THRIVE BEHAVIORAL NETWORK IV, LLC (NPI# 1457578692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457578692 |
| Entity Type | Organization |
| Organization Name | THRIVE BEHAVIORAL NETWORK IV, LLC |
| Other Organization Name | MILESTONES |
| Practice Address |
620 9th Ave West Alexandria MN 56308-2204 |
| Mailing Address |
107 Doctors Park St Cloud MN 56303-1207 |
| Practice Telephone | 3207633466 |
| Practice Fax Number | 3207633227 |
| Mailing Telephone | 3202559530 |
| Mailing Fax Number | 3202512996 |
| Enumeration Date | 2007-04-19 |
| 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 | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 830702-1-RMI | MN | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Milestones | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013497916 | Thrive Behavioral Network Iv, LLC | Clinic/Center | 119 Friberg Ave, Suite B, Fergus Falls, MN 56537-2251 | 2018-08-20 |
| 1407042344 | Thrive Behavioral Network Iv, LLC | Clinic/Center | 712 Atlantic Ave Ste 3, Morris, MN 56267-1180 | 2007-09-24 |
| 1386861524 | Thrive Behavioral Network Iv, LLC | Community Based Residential Treatment Facility, Mental Illness | 620 9th Ave W, Alexandria, MN 56308-2204 | 2007-04-19 |
| 1740359199 | Thrive Behavioral Network Iv, LLC | Clinic/Center | 909 Broadway, Alexandria, MN 56308-2204 | 2006-11-07 |
| 1245318377 | Thrive Behavioral Network Iv, LLC | Substance Abuse Rehabilitation Facility | 222 9th Ave West, Alexandria, MN 56308-2204 | 2006-11-02 |
| Street Address |
620 9TH AVE WEST |
| City | ALEXANDRIA |
| State | MN |
| Zip Code | 56308-2204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871104836 | Center for Pain Management Ambulatory Surgery, Ltd | Pain Medicine | 804 23rd Street South, Sartell, MN 56308 | 2020-08-13 |
| 1548815590 | Ritajo Ellenberger | Licensed Practical Nurse | 220 Oak Street North, Alexandria, MN 56308 | 2019-08-06 |
| 1346808714 | Vance Thompson Vision Surgery Center Alexandria, Prof LLC | Clinic/Center | 2600 Jefferson St, Alexandria, MN 56308 | 2019-05-31 |
| 1811452048 | Little Falls Eye Care Center Pa | Optometrist | 2306 S. Broadway Str. Suite 12, Alexandria, MN 56308 | 2019-02-01 |
| 1184167199 | Jennifer Lynn Craig | Technician | 2307 East Golf Course Rd, Alexandria, MN 56308 | 2016-11-22 |
| 1548712219 | Shelby Elisha Johnsrud | Chiropractor | 303 West 22nd Ave, Ste 100, Alexandria, MN 56308 | 2016-10-28 |
| 1811347867 | Dustin Matthew Ditch | Dentist | 510 22nd Ave E Ste 702, Alexandria, MN 56308 | 2016-06-20 |
| 1639538051 | West Central Chiropractic & Wellness, LLC | Chiropractor | 123 3rd Ave. E, Suite 100, Alexandria, MN 56308 | 2016-02-12 |
| 1659736221 | Amanda Jean Dahlseng | Registered Nurse | 809 Elm Street, Suite 1200, Alexandria, MN 56308 | 2015-12-23 |
| 1518358886 | Benjamin G Wenzel | Marriage & Family Therapist | 512 30th Ave S, Ste 100, Alexandria, MN 56308 | 2015-02-09 |
| Find all providers in zip 56308 | ||||
| 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 |
|---|---|---|---|---|
| 1417352428 | We Care Residential Services, LLC | Community Based Residential Treatment Facility, Mental Illness | 1404 5th St, Alexandria, LA 71301-7933 | 2014-11-03 |
| 1386861524 | Thrive Behavioral Network Iv, LLC | Community Based Residential Treatment Facility, Mental Illness | 620 9th Ave W, Alexandria, MN 56308-2204 | 2007-04-19 |
| 1649341611 | Community Residences, Inc. | Community Based Residential Treatment Facility, Mental Illness | 6625 Hulvey Ter, Alexandria, VA 22306-6603 | 2006-11-13 |
| 1184172744 | Juanita Walls | Community Based Residential Treatment Facility, Mental Illness | 3600 Government St, Alexandria, LA 71302-3324 | 2016-09-13 |
| 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 | ||||
| City | ALEXANDRIA |
| Zip Code | 56308 |
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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.