Aegis Therapies

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

453 Issued in ND

Legal business name

AEGIS THERAPIES

Practice address

2810 2ND Ave N
Moorhead, MN 56560-2508

Phone

(701) 306-9580

NPI assigned

Jun 2, 2014

Organization subpart

No

Name

Shauna Rae Nelson, OTR/L

Title

Occupational Therapist

Phone

(701) 306-9580

• Golden Living Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 2, 2014.

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401667200000",
    "number": "1669884151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 10TH AVE W",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580782531",
            "telephone_number": "701-306-9580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 2ND AVE N",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565602508",
            "telephone_number": "701-306-9580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AEGIS THERAPIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-02",
        "last_updated": "2014-06-02",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "SHAUNA",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "701-306-9580",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "ND",
            "license": "453",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "104123",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Living Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Moorhead, MN
• Skilled Nursing Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; 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.