Organization Active NPI

Saint Andrews House

  • Foster Care Agency
  • Monticello, MN
National Provider Identifier
1023370830
Registry record updated Jun 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
License
1050473-1-AFC Issued in MN
Legal business name
SAINT ANDREWS HOUSE
Practice address
612 W 5TH St
Monticello, MN 55362-8540
Phone
(763) 295-6001
NPI assigned
Jun 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2012

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

Authorized official

Name
Dawn Marie Rogosheske, RN
Title
Owner
Phone
(320) 963-3702

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X 1050473-1-AFC MN Primary

Addresses

Primary practice location

612 W 5TH St
Monticello, MN 55362-8540

Mailing address

1330 86TH St NW
Buffalo, MN 55313-2744
Phone (320) 963-3702

Other identifiers 1

IdentifierTypeStateIssuer
A534197000OtherMNUMPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339113600000",
    "number": "1023370830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 86TH ST NW",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553132744",
            "telephone_number": "320-963-3702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 W 5TH ST",
            "city": "MONTICELLO",
            "state": "MN",
            "postal_code": "553628540",
            "telephone_number": "763-295-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT ANDREWS HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-08",
        "last_updated": "2012-06-08",
        "status": "A",
        "authorized_official_last_name": "ROGOSHESKE",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "320-963-3702",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "MN",
            "license": "1050473-1-AFC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMPI",
            "identifier": "A534197000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2012; 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.