Professional Association of Treatment Homes

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PROFESSIONAL ASSOCIATION OF TREATMENT HOMES

Practice address

1202 Westrac Dr S Ste 400
Fargo, ND 58103-2356

Phone

(701) 280-9545

NPI assigned

Jul 18, 2006

Organization subpart

No

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

Authorized official

Name

April Roberge

Title

Human Resource & Admin Coordinator

Phone

(701) 551-6342

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

Path Minnesota Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Path Minnesota, Inc.

  • Community/Behavioral Health Agency
  • Fargo, ND
  • NPI 1043443906
  NPD tax ID

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540512000000",
    "number": "1245258953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 WESTRAC DR S STE 400",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581032356",
            "telephone_number": "701-280-9545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 WESTRAC DR S STE 400",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581032356",
            "telephone_number": "701-280-9545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL ASSOCIATION OF TREATMENT HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2018-10-26",
        "status": "A",
        "authorized_official_last_name": "ROBERGE",
        "authorized_official_first_name": "APRIL",
        "authorized_official_title_or_position": "HUMAN RESOURCE & ADMIN COORDINATOR",
        "authorized_official_telephone_number": "701-551-6342"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1459674",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prime Care Solutions LLC
• Alexa Privratsky, PA
• Katie Prochniak
• Lindsay J Prochnow, RPHTECH, CHW
• Savannah Leigh Prodzinski, PA-C
• Professional Optical
• Professional Optical
• Professional Rehabilitation Center
• Professional Rehabilitation Center
• Professional Rehabilitation Center Inc

• Community/Behavioral Health Agency in Fargo, ND
• Providers in Fargo, ND by specialty
• Community/Behavioral Health Agency in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2018; 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.