Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1942586532 Individual Practitioner Female Practitioner

Jennier Renee Johnson , PRESIDENT

Assisted Living Facility • Brookston, MN

Professional Overview & Biography Verified Profile Summary

Jennier Johnson, PRESIDENT is a registered healthcare professional specializing in Assisted Living Facility in Brookston, MN. Practice services are available at 8783 2ND STREET SOUTH under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8783 2nd Street South

Brookston, MN 557110367

Telephone 2184535062
Fax 2184535064
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Assisted Living Facility in Brookston, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Brookston, MN (42 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Assisted Living Facility Primary Specialty

NUCC Taxonomy Code: 310400000X

State License MN 354457

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Custodial Care Facility

NUCC Taxonomy Code: 311Z00000X

State License MN FBL-26096-34148

A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel.

Custodial Care Facility - Adult Care Home

NUCC Taxonomy Code: 311ZA0620X

State License MN 354448

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 26, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location October 26, 2011

Registered at 8783 2ND STREET SOUTH, BROOKSTON, MN 557110367 (Tel: 2184535062)

📍
Updated Business Mailing Address October 26, 2011

Registered at BOX 367, 8783 2ND STREET S, BROOKSTON, MN 557110367 (Tel: 2184535062)

👤
Provider Name / Credentials Updated October 26, 2011

Recorded as JENNIER JOHNSON, PRESIDENT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 26, 2011

Assisted Living Facility (License #354457 in MN)

🟢
Initial NPI Registration & Enumeration October 26, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1942586532
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 26, 2011
Last Update: October 26, 2011
Sole Proprietor: Yes

Mailing Address

Box 367, 8783 2nd Street S

Brookston, MN 557110367

Phone: 2184535062

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.