Lsi Services, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

331952 Issued in MN

Legal business name

LSI SERVICES, LLC

Doing business as

Colonial Manor of Balaton

Practice address

551 US Hwy 14
Balaton, MN 56115

Phone

(507) 734-3511

Fax

(507) 734-2337

NPI assigned

Jul 9, 2006

Last updated

Jul 9, 2015By 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

R. Peter Madel III

Title

Owner

Phone

(507) 734-3511

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Colonial Manor of Balaton Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• City of Balaton

  dba Balaton Ambulance

  • Ambulance
  • Balaton, MN
  • NPI 1881707032

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436400000000",
    "number": "1114950524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 219",
            "address_2": "551 US HWY 14",
            "city": "BALATON",
            "state": "MN",
            "postal_code": "56115",
            "telephone_number": "507-734-3511",
            "fax_number": "507-734-2337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 US HWY 14",
            "city": "BALATON",
            "state": "MN",
            "postal_code": "56115",
            "telephone_number": "507-734-3511",
            "fax_number": "507-734-2337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LSI SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2015-07-09",
        "status": "A",
        "authorized_official_last_name": "MADEL",
        "authorized_official_first_name": "R.",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-734-3511",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "331952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "NH0252",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "4743CO",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "570014400",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colonial Manor of Balaton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Balaton Public School
• Richard Wallace Brown, DDS
• City of Balaton (Balaton Ambulance)
• Kathryn Determan, DDS
• Jenna Elizabeth Erickson, CNM. IBCLC
• Amy Perlenfein

• Skilled Nursing Facility in Balaton, MN
• Providers in Balaton, MN by specialty
• Skilled Nursing Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; 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.