Organization
NORTH RIDGE SKILLED, LLC
Active
Other names
North Ridge Health and Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
BARNES MICHELLE (DIRECTOR REVENUE CYCLE MANAGEMENT)
(813) 895-1797
Entity
Organization
Contact information
Practice address
5430 BOONE AVE N, NEW HOPE, MN 55428-3615
(763) 492-3000
Mailing address
5430 BOONE AVE N, NEW HOPE, MN 55428-3615
(763) 592-2600
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
MN
314000000X
Skilled Nursing Facility
Primary
327788
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
530698100
—
MN
05
—
531716900
—
MN
Enumeration date
09/19/2005
Last updated
10/17/2019
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