Active NPI
City of Adrian
Doing business as Adrian Country Living
- Skilled Nursing Facility
- Adrian, MN
National Provider Identifier
1609198720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 346779
- Legal business name
- CITY OF ADRIAN
- Doing business as
- Adrian Country Living
- Practice address
- 603 Louisiana Ave
Adrian, MN 56110-1051 - Phone
- (507) 483-2580
- Fax
- (507) 483-2610
- NPI assigned
- Feb 16, 2010
- Last updated
- May 27, 2010
- Organization subpart
- Yes
- Parent organization
- CITY OF ADRIAN
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lori Mulder
- Title
- Nursing Home Administrator
- Phone
- (507) 483-2580
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 346779 | MN | Primary |
Addresses
Primary practice location
603 Louisiana Ave
Adrian, MN 56110-1051
Mailing address
603 Louisiana Ave
Adrian, MN 56110-1051
Phone (507) 483-2580
Other names 1
- Adrian Country Living
National Provider Directory
National Provider Directory- Part of
- City of Adrian
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266278400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1274918400000",
"number": "1609198720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "603 LOUISIANA AVE",
"city": "ADRIAN",
"state": "MN",
"postal_code": "561101051",
"telephone_number": "507-483-2580",
"fax_number": "507-483-2610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 LOUISIANA AVE",
"city": "ADRIAN",
"state": "MN",
"postal_code": "561101051",
"telephone_number": "507-483-2580",
"fax_number": "507-483-2610"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF ADRIAN",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CITY OF ADRIAN",
"enumeration_date": "2010-02-16",
"last_updated": "2010-05-27",
"status": "A",
"authorized_official_last_name": "MULDER",
"authorized_official_first_name": "LORI",
"authorized_official_title_or_position": "NURSING HOME ADMINISTRATOR",
"authorized_official_telephone_number": "507-483-2580"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MN",
"license": "346779",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Adrian Country Living",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Adrian, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.