SHARON SHOFNER ADULT FOSTER CARE – NPI #1699008805
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

SHARON SHOFNER ADULT FOSTER CARE is a community based residential treatment facility located in BROOKSTON, MN. NPPES has assigned the NPI number 1699008805 to SHARON SHOFNER ADULT FOSTER CARE on September 08, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SHARON SHOFNER ADULT FOSTER CARE below.

NPI Profile for
SHARON SHOFNER ADULT FOSTER CARE

NPI Number
1699008805
Enumeration Date

(about 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SHARON SHOFNER ADULT FOSTER CARE
Primary location
8783 2ND ST SOUTH
BROOKSTON, MN 55711
Phone: (218) 453-1083 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SHARON SHOFNER
CARE PROVIDER
Phone: (218) 453-1083
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320900000X
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)		 MN 201343-3-AFC

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.