New Start Housing, LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

NEW START HOUSING, LLC

Practice address

211 3Rd St NE
Little Falls, MN 56345-2709

Phone

(612) 760-0542

NPI assigned

Oct 5, 2021

Organization subpart

No

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

Authorized official

Name

Kelley Martin

Title

President

Phone

(612) 760-0542

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633392000000",
    "number": "1225700446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 MINNEHAHA AVE E STE 323",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551065440",
            "telephone_number": "612-760-0542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 3RD ST NE",
            "city": "LITTLE FALLS",
            "state": "MN",
            "postal_code": "563452709",
            "telephone_number": "612-760-0542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW START HOUSING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-760-0542"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77310",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Little Falls, MN
• Providers in Little Falls, MN by specialty
• Case Management Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; 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.