Organization Active NPI

Foundations Group of MN, Inc

  • Home Health Agency
  • Stacy, MN
National Provider Identifier
1770624256
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FOUNDATIONS GROUP OF MN, INC
Practice address
31100 Forest Blvd
BLDG B
Stacy, MN 55079-9247
Phone
(651) 408-1433
Fax
(651) 408-1434
NPI assigned
Feb 9, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Mrs. Kimberly Erin Smith
Title
Program Director
Phone
(651) 408-1433

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X MN Primary
Home Health Agency 251E00000X 1041613-1-WS MN

Addresses

Primary practice location

31100 Forest Blvd
BLDG B
Stacy, MN 55079-9247

Mailing address

PO Box 247
Stacy, MN 55079-0247
Phone (651) 408-1433

National Provider Directory

National Provider Directory

Locations

31100 Forest Blvd
Bldg B
Stacy, MN 55079
Phone (651) 408-1433

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770624256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 247",
            "city": "STACY",
            "state": "MN",
            "postal_code": "550790247",
            "telephone_number": "651-408-1433",
            "fax_number": "651-408-1434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31100 FOREST BLVD",
            "address_2": "BLDG B",
            "city": "STACY",
            "state": "MN",
            "postal_code": "550799247",
            "telephone_number": "651-408-1433",
            "fax_number": "651-408-1434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATIONS GROUP OF MN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ERIN",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "651-408-1433",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "1041613-1-WS",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stacy, 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.