PRIDE MANCHESTER INC. (NPI# 1346351475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346351475 |
| Entity Type | Organization |
| Organization Name | PRIDE MANCHESTER INC. |
| Practice Address |
1200 Missouri Ave Bismarck ND 58504-5264 |
| Practice Telephone | 7012587838 |
| Practice Fax Number | 7012583735 |
| Mailing Telephone | 7012587838 |
| Mailing Fax Number | 7012583735 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2014-07-01 |
| Authorized Official Name | DARLA ROGGENBUCK (FINANCIAL COORDINATOR) |
| Authorized Official Telephone | 7012587838 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 54382 | 05 |
| Street Address |
1200 MISSOURI AVE |
| City | BISMARCK |
| State | ND |
| Zip Code | 58504-5264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779390 | Pride Inc | Community/Behavioral Health | 1200 Missouri Ave, Bismarck, ND 58504-5264 | 2020-10-30 |
| 1225638992 | Pride Inc | Community/Behavioral Health | 1200 Missouri Ave, Bismarck, ND 58504-5264 | 2020-10-30 |
| 1740880400 | Pride Inc | Community/Behavioral Health | 1200 Missouri Ave, Bismarck, ND 58504-5264 | 2020-10-30 |
| 1790385482 | Pride Inc | Community/Behavioral Health | 1200 Missouri Ave, Bismarck, ND 58504-5264 | 2020-10-30 |
| 1477153146 | Pride Inc | Community/Behavioral Health | 1200 Missouri Ave, Bismarck, ND 58504-5264 | 2020-10-30 |
| 1497354799 | Pride Inc. | Community/Behavioral Health | 1200 Missouri Ave, Bismarck, ND 58504-5264 | 2020-10-19 |
| 1740391853 | Pride Wilton Inc. | Nursing Care | 1200 Missouri Ave, Bismarck, ND 58504-5264 | 2006-08-31 |
| 1356453484 | Pride Inc. | Day Training, Developmentally Disabled Services | 1200 Missouri Ave, Bismarck, ND 58504-5264 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578077 | Hit Inc. | Community/Behavioral Health | 1517/1519 S Washington St, Bismarck, ND 58504 | 2020-11-03 |
| 1518568963 | Hit Inc. | Community/Behavioral Health | 1509/1511 S Washington St., Bismarck, ND 58504 | 2020-11-03 |
| 1366926594 | Lisa Elizabeth Morgan | Counselor | 2600 Manchester St, Bismarck, ND 58504 | 2018-09-24 |
| 1528557006 | Mees Physical Therapy LLC | Physical Therapist | 109 Mcdougall Dr., Suite 4, Lincoln, ND 58504 | 2018-05-09 |
| 1437666856 | Katy Thomas | Social Worker | 3315 University Drive, Bismasrck, ND 58504 | 2018-01-08 |
| 1407396864 | Allison Bitz | Social Worker | 600 S. Second St., Suite 220, Bismarck, ND 58504 | 2017-03-06 |
| 1306397831 | Evan Morehead | Specialist/Technologist | 5160 Lincoln Road, Lincoln, ND 58504 | 2016-10-19 |
| 1902262520 | Stacey S Haugen, Pllc | Counselor | 6221 University Drive, Bismarck, ND 58504 | 2016-01-12 |
| 1881060630 | Brittany N Kudrna | Nurse Practitioner | 914 S 12th St Ste 101, Bismarck, ND 58504 | 2015-08-17 |
| 1154727873 | William J Kucera | Physical Therapist | 324 Marietta Dr, Bismarck, ND 58504 | 2014-11-06 |
| Find all providers in zip 58504 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568916989 | Pride Manchester Hope Home Inc | Residential Treatment Facility, Emotionally Disturbed Children | 7301 Keepsake Ln, Bismarck, ND 58501-8664 | 2016-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306395538 | Serenity Christian Homes | Residential Treatment Facility, Emotionally Disturbed Children | 1111 Prairie Pkwy, West Fargo, ND 58078-3132 | 2016-09-29 |
| 1114059805 | Home On The Range | Residential Treatment Facility, Emotionally Disturbed Children | 16351 I94, Sentinel Butte, ND 58654-9500 | 2007-03-09 |
| 1154405983 | Prairie Learning Center | Residential Treatment Facility, Emotionally Disturbed Children | 7785 Saint Gertrude Ave, Raleigh, ND 58564-4103 | 2006-10-25 |
| 1891808978 | Northeast Human Service Center | Residential Treatment Facility, Emotionally Disturbed Children | 151 S 4th St Ste 401, Grand Forks, ND 58201-4715 | 2006-08-16 |
| 1346732773 | Serenity Christian Homes Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1111 Prairie Pkwy, West Fargo, ND 58078-3132 | 2018-06-01 |
| 1225217300 | Harmony House | Residential Treatment Facility, Emotionally Disturbed Children | 1601 College Dr N, C/o Sports Center, Devils Lake, ND 58301-1550 | 2007-10-25 |
| 1750467999 | Dakota Boys & Girls Ranch Association | Residential Treatment Facility, Emotionally Disturbed Children | 6301 19th Ave Nw, Minot, ND 58703 | 2006-10-31 |
| 1669558805 | Dakota Boys & Girls Ranch Association | Residential Treatment Facility, Emotionally Disturbed Children | 6301 19th Ave Nw, Minot, ND 58703 | 2006-10-31 |
| 1386729176 | Dakota Boys & Girls Ranch | Residential Treatment Facility, Emotionally Disturbed Children | 6301 19th Ave Nw, Minot, ND 58703 | 2006-10-27 |
| 1831271808 | Dakota Boys & Girls Ranch Assocation | Residential Treatment Facility, Emotionally Disturbed Children | 6301 19th Ave Nw, Minot, ND 58703 | 2006-10-19 |
| 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.