Murphy's Adult Foster Care

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

1046802-9 AFC Issued in MN

Legal business name

MURPHY'S ADULT FOSTER CARE

Practice address

202 W Central Ave
Clitherall, MN 56524-2419

Phone

(218) 864-9985

Fax

(218) 736-4250

NPI assigned

Dec 10, 2015

Last updated

Dec 10, 2015By 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

Mary Murphy

Title

Owner

Phone

(218) 864-9985

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1449705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449705600000",
    "number": "1437524840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 W CENTRAL AVE",
            "city": "CLITHERALL",
            "state": "MN",
            "postal_code": "565242419",
            "telephone_number": "218-864-9985",
            "fax_number": "218-736-4250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 W CENTRAL AVE",
            "city": "CLITHERALL",
            "state": "MN",
            "postal_code": "565242419",
            "telephone_number": "218-864-9985",
            "fax_number": "218-736-4250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MURPHY'S ADULT FOSTER CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-10",
        "last_updated": "2015-12-10",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-864-9985"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MN",
            "license": "1046802-9 AFC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN UMIP",
            "identifier": "A943482000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; 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.