Supportive Living Soultions,LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

356379 Issued in MN

Legal business name

SUPPORTIVE LIVING SOULTIONS,LLC

Practice address

255 Summit Ave
Saint Paul, MN 55102-2117

Phone

(651) 222-7587

Fax

(651) 222-5341

NPI assigned

Apr 12, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Victoria M Frahm

Title

President

Phone

(763) 234-0594

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334188800000",
    "number": "1891052049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 SUMMIT AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022117",
            "telephone_number": "651-222-7587",
            "fax_number": "651-222-5341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 SUMMIT AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022117",
            "telephone_number": "651-222-7587",
            "fax_number": "651-222-5341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORTIVE LIVING SOULTIONS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-12",
        "last_updated": "2012-04-12",
        "status": "A",
        "authorized_official_last_name": "FRAHM",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-234-0594",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "356379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theuthmany Suphantavong
• Supporthealthmn LLC
• Supportive Housing and Managed Care Pilot (Hearth Connection)
• Supportive Housing and Managed Care Pilot (Hearth Connection)
• Supportive Journeys Psychotherapy, LLC
• Beth Anne Susag, MA, MT-BC, NMT
• Christopher Michael Susag, PH.D., L.P.C.C.
• Susan Borden Psych (Center for Conscious Alchemy)
• Susan Eckfeldt
• Erica Suski, RPA, RT(R)

• Home Health Agency in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; 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.