Active NPI
Lutheran Social Service of MN
- Foster Care Agency
- Red Wing, MN
National Provider Identifier
1851524680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foster Care Agency
- Legal business name
- LUTHERAN SOCIAL SERVICE OF MN
- Practice address
- 19190 305TH St
Red Wing, MN 55066-7008 - Phone
- (651) 388-7937
- Fax
- (651) 388-8848
- NPI assigned
- Aug 27, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mark Peterson
- Title
- President/Ceo
- Phone
- (800) 582-5260
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foster Care Agency | 253J00000X | Primary |
Addresses
Primary practice location
19190 305TH St
Red Wing, MN 55066-7008
Mailing address
2485 Como Ave
Saint Paul, MN 55108-1445
Phone (800) 582-5260
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 804381-3-WS | Other | MN | MINNESOTA DEPARTMENT OF HUMAN SERVICES |
National Provider Directory
National Provider Directory- Tax ID family
- Compass North
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Organizations that report the same tax identification number in the National Provider Directory.
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-
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-
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Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Intellectual Disabilities Intermediate Care Facility
- Adams, MN
- NPI 1417019993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251331200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1253577600000",
"number": "1851524680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2485 COMO AVE",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551081445",
"telephone_number": "800-582-5260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19190 305TH ST",
"city": "RED WING",
"state": "MN",
"postal_code": "550667008",
"telephone_number": "651-388-7937",
"fax_number": "651-388-8848"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUTHERAN SOCIAL SERVICE OF MN",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-27",
"last_updated": "2009-09-22",
"status": "A",
"authorized_official_last_name": "PETERSON",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "800-582-5260",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "253J00000X",
"taxonomy_group": "",
"desc": "Foster Care Agency",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MINNESOTA DEPARTMENT OF HUMAN SERVICES",
"identifier": "804381-3-WS",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Red Wing, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.