THRIVE BEHAVIORAL NETWORK II, LLC (NPI# 1275955270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275955270 |
| Entity Type | Organization |
| Organization Name | THRIVE BEHAVIORAL NETWORK II, LLC |
| Other Organization Name | BIRCH TREE CENTER |
| Practice Address |
4720 Burning Tree Rd Duluth MN 55811-3801 |
| Mailing Address |
107 Doctors Park St Cloud MN 56303-1207 |
| Practice Telephone | 2186231800 |
| Practice Fax Number | 2186231811 |
| Mailing Telephone | 3202559530 |
| Mailing Fax Number | 3202512996 |
| Enumeration Date | 2014-01-09 |
| Last Update Date | 2017-03-31 |
| Authorized Official Name | JEFF BRADLEY (PRESIDENT) |
| Authorized Official Telephone | 6123857857 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320700000X | Residential Treatment Facility, Physical Disabilities | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Birch Tree Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720204159 | Thrive Behavioral Network II, LLC | Community Based Residential Treatment Facility, Mental Illness | 510 23rd Ave Nw, Austin, MN 55912-1827 | 2007-04-17 |
| 1407072929 | Thrive Behavioral Network II, LLC | Community Based Residential Treatment Facility, Mental Illness | 1310 S German St, New Ulm, MN 56073-3478 | 2007-04-17 |
| Street Address |
4720 BURNING TREE RD |
| City | DULUTH |
| State | MN |
| Zip Code | 55811-3801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144587650 | Jerry Lynn Madsen | Registered Nurse | 4720 Burning Tree Rd, Duluth, MN 55811-2634 | 2012-04-20 |
| 1841842150 | Dawn Martinson | Psychologist | 4720 Burning Tree Rd, Duluth, MN 55811-2634 | 2019-07-16 |
| 1992202972 | Kali Elisabeth Lamiao | Counselor | 4720 Burning Tree Rd, Duluth, MN 55811-2634 | 2018-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417515339 | Kyle Olson-merrick | Dentist | 320 W Myrtle St, Ste 100, Duluth, MN 55811 | 2019-06-05 |
| 1184288979 | Pdg, P.a. | Clinic/Center | 4891 Miller Truck Hwy., Suite 100, Hermantown, MN 55811 | 2019-04-26 |
| 1528589843 | Breanna Joy Greenly | Counselor | 4720 Burning Tree Road, Birch Tree Center, Duluth, MN 55811 | 2017-06-28 |
| 1396102398 | Debbie Christian | Registered Nurse | 4815 Burning Tree Rd Suite 100, Duluth, MN 55811 | 2016-01-21 |
| 1831556935 | Megan Marie Paris | Psychologist | 715 East Central Entrance, Duluth, MN 55811 | 2016-01-20 |
| 1740666908 | Angela Fedo | Physical Therapy Assistant | 2101 Trinity Rd, Duluth, MN 55811 | 2015-08-10 |
| 1649657479 | Kayla Stephenson | Specialist/Technologist | 5024 Morris Thomas Road, Hermantown, MN 55811 | 2015-04-30 |
| 1073918843 | Northern Lives Inc. | Assisted Living Facility | 4014 Trinity Road, Duluth, MN 55811 | 2014-10-23 |
| 1114326238 | Donald Hermanson | Specialist/Technologist | 801 Boulder Drive, Apt. 202, Duluth, MN 55811 | 2014-08-14 |
| 1679990857 | Jodie Little | Pharmacist | 801 W. Central Entrance, Shopko Pharmacy 2114, Duluth, MN 55811 | 2014-03-25 |
| Find all providers in zip 55811 | ||||
| Taxonomy Code | 320700000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Physical Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326307059 | Travelers Care Nursing Agency | Residential Treatment Facility, Physical Disabilities | 2802 Tree Summit Pkwy, Duluth, GA 30096-7932 | 2012-05-15 |
| 1457645541 | Woori Acupuncture Medical | Residential Treatment Facility, Physical Disabilities | 3761 Venture Dr, Suite 120, Duluth, GA 30096-5528 | 2011-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750732202 | Miriam Home Health Corporation | Residential Treatment Facility, Physical Disabilities | 7030 Humboldt Avenue North, Brooklyn Center, MN 55430 | 2016-06-27 |
| 1841676459 | Bolat Incorporated | Residential Treatment Facility, Physical Disabilities | 1150 4th Street West, Hastings, MN 55033-1607 | 2015-08-05 |
| 1598165359 | Sunflake | Residential Treatment Facility, Physical Disabilities | 6525 Central Ave Ne Unit 2, Fridley, MN 55432-4653 | 2014-08-29 |
| 1982816062 | Ginger Care Home, Inc. | Residential Treatment Facility, Physical Disabilities | 42756 Ginger Ave, Harris, MN 55032-3682 | 2007-05-03 |
| 1871711507 | Triple Angels Healthcare Incorporation | Residential Treatment Facility, Physical Disabilities | 9724 84th Street Cir S, Cottage Grove, MN 55016-4931 | 2007-04-20 |
| 1073975488 | Lakeview Massage LLC | Residential Treatment Facility, Physical Disabilities | 13465 Pilot Knob Rd, Apple Valley, MN 55124-8693 | 2016-03-24 |
| 1578733697 | Peggy Paul | Residential Treatment Facility, Physical Disabilities | 22 27th Ave Se, Minneapolis, MN 55414-3102 | 2008-03-04 |
Please comment or provide details below to improve the information on THRIVE BEHAVIORAL NETWORK II, LLC.
| 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.