Infinia at Faribault

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

313476 Issued in MN

Legal business name

INFINIA AT FARIBAULT

Practice address

1738 Hulett Ave
Faribault, MN 55021-2918

Phone

(507) 334-3918

Fax

(507) 332-2748

NPI assigned

Jun 28, 2005

Organization subpart

No

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

Authorized official

Name

Scott Robertson

Title

Owner

Phone

(801) 295-8000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639175268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1738 HULETT AVE",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550212918",
            "telephone_number": "507-334-3918",
            "fax_number": "507-332-2748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1738 HULETT AVE",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550212918",
            "telephone_number": "507-334-3918",
            "fax_number": "507-332-2748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINIA AT FARIBAULT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-295-8000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "313476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.