Active NPI
Minnesota Lifestyle Solutions
- Home Health Agency
- Saint Cloud, MN
National Provider Identifier
1033868203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- MINNESOTA LIFESTYLE SOLUTIONS
- Practice address
- 2053 49TH St SE
Saint Cloud, MN 56304-8513 - Phone
- (320) 291-5660
- NPI assigned
- Mar 23, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Diane Charyl Prickett
- Title
- Worker-Owner
- Phone
- (320) 291-5660
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
2053 49TH St SE
Saint Cloud, MN 56304-8513
Mailing address
2053 49TH St SE
Saint Cloud, MN 56304-8513
Phone (320) 291-5660
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647993600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1647993600000",
"number": "1033868203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2053 49TH ST SE",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563048513",
"telephone_number": "320-291-5660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2053 49TH ST SE",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563048513",
"telephone_number": "320-291-5660"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINNESOTA LIFESTYLE SOLUTIONS",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-23",
"last_updated": "2022-03-23",
"certification_date": "2022-03-23",
"status": "A",
"authorized_official_last_name": "PRICKETT",
"authorized_official_first_name": "DIANE",
"authorized_official_middle_name": "CHARYL",
"authorized_official_title_or_position": "WORKER-OWNER",
"authorized_official_telephone_number": "320-291-5660"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Cloud, MN
- Brianna Joanne Milne, PA-C
- Courtney Leigh Minadakis, PA-C
- Dale J Minnerath, MD
- Minnesota Head and Neck Pain Clinic, PA (Minnesota Head & Neck Pain Clinic)
- Minnesota Health Operations LLC (Newport Academy-St Cloud)
- Minnesota Marriage and Family Counseling, LLC
- Minnesota Oral and Maxillofacial Surgeons
- Minnesota State Colleges (St. Cloud State University Health Service)
- Minnesota State Colleges and Universities (St. Cloud State University Medical Clinic and Counseling)
- Meghan Lyn Minor
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.