NPIMap

Organization Active NPI

Augustana Community Partners

  • Assisted Living Facility
  • Minneapolis, MN
National Provider Identifier
1477974434
Registry record updated Dec 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
361970 Issued in MN
Legal business name
AUGUSTANA COMMUNITY PARTNERS
Practice address
901 4TH Ave N
Minneapolis, MN 55405-1188
Phone
(612) 843-0090
Fax
(612) 377-3098
NPI assigned
Dec 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2013

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

Authorized official

Name
Craig Kittelson
Title
Cfo
Phone
(612) 238-5205

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 361970 MN Primary

Addresses

Primary practice location

901 4TH Ave N
Minneapolis, MN 55405-1188

Mailing address

901 4TH Ave N
Minneapolis, MN 55405-1188
Phone (612) 843-0090

Other names 1

  • Thomas T. Feeney Manor Other name

National Provider Directory

National Provider Directory
Tax ID family
Augustana Community Partners3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1387324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387324800000",
    "number": "1477974434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 4TH AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554051188",
            "telephone_number": "612-843-0090",
            "fax_number": "612-377-3098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 4TH AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554051188",
            "telephone_number": "612-843-0090",
            "fax_number": "612-377-3098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTANA COMMUNITY PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-18",
        "last_updated": "2013-12-18",
        "status": "A",
        "authorized_official_last_name": "KITTELSON",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "612-238-5205"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "361970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thomas T. Feeney Manor",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; 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.