PRAIRIE COMMUNITY SERVICES (NPI# 1891865564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891865564 |
Entity Type | Organization |
Organization Name | PRAIRIE COMMUNITY SERVICES |
Practice Address |
801 Nevada Ave Morris MN 56267-1865 |
Practice Telephone | 3205893077 |
Practice Fax Number | 3205892543 |
Mailing Telephone | 3205893077 |
Mailing Fax Number | 3205892543 |
Enumeration Date | 2006-11-09 |
Last Update Date | 2011-03-18 |
Authorized Official Name | SHERRY WAGNER (CFO) |
Authorized Official Telephone | 3205894902 |
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 | 251S00000X | Community/Behavioral Health | 4315987 02 | MN | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | 431598700 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891195608 | Prairie Community Services | Intermediate Care Facility, Mentally Retarded | 2203 Rolling Green Ln, North Mankato, MN 56003-4459 | 2014-08-28 |
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 |
Street Address |
801 NEVADA AVE |
City | MORRIS |
State | MN |
Zip Code | 56267-1865 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265481386 | West Wind Village | Home Health | 801 Nevada Ave, Morris, MN 56267-1865 | 2006-05-08 |
1811063167 | Patricia Kussatz | Technician | 801 Nevada Ave, Morris, MN 56267-1865 | 2006-11-28 |
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 |
1235209909 | Prairie Community Services | Intermediate Care Facility, Mentally Retarded | 801 Nevada Ave, Morris, MN 56267-1865 | 2006-11-09 |
1144390816 | Prairie Community Services | Intermediate Care Facility, Mental Illness | 801 Nevada Ave, Morris, MN 56267-1865 | 2006-11-09 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144530510 | Lynette L Perreault | Pharmacist | 533 Atlantic Ave, Morris, MN 56267 | 2010-10-19 |
1962725358 | Morris Health Services | Home Health | 1000 Court Dr, Morris, MN 56267 | 2010-03-12 |
1205159696 | Morris Health Services | Assisted Living Facility | 1100 Court Dr, Morris, MN 56267 | 2010-03-12 |
1861635393 | Dennis Robert Taffe | Counselor | 712 Atlantic Ave, Suite 3, Morris, MN 56267 | 2009-04-14 |
1538341227 | Randy Lynn Hamling | Chiropractor | 717 Atlantic Ave., Morris, MN 56267 | 2007-12-04 |
1649466293 | Liberty D Sleiter | Social Worker | 20600 462nd Ave, Morris, MN 56267 | 2007-09-18 |
1699833541 | Jeffrey Andrew Hauger | Dentist | 2 East 5th St, Morris, MN 56267 | 2006-12-04 |
1366543662 | Stevens Community Medical Center Inc | Clinic/Center | 400 East 1st Street, Morris, MN 56267 | 2006-09-26 |
1982713012 | Joseph J Kisch | Optometrist | 512 Atlantic Ave, Midwest Family Eyecare Ltd, Morris, MN 56267 | 2006-08-30 |
1487678942 | Stevens Community Medical Center Inc | General Acute Care Hospital | 400 E. 1st Street, Morris, MN 56267 | 2006-07-27 |
Find all providers in zip 56267 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003353764 | Crossroads Counseling Services, LLC | Community/Behavioral Health | 1802 N Division Street, Suite 509, Morris, IL 60450 | 2017-01-19 |
1124336862 | Prairie Community Services | Community/Behavioral Health | 801 Nevada Ave Ste 100, Morris, MN 56267-1874 | 2010-09-15 |
1679964308 | Catholic Charities of The Diocese of Joliet | Community/Behavioral Health | 201 Liberty St, Suite 241, Morris, IL 60450 | 2015-02-17 |
1912156191 | Grundy County Health Department | Community/Behavioral Health | 1320 Union St, Morris, IL 60450-2426 | 2008-09-12 |
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1154922102 | Alliance Development Center LLC | Community/Behavioral Health | 1545 E Lake St Ste 210, Minneapolis, MN 55407-1742 | 2020-11-05 |
1083212419 | Stepping Stone Counseling, LLC | Community/Behavioral Health | 339 9th St Ste C, Windom, MN 56101-1694 | 2020-10-16 |
1114526548 | Essential Grace Therapy, Pllc | Community/Behavioral Health | 12390 Sherburne Ave Ste 210, Becker, MN 55308-9147 | 2020-10-16 |
1770180606 | Anishinaabe Endaad LLC | Community/Behavioral Health | 3027 Queen Ave N, Minneapolis, MN 55411-1060 | 2020-10-05 |
1427662543 | Autism Center for Education LLC | Community/Behavioral Health | 2021 E Hennepin Ave Ste 187, Minneapolis, MN 55413-2187 | 2020-09-04 |
1235743634 | Amolo House | Community/Behavioral Health | 3730 Fremont Ave N, Minneapolis, MN 55412-2014 | 2020-09-02 |
1508470956 | Our Future Inc. | Community/Behavioral Health | 3055 Old Highway 8 Ste 230, St Anthony, MN 55418-2500 | 2020-09-02 |
1114539434 | Northway Academy, Inc. | Community/Behavioral Health | 19437 Evans Street Nw, Elk River, MN 55330-1074 | 2020-08-18 |
1336750769 | Community Care Partners | Community/Behavioral Health | 2817 Anthony Ln S Ste 312, St Anthony, MN 55418-2886 | 2020-08-10 |
1356951255 | Great Lake Care LLC | Community/Behavioral Health | 1710 Douglas Dr N Ste 224e, Golden Valley, MN 55422-4350 | 2020-08-05 |
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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.