PIONEER RECOVERY CENTER LLC (NPI# 1891948238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891948238 |
| Entity Type | Organization |
| Organization Name | PIONEER RECOVERY CENTER LLC |
| Practice Address |
5388 Road 37 Aurora MN 55705-8338 |
| Practice Telephone | 2183931421 |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2008-10-29 |
| Authorized Official Name | JENNIFER DAWN NYAKUNDI (CO-OWNER/CO-DIRECTOR) |
| Authorized Official Telephone | 2183931421 |
| Authorized Official Credential | LADC, CADC III |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | MN | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376737064 | Pioneer Recovery Center LLC | Substance Abuse Rehabilitation Facility | 5388 Road 37, Aurora, MN 55705-8338 | 2007-09-05 |
| Street Address |
5388 ROAD 37 |
| City | AURORA |
| State | MN |
| Zip Code | 55705-8338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376737064 | Pioneer Recovery Center LLC | Substance Abuse Rehabilitation Facility | 5388 Road 37, Aurora, MN 55705-8338 | 2007-09-05 |
| 1518588045 | Ewing Therapy Services LLC | Counselor | 5388 Road 37, Aurora, MN 55705-8338 | 2020-05-06 |
| 1306315114 | Christopher Mitchell | Lodging | 5388 Road 37, Aurora, MN 55705-8338 | 2018-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144436189 | Mary Agnes Johnson | Technician | 705 Knuti Dr, Aurora, MN 55705 | 2007-05-15 |
| 1871651646 | Northern Pines Medical Center | Pharmacy | 5211 Hwy 110, Aurora, MN 55705 | 2006-12-05 |
| 1700997327 | Mark W Boback | Dentist | 22 W 3rd Ave N, Aurora, MN 55705 | 2006-08-31 |
| 1346252053 | Claude Erickson | Physician Assistant | 405 West 3rd Ave N, Aurora, MN 55705 | 2006-08-12 |
| 1780838151 | Vision Pro | Optometrist | 5211 Hwy 110, White Community Hospital, Aurora, MN 55705 | 2008-11-11 |
| 1265533400 | Ericka Janette Lamar | Psychologist | 5211 Highway 110, Essentia Health Northern Pines Clinic, Aurora, MN 55705 | 2006-09-26 |
| 1982641791 | The Duluth Clinic, Ltd | Clinic/Center | 405 W 3rd Ave N, Box 392, Aurora, MN 55705-1247 | 2006-06-01 |
| 1447817978 | Mesabacare LLC | Counselor | 405 W 3rd Ave N, Aurora, MN 55705-1247 | 2019-05-21 |
| 1063704930 | Ann Marie Westbrook Vreeland | Nurse Practitioner | 405 W 3rd Ave N, Aurora, MN 55705-1247 | 2011-05-10 |
| 1811920564 | Michelle Renee Oman | Family Medicine | 405 W 3rd Ave N, Aurora, MN 55705-1247 | 2006-07-08 |
| Find all providers in zip 55705 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548874308 | Lotus Lodge, LLC | Substance Abuse Rehabilitation Facility | 206 Uvalda St, Aurora, CO 80011-8602 | 2020-08-31 |
| 1710591573 | Lotus Lodge Men, LLC | Substance Abuse Rehabilitation Facility | 16313 E 7th Dr, Aurora, CO 80011-4524 | 2020-08-31 |
| 1487122057 | Valiant Dtx, LLC | Substance Abuse Rehabilitation Facility | 2602 S Ensenada Way, Aurora, CO 80013-7690 | 2018-11-12 |
| 1811147218 | Gateway Opportunity House | Substance Abuse Rehabilitation Facility | 479 N Lake St, Aurora, IL 60506-4105 | 2008-09-23 |
| 1669629416 | Sharp Med Spa Inc. | Substance Abuse Rehabilitation Facility | 6894 S Ensenada St, Aurora, CO 80016-1956 | 2008-08-23 |
| 1376737064 | Pioneer Recovery Center LLC | Substance Abuse Rehabilitation Facility | 5388 Road 37, Aurora, MN 55705-8338 | 2007-09-05 |
| 1568677730 | Hope for Tomorrow, Inc. | Substance Abuse Rehabilitation Facility | 44 1/2 W Downer Pl, Suite 39, Aurora, IL 60506-5124 | 2007-05-11 |
| 1871192930 | Aurora Comprehensive Community Mental Health Center Inc | Substance Abuse Rehabilitation Facility | 1290 S Potomac St, Aurora, CO 80012-4524 | 2020-10-20 |
| 1588261762 | Aurora Comprehensive Community Mental Health Center | Substance Abuse Rehabilitation Facility | 1290 S Potomac St, Aurora, CO 80012-4524 | 2020-10-01 |
| 1245847854 | Spanish Clinic | Substance Abuse Rehabilitation Facility | 1400 Dayton St, Aurora, CO 80010-3233 | 2020-09-28 |
| Find all providers in AURORA | ||||
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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.