Fawkes Housing Services

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

FAWKES HOUSING SERVICES

Practice address

12760 Aberdeen St NE Ste 304
Blaine, MN 55449-5845

Phone

(612) 707-9333

Fax

(763) 333-1541

NPI assigned

May 19, 2022

Organization subpart

No

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

Authorized official

Name

Kyle Shegstad

Title

Ceo

Phone

(612) 462-8744

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1652918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1437896552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12760 ABERDEEN ST NE STE 304",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554495845",
            "telephone_number": "612-707-9333",
            "fax_number": "763-333-1541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12760 ABERDEEN ST NE STE 304",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554495845",
            "telephone_number": "612-707-9333",
            "fax_number": "763-333-1541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAWKES HOUSING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-19",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "SHEGSTAD",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-462-8744"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jshegstad@fawkes-housing.com",
            "affiliation": "N",
            "address_1": "8500 Normandale Lake Blvd Ste 350",
            "city": "Bloomington",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554373805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Case Management Agency in Blaine, MN
• Providers in Blaine, MN by specialty
• Case Management Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.