Isd 621

Primary specialty

Home Delivered MealsTaxonomy code 332U00000X

Legal business name

ISD 621

Practice address

2101 14TH St NW
New Brighton, MN 55112-1841

Phone

(612) 623-3363

NPI assigned

Sep 15, 2015

Organization subpart

No

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

Authorized official

Name

Joyce Ellefson

Title

Coordinator

Phone

(612) 623-3363

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Isd 6212 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mounds View Public Schools Isd621

  • Local Education Agency (LEA)
  • Shoreview, MN
  • NPI 1225194814
  NPD tax ID

Locations

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

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442275200000",
    "number": "1811366388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 14TH ST NW",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551121841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 14TH ST NW",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551121841",
            "telephone_number": "612-623-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISD 621",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-15",
        "last_updated": "2015-09-15",
        "status": "A",
        "authorized_official_last_name": "ELLEFSON",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_title_or_position": "COORDINATOR",
        "authorized_official_telephone_number": "612-623-3363"
    },
    "taxonomies": [
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A506713800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Khadra Ibrahim
• Idimo Medical Supply
• Stacey Ann Ihle, M.A.,CCC-SLP
• Integrated Body Therapies, Inc.
• Megan Christine Isaacs, PTA
• Abdirisak Ismail
• Ruqiya Yusuf Isse, RN
• Heather Ites, LPCC, LADC
• Susan Ivancie
• Andrea Lauren Iyegha, MA, LICSW

• Home Delivered Meals in New Brighton, MN
• Providers in New Brighton, MN by specialty
• Home Delivered Meals in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; 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.