Active NPI
Community Options & Resources
- Intellectual Disabilities Intermediate Care Facility
- Welcome, MN
National Provider Identifier
1639346265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual Disabilities Intermediate Care Facility
- License
- 800864
- Legal business name
- COMMUNITY OPTIONS & RESOURCES
- Practice address
- 104 Mill St
Welcome, MN 56181-5045 - Phone
- (507) 728-8444
- Fax
- (507) 728-8360
- NPI assigned
- May 13, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Penny L Claussen
- Title
- Business Manager
- Phone
- (507) 728-8444
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | 800864 | MN | Primary |
Addresses
Primary practice location
104 Mill St
Welcome, MN 56181-5045
Mailing address
104 Mill Street
Welcome, MN 56181-5045
Phone (507) 728-8444
Other names 1
- COR I
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210636800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210636800000",
"number": "1639346265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 MILL STREET",
"city": "WELCOME",
"state": "MN",
"postal_code": "561815045",
"telephone_number": "507-728-8444",
"fax_number": "507-728-8360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 MILL ST",
"city": "WELCOME",
"state": "MN",
"postal_code": "561815045",
"telephone_number": "507-728-8444",
"fax_number": "507-728-8360"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY OPTIONS & RESOURCES",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-13",
"last_updated": "2008-05-13",
"status": "A",
"authorized_official_last_name": "CLAUSSEN",
"authorized_official_first_name": "PENNY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "507-728-8444",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "315P00000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Intellectual Disabilities",
"state": "MN",
"license": "800864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "COR I",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Welcome, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.