Senior Class Community, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SENIOR CLASS COMMUNITY, LLC

Practice address

4451 E Woodman St
Pequot Lakes, MN 56472-2894

Phone

(218) 316-2542

NPI assigned

Oct 17, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Mindy Howard

Title

Owner

Phone

(218) 316-2542

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571270400000",
    "number": "1437791845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 134",
            "city": "PEQUOT LAKES",
            "state": "MN",
            "postal_code": "564720134",
            "telephone_number": "218-316-2542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4451 E WOODMAN ST",
            "city": "PEQUOT LAKES",
            "state": "MN",
            "postal_code": "564722894",
            "telephone_number": "218-316-2542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR CLASS COMMUNITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-17",
        "last_updated": "2019-10-17",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "MINDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-316-2542",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah A Rudningen, LPC, LADC
• Angela Sandelin
• Select Therapy, Inc.
• Select Therapy, Inc.
• Senior Class Care of Pequot Lakes, Inc.
• Senior Class Home Health Care LLC (Senior Class Caren DBA)
• Mark Thomas Sherman, D.D.S.
• Kelly A Spray, CNP
• St. Joseph'S Medical Center (Essentia Health St. Joseph's-Pequot Lakes Clinic)
• Payden Strange

• Home Health Agency in Pequot Lakes, MN
• Providers in Pequot Lakes, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; 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.