NPIMap

Organization Active NPI

American Baptist Homes of the Midwest

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Albert Lea, MN
National Provider Identifier
1205975786
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
804285 Issued in MN
Legal business name
AMERICAN BAPTIST HOMES OF THE MIDWEST
Practice address
617 E 10TH St
Albert Lea, MN 56007-3202
Phone
(507) 373-0188
Fax
(507) 373-8461
NPI assigned
Feb 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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

Authorized official

Name
Mr. Robert Swigert
Title
Budget & Finance Coordinator
Phone
(515) 331-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 804285 MN Primary

Addresses

Primary practice location

617 E 10TH St
Albert Lea, MN 56007-3202

Mailing address

617 E 10TH St
Albert Lea, MN 56007-3202
Phone (507) 373-0188

Other names 1

  • Crest Services Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2339987Crest Services617 E 10TH Street, Albert Lea, MN 56007Certificate of waiverMar 9, 2028

National Provider Directory

National Provider Directory
Tax ID family
Tudor Oaks HLTH Ctr14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659484800000",
    "number": "1205975786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 E 10TH ST",
            "city": "ALBERT LEA",
            "state": "MN",
            "postal_code": "560073202",
            "telephone_number": "507-373-0188",
            "fax_number": "507-373-8461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 E 10TH ST",
            "city": "ALBERT LEA",
            "state": "MN",
            "postal_code": "560073202",
            "telephone_number": "507-373-0188",
            "fax_number": "507-373-8461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN BAPTIST HOMES OF THE MIDWEST",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A",
        "authorized_official_last_name": "SWIGERT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "BUDGET & FINANCE COORDINATOR",
        "authorized_official_telephone_number": "515-331-1200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MN",
            "license": "804285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crest Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albert Lea, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.