PRAIRIE COMMUNITY SERVICES (NPI# 1124336862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124336862 |
| Entity Type | Organization |
| Organization Name | PRAIRIE COMMUNITY SERVICES |
| Other Organization Name | BRENTWOOD PCS |
| Practice Address |
801 Nevada Ave Ste 100 Morris MN 56267-1874 |
| Practice Telephone | 3205892004 |
| Practice Fax Number | 3205892543 |
| Mailing Telephone | 3205892004 |
| Mailing Fax Number | 3205892543 |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2011-04-19 |
| Authorized Official Name | SHERRY WAGNER (ASSIST DIRECTOR OF FINANCE) |
| Authorized Official Telephone | 3205894902 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST. FRANCIS HEALTH SERVICES OF MORRIS, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | 1056816 | MN | Agencies |
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 1056816 | MN | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 1124336862 | 05 |
| Other Name | Type Code |
|---|---|
| Brentwood PCS | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891195608 | Prairie Community Services | Intermediate Care Facility, Mentally Retarded | 2203 Rolling Green Ln, North Mankato, MN 56003-4459 | 2014-08-28 |
| 1467530501 | Prairie Community Services | Intermediate Care Facility, Mentally Retarded | 256 Lake Ave N, Spicer, MN 56288-9512 | 2006-11-02 |
| 1578808663 | Prairie Community Services | Community Based Residential Treatment Facility, Mental Illness | 1610 E 1st St, Duluth, MN 55812-1650 | 2012-11-30 |
| 1902976673 | Prairie Community Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 801 Nevada Ave, Morris, MN 56267-1865 | 2006-11-09 |
| 1285704049 | Prairie Community Services | Intermediate Care Facility, Mental Illness | 801 Nevada Ave, Morris, MN 56267-1865 | 2006-11-09 |
| 1093885857 | Prairie Community Services | Intermediate Care Facility, Mental Illness | 801 Nevada Ave, Morris, MN 56267-1865 | 2006-11-09 |
| 1902976764 | Prairie Community Services | Intermediate Care Facility, Mental Illness | 801 Nevada Ave, Morris, MN 56267-1865 | 2006-11-09 |
| 1336219195 | Prairie Community Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 801 Nevada Ave, Morris, MN 56267-1865 | 2006-11-09 |
| 1154491918 | Prairie Community Services | Intermediate Care Facility, Mental Illness | 801 Nevada Ave, Morris, MN 56267-1865 | 2006-11-09 |
| 1891865564 | Prairie Community Services | Community/Behavioral Health | 801 Nevada Ave, Morris, MN 56267-1865 | 2006-11-09 |
| Street Address |
801 NEVADA AVE STE 100 |
| City | MORRIS |
| State | MN |
| Zip Code | 56267-1874 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144530510 | Lynette L Perreault | Pharmacist | 533 Atlantic Ave, Morris, MN 56267 | 2010-10-19 |
| 1962725358 | Morris Health Services | Home Health | 1000 Court Dr, Morris, MN 56267 | 2010-03-12 |
| 1205159696 | Morris Health Services | Assisted Living Facility | 1100 Court Dr, Morris, MN 56267 | 2010-03-12 |
| 1861635393 | Dennis Robert Taffe | Counselor | 712 Atlantic Ave, Suite 3, Morris, MN 56267 | 2009-04-14 |
| 1538341227 | Randy Lynn Hamling | Chiropractor | 717 Atlantic Ave., Morris, MN 56267 | 2007-12-04 |
| 1649466293 | Liberty D Sleiter | Social Worker | 20600 462nd Ave, Morris, MN 56267 | 2007-09-18 |
| 1699833541 | Jeffrey Andrew Hauger | Dentist | 2 East 5th St, Morris, MN 56267 | 2006-12-04 |
| 1366543662 | Stevens Community Medical Center Inc | Clinic/Center | 400 East 1st Street, Morris, MN 56267 | 2006-09-26 |
| 1982713012 | Joseph J Kisch | Optometrist | 512 Atlantic Ave, Midwest Family Eyecare Ltd, Morris, MN 56267 | 2006-08-30 |
| 1487678942 | Stevens Community Medical Center Inc | General Acute Care Hospital | 400 E. 1st Street, Morris, MN 56267 | 2006-07-27 |
| Find all providers in zip 56267 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730796384 | Maisa Inc. | Community Based Residential Treatment Facility, Mental Illness | 1113 E Franklin Ave Ste 208c, Minneapolis, MN 55404-2977 | 2020-09-28 |
| 1043837560 | Journey of Hope Community Housing LLC | Community Based Residential Treatment Facility, Mental Illness | 761 Case Ave, Saint Paul, MN 55106-3705 | 2020-06-30 |
| 1366005696 | Armando Cavazos | Community Based Residential Treatment Facility, Mental Illness | 84 Wabasha St S Apt 330, Saint Paul, MN 55107-1856 | 2019-04-22 |
| 1205300969 | Rescare Minnesota, Inc. | Community Based Residential Treatment Facility, Mental Illness | 4835-4901 West Boradway Avenue, Crystal, MN 55429 | 2019-01-16 |
| 1871064840 | Rescare Minnesota, Inc. | Community Based Residential Treatment Facility, Mental Illness | 300 8th Ave Ne, Minneapolis, MN 55413-2030 | 2018-12-17 |
| 1144791112 | Rescare Minnesota, Inc. | Community Based Residential Treatment Facility, Mental Illness | 5546 7th St Ne, Fridley, MN 55432-5556 | 2018-12-17 |
| 1053882027 | Rescare Minnesota, Inc. | Community Based Residential Treatment Facility, Mental Illness | 7701 Able St Ne, Spring Lake Park, MN 55432-2809 | 2018-12-17 |
| 1699246678 | Rescare Minnesota, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1140 80th Ave Ne, Spring Lake Park, MN 55432-2039 | 2018-12-17 |
| 1962973933 | Rescare Minnesota, Inc. | Community Based Residential Treatment Facility, Mental Illness | 6134 Woody Ln Ne, Fridley, MN 55432-5844 | 2018-12-17 |
| 1780155754 | Rescare Minnesota, Inc. | Community Based Residential Treatment Facility, Mental Illness | 500 Ironton St Ne, Fridley, MN 55432-1633 | 2018-12-17 |
| Find all providers with the same taxonomy | ||||
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| 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.