Organization Active NPI

Friesen & Friesen, Inc

  • Assisted Living Facility
  • Grand Rapids, MN
National Provider Identifier
1710587696
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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

Updated by the provider on Oct 29, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
A969660100OtherMNUMPI

Other names 1

  • Oak Hill Assisted Living Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D1052485Oak Hill Assisted Living1971 NE 1St Ave, Grand Rapids, MN 55744Certificate of waiverMar 26, 2028

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.