Everyday Living

Organization Active NPI Mental Illness Community Based Residential Treatment Facility · South St Paul, MN

NPI 1679977045 · NPPES record last updated Oct 14, 2014

Key facts

NPI
1679977045
Entity type
Organization (NPI type 2)
Primary specialty
Mental Illness Community Based Residential Treatment Facility 320800000X
License
1050628-3-AFC (MN)
Legal business name
EVERYDAY LIVING
Practice address
355 15TH Ave N
South St Paul, MN 55075-1822
Phone
(651) 688-7173
NPI assigned
Oct 14, 2014
Organization subpart
No

Authorized official

Name
Blake Elliott
Title
Owner
Phone
(612) 695-6041

National Provider Directory

Locations

355 15th Ave N
South St Paul, MN 55075
Phone (651) 688-7173

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 1050628-3-AFC MN Yes

Addresses

Primary practice location

355 15TH Ave N
South St Paul, MN 55075-1822

Mailing address

355 15TH Ave N
South St Paul, MN 55075-1822

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 14, 2014.

{
    "created_epoch": "1413244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413244800000",
    "number": "1679977045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 15TH AVE N",
            "city": "SOUTH ST PAUL",
            "state": "MN",
            "postal_code": "550751822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 15TH AVE N",
            "city": "SOUTH ST PAUL",
            "state": "MN",
            "postal_code": "550751822",
            "telephone_number": "651-688-7173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERYDAY LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-14",
        "last_updated": "2014-10-14",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-695-6041"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "MN",
            "license": "1050628-3-AFC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South St Paul, MN

All providers in South St Paul, MN · Mental Illness Community Based Residential Treatment Facility in Minnesota

Sources for this page

Verify at the official NPI Registry.