St. Cloud Carefree Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ST. CLOUD CAREFREE LIVING

Practice address

1225 E Division St
Saint Cloud, MN 56304-0928

Phone

(320) 251-6483

Fax

(320) 251-2714

NPI assigned

Apr 26, 2023

Organization subpart

No

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

Authorized official

Name

Marilyn Hanson, RN

Title

Evp of Operations

Phone

(651) 451-0569

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682467200000",
    "number": "1548958705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6205 CROSSMAN LN",
            "city": "INVER GROVE HEIGHTS",
            "state": "MN",
            "postal_code": "550761852",
            "telephone_number": "651-451-0569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 E DIVISION ST",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563040928",
            "telephone_number": "320-251-6483",
            "fax_number": "320-251-2714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. CLOUD CAREFREE LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-26",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "EVP OF OPERATIONS",
        "authorized_official_telephone_number": "651-451-0569",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; 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.