Lao Senior Healthy Life Center

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

1048831-4-ADC Issued in MN

Legal business name

LAO SENIOR HEALTHY LIFE CENTER

Practice address

1501 W Broadway Ave
Minneapolis, MN 55411-2473

Phone

(612) 227-1691

Fax

(612) 529-4570

NPI assigned

Nov 27, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Saeng Doua Kue

Title

Center Director

Phone

(612) 227-1691

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1353974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353974400000",
    "number": "1780928010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7250 CAMDEN AVE N",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554301229",
            "telephone_number": "612-227-1691",
            "fax_number": "612-529-4570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 W BROADWAY AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554112473",
            "telephone_number": "612-227-1691",
            "fax_number": "612-529-4570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAO SENIOR HEALTHY LIFE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-27",
        "last_updated": "2012-11-27",
        "status": "A",
        "authorized_official_last_name": "KUE",
        "authorized_official_first_name": "SAENG",
        "authorized_official_middle_name": "DOUA",
        "authorized_official_title_or_position": "CENTER DIRECTOR",
        "authorized_official_telephone_number": "612-227-1691",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MN",
            "license": "1048831-4-ADC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex B Lanning, D.C.
• Monica Margaret Lannon
• Sarah Elizabeth Lanoue, OTR/L
• Adrienne Lanz, LICSW
• Lao Advancement Organization of America (Laoa)
• Ann Louise Lapacinski, CRNA
• Danielle Marie Lapage Rausch, N.P.
• Renae A Lapham, FNP
• Samuel R Lapham
• Lillian Lapierre

• Community Based Hospice Care Agency in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Community Based Hospice Care Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; 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.