Active NPI
Lake Superior Concierge, Inc.
- Home Health Agency
- Duluth, MN
National Provider Identifier
1467572255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- LAKE SUPERIOR CONCIERGE, INC.
- Practice address
- 104 W Superior St
Duluth, MN 55802-3000 - Phone
- (218) 310-6779
- NPI assigned
- Mar 29, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Kimberly Darlene Lindstrom, MBA
- Title
- Owner-President
- Phone
- (218) 310-6779
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
104 W Superior St
Duluth, MN 55802-3000
Mailing address
5652 N Cloquet Rd
Duluth, MN 55810-9566
Phone (218) 310-6779
National Provider Directory
National Provider DirectoryLocations
104 W Superior St
Duluth, MN 55802
Phone (218) 310-6779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1467572255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5652 N CLOQUET RD",
"city": "DULUTH",
"state": "MN",
"postal_code": "558109566",
"telephone_number": "218-310-6779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 W SUPERIOR ST",
"city": "DULUTH",
"state": "MN",
"postal_code": "558023000",
"telephone_number": "218-310-6779"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKE SUPERIOR CONCIERGE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-29",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LINDSTROM",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_middle_name": "DARLENE",
"authorized_official_title_or_position": "OWNER-PRESIDENT",
"authorized_official_telephone_number": "218-310-6779",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MBA"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Duluth, MN
- Lake Superior Area Family Services
- Lake Superior College Dental Clinic
- Lake Superior Community Health Center
- Lake Superior Community Health Center
- Lake Superior Community Health Center
- Lake Superior Counseling Center
- Lake Superior Dental Associates
- Lake Superior Internal Medicine
- Lake Superior Medical Equipment Inc
- Lake Superior Physical Therapy Inc
Sources for this page
- 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.