Organization Active NPI

Nelson Home, Inc

  • Assisted Living Facility
  • New York Mills, MN
National Provider Identifier
1407924756
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
331123 Issued in MN
Legal business name
NELSON HOME, INC
Practice address
412 Humming Bird LN
New York Mills, MN 56567-4608
Phone
(218) 385-3682
NPI assigned
Dec 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Nancy V Nelson
Title
Ceo
Phone
(218) 385-3682

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 331123 MN Primary

Addresses

Primary practice location

412 Humming Bird LN
New York Mills, MN 56567-4608

Mailing address

412 Humming Bird LN
New York Mills, MN 56567-4608
Phone (218) 385-3682

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407924756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 HUMMING BIRD LN",
            "city": "NEW YORK MILLS",
            "state": "MN",
            "postal_code": "565674608",
            "telephone_number": "218-385-3682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 HUMMING BIRD LN",
            "city": "NEW YORK MILLS",
            "state": "MN",
            "postal_code": "565674608",
            "telephone_number": "218-385-3682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELSON HOME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "218-385-3682"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "331123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York Mills, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.