Bristol Place Corporation

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

8014812RS Issued in MN

Legal business name

BRISTOL PLACE CORPORATION

Practice address

412 Ridgewood Ave S
Minneapolis, MN 55403-3585

Phone

(612) 871-0805

Fax

(612) 871-0455

NPI assigned

Oct 2, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daniel R Schneider

Title

Executive Director

Phone

(612) 871-0805

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194818682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 RIDGEWOOD AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554033585",
            "telephone_number": "612-871-0805",
            "fax_number": "612-871-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 RIDGEWOOD AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554033585",
            "telephone_number": "612-871-0805",
            "fax_number": "612-871-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRISTOL PLACE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "612-871-0805"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MN",
            "license": "803962WS",
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MN",
            "license": "8025061RS",
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MN",
            "license": "8014812RS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liana Elena Brinson
• Dawn Brintnell, NP
• Jessica Brisbois, LICSW
• Tricia Briscoe
• Isaac Brist, DC
• Bristol Place Home Health Services, Inc.
• Bristol Place Home Health Services, Inc.
• Brite Dental Minnesota P.C.
• Leonardo Brito de Almeida, M.D.
• Brittan Donohoe Inc

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.