Deco, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

DECO, LLC

Practice address

1415 7TH St NW
Faribault, MN 55021-4728

Phone

(507) 334-5111

Fax

(507) 323-8424

NPI assigned

Nov 21, 2016

Organization subpart

No

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

Authorized official

Name

Todd Earl Ferris

Title

Manager/Owner

Phone

(507) 334-5111

Specialties & licenses 1

Addresses

Other names 1

• Heritage House Elder Care Doing business as

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

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479686400000",
    "number": "1962945154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 7TH ST NW",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550214728",
            "telephone_number": "507-334-5111",
            "fax_number": "507-323-8424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 7TH ST NW",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550214728",
            "telephone_number": "507-334-5111",
            "fax_number": "507-323-8424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-21",
        "last_updated": "2016-11-21",
        "status": "A",
        "authorized_official_last_name": "FERRIS",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "507-334-5111"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage House Elder Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Taylor Dalland
• Nicole Davis
• Hailey Dawald
• Desiree Deanovic, PA-C
• Debra Carter-Barth
• John Defrancisco, MS,MA
• Gabrielle Christine Degrood
• Lacey Dekker
• Taylor Derosier
• Julie Lynn Dickhudt

• Assisted Living Facility in Faribault, MN
• Providers in Faribault, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; 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.