Laurels Edge Alf LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LAURELS EDGE ALF LLC

Doing business as

Laurels Edge Assisted Living

Practice address

77 Stadium Rd
Mankato, MN 56001-6099

Phone

(507) 387-2133

NPI assigned

May 13, 2015

Last updated

May 13, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joshua Legum

Title

Manager

Phone

(516) 410-5209

Specialties & licenses 1

Addresses

Other names 1

• Laurels Edge Assisted Living Doing business as

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431475200000",
    "number": "1649658469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 STADIUM RD",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560016099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 STADIUM RD",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560016099",
            "telephone_number": "507-387-2133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURELS EDGE ALF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-13",
        "last_updated": "2015-05-13",
        "status": "A",
        "authorized_official_last_name": "LEGUM",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "516-410-5209"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laurels Edge Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thomas Dean Larson, DDS
• Angela Lathanavaly
• Latjor Home Care Center
• Clare Elizabeth Laubenthal, PA-C
• Angela Lauderbaugh
• Laurels Peak Health Care LLC (Laurels Peak Care and Rehabilitation Center)
• Jessica Marie Lawrence, DPT
• Leann M Shea (Key City Chiropractic)
• Edith Leasman
• Lynette Leduc, RD

• Assisted Living Facility in Mankato, MN
• Providers in Mankato, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; 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.