Little Sand Group Homes

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

801412 Issued in MN

Legal business name

LITTLE SAND GROUP HOMES

Practice address

5910 Little Sand LN NE
Remer, MN 56672-4423

Phone

(218) 566-2342

Fax

(218) 566-2341

NPI assigned

Mar 29, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michelle Pepin

Title

Executive Director

Phone

(218) 566-2342

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ann Louise Nordlund, LICSW

  • Mental Health Counselor
  • Remer, MN
  • NPI 1700915246
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720108491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5910 LITTLE SAND LN NE",
            "city": "REMER",
            "state": "MN",
            "postal_code": "566724423",
            "fax_number": "218-566-2341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5910 LITTLE SAND LN NE",
            "city": "REMER",
            "state": "MN",
            "postal_code": "566724423",
            "telephone_number": "218-566-2342",
            "fax_number": "218-566-2341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE SAND GROUP HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PEPIN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "218-566-2342"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "MN",
            "license": "801412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Wade Dormanen
• Benjamin Geoffrey Harrison, D.D.S.
• Jerome D Poland MD LTD (Crosby Eye Clinic/Remer)
• Laurel Lodge Assisted Living Home
• Laurel Lodge Inc.
• Ann Louise Nordlund, LICSW
• Sarah Ong, MS CCC-SLP
• Kerry Elaine Ruyak, RN
• Tami Lynn Sauer, NBC-HWC, ACSM-CPT
• Village of Remer (Remer Area Ambulance Service)

• Emotionally Disturbed Childrens' Residential Treatment Facility in Remer, MN
• Providers in Remer, MN by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.