Organization Active NPI

Lakes International Language Academy

  • Case Management Agency
  • Forest Lake, MN
National Provider Identifier
1811393572
Registry record updated Nov 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
LAKES INTERNATIONAL LANGUAGE ACADEMY
Practice address
246 11TH Ave SE
Forest Lake, MN 55025-1883
Phone
(651) 464-0771
Fax
(651) 464-4429
NPI assigned
Nov 7, 2014
Last updated
Nov 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2014

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

Authorized official

Name
Ms. Deborah A Wall, MA
Title
Director of Special Education
Phone
(651) 357-4881

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

246 11TH Ave SE
Forest Lake, MN 55025-1883

Mailing address

246 11TH Ave SE
Forest Lake, MN 55025-1883
Phone (651) 464-0771

National Provider Directory

National Provider Directory

Locations

246 11th Ave SE
Forest Lake, MN 55025
Phone (651) 252-6717

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1415318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415318400000",
    "number": "1811393572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 11TH AVE SE",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550251883",
            "telephone_number": "651-464-0771",
            "fax_number": "651-464-4429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 11TH AVE SE",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550251883",
            "telephone_number": "651-464-0771",
            "fax_number": "651-464-4429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKES INTERNATIONAL LANGUAGE ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-07",
        "last_updated": "2014-11-07",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR OF SPECIAL EDUCATION",
        "authorized_official_telephone_number": "651-357-4881",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Lake, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2014; 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.