NPIMap

Organization Active NPI

Mille Lacs Band of Ojibwe Indians

  • In Home Supportive Care Agency
  • Onamia, MN
National Provider Identifier
1407223035
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MILLE LACS BAND OF OJIBWE INDIANS
Practice address
18562 Minobimaadizi Loop
Onamia, MN 56359-3001
Phone
(320) 532-4163
NPI assigned
Aug 31, 2015
Last updated
May 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Authorized official

Name
Nicole Anderson
Title
Commissioner of Health & Human Serv
Phone
(320) 532-4163

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Home Delivered Meals 332U00000X NU
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

18562 Minobimaadizi Loop
Onamia, MN 56359-3001

Mailing address

18562 Minobimaadizi Loop
Onamia, MN 56359-3001
Phone (320) 532-4163

National Provider Directory

National Provider Directory
Tax ID family
Mille Lacs Band of Ojibwe Indians16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

Locations

18562 Minobimaadizi Loop
Onamia, MN 56359
Phone (320) 532-4163

NPI Registry JSON

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

{
    "created_epoch": "1440979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683072000000",
    "number": "1407223035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18562 MINOBIMAADIZI LOOP",
            "city": "ONAMIA",
            "state": "MN",
            "postal_code": "563593001",
            "telephone_number": "320-532-4163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18562 MINOBIMAADIZI LOOP",
            "city": "ONAMIA",
            "state": "MN",
            "postal_code": "563593001",
            "telephone_number": "320-532-4163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLE LACS BAND OF OJIBWE INDIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-31",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "COMMISSIONER OF HEALTH & HUMAN SERV",
        "authorized_official_telephone_number": "320-532-4163"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Onamia, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; 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.