JARED MATHEW O'MALLEY OWNER NPI 1649985490

NPI Information

NPI: 1649985490
Provider Name: JARED MATHEW O'MALLEY, OWNER
Classification: Foster Care Agency - 253J00000X
Entity Type: Individual
Address:
3019 18TH ST S
SAINT CLOUD, MN
ZIP 56301
Phone: (320) 429-2307
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Jared Mathew O'malley, OWNER is a foster care agency in Saint Cloud, MN. The provider is a Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as 24-hour substitute care for children outside their own homes. Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. Jared Mathew O'malley, OWNER NPI is 1649985490. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3019 18TH ST S
SAINT CLOUD, MN
ZIP 56301-734
Phone: (320) 429-2307

The enumeration date for this NPI number is 1/17/2023 and was last updated on 1/17/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	253J00000X	Foster Care Agency		1114406	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00000000	OTHER	MINNESOTA	ADULT FAMILY FOSTER CARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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