NPI 1962499566 · live from the CMS NPI Registry
Camilia Rose Company INC
Skilled Nursing Facility in Coon Rapids, MN. National Provider Identifier 1962499566, active.
NPI record
| NPI | 1962499566 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 11800 Xeon Blvd Nw, Coon Rapids, MN 55448 |
| Practice phone | 763-755-8400 |
| Enumerated | September 29, 2005 |
| Last updated | February 10, 2020 |
| Authorized official | Jason Tjosvold, Secretary & Treasurer |
| Other names | Camilia Rose Care Center LLC |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | 326976 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.