Active NPI
Friesen & Friesen, Inc
- Assisted Living Facility
- Grand Rapids, MN
National Provider Identifier
1710587696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- FRIESEN & FRIESEN, INC
- Practice address
- 1971 NE 1St Avenue
Grand Rapids, MN 55744 - Phone
- (218) 999-9057
- Fax
- (218) 999-5694
- NPI assigned
- Oct 29, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pamela Meyer Friesen
- Title
- Owner
- Phone
- (218) 343-8583
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
1971 NE 1St Avenue
Grand Rapids, MN 55744
Mailing address
1971 NE 1St Avenue
Grand Rapids, MN 55744
Phone (218) 999-9057
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A969660100 | Other | MN | UMPI |
Other names 1
- Oak Hill Assisted Living
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D1052485 | Oak Hill Assisted Living | Certificate of waiver | Mar 26, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1603929600000",
"number": "1710587696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1971 NE 1ST AVENUE",
"city": "GRAND RAPIDS",
"state": "MN",
"postal_code": "55744",
"telephone_number": "218-999-9057",
"fax_number": "218-999-5694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1971 NE 1ST AVENUE",
"city": "GRAND RAPIDS",
"state": "MN",
"postal_code": "55744",
"telephone_number": "218-999-9057",
"fax_number": "218-999-5694"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRIESEN & FRIESEN, INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-29",
"last_updated": "2020-10-29",
"certification_date": "2020-10-29",
"status": "A",
"authorized_official_last_name": "FRIESEN",
"authorized_official_first_name": "PAMELA",
"authorized_official_middle_name": "MEYER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "218-343-8583"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UMPI",
"identifier": "A969660100",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Oak Hill Assisted Living",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Grand Rapids, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.