Prairie Coaching LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PRAIRIE COACHING LLC

Practice address

6910 Tartan Curv
Eden Prairie, MN 55346-3360

Phone

(612) 916-8698

NPI assigned

Oct 10, 2018

Organization subpart

No

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

Authorized official

Name

Dale Woodard, CPCCNPI 1578816492

Title

President

Phone

(612) 916-8698

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Dale A Woodard

  • Hearing Instrument Specialist
  • Richfield, MN
  • NPI 1578816492
  NPD Authorized official

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

{
    "created_epoch": "1539129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539129600000",
    "number": "1295200772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6910 TARTAN CURV",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553463360",
            "telephone_number": "612-916-8698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6910 TARTAN CURV",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553463360",
            "telephone_number": "612-916-8698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE COACHING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-10",
        "last_updated": "2018-10-10",
        "status": "A",
        "authorized_official_last_name": "WOODARD",
        "authorized_official_first_name": "DALE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-916-8698",
        "authorized_official_credential": "CPCC"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dareya Pozdnyakov
• Prairie Adult Care, Inc.
• Prairie Bluffs Rehabilitation Center LLC
• Prairie Bluffs Senior Living Operations LLC
• Prairie Bluffs Tcu, LLC
• Prairie Dental Group
• Prairie Residence Care, LLC
• Prairie View Chiropractic Clinic, P.a.
• Prairie Village Chiropractic Clinic
• Prairiestone Pharmacy LLC

• In Home Supportive Care Agency in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• In Home Supportive Care Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.