Linnea Residential Home, Inc.

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

801388 Issued in MN

Legal business name

LINNEA RESIDENTIAL HOME, INC.

Practice address

28770 Old Towne Rd
Chisago City, MN 55013-9598

Phone

(651) 257-2211

Fax

(651) 257-9430

NPI assigned

Nov 21, 2006

Last updated

Aug 22, 2020By 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. Scott Foss

Title

Administrator

Phone

(651) 257-2211

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104991736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28770 OLD TOWNE RD",
            "address_2": "P.O. BOX 450",
            "city": "CHISAGO CITY",
            "state": "MN",
            "postal_code": "550139598",
            "telephone_number": "651-257-2211",
            "fax_number": "651-257-9430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28770 OLD TOWNE RD",
            "city": "CHISAGO CITY",
            "state": "MN",
            "postal_code": "550139598",
            "telephone_number": "651-257-2211",
            "fax_number": "651-257-9430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINNEA RESIDENTIAL HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOSS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "651-257-2211",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "MN",
            "license": "801388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Marie Kokaisel, RN
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• Karla Jean Lind, CNP
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• Intellectual Disabilities Intermediate Care Facility in Chisago City, MN
• Providers in Chisago City, MN by specialty
• Intellectual Disabilities Intermediate Care Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.