Outreach Six Acres Inc

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

801854 Issued in MN

Legal business name

OUTREACH SIX ACRES INC

Practice address

1555 118TH LN NW
Minneapolis, MN 55448-7579

Phone

(763) 754-2505

Fax

(763) 754-0332

NPI assigned

Dec 11, 2006

Organization subpart

No

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

Authorized official

Name

Connie Winbauer

Title

Controller

Phone

(763) 862-5436

Specialties & licenses 7

Addresses

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750441713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 118TH LN NW",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554487579",
            "telephone_number": "763-754-2505",
            "fax_number": "763-754-0332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 118TH LN NW",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554487579",
            "telephone_number": "763-754-2505",
            "fax_number": "763-754-0332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTREACH SIX ACRES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WINBAUER",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "763-862-5436"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "MN",
            "license": "801850",
            "primary": false
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "MN",
            "license": "801851",
            "primary": false
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "MN",
            "license": "801852",
            "primary": false
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "MN",
            "license": "801853",
            "primary": false
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "MN",
            "license": "801854",
            "primary": true
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "MN",
            "license": "1001534",
            "primary": false
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "MN",
            "license": "803912",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Ouellette, BCBA
• Ouroboros
• Aaron Ous
• Rita Marie Ous
• Zebiba Nassir Ousman
• Timothy Ouyang, PA-C
• Weiya Ouyang, PA
• Marlene E Ovalle Stiehm, PSYD, LMFT
• Jessica Anne Ovans, PT
• Overcomers Outreach Ministries

• Intellectual Disabilities Intermediate Care Facility in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Intellectual Disabilities Intermediate Care 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.