Active NPI
Ecumen
Doing business as The Brooks on St. Paul
- Assisted Living Facility
- Owatonna, MN
National Provider Identifier
1811101884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 332127
- Legal business name
- ECUMEN
- Doing business as
- The Brooks on St. Paul
- Practice address
- 2480 Saint Paul Rd
Owatonna, MN 55060-2455 - Phone
- (507) 446-0611
- NPI assigned
- May 9, 2007
- Last updated
- Aug 29, 2012
- Organization subpart
- Yes
- Parent organization
- ECUMEN
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathryn R Roberts
- Title
- Ceo
- Phone
- (651) 766-4300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 332127 | MN | Primary |
Addresses
Primary practice location
2480 Saint Paul Rd
Owatonna, MN 55060-2455
Mailing address
3530 Lexington Ave N
Shoreview, MN 55126-8164
Phone (651) 766-4300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036608100 | Medicaid | MN |
Other names 1
- The Brooks on St. Paul
National Provider Directory
National Provider Directory- Tax ID family
- MCV Clinic
- Part of
- MCV Clinic
Other organizations with this tax ID 42
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- Owatonna, MN
- NPI 1124234554
-
- Assisted Living Facility
- Worthington, MN
- NPI 1265646236
-
dba Ecumen Lakeshore Transportation
- Non-emergency Medical Transport (VAN)
- Duluth, MN
- NPI 1376800045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1346198400000",
"number": "1811101884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3530 LEXINGTON AVE N",
"city": "SHOREVIEW",
"state": "MN",
"postal_code": "551268164",
"telephone_number": "651-766-4300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2480 SAINT PAUL RD",
"city": "OWATONNA",
"state": "MN",
"postal_code": "550602455",
"telephone_number": "507-446-0611"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ECUMEN",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ECUMEN",
"enumeration_date": "2007-05-09",
"last_updated": "2012-08-29",
"status": "A",
"authorized_official_last_name": "ROBERTS",
"authorized_official_first_name": "KATHRYN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "651-766-4300"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "MN",
"license": "332127",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036608100",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "The Brooks on St. Paul",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Owatonna, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.