South Metro Human Services in Maplewood - Community Based Residential Treatment Facility, Mental Illness
South Metro Human Services - NPI 1598853533
South Metro Human Services is a Community Based Residential Treatment Facility, Mental Illness in Maplewood, Minnesota. South Metro Human Services practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for South Metro Human Services is 1598853533. The last update date is 2015-05-21.
South Metro Human Services's current location address is 1096 Gervis Ave, Maplewood, Minnesota. You can contact this provider via phone number 6512219880 and fax number 6512251545. The mailing address for South Metro Human Services is 1096 Gervis Ave, Maplewood, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Metro Human Services |
|---|---|
| Address | 1096 Gervis Ave, Maplewood, Minnesota |
| Phone Number | 6512219880 |
| Fax Number | 6512251545 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Paul Tom |
| Telephone Number | 6512561234 |
NPI Number Detail
| NPI Number | 1598853533 |
|---|---|
| Provider Enumeration Date | 2006-10-11 |
| Last Updated Date | 2015-05-21 |
Provider Mailing Address Detail
| Address | 1096 Gervis Ave |
|---|---|
| City | Maplewood |
| State | Minnesota (MN) |
| Post Code | 55109 |
| Phone Number | 6512219880 |
| Fax Number | 6512251545 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
|---|---|
| Taxonomy | 320800000X |
| Licence No | 801654-1-RMI |
|
Definition: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 355499600 | MN | -- |
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What is the unique identification code assigned to South Metro Human Services by the Centers for Medicare & Medicaid Services?
The South Metro Human Services has been issued the NPI (National Provider Identifier) 1598853533. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the South Metro Human Services located?
The South Metro Human Services is located at 1096 Gervis Ave, Maplewood, MN 55109.
What is South Metro Human Services's specialized field of practice, and what is the corresponding taxonomy classification code?
The South Metro Human Services's area of specialization is Community Based Residential Treatment Facility, Mental Illness, and the corresponding taxonomy code that categorizes this field of practice is 320800000X.
When did South Metro Human Services receive its 1598853533 assignment?
The South Metro Human Services was assigned its 1598853533 on 2006-10-11, which is the date when this unique identifier was issued to the organization.
When was the information related to South Metro Human Services most recently updated or refreshed?
The details pertaining to the South Metro Human Services, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-05-21.
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