Infinia at Owatonna

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

311485 Issued in MN

Legal business name

INFINIA AT OWATONNA

Practice address

201 18TH St SW
Owatonna, MN 55060-3913

Phone

(507) 451-6800

Fax

(507) 451-6087

NPI assigned

Jun 28, 2005

Last updated

Apr 9, 2008By 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

Scott Robertson

Title

Owner

Phone

(801) 295-8000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1932106515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 18TH ST SW",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "55060",
            "telephone_number": "507-451-6800",
            "fax_number": "507-451-6087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 18TH ST SW",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550603913",
            "telephone_number": "507-451-6800",
            "fax_number": "507-451-6087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINIA AT OWATONNA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-28",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-295-8000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "311485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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