Provider Demographics
NPI:1417489212
Name:BASIC NEEDS
Entity Type:Organization
Organization Name:BASIC NEEDS
Other - Org Name:THE NATIONAL FAMILY COUNCIL
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHERLEIGH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:CARPENTER
Authorized Official - Suffix:
Authorized Official - Credentials:MHP
Authorized Official - Phone:612-998-6300
Mailing Address - Street 1:3333 N 4TH ST STE 25
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55412-2615
Mailing Address - Country:US
Mailing Address - Phone:612-767-8671
Mailing Address - Fax:612-827-1215
Practice Address - Street 1:3333 N 4TH ST STE 25
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55412-2615
Practice Address - Country:US
Practice Address - Phone:612-767-8671
Practice Address - Fax:612-827-1215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-30
Last Update Date:2018-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1009291252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency