Msocs-Chatham in Eden Prairie - Intermediate Care Facility, Intellectual Disabilities
Msocs-Chatham - NPI 1720151897
Msocs-Chatham is a Intermediate Care Facility, Intellectual Disabilities in Eden Prairie, Minnesota. Msocs-Chatham practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Msocs-Chatham is 1720151897. The last update date is 2008-06-18.
Msocs-Chatham's current location address is 6204 Chatham Way, Eden Prairie, Minnesota. You can contact this provider via phone number 9529340995. The mailing address for Msocs-Chatham is 6204 Chatham Way, Eden Prairie, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Msocs-Chatham |
|---|---|
| Address | 6204 Chatham Way, Eden Prairie, Minnesota |
| Phone Number | 9529340995 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | RESIDENTIA |
|---|---|
| Authorized Official Name | Deneen A Roger |
| Telephone Number | 6515821857 |
NPI Number Detail
| NPI Number | 1720151897 |
|---|---|
| Provider Enumeration Date | 2006-11-16 |
| Last Updated Date | 2008-06-18 |
Provider Mailing Address Detail
| Address | 6204 Chatham Way |
|---|---|
| City | Eden Prairie |
| State | Minnesota (MN) |
| Post Code | 553461307 |
| Phone Number | 9529340995 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 64245200 | MN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Msocs-Chatham by the Centers for Medicare & Medicaid Services?
The Msocs-Chatham has been issued the NPI (National Provider Identifier) 1720151897 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Msocs-Chatham is physically located?
The Msocs-Chatham is physically situated at the following address: 6204 Chatham Way, Eden Prairie, MN, 553461307.
What is Msocs-Chatham's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Msocs-Chatham is Intermediate Care Facility, Intellectual Disabilities, and the taxonomy classification code that categorizes this area of expertise is 315P00000X.
On what date did the Msocs-Chatham receive its 1720151897 assignment from the Centers for Medicare & Medicaid Services?
The Msocs-Chatham was assigned its 1720151897 by the Centers for Medicare & Medicaid Services on 2006-11-16.
When was the Msocs-Chatham's information last updated?
The Msocs-Chatham's information was last updated on 2008-06-18.