NPIMap

Organization Active NPI

Allendale House

  • Intellectual Disabilities Intermediate Care Facility
  • Rochester, MN
National Provider Identifier
1508033580
Registry record updated May 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
808655-2-RS Issued in MN
Legal business name
ALLENDALE HOUSE
Practice address
3108 Highway 52 N
Rochester, MN 55901-1916
Phone
(507) 288-7195
NPI assigned
May 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2008

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

Authorized official

Name
Mrs. Debbie A Omeara
Title
Cfo
Phone
(507) 288-7195

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 808655-2-RS MN Primary

Addresses

Primary practice location

3108 Highway 52 N
Rochester, MN 55901-1916

Mailing address

3108 Highway 52 N
Rochester, MN 55901-1916
Phone (507) 288-7195

Other identifiers 1

IdentifierTypeStateIssuer
287543800MedicaidMN

National Provider Directory

National Provider Directory
Tax ID family
Allendale House2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1210291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210291200000",
    "number": "1508033580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3108 HIGHWAY 52 N",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559011916",
            "telephone_number": "507-288-7195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3108 HIGHWAY 52 N",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559011916",
            "telephone_number": "507-288-7195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLENDALE HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-09",
        "last_updated": "2008-05-09",
        "status": "A",
        "authorized_official_last_name": "OMEARA",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "507-288-7195",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "MN",
            "license": "808655-2-RS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "287543800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; 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.