Mary'S House

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

License

1054966-1-AFC Issued in MN

Legal business name

MARY'S HOUSE

Practice address

609 3Rd St NE
Little Falls, MN 56345-2409

Phone

(320) 632-1988

NPI assigned

Aug 28, 2009

Organization subpart

No

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

Authorized official

Name

Mary Jane Olson

Title

Owner/Director

Phone

(218) 828-8148

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1251417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251417600000",
    "number": "1578796165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14601 LYNNDALE DR",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564256018",
            "telephone_number": "218-828-8148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 3RD ST NE",
            "city": "LITTLE FALLS",
            "state": "MN",
            "postal_code": "563452409",
            "telephone_number": "320-632-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY'S HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-28",
        "last_updated": "2009-08-28",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "218-828-8148"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "MN",
            "license": "1054966-1-AFC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Foster Care Agency in Little Falls, MN
• Providers in Little Falls, MN by specialty
• Foster Care Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2009; 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.