NPIMap

Organization Active NPI

South Metro Human Services

  • Case Management Agency
  • Saint Paul, MN
National Provider Identifier
1144308198
Registry record updated May 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
1033092-1-CDT Issued in MN
Legal business name
SOUTH METRO HUMAN SERVICES
Practice address
166 4TH St E
St Paul, MN 55101
Phone
(651) 291-1979
Fax
(651) 291-7378
NPI assigned
Nov 1, 2006
Last updated
May 21, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2015

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

Authorized official

Name
Tom Paul
Title
President
Phone
(651) 256-1234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 1033092-1-CDT MN Primary

Addresses

Primary practice location

166 4TH St E
St Paul, MN 55101

Mailing address

166 4TH St E
St Paul, MN 55101
Phone (651) 291-1979

Other identifiers 1

IdentifierTypeStateIssuer
454157000MedicaidMN

National Provider Directory

National Provider Directory
Tax ID family
South Metro Human Services-Act Blue20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432166400000",
    "number": "1144308198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 4TH ST E",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "55101",
            "telephone_number": "651-291-1979",
            "fax_number": "651-291-7378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 4TH ST E",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "55101",
            "telephone_number": "651-291-1979",
            "fax_number": "651-291-7378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH METRO HUMAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2015-05-21",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-256-1234"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MN",
            "license": "1033092-1-CDT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "454157000",
            "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 May 21, 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.