NPIMap

Organization Active NPI

Options Residential, Inc

  • Foster Care Agency
  • Rosemount, MN
National Provider Identifier
1346308657
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
Legal business name
OPTIONS RESIDENTIAL, INC
Practice address
12228 S Robert TRL
Rosemount, MN 55068-3653
Phone
(651) 423-6776
Fax
(651) 423-6778
NPI assigned
Dec 5, 2006
Organization subpart
Yes
Parent organization
OPTIONS RESIDENTIAL, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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

Authorized official

Name
Mr. Brian Patrick Sammon, LMFT, LADC
Title
President
Phone
(612) 226-7120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X Primary

Addresses

Primary practice location

12228 S Robert TRL
Rosemount, MN 55068-3653

Mailing address

615 West Travelers Trail
Burnsville, MN 55337-2877
Phone (952) 564-3006

Other identifiers 2

IdentifierTypeStateIssuer
138003OtherMNUCARE
A630173804MedicaidMN

Other names 1

  • Lakewood house Other name

National Provider Directory

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

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": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674172800000",
    "number": "1346308657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 WEST TRAVELERS TRAIL",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553372877",
            "telephone_number": "952-564-3006",
            "fax_number": "652-217-5677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12228 S ROBERT TRL",
            "city": "ROSEMOUNT",
            "state": "MN",
            "postal_code": "550683653",
            "telephone_number": "651-423-6776",
            "fax_number": "651-423-6778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIONS RESIDENTIAL, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OPTIONS RESIDENTIAL, INC",
        "enumeration_date": "2006-12-05",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A",
        "authorized_official_last_name": "SAMMON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-226-7120",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT, LADC"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "138003",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A630173804",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakewood house",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Lakewood house",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rosemount, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; 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.