Provider Demographics
NPI: | 1811052053 |
---|---|
Name: | OUTCOMES, INC. |
Entity type: | Organization |
Organization Name: | OUTCOMES, INC. |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | EXECUTIVE DIRECTOR |
Authorized Official - Prefix: | MS |
Authorized Official - First Name: | SUSAN |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | NORTON |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 651-483-9500 |
Mailing Address - Street 1: | 3508 RICE ST |
Mailing Address - Street 2: | |
Mailing Address - City: | SAINT PAUL |
Mailing Address - State: | MN |
Mailing Address - Zip Code: | 55126-3170 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 651-483-9500 |
Mailing Address - Fax: | 651-483-0775 |
Practice Address - Street 1: | 2951 BARTELMY LN |
Practice Address - Street 2: | |
Practice Address - City: | MAPLEWOOD |
Practice Address - State: | MN |
Practice Address - Zip Code: | 55109-1574 |
Practice Address - Country: | US |
Practice Address - Phone: | 651-770-1296 |
Practice Address - Fax: | 651-483-0775 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2006-12-27 |
Last Update Date: | 2020-08-22 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
MN | 8020231RS | 315P00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 315P00000X | Nursing & Custodial Care Facilities | Intermediate Care Facility, Intellectual Disabilities |