Organization Active NPI

Foxmar, Inc

  • Health Service Clinic/Center
  • Saint Paul, MN
National Provider Identifier
1164214474
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
FOXMAR, INC
Doing business as
Education and Training Resources for Hubert Humphrey JCC
Practice address
1480 Snelling Ave N
Saint Paul, MN 55108-2344
Phone
(651) 444-1822
NPI assigned
May 21, 2025
Organization subpart
Yes
Parent organization
EDUCATION AND TRAINING RESOURCES FOR HUBERT HUMPHREY JCCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Authorized official

Name
Teresa Groska
Title
Health and Wellness Director
Phone
(651) 444-1809

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

1480 Snelling Ave N
Saint Paul, MN 55108-2344

Mailing address

1480 Snelling Ave N
Saint Paul, MN 55108-2344
Phone (651) 444-1809

Other names 2

  • Education and Training Resources for Hubert Humphrey JCC Doing business as
  • Hubert H. Humphrey Job Corps Center Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D0966384Hubert H Humphrey Job Corps1480 N Snelling Ave, Saint Paul, MN 55108Certificate of waiverOct 12, 2027

National Provider Directory

National Provider Directory
Part of
Foxmar Inc

Locations

1480 Snelling Ave N
Saint Paul, MN 55108
Phone (651) 444-1822

NPI Registry JSON

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

{
    "created_epoch": "1747785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747958400000",
    "number": "1164214474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 SNELLING AVE N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551082344",
            "telephone_number": "651-444-1809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 SNELLING AVE N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551082344",
            "telephone_number": "651-444-1822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOXMAR, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EDUCATION AND TRAINING RESOURCES FOR HUBERT HUMPHREY JCC",
        "enumeration_date": "2025-05-21",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A",
        "authorized_official_last_name": "GROSKA",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "HEALTH AND WELLNESS DIRECTOR",
        "authorized_official_telephone_number": "651-444-1809"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Education and Training Resources for Hubert Humphrey JCC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Education and Training Resources for Hubert Humphrey JCC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hubert H. Humphrey Job Corps Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.