Latham Place, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

336985 Issued in MN

Legal business name

LATHAM PLACE, LLC

Practice address

105 8TH St NW
Waseca, MN 56093-1907

Phone

(507) 835-2800

Fax

(507) 833-1391

NPI assigned

Sep 19, 2007

Last updated

Sep 19, 2007By 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

Mr. R Peter Madel III

Title

Governor

Phone

(507) 835-2800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1922294495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 8TH ST NW",
            "city": "WASECA",
            "state": "MN",
            "postal_code": "560931907",
            "telephone_number": "507-835-2800",
            "fax_number": "507-833-1391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 8TH ST NW",
            "city": "WASECA",
            "state": "MN",
            "postal_code": "560931907",
            "telephone_number": "507-835-2800",
            "fax_number": "507-833-1391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LATHAM PLACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "MADEL",
        "authorized_official_first_name": "R",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "GOVERNOR",
        "authorized_official_telephone_number": "507-835-2800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "336985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Waseca, MN
• Providers in Waseca, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; 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.