Organization Active NPI

Lutheran Social Service of Minnesota

  • Case Management Agency
  • Detroit Lakes, MN
National Provider Identifier
1295928240
Registry record updated Feb 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
LUTHERAN SOCIAL SERVICE OF MINNESOTA
Practice address
211 Holmes St W
Detroit Lakes, MN 56501-3023
Phone
(218) 847-0629
Fax
(218) 846-1285
NPI assigned
Aug 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2017

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

Authorized official

Name
Brigid Peterson
Title
Chief Compliance Officer
Phone
(800) 582-5260

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

211 Holmes St W
Detroit Lakes, MN 56501-3023

Mailing address

2485 Como Ave
Saint Paul, MN 55108-1445
Phone (800) 582-5260

National Provider Directory

National Provider Directory
Tax ID family
Compass North18 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

Locations

211 Holmes St W
Detroit Lakes, MN 56501
Phone (218) 847-0629

NPI Registry JSON

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487808000000",
    "number": "1295928240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2485 COMO AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551081445",
            "telephone_number": "800-582-5260",
            "fax_number": "651-969-2350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 HOLMES ST W",
            "city": "DETROIT LAKES",
            "state": "MN",
            "postal_code": "565013023",
            "telephone_number": "218-847-0629",
            "fax_number": "218-846-1285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERAN SOCIAL SERVICE OF MINNESOTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2017-02-23",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "BRIGID",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "800-582-5260"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit Lakes, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; 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.