LDS FAMILY SERVICES (NPI# 1043363567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043363567 |
| Entity Type | Organization |
| Organization Name | LDS FAMILY SERVICES |
| Other Organization Name | LDS FAMILY SERVICES MINNESOTA AGENCY |
| Practice Address |
6120 Earle Brown Dr Ste 210 Brooklyn Center MN 55430-4107 |
| Practice Telephone | 7635600900 |
| Practice Fax Number | 7635601288 |
| Mailing Telephone | 7635600900 |
| Mailing Fax Number | 7635601288 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2008-06-06 |
| Authorized Official Name | MR. MARK T. HALES (DIRECTOR) |
| Authorized Official Telephone | 7635600900 |
| Authorized Official Credential | LICSW |
| Is Organization Subpart | Y |
| Parent Organization Name | LDS FAMILY SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| LDS Family Services Minnesota Agency | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831475615 | Lds Family Services | Community/Behavioral Health | 312 7th Ave W, Springfield, TN 37172-2704 | 2011-10-25 |
| 1659692424 | Lds Family Services | Clinic/Center | 1672 W 700 S, Ste D, Springville, UT 84663-5888 | 2010-06-16 |
| 1437326154 | Lds Family Services | Community/Behavioral Health | 2738 Wales Ct, Thompsons Station, TN 37179-5297 | 2008-05-12 |
| 1033381892 | Lds Family Services | Clinic/Center | 172 Thomas Johnson Drive, Suite 200, Frederick, MD 21702-4404 | 2008-04-01 |
| 1225233828 | Lds Family Services | Clinic/Center | 15501 San Fernando Mission Blvd Ste 302, Mission Hills, CA 91345-1359 | 2007-06-15 |
| 1013122563 | Lds Family Services | Clinic/Center | 1418 Fillmore St, Twin Falls, ID 83301-3380 | 2007-05-10 |
| 1538371216 | Lds Family Services | Community/Behavioral Health | 217 E 87th St Fl 3, New York, NY 10128-3204 | 2007-05-04 |
| 1063630788 | Lds Family Services | Social Worker | 641 S Main St, Snowflake, AZ 85937-5595 | 2007-04-20 |
| 1407072762 | Lds Family Services | Clinic/Center | 550 Congressional Blvd, Suite 125, Carmel, IN 46032-5609 | 2007-04-17 |
| 1740318716 | Lds Family Services | Clinic/Center | 547 Amherst St, Suite 404, Nashua, NH 03063-4000 | 2007-03-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | LDS FAMILY SERVICES | 50 E North Temple 2ww, Salt Lake City, UT 84150 |
| Massachusetts Corporations | LDS FAMILY SERVICES | 50 East North Temple St. #2ww, Salt Lake City, UT 84150 |
| Oklahoma Business Registrations | LDS FAMILY SERVICES | 10 East South Temple #1200, Salt Lake City, UT 84133 |
| Vermont Business Registrations | LDS FAMILY SERVICES | 50 E. North Temple, Salt Lake City, UT 84150 |
| Virginia Business Entities | LDS FAMILY SERVICES OF VIRGINIA | 50 E. North Temple, Salt Lake City, Utah 84150 |
| Indiana Business Entities | LDS FAMILY SERVICES, INC. | 50 E. North Temple, Salt Lake City, UT 84150 |
| Street Address |
6120 EARLE BROWN DR STE 210 |
| City | BROOKLYN CENTER |
| State | MN |
| Zip Code | 55430-4107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437383056 | Patricia Louise Van De Veer | Counselor | 6120 Earle Brown Dr Ste 210, Brooklyn Center, MN 55430-4107 | 2009-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396362182 | Graceland Homes | Home Health | 6843 Colfax Ave N, Brooklyn Center, MN 55430 | 2020-06-29 |
| 1912549742 | His Services Home Care, LLC | Home Health | 2108 70th Avenue North, Brooklyn Park, MN 55430 | 2019-10-14 |
| 1336612969 | Jeremiah Sk Pojah Sr. | Registered Nurse | 5201 Bryant Avenue North, Suite 108, Minneapolis, MN 55430 | 2019-01-07 |
| 1891219697 | Tamika Yvette Spicer | Home Health Aide | 6640 Humboldt Ave N, 101, Brooklyn Center, MN 55430 | 2017-08-02 |
| 1265973358 | James Contois | Community Based Residential Treatment Facility, Mental Illness | 6120 Earle Brown Drive, Suite 100, Brooklyn Center, MN 55430 | 2017-03-09 |
| 1336693746 | Sara Jean Cooper | Dentist | 1090 Shingle Creek Pkwy, Brooklyn Center, MN 55430 | 2016-08-15 |
| 1750732202 | Miriam Home Health Corporation | Residential Treatment Facility, Physical Disabilities | 7030 Humboldt Avenue North, Brooklyn Center, MN 55430 | 2016-06-27 |
| 1649628561 | Tranquility Health LLC | Community/Behavioral Health | 6040 Earle Brown Dr Ste 250, Brooklyn Center, MN 55430 | 2016-06-01 |
| 1104233790 | Lillie's Helping Hands | In Home Supportive Care | 6407 Camden Ave N, #303, Brooklyn Center, MN 55430 | 2014-07-16 |
| 1063760817 | Wal-mart Stores Inc | Technician/Technologist | 1200 Shingle Creek Crossing, Brooklyn Center, MN 55430 | 2012-08-28 |
| Find all providers in zip 55430 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013139419 | Advanced Behavioral Health, Inc | Clinic/Center | 3300 County Road 10 Ste 500, Brooklyn Center, MN 55429 | 2007-05-03 |
| 1750300620 | The Counseling Clinic, Inc. | Clinic/Center | 6860 Shingle Creek Pkwy, Suite 116, Brooklyn Center, MN 55430-1411 | 2006-07-19 |
| 1356964332 | Village Support Therapy and Consulting LLC | Clinic/Center | 5424 Fremont Ave N, Brooklyn Center, MN 55430-3160 | 2020-05-25 |
| 1124593090 | Amal Healing Center | Clinic/Center | 3212 64th Ave N, Brooklyn Center, MN 55429-2237 | 2018-10-08 |
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| 1124639190 | Woodhaven Wellness | Clinic/Center | 3000 Carriage Dr, Hamel, MN 55340-9597 | 2020-08-13 |
| 1245840735 | Kalina Counseling Services | Clinic/Center | 120 7th St Unit 101, Two Harbors, MN 55616-1563 | 2020-08-09 |
| Find all providers with the same taxonomy | ||||
| City | BROOKLYN CENTER |
| Zip Code | 55430 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.