Saint Jude Hospice - Minnesota, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SAINT JUDE HOSPICE - MINNESOTA, LLC

Practice address

1755 Prior Ave N
Falcon Heights, MN 55113-5549

Phone

(515) 221-9155

Fax

(515) 221-9157

NPI assigned

Mar 3, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Kathy M Hogan

Title

Controller

Phone

(515) 221-9155

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1393804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393804800000",
    "number": "1588089338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13375 UNIVERSITY AVE",
            "address_2": "SUITE 200",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503258261",
            "telephone_number": "515-221-9155",
            "fax_number": "515-221-9157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 PRIOR AVE N",
            "city": "FALCON HEIGHTS",
            "state": "MN",
            "postal_code": "551135549",
            "telephone_number": "515-221-9155",
            "fax_number": "515-221-9157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT JUDE HOSPICE - MINNESOTA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-03",
        "last_updated": "2014-03-03",
        "status": "A",
        "authorized_official_last_name": "HOGAN",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "515-221-9155",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cole William Peterson, ATC
• Donald Joseph Peterson, DDS
• Tam B Pham, D.D.S.
• Shamen Radcliffe, EDD, MA, MSW, MA
• Nicholas Mark Saari, DDS
• Samuel Schraber, DDS
• Ferencz Mihaly Vincze Turcean

• Community Based Hospice Care Agency in Falcon Heights, MN
• Providers in Falcon Heights, MN by specialty
• Community Based Hospice Care Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; 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.