Associates for Mental Health

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

2913 Issued in MN

Legal business name

ASSOCIATES FOR MENTAL HEALTH

Practice address

28 Suzanne Ave
Vadnais Heights, MN 55127-4116

Phone

(651) 815-1977

Fax

(651) 888-6959

NPI assigned

Sep 11, 2014

Last updated

Sep 11, 2014By 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

Allyson Bostrom

Title

Director of Administration

Phone

(651) 815-1977

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1410393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410393600000",
    "number": "1922409689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 270234",
            "city": "VADNAIS HEIGHTS",
            "state": "MN",
            "postal_code": "551270234",
            "telephone_number": "651-815-1977",
            "fax_number": "651-888-6959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 SUZANNE AVE",
            "city": "VADNAIS HEIGHTS",
            "state": "MN",
            "postal_code": "551274116",
            "telephone_number": "651-815-1977",
            "fax_number": "651-888-6959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATES FOR MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-11",
        "last_updated": "2014-09-11",
        "status": "A",
        "authorized_official_last_name": "BOSTROM",
        "authorized_official_first_name": "ALLYSON",
        "authorized_official_title_or_position": "DIRECTOR OF ADMINISTRATION",
        "authorized_official_telephone_number": "651-815-1977"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MN",
            "license": "2913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kaitlyn Michelle Bader, PHARMD
• Jase Bakker

• In Home Supportive Care Agency in Vadnais Heights, MN
• Providers in Vadnais Heights, MN by specialty
• In Home Supportive Care Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; 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.