SUPPORTIVE LIVING SERVICES, INC. - NPI 1467638379 - Community/Behavioral Health in Brooklyn Center, MN

Q: What is Supportive Living Services, Inc.'s NPI number?

The NPI number for Supportive Living Services, Inc. is 1467638379. It was assigned to this organization in the NPPES registry on January 10, 2008.

Q: What is Supportive Living Services, Inc.'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

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About Supportive Living Services, Inc. NPPES

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

SUPPORTIVE LIVING SERVICES, INC. (NPI 1467638379) is a healthcare organization registered as a community/behavioral health in Brooklyn Center, Minnesota and active in the NPI registry since January 2008. The organization lists Maggie L Loftus, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1467638379

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameSUPPORTIVE LIVING SERVICES, INC.

Location Address5615 BROOKLYN BLVD STE 200Brooklyn Center, MN 55429-3086

Mailing Address5615 Brooklyn Blvd Ste 200Brooklyn Center, MN 55429-3086 · (763) 537-6612 · Fax (763) 537-7162

Phone(763) 537-6612

Fax(763) 537-7162

Organization SubpartNo

Authorized OfficialMaggie L LoftusOffice Manager · (763) 277-1020

Enumeration DateJanuary 10, 2008

✔ NPI 1467638379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

5615 BROOKLYN BLVD STE 200, Brooklyn Center, MN 55429

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Other Identifiers 1

Medicare UPIN004974300MN

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEFFREY C ALBERTS LSW, MS, CPRP

Social Worker