Active NPI
Foundations Group of MN, Inc
- Home Health Agency
- Stacy, MN
National Provider Identifier
1770624256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.