Woodhaven House

LBN: Options Residential, Inc
Woodhaven House is an health care organization with primary practice located at 3958 Beryl Rd , Eagan MN 55122-1615. The organization recently has only one registered license in Agencies / Foster Care Agency, which is considered as the primary health care specialty. Options Residential, Inc can be contacted via phone (651) 405-6948, or through Sammon, Brian P via phone (612) 226-7120.

Contact Information

Primary practice address
3958 Beryl Rd Eagan MN 55122-1615
Phone: (651) 405-6948
Fax: (651) 454-3099
Website:
Map and Directions
Authorized official contact:
Name: Sammon, Brian P LADC, LMFT
Phone: (612) 226-7120

Health care specialties

SpecialtyCodeLicense #State
Agencies / Foster Care Agency 253J00000X 1037818-1-AFC Minnesota

Profile Details

NPI number 1063746386
LBN Legal business name Options Residential, Inc
DBA Doing business as Woodhaven House
Authorized official Sammon, Brian P LADC, LMFT
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 21st, 2009
Last updated Sep 21st, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063746386 NPPES
Minnesota MEDICAID A630173801
Minnesota Other 138003

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