NPIMap

Organization Active NPI

Paynesville Area Living at Home Block Nurse Program

  • Voluntary or Charitable Agency
  • Paynesville, MN
National Provider Identifier
1275846487
Registry record updated Jul 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
License
1U-919 Issued in MN
Legal business name
PAYNESVILLE AREA LIVING AT HOME BLOCK NURSE PROGRAM
Practice address
1105 W Main St
Paynesville, MN 56362-1000
Phone
(320) 243-5144
Fax
(320) 243-5146
NPI assigned
Jul 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2010

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

Authorized official

Name
Inez Jones
Title
Director
Phone
(320) 243-5144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X 1U-919 MN Primary

Addresses

Primary practice location

1105 W Main St
Paynesville, MN 56362-1000

Mailing address

1105 W Main St
Paynesville, MN 56362-1000
Phone (320) 243-5144

Other names 1

  • R.O.S.E. Center LAH/BNP Other name

National Provider Directory

National Provider Directory

Locations

1105 W Main St
Paynesville, MN 56362
Phone (320) 243-5144

NPI Registry JSON

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

{
    "created_epoch": "1279238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279238400000",
    "number": "1275846487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 W MAIN ST",
            "city": "PAYNESVILLE",
            "state": "MN",
            "postal_code": "563621000",
            "telephone_number": "320-243-5144",
            "fax_number": "320-243-5146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 W MAIN ST",
            "city": "PAYNESVILLE",
            "state": "MN",
            "postal_code": "563621000",
            "telephone_number": "320-243-5144",
            "fax_number": "320-243-5146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAYNESVILLE AREA LIVING AT HOME BLOCK NURSE PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-16",
        "last_updated": "2010-07-16",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "INEZ",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "320-243-5144"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "MN",
            "license": "1U-919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "R.O.S.E. Center LAH/BNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Paynesville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2010; 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.