NPIMap

Organization Active NPI

C.a.R.E.-Brainerd

  • Substance Abuse Rehabilitation Facility
  • Brainerd, MN
National Provider Identifier
1659445229
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
331076 Issued in MN
Legal business name
C.A.R.E.-BRAINERD
Practice address
11800 State Ave
Brainerd, MN 56401-7308
Phone
(218) 828-2201
NPI assigned
Nov 17, 2006
Organization subpart
Yes
Parent organization
COMMUNITY ADDICTION RECOVERY ENTERPRISEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Authorized official

Name
Kimmerly Cardinal
Title
Accounts Receivable Supervisor
Phone
(651) 431-3693

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 331076 MN Primary

Addresses

Primary practice location

11800 State Ave
Brainerd, MN 56401-7308

Mailing address

PO Box 64979
Saint Paul, MN 55164-0979

Other identifiers 1

IdentifierTypeStateIssuer
344855000MedicaidMN

National Provider Directory

National Provider Directory
Tax ID family
Care-Brainerd10 organizations share this tax ID, including this one
Part of
Care-Brainerd

Other organizations with this tax ID 9

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

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1659445229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64979",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551640979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11800 STATE AVE",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564017308",
            "telephone_number": "218-828-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C.A.R.E.-BRAINERD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY ADDICTION RECOVERY ENTERPRISE",
        "enumeration_date": "2006-11-17",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A",
        "authorized_official_last_name": "CARDINAL",
        "authorized_official_first_name": "KIMMERLY",
        "authorized_official_title_or_position": "ACCOUNTS RECEIVABLE SUPERVISOR",
        "authorized_official_telephone_number": "651-431-3693"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MN",
            "license": "331076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "344855000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brainerd, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.