NPIMap

Organization Active NPI

Living Services Foundation New London LLC

  • Developmentally Disabled Services Day Training Agency
  • New London, MN
National Provider Identifier
1720293269
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
00314 Issued in MN
Legal business name
LIVING SERVICES FOUNDATION NEW LONDON LLC
Practice address
100 Glenoaks Dr
New London, MN 56273-9580
Phone
(320) 354-2173
Fax
(320) 354-2060
NPI assigned
May 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Kryss Gimse
Title
Financial Services Director
Phone
(320) 354-6067

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 00314 MN Primary

Addresses

Primary practice location

100 Glenoaks Dr
New London, MN 56273-9580

Mailing address

100 Glenoaks Dr
New London, MN 56273-9580
Phone (320) 354-2173

Other names 1

  • GLENOAKS ADULT DAYCARE SERVICES Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Glenoaks Adult Daycare Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720293269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GLENOAKS DR",
            "city": "NEW LONDON",
            "state": "MN",
            "postal_code": "562739580",
            "telephone_number": "320-354-2173",
            "fax_number": "320-354-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GLENOAKS DR",
            "city": "NEW LONDON",
            "state": "MN",
            "postal_code": "562739580",
            "telephone_number": "320-354-2173",
            "fax_number": "320-354-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING SERVICES FOUNDATION NEW LONDON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GIMSE",
        "authorized_official_first_name": "KRYSS",
        "authorized_official_title_or_position": "FINANCIAL SERVICES DIRECTOR",
        "authorized_official_telephone_number": "320-354-6067",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "MN",
            "license": "00314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GLENOAKS ADULT DAYCARE SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New London, MN

Sources for this page

  • 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.