NPIMap

Organization Active NPI

Unity Family Healthcare

  • Intellectual Disabilities Intermediate Care Facility
  • Little Falls, MN
National Provider Identifier
1487730206
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
806937 Issued in MN
Legal business name
UNITY FAMILY HEALTHCARE
Practice address
1100 4TH St SE
Little Falls, MN 56345-3545
Phone
(320) 632-1212
Fax
(320) 632-1383
NPI assigned
Oct 27, 2006
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
Mr. Larry Novakoske
Title
VP of Finance
Phone
(320) 632-1219

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 806937 MN Primary

Addresses

Primary practice location

1100 4TH St SE
Little Falls, MN 56345-3545

Mailing address

1100 4TH St SE
Little Falls, MN 56345-3545
Phone (320) 632-1212

Other names 1

  • St. Camillus Place 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.

Locations

1100 4th St SE
Little Falls, MN 56345
Phone (320) 632-1212

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487730206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 4TH ST SE",
            "city": "LITTLE FALLS",
            "state": "MN",
            "postal_code": "563453545",
            "telephone_number": "320-632-1212",
            "fax_number": "320-632-1383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 4TH ST SE",
            "city": "LITTLE FALLS",
            "state": "MN",
            "postal_code": "563453545",
            "telephone_number": "320-632-1212",
            "fax_number": "320-632-1383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITY FAMILY HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NOVAKOSKE",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "320-632-1219",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "MN",
            "license": "806937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Camillus Place",
            "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.