Active NPI
Frazee Care Community LLC
Doing business as Frazee Care Center
- Skilled Nursing Facility
- Frazee, MN
National Provider Identifier
1427153121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 330722
- Legal business name
- FRAZEE CARE COMMUNITY LLC
- Doing business as
- Frazee Care Center
- Practice address
- 219 W Maple Ave
Frazee, MN 56544-4336 - Phone
- (218) 334-4501
- Fax
- (218) 334-4500
- NPI assigned
- Sep 14, 2006
- Last updated
- Oct 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tim Dumpprope
- Title
- Billing Specialist
- Phone
- (218) 334-4501
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 330722 | MN | Primary |
Addresses
Primary practice location
219 W Maple Ave
Frazee, MN 56544-4336
Mailing address
219 W Maple Ave
Frazee, MN 56544-4336
Phone (218) 334-4501
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5L06FR | Other | MN | BLUE CROSS BLUE SHIELD |
| 7100395 | Other | MN | MEDICA MSHO |
| 4980495 | Other | MN | MEDICA WAIVER |
| 7122681 | Other | MN | MEDICA INSURANCE |
Other names 1
- Frazee Care Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1192752000000",
"number": "1427153121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 W MAPLE AVE",
"city": "FRAZEE",
"state": "MN",
"postal_code": "565444336",
"telephone_number": "218-334-4501",
"fax_number": "218-334-4500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 W MAPLE AVE",
"city": "FRAZEE",
"state": "MN",
"postal_code": "565444336",
"telephone_number": "218-334-4501",
"fax_number": "218-334-4500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRAZEE CARE COMMUNITY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-14",
"last_updated": "2007-10-19",
"status": "A",
"authorized_official_last_name": "DUMPPROPE",
"authorized_official_first_name": "TIM",
"authorized_official_title_or_position": "BILLING SPECIALIST",
"authorized_official_telephone_number": "218-334-4501"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MN",
"license": "330722",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "5L06FR",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA MSHO",
"identifier": "7100395",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA WAIVER",
"identifier": "4980495",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA INSURANCE",
"identifier": "7122681",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Frazee Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Frazee, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.