Videll Healthcare Camden, L.L.C.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

VIDELL HEALTHCARE CAMDEN, L.L.C.

Doing business as

Camden Care Center

Practice address

512 49TH Ave N
Minneapolis, MN 55430-3621

Phone

(253) 277-3197

NPI assigned

Oct 24, 2012

Last updated

Apr 19, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

VIDELL HEALTHCARE, L.L.C.As reported in NPPES

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

Authorized official

Name

Stephen J. Laforte

Title

Manager

Phone

(253) 277-3197

Specialties & licenses 1

Addresses

Other names 1

• Camden Care Center Doing business as

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

{
    "created_epoch": "1351036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366329600000",
    "number": "1235482407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 49TH AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554303621",
            "telephone_number": "612-287-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 49TH AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554303621",
            "telephone_number": "253-277-3197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDELL HEALTHCARE CAMDEN, L.L.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VIDELL HEALTHCARE, L.L.C.",
        "enumeration_date": "2012-10-24",
        "last_updated": "2013-04-19",
        "status": "A",
        "authorized_official_last_name": "LAFORTE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "253-277-3197"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Camden Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Minneapolis, MN
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2013; 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.