Janell Dawn Missler

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

License

1092678-1-HCBS Issued in MN

Practice address

1348 County Road 44
South Haven, MN 55382-9112

Phone

(763) 464-6701

Fax

(320) 274-2419

NPI assigned

Feb 28, 2018

Last updated

Feb 28, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1519776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519776000000",
    "number": "1154823755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1348 COUNTY ROAD 44",
            "city": "SOUTH HAVEN",
            "state": "MN",
            "postal_code": "553829112",
            "telephone_number": "763-464-6701",
            "fax_number": "320-274-2419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1348 COUNTY ROAD 44",
            "city": "SOUTH HAVEN",
            "state": "MN",
            "postal_code": "553829112",
            "telephone_number": "763-464-6701",
            "fax_number": "320-274-2419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISSLER",
        "first_name": "JANELL",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-28",
        "last_updated": "2018-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "MN",
            "license": "1092678-1-HCBS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Foster Care Agency in South Haven, MN
• Providers in South Haven, MN by specialty
• Foster Care Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2018; 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.