Saint Therese of Oxbow Lake, LLC
NPI 1619236767 · Skilled Nursing Facility · Brooklyn Park, MN
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Saint Therese of Oxbow Lake, LLC is a Skilled Nursing Facility organization in Brooklyn Park, MN (NPI 1619236767).
Provider details
- NPI number
- 1619236767
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Cal Shelangoski, Cfo(952) 283-2204
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-05-10
- Last updated
- 2021-11-22
- Certified
- 2021-11-22
Frequently asked questions
- What is Saint Therese of Oxbow Lake, LLC's NPI number?
- Saint Therese of Oxbow Lake, LLC's National Provider Identifier (NPI) is 1619236767, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Saint Therese of Oxbow Lake, LLC?
- Saint Therese of Oxbow Lake, LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Saint Therese of Oxbow Lake, LLC located?
- Saint Therese of Oxbow Lake, LLC's practice location on file with NPPES is 9751 Regent Ave. No., Brooklyn Park, MN 55443.
- What is Saint Therese of Oxbow Lake, LLC's phone number?
- The practice phone number listed in the NPPES registry for Saint Therese of Oxbow Lake, LLC is (763) 493-7007.
- Does Saint Therese of Oxbow Lake, LLC accept Medicare?
- Saint Therese of Oxbow Lake, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Saint Therese of Oxbow Lake, LLC?
- The authorized official listed on Saint Therese of Oxbow Lake, LLC's NPPES record is Cal Shelangoski, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Saint Therese of Oxbow Lake, LLC's NPI active?
- Yes — Saint Therese of Oxbow Lake, LLC's NPI (1619236767) is active in the NPPES registry as of the last update on 2021-11-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.