LUTHERAN SOCIAL SERVICE OF MINNESOTA (NPI# 1073742383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073742383 |
| Entity Type | Organization |
| Organization Name | LUTHERAN SOCIAL SERVICE OF MINNESOTA |
| Practice Address |
198 Penny Lane Leroy MN 55951 |
| Mailing Address |
2485 Como Ave Saint Paul MN 55108-1445 |
| Practice Telephone | 5073423725 |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2009-07-08 |
| Authorized Official Name | MR. MARK PETERSON (CEO) |
| Authorized Official Telephone | 6516425990 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1054398 | MN | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114385085 | Lutheran Social Service of Minnesota | Intermediate Care Facility, Mentally Retarded | 11754 191 1/2 Ave Nw, Elk River, MN 55330-1367 | 2016-02-05 |
| 1255797718 | Lutheran Social Service of Minnesota | Intermediate Care Facility, Mentally Retarded | 497 Gates Ave Nw, Elk River, MN 55330-2633 | 2016-01-13 |
| 1841441854 | Lutheran Social Service of Minnesota | Substance Abuse Rehabilitation Facility | 39413 120th St Sw, East Grand Forks, MN 56721-9121 | 2008-10-08 |
| 1588855878 | Lutheran Social Service of Minnesota | Substance Abuse Rehabilitation Facility | 28579 Us Highway 10, Springhill Group Home, Detroit Lakes, MN 56501-7308 | 2007-08-05 |
| 1376733659 | Lutheran Social Service of Minnesota | Substance Abuse Rehabilitation Facility | 820 Eickhof Blvd, Kairos House, Crookston, MN 56716-2600 | 2007-08-01 |
| 1609080290 | Lutheran Social Service of Minnesota | Community/Behavioral Health | 2485 Como Ave, Saint Paul, MN 55108-1445 | 2007-05-10 |
| 1801968300 | Lutheran Social Service of Minnesota | Counselor | 333 Litchfield Avenue Sw, Willmar, MN 56201-3352 | 2006-11-14 |
| 1295928240 | Lutheran Social Service of Minnesota | Case Management | 211 Holmes St W, Detroit Lakes, MN 56501-3023 | 2007-08-23 |
| 1396938742 | Lutheran Social Service of Minnesota | Case Management | 731 Western Ave, Fergus Falls, MN 56537-4804 | 2007-08-20 |
| 1225221682 | Lutheran Social Service of Minnesota | Case Management | 715 11th St N, Moorhead, MN 56560-2083 | 2007-08-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | LUTHERAN SOCIAL SERVICE OF MINNESOTA | 424 West Superior St Ste 600, Dduluth, Minnesota 55802 |
| Colorado Business Entities | Lutheran Social Service of Minnesota | 2485 Como Avenue, St. Paul, MN 55108 |
| Iowa Business Entities | LUTHERAN SOCIAL SERVICE OF MINNESOTA | 2485 Como Ave, St Paul, MN 55108 |
| Street Address |
198 PENNY LANE |
| City | LEROY |
| State | MN |
| Zip Code | 55951 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801914890 | Robert Dean Plumb | Dentist | 125 W Main St, Le Roy, MN 55951-0088 | 2007-03-27 |
| 1710160676 | Leroy-ostrander Public School | Bus | 406 West Main Street, Le Roy, MN 55951-1000 | 2007-12-13 |
| 1801132600 | Leroy Area Ambulance Service | Ambulance | 121 E Main St, Box 161, Le Roy, MN 55951-1251 | 2012-12-26 |
| 1154832806 | Leroy City Lines | Non-emergency Medical Transport (VAN) | 122 W Main St, Le Roy, MN 55951-6500 | 2017-10-21 |
| 1922098078 | Kristie M Schmidt | Chiropractor | 111 W Main St, Le Roy, MN 55951-6709 | 2005-10-28 |
| 1184833394 | Wildwood Grove | Assisted Living Facility | 410 E Main St, Le Roy, MN 55951-6731 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972079739 | Eileen Campbell | Speech-Language Pathologist | 80 Munsonst., Leroy, NY 14482 | 2018-10-19 |
| 1154847366 | Joyce Susan Dachauer | Speech-Language Pathologist | 805 N. Barnett St., Leroy, IL 61752 | 2017-08-18 |
| 1700329521 | Baldwin Family Health Care | Clinic/Center | 17445 Pine River Rd, Leroy, MI 49655 | 2016-11-28 |
| 1265975452 | Monica Wanstead | Technician, Other | 17582 Leroy Rd, Leroy, MI 49655-8137 | 2016-11-21 |
| 1578911921 | Leroy Manor | Assisted Living Facility | 8678 Lake Street Road, Leroy, NY 14482 | 2016-05-26 |
| 1710318571 | Sawhney and Padmanabha Family Dentistry | Dentist | 20 Lake St., Leroy, NY 14482 | 2013-12-04 |
| 1659640035 | John Nicholas Gould | Community Health Worker | 17288 180th Ave, Leroy, MI 49655-8420 | 2011-12-14 |
| 1013291301 | Brandie Sue Rogoyski | Speech-Language Pathologist | 2-6 Trigon Park, Leroy, NY 14482 | 2011-10-05 |
| 1073750485 | Kimberly Rae Mol | Registered Nurse | 14928 16 Mile Rd, Leroy, MI 49655-8293 | 2009-01-07 |
| 1013034305 | Lisa Anne Main | Massage Therapist | 15 Bank St, Leroy, NY 14482 | 2007-03-23 |
| Find all providers in LEROY | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205478849 | Jobs Wholeness House of Prosperity | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 123 Garner Cir, Montrose, MN 55363-8598 | 2019-10-15 |
| 1639710593 | Alicia Marie Olson | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 25844 10th St W, Zimmerman, MN 55398-8796 | 2019-10-02 |
| 1841764768 | Stepping Out Incorporated | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 603 3rd St W, Hastings, MN 55033-1127 | 2019-01-14 |
| 1841652898 | Faiza Hassan | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 10917 Humboldt Ave S, Bloomington, MN 55431-4221 | 2016-03-28 |
| 1801293444 | Shelly Olson | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5448 W Island Lake Rd, Duluth, MN 55803-8405 | 2014-11-25 |
| 1306190509 | Ronald Allen Synstelien | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 607 E Fir Ave, Fergus Falls, MN 56537-1503 | 2012-11-09 |
| 1023360559 | North Homes, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 324 W Superior St Ste 400, Medical Arts Building, Duluth, MN 55802-1726 | 2012-10-08 |
| 1952549925 | Coleman Investment | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4001 Willow Rd N, Brooklyn Park, MN 55443-1239 | 2009-01-29 |
| 1942467683 | Total Living Commitment, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 203 Woodduck Cir, Delano, MN 55328-9779 | 2008-05-20 |
| 1922285576 | Lakes Homes and Program Development, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1118 West Ave, Detroit Lakes, MN 56501-3210 | 2008-01-25 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.