSISTED LIVIN

HENNEPIN

275

TRI COUNTY HC WADENA CLINIC

WADENA

523

TOTALCARE ASSISTED LIVING

HENNEPIN

213

TRI COUNTY HOSP VERNDALE CLINI

WADENA

522

TOTALCARE ASSISTED LIVING SERV

HENNEPIN

275

TRI COUNTY HOSPITAL

WADENA

524

TOTALCARE ASSISTED LIVING SVCS

HENNEPIN

288

TRIA ORTHOPAEDIC CENTER LLC

HENNEPIN

151

TOUCH OF HOME

BELTRAMI

32

TRIA ORTHOPAEDIC WOODBURY

WASHINGTON

542

TOUCH OF HOME

BELTRAMI

32

TRILLIUM

BELTRAMI

32

TOUCHING HEARTS AT HOME WC MN

KANDIYOHI

314

TRILLIUM WOODS

HENNEPIN

282

TOUCHING HEARTS AT HOME

BELTRAMI

32

TRINITY CARE CENTER

DAKOTA

102

TOUCHING HEARTS AT HOME

HENNEPIN

282

TRINITY HOME HEALTH CARE SERV

DAKOTA

110

Minnesota Department of Health

Health Regulation Division

Index For Directory of Facilities and Services Index Page 54

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

TRINITY SUITES

DAKOTA

102

UMMC FAIRVIEW RENAL DIALYSIS

HENNEPIN

260

TRINTY TERRACE

DAKOTA

102

UNIQUE HOMES

HENNEPIN

261

TRIPLE ANGELS HEALTHCARE

WASHINGTON

527

UNIQUE HOMES LLC

HENNEPIN

261

TRIPLE ANGELS HEALTHCARE

WASHINGTON

527

UNISON GROUP HOME LLC

HENNEPIN

165

TRIPLE ANGELS HEALTHCARE

WASHINGTON

527

UNITED CHAPTERS LIVING

ANOKA

26

TRISTAR HOME CARE LLC

HENNEPIN

187

UNITED HEALTHCARE LLC

HENNEPIN

261

TRISTAR HOME CARE LLC

WASHINGTON

527

UNITED HEALTHCARE LLC

HENNEPIN

261

TROUVAILLE LLC

HENNEPIN

207

UNITED HEALTHCARE LLC

HENNEPIN

151

TROUVAILLE MEMORY CARE SUITES

HENNEPIN

206

UNITED HOME HEALTH CARE LLC

RAMSEY

442

TRUE CARE HOMES

HENNEPIN

259

UNITED HOMES SERVICES

DAKOTA

110

TRUE CARE HOMES

HENNEPIN

259

UNITED HOSPITAL

RAMSEY

442

TRUE CARE LIVING LLC

DAKOTA

101

UNITED HOSPITAL DISTRICT

FARIBAULT

126

TRUMAN MANOR APARTMENTS

MARTIN

338

UNITED HOSPITAL DISTRICT INC

FARIBAULT

126

TRUMAN SENIOR LIVING

MARTIN

338

UNITED HOSPITAL DISTRICT INC

FARIBAULT

126

TRUSTED HOME CARE LLC

SCOTT

490

UNITED PROVIDERS LLC

ANOKA

14

TUFF MEMORIAL HOME

ROCK

460

UNITED SOCIAL SERVICE OF MN LL

HENNEPIN

261

TUFF MEMORIAL HOME VISTE MANOR

ROCK

460

UNITY PLACE

HENNEPIN

261

TURNING POINT INC

HENNEPIN

260

UNIVERSAL CARE HOMES LLC

HENNEPIN

261

TURNING POINT INC

HENNEPIN

259

UNIVERSAL CARE HOMES LLC

HENNEPIN

261

TURNING POINT INC

HENNEPIN

260

UNIVERSAL HEALTH SERVICES LLC

SCOTT

490

TWEETEN LUTHERAN HEALTH C C

HOUSTON

299

UNIVERSAL HEALTH SERVICES LLC

ANOKA

3

TWIN CITIES ASSISTED LIVING

HENNEPIN

260

UNIVERSAL HEALTH SERVICES LLC

SCOTT

490

TWIN CITIES ASSISTED LIVING

HENNEPIN

260

UNIVERSAL PEDIATRICS

IOWA

556

TWIN CITIES ASSISTED LIVING IN

HENNEPIN

260

UNIVERSITY DIALYSIS RIVERSIDE

RAMSEY

442

TWIN CITIES ASSISTED LVG INC

HENNEPIN

260

UNIVERSITY MEDICAL CTR MESABI

SAINT LOUIS

481

TWIN CITIES GROUP HOMES LLC

HENNEPIN

260

UNIVERSITY OF MN MED CTR

HENNEPIN

261

TWIN CITIES NURSING CARE

RAMSEY

442

UNLIMITED HOME HEALTH CARE

HENNEPIN

151

TWIN CITIES NURSING CARE INC

RAMSEY

442

UNTIED CHAPTERS LIVING

HENNEPIN

206

TWIN CITIES SURGERY CENTER

