Organization Active NPI

Lions United Fitness Center

  • Developmentally Disabled Services Day Training Agency
  • Mendota Heights, MN
National Provider Identifier
1023742350
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
LIONS UNITED FITNESS CENTER
Practice address
2535 Pilot Knob Rd Ste 126
Mendota Heights, MN 55120-1170
Phone
(651) 348-7278
NPI assigned
Jul 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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

Authorized official

Name
Andrew Robert Cameron
Title
Life Coach
Phone
(651) 348-7278

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary
Developmental Disabilities Clinic/Center 261QD1600X
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

2535 Pilot Knob Rd Ste 126
Mendota Heights, MN 55120-1170

Mailing address

2535 Pilot Knob Rd Ste 126
Mendota Heights, MN 55120-1170
Phone (651) 348-7278

National Provider Directory

National Provider Directory

Locations

2535 Pilot Knob Rd
Ste 126
Mendota Heights, MN 55120
Phone (651) 348-7278

NPI Registry JSON

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

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657584000000",
    "number": "1023742350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2535 PILOT KNOB RD STE 126",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551201170",
            "telephone_number": "651-348-7278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2535 PILOT KNOB RD STE 126",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551201170",
            "telephone_number": "651-348-7278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIONS UNITED FITNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-12",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A",
        "authorized_official_last_name": "CAMERON",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "LIFE COACH",
        "authorized_official_telephone_number": "651-348-7278"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 12, 2022; 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.