Organization
PRESBYTERIAN HOME CARE CENTERS INC
Active
Other names
Langton Shores, Presbyterian Homes of Roseville Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARK MEYER (CFO)
(651) 631-6102
Entity
Organization
Contact information
Practice address
1900 COUNTY ROAD D, ROSEVILLE, MN 55113
(651) 631-6252
(651) 631-6081
Mailing address
1900 COUNTY ROAD D W, SAINT PAUL, MN 55112-3503
(651) 631-6102
(651) 631-6122
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4671
HEALTH PARTNERS
—
01
—
7100332
MEDICA
—
01
—
9756LA
BCBS
—
01
—
NH0042
UCARE
—
Enumeration date
07/26/2006
Last updated
11/11/2025
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