Faribault Care Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

FARIBAULT CARE CENTER

Practice address

1738 Hulett Ave
Faribault, MN 55021-2918

Phone

(502) 419-2571

NPI assigned

Dec 2, 2010

Organization subpart

Yes

Parent organization

DNR THREE LLCAs reported in NPPES

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

Authorized official

Name

Garett Robertson

Title

Ceo

Phone

(801) 296-5105

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368489600000",
    "number": "1811299423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1738 HULETT AVE",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550212918",
            "telephone_number": "507-334-3918",
            "fax_number": "507-332-2748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1738 HULETT AVE",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550212918",
            "telephone_number": "502-419-2571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARIBAULT CARE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DNR THREE LLC",
        "enumeration_date": "2010-12-02",
        "last_updated": "2013-05-14",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "GARETT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-296-5105"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811299423",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Faribault, MN
• Skilled Nursing Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2013; 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.