NPIMap

Organization Active NPI

Servant Residential Care Incorporated

  • Assisted Living Facility
  • Fergus Falls, MN
National Provider Identifier
1902042138
Registry record updated Dec 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
APPLIED Issued in MN
Legal business name
SERVANT RESIDENTIAL CARE INCORPORATED
Practice address
19758 Dayton Hollow LN
Fergus Falls, MN 56537-7621
Phone
(218) 739-1046
NPI assigned
Dec 17, 2008
Last updated
Dec 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2008

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

Authorized official

Name
Dr. Melvin L Frank, D.MIN.
Title
President
Phone
(218) 739-1046

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X APPLIED MN Primary

Addresses

Primary practice location

19758 Dayton Hollow LN
Fergus Falls, MN 56537-7621

Mailing address

19758 Dayton Hollow LN
Fergus Falls, MN 56537-7621
Phone (218) 739-1046

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1229472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229472000000",
    "number": "1902042138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19758 DAYTON HOLLOW LN",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565377621",
            "telephone_number": "218-739-1046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19758 DAYTON HOLLOW LN",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565377621",
            "telephone_number": "218-739-1046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVANT RESIDENTIAL CARE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-17",
        "last_updated": "2008-12-17",
        "status": "A",
        "authorized_official_last_name": "FRANK",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "218-739-1046",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.MIN."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "APPLIED",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fergus Falls, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2008; 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.