NPIMap

Organization Active NPI

The Lazarus Project

  • Developmentally Disabled Services Day Training Agency
  • Mendota Heights, MN
National Provider Identifier
1003908260
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
THE LAZARUS PROJECT
Practice address
2520 Pilot Knob Rd
Ste 190
Mendota Heights, MN 55120
Phone
(651) 452-1500
Fax
(651) 452-1502
NPI assigned
Sep 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Peggy HowellNPI 1417722729
Title
Executive Director
Phone
(651) 452-1500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

2520 Pilot Knob Rd
Ste 190
Mendota Heights, MN 55120

Mailing address

2520 Pilot Knob Rd
Ste 190
Mendota Heights, MN 55120
Phone (651) 452-1500

Other identifiers 3

IdentifierTypeStateIssuer
085L4LAOtherMNBCBS-MN
609878900MedicaidMN
609878900OtherMNMMIS-DHS

Other names 1

  • The Children's Autism Rehabilitation Education, Doing business as

National Provider Directory

National Provider Directory
Tax ID family
The Children'S Autism Rehabilitation Education2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2520 Pilot Knob Rd
Ste 190
Saint Paul, MN 55120
Phone (651) 452-1500

Practitioners & affiliated clinicians

Practitioners 27

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 27

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702339200000",
    "number": "1003908260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 PILOT KNOB RD",
            "address_2": "STE 190",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "55120",
            "telephone_number": "651-452-1500",
            "fax_number": "651-452-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 PILOT KNOB RD",
            "address_2": "STE 190",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "55120",
            "telephone_number": "651-452-1500",
            "fax_number": "651-452-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LAZARUS PROJECT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2023-12-12",
        "status": "A",
        "authorized_official_last_name": "HOWELL",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "651-452-1500"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-MN",
            "identifier": "085L4LA",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "609878900",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMIS-DHS",
            "identifier": "609878900",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Children's Autism Rehabilitation Education,",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mendota Heights, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.