NPIMap

Organization Active NPI

Cybermation, Inc.

  • In Home Supportive Care Agency
  • Waite Park, MN
National Provider Identifier
1740579267
Registry record updated Apr 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
CYBERMATION, INC.
Practice address
415 3Rd St N
Suite 100
Waite Park, MN 56387-2509
Phone
(320) 255-7027
Fax
(320) 255-7027
NPI assigned
Apr 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2011

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

Authorized official

Name
Mr. Thomas Leo Ardolf
Title
President
Phone
(320) 255-7027

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

415 3Rd St N
Suite 100
Waite Park, MN 56387-2509

Mailing address

415 3Rd St N
Suite 100
Waite Park, MN 56387-2509
Phone (320) 255-7027

National Provider Directory

National Provider Directory

Locations

415 3rd St N
Ste 100
Waite Park, MN 56387
Phone (320) 255-7027

NPI Registry JSON

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301961600000",
    "number": "1740579267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 3RD ST N",
            "address_2": "SUITE 100",
            "city": "WAITE PARK",
            "state": "MN",
            "postal_code": "563872509",
            "telephone_number": "320-255-7027",
            "fax_number": "320-255-7027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 3RD ST N",
            "address_2": "SUITE 100",
            "city": "WAITE PARK",
            "state": "MN",
            "postal_code": "563872509",
            "telephone_number": "320-255-7027",
            "fax_number": "320-255-7027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYBERMATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-05",
        "last_updated": "2011-04-05",
        "status": "A",
        "authorized_official_last_name": "ARDOLF",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "LEO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "320-255-7027",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waite Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; 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.