LIVING SERVICES FOUNDATION/ NEW LONDON LLC NPI 1033321351

NPI Information

NPI: 1033321351
Provider Name: LIVING SERVICES FOUNDATION/ NEW LONDON LLC

Doing Business As: LAKE REGION HOME HEALTH

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
102 GLEN OAKS DR
NEW LONDON, MN
ZIP 56273
Phone: (320) 354-5858
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LIVING SERVICES FOUNDATION/ NEW LONDON LLC is an assisted living facility in New London, MN. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. LIVING SERVICES FOUNDATION/ NEW LONDON LLC NPI is 1033321351. The provider is registered as an organization entity type.
The provider Is Doing Business As Lake Region Home Health.

The provider's business location address is:

102 GLEN OAKS DR
NEW LONDON, MN
ZIP 56273
Phone: (320) 354-5858
Fax: (320) 354-2060

The provider's authorized official is James Laine .
The authorized official title is Administrator and has the following contact phone number (320) 354-6057.

The enumeration date for this NPI number is 5/7/2007 and was last updated on 9/30/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251E00000X	Home Health		HFID - 02204	MINNESOTA	No
2	310400000X	Assisted Living Facility		345647	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	247133	MEDICARE ID-TYPE UNSPECIFIED	MINNESOTA	LAKE REGION HOME HEALTH
2	498454400	MEDICAID	MINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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