Minnesota Senior Care, Inc.

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

343020 Issued in MN

Legal business name

MINNESOTA SENIOR CARE, INC.

Practice address

361 8TH St Apt 102
Walnut Grove, MN 56180-9372

Phone

(651) 493-8837

Fax

(651) 493-8910

NPI assigned

Mar 10, 2009

Last updated

Mar 10, 2009By 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. Kao Lor

Title

Owner

Phone

(651) 493-8837

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1236643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236643200000",
    "number": "1124269808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 8TH ST APT 102",
            "city": "WALNUT GROVE",
            "state": "MN",
            "postal_code": "561809372",
            "telephone_number": "651-493-8837",
            "fax_number": "651-493-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 8TH ST APT 102",
            "city": "WALNUT GROVE",
            "state": "MN",
            "postal_code": "561809372",
            "telephone_number": "651-493-8837",
            "fax_number": "651-493-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA SENIOR CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-10",
        "last_updated": "2009-03-10",
        "status": "A",
        "authorized_official_last_name": "LOR",
        "authorized_official_first_name": "KAO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-493-8837",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "MN",
            "license": "343020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lois E Boerboom, RN
• City of Walnut Grove (Country View)
• City of Walnut Grove
• Bruce James Mathiason, DDS
• Proconcierge Nursing Service, LLC
• Sanford Health Network (Sanford Clinic Walnut Grove)
• Jill Marie Stoks, PHMNP
• True North Psychiatry, PLLC

• Preferred Provider Organization in Walnut Grove, MN
• Providers in Walnut Grove, MN by specialty
• Preferred Provider Organization in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2009; 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.