Organization Active NPI

Community Transitional Services-Eveleth

  • Mental Illness Community Based Residential Treatment Facility
  • Eveleth, MN
National Provider Identifier
1790966828
Registry record updated Nov 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
COMMUNITY TRANSITIONAL SERVICES-EVELETH
Practice address
227 McKinley Ave
Eveleth, MN 55734-1606
Phone
(218) 744-7436
NPI assigned
Nov 16, 2007
Last updated
Nov 16, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
STATE OF MINNESOTAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 16, 2007

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

Authorized official

Name
Mr. Rod L Kornrumpf
Title
Mental Health Admin Officer
Phone
(651) 431-5003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X NU Primary

Addresses

Primary practice location

227 McKinley Ave
Eveleth, MN 55734-1606

Mailing address

PO Box 64979
Saint Paul, MN 55164-0979
Phone (651) 431-3676

National Provider Directory

National Provider Directory
Part of
St Cloud State Univ HLT

NPI Registry JSON

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1790966828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64979",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551640979",
            "telephone_number": "651-431-3676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 MCKINLEY AVE",
            "city": "EVELETH",
            "state": "MN",
            "postal_code": "557341606",
            "telephone_number": "218-744-7436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY TRANSITIONAL SERVICES-EVELETH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STATE OF MINNESOTA",
        "enumeration_date": "2007-11-16",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "KORNRUMPF",
        "authorized_official_first_name": "ROD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MENTAL HEALTH ADMIN OFFICER",
        "authorized_official_telephone_number": "651-431-5003",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eveleth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; 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.