Kindred Family Focus

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

801978-7-CPA Issued in MN

Legal business name

KINDRED FAMILY FOCUS

Practice address

5985 Rice Creek Pkwy Ste 202
Shoreview, MN 55126-5037

Phone

(612) 331-4429

Fax

(612) 331-3520

NPI assigned

Feb 5, 2007

Last updated

Oct 24, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. George Hendrickson

Title

Executive Director

Phone

(763) 350-9236

Specialties & licenses 1

Addresses

Tax ID family

Kindred Family Focus2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Kindred Family Services

  • Clinical Social Worker
  • Monticello, MN
  • NPI 1538457395
  NPD tax ID

Locations

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540339200000",
    "number": "1437298668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 UNIVERSITY AVE SE STE 204",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554144205",
            "telephone_number": "218-671-1127",
            "fax_number": "612-331-3520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5985 RICE CREEK PKWY STE 202",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551265037",
            "telephone_number": "612-331-4429",
            "fax_number": "612-331-3520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDRED FAMILY FOCUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2018-10-24",
        "status": "A",
        "authorized_official_last_name": "HENDRICKSON",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "763-350-9236",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "801978-7-CPA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Robert D Kingsbury, MD
• Tara Kluz
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• Therese Marie Kohs Gilbertson, M.A., L.P.
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• Community/Behavioral Health Agency in Shoreview, MN
• Providers in Shoreview, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; 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.