Organization Active NPI

Central Minnesota Senior Housing, LLC

Doing business as Sunrise of Buffalo

  • Assisted Living Facility
  • Buffalo, MN
National Provider Identifier
1639445570
Registry record updated Mar 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
352099 Issued in MN
Legal business name
CENTRAL MINNESOTA SENIOR HOUSING, LLC
Doing business as
Sunrise of Buffalo
Practice address
201 First Street NE
Buffalo, MN 55313-1550
Phone
(763) 682-5489
Fax
(763) 682-6511
NPI assigned
Mar 26, 2012
Last updated
Mar 26, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2012

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

Authorized official

Name
Barbara Barron
Title
Executive Director
Phone
(763) 682-5489

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 352099 MN Primary

Addresses

Primary practice location

201 First Street NE
Buffalo, MN 55313-1550

Mailing address

201 First Street NE
Buffalo, MN 55313-1550
Phone (763) 682-5489

Other names 1

  • Sunrise of Buffalo Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Central Minnesota Senior Housing LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1332720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332720000000",
    "number": "1639445570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 FIRST STREET NE",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553131550",
            "telephone_number": "763-682-5489",
            "fax_number": "763-682-6511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 FIRST STREET NE",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553131550",
            "telephone_number": "763-682-5489",
            "fax_number": "763-682-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL MINNESOTA SENIOR HOUSING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-26",
        "last_updated": "2012-03-26",
        "status": "A",
        "authorized_official_last_name": "BARRON",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "763-682-5489"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "352099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise of Buffalo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buffalo, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2012; 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.