Organization Active NPI

Episcopal Corporation for the Elderly

  • Assisted Living Facility
  • Saint Paul, MN
National Provider Identifier
1154556249
Registry record updated May 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
HWS341267 Issued in MN
Legal business name
EPISCOPAL CORPORATION FOR THE ELDERLY
Practice address
1850 University Ave W
Management Office
Saint Paul, MN 55104-3930
Phone
(651) 646-1026
Fax
(651) 632-8807
NPI assigned
May 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2009

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

Authorized official

Name
Mr. Mark W Ladwig
Title
Assisted Living Manager
Phone
(651) 646-1026

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X HWS341267 MN Primary

Addresses

Primary practice location

1850 University Ave W
Management Office
Saint Paul, MN 55104-3930

Mailing address

1850 University Ave W
Management Office
Saint Paul, MN 55104-3930
Phone (651) 646-1026

Other names 1

  • Iris Park Commons Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242691200000",
    "number": "1154556249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 UNIVERSITY AVE W",
            "address_2": "MANAGEMENT OFFICE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043930",
            "telephone_number": "651-646-1026",
            "fax_number": "651-632-8807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 UNIVERSITY AVE W",
            "address_2": "MANAGEMENT OFFICE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043930",
            "telephone_number": "651-646-1026",
            "fax_number": "651-632-8807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPISCOPAL CORPORATION FOR THE ELDERLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-19",
        "last_updated": "2009-05-19",
        "status": "A",
        "authorized_official_last_name": "LADWIG",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "ASSISTED LIVING MANAGER",
        "authorized_official_telephone_number": "651-646-1026",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "HWS341267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Iris Park Commons",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 19, 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.