NPIMap

Organization Active NPI

Martin LM LLC

  • Adult Day Care Clinic/Center
  • Bloomington, MN
National Provider Identifier
1073705661
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
MARTIN LM LLC
Practice address
9801 Penn Ave S
Bloomington, MN 55431-2912
Phone
(952) 888-5405
NPI assigned
Aug 16, 2007
Organization subpart
Yes
Parent organization
MARTIN LM LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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

Authorized official

Name
Denver Kaufman
Title
President
Phone
(612) 371-0053

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X MN Primary

Addresses

Primary practice location

9801 Penn Ave S
Bloomington, MN 55431-2912

Mailing address

1401 E 100TH St
Bloomington, MN 55425-2615
Phone (952) 888-7751

Other names 1

  • Creekside Adult Day Program Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Martin LM LLC5 organizations share this tax ID, including this one
Part of
Martin LM LLC

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9801 Penn Ave S
Bloomington, MN 55431
Phone (952) 888-5405

NPI Registry JSON

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1073705661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 E 100TH ST",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554252615",
            "telephone_number": "952-888-7751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9801 PENN AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554312912",
            "telephone_number": "952-888-5405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN LM LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARTIN LM LLC",
        "enumeration_date": "2007-08-16",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "KAUFMAN",
        "authorized_official_first_name": "DENVER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-371-0053"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creekside Adult Day Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.