Long Term Care Specialists Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

330896 Issued in MN

Legal business name

LONG TERM CARE SPECIALISTS INC

Doing business as

Camden Care Center

Practice address

512 49TH Ave N
Minneapolis, MN 55430-3621

Phone

(612) 529-7747

Fax

(612) 607-5821

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Robert Dean Letich, LHNA LSW

Title

Administrator President

Phone

(612) 529-9152

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": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200614400000",
    "number": "1255424115",
    "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": "612-529-7747",
            "fax_number": "612-607-5821"
        },
        {
            "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": "612-529-7747",
            "fax_number": "612-607-5821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG TERM CARE SPECIALISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-01-18",
        "status": "A",
        "authorized_official_last_name": "LETICH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "ADMINISTRATOR PRESIDENT",
        "authorized_official_telephone_number": "612-529-9152",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LHNA LSW"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "330896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Camden Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Stacey London, MD
• Viktoriya London, MD
• Abdul Haadee Lone, D.O.
• Nicole Lonergan, LAC
• Felicia Fernett Loney, RD
• Elise Long, OTR/L
• Kyle Long
• Michael Long
• Shelton Long
• William Long, MD

• Skilled Nursing Facility in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Skilled Nursing Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; 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.