NPIMap

Organization Active NPI

Avanti Center for Girls

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Blaine, MN
National Provider Identifier
1386936805
Registry record updated May 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
AVANTI CENTER FOR GIRLS
Practice address
10300 Flanders St NE
Blaine, MN 55449-5710
Phone
(763) 230-7470
Fax
(763) 230-7478
NPI assigned
May 3, 2011
Last updated
May 3, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2011

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

Authorized official

Name
Mr. Terry Dean Thompson, B.A.
Title
Director
Phone
(763) 753-2500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X NU Primary

Addresses

Primary practice location

10300 Flanders St NE
Blaine, MN 55449-5710

Mailing address

10300 Flanders St NE
Blaine, MN 55449-5710
Phone (763) 230-7470

Other names 1

  • Avanti Center for Girls-Evaluation Other name

National Provider Directory

National Provider Directory
Tax ID family
Volunteers of Amer of MN14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1304380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304380800000",
    "number": "1386936805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 FLANDERS ST NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554495710",
            "telephone_number": "763-230-7470",
            "fax_number": "763-230-7478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 FLANDERS ST NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554495710",
            "telephone_number": "763-230-7470",
            "fax_number": "763-230-7478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVANTI CENTER FOR GIRLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-03",
        "last_updated": "2011-05-03",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "763-753-2500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "B.A."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avanti Center for Girls-Evaluation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Blaine, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; 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.