1093776395 NPI number — ST. MARKS LUTHERAN HOME

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1093776395 NPI number — ST. MARKS LUTHERAN HOME

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ST. MARKS LUTHERAN HOME
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1093776395
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/23/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
400 15TH AVE SW
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
AUSTIN
Provider Business Mailing Address State Name:
MN
Provider Business Mailing Address Postal Code:
55912-3232
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
507-437-4594
Provider Business Mailing Address Fax Number:
507-434-7201

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
400 15TH AVE SW
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
AUSTIN
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55912-3232
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
507-437-4594
Provider Business Practice Location Address Fax Number:
507-434-7201
Provider Enumeration Date:
03/28/2006

Additional Information

Authorized Official

Authorized Official Last Name:
ROCHELEAU
Authorized Official First Name:
PAULA
Authorized Official Middle Name:
KAY
Authorized Official Title or Position:
AUTHORIZED AGENT
Authorized Official Telephone Number:
320-302-0192

Provider Taxonomy Codes

  • Taxonomy code: 310400000X , with the licence number:  329304 , registered in the state of MN ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 314000000X , with the licence number: 328526 , registered in the state of MN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 055842700 , issued by the state of ( MN ) . This identifiers is of the category "MEDICAID".




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