NPIMap

Organization Active NPI

Options Residential, Inc

  • Adult Care Home Facility
  • Burnsville, MN
National Provider Identifier
1326362583
Registry record updated Mar 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
HE-01084-04 Issued in MN
Legal business name
OPTIONS RESIDENTIAL, INC
Practice address
2105 W Burnsville Pkwy
Burnsville, MN 55337-4237
Phone
(952) 564-3030
Fax
(952) 564-3038
NPI assigned
Mar 17, 2010
Last updated
Mar 17, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2010

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

Authorized official

Name
Brian P Sammon, LMFT, LADC
Title
President
Phone
(612) 226-7120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X HE-01084-04 MN Primary

Addresses

Primary practice location

2105 W Burnsville Pkwy
Burnsville, MN 55337-4237

Mailing address

2105 W Burnsville Pkwy
Burnsville, MN 55337-4237
Phone (952) 564-3030

Other identifiers 1

IdentifierTypeStateIssuer
HE-01084-04OtherMNMN DEPARTMENT OF HEALTH

National Provider Directory

National Provider Directory
Tax ID family
Options Residential Inc18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1268784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268784000000",
    "number": "1326362583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 W BURNSVILLE PKWY",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374237",
            "telephone_number": "952-564-3030",
            "fax_number": "952-564-3038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 W BURNSVILLE PKWY",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374237",
            "telephone_number": "952-564-3030",
            "fax_number": "952-564-3038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIONS RESIDENTIAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-17",
        "last_updated": "2010-03-17",
        "status": "A",
        "authorized_official_last_name": "SAMMON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-226-7120",
        "authorized_official_credential": "LMFT, LADC"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MN",
            "license": "HE-01084-04",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN DEPARTMENT OF HEALTH",
            "identifier": "HE-01084-04",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

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