PRAIRIE COMMUNITY SERVICES (NPI# 1891195608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891195608 |
| Entity Type | Organization |
| Organization Name | PRAIRIE COMMUNITY SERVICES |
| Other Organization Name | ROLLINGWOOD |
| Practice Address |
2203 Rolling Green Ln North Mankato MN 56003-4459 |
| Mailing Address |
801 Nevada Ave Morris MN 56267-1865 |
| Practice Telephone | 5077797187 |
| Practice Fax Number | 5077797186 |
| Mailing Telephone | 3205893077 |
| Mailing Fax Number | 3205894955 |
| Enumeration Date | 2014-08-28 |
| Last Update Date | 2014-08-28 |
| Authorized Official Name | SHERRY WAGNER (CFO) |
| Authorized Official Telephone | 3205894919 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST, FRANCIS HEALTH SERVICES OF MORRIS INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Rollingwood | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124336862 | Prairie Community Services | Community/Behavioral Health | 801 Nevada Ave Ste 100, Morris, MN 56267-1874 | 2010-09-15 |
| 1467530501 | Prairie Community Services | Intermediate Care Facility, Mentally Retarded | 256 Lake Ave N, Spicer, MN 56288-9512 | 2006-11-02 |
| 1578808663 | Prairie Community Services | Community Based Residential Treatment Facility, Mental Illness | 1610 E 1st St, Duluth, MN 55812-1650 | 2012-11-30 |
| 1902976673 | Prairie Community Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 801 Nevada Ave, Morris, MN 56267-1865 | 2006-11-09 |
| 1285704049 | Prairie Community Services | Intermediate Care Facility, Mental Illness | 801 Nevada Ave, Morris, MN 56267-1865 | 2006-11-09 |
| 1093885857 | Prairie Community Services | Intermediate Care Facility, Mental Illness | 801 Nevada Ave, Morris, MN 56267-1865 | 2006-11-09 |
| 1902976764 | Prairie Community Services | Intermediate Care Facility, Mental Illness | 801 Nevada Ave, Morris, MN 56267-1865 | 2006-11-09 |
| 1336219195 | Prairie Community Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 801 Nevada Ave, Morris, MN 56267-1865 | 2006-11-09 |
| 1154491918 | Prairie Community Services | Intermediate Care Facility, Mental Illness | 801 Nevada Ave, Morris, MN 56267-1865 | 2006-11-09 |
| 1891865564 | Prairie Community Services | Community/Behavioral Health | 801 Nevada Ave, Morris, MN 56267-1865 | 2006-11-09 |
| Street Address |
2203 ROLLING GREEN LN |
| City | NORTH MANKATO |
| State | MN |
| Zip Code | 56003-4459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609391796 | Chelsea Lynn Homan | Registered Nurse | 1961 Premier Dr #340, Mankato, MN 56003 | 2017-08-09 |
| 1700115649 | Oscar Donald Anderson | Ophthalmology | 2000 Roe Crest Dr, No Mankato, MN 56003 | 2009-12-23 |
| 1942434121 | Leah Rose Breit | Family Medicine | 1575 Lookout Drive, North Mankato, MN 56003 | 2009-05-04 |
| 1144792664 | Alexis Lise Cote-sands | Social Worker | 342 Belgrade Ave, North Mankato, MN 56003 | 2018-12-21 |
| 1164949863 | Ashlee Harriman | Physical Therapist | 1681 Commerce Dr, North Mankato, MN 56003 | 2017-08-24 |
| 1235685439 | Sagan Dobie | Physician Assistant | 1575 Lookout Dr, North Mankato, MN 56003 | 2016-08-28 |
| 1457687477 | Bridget Danielle Pollack-naber | Counselor | 360 Pierce Ave, Suite 209 Sioux Trails Mental Health Center, North Mankato, MN 56003 | 2009-10-27 |
| 1194884478 | Angela M Schuck | Dentist | 1400 Lookout Drive, North Mankato, MN 56003 | 2006-12-06 |
| 1881769198 | North Mankato Family Dentistry Pa | Dentist | 1400 Lookout Drive, North Mankato, MN 56003 | 2006-11-21 |
| 1740355064 | Keith P Flack | Dentist | 1400 Lookout Drive, North Mankato, MN 56003 | 2006-11-21 |
| Find all providers in zip 56003 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922502418 | Harry Meyering Center, Inc. | Intermediate Care Facility, Mentally Retarded | 2050 Haughton Ave, North Mankato, MN 56003-1416 | 2018-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114385085 | Lutheran Social Service of Minnesota | Intermediate Care Facility, Mentally Retarded | 11754 191 1/2 Ave Nw, Elk River, MN 55330-1367 | 2016-02-05 |
| 1255797718 | Lutheran Social Service of Minnesota | Intermediate Care Facility, Mentally Retarded | 497 Gates Ave Nw, Elk River, MN 55330-2633 | 2016-01-13 |
| 1336560333 | Rem Woodvale, Inc. Cottonwood | Intermediate Care Facility, Mentally Retarded | 2311 9th Avenue Sw, Austin, MN 55912 | 2013-12-18 |
| 1801228937 | Rem River Bluffs, Inc. Pinewood | Intermediate Care Facility, Mentally Retarded | 2631 Pinewood Ridge Dr Se, Rochester, MN 55904-6227 | 2013-07-31 |
| 1205111770 | Rem Ramsey, Inc. | Intermediate Care Facility, Mentally Retarded | 975 Lakewood Drive, Maplewood, MN 55119 | 2011-10-17 |
| 1306171939 | Rem Ramsey, Inc. | Intermediate Care Facility, Mentally Retarded | 797 Mayhill Rd N, Maplewood, MN 55119-3828 | 2009-10-15 |
| 1003073487 | Harmony Homes of Minnesota LLC | Intermediate Care Facility, Mentally Retarded | 7935 Drake Rd, Woodbury, MN 55125-1446 | 2008-05-22 |
| 1508033580 | Allendale House | Intermediate Care Facility, Mentally Retarded | 3108 Highway 52 N, Rochester, MN 55901-1916 | 2008-05-09 |
| 1083880488 | Bear Creek Services | Intermediate Care Facility, Mentally Retarded | 3108 Hwy 52 N, Rochester, MN 55901-1916 | 2008-05-06 |
| 1710152202 | Oakridge Homes of Wadena, Inc. | Intermediate Care Facility, Mentally Retarded | 1021 Industrial Park Road, Brainerd, MN 56401-8338 | 2008-04-25 |
| Find all providers with the same taxonomy | ||||
| City | NORTH MANKATO |
| Zip Code | 56003 |
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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.