RESIDENTIAL ADVANTAGES, INC (NPI# 1992211916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992211916 |
| Entity Type | Organization |
| Organization Name | RESIDENTIAL ADVANTAGES, INC |
| Practice Address |
220 Milwaukee St Lakefield MN 56150-9494 |
| Mailing Address |
6600 France Ave S Ste 500 Edina MN 55435-1878 |
| Practice Telephone | 5076625236 |
| Practice Fax Number | 9529226885 |
| Mailing Telephone | 9529226776 |
| Mailing Fax Number | 9529226885 |
| Enumeration Date | 2017-12-28 |
| Last Update Date | 2017-12-28 |
| Authorized Official Name | MR. PATRICK MASYGA (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9525632205 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | MN | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 1071037-1-HCRS | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952466195 | Residential Advantages, Inc | Intermediate Care Facility, Mental Illness | 1708 N Garden St, New Ulm, MN 56073-1556 | 2006-12-27 |
| Street Address |
220 MILWAUKEE ST |
| City | LAKEFIELD |
| State | MN |
| Zip Code | 56150-9494 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619482577 | Habilitative Services, Inc. | Assisted Living Facility | 220 Milwaukee St, Lakefield, MN 56150-9494 | 2017-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629114566 | City of Lakefield | Emergency Medical Technician, Basic | 206 Broadway Ave, Lakefield, MN 56150 | 2007-01-29 |
| 1114086311 | Sanford Health Network | Clinic/Center | 209 Main Street, Lakefield, MN 56150 | 2006-12-06 |
| 1114089877 | Swoboda Chiropractic of Lakefield | Chiropractor | 221 Third Ave N, Lakefield, MN 56150-0758 | 2006-12-15 |
| 1851492854 | Barbara J Swoboda | Chiropractor | 221 3rd Ave N, Lakefield, MN 56150-0758 | 2006-09-25 |
| 1538144183 | John Philip Beardsley | Dentist | 213 3rd Ave N, Lakefield, MN 56150-1123 | 2005-12-07 |
| 1033272695 | Sanford Health | Clinic/Center | 209 Main St, Lakefield, MN 56150-1199 | 2006-12-18 |
| 1316315419 | Laura Larsen | Pharmacist | 326 Main St, Lakefield, MN 56150-1200 | 2015-09-04 |
| 1194142901 | Lewis Family Drug, LLC | Pharmacy | 326 Main St, Lakefield, MN 56150-1200 | 2014-03-19 |
| 1346355377 | Throndset Pharmacy Inc | Pharmacy | 326 Main St, Lakefield, MN 56150-1200 | 2006-08-20 |
| 1700090479 | Habilitative Services, Inc. | Home Health | 220 Milwaukee St Ste 2, Lakefield, MN 56150-9495 | 2007-05-10 |
| Find all providers in zip 56150 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184244527 | Kam Homecare | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1500 Nicollet Ave Apt 305, Minneapolis, MN 55403-2724 | 2020-04-24 |
| 1477117885 | Kelly Rae Martin | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13881 Schuelke Beach Rd Nw, Miltona, MN 56354 | 2019-05-01 |
| 1295291573 | Tricia Bastian | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 607 4th St S, Walker, MN 56484-6400 | 2019-02-12 |
| 1881163632 | Jacob Wrich | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 603 3rd St W Apt 1, Hastings, MN 55033-1127 | 2018-11-21 |
| 1003394479 | Malissa Ann Costanzo | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 844 8th Ave Se, Forest Lake, MN 55025 | 2018-07-30 |
| 1154814564 | Laurie K. Tazelaar-williams | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5253 W Bald Eagle Blvd, White Bear Lake, MN 55110-6532 | 2018-06-11 |
| 1205340577 | Dale Conrad Forslin | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1029 Highway 65 Ste 107, Braham, MN 55006-3360 | 2017-11-25 |
| 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 |
| 1407396336 | Viko Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5651 69th Ave N, 203, Brooklyn Park, MN 55429-1579 | 2017-02-25 |
| 1972052702 | Marie-noel Hiol-hiol | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 14642 Quartz Ter Nw, Ramsey, MN 55303-4581 | 2016-09-21 |
| Find all providers with the same taxonomy | ||||
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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.