COMMUNITY INTEGRATED FAMILY CARE ADVOCATES (NPI# 1174140925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174140925 |
Entity Type | Organization |
Organization Name | COMMUNITY INTEGRATED FAMILY CARE ADVOCATES |
Practice Address |
11114 Almond Dr Grey Eagle MN 56336-4643 |
Practice Telephone | 3205273237 |
Mailing Telephone | 3205273237 |
Enumeration Date | 2020-06-28 |
Last Update Date | 2020-06-28 |
Authorized Official Name | CYNTHIA A WREN GRAY (PRESIDENT) |
Authorized Official Telephone | 3205203237 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 251V00000X | Voluntary or Charitable | Agencies | ||
N | 253Z00000X | In Home Supportive Care | Agencies | ||
N | 385HR2055X |
Respite Care Specialization: Respite Care, Mental Illness, Child |
Respite Care Facility | ||
N | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
Respite Care Facility | ||
Y | 385HR2065X |
Respite Care Specialization: Respite Care, Physical Disabilities, Child |
Respite Care Facility |
Other Name | Type Code |
---|---|
CIFCA | Doing Business As Name - Organization |
Street Address |
11114 ALMOND DR |
City | GREY EAGLE |
State | MN |
Zip Code | 56336-4643 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619291721 | Eagle's Crossing Adult Day Center | Clinic/Center | 103 Spruce St, Grey Eagle, MN 56336 | 2010-03-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619291721 | Eagle's Crossing Adult Day Center | Clinic/Center | 103 Spruce St, Grey Eagle, MN 56336 | 2010-03-18 |
Taxonomy Code | 385HR2065X |
Grouping | Respite Care Facility |
Classification | Respite Care |
Specialization | Respite Care, Physical Disabilities, Child |
A facility or distinct part of a facility that providers short term, residential care to children, diagnosed with complex or profound disabilities as respite for the regular caregivers. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326351107 | Holly Jo Buescher | Respite Care | 309 4 Avenue, Bovey, MN 55709-0370 | 2010-07-21 |
1598224107 | Feel The Water Inc | Respite Care | 4330 Cedar Lake Rd S, St Louis Park, MN 55416-3700 | 2019-03-14 |
1134357031 | Kindercare PCa Services LLC | Respite Care | 270 County Road 110 N, Minnetrista, MN 55364-8316 | 2009-06-30 |
City | GREY EAGLE |
Zip Code | 56336 |
Please comment or provide details below to improve the information on COMMUNITY INTEGRATED FAMILY CARE ADVOCATES.
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.