Prodigal House Inc. in Minneapolis - Substance Abuse Rehabilitation Facility
Prodigal House Inc. - NPI 1316016884
Prodigal House Inc. is a Substance Abuse Rehabilitation Facility in Minneapolis, Minnesota. Prodigal House Inc. practices all healthcare services and medical treatments related to Substance Abuse Rehabilitation Facility. The NPI Number for Prodigal House Inc. is 1316016884. The last update date is 2008-06-19.
Prodigal House Inc.'s current location address is 5103 Minnehaha Ave Bldg 16, Minneapolis, Minnesota. You can contact this provider via phone number 6127213358 and fax number 6127212619. The mailing address for Prodigal House Inc. is 5103 Minnehaha Ave Bldg 16, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Prodigal House Inc. |
|---|---|
| Address | 5103 Minnehaha Ave Bldg 16, Minneapolis, Minnesota |
| Phone Number | 6127213358 |
| Fax Number | 6127212619 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Grein Merlinda Amelia |
| Credentials | BS, LADC |
| Telephone Number | 6127218556 |
NPI Number Detail
| NPI Number | 1316016884 |
|---|---|
| Provider Enumeration Date | 2006-11-07 |
| Last Updated Date | 2008-06-19 |
Provider Mailing Address Detail
| Address | 5103 Minnehaha Ave Bldg 16 |
|---|---|
| City | Minneapolis |
| State | Minnesota (MN) |
| Post Code | 554171647 |
| Phone Number | 6127213358 |
| Fax Number | 6127212619 |
Provider's Primary Taxonomy Detail
| Speciality | Substance Abuse Rehabilitation Facility |
|---|---|
| Taxonomy | 324500000X |
| Licence No | 801974 |
|
Definition: 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. |
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Post Comment/ Review Below
What is the unique identifier code issued to Prodigal House Inc. by the Centers for Medicare & Medicaid Services (CMS)?
The Prodigal House Inc. has been assigned the NPI (National Provider Identifier) 1316016884. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Prodigal House Inc. is geographically located?
The Prodigal House Inc. is physically situated at the following location: 5103 Minnehaha Ave Bldg 16, Minneapolis, MN, 554171647.
What is Prodigal House Inc.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Prodigal House Inc. is Substance Abuse Rehabilitation Facility, and the taxonomy code that classifies this field of practice is 324500000X.
On what date did Prodigal House Inc. receive its 1316016884 assignment from the Centers for Medicare & Medicaid Services?
The Prodigal House Inc. was assigned its 1316016884 on 2006-11-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Prodigal House Inc., such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Prodigal House Inc., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-06-19.