Isd 622 Gladstone Meals on Wheels

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ISD 622 GLADSTONE MEALS ON WHEELS

Practice address

1945 Manton St
Maplewood, MN 55109-4444

Phone

(612) 623-3363

Fax

(612) 331-9401

NPI assigned

Oct 3, 2014

Organization subpart

No

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

Authorized official

Name

Mary Plasencia

Title

Billing Manager

Phone

(612) 623-3363

Specialties & licenses 1

Addresses

Tax ID family

Independent School District 6222 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Isd 622 Education Center

  • Local Education Agency (LEA)
  • North St. Paul, MN
  • NPI 1952462236
  NPD tax ID

Locations

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

{
    "created_epoch": "1412294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412294400000",
    "number": "1174926240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 MANTON ST",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551094444",
            "telephone_number": "612-623-3363",
            "fax_number": "612-331-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 MANTON ST",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551094444",
            "telephone_number": "612-623-3363",
            "fax_number": "612-331-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISD 622 GLADSTONE MEALS ON WHEELS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-03",
        "last_updated": "2014-10-03",
        "status": "A",
        "authorized_official_last_name": "PLASENCIA",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "612-623-3363"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Chima Ikeri Sr.
• Institute of Facial Surgery St Paul
• Institute of Facial Surgery St Paul, PLLC
• Interactive Therapy Services, Inc.
• Nadeem Iqbal, M.D.
• Alexander Ivaskovic, MD
• Kathleen Ann Iverson, LDH
• Sanaz Jabbari, DDS
• Danielle Margaret Colette Jackson, MD
• Katrina Margaret Jackson, CNP

• Community Based Hospice Care Agency in Maplewood, MN
• Providers in Maplewood, MN by specialty
• Community Based Hospice Care Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2014; 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.