NPIMap

Organization Active NPI

Life in Recovery, LLC.

  • Exclusive Provider Organization
  • Little Falls, MN
National Provider Identifier
1023293503
Registry record updated Jan 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
9021 Issued in MN
Legal business name
LIFE IN RECOVERY, LLC.
Practice address
304 8TH St SE
Little Falls, MN 56345-3241
Phone
(320) 360-4755
Fax
(320) 632-2781
NPI assigned
Jan 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2008

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

Authorized official

Name
Doreen Marie Loomis
Title
Owner
Phone
(320) 632-2598

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 9021 MN Primary

Addresses

Primary practice location

304 8TH St SE
Little Falls, MN 56345-3241

Mailing address

304 8TH St SE
Little Falls, MN 56345-3241
Phone (320) 360-4755

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199318400000",
    "number": "1023293503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 8TH ST SE",
            "city": "LITTLE FALLS",
            "state": "MN",
            "postal_code": "563453241",
            "telephone_number": "320-360-4755",
            "fax_number": "320-632-2781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 8TH ST SE",
            "city": "LITTLE FALLS",
            "state": "MN",
            "postal_code": "563453241",
            "telephone_number": "320-360-4755",
            "fax_number": "320-632-2781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE IN RECOVERY, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2008-01-03",
        "status": "A",
        "authorized_official_last_name": "LOOMIS",
        "authorized_official_first_name": "DOREEN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "320-632-2598"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "MN",
            "license": "9021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Falls, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; 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.