Elm Residence Inc in Waseca - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Elm Residence Inc - NPI 1780726398
Elm Residence Inc is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Waseca, Minnesota. Elm Residence Inc practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Elm Residence Inc is 1780726398. The last update date is 2020-08-22.
Elm Residence Inc's current location address is 204 2nd St Sw, Waseca, Minnesota. You can contact this provider via phone number 5078351146 and fax number 5078354574. The mailing address for Elm Residence Inc is 204 2nd St Sw, Waseca, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Elm Residence Inc |
|---|---|
| Address | 204 2nd St Sw, Waseca, Minnesota |
| Phone Number | 5078351146 |
| Fax Number | 5078354574 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Miller L Eugene |
| Telephone Number | 5078351146 |
NPI Number Detail
| NPI Number | 1780726398 |
|---|---|
| Provider Enumeration Date | 2007-02-12 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 204 2nd St Sw |
|---|---|
| City | Waseca |
| State | Minnesota (MN) |
| Post Code | 560932544 |
| Phone Number | 5078351146 |
| Fax Number | 5078354574 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
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Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
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What is the unique identification code assigned to Elm Residence Inc by the Centers for Medicare & Medicaid Services?
The Elm Residence Inc has been issued the NPI (National Provider Identifier) 1780726398. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Elm Residence Inc?
The Elm Residence Inc is situated at 204 2Nd St Sw, in the city of Waseca, state of MN, with the zip code 560932544.
What is the Elm Residence Inc's area of specialization and corresponding taxonomy classification?
The Elm Residence Inc's specialty field is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and it falls under the taxonomy code 320900000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1780726398 to Elm Residence Inc?
The Elm Residence Inc received its 1780726398 assignment from the Centers for Medicare & Medicaid Services on 2007-02-12.
As of what date was the information regarding Elm Residence Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Elm Residence Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.