LUTHERAN SOCIAL SERVICE OF MINNESOTA (NPI# 1376733659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376733659 |
| Entity Type | Organization |
| Organization Name | LUTHERAN SOCIAL SERVICE OF MINNESOTA |
| Practice Address |
820 Eickhof Blvd Kairos House Crookston MN 56716-2600 |
| Mailing Address |
2485 Como Ave Saint Paul MN 55108-1445 |
| Practice Telephone | 2182811524 |
| Mailing Telephone | 8005825260 |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2007-08-01 |
| Authorized Official Name | BRIGID PETERSON (CONTROLLER) |
| Authorized Official Telephone | 8005825260 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
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 |
| 1073742383 | Lutheran Social Service of Minnesota | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 198 Penny Lane, Leroy, MN 55951 | 2009-07-08 |
| 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 |
| 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 |
820 EICKHOF BLVD KAIROS HOUSE |
| City | CROOKSTON |
| State | MN |
| Zip Code | 56716-2600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942789912 | Savannah Danielle Miller | Pharmacist | 323 S Minnesota Street, Crookston, MN 56716 | 2018-08-10 |
| 1902037377 | David Fernando Frugone Larrea | Internal Medicine | 400 South Minnesota Street, Crookston, MN 56716 | 2009-08-04 |
| 1831327964 | Andres O Makarem | Internal Medicine | 400 S. Minnesota Ave, Crookston, MN 56716 | 2009-06-26 |
| 1255498564 | Ind School District 593 | Local Education Agency (LEA) | 402 Fisher Ave, Crookston, MN 56716 | 2007-01-03 |
| 1821109422 | Marla Rae Love | Dietitian, Registered | 400 S Minnesota Street, Crookston, MN 56716 | 2006-08-31 |
| 1508835133 | Northwestern Mental Health Center | Clinic/Center | 603 Bruce St, Crookston, MN 56716 | 2006-03-16 |
| 1215932728 | Villa St. Vincent | Skilled Nursing Facility | 516 Walsh St, Crookston, MN 56716 | 2005-06-21 |
| 1740769090 | Christine Jane Loff | Physical Therapist | 323 S Minnesota St, Crookston, MN 56716 | 2018-08-08 |
| 1821533035 | Lauren Shalane Wagendorf | Counselor | 603 Bruce St, Crookston, MN 56716 | 2016-12-23 |
| 1336594449 | Lesmeister Dental LLC | Dentist | 1726 University Ave, Crookston, MN 56716 | 2016-04-26 |
| Find all providers in zip 56716 | ||||
| Taxonomy Code | 3245S0500X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| Specialization | Substance Abuse Treatment, Children |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306851746 | Tri-county Community Corrections | Substance Abuse Rehabilitation Facility | 600 Bruce St, Crookston, MN 56716-2918 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780020925 | St. Cloud Hospital | Substance Abuse Rehabilitation Facility | 1572 Co Rd 134, St. Cloud, MN 56303-0346 | 2013-05-15 |
| 1558652925 | Tapestry | Substance Abuse Rehabilitation Facility | 135 Colorado St E, Saint Paul, MN 55107-2244 | 2011-04-20 |
| 1841441854 | Lutheran Social Service of Minnesota | Substance Abuse Rehabilitation Facility | 39413 120th St Sw, East Grand Forks, MN 56721-9121 | 2008-10-08 |
| 1922275148 | Temporary Living Center | Substance Abuse Rehabilitation Facility | 7170 Bryant Lake Dr, Eden Prairie, MN 55344-3502 | 2008-05-15 |
| 1225202625 | Redlake Chemical Health Program Group Home | Substance Abuse Rehabilitation Facility | 15797 Main Avenue, Redlake, MN 56671 | 2008-04-16 |
| 1679750426 | Prairie Lakes Youth Programs Boys Group Home | Substance Abuse Rehabilitation Facility | 1013 Lakeland Dr Ne, Willmar, MN 56201-2114 | 2008-01-23 |
| 1124212873 | Jacy 2, LLC | Substance Abuse Rehabilitation Facility | 319 Csah #20, Litchfield, MN 55355 | 2007-09-05 |
| 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 |
| 1275731317 | Minnesota Correctional Facility -togo | Substance Abuse Rehabilitation Facility | 62741 County Road 551, Togo, MN 55723-4509 | 2007-07-10 |
| 1811193188 | Nexus | Substance Abuse Rehabilitation Facility | 100 Crosier Dr, Suite 1, Onamia, MN 56359-4512 | 2007-06-25 |
| Find all providers with the same taxonomy | ||||
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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.