Residential Advantages, Inc
Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Lakefield, MN
NPI 1992211916 · NPPES record last updated Mar 5, 2023
Key facts
- NPI
- 1992211916
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 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
- Organization subpart
- No
Authorized official
- Name
- Brett Ian Cohen
- Title
- Coo
- Phone
- (800) 388-5150
Corporate family (same tax ID) 2
National Provider Directory
- Tax ID family
- Residential Advantages Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | MN | Yes |
Addresses
Primary practice location
220 Milwaukee St
Lakefield, MN 56150-9494
Mailing address
6600 France Ave S
Edina, MN 55435-1805
Phone (952) 925-5067
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1071037-1-HCRS | Medicaid | MN |
Other providers in Lakefield, MN
- Liepold Consulting, LLC
- Amber Ann Liepold
- Prairie Rehabilitation Services, Inc
- Prairie Rehabilitation Services, Inc.
- Preferred Residential Lifestyles
- Sanford Health
- Sanford Health Network
- Sanford Health Network
- Swoboda Chiropractic of Lakefield
- Barbara J Swoboda
All providers in Lakefield, MN · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.