Martin LM LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

1045533-1 Issued in MN

Legal business name

MARTIN LM LLC

Doing business as

Highland House

Practice address

4616 W 102ND St
Bloomington, MN 55437-2612

Phone

(952) 893-9078

NPI assigned

Aug 16, 2007

Organization subpart

Yes

Parent organization

MARTIN LM LLCAs reported in NPPES

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

Authorized official

Name

Denver Kaufman

Title

President

Phone

(612) 371-0053

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Highland House Doing business as

Tax ID family

Martin LM LLC5 organizations share this tax ID, including this one

Part of

Martin LM LLC

Other organizations with this tax ID 4

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

• Martin LM LLC

  dba Creekside Adult Day Program

  • Adult Day Care Clinic/Center
  • Bloomington, MN
  • NPI 1073705661
  NPD tax ID
• Martin LM LLC

  dba Martin Luther Care Center

  • Skilled Nursing Facility
  • Bloomington, MN
  • NPI 1629148929
  NPD tax ID
• Martin LM LLC

  dba Martin Luther Adult Day Program

  • Adult Day Care Clinic/Center
  • Bloomington, MN
  • NPI 1689867707
  NPD tax ID
• Martin LM LLC

  dba Hope Adult Day Program

  • Adult Day Care Clinic/Center
  • Richfield, MN
  • NPI 1770776890
  NPD tax ID

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229472000000",
    "number": "1255523858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 E 100TH ST",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554252615",
            "telephone_number": "952-888-7751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4616 W 102ND ST",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554372612",
            "telephone_number": "952-893-9078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN LM LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARTIN LM LLC",
        "enumeration_date": "2007-08-16",
        "last_updated": "2008-12-17",
        "status": "A",
        "authorized_official_last_name": "KAUFMAN",
        "authorized_official_first_name": "DENVER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-371-0053"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MN",
            "license": "1045533-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "228487000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highland House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rose McDonald Marshall
• Abby M Marten
• Selah Anne Martens
• Martin Chiropractic, P.a.
• Martin LM LLC (Creekside Adult Day Program)
• Martin LM LLC (Martin Luther Care Center)
• Martin LM LLC (Martin Luther Adult Day Program)
• Martin Luther Manor
• Carlee Michelle Martin, DPT
• Gretchen Lee Martin, MA

• Adult Care Home Facility in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Adult Care Home Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.