Pal Enterprises L.L.C.

Primary specialty

Respite CareTaxonomy code 385H00000X

Legal business name

PAL ENTERPRISES L.L.C.

Practice address

2501 Serenity Dr
Saint Cloud, MN 56301-9177

Phone

(320) 224-1424

NPI assigned

Nov 15, 2019

Organization subpart

No

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

Authorized official

Name

Judy Lea Theisen

Title

Owner Foster Care Provider

Phone

(320) 224-1424

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1573776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573776000000",
    "number": "1891330627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 SERENITY DR",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563019177",
            "telephone_number": "320-224-1424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 SERENITY DR",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563019177",
            "telephone_number": "320-224-1424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAL ENTERPRISES L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-15",
        "last_updated": "2019-11-15",
        "status": "A",
        "authorized_official_last_name": "THEISEN",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "OWNER FOSTER CARE PROVIDER",
        "authorized_official_telephone_number": "320-224-1424"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edith Bergit Oxton, LICSW
• Omoyeni Ayobami Oyederu, LPCC
• Elias O Oyewole-Eletu
• Stephanie Nelson Pagano, PSY.D.
• Pain & Rehabilitation Clinics Inc
• Catherine Marie Palmer, PHD LP
• Nyomi Monae Palmer
• Scott A Palmer, PHD LP
• Rachel Panek, RBT
• Gregory C Pappenfus, DDS

• Respite Care in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Respite Care in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2019; 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.