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RESIDENTIAL ADVANTAGES, INC.
NPI 1043375272
Intermediate Care Facility, Intellectual Disabilities in Luverne, MN

Active since December 27, 2006
107 S BLUE MOUND AVE, LUVERNE, MN 56156(507) 283-4088(507) 283-9448 Get Directions Write a Review

NPPES record last updated: March 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 5, 2023, Dec 21, 2022, Aug 22, 2020 (3 updates tracked since 2020).

About Residential Advantages, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RESIDENTIAL ADVANTAGES, INC. (NPI 1043375272) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Luverne, Minnesota and active in the NPI registry since December 2006. The organization lists Brett Ian Cohen, Coo, as its authorized official.

NPPES Registry Identity

NPI1043375272
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameRESIDENTIAL ADVANTAGES, INC.
Location Address107 S BLUE MOUND AVELuverne, MN 56156-1924
Mailing Address6600 France Ave SEdina, MN 55435-1805 · (952) 925-5067
Phone(507) 283-4088
Fax(507) 283-9448
Organization SubpartNo
Authorized OfficialBrett Ian CohenCoo · (800) 388-5150
Enumeration DateDecember 27, 2006
Last NPPES UpdateMarch 5, 20233 updates tracked since enumeration
NPPES CertifiedMarch 5, 2023
✔ NPI 1043375272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License✔ Licensed in MN · 801449-1RS
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
107 S BLUE MOUND AVE, Luverne, MN 56156
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Other Identifiers 1

Medicaid299543300MN

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Residential Advantages, Inc.'s NPI number?

The NPI number for Residential Advantages, Inc. is 1043375272. It was assigned to this organization in the NPPES registry on December 27, 2006.

Where is Residential Advantages, Inc. located?

Residential Advantages, Inc. is located at 107 S Blue Mound Ave, Luverne, MN 56156. The listed phone number is (507) 283-4088.

What is Residential Advantages, Inc.'s specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Residential Advantages, Inc. was last updated on March 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.