HENNEPIN

206

UNVEILING HEALTH LLC

DAKOTA

101

TWIN CITY WOUND & OSTOMY ASSOC

DAKOTA

110

UNVEILING HEALTH LLC

DAKOTA

101

TWIN DIAMOND OPERATOR LLC

SAINT LOUIS

475

UP NORTH ANGELS

CASS

61

TWIN TOWN TREATMENT CENTER

RAMSEY

442

UPDAY HOME HEALTH LLC

WRIGHT

549

TWIN TOWN VILLA

WILKIN

545

UPEND HOME HEALTH CARE

RAMSEY

442

TWIN VALLEY ASSISTED LIVING LL

NORMAN

363

UPEND HOME HEALTH CARE INC

ANOKA

23

TWINCITIES LOYAL HOLISTIC CARE

RAMSEY

442

UPLIFTED CARE SERVICES LLC

HENNEPIN

262

TWINS CARE NURSING SERVICE INC

DAKOTA

87

UPLIFTED CARE SERVICES LLC

HENNEPIN

187

TWINS CARE NUSRING SERVICE INC

HENNEPIN

151

UPLIFTED CARE SERVICES LLC

HENNEPIN

187

TWINS HOME HEALTH CARE INC

HENNEPIN

260

UPLIFTED CARE SERVICES LLC

RAMSEY

402

TWO TWELVE SURGERY CENTER

CARVER

57

UPLIFTED CARE SERVICES LLC

HENNEPIN

187

U OF M HEALTH CLINIC SURGERY

HENNEPIN

260

UPLIFTED CARE SERVICES LLC

HENNEPIN

188

ULTIMATE HOME CARE

HENNEPIN

187

URBANA PLACE SENIOR LIVING

HENNEPIN

188

ULTIMATE CARE BROOKDALE HOUSE

HENNEPIN

187

URBANA PLACE SENIOR LIVING LLC

HENNEPIN

188

ULTIMATE HC RIVERDALE HOME

ANOKA

6

UTMOST CARE HEALTH SERVICES

HENNEPIN

262

ULTIMATE HM CARE REGENT HOUSE

HENNEPIN

187

V-CARE HOME HEALTH INC

RAMSEY

442

ULTIMATE HOME CARE LOGAN HOUSE

HENNEPIN

165

VADNAIS HEIGHTS SURGERY CENTER

RAMSEY

445

ULTIMATECARE SPRING LAKE HOUSE

ANOKA

26

VAIMAR HOME HEALTH CARE LLC

HENNEPIN

207

Minnesota Department of Health

Health Regulation Division

Index For Directory of Facilities and Services Index Page 55

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

VAIMAR SUITES LLC

HENNEPIN

207

VISION2020 GROUP HOMES LLC

HENNEPIN

165

VALENTINES ASSISTED LIVING LLC

GOODHUE

138

VISITING ANGELS

HENNEPIN

206

VALENTINES ASSISTED LIVING LLC

GOODHUE

138

VISITING ANGELS

HENNEPIN

297

VALLEY ASSISTED LIVING

PENNINGTON

384

VISITING ANGELS

HENNEPIN

188

VALLEY ASSISTED LIVING

PENNINGTON

384

VISITING ANGELS

STEARNS

507

VALLEY CARE AND REHAB LLC

CLAY

69

VISITING ANGELS

STEELE

513

VALLEY HI RISE

RAMSEY

443

VISITING ANGELS

OLMSTED

373

VALLEY HOME CARE LLC

NORTH DAKOTA

558

VISITING ANGELS

ISANTI

302

VALLEY RIDGE

DAKOTA

96

VISITING ANGELS

GOODHUE

138

VALLEY RIDGE

DAKOTA

96

VISITING ANGELS

RAMSEY

396

VALLEY VIEW ASSISTED LIVING

JACKSON

311

VISITING ANGELS

RAMSEY

402

VALLEY VIEW ASSISTED LIVING

JACKSON

311

VISITING ANGELS

RAMSEY

402

VALLEY VIEW ESTATES

TODD

517

VISTA PRAIRIE AT COPPERLEAF

KANDIYOHI

319

VALLEY VIEW ESTATES

TODD

517

VISTA PRAIRIE AT GARNETTE GARD

REDWOOD

449

VALLEY VIEW HEALTHCARE & REHAB

HOUSTON

298

VISTA PRAIRIE AT GOLDFINCH EST

MARTIN

337

VALLEY VIEW HEALTHCARE & REHAB

HOUSTON

298

VISTA PRAIRIE AT MONARCH MEADO

NICOLLET

357

VALLEY VIEW MANOR HCC

REDWOOD

448

VISTA PRAIRIE AT RIVER HEIGHTS

DAKOTA

114

VALLEY VIEW OF NORTHFIELD

RICE

460

VISTA PRAIRIE AT WINDMILL POND

DOUGLAS

124

VALLEYVIEW ASSISTED LIVING

STEELE

512

VITAL HOME CARE LLC

HENNEPIN

213

