PRIDE WILTON INC. (NPI# 1740391853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740391853 |
| Entity Type | Organization |
| Organization Name | PRIDE WILTON 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 | 251J00000X | Nursing Care | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 30748 | 05 |
| Street Address |
1200 MISSOURI AVE |
| City | BISMARCK |
| State | ND |
| Zip Code | 58504-5264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346351475 | Pride Manchester Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1200 Missouri Ave, Bismarck, ND 58504-5264 | 2006-08-31 |
| 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 |
| 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 | 251J00000X |
| Grouping | Agencies |
| Classification | Nursing Care |
| A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316352669 | Corrie Tivis | Nursing Care | 1929 N 11th St Apt 5, Bismarck, ND 58501-1916 | 2014-06-25 |
| 1013326461 | United Tribes Technical College | Nursing Care | 3315 University Dr, Bismarck, ND 58504-7565 | 2014-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255824256 | Omega Home Care Services LLC | Nursing Care | 42 Sims St Ste 15, Dickinson, ND 58601-5116 | 2018-06-13 |
| 1568851657 | Angels Hands Healthcare | Nursing Care | 3701 10th St Ne, Minot, ND 58703-3505 | 2015-01-13 |
| 1144636051 | Sheridan Memorial Home | Nursing Care | 610 South Main, Mcclusky, ND 58463-0350 | 2014-07-11 |
| 1821402512 | Nicole Mord | Nursing Care | 817 17th St S, Fargo, ND 58103-2557 | 2014-06-20 |
| 1720492366 | Easter Seals Goodwill Nd, Inc. | Nursing Care | 211 Collins Ave, Mandan, ND 58554-3106 | 2014-06-11 |
| 1770778748 | Western Horizons Living Centers | Nursing Care | 1104 Highway 12, Hettinger, ND 58639-7533 | 2007-09-12 |
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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.