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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.