VALLEYVIEW OF JORDAN LLC

SCOTT

486

VOA HOME HEALTH AT ANOKA

ANOKA

6

VALLEYVIEW OF JORDAN LLC

SCOTT

486

VOA HOME HEALTH AT ELDER HOMES

HENNEPIN

271

VALLEYVIEW OF NORTHFIELD

RICE

460

VOA HOME HEALTH AT MAPLEWOOD

RAMSEY

402

VERACITY HEALTH SYSTEMS LLC

HENNEPIN

165

VOA HOME HEALTH AT ROCHESTER

OLMSTED

374

VERGAS ASSISTED LIVING

OTTER TAIL

383

VOLUNTEERS OF AMERICA HHS

HENNEPIN

200

VERMILION SENIOR LIVING

SAINT LOUIS

482

VOYAGE HOUSE

ITASCA

309

VERNON TERRACE

HENNEPIN

206

VP AT GARNETTE GARDENS

REDWOOD

449

VICTOR'S PLACE

SAINT LOUIS

475

VP AT GOLDFINCH ESTATES LLC

MARTIN

337

VICTORY HEALTH & REHAB CTR

HENNEPIN

262

VP AT MONARCH MEADOWS LLC

NICOLLET

357

VICTORY HOUSE

HENNEPIN

165

VP AT RIVER HEIGHTS LLC

DAKOTA

115

VIETNAMESE MINNESOTANS ASSOCIA

RAMSEY

443

VP AT WINDMILL PONDS LLC

DOUGLAS

124

VIEWCREST HEALTH CENTER

SAINT LOUIS

476

WABASSO REHAB & HCC

REDWOOD

449

VIKING MANOR NURSING HOME

CLAY

73

WALKER HOME SERVICES

HENNEPIN

262

VIKING MANOR NURSING HOME

CLAY

73

WALKER METHODIST CARE SUITES

HENNEPIN

206

VIKING MANOR NURSING HOME

CLAY

73

WALKER METHODIST CARE SUITES

HENNEPIN

206

VIKINGS HOME HEALTH CARE LLC

HENNEPIN

191

WALKER METHODIST HEALTH CTR

HENNEPIN

262

VIKINGS HOME HEALTH CARE LLC

HENNEPIN

191

WALKER METHODIST HIGHVIEW HILL

DAKOTA

111

VILLA COURT

CARLTON

53

WALKER METHODIST HIGHVIEW HILL

DAKOTA

110

VILLA COURT

CARLTON

53

WALKER METHODIST LEVANDE HOME

ISANTI

302

VILLA ST. VINCENT

POLK

389

WALKER METHODIST LEVANDE LLC

ISANTI

302

VILLA ST. VINCENT INC

POLK

389

WALKER METHODIST PLACE

HENNEPIN

262

VILLA ST. VINCENT INC

POLK

389

WALKER METHODIST PLAZA

ANOKA

7

VILLAGE SHORES

HENNEPIN

286

WALKER METHODIST PLAZA GARDENS

ANOKA

7

VINTAGE HOMECARE

GOODHUE

138

WALKER METHODIST PLAZA HOME CA

ANOKA

7

VINTAGE MOMENTS MEMORY CARE

RAMSEY

445

WALKER METHODIST WESTWOOD

DAKOTA

118

VIRGINIA CAREFREE LIVING

SAINT LOUIS

484

WALKER METHODIST WESTWOOD

DAKOTA

118

VISION QUEST PROPERTY MANAGEME

RAMSEY

446

WALKER METHODIST WESTWOOD

DAKOTA

118

Minnesota Department of Health

Health Regulation Division

Index For Directory of Facilities and Services Index Page 56

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

WALKER METHODIST WESTWOOD II

DAKOTA

118

WEST VIEW ASSISTED LIVING APT

DOUGLAS

125

WARM TOUCH HOME CARE INC

HENNEPIN

262

WEST VIEW/BRIDGEWELL AL APTS

DOUGLAS

125

WARROAD CARE CENTER

ROSEAU

464

WEST WIND VILLAGE

STEVENS

514

WASHBURNE COURT

STEARNS

501

WESTHEALTH SURGERY CENTER LLC

HENNEPIN

282

WASHBURNE COURT

STEARNS

501

WESTVIEW CARE INC

HENNEPIN

263

WATCHEN HOMES INC

HENNEPIN

165

WESTVIEW ESTATES

RENVILLE

451

WATCHEN HOMES INC

RAMSEY

443

WESTVIEW ESTATES

RENVILLE

450

WATCHFUL CAREGIVERS

HENNEPIN

188

WESTWOOD OF DULUTH

SAINT LOUIS

476

WATCHFUL CAREGIVERS LLC

HENNEPIN

166

WESTWOOD OF DULUTH

SAINT LOUIS

476

WATER'S EDGE

BLUE EARTH

45

WESTWOOD PLACE INC

CARVER

60

WATERFORD MANOR

HENNEPIN

188

WESTWOOD PLACE, INC.

