NPIMap

Organization Active NPI

Our House of Minnesota, Inc. I

  • Intellectual Disabilities Intermediate Care Facility
  • Saint Paul, MN
National Provider Identifier
1750467577
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
801828-1-RS Issued in MN
Legal business name
OUR HOUSE OF MINNESOTA, INC. I
Practice address
1846 Dayton Ave
Saint Paul, MN 55104-6012
Phone
(651) 644-6650
Fax
(651) 644-6650
NPI assigned
Oct 27, 2006
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
Dennis Holman
Title
Administrator
Phone
(651) 646-1104

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 801828-1-RS MN Primary

Addresses

Primary practice location

1846 Dayton Ave
Saint Paul, MN 55104-6012

Mailing address

1846 Portland Ave
Saint Paul, MN 55104-6062
Phone (651) 646-1104

National Provider Directory

National Provider Directory
Tax ID family
Our House of Minnesota Inc2 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": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750467577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1846 PORTLAND AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551046062",
            "telephone_number": "651-646-1104",
            "fax_number": "651-646-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1846 DAYTON AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551046012",
            "telephone_number": "651-644-6650",
            "fax_number": "651-644-6650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR HOUSE OF MINNESOTA, INC. I",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOLMAN",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "651-646-1104"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "MN",
            "license": "801828-1-RS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, 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.