Organization Active NPI

Augustana Community Partners

Doing business as Heritage Commons

  • Home Health Agency
  • Minneapolis, MN
National Provider Identifier
1225263015
Registry record updated May 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AUGUSTANA COMMUNITY PARTNERS
Doing business as
Heritage Commons
Practice address
350 Van White Memorial Blvd
Minneapolis, MN 55405-4400
Phone
(612) 377-6655
Fax
(612) 377-6688
NPI assigned
May 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2009

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

Authorized official

Name
Craig Kittleson
Title
Chief Financial Officer
Phone
(612) 238-5205

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X MN Primary

Addresses

Primary practice location

350 Van White Memorial Blvd
Minneapolis, MN 55405-4400

Mailing address

350 Van White Memorial Blvd
Minneapolis, MN 55405-4400
Phone (612) 377-6655

Other identifiers 1

IdentifierTypeStateIssuer
A426918700MedicaidMN

Other names 1

  • Heritage Commons Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Augustana Community Partners3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1242864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242864000000",
    "number": "1225263015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 VAN WHITE MEMORIAL BLVD",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554054400",
            "telephone_number": "612-377-6655",
            "fax_number": "612-377-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 VAN WHITE MEMORIAL BLVD",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554054400",
            "telephone_number": "612-377-6655",
            "fax_number": "612-377-6688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTANA COMMUNITY PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-21",
        "last_updated": "2009-05-21",
        "status": "A",
        "authorized_official_last_name": "KITTLESON",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "612-238-5205"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A426918700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Commons",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2009; 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.