CARVER

60

WATERFORD MANOR

HENNEPIN

188

WHISPERING CREEK

WASECA

524

WATERS EDGE

FREEBORN

134

WHISPERING OAK PLACE

STEELE

509

WATERVILLE ASSISTED LIVING LLC

LESUEUR

328

WHISPERING OAK PLACE

STEELE

509

WATKINS AREA HOMES

MEEKER

344

WHISPERING PINES ASSISTED LVG

ANOKA

7

WATKINS AREA HOMES

MEEKER

344

WHISPERING PINES RANCH

MOWER

354

WATKINS AREA HOMES

MEEKER

344

WHISPERING PINES RANCH

MOWER

354

WATKINS AREA HOMES II

MEEKER

344

WHITE BEAR LAKE COH CARE LLC

RAMSEY

446

WATKINS MANOR

WINONA

548

WHITE BEAR LAKE WHITE PINE

RAMSEY

447

WATKINS MANOR

WINONA

548

WHITE EARTH DIALYSIS

BECKER

29

WAVERLY GARDENS

RAMSEY

407

WHITE EARTH HOME HEALTH

BECKER

29

WAVERLY GARDENS

RAMSEY

406

WHITEFISH AT THE LAKES SENIOR

CROW WING

83

WAYZATA SURGERY CENTER

HENNEPIN

297

WHITEFISH AT THE LAKES SENIOR

CROW WING

83

WE CARE HEALTH SYSTEM LLC

HENNEPIN

166

WHITEWATER HEALTH SERVICES

WINONA

546

WE CARE HOME HEALTH SERVICES

ANOKA

21

WHITTIER PLACE

HENNEPIN

263

WEALSHIRE OF MEDINA

HENNEPIN

222

WIGGINS APARTMENTS

HENNEPIN

191

WEATHERSTONE SENIOR LIVING LLC

OLMSTED

374

WILDER CUSTOMIZED LIVING PROGR

RAMSEY

443

WELCOME HOME HEALTH CARE

WASHINGTON

529

WILDFLOWER LODGE

HENNEPIN

221

WELCOME HOME HEALTH CARE

HENNEPIN

262

WILDWOOD ASSISTED LIVING

BENTON

37

WELCOME HOME HEALTH CARE INC

CROW WING

84

WILDWOOD ASSISTED LIVING

BENTON

37

WELCOME HOME HEALTH CARE INC

MCLEOD

340

WILDWOOD GROVE

MOWER

355

WELCOME HOME HEALTH CARE INC

WILKIN

545

WILDWOOD GROVE

MOWER

355

WELCOME HOME HEALTH CARE INC

BROWN

48

WILKIN COUNTY PUBLIC HEALTH

WILKIN

545

WELCOME HOME LLC

HENNEPIN

282

WILLOW CREEK SENIOR COMMUNITY

OTTER TAIL

379

WELIA HEALTH

KANABEC

312

WILLOW CREEK SENIOR COMMUNITY

OTTER TAIL

379

WELIA HEALTH HINCKLEY

PINE

385

WILLOW HAVEN

WASHINGTON

530

WELLBEING HOMES LLC

HENNEPIN

188

WILLOW HOUSE LLC

SHERBURNE

494

WELLNESS GROUP HOME

ANOKA

11

WILLOW MIDWIVES LTD

HENNEPIN

263

WELLNESS HOMES INC

HENNEPIN

263

WILLOWS & WATERS SENIOR LIVING

OLMSTED

374

WELLNESS HOMES INC

HENNEPIN

263

WILLOWS & WATERS SENIOR LIVING

OLMSTED

374

WELLNESS HOMES INC

HENNEPIN

262

WILLOWS OF ARBOR LAKES

HENNEPIN

221

WELLSTEAD OF ROGERS

HENNEPIN

289

WINCHESTER ON WASHINGTON

BECKER

29

WESLEY RESIDENCE OF DULUTH

