Organization Active NPI

Falls Delivered Meals

  • In Home Supportive Care Agency
  • Thief River Falls, MN
National Provider Identifier
1629415849
Registry record updated May 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
FALLS DELIVERED MEALS
Practice address
309 Challenger Dr E
Thief River Falls, MN 56701-4602
Phone
(218) 681-6861
NPI assigned
May 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2013

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

Authorized official

Name
Mr. Winton Arthur Forsberg
Title
President
Phone
(218) 681-2311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

309 Challenger Dr E
Thief River Falls, MN 56701-4602

Mailing address

416 Maple Ave S
Thief River Falls, MN 56701-3227
Phone (218) 681-2311

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1369785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369785600000",
    "number": "1629415849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 MAPLE AVE S",
            "city": "THIEF RIVER FALLS",
            "state": "MN",
            "postal_code": "567013227",
            "telephone_number": "218-681-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 CHALLENGER DR E",
            "city": "THIEF RIVER FALLS",
            "state": "MN",
            "postal_code": "567014602",
            "telephone_number": "218-681-6861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALLS DELIVERED MEALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-29",
        "last_updated": "2013-05-29",
        "status": "A",
        "authorized_official_last_name": "FORSBERG",
        "authorized_official_first_name": "WINTON",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "218-681-2311",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thief River Falls, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2013; 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.