Organization Active NPI

Lake Superior Concierge, Inc.

  • Home Health Agency
  • Duluth, MN
National Provider Identifier
1467572255
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 Directory

Locations

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

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.

Verify at the official NPI Registry.