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Making the Connection
NPI 1629384086 · Child Intellectual and/or Developmental Disabilities Respite Care · Apple Valley, MN
Provider details
- NPI number
- 1629384086
- Entity type
- Organization
- Primary specialty
- Child Intellectual and/or Developmental Disabilities Respite CareRespite Care Facility
- Organization subpart
- No
- Authorized official
- Lise Merillat, Behavior Specialist(952) 997-6242
- License
- 1018126-3-FCC (MN)
Specialties & taxonomies
- Child Intellectual and/or Developmental Disabilities Respite CarePrimary385HR2060XLicense 1018126-3-FCC (MN)
Respite Care Facility
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7270 130th St W
Apple Valley, MN 55124-9601
Phone: (952) 997-6242
Fax: (952) 997-2320
Street-level locationGet directions
Mailing address
7270 130th St W
Apple Valley, MN 55124-9601
Registry dates
- Enumerated
- 2010-08-24
- Last updated
- 2010-08-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.