MEDICARE: OPTIONS RESIDENTIAL, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253J00000X	Foster Care Agency	1043461-1-AFC	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	138003	OTHER	MN	UCARE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083948905
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPTIONS RESIDENTIAL, INC

Provider Business Mailing Address
First Line	:	2105 W BURNSVILLE PKWY
Second Line	:
City	:	BURNSVILLE
State	:	MN
Zip	:	55337-4237
Country	:	US
Telephone Number	:	952-564-3030
Fax Number	:	952-564-3038

Provider Business Practice Location Address
First Line	:	13710 WASHBURN AVE S
Second Line	:
City	:	BURNSVILLE
State	:	MN
Zip	:	55337-2138
Country	:	US
Telephone Number	:	952-882-7876
Fax Number	:	952-882-6299

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. BRIAN SAMMON
Credential	:	LADC, LMFT
Telephone Number	:	612-226-7120

Provider Enumeration Date	:	09/24/2009
Last Update Date	:	09/24/2009

Similar Medicare Providers

1073467551 — HAVENWORTH ASSISTED LIVING INC
Practice Location Address:

2717 CEDAR LN
BURNSVILLE, MN
55337-2105

Practice Phone: 952-212-3479
Practice Fax:

1255285516 — JASMINE AMBERG
Practice Location Address:

13955 W PRESERVE BLVD STE 200
BURNSVILLE, MN
55337-7733

Practice Phone: 952-890-0804
Practice Fax:

1356295620 — GABRIELLE KLEGSTAD
Practice Location Address:

201 E NICOLLET BLVD
BURNSVILLE, MN
55337-5714

Practice Phone: 952-892-2000
Practice Fax:

1700747334 — AURAPOINT ACUPUNCTURE AND WELLNESS LLC
Practice Location Address:

14031 BURNHAVEN DR STE 111
BURNSVILLE, MN
55337-4474

Practice Phone: 651-786-9512
Practice Fax:

1023475258 — MADELINE KLOSSNER PA-C
Practice Location Address:

303 E NICOLLET BLVD STE 160
BURNSVILLE, MN
55337-4588

Practice Phone: 952-460-4000
Practice Fax:

1467306514 — HAWINET O OLANA
Practice Location Address:

1517 HIGHWAY 13 E
BURNSVILLE, MN
55337-2917

Practice Phone: 612-765-9107
Practice Fax: 612-235-3338

Directions to “OPTIONS RESIDENTIAL, INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.