New Directions for Change

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

Legal business name

NEW DIRECTIONS FOR CHANGE

Practice address

6500 Brooklyn Blvd - Lower Level
Brooklyn Center, MN 55429

Phone

(612) 414-4814

Fax

(952) 938-5014

NPI assigned

Oct 31, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Arland P Fanning

Title

Treatment Director

Phone

(612) 414-4814

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320019200000",
    "number": "1912283334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 BROOKLYN BLVD STE 103",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554291755",
            "telephone_number": "612-414-4814",
            "fax_number": "952-938-5014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 BROOKLYN BLVD - LOWER LEVEL",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "55429",
            "telephone_number": "612-414-4814",
            "fax_number": "952-938-5014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW DIRECTIONS FOR CHANGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-31",
        "last_updated": "2011-10-31",
        "status": "A",
        "authorized_official_last_name": "FANNING",
        "authorized_official_first_name": "ARLAND",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "TREATMENT DIRECTOR",
        "authorized_official_telephone_number": "612-414-4814",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Comprehensive Outpatient Rehabilitation Facility (CORF) in Brooklyn Center, MN
• Providers in Brooklyn Center, MN by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; 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.