Cardinal of Minnesota, LTD.

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

CARDINAL OF MINNESOTA, LTD.

Practice address

3008 Wellner Dr NE
Rochester, MN 55906-8427

Phone

(507) 281-1077

NPI assigned

Jun 26, 2019

Organization subpart

No

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

Authorized official

Name

Heather Krpata

Title

Accountant

Phone

(507) 281-1077

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561507200000",
    "number": "1326609694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3008 WELLNER DR NE",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559068427",
            "telephone_number": "507-281-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3008 WELLNER DR NE",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559068427",
            "telephone_number": "507-281-1077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDINAL OF MINNESOTA, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-26",
        "last_updated": "2019-06-26",
        "status": "A",
        "authorized_official_last_name": "KRPATA",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "authorized_official_telephone_number": "507-281-1077"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A982718800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ivan Darin Carabenciov, M.D.
• Maria Camila Cardenas Fernandez, MD
• Adam Cardenas, MD, MSHCT
• Grace Elizabeth Cardenas, MD
• Paige Elizabeth Cardin, MD
• Clair Cardinal
• Alyssa Danielle Carey, PA-C
• Amy M Carey, MSW
• Arlen Carey, PH.D., L.I.C.S.W.
• Elise C Carey, M.D.

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Rochester, MN
• Providers in Rochester, MN by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; 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.