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OPTIONS RESIDENTIAL INC NPI 1336473560


NPI Information

NPI: 1336473560
Provider Name: OPTIONS RESIDENTIAL, INC

Other Name: DUPONT HOUSE

Classification: Foster Care Agency - 253J00000X
Entity Type: Organization
Address:
10101 DUPONT AVE S
BLOOMINGTON, MN
ZIP 55431
Phone: (952) 564-3030
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OPTIONS RESIDENTIAL, INC is a foster care agency in Bloomington, MN. The provider is a Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as 24-hour substitute care for children outside their own homes. Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. OPTIONS RESIDENTIAL, INC NPI is 1336473560. The provider is registered as an organization entity type.
The provider Other Name Is Dupont House.

The provider's business location address is:

10101 DUPONT AVE S
BLOOMINGTON, MN
ZIP 55431-139
Phone: (952) 564-3030

The provider's authorized official is Brian P Sammon .
The authorized official title is President and has the following contact phone number (612) 226-7120.

The enumeration date for this NPI number is 9/21/2009 and was last updated on 9/21/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1253J00000XFoster Care Agency1052266-1-AFCMINNESOTAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1138003OTHERMINNESOTAUCARE
2A630173808MEDICAIDMINNESOTA

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: 11/14/2023

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