Southeastern Minnesota Center for Independent Living

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SOUTHEASTERN MINNESOTA CENTER FOR INDEPENDENT LIVING

Practice address

2720 N Broadway
Rochester, MN 55906-3980

Phone

(507) 285-1815

Fax

(507) 288-8070

NPI assigned

Oct 4, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Victoria Dalle Molle, MPA

Title

Executive Director

Phone

(507) 285-3912

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972590933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 N BROADWAY",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559063980",
            "telephone_number": "507-285-1815",
            "fax_number": "507-288-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 N BROADWAY",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559063980",
            "telephone_number": "507-285-1815",
            "fax_number": "507-288-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN MINNESOTA CENTER FOR INDEPENDENT LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DALLE MOLLE",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "507-285-3912",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randa Soubra, LICSW
• Dylan Shea Soukup, MD
• Natalie Soukup
• Soul Inspire Educational and Therapeutic Services LLC
• South Star Care
• Southeastern Minnesota Oral & Maxillofacial Surgery Associates
• Peter A Southorn, M.D.
• Southside Home Care LLC
• Southwest Chiropractic and Rehabilitation Services, PA
• Hannah Catherine Southwick, DNP

• Home Health Agency in Rochester, MN
• Providers in Rochester, MN by specialty
• Home Health Agency 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.