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NPI · 1003394479 · NPPES-sourced

Malissa Costanzo Owner

ActiveIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
NPI Number
1003394479
Type 1 · Individual
Contact
(651) 272-5608
License MN · 1094965-1-HCBS
Last Updated
About 7 years ago (Aug 2018)
Enumerated 2018-07-30
Primary practice addressMN · 55025
844 8th Ave SeForest Lake, MN 55025
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About this NPIWhat this record shows.

NPI 1003394479 is registered to Malissa Costanzo Owner, a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility practising at 844 8th Ave Se in Forest Lake, Minnesota. Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Malissa Costanzo Owner has been enumerated in the National Provider Identifier (NPI) registry since 2018.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2018-07-30
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Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Malissa Costanzo Owner accepts. To confirm in-network status with your specific health plan, contact Malissa Costanzo Owner directly at (651) 272-5608.

Frequently asked

Yes. NPI 1003394479 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (651) 272-5608.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Malissa Costanzo Owner is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy320900000X
Last updated2018-08
Enumerated2018-07-30
StatusActive
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