NPIMap

Organization Active NPI

Catholic Charities of St Paul/MPLS

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Minneapolis, MN
National Provider Identifier
1437239803
Registry record updated Sep 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
CATHOLIC CHARITIES OF ST PAUL/MPLS
Practice address
1121 E 46TH St
Minneapolis, MN 55407-3562
Phone
(612) 204-8278
NPI assigned
Oct 17, 2006
Organization subpart
Yes
Parent organization
CATHOLIC CHARITIES OF ST PAUL/MPLSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 13, 2013

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

Authorized official

Name
Yolanda O'Reilly
Title
Billing MGR
Phone
(612) 204-8387

Specialties & licenses 1

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

Addresses

Primary practice location

1121 E 46TH St
Minneapolis, MN 55407-3562

Mailing address

1200 2ND Ave S
Minneapolis, MN 55403-2513
Phone (612) 204-8387

Other identifiers 1

IdentifierTypeStateIssuer
50-17097OtherMNRESIDENTIAL TREATMENT

Other names 1

  • St Josephs Home for Children Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Catholic Charities of the Archdiocese of St Paul and Minneapolis6 organizations share this tax ID, including this one
Part of
Catholic Charities of the Archdiocese of St Paul and Minneapolis

Other organizations with this tax ID 5

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

Locations

1200 2nd Ave S
Minneapolis, MN 55403
Phone (612) 323-9492

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379030400000",
    "number": "1437239803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 2ND AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554032513",
            "telephone_number": "612-204-8387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 E 46TH ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554073562",
            "telephone_number": "612-204-8278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC CHARITIES OF ST PAUL/MPLS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CATHOLIC CHARITIES OF ST PAUL/MPLS",
        "enumeration_date": "2006-10-17",
        "last_updated": "2013-09-13",
        "status": "A",
        "authorized_official_last_name": "O'REILLY",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "BILLING MGR",
        "authorized_official_telephone_number": "612-204-8387"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RESIDENTIAL TREATMENT",
            "identifier": "50-17097",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Josephs Home for Children",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; 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.