The Lazarus Project

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

THE LAZARUS PROJECT

Practice address

1200 Ford Rd
Suite 2
Minnetonka, MN 55305-1616

Phone

(763) 519-1197

Fax

(763) 519-1198

NPI assigned

Nov 30, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Becky Edeburn

Title

Board Member

Phone

(763) 519-1197

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

The Children'S Autism Rehabilitation Education2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• The Lazarus Project

  • Developmentally Disabled Services Day Training Agency
  • Mendota Heights, MN
  • NPI 1003908260
  NPD tax ID

Locations

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1366624348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 FORD RD",
            "address_2": "SUITE 2",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051616",
            "telephone_number": "763-519-1197",
            "fax_number": "763-519-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 FORD RD",
            "address_2": "SUITE 2",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051616",
            "telephone_number": "763-519-1197",
            "fax_number": "763-519-1198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LAZARUS PROJECT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "EDEBURN",
        "authorized_official_first_name": "BECKY",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "763-519-1197",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "246L9HO",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Developmentally Disabled Services Day Training Agency in Minnetonka, MN
• Providers in Minnetonka, MN by specialty
• Developmentally Disabled Services Day Training Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.