Prevent 7

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PREVENT 7

Practice address

2426 Tournament Players Cir S
Blaine, MN 55449-5502

Phone

(612) 889-2031

NPI assigned

May 25, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Nickolas James Micek, MSW

Title

Director

Phone

(612) 889-2031

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1337904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337904000000",
    "number": "1457611386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2426 TOURNAMENT PLAYERS CIR S",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554495502",
            "telephone_number": "612-889-2031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2426 TOURNAMENT PLAYERS CIR S",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554495502",
            "telephone_number": "612-889-2031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVENT 7",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-25",
        "last_updated": "2012-05-25",
        "status": "A",
        "authorized_official_last_name": "MICEK",
        "authorized_official_first_name": "NICKOLAS",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "612-889-2031",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Marie Polk, REGISTERED NURSE
• Tanager Yvonne Polowchak, MA, LPCC
• Autumn Rose Popowski
• Gregory John Povolny, D.D.S.
• Joseph Francis Prenosil V, MA, LPCC
• Primecare Connections
• Proactive Autism Therapy
• Professional Vision Care, PA
• Promising Educational Services Inc
• Providence Health Care Services

• Home Health Agency in Blaine, MN
• Providers in Blaine, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2012; 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.