Organization Active NPI

Traditions of la Crescent LLC

Doing business as Traditions of La Crescent

  • Assisted Living Facility
  • La Crescent, MN
National Provider Identifier
1154979334
Registry record updated Aug 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
TRADITIONS OF LA CRESCENT LLC
Doing business as
Traditions of La Crescent
Practice address
333 S 2ND St
La Crescent, MN 55947-1372
Phone
(507) 895-6447
NPI assigned
Aug 30, 2019
Last updated
Aug 30, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2019

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

Authorized official

Name
Desiree Ehlert
Title
Community Coordinator
Phone
(507) 895-6447

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

333 S 2ND St
La Crescent, MN 55947-1372

Mailing address

333 S 2ND St
La Crescent, MN 55947-1372
Phone (507) 895-6447

Other names 1

  • Traditions of La Crescent 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": "1567123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567123200000",
    "number": "1154979334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S 2ND ST",
            "city": "LA CRESCENT",
            "state": "MN",
            "postal_code": "559471372",
            "telephone_number": "507-895-6447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 S 2ND ST",
            "city": "LA CRESCENT",
            "state": "MN",
            "postal_code": "559471372",
            "telephone_number": "507-895-6447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRADITIONS OF LA CRESCENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-30",
        "last_updated": "2019-08-30",
        "status": "A",
        "authorized_official_last_name": "EHLERT",
        "authorized_official_first_name": "DESIREE",
        "authorized_official_title_or_position": "COMMUNITY COORDINATOR",
        "authorized_official_telephone_number": "507-895-6447"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Traditions of La Crescent",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Crescent, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; 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.