Residential Advantages, Inc

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

RESIDENTIAL ADVANTAGES, INC

Practice address

220 Milwaukee St
Lakefield, MN 56150-9494

Phone

(507) 662-5236

Fax

(952) 922-6885

NPI assigned

Dec 28, 2017

Last updated

Mar 5, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brett Ian Cohen

Title

Coo

Phone

(800) 388-5150

Specialties & licenses 1

Addresses

Tax ID family

Residential Advantages Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Residential Advantages, Inc

  • Mental Illness Intermediate Care Facility
  • New Ulm, MN
  • NPI 1952466195
  NPD tax ID
• Residential Advantages, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Luverne, MN
  • NPI 1043375272
  NPD tax ID

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

{
    "created_epoch": "1514419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677974400000",
    "number": "1992211916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 FRANCE AVE S",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554351805",
            "telephone_number": "952-925-5067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 MILWAUKEE ST",
            "city": "LAKEFIELD",
            "state": "MN",
            "postal_code": "561509494",
            "telephone_number": "507-662-5236",
            "fax_number": "952-922-6885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESIDENTIAL ADVANTAGES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-28",
        "last_updated": "2023-03-05",
        "certification_date": "2023-03-05",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "IAN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "800-388-5150"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liepold Consulting, LLC
• Amber Ann Liepold, OTR/L
• Prairie Rehabilitation Services, Inc
• Prairie Rehabilitation Services, Inc.
• Preferred Residential Lifestyles
• Sanford Health (Sanford Health Network)
• Sanford Health Network (Sanford Clinic Lakefield)
• Sanford Health Network (Lewis Family Drug #76)
• Swoboda Chiropractic of Lakefield
• Barbara J Swoboda, DO

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Lakefield, MN
• Providers in Lakefield, MN by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2023; 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.