Amethyst Health Services LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

AMETHYST HEALTH SERVICES LLC

Doing business as

Amethyst Health Services LLC

Practice address

13236 Irving Ave S
Burnsville, MN 55337-2413

Phone

(952) 465-8359

NPI assigned

Mar 9, 2021

Last updated

Mar 9, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Steve D Tall

Title

Human Resources and It

Phone

(952) 465-8359

Specialties & licenses 1

Addresses

Other names 1

• Amethyst Health Services LLC Doing business as

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615248000000",
    "number": "1891370052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13236 IRVING AVE S",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553372413",
            "telephone_number": "952-465-8359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13236 IRVING AVE S",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553372413",
            "telephone_number": "952-465-8359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMETHYST HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-09",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A",
        "authorized_official_last_name": "TALL",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "HUMAN RESOURCES AND IT",
        "authorized_official_telephone_number": "952-465-8359"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amethyst Health Services LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.