The Lotus Center, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

THE LOTUS CENTER, INC.

Doing business as

Recovery Engaged Communities

Practice address

2900 5TH St S
Moorhead, MN 56560-4966

Phone

(218) 284-1811

NPI assigned

Jun 23, 2022

Organization subpart

Yes

Parent organization

THE LOTUS CENTER, INC.As reported in NPPES

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

Authorized official

Name

Sarah Priscilla Chatelain-Gress

Title

Fiscal Sponsor Ed

Phone

(218) 284-1803

Specialties & licenses 3

Addresses

Other names 1

• Recovery Engaged Communities Doing business as

Tax ID family

The Lotus Center Inc3 organizations share this tax ID, including this one

Part of

The Lotus Center Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• The Lotus Center, Inc.

  • Case Management Agency
  • Moorhead, MN
  • NPI 1013705920
  NPD tax ID
• The Lotus Center, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Moorhead, MN
  • NPI 1407323264
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jaurdyn Leeanne Gilliss

  • Peer Specialist
  • Moorhead, MN
  • NPI 1730810615
  NPD
• Carra L Holubok

  • Peer Specialist
  • Moorhead, MN
  • NPI 1437880317
  NPD

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663718400000",
    "number": "1114658853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 8TH ST S STE 3",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565603658",
            "telephone_number": "218-284-1803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 5TH ST S",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565604966",
            "telephone_number": "218-284-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LOTUS CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE LOTUS CENTER, INC.",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A",
        "authorized_official_last_name": "CHATELAIN-GRESS",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "PRISCILLA",
        "authorized_official_title_or_position": "FISCAL SPONSOR ED",
        "authorized_official_telephone_number": "218-284-1803"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Recovery Engaged Communities",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shelby Jo Tczap
• Samantha Teschendorf
• Bonnie Linda Teske, COTA
• The Family Link of Moorhead LLC
• The Lotus Center, Inc.
• The Lotus Center, Inc.
• The Village Family Service Center
• Therapy Services With Shelley, PLLC
• Thomas N Lorentzsen & Stanton L Andrist PTR (Moorhead Vision Associates)
• Lindsey Marie Thompson

• Community/Behavioral Health Agency in Moorhead, MN
• Providers in Moorhead, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.