NPIMap

Organization Active NPI

Unity Family Healthcare

  • Adult Care Home Facility
  • Little Falls, MN
National Provider Identifier
1477540862
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
326702 Issued in MN
Legal business name
UNITY FAMILY HEALTHCARE
Practice address
920 4TH St SE
Little Falls, MN 56345-3540
Phone
(320) 632-9281
Fax
(320) 632-1376
NPI assigned
Sep 30, 2005
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
Larry A Nouakoske
Title
VP of Finance
Phone
(320) 632-1219

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 326702 MN Primary

Addresses

Primary practice location

920 4TH St SE
Little Falls, MN 56345-3540

Mailing address

920 4TH St SE
Little Falls, MN 56345-3540
Phone (320) 632-9281

Other identifiers 2

IdentifierTypeStateIssuer
7111819OtherMEDICA
3Y330TOtherBCBS

Other names 1

  • St Ottos Care Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
St Gabriels Hospital10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477540862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 4TH ST SE",
            "city": "LITTLE FALLS",
            "state": "MN",
            "postal_code": "563453540",
            "telephone_number": "320-632-9281",
            "fax_number": "320-632-1376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 4TH ST SE",
            "city": "LITTLE FALLS",
            "state": "MN",
            "postal_code": "563453540",
            "telephone_number": "320-632-9281",
            "fax_number": "320-632-1376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITY FAMILY HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NOUAKOSKE",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "320-632-1219"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MN",
            "license": "326702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "7111819",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "3Y330T",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Ottos Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Little Falls, 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.