Organization Active NPI

Lundstrom Chirporactic Centers, Inc.

  • Home Health Agency
  • Faribault, MN
National Provider Identifier
1427463728
Registry record updated Jun 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LUNDSTROM CHIRPORACTIC CENTERS, INC.
Doing business as
Serenity Home Care
Practice address
316 Central Avenue
Suite 2
Faribault, MN 55021
Phone
(651) 235-1403
NPI assigned
Jun 25, 2014
Organization subpart
Yes
Parent organization
LUNDSTROM CHIROPRACTIC CENTERS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 25, 2014

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

Authorized official

Name
Dr. John Lundstrom, D.C.
Title
Ceo
Phone
(651) 235-1403

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

316 Central Avenue
Suite 2
Faribault, MN 55021

Mailing address

8151 33Rd Ave S
Unit 609E
Bloomington, MN 55425-4518
Phone (651) 235-1403

Other names 1

  • Serenity Home Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lundstrom Chiropractic3 organizations share this tax ID, including this one
Part of
Lundstrom Chiropractic

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403654400000",
    "number": "1427463728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8151 33RD AVE S",
            "address_2": "UNIT 609E",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554254518",
            "telephone_number": "651-235-1403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 CENTRAL AVENUE",
            "address_2": "SUITE 2",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "55021",
            "telephone_number": "651-235-1403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNDSTROM CHIRPORACTIC CENTERS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LUNDSTROM CHIROPRACTIC CENTERS, INC.",
        "enumeration_date": "2014-06-25",
        "last_updated": "2014-06-25",
        "status": "A",
        "authorized_official_last_name": "LUNDSTROM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "651-235-1403",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Faribault, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2014; 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.