Organization Active NPI

South Central Human Relations Center

  • Assisted Living Facility (Mental Illness)
  • Owatonna, MN
National Provider Identifier
1316957905
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
Legal business name
SOUTH CENTRAL HUMAN RELATIONS CENTER
Practice address
1300 N Elm Ave
Owatonna, MN 55060-1749
Phone
(507) 451-4448
Fax
(507) 451-4448
NPI assigned
Aug 8, 2006
Last updated
Jun 16, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTH CENTRAL HUMAN RELATIONS CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Carolyn J Wheeler, MSW, LICSWNPI 1912084823
Title
Executive Director
Phone
(507) 451-2630

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X NU Primary

Addresses

Primary practice location

1300 N Elm Ave
Owatonna, MN 55060-1749

Mailing address

610 Florence Ave
Owatonna, MN 55060-4704
Phone (507) 451-2630

Other identifiers 1

IdentifierTypeStateIssuer
482497100MedicaidMN

Other names 1

  • Woodcrest Other name

National Provider Directory

National Provider Directory
Tax ID family
South Central Human Rel4 organizations share this tax ID, including this one
Part of
South Central Human Rel

Other organizations with this tax ID 3

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1316957905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 FLORENCE AVE",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550604704",
            "telephone_number": "507-451-2630",
            "fax_number": "507-455-8133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N ELM AVE",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550601749",
            "telephone_number": "507-451-4448",
            "fax_number": "507-451-4448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CENTRAL HUMAN RELATIONS CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTH CENTRAL HUMAN RELATIONS CENTER",
        "enumeration_date": "2006-08-08",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "507-451-2630",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "482497100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodcrest",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Owatonna, 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.

Verify at the official NPI Registry.