NPI 1013743731 · live from the CMS NPI Registry
Edenbrook Rochester West LLC
Skilled Nursing Facility in Rochester, MN. National Provider Identifier 1013743731, active.
NPI record
| NPI | 1013743731 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 2215 Highway 52 N, Rochester, MN 55901 |
| Practice phone | 773-825-3336 |
| Mailing address | 8170 Mccormick Blvd Ste 112, Skokie, IL 60076 |
| Enumerated | September 10, 2024 |
| Last updated | September 10, 2024 |
| Authorized official | Max Stesel, Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.