LEO A. HOFFMANN CENTER, INC. (NPI# 1093876732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093876732 |
| Entity Type | Organization |
| Organization Name | LEO A. HOFFMANN CENTER, INC. |
| Practice Address |
1715 Sheppard Drive St. Peter MN 56082-0060 |
| Mailing Address |
1715 Sheppard Drive Po Box 60 St. Peter MN 56082-0060 |
| Practice Telephone | 5079346122 |
| Practice Fax Number | 5079342594 |
| Mailing Telephone | 5079346122 |
| Mailing Fax Number | 5079342594 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2012-09-06 |
| Authorized Official Name | MR. GENE FRANKLIN TAYLOR (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5079346122 |
| Authorized Official Credential | MS, LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 801377 | MN | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407376072 | Leo A. Hoffmann Center, Inc. | Psychologist | 108 S Minnesota Ave Ste 120, Saint Peter, MN 56082-2557 | 2017-06-23 |
| Street Address |
1715 SHEPPARD DRIVE |
| City | ST. PETER |
| State | MN |
| Zip Code | 56082-0060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578697355 | Sandra Elizabeth Walsh | Marriage & Family Therapist | 1715 Sheppard Drive, St. Peter, MN 56082-0060 | 2007-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295276079 | Ashley Jaspers | Nurse Practitioner | 1900 N. Sunrise Drive, Suite #200, St. Peter, MN 56082 | 2017-03-14 |
| 1841730876 | Go Therapy Inc | Speech-Language Pathologist | 830 Sunrise Dr Ste B, Saint Peter, MN 56082 | 2017-02-23 |
| 1487063210 | Ashley Krug | Specialist/Technologist | 800 West College Ave, Saint Peter, MN 56082 | 2014-08-06 |
| 1235578519 | Mikkel Dean Haugen | Dentist | 402 Sunrise Drive, St Peter, MN 56082 | 2013-06-19 |
| 1104163849 | House of Hope, Inc. | Community/Behavioral Health | 201 West Park Row, Suite B, Saint Peter, MN 56082 | 2013-01-15 |
| 1851579700 | Laura J. Hulsebus | Chiropractor | 206 West Walnut St, St Peter, MN 56082 | 2008-02-02 |
| 1588857072 | Michael Joseph Lange | Psychologist | 1703 Csah 15, St. Peter, MN 56082 | 2007-08-20 |
| 1235290420 | Andrew D. Lundquist | Podiatrist | 1901 Oid Minnesota Ave, Mankato Clinic @ Daniel's Health Center, St. Peter, MN 56082 | 2006-12-12 |
| 1962517037 | Mary A Snyder | Dentist | 202 W Walnut, St Peter, MN 56082 | 2006-08-20 |
| 1124041504 | Diane Ruth Bruder | Nurse Practitioner | 2000 Klein Street, St. Peter, MN 56082 | 2006-07-25 |
| Find all providers in zip 56082 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801254867 | Julia Keehr-oleson | Residential Treatment Facility, Emotionally Disturbed Children | 1608 W River Rd, Little Falls, MN 56345-4155 | 2016-02-05 |
| 1528226370 | Avanti Center for Girls | Residential Treatment Facility, Emotionally Disturbed Children | 10300 Flanders St Ne, Blaine, MN 55449-5710 | 2008-05-29 |
| 1760666903 | Valley-lake Boy's Home, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 3850 200th Ave, Breckenridge, MN 56520-0411 | 2007-12-24 |
| 1043402233 | Pinnacle Programs, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 401 W Luverne St, Magnolia, MN 56158-2004 | 2007-08-13 |
| 1578765269 | Kandiyohi County Group Homes | Residential Treatment Facility, Emotionally Disturbed Children | 822 Park Ave Nw, Willmar, MN 56201-2568 | 2007-06-04 |
| 1710197207 | Network for Native Futures | Residential Treatment Facility, Emotionally Disturbed Children | 6781 160th St Nw, Cass Lake, MN 56633-3049 | 2007-05-23 |
| 1376753160 | Red Lake Department of Family and Children Services | Residential Treatment Facility, Emotionally Disturbed Children | 13586 Tribal Agency Street, Redlake, MN 56671-0427 | 2007-05-23 |
| 1508995689 | Catholic Charities of The Diocese of St. Cloud | Residential Treatment Facility, Emotionally Disturbed Children | 1726 7th Ave S, Saint Cloud, MN 56301-5711 | 2007-03-05 |
| 1316076839 | Catholic Charities of The Diocese of St. Cloud | Residential Treatment Facility, Emotionally Disturbed Children | 1010 Maryland Lane, Fergus Falls, MN 56537 | 2007-03-02 |
| 1972650893 | Gerard Treatment Programs | Residential Treatment Facility, Emotionally Disturbed Children | 1111 28th St Ne, Austin, MN 55912-6410 | 2007-01-04 |
| Find all providers with the same taxonomy | ||||
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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.