SAINT LOUIS

476

WINDOM AREA HEALTH

COTTONWOOD

77

WESLEY RESIDENCE OF DULUTH

SAINT LOUIS

476

WINDSONG

BELTRAMI

32

WEST BLOOMINGTON RESIDENCE

HENNEPIN

151

WINDY ACRES LONG TERM CARE INC

WASHINGTON

529

WEST ST. PAUL DIALYSIS UNIT

DAKOTA

118

WINDY ACRES LONG TERM INC

WASHINGTON

529

Minnesota Department of Health

Health Regulation Division

Index For Directory of Facilities and Services Index Page 57

FACILITY NAME COUNTY PAGE# FACILITY NAME COUNTY PAGE#

WINGSPAN LIFE RESOURCES

RAMSEY

WINGSPAN LIFE RESOURCES

RAMSEY

WINGSPAN LIFE RESOURCES

RAMSEY

WINGSPAN LIFE RESOURCES

HENNEPIN

WINONA AREA HOSPICE

WINONA

WINONA HEALTH SERVICES

WINONA

WINONA HEALTH SERVICES

WINONA

WINONA SHORES

DOUGLAS

WINTER HOMES INCORPORATED

SAINT LOUIS

WOOD DALE HOME INC

REDWOOD

WOOD SIDE MANOR

WADENA

WOODBURY DIALYSIS

WASHINGTON

WOODBURY ESTATES

WASHINGTON

WOODBURY HEALTH CARE CENTER

WASHINGTON

WOODBURY SURGICAL SUITES LLC

WASHINGTON

WOODBURY VILLA

WASHINGTON

WOODCREST ASSISTED LIVING

DOUGLAS

WOODCREST OF COUNTRY MANOR

STEARNS

WOODLAND CENTERS

KANDIYOHI

WOODLAND GOOD SAM VILLAGE APTS

CROW WING

WOODLAND GOOD SAMARITAN ASSIST

CROW WING

WOODLAND MANOR

MARTIN

WOODLAND MANOR

MARTIN

WOODLYN HEIGHTS HEALTHCARE CTR

DAKOTA

WOODSTONE SENIOR LIVING

BROWN

WOODSTONE SR LIVING HUTCHINSON

MCLEOD

WYOMING DIALYSIS

CHISAGO

Y M CARE INC

HENNEPIN

YORK GARDENS

HENNEPIN

YORKSHIRE OF EDINA SENIOR LIVI

HENNEPIN

YORKSHIRE OF EDINA SENIOR LVG

HENNEPIN

YOU MATTER HHC SERVICES LLC

HENNEPIN

YOU MATTER HOME HEALTH CARE SE

HENNEPIN

ZACHARY HOME HEALTH CORP

DAKOTA

ZACHARY HOME HEALTH CORP

DAKOTA

ZACHARY HOME HEALTH CORP

HENNEPIN

ZEN HOME HEALTHCARE

ANOKA

ZUBEER GROUP HOME LLC

RAMSEY

ZUBEER GROUP HOME LLC

RAMSEY

ZUMBRO HOUSE BOSSEN

HENNEPIN

ZUMBRO HOUSE BOSSEN 2

HENNEPIN

ZUMBRO HOUSE INC

WASHINGTON

ZUMBRO HOUSE SANDER

HENNEPIN

ZUMBRO HOUSE SANDER 2

HENNEPIN

ZUMBRO LAKELAND 7TH STREET

WASHINGTON

443

432

416

151

548

124

465

449

521

542

543

124

507

319

82

337

107

48

341

69

263

206

166

101

102

166

11

416

263

543

263

530

ZUMBRO NEWPORT

WASHINGTON

531

ZUMBRO VALLEY CONNECTIONS

OLMSTED

374

ZUMBROTA CARE CENTER

GOODHUE

138

ZUMBROTA CARE CENTER HOME CARE

GOODHUE

139

ZUMBRO LAKELAND 8TH STREET

WASHINGTON

530