Faribault Senior Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

FARIBAULT SENIOR LIVING LLC

Practice address

843 Faribault Road
Faribault, MN 55021

Phone

(507) 334-5009

Fax

(651) 454-4783

NPI assigned

Apr 8, 2011

Last updated

Apr 8, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelly Myers

Title

VP of Operations

Phone

(651) 454-4801

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1302220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302220800000",
    "number": "1770873937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "843 FARIBAULT ROAD",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "55021",
            "telephone_number": "507-334-5009",
            "fax_number": "651-454-4783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "843 FARIBAULT ROAD",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "55021",
            "telephone_number": "507-334-5009",
            "fax_number": "651-454-4783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARIBAULT SENIOR LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-08",
        "last_updated": "2011-04-08",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "651-454-4801"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faribault Commons Nursing & Rehabilitation, Inc.
• Faribault Health Care LLC (St Lucas Care Center)
• Faribault Ops LLC (Keystone Faribualt)
• Faribault Psychological Services PA
• Faribault Rehabilitation Center
• Faribault Wellness Center, P.a.
• Annika Ferber, ATC
• Fernbrook Family Center, Inc
• Molly Fernholz, RDH
• Frederick Richard Ferron, M.D.

• Assisted Living Facility in Faribault, MN
• Providers in Faribault, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.