Living Services Foundation/Minneota, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

341587 Issued in MN

Legal business name

LIVING SERVICES FOUNDATION/MINNEOTA, LLC

Practice address

700 North Monroe Street
Minneota, MN 56264-9237

Phone

(507) 872-5300

NPI assigned

Aug 7, 2009

Organization subpart

No

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

Authorized official

Name

Jennifer Kamstra

Title

Chief Operating Officer

Phone

(763) 231-0410

Specialties & licenses 4

Addresses

Other names 1

• Minneota Manor Health Care Center Doing business as

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

{
    "created_epoch": "1249603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429747200000",
    "number": "1174754147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N MONROE ST",
            "city": "MINNEOTA",
            "state": "MN",
            "postal_code": "562649237",
            "telephone_number": "763-231-0410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 NORTH MONROE STREET",
            "city": "MINNEOTA",
            "state": "MN",
            "postal_code": "562649237",
            "telephone_number": "507-872-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING SERVICES FOUNDATION/MINNEOTA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-07",
        "last_updated": "2015-04-23",
        "status": "A",
        "authorized_official_last_name": "KAMSTRA",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "763-231-0410"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "342939",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MN",
            "license": "341587",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "342420",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "341587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Minneota Manor Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paul Howard Hougan, PHYSICAL THERAPIST
• Susan R Jacobson
• Ryan David Landberg, PT
• Alyssa Rose Lecy, DOT
• Lentz Dental PLLC
• Living Services Foundation/Minneota, LLC
• Minneota Public School
• Minneota Residential Services Limited Partnership
• Heather Dawn Murphy, OTR/L
• Pamela Elizabeth Neugebauer, D.P.T.

• Skilled Nursing Facility in Minneota, MN
• Providers in Minneota, MN by specialty
• Skilled Nursing Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2015; 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.