NPIMap

Organization Active NPI

Fathers Rise Together

  • Community/Behavioral Health Agency
  • Duluth, MN
National Provider Identifier
1568817138
Registry record updated May 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FATHERS RISE TOGETHER
Practice address
319 N 22ND Ave West
Duluth, MN 55807
Phone
(218) 390-9204
NPI assigned
May 2, 2016
Last updated
May 2, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2016

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

Authorized official

Name
Chaquana Latrice McEntyre
Title
President
Phone
(218) 390-9204

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

319 N 22ND Ave West
Duluth, MN 55807

Mailing address

319 N 21St Ave W
Duluth, MN 55806-1626
Phone (218) 390-9204

National Provider Directory

National Provider Directory
Tax ID family
Fathers Rise Together5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1462147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462147200000",
    "number": "1568817138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 N 21ST AVE W",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558061626",
            "telephone_number": "218-390-9204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 N 22ND AVE WEST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "55807",
            "telephone_number": "218-390-9204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FATHERS RISE TOGETHER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-02",
        "last_updated": "2016-05-02",
        "status": "A",
        "authorized_official_last_name": "MCENTYRE",
        "authorized_official_first_name": "CHAQUANA",
        "authorized_official_middle_name": "LATRICE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "218-390-9204"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; 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.