Claddagh House, Inc.

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

CLADDAGH HOUSE, INC.

Practice address

333 S 2ND St
La Crescent, MN 55947-1372

Phone

(507) 895-6447

NPI assigned

May 7, 2008

Last updated

May 7, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Larry Ledebuhr

Title

President

Phone

(507) 896-2213

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1043486210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10431 MOUND PRAIRIE DR",
            "city": "HOUSTON",
            "state": "MN",
            "postal_code": "559437223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 S 2ND ST",
            "city": "LA CRESCENT",
            "state": "MN",
            "postal_code": "559471372",
            "telephone_number": "507-895-6447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLADDAGH HOUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "LEDEBUHR",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "507-896-2213",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David I Baumann, MD
• Hilary Bernsdorf, CCC-SLP
• Laura L Bloomquist, M. D.
• Danielle Boardman, COTA
• Allison Burke
• Kirsten Clark, R.N.
• Connected Family Chiropractic, LLC
• Crescent Therapy Services LLC
• Ellen Dalton, PT, DPT
• Kristen K. Foehner, DNP, PMHNP-BC, APNP

• Adult Care Home Facility in La Crescent, MN
• Providers in La Crescent, MN by specialty
• Adult Care Home Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.