Oak Haven Adult Foster Care

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

1018758-3-AFC Issued in MN

Legal business name

OAK HAVEN ADULT FOSTER CARE

Practice address

43370 State Highway 210
Aitkin, MN 56431-5097

Phone

(218) 927-6624

NPI assigned

Jun 3, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Rayette Ann Olson, LPNNPI 1881910370

Title

Owner/Caregiver

Phone

(218) 927-6624

Specialties & licenses 1

Addresses

Other names 1

• Bunker Hill Adult Foster Care Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rayette Ann Olson

  • Lodging Provider
  • Aitkin, MN
  • NPI 1881910370
  NPD (past) Authorized official

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212451200000",
    "number": "1346409620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43370 STATE HIGHWAY 210",
            "city": "AITKIN",
            "state": "MN",
            "postal_code": "564315097",
            "telephone_number": "218-927-6624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43370 STATE HIGHWAY 210",
            "city": "AITKIN",
            "state": "MN",
            "postal_code": "564315097",
            "telephone_number": "218-927-6624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK HAVEN ADULT FOSTER CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-03",
        "last_updated": "2008-06-03",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "RAYETTE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/CAREGIVER",
        "authorized_official_telephone_number": "218-927-6624",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "1018758-3-AFC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bunker Hill Adult Foster Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kylie Lynn Monson
• Mystic Meadow Homes, Inc
• Randy T Nicoski, RPH
• Northland Counseling Center, Inc.
• Laury Nyberg, L.P.T., W.C.C.
• Jaudette Marie Olson, MS, LMFT
• Rayette Ann Olson
• Ronald Oneil
• Spencer Page
• Miranda Kay Paulson, MPS, LADC, LPCC

• Assisted Living Facility in Aitkin, MN
• Providers in Aitkin, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.