Prairie Residence Care, LLC

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

PRAIRIE RESIDENCE CARE, LLC

Practice address

12570 Crowfoot CT
Eden Prairie, MN 55344-3937

Phone

(612) 461-2158

NPI assigned

Feb 1, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Aden Rashid

Title

Owner

Phone

(612) 461-2158

Specialties & licenses 1

Addresses

Other names 1

• Prairie Residenc Care, LLC Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1738368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738368000000",
    "number": "1003620055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12570 CROWFOOT CT",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12570 CROWFOOT CT",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443937",
            "telephone_number": "612-461-2158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE RESIDENCE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-01",
        "last_updated": "2025-02-01",
        "certification_date": "2025-02-01",
        "status": "A",
        "authorized_official_last_name": "RASHID",
        "authorized_official_first_name": "ADEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-461-2158"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prairie Residenc Care, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Prairie Bluffs Rehabilitation Center LLC
• Prairie Bluffs Senior Living Operations LLC
• Prairie Bluffs Tcu, LLC
• Prairie Coaching LLC
• Prairie Dental Group
• Prairie View Chiropractic Clinic, P.a.
• Prairie Village Chiropractic Clinic
• Prairiestone Pharmacy LLC
• Premier Health Services
• Paula A Prescott

• Assisted Living Facility (Mental Illness) in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Assisted Living Facility (Mental Illness) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.