Organization Active NPI

Sunhaven, Inc.

  • Community/Behavioral Health Agency
  • Le Center, MN
National Provider Identifier
1801015078
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SUNHAVEN, INC.
Practice address
445 W Derrynane St
Le Center, MN 56057-1135
Phone
(507) 357-4174
Fax
(507) 357-4178
NPI assigned
Apr 25, 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. Paula Marie Beulke
Title
Treatment Director
Phone
(612) 756-1897

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

445 W Derrynane St
Le Center, MN 56057-1135

Mailing address

445 W Derrynane St
PO Box 42
Le Center, MN 56057-1135
Phone (507) 357-4174

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801015078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 W DERRYNANE ST",
            "address_2": "PO BOX 42",
            "city": "LE CENTER",
            "state": "MN",
            "postal_code": "560571135",
            "telephone_number": "507-357-4174",
            "fax_number": "507-357-4178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 W DERRYNANE ST",
            "city": "LE CENTER",
            "state": "MN",
            "postal_code": "560571135",
            "telephone_number": "507-357-4174",
            "fax_number": "507-357-4178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNHAVEN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEULKE",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "TREATMENT DIRECTOR",
        "authorized_official_telephone_number": "612-756-1897",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Le Center, 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.