Prairie River Home Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

R21193 Issued in MN

Legal business name

PRAIRIE RIVER HOME CARE

Practice address

9863 107TH PL N
Maple Grove, MN 55369-2723

Phone

(612) 532-4313

NPI assigned

May 13, 2014

Organization subpart

No

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

Authorized official

Name

Lindsay Thompson

Title

RN

Phone

(612) 532-4313

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1399939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399939200000",
    "number": "1689085672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9863 107TH PL N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553692723",
            "telephone_number": "612-532-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9863 107TH PL N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553692723",
            "telephone_number": "612-532-4313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE RIVER HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-13",
        "last_updated": "2014-05-13",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "612-532-4313"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "R21193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Popp, CPNP
• Shannon Marie Poppe Grabinger, MS, CCC-SLP
• Heather Porter, PT
• Christine Nicole Poska, PA-C
• Lynn M Powers, PHD
• Prairiecare
• Preferred Home Care Services Inc.
• Premise Health of Minnesota Medical P C
• Prestige Homecare LLC
• Andrea Price, PT

• Home Health Agency in Maple Grove, MN
• Providers in Maple Grove, 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 13, 2014; 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.