NPIMap

Organization Active NPI

Lutheran Brethren Retirement Services, Inc.

Doing business as Alcott Manor

  • Assisted Living Facility
  • Fergus Falls, MN
National Provider Identifier
1356306245
Registry record updated Jun 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
FBL001160712562 Issued in MN
Legal business name
LUTHERAN BRETHREN RETIREMENT SERVICES, INC.
Doing business as
Alcott Manor
LB Alcott Manor
Practice address
418 E Alcott Ave
Fergus Falls, MN 56537-2957
Phone
(218) 998-5444
NPI assigned
Apr 20, 2006
Last updated
Jun 6, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
LUTHERAN BRETHREN RETIREMENT SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 6, 2017

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

Authorized official

Name
Mr. Leland R. Rogness
Title
Board Chair
Phone
(218) 998-7300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X FBL001160712562 MN Primary

Addresses

Primary practice location

418 E Alcott Ave
Fergus Falls, MN 56537-2957

Mailing address

418 E Alcott Ave
Fergus Falls, MN 56537-2957
Phone (218) 998-7400

Other names 2

  • Alcott Manor Doing business as
  • LB Alcott Manor Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lutheran Brethren Retirement Services Inc3 organizations share this tax ID, including this one
Part of
Lutheran Brethren Retirement Services Inc

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496707200000",
    "number": "1356306245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 E ALCOTT AVE",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565372957",
            "telephone_number": "218-998-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 E ALCOTT AVE",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565372957",
            "telephone_number": "218-998-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERAN BRETHREN RETIREMENT SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LUTHERAN BRETHREN RETIREMENT SERVICES, INC.",
        "enumeration_date": "2006-04-20",
        "last_updated": "2017-06-06",
        "status": "A",
        "authorized_official_last_name": "ROGNESS",
        "authorized_official_first_name": "LELAND",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "BOARD CHAIR",
        "authorized_official_telephone_number": "218-998-7300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "FBL001160712562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alcott Manor",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LB Alcott Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fergus Falls, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2017; 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.