Active NPI
Rebecca Jean Bosl
- Foster Care Agency
- Sauk Centre, MN
National Provider Identifier
1184133019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foster Care Agency
- License
- 1082938-1-HCBS
- Practice address
- 19605 150TH St
Sauk Centre, MN 56378-4646 - Phone
- (320) 493-9500
- Fax
- (320) 352-3453
- NPI assigned
- Sep 22, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foster Care Agency | 253J00000X | 1082938-1-HCBS | MN | Primary |
Addresses
Primary practice location
19605 150TH St
Sauk Centre, MN 56378-4646
Mailing address
19605 150TH St
Sauk Centre, MN 56378-4646
Phone (320) 493-9500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1082938-1-HCBS | MN | MD | Foster Care Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1184133019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19605 150TH ST",
"city": "SAUK CENTRE",
"state": "MN",
"postal_code": "563784646",
"telephone_number": "320-493-9500",
"fax_number": "320-352-3453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19605 150TH ST",
"city": "SAUK CENTRE",
"state": "MN",
"postal_code": "563784646",
"telephone_number": "320-493-9500",
"fax_number": "320-352-3453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOSL",
"first_name": "REBECCA",
"middle_name": "JEAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-22",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "253J00000X",
"taxonomy_group": "",
"desc": "Foster Care Agency",
"state": "MN",
"license": "1082938-1-HCBS",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sauk Centre, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.