September Cottage Eldercare

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

1057930-2-AFC Issued in MN

Legal business name

SEPTEMBER COTTAGE ELDERCARE

Practice address

14145 205TH St N
Scandia, MN 55073-9583

Phone

(651) 433-4638

NPI assigned

Aug 17, 2010

Last updated

Aug 17, 2010By 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

Ms. Alana Nicole Sundberg

Title

Owner/Provider

Phone

(651) 433-4638

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1282003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282003200000",
    "number": "1114232949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14145 205TH ST N",
            "city": "SCANDIA",
            "state": "MN",
            "postal_code": "550739583",
            "telephone_number": "651-433-4638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14145 205TH ST N",
            "city": "SCANDIA",
            "state": "MN",
            "postal_code": "550739583",
            "telephone_number": "651-433-4638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEPTEMBER COTTAGE ELDERCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-17",
        "last_updated": "2010-08-17",
        "status": "A",
        "authorized_official_last_name": "SUNDBERG",
        "authorized_official_first_name": "ALANA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "651-433-4638",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MN",
            "license": "1057930-2-AFC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Marie Kim Nelson, RN
• Lee Nelson, O.D.
• New Leaf Acupuncture
• Thomas Paul Rumreich, DDS
• Scandia Family Dental PA
• Alana Nicole Sundberg
• Jennifer Lynn Tonneson, DC
• Wood Crest Building & Remodeling Inc. (Wood Crest Builders)

• Adult Care Home Facility in Scandia, MN
• Providers in Scandia, 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 Aug 17, 2010; 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.