Preferred Residential Lifestyles

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PREFERRED RESIDENTIAL LIFESTYLES

Practice address

220 Milwaukee St Ste 2
Lakefield, MN 56150-9495

Phone

(952) 563-2207

Fax

(952) 922-6885

NPI assigned

Oct 18, 2017

Last updated

Mar 4, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brett Ian Cohen

Title

Coo

Phone

(800) 388-5150

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677888000000",
    "number": "1861903791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 FRANCE AVE S",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554351805",
            "telephone_number": "952-922-6776",
            "fax_number": "952-922-6885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 MILWAUKEE ST STE 2",
            "city": "LAKEFIELD",
            "state": "MN",
            "postal_code": "561509495",
            "telephone_number": "952-563-2207",
            "fax_number": "952-922-6885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED RESIDENTIAL LIFESTYLES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-18",
        "last_updated": "2023-03-04",
        "certification_date": "2023-03-04",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "IAN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "800-388-5150"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1071036-1-HCBS",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Larsen
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• Amber Ann Liepold, OTR/L
• Prairie Rehabilitation Services, Inc
• Prairie Rehabilitation Services, Inc.
• Residential Advantages, Inc
• Sanford Health (Sanford Health Network)
• Sanford Health Network (Sanford Clinic Lakefield)
• Sanford Health Network (Lewis Family Drug #76)
• Swoboda Chiropractic of Lakefield

• Community/Behavioral Health Agency in Lakefield, MN
• Providers in Lakefield, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.