Organization Active NPI

Pioneer Care LLC

Doing business as Pioneer Estates

  • Assisted Living Facility
  • Eden Prairie, MN
National Provider Identifier
1336651405
Registry record updated Dec 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
PIONEER CARE LLC
Doing business as
Pioneer Estates
Practice address
8751 Preserve Blvd
Eden Prairie, MN 55344-5301
Phone
(612) 986-3859
NPI assigned
Oct 30, 2017
Last updated
Dec 8, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2017

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

Authorized official

Name
Mr. Michael Crow
Title
Owner
Phone
(612) 986-3859

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X MN Primary

Addresses

Primary practice location

8751 Preserve Blvd
Eden Prairie, MN 55344-5301

Mailing address

PO Box 46104
Plymouth, MN 55446-0104
Phone (612) 200-0732

Other names 1

  • Pioneer Estates Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1509321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512691200000",
    "number": "1336651405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 46104",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554460104",
            "telephone_number": "612-200-0732",
            "fax_number": "612-524-5494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8751 PRESERVE BLVD",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445301",
            "telephone_number": "612-986-3859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-30",
        "last_updated": "2017-12-08",
        "status": "A",
        "authorized_official_last_name": "CROW",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-986-3859",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pioneer Estates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eden Prairie, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2017; 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.