Organization Active NPI

Oakridge Support Services, Inc

  • Community/Behavioral Health Agency
  • Brainerd, MN
National Provider Identifier
1245396076
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
OAKRIDGE SUPPORT SERVICES, INC
Practice address
1021 Industrial Park Rd SW
Brainerd, MN 56401-8338
Phone
(218) 829-7599
Fax
(218) 829-7498
NPI assigned
Dec 28, 2006
Last updated
Nov 1, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

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

Authorized official

Name
Mrs. Yvette Lisa Holmes
Title
Office Manager
Phone
(218) 829-7599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

1021 Industrial Park Rd SW
Brainerd, MN 56401-8338

Mailing address

1021 Industrial Park Rd SW
Brainerd, MN 56401-8338
Phone (218) 829-7599

National Provider Directory

National Provider Directory

Locations

1021 Industrial Park Rd SW
Brainerd, MN 56401
Phone (218) 829-7599

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1245396076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 INDUSTRIAL PARK RD SW",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564018338",
            "telephone_number": "218-829-7599",
            "fax_number": "218-829-7498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 INDUSTRIAL PARK RD SW",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564018338",
            "telephone_number": "218-829-7599",
            "fax_number": "218-829-7498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKRIDGE SUPPORT SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "YVETTE",
        "authorized_official_middle_name": "LISA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "218-829-7599",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brainerd, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; 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.