PIONEER HEALING AND RESTORATION SERVICES INC,


Address: 1885 University Ave W Ste 300a, Saint Paul, MN 55104-3462
Phone: 6125649554

PIONEER HEALING AND RESTORATION SERVICES INC, (NPI# 1932608916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932608916
Entity Type Organization
Organization Name PIONEER HEALING AND RESTORATION SERVICES INC,
Practice Address 1885 University Ave W Ste 300a
Saint Paul
MN 55104-3462
Mailing Address 1885 University Ave W, Suite 300a
St Paul
MN 55104
Practice Telephone 6125649554
Mailing Telephone 6125649554
Enumeration Date 2018-02-06
Last Update Date 2018-02-06
Authorized Official Name OMAR MOHAMED (CEO)
Authorized Official Telephone 6126363593
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities
Y 261QM0850X Clinic/Center
Specialization: Adult Mental Health
Ambulatory Health Care Facilities

Office Location

Street Address 1885 UNIVERSITY AVE W STE 300A
City SAINT PAUL
State MN
Zip Code 55104-3462

Providers in the same zip code

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1891339131 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 1600 University Ave West, Suite 12, Room P, Saint Paul, MN 55104 2019-10-30
1629541644 Michael P Cain Counselor 1821 University Ave West, Suite N385, St. Paul, MN 55104 2019-01-03
1295219657 Awaken Recovery Center L.l.c Counselor 400 Suite D 393 North Dunlap, St Paul, MN 55104 2018-09-21
1285115634 American Current Care of Minnesota PC Clinic/Center 570 Asbury St Ste 101, Saint Paul, MN 55104 2018-08-23
1699262501 B & M Vital Homecare LLC. Home Health 1821 University Ave., W., Ste #s334, St. Paul, MN 55104 2018-04-16
1134621600 Lauren Fullerton Counselor 1821 University Ave W., Suite N385, St. Paul, MN 55104 2018-03-01
1265944672 Megan Manning Marriage & Family Therapist 475 Cleveland Ave. N., Suite 316, St. Paul, MN 55104 2017-10-26
1801305131 Foncham Buma Foncham Registered Nurse 856 University Avenue, W, St. Paul, MN 55104 2017-09-29
1750802476 Ha Vo Counselor 451 Lexington Parkway North, St. Paul, MN 55104 2017-07-03
1952831026 Noble Senior Center Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1094 University Ave W, Saint Paul, MN 55104 2017-06-12
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Taxonomy Information

Taxonomy Code 261QM0850X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639788755 Cazares Professional Therapy Clinic/Center 166 Farrington St, Saint Paul, MN 55102-2104 2020-07-24
1427611318 Provision Mental Health Services LLC Clinic/Center 962 University Ave W Ste 101, Saint Paul, MN 55104-4703 2019-04-17
1184189714 Success Psychological Services Pllc Clinic/Center 2239 Carter Ave # 202, Saint Paul, MN 55108-1638 2019-02-07
1932663101 Alliance for Individual Development Inc Clinic/Center 1955 University Ave W Ste 213, Saint Paul, MN 55104-3592 2019-01-22
1932629078 Independent Healthcare Resources, LLC. Clinic/Center 393 Dunlap St N Ste 820, Saint Paul, MN 55104-4343 2017-06-20
1386196673 Loud Body Sound Mind, LLC Clinic/Center 1025 Selby Ave Ste 101, Saint Paul, MN 55104-6533 2016-11-02
1306392683 Truman Group, LLC Clinic/Center 241 Cleveland Avenue S, Saint Paul, MN 55105-1208 2016-08-28
1518352681 Truman Consulting, LLC Clinic/Center 241 Cleveland Ave S Ste 1a, Saint Paul, MN 55105-1255 2015-04-05
1811163025 Laurie A. Dunn, Ph.d., LLC Clinic/Center 348 Prior Ave N Ste 104, Saint Paul, MN 55104-5188 2008-05-07
1841389798 Project Pathfinder Inc. Clinic/Center 570 Asbury St Ste 300, Saint Paul, MN 55104-1851 2006-10-11
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Competitor

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City SAINT PAUL
Zip Code 55104

Improve Information

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Dataset Information

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.

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