National Provider Identifier Database

RESIDENTIAL ADVANTAGES INC
Intermediate Care Facility, Mentally Retarded

(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.


Contact Information

RESIDENTIAL ADVANTAGES, INC.
107 S BLUE MOUND AVE
LUVERNE, MN56156-1924
Phone: 507-283-4088
Fax: 507-283-9448
Website:
Specialty Taxonomy Code
* Intermediate Care Facility, Mentally Retarded 315P00000X

* Indicates primary specialty

NPI Profile & details for RESIDENTIAL ADVANTAGES, INC.

NPI Number 1043375272
Legal business name
LBN
RESIDENTIAL ADVANTAGES, INC.
Authorized official BRETT COHEN - (COO)
Entity Organization
Organization subpart No
Enumeration date 12/27/2006
Last updated 03/05/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • MN License #: 801449-1RS
  • MN Medicaid: 299543300

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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