Therapeutic Community Residence, Inc. in Lindstrom - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Therapeutic Community Residence, Inc. - NPI 1508936980
Therapeutic Community Residence, Inc. is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Lindstrom, Minnesota. Therapeutic Community Residence, Inc. practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Therapeutic Community Residence, Inc. is 1508936980. The last update date is 2020-08-22.
Therapeutic Community Residence, Inc.'s current location address is 28100 Newberry Trail, Lindstrom, Minnesota. You can contact this provider via phone number 6512571507. The mailing address for Therapeutic Community Residence, Inc. is 28100 Newberry Trail, Lindstrom, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Therapeutic Community Residence, Inc. |
|---|---|
| Address | 28100 Newberry Trail, Lindstrom, Minnesota |
| Phone Number | 6512571507 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Mcnally Daniel |
| Telephone Number | 6512571507 |
NPI Number Detail
| NPI Number | 1508936980 |
|---|---|
| Provider Enumeration Date | 2006-11-09 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 28100 Newberry Trail |
|---|---|
| City | Lindstrom |
| State | Minnesota (MN) |
| Post Code | 550459078 |
| Phone Number | 6512571507 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
| Licence No | 802495 |
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Definition: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. |
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What is the Therapeutic Community Residence, Inc.'s 1508936980?
The Therapeutic Community Residence, Inc.'s NPI (National Provider Identifier) Number is 1508936980. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Therapeutic Community Residence, Inc.?
The Therapeutic Community Residence, Inc. is situated at 28100 Newberry Trail, in the city of Lindstrom, state of MN, with the zip code 550459078.
What is Therapeutic Community Residence, Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Therapeutic Community Residence, Inc.'s specialized field of practice is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this area of specialization is 320600000X.
On what date did Therapeutic Community Residence, Inc. receive its 1508936980 assignment from the Centers for Medicare & Medicaid Services?
The Therapeutic Community Residence, Inc. was assigned its 1508936980 on 2006-11-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Therapeutic Community Residence, Inc. most recently updated?
The details pertaining to the Therapeutic Community Residence, Inc., including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.