National Provider Identifier Database

CAMILIA ROSE GROUP HOME
Intermediate Care Facility, Mentally Retarded

(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.


Contact Information

CAMILIA ROSE GROUP HOME
1555 118TH LN NW
COON RAPIDS, MN55448-7579
Phone: 763-862-5436
Fax: 763-754-0332
Website:
Specialty Taxonomy Code
* Intermediate Care Facility, Mentally Retarded 315P00000X

* Indicates primary specialty

NPI Profile & details for CAMILIA ROSE GROUP HOME

NPI Number 1447390570
Legal business name
LBN
CAMILIA ROSE GROUP HOME
Authorized official CONNIE WINBAUER - (CONTROLLER)
Entity Organization
Organization subpart No
Enumeration date 02/07/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • MN License #: 1075259

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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