Prelude Homes & Services

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

385790 Issued in MN

Legal business name

PRELUDE HOMES & SERVICES

Practice address

10020 Raleigh Rd
Woodbury, MN 55129-5004

Phone

(651) 501-6513

NPI assigned

Aug 23, 2018

Organization subpart

No

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

Authorized official

Name

Deborah L Rose

Title

Chief Operating Officer

Phone

(651) 501-6513

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534982400000",
    "number": "1437630910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 COMMERCE CT",
            "city": "VADNAIS HEIGHTS",
            "state": "MN",
            "postal_code": "551278506",
            "telephone_number": "651-501-6517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10020 RALEIGH RD",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551295004",
            "telephone_number": "651-501-6513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRELUDE HOMES & SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-23",
        "last_updated": "2018-08-23",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "651-501-6513"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "385790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Woodbury, MN
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.