TRICIA BASTIAN


Address: 607 4th St S, Walker, MN 56484-6400
Phone: 2182511365

TRICIA BASTIAN (NPI# 1295291573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295291573
Entity Type Individual
Full Name TRICIA BASTIAN
Practice Address 607 4th St S
Walker
MN 56484-6400
Mailing Address Po Box 910
Walker
MN 56484-0910
Practice Telephone 2182511365
Mailing Telephone 2182511365
Enumeration Date 2019-02-12
Last Update Date 2019-02-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1098115 MN Residential Treatment Facilities

Office Location

Street Address 607 4TH ST S
City WALKER
State MN
Zip Code 56484-6400

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265058259 Janna Wiele Social Worker 301 4th St S, Walker, MN 56484 2020-06-25
1649831264 Alyssa Sharon Robley Physical Therapist 106 Fifth St S, Walker, MN 56484 2019-06-25
1447733639 Walker Adult Day Services Clinic/Center 6835 Cranberry Bog Trl Nw, Walker, MN 56484 2018-09-13
1750827234 Walker Operations LLC Skilled Nursing Facility 209 Birchwood Avenue West, Walker, MN 56484 2017-01-09
1699178707 David Farder Physical Therapist 106 5th St S, Walker, MN 56484 2014-10-02
1083053292 Gary F Wehrwein Pharmacist 1523 Suzanne Drive Ne, Longville, MN 56484 2013-06-20
1306141882 First Choice Therapy Clinic/Center 6068 E Ottertail Rd Nw, Walker, MN 56484 2011-01-14
1033421029 Walker Wellness Chiropractic Center, Pa Chiropractor 215 Garden Street, Walker, MN 56484 2010-07-08
1538343496 Walker Wellness Chiropractic Chiropractor 507 Front Street West, Walker, MN 56484 2007-12-27
1629263827 Shingobee Island Lodge Incorporated Community Based Residential Treatment Facility, Mental Illness 7185 Dewdrop Trail Nw, Walker, MN 56484 2007-09-11
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Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023230521 La Trouve' Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 30334 Milton Drive, Walker, LA 70785 2007-05-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1184244527 Kam Homecare Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1500 Nicollet Ave Apt 305, Minneapolis, MN 55403-2724 2020-04-24
1477117885 Kelly Rae Martin Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 13881 Schuelke Beach Rd Nw, Miltona, MN 56354 2019-05-01
1881163632 Jacob Wrich Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 603 3rd St W Apt 1, Hastings, MN 55033-1127 2018-11-21
1003394479 Malissa Ann Costanzo Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 844 8th Ave Se, Forest Lake, MN 55025 2018-07-30
1154814564 Laurie K. Tazelaar-williams Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5253 W Bald Eagle Blvd, White Bear Lake, MN 55110-6532 2018-06-11
1205340577 Dale Conrad Forslin Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1029 Highway 65 Ste 107, Braham, MN 55006-3360 2017-11-25
1952831026 Noble Senior Center Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1094 University Ave W, Saint Paul, MN 55104 2017-06-12
1407396336 Viko Health Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5651 69th Ave N, 203, Brooklyn Park, MN 55429-1579 2017-02-25
1972052702 Marie-noel Hiol-hiol Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 14642 Quartz Ter Nw, Ramsey, MN 55303-4581 2016-09-21
1750839569 Kubra Residential Center Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1711 W 143rd St Apt 120, Burnsville, MN 55306-7989 2016-09-21
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Competitor

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City WALKER
Zip Code 56484

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Dataset Information

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.

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