NPIMap

Organization Active NPI

Mille Lacs Band Family Services

  • Case Management Agency
  • Onamia, MN
National Provider Identifier
1154587129
Registry record updated Jul 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
MILLE LACS BAND FAMILY SERVICES
Practice address
17230 Noopiming Dr
Onamia, MN 56359-4522
Phone
(320) 532-7764
Fax
(320) 532-7803
NPI assigned
Jul 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2008

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

Authorized official

Name
Kristy Marie Leblanc
Title
Intake, Referral, and Office Coord.
Phone
(320) 532-7764

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

17230 Noopiming Dr
Onamia, MN 56359-4522

Mailing address

17230 Noopiming Dr
Onamia, MN 56359-4522
Phone (320) 532-7764

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1154587129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17230 NOOPIMING DR",
            "city": "ONAMIA",
            "state": "MN",
            "postal_code": "563594522",
            "telephone_number": "320-532-7764",
            "fax_number": "320-532-7803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17230 NOOPIMING DR",
            "city": "ONAMIA",
            "state": "MN",
            "postal_code": "563594522",
            "telephone_number": "320-532-7764",
            "fax_number": "320-532-7803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLE LACS BAND FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-30",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "LEBLANC",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "INTAKE, REFERRAL, AND OFFICE COORD.",
        "authorized_official_telephone_number": "320-532-7764"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Onamia, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; 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.