Blaine WP, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BLAINE WP, LLC

Practice address

12446 Jamestown Street NE
Blaine, MN 55559

Phone

(763) 754-1930

NPI assigned

Oct 5, 2009

Last updated

Oct 5, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Rhonda K Schillinger

Title

Business Manager

Phone

(651) 287-0265

Specialties & licenses 1

Addresses

Other names 1

• Blaine White Pine Other name

Locations

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

{
    "created_epoch": "1254700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254700800000",
    "number": "1164757464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 MAIN ST",
            "address_2": "205",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551183757",
            "telephone_number": "651-287-0265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12446 JAMESTOWN STREET NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "55559",
            "telephone_number": "763-754-1930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAINE WP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-05",
        "last_updated": "2009-10-05",
        "status": "A",
        "authorized_official_last_name": "SCHILLINGER",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "651-287-0265",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blaine White Pine",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Assisted Living Facility in Blaine, MN
• Providers in Blaine, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.