Prairie Horizons Health Inc

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

PRAIRIE HORIZONS HEALTH INC

Practice address

1821 University Ave W Ste 149
Saint Paul, MN 55104-2891

Phone

(612) 404-9895

NPI assigned

Nov 11, 2024

Organization subpart

No

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

Authorized official

Name

Sharmake A Mohamed

Title

Manager

Phone

(612) 404-9895

Specialties & licenses 2

Addresses

Other names 1

• PRAIRIE HORIZONS HEALTH Doing business as

Locations

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

{
    "created_epoch": "1731283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731283200000",
    "number": "1306660980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 UNIVERSITY AVE W STE 149",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551042891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 UNIVERSITY AVE W STE 149",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551042891",
            "telephone_number": "612-404-9895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE HORIZONS HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-11",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "SHARMAKE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "612-404-9895"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRAIRIE HORIZONS HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Linda Agnes Pozen, MSW, LGSW
• PPSM
• Sapna Prabhakaran, M.D
• Practical Therapy LLC
• Andrea Sue Prado
• Prairie Path Behavioral Health LLC
• Prairie St. John'S Clinic
• Prairiestone Pharmacy LLC
• Cynthia Ruth Pratt, M.A., L.P.
• E Pratt, LMFT

• Mental Illness Community Based Residential Treatment Facility in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Mental Illness Community Based Residential Treatment Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; 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.