Precious Minds Adult Family Home

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

PRECIOUS MINDS ADULT FAMILY HOME

Practice address

716 N Bird St
Sun Prairie, WI 53590-1304

Phone

(262) 505-3507

NPI assigned

May 26, 2022

Organization subpart

No

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

Authorized official

Name

Corsica James

Title

Owner

Phone

(262) 505-3507

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653523200000",
    "number": "1174261424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 N BIRD ST",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535901304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 N BIRD ST",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535901304",
            "telephone_number": "262-505-3507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECIOUS MINDS ADULT FAMILY HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-26",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "CORSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-505-3507"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; 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.