Laura Baker School Association

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

24G500 Issued in MN

Legal business name

LAURA BAKER SCHOOL ASSOCIATION

Doing business as

Laura Baker Services Association

Practice address

211 Oak St
Northfield, MN 55057-2300

Phone

(507) 645-8866

Fax

(507) 645-8869

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Sandra R Gerdes

Title

Executive Director

Phone

(507) 645-8866

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Laura Baker Services Association Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 24G500

Legal name

LAURA BAKER SERVICES ASSOCIATION

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Jan 1, 1996

Last certification

Nov 5, 2025

Beds

30

Ownership / control type

Private (non-profit)

Facility address

211 Oak Street
Northfield, MN 55057

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard L Goodwin, MD

  • Family Medicine Physician
  • Northfield, MN
  • NPI 1417911546
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962509190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 OAK ST",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550572300",
            "telephone_number": "507-645-8866",
            "fax_number": "507-645-8869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 OAK ST",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550572300",
            "telephone_number": "507-645-8866",
            "fax_number": "507-645-8869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA BAKER SCHOOL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GERDES",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "507-645-8866",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "MN",
            "license": "24G500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "81631300",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0881391",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laura Baker Services Association",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gwynevere Abigail Larson-McCluskey
• Krista M Larson, MSW, LICSW
• Nicole Elizabeth Larson, MSW, LICSW
• Katherine Ann Lathrop
• Shannon Theresa Lau, MD
• Shaele Leach
• Claire Crandall Leduc, RN, APRN, CRNA
• Tricia L Liggett
• Ronald Larry Linde, MD
• Lion Youth & Community Services LLC

• Intellectual Disabilities Intermediate Care Facility in Northfield, MN
• Providers in Northfield, MN by specialty
• Intellectual Disabilities Intermediate Care Facility in Minnesota

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.