ACCESS RECOVERY CENTER INC. (NPI# 1063036663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063036663 |
| Entity Type | Organization |
| Organization Name | ACCESS RECOVERY CENTER INC. |
| Practice Address |
17365 Fontana Path Farmington MN 55024-9021 |
| Practice Telephone | 7634001366 |
| Mailing Telephone | 7634001366 |
| Enumeration Date | 2020-05-31 |
| Last Update Date | 2020-08-27 |
| Authorized Official Name | ABDIFATAH MOHAMED ALI (OWNER) |
| Authorized Official Telephone | 7634001366 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | Agencies | ||
| N | 251J00000X | Nursing Care | Agencies | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services | ||
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Street Address |
17365 FONTANA PATH |
| City | FARMINGTON |
| State | MN |
| Zip Code | 55024-9021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932758158 | Renetia Jackson | Technician | 1210 Spruce Street, Farmington, MN 55024 | 2019-09-10 |
| 1871094912 | Megan Provost | Registered Nurse | 17680 Formosa Ave, Farmington, MN 55024 | 2018-02-23 |
| 1356752463 | Your Vision Achieved, LLC | Marriage & Family Therapist | 5404 187th Street West, Farmington, MN 55024 | 2014-05-12 |
| 1427304203 | Joseph Samuel Emond Jr. | Family Medicine | 19730 Meadowlark Way, Farmington, MN 55024 | 2012-07-30 |
| 1053680991 | Annie Lee Mickelson | Chiropractor | 20700 Chippendale Ave Suite 7, Farmington, MN 55024 | 2011-12-21 |
| 1770770828 | Grand St Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 19605 Pilot Knob Rd., Farmington, MN 55024 | 2007-10-02 |
| 1275725277 | Family Vision Clinic of Farmington | Optometrist | 19650 Pilot Knob Road, Farmington, MN 55024 | 2007-08-14 |
| 1871503136 | Independent School District #192 | Early Intervention Provider Agency | 20655 Flagstaff Avenue, Farmington, MN 55024 | 2006-08-09 |
| 1588692669 | Northfield Hospital | Clinic/Center | 4645 Knutsen Dr, Farmington, MN 55024 | 2006-06-29 |
| 1902887284 | David E Truax | Chiropractor | 20700 Chippendale Ave, Suite 7, Farmington, MN 55024 | 2005-11-14 |
| Find all providers in zip 55024 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427539600 | Peachtree Village of Farmington, LLC | Assisted Living Facility | 55 W Rainsong St, Farmington, AR 72730-8635 | 2018-08-24 |
| 1235628934 | Woodlands Senior Living of Farmington, LLC | Assisted Living Facility | 175 Knowlton Corner Rd, Farmington, ME 04938-6200 | 2018-05-08 |
| 1619238227 | Americare At Maplebrook Assisted Living, LLC | Assisted Living Facility | 520 Maple Valley Drive, Farmington, MO 63640 | 2012-05-31 |
| 1194050195 | New Communities, Inc. | Assisted Living Facility | 136 Rosewood Drive, Farmington, ME 04938 | 2009-10-08 |
| 1790932648 | Arden Courts of Farmington Ct LLC | Assisted Living Facility | 45 South Rd, Farmington, CT 06032-2022 | 2008-08-22 |
| 1356539696 | Harris Care Centers, Inc. | Assisted Living Facility | 208 W Columbia St, Farmington, MO 63640-1705 | 2007-10-11 |
| 1447448782 | Harris Care Centers, Inc | Assisted Living Facility | 508 N Washington St, Farmington, MO 63640-1756 | 2007-10-11 |
| 1356538458 | Harris Care Centers, Inc | Assisted Living Facility | 401 S Henry St, Farmington, MO 63640-1823 | 2007-10-02 |
| 1902008766 | Brookside Manor | Assisted Living Facility | 2434 Highway H, Farmington, MO 63640-7033 | 2007-06-04 |
| 1639234578 | Country Care Lc | Assisted Living Facility | 513 S 950 W, Farmington, UT 84025-4723 | 2006-12-22 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 55024 |
Please comment or provide details below to improve the information on ACCESS RECOVERY CENTER INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.