Living With Dignity Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1051192-1-ADC Issued in MN

Legal business name

LIVING WITH DIGNITY CENTER

Practice address

11260 Quinn St NW
Coon Rapids, MN 55433-3631

Phone

(612) 747-0414

Fax

(763) 205-3080

NPI assigned

Jul 16, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Alicia V Fahr, PHD

Title

Executive Director

Phone

(763) 205-3080

Specialties & licenses 2

Addresses

Other names 1

• Adult Day Service Doing business as

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

{
    "created_epoch": "1247702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247702400000",
    "number": "1619107232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11260 QUINN ST NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554333631",
            "telephone_number": "612-747-0414",
            "fax_number": "763-205-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11260 QUINN ST NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554333631",
            "telephone_number": "612-747-0414",
            "fax_number": "763-205-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WITH DIGNITY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-16",
        "last_updated": "2009-07-16",
        "status": "A",
        "authorized_official_last_name": "FAHR",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "763-205-3080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "1051192-1-ADC",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "LPC00616",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adult Day Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paul T. Linson, CNP
• Jessica Beth Linz, ATC, ATR
• Isaac N.K. Liu, DDS
• Livea Medical PLLC
• Living Well Health Care Services LLC
• Kelsey Mary Ann Loch
• Charles Lochner, MA
• Amanda Marie Pinkert Loecken, MHS, PA-C
• John P Loes, M.D.
• M Bruce Lomax, MD

• Community/Behavioral Health Agency in Coon Rapids, MN
• Providers in Coon Rapids, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.