Elm North Inc

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

ELM NORTH INC

Practice address

104 22ND Ave NE
Waseca, MN 56093-2610

Phone

(507) 835-1146

Fax

(507) 835-4574

NPI assigned

Feb 12, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eugene L Miller

Title

Administrator

Phone

(507) 835-1146

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821130436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 2ND ST SW",
            "city": "WASECA",
            "state": "MN",
            "postal_code": "560932544",
            "telephone_number": "507-835-1146",
            "fax_number": "507-835-4574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 22ND AVE NE",
            "city": "WASECA",
            "state": "MN",
            "postal_code": "560932610",
            "telephone_number": "507-835-1146",
            "fax_number": "507-835-4574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELM NORTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "507-835-1146"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenda Marae Dougherty, CCC -SLP
• Dr. Michael D. Harvey, P.a.
• Dr. William R Beschnett, PA
• DRS. Akre & Clark, LTD. (Drs. Akre & Clark)
• Elm Care Inc
• Elm Residence Inc
• Elm Waseca County SLS Inc
• Kelsy Farley-Cowdin, LICSW
• Fci Waseca
• Sara Lynn Fischer, LGSW

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Waseca, MN
• Providers in Waseca, MN by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.