Minneota Residential Services Limited Partnership

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

333925 Issued in MN

Legal business name

MINNEOTA RESIDENTIAL SERVICES LIMITED PARTNERSHIP

Practice address

700 N Madison St
Minneota, MN 56264-9373

Phone

(507) 872-5300

Fax

(507) 872-5359

NPI assigned

Mar 19, 2007

Last updated

Aug 22, 2020By 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

Kathy Johnson

Title

Administrator

Phone

(507) 872-5300

Specialties & licenses 1

Addresses

Other names 1

• Madison Avenue Apartments Other name

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457475204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N MADISON ST",
            "city": "MINNEOTA",
            "state": "MN",
            "postal_code": "562649373",
            "telephone_number": "507-872-5300",
            "fax_number": "507-872-5359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N MADISON ST",
            "city": "MINNEOTA",
            "state": "MN",
            "postal_code": "562649373",
            "telephone_number": "507-872-5300",
            "fax_number": "507-872-5359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNEOTA RESIDENTIAL SERVICES LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "507-872-5300"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "333925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Madison Avenue Apartments",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Minneota Public School
• Heather Dawn Murphy, OTR/L
• Pamela Elizabeth Neugebauer, D.P.T.
• Victoria Petruccelli, FNP
• Prairie Winds Wellness, PLLC
• Robert Charles Schulte, DDS

• Assisted Living Facility in Minneota, MN
• Providers in Minneota, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.