Taylor Renee Schoumaker
Individual provider Active NPI Foster Care Agency · Brook Park, MN
NPI 1811574841 · NPPES record last updated Mar 25, 2021
Key facts
- NPI
- 1811574841
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Foster Care Agency 253J00000X
- License
- 1106681 (MN)
- Practice address
- 2644 240TH Ave
Brook Park, MN 55007-4656 - Phone
- (612) 481-1545
- NPI assigned
- Mar 25, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1106681 | MN | MD | Foster Care Agency |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foster Care Agency | 253J00000X | 1106681 | MN | Yes |
Addresses
Primary practice location
2644 240TH Ave
Brook Park, MN 55007-4656
Mailing address
2644 240TH Ave
Brook Park, MN 55007-4656
Phone (612) 481-1545
Other providers in Brook Park, MN
- Christine Hippen
- Nile Guy Kaufman
- Tracie Kathryn Myers
- William Scott Piper III
- Lezlie M Puetz
- Jason Eric Siems
All providers in Brook Park, MN · Foster Care Agency in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.