NPIMap

Organization Active NPI

Senior Care of Minnesota

  • Clinic/Center
  • Spring Park, MN
National Provider Identifier
1376007971
Registry record updated Jan 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SENIOR CARE OF MINNESOTA
Practice address
4004 Shoreline Dr
Spring Park, MN 55384-9656
Phone
(952) 923-1028
NPI assigned
Jan 28, 2019
Last updated
Jan 28, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2019

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

Authorized official

Name
Karin Hawkinson
Title
President
Phone
(952) 923-1028

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

4004 Shoreline Dr
Spring Park, MN 55384-9656

Mailing address

4004 Shoreline Dr
Spring Park, MN 55384-9656
Phone (952) 923-1028

National Provider Directory

National Provider Directory

Locations

4004 Shoreline Dr
Spring Park, MN 55384
Phone (952) 300-3328

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1548633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548633600000",
    "number": "1376007971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4004 SHORELINE DR",
            "city": "SPRING PARK",
            "state": "MN",
            "postal_code": "553849656",
            "telephone_number": "952-923-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4004 SHORELINE DR",
            "city": "SPRING PARK",
            "state": "MN",
            "postal_code": "553849656",
            "telephone_number": "952-923-1028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR CARE OF MINNESOTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-28",
        "last_updated": "2019-01-28",
        "status": "A",
        "authorized_official_last_name": "HAWKINSON",
        "authorized_official_first_name": "KARIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-923-1028"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.