NPIMap

Organization Active NPI

Directions for Life Pca Services

  • Personal Care Attendant
  • Hermantown, MN
National Provider Identifier
1861628455
Registry record updated Jun 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Legal business name
DIRECTIONS FOR LIFE PCA SERVICES
Practice address
4897 Miller Trunk Hwy
Hermantown, MN 55811-1586
Phone
(218) 722-1184
Fax
(218) 722-7148
NPI assigned
Jun 9, 2009
Last updated
Jun 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2009

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

Authorized official

Name
Miss Christine Meilach
Title
Executive Program Coordinator, QMRP
Phone
(218) 722-1184

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Primary

Addresses

Primary practice location

4897 Miller Trunk Hwy
Hermantown, MN 55811-1586

Mailing address

4897 Miller Trunk Hwy
Hermantown, MN 55811-1586
Phone (218) 722-1184

Other identifiers 1

IdentifierTypeStateIssuer
A111290200MedicaidMN

National Provider Directory

National Provider Directory
Tax ID family
Directions for Life Pca Services2 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.

NPI Registry JSON

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

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244505600000",
    "number": "1861628455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4897 MILLER TRUNK HWY",
            "city": "HERMANTOWN",
            "state": "MN",
            "postal_code": "558111586",
            "telephone_number": "218-722-1184",
            "fax_number": "218-722-7148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4897 MILLER TRUNK HWY",
            "city": "HERMANTOWN",
            "state": "MN",
            "postal_code": "558111586",
            "telephone_number": "218-722-1184",
            "fax_number": "218-722-7148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECTIONS FOR LIFE PCA SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-09",
        "last_updated": "2009-06-09",
        "status": "A",
        "authorized_official_last_name": "MEILACH",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "EXECUTIVE PROGRAM COORDINATOR, QMRP",
        "authorized_official_telephone_number": "218-722-1184",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A111290200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermantown, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.

Verify at the official NPI Registry.