NPIMap

Organization Active NPI

Life Skills and Transition Center

  • Intellectual Disabilities Intermediate Care Facility
  • Grafton, ND
National Provider Identifier
1881648301
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
LIFE SKILLS AND TRANSITION CENTER
Practice address
701 W 6TH Street
Grafton, ND 58237-1399
Phone
(701) 352-4200
Fax
(701) 352-4376
NPI assigned
May 20, 2006
Last updated
Dec 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Authorized official

Name
Donna Aukland
Title
Assistant Cfo - DHS
Phone
(701) 328-4924

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X NU Primary

Addresses

Primary practice location

701 W 6TH Street
Grafton, ND 58237-1399

Mailing address

701 W 6TH Street
Grafton, ND 58237-1399
Phone (701) 352-4200

Other identifiers 1

IdentifierTypeStateIssuer
56108MedicaidND

National Provider Directory

National Provider Directory
Tax ID family
Developmental Center5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607558400000",
    "number": "1881648301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W 6TH STREET",
            "city": "GRAFTON",
            "state": "ND",
            "postal_code": "582371399",
            "telephone_number": "701-352-4200",
            "fax_number": "701-352-4376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W 6TH STREET",
            "city": "GRAFTON",
            "state": "ND",
            "postal_code": "582371399",
            "telephone_number": "701-352-4200",
            "fax_number": "701-352-4376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE SKILLS AND TRANSITION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A",
        "authorized_official_last_name": "AUKLAND",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "ASSISTANT CFO - DHS",
        "authorized_official_telephone_number": "701-328-4924"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56108",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grafton, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.