Organization Active NPI

St. Ann's Home

  • Assisted Living Facility
  • Duluth, MN
National Provider Identifier
1962676577
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
336321 Issued in MN
Legal business name
ST. ANN'S HOME
Practice address
330 E 3Rd St
Duluth, MN 55805-1846
Phone
(218) 727-8831
Fax
(218) 727-8833
NPI assigned
Apr 15, 2008
Last updated
Apr 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Authorized official

Name
David R Kern
Title
Administrator/Ceo
Phone
(218) 727-8831

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 336321 MN Primary

Addresses

Primary practice location

330 E 3Rd St
Duluth, MN 55805-1846

Mailing address

330 E 3Rd St
Duluth, MN 55805-1846
Phone (218) 727-8831

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1962676577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 E 3RD ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558051846",
            "telephone_number": "218-727-8831",
            "fax_number": "218-727-8833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 E 3RD ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558051846",
            "telephone_number": "218-727-8831",
            "fax_number": "218-727-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. ANN'S HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "KERN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATOR/CEO",
        "authorized_official_telephone_number": "218-727-8831"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "336321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.