Organization Active NPI

Solid Foundations of MN Inc

  • Developmentally Disabled Services Day Training Agency
  • Grand Rapids, MN
National Provider Identifier
1952506263
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
10422911WS Issued in MN
Legal business name
SOLID FOUNDATIONS OF MN INC
Practice address
32294 Sunny Beach Rd
Grand Rapids, MN 55744-4872
Phone
(218) 326-9281
NPI assigned
Jun 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Jennifer Lou Sickler, MSE
Title
President
Phone
(218) 428-0434

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 10422911WS MN Primary

Addresses

Primary practice location

32294 Sunny Beach Rd
Grand Rapids, MN 55744-4872

Mailing address

3605 N 18TH St
Superior, WI 54880-2005

National Provider Directory

National Provider Directory

Locations

32294 Sunny Beach Rd
Grand Rapids, MN 55744
Phone (218) 326-9281

NPI Registry JSON

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952506263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 N 18TH ST",
            "city": "SUPERIOR",
            "state": "WI",
            "postal_code": "548802005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32294 SUNNY BEACH RD",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557444872",
            "telephone_number": "218-326-9281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLID FOUNDATIONS OF MN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SICKLER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LOU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "218-428-0434",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSE"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "MN",
            "license": "10422911WS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.