Active NPI
R&R Apartment Living
- Preferred Provider Organization
- Faribault, MN
National Provider Identifier
1275793945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preferred Provider Organization
- License
- 7624495
- Legal business name
- R&R APARTMENT LIVING
- Practice address
- 116 3Rd Street SW
Faribault, MN 55021 - Phone
- (507) 210-2540
- NPI assigned
- Jun 16, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kathleen Mary Walsh
- Title
- Director
- Phone
- (507) 210-2540
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preferred Provider Organization | 305R00000X | 7624495 | MN | Primary |
Addresses
Primary practice location
116 3Rd Street SW
Faribault, MN 55021
Mailing address
1116 3Rd St SW
Faribault, MN 55021-5765
Phone (507) 210-2540
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 719418800 | Medicaid | MN |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213574400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213574400000",
"number": "1275793945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1116 3RD ST SW",
"city": "FARIBAULT",
"state": "MN",
"postal_code": "550215765",
"telephone_number": "507-210-2540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 3RD STREET SW",
"city": "FARIBAULT",
"state": "MN",
"postal_code": "55021",
"telephone_number": "507-210-2540"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "R&R APARTMENT LIVING",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-16",
"last_updated": "2008-06-16",
"status": "A",
"authorized_official_last_name": "WALSH",
"authorized_official_first_name": "KATHLEEN",
"authorized_official_middle_name": "MARY",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "507-210-2540",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": "MN",
"license": "7624495",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "719418800",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Faribault, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.