Organization Active NPI

Partners in Community Supports

  • Home Health Agency
  • Saint Paul, MN
National Provider Identifier
1083871263
Registry record updated Mar 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
4927110 Issued in MN
Legal business name
PARTNERS IN COMMUNITY SUPPORTS
Practice address
1605 Eustis St
Saint Paul, MN 55108-1219
Phone
(651) 967-5060
Fax
(651) 967-5061
NPI assigned
May 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2017

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

Authorized official

Name
Brigid Peterson
Title
Chief Compliance Officer
Phone
(651) 310-9451

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 4927110 MN Primary

Addresses

Primary practice location

1605 Eustis St
Saint Paul, MN 55108-1219

Mailing address

1605 Eustis St
Saint Paul, MN 55108-1219
Phone (651) 967-5060

Other identifiers 2

IdentifierTypeStateIssuer
705719900MedicaidMN
705719901MedicaidMN

National Provider Directory

National Provider Directory

Locations

1605 Eustis St
Saint Paul, MN 55108
Phone (651) 646-7771

NPI Registry JSON

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489363200000",
    "number": "1083871263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 EUSTIS ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551081219",
            "telephone_number": "651-967-5060",
            "fax_number": "651-967-5061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 EUSTIS ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551081219",
            "telephone_number": "651-967-5060",
            "fax_number": "651-967-5061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARTNERS IN COMMUNITY SUPPORTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-16",
        "last_updated": "2017-03-13",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "BRIGID",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "651-310-9451"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "4927110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "705719900",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "705719901",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; 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.