Organization Active NPI

Prairie River Home Care

  • Home Health Agency
  • Buffalo, MN
National Provider Identifier
1730520099
Registry record updated Jul 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
R-203669-0 Issued in MN
Legal business name
PRAIRIE RIVER HOME CARE
Practice address
25 1St Ave NE
Buffalo, MN 55313-1568
Phone
(763) 868-2300
NPI assigned
Jul 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2013

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

Authorized official

Name
Tamera Marie Pierce, RN
Title
RN Case Manager
Phone
(612) 508-8449

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X R-203669-0 MN Primary

Addresses

Primary practice location

25 1St Ave NE
Buffalo, MN 55313-1568

Mailing address

25 1St Ave NE
Buffalo, MN 55313-1568
Phone (763) 868-2300

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373846400000",
    "number": "1730520099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 1ST AVE NE",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553131568",
            "telephone_number": "763-868-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 1ST AVE NE",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553131568",
            "telephone_number": "763-868-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE RIVER HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-15",
        "last_updated": "2013-07-15",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "TAMERA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "RN CASE MANAGER",
        "authorized_official_telephone_number": "612-508-8449",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "R-203669-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; 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.